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Table 1. Laboratory Data of Male DM1 Patients*
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Table 2. Laboratory Data of Female DM1 Patients*
Harper P Myotonic Dystrophy. 3rd ed. Philadelphia, Pa: WB Saunders Co; 2001
Brook JDMcCurrach MEHarley HG et al Molecular basis of myotonic dystrophy: expansion of a trinucleotide (CTG) repeat at the 3′ end of a transcript encoding a protein kinase family member. Cell199268799808 [published correction appears in Cell. 1992;69:385] PubMedGoogle Scholar
Fu YHPizzuti AFenwick RG Jr et al. An unstable triplet repeat in a gene related to myotonic muscular dystrophy. Science 1992;2551256- 1258PubMedGoogle ScholarCrossref
Mahadevan MTsilfidis CSabourin L et al. Myotonic dystrophy mutation: an unstable CTG repeat in the 3′ untranslated region of the gene. Science 1992;2551253- 1255PubMedGoogle ScholarCrossref
Moxley RT IIIHeatwole CR Myotonic dystrophy. Medlink Neurology Web site. http://www.medlink.com. Accessed Spring 2005
Griggs RCWood DS Criteria for establishing the validity of genetic recombination in myotonic dystrophy. Neurology 1989;39420- 421PubMedGoogle ScholarCrossref
Johansson AAhren BForsberg HOlsson T Testosterone and diurnal rhythmicity of leptin, TNF-α and TNF-II receptor in insulin-resistant myotonic dystrophy patients. Int J Obes Relat Metab Disord 2002;261386- 1392PubMedGoogle ScholarCrossref
Takase SOkita NSakuma H et al. Endocrinological abnormalities in myotonic dystrophy: consecutive studies of eight tolerance tests in 26 patients. Tohoku J Exp Med 1987;153355- 374PubMedGoogle ScholarCrossref
Kinoshita MKomori TOhtake TTakahashi RNagasawa RHirose K Abnormal calcium metabolism in myotonic dystrophy as shown by the Ellsworth-Howard test and its relation to CTG triplet repeat length. J Neurol 1997;244613- 622PubMedGoogle ScholarCrossref
Achiron ABarak YMagal N et al. Abnormal liver test results in myotonic dystrophy. J Clin Gastroenterol 1998;26292- 295PubMedGoogle ScholarCrossref
Ronnemaa TAlaranta HViikari JTilvis RFalck B Increased activity of serum γ-glutamyltransferase in myotonic dystrophy. Acta Med Scand 1987;222267- 273PubMedGoogle ScholarCrossref
Moorjani SGaudet DLaberge C et al. Hypertriglyceridemia and lower LDL cholesterol concentration in relation to apolipoprotein E phenotypes in myotonic dystrophy. Can J Neurol Sci 1989;16129- 133PubMedGoogle Scholar
Griggs RCKingston WHerr BEForbes GMoxley RT III Myotonic dystrophy: effect of testosterone on total body potassium and on creatinine excretion. Neurology 1985;351035- 1040PubMedGoogle ScholarCrossref
Genetics and Genomics Muscular Dystrophy Neurogenetics Neurology Neuromuscular Diseases
Citations 28
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Heatwole CR, Miller J, Martens B, Moxley RT. Laboratory Abnormalities in Ambulatory Patients With Myotonic Dystrophy Type 1. Arch Neurol. 2006;63(8):1149–1153. doi:10.1001/archneur.63.8.1149
Original Contribution
Laboratory Abnormalities in Ambulatory Patients With Myotonic Dystrophy Type 1
Chad R. Heatwole, MD; Jill Miller, MD, PhD; Bill Martens, BA; et al Richard T. Moxley III, MD
Author Affiliations: Neuromuscular Disease Center, Strong Memorial Hospital, University of Rochester, Rochester, NY.
Arch Neurol. 2006;63(8):1149-1153. doi:10.1001/archneur.63.8.1149
Background Myotonic dystrophy type 1 (DM1) is the most prevalent form of adult muscular dystrophy worldwide. Although well known for the classic manifestations of myotonia, weakness, and early cataracts, it has broad effects on multiple organ systems.
Objective To analyze and compile the laboratory abnormalities of 126 adult patients with DM1.
Design Laboratory data obtained before treatment were compiled and include values for 45 different laboratory tests and 2860 total studies.
Setting University hospital.
Patients One hundred twenty-six medically healthy, mild to moderately affected, ambulatory patients with DM1 and good venous access enrolled in one of 12 major DM1 clinical trials at a university hospital from 1975 to 2005.
Results Of the 2860 laboratory studies, results for 470 (16.4%) were outside their reference ranges. Of the 45 types of laboratory tests studied, 41 demonstrated abnormal findings. The relative frequency of an abnormally elevated laboratory value was greater than 50% in several tests, including levels of hemoglobin A1c, follicle-stimulating hormone, luteinizing hormone in men, and γ-glutamyltransferase and creatine kinase in women. In addition, levels of lactate dehydrogenase in men and hemoglobin in women were abnormally high or low in more than 50% of the test results evaluated.
Conclusion There is a high frequency of abnormal laboratory values in DM1 that may form a basis for early screening and monitoring and provide insight into the spectrum of tissues involved in this disease.
Myotonic dystrophy type 1 (DM1) is the most common form of adult muscular dystrophy in the world, affecting 5 to 20 of every 100 000 people.1 Myotonic dystrophy type 1 is an autosomal dominant disorder caused by an unstable trinucleotide repeat expansion on chromosome 19q13.3.2-4 The classic main features of DM1 are myotonia, weakness, and early cataracts (<50 years of age), although other organ systems are frequently involved, including the heart, brain, skin, reproductive organs, gastrointestinal tract, and endocrine system.5 The multiple tissue involvement in DM1 is often reflected by varied abnormal laboratory values in this disease. The frequency of the occurrence of these abnormal test results is unknown, because a large-scale evaluation of routine baseline laboratory values in mild to moderately affected patients with DM1 (hereafter referred to as DM1 patients) has not been performed.
An evaluation of routine laboratory abnormalities in ambulatory, mildly symptomatic DM1 patients is important in 4 regards. First, in a disease with such phenotypic variability, it provides a baseline estimate of the associated multitissue manifestations. Second, it provides information that may be used to direct a practitioner who encounters abnormal values toward the clinical diagnosis of DM1. Third, it expands our view of the physiological dysfunction seen in DM1. Fourth, it suggests potential subclinical organ dysfunction that may need to be followed up by practitioners over time for potential worsening. Herein we compile the laboratory abnormalities of 2860 separate studies from 126 ambulatory DM1 patients.
The laboratory data were collected from 126 ambulatory DM1 patients. Inclusion criteria were (1) the diagnostic criteria for DM1 as set by Griggs and Wood (1989)6; (2) age 18 to 60 years; (3) volunteer status for 1 of 12 DM1 clinical trials from the Neuromuscular Disease Center, University of Rochester, Rochester, NY, from 1975 to 2005; (4) the ability to ambulate independently (cane, walker, or orthoses allowed); and (5) good venous access.
In addition to meeting diagnostic criteria for DM1, 45 of the 126 patients had DNA test results positive for a CTG repeat elongation (mean number of repeats, 593; range, 169-1731). The patients came from multiple social, ethnic, and regional backgrounds. In many cases, multiple sets of laboratory data were obtained on the same patient during subsequent visits. In this analysis, only the results of the baseline laboratory testing, before enrollment in clinical research studies, were tabulated. Each initial baseline blood draw was performed with the patient in a fasting state. Each patient was observed at a clinical research center for a minimum of 10 hours before his or her blood was drawn to ensure that a true fasting state was achieved. Overall, the patient population represented early to midstage DM1 and did not include individuals with congenital DM1. Patients were excluded from the original clinical trials if they fit any of the following criteria:
Known cancer (excluding benign skin cancer or pilomatricoma)
Active or symptomatic disease of the heart, liver, kidney, pancreas, intestine, or hematologic system
Known epilepsy
Active tobacco use (smoking or chewing) up to 2 days before the study
Use of any antidiabetic, antimyotonic, antiepileptic, anticoagulant, or corticosteroid medication
Younger than 18 years
Known to be pregnant or lactating
Known neuromuscular disease other than DM1
Alcohol or other drug abuse within 3 months of the enrollment
Inability to give consent
Each patient underwent multiple laboratory studies, although none underwent all 45 separate tests. The data were divided into male and female study groups. In instances where standard laboratory ranges were based on menstrual staging (ie, levels of follicle-stimulating hormone and luteinizing hormone), the reference range was broadened to include all possible premenstrual and postmenopausal values. The reference laboratory ranges used in our analysis were based on the current standardized test reference ranges at Strong Memorial Hospital Clinical Laboratories, Rochester. These ranges are set through varied methods, including local volunteer testing and outside data accumulation. Data for this study were collected from 92 men and 34 women. No patient's data were excluded from this study on the basis of abnormal initial blood test results. Men outnumbered women in part because the clinical trials required easy venous access or involved the administration of testosterone or growth hormones, which produce masculine features in women. The effects of the menstrual cycle on insulin action precluded some women with DM1 from participating in certain clinical trials. The laboratory tests are included in Table 1 and Table 2 in order from highest to lowest percentage of abnormal values by sex and include the standard deviation, reference ranges, average value, and total number of patients studied.
Of the 2860 laboratory studies performed, DM1 patients had 470 abnormal laboratory values. Male DM1 patients had abnormal laboratory values in 38 of 45 categories; female patients, in 36 of 44 categories. In men with DM1, 8 separate tests had abnormal laboratory values in more than 30% of the men tested. These included levels of lactate dehydrogenase (LD), hemoglobin A1c, follicle-stimulating hormone, luteinizing hormone, total serum cholesterol, mean corpuscular hemoglobin, γ-glutamyltransferase (GGT), and serum triglycerides. In women with DM1, 11 of 44 categories had abnormal laboratory values in more than 30% of the women tested. These included levels of GGT, creatine kinase, hemoglobin, triglycerides, serum cholesterol, albumin, serum creatinine, LD, aspartate aminotransferase, testosterone, and mean corpuscular hormone. Some of the abnormal laboratory values were consistently elevated (ie, GGT and creatine kinase levels), whereas others were consistently low (ie, albumin and serum creatinine levels). For some tests (ie, LD and testosterone levels), abnormal values were sometimes elevated and at other times in the low range.
Certain laboratory tests showed no abnormalities. No abnormalities were demonstrated for levels of prostate-specific antigen, triiodothyronine (in men), mean cell hemoglobin concentration (in men), or several portions of the differential white blood cell count. However, the total white blood cell counts were often low (17 [22%] of 79 DM1 patients), and the mean corpuscular hemoglobin level was often elevated (26 [33%] of 79 DM1 patients).
Our tabulated data add to prior studies of abnormal laboratory values in DM1. Two previous studies of serum testosterone levels in DM1 reported decreased levels. One reported a decrease in the average testosterone level of 42 DM1 patients compared with control subjects.7 A second study showed that 4 of 26 DM1 patients had a baseline low testosterone level.8 In our population, 14 (26%) of 53 DM1 patients undergoing testing had abnormal levels of testosterone. However, of the 14 with abnormal testosterone levels, 7 had elevated levels, and 7 had low levels. In 1997, Kinoshita et al9 reported baseline low calcium levels in 13 DM1 patients. We found that 6 (8%) of 79 DM1 patients undergoing testing had low calcium levels; however, when corrected for albumin levels, all calcium levels were within the reference range. Past studies of liver enzyme levels reported elevations in 35 (66%) of 53 DM1 patients, and elevated GGT levels in 11 (65%) of 17 patients with DM1.10,11 Likewise, our patients demonstrated abnormal values in all liver enzyme levels tested; however, only 15 (45%) of 33 DM1 patients undergoing testing had elevated GGT levels. Finally, in 1989, Moorjani et al12 observed elevated plasma triglyceride and very low-density lipoprotein cholesterol levels in DM1 patients compared with controls. We observed that 24 (41%) of 58 DM1 patients undergoing testing had elevated total serum cholesterol levels, and 11 (33%) of 33 had elevated triglyceride levels. The difference in the percentage of abnormal laboratory values between our patient population and the populations in the other studies may to a large degree relate to our inclusion of only ambulatory, mild to moderately affected individuals without other severe underlying disease. Further studies are necessary to confirm this possible explanation.
It is evident that DM1 is associated with abnormal laboratory results. To our knowledge, this is the first report to summarize a collection of a wide range of abnormal laboratory values from a large population of ambulatory DM1 patients. Because our study population excluded DM1 patients with other underlying diseases, our data likely underestimate the amount of laboratory abnormalities in DM1 patients in the community. These data reinforce the principle that DM1 is a multisystem disease. In addition, these data may serve as a reference for physicians monitoring the laboratory data of DM1 patients through routine care and implementation of new pharmacological therapeutics. We also expect that serial measurement of abnormal laboratory values can be used to further define the disease and promote research.
Early screening and treatment of hypercholesterolemia, hypertriglyceridemia, hyperglycemia, and thyroid abnormalities may prove beneficial in DM1 patients, given the frequency of these abnormalities. Likewise, correction of low serum testosterone values may increase the decreased muscle mass in DM1 patients.13
There is a relatively frequent appearance of abnormally elevated liver enzyme levels (GGT, aspartate aminotransferase, alanine aminotransferase, alkaline phosphatase, and LD) in DM1. It has been speculated that the etiology of these elevations is from a cell membrane defect affecting the contractility of bile ductules,10 although more studies are needed to tie the genetic abnormalities of DM1 to these putative membrane defects. An alternative interpretation is that the elevation of GGT levels represents dysfunction of the hepatocyte, and that the elevation of aspartate aminotransferase, alanine aminotransferase, and LD levels is caused by abnormal skeletal muscle in DM1. The clinical and pathophysiologic significance of the elevation of hepatic enzymes remains uncertain. At present, it seems prudent to consider these specific abnormal laboratory values as subclinical indicators of potential organ dysfunction and to monitor hepatic enzyme levels serially when patients receive medications that depend on metabolic clearance by the liver. The 24 (30%) of 79 DM1 patients with low albumin levels may also have a subclinical alteration in the function of hepatocytes and/or ductal cells. Nutritional deficiency secondary to poor eating habits, dysphagia, or abnormal absorption are also etiologic possibilities. If abnormal absorption is the cause of low albumin levels in DM1, an adjustment in diet may provide benefit.
More studies are needed to evaluate the significance of the numerous laboratory abnormalities of DM1 to determine the best opportunities for treatment.
Correspondence: Chad R. Heatwole, MD, Neuromuscular Disease Center, Strong Memorial Hospital, University of Rochester, 601 Elmwood Ave, PO Box 673, Rochester, NY 14642 (chad_heatwole@urmc.rochester.edu).
Accepted for Publication: February 21, 2006.
Author Contributions: Dr Heatwole had full access to all of the data in the study and takes responsibility for the integrity of the data and the accuracy of the data analysis. Study concept and design: Heatwole, Miller, and Moxley. Acquisition of data: Heatwole, Martens, and Moxley. Analysis and interpretation of data: Heatwole, Miller, and Moxley. Drafting of the manuscript: Heatwole and Moxley. Critical revision of the manuscript for important intellectual content: Heatwole, Miller, Martens, and Moxley. Statistical analysis: Heatwole and Martens. Obtained funding: Moxley. Administrative, technical, and material support: Heatwole and Moxley. Study supervision: Heatwole and Moxley.
Acknowledgment: We thank Robert Griggs, MD, Charles Thornton, MD, William Kingston, MD, and all the patients and staff who participated in the trials that made this study possible.


