To determine if risk stratification followed by rapid geriatric screening in an emergency department (ED) reduced functional decline, ED reattendance and hospitalisation.
This was a quasi-randomised controlled trial. Patients were randomised by the last digit of their national registration identity card (NRIC). Odd number controls received standard ED care; even number patients received geriatric screening, followed by intervention and/or onward referrals. Patients were followed up for 12 months.
There were 500 and 280 patients in the control and intervention groups. The intervention group had higher Triage Risk Screening Tool (TRST) scores (34.3% vs 25.4% TRST ≥3, p = 0.01) and lower baseline Instrumental Activity of Daily Living (IADL) scores (22.84 vs 24.18, p < 0.01). 82.9% of the intervention group had unmet needs; 62.1% accepted our interventions. Common positive findings were fall risk (65.0%), vision (61.4%), and footwear (58.2%). 28.2% were referred to a geriatric clinic and 11.8% were admitted. 425 (85.0%) controls and 234 (83.6%) in the intervention group completed their follow-up. After adjusting for TRST and baseline IADL, the intervention group had significant preservation in function (Basic ADL -0.99 vs -0.24, p < 0.01; IADL -2.57 vs +0.45, p < 0.01) at 12 months. The reduction in ED reattendance (OR0.75, CI 0.55-1.03, p = 0.07) and hospitalization (OR0.77, CI0.57-1.04, p = 0.09) were not significant, however the real difference would have been wider as 21.2% of the control group received geriatric screening at the request of the ED doctor. A major limitation was that a large proportion of patients who were randomized to the intervention group either refused (18.8%) or left the ED before being approached (32.0%). These two groups were not followed up, and hence were excluded in our analysis.
Risk stratification and focused geriatric screening in ED resulted in significant preservation of patients' function at 12 months.
National Healthcare Group (NHG) Domain Specific Review Board (DSRB) C/09/023. Registered 5th March 2009.
Emergency departments (EDs) across developed countries are seeing an 'epidemic' of the elderly [1–5]. Unlike other epidemics, this threat was foreseen decades ago [6–8]. Despite its imminence, EDs remain unprepared for the challenges posed by a rapidly ageing population [9, 10].
Elderly patients are different from their younger counterparts. Not only do they present with atypical features, multiple comorbidities, polypharmacy and cognitive impairment, they also harbor hidden needs not immediately visible in the initial assessment [1, 10, 11]. A patient with hypoglycemia may have acute (sepsis, change in medications) as well as chronic (depression, dysphagia) conditions that precipitated the low blood glucose. Simply reversing the hypoglycemia without identifying and addressing these unmet needs puts the patient at risk of another hypoglycemic episode. Delving deeper in order to unravel these clues require time, which unfortunately, is scarce in an overcrowded ED .
Elderly patients are a variegated group with differing risk profiles. Risk stratification helps to differentiate higher-risk from lower-risk seniors. Here, we used the Triage Risk Screening Tool (TRST) [13–15] to risk stratify, followed by rapid geriatric screening and intervention of at-risk seniors. Although both the Identification of Seniors at Risk (ISAR) [16, 17] and TRST tools performed comparably in a previous studies [18, 19] as well as in our local setting (unpublished pilot study), we chose the TRST because its lower 20% positive rate (vs ISAR's 30%) was more manageable in our ED. Risk stratification was not performed on admitted patients. Such a two-stage workflow has been described before [13–17]; however, we believe this is the first time it has been tailored to the workflow of an extremely busy ED, and in an Asian setting.
The setting was the ED of a 1,500-bedded acute care public hospital in Singapore, with an annual ED attendance of 160,000 patients. The eligibility criteria for inclusion in the study were: (1) patients aged 65 years old and above; (2) TRST score of 2 or more; and (3) patients who were planned for discharge. Patients were excluded if they were: (1) nursing home patients; (2) already on follow up with Geriatric Service; (3) of poor premorbid status i.e. bed-bound; (4) in advanced state of dementia, as defined by an inability to provide a reliable history. TRST score was performed by principal doctor of the patients prior to discharge.
This was a quasi-randomised controlled trial. Patients were randomized using the last digit of their national registration identity card (NRIC) number. Odd-numbered patients were allocated to the control group; even-numbered patients were allocated to the intervention group. This method was used as it was easy to perform in a high ED traffic work environment. Recruitment was conducted only when the Geriatric Emergency Medicine (GEM) nurse was on duty i.e. 0900 hours to 1700 hours on weekdays; and 0800 hours to 1300 hours on Saturdays. Verbal consent was obtained after allocation: the control group via a telephone call by the research assistant (RA) after the patient had already left ED; intervention group by the GEM nurse whilst the patient was still in ED. The following data was collected at the point of recruitment: (1) Age; (2) Gender; (3) Race; (4) Patient Acuity Category (PAC) score; (5) TRST score; (6) baseline modified Barthel's Index of Activities of Daily Living; BADL (out of 20); and (7) baseline Lawton's Instrumental Activities of Daily Living score; IADL (out of 30). The latter two tools were used because they were validated for use over the telephone [20, 21]. The function prior to the current injury or illness was solicited. The principal doctor of the patients was not blinded to the study.
The control group patients received standard care. They were contacted via telephone by the research assistant (RA) within 3 days of discharge from ED. The purpose of the phone-call was to obtain consent for study participation, as well as baseline BADL and IADL scores.
After consenting to the study, the intervention group patients were assessed by the GEM nurse while still in ED, prior to discharge. The nurse performed focused geriatric screening using a 15-question screening form. This was an abbreviated version of the screening tool used in our previous study . The focused areas included cognition, mood, continence, visual acuity and hearing, mobility and social issues. Medication reconciliation and a postural blood pressure were also performed. Each assessment lasted between 15–30 minutes. Clinically significant findings were addressed immediately where possible. Referrals to allied health professionals e.g. physiotherapist and occupational therapist were done as deemed necessary. When appropriate, patients were referred to the geriatric assessment clinic, post acute care at home (PACH), transitional services and community outreach services. Upon discharge, education and advice regarding fluid management, falls prevention, sleep hygiene and active lifestyle were provided where necessary.
The primary outcome of the study was a change in the patient's functional status, measured by BADL and IADL scores. The secondary outcomes were healthcare utilization, as measured by ED reattendance and rehospitalisation. The patients were followed up via telephone call at 3, 6, 9 and 12 months to ascertain their BADL and IADL scores. Subsequent ED attendance and hospitalization were obtained via the national electronic medical records.
The sample size was calculated based on a previous study done in department's short stay ward . It was decided that a change of score of 2 or more in the BADL and ADL was considered as clinically important. To ensure the study had at least 80% power with a two-sided level α of 0.05 to detect a change of BADL or ADL score of 1 between the control and intervention group, a sample size of 143 patients was required in each arm. When analysed, continuous data was compared using student's t-test and Mann–Whitney U test where applicable. Categorical data was analysed using Pearson's chi-square test. Logistic regression analyses were performed for the secondary outcomes of ED reattendance and rehospitalisation. The data was analysed with an intention-to-treat (ITT) principle. Data analysis was done using SPSS (version 19; SPSS, Inc., Chicago, IL).
The study was supported by the Singapore Ministry of Health (MOH)'s Healthcare Quality Improvement and Innovation Fund (HQI2F). The Domain Specific Review Board of National Healthcare Group approved the study.
Between 4th July 2011 and 11th August 2012, 1156 patients were eligible to be included in the study (Refer Figure 1). After randomization, there were 587 patients in the control group and 569 patients in the intervention group. In the control group, 51 patients (8.7%) refused participation and 36 patients (6.1%) did not respond to telephone calls, leaving 500 patients who provided baseline data. In the intervention group, 107 patients (18.8%) refused participation and 182 patients (32%) were not screened by GEM nurse for various reasons, for example the patient was unable to wait for screening, or the GEM nurse was occupied with another case (categorized as the 'Missed' group), leaving 280 patients who provided baseline data. The 'Missed' group was excluded from the analysis as there was a high degree of missing data. Within the control group, 106 patients (21.2%) were referred to the GEM nurse for screening at the discretion of the principal doctor. This group was labelled as the 'Mixed' group, and was analysed as part of the control group according to the intention-to-treat principle. 425 patients (85%) and 234 patients (83.6%) from the control and intervention group respectively completed follow up at 12 months.
The baseline age, gender, racial distribution and patient acuity category (PAC) were similar in both groups (refer Table 1). However, there was higher proportion of patients with a TRST score between 3–6 in the intervention group (34.3% vs. 25.4%, p = 0.01) and the difference was statistically significant. Similarly, there was a statistically significant difference in the baseline mean IADL scores between the groups, the intervention group being more dependent (22.84 vs. 24.18, p < 0.01). This suggested that the patients in the intervention group were more frail.
Within the intervention group, 65.0% of patients were found to have significant fall risk, 61.4% had visual impairment, and 58.2% had improper footwear (Figure 2). 82.9% required some form of geriatric intervention; however, 20.7% declined our suggestions. Amongst the interventions, 18.2% were referred to a physiotherapist on the same day, 28.2% to the geriatric clinic for geriatric syndrome(s) and 15.0% to the ophthalmologist for visual disturbance. PACH medical service was arranged for 6.4% for subsequent home visits. Finally, 11.8% of patients were, through geriatric screening, found to be sicker than expected and were admitted to the ward as a for further management (Figure 3).
Positive findings during rapid geriatric screening.
Interventions following rapid geriatric screening.
Compared to the intervention group, BADL and IADL scores of patients in the control group appeared to have deteriorated, and the difference was statistically significant starting at 3 months. BADL scores for both control and intervention groups deteriorated over 12 months, but the degree of deterioration for the control group was more (-0.99 vs. -0.24, p < 0.01). Whilst the IADL scores for the control group also deteriorated over 12 month, the scores for patients in the intervention group actually improved, and the difference was statistically significant (0.45 vs. -2.57, p < 0.01; Table 2 and Figure 4).
Graphical representation of basic (BADL) and Instrumental (IADL) activities of daily living scores over time.
In terms of healthcare utilization, we did not find any statistical difference in the ED reattendance and hospital admissions between the control and intervention group. Even after adjusting for TRST scores and IADL scores (which were both statistically different at baseline), the odd ratios remain insignificant (Table 3). The number of deaths in both groups was similar (32; 6.4% vs 16; 5.7%).
*Adjusted to TRST scores and IADL scores.
We also performed a per protocol (PP) analysis, combining the 'Mixed' group with the intervention group, both groups having received geriatric screening. Here, results were even more positive, demonstrating reduction in ED reattendance at 6, 9 and 12 months after adjusting for TRST and IADL (Table 4). There was significant reduction in hospitalisation at only 9 months.
Providing holistic geriatric care in a busy emergency department is new and challenging. Current consensus is that dedicated personnel is needed, preferably a multidisciplinary team. Risk stratification is necessary because not every patient would benefit from comprehensive assessment. There also needs to be greater integration with downstream stepdown and community services, more than what traditionally exists in most EDs [10, 23–26].
Results of geriatric screening in the ED have been mixed. The first attempt was by Miller in 1996, which showed no benefit of comprehensive geriatric screening in the ED . The Montreal team who created the ISAR tool found significant reduction in functional decline at 4 months at no higher costs, but also showed a paradoxical increase in ED reattendance [16, 17]. The Cleveland group who invented the TRST score found no change in ED reattendance or hospitalisations; there was only reduction in nursing home admissions at 30 and 120 days [13–15]. The DEED II study in Australia risk stratified solely by age (≥75 years old) and had variegated results: less functional decline at 6 but not at 18 months, and significant reduction in emergency admissions at 18 months. Most of these studies involved a geriatric nurse, often an advanced practitioner nurse (APN), and commonly extended geriatric assessment and intervention to the patients' homes [13–17, 27, 28].
We described a fully ED-based risk stratification and geriatric screening service, conducted by rotating ED (non-APN) nurses trained in geriatric care. Healthcare settings without a strong home-care set-up and without a mature pool of APN's would be interested in our findings. We tried to simulate real-life conditions rather than 'study conditions', and our results have allowed us to continue this service exactly as it was during the study period. Risk stratification followed by rapid geriatric screening has become standard of care.
As with our previous experience, there was a higher number of refusals in the intervention group . This is expected, as geriatric screening involves extending the patient's ED length of stays, which is not often favored by patients or family members. We had initially postulated that these patients may have left ED because they were more 'well'; however, subgroup analysis of their age, PAC and TRST scores did not support this.
21.2% of patients in the control group received geriatric screening at the request of the ED principal doctor ('mixed' group). This was allowed in order to replicate 'real-life' conditions in the ED. These patients remained in the control group and their outcomes were analysed in line with intention to treat principle. Had the patient allocation been strict (i.e. no geriatric screening for control group patients), the true reduction in functional decline, ED reattendance and hospitalisation rates would be more pronounced.
Interestingly, 11.8% of intervention group patients were discovered – during screening – to have sufficiently high risk needs to warrant admission, with a subsequent median length-of-stay of 6 days. This has not been reported in other similar studies, and yet is consistent with our previous experience, where 10.2% of 24-hour short stay ward elders were turned-inpatient for further evaluation . The 33 patients in this study might have potentially been unsafely discharged had geriatric screening not been performed. As a result, currently our ED doctors often use geriatric screening as a safety net when discharging a frail elderly.
Whilst ITT analysis did not elucidate any difference in ED reattendance and hospitalisation rates, per protocol analysis revealed a sustained reduction in ED reattendance over 6, 9 and 12 months. It is likely that the 'Mixed' group was a subjectively more frail subset within the control group, thus prompting the ED doctor to request for geriatric screening. This is supported by more of them having higher TRST scores of ≥3 (38.7%) compared to patients in the control group who were un-screened (21.8%). Our per protocol results suggests that geriatric screening may be particularly beneficial to a frailer group of ED elders.
This study has demonstrated that geriatric screening of at-risk ED elders prior to discharge resulted in a consistent and sustained preservation of function over 12 months. In fact, IADL actually improved at 3, 6, 9 and 12 months compared to baseline, which goes against the natural history of an elderly's function over time. We propose two primary reasons for this. Firstly, since our 2008 study describing geriatric screening in a 24-hour short stay ward , we have expanded our GEM practice. More geriatric services have been added in the ED, such as medication reconciliation, occupational therapist assessments, and geriatric review clinics. We have also established new collaborations with post-acute care at home (PACH), Virtual Hospital (who follows up on frequent attenders), and home help providers (for patients who require ADL support). These initiatives are consistent with some recent GEM recommendations [23, 29], allowing the intervention group to be supported by a mature and robust system in their transition from ED to home.
Secondly, the vast majority of local patients do not have a regular general practitioner, and geriatric screening is not commonly performed at primary care. Majority of our patients would have heard the question 'do you feel sad?' for the first time during their encounter with our GEM nurse. Many of the accompanying relatives were grateful for the extra time taken, and for the more holistic approach they experienced during the visit. It is possible that geriatric screening created a new awareness within the patient and family, prompting them to pay extra attention towards maintenance of the patient's function. The education and discharge advices provided by the GEM nurse may have also empowered the patient to take more responsibility for their own health. Furthermore, the patient themselves would have suffered a minor injury or illness that prompted this ED visit. This vulnerable state possibly made them more receptive to the interventions we proposed.
There were several limitations in our study. In terms of study design, we opted for a quasi-randomised instead of a true randomized controlled trial. We made this decision in order to reduce disruption to the ED operations. However, we feel that our results were still valid as the baseline characteristics between the control and intervention groups were quite similar. Baseline mean TRST scores and IADL scores, which were the only variables that were statistically different at baseline, were adjusted in the logistic regression analysis. Our patient population was a convenience sample that matched the duty hours of the GEM nurses. This may have led to selection bias. This was a necessary compromise in this study.
The major shortcoming of our study was that a large proportion of patients who were randomized to the intervention group either refused (18.8%) or left the ED before being approached (32.0%). These two groups were not followed up, and hence were excluded in our analysis. The size of these groups would have impacted our study results, although it is uncertain in which direction.
Another significant limitation is that the RA who collected BADL and IADL scores via telephone call was not blinded to patients' group allocation. Although observer bias maybe an issue, the fact that the BADL and IADL scoring checklists are objective would have reduced this to a minimum. Furthermore, ED reattendance and hospitalisation data were retrieved via electronic medical records and would not be subject to bias. Finally, we did not collect data regarding quality of life as well as patient satisfaction levels for GEM screening in ED.
Risk stratification followed by focused geriatric screening is feasible and effective even in a busy ED. We have shown significant and sustained in preservation of function over 12 months. Multidisciplinary assessment as well as strong interdisciplinary collaboration are key components of an effective geriatric emergency service.
CLF leads the geriatric emergency medicine team in Tan Tock Seng Hospital, whose emergency department is the busiest in Singapore. Since 2006, his team has strived to deliver holistic, tailored and quality care to ED elders. VSWY, HA and MWLP are senior members of the GEM team. CKO is also an emergency consultant. He holds a Master of Science and is the research lead in the department.
We would like to thank Ministry of Health for the HQI2F grant, our team of 50 GEM nurses, Dr. YY Ding the geriatrician whom we consulted in the study design, TL Tan and SX Lee our research assistants, and all the doctors and nurses in our ED.
This study was supported by the Ministry of Health's Healthcare Quality Improvement and Innovation (HQI2) Fund 2011/11.
CLF, VWYS, MWLP and HA conceived the study, designed the trial, supervised the conduct of the trial and data collection, undertook recruitment of patients and managed the data, including quality control. CLF obtained research funding. CKO provided statistical advice on study design and analyzed the data. CLF and CKO drafted the manuscript, and all authors contributed substantially to its revision. CLF takes responsibility for the paper as a whole. All authors read and approved the final manuscript.


