text:
The understanding of these diseases remains a mystery. Anorexia nervosa and Bulimia nervosa appear as exact opposites but both are equally as deadly. These are often combination eating disorders or can include variations and possibly even a drug addiction. If any of this sounds like you please seek help immediately. Call Cliffside Malibu at (424) 320-3061.
Anorexia Bulimia
Eating disorders such as Anorexia or Bulimia can be a variety of things but they are always extreme. They are extreme eating behaviors that are marked by overeating (Binging and purging) also known as Bulimia or an extreme lack of food intake to the point of starvation which is known as Anorexia. There is usually always an extreme obsession or a panic about the body such as how much you weigh and what your shape is. It is a compulsion that is thought about constantly. Does this sound like you? Do you starve yourself because when you look in the mirror you see a fat person? Does the thought of eating something make you panic to where you get physically ill? Do you binge excessively and are you out of control? Do you eat everything in sight until you can not eat any more only to vomit afterwards? Do you ever chew the food just so you can taste it but never ever swallow it? Do you hide any of these things from friends and family? Do you take drugs to help cope? These are some of the indicators that you likely have Anorexia or Bulimia.
Anorexia Bulimia Explained
The difference between Anorexia and Bulimia is that those with Anorexia will starve themselves and exercise consistently no matter what, even if you are sick. Those with Bulimia will gorge themselves full of food but will force themselves to vomit shortly after and may also take water pills and abuse laxatives. This is an attempt to not gain weight from the food that was consumed. Most people that have an eating disorder do not have any friends. Have you noticed this about yourself? Is it the case that rather than hang out with your friends you have to rush home to exercise, even though you may have not eaten a bite of food in over 24 hours?
Do you binge on junk food in secret? No matter how hard you might fight the urge to do it do you feel helpless? Do you fill yourself with so much food that you just can not eat another bite and then force yourself to vomit until your stomach is empty again? Do you hide in secret and vomit and maybe even hide the vomit until you can get rid of it without being detected? Do you feel a sense of comfort and guilt both at the same time from this behavior? Very often, if left untreated, eating disorders will result in death. Addiction recovery can save you from the worst possible outcome.
Symptoms & Pain
Do you feel emotionally raped because no matter how hard you try you can not stop obsessing about your weight? We understand that because of your illness, it is likely impossible for you to concentrate on anything other than it. Do you also find that you have alienated yourself from outside activities that are fun because you have to partake in a certain regimen that has become part of your daily functions due to your eating disorder?
There are many factors that can be responsible for your reason to begin extreme dieting that has lead to a very dangerous eating disorder. We do know that these eating disorders are really not about food but are at the root of something much deeper. While you are pursuing being very thin or seeking the comfort of food, you are desperately seeking something else, maybe approval or acceptance. Asking for help is also very hard to do but getting the right help is the only thing that will save your life.
Find the Help You Need
You likely spend most of your time and mental energy planning your diet and exercise regimen while you attempt to find better ways to conceal your secret and ways to avoid eating. Maybe you spend a lot of time planning your next eating binge and spend a lot of money on buying the foods that you will engorge in only to purge them up when you are finished eating them. Because of your eating disorder you likely have found that you are extremely isolated and constantly on guard.
Inpatient treatment for eating disorders in as unrestrictive as possible while still ensuring your safety. You might even think that no one knows what is going on but the truth is that they really do. It may have taken them a bit longer in some cases to catch on, but they know, everyone knows and it is time that you accept help before it is too late. Any other psychiatric problems that you might have will also be addressed while you are in treatment, like substance abuse.
Anorexia Bulimia Assistance
You do not have to suffer in silence any longer from your illness. Your sickness is killing you both physically and emotionally. You must get help immediately! You can fully recover from this illness if you do something about it and seek help before it becomes chronic and life threatening. Psychological counseling and psychotherapy will address both the eating disorder and the forces that contribute to it.
As with all co-occurring disorders, Cliffside Malibu treats eating disorders as a co-occurring disorder with drug and or alcohol abuse.


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Amusing snippet from a nurse's monolog:
"I thought about getting a cat once, when we had mice. But I found a pretty good mousetrap. The mice go in and they don't come back out. You can't see anything...." she shuddered, "...nasty. I don't know how they work, to get them out to clean it. That's why I got married, so I don't have to."

subset: commoncrawl


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Pizza and Other Weird Things to Come Out of Vending Machines
Vending machines are meant to make life simpler, but most of the time they just make life weirder.
An Australian company has apparently decided that chips and chocolate are not hitting the spot, so they decided to shove a pizza in a vending machine to see what happens.
Cooking a pizza in a vending machine sounds like a disaster waiting to happen, yet Pompeii's Pizza in Bondi Beach, Sydney, disagree. They spent 18 months developing the $AUD40,000 italian-made oven in a vending machine, to present you with the perfect crust. It is called Pizza Gio and sits in the Westfield shopping centre in Chatswood.
See also: 21 Weird GIFs You Can't Unsee
Prawns are off the menu. You've got two choices — hot salami or margarita — in an 11-inch plate size. The machine gives a pre-cooked pizza a burst of insane heat and in three minutes you be indulging in a slice of fast-food gone wild. It costs a pretty hefty $12, which isn't small change for a pizza being prepared in a mystery cave, but worth it for the novelty factor alone.
It may be the first time Australia has had the pleasure of such a machine, but Let's Pizza from Italy were actually the first to deliver a pizza in this novel way. Their version was made from scratch and cooked in an infrared oven.
This may all sound a little unsettling to the stomach, but be assured, Australia, you have nothing on the rest of the world. Here is a look back at the weirdest instant rewards to pop out of a vending machine.
A pre-lit cigarette
A vending machine that sold already lit cigarettes for a penny. England, 1931. pic.twitter.com/9TEc08jQMW
— History In Pictures (@HistoryInPics) February 6, 2014
This is what Colorado's first weed vending machine looks like: http://t.co/kk5BoB2AsH pic.twitter.com/nIeTEmbzfP
— SpeedReads (@SpeedReads) April 14, 2014
Sock vending machine at the bowling alley, can't decide if this is clever or weird as hell pic.twitter.com/PQtLGi6xNk
— tara. (@sargentara) February 21, 2014
Weird. I just stumbled upon a caviar vending machine and I don't know how to feel about it. #hello #onlyinla pic.twitter.com/cHIR1dwtGQ
— JaNae (@Janaedawn) February 17, 2014
Live crabs
I Can't Stop Looking At This Guy Looking At This Weird Chinese Live Crab Vending Machine http://t.co/F1XCogfYce (AP) pic.twitter.com/HEkFAKNWgt
— Robinson Meyer (@yayitsrob) September 13, 2013
Vending machine for... Bananas?! The weird and wonderful things in Tokyo. pic.twitter.com/ytkBTBnarT
— FA life✈ (@chelsea7891) March 16, 2013
A lettuce #vending machine! Has anyone else seen any weird or unusual vending machines? pic.twitter.com/Ev3EIb8sdw
— Express Vending (@Express_Vending) June 28, 2013


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On Behalf of the members who make up the Sechelt Fire Department, I would like to welcome you to our web site. The Sechelt Fire Department is proud of the service we provide and our history stretching back over seventy five years.
Our focus on Fire Prevention and Public Education is second only to the tireless effort put forth by our Volunteer Firefighters past and present.
With guidance from the Board of the Sechelt Fire Protection District, we are committed to providing high quality and cost effective Fire Protection services to our rapidly growing community of 11,000.
I hope this site provides you with the information you need. For further details regarding the fire department, please use our contact us form or call me directly at 604 885 7017.
Warmest regards
Trevor Pike CFO
Sechelt Fire Department


text:
Hi All,
Want some help in creating alerting on custom pollers that i have created for hardware monitoring. below screenshot is from a single device where i want to alert different hardware parameters like Fan, Power, Temp etc..
Can some guide me how exactly i can do it? I tried couple of method but getting confused....
Ex: i want to alert on temp sensors going above a value of 45.. OR i want to alert on Power supply when its not normal( in this case value will be anything apart from 2. value of 2 signifies its OK).
i somehow managed to find out the trigger conditon which would help me in alerting only the rows' i need...
Now i am not able to find out the variable which would help in showing the current value of the sensor..
i tried using all below but not getting the value of the sensor when the alert triggers...
You need to set up a Custom Node Poller Alert using the Unique Name if the poller you want to alert on, and then the Current Value is not equal to 2 (In your scenario)
But i dont want to alert on every entity, u can see my screenshot above where i have so many other stuff... so is it possible to alert on only on specific entries?
It looks like you would want something like this (click select objects to pick the particular pollers you want):
I'm guessing each row in your screenshot is a separate custom poller that you would need to choose in select objects.
Hi jeilers
I would say something similar to that... but each row is not separate poller.. column wise is the separate poller..
But for some reason i am not able to get anything identified...have tried many different ways..
i just tried this, but did not work:
On "The scope of this alert" section you will want to be sure the button "Only following set of objects" is checked instead of "All objects in my environment" Then you should have a list of pollers you can select by clicking on the link "Select Objects". There you should be able to find specific assigned pollers to choose from.
will the alerting work since i need to use 2 custom pollers here... i need to identify the hardware sesnsor name and the value/status of it wherein i will alert based on the status/value...
Can anyone assist?
I just replied on your question to a different thread.
you can use alerting on "Custom Poller Table" instead of Custom Node Poller because table allows you to use individual objects pulled by a single poller and then you can alert on those selective objects.
Yes its possible, you just need to specifiy the pollers name and their values tagged with "AND" boolean function then on top of them use "OR" Function to select pollers types. See below example.
Poller name - abc
Value - 1
Poller Name - xyz
Value -2
OR is controlling which Poller type where as AND is looking to individual poller type and its value.
Let me try testing something....
SolarWinds solutions are rooted in our deep connection to our user base in the THWACK® online community. More than 150,000 members are here to solve problems, share technology and best practices, and directly contribute to our product development process.


