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by Paul Whiteley in Questioning Answers
"From 2006 to 2012, the prevalence of autism spectrum disorder diagnoses in 0- to 24-year-olds increased from 0.22% to 0.38%."That was one of the details included in the rather interesting paper by Christian Bachmann and colleagues [1] who provided some introductory information on the the trends in autism diagnoses in Germany. I say 'introductory information' because it appears that autism or autism spectrum disorder (ASD) has not exactly received the research attention in Germany that it p........ Read more »
Christian J Bachmann, Bettina Gerste, & Falk Hoffmann. (2016) Diagnoses of autism spectrum disorders in Germany: Time trends in administrative prevalence and diagnostic stability. Autism: International Journal of Research . info:/10.1177/1362361316673977
by Miss Behavior in The Scorpion and the Frog
Among monogamous animals, some individuals are more faithful than others. Could these differences in fidelity be, in part, because of differences in our brains? And if so, why does this diversity in brain and behavior exist?A snuggly prairie vole family. Photo from theNerdPatrol at Wikimedia Commons.Prairie voles are small North American rodents that form monogamous pair bonds, share parental duties, and defend their homes. Although prairie voles form monogamous pairs, that does not mean they ar........ Read more »
Okhovat, M., Berrio, A., Wallace, G., Ophir, A., & Phelps, S. (2015) Sexual fidelity trade-offs promote regulatory variation in the prairie vole brain. Science, 350(6266), 1371-1374. DOI: 10.1126/science.aac5791
by Paul Whiteley in Questioning Answers
I'm a great believer in balance when it comes to this blog and its content. As enthusiastic as I might be about a particular topic or topics, I don't want to lose sight of the fact that peer-reviewed science is a messy business and often filled with contrary findings.With 'contrary' in mind, I want to talk today about a paper by Amy Romijn and colleagues [1] detailing the results of a double-blind, randomised, placebo-controlled trial of a probiotic mix which contained "freeze-dried L. helv........ Read more »
Romijn AR, Rucklidge JJ, Kuijer RG, & Frampton C. (2017) A double-blind, randomized, placebo-controlled trial of Lactobacillus helveticus and Bifidobacterium longum for the symptoms of depression. The Australian and New Zealand journal of psychiatry, 2147483647. PMID: 28068788
by Paul Whiteley in Questioning Answers
In today's post I want to draw your attention to the findings reported by Diana Ohanian and colleagues [1] (open-access available here) talking about "the use of machine learning to further explore the unique nature"of various conditions/labels including those typically headed under the label of chronic fatigue syndrome / myalgic encephalomyelitis (CFS/ME).Including one 'Jason LA' on the authorship list, researchers set about looking at "what key symptoms differentiate Myalgic Encephalomyelitis ........ Read more »
Ohanian D, Brown A, Sunnquist M, Furst J, Nicholson L, Klebek L, & Jason LA. (2016) Identifying Key Symptoms Differentiating Myalgic Encephalomyelitis and Chronic Fatigue Syndrome from Multiple Sclerosis. Neurology (E-Cronicon), 4(2), 41-45. PMID: 28066845
by Paul Whiteley in Questioning Answers
"A more homogeneous subgroup with regression between 18 and 36 months (n = 48) had higher rates of intellectual disability, epilepsy, and special education, more socially restrictive educational settings, and more severe ASD [autism spectrum disorder] communication deficits and schizophrenia spectrum symptoms than non-regressed youth (n = 136)."So said the findings reported by Kenneth Gadow and colleagues [1] taking on one of the more important issues in relation to autism: dev........ Read more »
Gadow KD, Perlman G, & Weber RJ. (2017) Parent-Reported Developmental Regression in Autism: Epilepsy, IQ, Schizophrenia Spectrum Symptoms, and Special Education. Journal of autism and developmental disorders. PMID: 28074354
by CAPB in Companion Animal Psychology Blog
A new study investigates the best way to find out if a dog will get on with cats.When dogs are waiting for adoption at a shelter, a common question is "what is the dog like with cats?" But at the moment there's no validated way to test dogs to see if they will be friendly to cats.Some dogs become good friends with cats, but other dogs want to chase and kill them, so it would really help if shelters knew if a dog is cat-friendly.Sometimes the person who surrenders a dog will provide informa........ Read more »
Hoffman, C., Workman, M., Roberts, N., & Handley, S. (2017) Dogs' responses to visual, auditory, and olfactory cat-related cues. Applied Animal Behaviour Science. DOI: 10.1016/j.applanim.2016.12.016
by Doug Keene in The Jury Room
We have written a lot about how women are treated unequally (which can, sometimes, make it hard to be a woman). Initially, we illustrated these posts with various photos of Tammy Wynette but we decided to stop picking on her for one song ("Stand By Your Man"). So this post illustrates a rough truth (that […]... Read more »
Biron, M., De Reuver, R., & Toker, S. (2015) All employees are equal, but some are more equal than others: dominance, agreeableness, and status inconsistency among men and women. European Journal of Work and Organizational Psychology, 25(3), 430-446. DOI: 10.1080/1359432X.2015.1111338
by Paul Whiteley in Questioning Answers
"Adolescents with ASD [autism spectrum disorder] spent less time in MVPA [moderate and vigorous physical activity] compared to TD [typically developing] adolescents (29 min/day vs. 50 min/day, p < 0.001) and fewer met the Physical Activity Guidelines for Americans (14 vs. 29%, p > 0.05)."So said the study results published by Heidi Stanish and colleagues [1] adding yet more to another growth autism research area - physical activity and exercise - ........ Read more »
Stanish, H., Curtin, C., Must, A., Phillips, S., Maslin, M., & Bandini, L. (2017) Physical Activity Levels, Frequency, and Type Among Adolescents with and Without Autism Spectrum Disorder. Journal of Autism and Developmental Disorders. DOI: 10.1007/s10803-016-3001-4
by Paul Whiteley in Questioning Answers
"Vitamin D treatment significantly improved fatigue in otherwise healthy persons with vitamin D deficiency."Supplementation details, described in the paper by Albina Nowak and colleagues [1] (open-access available here), were a single dose of 100,000 IU [international units] of vitamin D or a placebo (mannitol) administered to 120 adult participants who presented with "fatigue and vitamin D deficiency (serum 25(OH)D < 20 μg/L)." This was a double-blind trial and self-perceived fatigue ........ Read more »
Nowak A, Boesch L, Andres E, Battegay E, Hornemann T, Schmid C, Bischoff-Ferrari HA, Suter PM, & Krayenbuehl PA. (2016) Effect of vitamin D3 on self-perceived fatigue: A double-blind randomized placebo-controlled trial. Medicine, 95(52). PMID: 28033244
by Rita Handrich in The Jury Room