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Dancing on Ices Denise Van Outen and judge John Barrowman were axed together in bitter betrayal – Daily Record
" I was upset since at that time Dannii Minogue, who was a judge on The X Factor, was pregnant too and they simply got stand-in judges.
" I d met my partner through among the shows and here we were having a kid together. It felt unreasonable. I was upset at the time, however I am not troubled by it at all now.".
But their time as coworkers didnt end well, when they were both provided the boot by the musical king, as reports the Mirror.
And in a final twist, he informed a Sunday Mirror journalist: "Im sure as a lady you understand that.".
" A news release had actually already gone out. It said because it was a brand-new program, there was to be a brand-new line-up.
It was during shooting of Any Dream Will Do, the hunt for a new lead in Joseph And The Amazing Technicolour Dreamcoat, that Denise fulfilled future spouse in the shape of contestant Lee Mead.
" We still speak and he has actually invited me round to his house," she informed the Daily Mail in 2012.
" Of course I still have a friendship with Denise," he stated in January 2012.
Denise and the shows eventual winner Lee wed in April 2009 prior to going on to have child Betsy.
" I d satisfied my other half through one of the programs and here we were having a child together. I was upset at the time, however I am not troubled by it at all now.".
" I was sent out all the filming days and three days before I was set to start I discovered out through a journalist that I was no longer part of the program," she informed the Daily Mail in December 2012.
" I was undoubtedly distressed. Andrew was included, he belonged to the decision.".
She was expected to sign up with the West End mogul for his next talent show, Over The Rainbow, to find a Dorothy for a new The Wizard Of Oz production.
Associated Articles
Denise was adamant that Andrew had lagged the choice not to bring her back.
Glaswegian John sits on the panel of judges and has said he is "expecting a lot" from his good friend, however it wont put the pressure on Denise.
However former Big Breakfast host Denise relationship with Lloyd Webber was about to strike the rocks after a really public row.
Nevertheless, he went on to make some questionable remarks that would reignite the row over Denises axing.
However Denise declined the chance to sign up with the search for the lead function in The Sound of Music, confessing she "felt uneasy about being on the panel and offering my criticism".
Tonight, she required to the ice for her preliminary of Dancing on Ice with partner Matt Evers.
The brand-new series of the ITV ice skating reveal gone back to screens tonight.
Having actually shown a successful partnership, he then desired Denise to take part in his very first show, How Do You Solve a Problem Like Maria, when it introduced in 2006.
In 2008 they took part in I d Do Anything to cast a Nancy and three young entertainers for a revival of the musical Oliver!.
Simply 3 days prior to filming for the brand-new BBC series started, Denise found from a humiliating source that she would not be part of the program.
" Weve got a genuine depth with the panel this time.
The spokeswoman added that Denises absence was nothing to do with the truth that she was pregnant.
A spokesman on behalf of Lloyd Webber stated: "The BBC had total and stringent editorial control of Over The Rainbow. The choice to change Denise Van Outen was theirs since they wanted to revitalize the evaluating panel.".
Denise had daughter Betsy with Lee Mead.
( Image: PA).
Associated Articles.
" As a result neither Denise Van Outen nor John Barrowman nor any of the other five previous judges will be participating on the panel.".
I would have missed at a lot of only one program. I felt a little bit cheated due to the fact that I enjoyed the programs.
Denise and John, who had become part of the search for Nancy four years in the past, gave way for a new line-up with Welsh vocalist Charlotte Church, EastEnders actor John Partridge and starlet Sheila Hancock.
The dissatisfied TV judge felt "disappointed and pull down" by somebody who was expected to be her friend.
He stated working around her pregnancy "wouldnt be fair" on the participants contending to play Dorothy in phase production of The Wizard of Oz.
Denise became pals with Lloyd Webber when he chose the Essex performer to be the star of his one-woman show, Tell Me On A Sunday, in 2003.
Lloyd Webber was joined on the panel by Doctor Who star, Scots entertainer John.
They belonged to a panel of professionals charged with the task of discovering West End stars of the future for the legendary theatre producers TV skill search competitions.
Denise Van Outen has actually been reunited with old good friend John Barrowman on Dancing on Ice.
Denise takes to the ice with Matt Evers.
( Image: ITV).
Denise and John Barrowman are old good friends.
The hunt for Dorothy was due to end in May, when Denise would have been eight months pregnant, however she insisted it was not a problem and she felt "in shape and healthy".
Lee Mead was a contestant on the BBC program.
( Image: Getty Images).
" It wouldnt be fair on the ladies if we needed to prepare in somebody for 3 programs who hadnt been working with them.".
" That was what I recommended. I would have missed out on at many only one program. Because I liked the shows, I felt a little bit cheated.
" Over the Rainbow is a brand new program for BBC1 with a completely brand-new lineup of judges," the BBC said in a statement.
Denise and Andrew in happier times in a promotion shot for Any Dream Will Do.
( Image: BBC).
Andrew insisted that there was no rift between him and Denise.
A BBC spokesperson said that none of the judges on any of Lloyd Webbers previous BBC talent programs were returning in the brand-new series.
After a successful series, there was the follow up a year later on called Any Dream Will Do, which included both John and Denise this time round.
Denise Van Outen and John Barrowman
She also made up with Lloyd Webber and insisted that they became friends once again.
The well-known duo have actually collaborated previously, with Andrew Lloyd Webber on the BBC.
Denise welcomed child daughter Betsy into the world in May 2010.
Lloyd Webber said: "The reality is that she is having an infant. Im an excellent friend of Denise, I want her the absolute finest, but we need to believe of our ladies in the program.
His remarks fanned allegations of sexual discrimination by Webber over his treatment of pregnant Denise.
" Weve got a genuine depth with the panel this time. Charlotte will bring the spirit. She has actually been through all of it.".
← Katie Price surprises her son Harvey, 18, with a new bed now hes a man in adorable video – Daily Mail
Patrick Schwarzenegger takes after his father Arnold as he shows off his washboard abs in Maui – Daily Mail →

