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'Save Pagan Island' advocate encourages others to participate in Section 106 review
10 Sep 2013
- By Junhan B. Todeno - email@example.com - Variety News Staff
INDIVIDUALS and organizations should take an active role in the Section 106 review process to express their sentiments on the military's proposal to establishing training areas in the CNMI, "Save Pagan Island" advocate Jerome Aldan said yesterday.
"Any individual, business owner, or member of a neighborhood association, preservation group, or other environmental or social organization should participate in Section 106 consultation process as a consulting party," he added.
The U.S. Marine Corps, Marine Forces Pacific has initiated a National Historic Preservation Act Section 106 consultation regarding a proposal by the military to establish a series of ranges and training areas within the CNMI, particularly on Pagan and within the military lease area on Tinian.
The Section 106 consultation addresses the potential effects of the proposal on "historic properties" such as archaeological and historic sites and traditional cultural properties that are listed or eligible for listing in the National Register of Historic Places.
A program manager of the Northern Islands mayor's office, Aldan said if a project may alter characteristics that qualify a specific property for inclusion in the National Register in a manner that would diminish the integrity of the property, that project is considered to have an adverse effect.
"Integrity is the ability of a property to convey its significance, based on its location, design, setting, materials, workmanship, feeling, and association," Aldan said.
Based on the advisory council on historic preservation, he added, Section 106 of the National Historic Preservation Act of 1966 is crucial to that program because it requires consideration of historic preservation in the multitude of projects with federal involvement that take place across the nation every day.
The Section 106 review will not address concern on endangered species, marine life, and other natural resources, boating, diving, fishing, hunting, beach access, recreation, cattle ranching, jobs, real estate, according to the advisory council, as such topics are being addressed in the CNMI Joint Military Training Environmental Impact Statement/Overseas Environmental Impact Statement.
Aldan said their group submitted their comments to the Department of Defense during the scoping meeting,
"It is vital to ensure that DoD consider all reasonable alternatives in the draft EIS, not just alternatives identified in scoping documents," he said.
He said DoD is considering one option for unit-level training on Tinian, and it is also considering one option for combined-level training on Pagan.
"This action on its face violates the letter and intent of the National Environmental Policy Act," he added.
Aldan said DoD eliminated alternatives and limited alternatives to pre-selected options rather than using the scoping process to determine what alternatives should appear in the draft EIS.
DoD, he said, should consider all reasonable alternatives, not just alternatives that it has pre-selected through the application of criteria without any detailed public information in the draft EIS.
Aldan said DoD's proposed action will have a significant impact on marine life, wildlife and coral on Pagan.
The comments submitted by the CNMI Department of Lands and Natural Resources on April 26, 2013 show that the proposed actions on Tinian and Pagan would have a huge impact on corals and fishes, he said.
Aldan said the anticipated impact on the Marianas region would be amplified by the existing military training that is part of the Military Intelligence Readiness Command, as well as the ongoing training on Guam.
In the draft EIS, he said DoD should look into the significant adverse impacts the proposed actions would have specifically on Tinian and Pagan in addition to the cumulative impacts that such actions would have regionally on native plants and animals.
"DoD's proposed actions on Pagan will do significant and irreparable harm to the indigenous people. DOD's description of Pagan being 'uninhabited' is disingenuous. Pagan is not 'uninhabited' — it is waiting for its people to return," he said.
Moreover, he said the proposed action would displace the indigenous people of Pagan from their homes, in violation of CNMI laws such as Public Laws 2-13, 14-66, 16-50, and 18-98 among other laws enacted by the CNMI government consistent with Northern Islands Mayor Tobias Aldan's resettlement and redevelopment objectives on the impending return of the residents to the "Northern Frontier."
"Just as Tinian was eliminated entirely based of the fact that the island is inhabited, so too must Pagan be eliminated for the same reason," Jerome Aldan said.
Variety was unable to get a comment from DoD.
The Naval Facilities Engineering Command is also encouraging group and individuals to participate in the Section 106 review as a party.
For more information, email email@example.com.


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Inhibition of apoptosis protects against ischemic renal injury (IRI). Recent reports demonstrate that inhibition of the transcription factor p53 prevents apoptosis and improves renal function following IRI;however, the signaling pathways by which p53 induces apoptosis are yet to be elucidated. We identified two pro-apoptotic p53 transcriptional targets Siva and PERP (p53 apoptosis effector related to PMP-22) to be specifically activated in IRI. Inhibition of Siva prevented apoptosis and offered functional protection from IRI in mice. Over expression of Siva led to apoptotic cell death of renal proximal tubular cells (PTC) in vitro by caspase-dependent and independent mechanisms. Our long term research goal is to elucidate the cellular signaling pathways that regulate PTC apoptotic cell death, in order to identify strategies to intervene in those pathways to treat acute kidney injury (AKI). The objective of the proposed work is to delineate the mechanisms by which Siva and PERP integrate their signals to induce apoptosis in renal PTC and intervene in their signaling pathways to treat IRI. The central hypothesis is that activation of Siva and PERP stimulate the extrinsic apoptotic pathway via the TNF-receptor, CD27, induce mitochondrial permeability to release apoptogenic factors and translocate to the nucleus to recruit apoptosis inducing factor (AIF) to trigger PTC apoptosis post-IRI. The validity of the hypothesis will be tested by pursuing three specific aims that are aimed at determining the mechanisms by which Siva-CD27 and Siva- PERP interactions elicit caspase-dependent and independent apoptosis and determine the in vivo functional significance of their signaling in inducing apoptosis and impairing renal function in mouse model of renal ischemia. The significance of the studies includes the identification of a novel pathway that may initiate PTC apoptosis that may provide new opportunities for intervention with important clinical implications, both for prognosis and management of AKI.
Acute kidney injury is a devastating clinical syndrome with a 50% mortality rate affecting 5-7% of all hospitalized patients. Currently, there are no accepted therapies available to treat this condition. Interfering with p53-mediated apoptotic programs may allow the development of novel therapeutic strategies to reduce the mortality and morbidity. The latter outcome could have a dramatic impact on the quality of life and reducing the health care cost associated with acute kidney injury.
|Ying, Yuan; Padanilam, Babu J (2016) Regulation of necrotic cell death: p53, PARP1 and cyclophilin D-overlapping pathways of regulated necrosis? Cell Mol Life Sci 73:2309-24
|Jang, Hee-Seong; Padanilam, Babu J (2015) Simultaneous deletion of Bax and Bak is required to prevent apoptosis and interstitial fibrosis in obstructive nephropathy. Am J Physiol Renal Physiol 309:F540-50
|Kim, Jinu; Yoon, Sang Pil; Toews, Myron L et al. (2015) Pharmacological inhibition of soluble epoxide hydrolase prevents renal interstitial fibrogenesis in obstructive nephropathy. Am J Physiol Renal Physiol 308:F131-9
|Kim, Jinu; Padanilam, Babu J (2015) Renal denervation prevents long-term sequelae of ischemic renal injury. Kidney Int 87:350-8
|Ying, Yuan; Kim, Jinu; Westphal, Sherry N et al. (2014) Targeted deletion of p53 in the proximal tubule prevents ischemic renal injury. J Am Soc Nephrol 25:2707-16
|Kim, Jinu; Padanilam, Babu J (2013) Renal nerves drive interstitial fibrogenesis in obstructive nephropathy. J Am Soc Nephrol 24:229-42
|Singaravelu, Kurinji; Padanilam, Babu J (2011) p53 target Siva regulates apoptosis in ischemic kidneys. Am J Physiol Renal Physiol 300:F1130-41

subset: commoncrawl


text:
We are a West London based triathlon club, with members from Berkshire, Buckinghamshire, Hertfordshire and the surrounding areas
Our members ages range from 14 to 60+ covering all abilities from novice through to Great Britain team members and World Championship medalists
Welcome to Hillingdon Triathletes
Founded in 1986, we are a triathlon club based in West London running over 30 events each year. If you are looking for a friendly club with plenty going on, why not give us a try!
Sunday Club Rides - Time Change
Join Hillingdon Triathletes for the 2019 season
Hillingdon Triathletes 2019 Event Calendar
Hillingdon Triathlete Coaching Bursaries
Hillingdon Triathletes are so proud of our Chairman, head coach, organiser of 30+ races a year and general nice guy


text:
ARM kills off its anti-RISC-V smear site after own staff revolt
Arm has taken offline its website attacking rival processor architecture RISC-V within days of it going live - after its own staff objected to the underhand tactic.
The site - riscv-basics.com - was created at the end of June, and attempted to smear open-source RISC-V, listing five reasons why Arm cores are a better choice over its competitor's designs. However, the stunt backfired, with folks in the tech industry, and within the company's own ranks, slamming the site as a cheap shot and an attack on open source.
Good on ARM's own employees for speaking up.