text:
Vulturnus voltumna är en insektsart som beskrevs av George Willis Kirkaldy 1907. Vulturnus voltumna ingår i släktet Vulturnus och familjen dvärgstritar. Inga underarter finns listade i Catalogue of Life.

Källor

Dvärgstritar
voltumna

redpajama_set_name: RedPajamaWikipedia


I'm new to UI5. My requirement is if I click on delete that particular record will delete from table.
If you are using an OdataModel, use oModel.remove() method to remove the entity from the entity list. It will automatically remove the row from the table as well.
ok, if you are using sap.m, the below deletion handler should work for you.


text:
Франц фон Глайхен и Хатцфелд (; * 16 април 1676; † 27 март 1738, Бреслау) от род Хатцфелд в Хесен, е граф на Глайхен и Хатцфелд, господар на Вилденберг в Рейнланд-Пфалц.

Произход и наследство

Той е най-големият син на Хайнрих фон Глайхен и Хатцфелд (* 1641; † 15 август 1683) и съпругата му фрайин Катарина Елизабет фон Шьонборн (* 1 май 1652; † 1707), дъщеря на Филип Ервайн фон Шьонборн (1607 – 1668) и фрайин Мария Урсула фон Грайфенклау цу Фолрадс (1612 – 1682).

Синът му Франц Филип Адриан е издигнат през 1741 г. на княз на Хатцфелд-Глайхен-Трахенбург.

През 1803 г. наследниците му стават чрез наследство князе "фон Хатцфелдт цу Трахенберг". След 1830 г. наследниците му стават князе и се наричат Князе фон Хатцфелд-Вилденбург.

Фамилия
Франц фон Глайхен и Хатцфелд се жени на 25 ноември 1708 г. за графиня Анна Шарлота Елизабет фон Щадион цу Вартхаузен, и Танхаузен (* 22 септември 1689; † 11 август 1763, Бреслау), дъщеря на граф Йохан Филип Йозеф фон Щадион цу Вартхаузен и Танхаузен (1652 – 1742, Майнц) и графиня Мария Анна фон Шьонборн (1669 – 1703, Майнц). Те имат децата:

 Мария София (* 1709; † 1709)
 Мария Анна Йохана (* 31 декември 1711, Бреслау; † 16 април 1784, Прага, Бохемия), омъжена на 13 юни 1731 г. в Бреслау за граф Карл Готхард, граф Шафгоч-Земперфрай фон и цу Кинаст и Грайфенщайн (* 30 юни 1706; † 18 декември 1780, Прага)
 Мари Шарлота Августа Ева (* 6 юли 1715, Бреслау; † 26 юли 1774, Спа), омъжена на 18 октомври 1733 г. в Бреслау за граф Фридрих Фердинанд фон дер Лайен (* 7 януари 1709, Кобленц; † 16 февруари 1760, Кобленц)
 Франц Филип Адриан (* 2 март 1717; † 5 ноември 1779), 1. княз (1741) на Хатцфелд-Глайхен-Трахенбург, женен на 22 ноември 1764 г. за графиня Бернхардина Мария Терезия фон Шьонборн (* 11 септември 1737; † 7 април 1780)
 Карл Фридрих фон Глайхен-Хатцфелдт (* 14 септември 1718; † 5 септември 1793), граф на Глайхен-Хатцфелдт, господар на Кротторф, Вилденбург, женен на 16 ноември 1755 г. за графиня Мария Шарлота Фердинанда Катарина фон Ощайн (* 25 ноември 1733; † сл. 1809)
 Мария Йозефа (* 24 март 1720; † 2 февруари 1796, Прага, Бохемия), неомъжена
 Йохан Антон Филип фон Глайхен-Хатцфелдт (* 23 март 1724; † 14 април 1753, Майнц), неженен

Литература
 Genealogisches Handbuch des Adels. Adelslexikon. Band V, S. 12, Band 84 der Gesamtreihe, C. A. Starke Verlag, Limburg (Lahn) 1984,
 Jens Friedhoff: Die Familie von Hatzfeldt: Adelige Wohnkultur und Lebensführung zwischen Renaissance und Barock. Grupello Verlag, Düsseldorf, 2004, ISBN 3-89978-025-6. (online )
 ~Genealogisches Handbuch des Adels, Gräfliche Häuser. 1988 578

Източници

Външни препратки

 Hatzfeld 2, genealogy.euweb.cz
 Website der Hatzfeldt-Wildenburg'schen Verwaltung in Schönstein und Crottorf
 Jens Friedhoff: Die Familie von Hatzfeld  (PDF-Datei; 1,22 MB)
 Burg Hatzfeld, Rekonstruktionszeichnung  von Wolfgang Braun
 Von Hatzfeld-Wildenburg (18./19.Jh.)