redpajama_set_name: RedPajamaCommonCrawl


Happy Friday! Did you guys have a chance to check out this year's Holiday Party Outfit Guide that went live on Monday? It's got dozens of gorgeous looks for every occasion this holiday season… from casual friend get togethers to church and nice dinners on Christmas Eve! I hope you take a minute to give it a look! While I did share several budget-friendly options in the guide, I thought I'd go a step further to share a list of my favorite party dresses under $200 today. With so much going on and so many things to attend, the list of outfits can get long… hopefully this roundup can give you some variety this holiday season!
This Topshop taffeta dress looks very couture for being only $100! An LBD that would wow for years to come.
This sequin midi dress is a fun option for NYE! Love the cut and color.
This red Amanda Uprichard number would be perfect for Christmas Eve dinner or a work party!
Pair this dress with a black blazer for a chic NYE look.
Adore the more muted matte sequins on this sheath from ASTR!
This red ruffle shift is another ravishing option for Christmas Eve or an office holiday party!
Not a fan of red? Go green in this lace number or this tiered ruffle sweater dress.
This cozy cowl-neck knit dress is the ideal comfy/casual option to wear to a holiday get together with friends!
This shimmery tunic dress is another pretty (but more casual) option for NYE.
Love the high neckline on this under $80 lace number.
This long-sleeved sequin number features a surprise in the back… don't miss it!


The Daily News Wrote An Article About Us!
Yes, we're just as shocked as all of you. Ok, that's a lie. We were interviewed for the story, so we can't really say shocked. They did run the story, and the world didn't end before it happened, so that's a little shocking. They also didn't use the words 'terrible' or 'waste of time' even once. It's a very nice article, with a video that we produced just for them, as well as a photo gallery with bios for just about everyone on the show. Check it out, and leave some comments letting their readers know just how awesome we are.