text:
2100 Future Drive
Sellersburg, IN 47172
Toll Free: 800-367-4233
Fax: 812-246-7020
Follow Welbilt on
This section is available for authorized service partner only.
Some files are protected with a password. If you need the password please get in contact with our After Sales Service: email@example.com
continue to the Service Manuals


text:
Debut Album: Do Me a Kindness
Do Me a Kindness is Brian's first full-length, solo, debut album / CD. 15 all-original compositions in an array of roots & classic rock styles, including folk rock, country, soul, rockabilly/swing, etc. Produced and arranged by Brian with legendary Atlanta producer Rob Gal. With lyrics clever & personal, yet heartfelt & accessible, Brian's mastery of styles, wit, and themes is fully on display.
Online Distribution info is TBA, but for a free advance copy just email Brian through the contact page.
A Touch of "Kindness"
Here are some finished tracks from Brian's album. All tracks are pure listening pleasure and suitable for the whole family.
Misc. Music
"She Dreams of Paris" and "Lolita" are studio productions by The Singles, a pop/rock duo with partner Phil Dutra. As heard on our EP release, Extended Playground
Leverage Song
Written for promotion of the TNT series Leverage (On-air promos are on TV Spots page.) Pitched with concept of an online user-generated content promotion in which fans could access show footage to make their own music videos.
Napoleon (50 Cent Version)
This version, pre-dating the animated clip, parodies the production of the 50 Cent song "Just A Lil' Bit," and does not comment lyrically on the Napoleon Dynamite quotation phenomenon. I rap/sing on both versions.
Because it's never too late to start worrying about the millennial computer scare… Bare demo style recording created "quick and dirty" for the TNT interstitial, On The Road to Y2K, used in an entry shot at Nashville's Music Row.
Dollar Store Kisses
Jack Johnson parody written for TBS Tunes, no animation produced
Reviews are coming in for Brian's debut album Do Me A Kindness, and the buzz is unanimous:
"Mr. Matson is a valued customer who consistently returns DVD's in the condition they were shipped. Though I found his CD pleasant listening, company policy prohibits any official endorsement. We are crediting him one month's service in appreciation of his puzzling inquiry, and wish him the best."
– Blaine Farley, Netflix Customer Service Manager
"Soon as I heard Brian's masterpiece, I destroyed all the original Sgt. Pepper's session tapes, straight away. Out of pure shame, bloody self disgust. My life's work, with the lads and otherwise, is bollocks next to this, pure rubbish. I'd pay a billion Euros right now to never have heard it."
– Sir Paul McCartney


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Three-day National Seminar on Psychology at CUSB organised during March 24 – 26, 2017
By making slight modifications in lifestyle any type of mental illness can be cured and it is an important component in psychiatric treatment said, Prof. R. K. Chadda, Head , Department of Psychiatry, All India Institute of Medical Sciences (AIIMS), Delhi on inaugural day of three-day national seminar organised by the Centre for Psychological Sciences (CPS) of Central University of South Bihar (CUSB). Delivering a key note address at the three day national seminar on "Psychological Sciences: Current Perspective and Emerging avenues of Practice, Training & Research" at the auditorium of Indian Council of Agricultural Research (ICAR), Prof. Chadda informed that there are 7 psychologists per 1000 individuals in India, as reported by Mental Health Atlas. Prof. Chaddha emphasized upon the importance of joint family in the development of a child's personality. There is no effective medical treatment for psychological disorders. Psychologists can be very effective in healing individuals suffering from non-communicable diseases. They help in studying the genesis of upcoming problems, added Dr. Chadda.
Earlier the seminar was formally inaugurated by lightening of lamp by dignitaries. The faculty members – Dr. Das Ambika Bharti, Dr. Narsingh Kumar, Dr. Manglesh K. Manglam, Dr. Chetna Jaiswal felicitated the guests with memento in company of Prof Tej Bahadur Singh, Dean of School of Human Sciences, Head of the Department, Centre for Psychological Sciences.
While inaugurating the seminar, the Chairperson, Prof. A. K. Sinha, Dean of School of Mathematics, Statistics and Computer Science, explained that statistics, incorporated with psychology, can be very helpful in conducting quantitative researches
Prof Tej Bahadur Singh, Dean of School of Human Sciences, Head of the Department, Centre for Psychological Sciences, introduced the Seminar by specifying the relevance of the theme. He explained the importance of Media and Forensic Psychology in reducing the criminal acts through a deeper understanding of the discipline. He also said that Psychology can help in understanding the difference between Indian Media and Western Media.
As the guest of honour, Prof. S. P. K. Jena, professor of applied Psychology in University of Delhi insisted that with the help of an interdisciplinary approach, Psychology can be helpful in serving the Indian society. The orphans, the homeless, women suffering from domestic violence and many more can be the subjects in qualitative researches which would eventually benefit them.
Dr. Smriti Joshi, a renowned psychologist at E-psyclinic talked about Online Counselling and Psychotherapy Services and its relevance in Indian context. The emphasised the importance of internet as a preferred component for dealing with mental health problems. Prof Braj Bhushan, from IIT Kanpur, talked about the glorious past of psychology in Patna. Alongwith the talks and presentation of guests, the participants presented their papers during the inaugural day of the national seminar.
Likewise, on second day the experts delivered talks and participating students presented their research papers. The third and the last day of the national seminar the session started with presentation on "Alcohol and drug addiction" by Dr. Gauri Shankar. The event proceeded with a technical session chaired by Vibha Sharma and Dr Gauri Shankar, AIIMS, Delhi. Participants from in and around Bihar actively participated in the event. The event came to an end with the valedictory session in which three participants were awarded the best paper awards. They were Ms. Kriti from IIT Patna, Ms. Jaya Shukla, CUSB and Ms. Vaishali, Patna Women's College. The vote of thanks was proposed by Dr. Narsingh Kumar.


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Everyone knows what happens in the end.
A mermaid, a prince, a true love's kiss.
But before that young siren's tale, there were three friends.
One feared, one royal, and one already dead.
Ever since her best friend, Anna, drowned, Evie has been an outcast in her small fishing town. A freak. A curse. A witch.
A girl with an uncanny resemblance to Anna appears offshore and, though the girl denies it, Evie is convinced that her best friend actually survived. That her own magic wasn't so powerless after all. And, as the two girls catch the eyes—and hearts—of two charming princes, Evie believes that she might finally have a chance at her own happily ever after.
But her new friend has secrets of her own. She can't stay in Havnestad, or on two legs, unless Evie finds a way to help her. Now Evie will do anything to save her friend's humanity, along with her prince's heart—harnessing the power of her magic, her ocean, and her love until she discovers, too late, the truth of her bargain.
The rise of Hans Christian Andersen's iconic villainess is a heart-wrenching story of friendship, betrayal, and a girl pushed beyond her limits—to become a monster.
4/5 Stars
I received this book from the publishers via Net Galley, in exchange for an honest review.
I really enjoyed this retelling of the little mermaid – recognisably linked to the original story but with its own twists, which I really enjoyed.
I'm afraid this review does have some spoilers as there's bits in the later part of the story I need to talk about!
Let's start with the characters – Nik is an adorable cutie pie and I love him! Evie is also really great – I like how she uses her magic to keep the boats safe. And how much she thinks about Anna. I really like Iker at first but afraid I'll have to come back to him!
I also liked the way the society played so well on facts and how life actually was at the time. I wanted more on why they hate witches but I think it would have dragged away from the main story. And I loved how it was written, so I wouldn't have wanted that! The society and their judgement of Evie was actually really great for me, it's nice to have a character who sort of accepts that but gets on with life anyway.
Onto the ups and downs. I both absolutely loved when we started finding about more about Annemette, and hated it. I loved it because the book became darker and picked up pace a little, and I love a dark twisty surprise. I slightly hated it because the revenge trope is my least favourite. It was well done, but she wanted revenge for something that they had no control over! Argh. It's over used in tv, so I really notice when it's in my books too. Having said all that, as I noted, it was done well, and I really like how it played out!
I also disliked the romantic twist at the end. Wtaf. No feelings at all (on one side) and then suddenly omg feelings? Ugh. I actually liked Evie and Iker too (until a point, at least) so more frustrating.
And then we have Iker. I liked that he was doing the whole playboy turned actually interested thing. I liked how he was with Evie, and it felt honest. And maybe it was. But what he said at the ball (argh so cryptic but don't want to spoil it all)? NOT COOL IKER. And especially his actions right at the end. Went right off him, and was following in my friend Bea's footsteps by wishing he would drown! 😂
Overall I did really enjoy this book, and it's only those last two points that dragged t down a bit for me. It was still so well written and I liked the concept enough that I still gave it four stars, despite considering downgrading it.
Buy The Sea Witch from Amazon UK (affiliate link)


