"I give my patients back their natural inborn healing power so that they can live a self-managed healthy life." ? by Dr. Cheng, the founder of Cheng Medical Center.
China has over five thousand years of Acupuncture, which was passed to all over the world. The Eastern approach to health involves understanding the body and mind as an interconnected system that must be treated as a whole to properly get to the root cause of the problem. A body and mind that is in natural balance is considered to be in good physical health. Rather than treating symptoms, or the effects of a poor health condition, the Eastern approach attempts to restore natural balance to the body. This balance then creates the internal conditions that allow your own body to naturally cure the cause of the problem. This approach is extremely beneficial because once balance has been restored and the ailment has been properly treated, it is much less likely to reoccur because the conditions that created the problem have been eliminated. This approach to health is also extremely effective in helping to resolve multiple poor health conditions simultaneously. In some instances, seemingly unrelated health problems will "resolve themselves" because balance is being restored to the entire system and not just one particular part of the body.


text:
Living in That Scary Place
Jonathan L Trapman	in Blogroll, New World Order	 November 7, 2016 November 12, 2016 671 Words
Recent Posts: Toto's Outsider Blog
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We are battered on a daily, sometimes hourly basis with even greater, abhorrent distortions of our world. The number of horrific acts of human bestiality are programmed into our minds, solidified by repetition and forced on us to accept the truths that are and always have been lies. In the Sixties marches would be mobilised, […]
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Jonathan L Trapman
An Evolutionary Journey – Life Lessons through The Lens
Khazaria – Kriminal Klass Sowing Terror Murder Deceit and Lies from 750 – 2018
Dreaming of a White Christmas? Then Beware Before Wishing It!
Decline and Fall of the American Empire and the Coming of Age?
Weaponized Political Correctness – Civilization Doomed
The Eagle Has Fallen – Right on Cue
Paedophilia – Reward and Punishment in a Degenerate World
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Jonathan L. Trapman, author and photographer, has written since aged 9 and photographed professionally since aged 16. His first novel The Bull got fair marks at school and marked him out as an author in need of improvement. Defying his early detractors he began his professional career as a photojournalist, working for some of the top titles in Fleet Street at the time. Among them the London Times, Daily Express and a very short and boring stint with the Sun newspaper. Having been exposed to the amount of propaganda and half truths demanded from photo/journalists in the '70s and 80s, he decided his soul was worth more than shekels earned from the news rooms of corporate cronyism. Marking his further career becoming one of the industry's foremost photographers he enjoyed getting to know the world, its peoples and a far wider vision of life on earth on others' behalf and at others' expense. He has appeared on TV and radio including the BBC, France Inter and online radio. He has been invited to speak at creative and literary conferences across the globe. From early 2012, in partnership with his wife, he has accomplished several translations of foreign writers. The most enduring, endearing and ground breaking has been the first ever, in nearly 1000 years, translation of 10th century Sufi founder and mystic saint Hoja Ahmed Yassawi's Diwani Hikmet (Divine Wisdom) poetry and sacred verse.(www.diwanihikmet.com) His magnum opus The Freedom Cycle is an ambitious seven book project, Dreams and Realities being the first. Currently working on them to publish over the next few years. Jonathan presently lives in Somerset, UK.
The Freedom Cycle - Author Site
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First ever English Translation of the sacred verses and poetry of Hoja Ahmed Yassawi - 10th Century Sufi Mystic
Vox Political
InMyDirection
Poesy plus Polemics
World's gone even more crazy than yesterday. Probably will be crazier tomorrow than today, so preparing oneself for Scary 46.0 might seem like the best plan.
All the tools we have around us, you know those distracting hand-helds, the bozo screen in the corner of the room, the social media where we can rage to our heart's content believing nothing comes back to us in our comfortable aerie in downtown Wacko or deep in the countryside of Mid Shiredom.
Well one small item we may have forgotten. As much as we prefer not to paint ourselves resembling human beings, cut off as we have created our lives, sans community, sans culottes, sans everything that matters – we still are human. We still retain an ability to think critically, act honourably, deal transparently and talk truth.
However actively denying these attributes brings such a retribution that if intelligence had been adhered to primarily we would never have dealt ourselves such blows of misfortune.
You see ego is a wily beast. Uncontrolled, unrestrained and unknown for its ultimate death blows, we easily allow it to become the Master of our Tiny Universe and maintain dominion over us.
As an essential part of our constitution, it has its place. When we do little to restrain, train and control it we enter "that scary place". Denial never cuts a deal worth coping with, it merely hands over more power to this unrestrained beast, offering up more pain in store for that day you least expect it to bite back.
When these conditions are played out through the hands and actions of this we have so willingly allowed to have power over us, then we truly garner an unholy alliance of shite and aim it directly at the fan. We enter Poop Land, where every consequence is marked "Return To Sender". Unalloyed Joy!
So as we live out our badly decision filled lives, many blame that old chestnut GOD, the immutable DOG spelled backwards, the Eternal Creative Force under which we remain powerless or other Immutable, Impenetrable Invisibility that conveniently releases us, allegedly from Ultimate Responsibility.
So does that make you feel a whole lot better knowing it is not your fault really and that destiny will wash it out in the Final Rinse?
Do you have the certainty knowing you can just sit on your hands, tell others you were "just doing my job, guv!" and washing your proverbials of blame?
If you do, then you are in for a rude shock. One you will NEVER see coming and if glimpsed the question "Why?" will leave you farting in the wind before extinction. Think I am being over dramatic? Think again – your life will literally depend on it.
Truth is the Lion in the room. It will gobble you up as if you are a gazelle on the menu. The Lion of truth needs no sword – It is Master of its own clearing – It recognises being King of the Self is what counts. Accountable to and for its own actions, its own place in the order of things and its own wise strength and council.
Seek it out within you. Allay any fear of encounter. Slay the ego and rise up and face iniquity with the courage of that Lion, the strength of knowing and royal pride in standing with Truth.
At that time the Scary Place will melt as surely as the snows on Kilimanjaro will melt away in the face of the heat of eruption. Avoid the Poop, develop the Brave!
Jonathan L Trapman is an author, creative writer and photojournalist who has spent the better part of his 50 odd years in public life, learning from his personal experiences, sharing them, listening to others, whose lives have allowed him to open his own mind to a beauty, even within horror, that is transforming and empowering. His written work endeavors to convey, through true tales and fiction, impressions thus garnered. Dreams and Realities his latest work was published September 2016
Jonathan L Trapman Jonathan L. Trapman, author and photographer, has written since aged 9 and photographed professionally since aged 16. His first novel The Bull got fair marks at school and marked him out as an author in need of improvement. Defying his early detractors he began his professional career as a photojournalist, working for some of the top titles in Fleet Street at the time. Among them the London Times, Daily Express and a very short and boring stint with the Sun newspaper. Having been exposed to the amount of propaganda and half truths demanded from photo/journalists in the '70s and 80s, he decided his soul was worth more than shekels earned from the news rooms of corporate cronyism. Marking his further career becoming one of the industry's foremost photographers he enjoyed getting to know the world, its peoples and a far wider vision of life on earth on others' behalf and at others' expense. He has appeared on TV and radio including the BBC, France Inter and online radio. He has been invited to speak at creative and literary conferences across the globe. From early 2012, in partnership with his wife, he has accomplished several translations of foreign writers. The most enduring, endearing and ground breaking has been the first ever, in nearly 1000 years, translation of 10th century Sufi founder and mystic saint Hoja Ahmed Yassawi's Diwani Hikmet (Divine Wisdom) poetry and sacred verse.(www.diwanihikmet.com) His magnum opus The Freedom Cycle is an ambitious seven book project, Dreams and Realities being the first. Currently working on them to publish over the next few years. Jonathan presently lives in Somerset, UK.
Published November 7, 2016 November 12, 2016
The Times of Guns and …
Change – A Colour Revolution Too Far
The Freedom Cycle
politics for the people
fiction, short story, writing, creative content
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redpajama_set_name: RedPajamaCommonCrawl


Kanker (Chhattisgarh), (IANS) At least 10 people were killed and 30 injured when a truck carrying people from a wedding function overturned in Chhattisgarh's Kanker district on Friday.
The people were returning from a wedding function from Narayanpur area to Damkasa area when the driver lost control over the truck, which was carrying 50 people.
Health Secretary R.Prasanna said the injured were being sent to Raipur and the toll was likely to rise.
Chief Minister Raman Singh has announced compensation of Rs.25,000 for the next of kin of the deceased. He has also directed that a chopper take the injured to Raipur.


