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Reducing the stigma on posttraumatic stress disorder in militaries through virtual reality
Over the last years, the occurrence and consequences of posttraumatic stress disorder (PTSD) in militaries has received increasing attention in the media. Young members of the British royal family raise awareness by speaking out and funding training and education programs for active duty militaries, veterans and their families. Actions such as these aims to help reduce the persevering stigma of PTSD. In clinical research, the stigma and underreporting of PTSD in militaries has been an area of investigation for decades.
PTSD has an estimated prevalence of 2–17% in US militaries and veterans (1). Both the suffering and the perception of threat of a traumatic event during a military mission are strong predictors of the occurrence of PTSD symptoms (2,3). PTSD is a disabling disorder with severe consequences if left untreated, such as an increased risk of aggressive behavior, comorbid depression, homelessness, unemployment, suicide and alcohol misuse (4). Although effective treatments for PTSD exist, research has shown that many veterans returning from missions in Afghanistan in need of treatment did not seek professional help (5). A study conducted by Harik et al. found veterans with PTSD symptoms did not recognize these symptoms and lacked knowledge about effective treatments of PTSD. This could be a barrier to visit a clinician and seek help (6). A qualitative study by Mellotte et al., using semi-structured interviews amongst UK veterans who sought mental help, reported they initially refrained from seeking help because of self-sigma and possible public stigma. They commonly waited until a point of crisis was reached before reaching out for help (7). A survey conducted amongst military clinicians by Wilk et al. showed that in 41% of cases where PTSD was diagnosed clinically, clinicians did not report the formal diagnosis including a code in the military health record. This was mostly motivated by perceived stigma and possible consequences for the career prospects of the militaries (8). Social support, internal motivation, and media attention were identified as factors to support the decision in seeking help in US militaries (7). Access to mental health care in a proximate facility is another contributing factor (9).
The delaying factors for militaries in help seeking underscore the vital importance of adequate screening and detection of PTSD to facilitate timely treatment and prevent symptoms from worsening. In the Departments of Defense and Veteran Affairs of the USA, the Primary Care PTSD screen (PC-PTSD) is the most widely used screening tool for PTSD. This is a four item questionnaire with four closed-end questions (10). The PC-PTSD is usually incorporated into more extensive surveys, such as the Post-Deployment Health Assessment (PDHA) symptom checklist. After screening positive for PTSD, a clinical assessment by a trained professional will establish a diagnosis and treatment plan.
New technologies such as virtual reality and mobile applications may further stimulate help-seeking and reduction of stigma. These technologies can be used for education, initial screening of PTSD symptoms and assignation to treatment. An example is the Smart Assessment on your Mobile (SAM) application, which contains a PSTD checklist. A large agreement was found between SAM and a clinical structured interview for PTSD amongst police officers (11). Apart from symptom assessments, other applications such as the PTSD coach mobile application include information on PTSD, symptom managing tools such as relaxation skills and recommendations for professional help (12).
In the study of Lucas et al., US active service militaries are interviewed by virtual human interviewers about PTSD symptoms (13). The virtual human interviewers were created by the research group of Rizzo et al. using the MultiSense system. This system is able to detect and analyze behavioral signals of the militaries such as head position, facial expression, body posture and speech dynamics. The virtual interviewer can then provide an appropriate response such as a follow-up question, an acknowledging gesture or feedback (14). Therefore, the virtual human interviewers are able to conduct a semi-structured interview with open-ended questions and emotional reflections. The amount of disclosed PTSD symptoms by the militaries in response to three open ended questions on PTSD symptoms was compared with both an anonymized and a regular version of the golden standard PDHA symptom checklist containing the PC-PTSD. The authors hypothesized that both the possibility of anonymous reporting and the building of rapport through the virtual interviewers would contribute to an increased disclosure of PTSD symptoms compared to the regular and anonymized version of the PDHA questionnaire. Indeed, they found active duty militaries were more likely to disclose PTSD symptoms to the virtual interviewer in comparison to both the regular and the anonymized version of the PDHA. This underscores the potential of virtual reality in the initial screening for PTSD symptoms in militaries. However, multiple factors could have contributed to this finding. As stated by the authors, the questions on PTSD symptoms by the virtual interviewer were asked in an open manner, as opposed to the yes/no questions of the PDHA. Additionally, in the virtual interview the questions on PTSD were intertwined in a clinical interview, in which the prior phase consisted of making contact and introductory questions and the final phase of questions about positive experiences. These additional phases were not part of the PDHA screening.
In a second study conducted in both active service militaries and veterans, the wording of the questions in the anonymous PDHA matched the wording of the open-ended questions on PTSD of the virtual interviewer. In this second study, no significant differences in symptom disclosure were found in both the veterans and the active duty militaries. The number of active service militaries in this sample was not clear however, which is a limitation because perceived stigma could be more pronounced in this group as they reported less PTSD symptoms compared to veterans.
More research into other possible factors contributing to disclosure of symptoms with the virtual interviewer is necessary, such as the verbal and non-verbal rapport building by the virtual interviewer. Also, the clinical relevance of the increased disclosure with virtual interviewers should be considered. It was found that with the virtual interviewer, a mean of 1 PTSD symptom was disclosed in active duty militaries, while on the PDHA this was 0.5 PTSD symptom. A single symptom does not equal a diagnosis of PTSD nor a need for treatment. Therefore, the virtual interview can be considered a screening instrument and not yet a replacement for an actual clinical interview. It is still essential to follow-up with a comprehensive clinical assessment to ensure a diagnosis and allocation to treatment. It would also be interesting to explore the possibilities to provide psycho educational information by the virtual interviewer to stimulate the military to seek help. If the use of the virtual interviewers instead of the PDHA will lead to more diagnosis and treatment of PTSD in the end, this technology would be of great value for the military.
Based on this study, the use of virtual interviewers to stimulate disclosure of PTSD symptoms in militaries seems promising. Especially in populations with a high risk but relatively limited knowledge of PTSD symptoms and treatment this is an interesting alternative to closed-end traditional questionnaires. Other professions with a great risk of confrontation with traumatic events, such as police and fire officers, would also be relevant target groups. However, the implications depend on the subsequent actions by the military department. As long as the stigma and the consequences for the military career are large, militaries will continue to be reluctant to have a diagnosis of PTSD recorded in their military health records and accept help for treating this disorder. Against this background, apart from arrangements to reduce stigma and improve career prospects, it would also be interesting to look into possibilities for treatment of PTSD using virtual reality. This could also be of benefit to militaries who have limited access to mental health care facilities. The use of intelligent virtual therapists in combination with exposure treatment using multimedia including virtual environments could potentially facilitate an anonymous form of therapy. Such an application was developed by Tielman et al. and is currently investigated in patients with sexual assault or combat related PTSD (15). More research on applications like these for PTSD treatment is necessary before conclusions on efficacy and usability can be drawn.
In conclusion, the innovative technique of virtual reality has great potential to contribute to a better screening process for PTSD in high-risk professions such as the military. PTSD has a tremendous impact but can also be treated effectively, especially in the case of an early diagnosis after single traumatic events. A good mental condition of militaries benefits all parties including patients, their families, their employers and the people of the countries they are protecting.
The authors would like to thank Christianne van der Meer and Anne Bakker for their input.
Conflicts of Interest: The authors have no conflicts of interest to declare.
- Richardson LK, Frueh BC, Acierno R. Prevalence estimates of combat-related post-traumatic stress disorder: critical review. Aust N Z J Psychiatry 2010;44:4-19. [Crossref] [PubMed]
- Gates MA, Holowka DW, Vasterling JJ, et al. Posttraumatic stress disorder in veterans and military personnel: epidemiology, screening, and case recognition. Psychol Serv 2012;9:361-82. [Crossref] [PubMed]
- James LM, Van Kampen E, Miller RD, et al. Risk and protective factors associated with symptoms of post-traumatic stress, depression, and alcohol misuse in OEF/OIF veterans. Mil Med 2013;178:159-65. [Crossref] [PubMed]
- Ramchand R, Rudavsky R, Grant S, et al. Prevalence of, risk factors for, and consequences of posttraumatic stress disorder and other mental health problems in military populations deployed to Iraq and Afghanistan. Curr Psychiatry Rep 2015;17:37. [Crossref] [PubMed]
- Hoge CW, Grossman SH, Auchterlonie JL, et al. PTSD treatment for soldiers after combat deployment: low utilization of mental health care and reasons for dropout. Psychiatr Serv 2014;65:997-1004. [Crossref] [PubMed]
- Harik JM, Matteo RA, Hermann BA, et al. What people with PTSD symptoms do (and do not) know about PTSD: A national survey. Depress Anxiety 2017;34:374-82. [Crossref] [PubMed]
- Mellotte H, Murphy D, Rafferty L, et al. Pathways into mental health care for UK veterans: a qualitative study. Eur J Psychotraumatol 2017;8:1389207. [Crossref] [PubMed]
- Wilk JE, Herrell RK, Carr AL, et al. Diagnosis of PTSD by Army Behavioral Health Clinicians: Are Diagnoses Recorded in Electronic Health Records? Psychiatr Serv 2016;67:878-82. [Crossref] [PubMed]
- Maguen S, Madden E, Neylan TC, et al. Timing of mental health treatment and PTSD Symptom improvement among Iraq and Afghanistan veterans. Psychiatr Serv 2014;65:1414-9. [Crossref] [PubMed]
- Prins A, Ouimette P, Kimerling R, et al. The primary care PTSD screen (PC–PTSD): development and operating characteristics. Prim Care Psychiatry 2004;9:9-14. [Crossref]
- van der Meer CAI, Bakker A, Schrieken BAL, et al. Screening for trauma-related symptoms via a smartphone app: The validity of Smart Assessment on your Mobile in referred police officers. Int J Methods Psychiatr Res 2017;26. [Crossref] [PubMed]
- Kuhn E, Greene C, Hoffman J, et al. Preliminary evaluation of PTSD Coach, a smartphone app for post-traumatic stress symptoms. Mil Med 2014;179:12-8. [Crossref] [PubMed]
- Lucas GM, Rizzo A, Gratch J, et al. Reporting Mental Health Symptoms: Breaking Down Barriers to Care with Virtual Human Interviewers. Front Robot AI 2017;4:1-9. [Crossref]
- Rizzo A, Scherer S, Devault D, et al. Detection and computational analysis of psychological signals using a virtual human interviewing agent. J Pain Manage 2016;9:311-21.
- Tielman ML, Neerincx MA, Bidarra R, et al. A Therapy System for Post-Traumatic Stress Disorder Using a Virtual Agent and Virtual Storytelling to Reconstruct Traumatic Memories. J Med Syst 2017;41:125. [PubMed]
Cite this article as: van Bennekom MJ, de Koning PP. Reducing the stigma on posttraumatic stress disorder in militaries through virtual reality. mHealth 2018;4:5.


