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How will data from U.S. EPA's greenhouse gas reporting program change the game for industry? During today's OnPoint, Dina Kruger, principal at Kruger Environmental Strategies and the former director of EPA's climate change division, explains how the greenhouse gas reporting program, which is set to begin rolling out data at the end of this month, will affect business and public relations for participating industries. She also reacts to the Obama administration's rollback of ozone regulations.

Monica Trauzzi: Hello and welcome to OnPoint. I'm Monica Trauzzi. Joining me today is Dina Kruger, principal at Kruger Environmental Strategies and the former director of EPA's Climate Change Division. Dina, it's great to have you here.

Dina Kruger: Nice to be here.

Monica Trauzzi: Dina, this month's decision by the Obama administration to roll back on ozone regulations has left many questions about the impact of regulations on the economy and also the future of these regulations and environmental rules. What's your take on the strategy behind the Obama administration's decision?

Dina Kruger: Well, I think that in this -- I mean in our current climate, our economic climate, we're really dealing with the challenge of can you do environmental protection and economic growth together? Now, I'm someone who believes that these two things can go hand in hand, but, as we know, there's a lot of people that don't hold that view. And I think that at the end of the day, I don't know why exactly the Obama administration made that decision, but they made a call that they were going to pull this one back. I mean I'm optimistic and hopeful that EPA is going to be able to continue forward with the other regulations that it's doing. There's a lot of really important steps that they've taken so far and I think they're on a good path.

Monica Trauzzi: There's some thinking that the ozone rule was probably the easiest one to roll back on. Is that your thinking as well?

Dina Kruger: Well, I don't know if it's the easiest, but I think that it was certainly a rule that, as the president said in his statement, that because there will be another -- there's a planned review of this ozone NACS coming up in 2013, it's not like there won't be another opportunity to move forward.

Monica Trauzzi: So, you left EPA in February after 22 years working there. With so much happening at EPA under Lisa Jackson, why did you feel compelled to leave at this time?

Dina Kruger: I really thoroughly enjoyed my time at EPA and I loved working for Administrator Jackson. We got a lot done. When I was there I was able to put out the greenhouse gas reporting rule and also manage the endangerment finding that we did. I just found after 22 years I think I was ready for change and I'm thoroughly enjoying my new opportunities as well. So, it was a good time to be there and a fine time to leave too.

Monica Trauzzi: And now you are working directly with companies and NGOs that are interested in some assistance on a Greenhouse Gas Reporting Program and we're going to start seeing data coming out of that program at the end of this month. What are the key challenges that you've encountered with these companies when it comes to preparing for the release of this data?

Dina Kruger: I think what we're finding, and the companies have been very engaged -- are very engaged in the program, but I think what we're finding is making sure that across all of the facilities that they have that they're operating consistently, that they're doing the same things for the same types of facilities, that they've got the right kind of documentation and keeping the records that they're supposed to be keeping. And then I think, as they have the data now in hand, that they have two opportunities and two challenges and to challenges with respect to how they move forward. One is understanding what it means, what they can learn from the data, from the emissions data and how they can understand sort of where their plants are fitting within their own company and within the sector and what opportunities they have to reduce emissions. And then also thinking forward about how their stakeholders are going to react when the emissions are made public by EPA.

Monica Trauzzi: There was some concern at one point about EPA potentially releasing confidential information. How have they come down on that?

Dina Kruger: Yeah, EPA put out a proposal back about a year ago and actually talked about how it was planning on dealing with confidential information and there was a lot of reaction from industry concerned that some of the data that EPA had said they thought they would release or would need to release was going to be confidential. EPA has since pulled back on that and is taking more time to work through these issues and to make sure that confidential information won't be released. So, at this point, with the information being reported at the end of this month, there aren't any problems with confidentiality.

Monica Trauzzi: Are there concerns from within the business community about how some of this data might be used, say by the media?

Dina Kruger: I haven't heard that there are major concerns, but I think that smart companies should be looking at their own data and trying to think forward about what kinds of questions or potential concerns could arise from the media, from investors, from environmental organizations, from local communities. I think that if they do that kind of planning now and they think about how they're going to explain what their emissions are and why they're emissions are where they are, they can be fully prepared.

Monica Trauzzi: So, from your experience, do companies, for the most part, feel it's fair to have to do this or is that kind of still up in the air?

Dina Kruger: From my-certainly my impression and my experience when I was working at EPA was we had really excellent engagement with-across a number of industry sectors. And this was a rule that the community seemed to like. They got their questions answered. EPA was very responsive and so I think that, at this point, there's a lot of support behind the rule. It's not a regulation. And nobody is required to install any control technology or reduce their emissions as a part of this rule.

Monica Trauzzi: But they may feel compelled to if their numbers appear higher.