Many Tucson Dog readers are likely familiar with the Humane Society of Southern Arizona (HSSAZ); their great work has been well-documented. Last year 5,807 animals were taken in, 4,515 found new homes, and 211 lost pets were reunited with their humans. HSSAZ provides low-cost spay and neuter services, vaccinations to public pets, and medical services for all of the shelter's animals patiently awaiting their forever homes. They provide education to humans in the form of Dog Days in the Desert summer camps for kids, seminars about animal care best practices, court-mandated animal cruelty education classes, and pet first aid; they have even offered Rattlesnake Avoidance Training.
What is less well known, perhaps, is the fact that all of this good work is being accomplished from a physical plant that is more akin to a mobile army surgical hospital, or MASH unit, than to a modern animal shelter. Not a single square inch of the aging campus is wasted. Similar to the old television show, M*A*S*H, it is the people who work at HSSAZ who make the place shine in spite of whatever difficulties and challenges they may encounter.
Originally donated to the HSSAZ in 1944, the current location was formerly a residential property that has been continuously retrofitted to accommodate its use as a shelter. Dr. Santana Overton is the primary care provider veterinarian to the animals who reside at the shelter. She practices her healing arts in a space that appears to have surely once been the broom closet of the former residence. From this space, which narrowly allows an average-sized human to pass between the exam table and the wall, Dr. Overton examines each and every shelter resident upon his or her intake to HSSAZ. Here she also provides ongoing care. Everything short of surgery takes place in this small space, and no animal, regardless of size, is able to avoid Dr. O's loving care.
Lost animals who are reunited with their humans often rely upon the friendly folks who operate the Lost & Found call center. There are two full-time staff members, Tanya Valasquez and Sandi Drye, whose job is to answer the approximately 500 calls per day that the shelter receives about missing and misplaced/found animals. They handle this volume from a long narrow space that barely allows their office chairs to roll backward from the mounted desk without hitting the wall behind.
In spite of the close quarters, the ladies of the Lost & Found call center make room in their office, and in their hearts, for the so-called "office pets" (see cover photo). The shelter environment is a challenging one for many animals. In an attempt to help the shelter's resident pets to cope with the stresses inherent in being in their kennels and runs, the HSSAZ staff allow individual animals to hang out in offices while they work. This practice not only helps the animals, but also contributes to the atmosphere of compassionate caring created by the staff. Who doesn't love seeing a wagging tail, purring cat on the desk, or napping puppy curled in the corner?
During our visit to the shelter the television star Nicholas the dog, performed his duty as the office pet of the day in the Marketing Department's modular home. In an effort to unite pets with their forever homes, HSSAZ partners with local media outlets, including television stations, to feature individual pets. Nominated "Staff Favorite," Nicholas is a complete love who doesn't especially relish being in his kennel. Like many dogs at the shelter, Nicholas jumps and barks at his kennel door when people come to look for a new pet. These behaviors are a common symptom of being stressed by the shelter environment, and they are not usually representative of the dog's personality. As such, it can be difficult for potential pet parents to see past the kennel to the sweet animal within. In real life, Nicholas loves nothing more than to be with his humans, and to play with toys.
Another resident, Firefly, has been described as a special needs kitty. According to her online profile, she would be best as an only pet, as she doesn't do too well with other cats or dogs. She also would prefer a household without children. She was the mother to a litter born at HSSAZ, and all of the kittens have since been adopted. Only Firefly remains. While Firefly may come off as aloof, the staff at HSSAZ extoll her virtues, and it is not uncommon to see her out of her enclosure as someone's office cat of the day while she awaits her forever home.
The shelter will be moving to its new, state-of-the-art facility on Roger Road just west of Oracle, with a scheduled occupancy date of January 2, 2018. This new facility has been impeccably designed with the careful eye and experienced input of HSSAZ's expert staff. Years working in a challenging environment have given the staff a lot of understanding upon which to build its wish list and its definitely-must-have list for the new facility.
Some of the new building's features include nonporous and sealed floors. This detail is important because the floors will help prevent the leaching of microbes, and this will help minimize the spread of illness. In addition, a high-tech HVAC air handling and containment system will filter out additional germs and help prevent the spread of airborne illnesses like kennel cough, which is very common in shelters. Kennel cough is particularly challenging because it spreads very easily, and is difficult to contain in an environment that lacks adequate ventilation. Having separate areas with individual controls will allow for quarantine of sick residents, and help minimize the other animal's exposure to infection.
In the new shelter, feline residents will be delighted with new, larger enclosures. Cats will also have access to individual outdoor areas in each of their enclosures. This is a huge upgrade, as the cat area in the current facility only allows for indoor space, and cats are housed in small kennels about the size of a medium dog crate. Additionally, shelter dogs will be relieved that the play yard and meet-and-greet areas are no longer adjacent to their private dog runs. This separation will allow individual dogs to have more one-on-one time with their prospective humans, without the stress of other animals barking through their enclosures. At the same time, this feature will give the resident dogs a more peaceful and relaxing atmosphere.
The spay/neuter clinic time and space is shared between the resident animals and the public's pets. Due to space constraints at the current location, this means that shelter resident animals are limited to spay and neuter surgeries on Tuesdays. This reduced surgical capacity increases shelter residents' length of stay, which currently averages 34 days. Larger clinic space in the new facility will allow greater opportunity to perform operations for shelter residents. This is a very important development; the staff projects that it will lead to a greater number of animals being served annually, with up to 1,000 more animals getting new homes as a result. (The clinic currently performs over 6,000 spay/neuter surgeries per year.) At the same time, the hope is that the increased surgical capacity will decrease each animal's average length of stay by two to three weeks.
In the past few years the shelter has seen an increase in the number of pets coming to the shelter with complicated medical issues. Fortunately for those animals, there is the Second Chance medical fund, which is earmarked specifically for pets with those complex medical needs. One of the animals who benefitted from these Second Chance medical funds is Willie, a 5-year-old Chihuahua mix. Willie, who came to HSSAZ as a stray, is a sweet little guy who loves his kennel mates. Unfortunately, one of his eyes was infected, and needed to be removed. The surgery was paid for by the Second Chance funds. Like the entire budget of the HSSAZ, all of the funds come from donations and fund-raising events; HSSAZ does not receive any federal or state government monies for its operation. HSSAZ's 2016 annual income was comprised of donations from the public (74%), payments for services (16%), and special events and other fund-raising (9%).
Each year, the HSSAZ puts on many fun events around the community to raise awareness and funds. These events include: Putt for Paws golf tournament, (Put on by Tanya Barnett of The Reliance Group Real Estate. Last year, Tanya happily presented a check for $10,000 to HSSAZ.) Puttin' On The Dog (see Tucson Dog's first edition story on our website), and many more. One of the big upcoming events is the 3rd Annual Sweat For Pets on October 22, 2017 at the University of Arizona Campus Mall. For more information, and to register, check out the events page on the HSSAZ's website. The Tucson Dog magazine is thrilled to be a sponsor of this event and will be there with a booth and a team that will walk too.
In addition to receiving donated funds, HSSAZ could not operate without its volunteers. There are over 1,500 active volunteers; between 700 and 800 of these folks provide foster homes for the shelter animals. In 2016, volunteers donated 148,645 hours of their time to the HSSAZ. One unique program that relies on volunteers is Fostering Adoptions on the Streets of Tucson, or FAST, which started last year. Through this program, dogs are taken out of the shelter and are given exposure to potential new homes in the real world. This allows potential new pet parents to meet dogs in a more normal environment than the shelter can provide, with the goal of making adoptions happen more quickly.
For more information on how you can volunteer, join in one of their fundraising events, donate money, or adopt a new member of your family, please visit the Humane Society of Southern Arizona's website at: www.hssaz.org, or visit them in person at their current location: 3450 North Kelvin Boulevard, Tucson, AZ 85716.


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Let's get the spoiler alert out of the way.
You know that visual attention experiment? The one where you're told to count the number of times the people in the white shirts pass a basketball back and forth?
You almost certainly do, if you're a typical Maven Game reader, but just in case, don't read any further and go take it now.
Are we all the on same page here?
You know, about the twist?
OK, I think I've created enough of a buffer zone. I want to talk about the gorilla.
The gorilla effect is real. A little while back, Stephen Shapiro—author, magic fan, and all-around good dude—gave me a ticket to Derren Brown's new show, Secret. At the top of the evening, Derren warned us that a man in a gorilla suit would wander on-stage at some point and that we, the audience, wouldn't notice it.
This was a small theater, by the way. 199 seats. And yet, the gorilla got past us. Twice.
Sure, Derren was up to all kinds of distracting show business at each point, but still, this was fifteen feet in front of my face and I had no clue.
So the gorilla effect is real and it's powerful. But maybe we're taking the wrong lesson—that people are "blind to the obvious"—from it.
For one, it brings to mind Richard Wiseman's experiment demonstrating that people who think of themselves as lucky are much more likely to notice opportunities than the rest of us.
For another, it points toward why goals are so powerful even though they almost never feel like they're working at the time.
When we set effective goals, we give our brains new marching orders. As a result, they get busy noticing different types of things, things relevant to our goals. This transforms our behavior and our results—but all below the level of our conscious awareness.
Obviousness depends on what is deemed to be relevant for a particular question or task at hand. Rather than passively accounting for or recording everything directly in front of us, humans—and other organisms for that matter—instead actively look for things. The implication…is that mind-to-world processes drive perception rather than world-to-mind processes. The gorilla experiment itself can be reinterpreted to support this view of perception, showing that what we see depends on our expectations and questions—what we are looking for, what question we are trying to answer.
The fallacy is the idea that we all see the world "as it is," noticing the "obvious" stuff most easily and noticing the "subtle" stuff less. Not true.
In reality, our mindset determines what we notice. Since I've been writing the Maven Game, my brain has increasingly tuned into things—ideas, articles, books—that fall under the rubric of the newsletter. If I were writing a newsletter about gorillas, I would start noticing all the gorilla stuff that goes on around me. It's there. In fact, it's obvious—to the writer of a gorilla newsletter.
This goes back to my belief that, one way or the other, you can't really rush a book. Once you decide you're going to write on a subject, your brain enters a different mode. You see the world differently—you see a different world—because you're tuned in to what's relevant to your book. Writing a book literally changes the world you experience.
What could be more valuable? And why would you rush through it?
A short coda: I think I've talked about the idea in this essay before, in one form or another. I often get that sense when I hit send on a Maven Game, though I usually don't skim the archives to confirm that sense of déjà vu.
Even though each Maven Game essay is written as its own thing, I can't help but circle around the same few ideas over and over, filtering for the same stuff in the world because the same stuff interests me in the context of this newsletter.
Since the Maven Game is built up in chronologically ordered installments, this means that the ideas don't accrete in any higher-order way, as they might were I using another set of constraints: A pop-up book. A magazine. A screenplay.
I still have a blog, but it's been occurring to me that since my field of expertise (woodworking) is relatively static in terms of its raw materials, technology, and output, I cycle through a relatively small number of topics . . . but in an evolving way. Trips around a mountain in a slowly ascending corkscrew, yielding repeats of the same view with a slightly different perspective each time.
So reverse chronological is a huge impediment to sharing my stuff with my audience the way I experience it, and the way I'd like them to see it (whether through my eyes or theirs). And that's just the most obvious way the template-driven world wide web frustrates me.
So the Maven Game, too, is a "slowly ascending corkscrew." I'm not sure how I feel about that, but it's accurate. Should it take another form? I'm not sure, but for now I'll continue with the default settings.