text: Today's Daily Briefing View the Archives Print Today's Stories CMS gives 213 hospitals 'five stars' for patient experience. See how yours fared on our map. 10:48 AM - May 8, 2018 Email Save LinkedIn Twitter Facebook See our map of hospital star ratings CMS on April 25 updated its Hospital Compare website with new Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) summary star ratings. Just updated: Your CMS HCAHPS patient experience star rating cheat sheet CMS' summary star rating scores hospitals on a one-to-five-star scale based on the 11 publicly reported measures in HCAHPS survey, which assesses patient experiences. The agency started assigning hospitals patient experience star ratings based solely on HCAHPS scores in April 2015. The latest update is based on HCAHPS survey data collected between July 1, 2016, and June 30, 2017. 4 ways patient experience may be costing you The patient experience summary star ratings are distinct from CMS' overall quality star ratings, which are scheduled to be updated in July. Overall star ratings are based on 62 quality measures from seven categories: effectiveness of care, efficient use of imaging, mortality, patient experience, readmissions, safety, and timeliness of care. How hospitals fared According to CMS, 3,466 hospitals had an HCAHPS summary star rating as of April 25. Of those hospitals: 213 received five stars; 1,177 received four stars; 1,522 received three stars; 495 received two stars; and 59 received one star (CMS HCAHPS Stars Rating Distributions, April 2018; HCAHPS Star Ratings Technical Notes, accessed 5/8). Hospital Patient Experience Star Rating Map View the map in full size Star ratings reflect HCAHPS surveys competed between July 1, 2016 and June 30, 2017, as displayed in the Hospital Compare update released on April 25, 2018. Just updated: Your CMS HCAHPS patient experience star rating cheat sheet Download our one page sheet for a summary on the methodology and metric categories used in the CMS HCAHPS Patient Experience Star Rating. Download Now Topics Performance Improvement, Quality, Patient Experience Daily Briefing When not to say 'thanks for coming to our hospital' and other patient experience tips from 7 leaders Next in the Daily Briefing Ascension's latest big move: A first-of-its-kind partnership to create a global health care supply chain Read now

subset: commoncrawl


text: Join women from Christ Church and the local community as we gather together to study the Bible, pray for one another and build community. We meet in the lower hall of our church building and childcare is provided. Please email firstname.lastname@example.com to find out more. Bible study may take a break around public holidays, so please email ahead to see if there is a meeting.


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Cory Weise of Eugene is a career criminal and a gang member.
But even the prosecutor who negotiated a plea deal with Weise that will send him to federal prison for 10 years on drug and gun charges says the longtime lawbreaker seems ready to turn over a new leaf.
�He�s intelligent, he�s introspective, he shows a desire to change,� Assistant U.S. Attorney Jeffrey Sweet said Wednesday during Weise�s sentencing hearing in U.S. District Court in Eugene.
�I think (Weise) really can do well,� Sweet added. �He�s just going to have to work hard at it.�
The 34-year-old Weise � whom Sweet characterized as being �a well-known member� of the West Side Gangsters, which formed in the 1990s in a west Eugene neighborhood � has been in and out of legal trouble for years.
He served 13 months in state prison in 2003 and 2004, then was sentenced to four more years behind bars after being convicted in 2005 of charges that included first-degree burglary, unlawful use of a vehicle and being a felon in possession of a firearm.
The federal case that concluded Wednesday came about as a result of an investigation into an October 2013 stabbing in downtown Eugene. Weise was arrested in connection with that incident after Eugene police used a percussion grenade to help them take him into custody in the Sheldon Plaza parking lot off Coburg Road.
Investigators subsequently seized methamphetamine and two guns from Weise�s home, which led to federal charges. Weise in December pleaded guilty to being a felon in possession of a firearm and possession with intent to distribute methamphetamine.
The stabbing case, meanwhile, remains an open matter. Weise faces assault charges in Lane County Circuit Court for allegedly using an improvised knife to stab a man outside the Good Times Cafe in downtown Eugene a few weeks before his parking lot arrest.
According to a plea agreement, any sentence that Weise receives in Circuit Court is expected to run simultaneous to the 10-year term handed down in the federal case.
Weise�s attorney, Larry Roloff of Eugene, said in court that his client has �made some bad lifestyle choices that got him involved in gangs� but is �very remorseful for his behavior� that led to the federal prison sentence.
Sweet said Weise � if he�s serious about changing his ways � should expect �a struggle� to distance himself from other gang members both while in prison and after he�s released back into the community.
Weise, meanwhile, told Judge Michael McShane that he regrets that he�ll be apart from his family while in prison but that he looks forward to participating in inmate rehabilitation programs that can help him to deal with mental health and drug issues. He expressed confidence that his life of crime is now over.
�I really do believe this is the last time,� he said in court.
Follow Jack on Twitter @JackMoranRG . Email firstname.lastname@example.com .