Dina Kruger: Well, I think -- yeah, but I think that when -- the way to sort of look at that, most of the sectors that are reporting here, I mean the vast majority of the reporters are not in sectors that are on any kind of short list to be regulated, to have their greenhouse gas emissions regulated. So, I think what we're going to see is if the companies -- you know, presumably -- I would advise that the companies should be looking at their emissions and trying to see where they themselves have opportunities. Most of the CO2 emissions coming from these industries are from fuel combustion. So, if you can find efficiencies, you can reduce your fuel consumption and ideally save some money while you're doing that. I think that they should also be really listening to their stakeholders and trying to hear, you know, what kinds of questions they have and what sorts of concerns or suggestions do they have for moving forward. And then it's really going to be in the hands of each individual company to decide what makes sense to do, based on their own business model and where they are. So, it's not -- I think it should work, I think it has the potential to work really well for them.

Monica Trauzzi: And how does this program fit into the broader picture of regulation and all the regulations that we see coming out of EPA right now?

Dina Kruger: Well, I think this is a rule that certainly, as EPA moves forward, you know, in the future with greenhouse gas regulations or if Congress decides that it wants to do something to regulate greenhouse gases, this data is really going to be a foundation for the policymaking. I mean having a trend in emissions, understanding where they come from is going to be -- is a really critical piece and one that, prior to this rule, we didn't have in the United States.

Monica Trauzzi: OK, interesting stuff. Thank you for coming on the show, nice to see you.

Dina Kruger: Thank you.

Monica Trauzzi: And thanks for watching. We'll see you back here tomorrow.

[End of Audio]

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text:
Egypt Independent

China’s isolation grows as virus toll reaches 259

China faced deepening isolation over its coronavirus epidemic on Saturday as the death toll soared to 259, with the United States leading a growing list of nations to impose extraordinary Chinese travel bans.

With Britain, Russia and Sweden among the countries confirming their first infections, the virus has now spread to more than two dozen nations, sending governments scurrying to limit their exposure.

The United States toughened its stance Friday by declaring a national emergency, temporarily barring entry to foreigners who had been in China within the past two weeks.

“Foreign nationals, other than immediate family of US citizens and permanent residents, who have traveled in China within the last 14 days will be denied entry into the United States for this time,” Health Secretary Alex Azar said.

That follows similar steps by countries including Italy, Singapore, and China’s northern neighbor Mongolia.

The United States, Japan, Britain, Germany and other nations already had advised their citizens not to travel to China.

– ‘Unkind’ –

Beijing, which insists it can contain the virus, began to show impatience over the growing ostracism, with the foreign ministry calling Washington’s earlier advice against travel to China “unkind”.

“Certainly it is not a gesture of goodwill,” foreign ministry spokeswoman Hua Chunying said.

The US emergency declaration also requires Americans returning from the ground zero Chinese province of Hubei to be placed in mandatory 14-day quarantine, and health screening for US citizens coming from other parts of China.

The virus emerged in early December and has been traced to a market in Hubei’s capital Wuhan that sold wild animals.

It then jumped to humans and spread globally on the wings of a Lunar New Year holiday rush that sees hundreds of millions of Chinese people travel domestically and overseas.

With public anger mounting in China, Wuhan’s top official admitted late Friday that authorities there had acted too slowly.

– Mea culpa –

“If strict control measures had been taken earlier the result would have been better than now,” Ma Guoqiang, the Communist Party chief for Wuhan, told state media.

Ma said he was “in a state of guilt, remorse and self-reproach.”

Wuhan officials have been criticized online for withholding information about the outbreak until late December despite knowing of it weeks earlier.

China finally lurched into action more than a week ago, effectively quarantining whole cities in Hubei and tens of millions of people.

The rest of the country has been essentially put on a war footing.

The unprecedented safeguards imposed nationwide include extending the holiday, postponing school restarts and tight health screening on travellers nationwide.

But the toll keeps mounting at an ever-increasing pace, with health authorities on Saturday saying 46 more people had died in the preceding 24 hours, all but one in Hubei.

Another 2,102 new infections also were confirmed, bringing the total to nearly 12,000 — far higher than the Severe Acute Respiratory Syndrome outbreak of 2002-03.

SARS, which is similar to the new coronavirus and also originated in China, killed 774 people worldwide, most in China or Hong Kong.

The World Health Organization declared the outbreak a global emergency on Thursday but did not advise international trade or travel restrictions.

It warned Friday that closing borders was probably ineffective in halting transmission and could accelerate the virus’s spread.

But authorities around the world pressed ahead with preventive measures.

– ‘Latent racism’ –

Citing a likely “sharper rise” in infections, Singapore on Friday barred arrivals and transit passengers from mainland China.

Mongolia on Saturday toughened earlier restrictions by implementing a ban on any arrivals from its huge southern neighbour until March 2.

Impoverished Papua New Guinea went so far as to bar all visitors from “Asian ports” last week.

Adding to concerns over combating the contagion, Thai health officials on Friday said a taxi driver became the kingdom’s first case of human-to-human transmission.

