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Ørestad now has witnessed a lot of the new improvement. Found in close proximity to Copenhagen Airport, it at present offers certainly one of the biggest malls in Scandinavia and a number of office and residential structures along with the IT University in addition to a high school.[140] Parks, gardens and zoo[edit]
The five,000-year-aged mummified overall body of Ötzi the Iceman was uncovered with fifteen groups of tattoos,[259] many of which were being Positioned at points on the human body the place acupuncture needles are useful for abdominal or decreased back problems. Proof from your body suggests Otzi experienced from these problems.[30] This has long been cited as evidence that practices just like acupuncture might have been practiced elsewhere in Eurasia through the early Bronze Age;[259] however, The Oxford Handbook with the Background of Medication calls this theory "speculative".
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Delivery is an additional import sector with Maersk, the planet's largest shipping and delivery enterprise, acquiring their entire world headquarters in Copenhagen. The city has an industrial harbour, Copenhagen Port. Next a long time of stagnation, it has experienced a resurgence due to the fact 1990 subsequent a merger with Malmö harbour.
In China, the popularity of acupuncture rebounded in 1949 when Mao Zedong took power and sought to unite China behind conventional cultural values. It absolutely was also for the duration of this time that many Eastern health care practices had been consolidated beneath the title common Chinese medicine (TCM).[30]
" Given that the people in Copenhagen are previously dead, they can not undergo any tragic drop; while There may be definite wit while in the arguments, it is actually taken in a very serious light-weight observing since it regards subjects like war, fear and nuclear arms. It's most almost a "drama," but performs in many ways as an expository piece inside the fashion it presents data on the audience. Design and style[edit]
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[nine] A systematic assessment concluded the analgesic outcome of acupuncture seemed to absence medical relevance and will not be Obviously distinguished from bias.[fifteen] A meta-Assessment discovered that acupuncture for Continual very low again discomfort was Expense-productive being an adjunct to standard Find Out More care,[16] while a scientific evaluate found insufficient evidence for the cost-performance of acupuncture during the treatment of chronic lower back again suffering.[seventeen]
Some individuals really feel comfortable and Other folks sense energized following an acupuncture remedy. Although not Everybody responds to acupuncture. If your indications You should not start off to Get the facts improve in a several months, acupuncture is probably not right for you.
From Europe there are lots of bus companies which provide various day-to-day connections from Germany often at quite aggressive charges, most operate by way of the ferries from Rødby to Puttgarden or Gedser to Rostock.


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The newest files are in this section. Bill VanTichelts daughter Holly sent these early Van Tech photos supplied by Ray Hook at Blendzall Oils.


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KidKraft Children's Pastel Wooden Sling Bookshelf
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KidKraft Children's Pastel Wooden Sling Bookshelf
Simple and sturdy, the KidKraft Sling Bookshelf is a great way for your little ones to organize their books. The soft canvas shelves protect hardcover books, board books, coloring books or any other flat items your children cherish.
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Model: 14225 Primary Sling Bookshelf
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Nomination of William D. Ruckelshaus to Be Deputy Attorney General [electronic resource]: Hearings Before the Committee on the Judiciary, United States Senate, Ninety-Third Congress, First Session
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LEADER 01051cam a22002413u 4500001 u6481190003 SIRSI005 20170508061256.0006 m d007 cr n008 170508s1973 ||||||||s|||||||| ||||| da| (WaSeSS)ssib020086911a| WaSeSS c| WaSeSS d| WaSeSS24500a| Nomination of William D. Ruckelshaus to Be Deputy Attorney General h| [electronic resource] : b| Hearings before the Committee on the Judiciary, United States Senate, Ninety-Third Congress, First Session.a| [S.l.] : b| Washington: U.S. Govt. Printing Off., c| 1973.a| Title from content provider.a| Mode of access: World wide Web.6550a| Electronic books.7102a| HeinOnline U.S. Congressional Documents Library7102a| HeinOnline U.S. Attorney General & Department of Justice Collection85640u| http://RE5QY4SB7X.search.serialssolutions.com/?V=1.0&L=RE5QY4SB7X&S=JCs&C=TC_020086911&T=marca| 1a| XX(6481190.1) w| WEB i| 6481190-1001 l| INTERNET m| UVA-LIB t| INTERNET
