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Quackademic medicine.
I love that term, because it succinctly describes the infiltration of pseudoscientific medicine into medical academia. As I've said many times, I wish I had been the one to coin the phrase, but I wasn't. To the best of my ability to determine, I first picked it up from Dr. R. W. Donnell back in 2008 and haven't been able to find an earlier use of the term. As much as I try to give credit where credit is due, I have, however, appropriated the term "quackademic medicine" (not to mention its variants, like "quackademia"), used it, and tried my best to popularize it among supporters of science-based medicine. Indeed, one of my earliest posts on this blog was about how quackery has infiltrated the hallowed halls of medical academia, complete with links to medical schools that have "integrative medicine" programs and even medical schools that promoted the purely magic-based medical modalities known as reiki and homeopathy. It's been a recurrent topic on this blog ever since, leading to a number posts on the unethical clinical trials of treatments with zero or minimal pre-trial plausibility, the degradation of the scientific basis of medicine, and the acceptance of magical thinking as a means of treating patients in all too many medical centers.
One strong candidate for quackademic ground zero, if there can be such a thing for the phenomenon like quackademic medicine, which is creeping up like so much kudzu in the cracks of the edifice of science-based medicine (SBM), is the University of Arizona. U. of A. is, of course, the home of one of the originators of the concept of quackademic medicine and one of its most famous and tireless promoters, Dr. Andrew Weil. Dr. Weil, as you might recall, has even been the driving force for creating a highly dubious "board certification" in integrative medicine. Sadly, apparently this new board certification has been so popular among physicians wanting to "integrate" a little quackery into their practices, that its first examination has been delayed from May to November 2014, so that the American Board of Physician Specialties can figure out how to accommodate the unexpectedly large number of applicants.
So what happens when a patient arrives at U. of A. for treatment? I found out last week when I received an e-mail, which led to a fairly long e-mail exchange, with a man whose son was diagnosed with leukemia and is being treated at the University of Arizona Cancer Center (UACC). Although this man gave me permission to use his name, I am going to decline to do so because there is a child involved, although anyone involved in his case at U. of A. will likely quickly be able to identify who the man is. It turns out that he is a professor at U. of A. in a humanities department (which is why I'll refer to him henceforth as the Professor), and, even though he is not a scientist, he clearly knows how to think (which would not be surprising if you knew what department he was in). In his e-mail, he told me how appalled he was at the sorts of treatments being offered to his son:
I was appalled to discover that the center offers treatments like Reiki, Reflexology, Acupuncture, Cranial massage, etc. These treatments are advertised as "healing"–including boosting one's immune system, complementing conventional chemotherapy etc. I wrote the the [sic] director of the center who at first expressed concern and thanked me for calling these things to her attention. She said she would convene a board of physicians to look into it. After three months went by, I wrote to her asking for an update. She told me the board was still working on it and that she was "confident they would take care of it". I have been asking her for a timeline and she is not returning my emails.
At first I thought this was probably the pernicious influence of Andrew Weil, but I have since discovered that cancer centers around the country are offering these "treatments" including places like Sloan-Kettering. Because of this, I've concluded there is no point in going to the media to try to expose what's going on.
Of course, blogs are the media. The new media, but media nonetheless. At least I like to think so.
The Professor is probably correct about going to the traditional media, though. There probably is little point in going to the press, although we can always hope. Most of the time, when the press looks into the infiltration of quackademic medicine into medical academia, the result is a story like this appalling one from a year and a half ago in which NBC News chief medical correspondent Nancy Snyderman strongly embraced quackademic medicine to the point that she even said that if a doctor "doesn't know" about integrative medicine, "I think it's time to ask for a referral to someone who does." It made me sad to see a woman who normally stands up for science, at least with respect to vaccines and combatting the antivaccine movement, to fall so hard for pseudoscience when it exists at Memorial Sloan-Kettering Cancer Center. Even I have had to hang my head in shame when I discovered that my alma mater both for medical and undergraduate school, the University of Michigan, actually has a program in anthroposophic medicine.
Unfortunately, although I hoped that the Professor would make as much of a stink as he could, I felt compelled to warn him that I doubted he would be successful because this sort of "integration" of quackery with academic medicine is very much entrenched at the University of Arizona. It started with the pernicious influence of Andrew Weil, but if Dr. Weil were to drop dead or retire today I doubt that it would change much, if at all, because quackademic medicine has had years to become embedded in the culture there. To put it bluntly, U. of A. is one of the centers of quackademic medicine in the US, if not the world, and I don't see that changing any time soon. I also looked up UACC's director, Dr. Ann E. Cress, and noted that she's an interim director, which makes it highly unlikely that, even if she were so inclined, she could do much of anything. An interim cancer center director isn't going to be able to take on Andrew Weil. It also doesn't help that there are researchers at U. of A. like Dr. Myra Muramoto, who recently scored a $3.1 million from the National Cancer Institute (NCI)—not the National Center for Complementary and Alternative Medicine, mind you, the NCI—to do this:
Dr. Myra Muramoto, Arizona Cancer Center member and associate professor in the Department of Family and Community Medicine at the University of Arizona College of Medicine, has received $3.1 million from the National Cancer Institute to develop and evaluate a new program to train chiropractors, acupuncturists and massage therapists in effective ways to help their patients and clients quit tobacco.
The grant will fund "Project Reach," which will partner over the next five years with Pima County chiropractors, acupuncturists, massage therapists and their office staff to evaluate ways they can best help their patients quit tobacco.
That's a big chunk of change of the sort that cancer centers value above all, money from NCI grants. When cancer centers are being considered for NCI-designated comprehensive cancer center status (NCI-CCC)—or trying to renew their status—one huge consideration is the level of NCI funding its investigators have. Basically, for this purpose NIH grants are good, but NCI grants are the best. That's why any investigator with a $3.1 million NCI grant will have outsized influence and an NCI-CCC or any cancer center seeking NCI designation. Of course, because chiropractors, acupuncturists, and massage therapists often claim, without valid scientific evidence, to be able to help people quit smoking with their woo, such a grant would almost certainly have the effect of encouraging referrals of smokers to these practitioners, to make sure enough patients accrue to the study funded by the grant.
Quackademic medicine at UACC
It turns out that U. of A. does indeed offer its patients tons of "supportive" care therapies not rooted in science. A quick look at its Survivorship Care page reveals:
In collaboration with the medical and psychosocial services at The University of Arizona Cancer Center, we will work with patients to:
- Reduce physical symptoms associated with cancer and its treatment (e.g., pain, fatigue, insomnia, etc.)
- Manage side effects of chemotherapy and radiation with therapies such as acupuncture, botanicals, and mind-body medicine
- Examine lifestyle factors and situations (e.g., diet, risk for undernutrition, physical activity, emotional coping skills, support network, and spirituality) that may affect symptoms and/or course of disease
- Develop and work toward goals for health, wellness, and what is most meaningful and valuable after diagnosis, as well as during and after treatment
- Actively participate in their health care
- Regain a sense of control and well-being despite the diagnosis
Notice the quackademic medicine "integrated" with potentially science-based modalities for supportive care: acupuncture, botanicals, "mind-body" medicine. Note how such useless modalities like acupuncture are listed as being, in essence, co-equal with various dietary, lifestyle, and coping modalities. This is basically how quackademic medicine "rebrands" what should be science-based modalities as somehow being "alternative" or outside the mainstream. It then lumps them together with modalities that are pure quackery (acupuncture, reiki, therapeutic touch, etc.), the implication being that it's all part of a lovely "complementary and alternative medicine" (CAM) package that represents the "best of both worlds." Of course, we at SBM reject the idea that there are "two worlds," citing the oft-repeated adage that there is no such thing as "alternative medicine." Rather, there is medicine that has been scientifically demonstrated to work. There is medicine that has not been scientifically shown to work. There is medicine that has been shown not to work. The reason "alternative medicine" is alternative is because it falls into one of the latter two categories. What do you call alternative medicine that's been shown scientifically to work?
I know, I know. We say this a lot here, but it's true. Also true is Mark Crislip's almost famous adage, which I like to use in almost all of the talks I give about "integrative" medicine these days:
If you integrate fantasy with reality, you do not instantiate reality. If you mix cow pie with apple pie, it does not make the cow pie taste better; it makes the apple pie worse.
As I've said many times before, I wish I had thought of this quote.
