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Wherein a surgeon tells some stories, shares some thoughts, and occasionally shoots off his mouth. Like a surgeon.
Monday, February 11, 2008
Penultimate Gift
In my local newspaper there was recently a letter to the editor, the gist of which was that people who indicate they'd be an organ donor (we have a place on our driver's license to do so) ought to go to the head of the waiting list were they ever to need one; and conversely, those that don't so indicate go to the back of the line. It would, he said, go a long way toward solving the shortage of available organs. And so it might.
It's been many years since I was involved in a very busy transplant program. Way back then, there were, in some localities, committees set up to decide the relative worthiness of potential recipients. Doctors, nurses, social workers, clergy, lay people met to hash it out, to prioritize recipients of those scarce bits of flesh based on highly subjective considerations of people's relative value. To someone. Far as I know, such deliberations no longer occur. The ideal, of course, is that one's place on the list is determined only by medical need and appropriateness, and the urgency thereof (Mickey Mantle and other celebrities notwithstanding.) The letter writer's suggestion, it seems to me, is a step backward. I've indicated that I'm a donor; if I were given an option, I wouldn't specify that it should only go to another person so inclined, nor would I want it to be legislated that way. And, I'm pretty sure, I wouldn't place a lesser value on the life of a person who, for reasons unknown to me, chose not to be a donor.
Such were my thoughts as I read the letter, and I was surprised to see that it came from a person who identified himself as executive director of an organization involved in promoting organ donation. Surely it's a worthy goal to increase organ donation among the population. (We're talking about post-mortem donation here; living donors are self-directed, as they should be.) As it now stands, there's no self-interest in checking that box -- other than feeling good about oneself, and, of course, the hope that it might cancel out a life of dissolution and get one a ticket to heaven.
I'm not certain about this. The letter writer is more involved than I am. Maybe it's a smart idea, especially as society becomes more self-centered and less generous. Maybe "what's in it for me?" ought to be the motivator, as it is in so much else. Could such a system be gamed? After all, most people who indicate their willingness don't end up being a donor. And, I wonder, how many cadaver donors come from that checked box, without input from family? Conversely, how many potential donors are "wasted" (if that's a proper term) because of a lack of advanced directive? In my experience the decision is generally made at the time of disaster, by the family, regardless of prior indications. These questions are part of why I'm uncertain. The rest, I guess, is philosophical. Tenuous territory for a surgeon.
For the time being, organ donation is a gift with no strings; an act of generosity and grace and, often, a way forward for the bereaved. (I refer the reader to a post of mine from a while ago.) The better part of me (that vanishingly small nut-like nubbin, ever more withered and battered) says it ought to stay that way. The pragmatist and cynical (ever growing, especially that last part) says, given what we are become, maybe the guy is onto something.
22 comments:
- Stethoschope said...
IMHO, organ transplant priorities should definitely not have anything to do with the willingness of the person in need to donate his organs.
If for no other reasons (and I can think of several other reasons) it is a very fine line to tread - someone may decline donation on selfish grounds, but may also do so from religious reasons, for example. And what do we do then? start picking out which reason works and which doesn't? Is religion obviously a better reason than plain selfishness? Personally, I guess I'd say so, but it is just as tangible (not at all).
So we should definitely continue focusing our efforts on explanation, education and shining as much light as we can on the need of those awaiting transplants and on the process of transplanting, and we have to believe it will bear fruit, eventually.
taking some of the other routes offered now and then is overstepping our boundaries by far too much. - 2/11/2008 9:11 AM
On Feb 22 it will be 13 years since my brother was in a tragic logging accident, he was 28. Many months after his death my father received a letter that 68 people were recipients from his tragic death.
This information really didn't help me intially while I was grieving, but now has given me much comfort the past few years.
From my personal experience the gift of life is very much a blessing. It has such an impact on so many individuals. Yet,if someone declines to be an organ donor that should be respected. They may have really good reasons, maybe they know it might be hard for a family member to deal with, or a religious reason. What reasons would be acceptable not to donate? Who can make that decision? Some paid government official...I don't think so. Personally for me, donate it all. But I will stand up for person who wants to say no. Those individuals should not be treated any differently then me. - 2/11/2008 11:00 AM
Hmmm... throwing purported willingness to donate into the mix doesn't sound managable to me. It could get complicated managing the exceptions. For example:
My oncologist told me that my history of breast cancer (treated with surgery, chemo, radiation and Tamoxifen) disqualifies me as an organ donor.
Maybe maybe not...
In light of this, I filled out the paperwork and willed my body to the local medical school. After all, when I'm gone I won't be needing it.
My family agrees. Dr. Sid makes this point well... ultimately it's the family who makes the decision. Funerals serve the living. - 2/11/2008 11:15 AM
I agree with stethoschope. Making it possible to get ahead in the waiting line and giving privileges for donating is the wrong way to go.
The next logical step would be that you don't get an organ if you're not willing to donate. And if that becomes the case, why not also so with blood?
But I understand the reasoning behind the letter. Lack of organs, and in my city also blood donors, is frustrating and should be unnecessary.
It is important for all people to realize that we're part of a community and need each other, and sometimes even parts of each other, in order to live.
I wrote a post about this issue a while ago. My suggestion was that instead of actively indicating that you're willing to donate, it should be the other way around. People not willing to donate should have to actively reserve themselves.
I think that would result in more donors, and more well-considered reservations. - 2/11/2008 12:13 PM
- Dr. Rob said...
I think Webkinz are the Penultimate Gift.
I think this post has convinced me to vote for Obama. That dang George Bush and his transplant beliefs.
I love it when you do these political posts.
No, I haven't been smoking something. Honest. - 2/11/2008 12:16 PM
I don't think it would be legal. I mean, it's illegal to pay people for donating organs (apart from a possible payment to reimburse medical expenses and lost wages in the case of a live transplant). Getting moved automatically to the head of the transplant list seems a huge payment.
And yet those who may in a few years need organs (that could be me) are more likely to be the ones who can't check yes because their own aren't eligible for giving out.
To anonymous--many, many thanks to you and your family. My mother has her eyesight due to someone like you. - 2/11/2008 12:25 PM
- Sid Schwab said...
Rob: "not smoking" doesn't narrow it down much.
- Bongi said...
sterile, when i was in the transplant unit in training we had a rotating belgium registrar. he told me that in their country everyone is automatically a donor unless you apply to not be a donor. apparently they have little problem with organs.
on the point of the topic, i agree that the decision should be based on medical reasons alone. - 2/11/2008 12:40 PM
- Stethoschope said...
I actually encountered a debate about this matter not long ago. In this case, also, I believe it shouldn't be the case. I don't think anyone should need to do something actively in order to prevent something happening to him after his death.
during said debate, someone likened it diving ones assets after his death - even if he doesn't have a will, he knows something will happen to them, and generally knows how they will be spread out. To this I can mainly reply with an answer devoid of much logic, but filled with what I think can only be explained as a basic "feeling" - organs are not assets. They're organs - they weren't ours to give and they aren't ours to take without specific authorization.
Once again, I am all for donation but I think we need to study carefully what means we choose on the way to our (doubtlessly noble and important) end.
Just my take on things, Cheers. - 2/11/2008 1:08 PM
- JP said...
Dr. Schwab, do protect your nut-like nubbin.
Sterileeye, I disagree. Opt-out programs are great in theory, but tough to execute (sorry, pun) and may have the opposite of the intended effect. We see this often in urban environmental programs. Should mandatory notification be sent home with kids indicating that the day after tomorrow, the school will be doused with synthetic pyrethroids? Believe it or not, plenty of parents with an asthamtic 8-yr don't want to know this. You cannot force compassion any more than you can force good parenting. This is especially true in the good ol' US of A, where the personal freedom to "check this box" is a deeply entrenched value. Encouraging people to do the right thing through education is much more cohesive on the whole, not to mention more in keeping with the spirit of "donation". - 2/11/2008 7:24 PM
- Unknown said...
I am the author of the letter to the editor that prompted this blog post. LifeSharers is the name of the group being discussed here. Our web site is at www.lifesharers.org. Anyone can join for free. There is no age limit and nobody is excluded due to any pre-existing medical condition.
I will respond to the several thoughtful comments in a single comment. But before we get into the tall grass, lets remember what the point is -- it's to save lives. Americans are burying or cremating 20,000 transplantable organs every year. Over 8,000 Americans die every year because there aren't enough organs to go around. Most of these deaths could be avoided if we stopped the terrible waste of transplantable organs. Allocating organs first to registered organ donors will increase the number of organ donors and save lives. So ask yourself, which objection to this idea is worth forgoing saving those lives?
Stethoschope wrote that some people may decline organ donation for religious reasons. There is no religion that forbids donating organs while allowing accepting organs for transplan.
Anonymous wrote "if someone declines to be an organ donor that should be respected." If that's true, shouldn't we also respect the decision of someone who decides to donate and wants organ donors to get first crack at his organs? I don't see how you can defend one position without definding the other.
Anonymous wrote that a history of breast cancer disqualfies a person from organ donation. AlisonH made a similar point. But nobody is excluded from offering to donate. Nobody knows today who's organs will be transplantable when they die, because surgeons keep changing the definition of what they'll transplant in response to thoe growing organ shortage. They're transplanting lots of organs today that they would have rejected a few years ago. In a few years, they'll probably be transplanting lots of organs they'd reject today. So everybody can (and should) offer to donate and let the surgeons sort it out when the time comes. In any event, LifeSharers does not exclude anyone due to any pre-existing medical condition.
sterileeye suggested that "instead of actively indicating that you're willing to donate, it should be the other way around. People not willing to donate should have to actively reserve themselves." This is called presume consent, and it would significantly increase the supply of organs if it was adopted. But it can only be adopted legislatively, and that's a pipe dream. There is widespread opposition to the idea, so there's no reason to think it will be enacted. This underlines the importance of LifeSharers, which uses an already-legal incentive-based system to increase gthe supply of organs.
Calli Arcale said she didn't think what LifeSharers is doing is legal. That is incorrect. LifeSharers members use directed donation, which is legal under federal law and the laws of all 50 states, to offer their organs first to other LifeSharers members. By the way, UNOS moves live organ donors up the waiting list if they need a transplant later in life. UNOS should do the same for people who promise to donate after death.
Bongi wrote that organs are not assets, "they weren't ours to give and they aren't ours to take without specific authorization". If that's true, are they ours to withhold after death if they can save lives? I think not. - 2/12/2008 5:51 AM
- rlbates said...
Nice discussion. I say you can have all mine, I won't be using them and hopefully my family won't need them. They can fight over my quilts.
- Sid Schwab said...
Dave: I'm pleased you found my post, and glad you've taken the time to comment. It's a worthy discussion. I hope you read the earlier post of mine to which I linked in this one: I think you'd like it.
ramona: put me down for one, after your family gets done fighting. - 2/12/2008 9:36 AM
- Stethoschope said...
While no religion forbids donating organs, some religions, or factions within certain religions, debate the concept of "brain death", so for practical purposes, it is one and the same. Also, when speaking about religion, we can't choose to include religions and exclude personal religions and convictions - How are they different? Are the moral guidelines, or specific personal subsets in which a person believes, which may include not donating organs any different than an official religion? I'd claim they are not.
