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VOCE DI MECHE
Reviews of performing arts with emphasis on young artists and small opera companies.
We are here to encourage the development of gifted young singers and to stimulate the growth of New York City's invaluable chamber opera companies. But we will not neglect the Metropolitan Opera either. Get ready for bouquets and brickbats.
SPOTLIGHT ON YOUNG SINGERS
Warren Jones, Beste Kalender, and Benjamin Dickerson
Warren Jones has unsurpassed eloquence at the keyboard, and last night at Carnegie Weill Recital Hall, he waxed eloquent in speech as well, when he paid well-deserved tribute to mezzo-soprano Marilyn Horne. This very week we are celebrating her 23rd annual glorification of the song recital in The Song Continues 2017. As usual, there will be a recital, master classes, and a Saturday night all-out celebration in Zankel Hall. No one has done as much as our beloved Ms. Horne to ensure the survival of the art of the song.
Last night's Spotlight Recital shone the spotlight on two young artists whose participation in Stephanie Blythe's Master Class exactly one year ago is well remembered. Mezzo-soprano Beste Kalender continued to impress us with the same dedication to the text that she evinced last year, combined with the awareness of eroticism stressed by Ms. Blythe.
Baritone Benjamin Dickerson is also recalled for his fine performance in Das Land des Lachelns which we so enjoyed at the Manhattan School of Music when he was an undergraduate. The review has been archived and is searchable.
The music on the program all came from the last half of the 19th c. and the early part of the 20th. It was an entirely satisfying choice of material that held our attention from beginning to end. Ms. Kalender opened the program with a quartet of songs by Francesco Santoliquido, a Neapolitan composer who wrote his own texts. As an Italian, his focus on love is understandable! The songs matched the romanticism of his text with a gorgeously melodic vocal line, a boon to the singer indeed.
The four songs composing I canti della sera were all about love and nature and Ms. Kalender impressed with her superb control of dynamics and her total immersion in the text. We were thrilled to be exposed to the work of a composer famous in his own country but heretofore unknown to us. We are looking forward to hearing more of his compositions.
Sieben fruhe Lieder by Alban Berg have been problematic for us in their compositional modernity. We have heard them performed at least a dozen times and always hope they will capture our ears. Actually, it is only "Die Nachtigall" that resonates with us and remains in our mind's ear. We did like the brief and heimlich "Im Zimmer" but it was over before we could sink into it. Mr. Dickerson sang them well in good clean German and appeared to know what he was singing about. But our attention was more taken with Mr. Jones' ravishing playing of the evocative piano part which, in true modern fashion, was more interesting than the vocal line.
Brahms, on the other hand, made sure that the folk melodies of his vocal line would be circling the brain and providing continual delights. Readers may recall how fond we are of duets and we reveled in the glorious harmonies created by our two young artists. We loved the lively "Weg der Liebe" but we adored the barcarolle "Die Meere". How well balanced the two voices were!
The second half of the recital included a half dozen of Hugo Wolf's songs--Alte Weisen-- sung with great insight by Ms. Kalender. We were less familiar with some of these offerings than the Wolf songs that appear regularly on recital programs but Wolf's style is unmistakeable. And Ms. Kalender's style is one of generous dramatic interpretation. She portrayed six female characters-each one differently colored. We enjoyed the emasculating woman of "Tretet ein, hoher Krieger", and the teasing woman of "Du milchjunger Knabe". The singer was not afraid to make an ugly sound for the drunken "heroine" of "Das Kohlerweib ist trunken" and she allowed the old woman of "Wie glanzt der helle Mond" her dreams of paradise.
Mr. Dickerson gave us a highly rhythmic "Ouvre ton coeur" by Georges Bizet, evoking the Spain of one's fantasies. The legato lyricism of "Chanson d'avril" made a fine contrast. Reynaldo Hahn's "A Chloris" had some beautiful pianissimo moments, while Franz Liszt's "Oh! Quand je dors" seemed to include so many of the finer points that we have picked up from multiple master classes. His French was gorgeously Gallic throughout.
Closing the program were two duets (YES!) by Gabriel Faure. The two artists took turns with lines from "Puisqu'ici-bas toute ame and then harmonized with passionate sentiment. The second duet was the frisky "Tarentelle" which brought us full circle back to Naples!
As encore, the pair gave us "Guten abend, gute nacht", Brahm's famous lullabye. We suspect the grateful audience might have demanded more but there is something so final about that song.
(c) meche kroop
Posted by meche at 6:11 AM
Labels: Alban Berg, Benjamin Dickerson, Beste Kalender, Bizet, Faure, Francesco Santoliqudo, Franz Liszt, Hugo Wolf, Johannes Brahms, Marilyn Horne, Reynaldo Hahn, The Song Continues 2016, Warren Jones
GREGORY BUCHALTER MASTERCLASS
WINTER RECITAL OF SONGS AND ROMANCES
AND STILL MORE RUSSIAN
TCHAIKOVSKY DONE JUSTICE
MARILY HORNE SONG CELEBRATION
DAME FELICITY LOTT MASTER CLASS
MARGO GARRETT MASTER CLASS AT CARNEGIE HALL
MARILYN HORNE MASTER CLASS AT CARNEGIE HALL
MIRROR VISIONS ENSEMBLE--25 YEARS AND GOING STRONG...
OPERA INDEX 2016 VOCAL COMPETITION WINNERS
CANDIDE-LY
HITTING ALL THE RIGHT NOTES
ANATOMY THEATER
ESPANA ALLA ROSSINI
SATURDAY NIGHT SPECIAL--A GLORIOUS M.E.S.S.
ALL MAHLER!
NEW YORK OPERA COLLABORATIVE
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Q: Selenium Grid: Do Features always run in parallel and Scenarios always run in series? Is this customizable? Does Selenium Grid always run Features in parallel and always run Scenarios in series? Can you specify that certain features run in series or that certain scenarios run in parallel? I am just interested in understanding the flexibility and the rules/constraints.
Tried finding this information online. Selenium Grid can be customized, but not sure about customization that tells the grid what should run in parallel and what should run in series (some thing have to run in series if there is a dependency between tests ... ideally, there would be no dependencies between tests).
Some info found online:
Selenium Grid allows a lot of flexibility with by using a json configuration file:
Creating a JSON configuration file
In addition to the json configuration file, you can do additional customization using custom servlets:
Custom Servlets
However, couldn't find any information about how Selenium-Grid knows what parts of the test (features/scenarios/steps) need to be run in parallel.

A: If you want different series of testing scenarios, you can create test suites with testng or junit, that will guarranty the specific orders for some scenarios.
The intent of selenium-grid is to run tests in parallel in nodes, but if you do not want to run in parallel, I think that the approach is use just one node

A: Selenium-Grid executes the "test" tags defined in your testng.xml in parallel.
So if you want your test cases to be executed in parallel, design your testng.xml in such a way that it has an individual "test" opening and closing tag for each of the test case.