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Illinois Free Printable Labor Law Posters 2020
The Illinois Department Of Labor requires all Illinois businesses with employees to prominently post a number of labor law posters, covering topics such as the minimum wage, health & safety, and other important labor laws, in the workplace. You can download or print all of Illinois' mandatory and optional labor law posters on this page, free of charge.
Posters can be printed out at your convenience or can be gotten by contacting the agency at: Illinois Department of Labor
160 N. LaSalle Street, Suite C-1300
Chicago, IL 60601
Mandatory Illinois Labor Law Posters 3 PDFS
IL All-In-One Labor Poster: Instead of printing out dozens of posters, employers can also purchase an all-in-one poster that covers both Illinois and Federal poster requirements by clicking here .
The Illinois Department Of Labor requires that all employers post these three mandatory labor law posters in a prominant area within the workplace. Most Illinois businesses will also need to post the Federal Department of Labor's mandatory posters in addition to these state posters.
All Illinois employers are required to display several labor law posters in a conspicuous place in the workplace.
|Poster Type
|Poster Name
|Workers Rights Law
|Pregnancy In The Workplace - Illinois Human Rights Act
|Rights and rules regarding pregnant employees.
|Workers Compensation Law
|Workers' Compensation
|Information regarding workers' compensation
|Unemployment Law
|Unemployment Insurance Benefits Notice
|Information regarding unemployment.
|General Labor Law Poster
|Your Rights Under Illinois Employment Laws (English)
|Information regarding rights of employees
|Poster Type
|Poster Name
General Labor Law Poster
Spanish Language
|Your Rights Under Illinois Employment Laws (Spanish)
|Information regarding rights of employees
Get a 2020 Illinois all-in-one labor law poster
Instead of printing out pages of mandatory Illinois and Federal labor law posters, you can purchase a professional, laminated all-in-one labor law poster that guarantees compliance with all Illinois and federal posting requirements. Fully updated for 2020!Get 2018 All-In-One Poster Now
Other Illinois Labor Law Posters 5 PDFS
There are an additional five Illinois labor law posters that are either optional, or mandatory only for a certain type of employer. Be sure to check this list carefully to see which posters are relevant to your business.
|Poster Type
|Poster Name
|Who Must Post
|Miscellaneous Law
|Emergency Care for Choking
|Information regarding emergency care
|Job Safety Law
|Safety Inspection & Education Act and Health & Safety Act - English
|Public Sector Employers
|Information regarding safety and health in the workplace
|General Labor Law Poster
|Day and Temporary Labor Service Act
|Day and Temporary Labor Service Agencies
|Information regarding labor service agencies
|Employee Classification Law
|Notice to Individuals Performing Services for Construction Contractors
|Construction Contractors
|Information regarding how workers under construction contractors are classified
|Anti-Smoking Law
|No Smoking Sign (English)
|No Smoking poster
|Poster Type
|Poster Name
|Who Must Post
Miscellaneous Law
Spanish Language
|Emergency Care for Choking (Spanish)
|Information in Spanish regarding emergency care
Job Safety Law
Spanish Language
|Safety Inspection & Education Act and Health & Safety Act - Spanish
|Public Sector Employers
|Information regarding safety and health in the workplace
Anti-Smoking Law
Spanish Language
|No Smoking Sign (Spanish)
|No Smoking poster
Printed all of your Illinois labor law posters? Be sure to check out the free federal labor law posters page to ensure that you comply with Department of Labor mandatory posting laws.
Disclaimer: While we do our best to keep this list of Illinois labor law postings up to date and complete, we cannot be held liable for errors or omissions. Is a poster on this page missing or out-of-date? Please let us know so we can fix it!
Poster Sources:
- Illinois Labor Law Posters at https://www.illinois.gov/idol/Employers/Pages/posters.aspx
- Illinois Department Of Labor , updated February 2017


text:
Photo: Beth Dreiling Hontzas; Styling: Missie Neville Crawford
No need for lots of chopping; let the food processor do all the work in this delicious herb-packed sauce.
How to Make It
Process first 11 ingredients in a food processor or blender 30 seconds or until smooth, stopping to scrape sides as needed. Cover and chill 1 hour before serving. Garnish, if desired. Store in refrigerator up to 1 week.


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Support Forum
How to Fix a Sagging Couch
Sometimes the beanbag itself can be the cause of a billowing couch (furniture store - melodyhome). If the cushions feel too soft, again you may charge to add added filling. You can acquirement cream added and add it to the top and basal of the added in the cushion.
Reinforce the back and anatomy of the couch application affective van tape.
If you accept inspected the wood and bolt of the frame, and the abutment and bushing of the cushions and still cannot amount out why your couch is billowing you can try abacus abutment to the absolute back. Wrap bolt affective band through the back of the couch and about the basal of the couch's anatomy until it is covered with tape. It should attending like a web of band in the back. This should advice abutment the anatomy and back of the billowing couch.
Posted By: michelleloy on Oct 30, 2013 09:52AM Category: Whishes
DXF File Question
I have a dxf file that contains all cutouts that I require. When I import the dxf file, it only sees the exterior shape, and not any of the cutouts. Am I doing something wrong?
Posted By: kinterke on Oct 29, 2013 03:36PM Category: Front Panel Designer
Front Panel Designer differentiates between exterior and interior shapes. This allows you to import something quickly and position it independently.
However, a completed design from a different software requires a two step dxf import. One for the exterior and the other for everything else.
The exterior import can be done in 'Front Panel Properties' by selecting 'free shape from dxf file' in basic shape. Once you have completed the panel shape the cutouts can be imported ('insert free contour' in the tool bar.) You can split your cutout import by right-clicking on it. This gives 'split free contour' and allows you to select tools individually.
Have a look at one of our older newsletters
Please let me know if you need any support with your project. This can be a little confusing when you import a dxf the first time. We are more than happy to help you with the conversion into our software.
Best regards,
Posted By: DianeHaensel on Oct 29, 2013 06:40PMReply
How to Move a Sofa Bed Up or Down Stairs
Remove the feet. If accessible abolish the anxiety of the sofa (online furniture store - melodyhome) to affluence its access through doors. If this is not possible, skip to next step.
Move the sofa through the door. Slide the sofa on its back on the agenda (and furniture dollies) to the aboriginal door. If the anxiety are removed it should almost canyon appropriate through. If not, you may accept to bend it such that anniversary set of anxiety canyon through.
Move the sofa down the stairs. Abolish the furniture dollies, if you accept them. Slide the sofa advanced while captivation down burden on the ancillary extreme from the stairs. The sofa will activate to angle downwards as it is confused forward. Slowly acquiesce the sofa to lay on the stairs. Move the sofa until it is absolutely on the stairs. The being extreme down the stairs will charge to accomplish abiding the agenda does not bolt on the stairs and absolute the being accomplished on the stairs of if to push. The agenda reduces the abrasion amid the sofa and the stairs, appropriately authoritative the stairs an simple obstacle to accord with. If the stairs bend or change direction, as in a flight of stairs, you will charge to angle the sofa up on one of its ends (the arms). Again airing it, that is to say move it as admitting it were walking by sliding one ancillary again the other, to the next flight of stairs such that the agenda is adverse the ancillary of the stairs. Slowing lay the sofa down on the stairs. One being will charge to adviser the sofa down while ensuring that it does not blooper while the added being will charge to use their easily over their arch to affluence the sofa back down on the stairway slope. Repeat this footfall until the sofa is absolutely down the stairs.
Continue sliding the sofa. Slide the sofa, or alter the furniture dollies and roll, to its adapted location.
It is actual accessible to accept a brace of furniture dollies, if possible. They about alone amount $15.00 and are actual advantageous for added projects.
You can use straps with the winching adequacy to band the couch to the cardboard. This makes abiding that annihilation block loose.
You will charge at atomic two humans to accomplish this blazon of move. Otherwise you accident abrasion to yourself.
Back braces are also recommended to anticipate austere back injury.
Posted By: michelleloy on Oct 29, 2013 09:56AM Category: Whishes
It is always recommended to use atomic humans to accomplish this blazon of a move.
Posted By: Greg on Nov 21, 2016 02:03AMReply
All of a sudden with version 4.31 the origin when creating a new panel seems to be set willy-nilly. Never at a the bottom left corner as it used to be. Is it me or is there a reason for this?
Posted By: REPH11 on Oct 16, 2013 10:45PM Category: Front Panel Designer
No, there is no reason for it and I can't replicate it on my Windows installation. Do you run on Windows?
Until we have figured this out, quick fix is shortcut n + 1 (on number pad). This will bring the origing in the lower left corner. Imagine the number pad as your panel; upper left corner = 7, center = 5, lower right = 3, etc.
Best regards,
Posted By: DianeHaensel on Oct 16, 2013 11:48PMReply
I saw the same thing running Win 7 until I went into the Settings menu, set X origin and Y origin to zero (they already showed as zero but did it anyway) then ticked the "Use as default" box. Now it seems to be okay. All new designs put the origin in the lower left corner as desired.
Posted By: Vern_K on Oct 17, 2013 03:27AMReply
I did that myself and it worked. But it would only work if there was a panel defined. Perhaps the "default" settings could be changed before a panel needs to be defined.
Posted By: REPH11 on Oct 17, 2013 05:34PMReply
Cavity within a cavity
I need to create a rectangular cavity 40mm x 60mm that is 5mm deep in 10mm thick material. (That much is easy.) Now within that cavity, I would like to have another smaller rectangular cavity 20mm x 30mm that is an additional 3mm deep and also has edge machining (rounded edge 1.5mm radius) applied to it. This brings up some questions. How do I specify the smaller cavity depth in Front Panel Designer? Is it with respect to the top surface of the panel (in which case it should be 8mm) or is it with respect to the bottom of the larger cavity (in which case it should be 3mm)? Also, how do I know that the machining on the edge of the smaller cavity will be applied to the edge that is 5mm deep within the first cavity? In other words, how do I make sure the larger cavity is cut first, then the smaller one, then the edging on the smaller one? This same question applies to a similar situation with a through hole inside a cavity. Can I specify edge machining on a through hole sitting inside a cavity?
Posted By: Vern_K on Oct 16, 2013 04:37AM Category: Front Panel Designer
This is a good point.
The depth of a cavity is always related to the top surface. In your case, the second cavity has to be 8mm deep.
The edge on the second (lower) cavity can't be selected in FPD. We would mill air since the material is already removed by the larger cavity on top. However, we can make modifications in the milling program an lower the cutter. Please leave us a note in the production remarks and we will machine the edge of the lower cavity to your specifications.
Best regards,
Posted By: DianeHaensel on Oct 16, 2013 09:55PMReply
Problem Importing .plt file
I am trying to import a .plt file but when I click import it doesn't show anything in preview or afterwards on my panel. Is there something I am doing wrong?
Posted By: aikenberry on Oct 08, 2013 05:12PM Category: Front Panel Designer
It's most likely a contour issue. Some doubled lines or unclosed contours can cause this.
Would you mind sending me your .plt file? I would like to have a look and fix this for you.
Kind regards,
Posted By: DianeHaensel on Oct 10, 2013 12:41AMReply
Thanks Diane.
Where should I send the file to?
Posted By: aikenberry on Oct 11, 2013 12:19AMReply
Please send it directly to me at email@example.com
Kind regards,
Posted By: DianeHaensel on Oct 11, 2013 01:16AMReply