Also, to defend poor Bongi from having to suffer for my beliefs, I was the one saying organs aren't ours to take without specific authorization, and I would definitely claim they ARE ours to withhold. A man comes into this world with only so much, but that so much is his. If we start showing disregard for what happens with someone else's "biological remains" where does it stop? Perhaps he doesn't need to be buried respectfully, because they're just remains? Also, where does the line separating our children from our lungs pass, exactly? I'm exaggerating on purpose, but one step taken today without caution is a slippery slope in the future.
But the most problematic of all ideas, as I've stated, is finding ourselves giving the organs according to something besides pure medical need. Do we give the lung to someone who won't donate but will definitely die without it, or to someone who will donate, but just MIGHT die without it? And what is might, exactly? 90%? 50%? 25%?
In this case, how is withholding an organ from a person in need to give to a person in lesser need any different, in essence, from a death sentence?
Considering my arguments, I feel this cannot be stressed enough - I am all for organ donations and am a donor myself, but we need to carefully measure our steps and continue to act through explanation and education, always making sure we do not stop doing what is right while attempting to do what is good. - 2/12/2008 1:05 PM
- Unknown said...
Do people who won't donate because they don't agree with the concept of "brain death" refuse to accept organs donated by people who suffered "brain death"? I really doubt it.
If you defend those who have "personal religions and convictions" that refuse organ donation, then you should likewise defend those who have personal convictions that permit organ donation and want their organs to go to other organ donors. How can you defend A's right to donate to nobody and attack B's right to donate to everybody with a preference for other organ donors?
You say that organs are ours to withhold. If that's true, then they are ours to give in the way we see fit.
It's not fair to criticize LifeSharers because it leads to organ allocation not based on pure medical need, because organs are not allocated based on pure medical need. Lots of other factors determine who gets the next organ -- age, location, ability to pay, and time spent waiting are just some examples.
The best way to help the people who need organs most is to increase the supply of organs. Allocating organs first to registered organ donors will do just that. Shouldn't saving the greatest number of lives be the goal of the transplant system? - 2/12/2008 1:30 PM
- Stethoschope said...
First of all, it is quite possible that the same person won't accept organ donations, just like certain people don't accept blood donations, even when their life may hang in the balance. Regardless, however, the very point of origin for my argument is that we do not morally judge the donor or the person in need of a transplant - we give the organs only based on medical need, and nothing else. Regarding the other matters you brought up which comprise the various factors influencing a donation, age and time waiting are doubtlessly part of the medical condition, while I'm not quite sure regarding location, if the meaning is the fact that you need the donor to be within range considering flight time etc. for the organ to still be eligible for donation, that's a matter of chance not of us have anything we can do with. Regarding money, well, I admit I don't really know much regarding healthcare in the U.S, but I'd like to think that when it comes to life threatening situation, organs should be available based only on severity of condition - but again, I won't expound on what I don't know.
Regarding donations only to specific groups - I claim we should deny donations that come with any strings attached. First of all, donations with strings attached are not donations - Do we accept the offer if someone is willing to donate if we pay him, or his next of kin for his organs? We most definitely should not. Likewise, accepting donations with strings attached sets a dangerous precedent - What if the next string attached is the one of race or religion? In cases such as this, we should painfully decline, if we can find no other option.
Last but most certainly not least, I do not criticize any organization here, mostly because I did not do the required research, I am simply arguing a matter I have deep feelings for. I've no question in my mind your organization, among many others, has nothing but the best of intentions, and have nothing but admiration for volunteers who give their time and effort for other, often anonymous, people in need.
Regarding the amount of lives saved, I agree with you it is our main goal. Lives are our most valuable asset, but I repeat my earlier claim - We need to make sure we do not stray from "Right" while seeking to accomplish "Good". - 2/13/2008 6:22 AM
- Jeffrey Parks MD FACS said...
If you tell a dialysis patient that they will go higher on the List if they agree to donate their own organs, the patient will say: sign me up. Everyone will do it. Then you're right back where you started: too few organs for too many patients. I think a hundred years from now we'll look back with pity on our current era as an inexplicable time when patients died before they could get a life-saving transplant. Yet another example of ideology/religious based decision making obstructing the alleviation of suffering.
- Unknown said...
buckeye surgeon:
The point is to give people an incentive to agree to donate before they find they need a transplant. LifeSharers has a 180-waiting period. As a member, you don't get preferred access to the organs of other members until you've been enrolled for 180 days. - 2/13/2008 10:01 AM
- Unknown said...
You wrote that "my argument is that...we give the organs only based on medical need, and nothing else." Do you mean we should do that or do you mean we are doing it that way now? - 2/13/2008 10:05 AM
- Unknown said...
You wrote that we should deny donations that come with strings attached. Donations with strings attached are very common. Lots of people donate money to charities or universities for specific purposes.
You wrote that donations with strings attached are not donations. In this specific case, donating with strings attached is a better way to donate. Donating your organs when you die is a wonderful thing, because it saves lives. Donating them with a preference to registered organ donors is an even more wonderful thing, since it saves lives and it creates an incentive for non-donors to become donors.
As for donations with strings attached relating to race or religion, such donations are not legal. Donating first to registered organ donors, as practiced by LifeSharers, is legal. It's also ethical, because it increases organ supply and makes the system fairer. - 2/13/2008 10:12 AM
- Stethoschope said...
First of all, regarding the way things are done currently - I must admit I have no idea and as most of our discussion seems to revolve around the American healthcare system, I've limited ability to educate myself.
Regarding donations with strings attached, I'll clarify - Not ALL such donations are not ethical, but they are very much not ethical when it comes to life saving donations - such as organ donations. I intently disagree with your statement saying that donating with strings attached is the best way to donate - It is by far, in my opinion, not only far from the best way, but a way we should stay away from. Regarding laws, well, that is mainly my point - Now it is against the law, but allowing any grapples to hook onto our well meaning intentions now may set us on a slippery slope as we head towards the future. We would like to believe we live in a society where all laws are moral, just and can easily be maintained, but as this is not the situation, and we cannot count on it becoming the situation in the (rational) near future, I don't set my stock on laws to do my thinking for me, or count on them to keep me on their good side at all times.
Finally, I think that you'll agree with me that we have more or less come to the end of our productive discussion regarding this matter. We shall simply have to part ways, until our gracious host next allows us such fertile grounds (Thanks Sid!) knowing that while we agree about our desired end result, our preferred ways for arriving at it are different.
Cheers, - 2/14/2008 12:15 PM
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A freshman U.S. Democratic senator thinks he may have found a way to encourage investment in wind, solar and biofuel projects without sapping too many taxpayer dollars or injecting new venom into a bitter partisan battle over energy incentives.
Chris Coons introduced legislation on Thursday that would allow a broad range of renewable power generation and transmission projects to qualify for a tax structure used widely by pipeline and other energy-related companies.
The bill is unlikely to be considered until after the November presidential election, but may give lawmakers food for thought as they wrestle with whether to extend tax breaks for green energy set to expire this year.
The "master limited partnership," or MLP, structure allows certain types of companies to raise money in the stock market, while having income taxed only at the unit holder level, avoiding corporate income taxes.
"It's something that's been used for decades," said Coons, who represents Delaware, a state where financing has fallen short for offshore wind power projects.
"This is one energy financing vehicle that we should all be able to agree on," he said in an interview.
Under the current law, MLPs must generate at least 90 percent of their income from real estate or natural resources like fossil fuels or timber - and must return most of its cash to its investors, who are taxed on those returns.
There are about 100 MLPs in the United States with a total market capitalization of more than $350 billion, including the likes of pipeline giants Enterprise Products Partners and Kinder Morgan Energy Partners.
Coons' two-page bill is landing when government support for energy has become highly politicized heading into the Nov. 6 elections.
Democrats have railed against tax breaks for big oil companies, which they argue are unnecessary given high gasoline prices and record profits.
Existing government tax breaks designed to help commercialize renewable power are expiring, and face an uphill political battle for renewal.
Republicans have campaigned against green energy incentives championed by President Barack Obama, such as the $535 million loan guarantee for Solyndra, a bankrupt solar manufacturer.
"What I heard time and time again from the Republicans on the (Senate Energy) committee and on the floor was the criticism that we were, as they put it, picking winners and losers," Coons said.
Coons argued his bill cut out the politics by having the policy apply to all forms of energy, not just renewables.
He has won support from Republican Senator Jerry Moran of Kansas, who co-sponsored the bill along with five Democratic senators.
Others have expressed support for the idea but have told Coons he may need to wait until Congress begins to tackle a broad overhaul of the tax code next year.
In the past, MLPs have been eyed as a special-interest loophole that could face elimination under tax reforms.
"This is a proposal that turns that argument on its head and says, 'Well if it works, why not do more of it?'" said Christine Tezak, an energy policy analyst at Robert W. Baird & Co.
Coons said the bill could unleash "billions of dollars" in investment for renewable energy MLPs, n oting more precise projections would depend on w h ether current tax credits and exemptions for the sector continue.
A study by Southern Methodist University's Maguire Energy Institute has estimated expanding MLP structure to renewables could mean $3.2 billion to $5.6 billion in the next 10 years for the industry, although an aide to Coons cautioned the study's results were not a precise comparison with what is included in the draft legislation.
The bill has not yet been "scored" by congressional number-crunchers who will estimate its cost to taxpayers.
The current cost of existing oil- and gas-related MLPs to the tax base has been estimated at a relatively modest $2.4 billion over 10 years.
It is unlikely Congress would consider the Coons bill until next year, given the pre-election gridlock and a long list of spending and tax bills that must be passed before the end of 2012, said Whitney Stanco, senior policy analyst with Guggenheim Partners.
"Bringing it up now and having the discussion now is positive to creating some momentum behind it later," she said.
In the near term, Stanco said it was more likely the Obama administration would look at extending the "real estate investment trust" or REIT, tax structure to renewable energy.
Like MLPs, REITs are not required to pay corporate tax but must distribute most of their income to investors.
Stanco told clients on Wednesday that the Energy and Treasury Departments were in "preliminary discussions" on whether the Internal Revenue Service could issue guidance on an extension, and what type of income would be covered.
"I think the idea about opening up the REIT structure to renewables administratively is gaining some traction," Stanco said in an interview, noting the action may not require congressional approval.
The Energy Department is looking for ways to help renewable energy projects get private capital, a spokeswoman said without commenting on whether discussions were under way. A Treasury Department spokeswoman had no comment and referred an inquiry to the Energy Department.
Coons said he thought the Internal Revenue Service may need "explicit statutory authority" to expand the REIT structure.
"I think it would require legislation, but that's part of what we're looking at," he said.