You may have seen our blog post where we talk about research that informs us in patent work to either allow jurors to examine a disputed invention up close or to simply have them view it from a distance. Which strategy we recommend you use all depends on the evidence and your specific case. Today, […]... Read more »
Vallée-Tourangeau F, Steffensen SV, Vallée-Tourangeau G, & Sirota M. (2016) Insight with hands and things. Acta Psychologica, 195-205. PMID: 27569687
by Paul Whiteley in Questioning Answers
"Rates of ASD [autism spectrum disorder] and ASD traits are elevated in a psychosis population."The paper by Debbie Kincaid and colleagues [1] provides yet more [short] blogging material pertinent to the increasing interest in how psychosis may be yet another comorbidity over-represented when it comes to autism (see here) and vice-versa. I know this is another topic that has to be treated with some caution in terms of concepts like stigma but more discussions - science discussions........ Read more »
Kincaid, D., Doris, M., Shannon, C., & Mulholland, C. (2017) What is the prevalence of Autism Spectrum Disorder and ASD traits in psychosis? A systematic review. Psychiatry Research. DOI: 10.1016/j.psychres.2017.01.017
by Scott McGreal in Eye on Psych
This post critiques a study that attempted to test predictions of differential-K theory about racial differences in sexuality using data from a Durex condom survey. Better, more scientific data addresses this topic, and fails to confirm the predictions of this theory.... Read more »
Dutton, E., van der Linden, D., & Lynn, R. (2016) Population differences in androgen levels: A test of the Differential K theory. Personality and Individual Differences, 289-295. info:/
by Scott McGreal in Eye on Psych
The author of a study on population differences in androgens claimed that his findings support Lynn's claims about racial differences in penis length. Close analysis of the statistics used shows these conclusions are invalid.... Read more »
Dutton, E., van der Linden, D., & Lynn, R. (2016) Population differences in androgen levels: A test of the Differential K theory. Personality and Individual Differences, 289-295. info:/
by The Neurocritic in The Neurocritic
Brain activation during challenges to political vs. non-political beliefs (Figure modified from Kaplan et al., 2016).
Lately I've been despairing about the state of America.
I'm not sure how denying access to affordable health care, opposing scientific facts like global warming and the benefits of vaccines, alienating our allies, banning Muslims, building a wall, endorsing torture, and
... Read more »
Feinberg, M., & Willer, R. (2015) From Gulf to Bridge: When Do Moral Arguments Facilitate Political Influence?. Personality and Social Psychology Bulletin, 41(12), 1665-1681. DOI: 10.1177/0146167215607842
Kaplan, J., Gimbel, S., & Harris, S. (2016) Neural correlates of maintaining one's political beliefs in the face of counterevidence. Scientific Reports, 39589. DOI: 10.1038/srep39589
by Paul Whiteley in Questioning Answers
"As compared with 54 typically developing controls, we found no evidence of differences in the blood profile of immune mediators supportive of active systemic inflammation mechanisms in participants with autism."That was the unexpected research bottom-line published by Carlos Pardo and colleagues [1] (open-access) examining whether various immune-related chemicals - "cytokines, chemokines, or growth factors in serum and cerebrospinal fluid" - might be linked to autism following longitudinal........ Read more »
Pardo, C., Farmer, C., Thurm, A., Shebl, F., Ilieva, J., Kalra, S., & Swedo, S. (2017) Serum and cerebrospinal fluid immune mediators in children with autistic disorder: a longitudinal study. Molecular Autism, 8(1). DOI: 10.1186/s13229-016-0115-7
by Doug Keene in The Jury Room
It is still so early in 2017 and yet, it is time for another installation of tidbits, miscellany, odds and ends, and accumulated wisdom with which you can amaze your friends and impress family members. And that we don't want to just toss disrespectfully into recycling when it could bring so much joy to your […]... Read more »
Motro D, & Ellis AP. (2016) Boys, Don't Cry: Gender and Reactions to Negative Performance Feedback. The Journal of Applied Psychology. PMID: 27808525
by Paul Whiteley in Questioning Answers
"Our data suggest that exercise is more effective than control at reducing anxiety symptoms."So said the meta-analysis published by Brendan Stubbs and colleagues [1] who surveyed the peer-reviewed literature "investigating the benefits of exercise compared to usual treatment or control conditions in people with an anxiety and/or stress-related disorders." From the 6 randomised, controlled trials found "from inception until December 2015" exercise (various types of exercise regime) did seem to ha........ Read more »
Stubbs, B., Vancampfort, D., Rosenbaum, S., Firth, J., Cosco, T., Veronese, N., Salum, G., & Schuch, F. (2017) An examination of the anxiolytic effects of exercise for people with anxiety and stress-related disorders: A meta-analysis. Psychiatry Research. DOI: 10.1016/j.psychres.2016.12.020
by Paul Whiteley in Questioning Answers
"Fifteen studies suggest a higher prevalence rate of ASDs [autism spectrum disorder] among children of immigrants in comparison to native children."Those fifteen studies formed a large part of the seventeen studies included in the review by Rafal Kawa and colleagues [1] who set out to look at the collected peer-reviewed literature on the topic of the "prevalence and risk for ASD in Europe among immigrants and ethnic minorities." Carried out as part of a European Union (EU) initiative t........ Read more »
Kawa R, Saemundsen E, Lóa Jónsdóttir S, Hellendoorn A, Lemcke S, Canal-Bedia R, García-Primo P, & Moilanen I. (2016) European studies on prevalence and risk of autism spectrum disorders according to immigrant status-a review. European journal of public health. PMID: 28013245
by CAPB in Companion Animal Psychology Blog
An updated approach to animal welfare includes opportunities for positive experiences for our companion (and other) animals. "…the overall objective is to provide opportunities for animals to 'thrive', not simply 'survive'" (Mellor, 2016)The Five FreedomsAnimal welfare is traditionally defined by the Five Freedoms. These areFreedom from hunger and thirstFreedom from discomfortFreedom from pain, injury and diseaseFreedom to express normal behaviourFreedom from fear and distres........ Read more »
Littlewood, K., & Mellor, D. (2016) Changes in the Welfare of an Injured Working Farm Dog Assessed Using the Five Domains Model. Animals, 6(9), 58. DOI: 10.3390/ani6090058
Mellor DJ. (2016) Moving beyond the "Five Freedoms" by Updating the "Five Provisions" and Introducing Aligned "Animal Welfare Aims". Animals : an open access journal from MDPI, 6(10). PMID: 27669313
by Neuroskeptic in Neuroskeptic_Discover
Two new papers outline urge scientists to make research more reproducible.