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Atrial Fibrillation. My follow-up questions: A Patient s Guide to Understanding. sjm.com
- Ralph McDaniel
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1 My follow-up questions: Global Headquarters Cardiac Rhythm One St. Jude Medical Drive Management Division St. Paul, Minnesota Valley View Court USA Sylmar, California USA Fax Fax sjm.com A Patient s Guide to Understanding Atrial Fibrillation CAUTION : FEDERAL LAW (USA) RESTRICTS CARDIAC ARRHYTHMIA MANAGEMENT DEVICES TO SALE, DISTRIBUTION AND USE BY OR ON THE ORDER OF A PHYSICIAN. Brief Summary: Please review the appropriate literature accompanying the device for a complete listing of warnings and precautions. Unless otherwise noted, or TM indicates a registered or unregistered trademark or service mark owned by, or licensed to, St. Jude Medical, Inc. or one of its subsidiaries. ST. JUDE MEDICAL, the nine-squares symbol and MORE CONTROL. LESS RISK. are registered and unregistered trademarks and service marks of St. Jude Medical, Inc. and its related companies St. Jude Medical, Inc. All rights reserved. Item number: N0964
2 Frequently Asked Questions A patient s guide to understanding atrial fibrillation. Atrial fibrillation (also called AF or A Fib) is the most common abnormal heart rhythm, affecting about 5 million people worldwide. It is a very fast, uncontrolled rhythm caused when the upper chambers of the heart (the atria) quiver instead of beating in an organized manner. During AF, the atrial rate can jump to between 350 and 600 beats per minute (bpm). The lower chambers of the heart, the main pumping chambers or ventricles, do not beat this fast; however, they often beat much higher than a normal heart rate, which is between 60 and 100 bpm at rest. When AF continues for a period of time, the physician will often prescribe medications to control the rate of the ventricles, while using other medications that attempt to terminate the AF and restore normal rhythm in the atrium. Atrium Ventricle Atrium Ventricle What exactly happens during AF? To understand AF, it is helpful to first understand how a healthy heart works. The heart is a pump with four chambers: two small upper chambers called the atria (you have a right and a left atrium) and two larger, more powerful pumping chambers called ventricles (again you have a right and a left ventricle). In a healthy heart, blood is pumped efficiently through the body, controlled by a unique electrical system in the heart itself. The electrical impulse that begins each heartbeat originates from an area in the upper right side of the heart. This area is called the sinoatrial (SA) node, or the heart s natural pacemaker. Once originated, an electrical impulse travels through the atria causing them to contract. Then it moves down a pathway to the ventricles, causing them to contract and move the blood out of the heart to the rest of the body. Every normal heartbeat actually has four steps. When the atria contract, they squeeze (pump) blood into the ventricles. There is a very short pause (a fraction of a second) giving the blood time to move into the ventricles and then the ventricles contract, pumping blood to the body. Thus the four parts of each heartbeat include an atrial beat, a short pause, a ventricular beat, and another pause before the beginning of the next heartbeat. This last pause allows the blood that has returned to the heart and is being collected in the atrium to then enter and help fill the ventricle. For every atrial beat, there is a ventricular beat at a set time right afterward. This is called synchrony. When a patient suffers from AF, there is an abnormality in the heart s electrical system; impulses are initiated in a chaotic and irregular manner from various locations in the atria, not in a regular manner from the SA node. This