Хатцфелд (род)
Германска аристокрация
Германска аристокрация
Графове в Германия
Родени през 1676 година
Починали през 1738 година


Overall result - ea.com IS family friendly.
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Still concerned with ea.com? Please, contact our team. We will carry our full audit of the ea.com of your interest and update the information of the analysis.


Women's empowerment is taking centre stage and the 2018 Parliament will be a major voice in this expanding movement.
Today we are at a watershed moment for women's rights and human dignity. From the historic women's marches to sexual harassment scandals and social media campaigns such as #metoo, women have been speaking out in bold new ways and serious attention is being given to women's issues world-wide.
Women of Faith and Conscience from Around the World Stand Together on This International Women's Day and Toward the 2018 Parliament.
Since its inception, the Parliament of World Religions has been an advocate for women. Women were speakers at the 1893 Parliament including Elizabeth Cady Stanton, author of the Women's Bible, and Antoinette Brown Blackwell, the first ordained woman in America. The 1993 Parliament endorsed a Global Ethic with four Irrevocable Directives, including the Commitment to a Culture of Equal Rights and Partnership Between Men and Women. Women religious and spiritual leaders were featured at the 1993, 1999, 2004, and 2009 Parliaments, and in 2015, an Inaugural Women's Assembly was held with over 3,500 participants that included the Declaration for the Dignity and Human Rights of Women.
Acknowledging and honoring a Divine Feminine/ Sacred Feminine/ Feminine Divine within and beyond religions and spiritual movements.
Advancing Women's Equality in Basic Human Dignity and Rights in Society, particularly health, education, legal and financial rights and protections.


text:
Reading: Growing and Felling? Theory and Evidence Related to the Application of Silvicultural Systems...
Growing and Felling? Theory and Evidence Related to the Application of Silvicultural Systems in the Roman Period
Ronald M. Visser
Cultural Heritage Agency Amersfoort / Archaeological Centre VU University Amsterdam
How to Cite: Visser, R.M., 2010. Growing and Felling? Theory and Evidence Related to the Application of Silvicultural Systems in the Roman Period. Theoretical Roman Archaeology Journal, (2009), pp.11–22. DOI: http://doi.org/10.16995/TRAC2009_11_22
Visser, R.M., 2010. Growing and Felling? Theory and Evidence Related to the Application of Silvicultural Systems in the Roman Period. Theoretical Roman Archaeology Journal, (2009), pp.11–22. DOI: http://doi.org/10.16995/TRAC2009_11_22
Visser RM. Growing and Felling? Theory and Evidence Related to the Application of Silvicultural Systems in the Roman Period. Theoretical Roman Archaeology Journal. 2010;(2009):11–22. DOI: http://doi.org/10.16995/TRAC2009_11_22
Visser, R. M. (2010). Growing and Felling? Theory and Evidence Related to the Application of Silvicultural Systems in the Roman Period. Theoretical Roman Archaeology Journal, (2009), 11–22. DOI: http://doi.org/10.16995/TRAC2009_11_22
Visser RM, 'Growing and Felling? Theory and Evidence Related to the Application of Silvicultural Systems in the Roman Period' (2010) Theoretical Roman Archaeology Journal 11 DOI: http://doi.org/10.16995/TRAC2009_11_22
Visser, Ronald M.. 2010. "Growing and Felling? Theory and Evidence Related to the Application of Silvicultural Systems in the Roman Period". Theoretical Roman Archaeology Journal (2009): 11–22. DOI: http://doi.org/10.16995/TRAC2009_11_22
Visser, Ronald M.. "Growing and Felling? Theory and Evidence Related to the Application of Silvicultural Systems in the Roman Period". Theoretical Roman Archaeology Journal no. 2009 (2010): 11–22. DOI: http://doi.org/10.16995/TRAC2009_11_22
Visser, R. M.. "Growing and Felling? Theory and Evidence Related to the Application of Silvicultural Systems in the Roman Period". Theoretical Roman Archaeology Journal, no. 2009, 2010, pp. 11–22. DOI: http://doi.org/10.16995/TRAC2009_11_22

redpajama_set_name: RedPajamaCommonCrawl


text:
Eric Clapton to auction 56 guitars for charity
NEW YORK (AFP) - Rocker Eric Clapton (news) will auction off 56 guitars from his collection on June 24 at Christie's in New York, the auction house said.
"I am selling the cream of my collection. What I am keeping back is just what I need to work with," Clapton said, cited by Christie's.
The proceeds from the sale will go to the Crossroads Centre in Antigua, which helps people wrestling with chemical dependency.
Exactly five years earlier, on June 24, 1999, Christie's sold the first part of Clapton's collection.
"These guitars are in fact the ones that I kept back from the first auction because I seriously couldn't consider parting with them at that point. I think they are a really good representation of rock culture, ... all great rock and blues guitars," Clapton said.
Among the items up for bids is the legendary "Blackie," a circa-1956 composite Fender Stratocaster, which Clapton says "has become a part of me."
Estimated at between 100,000 and 150,000 dollars, it is one of a kind, as Clapton assembled it himself from the components of three different Stratocasters bought in Nashville in 1970.
Another gem is a 1964 cherry-red Gibson ES-335, the second electric guitar Clapton ever purchased, which is estimated at between 60,000 and 80,000 dollars. Clapton says he bought the guitar after seeing blues legend Freddy King with a similar model on an album cover.
Also up for sale are guitars from Clapton's friends, including The Who's Pete Townshend (news), as well as others from Brian May (news) of Queen, J.J. Cale (news) and B.B. King.
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mreto
Join Date: 14 Oct 2003
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RichieW2001
Midnight on JoviTalk
Location: Manchester (for good)
me want blackie.
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DevilsSon
Blaze of Posting
Location: Cluj-Napoca, Transylvania
ERIC just called me and said:"Florin...I'll give you the blacke but promise you'll keep it in a safe place.I couldn't live without knowing it in a safe place!"
And i hanged up because i tought i was a joke....
****!
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Location: Puerto Rico
Wonder if the accoustic that Richie gave to him will be on there.
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Jim Bon Jovi
Location: In my secret bunker hiding from the invasion
I thought he sold Blackie at the last auction he did? or am i mistaking it for the guitar he tracked layla with?
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User Control Panel Private Messages Subscriptions Who's Online Search Forums Forums Home BON JOVI - The Band We Love General BJ Discussion New Bon Jovi Releases Tour Discussion Meet-Up Picture Exchange Fans, Life and Stuff Introduce Yourself! NBJ - Everything Else Other Bands TV & Movies Fun & Games Jovitalk & drycounty.com Announcements, Questions & Comments 123 TESTING


text:
using namespace graph_tool;
using namespace boost;

typedef property_map_type::apply<int64_t,
                                 GraphInterface::vertex_index_map_t>::type
    vprop_t;

typedef property_map_type::apply<GraphInterface::edge_t,
                                 GraphInterface::edge_index_map_t>::type
    eprop_t;

struct get_pointers
{
    template <class List>
    struct apply
    {
        typedef typename boost::mpl::transform<List,
                                               boost::mpl::quote1<std::add_pointer> >::type type;
    };
};

void edge_property_union(GraphInterface& ugi, GraphInterface& gi,
                         boost::any p_vprop, boost::any p_eprop,
                         boost::any uprop, boost::any prop)
{
    vprop_t vprop = any_cast<vprop_t>(p_vprop);
    eprop_t eprop = any_cast<eprop_t>(p_eprop);

    run_action<graph_tool::detail::always_directed>()
        (ugi, std::bind(graph_tool::property_union(),
                        placeholders::_1, placeholders::_2, vprop, eprop,
                        placeholders::_3, prop),
         get_pointers::apply<graph_tool::detail::always_directed>::type(),
         writable_edge_properties())
        (gi.GetGraphView(), uprop);
}

redpajama_set_name: RedPajamaGithub


Schools must make every effort to resolve students' problems within regular educational programs. Only when it is not possible to resolve the problem is a student referred for evaluation to determine if they are eligible for special education. Problem solving teams, often referred to as student assistance teams (SAT), are established by schools to assist teachers in coping with learning and behavior problems. Before being referred for a multidisciplinary evaluation, the student assistance team must address the student's and/or the teacher's problem. General education personnel, including teachers, counselors and/or administrators generally are members of the student assistance team. The purpose of the team is to utilize problem solving strategies to help teachers in general education deal with the problem or problems. The student assistance team must document the intervention strategies implemented to assist the student. When the student assistance team has employed all appropriate alternatives without success, they may refer the student for a multidisciplinary evaluation. When a referral occurs the student assistance team forwards records and information that they have used to the multidisciplinary team.