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A 22-year-old cybersecurity pro in the U.K. stopped yesterday's global ransomware attack, WannaCry. A link to his blog explaining how he did it is below. It's technical – in plain language and somewhat simplified, his work started when he obtained a sample of the malware, ran an analysis and "instantly noticed it queried an unregistered domain" which he promptly registered. Then he:
- diverted some of the malicious traffic into a sinkhole "a server designed to capture malicious traffic and prevent control of infected computers by the criminals who infected them"
- gathered data on the geography of the infections, and
- reverse engineered the malware to look for vulnerabilities.
He continued his detective work and reached out to colleagues over Twitter – collaboration and rapid action worked. Ultimately the sinkhole trapped the infection and halted its spread. You can read his blog here: https://www.malwaretech.com/2017/05/how-to-accidentally-stop-a-global-cyber-attacks.html
Don't become complacent and assume someone else will fix the problem. In healthcare there are steps you should take to prevent ransomware. The HIPAA Security Rule contingency plan is a blueprint for preparing for and recovering from a ransomware attack. It requires data backup, disaster recovery and emergency mode operation plans that enable you to resume normal operations and maintain the confidentiality, integrity and availability of your data. Always update your software, install the patches provided, and train your staff to stay alert.
Without a contingency plan, you'll be in the unfortunate position of paying ransom to a criminal to decrypt your data who may take the money and run – RanScam! Or take the money and also sell your data.
Follow HIPAA and thumb your nose at the cyber criminals.
More information for Microsoft consumers is here: https://blogs.technet.microsoft.com/msrc/2017/05/12/customer-guidance-for-wannacrypt-attacks/


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|Privates Chernecky (left) and Jones (right) of "M" Company, 15th U.S. Infantry Regiment. Taken around 1914 in Tientsin, China. The two men wear the American version of the
British foreign service helmet. These helmets had at one time been considered the height of military style but were never popular with American troops who generally preferred a slouch
hat. While this may have been the case with the U.S. Army in general the 15th Infantry seems to have adopted these helmets as something of a trademark while stationed in China
during the years prior to World War One.
Gabriel Steven Chernecky was born on 26 March, 1891 in Zastinki, Russia to Stephen Chernecky and Anna Kasnach. He left Europe on the steamer SS Oldenburg via Bremen,
Germany and arrived in New York City on 23 April, 1910. He was shown as being 5 foot 9 inches tall with an occupation of weaver. His petition for naturalization also gives his birth
name as Ignac Korpinowicz.
He enlisted in "M" Company 15th Infantry Regiment on 27 December, 1913 and received his honorable discharge on 15 October 1915 having served his entire enlistment with the 15th
Regiment stationed in Tientsin, China.
When he made his declaration of intent to become an US citizen on 26 December 1913 (and the day before enlisting) he was a resident of San Francisco, California living on 84 Jackson
Street. After his return from China he was resident of Pittsburgh, Pennsylvania and working as a bartender. He was later a notary public in Ansonia, Connecticut. He also was the
proprietor of the Quality Market in Ansonia and doubled as a steamship ticket agent.
With the outbreak of World War One, Chernecky re-enlisted in the army on 1 June, 1917 and was assigned as a Private, First Class to Company D of the 22nd United States Infantry.
Thus regular army regiment remained in New York for the duration of the war providing guard detachments for various important sites and transportation infrastructure. One battalion
served detached duty in Washington, D.C. On his Commonwealth of Pennsylvania Veteran's Compensation Forum, it is stated that Chernecky was injured in the line of duty no less
that four times, the first time on 13 February, 1918 secondly on 28 February, 1918, thirdly on 7 May, 1918 and lastly on 1 July, 1918. No details as to the cause or nature of these
injuries are given. He was honorably discharged on 19 April 1919 and was entitled to the World War One Victory Medal (no clasps).
According the Ansonia city directory for 1947 Gabriel Chernecky died on 26 December, 1945.
Based on a return for the 15th Regiment at Tientsin, China for March 1914, the pictured Private Jones seems to be George W. Jones of Company M. There or no other members of Co.
M listed by the name of Jones so this would appear to be the correct identification for the pictured soldier. No additional details regarding Jones is given in the return and so far no
enlistment records have been found so Jones still remains at this time a bit of a mystery.
Mounted Photograph
8 3/4 inches by 6 3/4 inches ( 22cm x 17cm )
Unknown Photographer
Tientsin, China
c. 1914
|Left: A detail view of Privates Gabriel Steven Chernecky and
George W. Jones, Company M, 15th United States Infantry,
Tientsin, China c. 1914. Both men appear to be wearing the olive
drab cotton drill 1911 pattern summer service uniform. I have
been unable to find a definitive resource describing the specific
pattern of tropical service helmets that Chernecky and Jones are
wearing although based on photographic evidence these helmets
seem to have remained popular with men of the 15th Regiment in
China long after being abandoned by U.S. troops elsewhere.
|Above: The photograph's reverse side showing the period inscription identifying the subjects.
|Above: The second photograph of Privates Chernecky and Jones showing the men with helmets off and shaking hands. In
a strange instance oh happenstance this photograph was purchased some ten years after the example shown at the top of
this page and from another seller in another part of the country. That the two photographs were taken by the same
photographer during the same photographic session is without question. Although enough time must have been allowed
for a change out of photographic backgrounds.
|Left: Privates Gabriel Chernecky and George Jones shake hands in
a photographic studio somewhere in Tientsin, China on the eve of
World War One.
|Above: The identifying ink inscription on the reverse side of the handshake photograph. The inscription is in the same hand as
that on the first image and is in fact worded almost exactly as that on the first one.


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Innovation Challenge Fund (ICF)
Visit Website
Innovation Challenge Fund
The Innovation Challenge Fund is a programme that financially supports high-tech, Devon-based, Advanced Marine businesses accelerate innovative projects.
The Fund is available to provide professional expertise, equipment and other support that may be needed in order to develop advanced projects further. Businesses that wish to be considered for funding should submit details of their project directly to the MBTC.
All projects will be reviewed by the MBTC Team and we will respond directly within five working days. We look forward to working with you!
If you would like to know more about the Marine Business Technology Centre please send us a message via the form below.


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10% off all Firework Herbal Supplements - Enter 'FIREWORX' at checkout
The ultimate liquid calmer for dogs!
Use Hilton Herbs concentrated liquid herbal supplement when quick absorption is required. Anxiety, stress, nervousness or uncharacteristic behaviour can be due to physical or mental problems. Tranquility is a tried and tested herbal calmer that will not dope or sedate your dog, but will help maintain a healthy and balanced nervous system and a calm outlook.
Click hee to see Hilton Herbs Tranquility Gold video.
Tranquility Gold is ideal for training, changes in routine, if travelling, for over exciteable dogs, rescue animals that may have received bad treatment or simply for tense, nervous sensitive dogs.
Some people prefer a dried supplement and the equivalent is Hilton Herbs Canine Tranquility.
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Add to dog's feed on a daily basis, dividing the required amount between two meals where possible for best result. Introduce slowly, especially if your dog has not had supplements before and allow up to four weeks for benefits to be seen.
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Chinatown is located in Savannah, Georgia. It was a safe zone protected by Alexis Glass-Mason. Chinatown was a safe zone, however is now a wasteland after it was destroyed by Espheni forces.
Before Chinatown was attacked, it featured many gardens in which the survivors gained their food. Chinatown featured atleast 100 survivors, and multiple more after the 2nd Mass arrived. After the Battle of Chinatown, an estimate of 30 survivors were left in Chinatown, few Chinatown survivors, as most gave their lives as they believed Alexis would not let them die. Many of the 2nd Mass fighters were killed during the battle, and many when a gasleak exploded in one of the streets where the fighters were stationed.
The 2nd Mass continue to use Chinatown as their home and later abandon it to march on Washington D.C. where the Espheni have set up a major base of operations.
Production used the inner courtyard of the Chinese Cultural Centre regularly for Season 4. The inner courtyard was part of a Dragon Center Mall. Falling Skies filmed the mall interiors at the nearby International Village. Falling Skies also used parts from inside the Dr. Sun Yat-Sen Classical Chinese Garden to create Chinatown.[1]


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Health cards distribution to be started in southern Punjab soon
Punjab Minister for Health Dr. Yasmin Rashid has said that health cards distribution will be started in southern Punjab very soon.
During the visit of various hospitals in Multan on Monday she said fifty million people will get latest medical facility through health card.
The minister said that neuro ward will be established in each hospital of southern Punjab.
Source: Radio Pakistan


