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Jeff Brady
Doby Photography / NPR
Jeff Brady is a National Desk Correspondent based in Philadelphia, where he covers the mid-Atlantic region and energy issues. Brady helped establish NPR's environment and energy collaborative which brings together NPR and Member station reporters from across the country to cover the big stories involving the natural world.
Brady approaches energy stories from the consumer side of the light switch and the gas pump in an effort to demystify an industry that can seem complicated and opaque. Frequently traveling throughout the country for NPR, Brady has visited a solar power plant in the Nevada desert that lights casinos after the sun goes down. In 2017 his reporting showed a history of racism and sexism that have made it difficult for the oil business to diversify its workforce.
In 2011 Brady led NPR's coverage of the Jerry Sandusky child sexual abuse scandal at Penn State—from the night legendary football coach Joe Paterno was fired to the trial where Sandusky was found guilty.
In 2005, Brady was among the NPR reporters who covered the aftermath of Hurricane Katrina. His reporting on flooded cars left behind after the storm exposed efforts to stall the implementation of a national car titling system. Today, the National Motor Vehicle Title Information System is operational and the Department of Justice estimates it could save car buyers up to $11 billion a year.
Before coming to NPR in September 2003, Brady was a reporter at Oregon Public Broadcasting (OPB) in Portland. He has also worked in commercial television as an anchor and a reporter, and in commercial radio as a talk-show host and reporter.
Brady graduated with a Bachelor of Arts in Communications from Southern Oregon State College (now Southern Oregon University). In 2018 SOU honored Brady with its annual "Distinguished Alumni" award.
Trump Administration Weakens Climate Plan To Help Coal Plants Stay Open
By Jeff Brady • Jun 19, 2019
President Trump has thrown his latest lifeline to the ailing coal industry, significantly weakening one of former President Barack Obama's key policies to address climate change.
The Environmental Protection Agency released the final version of its Affordable Clean Energy rule on Wednesday. It's supported by the coal industry, but it is not clear that it will be enough to stop more coal-fired power plants from closing.
Finding New Opportunity For Old Coal-Fired Power Plant Sites
By Jeff Brady • May 23, 2019
Nearly 300 coal-fired power plants have been "retired" since 2010, according to the Sierra Club. It's a trend that continues despite President Trump's support for coal. That has left many communities worried that those now-idled places will simply be mothballed.
This Company Says The Future Of Nuclear Energy Is Smaller, Cheaper And Safer
By Jeff Brady • May 8, 2019
Nuclear power plants are so big, complicated and expensive to build that more are shutting down than opening up. An Oregon company, NuScale Power, wants to change that trend by building nuclear plants that are the opposite of existing ones: smaller, simpler and cheaper.
As Nuclear Waste Piles Up, Private Companies Pitch New Ways To Store It
By Jeff Brady • Apr 30, 2019
Congress is once again debating how to dispose of the country's growing inventory of nuclear waste. Sen. John Barrasso, R-Wyo., is proposing legislation that would jump-start licensing hearings for the Yucca Mountain nuclear waste storage site in Nevada.
Trump Administration Dims Rule On Energy Efficient Lightbulbs
By Jeff Brady • Mar 26, 2019
If it's been a few years since you shopped for a lightbulb, you might find yourself confused. Those controversial curly-cue ones that were cutting edge not that long ago? Gone. (Or harder to find.) Thanks to a 2007 law signed by President George W. Bush, shelves these days are largely stocked with LED bulbs that look more like the traditional pear-shaped incandescent version but use just one-fifth the energy.
Skipping School Around The World To Push For Action On Climate Change
Tens of thousands of students around the world skipped school school Friday to protest inaction on climate change. It was one of the largest turnouts so far in a months long movement that included the U.S. for the first time, in an event organizers call the "U.S. Youth Climate Strike."
For The Few Who Heat Homes With Coal, It's Still King
By Jeff Brady • Mar 3, 2019
Every few weeks, John Ord does something unusual for most people living in 2019 — he stops by a local hardware store in rural northeastern Pennsylvania to buy coal to heat his home.
He recently spent about $56 to buy 400 pounds of coal. That will keep his 2,400-square-foot house a toasty 70 to 72 degrees for a couple of weeks.
"This is the whole glamorous part, right here," says Ord, as he loads 40-pound bags of Pennsylvania anthracite coal into the back of his white station wagon.
EPA Says It Plans To Limit Toxic PFAS Chemicals, But Not Soon Enough For Critics
By Jeff Brady & Jon Hurdle • Feb 15, 2019
The U.S. Environmental Protection Agency says it will begin the process this year of setting limits on two man-made chemicals that are linked to cancer and other illnesses, and are found widely in drinking water and soil.
The agency's long-awaited plan — promised last year by former administrator Scott Pruitt — addresses chemicals that are part of a group known as PFAS, for Per- and Polyfluoroalkyl Substances.
President Trump And Allies Push To Save A Very Specific Coal Plant
By Jeff Brady • Feb 12, 2019
In his latest effort to boost the coal business — and in the process help a major supporter — President Trump has called on the Tennessee Valley Authority to, essentially, ignore the advice of its staff and keep a large coal-fired power plant operating.
The move has drawn extra scrutiny because that plant buys coal from a company headed by a large campaign donor to Trump, Murray Energy Corp. Chairman, President and CEO Robert Murray.
Despite Few Details And Much Doubt, The Green New Deal Generates Enthusiasm
By Jeff Brady • Feb 8, 2019
For a nonbinding resolution with an uncertain future, the Green New Deal is getting a lot of attention, along with a decidedly mixed reaction.
Dozens of Democrats on Thursday introduced the measure, an ambitious framework for future legislation designed to eliminate the U.S. carbon footprint by 2030.
Federal Employees Moonlight To Pay The Bills
By Jeff Brady • Jan 16, 2019
As the standoff between President Trump and Congress continues over funding for Trump's proposed border wall, the partial shutdown of the federal government means workers will go weeks without a paycheck. That has some looking for temporary jobs to pay their bills.
In Boise, Idaho, Chris Kirk says he's worked for the federal government for 19 years. He administers contracts for the hundreds of millions of dollars the U.S. Forest Service spends on fighting wildfires. But these days he's on furlough and looking for extra income.
Trump EPA Says Mercury Limits On Coal Plants Too Costly, Not 'Necessary'
By Jennifer Ludden & Jeff Brady • Dec 28, 2018
In another proposed reversal of an Obama-era standard, the Environmental Protection Agency Friday said limiting mercury and other toxic emissions from coal- and oil-fired power plants is not cost-effective and should not be considered "appropriate and necessary."
The EPA says it is keeping the 2012 restrictions in place for now, in large part because utilities have already spent billions to comply with them. But environmental groups worry the move is a step toward repealing the limits and could make it harder to impose other regulations in the future.
How One Company Pulls Carbon From The Air, Aiming To Avert A Climate Catastrophe
By Jeff Brady • Dec 10, 2018
At a major climate meeting in Poland, nearly 200 countries are trying to reach a deal on dramatically reducing carbon emissions. But a recent U.N. report found that may not be enough to avoid dangerous impacts from the warming climate. In fact, the world is falling so far short of what's needed, it said, that it might be necessary to pull massive amounts of carbon dioxide out of the air.
Trump's EPA Plans To Ease Carbon Emissions Rule For New Coal Plants
By Jeff Brady • Dec 6, 2018
The Trump administration plans to eliminate an Obama-era requirement that new coal-fired power plants have expensive technology to capture carbon dioxide emissions.
2 Years After Standing Rock Protests, Tensions Remain But Oil Business Booms
By Jeff Brady • Nov 29, 2018
Two years ago in North Dakota, after months of protest by thousands of indigenous and environmental activists, pipeline opponents celebrated when the Obama administration denied a key permit for the Dakota Access Pipeline (DAPL).


