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Acasa/Blog, Guvernare globala, Harlan Ullman, Pace & Securitate, Subiecte/Too many archdukes, too many bullets
Too many archdukes, too many bullets
Ninety-nine years ago this Friday, Archduke Franz Ferdinand and his pregnant wife Sofia were gunned down in Sarajevo by a nineteen-year old Bosnian Serb nationalist named Gavrilo Princips. The assassinations quickly provoked a crisis that more quickly erupted into world war. Ironically, many of the elites in Europe believed that an early 20th century version of globalization and economic interdependencies on the continent made war too expensive to contemplate or to wage. Indeed, Nobel Prize winner Sir Norman Angell's The Great Illusion, written in 1910 and required reading for the intelligentsia, made that case eloquently and, as it turned out, entirely wrongly.
Today, the nearly four hundred year old Westphalian international political system of sovereign states is confronting and absorbing the shock of a far more powerful, robust and interconnected form of globalization. This collision or comingling has created Four New Horsemen of the Apocalypse that threaten and endanger mankind and, in turn, produced a surfeit of potential archdukes and bullets. Syria, Iraq, Afghanistan, Iran, North Korea, cyber attack, economic instability and Asian territorial disputes demonstrate that there is no shortage of ticking time bombs.
But what is both more interesting and perplexing, as well as frightening, is that there need not be any direct connection between a spark or fuse and the explosion it generates. A Tunisian fruit vendor self-immolates and ignites the so-called Arab Spring. An inadvertent Koran burning in Kabul and a fifth rate anti-Islamic video posted on U-tube prompt anti-American riots throughout the Arab and Muslim worlds. The consequence is that this combination of potential archdukes and an excess of potential bullets, even those fired from far distant and unanticipated or unexpected locations, has produced a volatile and highly dangerous mixture that too easily could explode into crises.
The reasons are due to the impact and shock of globalization on the state system. Globalization has not merely connected or interconnected virtually all people and states of the world electronically, economically, financially, socially and culturally. Globalization and the diffusion of all forms of power have transformed politics by empowering individuals and emerging states as well as non-state actors to unprecedented levels of influence. The U.S. still remains the most powerful state in absolute terms. However, relatively, its power, influence and authority clearly are waning. Furthermore, globalization has increased the complexity of the Westphalian system as laws, rules and regulations abound to complicate both governing and the conduct of economic and financial intercourse.
These interactions have spawned the first of the new Four Horsemen: failed or failing governance. From Afghanistan to Zimbabwe with Brussels and Washington in between, perhaps the greatest danger and threat to humanity is the failure of governments to govern adequately. Afghanistan, Iraq, Libya, Syria and a litany of other states underscore this failure. But so too, many rightly argue that America's government is broken or at best dysfunctional. And given the inability to jump start economic recovery in Europe, the limits of government and the European Union—itself a morass of excessive regulation, rules and laws—provide further evidence to the presence of this new rider.
The second steed arises from the first: economic disparity, disruption and despair. An interconnected world means that few people are not aware of how others live. Decency, equality and dignity have become universal aspirations that can be only filled by economic improvement. When they are not, unrest becomes endemic, explosive and exploitable.
The third horseman is resurgent ideological and religious fanaticism empowered by globalization. Al Qaeda is the poster child and the Internet is the weapon of choice. Soon, cyber will become a more viable tool beyond recruitment and training grounds for would-be terrorists. A form of a computer virus such as Stuxnet in the hands of terrorist groups is a threat that will emerge and probably very soon.
The fourth horseman is climate change or more directly global warming. As globalization has generated far greater demands for energy, electricity, mobility and production, obviously the amount of green house gases and other environmental threats have and are changing our habitat fundamentally.
Taken together, the collision between the long-standing state system and the forces of globalization has catalyzed a dramatically changing global order for both international and domestic politics. The crucial questions are what can and should be done in response and are states and individuals capable of acting accordingly.
Over the next year and in time for the commemoration of the hundredth anniversary of the start of World War I, this columnist will be seeking answers to these key questions and, of course, means for corralling the New Four Horsemen of the Apocalypse. The result will be a book tentatively titled Too Many Archdukes, Too Many Bullets: Preventing a 21st Century June 1914.
By Harlan Ullman|2017-11-14T21:28:36+02:003 iulie 2013|Blog, Guvernare globala, Harlan Ullman, Pace & Securitate, Subiecte|0 Comentarii
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The Toronto Airport Workers' Council (TAWC): One Step Forward and Two Steps Backward?
The abolitionist	Uncategorized	 May 1, 2019 September 14, 2020 4 Minutes
I thought it appropriate, on May 1, the International Workers' Day, to refer to something that disturbed me on Facebook yesterday–a post by the Toronto Airport Workers' Council (TAWC), which included some remarks (and a video) by Howard Eng.
Howard Eng is the CEO of the Greater Toronto Airport Authority, the operator and manager of Toronto Pearson International Airport, the largest airport in Canada, with between 40,000 and 50,000 workers.
The step forward is the effort and success by some union members at the airport in creating a workers' organization that not only cuts across union jurisdictions–the Toronto Airport Workers' Council–but also makes efforts to create solidarity among airport workers across countries.
The two steps backward is the obvious reliance on representatives of employers in achieving goals of the TAWC. It is not that any workers' organization should not make compromises; it is how such compromises are dealt with internally within the union membership which determines whether such compromise is worthwhile.
Compromise with management needs to be explained as a tactical necessity for the time being because of the superior forces of management at the time–and not justified in somehow expressing common interests. Workers, ultimately, do not have common interests with employers (unless it is argued that it is in the interests of workers to be treated as things for purposes which they themselves do not define. See https://theabolitionary.ca/the-money-circuit-of-capital/ for an explanation of how workers are necessarily treated as things by employers, whether in the private or public sector.)
A video featuring a short speech by him was posted, without comment, on the Facebook page for the Toronto Airport Workers' Council (TAWC). There was also a picture of Mr. Eng and a woman (presumably a union rep) in front of a YYZ solidarity banner (YYZ is the city airport code for Toronto Pearson International Airport).
On the Facebook page, it is stated (and Mr. Eng is quoted. See https://www.facebook.com/search/top/?q=tawc%3A%20toronto%20airport%20workers'%20council&epa=SEARCH_BOX ):
The GTAA and the TAWC have been working to collect data on the makeup of our workforce, on best practices used by other airport when dealing with labour issues, and on safety initiatives. He was glad he "has the support of the unions, working collaboratively together to move forward, not just for our airport but for everyone that works here."
Howard didn't shy away from speaking about the difficult times we have had over the years and the challenges that have come. He asked for patience and to keep bringing forward our issues so that we can do our best to come up with solutions to address them.
Howard finished by stating: "change takes time. Let's work together to make this a better place to work for the 50,000 that work here."
This statement by Mr. Eng is typical employer rhetoric: workers and management are, ultimately, one big family, and need to cooperate to achieve a common goal. There is no comment by union representatives on the Facebook page to counter this rhetoric.
I did make some comments concerning this.
My first comment:
Did any of the workshops aim to counter the ideology expressed by this representative of employers? Or was there silence over the issue?
There was one reply:
Alex Ceric Change does not take time. I's a very simple decision to improve the live of the workers. And when that decision is made the change is instantaneous. What takes time is for them do drop off a cookie crumb here and a cookie crumb there until it amounts to one single improvement.
I just wrote a reply:
This is pure rhetoric. The bottom line is profit at the airport, is it not? Safety comes second to that bottom line. Or does it not?
Besides, it is not just a question of change but what kind of change but also who makes the decision to change and how that decision is made.
Mr. Eng has power to make change, within limits. Who gave him that power? Why does he have it? Does his possession of power imply that a majority of workers have less power?
And on a technical note: change always takes time. No change is "instantaneous." Please explain how any change is instantaneous.
Finally, the issue of Mr. Eng's rhetoric that implies that management and workers have ultimately the same interest. What is TAWC's position on such rhetoric? What is it doing to counteract such rhetoric, if anything?
My second comment:
I wonder how it is possible to address the problem of health and safety at a workplace when those who actually do the work are treated as things at work. To address health and safety requires democratic control over the workplace–for regular workers to be the "decision makers," including determining who are the decision makers.
To refer to "opportunity to speak with the decision makers" sounds very anti-democratic, does it not? Who is the majority at the airport? The workers or the decision makers? If the decision makers are a minority and are not elected–would we not call that a dictatorship at the political level? And yet there is utter silence about the issue when it comes to the economic level.
No one has responded.
I have little doubt that many union reps at the airport, if they read this, will consider the writer to be a "condescending prick" (as CUPE local 3902 rep Wayne Dealy once called me). (CUPE is the Canadian Union of Public Employees). I would prefer to be called that and bring up issues which they hide rather than not be called that and remain silent over such issues. We workers deserve far more than the rhetoric of Howard Eng.
Do we workers not deserve more than such rhetoric?
Class collaboration
Class cooperation
Greater Toronto Airport Authority
GTAA
Howard Eng
TAWC
Toronto Airport Workers' Council
Published by The abolitionist
I come from a working-class background. My lost paid job was a teacher, substituting for a number of years before obtaining a permanent position. I obtained my doctorate in 2009. I am an unapologetic critic of capitalism and the way in which various institutions and ideologies reinforce it.	View all posts by The abolitionist
Published May 1, 2019 September 14, 2020
Previous Post What Kind of Organization or Structure does an Anti-Capitalist Struggle Require?
Next Post Management Rights, Part Six: Public Sector Collective Agreement, British Columbia

