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Breast cancer >
Could more vitamin D help prevent breast cancer?
A study has established an association between higher vitamin D levels and a lower incidence of breast cancer.
There is a definite link between vitamin D levels and cancer. ~
High levels of vitamin D may reduce a woman's risk of breast cancer, a new study suggests.
Vitamin D link
Researchers looked at more than 5 000 women, 55 and older, and found that those with vitamin D blood levels of 60 nanograms per millilitre (ng/mL) or more had an 80% lower risk for breast cancer than those with levels of 20 ng/mL or less.
The researchers also found that among women with vitamin D blood levels between 20 and 60 ng/mL, the higher their level, the lower their risk of breast cancer.
But the study did not prove that higher vitamin D levels prevent breast cancer, just that there was an association.
Data from clinical trials conducted at Creighton University in Omaha, Nebraska, and from GrassrootsHealth, a California-based nonprofit, were included in the study.
Different levels for bone health
"This study provides strong support that vitamin D plays an important role in breast cancer prevention," said principal investigator Joan Lappe. She is a professor of nursing at Creighton.
"It also demonstrates that blood levels of vitamin D for breast cancer prevention need to be higher than currently recommended levels for bone health," Lappe said in a university news release.
The study was published online recently in the journal PLoS One.
A vitamin D blood level of 20 ng/mL or above is adequate for bone health, according to the National Academy of Sciences.
Carole Baggerly, director of GrassrootsHealth, said, "With roughly an 80% reduction in the incidence of breast cancer, getting a vitamin D blood level to 60 ng/mL becomes the first priority for cancer prevention."
According to Baggerly, "Nutrition and lifestyle factors are certainly important for overall health, but they can't replace the value of vitamin D level. The safety of this level has been demonstrated within this study as well as others."
According to the Cancer Association of South Africa (CANSA), in 2013 breast cancer accounted for 0.7% of South African deaths. NGO Marie Stopes notes that, spanning all race groups, one in 31 women is diagnosed with breast cancer in their lifetime.
Image credit: iStock
'I'm the woman whose terminal breast cancer went into remission after immunotherapy'
Judy Perkins was preparing to die when an experimental treatment changed everything.
Many breast cancer patients can skip chemo, big US study finds
The largest breast cancer treatment study ever done finds that most women with the most common form of the disease can safely skip chemotherapy.
Finally, affordable prostheses for breast cancer survivors
They start at just R900...
Breast cancer expert
Dr Gudgeon qualified in Birmingham, England, in 1968. She has more than 40 years experience in oncology, and in 1994 she founded her practice, Cape Breast Care, where she treats benign and malignant breast cancers. Dr Boeddinghaus obtained her qualification at UCT Medical School in 1994 and her MRCP in London in 1998. She has worked extensively in the field of oncology and has a special interest in the hormonal management of breast cancer. She now works with Dr Gudgeon at Cape Breast Care. Read more.
Questions posted to Breast cancer expert
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Q: Treatment for pain?
Q: Best method to treat fibroadenomata and cysts in both breasts
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Q: I suspect that I have Mondor's Syndrome.
Q: What are the breast cancer chances?
Q: Sore breast
Q: lump
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Q: Is there a benefit in taking bisphosphonates to help prevent a recurrence of cncer
More on Breast cancer
About breast cancer
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Cancer: are you at risk? »
Breast Cancer Expert »
Am I eating to optimise my health? »
Do you have a family history of breast cancer?
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Do you examine your breasts every month?
Have you ever found a lump in your breast?
Have you ever consulted a doctor with concerns about breast cancer?


Here's a great deal on a 2016 Ford Escape. With fewer than 45,000 miles on the odometer, this 4 door sport utility vehicle prioritizes comfort, safety and convenience. Smooth gearshifts are achieved thanks to the efficient 4 cylinder engine, and for added security, dynamic Stability Control supplements the drivetrain. Four wheel drive allows you to go places you've only imagined. A turbocharger further enhances performance, while also preserving fuel economy. Ford infused the interior with top shelf amenities, such as: a power seat, a trip computer, heated seats, a power liftgate, cruise control, rear wipers, and remote keyless entry. Features such as automatic climate control and leather upholstery prove that economical transportation does not need to be sparsely equipped. Audio features include a CD player with MP3 capability, steering wheel mounted audio controls, and 10 speakers, providing excellent sound throughout the cabin. In the event of a rollover collision, side curtain airbags provide additional protection for outboard seated passengers. A Carfax history report indicates just one previous owner. Our knowledgeable sales staff is available to answer any questions that you might have. They'll work with you to find the right vehicle at a price you can afford. Come on in and take a test drive!


This guide book captures the very essence of this most evocative part of Spain. An ever-changing landscape awaits your discovery whether you are driving or walking in Andalucía — from the 'white villages' and ancient towns to the never-ending sierras, razor-sharp gorges and gentle verdant valleys. Since many people will explore Andalucía by car, most of the walks are circular.
Area covered: Despite covering only about a third of Andalucía, the book still takes in a huge area and is intended as an introduction to the south-central part of the region. The tours and walks fan out from the Costa del Sol — east to Granada and the Sierra Nevada, and west to Ronda and the Sierra de Grazalema. Most walks are concentrated within specific areas: the Alpujarra, Sierra Nevada, Axarquía, Parque Natural Montes de Malaga, Sierra de Mijas, Sierra de las Nieves and Sierra de Grazalema.
The best months for walking in Andalucía are March to May, September and October, with comfortable temperatures and colourful countryside.
Most visitors stay on the coast, but if your main interest is walking, it is a good idea to stay in the mountains, for instance at Capileira, Cumbres Verdes, Cómpeta, Viñuela, Colmenar, El Burgo, Grazalema or Benaocaz.
Walk 14: We visited on 7th October 2015.
Walk 16: URGENT! THIS WALK APPEARS TO BE NO LONGER POSSIBLE. SEE FINAL UPDATE OF FEB 2018 BELOW. At Cortijo del Colmenar, the text says to squeeze between the end of the fence and the bank. If you do this you have to turn back along the fence through an area marked as Private Property (the ruined Cortijo appears to be being restored) and are faced by another tall fence with no way through. The correct route is as in the Fourth Edition but under the fence and downhill. But from the far end of the layby crawl under the padlocked section of fence and take the track which descends along the east side of the gully. This extract from Google Maps shows the route with the correct turn red-arrowed.


In September 2010, Finland's Delay Trees reveled in the release of their self-titled debut LP. The expansive dream pop record packed melodies, harmonies, and ethereality – a melancholy album of fear, doubt, and anxiety imbued hopes of landing beyond Europe into the band, only to be shut out by senseless bureaucracy. The same government who supports their musicians in the studio, denied Delay Trees the funding to cross countries, continents, and the ocean.
In October 2012, the Helsinki/Hämeenlinna quartet released their second LP, Doze – an album of transition – in a search of an identity. In spite of its patchwork frame, Doze was one of the most meritorious work of that year to go unnoticed by majority of the world. Those who did know of its modest existence, showered Delay Trees with positive reviews. The four lads are now in the process of recording their third full-length. Frontman, Rami Vierula claims," The next album feels like the best we've done so far". Let's hope they'll finally see their dreams of America become a reality.
Last October when I visited Finland, had the pleasure of spending time with Delay Trees in Tampere on the night of their show. We killed some time experimenting – spontaneously suggesting to do an interview in the sauna (not in operation that evening), adjacent to the green room (!). Unfortunately, my main audio system was malfunctioning so had to rely on the DSLR camera audio. Maybe there was some spirit in that room that caused so much audio mishaps (or that's my way of justifying)… I salvaged what I could. To supplement the faulty video interview, I recently emailed Vierula few questions.
You guys just played at by:Larm in Oslo. How was it and how is it different from other festivals?
By:Larm was really great. Everything was perfectly organized, and we got to play in a gorgeous church. They even had a Roland Jazz Chorus on stage for me even though I only slightly hinted that I liked the amp.
Did you get to catch some acts you wanted to see?
Actually we didn't really watch a lot of the shows that carefully. Probably Taken by Trees was the only one I actually stopped and listened to. They were pretty good.
Tusmørke was quite a surprise. Imagine Gandalf the Grey singing about "the elements" over a funky slap-bassy track. Very Spinal Tap-esque but kinda good.
Do you have any other scheduled (or hopeful) festival appearances this year?
No we don't have any scheduled festival appearances coming. I guess selling us to the festivals ain't that easy with an album as slow as Doze. I'm really hoping we could at least play Flow and Kuudes Aisti festivals here in Helsinki.
There's an obvious evolution from your first album to the second. You guys are in the studio for the third record now, which I suspect will have moved on from the last. What factors contribute to the development?
I don't think we're into the idea of making the same albums all over again. We like to try new styles, sounds and moods with every new recording. I guess in the end they still sound like Delay Trees so we're not that afraid to experiment.
The album we're currently making is highly influenced by IRS-era REM and minimalism, or minimalist production in the vain of Spoon. The songs are basic pop songs covered in gloomy ambience. Kinda different for us, more straightforward than Doze at least.
Do you pay much attention to the media, in regards to yur material as well as others, and the music industry in general? And what kind of impact (if at all) have on you guys?
I used to check out a lot of music blogs and sites and find some cool bands, but I'm too bored with the Internet at the moment to be bothered with it. I still love reading interviews and watching live videos on YouTube. I also try to read every issue of Wire. The same goes with our own attitude towards muci media in general… In the beginning we were really excited if anyone noticed us, and we really did send a lot of songs via email. Nowdays, we're a bit more skeptical towards the media and aren't that focused on what the media say about us. We just try to believe in ourselves and "do our thing". Sounds lane but it's actually spot on where we are now.
If you ever feel like you're stuck, what do you do?
You mean a writer's block? I guess before Doze, we were having a kind of identity crisis as a band. We jammed a lot and tried different approaches to songwriting. I'm sure you can sense that vibe on the album. Now we're more focused and feel more comfortable of who we are as a band.
If you could collaborate or play with anyone, who would that be?
Definitely David Bowie! But since it's never gonna happen, I think I would love to collaborate with Bradford Cox, I'm a huge fan of his music.
We're hoping we could get this 3rd album out before 2014.
Was there any time where you thought you had to give up music and had to resort to an "ordinary" life?
Actually none of us in Delay Trees are making a living by just making music. It's basically impossible to make it just as an indie-musician, especially in Finland, where we have a very marginal indie music industry. However, I don't think any of us could live without being some way involved with music and for me as a songwriter it's a huge part of who I am and how I perceive the world.