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Start Stacking Dimes!
As periodical publishers are moving toward offering digital distribution of content, we're discovering that a financial model that works for print often falls short in the virtual world. Online advertising doesn't bring in the same level of revenue as print, and readers are resistant to the idea of paying for content. So when analog dollars turn into digital dimes, what's a publisher to do? Start stacking dimes!
That's the advice of Journal Register Co. CEO John Paton. In an interview with the industry journal News & Tech he said, "If a digital ad is worth a dime, then find a cost-effective way to get those dimes. Look at it this way: Adobe spent millions of dollars to develop Flash and Acrobat, but they give those apps away for free, because free is the market. We have a similar situation. If the audience you have is only worth dimes, then you have to find a cost-effective way to create and deliver content to that audience."
If an audience won't pay for content, then it's up to advertisers to pay for the audience. And while many publishers have implemented some basic website advertising, there's a lot of unexplored potential "beyond the banner." The web offers the ability to slice and dice your audience to meet the interests of various advertisers, as well as unparalleled tracking of response rates, so there are plenty of revenue opportunities for publishers to explore. Here are a few:
E-mail update
Use a "Sign up for free e-mail upates" link on your website to create an opt-in e-mail list. This can be a valuable asset. It's a great way to share new content on your website, new developments in whatever area your publication covers (your organization, denomination, type of ministry, targeted demographic group, etc.), and items that aren't long enough to merit their own story. Don't overuse the list, or reader fatigue will set in. Instead, reach out to your list every few days. And there's no need to send a lengthy piece by e-mail – send some well-written teaser copy and a link to your website. Keep the content short and valuable, and you'll wind up with high "open" rates from readers, and that makes your e-mail updates valuable for advertisers. Two or three useful tidbits followed by a clearly marked ad is a nice approach.
More than one-third of Americans currently use a "smartphone," and by 2015 that's expected to grow to 50 percent. This means that text messages with links to your content are a convenient way to connect with mobile users in your audience – and that's a service that can be sponsored. Let readers opt-in to mobile text alerts on your website by providing their cell phone numbers, and use the resulting list to send links to fresh content on your website, or to point them to carefully curated content elsewhere on the web that will interest them. A simple "Text alert sponsored by…" line with a link to a sponsor's website is a trackable resource that you can sell.
Partner tweets
If your advertisers are using Twitter, a simple Twitter widget on your website can help bring their tweets to your readers. Establish a cost-per-thousand (CPM) for website impressions, and divide that among sponsors who you "follow" with your widget. Aggregating those tweets on your website provides value for your readers, and is a shot in the arm for sponsors who are experimenting with Twitter but need help attracting an audience.
Partner fan pages
If your publication has a Facebook page, one of your goals is to connect with your readers using the world's most popular social media platform. But you can also use your Facebook page to help your sponsors connect with your Facebook fans, and it's almost automatic. If you're an administrator for your corporate site, just choose the "Use Facebook as…" option on your company's profile page to take on your corporate identity. Once you're browsing Facebook as your corporate self rather than as your individual self, visit sponsor pages and "like" them. As a result, a link will show up in the left-hand column of your publication's Facebook profile. If you "like" more pages than will easily fit, Facebook will automatically rotate them with each page refresh. Use Facebook's "page insights" tool to track your traffic, then divide by your number of "liked" pages to determine the number of impressions for each sponsor.
Sponsored features and sections
In the same way that you can run a special advertising section in a printed periodical, you can have special sponsored features or sections as part of your publication's website. For instance, a daily devotional feature could have a sponsor, with different ads for the sponsor appearing each day. Or a "choosing a Christian college" section could combine editorial content and significant advertising from schools.
More than a featured section, a microsite is an entirely sponsored page or pages (up to about a half-dozen). It's the digital equivalent of a newspaper insert. The main landing page of a microsite may even have its own name or subdomain (like "sponsorname.yourdomain.net"). An organization might ask you to build a 'microsite" for them within your site -- perhaps containing themed copy or a contest that ties in with their product or services. The sponsor might provide the copy as well (in which case you'd want to be sure to label the pages as paid advertising). While a microsite is really content from a sponsor, having it on your publication's site provides both credibility and traffic. Because the microsite is self-contained (beyond links to it from your main site), you can easily remove the whole thing once the campaign is over. And if it has it's own subdomain, the sponsor can link to it directly.
A step beyond the microsite is the sister site – an independent website that you develop around an audience interest or type of content. Does your publication review movies? Why not create an independent movie review site that shares your branding while having an identity of its own? Do you offer devotional content in your publication? Then how about creating a daily devotional site which offers fresh content each day, plus a searchable archive of past devotionals? Is there some kind of content available to you where supply greatly outstrips available space in your print product? Then it may be time to create a website devoted to that content. Once the basic framework is in place, running sister sites is largely a question of creating and posting fresh content. And each new site brings new revenue opportunities, and new ways to target a specific segment of your audience. With no printing or postage costs, building a family of related websites offers an opportunity to get on the right side of web economics, greatly expanding revenue opportunities for comparatively little cost.
Start stacking dimes
The Internet age presents both challenges and opportunities for publishers. The one thing that's certain in this quickly changing landscape is that yesterday's model is gone. When life gives you lemons, you make lemonade. When the Internet gives you dimes, it's time to start stacking dimes!

