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Mix of Reds & Black

Have I ever told you that Tyler takes all my photos? It kind of makes sense, right? What other human being would allow me to randomly ask them to take my photo all the time. It's a good thing that Tyler takes my photo because he gets the best faces out of me and always has great suggestions. What's great is that I will make some kind of face or turn my head and then I'll hear him say, "do that again." I always have to ask him what he's talking about because I always do nutty things.

For weeks and weeks the weather was hanging out in the 70º and 80º, weird right? This past weekend we finally got some cooler weather, which means low 60º, but I'll take it.
How has your weather been treating you?
P.S. Catch me over at Tailored Tuesday for more style. Stop by and say hi!

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With the end of the quarter approaching, Tesla is pulling on a new demand lever to help sell Model S and Model X vehicles.

Electrek has learned that the automaker has lifted its restriction on ending Model S and Model X leases early if the lessee gets a new car by the end of the quarter.

That’s something that Tesla generally refuses to do unless there were special circumstances, but sources familiar with Tesla’s sales told Electrek that the automaker lifted the restriction until the end of the quarter.

For example, someone with a Model S on the second year of a three-year lease could exchange the vehicle for a new one without penalty instead of having to complete the remaining payments.

The only condition is that the new Model S or Model X needs to be delivered by September 30, which means that it basically only applies to vehicles in inventory.

The move appears to aim at boosting Model S and Model X deliveries for the quarter by tempting Tesla’s current Model S and Model X lessees to upgrade to a new car.

Tesla operates an ‘Ownership Loyalty’ group within its sales organization with the goal of selling cars to existing customers.

The automaker enjoys the best customer satisfaction in the auto industry, which often makes its own current customers good potential buyers.

The ‘Ownership Loyalty’ program has now started offering those customers this new opportunity to lease or buy new inventory of Model S and Model X vehicles.

Electrek’s Take

Every now and again, Tesla has to pull these kinds of demand levers on Model S and Model X at the end of the quarter.

It appears that the company might have too much new inventory of these vehicles and it plans to sell them faster by enticing people with leases to upgrade.

This new offer could be particularly attractive for Tesla lessees who want the latest features and still want to have access to unlimited Supercharging.

There are many Model S and Model X vehicles with first gen Autopilot on the second or third year of three-year leases, and the lessees might want the new Autopilot. This could especially be the case with the promised updates coming soon, and it could be last opportunity for many to get the car with unlimited Supercharger since Tesla appears to be ending the offer through its referral program in two weeks.

The downside for Tesla is that it could result in an important influx of used Model S and Model X vehicles, but it is my understanding that those vehicles sell very well.

What do you think? Let us know in the comment section below.

About the Author

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Luxury Villa in the south of France

CN-VF : 10 Bedroom Villa

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+44 (0) 1244 629 963

Prices start from: On Request

Number of Bedrooms: 10

At a Glance

Panoramic Sea View

Spa Facilities

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This incredible 2 villa domain is located in the hills of the prestigious region of Super Cannes. The main property has had no expense spared to ensure its guests are immersed in the lifestyle of true luxury and comfort. Nestled within a private park of 5 hectares planted with olive trees, an organic vegetable garden and incredible views over the sea and towards Cap d’Antibes, this sensational domain is a gem within the French Riviera.

The main entrance of the villa is accessed via a sweeping driveway with a stunning view of the sea. Leading into a spacious living room, complete with a gas fireplace and a flat screen TV. In the room just behind, guests will find an office with a boardroom table. The state of the art cinema is located just off of the living room and is equipped with 7 plush seats and professional standard equipment. The indoor dining area and professional kitchen are located on the right of the main villa entrance. Floor to ceiling windows allow the already bright spaces fill with natural light and allow guests to admire the awe-inspiring views from the comfort of this luxury villa. With this unobstructed view, guests also have access to the expansive terrace lying just above the swimming pool.

The upper level of the property is where the master bedroom is located, complete with a dressing room, gas fireplace, a large private terrace and an en-suite bathroom with a rain shower. The 3 additional guest suites are on the right hand side of the level, each including its own private terrace, flat screen TV’s and en-suite bathrooms. From the main terrace, guests will find another 2 guest bedrooms with the same luxurious facilities as the bedrooms in the main property.

The guest villa is located within this vast domain and is also finished to the most immaculate standard. 4 additional bedrooms are featured within the guest villa as well as its own private swimming pool and a short 2-minute walk from the main villa.

The stunning swimming pool accompanies a fully equipped gym as well as a luxurious spa facility, featuring a steam room, massage room, shower and changing area and yoga mats. Guests can also experience wonderful outdoor meal times with the very best views and an open fire spit roast for authentic Provencal food.

Call our villa rental experts on
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Joke du Jour - Elf M. Sternberg
Joke du Jour
A brony was hospitalized recently with six small foreign objects lodged in his rectum. Doctors refused to discuss the nature of the objects, citing the patient's privacy, but listed his condition as "stable."

Current Mood: giggly giggly

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JOIN Leaders Who are Leading for a Better World

This bold initiative has evolved into an inspiring community of leaders and a movement for a better way to lead and live.

hudson-hintze-183959-unsplash copy.jpg

You will walk away from this fundamentally changed. This isn't about collecting handouts or learning step-by-step tools. There are some tools to learn, but this is about changing your brain, and changing the way you respond in situations that happen in your life.

What you will learn will be helpful both personally and professionally. You will learn your "unique genius" and how best to leverage it. You will learn to see with new eyes what's happening around you, and how best to respond to influence the result.

— Andrea Freeman, Manager, Vancouver Public Library / ELIA Alumna

ELIA is particularly valuable for anyone who has reached the point where they are seeking greater authenticity, don't want to just “play the game” and yet believe they are capable of making an even greater impact.

As a former Navy pilot and executive at companies like Pepsi, Macy’s and Patagonia, and now leading a broad range of organization and leadership engagements for multinational corporations, I’ve been exposed to many different approaches to leadership and transformation. Despite the claims, most of those programs rely on tactical interactions and an appeal to fear and “burning platforms” to motivate people. Among the many things I’ve learned through ELIA is that a burning platform without an invitation to something greater is hollow and fundamentally dishonest. ELIA has provided me with a new and I believe more effective framework for understanding these complex organization challenges—as well as the ability to better influence leaders and initiate change.

 — Bob Lambert, Managing Director, Allegis Partners / ELIA Alumnus

ELIA offers a way of bringing leadership into our everyday lives and the organizations and communities to which we belong. It is for people who want to live with daring empathy and as change agents, even if the changes that are influenced are often “under the radar” and undetected. It is a way of being present in the world, a way of empowering others with courageous love, a way of contributing a voice in the conversation and encouraging others to do the same.

In practice, ELIA provides a unique opportunity for the shared exploration and discovery of what it means to embody leadership, to realize the power of the collective and the gifts of each individual. And it allows the time and space to cultivate and integrate an authentic, invitational way of leading. I would encourage anyone who is looking for a deeper level of leadership and connection to consider participating in the ELIA program.

— Leanne Rowley, Writer / Search & Rescue Manager / ELIA Alumna

ELIA helps leaders deeply understand their environments and respond more effectively, and it does this better than almost all other leadership programs I’ve come across (and I’ve been exposed to quite a few).

I believe leadership is complicated. The issues/challenges and opportunities leaders and organizations face are ever increasing, and the sensibilities and capabilities needed by leaders to meet these challenges have changed. The evolutionary principles and practices taught through the ELIA program have enabled me to bring more visible and potent leadership to my organization, my dealings with other companies, and my personal life. This program will appeal to and benefit any leader who wants to develop into their own leadership artistry and transform their ability to lead in complex situations. Mitch and Maryliz are both fantastic teachers and mentors. They have the uncanny ability to draw out both individuals’ and a group’s latent potential across the multiple domains of intelligence: intellectual, emotional and somatic.

— Matt Dockerty, CIO, Canadian Credit Union / ELIA Alumnus

What participants say about ELIA


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Tips for Making a Brilliant Scholarship Resume

How to Write a Brilliant Scholarship Resume
September 13, 2016

You may think that to apply for college scholarships searching famous websites will be enough. This is not true. The best way to win a scholarship is to find something less obvious. How do you do that? Spend time writing your own scholarship resume and you will learn more about your interests, hobbies, and skills. This way, you will be able to identify scholarships that suit you best and, as a result, you will increase your chances of winning.

How to write a scholarship resume

Creating your scholarship resume is different from writing an ordinary resume. The important thing is that you have to divide it into sections and fill them in with your qualities and experiences. You may consider having such sections in your scholarship resume:

  • Organizations I participated in

  • My awards

  • Extracurricular activities

  • Union memberships and employment

  • Skills and talents

  • Personal qualities

  • Hobbies and interests

  • Your planned major

  • Scholarly pursuits

  • Cultural characteristics

  • My gender

  • My race

  • My place of living

Making use of your scholarship resume

After you completed all sections, you may identify the necessary scholarship. Use the characteristics that make you a unique person and apply for college scholarships that match them.

In addition, you may use your scholarship resume when writing an application essay. The sections you filled in will help you in persuading the admission committee that you are the best candidate to win a scholarship.