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Pie fight returns
by henrycopelandMonday, May 25th, 2009
We launched a new ad format over at DailyKos in April. Called the "Action Tag," the ad format allows an advertiser to promote a specific action after a post that deals with a relevant topic area. The SEIU helped inspire the ad functionality and been using Action Tags to promote actions around health care and employee free choice.
This weekend, some of the folks at DailyKos started to debate the new functionality, weighing in on its pros and cons. The discussion has been lengthy and inspiring, and has provided some good ideas for improving the functionality, which we'll begin to impliment shortly in concert with SEIU and Dkos.
Above and beyond the particulars of the debate, I've enjoyed the fact that the debate has revived a discussion that began four years ago about an risque ad for Turner Broadcasts' reality TV remake of Gilligan's Island. It's amazing to see the pie-fight meme live on in the Kos community.


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Coca Cola and Pepsi Caramel Color Won't Give You Cancer
Coke and Pepsi have made convenient boogie men for public health advocates over the years. And the trend continues this week as the two companies announced that they are making changes to their cola recipes in response to California's adding an ingredient in their drinks to its list of probable carcinogens.
The caramel color used in both Pepsi and Coke contains a chemical compound called 4-methylimidazole, or 4-MI. In high enough quantities, 4-MI is carcinogenic, and a watchdog group called The Center for Science in the Public Interest (CSPI) claims that soda containing it "... is causing about 15,000 cancers in the U.S. population.
Like many of CSPI's warnings about the American diet, this one is also ridiculous, maybe even outrageously stupid. The research investigating the effects of consuming 4-MI is mixed. Some studies have found that there are no ill effects; other researchers have concluded that it is carcinogenic in mice in high enough doses.
Either way, soda drinkers aren't consuming enough to do themselves any harm. As a spokesperson for the Federal Food and Drug Administration (FDA) pointed out, consumers would have to drink "well over a thousand cans of soda a day to reach the doses administered in the studies that have shown links to cancer in rodents."
Soda certainly isn't healthy, and the sugar it contains is indeed harmful. But the caramel coloring in your favorite cola isn't going to kill you.
Photo Credit: Sean Loyless


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All of the above warning signs may not occur with each stroke. Do not ignore any of the warning signs. Even if they go away, take action immediately. The symptoms of stroke may resemble other medical conditions or problems. Always consult your doctor for a diagnosis.
What are some other symptoms of stroke?
Other, less common, symptoms of stroke may include the following:
- Sudden nausea or vomiting not caused by a viral illness
- Brief loss or change of consciousness, such as fainting, confusion, seizures, or coma
- Transient ischemic attack (TIA), or "mini-stroke"
A TIA can cause many of the same symptoms as a stroke, but TIA symptoms are transient and last for a few minutes or up to 24 hours. Call for medical help immediately if you suspect a person is having a TIA, as it may be a warning sign that a stroke is about to occur. Not all strokes, however, are preceded by TIAs.


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'The Matrix 4' Has An Official Release Date
While this sounds like news that could only occur in a lifelike simulation of reality, it is in fact real. Or maybe this is a simulation of reality, and it has been all along, and this is just the latest bit of proof. Either way: The Matrix 4 has an official release date.
Today, Warner Bros. announced it was slotting this fourth Matrix film for a May 21, 2021 release. While the plot and full official title of the film are still unknown, we do know that Lana Wachowski is co-writing and directing the film. (Lilly Wachowski is not involved in the production.) Keanu Reeves will return as Neo and Jada Pinkett Smith will reprise the role of Niobe. The new cast members include Yahya Abdul-Mateen, Neil Patrick Harris, and Frozen's Jonathan Groff.
In a strange bit of synchronicity (or more likely a simple game of chicken between movie studios), May 21, 2021 was previously announced as the release date for John Wick: Chapter 4 which also stars Keanu Reeves. Fake or not, no world could handle two Keanu Reeves action flicks on the same day, so I presume one of this projects will probably get bumped elsewhere on the schedule pretty soon.
Gallery — The Best Sci-Fi Movie Posters of All Time:


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I just returned from Oconomowoc, WI (yes, it really is spelled like that ) where I taught EQ7 classes at the Machine Quilting Today show. Go on, just try to pronounce that. I had to ask a local for the correct pronunciation. I was only able to stay 2 days so I missed the quilt show and vendor mall. Drat. But it was a fun trip, and now that husband Bruce is retired I have a driver and porter to haul my stuff around. Ahhhhh!
The best news of all, is that my darling new daughter-in-law Jess is pregnant! I am going to be a grandma at last! She and son Eric are expecting in late January and we found out this week it will be a boy! They are doing the nursery in a woodland theme (of course, daddy Eric is a big hunter and fisher dude) so I will have to get busy on an appropriate woodland themed quilt.
Eric sent me this picture of Jess last week on an outing to Sams Club. I laughed so hard. I know just how she feels!
Jess caught in the Candy aisle at Sams |
This picture is after I stared adding the sashing. I don't have a DONE picture yet. but should post one shortly. Just putting on the last border this weekend and then it goes to the Quilt Shop to help sell kits.
There are three more BOM blocks up on the BOM page so be sure to get the free ones while they are available. There are only three more blocks to go after these and we will be done. Whew, it has been a long 21 months!!!! LOL


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This week I've had to remove the signature which was a tad too explicit about who in fact painted this! I have some clues worked out for if people have difficulty identifying this painter. See below for the rules for how to submit your answer.
Who painted this? #6 |
The sub-theme of this challenge is about finding out more about artists and artworks - so it's actually as much about your enjoyment of the process as it is about the answer.
PLEASE make sure you read the rules before posting a comment - and ONLY post what you think is the answer on this blog.
THE RULES for participating in this challenge are as follows:


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The academy has 34000+ students from 81 countries across 24 geographic time zones to pursue their passion for music from the convenience of their homes. The academy offers over 466 courses and has delivered more than 163,000 online classes.
The academy is also transforming the way music is taught in schools across India. We have In-Campus School Programs for school children of all age groups right from kindergarten to Grade 8.
The academy has also been enriching the lives of employees and their families from different companies across India by offering customized corporate programs.
The OM Book™, or Online Music Book, is central to learning at the Academy. The OM Book™ for each course includes a rich set of content from which students can practice and learn, including instructional videos from renowned artists that are designed to make it easy for students to learn complex music concepts.
Students get unlimited singing practice with tools for recording and playing back their voices. These recordings can also be submitted for expert feedback.
Instructor-led courses include weekly virtual classes with a teacher and a small group of students conducted in the famous "Gurukul" tradition, allowing students to demonstrate and fine the music skills learned from practicing with the OM Book™.