First off, Russ Poldrack and colleagues writing in Nature Reviews Neuroscience discuss how to achieve transparent and reproducible neuroimaging research. Neuroimaging techniques, such as fMRI, are enormously powerful tools for neuroscientists but, Poldrack et al. say, they are at risk of "a 'perfect storm' of irreproducible results". because the "high dimensionality of fMRI data, the relatively low power of mos... Read more »
Poldrack RA, Baker CI, Durnez J, Gorgolewski KJ, Matthews PM, Munafò MR, Nichols TE, Poline JB, Vul E, & Yarkoni T. (2017) Scanning the horizon: towards transparent and reproducible neuroimaging research. Nature reviews. Neuroscience. PMID: 28053326
Marcus R. Munafò, Brian A. Nosek, Dorothy V. M. Bishop, Katherine S. Button,, Christopher D. Chambers, Nathalie Percie du Sert, Uri Simonsohn, Eric-Jan Wagenmakers,, & Jennifer J. Ware and John P. A. Ioannidis. (2017) A manifesto for reproducible science. Nat Hum Behav. info:/
Do you write about peer-reviewed research in your blog? Use ResearchBlogging.org to make it easy for your readers — and others from around the world — to find your serious posts about academic research.
If you don't have a blog, you can still use our site to learn about fascinating developments in cutting-edge research from around the world.
Research Blogging is powered by SRI Technology.
To learn more, visit http://selfregulationinstitute.org/.


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text: Seller: nyczoo (10,618) 99.8%, Location: Soap Lake, Washington, Ships to: Worldwide, Item: 322265279398 Antique Brass Bronze Coffee Maker Air Horn Pressure Plumbing Base Part Here is an interesting piece of antique hardware that I think is bronze or brass. I am never sure which is which. Stands 7" tall and is approx 7" in diameter at the widest point. This thing is heavy. Thick gauge metal. Not sure what this is. Could be part of an old coffee espresso maker or hookah tobacco pipe or lantern or air horn or some type of pressurized plumbing water device? The threads make me think this was a pressurized item. Let me know if you know what this was or is. Thank you! There is some Arabic looking writing engraved on the top surface of the tank. The threaded top is 3-1/2" approx in diameter and the inside diameter is approx 3" in diameter. These arent exact measurements. If you need exact, please let me know. Very good condition with a couple of minor dents as you can see in the pictures. The threads are in great condition. Looking at the mineral deposits at the botton that I have pictured, makes me wonder if this leaked. Just letting you know so you know. Great vintage kitchen air architectural brass bronze metal appliance pipe related collectible antique iteml. PLEASE FEEL FREE TO PAY RIGHT AWAY WITH CHECKOUT UNLESS YOU ARE FROM OUTSIDE THE USA - INTERNATIONAL CUSTOMERS PLEASE WAIT UNTIL YOU GET AN INVOICE REFlECTING CORRECT SHIPPING CHARGES. If you have any questions regarding this item, PLEASE DO NOT HIDE YOUR EMAIL ADDRESS as it helps to expedite communication if you allow it to show. If you use an email system that requires validation from the sender in order for email to go through, then you will not receive an invoice from me unless you turn off such functions or add my address to your allowed list. And to repeat - feel free to pay by ebay checkout when the auction is over unless you are from out of the country as I will need to send you a revised invoice reflecting international shipping. PLEASE CHECK YOUR SPAM FILTER AND DELETED EMAILS IF YOU HAVE NOT RECEIVED AN INVOICE WITHIN 24 HOURS. IF YOU DONT FIND ONE THEN LET ME KNOW AND I WILL GET ONE TO YOU Pay me securely with any major credit card through PayPal! I usually ship within 3 to 4, but if there is a backlog of business it may take up to 7 days for the item to ship. I am usually quite fast, but I like to have this disclaimer just in case. IF YOU HAVE A RUSH FOR ANY REASON...JUST LET ME KNOW AND I WILL WORK TO GET YOUR ITEM TO YOU IN AN EXPEDITED MANNER. Shipping quotes for items over 3 pounds are for zone 8. If you fee that you are close enough to qualify for cheaper shipping, just let me know by email with your zip code and I will see if I can give you a better rate. My items are shipped to you guaranteed to make it to you intact. If there is a problem please let me know as soon as possible and we will work to get the situation fixed. Thanks! Please be sure that you know what you are buying from us. The right item, or the right size. We allow returns but only if we have mis-described an item or were at fault in some other way for you to not have gotten "what you were buying". We dont allow returns simply because you changed your mind. International sales are welcome at this time for most items. If we have not included an international shipping then -- PLEASE EMAIL US FIRST --to see if it is available for over-seas customers and we will let you know by email and include a shipping cost for you. We have been in the business of selling old, interesting, unusual, useful and practical items for the last 30 years. After several years in a brick and mortor store, we joined the internet revolution and went to selling solely online. We love it this way, but do miss seeing real life smiling faces. With that said, feel free to stop in and say hi any time. Thanks!!! Please feel free to send us a message if you have any questions about an item we have listed. Also if you feel we have mis-described, made an error or should know something more. We welcome comments, questions and criticisms! :-) Show off your items with Auctiva's Listing Templates Auctiva, THE simple solution for eBay sellers. Condition: Pre-owned condition. Very good shape. Not sure what it is to...but thinking some type of coffe maker or hookah pipe?


