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Music of America IV: Crossroads
8 pm
Inlet Dance Theatre; Pivot Center
Cleveland OH
Music of America IV: Crossroads
8 pm
Disciples Church
Cleveland Hts OH
After the Storm
7 pm
Disciples Church
Cleveland Hts OH
Ty Alan Emerson, composer and Director of the Cleveland Chamber Collective, is known for his dynamic and mesmerizing style of musical composition.
Emerson's works and arrangements have been featured in performances by Inlet Dance Theatre, No Exit, ASSEM3LY, The Musical Theater Project, and others. He was hired by Fader Music and Sound to help arrange the welcome trailer for the Cleveland International Film Festival No. 43.
Emerson's most recent accomplishment, with the composer at the podium, was the world premiere of his Caliban Ascendant with the Cleveland Chamber Collective and Inlet Dance Theatre.
Nicholas Stevens of Cleveland Classical wrote, "Darkling, I Listen… resembled a single painted brushstroke on an otherwise blank canvas. Variable in thickness, color, and height, drawn against silence and always threatening to run out..." Louisville Courier-Journal music critic Andrew Adler wrote "[Dedications]…possessed surprising emotional resonance and was quite expertly wrought."


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2023 Summer Workshops
We'll look at ways to simplify and add complexity to poems. And we'll explore ways of deepening our poems, and leaving a door open for mystery and surprise. This will include looking at the work of a few poets who do this (effortlessly, it would seem); writing new poems; and workshoppng your poems.
Please bring 10 copies of two of your own poems that you have not been able to finish or get quite right.
Andrea Cohen's poems have appeared in The New Yorker, The Atlantic Monthly, The Threepenny Review, The New Republic, and elsewhere. Her sixth poetry collection, Nightshade, will be published by Four Way Books in 2019. Recent books include Unfathoming and Furs Not Mine. Cohen directs the Blacksmith House Poetry Series in Cambridge, MA and the Writers House at Merrimack College.

subset: commoncrawl


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tag:blogger.com,1999:blog-5843193473750903258.post3186269402496313343..comments2023-09-01T07:40:13.486-06:00Comments on Inspiring Ideas with artist Jeanne Winters: Lettering Tutorialjeanne @ Inspiring Ideashttp://firstname.lastname@example.com:blogger.com,1999:blog-5843193473750903258.post-57803957841233123492015-02-18T22:54:53.106-07:002015-02-18T22:54:53.106-07:00Yes, Mammy, graphite! Thanks! Yes, Mammy, graphite! Thanks!
jeanne @ Inspiring Ideashttps://email@example.com:blogger.com,1999:blog-5843193473750903258.post-43757238776261232442014-11-22T06:30:35.151-07:002014-11-22T06:30:35.151-07:00You refer to it was "tracing" paper do y...You refer to it was "tracing" paper do you mean graphite paper?Mammyhttps://firstname.lastname@example.com:blogger.com,1999:blog-5843193473750903258.post-32202425140628843582009-08-25T09:35:16.967-06:002009-08-25T09:35:16.967-06:00Just gorgeous. Thanks for the ideas!Just gorgeous. Thanks for the ideas!Jessicahttps://firstname.lastname@example.com:blogger.com,1999:blog-5843193473750903258.post-60016541813202023332009-08-23T06:31:10.782-06:002009-08-23T06:31:10.782-06:00This has inspired me to try my hand at lettering. ...This has inspired me to try my hand at lettering. I have so many ideas now. Thanks for the inspiration!Southern Galhttps://firstname.lastname@example.com:blogger.com,1999:blog-5843193473750903258.post-31471658250603029142009-08-13T08:35:57.595-06:002009-08-13T08:35:57.595-06:00I do it the same way but, instead of tracing paper...I do it the same way but, instead of tracing paper, I cover the back of my printout with some artist's charcoal. I use the firm stuff, 2B I think, and it's stays pretty clean surprisingly.Christin@Pregnant with power toolshttps://firstname.lastname@example.com:blogger.com,1999:blog-5843193473750903258.post-5295734139874372752009-07-02T21:46:34.742-06:002009-07-02T21:46:34.742-06:00I love this tutorial! I am not too good with an e...I love this tutorial! I am not too good with an exacto knife...not to mention I don't own one (LOL)..so this is the perfect way to get "stenciling" done for me :) Thanks for sharing your inspiration and the behind the scenes of it as well!Precision Quality Laserhttps://email@example.com:blogger.com,1999:blog-5843193473750903258.post-19078651161833176292009-06-26T07:45:34.542-06:002009-06-26T07:45:34.542-06:00Ha, my handwriting is so terrible, this would neve...Ha, my handwriting is so terrible, this would never work out for me. Your's is beautiful! Thanks for stopping by my blog. I love all of your art and plaques, very cute!Ashley @ AshleysBusyhttps://email@example.com:blogger.com,1999:blog-5843193473750903258.post-74914959495149111262009-06-22T22:37:33.280-06:002009-06-22T22:37:33.280-06:00I think I have a kneaded eraser from my art class ...I think I have a kneaded eraser from my art class back in college, I'll have to go did it out & start using it again. Tracing paper is great too, I use it for all my personalized frames and tins. (We're giving away all our secrets here!)Embellished Bayouhttps://firstname.lastname@example.com:blogger.com,1999:blog-5843193473750903258.post-9536944209417332432009-06-22T01:01:46.422-06:002009-06-22T01:01:46.422-06:00This is great and I love the extra tips from your ...This is great and I love the extra tips from your crafty readers. Thanks so much for this, I'll be firstname.lastname@example.com://email@example.com:blogger.com,1999:blog-5843193473750903258.post-22095812264971723322009-06-19T21:28:41.644-06:002009-06-19T21:28:41.644-06:00Heather - great tip on the "outline" fun...Heather - great tip on the "outline" function to save ink! I'll have to think about brush tips!jeanne @ Inspiring Ideashttps://firstname.lastname@example.com:blogger.com,1999:blog-5843193473750903258.post-64116066985073170822009-06-18T09:10:57.789-06:002009-06-18T09:10:57.789-06:00I've just started making my own plaques and us...I've just started making my own plaques and use this same technique, but to save on printer ink, I choose the 'outline' option under font before printing and then I just have the place to trace and not all the extra ink! I love the tip about the kneaded eraser - I have a white art eraser, but it doesn't always work! do have a tip on paint brushes - I can't seem to find one that makes the painting part go smoothly!Heather Annehttps://firstname.lastname@example.com:blogger.com,1999:blog-5843193473750903258.post-57699034810709542552009-06-16T07:16:43.460-06:002009-06-16T07:16:43.460-06:00Knead rubber erasers are the best. Nice post.Knead rubber erasers are the best. Nice post.Paddywack Designshttps://email@example.com:blogger.com,1999:blog-5843193473750903258.post-12185766888276072572009-06-15T21:24:11.683-06:002009-06-15T21:24:11.683-06:00WOW! I found your blog via the Nester. Not only ...WOW! I found your blog via the Nester. Not only are your crafts beautiful, but I must say I have always wanted to learn how to make plaques like that!! THANK YOU very much for the tutorial. I WILL incorporate that into a craft in my home.Our Familyhttps://firstname.lastname@example.com:blogger.com,1999:blog-5843193473750903258.post-56120312526069015312009-06-15T20:35:17.238-06:002009-06-15T20:35:17.238-06:00I found your blog via "the Nester". What...I found your blog via "the Nester". What a great tutorial! I can't wait to dive into your earlier posts.Thank you for sharing your ideas.
SherrieSherriehttp://email@example.com:blogger.com,1999:blog-5843193473750903258.post-60603142242674139942009-06-15T20:26:53.867-06:002009-06-15T20:26:53.867-06:00Found you because of the Nesting Place blog. Love...Found you because of the Nesting Place blog. Love your blog and your work!arkiehttps://email@example.com:blogger.com,1999:blog-5843193473750903258.post-88760753832873046252009-06-15T00:21:38.190-06:002009-06-15T00:21:38.190-06:0020 years oh no way, thats insane!! STopping over f...20 years oh no way, thats insane!!
STopping over from sits to say hello..
Brittany
http://www.papermoonies.blogspot.comhttp://firstname.lastname@example.com:blogger.com,1999:blog-5843193473750903258.post-47636719517949934842009-06-13T22:25:39.107-06:002009-06-13T22:25:39.107-06:00Your plaque turned out so pretty, and it doesn'...Your plaque turned out so pretty, and it doesn't sound too difficult. Thank you so much for the instructions. I'll have to go get a kneaded eraser. I have a feeling I'm going to be "needing" it! laurieBargain Decorating with Lauriehttps://firstname.lastname@example.com:blogger.com,1999:blog-5843193473750903258.post-73609927542879398492009-06-13T17:43:40.412-06:002009-06-13T17:43:40.412-06:00Hi! I just found your blog and am looking forward...Hi! I just found your blog and am looking forward to looking at older posts. I had to comment, though, on this one. I have been doing lettering the same way for years. What I need to comment on is your brilliance at printing the words using the underline!! I've always drawn it myself hoping it's correct. Thank you for making things a bit easier for me. Of to look at more...email@example.com@blogger.comtag:blogger.com,1999:blog-5843193473750903258.post-30439646943963170792009-06-13T13:11:05.303-06:002009-06-13T13:11:05.303-06:00LOL I have a kneaded eraser that I believe might b...LOL I have a kneaded eraser that I believe might be older than yours. Looks just like yours! I have newer erasers that I use more often but somehow just cannot part with my old, old kneaded eraser!