redpajama_set_name: RedPajamaCommonCrawl


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advertisement making competition
Tag: advertisement making competition
Why don't we use the internet more?
Advertising companies, such as Google and Facebook, have long been using the internet to drive search traffic and drive advertising revenue.
The internet was originally built to allow consumers to make money through advertising, but it's become increasingly popular as more consumers search for news and entertainment.
Nowadays, most advertising revenue comes from direct search, which is not what consumers were expecting.
According to research from research firm iResearch, the US alone is expected to see more than $6 billion in direct advertising revenue in 2021, up from $3.6 billion a year ago.
It's expected to rise to more than double that by 2021, according to the research.
What's happening to the internet?
In the past few years, the internet has become a big revenue driver for many companies.
Google and other internet companies have spent billions of dollars on their advertising platforms, including a new $500 million ad buy by Target in the US last year.
Target's ad buys were one of the largest ever, and it will likely continue to make big money from them for the foreseeable future.
Facebook spent $3 billion in 2018 on its Facebook ads, including $1 billion in ad buys for the US.
This is a big part of why Facebook has a $22 billion market cap, according the company's research.
The company is also one of a few companies that can get paid for its advertising with a service like DoubleClick, which has seen its ad revenue rise from $2 billion to more $7 billion this year.
Facebook's advertising revenue is likely to continue to rise as more people use the platform, according an analysis by Forbes.
But that's not stopping some companies from taking a more direct approach to getting paid.
In 2017, Yahoo bought YouTube for $1.6 million, a deal that made the video streaming site the world's largest advertiser.
And in 2018, Apple bought the video-sharing app Vine for $2.5 billion.
Some companies have already begun to use paid ads on their sites.
Facebook has long been one of them, according iResearch.
The social media giant has already used paid ads to drive traffic to its news and news related pages.
In the US, Facebook has already shown a number of different ways that it's using its massive user base to drive advertising traffic.
One way is through paid ads that show up on the news feed of users that have chosen to opt into its new paid video advertising service.
Other companies have used their huge user base for more direct advertising, like Google.
According of the research, the Google ad market is expected be worth about $5.4 billion in 2021.
Facebook is expected spend about $4.5 million on its ad buys this year, with more than half of that coming from DoubleClick.
The advertising giant will likely use this revenue to buy more ads from the service, according research firm IDC.
But it won't have a direct way to sell these ads directly to advertisers on its platform, and so it may have to use the revenue to pay its own ads.
Google AdWords to cut ad targeting, remove ads in search, increase ads
Google is rolling out the changes to its AdWords program in an effort to boost its search advertising business.
The changes come as AdWords has struggled to get users to switch over to its rival Google Search engine.
Search ads are part of Google's revenue model, and advertisers are incentivized to buy ads on the search engine.
The search ad removal changes, announced Monday, are designed to improve Google's search ads and reduce competition in the market.
AdWords has been struggling to get customers to switch to its competitor, Google.
In its latest earnings report, Google reported that its search ad spending has declined slightly, and AdWords revenue declined 13% last quarter.
How to make an ad online that you can trust
Advertisers often use a process called "advertising making" to get the word out to their audience.
If you're a regular reader of this blog, you may have noticed that I've mentioned this process before.
It is one of the most powerful methods to increase the visibility of an ad on a website, and it is also one of its most underutilized.
If it works, you're looking at a few hundred dollars for a small ad on your website, but if it doesn't, it may cost you a ton.
When I first learned about this technique, I was not expecting it to work so well.
For those who don't know, ad making is a type of marketing that has been around for centuries.
The concept is simple: You make a promise to your audience that you'll make a certain product, service, or service that they will purchase.
If the promise is made well enough, they'll make that purchase.
If the promise isn't made, the customer may just stay with you, and your business may suffer.
Advertisers have historically relied on these types of marketing tactics to reach their target audience.
In recent years, however, the use of this type of advertising has taken off, as new social media platforms and apps have opened up.
These platforms and applications are creating a more personalized way to reach consumers, and marketers are finding that they have a better chance of making a purchase by doing this type
What Is An Advertising Ad?
Make sure to check out our article on the difference between ad and promotion.
What Is an Ad?
Advertising is a term that can be used to describe a commercial that advertises a product, service, or brand.
In some cases, an advertisement may be a banner that appears on a website.
In others, it may be an interactive advertisement that asks you to take a photo or answer a question.
The terms "advertising" and "advertising advertisement" are often used interchangeably.
An advertisement is a commercial broadcast or other media that is intended to convey a message or promote a product or service.
The term "advertising ad" is also used in the United States.
An ad might be a video advertisement, radio spot, radio broadcast, video, or audio message.
How to Make a Super Smash Bros. 4 Custom Title
The Smash Bros., the biggest video game franchise in the world, is coming to consoles, but not just for the sake of gaming.
As Nintendo's latest console arrives in a few weeks, fans are expecting to be able to play it on its own.
Nintendo wants to make sure fans don't miss out on the company's new system and that it offers something unique.
We've put together a guide to make your Super Smash Brothers 4 game feel special and a true homecoming, as well as a cheat sheet for those looking to do just that.
Here's what you need to know to get started.
Before you start: The Smash Brothers is coming.
It's been confirmed that the Super Smash brothers 4 game will arrive sometime this year.
The game will feature an all-new game mode called Super Smash Battle.
When playing in Super Smash Battles, you'll earn coins to use to unlock new characters, new stages, and more.
It's a competitive mode that has fans excited.
The first thing to do is make sure you have the latest version of the Nintendo Switch.
If you're looking for the best Super Smash 3DS game, you're going to want to get the latest game.
You'll also want to make it your main Nintendo Switch gaming device.
This means you'll want to have the Switch connected to your TV, as that will let you view all your games, as you can't do it from the home screen.
Next, grab your Nintendo Switch console.
Make sure it's powered up to the highest power setting.
Then, press the HOME button on your controller.
This will bring up the TV and let you choose your TV as your primary gaming device, so make sure it has the latest software updates.
If you're not already playing Super Smash games, you should do that.
It'll help you understand how to play them better.
The Smash Bros, the biggest game franchise for Nintendo in the modern era, is set to be released for the Wii U and the Nintendo 3DS in spring 2019.
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What is ad making website?
Ad making website (ADSL) is a term used to describe an online advertising platform that helps businesses create, distribute and manage their content online.
Many advertisers use ADSL platforms to promote their products and services.
The term 'ad making website' has come to mean an online ad platform where the ad vendor pays to have a person, company or business create an ad on their site, which is then presented to users through a mobile app.
The ad making industry is one of the fastest growing segments in the world with a $3.3 trillion global market.
Ads, content, and the internet are a big part of the ad making market, but the term has been misused in the past, according to AdWords.
In a 2015 interview with the Financial Times, Google's senior vice president of global advertising, Brian Gorman, acknowledged that the ad business is "in some ways a bubble" and said that people think of it as a business that's booming, when in fact it's not.
The ADSL marketplace has become a hot topic for the media, and many of the companies who use ADSL platforms have gone on to be successful.
In this article, we'll look at the key players in the ad creation industry.
Ad serving company: Ad Serving is an online platform where advertisers can place their ads.
It is a marketplace where advertisers sell their ad space to other companies for advertising purposes.
It's a growing segment in the industry that's driven by the advent of mobile devices, social media, cloud computing and other technology advancements.
Advertisers can sell their advertising to anyone on the internet, which means that they can have ad serving companies on their sites, and can use ad serving platforms as a way to monetize their content on the web.
The goal of ad serving is to offer content that can be easily consumed by the audience.
Ad Serving platforms are owned by an individual or companies that are part of a company that owns or is owned by the ad serving company.
These ad serving businesses have their own websites, which are also part of an ad serving platform.
They may also be referred to as ad serving agents, ad serving sites, ad service providers, ad servers, or ad server owners.
The main selling point of Ad Serving platforms is that they are open source, meaning they have a way for users to share and use the content on their platforms.
The content is then accessible to anyone.
For example, an ad server may have an online marketplace where users can purchase and sell ads.
The server may also have a mobile ad serving marketplace where ads can be placed on smartphones and tablets.
These platforms can also offer customized ads for specific audiences, like a local news channel.
The platform owner can set up an ad campaign that will appeal to specific audiences in the community.
The technology used by an ad platform is different from that used by a traditional publisher or website.
The platforms are not just an advertising solution, they are also a way of providing content and services to users, said Michael McElvoy, a partner with the advertising industry-focused consulting firm McEldowney, McElling, & Mead, in a 2016 interview with Forbes.
Ad servers, ad services providers and ad servers generally operate their own advertising platforms.
But some of these companies are owned and operated by Ad Serving companies, which share data with Ad Serving agents to help them create ad campaigns that appeal to different audiences.
Adserving companies are also used by ad serving services providers to provide custom ad serving.
The ad serving agent may provide customized ads to specific clients, such as a local media group.
The service provider also uses the ad service provider's website to provide the customized ads.
Adservers are the people or businesses that have access to the data generated by an Ad Serving platform.
An Ad Serving agent is someone who is part of or has access to a service provider that manages the AD serving platform, McEvoy said.
Ad Servers are businesses that manage an AdServing platform.
The AdServer may be a publisher, service provider or a third-party.
Ad Servers may be based in the United States or elsewhere in the global Ad Serving industry.
An AdServerer has an account on Ad Serving Platforms.
An account on an Ad Seruring platform is a single account that contains data about all users who have used the Ad Serving service.
An agent or service provider may have multiple accounts.
An AD Serving agent and Ad Serving site can also share information about how their platform is performing.
The agent or site can share analytics data about how Ad Serving sites perform, McDevoy said, as well as information about Ad Seruing sites that have not been updated in years.
AdServing platforms can share data on Ad Serning sites with Ad Serving agents and Ad Seriving services providers, McElwain said.
This data includes things like ad clicks, engagement rates and other metrics about how well a site is performing on a
Why does this video game ad still have ads in it?
A video game commercial has ads in every corner of it.
These ads have the same effect as the original ads in the game.
You see the same ad, and you've been playing the same game for an hour.
This is a way of making advertising feel like a necessary part of the game, like it should be part of your experience.
The game developers don't want you to be bored with ads, so they're able to get the most out of them.
But while a commercial can be fun, they're just as useless if you don't have time to sit down for a few hours.
They're also useless if the game is the only way to get to the end of the campaign.
This isn't an uncommon situation in games, where you either have to buy a disc or pay a premium for a limited edition version of the content you want to play.
These campaigns don't just fail to capture the essence of the original experience; they often end up being just a way to squeeze more out of your money.
Ads in a video game are basically just ads for a game.
If you're not playing the game yet, there are some ads on the screen that will give you an idea of what the game has to offer.
But those ads are just a distraction from the game's main selling point, which is the story.
Advertising is usually a marketing strategy that aims to make a game stand out from its competitors.
It's designed to sell you something by trying to make the game stand alone from the competition, and that's pretty easy to do.
But the problem is that advertising in video games often doesn't work that way.
There are a few reasons why video game ads are a failure.
The first is that they're usually made by the same companies that are behind the main ads in video game commercials.
The second is that most of the ads are paid for by the game publisher.
Finally, most of these ads aren't really advertising.
Instead, they are generic or ad-free versions of the games' main ads.
Most of these reasons don't make sense to me.
I think a lot of people would argue that it's fine for a company to make money by selling a game and then try to sell advertising to the people who want to pay money for it.
It makes perfect sense for an advertiser to try to get as much revenue out of a product as possible, even if it means selling ads that don't sell.
I'm not a big believer in the idea that advertisers should be allowed to profit off the success of their products.
I mean, if they were, they wouldn't be in business at all.
But I don't think this argument is very persuasive when you're considering the quality of a game's advertising.
If a game is great and there are ads for it, then the game creator shouldn't be making money off the ad impressions.
I'd argue that most games don't even try to do this.
The ads themselves don't seem like they're all that great, but the people that are buying them are the same people who buy the games.
So why should we give them the right to profit from the success or failure of the advertising in their game?
If I were to make an argument that video games are a good medium for creating a compelling story, I'd think that it would require the publisher to make some kind of effort to build up some kind, long-lasting story around their game.
The same goes for a good advertisement in a game, and it's a really good idea to make sure that the ad is actually engaging with the audience.
If the ad makes a player think about the game a lot, it will probably have a bigger impact on their feelings about the product and the story that they want to tell.
This kind of long-term relationship between the player and the ad, especially in the case of a video-game, can only help the game feel like it's more than just a simple way to make it easy to buy the game on a website or a streaming service.
When will a new Apple app become a new ad?
The iPhone 5 is a major upgrade for Apple, the latest major upgrade to the smartphone's hardware, but its user interface has been a big draw for critics, who say it has made it hard to use.
Apple has long been criticized for its reliance on the familiar design of the iPhone 4 and 4S, which were the first to arrive with iOS 7 and 8, respectively.
But as with any major software upgrade, users have complained about its shortcomings and the new iPhone features.
The iPhone's biggest selling point is that it runs the same software as the rest of the smartphone world, making it easier to use than competitors like the HTC One, Samsung Galaxy S3, or the OnePlus One.
But critics have argued that Apple's apps are mostly bad and its design is less appealing than its competitors'.
In response, Apple has said it wants to improve the design of its apps.
In a post on its website, Apple said: "With the new iPhones, we've made significant improvements to our user experience, and our goal is to deliver better apps for every device, from smartphones to tablets."
The redesign will be the largest overhaul to our App Store yet, and we're working with the App Store team to improve them as fast as possible.
"In the coming weeks, we'll be launching several new new App Store features, including a new 'Ads' category that lets you create and manage a list of ads you want to show to your users."
We'll also be launching a new Advertising section in our app store for a few of the most popular advertising types, including sponsored videos and ads for third-party services, which will allow you to show them on your website, and in the App store.
"Apple's redesigned app store will have new design features and more features for advertisers The new app store has a new design feature, which lets you show ads on your site and in your app, Apple wrote.
It will also have a new "Ads" category that will let you create a list with ads you think your users might like to see.
Apple's redesigned advertising app will have more features and will show ads that advertisers have made available in the past.
Apple added new features for developers Apple is adding a new feature to its developer portal called 'App Spotlight'.
This will let developers find apps with similar features to those of other companies.
Developers can then integrate them into their apps, and it will help make them more useful to their users.
Apple said this new feature will be available in iOS 9.0.2, iOS 9, and iOS 9+.
Apps will have to be compatible with the new App Spotlight feature to be included in the new category.
The new App List feature also lets you add new apps that Apple says will help users discover the apps of other developers.
Apple says developers will be able to use this feature to show users apps that are popular among users and developers, and to let them search for apps that they think may interest their users more.
The App Spotlight category will allow developers to add new categories to their apps and to allow users to find apps of their own choosing.
The feature will also help developers create apps that have similar features, like making them easier to install.
Apple says developers can use this new App Spot feature to find new apps with a similar feature, like adding them to the 'Ad options' menu in their app, which users can then install.
The same feature will allow users, through an in-app purchase, to download apps for their devices that don't yet have them.
The app will also be compatible for developers to make their apps more useful, as well as to let users search for them.
Apps will also show the users the latest app updates from their respective developers.
How to make a pasta ad: A guide to making pasta from scratch
You've got a recipe, but you want to show your client something you've done for them, right?
Well, that's where the pasta maker comes in.
The internet is rife with information about how to make pasta.
And while the basics of how to cook pasta are the same, the technique for making it can vary widely.
In this article, we'll show you how to do pasta cooking, starting with the basics and moving on to a few different techniques and different ways of making pasta.
Read on for some basic pasta techniques and a few other tips that'll help you get your pasta done in under 30 minutes.1.
Making pasta from raw ingredients in a large pot or saucepanWhen you've got the basics down, you're ready to start cooking the pasta, and you need to do that in a very large pot.
A good one is at least 1 1/2 quarts, or roughly two quarts of water.
But, if you're like me and have a larger pan, you can use a stovetop instead.
This is especially important for large batches of pasta.2.
Add some broth or water to the potWhen you're cooking pasta, it's a good idea to add a little bit of broth or some water to bring the liquid to a boil, as this helps the pasta cook faster.
The best way to do this is to place the bowl of pasta in the sink, and add a few tablespoons of water to it as you cook.3.
Make pasta by roasting an egg in a saucepanThe idea is that the pasta is cooked in the oven, but when the pasta cools down in the water, it gets absorbed into the pasta and cooked through, leaving a thin layer of sauce that makes up the pasta.
The sauce will help keep the pasta from sticking to the bottom of the pot, and it will help make sure it cooks evenly.4.
Add cooked pasta to a bowlThe easiest way to make it in the microwave is to add cooked pasta directly to a small bowl.
Add the pasta to the microwave for just a few seconds, and then remove from the microwave.5.
Stir in the parsleyYou can also stir in a little parsley and a little salt to the pasta as it cooks.
This adds some flavor and helps the sauce absorb the pasta flavors.6.
Add a little of the sauce to the bowlOnce the pasta has cooked for a couple of minutes, add the sauce and stir until all of the pasta flavor is absorbed.7.
Let the pasta sit for a few minutes, and stir it into the sauce when it's done.8.
ServeThe best part about making pasta in a pot is that you can leave it sitting for a little while to let the flavors soak in.
When the pasta comes out of the water and gets a little darker, that means you've cooked it well, and the pasta's ready to be eaten.
How to make your own advertisement postcards: 4 ways
How to use an ad postcard to sell a product or service?
I love postcards because they can be used to make ads, and they can also be used for other creative uses as well.
There are different kinds of postcards you can make.
You can create a postcard with just a bunch of pictures or just text, or you can use a picture and text image, or even a photo and text design.
For example, here's how I made my own ad postcards.
Here are the basic steps to making an ad card.
Find the perfect image to make the ad.
I used a photo of the cat, so that's what I used.
The picture is going to be about 4 inches by 6 inches.
Create a text image of the ad that looks good on the card.
The image you use will be the same as the one you chose, but it will have a different color scheme.
Create the image and text using Photoshop.
In Photoshop, you can drag and drop the image into your project and select the color you want for your text.
Now, create a new layer, then add a layer mask.
Select the mask layer and then click the Create mask button to create the mask.
Create and edit a new image using Photoshop to make a new mask.
You can do this by clicking the image that you want to use and then selecting the layer mask you created earlier.
Create another mask using the mask you just created.
This is called a masking layer.
Add the image to your mask using your new mask layer.8.
Use your new image to create a mask image, and then you can apply a mask mask using this mask layer to make it look like the original image.
Use Photoshop to add text and a background image.
The text you create in Photoshop is going be about the size of the original picture.
Now, create your text image using your mask layer in Photoshop.
Save the image, select the text image and then make a copy.
Now that you have a copy of the image with the text, you'll need to use Photoshop to edit it. 12.
Open your copy of your text and save it.
You can use the same copy to make an advertisement postcard and then use that copy to post it to your website.
To post an advertisement, you need to have the exact same text, background image and mask as your original image and copy.
Use the copy you just made to post an ad.
The text and background image can be the exact size of your original photo and copy and the mask image can have the same size as your copy.
Post your ad and wait for it to show up on the website.
You'll get a lot of traffic for your postcard.
If you post an ads postcard for a website that uses AdWords, you have to follow these instructions as well to make sure your ads are shown properly.
Here's how to post ads using AdWords: 1.)
Sign up for AdWords.
Click the "Edit Ad" button.
If it says "Ads" then click that and you'll see a list of your ads.
Click "Create new Ad."
Click on the "Post" button and follow the instructions.
If your AdWords account is linked to your email address, you will have to enter your email in the form.
Sign up for another account, then click on "Create Ad."
Enter the email address you created for the AdWords ad and click "Post."
When your Adwords account is posted, your ad will show up in the AdSense section of the website's Ad Manager.
10.)
Once your ad is up, you should see it on the front page of the site.
You now have a custom ad for your website with an ad that you can show on your site.
If you don't like the ad, just click "Submit Ad" and your ad disappears.
This postcard also has a tutorial video.
Now, let's learn how to make and sell ads on your own site.
Find an image to sell an ad on.
Create an ad and place it on your website's front page.
Create your first advertisement post card.
Create two new ads, one for your own company and one for a competitor.
Post the first ad on your company's site, and add