3 is why there is a quivering effect in the atria, instead of an orderly pattern for each heartbeat. These multiple impulses compete with each other and send the upper chambers into a disorganized rhythm. Because there are so many impulses, the atria try to keep up by responding to all of them, resulting in this quivering called fibrillation. It is not just the atria that are affected, however. The ventricles also beat irregularly and sometimes rapidly (but not as fast as the atria), so they do not pump blood as they should to the rest of your body. This is what can cause symptoms like shortness of breath and more. Over time, this irregularity in the ventricles can lead to other complications, such as heart failure, a progressively worsening condition in which (most typically) the ventricles do not beat efficiently. What are the symptoms of AF? The symptoms of AF include palpitations, irregular heartbeat, shortness of breath, chest discomfort, and dizziness. Many patients experience feelings of weakness, caused by the heart s diminished pumping ability. The awareness of a rapid and/or irregular heartbeat also may cause some patients to feel quite anxious. Patients who have otherwise healthy hearts may be better able to tolerate AF. People with underlying heart disease are generally less able to tolerate AF without complication. Once AF becomes symptomatic, it becomes more serious as it indicates that the heart is failing to pump adequate amounts of blood to the body. Can I have AF and not know it? Sometimes, AF occurs, but its symptoms, such as fatigue or lack of energy, can be hard to discern. Because of this, the patient can dismiss them as the result of too little sleep the night before, or stress at home or at work. It has been estimated that up to 90 percent of AF episodes are asymptomatic. What causes AF? There is still much we do not know about the causes of AF; however, there are risk factors that can contribute to its onset. The prevalence of AF increases strikingly with advancing age. Less than one percent of men and women in the U.S. younger than 60 experience AF, whereas it occurs in about 1 out of every 10 adults over 80 years. 1,2 Smoking, stimulants (including caffeine), high blood pressure, heart failure, heart valve disease, hyperthyroidism (too much thyroid hormone in the body), and other factors can increase the likelihood of AF. 1. Go AS, Hylek EM, Phillips KA et al. Prevalence of diagnosed atrial fibrillation in adults. National implications for rhythm management and stroke prevention: the Anticoagulation and Risk Factors In Atrial Fibrillation (ATRIA) Study. JAMA 2002;285: Feinberg WM, Blackshear JL, Laupacis A et al. Prevalence, age distribution, and gender of patients with atrial fibrillation. Analysis and implications. Arch Intern Med. 1995;155: (
4 Is AF life-threatening? AF, by itself, is not life-threatening, and it was once thought that AF was not even necessarily serious. More recently, however, studies have shown that AF may increase your risk of stroke or heart failure and decrease your quality of life. How does AF increase my risk of stroke? Because the pumping function of the upper chambers is not working properly, the blood is not completely emptied from the heart s chambers, causing it to pool and sometimes clot. If part of a clot dislodges from inside the heart and moves to the brain or an artery, it can cause a stroke. A person with AF may be up to five times more likely to suffer a stroke than someone who does not have AF. What can be done to help prevent stroke due to AF? If it is discovered that you have episodes of AF that are recurrent and last for hours, if not days at a time, your doctor will most likely recommend blood thinners (anticoagulants). Blood thinners have been shown to significantly reduce the incidence of a stroke due to AF. How does AF increase my risk of heart failure? If the heart beats in a very rapid and disorganized way for a long period of time, the heart muscle may weaken. The weakened heart muscle can become enlarged, such that it is unable to pump efficiently, regardless of the rate. This condition is known as heart failure, and it refers to the progressive weakening of the heart muscle. People with AF are more likely to develop heart failure than people without AF. Is all AF the same? There are several types of AF. Paroxysmal AF is characterized by brief episodes of the arrhythmia, which can resolve by themselves. In persistent AF, the episodes require some form of intervention to return the heart rhythm back to normal. For those with permanent AF, normal rhythm cannot be restored. Instead, the focus becomes controlling the response of the heart s ventricles to the AF. This is most commonly accomplished through medication. How is AF treated? There are a number of treatment options for AF, and there is no single way to treat AF that is right for everybody. Every patient is unique, as there are many causes of AF. You should discuss your treatment options with your doctor; however, there are a few standard approaches of which you should be aware. The first line of treatment usually involves medications, but there are other treatments that might be appropriate, including cardioversion, ablation, surgery and, more recently, implantation of a pacemaker to suppress AF by regulating the atrial rhythm. Sometimes a pacemaker is also implanted after certain ablation procedures to regulate the heart rate.