text:
Responses to Mission Impossible: Why Failure is Not an Option by Rev. Sean Parker Dennison
Revs. Meg Riley and Ian White Maher
Response by Rev. Meg Riley:
Thank you so much Sean. So much to respond to! This will spark dozens of collegial conversations, indeed!
I think Sean asked me to respond because he knows I'm good at failing. About the time he was seriously beginning to buckle down on this talk, I told him that I had signed up for something called "Rejection Therapy Boot Camp." I signed up online with a guy named Jia Jiang for a 100 day adventure. Each day Jia Jiang would give us a specific assignment—we were either to ask for something that was very likely going to be met with the answer "No," or to do something which was very likely going to be met with annoyance, repulsion, or outright rejection. Now, for those of us who have teenaged children, or who are ministers, this bootcamp might seem redundant. But I wanted to see if getting rejected in a structured way built my resilience—CLF's theme of the month was courage and I wanted to see if this helped build courage. And it was February in Minnesota and I was desperate.
I quit long before 100 days was over. Partly because I have an attention span the size of a gnat, but partly because so many of the tasks we were assigned to do involved asking low-wage workers for things. Jia Jiang is a young immigrant from China. I saw that what might be very daring for him to ask—can I ride along while you deliver a pizza? can I see the back of your grocery store? will you, my waitress, sing happy birthday to me even though it's not my birthday? do you have a piece of gum?—because of my social location as an older white middle class woman, these requests and many others were met with a bewildered "Yes." All of those requests I just listed, and many more, got a yes. And the truth was, I didn't want or have time to tour back ends of stores or deliver pizzas with people every day, and I felt like I was harrassing already stressed-out workers.
Soon my afore-mentioned 18 year old told me I wasn't allowed to ask another low-wage worker for another thing with the 18 year old present! And it was winter in Minnesota and the people at the dogpark were few and far between to ask for stuff, so I gradually stopped rejection therapy, unless the ask of the day intrigued me—for instance, offering money to strangers on the street. That is a fascinating social experiment and most people, in Minnesota at least, say no in horror. But, though I dropped out, I think it did build both resilience and deepen my awareness of the privilege I walk around with.
Because what I can see is that the same energy that took me to Rejection Therapy moved out in two very different directions. One is that I've been part of starting a local chapter of SURJ—Showing Up for Racial Justice—a white allies group. I recommend it to you if you want to organize white people in your area—google Showing Up for Racial Justice. SURJ is launching a conversations project where white people talk to white people about racism. Now THERE is a rejection therapy project worthy of time and attention! My post-boot-camp challenge to myself has been to bring up racism in all-white environments—to say out loud the kinds of things I am often thinking as I continue to wake up to the fact that I am always white, not just occasionally when I remember to think about it.
Just one example: In a drivers' ed refresher class for people 55 and older, I brought up the different ways people of color need to drive from white people—the vigilance that needs to be paid, the police stops for driving while black or brown. Talk about rejection therapy—the teacher was furious. He prefaced about six sentences that hour with a snarled, "Black, white, or Chinese, it doesn't matter…" as he glared at me. So now everyone was thinking about race. Call it victory.
Initiating these conversations, fully expecting rejection, allows me freedom to cross boundaries of what is socially acceptable. Because, let's face it, what's socially acceptable is oppression of all kinds.
The other place I went after rejection therapy was to an improv class. Improv is completely about saying YES. I notice that improv class also builds resilience to failure. Because my YESES can move me out fully into the big open sky of pure joy and imaginative play, or sometimes they just take me to little cul de sacs. And all of this before an audience of my classmates.
The yeses that only take me to cul de sacs usually occur because I get too involved with the particularities of the setting or character I've been assigned. The yes gets very small when I'm focussed on what 15th century pirates might do or say and worry I might get it wrong. The yeses that take me to the infinite energy of the world occur when I deepen into the relationship with the person or people I am working with, and say yes to the relationship, with the setting far off to the side of my attention. Whatever they ask for, whatever they tell me about myself, I say yes.
And so Sean, it's in the spirit of improv that I say this to you: You can't leave ministry. No matter how you shape what you do and where you collect enough money to support yourself, you are a minister. And if you quit Unitarian Universalism today, you are still so deeply in relationship with so many of us that there's noplace you could go and not take us. We're all grateful that Ralph Waldo Emerson failed as a Unitarian minister—look what that failure brought us. Did Fred Rogers fail as a Presbyterian minister or did Mr. Rogers bless the world? If you can't bear to over-serve the privileged, if you work for an arts nonprofit or run a coffeehouse, you will still be blessing the world with your gifts. Say yes to your biggest joy and passion, because we need it! And maybe we will all walk away from the congregations which are enclaves of privilege and control. Maybe that just needs to happen.
And I say this to everyone including myself—we need to create and live Unitarian Universalism that won't cease its ministry regardless of the form it takes. Many of our churches will die. We know that. The question isn't how to preserve their form, it's how to preserve the substance—how to keep our values alive in the world. I love Unitarian Universalist congregations but I love LOVE more. I love the earth more than any church building. I love human liberation more than any governance policy. I love Black lives more than any compensation package. Understanding the pain and failure that is absolutely implicit in loving what I love, I can meet the world's yeses and no's with increasing clarity.
As William Stafford concluded his poem, "A Ritual to Read to Each Other:"
For it is important that awake people be awake
Or a breaking line may discourage them back to sleep
The signals we give—yes or no or maybe—
Should be clear, the darkness around us is deep.
Response by Rev. Ian White Maher:
Personally speaking, I have a real aversion to what often sound like glib exhortations to fail these days. The ones coaching us to not be afraid to fail which are often followed with tales of serial entrepreneurs who tried a dozen times before they finally hit their success. These stories may be true, but they often leave out the pain. Failing is like a kick in the teeth. It is like a boot to the ear. It becomes an agonizing reckoning of everything you think you are as a person leaving you with terrible questions about your character. Are you failing because the market is not right? Are you failing because the support system is anemic? Or are you failing because you're not good at this? Because there is something about you, personally, that just isn't right? Whatever rationalizations I made I could never escape the relentless voice of insecurity telling me the project, the congregation I founded, was failing because I was not enough. And even though, intellectually, I knew this was an unavoidable element of trying something new, there is nothing glib or encouraging or inspiring in these moments because, whatever the reason may be, your dream is dying and it is excruciating to watch your dream die.
Additionally, the exhortations to change, to dream big, to lead the movement in new directions are often silent about some of the consequences for trying. The biggest one, in my experience, was the loss of relationships. If you decide to commit to the risk and venture out into new territory inevitably you will encounter conflict with people who disagree with you. If you have the audacity of greatness—with the emphasis on the word audacity because vision comes to those who, for better or worse, are audacious—you will encounter people who chafe at your audaciousness, although they will probably have another name for it.
There is an orthodoxy within Unitarian Universalism. And this orthodoxy serves people. And I don't just mean congregants. I also mean ministers. Some ministers say they want change, but in reality they are served by the orthodoxy. They like the way we look and sound and act. We are this way because the majority has chosen it. We have a culture and it is made up of us. We created this culture. And when you attempt to create something else essentially you are saying I want something other than what this culture offers. However harmless it is in the abstract, making the vision real puts you in conflict because it confronts the orthodoxy, the often silent, unspoken, unacknowledged orthodoxy. You step on the shadow and people react. This has been my experience, anyway.
But if I am to own what I just said, I must also implicate myself. I too have a shadow and even more than that I have a particular personality; one that works for some and not for others. To believe that I could create something out of nothing, that I could hang a shingle on the corner and say come listen to what I have to say, takes faith, will, courage, and audacity, although some people may have another name for it. In many respects, my response to your paper, Sean, my message today, is not for the entire room but for the few of you who are really considering the bold move of striking out on your own. Those who, for better or worse, actually take the advice to leave the known and allow yourself to be claimed by the mission of God's calling or something insane like that. While the lessons of my experience are far ranging what feels most poignant for this crowd is that some of your colleagues are going to respect you more. Some are going to respect you less. Some are going to put their names on the line for you because they believe in you. Some are going to talk behind your back and undermine your reputation because you chafe them in ways that are your fault and in ways that are not your fault. No congregant ever hurt me the way ministers hurt me. And no congregant ever loved me the way some of you loved me. But you cannot dream big and think that everyone is going to like you, that you are only going to become more popular particularly if you fail, that you are going to have all of your friends and more. Because you are trying to change the culture and you will encounter the shadow of the orthodoxy. You will step on toes. And your toes will be stepped on. And it is incredibly painful in a small group like ours where collegial relationships are a luxury. Lose too many and you are alone. Try not to lose any and you will not have the audacity that you need to be great. And at some point, you will encounter the dark night of the soul and wonder if this is even a place for you any longer. Some decide it is not.
So I am all for exhortations to dream big. It is all I think about. I am, in a way, obsessed. In my case, I tried to start a congregation and it failed. We had a few good years but we failed. And I am frustrated by the impulse in people who fear that word and tell me it wasn't a failure, that we learned things, that everyone was changed. All of which may be true, but also we failed. It's okay. And personally, I'm taking a break from ministry. It cut me to ribbons to watch my dream die and I encountered the dark night of lost collegial relationships. And I am exhausted.
And I encountered those who people who put their name on the line for me. These people mean more to me than I ever could have imagined. And, when I get back, I will probably try to start another congregation. It is the most amazing, life-giving thing I have ever done.
Some of you are going to try something big. You are going to try to change the culture and I wish you courage. Don't stop, but understand the risk you may be gutted. You will lose friendships, you will lose respect for people and you will have to sit with the understanding that people lost respect for you. But if your faith is strong you can weather these. And then failure is just another thing. It is a terrible thing, but just another thing. And you will throw on some Taylor Swift, and you will try to shake it off, and you will ask God for help to make a way where there is no way, and you will pick your dream up from the floor and you will try again. Because we are called to do this and while it is hyperbolic to say we don't care what the orthodoxy thinks, because we all want to be loved and appreciated, we are more than just entrepreneurs. We are evangelists who know that our world is dying from a spiritual malaise that can only be healed with a spiritual solution. And we are charged with offering it. Failure is excruciating. Don't let anyone tell you otherwise. But to dream is life giving. May you have courage, may you have faith, and may you overflow with the audaciousness of a vision that is going to really upset some people, including some of your colleagues. We are called to say yes to life and with God as our guide we will do our very best to endured the failures as they come so the sunshine of the spirit can shine through ever more beings. May it be so. Amen.


