Acute shoulder dislocation is a common injury in the outdoor environment. The objective of this systematic review of the literature was to determine if intra-articular local anesthetic (IAL) is an effective treatment that could have prehospital application. A methodical search of MEDLINE, PubMed, and EMBASE databases targeted publications from January 1, 1990 until January 1, 2017. Eligible articles compared IAL with other analgesic techniques in patients 16 years or older experiencing acute glenohumeral dislocation. Reduction success, complications, and patient-reported outcome measures underwent comparison. All identified publications originated from the hospital setting. Procedural success rates ranged widely among randomized control trials comparing IAL with intravenous analgesia and sedation (IAL 48–100%, intravenous analgesia and sedation 44–100%). A pooled risk ratio [RR] favored intravenous analgesia and sedation (RR 0.91, 95% confidence interval [CI] 0.84–0.98), but there was significant inconsistency within the analysis (I2 = 75%). IAL provided lower complication rates (4/170, 2%) than intravenous analgesia and sedation (20/150, 13%) (RR 1.11, 95% CI 1.04–1.19, I2 = 63%). One trial found a clinically relevant reduction in visual analogue pain scores when comparing IAL against no additional analgesia in the first minute (IAL 21±13 mm; control 49±15 mm; P<0.001) and fifth minute (IAL 10±10 mm; control 40±14 mm, P<0.001) after reduction. The results suggest that IAL is an effective intervention for acute anterior shoulder dislocation that would have a place in the repertoire of the remote physician. Further research might be beneficial in determining the outcomes of performing IAL in the prehospital setting.
Symonds & Sampson held a stunning property auction at the Axminster Guildhall on 30th November with a 100 per cent success rate.The properties on offer were centred on the Beaminster area and included Hillview in Fleet Street, a two bedroom bungalow, which sold for £220,000 (25 per cent above guide) and Fore Place in Broadwindsor, a 5 bedroom house with a shop, selling for £168,000.The most interest, however, was reserved for Stoke Knapp Farm, Stoke Abbott offered in six lots and on the market for the first time in 119 years. The stone period farmhouse is in need of complete renovation with a courtyard of traditional and modern buildings. The surrounding farmland, extends to about 130.39 acres (52.77ha) with superb panoramic views and includes Waddon Roman Hill Fort located in one of the highest parts of Dorset, 213 ft.The first lot sold for £1,520,000, 90 per cent above the guide setting the tone for the auction with all lots comfortably exceeding the guides by between 32 and 900 per cent.With fierce bidding between local buyers the guide for the whole farm of £1,070,000 was smashed with a record breaking sales price for Symonds & Sampson of £2,007,000.Ross Willmington, a partner at Symonds & Sampson, said, rather understatedly, that the sale price had been “surprising”. He added, “There was considerable interest in the lots and determined bidding with telephone bidders from London and the South East vying against those in the room.”property auction auction Symonds & Sampson January 4, 2018The NegotiatorWhat’s your opinion? Cancel replyYou must be logged in to post a comment.Please note: This is a site for professional discussion. Comments will carry your full name and company.This site uses Akismet to reduce spam. Learn how your comment data is processed.Related articles BREAKING: Evictions paperwork must now include ‘breathing space’ scheme details30th April 2021 City dwellers most satisfied with where they live30th April 2021 Hong Kong remains most expensive city to rent with London in 4th place30th April 2021 Home » News » Agencies & People » High point for Symonds & Sampson auction previous nextAgencies & PeopleHigh point for Symonds & Sampson auctionThe Negotiator4th January 20180442 Views
For current information see Clinical trials for medicines,A scenario in which the UK leaves the EU without agreement (a ‘no deal’ scenario) remains unlikely given the mutual interests of the UK and the EU in securing a negotiated outcome. With talks ongoing, we remain committed to reaching agreement in the Autumn. However, it’s our duty as a responsible Government to prepare for all eventualities, including ‘no deal’ and that is exactly what we are doing.Although the Government is working to minimise possible border disruptions on the UK’s exit from the EU, it is sensible to assure clinical trial participants in the UK that their ongoing trials will not be disrupted. The Government has set up the Medicines Supply Contingency Programme to ensure the continued supply of licensed medicines in the UK in the event of a ‘no deal’ Brexit, read this page for more information.We would encourage organisations running clinical trials in the UK to consider their supply chains for IMPs ahead of the 29th March 2019. Clinical Trials that use IMPs which come from or via the EU/EEA will need to ensure appropriate arrangements to assure supplies in the event of any possible border delays that may arise in the short term in the unlikely event of a no-deal Exit that we reach March 2019 without agreeing a deal with the EU.It may be necessary to start making any contingency arrangements ahead of the 29th March 2019 to provide assurance to trial participants and for the trials.The life sciences sector may also wish to consider the relevant technical notices published on 23 August, under the heading ‘Regulating medicines and medical equipment’. If you have further queries concerning IMPs please contact [email protected]