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In celebration of International Fairytale Day, this edition is dedicated to the power of fairytales and folktales in every culture. We feature an interview with 12 year-old author Kiera-Lee Hayes, who wrote her very own local version of 'The Gingerbread Man' called 'The Boerewors Man'! The cut-out-and-keep story is 'The three Billy Goats Gruff' by Carole Bloch and Shayle Bester (Jacana Media).
Nal'ibali supplement, edition 87
In this edition, we talk about the importance of Mother Tongue Day and how crucial it is to preserve and protect all languages for children's literacy development! We also speak to author Zanele Ndlovu on how to share stories with your children, and feature the cut-out-and-keep story, 'UMakhweyane UHadi' by Zanele Ndlovu and Charlotte Hill O'Neal (Izilimi Zase-Afrika). In our Story Corner, we feature Part 2 of 'Phindulo and the pumpkin' by Kai Tuomi.
In this edition, we look at how reading stories to children can help them develop skills they need to succeed in science. We also share from parents what stories have done for their children. PLUS we feature the cut-out-and-keep story, 'Jeff and George and the Totem Pole' by Emily Child and Julia Anastasopoulos (Penguin Books South Africa). In addition, we feature Part 1 of the story 'Phindulo and the pumpkin' by Kai Tuomi in our Story Corner.
Sesotho, English PDF)
Nal'ibai supplement, edition 85
In this edition, Nal'ibali answers some of your most frequently asked questions about reading and stories, PLUS we feature the cut-out-and-keep story called 'How lion got his roar' by Gcina Mhlophe and Magriet Brink. In our Story Corner, we feature Part 2 of 'A little bit' by Wendy Hartmann.
In the first edition of 2015, it's all about putting stories at the centre of your home. We provide easy reading resolutions to ensure that books are a part of your child's life, we review our 'Story Power' billboard campaign, and present our newest story: 'A House for Mouse' by Michele Fry, Amy Uzzell and Jennifer Jacobs (BookDash).
In this edition, we talk about bringing home stories during the holiday period. This means time to relax a little as we enjoy being with family and friends, and more time to spend with stories and books! In our Story Corner, we have a story called 'A promise is a promise' by Wendy Hartmann, PLUS our cut-out-and-keep story entitled 'The feast' by Jude Daly and Jiggs Snaddon-Wood.
In this edition, we explore how stories can be used to heal and support children through difficult times. We also chat about our new and improved reading-for-enjoyment cellphone app with Mxit Reach, PLUS we share the cut-out-and-keep story entitled 'A fish and a gift' by Liesl Jobson, Jesse Breytenbach and Andy Thesen (BookDash).
In this edition, we celebrate picture books for International Picture Book Month. We also speak to South Africa's famous author Niki Daly, PLUS we feature the exciting cut-and-keep story by Daly called 'Next stop – Zanzibar' (Pan Macmillan).
This edition features a compelling article about the importance of sharing stories. We also look back on our 2nd birthday earlier this year, and share the cut-out-and-keep story called 'Lazy Mr. Sloth' by Paul Kennedy, Nick Mulgrew and Graham Paterson (BookDash/Paperight).
In this edition, we take 'Story Power' even further by exploring how, when and where to share stories with children. In our Nal'ibali Bookshelf, we celebrate Gcina Mhlophe's birthday,,PLUS we check out the cut-out-and-keep story called 'Come Back Cat', written by Karen Lilje and Nicola Rijsdijk, and illustrated by Sam Scarborough (BookDash/Paperight).
In this edition, we celebrate Nal'ibali's "Story Power: Bring it Home" national awareness campaign, and look at how we use stories to explore our lives – past and present – and to dream about our future. Our cut-out-and-keep story is 'Jojo's wire car' by Veronica Lamond (Random House Struik), PLUS we share an exclusive interview with the author about her career as a writer and illustrator.
In this issue, Gcina Mhlophe speaks to us about the heart of storytelling in Africa, and how our heritage and roots are imparted in every African tale. Actress, "Survivor" contestant and author Bonnie Henna writes about how reading aloud is the best way to spend time with your kids. And our cut-out-and-keep story is the beautifully-illustrated piece called 'Shorty and Billy Boy' by Gerard Sekoto (Jacana Media).
In this edition, we explore the importance of family stories and how they impact childrens' ideas of forgiveness, perseverance and honesty. We share some interesting facts about world-famous children's author Roald Dahl in celebration of his birthday. In addition, our cut-out-and-keep story is the heartwarming tale called 'Theo and the Cat burglar', by Wendy Hartmann and Joan Rankin.
In this edition, we explore the significance of Literacy Day: the role that reading and writing has in our lives, and the importance of global literacy. We also speak with 13-year-old Ammaarah Galant, who is the Public Relations Officers for the Young Authors Club in Cape Town, who tells us why she loves reading. And we feature the vibrant cut-out-and-keep story called 'I know that!', by Maryanne Bester and Shayle Bester (Jacana Media).
In this edition, John McCormick, author of 'Dad, Tell Me a Story', talks about how telling children stories at a young age gets them excited about reading stories later on in life. We share inspirational pieces of writing and drawing from two of our readers PLUS check out our cut-out-and-keep story 'Tuft and Patch Play Games' by Wendy Hartmann.
In this edition, we discuss how you can get your children to use writing as a means to explore and express themselves. We also speak to illustrator Mieke van der Merwe, an art student at the University of Stellenbosch, about the influence of reading on her childhood and creativity. And we share the cut-out-and-keep story 'It Wasn't Me' by Glynis Clacherty and Tasia Rosser (Heartlines) is full of colourful illustrations and life lessons.
Na'ibali supplement, edition 72
In this edition, we speak about the importance of learning life lessons through reading. In addition, the classic tale 'Rapunzel' gets a local twist, as we give children the chance to read the South African version – 'Refilwe' by Zukiswa Wanner and Tamsin Hinrichsen (Jacana Media).
isiZulu, English PDF)
In this edition, Babalwa Shota, Assistant Editor at 'Sunday World', speaks to us about the importance of books to bond with one's children. We feature feedback from our readers, PLUS we share the beautifully-illustrated cut-and-keep story 'The lion and the little brown monkey' by Tshepo Mokono and Vusi Malindi (Heartlines).
In this edition, we offer tips and tricks to help get your kids to treasure books. We also look back at the launch of our Children's Literacy Charter, and share the cut-out-and-keep story called 'Books are friends' by Carole Bloch and Alzette Prins (Jacana Media).
In this Father's Day special edition, we share advice from US author John McCormick about the importance of getting dads to read to children, PLUS how they can start a storytelling tradition at home. We feature Story Star, Simon Tau, a reading dad and leader of the successful Glen-Cowie Fun Fun reading club; and we enjoy the special teen-read 'The skin I live' in by Francesco Nassimbeni (FunDza) in celebration of Youth Day. We also feature the read-aloud story, 'Stella gets stuck' by Lisa Greenstein (Zigzag Book).


Grayshott Pottery, established in 1956, has always been associated with art. We emerged from the old Kingwood Pottery in Brook, with connections to Compton Pottery, which was started by Mary Watts, wife of the great Victorian painter, G. F. Watts.
From producing ceramic giftware for London stores and gift shops, we now create exclusive studio art ceramics for galleries and homes around the UK. Under our Surrey Ceramics brand, we make bespoke ceramics for celebrity chefs and catering ware for many national high street pubs and restaurants. We pride ourselves on being run as an Employee Benefit Trust, which gives all our staff a direct, personal share in the business and its success.
An innovative and exciting development for us was the acquisition of Dartington Pottery in 2005, when they ceased trading in Devon. This enabled us to transfer a set of new skills using high fired reduction glazes to achieve stunning vibrant hand painted finishes.


App will now notify you if there is a new version available.
Added base support for x86 architecture.
Made it clearer on how to start using GameGuardian, by adding a start button in main app, when you first open it up.


text:
Game Notes, News
Paton Robs Outlaws 4-2
by Alistair Burns
Whaler "Big Goal" Cole Svendson scored on the man advantage Dec. 10. At press time, he still leads the PJHL with 26 goals.
Whaler goalie stops shorthanded breakaway
CENTENNIAL ARENA – The Whalers only dressed 18 skaters with three of their top six defenceman – Caleb Cruz, Dylan Travis and Charlie Derrheim – all sidelined. And yet, new goalie Mark Paton steered the Pod to victory.
What was his game plan when he faced 32 shots during a 4-2 win over the Mission City Outlaws on Dec. 12? Cover the puck for a stoppage as often as he could.
"Everyone's a little bit tired. We've had a lot of games recently, so short shifts, a lot of whistles," the three-year Jr. 'B' veteran from Surrey explained. He now has a record of four wins and two losses for the Whalers.
New Whaler goalie Mark Paton came to the Pod in a trade two weeks ago and had a stellar outing between the pipes on December 10.
His most memorable save came on a shorthanded breakaway from Mission's Owen Elson. Paton outwaited the Outlaw and smothered the shot.
Paton joined the Pod in a trade from the Aldergrove Kodiaks two weeks ago and has proven to be a wise acquisition.
"I was excited! I mean, I'm a local guy so it's pretty cool that I get to play here. I have some friends on the team so that's pretty awesome," Paton said.
Up front, the Whalers clicked on the man advantage. "Big Goal" Cole Svendson, Jacob Dorohoy, and Kieran D'Souza notched powerplay markers. D'Souza picked up a rebound from a Sam Cordina shot and snapped the puck to the top corner past Mission goalie Brian Dale.
D'Souza: 'Really tough' with 18 players dressed
D'Souza, a six foot one forward, mentioned the "really tough" reality of skating with only 18 players dressed – two less than the limit of 20. While it was "really nice to pull through and get a win today," he thought the Whalers need to improve defensively in their march towards a playoff spot.
White Rock head coach Jason Rogers was impressed by his team's resilience. "You've got to take advantage of these opportunities, and I thought we did that exactly tonight."
Whaler Jacob Dorohoy also notched a powerplay goal.
Swiss Army Knives come out
The Whalers certainly were creative in stretching the roster. Travis Smythe skated both upfront and on defence; captain Chris Fortems played the point on the powerplay; took face-offs as a centreman and on the wing. He also had two assists.
At press time, Dec. 12, Fortems still led the league with 56 points; Svendson topped the goal-scoring race with 26.
Meanwhile, the Whalers have a record of 15 wins, 12 losses and a lone overtime loss for a total of 31 points – fourth place in the six-team Tom Shaw Conference – and one point behind the third-place Grandview Steelers.
Dec. 10: Whalers v. Langley Trappers
CENTENNIAL ARENA – In a hyped rematch of last season's Pacific Junior championship final, the Langley Trappers effectively used their powerplay time for a 5-1 road victory.
The Trappers were an outstanding 3-for-4 on the man advantage as Liam Bressette, Tyler Shaughnessy, and Anthony Bosnjak – forever remembered as the man who broke Whaler hearts when he scored the wraparound goal to win the Stonehouse Cup for Langley – all notched markers with the extra man Dec. 10.
The bad blood between the two teams boiled over during the second period. The Centennial Arena penalty box was crowded as Whalers Kaz Yamazaki and Cole Dennis-Sharma, along with Trappers Wyatt Christiansen and Brock Mierzejewski all sat for respective minors and 10-minute misconducts.
Behind the bench
Matt Rogers, assistant coach for the Whalers and the first captain in the expansion franchise's history, explained the mindset when chaos reigned on the ice. He told his players to "keep their composure. Do what you can."
POST GAME AUDIO with Coach Rogers, Mark Paton & Kieran D'Souza
Captain Chris Fortems will embrace "any opportunity for his teammates...I thought Chris was fantastic," Coach Jason Rogers said.
Live Audio with Coach Rogers
https://www.whiterockwhalers.ca/wp-content/uploads/sites/9/2022/12/12-12-22-Post-Game-Pod-Coach-Jason.mp3
"I just wanted to come out and challenge the shot," goalie Mark Paton said of his save on a Mission shorthanded breakaway.
Live Audio with Mark Paton
https://www.whiterockwhalers.ca/wp-content/uploads/sites/9/2022/12/12-12-22-Interview-40-Mark-Paton.mp3
"I try to bring a bit of offence...anyway anyone else can contribute, that's good for our team," rookie Kieran D'Souza said.
Live Audio with Kieran D'Souza
https://www.whiterockwhalers.ca/wp-content/uploads/sites/9/2022/12/12-12-22-Interview-24-Kieran-DSouza.mp3
POST GAME AUDIO with Assistant Coach Matt Rogers
Live Audio with Assistant Coach Matt Rogers
https://www.whiterockwhalers.ca/wp-content/uploads/sites/9/2022/12/12-10-22-Post-Game-Pod-Assistant-Co.mp3
NEXT AWAY GAMES
Whalers travel to the Mission Leisure Centre to battle the Outlaws. Saturday, Dec. 17th | 6:45 p.m.
Thursday night the POD visits Minoru Arena to take on the league leading Richmond Sockeyes.
Thursday, Dec. 22nd | 7:00 p.m.
NEXT HOME GAME
Whalers host the Port Moody Panthers.
Saturday, Jan. 7th | 7:30 p.m.
Centennial Arena
2022/23 Season Schedule
#CatchtheWave
Latest Pod News!
Players of the Week | Derrheim, Mierzejewski, Mathieson
Pod Plays Grinch To Sockeyes