Trying to hide the stench of cow pie in the apple pie
Make no mistake about it, UACC is "integrating" fantasy with reality by offering reflexology (or, as I like to call it, a nice foot and hand massage with delusions of grandeur), reiki (or, as I like to call it, faith healing substituting Eastern mysticism for Judeo-Christian beliefs), craniosacral massage (or, as I like to call it, a nice scalp massage with delusions of grandeur), healing touch (also known as therapeutic touch, which I like to call reiki without the foreign name), and many others. At least, I wasn't able to find anywhere that the UACC offers homeopathy to patients, although one of the most famous of the "magical grants" awarded by NCCAM was to a University of Arizona researcher in Dr. Weil's department to study homeopathy.
It didn't take too long for it to become clear to the Professor that UACC was not dealing with him in good faith. At least, that's what he told me in a subsequent e-mail. What led him to believe this was a combination of not getting his e-mails answered and then what happened after he complained about perhaps the most egregious example that he found at UACC. He first brought this issue up back in December, and, after several requests to have a meeting, the Professor became frustrated and basically sent a threat to go to the media. Shortly after that, the web page on the UACC site that had so disturbed the Professor became this:
Yes, that's a big "Access Denied" message. One wonders whether UACC deleted the page or just hid it so that you need a University of Arizona login to see it. Maybe one of our readers from U. of A. could check and report back here.
Thankfully, due to the magic of Google Cache, we can see what was there until as recently as a week ago:
One wonders if the administration of UACC, out of concern that the Professor might actually do what he said he would do (shop his story around to newspapers), got rid of the web page for Frank Schuster. Of course, it's not so easy, as I showed above, and, in case anyone's interested, I've saved a web archive of the page for permanent archival purposes (for me, that is).
I can see why the UACC administration would be embarrassed enough to act like this. On the now defunct page, potential patients for UACC were treated to incredible claims like:
Very simply, Reiki is energy that flows through the body of the practitioner, and conveyed through the hands into the body of the recipient. It is subtle energy, but it can be felt – usually as a warmth, tingles or slight pressure.
And, perhaps the most ridiculous claim of all:
Any particular effects cannot be predicted. The energy is intelligent and it will do whatever is best. What can be stated is that it will help any condition.
That's right. Apparently this "healing energy" from the "universal source" is so intelligent that it will do whatever is needed or best. That totally must be why it can't be studied! Its effects are so darned unpredictable! It's also hard not to note that on the old web page about Mr. Schuster there was a link to his practice's web page Energy-Therapy.net, where there's also a link to his blog Energy Therapies, which appears not to have been updated since 2005 but is quite revealing nonetheless. Indeed, in one post on Mr. Schuster's web page, we see a claim that speaks for itself:
ALL illness and disease are indications of an unbalanced or depleted energetic condition. The resulting manifestation as pain or anxiety is the body's way of letting you know that something in your life is out of balance.
But don't worry, Mr. Schuster can help. You don't even have to come to his practice or UACC! That's because, you see, Mr. Schuster offers distance healing:
Distant Healing is defined as a "mental intention on behalf of one person, to benefit another at a distance."
In this context, prayer is a mental act of intercession in which the believer (pray-er) puts himself "between" God and the recipient.
God then uses the prayer (pray-er) as the conduit for the request – be it healing, therapy, or another type of petition. God's healing power is directed through the healer to the person in need. If that person is present, the power can be conveyed through touch. In the event that person cannot be present, God's healing power is effectively conveyed by mental intention through the thought process. In this realm distance is not a consideration.
One might not believe any of this, nor have faith that this kind of healing can occur. Actually, that is irrelevant. The only faith that really matters is that of the healer or pray-er. The single requirement of the recipient is to be in a receptive mode, open to healing possibilities. It is not necessary to believe that the acts of prayer, distant healing or touch healing are effective.
This is, of course, completely unscientific. It's religion, pure and simple. In fact, I would argue that it's just another form of faith healing, given how Mr. Schuster invokes God as the source of the "healing power." And it's only $25 for four 15 minute sessions! (More if you want to donate more.) What a bargain! At least there's a quack Miranda warning at the bottom of the page, and one notes that Mr. Schuster also includes a plug for NCCAM.
I don't know whether Mr. Schuster actually offers distance healing to UACC patients, although it's clear from his web page that he offers it. Regardless of whether he offers it to UACC patients or not, I hope that I would not be alone in arguing that mystical nonsense like reiki (which Mr. Schuster appears to implicitly admit to be faith healing) has no place in an academic medical center, much less an NCI-CCC like UACC. There are only 41 NCI-CCCs in the entire country. I'm faculty at one and am proud of having been on the faculty of two different NCI-CCC's. The NCI designation is supposed to mean that these cancer centers are the best of the best, adhering to only the highest standards of patient care, research, and community engagement. To see an NCI-CCC offering faith healing, distance healing, and treatments based far more on magical thinking, religious and mystical ideas, and prescientific concepts of disease, such as reiki, reflexology, and acupuncture, embarrasses me almost as it would to learn these modalities were being promoted for patients by my own cancer center as though they were legitimate treatment modalities. Fortunately, they are not, which is one reason I'm proud of my cancer center, but I nonetheless fear this occurrence. After all, if M.D. Anderson Cancer Center and Memorial Sloan-Kettering Cancer Center can fall so deep into the rabbit hole of woo, I'm under no illusion that it can't happen where I work too. All it would take is a new cancer center director, a new director of supportive services who is more "open" to these sorts of treatments, or maybe a new member of the board of directors who is woo-friendly. SBM is fragile these days.
Perhaps Dr. Cress feels the same way, along with many of the other excellent science-based clinicians and researchers based at UACC. I doubt it's a coincidence that there isn't a single mention of CAM or "integrative medicine" in a recent history of UACC published on the UACC blog last fall. In a way, I feel a bit sorry for Dr. Cress in that, as an interim director, she probably has neither the authority nor inclination to deal with this issue definitively. She probably wants to let whoever is appointed the next permanent director deal with it. Whatever the case, the Professor still doesn't know whether Mr. Schuster is still affiliated with UACC or not, the removal of his web page from public view notwithstanding. I'm not sure that even the minimal action of removing from the UACC website a webpage that links to a website offering distance healing would have happened if the Professor hadn't been faculty at the University of Arizona and threatened to go to the press.
Maybe they were concerned that people would also notice that Mr. Schuster's other website, Paths-Mind-Is-It.com, offers a veritable cornucopia of dubious products, such as Increased Synchronicity, which claims to be able to:
- Increase in awareness of the present moment. Fully appreciating the here and now
- Have future self send information back through time to current moment. This is specific for the following periods of time…1 minute, 1 day, 1 week, 1 month and 3 months
- Have current self send current information back through time to past self. This is also specific for the following periods of time…1 minute, 1 day, 1 week, 1 month and 3 months
- Increasing unity/harmony between past, present and future self
Hey, if Mr. Schuster can send healing messages over distances, why not forward or backward in time, too? Yes, basically, his PATHS "utilize proprietary breakthrough technology" that claims this:
Rapid Data Transfer (RDT) GENERATION II embodies a quantum leap in Mind Technology. RDT Gen. II is a unique technology that helps you use the potential of your own mind without any drugs or medications. It can help you to improve in almost every area of your life including, health (physical, mental, emotional & spiritual), enlightenment, productivity, success, communication, finances, relationships, fitness and sports – even improve your memory!
RDT has been helping thousands of individuals, like you, improve their lives in many ways (click here to read success stories) in as little as 3 minutes a week.
RDT or Rapid Data Transfer facilitates high-speed communication between an on-line Theater Presentation and the human subconscious.
As best I can figure, PATHS are multimedia computer presentations that claim to be able to do all sorts of things for you, including improving your stem cell health, strengthening your connective tissue, and doing quantum meditation. Note that the word "quantum" features prominently in this "technology," and regular readers know what the use of that word almost always indicates in this context.
What remains of the cow pie
Even if Mr. Schuster is indeed gone from UACC, there's a lot of woo that remains there, as the Professor mentioned in his e-mails. Specifically, he pointed out something called The Seven Levels of Healing, a program created and offered by Dr. Jeremy Geffen, MD, FACP, who is described as a "board certified medical oncologist and leading expert in integrative medicine and oncology and is the author of the book The Journey Through Cancer: Healing and Transforming the Whole Person." I think I'll quote the Professor about why he found this so objectionable, because, really, without letting myself go, I'd have a hard time putting it better myself. In his criticism, the Professor also cites examples from Dr. Geffen's website:
Today I'm in the cancer center and I've noticed something else. You offer here something called "The Seven Levels of Healing". I looked up this program. Level 7 is about the nature of spirit. Here's one thing they say:
Spirit is our true nature: timeless, eternal, and dimensionless, the source from which all awareness, all creativity and, ultimately, all healing flows.