The Black Flamingo is a high-performance chair inspired by the exotic elegance of a black flamingo, with its' winged body and slender folding legs. The elegant folding chair requires no maintenance, is made of enduring materials with exclusive finishes, is light and comfortable with effortless folding and nesting ability, and is available for customization. The chair is also engineered to be free standing in the folded position like a black flamingo.
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Pre-Order the Black Flamingo now for delivery Summer 2018.


text:
package ox.musicalfingers.instrument;

public interface DiscreteInput {

	public boolean[] getNotes();

}

redpajama_set_name: RedPajamaGithub


text:
Obesity, depression distinguish outcomes of scoliosis surgery
A study suggests that two years after scoliosis surgery in adults, the factors distinguishing between patients with the best and worst outcomes are primarily patient-related factors, including obesity and the presence of depression/anxiety. Christopher I Shaffrey told Global Spinal Congress 2011 delegates that none of the other factors assessed, including age, comorbidities, severity of deformity, operative parameters, or complications significantly distinguished between the best and worst outcomes.
In the presentation, Shaffrey, from the Department of Neurosurgery, University of Virginia, Charlottesville, USA, stated that current literature suggests surgical treatment can improve pain/disability for adults with symptomatic scoliosis but there is significant variability in outcomes. "On average, patients have a measurable improvement of pain and function after surgery. Predictors of marked improvement versus failure to improve have not been identified. The purpose of this study was to identify factors that distinguish between the best and worst outcomes in patients treated with surgery for adult scoliosis."
He said that this was a secondary analysis of a prospective, multicentre spinal deformity database. Inclusion criteria included age 18–85, scoliosis (Cobb >20 degrees), and clinical health status measures, including the Oswestry Disability Index (ODI) and SRS-22, both preoperatively and at two years, and no prior instrumented spinal surgery. Univariate and multivariate analyses were used to assess for clinical, radiographic, and surgical factors distinguishing between patients with the best and worst outcomes based separately on changes in the ODI and SRS-22 from preoperative to two years follow-up. To minimise the floor effect of the ODI and ceiling effect of the SRS-22, only patients with at least moderate impairment of the ODI (>30) or SRS-22 (<4.0) were included in this analysis.
Two hundred and seventy one patients met inclusion criteria (245 females, mean age 50 years). Based on change in the ODI, 21 and 39 patients were defined as having the worst and best outcomes, respectively. Compared with patients with the best outcomes based on ODI, patients with the worst outcomes had significantly greater body mass index (BMI; 28 vs. 24, p=0.013) and had greater prevalence of depression/anxiety (48% vs. 21%, p=0.040). On multivariate analysis, with adjustment for baseline ODI, the ability of both parameters to distinguish between best and worst outcomes remained statistically significant (BMI: p=0.029; depression/anxiety: p=0.031). Based on change in SRS-22, 29 and 32 patients were defined as having the worst and best outcomes, respectively.
Compared with patients with the best outcomes based on SRS-22, patients with the worst outcomes had significantly greater prevalence of depression/anxiety (38% vs. 13%, p=0.036), and this remained statistically significant after adjusting for the effects of baseline SRS-22 score (depression/anxiety: p=0.004).
"None of the other factors assessed significantly distinguished between the best and worst outcomes based on either the ODI or SRS-22 including: patient age, baseline comorbidity index, baseline back or leg pain score, degenerative vs. idiopathic diagnosis, severity of deformity, surgical cases complexity (using operative time and blood loss as surrogates), and occurrence of complications.
"Collectively, this study suggests that the factors distinguishing between patients with the best and worst outcomes at two years following surgery for adult scoliosis are primarily patient related factors, including obesity and the presence of depression/anxiety; not patient age, patient comorbidities, severity of deformity, operative parameters, or the occurrence of complications," Shaffrey concluded.
BIBA Publishing
Inspired Spine performs 1,000 OLLIF procedures

redpajama_set_name: RedPajamaCommonCrawl


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Home Newswire PressTV-Hawaii faces new threat of fumes from volcano
PressTV-Hawaii faces new threat of fumes from volcano
May 21, 2018: 12:21 pm
Hawaii faced a new hazard on Sunday as lava flows from Kilauea's volcanic eruption could produce clouds of acid fumes, steam and glass-like particles as they reach the Pacific, authorities said.
Civil defense notices cautioned motorists, boaters and beachgoers to beware of caustic plumes of "laze" formed from two streams of hot lava pouring into the sea after cutting across Highway 137 on the south coast of Hawaii's Big Island late on Saturday and early Sunday.
The bulletins also warned that reports of toxic sulfur dioxide gas being vented from various points around the volcano had tripled, urging residents to "take action necessary to limit further exposure."
Laze – a term combining the words "lava" and haze" – is a mix of hydrochloric acid fumes, steam and fine volcanic glass specks created when erupting lava, which can reach 2,000 degrees Fahrenheit (1,093 degrees Celsius), reacts with sea water, Hawaii County Civil…


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Q: NoSuchMethodError in OSX but not Ubuntu I have a class that calls methods from another class. I compiled and ran it on Ubuntu 13.04 and it runs fine. On OSX 10.8.4, I get the following output:
Exception in thread "main" java.lang.NoSuchMethodError: Complex.equals(LComplex;)Z
    at ComplexTester.main(ComplexTester.java:11)
I tried running it in Eclipse, Netbeans and terminal and I get the same output. Any help would be greatly appreciated.
Complex
public class Complex {

    private double real;
    private double imaginary;

    /**
     *
     * @param real the real part of the Complex number
     * @param imaginary the imaginary part of the Complex number
     */
    public Complex(double newReal,double newImaginary){
        real=newReal;
        imaginary=newImaginary;
    }

    /**
     *
     * @return the real part of the Complex number
     */
    public double getReal(){
        return real;
    }

    /**
     *
     * @return the imaginary part of the complex number
     */
    public double getImaginary(){
        return imaginary;
    }

    /**
     * gives real a new value
     * @param newReal the new value of real
     */
    public void setReal(double newReal){
        real=newReal;
    }

    /**
     * gives imaginary a new value
     * @param newImaginary the new value of Imaginary
     */
    public void setImaginary(double newImaginary){
        imaginary=newImaginary;
    }

    /**
     *
     * @param x the new Complex object whose instance variables must be added to the old one
     * @return a new Complex object that is a combination of the parameters of both Complex objects
     */
    public Complex add(Complex x){
        Complex result=new Complex(x.getReal()+real,x.getImaginary()+imaginary);
        return result;
    }

    /**
     *
     * @param other the Complex object being compared
     * @return true if both Complex objects have the same imaginary and real parts
     */
    public boolean equals(Complex other){
        return other.getImaginary()==imaginary && other.getReal()==real;
    }

}

ComplexTester
public class ComplexTester {

    public static void main(String[] args){
        Complex x=new Complex(23.2,33.1);
        Complex y=new Complex(23.2,33.1);

        //test the equals method
        System.out.println(x.equals(y));
        System.out.println("Expected: True");

        //test the setImaginary() and setReal() methods
        x.setImaginary(2);
        x.setReal(5);

        //test the getImaginary() and getReal() methods
        System.out.println(x.getImaginary());
        System.out.println("Expected: 2");

        System.out.println(x.getReal());
        System.out.println("Expected: 5");

        //test the equals method again
        System.out.println(x.equals(y));
        System.out.println("Expected: False");

        //test the add method
        Complex added=x.add(y);
        System.out.println(added.getReal());
        System.out.println("Expected: 28.2");

        System.out.println(added.getImaginary());
        System.out.println("Expected: 35.1");

    }
}

A: The problem is in the way you are building and/or running your code.  On OSX you are somehow running using an old Complex.class file that doesn't match the source code, and doesn't match what the ComplexTest.class file expects.

*

*This could be happening because you are not rebuilding properly.

*It could be happening because you have an old copy of Complex.class on your runtime classpath.

FWIW:

*

*The "Complex.equals(LComplex;)Z" string means that the JVM expects to find a method with this signature in the Complex class:
 boolean equals(Complex)

This method is present in the Complex source code ...

*If you intended it to overload the Object.equals(Object) method, your equals method is incorrect.  (That's a different problem though ...)

A: Try changing x.setImaginary(2); x.setReal(5); to x.setImaginary(2.0); x.setReal(5.0);. Maybe the version of java on the mac is requiring a double not an int.

redpajama_set_name: RedPajamaStackExchange


Photograph of the Jami Masjid in Gulbarga, Karnataka, from the Curzon Collection: 'Views of HH the Nizam's Dominions, Hyderabad, Deccan, 1892', taken by Deen Dayal in the 1880s. In the early 14th century the Deccan was occupied by Muhammad Tughluq (r.1325-51) who brought the entire region under the rule of the Delhi Sultanate. Later in the century Gulbarga became the capital of the Bahmani kingdom (1347-1527), a newly founded independent state, until 1424 when the capital was transferred to Bidar. The Bahmanis ruled over most of the Deccan until the late 15th and early16th centuries when the kingdom was divided into five independent states. The Jami Masjid was erected in the fort at Gulbarga by Ala-ud-din Hasan Bahmani Shah (r.1347-1358), founder of the Bahmani dynasty. An inscription records that it was completed in 1367 but aspects of the ornament suggest it was completed in the early 15th century during the reign of Firuz Shah (r.1397-1422). Its plan resembles the Great Mosque at Cordoba. The mosque is unusual as the central area, which would normally have been an open courtyard, is covered over with numerous small domes. Three of the outer walls are not solid but made up of open arcades. The main sanctuary is crowned with a high dome above a square clerestory.


