View allAll Photos Tagged Difficulty
History
Plans had first been discussed for a pier at Sandown in the early 1860s, although construction of the pier did not take place until 1876. Due to financial difficulties a further three years passed until the pier was open to the public. In 1887 a new pier company called The Sandown Pier Extension Company, owned by Island MP Richard Webster purchased the pier and immediately started planning further improvements to the structure. The extended Sandown Pier opened on 17 September 1895 reaching its current length of 265 metres (875 feet) with a new pavilion and steamer landing stage at the head. A regatta was held to officially mark the event.
During World War I Richard Webster died and after the war ended, Sandown Pier was sold to the Sandown Urban District Council for £2,500. In 1933 the pier was again extended with the construction of a new 1,000 seat pavilion at the shoreward end, with the original pavilion being converted for use as a Ballroom. In 1940 during World War II Sandown Pier, along with many others on the south and east coasts of Britain, was sectioned as a defence measure for fear of a German invasion. As a result of this, there was often a lack of proper maintenance causing the isolated seaward section and the landing stage to deteriorate badly.
After the war, the pier was repaired and became popular once again. In 1954 the landing stage was redeveloped with construction of a concrete two-tier replacement that could facilitate landings at any stage of the tide, and during the late 1950s a direct passenger service with Portsmouth was established. In 1965 the pier became part of a royal visit when the Queen and Prince Philip attended a ceremony at the pavilion before departing in the Royal Barge from the pier head.
In 1968 there was major redevelopment to the entire pier structure. The pavilion at the seaward end was demolished and the shoreward end was redeveloped. At the same time major structural work was carried out with many of the iron piles being replaced in concrete and much of the decking being renewed. On 22 July 1973 the pier was officially reopened by Lord Mountbatten. In 1986 the pier was purchased by Sandown Pier Ltd with the provision that the theatre be leased back to the South Wight Council for a ten-year period. A further £500,000 of refurbishment was carried out before the theatre was let out.[1]
In August 1989 a fire caused £2,000,000 worth of damage to the pier but after substantial repairs it was re-opened in June of the following year. The theatre finally closed in the 1990s to be replaced with a bowling alley and golf course.
Facilities
The pier has a range of indoor amenities at the landward end, and an outdoor funfair and landing stage at the seaward end. There are cafes, a children's play area, an amusement arcade, bowling and an indoor crazy golf course.
This supporter's/fund-raising badge was issued for the CLACHNACUDDIN FOOTBALL CLUB in 1990. Clach na Cuddin is Scot's Gaelic for 'stone of the tub' and the name relates to a local landmark. Clachnacuddin FC are a part-time professional football club of Inverness in Scotland. The club was established in 1885 and are still playing.
This badge shows the club's crest that include two lily flowers. The club players have long held the nickname of "Lilywhites" on account of the white strip of their home kit.
I understand this badge was issued by a group of Inverness businessmen and was sold to raise funds for the club. As the 1980's progressed, the club found itself in increasing financial difficulties and faced closure in 1990.
en.wikipedia.org/wiki/Clachnacuddin_F.C .
en.wikipedia.org/wiki/Clachnacuddin_F.C .
elijahwadeartefacts.com/2019/01/13/rebrand-clachnacuddin-fc/
.
DESCRIPTION:
Size: about 3/4" diameter (19mm).
Material(s): diecast metal with 2 enamels.
Finish: gilt.
Fitting: pin & butterfly clutch .
Imprint: none.
I decided that with Shutterfly having difficulties accepting my edits of my now-award winning (3rd place in a Bellingham-Mt. Baker tourism photo contest) to retouch my photo of "A Proud American" on the charge. This version has the color temp turned down and a more detailed woods.