Some more scholarship tips

  • Use your scholarship resume to get a better idea of your advantages over other candidates for a scholarship.

  • Sections in the scholarship resume will also help you organize your admission essay in a logical order.

  • Letters of recommendation are necessary for a scholarship application. Use your scholarship resume to identify people that may give you best recommendations.

Maybe previously you perceived writing a scholarship resume as a waste of time, but now you understand that it is an important part of a winning strategy. Use our scholarship tips to make the best use of your writing for college application.

Good Resume Format without Cliches Writing Your First Job Resume with No Experience Best 10 CV Writing Tips Types of CVs Every Job Seeker Must Know Interview Help: How to Get Hired

Boom shakalaka boom boom, problem solved.

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Elizabeth McSheffrey is a bilingual journalist from Ottawa with diverse experience in print, television and radio reporting. She currently works in Halifax, N.S. as a digital broadcast journalist with Global News.

Elizabeth McSheffrey, journalist, Elizabeth Around the World, Elizabeth McSheffrey CBC,Since 2012, Elizabeth has developed radio journalism in Sierra Leone, covered a federal election, investigated corporate and political scandal, and freelanced her way around East Africa. She has worked for Nation Media Group in Kenya, as an investigative reporter for the National Observer in Ottawa, and most recently, as a media trainer for the Asubpeeschoseewagong First Nation with Journalists for Human Rights.

Elizabeth’s work has been published all over the world by CBC, BBC, CBS, CTV, Globe and MailSlate, VICEThe Toronto Star, and others. She is best known for her coverage of Al-Shebaab terrorist attacks in Kenya, and her work on The Price of Oil, the largest national collaborative journalism investigation in Canadian history.

Stories with impact

Elizabeth’s reporting has had national and international impact: this year, she was a co-finalist for three national journalism excellence awards for her work on the Price of Oil, which drove legislative change on air pollution in Ontario, and exposed chronic regulatory infractions within Canada’s lucrative oil and gas industry that put the public at risk. Last year, she was part of the team nominated for a prestigious Michener Award for a series investigating conflict of interest within Canada’s federal energy regulator, which contributed to the eventual demise of the largest pipeline proposal in Canadian history.

In 2016, Elizabeth also co-won a Canadian Online Publishing Award for Best News Coverage, and in 2015, her feature on Uganda’s burgeoning cinema industry launched its action stars to international fame, earning her an AITO Young Travel Writer of the Year nomination. A few months later, her reporting on Canada’s fur industry provoked an internal investigation into a Canadian luxury apparel company, landing her on the list of finalists for an outstanding investigative reporting award from the Canadian Association of Journalists.

Elizabeth earned her Bachelor of Journalism degree from Carleton University and graduated at the top of her class. She was awarded the prestigious Phyllis K. Wilson Award two years in a row, and has guest lectured at Moi University in Nairobi and Queen’s University in Kingston, on international journalism and business and human rights, respectively.

For more information about her travels, visit To contact Elizabeth with a news tip, send a message through Twitter, InstagramLinkedIn or


text:
Bring your life into balance

Empathy works. It always does.

Day 11 Journey into Wholeheartedness

This morning I imagined myself at this year’s Thich Nhat Hanh retreat.  I saw myself up on the platform during the Q&A session.  I wondered what I would ask him, and I realized that I didn’t really have many questions.  I find joy, fulfillment, connection in my relationships, I often experience inner peace, I am fit and healthy, my business is taking off.  I like my practice of bringing awareness to my in- and out breath, of being fully present in the here and now.  I don’t need more learning, I want more practice.

And then it struck me.  I DO have a question.  A big one.  A very vulnerable one.  A very meaningful one.  One that I hardly dare to ask.  To get a hug.  Or to hold his hand.  Or to sit next to him, enjoying the silence.  I trembled all over.  I would NEVER have the courage to ask him THAT.  Let alone in front of 700 other retreatants.  I would never have the guts to walk up to him, and ask “Dear Thay, can I please get a hug?”

And I realized: Elly, that is wholeheartedness.  That is the path you chose.  To ask for what I truly, truly want, no matter what my scary feelings and judgmental thoughts are.  To fully want without attachment.  And I feel tender when I imagine Thich Nhat Hanh’s gentle embrace.

Author: Elly van Laar

I am a coach. I specialize in helping mission-driven professionals bring their lives into balance. I have a Master's degree in Political Science, Leiden University, the Netherlands. I'm currently in an ICF-coaching certification program. I love meditation, walking, gardening, biking, and hanging out with family and friends.

6 thoughts on “Day 11 Journey into Wholeheartedness

  1. wat een prachtige ontroerende vraag! en het zou a) geweldig zijn als je het zou DURVEN vragen en b) onvergetelijk als je een hug van hem zou krijgen! al die 700 aanwezigen zouden moeten huilen en zouden jaloers zijn… en thig nath han zou je vraag heeel goed begrijpen

    • Zooo jammer dat ik in 2013 niet naar een retraite ben gegaan. Dit zou nog steeds mijn enige vraag voor hem zijn. Hem gewoon even vasthouden. Zijn energie door mij voelen stromen. Voelen dat er mensen zijn die zo vol in het leven staan, zo bewust aanwezig zijn. In dat opzicht is hij echt een Jezus voor mij.

  2. I image you being fearless. Last summer I produced “Plum Village Hamlets celebrating 30 years of meditation, happiness, harmony” which is on youtube. However I also asked a question and was not satisfied with the answer because I did not ask the question which was most true for me. Being with Thay in that moment was very sweet, as I recall it was in other moments.

    • Thanks for leaving a comment. What was the question that was most true for you? And how joyful you must have felt being in Thay’s presence. I can so imagine how sweet that was.

      • hello elly,
        last retreat at deer park i asked Thay about not behaving as a victim, even when feeling victimized. it was nice to have a Thay moment again. hope you’re enjoying your calm breath 🙂

      • Oh, how I can imagine that spending time with Thay is such an inspiring and enriching moment. I hold him in my heart as a firm example of compassion and mindfulness. And yes, I am still enjoying my calm breath. Hope you do too!

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text:
Minimally Invasive Surgery of the Parathyroid

Updated: Sep 21, 2015
  • Author: David Goldenberg, MD, FACS; Chief Editor: Arlen D Meyers, MD, MBA  more...
  • Print

In the past, parathyroidectomy involved an open procedure with a neck incision not unlike that used for a thyroidectomy, and it required the inspection of all 4 parathyroid glands, with removal of the offending gland or glands. Its major indication is for primary hyperparathyroidism, and usually the largest parathyroid was suspected and removed. Eventually, the use intraoperative physiologic studies improved the likelihood that the offending gland or glands were removed. Concurrently, there has been a push from the public as well as within the surgical community for less and less invasive procedures, with a goal of decreased recovery time, increased cosmesis, and decreased operative time and complications.

This article discusses minimally invasive techniques for parathyroidectomy (MIP) with a focus on minimally invasive radioguided parathyroidectomy (MIRP).

A detailed description of the relevant embryology and anatomy can be found in Parathyroid Gland Anatomy. The parathyroids are derived from the third and fourth pharyngeal pouches. The inferior parathyroids come from the third pharyngeal pouch and follow the descent of the thymus until they rest on the dorsal surface of the thyroid, usually in a plane anterior to the superior parathyroids. In contrast, the superior parathyroids develop from the fourth branchial arch and descend into the neck with the thyroid gland.

There are usually 2 glands on each side of the thyroid, although 3-7% of the population may have an accessory (or supernumerary) parathyroid, and 3-6% may have fewer than 4 glands. The glands may occasionally descend incompletely, or too far, and lie in aberrant locations, including the anterior or posterior mediastinum, the bifurcation of the carotids, or in the retroesophageal, retropharyngeal, or retrolaryngeal regions. The inferior thyroid artery usually provides the vascular supply for both the superior and inferior parathyroid glands, although 20% of superior parathyroids may be supplied solely by the superior thyroid artery. [1]

Intrathyroidal parathyroid glands are described, although there is some controversy surrounding their existence. Some state that these parathyroids are not truly within the thyroid but instead are extracapsular, with the thyroid surrounding it. Others describe true intrathyroidal parathyroids with an incidence of 0.5-3%. [1]

The primary indication for a parathyroidectomy is primary hyperparathyroidism. Classically, these patients are referred to an otolaryngologist’s practice from either the primary care physician or endocrinologist.

These patients are described as having signs and symptoms following the mnemonic “bones, stones, groans, and psychiatric overtones”—including skeletal complications (pathologic fractures, osteitis fibrosa cystic, osteoporosis), renal disease (nephrolithiasis, nephrocalcinosis, diabetes insipidus, renal failure), gastrointestinal symptoms (constipation, nausea, vomiting), and psychiatric (mood swings, depression, psychosis) and central nervous system (lethargy, ataxia, delirium) manifestations. [1]

Many patients, however, present only with signs of elevated serum calcium and parathyroid hormone (PTH) levels and subtle symptoms of fatigue, depression, emotional lability, joint pain, or abdominal pain. [2]

Previous radiation exposure to the head and neck has been a listed contraindication to minimally invasive procedures, secondary to the increased risk of multiglandular disease and the possibility of coexisting thyroid cancer. [3] However, Rahbari et al performed a prospective cohort study to determine the effectiveness of MIP, and they show no significant differences between the presence of concurrent thyroid diseases, multigland parathyroid disease, or eventual operation chosen between the cohort that had a history of head and neck radiation and the cohort that had no exposure to radiation. [4]

For patients with multiglandular disease, a minimally invasive approach may not be practical or indicated. Additionally, it is important to distinguish patients with familial hypocalciuric hypercalcemia from patients with true primary hyperparathyroidism, as the first group would not benefit from a parathyroidectomy.