You can also check out various other clips from the show via Instagram below: Last night, Tedeschi Trucks Band‘s 2018 Wheels of Soul tour kept turning with a stop in the Finger Lakes at Canandaigua, NY’s Constellation Brands-Marvin Sands Performing Arts Center, commonly known as CMAC.After the tour’s customary performances by The Marcus King Band and Drive-By Truckers, Tedeschi Trucks Band took the stage for their headlining set, working through tour staples like Derek and the Dominos‘ “Keep On Growing”, “Laugh About It”, “Just As Strange”, “Don’t Know What It Means”, “Shame”, “Midnight In Harlem”, and Bob Dylan‘s “Down In The Flood”.From there, the band welcomed Marcus King and his band onstage to help them through Joe Tex‘s “Show Me”, a song that’s become a mainstay in TTB’s sets this tour after a five-year hiatus following its debut in 2013. Marcus King Band keyboardist Deshawn “D’Vibes” Alexander remained onstage for “Let Me Get By”, adding extra texture to the title track from TTB’s lauded 2016 studio album.Next, Susan Tedeschi welcomed Patterson Hood and Mike Cooley of Drive-By Truckers for a pair of tunes. First up was Dylan’s “Going, Going, Gone”, making its third straight TTB performance after its debut on July 7th in New Hampshire. Finally, the Tedeschi Trucks Band debut of Neil Young classic “Rockin’ In The Free World” closed the set on a high note. The band returned for their encore with Let Me Get By workhorse “I Want More” before moving into a thrilling, rare rendition of the Allman Brothers Band‘s “In Memory of Elizabeth Reed” to close the show. Watch fan-shot footage of TTB’s “Rockin’ In The Free World” debut below:Tedeschi Trucks Band w/ Patterson Hood & Mike Cooley – “Rockin’ In The Free World” (Neil Young cover, partial) Next up on Tedeschi Trucks Band’s 2018 Wheels of Soul tour with Drive-By Truckers and The Marcus King Band is a stop at Vienna, VA’s Wolf Trap tonight, July 11th. For a full list of upcoming dates, head here.Setlist: Tedeschi Trucks Band | CMAC | Canandaigua, NY | 7/10/18Set: Keep On Growing, Laugh About It, Just As Strange, Don’t Know What It Means, Shame, Midnight In Harlem, Down In The Flood, Show Me^, Let Me Get By&, Going, Going Gone*, Rockin’ In The Free World*Encore: I Want More > In Memory of Elizabeth Reed^ with Marcus King Band; & with DeShawn Alexander (Marcus King Band); *with Patterson Hood, Mike Cooley (Drive-By Truckers)
Comprehensive study explains that it is universal and that some songs sound ‘right’ in different social contexts, all over the world Harvard lecturer helps provide research-backed answer on authorship of Beatles classic GAZETTE: What prompted this shift in their portrayal of women? Clearly, some of it had to be the social circles they traveled in, the changing cultural attitudes all around them, perhaps their own maturation, but not all of their songs were autobiographical.WOMACK: Many weren’t. They would sit down, and John and Paul would say, “Let’s bring her back for this song.” They didn’t call her a proto-feminist character, obviously, but they’d say, “Let’s bring her back. We’re doing ‘Drive My Car.’ Let’s make one a character here who — she’ll let you drive the car, but so what? You know, ‘Maybe, I’ll love you.’” There’s “Day Tripper,” so wonderful too in that same way. Got a “Ticket to Ride” too: She’ll go out with you but quit trying to tell her that you have to get married. Even the woman in “She’s Leaving Home,” although I don’t like the fact that to escape her parents and the constructedness of their lifestyle she has to meet with “a man from the motor trade.” But look, that’s John and Paul in 1967. That’s probably the best thing they could imagine 53 years ago! [Laughs.]GAZETTE: Which Beatle led the way? Wasn’t John a notorious cad and admitted many years later that he had been abusive toward women in the ’60s?WOMACK: “They” at this point is mostly McCartney. John Lennon lapses out pretty quickly in a bad marriage. It’s really being led by McCartney, who is suddenly reading and taking in culture in ways that he never had before, and so he would bring a lot of those kinds of ideas back. It also helped, painfully for him I guess at the time, but, living with the Ashers and [then-girlfriend] Jane [Asher] telling him that no, she doesn’t want to get married and put a ring on her finger. She’s an actress right now. She’s not going to stop touring … And he can stuff it. Paul reacts very badly to that. There are number of songs that are autobiographical where he comes off like a Class A jerk. In “We Can Work It Out” he’s not offering anything to work out! He’s saying, “Try to see it my way or we’re going to keep fighting.” “Things We Said Today”: My God, that’s an ugly, threatening song. “I’m Looking Through You.” Those were Jane songs. Even “For No One”: He doesn’t see