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Monday, July 16, 2012
Hajjar & Webster Design for Deconstruction
Categories :
What if aging buildings could be dismantled and their components reused? Jerry Hajjar, Northeastern University, and Mark Webster, Simpson Gumpertz & Heger, have received a $250,000 research grant from the National Science Foundation to study design for deconstruction. Using structural clamps to attach precast plank to steel girders is one of the concepts to be evaluated. Read more about their work on the news@Northeastern web publication. http://www.northeastern.edu/news/2012/05/design-for-deconstruction-building-sustainability-into-our-buildings/
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Posts Bypinkrose | BestStylo.com - Part 3
Stylo Shoes Winter Collection 2019 New Arrivals With PricesApril 26, 2019 | pinkrose 1
Whether, it is a leisurely walk in the park or the walk down the aisle on your wedding day, shoes play a very essential part in our lives. And based on the story 'Cinderella', it goes to show … Read More
Asim Jofa Latest Fall Winter Collection For Women 2019 PricesApril 26, 2019 | pinkrose
Asim Jofa needs no introduction as he is one of the biggest and most renowned names in the Pakistani Fashion Industry. He landed in the world of textile designing with something that the market lacked, something that caught … Read More
Gul Ahmed Latest Winter Dresses Collection 2019 With PricesApril 26, 2019 | pinkrose 1
Gul Ahmed brings us amazing collections each season and they are definitely the ones to look out for. The variety offered by Gul Ahmed not only stands among the top brands of Pakistan in this category, but it … Read More
Zahra Ahmad New Party Wear Winter Dresses For Girls 2019April 20, 2019 | pinkrose 6
'Zahra Ahmad' is listed in Pakistan's top fashion designers who have been working in fashion arena since 1999 and till now she has turned out to be so much knowledgeable in the field of fashion designing. It's the … Read More
Latest Fall Winter Dresses For Pakistani Girls 2019April 2, 2019 | pinkrose 11
Are you already worried about how are you going to stay trendy in this upcoming chilly weather? Are you looking for stylish and elegant dresses to try this winter? No worries. Here is a solution to all your … Read More
Top 10 Best Moisturizing Winter Creams For Men & WomenNovember 28, 2017 | pinkrose
Proper moisturization of skin during winters is just as important for men as it is for women. Our skin usually dries out during the winter season and it gets damaged enough to crack our skin too. And wrinkles … Read More
Gul Ahmed Winter Silk Merino and Khaddar Collection 2018November 27, 2017 | pinkrose
Hey, beautiful girls and ladies, now beat the frost winters by wearing fabulous winter dresses of your very favourite Gul Ahmed. To defeat the cold weather, all the famous clothing brands are coming up with their latest winter … Read More
Gul Ahmed Winter Pashmina, Silk Velvet and Karandi Collection 2018November 24, 2017 | pinkrose
Since 1953, Gul Ahmed is considered to be the brand of quality, reliability and innovation. Gul Ahmed is prospering since its establishment is a well-known clothing brand of Pakistan. In winters 2018, Gul Ahmed has launched a vast … Read More
Leisure Club Casual Wear Winter Outfits For Men & Women 2018November 24, 2017 | pinkrose
Founded in 1997, Leisure Club entered the world of contemporary clothing in Pakistan with a promise to provide 'good quality, trendy, economical, locally-sourced and stitched western clothing for the boys, girls, men and women of Pakistan'. When they … Read More
Best Winter Wear Boots, Sneakers, Fleets & Joggers For Men 2018November 23, 2017 | pinkrose
You know one of the first things that people notice in someone's appearance is their shoes. Don't believe me? You can check for yourself when you go meet someone and see their eyes lingering on the shoes you … Read More


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The software development scene in Malta has grown rapidly over the past few years. This has not only generated growth in business and in jobs, but also cultivated an interest in various different aspects of software development.
Whereas community events were quite rare ten years ago, we now have a number of different special interest groups sharing knowledge and organising their own events.
The launch of the Teknologija website aims to encourage the continued organisation of events and the building of a strong software development community. One may keep track of community events using the calendar (or by looking at the Upcoming Events on the right). The groups page, which is being gradually populated, will list the various community groups around. And it is our hope that companies will come forward and offer space and facilities that organisers can use to set up their events.
Watch this space, and get in touch if you'd like to add to it and help it grow!


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Miss K8 will release her second album this summer!Posted on 2020-02-26
Some exciting news in Hardcore world has been announced! After the major success of her first album 'Magnet', which was released in 2016 on Masters of Hardcore, Miss K8 has announced that 2020 will bring the release of her second album. She didn't reveal much other information, except that the album's name is 'Eclipse' and that it will be released this summer.