5 What medications might be used to manage my AF? Many AF patients are successfully treated using cardiac drugs. Depending on your condition, your doctor may prescribe medications from up to three main categories: n Those used to prevent the ventricular rate from becoming too fast and that may reduce symptoms; these are called beta blockers (like atenolol or metoprolol) and calcium channel blockers (like verapamil or diltiazem) n Those used to help restore a normal heart rhythm (amiodarone, dronedarone, sotalol or dofetilide) n Those used to thin the blood and reduce the risk of clot formation, called anticoagulants (such as Coumadin or heparin); not all AF patients require blood thinners There are many AF drugs on the market, so your physician is your best source of advice for the right medication for your condition. Because every patient is different, your doctor may have to prescribe different medications, or a combination of medications, in order to find the right one(s) that work best for you. Be sure to follow your physician s advice carefully for such medications, as there can be interactions with other medications or side effects that have no outward manifestations (such as issues with liver or kidney function). For this reason, your doctor might perform periodic blood tests and, if problems are identified, he or she might decide to change your medication regimen. What is cardioversion? The word cardioversion means to change an abnormal heart rate back to a normal one. Cardioversion can be done chemically through medication designed to restore normal rhythm, as mentioned previously, or through electricity. In electrical cardioversion, energy is applied to the heart to jolt it out of AF. It is typically used to treat cases of persistent or permanent AF, and it is often used with medication. What happens during the cardioversion procedure? There are two types of electrical cardioversion: external and internal. For both procedures, you will go to the hospital or clinic and you may be given some medication to help you relax. For external cardioversion, two external patches will be placed on your chest, or one will be placed on your chest and the other on your back. An electrical shock is sent through the paddles and travels through your body to the heart. Cardioversion shocks the heart out of AF and back into normal rhythm. External cardioversion is often effective at stopping an episode of AF, but it is possible that the AF will recur. Internal cardioversion uses a similar approach, but instead of using patches on the outside of the body, a small wire, called a catheter, is inserted through a vein and maneuvered to your heart. The electrical energy is delivered through the catheter to the inside of the heart to stop the AF. Cardioversion does not prevent the arrhythmia from recurring. That is accomplished with medication, special pacing techniques, other ablation procedures or a combination of these therapies. Coumadin is a registered trademark of Bristol-Myers Squibb Pharma Company.
6 What is ablation? Ablation is a technique usually performed on an outpatient basis that interrupts the abnormal electrical pathways in the heart that enable AF. Not all patients should have ablation. It is sometimes used on patients who did not respond to other therapies; however, every patient is unique, so you should discuss your treatment options with your physician. If your physician is not an electrophysiologist (a cardiologist who specializes in the electrical problems in the heart), he or she may refer you to an electrophysiologist for a second opinion as to how the AF should be best managed in your case. What happens during the ablation procedure? There are two types of ablation procedures used to restore sinus rhythm: surgical ablation and catheter ablation. Surgical ablation requires a general anesthetic. An incision is made in your chest so that your heart can be accessed. In traditional procedures, a precise pattern of incisions are made in the heart tissue and then sutured back together. The scar tissue created by these lesions provides a block in the abnormal pathway that contributes to the AF. Surgical ablation is most often performed if you have AF and also need another heart surgery, such as valve replacement or repair. For catheter ablation, you will most likely receive some medication to help you relax, and a small incision is made (usually in your leg). A thin, flexible wire, called a catheter, is maneuvered until it enters your heart. The doctor then uses the catheter to burn (ablate) specific areas in the heart tissue, in essence damaging them and disrupting the electrical impulses contributing to AF. Is it true that I will need a pacemaker after ablation? There is another type of ablation procedure that is used to help control how the ventricles respond during AF. This is called an AV node ablation, and it generally requires the use of a pacemaker after the procedure. AV nodal ablation is usually used when medication is unsuccessful in restoring normal rhythm or in controlling the ventricular response to the AF. It involves ablating tissue at the AV node, specialized cardiac tissue that conducts electrical impulses from the atria to the ventricles, and is designed to act as a gatekeeper to prevent the ventricles from beating too fast in the presence of an abnormal atrial rhythm like AF. With AV nodal ablation, the goal is to stop the frequent atrial impulses from traveling down the normal pathway between the atria and the ventricles, thus driving the ventricles to rapid and persistent irregular rates. Because conduction may be disrupted, an implantable pacemaker is generally needed to help regulate your heartbeat.
7 In some cases, only a very small portion of tissue is ablated. These procedures are called focal catheter ablation or linear catheter ablation. Because only a small section of the atrium is affected, you may not need a pacemaker. How can a pacemaker or implantable cardioverter defibrillator (ICD) help my AF? Some pacemakers (used to treat slow or irregular rhythms) or ICDs (also used to treat dangerously fast rhythms) have special features, designed to help patients with AF. As with all AF management options, device-based therapy is monitored on a regular basis by your doctor. How do I know which treatment option is right for me? Every person is unique. Your doctor is your best resource for learning about the treatment options available to you and the best course for your condition. Talk to your doctor and follow his or her advice for your care. Remember that AF is a serious medical condition that progressively worsens and is associated with unpleasant symptoms and increased health risks. With proper care, however, AF is generally manageable, and those with AF live quality, productive lives.