President Russell M. Nelson was sustained and set apart as the 17th president and prophet of The Church of Jesus Christ of Latter-day Saints on Sunday, January 14, 2018, in the upper room of the Salt Lake Temple. Prior to his service as head of the Church, President Nelson served as president of the Quorum of the Twelve Apostles of The Church of Jesus Christ of Latter-day Saints from July 15, 2015, until his call as the Church's leader. He has served as a member of that quorum since April 7, 1984.
An internationally renowned surgeon and medical researcher, Dr. Nelson received his B.A. and M.D. degrees from the University of Utah (1945, 47). Honorary scholastic societies include Phi Beta Kappa and Alpha Omega Alpha. He served his residency in surgery at Massachusetts General Hospital in Boston and at the University of Minnesota, where he was awarded his Ph.D. degree in 1954. He also received honorary degrees of doctor of science from Brigham Young University in 1970, doctor of medical science from Utah State University in 1989 and doctor of humane letters from Snow College in 1994.
Author of numerous publications and chapters in medical textbooks, Elder Nelson lectured and visited professionally throughout the United States and in many other nations prior to his call as a General Authority. A host of awards and honours have come to him, including the Distinguished Alumni Award, University of Utah; the Heart of Gold Award from the American Heart Association; a citation for International Service from the American Heart Association; and the Golden Plate Award, presented by the American Academy of Achievement. He has been awarded honorary professorships from three universities in the People's Republic of China.
Dr. Nelson has served as president of the Society for Vascular Surgery, a director of the American Board of Thoracic Surgery, chairman of the Council on Cardiovascular Surgery for the American Heart Association and president of the Utah State Medical Association.
He is listed in Who's Who in the World, Who's Who in America and Who's Who in Religion.
President Nelson has held numerous positions of responsibility in the Church. He served as stake president of the Bonneville Stake from 1964 to June 1971, when he was called as general president of the Sunday School. Prior to his call to the Quorum of the Twelve Apostles, he was serving as a regional representative assigned to the Kearns Utah Region. He had previously served as regional representative for Brigham Young University.


The SolarMax III is a 90 mm Aperture f/8.8 refractor solar telescope equipped with 90 mm external Hydrogen–alpha (H-α) filters. This telescope is a single-stacked <0.7 Angstrom Hydrogen-alpha-line Bandpass with a 15 mm blocking filter.
The Coronado SolarMax III 90 mm H-alpha Solar Telescope has a new two-speed rack & pinion focuser which creates a more user-friendly interaction with the telescope. The two-speed, 2" focuser has both coarse and fine focus controls allowing the user to get a more precise focus, which is critical and helpful, for both solar imaging and visual observing.
Additionally, the SM3 90 mm includes only external "True" H-α etalon filters giving higher contrast views and sharper features compared with models using smaller internal H-α etalon designs. You will experience darker backgrounds, sharper features, and higher contrast with the new SolarMax III series telescope.
The SM3 90 mm also includes Coronado's patented RichView tuning allowing direct tuning of the primary etalon filter. The patented RichView tuning technology provides additional tuning range and an overall better way of adjusting the filter's bandpass. No other commercially available H-α telescope can provide the tuning range and accuracy of the new SolarMax III telescope. Now you can tune for the highest contrast views of your favorite solar features without sacrificing image quality.
The new Coronado 90 mm SolarMax III series telescope with enhanced rack & pinion focuser and large external etalon is now the perfect way to view the Sun! The SM3 90 mm comes with an included 12 mm, 18 mm, and a 25 mm CEMAX eyepieces, plus a CEMAX 2x Barlow lens. Also included in this telescope package are a Sol Ranger™ Solar Finder, a Vixen-style dovetail mounting rail, and an all-new black and gold Aluminum Hard Carry Case (Dimensions: 26.5" x 8.66" x 8.66") to protect your investment. Enjoy viewing the Sun as you never have before!


text:
Meet Sophia. The Inspirational Hearing-Impaired Model from Kerala.
Reviving Kerala's 'Thorthu': Meet the women behind Kara Weaves
Meet Lakshmi: The Nurse Who Has Become Kochi's Saree Expert
The Story of the Struggle This Hearing-Impaired Model Went Through to Achieve Her Dreams
Meet Joshna of JJ Styling Who Is Helping Mollywood Set Some Serious Fashion Goals
I-Day Special: How Siddharth Is Reviving the Swadeshi Movement by Making Khadi Jeans
Vidya Nair·
· January 5, 2017
Sophia M. Joe is hearing impaired. This would not make much difference to anyone else other than Sophia herself and her loved ones. However, certain other things about her will surely make other curious to know more about her. She is a model, a medal-winning athlete, a painter, dancer, and a very confident girl who instantaneously proved the RTO wrong, when she was asked how she could drive a car being deaf. Sophia is the first person in Kerala with a hearing impairment who holds a driving license.
Sophia's parents were unaware of the fact that their first child was born with such an irregularity and though they were taken aback as soon as they discovered it, they stood strong and decided to bring up their child exactly like other children in society. Bhavan's Bala Mandir, the school where Sophia's mother was a teacher, came to their rescue and so she was admitted there with all the other children.
"Right from the beginning my daughter proved her talent in academic as well as non-curricular activities," says Goretti Joe, Sophia's mother and her "official spokesperson".
Sophia was trained to lip-read and was also admitted for speech therapy, which according to her mother proved extremely helpful for her in understanding what others were trying to say.
"Sophia was extremely good at sports and her sports teachers told us that her throws were perfect when it came to playing basketball and shot put. They also insisted she should be provided professional training and be made to compete. We, therefore, took her to the sports meet for the deaf and dumb at the regional level just to encourage her as we never wanted her to lag in anything. However, to our surprise she bagged the first position in the regional, district and State levels for eight consecutive years and also represented our State at the national level. She was three-time winner at the national level for shot put and discus throw," Mrs. Joe added.
Sophia taking part in shot put.
Sophia's father Joe Francis, an employee at Hindustan Petroleum, was confident about his daughter's talents and ensured that every opportunity reached Sophia, which she immediately used to grab and emerge victorious. It was Mr. Francis who encouraged her to take up modelling as she had the height, weight and right attitude to become a successful model. Sophia did not disappoint her parents here also and her interest towards the spotlight made her more involved in modelling, which apart from earning her a number of fashion shows also made her the winner on Amrita TV's programme Super Model.
As she was more inclined towards modelling, she gave up athletics as the physique required for both were different. Sophia also started applying to various beauty contests where she used to win more than one subtitle like Miss Congeniality, Miss Talent, Best Catwalk and so on. It was not the lack of talent that confined her to the subtitles, but a little hesitance and anxiety she had to encounter while dealing with the question-answer round.
Sophia was also qualified to go to Paris after the TV programme, however, denied it and selected to go to Prague, Czech Republic, to represent India at the Miss World Deaf and Dumb competition. Sophia, however, had to go through a lot of problems in order to go there as well once she reached there.
"We could not let her go alone and unlike other countries our government showed zero interest in this event and therefore did not help us in any way. Contestants from other countries were accompanied by an official who helped them with everything including understanding the language. But we had nothing of that sort. We designed all her clothes for the contest and that cost us almost one lakh rupees and extra money was also spent as we had to accompany her. The miscommunication with the organisers was the only reason that made her perform a 10-minute skit instead of a 6-minute one and led to her disqualification," remembers Mrs. Joe.
She added that it was unfortunate that the government behaved in this manner and the enthusiasm that Sophia had to represent her country was not there in India in sending her for the contest.
Sophia has also modeled for leading textile shops like Seematti. While the model in Sophia is fond of taking it up as a career, as a person with dignity, she is not willing to adjust with the non-ethical practices of the industry and has firmly told her parents that she will never do anything that feels wrong. Her parents and her brother Richard, who is also hearing-impaired and equally talented like her, are Sophia's support.
She is a degree holder in literature from St. Xavier's College, Aluva, and is presently looking out for an appropriate job, which according to her if is a government job will give her the dignity as well as the financial stability that she requires. She, however, insists on going out of Kerala as she feels that society here will never accept people like her and Richard, who also aspires to become a model.
Amrita TVdeaf modelKeralaSeemattiSophia
Vidya Nair
Vidya Nair is a staff writer at The Kochi Post
Previous Kerala is 8th on UK-based ABTA's 'Destinations to Watch' List of 2017
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Meanwhile In Kerala