text:
Ами Кондо (; ) — японская дзюдоистка, бронзовый призер Олимпийских игр 2016 года, чемпионка мира, серебряный призёр Азиатских игр 2018 года.

Биография
На летних Олимпийских играх 2016 года в Рио-де-Жанейро Ами Кондо была посеяна под 3-м номером, благодаря чему стартовала сразу со второго раунда. По ходу соревнований японская дзюдоистка одержала две досрочные победы и вышла в полуфинал. Там Кондо предстояло встретиться с аргентинской дзюдоисткой Паулой Парето. Поединок продолжился все положенные по регламенту 4 минуты. Единственным результативным действием за поединок стал бросок, выполненный Парето, благодаря чему она и вышла в финал. Кондо в упорной схватке за бронзовую медаль смогла победить лидера мирового рейтинга из Монголии Мунхбатын Уранцэцэг.

Выступления на Олимпиадах

Ссылки

 Профиль на сайте alljudo.net

Чемпионы Японии по дзюдо
Дзюдоисты на летних Олимпийских играх 2016 года
Бронзовые призёры летних Олимпийских игр 2016 года
Чемпионы мира по дзюдо

redpajama_set_name: RedPajamaWikipedia


This CellML model has been curated, the units are consistent and the model runs in COR and PCEnv. This model recreates the published results.
Abstract: The Na-dependent, low affinity glucose transporter SGLT2 cloned from pig kidney is 76% identical (at the amino acid level) to its high affinity homologue SGLT1. Using two-microelectrode voltage clamp, we have characterized the presteady-state and steady-state kinetics of SGLT2 expressed in Xenopus oocytes. The kinetic properties of the steady-state sugar-evoked currents as a function of external Na and a-methyl-D-glucopyranoside (aMG) concentrations were consistent with an ordered, simultaneous transport model in which Na binds first. Na binding was voltage-dependent and saturated with hyperpolarizing voltages. Phlorizin was a potent inhibitor of the sugar-evoked currents (Ki ~10 mM) and blocked an inward Na current in the absence of sugar. SGLT2 exhibited Na-dependent presteadystate currents with time constants 3-7 ms. Charge movements were described by Boltzmann relations with apparent valence ~1 and maximal charge transfer ~11 nC, and were reduced by the addition of sugar or phlorizin. The differences between SGLT1 and SGLT2 were that (i) the apparent affinity constant (K0.5) for aMG (~3 mM) was an order of magnitude higher for SGLT2; (ii) SGLT2 excluded galactose, suggesting discrete sugar binding; (iii) K0.5 for Na was lower in SGLT2; and (iv) the Hill coefficient for Na was 1 for SGLT2 but 2 for SGLT1. Simulations of the six-state kinetic model previously proposed for SGLT1 indicated that many of the kinetic properties observed in SGLT2 are expected by simply reducing the Na/glucose coupling from 2 to 1.
Schematic diagram of the Mackenzie et al 1996 SGLT2 model. C' represents the external-facing carrier. C'' represents the internal-facing carrier.
Derived from workspace Mackenzie, Loo, Panayotova-Heiermann and Wright, 1996 at changeset 097e4b94ab87.


William Peter Blatty's seminal demonic possession novel became a legitimate phenomenon (oxymoronic pun sort of intended) when William Freidkin adapted it in 1973. The film version of The Exorcist struck a chord with audiences and critics alike, winning two Academy Awards and four Golden Globes. It also stirred a trend, causing many a filmmaker from New York to Hollywood to spit out an Exorcist clone.
More than 40 years later, the paranormal market is still warm, despite the heaps of ghost hunters and demonologists traipsing about on cable and YouTube. And just when you thought it was safe to eat pea soup again, along comes FOX.
THR announced FOX has ordered up a pilot based on the '70s horror classic. The network also pegged screenwriter Jeremy Slater (Fantastic Four) – who will also act as executive producer in addition to James Robinson, Barbara Wall, and David Robinson for Morgan Creek and 20th Century Fox Television – to pen the first one hour episode. All indications so far point to a relatively faithful adaption, perhaps minus Mercedes McCambridge's invective-laced performance as the demon-possessed teen's voice (Regan was played by Linda Blair, of course), unless the pilot winds up on FX.
The book was based on the strange case of Roland Doe, an anonymous boy exorcised by the Catholic Church in 1949. The book and film revolve around the possession and exorcism of a young girl named Regan (Linda Blair) and the wavering faith of Father Damien Karras. The terrifying movie spawned several mediocre sequels, including Exorcist II: The Heretic (1977), The Exorcist III (1990) and a twice-baked reboot, Exorcist: The Beginning and Dominion: Prequel to the Exorcist (both 2004). Over the years, there have been several rumored spinoff series and films, including reports that Blatty himself was attached to a mini-series, but nothing much came to fruition.
A fresh take on the Exorcist series is an intriguing and welcome possibility, as long as it's handled properly. The original film has consistently ranked among the scariest films of all time. In spite of its otherwise dated look, the film still has enough gravitas to creep out even jaded modern audiences (crab walk anyone?). Plus, an updated Exorcist series has a wealth of potential characters and subplots to mine, such as exploring the priesthood and the Catholic Church, as well as Regan and her family. There are also host of moral implications the show could explore, including the legitimacy of exorcism, faith versus science, and the concepts of life after death.
However, if the show chooses to play it safe, it could wind up a DOA supernatural drama with fewer teeth than an episode of Goosebumps. In addition, FOX's choice in writers could influence the series as well. Slater's Fantastic Four wasn't exactly a knockout at the box office or with critics. But if he stays true to the original material, an Exorcist series has the potential to enhance and enrich the original storyline.
Screen Rant will keep you posted on the progress of The Exorcist TV series as news is made available.


Jamie is a Chartered Psychologist and a Senior Research Fellow of the Society for the Study of Addiction (SSA). In his role as Deputy Director of the UCL Tobacco and Alcohol Research Group, he co-leads a programme of research to evaluate digital behaviour change interventions and manages the monthly population surveys, the 'Smoking and Alcohol Toolkit Studies'. In over 70 publications on a variety of topics, a particular focus has been on tobacco control, including real-world monitoring and evaluation of e-cigarettes, harm reduction activity, and national tobacco policies and events. He has been invited to present his work on e-cigarettes at international conferences, to the UK regulatory authorities for medicines, and has co-authored a briefing to the UK All-Party Pharmacy Group. He is a co-author of Theory of Addiction (second edition) and ABC of Behaviour Change Theories, and an Assistant Editor at the journal Addiction.


text:
Q: What are the integrals defined for $\mathbb{R}^n$? In multivariate calculus,

*

*I was wondering what types of integrals are studied? Here are my naive view:

*

*Multiple integral: If I understand correctly, it is just a plain generalization of Riemann integral on $\mathbb{R}$ to on $\mathbb{R^n}$.

*Integral of differential forms: It is something I am not able to truly understand. Is it a special kind of Lebesgue integral? Does its definition rely on measure?

*When trying to compare them together, I have some further questions:

*

*Are multiple integrals and integrals of differential forms two different types of integrals? Do they belong to some common type of integral, similarly to that Riemann integral and Lebesgue-Stieltjes integrals both belong to Lebesgue integral? How are they related?