Thailand joins China, Germany, Japan, France and the United States with confirmed domestic infections.

The health crisis has dented China’s international image, putting Chinese nationals in difficult positions abroad, amid complaints of racism.

In one striking example, more than 40,000 workers at a vast Chinese-controlled industrial park in Indonesia — which also employs 5,000 staff from China — were put under quarantine, the facility said on Friday.

No one can enter or leave with out permission, said Pt Indonesia Morowali Industrial Park on Sulawesi island.

World markets tumbled again on Friday due to the uncertainty hovering over the world’s second-largest economy, a key driver of global growth.

Growing numbers of major airlines have suspended or reduced China flights, while corporate names ranging from Toyota to McDonald’s and Starbucks have shut down Chinese stores or production lines.

Countries have scrambled to evacuate their nationals from Wuhan, with hundreds of US, Japanese, British, French, South Korean, and Indian citizens evacuated so far, and more countries planning airlifts.

Russia said it would evacuate more than 2,500 of its citizens holidaying on China’s Hainan island, far from the epicenter.

Image: AFP / Anthony WALLACE The coronavirus is causing panic around the world

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text:
Sazka Group to take full control of OPAP

TAGS: Business

The Hellenic Capital Market Commission on Monday approved a bid by Czech-based Sazka Group to take full control of gaming firm OPAP.

Greece sold a 33 percent stake in OPAP to Emma Delta, currently owned by Sazka Group and Georgios Melissanidis, in 2013 for about 650 million euros as part of an international bailout.

Sazka Group, which holds 66.7 percent in Emma Delta, launched an offer in July to acquire up to 67 percent of OPAP’s outstanding shares for 9.12 euros each.


text:
The flexural and transverse strength of concrete is of interest to engineers for many reasons. Movement of strucutres which may be induced by e.g. Temperature changes, ground vibrations, cyclic loading of road pavements and many other external influences, will set up internal stresses within a concrete member.

Modern concrete technology utilises a wide range of materials such as glass or steel fibres to improve the flexural strength of the concrete. These modified concretes often require the use of special tests and equipment.

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Tag: Digestion

Recap of Digestive Health Month

As we end Digestive Health month at PERQUE Integrative Health, we wanted to provide a summary of the topics we have covered recently on Facebook Live, in podcasts, and in the Ask Dr. J Q&A session.

Probiotics and digestion

The digestive tract maintains a balance between healthy and potentially harmful microorganisms. Healthy microorganisms or microflora are residents of the digestive tract that have a protective role in our bodies. In 1908, Nobel Prize-winning scientist Elie Metchnikoff of the Pasteur Institute in Paris provided the first evidence that microorganisms may be responsible for the health-promoting effects of fermented milks.

After observing that Bulgarian peasants lived to ripe, old ages, Metchnikoff became convinced that their health and longevity were linked to microbes in the soured milk they copiously drank. In his book The Prolongation of Life, he suggested that disease-causing (“bad”) bacteria could be eliminated by ingesting large amounts of Bulgarian sour milk, which contained a beneficial (“good”) bacterium later identified as Lactobacillus bulgaricus.

These organisms were part of a group called Lactobacilli, or bacteria that produce lactic acid. The study and therapeutic use of various beneficial bacteria for health purposes for humans and animals is termed probiotics, literally “for life”.

Inhibition of pathogens

Probiotics modulate the composition of the human gut microbiota. One of the major beneficial effects is the suppression of harmful microorganisms.1 That is why, when there is a significant depletion and a lack of replenishment of our healthy microorganisms and probiotic microflora, there is heightened risk for intestinal conditions like viral gastroenteritis.2

Also, research by Campieri and colleagues points out that when there is an adequate range and sufficient numbers of healthy probiotic organisms in the gut, the risk of inflammatory bowel disease is substantially reduced, and there is reversal in those individuals who have already expressed conditions like inflammatory bowel disease, ulcerative colitis or regionalenteritis.3

Lowering of lipid levels

A variety of studies have been published showing that healthy probiotics in adequate amounts bind and help increase the metabolism of certain lipid or lypophilic substances, reduce certain toxicants that are secreted through the bile into the gastrointestinal tract, and reduce the reuptake of cholesterol and fatty acid products. This can be associated with a 5-17% reduction in serum cholesterol after just one month of daily consumption of adequate probiotic organisms that is in the 10-20 billion organism/day range.4

Digestive enzymes

Probiotics also produce many important enzymes and increase the availability of nutrients. For instance, the enzyme lactase, which is secreted by lactic acid bacteria, improves absorption of the milk sugar lactose. Also, these bacteria facilitate the action of intestinal lactase leading to decreased diarrhea and thereby better overall digestion.5

A prudent person would therefore benefit by taking 8-12 billion probiotic organisms from mixed cultures, a variety of Lactobacilli, Bifidobacterium, and Strep thermophilus organisms and if one is traveling, or under distress, recovering from a disease or replenishing their probiotics due to antibiotic consumption then the need would be closer to 20 billion, healthy probiotic organisms/day.