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Rana Pratap
Rana Pratap, also known as Maharana Pratap was the brave Rajput King of Chittor. He was a living example of Rajput valor, perseverance and chivalry. Throughout his life, Rana Pratap fought against Mughal aggression. The unfortunate events of Saka and Jauhar at Chittor had a deep impact on the heart of Rana Pratap. He had a hatred for Akbar who was responsible for merciless killings and vowed never to bend down to the Mughal rule.
Maharana Pratap the greatest patriot of mewar rajasthan :
Maharana Pratap was born to Rani Jeevant Kanwar on 9th of May, 1540. Maharana Udai Singh 2 was his father, who was the ruler of Mewar. Maharana Udai Singh had 25 children and Pratap was the eldest amongst them. He was given the tile of crown Prince and would be the 54th ruler of Mewar. In 1567, Chittor was invaded by Mughal forces under Akbar. Maharana Udai Singh 2 had to flee with his family to Gogunda. At that time Rana Pratap was only 27 years old and he wanted to fight the Mughals but was convinced by the elders to leave Chittor along with his family.
On 28th of February, 1572, Rana Pratap became the Maharana of Mewar. Akbar tried several diplomatic methods to convince Rana Pratap to sign a treaty with him, but failed every time. Akbar finally decided to send his army under the command of Raja Man Singh against Rana Pratap. In 1576, a fierce battle was fought between Rana Pratap's army and the Mughals. Although the Bhil tribes of the surrounding areas helped Rana Pratap in the battle against Mughal army, they were hugely outnumbered by Akbar's men. The Mughal army had numerical advantage over the army of Rana Pratap.
There were only 20,000 Rajput warriors against 80,000 men of Mughal army. Rana Pratap and his Rajput warriors fought valiantly, but could not defeat the Mughals due to their number. Rana Pratap was deeply injured and was saved by his faithful steed Chetak. Pratap was unconscious and was taken away from the battle zone by Chetak. This is how Rana Pratap managed to survive to fight another day. He continued his struggle against the Mughals all his life and finally died due to injuries in a hunting accident.
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Blood neurofilament light chain at the doorstep of clinical application
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Multiples sclerosis (MS) is a chronic progressive disorder of the CNS with inflammatory and neurodegenerative pathomechanisms leading to various degrees of neurologic disability. In the past 2 decades, high-efficacy disease-modifying therapies (DMTs) have become available that lead to near-complete suppression of acute disease activity (relapses, lesion formation) in most patients, and only a small number of patients exhibit an aggressive disease course despite adequate use of DMTs. Here, immunoablation followed by stem cell transplantation (SCT) has emerged in recent years as an efficacious approach to stop acute disease activity, based on the concept of a reset of the immune system. However, DMTs show minimal effect on the course of progression. Accordingly, 30% (7/23) of patients continue to experience clinical progression and additional brain atrophy as its MRI equivalent 12 months after SCT.1
Neurofilaments are intracellular cytoskeletal proteins that are categorized according to their molecular weight in light, medium, and heavy chain types. Neuronal damage results in leaking of this protein into the extracellular space and eventually into CSF and blood. Neurofilament light chain (NfL) has been established in recent years as a biomarker (1) to quantify acute disease activity, (2) to monitor therapy response, and (3) to predict the course of disability and of brain and spinal cord atrophy2,–,6 in pharmacologically treated relapsing-remitting MS (RRMS) and progressive MS (PMS). Based on the strong correlation between CSF and plasma or serum measures, NfL is now at the doorstep to become the first biomarker that is applicable in clinical routine setting for longitudinal measurements based on blood sampling, a minimally invasive procedure.
In this issue of Neurology: Neuroimmunology & Neuroinflammation, Thebault et al.1 used a highly sensitive digital ELISA (single molecule array) to test whether NfL results from pharmacologically treated MS cohorts can be replicated in a patient cohort with aggressive MS that underwent SCT. They found that1 as a retrospective correlation, NfL baseline levels in serum and CSF were associated with referring disability scores and recent prior relapse activity, and2 as a prospective correlation, the above median levels of NfL were found associated with a higher probability for sustained Expanded Disability Status Scale progression and worse outcome of cognitive function and quality of life scores. This was paralleled by higher scores for brain lesional volume and the course of atrophy over an observation period of 36 months, both by categorical and individual patient analysis. A novel finding in their study is that above median NfL levels correlated with the NAA/Cr ratio in MR spectroscopy, a measure of brain-diffuse neuronal loss.3 Although SCT led to a decrease in serum NfL levels in the entire cohort, the patient group that experienced disease progression after SCT had higher serum NfL levels 12 months after intervention than that with stabilized disability. Again, this was paralleled by the correlation of brain white matter atrophy and NfL levels. As no clinical or MRI signs for confounding acute disease activity were observed in this cohort after SCT, NfL levels can be seen as direct reflection of progressive disease. The study of Thebault et al. provides further support for NfL being a biomarker of therapeutic response in both directions, i.e., to assess the effect of an intervention and to indicate insufficient effect, which may qualify NfL as a surrogate trial end point.7
At first glance, the findings of coherent lowering of NfL levels after SCT and predictive capacity of baseline levels for future clinical and MRI features of disease progression seem paradoxical. However, the concept of "therapeutic lag"8 provides an elegant explanation where worsening disability in progressive MS is primed by past inflammation. Hence, the inflammation suppressing activity of DMT or SCT will have no immediate impact on worsening disability over the next 1 or 2 years, as the damage priming progression over this time has already occurred. Hence, all anti-inflammatory therapies will have a lag of translating the decrease of NfL into a clinically measurable result in terms of stabilizing progression in MS over time.
What is the practical application of the current report by Thebault and other studies in pharmacologically treated RRMS and PMS in clinical trials and retrospective cohorts? We envisage that based on its capacity and profile as a biomarker, NfL may be used in the future as an additional paraclinical measure for physicians in charge of therapeutic decisions, both for treatment initiation and modification (figure). NfL will not replace clinical and MRI-based evaluation, but it will shed light on disease activity that escape detection by the standard diagnostic armamentarium.
Still, there are important hurdles for the immediate use of serum NfL in routine clinical practice. We lack a database of normal values, particularly on the background of the age dependency of values. Second, there is currently no assay standardization or commutability between the various assay protocols. Efforts are underway to address these points in the coming years. If successful, we envisage NfL to become the first biofluid marker applicable as personalized medicine tool in MS.
Study funding
No targeted funding reported.
The authors report no disclosures. Disclosures available: Neurology.org/NN.
Go to Neurology.org/NN for full disclosures. Funding information is provided at the end of the article.
See page e598
- Copyright © 2019 The Author(s). Published by Wolters Kluwer Health, Inc. on behalf of the American Academy of Neurology.
This is an open access article distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivatives License 4.0 (CC BY-NC-ND), which permits downloading and sharing the work provided it is properly cited. The work cannot be changed in any way or used commercially without permission from the journal.
- 1.↵
- Thebault S,
- Tessier D,
- Lee H, et al
- 2.↵
- Barro C,
- Benkert P,
- Grobke S, et al
- 3.↵
- Berger T,
- Stuve O
- 4.↵
- Disanto G,
- Barro C,
- Benkert P, et al
- 5.↵
- Khalil M,
- Teunissen CE,
- Otto M, et al
- 6.↵
- Kuhle J,
- Kropshofer H,
- Haering DA, et al
- 7.↵
- Sormani MP,
- Haering DA,
- Kropshofer H, et al
- 8.↵
- Giovannoni G,
- Cutter G,
- Sormani MP, et al
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Respect Your Mutha:
A Mother's Day Maliko Run Reveals Another
of the Ocean's Many Moods
by Gregg Leion
The week before Mother's Day weekend was nearly perfect for downwinders off Maui's north shore. Sunny days and temperatures in the low 80's and steady east-northeast trade winds were blowing in the mid 20's. Waist to chest high wind swell, little to no groundswell and everything pretty much going the same direction. The kind of ocean conditions that make for fast runs with more fun than drama.
A high surf advisory and small craft warning for strong trades and easterly wind swell was posted as the weekend approached, but by Saturday, Maliko was still much as it had been all week, super fun and inviting for downwind paddling.
A pal from Hood River was going to be around for a downwinder on Sunday, Mothers Day. My friend had done a run earlier in the week with Jeremy Riggs so this would be his second Maliko Run. He said he felt ready to tackle the run solo. Although he did not have ocean paddling experience, he had paddled many downwinders in the Columbia Gorge and developed solid downwinding skills. In addition, he'd windsurfed on the north shore and was familiar with the coastline and the reefs, so he knew most of the bail out spots. Last but not least, as a water polo player and coach, his swimming skills are at the top of the heap.
Doing his second run solo didn't sound crazy, all things considered. Saturday evening, we made arrangements for him to show up for the 1PM Maliko Shuttle on Sunday. I'd bring a paddle, board and leash for him to use. The shuttle is an incredible convenience that really makes downwinding much more accessible on Maui.
Sunday dawned overcast and windy. It was tough choosing whether to go in the one-man outrigger or take my standup board. I love both, but the SUP can be a blast when conditions get on the bigger end of things. Taking the OC1 on lighter wind days is definitely easier since the boats catch almost anything. I wasn't feeling like paddling too hard, so I decided on taking the boat instead of the board. With the cloudy conditions, I wasn't expecting it to blow hard.
As we met up at the harbor for the shuttle, I was happy to see that his wife was 100% excited for him to make the run, even on Mothers Day! My pal must have been doing something right. A couple of other friends were on the shuttle. One of them was paddling her OC1 so we would be able to keep an eye on one another, since we are somewhat close in speed, at least in the OC's. I knew that my Hood River friend would likely be going a lot slower, especially since this would only be his second Maliko run.
Passing Ho'okipa on the drive up to Maliko, you finally get a good look at ocean conditions. You can see how much the surf is wrapping in and what the wind and ground swell look like. As we drove by, it was clearly very windy and pretty rough. The wind swell that they'd been warning about had finally built into something to take notice. Five minutes later, we were at Maliko.
As we rigged our gear at the gulch, I checked in a final time before launching and tried to prepare my friend for what he'd encounter heading out of the gulch. The conditions looked more challenging and were now fully apparent. He had a strategy to paddle out on his knees. That could work, but before we could talk about anything else, we were launching. As we approached the mouth of the gulch, it was clear that this was not going to be anything like the previous week of sunny, mellow paddling.
Bigger days have an element of chaos, the wind is loud, the waves get your attention and, at least for me, it becomes an exercise in focus. On this day, my focus was immediately divided. Although I had thought that my friend would be fine to do the run on his own, I'd made that calculation with different conditions in mind. Now that I saw what things looked like, I was concerned.
Leaving Maliko Gulch and entering the open ocean, you are immediately fully exposed to the swell and wind, which hit you on your right side. This is where most newbies fall and sometimes confidence wanes. That's also when you realize that the wind and swell can take you right into the rocks on the downwind side of the gulch mouth. It is pretty important that you do whatever you can to keep going and get out of the danger zone.
As we paddled out, I watched my friend get swept off his board a couple of times. The waves, wind and current were quickly taking him toward the rocks and crashing surf. My paddle partner that was in her OC is an excellent water woman and she hollered at my pal to prone paddle out, which he immediately did. Going prone allowed him to paddle out of the danger zone quite quickly and the waves were no longer knocking him off the board.
I did my best to keep an eye on my buddy to make sure he made it outside, while at the same time I was also trying to get out to a safe starting point. But, watching my friend struggle right out of the gate had gotten me worried. Part of the reason I was rattled was imagining what the conditions must have looked like through the eyes of someone that had only completed one single Maliko run in nearly perfect, fun, summer conditions. Mothers Day was anything but. This was like a big winter day with big swell, clouds and lots of wind.
The wind swell looked like 2 story houses coming at you. And, it's not so much the height of the crests that are spooky as it is the depths of the troughs. Looking upwind, the waves looked hella scary. When you are down in those troughs watching huge walls coming at you, you start imagining one of the really big ones breaking. Most of the time they don't. It's more likely that crests will break, and sometimes that can be enough to take you out. It's happened to plenty of people, including me. But, typically, the big ocean swells will roll harmlessly under you. If you keep your head and paddle out half a mile or more, the water is plenty deep and it's going to be ok.
Everything gets easier and less chaotic once you turn downwind. While I wanted to make sure my buddy got going on a safe line, I was also anxious to get pointed downwind. Once you're moving with the ocean, things smooth out and you can try to start finding your 'groove'. It then becomes about getting your paddling in tune with the rhythm of the swells.
I took a last look back upwind and my pal had made it to his feet and waved at me. Looked like he was good to go. I knew I'd worry about him the entire run and I was beating myself up for not taking my SUP so that I could have stayed close by. That would be near impossible in the OC1, as the wind had already blown me hundreds of yards down from my friend, without even paddling. I had no choice other than to focus on getting down the run safely myself.
Going down the run, my focus was on keeping my boat within about 20 to 30 degrees of straight downwind, steering and counter steering with my rudder and doing whatever I could to keep the boat speed high while avoiding a 'roundup'. In an OC1, that happens when the rudder loses its purchase in the water and the tail releases causing the boat to end up sideways and vulnerable to getting battered by the oncoming waves.
While staying safe and under control were first priority, it was impossible not to have a ridiculous amount of fun. The wind was strong enough that little effort was needed to get into bumps and if you steered well and read the water right, you could link a lot of the smaller bumps together.
The speed was intoxicating and my Garmin was showing glides hitting over 13 mph. That speed enables you to get the bigger stuff and every once in awhile, I'd get one of the bigger swells. Some of the troughs just looked too far down and the rides too steep, so it wasn't a day for charging everything. My friend in her OC had already gotten about a quarter mile in front of me, and I could only see her when we both hit wave crests at the same time. But it was nice to know she was there and that I was on the same line as her.
When the swell gets really big like it was on this day, the ocean looks like the last place on earth that slow, land-based creatures ought to be. I find myself vacillating between being incredibly stoked and adrenaline-charged to wondering what possessed me to think it would be a good idea to put myself far off shore in raging wind and waves?
This crazy tug of war conversation goes on in my brain the whole time I'm out there on an intense day. I talk myself down from fear, over and over. "You can do this", I say to myself, "it's going to be fine". And then I follow with, "Pay attention, steer, watch what you paddle for, keep up your speed."
Pretty soon, you find yourself on the last segment of the run. Outer Sprecks is about 6 miles into the almost 9 mile run to the harbor mouth. As you approach this area on days when there is significant swell, it's important to keep your eyes searching ahead for breaking set waves. The reefs at Kanaha extend far out into the open ocean and the depths decrease to less than 20 feet in places, shallow enough to cause large waves, even wind-swell, to stack and break on big days. I was glad I'd warned my friend to stay sharp and head outside if he saw anything jacking up and breaking in this section. I stayed far outside and got past the area with no drama. I call that taking the chicken line and, as far as I'm concerned, it carries no shame.
The 'Pier 1' break, just east of the harbor entrance, is also someplace to be careful when the swell is kicking up. Sets can materialize seemingly out of nowhere and easily catch you off guard. I could see breakers from behind as I got closer to the entrance but it was not an issue to stay on a good line. Even so, I couldn't help but thinking about my buddy coming through here. Yikes, I had to trust that he'd do ok.
Once on the beach, I anxiously waited for my friend to round the jetty into the harbor, which, by the way, was absolutely hateful. The cruise ship, which visits weekly, was tied to the Pier, upwind of the line you take to get from the harbor entrance to the beach. The ship is so large it disrupts the wind flow and causes micro gusts to funnel through on windy days. This was one of those days. Gusts were likely hitting at least 50 mph in the harbor. Spray was blowing high in the air off the water from these bursts. Getting to the beach was no picnic. Still, once in the harbor, at least you were going to make it in for sure.
As I watched and waited, my friend Sharon arrived on her SUP board. She had seen my friend on the run and said he was doing ok. She indulged me and listened to me vent my worries. Then she reminded me that he was having the adventure of a lifetime out there, that he was going to make it in just fine, have a great story to tell and be totally stoked.
Five minutes later, my pal rounded the jetty and began an absolutely miserable paddle across the harbor in vicious side winds and chop that forced him to prone paddle. The gusts were so strong that standing was just not an option.
Just as my friend got to the beach, his wife showed up. Only a tiny bit rattled, he was mostly just as Sharon had predicted: Completely stoked, ready to come back to Maui and tackle Maliko again, and, he had a great story to take with him. His wife was really excited for him.
Most people I spoke with that paddled that Mothers Day Sunday thought it was a big day. It wasn't just my anxiety about my pal out there for his second Maliko run, that skewed my perception. Mother Ocean was just showing one of her many moods that day. She is often reminding us that she can be anything from benign to furious, but always deserving of our love and respect. What a great Mother's Day.
We welcome Gregg Leion as a regular contributor. He's a great story teller and has a sincere passion for paddling. Please leave your comment on our blog and share this article and the stoke for Maliko.