Now about the plane, This particular Skyraider barely missed out on the Korean War but, "This single-seat, prop-driven attack aircraft found its niche carrying 14,500lbs on take-off and delivering its payload with precision, often enduring significant battle damage in the process. Later during the Vietnam conflict, when most other propellered fighters and attack aircraft had been traded in on the latest and greatest jets, the venerable ‘Spad’ with it’s long loiter time, ‘low and slow’ delivery system, and ability to get home despite being in less than one piece carved out yet another niche for itself. Indeed, the Skyraider proved itself to be so good that the USAF added some to their helicopter Search and Rescue missions. It served as the ‘Sandy’ helicopter escort, providing close air support, forward air control, and anything else that required the special brand of support that the Skyraider provided. By the end of 1972, all Skyraiders in the US inventory had been taken out of service. Many went to the South Vietnamese Air Force and later to the French l’Armee de l’Air."
In the French Air Force - l’Armee de l’Air - this particular warbird was "based at Chateaudun but served in Algeria in 1962, Djibouti in 1968, Madagascar in 1971, and Chad in 1976. It was sent to storage with Sogerma in September 1979 where it remained until 1983. The Musee de l’Air at Le Buurget acquired the aircraft in 1984, and sold it to a private owner in Belgium in 1985. This aircraft was purchased by Heritage Flight Museum in February of 2004". Certainly an amazing tour of duty.
The MtSac v Cerritos dual was held on 23 October 2019 at Mt. San Antonio College.
In his 13 years as the Cerritos College wrestling head coach, Donny Garriott has won a lot of matches. But one place he has had difficulty winning in conference play has been at Mt. San Antonio College, where he had lost his last five matches. But on Wednesday, the #2-ranked Falcons (10-0, 2-0) posted a 25-16 Southwest Conference win over the Mounties. It was the first conference win for Garriott and the Falcons at Mt. SAC since 2010, who now has a lifetime 13-8 record against the Mounties.
125 Pounds - Jonathan Prata (CERR) def. Connor Diamond (MSAC), 11-4
133 Pounds - Andres Gonzales (CERR) pinned Nicholas Weissinger (MSAC), 3:24
141 Pounds - Oscar Chirino (MSAC) pinned Stefano McKinney (CERR), 3:36
149 Pounds - V'ante Moore (CERR) def. Jimmy Adams (MSAC), 9-0
157 Pounds - Larry Rodriguez (CERR) win by forfeit
165 Pounds - Wetzel Hill (MSAC) def. Drake De La Cruz (CERR), 17-3
174 Pounds - Ian Vasquez (MSAC) def. Cobe Hatcher (CERR), 3-2
184 Pounds - Kevin Hope (MSAC) def. Jarrod Nunez (CERR), 10-6
197 Pounds - Hamzah Al-Saudi (CERR) def. Mellad Ayyoub (MSAC), 2-0
285 Pounds - Randy Arriaga (CERR) def. Jackson Clark (MSAC), 5-0
HAPPY MOTHER'S DAY to everyone who celebrates this special day today!
What a mess Flickr was last night! I had difficulty adding titles to my uploaded images, comments didn't save and, after I had added a description to each of the 20 photos, the descriptions all disappeared. When I opened Flickr this morning, there was still no sign of them. Then, suddenly, they re-appeared.
My photos taken at the National Butterfly Centre, Mission, South Texas, have now come to an end, so you can sigh a huge sigh of relief : ) After that, I have just a few photos taken at another place that we called in at later in the afternoon. Unfortunately, we only had an hour there before closing time, but how glad we were that we found this place. The highlight there was watching 25 Yellow-crowned Night-Herons coming in to roost for the night in the trees, right where we were standing! What a great sight this was, and we were lucky enough to have a good, close view of these gorgeous birds. We also saw some Purple Martins and their circular, hanging nest "gourds".
On Day 6 of our birding holiday in South Texas, 24 March 2019, we left our hotel in Kingsville, South Texas, and started our drive to Mission, where we would be staying at La Quinta Inn & Suites for three nights. On the first stretch of our drive, we were lucky enough to see several bird species, including a Golden-fronted Woodpecker, Hooded Oriole, Red-tailed Hawk, Crested Caracara, Harris's Hawk, Pyrrhuloxia male (looks similar to a Cardinal) and a spectacular Scissor-tailed Flycatcher. I'm not sure if this stretch is called Hawk Alley.