text:
Reviving the India-Indonesia Relationship
Features | Diplomacy
Ties with Indonesia are an under-appreciated part of India's "Act East" policy.
By Chietigj Bajpaee for The Diplomat
Indonesia schoolchildren visit the INS Karmuk during the 28th India-Indonesia Coordinated Patrol (CORPAT)
Credit: Facebook/ Indian Navy
India and Indonesia conducted a 17-day joint coordinated patrol exercise in the Andaman Sea in October. This was the 28th such coordinated patrol and second bilateral maritime exercise between both countries. The under-reported event reflects an under-appreciated aspect of India's renewed engagement with East Asia.
There has been much attention and analysis of India's rapprochement with Japan and Australia over the last decade. These relationships have been regarded as a microcosm of India's broader engagement with East Asia under the aegis of its "Act East" (formerly "Look East") policy, as well as the strengthening relationship between India and the United States in the post-Cold War period.
However, given India and Indonesia's size, their historical ties and mutual proclivity for pursuing an independent foreign policy, the trajectory of their bilateral relationship holds significant weight for the evolving regional architecture in Asia. Moreover, as two of the world's largest democracies with the largest Muslim populations, the development of these two countries will have much to say about addressing the alleged dichotomy of Islam and liberal democracy.
History of False Starts
India and Indonesia have a complex history, which has led to several false starts in their relationship. Indonesia and India maintained a long history of interaction in the domains of religion, language, art, and architecture until the 15th century. However, exchanges were not always so benign. For instance, in the 11th century, during India's Chola Dynasty, King Rajendra I conducted several naval raids of Srivijaya (centered in Sumatra and the Malay Peninsula), which are believed to have been carried out to protect Chola India's trade with China, then under the rule of the Song Dynasty.
Following its emergence as an independent nation-state, India under the country's first prime minister, Jawaharlal Nehru, re-engaged with Southeast Asia under his grand vision of an "Asiatic Federation of Nations." This manifested with India convening the Asian Relations Conference in 1947 and a conference in 1949 to voice opposition to Dutch "Police Action" in Indonesia. This phase of Nehruvian "Asianism" also found expression in the "Bandung spirit" of 1955, in which Nehru and Indonesian President Sukarno were key architects. This became the precursor for the Non-Aligned Movement and the Asian-African Summit. India also played a prominent role in the establishment of the Indonesian armed forces and both countries held their first joint naval exercises in July 1960.
However, from the 1960s India's role in Southeast Asia withered as Asian solidarity perished while the regional security architecture fractured along the Cold War divide. This was made evident by the creation of the U.S.-led Southeast Asia Treaty Organization (SEATO) and the 1962 war between China and India. While Sino-Indian relations deteriorated, Indonesia turned toward China with the conclusion of a Friendship Treaty in 1961. This contributed to an increasingly confrontational relationship between India and Indonesia, as evidenced by Indonesia's support for Pakistan during the 1965 India-Pakistan war, which even prompted speculation of a possible naval confrontation between India and Indonesia over the Andaman and Nicobar Islands. Tensions were further inflamed by India's cordial relations with Malaya in the midst of Indonesia's Konfrontasi (confrontation) policy.
Relations between India and Indonesia further deteriorated in the 1980s as Jakarta became concerned about Indian naval modernization efforts and ambitions to build up its military capabilities on the Andaman and Nicobar Islands, which at the closest point are approximately 80 nautical miles from the Indonesian island of Sumatra. This was perceived as a means for India and its erstwhile ally the Soviet Union to project naval power into the South China Sea.
These concerns would eventually be alleviated as India stepped up confidence-building measures with regional powers. Such measures included Indian participation in multilateral forums such as the ASEAN Regional Forum and CSCAP (Council for Security Cooperation in Asia-Pacific), as well as the "Milan" biennial naval meetings hosted by the Indian Navy since 1995, the Indian Ocean Rim Association for Regional Cooperation established in 1997, and the Indian Ocean Naval Symposium established in 2008, of which Indonesia is also a member. Bilaterally, India began joint naval exercises with Indonesia off Surabaya in 1989 and in the Andaman Sea in 1991, which has been followed by coordinated patrols (CORPAT) on their respective sides of the International Maritime Boundary Line in the Andaman Sea since 2002.
Both countries have also established several bilateral agreements and exchanges aimed at strengthening strategic cooperation. This includes Foreign Office consultations since 2013, the Joint Defense Cooperation Committee set up in 2007, a New Strategic Partnership in 2005, a Memorandum of Understanding on combating terrorism in 2004, the India-Indonesia Joint Commission co-chaired by both countries' foreign ministers constituted in 2003, and a Bilateral Agreement on Cooperative Activities in the Field of Defense in 2001. Both countries also maintain extradition and Mutual Legal Assistance treaties aimed at strengthening cooperation in combating transnational crime and terrorism. Indonesia is India's second-largest trading partner in Southeast Asia while the India Business Forum established in Jakarta in 2012 aims to deepen economic engagement.
Strategic Convergence
Beyond their intertwined histories, both countries also share several traits in their strategic outlooks. Notably, though India has traditionally been regarded as a continental power while Indonesia is an archipelagic state, both countries are rediscovering their maritime traditions after decades of being inward looking and preoccupied by internal insurgencies and separatist movements.
Under the government of President Joko "Jokowi" Widodo, Indonesia has elevated the strategic importance of the maritime domain by referring to the country as a "maritime fulcrum" with ambitions of emerging as a "global maritime power" and unveiling a new defense white paper in May that put a renewed focus on maritime security. This has been accompanied by a more aggressive approach in protecting the country's maritime resources, as seen by the detention and sinking of foreign fishing vessels that stray into its waters; plans to upgrade the country's naval and drone capabilities and step up oil and gas exploration activities around the Natuna Islands; and a greater emphasis on developing the country's maritime economy. Many of these developments are taking place under the aegis of the coordinating minister for maritime affairs, natural resources and the environment — a position created by the Jokowi government. These developments are a significant shift from Indonesia's traditionally "hands-off" approach on maritime affairs, as evidenced by the country's official position of being a non-claimant state to the maritime territorial disputes in the South China Sea, despite the partial overlap between Indonesia's exclusive economic zone and China's "nine-dash line" claim to waters around the Natuna Island chain.
India has also been rediscovering its maritime traditions with the development of a more ambitious naval strategy to support its growing maritime interests. Some 95 percent of India's total trade is conducted by sea, including over 70 percent of the country's oil imports. In this context, India has declared ambitions to develop "a brand new multi-dimensional Navy" with "reach and sustainability" extending "from the north of the Arabian Sea to the South China Sea."
Historically, maritime cooperation between both countries has been limited by their position of being highly protective of their maritime sovereignty, with India regarding the Indian Ocean as its natural "sphere of influence" while Indonesia has opposed the presence of non-littoral states in addressing maritime security near its territorial waters. However, in recent years both countries have shown indications of softening their positions as they have recognized challenges in policing and protecting their extensive maritime interests and claims. For Indonesia, this refers to the country's 17,000 islands while for India this refers to its 7,500 km coastline and exclusive economic zone of over 2 million square km. Both countries have also developed a more expansive and inclusive strategic maritime outlook, as they have become key advocates of a new "Indo-Pacific" strategic geography for Asia. The convergence of both countries' maritime orientations was also made evident following the Indian Ocean tsunami in December 2004 when the Indian Navy provided humanitarian assistance to Indonesia as part of the Regional Core Group and the establishment of the Expanded ASEAN Maritime Security Forum in 2012, of which both countries are members.
China also remains an ever-present challenge to both countries' regional ambitions. India's engagement with Indonesia in the post-colonial period was rooted in its status as a bulwark against Chinese expansionism in the region. This prompted India's strong support for Indonesia's independence movement and later struggle against the growth of communist parties and insurgencies within its borders. In fact, the later deterioration in relations between India and Indonesia and concomitant improvement in relations with Vietnam coincided with the former warming up to China while the latter faced deteriorating relations with Beijing.
Both countries maintain a complex dynamic in their relations with China, combining economic engagement with latent security concerns. China has emerged as a leading trade partner for both countries as well as a major source of foreign investment, as illustrated by China winning a contract in 2014 to construct a high-speed railway to connect Jakarta with Bandung. However, both countries also continue to face unresolved disputes with China and latent concerns that China's rise as a major power could impinge on their own regional ambitions.
Shared Socioeconomic/Political Trajectories
Politically, both countries have seen the rise of "can-do" leaders from outside the established political elite with a reputation for good governance. Prime Minister Narendra Modi and President Joko Widodo – both elected to their respective positions in 2014 – have pledged to improve infrastructure, overcome bureaucratic bottlenecks, and combat corruption. Both countries have struggled to manage their religious, ethnic and linguistic diversity, leading to a string of separatist movements, occasional social unrest, and sporadic pogroms. Nonetheless, India and Indonesia have surprisingly succeeded better than most of their regional peers in maintaining a culture of tolerance couched in their democratic and secular credentials. In doing so, both countries have disproven dire assessments of being too diverse and unwieldy to effectively govern as cohesive nation-states.
Despite having differing economic models – with Indonesia's traditionally resource-dependent economy being weakened by the end of the commodity super-cycle while India has benefited from the same – both have demonstrated impressive growth rates buoyed by reform momentum and large and growing middle classes. Most recently, both countries have belied being labelled part of the so-called "fragile five" group of emerging economies despite the other members of this group – Brazil, South Africa, and Turkey – still remaining worthy of the title.
This is not to say that both countries have always been on the same page in their political and economic development. India's reform momentum has been somewhat more decisive than that of Indonesia given the strong mandate of Modi's government relative to the unwieldy coalition that Jokowi leads. In fact, Indonesia's ruling PDI-P (Indonesian Democratic Party of Struggle)-led coalition more closely resembles the previous Indian government of Prime Minister Manmohan Singh, with Congress Party President Sonia Gandhi often pulling the strings from behind the scenes, as PDI-P President Megawati Sukarnoputri is doing in the current Indonesian government. Moreover, unlike India, the military continues to be a prominent player in Indonesia's politics (although much reduced from the Suharto era).
Externally, Indonesia has been the architect of a much more robust regional architecture rooted in the Association of Southeast Asian Nations (ASEAN), compared to India's attempts at doing so through the South Asian Association for Regional Cooperation (SAARC). Nonetheless, both countries have often expressed ambitions to "transcend" their respective regions with Indonesia sometimes seeking to look beyond "ASEAN centrality" through strengthening its "middle power" diplomacy. Meanwhile, India, through its "Look East"/ "Act East" policy, has sought to escape the shackles of South Asia's limited economic integration, which has often been held hostage to the poor state of India-Pakistan relations.
Irrespective of the outcome of the upcoming U.S. presidential election, in the context of pressures of fiscal austerity, operational fatigue from the military campaigns in Iraq and Afghanistan, and on-going preoccupation with developments in the Middle East, there will remain a growing narrative in U.S. foreign policy for allies and partners to "do more" in sharing the burdens of regional security. In this context, countries such as Indonesia and India – with a strong tradition of pursuing independent foreign policies – are likely to emerge as increasingly prominent players. While their complex history of interaction demonstrates that shared interests do not always translate into convergent policies, India and Indonesia's regional ambitions, growing maritime orientations, and apprehensions over China's rise demonstrate that they are well positioned to develop a broad-based partnership. As such, the trajectory of the India-Indonesia relationship provides a harbinger for the evolving regional architecture of Asia.
Chietigj Bajpaee is a doctoral candidate in the Department of War Studies at King's College London. He has worked with several political risk consultancies and public policy think-tanks.
1955 Bandung Conference
India maritime strategy
India-Indonesia defense ties
India-Indonesia relations
Indonesia global maritime fulcrum
Joko Widido
Modi and Xi in Mamallapuram: A New Agenda?
By Aman Thakker
Can the 'Chennai Connect' succeed the 'Wuhan Spirit'?
What's India Doing in Russia's Far East?
By Sudha Ramachandran
Is India's interest in the Russian Far East driven more by strategic and geopolitical considerations than strict business interests?
US-India Relations at the Crossroads
By Vinay Kaura
Can the growing U.S.-India partnership survive 'America First'?
Life In Aerocity: Finding India's Place in the New Strategic Context
By Roncevert Ganan Almond
"India will be a leading author in the next chapter of world politics."