As you know, this claim is scientific nonsense. One may have religious faith in such a claim, but is it appropriate for this claim to be made by the cancer center? The description continues:
The goal of "The Nature of Spirit" is to assist each person to discover this spiritual aspect of themselves, and to bring this into full, ongoing awareness. When what we experience as physical reality is threatened, it is more important than ever before to remember that another part of us is timeless and eternal, and remains strong, healthy, and powerful, no matter what our physical circumstances may be. In recognizing the nature of our spiritual selves, and the incredible mystery of awareness itself, we uncover the source of ultimate love and freedom — an infinite ocean from which healing can be drawn.
Again, completely unscientific claims about healing. As far as I know, the "Seven Levels of Healing" program is free. This makes it less objectionable, although in my mind, it is still objectionable for the cancer center, a supposedly scientific, evidence-based institution, to be pushing what is essentially religion. Moreover, in the description of level 3: "The Body as Garden", they say the following:
Here we explore the full spectrum of complementary approaches to healing: nutrition; exercise; massage; yoga; herbal therapies; Ayurvedic, Tibetan and Chinese medicine; acupuncture; homeopathy: chiropractic; and visualization. We do not offer or promote these approaches as cancer treatments per se, and we do not believe that they should be viewed in this manner. However, we do believe that they can supplement conventional care by cleansing, toning, relaxing, and strengthening the body, thus giving health and well-being the greatest chance to emerge.
Although these claims are vague, it would be quite natural for someone to interpret them as meaning that these treatments, some of which are offered at the center for a fee, can aid in one's recovery from cancer. I know of no evidence to support this claim. And do you have any idea what they mean by 'cleansing' and 'toning' the body? Do these terms have any scientific meaning in this context?
Likely, the Professor learned of this program through a fliers or pamphlet like this one. He is quite correct, too. By offering this particular program, UACC has irresponsibly placed its imprimatur and thus the assumed imprimatur of science on pseudoscience and mystical, religious mumbo-jumbo. There is no excuse for this.
This "Seven Levels of Healing" represents a program by a physician who is not UACC faculty but is promoted by UACC to its patients. It offers homeopathy, which, no matter how much homeopaths try to deny it, is pure quackery, as we've described many, many times here. Ayurveda and traditional Chinese medicine are modalities based on prescientific ideas of how diseases work not unlike the four humors in prescientific European medical traditions. Worse, according to the biography on the website, Dr. Geffen is apparently "focused on implementing 'The Seven Levels of Healing' program in cancer centers throughout the United States, along with writing, speaking, and consulting with hospitals, cancer centers, and professional organizations in developing leading-edge integrative programs for medicine, wellness, and life." Although several cancer centers appear to have adopted the "Seven Levels of Healing" woo, from what I can tell, UACC is the only NCI-CCC that is involved, making it by far the most prominent cancer center to be using Dr. Geffen's program. I really hope that I don't learn of any more.
Given the infiltration of quackademic medicine into even the most respectable medical centers, it's hard to know whether UACC is merely the cancer center that's gone the farthest down the rabbit hole of pseudoscience or whether I just don't know of ones that are even worse. Given the large shadow that Andrew Weil casts over the medical school there, it might well be so that, when it comes to quackademic medicine in oncology, UACC reigns supreme. As prominent as M.D. Anderson and Memorial Sloan-Kettering Cancer Centers are, as far as I can tell, neither of them has yet offered distance healing to their patients, although many are the academic medical centers that offer a quackery only slightly removed from distance healing, namely reiki. After all, what's the difference between saying you can channel "healing energy" from the "universal source" into a patient if you're in the room with him or if you're thousands of miles away? In my mind, not much. At least one academic medical center offers homeopathy. (Actually, I wish it were only one.)
Can anything be done?
Often, I'm asked something like, "What's the harm?" After all, UACC and the other cancer centers that offer up "integrative oncology" don't deny patients science-based treatments for their cancer. True enough. However, as the Professor demonstrates, the existence of "integrative oncology" programs has a profoundly confusing effect on patients and their families, who, quite reasonably, assume that an NCI-CCC would not offer any treatments that were not science-based. Consequently, the line between science and pseudoscience is becoming increasingly blurred, to the point where even a lot of physicians have a hard time telling the difference when it comes to modalities like acupuncture, which has been the most successful at projecting a facade of science over prescientific mystical origins and a mid-20th century resurrection based on political need in China, thanks to low quality studies and random noise in clinical trials. Worse, this infiltration has led to grossly unethical clinical trials, such as the Gonzalez trial, in which patients undergoing a "natural" therapy for cancer did much worse than conventional therapy, even for a disease with as grim a prognosis as pancreatic cancer. Perhaps an even more pernicious effect (actually, there's no "perhaps" about it) is that this blurring of the lines between science and pseudoscience so badly batters the filters against pseudoscience that a cancer center like UACC can allow practitioners like Frank Schuster and Dr. Jeremy Geffen to be associated with its programs, and even hire them to provide unscientific medicine.
My first wish is that more patients like the Professor would so vigorously protest the infiltration of quackery into academic medical centers like UACC. My second wish is that it would take more than the potential embarrassment of publicity about a practitioner that even the quackiest of quackademics can't defend to push a cancer center to act to protect the scientific basis of cancer care. Maybe the Professor can serve as an example of the first wish, but I fear I will not live to see the second ever fulfilled.


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faceside & underside: 100% polyester
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sleeves cuffs: 94%TENCEL™ Lyocell/ 6% elasthane
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Join the ILP team for an exciting end-of-year celebration and networking event!
Host: Nicole & Dan Hill
Location: The Emerald Peacock, 233 Lonsdale Street, Melbourne
ILP Members $10
Non-members $20
Join the ILP team for an exciting end-of-year celebration and networking event!
Host: Nicole & Dan Hill
Location: The Emerald Peacock, 233 Lonsdale Street, Melbourne
ILP Members $10
Non-members $20
© 2024 ILP Asia Pacific
Acknowledgement of Country
We acknowledge the Traditional Custodians of the land upon which we work and live.
We pay our respect to Aboriginal and Torres Strait Islander cultures; and to Elders past, present and future.
Build Your BPS Roadmap For Success
5 Steps for getting CLEAR on your Business, People and Systems
(from Tamara's book)
Clarity about the 7C's (Core, Clients, Cash, Culture, Context, Capacity, Capability)
Leadership as you DARE to Lead (Direction, Accountability, Responsibility, Example)
Establish the PLAN (Past, Landscape, Attitude, Numbers)
Analysis is when you start to SMILE (Systems, Meetings, Information, Language, Expectation)
Reality is all about CHANGE (Consistency, Holidays, Achievements, No as an acceptable word, Generosity, Energy)
Tamara Simon is an accomplished Keynote Speaker, Workshop Presenter, Facilitator and Trainer who provides audiences with simple solutions to their problems in her passionate, high energy and fun manner (and a bit of tough love thrown in).
For over 25 years, she has spoken at business conferences and been voted by delegates as one of their TOP 5 PRESENTERS.
Tamara is the SIMPLE SOLUTIONS SPECIALIST driven by CURIOSITY, CHANGE and SIMPLICITY, and is affectionately known as Australia's small business answer to Bob the Builder (can she fix it, yes she can).
Where most people see things as they are, Tamara sees things differently – she sees things as problems, possibilities and simple systems which reveal how things can and should be.
And that's why she wrote her first business book The Five Little Business Pigs: Helping Reluctant Build Simple Profitable Businesses They Love
which uses the analogy of the fairytale of The Three Little Pigs because that's how we build our small businesses: from Straw to Stick to Brick. But there's two other Business Pigs: The Reno and The Rundown
Tamara understands it's the PROBLEMS
(ie the cracks in the bricks) which holds small business owners back and stop….:
This is why she knows the key to small business success lies in building five essential foundations:
Tamara's understanding of the problems facing small business owners and CEOs as they juggle managing their time, staff, systems AND growing the business is evident in her stories and ability to think on her feet and problem solve on the go.
With over twenty-five years experience in change management, business improvement, organisational development and training, she has worked with over twelve industry sectors across public, private and not-for-profit organisations.
Tamara's leadership and management expertise has been formally recognised as a:
Avatar-presented content: What's the impact on learning and outcomes?
Deniese is known as the go-to source for exceptional online teaching strategies that really are effective. Every research-driven strategy presented by Deniese has been extensively trialed, refined, and proven to work in a variety of VET settings by diverse educators, designers, and learners.
