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Electrical impedance tomography
Continuous assessment of respiratory status is one of the cornerstones of modern intensive care unit (ICU) monitoring systems. Lung imaging techniques have experienced overwhelming progress: we currently not only base our knowledge on chest X-ray or computed tomography, but use lung ultrasound, positron emission tomography, electrical impedance tomography (EIT) or magnetic resonance imaging to improve our understanding of the disease and the effect of therapeutic strategies (1-3).
EIT uses electrical currents to assess the conductivity distribution within the body from voltage measurements of its surface. This concept was first described as a method to explore subterranean mineral deposits in the early twentieth century. Medical use of EIT was developed in the 1980s by Barber and Brown at the Department of Medical Physics and Clinical Engineering in Sheffield (UK). A broad spectrum of possible applications in medicine were suggested, from gastric emptying to brain function monitoring, and then from breast imaging to interpretation of lung function. Since the first publication of an EIT image of the human thorax in 1985 by Brown et al., multiple advances have seen the light in this field of study, driven by the clinical need for monitoring of lung ventilation and assessment of regional lung function at the bedside (4). Several commercial EIT devices are currently available and being used on a day-to-day basis in different ICUs around the world: Pulmovista® 500 (Dräger Medical GmbH, Lündbeck, Germany), Goe-MF® II (CareFusion - Becton, Dickinson and Company, San Diego, United States), Mark 1® and Mark 3.5® (Maltron International Ltd, Rayleigh, United Kingdom), BB® (Swisstom AG, Landquart, Switzerland) and Enlight® (Timpel S/A, Sao Paulo, Brazil) (5).
Principles of EIT
EIT is a non-invasive, radiation-free, real-time imaging of ventilation. Regional electrical bioimpedance measurements require an electrode belt of 16 electrodes (or 32 in the current models by Swisstom AG and Timpel S/A manufacturers) placed around the chest wall, including a reference electrode connected to a central body, preferably to the abdomen (the reference electrode ensures that all measurements of the different electrode pairs are related to the same electrical potential). The 16-electrode belt is placed in one transverse plane, usually between the 4th and 5th intercostal space (it is not recommended to place the belt lower than the 6th intercostal space because the diaphragm may enter the measurement plane).
EIT images are determined by the distribution of intrathoracic bioimpedance. Bioimpedance is defined by the specific composition of tissues, taking into account water, electrolytes, fat, etc. High content of extracellular water, high concentration of electrolytes, large cells and a high number of cell connections reduce impedance, whilst fat accumulation, bone and air increase impedance. Therefore, pathological changes of the tissue composition (such as pleural effusion, lung fibrosis, alveolar fluid, etc.) entail a change in regional bioimpedance. Lung imaging is therefore an ideal application of EIT; large changes in lung volume (and therefore in conductivity) can be easily detected due to the closeness of the lungs to the surface (6-12).
Small alternating high frequency and low amplitude electrical currents are applied though a pair of electrodes while the resulting surface potentials (or voltages) are measured by the remaining electrodes. Applying Ohm's law, the bioelectrical impedance between the injection and measurement electrode pairs is established from the known applied current and the measured voltages. Subsequently, the adjacent electrode pair is used for the next current application, and the other 13 measurements of voltage are carried out. The current applications and voltage measurements through adjacent electrode pairs imply a complete rotation around the thorax, creating voltage profiles at the 16 electrode positions, each composed of 13 voltage measurements. The resulting 208 values, also called frames (or raw images), are used to reconstruct a transverse EIT image; current EIT devices offer scan rates (number of frames acquired per second) of about 50 images per second.
In humans, an inspiratory maneuver from residual volume to total lung capacity amplifies the regional bioimpedance by approximately 300% (13). Cardiac activity and perfusion cause a change in thoracic bioimpedance, from diastole to systole, in a range of 3% (14). Extravascular lung water, body movement and electrode resistance in the skin may also change thoracic bioimpedance. In summary, an increase in intrapulmonary gas volume decreases conductivity, while an increase in blood or fluid volume, or disruption of cellular barriers, increase conductivity.
To be able to provide a high-resolution image, EIT requires a complex system of processors and software that compiles and analyzes all the information given by the electrodes and compares the recollected data with interindividual variations, adjusting to the thoracic geometry. A reconstruction algorithm will reject measurements at poorly connected electrodes, or ignore redundancy of data; they implicitly make assumptions about the level of random noise or interference in the raw data, and vary depending on the manufacturer: Sheffield back-protection (used by Goe-MF II and Mark 1 and 3.5), FEM-based Newton-Raphson method (used by PulmoVista and Enlight) and GREIT (used by BB).
EIT devices use the relative approach and thus calculate difference impedance images in relation to a reference. EIT images are usually represented on a pixel grid, where all image elements are the same size. Image reconstruction calculate images of change in tissue properties between a baseline measurement (reference) and the current frame, expressed as a percentage; these images are then represented by colour coding, which depends on the choice of the baseline frame (not unified between manufacturers). An EIT waveform is then defined as a sequence of impedance change values over time, represented in different ROI (or regions of interest), where image pixels are chosen to reflect regional changes associated with relevant effects (regions where ventilation related impedance changes occur).
Hence, obtaining functional EIT, we are able to visualize global and local ventilation activity over a period of time (selected by the user), picturing a map of ventilation distribution. Functional EIT produces EIT measures, defined as values derived from an EIT data acquisition. There are average global and regional measures (for example: regional or global ventilation delay or tidal variation), measures of spatial distribution of ventilation (for example, anterior/posterior ventilation ratio, center of ventilation, global inhomogeneity (GI) index] and examination-specific measures (e.g., regional respiratory system compliance or regional intratidal gas distribution). However, we must point out an important drawback; only regions of the thorax that change their impedance over time will be represented by the EIT images.
Clinical applications in acute respiratory distress syndrome (ARDS)
ARDS is relatively frequent in the intensive care patient population. ARDS is characterized by diffuse alveolar damage, associated with an increase in alveolar and capillary permeability due to mechanisms of tension, stretching and shear between alveolar units, leading to accumulation of interstitial and alveolar edema. Release of inflammatory mediators causes bronchoconstriction, embolic phenomena, vasoconstriction of the pulmonary arterioles, and finally fibrosis of the lung parenchyma. This pathophysiologic phenomena leads, on one hand, to an increase in the overall weight of the lung (causing alveolar collapse in the dependent lung regions due to gravity) and on the other hand, triggers an inflammatory response that determines the presence of multiorgan failure (15-17).
Physicians have been looking for methods to optimize alveolar recruitment, maintaining an open lung and limiting pulmonary overdistension. Protocolled mechanical ventilation settings are not adapted to each patient's individual needs, and adjusting mechanical ventilation parameters is still the main bone of contention in clinical practice. We must highlight that ARDS has heterogeneous properties. Therefore, overall parameters reflecting the condition of the lung as a whole are insufficient to adequately target protective ventilation (18-21). All the systems that are being used for routine lung monitoring—graphic charts and ventilator data, radiological or gasometric tests—have limitations: either they provide information without regional specificity, or they do not provide progressive and continuous data over time.
In search of better ways to monitor pulmonary functions, EIT plays the lead. Lung EIT can be a diagnostic and a guiding tool for an adequate optimization of mechanical ventilation in critically ill patients, especially on ARDS, where mechanical ventilation remains a challenge.
Guidance on mechanical ventilation settings (22-39)
"Protective" ventilatory strategies have been designed to try to optimize mechanical ventilation and minimize its potential damages. These strategies are mainly based on the application of low tidal volumes and maneuvers designed to increase the functional residual capacity, trying to reduce cyclic alveolar collapse and overdistension of the lung.
As mentioned above, global parameters such as pressure-volume curves or measurement of the respiratory system compliance do not reliably translate what is actually happening in the lung, especially regarding to regional distribution of the tidal volume administrated. EIT images of the regional distribution of ventilation and changes in lung volume in real time highlight the relationship between the dependent and non-dependent lung regions. This dynamic evaluation makes EIT a helpful tool to optimize ventilator parameters on an individualized basis, as EIT may assist in defining mechanical ventilation settings, assess distribution of tidal volume and of end-expiratory lung volume (EELV) and contribute to titrate positive end-expiratory pressure (PEEP)/tidal volume combinations.
Studies performed in the last decade (23-32) have demonstrated that EIT-guided ventilation results in improved respiratory mechanics, improved gas exchange and reduced histologic evidence of ventilator-induced lung injury in an animal model. Careful titration of PEEP following maximal lung recruitment effectively reverses existing alveolar collapse and prevents further alveolar closure. EIT-based algorithms that estimate recruitable alveolar collapse, avoiding hyperdistension, have been one of the most interesting topics over the last years. Lung EIT has been used to assess and quantify the global and regional changes in lung impedance at the end of exhalation, quantifying gains (recruitment) and losses (overdistention or de-recruitment), granting a more realistic evaluation of different ventilator modes or recruitment maneuvers, and helping in the identification of responders and non-responders to such maneuvers (Figure 1).
Costa et al. (33) demonstrated good correlation between EIT and CT estimates of lung collapse during decremental PEEP trials after a maximal lung recruitment maneuver. GI index has been used to describe the inhomogeneity of tidal volume distribution in a cross-sectional lung plane, restricting the analysis to one lung region. In 2010 Zhao et al. (35,36) demonstrated that by adding small changes of PEEP, the gradient of the GI value indicated the direction of beneficial PEEP alteration. This same parameter was used in Liu et al. (37), where regions with overdistension were defined as those that presented high air levels on end-expiration but no air coming in or out during tidal breathing.
Recently, Eronia et al. (38) studied the feasibility of personalized PEEP selection based on its efficacy in stabilizing the EELV increase induced by a recruitment maneuver, using EIT as a tool to monitor EELV changes (parallel to end-expiratory lung impedance changes). Their study protocol consisted in three consecutive steps, comparing PEEP titration using the ARDSnet guidelines and PEEP titration with EIT after applying a continuous positive airway pressure of 40 cmH2O for 40 s, measuring end-expiratory lung impedance variation (∆EELI) thirty seconds and 10 minutes after the recruitment maneuver; if ∆EELI decreased more than 10% of ∆EELIstart a new recruitment maneuver was performed, and PEEP increased by 2 cmH2O; and if ∆EELI decreased less than 10% of ∆EELIstart, PEEP was left unchanged. They demonstrated that bedside PEEP setting based on sustained recruitment following a recruitment maneuver as visualized by EIT was achievable in the majority of the patients, leading to application of higher PEEP values and allowing quantification of regional overdistension associated with PEEP increase (Figures 2,3).
EIT has also been used to set PEEP for ECMO treated severe ARDS patients, providing real-time monitoring during ultra-protective ventilation with very low tidal volume. Franchineau et al. (39) emphasize the importance of preventing cyclic end-expiratory collapse, associated with increased ECMO blood flow, which might unnecessarily prolong ECMO duration and enhance the risk of ECMO-related complications. In the study they evaluate EIT ability to monitor a decremental PEEP trial (20 to 0 cmH2O) in a 5 cmH2O steps; EIT-based best compromise PEEP (defined in this case as the lowest pressure able to limit EIT-assessed collapse to under 15% with the least overdistension) was around 10 to 15 cmH2O, drawing attention to the broad variability in optimal PEEP observed in severe ARDS patients.
Lastly, high flow nasal cannula (HFNC) has been used in hypoxemic respiratory failure due to its physiological mechanisms (administration of high inspired oxygen fraction and creation of positive oropharyngeal airway pressure). HFNC under EIT monitoring has shown improved oxygenation by increasing both end-expiratory lung volume and tidal volume, regardless of body position suggesting an increase in functional residual capacity (40,41) (Figure 4).
So far, great progress has been made. However, even though EIT is becoming a more day-to-day tool regarding mechanical ventilation settings, we must remind that all parameters (severity of illness, hemodynamic tolerance, CT images, respiratory mechanics, …) must be taken into account when titrating PEEP. According to (42) the multicenter, prospective cohort LUNG-SAFE (Large Observational Study to Understand the Global Impact of Severe Acute Respiratory Failure) study, 53% of ARDS patients were ventilated with a tidal volume of less than 7 mL/kg, and 82.6% of the patients received a PEEP of less than 12 cmH2O, whilst prone positioning was used in 16.3% of patients with severe ARDS. Mechanical ventilation guidelines (43) suggest higher rather than lower levels of PEEP, taking into account that higher PEEP strategies are not associated with significant differences in barotrauma, new organ failure, ventilator-free days and mortality as compared with a lower PEEP strategy. ARDS still appears to be undertreated and associated with high mortality rate (in the LUNG-SAFE study, mortality as high as 46.1% was observed for those with severe ARDS). PEEP titration based on PaO2/FiO2 ratio may not be a correct approximation; a more complete and individually personalized understanding or ARDS lung mechanics and its interaction with the ventilation is needed (44). As Gattinoni et al. (45) discuss, in order to set tidal volume and PEEP we must keep in mind hemodynamics and lung mechanics, setting ventilator parameters knowing lung recruitment capacity (avoiding atelectrauma) and keeping the balance with an adequate tidal volume (avoiding overstretching phenomena), optimizing lung size and homogeneity.
Spontaneous breathing trials (SBT) (46-50)
Spontaneous breathing during mechanical ventilation improves lung compliance; patients preserve their end expiratory lung volumes more easily, and avoid redistribution of ventilation to the ventral parts of the lung. Atelectrauma, induced by cyclic collapse and tidal recruitment, appears to be reduced. EIT can also play an important role in demonstrating the advantages of partial ventilatory support. Moreover, EIT is capable of visualizing and quantifying spatial ventilation distribution in real time (49), taking advantage of the GI index to predict in advance whether planned SBT would lead to clinical impairment.
Prone positioning (and other positions)
Current scientific evidence derived from clinical trials and meta-analysis suggest that ventilation in the prone position should be part of the ventilatory strategy in patients with severe ARDS. EIT allows a close monitoring on changes in ventilation caused by these position changes, and contributes to assess the functional effect on the lung system in response to position changes, particularly when there is a highly unbalanced distribution of ventilation (51-53).
Clinical applications in other situations
Occasionally, abrupt decrease in regional lung ventilation may endanger the patient's life, requiring a rapid therapeutic action to avoid worse outcomes. EIT may guide towards the diagnosis of pneumothorax, atelectasis, malpositioning of the endotracheal tube or pleural effusion (54). Though EIT imaging is not pathognomonic, it provides additional information that, along with clinical findings, contribute to achieve a prompt diagnosis. Costa et al. (55) created algorithms for the detection of this pneumothorax using the EIT, demonstrating a sensitivity of 100% for its diagnosis, even in cases of small pneumothorax (under 20 mL).
EIT may be used as a supplementary tool along with conventional pulmonary function tests, as it enables the assessment of both spatial and temporal heterogeneity of reginal function over time or after an intervention (56,57). Furthermore, EIT has also been used to assess patients with cystic fibrosis, identifying regional airway obstruction, and monitoring regional ventilation during breathing aids or physiotherapy (58-60).
Transient lung depressurization during suctioning of secretions or bronchoscopic maneuvers may be evident through EIT monitoring (61,62). Wolf et al. (63) showed that lung volumes decreased after three suctioning maneuvers during clearance of secretions, whilst Lindgren et al. (64) demonstrated that bronchoscopy initially leads to localized auto-PEEP due to the reduced transverse area available for airflow, and that suctioning leads to a decrease in lung aeration and compliance even when a closed suctioning system was used. EIT may even be able to guide lung sampling with non-bronchoscopic bronchoalveolar lavage (especially when bronchoalveolar lavage through bronchoscopy is contraindicated) (65).
Assessment of pulmonary edema often requires invasive measurements, even though they are not always reliable. New technologies can help us in this conundrum, such as lung ultrasound or EIT. In an experimental animal model (66), a novel noninvasive technique using changes in thoracic EIT with lateral body rotation was able to estimate extravascular lung water. This lung water/EIT ratio may be able to guide fluid management, while minimizing ventilator-induced lung injury.
Even though EIT has been extensively developed in lung monitoring, we must not forget to mention new lines of research, such as the assessment of cardiac function and lung perfusion (67-70). EIT-based perfusion monitoring may allow image of local perfusion and mapping of regional ventilation-perfusion ratios. Some of the approaches described to separate cardiac from respiratory impedance changes are by holding the breath, by use of modeling techniques that may separate both signals while breathing (heartbeat-related EIT signal variations) or by intravenous injection of hypertonic saline (which serves as contract agent due to its much higher conductivity). Nevertheless, clinical validation in this field is still pending.
Limitations and problems to solve
The advantages of pulmonary EIT have been reviewed. However, the constraints and limitations of this technique need to be addressed. Although it is a fairly simple technique to apply, it may pose a risk when placed in patients with spinal injury, thus it is considered a relative contraindication. The belt should not be placed over areas of damaged or inflamed skin. Poor quality EIT images could be obtained from morbid obese patients with body mass index above 50. Measurements of EIT are sensitive to body movements, hence their use in patients with uncontrolled body movements may not be reliable.
Regarding the interference of the EIT and pacemakers or defibrillators, the application of an alternating current could interfere in its functioning. Also, cardiac defibrillations should not be performed at the same time as EIT, since the energy needed for defibrillation can propagate through the electrode-belt and decrease its effectiveness.
EIT measurement encompasses cross-sectional slice of 5-10 cm of thorax, and we assume that other lung regions behave similarly. The clinical use and plausibility of EIT measurements depends then on proper belt position, proper impedance visualization, correct analysis and data interpretation (71).
The images provided translate lung tissue impedance changes, not absolute values. We will always need for a control measure (a reference) taken before or at the beginning of the morbid process to be able to determine or estimate the observed changes. Additionally, EIT captures only ventral-to-dorsal regional ventilation distribution; Bikker et al. (72) report different ventilation distribution between cranial and caudal lung levels during decremental PEEP trials, concluding that no single optimal PEEP level exists for the whole lung.
Despite the possible limitations of the existing EIT systems, this device have meant a remarkable technological advance in the field of lung monitoring and mechanical ventilation adjustments. The final appraisal of the indications is especially promising in the light of the first results, although its implantation on a daily basis will be the result of the scientific community's acquired experience over the years.
Conflicts of Interest: The authors have no conflicts of interest to declare.
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- Grieco DL, Mura B, Bisanti A, et al. Electrical impedance tomography to monitor lung sampling during broncho-alveolar lavage. Intensive Care Med 2016;42:1088-9. [Crossref] [PubMed]
- Trepte CJC, Phillips CR, Solà J, et al. Electrical impedance tomography for quantification of pulmonary edema in acute lung injury. Crit Care 2016;20:18. [Crossref] [PubMed]
- Deibele JM, Luepschen H, Leonhardt S. Dynamic separation of pulmonary and cardiac changes in electrical impedance tomography. Physiol Meas 2008;29:S1-S14. [Crossref] [PubMed]
- Grant CA, Pham T, Hough J, et al. Measurement of ventilation and cardiac related impedance changes with electrical impedance tomography. Crit Care 2011;15:R37. [Crossref] [PubMed]
- Borges JB, Suarez-Sipmann F, Bohm SH, et al. Regional lung perfusion estimated by electrical impendance tomography in a piglet model of lung collapse. J Appl Physiol (1985) 2012;122:225-36.
- Frerichs I, Becher T, Weiler N. Electrical impedance tomography imaging of the cardiopulmonary system. Curr Opin Crit Care 2014;20:323-32. [Crossref] [PubMed]
- Karsten J, Stueber J, Voigt N, et al. Influence of different electrode belt positions on electrical impedance tomography imaging of regional ventilation: a prospective observational study. Crit Care 2016;20:3. [Crossref] [PubMed]
- Bikker IG, Preis C, Egal M, et al. Electrical impedance tomography measured at two thoracic levels can visualize the ventilation distribution changes at the bedside during a decremental positive end-expiratory lung pressure trial. Crit Care 2011;15:R193. [Crossref] [PubMed]