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Medicover AB (publ) - MCVEF Stock Price Target and Predictions
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1/15/2021 Danske Downgrade Buy ➝ Hold
Medicover AB (publ) provides healthcare and diagnostic services in Germany, Sweden, Poland, Turkey, Belarus, Bulgaria, Georgia, Hungary, Serbia, Moldova, Ukraine, and India. It operates through two segment, Healthcare Services and Diagnostic Services. The company's diagnostic services comprise various tests, including allergy and autoimmune diagnostics, bacteriology, parasitology, biochemistry and immunochemistry, blood group diagnostics/transfusion medicine, tumour markers, clinical chemistry, cytology, haematology, histopathology, human genetics, hygiene, immunology and immunochemistry, infectious diseases, microbiology, molecular biology, and pharmacology/toxicology. The company operates 97 clinical laboratories, 733 blood-drawing points, and 26 clinics in 10 countries; and 117 medical clinics, 20 fertility clinics, 52 dental clinics, 25 hospitals, and 25 gyms. It serves corporate and private customers, and patients, as well as public payers. Medicover AB (publ) was founded in 1995 and is headquartered in Stockholm, Sweden.
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Medicover AB (publ)'s physical mailing address is Riddargatan 12A, Stockholm 114, 35. The company's listed phone number is 46.8.400.17.600. The official website for Medicover AB (publ) is www.medicover.com. Learn More about contacing Medicover AB (publ) investor relations.