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Culligan of Charlotte provides cost-effective deionized water solutions.
According to Wikipedia.orgDeionized water, also known as demineralized water (DI water, DIW or de-ionized water), is water that has had its mineral ions removed, such as cations from sodium, calcium, iron, copper and anions such as chloride and bromide. Deionization is a physical process which uses specially-manufactured ion exchange resins which bind to and filter out the mineral salts from water. Because the majority of water impurities are dissolved salts, deionization produces a high purity water that is generally similar to distilled water, and this process is quick and without scale buildup.
Deionized Water Tank Exchange Service, is also called "Portable Exchange Deionization" or "Service Deionization". This process flows your process water through tanks at your facility containing deionization resin which we exchange for fresh tanks when needed. After exchanging, your tanks are regenerated at a Culligan Service Center for reuse in the future. This way you have minimal up-front investment by eliminating complicated plumbing and installation and you're only paying for the high-purity water that you need.
Culligan of Charlotte provides:
- 75 years of innovation in research & development
- Free quotes & water analysis
- Professional application engineers on staff
- Guaranteed service after the sale


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The Machado signature twin fin is the first of its kind in Blackstix construction. Designed with Rob Machado for the Midas surfboard model, the template features an upright twin fin pair, with a smaller trailing fin for added stability. Featuring Futures' V2 foil, the fin generates speed easily, offering smooth rail to rail transitions. The combination of carbon and bamboo materials create a very lively feel, ideal for high performance surfing. This set performs great in waves ranging from 2'-8', in everything from soft beach breaks to fast point breaks.
Product Type: Fins


text: With over 40 years of experience and more than 14,000 customers, 72 Tree, Seed, & Land Co. is a highly experienced and certified Alpharetta Tree Service Company also working in Roswell, Ga. We are storm damage experts that handle the largest and most dangerous trees 24 hours a day. Because we are insurance specialists, we'll even handle the claim for you! Our specialties include arboriculture consultations, tree care services, crane services, and emergency tree services. Safety is our highest priority and all 72 Tree, Seed, & Land Co. jobs are supervised by veteran arboriculture professionals. We are Certified ISA (International Society of Arboriculture) Arborists that also provide large tree transplanting and or planting services. 72 Tree, Seed & Land Co. LLC is an Arboriculture Consulting and Tree Care company dedicated to the Preservation and Restoration of Ecosystems. Ecological Restoration is the hope for our future.


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Your search matched in:
- Description: ...decision to leave the service, McCarthy felt it was the appropriate time for her to move on and pursue a higher education in music performance. She enjoyed reentering civilian life, even though she missed her military friends, her assured employment, and consistent pay. Reflecting upon her ...
- Text: ...Interviewer: "So what made you get out?" (23:39) I was ready, I needed to move on, I wanted to go to music school and be a musician, and so I'm working on that. I was tired and yeah I needed to do something else, and I was already planning on getting out, I just didn't get out as ea...


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Written by Sant Kirpal Singh
For twenty-four short, beautiful, inspiring years, it was my blessing to be under the love, guidance, and protection of a Godman, Supreme Master Hazur Baba Sawan Singh Ji Maharaj.
Introducing the zealous seeker after truth to a Godman is answering the perennial queries:
What is God?
How can His creation know Him?
It is my privilege to relate the mission of a Godman: Commissioned from above to give free to suffering humanity the gift of Naam (Shabd) the effulgent melody – the symphonic radiance which leads the jiva (embodied soul) back to his Father's home.
If only the atman (soul) could be contacted with the Shabd this "string from the Nameless Lord" would lead to His door. But the spiritual faculties are so fogged and cloaked with cross coverings of mind and maya (illusion), that even though Shabd is reverberating within and around, the soul cannot hear its music nor see its glory. How can man once again revive his link with his Maker?
Dhur Khasme Ka Hukam Paya; Bin Satguru Chaitya Na Jai.
(Such is the Will of the Lord: He cannot be known except through a living Satguru).
Var Bihagra 556
Without the enlivening touch from the living Satguru, the soul cannot awaken from its slumber and get attuned to Naam.
We are familiar with:
In the beginning was the Word…….
And the Word was God.
Word was made flesh and dwelt among us.
So, Godman is the Word, the Logos, the Naam (Shabd), the Kalma, the Akash-Bani, the Sarosha, and the Udgit of the various religions of the world.
To the lovers of the scriptures, the explanation is given of scriptural limitations. To those who adore past Saints, historical evidence is given on their just immortality.
It is impossible to reduce to bare statement a Godman's words of wisdom, of peace, of consolation, of reassurance, of encouragement, of loving reprimand, which He utters as He moves among His disciples. His acts of selfless kindness and superhuman love bring home to those around Him the unquestioning conviction of the truth that He teaches.
But His life, conduct, influence, and blessings are indelibly recorded on those who earned this gift of association. His controlling power and solicitude inspire the jiva to surrender at His feet to be forever guided by His word.
May the indefatigable seeker after the mystery of life find eternal rest in His Naam.


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Synthaholics Episode 132: Assignment Earth?
Do you remember that time Star Trek did a backdoor pilot back in the second season? David didn't until Aaron suggested that we watch the original series episode Assignment Earth.
This episode centers around this cat named Isis and her human secret agent Gary Seven. The Enterprise some how intercepts their transporter beam while for some strange reason being on a mission to observe 1968. Assignment Earth is Star Trek the animated series level of strange! We are thankful there was a letter writing campaign to bring Star Trek back for a third season otherwise this could of been the series finale of the Original Series!
This episode has some very fascinating historical events happen close to the episodes release that were hinted at within the episode. Also is Gary Seven a Time Lord? If not then where did he get that Sonic Screwdriver? Pour yourself an extra strong drink it's about to get weird on your weekly shot of Star Trek!
Synthaholics Links
Our music is provided by! http://warp11.com/
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If you would like to donate to us to help keep the show going please look at our Patreon
If you are a fan of Guy Davis and his art and comics you can support him at his Patreon
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If you like the show please leave us a rating and review on either platform


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Have you ever thought about getting a massage jointly significant other? If you haven't, you will definitely consider attached to. Couple's massages are well liked right now and offered with different gyms. Receiving a relaxing massage while having your partner by your side are sometimes a wonderful experience that purchase a regular forget that is related to. Here are some of advantages of couple's massages that you should know about.
When you consider getting a massage, the last thing that end up being on you is hassle. In fact it should be just the opposite. 45% of people who received a massage accomplished it specifically to 언주역펄안마 reduce stress in their life. People sometimes get the idea that massage is self indulgent or only for the wealthy to relieve their perceived stress and tension. Yet, with stress at epidemic proportions in today's lifestyle, this therapy is neither self indulgent nor just the domain of this rich and famous. Go over your life and you will see times that are more stressful than others. Maybe you have end of month reports to go out. Do the holidays stress you out of? Are there times when control . make life miserable? Massage can thought to be great way to head these off.
There's not an airbag arm massage function in Inada Yume. This is often a departure from Inada's latter models, the Inada Sogno and the Doctor's Choice 3a stools. Some would argue that arm massage is "fluff" anyways therefore i guess it is really a personal preference if you believe it is vital or not likely.
You it is fair to lift the neck stretching pillow out the way (up and over the back among the chair) after which you recline the chair completely. Then click on the roller feature in the manual setting. Then move the rollers as tall as you possibly can. At this point you will get a fantastic roller neck massage and yoga. You won't get this in a more inclined chair position, especially when you are taller.
Features. Before buying, include to recompense your mind about capabilities that you'll want with your chair to have. Look in the body parts that can be massage with the device. Which of them do that appeal to you to own? Some chairs can be positioned various angles to better accommodate shape position. Also, there can be chairs that emit heat and a person stay warm while sitting upon them. There additionally those which have been equipped having a music bettor.
Dazzle All the Senses – along with setting aside time to dedicate for the massage, veggies take measures to tantalize all the senses. This can be completed proper lighting, scented candles, and songs. You also desire to ensure that the temperature a room comfy for each party. It might seem like extra work, but all ultimate extras really make the massage experience more effective.
The HT 5320 encompasses a good associated with massage incorporates. This is the few models possess full body massage capability from Human Touch. Layout of the chair is somewhat industrial and has a little bulkiness in the appearance. However, the therapeutic massage is fairly good and does the job consistently.