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Home > Industry News > Biggest mergers and acquisitions of 2019
Biggest mergers and acquisitions of 2019
2019 has been a fast-paced year for the food and beverage industry, with significant offers made by companies aiming to tap into new markets and expand globally.
FoodBev has compiled a list of the top seven mergers and acquisitions that took place this year.
IFF acquires DuPont's Nutrition & Biosciences business for $26.2bn
In the biggest acquisition to date and the most recent, last week saw International Flavors and Fragrances (IFF) enter into an agreement to merge with DuPont's Nutrition & Biosciences business.
The deal was worth $26.2 billion, as IFF seeks to become a major supplier of ingredients and solutions in the food and beverage industry.
The agreement will create a new combined company, which will now have an enterprise value of $45.4 billion. Under the terms of the deal, DuPont shareholders will receive a 55.4% stake of the new company, while existing IFF shareholders will own 44.6%.
AB InBev to sell Australia unit to Asahi Group for $11.3 billion
In July, AB InBev agreed to sell Carlton & United Breweries, its Australian subsidiary, to Asahi Group Holdings for $11.3 billion.
Under the terms of the deal, Asahi will gain the rights to commercialise the portfolio of AB InBev's global and international brands in Australia, such as Carlton Draught, Crown Lager, Budweiser and Foster's.
However, earlier this month, Australia's competition watchdog ACCC raised concerns about the proposed sale, ahead of the final decision in March. The ACCC said that the acquisition would reduce competition in the market for cider and could also affect the beer market.
Nestlé sells US ice cream unit to Froneri joint venture for $4bn
Nestlé agreed to sell its US ice cream business to Froneri, an ice cream-focused joint venture Nestlé created in 2016 with PAI Partners, for $4bn.
With brands such as Häagen-Dazs, Drumstick and Outshine, Nestlé's US ice cream unit posted turnover of $1.8 billion in 2018.
This year, Froneri has also acquired Fonterra's ice cream business Tip Top in a deal worth NZD 380 million ($250.2 million), as well as Nestlé's ice cream unit in Israel. Following the transaction, Nestlé will continue to manage its remaining ice cream businesses in Canada, Latin America and Asia.
Packaging company RPC Group to be bought out for £3.3bn
At the start of the year, it was announced that packaging company RPC Group was to be sold to private equity firm Apollo Global Management for £3.32 billion.
The deal marks the largest in the packaging sector since Amcor agreed to acquire Bemis last year.
Campbell sells Arnott's and some international assets for $2.2bn
Campbell Soup Company signed an agreement to sell its Australian snacks unit Arnott's and some of its international operations to investment firm KKR for $2.2 billion.
Acquired by Campbell in 1997, Arnott's makes a range of sweet and savoury biscuits, flavoured snacks, crackers and chocolate bars.
Combined with the previously disclosed sale of Kelsen Group to Ferrero affiliate CTH, Campbell has announced the divestiture of its entire Campbell International division for an aggregate price of $2.5 billion, which it will use to reduce debt.
China's Mengniu Dairy makes $1bn offer to acquire Bellamy's
In September, China's Mengniu Dairy made a bid to acquire Bellamy's – Australia's largest organic infant formula producer – for approximately AUD 1.5 billion ($1 billion).
In November, Mengniu's deal for Bellamy's was given the green light by Australian authorities, as long as certain conditions were imposed.
The proposed offer was followed by Mengniu's agreement to buy Australian Lion Dairy & Drinks from Kirin Holdings for AUD $600 million ($407 million) in November.
Source: foodbev
Find quality food ingredients from verified suppliers on OKCHEM (Click to inquire now)
Related news in the food industry:
Top ingredients news stories of 2019
Arla highlights milk protein hydrolysates
Innova: colours, flavours all-important
"The world is crying out for pea protein": Plant-based offerings expand at Fi Europe & Ni
DFA realigns ingredients offering
McCormick, Blue Pacific Flavors collaborate on flavours
Firmenich: 2020 flavour of the year will be blueberry
Convenience foods: serving consumer demands for efficiency
Fi Europe 2019: Sweeteners in the spotlight as sugar reduction trends intensify
What's new in milk alternative ingredients?
Flavour trends go back to basics
Natural Protein Supplements and Protein Food Additives
2019 China Vitamin C Export, Market Structure and Prospect Introduction
N-Acetyl-L-Tyrosine food additives
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The 'Age Of The Customer' Is Here. What Are You Doing About It?
Customer centricity is a mind-set that companies need to adopt throughout the entire organization—not just marketing—to thrive in the digital world.
Typically the CMO owns the customer insights and analytics organization and can provide the first steps in helping to identify customer needs.
Operating in silos negatively affects the experiences that potential and existing customers have with brands.
Arguably since the dawn of business, companies have been operating in the age of the seller, where they control the product, marketing, and customer experience. However, the proliferation of digital, along with the plethora of channels and platforms that have come to the marketplace, are shifting control from businesses to customers. It is the customer who now controls access to information and the customer experience.
The "age of the customer" is in full swing.
Hinshaw gave an example of what smarter customers are capable of. A few weeks ago, Hinshaw was on the phone with a local business to find out whether a specific chair he was interested in came in different colors. The rep told him the chair was only made in one color--just as Hinshaw's office manager tapped him on the shoulder, phone in hand, and showed him that the chair did, in fact, come in four colors and was available at a different store just two blocks from the office. Hinshaw thanked the rep, hung up, and purchased from the nearby store.
This new, smarter customer Hinshaw described demands that companies be more customer-centric. The term "customer centric" means focusing on the needs and expectations of customers at every single touch point with the target market. And customer centricity is no longer just a loaded buzzword used by marketers preaching tactics such as personalization and customer experience. Customer centricity is a mind-set that companies need to adopt throughout the entire organization—not just marketing—to thrive in the digital world.
The need for more customer-centric organizational practices isn't news to most companies. And while many preach the need for a bigger focus on the customer, the vast majority are still not executing. A number of hurdles are holding companies back from attaining true customer centricity.
The first major hurdle, according to Yvonne Genovese, an analyst at Gartner, is that there isn't an owner within organizations who steps up and takes the reigns for building customer centricity throughout the business. Instead, a handful of people usually own various parts of the customer experience, and they typically don't work together.
Genovese said she's not advocating that organizations need to have one single owner of the customer experience. She does, however, preach the need to have a single way to measure and manage customer centricity across all touch points.
Another major hurdle is the way organizations are structured, said Christine Cutten, a principal at Deloitte Consulting.
But operating in silos negatively affects the experiences that potential and existing customers have with brands.
Hinshaw explained that today's smart customers understand that companies are collecting data based on interactions with them, and they understand this data can be used to make their lives easier. That's why Amazon is held up as an exemple for customer centricity. "Amazon uses data about your interactions to make your life better," Hinshaw said.
While data is key to customer centricity, it is also proving to contribute to the list of challenges that organizations face, Deloitte's Cutten said. While virtually every organization now has analytics initiatives, the problem is a shortage of talent to conduct data integration and derive customer insights, she said.
According to StellaService's McMahan, miscommunication also holds companies back from true customer centricity. Inconsistency across organizations is common. For example, while marketing may be promoting a luxury product or experience, a customer-service agent or operator may be keeping a customer with questions about the product on hold for too long or providing inaccurate information.
"Internally communicating a company's core message and mission so it is reflected across the entire organization is key to mitigating this disconnect and the first step in becoming a customer-centric organization," McMahan said.
Jen Gray, VP of marketing at HelloWorld, said what holds back a lot of organizations from being truly customer-centric is their thinking they know what's best for the customer. Companies often build their businesses in a vacuum, she added.
So how does a brand get from where they are now to where they need to be? The first step, Cutten said, and Gartner's Genovese echoed, is defining ownership. In some organizations, appointing a chief customer officer or chief customer experience officer is the answer. At other organizations, Genovese said, the answer is putting together a steering committee, of sorts, with constituents from various parts of the organization aligning on what it means for their particular business unit to be customer-centric.
Other more tactical starting steps, according to Cutten, include customer-journey mapping, triaging existing customer data to identify customer needs at a few touch points, embarking on a customer focus training program, and looking at realigning metrics.
Gartner's Genovese said that companies also need to understand what customer centricity means to their business strategy.
Companies must establish a baseline for customer-centricity measures, and they must continuously measure and hold people accountable, she said.
Once the entire company is aligned on a core message and commitment to the customer experience, organizations need to focus on refining and coordinating every aspect of its business that affects the customer. Standardization and a commitment to maintaining or exceeding those standards should be ingrained in each employee's day-to-day, McMahan told CMO.com.
HelloWorld's Gray suggested that companies institute a true, formal feedback loop in all parts of the organization that deal directly with customers.
Typically the CMO owns the customer insights and analytics organization and can provide the first steps in helping to identify customer needs, Deloitte's Cutten told CMO.com. CMOs can also build the insights team to focus on customer journeys, segmentation, and building out personas.
"In essence, CMOs can become the headlights to a customer-centric organization," Cutten said.
Marketing is also in a unique role in its ability to measure customer centricity once the KPIs have been laid out, Genovese said.
"Marketing has the best, 360-degree view of the customer, the target market, how the product or service is performing, and what things you need to do to make sure you're meeting customer service, customer demand, as well as making money with that customer demand," Genovese said.
Mark Asher, director of corporate strategy at Adobe, told CMO.com, that the marketing organization plays a key role in nurturing a customer-centric organization since it shapes the attributes of the company's brand and creates the environment for engaging new customers.
"The marketing organization can and should influence all the other areas of the company where there are customer touch points–sales, support, upgrades, renewals, etc.–since the journey doesn't end when a customer makes a purchase," he said.


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SINGAPORE: Ride-hailing giant Grab on Thursday (Nov 8) announced a strategic partnership with Thai lender Kasikornbank (KBank) to offer its mobile wallet GrabPay and other financial services in Thailand by early next year.
A co-branded mobile payment app called GrabPay by KBank will be made available in the Grab app by early-2019, the companies said in a joint press release.
The tie-up marks the expansion of Grab's mobile wallet into the sixth country in Southeast Asia as the Singapore-based firm looks to expand out of ride-hailing and become a major financial services player in the region. The other countries are Singapore, Malaysia, Indonesia, Vietnam and the Philippines.
KBank is also investing US$50 million (about S$69 million) in Grab, joining the likes of Toyota Motor and Hyundai Motor as backers in Grab's ongoing fundraising round.
"This partnership makes Grab Financial the first mobile payments platform to launch e-money-licensed payments services across ASEAN-6 and underlines the strength of our partnership-based strategy," said Grab Financial's senior managing director Reuben Lai. Grab Financial is Grab's financial technology (FinTech) platform set up in March.
KBank's president Patchara Samalapa said the bank looks forward to "developing innovative financial products" so as to tap on the region's rapidly growing digital economy.
With the launch next year, Grab users will be able to pay for transport and delivery services, transfer funds to other users, purchase products and services online, and make QR-code payments in restaurants and shops across Thailand.
Beyond the wallet, users will also be able to enjoy "seamless services" when features from KBank's "K Plus" app and Grab's app are integrated next year.
In addition, both firms will jointly offer products, such as loans to merchants and access to Grab for Business to help improve corporate transport expense management, the press release said.
READ: With Grab's super app ambitions, who will it eat for lunch?
Grab, which started off six years ago as an underdog in the region's ride-hailing space, has since become the dominant player in Southeast Asia with its merger earlier this year with US rival Uber.
It has also been expanding into financial services over the last two years by acquiring companies and forming partnerships to spread usage of its mobile wallet.
It launched Grab Financial in March through a joint venture with Japanese credit card company Credit Saison to provide loans and lending services in the region. Separately, it inked a partnership with Chubb to offer insurance coverage to its 2.6 million drivers.
Over the past months, it announced a string of strategic partnerships with banks and payment players across Southeast Asia, including Malaysia's Maybank, Indonesia's mobile wallet OVO and Vietnam's digital payments service Moca.
It also has a tie-up with payments processor Mastercard to issue pre-paid cards for the region's unbanked and underbanked population.
Grab's ambition is to "bring ASEAN closer" via a single wallet that will allow the procurement of goods and services, as well as transfer of money, to be done in a "seamless and affordable" manner, said Mr Lai at a media briefing.
With its "unparalleled reach" across the region and consumer insights, the company believes that it is "best-placed" to achieve this goal, he added.
"Users don't want a separate e-wallet for every type of purchase. By opening up our platform to leading financial institutions, we ensure our users can go beyond the Grab platform and pay for all types of services."
When asked about Grab's upcoming plans for the region, Mr Lai said the company is "very focused" on the six ASEAN countries at the moment as this is where the bulk of its consumers, merchants and drivers are.
It will, however, expand into the rest of Southeast Asia "eventually".
While Southeast Asia bears tremendous opportunities, Grab's push into financial services is not without challenges. Apart from access to quality talent in the region, Mr Lai cited its partnership with regulators as a work in progress.
"We want to work with regulators to continue rolling out new regulations that are innovative, while protecting our economies and consumers. We are working hand in glove with them; it may take some time but it's necessary."