Beautiful work!Vickihttps://firstname.lastname@example.com


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It is a joy for us to wake up Central Florida each weekday morning! Our community is filled with so many amazing people with different types of jobs. With Ellis and Tyler's Neighborhood, we are going to go out and get to know some friends and learn about what they do! Dolphin trainer, garbage collector, police officer, we want to meet and thank them all! I hope you can join us on our Facebook Live adventures where you can ask questions and get to know a new friend too!
11.4.20 Scott's Maze Adventures
Are you as ready for Fall as we are? Tyler and I are heading to Scott's Maze Adventures to check out their Corn Maze- it changes every year with new twists, turns, and even some trivia along the way. We hope you'll join us on the adventure on Facebook Live on Wednesday, November 4 at 11… we may need your help so we don't get lost! -Ellis
1.17.20 Shady Oak Critters – Click here to Watch!
We love meeting new animals! And back in January, we got to meet two new opossums that were named after us!!! We also got to hear more about the wildlife rescue where they are staying, Shady Oak Critters. It was so sweet- you can rewatch the Facebook Live to meet the opossums Ellis and Tyler! -Tyler
8.28.19 The COOP – Click here to watch!
Have you ever been to The COOP? Don't worry if you haven't (though you're missing out on some tasty food!), because you can check out our Facebook Live where we head over to see one of our favorite people- John Rivers! – Ellis
7.2.19 Holy Land Experience – Click here to watch!
Join us for a behind-the-scenes look at one of my favorite places, the Holy Land Experience! Have you ever been? If you haven't, you can check out our Facebook Live and see some of the reasons I love being there. – Tyler
4.27.19 Healthy Kids Day at the YMCA – Click here to watch!
Healthy Kids Day is one of our favorite days of the year! Ellis and I will got to visit our YMCA to meet with some friends and to learn some more about how to keep our kids healthy. If you weren't able to join us in person, you can watch our Facebook Live! -Tyler
4.9.19 – Cirque du Soleil – Click here to watch!
Have you ever been to the circus? Our friend Laura from Cirque du Soleil came in to give us a glimpse into some of their tricks- you can check it out by clicking the link above! -Ellis
3.4.19 Ellis Meets a Horse – Click here to watch!
I have gone my entire life without riding a horse- but at least I got to meet one in March! The Orlando Police Department were kind enough to invite me to their stables. If you'd like to see how it went, click on the picture above! -Ellis
2.24.19 Do Good Farm – Click here to watch!
Our friend Josh from HOUSE BLEND CAFE invited the whole Z Crew over to see his amazing project at Do Good Farm in February, and we were lucky enough to be able to take you with us! -Tyler


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Brian Vande Lune
Pastoral Care Team Leader
office: 641-628-4900 x404
Whether it is a scheduled surgery or an unexpected challenge in your life, we want to be there to listen, pray and care for you.
The Third Church Pastoral Care Team wants to walk with you when you are going through a difficult time. Some of the things we offer are:
• Meeting with one of the Pastoral Care staff who will listen to your concerns.
• Praying with you concerning your needs.
• Sending an intercessory prayer request on your behalf to our church leadership.
• Letting the congregation know of your needs via the all-church email (e.g. death in the family, recent surgery, need for drivers, etc.)
• Connecting you with Third Church ministries that could encourage you.
• Assessing the need for professional Christian counseling.
• Referring you to community resources that might also be helpful.
To contact the Pastoral Care Team, call the church office at 641-628-3051.
Sheltering Tree teams make visits to people's homes to encourage and pray with them. They provide ongoing support of congregational needs, such as visits to the elderly, those with health issues and other less urgent needs.
Pastoring Shepherds are lay people assigned to walk with a person one-on-one over several years with the purpose of building lasting relationships. They provide care to people of Third Church who are experiencing longer term care needs.
A team of volunteers provides confidential prayer support.
Funds are available to help people who need assistance to afford Christian counseling. An application process is required with periodic six-month updates.
Shawls are handmade and prayed over during construction. They convey prayer and care during difficult times.
Meals are offered short-term during times of difficulty/illness. Online sign-ups coordinate this ministry.
office: 641-628-4900 x404
office: 641-628-4900 x203
office: 641-628-4900 x403
office: 641-628-4900 x204


text: THE COPY OF LEIGH HUNT, THE FAMOUS 19TH-CENTURY POET, ESSAYIST, AND JOURNALIST(SA'DI SHIRAZI, Muslih-uddin) SULIVAN, Stephen, translator. Select Fables from Gulistan, or the Bed of Roses. London, 1774. First edition in English of this Sufi Persian classic, attractively bound. The copy of Leigh Hunt, the 19th-century poet, essayist, and literary critic, also known for introducing Keats to Shelley, with his owner inscription on the half title. $2800. Read More add to my wishlist add to my wishlist Add To My Shopping Bag