redpajama_set_name: RedPajamaCommonCrawl


Consumption of this grain may significantly increase urinary arsenic levels.
December 7, 2011, 8 a.m.
First it was apple juice; now it's rice.
After months of listening to health experts and government agencies debate the potential health effects of arsenic found in apple juice, a new arsenic source has been discovered, and like apple juice, it's as common a kid food as Cheerios and bananas. It's rice.
A new study conducted by researchers at Dartmouth's Children's Environmental Health and Disease Prevention Center found a "significant link" between the consumption of rice and the amount of arsenic found in a woman's urine. For the study, which was published in the journal Proceedings of the National Academy of Sciences, researchers examined more than 200 pregnant women in the New Hampshire area. They collected urine samples and dietary journals from the test subjects and found that each gram of rice consumed was associated with a 1 percent increase in total urinary arsenic. Their report concluded that consuming slightly more than half a cup of cooked rice per day (the average amount eaten by Americans) resulted in a total urinary arsenic concentration comparable to drinking a liter of water containing the maximum permissible amount of arsenic (10 ppb) for drinking water.
"The large and statistically significant association we observed between rice consumption and urinary arsenic, in addition to earlier reports of elevated arsenic concentrations in rice, highlights the need to regulate arsenic in food," noted the authors of the study.
As a plant, rice is particularly efficient at absorbing arsenic from the soil. That's good for the soil, but not so good for the grains of rice that wind up loaded with arsenic. To make matters worse, the majority of the rice produced in the U.S. is grown in Arkansas, Louisiana, Mississippi, Missouri and Texas on land formerly used to grow cotton, where pesticides that included arsenic were apparently used for decades. In fact, according to Andrew Meharg, a professor of biogeochemistry at the University of Aberdeen in Scotland, much of the rice grown in the U.S. has been specifically designed to produce high yields on arsenic-contaminated soil. His research has shown that U.S. rice has among the highest average levels of inorganic arsenic in the world. Interestingly, Meharg also noted that rice grown in California has significantly lower arsenic levels than the rice grown in the former Cotton Belt.
This study further highlights the need for the FDA to set regulatory limits for arsenic levels in food and beverages. And on a larger scale, maybe we as a country should rethink growing food crops on land that is laden with arsenic (or any other toxin).
Study finds consumption of this grain may significantly increase urinary arsenic levels.


Gaga tried to put an end to one of her longest-running celebrity feuds during a two-hour interview with Howard Stern last november.
"There's not so many ways you can interpret it," Gaga said when Stern asked her if perhaps jealousy was behind the frequent skirmishes she and pop icon Madonna had over the years. "To me honestly I think she's more aggravated that I'm not upset that she doesn't like me. Because I don't care that she doesn't like me, No, I don't care."


text:
Nick Brooks is an author and award-winning filmmaker from Washington, DC. He is a 2020 graduate of USC's TV and Film Production program. His short film, Hoop Dreamin', earned him the George Lucas Scholar Award and was a finalist in the Forbes 30 Under 30 Film Fest. He is currently in development for his first feature film, We Were Born Kings, with Mandalay Pictures. Before becoming a filmmaker, Nick was an educator working with at-risk youth and many of his stories are colored by his experiences with the children and families of his community. He is also the author of Nothing Interesting Ever Happens to Ethan Fairmont. Follow Nick on Twitter and on Instagram.
Fierce Friday
2:30 PM, Charleston Museum — Courtyard
Signing — Nick Brooks
2:00 PM, Blue Bicycle Books
Debuts: How to navigate your first book?


Screen Name font has been updated.
Attack actions pop-up window has received several cosmetic updates including font, capitalization, and size.
The text for the Play Now! button in the Trainer Challenge in French now fits within its box.
Magnifying glass size has been improved.
Magnifying glass always appears on the player's side of the card.
Updated scroll bar throughout the game.
Updated the card zoom button.
Game summary dialog has been updated.
X button on mulligan reveal now closes the mulligan pop up.
The coin flip animation is no longer shown if the user turns the option off.
Zooming in on a Pokémon now shows cards that are attached to it.
New installations now have the appropriate security certificate and will not show patches or installs are from an unknown source.
Users redeeming clothing codes will no longer receive erroneous pop-up messages about booster unlocks.
Players can use the magnifying glass function to zoom in on opponent's Active and Benched Pokémon.
Game Summary Screen has been updated.
Game Log and Rewards are currently unavailable.
Addressed issue with cards vanishing under the playmat.
Searching the discard and deck should now support choosing whether to distribute the selected cards to unique destinations or all to the same destination.
Steelix (HS: Unleashed #24) has been given Psychic Resistance.
Energy Healer (Onix – HS: Unleashed #56) no longer heals other Pokémon when an Energy card is attached to Onix.
Bolt Strike (Zekrom – Black & White #47, BW: Next Destinies #50) no longer deals self-inflicted damage before dealing damage to the Defending Pokémon.
Rocky Helmet (BW: Noble Victories #94) no longer triggers when attached to a Benched Pokémon that receives damage from an opponent's attack.
Mysterious Evolution (Karrablast – BW: Noble Victories #8, Shelmet – BW: Noble Victories #11) can be used if the corresponding Pokémon are in the deck.
Leap Frog (Politoed – HS: Unleashed #7) now allows a Benched Water Pokémon to be switched with the Active Pokemon.
Corsola (HeartGold & SoulSilver #37) can use Recover even if it has no damage counters.
Corsola (HeartGold & SoulSilver #37) can only discard Water energy to pay Recover's attack cost.
Thunder (Ampharos – HeartGold & SoulSilver #14) new deals 20 damage to the attacking Pokémon when Tails is flipped.
Umbreon (Call of Legends #22) can now evolve from Eevee (HS: Undaunted #47).
Daunt (Beartic – BW: Noble Victories #37) now reduces damage from attacks by 20 on the following turn.
Dark Patch (BW: Dark Explorers #93) no longer allows a player to select Special Darkness Energy.
Afterburner (Typhlosion – HeartGold & SoulSilver #110) now searches the player's discard pile for Fire Energy.
Pokémon Center (BW: Next Destinies #90) can only be triggered by a player if he or she has at least one damaged Pokémon on the Bench.
Psybeam (Espeon – HS: Undaunted #4) is now triggering a coin flip.
Sleep Inducer (Drowzee – HeartGold & SoulSilver #62) will no longer put the Defending Pokémon to sleep if there are no Pokémon on the Bench to switch to the Active position.
Electrode (DP: Stormfront #37) now has 80 HP.
The game no longer locks up if two Heads are flipped for Dual Ball (HS: Unleashed #72) but only one Basic Pokémon remains in the deck.
Hot Snort (Torkoal – HS: Unleashed #25) no longer presents the player with an unnecessary prompt.
Protect Body (Staraptor – DP: Stormfront #27) now reduces damage from Stage 2 Evolved Pokémon by 20.
Explosive Edge deck now unlocks properly.
Energy cost is not appearing in the tooltip for attacks.
Tooltip for Forfeit match appears with the old tooltip container.
The achievement for obtaining the last Prize card has a placeholder image.
The Concede confirmation prompt window overlaps the coin flip animation when both are open at the same time.
The magnifying glass button is partly obscured by the player's hand when they have a hand of 16 or more cards.
Game Options and End Game screen stack.
A visual indicator that the player's Pokémon are effected by a played Plus Power is absent.
The top Pokémon in a stack of cards is larger than the other cards.
Trainer cards from HeartGold & SoulSilver are laid out incorrectly.
If a card is zoomed in the player's hand and the user toggles to another card and right clicks the new card, it does a fresh zoom.
The Attach Energy button remains visible after the player has selected an Energy to attach to their Pokémon.
A "CANCEL" button is not present when the player is prompted to choose between 2 different Energy to Retreat their Active Pokémon.
The player is shown a coin flip animation when selecting heads or tails to see which player goes first when coin flip animations are turned off.
Minimizing the game window after logging in causes the game client to lock up.
The "Remember username?" box on the login screen cannot be unchecked.
The player is only able to select one View Deck window filter at a time.
The player is unable to undo a Retreat of their Active Pokémon.
Attacking with Mysterious Evolution (Shelmet – BW: Noble Victories #11) while Karrablast is not in play still allows you to search your deck.
Attacking with Mysterious Evolution (Karrablast – BW: Noble Victories #8) while Shelmet is not in play still allows you to search your deck.
A single Double Colorless Energy (BW4 #92) is unable to be used to meet the requirements of discarding Energy for Charizard's (DP7 #103) Fire Spin.
Nidoran ??? (HGSS4 #70)is missing the male symbol.
Nidorino (HGSS4 #46) is missing the male symbol.
A black line is missing from underneath the words "Darkness Energy" and "Special Energy Card" for the title and energy type for Darkness Energy (HGSS3 #79).
You can repeatedly retreat and play Torkoal until the Burn is applied.
Unlocking at least one card for a non-Basic PCD changes the deck box art and name text to incorrect values.