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Full closed-loop controlled ventilation, in comparison with pressure support ventilation, improved oxygenation, ventilatory variability and time spent in an adequate ventilation zone in critically ill patients.
Intellivent is a new full closed-loop controlled ventilation that automatically adjusts both ventilation and oxygenation parameters. The authors compared gas exchange and breathing pattern variability of Intellivent and pressure support ventilation (PSV).
In a prospective, randomized, single-blind design crossover study, 14 patients were ventilated during the weaning phase, with Intellivent or PSV, for two periods of 24 h in a randomized order. Arterial blood gases were obtained after 1, 8, 16, and 24 h with each mode. Ventilatory parameters were recorded continuously in a breath-by-breath basis during the two study periods. The primary endpoint was oxygenation, estimated by the calculation of the difference between the Pao2/Fio2 ratio obtained after 24 h of ventilation and the Pao2/Fio2 ratio obtained at baseline in each mode. The variability in the ventilatory parameters was also evaluated by the coefficient of variation (SD to mean ratio).
There were no adverse events or safety issues requiring premature interruption of both modes. The Pao2/Fio2 (mean ± SD) ratio improved significantly from 245 ± 75 at baseline to 294 ± 123 (P = 0.03) after 24 h of Intellivent. The coefficient of variation of inspiratory pressure and positive end-expiratory pressure (median [interquartile range]) were significantly higher with Intellivent, 16 [11–21] and 15 [7–23]%, compared with 6 [5–7] and 7 [5–10]% in PSV. Inspiratory pressure, positive end-expiratory pressure, and Fio2 changes were adjusted significantly more often with Intellivent compared with PSV.
Compared with PSV, Intellivent during a 24-h period improved the Pao2/Fio2 ratio in parallel with more variability in the ventilatory support and more changes in ventilation settings.
The best method for weaning from mechanical ventilation has not been established
Full closed-loop controlled ventilation, in comparison with pressure support ventilation, improved oxygenation, ventilatory variability, and time spent in an adequate ventilation zone in critically ill patients.
Noémie Clavieras, Marc Wysocki, Yannael Coisel, Fabrice Galia, Matthieu Conseil, Gerald Chanques, Boris Jung, Jean-Michel Arnal, Stefan Matecki, Nicolas Molinari, Samir Jaber; Prospective Randomized Crossover Study of a New Closed-loop Control System versus Pressure Support during Weaning from Mechanical Ventilation. Anesthesiology 2013;119(3):631-641. doi: https://doi.org/10.1097/ALN.0b013e3182952608.
Download citation file:
© 2019 American Society of Anesthesiologists
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text: I knew I was going to love working with Robert and Lindsey after our engagement session in Sioux Falls, SD last winter. As I drove home, I kept thinking to myself how easy going they seemed, but also madly in love. Such a perfect combination. Nothing changed on their wedding day. It was a joy to be around everyone and you just felt the love and support of great friends and family. Happy faces were EVERYWHERE.


text:
Accepting life's imperfections
As you would guess, being Head of Content at Calm, I'm passionate about meditation. I'll meditate anywhere - at airports, on buses, in waiting rooms… But nothing beats meditating by the lake at my family's cottage in Canada, which I visit just a few times each year.
Fall, winter, and spring, I dream of returning. Most especially, I dream of waking up early, walking out onto the dock and meditating with the tranquil sound of the calm water lapping in the background.
Recently, on my first visit in a year, I had a chance to do just that. I had 75 minutes before my guests arrived – Just enough time to fit in an hour-long practice. I grabbed my cushion, walked down the dock, and began meditating, enjoying the soothing sound of the water, and wind blowing through the trees.
5-minutes later, the serene sounds of the morning lake were drowned out by roar of lawnmowers. I should clarify, our cottage is on a large lot with 11 other cottages. It takes a full hour for the three booming industrial sized lawnmowers to complete the job, which meant, my entire practice would be disrupted.
The soundtrack of the tranquil sounds of nature became a distant memory. Irritation set in, then disappointment, as I realized I had two choices: I could either continue my practice with the lawnmowers blaring in the background, or I could skip it altogether.
I'd been looking forward to this morning for an entire year. There was no way I was going to forfeit my practice.
So I stayed. And as the lawnmowers neared the water, their roaring drone got louder and louder. But I chose not to hear it as disruption. I made efforts to hear the sound as sound, without identifying it as good or bad. I didn't focus on it with irritation the way I had earlier. Instead, I allowed it to be part of the background, responding to it the same way I would the sound of water, or airplanes above, or people talking nearby. I let everything be. And I continued with my practice, which, incidentally, ended up being a blissful one.
Part of the reason why it's so important to practice meditating in imperfect conditions on occasion, is because it's training for real life.
Just like there aren't always perfect conditions to meditate, there aren't always perfect conditions in daily life. People don't act the way we want them to. Things don't show up the way we'd like. Life is constantly disrupting our plans.
On our wedding day it rains. Does that mean we fall apart and feel irritation all day? Or does it mean we move inside and let go of our original plan for an outside wedding so we can enjoy the day?
Or perhaps we have this idea that we'll be married by a certain age. It doesn't always happen, so can we find acceptance and joy in being single?
It's impossible to experience joy when we're resisting life.
So in order to not let imperfect conditions hinder our happiness, we want to develop resilience to them.
We want to become less bothered, less irritated, and accept that which we can't control. This is a huge part of what meditation is about - learning how to accept all circumstances, perfect and imperfect. And considering how rare it is that things go perfectly in life, it's a pretty good skill to have.
So the next time you start your practice and the conditions aren't perfect, let's say, your kids are too loud, or a neighbor is playing music, or there's discomfort in your body, as you sit, see if you can practice staying. Make efforts to accept your present circumstances. It may be challenging but what you're doing is strengthening your resilience, and learning to find peace within life's imperfections.
I'll leave you with these relevant words of wisdom by Michael J Fox:
"My happiness grows in direct proportion to my acceptance, and in inverse proportion to my expectations."
So let be and let go. Whenever possible.


text:
Why Caye Caulker Plaza Hotel?
Caye Caulker is fast becoming known as 1 of the top destinations in Belize if not in the whole Caribbean. This fun little island has been featured in Magazine, blogs and many articles on the world wide web. Their "Go Slow" motto reflects how life is endured there along this small island which is likewise known as la Isla Cariñosa.
They are a moment's walk from both water taxies and a 10 min drive by golf cart taxi from the air strip. Caye Caulker Plaza Hotel is situated in the heart of the island. Close to many Snorkel shops, eateries, souvenir/gift shops and food market shops. Close enough, but not too close to the event grounds where the islands annual events take place. Their hotel offers various packages to suit your needs. Their rooms are spacious and clean. They take pride in the cleanliness of their facility. The rooftop terrace is available for sunset and sunrise and during the course of the day the outdoor lounge chairs are also available for your sun tan needs and picnic tables as well.
The indoor lobby area is perfect for those who are taking a break from the sun where we have self served coffee in the mornings.
At Caye Caulker Plaza Hotel they are all Family so feel right at home at check in time. Their front desk personnel will make you feel right at home and assist you to your room. They are the only hotel on the Caye Caulker that offer a full 24 hours front desk assistance. Their rooms are perfect for those who are looking for relaxation on a small tropical island. All rooms are equipped with private bathrooms, Cable TV, Air conditioning and free wifi.
Caye Caulker Plaza Hotel has 30 rooms to help you re-energize for the fun-filled days in and around the island of Caye Caulker, Belize. Some amenities offered by Caye Caulker Plaza Hotel are private bathrooms with hot and cold shower, private balcony, rooftop terrace, cable TV, in-room safe and mini refrigerator, wireless internet access, powerful air-conditioners and ceiling fans.
Caye Caulker Plaza Hotel is the only hotel on Caye Caulker that has 24-hour front desk assistance.
They are located in the center of Caye Caulker, a walk away from tour guides, gifts shops, restaurants, and yet far enough that you can close your door to the hustle and bustle of the island to relax in peace and quiet.
The "Surf & Turf" package consists of 4 nights in Caye Caulker (the SURF part) and 3 nights in San Ignacio (the TURF part) or 3 nights in Caye Caulker and 4 nights in San Ignacio (the final night is your choice).
Surf Package includes:
- 3 nights stay at the Caye Caulker Plaza Hotel
- 3 meals and drinks per day per person
- Inbound and outbound transportation from Belize Int'l Airport or Belize City
- 1 full day tour snorkeling at Hol Chan Marine Reserve
- 1 half day kayak tour
Turf Package includes:
- 3 nights king deluxe room at Midas Resort
- 3 meals and drinks per day per person
- Inbound and outbound transportation from Belize Int'l Airport or Belize City
- 1 full day tour to Actun Tunichil Muknal cave tour
- 1 half day tour horseback riding in the jungle
The fourth night is either of the two:
- SURF day: Full or half day fishing tour
- TURF day: 1 full day tour to Caracol archaeological site


text: Hi, On Mon, Apr 5, 2010 at 6:10 PM, Ronald S. Bultje <rsbultje at gmail.com> wrote: > On Thu, Apr 1, 2010 at 4:41 PM, Michael Niedermayer <michaelni at gmx.at> wrote: >> that should be ok, and i volunteer as one of the test subjects, where >> can i download the .wav files? and of course it would be great to have >> original pre encoder waves to for reference > > I'll try to do this tomorrow, sorry for being so slow. http://people.gnome.org/~rbultje/ff/ I chose a reasonable-quality source file (.mov), hoping that'll make the testing easier and more pleasant. If you need an additional poor-quality one, let me know and I'll add it (same numbering). The 7 files are (in no particular order): - Reference code with or without postfilter (2) - FFmpeg decoder without postfilter (1) - FFmpeg decoder with Reference postfilter (1) - FFmpeg decoder with Reference converted into our postfilter in 3 steps (3) I'd be very pleased if you could test blindly and tell me which you like best. Vitor, could you test also? Ronald


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Duane "Bang" Ludwig is preparing for the biggest fight of his career. He squares off with "Ultimate Fighter 7" winner Amir Sadollah at UFC on Versus 5 on Aug. 14 in Milwaukee, Wisc.
Ludwig is granting MMAWeekly.com readers exclusive behind the scenes access in the weeks leading up to the fight. The series was created by his manager, Sven Bean, and filmed and produced by CLVR.TV.
This is the second of four episodes following Ludwig as he trains for the fight. The first week focused on a new strength training program at FORZA Fitness, a state of the art facility co-owned by Steve Hess, an Assistant Coach focusing on Strength and Conditioning for the Denver Nuggets.
Episode two takes us behind the scenes with Ludwig at his new gym, 303 Training Center, where he talks about preparing for Sadollah, his passion for passing on the knowledge he's acquired over the years, and training with some of the top coaches in the world throughout his career.