love in her eyes anymore. She still loves him; it’s just not the love he thinks he deserves and should get. He may have been transitioning intellectually into a better space, but in his personal life, he wasn’t necessarily living it. Or John Lennon, the awful line about keeping women down and “getting better” that Lennon contributes [to “Getting Better,” which was written by McCartney].GAZETTE: Neither sound especially feminist in their real lives. Why then did they pursue this proto-feminism in their songs? There was no intense public demand; I mean, it wasn’t going to help sell more records.WOMACK: I think they were very aware that they were these kinds of contradictions, that they were talking out of both sides of their mouths. Their own actions hadn’t caught up with their intellectual abilities. But that’s true right now with the way people behave. But I do think they were conscious of the fact that they were hypocrites. I think it actually makes them more interesting that they’re both victimizers, to a certain extent, and wanting to be better. They are very fractured vessels, but they knew enough to believe it was important and to use their massive bully pulpit or bullhorn, which is still about the biggest one in history, to talk about these things.The thing that they had that’s so important is they had the ability to not have to care. They were so influential, and they had such an enormous position and privilege, obviously, that they didn’t have to care about these kinds of things. They did them anyway because they felt they were important. And they probably had enough confidence to realize that they could take risks. They did something that still few artists do, at least in popular music, and that is, every time they’d make a new record, they’d sit down with [producer] George Martin, and they would say, “Let’s not make this record sound like the last one. Let’s sound different.” So you go from “Help!” to “Rubber Soul” to “Revolver” to “Sgt. Pepper” to the “White Album” to “Let It Be” to “Abbey Road.” Each one has a different base sound that they’re working on. That in itself is pretty risky. So they took risks because they were very much like the modernists in that way. That’s what you do: You keep pushing forward.This interview has been edited for clarity and condensed for length. You say John, I say Paul. But what does stylometry say? Looking back at your favorite classic rock songs through the lens of today’s attitudes about women’s empowerment, male privilege, and even sexual violence can be cringeworthy at best. But just as they were trailblazers in music, film, fashion, and popular culture, the Beatles were ahead of their time in embracing feminism, argues Kenneth Womack, a well-known authority on the band and dean at Monmouth University, evolving from early patronizing “hey, girl” entreaties to songs filled with independent women who don’t need a man, not even a Beatle. Ideological Diversity, a Harvard Kennedy School student organization, hosts a free talk with Womack on Thursday about how the group explored issues of feminism, gender, and inclusion in ways few rock bands dared in the 1960s. The event begins at 7 p.m. at Starr Auditorium and is open to the public. Here’s a primer on the talk ahead.Q&AKenneth WomackGAZETTE: The Beatles aren’t known for their ill treatment of women and certainly don’t have the reputation that the Rolling Stones did, who were notoriously sexist even by that era’s low standards. But I don’t know whether people think of them as “proto-feminists,” as you have referred to them. What do you mean by “proto-feminist” and in what way?WOMACK: Rock ’n’ roll, or even popular music, [was] often highly gendered and sexist. It certainly was paternalistic in the ’60s and prior, in terms of songs being directed at women as objects, women as needing to be “counseled” about love, [or] it was about coming on to them, even if it was just something innocent and romantic, “I Want to Hold Your Hand.” And the Beatles very consciously in 1965 began to change their tone. They created a very specific type of female character who would think for herself and did not need a man. And that is revelatory, really. We have many songs that begin to appear at that point that are highly progressive about women living their own interests and aims and pleasure, as opposed to serving some undefinable other. It’s pretty exciting stuff. And it’s a great moment when I teach the Beatles because you can see the students picking up on what they were trying to do, and how unusual it was then, and perhaps even now.,GAZETTE: Women portrayed as something other than objects of desire or as saintly figures like “Lady Madonna” — in other words, as independent actors with agency?WOMACK: Sure. “Ticket to Ride,” that’s a great example. Lady Madonna is not a saint; Lady Madonna is probably a prostitute. She has children, and they’re looking at Lady Madonna because society does not give a damn about her. The best thing she has is “listen to the music playing in her head.” The rest of it is: She has these children, which society wants her to do, but because of who she is and whatever her station is, she is a nonperson, a nonentity. And the saintliness, it’s an ironic comment on her position