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The American press echoed the opening of Victoria Vannucci's restaurant in Los Angeles
Victoria Vanucci opened a healthy restaurant in Los Angeles
A few years ago and after starting a profound change in his life, Victoria Vanucci became a celebrity chef and opened a healthy restaurant in San Diego that she called Pachamama. And the experience was so positive that a week ago it was decided to open a new branch, this time, on Venice Beach, in Los Angeles.
When cutting the ribbon, vic -as it is known in the US- was accompanied by her children, Indiana Y Napoleon. And the images were echoed by several local media outlets, who shared a video detailing what the food proposal was all about and why the message it tries to convey is so important to care for the environment.
"Pachamama is not just another casual beachside restaurant. Its origins start all the way from the Amazon and offer unique organic street food, which is simply delicious"is explained in the recording echoed by the American press, after showing details of the dedication and service.
The American press echoed the opening of Victoria Vannucci's restaurant
Then it is Vannucci herself who talks about the uniqueness of the menu offered at the place. "I'm Vick Vannucci, I'm here at Pachamama, my restaurant, in Venice Beach. Pachamama means Mother Earth in Quechua and we are a Peruvian-Japanese food term, the correct name is Nikkei. You can enjoy different types of empanadas, different types of sauces that come from Amazon. You can also have anticuchos. You will have a lot of food, vegan food too, smoked ham and a lot of food on the table to try," he points out.
The restaurant is friendly so people who don't eat animal food can also find an ideal place for fast food, fresh juice and coffee. and connects Bee Leaf United Statesan organization that provides consumers with fresh honey and promotes sustainability. Travis Wolfe, The director of the same, also explains in the video that appeared in the North American media what his role is.
The new Pachamama location is located in Venice Beach, Los Angeles
"Bee Leaf USA is a full service honey bee, where we rescue, relocate and rehabilitate them. We take bees that are not wanted in some places and would be exterminated and move them to sanctuaries where we rehabilitate them.. Then, once they're rehabilitated, we put them back into the community, whether it's in hotels, restaurants, or in your backyard. We've been fortunate enough to partner with Pachamama in San Diego, at their first location, where we introduced our honey dispenser. There is a place where you can buy a jar of honey, then bring a jar back and refill it at a discounted price. The reason for this is to reduce all the waste we create through food service, from single-use plastics to containers. Pachamama shows how we could do it differently," he says.
It should be noted that after suffering from a deep depression as a result of the virality of photos of him hunting in Africa at the end of 2016, Vannucci decided to turn his life around 180 degrees. "When I saw myself in these pictures, I realized it was time for some serious changes.", he assured in a conversation with the portal Local magazine, California. And since then, He decided to correct his past mistakes, by collaborating with organizations that promote respect for the earth and all living beings.
Alejandro Müller warned that his mobile phone was hacked: "I know they were asking for money"
Marcela Tauro led Intruders and Guido Kaczka said: "Cry like Agustina Cherri"
Sexual abuse and heavy cocaine addiction: Demi Lovato's stormy life and overcoming it


text:
On doing what you love: Coach Jody Michael
by Ross Forman, Windy City Times
This article shared 5065 times since Wed Jun 19, 2013
Where were you when you decided what you were going to do with your life?
Maybe you were in a college class and you figured it out while you were engaged in a project. Maybe it was an "aha moment" during one of your better (or worse) days at work. Maybe it was after a major life event and you realized you were meant for more.
Jody Michael was in a floatation tank.
A successful leader in the finance industry, Michael purchased a 10-pack of sessions in a sensory deprivation floatation tank. "My first float was claustrophobic; I almost didn't go back. The second was deeply relaxing. During my third float, I became deeply aware and alert, yet completely relaxed. While in that state, I heard my inner voice very clearly naming what I should do—coaching."
And Michael knows what she is talking about. With a background in neuroscience, mindfulness, and cognitive psychology, she uses the principles and metrics of hard science to help people achieve change. She understands now that she was experiencing alpha brain waves, which one attains through meditation, in that third float.
Her brain was literally telling her what she should do with her life.
One of the first (non-sports) coaches
In 1996, when the openly gay Michael founded Jody Michael Associates, no one knew what a career coach was. "People would always ask me, 'What sport?' not knowing it was something else completely." Though she loved sports, it was the people aspect of career coaching that kept her attention.
"When I launched [the business,] I never for a minute thought it would grow to more than just me. I had already been coaching internally in the financial industry for years. I was leading large floor operations and used coaching in my management style, but it didn't have a name. I had been trained by one of the grandfathers of coaching, Fernando Flores, and so, I was one of the earliest coaches in the country."
Michael's desire to be a coach comes from two main drives: her passion to effect personal and professional transformation in others and her compassion to help relieve their pain.
Michael is insistent that mental health and physical health go hand in hand. Understanding oneself and being free of mental suffering helps the physical body. That's why her emphasis is on complete transformation.
"So many people are in so much pain. All you have to do is look at the billions of dollars we as a country spend on psycho-pharmaceuticals and you can see how we are medicating and deadening ourselves to the pain that we feel. To be a catalyst for those individuals who are stressed, stuck, depressed, over-worked and confused and to coach them to perceive, react and live differently is truly a gift that they honor me with. That opportunity to inspire them to create their lives instead of just responding to what life throws them is a privilege."
While she offers four distinct types of coaching, Michael works with a range of clients, including corporate executives and leaders, entrepreneurs, career professionals, high school and college students and individuals looking to create the life they want.
And that includes clients under the rainbow flag. "While I wouldn't say that I specialize in coaching the LGBT community, I did purposely seek out training at the Howard Brown Health Center under Theo Pintzuk, who was a fabulous supervisor and mentor," she said. "The 18 months that I spent there gave me the opportunity to work exclusively with the LGBT community."
An empathic observer
Michael's desire to help others stems, in large part, from her early childhood experiences.
"My mother was mentally ill and spent most of her life in a mental hospital. In fact, from the time I was 18 months old, she spent far more time in the hospital than at home with me. So I was exposed to mental hospitals at a very early age," Michael said.
Michael described her mother as "very warm, gentle and loving." Seeing her overmedicated, put through an "ungodly number" of electric shock treatments, and placed in two different mental hospitals made an impression on her as a child that she holds onto. "Witnessing the emotional pain, isolation, stigma and hopelessness that mental illness can often bring created tremendous empathy in me," she said.
"I became a very keen observer of individuals' personal pain. I have always been driven to help people alleviate it—something I could not do with my mother, although the day I turned 21, I did take her out of Elgin State Hospital and cared for her until her death in 1986."
Because of her personal experience with suffering, Michael understands the burdens that some of her clients carry. In fact, one of the things she is most proud of is "processing my challenging childhood without negative residue or scars that may have otherwise impeded my capacity to trust, risk, love, grow and thrive."
Healthy competition
However, the softer more empathetic side of Michael is joined to a rather competitive personality. As a young girl, Michael was, admittedly, a tomboy most likely to be chosen to be the quarterback of neighborhood touch football games or defeating boys in pickup games of basketball.
She credits this with some professional success. "Growing up playing with the neighborhood guys really helped hone my skills, made me a better player and gave me an intimate glimpse into the competitive psyche of the male world. Later, it translated into an ease in connecting with men and helped me navigate the business world and the trading pits," she recalled. Even though, in the pits, physical jostling was normal, she found herself comfortable with the extreme competitiveness.
This competitive nature showed up in other arenas. Besides the three sports she played in college and the semi-pro basketball (before the new professional women's teams), Michael has proven she doesn't shy away from the road less traveled.
As she thinks of the times she's been an early adopter, she ticks them off on her fingers: "first girls' class of Lane College Prep High School (that was an all-boys school for about 100 years), one of the first women traders on the Chicago Mercantile Exchange trading floor, one of the earliest career coaches in the country, also she took one of the earliest Internet courses: an Ontological Design Course in the mid-'80s."
What she wasn't first in? "My mentor encouraged me to purchase 5,000 dot com names for $5 a piece back then. Did I listen? No! Ha! I would have been a millionaire."
Coaches of the coach
Ironically, Michael never had a sporting coach she had a deep connection to. However, she had teachers at every level of school "who made a significant impact by making me feel seen and special and who shaped my world lens in a powerful way."
Teaching was one of the first professions that other people suggested to her. In fact, Michael had several opportunities for teaching, even at a young age. In high school, she had three teaching jobs. At 16, she worked for a non-profit called BUILD, teaching drug prevention to 8th graders in the Chicago Public Schools. She was paired with one of her former teachers and "after a few classes, she saw that I could handle her class, so she often left while I conducted the hour-long class unsupervised," Michael recalled.
She continued volunteering and being placed into teaching roles. In keeping with her love of sports, whenever there was a female gym teacher out and a substitute wasn't available, she was pulled out of her other classes to step in.
Although she got a teaching degree, the allure had started to fade. She recalls the final straw while working in CPS: "One day, when I was assaulted in the halls of Wells High School and the principal did not stand up for me, I decided my teaching days were over."
She never went back to teaching, other than a class here or there at the University of Chicago while in the PhD program.
"While I certainly value my teaching experience, I think that the traditional Western model of education is becoming rather antiquated," Michael said. "There are more dynamic methods of learning than the prominent hierarchical model of an expert imparting knowledge to pupils. Much more interesting to me is a more generative conversation, an organic or Socratic method of learning—and coaching allows for this. There is something to be learned from everyone."
As a true Chicagoan, when asked who her favorite coach is, she replied: former Chicago Bulls coach Phil Jackson. "He had a holistic approach to coaching that was influenced by Eastern philosophy and spiritual practices, which I connect to deeply. I admire his masterful application of psychology, philosophy, strategy and high emotional intelligence in his coaching."
The power of coaching
And, as a coach who wants to apply the same principles as Phil Jackson, she strives to help her clients transform their lives. Much of her business comes from word-of-mouth, and while the firm offers executive, career, trader and life coaching, most of her clients seek executive or career coaching. "Work accounts for such a great portion of our lives; feeling fulfilled by that work and knowing that it is contributing to some greater purpose can have a profound impact on people's quality of life," she said.
Throughout her coaching career, Michael has helped clients achieve extraordinary success, but one story stands out. "Six years ago, a client came to me who was depressed, having a hard time in his marriage, but mostly hating his job every day. He had been working for a few years in what he considered to be a menial job selling a product that he couldn't care less about. He came to me for 'What Do You Want to Be When You Grow Up?' career discovery coaching. We worked through our process and came to the conclusion that his best career fit was software and web design.
"Unfortunately, because of financial constraints, he couldn't leave his current position and go back to school. So, we designed a strategy for him to learn the required skills in a matter of months, with minimal in-person schooling. During those months, he was working all day, studying all night, studying all weekend, and starting it all over again the next week.
"Soon after, a boutique web design company offered him a fantastic job with a great starting salary considering he had no prior work experience. They took a chance on him, and within one year, he received multiple raises and promotions and was sought after within the industry. Later that year, he took another job, was promoted to chief technical officer within four years, and was then recruited by a well-respected Chicago company."
Doesn't feel like work
It might be stories like that one that help Michael keep her passion strong. Eighteen years later, Michael has amassed more than 30,000 one-on-one coaching hours, and her fuel to help others achieve their best is still burning.
"I still wake up every morning loving my job and looking forward to my 14-hour workday. People don't understand how I can work that long and see so many people day after day for so many years. But that's because they've never had the experience of loving something so much that it doesn't feel like work."
Jody Michael Associates has grown, too. There are now eight full-time team members plus more subcontracted coaches, and she sees her company continuing to grow strategically without compromising quality.
One of the newest members of her company is Cathy Cullen, Michael's partner of 18 years and love of her life. Michael explains that Cullen is filling the role of COO at Jody Michael Associates. "She has a wonderful linear and intelligent engineer's mind, which is a nice compliment to my visionary, creative mind!"
No slowing down
Michael emphasizes that she is nowhere near the end of her coaching career. "I still find this work engaging and challenging. I am continually fascinated by what it means to be human." And as reflected by her interest and expertise in the fields of neuroscience, mindfulness, human behavior, cognitive psychology, systems theory, ontology, change models, and leadership and organizational dynamics, she has been doing her homework.
In the coming years, Michael would like to focus more on speaking engagements and large workshop events, and she also plans to publish at least one book. But her overall motivation remains the same as always: "There's nothing more rewarding than seeing people achieve their greatest goals—creating the life they want."
Visit www.jodymichael.com or call 773-275-5566.
Lesbian named presiding judge of Cook County Circuit Court's Pretrial Division
Australian tennis player Sam Stosur has called it a career after back-to-back losses at the Australian Open, Yahoo! Sport noted. Stosur—an out lesbian who played for 23 years—lost in the first round of the women's doubles ...
Rogers Park's R Public House's door destroyed by homophobic vandal
The lesbian-owned restaurant and bar R Public House, 1508 W. Jarvis Ave., was targeted by a hammer-wielding man yelling anti-LGBTQ slurs at about 5:40 p.m. during happy hour on Monday, Jan. 16. Owners (and married couple) ...
GLAAD announces nominees for 34th Annual GLAAD Media Award
--From a press release. Video below - Jan. 18, 2023 - GLAAD, the world's largest lesbian, gay, bisexual, transgender, and queer (LGBTQ) media advocacy organization, today announced the nominees for the 34th Annual GLAAD Media Awards. ...
SHOWBIZ Indigo Girls, LGBTQ+ films, GALECA nods, Jeremy Pope
Indigo Girls will perform at an opening-night celebration for the Sundance Film Festival on Jan. 19 in Park City, Utah, Variety reported. The Grammy-winning lesbian folk-rock duo are debuting their new documentary, It's Only Life After All, ...
Chicago LGBT Hall of Fame calls for nominations
--From a news release - The Chicago LGBT Hall of Fame has announced a call for nominations for the 2023 Chicago LGBT Hall of Fame. Those wishing to may nominate individuals, organizations, businesses, or "Friends of the Community," up until April ...
Brittney Griner named 2022 Outsports Person of the Year
The LGBTQ+ sports website Outsports named WNBA star Brittney Griner as its 2022 Person of the Year. Some of the previous honorees include figure skater Adam Rippon, former NFL player Michael Sam, soccer superstar Megan Rapinoe ...
Navratilova diagnosed with two types of cancer
Out lesbian tennis legend Martina Navratilova revealed on Jan. 2 that she has been diagnosed with throat cancer and breast cancer, ESPN reported. In a statement released by her rep, the 18-time Grand Slam singles champion ...
Activists gather outside Pritzker's home, call for lesbian prisoner Bernina Mata's release
Free Bernina Team and Love and Protect members, among other groups and individuals, gathered outside of Gov. J.B. Prizker's Chicago home Dec. 19 to call for the release and commutation of 52-year old Latinx lesbian prisoner ...
HRC: Texas AG's reported data collection about trans adults compromises privacy of LGBTQ+s
-- From a press release - Washington, D.C. — Today, the Human Rights Campaign (HRC), the nation's largest lesbian, gay, bisexual, transgender and queer (LGBTQ+) civil rights organization, responded to reports of Texas Attorney General Ken ...
With President Biden's signature, Respect for Marriage Act is law
-- From a press release - WASHINGTON — The Human Rights Campaign (HRC) — the nation's largest lesbian, gay, bisexual, transgender and queer (LGBTQ+) civil rights organization — celebrated today as President Biden signed the Respect ...
Trans activist Precious Brady-Davis endorses Mayor Lightfoot's reelection campaign
-- From a press release - Chicago, IL — This week, transgender activist Precious Brady-Davis endorsed Mayor Lori E. Lightfoot's reelection campaign. Brady-Davis is a celebrated author and activist who published the memoir I Have Always ...
NATIONAL 'Queer to Stay,' gay pol dies, drag-show attacks, 'Don't Say Gay' lawmaker
The Human Rights Campaign (HRC) and Showtime announced the 25 recipients of "Queer to Stay: An LGBTQ+ Business Preservation Initiative" to support and uplift small businesses that focus on LGBTQ+ people of color, women and the trans+ community ...
WORLD Mexican report, Kristen Stewart, Elton John, Netanyahu
The Human Rights Campaign Foundation (HRCF) launched the sixth annual HRC Equidad MX: Programa Global de Equidad Laboral—a survey evaluating LGBTQ+ workplace inclusion within major Mexican businesses and multinationals, a press ...
GLAAD post-election poll shows surge of LGBTQ+ voters in midterm elections
-- From a press release - (New York, NY, TBD) GLAAD, the world's largest lesbian, gay, bisexual, transgender, and queer (LGBTQ) media advocacy organization, is releasing the findings of its 2022 post midterm election poll of ...