text:
General Manager
- Recruiter
- Zachary Daniels
- Location
- Middleton Stoney
- Salary
- £55,000 per annum
- Posted
- 21 Jan 2019
- Closes
- 25 Jan 2019
- Job Function
- General Management
- Industry
- Retail / FMCG, FMCG, Sales, Retail / FMCG
- Position Type
- Permanent
Job Title: General Manager
Sector: Retail
Location: Bicester Village
Package: Up to £60,000 plus a great package and commission
Role: You will be the leader and General manager of a flagship store in Bicester. You will ensure that all day-to-day operational aspects of the store are managed effectively. You will be at the forefront of creating an exceptional environment for customers to come in and shop and inspire the team to deliver brilliant customer service. You will be managing and controlling budgets and driving sales to ensure that the high levels of performance which are standard within this business are maintained.
*Lead the team in store
*Drive performance and sales
*Create an environment that creates an excellent experience for customers
*Work along side your team to grow your store through driving sales and delivering excellent customer service
The successful candidate will have the following:
Experience and background:
*Retail experience in either store management or senior management
*Working within a luxury or premium environment
*Currently managing KPIs and budgets to improve their current store performance
*Has a track record of driving sales and performance
*Managing turnovers in excess of £4million p.a. and teams of 10 or more
Personal Attributes:
*Leader and motivator
*Inspiring individuals
*Exceptional customer service
*Business orientated
*Ambitious and Fun
Please apply with your most up to date CV…