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Idiopathic Pulmonary Fibrosis
Your risk for IPF is higher if you smoke or have a family history of IPF, and the risk increases with age. The most common symptoms of IPF are shortness of breath and cough. Some people may not have symptoms at first, but signs and symptoms can develop and get worse as the disease progresses.
The way IPF advances varies from person to person, and scarring may happen slowly or quickly. In some people, the disease stays the same for years. In other people, the condition rapidly declines. Many people with IPF also experience what are known as acute exacerbations, where symptoms suddenly become much more severe. Other complications of IPF include pulmonary hypertension and respiratory failure, which happens when the lungs cannot deliver enough oxygen into the bloodstream without support. This prevents the brain and other organs from getting the oxygen they need.
There is currently no cure for IPF. However, certain medicines may slow the progression of IPF, which may extend the lifespan and improve the quality of life for people who have the disease.
Explore this Health Topic to learn more about IPF, our role in research and clinical trials to improve health, and where to find more information.
Causes - Idiopathic Pulmonary Fibrosis
IPF is a type of interstitial lung disease. It is caused by lung tissue becoming thick and stiff and eventually forming scar tissue within the lungs. The scarring, or fibrosis, seems to result from a cycle of damage and healing that occurs in the lungs. Over time, the healing process stops working correctly and scar tissue forms. What causes these changes in the first place is unknown.
To understand IPF it helps to understand How the Lungs Work. In IPF, the scarring makes it difficult to breathe and deliver from the lungs to the rest of the body. In healthy lungs, oxygen passes easily through the walls of the air sacs, called alveoli, into your and bloodstream. However, in IPF, the scarring makes the walls of the alveoli thicker. The thickened walls of the alveoli make it harder for oxygen to pass into the blood.
Look for
- Idiopathic Pulmonary Fibrosis
- Risk Factors will discuss family history, lifestyle, or other environmental factors that increase your risk of developing IPF.
- Treatment will discuss medicines, procedures, and lifestyle changes that your doctors may recommend if you are diagnosed with IPF.
- Research for Your Health will discuss how we are using current research and advancing research to better understand and treat IPF.
Risk Factors - Idiopathic Pulmonary Fibrosis
You may have an increased risk for IPF because of your age, family history and, lifestyle habits, or your sex.
- Idiopathic Pulmonary Fibrosis
The risk of developing IPF increases as you age, and usually occurs in people older than 50. IPF is diagnosed most often in people who are in their 60s or 70s.
Family history and genetics
- Idiopathic Pulmonary Fibrosis
Your risk for IPF is higher if a first-degree relative, such as a parent or sibling, has IPF. The specific genes youmay make you more likely to develop IPF, especially if those genes contain certain changes, or . To date, mutations in more than 10 different genes have been linked to an increased risk for IPF.
Your genes can put you at risk for IPF in a few ways.
Scientists have found that mutations in certain genes are common among people who have IPF. Some of these genes help the body makeand , which are important for healthy lung function. One gene, called MUC5B, makes a mucus protein that helps clear harmful substances, such as , from the lungs. Having a mutated MUC5B gene increases your risk for IPF more than other genes.
Mutations in the TERT and TERC genes are also common in people who have IPF. These genes help protect the DNA in our cells as they divide over our lifespans. The genes do this by producing ancalled telomerase. More research must be done to understand why these mutations contribute to the development of IPF.
Learn more about ongoing research we support to better understand how certain gene mutations may cause pulmonary fibrosis.
Lifestyle habits
- Idiopathic Pulmonary Fibrosis
Smoking is a common risk factor among people who have IPF.
- Idiopathic Pulmonary Fibrosis
IPF is more common among men than women.
Screening and Prevention - Idiopathic Pulmonary Fibrosis
Currently, there are no screening methods to determine who may develop IPF. If you have certain risk factors, especially a family history of IPF, your doctor may recommend you have a pulmonary function test or an imaging test, such as a high-resolution chest CT scan, to look for scarring in the lungs.
Look for
- Idiopathic Pulmonary Fibrosis
- Diagnosis will explain the questions, tests, and procedures that your doctor may use to diagnose IPF.
- Living With will discuss what your doctor may recommend to prevent your IPF getting worse or leading to complications.
- Research for Your Health will discuss how we are using current research and advancing research to better understand and treat IPF.
- Participate in NHLBI Clinical Trials will discuss our open and enrolling clinical studies that are investigating prevention strategies for IPF.
Signs, Symptoms, and Complications - Idiopathic Pulmonary Fibrosis
Theand of IPF develop over time. Symptoms may be different between people and may develop slowly or quickly.
Signs and symptoms
- Idiopathic Pulmonary Fibrosis
The most common signs and symptoms are:
- Shortness of breath that gets worse over time. At first, you may be short of breath only during exercise. Over time, you may feel breathless even at rest.
- A dry cough that gets worse. You may have repeated bouts of coughing that you cannot control.
Other signs and symptoms may include:
- Aching muscles and joints
- , which is a widening and rounding of the tips of the fingers or toes
- Gradual, unintended weight loss
- Generally feeling unwell
- Rapid, shallow breathing
- Idiopathic Pulmonary Fibrosis
Complications of IPF may include the following:
- Depression and anxiety
- Lung
- Pulmonary hypertension
- Respiratory failure
- Sleep problems or disorders
Look for
- Idiopathic Pulmonary Fibrosis
- Diagnosis will discuss tests and procedures used to detect signs of IPF and help rule out other conditions that may mimic IPF.
- Treatment will explain treatment-related complications or side effects.
- Living With will explain what to do if symptoms worsen or come back after treatment.
Diagnosis - Idiopathic Pulmonary Fibrosis
Your doctor will diagnose IPF based on your symptoms, your medical and family history, your risk factors, and the results from tests and procedures. Idiopathic means that your doctors cannot determine a cause of your disease at the time of diagnosis. They will rule out other medical reasons or conditions that may be causing your symptoms before diagnosing you with IPF. This may be done by doing other tests and talking to specialists.
Medical history and physical exam
- Idiopathic Pulmonary Fibrosis
To help determine whether you have IPF and rule out other possible causes of lung problems, your doctor may ask about your medical history and possible risk factors.
Your doctor may look for signs of IPF during a physical exam, such as:
- Blue hands and feet from not enough oxygen in the blood
- Clubbing of the fingers or toes
- High-pitched crackles when listening to your lungs
Diagnostic tests and procedures
- Idiopathic Pulmonary Fibrosis
To diagnose IPF, your doctor may have you undergo some of the following tests and procedures.
- High resolution chest CT scan, or HRCT, to take pictures of the inside of your lungs and look for scarring or . CT scans can also help distinguish between types of lung diseases. For IPF, doctors look for a pattern where the lungs look similar to a honeycomb.
- Lung to see if your lung tissue shows signs of inflammation, scarring, or other changes. This procedure is sometimes used to verify the diagnosis of IPF. It usually is done by thoracoscopic surgery, in which small incisions are made and a small camera is used to direct surgical instruments.
- Chest X-ray to take pictures of the lungs and look for evidence of inflammation or damage such as scarring. An X-ray does not provide as much detail as a high-resolution CT scan.
Tests for other medical conditions
- Idiopathic Pulmonary Fibrosis
Your doctor may perform some tests and procedures to help rule out other conditions that may cause lung disorders, including the following:
- Blood tests, such as an test to look for signs of an disease that can cause lung scarring.
- Bronchoalveolar lavage (BAL) to look at the types of cells in your lung fluid. Sometimes it may be used when the types of cells can help distinguish between IPF and other lung diseases.
- Pulmonary function tests to see if you show signs of reduced breathing capacity or abnormal blood oxygen levels. These tests help assess the severity of your lung disease, and they can help monitor whether your condition is stable or worsening over time.
- Genetic testing, if you have a family history of interstitial lung disease or signs of early aging.
- Idiopathic Pulmonary Fibrosis
- Return to Risk Factors to review family history and genetics, lifestyle, or other environmental factors that increase your risk of developing IPF.
- Return to Signs, Symptoms, and Complications to review common signs and symptoms of IPF.
Treatment - Idiopathic Pulmonary Fibrosis
There is currently no cure for IPF. Your doctor may recommend medicines, pulmonary rehabilitation, procedures, or other treatments to slow the progression of IPF and help improve your quality of life.
- Idiopathic Pulmonary Fibrosis
Your doctor may recommend the following medicines:
- Kinase inhibitors, such as Nintedanib or Pirfenidone, to help slow the decline in lung function from IPF. They may also help to prevent an acute , which is an unexpected and sudden worsening of symptoms over a period of days or weeks, and may prolong survival.
- Antacids to help treat GERD. Treating GERD may help prevent acid from getting into the lungs from reflux, making IPF worse.
Other treatments
- Idiopathic Pulmonary Fibrosis
Your doctor may recommend other treatments to treat IPF, including:
- Oxygen therapy to decrease shortness of breath and improve the ability to exercise.
- Ventilator support to help with breathing.
- Idiopathic Pulmonary Fibrosis
A lung transplant may be an option for some people who have advanced IPF. The major complications of a lung transplant are infection and rejection of the new organ by the body. You will have to take medicines for the rest of your life to reduce the risk of rejection following a lung transplant.
Look for
- Idiopathic Pulmonary Fibrosis
- Research for Your Health will discuss how we are using current research and advancing research to better understand and treat people who have IPF.
- Participate in NHLBI Clinical Trials will discuss our open and enrolling clinical studies that are investigating treatments for IPF.
- Living With will explain what your doctor may recommend including life-long healthy lifestyle changes and medical care to prevent your condition from getting worse or to treat complications.
Living With - Idiopathic Pulmonary Fibrosis
If you have been diagnosed with IPF, it is important to continue your treatment plan. Talk to your doctor about how often to schedule follow-up care and how to monitor and understand your condition so you know when to get medical help. Your doctor may also recommend lifestyle changes and pulmonary rehabilitation to help you manage the disease.
It is important to know that the progression of IPF is different for each person and cannot be predicted. Managing your condition is best done with the help of a healthcare team that can help improve your quality of life.
Receive routine follow-up care
- Idiopathic Pulmonary Fibrosis
Regular checkups with your doctor may be part of your follow-up and treatment. Tell your doctor if you suddenly experience a worsening of symptoms over a period of days or weeks. This event is called an exacerbation. Sometimes a trigger or other factor may trigger it, but often there is no obvious cause. Exacerbations from IPF can be life threatening and are more common in advanced stages of IPF. People who have an exacerbation from IPF may have repeat episodes.
If your condition worsens, you may benefit from oxygen therapy full time. Some people who have IPF carry portable oxygen when they go out.
Return to Treatment to review possible treatment options for IPF.
Monitor your condition
- Idiopathic Pulmonary Fibrosis
Patients who have IPF can have other conditions as well, so it may be necessary to see multiple doctors who specialize in different areas of medical care.
Your doctor may use the following tests and procedures to monitor your condition, and also to determine whether to recommend a lung transplant.