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Home » CMS proposes sweeping changes in hospital payment structure
Hospital / Hospital Case Management
CMS proposes sweeping changes in hospital payment structure
CMS Proposes Sweeping Changes to Site Payments, Quality Reporting
CMS proposes HHA payment changes
CMS proposes changes for physician fee payment
CMS proposes sweeping changes in hospital payment structure | Single Article
CMS proposes HHA payment changes | Single Article
CMS proposes changes for physician fee payment | Single Article
New rule would require more attention to documentation
The Centers for Medicare & Medicaid Services has proposed sweeping changes to the payment structure for hospitals, including the first significant revision of the Inpatient Prospective Payment System (IPPS) since it was implemented in 1983.
The changes could have a tremendous effect on hospital reimbursement and are likely to require much more documentation in order for a hospital to receive the reimbursement it is entitled to, says Deborah Hale, CCS, president of Administrative Consultant Services Inc., a health care consulting firm based in Shawnee, OK.
The proposed rules would base the payment rates assigned to DRGs on hospital costs rather than charges, by basing the calculation of the DRG-relative weights on the newly developed hospital-specific relative values cost center (HSRVcc) methodology.
In addition, CMS proposes to replace the current 526 DRGs with either a proposed 861 severity-adjusted DRGs or an alternative severity-adjusted DRG system developed in response to public comments being solicited on the issue.
The proposal calls for increasing the 526 DRGS to 1,258 all-patient refined DRGs, (APR-DRGs) developed by 3M, then ultimately refining the system by consolidating the APR-DRGs into a new DRG system with 861 consolidated severity-adjusted DRGs or CS-DRGs.
"The changes in methodology will create four DRGs per diagnosis based on severity. Under the APR-DRGs, certain diagnoses or combinations of diagnoses could put a hospital into a higher reimbursement category. The new methodology will require more documentation and it will become critical that the documentation reflect all of the services the patient receives," Hale says.
CMS is expected to issue its final rule early in August. CMS proposes implementing the hospital-specific cost weights in fiscal 2007 and to adopt the severity DRG system in 2008, if not earlier.
CMS issued a statement saying that the new methodology will improve the accuracy of the hospital payment system and lead to better incentives for hospital quality and efficiency.
"The hospital payment reforms we are proposing . . . will mean payments for hospital inpatient services will more accurately reflect the costs of providing the services. We are taking important steps to make payments fairer to hospitals and to assure beneficiary access to services in the most appropriate setting," says CMS administrator Mark B. McClellan, MD, PhD.
The proposed changes are based on recommendations from the Medicare Payment Advisory Commission (MedPAC) and Congressional concerns that the existing system may create incentives for some hospitals to "cherry-pick" the most profitable cases, according to a statement issued by CMS.
In a 61-page document sent to McClellan, Rick Pollack, executive vice president of the Chicago-based American Hospital Association (AHA), expressed concerns about the proposed changes in the DRG weights and classifications.
"We believe the AHA and CMS share a common goal in refining the system to create an equal opportunity for return across DRGs, which will provide an equal incentive to treat all types of patients and conditions. However, more time is needed to understand the significant proposed policy changes, which redistribute from $1.4 to $1.7 billion within the inpatient system," Pollack wrote.
The AHA proposes a one-year delay in the proposed DRG changes to address concerns about the HSRVcc methodology, which the AHA says is flawed.
In addition, the organization, which represents 4,800 hospitals, called for the changes to be phased in over a three-year period.
The new rule proposes that Medicare should not pay for care of patients who develop complications that could not have been prevented.
"CMS says it is going to stop paying for at least two conditions that could have been prevented in the hospital," Hale says. The two conditions have not yet been determined, she adds.
Hospital Case Management
Hospital Case Management 2006-08-01
Whether it's transportation or post-acute care, rural CMs rise to the challenge
DP to fundraising: Rural case managers do it all
Reorganization helps improve reimbursement
Documentation program nets hospital $1 million
Critical Path Network: Hospitals getting more RFIs in 2006: What problems are surveyors finding?
Critical Path Network: IC group pushes for mandatory flu shots
Initiative focuses on at-risk pregnant women, moms
JCAHO creates flu immunization standard