There are 10 active, viable, live probiotic strains in PERQUE Digesta Guard Forté 107.5 billion organisms per single capsule. The probiotic organisms in the capsule are highly stable. They are maintained under freezer conditions after production and before delivery leading to a <5% loss of activity at freezer temperatures, which is -20° F or below. In the refrigerator there is about a 10% loss in six months of storage and at room temperature there is <5% loss over a month.

Role of Antibiotics

Humans and animals require good bacteria to break down nutrients for digestion. Living systems require bacteria to decompose waste. Unfortunately, antibiotic therapy kills all bacteria, both bad and good, thus debilitating digestion and slowing decomposition. In addition, by relying on antibiotics, organisms never develop their natural immune response mechanisms. They become even more vulnerable to disease. Further, continued use of antibiotics has, in some cases, led to stronger, more antibiotic-resistant strains of bacteria. Frequent antibiotic use can lead to an overgrowth of yeast (Candida albicans), which thrives in a gut low in friendly bacteria. Probiotics are recommended in cases of yeast infection.6

Researchers are now beginning to advocate antibiotic/probiotic combinations for such conditions as diarrhea, female urinary/genital tract infection and infective endocarditis.7

Fiber and digestion

Pathogens need to be prevented from growing in our intestines and the gut should be able to break food down into non-reactive non-foreign building blocks so that the body can easily assimilate, utilize and eliminate them. The body also needs to be able to eliminate. The right speed at which the guts moves its contents is called the transit time, a time from consumption to elimination of 12-18 hours. For this to work, the diet should be high in fiber: 80% soluble and 20% insoluble. This provides healthier digestion. Fiber also improves blood cholesterol levels by binding to it.8

Adequate fiber lowers the glycemicindex and can also help against obesity by lowering the Body Mass Index.9

Fiber additionally facilitates nutrient absorption, detoxification of toxins such as heavy metals and improves mental clarity and reduces brain fog. PERQUE Regularity Guard has an ideal combination of fibers and prebiotics that improves digestion naturally and is a trophorestorative support to the gut.

How much fiber does one need?

The ideal goal is 40gm of total soluble and insoluble fiber throughout the day. So if one is on a high fiber diet, which is giving you about 30 grams/day, then one or two scoops of PERQUE Regularity Guard is indicated. If one is on a Standard American Diet, where the fiber content is very low, 3-5 scoops of PERQUE Regularity Guard are required.

Glutamine and digestion

Intestinal surfaces are susceptible to erosion from mechanical action, toxins and the products of abnormal bacteria. Digestion and normal metabolic function of the intestines are dependent upon adequate amounts of glutamine, which is the most abundant amino acid in the body. Leaky bowel syndrome and damaged mucosa are usually associated with glutamine deficiency. Through the action of glutamine on the kidneys, the body controls pH balance and eliminates acids.10

Research indicates that glutamine can effectively enhance bowel function in people with short-bowel syndrome and other gastrointestinal conditions and also those requiring extensive intestinal operations, including transplantation.11

The effects of glutamine have also shown to maintain the integrity of the gut barrier structure and decrease intestinal cell wall damage.12

L glutamine and Pyridoxal Alpha Keto glutarate (PAK) in PERQUE Endura/PAK Guard helps regenerate the intestinal surface cells and provides for optimum digestion.

  1. Fuller R, Gibson GR. Modification of the intestinal microflora using probiotics and prebiotics. Scand J Gastroenterol Suppl. 1997;222:28-31.
  2. Biller JA, Katz AJ, Flores AF, Buie TM, Gorbach SL. Treatment of recurrent Clostridium difficile colitis with Lactobacillus GG. J Pediatr Gastroenterol Nutr. 1995 Aug;21(2):224-6.
  3. Campieri M , Gionchetti P. Probiotics in inflammatory bowel disease: New insight to pathogenesis or a possible therapeutic alternative? Gastroenterology 1999;116:1246-1249.
  1. Jackson KG, Taylor GR, Clohessy AM, Williams CM. The effect of the daily intake of inulin on fasting lipid, insulin and glucose concentrations in middle-aged men and women. Br J Nutr. 1999 Jul;82(1):23-30.
  1. Heyman M. Effect of lactic acid bacteria on diarrheal diseases. J Am Coll Nutr. 2000 Apr;19(2 Suppl):137S-146S.
  1. Gionchetta P, Campieri M. Probiotic therapy. Res Clin Forums 2000;22:111-16.
  2. Charteris WP, et al. Antibiotic susceptibility of potentially probiotic Lactobacillus species. J Food Prot 1998;61:1636-43.
  1. Riccardi G, Rivellese AA. Effects of dietary fiber and carbohydrate on glucose and lipoprotein metabolism in diabetic patients. Diabetes Care. 1991 Dec;14(12):1115-25
  1. Murakami K, Sasaki S, Okubo H, Takahashi Y, Hosoi Y, Itabashi M. Dietary fiber intake, dietary glycemic index and load, and body mass index: a cross-sectional study of 3931 Japanese women aged 18-20 years. Eur J Clin Nutr. 2007 Jan 24; [Epub ahead of print]
  1. Judy Shabert, MD, RD and Nancy Ehrlich. The Ultimate Nutrient Glutamine, The Essential Nonessential Amino Acid.
  2. Byrne TA, Persinger RL, Young LS, Ziegler TR, Wilmore DW. A new treatment for patients with short-bowel syndrome. Growth hormone, glutamine, and a modified diet. Ann Surg. 1995 Sep;222(3):243-54; discussion 254-5.
  1. Wu XQ, Shu LH, Sun M, Wang H, Gao H. [Effect of glutamine on apoptosis of the small intestine in young rats with endotoxemia and its mechanism][Article in Chinese]Zhongguo Dang Dai Er Ke Za Zhi. 2006 Dec;8(6):496-8.