- Chest CT scan to look for lung cancer, or to see how you are responding to treatment or if your condition is getting worse.
- Liver function tests to monitor possible side effects from medicines.
- Pulmonary function tests, which your doctor may recommend every few months.
Adopt healthy lifestyle changes
- Idiopathic Pulmonary Fibrosis
Your doctor may recommend that you adopt healthy lifestyle changes to increase your overall health and prevent other conditions. This includes:
- Quitting smoking. If you smoke, quit. Also, try to avoid other lung irritants, such as dust, chemicals, and secondhand smoke. Visit Smoking and Your Heart and the National Heart, Lung, and Blood Institute's Your Guide to a Healthy Heart. For free help quitting smoking, you may call the National Cancer Institute's Smoking Quitline at 1-877-44U-QUIT (1-877-448-7848).
- Being physically active. Physical activity can help you maintain your strength and lung function and reduce stress. Try moderate exercise, such as walking or riding a stationary bike. Ask your doctor about using oxygen while exercising.
- Aiming for a healthy weight
- Heart-healthy eating. Also, eating smaller meals more often may relieve stomach fullness, which can make it hard to breathe.
Your doctor may recommend these lifestyle changes as part of a pulmonary rehabilitation program.
Take care of your mental health
- Idiopathic Pulmonary Fibrosis
Living with IPF may cause fear, anxiety, depression, and stress. Talking about how you feel with your healthcare team may help. Your doctor may recommend:
- Counseling, particularly behavioral therapy.
- Medicines or other treatments, such as antidepressants, or other treatments that can improve your quality of life.
- Joining a patient support group, which may help you adjust to living with IPF. You can see how other patients manage similar symptoms and their condition. Talk with your doctor about local support groups or check with an area medical center.
- Getting support from family and friends, which can help relieve stress and anxiety. Let your loved ones know how you feel and what they can do to help you.
- Discussing palliative care, if the disease becomes very advanced. For people who have severe symptoms from IPF, doctors may help them have a better quality of life with fewer symptoms.
Prevent exacerbations
- Idiopathic Pulmonary Fibrosis
To prevent exacerbations, your doctor may recommend avoiding situations where breathing is more difficult, such as in high altitudes, or when the air quality outside is poor from dust or pollution. Your doctor may treat exacerbations with medicines, such as, or increased levels of supplemental oxygen.
Return to Signs, Symptoms, and Complications to review complications.
Research for Your Health
The NHLBI is part of the U.S. Department of Health and Human Services' National Institutes of Health (NIH)—the Nation's biomedicalagency that makes important scientific discovery to improve health and save lives. We are committed to advancing science and translating discoveries into clinical practice to promote the prevention and treatment of heart, lung, blood, and sleep disorders including IPF. Learn about current and future NHLBI efforts to improve health through research and scientific discovery.
Improving health with current research
- Idiopathic Pulmonary Fibrosis
Learn about the following ways the NHLBI continues to translate current research into improved health for people with idiopathic pulmonary fibrosis. Research on this topic is part of NHLBI's broader commitment to advancing lung diseases scientific discovery.
- The IPF Clinical Research Network (IPFnet). The NHLBI formed IPFnet in 2005 to support research on IPF treatment. One study, PANTHER-IPF, found that a commonly used treatment for people who have IPF had potential to be harmful. The triple-medicine treatment included prednisone, azathioprine, and N-acetylcysteine. Guidelines for IPF now recommend against the three-medicine treatment, which is a change in clinical practice that has likely prevented unnecessary harm to other patients receiving care for IPF. Read more about this trial in Commonly used three-drug regimen for idiopathic pulmonary fibrosis found harmful.
- NHLBI Workshop on Aging and Lung Disease Biology. The Division of Lung Diseases held a workshop in 2015 to discuss the intersection of aging and lung biology, including why cellular aging is linked with IPF. Participants identified research directions to advance our understanding and management of aging-related lung diseases, such as developing new animal models of IPF. Visit NHLBI Workshop on Intersection between Aging Biology and Pathobiology of Lung Diseases for more information.
- NHLBI Workshop on Improving Targeted Medicine Delivery Methods in Lung Diseases. A 2014 workshop discussed lung biology and determined priorities for research funding in the development of better targeted treatments for lung diseases. Learn more about Targeted Drug Delivery for Lung Diseases.
- NHLBI Workshop on Preventing Chronic Lung Diseases. The Division of Lung Diseases convened a 2013 workshop to discuss the current knowledge on preventing specific lung diseases and key areas for future research. Learn more about Prevention of Chronic Lung Diseases.
- Advancing the Understanding of Lung Development. The Molecular Atlas of Lung Development Program (LungMAP) is integrating many datasets to build a molecular map of the developing lung in both humans and mice. The program is helping advance lung research, in part through its web-based data resource, called BREATH, which allows users to access LungMAP data and findings.
- A Diabetes Drug That May Help Treat Lung Fibrosis. Research partially supported by the NHLBI recently found that the medicine metformin, which is already approved to treat type 2 diabetes, was effective at reversing lung fibrosis in a laboratory model of IPF. The findings support the need for future studies of metformin as an IPF treatment. Visit Diabetes drug could treat lung fibrosis for more information.
- Certain Lung Cells May Cause Fibrosis. NHLBI-supported researchers found two groups of lung cell types that responded differently to injury. One cell type promoted regeneration of lung tissue, whereas the other cell type promoted scarring. This discovery may provide targets for new types of IPF treatments or medicines.
- Discovering How Aging Cells Contribute to IPF. An NHLBI-supported study suggested that older cells in the lungs that cannot produce new lung tissue may contribute to the risk for or worsening of IPF. Other NHLBI-funded studies are revealing how certain genes that control the aging process of cells is associated with IPF.
- Identifying Specific Genes That Increase Risk for IPF. NHLBI-supported research confirmed the association between a certain gene called MUC5B and IPF that greatly increases the risk of pulmonary fibrosis.
Learn about some of the pioneering research contributions we have made over the years that have improved clinical care.
- The NHLBI stimulates new treatment approaches for lung disease. Our Centers for Advanced Diagnostics and Experimental Therapeutics in Lung Diseases (CADET) program supports research on how lung diseases develop and on new medicines to treat the diseases. Learn more in NHLBI Supports CADET Researchers to Produce New Pulmonary Disease Drugs (Part 2).
- Providing resources for research. The Lung Tissue Research Consortium (LTRC) provides human lung tissues to qualified investigators for use in their research. The program enrolls patients who are planning to have lung surgery, collects blood and other clinical data from these donors, and stores donated tissue that otherwise would be discarded after the lung surgery. The LTRC provides tissue samples and data at no cost to approved investigators.
- Supporting research collaboration. The Pulmonary Trials Cooperative (PTC) brings together patients, researchers, and healthcare professionals from more than 50 institutions, with a common goal of developing new treatments and testing current clinical care practices.
Advancing research for improved health
- Idiopathic Pulmonary Fibrosis
In support of our mission, we are committed to advancing IPF research, in part through the following ways.
- We perform research. Our Division of Intramural Research, which includes investigators from the Pulmonary Branch, performs research on IPF.
- We fund research. The research we fund today will help improve our future health. Our Division of Lung Diseases oversees all of the research we fund on IPF, helping us to understand and manage the condition. Search the NIH RePORTer to learn about research the NHLBI is funding on IPF.
- We stimulate high-impact research. Our Trans-Omics for Precision Medicine (TOPMed) program includes participants who have IPF, which may help us understand how genes contribute to differences in disease severity and how patients respond to treatment. The NHLBI Strategic Vision highlights ways we may support research over the next decade.
Learn about exciting research areas the NHLBI is exploring about IPF.
- Targeting lung tissue in pulmonary fibrosis. We support collaborative research toward treatment that is more specific for lung tissue to improve effectiveness and reduce side effects. Research is looking for new ways to develop and test methods to deliver treatments directly to lung cells.
- Understanding how lung disease develops in smokers. We support a collaborative research effort to understand how IPF and other lung diseases develop in smokers. Research focuses on what may cause different diseases to develop in different people, which may help researchers develop better treatments in the future.
- Understanding how protein changes are involved in IPF. Oxidative stress or normal processes in the body can cause changes to proteins in the lungs that affect how they work. We support research to understand how these changes to certain proteins in the lung contribute to fibrosis and lung diseases. Understanding these protein changes may help develop medicines for IPF.
- Designing antibodies to stop fibrosis. NHLBI-supported investigators are designing and testing whether an antibody can help slow, stop, and possibly reverse scarring in IPF.
- Understanding the role that certain genes play in IPF. Researchers have identified some genes that increase the risk for pulmonary fibrosis, and these genes run in families. We support research that will look for more genes and combinations of genes that may play a role in causing IPF.
- Investigating the immune system's response to infection in lung injury and fibrosis. We support studies on the interaction between the immune system, infections, and the process of fibrosis, which can help researchers better understand what causes fibrosis.
- Research consortiums develop tools to study IPF. We support teams that work to develop better laboratory models to study IPF. Those models can then be used to develop new types of treatments.
- Investigating treatments that replace molecules missing in IPF cells. We support research on treatments that are meant to replace a molecule in the cell, called MIR-29, that might not work correctly in patients who have IPF.
Participate in NHLBI Clinical Trials
We lead or sponsor many studies on idiopathic pulmonary fibrosis (IPF). See if you or someone you know is eligible to participate in our.
Are you between 40 and 85 with worsening idiopathic pulmonary fibrosis?
Are you an adult who is healthy or has lung disease?
Do you have a first-degree relative diagnosed with an interstitial lung disease?
Do you have short telomeres and a telomere gene mutation?
Are you an adult who has idiopathic pulmonary fibrosis or an advanced lung cancer?
Are you a healthy adult or an adult who has idiopathic pulmonary fibrosis and is interested in improving lung imaging methods?
Learn more about participating in a clinical trial.
View all trials from ClinicalTrials.gov.
More Information
After reading our Idiopathic Pulmonary Fibrosis Health Topic, you may be interested in additional information found in the following resources.
Related Health Topics
Our Publications
NHLBI resources
- Idiopathic Pulmonary Fibrosis
Non-NHLBI resources
- Idiopathic Pulmonary Fibrosis
- Gastroesophageal reflux disease (National Institute of Diabetes and Digestive and Kidney Diseases [NIDDK])
- Idiopathic Pulmonary Fibrosis (National Library of Medicine [NLM], Genetics Home Reference)
- Interstitial Lung Disease (National Center for Advancing Translational Sciences)
- Interstitial Lung Diseases (NLM, MedlinePlus)
- Lung Disorders (Office of Disease Prevention and Health Promotion, Healthfinder.gov)
Dallas, TX
The National Heart, Lung, and Blood Institute (NHLBI) of the National Institutes of Health (NIH) is participating i...