With extensive hands-on experience of her own in the online space, a Masters in L&D, and a PhD in online education, Deniese is ideally placed to help teams cut through the noise around teaching online.
Her ongoing research is what enables Deniese to continuously share up-to-date insights, and her commitment to developing practical strategies is what makes her PD sessions really stand out. Consistently one of the highest rated speakers at conferences and events, you don't want to miss this session.
How to design fast, without the stress
Overview: Let's face it, designing a workshop can be a daunting task.
There are so many variables and decision points:
– How do you start the session?
– What activities can you use to bring content to life?
– What information should you share?
It's no wonder that we often spend days (or weeks) searching online for the perfect activity.
After spending far too much time designing her own workshops, Leanne developed a formula that allows her to create sessions that hit the mark every time.
And she's sharing her secrets with you in this 90 minute virtual masterclass.
Design and Deliver
Over the last three decades, Dan has had the fortune of working in several industry sectors including defence, retail, wholesale distribution, mining, education and ITC. As a published author of several industry-leading titles, and a regular contributor to most social platforms, Dan has gained a considerable reputation in adult education, and education leadership and management.
He designs and facilitates nationally accredited courses in vocational education and leadership. Dan has also developed and run several specialised programs in the fields of emotional intelligence, workplace training and assessment, brain-based learning, and organisational culture.
As a passionate facilitator and speaker, Dan is able to engage groups with the right mix of humour, theory, practical activities and self-reflection. His professional experience allows him to draw upon interesting and poignant anecdotes and examples that link past experience in management, entrepreneurship, emotional intelligence, operations and strategy to the context of any workplace or training environment.
Qualifications and Accreditations
Doctor of Philosophy (Diversity Management), RU (2008)
Graduate Certificate in Business, QUT (2000)
Master of Business Administration, QUT (2001)
Diploma of Vocational Education and Training (2013)
Power up the Learning -Maximise the Impact
When we use Brain-Friendly delivery techniques – Participants learn, and learning Sticks !
In this workshop you will experience the five principles of Brain-Friendly Training in action. You will experience simple, practical things to include in training delivery, so that you know you are getting your message across, and you know it will stick and transfer back into the workplace.
It is a workshop full of ideas to excite and engage your participants no matter what content you are covering. You will experience PROCESSES that are simple, refreshing, practical and totally relevant to the challenges of educating and facilitating today.
Learning outcomes
Who should attend:
Word of Mouth referrals are the life-blood for any trainer or L and D team They are the most cost effective marketing tool that we have. These referrals come from happy clients. These clients are participants who received great training that engaged and inspired them with practical learning transfer into the workplace. Maintain your currency and competency with cutting edge skills and be prepared to have fun whilst stretching your own thinking as you experience some Brain Friendly training and lots of ideas you can immediately use in your own practice. Be inspired to ignite the desire for continuous improvement. You and your participants will love it.
It is, however absolutely essential, to have an open mind and a sense of adventure, where you may learn techniques that will make your teaching and training design even better.
Laurie Kelly from Brain Friendly Training is a leading provider of Professional Development for Educators and Trainers around Australia. Laurie has had excellent feedback with the delivery of these programs to facilitators and educators, in both the Private and Public sectors throughout Australia and Internationally.
Laurie is passionate about the importance of the information he shares.
Everybody can learn a little bit more about how to use their brain and Laurie has the ability to explain just how to do that. Don't expect to just hear about Brain friendly training – expect to experience it.
It's not about hype, it's not about complicated theories, and it's not about hollow words. It's about taking a common sense approach, coupled with new information, in order to make a big difference.
Train the brain-friendly way, and all hemispheres will love you
Every single L&D person who finds out I work in social media says 'Cool … you can help me with mine'. So here's that help – to make social media work for you. In an interactive session, you'll learn how to create a professional profile and how to build your network. You'll learn the secrets to creating great content and engaging your audience, and how you can use social media to enhance your professional development.
The endgame? Bringing learning, jobs, great content, awesome people and leads TO you.
Neil Von Heupt is one of Australia's top learning designers. He's worked on award-winning projects, is a conference, festival and event speaker, podcast guest, and Fellow of the Australian Institute of Training and Development, and the Institute of Learning Professionals Asia Pacific. He's a blogger and an experienced social media user across multiple platforms since their earliest days.
Neil designs learning to deliver performance and business outcomes. Nothing boring, no 'click next' snooze-fests – purposeful, engaging, collaborative, practical experiences that deliver results. As former Head of Learning Design at Social Media College, and founder of the social media agency 'circusocial', Neil is perfectly placed to bring the worlds of social media and L&D together.And he has an awesome kombi.
Demonstrating Training effectiveness – how to make this bane into a boon
Have you ever told yourself that evaluating to show results is too difficult? Have you ever wondered if there are easier, more fun ways to build a cohesive chain of evidence that is both useful and credible to your stakeholders?
If either yes or no, then this session is definitely for you! If you answered yes above, you will go away with ideas and practical tips on how to evaluate across the four Kirkpatrick levels in a simple, fun and cost effective manner. If you answered no to the above question, you are either currently not evaluating enough and could start with these techniques, OR you have it all figured out and can get into a great exchange of ideas with like-minded people!
During this session we will look at 4 key principles for a more purposeful approach to evaluation. We will share success stories from our clients and easy to adopt examples that you can quickly start building into your own evaluation charter.
Melanie combines her entrepreneurial spirit with her 15+ years of experience in L&D to help build memorable & results-based learning experiences. Being a Certified KP Facilitator and Transfer Enabler, she applies strong business acumen & a deep understanding of what makes learning stick to support clients in being more strategic in their L&D initiatives. Melanie is the co-owner of the Learning Gym, where the focus is on upskilling learning professionals in the field of training design, delivery, and evaluation.
Presenting with purpose
A vital component of a successful presentation is a clearly formulated, well written goal. It is essential to the success of your session. Without it you have no specific direction to follow. No way of knowing what to include, what to leave out and what to emphasise.
Developing effective goals begins with defining the purpose of your presentation and building specific measurable goals based on that. In this session we will look at the different reasons for a presentation and develop effective learning goals.
Adam is a facilitator and consultant with over 25 years' experience. Over that time, he has developed and conducted a wide variety of management and personal development programs for a broad cross section of clients.
As well as being the General Manager for the ILP Academy he still runs his successful Training business, Fundamental Training and Development.
As well as a degree in Psychology, Adam has completed a Certificate IV in Training and Assessment, an Advanced Train the Trainer, a Creative Training Techniques workshop and a Diploma of Management. He is currently completing the new Certificate IV in Learning Design and Facilitation.
As an avid student of human behaviour, he is a certified practitioner of the Myers-Briggs Type Indicator (Step I and Step II), the Herrmann Brain Dominance Instrument, the Team Management Systems, DISC Advanced, the Belbin Team Roles, CCS Cards and Collaborizza.
Adam is also a member of the Australian Association of Psychological Type (AUSAPT) and the Victorian Chamber of Commerce.
Outside of Learning and Development Adam is a father to the multi-talented Josh who also runs his own business and is known in musical circles as Calavera. He is also an avid photographer and is the current president of the Knox Photographic Society.
Professional Attributes
In "Purple Cow", the best-selling author and marketing guru Seth Godin explains how businesses can leverage uniqueness to achieve incredible results.
Similarly, L&D professionals can help businesses form and foster purple teams. Building on a confrontational military technique, the innovative "purple team" concept pushes the boundaries of critical and creative thinking, improving decision-making and challenging status quo cultures.
In this presentation, Lison Mage will give the keys for L&D professionals to support their leaders and effectively assemble powerful "purple teams" with unique individuals who think remarkably and act decisively.
Key Takeaways:
Lison Mage, author of "Act Before You Overthink," is a captivating keynote speaker and highly skilled trainer/facilitator. With a background in engineering and experience working on three continents, Lison brings a multicultural perspective and insights from psychology and behavioural sciences into her work. From extreme sports enthusiast to expert in high-performance, her engaging approach and practical tools foster sustainable performance and strategic decision-making for individuals and teams.
Strategy & Planning
Whether you're an internal learning and development (L&D) expert or an external provider, there are several keys to managing an L&D project from concept to delivery – and beyond! Join experienced project manager, Trinity Ryan, as she provides practical, hands-on advice for navigating three of the most challenging project management issues we face on a regular basis.
With reflections from her 27 years of experience in the industry, you'll learn how to tame stubborn scope creep, wrangle unwieldy stakeholders, and remain Zen through constantly-changing project deadlines.
