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Sex should feel fun and safe — you never have to do any sex stuff that you don't want to do.
What do you need to know about having sex?
Sex should feel fun, and safe. It's very important that you — and the person you're having sex with — are happy and excited during sex.
It's best to have sex with a person you trust. You want to trust that they will stop if you ask them to. Sex feels better, and is safer, when you both trust each other.
Some people have lots of sex, and some people never have sex. There is no normal amount of sex to have.
It's a good idea to have a big talk before sex. Talk with the person you are going to have sex with about what you want to do, and what they want to do, before you have sex.
You should talk during sex too. Tell the person you are having sex with if you want to stop, or if you want to do something different. Ask them if they feel good, and make sure you tell them if something feels bad.
It's a really good idea to talk after sex too!
It's okay to stop, anytime you want to. If sex feels boring, uncomfortable, or painful, it's a good idea to stop. If you've had enough sex, you can just stop.
You don't owe anybody sex, and nobody owes you sex. It's wrong to pressure someone to have sex with you. If someone is pressuring you to have sex, it's a good idea to stay away from them, and tell someone you trust. You never ever have to do any sex stuff that you don't want to do.Only have sex when you want to have sex! It doesn't matter how excited the other person is, or if you have already started having sex with them, you are always allowed to stop.
When you have sex, there is often a possibility of pregnancy. It is also possible to get a sexually transmissible infection (STI). Using condoms, and other contraception, is the best way to protect yourself from pregnancy, and STIs. Make sure to get an STI test before and after you have sex with a new person. We can help you get the right contraception for you.
It doesn't matter how old you are, we can get you contraception if you ask for it. We will also give STI tests, and pregnancy tests, to anyone. No matter how old you are, your nurse or doctor will check that you understand what you're doing, and that you're not being forced to do something you don't want to do. If you are at risk, they will have to share that with other people to get you some help, but they will talk to you first.
It is legal in Aotearoa to have sex once you, and your partner, are both 16.
What is sex?
Sex can be lots of things — most people have certain things they like to do during sex. Anytime that you and another person give each other sexual pleasure, that's having sex.
Sexual pleasure is the nice feeling that you have when you masturbate. These feelings are often stronger and more complex during sex. It's a really good idea to be comfortable masturbating before you try having sex with other people.
People have sex for lots of different reasons. People have sex for pleasure, for love, for intimacy, or to make a baby. Some people have sex because it's their job.
All sex involves:
- Enthusiastic consent before and during sex
- Physical and/or emotional intimacy
Good sex will also involve:
- Sexual excitement and pleasure
- Communication before, during, and after sex
How do people have sex?
There are many ways to have sex. Anytime that you and another person give each other sexual pleasure, that's having sex.
The most popular ways to have sex involves using your genitals, or other parts of your body that make you feel sexual pleasure. The most common in-person ways to have sex are:
- Vaginal sex
- Oral sex
- Anal sex
You can also have sex over video, by messaging, or over the phone.
There are lots of ways that people have sex — some people will say one thing is sex and another thing isn't. For example: some people disagree about whether touching someone's genitals with your hands for pleasure counts as sex.
Most people agree that vaginal, anal, and oral sex all count as sex.
What is the right age to start having sex?
The age of consent in Aotearoa is 16 years old. Some people have sex before this age, and many people have sex after this age.
Different people decide to start having sex at different times. The right time can depend on a person's values, religion, relationships, and many other things.
As people get older, they develop their own attitudes and values — these attitudes and values help them make decisions. It's best if people choose to have sex when they feel that they are ready.
The average age that people in Aotearoa New Zealand start having sex is 17 years old — but many people wait until they're older.
If you're not sure that you want to have sex, it's a really good idea to wait. Some people even realise that they never want to have sex — that's okay too.
How do you know that you're ready to have sex?
It's really important that you, and the person you plan to have sex with, are ready and excited to have sex.
It's really good to talk a lot about what you both want to do before, during, and after sex.
It can be very exciting to talk with someone about the things you want to do together.
When you do have sex, make sure to check that the other person still wants to do the things you talked about, or if they want to do something else. Only do things that you both want to do.
You're probably ready to have sex if you can answer yes to most of these questions:
- Could you say no to having sex — and it wouldn't be a problem?
- Have you made a special connection with someone — and you both feel it?
- Are you ready to have sex?
- Are you excited about having sex?
- Are you a little bit nervous — but not scared about having sex?
- Are you freely deciding to have sex — nobody is pressuring you?
- Are you confident that you won't regret having sex?
- Have you and another person said that you both care for each other, and that you both want to have sex?
- Would your partner still stay with you if you didn't have sex?
- Are you and the person you plan to have sex with able to talk about contraception and using condoms?
- Are you and the person you plan to have sex with able to talk clearly about what you do and don't want to do when you have sex?
- Do you want to have sex?
What is vaginal sex?
Vaginal sex is when something — like a sex toy, penis, or strap — goes inside a vagina during sex.
If a penis goes inside your vagina, or semen spills on your vulva, you might get pregnant. Using condoms and other contraception makes pregnancy less likely, but not impossible. When a penis gets hard, it starts leaking precum — and precum has sperm in it. It's safest to put a condom on a hard penis before you start playing with it.
It's also possible to get a sexually transmissible infection (STI) from any kind of vaginal sex. Using condoms is the best way to protect yourself from STIs. Make sure to get a STI test before and after you have sex with a new person.
What is oral sex?
Oral sex is when someone licks or sucks someone's genitals or anus. There are lots of different words for different types of oral sex. People call oral sex: giving head, going down, eating out, and many other things.
You can get sexually transmissible infections (STIs) from oral sex. It doesn't matter if you have straight or queer oral sex — you can still get an STI.
You can get an STI when your mouth touches someone's vulva, anus, strap, sex toy, or penis. If someone's mouth touches your vulva, penis, or anus, you can get an STI.
Using a condom, or an oral dam, is a great way to avoid getting an STI. It's a good idea to use a condom if you are having oral sex with a penis or a strap. If you are having oral sex with an anus, or a vulva, you can use an oral dam. You can get oral dams, and condoms, from us. You can even make your own oral dam by cutting the tip and bottom of a condom off — before cutting the side open to make a flat, stretchy, oral dam.
What is anal sex?
Anal sex is when something — like a sex toy, penis, or strap — goes inside an anus during sex.
You can get STIs from anal sex. Using a condom and lube is the best way to protect yourself from STIs during anal sex.
It's really important to use lube during anal sex. If a sex toy doesn't have a flared base, don't put it into an anus — it's very easy to get things stuck up there, and it's hard to get them out!
What is masturbation?
Masturbation is touching your own genitals, anus, or body in a way that gives you sexual pleasure.
Masturbating helps you work out what you like, and what you don't like — it also helps you prepare for some of the intense feelings you might have during sex. It's a really good way to work how your body works, and what you do or don't like.
Some people masturbate with their hands, by rubbing on or against something, with a jet of water, or with a sex toy like a vibrator.
It's totally normal to masturbate — and it's totally normal not to masturbate. It's nobody else's business if you do or don't masturbate.
Masturbation is good for your body. It can help you relax, regulate your hormones, relieve a headache, and keep your body working well. You can masturbate alone, or you can do it with someone else — this is a really nice way to have sex.
There are lots of made-up stories about masturbation — you might hear someone say it's bad for you, or it'll make you go blind, or you'll run out of sperm if you masturbate. None of that is true. If you didn't hear it from a medical professional, it's better not to believe every story you hear about masturbation.
What is conception?
What if someone made me do sex stuff that I didn't want to do?
Sexual abuse happens when someone pressures you to do sex stuff that you don't want to do. Sex stuff includes stuff that happens online, or on your phone — like sexting, or sending nudes. Sexual abuse also happens when someone makes you have sex, or touches you, or makes you touch them.