*Is it correct that multiple integrals have no orientation involved, but an integral of differential forms does, in the sense of changing the order of dummy variables in $dx_1 dx_2$ will or will not change the integral?

*What type of integral is used in vector calculus, for topics such as gradient, divergence, curl, Laplacian, the gradient theorem, Green's theorem, Stokes' theorem, divergence theorem? Are the line integral, surface integral and volume integral defined as belonging to Lebesgue integrals or Riemann integrals, integrals of differential forms, or something else? Do their definitions rely on measure?
Thanks and regards!

A: I am reading this question as saying: There are too many integrals and that confuses me. Here is my attempt to clear the waters a little.
First, let's consider our old friend the Riemann integral. We used this to find the areas between curves (or volume bounded by surfaces if we go up a dimension). In fact, The Riemann integral was presented as the solution to this problem, and it works very well except that some things which are "obviously true" fail to even make sense for this integral. The example I have in mind is that $\int_{\mathbb{R}}\chi_{\mathbb{Q}} = 0$, where $\chi_{\mathbb{Q}}$ is the indicator function of the rationals, is something that we want to be true, but the function fails to be Riemann integrable. The Lebesgue integral is the solution to this problem.
Even though you have to learn a whole new theory of Lebesgue integration on measure spaces you can think of it as a patch which makes the dominated convergence theorem true since (as long as you pick the right definition of measurable function) the two integrals agree whenever the Riemann integral exists. This is done by (more or less) slicing horizontally rather that vertically, and having a more robust version of "area".
Your questions about differential forms are possibly answered by the following statement:
Calculus is awesome!
What I mean is that we have learned a tremendous amount by doing calculus, and wouldn't it be great if we could use this tool on "shapes" other than (open subsets of) $\mathbb{R}^n$, say for example curves and surfaces. As it turns out differential forms are the solution to this problem. Rather than go into a whole course about manifolds let me just say that whatever a manifold is, $\mathbb{R}^n$ is one and the forms notion of integration coincides with the regular way. So we can think of differential forms less like a new way to integrate and more like a way to extend the value of integration while at the same time giving a new language in which to reinterpret what what we know in $\mathbb{R}^n$.
To sum up when you are integrating you are always using differential forms and the Lebesgue integral, but of course you don't need to know that most of the time.
I hope this answers at least a few of your questions.

redpajama_set_name: RedPajamaStackExchange


Seniors are an integral part of life and there is need for you to take good care of them and avail the help they need. There is need for you to consider seeking home care services provider. Below are integral and fundamental benefits of senior home care services that you need to fathom.
For the seniors, getting enrolled through nutritious meals is overly beneficial. Home care services will ultimately enable the senior get to feed nutritious meals as they help plan and prepare the meals. These are meals that will be prepared with a lot of love and this is what makes the meals special.
Errands are indispensable in life and seniors have errands as well. These errands might be for shopping or even to collect something from the malls or stores. Therefore, home care tends to be overly beneficial to the seniors as they will be availed the transportation they need for the errands. At the same time, there will be personal care services availed and this tends to simplify the entire process.
Majority of the seniors will always have a problem with keeping track of time. There are high chances that these seniors will always fail to take meds as required. Through home care, your loved one will always manage to take their medication on time. At the same time, they will manage to take the right medication and this matters great a deal.
Like other populaces, there are things that the elderly wants to do whether hobbies or their interests. Therefore, where the senior gets the help of a home care services provider, they get a platform to attend to their hobbies and interests. There will be peace within and without experienced as well as happiness.
Through home care services, seniors get a chance to attend and be part of social events at all times. There will always be events that the senior would love to attend even if it's a church services or a wedding of a family member. It is therefore through home care services that the seniors get to stay vibrant and somehow dependent.


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redpajama_set_name: RedPajamaGithub


any true beastie boys fan has to like mullet head. this song is great.
bass riff is played up a step it will sound cooler.
than it should be and youll know what i mean.
everything is played almost as fast as possible.
that i cant even hear to try to tab.
heres the next part that the song finishes with.
they play it slower than the other part.
sanchoafable@yahoo.com, even though its self explanatory.
dont bother asking about any other songs. im too lazy to tab any more.


text:
Q: How to implement Flavours (minimal, standard, complete) and Checkbox Options with NSIS? I am struggling with the Section configuration of NSIS (Nullsoft Scriptable Install System).
I want to implement installation options as shown in the following mockup:

The drop down list contains the following elements:

*

*Minimal (only MyApp Core Components is selected),

*Standard (MyApp Core Components, Feature A/B/C, and the Feature's Required Components are selected),

*Complete (everything is selected), and

*Custom (not selectable but shown when modifying the atomic options).

"MyApp Core Components" is the required component, and I already have that implemented as there is a required option for only one section.
However, how do I set-up the other section (Feature A/B/C, and sub-sections)? How to automatically deselect the sub-sections (there may more than one) when the parent section becomes deactivated?
How to indent a section in general (like in the screenshot)?
And how to implement the drop down list with the automatic selection (override), and on the other side, change the drop down to "Custom" when the user changes features manually?

A: To create a tree layout you need to use SectionGroup. Use SectionIn to tie a Section to a specific InstType:
Page Components
Page InstFiles

InstType "Full"
!define IT_FULL 1
InstType "Minimal"
!define IT_MINIMAL 2

Section "Required stuff"
    SectionIn RO
SectionEnd

SectionGroup /e "G1"
    Section "G1:A"
        SectionIn ${IT_FULL} ${IT_MINIMAL}
    SectionEnd
    Section "G1:B"
        SectionIn ${IT_FULL}
    SectionEnd
SectionGroupEnd

Section "a section"
    SectionIn ${IT_FULL} ${IT_MINIMAL}
SectionEnd

Section "another section"
    SectionIn ${IT_FULL}
SectionEnd


text:
Юшо () — муніципалітет у Франції, у регіоні Прованс — Альпи — Лазурний Берег, департамент Воклюз
 Юшо () — муніципалітет у Франції, у регіоні Окситанія, департамент Гар