text:
NewsGaming News
'Resident Evil 4 VR' gets left-handed support in usability update
Kill zombies in VR, now with support for left-handers
By Matt Kamen
Resident Evil 4 VR. Credit: Armature Studio.
The virtual reality release of Capcom's horror classic Resident Evil 4 is getting a significant update that aims to enhance movement and comfort settings on Meta Quest 2 – formerly known as Oculus Quest 2.
READ MORE: The best Sega arcade games, as featured in 'Yakuza'
Developed by Capcom and Armature Studio, the VR remake of one of Resident Evil's finest instalments was well-received when it launched in October 2021. Now, an entry on the Quest Blog details that Resident Evil 4 VR's first post-launch update "has overhauled mobility and comfort settings in response to player feedback, and has enhanced gameplay to give players more options."
These enhancements include "new controller-directional movement" so that players can steer walking direction with their hand, the option to switch the dominant analogue stick movement hand, "which is a big boon for left-handed players", and height adjustment settings.
"Additionally, there are new accessibility settings for adjusting waist and chest holder positions," the announcement continues, "as well as an option for changing the colour of the laser sight on weapons."
Other minor changes include more reloading settings, fixes for known issues affecting saving, and "other optimisations that enhance various facets of the experience".
Although the update brings no new gameplay content, it seems to lay the groundwork for the upcoming The Mercenaries mode, which was announced in November 2021. While there's still no official launch date for the mode, the blog post says it is "coming later this year".
The Mercenaries is a horde mode of sorts that was introduced to the Resident Evil series with the original release of Resident Evil 4 back in 2005. It typically tasks players with fighting off waves of enemies, all while attempting to escape the zombie apocalypse by reaching a helicopter.
The Quest blog says the VR version of Mercenaries features "tons of action and unlockable characters" and "will come as a free addition to the game".
The usability update is live in Resident Evil 4 VR now and is said to be "only the beginning for Resident Evil 4's continued support in 2022 on Quest 2."
In other news, Pokémon Legends: Arceus has immediately become one of the series' most successful games, while voice actor Troy Baker has U-turned on his plans to partner with NFT firm Voiceverse following an overwhelmingly negative response.
Armature Studio
Resident Evil 4 VR


Facebook will better inform users that it sells targeted advertising through the use of user data, while clarifying that users can close their account and appeal content removal.
Facebook will adjust its Terms and Conditions in Europe after demands from the European Commission. According to a press release, the social media giant will bring its documents in line with EU consumer law, while providing clarity on how user's data is used.
The terms will tell users precisely what services Facebook sells to third parties that are based off user's data. It will also inform users how they can close their account and why accounts can be disabled.
Importantly, the EU is seeking to deliver these terms in a plain and understandable language. Facebook has previously been criticized for its use of 'legalese' to craft long terms that would take significant effort to sift through.
Facebook will say, for example, that its service is free due to its sale of targetted advertising which hinges on the data it collects from users. It will also clarify the right for users to appeal if their content is removed and acknowledge its responsibility in case of negligence.
The final stipulation is a clear reference to the Cambridge Analytica scandal, the EU even giving an example of "in case data has been mishandled by third parties". Facebook has committed to these changes by June 2019, with the Commission keeping a close eye to make sure it implements correctly.


Congenial vocal chemistry is where you find it, and sometimes unlikely couples like Tanya Holt, a sultry pop-soul singer, and Marcus Simeone, a hyper-emotional tenor, who performed together at the Metropolitan Room on Saturday evening, have it. The title of their show, "Quiet Storm," refers to the simmering romantic radio format first popularized in the mid-1970s. Adapted for cabaret, it embraces everything from Motown to "West Side Story" to Anita Baker.


Looking for innovative team building ideas? Redbooth's collection of resources will get your team collaborating in no time.
Oh sure … mention the words team building and activities in the same sentence and you're likely to hear at least one or two people groan. That's probably because they're carrying around bad memories of failed corporate retreats or awkward personal enrichment workshops that involved holding hands with colleagues or singing corny camp songs.
Believe it or not, team building doesn't have to be painful, annoying or even embarrassing. There are valuable team building exercises out there that can actually be fun, rewarding, and most importantly … effective in uniting groups and developing individual skills and collective strengths. But they have to be appropriate for the circumstances, and delivered in a way that urges participation and fosters growth among groups.
So where do you start? We've gathered together some inspiring ideas and helpful team building resources just for you. Some are Redbooth articles, and others are links to industry leaders, publications and websites related to the topic.
Get your virtual team fired up, united and working together with these team building tips.
How one company uses Redbooth to keep marketing fun!
Lay the groundwork and plan for effective virtual team building activities.
This Mind Tools article outlines things to consider when planning a team event, and highlights specific activities to address typical team issues and concerns.
Free ideas for team exercises and activities specifically for team-building, training, employee motivation, learning and development, recruitment, and more.
Choose from a range of themed activities on this Sabre Corporate Development website.
Buzzle offers team building ideas that improve the work environment and helps employees bond and get-to-know each other.
A quick look at four team building ideas to promote fun and better communication at work.
This team-building expert uses improvisational activities, while emphasizing humor and honesty when working with world-class athletes, executives and corporate teams to improve communication and develop leadership. Follow him on Twitter, @steveshenbaum.
This PDF file from the Rockhurst University Continuing Education Center, Inc., provides clear instructions for 30 different types of activities aimed at building teams. You'll also see clear purposes and desired outcomes.
Do you know of any great team-building activities that really work (or maybe ones that don't)? Share them with us! We'd also love the names of any experts in the field that provide new or interesting ideas regarding team building activities. Leave your comments below.


text:
Q: Ambiguous regexp literal hounds error in then clause cucumber Then /I see overlap exception/ do
  error_div = find('.alert')
  error_div.has_content? 'Capacity Commitment can not overlap other period'
end

Hounds thrown error as below:
Ambiguous regexp literal. Parenthesize the method arguments if it's surely a regexp literal, or add a whitespace to the right of the / if it should be a division.
I use  cucumber features/account_management/participant_accounts.feature --strict but no error found and test passed successfully.

A: We need to use a specific format for the string match:
Then /^I see overlap text$/ do
  error_div = find('.alert')
  error_div.has_content? 'Capacity Commitment can not overlap other period'
end

redpajama_set_name: RedPajamaStackExchange


Items where Author is "Mayantika, Husnitalia"
Mayantika, Husnitalia (2017) STABILITAS HASIL GALUR HARAPAN PADI BERAS MERAH PADA TIGA KETINGGIAN LOKASI TANAM. S1 thesis, Universitas Mataram.
This list was generated on Wed Apr 24 14:31:02 2019 WITA.
Repository UNRAM is powered by EPrints 3 which is developed by the School of Electronics and Computer Science at the University of Southampton. More information and software credits.