EASO's Early warning and Preparedness System (EPS) is a data collection system gathering information under indicators focussing on all key stages of the Common European Asylum System (CEAS). Countries provide monthly data to EASO within 15 days, with all 30 EU+ countries (EU Member States plus Norway and Switzerland) contributing.
As the CEAS is a complex process, the roll-out of the data collection is envisaged to proceed in stages: Stage II, launched in March 2014, focuses on the first instance in the asylum process and collects data under four indicators: applicants, withdrawn applications, decisions, and pending cases. Stage III, launched in September 2015, focuses on access to procedure, reception, Dublin and return.
In developing EPS indicators, every effort is made to make them as consistent as possible with existing migration statistics collected by Eurostat under Regulation (EC) No 862/2007 — EU statistics on migration and international protection.


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Премия «Спутник» за лучший жанровый телевизионный сериал, присуждаемая Международной пресс-академией, вручается ежегодно с 2011 года.

Лауреаты и номинанты
В расположенных ниже таблицах находятся названия победителей и номинантов на премию «Спутник» за лучший жанровый телевизионный сериал.

2010-е

2020-е

См. также
 Премия «Золотой глобус» за лучший телевизионный сериал — драма
 Премия «Эмми» за лучший драматический сериал
 Премия Гильдии киноактёров США за лучший актёрский состав в драматическом сериале
 Премия Ассоциации телевизионных критиков за выдающиеся достижения в драме

Примечания

Ссылки
 Сайт премии
 Списки победителей на сайте imdb

Премия «Спутник»

redpajama_set_name: RedPajamaWikipedia


This winter has brought an abundance of renowned artistic guests to the National Music Conservatory, drawn to the institution for its diverse music education programs and history of celebrated performers. In January, French ensemble Sagittarius visited the conservatory to conduct a master class on baroque and pre-baroque music to a crowd of eager students. The five singers and two instrumentalists have been lauded locally and internationally for their exquisite musical techniques and wide breadth of classical music knowledge. Another celebrated music expert, Lebanese army commander Colonel Apolo Suker, visited the institution last month to share his wealth of knowledge about Lebanese military music and its rich and fascinating history.


Love that car, it looks sweeeeeet with the Willy wheels and naples is easily the best colour for a valver.
are those snooper things any good?
Its a Road Angel 2 and yes there very good.
looking awsome mate, has it been sprayed at all, the bumper is well tidy, no chips!!!
Road angels pick up everything mate. I got mine free, had a few I was selling just before christmas.
Bonnet was a new Renault item 6 months ago and had bumper painted at the same time. Had new rear quarter and door, (again Renault) after someone hit it and then left without anyone seeing it.
How much is a new quarter from Reno???
I paid £300 cash from a friend of a friend, for a new rear quarter and door. This was out of the back door at a main dealers, don't know real prices.
As I also mentioned to Stromba, I was told that this was the last genuine rear quarter panel to be produced by Renault. So theres no more available. Annoying really coz i'd of liked a drivers side one too as i've got a couple of tiny little bubbles there now.
I got a new driver's rear quarter panel put in back in November.
I opted for that as i have seen a few that have been cut out and replaced where the arch shape does not look quite right.
Renault had to get it in from France they told me, cost £328!


* HIGHEST QUALITY OLIVE OIL organic extra virgin in the 4 oz size. This is made from premium olives grown without agricultural chemicals or impurities. The greenish yellow color is a sign of freshness and quality. This is one of the world's favorite oils used for everything from beauty and cosmetics to cooking and food preparation.
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* GREAT FOR COOKING and food preparation of all types. Much healthier than other heavier fats and oils. High quality olive oil is used in many cuisines for cooking and also for food preparation including cold dishes. This olive oil is safe and organic with no toxins, harsh chemicals, or hazardous impurities.
ORGANIC EXTRA VIRGIN OLIVE OIL is from the world's finest fresh olives. Grown in pristine conditions with no agricultural chemicals or poisons. You can feel confident using this for beauty, health, and cooking of every kind. Healthy for children and adults of all ages. This contains no harsh chemicals, toxins, or impurities. Many people massage a few drops into skin and scalp to help moisturize and rejuvenate. It's rich in highly beneficial oleic acid that goes deep to beautify skin and hair for a more youthful appearance. Helps give shine to hair and more natural elasticity to skin.
LOTS OF CULINARY USES. This is the most widely used of kitchen oils. Experts say it's best for foods that will be eaten cold. You get full flavor on salads, sandwiches, hors devours, meats and much more. Extra virgin olive oil is not appropriate for high heat cooking but will work in some situations where lower temperatures are used.


Should there be a limit on the number of years a case can lie cold before a prosecution is brought?
"It was haunting me for twenty years," the killer admitted.
When wannabe Wiltshire serial killer Christopher Halliwell was arrested in 2011 for killing a woman he actually admitted two murders, but he was only prosecuted for one because of a police error over the second. Intrigued?
Yorkshire lass Linda Cook's strangled body was found in a local lovers' lane in September 1963. The case baffled the police and is still unsolved today. So someone out there knows more about the murder than they are saying.
Iftikhar and Farzana Ahmed have been jailed for a very long time in a trial that pitted daughter against daughter and husband against wife.
The handyman at the Woodbine Inn had gone missing and when Harry's crushed body was found the questions began – where did he die, why had the date of his birth been altered and who stood to benefit from his demise?


There's no shortage of spooky Halloween movies that have been made over the years, from the popular (like Hocus Pocus) to the obscure, but not all of them are kid-friendly. If you're looking for a spooky flick to watch with your family, Netflix has you covered no matter the age of your kids (according to the streaming service's research, 85 percent of parents are interested in finding ways to celebrate Halloween that are less spooky for their children, so Netflix was sure to include plenty of not-scary titles for the holiday!).
Check out which Halloween movies — and movies that have Halloween vibes in general — are streaming now (and if you're daring, see which horror movies you can stream after your little ones have gone to sleep).


Dr. Greenwood-Van Meerveld, Ph.D., AGAF, and FACG completed her Ph.D. in 1983 at the University of Sheffield. Dr. Greenwood-Van Meerveld gained post-doctoral training from the University of Calgary as an Alberta Heritage Foundation Scholar.Dr. Greenwood-Van Meerveld is currently Professor of Physiology, Director of the Oklahoma Center for Neuroscience, and has held the Presbyterian Health Foundation Endowed Chair in Neurosciences since 2004. She is also a VA Career Scientist. Dr. Greenwood-Van Meerveld is actively involved in research currently serving as the PI on two active VA grants and numerous contracts, as well as serving as a co-investigator on a recently completed NIH P20 grant. Dr. Greenwood-Van Meerveld's research expertise is the neuropharmacology of visceral pain of gastrointestinal origin.
Discuss the relationship between stress and visceral pain.
Understand the central mechanisms mediating visceral pain.
Describe the critical relevance of experimental models recapitulating stress induced visceral pain.
To register for any of this event, please call 918-494-6490 or email kecochran@saintfrancis.com. Lunch will be provided to registered guests. The William K. Warren Jr. "Frontiers in Neuroscience" Conference Series is free and open to the public.


Barbour Tartan Wrap in winter tartan with twill weave effect.
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Make your choice of two colourways; winter dress tartan or rosewood, from the pull down menu below.
•180cms x 30°Cm + 7.5cm fringe.


text:
Fort Report: Signal dominates Turkey Bowl
By Thom WilliamsNovember 22, 2021
Fort Huachuca, Ariz.- Soldiers from the U.S. Army Intelligence and Signal Corps squared off against each other in the 2021Turkey Bowl on Warrior/Sentinel Field.
(right) Col. Jarrod Moreland, Commander, U.S. Army Garrison-Fort Huachuca, presents Command Sgt. Maj. Jason McCoy the 2021 Turkey Bowl. (Photo Credit: Thom Williams) VIEW ORIGINAL
Fort Huachuca is home to the U.S. Army Intelligence Center of Excellence, the U.S. Army Network Enterprise Technology Command (NETCOM)/9th Army Signal Command and more than 48 supported tenants representing a diverse, multiservice population. Our unique environment encompasses 946 square miles of restricted airspace and 2,500 square miles of protected electronic ranges, key components to the national defense mission.
Located in Cochise County, in southeast Arizona, about 15 miles north of the border with Mexico, Fort Huachuca is an Army installation with a rich frontier history. Established in 1877, the Fort was declared a national landmark in 1976.
We are the Army's Home. Learn more at https://home.army.mil/huachuca/.
December 9, 2021U.S. Army STAND-TO! | Workplace and Gender Relations Survey
September 30, 2021Army Senior Leader statement regarding the DoD Annual Suicide Report Calendar Year 2020
June 18, 2021Study Estimates Sexual Assault and Sexual Harassment Risk Across Army Installations, Units, and Occupational Specialties
December 9, 2020Army Leaders and Committee Members Brief Reporters on Findings and Recommendations of the Fort Hood Independent Review Committee
September 12, 2019Signal regiment honors Hollywood director