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The World Of Whales: Get To Know The Giants Of The Ocean
Dive into an exploration of these majestic mammals, one of the most fascinating animal species on the planet.
You already know that whales aren't fish, but did you know they are mammals, just like us humans, who need to hold their breath under water? In The World of Whales we explore many interesting facts about these fantastic animals, looking at the habits and characteristics that make the many species of this family so special. From the stealthy orcas that traverse the seas, to the beautiful songs of humpbacks and the booming calls of the blue whales, we immerse ourselves in the lives of these grandiose swimmers. Join our subaquatic expedition to follow agile fins and flukes, learn about their routines, and marvel as these marine giants breach the ocean's surface.
Shortlisted in the AOI's World of Illustration Awards 2020 - Children's Publishing category.
Author: Darcy Dobell Illustrator: Becky Thorns
Editors: Little Gestalten
Format: Hardcover | Full colour | Stitched binding | 74 pages
Dimensions: 24 x 28 cm
Reading Age: 5 - 7 years
This book has been printed in Germany.
FSC™ (Forest Stewardship Council™) Certified.


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Document Type : Primary Research paper
1 Assistant Professor, Department of computer Science and Engineering, Rajiv Gandhi University (A central university), Rono-Hills, Doimukh, Arunachal Pradesh, India.
2 Department of computer Science and Engineering, Belgaum, Karnataka, India.
3 Department of Biomedical Engineering, Karunya Institute of Technology and Sciences, Coimbatore, Tamilnadu, India.
4 Principal, VSM's BBA BCA and Degree College, Nipani, Karnataka, India.
5 Power System Design Engineer, ETAP Automation Pvt Ltd, Navi Mumbai, Maharashtra, India.
6 Department of Electrical and Electronics Engineering, Adi Shankara Institute of Engineering and Technology, Kalady, Kerala,India.


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Tower Works Wins Best Altered Building at Leeds Architecture Awards
The iconic Tower Works has won Best Altered Building at Leeds Architecture Awards. The category focused on a new use for an existing building and the judges thought Tower Works demonstrated very careful creative conservation of a historic and significant building. Designed by Bauman Lyons Architects Ltd for the Homes & Communities Agency, and managed and let by Creative Space Management, it has proved popular with occupiers.
The building was 50% pre-let by Creative Space Management prior to completion and reached 100% occupancy within the first year of operation with a total of 21 businesses taking space. There is now a waiting list for larger offices within the scheme which is hoped will trigger further development.


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By Cheryl Alker
If you are one of them this statistic will not come as a surprise to you. According to the American College of Gastroenterology more than 60 million Americans have symptoms of heartburn each month and an estimated 15 million people struggle with a burning sensation every day.
The absolutely best way to manage your pain will depend on your symptoms. Does it plague you during the day or more at night? Does eating a particular type of food trigger the burn? Or do you believe your overall lifestyle is responsible?
The most important thing to remember about heartburn is that you should certainly not reach for medication immediately. Making lifestyle changes is your first point of prevention. Finding your trigger point is key, then you can make adaptations as necessary.
Examples are losing weight, stopping smoking, not eating within three to four hours of bedtime, avoiding heavy meals, reducing stress, taking regular exercise, switching to a mediterranean diet can seriously help reduce symptoms. See one of our previous articles https://24sevenwellness.com/2018/09/11/are-you-suffering-with-silent-reflux/.
Maybe your symptoms are brought on by certain foods, i.e. caffeine, chocolate, citrus fruits such as lemons and oranges, tomatoes, garlic onions, peppermint and spicy food. Reducing or eliminating trigger foods can definitely keep heartburn at bay.
If making lifestyle modifications isn't working for you then it may be time to look towards medication. There are so many different options on the market these days that choosing the correct one can be downright confusing and difficult to say the least!
Choosing a milder medication such as an antacid would be the best place to start. Antacids have minimal side effects and offer immediate, short-term relief.
The next step would be medications called histamine-2 receptor agonists or H2HRAs which inhibit stomach acid release.
The last resort would be proton pump inhibitors for severe heartburn.
It goes without saying that taking advice from your doctor of pharmacist is paramount when choosing medication. Self prescribing can be dangerous and ineffective.


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Parkinson's diagnosis, ensuing treatment leads woman to find passion for table tennis
Table tennis became a life-changing experience for Margie Alley after she discovered she had Parkinson's disease. Since joining a group of others who play table tennis and have Parkinson's, she has taken her game to the competitive level, winning the 2019 ITTF Women's World Table Tennis Championship. She gets to defend the title when she heads to Berlin later this year.


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Painting it black all up in London Town today.
Black and I have a rather on-and-off relationship. For all it's sartorial greatness, I usually end up leaving the house in all the shades of a neon rainbow. When I spotted this Galaxy Print dress on We Like Shopping (the best site around for targeting local brands in London), however, I developed a major urge to do head-to-toe black. Throwing on my new favourite biker jacket from French Connection (worn here without the buckle best) essentially finished the outfit. Don't be surprised if you see these two items pop up a lot over Spring – if it ever arrives – and Summer.
What I Wore:
Galaxy print shift dress, China Doll Boutique. Athena biker jacket, French Connection. Handmade black caged heels.