So us girls go through it even month, and still manage to survive! I know some people get it a lot worse and others march on through it, but period pain is, ironically, a pain. Some months are absolutely fine after taking a few painkillers but others are complete agony. By now I've found a few simple ideas and tricks that can hopefully help you with period pain!
1. Get on your comfiest PJs. Lets face it, when you're not feeling your best, you don't really care what you look like and would rather be wrapped up in a duvet cocoon. Along with a hot water bottle.
2. Take your mind off it with a video. There's thousands of youtubers or Netflix series to watch, so snuggle down and start watching a few videos to take your mind off it.
3. Practise mindfulness with colouring books. My usual 'can't-stand-my-period-pain' set up is in bed, with a youtube video and a colouring book. Not only is it taking your focus away on your period pain, but also helps your mind to focus and relax.
4. Time for a pamper session. This is the time of month when I'm feeling the lowest about my body/skin/hair, breakouts happen, I consume too much chocolate and my hair isn't doing the thing it's suppose to! I'll turn to a few gentle face masks and a nourishing hair treatment to perk my mood back up.
5. Take those painkillers! Normally I hate taking any medication that isn't necessary, but I can never survive through period pain without some ibuprofen or paracetamol. There's tons of 'period pain' specific tablets which are fairly expensive, but take a look at the ingredients and compare to others and you'll find they're not to dissimilar. I actually found migraine tablets that have almost the exact same ingredients as a branded period pain one, at half the price.
What are your top tips for getting through period pain?


text:
Education General Policy and Law
MSU Texas Police Department honored
MSU Texas Marketing & Public Information
MSU Texas PD earns 'Recognized Law Enforcement Agency' status
On May 18, 2021, the MSU Texas Police Department received the designation of "Recognized Law Enforcement Agency" from the Texas Police Chiefs Association Law Enforcement Recognition Program.
"This achievement is the culmination of a great deal of hard work by the men and women of the MSU Texas Police Department and should serve to reassure our campus community that its police department is committed to upholding the highest standards of the law enforcement profession," said Patrick Coggins, MSU Texas Chief of Police.
The recognition program, which started in 2006, evaluates a police department's compliance with more than 168 best business practices for Texas law enforcement. These best practices, developed by Texas law enforcement professionals, assist agencies in the efficient and effective delivery of service and the protection of individual rights. The best business practices cover all aspects of law enforcement operations, including use of force, protection of citizen rights, vehicle pursuits, property and evidence management, and patrol and investigative operations.
The recognition process required the MSU Texas Police Department to conduct a critical self-review of its policies, procedures, facilities, and operations. In 2020, the department began the lengthy process to become a "Recognized Law Enforcement Agency" by preparing proofs of compliance for each of the Texas Law Enforcement best business practices. Upon completion of the internal review, an outside audit and review were conducted. A final on-site review, conducted by trained police chiefs from other areas of the state, took place the week of May 10, 2021. The Texas Police Chiefs Association's Recognition Committee completed the final analysis and made the decision to award "Recognized" status to the MSU Texas Police Department.
More information about the program may be viewed on the Texas Police Chiefs Association website at http://www.texaspolicechiefs.org.
Arts & Humanities100+
Boundless Opportunities18
Business & Government67
Culture & Society100+
Education100+
Health & Wellness52
Law & Policy72
Science & Technology89
Student Life100+
Midwestern State University Public Information (940) 397-4352


text:
package org.apache.felix.sigil.search.index;

import java.lang.ref.SoftReference;
import java.util.Collections;
import java.util.HashMap;
import java.util.HashSet;
import java.util.LinkedList;
import java.util.List;
import java.util.Set;
import java.util.concurrent.locks.ReadWriteLock;
import java.util.concurrent.locks.ReentrantReadWriteLock;
import java.util.regex.Pattern;

import org.apache.bcel.classfile.JavaClass;
import org.apache.felix.sigil.common.model.ModelElementFactory;
import org.apache.felix.sigil.common.model.eclipse.ISigilBundle;
import org.apache.felix.sigil.common.model.osgi.IPackageExport;
import org.apache.felix.sigil.common.model.osgi.IRequiredBundle;
import org.apache.felix.sigil.common.osgi.VersionRange;
import org.apache.felix.sigil.common.repository.IBundleRepository;
import org.apache.felix.sigil.search.ISearchResult;
import org.eclipse.core.runtime.IProgressMonitor;
import org.eclipse.jdt.core.ICompilationUnit;
import org.eclipse.jdt.core.IJavaElement;
import org.eclipse.jdt.core.IPackageFragment;
import org.osgi.framework.Version;

public class Index
{
    private HashMap<String, ClassData> primary = new HashMap<String, ClassData>();
    private HashMap<IBundleRepository, HashSet<String>> secondary = new HashMap<IBundleRepository, HashSet<String>>();

    private final ReadWriteLock lock = new ReentrantReadWriteLock();

    static class ClassData
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redpajama_set_name: RedPajamaGithub