Procedure Planning

As part of the preoperative planning for MIP, it is important to localize the offending parathyroid gland. At the authors’ institution, patients undergo a double-phase technetium Tc-99m (99m Tc) sestamibi scan, either alone or as 3-dimensional nuclear imaging fused with CT of the neck (single-photon emission computed tomography [SPECT]) preoperatively.99m Tc sestamibi is a radiotracer that is localized by the mitochondria of the parathyroids, and, by performing a delayed scan, those parathyroids with retained tracer are concerning for adenoma.

A recent meta-analysis by Cheung et al compared a variety of imaging studies to aid with localization and determined that SPECT had a pooled sensitivity and positive predictive value of 78.9% and 90.7% based on 9 studies, with a range of sensitivities between 61.4% and 100% in the studies analyzed. For patients who localize to one gland, MIP is offered, with the caution that a parathyroid exploration may still be necessary based on intraoperative findings. [5]

Miyabe described the use of 3-dimensional ultrasonography, which provides coronal images similar to a surgeon’s view, and determined a lower operative time when compared with traditional 2-dimensional ultrasonography. [6]

Aside from the use of a radioactive tracer, ultrasound is commonly used to identify parathyroid adenomas, although its use is subject to operator technique and interpretation. Sensitivities ranged from 48.3-96.2% in the studies analyzed in the meta-analysis by Cheung et al. The pooled sensitivity for ultrasound based on 19 studies was 76.1% and 93.2%, respectively. [5]

Another novel approach described by D'Agostino et al was recently published and used a 3-dimensional rendering of a CT scan that is then used intraoperatively to help with localization. The patient has a CT scan performed with neck extension and the rendered scan is overlaid over a visual image of the patient's neck in the operating room. A separate technician is used to aid with manipulation of the rendered scan as it pertains to the operation. The authors describe a 77.2% and 64.9% accuracy of the CT scan with regard to correct identification of laterality and location, respectively. [7]

The reported outcomes from parathyroidectomy for primary hyperparathyroidism are very positive, with success rates nearing 100%. Adil et al reported 100% of patients who underwent MIP had a hyperfunctional parathyroid identified and excised, with appropriate drops in intraoperative PTH levels. [2] Beyer et al reported 100% rates of eucalcemia (cure) at 3 months amongst bilateral neck exploration and 99% amongst MIP surgery, with 1 failure. Additionally, they found lower costs, operating time, and length of stay in the hospital to be associated with the minimally invasive approaches. [8] A more recent review by Schneider et al found no difference in outcomes between minimally invasive and open approaches, with the exception of increased transient hypocalcemia in the open approach group (1.9% vs 0.1%). [9] Leder et al reviewed the laryngeal physiology and acoustics of patients before and after MIP surgery and found not differences amongst a variety of parameters. [10]

Periprocedural Care

Patient Education/Informed Consent

Patient instructions

At the authors’ institution, patients are asked to stop anticoagulating agents 3-5 days prior to surgery as long as it is not medically contraindicated.

Postoperatively, patients are usually discharged the same day. Patients are asked to perform routine skin care for their incision, including the use of hydrogen peroxide and an antibiotic ointment. Sutures are usually removed at the first postoperative visit within the first week. Shin et al compared outpatient parathyroidectomy in patients older and younger than 70 years and found no differences in complications, despite higher levels of creatinine and PTH levels in the elderly patients. [11]

Elements of informed consent

A key component of the consent process includes discussing the risk of recurrent laryngeal nerve (RLN) injury. Additionally, the authors obtain consent from the patient for a possible parathyroid gland exploration if there is a failure to localize the parathyroid adenoma or if evidence is found to suggest multiglandular disease intraoperatively. Other risks include persistent hyperparathyroidism, bleeding, infection, risk of hypocalcemia, scarring, and the risks of anesthesia.

Preprocedure Planning (if necessary)

When performing MIRP, the authors have the patient undergo a second [2, 12, 13] technetium sestamibi scan, using 20 mCi of radiotracer and image acquisition 15 minutes and 2 hours after injection. The skin overlying the suspected hyperactive gland is marked with a felt pen.

The authors use the following tools during surgery:

  • Basic head-and-neck set - No. 3 knife handle, No. 15 blade, Adson tissue forceps with and without teeth, DeBakey Forceps, Halsted mosquito forceps, Rienhoff swan neck clamp (or burlisher clamp), Allis tissue forceps, Richardson retractor, peanut/Kittner sponges, double–pronged skin hooks

  • Weitlaner retractor (alternatively, other self-retaining retractors may be used)

  • Bovie electrocautery, harmonic scalpel, and/or Shaw scalpel

  • Bipolar electrocautery forceps

  • Gamma probe

  • If intraoperative neural monitoring is to be performed - Nerve monitoring leads and surface electrode–primed endotracheal tube; nerve stimulator

Patient Preparation

The authors perform MIRPs with the patient under general endotracheal anesthesia, unless contraindicated.

Shindo et al reviewed MIP procedures performed using local anesthesia and intravenous sedation at their institution. The study found MIP could be performed safely using method of anesthesia, and they noted low complication rates as well as shorter operating times compared with when MIP is performed using general anesthesia.

The use of regional anesthesia via a cervical block has also been described in the literature. Miccoli et al compared bilateral deep cervical blocks with intravenous sedation to general anesthesia and found no significant difference in complications but also found shorter operating time and decreased postoperative pain with the use of regional anesthesia. [14]

Carling et al studied those cases requiring conversion to general anesthesia and found the conversions occurred secondary to concurrent thyroid lesions, evidence of multiglandular disease, or patient discomfort. In all cases (47 of 441), the conversion was performed in a safe, controlled manner. [15]

A previous report by Inabnet et al describes the use of local anesthesia without routine sedation during parathyroidectomy. The technique used local anesthetic injection to the skin, strap muscles, and thyroid capsule. [16]

The authors position the patient in the supine position with a rolled blanket or a gel pad under the shoulders to allow for extension of the neck.

Monitoring & Follow-up

PTH monitoring

If during surgery, intraoperative PTH values are being used, vials of blood for PTH levels should be sent immediately after removal of the specimen and 10 minutes after removal. As described in the literature, a drop in the PTH level of 50% is consistent with removal of the parathyroid adenoma. [17, 18, 19] Leiker et al reviewed PTH half-life and determined the median half-life to be approximately 4 minutes, and, although the half-life was affected by body mass index and age, this was not clinically significant. [20]

RLN monitoring

Intraoperative nerve monitoring (IONM) of the RLN can serve as an aid and adjunct to a minimally invasive procedure. While the RLN is not routinely identified during MIP, using IONM may help prevent a transient injury to the RLN. [21]

Harrison and Triponez reviewed common intraoperative techniques for primary hyperparathyroidism, including the use of intraoperative parathyroidectomy, gamma probe, frozen section, methylene blue, and IONM. The review notes level II evidence supporting intraoperative PTH monitoring for MIP and level IV evidence supporting the gamma probe or IONM. [22]

Approach Considerations

Depending on the surgical technique, lengths varying from 15-40 mm are described for the incision. Additionally, authors describe placing the incision 20-40 mm above the sternal notch within a skin crease, while others describe placing the incision in a skin crease overlying the suspected adenoma. [14, 15, 23, 24] The authors use a 15- to 25-mm incision placed midline at a level overlying the suspected adenoma (as marked during preoperative localization).

Two approaches to the parathyroid are described: an anterior approach and a lateral approach. Depending on the location of the parathyroid adenoma, as well as a history of prior neck operation, one approach may be preferred over the other. Shindo et al describe using a lateral approach when the parathyroid adenoma is located posterior to the thyroid lobe, inferior to the thyroid in a plane posterior to the thyroid lobe, or deep to the carotid. [24]

Anterior Approach (MIRP)

Prior to beginning the operation, the gamma probe is calibrated, and 3 readings are recorded with the patient’s background radiation values (usually by pointing the probe to the patient’s leg).

The anterior approach involves approaching the thyroid and parathyroids from the midline. After the incision is made, subplatysmal planes should be elevated circumferentially from the thyroid cartilage to the sterna notch. Self-retaining retractors can be used to maximize exposure, and then the sternothyroid muscles should be separated in the midline (electrocautery or the harmonic scalpel can be used). This allows for adequate exposure of the thyroid gland and its overlying fascia.

Once the suspicious parathyroid has been identified, careful dissection with blunt instruments is used to free the gland from the surrounding fascia. A harmonic scalpel can be used to simultaneously ligate the vascular supply to the gland and remove the specimen.