Oh! I just had a thought...who is in that T-mobile commercial with Paris Hilton?? Was it Durst? Is he one of them?? They think it's the same hack so maybe he is going after the cast of that commercial!!!
I SO Feel Like This Some Days!!
Found this at Andrew Sullivan. This is exactly the way I feel some days...I would be the guy with the glasses.


"The Child," composed in December 2015, is one of the piano pieces in the December collection. I imagined it when attending a band concert just before Christmas, which featured one piece on "O Come, O Come Emmanuel" and another on "What Child Is This?" Being played in such close proximity, I wondered if the two pieces would work well together. Both pieces work great in E Minor, and both have similar topics, so I thought it was worth a try.
The big challenge: one is in a triple rhythm, while the other is duple. So, off the bat, I decided to make triple vs. duple a main theme throughout — a technique used often by Brahms and Rachmaninoff.
The first two sections of "The Child" introduce the two tunes separately, and the third section merges the two tunes together, which proved to be a major challenge in composing. I had to choose "What Child Is This?" as the primary theme while hiding "O Come, O Come Emmanuel" in the harmonies. It makes for some very interesting and new harmonies.
This piano piece was a finalist in the 2016 LDS Church Music Submission contest.
In September 2016, when my friend Geoff Groberg suggested that I adapt "The First Noel" for choir, I had the additional idea of adapting "The Child" as well. I wondered how well it would turn out if women sang "What Child Is This?" while men sang "O Come, O Come Emmanuel" in the final combined section. The result is a pretty, yet challenging piece of music to perform.
The most important advice I can give is: Don't let the rhythms scare you. Throughout the whole piece the eighth notes in the left hand are constant. Setting a metronome on the eighth note should help you keep everything straight while you practice. In a performance, if you keep it nice and slow, it should work out nicely.
Section 1: "O Come, O Come Emmanuel" is in 6/8 time. That means three eighth notes make up a beat, and there are two beats in a measure. The main melody comes in at measure 5 with a duple rhythm against the (straight) triplets in the left hand. If you are new to playing triplets vs. duples, it may help to count: 1-2-AND-3, where the triplets fall on 1-2-3 / 1-2-3 / etc. and the duples fall on 1-AND / 1-AND / etc.
Section 2: "What Child Is This?" is in 3/4 time, which means two eighth notes in a beat and three beats in a measure. The left hand maintains the same eighth rhythm, but the roles change: triplets in the right hand, duples in the left. The right hand ends up playing faster than before. Just remember, when practicing, the left hand always stays with the eighth notes on the metronome.
Section 3: Combined melodies. The right hand melody is in 3/4 (What Child Is This?), while the left hand and hidden melody is in 6/8 (O Come, O Come, Emmanuel). But don't let that worry you. Just remember that the left hand continues to play the straight eighth notes along with the metronome, and the right hand goes along for the ride. After a few times practicing, you should begin to feel the rhythms naturally and you won't need the metronome any longer.
Before you take on this piece, first realize that it may be one of the most challenging choral pieces we offer. Be prepared for a little bit of work, and the results will be rewarding.
First, you may want to give the accompanist a month or so to practice up their part before adding the choir. See the suggestions above for the piano piece, and then continue on with the following additional suggestions for choir.
Section 1: This part is best conducted in two beats (three eighth notes to a beat). Instruct the men to sing two notes to each conducted beat, and they should do fine after a couple of run-throughs.
Section 2: During the transition, the conductor should switch to conducting in three beats (two eighth notes to a beat). The sopranos sing the normal melody, while the altos sing a mildly jazzy harmony. You will most likely need to rehearse and lock down the alto part.
Section 3: It is probably best to continue conducting in three beats, as the women's melody is the prominent tune, while the men's melody should be more of an echo. The conductor may consider trying a modified 4-beat pattern: 1-2-and-3, with an exaggerated "and" to help the men find their beat in the middle of each measure. The rhythms will make this the most challenging section to rehearse, so be ready to run through it several times until the rhythms click. Once everything clicks, you should have a rewarding performance.


text:
Q: What is the easiest way to check whether the function is Globally Lipschitz continous or Locally? What is the easiest way to check whether the function is Globally Lipschitz continuous or Locally?
Say,for example the function, $sin(x^2)$?
Many thanks in advance.

A: For differentiable functions like this, this is easy to find out:
A differentiable function $f$ is (locally) Lipschitz if and only if the derivative
 $f'$ is (locally) bounded.
To see this, first note that if $f$ is Lipschitz with constant $L$ on $(a,b)$, this implies
$$
|f'(x)| = |\lim_{y \to x} \frac{f(y)-f(x)}{y-x}| \leq L,
$$
because each term in the limit has absolute value $\leq L$ (if $x \in (a,b)$, then $y \in (a,b)$ for $y$ close to $x$.)
For the converse, assume that $|f'(x)| \leq L$ for all $x \in (a,b)$. Let $x,y \in (a,b)$ and use the mean value theorem to get $\xi \in (a,b)$ with
$$
|f(x) -f(y)| = |f'(\xi)| \cdot |x-y| \leq L |x-y|.
$$


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Ros Scott's closing speech to ALDC Kickstart
By Baroness Ros Scott | Mon 26th November 2018 - 4:50 pm
Follow @BaronessRos
The newly elected President of ALDC, Baroness Ros Scott, closed the ALDC Kickstart event yesterday afternoon. She has kindly made available the text of her speech…
I hope that you have all had a wonderful weekend.
These are the most difficult and unpredictable political times that I can ever remember. There's no way of knowing what the backdrop to next May's elections will be.
But some things never change.
When I joined in 1991, I was a community campaigner in my home town of Needham Market. The only political party who were really engaged with the community were the Lib Dems, and that's why I joined them.
The local councillor, who signed me up is about to retire after holding her seat for over thirty years, told me at the start that the secret was to be active in the community, to put what what you were doing on a Focus leaflet, and get them out all year round.
That hasn't changed. With no national newspapers banging a Lib Dem drum, and with local newspapers in such trouble, there is only us to get our message across.
She also told me that the Party had a local government wing called ALDC, that I should join it, and do everything they said.
That hasn't changed either.
We have become much better at the nuts and bolts of local elections. Running full slates, effective targeting and great local campaigners, is how we win seats when the opinion polls might suggest otherwise. And we have seen that in by-elections across the country in the last two years.
After fourteen years as a councillor and eighteen in the House of Lords, I can say that my ability to affect lasting change was much greater as a councillor. As Sal mentioned on Friday, in the 1993 County Council elections, the Tories virtually vanished, having lost the plot on the economy and become hopelessly split over Europe.
In Suffolk, which had been Tory since the Black Death, and I blame them for that too, we found ourselves with a Lib Dem/Labour coalition. A county which had the poorest level of nursery provision in the country, provided young children with the country's best early years schooling within five years. We introduced sustainable transport, ethical investment and locality budgets. In our communities many of us far outpolled our national ratings.
Local government gives the Liberal Democrats a chance to show what liberalism means in action.
Politics and politicians are not held in high regard, and I can understand that. But this poses a real threat to our democracy, and runs the risk of a rise in authoritarian politics.
Success locally can go a long way to countering that risk.
So, no pressure.
Just get out there and save democracy.
* Baroness Ros Scott is a Liberal Democrat member of the House of Lords, a former Party President and now President of the Association of Liberal Democrat Councillors.
Read more by Baroness Ros Scott or more about aldc, Local government or ros scott.
This entry was posted in Local government and Speeches.
People's vote: the vital importance of preferential voting
26 November 2018 – today's press releases
Malcolm 18th Jan - 2:37pm
This is clever way of helping Ed Davey to get the job permanently. He will now have 5 months to show what he can do...
Paul Barker 18th Jan - 2:09pm
This article would have made a lot more sense if the first section wasnt in it. My advice would be to take it down &...
nigel hunter 18th Jan - 1:40pm
One way of getting the public interested is by encouraging community development .Helping them to be introduced into making things themselves or by repairing itemsor...