Sound the Alarm brings together local fire safety organizations, fire departments, and volunteers to canvass neighborhoods, educating residents about fire safety.
Our local Red Cross has set ambitious goals for the 2019 Fox Cities Sound the Alarm campaign. They aim to install 1,750 smoke alarms, reach 80 households, and engage 500 volunteers. To accomplish this, they need the help of the community. Please consider lending a hand at our local Sound the Alarm event on Saturday, May 4th from 8:00 a.m. – 3:30 p.m. Volunteers can sign up on the American Red Cross website.
If you need a smoke alarm, you can sign up to have one installed at no charge before the event occurs. Go to this page on the American Red Cross website and fill out the form, or text ALARM to 844-811-0100 and follow the prompts. Someone will get in touch with you to set up an appointment to install a smoke alarm.
The American Red Cross began its Sound the Alarm campaign in 2014 with the goal to reduce the number of fire related deaths and injuries across the nation. On average, seven people die and 36 are injured in home fires every single day. The majority of these deaths occur because the homes are not equipped with working smoke alarms. Having working smoke alarms in a home can reduce the risk of fire-related death by 50%.
The organizations and volunteers will install new smoke alarms or replace batteries in existing alarms to ensure homes are properly equipped. To date this program has installed over 1.6 million smoke alarms and their education efforts have reached over 670,000 households.


text:
Underground arts or quartier des bureaux?
CityUncategorized
By Jason C. McLean Jun 11, 2009 Mar 23, 2010
If you had "a vision of development based on the enhancement of cultural activities" as the Quartier des Spectacles project does, would you want to evict artists by replacing their popular performance space with an office tower that nobody asked for? That is exactly what the Angus Development Corporation wants to do on the lower Main in the name of the QDS.
They want to replace all of the buildings on the west side of St-Laurent boulevard from the Monument Nationale (run by the National Theatre School) right up to St-Catherine Street with a 12-storey office tower called the Quadrilatère. This plan would preserve only the façade of some of the buildings, gut their insides and fill them with new tenants such as boutiques and high-end restos on the lower levels and offices for Hydro-Quebec workers above them.
The moderators
"This idea that only the facades count is a problem," Jacques Lachapelle told the Office de Consultation Publique de Montréal (OCPM) in French at a meeting Tuesday in the Chinatown Holiday Inn, "it reduces the architecture synonymous with small businesses and the counterculture to a purely symbolic value."
Lachapelle, a citizen and historian, called this "facadisme" and argued that it is merely imitation and does nothing to preserve the culture that exists. In the case of the lower Main, the city's historic Red Light district, he argued that this culture is part of Quebec and in particular Montreal's patrimony, having appeared in several novels and films.
Underground culture and underground arts in particular, it turns out, are still alive and well in this part of town. Since 2004, burlesque, fetish and drag shows have been taking place in Cabaret Cleo, the showbar upstairs from the Café Cleopatra strip club. This is one of the buildings that will be gutted if Angus gets its way.
Cleopatra at night, as it is, with Hydro in the distance
Members of that community spoke at the meeting and helped to put a human face on a situation otherwise dealt with in terms of historical, esthetic and cultural significance, with the proposed evictees mentioned only as a concept.
"We had hoped to be part of the Quartier des Spectacles," Velma Candyass, leader of the Dead Doll Dancers, told those in attendance, "but instead with this plan, a long standing tradition will be silenced."
Candyass was not only speaking of the artists like those in her troupe who call the Cleo stage home, but also of burlesque in general. This art form, which has shown an international resurgence as of late, needs a venue like the Cleo to stay alive in Montreal. As Candyass pointed out, Café Cleo is the only venue in town that has a traditional showbar setup and a thrust stage.
Velma and Felicity
Fellow Dead Doll Felicity Fuckhard added that other cities have shown greater urban development thanks to newly renovated burlesque venues. In particular she pointed to Vancouver's new Vaudeville house that is thriving despite being located right near the infamous corner of Main and Hastings. Felicity also noted that both Cabaret Cleo and the strip club downstairs support the body politic of burlesque by employing women of all shapes and sizes as performers.
Eric Paradis of Club Sin, whose Fetish Weekends have drawn thousands of people to Cabaret Cleo and to Montreal as tourists, brought up the support that the community at large has for the artists of Cabaret Cleo and ways that the venue in turn helps the community. He delivered a petition with 1300 signatures and counting and mentioned that one of his events last year brought over 200 guests to the very hotel that the conference was being held in.
He also proposed an alternative plan for revitalization of the area, one that sees a newly renovated building with an entrance to the upstairs Cabaret Cleo on St-Laurent as well as on adjacent Clark Street, next to the entrance to the strip club and a jazz bar.
Such a plan might have happened years earlier, if Cleopatra owner John Zouaboulakis had his way. He told the room that he had applied for permits to renovate his building several times and was denied because it was a historic building. Now the city wants to raze his building and others completely, despite St-Laurent being a nationally-designated historic site.
John Zouboulakis
Zouaboulakis wanted to be part of the Quartier des Spectacles originally, but favors a more grassroots approach to the project. "We should revitalize what we have," he argued, "and open up the boarded-up places to individual owners."
When pressed on why small businesses would work, given the current state of affairs on the block, he informed the audience that one owner had bought up a bunch of the properties and let them lay vacant and fall apart, creating the state of affairs we have now.
Independent ownership seemed to be a running theme among the speakers. Louis Rastelli, the creator of the Distroboto arts vending machines sees development in this area following the pattern of the Plateau in the early 90s, a perfect fit considering he feels that the Montreal Pool Room has the same historic value as Schwartz's.
He argued that the Quadrilatère would effectively kill the nightlife in the area and even if Hydro-Quebec (the proposed major corporate tenant of the new building) agreed to a bar or nightclub to be included. Rastelli argues that it probably wouldn't work because buildings like this are not conducive to such businesses. "A building like this," he said, "is valid for the business quarter, but not the Quartier des Spectacles."
The eastward expansion of the business quarter was another concern of several of the evening's speakers as well as the success of alternate models like the SAT and Monument Nationale and the fear that the size of the proposed new building would negatively affect the neighbourhood in many ways, such as by blocking the sun from the solar panels on the roof of the SAT.
One speaker, Lorraine Pintal of the Theatre du Nouveau Monde (and the girlfriend of the head of the development company), had a decidedly different opinion. She feels that the Quadrilatère would revitalize a neighborhood that sorely needs it and one where "there hasn't been a red light district in 30 years." She feels that replacing the current small business owners would make the area feel safer for her theatre's older (and possibly wealthier) patrons.
The developer and a representative from the City of Montreal were present but declined to comment when given the chance by the moderator.
If one thing can be taken away from the meeting, it's that this won't be as easy a ride as the developer, whom according to Rastelli believes in private consultation before public consultation, may have hoped for.
* PHOTOS BY CHRIS ZACCHIA
Cleopatra & AngusGentrificationNews
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Jason C. McLean http://www.jasoncmclean.com
is a Montreal-based writer, actor, activist, culture-jammer and sometimes singer. He is a co-founder of the Forget The Box Media Collective and the Editor-in-Chief of/regular contributor to FTB.
Quebec Solidaire and Montreal's east end, a love story?
By Ethan Cox	 Sep 4, 2012 Sep 6, 2012
Practicing what you preach
By Jason C. McLean	 Apr 17, 2010 Oct 25, 2010
Tonight we're going to party like it's before 2009! Café Cleopatre celebrates its right to continue to exist
By Jason C. McLean	 Mar 25, 2011 Mar 28, 2011
Reflections from Le Mood
By Rana Alrabi	 Oct 23, 2012 Oct 26, 2012
Joseph Turian – Jun 13, 2009–15:42
Fight the good fight. How do we keep Cleo open?
Kelly – Jun 14, 2009–20:08
nice synopsis of the consultations. now we will see what comes of it all; with HQ calling the shots, it seems doubtful they'll budge on the cleo nudie-bar. in any case, as people from club soda said, the neighbourhood's increased property value may have a permanent effect on the neighbourhood's ability to fund the smaller spaces and diversity of artistic expression that were supposed to live in the quartier des spectacles.
burlesque performer – Jun 16, 2009–09:30
fight for it!.. keep it open!
Rush – Jun 17, 2009–13:39
I spin there every week, and I love the place. And it breaks my heart to see that they are doing all this in the name of "Quartier des Spectacles" for a building that has nothing to do with it. Like Velma Candyass said, it's a place where many artists and performers feel at home while working there, and that includes DJs like me and staff as well. The clientele also feel at home at Cleo, where everyone can come watch a show and not feel judged by their life styles or appearances, whether they're drags, trans, gay, bi and even str8. All HUMANS are accepted in that club and should be kept open.


Oh hey, I have a fantastic idea. I'm going to walk around Walmart dressed like a creepy goblin that feasts on little children.
I think we have just disproved the saying "guns don't kill people". Check out those cannons!
If Gene Simmons hooked up with Richard Simmons and maybe tossed in a little Meatloaf for good measure, the result would be something to this effect.
Even the Wise Men do their Christmas/Birthday shopping at Walmart. I wonder if he was able to get that Zhu Zhu pet for Baby Jesus.


text:
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Marcus Valley Grand Cinema
W3091 Van Roy Road
College Park Plaza
Message: 920-734-7469 more »
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formerly Regal College Avenue 16, Marcus Appleton East Cinema
Will become the Marcus Valley Grand Cinema in April 2016.
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Showtimes on Monday, July 15th
Buy Tickets (Fandango)
12:30, 1:30, 2:45, 4:00, 5:15, 7:45, 9:45, 10:15
2D;Reserved Seating
12:30, 1:45, 3:00, 4:15, 5:30, 6:45, 8:00, 9:15, 10:30
Sound! Euphonium: The Movie - Our Promise: A Brand New Day
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2D;Reserved Seating;Super
2:10, 2:50, 5:20, 6:20, 8:20, 9:25
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2:20, 5:00, 7:40, 10:20
12:20, 1:20, 2:10, 2:50, 3:50, 4:40, 5:20, 6:20, 7:50, 8:45, 10:20
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The Marquee > Search > Owner/Operator > Marcus Theatres Corporation
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This movie theater is near Kimberly, Combined Lcks, Combined Locks, Little Chute, Appleton, Grand Chute, Freedom, Kaukauna, Menasha, Sherwood, Neenah.
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text:
package org.keycloak.testsuite.account;

import org.jboss.arquillian.graphene.page.Page;
import org.junit.After;
import org.junit.Test;
import org.keycloak.representations.idm.RealmRepresentation;
import org.keycloak.representations.idm.UserRepresentation;
import org.keycloak.testsuite.TestRealmKeycloakTest;
import org.keycloak.testsuite.auth.page.AuthRealm;
import org.keycloak.testsuite.auth.page.account.AccountManagement;
import org.keycloak.testsuite.auth.page.login.OIDCLogin;
import org.keycloak.testsuite.auth.page.login.VerifyEmail;
import org.keycloak.testsuite.util.MailServerConfiguration;
import org.keycloak.testsuite.util.RealmRepUtil;
import org.keycloak.testsuite.util.SslMailServer;

import static org.junit.Assert.assertEquals;
import static org.keycloak.testsuite.util.MailAssert.assertEmailAndGetUrl;
import static org.keycloak.testsuite.util.URLAssert.assertCurrentUrlStartsWith;