text:
Category Geography
Relief of Northern Brazil
In the Northern Region, three areas of relief prevail: Amazonian Plain, which follows the great river basin, with altitudes ranging from 100 to 200 meters above sea level. Amazonian Plains Region of plateaus, between 200 and 800 meters high, in areas of plateaus and mountain ranges, including the Carajás mountain range, the Pelada mountain range, the Tumucumaque mountain range, the Acarai mountain range and the Cachimbo mountain range in the state of Pará; the Serra Dourada, the Chapada das Mangabeiras, in Tocantins and the Chapada dos Parecis in Rondônia.
Flags of Asian countries
The following are the flags of the Asian countries. Click on the desired flag to see it larger. Afghanistan Saudi Arabia Armenia Palestinian Authority Azerbaijan Bangladesh Bahrain Burma Brunei Bhutan Cambodia Qatar Kazakhstan China Singapore North Korea South Korea United Arab Emirates Philippines Georgia Yemen Comoros India Indonesia Iran Iraq Israel Japan Jordan Kuwait Kurdistan Laos Lebanon Malaysia Maldives Mongolia Nepal Oman Pakistan Kyrgyzstan Syria Sri Lanka Thailand Taiwan Tajikistan East Timor Turkmenistan Turkey Uzbekistan Vietnam
Africa's economy
Africa is the poorest continent in the world. About 1/3 of Africa's inhabitants live on less than $ 1 a day, below the World Bank's poverty level. The spread of epidemics, the worsening of misery and the armed conflicts bring this region into chaos. In addition, nearly 2/3 of the planet's HIV carriers live on this continent.
America (continued)
Climate Types and Plant Landscapes of the American Continent In America, the factors influencing climate interact in different combinations, constituting different climate types that spread throughout the Americas. Polar Climate In the far north of America, where the polar climate is dominant, average annual temperatures are negative, with snow almost all year round.
It is the third largest continent on earth, just behind Asia and the Americas. Along with the adjacent islands, it occupies about 30 million km 2, covering 20.3% of the total land area of the planet. It is also the second most populous continent on earth, just behind Asia. It has over 800 million inhabitants in 54 countries, representing about one seventh of the world's population.
Population of Africa
Africa's population is over 800 million, distributed in 54 countries and representing about one seventh of the world's population. In the northern part of the continent, including the Sahara, predominate Caucasian people, mainly Berbers and Arabs. They make up approximately a quarter of the continent's population.
The stars of Brazil flag
The Brazilian flag was adopted on November 19, 1889. It is based on a green rectangle with proportions of 7:10. Enclosed to it is a yellow rhombus, which inscribes a blue circle, crossed by a white sign with the words "ORDER AND PROGRESS" written in green letters, as well as 27 white stars.
Flags Guide
The flag of a country is the visual symbol that represents it. In this section you will know the flags of the various countries of the world. Choose below the desired continent. Africa America Asia Europe Oceania
Economy of America (continued)
The American continent is exceptionally rich in energy sources and mineral resources. The enormous hydropower potential of its rivers is increasingly exploited in North America and to a lesser extent in South America, where Brazil, Colombia, Bolivia, Argentina, Paraguay and Chile have begun to harness the important rivers of the Andean region and the Basins. Atlantic slope.
Continents, seas and oceans
By analyzing the earth's surface through features such as maps and photos, we will find that the portion of the earth's surface (continents and island) is less than the amount of water in the oceans and seas (net mass). This can be clearly seen in the following image of the world map. Seas Seas can be seen in a number of ways: Inland Seas Although they are connected to the ocean through strait and canals, they are almost entirely enveloped by land.
When he died in 1506, Christopher Columbus was convinced that after crossing the Atlantic he had reached the Indies. However, European scientists of the time had no doubt that the uncovered territory constituted an unknown and extraordinarily complex continent. It was up to German cosmographer Martin Waldseemüller to baptize the new lands under the name of America, in honor of Italian navigator Amerigo Vespucci (Amerigo Vespucci), whose accounts were the first to assert the existence of the "New World."
Brazilian states
This section provides information about the 27 federative units, 26 states and one federal district. State of Acre (AC) State of Alagoas (AL) State of Amapá (AP) State of Amazonas (AM) State of Bahia (BA) State of Ceara (EC) Federal District (DF) State of Espírito Santo (ES) State of Goiás (GO) State of Maranhão (State of Mato Grosso, State of Mato Grosso do Sul (MS) Minas Gerais (MG) Pará (PA) Paraíba (PB) Paraná (PR) Pernambuco (PE) Piauí (PI) Rio de Janeiro (RJ) Rio Grande do Norte (RN) Rio Grande do Sul (RS) Rondônia (RO) Roraima (RR) Santa Catarina (SC) Sao Paulo (SP) Sergipe (SE) Tocantins (TO) See also Laifi.
Africa - Physical Aspects
Africa is separated from Europe by the Mediterranean Sea and is linked to Asia at its northeastern end by the Suez isthmus. However, Africa occupies a single tectonic plate, unlike Europe which shares with Asia the Eurasian plate. To the north, it is bathed by the Atlantic Ocean on its western coast and by the Indian Ocean on its eastern side.
We call the season each of the four subdivisions of the year based on weather patterns. They are: spring, summer, autumn and winter. The seasons occur due to the slope of the earth in relation to the sun. We can then say that the seasons are caused by the earth's axis of rotation, along with its motion around the sun, which lasts for a year and is called translational.
Flags of Oceania
The following are the flags of the countries and territories of Oceania. Click on the desired flag to see it larger. Australia Fiji Guam Cook Islands Marshall Islands Solomon Islands Kiribati Mariana Islands Micronesia Nauru Niuê New Zealand Palau Papua New Guinea French Polynesia American Samoa Western Samoa Solomani Tonga Tuvalu Vanuatu
The continents, their countries and their main characteristics
In this section, we present a table showing the largest and smallest countries on each continent. Also check out which countries have the highest and lowest population density and life expectancy. Geographic Extremes of Continents Continent Characteristic Country Greatness Africa Largest country in length Sudan 2.
Flags of the countries of America
The following are the flags of the countries of America. Click on the desired flag to see it larger. Anguilla Antigua and Barbuda Argentina Aruba Bahamas Barbados Belize Bermuda Bolivia Bonaire Brazil Canada Chile Colombia Costa Rica Cuba Curacao Dominica El Salvador Ecuador United States Grenada Guatemala Guyana Haiti Honduras Cayman Islands Falkland Islands Turks and Caicos Islands British Virgin Islands Jamaica Mexico Montserrat Nicaragua Panama Paraguay Peru Port Rico Dominican Republic Saint Lucia Saint Kitts and Nevis Saint Vincent Suriname Trinidad and Tobago Uruguay Venezuela
Curiosities Hurricanes Hurricanes are common phenomena in Central America and the southeastern United States. They form in hot, humid areas after the sun's rays have warmed the ocean mass, causing a rapid rise in humidity, which as it rises cools, condenses and falls in the form of rain.
History of America (continued)
From the seventeenth century, the Netherlands, France and England began to enter America, attacking the silver-loaded Spanish fleets and founding colonies in the territories occupied by the Spanish and Portuguese. The Dutch were content with the possession of some enclaves of great economic and strategic value in Guyana and the Lesser Antilles, while France and England began a period of confrontation to gain control of the American territories.
Asia is home to more than half of the total population of the planet, concentrating mainly on the great plains of China, the Ganges valley, the Deccan coasts, Japan, the Mekong delta and Java, while the mountainous areas and regions. cold and deserted are almost unpopulated. The unequal distribution of population is reflected in demographic density indices, which in the late twentieth century approached 800 inhabitants per square kilometer in the valleys of mononic Asia and, in contrast, reached only four per square kilometer in Siberia and the deserts of the Central Asia
Black holes are one of the most important scientific discoveries of the entire twentieth century. We call a black hole a region in space that contains so much concentrated mass that no object can escape its gravitational pull. That is, it is an object with a gravitational field so intense that the escape velocity exceeds the speed of light.
Is there evidence for the use of the solenarion in late Medieval Ethiopia?
Roe II DD- 418 - History
Are paintings in history generally darker? Are they related to the pigment verdigris?
Seventeen states put gasoline rationing into effect
Microclimates
Copyright 2022 \ Geography...


Hello my name is Rebecca, you can call me Mommy Rebecca.
I have wondered for a long time why I like to nurture and cuddle those around me. I have wondered why it gives me the greatest sense of satisfaction to have my special boys and girls in my arms, drifting off to lullaby.
The answer is quite simple I am naturally maternal. However, if my baby decides to misbehave, over my knee you go for a sound spanking or corner time.
Sissy BoyfriendFun Pile Of Diapers!


Our improved Spring Bonds are as popular as ever, offering Bond holders an effective 25% discount on their purchases.
Classic Bonds: You pay $75 and on April 1st your Bond matures to its full value of $100.
Silver Bonds: You pay $750 and on April 1st your Bond matures to its full value of $1,000.
Gold Bonds: You pay $1,875 and on April 1st your Bond matures to its full value of $2,500.
You can buy Spring Bonds online, or you can buy them over the telephone with a credit card number, and of course you can still stop in and buy your Spring Bonds in person in our shop.
Click to buy your Spring Bonds easily online today.
* Terms and conditions available at our website here.


text:
Young fiddler earns honors in Grove
Kaylea M. Hutson-Miller •�khutson@grovesun.com
Jun 12, 2018 at 2:00 AM Jun 12, 2018 at 10:26 AM
Ten months ago, Sierra Yetter made a big investment and began to play the fiddle.
That investment - which included lots of practice - paid off on Saturday, as Yetter, 9, was named the P.T. Riley Jr. Jr. Achievement Award at the 2018 American Heritage Music Festival in Grove.
The girl from Allen, Oklahoma, taking part in her first competition, was all smiles as she received the honor from legendary fiddler and founder of the event, Jana Jae.
Yetter said she wanted to play the fiddle for a while. Finally, about a year ago, her grandmother Virginia Richarson, took her to a violin shop.
It was a match made in strings.
"I thought [playing] was cool," Yetter said, adding was drawn to the fiddle.
"I've always watched [them] in the orchestra," Yetter said. "I just like their sound."
For the Junior, Junior division, Yetter played Cripple Creek and the Kentucky Waltz for the judges.
With her first competition under he belt, Yetter has set her next goals - work to become a professional musician.
"I want to be famous and take care of my family," she said with a grin.
The fiddle is one of two instruments Yetter began playing this year. She also started learning to play the piano.
"I like music because it teaches me new things," she said


Hair Removal 411 is the web's premier resource for finding quality Beauticians online. If you are looking for a Beautician in Orrum, NC, Hair Removal 411 is the place for you! You can browse our directory of Beauticians to find one in your area that fits your needs.


Cooney Brothers has added Dave Eck to be the Territory Manager in the states of Delaware and Maryland.
With over 25 years of experience working within the PVF industry, Eck has taken over the territory vacated when long time employee Andy Lagasse retired at the end of July 2018.
Eck started his career as a Sales Engineer at The Duriron Company/ Flowserve, where he became factory trained in pumps, valves, actuation, and metallurgy. His career has included roles in direct sales and as a regional manager for manufacturers including Cameron, and most recently Apollo.


Combination of a Notebook case, trolley and carry-on luggage - ideal for short business trips. The Notebook is stored in a separate, especially cushioned case. If necessary the Notebook case can be fixed to the trolley. The Mobile Commuter has a solid back, a compartment for clothes and two large document compartments. Mobile accessories can be stowed away in small pockets in the interior of the bag. The front two separate pockets offer ample space for pens, business cards and a mobile phone. In addition there is a cable pocket and a flexible shoulder strap.