You do not deserve to have sexual abuse done to you. It is never your fault. It doesn't matter who sexually abused you — what they did was wrong.
If an older person does sex stuff with someone under the age of sixteen, that is sexual abuse. If anyone does sex stuff with a kid, that is sexual abuse.
If you have been sexually abused, it's a good idea to talk to an adult that you trust. If you don't know who to tell, you can always talk to us. It doesn't matter if the abuse happened recently, or a long time ago. You deserve help.
Sexual Harm Helpline
The Sexual Harm Helpline is free, confidential, and available 24/7.
You can contact trained specialists by:
Calling: 0800 044 344
Texting: 4334
Emailing: [email protected]
Chatting online at: safetotalk.nz

subset: commoncrawl


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We've all seen the issues that some states are having with feral pigs, especially in places like Texas in particular, along with other areas scattered across the southeastern part of the U.S.
It's a concerning issue, considering the massive groups of the invasive species have been seen making their way into residential areas, and ruining property, not to mention destroying ecosystems.
However, we've seen this issue grow over the years in Canada as well, and it may not be long before we see these creatures enter bordering U.S. states, like North Dakota, Montana, and Minnesota.
Dr. Ryan Brook, who is head of the University of Saskatchewan's Canadian Wild Pig Research Project, says the issue is actually relatively new:
"The U.S. has a 400-plus year history with invasive wild pigs, but we didn't have any here until the early 1980s. There was a big push to diversify agriculture with species like wild boards and ostriches.
Wild boars were brought in from Europe to be raised on farms across Canada."
According to Field & Stream, the majority of these creatures were kept on meat farms, but others were used on high-fence hunting preserves.
Brook noted that the hybridization resulted in much larger "super pigs," that can actually thrive in colder climates, unlike the feral pigs we've seen here in the U.S.
The reason they are able to survive is because of their much larger size, which Brook described:
"For surviving in cold winters, one of the rules of ecology is: the bigger the better. Large body animals survive the cold better and have better reproduction in those conditions."
In the early 2000s, the market for farmed pigs dropped significantly in Canada, and others even escaped from their enclosures, with others being set free because there was nobody who wanted to buy.
Since, we've seen the feral pig population boom over the past 20 or so years. The creatures roam approximately 620,000 square miles in Canada, especially in the Provinces of Saskatchewan, Manitoba, and Alberta.
Brook continued:
"That they can survive in such a cold climate is one of the big surprises of this issue. The Prairie Provinces are where we have the coldest winters in Canada except for the very far north. One of the things they do to survive is tunnel under the snow.
Wild hogs feed on anything. They gobble up tons and tons of goslings and ducklings in the spring. They can take down a whitetail deer, even an adult.
It's become clear that they're threatening our whitetail deer, elk, and especially, waterfowl. Not to mention the crop damage. The downsides outweigh any benefit wild hogs may have as a huntable species."
And because of this massive spike in these massive feral pigs, it's only inevitable that they'll end up in American states, as they itch closer and closer:
"We have already documented pig occurrences less than 10 miles from the U.S. border. Quite honestly, I think there have already been some in Manitoba going into North Dakota for the last 5 or 6 years.
There is no physical, biological boundary at the U.S.-Canada border. There is hardly any kind of fencing to speak of. There's a real risk of pigs moving south into the U.S."
Yeesh… about to be open season on wild pigs up north… get ready hunters.
Joe Rogan Details The Massive Feral Hog Problem In Texas
The king of podcasting himself, Joe Rogan, discussed one of the most complex wildlife management issues in the country.
Feral hogs.
He used his platform to sit down with Texas chef and butcher Jesse Griffiths and educate the masses on the seemingly uncontrollable plague of feral hogs that continues to explode throughout Rogan's new home state of Texas.
A problem that costs the country over a billion dollars a year, there's somewhere between 2 million and 4 million wild hogs in the state of Texas alone (6 million estimated in the entire country). And because they have no breeding season, they reproduce at an astronomical rate. They can begin to breed around 5-6 months old, the gestation period is less than 4 months, and they can have anywhere from 2-12 piglets per litter.
Just do some quick math and you realize that it's possible for a pig to have a few dozen piglets each year, who can begin to breed themselves before the year is over. It's nuts.
So if you've ever seen videos of folks in Texas gunning down wild pigs from a helicopter, this is why.
And if you remember back to Jason Isbell's Twitter conversation on gun control, it earned a viral reaction when Willie here said he needed one kill the 30-50 wild pigs than run through his yard.
And while I'm not going to get into the AR-15 argument, this conversation does go to show you how much these things are a massive pain in the ass.
And there is A LOT of them.
Listen to Jesse break down the feral hog problem in Texas, the history of pigs coming to America, the difference between domestic and feral hogs (there isn't one) and more.
And by the way, Jesse is the owner/chef of Dai Due Butcher Shop & Supper Club in Austin, Texas.
They take people on guided hunts to teach them how to hunt and prepare what they harvest, building future generations of hunters.


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TREATMENT OF COMPLICATED HYERTENSION Joseph L. Izzo Jr, MD Professor of Medicine, Pharmacology, and Toxicology SUNY-Buffalo. Diastolic vs systolic hypertension Prevention vs treatment Compelling indications Other high risk conditions. ISH (SBP >140 mm Hg and DBP <90 mm Hg)
TREATMENT OF COMPLICATED HYERTENSIONJoseph L. Izzo Jr, MDProfessor of Medicine, Pharmacology, and ToxicologySUNY-Buffalo
Diastolic vs systolic hypertension • Prevention vs treatment • Compelling indications • Other high risk conditions
ISH (SBP >140 mm Hg and DBP <90 mm Hg) SDH (SBP >140 mm Hg and DBP >90 mm Hg) IDH (SBP <140 mm Hg and DBP >90 mm Hg) 100 80 60 40 20 0 Hypertension Subtypes by Age (NHANES III Untreated Hypertensives) 17% 16% 16% 20% 20% 11% Frequency of hypertension subtypes in all untreated hypertensives (%) <40 40-49 50-59 60-69 70-79 80+ Age (y) Percentages represent the overall distribution of untreated hypertension by age. Franklin et al. Hypertension 2001;37: 869-874.
Anatomy of aCentral Arterial Pulse Wave Augmentation Index = AP/PP Reflected wave Systolic BP Augmentation Pressure (AP) Incident wave Pulse pressure (PP) Mean Arterial Pressure Dicrotic notch Diastolic BP
MAP Integrated static "DC" signal Determined by the CO-SVR product Mainly indicative of distal vasoconstriction Closely related to diastolic pressure PP Pulsatile dynamic "AC" signal Determined by "ventricular-vascular interactions" Early systole: Aortic impedance Late systole: Wave reflections Closely related to systolic pressure Mean Arterial vs. Pulse Pressure: Different Information Provided
InhibitsPromotes Pathogenesis of Systolic and Diastolic Hypertension SYSTOLIC HYPERTENSION Stroke Volume Central Artery Stiffness Arteriolar Constriction DIASTOLIC HYPERTENSION
BP RESPONSES TO VASODILATORS (Decrease in MAP of 10 mmHg) SYSTOLIC HYPERTENSION -20 - 5 Change in Systolic Pressure (mmHg) DIASTOLIC HYPERTENSION - 6 -12 Change in Diastolic Pressure (mmHg) (modified from Koch-Weser 1973)
ACE and ACE-NEP Inhibitor Effects on Aortic Impedance(Mitchell G, Izzo JL Jr, et al. Circulation 2002, in press)
Diastolic vs systolic hypertension • Prevention vs treatment • Compelling indications • Other high risk conditions
Systolic BP Reduction and CVD Mortality 1.50 MIDAS/NICS/VHAS UKPDS C vs A 1.25 P = 0.003 NORDIL INSIGHT HOT L vs H STOP2/ACEIs HOT M vs H Cardiovascular Mortality Odds Ratio MRC1 1. 00 MRC2 STOP2/CCBs SHEP STONE HEP CAPPP 0.75 EWPHE HOPE Syst-Eur UKPDS L vs H Syst-China RCT70-80 0.50 PART2/SCAT STOP1 ATMH 0.25 -5 0 5 10 15 20 25 Systolic BP (control - experimental, mmHg) Staessen JA, et al. Lancet 2001;358:1305–1315.