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Media Crisis, What Media Crisis
I've just returned back from a wonderful two weeks in Portugal. We spent the first week at the International Association of Media and Communication Researchers, one of the best organizations, in my view, in the field dedicated to the study of all forms of communication and media. The IAMCR also has a great reach globally, with scholars from all over the world congregating once a year to consider the state of the art of research, whether or not your interests lay in media political economy and history, like mine, public opinion, diasporic communcation, global media and many other areas.
As usual, it was a great time and I enjoyed meeting up with many of my old friends. I'll write some more on the conference and some of the substantive themes that I came across while there. One of the most important things that I took away, though, is that the political economy of communication is alive and well, with almost all of its panels drawing large audiences.
The political economy approach to communication and media studies has sometimes drawn justified criticism for being simply code for a narrow-minded and obtuse marxist view of the world, but that is far too simple to capture the varieties of what is going on in the field now. Moreover, I would also argue, as did many at the IAMCR conference, that our times are particularly well-suited to those who address the current crisis that continues to wreak havoc on the world's economy, and people's lives. In that vein, studying the dynamics of the media industries and the broader economic, political, technological and cultural forces shaping and remaking the media is also a hallmark of media political economies.
Indeed, we can can learn a lot from this vantage point about the current state of the media and the oft-repeated claim that the 'traditional media' are 'in crisis', destined to go the way of the dodo bird, as people switch loyalty, time and connections to Youtube, Facebook, Twitter, and so forth, in this age of 'mass self-expression'. There is a great deal of compelling evidence and examples that, at least superficially, illustrate the case that the 'traditional media industries' are in decline.
The case has been made all the more appealing in recent years by rise of the Internet and the substantial decline in advertising revenue for network tv and newspapers, the fragmentation of audiences, and the continuing long-term declines in newspaper readership across North America and most of the 'west' — although, against this, we must also point out that the massive explosion of newspaper titles and readership in places like India and China offer countervailing lessons, to say nothing of the growth of television worldwide. I wrote a short piece that was published today in The Mark, a recent addition to the expanding range of quality online news, analysis and commentary publications, that challenges the 'media in crisis' theme in relation to the media in Canada. You can see my piece here:What Media Crisis article in The Mark
A full-scale, scholarly version of that piece can be found in the paper that I delivered at the IAMCR Conference in Portugal in July, 2010.
Financialization and Media in Crisis (IAMCR 2010)
A PowerPt snapshot of the main charts, figures, data, and key arguments I rely on can be found here: Financialization and the 'Crisis of the Media' (IAMCR Pres).
I have begun to amass a fairly large data set on the media industries and am willing to share with those similarly inclined.
May 2, 2011 at 8:37 pm


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This Week at Physics
This Week at Physics
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Event Number 2305
Friday, November 4th, 2011
- Theory Seminar (High Energy/Cosmology)
- Search for new non-standard decay modes of SM-like Higgs at the LHC
- Time: 2:00 pm
- Place: 5280 Chamberlin
- Speaker: Jinrui Huang, University of California, Irvine
- Abstract: We present strategies of searching for supersymmetric non-standard decays of Standard Model (SM)-like Higgs bosons (h2) at Large Hadron Collider (LHC), motivated by ''Dark Light Higgs'' (DLH) scenario. The DLH sccenario represents a limit of the nearly-Peccei-Quinn-symmetric Next-to-Minimal Supersymmetric Standard Model, where there naturally co-exist two light singlet-like particles: a scalar (h1), a pseudoscalar (a1), and a light singlino-like DM candidate (chi_1), all with masses of order 10 GeV or below. In this scenario, the SM-like Higgs bosons typically decay dominantly into a pair of neutralinos, allowing themselves to be as light as below 100 GeV. We systematically study the searches of both the SM-like and the light Higgs bosons at the LHC, using the supersymmetric non-standard decay chain: h2 -> chi_1 chi_2, chi_2 -> chi_1 (h1, a1) with the h1 or a1 further decaying into a pair of fermions (including diMuon, diTau and b bbar, etc).
- Add this event to your calendar
- Search for new non-standard decay modes of SM-like Higgs at the LHC


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Have a peek:
To: firstname.lastname@example.com
RE: Alleged Dion Plagiarism
I'm a little surprised that CTV didn't research this alleged Dion plagiarism a wee bit more. In fact, I am shocked about how irresponsible your report was - with no apparent regard for researching the entire Dion speech and the source of the speech.
Plagiarism, definition of: Plagiarism is the unauthorized use or close imitation of the language and thoughts of another author and the representation of them as one's own original work.
Firstly, Stephane Dion fully acknowledged the work of the report in question during the content of his speech.
"We recognize the importance of the Arctic Council in addressing the many common concerns and challenges emerging from climate change and providing a forum for collective action on shared priorities.
Not only does the Arctic Council engage Arctic nations, it also includes six Permanent Participants that represent Northern indigenous peoples who actively bring their voice to the work of the Council. This inclusive process ensures that steps forward to protect our shared Arctic will integrate social, cultural, health and economic components.
Last November, the Arctic Climate Impact Assessment was received at the fourth Arctic Council Ministerial meeting in Reykjavik, Iceland. This is the first climate assessment of the Arctic - a result of four years of international efforts from over 300 scientists, as well as traditional knowledge of Northern Indigenous peoples.
The Assessment confirms what our own science and the people of the Arctic have been telling us for many years. "
The Arctic Council, Mike, commissioned this report. Canada is one of eight nations that belong to the council. Previous Environment Canada Reports were utilized in the body of the alleged plagiarized report. Mr. Dion was the Minister of Environment and was entitled to use any and all parts of that report.
This is nothing like Mr. Harper's gaffe. In fact, it is not even close to plagiarism, as he fully acknowledges the group (again, Canada is a member of) that sponsored the report in the first place.
Secondly, Robert Corell was not the author of the report and he, himself was simply reading findings within the report at the US Senate committee hearings.
I've written more details here: http://whatdoiknowgrit.blogspot.com/2008/10/irrational-posts-kelly-mcparland-should.html
Recap: It can't be plagiarism if you acknowledge the work of the group that wrote the report and, you (Canada) are a member of said group and a contributing partner (Environment Canada).
The bloggers that submitted this to you Mike have not been very forthcoming in this and are defaming a man of integrity that has been a voice of change for the Environment of our country and our planet.
Shame on CTV for giving into this gossip without even doing any required journalistic research. You owe Mr. Dion an apology. Just my opinion.


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Event Navigation
Get priority access to The Townhouse on Saturday, June 2nd beginning at 5 PM. Then after the sign goes rainbow, join us at The Del Monte Speakeasy for Queer As Funk a live music happening courtesy of LA-based power funk/soul band The Puscie Jones Revue who is generously donating their performance to Venice Pride as a way to support our mission!
Reserve now to guarantee entry.
Ticket includes:
+ Priority, front of line access to Townhouse starting at 5 PM!
+ Souvenir Venice Pride wristband for easy in-and-out
+ Drink specials throughout the night
+ Entry to The Del Monte Speakeasy for Queer As Funk featuring The Puscie Jones Revue starting at 9:30 PM
Space is limited. Purchasing tickets in advance is strongly advised.
All ticket proceeds benefit Venice Pride, a 501(c)(3) nonprofit organization dedicated to reinvigorating the LGBT community west of the 405.
Note there is a No Refund Policy on all purchased tickets.
About The Puscie Jones Revue
Puscie Jones needs no introduction, but in case you're a bad listener: PUSCIE is an acronym that stands for the Pursuit of the Un-inhibited and Stimulated Core Inside of everyone. Puscie Jones is a man, a band and a movement. A belief system, a way of living, permission to be your truest self. Stylistically the band plays originals and covers that fall into the 1970's funk and soul genre. Puscie himself is the frontman, backed by the vocals of Baby DynOmite, Jason Taylor on guitar, Thomas Rojo on bass, Mello on keys, Jeramy Lewis on drums, Joe Schmeltzer on sax.