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Reducing 'coercion' in mental health care George Szmukler Institute of Psychiatry South London & Maudsley NHS Foundation Trust Institute of Psychiatry at The Maudsley
2 'Coercion' Increased salience over past 2 decades Growing emphasis on 'human rights' Community care and protection of the public –'Assertive community treatment' –CTOs New types of clinician-patient relationships in community care
3 Outline Defining 'coercion' Review studies aiming to reduce coercion Implications for further research
4 'Coercion' Not synonymous with pressures on reluctant patient Specific, narrow meaning Prefer the less moralised general term – 'treatment pressures'
5 Spectrum of treatment pressures 1.Persuasion 2.Interpersonal leverage 3.Inducements 4.Threats 5.Compulsory treatment
6 Treatment pressures 1.Persuasion –Appeal to reason 2.Interpersonal leverage –Exercised through emotional dependency –Patient's wish to please
7 Spectrum of treatment pressures 1.Persuasion 2.Interpersonal leverage 3.Inducements 4.Threats 5.Compulsory treatment
8 Treatment pressures Inducements (or offers) v. threats Involve conditional (or bi-conditional) propositions "If…………………, then………………" If the patient accepts treatment A, then the clinician will do X; or if the patient does not accept treatment A, then the clinician will not do X (or will do Y)
9 'Coercion' Wertheimer (1987): Threats coerce, offers generally do not The crux of the distinction between threats and offers is that A makes a threat when B will be worse off than in some relevant base-line position if B does not accept A's proposal; but A makes an offer when B will be no worse off than in some relevant base-line position if B does not accept A's proposal. Fixing the baseline 'Moral baseline' - threat makes an 'ought' conditional
10 Threats v Offers Some examples: Second hand furniture Mental health courts SSI/SSDI representative payee
11 'Coercion' Other accounts of 'coercion' 'subjective' v 'objective' –Rhodes (2000): 'perceived threat avoidance behaviour' then analyse the context: reasonable perception? possibly no threat intended ('mobster' example) can be useful perspective –Feinberg (1986) pressure on the will 'Perceived' coercion (research)
12 Coercion Deception Failing to correct a misconception that carries a threat e.g. real versus perceived powers associated with outpatient commitment orders
13 Acts which resemble 'coercive' threats 'Unwelcome predictions' –statement of fact v threat –accuracy; clinician as agent? Exploitation –may be morally reprehensible –background threat –but subject not worse off according to moral base-line –unfair advantage –may be mutually advantageous
14 Problematic offers or inducements Subvert patient's decision-making Powerful inducements –Offers of highly desirable goods –Payment for accepting treatment When, if ever, is this acceptable?
15 Problematic inducements Constraints on inducements –setting a 'base-line' for mental health services – What are the entitlements? Paradox: the greater the range of services or help offered, the greater the scope for threats (or coercion) –questions of 'fairness' – why should some be offered inducements and others not?
16 Spectrum of treatment pressures 1.Persuasion 2.Interpersonal leverage 3.Inducements 4.Threats 5.Compulsory treatment (and associated interventions - forced medication, physical restriction, seclusion)
17 Compulsion Inpatient Community treatment orders: –Substitute for inpatient order - 'less restrictive alternative' –Early discharge - 'less restrictive alternative' –Prevent relapse - 'preventive'
18 Interventions Is there scope for reducing 'coercion'? Studied interventions –1. Inpatient coercion –2. Advance statements
19 Is there scope for reducing 'coercive' interventions?
20 Involuntary admissions in EU countries 1999 - 2000 International variation Salize & Dressing (2004)
21 Kjellin et al, Int J Law Psychiatry 2008 Compulsory treatment in Sweden 2001 - 2002 Intra-national variation
22 Compulsory admissions to NHS facilities, including high security hospitals and private mental nursing homes 1987-2005 Total orders, changes from informal to section, and court orders
23 Kjellin et al, Int J Law Psychiatry 2008 Compulsory treatment in Sweden 1979 - 2002
24 Mental Health Review Board (Victoria, Australia): statistics 1996/19971999/20002006/2007% change Cases listed 10,52213,19618,7191996 to 2006 + 78% 1999 to 2006 + 42% Mental Health Review Board of Victoria Annual Report - 2007-2008
25 Janssen et al, Social Psychiatry & Psychiatric Epidemiology 2008 Use of seclusion - international variation
26 Kjellin et al, Nordic J Psychiatry, 2004 'Coercive' measures: Intra-national variation Sweden 1997 -1999
27 Coercive Measures
28 Interventions to reduce coercion: the evidence Inpatient coercion Advance statements
29 Reducing inpatient 'coercion' 1 'Perceived coercion' 2 Seclusion and restraint
30 1 Intervention to reduce 'perceived coercion' on acute psychiatric wards ( Sorgaard 2004) Two acute wards: 5 week baseline phase - 12 week intervention phase 190 patients (~ 28% psychosis, ~50% mood disorders; ~50% involuntary admission) Intervention: –engage patient in formulating treatment plan –regular joint evaluations of progress –renegotiate treatment plans if necessary –regular meetings at least once per week; jointly written daily case notes Outcome measures: –Patient satisfaction (SPRI) (+ patronizing communication and physical harassment) –'Perceived coercion' (Coercion ladder) –Obtained shortly before discharge
31 Results: Sorgaard 2004 But, problems with rate of compliance with intervention; low level of coercion overall; perhaps 'perceived coercion' mainly determined during admission process
32 2 Reducing restraint and seclusion on inpatient units No RCTs Range of 'systems' interventions - unique to each organisation Leadership, monitoring of seclusion episodes, staff education, treatment plan improvements, emergency response teams, behavioural consultation, increased staff:patient ratios, treating patients as active participants All are pre- post- comparisons 15 studies reporting significant reductions in use of seclusion Mistral et al (2002), Schreiner et al (2004), Sullivan et al (2004; 2005), Smith et al (2005), Fowler (2006) or restraint/seclusion Kalogjera et al (1989), Taxis (2002), Donat (2003), Donovan et al (2003), Fisher (2003), D'Orio et al (2004), LeBel et al (2004), Green et al (2006), Regan et al (2006), Hellerstein et al (2007) Risk of 'publication bias'
33 2 Reducing restraint and seclusion on inpatient units Hallerstein et al, 2007
34 Use of 'advance statements' to reduce coercion What is an 'advance statement'? Types of 'advance statement' Research evidence
35 'Advance Statements' 'Advance Statements' express treatment preferences, anticipating a time in the future when the patient will not be capable of stating them. Purpose - to prevent adverse consequences of relapse, and thus to reduce the need for coercion, by giving patient more control over treatment decisions.
Typology of 'advance statements' Crisis Card Joint Crisis Plan Psychiatric Advance Directive (PAD) Facilitated PAD CPA Involvement of care provider noyesno yes Independent facilitator noyesnoyesno Legally binding no yes (but…)*yes (but…)no Consumer led yes no * Conflict with 'community practice standards'; civil commitment. (Hargrave v Vermont – US court of Appeals (2003) – discrimination by being excluded from a public service)
Dimensions of Advance Statements Patient autonomy Shared decision making Provider led PAD, Crisis card, WRAP fPAD Joint Crisis Plan Care Programme Approach Risks lack of clinician awareness or 'buy in' Risks provider pressure Targets therapeutic alliance
38 Advance statements to reduce 'coercion' 'Joint Crisis Plans' (Henderson et al) 'Psychiatric Advance Directives' (Papageorgiou et al) 'Facilitated Psychiatric Advance Directives' ( Swanson et al)
A randomised controlled trial of Joint Crisis Plans Claire Henderson, Kim Sutherby, Chris Flood, Morven Leese, Graham Thornicroft, George Szmukler, Institute of Psychiatry, King's College London & South London and Maudsley NHS Trust Institute of Psychiatry at The Maudsley
An RCT of Joint Crisis Plans Aim to evaluate the effectiveness of JCPs on in-patient service use and objective coercion (use of the Mental Health Act 1983) during admission.