Employee absenteeism investigation will uncover the validity of an employee's sickness claim or continued time off work. Absenteeism or an employee's intentional or habitual absence from work is one of the most common problems facing employers. While employers expect workers to miss a certain number of workdays each year, excessive absences can equate to decreased productivity and can have a major effect on company finances, morale and other factors.
Titan Private Investigation Ltd has experienced success working on behalf of SME's and both National and International businesses across the Midlands, in some instances saving thousands in sickness pay or hundreds of thousands in injury compensation. Titan's offices are based in Derby, Leicester and Nottingham, however we have a National reach due to our central location.
To have an extended weekend or family holiday whilst being paid.
We recently investigated an employee who stated that he'd suffered an injury whilst at work. As a result he couldn't work, couldn't leave the house to attend Occupational Health meetings and was too ill to drive. Our investigation uncovered that the real reason the employee couldn't attend was because he was abroad enjoying a family holiday whilst both receiving sick pay and pursuing legal litigation for the accident.
We have experienced cases where employees have self-certified sickness and also where they forward their doctor's note every 2 weeks whilst working elsewhere so that they can earn 2 salaries.
One investigation uncovered that whilst an employee was claiming sick pay she was working hard both in and out of a studio as a photographer building her newly incorporated business.
This is one of the more serious forms of absenteeism, incorporating the offence of fraud, which we're finding more and more common. This is where an employee falsely reports an accident with the intention of then claiming compensation, or suffers a genuine injury but then exaggerates the symptoms with the intention of increasing the value of their claim.
The annual cost of sickness absence has climbed to almost £29 billion for UK organisations, according to new figures from PwC.
Our clients have usually commenced an unacceptable absenteeism procedure involving action plans and meetings with supervisors and other departments such as HR and Occupational Health. If this hasn't been initiated, then we are able to offer advice and guide you through this process.
In 100% of our cases the client has had a suspicion of varying degrees that the claim or sickness was false, however the evidence is required to prove misconduct. That's where Titan comes in! We produce a bespoke investigation plan based around your needs, objectives and budget.
Is it lawful to investigate an employee?
Titan only employ lawful evidence gathering techniques which are non-intrusive and don't infringe on Human Rights, such as the right to a private life and a fair trial. We've employed and refined these tactics in accordance with the Law since 1997 and base our investigations around proportionality and necessity.
Worried about Employee Absenteeism - Who do I contact?
Email Titan's Employee Absenteeism Investigation team at enquiries@titaninvestigations.co.uk or contact us direct using our confidential contact form.


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Death Rates in Autonomous Region in Muslim Mindanao
April 13, 2018 • Special Release • Ref No.: 2018-009
In 2015, Bloomberg Philanthropies, in partnership with the Australian government, launched a $100 Million Data for Health Initiative to help improve public health and save lives by strengthening the Civil Registration and Vital Statistics (CRVS) systems. Under this initiative, a number of tools have been built as comparator data lifted from various studies of different international organizations which serve as benchmark in making the analysis such as: Global Burden of Diseases (GBD), Inter-Agency Group for Child Mortality Estimation (IGME), Institute of Health Metrics and Evaluation (IHME) and World Health Organization (WHO), in order to improve the quality of mortality data and causes of death data1. Analysis of Causes of National Death for Action (ANACONDA) is one of those.
ANACONDA is a tool for checking the quality of mortality data. It provides a step-by-step approach to enable users to quickly conduct a comprehensive review of data on mortality levels and causes of death. In particular, ANACONDA will help identify probable errors, misdiagnoses and inconsistencies in the mortality and causes of death data2. It is a tool jointly developed by the University of Melbourne and the Swiss Public Health Institute at the University of Basel.
Females outnumbered males by 11,427 in ARMM.
Figure 1 shows the distribution of the population of Autonomous Region in Muslim Mindanao (ARMM), based on the 2015 Census of Population (POPCEN 2015). The results of POPCEN 2015 showed that in ARMM, females outnumbered males by 11,427. That is, for every 100 females, there are 99 males in the region. Age group 5 to 9 years old has the most number of population in both male and female, which is 14.7 percent of the total population in ARMM, followed by age groups 0 to 4 years old and 10 to 14 years old. Males outnumbered females from the age groups mentioned. Thus, it follows that there are more male than female among the young population in the region. Generally, the graph shows that the region has an expansive type of population pyramid. The broad base could somehow suggest that fertility level is high.
Figure 1. Population Pyramid: ARMM, 2015
Source: Philippine Statistics Authority, POPCEN 2015
60.1 percent of deaths in ARMM are from the male population.
The results of 2015 Civil Registration and Vital Statistics (CRVS 2015) showed that 60.1 percent of deaths in ARMM are involving males. That is, for every 100 dead females, there are 150 dead males in the region. Age group 60 to 64 years old has the most number of male deaths which is 5.6 percent of the total deaths in ARMM, while age group 0 to 4 years old has the highest number of female deaths, which is 3.8 percent of the total deaths in the region. Also, age group 0 to 4 years old has the most number of deaths in both sexes, which is 9.0 percent of the total population. This is followed by age groups 55 to 59 years old and 65 to 69 years old (8.9 percent and 8.8 percent), respectively.
Figure 2. Age-Sex Distribution of Deaths Pyramid: ARMM, 2015
Source: Philippine Statistics Authority, CRVS 2015
In general, the age-sex distribution pyramid showed fewer deaths at younger ages except in 0-4 age group because of the high risk of dying among infants and young children. The number of deaths progressively increases with age. There were more deaths among males than in females from ages 5-79 years old and the reverse being true at older ages.
ARMM has a crude death rate (CDR) of 0.9 in male and 0.6 in female.
ARMM has the lowest crude death rate (CDR) per 1000 among all regions in the Philippines at 0.9 and 0.6, in both men and women, respectively. Among the provinces in ARMM, Maguindanao has the highest CDR in both sexes, while Tawi-Tawi has the lowest CDR. Comparing the CDRs of both males and females with the comparator data provided by the Institute of Health Metrics and Evaluation (IHME, 2011), the results for both women and men were below the threshold level of 5 persons per 1,000 population, which is indicative of under registration of deaths. Thus, it follows that there could be many deaths in ARMM that were not registered.
Figure 3. Crude Death Rate (per 1000) by Provinces: ARMM, 2015
ARMM has a death rate of 93.7 in male and 61.8 in female
ARMM has a mortality rate of 93.7 in males and 61.8 in females. In the male age-group, the trend of the region's age-specific death rate (ASDR) increased after 5 to 9 years while it increased after 10 to 14 years among the female population. Male death rates are obviously higher than the female among all age groups, except in 5 to 9 years and 85 years above. Thus it follows that females has a greater life expectancy than male in the region.
Total Population is the sum of the household population and institutional population. It also includes Filipinos in Philippine embassies, consulates, and missions abroad.
Crude Death Rate (CDR) is a very simple and easily understood measure of overall population health status. It is also the most straightforward way to assess likely death registration completeness. To get this, multiply the quotient of the total number of resident deaths and total population to 1,000. When the CDR is below 5, thus it follows that are many deaths that are not registered.
Age-specific death rate (ASDR) is a more precise measure of actual mortality risk. This observation is used to compare ASDR by calculating and comparing the natural logarithm of it, which should rise linearly with age after age 30 or so. To get this, multiply the quotient of the number of resident deaths in a specific age group and the total population in the same age group to 1,000.
1/ http://svs.aids.gov.br/dantps/centrais-de-conteudos/eventos/2017/pernambuco/
analysis - causes-national-deaths-action-part-1.pdf
2/ About AnaCONDA
(Sgd) HJI. RAZULDEN A. MANGELEN, MPA, MDM
(Chief Statistical Specialist)
Officer-in-Charge
RSSO-ARMM
Quick Access Menu
Death Rates in Autonomous Region in Muslim Mindanao - Special Release
Population, Vital Statistics
Carumba Bldg., Jupiter St., RH-9, Cotabato City, 9600
psa.armm0912@gmail.com
PSABARMMOfficial
@PSA_BARMM
@psabarmm