Can anyone give me a good source to learn Convolution theorem? I was trying to solve the problem Fuzzy search when I read some solution they all talk about convolution. I understood the process ( u just reverse one polynomial and then perform FFT but I don't understand why it works.[ I tried to read from Wikipedia but talks about time domain, frequency domain etc so didn't get anything there.] Thank in advance.
Server time: Apr/26/2019 11:52:36 (g2).


text:
Guam swimmers break records at Oceania Championships
Future bright for swimming
Guam swimmers break records at Oceania Championships Future bright for swimming Check out this story on guampdn.com: http://www.guampdn.com/story/sports/2016/07/05/guam-swimmers-break-records-oceania-championships/86697354/
Jerick Sablan, jpsablan@guampdn.com Published 10:35 p.m. ChT July 5, 2016
Team Guam's Mineri Gomez, Amanda Poppe and Tommy Imazu competed in the 5k open water swim at Oceania Championships held in Fiji on June 25.(Photo: Courtesy of Jenina Cruz)
Guam's swim team at the Oceania Championships in late June broke several national records and brought home medals.
The six-member team — Benjamin Schulte, Rachel Lannen, Jagger Stephens, Mineri Gomez, Amanda Poppe and Tommy Imazu — represented Guam during the championships held in Suva, Fiji.
The mixed 4x100 medley relay team, featuring Gomez, Poppe, Imazu and Stephens, broke the national record with a time of 4:58.68.
Schulte, who earned a gold and silver for Guam, broke the national record for the men's 50-meter breaststroke with a time of 29.26, and Stephens broke the 17-18 age group record in the men's 50-meter freestyle with a time of 23.71.
Jenina Cruz, assistant coach and team manager, said all the swimmers also set personal best times at the championships.
Another accomplishment was Gomez, Poppe, and Imazu all competed and completed the 5K open water swim. They managed to fight through jellyfish stings during four laps at the Uprising Beach Resort, Cruz said. The swimmers also had to fight swells after the wind picked up.
Ability to compete
Schulte's medaling is a sign that Guam can compete with the best in the region, including swimming powerhouses Australia and New Zealand, coach Don San Agustin said.
"That's an accomplishment for Guam," he said.
3 Guam youths compete at Hawaii swim meet
Cruz said when Schulte got the silver medal in the 100-meter breaststroke, the team lost their voices. The next day, he got the gold in the 50-meter breaststroke.
"We were elated. The cool thing about it was Benji was humble about it," San Agustin said.
He said a lot of people were stunned at the win, but everyone congratulated them. It was also nice to hear the Guam hymn played, he said.
Cruz said after Schulte got the gold, she noticed the team realized there was potential for them to do well in the sport.
"If we put training in this, there's a light at the end of the tunnel. You can get up on the podium with the big guys like Australia and New Zealand," she said.
Cruz said athletes must compete, listen to their coaches, train and have a proper diet to become great swimmers.
Island's progression
San Agustin said swimming has brought a lot of medals to the island. But it's taken time to get to where it is today, he said.
He said the Micronesian Games, the Pacific Games and the Oceania Championships all seemed unachievable in the past, but Guam has medaled in all those events.
"It's getting better and better," he said.
Schulte excited by performance, earns gold and silver
The young swimmers who participated in the Oceania Championships will have other opportunities to compete and hopefully will represent Guam in the 2020 Olympics in Tokyo, he said.
The swimming world championships and the Olympics may seem impossible, but could very well be possible for Guam, in the future, he said.
"I think it's achievable," he said.
San Agustin said he's hoping more swimmers will compete in the next Oceania Championships in two years, and said some of the swimmers who went to the championships this year could be on that team.
The swimmers know what to expect and they know they'll have to work hard and train to compete.
"You have to train like a great swimmer. You can't just be mediocre. It's achievable. It's no longer a distant dream," he said.
Short on lifeguards, Hagåtña pool stays closed to early morning swim training
Team New Zealand relishes time on Guam
Team Guam's basketball team faces exciting 2020
Bumachacha, Dudus take titles in Magahaga tourney
NZ leads tourney with 3-1 record, Guam now 2-1
NZ earns title game shot at Oceania qualifier
Team Guam goes up 2-0


text:
Q: How to track issues sending mail to Yahoo with Qmail? I've Qmail running under Plesk, here is the version:
psa-qmail-rblsmtpd-0.70-cos5.build92090714.19
psa-qmail-1.03-cos5.build92090714.19
The problem is that there are many emails(about 100) to Yahoo waiting in the queue, some of them are 2 or 3 days older.
Is there any way send a specific message from the queue and view the reason for Yahoo is
blocking me?
Thanks.

A: /var/log/qmail/current is a common location for the QMAIL logs.  You want to look at the logs for qmail-send, which will display the reason Yahoo is rejecting your e-Mail.

A: For Plesk's qmail installations, the mail logfile can be found in /usr/local/psa/var/log/maillog. You can grep for e.g. the string Remote_host_said to get the exact answers of remote mailservers about deliveries.

A: Yahoo is known to operate strict anti spam measures. So the first step would be to check if your on any form of black list if you are deal with that and when its clear check to see if the trouble has resolved itsself.
http://www.mxtoolbox.com/

redpajama_set_name: RedPajamaStackExchange


text:
La medicina de familia o medicina familiar es la disciplina médica que se encarga de mantener la salud en todos los aspectos, analizando y estudiando el cuerpo humano en forma global (teoría holística de la práctica médica).

En cada país es distinta su denominación oficial: habitualmente se usan las expresiones: familiar, de familia o comunitaria, de atención integral, incluso con combinaciones entre ellas.

El médico de familia realiza un tipo de ejercicio profesional de la medicina con un cuerpo doctrinal claro, y delimitado por un conjunto de conocimientos, habilidades y actitudes. Si bien los médicos de familia por su formación pueden desempeñar su trabajo en diversos campos laborales (servicios de urgencias y emergencias, unidades técnicas, etcétera), su ámbito natural de actuación es la atención primaria.

Definición
Es una especialidad horizontal en amplitud de predominio clínico que comparte el conocimiento y destrezas de otras especialidades e integra las ciencias biomédicas, conductuales y sociales (biopsicosocial o Integral), capaz de resolver el 90 – 95% de los problemas de salud, proporcionando cuidados continuos e integrales del individuo, su familia y su comunidad que incorpora todas las edades, sexo, sistemas o enfermedades , con particular énfasis en la medicina humanística, la relación médico – paciente - familia, los aspectos educativos, preventivos clínicos y la medicina integrada y coste – efectiva.

Perfil del médico familiar
Es el médico del primer contacto, con excelencia clínica y destreza para procedimientos manuales o de consultorio (cirugía menor o procedimientos invasivos), experto en la consulta externa, con atención continua, intradomiciliaria, comunitaria, hogar del adulto mayor, hospitalaria y de urgencias, además de los grupos poblacionales, con y sin factores de riesgo, con un amplio campo de acción (sin distinción de edades, sexos, sistemas orgánicos y enfermedades), capaz de ir del individuo, a la familia y la comunidad, integrador de las ciencias biológicas, de la conducta y sociales, además de los aspectos educativos, preventivos, curativos y de rehabilitación, intercesor y abogado del paciente (Gerente de los recursos de salud), con amplio liderazgo, conocedor de la realidad nacional, del impacto de sus acciones y de sus limitaciones, interesado en comprender el contexto de los problemas y en buscar soluciones plausibles y costo-efectivas (Medicina costo-efectiva), capaz de resolver el 95% de los problemas (desde signos y síntomas aislados hasta las complejidades derivadas de múltiples padecimientos), experto en la relación médico-paciente-familia-comunidad, comprometido con la persona, comprende sus dolencias, emociones, esperanzas (Medicina humanística) con un alto nivel profesional, técnico, investigativo y académico permanentemente actualizado.

La atención primaria de salud (APS) y la medicina familiar son ámbitos estrechamente relacionados y la APS es el terreno de actuación fundamental del médico de familia, mientras que la medicina familiar es la herramienta clave para el desarrollo pleno de la APS. Es decir, la APS es la estrategia y la medicina familiar, la disciplina para realizarla.

Actividades en medicina familiar

Procedimientos en medicina familiar

Tipo de consulta
Consultas sobre los problemas de salud más prevalentes en la comunidad, de tipo:
 Enfermedad aguda
 Enfermedad crónica
 Actividades preventivas
Maneja muchas consultas por trastornos indiferenciados, además de combinaciones complejas de trastornos somáticos, sociales y emotivos, y muchos padecimientos en forma prodrómica con una relación de continuidad que trasciende lo episódico. El 70% de los problemas de salud que maneja el Médico Familiar se hallan dentro de unos 30 diagnósticos.

Tipo de interconsulta

Un médico de familia bien entrenado puede responder perfectamente hasta un 80-90% de las consultas. Quienes consultan en general tienen cuadros clínicos indiferenciados hasta en un 60% de los casos. La razón por la cual se ve este tipo de cuadros clínicos radica en el hecho que dado que al ser el primer contacto con el sistema de salud, los problemas se ven en estadios incipientes, con formas clínicas diferentes a la que los libros de medicina refieren, ya que los mismos han sido escritos en general por médicos del ámbito hospitalario. Al igual que los estudios clínicos y la mayoría de la bibliografía que procede de niveles de gravedad clínica mayor. Lo que no necesariamente implica mayor complejidad. Ya que la complejidad subyace justamente en la pericia de poder trabajar en un campo de incertidumbres, donde los paradigmas reduccionistas no son válidos, el azar se hace más presente, y la complejidad de la relación persona-familia-sociedad se hace aún más perceptible.