Clinical Trialists View Amount of BP lowering is more important than choice of drug class in overall disease prevention
JNC 7 Medication Algorithm Initial Drug Choices Without Compelling Indications With Compelling Indications Stage 1 Hypertension(SBP 140–159 or DBP 90–99 mmHg) Thiazide-type diuretics for most. May consider ACEI, ARB, BB, CCB, or combination Stage 2 Hypertension(SBP >160 or DBP >100 mmHg) 2-drug combination for most (usually thiazide-type diuretic and ACEI or ARB or BB or CCB) Drug(s) for the compelling indications Other antihypertensive drugs (diuretics, ACEI, ARB, BB, CCB) as needed Not at Goal BP Optimize dosages or add additional drugsuntil goal BP is achieved.Consider consultation with hypertension specialist.
Why the "discrepancies"? HETEROGENEITY !!!!! Even if we are all created equal (ethically and legally), we are not created equal biologically.
Diastolic vs systolic hypertension • Prevention vs treatment • Compelling indications • Other high risk conditions
JNC 7 Compelling Indication: Definition A high-risk condition associated with hypertension for which there is clinical trial evidence of a specific outcome benefit of a given class of antihypertensive drugs
JNC 7 Compelling Indications for Individual Drug Classes (o = Updated) Compelling Indication Basis Initial Therapy Options TZ BB ACE ARB CCB AA ACC/AHA HF Guideline,MERIT-HF, COPERNICUS, AIRE, SOLVD, RALES, CIBIS, TRACE, Val-HEFT, CHARM ACC/AHA Post-MI Guideline, BHAT, SAVE, Capricorn, EPHESUS, VALIANT ALLHAT, HOPE, ANBP2, LIFE, VALUE, CONVINCE, EUROPA oo o o o o • • • • • • • • • • O • • • • OO A B C D HEART FAILURE (STAGE) POST-MI HIGH CAD RISK
Components of Cardiac Afterload Late-systolic pressure augmentation (wave reflection) Contractility/Aortic impedance ("ventricular-vascular coupling") Residual systemic (diastolic) pressure (SVR) (DBP > Aortic impedance > Augmentation)
Age and Components of Cardiac Afterload Augmentation Component Younger Older
Heart Failure Death Possible pathway of progression Progression of Cardiovascular Disease Smoking Dyslipidemia Diabetes MI Systolic Dysfunction SBP Diastolic Dysfunction Obesity Diabetes LVH Normal LV structure & function LV remodeling Subclinical LV dysfunction Overt Failure Months Years Adapted from Levy D. J Am Coll Cardiol 1993
Therapy for CHF NYHA Class Agent I II III IV Statins Diuretics ACEI/ARB Beta Blockers Digoxin Spironolactone ??? ??? No proven mortality benefit, used in symptomatic patients May offer mortality benefit No data for or against ??? Should not be used in this Class Use for mortality benefit Mod. From Eichhorn EJ. Clin Cardiol. 1999;22bb:V21-V29. 8
JNC 7 Compelling Indications for Individual Drug Classes (o = Updated) Compelling Indication Initial Therapy Options TZ BB ACE ARB CCB AA Basis DIABETESCHRONIC KIDNEY DISEASE RECURRENT STROKE NKF-ADA Guideline,UKPDS, ALLHAT • • • • • • • • ?O O NKF Guideline, Captopril Trial, RENAAL, IDNT, REIN, AASK PROGRESS, MIRACLE
MDRD Study: Impact of BP Control • Hebert, et al. Hypertension 30;1997.428-35
Aggressive BP Goals: Consensus Across Treatment Guidelines Organization Patient Type BP Goals (mm Hg) ADA Diabetes <130/80 ISHIB African American <140/90 Plus DM or proteinuria >1 g/24 h <130/80 JNC 7 Uncomplicated HTN <140/90 With DM, CKD <130/80 NKF Albuminuria (>300 mg/d or >200 mg/g creatinine), <130/80 with or without diabetes Proteinuria (protein to creatinine ratio "Consider even >500-1000 mg/g) lower than <130/80" WHO-ISH Low risk for CVD SBP<140 Presence of DM, target organ damage, or associated clinical conditions <130/80 ADA: American Diabetes Association; ISHIB: International Society on Hypertension in Blacks; JNC 7: The Seventh Report of the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure. NKF: National Kidney Foundation; WHO-ISH: World Health Organization/International Society on Hypertension
100 90 80 70 60 50 40 30 20 10 0 0.0 0.5 1.0 1.5 2.0 2.5 3.0 3.5 4.0 ACEI in Diabetic Renal Disease Overall Deaths: Captopril: 8/207=4% Placebo: 14/202=7% Placebo SCr1.5 Death Dialysis or Transplant (%) *P=.002 vs placebo (Scr1.5 ) Captopril* SCr1.5 Placebo SCr<1.5 Captopril SCr<1.5 Years of Follow Up Lewis EJ et al. N Engl J Med 1993;329:1456-1462.
30 20 10 30 0 0 12 24 36 48 P 20 L 10 50 0 40 0 12 24 36 48 30 20 10 0 0 12 24 36 48 P (+ CT) P (+ CT) L (+ CT) L (+ CT) ESRD RENAAL 10 Components Risk Reduction: 28% p=0.002 P % with event L Doubling of Serum Creatinine Risk Reduction: 25% p=0.006 Months 762 715 610 347 42 751 714 625 375 69 % with event ESRD or Death Risk Reduction: 20% p=0.010 P % with event L Months P (+ CT) 295 762 689 554 36 L (+ CT) 52 751 692 583 329 Months 762 715 610 347 42 751 714 625 375 69
Any anti- hypertensive BP Drugs in Chronic Kidney Disease Pathogenetic steps Increased renal perfusion pressure Glomerular capillary hypertension Proteinuria Focal glomerulosclerosis Glomerular and tubular dropout End-Stage Disease ACEI or ARB
Clinical Trials and Renal Outcomes Based on Proteinuria Reduction Progression of diabetic nephropathy/ESRD Protection No Protection • Captopril • Ramipril (AASK/REIN) • Losartan (RENAAL) • Irbesartan (IDNT) • Amlodipine (IDNT) • Amlodipine (AASK) • Isradipine (STENO) • Nifedipine 30-35% proteinuria No proteinuria ESRD = End Stage Renal Disease Lewis EJ et al. N Engl J Med. 1993;329:1456-1462; Wright JT et al. JAMA. 2002; 288(19):2421-2431; Ruggenenti P et al. Lancet. 1999;354(9176):359-364; Brenner BM et al. N Engl J Med. 2001;345(12):861-869; Lewis EJ et al. N Engl J Med. 2001;345(12):851-860; Norgaard K et al. Blood Press.1993;2(4):301-308; Abbott K et al. J Clin Pharmacol. 1996;36;274-279.