in life. She’s far from it. I mean, if anything, her closest cousin in the Beatles story is Eleanor Rigby, who’s good for picking up the rice in the church where the wedding has been.GAZETTE: She’s an object of pity.WOMACK: Oh, yeah. If you think about her at all, which you probably don’t.GAZETTE: In which album does this woman character first emerge? Nineteen-sixty-five’s “Rubber Soul”?WOMACK: We really start to see her appear on “Help!” Although you could make a case that she’s showing up even earlier on “Beatles for Sale,” where there’s a song called “No Reply,” which is fascinating because it is about a stalker who’s watching from across the street, sitting in some tree. He’s watching this woman, who has tried to make a decision to jettison him from her life. They’re really bringing up interesting questions about the place of women in these little romantic stories. You know, there’s a dark side to “I Want to Hold Your Hand.” [Laughs.] So there are a lot of songs, even these early songs, that are asking some pretty hard questions about the speaker. Sometimes they’re speaking ironically. Take “I’ll Follow the Sun,” which Paul wrote when he was 15 or something. That’s about a jerk who is going to be so emotionally immature that you’re not even going to know why he left or what happened to him. He’s gonna leave in the dead of night; one day you’re gonna wake up, and he’s gone. There’re several songs where they create these poses for these characters who are really terrible, even threatening.GAZETTE: Indeed. “Norwegian Wood” is a lovely song, but it’s pretty horrific at the end. He’s basically angry that after a date with this independent woman, the night ended without sex so he burns her house down the next morning while she’s at work.WOMACK: That’s right, but she’s still the winner. What he hated was the disempowerment. “[The Beatles] were so influential … that they didn’t have to care about these kinds of things. They did them anyway because they felt they were important.” Music everywhere Related The Daily Gazette Sign up for daily emails to get the latest Harvard news.
PowerProtect DD – The Ultimate Protection Storage ApplianceContinuing a legacy of never-ending innovation, PowerProtect DD Series Appliances deliver next generation capabilities to help organizations transform data into value.Fast, Efficient, SecureIndustry Leading Multi-Cloud Data ProtectionExpands Multi-Dimensional Appliance Portfolio It’s not often that a product has the longevity to successfully span decades in any market. Then again, Data Domain was never just any product. Data Domain spearheaded one of the most disruptive technology shifts in IT by leading backup from tape to disk-based systems. And along the way, it helped create the Purpose Built Backup Appliance market. Since IDC has been tracking this category, Dell EMC has been the revenue leader. Over this time Data Domain has consistently set the bar for innovation and customer value and today, is recognized as the industry’s most scalable, reliable, cloud-enabled backup appliance. 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Escape will cancel and close the window.TextColorWhiteBlackRedGreenBlueYellowMagentaCyanTransparencyOpaqueSemi-TransparentBackgroundColorBlackWhiteRedGreenBlueYellowMagentaCyanTransparencyOpaqueSemi-TransparentTransparentWindowColorBlackWhiteRedGreenBlueYellowMagentaCyanTransparencyTransparentSemi-TransparentOpaqueFont Size50%75%100%125%150%175%200%300%400%Text Edge StyleNoneRaisedDepressedUniformDropshadowFont FamilyProportional Sans-SerifMonospace Sans-SerifProportional SerifMonospace SerifCasualScriptSmall CapsReset restore all settings to the default valuesDoneClose Modal DialogEnd of dialog window.Close Modal DialogThis is a modal window. This modal can be closed by pressing the Escape key or activating the close button.This is a modal window.RestartShare The PowerProtect DD Series Appliances include three new physical appliances, including the PowerProtect DD9900, DD9400 and DD6900, as well as the existing DD3300. 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By Julieta Pelcastre / Diálogo December 16, 2019 Evo Morales’ resignation as Bolivia’s president, amid electoral fraud and a serious administrative crisis, has worsened the social and economic unrest that afflicts Latin America. As a response, Cuba, Nicaragua, and Venezuela have intensified repression against their citizens.The former Bolivian president was a member of the so-called Pink Tide, when a wave of leftist regimes reached power in Latin America in the early 2000s.