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How social media analytics can help you master inbound marketing standard
For years now, marketers have been creating content to help generate qualified web traffic, leads and conversions. It's a tactic known as inbound marketing, and it continues to evolve as brands find more uses for it and as content becomes more targeted. But just how are these brands creating an ongoing stream of content that is both interesting and relevant to a specific audience? The answer is in the analytics. Social media analytics can help marketers and brands listen to their customers' wants and needs, as well as understand how they are doing and what they need to improve upon. Marketing Land outlines three ways social media analytics can help you harness the real power of inbound marketing: Gain a ...Continue Reading


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Because our baskets contain prepackaged snacks and other foods we ship only to the continental United States (excludes Alaska and Hawaii) so that we can guarantee freshness.
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Since we provide flat rate shipping, we reserve the right to choose the best carrier for your order. Common carriers are USPS, FedEx and UPS but we reserve the right to use other carriers as necessary. Most orders arrive within 5 business days after shipment and we strive to fulfill and ship orders within 24 hours.
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You may return most new, unopened baskets within 15 days of delivery for a full refund. In the event of an error or shipping damage please contact us at firstname.lastname@example.com to describe the problem. We will ship a new basket or issue a return authorization number if necessary. In the event of shipping damage or quality question we may request a digital picture of the product before authorizing a refund or return.
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Written by: Nery Porras, MD (NUEM PGY-2) Edited by: Katie Colton, MD (NUEM PGY-4) Expert commentary by: Lee Lindquist, MD
Imagine: you arrive to your shift, surrounded by the beeping and buzzing of monitors, an intoxicated patient already on the bed in front of your computer. You gamely walk in to the room of your first patient, a 74 year-old man for whom the tracking board reads "something is not right." You see a quiet, subdued elderly man who looks at first glance generally well. The family member in the room starts talking immediately, concerned that something is just not right with this man – he seems depressed, and has been forgetting names. As she talks you hear a commotion from the next room and poke your head around the divider to see if you can help. There you see an older woman fighting with EMS and her EKG leads, surrounded by nurses trying to keep her from jumping off the stretcher. These widely disparate presentations potentially represent ends of the spectrum of the important but often missed diagnosis of acute delirium.
Emergency physicians are trained in the diagnosis and initial management of life and limb-threatening medical conditions. Delirium is an under-recognized but highly morbid condition that we are under-prepared to diagnose and treat in a busy ED. Trained in pattern recognition, we currently lack an easy and reliable method to diagnose acute delirium. The DSM-V identifies 5 key features that characterize this diagnosis:
Disturbance in attention and awareness
Develops over a short period of time, represents a change from baseline, and tends to fluctuate during the course of the day
An additional disturbance in cognition
The disturbances are not better explained by another preexisting, evolving or established neurocognitive disorder
There is evidence that the disturbance is caused by a medical condition, substance intoxication or withdrawal, or medication side effect
What's the big deal with a somewhat confused elderly patients?
As the US population ages, elderly Americans are becoming the predominant users of healthcare with over 20 million older American visits to the ED each year (Han, et al 2013); these older patients are preferentially affected by delirium. One study notes delirium to be present in 8-17% of all elderly ED patients and in 40% of nursing home patients (Inouye 2014). Acute delirium can be the presentation of potentially life-threatening conditions including metabolic derangements, sepsis, and hypoxia. Interestingly one study showed that patients in their eighties with myocardial infarction are more likely to present with delirium than chest pain (Inouye 2014).
The diagnosis of delirium itself confers morbidity beyond the underlying condition that it can reflect. When comparing groups of elderly patients in the ED, those with delirium were found to be markedly more likely to die within 6 months than those without delirium – 36% versus 10%, respectively (Han 2013). Another study found that elderly patients diagnosed with delirium had 12-month mortality of 10-26%, rates comparable to sepsis or acute MI (Gower 2012). Despite the remarkable danger of this condition, emergency physicians are bad at making this diagnosis – per one report missing 57-83% of cases of delirium (Han 2013).
What does a patient with delirium look like?
The fluctuating presentation of delirium makes it difficult to recognize but we should be attentive to certain hallmarks, including alterations in attention and awareness and acute changes in cognition. These can be associated with hallucinations or other perceptual disturbances. Collateral information and family input can be critical in detecting changes from baseline function and cognition. The more acute temporal course of delirium is important to distinguish from underlying dementia, which is itself one of the most important risk factors for delirium. The most common presentation, the hypoactive form, is a quiet, subdued, withdrawn state. This is distinguished from the hyperactive form notable for hypervigilance, irritability and restlessness. Hypoactive and mixed-type deliriums are the most common presentations in the ED, representing up to 96% of acute cases in the ED (Han 2013). Unfortunately, the hypoactive form is both more commonly missed and associated with a worse prognosis (Inouye 2014).
So, how do I diagnose delirium? Can this be done in the ED?
As the personal, medical, and financial risks of delirium are increasingly recognized, research has focused on creating better tools for recognition and diagnosis. Traditionally this diagnosis has required an extended interview and evaluation, usually performed by a psychiatrist or geriatrician; these methods are rarely available in the ED or inpatient setting. Inouye and her colleagues built upon the DSM definition of delirium to create the Confusion Assessment Method (CAM) tool to quickly and easily screen for delirium.
The CAM algorithm for diagnosis of delirium, using standardized psychiatric evaluation for delirium for validation, showed a sensitivity of 94%-100% and a specificity of 90%-95% for the diagnosis of delirium (Inouye 1990). The CAM was later adapted and validated for use in the ED (Lewis 1995) and most recently that CAM has been modified to be even more ED friendly. In 2013 the Geriatric Emergency Department Guidelines were put together by ACEP, SAEM, AGS (American Geriatric Society) and ENA (Emergency Nurses Association in which they delineate a real-world adaptation of the CAM, the bCAM. In conjunction with the Delirium Triage Screen, these two tools are quick, easy and practical method of assessing for delirium in the ED.
What should be in your differential diagnosis when you suspect delirium?
You have made the step of recognizing that your elderly patient is off their baseline; what should you consider as part of your work-up? Consider the acronym "I WATCH DEATH" (below), a helpful reminder of the broad (and overlapping) differential of diagnoses that exist for acute delirium. For a more nimble tool particularly useful in the ED evaluation of the delirious elderly patient, the "ABCDEF" acronym (below) was developed by Rosen et al (Rosen 2016) to identify overlooked precipitating causes.
What can I do to acutely de-escalate a delirious patient?
As always, consider non-invasive measures first – recruiting family for this can be critical. Alleviating pain and discomfort and frequent re-orientation can help calm an acutely agitated patient.
Pharmacological interventions should be reserved for the agitated patient with overt psychotic manifestations. The use of restraints should be avoided if possible as the use of restraints themselves can worsen delirium. If medications are required, low doses of haloperidol of 0.5-1 mg can be used, although caution must be exercised with regard to QTc prolongation in patients with polypharmacy (Gower 2012). Atypical antipsychotics can be considered as well; the chart below details one potential protocol for pharmacologic management of acute delirium.
Take Home Points:
Delirium is under-recognized and under-diagnosed but carries marked increases in morbidity and mortality in the elderly population.
This diagnosis can and should be made in the ED; consider diagnostics aids like the CAM.
Delirium is often the presenting symptom of an underlying pathology and a broad differential should be consider.
Pharmacological interventions are a last resort; if needed low does of haloperidol or other atypical antipsychotics can be considered.
Expert Commentary
I love that delirium in the emergency department is being discussed! As a geriatrician, so many of my older adult patients are brought into the ED with these symptoms and it is vital that delirium is recognized and treated effectively. Delirium is a serious problem among older adults – and their families and supporters. It carries a high risk of extended hospitalizations, morbidity, and mortality. Katie and Nery did an excellent job describing the full spectrum of Delirium – ranging from hypo to hyperactive delirium. The hypoactive delirium symptoms are frequently missed because older adults affected by this are very quiet and often appear distracted. With "the squeaky wheel getting the grease", we are more likely to recognize and respond to the older adult with hyperactive delirium instead.
I fully concur that collateral information is important. I would emphasize that we need to encourage patient families and supporters to stay with the patient – even after the patient is being admitted and moved to the inpatient setting. What can be most frustrating is that families will sometimes leave once the patient is called from the waiting room or after they have been seen by one staff member. We need to reaffirm with families that they need to remain at bedside and continue to remain at bedside when the patient is admitted. Having a loved one nearby will help both physicians in obtaining more information as well as the patient is reorienting and soothing them. I have seen too often that family members will leave from the ED, since the patient is being admitted, and subsequently, the patient's agitation worsens. Important lesson: Please tell families to follow the patients to the inpatient floors/rooms and continue to stay with them.
Besides the family, collateral information should be obtained from the patient's prior residence. So many older adult patients are transferred from skilled nursing facilities (SNF), or senior residences/communities (e.g. assisted living, memory care) for worsening confusion and delirium. I would suggest that ED teams contact the SNF nurses to determine collateral information. It would also be helpful to become familiar with the places that house seniors in their area (e.g. set up a tour, ask for clinical/nurse station phone numbers) so that communication can flow more easily.
From a clinical practice, the most common causes of delirium that I see are medication-related (withdrawal, polypharmacy) and dehydration. Doing a medication/brown bag review is always my first step. What I see is that older adults will sometimes start an OTC medication (e.g. diphenhydramine, sleep aid, or a pain medicine/sleep aid combo like a "acetaminophen PM") and that will cause the acute confusion. Dehydration is also a common cause for delirium among older adults since we lose our thirst mechanism as we age and do not feel the need to drink. With summer weather, it is easy for a senior to become dehydrated with the first symptoms being delirium.
I would like to point out that UTIs are frequently misdiagnosed as a cause for delirium. What does that mean? We have been taught that UTIs can be the culprit for delirium - but it is usually not. Actually, checking a UA for confusion alone is no longer recommended by the CDC. The CDC recommends that urinary symptoms (e.g. frequency, dysuria) are present for UA testing. Why? Many older adults have asymptomatic bacteriuria – so much so that UTIs are frequently over-diagnosed in the ED as the culprit for delirium. When the culture comes back days later, there is a lack of evidence for the UTI. Even on the graphic presented by Katie and Nery on infections causing delirium – UTI is not listed. What I will do is ask for collateral information about any prior urinary symptoms from the families, fevers/chills, leukocystosis, and check for suprapubic tenderness on exam to assess urinary issues as a culprit for delirium.
Lastly, avoid benzodiazepines to treat delirium in older adults. I realize that it is listed on the infographic but this class of medicines are likely to exacerbate the delirium. Benzos can be used for alcohol withdrawal symptoms/delirium tremens but that is it. The ABIM Choosing Wisely Campaign has noted this "Don't use benzodiazepines or other sedative-hypnotics in older adults as first choice for insomnia, agitation or delirium." Non-pharmacologic methods are by far the best to treat delirium.
Delirium is not fun for our older adults or their families. The quicker we can recognize the symptoms of delirium and ameliorate the cause in the ED, the better everyone's lives are. I congratulate Nery and Katie for a great discussion of delirium and I hope that it will impact how we treat our seniors with delirium!
ABIM Choosing Wisely – Geriatrics. Available at: http://www.choosingwisely.org/societies/american-geriatrics-society/
Mody L, Juthani-Mehta M: Urinary tract infections in older women: a clinical review. Jama 2014, 311(8):844-854.
McKenzie R, Stewart MT, Bellantoni MF, Finucane TE: Bacteriuria in individuals who become delirious. Am J Med 2014, 127(4):255-257.
Nicolle L.E., Bradley S., Colgan R., Rice J.C., Schaeffer A., Hooton T.M. Infectious Diseases Society of America Guideline for the diagnosis and treatment of asymptomatic bacteriuria in adults. Clin. Infect. Dis. 2005;40:643–654.
Lee Lindquist, MD, MPH
Associate Professor of Medicine
General Internal Medicine and Geriatrics
How To Cite This Post
[Peer-Reviewed, Web Publication] Porras N, Lindquist L. (2019, March 25). The seriousness of deliriousness: delirium in the ED [NUEM Blog. Expert Commentary by Lindquist L]. Retrieved from http://www.nuemblog.com/blog/delirium
Other Posts You May Enjoy
Gower, Lynn, et al. "Emergency Department Management of Delirium in the Elderly." Western Journal of Emergency Medicine, vol. 13, no. 2 Jan. 2013, pp. 194-201.
Grossmann, Florian F. et al. "Screening, detection and management of delirium in the emergency department – a pilot study on the feasibility of a new algorithm for use in older emergency department patients: the modified Confusion Assessment Method for the Emergency Department (MCAM-ED)." Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine, vol. 22, no. 1, 2014, p. 19.
Geriatric Emergency Department Guidelines. (2014). Annals of Emergency Medicine, 63(5). doi:10.1016/j.annemergmed.2014.02.008
Han, Jin H., et al. "Delirium in the Older Emergency Department Patient: A Quiet Epidemic." Emergency Medicine Clinics of North America, vol. 28, no. 3, 2010, pp. 611-631.
Inouye, Sharon K, et al. "Delirium in elderly people" The Lancet, vol. 383, no. 9934, 2014, pp. 911-922.
Inouye, Sharon K. "Clarifying confusion: The Confusion Assessment Method." Annals of Internal Medicine, vol. 113, no. 12, 1990, pp. 941-948.
Inouye SK. The Confusion Assessment Method (CAM):Training Manual and Coding Guide. 2003; New Haven: Yale University School of Medicine.
Lewis LM et al. "Unrecognized delirium in ED geriatric patients." American Journal of Emergency Medicine. vol. 13, 1995, pp. 142-45.
Monette, Johanne, et al. "Evaluation of the confusion assessment method (CAM) as a screening tool for delirium in the emergency room." General Hospital Psychiatry, vol. 23, no. 1 , 2001, pp. 20-25.
Rosen, Toney, et al. "Assessment and Management of Delirium in Older Adults in the Emergency Department." Advance Emergency Nursing Journal, vol. 37, no. 3, 2015