text:
By Valerie LaRobardier
When genealogists hit what they call a "brick wall" on a family line, we often look for clues in unsourced family trees and message board queries that sometimes date back 20 years.
Desperate people do desperate things, and too often we are willing to accept the first answer that presents itself in an online search that matches, or closely matches, or somewhat closely matches, the names, locations and dates we have in mind.
But that can be dangerous. Although it takes longer and often leads to dead ends, research that has any value involves a thorough search and analysis. Knowing when to shift gears is also important. Too often, when no clear answer emerges, we continue the same aimless search, hoping something will pop up.
The better strategy is to research clues found in places such as message boards, or to assemble your own clues into a concise, clear post so you might connect with someone who has the missing piece of your puzzle.
You may be on the giving or receiving end here: If you are the beneficiary of clues, share what you learn on the message board. After all, you would not have learned what you did without following someone else's trail markers.
As an example, let's work our way through a query posted by Thomas Lawson to an Ancestry.com board devoted to Putnam County puzzles:
One of my ancestors, John W. Davenport (born 1779), a great-great grandson of Capt. Thomas Davenport, married Mary Snook. Their children are listed as niece and nephews in the will of a John or James Snouck from Fishkill. In another document John Snouck is listed as the son of a Matthew Snouck. Would that mean that John Snouck and Mary Snook are siblings and that Matthew is the father?
That seems like a reasonable conclusion. In a 1962 history of the family of Capt. Thomas Davenport, the Philipstown pioneer, we do find Mary Snook as John Davenport's wife, and details about each of their children. The book is available at archive.org. Searching through it for Snook names we learn that in another branch of the Davenport family, a John Snook married Sarah Davenport, who drowned about 1817 in the capsizing of a sloop in the Hudson River near Cold Spring.
John Snook remarried but had no children with either wife. His will does name nieces and nephews that match John Davenport and Mary Snook's children, leading us to conclude that John and Mary Snook are siblings, especially since their birth dates are 1781 and 1779, respectively.
As for Matthew Snook, one resource I cannot manage without is Frank Doherty's Settlers of the Beekman Patent, which is at 13 volumes (Abot through Swift) and counting. The patent covered part of Dutchess County so there is much information about early families. The Adriance Library in Poughkeepsie has a set and the first eight volumes are at americanancestors.org.
A particularly useful feature is the list of "other and unplaced" individuals, which are records for people whom Doherty couldn't fit into a family. Although it may be discouraging to find your ancestor there, you may also find clues that lead to a breakthrough.
In this case we learn in the chapter on the Nelson family that Justus Nelson and his first wife had a daughter, Frances Nelson (born 1759), who married Matthew Snook, and Frances' half-brother Elisha Nelson was the husband of Frances Davenport, John W. Davenport's sister.
Among the other and unplaced Davenports, we learn that Mary Davenport was a cousin of Andrees Schnouck of Dutchess County, who wrote his will in 1784. This Mary could not be the wife of John Davenport, because she was 5 years old, but it reinforces the numerous crossings between the families.
Let's see what we can find about Andrees. The collection of Dutchess County probate records at familysearch.org is quite complete and I was able to locate a scan of his will by browsing through Wills 1751-1796 Vol. AA & A. He left legacies to his brother Jehonus and cousins Mary Devenport [sic] and Peter, John, James and Matthew Snouck. This cousin Matthew could be the one who married Frances Nelson, above.
I was not able to locate John Snook's will that mentions his Davenport nieces and nephews, but I did find the 1823 will of James Snouck of Fishkill that mentions a daughter named Mary. Alas, she is "the late wife of Peter Snouck."
As usually happens, after an afternoon of digging, we are left with more questions than answers. But with any luck, they are different questions. Considering the many Philipstown cemetery and family references in these records, as well as the Nelson surname popping up repeatedly, I would suggest the next research trip be to the Putnam History Museum in Cold Spring to review its surname and family files.
LaRobardier is a professional genealogist and president of the Dutchess County Genealogical Society. Hit a brick wall? Email [email protected].


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variations across Italy. This version is similar
to a soup we enjoyed on the Adriatic coast many
years ago. You can vary the seafood depending
on what you can find fresh in your region.
16 to 20 Fresh Mussels
16 to 20 Fresh Clams
1 Cup White Wine
1 Medium Grouper Fillet (About 1 Pound)
1 Medium Red Snapper Fillet (About 1 Pound)
4 Extra Large Prawns
1/2 Fennel Bulb, Cleaned & Sliced
1 Medium Onion, Peeled And Chopped
2 Celery Stalks, Sliced
2 Carrots, Chopped
3 Cloves Garlic, Peeled & Chopped
4 Teaspoons Olive Oil
1/2 Teaspoon Saffron
1 Quart Fish Broth (Can Be Found At Your Fish Mongers, Or Make From Scratch)
1 14 Oz. Can Chopped Tomatoes
1 Red Chilli Pepper
Salt & Pepper
Gremolata Topping
1/2 Cup Fresh Parsley
Grated Zest From 2 Lemons
2 Cloves Garlic, Peeled
Salt & Pepper
To Serve
8 Small Slices Of Crusty Bread, Grilled And Rubbed With Fresh Garlic
To make the broth, heat the olive oil in a large saucepan and add the fresh, chopped vegetables. Cook until softened, and then add the tomatoes, fish broth, saffron, chilli pepper, and salt and pepper. Bring to a boil, then reduce the heat and cook for an hour over simmering heat. Strain the broth mixture through a sieve, pushing some of the softened vegetables through the sieve with the back of a spoon. Place the broth in a large, low pan over low heat until needed.
Prepare the gremolata topping by chopping all of the listed ingredients together until finely chopped. Set aside.
Heat the white wine in a heavy saucepan and once hot add the musssels and clams. Cover and cook until all have opened. Remove and keep warm.
Cut the fish fillets into 4 pieces, and place all into the heated broth with the shrimp and poach until just cooked through.
Serve by placing two grilled slices of bread in the bottom of 4 shallow bowls. Divide the clams, mussels, fish fillets, and shrimps into each bowl, and then spoon over some of the tasty broth. Sprinkle some of the gremolata topping on each bowl, and serve immediately.
Buon Appetito!
Deborah Mele 2004


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Meet Karissa Ella! This North Canton, Ohio native who now calls Nashville home, is one of Music City's brightest young stars. She holds a degree in Entertainment Industry Studies and Music Business from Belmont University, and is a gifted singer/songwriter. Inspired by artists such as Garth Brooks, Shania Twain and Carrie Underwood, her music and shows attract fans of every age.
She's toured all over the United States, with a special focus on Tennessee, Wisconsin and Ohio. This young performer's latest EP, Blossom, is now available on all the usual digital platforms. As a nod to one of the great summer-like songs on that EP, "Vacay", Karissa is offering Think Country followers a very special 20% discount on Vacay merch in her online store. Click the link below and enter the code VACAY20 in order for the discount to be applied. We've added just two photos of items available in Karissa's store, but there are t-shirts, hoodies, CD's, tank tops, ladies' ball caps and more koozies available as well. Go look!
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*Featured image courtesy of Karissa Ella