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Game Set Mat is coming on Monday, May 6th from 9:00 am to 2:00 pm with their latest Spring women's tennis apparel, accessories, and fun tennis gifts. All their inventory is available for immediate sale. Game Set Mat has one of the biggest tennis selections in New England and carry these quality tennis brands for women: Lija, Fila, Sofibella, Inphorm,Tasc Performance, Lucky in Love, Nuu Muu, L'Oeuf Poche, Dona Jo, Tonic, and EleVen by Venus.
Buy two pieces of clothing and receive 15% off. They'll also bring a sale rack with great deals! All items final sale.


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The Environmental Protection Agency (EPA) recently proposed revisions to its 2005 rule on the Central and Western Long Island Sound Dredged Material Disposal Sites, which would encourage the reduction of dredged material disposal in the Sound's open waters.
The EPA's proposed revisions would create standards and procedures that encourage alternatives to open-water disposal, such as using dredged sand to fill out area beaches. The rule would create an interagency Long Island Sound Regional Dredging Team to develop further alternatives.
The EPA designated the site as an area for dredged material disposal in 2005, but all projects seeking to use the site for disposal must still receive authorization and meet ocean disposal regulations. The Army Corps of Engineers completed its Dredged Material Management Plan for Long Island Sound (LIS DMMP), which includes options for open-water disposal alternatives in the region. The EPA plans to incorporate the standards and procedures identified in the LIS DMMP into its rule by May 10.
The EPA is accepting public comments on the rule until March 25, via email and mail, and will conduct two public hearings on the subject, on March 1 at Port Jefferson, New York and on March 2 at Stamford, Connecticut.


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Bodily Schooling Instructor Licensure: College students can pursue multi-age licensure to show Physical Education. Bodily education helps college students develop the knowledge, fitness ranges, motor skills, and personal and social skills to obtain the final word objective of a lifetime of physical exercise and well being. The programme focuses on Scottish training, the physical schooling curriculum and contrasting perspectives on physical education.
A lot of the teaching will take place at Moray House Faculty of Schooling, located on the Holyrood Campus throughout the University's Central Area. (For more info, see ) A number of new objectives mirror this emphasis—for example, physical exercise policies regarding little one care (Objective 2020-9) and environmental settings (Objective 2020-15).
The curriculum contributes to kids's total growth by helping them to steer full, active and wholesome lives. Students also learn age-particular expertise and the health advantages of bodily activity. The Bodily Training (PE) is for youngsters from junior infants to sixth class.
The MA (Hons) Physical Education programme is accredited by the Common Instructing Council for Scotland (GTCS). This clothes is worn for all practical periods in addition to on instructing placement visits throughout the four yr programme. A quality physical schooling program for grades Okay-12 should embody instructional intervals of half-hour a day on the primary degree and 45 minutes a day on the secondary level.
In more prestigious secondary schools and in junior faculties, sports activities comparable to golf , tennis , shooting , and squash are played. Many schools and Universities offer both Bodily Training and Health as one certification. That is more prevalent on the elementary school stage, where college students do not have a selected Well being class.


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L&L Drive-In Hawaiian Barbecue_Hawaiian Islands
Submitted by weetoots on Sun, 05/29/2011 - 5:11am.
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Last updated 05/29/2011
Raw file: L&L Drive-in Hawaiian Barbecue.csv (4.29 KB)
Includes 52 locations in the following area:
- United States: HI
L&L Drive-In Hawaiian Barbecue. Go local. Reasonable prices. Great for the family. Plate lunches, mini plate lunches. This covers only the locations in the Hawaiian islands. L&L has over 175 locations in 10 states. Ono food.


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Where is Indio, CA?
Indio is a city found in California, The United States Of America. It is located 33.72 latitude and -116.22 longitude and it is situated at elevation 0 meters above sea level.
Indio has a population of 76,036 making it the 113th biggest city in California. It operates on the PDT time zone, which means that it follows the same time zone as Los Angeles.
Quick facts
|The United States Of America
|0 m over sea level
|Time Zone
Indio has a population of around 84094, of which 42072 (50%) are male and 42022 (49%) are female. The average age of the inhabitants of Indio is 35.68, meaning that the average person is below the national median age of 37. For every male, there are approximately 1 females, meaning that the population is relatively evenly distributed between males and female(s).
Of Indio's 84094 residents, around 81659 (97.10%) identify as having a single race. The majority of the population is white, which consists of 52.10% of the population. Of the remaining population, 2182 are black/African Americans (2.60%), 882 are native Americans (1.00%), 1951 are asians (2.30%), 97 are pacific islanders (0.10%), 32704 are other (38.00%).
The median income of households in Indio is $50525.00, meaning that most of the households are above the poverty threshold for families of three. Of the total population, 6.80% of households reported an annual income of less than $10,000.
Indio, CA Zipcodes
The city of Indio has 6 zipcodes recognized by the United States Census Bureau: 92201, 92203, 92211, 92236, 92241, 92253.