“The events in Bolivia are creating a negative reaction against the regimes of the so-called 21st century socialism, which [in 2019] worsened their repression against the population, because they are not capable of [carrying out] their governing agenda,” said Daniel Pou, associate researcher at the Latin American Social Sciences Institute (FLACSO, in Spanish) in the Dominican Republic.Morales tried to win the presidential elections for a fourth consecutive term on October 20, 2019, with 46 percent of the votes, refusing to accept a runoff. His opponent, Carlos Mesa, got 37 percent. Electoral law in Bolivia states that a candidate needs to get 50 percent of the votes plus one, or to get 40 percent and be at least 10 percentage points ahead of their closest rival, to win the elections.The events in Bolivia are encouraging the opposition in Nicaragua and Venezuela to restore democracy, but they inconvenience Daniel Ortega in Nicaragua and Nicolás Maduro in Venezuela.During the VIII Extraordinary Meeting of the Political Council of the Bolivarian Alliance for the Peoples of Our America (ALBA, in Spanish) on November 14, 2019, Ortega said that if he didn’t win the elections by electoral means, “the people should feel entitled, even obligated, to seize arms and take power by revolutionary means,” said State-owned Nicaraguan portal El 19 Digital.On November 11, Maduro threatened the Venezuelan opposition through State-sponsored media outlet Telesur, discouraging the opposition from getting enthusiastic about Morales’ demise. “I tell the fascist right: They know who we are, don’t make a mistake, don’t miscalculate with us.” Venezuela will have legislative elections in 2020, to renew the Venezuelan National Assembly.“Cuba, Nicaragua, and Venezuela are isolated, with weakened international organizations,” said Pou. “Three regimes with little capacity to extend this political agony of a lack of democracy, of making consensus that favor their close entourage. Faced with this lack of capacity, their only resource is repression.”“These regimes are sustained by models of internal social control, such as a monopoly on violence and constant military surveillance,” said Eliseo Núñez, an activist belonging to Nicaragua’s Broad Front for Democracy.With Morales’ exit, Bolivia’s current interim government broke relations with Venezuela, left ALBA, and is considering leaving the Union of South American Nations (UNASUR, in Spanish). These institutions don’t have an impact in terms of regional and economic policy, and they are a “political safeguard of socialist leaders, not mechanisms for regional integration,” Pou and Núñez agreed.For Jorge Serrano, a scholar at the Center for Higher National Studies in Peru, the most important thing to do now is to strengthen democracy in Bolivia. He added that the resistance we see to the transitional government is a plan B, designed and implemented with Cuban guidance.“Latin America is now in upheaval; Cuban and Venezuelan intelligence services are also trying to destabilize Chile and Colombia with the help of large transcontinental powers like China, Iran, and Russia,” Serrano said. “Latin American countries need to strengthen their intelligence agencies, both in legal and structural terms.”The Bolivian situation is part of a regional trend where the panorama is changing, with instability that negatively affects the dynamics and balance of some economies, Pou said. “This scenario forces the Cuban, Nicaraguan, and Venezuelan regimes to reconsider a negotiated exit, which will bring the benefit of new democratic processes,” he concluded.
NAFCU has no intention to let up on its push for national data security standards following a Wendy’s restaurant chain report Wednesday that malware associated with an earlier breach affected point-of-sale systems at fewer than 300 of its 5,500 franchised stores.According to KrebsOnSecurity, a Wendy’s spokesperson says the malware found on those POS systems has now been removed. However, the spokesperson declined to comment on the duration of the breach, and Krebs says multiple financial institutions report their data shows some of the affected Wendy’s locations were “leaking” card data as late as early April. Two class actions, including one by a credit union, have also been filed.NAFCU President and CEO Dan Berger noted months ago the signs of a potential Wendy’s breach prior to initial reports. He said Wednesday’s report offers little assurance to institutions still concerned about the potential impact.“This incident continues to illustrate the need for national data security standards such as those proposed in the ‘Data Security Act,’” Berger said Wednesday. “Right now, credit unions continue to pay the tab for merchant breaches, and that’s unacceptable. The ‘Data Security Act’ would establish national standards that are both scalable and would hold merchants accountable for breaches on their end.” continue reading » 9SHARESShareShareSharePrintMailGooglePinterestDiggRedditStumbleuponDeliciousBufferTumblr
The credit union industry has significantly increased its volume of personal loans to near-prime and prime members over the last three years.But online peer-to-peer lenders and other fintechs have dramatically outperformed all lenders for this market segment, according to a 2016 TransUnion analysis.As a lending specialist and a credit union member for many years, I was impressed with my recent peer-to-peer lending experience. Within a few minutes of submitting the easy online application, I was approved for a personal loan at a 5.39% rate with flexible payment options.The funds were in my credit union checking account the next day.Even with Lending Club’s recent difficulties and with impending regulatory oversight of fintech lenders, it’s dangerous to concede this niche to fintechs. continue reading » 2SHARESShareShareSharePrintMailGooglePinterestDiggRedditStumbleuponDeliciousBufferTumblr