text:
Rehabilitation of Triangular Fibrocartilage Complex Injuries
Luke McCarron
Research output: Contribution to journal › Magazine Article › Professional
[Extract]
The triangular fibrocartilage complex (TFCC) is a ligamentous structure situated on the ulnar side of the wrist that plays an important role in distal radioulnar joint (DRUJ) stability, dispersion of ulnarsided wrist forces, and proprioceptive feedback. Following injury, clinical presentation may vary
between clients, with some common symptoms including decreased range of motion (ROM), decreased grip strength, increased ulnar-sided wrist pain (USWP), and/or impaired proprioceptive function. Common mechanisms of injury associated with TFCC injury varies from low-energy repetitive
overuse, to high-energy forced twisting or impaction of the wrist or forearm.4 Furthermore, injury severity can also vary between clients, from relatively minor disruption to the peripheral structures, to complete tearing of the foveal fibres leading to
DRUJ instability. When considering rehabilitation goals for this injury it is important to consider these factors, which can be difficult and sometimes confusing.
IFSSH EZINE
https://www.ifssh.info/pdf/issue-45-february-2022.pdfLicence: Free to read
Dive into the research topics of 'Rehabilitation of Triangular Fibrocartilage Complex Injuries'. Together they form a unique fingerprint.
Triangular Fibrocartilage Medicine & Life Sciences 100%
Wrist Medicine & Life Sciences 49%
Joint Instability Medicine & Life Sciences 16%
Sensory Feedback Medicine & Life Sciences 15%
Articular Range of Motion Medicine & Life Sciences 12%
McCarron, L. (2022). Rehabilitation of Triangular Fibrocartilage Complex Injuries. IFSSH EZINE, 12(1), 30-33. https://www.ifssh.info/pdf/issue-45-february-2022.pdf
McCarron, Luke. / Rehabilitation of Triangular Fibrocartilage Complex Injuries. In: IFSSH EZINE. 2022 ; Vol. 12, No. 1. pp. 30-33.
@article{7a8d895f396247cea33ed05ef799c2fa,
title = "Rehabilitation of Triangular Fibrocartilage Complex Injuries",
abstract = "[Extract]The triangular fibrocartilage complex (TFCC) is a ligamentous structure situated on the ulnar side of the wrist that plays an important role in distal radioulnar joint (DRUJ) stability, dispersion of ulnarsided wrist forces, and proprioceptive feedback. Following injury, clinical presentation may vary between clients, with some common symptoms including decreased range of motion (ROM), decreased grip strength, increased ulnar-sided wrist pain (USWP), and/or impaired proprioceptive function. Common mechanisms of injury associated with TFCC injury varies from low-energy repetitive overuse, to high-energy forced twisting or impaction of the wrist or forearm.4 Furthermore, injury severity can also vary between clients, from relatively minor disruption to the peripheral structures, to complete tearing of the foveal fibres leading to DRUJ instability. When considering rehabilitation goals for this injury it is important to consider these factors, which can be difficult and sometimes confusing. ",
author = "Luke McCarron",
journal = "IFSSH EZINE",
McCarron, L 2022, 'Rehabilitation of Triangular Fibrocartilage Complex Injuries', IFSSH EZINE, vol. 12, no. 1, pp. 30-33. <https://www.ifssh.info/pdf/issue-45-february-2022.pdf>
Rehabilitation of Triangular Fibrocartilage Complex Injuries. / McCarron, Luke.
In: IFSSH EZINE, Vol. 12, No. 1, 02.2022, p. 30-33.
T1 - Rehabilitation of Triangular Fibrocartilage Complex Injuries
AU - McCarron, Luke
N2 - [Extract]The triangular fibrocartilage complex (TFCC) is a ligamentous structure situated on the ulnar side of the wrist that plays an important role in distal radioulnar joint (DRUJ) stability, dispersion of ulnarsided wrist forces, and proprioceptive feedback. Following injury, clinical presentation may vary between clients, with some common symptoms including decreased range of motion (ROM), decreased grip strength, increased ulnar-sided wrist pain (USWP), and/or impaired proprioceptive function. Common mechanisms of injury associated with TFCC injury varies from low-energy repetitive overuse, to high-energy forced twisting or impaction of the wrist or forearm.4 Furthermore, injury severity can also vary between clients, from relatively minor disruption to the peripheral structures, to complete tearing of the foveal fibres leading to DRUJ instability. When considering rehabilitation goals for this injury it is important to consider these factors, which can be difficult and sometimes confusing.
AB - [Extract]The triangular fibrocartilage complex (TFCC) is a ligamentous structure situated on the ulnar side of the wrist that plays an important role in distal radioulnar joint (DRUJ) stability, dispersion of ulnarsided wrist forces, and proprioceptive feedback. Following injury, clinical presentation may vary between clients, with some common symptoms including decreased range of motion (ROM), decreased grip strength, increased ulnar-sided wrist pain (USWP), and/or impaired proprioceptive function. Common mechanisms of injury associated with TFCC injury varies from low-energy repetitive overuse, to high-energy forced twisting or impaction of the wrist or forearm.4 Furthermore, injury severity can also vary between clients, from relatively minor disruption to the peripheral structures, to complete tearing of the foveal fibres leading to DRUJ instability. When considering rehabilitation goals for this injury it is important to consider these factors, which can be difficult and sometimes confusing.
M3 - Magazine Article
JO - IFSSH EZINE
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McCarron L. Rehabilitation of Triangular Fibrocartilage Complex Injuries. IFSSH EZINE. 2022 Feb;12(1):30-33.


Title: THE FAMILY MAGAZINE: In TWO PARTS. Part I. Containing Useful Directions in All the Branches of House-Keeping and Cookery ... &c. Together with the Art of making English Wines, &c. Part II. Containing A Compendious Body of Physick; Succinctly Treating of All the Diseases and Accidents Incident to Men, Women, and Children: with Practical Rules and Directions for the Preserving and Restoring of Health, and Prolonging of Life.
Description: London, J. Osborn 1741 Six small illustrations in text of How to place the Dishes on the Table. . Octavo original calf with gilt ruling round boards and spine compartments, lettering of spine label quite faded (corners bare and bumped, leather marked, boards loosening but held) xiv,  Part I title, 123,  Index;  Part II title, 324pp but lacking one leaf pp101-2. Neat ownership inscriptions on pastedown and at head of preface (Mary Dalton), otherwise no notes and for a cookbook remarkably clean throughout except for some small brown marks on pp290-4 of Part II. *The Preface says Part I includes "The Complete Caterer, containing easy and intelligible Instructions how to Buy-in all Sorts of Provisions for a Family .." and "An Ample Bill of Fare for Every Month of the Year, with ready Messes for Suppers &c." For Part II the Preface claims to quote "the ingenious Lady herself, who communicates it to the World". She had "a Brother whose Practice and Success in Physick was second to none in all the populous Towns around the Place of his Residence", who digested his knowledge into "a Kind of Common-place Book .. which fell into my Hands, as his Executrix". The P.S. says "Being still teized for some Name, I will, tho' not my right one, subscribe That of Arabella Atkyns".


text:
1922 Flamenco Song Contest
Filmographic
Who was who
Universo Lorcawho was who
Xirgu Subirá, Margarita
Margarita Xirgu is a Catalan actress who opened the Spanish theater to the new airs of the twentieth century; eventually she became one of the main actresses of Federico García Lorca and one of those who represented more of his works, from Mariana Pineda, in 1927, to The House of Bernarda Alba, premiered posthumously in Buenos Aires in 1945. After an extraordinary professional career, which led her to the main theaters of Latin America, where she premiered the works of the major playwrights of the time, including Valle Inclán, circumstances forced her to go into exile in Latin America after the uprising of 1936. She died almost forgotten in Montevideo (Uruguay) in 1968.
The first allusion to Lorca by Xirgu in the extensive epistolary that she shared with her collaborators is from 1927 and the subject is the staging of Mariana Pineda with sets by Salvador Dalí.
Xirgu's artistic biography consists of three distinct chronological stages. The first, when she started out, spans from 1906 to 1912, and was devoted to the Catalan theater. Her first group, in 1902, was an amateur company. In 1910, she formed her own company and began to accumulate a great prestige that later spread halfway around the world. The second phase runs from 1912 until the tragic year of 1936, and is devoted to theater in Spanish. In 1914, she moved to Madrid where she premiered Divine Words, by Valle Inclán, and worked on plays by some of the great international playwrights of the time, such as D'Anunzzio, Barnard Shaw and Alejandro Casona, premiering the latter's The Beached Mermaid.
Lorca first saw the Catalan actress perform on March 13, 1915 at the Cervantes Theater in Granada where she stars in Hugo Holfmannsthal's version of Elektra, by Euripides. Federico attends the performance accompanied by his teacher Martín Domínguez Berrueta and some of the members of El Rinconcillo. Xirgu is 27 years old and the future playwright is 17. The company remains in Granada until March 21. So deep is Lorca's impression of her that, when he finishes Mariana Pineda, in 1926, he tries to send a copy of the libretto to the actress through Eduardo Marquina. The copy never reaches her hands, but leads to a meeting at the Ritz Hotel in Madrid.
Tribute to Federico García Lorca and Margarita Xirgu (in the photo, seated between Lorca and Falla) at the Alhambra Palace Hotel in Granada.
The first allusion to Lorca by Xirgu in the extensive epistolary she shared with her collaborators is from 1927 and the subject is the staging of Mariana Pineda with sets by Salvador Dalí. In the letters the actress complains about the low box office takings of the play. The play was performed on June 24 of that year at the Goya Theater in Barcelona and on October 12 at the Fontalba Theater in Madrid after Gregorio Martínez Sierra gave up producing it due to the censorship of the Primo de Rivera dictatorship. The premiere in Granada, in 1929, is followed by a tribute to the actress at the theater of the Hotel Alhambra Palace organized by the Board of Directors of the Actors' Union. During dessert, the director of El Defensor de Granada, Constantino Ruiz Carnero, said proudly: "García Lorca, renovator of the Spanish lyric, was discovered by the people of Granada themselves, and we have said to Madrid and the rest of Spain: there you have a poet who was born in Granada and who has all the magnificence of this prodigious Andalusian land". Federico, for his part, read: "Margarita has the restlessness of the theater, the fever of multiple temperaments. I always see her at the crossroads of all heroines, a goal swept by a dark wind where the aorta sings as if it were a nightingale".
From then on, Xirgu became a faithful collaborator of the Granada playwright. She premiered The Shoemaker's Prodigious Wife at Christmas in 1930, after two years of preparations, at the Teatro Español in Madrid, directed by Cipriano Rivas Cherif, and in 1934 Yerma. In the last part of her second artistic period, in Barcelona, in 1935, she brought to the stage the last theatrical work by García Lorca premiered in his lifetime, Doña Rosita the Spinster or the Language of Flowers. The actress planned to premiere it next in Madrid on her return from a tour of Mexico, to which she invited Federico, but the Civil War prevented it. Both had planned to travel to Mexico, along with Juan Ramírez de Lucas, Lorca's lover, then a minor.
García Lorca, Margarita Xirgu and Rivas Cherif. / Photo: Arxiu Nacional de Catalunya.
In 1935 she was able to stage again in Barcelona Blood Wedding with sets by José Caballero. In 1945, she starred in The House of Bernarda Alba. she also worked in the film version of Blood Wedding directed by Edmundo Guibourg in 1938.
The third part of her artistic life spans from 1937 to 1968 and develops in exile in several Latin American countries (Chile, Paraguay where she was the most prolific actress of all, because during her theatrical career she also worked as a teacher: in several countries, she founded the School of Dramatic Art, where she organized short courses, gave lectures and animated conferences). The American recognition did not alleviate the disdain of the Franco dictatorship. The actress, ill, underwent a desperate operation in Montevideo on April 24 and died a day later. Her death goes unnoticed in Spain.
RELATED CHARACTERS AND/OR PLACES
Romero Murube, Joaquín
Mariscal Parado, Luis
Ugarte y Pagés, Eduardo
See all related FriendsSee all related Theater
Vila Hernández, Salvador
Yoldi Bereau, Jesús
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Eastern Bluebirds perch on a fence.
Male Eastern Bluebird surveys his surroundings from a fence post perch.
Eastern Bluebirds enjoy sunshine on a recent January afternoon.
A flock of Buffleheads on the Watauga River.
American Goldfinches visit a feeder.
Female Purple Finches visit a feeder.
A flock of Purple Finches share space at a feeder.
Downy Woodpecker and Tufted Titmouse arrive at a suet feeder.
A female Downy Woodpecker climbs on a tree trunk.
This entry was posted in Birding, Birds and tagged Birding, birds, Birdwatching, bluebirds, Bristol Herald Courier, Carter County Compass, Elizabethton Star, Erwin Record, Feathered Friends, Our Fine Feathered Friends, Purple Finch, Winter birds on January 18, 2015 by Bryan Stevens.