text:
Weekly summaries of foundational papers in internal medicine and its subspecialties
List of Articles (2019-2020)
Week 9 – Albumin in SBP
"Effect of Intravenous Albumin on Renal Impairment and Mortality in Patients with Cirrhosis and Spontaneous Bacterial Peritonitis"
N Engl J Med. 1999 Aug 5;341(6):403-9. [free full text]
Renal failure commonly develops in the setting of spontaneous bacterial peritonitis (SBP), and its development is a sensitive predictor of in-hospital mortality. The renal impairment is thought to stem from decreased effective arterial blood volume secondary to the systemic inflammatory response to the infection. In our current practice, there are certain circumstances in which we administer albumin early in the SBP disease course in order to reduce the risk of renal failure and mortality. Ultimately, our current protocol originated from the 1999 study of albumin in SBP by Sort et al.
The trial enrolled adults with SBP and randomized them to treatment with either cefotaxime and albumin infusion 1.5 gm/kg within 6hrs of enrollment, followed by 1 gm/kg on day 3 or cefotaxime alone. The primary outcome was the development of "renal impairment" (a "nonreversible" increase in BUN or Cr by more than 50% to a value greater than 30 mg/dL or 1.5 mg/dL, respectively) during hospitalization. The secondary outcome was in-hospital mortality.
126 patients were randomized. Both groups had similar baseline characteristics, and both had similar rates of resolution of infection. Renal impairment occurred in 10% of the albumin group and 33% of the cefotaxime-alone group (p = 0.02). In-hospital mortality was 10% in the albumin group and 29% in the cefotaxime-alone group (p = 0.01). 78% of patients that developed renal impairment died in-hospital, while only 3% of patients who did not develop renal impairment died. Plasma renin activity was significantly higher on days 3, 6, and 9 in the cefotaxime-alone group than in the albumin group, while there were no significant differences in MAP among the two groups at those time intervals. Multivariate analysis of all trial participants revealed that baseline serum bilirubin and creatinine were independent predictors of the development of renal impairment.
In conclusion, albumin administration reduces renal impairment and improves mortality in patients with SBP. The findings of this landmark trial were refined by a brief 2007 report by Sigal et al. entitled "Restricted use of albumin for spontaneous bacterial peritonitis." "High-risk" patients, identified by baseline serum bilirubin of ≥ 4.0 mg/dL or Cr ≥ 1.0 mg/dL were given the intervention of albumin 1.5gm/kg on day 1 and 1gm/kg on day 3, and low-risk patients were not given albumin. None of the 15 low-risk patients developed renal impairment or died, whereas 12 of 21 (57%) of the high-risk group developed renal impairment, and 5 of the 21 (24%) died. The authors conclude that patients with bilirubin < 4.0 and Cr < 1.0 did not need scheduled albumin in the treatment of SBP. The current (2012) American Association for the Study of Liver Diseases guidelines for the management of adult patients with ascites due to cirrhosis do not definitively recommend criteria for albumin administration in SBP. Instead they summarize the aforementioned two studies. A 2013 meta-analysis of four reports/trials (including the two above) concluded that albumin infusion reduced renal impairment and improved mortality with pooled odds ratios approximately commensurate with those of the 1999 study by Sort et al. Ultimately, the current recommended practice per expert opinion is to perform albumin administration per the protocol outlined by Sigal et al. (2007).
References / Further Reading:
1. AASLD Guidelines for Management of Adult Patients with Ascites Due to Cirrhosis (skip to page 77)
2. Sigal et al. "Restricted use of albumin for spontaneous bacterial peritonitis"
3. Meta-analysis: "Albumin infusion improves outcomes of patients with spontaneous bacterial peritonitis: a meta-analysis of randomized trials"
4. Wiki Journal Club
5. 2 Minute Medicine
Summary by Duncan F. Moore, MD
Author Duncan MoorePosted on August 31, 2019 Categories Gastroenterology, InpatientLeave a comment on Week 9 – Albumin in SBP
Week 8 – 4S
"Randomised trial of cholesterol lowering in 4444 patients with coronary heart disease: the Scandinavian Simvastatin Survival Study (4S)"
Lancet. 1994 Nov 19;344(8934):1383-9 [free full text]
Statins are an integral part of modern primary and secondary prevention of atherosclerotic cardiovascular disease (ASCVD). Hypercholesterolemia is regarded as a major contributory factor to the development of atherosclerosis, and in the 1980s, a handful of clinical trials demonstrated reduction in MI/CAD incidence with cholesterol-lowering agents, such as cholestyramine and gemfibrozil. However, neither drug demonstrated a mortality benefit. By the late 1980s, there was much hope that the emerging drug class of HMG-CoA reductase inhibitors (statins) would confer a mortality benefit, given their previously demonstrated LDL-lowering effects. The 1994 Scandinavian Simvastatin Survival Study was the first large clinical trial to assess this hypothesis.
4444 adults ages 35-70 with a history of angina pectoris or MI and elevated serum total cholesterol (212 – 309 mg/dL) were recruited from 94 clinical centers in Scandinavia (and in Finland, which is technically a Nordic country but not a Scandinavian country…) and randomized to treatment with either simvastatin 20mg PO qPM or placebo. Dosage was increased at 12 weeks and 6 months to target a serum total cholesterol of 124 to 201 mg/dL. (Placebo patients were randomly uptitrated as well.) The primary endpoint was all-cause mortality. The secondary endpoint was time to first "major coronary event," which included coronary deaths, nonfatal MI, resuscitated cardiac arrest, and definite silent MI per EKG.
The study was stopped early in 1994 after an interim analysis demonstrated a significant survival benefit in the treatment arm. At a mean 5.4 years of follow-up, 256 (12%) in the placebo group versus 182 (8%) in the simvastatin group had died (RR 0.70, 95% CI 0.58-0.85, p=0.0003, NNT = 30.1). The mortality benefit was driven exclusively by a reduction in coronary deaths. Dropout rates were similar (13% of placebo group and 10% of simvastatin group). The secondary endpoint, occurrence of a major coronary event, occurred in 622 (28%) of the placebo group and 431 (19%) of the simvastatin group (RR 0.66, 95% CI 0.59-0.75, p < 0.00001). Subgroup analyses of women and patients aged 60+ demonstrated similar findings for the primary and secondary outcomes. Over the entire course of the study, the average changes in lipid values from baseline in the simvastatin group were -25% total cholesterol, -35% LDL, +8% HDL, and -10% triglycerides. The corresponding percent changes from baseline in the placebo group were +1%, +1%, +1%, and +7%, respectively.
In conclusion, simvastatin therapy reduced mortality in patients with known CAD and hypercholesterolemia via reduction of major coronary events. This was a large, well-designed, double-blind RCT that ushered in the era of widespread statin use for secondary, and eventually, primary prevention of ASCVD. For further information about modern guidelines for the use of statins, please see the 2018 "ACC/AHA Multisociety Guideline on the Management of Blood Cholesterol" and the 2016 USPSTF guideline "Statin use for the Primary Prevention of Cardiovascular Disease in Adults: Preventive Medication".
Finally, for history buffs interested in a brief history of the discovery and development of this drug class, please see this paper by Akira Endo.
References / Additional Reading:
1. 4S @ Wiki JournalClub
2. "2018 ACC/AHA Multisociety Guideline on the Management of Blood Cholesterol"
3. "Statin use for the Primary Prevention of Cardiovascular Disease in Adults: Preventive Medication" (2016)
4. UpToDate, "Society guideline links: Lipid disorders in adults"
5. "A historical perspective on the discovery of statins" (2010)
Image Credit: Siol, CC BY-SA 3.0, via Wikimedia Commons
Author Duncan MoorePosted on August 20, 2019 Categories Cardiology, non-NEJMLeave a comment on Week 8 – 4S
Week 7 – FUO
"Fever of Unexplained Origin: Report on 100 Cases"
Medicine (Baltimore). 1961 Feb;40:1-30. [free full text]
In our modern usage, fever of unknown origin (FUO) refers to a persistent unexplained fever despite an adequate medical workup. The most commonly used criteria for this diagnosis stem from this 1961 series by Petersdorf and Beeson.
This study analyzed a prospective cohort of patients evaluated at Yale's hospital for FUO between 1952 and 1957. Their FUO criteria: 1) illness of more than three week's duration, 2) fever higher than 101º F on several occasions, and 3) diagnosis uncertain after one week of study in hospital. After 126 cases had been noted, retrospective investigation was undertaken to determine the ultimate etiologies of the fevers. The authors winnowed this group to 100 cases based on availability of follow-up data and the exclusion of cases that "represented combinations of such common entities as urinary tract infection and thrombophlebitis."
In 93 cases, "a reasonably certain diagnosis was eventually possible." 6 of the 7 undiagnosed patients ultimately made a full recovery. Underlying etiologies (see table 1 on page 3) included: infectious 36% (with TB in 11%), neoplastic diseases 19%, collagen disease (e.g. SLE) 13%, pulmonary embolism 3%, benign non-specific pericarditis 2%, sarcoidosis 2%, hypersensitivity reaction 4%, cranial arteritis 2%, periodic disease 5%, miscellaneous disease 4%, factitious fever 3%, no diagnosis 7%.
Clearly, diagnostic modalities have improved markedly since this 1961 study. However, the core etiologies of infection, malignancy, and connective tissue disease/non-infectious inflammatory disease remain most prominent, while the percentage of patients with no ultimate diagnosis has been increasing (for example, see PMIDs 9413425, 12742800, and 17220753). Modifications to the 1961 criteria have been proposed (for example: 1 week duration of hospital stay not required if certain diagnostic measures have been performed) and implemented in recent FUO trials. One modern definition of FUO: fever ≥ 38.3º C, lasting at least 2-3 weeks, with no identified cause after three days of hospital evaluation or three outpatient visits. Per UpToDate, the following minimum diagnostic workup is recommended in suspected FUO: blood cultures, ESR or CRP, LDH, HIV, RF, heterophile antibody test, CK, ANA, TB testing, SPEP, and CT of abdomen and chest.
Further Reading/References:
1. "Fever of unknown origin (FUO). I A. prospective multicenter study of 167 patients with FUO, using fixed epidemiologic entry criteria. The Netherlands FUO Study Group." Medicine (Baltimore). 1997 Nov;76(6):392-400.
2. "From prolonged febrile illness to fever of unknown origin: the challenge continues." Arch Intern Med. 2003 May 12;163(9):1033-41.
3. "A prospective multicenter study on fever of unknown origin: the yield of a structured diagnostic protocol." Medicine (Baltimore). 2007 Jan;86(1):26-38.
4. UpToDate, "Approach to the Adult with Fever of Unknown Origin"
5. "Robert Petersdorf, 80, Major Force in U.S. Medicine, Dies" The New York Times, 2006
Author Duncan MoorePosted on August 17, 2019 Categories non-NEJMLeave a comment on Week 7 – FUO
Week 6 – Bicarbonate and Progression of CKD
"Bicarbonate Supplementation Slows Progression of CKD and Improves Nutritional Status"
J Am Soc Nephrol. 2009 Sep;20(9):2075-84. [free full text]
Metabolic acidosis is a common complication of advanced CKD. Some animal models of CKD have suggested that worsening metabolic acidosis is associated with worsening proteinuria, tubulointerstitial fibrosis, and acceleration of decline of renal function. Short-term human studies have demonstrated that bicarbonate administration reduces protein catabolism and that metabolic acidosis is an independent risk factor for acceleration of decline of renal function. However, until this 2009 study by de Brito-Ashurst et al., there were no long-term studies demonstrating the beneficial effects of oral bicarbonate administration on CKD progression and nutritional status.
The study enrolled CKD patients with CrCl 15-30ml/min and plasma bicarbonate 16-20 mEq/L and randomized them to treatment with either sodium bicarbonate 600mg PO TID (with protocolized uptitration to achieve plasma HCO3– ≥ 23 mEq/L) for 2 years, or to routine care. The primary outcomes were: 1) the decline in CrCl at 2 years, 2) "rapid progression of renal failure" (defined as decline of CrCl > 3 ml/min per year), and 3) development of ESRD requiring dialysis. Secondary outcomes included 1) change in dietary protein intake, 2) change in normalized protein nitrogen appearance (nPNA), 3) change in serum albumin, and 4) change in mid-arm muscle circumference.
134 patients were randomized, and baseline characteristics were similar among the two groups. Serum bicarbonate levels increased significantly in the treatment arm. (See Figure 2.) At two years, CrCl decline was 1.88 ml/min in the treatment group vs. 5.93 ml/min in the control group (p < 0.01). Rapid progression of renal failure was noted in 9% of intervention group vs. 45% of the control group (RR 0.15, 95% CI 0.06–0.40, p < 0.0001, NNT = 2.8), and ESRD developed in 6.5% of the intervention group vs. 33% of the control group (RR 0.13, 95% CI 0.04–0.40, p < 0.001; NNT = 3.8). Regarding nutritional status, dietary protein intake increased in the treatment group relative to the control group (p < 0.007). Normalized protein nitrogen appearance decreased in the treatment group and increased in the control group (p < 0.002). Serum albumin increased in the treatment group but was unchanged in the control group, and mean mid-arm muscle circumference increased by 1.5 cm in the intervention group vs. no change in the control group (p < 0.03).
In conclusion, oral bicarbonate supplementation in CKD patients with metabolic acidosis reduces the rate of CrCl decline and progression to ESRD and improves nutritional status. Primarily on the basis of this study, the KDIGO 2012 guidelines for the management of CKD recommend oral bicarbonate supplementation to maintain serum bicarbonate within the normal range (23-29 mEq/L). This is a remarkably cheap and effective intervention. Importantly, the rates of adverse events, particularly worsening hypertension and increasing edema, were unchanged among the two groups. Of note, sodium bicarbonate induces much less volume expansion than a comparable sodium load of sodium chloride.
In their discussion, the authors suggest that their results support the hypothesis of Nath et al. (1985) that "compensatory changes [in the setting of metabolic acidosis] such as increased ammonia production and the resultant complement cascade activation in remnant tubules in the declining renal mass [are] injurious to the tubulointerstitium." The hypercatabolic state of advanced CKD appears to be mitigated by bicarbonate supplementation. The authors note that "an optimum nutritional status has positive implications on the clinical outcomes of dialysis patients, whereas [protein-energy wasting] is associated with increased morbidity and mortality."
Limitations to this trial include its open-label, no-placebo design. Also, the applicable population is limited by study exclusion criteria of morbid obesity, overt CHF, and uncontrolled HTN.
1. Nath et al. "Pathophysiology of chronic tubulo-interstitial disease in rats: Interactions of dietary acid load, ammonia, and complement component-C3" (1985)
2. KDIGO 2012 Clinical Practice Guideline for the Evaluation and Management of Chronic Kidney Disease (see page 89)
3. UpToDate, "Pathogenesis, consequences, and treatment of metabolic acidosis in chronic kidney disease"
Author Duncan MoorePosted on August 10, 2019 Categories Nephrology, non-NEJMLeave a comment on Week 6 – Bicarbonate and Progression of CKD
Week 52 – Symptom-Triggered Benzodiazepines in Alcohol Withdrawal
Week 51 – LOTT
Week 50 – PARADIGM-HF
Week 49 – Donor-Feces Infusion for Recurrent C. difficile
Week 48 – Sepsis-3
STOPAH on Week 43 – STOPAH
ProCESS on Week 18 – Rivers Trial
PARADIGM-HF on Week 50 – PARADIGM-HF
Week 50 – PARADIGM-HF – 52 in 52 on Week 12 – SOLVD
Week 49 – Donor-Feces Infusion for Recurrent C. difficile – 52 in 52 on Week 43 – Vancomycin vs. Metronidazole for C. Diff
Decision Aid
non-NEJM
Duncan F. Moore, MD
Gordon Pelegrin, MD
Ryan Commins, MD
Liz Novick, MD
Patrick Miller, MD
Drazen's Dozen (NEJM)
Georgetown Critical Care Top 40
Top 100 Contemporary Critical Care Studies
2 Minute Medicine - The Classics
Wiki Journal Club
CardioBrief
Concepts in Hypertension
JournalFeed ALiEM 52 in 52
Visual Abstracts @ VisualMed
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Synopsis: It has been two days since the attack on the U.S.S. Simba. With Admiral Taka in a coma, your only hope of catching the raiders was a tracking device planted on the stolen Borg technology by Commander M'Kiara. Now the technology has surfaced on a world deep within Klingon Space. On this forgotten world you will discover the inner-workings of a plot to destroy the federation itself. Report to Deep Space K-7 in the Eta Eridani sector block to rendezvous with the U.S.S. Simba and stop a hidden evil from rising.
This is Part 3 of the series. Federation level 50+. There is music that goes with this mission. The mission dialogue will tell you when to use it.