subset: commoncrawl


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Have you looked at the thermometer lately? Hello, summer! It's Sidewalk Egg Frying Day!
There's actually some debate about the date for Sidewalk Egg Frying Day. Some sites say July 4 and others say July 18, but, since I missed the 4th, I'm celebrating today. Just a couple of tips before you go:
- Use a skillet. If you fry it directly on the sidewalk, you'll have a gross mess that's no fun to clean up and that I certainly wouldn't eat. (Correction: I'm told you shouldn't eat it, even if you cook it in a pan, but I'm really not sure why as long as it's cooked thoroughly.)
- Let your skillet warm up for about 15 minutes before you crack your egg on it. The sun is powerful, but it's not microwave fast.
Frying eggs on a sidewalk has actually been in the news lately due to a rather funny event. A park ranger in Death Valley posted a video a week or two ago showing how she fried an egg in a skillet just using the heat from the sidewalk (and the sun). The video took off, and now park authorities are begging visitors not to fry eggs directly on the sidewalk. They're tired of cleaning gooey half cooked eggs off the pathways! (More info here)
Stay cool today!
"For day and night
your hand was heavy on me;
my strength was sapped
as in the heat of summer."
Psalm 32:4


text:
With Valentines Day only a couple of weeks away, we've been creating some great recipes that everyone will love! Making something that's homemade really shows someone that you care and that you put in a lot of effort. Anyone can buy a gift but baking something delicious will definitely make more of a loving statement.
Whether you're baking for your husband, wife, partner, girlfriend, boyfriend, family or friends show someone how much they mean to you and give them a gift in the form of something yummy! They will absolutely love it and the feeling you'll get by making something for someone will feel amazing!
Our surprise baking boxes will contain a fun valentines themed recipe, some lovely decorations and ingredients! You can even get the box as an activity for you to do together with someone 😉
We would like to offer 10% off our boxes (valid for baker, vegan and gluten free boxes) for the February box so join now to receive your box in time. Use coupon code VALENTINES10 at checkout.
Here at All Things Baked we love love…so spread the love this Valentines Day 🙂
Happy Baking!


text:
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text:
Please can anyone tell me about HIRALAL BHAKAT COLLEGE in Birbhum for BCOM
Hello rakshita, HIRALAL BHAKAT COLLEGE provides BCOM and is located in Birbhum West Bengal. Although the Birbhum West Bengal has many BCOM HIRALAL BHAKAT COLLEGE, provides a good option to students who are planning to undertake BCOM. The address and the contact information of the HIRALAL BHAKAT COLLEGE is provided as below -
Hello rakshita, please check review of the HIRALAL BHAKAT COLLEGE for BCOM here . Also please note you can fill an enquiry form on the page provided to get the latest information on anything regarding the HIRALAL BHAKAT COLLEGE for BCOM courses. I saw a few reviews of the institute, in general it looks good. But better go and visit the place.