text:
Bill legalizing sports betting, allowing for a Terre Haute casino heads to Gov. Holcomb
Lawmakers gave eleventh-hour approval to a massive gaming bill that legalizes sports wagering and allows a new Terre Haute casino.
Bill legalizing sports betting, allowing for a Terre Haute casino heads to Gov. Holcomb Lawmakers gave eleventh-hour approval to a massive gaming bill that legalizes sports wagering and allows a new Terre Haute casino. Check out this story on IndyStar.com: https://www.indystar.com/story/news/politics/2019/04/24/bill-legalizing-sports-betting-approving-casino-heads-gov-holcomb/3560618002/
Kaitlin Lange and Arika Herron, Indianapolis Star Published 8:23 p.m. ET April 24, 2019 | Updated 4:55 p.m. ET April 25, 2019
A recusal by House Speaker Brian Bosma from current casino legislation raises new questions about influence peddling in the Statehouse. Stephen J. Beard/IndyStar, Stephen J. Beard/IndyStar
Just hours before the General Assembly wrapped up the legislative session, lawmakers approved a massive, controversial gaming bill that legalizes sports wagering and allows for a new Terre Haute casino.
The issue divided both parties, as lawmakers instead split by region and beliefs on the expansion of gambling. Even Rep. Todd Huston, a prominent House Republican who helped finalize the language, voted against his own bill in the end.
House Bill 1015, one of the largest gaming bills in decades, moves up the date that horse race tracks will be allowed to use live table games and increases the number and type of facilities a gaming operator can own from two casinos to six casinos and racinos. The result: One operator could have a large share of the industry responsible for a huge source of Indiana's taxes.
More: Casino boss treated Holcomb to private flights with lucrative gambling deal on the line
More: Casino-investor ties led Speaker Bosma to skip gaming bill vote. Here's why questions linger.
In an unprecedented move, it also allows Spectacle Entertainment to move one of its two recently purchased Gary licenses miles away from the lakefront to a more heavily traveled area. In doing so, the casino operator would have to give up its second license, which would go to Terre Haute.
The company could later bid against competitors to win it back. Spectacle must relocate one license within Gary in order for the other to move to Terre Haute.
Casino company poised to save millions in taxes
But in a decision that was criticized by some Republican and Democratic lawmakers, the legislation would still only require Spectacle Entertainment to continue to pay taxes as if the operator owned two smaller, lower-revenue-producing riverboat casinos, which could result in tens of millions of dollars in savings.
That tax language never passed either chamber, a situation that Rep. Ben Smaltz, R-Auburn, criticized while on the floor Wednesday night.
Spectacle also would be able to operate just as many games at its future inland casino as it has been able to at its two riverboat casinos combined, making it potentially the largest casino in the state.
Now the bill, approved by a 59-36 vote in the House and a 37-12 vote in the Senate, heads to Gov. Eric Holcomb, who will decide the fate of Spectacle Entertainment's plans to move a casino to a more lucrative area.
Holcomb was criticized earlier in the session for accepting a pair of free flights from Spectacle worth a collective $50,000. The arrangement gave owners Rod Ratcliff and Greg Gibson exclusive access to Holcomb.
Earlier version of bill was tougher on casino company
The final bill is a good deal for Spectacle, compared to previous versions of the legislation that moved through the House.
An earlier version of the bill would have required Spectacle to pay a $100 million fee if it wanted to move one of its casino licenses to a more heavily traveled location in Gary, and would have forced Spectacle to remit its second license, without offering any tax-related incentives. In the most recent version, that fee was reduced to $20 million.
Smaltz said that Spectacle's tax break could come out to $40 million to $50 million over the five-year period it would be in place.
"This is a monumental policy shift, and this is the beginning," Smaltz said. "...This issue is going to come back and haunt us in the future."
A board at Harrah's casino in Atlantic City lists the odds on pro football games in the first week of the NFL season. (Photo: Associated Press)
In its final form, the legislation steers some money to Evansville, Hammond, East Chicago, Michigan City and the French Lick resort for potential economic fallout from increased casino competition, if the new casinos perform well.
Those provisions were equally controversial, with Smaltz comparing the constant addition and removal of the "hold harmless" provisions to the back-and-forth of the hokey pokey dance.
Rep. Randy Frye, R-Greensburg, asked other lawmakers, "What about Southeast Indiana riverboats?" since they won't be receiving any money.
The bill also legalizes sports wagering in casinos and on mobile devices for people age 21 and older. Hoosiers could gamble from anywhere in the state on their mobile devices.
"I'm not excited about having sports wagering in my community anywhere," Smaltz said. "I'm really not excited about what happens in six years when there's new people here (in the General Assembly)."
Is mobile sports wagering a slippery slope?
He wondered whether future lawmakers would see any issues with allowing Hoosiers to participate in mobile gaming beyond sports, because they could already wager on their phones.
But the bill also had plenty of supporters, who saw the bill as an opportunity for growth in Indiana and a fair deal with casino owners.
Rep. Sean Eberhart, R-Shelbyville, argued lawmakers "continue to take and take" from casino operators.
Sen. Eddie Melton, D-Gary, said the bill has the ability to turn the tide in Gary. The city has been working to rebuild over the last 50 years, he said, and this bill could help grow the tax base — improving public safety, schools and more — without relying on a handout from the state.
"I don't think of this only as a gaming bill," he said. "I see this as an economic development catalyst."
The final decision on the bill now rests with Holcomb, who said that, on one of the flights with Spectacle executives, he "overheard some discussions that they were having amongst themselves (regarding casino plans) but it wasn't asking me questions."
Holcomb's campaign treasurer, Indiana Republican Party Chairman Kyle Hupfer, defended the flights as "perfectly legal and customary." He said the flights, to two Republican Governors Association meetings out West, were arranged by that organization, which he says often flies governors to its conferences.
The arrangement, however, raised questions about Spectacle's attempts to influence legislation.
If you enjoy stories like this, please support the work of IndyStar reporters and visual journalists by becoming a subscriber today. Get unlimited digital access here!
In another situation that raised conflict-of-interest questions, House Speaker Brian Bosma said last week he was recusing himself from voting on any gaming legislation because his law firm is providing legal representation to the Vigo County Capital Improvement Board — a local entity that stands to benefit from a Terre Haute casino.
That contract was arranged by Gibson, who at the time served on the board.
While Bosma didn't vote, he participated in private discussions with other lawmakers and casino companies about the bill, which raised ethical red flags for Julia Vaughn, policy director for the government accountability group Common Cause Indiana.
He stayed away from the floor Wednesday night, as both chambers voted to send the legislation to Holcomb.
Call IndyStar Statehouse reporter Kaitlin Lange at 317-432-9270. Follow her on Twitter: @kaitlin_lange.
Read or Share this story: https://www.indystar.com/story/news/politics/2019/04/24/bill-legalizing-sports-betting-approving-casino-heads-gov-holcomb/3560618002/
Man posed as girl to get nude photos, extorted senders
Ex-Fox & Friends co-host leaves U.S. amid fraud claims
You can rescue kids and pets in hot cars
Hot Property: 9 luxurious lakefront homes
Police: 2 Noblesville kids left in hot vehicle
How to navigate I-65, I-70 closures


Bayview Event Center and Charter Cruises on Lake Minnetonka. Lake Minnetonka Weddings, Social Events, Corporate Events Public and Private Charter Cruises.
BayView Event Center & Charter Cruise's mission is to provide each and every guest with a positively unique experience, in a breathtaking setting, through personalized event planning, unforgettable cuisine, and exceptional service. As for the BayView Event Center, we truly are the "Venue with a View". Our second level ballroom features a spectacular view of Lake Minnetonka's south shore. On this level we can seat up to 250 for banquets or 400 for receptions. Our lower level seats 140 for banquets or 225 for receptions.. We also currently have a 100-passenger, 67-foot skipper liner, Her Excellency, for a more traditional charter cruise, as well as a 55-foot, 60-passenger blue water known as Excellabella and a 51-foot, 50 passenger blue water known as Escalade. Our cruises features food from the BayView kitchen, such fare transcends the typical deli food of our competitors. Passengers appreciate that they can gather before and after at the Bayside Grille. We are the only boat charter operation that has over 250 parking stalls on-site.