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Mood: incredulous
Now Playing: The truth and the resaons for lies about Torture and Rape
Topic: TORTURE
Fake Rape Photos Re-Emerge Again To Discredit Real Torture Scandal
- Paul Joseph Watson
Prison Planet.com
Friday, May 29, 2009
Staged photos lifted from porn websites purporting to be images of U.S. troops raping female detainees at Abu Ghraib are again circulating at the height of the torture scandal, discrediting the very real and admitted accounts of rape described in Major General Antonio Taguba's military report into the Abu Ghraib prison.
Despite the fact that these photos were vehemently discredited and proven to be taken from porn websites when they first emerged in 2004, they are again being erroneously cited as examples of photos showing rape that the Obama administration is blocking from public release - providing debunkers with ammunition to dismiss the validity of the torture scandal altogether.
In light of the Pentagon and the White House's bizarre efforts to deny the reality of their own internal investigation and pull a crude bait and switch yesterday in claiming that the blocked photos do not show rape, it can only be assumed that these fake photos are again being pushed as a means of discrediting the proven instances of U.S. prison guards and others raping women and children at Abu Ghraib and other detention facilities.
"New photos obtained by Press TV have revealed alleged sexual harassment and rape of Iraqi prisoners at US-run Abu Ghraib detention center by American soldiers. The alleged pictures illustrate American soldiers raping and sexually harassing Iraqi detainees," states the report.
However, the photos do not illustrate American soldiers at all, the uniforms worn by the men in the images are clearly not those worn by U.S. troops in Iraq, they are cheap military fatigues that anyone could find at Wal-Mart or any other discount clothing store.
Furthermore, it was admitted five years ago that the photos were taken from porn websites after they were first published by the Boston Globe.
"Graphic photos appearing on Arabic websites of U.S. servicemen raping and sexually abusing Iraqi women were actually taken from American and Hungarian pornography sites," reported World Net Daily.
The photos, which were published under the headline "The Abu Ghraib Prison Photos," by a Tunisian website, were lifted from an American porn website called "Babes in Iraq," as well as a Hungarian porn website called "Sex in War."
The websites were registered under the HotSpotCity.com domain, which hosts "cheap unrestricted adult XXX porn websites" and is a subsidiary of MacNew Enterprises. Owner Linda MacNew told World Net Daily that the photos had originated from the porn websites and they were subsequently shut down.
The Boston Globe later had to apologize for publishing the fake photos.
The fact that the photos are being cited as proof of rape at Abu Ghraib when they are clearly lifted from amateur porn websites, a point that was confirmed no less than five years ago, makes it highly suspicious that these images are again circulating as the torture scandal reaches new heights and threatens to embroil top Democrats, who are complicit because they gave their approval for the Bush torture program in the first place.
It seems that every time the torture scandal escalates, fake images, video and testimony is released to poison the well and convince the public that the whole issue is a hoax.
In May 2006, a video emerged in which a self-proclaimed Army Ranger called Jesse MacBeth claimed that his unit was told to kill Iraqi men, their wives and children indiscriminately if they didn't explicitly follow orders. The video became wildly popular on the Internet but soon turned out to be a hoax, there was no record of MacBeth being an Army Ranger.
As soon as the video was declared a hoax, neo-cons like Michelle Malkin jumped on the issue to claim that accounts of Iraqis being indiscriminately killed were all fraudulent, despite the fact that a BBC News interview with soldiers who had served in Iraq, in which the troops admitted to witnessing war crimes, proved the allegations of indiscriminate murder to be true.
Similarly, at the height of the Abu Ghraib scandal in May 2004, the London Mirror published photos of British soldiers allegedly urinating on detainees in Iraq. The images were later proven to be fraudulent and the hoax was exploited by the corporate media and the government to discredit other proven cases of torture and abuse carried out by British soldiers in Iraq.
We see the same pattern over and over again - every time the torture scandal escalates, fake images are released to poison the well and dampen outrage about the very real torture and sexual abuse of women and children that is documented in the U.S. military's own internal report into the Abu Ghraib prison scandal.
The fact that Press TV and the individual quoted in the article have fallen for this simplistic propaganda yet again is beyond belief. It's a case of 'fool me once, shame on you, fool me twice, shame on me.' We have alerted them to the hoax and hope to see the story removed as soon as possible before people like Michelle Malkin cite it as proof that the very real rape scandal is non-existent.


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Bobbie Nelson — Willie Nelson's Sister and Family Band Member — Dead at 91
Bobbie Nelson, pianist and singer in the Willie Nelson Family band, died Thursday morning, March 10, 2022, the Nelson family's publicist confirms. She was 91.
"Her elegance, grace, beauty and talent made this world a better place," a statement about Bobbie from her family reads. "She was the first member of Willie's band, as his pianist and singer. Our hearts are broken and she will be deeply missed. But we are so lucky to have had her in our lives. Please keep her family in your thoughts and give them the privacy they need at this time."
Bobbie Nelson was raised alongside Willie by their grandparents in Abbott, Texas. She learned to play the piano at a young age, and eventually formed a band with Willie and her husband, Bud Fletcher. The trio performed at honky-tonks across Texas until Fletcher was killed in a car accident. Soon after, Bobbie took up secretarial work and performed various pianist gigs to supplement her income while raising their three children.
That all changed when Willie signed a record deal in 1972. Bobbie soon joined his band and quickly became a charismatic staple of his live performances. She also was featured as a vocalist and musician on many of Willie's most iconic albums, including Red Headed Stranger, Phases & Stages and Stardust.
Bobbie Nelson released her debut solo album Audiobiography in 2007, which included two songs featuring guitar and vocal accompaniment from her brother. In 2017, she was inducted into the Texas Country Music Hall of Fame.
Willie Nelson was known to lovingly refer to Bobbie as "little sister" during their live performances. The siblings kept a close relationship even in recent years, penning a memoir together entitled Me and Sister Bobbie: True Tales of The Family Band in 2020.
The 2021 album The Willie Nelson Family was a collaborative project from Willie, Bobbie, Willie's sons Lukas and Micah, as well as his daughters Paula and Amy. The project, which would become one of Bobbie's final releases, included a mixture of inspirational classics and new versions of classic Willie Nelson tracks.
Bobbie Nelson was expected to perform alongside her family members at Luck Reunion, a music festival held at Willie Nelson's ranch in Luck, Texas, on March 17.
See Pictures of Willie Nelson Through the Years


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h-x Diagram Components
h-x diagram depiction of an adiabatic humidification process
h-x diagram depiction of an isothermal humidification process
h-x diagram depiction of a temperature increase
Humidification Made Simple:
What is a h-x diagram?
The h-x diagram was developed in 1923 by Richard Mollier. It makes it possible to calculate and graphically illustrate changes in moist air conditions caused by warming, humidification, dehumidification and cooling. Condition changes can be determined graphically, directly from the diagram.
Components and parameters:
An h-x diagram specifies all parameters required to describe air conditions:
= t
in °C
Absolute humidity
= x
in g/kg
Relative humidity
in %
Specific enthalpy
= h
in kJ(1+x)kg
= p
in (kg/m
An h-x diagram is plotted as a skew coordinate system. The skew coordinate system was selected because it increases accuracy for reading the unsaturated range of moist air. To construct the skew diagram proposed by Mollier, the x-axis is rotated clockwise until the isotherm t = 0°C runs horizontal in the unsaturated range of moist air. The lines for constant specific enthalpy h run from the upper left to the lower right. The lines for constant water content x run vertically.
For practical reasons, the horizontal axis on which water content x is applied does not run through the coordinate system's point of origin. The partial pressure of the water vapor can be specified as a second x-axis since this value is only based on water content x and air pressure p. Specific enthalpy h is applied on lines which run diagonally. Arrays of curves are specified in the diagram for air temperature, density of moist air and relative humidity.
Use of a ruler allows for easy graphical depiction of condition changes, such as a condition change which occurs upon steam humidification. The index 1+x indicates that the enthalpy of moist air consists of the enthalpy of dry air and enthalpy of water. Lines of equal temperature (isotherms) rise slightly in the region of unsaturated air, namely around the portion of steam where enthalpy can be detected. The lines bend down at the saturation point (relative humidity = 1) since air can still hold water in liquid form as small drops of water (mist) in addition to the maximum amount of water vapor possible. The isotherms in the mist region deviate from the lines for constant enthalpy which run through the saturation point by only the slightly perceptible enthalpy for the additional amount of water.
There are now curves of equal relative humidity in the region of unsaturated air which are produced through the even division of the isotherm sections between = 0 and = 1. Relative humidity therefore becomes smaller and smaller as air becomes warmer, assuming the water content x does not change.