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Obuasi Gold Mine is 65 km by road from Kumasi or 200 km north-west of Accra amid the township of Obuasi. Mining at Obuasi has been active for over 110 years and currently producing an approximate 300k oz. per annum.
Byrnecut Underground Ghana Ltd and AngloGold Ashanti entered into alliance style contract.
Byrnecut specialises in mechanised development, a method previously not practised onsite. Predominantly hand held methods and a complex shaft system had been historically used to mine the ore body. Byrnecut's main priority was to commence and complete the Obuasi Deeps Decline providing a new more efficient access to the extensive mine workings.
Byrnecut's scope of works included portal construction, decline and lateral development and rehabilitation. Byrnecut also managed all fleet maintenance and aimed to introduce mechanised long hole stoping methods.
Training and assessing of the Ghanaian work force was also completed by Byrnecut.


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The producers who appear on this compilation are numerous, but just to name a few: Telepopmusik, Lustral, Shlomi Aber, GusGus, Sandy Rivera, Nic Fanciulli. The material will be released on the 12th of March. Here is the complete track list:
Disc 1
A New Reality - Mark Knight, Martijn Ten VeldenFeat. E-Man
Love Can Damage Your Health - Telepopmusik
Everytime - Lustral
I Like That - Mark Knight
Couldn't Love You More - The Factory
Walking In My Sleep - Shlomi Aber
My Rendition - The Martinez Brothers
Time Is Now - Jamie Anderson
Club Therapy - Peace Division
Columbian Soul - D Ramirez, Mark Knight
21st Century - Dave Spoon
In Love With You - Atrium
Drug Music - Mark Knight
Moss - Gusgus
Disc 2
Afterhours - Dave Spoon, Mark Knight
All Alone - Splitter
Reachin' Out (Dave Spoon) - The Timewriter
Another T - Dave Robertson, Jon Gurd
Dibiza - Danny Tenaglia
It Comes From Inside - Low End Specialists
Do You Feel It - The Hedgetrimerz
Drummin - Alec Wizz
I Can't Stop - Sandy Rivera
Where's Your Head At? - Basment Jaxx
Work It - Workidz
Lucky Heather - Nic Fanciulli
Get Dumb - Axwell, Angello, Ingrosso, Laidback Luke
Iberis Complex - Peter Gelderblom
Susan - Mark Knight
Sandcastles - Sydenham, Ferrer
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Gaming Keyboards Under $100
Below is a showcase of some of the very best gaming keyboards available for under 100 dollars in today's current market. Every PC gamer, from a casual online first person shooter (FPS) to a professional computer gamer -- will know of the edge and advantages that a gaming keyboard can offer you, from their rapid response rate to their customisable set of keys to suit your very specific needs -- which in all, could very well mean the difference between life & 'winning' and death & 'losing'.
The SteelSeries 6Gv2 Mechanical Gaming Keyboard -- Price: $99.99
Credit: Amazon.com -- SteelSeriesThe 6GV2 is perhaps the most popular gaming keyboard around -- being specifically designed to "improve the user's ability to obtain more actions per minute than any other keyboard in the market". SteelSeries with the 6GV2 have also gone on to claim that they have redefined 'Anti-ghosting' -- allowing you to use up to six keys (as well as modifiers) simultaneously. This literal heavyweight (weighing approximately 2.6 pounds) as one Amazon.com reviewer claimed "is a great mechanical keyboard and highly recommend it to any one who is looking for a no frills gaming keyboard" and I can't say my personal opinion differs much -- a gamer looking for a sure bet to get a high performing gaming keyboard all for under a $100, can't really go wrong with this little beauty.
Cooler Master Storm QuickFire Pro -- Price $99.23
Another highly rated gaming keyboard that comes just under the 100 dollars budget is the Cooler Master Storm QuickFire Pro. Although perhaps not as popular as the 6GV2 above, it shouldn't be considered any less efficient. With mechanical 'high grade' Cherry MX Brown switches accompanied with a 1 millisecond response time (1000Hz) it makes the Pro a certainly mean gaming device with the right hands. Accompanied by its 'backlighting' with laser engraved keys the user can have the option of a N-Key roll over (USB) which essentially allows each key press to be registered regardless of how many others keys are held down. Overall, I have to say this my personal favourite -- a quality board and when you after you have become accustomed to the way it feels and works -- it can allow you to gain a big in-game advantage. Plus the fact that you are pretty unlikely to find a backlighting with MX brown switches on a keyboard for under 100 dollars.
Razer BlackWidow Ultimate Mechanical Gaming Keyboard -- Price:$102.99
The Razer BlackWidow Ultimate is the certainly one of the 'big players' in the gaming keyboard world, again like the 6GV2 and the Pro, the Blackwidow has a mechanical key infrastructure providing gamers with 'a tactile feedback' -- a rather crisp feel along with a claimed accelerated game play. Moreover, like the Pro, and as can be seen in the image above of the Blackwidow Ultimate -- it has illuminated keys for high game play even within low lighted areas. In addition, the keyboard offers you the ability to allow a simple "record[ing] of unlimited macros on-the-fly" allowing you to always stay in game. Again, a hugely popular keyboard amongst gamers and there is a reason why -- it works and it works well. And OK granted it is a little bit more than the budget mark, but there are alternative sellers out there who sell it for less than a $100.


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The Hague Institute for Global Justice and The Stimson Center are co-hosting a breakfast Expert Consultation on "Global Governance: The Intersection of Human Security and Justice" on 9 December 2014 from 08:00am – 10am at the Ausan Gate Meeting Room, Hilton Lima Miraflores in Peru, in connection with the work of the Commission on Global Security, Justice, and Governance.
The Commission is composed of a select group of eminent statespersons and public intellectuals and co-chaired by former U.S. Secretary of State Madeleine K. Albright and former Foreign Minister of Nigeria Professor Ibrahim A. Gambari. A chief goal of the Commission is to issue, in June 2015, a focused set of global policy and institutional reform recommendations in advance of the September 2015 United Nations' 70th Anniversary Summit in New York and the December 2015 Paris Climate Change Conference.
In addition to seeking expert views from Lima Climate Change Conference participants, the consultation will present research findings from four background papers on climate governance and technological responses. For your reference, we have attached the consultation program (which will include breakfast). The expert consultation will be chaired by Commissioner Mrs. Erna Witoelar (Founder of the Indonesian Environmental Forum and Former UN Special Ambassador for the MDGs).
In addition to the onsite Consultation, The Hague Institute and the Stimson will be facilitating a the second E-consultation for the 'Climate & People' research track of the Commission on Global Security, Justice and Governance from January 12th to February 13th 2015. The online consultation serves as a forum for climate governance experts to respond to and provide inputs for thought-provoking ideas for climate governance reform which will be presented to the Commission for consideration.
Climate governance experts are invited to register for both consultations. Additional information can be requested from Ms. Manuella Appiah (email@example.com).


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Software Development Engineer – Java
About ESO
ESO is a rapidly growing technology company passionate about improving community health and safety through the power of data. We provide software applications, interoperability and data management solutions to emergency medical services, fire departments and hospitals.
We're small enough to be nimble and fun, but big enough to be a great, stable place to work. We serve more than 10,000 customers out of our US offices (Austin, Dallas, and Des Moines) and our Belfast, Northern Ireland office.
About the role
As a member of ESO's development team, you will be collaborating with our highly talented development engineers and designers to build the next generation of ESO's SaaS and mobile products. Our development engineers are passionate about their craft and revel in shipping software that improves patient care and community safety. If you are ready to write elegant and innovative code that will effect real change, this is the job for you.
As a Java development engineer, we encourage you to think creatively in order to fully utilize the rich ecosystem of languages, tools, libraries, and frameworks that run atop of the JVM. You will participate in regular design sessions and code reviews and can expect to contribute solutions to a myriad of platform capabilities at ESO including application development, microservice architectures, and complex event processing systems.
Our development engineers lead by championing a culture of personal ownership and customer-focused execution. We love those who pride themselves not only on excellent code but excellent end-user experiences as well.
We are an Agile development shop and regularly demo our work to project stakeholders. To support this methodology, we practice continuous integration, embrace open source software, and empower our development engineers to make informed technology and product decisions.
More about you
You like challenges. If you wake up in the middle of the night with the next great idea and can't go back to sleep until you get a chance to write it down, you'll fit in with us. If you get frustrated working in inefficient, top-heavy companies and want to be somewhere you can truly make a difference, we might be a good fit. We are building the company we want to work for every day and we encourage everyone to take part in continually shaping the new ESO. Ideas trump job titles.
You love small teams. You'd rather be on a team with 100 "A" players than 1000 corporate drones. Accountability is a term you are familiar with. The only thing that should CYA at ESO is a pair of jeans. You love working in a team, but also are capable of cranking out a ton of work independently.
You believe in our customers. We use our national user conference, regional user groups, and steering committees to get ESOers in front of our customers. You enjoy getting first-hand feedback from customers and knowing how your work impacts them directly. You can't make a difference at ESO if you don't understand our customer.
The Essentials
Some of the things required to be successful in the role:
- Two plus years' experience in software engineering including knowledge of SOLID DRY SRP and other software engineering best practices
- Your experience should include;
- building distributed systems and microservice architectures using Java and/or Scala
- streaming/complex event processing technologies (Kafka, Spark, etc.)
- unit testing and mocking frameworks
- Git or other distributed version control systems
- Linux and open source software development
- at least two of the following; XML, XSLT, SOAP, REST API and web services
- You should also have;
- Knowledge of OO concepts, design patterns and functional programming
- Proficiency in SQL and relational database concepts
- Exposure to Continuous Integration / Continuous Deployment practices
- Knowledge of Linux system administration
- A passion for what you do and understanding how your work impacts ESO's success
- Excellent command of the English language, both written and spoken
The Desirables
It's a plus if you have experience of any or all of the following;
- Cloud Computing (Azure, AWS, etc.)
- Python
- Healthcare Technology