8 My additional notes and questions:
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5 Simple Techniques For Case Study SolutionAnd just as hysteria and protectionism proved unwarranted half a century back, Khanna argues that the rise of China and India is all over again an opportunity for income and hope.
Besides browsing databases, authors should really report using supplementary strategies to detect experiments, for instance hand hunting of journals, examining reference lists, searching trials registries or regulatory company websites,sixty seven getting in contact with brands, or calling authors.
Authors ought to report how they assessed danger of bias; whether it was inside of a blind fashion; and when assessments were being done by more than one person, and if so, whether or not they ended up accomplished independently.103 104 Similarly, we really encourage authors to report any calibration routines among the overview group members which were performed. Lastly, authors ought to report how their assessments of possibility of bias are employed subsequently in the info synthesis (see merchandise sixteen).
, I got a call from Andrew Grove, then the chairman of Intel. He experienced study certainly one of my early papers about disruptive technological know-how, and he requested if I could check with his direct reports and clarify my exploration and what it implied for Intel. Excited, I flew to Silicon Valley and confirmed up within the appointed time, only to obtain Grove say, "Look, stuff has occurred.
One of several theories that provides wonderful Perception on the 1st issue—how To make sure we find joy in our careers—is from Frederick Herzberg, who asserts that the effective motivator in our lives isn't money; it's the chance to learn, increase in responsibilities, lead to Other individuals, and become acknowledged for achievements. I inform The scholars about a eyesight of sorts I'd when I was functioning the company I founded right before starting to be an educational. In my thoughts's eye I observed among my administrators leave for get the job done one particular morning with a relatively solid standard of self-esteem. Then I pictured her driving residence to her household 10 hrs afterwards, sensation unappreciated, pissed off, underutilized, and demeaned. I imagined how profoundly her lowered self-esteem impacted just how she interacted with her children.
These descriptions can facilitate the assessment of styles throughout experiments. They may also supply crucial information regarding applicability of proof, advise the probable consequences of any significant biases, and allow thought, in a scientific fashion, of multiple explanations for feasible distinctions of conclusions throughout experiments.
Examples In text: "A complete of 10 reports involving 13 trials ended up determined my explanation for inclusion while in the assessment. The research of Medline, PsycInfo and Cinahl databases delivered a complete of 584 citations. Following modifying for duplicates 509 remained. Of such, 479 reports ended up discarded due to the fact soon after examining the abstracts it appeared that these papers Obviously did not fulfill the factors. 3 added scientific studies…were discarded since comprehensive textual content of the study was not readily available or browse around here even the paper couldn't be feasibly translated into English.
In many cases, the reaction knowledge out there ended up the indicate and variance in a pre study condition and just after therapy. The in just-patient variance in these cases could not be calculated directly and was approximated by assuming independence."114
Despite the typically challenging undertaking of examining the risk of bias in provided experiments, authors are sometimes silent on what they did with the resultant assessments.89 If authors exclude scientific tests from your critique or any subsequent analyses on The idea of the potential risk of bias, they must convey to audience which reports they excluded and describe the reasons for people exclusions (see product six). Authors must also describe any prepared sensitivity or subgroup analyses relevant to bias assessments (see item 16).
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"Mortality in randomised trials of antioxidant supplements for Most important and secondary prevention: systematic evaluation and meta-analysis"21
Describe all info resources in the search (including databases with check my site dates of protection, contact Full Report with study authors to discover added scientific tests) and day previous searched.
If a quantitative synthesis is carried out, some researchers seek advice from this as being a meta-analysis. This definition try these out is analogous to that present in the current version of your Dictionary of Epidemiology


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The midterms show Trump might not get re-elected in 2020Congress: Ilhan Omar, a former refugee who fled Somalia's civil war, and Rashida Tlaib, a Detroit-born Palestinian-American. According to data compiled by The Associated Press , 237 women ran for the House as major-party candidates this year.