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Your resume is one of the most important tools you have in the search for a job in information technology. Hiring managers will likely review hundreds of resumes for a position so you will probably have just a few seconds to catch their attention. Whether you are looking for a new career after earning your degree or for a different job, use the following tips and our IT resume example to make your resume stand out.
It may seem obvious but don't forget to double-check that your contact information is accurate. You should include your phone number and a professional-sounding email address at the top of your resume so that a hiring manager can easily contact you.
In addition to traditional contact information, consider including a link to your LinkedIn profile (you can personalize the URL for your profile under LinkedIn's "Public profile settings").
Before you add your LinkedIn profile to your resume, optimize it—and then reach out to your network for skill endorsements and recommendations.
If you have significant IT work experience, you can move your education closer to the bottom; if you've recently graduated and have little experience working in IT, move this section closer to the top. In our IT resume example, John Finch has little experience, so we put his education at the top.
Also, if you're a Purdue Global graduate, review our suggestions on how to list Purdue Global or Kaplan University on your resume.
Wherever you can quantify your contribution, do so. Employers are interested in the impact you've had on the projects you worked on, whether it's building a network serving a certain number of users in a certain amount of days or spearheading a project that brought about specific results. Include examples of teamwork and leadership when possible.
This is where you should list all programs, languages, and software types you know. Review the technical requirements for the position for which you're applying and make sure to include any skills that are applicable. If you have a long list of skills, you may want to include the most relevant skills at the top of the list so they aren't overlooked.
In each section, use action verbs to explain your contribution, instead of using adjectives to describe yourself as a worker. For example, instead of writing "hard worker" or "organized" on your resume, use words like "led," "achieved," or "improved" to describe tangible results.
Many recruiters use an applicant tracking system (ATS) and other screening tools to help find qualified candidates. These tools scan resumes for keywords, and yours could be rejected if it doesn't contain them. Look at the specific job posting for insight into the keywords that the hiring manager or recruiter is seeking.
If you hold specific trainings or certifications, list them as well.
In addition to having the right skills, recruiters also look for candidates who fit the company culture. According to Jobvite's 2017 Recruiter Nation Report, 83% of recruiters say cultural fit is very important when considering applicants. If you are a passionate volunteer or participate in activities that make you a more valuable employee, feel free to list those in a small section on a resume as well.
One page is widely acceptable. Make sure the font is readable, usually at 12-point, but absolutely no smaller than 10-point. If you feel the need to extend to two pages, make sure the most important and relevant information is displayed on the first page. If you print it, don't do double-sided, and bring extra copies to the interview to present in person.
To help recruiters get a quick, clear picture of your experience, format your information into easily scannable chunks. Use subheads and bullet points to break up big chunks of text and make your resume more visually appealing.
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Uganda Spine Mission November 2017 - Day 6
With all the surgeries being done under incredulous circumstances the team ventured to the wards to round on the post op patients. Most nurses and caregivers were on strike, so our challenges continued. The general wards were divided into a male, female, and pediatric section. When we entered the building, the concrete floors were covered with water with the morning cleaning crew sweeping the water across the surface to make them as clean as possible. Blankets and food containers from overnight stays of the families lined the room surrounding the patient beds, which were about 18 inches apart. Families were our biggest allies when rounding on their loved ones. Whether a father, sister, or cousin, the family members took ownership of their loved ones lying in the hospital beds. The language barrier was surpassed by Benon, the orthopaedic officer with us. For the families, he translated post-op instructions, wound care instructions, follow-up plans, and answers to their questions.
Dr. Perry was the first one to mobilize her patients. We changed dressings and gave instructions to families regarding dressing changes, activity and pain management. Cindy and Pam instructed the patients and families about wound care and gave them clean tegaderm and gauze we had brought. We passed out ibuprofen and Tylenol pre-packed in little baggies we had prepared. Trying to locate our patients was difficult as there were no patient rosters or room numbers. We continued to the ICU to visit a 12-year-old girl who had undergone a 6-hour spine surgery by Dr. Perry. She stood up with Dr. Perry's assistance and her posture was more upright and the kyphotic deformity was gone. As expected she was in pain but am sure she could envision a life of normal activity and posture.
 With all the surgeries being done under incredulous circumstances the team ventured to the wards to round on the post op patients. Most nurses and caregivers were on strike, so our challenges continued. The general wards were divided into a male, female, and pediatric section. When we entered the building, the concrete floors were covered with water with the morning cleaning crew sweeping the water across the surface to make them as clean as possible. Blankets and food containers from overnight stays of the families lined the room surrounding the patient beds, which were about 18 inches apart. Families were our biggest allies when rounding on their loved ones. Whether a father, sister, or cousin, the family members took ownership of their loved ones lying in the hospital beds. The language barrier was surpassed by Benon, the orthopaedic officer with us. For the families, he translated post-op instructions, wound care instructions, follow-up plans, and answers to their questions.
We rummaged through the fabrics and shoes and jewelry and wandered in and out of the alley ways. Almost ready to leave, we heard "Doctor, Doctor" coming from the street. It was one of our patients who had just received an injection yesterday! What are the chances?? Dr. Kotton stopped and she said she needed a prescription for physical therapy but had forgotten to get it yesterday. He wrote the words "referral to physical therapy" on his business card and we bid her ado.
We returned to the hotel and a few people went to Lake Mburo to do some sight-seeing, but most stayed at the hotel to rest. Dr. Perry had a meeting with the Dean of Mbarara University Professor Gertrude Kiwanuka who is a powerhouse leader for the University. She also met with the International Health officer Sheila Niinye Olivia, and they brainstormed about ideas to build the program and relationship with the spine teams from the USA and Uganda. Together we can build on an established relationship to make access to medical care continue beyond the week-long spine camps.
The day closed with everyone retiring to bed relatively early (except me writing this blog) in order to rise early at 3:30 AM to depart for our SAFARI!!!!!
A power outage? Oh no! A medical strike and now a power outage, what more can go wrong, can this be remedied? How can it be remedied and how quickly? With five cases scheduled for the OR today we sat silently in a dark room waiting and praying for the power to be restored. Please let there be light! Our prayers were answered as Dr. Kisitu informed Dr. Perry that the hospital generator was being connected to the operating room. What a relief!!! Did I say what else could go wrong? Well the good news is that we now have power in the OR, but the bad news is that we had no oxygen because the oxygen source was connected to power only.
There were no oxygen tanks for use in the entire hospital. We all collectively sighed but Dr. Perry had this under control as she paid for oxygen tanks to be delivered from an outside facility. We were back on track or, so we thought.
Okay, so something else went wrong. Scrubbed and ready to go for the first case, which was a cervical decompression Dr. Perry and Dr. Barnard were suddenly informed that the newly purchased oxygen tanks were empty and once again a delay in the OR. Frustrated the doctors removed their sterile gowns and caps and sat quietly wondering what else could delay this day in the OR and what they would tell their patients that have been waiting so long for their surgery.
Good news, good news! The tanks were not empty after all, they simply need to be unlocked appropriately. Nevertheless, the mishaps of the morning were water under the bridge and it was full speed ahead. Dr. Perry and Dr. Barnard scrubbed in once again and the first case began.
Can I just say how excited I was when our scrub tech Andrea asked If I would like to be a circulator on the first case, this was my first trip ever into the OR and I was super excited. YES! YES!! YES!!! My responsibility was limited to retrieving and opening a bottle of saline wash, but it was the most exciting experience ever second to being enthralled by what I was witnessing as Dr. Perry worked on the spine of the patient on the table.
Soothing music permeated the room as the doctors operated with laser focus, it was a tremendous sight to behold and an experience I would never forget.
With no clinic scheduled for the day, the OR was the center of our day and Dr. Ryan Kotton naturally stepped into the OR as second assist to Dr. Barnard on a lumbar case, while Dr. Perry began the third case a 14-year-old girl with a congenital deformity of her spine at L1/2 with an 80-degree kyphotic angulation. Witnessing the precision and focus required for their craft in unreal and yet so real. I was also able to see how integral both Andrea our scrub tech and Max our Medtronic rep were to the success of every case.
Everything was going spectacularly, the lights came on and the generator was no longer needed to power the OR. About two hours later, the doctors were closing on the third case and OMG! The lights went off and the generator was no longer connected to the OR. Luckily the power outage only lasted a few seconds and the case was completed without issue.
Would you be shocked if I said the power went out for a fourth time? Well, it did but luckily Dr. Perry was closing on this patient and the RN Cindy jumped into action with the flashlight from her iphone to illumiante the area needed to finish the case, whew!! That was a close one.
With four power interuptions during surgery and oxygen running low, Dr. Perry decided that it was no longer safe to continue opearting, she simply could not and would not compromise the safety of her patients and would need to pull the plug on the last case of the day. Our 5th patient of the day was devasted about the news the her surgery was cancelled but her safety had to be priority number 1 above an elective procedure.
As an end of the day routine, the clinical team rounded to capture our post-op patients from the week despite the absence of a post surgical roster with their location.
Technically, today was our last day in the OR as the rolling strike continues in Uganda. Without an anesthesiologist we can no longer operate ☹. We tried to hire a private anesthesiologist and also asked for the chief resident to stay. He was willing to do so, however, the powers that be of the Mbarara Anesthesia team did not approve that.
After such a challenging day, we all decided to have dinner at Café Havana to unwind, reflect and enjoy each others company. Our dedication to serve our patients has been our number one priority since we arrived in Mbarara on Saturday and we have used enginuity to resolve setbacks both minor and major. However, we must know when it is time to pull the plug. Dr. Perry's lesson of the day was that she very rarely says "no" but she had to say "no" today to prevent catastrophe from happening on her OR table. We were all extremely proud of her for the leadership she demonstrated and supported her decision 100%.
Uganda Spine Mission November 2017 Day 4
Anger isn't the word, but disappointment, frustration and disillusionment might be more adequate words in terms of conveying the emotions our team feels today. It seems that a doctor's strike was scheduled weeks ago, and we were only recently made aware of this information. Essentially, the country has gone on a doctor's strike and most health care workers have abandoned post. It's been quite sad, luckily, we have an awesome team and have been staying until late at night sanitizing our own surgical supplies, buying meds for our patients and enticing doctors to say, unfortunately our efforts have been fruitless.