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Scoring an extra cup of juice on your next flight might be as simple as minding your manners. "If someone even says hello back and smiles, I might turn around and give them a little refill—being nice is just so unusual these days," says Heather Poole, a veteran flight attendant who's blogged about her unusual job for **Gadling's Galley Gossip **column since 2008, without ever giving away the airline she works for. Poole's memoir, Cruising Attitude, hits shelves today, and although she doesn't reveal her employer, she does write about plenty of other wacky details: A starting salary so low she was eligible for food stamps, bunk bed-lined bedrooms in a squalid Queens apartment, and one psychic passenger who fairly accurately predicted her future. We convinced her to divulge even more secrets of the trade…
Heather Poole: People love to hate us, but they are still intrigued by us. What most of us have in common is that we're gypsies at heart. For me, being married, sometimes I just look forward to getting away for a day. Even our worst trip is a vacation from regular life.
HP: It must be the worst, best-kept secret in the industry. I'm certain that a lot of people know where I work, and they've been kind enough not to shout it out loud. I used to tweet where I was going. But someone in San Francisco recognized me on a flight. Now I only check in after I'm leaving.
HP: I am so much nicer to people in first and business because I have way fewer passengers to deal with. First class is ten passengers with two flight attendants, and business is two flight attendants with 30 passengers. In coach, you could have 150 passengers with only two flight attendants. You know when the egg hatches and the little baby birds stick their necks out to get food? That's how I feel. Like I'm the mama bird, and there are all these little babies. You make eye contact, and it can be scary. I don't have anything to give anyone.
HP: I used to say the passengers who don't answer when I ask them what they'd like to drink. Now I just have conversations with myself. "Are you finished? Okay, I'll take that from you." Nobody even notices.
My biggest pet peeve now is with social media. Everybody is more likely to complain about another passenger on Facebook or Twitter. People are exploding over nothing these days.
**HP: **It's so hard, because who knows what our energy would have been like. But the law is you have to turn it off. I used to joke around that you don't talk politics or religion on an airplane. Now it's politics, religion, and technology. The rules have not changed in 20 years, but everybody acts like they're brand new.
HP: I don't want to say it never works, but it's hard. Once, these honeymooners came on, and we gave them free champagne. After one too many beers, the "husband" said that his wife was at home—so he wasn't making out with his new wife! It was some other woman. Turns out he never even knew her, and just said it was his honeymoon so they could get free drinks and an upgrade.
I have this friend [another flight attendant] who's a really cute, kind of cranky guy. He'll say to people who tell him it's their honeymoon, "What about the sad lonely people? When do they get their day?"
HP: It's down to whether you're going to eat, sleep, or shower. For eating, I swear to God we're like cops: If you want to find somewhere cheap to eat or drink, ask a flight attendant. I was on a flight once to Italy, and this attendant gave me her whole itinerary, and it ended up being the best trip ever. When it comes to airport food, if you see the maintenance guys and crew lining up, that's where you want to go. It's usually good and cheap.
HP: Everyone's so concerned about the trip. Let's talk about what they're packing for the flight:
It's like being a survivor. You have to bring your water, your snack that will last like 20 days. You've got to be prepared.


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Showcasing Santa Fe's Thriving Art Landscape
Art Santa Fe's Art Labs feature curated projects produced in partnership with prominent galleries as well as Santa Fe's leading museums and art institutions. This year, we're excited to host the New Mexico Museum of Art at the show. As part of its 2017 centennial celebration, the New Mexico Museum of Art is the first—and one of only two U.S. venues—to host "Lines of Thought: Drawing from Michelangelo to Now from the British Museum." The exhibition is on view through Sept. 17—but Art Santa Fe attendees can stop by the museum's Art Lab to glimpse some of the exhibition's highlights up close and personal.
Featuring works from a veritable "who's who" of renowned artists through the centuries, "Lines of Thought" offers a rare opportunity to better understand the thinking behind an artist's drawing, comparing side-by-side drawings from master draftsmen and artists across five centuries. One of the British Museum Prints and Drawings department's largest touring exhibitions, "Lines of Thought" showcases 70 drawings from highlighted artists, including Leonardo da Vinci, Michelangelo, Albrecht Dürer, Piet Mondrian, Paul Cézanne, Pablo Picasso, Bridget Riley, Barbara Hepworth, Henry Moore, Franz Kline, Georges Seurat, and Rachel Whiteread.
Examining the ways artists have used drawing as a means of recording and provoking thought from the 15th century to today, "Lines of Thought" explores the history of drawing as a thinking medium, providing insight into the minds of some of the world's greatest artists. At Art Santa Fe, the museum will be showing a selection of gestural drawings that celebrates the vigor of the artist's hand. Graphite, colored pencil, powdered pigment, ink, oil crayon, and even glitter come together to highlight drawing's expressive potential. These drawings are chosen to spotlight the immediacy drawing offers as a tool for capturing someone's likeness, to celebrate the supple pliability of line, and to show drawing translated into other media.
We hope you can make it to Art Santa Fe this July 13–16 to see selected pieces from this internationally acclaimed exhibition before it goes overseas as well as work from hundreds of exceptional artists and galleries from around the world. Click here to get your tickets to Art Santa Fe.
All Images ©The Trustees of the British Museum


text: Since 1975, Graciela Iturbide (born 1942) has been esteemed as one of Latin America's most important photographers. In 2008 she won the Hasselblad Award, the world's most prestigious prize in the field of photography. Accompanying a 2012 exhibition at the Museo Amparo en Puebla in 2012, for which the photographer made an exhaustive trawl of her archive, this beautifully printed volume juxtaposes a trove of previously unpublished photographs with reproductions of contact sheets of some of Iturbide's best-known images. The book is accordingly divided into two sections separated by a double binding. The first groups her works into four themes that have endured in her work from the very beginning--children, rituals, urban spaces and gardens. The second section is comprised of the contact sheets of her well-known Oaxaca, Birds and L.A. series.


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Bel Air|House|4 Bedrooms
1 of 21
Property Enquiry
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- 4 Bedrooms
- 3 Bathrooms
- 127m² Build Size
- 91m² Plot Size
- Pool: Yes
- EPC: Pending
Category: Resale
Climate Control: Air Conditioning
Condition: Good
Features: Covered Terrace
Features: Ensuite Bathroom
Features: Fitted Wardrobes
Features: Private Terrace
Furniture: Fully Furnished
Garden: Private
Orientation: South
Parking: Private
Pool: Private
Security: Gated Complex
Setting: Urbanisation
Utilities: Drinkable Water
Utilities: Electricity
Views: Garden
Views: Sea
A lovely 4 bed, 3 bath detached house with small private pool in a quiet area of Bel Air, with multiple terraces and open sea views. The property also has use of a large pool in the adjoining community for a nominal annual fee. Approximately 15 mins walk to the Mercadona supermarket and the brand new Lidl supermarket at the entrance to Bel Air. Only a few mins walk to the Bel Air tennis club. Detached Villa, Bel Air, Costa del Sol. 4 Bedrooms, 3 Bathrooms, Built 127 m², Terrace 31 m², Garden/Plot 91 m². Setting : Urbanisation. Orientation : South. Condition : Good. Pool : Private. Climate Control : Air Conditioning. Views : Sea, Garden. Features : Covered Terrace, Fitted Wardrobes, Private Terrace, Ensuite Bathroom. Furniture : Fully Furnished. Garden : Private. Security : Gated Complex. Parking : Private. Utilities : Electricity, Drinkable Water. Category : Resale.