Calculations Using the h-x Diagram
Warming at Constant Absolute Humidity
The adjacent figure depicts the warming process for an air mass which experiences no changes in its steam content. What can we infer from this process?
Heating begins at 11°C (point 1) and ends at 25°C (point 2). The absolute humidity x in this process remains constant, at 4 g/kg. On the other hand, relative humidity changes from 50% at 11°C to 20% at 25°C. Enthalpy h (1+x) also changes from 21.4 kJ/kg to 35 kJ/kg, as well as density, which experiences a change from 1.24kg/m3 to 1.17 kg/m3.
Atomization and Evaporation of Water (Adiabatic Humidification)
If water is atomized or evaporated without the addition of extra heat, the energy required for the evaporation process is drawn from the surrounding air. As a result, the air cools down. This process is called adiabatic cooling since the cooling process runs in parallel to the adiabatic process. The ruler ∆h/∆x in the h-x diagram shows the precise direction of the cooling curve during humidification.
Calculation of ∆h/∆x:
kg H
O / kg dry air
Humidification using Steam (Isothermal Humidification)
Temperature essentially remains constant when steam is used for humidification,
since the water vapor is at the same energy level as the air.
Calculation of ∆h/∆x:
kg dry air
See more videos on the Condair YouTube Channel


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What is the answer to Can guinea pigs eat Lettuce? It is safe for them to eat a variety of lettuces such as arugula, Butterhead/Boston/Bibb, Romaine/Cos, endive, escarole, red leaf, and dark green leaf lettuces. Iceberg lettuce should not be fed to your guinea pig. Basically, it is safe for guinea pigs to eat almost any type of lettuce other than iceberg lettuce.
The answer is yes, guinea pigs can eat most types of lettuce. Dark green lettuces are great foods for your cavy. They are high in both vitamin A and vitamin C. They also have limited amounts of oxalic acid and sugars. On the other hand, iceberg lettuce should be avoided because of its high water content and limited nutritional value. It also may have toxins that can be detrimental to your guinea pig.
Romaine lettuce is a particularly good choice and should be given to your guinea pig often. It is very high in vitamin C and should be the preferred lettuce type that you feed your cavy. (然而, if your cavy often gets stones, then red and green leaf lettuce may be better choices.) Vitamin C is an essential nutrient that will help your guinea pig to fight infections, heal wounds, 并执行其他重要的身体机能. 也, with the proper amount of vitamin C, your guinea pig has less of a chance of getting scurvy. As guinea pigs do not produce their own vitamin C, 他们必须从他们所吃的食物中获取它. 绿叶蔬菜, such as Romaine lettuce, are healthy and tasty foods that can help give your cavy the right amount of vitamin C to keep them healthy and happy.
Cavies can usually safely eat about one large leaf of the approved lettuce types every other day. Be sure to wash to lettuce prior to feeding it to your guinea pig. Although guinea pigs eat dark green leafy lettuce, be sure to moderate the amount that you are feeding your cavy. Too much of a good thing can easily become a bad thing. In this case, too many lettuces can give your guinea pig diarrhea because of their water content. 因此, although guinea pigs eat lettuce and it is very healthy in the right amount, just be sure to moderate their intake so they can get the nutritional benefits from the lettuce without any negative side effects.


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pergel edu
Dear visitors, we have prepared composition examples that explain the importance of education for you. We chose a suitable and beautiful title for each of the composition examples related to education and compiled these articles as an introduction and a conclusion. Essays about education are good examples for all grade levels, as they are written in short and long formats. You can also write an informative text, essay or article about education and send it to us and have it published on our site. Now, if you wish, let's move on to reading essay examples about the importance of education. Education is the work of providing children or young people with various knowledge and skills. Education starts from birth and continues throughout life. Children are given primary education by their parents. Afterwards, education continues in schools. Education is very important for people to build a beautiful future and to advance themselves and the society they live in. It is not possible


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Tourism professionals
For travel agencies, tour operators, and event agencies that want to offer their clients an original activity for a group trip, work meeting, or seminar: Vin4 heures wine tours can organise a fun and memorable wine-related experience for your group.
- DiVine Tour: Ride a 2 CV through the vines and explore the Languedoc-Roussillon region on the Mediterranean coast
- DiVine Winemakers: Ride a 2CV to a wine cellar where you'll get up close and personal with one of the region's winemakers
- DiVine Senses: Tantalise your taste buds and learn how to unravel the mysteries of Languedoc-Roussillon wine
- DiVine Craft: Head to the vineyard for a sensory and informative introduction to the winemaker's craft
Vin4 heures wine tours offers customised activities based on the size of your group and their specific interests, according to your geographic and scheduling constraints.
Please contact us for more information.


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I decided to go with a "good" party this time. |
Wizardry V is fresher in my mind than either Sentinel Worlds or Star Command was when I "rebooted" them, but it's still been over three months, and I really couldn't remember what was going on in the game when I last left. I'll keep my maps, but I'm going to start over with a new party.
This new party, incidentally, is my permanent party. I'm done with this swapping-out characters nonsense. It takes too long. From now on, if any of my characters dies and the resurrection turns him to ash, I'm re-loading. I'm also re-loading if I suffer a full-party death. Even typing that, I cringe. Somewhere, I can hear Andrew Greenberg laughing at me. "You may win the game," he's saying, "But you won't have truly beaten me! Bwu-hah-hah-hah!" Screw you, Greenberg. 1980 called; they're looking for their graphics.
My party comprises three fighters, a thief, a priest, and a mage. I spent a lot of time rolling and re-rolling until everyone started with a bonus score of at least 20. That wasn't enough to make the first two characters a lord and a samurai, which is what I wanted, but their stats were just on the cusp of what they need for those two classes, and I planned to switch them after a few level-ups increased their stats.
Jack basically needs one more of everything to be a samurai. |
If you don't remember the plot, it takes place beneath the Kingdom of Llylgamyn. A rogue sorceress named The Sorn has created an "unnatural, magical vortex" deep within the dungeon called Maelstrom, and she has imprisoned the Gatekeeper, a demi-god who is our only hope of stopping her. I have to make my way down to her level and find some way to free him.
Advice from a priest whose god is named "La-La." |
Unlike the first few games, which were fairly straightforward dungeon crawls with the occasional inventory puzzle, Wizardry V relishes multi-level puzzles involving goofy characters. For instance, I had to buy a rubber duck from some giant called the "Mad Stomper" on Level 3 so I could return it to a character named the Duck of Sparks on Level 2 in exchange for a wand that I need...somewhere, I guess.
Sigh. Could you at least pretend you're an entry in a seminal CRPG series? |
The puzzles chain together. In a long day of playing yesterday, I:
- Visited a tavern on Level 2 and got a clue that I needed to search a room for a hacksaw; found the hacksaw.
- Got a recipe for a "Spirit-Be-Gone" potion from the Duck of Sparks.
- Used the hacksaw to cut the chains off a door leading to a lab.
- Mixed the potion in the lab.
- Used the potion to scare away a ghost guarding a chest.
- Found a jeweled scepter in the chest.
- Used the scepter to enter a temple on Level 3.
- Fought and killed the temple's guardian, winning a blue candle as my prize.
- Used the blue candle in front of a dead-end wall to find a secret door leading to a set of stairs.
- Descended the stairs to find myself at a place called the "Jigsaw Bank & Trust," where I now have to manipulate some disks to...do something to open the vault, maybe.
My current puzzle. |
I don't yet have any clues about the right disk order, but I'm sure I'll find something in some unexplored part of the dungeon.
Unlike the linear progression through the levels of the first Wizardry, this focus on puzzles requires you to frequently backtrack, often finding new sections of previously-explored levels. As I indicated in my December postings on the game, the levels are quite large. Level 1 alone took up 30 x 39 coordinates, although the game doesn't use every space. At least, I don't think it does. Some of the secret doors have taken multiple searches, and I don't have time to search every blank wall multiple times.
I think I'm done with Level 1, but you never know when a new staircase or portal is going to make use of some of this filled-in space. |
Blackadder and Jack Burton eventually got their lord and samurai class changes, although I didn't realize the game resets all your attributes to 8 when you change classes. That seems a little unfair. But the two prestige classes get spells (priest and mage, respectively), which makes it worth it.
Changing from a fighter to a lord. |
I elected not to adventure with a bishop (a combined priest/mage) this time. The major advantage to this class, other than the spells, is the ability to identify unknown gear. Identifying items costs as much as their sale value, which gets into the tens of thousands of gold pieces for some magic items. Fortunately, reader Jonesy, who commented on my original Wizardry postings a few months ago during his own replay, gave me an idea: create the bishop, but have him just sit in the tavern. Swap him in when I need to identify something, and then boot him out when I'm done.