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Super Clean – Cars $ 49.99
SUV"S, Vans, Co's and other vehicles additional charges apply.
Service is stopped approx. 1 hour before closing.
This is a very inclusive interior focused service to thoroughly clean the inside of your vehicle.This service includes the Super Works wash PLUS surface wiping with clear or leather dressing of all vinyl and leather surfaces, thorough cleaning of cup holders and door pockets and 4 floor mats are shampooed.
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Why Obama Is Picking The Wrong Fight
Editor & Publisher of The NY Jewish Week.
Assessing the alarmingly tense relationship at the moment between Washington and Jerusalem, I'm reminded of one of my favorite Chelm stories.
It's the one about the man walking down the street one night when he approaches his friend, who is positioned under a bright street lamp and searching for something on the ground.
"What did you lose?" he asks. "Can I help?"
"Thanks," his friend says, "I've lost my good watch."
"Where do you think you lost it?"
"Across the street, and way over there," his friend says, pointing far off into the distance.
"Then why are you looking here?" the man asks.
"Oh," his friend says, "because the light's much better."
The current U.S.-Israel standoff is no joke. Far from it. But I can't help thinking that President Barack Obama, in his desperate search for a way out of the Israeli-Palestinian standoff, is looking deliberately in the wrong places, picking on Israel – not because it makes sense – but because he can. And because it's more expedient than pressuring the Palestinians and upsetting the oil-rich Arab nations.
The president is no fool, and I believe he wants to broker a peace deal in the Mideast. But based on his actions in attempting to jumpstart negotiations since taking office, he has shown a disturbing lack of appreciation of the complexities of the issue. And in his haste he has weakened his most vital democratic ally in the region and strengthened those most resistant to Western values, compromise, stability and peace.
Nobody is blameless here. While the administration has taken on the role of bully rather than honest broker, the Netanyahu government can be criticized for, at best, incompetence. It embarrassed Vice President Joe Biden during his trip to Israel with the ill-timed announcement of increased housing in Ramat Shlomo in east Jerusalem, which set off this most serious crisis in U.S.-Israel relations in many years.
At worst, Netanyahu could be accused of a dangerous degree of chutzpah in discounting or dismissing consistent calls for months from Washington – Israel's greatest and virtually only benefactor and supporter – to dismantle illegal settlements and bolster the shaky government of Mahmoud Abbas.
But Obama is guilty of chutzpah himself in thinking his very public pressure on, and now humiliation of, Netanyahu can force a change of government in Israel that would emerge more centrist and, presumably, more accommodating of the Palestinians.
As we are already seeing, though, such unseemly efforts to weaken or unseat the democratically elected leader of another government will only backfire, moving Israelis further to the right. And neither Kadima's Tzipi Livni nor any other credible Israeli political leader would concede the centrality of Jerusalem prior to face-to-face, final-status negotiations with the Palestinians.
Lord knows there is enough misunderstanding, frustration, hurt, sense of betrayal and anger to go around between the president of the United States and the prime minister of Israel. But Obama has picked the wrong fight – twice – since taking office.
First he called for a "settlement freeze" that not only failed to define either complex term but did not distinguish between isolated West Bank outposts and major, heavily populated areas that everyone in the region recognized would remain part of Israel at the end of negotiations. This blunder set talks back for a year when the Palestinian Authority, which had never used settlements as an excuse not to negotiate, followed the president's lead and refused to talk until all settlement activity ceased.
Netanyahu, under pressure, did put into place a 10-month freeze in the West Bank, a major compromise for him that at the time was heralded by Washington as worthy step. But that was four months ago.
Now, in another misguided step, Obama has pushed for an end to housing plans for east Jerusalem, seemingly unaware that Ramat Shlomo, the controversial center of the latest dispute, is set between the Jewish neighborhoods of French Hill and Ramot and would remain part of Israel according to every peace plan that has been discussed.
Even more disturbing than picking the wrong fights, Obama has picked on the wrong party in the Israeli-Palestinian crisis.
Where is the condemnation – or even mention – of the Palestinian Authority in all of this mess for failure to endorse a two-state solution or acknowledge the right of a Jewish state to exist in the region, and for its praise of suicide bombers as "martyrs?"
Why should the Palestinian Authority engage in serious talks with Israel, leading to compromise – like giving up the dream of settling countless descendants of the 1948 refugees within Israel rather than a new Palestinian state – when Washington is applying all of the pressure on Jerusalem?
The rhetoric we heard from Secretary of State Hillary Clinton at the AIPAC conference, and that we hear from the president, is painstakingly symmetrical in its praise or criticism of Israel and the Palestinians. (And of course by "Palestinians" here I refer only to the PA, not the terrorist Hamas government in Gaza, which is another story, and critical to understanding why real peace in the region is such a distant dream for now.)
But there is little symmetry to speak of when discussing Israel and the PA. Israel is a democratic ally and vital strategic partner that has consistently been willing to make painful sacrifices for peace, and has made peace with Egypt and Jordan. The PA remains a group founded on and still connected to armed struggle, one that has carried out murderous attacks on innocent civilians, demonizes Israelis and Zionists and has refused every peace-making effort over the years.
What's needed now is for Washington to step back and heed its own advice: for decades we heard, and agreed with, the message that peace will only come through direct negotiations between the parties themselves, when they are ready. That's how peace was brokered between Israel and Egypt, and Israel and Jordan.
The status of Jerusalem will be on the table if and when the Palestinians and Israelis sit down to talk. As will all the other difficult issues. But for now, Obama has managed to give the Palestinians every reason and excuse not to negotiate directly, leaving the impression that Israel is intransigent and the Palestinians willing to compromise, when the very opposite is true.
As long as the president searches for peace like the man from Chelm, he'll be looking in the dark.
E-mail: firstname.lastname@example.com


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Argyle Reserve Series Nuthouse Chardonnay 2008, Willamette Valley
Oregon, Usa
$29.90 (232777)
Critic Reviews (2)
This is a pale, calm, elegant style of chardonnay with a reserved, compact nose well integrated vanilla, MacIntosh...Sign In to see Critic Reviews. Not a Member? Please Sign Up.
Nose of pineapple and licorice with blackcurrant bud. Palate shows some minerality and vibrancy but is hollowed out...Sign In to see Critic Reviews. Not a Member? Please Sign Up.
Community Reviews (1)
Description: Light gold in colour with a highly intense nose.
Positives: Medium to medium toasted oak followed by some buttery notes, lemons, green apples, limestone, cashews, marzipan and pineapple. Medium body with good acidity and a fairly long length.
Negatives: A little touch of bitterness on the finish.
Drink now or over the next 3 years on its own or pair with snow crab legs and drawn butter.
Tasted: 13 Feb 13
Score: 8.5+/10, Value: 8.5/10 (8.5+/10 sale price), Total: 17+/20
Out of 5 stars, I rated this wine: 3.5+
Visit my website www.twilightwines.com


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Today's accelerating digitization is creating massive amounts of data. Advanced data analytics and AI are key technologies in creating additional value by processing these massive data sets. Companies that use AI to gain insight from data and deploy automation can realize substantial performance gains and new business innovations. Bittium provides AI Services for companies desiring to create new products, processes and services or increase the efficiency and quality of their existing ones.
In practice, applying data analytics and AI to a new task means transforming data and defining models that are suitable for the task. Data visualizations and automation then allow intelligent decision making and automating operations based on the data. Bittium offers data analytics and AI services in its own products, as a component in its service offering and as a custom service.