text:
Quantitative home-based assessment of Parkinson's symptoms: The SENSE-PARK feasibility and usability study
Joaquim J. Ferreira1,2,3,
Catarina Godinho1,3,4,
Ana T. Santos1,
Josefa Domingos1,
Daisy Abreu1,
Raquel Lobo1,
Nilza Gonçalves1,
Marcio Barra1,
Frank Larsen5,
Øyvind Fagerbakke5,
Ingvild Akeren5,
Hilde Wangen5,
J. Artur Serrano5,6,
Peter Weber7,
Andrea Thoms7,
Stefan Meckler8,
Stefan Sollinger9,
Janet van Uem10,11,
Markus A. Hobert10,11,
Katrin S. Maier10,11,
Helen Matthew12,
Tom Isaacs12,
Joy Duffen12,
Holm Graessner13 &
Walter Maetzler10,11
BMC Neurology volume 15, Article number: 89 (2015) Cite this article
Currently, assessment of symptoms associated with Parkinson's disease is mainly performed in the clinic. However, these assessments have limitations because they provide only a snapshot of the condition.
The feasibility and usability of an objective, continuous and relatively unobtrusive system (SENSE-PARK System), which consists of wearable sensors (three worn during the day and one worn at night), a smartphone-based App, a balance board and computer software, was tested 24/7 over 12 weeks in a study including 22 PD patients. During the first four weeks of the study, patients did not get feedback about their performance, during the last eight weeks they did. The study included seven clinical visits with standardized interviews, and regular phone contact. The primary outcome was the number of drop-outs during the study. As secondary outcomes, the Post-Study System Usability Questionnaire (PSSUQ), score and information obtained from the standardized interviews were used to evaluate the usability of the system.
All patients completed the study. The participants rated the usability of the SENSE-PARK System with a mean score of 2.67 (±0.49) on the PSSUQ. The interviews revealed that most participants liked using the system and appreciated that it signaled changes in their health condition.
This 12 week controlled study demonstrates that the acceptance level of PD patients using the SENSE-PARK System as a home-based 24/7 assessment is very good. Particular emphasis should be given to a user-friendly design. Motivation to wear such a system can be increased by providing direct feedback about the individual health condition.
At present, measurements of Parkinson's disease symptoms are almost all performed in a clinical setting, which may not reflect daily life situations. The most widely used assessment scale for PD symptoms is the Unified Parkinson's Disease Rating Scale (MDS - UPDRS) which includes interviews asking the patient for historical information referring to the previous week, and a clinical rating scale which includes semi-quantitative assessment of motor (dys) function [1]. However, there is broad agreement in the scientific field that new assessment strategies are needed, in particular those which have high ecological validity, multiple time points of evaluation and are effective [2].
Quantitative assessments using wearable technology may allow for continuous, objective and ecologically valid data collection and can be applied frequently at short intervals outside of the physician's office, allowing real-time monitoring of symptom changes. This approach may also improve patient-doctor interaction, influence therapeutic decisions and ultimately ameliorate patients' global health status. In addition, such measures have the potential to be used as outcome parameters in clinical trials, allowing for frequent assessments (e.g., in the home setting). These wearable sensors are of particular interest as they can be worn unobtrusively, so they do not relevantly influence the person who wears the sensor during a test, or during daily life. In addition, they can measure movements, and can be attached to almost every part of the body where symptoms of interest can occur [2].
The first studies with such sensors were performed more than 10 years ago and focused on the assessment of tremor and dyskinesia. Feeding the information obtained by such sensors back to the individual user, so that he or she can learn more about the individual disease presentations and how to counteract disease-associated symptoms, may provide additional motivation for users.
Within the framework of an EU-funded project (www-sense-park.eu), a device consisting of four components: software, a smartphone app, a Wii balance board and a set of sensors, was developed [3]. This paper focuses on the results of this study with regard to feasibility and usability of the SENSE-PARK System over a prolonged time frame in the home environment of the users.
A multi-centre, open-label, feasibility and usability study comprising 22 participants was conducted. Eleven PD patients were invited to use the SENSE-PARK System for 12 weeks and perform clinical assessments every other week. The other 11 patients only completed the clinical assessments.
The primary outcome was the frequency of drop-outs and the first secondary outcome was assessed through the IBM Post-Study Usability Questionnaire (PSSUQ - rating score from 1, best, to 7, worst).
The SENSE-PARK System consists of a set of wearable sensors (3 to be used during the day and one at night), a Wii Balance Board, software and a smartphone app (Fig. 1).
From left to right: Inertial sensor unit with housing and wristlet band; Wii balance board; interface software; SENSE-PARK App
The sensors monitor movements of PD patients during daily activities, collecting motor-related raw data. Accelerometers and angular rate sensors measure the motion of the user, and map certain activities. When awake, the user wears a small sensor at the wrist and the leg of the more affected side, as well as at the lower back according to Fig. 1. When asleep, the user wears one sensor at the lower back only. This set of sensors, together with algorithms developed during the SENSE-PARK project phase, allows monitoring parameters associated with gait, hypokinesia, dyskinesia, tremor and sleep. Through the Wii Balance Board, data such as body weight and sway are also collected. The user also performs cognitive tests through specific software. These tests use virtual environments on a screen to evaluate specific cognitive domains, including alertness, divided attention, response control, visual exploration and working and topological memory.
A two day investigator meeting was conducted to train staff, including installation of equipment, and procedures for training participants in the use of the System. Investigators received training in test administration and scoring.
A sample of 22 PD patients was divided into two groups: SENSE-PARK System users and non-users. Inclusion criteria were (1) PD patients between 40 and 85 years of age, (2) stage 1 to 2.5 (ON) of the Modified Hoehn and Yahr (H&Y) scale [4] and (3) having experience or interest in technical equipment (computer, regular mouse and keyboard).
Exclusion criteria included (1) illiteracy, (2) ≤24 in the Mini Mental State Examination (MMSE) [5], (3) postural instability item MDS-UPDRS > 2, (4) inability to handle the device for some other reason.
There were no restrictions on prior and concomitant therapy. An approval was obtained from the local ethics committee at the three sites (University of Lisbon, Portugal; University of Tübingen, Germany; and University of Tromsö, Norway), and in compliance with national legislation and Declaration of Helsinki.
Study design and assessments
After signing the informed consent, participants were screened for eligibility. For the group of users, a home visit was scheduled to ensure users had the required home facilities for the use of the SENSE-PARK System and to install the full system (the mouse setting was defined according to the hand the user normally writes with). The users were also invited to perform a demo session, in order to get acquainted with the SENSE-PARK System. Only balance and cognitive testing had to be performed "actively". On cognitive test occasions, patients were instructed to be seated in a chair in front of the computer and place the computer and mouse on a table. Balance tests had to be performed with a Wii Balance Board which was connected to the local computer and the SENSE-PARK System. The other domains' data were collected with the sensors which were worn 24 hours per day: three to be used during the day and one at night.
After the installation, participants used the SENSE-PARK System at home for one week and then they were observed by the investigator who registered whether the participants made mistakes during the tasks and whether they needed assistance. When necessary, another week of training was allowed. The time needed for confident SENSE-PARK System operation, test taking, data storage and data transfer was recorded. As soon as the user was able to use the SENSE-PARK System adequately and it was working properly, the assessment phase of the study started.
During the assessment period, patients who used the SENSE-PARK System were asked to perform sway assessment and cognitive tests every other day at a similar time of day during ON stage. Patients selected, in advance, the days of the week they would perform their testing, which was then programmed into the SENSE-PARK System with a reminder coming up on the interface of the software. An ongoing check of data arrival allowed users who were near to missing their two day window to be contacted by the study staff. If any problems or questions developed, users had access to the study staff for backup support.
Every other week during the study, participants from both groups returned to a health professional expert in movement disorders or were visited to perform the control of concomitant medications, check data download, record the occurrence of any Adverse Event, confirm patient compliance and to perform the following rating scales: MDS-UPDRS [1], H&Y [4] , Montreal Cognitive Assessment (MoCA) [6], Mini–Mental State Examination (MMSE) [5], Parkinson's Disease Questionnaire-39 (PDQ-39) [7], EQ-5D [8], Epworth Sleepiness Scale (ESS) [9], Panic Disorder Severity Scale (PDSS) [10], Non-Motor Symptoms Scale (NMSS) [11], Unified Dyskinesia Rating Scale (UdysRS) [12], Clinical Global Impression - Severity Scale and Improvement Scale (CGI-S and CGI-I) [13].
Between investigator visits, semi-structured interviews were conducted by phone to gain insight into the experiences of the participants using the SENSE-PARK System. Topics discussed were: willingness to continue in the study, satisfaction with the SENSE-PARK System, changes in health status or medical condition, adverse events, feedback messages and doubts about the system. Those participants who were not using the SENSE-PARK System were asked about willingness to continue in the study, health status, medical condition and adverse events (usability evaluation).
After 4 weeks of active data collection with the SENSE-PARK System, the participants received a modified version of the software. This new version provided feedback to users (Fig. 2).
Study design. V: Visit; PC: Phone Contact; VH: Home visits
At the end of the study period (V8), participants were asked to fill in the IBM Post-Study Usability Questionnaire (PSSUQ) [14] which assesses user satisfaction with, and usability of, technical devices. It is a 19-item closed-ended ordinal questionnaire, based on 7-point graphic Likert scales. The items address five important components of user satisfaction with general computer systems usability: ease of use, ease of learning, simplicity, effectiveness, information, and the user interface [15].
Statistical analyses were performed in R, version 3.0.3. Subject demographic and clinical data were examined by descriptive summary. Usability was assessed for system users and was tested with the PSSUQ values obtained at the end of the study (see above). Feasibility was assessed for users and non-users. For non-users, feasibility was assessed through willingness to continue in the study and through completeness of the study, i.e. withdrawals from the study. For users, feasibility was assessed through the following indices: willingness to continue in the study and through completeness of the study, duration of time to train participants to use the SENSE-PARK System confidently, compliance in terms of the number of completed test sessions and their timeliness with every other day assessments, compliance/adherence to system measures, success of data transfer and decryption, ease of use and program satisfaction [16, 17].
Twenty two idiopathic PD patients (14 male, 8 female) were included in the study (Table 1). There were no significant differences regarding age and sex distribution as well as MMSE scores among the countries. Although not significantly different, study participants included in Norway were slightly younger.
Feasibility aspects
All participants showed willingness to continue in the study from visit 1 to visit 8, and all of them completed the study. Most participants completed the tasks asked for during the study and according to the protocol. Number of doubts and difficulties decreased along the study (Fig. 3). Only one participant failed to transfer the data when asked. All the other SENSE-PARK System users were able to download the data along the study.
a Bar plot showing the frequency of doubts along the study; b Number of tasks preformed; c Number of times the investigator found the recorded data
Non-users
All participants showed willingness to continue in the study from visit 1 to visit 8, and all of them completed the study. Since these patients were not system users questions concerning data transfer, number of doubts and difficulties and completion of tasks were not assessed.
No adverse events were recorded.
Usability aspects
Usability aspects were only assessed for system users. Overall analyses from the PSSUQ scale showed that the system was generally well accepted (Fig. 4). Analysis of the PSSUQ scale by country showed that study participants from Norway had a slightly different profile than those from the other countries, scoring less (i.e. better) with regard to system use in items such as ability to efficiently complete tasks, comfort with using the system, and ease of learning.
Plot showing the mean values of responses for the PSSUQ scale divided by country
Problems that arise from using this device
There were four adverse events registered, three of them being classified as definitely related to the study and one being possibly related to the study (Table 2).
Table 2 Adverse events description
We found the SENSE-PARK System highly feasible in terms of patient compliance, satisfaction and ease of use. Patients maintained their involvement with the program over 16 weeks, and several requested a continuation of the program at study end. We were initially concerned that participants would find the testing process, of every other day participation and weekly visits, tedious, but the satisfaction ratings did not support this concern, and the computer-based technology guided the test-taking smoothly. However, we encountered more problems with transmission and sensor errors compared to other tasks, but by mid-study, technical correction was achieved.
Hardware related problems consisted mainly of a broken sensor. Battery replacements were not required.
The training period was short and the testing was self-administered without direct investigator involvement. Consistent with the concept of the SENSE-PARK System as a monitoring tool, after the first 4 weeks we allowed users to see their previous scores when they took their next test.
This pilot study is a "proof of concept" and establishes patient and technical feasibility of the SENSE-PARK system.
There is, as yet, no evidence that using this test array will improve treatment of patients during clinical practice or that a cost benefit analysis is favorable. Further studies are needed to test how the test array performs in a clinical setting with larger patient populations. One question to be addressed is whether the SENSE-PARK System can detect a need for treatment changes. Additionally, whether there are country-specific issues, creating different requirements for its introduction into clinical practice, needs to be evaluated.
CGI-I:
Clinical global impression - Improvement scale
CGI-S:
Clinical global impression - Severity scale
EQ-5D:
EuroQol-5D
ESS:
H&Y:
Hoehn and Yahr
MDS-UPDRS:
(Movement disorder society) Unified Parkinson's disease rating scale
MMSE:
Mini–mental state examination
MoCA:
Montreal cognitive assessment
NMSS:
Non-motor symptoms scale PDQ-39, Parkinson's disease questionnaire-39
PDSS:
Panic disorder severity scale
PSSUQ:
Post-study system usability questionnaire
UdysRS:
Unified Dyskinesia rating scale
Goetz CG, Fahn S, Martinez-Martin P, Poewe W, Sampaio C, Stebbins GT, et al. Movement Disorder Society-sponsored revision of the Unified Parkinson's Disease Rating Scale (MDS-UPDRS): Process, format, and clinimetric testing plan. Mov Disord. 2007;22:41–7.
Maetzler W, Domingos J, Srulijes K, Ferreira JJ, Bloem BR. Quantitative wearable sensors for objective assessment of Parkinson's disease. Mov Disord. 2013;28:1628–37.
Serrano JA, Thoms A, Weber P. Patients Initiated Timeline Marking of Events in Parkinson's Disease: Visualization of Time Correlation between Patients Marked Events and Acquired Data from Sensors. In: Schmorrow D, Fidopiastis C, editors. Foundations of Augmented Cognition Advancing Human Performance and Decision-Making through Adaptive Systems. Lecture Notes in Computer Science. Springer International Publishing. 2014;8534:325-34.
Hoehn MM, Yahr MD. Parkinsonism: onset, progression and mortality. Neurology. 1967;17:427–42.
Pangman VC, Sloan J, Guse L. An examination of psychometric properties of the mini-mental state examination and the standardized mini-mental state examination: implications for clinical practice. ANR. 2000;13:209–13.
Gill DJ, Freshman A, Blender JA, Ravina B. The Montreal cognitive assessment as a screening tool for cognitive impairment in Parkinson's disease. Mov Disord. 2008;23:1043–6.
Jenkinson C, Peto V, Fitzpatrick R, Greenhall R, Hyman N. Self-reported functioning and well-being in patients with Parkinson's disease: comparison of the short-form health survey (SF-36) and the Parkinson's Disease Questionnaire (PDQ-39). Age Ageing. 1995;24:505–9.
Rabin R, de Charro F. EQ-5D: a measure of health status from the EuroQol Group. Ann Med. 2001;33:337–43.
Johns MW. A new method for measuring daytime sleepiness: the Epworth sleepiness scale. Sleep. 1991;14:540–5.
Shear MK, Brown TA, Barlow DH, Money R, Sholomskas DE, Woods SW, et al. Multicenter collaborative panic disorder severity scale. J Psychiatry. 1997;154:1571–5.
Chaudhuri KR, Martinez-Martin P, Brown RG, Sethi K, Stocchi F, Odin P, et al. The metric properties of a novel non-motor symptoms scale for Parkinson's disease: Results from an international pilot study. Mov Disord. 2007;22:1901–11.
Goetz CG, Nutt JG, Stebbins GT. The Unified Dyskinesia Rating Scale: presentation and clinimetric profile. Mov Disord. 2008;23:2398–403.
Guy., William. ECDEU assessment manual for psychopharmacology Rockville, Md.: U.S. Dept. of Health, Education, and Welfare, Public Health Service, Alcohol, Drug Abuse, and Mental Health Administration, National Institute of Mental Health, Psychopharmacology Research Branch, Division of Extramural Research Programs. Maryland, US: U.S. Dept. of Health 1976.
Fruhling A, Lee S. Assessing the Reliability, Validity and Adaptability of PSSUQ. AMCIS 2005 Proceedings 2005.
Lewis JR. IBM computer usability satisfaction questionnaires: psychometric evaluation and instructions for use. Int J Hum-Comput Interact. 1995;7:57–78.
Parsons A, McCullough C, Wang J, Shih S. Validity of electronic health record-derived quality measurement for performance monitoring. Journal of the American Medical Informatics Association 2012;19(4):604–9.
Bowen DJ, Kreuter M, Spring B, Cofta-Woerpel L, Linnan L, Weiner D, et al. How we design feasibility studies. Am J Prev Med. 2009;36:452–7.
This study was performed in the frame of the EU project SENSE-PARK, funded under the Seventh Framework Programme, Cooperation – ICT, Grant Agreement no. 288557.
Clinical Pharmacology Unit, Instituto de Medicina Molecular, Lisbon, Portugal
Joaquim J. Ferreira, Catarina Godinho, Ana T. Santos, Josefa Domingos, Daisy Abreu, Raquel Lobo, Nilza Gonçalves & Marcio Barra
Laboratory of Clinical Pharmacology and Therapeutics, Faculty of Medicine, University of Lisbon, Lisbon, Portugal
Joaquim J. Ferreira
CNS – Campus Neurológico Sénior, Torres Vedras, Portugal
Joaquim J. Ferreira & Catarina Godinho
Center for Interdisciplinary Research Egas Moniz (CiiEM), Cooperativa de Ensino Superior Egas Moniz, Monte de Caparica, Caparica, Portugal
Catarina Godinho
NST-Norwegian Centre for Integrated Care and Telemedicine, University Hospital North Norway, Tromsø, Norway
Frank Larsen, Øyvind Fagerbakke, Ingvild Akeren, Hilde Wangen & J. Artur Serrano
Department of Clinical Medicine, Faculty of Health Sciences, The Arctic University of Norway, Tromsø, Norway
J. Artur Serrano
Hasomed GmbH, Magdeburg, Germany
Peter Weber & Andrea Thoms
HSG-IMIT, Villingen-Schwenningen, Germany
Stefan Meckler
AbilityNet, London, UK
Stefan Sollinger
Hertie Institute for Clinical Brain Research, Department of Neurodegeneration, Center of Neurology, University of Tuebingen, Tuebingen, Germany
Janet van Uem, Markus A. Hobert, Katrin S. Maier & Walter Maetzler
DZNE, German Center for Neurodegenerative Diseases, Tübingen, Germany
The Cure Parkinson's Trust, London, UK
Helen Matthew, Tom Isaacs & Joy Duffen
Institute for Medical Genetics and Applied Genomics, University of Tübingen, Tuebingen, Germany
Holm Graessner
Ana T. Santos
Josefa Domingos
Daisy Abreu
Raquel Lobo
Nilza Gonçalves
Marcio Barra
Frank Larsen
Øyvind Fagerbakke
Ingvild Akeren
Hilde Wangen
Peter Weber
Andrea Thoms
Janet van Uem
Markus A. Hobert
Katrin S. Maier
Helen Matthew
Tom Isaacs
Joy Duffen
Walter Maetzler
Correspondence to Joaquim J. Ferreira.
Joaquim J. Ferreira has held consultancy functions with GlaxoSmithKline, Novartis, TEVA, Lundbeck, Solvay, Abbott, BIAL, Merck-Serono, Merz, Ipsen; has received grants from GlaxoSmithKline, Grunenthal, Fundação MSD (Portugal) and Teva; has been a member of the European Huntington Disease Network and has been employed by Centro Hospitalar Lisboa Norte, Faculdade de Medicina de Lisboa. Helen Matthews has been employed byThe Cure Parkinson's Trust. Walter Maetzler has received speaker honoraria from UCB, GlaxoSmithKline and Rölke Pharma. None of the other authors have any competing interests to report.
JJF: conception and design, revising it critically for important intellectual content, has given final approval of the version to be published. ATS: conception and design, drafting the manuscript, has given final approval of the version to be published. CG: acquisition of data, drafting the manuscript, has given final approval of the version to be published. JD: conception and design, drafting the manuscript, has given final approval of the version to be published. DA: analysis and interpretation of data, drafting the manuscript, has given final approval of the version to be published. NG: analysis and interpretation of data, drafting the manuscript, has given final approval of the version to be published. MB: analysis and interpretation of data, drafting the manuscript, has given final approval of the version to be published. FL: conception and design, drafting the manuscript, has given final approval of the version to be published. IA: acquisition of data, drafting the manuscript, has given final approval of the version to be published. HW: acquisition of data, drafting the manuscript, has given final approval of the version to be published. AS: conception and design, drafting the manuscript, has given final approval of the version to be published. PW: conception and design, drafting the manuscript, has given final approval of the version to be published. AT: conception and design, drafting the manuscript, has given final approval of the version to be published. SM: conception and design, drafting the manuscript, has given final approval of the version to be published. SS: conception and design, drafting the manuscript, has given final approval of the version to be published. JU: acquisition of data, drafting the manuscript, has given final approval of the version to be published. MAH: acquisition of data, drafting the manuscript, has given final approval of the version to be published. KSM: acquisition of data, drafting the manuscript, has given final approval of the version to be published. HM: conception and design, drafting the manuscript, has given final approval of the version to be published. TI: conception and design, drafting the manuscript, has given final approval of the version to be published. JD: conception and design, drafting the manuscript, has given final approval of the version to be published. HG: conception and design, revising it critically for important intellectual content, has given final approval of the version to be published. WM: conception and design, revising it critically for important intellectual content, has given final approval of the version to be published. All authors agree to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.
This article is published under license to BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly credited. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
Ferreira, J.J., Godinho, C., Santos, A.T. et al. Quantitative home-based assessment of Parkinson's symptoms: The SENSE-PARK feasibility and usability study. BMC Neurol 15, 89 (2015). https://doi.org/10.1186/s12883-015-0343-z
DOI: https://doi.org/10.1186/s12883-015-0343-z
Submission enquiries: bmcneurology@biomedcentral.com