JNC 7: BP Thresholds* and Goals for Initial Use of 2-Drug Combinations Initial BP Goal BP (mmHg) (mmHg) Condition >160/100* <140/90 No diabetes or chronic kidney disease (CKD) >150/90* <130/80 Diabetes (FBS > 125 mg/dL x 2) CKD: (eGFR < 60 or albuminuria > 300 mg/d) * >20/10 mmHg above goal
Probable dose-response relationships for BP and albuminuria BP Albuminuria Effect l l l l Log Dose
Combination Therapy Is Usually Requiredto Reach JNC Goals "Most patients with HTN will require 2 or more agents to achieve goal of <140/90 (<130/90 in DM or CKD)" -JNC 7 Trial SBP mm Hg Mean Number of Agents AASK 128 INVEST 133 HOT 138 ALLHAT 138 IDNT 138 RENAAL 141 UKPDS 144 2.4 2.0 Mean 2.0, Median 2.8 agents Met JNC Goals 3.0 1.9 4.0 SBP <140 4.1 Did not Meet JNC Goals 3.0 75% of patients required3 or more agents Chobanian AV et al. Hypertension. 2003; 42(6):1206-1252; Chart adapted from Bakris GL et al. Am J Kidney Dis. 2000;36:646-661; ALLHAT Officers. JAMA. 2002;288:2981-2997;Hansson L et al. Lancet. 1998;351:1755-1762; Pepine CJ et al. JAMA. 2003;290(21):2805-2816; Wright JT et al. Arch Intern Med. 2002;162:1636-1643; UK Prospective Diabetes Study Group. BMJ. 1998;317:703-713; Brenner BM et al. N Engl J Med. 2001;345(12):861-869; Sica DA, Bakris GL. J Clin Hypertension. 2002;4(1):52-57.
Diastolic vs systolic hypertension • Prevention vs treatment • Compelling indications • Other high risk conditions
Resistant hypertension BP above target despite use of 3 or more antihypertensive drugs, one of which is a diuretic
Selected conditions associated with resistant hypertension • Non-adherence • Sleep apnea • Renal failure • Interfering drugs
TREATMENT OF COMPLICATED HYERTENSIONJoseph L. Izzo Jr, MDProfessor of Medicine, Pharmacology, and ToxicologySUNY-Buffalo
0 6 12 18 24 30 36 42 48 54 60 66 Month RAAS Blockade: Treatment Benefit Seen at All Albuminuria Baseline Levels Primary Composite Endpoint of LIFE Trial Stratified by Time-varying Albuminuria 24 Albuminuria (urine albumin/creatinine ratio in mg/g) 20 44 45 - 88 89 - 265 16 > 265 Losartan Endpoint (Event Rate in %) Atenolol 12 8 4 0 Ibsen H et.al J Hypertension. 2004;22:1805-1811.
Older Concepts of Systolic Hypertension • Basically a function of aging; accelerated by hypertension • Irreversible process involving increased aortic stiffness due to • Aortic dilatation (increased wall tension) • Aortic wall thickening • Replacement of elastin with collagen • Therapy directed at lowering vascular resistance
Newer Concepts of Systolic Hypertension • Can occur at any age (esp. in women) • Increased aortic stiffness can be structural or functional • Can be caused by smaller aorta with normal elastic properties (radius is a major factor in aortic impedance) • Age-related dilation (remodeling) may be a secondary adaptation to reduce PP • Therapy may be directed at reducing vasoconstriction or increasing aortic elasticity
"Compartments" of the Cardiovascular System • Heart • Central arteries (aorta) • Peripheral conduit arteries (brachial, etc) • Arterioles (resistance vessels) • Capillaries • Veins Key Concept: Changes in these vascular "compartments" with aging and hypertension are non-uniform but are interdependent
Central Arterial Stiffness and PPPathophysiologyElastic vessels Inelastic vessels SYSTOLE DIASTOLE SYSTOLE DIASTOLE STROKE VOLUME STROKE VOLUME ( ) AORTA AORTA RESISTANCE ARTERIOLES RESISTANCE ARTERIOLES Increased SBP PRESSURE (FLOW) PRESSURE (FLOW) Wide PP Decreased DBP Adapted from Izzo JL. J Am Geriatr Soc. 1981;29:520-524.
Impedance and arterial radius • Impedance is the pulsatile equivalent of resistance Characteristic aortic impedance: Zc √Eh/r5 E = elastic modulus; h = wall thickness; r = radius Zc varies inversely with r2.5
Age, Gender, PP and Aortic Root Diameter (Framingham) Vasan, et al. Circulation 1995
BP and Aortic Root Diameter (Framingham) Vasan, et al. Circulation 1995
Aortic Dilatation and BP (LIFE Study) Bella, et al. Am J Cardiol 2002
Pulse Wave Transmission and Reflection • There are forward-traveling and backward-traveling (reflected) waves in the arterial tree • An arterial pulse contour at any point along the arterial tree is the sum of the forward-traveling and backward-traveling pressure waves at that point.
Determinants of Central Systolic Pressure Augmentation • Timing of reflected wave return • Pulse wave velocity (principally arterial stiffness-related) • Location of reflecting site (varies physiologically) • Amplitude of reflected wave • Reflection coefficient (principally vasoconstriction-related)
Age and Reflected Waves ELASTIC VESSELS STIFF VESSELS PWV 8 M/SEC PWV 12 M/SEC Systolic Augmentation Pressure FORWARD-TRAVELING WAVE BACKWARD-TRAVELING WAVE ACTUAL (COMPOSITE) WAVE PWV = pulse wave velocity. Modified from Asmar, R. Arterial Stiffness
Functional Dependency of Reflected Waves on Systemic Hemodynamics RADIAL AP = 20 AP = 2 AP = - 8 CENTRAL NORMAL NOREPINEPHRINE EPINEPHRINE (HYPERTENSION)


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It is no secret that for years Tampa Bay Rays fans in St. Pete have had to attend one of the worst stadiums in the MLB: Tropicana Field. Sophomore and self-proclaimed Rays fanatic Jake Diner described the current stadium as "dirty." Diner said, "It doesn't have an exciting atmosphere. Fans don't want to travel to St. Pete to sit in a gross environment." The Rays have recently been very successful, but the declining state of the Trop has left many fans less interested in attending games and paying attention to the team.
The burning question around St. Pete for the last few years has been: what's going to happen with Tropicana Field? Well, there's finally an answer.
With Tropicana Field having the second-lowest attendance rate in the MLB with 13,671 fans per game, St. Pete Mayor Ken Welch decided on a plan to renew the Trop. After stating the requirements he wanted to be implemented in the proposals, he narrowed the options down to four, and ended up selecting the Rays & Hines proposal.
This plan includes a brand-new indoor/outdoor stadium, 2,500 seat entertainment venue, 700 hotel rooms, 1.4 million square feet of office space, 600 senior living residences, and 20 new city blocks. The goal of this new stadium venue is to bring entertainment to the area.
Out of the 4 plans, Welch favored the Hines & Rays plan because it put an emphasis on equity. Welch stated that he wants to commemorate the history of the Historic Gas Plant District by constructing an African-American history museum along with affordable housing. The selected plan implements a redevelopment of the Woodson African-American Museum.
When Diner was asked what he likes about the selected plan, he said, "I like it because it's better for the community around it. There's more affordable housing, [an] African-American museum, [and a] music hall. They're prioritizing a smaller stadium and more land around the stadium."
The low attendance rate at the Trop is one of the reasons the Rays do not have as many profits as most other MLB teams; this had the most significant influence on the redevelopment of Tropicana Field, which will hope to bring in more profits.
The one risk St. Pete may face is whether the attendance rates will increase after the excitement over the new stadium dies down. A similar example of this is LoanDepot Park in Miami, built in 2012. The Miami Marlins had extremely low attendance rates before this stadium. After the stadium was built, the stadium increased attendance for only a couple of seasons.