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7 Marla Residential Plot
Fateh Jung Near Liquat Ali Khan International Airport, Islamabad, Islamabad, Islamabad Capital Territory, Pakistan
- Purpose
- For Sale
- Area unit
- Marla
- Area
- 7
* 5% discount on full payments
* 30% down payment and very easy installments.
* Connected by 6 lane Kashmir Highway, leading to new
Islamabad Airport.
* Currently we offered bookings in residential, commercial and
Farm Houses.
* Under ground utility (water, gas and electricity) connections
* Round the clock security services with gated community.
* Insurance services for property (first time introduced in
* Parks, playgrounds(cricket, football and golf), schools, health
care centers, Gyms and solar lightning on sideways of roads.
* Near by matro station in future.
* Directly connected with China Economic Corridor (CPEC).
* Certified clean drinking water facility.
Note: other plots Facing Park = Rs. 1,837,500
Main Road/Corner= Rs. 1,925,000
Main Boulevard = Rs. 2,012,000
visit Office: #15, 3rd Floor, Al Anayat Mall, G-11 Markaz, Islamabad
When you call, don't forget to mention that you found this ad on DealMarkaz.pk


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- Home
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From The Deputy Provincial Grand Master
We will all be aware of the recent flooding which has now impacted on large areas of our Province and our neighbours. The damage and distress now experienced in parts of East Lancashire will mean that some of our own members will have undoubtedly been affected – and we have all seen throughout the media how extensive this now is.
At this most difficult time therefore, it is vital that we are all vigilant to any need and hardship, especially amongst those who are elderly and disabled, but anybody from our extended family directly affected by the flooding.
We have a fantastic membership in East Lancashire who time and again, demonstrate their caring and compassionate nature. A simple telephone call to those of our members in the affected areas can be worth so much and I urge each and every member of our Lodges to consider who might benefit from such a call. And this is not just a matter for our Lodge Almoners. We know our own members and their needs and we can all play a part in caring to care.
Our charitable capability is here to assist if required, but the practical help we can all give now is what is important.
From those who have been affected, I sincerely hope that the hardship and distress you have experienced is soon relieved and I am sure all of East Lancashire will join me in sending their very best wishes.
VWBro Derek N. Thorhill
Deputy Provincial Grand Master
On Boxing Day, 2015, the Ribble Valley experienced the worst floods in 50 years. In Whalley and the surrounding area 38 properties were under at least 6 feet of water and 252 properties became water damaged.
There was an immediate response to the flooding. Over 40 council staff and hundreds of community volunteers co-ordinated by the Whalley Lions delivered skips, helped to clear houses, distributed aid, manned phones and offered general assistance. The Whalley Lions gathered 20 volunteers to assist within 2 hours and 90 people within 24 hours. The Village Hall opened its doors to be a tea and coffee station, the Fire Brigade erected walls directing water to the River Calder and people were available to talk to and comfort those affected, local builders offered their services. The floods continued for several days with more rain following. Flood relief coordinators came from Cumbria, off-duty firemen came out and members from local churches and mosques offered assistance.
The aftermath continues. Many people are still displaced from their homes and many are still living upstairs in their homes. The recovery could last 18 months or longer. Many homes need re-plastering, some need rebuilding work. Many people were left in need. The facts are that 104 people were un-insured, many others had insufficient funds to meet their insurance excesses and many businesses were affected. Historic buildings were damaged and local tourism ground to a halt. The emotional distress and loss to many is still very acute.
Financially there is an ongoing need for support. Various funds, donation and assistance have been available to local people:
The Grand Charity (now Masonic Charitable Foundation) donated a total of £75,000 to flood relief in Lancashire and Yorkshire, in the wake of devastation caused by storms over the festive season. The donations were to give continued support to individuals and families suffering as a result of flooding, and follow on from a £30,000 earlier in the year to the Cumbria Flood Recovery Fund 2015 and the province of Cumberland and Westmorland. £25,000 of this came to East Lancashire.
The Province of East Lancashire set up a 'Flood Relief Fund' whose income, included the £25K from the Grand Charity, a donation from the ELMC, a donation from the 2015 PGM's discretionary fund and many donations from Districts, Lodges, Chapters and brethren – totalling circa £60,000. This money is cared for by the ELMC and dispersed by the Provincial Flood Relief Committee chaired by the Deputy Provincial Grand Master. To date it has dispersed £17,500 to the Whalley, Billington and District Flood Relief Committee, £5000 to the Radcliffe Flood Relief Appeal (which has been providing vouchers to those with need), £1000 to support the flooded Rochdale Food Bank, £500 to an individual applicant, and £1000 to Pendleside Hospice whose charity shop was flooded.
The Flood Relief Fund still has over £30,000 and is next meeting on 23rd June 2016 to consider further applications, including one from the recently flooded Middleton Masonic Hall.
The Whalley, Billington and District Flood Relief Committee 2016 chaired by David Bell (himself a local Freemason and member of the Whalley Lions) was set up, reserving grants for charitable purposes to relieve hardship in the area caused directly or indirectly by the storm and flooding on 26th December 2015.
It provides relief for individuals or families who have suffered significant property or possession damage, including heating equipment, childcare equipment, basic furniture, essential white goods and restoration. The fund prioritises uninsured goods, properties with high insurance excesses or no insurance, low income families, those with young under 50 or the elderly over 70 and disabled residents. The Fund doesn't support vehicles, possessions covered by Insurance or businesses.
Between 28th February and up to 5th May 2016, 30 cheques had been issued following personal visits by committee members totalling over £15,150. On that date the fund had remaining £21,877 with 76 people still to visit.
Income to date for the Whalley, Billington, and District Flood Relief Committee has included £17,500 from the Province of East Lancashire's Flood Relief Fund, £17,000 from the Whalley Lions (including £5000 from a charity banquet held at the Gibbon Bridge and £2,500 from their Clifton Arms Charity Walk), £500 from Abbey Lodge Whalley and £6000 from the Alhabib Welfare Foundation.
Province of East Lancashire Emergency Response Committee
The initial response from Freemasons in East Lancashire to floods in Burnley and Pendle, Salford, Radcliffe and others was slow and disappointing, although local Freemasons in Whalley were quick with an initial donation and some members offering local support. Some Freemasons and their families were affected by the flooding, some quite severely.
Earlier this year the Provincial Grand Master, Sir David Trippier, set up the Provincial Emergency Response Committee, chaired by Assistant Provincial Grand Master and Chairman of the ELMC, Chad Northcott. Its remit is to ensure the Province is prepared for a rapid response to future emergencies or disasters affecting our local communities. The Committee includes the Deputy Provincial Grand Master, the Provincial Grand Almoner and the Provincial Grand Charity Steward.
The Committee is formulating a Disaster Response Plan which will ensure we can anticipate the need for support, assess the nature of the response required, be ready for action, respond rapidly with practical support and financial aid and assist in the ongoing and sometimes lengthy recovery phase. This will involve Districts, Halls and brethren at all levels in the Province with coordinating communication, our initial response activities and support in the recovery phase. The ELMC will maintain a Disaster Relief Fund(currently the Flood Relief Fund) for future needs, and continues to welcome your donations.
Following on from the disastrous recent flooding in Cumbria, Westmorland, Lancashire and Yorkshire over the Festive Season the Masonic Charitable Foundation have provided another £75,000 in relief funding. This is in addition to the £30,000 already donated to the Cumbrian Relief Fund
Funding for East Lancashire has amounted to £40,000
£10,000 has gone to East Ribble and £5,000 to Radcliffe
We actively support the local community, good causes and charities
Freemasonry in East Lancashire
We enjoy distinctive meetings not available in other organisations followed by dinner amongst friends
Freemasonry in East Lancashire
Our meetings are mentally stimulating, sometimes challenging, always enjoyable.
Freemasonry in East Lancashire
Many generations bring their younger family members to join us
Freemasonry in East Lancashire


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The calm in the storm: How one Saskatoon police officer uses words to stop violence
Bullets were already flying when Constable Ryan Beerling arrived.
Saskatoon police had the suburban house surrounded. Five hostages had just escaped and were now taking cover behind a truck.
While other officers reached for their weapons, Beerling — shielding himself behind a tree — reached for his cellphone.
"It was crazy," Beerling recalls. "Trying to talk to someone on a cellphone while there is a lot of stuff going on, it's not easy."
As one of eight Saskatoon police negotiators, his job description often involves him in tense situations — standoffs with armed men threatening to kill themselves or others.
Tense does not accurately describe the scene that morning on Coppermine Crescent.
Police responded to the scene on Aug. 22, 2014 after a report of a man assaulting a woman inside a home.
Trying to talk to someone on a cellphone while there is a lot of stuff going on, it's not easy. – Ryan Beerling
The woman and four other people were able to get out, at which point police say the man shot at her with a rifle.
She and three others — two of them children — hid behind a parked vehicle until officers were able to rescue them, according to police accounts.
"This a potential life and death situation," Beerling recalled.
The main job that morning was simply to keep the shooter talking, he said. In most situations, a team would be set up with a command post and everything would be very organized. At the house on Coppermine, there was no time for that. Beerling simply got the shooter's number from dispatch and started a conversation.
"If he's talking to me, more than likely there is no shooting going on," he said.
Beerling has been nationally recognized for his work. He was awarded the 2015 National Tactical Officers Association (NTOA) Crisis Negotiators Award for his efforts in talking down active shooters in two separate cases in Saskatoon. One of them was the shooter that day on Coppermine Crescent.
Because the case is still winding its way through the courts, Beerling can't go into great detail about what was said during the incident, or how exactly he eventually convinced a man armed with a rifle to surrender to police.
He says the general rule of negotiating is simple.
"A lot of times, it's not what is said. It's maybe not even what isn't said. It's just listening."
While tactical officers and patrol units had their guns trained on the house, he was offered a glimpse of what was happening inside.
Beerling, who's been with the department for 14 years working mostly patrol and gangs and now the air support unit, said his part-time duties as a negotiator are some of the most rewarding.
He has to keep his adrenalin in check. He has to be the calm in the storm while simultaneously talking to the person creating the storm.
"If you are not calm and you're not letting that person talk, at the end of the day you are not doing your job," he said.
At times during the three-hour standoff, police say the shooter fired at them. With the help of Beerling and the tactical unit, the hostages were all freed and the man eventually surrendered.
Kevin John Levandoski faces three counts of attempted murder. Two of them involve police officers he allegedly shot at that day.