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WTM FAQ 2.1 Who is Jeremy Griffith?
Raised on a sheep station in rural New South Wales, Australia, biologist Jeremy Griffith was educated at Geelong Grammar School in Victoria, one of the most highly regarded schools in the world, King Charles III having been sent there for part of his education. Jeremy gained first class honours in biology in the state matriculation exams, and in 1965 began a science degree at the University of New England in northern New South Wales. While there, Jeremy played representative rugby union football, making the 1966 trials for Australia's national team, the Wallabies (see www.humancondition.com/jeremy-rugby).
Deferring his studies in 1967, Jeremy hitchhiked to Tasmania, determined to save the remarkable dog-like marsupial, the Thylacine, or 'Tasmanian Tiger', from extinction. The search was to last more than six years — the most thorough investigation ever into the plight of the Tasmanian Tiger — but sadly concluded it was extinct. The quest generated articles in the American Museum of Natural History's journal, Natural History (see www.humancondition.com/natural-history-tiger), and Australian Geographic (see www.humancondition.com/australian-geographic-tiger), and featured in an episode of the Australian television series A Big Country (see www.humancondition.com/big-country-tiger).
In 1971 Jeremy completed his BSc in zoology at the University of Sydney and the following year, in the same self-sufficient spirit with which he had undertaken the 'Tiger' search, he established Griffith Tablecraft, a highly successful business manufacturing furniture based on his own simple and natural designs (see www.humancondition.com/griffith-tablecraft). It was during this time that, at age 27, Jeremy realised that trying to save animals from extinction or trying to build ideal furniture wasn't addressing the real issue behind the extraordinary imperfection in human life, which is our species' 'good and evil'-conflicted behaviour, and that what was really needed in the world was a deeper understanding of ourselves — so it was to this issue of the human condition that Jeremy turned his attention, a study that has remained his life's focus for the last 40 years.
Jeremy started writing about the human condition in 1975, established the World Transformation Movement (WTM) in 1983 (which is dedicated to the study and amelioration of the human condition, see www.humancondition.com), and is the author of numerous books on the subject, including the 2004 bestseller A Species In Denial, and in 2016, FREEDOM: The End Of The Human Condition, his "summa masterpiece".
For more detailed information on Jeremy's background, click here.


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Shame is painful. When we experience shame, we live in constant fear of being rejected. We become trapped in various avoidance strategies to escape the pain. But shame left untreated grows more powerful. And it can often lead into behaviours that invite even greater shame.
To effectively work with shame, it's important to understand the neurobiology of shame and why it's so difficult to erase its deep tracing on the nervous system. Furthermore, we need to understand why shame vigilantly protects itself, and how traditional treatments may be sustaining shame or driving it even deeper.
The 3 Inner Components of Shame
Many people hold on to a deep sense of shame – a feeling that they're just plain bad. According to Dr Richard Schwartz, founder of Internal Family Systems therapy, there are multiple parts of the self at play in the psychology of shame. One of these parts often locks the person in this negative space of feeling bad.
Dr Schwartz says that we're all born with the knowledge that our lives depend on being accepted by our tribe. We know we're not going to survive without the help of a tribe or family or community. "There's a terror that comes with being shamed – a survival terror."
To defend ourselves, then, against doing anything that might bring on that shame of not being accepted by our tribe, we develop what is commonly known as an inner critic. The inner critic is often misunderstood in psychotherapy, but according to Dr. Schwartz, it is just a part of the psyche that is desperately trying to keep us from getting shamed by the outside world.
For people who have a lot of experience with childhood shame in particular, that critic often takes on the voice of the shaming parent. It's desperate to get you to behave the way that a parent wanted you to – so that you don't get more shame from that parent. The inner critic says, "You're bad enough already and if you do this other thing, you're going to be even worse."
Alongside the inner critic, there exists a young, vulnerable part that starts to believe you are bad and worthless. It believes the messages that first came from one of those shaming parents – and it carries them throughout life as its "burden of worthlessness."
Dr. Schwartz explains, "There is a critic who says you're shit, and there's this young part that believes it." Usually, there is then yet another, third part, whose job it is to get away from feeling the shame. Sometimes, when that third part is triggered, a person might resort to extreme behaviours that can bring on more shame – the very thing they wanted to avoid.
For example someone may go get drunk when they feel shame, or act out sexually – basically doing something to get away from that initial feeling. Others may become enraged at somebody, because feeling rage seems powerful, and masks the underlying feeling of being worthless and bad.
"The part that does the rescue from the shame then brings on more shame from the outside world, which fuels the critic. You get this viscous cycle going inside." That's how Dr. Schwartz sees shame.
Working with Shame
In therapy, it's crucial to first work with the inner critic before approaching the parts that feel all the shame. If the inner critic is not first addressed and overcome, then when someone in therapy approaches the things that underlie their sense of shame – the inner critic can be powerfully triggered into inducing a downward spiral into further shame.
We want to do everything we can to avoid this scenario, advises Dr. Schwartz – it is unnecessarily painful and there are far more compassionate ways of working with shame.
Dr. Joan Borysenko, renowned expert in the mind-body connection, suggests one very simple and effective way of addressing the inner critic is through humour – naming the inner critic. As we start to differentiate the voice of inner criticism, giving it a name can help you gain power over it. Then, whenever the inner critic comes up, explains Dr. Borysenko, "we can say, 'Alright. Get thee behind me, Zelda,' or whatever your name is."
There are many other ways of working with shame – a sense of humour certainly helps, but it takes time, compassion and patience to fully heal. Back in the mid '80s, Louise Hay, for example, used a simple but powerful meditation when she was working with AIDS patients. It was at a time when much of the world was shaming young men with AIDS, saying "God is punishing you for your sins because you've done this thing that's wrong."
Louise created a loving space for AIDS patients instead of shaming them. Being with her was a safe place. She ran group events that were attended by gay men, where she would sometimes give a simple meditation as a way of practicing compassion and patience toward oneself. It was a visualisation exercise where you started by seeing yourself as a baby, and holding yourself in your arms –really trying to put yourself into that baby self, with all the love that you would give to this little being. Then, you tucked the baby into your heart.
Next, you'd see yourself as a 5-year-old, and go through the same kind of loving compassionate process before also tucking the little 5-year-old in your heart. Then, when you were 10, and then 15, and then when you were a young adult or whatever age you are now.
Dr. Borysenko comments on how Louise's meditation gave people an amazing chance to have things come up about themselves at different ages and to feel compassionate toward themselves. It helped with disarming the inner critic, because inner child work is another very important part of dealing with shame.
In future posts I'll be sharing more ways in which you can dissolve the power structures that hold shame in place and how you can heal from the pain of shame. See you then.
NICABM – National Institute for the Clinical Application of Behavioural Medicine
Dr. Richard Schwartz – Internal Family Systems Therapy
Dr. Joan Borysenko – Mind-Body Health Sciences LLC
Artwork by Giorgia Di Vita


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Lady Philippa Marbury has always felt out of place in society; with her keen and intelligent mind, she's far from the ideal debutante. Regardless, she's managed to snag a fiance, Lord Castleton and she can't help but be curious about the marriage bed, since no one has ever really told her what might happen. In search of a man with experience who won't make her feel uncomfortable, she propositions Cross, part owner of the gambling den with her brother-in-law. She doesn't want to do anything in particular, she just wants to learn what might happen, so that she's prepared for her wedding night. Cross is immediately attracted to Pippa, but of course refuses; he can't tell her what she really wants to know, it would be completely wrong, and besides that, his tortured past means he hesitates to let her in at all.
Sarah MacLean is one of the romance authors that I always give to newbies of the genre. Her books are accessible and brilliant at pulling in those who aren't quite familiar with the tropes as the rest of us are. She's a fantastic writer, and she has the ability to really make you feel for her characters and hope for the outcome that, despite knowing it's assured, seems impossible in the meantime. This book is really no different, with a great, smart heroine and a tortured hero. Like many readers will, I desperately wanted Cross and Pippa to get together. I loved that Cross adored Pippa because she was a little bit strange, because she is intense and smart and doesn't just flirt and tease as normal society girls do.
One aspect of this book that I particularly liked was the simple fact that Pippa's fiance is not a terrible person. In fact, they might have even gotten on together well, it's simply that there is no real spark of passion in their relationship. Comparing Castleton to Cross is difficult because that spark is there with him, but I liked that he was a kind, logical man and, more importantly, that there were no stupid excuses required for Pippa to get her own happy ending. He's certainly not Cross, who for me was the star character of the book, but he's a perfectly acceptable man.
I suppose I'd say the only thing I didn't like, really, was the fact that for a woman who often comes across as very intelligent, Pippa also comes across as very stupid. Propositioning the owner of a gambling den, even though he knows her brother-in-law, is an extraordinarily stupid move no matter how understandable the motive, and some of the actions that Pippa takes indicate that she's so comfortable in her own little world that she's lost sight of how dangerous the real world can be. It's a very classic case of intelligence versus common sense, and Pippa seems to have very, very little common sense at times. It's not that she's unrealistic, as I think we've all met people who are very clever and very dim at the same time, it's more that in these circumstances I wanted her to act with some sense and caution.
Saying all that, One Good Earl Deserves a Lover is a book that I thoroughly enjoyed reading, and I fully intend to keep up with Sarah MacLean's future releases in this series. Highly recommended for other romance readers.
All external book links are affiliate links. I received this book for free for review.