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Tweets About Serena Williams Missing Her Daughter's First Steps Are So Supportive

Serena Williams is one of the best tennis players in the world. The superstar recently returned to the tennis court after she gave birth to her daughter Alexis Olympia Ohanian Jr. in September 2017. Williams is currently competing in the Wimbledon tournament, and she is in the U.K. with her husband Alexis Ohanian and their now 10-month-old daughter. On Saturday, July 7, Williams was training, and she shared on Twitter that she missed Alexis Olympia's first steps while she was practicing. Williams said that she cried because of it, and Twitter immediately rallied around the athlete. These tweets about Serena Williams missing her daughter's first steps are so supportive.

I'm sure that plenty of time practicing on the court is what has made Williams into the powerhouse that she is today, but she was, naturally, upset that her time on the court took away from experiencing a special moment with her daughter. Of course you can't plan the exact time when your child will reach certain milestones, and every working parent has to deal with the possibility that they might miss out on some of the "firsts" in their kids' lives. Knowing that doesn't make hearing about —instead of seeing firsthand — your daughter's first steps any easier.

Thankfully, it seems like Alexis Olympia totally understands that her mom's job requires her to be on the tennis court a lot, according to the photo shared on the 10-month-old's official Instagram account.

I'm sure that adorable photos like that one help Williams get through the sadness of missing Alexis Olympia's first steps, but she also has plenty of kind words to help her get by, too. In an effort to prove that the internet can sometimes be an awesome place, fellow parents swooped in with words of encouragement for Williams on Twitter.

One person reminded Williams that there will be plenty of opportunities for the tennis star to share magical moments with her daughter.

Williams was also reminded that she's already shared a very uniquely special moment with Alexis Olympia. In January 2017, Williams won the Australian Open while she was eight weeks pregnant with her daughter, per Newsweek. I'm pretty sure that's the textbook definition of "girl power."

Other moms shared stories of solidarity with Williams, and they reminded her that Alexis Olympia isn't going to mind that Williams missed her first "official" steps. Instead, Williams' daughter will be so proud of her mom and her hard work, like her 23 Grand Slam titles.

Another working mom assured Williams that she is still setting a good example for her daughter, even if she might miss a few moments with her along the way.

It turns out that missing your child's first steps isn't all that uncommon among working parents, so Williams is in good company. People were quick to remind her that, "It all turns out okay."

Someone made sure to point out that even though Williams missed the exact moment her daughter walked, it doesn't mean that she didn't help contribute to making that happen.

And then there were responses that reminded Williams that the first time she sees Alexis Olympia walk will be the first time for the mother and daughter to share that exciting moment together. Aww, that's so true, and I bet Williams can't wait to have that moment.

The consensus seems to be that even if you miss your child's first steps, it won't matter at all in the long run.

Plus, there are so many special "moments to come" for the tennis superstar and her daughter.

Someone even took the liberty to fast-forward a bit and posit what Alexis Olympia's future might look like thanks to growing up with a hard-working mom like Williams.

Even at two months shy of a year old, Alexis Olypmia looks ready to hit the tennis court.

People couldn't get enough of the positive vibes sent in Williams' direction.

Proving that she is the ultimate mom and role model, Williams won her Wimbledon match against France's Kristina Mladenovic on Friday, July 6, the day before missing her daughter's first steps, per E! Online. With that win, Williams moves on to the fourth round of the tournament.

The tennis superstar only returned to the tennis court this past December, and she won the French Open in May 2018, which marked her first major championship win since giving birth in September. With Williams heating up on the court and Alexis Olympia hitting her own stride, this mother-daughter pair is ready to capture all of the special moments that wait for them. First up, Alexis Olympia will cheer on her mom as she plays in the fourth round of Wimbledon on Monday, July 9. Good luck, Serena!