text:
The Node Craftsman Book
The Node Craftsman Book helps JavaScript programmers with basic Node.js knowledge to now thoroughly master Node.js and JavaScript. This book dives you deeper into the craft of software development with Node.js and JavaScript, incuding object-orientation, test-driven development, database handling, web frameworks, and much more.
The Node Craftsman Book shows you how to work with Node.js and how to think deeply about how you build your Node projects. You'll master how to build a complete Node.js application across six crafting milestones, and you'll learn many specific skills to achieve that mastery. These skills include how to work with the Node Package Manager in depth, how to connect your Node applications to databases, and how to write unit tests and end-to-end tests for your code. You'll experience the full Node.js development picture, and learn how to craft and control your Node.js applications - right through to fully-fledged web applications using REST, and integration with Angular applications.
|Page Count
|Course Length
|5 hours 34 minutes
|Date Of Publication
|27 Apr 2017


text:
(Universidad de Puerto Rico, Recinto de Mayaguez, 2011)These last two weeks at El Verde Field Station in the company of the Anolis lizards and our team have been a truly unforgettable experience! After what could have been a potentially awkward beginning (4 men and 1 woman – me, in an apartment, and the language differences between us), I quickly realized that this stay would be awesome, because, well… they are awesome! And that's just the way it turned out to be.
We collected data on various species of endemic Anolis lizards, such as A. krugi, A. cristatellus, A. evermanni, A. gundlachi, A. stratulus, and A. pulchellus. Lizard catching also proved to be an enjoyable experience, where I learned that catching lizards with a noose isn't as easy as it looks. Nevertheless, this made every success an opportunity to celebrate (victory dance included).
I really enjoyed learning to identify and spot the lizards, watch their behavior and their colorful dewlap displays, understanding how the different measurements were taken, and working as a team with Dr. Leal. It's always a great feeling to know that you're contributing to someone's work, and I'm excited to see how the results turn out. For me, this experience has been an enlightening one, which I feel has ratified my interest to become a graduate student. I had been to the rainforest before, being from the Island, but going with people who were knowledgeable in every tree and bird species that we encountered gave me a different insight of the rainforest, and it helped me see and think about more than just its beauty. I'm extremely grateful for Manuel and Leo for giving me this opportunity to work beside them, and especially to Manuel for kindly answering my endless questions and for graciously dealing with my lack of cooking skills. I'll truly miss the teasing, the morning singing, our outings, the interesting lizard conversations, and overall, some truly wonderful people who showed me what life in the field is all about and opened up my mind to new opportunities. I leave El Verde hoping that this isn't an "adios", but only an "hasta luego"! Buen viaje, amigos!


text: Boys Basketball: The Suburban Life All-Area teamBy JOSHUA WELGEEmailFollowMarch 14, 2019 Led by Player of the Year Evan Taylor of Glenbard West, here is the Suburban Life All-Area boys basketball team. [Sandy Bressner - email@example.com]Eddie Boston, Downers Grove North, senior, guard: Dynamic duo with Sema'j Henderson that led Trojans to first sectional final since 1999. Boston averaged 16.9 points, 4.3 rebounds and 2.0 assists. Scored 20 points in both regional final and sectional semifinal and 35 in sectional final. [Mike Mantucca for Shaw Media]Justin Eagins, Downers Grove South, senior, guard: Smooth 6-foot-2 lefty teamed up with Wes Hooker to lead 23-8 Mustangs to share of West Suburban Gold title and a regional final. Eagins, repeat All-Area, averaged 17.7 points, 4.5 rebounds and 2.8 assists. [Larry W. Kane for Shaw Media]Nate Ferguson, Lemont, senior, forward: Signed with Drake. Athletic 6-foot-7 wing averaged 20 points, eight rebounds and two assists for regional finalist. Only fourth player in school history to play major-college basketball. [David Toney for Shaw Media]Sema'j Henderson, Downers Grove North, senior, guard: Three-year starting point guard led 23-12 Trojans to second sectional final in program history. Henderson, who will attend Charlotte Basketball Academy in North Carolina next year, averaged 16.2 points and team-high 5.4 rebounds, 2.8 assists and 1.9 steals.Nick Kosich, York, senior, guard: Point guard for 29-5 regional champs led Dukes to most wins in school history, and Jack Tosh Classic title. Kosich averaged 11.7 points, 3.1 rebounds, 3.0 assists, 2.0 steals and made 69 3-pointers at a 40 percent rate. [Sandy Bressner - firstname.lastname@example.com]Jeff Kratz, Wheaton Warrenville South, senior, guard: One of the area's best shooters, Kratz averaged 15.6 points, 3.2 assists, 2.5 steals and made 93 3-pointers for 20-12 regional finalists. [Sandy Bressner - email@example.com]Nolan Niego, Lyons Township, senior, guard: Heady 6-foot-2 guard led 23-10 Lions to first regional title, and most wins since 2011. Niego averaged 13 points, four rebounds and four assists. [Bill Ackerman - For Shaw Media]Everett Stubblefield III, Willowbrook, junior, guard: An explosive scorer, Stubblefield averaged 19.2 points in first full varsity season. Stubblefield, who scored career-high 42 points in win over sectional finalist Oswego East, averaged 3.7 assists, 3.1 steals and shot 78 percent from free-throw line. [Jeff Krage for Shaw Media]Evan Taylor, Glenbard West, senior, guard: Signed with Southern Illinois. Glenbard West's all-time leading scorer, with 1,479 career points. Do-all 6-foot-6 talent averaged 21.7 points, 10.2 rebounds and 3.8 assists for 20-10 regional finalists. [Mary Beth Nolan]Kendrick Tchoua, Benet, senior, forward: In his only year at Benet after moving from Maryland, this 6-foot-7 chiseled post was a force for 24-8 Redwings. Tchoua averaged 16.4 points, 7.0 rebounds, 1.9 assists and shot 60 percent from the floor. Holds offers from Wisconsin-Milwaukee and the University of Indianapolis. [Jeff Krage for Shaw Media]Zach Vaia, Riverside-Brookfield, senior, guard: Two-time Metro Suburban Conference MVP led 28-4 Bulldogs to most wins in school history, matching 2015 team, and conference and regional titles. Vaia, with 1,040 career points, averaged 14.7 points, 5.8 assists, 3.5 rebounds, 2.1 steals, shot 82 percent from free-throw line and 38 percent from three. [SARAH MINOR]Sam Walsh, York, senior, forward: The 6-foot-4 post finished his career in fantastic fashion with career-high 29 points, nearly willing Dukes past Young in sectional semifinal. Walsh, who will play lacrosse at Merrimack College, averaged 12.8 points, 5.9 rebounds and shot 66.3 percent.


text:
August 21, 2019 at 5:30 am
April 21, 2018 at 5:30 am
Today students from across the country staged a walkout to remember the victims of all school shootings with a demand that they end now! The person behind the national march takes us inside the walkout. 19 years ago today the Columbine High School massacre occurred, killing 13 and marking the start for many of the seeming epidemic of school shootings. We're looking back to look forward. PBS rolls out "The Great American Read" while Mayor De Blasio's office rolls out "One Book, One New York". We have details on both of these wonderful events. Is it time to legalize Pot in New York State? Senator Chuck Schumer wants to decriminalize marijuana, what about you?
Aired on April 20, 2018.


text:
Alabama law to require cursive writing in state schools
MONTGOMERY, Ala. — Cursive is making a comeback in Alabama.
Lexi's Law, which requires cursive writing to be taught by the end of third grade in all state schools, will go into effect on Aug. 1, the Montgomery Advertiser reports. According to the plan, students will begin learning cursive from second grade through a five-day lesson plan that covers lower- and upper-case letters.
"Cursive writing should not be ignored, but of course, it's always a possibility some things get laid aside and may get pushed off when other academics may seem more important at that time," said Malissa Valdes-Hubert, spokeswoman for the Alabama Department of Education, according to WSFA.
Some Alabama counties already have regulations in place for teaching children cursive writing.
"We already have an elementary guideline in place that sets the standards for cursive handwriting," Autauga County superintendent Agee said. "By the end of kindergarten, students should be able to write all their letters in lower case in cursive and by third grade, they should be able to write legibly in cursive."