Generalmente realiza referencias del tipo colateral o de intervalos según Ian McWhinney, en el cual el paciente es enviado para un problema específico que amerite el seguimiento, pero se mantiene la responsabilidad, por lo que realiza interconsultas en vez de referencias, evitando así la "galaxia de especialistas" en el manejo según Michael Balint.

En esta visión, el especialista ocupa el lugar que le corresponde: un consultor dispuesto como asesor en casos difíciles o casos que requieren cuidados con aparatos especiales o de tercer nivel. De esta forma, el experto se jerarquiza más y trabaja con pacientes episódicamente, pero con quienes realmente los necesitan y es el médico de familia quien determinará cómo, cuándo y a quién enviar a un paciente que requiere de la intervención de un especialista.

Sistemas de salud

La mayoría de los países con buenos sistemas de salud tienen un 50 por ciento de médicos de familia en sus sistemas de atención primaria.

La medicina familiar, por definición, es la especialidad médica efectora de la atención primaria de salud y, dado que el propósito y la unidad funcional de los cuidados primarios es la familia y no el individuo, el abordaje de la atención de la salud para la medicina familiar se desarrolla dentro de este contexto microsocial, y evita fragmentar a cada integrante del grupo en distintos componentes, cada uno con un proveedor de salud diferente.

Véase también
 Atención Primaria
 Clasificación de Derivaciones Fármaco-terapéuticas
 Clasificación Internacional de Atención Primaria
 Coordinación sanitaria
 Integralidad
 Longitudinalidad
 Medicina familiar y comunitaria
 Médico de cabecera

Referencias

Bibliografía
 Commission of the WONCA European Council. The european definition of General Practice / Family Medicine. WONCA Europe. 2011 Edition

Enlaces externos
 Sociedad Española de Medicina de Familia y Comunitaria
 Sociedad Peruana de Medicina Familiar y Comunitaria
 Academia Americana de Médicos de Familia
 Confederación Iberoamericana de Medicina Familiar
 Organización Mundial de Médicos de Familia
 Red Española de Atención Primaria
 Médicos familiares

Especialidades médicas
Medicina Familiar y Comunitaria
Términos médicos
Atención Primaria
Centros de Salud


Custom Engraved Pendant, Gift From Mother to Son. Unique engraved necklace for men!
Do you want to make a special 16th Birthday Boy Gift? look at the custom necklace made of a a high quality ball chain and a Stainless Steel Washer pendant that will be both sides personalized as you wish. Add initials, a name on one side and a secret message just for his eyes on the other side. These can be also some words to inspire or motivate!
Make stylish gifts with personal meaning!


text:
Q: How can I make this button with css
I'm trying to make this button that have a circle shape inside and contains this arrow icon.
My idea is when you hover it, the whole button became colored inside

    read more

A:

.button {
  border: 1px solid #583F99;
  width: 180px;
  height: 40px;
  border-radius: 40px;
  display: flex;
  align-items: center;
  justify-content: space-between;
  transition: .4s;
}

.icon {
  border-radius: 40px;
  display: block;
  width: 20px;
  height: 20px;
  padding: 10px;
  background-color: #583F99;
  transition: .4s;
}

.title {
  color: #583F99;
  font-family: sans-serif;
  font-size: 130%;
  flex: 1;
  text-align: center;
}

.button:hover {
  background-color: #583F99;
}

.button:hover .title {
  color: white;
}

.button:hover .icon {
  transform: rotate(-90deg);
}

  read more

A: Here it is. If you have any questions, please tell me so I can explain it to you.

.button {
  height: 22px;
  border: 1px solid rgb(128, 0, 128);
  display: inline-flex;
  align-items: center;
  border-radius: 15px;
  overflow: hidden;
  cursor: pointer;
}

.button:hover {
  background-color: rgb(128, 0, 128);
}

.button__text {
  color: rgb(128, 0, 128);
  padding: 5 10px;
  margin-right: 5px;
}

.button:hover .button__text {
  color: rgb(255, 255, 255);
}

.button__chevron_down_icon {
  background-color: rgb(128, 0, 128);
  color: rgb(255, 255, 255);
  width: 22px;
  height: 22px;
  border-top-left-radius: 50%;
  border-bottom-left-radius: 50%;
  display: flex;
  justify-content: center;
  align-items: center;
}

.button__chevron_down_icon>svg+svg {
  display: none;
}

.button:hover .button__chevron_down_icon>svg {
  display: none;
}

.button:hover .button__chevron_down_icon>svg+svg {
  display: block;
}

read more

    <svg xmlns="http://www.w3.org/2000/svg" fill="none" viewBox="0 0 24 24" stroke-width="1.5" stroke="currentColor">
      <path stroke-linecap="round" stroke-linejoin="round" d="M19.5 8.25l-7.5 7.5-7.5-7.5" />
    </svg>
    <svg xmlns="http://www.w3.org/2000/svg" fill="none" viewBox="0 0 24 24" stroke-width="1.5" stroke="currentColor">
      <path stroke-linecap="round" stroke-linejoin="round" d="M8.25 4.5l7.5 7.5-7.5 7.5" />
    </svg>


text:
Q: PHP increment statement according to value in database I have created a PHP form with values that are inserted in the database. Fields dropdown boxes that are passed to the database after submit. According to what the user chooses in the dropdown box, score increases.
It contains age (dropdown box, >20 <20), degree (high school, university), etc.
What I want to build,is a function to add score values according to the choice of the dropdown box. Make specific column values a variable which adds scores points.
Every time someone inserts a specific choice, it should  get a different amount of points.
Pseudocode, for score:
i = 0.
If dropdown.age>20 (choice 1), 5 points, i= i +5.
If dropdown.age<20, 10 points, i= i +10
If dropdownchoicebox.education = high school, 5 points, if university, 10 points.

Same for database
If age-row.value>20, i +5 else i+10
if education-row.value = highschool, i= i+5 else i + 10

And it should continue giving "score points", according to each specific choice in every field.
The code so far shows the database values. Each insert is in a different row until it runs out rows. For instance, age would be row 4, education row 5, etc.
   <?php

// Get a db connection.
$db = JFactory::getDbo();

// Create a new query object.
$query = $db->getQuery(true);

// Select all records from the user profile table.
// Order it by the ordering field.
$query->select($db->quoteName(array(age, education, FieldName, FieldValue)));
$query->from($db->quoteName('table'));

// Reset the query using our newly populated query object.
$db->setQuery($query);
$row = $db->loadRow();
print_r($row);

// Load the results as a list of stdClass objects (see later for more options on retrieving data).
$results = $db->loadObjectList();
?>

Result: array value
Array ( [0] => over 20 [1] => highschool [2] => result 2[3] => result3

Names of rows: [0] = age, [1] = education.
What I want to do:
Button onclick: calculate points

function calculate points
//i for score

i=0
As 0 = over 20, i=0+5 = 5
as 1 = highschool i= 5+5 = 10


Molecular clouds contain supersonic turbulence, which should decay on the order of a crossing time. We have run numerical models for the type of shock expected to be generated by turbulence in molecular clouds and, by estimating the typical turbulent energy dissipation rate, we have predicted the shock emission expected to come from a molecular cloud. We find that CO is the primary coolant in these low velocity shocks and we predict that mid-J CO lines (J = 6 to 5 and higher) should trace the shocked gas in a molecular cloud. We present Herschel observations of mid-J CO lines towards both a low mass star forming region and four quiescent cores embedded in IRDCs and show that there must be a hot gas component within some of these regions.


text:
'Pop' in to see Art Out Loud at the Chrysler Museum
Chrysler Museum's Art Out Loud: Pop
Wildfires could have a multibillion-dollar impact on Australia's economy
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Virginia attorney general: No one deserves to live in fear of discrimination
Mark Herring said bills he has proposed in the past have died in the Republican-led General Assembly.
Author: Laura Geller
Published: 12:02 PM EDT August 12, 2019
On the second anniversary of the white nationalist rally in Charlottesville and in the wake of the mass shooting in El Paso, Virginia leaders are pushing for action against hate crimes.
Virginia Attorney General Mark Herring told WUSA9 the threat of violence based on white supremacist ideology is getting worse.
RELATED: 2 years later: Charlottesville preaches unity on anniversary of deadly riots
"No one deserves to live in fear or fear of discrimination because of who they are, what their race is, what religion they are," Herring said. "Everyone is welcome here in Virginia."
RELATED: Trump condemns 'racism, bigotry and white supremacy' after weekend of shootings
For the last couple years, the Attorney General's Office has proposed several pieces of legislation he believes would protect Virginians from hate crimes.
The bills have died in the Republican-led General Assembly, sometimes without a committee hearing.
One proposal would give Herring's office the authority to prosecute hate crimes.
"Hate crimes are designed to strike fear not just to one person or the person to whom an act of violence is directed, but toward an entire community, and to try to make them feel that they are not a part of the community, that they are not a part of the state, and sometimes that fear cuts across an entire region or an entire state," he explained.
WUSA9 reached out to Republican leadership in the General Assembly for a response to Herring.
The offices of House Speaker Kirk Cox and Northern Virginia Delegate Tim Hugo did not respond to our requests.
According to Virginia State Police, hate crimes have climbed in the past few years. In 2018, there were 161 hate crimes reported, however, the total hit a peak in 2017 with 202.
The AG's Office has also created a Virginia-specific website on hate crimes:
No Hate VA
"No Virginian should be singled out for abuse, harassment, or mistreatment because of who they are, what they look like, how they worship, where they come from, or whom they love. Hate crimes violate the civil liberties of victims and are contrary to the founding principles of our Commonwealth and our country."
RELATED: How to customize the stories and alerts you get from WUSA9