text:
Nora Keenan Michael
'Riocht na Si', Co. Clare, Ireland
Baker and Cook
Dame Shannon Keenan (Mother), Sir Theodore Keenan (Father)
Gideon Michael (husband)
Nora has had a terribly romantic life, or so she will tell you if you ask. She was born in a magical kingdom called 'Riocht na Si' in the countryside of County Clare, Ireland. It was an estate a few kilometres outside of Ennis, so famed for its beauty that people used to ask for tours around the grounds every weekend. 'Riocht na Si' means 'Land of the Faeries' in Gaelic. And besides it's fashionable gardens and ancient bowers, the estate was well known for its stables. The Keenan family had been breeding some of the best Kildare horses since before Ireland belonged to the Crown.
Born 'Eleanor Elizabeth Keenan', Nora was the youngest of four children and the only daughter. Her father being a Knight of the British Empire and her mother naturally being a Dame, the young woman was afforded all the luxuries of a life amongst the "Ascendancy," or those great Irish families that had sworn fealty to the British Crown in order to retain their lands and wealth and turned their backs on the Catholic faith in favour of the so-called 'Church of Ireland'. But Nora didn't know and Nora didn't care. She had her horses to ride, her doll-houses, her music and art lessons, her library of books to read and not a care in the world. But her life changed forever when she was 17. That's when she met Gideon.
They met in Berlin while Nora was on a tour studying German mannerism and impressionism. It was like a moment from a fairytale: magical, romantic, mysterious. They saw each other and froze, the world fading away. He showed her around the town and they had a wonderful, enchanting time and fell quickly in love…' But Nora had to leave the next day to return home, and she had no choice but to go. Otherwise, she'd risk being disinherited and written off as a loose woman. (Naturally, elopement being not so socially acceptable for a young lady of her breeding.) . Gideon was a young soldier.. an orphan with neither rank nor fortune to recommend him, Nora a young lady of some station and social responsibility. It would never have been allowed And Gideon understood that, so he let her go. But… She left him with a lock of her hair and took in her Bible a flower he had picked for her in the park. They said goodbye for the first and last time, wishing each other happiness in life. And that was that.
Five and a half years later, Nora was beginning to worry her parents. She had refused many fine suitors and spent too much of her time either baking or out with the horses. They were beginning to fret over her becoming a spinster. Their eldest, Charles, was already married and had a newborn son of his own. Edward, the middle-born, however was restless and always talking about taking the family business across the seas to the wide open plains of America. Finally, Sir Theodore acquiesced, and Nora went with Edward after no small amount of Nora demanding leave to go from her father. They had a small handful of their father's Kildare bloodstock which they intended to breed with the wild horses out west, producing not only the fast, hearty traits of the Kildare, but the power and stamina of the American Mustang.
Six months after arriving in America, they were in Kansas. During a pause to resupply the wagons, Nora was leaving the general store when it happened again. The crowds parted for a second, and there was Gideon. Their eyes met and all the old feelings and memories of that one perfect day so long ago in Berlin came rushing back. In a moment only experienced in novels and ancient stories of love and war, they rushed together knowing that this time… It was meant to be. They talk for hours as they wait for Edward to finish his business in town, discovering every little thing that had happened between them. Each still had the memento from years before. Each loved more dearly than years before. It was decided that Gideon would join their party and that they would be wed as soon as the Ranch was underway.
Disaster struck however, when Edward caught the Typhoid and died on the trail. Nora was left without family, with a small herd of horses to protect from thieves, a chest of money, and barely an ability to point the right part of a gun at an incoming marauder! It was only Gideon and Niyas, their Navajo guide, that were her protectors now. So they banded further together and kept moving, burying Edward in the shade of a tree on the plains.
They got to Colorado a month or so after Edward died. Niyas left to take some more settlers on the trails. Gideon and Nora… Well, they got married right away, started looking for a place to settle down and maybe start that ranch. But then trouble happened. A group of young men got drunk one afternoon and ran into Nora on the streets near the stables. Being Irish, she was an easy target for the four men, each of whom began to call her all sorts of names such as 'Papist Whore' (despite Nora's protestations that she was, in fact, Anglican). One of 'em actually struck Nora for 'back-talking' and then decided to… It was never fully known what the man had decided because Gideon stepped in. It got ugly, and Gideon ended up having to shoot all four of the young men in the knees to protect himself and his new Bride. None of them died, but it was still a bad incident.
So they went south and ended up in New Mexico to avoid further trouble. Here, they hope that their new start as a baker and her husband will be the more peaceful existence they've been looking for.
Perhaps the thing that most immediately would catch someone's attention is this woman's hair. It's silken and soft and blonde. A pale blonde that's the colour of the purest gold, rarified honey, or a flawless wheatfield in the early morning sun. It's the shade of pale gold that could only occur in nature, that bottles simply can't come close to recreating. This honey-gold hair is pulled into a single long braid over her shoulder, exposing the slender column of her white neck, and errant whisps of natural curls break free here and there to frame her face.
Then, there's the rest of her. Scarcely taller than 5'2", her body is sleek and willowy, possessing a natural hourglass figure involving some wicked curves. It's like she was built to be looked at. Her oval face carries the distinction of sculpted femininity: high, molded cheekbones, a slender and dainty nose, a clear brow, and a pouty, bee-stung cupid's bow of a mouth. Sparkling and luminous, her long-lashed eyes are an intense blue as clear as the skies without clouds, and their shape is cast to an exotic slant.
She's wearing a warm ensemble for the winter weather. A full circle skirt falls around her ankles in a comely style reminiscent of the English Queen. It's made from a woolen tartan of cornflower blue and sage on a cream background and cinches tightly around the woman's tiny waist. A long sleeved blouse has been sewn from the softest Irish wool, left in its natural creamy shade. Over the skirt is often a pure white apron, tied in the back in a full bow, and her left hand bears a wedding band of pale gold set with an european-cut amethyst and two pearls.
Memorable quotes go here.
Fresh Apple and Raspberry Cobbler
Long hot baths
Chocolates and Pearls
Animals, especially horses
Guns in her face
Men who don't bathe
Somewhat private about her home life
Fiercely devoted to her husband
Passionate and a little fiesty
Tender-hearted, sweet, somewhat demure
Gideon Michael - Husband and Best Friend
Digital Vomit Records
Maximum Tension
Programing / Design Lab.