text:
by Derrick Vander Waal
SIOUX CENTER, IOWA – Babies, babies and more babies.
August 2017 was the month filled with babies for the Promise Community Health Center midwifery team.
In total, certified nurse midwives Belinda Lassen and Pam Hulstein of Promise attended 12 home births during the baby boom. That was a one-month record for Promise. A third midwife also was on-call in case she was needed.
"August was just an incredible month," Lassen said. "Thank you to all our families for entrusting your care to us."
Here are some fun stats for the 12 babies:
- Eight were girls; four were boys.
- The 12 babies were born in 12 different towns. (Ironically, none of the births were in Sioux Center, IA, where Promise is located.)
- Six babies were born in Iowa; six were born in South Dakota.
- The distance from the farthest west hometown (Vermillion, SD) to the farthest east (Spirit Lake, IA) was 129 miles; the distance from the farthest north hometown (Baltic, SD) to the farthest south (Merrill, IA) was 95 miles.
- The largest baby was 9 pounds, 8 ounces; the smallest was 7 pounds.
- The longest labor was 15 hours, 25 minutes; the shortest labor was 2 hours, 17 minutes.
- Babies were born from the first day of the month to the third to last.
|Promise Community Health Center's record 12
home births for a month (August 2017) were
in 12 different towns in two states.
Here is the tally of home births:
Aug. 1: Juniper – Orange City, IA.
Aug. 4: Lydia – Merrill, IA.
Aug. 9: Kenny – Vermillion, SD.
Aug. 14: Freya – Tea, SD.
Aug. 16: Alivia – Spirit Lake, IA.
Aug. 17: Jefferson – Sioux Falls, SD.
Aug. 17: Matea – Rock Valley, IA.
Aug. 18: Waverly – Harrisburg, SD.
Aug. 23: Ivan – Sanborn, IA.
Aug. 27: Olivia – Baltic, SD.
Aug. 29: Sawyer – Boyden, IA
The families were highly appreciative of the personal care that they received from their midwives and nurses.
"Alivia's birth was an absolute dream," Emily Lungren said. "It was so wonderful to labor, deliver and recover in our home. From the first appointment through the delivery and aftercare, Belinda has been absolutely wonderful. She is so special to our family."
To learn more about these babies and their families, check out the Promise midwifery team blog at: promisechcmidwives.blogspot.com. To learn more about Promise's prenatal services, visit www.promisechc.org/services/prenatal.aspx.
Promise Community Health Center of Sioux Center is the only Federally Qualified Health Center serving the far northwest corner of Iowa. Promise provides medical, prenatal, dental, vision and behavioral health services. To learn more, visit www.promisechc.org and watch this video. To read more Promise news, visit promisechcnews.blogspot.com.


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Sept. 5 Only in America
Big Island couple officially marries 36 years after wedding
KAILUA-KONA, Hawaii (AP) — A Big Island couple who believed they were married 36 years ago officially tied the knot after learning of a documentation mix-up. West Hawaii Today reports Randy and Leigh Mitchell were legally married at the Kealakekua courthouse last week, though their wedding was in February 1982. The couple learned two years ago that their marriage license was never filed at the time of their wedding in Huntington Beach, California. Leigh Mitchell discovered the mistake when she tried to renew her driver's license, which required her marriage license to show her name change. She says the marriage certificate in her possession was just the souvenir copy. Randy Mitchell says Orange County, California, did not have any record of their marriage when the couple tried to request the document.
Swimsuit-less Miss America competition begins Wednesday
ATLANTIC CITY, N.J. (AP) — With a revolt underway by state pageant officials — and without swimsuits — the Miss America competition begins Wednesday night amid the most turmoil the iconic event has seen in decades. The first of three nights of preliminary competition begins with a big change: In past years, one talent and one swimsuit winner were named in each of the three preliminary nights. This year, instead of a swimsuit winner, the winner of an onstage interview will be named. The format is similar to what viewers will see happen during the nationally televised broadcast on ABC on Sunday night. Scholarships totaling nearly $506,000 will be awarded at the pageant. Most state organizations want new leadership for the Miss America Organization, and the outgoing Miss America, Cara Mund, has said in interviews that she was bullied by pageant leaders. They deny the charges.
Yellowstone Newspapers
- Big Horn County News | Hardin, MT
- Big Timber Pioneer | Big Timber, MT
- Carbon County News | Red Lodge, MT
- Dillon Tribune | Dillon, MT
- Forsyth Independent Press | Forsyth, MT
- Glendive Ranger-Review | Glendive, MT
- Judith Basin Press | Stanford, MT
- Laurel Outlook | Laurel, MT
- Lewistown News-Argus | Lewistown, MT
- Livingston Enterprise | Livingston, MT
- Miles City Star | Miles City, MT
- Stillwater County News | Columbus, MT
- Terry Tribune | Terry, MT


text:
All you need to know about measuring your head size
By Clara
Here at Karen Henriksen HQ, we offer unusual designer hats caps for men, in a very wide range of sizes, and in 1cm increments. We do this because nothing compares to the comfort of a hat or flat cap that fits perfectly.
If you are a bit of a hat fan already, you may have a hat that fits you at home. It will most likely have a measurement in cm on it.
If not, then read on to measure your head size at home.
How to take my measurement?
You will need:
-a flexible sewing tape measure, or some string and a long ruler.
-a willing friend / partner/ neighbour / relative / child
Choosing your fit is quite a personal decision (and will also probably depend on the style of hat) - how would you like your hat or flat cap to feel? Snug and secure? Loose and free flowing? Or somewhere in between?
Whichever way you would like it to feel, ask your friend to wrap the tape around your forehead and the back of your head in this way. The tape should feel the way you'd like your hat or flat cap to feel.
Flat caps in particular do need to be a good fit, and can be worn in different ways - i.e. straight on, or higher on the forehead and pulled down deep at the back. The shape of your head comes into it, too - read on for more on this. (See also our post on face shapes)
Get your friend to read the measurement and make a note of it. In centimetres please!
How high should I place the tape on my forehead?
It's worth taking a moment to consider this: shallower flat caps will sit higher on your forehead than deeper styles, and some of the beret styles and trilby hats may sit a little deeper still. For Kelvin (pictured), this doesn't make a difference to the measurement, however for somebody else it might!
You should place the tape approximately where you would like your hat to sit. Mid-forehead is a good place for most hats (see main image) but it might be lower or higher, depending on the style and your preference (as in the two smaller images here).
Head sizing: an art rather than a science
Orders from Karen Henriksen are made to size for you in the London studio. That said, if your hat doesn't feel exactly right, please notify Karen within 5 days of receiving it. She will then make another one for you, one size up or down.
Take your head measurement with care, but remember: it is an art rather than a science…
Any questions? Please don't hesitate to get in touch.
Many thanks to Kelvin Birk, our friend and neighbour at Cockpit Arts, for modelling.


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Addicted to shoes? Yes us too!
Get asked by your partner how you can possibly need so many shoes? Yes us too!
Have even bought shoes in several colours because they were so fabulous? Yes us too!
Welcome to the shoe-a-holic club. This Shoe Experience activity is just for you, non-club members can stay away... they just won't appreciate it.
Enjoy a drink with a few tasty nibbles, your Shoe Consultant will let you into a few celebrity shoe titbits, before it's time to hit the shoe racks, with her expert guidance of course.
Buy shoes like a celebrity, wear shoes like a celebrity, feel like a celebrity... with your own personal shopper.
Tailor made, no hidden extras and price guarantee
Safe and Secure with just one £50.00 group deposit
Your friends pay online with free instalments
MyFreedom making organising groups effortless
We are here to help every step of the way


text: You know when the anticipation of the events of a singular day become so scheduled and fragmented that the day itself ceases to exist? The events that you look forward to are swallowed in the chaos that surrounds the tasks at hand. Sometimes the meaning of time lies in moments passed and very rarely those that I look forward to. The future is never now. And now never lasts.