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Our process begins when we purchase Crassostrea Virginica oyster seed at the 1 mm size, translating into a few grains of sand.
The oyster seed, or 'spat', is first placed in a floating upweller system (see photo) consisting of multiple silos with graduated mesh bottoms. Bay water, rich in algae and other nutrients, is circulated through the silos by an electric pump at 1,000 gallons/min.
The oyster spat grow very fast; the water flow in combination with the warm temperatures often cause the spat to reach 5/8" in a matter of several weeks. When the oysters reach this size they must be transferred into wire mesh cages and placed in the open Bay waters using our skiff. Every few weeks the oysters are hauled out of the water, cleaned, divided into new cages to accommodate their quickly growing volume, and returned to the Bay.
Periodically our oysters are chipped in our mechanical tumbler -- the tumbling action chips the edges of the oysters resulting in stronger shell and deeper cup. Our tumbler also serves a dual purpose by sorting the oysters according to size. After tumbling and sorting, they are placed back in cages and returned to the water.
The oysters reach a mature length of 3" in approximately 15 months. At this point, the oysters receive a final wash, are hand-placed in boxes, and delivered immediately in refrigerated trucks.


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Media Skills Training
Thursday, 29 June, 2017
Now more than ever we need to use the local media to promote the value of the community pharmacy network and contractors can expect their LPC to have the confidence and ability to respond to requests from the media for interviews or proactively create media interest. Either way it's not something to attempt without the right training – otherwise things can disastrously backfire.
We are repeating our media training on 29th June in central London at leading communications agency Luther Pendragon – 10.30am to 4pm.
The media training, which is for LPC members and officers that haven't been on PSNC's media training before, will give LPC members a better understanding of how the media works, getting the right facts and key messages for different audiences, how to prepare for and handle interviews with local radio and questions from local newspapers, tips, dealing with difficult questions and the traps to avoid. The day will also include proactive media work including preparing press releases and how to approach local newspapers and radio.
The training will be led by two experienced media experts from Luther Pendragon – numbers will be strictly limited to allow delegates to practice and receive feedback.
Location – Luther Pendragon – London
Cost – £199


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Book now for the popular Rutherford's Den education programmes – back at the Arts Centre and available Monday to Friday. Dynamic, interactive and activities-based, the programmes are inspired by the work of famous New Zealand scientist Ernest, Lord Rutherford.
Suitable for children from Years 1 to 13 and supported by the Ministry of Education, these unique and stimulating programmes have links to the curriculum and the five competencies. They provide students with access to tools, objects, exhibits, artefacts, expertise, and hands-on experiences that are not available in the immediate school environment.
The programmes are once again being offered from Rutherford's Den on-site at the Arts Centre following a major refurbishment.
The space is now a hands-on science museum, based on the major discoveries of Rutherford, including the nuclear atom. To find out more, either fill out the booking form below, or send us an email at email@example.com
Programmes are $5 per student. This should not be considered an obstacle to any school who wishes to attend as subsidies are available. Please contact us to discuss.
- View the primary and intermediate programme summary.
- View the secondary programme summary
- Where: the Arts Centre, 2 Worcester Boulevard, Christchurch
- Opening hours: Contact us to arrange a suitable session time
- Parking and public transport information
Make a booking enquiry
Thank you to the sponsors of the Rutherford's Den Education Programme


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Assistance to Students (Academic Counselling)
Individual assistance with coursework and any academic issues are provided by teaching staff outside class time. Students who fail essays are encouraged to meet with teaching staff to discuss improvement strategies. Students with referencing and/or plagiarism issues are required to meet with both lecturer and tutor to discuss these issues.
Provision of Student Self-help and Discussion Groups
IBIBS facilitates Student discussion group forums utilising the Institute's online system. These discussion groups are subject specific and also touch upon general issues. The Institute also assists with providing rooms for study groups.
Support for Students with Disabilities
Students and/or parents should advise the institution in advance and provide documentation of any disabilities that may affect the student's progress prior to commencement of the course. IBIBS staff are trained to be attentive to potential disabilities affecting a student, so that reasonable adjustments can be made to teaching arrangements and/or learner materials to assist these students with achieving the required learning outcomes. (refer to IBIBS Accessibility brochure)
Financial Issues
Students who have financial issues during the course of their studies can discuss this with the IBIBS Accounts Officer to see if appropriate arrangements can be reached.
Legal Advice
Career Advice Services
IBIBS offers an extensive array of careers services to students including:
- Life skills seminars
- Networking Days
- Career days
- Interview Preparation
This prepares our students for a rewarding career within the Investment Banking sector and allows for greater focus on their studies and better performance.
Investment Banking Internships
All IBIBS students are ensured of obtaining an internship within the Investment Banking sector. IBIBS has an extensive network across a range of investment banking firms that perform all aspects of the various investment banking disciplines. (refer to IBIBS Internships)
Internships are a great way to explore whether a career in investment banking is the right choice for you. They give you the opportunity to learn more about an investment bank and an area of investment banking you are interested in, while giving you hands on experience that can help you get your foot in the door to a position. They normally last throughout the summer, and are aimed at students between their penultimate and final years of study.
Like graduate training programs, internships vary depending on which area of the investment bank they're in and which investment bank they're at. One thing that is consistent however is that all banks will expect their interns to work hard and put as much in as they are getting back. On the plus side, they are usually also paid.
Applying for internships can be very competitive. Most investment banks will have information on their websites and you can apply online, or you can talk to your careers office for more advice. Although you may be offered rotations, you'll normally be expected to apply for a specific area of banking so it's important to do your research. To succeed in an internship, you need to be as committed as you would be if you were starting on your graduate program. After all, if you impress on your internship, the better your chance of being invited back for an interview for a permanent job. In fact some banks will even treat an internship as one long, extended interview.
Some investment banks also offer mini internship opportunities to first and second year students who are keen to get an introduction into what a career with the bank is really like. These short term programs are like 'taster courses' and can be for one day or one week.
Skills Pathway Program (SPP)
SPP is mandatory and provides an introduction to tertiary education for new students to IBIBS. It is delivered during the Orientation Program in group sessions. SPP covers such topics as effective note taking and reading, using libraries, academic research and writing, using style guides, appropriate referencing, public speaking and presentations and examination techniques.
In addition, support classes shall be delivered to assist students to grasp the basic concepts of, English language comprehension and writing; Computing Support and Mathematics Support. (refer to IBIBS SPP)


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Home > Blogs > Windows 8 Titles Inching to the Market
On October 17, 2012, I wrote a blog post here entitled "Here come the Windows 8 MS certs!" At that time I indicated that only a smattering of offerings for the 70-687 and 70-688 exams were on the radar. Today, I went back and looked again and found some additional signs of activity.
Microsoft Press has already announced titles for both the 70-687 and 70-688 exams (the two exams required for the MCSA: Windows 8 credential) and they're also disclosing publication dates for student manuals from the Microsoft Official Academic Course (MOAC) materials as well.
Amazon screencap for MS Press Exam Ref and MOAC for 70-688
70-687 has been out and about for some time, so I decided to look up information for the follow-on 70-688 exam instead, as it's been opened up for public inspection only since Windows 8 was released on October 26. As you might expect, Microsoft (and O'Reilly Media) lead the pack, thanks to their inside track on the new Windows OS. And so far, there's no further public word on titles from the big certification publishers -- including our own Pearson Exam Cram and Cert Guide imprints, Sybex/Wiley, Osborne/McGraw-Hill, and Syngress/Eselvier.
But because I'm tech editing a book by Darril Gibson for Sybex/Wiley on both exams, and know about other authors at work on similar titles for all of these other publishers, I'm pretty sure that by the time the dates on the preceding screencap come and go (April 22 for the book, April 30 for the MOAC manual) other offerings will also be for sale by then.
Looks like Windows 8 is working up a nice head of steam as far as certification exams and coverage goes. I am intensely curious to see how uptake for these exams will proceed, given that the word on the street is that wholesale business/enterprise adoptions of the new OS are proceeding as slowly as they usually do -- that is, except for some inveterate early adopters, very few enterprises and other big organizations even have Windows 8 on the radar. This should, however, give enterprising IT professionals plenty of time to train up on the new OS before they have to start working with it day-to-day in the workplace.
CCNA 200-301 Official Cert Guide Library
CCNA 200-301 Official Cert Guide, Volume 2


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Ask FNNBOA
Have a question about First Nations housing? Ask FNNBOA!
Ask your question below and a FNNBOA building professional with respond to you directly via email.
Give us a little bit of time to answer as our members are often busy inspecting a home in a community near you.
As we build a library of questions and answers, we will post them on the FNNBOA site for all users to see. But don't worry, we won't post your name/community - it'll be anonymous. We promise.