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Official websites use .mil
Secure .mil websites use HTTPS
At this time our recreation areas are all open, we are accepting permits for shelter reservations, our campground is fully open. We are selling America The Beautiful Senior & Access passes by appointment only.
Recreation Facilities/Activities
The natural setting surrounding West Thompson Lake is enjoyed year-round. Pleasing views from the dam offer sightseers and photographers a panoramic view of the area. Visitors will discover the biodiversity of nature as they explore our recreation areas.
West Thompson Lake Campground offers 24 campsites (11 basic sites, 11 premium sites with electrical and water hookups, and two lean-to shelters) in a quiet, wooded environment. West Thompson Lake Campground is suited for all types of RV's, from small truck-back pop-ups to 45 foot campers depending on the site. All the sites are private and wooded with level gravel surfaces. There is a handicap accessible comfort station with flush toilets and hot showers. A dump station and firewood are also available. The entire family will enjoy nature programs, hiking trails, children's play area, basketball court and horseshoe pits. The nearby boat ramp affords boating and fishing enthusiasts access to the 200-acre West Thompson Lake. On-site campground hosts and park rangers are available to assist campers.
Hiking Trails
There are three main trail systems at West Thompson Lake. These are signified on the map by the three different colored trail markers.
The trail blazed with yellow markers is The Shoreline Trail, 4-mile loop around the lake that takes you through varying habitats from open fields to forested wetlands. The Shoreline Trail has one "side trail", The Woodland Walk Trail. The Woodland Walk is a short 0.4-mile walk near the West Thompson Lake Campground and is designated by yellow markers with black triangles.
The trail blazed with blue markers is The Lost Trail; this is a Figure-8 trail which connects the campground with the Shoreline Trail. It begins at the north end of the campground loop. The Lost Trail is a short 1.2-mile walk.
The trail blazed with orange markers begins as the Ramsdell Woods Trail; this is a 2.2-mile trail that takes you from the Dam north to the Ramsdell Farm. The trail continues on to the northern part of West Thompson Lake where it comes to a junction. Crossing Old Blain Road the trail becomes the Ravenelle Ponds Loop. Crossing Blain Bridge you will pick up the Shoreline Trail. The Ravenelle Ponds Loop is a 1.2-mile loop which travels through serene old pine stands and agricultural fields past the three peaceful ponds and back again to Old Blain Road. If you continue north from the top of The Ravenelle Ponds Loop you will find the Quinebaug River Trail which travels another 4.5 miles north to Fabyan Road. There is also a 1.5 mile section of the Quinebaug River Trail located on the east side of the Quinebaug River which links Old Blain Road to Red Bridge Road.
Quinebaug River Water Trail
The Thompson section of the Quinebaug River Water Trail is located within the project boundary of West Thompson Lake. This stretch of the trail is about five miles long with moving water (but no rapids), flat water, extensive wildlife habitat, and no portages. It is an excellent three-hour outing for paddlers who are comfortable with moving water.
The banks range from steep and forested to flat agricultural fields. During the first three miles of the trip you will feel isolated except for two bridge crossings. The U.S. Army Corps of Engineers and the Thompson Trails Committee work collectively to maintain the entire length of the water tail and the put-in at Fabyan Dam and the take-out at the West Thompson Lake Boat Ramp.
Put-in: Fabyan Dam Canoe Launch
Six parking spaces are available in a paved lot at the launch on Fabyan Road in Thompson. There is an unpaved lot with room for about ten vehicles across the street. The carry to the water's edge is less than 250 feet and gently downhill, or you can back your vehicle down the paved ramp to the water's edge. The put-in is a paved ramp with some rocks at the water's edge. There are no public restrooms located at this ramp.
Take-out: West Thompson Lake Boat Ramp
Free parking is available at the West Thompson Lake Boat Ramp located at 400 Reardon Road. There are about 25 spaces in the gravel lot and the carry from the water's edge is less than 50 feet. Take-out areas include a large concrete launch ramp and a grassy slope into the water. There are seasonal public restrooms available from April to October.
Disc Golf Course
West Thompson Lake offers a no charge Disc Golf Course with 18 challenging holes known for long drives. There are eight holes under 300 feet., six holes 300 to 400 feet., and four holes over 400 feet. This course is great for players of all skill levels and ages, and offers scenic views of West Thompson Lake and the Dam.
Picnic Shelters
West Thompson Lake has three picnic shelters available for rent. All of our shelters come with drive up access, two large charcoal grills, picnic tables and access to a portable toilet. To check the availability of a shelter or reserve one please contact the Park Office at 860-923-2982.
Overlook Shelter
The Overlook Shelter is a large shelter located in a field on the south west side of the lake near the dam spillway and gate house. This shelter can accommodate a party of approximately 100 people. This shelter has both electricity and potable water available for special event use. Access to the shelter is from the gated entrance on West Thompson Road.
West Side Shelter
The West Side Shelter is a large shelter located out in the fields on the west side of the lake. This shelter can accommodate a party of approximately 100 people. Access to the shelter is from the gated entrance on Ravenelle Road. Because of its remote location there is no electricity or running water available at this shelter.
East Side Shelter
The East Side Shelter is a smaller shelter located between the entrance road to the campground and the boat ramp. This shelter can accommodate a party of approximately 50 people. Drive up access is through the campground road but the majority of parking for this shelter is located in the boat ramp as is the portable toilet. This shelter has both electricity and potable water available for special event use.
Hunting and Fishing
Hunting is allowed at West Thompson Lake and is governed by the state of Connecticut laws and regulations. In the fall, the Connecticut Department of Energy and Environmental Protection stock pheasants in the fields on the west side of the lake as well as the corn fields along the Quinebaug River, which makes West Thompson Lake a popular destination for upland bird hunters. Deer hunting is also popular, which begins in mid-September and runs through December 31. We encourage visitors to wear fluorescent orange during this time of the year.
Fishing is permitted at West Thompson Lake and in the Quinebaug River. The Quinebaug River is stocked with rainbow, brook, and brown trout by the Connecticut Department of Energy and Environmental Protection. Common warm water fish species in the lake include largemouth and smallmouth bass, pickerel, perch, carp, and sunfish. An inland fishing license is required for anyone 16 years of age or older fishing at West Thompson Lake or the Quinebaug River.
Reservations and Fees
To To make reservations for the West Thompson Lake Campground contact the National Recreation Reservation Service at their website: www.recreation.gov or call toll-free: 1-877-444-6777. Walk-in registrations also welcome, depending on availability.
Campground: Basic Site - $15.00/night Lean-to Site - $20.00/night Premium Site - $30.00/night Firewood - $5.00/bundle
Special Events and Shelter Reservations
West Thompson Lake hosts many special events which require special use permits. If you are interested in holding a special event please contact the West Thompson Lake Park Office at 860-923-2982 in advance. There is a fee for special events and the amount varies depending on the event or area requested. Areas are rented on a first come first served basis. The following are the available special use permit areas:
East Side Picnic Shelter: $75.00/day Reservations for this shelter must be made by contacting the park office.
West Side Picnic Shelter: $75.00/day Reservations for this shelter must be made by contacting the park office.
Overlook Picnic Shelter: $100.00/day Reservations for this area must be made by contacting the park office.
Boat Ramp: No Charge for public use.
Disc Golf Course: No Charge for public use.
Contact West Thompson Lake Park Office for special event pricing.
Natural Resources
West Thompson Lake is rich with natural resources and a great diversity of habitats, landscapes, plant life, and wildlife. Park Rangers manage the 1,857 acres based on a multiple-use approach focusing on water resources, forest health, wildlife, and recreational use which assures a diversity of resources for future generations to enjoy.
Forest covers approximately 1,125 acres of the project. Forest management practices include timber harvests and thinning which improve timber quality, promote regeneration, enhance wildlife habitat, and provide additional recreational opportunities. The dominant tree species at West Thompson Lake are eastern white pine, oak, and shagbark hickory. Other common species are birch and maple with smaller undergrowth species including American hornbeam, sassafras, witch hazel, black cherry, and winterberry. It is very common to see low bush blueberries growing in the midst of white pine stands while you are hiking along the trails.
The Quinebaug River crosses the Massachusetts border and flows for six miles before entering the 200 acre West Thompson Lake. Wetlands, streams, river banks, beaver ponds, and vernal pools are plentiful and provide breeding habitat for many invertebrates, reptiles, amphibians, fish, waterfowl, and other bird species. The Quinebaug River is stocked with rainbow, brook, and brown trout by the Connecticut Department of Energy and Environmental Protection. Common warm water fish species in the lake include largemouth and smallmouth bass, pickerel, perch, carp, and sunfish.
Approximately 200 acres of land are leased to local farmers for agricultural use. Many grow feed corn for livestock while others grow vegetables. The farmers leave a portion of their crop standing for fall and winter food sources for various wildlife species including deer, turkey, geese, waterfowl, and raccoons.
An important habitat at West Thompson Lake is the 80 acres of open grassland immediately surrounding the lake. Grasslands are a vital but diminishing natural resource throughout the United States. Numerous wildlife species, particularly birds, are dependent on these areas for food, cover, and breeding. Wildlife that can be found in these grasslands include bobolink, eastern meadowlark, black racer, horned lark, northern leopard frog, small rodents, turkey, pheasants, wood turtles, and numerous insects. At West Thompson Lake, we actively manage grasslands for breeding populations of ground nesting birds such as the bobolink and eastern meadowlark, which are species of special concern in Connecticut.
Due to the vast diversity of habitats at West Thompson Lake, it is not uncommon to see an array of wildlife while hiking the trails. Start off at the flagpole on top of the dam and see the ravens flying through the field, then hop on the Ramsdell Woods Trail and peer out of the wildlife viewing platform to see the great blue herons feeding their young in their tree top nests in the beaver pond. Hike around the back side of the pond and see fish jumping while mallards dabble and beavers slap their tails on the surface of the water. Continue on to Old Ravenelle Road and you might catch a glimpse of a deer or a raccoon feeding in the planted corn field at the historic Ramsdell Farm site. A fox may even dart across your path into the rocky ledges along the old road. Hike up to the north end of the lake and switch paths onto the Shoreline Trail which provides amazing views of the lake. Keep your eyes open for bald eagles, both mature and immature, who are frequent visitors. Hiking through the grasslands along the west side of the lake you will almost certainly spot bobolinks, kingbirds, red-winged blackbirds, song sparrows, bluebirds, and swallows. Experience this natural splendor in less than a four mile hike.
Historical and Cultural Resources
Prior to the English colonization of New England, the valley of Quinebaug River was the home to the Nipmuc people. There were two small sub-tribes of the Nipmucs that inhabited the area now known as West Thompson. West of the Quinebaug River were the Wabbaquasett and east of the river were the Quinebaug. These people raised corn, beans, and squash; fished from the fiver for salmon and shad during the spring; and hunted deer and other game from the surrounding woodlands.
During the colonization period, Thompson was the crossroads for the highways connecting Hartford, Worcester, Springfield and Providence. Taverns and stores sprang up to take advantage of the travelers. Several mills were built to utilize the waterpower from the Quinebaug River. Agriculture and dairy farming were another important industry in the area. Much of the land adjacent to the lake and river is still used for this purpose today.
The Ramsdell Farm was located on the west side of West Thompson Lake. After the devastating floods of 1955, the U.S. Government planned flood control projects to prevent future disasters. The Entire town of West Thompson was needed in order to construct a dam and flood plain on the Quinebaug River. Land was acquired by the U.S. Army Corps of Engineers through eminent domain. Alice Ramsdell refused to sell her farm to the government and lived on the land until her death in 1995. You can still visit the historical Ramsdell farm site off of the Old Ravenelle Road trail and view the foundations, stone walls, fruit trees, and even the original rail road ties where Alice's father Frank kept his personal railroad engine and boxcar.
Updated: July 16, 2021
West Thompson Lake 449 Reardon Road North Grosvernordale, CT 06255 Phone: (860) 923-2982 Fax: (860) 923-1126 Email West Thompson Lake Directions
Updated: July 10, 2023