41 Joint Crisis Plan Experimental intervention –Project worker explains to patient –'Menu' of subheadings –JCP meeting: facilitator; attendees, negotiation; patient decides –Controls: detailed information leaflets; written care plan (CPA)
Methods Study setting –7 south London CMHTs and one in Kent; ethnic minority mix Inclusion & exclusion criteria –In contact; admitted at least once in previous 2 years; psychosis or BPD Outcomes –Primary: admissions; length of hospitalisation –Secondary: compulsion under Mental Health Act 1983 Data sources: case notes; PAS; Mental Health Act Office; interviews Statistical analysis –Intention to treat
Baseline demographic and clinical characteristics of participant groups (1) Intervention group (n=80) Control group (n=80) Age in years (mean [s.d]) 39.5 (12.1)38.6 (10.6) Gender: male, n (%) 47 (59) Ethnicity, n (%) White Black Other 29 (36) 44 (55) 7 (9) 34 (42) 40 (50) 6 (7) Number of previous psychiatric admissions (median) 55
Baseline demographic and clinical characteristics of participant groups (2) Intervention group (n=80) Control group (n=80) Days in hospital in 6 months prior to recruitment (Median)2942 Ever admitted as involuntary patient, n (%)70 (87)73 (91) History of self harm, n (%) None Yes, not resulting in admission or observations Yes, resulting in admission or observations Missing 53 (66) 5 (5) 20 (25) 2 (2) 45 (56) 6 (7) 19 (24) 10 (12) History of violence, n (%) None Yes, non major 1 Yes, major 2 Missing 48 (60) 13 (19) 17 (21) 2 (2) 44 (55) 15 (19) 12 (15) 9 (11) Compliance rating (mean[sd])4.8 (1.3)4.9 (1.3) 1.Non-major incidents requiring attendance of police or on-ward seclusion or special civil-law admissions to a place of safety 2.Major: homicide, sex attacks, attempted or actual serious assault
Results: Hospital admissions Intervention group (n=80) Control group (n=79) Test statistic 1 P Admissions (one or more), n (%) 24 (30)35 (44)3.250.07 Bed days: whole sample Mean Median 32 0 36 0 1.520.15 1. Chi-square values from Mann-Whitney tests, except proportions admitted or on section, which were from Pearson's chi-squared tests.
Admissions under the Mental Health Act 1983 Intervention group (n=80) Control group (n=80) Test statistic 1 P Sections applied (one or more) n (%) 10 (13%) 21 (27%) 4.840.03 Time on section (days): Mean Median 14 0 31 04.130.04 1. Chi-square values from Mann-Whitney tests, except proportions admitted or on section, which were from Pearson's chi-squared tests.
Self-harm and violence Intervention Group (n=74) n (%) Control Group (n=76) n (%) P (Fisher's Exact test) Self Harm None Not resulting in admission or close observations Resulting in admission or close observations 73 (99) 1 (1) 0 (0) 69 (91) 5 (6) 2 (3) 0.09 Violence None Non major 1 Major 2 71 (96) 1 (1) 2 (3) 65 (85) 9 (12) 2 (3) 0.03 1.Non-major incidents requiring attendance of police or on-ward seclusion or special civil-law admissions to a place of safety 2.Major: homicide, sex attacks, attempted or actual serious assault
Further findings 80% of patients still had their JCP at 15 months follow-up 45% had used their JCP during this period
53 JCP holders' views, immediate follow-up Response JCP is reflection of holder's wishes (%) Pressure at crisis planning meeting (%) Definitely not 273 Probably not 222 Undecided 00 Probably yes 552 Definitely 412
Further findings Patients with JCPs reported Immediate FU 15 months FU Better relationship with team46%24% More involved in care76%50% More control over mental health problem 71%56% More likely to continue treatment59%28% Would recommend it to others90%82%
55 Cost effectiveness of Joint Crisis Plans * 78% probability that JCPs are more cost effective than standard care in reducing admissions
Advance directives for patients compulsorily admitted to hospital with serious mental illness: Randomised controlled trial (A Papageorgiou et al, 2002) Aims To evaluate whether use of 'advance directives' by patients with mental illness leads to lower rates of compulsory readmission to hospital. Subjects 156 patients admitted involuntarily Intervention 'Advance directive' completed with research worker, but clinical team not significantly involved. RCT. Outcome measures Compulsory readmissions, readmissions, days in hospital, satisfaction. Results None significant Conclusions Users' advance instruction had little observable impact on the outcome of care at 12 months. But, providers of care not significantly involved in advance directive
i) RCT of facilitated PADS (Swanson et al, 2006) Method: 469 patients with severe mental illness in two county-based mental health systems (North Carolina) randomly assigned to a facilitated advance directive (F-PAD) session or control group. Results: 61% of the 239 patients allocated to the F-PAD group completed legal advance instructions or authorized a proxy decisionmaker, compared with 3% of control group. At 1 month follow-up, F-PAD participants had significantly greater working alliance and were significantly more likely to report receiving the mental health services they believed they needed.
58 ii) Psychiatric advance directives and reduction of coercive crisis interventions (Swanson et al, 2008)
59 ii) Psychiatric advance directives and reduction of coercive crisis interventions (Swanson et al, 2008)
60 ii) Psychiatric advance directives and reduction of coercive crisis interventions (Swanson et al, 2008)
61 'Advance statements' Why effective? 'Manifest' reasons – information 'Latent' reasons - empowerment, negotiation, collaboration, risk perception Generalisability? Compatibility with Involuntary Outpatient Treatment orders? Coexistence of different types of 'advance statements'? Further research: 'definitive' multicentre RCT London, Birmingham, Manchester (N= 540) – in progress
62 Conclusions International and national variation suggest that in many, (probably most), legislatures there is scope for (substantial) reduction of 'coercive' measures Research on inpatient settings suggests that there may be scope for substantial reductions in the use of seclusion and physical restraints - but the evidence is not based on RCTs. Interventions have been complex and facility-wide. Only one study has examined an intervention aimed at reducing 'perceived coercion'.
63 Conclusions An RCT of an 'advance statement' - the JCP - has provided evidence of reduced involuntary hospitalization. A second study, not randomised, has provided evidence of reduced coercive interventions for patients with a fPAD
64 Some research suggestions Describing and measuring 'coercion' - –questionnaire or structured interview to assess the different levels of treatment pressure - persuasion, interpersonal leverage, inducements, threats. May be useful to set against general measure of 'perceived coercion'; compare services (or even clinicians) –What should be the 'base-line' – moral, legal, expected course? Interventions to reduce coercion –Inpatient coercion - useful to measure changes as a result of systems interventions, but only suggestive RCTs of specific interventions - 'procedural justice'; involving patients in care planning; agreeing when coercive interventions are warranted. Will need 'cluster randomised trials'. –Advance statements - Test in different service settings and legislatures Assess value of facilitation, and who should facilitate.