CareView Home Health has been bringing exceptional home care services to the Twin Cities. We provide a broad range of home care services so that our clients can choose only the services that fit their needs.
From temporary in-home care to live-in care, hospital support to their unique 360° Case Management, CareView Home Health has a service for you or your loved ones' situation. Every client receives a custom, unique plan designed for the needs of not just the person being cared for but the family of that person as well. We understand that every family approaching us for help is facing complex and unique challenges and the care plan must consider the whole family.
Every care plan that CareView Home Health provides is overseen by a RN. So in addition to the companionship, light housekeeping and personal care duties provided by their caregivers, you can rest assured that our clients' medical needs receive priority as well.
CareView Home Health believes that every family requiring assistance has their own story and unique needs. You can tell us your story by calling (763)208-8620 and scheduling an in-home assessment.
Careview Home Health, LLC is a home health service provider for individuals throughout the Twin Cities area. We are locally owned and operated. Our entire staff take tremendous care to ensure our clients receive the proper care they need. We can assist in customizing a care plan that is tailored to meet your specific individual needs.
Our vision is to be a leader in providing compassionate, quality care focusing on the unique needs of our clients and their families.
Our goal is to improve, maintain and enhance the quality of life and well-being of others by providing quality, compassionate, accessible and affordable in home care services that enable seniors and other client to enjoy the highest level of independence in the comfort of their own home.
We put your family's heath and well being first.
Copyright © Careview Home Health, LLC. All rights reserved.


text:
A simple go package for accessing current time, clock status, maximum and estimated error. This is accomplished by
calling `ntp_gettime` from `sys/timex.h` via cgo. Timex should work on any system with `sys/timex.h` including modern
Linux and BSD distributions but not Mac OS X.

# Status

Timex is my first cgo package and as such there may be errors, leaks, or other bad behavior. It also may not be
altogether idomatic. Please open an issue or get in touch if you see anything that could use improvement.  Also,
you should probably use [Adjtimex in the syscall package](http://golang.org/pkg/syscall/#Adjtimex) instead:

```
package main

import (
        "log"
        "syscall"
)

func main() {
        var timex = new(syscall.Timex)
        status, err := syscall.Adjtimex(timex)
        if err != nil {
                log.Fatalf("Adjtimex error: %v", err)
        }
        if status != 0 {
                log.Fatalf("Unexpected syscall status %v", status)
        }
        log.Printf("time: %v max: %v est: %v status: %v\n", timex.Time, timex.Maxerror, timex.Esterror, timex.Status)
}
```

# Installation and use

Timex can be installed using go get:

```
$ go get github.com/mcroydon/timex
```

From there you can import and use timex:

```go
import (
    "fmt"
    "github.com/mcroydon/timex"
)
tmx := timex.Now()
fmt.Printf("Current time is %v and status is %v", tmx.Time, tmx.StatusInfo())
```

You can also install and use timexinfo:

```
$ go install github.com/mcroydon/timex/timexinfo
$ timexinfo
Current time: 2014-02-23 05:38:34.777437699 +0000 UTC
Status: Everything is ok.
Max error: 224774
Estimated error: 24376
```

# Testing

Run the tests:

```
$ go test github.com/mcroydon/timex
```

Run the tests and a benchmark that keeps track of the min, max, and mean values of timex.Now():

```
$ go test -bench . github.com/mcroydon/timex
````

To see the current values of `timex.Now()` run `go test` with `-v`.

# License

Released under a 3-clause BSD license.  The effective license may change based on the license of sys/timex.h and
related files on your system. Maybe.

redpajama_set_name: RedPajamaGithub


text:
Old Masters Rock
Art Newsletter for Kids, ages 7-12
MENZEL'S ROOM
Adolph von Menzel (German, 1815-1906)
THE BALCONY ROOM
Signed with initials and dated lower right: A.M. --45
Berlin, Alte Nationalgalerie
I WANT TO BE ALONE
Do you ever feel this way? When you go to your room, do you play, paint, read, make music, or call your friends (remember that you are not allowed screen time during the week!)? Does this room resemble yours? Do you step onto the balcony to see what lies beneath: a bustling city or the quiet countryside? Is it spring, summer, fall or winter? Is no one allowed to look in or are the curtains drawn to keep out the sun? Can you feel the curtains blowing in the wind?
Who lives in this room, a boy, or girl, man or woman or a couple?
You are looking at the Menzel's own room in Berlin. The artist is 30 years old and lives with his mother and his sister. Is his room fancy and colorful, cluttered or tidy? Are the walls covered with shimmering silks? Can you see some paint patches? What is reflected in the mirror? Would you move the furniture about or leave it just so? Did someone ask Menzel to paint this picture? He makes this little picture for himself and keeps The Balcony Room for the rest of his life.
MENZEL
Berlin, 1845: meet Adolph Menzel, one of the most talented artists of his era. He never stops working and he uses both of his hands to draw, he is ambidextrous. When one hand gets tired the other takes over. Is this picture done with his left or his right hand? Zoom in on the brushwork; perhaps he used both hands. When Menzel walks about the busy metropolis of 400,000 Berliners, he quickly sketches what strikes his fancy. He has special pockets made in his coat where he keeps his sketchbooks and pencils. He later uses these drawings to paint royalty at concerts, workers sweating in an iron rolling mill, beer gardens, his sister asleep and empty rooms. If you like slightly spooky pictures look at:
https://commons.wikimedia.org/wiki/File:Menzel,_Adolph_von_-_The_Studio_Wall_-_1872.jpg (Kunsthalle Hamburg)
Do you often check to see how much you have grown? Menzel stopped growing and measured about 140 cm, the average height of a ten-year-old boy. Now imagine an unusually large head on top of that slight body. Do you think it was easy to be physically different in those days? Menzel had extraordinary powers of observation and the ability to transform what he saw into marvelous pictures. He did not mingle much with people; he preferred to sketch them quickly. This way he needn't speak to them.
Menzel was mostly a Realist. He painted history pictures, but in The Balcony Room his style is Pre-impressionist. Why? The brush strokes are free and easy and he depicts a fleeting moment or impression. Twenty-seven years after The Balcony Room, Impressionism kicked off in France with Claude Monet's Impression, Sunrise, 1872, (Musée Marmottan, Paris). Was Menzel ahead of his time when he made this fresh little picture? He became very popular during his lifetime. At Menzel's state funeral the emperor himself walked behind his little coffin!
Posted by Puppa Nottebohm at 10:07 AM 2 comments:
HOW DO WE IDENTIFY DIFFERENT STYLES OF PAINTING?
14TH TO LATE 16TH CENTURY
Early Renaissance in Italy
The Dark Ages came to an end and there was a rebirth or Renaissance of the ideas of Antiquity, i.e. of ancient Greece and Rome that took hold of Italian artists such as Giotto and Duccio.
Religious stories were being told in tempera on gold ground panels. The general population could not read.
Artists broke from the flat Byzantine Icons of Christ and the Virgin to scenes that incorporated perspective.
Look for fine detail and pure color. Faces express intense human emotions.
Early Netherlandish artists such as Jan van Eyck developed independently from the Italian Renaissance movement. Medieval manuscript illuminations and tempera painting influenced them. Oil painting was invented in Flanders at that time. The artists painted highly detailed religious scenes and small portraits. These faces are often set against detailed landscapes or towns in the background. People look real and express serious human emotions. Symbolism was important to artists such as Fouquet. Jan van Eyck's Saint Barbara appears huge to emphasize her saintly existence.
Altdorfer produced the first landscape paintings.
With the Reformation that Martin Luther started in 1517, Protestant movements broke from the Catholic Church. Holbein's portraits capture the essence of the Renaissance princes and their station in life.
In Brueghel's post-Reformation paintings religious elements moved to the background. He used humor to show the human condition of peasants and regular folk.
Look for classical beauty, proportion and harmony in the Italian High Renaissance of mid 15th to mid 16th century Italy. Compositions tend to be balanced and centralized.
Leonardo was a Renaissance superstar. The Vatican frescos by Raphael and Michelangelo are powerful re-interpretations of the Antique. Titian painted all sorts of subjects focusing on color and vivid brushwork.
16th century Mannerism
These artists moved away from classical aesthetics. In their work you need to decipher strange compositions. Exaggerated forms, long necks and limbs can be seen in the works by Pontormo and Parmigianino. Arcimboldo's work (p.) is about an idea and has nothing and everything to do with reality.
Find high drama, emotion and action! These pictures are about the triumph of good over evil. Chiaroscuco looks as though a strong flashlight highlights part of the painting.
The Counter-Reformation was the Catholic Church's answer to the Protestant Reformation. The Catholic Church and its wealthy princes employed the great artists of the day such as Rubens and Velazquez to convey powerful visual messages.
DUTCH PAINTING
You will see regular people, landscapes, still lifes, domestic scenes of everyday life and Rembrandt's extraordinary power of psychology bathed in theatrical light. It was a prosperous period and many people in the Netherlands could read.
The Dutch style differs from Flemish, Italian and Spanish art of the 17th century. Religious themes take a back seat. Protestant churches were not decorated like Catholic ones. It is known as the Golden Age of Dutch painting and produced giants like Rembrandt, Frans Hals and Vermeer.
Elegant ladies and gentlemen enjoy frivolous activities like garden parties, reading poetry, playing music or going shopping (see Watteau p…). It was also the Age of Enlightenment and new ideas changed the ways people thought. Chardin composed sensitive still lifes and quiet domestic scenes of the every day life of regular people in the vein of the Dutch 17th century artists. The century ended with the start of the French Revolution of 1789, which changed the power structure of Europe.
British and American art
In Britain Sir Joshua Reynolds founded the Royal Academy of Arts and a school of painters evolved that portrayed the rich British aristocracy and the intellectuals of the Enlightenment in "The Grand Style". It actually was a good thing if someone had imperfect features or was near sighted. In the American Colonies a group of artists such as Copley were in close contact with those British artists.
Late 18th and early 19th century
Frill and powdered wigs are out the window.
Look for simpler dress, plain hairdos and heroic battles in the Greek and Roman style.
The French Revolution and later Napoleon influenced the artists as much as the political landscape. Artists' schools called Academies, towered over by Jacques- Louis David, taught their pupils with a strict set of aesthetic rules inspired by the Antique. Here we witness the rise of the common man and the bourgeoisie. Ingres painted the French and English elite.
In France Delacroix and Géricault created their own individual styles and painted some shocking news of the day. They did not stick to the strict academic rules. Caspar David Friedrich's melancholy views of nature and man lead the movement in Germany. Britain's Turner was in awe of nature's overwhelming powers and Constable held a gentler view of the English countryside. In Spain Goya's Romanticism shows us the human drama of revolution, the terrors of war and religious persecution.
The quintessential Realist artist Courbet painted the world the way it was. Women look real and are not idealized beauties, animals devour other animals and the aesthetics of the Antique are no longer relevant.
The independent Manet, who admired Velaszquez, was the link between Realism and Impressionism.
It started in the late 19th century in France where a group of artists wanted to capture a moment or an impression. They loved painting en plein air, outside, and depict the natural light. They needed to paint fast and chose as their subject every day people. The invention of photography in 1839 with its ability to snap a fleeting moment had a huge impact on these artists.
This is a relatively vague term applied to a group of artists like Gauguin, van Gogh and Seurat who immediately followed the Impressionists. Simplified and not necessarily natural colors were being applied in thick brushstrokes by Vincent van Gogh. Seurat painted with tiny dots and Gauguin traveled to Tahiti to paint exotic scenes. They all had different visions but had in common the quest to break with the ideas of their predecessors.
TURN OF THE 19th to 20th CENTURY
At this time Vienna was the epicenter of intellectuals, artists, designers, philosophers, economists, writers, and scientists, including the famed founder of modern psychoanalysis Sigmund Freud. In the fine arts Klimt's Symbolism reveals a new interpretation of Byzantine and Japanese art. A group of artists founded the Vienna Secession housed in a beautiful building in Vienna. They wanted to get away from the prevailing images of historic events.
Edvard Munch's painting called "The Scream" is permanently etched in our memories. His intense pictures express psychological trauma. His work had a great impact on the German Expressionists.
Posted by Puppa Nottebohm at 9:00 AM 7 comments:
Théodore Géricault (French, 1791-1824)
The Raft of the Medusa
Paris, Musée du Louvre
This picture is rated PG-13!
Imagine being shipwrecked off the west coast of Africa. The year is 1816. The captain has left the sinking ship and you and about 150 people have to build your own raft. You float on the open sea for 13 horrible days. Only 10 people survive. Describe your feelings.
THE MEDUSA
Géricault painted the fate of some of the people on the French Royal Navy Frigate ship (warship) "Medusa" (named after the hideous monster from the Greek myths who had snakes for hair). France was being ruled once again by the monarchy. The government of the king was corrupt and dispatched several ships to sail to Senegal. Their mission was to reinstate Senegal as a French colony. A clueless, royalist captain was put in charge of the ship. He wanted to get there first and sailed too close to the coast running the Medusa aground into a sand bank. There were 400 people on board. There were not enough lifeboats and about 150 people were left behind and had to fend for themselves. They built a makeshift raft made of scrap wood from the destroyed ship. Look at the raft, is this a sturdy structure? It measured 20 x 7 meters. Was that big enough for 150 people? Think of about 6 classrooms stuffed onto a raft this size. At first they were towed by the lifeboats. When the towing became cumbersome the vile captain, who was in a comfortable lifeboat, ordered the ropes cut and the raft was left to drift on the open seas. Thirteen days of hell ensued. There was no food, no water, only some wine.
Only older kids will guess how they survived. What do the men on the raft see in the far distance? They are waving and shouting to the "Argus", one of the ships that had been on the same mission. Can you spot her in the distance? At first she did not see the raft and sailed away but two hours later returned and brought the remaining men back to France.
GÉRICAULT
Géricault painted this massive canvas in 1818-19; , three years after the horrible event took place. It measures 491 x 716 cm, so the figures are about twice life size.
What moment of the ordeal did Géricault choose to paint? Would you describe it as the moment of horror, hope, despair?
The 25-year-old Géricault had become obsessed with the story: He had a copy of the raft built in his studio; he interviewed two survivors; he went to the trial of the captain (who only served three years in jail); he went to morgues to study corpses; and he made many sketches and studies on paper and canvas. Friends such as Eugène Delacroix, the great Romantic artist (Delacroix's Liberty Leading the
People, previous newsletter), posed as models. He is the man at the bottom tip of the triangle with his arms outstretched. Who, amongst the survivors is mustering his last strength to be hopeful and who has given up? Have some gone insane? Is the overriding mood of the painting one of hope or of despair?
Do you think Géricault looked at Caravaggio and his chiaroscuro technique (newsletter...) He had previously also studied Michelangelo's frescos in the Sistine Chapel.
Are there many colors in this canvas? What is the shape of the people that are huddled together? Does the orange sky indicate sunrise or sunset? Can you spot a French uniform and an axe?
What is Géricault telling us? Do you find the picture nightmarish, hauntingly beautiful or too gory? Do you see it as merely critical of the monarchy or does it also contain a message of hope?
Perhaps you feel all of the above. It is a monument of Romantic art in which the artist shows raw feelings and real life events. He does not sugar coat the reality of humans in an extreme situation.
Puppa Nottebohm
Théodore Géricault (French, 1791-1824)The Raft of ...