text:
Yes, you can. After the password reset, you can logon with your new password immediately and continue working.
Yes, before you can use the Forgot My Password functionality of the software, you need to enroll. Only after enrolling you use it to reset your password.
Yes, but only if your organization configured this functionality. However you can't use the software to reset your password, but instead it will allow you to logon using credentials that are cached by Windows.
Yes, but only during enrollment and the answer will be stored using encryption. Therefore, it is not possible to retrieve your original answers.
No, the software only stores the questions and answers.
Not, not by default. Optionally the software supports encrypting the answers using reversible encryption. Using this option and the related software can assist the helpdesk to identify a user during a helpdesk call.
Yes, it is possible to reset a password that is expired using the software.
It is possible to unblock your account using this software. During the reset procedure you can select the "Unblock my account", assuming that functionality has been enabled. It is not possible to reset the password if the account was explicitly disabled by the administrator.


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Welcome to the casual elegance and style of a more relaxed age. Our beautiful circa 1904 Victorian Home, located in the heart of Old Town Key West, offers the warm hospitality of a traditional bed & breakfast while providing our guest a place to relax, enjoy the ambiance, and even shut out the rest of the world if you choose. Join us and feel at home.
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text:
Global Law Trials 2017
September 5, 2017 in News
In line with the law review timelines, the trials will begin on
1 August 2017 in the northern hemisphere and either 1 January 2017 or 1 January 2018 (for scrum and tackle/ ruck laws) in the southern hemisphere and will last for an initial period of one year.
Downloadable Content from World Rugby
Definition – Possession
This happens when a player is carrying the ball (or attempting to bring it under control) or the team has the ball in its control; for example the ball in one half of a scrum or ruck is in that team's possession.
Law 3
3.6 Number of Players – The Team
Uncontested scrums as a result of a sending off, temporary suspension or injury must be played with eight players per side.
Law 5
5.7 (e) Time
If a penalty is kicked into touch after time has elapsed without touching another player, the referee allows the throw-in to be taken and play continues until the next time the ball becomes dead.
To end the half, the ball must be tapped before the kick to touch.
Law 8
8.1 (a) Advantage
When there are multiple penalty infringements by the same team, the referee may allow the captain of the non-offending team to choose the most advantageous of the penalty marks.
Law 9
9.A.1 Method of Scoring
Penalty Try. If a player would probably have scored a try but for foul play by an opponent, a penalty try is awarded. No conversion is attempted.
Value: 7 points
Law 15
Amended Tackle 15.4 (c)
The tackler must get up before playing the ball and then can only play from their side of the tackle gate.
Law 16
Law 16: Amended Ruck Law
A ruck commences when at least one player is on their feet and over the ball which is on the ground (tackled player, tackler). At this point the offside line is created. A player on their feet may use their hands to pick up the ball as long as this is immediate. As soon as an opposition player arrives no hands can be used.
Law 16.4 : Other Ruck Offences
A player must not kick the ball out of a ruck.
Sanction: Penalty kick
The player can only hook it in a backwards motion.
Law 18
Law 18 Definition Mark
To make a mark a player must have one or both feet on or behind that player's 22-metre line and catch a ball that has reached the plane of the 22-metre line.
Law 19
Law 19 Touch Definition
If the ball has passed the plane of touch when it is caught, then the catcher is not deemed to have taken the ball into touch.
If the ball has not passed the plane of touch when it is caught or picked up, then the catcher is deemed to have taken the ball into touch, regardless of whether the ball was in motion or stationary.
If a player jumps and knocks the ball back into the playing area (or if that player catches the ball and throws it back into the playing area) before landing in touch or touch-in-goal, play continues regardless of whether the ball reaches the plane of touch.
Law 19.1(c) No Gain in Ground
If a player, with one or both feet on or behind the 22-metre line, picks up the ball, which was outside the 22, or catches the ball in front of the 22-metre line and kicks it directly into touch from within the 22, then that player has taken the ball back inside the 22, so there is no gain in ground.
Delete 19.1(e) and re-letter subsequent paragraphs accordingly.
Law 20
20.5 Throwing the ball into the scrum
No signal from referee.
The scrum must be stable and there must be no delay once the ball has been presented to the scrum.
20.6 (d) How the scrum-half throws in the ball
The scrum-half must throw the ball in straight, but is allowed to align their shoulder on the middle line of the scrum, therefore allowing them to stand a shoulder width towards their side of the middle line.
Law 20 Striking after the throw-in.
Once the ball touches the ground in the tunnel, any front row player may use either foot to try to win possession of the ball. One player from the team who put the ball in must strike for the ball.
Sanction: Free-kick
20.9 (b) Handling in the scrum – exception
Allow the number eight to pick the ball from the feet of the second-rows.
Law 22
Law 22.9 (b) Defending Player in In-goal
If a player with one or both feet on or behind the goal line picks up the ball from within the field of play, or catches the ball in front of the goal line, that player has taken possession of the ball in the field of play.
Delete 22.9(c) and re-letter subsequent paragraphs accordingly.
If a player with one or both feet on or behind the dead ball line picks up or catches a ball that has not reached the dead ball line, or touch-in-goal line, that player is deemed to have made the ball dead.
Delete 22.9(e).