Sophomore and Rays fan Cooper Register said, "I think it will [maintain a stable, increased attendance] because if [the stadium] has more things to do, it'll bring more people because the old stadium didn't have much to do, so not a lot of people want to go."


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Benefits Of Visiting Wheel Alignment And Brake Repair ShopWe all understand the value of keeping our cars up and running correctly as it is the only way to avoid inconveniences which might find you when you need your car most. Every car owner has the responsibility of taking care of the vehicle as poor or lack of maintenance will only lead to breakdowns. Most of us only visit car repair shops when we need fine tuning for the next road trip, but numerous benefits will come with your decision to visit a brake repair and wheel alignment shop. One distinct advantage that comes with regular visits to the auto repair shop to have wheels aligned and the brakes repaired is the fact that we'll be saved from accidents which occur as a result of brake failure. You need to keep checking the appearance of your brake pads, and at all times you need to ensure that they have a thickness of an at least ¼ inch and here are several other reasons why you need to visit brake repair and wheel alignment shop.When you visit the wheel alignment shop, after your wheels are properly aligned you will enjoy better gas mileage. Properly aligned wheels will have minimum rolling resistance, and thus your car doesn't have to work hard and burn a lot of fuel to keep moving.
You need to make regular visits to the wheel alignment shops as this will ensure that you save cash on the amount of gas you will be using and you can have peace of mind knowing that you have a car responsible for less pollution. Another significant benefit of visiting the brake repair and wheel alignment shop is the fact that you can get more mileage out of your tires. The slightest problem with the alignment or about the brakes can have devastating effects. If you aren't ready to keep visiting the tire shop for every short duration, consider having your car regularly checked by the experts who repair the brakes and align the wheels.
One of the most significant benefits of brake repair and wheel alignment services is that your car will be easier to drive. You will have no worries about your safety every time you are moving down the hills or in a busy town when you have brakes repaired, and you won't experience any pull to the sides when you have correctly aligned wheels. It is much enjoyable to drive a car that has regular brake maintenance and wheel alignments.


text:
user, are you a cineaste?
User, are you a cineaste?
Other urls found in this thread:
>>164630040Northman > The Flatman
>no helmet, no armour, completely shirtlessI'm so tired of hollywood "vikings"
A pederast?
What a cineaste hole
>so good I almost passed outSounds like he has low T. Or maybe an iron deficiency.
I really want to see it but my wife's boyfriend told me not to watch movies that are overwhelmingly white. I kinda have to agree.
>>164630040"people" have described A24 movies in a similar way. This shit is just grimdark Hamlet yet somehow more gay. I sleep.
>>164630307>berserker>not wearing bear skin
>>164630374some people you just can't please
>Ukranian flag
>Ukranian flag
>>164630374The movie only feels gay when women are on screen. It's not a joke. Women are fucking embarrassing.
>>164630307My love for you is like a truck
Finally a movie for white men in a society full of women and blacks, Berserker Gang rise up
>>164630040whitebros we won.
>>164630098he's a berserkerbare, no shirt.
>>164630778>meanwhile, vikangz in reality
>Robert Eggers
>meanwhile in a real metal movieyoutube.com
>>164631070>nigger soldier close-up in the first minutekys
>>164630307>>164630778>berserkerAh yes, finally something historical and not totally fantasies about the vikings lmao
>>164631177It's supposed to be a mythical saga, a historical fiction epic. Think King Arthur, not PBS reenactment
>>164630654Did he say making fuck?
>>164630098Wouldn't Hollywood Vikings have horned helmets instead?
>>164631070>01:09Closed not watching the rest of this clip
>>164631070Guy ritchie directed that? Never even heard of it.
>>164630098What I'm fucking tired of is internet history spergs who can't seem to fathom the concept of artistic license
>>164631582Yes, they didn't even bother to have historically accurate inaccurate Hollywood vikings. That's how little effort has gone into this shit.
>>164631886I don't even have the click the trailer to know, it's the worst movie he ever did but you should watch it. It's going to be Constantine in 5 years.
>>164631929>ConstantineSo kind of good, some nice elements, but absolutely not worth watching more than once? It exists to make you wish it was better?
>>164631929>It's going to be Constantine in 5 yearsConstantine is a good movie.
>>164630307Berserkers weren't actually real.
>>164632104where the term come from then?
>>164632104You can't prove that
>>164632019I watch Constantine and Devils Advocate together one a year or so. The point is that it's a style of movie which enough time has passed to be removed from it's context of "yet another" drab cgi heavy historical epics like Dragon or Narnia or countless other LOTR ripoffs to be appreciated on it's own and let the choices of a talented director shine through. >>164632046Yes.
>we'll never get the berserker movie directed by mel gibson staring dicaprio with all dialogue in ancient swedishfeel with me bros
>>164630654Do you want to making fuck berserker?
>>164632019yes. the "mode" i guess you could call it, that arthur enters into when he uses excaliber is fucking dank as fuck.
>200+ movies a yearis that supposed to be a lot? I've watched like 130 or something since october. that isn't even 1 a day
>>164630098I cant speak for Vikings, but multiple Roman sources do attest to Celtic warriors fighting nude even in quite large numbers
>>164630375Doesn't even have a shield to bite.
>>164631284You are right. It is OG Hamlet.
>>164630307>>164630375he's ulfhednaryou can see the wolfskin in the trailer
>>164630040thats some cringe shit. but the new vikings series was pretty entertaining. The romance and plot lines where whatever but the action was p gud.
>>164630040why does everyone who uses twitter type like a teenage girl
>>164630098hollywood exists to make money, not teach history. all but the dumbest understand this. that said, i agree that the viking meme genre needs to go, it's as bad as the zombie shit became at this point
>>164632837This, we need more Roman kino
>>164632104Multiple sources attest to them, but they are often in different contexts. So each Berserker would be different from the other types. The King's Berserkr, the Hall-Challenging Berserkr, the Hólmgangumaðr, and the Viking Berserkr
>>164632837>Viking memeThis is proto-Shakespeare. An Ur-Hamlet story.
>>164632837>hollywood exists to make money, not teach historyCapitalism is truly a cancer.
>>164630307>Olaf, metal!
>>164630040>200+ films a yearSo, uhh .. a NEET?
>>164633058Cinéaste means filmmaker, so who knows?
>>164632104Oh yeah, then how did I become one? Huh? You just go debunked.
>>164633058I have a full time job and easily blast through that many in a year. The trick is to watch them at 1.5x or 1.75x speed.
>>164630040As cringe as the tweet was, I haven't been this hyped for a movie in a long ass time. Eggers is the only guy putting out nothing but 10/10s now and the concept of viking Hamlet is great. His ability to absorb old writing and speaking styles is amazing especially compared to all these retard movies where anybody from more than 300 years ago speaks with this dumbass pseudo english accent and dialect for whatever reason.
>>164632986>This is proto-Shakespeare. An Ur-Hamlet story.the story predates shakepeare by 1000 years.
>>164633149based and geniuspilled
>>164632837>all but the dumbestYou would be surprised! People are... retarded! Many just see what is on TV and, inscrutably enough they believe in the television. Of course everything on it is in some way representative of reality.Even unconsciously, we associate the repetition of data/occurrences with the necessity to store that information as useful. Think of the way we learn our first language, purely through repeated memetic inference. Do you think that could happen on some "higher" level of cognition? Do you think that the repetition of phrases, tropes, ideas, etc. could function in a similarly memetic role?That said, do you think that it's a decent, or at least good-faith concern that it might be our duty, as the people who will be leaving the world to future generations, to hold or start holding Hollywood to a higher, more accurate standard when it comes to what they depict and how they do it?
>>164633058it's one film every other daynot hard to manage at all
>>164633227Amleth or Amlóði was around 1200 AD. which one are you talking about?