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What Do Camille's Words Mean On 'Sharp Objects'? A Mental Health Professional Weighs In

One of the central mysteries of HBO's latest prestige miniseries Sharp Objects involves the various words scarred onto Missouri journalist Camille Preaker's body. At the end of the first episode, we see that Camille has the word "vanish" etched onto her arm, and the title of each episode of the season is also somewhere on Camille's body. So what do Camille's words mean on Sharp Objects? According to Dr. Danielle Forshee, a licensed psychologist and clinical social worker, this type of self-harm is unfortunately sometimes seen in the real world.

Content warning: This post will discuss self-harm and cutting as depicted in Sharp Objects.

According to Dr. Forshee, Camille Preaker's behavior is not completely out of left field when it comes to people who are dealing with self-harm. Dr. Forshee says that some self-harming individuals will carve words or images into their bodies on occasions, and that this behavior is treated no differently from other kinds of self-harm:

Self-harm is not one size fits all. This type of self-harm, where an individual carves words or images into various parts of their body, is considered in the general domain of self-harm behavior. This is something that is seen in practice, and is treated the same as self-harm that is not in the form of words.

Although Dr. Danielle Forshee made it clear that the behavior of carving words is not uncommon for self-harm victims, of course, Camille Preaker's instance will be unique in its depiction on Sharp Objects since its a fictionalized TV drama. In the Gillian Flynn novel that the series is based on, Camille's word scars seem to have some sort of inexplicable power, often flaring up when an instance relating to that specific word would arise.

These words have a similar importance in the HBO series, as we see Camille brutally slashing at the word "fix" on her arm after finding her roommate in a psychiatric facility dead. Dr. Forshee notes that self-harm is often related to trauma, as is evident in Camille's case, and that there are two functions that Camille may be turning to self-harm for: the affect regulation function or the anti-dissociation function. The affect regulation function describes people who use self-harm as a psychological distraction as a way to block out traumatic triggers or memories, according to Dr. Forshee. The anti-dissociation function is used by people who dissociate from their bodies when experiencing or recalling trauma, who use self-harm as a means to feel in touch with their bodies again — "Essentially, by engaging in self-harm, they are shocking their body back to reality," Dr. Forshee explains.

Dr. Forshee also talks about how Camille's alcoholism may come into play in relation to her self-harm. Dr. Forshee says that there is no research-proven link between alcohol addiction and self-harm, but she says that there is proof that self-harming individuals who also have substance abuse disorders are at a higher risk of engaging in self-harm when they are under the influence.

The treatment group Foundations Recovery Network highlights the relationship between alcoholism and self-harm on its resource website, which focuses on treating people with a dual diagnosis of substance addiction and mental health disorders. The FRN site echoes Dr. Forshee's comments, stating that substance addiction compounds the issue of self-harm. The site also says that self-harm can be a form of addiction in and of itself, as people may come to crave the release that self-harm may bring about in them.

You can learn more about how self-harm relates to addiction on Amy Adams also revealed that she studied the 1998 psychology book A Bright Red Scream to get into character as Camille, which is another good recommendation for those interested. Sharp Objects airs Sunday nights on HBO.

If you or someone you know is considering self-harm or experiencing suicidal thoughts, call the National Suicide Prevention Hotline at 1-800-273-8255 or text HOME to the Crisis Text Line at 741741.


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3 Questions to Ask a Tree Removal Company

And Answers to Help Ensure a Job Done Right

Tree removal comes with a lot of questions. Does the tree need to come down? Can I remove it myself? How much damage will this cause? How much money will this cost? To be safe, most projects should be handled by a tree removal company. Now, here comes a new round of tree removal company questions.

Questions to Ask the Professionals

Even if you’re not taking on the project yourself, tree removal requires planning and preparation. Asking the tree removal company questions helps to find the right professionals for the job. You can find a lot of answers on company websites, but clarification may be needed. Make sure you understand and agree with the answers, and you’ll know what to expect from the project.

  1. Are you insured? One of the most important questions is determining whether the company is covered in case of damage, accidents, or injuries. If they’re not, the responsibility may fall on you. Have them provide an up-to-date certificate along with the contract.
  2. What are your credentials? Hiring certified arborist with the proper licenses and years of experience only add to their credibility. Some associations to look for include the International Society of Arboriculture (ISA), Tree Care Industry Association (TCIA), or Certified Tree Care Safety Professional (CTSP).
  3. What’s the plan? You’ll want to get a detailed estimate of how the company plans to approach the project. This includes price and timeline, but also the type of equipment and protective gear they plan to use and how they will safeguard your property. Get a few estimates from various companies to compare prices and scope.

What to Look for in a Tree Removal Company

When narrowing down what company to go with, you can do a little more digging on the internet. Look at each company website. Do they appear professional? Are there pictures of equipment? Does it look well taken care of? Are workers wearing protection?