Two days into the doctor's strike coupled with an anticipated anesthesiology strike that would directly affect our ability to operate, the urgency of getting as many cases as possible on the docket is crystal clear. With a lofty goal of 10 surgeries scheduled today there was no time for morning pleasantries as the physicians headed to the OR at 7am in hopes of helping as many patients as possible, there was no time to spare and it was all hands-on deck.
Simultaneously in the clinic setting, Dr. Ryan Kotton had a schedule filled with eager patients needing trigger point injections, corticosteroid injections and botox. However, a mini dilemma presented itself when we lost our translator Benon. With only two Lugandan words in our arsenal, noshasha (pain) and yoroba (relax) panic was about to take over when a very nice medical student walked into clinic in her search for another department. Luckily for us she spoke English and she offered to assist, disaster averted!
Dr. Kotton was super excited to have this impressionable student in his clinic and he took full advantage of the opportunity to teach her how to evaluate imaging and techniques for administering injections. What an amazing opportunity for this young student to learn from a world-renowned physician.
Have you ever been to a doctor's office as an adult where you were offered a lollipop prior to getting a procedure done? Well, you have never seen Dr. Ryan Kotton, his charismatic personality transcended culture in Mbarara as his patients simply fell in love with him. He offered them "special medicine" prior to the procedure and the smiles on the faces of our patients were priceless. In return he received hugs and deepest appreciation for changing their lives in a positive way. Everyone wanted to take a picture with him to show their appreciation, it was an amazing sight to see. If you saw a patient walking around Mbarara hospital with a sucker, you know for sure that they just saw Dr. Ryan Kotton 😊
This image is one of true focus and determination, one that transcends the constrictions of social and political constraints. This is the focus of our leader demonstrating to her team that if we can think outside of the box, be resourceful, and work together we can accomplish great things for others. Today we finished nine out of the ten scheduled surgical cases, Dr. Perry was a Rockstar!! And again, that is not a biased opinion, simply one based in fact.
The completion of 9 out of 10 cases was a remarkable accomplishment and the largest amount of surgical case any team has ever done. Fusions, discectomies, laminectomies, decompressions all successful from the surgical standpoint. It was an excruciatingly long day both clinically and surgically and we were not yet finished as all instrumentation needed to be washed, packed and sterilized before leaving the hospital.
Who needs sleep? Surely not us! As the last case was being completed the team outside of the OR band together to wash instruments, pack them and prepare them for sterilization. As novices to this process we all watched the process intently and Dr. Socci, Pamela, Cindy and myself did what was necessary to make the day a success from beginning to end.
Can you say tired? Never has it been truer that a picture is worth a thousand words!!!!!!!!!!!!!!!!!!!!!!!
After more than 12 hours of work, Dr. Perry and Dr. Kotton ordered us all dinner, we ate as a team, discussed our day and headed up to bed as we had another long day ahead of us on Wednesday.
***If you are ever in Mbarara Uganda, we strongly recommend Café Havana it's delicious and a great big thank you to Dr. Tiffany Perry for teaching us that the Waze app works in virtually every country, your genius knows no limit 😊……… Good night, until tomorrow!
It's day 3 at the Ministry of Science and Technology in Mbarara, Uganda and we are loving the totality of this journey and all it encompasses. Witnessing the dynamism of the family unit in this country is nothing less than remarkable as families maintain constant vigil for their loved ones and friends accompany each other to appointments not out of obligation but compassion. Despite the systemic challenges faced by local Ugandans in terms of maintaining their own medical records in a notebook or waiting an entire day to be seen by a physician, the spirit of the people remains resilient and hopeful. The opportunity we have been given to be of service is priceless and even though we are here to serve the physical needs of this population, I believe that the people of Uganda have left an indelible imprint on each of us.
Day 3 began with early morning rotations on the ward as Dr. Perry, Dr. Barnard and Dr. Kisitu evaluated many neurosurgery patients who required their expert diagnostic ability.
The ward overflowed with patients, but each received exemplary care from this team of dedicated and attentive physicians. Dr. Perry and Dr. Barnard had 6 cases in the OR but let me just say that none of it would have been possible without our amazing scrub tech Andrea Searcy and our extremely resourceful Medtronic rep Max Yue who prepped each OR tray, cleaned and sterilized every instrument after each case. This team came to Mbarara to make a difference in the lives of patients, so with one autoclave machine, minimal outlets in the OR, extremely limited supplies and unimaginable politics these two stellar individuals overcame all obstacles and forged ahead.
Amazing job Andrea and Max, the two of you rock every single day!
The spotlight shines brightly on our physical therapist Pam who worked in conjunction with the local Mbarara physiotherapy team to assess and provide treatment plans for our post -surgical patients as well as non -surgical patients who would benefit from PT. Quick assessment can turn into treatment that can improve patients' quality of life. The beauty of physiotherapy is you can make big changes with minimal equipment and a lot of creativity. Working in a room with a chair and a table, Pam was able to address faulty body mechanics and provide basic home programs to allow them to continue to feel relief after they left. Pam's treatment style is energetic and resourceful, showing the patients that their concerns were of the utmost importance. Most patients left laughing and dancing, which is one of the best medicines. Patients traveled from as far as Tanzania to see the team and one session of therapy can mean the difference between continuing to work to provide for their families or not. For the patients that live closer, they will be able to continue with the wonderful therapists at the hospital in the outpatient program. Pam's spirited personality was infectious, and the patients simply loved her.
While traveling we always anticipate meeting new and interesting people and I would be remised if I did not mention Dr. Adrienne Socci, an assistant professor of Orthopaedics and Rehabilitation at Yale University. Dr. Socci is currently on a reconnaissance mission at Mbarara hospital in anticipation of assembling her orthopedic team that would return to provide essential support and guidance to the staff here at the Mbarara University of Science and Technology.
Dinner and reflection has become customary for our team at the end of the day, and according to Pam, " Showing people that you care about their own unique circumstances is invaluable in helping them open up to you as a clinician and make positive change in their lives." This seems to be a universal concept regardless of culture.
Does anyone embrace the sound of an early morning alarm clock? I think it is safe to say very few, however, our very own Dr. Tiffany Perry began day 2 of our mission with a brisk early morning 4 mile run before meeting the team for breakfast at 6am. As for the rest of us, we hit the snooze button a couple of times, rolled over with pillows over our heads and prayed for an extra hour to sleep. Breakfast was served promptly at 6am as we had many patients anticipating our arrival by 8am.
The anticipation of our first official day at the hospital was palpable, how many patients would we see, what kind of cases would we encounter and how would we effectively communicate with patients who speak only the local language?
We began the day with some starting in the operating room and others starting in a busy clinic in the adjacent building
The OR began with a T11-L3 posterior fusion for a traumatic L1 burst fracture for patient who was paraplegic. The second patient was an engineer who had severe lumbar stenosis and underwent a lumbar decompression surgery.
Hoards of patients lined up to see Pamela for physical therapy and Dr. Kotton for injections. In between cases and after 2 cases were completed on the Sunday, we all combined forces to see over 100 patients! Only in Uganda can we see that many in a day! Examination rooms were filled with patients—sometimes more than one and their families. The small rooms were humid and warm, and occasional rains intensified the air. With 4 providers seeing patients and our nurse Cindy and administrator Rhondine vigorously typing up summaries of each visit, plans were made for each patient.
Our last patient walked thru the exam door at 7:15 PM. We were exhausted, hungry and sweaty. The evening closed with the traditional buffet dinner at the Lakeview Hotel. Over dinner, we were able to laugh about the day and share feelings and thoughts about the hurdles we encountered that day.
The words of wisdom of the day came from Max Yue, our Medtronic rep: "Sterilization is a matter of opinion." We all took turns around the table after dinner, stating our lesson of the day. Consensus was we are grateful for what we have, and our outlook when we return to our own practices will be changed forever. We all retired to our rooms for a good night's rest to be ready for a big day to follow.
Uganda Spine Surgery Mission - November 2017 Day 1
Our first mission trip to Uganda began at LAX Friday evening November 2nd with an eventful hunt for a missing suitcase, which included essential medical supplies. Tensions were high to say the least, however, after careful scouring of the Tom Bradley International Terminal the missing supplies were found, and we successfully checked six extra-large plastic bins and multiple suitcases that were over capacity, but we were not charged—WHEW! Breathing a sigh of relief our group of eight, which includes Dr. Tiffany Perry, Dr. Ryan Kotton, Dr. Zachary Barnard a 5th year resident, Andrea Searcy the scrub tech, Max Yue the Medtronic representative, Pamela Mikkelson our physical therapist, Cindy Litman an RN and myself Rhondine Jordan the academic assistant proceeded to our departure gate headed for Istanbul, Turkey. Twelve hours later we landed in Istanbul followed by seven hours to Kigali Rwanda and finally arrival at Entebbe after a twenty-six-hour excursion.
While traveling is always an endeavor, coordinating checked luggage, international visas, Ugandan medical licenses, and immunization records for a team of eight adds an additional layer of anxiety to the process. Is everyone prepared with their documents? Will we be held up at customs for any reason? What will we do if that happens? The questions were extremely nerve-wracking, but our team was absolutely prepared, and the journey went on without a hitch. Upon arrival in Entebbe our driver Isaac stood outside the terminal with a sign that said, "Uganda Spine Camp Team, Dr. Tiffany Perry" and he ushered us into a twenty-eight-passenger bus with our luggage in tow for the four-hour bus ride to Mbarara Uganda. After making a pit stop at the Ugandan Equator for a bathroom break and snacks our team boarded the bus once again for our destination completely exhausted but totally excited about our mission ahead of us. Exhausted, the team vacillated between periodic naps and absorbing the beauty of the country side in a country we were all experiencing for the first time except for Dr. Tiffany Perry our groups seasoned veteran on her second mission in 2017.
You would think that after twenty-four hours of continuous travels and lack of sleep we would embrace our hotel rooms and call it a day until Sunday, however, that assumption would be completely wrong. Instead, this dedicated team of eight quickly dropped off our luggage and headed directly for the Mbarara hospital to unpack our multiple bins of medical supplies and survey the hospital for surgical evaluation.
After swift teamwork the medical supplies were unpacked and organized into groupings and ready for any surgical procedure. Did I say I was proud of our team? And I am not biased, believe me.
One last endeavor remained before our day would be considered a complete success and that would be clinical rotation. Our fearless leader Dr. Tiffany Perry alongside Dr. Barnard and Dr. Kisitu evaluated multiple patients experiencing a range of spinal complications, they reviewed available images and decided that two urgent cases would be on tap for Sunday morning OR.
Can I just say that today was an extremely long day but well worth it in the end, two cases will be on the docket tomorrow so stay tuned for the magic!
Our day would not be complete without delicious Indian food, and our group enjoyed every morsel.
Yes, all of that happened on our very first day. Go Team!!