text:
Zante Strays is a UK registered charity that is run by a small band of volunteers on the Greek holiday Island of Zante. Sadly dogs and cats are not well treated here, there are hundreds of strays living on the streets and we also come across many cases of poisoning and abuse.
As well as educating owners about the importance of neutering their animals, we rescue and rehome as many strays as we can, mainly in the UK, Germany and Holland. Last year we had a dream of building a shelter, as all our foster homes were full and we had no more room to take in sick, injured or abandoned dogs. It was a massive undertaking for a small charity and felt very daunting, not least because we receive no funding from the authorities in Zante and are completely reliant on donations from our supporters. The land was given to us by our lovely vet and family which gave us a big step up to start.
We decided to launch a crowdfunding campaign and, thanks to all our wonderful supporters, (including our very own #manonamission, Jeff Dunkley, who was so generous and did so much to help us reach our goal), we raised enough money to flatten the building plot, lay the foundations and create five large pens for our rescue pups.
We started work in November 2017 and, despite the bad weather, by March 2018 the first dogs had moved in and now we are able care for around one hundred and fifty dogs and puppies until they find their forever homes. It's an amazing achievement, but we're not quite there yet, because now we need a roof for the shelter!
Due to local building regulations, we aren't allowed to build solid roof, so we are going to use a heavy canvas like material that will be stretched across one half of each pens to keep the dogs dry in the winter and cool in the summer. Normally we wouldn't start another campaign so soon after the last one but, as you can imagine it gets incredibly hot here in the summer and we really need to get the roof in place as soon as possible.
We're also going to see if we can raise enough to put sides on the pens where they are covered by the roof. Originally we planned to do this at a later stage, but if we can do it all at once it will be easier and cheaper and everything will be done by winter when the weather gets cold and the rain starts.
Any support you can give us would be greatly appreciated, no donation is too small and please share the link to this campaign page with dog loving friends and family. If just 350 people donate £10 we'll have the money we need to keep our pups comfortable in the summer months. Please help us raise the roof!
It will cost us £700 to put a roof over each pen and we have five pens so we need to raise a total of £3500 for the roofs. Putting the sides on each pen will cost an additional £400 so we need to raise a grand total of £5500 to do all the work.
Because the summer is so hot we want to raise the money as quickly as possible, so that we can start work. Our aim is to have all our pups under cover by the end of May.Ask a question
Total Raised£4350
Online Donations£3450
Offline Donations£900
Thanks to our wonderful supporters we've now raised enough to put a roof on four of our five pens and you can see the first one here, which looks pretty fabulous even if we say so ourselves! Because everyone has been so generous, we've decided to go further and, as well as raising another £700 to put a roof the last pen, we're setting ourselves a stretch target to raise a further £2000. If we're successful this means we can put sides on the runs too which will help keep our pups cool in the summer (and with temperatures already in the mid twenties, that's really, really important) as well as keeping the rain out in the winter. Thank you so much if you've already donated to this campaign, your support means more to us and our foster pups than we can say! Jamie (volunteer) xx
Zante Strays is a no kill animal rescue charity which finds great homes for the special Zakynthian stray animals in the UK. We rescue and treat abandoned, sick and injured animals, together with whole litters of puppies and kittens who are commonly dumped in the litter bins of Zante soon after birth. Poisoning of the streets/public and private areas is common in Zante, to kill dogs and cats rather than manageing the population through spaying and neutering. We fundraise to feed these lovely, friendly animals and to give complex and routine veterinary care to treat these vulnerable creatures in foster in Zante, until they are ready to seek their forever homes. Zante Strays commit to keep every stray dog/cat we foster for the rest of its life if it does not find a home or is old, blind or disabled. We educate encouraging neutering of all pet animals and offer half price sterilisation of owned animals to try to hit the problem at source for those animals who just cannot afford it. We have a small group of active volunteers based in Zante who use their own resources without funding from any government sources. This teamed with a small group of volunteers based throughout the UK are responsible for organising foster for strays and the adoption of rehoming animals. This includes arranging appropriate and safe transport to the UK, all veterinary checks, sterilisation, issue of pet passport and microchipping. We are determined to make a difference and as we have no overheads and pay no salaries (all services are given free by volunteers) we are able to ensure every penny raised goes to all of the animals in our careContact charity
All the money we raise will be used to put a roof and sides on the pens.Donate now!
Choose from a mouth watering range of chocolates and treats from Vegan town. Can be enjoyed by vegans and non vegans alike!
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Pamper yourself with an all natural, hand made Face Mask from Wheesht. Vegan, cruelty free and very indulgent!
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Create your own wildflower patch with this great offer from Seedball and make your garden a haven for bees and butterflies
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A set of 32 pure beeswax tea lights presented in a gift box made from recycled material and paper from sustainable forests.
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4 June 2015
Primary school mathematics teaching on agenda at Hutt STEMM Festival
Helping primary school teachers gain a solid grounding in mathematics teaching so that they can confidently teach the subject in the classroom was the focus of an Open Polytechnic hosted event held this morning (4 June) as part of the Hutt STEMM Festival.
Zealand's largest provider of distance learning at
tertiary level, the Open Polytechnic launched the Graduate
Certificate in Primary Mathematics Teaching
(Curriculum) earlier this year.
At this morning's event Open Polytechnic Chief Executive, Dr Caroline Seelig, talked about the philosophy behind the online certificate. "It's designed to help practising primary school teachers gain a solid grounding in both practical mathematics and statistical investigations so that they can teach the subject with confidence and enthusiasm to their students."
"The certificate has the same philosophy as our successful sister programme in primary science teaching, which has now helped 150 schools nationwide, and by extension, over 10,000 primary school children, gain a better understanding of science in a fun and engaging way."
"We're really pleased that we can help contribute to teacher education nationally in such a significant way," says Dr Seelig.
The teaching team behind the science and mathematics qualifications are finalists in this year's Prime Minister's Education Excellence Awards in the Excellence in Leading category. The winners will be announced at an awards ceremony on 17 June.
The Graduate Certificate in Primary Mathematics Teaching (Curriculum) is currently being offered fee-free. Delivered online, teachers are able to fit their studies in around their work and family commitments.
For more information on the Open Polytechnic's Graduate Certificate in Primary Mathematics Teaching (Curriculum) visit: http://bit.ly/1Q7F06W


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Tuesday, November 24, 2009
Random Picture WITH PARIS
Posted by LaiParis at 12:47 PM
Labels: Personally Lai, Random Picture
3 comments:
- Frankie Nichelle said...
I LOVVVVVE your new layout! The 1st one was hot too, but this was is AMAZING!
- November 24, 2009 at 2:12 PM
- Ashante Lott said...
Cute! you make me want to go out and get some acrylic nails.
- November 24, 2009 at 5:42 PM
ur nails are always nice.. ol girl does a nice job..the layout is badd also
- November 24, 2009 at 9:39 PM
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Innovative rich media unit showcases your brand's best assets in an interactive sequence.
The Future of Work. For the second chapter in this series, Citrix wanted to explore the importance of digital transformation, both technologically and culturally, through its sponsorship of Major League Baseball. Bloomberg Media Studios told this story via a video spotlighting Brendan Reilly, CEO of EON Sports, which uses virtual reality to train baseball players to achieve real results on the field. The dynamic page also featured an interview with futurist Jacob Morgan, who explained how technology can improve the employee experience.
Innovative rich media unit showcases your brand's best assets in an interactive sequence.
Mobile impact: ScrollView 250 and Scrollview 700 reveal a brand message as part of readers' scrolling motion.
Cinematic video: Advertiser video appears in a dramatic view as readers scroll down the homepage, delivering full page video presence.