Also look for references and reviews, even ones not on their website. Have your neighbors used any tree companies lately? See if you can get a referral.

Still have questions? Contact Elite Tree Care for more information on tree removal.

Tree Removal Guide

Download Your FREE Tree Removal Guide

Even dedicated DIYers should think twice before taking on the task of tree removal. Our guide will help you decide whether to hire a tree service and how to get the most value for your money.


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-Carl Rogers

“I’ve come to this work with the understanding of how problems can keep us in isolation. I whole-heartily believe every person deserves a safe space to be their authentic self; a space in which they know they will be met with warmth, respect, and unconditional positive regard.”

Elizabeth Armstrong, MA, Licensed Marriage and Family Therapist  #111154

Connecting with people, giving them time that is all theirs; a space to be heard and understood without judgment, but with compassion and guidance is my passion.

I am former teacher and family resource specialist.  I hold a Bachelor of Science in Family Service, and a Master of Arts in Clinical Psychology. I belong to the American Association of Marriage and Family Therapy, California Association of Marriage and Family Therapy, and Psi Chi Psychology National Honor Society. I hold AAMFT certifications in Substance Abuse Therapy and LGBTQIA Affirmative Therapy.

I also have certification in Pet Grief Counseling. In 2020 I became certified in Reiki and nearing completion my AAMFT LMFT Supervisor certification.

My passion and focus is working with issues unique to women and gender equality, phase of life changes, anxiety management, and grief and loss.

I connect to my joyful spirit through travel, live music, yoga, and time with my puppies,

friends, and family.

How Can I Help You?

Couple + Family

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2900 Bristol Street, Suite C-208, Costa Mesa, CA 92626

©2017,2018,2019. Elizabeth Armstrong. Growing Brighter Therapy.

All Rights Reserved.


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The lightest of the pullovers, a real cuddle to wear all day long, especially in the mid-season period. Soft and velvety, it can be worn all day long.

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Discussion in 'Mail Server Support' started by popowich, Feb 29, 2012.

  1. popowich

    popowich EQ Forum Admin Staff Member

    Aug 12, 2008
    Likes Received:
    After some investigation I decided to score TO_NO_BRKTS_DIRECT as 0 points on my outbound SpamAssassin relays.

    The latest SpamAssassin is making an assumption that all email will have senders with a real name and the common <>'s , but that's true for 100% of good email.

    I added this to my custom rule scores in

    score TO_NO_BRKTS_DIRECT 0.0

Want to reply or ask your own question?

It only takes a minute to sign up (and it's free!). Click the orange sign up button to choose a username and then you can ask your own questions on the forum.


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The Modular hand towel dispenser is a hard-wearing, versatile system that enables the distribution of interleaved, C-fold, Z-fold and extra-narrow towels. It is available in two sizes to fit the end customer's environment.

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Keep Your Germs to Yourself

Whenever I read this page in Henry and His Manners there is an eruption from the group of gross and disgusting.

They giggle and laugh when they notice that Manners is wearing a mask, snorkel, and boots! It really drives home an important message for this time of year.

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Wuxi EMSRUN Technology Co., Ltd.
You are here: Home » News » INDUSTRY NEWS » If you don’t have an IFAK you’re ignorant – Survival IFAK

If you don’t have an IFAK you’re ignorant – Survival IFAK

Views:47     Author:Site Editor     Publish Time: 2017-08-04      Origin:Site

I am on a tactical carbine league and I see a lot of guys who run their carbine better than I do have one critical flaw in the way they train. They never seem to have a blow out kit or IFAK on their belt. If you don’t know you need one that is cool. You are not going to stay ignorant for long. First off in our learning express train… nomenclature. IFAK means either Improved or Individual First Aid Kit (seems to vary depending on who you ask).

first aid kit.png

If you are going to the range you could be a victim of a negligent discharge. Meaning some bullets exit the chamber when they weren’t meant to. You never know the experience level of those around you so this could be more likely than you think. Even outside the range… If you conceal carry or are in Law Enforcement you have a reasonable belief that you may be in a situation that requires you to employ your firearm. (If you are Military you are going to get an IFAK and some NCO will make sure you have it)

If you are employing a firearm I would hope that it is in response to a lethal threat to yourself or someone close by… otherwise you are just being a dick. Guess what John Rambo… Unlike the movies good guys get shot too. We don’t have HALO over shields to protect you yet. If someone is a lethal threat you might be injured as a result. It would make sense to have some way to treat your injuries. I mean think about it. When seconds count the cops are minutes away right? Well the police most often arrive before EMS. Oh, and cops generally do not do shit to save your life.

Not only that, but budget cuts hit EMS particularly hard. The likelihood of those responding being able to reach you quickly enough to save your life if you are shot is not encouraging. So this is only a mistake away from happening. So be as prepared to get shot as you are to shoot someone.