/**
 *
 * @author fkiss
 */
public class TrustStoreEmailTest extends TestRealmKeycloakTest {

    @Page
    protected OIDCLogin testRealmLoginPage;

    @Page
    protected AuthRealm testRealmPage;

    @Page
    protected AccountManagement accountManagement;

    @Page
    private VerifyEmail testRealmVerifyEmailPage;

    private UserRepresentation user;

    @Override
    public void configureTestRealm(RealmRepresentation testRealm) {
        log.info("enable verify email and configure smtp server to run with ssl in test realm");

        user = RealmRepUtil.findUser(testRealm, "test-user@localhost");
        testRealm.setSmtpServer(SslMailServer.getServerConfiguration());
        testRealm.setVerifyEmail(true);
    }

    @Override
    public void setDefaultPageUriParameters() {
        super.setDefaultPageUriParameters();
        testRealmPage.setAuthRealm("test");
        testRealmVerifyEmailPage.setAuthRealm(testRealmPage);
        accountManagement.setAuthRealm(testRealmPage);
        testRealmLoginPage.setAuthRealm(testRealmPage);
    }

    @After
    public void afterTrustStoreEmailTest() {
        SslMailServer.stop();
    }

    @Test
    public void verifyEmailWithSslEnabled() {
        SslMailServer.startWithSsl(this.getClass().getClassLoader().getResource(SslMailServer.PRIVATE_KEY).getFile());
        accountManagement.navigateTo();
        testRealmLoginPage.form().login(user.getUsername(), "password");

        assertEquals("You need to verify your email address to activate your account.",
                testRealmVerifyEmailPage.getFeedbackText());

        String verifyEmailUrl = assertEmailAndGetUrl(MailServerConfiguration.FROM, user.getEmail(),
                "Someone has created a Test account with this email address.", true);

        log.info("navigating to url from email: " + verifyEmailUrl);

        driver.navigate().to(verifyEmailUrl);

        assertCurrentUrlStartsWith(accountManagement);
        accountManagement.signOut();
        testRealmLoginPage.form().login(user);
        assertCurrentUrlStartsWith(accountManagement);
    }

    @Test
    public void verifyEmailWithSslWrongCertificate() {
        SslMailServer.startWithSsl(this.getClass().getClassLoader().getResource(SslMailServer.INVALID_KEY).getFile());
        accountManagement.navigateTo();
        loginPage.form().login(user);

        assertEquals("Failed to send email, please try again later.\n" +
                        "« Back to Application",
                testRealmVerifyEmailPage.getErrorMessage());
    }
}


Originally from Nottinghamshire, I have now lived in Buxton for 20 years and have a deep affection for this lovely town.
Having gained a degree in Art and Music in 1982, I have devoted my life to teaching both subjects to secondary school children and I have recently retired as Head of Art at Hope Valley College where I worked since 2003.
Maintaining my own practice as an artist has helped my teaching over the years and I have been fortunate enough to have had the opportunity to try out many different techniques and processes including collagraph printing, lino cuts, silk screen printing, paper manipulation and stitch, textiles, photography and hand built ceramics.
My most recent work has explored Encaustic wax and involves letters from the World Wars: stories from ordinary people reaching out to their loved ones. Having worked with a truly inspirational teacher of History, I have developed a fascination with the war and The Holocaust and some of my work reflects this, telling the stories of ordinary people trying to survive the most desperate times in history.
Edwardian knickers. Telling stories from the past and bringing them to life is a thread running through many of my pieces, inspired by my father who loved to grow things in his garden, and my grandparents whose lives were simpler but so much harder than mine in many ways.
the recipient in a personal way. Please feel free to contact me for information regarding commissioned pieces.


text:
Philip Yousef Elhage (born April 11, 1982) is a Curaçao born sport shooter who competes internationally for Aruba. Elhage represented the Netherlands Antilles at the 2008 Summer Olympics in Beijing, where he competed in the men's 10 m air pistol. He finished only in forty-sixth place by two points behind Turkey's Yusuf Dikeç from the fourth attempt, for a total score of 566 targets. Elhage represented Aruba at the 2020 Summer Olympics in Tokyo. He competed in the men's 10 metre air pistol qualification round on 24 July, where he shot 556 points resulting in 35th place and failing to qualify to the final.

References

External links
NBC Olympics Profile

1982 births
Living people
Dutch Antillean male sport shooters
Olympic shooters of the Netherlands Antilles
Shooters at the 2008 Summer Olympics
Shooters at the 2020 Summer Olympics
Curaçao sportsmen
People from Willemstad
Shooters at the 2019 Pan American Games
Pan American Games competitors for Aruba


We use Essential Skills Software regularly. They are used in 1st and 2nd grade extensively. We assess the students as they go along and have seen real growth. We love the programs.
We are excited about ESS programs and use them daily.
We use Essential Skills programs as a supplement to the classroom curriculum. We are working with struggling math students and they enjoy the programs.
Title I reading students are using ESS programs twice a week. We have seen pretty substantial growth in their number of words per minute. I really think it is working! The programs maintain their interest. I am also impressed at how their typing skills have improved.
ESS Sight Words is used daily by our students from pre-school to grade one and we are seeing terrific gains.
Essential Skills programs are used every day by our Primary & ELL teachers. The programs were also well received when I was in the Kent School District. The students take to the programs like ducks to water! They are very self-engaging. The programs take no introduction. It is an effortless way to have the children practice and reinforce important skills and saves valuable time for the teachers.
I use the Super Phonics and Sight Words programs with different groups of children every day. This is great supplemental material to our Houghton Mifflin intervention program. It is closely aligned with the curriculum. These programs offer a wide variety of auditory, visual and tactile learning activities. There are great sound blending activities throughout the phonics program. The Sight Words program really helps develop fluency. The children would use this software all the time if they could. They never tire of it!
Using programs from Essential Skills allows us to assign units of work specific to the skill that is required. The skills reflect and reinforce the classroom program. Our children love using Essential Skills and are able to work independently and at their own level. I would highly recommend these programs to other teachers.


text:
extern crate noise;

use noise::*;
use noise::utils::*;

fn main() {
    // Large slime bubble texture.
    let large_slime = Billow::new()
        .set_seed(0)
        .set_frequency(4.0)
        .set_lacunarity(2.12109375)
        .set_octaves(1);

    // Base of the small slime bubble texture. This texture will eventually
    // appear inside cracks in the large slime bubble texture.
    let small_slime_base = Billow::new()
        .set_seed(1)
        .set_frequency(24.0)
        .set_lacunarity(2.14453125)
        .set_octaves(1);

    // Scale and lower the small slime bubble values.
    let small_slime = ScaleBias::new(&small_slime_base)
        .set_scale(0.5)
        .set_bias(-0.5);

    // Create a map that specifies where the large and small slime bubble
    // textures will appear in the final texture map.
    let slime_map = RidgedMulti::new()
        .set_seed(2)
        .set_frequency(2.0)
        .set_lacunarity(2.20703125)
        .set_octaves(3);

    // Choose between the large or small slime bubble textures depending on
    // the corresponding value from the slime map. Choose the small slime
    // bubble texture if the slime map value is within a narrow range of
    // values, otherwise choose the large slime bubble texture. The edge
    // falloff is non-zero so that there is a smooth transition between the
    // two textures.
    let slime_chooser = Select::new(&large_slime, &small_slime, &slime_map)
        .set_bounds(-0.375, 0.375)
        .set_falloff(0.5);

    // Finally, perturb the slime texture to add realism.
    let final_slime = Turbulence::new(&slime_chooser)
        .set_seed(3)
        .set_frequency(8.0)
        .set_power(1.0 / 32.0)
        .set_roughness(2);

    let planar_texture = PlaneMapBuilder::new(&final_slime)
        .set_size(1024, 1024)
        .build();

    let seamless_texture = PlaneMapBuilder::new(&final_slime)
        .set_size(1024, 1024)
        .set_is_seamless(true)
        .build();

    // Create a slime palette.
    let slime_gradient = ColorGradient::new()
        .clear_gradient()
        .add_gradient_point(-1.0, [160, 64, 42, 255])
        .add_gradient_point(0.0, [64, 192, 64, 255])
        .add_gradient_point(1.0, [128, 255, 128, 255]);

    let mut renderer = ImageRenderer::new().set_gradient(slime_gradient);

    renderer
        .render(&planar_texture)
        .write_to_file("texture_slime_planar.png");

    renderer
        .render(&seamless_texture)
        .write_to_file("texture_slime_seamless.png");
}