The gamma probe is used for confirmation, by measuring the gamma radiation (3 readings) from the specimen. Lastly, 3 readings are taken from the intraoperative bed. Murphy and Norman describe a "20% rule" whereby tissue containing more than 20% of background radioactivity in a patient with localization is consistent with a parathyroid adenoma. [25] Quillo et al independently evaluated this rule at their institution, finding it to be accurate in 99% of their studied population. [26] At the authors’ institution, anecdotal findings suggest this may occasionally be misleading, and the authors also send a PTH level immediately after removal of the gland, and at 10 minutes after removal, expecting to see a 50% decline between the 2 measurements. [27]

It is imperative to obtain hemostasis after parathyroidectomy. This is best performed with selective bipolar cautery. A thin layer of thrombin mesh may be applied if deemed necessary. The neck is then closed in a layered fashion with special attention to a meticulous skin closure.

Lateral Approach

The lateral approach can still be used with a relatively midline incision, [24] although it was initially described with an incision overlying the sternocleidomastoid (SCM) muscle. [28]

Instead of separating the strap muscles at the cervical linea alba, the parathyroid gland is approached by dissecting between the anterior border of the sternocleidomastoid muscle and the lateral aspect of the straps (sternohyoid muscle). Once the anterior border of the SCM is identified, the SCM is retracted laterally to expose the strap muscles. The fascia overlying the strap muscles is incised, and dissection is carried posteriorly to expose the thyroid lobule. Dissection is carried out medial to the carotid sheath and lateral to the thyroid lobule down to the prevertebral fascia. Dissection can then be carried medially (posterior to the thyroid lobule) to expose the region where the parathyroid adenoma can be found.

Once the parathyroid has been identified, a similar procedure as described for the anterior approach can be carried out. The gamma probe can be used in a similar fashion to that described for the anterior approach.

Nonlocalizing Parathyroid

Despite preoperative localization studies, occasionally individuals fail to have a single localizing gland. Initial scans may have shown ambiguous results or mildly positive localization. Additionally, if multiple localization studies were performed (ultrasound and sestamibi), they may reveal conflicting results. In the event intraoperative evidence of multiglandular disease is found (failure of background radiation or intraoperative PTH to appropriately decline), it may be necessary to evaluate the other 3 parathyroid glands. Some suggest performing a three-and–a-half gland parathyroidectomy with reimplantation of half of the parathyroid either into the SCM or into forearm musculature. [29]

Ultrasound Guided MIP

Instead of requiring the use of a radiotracer the day of surgery, other surgeons describe the use of intraoperative ultrasound to confirm localization and removal. Davis et al and Livingston et al used ultrasound in those patients who were sestamibi negative and described a 56% and 94% localization rate, respectively, using ultrasound. [30, 31] Prasannan et al used surgeon-performed ultrasonography in the preoperative evaluation and again intraoperatively, determining it to have a sensitivity of 82% with a 96.3% positive predictive value, and an 85% correlation with sestamibi. [32]

Minimally Invasive Video Assisted Parathyroidectomy (MIVAP)

Casserly and Timon describe the gasless MIVAP procedure in detail, initially described by Miccoli et al in 1998. [33] The patient is positioned without a shoulder roll in extension, and a 1.5- to 2-cm midline incision is made 3 cm above the sterna notch. Dissection is carried down to the thyroid gland, and the strap muscles are dissected off the gland on the side with the parathyroid adenoma, carrying dissection into the space between the thyroid capsule and the carotid sheath. After opening this space, a 30° endoscope is introduced, pointing towards the head. Using the view from the endoscope, dissection and removal of the parathyroid gland is carried out. [34]

In 2010, a follow-up report by Casserly et al described the average incision length from this procedure to be 1.7 cm and significantly improved scar outcomes compared with a traditional open parathyroidectomy approach. [23] Lombardi et al performed a thorough review of the literature regarding video-assisted approaches, including fully endoscopic approaches using carbon dioxide insufflation. The review found level II evidence supporting the use of MIVAP over the insufflation-based techniques, and they also found evidence indicating lower pain, shorter operating times, and better scar outcomes compared with "open minimally invasive parathyroidectomy" based on a prospective randomized trial from Poland. [35, 36]


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Month: March 2017

Writing residency & other updates

New York Mills water tower

A few months ago, I had the great fortune to be a Visiting Artist at New York Mills Regional Cultural Center.  The center is located in New York Mills, a tiny, wonderful town in the middle of rural Minnesota.  Despite its small size, New York Mills has a vibrant arts scene. The Center hosts concerts, art exhibits, classes, and a gift shop stocked with crafts by local artists.  It also has a Visiting Artist program.  Each artist is in residency for 2-4 weeks, living alone in a cheerful yellow house near the center of town.

My residency was scheduled for 4 weeks in November and December 2016.  I flew from Boston to Minneapolis, rented a car, and drove the three hours to New York Mills.  As soon as I set foot in the artist house,  I felt a sense of peace and excitement.  There was a scrapbook filled with journal entries from the artists who’d stayed there before.  The house had a small kitchen, a bedroom, and two work spaces with large desks, perfect for writing.  Once I’d stocked up on groceries, I holed up inside (frigid temperatures helped!) and wrote, drafting about 100 pages of my novel-in-progress.  I met lots of interesting, friendly people around town–artists, writers, the local baker, a taxidermist. I learned about dark house spear fishing and the local boat factory.  I also held a workshop, participated in a reading, and visited 3 English classes at the high school.  It was a fruitful and creative month.

Train tracks near the artist house
Grain elevator near the center of town

I kicked off 2017 as a featured reader in Timothy Gager’s Dire Literary Series in Cambridge, MA.  The other readers were poet Michelle Y. Burke and memoirist Rita Zoey Chin.  I really enjoyed reading and learning about their work!

Finally, my talented photographer friend Kate Kearns took some lovely photos of me and my book last fall.  I’m just getting around to posting them now because I’ve been preoccupied by several life changes, including a move.  But, finally, here they are!

library phhoto


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Is Your Company Ready for Open Enrollment

Notebook, iPhone, and tiny plants in the background
The annual open enrollment period for insurance benefits is now upon us. Your company might already be actively engaged. If not, you may still have some time before open enrollment for your employees begins. Are you ready for it? More importantly, are your payroll and HR departments ready for the flood of questions coming their way?
If you are new to this whole small business thing, open enrollment is that small window of time toward the end of the year when employees are allowed to enroll in a new insurance plan or make modifications to their existing plans. Except under extreme circumstances, workers are not allowed to modify insurance plans outside of the open enrollment period.
Also, note that open enrollment applies to both company-sponsored insurance plans and government plans found on marketplace exchanges. From now until open enrollment concludes, workers are free to explore all their options for health insurance.

Let Your Employees Know

It is a given that you should be informing your workers about annual open enrollment. Do so with enough time to allow them to prepare for whatever they want to do. Also, plan on plenty of inquiries. Workers are likely to ask their direct supervisors health insurance questions. Those supervisors will either refer workers to payroll and HR departments or attempt to answer the questions themselves. At any rate, answers should be available in some manner.

What Can Be Modified

Open enrollment applies to all sorts of insurance plans along with different kinds of healthcare-related accounts. Employees will be able to make changes to their:

  • primary health insurance plans
  • dental and vision plans
  • life insurance
  • disability insurance
  • health savings accounts
  • flexible spending accounts.

Your company may or may not offer all these options. If it does, you hopefully work with a payroll professional capable of managing your benefits program for you. Otherwise, contact us. We can get you set up with a payroll and benefits administration solution that will take many of the headaches out of open enrollment beginning in 2019.

Effects on Payroll

Open enrollment is not only challenging to employees, but it is also challenging to the payroll department as well. Every modification of an open enrollment option can affect how payroll is processed. Payroll staff has to account for changes to withholding, how and when payments are made, tax liabilities, and so forth.
We recommend preparing payroll staff for open enrollment right alongside the rest of the staff. Payroll department employees should fully understand how open enrollment affects their jobs. And of course, they have their own open enrollment issues to think about. They may want to modify their health insurance plans, for example.

No More Individual Mandate

There is one aspect of open enrollment in 2018 that differs from previous years. Due to the tax reform package signed into law in December 2017, the individual mandate for health insurance is abolished at the end of this year. That means your employees are not required to carry health insurance beginning January 1.
You may have some employees electing not to continue with your company-sponsored health plan. You might have others who choose to switch to a less inclusive plan. At any rate, you are likely to see your insurance company make some adjustments to policy offerings in order to accommodate the elimination of the individual mandate.
Open enrollment season is here. The one saving grace is that it tends to last only a few weeks at most. Then it will be on to end-of-year accounting in preparation for the 2019 tax season.


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Kings Tournament celebrates Romania's Centenary

by Antonio Pereira
11/28/2018 – In honour of the Centenary of Romania's Unification Day, the ROMGAZ Kings Tournament organised an event that included some of the strongest players from the country and the country's diaspora. Viorel Iordachescu and Alina l'Ami won the men's and women's tournaments, respectively. Each event combined rapid and blitz formats with four players in each category. In both cases, there was a close fight for first place. | Photos: Official site

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A national celebration

Romania is placed in the crossroads of Central, Eastern and South-eastern Europe, and had a long history of territorial and political changes. In 2018, the country is celebrating the Centenary of the unification of Transylvania, Bessarabia and Bukovina with the Romanian Kingdom.