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Gillian Beveridge is a prolific MoonWalker – having completed seven of the night-marathons run by #walk1000miles' charity partner Walk the Walk. This is her first year doing for her 1000 miles too, and with her first MoonWalk imminent, the big miles are building!
Number of miles walked so far (boots on): 337.2
Weeks til 1st MoonWalk of the year (London): 2 – Yee-hah!!
Scale of nerves and excitement for The MoonWalk London (from 1-10): 9.9!
First I have to say hello, welcome and thank you to my Walk the Walk family who have sent me such wonderful messages about these blogs. I am who I am (a song is forming in your head now) and I am not afraid to admit I have struggled with some days of training, as have many of us. BUT the sun is here and it seems to be sticking around for a while. It is still very cold (-5 this morning) but it soon warms up.
This month I have upped my training as we race towards my first challenge of The MoonWalk London on 12th May. I like to be organised and know I'm ready so I went a bit 'off plan' and completed my 20 mile training walk on 14th April instead of 28th April. This meant I could walk with my task master Anne Conrad once again. Anne had planned a 20 mile walk using the old and current MoonWalk route in Edinburgh. We were blessed with a wonderful day to walk and I had my first experience of being too warm.
As you will remember from past blogs Anne walks fast, very fast, but she promised to push me but not kill me. She was almost true to her word. We set out at a good pace from the first step and I was doing well for quite some time. But Anne has many gears and she upped it a little which meant I was about 5 paces behind her. It did become comical as she turned frequently to say 'C'mon hen' with a response of 'I'm a coming'. And she gives you 5 seconds notice to cross the road whether there is a car coming or not. I did crack at mile 18 and we don't talk about how long that mile took. But I was so proud at the end. 5hrs 28mins means I can once again make my 7 hour target for the MoonWalk, something I didn't think possible until the Dublin Marathon last October.
The following weekend I had to prepare for my fundraising event on 28th April and it was London Marathon weekend. My team manager was running so I wanted to track her progress. My plan was to get up at 8am on the Sunday, complete a 15 mile walk then settle down to look for Gill and maybe spot WTW sister Suzie Trew Foster as a spectator. In a nutshell my alarm went off, I fell asleep again and woke 2 hours later, took myself downstairs and sat glued to the tele for a very long time. I consoled myself that I do not have to walk every weekend and it is a long time until November and I don't want to fall out of love with walking.
This weekend 'off' from walking was just what I needed as I decided that I would mix my training up and walk in the morning before work and before I have time to find an excuse. That's what I did all last week and I loved it. 3.5 to 4 miles every morning was great to get me ready to face a difficult week in work. I had Friday off but I got up at 6am as usual and walked 10 miles at pace then after a quick shower met with my inspiration and we completed 5 miles at a slower but good pace. I had Saturday off as I held my Soup and Sweet Fundraising event. On Sunday I borrowed my Aunt's dog once again and we walked along the old railway line in the sunshine. Over the 7 day period I managed to notch up 64.5 miles which was amazing towards my #1000 miles total.
So I feel ready for The MoonWalk London – apart from the actual decoration of my bra! The theme is Wild West. I am trying to gain from others but creativity is not my strong point.
My next blog will be after The MoonWalk London. To my fellow Walk the Walkers, look forward to seeing you very soon and to my fellow #1000 mile walkers, keep going we are getting there together. One foot in front of the other.
• Want to turbocharge your 1000 miles and have a night to remember forever? Sign up to do a a MoonWalk.
• Doing a MoonWalk and want to make your achievement and fitness gains last all year? Sign up for #walk1000miles


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- California Fence not only had the best price, they also completed the job professionally and timely. I think you may feel the same. BlessingsGary W.
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If your aim is pizza cash and new video games, this could be the perfect solution for you. It might take a lot of work and time management to acquire through it, but as soon as you are finished, you can say that you formally completed a graduate program. Another advantage of getting a masters degree in social work is that you'll have more career options to select from and job opportunities. Lots of folks feel that so long as you have a little cash you can have any Thai woman that you would like You to see, this specific place doesn't have any tax. Governments also supply special incentives like financing part of the disabled worker's wages for a specific period. For instance, the U.S. government provides a Work Opportunity Tax Credit.
The War Against Financial Stereotypes
Lets learn more about war against Financial Stereotypes Contrary to what most people think, Thai women are not going to sleep at any guy who has a range of bucks in his pocket, even the prostitutes have criteria, and in the vast majority of situations, the punters are somewhat more desperate than the women, because of the law of demand and supply. There are lots of guys who love to cook at home, and there are lots of girls who also execute these tasks but not since they have to. Therefore, they're the cause of the women's rights movement, and they're the cause of the cultural limitations imposed on women.
The Honest to Goodness Truth on Financial Stereotypes
Folks will discover a way to practice it. Any of these folks can send lewd messages and photographs to these girls in only a few clicks. It's hard for the multichip person to fully grasp how the only child is equipped to survive without having siblings.
In families where there's more than one child, there'll always be sibling rivalry. Only children are misunderstood because it's widely assumed they do not have any siblings, they are selfish and spoiled. While not trying to change your head about the choices you've made for your son or daughter, I'm attempting to notify you as to a range of the potential consequences of being homeschooled. Folks just don't know how to take only kids. It's perceived that only kids are "lacking" in important features of life experience only because they don't have any siblings. The middle child is merely there. In many families, it's the middle child who's often disfavored by their parents.
The New Angle On Financial Stereotypes Just Released
Since the level itself requires at least 60 credit hours to finish you will acquire a huge array of knowledge which may be beneficial in some professions. Over the span of this calendar year, the student takes eight distinct classes. If a group of people is not permitted to participate culturally, we don't understand and appreciate our differences and similarities. If it is not allowed to be educated, they cannot make important contributions to society in technological, economic, and healthcare arenas.
Both middle and just children are regarded as quite maladjusted adults. Elderly folks are often perceived as being different from the remainder of society, and in so doing many women and men have lost the capability to identify with them. It's time to ask yourself whether you truly need something before you purchase it. It took me a fair amount of time to begin tolerating and accepting how things are finished. This subjugation was initially generated with social expectations related to female sexual morality. The point is that to be sexy is the best type of confidence.
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Vist Stereotypes Blog to learn about all kind of Stereotypes
Lately, more positive aspects are starting to be connected with both the middle and just kid. There's a perception of homeless women and men in our society that's created and held up by an enormous selection of assumptions and myths, the vast majority of which are incorrect. All this particular expertise, coupled with your work experience, is very likely to make you quite marketable.


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The doggy photos of me on this site and in my videos are just me, folks! No puppy stunt double going on here. The difference in before and after example photos is grooming.
I was a scruffy puppy at 4 months though my captured by the doggy police video is a simulation that shows me with a haircut.
Looking over old puppy photos when I was 4 months old, and then again at 8 months and 12, oh my but some Corky photos at 4, 8, and 12 months appear like more than one dog.
Pet film productions do that Hollywood trick for television and movies. I believe the role of Marley was actually played by 15-20 different dogs.
In the hideous photo shown above (yikes!) that's me (yikes, again!) at 4 months and never groomed. I did get a bath during my week in doggy jail, plus a jailhouse tattoo, but no haircut. I clean up quite well, don't ya think?
The collage of puppies in the top header, and the solo puppy photo to the right of those are all me at 4 months old, and groomed. Look in the right sidebar column next. The YouTube video graphic is me groomed at 8 months. The Twitter graphic shows Corky the shelter dog at 12 months.
If you were trying to guess my weight in all of those photographs, here's how I tipped the doggy scales at the vet at 4-8-12 months. I was adopted at 13 lbs, added 4 lbs by the 8th month, and am now just over a year old and 19 lbs.


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How to Stabilize your Service Network
by Rick Levinson, President PanurgyOEM Most consumer and pro electronics sold today are highly reliable products that just plain work Return rates are about 20% on average, of which only a fraction actually require repair. Service & repair can make or break...read more
PanurgyOEM appointed as a full service warranty center for NAD Electronics
As of June 2018 PanurgyOEM joined the NAD Electronics family as a full-service warranty center. Effective immediately, PanurgyOEM is authorized to provide both under warranty and non-warranty services on NAD's line-up of Amplifiers, A/V Receivers, and DAC products....read more
Panurgy Operations Platform (PoP) demonstration
The Panurgy Operations Platform is designed to give clients unparalleled visibility into their reverse logistics supply chainread more
Monetize Reverse Logistics While Protecting your Brand
Left unchecked, the channel has a problem that can snowball to an unmanageable level. Returned products that are not actively managed can create havoc with revenue recognition as assets are stranded and products end up left on the shelf. Managing reverse...read more
Beyond e-Commerce fulfillment
Beyond e-Commerce Fulfillment At first glance, most e-Commerce fulfillment companies offer very similar services, from e-Commerce fulfillment to packing & shipping. Some even handle returns. Where most e-Commerce fulfillment companies fall short is...read more
PanurgyOEM appointed as a full service warranty center for QSC, LLC.
FOR IMMEDIATE RELEASE: August 27, 2017 Mark Palumbo PanurgyOEM 973-625-4056 firstname.lastname@example.com PanurgyOEM appointed as a full service warranty center for QSC, LLC. August 27, 2017 PanurgyOEM joins the QSC family as a full service warranty center....read more
Lessons learned from a can of white paint
Our latest video describes how "Last Mile Manufacturing" can streamline your business, reduce your expenses and improve your bottom line.read more
PanurgyOEM introduces "POP"
PanurgyOEM introduces "POP" Visibility into your logistics process, from assembly to returns & repairs, can make a significant improvement to your overall logistic operation. Better visibility can reveal clues leading to operational slowdown which can...read more
5 Key Benefits of using 3rd Party Logistics (3PL) Partners for Returns & Repairs
by Charlie Mantione, EVP & Chief Revenue Officer Effective management of the Returns & Repairs piece of your manufacturing business can generate huge returns as discussed in our previous article (here). But coordinating all the parts of a...read more
Strengthening your Brand by Shrinking your Warranty Repair Turnaround Time
by Charlie Mantione, EVP & Chief Revenue Officer We work with a lot of consumer electronics firms and most of the manufacturers we've talked with frequently see their in-warranty repair turnaround time take 30 days or more. The warranty turnaround often plays out...read more


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Consider the possibility that you don't need another business development meeting - you just need a little break.
Join Coach Allegra Stein and other amazing women in business for a midday stroll across the Hudson where you are welcome to NOT talk or think about work for a bit.
Trust, in fact, that it's a break from your regular thinking that will create your next breakthrough.