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A triple bottom line approach that incorporates social and environmental responsibility can help businesses sustain their financial success in the long term. This video looks at sustainability in relation to feeding cattle for the dairy and beef...Show More
A triple bottom line approach that incorporates social and environmental responsibility can help businesses sustain their financial success in the long term. This video looks at sustainability in relation to feeding cattle for the dairy and beef industries, with insights from farmers from Blackmore Wagyu and scientists at the Ellinbank Dairy Research Institute. A highly relevant resource for senior secondary and tertiary students studying business, economics or agriculture. Show Less
What Makes a Sustainable Agriculture Business?
A sustainable business approach that considers people, planet and profit can be particularly important in the agricultural sector. This video introduces the idea of the triple bottom line, how it applies to agricultural businesses and its...Show More
A sustainable business approach that considers people, planet and profit can be particularly important in the agricultural sector. This video introduces the idea of the triple bottom line, how it applies to agricultural businesses and its benefits and challenges, with insight from Australian wool growers and academics from La Trobe University. A highly relevant resource for senior secondary and tertiary students studying business, economics or agriculture. Show Less
Triple Bottom Line in Action: Wattle Park Merino Wool Farm
A successful triple bottom line approach allows farmers to balance their environmental, social and financial goals. This video looks at sustainability and social responsibility on the Wattle Park wool farm in Mooralla, with insight from wool...Show More
A successful triple bottom line approach allows farmers to balance their environmental, social and financial goals. This video looks at sustainability and social responsibility on the Wattle Park wool farm in Mooralla, with insight from wool growers discussing soil erosion, water supply, chemical pesticides and fertilisers, grazing strategies and mulesing. A highly relevant resource for senior secondary and tertiary students studying business, economics or agriculture. Show Less
Development Discussion: Appreciating Development
Helping staff appreciate how much they are developing motivates them, so use thought-provoking questions to encourage them to recognise their own personal development.
Development Discussions: Questions to Help You Think about Development
Encourage people to give themselves time to think about how they want or need to develop their career and what actions to take next.
Development Discussions: Performance versus Career Development
Managers sometimes need a 'nudge' and the skills to include personal and career development in the one-to-ones they hold with staff. When they see developing staff as a legitimate part of their responsibilities, benefits begin to flow.
Development Discussion: Helping Your Manager Discuss Your Development
Anyone can use feedback as a springboard to a request for development, so link your request for development to something your manager regards as important.
Development Discussions: Micro Goals
Micro goals give people something precise to aim for during a short timescale—depending on the activity, that timescale could be between now and the next monthly review or it could be between now and the end of a 1-hour meeting.
Talking through Conflict: Handling Conflict Conversations
Managers need to learn effective ways to gain control of the conversation and direct it towards a successful conclusion.
Feedback: How to Receive Feedback
An important aspect of feedback conversations is showing staff how to help their managers give them worthwhile feedback.
Talking through Conversations: Opening a Conflict Conversation
There are occasions when a manager will initiate a conversation to resolve conflict and the opening is crucial to success.
Talking through Conflict: Unexpected Conflict
When a manager is on the receiving end of unexpected conflict, how he or she responds is vital to a successful outcome.
Talking through Conflict: Preparing for a Conflict Conversation
Some managers have a combative approach to conflict. A subtle approach is usually more effective and begins with some simple mental and tactical preparation.
Talking through Conflict: Early Warning Signs
As most problems are resolved most easily when they are nipped in the bud, managers should learn to recognise the warning signs that appear.
Feedback: Third-Party Feedback
These days so many people work in matrix teams or work remotely that managers receive feedback about their staff from third parties. Relaying that feedback can sometimes be a challenge.
Feedback: Three Styles of Feedback
The 'cop' is very clear about what needs to be done differently and why, the instructor is equally clear but blends in more motivation and the coach facilitates greater reflection.
Feedback: Asking for Feedback about Oneself
The question, 'Have you any feedback for me?' is rarely productive. There are two questions, however, that are productive. Including them will be very useful for getting feedback.
Performance Conversations: Running to a One-to-One
Keep the conversation focused and be aware of distraction techniques! Caring about your colleagues is a sign of a healthy working relationship, so let it flourish in your one-to-ones.
Performance Conversations: Preparing for a One-to-One
Review your notes and evaluate performance since the last meeting. Get third party feedback if necessary and identify upcoming challenges and opportunities that require extra support.
Performance Conversations: Between One-to-Ones
Between one-to-ones, look for evidence of performance and changes in behaviour and agree on actions to work on by the next one-to-one. Keep notes and tie your meetings together by reflecting on progress over a longer period of time.
Performance Conversations: What Is a 'One-to-One'?
One-to-ones are the short, regular chats that bridge the gap between spontaneous day-to-day conversations and formal reviews. They work best when managers encourage reflection and the main focus is on what happens next.
Psychology, Law, Lies and False Memories
Insights and Strategies
Eyewitness testimony and its veracity presents problems for juries and judges, according to the University of California's Dr Elizabeth Loftus. She tells Eve Ash that this intersection of psychology and law has revealed that the more confident a...Show More
Eyewitness testimony and its veracity presents problems for juries and judges, according to the University of California's Dr Elizabeth Loftus. She tells Eve Ash that this intersection of psychology and law has revealed that the more confident a witness, the more they are believed even if their memories are mistaken. More than 300 people, such as Steven Titus (misidentified as a rapist) have been convicted through faulty or false memories. The problem is compounded when zealous detective coach witnesses, or when false and distorted memories are "implanted". People sometimes cling to a mistaken belief, even when the evidence shows they are wrong. Show Less
Lies, Crimes and False Confessions
Eve Ash discusses why people tell lies with the University of Massachusetts Amherst's Professor Robert Feldman, a specialist in psychological and brain sciences. He has studied lying for many years and observes that (1) all people tell lies in...Show More
Eve Ash discusses why people tell lies with the University of Massachusetts Amherst's Professor Robert Feldman, a specialist in psychological and brain sciences. He has studied lying for many years and observes that (1) all people tell lies in different situations; (2) many are not truthful on their resumes and in job interviews; (3) sometimes people confabulate to fill memory gaps caused by stressful or traumatic conditions. In crime situations, he explains that false memories occur, and people's eagerness to find a culprit sometimes leads to the wrong person being convicted. You can't always tell a liar from their physical cues (e.g. excessive blinking, looking away). This can cause deception bias and investigations clouded by tunnel vision. Dr Feldman and Eve Ash discuss the case of Sue Neill-Fraser, convicted and jailed for murder in Tasmania in 2010. Show Less
Living with Lies
Eve Ash talks to Professor Robert Feldman (University of Massachusetts Amherst) about his research for the book "The Liar in Your Life": He reveals that we all lie at different times, there are many types of lies ranging from the unconscious to...Show More
Eve Ash talks to Professor Robert Feldman (University of Massachusetts Amherst) about his research for the book "The Liar in Your Life": He reveals that we all lie at different times, there are many types of lies ranging from the unconscious to lies of commission, and that people often lie within the first ten minutes of meeting someone. We lie to create an impression, we lie because we are anxious, we make up narratives to fill gaps in our memories. We have a "truth bias" in as much as we don't want to believe another person might be lying. Lies create spiral effects ("You lie, I lie"). We might be suspicious of liars, but we also tend to forgive them. Lies lead to inauthenticity in relationships. People compartmentalize lies and can live with them for many, many years. Show Less