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Devil's Knell
According to an old European custom, local deaths were announced by the ringing of church BELLS. In England this sound was known as a "death knell." Since old English and Irish folk beliefs asserted that the Devil died when JESUS was born, some towns developed a tradition of ringing the church bells near midnight on Christmas Eve to announce the Devil's demise. In ENGLAND the custom was called tolling or ringing "the Devil's knell" or "the Old Lad's Passing Bell." In IRELAND the Christmas Eve bell ringing became known as the "Devil's Funeral."
Although religious officials forbade this custom after the Refor-mation, the practice survived in the English town of Dewsbury in Yorkshire. The Dewsbury tradition dates back to the mid-thirteenth century. It was briefly discontinued in the early 1800s and then reinstated. Local officials interrupted the practice again in 1940, since during World War II bell ringing was forbidden except as an announcement of invasion. The inhabitants of Dewsbury revived their bell-ringing tradition in 1948. According to custom, a team of local residents rings a certain bell in the Dewsbury parish church once for every year that has passed since Christ's birth. The bell ringing begins at eleven p.m. on Christmas Eve and is timed to end at midnight. The custom prevents the Devil from infiltrating the parish during the coming year, according to folk beliefs.
An old legend explains the history of the Devil's knell bell and hints at another origin for the Christmas Eve bell-ringing custom. Long ago a local man of means, named Thomas de Soothill, murdered a young man in his service. As penance for his crime he donated a large bell to the Dewsbury church. He requested that the bell toll every year on Christmas Eve as a reminder of his sin. Until recently, the Dewsbury bell was called "Black Tom of Soothill" in reference to this legend.


text:
MCC SB-1 is a modular type barge that can be disassembled and containerized to be transported all around the world.
It has its own fully customized cable lay/loading setup.
Specifically engineered for cable laying operations
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• Watertight compartments
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It has a very shallow draft and has exceptional performance in shallow water cable lay operations
The barge can easily be brought aground
It can provide high maneuverability for cable burial operations with Jet sled.