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Few years back, my brother suggested that I watch a movie called "The Cove". He told me it's about how, in a small town not too far from Tokyo, dolphins are herded and slaughtered every year. He warned me it won't be easy watching it. That was an understatement. Nothing could have prepared me for the horrific killing I saw in the movie. The water in Taiji's cove literally ran red with dolphin blood.The movie even won an Oscar.
Yet this year, once again, as the whole world witnesses it, hundreds of dolphins are being held captive and slaughtered in Taiji.
As I write this post, Twitter is ablaze with people expressing their opinions #tweet4taiji. I'm shocked that BBC has not even bothered to report this barbaric event. I suppose the slaughter of several hundred dolphins by humans does not really count as a massacre for BBC*.
I have read a lot about various opinions from both the opposers and the supporters. Unfortunately for the affected party, the dominant species on this planet cannot understand their language and their opinions will have to wait till human techniology can catch up with them. If any dolphin remains alive till then, of course.
Many seem to think that we are attaching unnecessary emotions to an animal. It's not human, they say. Of course, for a species so willing to kill their own for money and power, killing an intelligent and sentient life form is not really bothersome.
There have been several studies all over the world that have proved that dolphins are intelligent mammals. They care for their young and pass on knowledge and information to them as we do. They tend to their sick and dying, and look after their fellow dolphins. Their ability to use echolocation is beyond human capability. There have been several stories of dolphins risking their lives to save humans from drowning and from shark attacks – a courtesy we rarely extend to them.
I know there are people unwilling to believe all the science. If you think all this scientific proof is codswallop, you'd probably be more open to believing The Hitchhiker's Guide to the Galaxy, which in its infinite wisdom, clearly states that dolphins are the second most intelligent species on Earth. And here's why"
"For instance, on the planet Earth, man had always assumed that he was more intelligent than dolphins because he had achieved so much—the wheel, New York, wars and so on—whilst all the dolphins had ever done was muck about in the water having a good time. But conversely, the dolphins had always believed that they were far more intelligent than man—for precisely the same reasons."
― Douglas Adams, The Hitchhiker's Guide to the Galaxy
And if you still think dolphins don't matter, then you are certainly not going to like who it says is the most intelligent species, and no, it's not humans.
The other reason I've heard for continuing with this annual culling, is the idea of holding on to an age old tradition. Hmmm … These are the times I really wish I had a time machine. We could just round up all those "traditional" people and send them back in time when humans were just a bunch of cave dwellers, or when slavery was the norm, when people were killed just for speaking up, and human rights were unheard of. Nothing can be more "traditional" than those dark ages of human history. Those tradition-loving people would be right at home there.
So what prompts someone to herd and slaughter such lovely creatures, you ask? It's always the money, isn't it … It must be a lot of money if people are willing to poison themselves for it. Research shows that dolphin meat has an extremely high level of mercury which is highly toxic. This is how it happens:
- Mercury gets dumped into sea
- It multiplies drastically along the food chain.
- Dolphins are higher up in the food chain. So eating the meat of sea mammals such as dolphins means eating meat with high levels of mercury.
- Such high levels can cause severe brain damage in people.
Just what humanity needs, more people without the ability to think straight. As if being blinded by power and money wasn't bad enough.
It's true that not all the captured dolphins end up on a shop shelf. The attractive and pretty dolphins are sent to sea parks and aquariums. Isn't that every pretty dolphin's dream – to live in a place where you get to play whenever you want and get good food as much as you want in exchange for living in a cage, do tricks for an audience and be on display? Freedom is overrated, isn't it …
For a species that's been fighting for freedom for generations, we are rather slow to learn our lessons. It's easy, isn't it, to think we own this planet and everything in it. Who could possibly stop us? I really wish it would be a dolphin army. I'd probably die but at least I'd die with a big smile on my face.
Isn't that reason enough to save the Dolphins? Share your reasons to save them in the comments.
* BBC had this report on Taiji the next day. Whoever heard of taking a stand! If you don't think the dolphins should be saved, well, it's a free world … for humans … at least for now.


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Many thanks to all who visited City Lights this weekend and shared good times and great beers. Our Oktoberfest Celebration is amazing! On Saturday, guests were finishing a sixth barrel of Jimmy the Brewmaster's Oktoberfest Lager every forty-five minutes! Prost.
Our guests are welcome to stand, sit, lock arms or take a knee during Pat McCurdy's raucous anthem, "Sex and Beer." Pat is the original "bawdy balladeer" and shares his talents with City Lights guests next on October 11. This weekend, join us on Friday night for Jackson Park Jazz. I have seldom witnessed a higher energy and more fun-filled set than when this group of talented musicians takes the stage. (And remember we are closed Saturday evening for a private event.)
The Milwaukee Brewers have their final home series of the season with games this Tuesday, Wednesday and Thursday. Stop by City Lights for refreshing beers and delicious eats before the games and shuttle in style. Thursday's game is a 3:10 start. Thursday the Packers and Bears kick-off at 7:25. What an awesome doubleheader! And between games on Thursday, all food orders at City Lights will be served with a warm smile and a complimentary City Lights beer of your choice. Go Brew Crew! Go Pack!
What an inaugural Ultimate Beer Run it was! Cheek-busting laughter, high fives and camaraderie ruled the day. Thanks to our good friends at Third Space Brewing for partnering with us on this awesome fund raiser for Menomonee Valley Partners.
It's Valley Week! https://www.valleyweek.com/ . Things to do! Places to visit! Experiences to have! (And great beer to drink!)
Jimmy the Brewmaster and his brewing team have crafted an awesome recipe for their next brew style. Care to guess what it will be? E-mail me with your guess and the first ten correct responses will receive a free growler and fill on its release date. I can't wait to taste the brew that will proudly join the City Lights line-up alongside Coconut Porter, American Pale Ale, Vienna Lager (Oktoberfest), Irish Red Ale, Brown Ale, Amber Ale, IPA, Session IPA, Orange Wheat and the soon-to-come Doppelbock Lager. That is ten dynamic beers if I am counting correctly – though I recently read that 5 out of 4 people in the beer industry are math-challenged.
The amazing Stacey from Vibram: http://us.vibram.com/ hooked our staff up with FiveFingers in anticipation of the promotion we cobbled together. Stacey rocks! And the team has an extra bounce in their step and twinkle in their eyes when the rock their FiveFingers. You will love your FiveFingers too!
I am continuously amazed at the unbridled passion our Chief Innovation Officer has for beer. Dr. David Ryder has a youthful exuberance, a zealous joy and an encyclopedia-like knowledge of all things beer-related. We are so fortunate to have Dr. Ryder on our team.
Swing and a Miss were incredible this weekend. They brilliantly covered Rick Springfield's "Jessie's Girl." I pointed out the paradox: If you get Jessie's girl, she is no longer Jessie's girl and thus you have obtained nothing. They were not amused.
In a serious closing note, each of us has someone in their extended circle facing a health challenge. Let us flood the universe with positive energy and raise our collective hearts and souls and pray for health and wellness.
Have the best Valley Week ever!


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For the past couple of months, Jenni and I have shared about missions in churches and Christian schools throughout Minnesota, Wisconsin and Iowa. A highlight for Jenni was sharing about the revival that took place in the early 90's at the Central College Intervarsity chapter. With prayer and a powerful movement of the Holy Spirit, God grew the ministry from a small group of students to more than 200!
Wednesday, March 21, 2018
MN, WI, IA Speaking Blitz
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