Something magical happens when you read a good Amish Christian fiction book (hint: a good one is harder to find than you think). You pick it up and are transported to another world. One that sometimes you wish you could be in.
Barbara Cameron's works are really sweet and good . I've enjoyed the Harvest of Hope series (this first book review is here) this is the second one in the series. It can be stand alone, but it fits nicely in the second position too.
As I read this book, I thought of how much I could get done in my home and yard and with my boys if I didn't have a cell phone, social media, or a TV. If I didn't reun out of the house all the time to run errands. If I cooked most of my food at home. At how many desserts I could eat (every day) and not gain weight if I was working as much physical labor around the house.
I didn't like the fact the husband had died in this book (not a plot ruiner). I don't like the idea of either me or my husband dying and not seeing our boys grow up. I'm a Highly Emotional Person when it comes to reading since I've had kids. Not always fun.
Even though this book is predictable, she writes it in such a way as to keep you engaged and looking forward to the next series.


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What is Included in the Note-Taking ?
Nowadays, you have really understood about the note taking . Explore all templates in your Microsoft word and learn it again. Certainly, you do not use all facilities and must try all.


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2020 Acquisitions
Stamped from the Beginning: The Definitive History of Racist Ideas in America by Ibram X. Kendi. An award-winning historian argues that racist ideas have a long and lingering history, one in which nearly every great American thinker is complicit. BOOK DONATED BY RICHARD ZEYEN
White Rage: The Unspoken Truth of Our Racial Divide by Carol Anderson.
Historian Carol Anderson reinterprets "black rage" as "white rage at work" which provides the "kindling" for black protests. BOOK DONATED BY RICHARD ZEYEN
Begin Again: James Baldwin's America and Its Urgent Lessons for Our Own by Eddie S. Glaude, Jr. Mixing memoir, history, and analysis, Glaude powerfully unpacks the tangled web of race, trauma, and memory and asks us to call forth a new America.
Belonging: A German Reckons with History and Home by Nora Krug. A deeply personal memoir of struggles with German identity after World War II, coming to terms with her family history, and exploring the German idea of Heimat, or homeland.
This Is What America Looks Like: My Journey from Refugee to Congresswoman by Ilhan Omar. A remarkable memoir tracing Omar's incredible journey from war-torn Mogadishu to the US House of Representatives.
Late Migrations: A Natural History of Love and Loss by Margaret Renkl. Essays offer a psychological and spiritual portrait of an entire family and place in beautiful prose, in a richly illustrated book with her brother's artwork---beautiful to look at and to read. BOOK DONATED BY VEENA DEO
A Map Is Only One Story: Twenty Writers on Immigration, Family, and the Meaning of Home edited by Nicole Chung. Twenty funny, poignant essays on
migration and new beginnings, breaking our image of the world with fixed borders and identities to create something new.
World of Wonders: In Praise of Fireflies, Whale Sharks, and Other Astonishments by Aimee Nezhukumatathil. A debut essay collection guides readers through a stunning menagerie of curious species, from dancing frogs and vampire squids to corpse flowers-creatures that often seem alien but share a lot with us. BOOK DONATED BY VEENA DEO
Hamnet: A Novel of the Plague Year by Maggie O'Farrell. This "glorious novel" recreates the tragic story of Shakespeare's son, showing how even the most shattered heart can heal.
Lonesome Dove by Larry McMurtry. Winner of the 1985 Pulitzer Prize, this epic tale of two Texas Rangers who drive their cattle to Montana is a meditation on old age, death, unrequited love, and friendship.
Look Homeward Angel by Thomas Wolfe. An American classic of the 20th century, Wolfe's first, largely autobiographical novel, is about a young man leaving home in search of a more intellectual life.
Northernmost by Peter Geye. Following The Lighthouse Road and Wintering, this final book in Eide family trilogy is a beautiful ode to the enduring human spirit
BOOK DONATED BY CAROL VAN WHY
Madame Bovary by Gustave Flaubert. The iconic story of love and betrayal in a provincial French town. This classic is new to our library.
Trust Exercise by Susan Choi. Named best book of the year by The Washington Post, New York Times, The Atlantic, and Vanity Fair, this is a coming-of-age novel as well as a satire on egotism and obsession in an academic society.
On the Earth We're Briefly Gorgeous: A Novel by Ocean Vuong. An extraordinary coming-of-age story, about a young Vietnamese American writer whose fractured family was torn by their experiences during the Vietnam War.
Breath: The New Science of a Lost Art by James Nestor. Using new technologies for investigation as well as old forms of knowledge, the writer explains the power of breathing techniques that can help us all with chronic, everyday breathing problems in modern life.
Pandemic 1918: Eyewitness Accounts from the Greatest Medical Holocaust in Modern History by Catharine Arnold. A gripping narrative marking the 100th anniversary of an epidemic that altered world history.
Unbroken Brain: A Revolutionary New Way of Understanding Addiction by Maia Szalavitz. The writer combines her own experience as a former drug user with the latest scientific research to challenge traditional ideas of an "addictive personality" as a disease, suggesting instead that it is a learning disorder that can be treated.
MYSTERY/SPY/ADVENTURE
All the Devils Are Here by Louise Penney. Fans of Louise Penny will welcome this newest mystery, set in Paris, in the latest title in the Armand Gramache series. Reine-Marie Gramache, a librarian uses her research skills to unravel the well-constructed plot. The location may change from the Canadian village, but the marvelous descriptions of food, landscape and characters are still there.
A Bitter Feast by Deborah Crombie. Another first for our collection: married detectives Kincaid and James investigate suspicious deaths in the picturesque Cotswolds.
Blood Curse: The Springtime of Commissario Ricciardi by Maurizio de Giovanni.
The visions Ricciardi has of the final seconds in the lives of victims of violent deaths have helped him become one of the most acute and successful homicide detectives in the Naples police force but hollowed him out. #2 in the Commissario Ricciardi series. BOOK DONATED BY ED LOTTERMAN AND VICTORIA TIRREL
I Will Have Vengeance: The Winter of Commissario Ricciardi by Maurizio de Giovanni. Naples 1931: When one of the world's greatest tenors is found brutally murdered in his dressing room at Naples' famous San Carlo Theatre, the enigmatic and aloof Commissario Ricciardi is called in to investigate. #1 in the Commissario Ricciardi series.
The Island by Ragnar Jonasson. Well-plotted Icelandic thriller in the popular Scandinavian mystery genre. Another new author for us.
Spies of Shilling Lane by Jennifer Ryan. In this "delightful" mystery, a woman seeks her missing daughter, and finds friendship, during the London blitz.
Standardization of Demoralization Procedures by Jennifer Hoffman. In a world of spycraft, betrayals, and reversals, a Stasi officer is unraveled by the cruel system he served. The author's first novel is a stunning tale of espionage which readers of John LeCarre will be eager to read.
The Unexpected Inheritance of Inspector Chopra by Vaseem Kahn.
First in the clever, prizewinning series starring a Mumbai detective; new to our collection.
NATURE/ENVIRONMENT
A Furious Sky: The Five-Hundred-Year History of America's Hurricanes by Eric Jay Dolin. A fascinating narrative of the most significant hurricanes that have affected the United States. American journalist Elizabeth Kolbert finds in the book "a story of a changing climate, and it forces us to reckon with the reality that as bad as the past has been, the future will probably be worse, unless we drastically re-imagine or relationship with the planet."
NATURE GUIDES
What It's Like to Be a Bird: From Flying to Nesting, Eating to Singing—What Birds Are Doing, and Why by David Sibley. For birders and non-birders alike, this book tells us why "birdbrained" cannot be an insult if we knew what birds did and why.
The Tradition by Jericho Brown. Winner of the 2020 Pulitzer Prize in Poetry, Jericho Brown has written masterful lyrics that combine delicacy with urgency about bodies vulnerable to hostility and violence.
Atlas Obscura: An Explorer's Guide to the World's Hidden Wonders by Joshua Foer et al. A joyful antidote to the idea that travel now is a homogenized, corporate shopping opportunity. Here are hundreds of surprising, mind-blowing, inspiring reasons to travel a day longer and farther off the path.
The Lost Pianos of Siberia by Sophy Roberts. Robert's calls her book "as much elegy as detective story." Her search for lost pianos offers a richly absorbing account of Siberia over the last 250 years.
These Truths: A History of the United States by Jill Lepore. An extraordinary recounting of American history in an intellectually honest way.
WORLD POLITICS/GOVERNMENT
Twilight of Democracy: The Seductive Lure of Authoritarianism by Anne Applebaum. One of the first American journalists to raise an alarm about antidemocratic trends in the West explains the lure of nationalism and autocracy.
Want more recommendations? Check out your neighbors' Reader Reviews