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EyeWorld - CATARACT - Trifocal IOLs provide near, intermediate, and distance vision
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Trifocal IOLs provide near, intermediate, and distance vision
by Michelle Stephenson EyeWorld Contributing Writer
Although not yet approved for use in the United States, trifocal IOLs are providing near, intermediate, and distance vision to patients in Europe and Canada
Because multifocal IOLs do not provide optimal intermediate vision, surgeons often mix and match IOLs to achieve the best vision at all three distances.
"We will either implant an extended depth of focus (EDOF) IOL or a lower add multifocal in the dominant eye, and we will implant a higher add bifocal in the non-dominant eye in an attempt to get all three distances," said Vance Thompson, MD, Sioux Falls, South Dakota.
In contrast, trifocals can be implanted in both eyes because they provide vision at all three distances. Three trifocal IOLs are currently approved for use outside of the United States: the AT LISA (Carl Zeiss Meditec, Jena, Germany), the AcrySof IQ PanOptix (Alcon, Fort Worth, Texas), and the FineVision (PhysIOL, Liège, Belgium).
According to Thomas Neuhann, MD, Munich, Germany, the basic principle of two diffractive step-widths combined to provide distance, intermediate, and near foci is used by all of these lenses. "The Alcon lens uses a particular diffractive construction to obtain an intermediate range from 1.2 to 0.6 m. The intermediate focus is not created at the expense of the light distributed to the distance and near foci but makes light otherwise lost, such as in bifocal diffractive lenses, available and usable for the intermediate focus," he explained.
John Berdahl, MD, Sioux Falls, South Dakota, noted that the adoption rate of trifocals outside of the United States has been tremendous. "In many places, it's the go-to lens type. It is about defocus curves and trying to provide as much of a continuous range of vision as possible, while avoiding unwanted side effects like positive dysphotopsias," he said.
The advantage of trifocal IOLs is that they provide vision at all three distances. "No currently available single lens provides distance, intermediate, and near vision," Dr. Berdahl said. "Trifocals would give each eye the ability to see well at all three distances, which I suspect will allow for more forgiveness if we aren't exactly on target."
"Because all multifocal IOLs divide the incoming light into more than one focus, the effect of the light in 'out of focus' images reduces the contrast of 'in focus' images," Dr. Thompson said. "If a patient is looking at a distance, he or she will have near and intermediate images that are not in focus, which can reduce contrast sensitivity and modulation transfer function (MTF). MTF is a useful optics measure of true or effective resolution, since it accounts for the amount of blur and contrast over a range of spatial frequencies. As a result, unwanted visual phenomena, including glare and halo, can occur. One of the main reasons that multifocal IOLs are being implanted with growing frequency is because the optics have been optimized to the point that patient satisfaction is much higher than multifocal implants of 10 or 20 years ago. There is a much lower incidence of glare and halos. Twenty years ago, they were 0.1% of the implants I placed, and now multifocals are 40% of the implants that I use because of how happy they make my patients who desire to be spectacle independent. I have been in trifocal FDA trials in the United States, and I think they're going to be a game-changer for us, too."
However, there are certain patients for whom Dr. Thompson would be cautious about recommending any implant that splits light, whether it is an EDOF or multifocal lens. Any eye pathology that scatters light in an unsophisticated way can degrade the sophisticated optics of modern-day multifocals or EDOF lenses. "For example, dry eye, epithelial basement membrane dystrophy, or a corneal irregularity, such as keratoconus, should be treated before implantation of a trifocal. If we cannot decrease the higher order aberration state of the cornea and tear film to an acceptable level, we don't want to add a multifocal implant to that optical system. We also like to make sure the patient has a healthy macula, and that's why doing an OCT is so important. Of course, we also need to be able to enhance the patient's cornea with PRK or LASIK to optimize the optics to plano. That is why a corneal refractive workup needs to be a part of any premium implant evaluation. We don't want to have a patient with residual refractive error postoperatively who we can't enhance with the laser because they have a topographic irregularity or other contraindication to a laser fine tune. We want to find these issues preoperatively and do a monofocal IOL in these situations. But as long as the tear film, cornea, and macula are healthy and the posterior capsule is clear after implant surgery, whether it took a capsulotomy or not, and the refractive error is near plano with or without an enhancement, this adds up to extremely high patient satisfaction," Dr. Thompson said.
Dr. Neuhann agreed. "I would not use them in patients with additional contrast lowering and/or light dispersion conditions, such as corneal guttata, pronounced dry eye, prior corneal laser vision correction with imperfect contrast sensitivity, and/or light phenomena," he said.
He advised extreme caution with prior low myopes. "Their lifelong excellent uncorrected near vision and, consequently, expectation is a great danger for disappointment with the near vision with such lenses," he said.
Dr. Thompson explains to patients that achieving the desired outcome is a four-step process.
First is the implantation of the advanced trifocal, bifocal, or extended depth of focus implant.
Second, 3 months later, if there's any residual refractive error, an enhancement is performed using PRK or LASIK.
Third, if the posterior capsule develops opacity a YAG laser is performed. More YAGs will be performed because a subtle posterior capsule opacity can degrade the optics of the implant more quickly than a monofocal implant.
Fourth is neural-adaptation. "After the implant is in, the refractive error minimized with a fine tune or the patient ended up plano, and the capsule lasered, patient satisfaction at a month is quite high but even higher at a year," Dr. Thompson said. "I tell patients that we're embarking on a year-and-a-half journey together and that they'll most likely experience some impressive improvements along the way, but at the end of that year and a half, they'll have some of the world's most advanced optics in their eyes to help them do a lot without glasses at multiple distances for the rest of their life. The patients that go into it with this attitude do beautifully."
Dr. Berdahl agreed. "I think we're seeing the continued improvement of presbyopia-correcting IOLs in an iterative fashion because of all the experience that we've had with them, and it's great to be part of an innovative profession that's getting better every day," he said.
Dr. Neuhann said he doesn't see a future for bifocals. "When a multifocal is the option, use a trifocal. I do not see a place for bifocals anymore. Trifocals offer everything a bifocal can plus the intermediate vision at no extra expense. Realize—and make patients realize—that with presbyopia, everything is a compromise. We have the privilege to have multiple compromises available, with different advantage/disadvantage profiles, to choose from. But we must never forget that they are all compromises. We do not have the option that everyone wants, namely, 'back to youth' vision with accommodation," he said.
Editors' note: Dr. Berdahl has financial interests with Alcon, Johnson & Johnson Vision (Santa Ana, California), RxSight (Aliso Viejo, California), and Bausch + Lomb (Bridgewater, New Jersey). Dr. Thompson has financial interests with Alcon, Johnson & Johnson, and Carl Zeiss Meditec. Dr. Neuhann has no financial interests related to his comments.
Berdahl: john.berdahl@vancethompsonvision.com
Neuhann: prof@neuhann.de
Thompson: vance.thompson@vancethompsonvision.com
Trifocal IOLs provide near, intermediate, and distance vision Trifocal IOLs provide near, intermediate, and distance vision
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Google offers a look at some revealing statistics from its powerful search engine at the end of each year. The company calls it the Zeitgeist.
This year, Google split its stats into 10 categories: overall, news, pop culture, lifestyle, science, tech and gadgets, sports, quirky, humanities and regional.
Overall, the fastest rising term was Rebecca Black. The "Friday" teen singer managed to top terms like Google Plus, Hurricane Irene, iPhone 5, Adele, Osama Bin Laden–even Steve Jobs. Among product searches, the fastest rising term was HP Touchpad, likely because its price was reduced to $99. Though the device is far behind its competitors in reality, in the online-product-search environment it managed to challenge terms like iPad 2, Samsung Galaxy, Android Tablet, Nook, and iPhone 4.
On the tech & gadgets category, the fastest rising technology term was iCloud, the service Apple released in June during WWDC. It was the last keynote for Steve Jobs, announcing iOS 5 and other updates. The top 10 rising technology terms were full of Apple-related words: OSX Lion, iPad 2, iPod Touch 5G, iPhone 5, Macbook Pro 2011, and Steve Jobs. The fastest rising gadgets term: Kindle Fire, followed iPhone 4s, HP Touchpad, iPad 2, and Palm Pre 3.
In the news category, job-related searches revealed that the term "resume" was the most used.