Survival IFAK Essentials

IFAK’s take up what two or three molle loops? A Tourniquet holder takes up one. It need to be on your person when ever train or fight. I recommend you place your IFAK on your dominate hand side of your plate carrier, pistol belt, LBE, Vest. I also recommend identifying it. A [+] patch or red tape is a good universal way to identify your IFAK. Because guess what… You might not be the one using your equipment. Why place it on your gear? Well you need to use it in time=life situations so it needs to be as ready to be put to use as that extra mag you have.

Here is what your IFAK should contain as a minimum.

1.CAT or SOFF tourniquet. It needs to be deployed with one hand if needed so that discounts the SWAT style tourniquets.

2.Emergency Trauma Bandage (many brands out there).

3.Chest Seal (HALO, Bolin, or Hyfin are all good but any piece of plastic will do)

4.Nasal Phryangeal Airway sized to fit you. (something tells me I might need to right an article on this) (but if you don’t know how to use this… then don’t bother adding it)

5.Non Latex Gloves (Nitril >5mils)

6.Durapor (or equal) medical tape…

7.EMT Shears

If you don’t want to put together your own IFAK, I recommend TacMedSolutions. They offer outstanding quality and their price is equally outstanding. They have a Downed Operator Kit for 40 dollars or their Operator IFAK is 75. Which is pretty damn good. There are a lot of companies out there that try and rape you on the price of IFAK’s. In most cases you are better off sourcing the items you need through Amazon than you would buying some of these kits. TacMedSolutions is the exception.

Now this is not a boo boo kit. This is a save your ass from trauma kit. But you need to know how to use everything in your kit. You need to learn to use it under stress too. So just buying stuff for the sake of having it is not going to cut it.

How to use your IFAK

Now if you are training as a militia or in a survival group you all need to have your own IFAK. You need to use the CAUSALITIES IFAK to treat them. This gets emphasized a lot even to medics because even medics fuck this up. If you get shot that means you have to be taken off the battle field… at some point. If you use your supplies and not the causalities then that mean less supplies will be on the battle field. So you know now why it is important to have an IFAK… So you don’t screw over other people.

BUT DAVE BLACK I just watched a video by Dave Canterbury and he explained why he has the NOFAK!!! He isn’t ignorant… Right? He definitely is not ignorant. He basically explained his reasons why he doesn’t carry an IFAK. Let me make something abundantly clear. 1. You are not Dave Canterbury… He is very knowledgeable in wilderness medicine and he has years of experience in the woods. 2. Your not always going to be in Dave Canterbury’s operational environment… meaning this advice is not suited for tactical situations but rather they are gear towards self reliance situations. Also Dave Canterbury doesn’t operate in SHTF situations. He is not likely to be days or weeks away from a hospital. Meaning when he stuffs a cotton bandanna that has all kinds of sweat and lord knows what else into a wound to pack it… He isn’t worried that in 3 days he might go into septic shock as a result. 3. The one issue I would have with Dave Canterbury’s logic is that I would tell him to have a tactical tourniquet. I know he can improvise one… and that is great if he has someone else out there with him. But if he is alone for any reason he can bleed out in 90 seconds to the point where he cannot help himself.

So here is my Mountain Man Dave Canterbury NOFAK for those who follow his gospel. So in addition to the items he goes over here is what you will need post SHTF.

1.CAT or SOF Tourniquet.

2.Rolled Gauze.

3.EMT Shears.

4.Safety Pins

With knowledge in improvising medical supplies those 4 items can do the everything and IFAK can do.

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LeFunk! Wedding Band and Party Band Stockport

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TU Berlin

Centre for Entrepreneurship3yourMind English

Centre for Entrepreneurship

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Stephan Kühr (Diploma in business physics),
Aleksander Ciszek, (Financial and Accounting, M.Sc.),
Tobias Wunner (Diploma in computer science)

Architecture, 3D-Printing

Prof. Dr. Hartmut Schwandt, 3D-Laboratory

II - Mathematics and Natural Sciences

TU-Gründungswerkstatt, ESF-grant (2013), EXIST Startup Grant (2014)

"3D-print your architecture model from any file"

Our Idea

3YOURMIND develops 3D printing software solutions for enterprise businesses and 3D printing services to access internal and external printing capacities and develop efficient workflow processes. Their enterprise 3D software is being used by DAX 30 companies, leading 3D print service providers and forward thinking businesses around the world. The platform provides instant analysis of printability, pricing and delivery time to guarantee a quality 3D print, every time. 3YOURMIND has experienced significant growth since its founding in 2014. Three years later, they have over 35 employees at their headquarters in Berlin, a location in Wrocław (Poland) for CAD engineering and 3D production and a third location in San Francisco to oversee US sales.

Their innovative software solution was recognized with two prestigious awards in 2016, the German Innovation Award and the formnext Startup Challenge

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