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To log into your account, you need to use the email and password that you set up when you first opened your account. If we've assigned you a Membership ID for use on our phone system, you can also use the first 10 digits of your phone number (minus country code) and the 4 digit PIN (personal identification number) we assigned you, to login to your web account. If you forgot your login details, you can click on "Forgot your login details?" and we will email you a link to reset your password. If you're still having trouble logging into your account, please call Customer Care at 1.800.965.3049.
On your "My Account" page you will see a list of the readings you have had in the last 90 days, which lasted at least 3 minutes. These are the readings you can rate and review.
To receive free horoscope, news and special offer emails, you need to have a Psychic Source account. Once you're a member, you can adjust your email subscriptions anytime by logging into your account and selecting "Communication Preferences."
To unsubscribe from the Psychic Source email list, go to your "My Account" page and click on "Communication Preferences," where you'll see the option to unsubscribe to all or selected marketing emails. If for any reason you are having trouble unsubscribing, please call Customer Care at 1.800.965.3049.
All of our Psychic Advisors share a sincere commitment to the psychic arts, and have demonstrated skill, compassion and integrity when providing readings. If you are genuinely gifted and want to share your gifts with others in a caring environment, please fill out our online application.
Didn't see your Question? Read more FAQs.
A specialist is standing by to help you.
Mailing Information: Psychic Source, P.O.Box 794, Langhorne, PA 19047


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Print Recipe
Can't get a date? Meet Matt Titus, New York's leading relationship expert and dating coach, whose specialty is helping both single women and gay men find their Mr. Right. With the help of his business partners, his wife Tamsen Fadal and associate Eddie Varly, Matt puts his single clients through the paces of dating boot camp and relationship rehab.
Matt and his team have extensive files of men and women ready to find a match. Playing cupid, Matt pairs a perfect match, selects a suitable location and skillfully preps his clients for the big date, giving them advice on wardrobe, hair, make-up, body language and conversation topics. But his clients don't always make the perfect date; from one woman who wants to bring her dog on the first date to another who has a problem picking men who are either married or ex-cons. However unlikely Matt's match may seem, his hard work and expertise always pay off.
For more information about this show, please visit the official website for Matched In Manhattan here... Read more.
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to start or resume an order
Gustus Brussels Sprouts
Gustus Brussels Sprouts
to start or resume an order
Additional Information
Brussels Sprouts
Brassica oleracea (gemmifera group)
~5,000 seeds/oz; 175 seeds/g.
Culture: Fussy like cauliflower and requires a long season. Start indoors no later than early April and transplant into very fertile soil. Around Sept 1, top the plants. When I experimented by topping some and leaving others, the difference was dramatic. Within two weeks the topped plants were putting all their energy into making sprouts while the untopped plants continued to shoot up more foliage and made only miniscule sprouts. Very hardy, improved by frost and can be harvested past the first snowfall.
Days to maturity are from direct seeding. Subtract 20 days from date of transplanting.
Note: We cannot ship packets greater than ½ oz. (14 grams) of any Brassica into the Willamette Valley. The State of Oregon prohibits shipping any commercial quantity of untreated Brassica, Raphanus or Sinapis because of a quarantine to control Blackleg.
Culture: Hardy. Require warm temperatures to germinate (68-86° ideal) but need 60s during seedling stage for optimal growth; higher temperatures make seedlings leggy. Heavy feeders; for best growth, need regular moisture and 2–3' spacing. Have done well for us succeeding onions and garlic in beds. Cauliflower and broccoli are damaged by hard frosts, especially in spring.
Young broccoli sproutlings make good microgreens.
- BR: Black Rot
- BS: Bacterial Speck
- DM: Downy Mildew
- FY: Fusarium Yellows
- TB: Tipburn
- WR: White Rust
Pests & diseases: Major pests: Cabbage Looper, Diamondback Moth, Imported Cabbageworm
Cultural controls: control cabbage-family weeds near crop fields, till under crop debris of early-season brassicas after harvest.
Materials: Spinosad, Bt.
Pest: Flea Beetle
Cultural controls: floating row covers, mulch with straw, time plantings for fall harvested crops only, crop rotation, perimeter trap cropping.
Materials: Spinosad, PyGanic.
Pest: Cabbage Root Maggot
Cultural controls: time planting to avoid first hatching, use row covers, control weeds.
Major diseases: Black Rot, Alternaria Leaf Spot, Blackleg, Club Root, Downy Milldew, White Mold
Cultural controls: avoid transplanting plants with yellow leaves or v-shaped lesions, crop rotation, destroy crop debris after harvest, avoid overhead irrigation, control weeds, allow for good air movement.
Materials: Actinovate, copper compounds may help for some of these diseases.


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About Us
Welcome to HK Kidz Education Centre, a branch of HK Institute of Languages, specialising in French, English, German, Spanish, Mandarin and Japanese courses for children 1½ -12. Classes are available at our Central branch and the new Wong Chuk Hang branch.
We believe that learning should be a natural, rewarding and fun experience. At HK Kidz, we strive to provide your child with the best language learning experience possible!
HK Kidz is conveniently located in the heart of Central. We have a beautifully furnished and equipped centre dedicated exclusively to children's classes.
We're excited to announce that our brand new centre for HK KIDZ is now open at One Island South (near Ocean Park). The new centre offers 3,000sqft of space and has been specially designed for HK KIDZ language programmes. The new learning centre has state-of-the-art equipment to provide high quality, fun-filled programmes that cater to your child's language needs.
Proven 30-year track record!
You may click "Contact Us" to view the address of our centres and their location maps


text: Explora is a classic calligraphic italic font with elegant form. The Pro version of Explora includes alternate uppercase swashed forms as well as lowercase alternates giving the designer a diverse range of design options. In addition, Explora Pro includes a full character set of Cherokee Nation glyphs as a way to promote the preservation of this beautiful native American language.


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The Fever 333 Set to Headline Heavy Music Awards 2018
California's incendiary crossover sensation The Fever 333 are set to headline the second annual Heavy Music Awards at London's KOKO on 23 August, with support from Milk Teeth, Black Peaks and Coldbones.
The trio – which features former letlive. vocalist Jason Aalon Butler, ex-The Chariot guitarist Stephen Harrison and drummer Aric Improta, who also features in instrumentalists Night Verses – recently made their European debut at Download Festival, packing out the Avalanche stage and putting on one of the most energetic and memorable shows in the festival's history. With a powerful socio-political message and the music to back it up, the band have rapidly picked up critical acclaim and are set to bring the curtain down on HMA18 in style.
Main support on the night are Milk Teeth. In between crossing their fingers as finalists in the Best UK Breakthrough Band category, the Stroud quartet will be bringing a huge grunge/punk party as main support with cuts from their twin EPs 'Be Nice' and 'Go Away'.
Second on, Rise Records' Black Peaks – who will be showcasing songs from their upcoming sophomore album 'All That Divides'. Having welcomed the band to HMA17 as finalists in the Best UK Band category, we could not be more excited to have them onstage for a full set this time out.
Opening proceedings at KOKO are Kent's instrumental progressive metal outfit Coldbones, who's recent debut album 'Where It All Began' has been picking up rave reviews across the board. Bassist Nick Suchak said, "We couldn't be more excited to be a part of this incredible night, alongside some of the most exciting bands around at the moment. The team behind the HMAs are doing an amazing job of creating something very special. See you there!"
And if that's not enough for you, we've got an afterparty hosted by the very wonderful Emo Night UK, with guest DJs ready to take the night off into the early hours.
How to Attend the Heavy Music Awards 2018
Tickets are not available to purchase for HMA18. If you voted to help decide the winners, your name is in the draw to win a pair of tickets – successful applicants will be notified shortly.
If you missed out on voting, keep an eye on @heavymusicawds for further chances to win.
For press accreditation, please contact: email@example.com (Online and Print) / email@example.com (Radio and TV)
For sponsorship enquiries, please contact: email@example.com


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Lidgerwood ND ZIP Code
Lidgerwood city is located in North Dakota State, Richland County and has a unique zip code assigned by the US Postal Service Office.
You can search for the Lidgerwood ND zip code by its streets and block numbers if we have some of the Lidgerwood streets loaded in our website
Lidgerwood Area Code is 701 and Time Zone is Central (GMT -06:00).
Lidgerwood Zip Code - North Dakota
The US ZIP Code basic format consists of five decimal numerical digits assigned to the Lidgerwood City. An extended ZIP+4 code, introduced in the 1980s, includes the five digits of the Lidgerwood ZIP code, a hyphen, and four more digits that determine a more specific location within a given ZIP code in Lidgerwood, North Dakota.
The Lidgerwood Zip Code is 58053.
If you want to send a mail to Lidgerwood City, you should use the 58053 Zip Code.
In 1983, the U.S. Postal Service introduced an expanded Lidgerwood ZIP code system that it called ZIP+4, often called "plus-four codes", "add-on codes", or "add ons". A ZIP+4 code uses the basic 58053 Zip code plus four additional digits to identify a geographic segment within the five-digit delivery area, such as a Lidgerwood city block, a group of apartments, an individual high-volume receiver of mail or any other unit that could use an extra identifier to aid in efficient mail sorting and delivery in North Dakota.