NexTech was refocusing its retail sales organization from a telecom market focus to enterprise network solutions. They needed to efficiently gain an understanding of the market and develop a sales approach that would be effective in this new market space. They needed accurate information about opportunities and decision makers in target companies.
– Gary Preble, NexTech Partners Network Specialist.
NexTech, www.nextechpartners.com is a global reseller of networking, storage, server, voice and video equipment. In order to provide objective technology recommendations to their customers, NexTech resells IT equipment from a wide variety of manufacturers including Cisco, Extreme Networks, Avaya, HP, Polycom, Nortel and Plantronics. NexTech is a full service provider, offering solutions from IP telephony to network implementations.
NexTech's retail sales team, which had been selling to companies dealing with the purchase of large quantities of telecom equipment, was challenged to re-focus into the more competitive enterprise network market. However, the sales teams struggled to find their footing. The sales team needed new sales tools, to brush up on their sales skills and gain a rapid understanding of the enterprise network systems market.
NexTech's retail sales team was actively working the phones – cold calling 100 calls per employee per day, using outdated sales marketing pitches. It wasn't long before NexTech realized this strategy was wasting valuable time and energy. They needed sales tools that would not only enable them to be more targeted to their approach to this unfamiliar market, but also help them to learn more effective sales strategies.
NexTech chose to purchase the DiscoverOrg Enterprise Dataset, Mid-Market Dataset, Small to Medium Enterprise Dataset and IT Org Charts. DiscoverOrg's sales tools provided a clear view into target organizations, the ability to target people in specific roles and data pertaining to specific ongoing initiatives. Using the DiscoverOrg tools enabled NexTech retail sales team to transition successfully into their new target market.
The DiscoverOrg webinar sales training series also empowered NexTech by offering different approach strategies and sales tools that were more closely aligned with the new environment into which they were selling.
By utilizing DiscoverOrg's IT Org Charts, NexTech's sales reps are able to approach a prospect from multiple angles. If their first contact points don't yield the results they were after, the detailed IT department organizational charts enable them to try other contacts within the department or up the chain of command. The DiscoverOrg charts are a vital tool in account prospecting.
NexTech is successfully transitioning its retail sales force from the declining telecom sales market to the more profitable enterprise network sales market with the help of DiscoverOrg's integrated webinar training series. Titles in this series including, Cold Calling Preparations Get it Right, Cold Calling Interrupting to Conversation, Cold Call How to Handle Objection and Sending Targeted Emails using DiscoverOrg have helped sales teams change their mindset and approach when newly equipped with plentiful prospect data. When leads are no longer scarce, the ability to focus your selling time on the most profitable and effective approaches is critical to success. "Like most midsized organizations, our company does not offer sales training internally; a surprise benefit of working with DiscoverOrg was the high-quality sales training from industry experts available at your convenience." Gary Preble, NexTech Partners Network Specialist.
Using DiscoverOrg's sales tools, NexTech sales reps were able to navigate a new market and successfully target efforts on the most profitable sales approaches.
DiscoverOrg's Datasets and IT Org Charts enabled NexTech to focus on contacts that are most likely to be interested in solutions.
DiscoverOrg's provides integrated sales training that has enabled NexTech Partners to have a sales training arm with no additional expense to the company.
DiscoverOrg Customer Success Agents are available to assist sales reps as they work with the data and implement new sales strategies.


text:
Lieutenant-Colonel Uvedale Shobdon Corbett CBE DSO DL (12 September 1909 – 1 September 2005) was a British soldier, politician and businessman. He was Conservative Member of Parliament (MP) for Ludlow from 1945 to 1951.

Corbett was born near Shrewsbury on 12 September 1909 and educated at Wellington College and the Royal Military Academy at Woolwich. He was commissioned into the Royal Artillery in 1929.  He acquired the nickname 'Streak' at the Equitation School at Weedon.

In World War II he was awarded the DSO for his actions during the capture and defence of the Orne Bridgehead during the Normandy campaign in August 1944.

After representing Ludlow in Parliament from 1945 to 1951, he went into the poultry industry and co-founded the West Midlands Broiler Hatchery and, in 1960, Sun Valley Poultry. He was president of the British Poultry Federation from 1979 to 1984 and was appointed CBE in 1984 for services to the industry.

He married Veronica Whitehead in 1935; they divorced in 1952. They had two sons and a daughter.  He married Patricia Jane Walker in 1953. She died in 1985, and he married Peggy Roberts in 1987.

References

1909 births
2005 deaths
Military personnel from Shrewsbury
UK MPs 1945–1950
UK MPs 1950–1951
Conservative Party (UK) MPs for English constituencies
Politicians from Ludlow
Royal Artillery officers
British Army personnel of World War II
Graduates of the Royal Military Academy, Woolwich
People educated at Wellington College, Berkshire
Companions of the Distinguished Service Order
Commanders of the Order of the British Empire
Deputy Lieutenants of Hereford and Worcester
Military personnel from Ludlow
Businesspeople from Ludlow


text:
Als Geisterjagd bezeichnet man die Untersuchung einer Örtlichkeit zum Zwecke des Nachweises paranormaler Aktivität.

Typischerweise wird in kleinen Geisterjägergruppen versucht, Hinweise auf paranormale Aktivitäten zu sammeln. Geisterjäger sammeln Daten mit wissenschaftlichen Methoden, indem sie verschiedene Ausrüstungsgegenstände wie Videokameras, Fotoapparate, Audiorekorder und diverse Messgeräte wie Magnetometer, Geigerzähler und Thermometer einsetzen.

Der Begriff Paranormale Untersuchung wurde 1977 von Walter von Lucadou und Klaus Kornwachs in ihrem Aufsatz Beitrag zur systemtheoretischen Untersuchung paranormaler Phänomene geprägt.

Kritiker der Geisterjagd bemängeln häufig, dass kaum wissenschaftlich überprüfbare und reproduzierbare Beweise für die Existenz von Geistern gesammelt würden, obwohl dieses Thema die Menschheit seit Jahrhunderten beschäftige.

Ursprung und Entstehungsgeschichte
Von Plinius dem Jüngeren ist die erste Untersuchung (100 n. Chr.) überliefert, die man als Paranormale Untersuchung oder Geisterjagd beschreiben könnte. Er beschreibt die Untersuchung eines Spukhauses im antiken Athen durch den Philosophen Athenodoros Kananites.

1862 wurde in London der Ghost Club gegründet, der als die erste Institution gilt, die paranormale Phänomene untersuchte. Berühmte Mitglieder waren unter anderem Charles Dickens, Sir William Crookes, Sir William F. Barrett und Harry Price.

Zwischen 1880 und 1890 schlug der Philosoph und Begründer der American Psychological Association William James vor, wissenschaftliche Methoden zur Erforschung paranormaler Fragestellungen einzusetzen. Er fand Verbündete in England wie beispielsweise Alfred Russel Wallace, den Philosophen Henry Sidgwick und Edmund Gurney. Gemeinsam gründeten sie die Society for Psychical Research, um Beweise für Erscheinungen, Spuk und ähnliche Phänomene zu finden. Die Mitglieder der Society sammelten Fallstudien, beobachteten Seancen, entwarfen Tests zur Überprüfung von Wahrsagern und führten den Census of Hallucinations ein, eine Statistik, in der die Anzahl der geisterhaften Erscheinungen von Personen am Tage ihres Todes gezählt wurden.

Ähnliche Untersuchungen wurden von Harry Price mit dem Londoner Laboratory of Psychical Research ab 1920 durchgeführt, die 1950 und 1960 durch die Amerikaner Hans Holzer und Ed und Lorraine Warren fortgesetzt wurden.

In Deutschland versuchte unter anderem Johann Wolfgang von Goethe, sich von der Existenz von Geistern und Spuk zu überzeugen, und er verarbeitete seine Erlebnisse im Faust (4160f.) in der Walpurgisnacht: "Das Teufelspack, es fragt nach keiner Regel. Wir sind so klug, und dennoch spukt's in Tegel."

Wissenschaftliches Interesse erregte die umfangreiche Fallsammlung von Fanny Moser, die sie dem Institut für Grenzgebiete der Psychologie und Psychohygiene (IGPP) in Freiburg unter Hans Bender hinterließ.

Bundesweite Schlagzeilen machte 1983 die Geisterjagd in einer Zahnarztpraxis. Mehrere Monate wurde nach dem Chopper-Geist gefahndet.

Aktuell ist der deutsche Parapsychologe Walter von Lucadou als Geisterjäger tätig.

Aktuelle Entwicklung
Durch das Internet und Filme wie Das Spukhaus und Reality-TV-Shows wie Ghost Hunters und Most Haunted ist derzeit ein Boom auf dem Gebiet der Geisterjagd zu verzeichnen. Weltweit agieren Teams von Enthusiasten und Hobbyforschern, die in ihrer Freizeit Spukgerüchten nachgehen und ihre Dienste Betroffenen anbieten.