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Estimation of Soil Losses in a Slope Area of Tokat Province through USLE and WEPP Model
Tokat is one of the developing provinces in terms of urbanism. Therefore, the land use changes city-wide which closely affects soil erosion. Numerical estimation of soil erosion is very important to prevent soil losses. In this study, USLE and WEPP Hillslope model were used to estimate the long-term soil losses in a slope area which used to be a pasture land and then turned into a fruit orchard in Büyükbeybağı area of Tokat province. Erosion sensitivity of the soil in the slope area was detected to be very low. Erosivity value of the area is low, soil is resistant to erosion due to pasture land use type and fruit orchard use type does not require intense soil cultivation practices. For all these reasons, both estimation technologies estimated soil losses of the land to be low.
Universal soil loss equation; WEPP model; soil loss; Soil properties; Land use
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DOI: https://doi.org/10.24925/turjaf.v6i12.1838-1843.2293
This work is licensed under Creative Commons Attribution 4.0 International License
Turkish JAF Sci.Tech.
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Casual Vacancy – there is likely to be an election
In Packington Post out this week, there is a resignation statement from one of our 6 Parish Councillors, reproduced below. This gives our village an opportunity to elect a new councillor to serve on our Parish Council.
Could this be YOU?
The 6-member council controls a tax-precept budget of £25,000, plus grants from a solar farm fund, and two village charities. Planning applications for the village are first scrutinised by the parish councillors. The council employs a clerk, meets once a month on the first Tuesday, and holds an Annual meeting.
YOU might fill the vacancy if 10 electors call for an election, before Thursday 7th June, which we understand to be likely. If not, the parish council can co-opt an elector to serve with them, and that could be YOU as well, if you make your wish known.
It could be valuable for someone new to sit on our Parish Council, perhaps to bring a fresh viewpoint to this important body. How do YOU feel?
You can learn more about our Parish Council on their website (alas, old technology, expensive, too, but may not display well or at all on your phone). Below is the official notice of Vacancy.
Interested? You can contact Mrs Karen Edwards, Clerk to the Parish Council, as below:


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Here's a list of some common foot problems and how to treat them.
Pronation or supination (using the inner or outer edges of the feet to walk) causes ache on hips and/or knees. Both conditions can be corrected with orthotics — plastic inserts that adapt to the underside of your shoes. These will aid in aligning your feet, which also help your knees and hips align, too.
A bunion, is a very common foot problem, affecting millions of people. A bunion is a type of swelling of the bone in the joint at the base of the big toe. As the enlargementprogresses, the big toe moves toward the 2nd toe. Increasing disfigurement can induce related foot problems like hammertoes, irritating calluses, and heel and arch pain. The cause of bunions is typically hereditary, which can be aggravated by wearing tight shoes and walking. Bunion surgery can be treated through an outpatient procedure called tricorrectional bunionectomy, wherein the affected bone is realigned and a surgical screw is set to keep it in place. Most patients can walk the same day and carry on with their fitness activities in more or less three weeks.
Hammertoes occur when muscle instability or an abnormal bone length cause tendons to shrink and the toe to buckle over. They are also caused by bunions and are hereditary in some cases. One common side effect of hammertoes are corns -- a buildup of dead skin cells that can be seen on areas where footwear press and rub against the feet.
There are two surgical treatments of Hammertoes:Tenotomy Capsulotomy, wherein the top and bottom tendons and joint capsules are cut to loosen up the buckling; and arthroplasty, whereing the joint is removed, resulting later to a straightened the toe.
Ingrown toenails are nails that have grown into the skin either at one or both sides of the toe. A procedure called matricectomy may be done on grave cases. It involves removing the whole nail and growth plate either surgically or chemically. When only a single corner of the nail is ingrown, the foot doctor may do a partial matricectomy. Afterwards, the body develops a "false nail" — a tough skin that appears like a real nail in a couple of months and may even be polished practically like a real nail. With the toe firmly bandaged, patients may continue usual activity within a week.


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Five Crowns – A simple card game with an addictive gameplay
Five crowns if you search in the Apple app store , is one among the top games for Five crown you can find. Going by the first impression, the game looks very simple to play with its easy to use design. The developers also seem to be also working on lot of user feedback that they get in making it more fun to play with.
Coming to the game, it introduces new ways to meld cards and arrange your hands to make the game more fun and exciting. The easiest way to meld is to draw a line over the arranged cards and it automatically melds them in one shot. The game also offers a wild card protection to undo the accidental discards that can happen sometimes.
The online mode is fun to play with real time opponents with multiple game sessions at any time.You can keep switching between games with the easy and accessible interface and also nudge your opponents who don't take their turns for over 24 hours. The game also has options to view completed game stats and have a rematch with the same person.
The game's objective is to get the lowest number of points using the Five crown rules by melding the cards into Runs and Books . The rules of the game are easily explained in the tutorials section and How to play sections of the game. The game starts with the "opening" and each player getting a change to meld 'books' or 'runs' after picking and laying down a card. On the eleventh hand when the kings are wild, the player with he lowest total score of their cards, wins the game.
Coming to the controls , the developers have made a great effort in working on the feedbacks to improve the game by addition with swift controls for easy gameplay. You can drag and drop cards by using the long press and dragging it. Also melding has been a major improvement in the recent versions with various options during the game. You can now meld with the meld button and select the cards or alternatively draw lines over the cards and it will automatically meld the cards for you that have been touched.
You can play with your friends or family using the invite feature and start a closed match. Or you can also play with random people around the world. The offline mode enables to play without internet where you just need to pass the phones and play with each players turn. Whereas the computer mode has a very good AI that does a good job of giving you a proper match understanding your difficulty level. This is the mode you need to play if you are a beginner.
Overall we had fun time playing online with various random people and testing our skills. Try out this game and we promise it will easily get you hooked. We hope even you will enjoy this game as much as we did.


text: Alam_dar 186 Report post Posted May 31, 2018 22 minutes ago, surajmal said: What's easier to manage politically : 1 big caste (which is intensely nationalistic - key marker that your party identifies with) + couple of other small groups OR an assortment of small castes? With this mentality, India seems to be decades away from the democracy which we see in the West, where at least this caste system has been abolished. BJP may get temporary gains by supporting the already privileged caste of Jats. But sooner or later there will be severe reaction from the oppressed castes and extreme hatred among the communities. All in all, it may be in interest of BJP temporarily, but certainly not in the interest of the State of India, which does not need to be polarized, and where hatred should not exist among the communities. Share this post Link to post Share on other sites


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Grade 1 winner Paradise Woods, who finished off the board as the heavy favorite in the G1 Kentucky Oaks, will undergo a nuclear scan to check on her physical condition.
Trainer Richard Mandella told the Daily Racing Form that the upcoming tests were being done as a precautionary measure. Paradise Woods arrived back in California earlier this week.
"She came home in good shape," Mandella told the Form. "We'll do a nuclear scan because she ran such a bad race. She looks good. We don't see anything."
Paradise Woods captured the G1 Santa Anita Oaks prior to running at Churchill Downs. In the Kentucky Oaks, the daughter of Union Rags battled with Miss Sky Warrior until the top of the stretch before fading to finish tenth.
Read more in the Daily Racing Form
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Copyright © 2017 Paulick Report.


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Indy adds Chris Rygus to playoff roster
Defenseman joins Fuel prior to Sunday's Game 2 in ToledoApr 15, 2018
INDIANAPOLIS – The Indy Fuel, proud ECHL affiliate of the National Hockey League's Chicago Blackhawks and the American Hockey League's Rockford IceHogs, announced Sunday that they have added defenseman Chris Rygus on an emergency basis to their 2018 Kelly Cup Playoff roster. The Fuel continue their Central Division Semifinal series with the Toledo Walleye Sunday afternoon during Game 2 at the Huntington Center.
Rygus, 24, signs his first professional contract after completing his collegiate career at St. Norbert College (NCAA Div. III). The 6-foot-3, 209-pound defenseman tallied a career high 11 points (2g, 9a) in 2017-18, helping the Green Knights capture the Division III National Championship. Rygus' picked up his second goal of the season in St. Norbert's 5-2 victory over Augsburg College on March 17 to advance to the Frozen Four. In 117 total NCAA games, the native of Mississauga, Ontario collected eight goals, 19 assists, and 120 minutes in penalties.
Prior to his time at school, Rygus spent two seasons in the British Columbia Hockey League (BCHL), where he compiled 32 points (7g, 25a) in 110 games split between the Penticton Vees and Nainamo Clippers.
It's time to #FindYourNextGear and cheer on the Indy Fuel during the 2018 Kelly Cup Playoffs! The Central Division Semifinals shift to Indiana Farmers Coliseum for Game 3 on Wednesday, April 18, as the Fuel take on the Toledo Walleye. Be part of the first playoff appearance in Fuel history by picking up your tickets at IndyFuelHockey.com or at the Indiana Farmers Coliseum box office. Don't miss a second of the action during the 2018 Kelly Cup Playoffs – follow the Fuel on Twitter and Instagram (@IndyFuel) and 'Like' the Fuel on Facebook.