text:
STORY OF SEASONS Friends of Mineral Town PC Game [MULTi8] Free Download – PLAZA
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For many travelers, health is the last thing on their minds when traveling. However, it's important to consider how your actions while traveling can affect you upon returning home. The last thing you, or your boss for that matter, wants is for you to return worse off than when you left only to request sick days after your vacation. Below you will find some tips for staying healthy when traveling, and the best part is it may help you enjoy your trip even more!
Watch What You Eat
I know, I know! You're on vacation. I'm not saying don't indulge, but I am saying don't over indulge. Sure, have some carbs. And of course, have that second glass of wine. Just be mindful of the fact that if you go too overboard with the indulgence you could pay the price that day, the next day, or worse – the entire trip. There are few things as depressing as having a hangover while you're away, and missing out on the fun.
Plus, when we are used to eating and drinking a certain way, our bodies can react negatively to overdoing it with the heavier and more sugary food and drinks than it's used to. It might not be food poisoning, it could just be your body rejecting the junk it's not used to. TIP: Pineapple is a natural diuretic, so enjoy those Piña colada's in moderation.
Move Your Body
When you're traveling, it's important to get in a little exercise. The good news is, you will probably be walking a lot more than you would at home. However, if you have been too sedentary for a while, i.e. flights that last 14 hours going overseas, get the blood flowing as soon as possible. Some experts even suggest taking a walk on the plane if you will be flying for more than a few hours.
Get Sleep – Seven to Eight Hours Minimum
Do yourself a favor and don't stay up late and get up early everyday of your trip. Yes, there may be a lot you want to see and do on your trip, but not getting enough sleep wreaks havoc on your immune system. Sleep recharges your batteries, allows healthy cell regeneration, and allows you to be more present during your waking hours.
Drink More Water
Water is the best thing you can be drinking when traveling (and when you're at home). It flushes toxins, re-hydrates your body, aids in digestion, boosts your mood, keeps you more awake than coffee – just trust me, water is awesome! Drink plenty of it. If you will be walking a lot, or will be in warmer climates, you'll need to drink more to stay hydrated enough as well. De-hydration is the number one cause of jetlag, and water is the best way to flight back on long flights.
Don't forget to bring hand sanitizer and wipes with you. I like to wipe down my seat area on the plane - you never know what happened there before you (I have seen some very unpleasant things). I also keep my hand sanitizer close after touching all the germy luggage, doors, bathroom stalls, etc...
This is far from an exhaustive list of ways to stay healthy while traveling. Hopefully, it's got you thinking about some ways you can help yourself though. May your vacations be long, your transits hassle free, and your bodies be healthy. Experiences Await...
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Interpretation errors in focused cardiac ultrasound by novice pediatric emergency medicine fellow sonologists
Critical Ultrasound Journal volume 10, Article number: 33 (2018)
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Focused cardiac ultrasound (FOCUS) is a core competency for pediatric emergency medicine (PEM) fellows. The objectives of this study were (1) to evaluate test characteristics of PEM-fellow-performed FOCUS for pericardial effusion and diminished cardiac function and (2) to assess image interpretation independent of image acquisition.
PEM fellows performed and interpreted FOCUS on patients who also received cardiology service echocardiograms, the reference standard. Subsequently, eight different PEM fellows remotely interpreted a subset of the PEM-acquired and cardiology-acquired echocardiograms.
Eight PEM fellows performed 54 FOCUS exams, of which two had pericardial effusion and four had diminished function. PEM fellow FOCUS had a sensitivity of 50.0% (95% CI 9.19–90.8) and specificity of 100.0% (95% CI 91.1–100.0) for detecting diminished function, and sensitivity of 50.0% (95% CI 2.67–97.33) and specificity of 98.1% (95% CI 88.42–99.9) for detecting pericardial effusions. When PEM fellows remotely interpreted 15 echocardiograms, the sensitivity was 81.3% (95% CI 70.7–88.8) and specificity 75% (95% CI 67.0–81.0) for detecting diminished function, and sensitivity of 76.3% (95% CI 65.0–85.0) and specificity 94.4% (95% CI 89.0–97.0) for detecting pericardial effusion. There were no differences in sensitivity and specificity of PEM fellows' interpretation of FOCUS studies compared to their interpretation of cardiology echocardiograms. Interrater reliability for interpretation of remote images (kappa) was 0.66 (95% CI 0.59–0.73) for effusion and 0.31 (95% CI 0.24–0.38) for function among the fellows.
Novice PEM fellow sonologists (a physician who performs and interprets ultrasound) in the majority of instances were able to acquire and remotely interpret FOCUS images with limited training. However, they made real-time interpretation errors and likely need further training to incorporate real-time image acquisition and interpretation into their practice.
In 2010, the American Society of Echocardiography and the American College of Emergency Physicians released a consensus statement on the importance of focused cardiac ultrasound (FOCUS) on patient care and treatment in an emergency setting [1]. Subsequently, the American Academy of Pediatrics and the American College of Emergency Physicians have released policy statements stressing the importance of training for pediatric emergency medicine (PEM) fellows in point of care ultrasound (POCUS). They recommend a structured POCUS curriculum and competency assessment for PEM fellows [2]. An expert panel of PEM physicians trained in POCUS, included FOCUS as one of the core ultrasound exams for this curriculum [3].
PEM providers who have completed a dedicated extra year of POCUS fellowship training can diagnose pericardial effusion and abnormalities of function with high sensitivity and specificity [4,5,6]. However, there are limited data on competency assessment of PEM fellows with routine training in POCUS during their PEM fellowships. Our primary objective was to assess PEM fellows' accuracy in assessing cardiac function and the presence of pericardial effusions while performing FOCUS exams with limited training. Our secondary objective was to assess the accuracy of PEM fellows' interpretive skills of both FOCUS and complete echocardiograms in a remote classroom setting. We hypothesized that PEM fellows would perform better on interpretation of remotely acquired images than on images acquired in real time.
Materials and methods
This study took place at a freestanding tertiary care children's hospital with approximately 90,000 emergency department (ED) visits per year and with a cardiology service that performs 21,000 echocardiograms a year. PEM fellows completed FOCUS training, consisting of a 1 h lecture on echocardiography, a month of basic POCUS training with regular supervised ultrasound scans, and quality assurance sessions with PEM POCUS-trained faculty. In addition, each PEM fellow competed a minimum of 10 FOCUS exams reviewed by PEM POCUS-trained faculty. The fellows were taught to determine function by qualitatively evaluating how closely the anterior leaflet of the mitral value approached the interventricular septum in the parasternal long axis view. They were taught to evaluate pericardial effusion in all four views. FOCUS exams included four standard cardiac views: the parasternal long, parasternal short, apical 4 chamber, and subxiphoid views. Specifically in the parasternal long axis view, they were taught to note any anechoic structures above the descending aorta, within the pericardium.
A convenience sample of patients' ages 1 month to 21 years, with an indication for an echocardiogram as determined by a pediatric cardiologist, were enrolled between April 2014 and June 2015. The patients were enrolled in the pediatric ED, cardiology clinic, or the inpatient service. The indications for the echocardiograms included chest pain, syncope, altered mental status, hypoxia, and follow-up of known cardiac disease. Premature infants with post-conception age less than 36 weeks and patients who were less than 8 day post-sternotomy were excluded. Because the cardiology echocardiogram was the reference standard, we also excluded patients if they experienced significant therapeutic interventions or changes in clinical conditions between the FOCUS exam and the cardiology echocardiogram. This included progression of illness requiring transfer of the patient to a higher level of care, need for emergent surgery, initiation of ECMO, intubation, or the initiation of intravenous vasopressor agents.
Eight PEM fellows performed FOCUS, using a Sonosite M-Turbo® ultrasound system (Bothell, WA). Within 24 h of FOCUS, a cardiologist or echocardiography technician performed an echocardiogram with a Phillips IE 33 ultrasound system (Andover, MA). PEM fellows were blinded to the results of the cardiology echocardiogram and vice versa. The PEM fellows were blinded to the clinical status of the patient to the extent possible; the PEM fellow performing the FOCUS did not access the medical record or discuss the clinical case with the patient or with the provider caring for the patient. However, we could not blind the fact that a patient was in the resuscitation bay or the ICU, for example.