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This spectacular story and half home offers exceptional amenities and floor plan. The 2 story foyer opens to a spacious formal dining room area & office. The 2 story great rm. offrs a stone fireplace, balcony, beams & a wall of windows to the south for beautiful views of the golf course enjoyed from the kit. and MBR too. The open gourmet kitchen includes a large center island snack bar, stainless appli. w/a stone enclosed gas range/griddle, double ovens & & walk-in pantry. Granite countertops are thruout. The wood flooring on the first floor continues into the MBR W/lg. bath of Travertine flooring & tiled walk-in shower. Upstairs are 2 add'l BR's & bath. Downstairs is a Rec Rm w/2nd FP, wet bar, media rm., 2 Br's, Ba., exercise rm, 2nd laundry/4th gar., cov'd & uncov'd decks & patio


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I've spent the last 48 hours or so feeling extremely sorry for myself while once again spiraling into Dante's hell of chronic pain. I'm certain that one of the levels of The Inferno was saved for people who have to live with the daily burden of wondering if there isn't something, anything, that won't make the pain go away.
For those of you who don't know, I suffer from the incredibly stupid disease of fibromyalgia, along with various autoimmune problems that apparently to go with it, like osteopenia and arthritis. I've been lucky enough to find doctors who are willing to work with me and have pretty much figured out how to combine better living through chemistry with old fashioned remedies like heating pads, hot baths, and the incredibly inventive Icy Hot roller to make it through most of my days.
What I can't cope with mentally is when something new and additionally painful hits. About six months ago, I had a total hysterectomy to try to obliterate the perpetual chronic abdominal pain that had sent me to the emergency room on multiple occasions. After three kids, multiple ruptured ovarian cysts, and uterine fibroids, I had finally had enough. It wasn't like I was planning on having any more kids at the age of forty-six. God knows, three is certainly enough for both me and Justin. So, I figured that fibromyalgia was plenty to deal with and it was time to take out the equipment for good. I had heard nothing but good things about the surgery and they are doing wonderful things with laparoscopy now. The surgeon was fairly confident that I wouldn't need the old fashioned C-section type of surgery that my mother was subjected to back in 1983 and I went into the operation feeling hopeful that my recovery time would be minimal and I would be back on my feet in no time.
What I forgot, in my excitement over the prospect of losing the monthly insanity that goes hand in hand with being female and the removal of the offending organs that were adding to my daily fibro hell, was that sometimes surgery comes with complications.
Before the surgery, I had complained for months about my pants being too tight. In fact, nothing would fasten or fit. I wasn't gaining weight. I simply couldn't zip my pants. It was not only annoying, it was painful. I assumed that once they got the problematic organs out, I would return to my normally slender self and the abdominal pain would at least appreciably diminish. Not so.
I joined an online group which gave support to women undergoing this type of surgery. There was even a special section for women who were coping with not only female issues, but also fibromyalgia. I got through the surgery with no complications, was lucky enough to get the laparoscopy as opposed to the surgeon having to open me from stem to stern, and was sent home to recover.
I knew from past experience that having fibromyalgia means that you will take longer to heal from surgery than a person who doesn't have it. From what I was reading online, it looked like most (normal) women were pretty much back on their feet after this type of surgery within a couple of weeks and almost all back to work within a month. My mind was certainly ready for activity within a few days and I was definitely bored. My body just wasn't cooperating.
Over the past six months, I figured I was going to be back into my trusty size 8's and at least the chronic abdominal pain would cease. Oh well. I'm definitely not back into my 8's (which most people looking at me just don't believe) and the chronic abdominal pain continues. There's one thing they don't warn you about when they propose removal of your reproductive organs - adhesions. Scar tissue which forms in about 90% of people who have abdominal surgery. And the worst part about it isn't just the fact that the adhesions are painful. The worst part is that if they go in to do more surgery to break up the adhesions, it will simply cause more adhesions. Read guess what - if you have a hysterectomy, you are probably still going to have chronic abdominal pain and now there's nothing they can do about it.
I spent about three and a half weeks on my couch recovering after the surgery, causing intense pain in my right leg and hip from lying around too much. My already protesting muscles, aggravated by the fibromyalgia, were screaming at me to get up and do something. So, after three and a half weeks, I got up, went back to work, and wore a lot of stretchy pants and dresses, waiting for my waistline to shrink. Which it has persistently refused to do. I keep shopping for pants and wondering why I still look like I'm five months pregnant.
This past weekend, I was hit with yet another insult - probably a virus I picked up from my youngest son. Once again, I found myself lying in bed wondering why the universe hates me so much. Fibromyalgia isn't fatal, but sometimes it can drive you to assume the fetal position while crying uncontrollably. Because I've been in bed from whatever it was that has laid me out again, the muscles in my neck, shoulders, back, and hip are again screaming at me. I am finally coherent enough and physically able enough to be getting up and around a little bit (and hopefully what I am writing is making some sense), but I find myself limping back to the couch after putting one or two dishes in the dishwasher and glaring at the television set, wondering what the hell I did to deserve this. It's not enough to saddle me with the fibro, universe? Really? You have to add on a few viruses on every now and then to add to the fun? It hurts to stand up from the pelvic adhesions, my mind isn't processing information due to whatever germ I picked up, and I can't lie down comfortably because of the fibro pain. Maybe I need those anti-gravity boots they used to advertise so I can hang upside down for awhile?
I went back to the surgeon recently to ask him why my waist continues to bloat and my insides continue to hurt. He said it's possible I have adhesions, but if I do, there's really nothing he can do about it. I thought I was solving a problem with this surgery, but it turns out that I may have added a problem. As I lie here on the couch, heating pad on my right leg, wondering what the hell the mechanic told me about my son's car because I can't remember the conversation (probably fibro fog, another lovely side effect of the disease, but more likely fever induced delerium), I have to ask if it isn't somehow possible to go back to being 21 and feeling good again. Maybe someone can finally invent that time machine you hear about so much and send me back to when normal activity didn't hurt and I didn't spend most of my day wondering when the next dose of pain medication is due. I want my mommy.
My life with fibromyalgia, chronic fatigue syndrome, and bipolar disorder. I am an autism mom, a chronic pain patient, a reader, a cross stitcher, and a writer. Not in that order, because every day is an adventure. I was in a bad car accident in 2015, so now I'm recovering from that too. Woo hoo!