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[June-2018-New]100% Real 70-776 Exam PDF and VCE Free Downlaod from Braindump2go[20-30]
2018 June new Microsoft 70-776 Exam Dumps with PDF and VCE Just Updated Today! Following are some new 70-776 Real Exam Questions:
1.|2018 New 70-775 Exam Dumps (PDF & VCE) 75Q&As Download:
2.|2018 New 70-775 Exam Questions & Answers Download:
You have a Microsoft Azure SQL data warehouse that has a fact table named FactOrder. FactOrder contains three columns named CustomerId, OrderId, and OrderDateKey. FactOrder is hash distributed on CustomerId. OrderId is the unique identifier for FactOrder.
FactOrder contains 3 million rows.
Orders are distributed evenly among different customers from a table named dimCustomers that contains 2 million rows.
You often run queries that join FactOrder and dimCustomers by selecting and grouping by the OrderDateKey column.
You add 7 million rows to FactOrder. Most of the new records have a more recent OrderDateKey value than the previous records.
You need to reduce the execution time of queries that group on OrderDateKey and that join dimCustomers and FactOrder.
What should you do?
A. Change the distribution for the FactOrder table to round robin.
B. Update the statistics for the OrderDateKey column.
C. Change the distribution for the FactOrder table to be based on OrderId.
D. Change the distribution for the dimCustomers table to OrderDateKey.
Answer: B
You need to define an input dataset for a Microsoft Azure Data Factory pipeline.
Which properties should you include when you define the dataset?
A. name, type, typeProperties, and availability
B. name, typeProperties, structure, and availability
C. name, policy, structure, and external
D. name, type, policy, and structure
Answer: A
You have a file in a Microsoft Azure Data Lake Store that contains sales data. The file contains sales amounts by salesperson, by city, and by state.
You need to use U-SQL to calculate the percentage of sales that each city has for its respective state.
Which code should you use?
A. Option A
B. Option B
C. Option C
D. Option D
Answer: A
You have an on-premises data warehouse that uses Microsoft SQL Server 2016. All the data in the data warehouse comes from text files stored in Azure Blob storage. The text files are imported into the data warehouse by using SQL Server Integration Services (SSIS). The text files are not transformed.
You need to migrate the data to an Azure SQL data warehouse in the least amount of time possible.
Which two actions should you perform? Each correct answer presents part of the solution.
NOTE: Each correct selection is worth one point.
A. Use SSIS to upload the files in Azure Blob storage to tables in the Azure SQL data warehouse.
B. Execute the CREATE EXTERNAL TABLE AS SELECT statement to export the data.
C. Use AzCopy to transfer the data from the on-premises data warehouse to Azure SQL data warehouse.
D. Execute the CREATE TABLE AS SELECT statement to load the data.
E. Define external tables in the Azure SQL data warehouse that map to the existing files in Azure Blob storage.
Answer: DE
You have a Microsoft Azure Data Factory that recently ran several activities in parallel.
You receive alerts indicating that there are insufficient resources.
From the Activity Windows list in the Monitoring and Management app, you discover the statuses described in the following table.
Which activity cannot complete because of insufficient resources?
A. Activity2
B. Activity4
C. Activity5
D. Activity7
Answer: C
Note: This question is part of a series of questions that present the same scenario. For your convenience, the scenario is repeated in each question. Each question presents a different goal and answer choices, but the text of the scenario is exactly the same in each question in this series.
Start of repeated scenario
You are migrating an existing on-premises data warehouse named LocalDW to Microsoft Azure. You will use an Azure SQL data warehouse named AzureDW for data storage and an Azure Data Factory named AzureDF for extract, transformation, and load (ETL) functions.
For each table in LocalDW, you create a table in AzureDW.
On the on-premises network, you have a Data Management Gateway.
Some source data is stored in Azure Blob storage. Some source data is stored on an on- premises Microsoft SQL Server instance. The instance has a table named Table1.
After data is processed by using AzureDF, the data must be archived and accessible forever. The archived data must meet a Service Level Agreement (SLA) for availability of 99 percent. If an Azure region fails, the archived data must be available for reading always. The storage solution for the archived data must minimize costs.
End of repeated scenario.
You need to define the schema of Table1 in AzureDF.
What should you create?
A. a gateway
B. a linked service
C. a dataset
D. a pipeline
Answer: C
You are developing an application by using the Microsoft .NET SDK. The application will access data from a Microsoft Azure Data Lake folder.
You plan to authenticate the application by using service-to-service authentication.
You need to ensure that the application can access the Data Lake folder.
Which three actions should you perform? Each correct answer presents part of the solution.
NOTE: Each correct selection is worth one point.
A. Register an Azure Active Directory app that uses the Web app/API application type.
B. Configure the application to use the application ID, authentication key, and tenant ID.
C. Assign the Azure Active Directory app permission to the Data Lake Store folder.
D. Configure the application to use the OAuth 2.0 token endpoint.
E. Register an Azure Active Directory app that uses the Native application type.
F. Configure the application to use the application ID and redirect URI.
Answer: ABC
You ingest data into a Microsoft Azure event hub.
You need to export the data from the event hub to Azure Storage and to prepare the data for batch processing tasks in Azure Data Lake Analytics.
Which two actions should you perform? Each correct answer presents part of the solution.
NOTE: Each correct selection is worth one point.
A. Run the Avro extractor from a U-SQL script.
B. Create an Azure Storage account.
C. Add a shared access policy.
D. Enable Event Hubs Archive.
E. Run the CSV extractor from a U-SQL script.
Answer: BD
You are creating a Data Factory workflow.
The workflow must run a stored procedure from a SQL database, perform a Hive query, and copy data from an on-premises SQL database into an Azure SQL database.
These steps must be managed and performed as an atomic unit.
You need to configure the workflow.
Which Data Factory entity should you use?
A. Dataset
B. Linked service
C. Activity
D. Pipeline
Answer: D
You are designing an Azure Data Lake managed cluster for your organization's realtime data processing.
The streaming data could range from 10 MB to 100 GB per message.
You need to choose the correct storage model to store this data.
Which storage model should you use?
A. Block Blobs
B. Page Blobs
C. HBase
D. Azure Storage Queues
Answer: A
You have a Microsoft Azure SQL data warehouse. You have an Azure Data Lake Store that contains data from ORC, RC, Parquet, and delimited text files.
You need to load the data to the data warehouse in the least amount of time possible.
Which two actions should you perform? Each correct answer presents part of the solution.
NOTE: Each correct selection is worth one point.
A. Use Microsoft SQL Server Integration Services (SSIS) to enumerate from the Data Lake Store by using a for loop.
B. Use AzCopy to export the files from the Data Lake Store to Azure Blob storage.
C. For each file in the loop, export the data to Parallel Data Warehouse by using a Microsoft SQL Server Native Client destination.
D. Load the data by executing the CREATE TABLE AS SELECT statement.
E. Use bcp to import the files.
F. In the data warehouse, configure external tables and external file formats that correspond to the Data Lake Store.
Answer: DF
1.|2018 New 70-776 Exam Dumps (PDF & VCE) 75Q&As Download:
2.|2018 New 70-776 Study Guide Video:


text:
Monday Blogcrawl
You know how sometimes you feel that your life is out of control? Well I feel like that right now. I am wandering around with a low-level anxiety that prevents me from being truly productive. I think it's age. I just can't seem to do things as quickly as I used to. Or maybe it's just the heat? Here are some interesting tidbits:
- A nice piece on William Dalrymple. I've always admired his work, and in Australia he is published with my own publishing house, Allen & Unwin. Oh, and I had the great privilege of sharing a place with him on Sydney Morning Herald's Top 10 Travelogues of 2010 list!
- Snooki regrets hooking up with Vinny. I live for this stuff.
- Francis De Sales is Patron Saint of Writers, apparently.
- Can we please end all discusion of "The End of Criticism" - I'm bored, already!
- Anyone who has been to Thailand will recognise Ajahn Maha Boowa's face. He just passed away, bless him.


text:
ISO/IEC 18000-6:2013 defines the air interface for radio frequency identification (RFID) devices operating in the 860 MHz to 960 MHz Industrial, Scientific, and Medical (ISM) band used in item management applications. It provides a common technical specification for RFID devices that can be used by ISO committees developing RFID application standards.
It is intended to allow for compatibility and to encourage inter-operability of products for the growing RFID market in the international marketplace. It defines the forward and return link parameters for technical attributes including, but not limited to, operating frequency, operating channel accuracy, occupied channel bandwidth, maximum effective isotropic radiated power (EIRP), spurious emissions, modulation, duty cycle, data coding, bit rate, bit rate accuracy, bit transmission order, and, where appropriate, operating channels, frequency hop rate, hop sequence, spreading sequence, and chip rate. It further defines the communications protocol used in the air interface.
ISO/IEC 18000-6:2013 together with ISO/IEC 18000-61, ISO/IEC 18000-62, ISO/IEC 18000-63 and ISO/IEC 18000-64 specifies the physical and logical requirements for a passive-backscatter, Interrogator-Talks-First (ITF) or tag-only-talks-after-listening (TOTAL) RFID system. The system comprises Interrogators, also known as readers, and tags, also known as labels. An Interrogator receives information from a tag by transmitting a continuous-wave (CW) RF signal to the tag; the tag responds by modulating the reflection coefficient of its antenna, thereby backscattering an information signal to the Interrogator. The system is ITF, meaning that a tag modulates its antenna reflection coefficient with an information signal only after being directed to do so by an Interrogator, or TOTAL, meaning that a tag modulates its antenna reflection coefficient with an information signal upon entering an Interrogator's field after first listening for Interrogator modulation in order to determine if the system is ITF or not.
ISO/IEC 18000-6:2013 contains one mode with four types. The detailed technical differences between the four types are shown in the associated parameter tables.
Types A, B and C are ITF. Type A uses Pulse-Interval Encoding (PIE) in the forward link and an adaptive ALOHA collision-arbitration algorithm. Type B uses Manchester in the forward link and an adaptive binary-tree collision-arbitration algorithm. Type C uses PIE in the forward link and a random slotted collision-arbitration algorithm.
Type D is TOTAL based on Pulse Position Encoding or Miller M=2 encoded subcarrier.
General information
Status: PublishedPublication date: 2013-01Stage: International Standard to be revised [90.92]
Edition: 3Number of pages: 9
Technical Committee :ISO/IEC JTC 1/SC 31ICS :35.040.50
- RSS updates
Life cycle
WithdrawnISO/IEC 18000-6:2010
Will be replaced by
Under developmentISO/IEC DIS 18000-6
Opening hours:
Monday to Friday - 09:00-12:00, 14:00-17:00 (UTC+1)