We had a long drive further south towards Mission, with only a couple of drive-by photos taken en route (of a strangely shaped building that turned out to be a deserted seed storage building). Eventually, we reached our next planned stop, the National Butterfly Centre. This was a great place, my favourite part of it being the bird feeding station, where we saw all sorts of species and reasonably close. Despite the name of the place, we only saw a few butterflies while we were there. May have been the weather or, more likely, the fact that I was having so much fun at the bird feeding station. We also got to see Spike, a giant African Spurred Tortoise. All the nature/wildlife parks that we visited in South Texas had beautiful visitor centres and usually bird feeding stations. And there are so many of these parks - so impressive!
nationalbutterflycenter.org/nbc-multi-media/in-the-news/1...
"Ten years ago, the North American Butterfly Association broke ground for what has now become the largest native plant botanical garden in the United States. This 100-acre preserve is home to Spike (who thinks he is a butterfly) and the greatest volume and variety of wild, free-flying butterflies in the nation. In fact, USA Today calls the National Butterfly Center, in Mission, Texas, 'the butterfly capitol of the USA'." From the Butterfly Centre's website.
The Centre is facing huge challenges, as a result of the "Border Wall". The following information is from the Centre's website.
www.nationalbutterflycenter.org/about-nbc/maps-directions...
"No permission was requested to enter the property or begin cutting down trees. The center was not notified of any roadwork, nor given the opportunity to review, negotiate or deny the workplan. Same goes for the core sampling of soils on the property, and the surveying and staking of a “clear zone” that will bulldoze 200,000 square feet of habitat for protected species like the Texas Tortoise and Texas Indigo, not to mention about 400 species of birds. The federal government had decided it will do as it pleases with our property, swiftly and secretly, in spite of our property rights and right to due process under the law."
"What the Border Wall will do here:
1) Eradicate an enormous amount of native habitat, including host plants for butterflies, breeding and feeding areas for wildlife, and lands set aside for conservation of endangered and threatened species-- including avian species that migrate N/S through this area or over-winter, here, in the tip of the Central US Flyway.
2) Create devastating flooding to all property up to 2 miles behind the wall, on the banks of the mighty Rio Grande River, here.
3) Reduce viable range land for wildlife foraging and mating. This will result in greater competition for resources and a smaller gene pool for healthy species reproduction. Genetic "bottlenecks" can exacerbate blight and disease.
IN ADDITION:
4) Not all birds can fly over the wall, nor will all butterfly species. For example, the Ferruginous Pygmy Owl, found on the southern border from Texas to Arizona, only flies about 6 ft in the air. It cannot overcome a 30 ft vertical wall of concrete and steel.
5) Nocturnal and crepuscular wildlife, which rely on sunset and sunrise cues to regulate vital activity, will be negatively affected by night time flood lighting of the "control zone" the DHS CBP will establish along the wall and new secondary drag roads. The expansion of these areas to vehicular traffic will increase wildlife roadkill.
6) Animals trapped north of the wall will face similar competition for resources, cut off from native habitat in the conservation corridor and from water in the Rio Grande River and adjacent resacas. HUMANS, here, will also be cut off from our only source of fresh water, in this irrigated desert.