>>164633391That one is from Gesta Danorum (Deeds of the Danes), which has a Hamlet like story in it. But that story is set further in the past, so maybe that is how you get 1000 years before Shakespeare.
>>164633265Protip: I know how you view yourself, but the irony here is that you are actually one of the dumbest that user referenced, who doesn't understand that Hollywood doesn't exist to teach history.
>>164632837>hollywood exists to make money, not teach historyWhile it is true that authenticity to some time nobody is familiar with is usually dispensed with by film-makers, when there is extreme attention to detail in the background, writing, etc. without explicitly bringing it to attention, it makes for much better movies. Eggers is the last guy you could accuse of inauthenticity. Berzerkers went into battle naked, tripping balls.
>>164632743Which is not baersark... you would think you could read and understand written language, but your post proves otherwise.
>>164633884Kind of a subtype of a Berserker. There are a lot of variations, similar stories, and attestations.
>>164631891I don't care about the historical accuracy that much the aesthetic is just overplayed and boring as fuck at this point, can you fathom that?
>>164634038Don't watch the movie, then. I'm sure that a cinéaste like yourself has many other films on your watchlist. Gotta hit 200+ films watched per year.
>>164633559>Hollywood doesn't exist to teach historyNot with that attitude. Demoralization is the goal.
>>164633036>state funded movies would be so much better shirley you cant be seriously implying that movies would be better if they didnt have to please an audience
>>164633490But actual vikings looked way cooler than those twinks with the faggy undercuts you see on tv.Hell, they had one of the most aesthetic helmets in the world. Accurate vikings would look way cooler, so why not do that?
>>164634113Everyone you know finds you pedantic, exhausting, unlikable, and it's not because you intimidate them intellectually.
this film is going to rug you
>>164634112wasn't gonna
>>164633490Also, vikings would be mostly using axes with the richest using swords. Raiders made bank and spears were for poorfags
>It's a "Writer misunderstands what a shieldmaiden is and treats them like warriors rather than a literal shieldbitch that carried an actual warrior's shield around when he wasn't fighting so his arms didn't get tired" series
>>164631582That's at least has a slight basis for a misunderstanding.
>>164631891>It's my artistic license to make my film look like shitBudgetary license, more like it.
>>164633490Actually vikings weren't poorfags most of the time, they made quite a bit of money through trade and the etc raids they performed.
>200+ movies in a year makes you a 'cineaste'isn't that a normal amount of films?
>>164635311I know people who claim to be cinephiles who watch max 30 films a year. Never underestimate how casual some film fans are. 200+ is completely out of the norm.
>>164635311Yeah that struck me as odd too. The average boomer probably watches more movies in a year than that just by spending a couple of hours a day watching TV.
>>164630098What the fuck did you expect?
>>164635311>>164635356i only watched 22 films last year and tell everyone im a cinephile. cope and seethe.
>>164635356People also underestimate just how casual most average people are towards movies
>>164633200>Eggers is the only guy putting out nothing but 10/10s nowyikes. he just makes capeshit. nothing above average.
>>164630098A historically accurate viking film would be badass.
>>164635311It's a huge amount you fucking weirdo. I'd argue there aren't even 200 films worth watching, let alone in a single year.
>>164635356>Averaging about one film a year for the last decade or so>Probably be around 2 in the last five if I wasn't dragged along to see something I wasn't really interested in seeing.
>>164633149>>164633248Subhuman spergs
>>164635535Does rewatching movies count? OP only said "watched films"
>>164631070>Nigger in the first two minutesKek
>>164635535lol it's literally 4 movies a week.
>>164630040Fuck yeah
I want to get hype for this, bros, but it's a CURRENT YEAR movie with an all White cast which tells me there's probably going to be horrible woke subtext going on they didn't show in the trailer because (((they))) know people hate that shit. I just don't trust any new movies anymore.
>>164632104Fuck you. This whole thread is full of anti white bullshit fuck you nigger
>>164636120>Fuck you. This whole thread is full of anti white bullshit fuck you nigger
>>164636099I'd say an all white cast with no wokeness in the trailer is a good sign. I've never known wokeshit to try and disguise itself.>>164636120>>164636166take a screenshot of this post and then post it
>>164631886dumbass critics didnt like it but its really fucking good you will love it
There's nothing worse than Varangian Guard niggersThey were decent soldiers but the reason they were employed was because they were christian foreigners who were far removed from the political intrigue and thus could be trusted to do their job.Stop acting like they were an elite super duper loyal Avengers, they were just too ignorant to understand court intrigue so they just followed the money
>>164636188>I'd say an all white cast with no wokeness in the trailer is a good sign.Not in CURRENT YEAR.
>>164636426Name one woke movie that hid it's wokeness.
>>164636293Shut up
>>164630778>someone who watches 200 films a year can only describe something as "the most metal movie ever made"
>>164634441Anglo Saxon helms were coolest of all. Fight me, churl.
>>164636909fucking normaniggers and their gay continental chivalry just had to come and ruin everything if my boy harold wasn't getting 2v1'd by the d*nes he would've wiped the floor with those cunts
>>164637221>fucking normaniggers and their gay continental chivalry just had to come and ruin everythingwhat did they ruin?
>>164636909Are you the Anglo Saxon autist from Holla Forums? Are you enjoying Elden Ring?
How do you almost pass out from watching a film. Are these people 8?
>>164634441I hate how reproductions like that always make the mask oversized, it looks cartoonish>>164633884A distinction between berserkir and úlfhednar may have existed once but the surviving Old Norse corpus (including a poem thought to be from the 10th century) seems to use the two terms interchangeably
>>164630307the only story i remember of a viking fighting without armor was Battle of Stamford Bridge where a viking army got surprise attacked and one guy decided to hold of the army on the bridge to give his comrades time to prepare for the battle.
>>164637790>he doesn't choke himself with a shoelace while watching kinoGet with the times, grandpa.
>>164636867>metalI actually have zero expectations for this movie and don't have my hopes up based on that one comment.It will probably be as bad as The Green Knight desu.
>>164636867The fact they could find 200 worthwhile movies to watch per year tells you all you need to know about them.
>It le metal!Why has this word become so reddit?
>>164632104They were but most likely they weren't warriors just an elite caste of ex-mercenaries that earned their bearpelt.
>most metalwe need to talk about heavy metal's toxic white masculinity problem
>>164630040are there really people out there that unironically call themselves "cineasts" when they watch less then 500 movies (real movies, not capeshit) per year?
I don't need reviewsI don't need opinionsI don't need ratingsI don't need awardsI don't need trailersI don't need accoladesI don't need box office figuresI don't need test audience figuresJust tell me, are there any niggers? Yes or no.
>>164637429cool helmets
>>164633391the gesta danorum is recounting a story that would have taken place around the early 7th century based on some probable historical figures mentioned (like hraerekr slongvanbaugi). just like beowulf was written down much later than its composition, based on the historical figures mentioned in it.
>>164633884>Which is not baersark... you would think you could read and understand written language, but your post proves otherwise.congrats on being a smug ignoramus
>>164636909that helmet was actually made by the pre-viking vendel people of sweden. helmet panels made from the same pressblech dies (or repousse; I forget which technique was used) have been found in the vendel and valsgarde burials near gamla uppsala. sadly, very little has been published on them in english
>>164632286Fuck you I'm cryin
>>164632831Das rite
>>164636909>anglo-saxonlol no, hell the snake heads on it are of same style of a pre-viking age bracelet found in Finland. And a lot of other stuff on it is the same as stuff found in pre-viking age Sweden.
>>164632286>staring dicapriokys
>>164633922>I do not support the current thing because uhhhh im a special little boy >Not a NPC btw
>>164633884Anon, I know this will likely fall on deaf ears but you should make at least a little bit of effort not to be a massive fag.