The Turneil Regilor had its first edition in 2007, with an 11-player single round-robin tournament won by Alexander Khalifman. The event became a yearly elite competition that constantly looked for ways to raise the interest through the use of fresh formats. Some renowned winners include Nigel Short, Vassily Ivanchuk, Veselin Topalov, Wang Yue and both contenders for this year's World Championship match, Magnus Carlsen and Fabiano Caruana.

In this year's edition, two tournaments, one for men and one for women, were organised, with four players from Romania or from the Romanian diaspora participating in each. A rather unique system was used to decide the winners — they first played a double round robin with a rapid time control of 15+10, followed by a quadruple round robin with a blitz time control of 3+2. The winner of the rapid got 4 points, the runner-up 3 points, and so on. The same scoring system was applied to the blitz portion, and then the scores were added.

The playing hall at the Politehnica University of Bucharest

The event took place on 19-21 November at the Politehnica University of Bucharest, with two days allocated for the rapid stage and one day for the blitz. Each player was introduced in the official website, as follows:

  • GM Liviu-Dieter Nisipeanu played six times for Romania at Chess Olympiads. In 2005, he won the European Championship, which represents the biggest success ever achieved by a Romanian player. In 2014, Liviu-Dieter changed federations to Germany.
  • GM Mircea Emilian Pârligras is a two-time national champion. He represented Romania at eight Chess Olympiads.
  • GM Andrei Istratescu is also a two-time national champion. He played for Romania at seven Olympiads.
  • GM Viorel Iordachescu is a leading player from the Republic of Moldova. He played at multiple Olympiads for his country.

The rapid tournament was won by Viorel Iordachescu, who actually arrived as the rating favourite at this time control. His 4/6 netted him the four points allocated to first place at this stage. Meanwhile, Istratescu edged Nisipeanu for second place after both finished on 3½/6 — the criterion that broke the tie was the amount of wins each player had scored.

Rapid final results - Men

Rk. Name Pts.  TB1
1 Iordachescu Viorel 4,0 0,0
2 Istratescu Andrei 3,5 1,0
3 Nisipeanu Liviu-Dieter 3,5 1,0
4 Parligras Mircea-Emilian 1,0 0,0

Iordachescu and Nisipeanu about to begin their game

In the blitz portion of the tournament, Liviu-Dieter Nisipeanu took clear first place thanks to his 7½/12, after remarkably beating tail-ender Parligras in all four of their encounters. Istratesctu finished second and Iordachescu was third.

Blitz final results - Men

1 1
GM Nisipeanu Liviu-Dieter GER 2627 7,5 0,0 6 35,75
2 2
GM Istratescu Andrei ROU 2617 7,0 0,0 5 38,75
3 4
GM Iordachescu Viorel MDA 2536 6,5 0,0 5 36,75
4 3
GM Parligras Mircea-Emilian ROU 2542 3,0 0,0 2 20,25

The final tournament score was finally decided by the players' placements in each stage. Curiously, three players tied on six points, but the organisers had foreseen this scenario and created a tiebreak system — the rapid results were taken as prevalent. Therefore, Viorel Iordachescu was declared winner, followed by Istratescu and Nisipeanu.

Overall results - Men

Rank Name FED Rapid Blitz Final
1 Viorel Iordachescu MDA 4 2 6
2 Andrei Istratescu ROU 3 3 6
3 Liviu-Dieter Nisipeanu GER 2 4 6
4 Mircea-Emilian Parligras ROU 1 1 2

Viorel Iordachescu took first place

Alina l'Ami takes clear first amongst the women

The women's event also included some of the strongest national players in its line-up. Two International Masters and two Women Grandmasters participated in Bucharest:

  • IM Irina Bulmaga, born in the Republic of Moldova, represented Romania at four Chess Olympiads. She is the current Woman National Champion.
  • IM Alina l’Ami played at four Chess Olympiads for Romania. Nowadays she lives in the Netherlands.
  • WGM Iozefina Paulet represented Romania at the 2008 Chess Olympiad. She also lives in the Netherlands and represented her new federation in this year's Batumi Olympiad.
  • WGM Sabina Francesca Foisor lives in the United States. She played at five Chess Olympiads for the U.S. and won the U.S. Women's Championship in 2017.

The rapid portion was completely dominated by Sabina Foisor, who won all six games to easily add four points to her tournament tally. Chessbase correspondent and exceptional photographer Alina l'Ami finished second on 2½/6, while Irina Bulmaga took third on 2/6 points.

Rapid final results - Women

Rk. Name Pts.  TB1
1 Foisor Sabina-Francesca 6,0 0,0
2 L'ami Alina 2,5 0,0
3 Bulmaga Irina 2,0 0,0
4 Paulet Iozefina 1,5 0,0

Iozefina Paulet and Irina Bulmaga smiling before kicking off their game

After this outstanding performance, it perhaps was expected for Foisor to have a strong showing at the blitz. However, the quicker time control did not favour the American, who actually finished in last place. Nonetheless, we saw another clear winner in Irina Bulmaga, who managed an impressive 9/12 score. L'Ami repeated her second place from the rapid and Iozefina Paulet finished third.

Blitz final results - Women

Rk. Name Pts.  TB1
1 Bulmaga Irina 9,0 0,0
2 L'ami Alina 5,5 0,0
3 Paulet Iozefina 5,0 0,0
4 Foisor Sabina-Francesca 4,5 0,0

Consistency was the key factor that gave Alina l'Ami overall first place, after getting the same amount of points as her colleague Irina Bulmaga. Once again, the rapid score served as the tiebreaker to decide the winner.

Overall results - Women

Rank Name FED Rapid Blitz Final
1 Alina l'Ami ROU 3 3 6
2 Irina Bulmaga ROU 2 4 6
3 Sabina-Francesca Foisor USA 4 1 5
4 Iozefina Paulet NED 1 2 3

The winners, with Alina l'Ami in the centre

Selection of highlights by GM Dorian Rogozenco

Connecting Bucharest with Medias

Medias is the second largest city in the county of Sibiu, located in Central Romania. Known for its historical centres, well-preserved medieval fortifications and its wine, it has hosted the Turneil Regilor more than once in the past.

In order to keep the connection with the Transylvanian city, the organisers put together an online match between kids from Bucharest and kids from Medias, using the PlayChess platform. The success of the initiative provoked them to consider enlarging this idea in the future, connecting Romanian kids with kids from other countries.

In the midst of an online match

A final group picture

Antonio is a freelance writer and a philologist. He is mainly interested in the links between chess and culture, primarily literature. In chess games, he skews towards endgames and positional play.
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text:
it's from the heart, it's integration

Is it truly from our hearts?

Version en español versão em portugues

This week I’ve been focusing my attention on human interactions of us who want to integrate through love, transparency, respect, integrity and coherence, and I’ve perceived that knowledge and search for “truth”, can be the foundation of segregation. When we perceive that all the knowledge we own is part of the reality we live (even being imperceptible for someone`s perception system), we can use knowledge integrated to our experience to construct our own wisdom, instead of doing what we are used to do: imposing our truth on others and then feel separated victims because they don’t want to listen to what we say.

In every area of our lives as social human beings (scientific, spiritual, religious, politic, etc.), we have transmitted knowledge with a tendency towards polarization that creates conflict, separation and opposition, often based on what people tell us and not on what we experience or live. We use our minds to define if something is good or bad and, from that point, we select information from our emotions created by our beliefs, the  issue comes when we feel something as real because we feel good and we say that is from our hearts being unconscious of the fact that is coming from an emotion.

Since we are used to say that everything that makes us feel euphoric comes from the heart, we have ignored that we own emotions which we have classified as “good” that lead us, not to act but to react about situations in life from our personal interest. Everything we feel, think and express, has an impact on what we construct, on evetyhing and everyone around, so, the reactions from emotions come from our minds that is not truly integrated to the whole, on the other hand, actions from our hearts come from the feeling of unity using our minds to put it into context in the most appropriate way possible from our knowledge and experience integrated (click here to read about connecting ourselves to our hearts)

Everytime we want to discover the origin of the way we feel, think and express ourselves through words and actions, to understand if they are really from our hearts, we can make ourselves the following questions:

  1. Are we integrating? When we integrate we are focused on integrating and transmitting to construct, if we segregate, then we judge (positively or negatively), compare and blame (click here to read about responsability).

  2. Do we feel at peace? When a decision comes from our hearts we feel peace, if it comes from our minds, and heart misaligned, we feel emotional states such as uneasiness, pain, sadness, euphoria, happiness, anxiety, stress, etc.

  3. Can we express in a transparent way what we decide? When we are capable of finding the appropriate way of expressing our decisions in a respectful and integrative way (click here to read about respect), we are able to put our mind at the disposal of the heart by using transparency (click here to read about transparency).

Our heart always look for integrations through coherence, transparency, respect and integrity, this way, our decisions made based on certainty construct with the most solid foundations we can create as human beings in the present. Everything that is constructed from a extreme of polarity tends to find its extreme of destruction, therefore, the more integral and aligned to our heart our construction is, more stability it finds to perpetuate itself and continue its evolution through consciousness. Let’s construct from integration and perceive the transformation of all the areas of our lives and our society.