Monday, November 8, 2010
Chronic Pain and Other Fun Stuff
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Structured Programming 1401104-3 Dr. Atif Alhejali Lecture 4 Inheritance 1Structured Programming
Interface Interface is an abstract type that contains no data, but exposes behaviours defined as methods. A class having all the methods corresponding to that interface is said to implement that interface. Furthermore, a class can implement multiple interfaces, and hence can be of different types at the same time. Structured Programming2
Interface 3 CAR start(); Accelerate(speed); Break(); Fill tank(Petrol litres); Car No Of Doors No of Seats Driving wheels start() { …} Accelerate(speed) { …} Break() { …} Fill tank(Petrol litres) { …} Interface Class
Abstract Class In programming languages, an abstract type is a type in a nominative type system which cannot be instantiated directly. Abstract types are also known as existential types[1]. An abstract type may provide no implementation, or an incomplete implementation Structured Programming4
Inheritance Classes are created in hierarchies, and inheritance allows the structure and methods in one class to be passed down the hierarchy. That means less programming is required when adding functions to complex systems. If a step is added at the bottom of a hierarchy, then only the processing and data associated with that unique step needs to be added. Everything else about that step is inherited. The ability to reuse existing objects is considered a major advantage of object technology. Structured Programming5
Inheritance 6 Sedan No Of Doors No of Seats = 5 Driving wheels = 2 start() Accelerate(speed) Break() Hatchback No Of Doors No of Seats = 5 Driving wheels = 2 start() Accelerate(speed) Break() Coupe No Of Doors = 2 No of Seats = 4 Driving wheels = 2 Top speed start() Accelerate(speed) Break() Engage turbo() SUV No Of Doors No of Seats Driving wheels = 4 start() Accelerate(speed) Break() 4 wheel drive() CAR No Of Doors No of Seats Driving wheels start() Accelerate(speed) Break() Main class Father class Children Classes
Method overriding Method overriding, in object oriented programming, is a language feature that allows a subclass or child class to provide a specific implementation of a method that is already provided by one of its superclasses or parent classes. The implementation in the subclass overrides (replaces) the implementation in the superclass by providing a method that has same name, same parameters or signature, and same return type as the method in the parent class. The version of a method that is executed will be determined by the object that is used to invoke it. If an object of a parent class is used to invoke the method, then the version in the parent class will be executed, but if an object of the subclass is used to invoke the method, then the version in the child class will be executed Structured Programming7
Interface, Abstract Class and Class inheritance Structured Programming8 Interface Can only have data members with initial values. Can only have the methods declaration without any implementation Abstract Class Can have normal data members Can have the methods declaration or implementation Class Can have normal data members Can only have the methods implementation implements Will inherit all the data members and methods declaration May implements some or all the declared method (or none) May have any extra data members or methods (implemented or declared) implements Will inherit all the data members and methods declaration Must implements all the declared methods May have any extra data members or methods (must be implemented) Extends Will inherit all the data members and methods Must implements all the declared (unimplemented) methods May have any extra data members or methods (must be implemented) May override any implemented methods
Example Structured Programming9 CitizenInteface CitizenAbstract Citizen1Citizen2Citizen3 Implements Extends Interface Abstract Class Class
Interface example public interface CitizenInterface { String natinality = "Saudi"; public void print(); public void addChild(String childName); } Structured Programming10
Abstract class Example public abstract class CitizenAbstract { String name; public void print(){ System.out.println(name); } public abstract void addSpouse(); } Structured Programming11
An abstract class implementing an interface public abstract class CitizenAbstract implements CitizenInterface { String name; public void print(){ System.out.println(name); } public abstract void addSpouse(); } Structured Programming12
A class implementing an interface public class Citizen1 implements CitizenInterface { public void print(){ … } public void addChild(String childName){ … } Structured Programming13
Class inhertance public class Citizen2 extends Citizen1{ int noOfChildren; public void print(){ … } Structured Programming14 Method override
A class inheriting an abstract class public class Citizen3 extends CitizenAbstract{ public void addChild(String childName){ } public void addSpouse(){ } Structured Programming15
super The keyword super can be used to refer to parent of the current class. It is usually used to call an overridden method or the parent constructor. Structured Programming16
super and override example public class Citizen1{ public void print(){ System.out.println("name); } Structured Programming17
super and override example public class Citizen2 extends Citizen1 { public void print(){ System.out.print(print the name : ); super.print(); } Structured Programming18 This will call print at Citizen1 This method overrides print fromCitizen1
super and override example public class Main { public static void main(String[] args) { Citizen2 c = new Citizen2(); c.name = Mohammed; c.print(); } Output: print the name : Mohammed Structured Programming19
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Outlet, open stock, refurbished, reconditioned and used items have a 30 day return and exchange policy *(except for products listed below). Miele rotary iron, bidets, water filtering products and all commercial machines (vacuums, burnishers, carpet extractors, etc.)- these items are not returnable (in the event they are defective we will work with you on having it replaced, repaired or exchanged as per the manufactures warranty).Heaters have a 14 day return and exchange policy. Used bags, filters & roller brushes can't be returned for sanitary reason.


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Reno is a registered 2000 model Appaloosa gelding. He is a been there done that kind of guy who has primarily been used for barrels, poles, and games.…$3,500
2016 ApHC registered red leopard gelding. Toby is halterbroke, good with his feet, easy to deworm (no fighting!) and is very friendly. Hes smart, quick…$2,500 CAD
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This big 16 hand regestered app is a sweet gelding easy to ride slow gaits , will neck rein great on the trails good size for your husband or yourself…$4,500
I have a beautiful 8year old appaloosa gelding. He stands 15'2. He has no vices, UTD on shots, Coggins,microchiped. Stands for farrier, baths, loads and…$3,000
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FOR SALE. Murray, 3yr old Appaloosa gelding. lightly started walk trot canter. sweet kind willing horse. Not a mean bone in his body. Would be an amazing…$4,000
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2007 Computer Crimes Act
Activists accused of defamation by military call for justice
Human rights defenders accused by the military of criminal defamation for exposing torture in the Deep South have urged prosecutors to seek more witnesses. On 21 February 2017, Pornpen Khongkachonkiet, Director of the Cross Cultural Foundation (CrCF); Somchai Homla-or, Advisor to the CrCF; and Anchana Heemmina, President of the Duay Jai group, submitted a letter to the Office of Provincial Public Prosecution in the Deep South province of Pattani.