Geräte und Methoden
Geisterjäger verwenden verschiedene Techniken und Werkzeuge, um angebliche paranormale Aktivitäten zu untersuchen. Zwar gibt es unter den Geisterjägern keine allgemeine Akzeptanz der folgenden Methoden, doch werden einige von ihnen häufig von Geisterjagdgruppen verwendet.
 Foto und Video: Verwendung von digitalen Kameras, Nachtsichtgeräten, Infrarotkameras und sogar Einwegkameras zum Entdecken von etwaigen Bild- und/oder Tonstörungen.
 EMF-Messgerät: Zur Erkennung möglicherweise unerklärlicher Schwankungen elektromagnetischer Felder.
 Tablet-PC: Zur Aufzeichnung von Daten, Audio, Video und sogar Umgebungsschwankungen wie elektromagnetischen Feldern.
 Umgebungstemperaturmessung: Mit Thermografiekameras, Wärmebildkameras, Infrarotthermometern und anderen Infrarottemperatursensoren. Alle diese Methoden messen nur die Oberflächentemperatur und nicht die Umgebungstemperatur.
 Digitale und analoge Audioaufzeichnung: Erfassen von unerklärlichen Geräuschen und elektronischen Stimmphänomenen (EVPs), die als körperlose Stimmen interpretiert werden können.
 Kompass: Einige Geisterjäger verwenden einen Kompass, um die Position von paranormalen Stellen zu bestimmen, ähnlich wie bei EMFs.
 Geigerzähler: Zur Messung von Strahlungsschwankungen.
 Infrarot- und/oder Ultraschall-Bewegungssensoren: Erkennen möglicher anomaler Bewegungen in einem bestimmten Bereich oder zur Unterstützung einer kontrollierten Umgebung, in der eine menschliche Bewegung erkannt wird.
 Ausrüstung zur Überwachung der Luftqualität: Beurteilung der Konzentrationen von Gasen wie Kohlenmonoxid, von denen angenommen wird, dass sie zu Berichten über paranormale Aktivitäten beitragen.
 Infraschallüberwachungsausrüstung: Zur Beurteilung des Geräuschpegels.
 Wünschelruten: Meist aus Messing gefertigt und L-förmig gebogen.
 Wahrsager, Medien oder Hellseher: Trance-Medien oder "sensible" Personen, von denen man annimmt, dass sie die Fähigkeit haben, sich mit spirituellen Wesen zu identifizieren und Kontakt mit ihnen aufzunehmen.
 Dämonologen, Exorzisten und Geistliche: Personen, die Gebete sagen, Segnungen geben oder Rituale durchführen, um angebliche Geister, Dämonen, Poltergeister oder "negative Energie" zu reinigen.
 Licht aus: Laut den Webseiten der Geisterjagd-Enthusiasten ziehen es viele Geisterjäger vor, ihre Ermittlungen während der "spitzen" Abendstunden (Mitternacht bis 4 Uhr) durchzuführen.
 Ghostbox: Ein elektronisches Gerät, von dem einige Geisterjäger behaupten, dass es mit Geistern kommunizieren kann.
 Interviews: Sammeln von Zeugenaussagen und Berichten über angebliche Verfolgungsjagden.
 Historische Forschung: Erforschung der Geschichte des untersuchten Ortes.
 Ein Ouija-Brett, um mit Geistern zu kommunizieren.
 Laut einem psychischen Medium deutet man an, dass "Hunde, die an bestimmten Stellen auf einem Grundstück knurren und bellen" und Katzen, die in einen bestimmten Bereich ziehen oder suchen, als ob jemand anwesend wäre, auf einen Spuk hindeuten.

Kritik
Da sehr viele Enthusiasten und selbsternannte Medien als Geisterjäger auftreten, die ihre Untersuchungsergebnisse auf einschlägigen Webseiten veröffentlichen, bemängeln Kritiker, dass viele als Beweise angeführten Daten durch unsachgemäßen oder zweckfremden Einsatz der Messgeräte und durch falsche Interpretation der Ergebnisse hinfällig seien. Außerdem steht zu befürchten, dass Mitglieder von Geisterjäger-Gruppen sich qualifizierter darstellen als sie sind.

Kritiker wie John Potts empfehlen, in der Fachwelt die Ergebnisse der Amateur-Gruppen nicht ernstzunehmen, da diese eine Beweisführung auf Basis nicht bewiesener Annahmen versuchen, was jeder wissenschaftlichen Grundlage entbehrt.

Literatur
 Sebastian Bartoschek, Alexa Waschkau: Ghosthunting. Auf Spurensuche im Jenseits. Alibri Verlag, Aschaffenburg 2013. ISBN 978-3-86569-173-6

Quellen

Parapsychologie


The majority of working dog medical issues can be treated efficiently if the handler is adequately prepared and has taken time to learn how to give injections, administer oxygen, and handle the basics of bandage application. Factors such as geography, temperature, and the dog's specific job description will influence how prepared the handler must be.
At a minimum, veterinarians recommend K-9 handlers carry a first-aid kit, learn how to give injections, and know how to administer oxygen. A brief session with your veterinarian or even a vet tech should be sufficient to learn how to correctly give injections. K-9s should also wear ballistic vests when practical to protect them from injury in the first place.
Allergic Reactions—These can happen to any dog even if no prior allergy has been seen. Most allergic reactions in working K-9s will stem from insect stings from yellowjackets, wasps, and hornets. Signs can range from hives and itching, to more serious signs such as difficulty breathing and collapse. Steroids and Benadryl are used to treat mild allergic reactions while severe anaphylactic reactions should be treated with epinephrine. The adult-size epinephrine injecting pen is roughly the correct dose for an 80-pound dog. If you have a working K-9 with a known severe allergic reaction to insect stings, consult with your veterinarian who could supply you with a source of injectable epinephrine for your K-9. Snake venom poisoning is geographically specific, so you should make sure you have the specific antivenin for your particular region.
Eye Injuries/Foreign Bodies—Simply having a mild irritation of the eye can be treated initially by flushing the K-9's eye with a sterile eye solution. Foreign bodies such as thorns that pierce the cornea should NOT be removed. Dogs with such piercing wounds should be transported immediately to emergency care. The penetrating foreign material has to be removed very carefully by a medical professional to avoid losing the normal pressures in the eye. Blindness can result from these wounds.
Dog Bites—If your K-9 is bitten by another dog, the wound should be flushed with chlorohexiderm or hydrogen peroxide. In general, these wounds are not sutured closed. You can consult with your veterinarian who will likely provide antibiotics and will need to do wound treatment.
Lacerations—Clean lacerations can be treated with stapling or bandaging and full treatment can be obtained after the K-9's job is done. However, hemorrhage or life threatening bleeding should be addressed immediately. To be prepared for these situations, handlers should become familiar with pressure bandages and the judicious use of temporary tourniquets.
Gunshot/Stab/Impalement Wounds—These dogs should be transported immediately into emergency veterinary care. In general, stab or bullet openings should be packed over with bandaging material and sterile lube. This is of paramount importance in chest wounds where a loss of negative pressure will cause the lungs to collapse. These dogs will almost always need emergency exploratory surgery.
Heat Prostration/Overheating—Overheating in working K-9s will happen from either overexertion or, although rare, being left in a cruiser with either malfunctioning air conditioning or inappropriate temperature regulation. Overheating is a life threatening crisis irrespective of the cause. Dogs should be doused with cool (not cold) water and should be transported to an emergency facility immediately for IV fluids and aggressive therapy. The elevation of the core temperature causes a myriad of internal damage to organs and many dogs do not survive. This is a problem best avoided.
Bloat/Gastric Torsion—This is a twisting of the stomach that is common in deep chested breeds. It is becoming increasingly common to do a prophylactic stomach "tacking" procedure in working dogs, as treatment in the field is extremely difficult. One preventive measure includes minimizing feeding prior to working but it is not completely clear what the cause of the twist is. The signs of torsion are unproductive retching and abdominal distension. One treatment that can be done in the field is trocarization of the stomach to relieve the distension. This involves inserting a large needle to allow an avenue for the gas to escape, which will buy some time so you can get the dog to emergency treatment. You will need to consult with your veterinarian to learn the correct location to put a needle through the body wall into the stomach. By far, preventive tacking surgery is the best approach for torsion.
Choking—All handlers should be proficient in the Heimlich maneuver and its application in the K-9. Basically the dog is straddled from over the top and both arms are used to pull the dog's abdomen upward to force pressure on the lungs and hopefully expel foreign material. Alternatively, sharp blows to the chest may be used to dislodge foreign material.
Following is a list of supplies for a K-9 first-aid kit. Having a good working relationship with your veterinarian will help in terms of calculating correct dosages and obtaining some of the items that require prescriptions.
Oral Poisonings—If you know that your K-9 has consumed a known toxin such as rat bait or sugar substitute chewing gum, you can induce vomiting with hydrogen peroxide or ipecac. About two ounces of hydrogen peroxide diluted 50/50 with water will be effective. Apomorphine is also effective to induce vomiting by either injection or administration onto the surface of the eye. If it is suspected that the dog has consumed caustic material, or extremely acidic material, vomiting should not be induced as that can cause severe burns to the esophagus. Vomiting should also not be induced in a patient that is not completely aware. In instances where vomiting should not be induced, Toxiban can be administered, which can decrease absorption of the toxin.
Fractures—Obvious leg fractures can be stabilized in the field prior to transport. Splinting material is commercially available and with a combination of bandaging can stabilize a distal limb fracture. A distal limb fracture is either the radius and ulna or the tibia and fibula. Fractures of the humerus and femur cannot be stabilized by external means. Your dog will be in severe pain with a fracture and a cage muzzle is needed to transport many of these patients. Open fractures with bone ends should be covered with sterile dressings and antibiotic creams.
Smoke Inhalation—After removal from a smoke inhalation situation, oxygen therapy by either face mask or flow by is the most important treatment prior to transfer to an emergency facility. Corneal burn can also occur and should be treated with antibiotic salve. Checking the K-9 carefully for burn wounds is imperative and aggressive wound treatment is often required.
Opioid Intoxication—It is critical that handlers have Narcan available especially when working with narcotics dogs. While either an intravenous or intramuscular injection is preferred, intranasal administration of Narcan can save your K-9 partner's life. Depending on the opioid to which the K-9 is exposed, Narcan may need to be repeated. The dose of Narcan is about 1.6 mg per 100 pounds of dog. You should have the specific dose your dog needs recorded in your first-aid kit to minimize time after exposure. Any K-9 exposed to opioids should be transported immediately for follow-up emergency care.
Cardiopulmonary Resuscitation—It is beyond the scope of a basic article to discuss the technique and dynamics of CPR. Unless associated with an anesthetic incident causing stoppage of the heart, K-9 CPR in the absence of ancillary therapy will almost always be unsuccessful. That said, it is prudent to learn how to do chest compressions and attempt to restart a heart, but such efforts in the field are mostly for naught.
Dr. Robin Zuckerman, DVM, maintains a mobile surgical practice in New England and opened the Emergency Veterinary Clinic in Portsmouth, NH, in 1991. She has been treating working dogs for 30 years and has done many K-9 first aid presentations. She is one of the founding members of the Working Dog Foundation in Portsmouth, NH. She can be reached at [email protected].


Dimension construction tools. To draw dimensions, start with the Create Features window. This is where you choose the template into which your features will be saved and the dimension construction tool used to create them.... Though you can change the dimension to display most of what you like by editing the dimension text box. The pitch will not update automatically though. I'm not suggesting you do this as standard practice but offering a suggestion in hopes that it may help in another way sometime in the future.


The Selectek company culture is one of integrity, respect and a commitment to each and every employee's growth and success. We got to where we are today because of our values, and these same values help guide us through our continued growth.
We are consistently seeking new members of our internal and external staffing solutions team. Check out the following opportunities and click on the titles that most interest you based on your experience.
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