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Open main menu

Miranda (programming language)

Miranda is a lazy, purely functional programming language designed by David Turner as a successor to his earlier programming languages SASL and KRC, using some concepts from ML and Hope. It was produced by Research Software Ltd. of England (which holds a trademark on the name Miranda) and was the first purely functional language to be commercially supported.[citation needed]

Miranda logo (programming language).jpg
Paradigmlazy, functional, declarative
Designed byDavid Turner
DeveloperResearch Software Ltd
First appeared1985 (1985)
Typing disciplinestrong, static
Major implementations
Influenced by
Clean, Haskell

Miranda was first released in 1985, as a fast interpreter in C for Unix-flavour operating systems, with subsequent releases in 1987 and 1989. Miranda had a strong influence on the later Haskell programming language.[1]

Miranda is a lazy, purely functional programming language. That is, it lacks side effects and imperative programming features. A Miranda program (called a script) is a set of equations that define various mathematical functions and algebraic data types. The word set is important here: the order of the equations is, in general, irrelevant, and there is no need to define an entity prior to its use.

Since the parsing algorithm makes intelligent use of layout (indentation), there is rarely a need for bracketing statements and no statement terminators are required. This feature, inspired by ISWIM is also used in occam and Haskell and was later popularized by Python.

Commentary is introduced into regular scripts by the characters || and continue to the end of the same line. An alternative commenting convention affects an entire source code file, known as a "literate script", in which every line is considered a comment unless it starts with a > sign.

Miranda's basic data types are char, num and bool. A character string is simply a list of char, while num is silently converted between two underlying forms: arbitrary-precision integers (a.k.a. bignums) by default, and regular floating point values as required.

Tuples are sequences of elements of potentially mixed types, analogous to records in Pascal-like languages, and are written delimited with parentheses:

  this_employee = ("Folland, Mary", 10560, False, 35)

The list instead is the most commonly used data structure in Miranda. It is written delimited by square brackets and with comma-separated elements, all of which must be of the same type:

  week_days = ["Mon","Tue","Wed","Thur","Fri"]

List concatenation is ++, subtraction is --, construction is :, sizing is # and indexing is !, so:

  days = week_days ++ ["Sat","Sun"]
  days = "Nil":days
  days = days -- ["Nil"]

There are several list-building shortcuts: .. is used for lists whose elements form an arithmetic series, with the possibility for specifying an increment other than 1:

  fac n   = product [1..n]
  odd_sum = sum [1,3..100]

More general and powerful list-building facilities are provided by "list comprehensions" (previously known as "ZF expressions"), which come in two main forms: an expression applied to a series of terms, e.g.:

  squares = [ n * n | n <- [1..] ]

(which is read: list of n squared where n is taken from the list of all positive integers) and a series where each term is a function of the previous one, e.g.:

  powers_of_2 = [ n | n <- 1, 2*n .. ]

As these two examples imply, Miranda allows for lists with an infinite number of elements, of which the simplest is the list of all positive integers: [1..]

The notation for function application is simply juxtaposition, as in sin x.

In Miranda, as in most other purely functional languages, functions are first-class citizens, which is to say that they can be passed as parameters to other functions, returned as results, or included as elements of data structures. What is more, a function requiring two or more parameters may be "partially parameterised", or curried, by supplying fewer than the full number of parameters. This gives another function which, given the remaining parameters, will return a result. For example:

  add a b = a + b
  increment = add 1

is a roundabout way of creating a function "increment" which adds one to its argument. In reality, add 4 7 takes the two-parameter function add, applies it to 4 obtaining a single-parameter function that adds four to its argument, then applies that to 7.

Any function taking two parameters can be turned into an infix operator (for example, given the definition of the add function above, the term $add is in every way equivalent to the + operator) and every infix operator taking two parameters can be turned into a corresponding function. Thus:

  increment = (+) 1

is the briefest way to create a function that adds one to its argument. Similarly, in

  half = (/ 2)
  reciprocal = (1 /)

two single-parameter functions are generated. The interpreter understands in each case which of the divide operator's two parameters is being supplied, giving functions which respectively divide a number by two and return its reciprocal.

Although Miranda is a strongly typed programming language, it does not insist on explicit type declarations. If a function's type is not explicitly declared, the interpreter infers it from the type of its parameters and how they are used within the function. In addition to the basic types (char, num, bool), it includes an "anything" type where the type of a parameter does not matter, as in the list-reversing function:

  rev [] = []
  rev (a:x) = rev x ++ [a]

which can be applied to a list of any data type, for which the explicit function type declaration would be:

  rev :: [*] -> [*]

Finally, it has mechanisms for creating and managing program modules whose internal functions are invisible to programs calling those modules.

Sample codeEdit

The following Miranda script determines the set of all subsets of a set of numbers

 subsets []     = [[]]
 subsets (x:xs) = [[x] ++ y | y <- ys] ++ ys
                  where ys = subsets xs

and this is a literate script for a function primes which gives the list of all prime numbers

> || The infinite list of all prime numbers.

The list of potential prime numbers starts as all integers from 2 onwards;
as each prime is returned, all the following numbers that can exactly be
divided by it are filtered out of the list of candidates.

> primes = sieve [2..]
> sieve (p:x) = p : sieve [n | n <- x; n mod p ~= 0]

  1. ^ Hudak, Paul; Hughes, John (2007). "A History of Haskell: being lazy with class".

External linksEdit


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The ruinous scene in Palu, Central Sulawesi of Indonesia, after the disasters (Source: Xinhua/VNA)

Jakarta (VNA) - A 6-magnitude earthquake has struck off the Indonesian island of Java, killing three people and damaging many buildings while causing panic among residents.

According to spokesman of the country’s National Disaster Mitigation Agency (BNPB) Sutopo Purwo Nugroho, the quake happened off Java island on early October 11, with its epicenter in the Bali Sea area, 40km east of Java.

The US Geological Survey (USGS) said the quake shook buildings on the Bali resort island, where the annual meetings of the International Monetary Fund and World Bank are taking place. However, the local authorities affirmed that the quake didn’t cause any disruption to the meetings.

Previously, Central Suwelasi of Indonesia was ravaged by two 6.1- and 7.5-magnitude quakes on September 28. A tsunami happened after the second quake hit the area in the afternoon of the same day.

The earthquakes and tsunami killed at least 2,045 people and injured 10,679 others. As many as 671 people are still missing.

A series of earthquakes in July and August killed nearly 500 people on the holiday island of Lombok, hundreds of kilometres southwest of Sulawesi.

Indonesia sits on the Pacific Ring of Fire and is regularly hit by earthquakes. In 2004, a big earthquake off the northern Indonesian island of Sumatra triggered a tsunami across the Indian Ocean, killing 220,000 people in 13 countries, including more than 168,000 in Indonesia.-VNA


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Ken Lamberton

From Wikipedia, the free encyclopedia
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Ken Lamberton
Ken amherstIMG 1015.jpg
Reading at an Amherst, Massachusetts bookstore in 2007.
Born (1958-11-08) November 8, 1958 (age 60)
Alma materUniversity of Arizona
Known forTeaching, writing
Height6 ft 2 in (1.88m)
Criminal chargeChild molestation
Criminal penalty12 years at ASPC-Tucson
Criminal statusReleased Sept. 25, 2000
Spouse(s)Karen Lamberton
ChildrenJessica, Kasondra, Melissa[1]

Kenneth J. Lamberton (born November 8, 1958) is an American writer and former teacher. Born in Duluth, Minnesota, Lamberton attended the University of Arizona, where he received a Bachelor of Science degree in biology and a Master of Fine Arts in creative writing. He was working as a science teacher in Mesa, Arizona in 1985 when he was awarded a Teacher of the Year award. A few months later, the then 28-year-old Lamberton was arrested for child molestation for having an affair with a 14-year-old student and transporting her across state lines. During his twelve-year prison term at the Santa Rita unit of the Arizona State Prison Complex at Tucson,[1] he participated in a creative writing program run by Richard Shelton and became a writer, penning essays for the prison magazine La Roca.[2] After his release on September 25, 2000, he began to publish non-fiction books and articles on natural history and crime and punishment in the Southwest.[3]

Lamberton has published four books since 2000 and written hundreds of essays and articles. His first book, Wilderness and Razor Wire: A Naturalist's Observations from Prison, received critical acclaim from the San Francisco Chronicle which felt it was "....entirely original: an edgy, ferocious, subtly complex collection of essays...".[4] It won the 2002 John Burroughs Medal for nature writing. In 2007, Lamberton was awarded a Soros (the millionaire known for personally funding the education of black university students in Cape Town, South Africa, during apartheid) Justice Fellowship by the Open Society Institute to complete his fourth book, Time of Grace: Thoughts on Nature, Family, and the Politics of Crime and Punishment.[5] Lamberton has published more than 100 science and nature articles in national magazines, as a part of his experience in prison and trying to forget about this period of his life. Lamberton has achieved relative success with his books and is generating interest in literary circles.[6]