text:
PearShaped Magazine Archive
A View From The Top #4
by Kate Giff
Another Sunday Chart show, another Number 1 for Justin Bieber…. Or not! Finally, the omnipresent JB track What Do You Mean? has been knocked off the top spot by comparative underdog KDA. The track was originally released under the title Rumble on Ministry of Sound, and was a six-and-a-half-minute lyric-less house track. To gain its position as Number 1 this week, it has transformed the way one does when leaving Magic Hatstand and heading to Unit 1 on a Friday. In other words, it's been made radio-friendly by having its length cut, and adding vocals/ a rap from chart favourites Katy B and Tinie Tempah, creating what's now called Turn The Music Louder (Rumble).
The song itself is what I'd expect from two such well-established artists as Tinie and Katy; a reasonably funky, club- friendly beat, solid vocals and the sparse, dulcet tones of Tempah. There's a decidedly vintage vibe throughout the track which I think works really well, and as much as the lyrics may leave something to be desired, the overall production and presentation is perfectly fine. Of course most of the credit must go to KDA who created all of this in his original. While I don't think this track is anywhere near as good as either featured artists' more successful songs, I'll probably still dance along tragically if I hear it on a night out.
Two thousand combined chart sales behind, One Direction hold the Number 2 spot with the second single from their fifth (!!!) album Made in the AM: Perfect. This song, supposedly about 1D member Harry Styles' short-lived relationship with Taylor Swift (thanks to the cattiest of all their lyrics ever: "If you're looking for someone to write your break-up songs about, baby I'm perfect") was tough competition for KDA et al. With a very catchy chorus, which sounds remarkably similar to Taylor Swift's supposed Harry Styles-inspired track Style (come on guys, play nicely), and huge support from the very proud Directioners, I personally thought they'd make the Number 1 spot. Perhaps this week's charts shows the beginning of the end for the man-child band, whose fans even launched a "Project Perfect" campaign to get it to Number 1. With that kind of girl power behind it, Rumble has triumphed in this David-versus-Goliath-style battle, Perfect missing out on the top spot. I may be misremembering, but it seems to me that dance tracks only really became incredibly mainstream in the last few years or so. I remember the rise of acts like Gorgon City or Storm Queen who completely took over the charts, and it seems we, as the listeners, haven't looked back. Maybe to keep up, One Direction need to do a Bieber and add some dance beats to their singles to stay down with the kids.
Elsewhere in the charts, Diplo's new track Be Right There made a huge leap of 83 places to land at Number 8. It also seems about the time when the X Factor contestants from last year crawl out of Simon Cowell's Den of Diamond Disks while he whispers, "Go children; go forth and prosper or I'll lock you up with Matt Cardle and Steve Brookstein." Current X Factor champion Ben Haenow has teamed up with the adorable Kelly Clarkson for an up-tempo and somehow unbelievable love duet, Second Hand Heart. Hot on his heels, runner up Fleur East is starting the press circuit for her new track Sax, released later this week.
It seems, then, that congratulations are in order for KDA and gang for beating Cowellites to the top. However, it seems all of these artists are merely the warm up for the headline act: Adele. With her first single in three years, Hello, released this week, I'm willing to bet KDA will struggle to keep his title. That being said, she has competition from the king of comebacks, Bieber, whose new single Sorry is also flagged for success. Either way, I hope KDA enjoyed it while he could.