The PEM fellows performing FOCUS completed a case report form (CRF) immediately following the performance of the FOCUS. The CRF included the fellows' interpretation of the presence or absence of significant pericardial effusion and the qualitative global systolic function as either normal or depressed. We used dichotomous qualitative variables for pericardial effusion (absent/trivial versus present) and cardiac function (normal versus depressed) rather than attempting to quantify amount of fluid or ejection fraction.
A board-certified pediatric cardiologist, blinded to the patient's clinical presentation, chief complaint, cardiac history and PEM fellow interpretation of FOCUS, reviewed and interpreted the recorded clips of each FOCUS and cardiology echocardiogram. This cardiologist used a CRF with a similar format to the PEM fellows to subjectively note the presence or absence of significant effusion, the qualitative global function and if the quality of the study was adequate to perform these assessments. The blinded interpretation of the cardiology-performed echocardiogram was used as the reference standard for subsequent analysis.
In the second phase of the study, PEM fellow interpretation skills were assessed remotely in a classroom setting. Thirty matched studies were compiled: 15 FOCUS exams performed by PEM fellows and 15 cardiology-acquired echocardiograms on the same patients. We selected studies, so that 5 of these sets had pericardial effusions, 5 had diminished function, and 5 were normal. Eight PEM fellows were shown these studies in random order and were asked to comment on the presence or absence of pericardial effusion and global cardiac function. PEM fellows were not given any clinical information about the patients. Only the four standard views were presented. Only one of these eight PEM fellows had acquired images in the first phase of the study.
IBM SPSS version 24 (Armonk NY) and Microsoft Excel (Microsoft, Inc, Redmond, WA) were used to calculate test characteristics of PEM fellow FOCUS exams, with cardiology echocardiograms as the reference standard. Similar methodology was used to calculate test characteristics of PEM fellows' interpretation of both FOCUS and cardiology studies in the remote setting.
Eight PEM fellows enrolled a convenience sample of 54 patients (Table 1).
Two (4%) patients had pericardial effusions and 4 (8%) had diminished function. The median time to complete the FOCUS was 6 min (IQR 5, 9). The median time difference between the two ultrasounds (PEM and cardiology) was 34 min (IQR 17.5, 58.8). No patients were excluded for changes in clinical status or interventions. The expert cardiologist did not find any PEM FOCUS studies with technical limitations precluding the determination of the two variables of interest.
Phase 1
Results of the bedside FOCUS studies compared with the cardiology echocardiograms for our two variables of interest are shown in Tables 2 (diminished function) and 3 (pericardial effusion). The distributions of test characteristics of PEM fellow performed and interpreted FOCUS are shown in Fig. 1. Video clips of the four errors are available in Additional file 1: Phase S1, Phase S2, Phase S3, Phase S4.
The sensitivity of PEM fellow performed and interpreted FOCUS was 50.0% (95% CI 9.19–90.8) with a specificity of 100.0% (95% CI 91.1–100.0) for detecting diminished function. The sensitivity was 50.0% (95% CI 2.67–97.33) and specificity of 98.1% (95% CI 88.42–99.9) for detecting pericardial effusions (Table 4).
All three cases of missed pathology were by a single 2nd year fellow. The one missed pericardial effusion was in an inpatient with a structurally normal heart with a clinically significant effusion. One of the patients with missed diminished function was a clinic patient with a structurally normal heart with mild to moderately diminished left systolic function. The second patient with missed diminished function was an ED patient with known congenital heart disease and moderately decreased right and left systolic function.
Phase 2
The test characteristics of remote interpretation of 15 sets of images by a different set of similarly trained eight PEM fellows are shown in Table 5. The sensitivity was 81.3% (95% CI 70.7–88.8) and specificity was 75% (95% CI 67.0–81.0) for detecting diminished function. The sensitivity was 76.3% (95% CI 65.0–85.0) and specificity was 94.4% (95% CI 89.0–97.0) for detecting pericardial effusion. Individual performance of each fellow remotely is detailed in Fig. 2.
There was no statistical significant difference between the sensitivity of detecting diminished function (p = 0.13) or pericardial effusion (p = 0.48) during real-time interpretation and classroom interpretation. There was also no significant difference between specificity during real-time interpretation and remote interpretation for detecting effusion (p = 0.3). There was, however, a statistically significant improvement in specificity when interpreting function in real time (100%) as compared to the remote interpretation (75%) (p < 0.01).
We calculated the interobserver reliability of fellows' interpretation of effusion and diminished function among each other in Phase 2. The kappa for effusion was 0.66 (95% CI 0.59–0.73) and the kappa for function was 0.31 (95% CI 0.24–0.38).
There was no statistically significant difference in the sensitivity or specificity of detection of diminished function or pericardial effusion when comparing PEM fellows' remote interpretations of FOCUS images to the same PEM fellows' remote interpretations of cardiology-acquired echocardiograms (Tables 6 and 7). Performance metrics of classroom interpretation of individual fellows is presented in Figs. 3 (sensitivity) and 4 (specificity). Select videos of errors made in Phase 2 are included in Additional file 2: Phase S5, Phase S6, Phase S7, Phase S8.
This is the first study that has evaluated PEM fellow performance of FOCUS and specifically evaluated remote interpretation of FOCUS distinctly from acquisition. We demonstrated that with limited training, PEM fellows are able to acquire FOCUS images of sufficient quality to allow interpretation of the presence or absence of pericardial effusion and the presence or absence of significantly diminished cardiac function. The reviewing cardiologist found all FOCUS to be of sufficient technical quality to make these determinations. PEM fellows in our study had improved sensitivity when interpreting FOCUS images remotely in a classroom setting, suggesting that some fellows may face challenges of simultaneous acquisition and interpretation while at the bedside. When remotely evaluating echocardiograms, PEM fellows showed similar ability to interpret FOCUS exams and cardiology obtained exams, also suggesting that the deficit in interpreting the FOCUS exams, while obtaining them was less related to the quality of the image acquired. In addition, the interpretation of pericardial effusion had greater interobserver agreement among the fellows than determination of diminished function, as it is an easier assessment to make.
These findings suggest that novice PEM fellow sonographers may need more training in real-time interpretation while scanning at the bedside. Prior research showing more accurate interpretation of FOCUS has involved a larger number of training scans. Current recommendations from the American College of Physicians are for 25–50 scans per application, but the exact number is still debated [7]. Emergency medicine faculty with 10 h of mixed didactic and hands on scanning and more than 45 ultrasounds and adult non-cardiology residents with 12 h of mixed didactic and hands on scanning with a mean of 33 ultrasounds showed increased competency in FOCUS [8, 9]. Blehar et al. [10] evaluated learning curves of acquisition and interpretation of POCUS by emergency medicine residents; they found that acquisition of FOCUS had no plateau point on the learning curve (i.e., that it was consistently difficult to achieve mastery), and the interpretation learning curve did not plateau for FOCUS until the learners had performed about 30 scans.
In addition, we found that novice PEM fellow sonographers were able to more accurately interpret their own images remotely, suggesting that the fact of being at the bedside during interpretation added a layer of complexity. This may be due to perceived time or performance pressure at the bedside, which could be exacerbated in real-time resuscitation situations. For this reason, we think that real-time image interpretation is a critical skill for PEM fellow sonographers.
Given the low prevalence of pericardial effusion and depressed cardiac function in the pediatric patient population overall, other modes of encountering pathology such as via simulation or review of image banks may be necessary to improve interpretation by novice sonologists. Both low and high fidelity ultrasound simulation modalities are available [11]. A 1-day workshop using multi-faceted simulation based education and assessment of focused cardiac ultrasound in the evaluation of the hypotensive patient, showed improved competency in emergency medicine residents [12].
When PEM fellows performed and interpreted FOCUS at the bedside, the study had high specificity but poor sensitivity for identifying pericardial effusion and diminished cardiac function. Eliminating the data of the one fellow who had the 3 misses from the analysis would yield a sensitivity of 100% for both correct identification of pericardial effusion and diminished function by PEM fellows.