"Identifier" prepares to get to work on a load of unknown items. |
This has worked out fairly well, but items have a chance of instilling fear in the bishop trying to identify them, a condition that prevents any further identification until cured. In some ways, his services have been more of a hassle than they're worth.
At this point, my characters are a couple levels below the last party I played in my December-February bout, but I've explored more of the map and solved more of the puzzles. I'll pick up from here with more detailed descriptions of the gameplay.
As I prepare to finish exploring Level 4, I have one mystery: On Levels 3 and 4, I encountered several pools of water that gave me the option to swim in them, and at multiple levels each.
In a comment in December, Delmoko tried to explain these pools to me, but I'm not getting anywhere with them. My characters keep drowning in the pools, which is a huge pain in the neck, because I have to haul them up to the temple for healing. Delmoko suggested that there were stats increases in some of the pools, but all I've managed to find are damage, poison, stat reductions, and encounters with monsters. Do these pools really serve any useful purpose? Can I just ignore them?
Finally, I think we might have a new entry in the "Most Annoying CRPG Enemies" list. Their name says all you need to know about them:
Nothing like watching a $6,000 platemail +1 disappear in one bite. |
Despite my barely-disguised disdain for the silly NPCs and plot elements, I had a reasonably good time building up my characters and re-exploring the first four levels of the dungeon. Things go a lot faster when you're not continually rolling and building new characters, nor dealing with full-party deaths. I want to try to bang this out in a week. I have big plans for NetHack.


text: CRI Scientific Advisor James Allison Wins 2014 Szent-Györgyi Prize February 12, 2014December 14, 2022 Matthew Tontonoz Adding to his already hefty collection of accolades, CRI's own James P. Allison, PhD, last week was awarded the 2014 Szent-Györgyi Prize by the National Foundation for Cancer Research. Named after Albert Szent-Györgyi, MD, PhD, whose work on vitamin C earned him the 1937 Nobel Prize in Medicine or Physiology, the prize recognizes the work of researchers who have made outstanding contributions to our understanding of cancer. It has been awarded annually since 2006. Dr. Allison is being recognized for his work leading to the creation of the first checkpoint blockade antibody, ipilimumab, which was approved by the FDA in 2011 for the treatment of metastatic melanoma, and which is now being tested in other cancers. Ipilimumab is a monoclonal antibody that blocks a molecule on T cells called CTLA-4, which serves as the T cell's brake system. By "taking the brakes off" the immune response, ipilimumab enables a more powerful anti-cancer response. "Dr. Allison's work has already saved numerous lives and shines a bright light on a future direction of oncology," said Alex Matter, MD, who won the 2013 Szent-Györgyi Prize for his work on the cancer drug Gleevec, and who chaired this year's prize selection committee. The prize is $25,000, and the recipient will also chair next year's prize committee. "Ongoing recognition of checkpoint blockade immunotherapy for cancer reflects the early success and great potential of treating the immune system, rather than the tumor, to destroy cancer." "The Szent-Györgyi Prize is a wonderful honor and I'm gratified to receive this recognition by the NFCR, a foundation that does so much to advance cancer research," Allison said. "Ongoing recognition of checkpoint blockade immunotherapy for cancer reflects the early success and great potential of treating the immune system, rather than the tumor, to destroy cancer." Dr. Allison has been working on T cell biology for more than 30 years. In the early 1980s, as a young investigator at The University of Texas, Allison was the first to identify the T cell receptor—the protein on the cell surface that binds to antigen and functions as a T cell's ignition switch. A few years later, in 1992, while a professor at UC-Berkeley, he showed that a molecule called CD28 functions as the T cell's gas pedal. Then, in 1995, when no one else was even thinking there would be such a thing, he identified the T cell's brakes, in the process opening up a whole new vista in cancer treatment. "Jim is a stellar scientist whose contributions to cancer immunology really have changed the direction of the field," says Jill O'Donnell-Tormey, PhD, CEO and director of scientific affairs at CRI. "We knew he was the best person to push the field forward and to direct CRI's strategic priorities and growth in the years ahead, and that's why he was selected as the director of our Scientific Advisory Council back in 2011. We are gratified to see both Jim and the field finally getting the recognition they deserve." In addition to the Szent-Györgyi Prize, Dr. Allison is the recipient of the 2005 William B. Coley Award, the inaugural AACR-CRI Lloyd J. Old Award in Cancer Immunology, the 2013 Innovations Award for Bioscience from The Economist magazine, and the 2014 Breakthrough Prize in Life Sciences. He is currently chairman of immunology at The University of Texas MD Anderson Cancer Center in Houston, Texas, and serves as director of CRI's Scientific Advisory Council. Read more: Post navigation T Cell as Trojan Horse: Insights into How HIV Eludes the Immune System Read Story Breast Cancer Vaccine Shows Success for Treating Osteosarcoma in Dogs Read Story


text:
Here's How You Get In Direct Contact With Joe Walsh
The best way to reach me is to call my direct line at ...
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But if you prefer, you can also email through the contact form below.
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text:
Research:Article feedback
Article Feedback v5 | Data & Metrics | Stage 1: Design (December 2011 - March 2012) |
Stage 2: Placement (March 2012 - April 2012) |
Stage 3: Impact on engagement (April 2012 - May 2012) |
WP:AFT5 (Talk) Dashboards |
Volume analysis |
Conversions and newcomer quality Final tests Quality assessment |
Key Personnel[edit]
- Dario Taraborelli
- Aaron Halfaker
- Oliver Keyes
- Fabrice Florin
- Howie Fung
Sub pages[edit]
Project Summary[edit]
The Article feedback project is an initiative of the Wikimedia Foundation to engage Wikimedia readers in the assessment of article quality, one of the five priorities defined in the strategic plan. It is based on the WMF-developed ArticleFeedback MediaWiki extension called Article Feedback Tool (AFT) and deployed as of v.4 on all articles on the English Wikipedia. A new version (v.5) of the Article Feedback Tool is under development, with a new emphasis on engaging readers to participate more on Wikipedia.
Research reports from the first phase of AFT's deployment (up to v.4) can be found on this page.
AFT v.5 was initially enabled on a small sample (0.3%) of randomly selected articles from the English Wikipedia on top of a small list of high-profile articles. Visitors are randomly assigned to one of three buckets for testing purposes. Key metrics and a work plan for testing AFT v.5 are available on this page. Clicktracking data specifications are described here.
The first reports from phase 1 of the AFT5 experimentation are available. They report results on the difference in volume and quality of feedback as a function of the design and placement of the AFT widget. For real-time data from the current AFT5 tests, check the metrics dashboard and feedback stream, as well as data dumps.
Time Line[edit]
A detailed timeline of the project can be found on this page.


text:
Sweet Lamb
I sure do have a soft spot for little lambs! This lamb was drawn on an egg gourd using a burning, or pyrography pen. Colors added using colored pencil.All of my work is one of a kind and my own design.
Egg gourds are about the size of an extra large chicken egg, but much less fragile. Hand in photo gives you a better idea of the size.
Some ornaments will rattle when you shake them, that is the loose seeds inside you are hearing.
Be sure to see the photo of an egg gourd growing in the garden before it is dried for artistic use.
Please display away from direct sunlight, as this will cause the artwork to fade. A UV protection coating is applied, but it has it limitations. Treat this little ornament as a miniature piece of original art, because that is what it is!
Comes with a handmade hook ready for hanging, and packaged in a gift box.
Ships USPS Priority with insurance included.


text:
Argyle Sweater Men Pullover
An arm's length ahead of the Argyle trend! The colour-harmonising Argyle pattern along the sleeve is the eye-catching highlight of this jumper which exudes casual chic with the plain coloured design and V-neckline. The 100 % cotton quality and relaxed fit ensure a feel-good finish.
- Argyle pattern along the sleeves
- V-neckline
- Long sleeves
- Ribbed cuffs
- Regular fit
- 100 % cotton


text:
Georgia Budget & Policy Institute
Grant: In support of health policy work
The Georgia Budget and Policy Institute seeks to build a more prosperous Georgia. We rigorously analyze budget and tax policies and provide education to inspire informed debate and responsible decision-making, advancing our vision of a state in which economic opportunity and well-being are widely shared among all. We are an independent, nonprofit, nonpartisan organization founded in 2004
How the Georgia Budget & Policy Institute benefits the community:
Each year, GBPI:
- Provides research and recommendations that are featured in news broadcasts, articles and editorials across Georgia.