We met… In the Hillgrove Hotel in June 2011, we both worked in the Bistro bar at the time.
Our friendship blossomed and after a few months we started going out with each other.
Our proposal… Sheraton Hotel Athlone on 17th January 2016.
In 2016 the trend of floral prints and burlap was all in and I just loved it, we chose the Da Vinci & Rembrandt Suite with its elegant cream and gold tones it suited our theme perfectly.
Myself and my bridesmaids spent hours hand making all the jars, table number frames and table plan. My favourite part of the planning!
My dress… My Perfect Day Lurgan.
Split Ends Clones, Hair by Morganna/ Make up – Julie Maguire Makeup, Clones.
Morganna has been my hair dresser for years and understands what I like. I felt the pressure from everyone to grow my hair and have it a certain way as I thought this was what brides needed to have. However 3 days prior to the wedding, I thought sod this and cut it all off J Felt so much more like myself. Girls, it's your wedding day do as you want! Don't let anyone tell you different.
Same went with my make up, Julie has been doing my make up from when she first started. I love my make up and a bit of glam.
I decided from the start my make up would be me, full glam! So again do as you feel, don't let anyone tell you it has to be "natural" and a certain way! I loved it, and after going to bed at 5.30am and having 3 hours sleep it was still perfect the next day!
His suit… O Cathalain's Menswear Culloville.
What our bridal party wore… Dessy Collection Dresses Wedding World Gallery Fairview.
Mens – O Cathalain's Menswear Culloville.
Our ceremony… Sacred Heart Church Clones.
Our priest Father Gerry White married my parents 30 years previous, it was really special to us that he agreed to marry us.
My dad and my uncle were always good friends with Gerry over the years so it made our mass so much more personal, I loved every minute of it.
He made us very at ease.
Ken Doyle is a family Friend of ours. His attention to detail in his wedding albums is amazing, he spends hours editing and touching up your photos to ensure they are perfect.
Ken and his wife Eileen are so lovely to deal with, nothing is too much trouble for them. I sent Ken many a request for the wedding and nothing was ever a problem.
He is really good value for money, the photos and albums we received were worth double the cost. I would highly recommend to anyone getting married!
We chose our wedding coordinator because… I worked alongside Linda running the weddings in the hotel, as I am a wedding coordinator myself.
Linda made sure everything I wanted was done perfectly. The food and service we received on the day was perfect. I couldn't of faulted a thing!
We chose our venue because… We chose the Hillgrove Hotel as our venue because the Hillgrove has a special meaning to us, we both met each other here at work years previously.
We felt very at home here, we did look around locally when we were choosing our venue and nothing compared. Food was always something that was hugely important to us with over 300 guests invited I wanted to make sure everything would be perfect on the day, and the Hillgrove I could trust.
I dealt with our head chef the whole way through the planning and picked the menu and drinks reception I wanted, which was amazing J We chose curry chips for our evening suppers which went down a treat! Even to this day a year later people still talk about our wedding food! Exactly what I wanted!
No matter where you chose for your wedding venue the two biggest factors you have is your food and band, if you get that right everything else falls into place!
Our honeymoon… Thailand for 2 weeks, travelled to Bangkok, Chaing Mai & Phucket amazing 30 degree weather in January.
My favourite part of the wedding day… That's a hard one! I honestly enjoyed every minute of it all.
My favourite part has to be arriving to church and hotel and seeing all my handmade décor in place, seeing my vision in reality was amazing.
We also had camouflage (singing chef) to surprise our guests and Greg also took out my husband's birthday cake as part of his as it was my husband's birthday the day we got married.
When Gregg started most of our guests assumed it was the actual chef until they realised how good he really was, Gregg created the most amazing atmosphere in the function room, it was only when we received our wedding video back we could see the 310 guests going mad for him! Honestly was the best money we spent!
My piece of advice for other couples… Relax and enjoy the run up to the wedding, take a few minutes out of the day to take it all in. Do up a list of photographs you want taken and arrange a friend or bridesmaid to organise the group pictures for you, I found this part stressful on the day.


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TagAnimalsBoatsChildhoodChildrenDeathFamilyFathersHistoryHousingIraqJournalismMilitaryNew York CityPoliticsTerrorismWar
ContributorAdam BeckmanAlex BlumbergIra GlassCarl MarzialiDavid RakoffIssam ShukriAlix Spiegel
Year201820172016201520122011201020092008200720062005200420032002200120001999199819971996
Adam Beckman
Carl Marziali
David Rakoff
Issam Shukri
There are 9 results for "History"
199: House on Loon Lake
Ira explains that our show's a little different this week. It consists of one long story, lasting the entire hour, about a young boy, an abandoned house, and the mysterious family who once lived there and then seemed to disappear without a trace.
Adam Beckman continues his story. He returns to the town in New Hampshire where he discovered the abandoned house as a kid and tries to find out what happened there.
197: Before It Had A Name
Act One: Mr. Boder Vanishes
In 1946, a man named David Boder started to investigate the Holocaust before it was known as the Holocaust. He dragged a primitive recording device around Europe and gathered the first recorded testimonials of concentration camp survivors.
196: Rashomon
Act Two: Bombs Over Baghdad
We hear the story of the Persian Gulf war, as told by Issam Shukri, a family man from Bagdad who was drafted into Saddam's army against his will. He had to explain to his three-year-old son why those usually civilized Americans were bombing their city night after night.
Act Three: Toto, I Don't Think We're In Vietnam Anymore
U.S. special operations forces will lead the first part of the coming war we're all bracing for. We hear how a simple half-hour mission turned into a bloody all-day battle in one of the last times special operations forces went out: in 1993, in Somalia.
194: Before and After
Act Two: Watching From The River's Edge
David Rakoff tells the story of the day that used to hold the record as the worst disaster in New York history: June 15th, 1904, when the steamship The General Slocum, caught fire and sank in the Hudson river, killing 1,031 passengers. Almost everyone aboard was from one neighborhood in New York, and by all accounts, that neighborhood was never the same again.
189: Hitler's Yacht
Host Ira Glass joins a group of tourists to walk through the captured German submarine that's on permanent display at Chicago's Museum of Science and Industry. He notes that the Museum chooses to underplay the murderous Nazi origins of the boat.
Reporter Alix Spiegel tells the story of the Ostwind, the boat that came to be known as "Hitler's Yacht." (25 minutes)
Alix Spiegel's story continues.