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Ellen McGregor
CEO, Fielding Environmental
Fielding Environmental is an award winning clean-tech company specializing in chemical and refrigerant recovery to produce high quality recycled chemicals. Committed to serving the peak of the waste management hierarchy, Ellen trade marked the phrase Cradle to Cradle® long before the words had market meaning. She is a champion for innovation believing that Canada can and should be the world's leader in resource recovery. Ellen is a vocal advocate for changes in legislation that will enable the growth of the Canadian cleantech industry. Recognized for her accomplishments in business and for business, Ellen was named Business Person of the Year by the Mississauga Board of Trade and by Heritage Mississauga. She is profiled in the book "Extraordinary Lives: Inspiring Women of Peel" written to pay tribute to women who have made outstanding community contributions over the past 200 years. She is also a recipient of the Queen's Diamond Jubilee Award and has won several awards for leadership in environmental excellence including the Clean16 Award, an award bestowed on people who have made significant contributions to sustainability in Canada.


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Is endovascular aortic aneurysm repair associated with better long-term survival than open surgical repair?
Since the introduction of endovascular aortic aneurysm repair (EVAR) in 1991, the number of abdominal aortic aneurysm repairs in the United States has increased dramatically, and more than 80% of these procedures are now performed with the use of EVAR. Read the NEJM Clinical Practice Article here.
Q: What factors predispose to the development of an abdominal aortic aneurysm?
A: Predisposing factors include advanced age, family history, previous or current tobacco use, hypercholesterolemia, and hypertension; diabetes mellitus is associated with reduced risk.
Q: What diameter represents an appropriate threshold for repair of an abdominal aortic aneurysm?
A: Randomized trials showing no survival advantage with surgery over close surveillance for abdominal aortic aneurysms measuring less than 5.5 cm have supported the view that this diameter represents an appropriate threshold for repair and that surveillance for aneurysms with a diameter that is less than 5.5 cm is safe and cost effective. An important limitation of the studies on which the threshold of 5.5 cm is based is that the overwhelming majority of patients enrolled were White men; thus, the generalizability of the findings to women and other races and ethnic groups is unclear. Given the smaller native size of the aorta and the higher incidence of rupture of small abdominal aortic aneurysms among women, most experts and guidelines suggest that a smaller diameter of 5.0 cm is an appropriate threshold for repair in women.
Q: Is EVAR associated with better long-term survival than open surgical repair?
A: The three largest randomized, controlled trials performed to date in which the outcomes of elective open surgical repair were compared with outcomes of EVAR have yielded consistent results. All three trials showed that 30-day morbidity and mortality were significantly lower with EVAR than with open surgical repair (0.5 to 1.7% vs. 3.0 to 4.7%). However, the short-term survival advantage of EVAR diminishes during follow-up, such that among the patients who survived beyond 2 to 3 years, survival rates associated with the two procedures were similar, and they remained so during 8 to 10 years of follow-up. Reintervention rates after EVAR were higher than those observed after open surgical repair, but most follow-up procedures were performed with catheter-based techniques; overall, the costs of EVAR were higher than those associated with open surgery.
Q: What factors should be considered when choosing between EVAR and open surgical repair of an abdominal aortic aneurysm?
A: The choice of repair strategy should involve shared decision making and should include consideration of the patient's anatomical suitability, operative risk, and willingness to adhere to the lifelong requirement for annual follow-up imaging. Multiple guidelines recommend lifelong follow-up imaging after EVAR in order to identify and correct aortic or other device-related complications, such as persistent blood flow within the aneurysm sac (e.g., endoleaks) or residual aortic sac enlargement. Postprocedural imaging surveillance is intended to identify serious complications and to prevent death from aneurysm rupture. Imaging often includes computed tomographic angiography in the first months after EVAR, followed by duplex ultrasonography annually. Rupture of an abdominal aortic aneurysm after EVAR has been documented in 5.4% of patients. In contrast, with open surgical repair, lifelong follow-up is not critical owing to the greater durability of repair and the lesser need for reintervention. After open repair, most vascular surgeons follow patients until they have completely regained their preoperative baseline. Thereafter, patients are typically seen only if a new problem arises, since rupture after open repair is extremely rare.


Today Stew took us to some great spots around Austin and everybody got some good stuff done including Mike Taylor who decided he'd had enough of being injured and even though his foot looked worse than ever he strapped it up and got on his bike. The day before one of Tony Malouf's new Osiris shoes had gone missing, we found it back at Stew's house locked in the jaws of Chief the dog who had chewed it up. Once the sun went down we drove over to T1 as Steve Crandall had organized a BBQ. FBM supplied the food and BSD bought the beer! A good crew of riders were there and once the lights were set up a fun session on the famous ramp got underway. Thanks again to Joe Rich for hosting the party.


With the help of her "What You Say" machine, Adi Mendoza, 10, would be able to understand her 2-year-old brother's gibberish and her dog's yips and barks.
The fifth-grade inventor demonstrated her prototype — a long tube attached to a cardboard box — Wednesday at Kids Unlimited Academy's second annual Invention Convention.
"You just have the animal or child speak into the tube, and it's processed and comes out in English," Adi explained matter-of-factly.
"I have a little baby brother who talks to me, but I don't understand him, and it stresses me out," she said.
For the Invention Convention, third- and fourth-graders were tasked with designing their own rain gauges and anemometers, while the fifth-graders were asked to develop an invention that would solve a problem in the world.
"Some immediately knew what they wanted to do, and others took two weeks just to come up with the idea," said David Tourzan, the school's science director.
During the convention, students had to pitch their inventions to judges, community members and fellow students as if they were on ABC's "Shark Tank," in which aspiring entrepreneurs present their products to investors.
The sharks — or judges, in this case — were local meteorologist Adam Colpak, the charter school's principal, Lynn Eccleston, and Colleen Cavanaugh, a graduate student studying environmental education at Southern Oregon University.
Rebecca Wheeler, 10, and Jessica Cruz, 11, collaborated on the WAR (Water Animal Rescue) Drone, which detects distressed fish, trapped by soda cans, plastic bags and other garbage, and rescues them.
"It would not only help the fish out but throw away the trash, too," said Rebecca.
Connor Wernecke, 11, invented No Expiration, a machine that turns food into seasonings that never expire.
He came up with the idea after watching his mom throw away a bunch of moldy, spoiled food. Plus, he said he liked the idea of sprinkling powdered cherry on top of an ice cream sundae.
Nyreyda Cortes' Food Changer replaces the ingredients in junk food with healthful ingredients while maintaining the original flavor.
Katherine Mejia's Folding Dryer attaches to a washing machine and not only dries clothes but also folds, separates and steams clothes and warms bath towels.
Chloe Bradley combined coconut oil with Pixy Stix, Jell-O and Grape Crush soda to create Candy Lip Gloss. Zane Wheeler's Paper Omatik is a printer that also erases paper, thus saving trees and animal habitats.
The Crank, by Trystin Vannatta, is a contraption for manually charging a device in an emergency or, in his experience, a long road trip.
Meanwhile, Zach Dwyer and Hailey Dolmage simplified household chores. Nighty Tidy by Zach is a pair of slippers attached to sponges, and Doggie's Duty by Hailey is a dog harness retrofitted with scrub brushes and a dog bone for bait.
Hailey said she tested the harness on a friend's dog, who successfully cleaned up a sticky mess on the floor.
Most of the students' prototypes — built with cardboard, tape, wrapping paper, buttons, beads, straws and nonrecyclable plastics — are not functional but still demonstrate creativity and ingenuity, Tourzan said.


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