text:
Wind: 3mph NNE
Home|Announcements|Incident Reports|Reports
SHERIDAN FIRE-RESCUE
• Rocky Mountain Ambulance assist, 1500 block Mydland Road, 3:24 a.m.
• RMA assist, 1500 block Mydland Road, 5:25 a.m.
• RMA assist, 800 block North Main Street, 8:13 a.m.
• Structure fire, 800 block Dunnuck Street, 12:13 p.m.
• RMA assist, 500 block Avoca Avenue, 2:38 p.m.
• Smoke detector activation, 600 block Michael Drive, 2:57 p.m.
• Gas leak, 200 block South Linden Avenue, 8:51 p.m.
GOOSE VALLEY FIRE DEPARTMENT
ROCKY MOUNTAIN AMBULANCE
• No reports available at press time.
SHERIDAN MEMORIAL HOSPITAL
• No admissions or dismissals reported.
SHERIDAN POLICE DEPARTMENT
Information in the police reports is taken from the SPD website.
• Suspicious vehicle, Coffeen Avenue, 2:17 a.m.
• Trespass in progress, East Fifth Street, 5:49 a.m.
• Burglar alarm, Olympus Drive, 6:39 a.m.
• Welfare check, Taylor Avenue, 6:11 a.m.
• Medical, Falcon Ridge Court, 7:20
• Welfare check, North Main Street, 7:41 a.m.
• Accident, Long Drive, 7:47 a.m.
• Accident, Sheridan Avenue, 7:52 a.m.
• Accident with injury, West Fourth Street, 8:13 a.m.
• Accident, North Main Street, 8:26 a.m.
• Barking dog, Paintbrush Drive, 7:36 a.m.
• Accident, Dow Street, 9:01 a.m.
• Snow removal, Arlington Boulevard, 9:06 a.m.
• K-9 demonstration, Joe Street, 9:53 a.m.
• VIN inspection, West 12th Street, 10:18 a.m.
• Motorist assist, Kroe Lane, 9:45 a.m.
• Welfare check, Fish Hatchery Road, 10:11 a.m.
• Removal of subject, North Main Street, 11:14 a.m.
• Accident, 10th Street, 11:17 a.m.
• Dog at large, Ponderosa Drive, 12 p.m.
• Suspicious circumstance, Ponderosa Drive, 11:58 a.m.
• Burglary cold, North Main Street, 12:05 p.m.
• Structure fire, Dunnuck Street, 12:13 p.m.
• Dog at large, Eighth Street, 12:27 p.m.
• Trespass cold, Avoca Avenue, 12:41 p.m.
• Assist agency, West Whitney Street, 12:51 p.m.
• Fraud, Big Horn Avenue, 12:59 p.m.
• Accident, North Main Street, 1:13 p.m.
• Vicious dog, Gillette Street, 1:40 p.m.
• Domestic, Mydland Road, 1:46 p.m.
• Stalking, Coffeen Avenue, 1:49 p.m.
• Dog at large, West Eighth Street, 2:49 p.m.
• Accident, Coffeen Avenue, 3:11 p.m.
• Court/violation, North Main Street, 3:19 p.m.
• Welfare check, North Main Street, 3:49 p.m.
• Animal injured, West Fifth Street, 5:22 p.m.
• Mental subject, West 12th Street, 5:27 p.m.
• Stalking, Sheridan area, 5:22 p.m.
• Drugs, Avon Street, 6:05 p.m.
• DUI citizen report, East Alger Avenue, 6:05 p.m.
• Traffic complaint, East Brundage Lane, 7:34 p.m.
• Traffic complaint, Wyoming Street, 8:34 p.m.
• Accident, South Linden Avenue, 8:51 p.m.
• Warrant service, Coffeen Avenue, 9:09 p.m.
• Barking dog, East Mountain View Drive, 8:59 p.m.
• Animal welfare, North Heights Terrace, 6:10 p.m.
SHERIDAN COUNTY SHERIFF'S OFFICE
• Family dispute, Rapid Creek Road, 8:04 a.m.
• Motorist assist, US Highway 87, mile marker 35, Banner, 8:36 a.m.
• Motorist assist, East Fifth Street, 11:05 a.m.
• Removal of subject, Five Mile Road, Parkman, 6:12 p.m.
• Assist agency, Meade Avenue, Clearmont, 6:18 p.m.
• Domestic, Broadway Avenue, Dayton, 8:23 p.m.
• Suspicious vehicle, Soldier Creek Road, 10:28 p.m.
Names of individuals arrested for domestic violence or sexual assault will not be released until the individuals have appeared in court.
• Robert G. Cardenas, 31, Lutz, Florida, disorderly conduct befouling and public intoxication, municipal court, arrested by SPD
• Spenser B. Iannoli, 20, Sheridan, contempt of court/bench warrant, circuit court and municipal court, arrested by SPD
• Sarah J. Pehringer, 26, Sheridan, contempt of court/bench warrant, interference with peace officer, shoplifting, probation violation/revocation, municipal court, circuit court, district court, arrested by SPD
Daily inmate count: 57
Female inmate count: 13
Inmates at treatment facilities (not counted in daily inmate count): 0
Inmates housed at other facilities (not counted in daily inmate count): 0
Number of book-ins for the previous day: 2
Number of releases for the previous day: 5
By Staff Reports|Nov. 13, 2019|
About the Author: Staff Reports
The editorial staff of The Sheridan Press covers news, sports and lifestyle stories throughout Sheridan, Wyoming, and the surrounding region. News tips and information may be sent to news@thesheridanpress.com.
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