Read more »
2017-02-21 17:11
Loneliness and love under Thailand's junta
The first case of lèse-majesté under Thailand's new King Vajiralongkorn accuses an undergraduate law student. Both Jatupat 'Pai' Boonpattararaksa's youthful grin in newspapers and the petty nature of his crime — sharing a BBC article on his Facebook wall — make the young man a puzzling suspect. He does not appear as one of the country's most dastardly criminals.. Instead, Pai seems startlingly relatable — something to unsettle the National Council for Peace and Order (NCPO).
Read more »
Pick to Post
2017-02-06 15:23
Shui Yu
Hacker detained for allegedly attacking government websites
A hacker has been detained for allegedly launching attacks against government websites in response to the passage of the Criminal Crimes Act amendment. On 28 December 2016, the Criminal Court of Justice granted police officers custody over Natdanai Khongdi, age 19, a suspect in the attacks on government websites that came after amendments to the controversial Computer Crimes Act, reported Khaosod. The case's police investigators asked the court to reject any bail i
Read more »
2016-12-28 21:00
Youths detained for DDoS attacks in protest against new Computer Crime Act
The Thai authorities have detained youths who allegedly carried out DDoS attacks against government websites in protest against the controversial new Computer Crime Act. On 21 December 2016, Somsak Khaosuwan, Deputy Permanent Secretary of the Ministry of Digital Economy and Society (MDES), revealed that the police have detained youths who were allegedly involved in carrying out Distributed Denial of Service (DDoS) attacks on the websites of ministries and state agencies.
Read more »
2016-12-23 11:05
Government websites taken down after Computer Crimes Act approval
A series of cyber-attacks have been launched against Thai government websites in response to the recent passage of the Computer Crime Act, which will strengthen state censorship power and online surveillance. After the junta's rubber-stamp National Legislative Assembly (NLA) approved the amendment to the controversial Computer Crimes Act on 16 December, various government websites have been shut down by cyber-attacks. Various actors have claimed responsibility for
Read more »
2016-12-20 15:07
UN statement on Thailand's amendment to Computer Crimes Act
We are concerned by amendments to Thai legislation that could threaten online freedoms, and call on the Government to ensure the country's cyber laws comply to international human rights standards. The National National Legislative Assembly last week passed amendments to the 2007 Computer Crime Act that could severely restrict freedom of expression, opinion, assembly and privacy. The amendments enable the Government to obtain user information and traffic data from Internet service providers (ISPs) without court approval.
Read more »
Pick to Post
2016-12-20 14:02
UN Human Rights - Asia
Violating privacy violates Thailand's economic interests, expert says
Thailand's newly amended Computer Crimes Act will jeopardise the junta's 'Thailand 4.0' policy of developing the country's digital economy, says an organisation leading Thailand's financial technology industry. Allowing authorities to access the personal data of internet users will force businesses out of the country. On 16 December 2016, Thailand's junta-appointed legislature, the National Legislative Assembly, unanimously voted to pass an amendment to the controversial Computer Crimes Act.
Read more »
2016-12-19 13:14
New Computer Crimes Act will damage Thailand's digital economy, says investor
The junta-appointed National Legislative Assembly (NLA) has passed an amendment of the Computer Crimes Act, despite a petition opposing the draft gaining over 300,000 signatures.
Read more »
2016-12-16 17:30
New Computer Crimes Bill unanimously approved
Despite the protests of over 300,000 Thais, the junta's lawmakers have passed the controversial Computer Crimes Bill to provide the state with heightened online surveillance and censorship powers. On 16 December 2016, the National Legislative Assembly, the junta-appointed law-making body, unanimously passed an amendment to the controversial Computer Crime Act.
Read more »
2016-12-16 16:45
Sudden changes to the Computer Crime Bill spark fears
Alarm has been raised over last minute changes to the controversial Computer Crime Bill that the National Legislative Assembly (NLA) will vote on tomorrow.
Read more »
2016-12-15 18:07
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Internet collectively shouts 'too soon' after Adidas' terrible marathon email
Think before you send, people.
Cute dog's pinecone-collecting hobby accidentally makes him look terrifying
Gave us quite a spook, doggo.
Watch 'The Circle' cast awkwardly roast Twitter's CEO on his own site
Please, discuss the perils of social media on a major social media platform.
Man's drunken attempt to do a backflip ends exactly as expected
This was only going to end one way.
Badass elderly woman definitely has better dance moves than you
She's got some serious moves.
The force was strong with these 'Star Wars' Half Marathon runners
"May the course be with you."
Frank Ocean drops ANOTHER new song and people are barely keeping it together
He's back, baby, and he's not showing signs of slowing down.
McDonald's braces for the apocalypse with chic new uniforms
"Ba da ba ba bah, we're doomed!"
Oculus co-founder Palmer Luckey resurfaces, refutes Apple co-founder Steve Wozniak comments
The embattled co-founder of Oculus has returned to social media, and he has a few thoughts.


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MLB report: Jays' Tulowitzki improving but return not nearSeptember 19, 2015 Updated: September 20, 2015 12:36am
One week after he suffered a broken left shoulder blade in an outfield collision, Toronto shortstop Troy Tulowitzki is no closer to knowing when he'll be able to play again.
To continue reading this story, you will need to be a digital subscriber to HoustonChronicle.com.
AP: Copyright 2014 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed.


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2003 Toyota Avalon
Features include but not limited to:
Power leather seats
Multi disc CD player
Sliding glass Sunroof
Front, rear and side airbags
Dual Ac and heat
Wood grain interior
Toyota's run for many years with many miles this car has lots of life left! Nothing mechanically wrong with vehicle. MSTA
Gets great gas mileage and uses REGULAR unleaded gasoline!
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The Atlantic Declares Mai Tais Are Making a Comeback
It must be something in the water--the same day that we ran our account of tiki-adventuring at home, and a week after we discovered that Joe Swifka, formerly of Elettaria's tiki Mondays, is now bartending at Flatiron Lounge, the Atlantic runs a story about the resurgence of the mai tai, and other tiki classics.
In the Atlantic's account, Julie Reiner, of Flatiron Lounge and Brooklyn's Clover Club, has this to say about the allure of tiki:
"We've gone in such a serious direction with cocktails (stirred booze with bitters). These are fun drinks. They're outrageous!"
Stay tuned for more tiki news, as it breaks.
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NEWPORT BEACH, CA--(Business Wire - September 13, 2016) - MSC Software Corporation today announced the sixth release of MSC Apex, the company's next-generation Computer Aided Engineering (CAE) platform. MSC Apex Fossa is the winner of 13 product awards and 25 patent filings to date, is the result of 450+ man years of software development and is in use in over 300 companies' worldwide. Now on its sixth release, Apex has advanced from a highly productive model-preparation tool to a complete simulation system.
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