25 of the most incredible, sensational spiralizer recipes for you to enjoy all summer long. From zoodles to salads to stir-fry, you won't be missing those carby noodles.
I have been OBSESSED with my spiralizer this summer. We're really trying to make our summer meals a little lighter in the bold attempt at us becoming a little lighter. My spiralizer has been a huge help in this arena, as we LOVE carbs. Especially pasta! But, what I've quickly discovered, especially making Toasted Almond Pesto Zoodles with Heirloom Cherry Tomatoes, is that we love the sauce even more! Plus Zoodles is just fun to say!
My other favorite aspects to spiralized recipes is that they can be made days ahead of time. Simply store raw zoodles in a ziptop bag with a paper towel, and they'll last several days in the fridge. And they take minutes to make. That will make putting a healthy dinner on the table fast and easy!
Here are 25 Sensational Spiralizer Recipes to inspire your next zoodle dish!
Which one do you think you'll try first? Here are some of the best rated Spiralizers for you to get started on your spiralizer recipes!
I have a spiralizer but it doesn't get a lot of use. But those stroganoff zoodles are calling to me! I really DO need to do more zoodles and fewer carbs so I can get rid of the last of this baby weight!
Wow lots of great recipes here. I have an OXO Spiralizer….and LOVE IT. So much fun to use, and the dishes are cool to eat too.
Plenty of low carb idea in there! I do have manual (the third one from your pic) instrument to make zoodles… but not a fan of it… I'd rather use my cheese grater. Any preference on your side?
What a fab collection of spiralizer recipes, just what I need as my courgette plant is giving me so many courgettes at the moment. I love the sound of the Vietnamese zoodle salad.
Ooh! These look incredible. I got a spiralizer last year and don't use it nearly enough. I would love to try those Alfredo Zoodles.
What a fab collection of recipes! I used to have a spiralizer but then I gave it away. Wish I hadn't now!
You should consider getting another one! They're pretty cheap as far as kitchen appliances go!
Thank you for including my kohlrabi salad in this post. Sharing all around :-).
You're so very welcome! We're planning on growing kohlrabi this fall, I can't wait to try this with our own crop.
I'm currently *obsessed* with my spiralizer and am constantly looking for new recipes to try out! These are great — I can't wait to try them all out!
Some of these look so yummy. I definitely need to try a few of these out!
I can't wait to try some of these. I have a spiralizer but only used it a handful of times. Now with all the recipes I will have endless meal options.
I used to have a cheap version of the spiralizer, but it fell apart after one use. I was so disappointed that I didn't bother to get another one – better version or not. I've seen posts with beautiful foods using spiralizers, but I just can't bring myself to do it yet.
I understand, that has happened to me with a rice cooker a few years ago. But I've been really happy with my spiralizer. It's sturdy.
I've never tried to make zoodles but I'd be willing to give it a try for some of these recipes. The pasta primavera sounds amazing!
What a great round up! We have a spiralizer but it doesn't get nearly enough use. I'm going to have to break it out and make those Thai Sweet Potato zoodles, they look amazing!
I have a spiralizer we got from our wedding but I haven't used it yet because I have no recipes! Thanks for sharing all these!
The Cajun Zoodles and the strognoff sounds really delicious. I will check the recipes out.
I have been wanting to purchase this and now you just gave me the push. Thanks for sharing!
Looks like I'm going to need to get myself a spiralizer. These look too good not to!
Oh I need a spiralizer now!! So many amazing recipes to try and it looks so fun too. Saving this to try some recipes.
I have been waiting to try zoodles for so long! This post has inspired me to try this weekend, these recipes look so good.
If I had a spiralizer it would be any of these, and they'll be gone in a heartbeat. Feels like I'm in heaven! Time to show my friends what I've just read from here, heh!
Wow! what a world of wonderful recipes. To be honest I haven't use spiralizer, thanks for introducing me to it. Now I know where to look for those great inspirational recipes to follow with. By the way I just love that Cajun Zoodles I should cook it at home.


I am finding that "Under the Sea" Theme is a popular one!
I have done two daddy daughter dances with this theme. Under the Sea Party Decorations are so much fun! However, I have other themes I have done also that are super fun. You can check out my other themes here! The Under the Sea theme is one of my favorites though because of all the great balloons you can get with it, and I love the bright colors.
Now that "Finding Dory" is out, I am sure more events and parties will be choosing this theme. The colors for the Under the Sea theme can be nice and bright, or you can do more of the primary colors too. I always look at the mylar balloons that are available first and pick the color scheme from there.
With the two different daddy daughter dances that I decorated. I used a lot of the same mylar balloons because they are so eye catching. How fun for those girls to walk into a transformed space that has bright and colorful balloons everywhere!
This fish is one of my favorites. I added the blues along with the lime green and emerald green 260Q's to make it look like seaweed was coming up from the bottom.
On the right is a close up of the Mylar balloon.
It is like a little fish party all in one balloon. Mylar balloons are great because they last at least 2 weeks when full and will keep lasting after that by only losing helium a little each day. I would say they stay afloat for about a month if not six weeks. Mylars are great balloons to give someone if you want a balloon to last for a longer time than latex balloons.
Now, another favorite balloon of mine for Under the Sea party decorations is this mylar starfish. This starfish balloon has complimentary colors to go with the blue and green latex balloons and the 260Q blue and greens for sea weed. You could also add some link a loon balloons behind it for the full effect. Link a loons are also fun to have at any event. They are super easy to put up and you just tie one balloon to the next balloon. They are great for backgrounds.
I used a few different colors for this station of balloons. Link a Loon Balloons come in many different colors and you can do just about any size set that you want.
As this event chose to have little stations in certain areas, I planned for six stations with different Mylars, all helping the Under the Sea theme come to life! Here are the link a loons again put into an arch with a purple octopus placed in the middle. I have the blue and green latex balloons with the 260Q's for plant life. It looks like they were doing their own thing in this picture! True seaweed effect I say.
Can you really have an Under the Sea Party without swimming dolphins? No Way. I had so much fun putting these together and the dolphins really do move so it looks like they are truly swimming in the sea. I chose to have five dolphins in the station along with single balloons and the balloon columns at the side with a dolphin as the topper. The kiddos really loved this one and many wanted to take the dolphins home, including my own daughters. LOL To the right is a close up of the dolphins I used. I trust Anagram Products when it comes to my mylars. This one is on Amazon, however I have my own wholesaler for my products that I trust.
Imagine you are a little girl and you are going to your daddy daughter dance with your dad for the first time. When you walk in you see this! And . . . . you even get to walk under it! What a way to welcome your guests! This such a beautiful and fun balloon arch that you just can't go wrong with it.
Now, if you are thinking about doing it yourself, DON'T! The bottom twists can be very tricky, plus it takes a LOT of helium. If you are a perfectionist like me and you are trying to do it yourself, just don't. That is my suggestion to you! It can be tricky and take a long time to do if you don't know what you are doing. Just hire someone to do it, save yourself a lot of anxiety.
This arch brings all of the other decorations together. It uses all of the colors and really sets the stage for the perfect event. Plus, it will be the talk with everyone. You just can't go wrong with this one.
Let me know if you have any other decorations or suggestions that you like for the Under the Sea theme. Obviously, I only do balloons but I am always up for ideas I can give my clients on what else they can get to compliment the event!
Oh My! What beautiful creations! AND what a great business idea!
You must get a lot of satisfaction from seeing the joy this brings to children's faces and the peace of mind it must bring to parents organising such events. I'm loving the 'Under the sea' theme!
I look forward to hearing about your new creations!
Thank you Dawn, This business is a lot of fun and I enjoy it tremendously! Please stop by again to check out the new decorations!
Awesome designs. What area do you service? Or is this available on line for DIY package you offer. very use good site layout. I didn't see anything on your home page though!
Jay, Thank you for bringing that to my attention. I do serve Grand Rapids Michigan and the outlying areas. Stop by again soon!


text:
We have concludes field investigation over Helicopter crash – AIB
Pompey 0 February 5, 2019
We have concludes field investigation over Helicopter crash – AIB – The Accident Investigation Bureau (AIB) said it has finished field examination concerning the helicopter crash involving Vice President Professor Yemi Osinbajo on Saturday, February 1.
The agency said that the fundamental report, which would be prepared soon, would unfold the reason for the occurrence, THISDAY reports.
General supervisor, public affairs of the department, Mr. Tunji Oketunbi, said the organization sent its examiners to the accident site on Sunday, February 2 who organized field examination concerning the occurrence.
He, in any case, said that AIB couldn't find out the reason for the occurrence yet & encouraged the general population and industry experts to abstain from making remarks on the accident until the result of the initial report.
His words: "Our investigators have done site investigation on the crash. The investigators were on ground at the crash site on Sunday. But, as it is, we don't know the cause of the incident yet; we have to wait for the preliminary report."
"It is unprofessional to pre-empt the cause of the incident without waiting for the outcome of our investigation."
AIB in prior proclamation by its official & CEO, Akin Olateru, pledged that it would complete point by point, intensive & prompt examination concerning the accident.
As per the announcement, 12 people, including Osinbajo, government authorities & crew were on-board the helicopter when the accident happened.
He nonetheless, noticed that the examination was not to allocate fault, rather to discover why the occurrence happened & furthermore make safety suggestions in a way such won't happen again.
The announcement had read to a limited extent: "Accident Investigation Bureau (AIB), the agency of government created under the Civil Aviation Act 2006 with a clear mandate to investigate air accidents and serious incidents has commenced investigation into this accident. I am assuring the entire public that this investigation will be detailed, thorough and timely."
"This is not to apportion blame; it is about fact-finding and making safety recommendations with a view to preventing future occurrences."
"As the investigating agency, AIB needs and hereby solicits for your help. We want the public to know that we would be amenable to receiving any video clip(s), relevant evidence, or information any member of the public may have of the accident; that can assist us with this investigation."
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