Discussion in 'General Electronics Chat' started by BrentD, Mar 3, 2013.
EDIT - Sorry, I meant to post this is the Projects forum - MOD's please move if necessary.
Hi all, new to the forum (and electronic circuits) and would really appreciate some help. It's a really basic project but I'm sure I must have the maths wrong somewhere.
I have an alarm system which does not have a constant flashing LED on the bell box and am wanting to add one.
Length of battery life is my primary concern, but the most I can fit in the bell box is 2x AA's. So, I have a 6000mcd "ultra bright" flashing (approx. 1.5Hz) red LED (20Ma typical, 1.8v - 2.4v forward voltage) running off 2x Panasonic Evolta AA's (so 3v and circa 5200mah total).
So, after reading up, resistors are the easiest way to go for battery life. The only resistors I currently have are a 1k and a 10k from another project kit, so I soldered them both onto the positive line in series, not expecting the LED to light - however, it does! It's MUCH dimmer than normal but is night time visible at 20 feet which is fine. According to my maths the resistors limit the current to around 0.1Ma which is why I am confused - from what I've read around the net, LED's don't generally light below about 1Ma. And further calculations reveal that the batteries will possibly last up to almost 3 years which I find difficult to believe.
And apologies for the long post but there's hopefully enough information for help.
LEDs need a minimum voltage to be forward biased and conduct. More current past that point results in more light.
The materials and design of LEDs has improved by huge amounts even in the past 5 years, so the "standard" of 15mA for an LED makes a new one, especially the "super-bright" types, be blinding. This also means that they will produce visible light at very small currents.
If you only need an indicator that you look at (vs. use as a flashlight), you can run the new ultra-bright LEDs at far lower currents (the minimum voltage must still be available for the forward biasing). The resistors limit the current, an LED can be approximated by a dead short over X volts (the Vf of the LED), so Ohms Law can be used to calculate the resistor size for the amount of current, or for the current you'll end up with only having a fixed resistor size.
If the LED is a "Self-Flashing" type, or has any other effect, such as an RGB LED that cycles through colors, then the requirements change a little bit. There will be both a minimum voltage and a minimum current, since there is an integrated circuit inside the package (often visible as a black dot on anode or cathode inside LED). This IC may have resistors to limit some current in addition to providing other features. If you put too large of a resistance in series, the IC doesn't get enough current to work with.
If one battery is 2600mAh (which I think they likely are) then two in series will also have a capacity of 2600mAh.
Yes your projected battery life is many years (If you include the fact that the LED is only on for a short duty-cycle the calculated life may be longer than the batteries shelf life). Makes you realize on little power a modern LED takes.
Thanks very much for the replies guys.
Yes, it's a self flashing LED which I failed to mention, sorry. I knew about the IC which is why I was even more surprised that it would light with an apparent 0.1Ma.
Makes you realize on little power a modern LED takes.
Yes, I'm sorry, 2600mAh, not 5200mAh - doh! And yes, it does!
I've shied away with messing with the actual bell box as I know little about electronics and don't want to destroy it. It's wireless and runs on 4x D batteries (so 6v?). I've just changed the batteries after just over 2 years of life. They are 15000mAh so I guess a 0.2mAh LED will have little impact on their life? (I've decided I'd like it a little brighter than the 0.1 mAh provides I think). Is it a case of just soldering the LED wires onto the contacts with a 27kohms, 1/8W (to get the 0.2mAh) resistor in series?
Apologies for all the questions but this does seem the best solution if things are that easy!
Why is my led flashing?
What is wrong with my counter?


The meniscus is a fibrocartilaginous structure that exists as an important part of the medial and lateral weight-bearing compartment of the knee.
There are two menisci, the medial and lateral meniscus. The meniscus is named according to its location in either the medial or the lateral weight-bearing compartment. Each meniscus is a C shaped structure with attachments to the capsule and the tibia. The cross sectional shape of the meniscus is triangular with the base of the triangle situated peripherally and the apex centrally. The vascular supply to the meniscus derives from the periphery and penetrates the meniscus at its capsular attachment. The vessels terminate at the junction of the central and peripheral 1/3rd of the meniscus making the central 2/3rds avascular.
The meniscus functions primarily to reduce the contact surface stress on the articular surfaces of the tibia and femur. The medial femoral condyle is a convex surface and the articulating medial tibia condyle is flat. Within this context, there is a physical mismatch and the contact surface stress becomes exceedingly high based on the limited contact area. The addition of the meniscus onto the flat surface of the tibia creates a concave surface, which now matches the convexity of the femoral condyle. Within this context, the contact surface stresses are reduced substantially based on the substantially increased contact surface area. This mismatch is even more pronounced in the lateral compartment of the knee where the lateral femoral condyle is a convex surface articulating on a convex tibial plateau.
The meniscus secondarily increases translational and rotational stability of the knee by creating a higher level of condylar conformity.
Injuries involving the meniscus of the knee are quite common, perhaps the most common injury affecting the knee. A knee meniscus tear is a "rip" in the cartilage, or the main shock absorber of the knee joint, between the upper leg bone (femur or thighbone) and the shinbone (tibia) in the lower leg. Knee meniscus injuries can be divided into two categories: acute and chronic. Acute meniscal tears are caused by sudden, excessive forces on the knee, usually in a twisting motion. Chronic tears result from many, less severe injuries that accumulate over time. As you might imagine, acute meniscal tears are more common in young athletes who play high-intensity contact sports, while chronic tears are common in older people, usually those over the age of 60. Both acute and chronic meniscus tears should be evaluated by a torn meniscus doctor, such as an orthopedic surgeon.
Degenerative tears may present as gradual onset knee pain or may present as more sudden onset pain. There may or not be knee effusion (swelling), difficulty weight bearing, loss of motion, locking or feelings of instability. Tears related to an injury are likely to have a relatively sudden onset of knee pain, more likely to have a knee effusion, difficulty weight bearing, loss of motion and feeling of instability and weakness.
Many people with a torn meniscus tell their torn meniscus doctor that they can remember hearing a "pop" when they injured their knee. This "popping" sound, which is probably more felt than heard, corresponds to the initial tearing of the cartilage of the knee (i.e. the knee meniscus). A torn meniscus can be painful, but many young athletes may not feel the pain of a torn meniscus for up to 24 hours after the injury.
In fact, many people with meniscus tears will report that their knee clicks, catches, locks, or "gives way" even before the pain starts. Because the pain is delayed, athletes may continue playing on the torn meniscus, at least on the same day as the injury occurred. A torn meniscus doctor can elicit other symptoms during examination. For example, the leg may not flex and extend normally during examination.
Degenerative tears may be associated with osteoarthritis or hyaline cartilage damage. Traumatic tears may be associated with ACL or other ligament tears, articular cartilage injury, bone contusions and other pathology. The diagnosis of a meniscus tear is confirmed with MRI imaging. This allows the knee to also be evaluated for possible associated injury.
A torn meniscus will not heal on its own without surgery; however, some people with small meniscus tears may not undergo surgical meniscus tear treatment and still have relatively normal lives. Nonsurgical meniscus tear treatment includes PRICE: protection, rest, ice, compression, and elevation. PRICE is helpful for most knee injuries, including small meniscus tears. Nonsurgical meniscus tear treatment also includes over-the-counter pain medications such as nonsteroidal anti-inflammatory drugs or NSAIDs (e.g. ibuprofen, naproxen, activity modifications, injectable steroid, knee bracing and physical therapy. If these management strategies are ineffective the alternate surgical pathway can always be chosen with no permanent loss on the basis of a delay to surgery.
Surgical treatment is an arthroscopic procedure which is minimally invasive and involves introducing a camera inside of the knee with the ability to visualize and remove the torn portion of the meniscus. Degenerative meniscus tear are in large part not amenable to repair on the basis of their nature including poor tissue quality and avasculari tear patterns. If you think you may be able to avoid surgical meniscus tear treatment, it is best to speak with a local torn meniscus doctor in NYC, Staten Island, or Jersey City to help you decide.
Large meniscus tears, or those that interfere with the stability and function of the knee, usually require surgical meniscus tear treatment. These occur from an injury of some type such as from sports. They more often require surgery. The benefit of performing surgery on a traumatic meniscus tear, especially in a younger person, is the potential opportunity to repair the tear and restore the meniscus to its pre-injury capacity to function. Today, almost all surgical meniscus tear treatments are performed arthroscopically (joint surgery performed through small incisions using very thin instruments) and at Regional Orthopedics we prefer a technique of all-inside repair.
While you are under either general anesthesia or local anesthesia with intravenous sedation, your torn meniscus doctor will make three or four small incisions in the knee. These small incisions become portals through which an arthroscope and small instruments enter the knee joint. The damaged knee meniscus may be removed in a procedure called a partial meniscectomy. In other cases, the torn meniscus may be repaired by suturing the tear in the meniscus closed. This allows the surgeon to place the stitches arthroscopically without the need for an open incision in the back of the knee. Traumatic meniscus tears within the context of reduced tissue quality such as might be encountered in a degenerative knee may be initially treated using the nonsurgical pathway listed above.
If you think you have experienced an acute meniscus tear or wonder if you may have a chronic meniscus tear, it is important to set up a consultation with a torn meniscus doctor in New York City, Staten Island, or Jersey City. The torn meniscus doctors at Regional Orthopedic are here to help. Contact them today for a consultation.


She's the north-east surgeon who has just become one of the first female recruits to join the SAS for a gruelling period of training in the Andes.
And Louise McCullough told the Press and Journal that her involvement with a mixed group of 25 people had been the "hardest thing I've ever had to do in my life".
The TV series SAS: Who Dares Wins is being shown in six parts on Channel 4.
The men and women shared cramped living and sleeping quarters and toilet facilities.
But she said the experience hadn't persuaded her to enlist full-time with the SAS.
She said: "I love my own job and couldn't give that up.
"Sharing accommodation and toilet facilities was initially quite intimidating, but that was soon forgotten.
"We became a team and any inhibitions were soon discarded. In this environment, I didn't feel gender was an issue. There was definitely no favouritism from being female.
"I don't think I found it tougher than the male recruits. We all found it equally difficult.
Gordon Thomson, the director of rugby at Aberdeen Grammar, praised Mrs McCullough's efforts.
He said: "Louise's love of fitness regimes is well known and she often puts players to shame at pre-season.
"As a regular runner, weight trainer, boxer and fitness fanatic, it came as no surprise when she passed selection to appear on SAS: Who Dares Wins.