I have a viking fatigue...
sounds too good to be trueim expecting some pozzed shit in it for suremaybe some feminist bs with the ay lmao>>164636120This
>>164638823I have no doubt reddit will get exactly what they hope for, capeshit with a slightly edgy style
>>164641221Vikings fucked everything. Bearpeople would be walking around if they had their way. Absolute coomers.
>>164642922it will be like django, a badass film on the surface pozzed in every conceivable way under the surface. this director is little more than a fraud.
>>164636120>muh poor poor whiterinosJust blow yourself up already you wh*te dog imagine being from the most privileged race in the history of this planet and complaining about anti-wh*te sentiments, you people should be beaten in the streets to give you an idea of what actualy suffering is
>>164631004Based Anglo lads killing Danish poofs
>>164641422i have been anti ukraine for years tyvm
>>164630040i am the cinestest
>>164631004I wonder what "trifles" means, tattoos or jewelry?
>>164630040Valhalla Rising > The Northman
>>164644198its not even out yet
>>164644390I can tell by the trailers it will be dishonest
>>164644447your a faggot
>>164630040Someone who watches 200 films a year doesn't sound like he'd have very high standards.
>>164644447Eggers have yet to make a bad or even mediocre movie. The Witch was really good, The Lighthouse was god tier.
>>164643580holly cope


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Fatboy Tjoep
The Fatboy Tjoep is an old school fluorescent lamp, which was given a fantastic makeover. Thanks to efficient technology, you can enjoy the warm, bright light of this Fatboy Go dim when you want.
Tjoep is not only available in a small or large format, but in a whole range of subtle colours. In addition, you decide where the light street of this LED fluorescent fixture ends up. Just turn the knob to shine the light in the right place. Fancy some mood lighting? Then simply point this hanging lamp at the ceiling or wall.
Moreover, you can really place this Fatboy hanging lamp anywhere, both on the wall and on the ceiling. An ideal one hanging lamp for example above your dining table as table lighting, or your workbench or desk. You can use this Fatboy Tjoep as a wall lamp to make it nice and cozy at home.
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- Kelvin : Tjoep Small 2700-5000K – Tsoep Large 2700-4500K
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Finally: Fatboy Tjoep is the new showpiece of Fatboy: tough, tangible and also dazzlingly beautiful!


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Relationship With Fights Quotes & Sayings
Enjoy reading and share 18 famous quotes about Relationship With Fights with everyone.
Top Relationship With Fights Quotes
Let's go to bed. Those four words differentiate a marriage from every other kind of relationship. We aren't going to find a way to agree, but let's go to bed. Not because we want to, but because we have to. We hate each other right now, but let's go to bed. It's the only one we have. Let's go to our sides, but the sides of the same bed. Let's retreat into ourselves, but together. How many conversations had ended with those four words? How many fights? — Jonathan Safran Foer
Love is a flame. It's when you get to know each other again. It's the fights that will follow your first. It's you finding another reason to fall in love with each other. It's both of you never getting tired of swaying to your first dance's song. — Nessie Q.
We want different things. Men want to have sex with a woman. Then they want to have sex with another woman. And then another. Then they want to eat cornflakes and sleep for a while, and then they want to have sex with another woman, and another, until they die. Women,' and I thought I'd better pick my words carefully when describing a gender I didn't belong to, 'want a relationship. They may not get it, or they may sleep with a lot of men before they do get it, but ultimately that's what they want. That's the goal. Men do not have goals. Natural ones. So they invent them, and put them at either end of a football pitch. And then they invent football. Or they pick fights, or try and get rich, or start wars, or come up with any number of daft bloody things to make up for the fact that they have no real goals.'
'Bollocks,' said Ronnie.
'That, of course, is the other main difference. — Hugh Laurie
Whether you're the best lawyer ...
Or the greatest philosopher ...
There will alway be at least two people that you can never win any argument with ...
Your child ...
And your wife ...
So don't argue with them ...
Just love them ... — Nelson M. Lubao
It is better to be alone then to be in a relationship, while you are trying to figure out what love means to you. — Shannon L. Alder
Love is a renewable resource — Blanshard & Blanshard
We used to get in some terrific fights. You have to be just as tough as they are. You can't let them get by with anything because they are going to take care of themselves, and your job is to take care of the customer. I'd threaten Procter & Gamble with not carrying their merchandise, and they'd say, 'Oh, you can't get by without carrying our merchandise.' And I'd say, 'You watch me put it on a side counter, and I'll put Colgate on the endcap at a penny less, and you just watch me.' They got offended and went to Sam, and he said, 'Whatever Claude says, that's what it's going to be.' Well, now we have a real good relationship with Procter & Gamble. It's a model that everybody talks about. But let me tell you, one reason for that is that they learned to respect us. They learned that they couldn't bulldoze us like everybody else, and that when we said we were representing the customer, we were dead serious." In — Sam Walton
we all love people in our life. way of expressing it may change but the intensity never fluctuates. there are comparisons and fights in any relation because of the same reason of their existence. — Auliq Ice
Our fights should really be for the mission of the church and the mission of the family instead of trying to have bigger churches or better families. When it comes to entities that god has created specifically to make disciples and accomplish His mission (of influencing a generation to have a stronger, deeper, and more authentic relationship with God), there is the church ... the family ... and nothing else. — Reggie Joiner
I've gone to prom multiple times, had fights with the principal, a relationship with my teacher. When people ask if I wish I had gone to high school, I tell them that I've acted all of that stuff out, and it just doesn't seem like fun. — Britt Robertson
However, Hardy's relationship with nature is a dialectical one. While he indicates that he recognizes how human perception shapes nature, he nevertheless accepts nature as possessed of its own agency, as working through its cycle regardless of human perception, understanding, or attempted control. In essence, it claims a power apart from that with which humans may have imbued it. Even when humanity has lost faith in the possibility of renewal through nature, nature as Hardy describes it fights back, attempting to force human consciousness to acknowledge her power, her ability to transform life. — Shirley A. Stave
Because I've died many deaths, mostly over you, and I'm still alive. Trying to have a relationship with you is like trying to rescue someone from Hades. Only a fool would keep going back to get a woman who fights him every step of the way. — Colleen Houck
In a cute relationship you will always have cutest fights without any reason — Pawan Mehra
Sometimes, the common reason for fights in a strong relationship is only the lack of having attention from the loving one — Pawan Mehra
It's us, Trav. Nothing makes sense unless we're together. Have you noticed that?"
"Noticed? I've been telling you that all year!" he teased. "It's official. Bimbos, fights, leaving, Parker, Vegas ... even fires ... our relationship can withstand anything. — Jamie McGuire
I never ever, ever say anything against my husband to anyone except my husband. Everyone gets in fights, and I think the natural propensity for women is, 'Oh I want to talk to someone.' But the minute you take what bothers you outside the bond between you and your husband, you let someone else into the relationship and that causes a wedge. — Jen Lancaster
Marriage is the lightning rod that absorbs anxiety and stress from all other sources, past and present. When marriage has a firm foundation of solid friendship and mutual respect, it can tolerate a fair amount of raw emotion. A good fight can clear the air, and it's nice to know we can survive conflict and even learn from it. Many couples, however, get trapped in endless rounds of fighting and blaming that they don't know how to get out of. When fights go unchecked and unrepaired, they can eventually erode love and respect, which are the bedrock of any successful relationship. — Harriet Lerner


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I wrote the song touching on memories we remember and share. It also touches on being a driver and those experiences. By using both the above as metaphors it touches on spiritually and our walk through life.