- Identifies creative problem-solving pioneered by other states to recommend actions Georgia can take to tackle similar issues.
- Publishes dozens of fact-based reports on critical issues that determine Georgia's financial future.
- Educates Georgia lawmakers regarding tax, budget and policy implications of upcoming legislation.


text:
On furlough from Walter Reed National Military Medical Center this summer, 21-year-old Nick Staback lounges on his parents' back porch in Scranton, Pa., taking potshots at sparrows with a replica sniper rifle. The long plastic gun fires pellets that mostly just scare the birds away.
It's been a tough year for Staback since his last foot patrol in Afghanistan.
"We [were] just channeling down a beaten trail, of course, you just don't know what's on it," he says. "We had the mine sweepers out front and everything like that."
The area was littered with homemade bombs and everyone knew it.
"I was kind of looking where I was going to step, make sure I was going to step in my buddy's footprint kind of thing," he says. "But I guess it was just the wrong time, the wrong place."
The bomb threw Staback high in the air; he landed on his back in a state of shock.
"That's when I looked and saw probably a good couple inches of my femur on my right side sticking out. I couldn't tell that my left leg was completely gone but I did see that it was all mangled up and shredded," he says.
Staback's right forearm had a chop of flesh missing as well. A swarm of Afghan hornets, stirred by the blast, began stinging his buddies as they struggled to control the bleeding and carry Staback to a medevac helicopter.
Thousands of miles away in Scranton, Staback's mother, Maria, had just arrived at the state liquor store where she worked as a manager.
"The gentleman [on the phone] said, 'Are you sitting down?' " she says. "And he said, 'I need you to go somewhere — in a lunchroom, a break room, somewhere — and sit down.' "
The call was from Kandahar, where her son was in critical condition.
"I couldn't talk, I couldn't breathe," she recalls. "Then he started going on and telling me everything that happened. Then I had to call my district manager. I said Nicholas was injured, they blew my baby up."
Learning To Walk Again
The next year would transform both their lives, as Maria took a leave of absence to move into an apartment with her son at Walter Reed. She quickly found her niche there. Maria says Nick and her husband started calling her the "Gestapo" because of her relentless oversight of Nick's therapy and medicine. She was a tough coach as he learned to walk on two prosthetic legs.
"People think I'm horrible!" she says. "For some reason his knee gave out and he spun around and fell to the ground, and these two other Army guys they come running over — 'Are you OK?' — and I'm standing there and I'm laughing. And I said, 'Oh, yeah, he's fine. Let him go. Don't help him,' I told them. 'He can get up on his own.' He said, 'Oh, yeah, I'm OK.' Both of us were laughing like idiots."
She calls Nick her comic relief. He's not above making jokes about his prosthetic legs — like screaming when his buddies pretend to kick him in the shins or complaining about twisting an ankle.
He discovered exactly how many cans of Pabst Blue Ribbon fit in the hollow of his high-tech legs, and then passed them around the local bar in Scranton for everyone to take a swig.
Nick says he doesn't mind falling.
"You get up," he says. "You don't fall, you don't learn anything."
The Stabacks have four purple hearts hanging in the house — Nick's brother Ryan did two tours to Iraq and one to Afghanistan. Uncles served in World War II and Korea.
Nick still wants some sort of job that involves carrying a rifle. He says he's not going to let anyone tell him what he can't do. But like many 21-year-olds, he's not sure what exactly what he wants.
"If it comes to it where they just can't allow me to do it, whatever," he says. "Just play the cards you're dealt; I'll go on to the next thing."
Nick says he does get down sometimes, but tries to shrug it off and just get on with his life. As for his mother, she's been relentlessly upbeat since he got back from Afghanistan — at least when she's around him.
"I can never tell if she's having a rough day or not. She always had a smile on her face when she saw me," Nick says.
Maria says the hard part for her is wrapping up her time at Walter Reed and going back to work at the end of this month. Nick is moving into an apartment with a friend near the hospital in Bethesda, Md.
"He's going to miss me," she says, and Nick admits that he will.
"He's a strong boy. We're a strong family," Maria says. "It's already normal. This is the new normal, so I'm used to it already."
Copyright 2021 NPR. To see more, visit https://www.npr.org.


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text:
It's over for now. Biden signs debt bill that pulls U.S. back from brink of default
WASHINGTON (AP) — With just two days to spare, President Joe Biden signed legislation on Saturday that lifts the nation's debt ceiling, averting an unprecedented default on the federal government's debt.
It was a decidedly low-key denouement to a monthslong drama that unnerved financial markets at home and abroad and caused anxious retirees and social service organizations to make contingency plans in case the country was unable to pay all its bills.
Instead of holding a public ceremony with lawmakers from both parties — showcasing the bipartisanship that Biden had cited in an Oval Office address on Friday evening — the president signed the legislation in private in a reflection of the tight deadline facing the nation's leaders.
The Treasury Department had warned that the country would start running short of cash on Monday, which would have sent shockwaves through the U.S. and global economies.
The White House released a picture of the president signing the legislation at the Resolute Desk. In a brief statement, Biden thanked Democratic and Republican congressional leaders for their partnership, a cordial message that contrasted with the rancor that initially characterized the debt debate.
"No matter how tough our politics gets, we need to see each not as adversaries, but as fellow Americans," Biden said in a video message released after the signing. He said it was important to "stop shouting, lower the temperature, and work together to pursue progress, secure prosperity and keep the promise of America for everybody."
The standoff began when Republicans refused to raise the country's borrowing limit unless Democrats agreed to cut spending. Eventually, the White House began weeks of intense negotiations with House Speaker Kevin McCarthy, R-Calif., to reach a deal.
The final agreement, passed by the House on Wednesday and the Senate on Thursday, suspends the debt limit until 2025 — after the next presidential election — and restricts government spending. It gives lawmakers budget targets for the next two years in hopes of ensuring fiscal stability as the political season heats up.
Raising the nation's debt limit, now at $31.4 trillion, will ensure that the government can borrow to pay debts already incurred.
After Congress passed the legislation, Biden used the occasion to deliver his first speech from the Oval Office as president on Friday.
"No one got everything they wanted but the American people got what they needed," he said, highlighting the "compromise and consensus" in the deal. "We averted an economic crisis and an economic collapse."
Biden touted the achievements of his first term as he runs for reelection, including support for high-tech manufacturing, infrastructure investments and financial incentives for fighting climate change. He also highlighted ways he blunted Republican efforts to roll back his agenda and achieve deeper cuts.
"We're cutting spending and bringing deficits down at the same time," Biden said. "We're protecting important priorities from Social Security to Medicare to Medicaid to veterans to our transformational investments in infrastructure and clean energy."
Biden's remarks were the most detailed comments from the Democratic president on the compromise he and his staff negotiated. He largely remained quiet publicly during the high-stakes talks, a decision that frustrated some members of his party but was intended to give space for both sides to reach a deal and for lawmakers to vote it to his desk.
Biden praised McCarthy and his negotiators for operating in good faith, and all congressional leaders for ensuring swift passage of the legislation. "They acted responsibly, and put the good of the country ahead of politics," he said.
In addition to restrictions on spending, the 99-page bill changes some policies, including imposing new work requirements for older Americans receiving food aid and greenlighting an Appalachian natural gas pipeline that many Democrats oppose. Some environmental rules were modified to help streamline approvals for infrastructure and energy projects — a move long sought by moderates in Congress.
The Congressional Budget Office estimates the legislation could actually expand total eligibility for federal food assistance, with the elimination of work requirements for veterans, homeless people and young people leaving foster care.
The legislation also bolsters funds for defense and veterans, cuts back some new money for the Internal Revenue Service and rejects Biden's call to roll back Trump-era tax breaks on corporations and the wealthy to help cover the nation's deficits. But the White House said the IRS' plans to step up enforcement of tax laws for high-income earners and corporations would continue.
The agreement imposes an automatic overall 1% cut to spending programs if Congress fails to approve its annual spending bills — a measure designed to pressure lawmakers of both parties to reach consensus before the end of the fiscal year in September.
In both chambers, more Democrats backed the legislation than Republicans, but both parties were critical to its passage. In the Senate the tally was 63-36 including 46 Democrats and independents and 17 Republicans in favor, 31 Republicans along with four Democrats and one independent who caucuses with the Democrats opposed.
The vote in the House was 314-117.
AP Congressional Correspondent Lisa Mascaro contributed to this report.
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