text:
Q: Class Not Found in Laravel 5 I ran  sudo composer require lcobucci/jwt to install the stuff.
Then, I added use Lcobucci\JWT\Configuration; on top of my file
Then, I start use the sample code
        $config = new Configuration(); // This object helps to simplify the creation of the dependencies
                               // instead of using "?:" on constructors.
        $token = $config->createBuilder()
        ->issuedBy('https://login.uat.telenet.be/openid') // Configures the issuer (iss claim)
        ->canOnlyBeUsedBy('site') // Configures the audience (aud claim)
        ->identifiedBy('888254e8-f1e8-4956-86fa-a6c0f61a6421', true) // Configures the id (jti claim), replicating as a header item
        ->issuedAt(time()) // Configures the time that the token was issue (iat claim)
        ->canOnlyBeUsedAfter(time() + 60) // Configures the time that the token can be used (nbf claim)
        ->expiresAt(time() + 3600) // Configures the expiration time of the token (exp claim)
        ->with('uid', 1) // Configures a new claim, called "uid"
        ->getToken(); // Retrieves the generated token

        $token->getHeaders(); // Retrieves the token headers
        $token->getClaims(); // Retrieves the token claims

        echo $token->getHeader('jti'); // will print "4f1g23a12aa"
        echo $token->getClaim('iss'); // will print "http://example.com"
        echo $token->getClaim('uid'); // will print "1"
        echo $token; // The string representation of the object is a JWT string (pretty easy, right?)

I kept getting this error
Class 'Lcobucci\JWT\Configuration' not found
How do I prevent that ?

Here is my entire composer.json file
{
    "name": "laravel/laravel",
    "description": "The Laravel Framework.",
    "keywords": ["framework", "laravel"],
    "license": "MIT",
    "type": "project",
    "require": {
        "php": ">=5.5.9",
        "laravel/framework": "5.1.*",
        "illuminate/html": "^5.0",
        "laracasts/utilities": "~2.0",
        "barryvdh/laravel-debugbar": "^2.0",
        "sammyk/laravel-facebook-sdk": "~3.0",
        "doctrine/dbal": "^2.5",
        "lcobucci/jwt": "^3.2"
    },
    "require-dev": {
        "fzaninotto/faker": "~1.4",
        "mockery/mockery": "0.9.*",
        "phpunit/phpunit": "~4.0",
        "phpspec/phpspec": "~2.1",
        "mcamara/laravel-localization": "1.0.*"
    },
    "autoload": {
        "classmap": [
            "database"
        ],
        "psr-4": {
            "App\\": "app/",
            "Helpers\\": "app/Helpers/"
        },
        "files": ["app/Helper.php"]
    },
    "autoload-dev": {
        "classmap": [
            "tests/TestCase.php"
        ]
    },
    "scripts": {
        "post-install-cmd": [
            "php artisan clear-compiled",
            "php artisan optimize"
        ],
        "pre-update-cmd": [
        ],
        "post-update-cmd": [
            "php artisan clear-compiled",
            "php artisan optimize"
        ],
        "post-root-package-install": [
            "php -r \"copy('.env.example', '.env');\""
        ],
        "post-create-project-cmd": [
            "php artisan key:generate"
        ]
    },
    "config": {
        "preferred-install": "dist"
    }
}

A: Try to run composer dumpauto command

A: You've installed version ^3.2 of the package. If you look at the code and documentation for this version, there is no Configuration object; there is a Builder object.
If you just go to https://github.com/lcobucci/jwt, you will be looking at their master branch. According to their documentation, they are currently working on their next major version:

Important: this is the documentation of our next major release (v4) and it WILL change. If you are using the stable version you should go to branch 3.2.

Make sure you look at the documentation for the version you are using:
https://github.com/lcobucci/jwt/tree/3.2
This is their example code for 3.2 (the version you are using):
use Lcobucci\JWT\Builder;

$token = (new Builder())->setIssuer('http://example.com') // Configures the issuer (iss claim)
                        ->setAudience('http://example.org') // Configures the audience (aud claim)
                        ->setId('4f1g23a12aa', true) // Configures the id (jti claim), replicating as a header item
                        ->setIssuedAt(time()) // Configures the time that the token was issue (iat claim)
                        ->setNotBefore(time() + 60) // Configures the time that the token can be used (nbf claim)
                        ->setExpiration(time() + 3600) // Configures the expiration time of the token (nbf claim)
                        ->set('uid', 1) // Configures a new claim, called "uid"
                        ->getToken(); // Retrieves the generated token

$token->getHeaders(); // Retrieves the token headers
$token->getClaims(); // Retrieves the token claims

echo $token->getHeader('jti'); // will print "4f1g23a12aa"
echo $token->getClaim('iss'); // will print "http://example.com"
echo $token->getClaim('uid'); // will print "1"
echo $token; // The string representation of the object is a JWT string (pretty easy, right?)

A: First of all remove the vendor folder and try to reinstall the composer with the command
composer update

have been facing an issue for more than 2 hours trying different ways and then try this and my issue resolved :D/

redpajama_set_name: RedPajamaStackExchange


text:
Lost in the Forest er en film instrueret af Jakob Foged, Tore Poulsen, Morten Enevoldsen.

Handling
Det er hårdt at være den, der bliver holdt udenfor og drillet.

Referencer

Eksterne henvisninger

Danske film fra 2007

Film fra Danmark (administrationskategori)
Animationsfilm fra Danmark

redpajama_set_name: RedPajamaWikipedia


text:
Book Review - Agent TATE: The Wartime Story of Harry Williamson - Tommy Jonason & Simon Olsson (2012)
By Giselle Jakobs - January 17, 2020
Cover - Agent TATE: The Wartime
Story of Harry Williamson
Agent TATE: The Wartime Story of Harry Williamson. Tommy Jonason and Simon Olsson. Amberley Publishing. 2012.
The story of double agent TATE (LEONHARDT to the Germans) is one of the classic tales of the British double cross system from the Second World War. One can read key snippets of his story in many books and journals:
How the ardent Nazi Wulf Schmidt parachuted into England in mid-September, hot on the heels of friend, and fellow spy, Gosta Caroli.
How Schmidt was quickly snatched up by the authorities after washing his swollen twisted ankle in the village fountain.
How Schmidt proved stalwart in the face of MI5's top interrogator but eventually crumbled when he learned that Caroli had already spilled the beans.
How Schmidt would go on to become one of Britain's most prized double agents... and simultaneously, one of the German Abwehr's most prized agents (even to being awarded the Iron Cross).
The story is a fascinating one and two Swedish authors, Tommy Jonason and Simon Olsson brought all of the pieces together into a cohesive whole, published in 2012 by Amberley Press. One note: TATE's birth name was Wulf Schmidt and his assumed name in Britain was Harry Williamson. I shall refer to him as Schmidt as that is more common in espionage literature.
Jonason and Olsson's book is very readable and draws heavily from the declassified MI5 files at the National Archives. The authors provide a helpful context to the Operation LENA spies who were dispatched to England in the fall of 1940, all in preparation for Operation SEALION - the invasion of England.
The details of Schmidt's training by the German Abwehr is a familiar tale - poorly trained, poorly organized, poorly equipped and yet... despite the many disadvantages, the Germans seemingly bought the idea that Schmidt eluded capture and would manage to send signals undetected until shortly before the end of the war.
While the authors touch on Schmidt's request for more funds in early 1941, they don't spend a lot of time in examining the connection with Karel Richter, a suspected courier of funds and equipment to Schmidt. Specifically, the authors don't spend time delving into the story that Richter eventually admitted to his British interrogators -- that he had been sent to check up on Schmidt as the German handlers suspected he had been turned. Given the intimate connection between Richter and Schmidt in that regard, a bit more of emphasis on Richter would seem to have been warranted.
On another note, the section on Josef Jakobs has several minor errors which make the reader wonder if others are present elsewhere in the volume.
The authors do consider the question as to whether the Germans knew that Schmidt had been turned or not. The evidence is quite contradictory but the authors do a fair job of covering the different aspects.
4 out of 5 - readable and fairly comprehensive
Sharing the Tale of Josef Jakobs on Talk Radio Europe
Branches of the Josef Jakobs Family Tree
Book Review - Operation Fortitude - Joshua Levine ...
Book Review - Agent TATE: The Wartime Story of Har...
Britain's Plans to Revamp the Treason Act
Promoting The Spy in the Tower on TalkRadioEurope