  • Wilderness and Razor Wire: A Naturalist's Observations from Prison. Mercury House: San Francisco, California, 2000.
  • Beyond Desert Walls: Essays from Prison. Tucson: University of Arizona Press, 2005.
  • Time of Grace: Thoughts on Nature, Family and the Politics of Crime and Punishment. Tucson: University of Arizona Press, 2007.
  • Chiricahua Mountains: Bridging the Borders of Wildness. Photography by Jeff Garton. Tucson: University of Arizona Press, 2003.
  • Chasing Arizona: One Man's Yearlong Obsession with the Grand Canyon State.University of Arizona Press, 2015. ISBN 0816528926
  • Dry River : Stories of Life, Death, and Redemption on the Santa CruzUniversity of Arizona Press, 2011. ISBN 0816529213

  1. ^ a b Megan Irwin (March 1, 2007). "Redemption Song". Phoenix New Times. Retrieved August 16, 2010.
  2. ^ Snell, Marilyn Berlin (2002-11-01). "Law and nature's order: how swallows and saguaros gave a prisoner his freedom". Sierra.
  3. ^ Allen, Lee (2005-07-21). "Outdoor Reminiscences". Tucson Weekly. Retrieved 2008-07-28.
  4. ^ Slouka, Mark (2000-01-23). "Cell Biology". San Francisco Chronicle. Retrieved 2008-07-28.
  5. ^ "2007 Soros Justice Fellows". Open Society Institute. Retrieved 2008-07-28.
  6. ^ Song Retrieved on 08 Jan 2018

External links[edit]


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• News
  • Blog
  • Construction Starts at Cypress Creek High School

    The Energy Air team recently kicked off construction of the HVAC system for Cypress Creek High School in Orlando. The contracted scope includes HVAC installation services for the renovation and expansion of approximately 391,000 square feet of an existing high school campus in Orange County that was originally constructed in 1992. Buildings to be renovated include administrative, multi-purpose/dining, classroom, laboratory, art, music suite, media center, science, gymnasium, performing arts center, field house and football stadium. The purpose of the renovation and expansion is to provide improved facilities and to modernize the campus, which is located at 1101 Bear Crossing Drive in Orlando. Mechanical systems to be installed include: 6,447 feet of pre-insulated underground chilled water piping, (3) 500 ton air-cooled chillers, 26 air handlers, 93 fans & intake ventilators, 6 DX split systems, 1 PTAC, 249 VAVs and related equipment totaling 1,500 tons of cooling. The general contractor for the project is Wharton Smith, Inc.

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Nutria with potatoes. You will need: 1 PCs. nutria, 200 g mustard, 300 g of sour cream (or mayonnaise), 1 kg of potatoes, spices (pepper, salt to taste).

Meat, spices, sour cream, mustard and place on a baking sheet. Preheat the oven to 180-200 degrees and put the meat for 15-20 minutes. Peel potatoes and cut into cubes, season with salt. Flip meat and place around the potatoes. Put bake for 20 minutes. After 40 minutes the dish is ready.
Nutria in sauce. You will need: 1 PCs. nutria, 200 g sour cream, 2 PCs of onions (turnip), 200 g of flour, 1 Cup water, 2 tablespoons oil (vegetable oil, for frying), seasoning to taste.

Nutria meat divide it into large pieces. Add salt, pepper. Each piece roll in flour and fry in a pan until Golden brown. Onions cut into rings. Pieces of roasted meat put in a pot or deep pan, on top put the onion and cover with water. In a preheated 200 degree oven, place the cauldron and simmer for 30-40 minutes. 15 minutes before readiness add the sour cream. Serve this dish made with cereals - rice or buckwheat.
Nutria stew. You will need: 1 PCs. nutria, 2 PCs. pepper (bell), 2 pieces of onion (bulb), 2pcs. carrots, spice blend (Basil, curry, salt, pepper), fresh herbs, sunflower oil.

Nutria carcass divide into serving pieces, season with spices. On strong fire fry until Golden brown. Put the meat in a pan and add a little water. To extinguish on slow fire of 30 minutes. Carrot RUB on a coarse grater, onion chop. Bulgarian pepper clear from the seeds and cut into strips. All of this sauté for 7-10 minutes and add to meat. After 30 minutes, put on a beautiful dish and garnish with fresh herbs. Bon appetit!


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Al-Ahed Telegram

Bahrain Requested Arrest of Refugee «Before He Arrived in Thailand»

folder_openBahrain access_time 10 days ago
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Local Editor

Thai immigration authorities have claimed Bahrain requested the arrest of a dissident before he arrived in Bangkok for a holiday, raising concerns that the Australian resident was under surveillance.

Hakeem al-Araibi, 25, who fled Bahrain in 2014 and was granted asylum in Australia in 2017, has been held in Thailand for 10 days since he arrived in the country with his wife.

After his arrest in Thailand, al-Araibi, a professional footballer, was shown an Interpol “red notice” international arrest warrant against him, and told that was the reason he was being detained.

Supporters and human rights groups have questioned why Interpol granted Bahrain a red notice against a refugee who fled the country.

Earlier this week the red notice was lifted, but al-Araibi remained in immigration detention under a Thai court order. Officials maintained they were working through next steps with both Australia and Bahrain.

But in an interview with BBC Thai, the head of Thailand’s immigration bureau has suggested the arrests was not only on the basis of a red notice.

“The Bahraini government knew that he [Hakeem al-Araibi] would be arriving in Thailand [on 27 November], so they coordinated with Thailand’s permanent secretary of foreign affairs to detain him, pending documents sent from Bahrain,” Lt Gen Surachet Hakparn said on Thursday.

Yahya Alhadid, president of the Gulf Institute for Democracy and Human Rights (GIDHR), said the “contradicting” statements raised concerns about how Bahrain was aware of al-Araibi’s planned trip.

“Did Bahrain put him under surveillance or was it spying on him? In [either] case that brings up the question: is Bahrain spying on all its opponents outside the country?” said Alhadid.

“If so, this indicates that the safety of all the Bahraini refugees at risk.”

Alhadid said there was no legal basis for al-Araibi’s continuing detention after the red notice was lifted.

“We know that Thai authorities have a bad history sending back refugees to their home countries to face their grim fate, as they did with the Bahraini Ali Haroon’s in December 2014, and with the Turkish teacher Mohammet Sökmen in 2017.”

Al-Araibi, who fled Bahrain after being targeted for alleged links to political protests, said he was “outraged” to learn the Gulf state regime may have had him under surveillance.

“I’m just a football player, so busy with my life focusing on the sport, I have absolutely no political affiliations, I am not politically active,” he said.

Sayed Ahmed Alwadaei, director of advocacy at the Bahrain Institute for Rights and Democracy, said the Australian government had to make it clear “publicly and privately” that the continuing detention of Al-Araibi was unacceptable, and to gain answers from Bahrain about alleged covert surveillance of an Australian resident.

“After [Jamal] Khashoggi’s gruesome murder, the world should not underestimate how far the Gulf states will go to crush dissent and silenced dissidents. The Thai government must know it’s crossing a red line if it deports Hakeem.”

Interpol has not answered specific queries on al-Araibi’s case.

Meanwhile, an extradition hearing in the Bangkok criminal court appears set to proceed.

An Australian foreign affairs ministry spokeswoman said on Wednesday that it had received legal documents from Bahrain which needed to be forwarded to the immigration department before the case could begin.

Human Rights Watch said a local lawyer had been hired to represent al-Araibi, whose Melbourne football team, Pascoe Vale FC, has launched a fundraiser to help with legal costs.

Source: News Agencies, Edited by website team


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Centre orders NIA probe in Manipur ambush

Manipur: The Central government has handed over the probe into the Manipur ambush, which led to the death of 18 army personnel and injured 11 others, to the National Investigation Agency. The ambush, which was one of the most deadly attacks in the region in recent years, occurred at around 8.30 am on Thursday when the army’s convoy reached a place between Paralong and Charong villages.

Prime Minister Narendra Modi had on Thursday condemned the attacks in a Twitter post saying, “Today’s mindless attack in Manipur is very distressing. I bow to each and every soldier who has sacrificed his life for the Nation.” President Pranab Mukherjee also condemned the attack and offered his profound condolences to the grieving families of the soldiers.

Defence Minister Manohar Parrikar had assured that the those behind the attacks would be brought to book.

Previous articleIndia-Bangladesh sign historic Land Agreement
Next articleLokseh Rahul ruled out of Bangladest Tour


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IT Dept Issues Notice To Large-Scale Depositors

New Delhi:  Acting swiftly, the Income Tax department has issued hundreds of notices seeking “source” of funds from individuals and firms who have deposited huge amounts of cash in banks using the scrapped Rs 500 and Rs 1000 currency notes after November 8.

Officials said the taxman has begun a country-wide enquiry in this regard and has issued notices under section 133 (6) of the Income Tax Act (power to call for information) in various cities and towns of the country. They said the notices were issued after banks reported to it certain cases of “unusual or suspicious volumes of cash deposits” in their accounts, primarily beyond Rs 2.5 lakh.

“The notices are being issued where the department feels the cash deposits made in the demonetised currency is suspect.

This is part of the vigil that the taxman has deployed to check instances of tax evasion, money laundering and black money in the wake of the demonetisation of the two high denomination currencies on November 8,” they said.