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HOW CAN NEUROMODULATION HELP OPIOID ADDICTION PATIENTS?
The opioid crisis is one of the most alarming, increasingly widespread public health risks in our global society. It is most concentrated in the United States, where the percentage of the population abusing opioid drugs (6%) is highest [1].
Opioid analgesics (opioids) are medications commonly used in the treatment of moderate to severe chronic pain.
We've all experienced pain; the unpleasant sensation produced by processes that either damage or are capable of damaging your body's tissues. However, for some, pain is an inescapable part of their day-to-day lives. For these individuals, their pain is defined as chronic pain, meaning pain that persists for a period of three months or longer. Chronic pain can occur for a range of reasons, including fibromyalgia, neck or lower back disorders, arthritis, neuropathies, and cancer.
According to current estimates, around 1 in 5, or more than 1.5 billion people globally, suffer from chronic pain [2]. In the UK alone, it is estimated to affect more than two fifths of the population, or around 28 million adults [3]. Of the 43% of the UK population that experience chronic pain, up to 14.3% are living with chronic pain that is either moderately or severely disabling [3]. It can have a significant impact on an individual's quality of life by impacting their mood, sleep quality, mobility, social interaction, and ability to work. In fact, around half of those who experience chronic pain suffer from depression, and two thirds are unable to work [4]. This is mirrored in the US where 2012 figures suggested that the value of lost productivity due to chronic pain equals as much as $335 billion annually [5].
Therefore for those living with chronic pain, opioids can be a vital lifeline without which they would struggle to function. Every rose has its thorn, however, and opioids are no different; their use is associated with several problems including misuse, addiction, overdose and developing tolerance.
And it is these problems that have facilitated the growth of the opioid epidemic.
THE ORIGINS OF THE OPIOID CRISIS
The origins of the opioid crisis date back to 1990, when Dr. Mitchell Max, the President of the American Pain Society, wrote an editorial in Annals of Internal Medicine calling for a different approach to pain management in light of the lack of improvements in pain assessment and treatment over the last 20 years [6]. Dr. Max pushed the conventional wisdom of the day that the therapeutic use of opioids rarely results in addiction, although this wisdom was founded on a single publication which lacks significant detail around the study's methodology [7].
The American Pain Society consequently released quality assurance standards for pain relief aligned with Dr. Max's recommendation [8] which influenced the opinion of physicians towards pain. Pain was soon considered to be a 'fifth vital sign' which therefore should be treated with a similar level of concern. This led to well-intentioned efforts by healthcare professionals to improve pain management for their patients.
Concurrently, pharmaceutical companies were capitalising on the paradigm shift by aggressively marketing new prescription opioids, the first of which, oxycodone (OxyContinⓇ), was released in 1996 by Purdue Pharma. Infamously, Purdue were later found to have misrepresented the risk of addiction posed by the drug in these marketing campaigns [9].
These two factors coincided to lay the foundations of the crippling opioid crisis we see today. Between 1997 and 2002, prescriptions issued for oxycodone had increased tenfold from 670,000 to over 6.2 million per year [9].
THE OPIOID CRISIS TODAY
So once these foundations had been laid, the dangers which opioids posed to patients in terms of developing tolerance, misuse and addiction, were fuel to the fire, allowing the epidemic to spread dramatically.
Opioid misuse can be defined as opioid use in any way that is: not directed by a prescriber, without a prescription of one's own, or taking them in greater amounts, more often or longer than directed. Opioid addiction is characterised by intense cravings and the compulsive use of opioids for reasons other than medical.
It's currently estimated that around 20-30% of those who are prescribed opioids for chronic pain will misuse them [10]. This translates into 10.3 million people in the US having misused opioids in 2018; of these, 9.9 million misused prescription painkillers and 808,000 used heroin [10]. Of those who misuse painkillers, around 10% later become addicted to them [10]. A more shocking statistic still is that 80% of those who use heroin first misused prescription opioids [11].
Opioid misuse and addiction often leads to overdose and death as a result of respiratory depression. It is estimated that, of the 0.5 million deaths globally attributable to drug use annually, 70% are related to opioids, and more than 30% of these deaths are caused by overdose [12]. In the UK, overdoses from opioid painkillers surged to 20,130 cases in 2017, a rise of 85% in the past decade [13]. In the US, the number of deaths caused by opioid overdoses rose from 47,000 in 2017 to nearly 50,000 in 2019 [14]. Globally, the number of people that died from an opioid overdose increased by 120% between 2010 and 2018 [12].
These ever-growing figures on the human toll are even more alarming when you consider that medical guidelines in both countries have somewhat revoked recommendations for prescribing opioids for chronic pain management. NICE guidelines in the UK now state that, "there is little evidence that opioids are helpful for chronic pain." [15] In the US, efforts to curb the use of opioids have led to a decrease in the number of prescriptions from 244 million in 2009 to 153 million in 2019 [16].
It therefore becomes apparent upon analysis that despite a reduction in their prescription, we continue to see a rise in opioid misuse and overdose death toll. This is indicative of how deep the roots of the opioid crisis have and will continue to run in our societies unless there is a concerted effort to both tackle the social determinants of health (SDOH) which surround opioid addiction, and also innovate opioid withdrawal and chronic pain treatments.
THE ROLE OF NEUROMODULATION
Neuromodulation has an important role to play in helping to control this crisis. The International Neuromodulation Society defines therapeutic neuromodulation as "the alteration of nerve activity through targeted delivery of a stimulus, such as electrical stimulation… to specific neurological sites in the body." [17]
So, how can it help?
AS AN ALTERNATIVE
TO OPIOID
The first neuromodulation device for pain relief was implanted in 1967, so the use of this technology to manage chronic pain is not a novel idea. Different levels of clinical evidence exist for various forms of neuromodulation across numerous conditions; from FDA-approved to preclinical.
Today, spinal cord stimulation (SCS) is a form of neuromodulation commonly used in the treatment of failed back surgery syndrome (FBSS) [18,19], complex regional pain syndrome (CRPS) [18,19], diabetic neuropathy [20], and peripheral artery disease [21]. In SCS, a small generator device is implanted under the skin with a very thin lead placed in the epidural space outside the spine where electrical impulses are sent to alleviate pain.
Another example is the non-invasive application of vagus nerve stimulation (nVNS) in the treatment of migraines and cluster headaches [22].
Clinical evidence continues to amass for the potential efficacy of transcutaneous electrical nerve stimulation (TENS) [23,24] and transcranial direct current stimulation (tDCS) [25,26,27] in treating chronic back and limb pain as well as post-surgical pain.
This therefore suggests that there is potential for neuromodulation to replace or supplement opioids in the management of multiple chronic pain conditions. Despite this, their relative novelty and the initial costs of implanted devices mean that these treatments have typically only been offered to patients as a last resort, after they have tried the more conventional options of medications, physical therapy and surgery. However, clinical preference and insurance coverage is changing, meaning neuromodulation is now being considered much earlier in treatment planning [28].
By providing an alternative, effective and safer therapeutic intervention, this could be key to closing the gateway to addiction and misuse that opioid prescriptions for chronic pain often become.
TO TREAT OPIOID
The symptoms of opioid withdrawal are a huge barrier to recovery from opioid addiction. They can range from yawning, watery eyes, runny nose and diarrhea to vomiting, anxiety, body aches, sweating, hallucinations and seizures.
Depending on the half-life of the opioid, these symptoms will generally resolve after 5-14 days, but the distress caused in the first few days of abstinence can be so severe that many patients are unable to complete discontinuation as avoiding the withdrawal symptoms becomes the most powerful driving force behind continued use [29].
Some supportive pharmacological treatments exist to alleviate uncomfortable symptoms associated with acute detoxification, such as clonidine, baclofen, ibuprofen, and lofexidine, but their overall effectiveness is not found to be sufficient [30]. And while medications such as benzodiazepines may be more effective, serious concerns exist around the fact they can be additive and contribute to severe respiratory suppression [31].
Attention has therefore turned towards the exploration of novel non-pharmacological interventions to alleviate the symptoms of opioid withdrawal. Four electrical nerve stimulators have received FDA-approval for the adjunct treatment of acute withdrawal symptoms. All four devices harness auricular neuromodulation; are placed behind the ear to stimulate cranial nerves V, VII, IX and X with auricular projections. The effect is a prompt alleviation of the withdrawal symptoms associated with acute discontinuation of opioid use [32].
While three of these devices (DyAnsys' DrugRelief®, IHS' NSS-2 Bridge and Soterix Medical's electro-detox™) apply percutaneous electrical nerve field stimulation (PENS), delivering electrical stimulation through acupuncture-style needles in the skin, the fourth and most recently approved device, Spark Biomedical's Sparrow Therapy System, applies transcutaneous auricular neurostimulation (tAN™) completely non-invasively.
A number of studies suggest that the main pathophysiological basis for the mechanisms of action of these devices may relate to transcutaneous auricular vagus nerve stimulation (taVNS) and the resulting impact on sympathetic and parasympathetic nervous system outflows [33,34]. These studies indicate that taVNS alters the balance towards parasympathetic predominance which can be beneficial in many conditions characterised by increased sympathetic activity [32,35].
In conclusion, despite efforts to reduce opioid prescriptions in the UK and US as a treatment for chronic pain, misuse, addiction and overdose death rates related to opioids continue to rise. Neuromodulation shows potential for making an impact on efforts to curb the epidemic. As a drug-free alternative treatment option for chronic pain, certain forms of neuromodulation (SCS and nVNS) are already available as supplements to opioids, and clinical evidence continues to amass for the potential of other forms (e.g. TENS, tDCS) to help relieve chronic pain in an even wider range of conditions. Innovation also continues into neuromodulation devices for the treatment of opioid withdrawal symptoms, where this technology can help to remove the largest barrier to complete discontinuation in many patients.
Get in touch to learn how we're innovating non-invasive pain management: https://www.electronrx.com/contact-us
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Copyright ⓒ 2021 electronRx. All rights reserved.
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Hedegaard H, Miniño AM, Warner M. Drug Overdose Deaths in the United States, 1999-2018. NCHS Data Brief. 2020;1–8.
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Kemler MA, Barendse GA, van Kleef M, et al. Spinal cord stimulation in patients with chronic reflex sympathetic dystrophy. N. Engl. J. Med. [Internet]. 2000;343:618–624. Available from: http://www.ncbi.nlm.nih.gov/pubmed/10965008.
Slangen R, Schaper NC, Faber CG, et al. Spinal Cord Stimulation and Pain Relief in Painful Diabetic Peripheral Neuropathy: A Prospective Two-Center Randomized Controlled Trial. Diabetes Care [Internet]. 2014;DC_140684. Available from: http://care.diabetesjournals.org/content/early/2014/09/09/dc14-0684.abstract.
Horsch S, Claeys L. Epidural spinal cord stimulation in the treatment of severe peripheral arterial occlusive disease. Ann. Vasc. Surg. 1994;8:468–474.
ElectroCore. GammaCore: Instructions for Use for GammaCore. 2016.
Pivec R, Minshall ME, Mistry JB, et al. Decreased Opioid Utilization and Cost at One Year in Chronic Low Back Pain Patients Treated with Transcutaneous Electric Nerve Stimulation (TENS). Surg. Technol. Int. 2015;27:268–274.
Erdogan M, Erdogan A, Erbil N, et al. Prospective, Randomized, Placebo-controlled Study of the Effect of TENS on postthoracotomy pain and pulmonary function. World J. Surg. 2005;29:1563–1570.
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Das Joint Analysis and Lessons Learned Centre (JALLC) ist das Analysezentrum der NATO mit Sitz in Lissabon, Portugal. Das Zentrum wurde am 2. September 2002 gegründet und ist ein Teilkommando des Allied Command Transformation in Norfolk in den Vereinigten Staaten.

Auftrag
Das JALLC beobachtet den Entwicklungsprozess der NATO und unterstützt mit:
 lernen aus Erfahrungen ("Lesson Learned")
 Analyse von Übungen, Operationen und vielfältigen Fragen (Doktrin, Übungsplanung, komplexe Veränderungen …)
 Schulungen
Des Weiteren bringt die Einrichtung Handbücher auf dem Markt, veranstaltet Konferenzen und sammelt gewonnene Erfahrungen in einer Datenbank.

Weblinks
 Offizielle Website der NATO
 Offizielle Website der ACT
 Offizielle Website des JALLC

Einzelnachweise

Allied Command Transformation
Militärische Ausbildungsstätte
Gegründet 2002
Organisation (Lissabon)

redpajama_set_name: RedPajamaWikipedia