This study has several limitations. First, this was performed at a single institution. Results at other hospitals may be different. Second, there were few patients with cardiac disease. Therefore, the point estimates of sensitivity and specificity can be skewed by one or two incorrect readings, with the resultant wide confidence intervals for these estimates. Most of the incorrect interpretations were obtained by one fellow, which suggests a need for individual remediation rather than a more global problem. FOCUS image acquisition and interpretation may or may not be generalizable to other novice FOCUS learners, but reviewing errors or misclassification is an integral part of any quality assurance program. We did not study implementation of a FOCUS protocol in the emergency room [13].
In addition, by design and due to logistic issues, we did not study chamber size abnormalities, cardiac standstill, or determination of cardiac arrest. International recommendations have been made for the use of FOCUS in cardiac arrest; while feasibility of using FOCUS in cases of pediatric cardiac arrest has been published, adult studies have noted challenges in agreement of interpretation of cardiac standstill among different levels of providers [14,15,16].
In this small study, PEM fellows for the most part were able to obtain ultrasound images of sufficient quality to allow interpretation of diminished cardiac function and pericardial effusion. However, interpretation was better performed remotely than at the bedside by PEM fellows. There was greater interrater agreement for pericardial effusion than diminished function by the novice PEM sonographer. Prior to completion of the current recommendation of 25 scans, novice PEM fellow sonologists are likely to make real-time acquisition and interpretation errors, and therefore, supervision and quality assurance are necessary. We recommend more extensive training in focused cardiac ultrasound. Future studies may wish to incorporate a severity-enriched patient population or use other modes of presenting pathology such as pediatric ultrasound image banks that are being developed.
focused cardiac ultrasound
pediatric emergency medicine
point of care ultrasound
Labovitz AJ, Noble VE, Bierig M et al (2010) Focused cardiac ultrasound in the emergent setting: a consensus statement of the American society of echocardiography and American college of emergency physicians. J Am Soc Echocardiogr 23(12):1225–1230
Marin JR, Lewiss RE, American Academy of Pediatrics CmoPEM, Society for Academic Emergency Medicine AaoEU, American College of Emergency Physicians PdEMC, Ultrasound WINFoC (2015) Point-of-care ultrasonography by pediatric emergency medicine physicians. Pediatrics 135(4):e1113–1122
Marin JR, Abo AM, Arroyo AC et al (2016) Pediatric emergency medicine point-of-care ultrasound: summary of the evidence. Crit Ultrasound J 8(1):16
Gaspar HA, Morhy SS, Lianza AC et al (2014) Focused cardiac ultrasound: a training course for pediatric intensivists and emergency physicians. BMC Med Educ 14:25
Pershad J, Myers S, Plouman C et al (2004) Bedside limited echocardiography by the emergency physician is accurate during evaluation of the critically ill patient. Pediatrics 114(6):e667–e671
Longjohn M, Wan J, Joshi V, Pershad J (2011) Point-of-care echocardiography by pediatric emergency physicians. Pediatr Emerg Care 27(8):693–696
Costantino T, Burton J, Tayal V (2015) Ultrasound competency and practice: what's in a number? Acad Emerg Med 22(5):597–599
Vignon P, Mücke F, Bellec F et al (2011) Basic critical care echocardiography: validation of a curriculum dedicated to noncardiologist residents. Crit Care Med 39(4):636–642
Chisholm CB, Dodge WR, Balise RR, Williams SR, Gharahbaghian L, Beraud AS (2013) Focused cardiac ultrasound training: how much is enough? J Emerg Med 44(4):818–822
Blehar DJ, Barton B, Gaspari RJ (2015) Learning curves in emergency ultrasound education. Acad Emerg Med 22(5):574–582
Lewiss RE, Hoffmann B, Beaulieu Y, Phelan MB (2014) Point-of-care ultrasound education. J Ultrasound Med 33(1):27–32
Amini R, Stolz LA, Javedani PP et al (2016) Point-of-care echocardiography in simulation-based education and assessment. Adv Med Educ Pract 7:325–328
Riera A, Weeks B, Emerson BL, Chen L (2018) Evaluation of a focused cardiac ultrasound protocol in a pediatric emergency department. Pediatr Emerg Care. https://doi.org/10.1097/PEC.0000000000001495
Via G, Hussain A, Wells M et al (2014) International evidence-based recommendations for focused cardiac ultrasound. J Am SocEchocardiogr 27(7):683.e1–683.e33
Tsung JW, Blaivas M (2008) Feasibility of correlating the pulse check with focused point-of-care echocardiography during pediatric cardiac arrest: a case series. Resuscitation 77(2):264–269
Hu K, Gupta N, Teran F, Saul T, Nelson BP, Andrus P (2018) Variability in interpretation of cardiac standstill among physician sonographers. Ann Emerg Med 71(2):193–198
Authors' contributions
RTM designed and conducted the study, including patient recruitment, data collection, and data analysis. RTM, JSC, and CS had complete access to the study data with CS and JSC performing image review. KB provided statistical support in analyzing and representing the data. RTM and JSC prepared the manuscript draft with important intellectual input from CS. All authors were involved in the conceptualization, design of the study, and final approval of version to be published. All authors read and approved the final manuscript.
We want to thank the Pediatric Emergency Medicine Fellows at Children's National Medical Center (2014–2016) who participated in this study. Special thanks to Drs. James Chamberlain and Keith Boniface who provided feedback to the manuscript. The material presented here was presented in abstract form at the Pediatric Academic Society Meeting. San Francisco, CA, May 2017.
Competing interests
The authors declare that they have no competing interests.
Availability of data and materials
Data will not be shared as all relevant information is shared within the manuscript.
Consent for publication
Not applicable.
Ethics approval and consent to participate
The Institutional Review Board of Children's National Health Systems approved the study. Informed consent and assent (when applicable) was obtained from all participants.
Publisher's Note
Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
Additional files
Additional file 1: Phase S1.
Missed diminished function (False Negative). Parasternal long axis view. Image acquisition made interpretation difficult. The gain setting is a bit dark to visualize the interventricular septum and the anterior leaflet of the mitral valve. The captured video would be improved by including the inferior portion of left ventricle and apex. Phase S2. Missed diminished function (False Negative). Parasternal long axis view. Image acquisition made interpretation difficult. Similar to Additional file Phase 1(a) gain setting is a bit dark and the left ventricle is not well imaged. Phase S3. Normal interpreted as effusion (False Positive). Subxiphoid view. Image acquisition made interpretation difficult, again with the gain setting too dark. Trace or trivial amount of pericardial effusion was considered negative for our study; it was listed as "None/ Trivial" on the data collection form. Phase S4. Missed pericardial effusion (False Negative). Parasternal long axis view. Image acquisition was adequate, while gain could be increased. This was a gross operator interpretation error.
Additional file 2: Phase S5.
Missed pericardial effusion (False Negative). Parasternal long axis view. Image acquisition is good. This was an interpretation error. A pericardial effusion is seen above the descending thoracic aorta and pericardium. Also of note, there is also a small pleural effusion present, seen as the anechoic strip below the pericardium and lateral to the descending aorta. Phase S6. Missed pericardial effusion (False Negative). Parasternal long axis view. Small pericardial effusion is visible in this view. This was an interpretation error. Phase S7. Normal function called abnormal (False Positive). Parasternal long axis view. Images acquisition is acceptable. This was an interpretation problem. The anterior leaflet touches the interventricular septum during diastole with relatively normal chamber proportions. Phase S8. Normal function called abnormal (False Positive). Apical 4 chamber view. Image acquisition is adequate. Other views were also available that showed normal function.
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Cite this article
Thomas-Mohtat, R., Sable, C., Breslin, K. et al. Interpretation errors in focused cardiac ultrasound by novice pediatric emergency medicine fellow sonologists. Crit Ultrasound J 10, 33 (2018). https://doi.org/10.1186/s13089-018-0113-4
DOI: https://doi.org/10.1186/s13089-018-0113-4
- Point of care ultrasound
- Focused cardiac ultrasound
- Education
- Pediatric emergency medicine


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Baslan, T., Hicks, J. (July 2014) Single cell sequencing approaches for complex biological systems. Curr Opin Genet Dev, 26c. pp. 59-65. ISSN 0959-437x
Biological phenotype is the output of complex interactions between heterogeneous cells within a specified niche. These interactions are tightly governed and regulated by the genetic, epigenetic, and transcriptional states of single cells, with deregulation of these states resulting in disease. As such, genome wide single cell investigations are bound to enhance our knowledge of the underlying principles that govern biological systems. Recent technological advances have enabled such investigations in the form of single-cell sequencing. Here, we review the most recent developments in genome wide profiling of single cells, discuss some of the novel biological observations gleaned by such investigations, and touch upon the promise of single cell sequencing in unraveling biological systems.
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