The notices issued by the department cite the date and amount deposited by an entity in the old currency in the bank as it goes on to seek “supporting documents, books of accounts and bills to explain the said cash deposits” from them.

“If you are assessed to Income Tax, then you shall also file the copy of Income Tax Return of last two years,” an I-T department notice issued in this regard said.

In the wake of the demonetisation declared by Prime Minister Narendra Modi on November 8, the department has also stepped up its survey operations against real estate players, bullion traders and suspected hawala operatives to check the illegal use of the scrapped currency and subsequent generation of black money.

The taxman has also deployed a similar check at cooperative banks and in one case in Mangalore it found that old currency worth Rs eight crore was exchanged by five societies which had accounts in a cooperative bank there.

The department has also recently issued notices to hundreds of charitable and religious organisations in the country enjoying exemptions on tax paid to inform it about their cash balances as of November 8 when the government demonetised Rs 500 and Rs 1,000 currency notes. The notices were issued in order to keep a check on possible “accommodation” of black money in old currency by way of making charitable contributions or donations to these organisations.

Previous articleJayalalithaa Shifted To Special Room From ICU
Next articleNSG Conducts Mock Drill In Delhi Metro


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Liquor Shop Doing Business On National Highway

Suri: A liquor shop at Hetampur area of Dubrajpur is doing brisk business without caring about the recent order of Supreme Court. The liquor shop is situated within 200 meters from the National Highway.

Last month, a bench headed by chief justice JS Khehar of Supreme Court said the liquor shops were ordered to be removed to a distance of 500 metres from either side of the state and national highway in the “interest of the public health.”

Local residents who came out to protest allege that local administration is keeping a blind eye. How is it possible that a liquor shop is not abiding the apex court’s order?  Most of the protesters were women as they are the ones who are most hard hit.

The male members are all addicted to it. They spend all their hard earned money for buying liquor. It is becoming increasingly difficult for us to make both ends meet. Even the young generations are not spared. Besides there is a primary school and a girls’ school situated close to that liquor shop.

Nobody was available for comment from the administration side.

Previous articleSasikala Files Review Petition In SC Over Her DA Case Conviction
Next article2 Suspected ISI Agents Arrested From Mumbai


text: It's been almost ten years since Pearl Jam released their debut album 'Ten', and the band still refusing to allow the bullshit of the music industry to dilute their music, Pearl Jam have unleashed Binaural on us - definition: of, relating to, or involving two or both ears. Perhaps the fact that they have stuck to their roots is what makes this album sound so out of place, and in a world of full of jock-rock and noisenicks, it is perhaps what makes it sound so refreshing as well.


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Entirely Leisure

Give a ferry special gift this Christmas

The much-loved Manchester Ship Canal Cruise gift voucher is back and is available to redeem on any cruise date in 2019 the 125th year since the canal opened

Give a ferry special gift this Christmas

An unforgettable experience could be hidden underneath the Christmas tree for your loved ones this festive season, thanks to Mersey Ferries and its popular Manchester Ship Canal Cruise vouchers.

A 2019 voucher is an ideal present for those who love to take in the sights and enjoy quality downtime on a relaxing day out. Cruising along the world-famous canal is a wonderful experience which creates lasting memories to cherish throughout the year.

And a voucher for the 2019 sailings will allow passengers to become part of a significant year in the canal’s history, as it celebrates 125 years since its opening.

When the canal was opened by HM Queen Victoria in 1894, it immediately became the largest river navigation canal in the world and spearheaded deep-sea shipping into the heart of Manchester.

Today, the Manchester Ship Canal Cruises travel 35-miles along the famous waterway taking in its rich history and spectacular scenery, leaving passengers with an overwhelming appreciation of how the canal’s construction shaped the North West of England.

"The 2019 sailingswill allow passengers to become part of a significant year in thecanals history, as it celebrates 125 years since its opening"
Gary Evans, from Mersey Ferries

During the 6-hour cruise, fascinating live commentary from a guide can be heard on board the ferry, giving insight into the most famous engineering wonder of the late Victorian age.

On board, there is a bar selling light snacks and refreshments.

The gift vouchers are priced at £44 each and come with a presentation wallet. The vouchers  can be exchanged for a ticket on any scheduled cruise during 2019. Cruises are suitable for guests aged 16 and above and must be booked in advance. At the end of the cruise your loved ones will be picked up to make their return journey by coach to their departure point.

For further information about the Manchester Ship Canal Cruise gift vouchers please visit www.merseyferries.co.uk/giftvouchers

DISCLAIMER: The statements, opinions, views and advice expressed in this article are those of the author/organisation and not of ENTIRELY. This article should represent information correct at the time of publication however whilst every care has been taken to present up-to-date and accurate information, we cannot guarantee that inaccuracies will not occur. ENTIRELY will not be held responsible for any claim, loss, damage or inconvenience caused as a result of any information within this article or any information accessed through this site. The content of any organisations websites which you link to from ENTIRELY are entirely out of the control of ENTIRELY, and you proceed at your own risk. These links are provided purely for your convenience and do not imply any endorsement of or association with any products, services, content, information or materials offered by or accessible to you at the organisations site.


text:
The open archive for STFC research publications

Full Record Details

Persistent URL http://purl.org/net/epubs/work/49640
Record Status Checked
Record Id 49640
Title A DAG-based parallel Cholesky factorization for multicore systems
Abstract Modern processors have multiple cores, making multiprocessing essential for competitive desktop linear algebra. Asynchronous processing with much inherent parallelism can be derived by using a directed acyclic graph (DAG) to represent the data dependencies between tasks. In this paper, we present our implementation of a DAG-based Cholesky factorization, using a last minute scheduling approach to prioritise tasks. Our factorization is implemented in Fortran 95 using OpenMP.
Organisation CSE , CSE-NAG , STFC
Keywords parallel , symmetric linear systems , OpenMP , Fortran 95 , DAG-based , Cholesky factorization
Funding Information
Related Research Object(s):
Language English (EN)
Type Details URI(s) Local file(s) Year
Report RAL Technical Reports RAL-TR-2008-029. 2008. DAGParCholesky.pdf 2008
Showing record 1 of 1


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NotesFAQContact Us
Search Tips
Peer reviewed Peer reviewed
ERIC Number: EJ423629
Record Type: CIJE
Publication Date: 1991
Pages: N/A
Abstractor: N/A
Reference Count: 0
ISSN: ISSN-0036-8555
A Clever Lever Endeavor.
Schlenker, Richard M.; Yoshida, Sarah J.
Science Teacher, v58 n2 p36-39 Feb 1991
Presented is an activity in which students work in research teams to gather data, integrate computer analyses, and discover the relationships between variables by using a second class lever. A diagram of the lever, a list of processes involved in this activity, and an idealized data table are included. (KR)
Publication Type: Journal Articles; Guides - Classroom - Teacher
Education Level: N/A
Audience: Teachers; Practitioners
Language: English
Sponsor: N/A
Authoring Institution: N/A


text:
NotesFAQContact Us
Search Tips
Peer reviewed Peer reviewed
Direct linkDirect link
ERIC Number: EJ973816
Record Type: Journal
Publication Date: 2012
Pages: 14
Abstractor: As Provided
Reference Count: 21
ISSN: ISSN-2156-7069
Applying a Framework to Evaluate Assignment Marking Software: A Case Study on Lightwork
Heinrich, Eva; Milne, John
Research in Learning Technology, v20 n2 2012
This article presents the findings of a qualitative evaluation on the effect of a specialised software tool on the efficiency and quality of assignment marking. The software, Lightwork, combines with the Moodle learning management system and provides support through marking rubrics and marker allocations. To enable the evaluation a framework has been developed that is based on an extensive literature review and interviews with academics in tertiary settings. The framework introduces key factors that are crucial to educationally sound and efficient assignment marking. The use of Lightwork is compared to the prior experiences of participants who used either electronic- or paper-based approaches. The findings are analysed using the framework. The study indicates that Lightwork is well suited to support efficient, high quality assignment marking. It is suggested that the evaluation framework can be used for future studies in this area. (Contains 1 figure and 2 tables.)
Co-Action Publishing. Ripvagen 7, SE-175 64 Jarfalla, Sweden. Tel: +46-18-4951138; e-mail:; Web site:
Publication Type: Journal Articles; Reports - Research
Education Level: Higher Education
Audience: N/A
Language: English
Sponsor: N/A
Authoring Institution: N/A
Identifiers - Location: New Zealand


text:
Basic Authentication on the Mono framework

Use the NetworkCredential constructor with username and password as strings. The SecureString constructor resulted in a request without the password in the Authorization header.

using System.Net;

var url = "http://url_to_file_to_download";
var user = "your_username";
var password = "the_password_as_a_string";
var request = WebRequest.Create(url) as HttpWebRequest;
var cred = new NetworkCredential(user, password);
var credCache = new CredentialCache();
credCache.Add(request.RequestUri, "Basic", cred);
request.Credentials = credCache;
using (var response = request.GetResponse() as HttpWebResponse) {
    using (var output = response.GetResponseStream()) {
        // handle the response stream

About erictummers

My work as a recruited developer changes almost every month. I like challenges and sharing the solutions with others. On my blog I’ll mostly post about my work, but expect an occasional home project, productivity tip and tooling review.
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