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the Second Sunday of Lent
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Bible Dictionaries
Hastings' Dictionary of the Bible
CANAANITES . A name given in the J [Note: Jahwist.] document to the pre-Israelitish inhabitants of Palestine ( e.g. Genesis 24:3-7; Genesis 38:2 , Exodus 3:8; Exodus 3:17; Exodus 13:5; Exodus 13:11 , Numbers 14:43; Numbers 14:45; Numbers 21:1; Numbers 21:3 , Judges 1:1; Judges 1:5; Judges 1:17; Judges 1:23; Judges 1:29-30; Judges 1:33 ).
In this usage the P [Note: Priestly Narrative.] document concurs, though the E [Note: Elohist.] document generally calls them ' Amorites ' (wh. see). The E [Note: Elohist.] document ( Numbers 13:29 ) says that the Canaanites dwell by the sea, and the Amorites in the mountains. All the writers unite in calling Palestine the land of Canaan. Opinions differ as to whether the people were named from the land or the land from the people. The earliest usage in the el-Amarna tablets (where it is called Kinaḫḫi and Kinaḫni ) and in the Egyptian inscriptions of the XlXth dynasty, seems to confine the name to the low land of the coast (cf. KIB [Note: IB Keilinschriftliche Bibliothek.] v. 50.41, 151.50; and Müller, Asien und Europa , 205 ff.). The PhÅ"nicians, much later, on their coins called their land Canaan; and two or three Greek writers testify that they called it Chna ' (cf. Schröder, Phön. Sprache , 6 ff.). A view proposed by Rosenmüller has been held by many modern scholars, viz.: that Canaan means 'lowland,' and was applied to the seacoast of Palestine, as opposed to the central range and the Lebanons. If this view were correct, the Canaanites would have received their name after settling in the coast-land. This view has been proved incorrect by Moore ( Proc. of Am. Or. Soc . 1890, p. lxvii ff.). Probably 'Canaanite' was a tribal name, and the people gave their name to the land (cf. Paton, Early History of Syria and Palestine , 68). It appears from Deuteronomy 3:9 that the language of the Canaanites differed only dialectically from that of the Amorites. Both peoples were therefore closely related. Probably the Canaanites were a later wave of Amorites. In Isaiah 19:18 Hebrew is called 'the language of Canaan,' a statement which is substantiated by the Moabite Stone, the PhÅ"nician inscriptions, and the Hebrew idioms in the el-Amarna tablets. It appears from the latter that the Canaanites had given their name to the country before b.c. 1400. Paton connects their migration with that movement of races which gave Babylonia the Kassite dynasty about b.c. 1700, and which pushed the Hyksos into Egypt. Probably their coming was no later than this.
In Judges 1:1-36 we are told of many Canaanites whom Israel did not at first conquer. After the time of Solomon, however, those resident in the high lands who had not been absorbed into the Israelitish tribes (cf. Israel §§ 3 , 11 ), were reduced to task-work. The coming of the Philistines pushed the Canaanites out of the maritime plain south of Mt. Carmel, so that ultimately the PhÅ"nicians were the only pure Canaanites left. The leading PhÅ"nician cities were such commercial centres that 'Canaanite' afterwards became equivalent to 'trader' (cf. Hosea 12:8 , Isaiah 23:8 , Zephaniah 1:11 , Ezekiel 17:4 , Proverbs 31:24 ).
George A. Barton.
These files are public domain.
Text Courtesy of BibleSupport.com. Used by Permission.
Hastings, James. Entry for 'Canaanites'. Hastings' Dictionary of the Bible. https://www.studylight.org/dictionaries/eng/hdb/c/canaanites.html. 1909.


text: Can we treat Parkinson's earlier and better? April 21, 2017 | Nicolás Phielipp, MD Much is known about Parkinson's disease and our understanding of this illness is increasing rapidly. However, we still don't know what causes it, why some people get it while others do not, and how can it be cured. Since the discovery in 1959 that the brains of people with Parkinson's disease were deficient in the neurotransmitter chemical dopamine, and the introduction of the medication levodopa in 1967, treatment for Parkinson's disease has been largely driven by methods to replenish dopamine in the brain. Now, work is underway not only to deliver medications more effectively and to reduce the need to take them orally, but also to address the disease itself rather than simply to treat its symptoms. Treating Parkinson's before tremors begin We also want to diagnose Parkinson's disease much earlier, before signs of motor impairment, such as walking difficulties, posture problems and tremors when at rest. Over the last decade, we have identified several symptoms that may precede the onset of motor difficulties by many years. For example, a sleep-associated symptom called "rapid eye movement sleep behavior disorder" has been found to be present in Parkinson's disease patients perhaps decades before the initial motor symptoms of the disorder. This symptom is characterized by the inability to relax muscles while dreaming. Catching other symptoms early Another symptom is impaired sense of smell. Many Parkinson's disease patients experienced a noticeable impairment in their sense of smell years before their initial motor symptoms. A recently published study suggests Parkinson's patients may experience constipation, anxiety and depression by about a decade before motor symptoms are evident. If we are able to use these symptoms to diagnose Parkinson's, it may be possible to develop curative treatments at the very earliest stages. Related stories Progress against Parkinson's disease › Parkinson's disease tamed after deep brain stimulation (video) › A neurosurgeon with a rare perspective › Tags brain breakthroughs Parkinson's


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Trees enhance the aesthetics and quality of every landscape. These magnificent beings provide shade in the summer and purify the air. However, trees can become a problem, hence the need to consult a professional tree care company before every planting exercise. At Sesmas Tree Service, we have experienced arborists ready to help you choose the suitable tree species for your yard without compromising the bottom line. The last thing any homeowner wants is planting trees with toxic leaves, extensive roots that damage structures, or sap-producing species that stain surfaces. Here are five trees you will never want to grow.
Although trees are a valuable addition to any yard, Bradford pear trees have a distinct smell that contradicts that. These species produce beautiful white flowers that improve curb appeal, but the foul odor might cause disputes in your neighborhood. Avoid planting these trees to prevent nasty looks from neighbors and value depreciation.
Honey locust trees are a safety hazard and a hassle because of their thorny trunks. While the physical aspects are challenging, this species is highly susceptible to infestations and infections. Even if you plant one honey locust tree, it can affect the well-being of surrounding trees and the quality of your yard. We recommend removing the tree if you need to call an exterminator or tree service because of the vermin in the yard. Our arborists can recommend a safer and more durable species for your home.
A black walnut tree is another tree you shouldn't grow in your backyard. This species produces toxins that cause contact dermatitis and skin irritation. The tree's hulls, leaves, and nuts contain juglone, a chemical compound naturally found in walnut trees. With that in mind, green walnut trees also contain juglone, but to a lesser extent than the latter. While contact with a black or green walnut is treatable, people with preexisting skin conditions can get severe injuries.
Sweetgum trees grow across the United States and can be found in over 29 states. You can identify this species by its spiny fruits and star-shaped leaves. Despite their prevalence, studies show a correlation between environmental damage and sweetgum trees. These trees produce a sap that irritates the skin upon contact, and the fruits attract insects that damage other plants. Although a sweetgum tree in the yard is not a significant cause for concern, you may risk a full-scale infestation with time.
You may have noticed cottonwood trees in your neighborhood because of their cotton-like seeds. The tree appears harmless, but it can wreak havoc. The leaves are toxic and cause rashes, irritations, and blisters. You can remedy the problem by washing your hands with soap. The seeds are also dangerous, as they cause vomiting, nausea, and diarrhea if ingested.
It is advisable to avoid these tree species because of their high toxicity. Contact us at Sesmas Tree Service and leverage our extensive industry expertise to grow safe and durable trees. Our tree care company provides excellent services, such as planting, maintenance, and removal, at competitive rates.