text: I think most readers of this blog are familiar with my Creativityist blog since it has twice as many readers as this one. But since I've been posting my design work here of late, I thought I'd include it. I'm still very pleased with the base design there, which is now about a year old. Over the last few weeks, I've done some clean up to the design on that site; I reworked some of the typography and simplified the sidebar. They are subtle changes but make the design more inviting.Latest Posts


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Beautifully crafted wireless speaker is the first to incorporate Apple® AirPlay®, DTS Play-FiTM and aptX® Bluetooth®
Phoenixville, Pennsylvania – Wren Sound Systems continues to build on its reputation in the high-end wireless speaker market with the release of its Wren V5US – the first wireless speaker to combine officially certified versions of Apple AirPlay, DTS Play-Fi and aptX Bluetooth. The V5US embodies Wren's beautifully minimalist design that sets a new standard for superior build quality, genuine wood cabinetry, and elegant simplicity in wireless audio. The Wren V5US is available now in either almond crème anigre (pictured above) or espresso wenge (pictured below) finishes for $499.00 at www.wrensound.com and at authorized Wren dealers.
The Wren V5US boasts near-universal device compatibility featuring both AirPlay and Play-Fi technologies to enable WiFi streaming from Apple iOS devices, Android devices and PCs running Mac or Windows. For the first time, every household member can wirelessly transmit lossless audio from a wide range of smartphones, tablets and PCs with no impact on sound quality. Users can also connect up to eight different Wren speakers to one network, and enjoy perfectly synchronized music in multiple locations throughout their home or office. The V5US allows listeners to stream music to different zones from a single device as well as allowing multiple users to stream different songs to different rooms via separate mobile devices.
The combination of DTS Play-Fi and Apple AirPlay in a single speaker opens lossless WiFi streaming to a broad array of popular smart devices. Play-Fi works with smartphones and tablets running Android 2.2 and later, PCs running Windows® 7, 8 or 8.1 and Apple iOS devices (iOS 6.0 and later) with the Play-Fi iOS app. AirPlay works with iPhone, iPad and iPod touch with iOS 4.3.3 or later, Mac with OS X Mountain Lion or later and Mac and PC with iTunes 10.2.2 or later. For other smart devices, the V5US offers Bluetooth with CSR aptX®.
Wren's President and CEO, Mike Giffin, has leaned on over 35 years of high-end audio experience to spearhead Wren towards the market's forefront. "At Wren, we believe that great audio performance and great design go hand-in-hand," Giffin said. "In a world of plastic speakers, Wren offers a genuine alternative for those who prefer real wood with rich finishes, subtle curves and sophisticated styling. You're going to live with it, so we think you should enjoy looking at it."
The V5US is an extension of Wren's V5 speaker platform, which has garnered vast critical claim from both reviewers and consumers nationwide for its superior build quality, sophisticated design, real wood cabinets and great sound. Wren's V5US marks a major step forward in wireless multi-room performance, enabling users of a range of devices to stream directly to multiple speakers for the ultimate audio flexibility, sound quality and ease of use.
Wren Sound's V5US is available now for $499 at www.wrensound.com and authorized Wren dealers.
# # #
About Wren Sound Systems
Wren Sound Systems combines cutting-edge technology with old school audio know-how and modern design to create simple, elegant speakers that deliver genuine high fidelity sound in a convenient and affordable way. Mike Giffin, a 35-year veteran of the audio industry and former division president of Harman International's consumer audio business, founded Wren Sound in 2011 to raise the bar for performance and design in the new frontier of wireless audio. The privately held company, based in Phoenixville, PA, is dedicated to making superior wireless audio equipment for music lovers who have a passion for great sound, natural materials and sophisticated design.
Media Contact:
Trisha Nieder
Creative Strategist
Max Borges Agency
(305) 374-4404 x154
Max Borges Agency is an award-winning tech PR agency based in Miami with multi-national clients targeting the global consumer.


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Paul Krugman, the Nobel-winning economist and New York Times columnist, took to Twitter on Friday to address the state of the US labor market and President-elect Donald Trump's promises to bring back manufacturing jobs.
To Krugman, the decline in manufacturing employment in the US isn't because of outsourcing, but rather a decades-old feature of the industry.
"The story of US manufacturing is basically one of high productivity growth allowing demand to be met with ever fewer workers," Krugman wrote.
Krugman is essentially arguing that the manufacturing sector hasn't added jobs to the labor market in years past. Instead, improved equipment and automation has allowed US manufacturers to increase output. Thus even if manufacturing came back to the US, most of the plants would be automated anyway, producing a lower number of jobs than one might hope for.
The tweetstorm probably has something to do with Trump repeatedly promising throughout his campaign to bring manufacturing jobs back to the US. Even on Thursday, Trump tweeted that he was working with Carrier, the air conditioner maker, to keep its plant in Indiana.
As a counter to that, Krugman appears to be arguing that fighting to keep these jobs rather than pivoting toward the service sector is backward thinking.
"Nothing policy can do will bring back those lost jobs. The service sector is the future of work; but nobody wants to hear it," the economist wrote.
To Krugman's point, manufacturing employment peaked in 1979, before a significant number of the free trade agreements Trump blames for the decline.
Krugman has been active on Twitter following the election, bemoaning the loss of Democrat Hillary Clinton and criticizing the policies and appointments of Trump.
Here's the full Twitter argument:
—Paul Krugman (@paulkrugman) November 25, 2016
—Paul Krugman (@paulkrugman) November 25, 2016
—Paul Krugman (@paulkrugman) November 25, 2016


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"Oya Jobi Mummy Wo! Oya Jobi Daddy Wo! Oya Jobi Olowo Wo!"
Here is something new from Olamide and it's titled Wo!. This track will definitely get you moving so, get ready to put on your dancing shoes.
This will be doing some major damage on radio and in the clubs.


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A wide-ranging royal commission into Australian institutional responses to child sex abuse may help heal shattered lives, the Australian Greens say.
Prime Minister Julia Gillard will ask Governor-General Quentin Bryce to set up the inquiry into institutional responses to instances and allegations of child abuse in Australia, with a focus on sex abuse.
Australian Greens leader Christine Milne said it would be welcome, if difficult, news for thousands of Australians.
"I hope this can bring some peace and justice to shattered lives, lift the shadow off all those good people in the church striving to do good for others, and make sure nothing like this ever happens again," she said in a statement on Monday.
Independent MP Tony Windsor said the royal commission would not be a "witch hunt".
"It's about giving the victims of child sexual abuse access to justice and in so doing give them hope that they can have a future in which they can move on from the past," he said in a statement.
NSW premier Barry O'Farrell welcomed the announcement, telling AAP "these heinous offences don't stop at state boundaries".
The Brotherhood of St Laurence says a royal commission is long overdue and it hopes it will bring crimes committed against children out into the open.
Executive director Tony Nicholson said it was obscene that institutions had covered up their crimes for decades.
"We welcome this announcement but it is well overdue," Mr Nicholson told AAP after Prime Minister Julia Gillard announced a royal commission into institutional responses to allegations of child abuse in Australia.
"It's obscene that institutions have for so long chosen to cover up crimes against the most vulnerable - our children - and have failed to report it to the police."
It was important the terms of reference, still to be announced by Ms Gillard, were comprehensive.
"Once and for all we can get these crimes into the open," Mr Nicholson said.
Nicky Davis from the Survivors Network of those Abused by Priests said her first reaction to the announcement was to hug her son and sob with joy.
"Our suffering is being recognised, our voices are being heard and this is a wonderful thing," she told ABC television.
Victims wouldn't be able to heal while the truth was covered up, Ms Davis said.
She urged the prime minister to ensure that victims' voices were heard when the commission's terms of reference were put together.
"We are the experts in how they managed to get away with this for so long," she said.
Victorian Premier Ted Baillieu said his government would work with the federal government to establish the commission.
The Victorian government has been conducting its own parliamentary inquiry into sexual abuse of children by clergy, which Mr Baillieu said had provided the opportunity for a national focus on the issue.
"It is clear that there have been a substantial number of established complaints of sexual abuse of children by those who have taken advantage of positions of authority," he said in a statement.
"This abuse is abhorrent and it has had traumatic consequences for victims and their families.
"It is important that we do whatever we can to prevent it from happening and bring those who are perpetrators of child abuse to justice."
Stephen Woods, who was abused by Catholic clergymen from the age of 11, hoped the commission would help on his road to recovery.
"When you're believed, it makes you feel a little bit more powerful in one way, that, yes, I can overcome this, I can deal with this - this wasn't my fault," he told ABC television.
He described the abuse he suffered at the hands of the clergymen.
"He would molest you in the front of the class.
"While, say, you were reading a book ... he'd have his hands up your shorts.
"Or he'd take me into his office where he used to make me strip and he would masturbate behind his desk."
The Australian Catholic Bishops Conference said as individuals they shared the feelings of horror and outrage all decent people felt reading the reports of sexual abuse and allegations of cover ups.
"While there were significant problems concerning some dioceses and some religious orders, talk of a systemic problem of sexual abuse in the Catholic Church is ill-founded and inconsistent with the facts," they said.
They believe it would help determine the scope of the royal commission if police and child protection authorities released the information they have about the number of cases they are dealing with now and the situations in which they have arisen - families, government organisations and non-government organisations, including churches.
Broken Rites, a long-time campaigner for justice for children abused by pedophile priests, says it wants to see outcomes for victims.
President Chris MacIsaac says it has been a long, hard battle and he now wants to see the Catholic church speak frankly about what it knows.
"We want an outcome that will benefit victims, to see recommendations made that actually help victims," Ms MacIsaac told AAP.
"They want the actual knowledge that the church accepts that these crimes took place so they can shake off their guilt and begin to rebuild their lives.
"It's certainly time that the church shed some of what it knows about what's happened over the last 20 to 30 years."
The Anglican Archbishop of Sydney said he was praying for a good outcome from the royal commission.
"The Diocese of Sydney expresses its unqualified abhorrence of child abuse, wherever it occurs," Archbishop Peter Jensen said in a statement on Monday night.
"While the terms of reference have yet to be decided, we will work and pray for an outcome which will result in a safer society for the most vulnerable."