Manchester United fans lash out at Cristiano Ronaldo for 'disrespectful' goal celebrationManchester United take on arch-rivals Manchester City at the Etihad Stadium on Sunday afternoon. Lots of work to do - it is a marathon not a sprint.
Man admits to killing his pregnant wife and two daughtersWatts will receive his other sentencing terms on November 19, the date on which his status conference was previously scheduled. Watts is accused of killing his wife, Shanann, and his two young daughters , Bella and Celeste.
First two Muslim women elected to US CongressOmar (D), 36, fled war-torn Somalia in the '90s and lived in a refugee camp before moving to the US. She spent four years in Dadaab until her family was cleared to emigrate to the US.
Driver charged in toddler deaths in Brooklyn crosswalk kills herselfIn March, she accidentally killed Joshua Lew, one, and Abigail Blumenstein, four, after suffering a seizure behind the wheel. Left, Tony Award-winning actress Ruthie Ann Blumenstein is seen with her daughter, Abigail Blumenstein.
Tim Berners-Lee wants to fix the web, 30 years onIt's a delicate balancing act, but limiting some freedoms could end up creating a fairer, more open Web. Berners-Lee is against this, claiming that "if you sign up to the principles, you can't do censorship".
Final Fantasy XV DLC cancelledThat is with the exception of Episode Ardyn , which will still release next year as a final send-off for the game. Square Enix has announced that three of the four planned DLCs for Final Fantasy XV have been cancelled.
MTV European Music Awards round up - CBBC NewsroundShe is truly deserving of this award which is an affirmation of how consistent commitment and hard work leads to success. The 21-year-old singer and actress will serve as host for the evening, as well as take the stage as a performer.
Major League Baseball star Bryce Harper rejects $300M offer from NationalsEven though Harper is still only 26, a 14-year deal with an average annual value of $30 million per season felt a bit excessive. For those of you without a math degree, $35 million per year over a 13-year period would be $455 million.
Democrats grab US House in blow for TrumpJared Polis, who won the Colorado governor's race, is the first openly homosexual person to be elected governor in the U.S. More women than ever were running, along with military veterans and minorities, many of them motivated by Trump's rise.
FDA approves new, powerful drug amidst opioid crisisIn many cases, illicit users obtain them from friends, relatives or rogue doctors and pharmacists, according to the SAMHSA survey. The numbers say it all: More people die in the United States each year from drug overdoses than from breast cancer.
Kevin Harvick dominates Stage 2 at TexasHarvick dueled Ryan Blaney late in the race, with Blaney taking the lead for about seven laps after a restart on Lap 311. Kevin Harvick celebrates after winning the AAA Texas 500 and clinching a position in the NASCAR Championship 4.


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Monday, November 27, 2017
Shared spaces
The video above from Vox is about a particular type of shared spaces, in this case, intersections where signs and traffic signals have been removed, and paving changed, to make a more freeflowing public space. Auckland has very different shared space solutions, based on streets being shared rather than intersections. Both can work, and have worked—but they are a radical change.
The video talks about the problems people with disabilities, the visually impaired in particular, can face when trying to cross shared spaces. Auckland's shared spaces have raised bumps to help visually impaired people manage, something that is also put at conventional crosswalks, so they're familiar to people in Auckland.
I have to admit that when the idea was first proposed around 2004 I thought it was insane. I was sure that people would be run over all the time, and cars would crash into stuff. I was wrong. As a rule, shared spaces tend to be much safer than conventional streets and crossings because, as the video also notes, the visual cues are much different and drivers slow down a lot and drive more carefully, and pedestrians pay more attention.
I think shared spaces are something that definitely takes some getting used to, but I also think they're very much worth it in the right places. I also think that it's funny how the way things used to be long ago are actually better suited to the modern world than the systems we developed for it.
At any rate, I really like the shared spaces in Auckland, and I'd never want them to revert back.
Lunch at the Atrium – my post from January about a trip to Elliott Street, a particularly nice shared space.
B&W photo challenge: Day four of seven – My photo in the post from earlier this month was taken on Elliott Street. I was actually sitting down on a bench and enjoying the plaza-like feel of the shared space at the time.
Posted by Arthur Schenck at 9:19 am
Labels: AmeriNZ, Auckland, International Stuff, Video
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