Coachwork by Touring Superleggera
By the end of the 1950s Maserati was facing a bleak future. Its parent company's financial difficulties forced a withdrawal from racing, and Maserati's survival strategy henceforth centred on establishing the company as a producer of road cars. The Modena marque's new era began in 1957 with the launch of the Touring Superleggera-bodied 3500 GT, its first road car built in significant numbers. A luxury 2+2, the 3500GT drew on Maserati's competition experience. A tubular chassis frame was used and the suspension was independent at the front by wishbones and coil springs, while at the back there was a conventional live axle/semi-elliptic arrangement. The 3500 GT's designer was none other than Giulio Alfieri, creator of the immortal Tipo 60/61 'Birdcage' sports-racer and the man responsible for developing the 250F into a World Championship winner. The twin-overhead-camshaft, six-cylinder engine was a close relative of that used in the 250F and developed around 220 bhp initially, later examples producing 235 bhp on Lucas mechanical fuel injection. Built initially with drum brakes and four-speed transmission, the 3500 GT was progressively updated, gaining five speeds, front disc brakes and, finally, all-disc braking. By the time the 3500GT was discontinued in 1964, around 2,200 of all types had been made.
The 2nd Series example offered here represents the pinnacle of the model's development, leaving the factory equipped with the five-speed ZF gearbox, twin-plug ignition, and Lucas mechanical fuel injection, hence the name change to '3500 GTI', the first time the now common 'GTI' appellation had ever been used. Chassis number '2716' was delivered new to Gianvico Saccardo of Schio near Vicenza, Italy, a local industrialist. Prominent collectors of historic vehicles, Gianvico and his brother, Gianluigi, were founders of the Monza Italian Bugatti Register. Saccardo's Maserati was subsequently exported to New England, USA where it has spent most of its life. Henry Cabot Lodge Jr, the former Massachusetts Senator and Republican Vice Presidential Candidate in 1960, is believed to have been its second owner. During the 1970s, Cabot Lodge served occasionally as US envoy to the Holy See in Rome, and it is believed that he imported the car from Italy to the USA.
Since his death in 1985, the Maserati has had four owners: Anthony D Paglia (1986-1998), John Drew (1998-2003), Christopher Derricott (2003-2014), and the current vendor. Mr Drew commissioned Spencer Restorations of Natick, Massachusetts to carry out a comprehensive restoration. Completed in 2003, the latter included a mechanical rebuild, bare-metal re-spray, and a full interior re-trim in the original colour. Borrani wire wheels, a stainless steel exhaust system, and polished stainless steel bumpers and trim were fitted at the same time. The quality of this restoration has been recognised at the Lars Anderson 'Tutto Italiano' meeting in Massachusetts, where '2716' won the 'Best Maserati in Show' award on each occasion it was entered following the restoration.
During Mr Derricott's ownership in the UK, the restoration process was extended to include all mechanicals including the engine, transmission, brakes, and suspension together with an overhaul of the electrical components and installation of a new wiring loom. These works were undertaken by two specialist companies: Prestige Restoration and CGP Auto Engineers, and there are related invoices on file totalling some £ 76.000 (approximately € 91.000). The total spent between July 2010 and July 2014 was in excess of £85,700 (approximately € 102.600).
It should be noted that this car is equipped with a non-original but correct Maserati 3500 GT engine that has been re-stamped with the original's number. It is fitted with three Weber 42 DCOE carburettors, a common upgrade considered superior to the original Lucas fuel injection system.
Accompanying paperwork consists of a Maserati Certificate of Origin; copies of the original factory documentation; and all restoration invoices relating to works carried out in both the USA and UK. Offered with a UK V5C registration document and current MoT certificate, this beautiful Maserati would make a stunning addition to any private collection.
Les Grandes Marques du Monde au Grand Palais
Bonhams
Sold for € 178.250
Estimated : € 180.000 - 220.000
Parijs - Paris
Frankrijk - France
February 2017
Coronavirus disease 2019 (COVID-19) is a contagious disease caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). The first case was identified in Wuhan, China, in December 2019. The disease has since spread worldwide, leading to an ongoing pandemic.
Symptoms of COVID-19 are variable, but often include fever, cough, fatigue, breathing difficulties, and loss of smell and taste. Symptoms begin one to fourteen days after exposure to the virus. Of those people who develop noticeable symptoms, most (81%) develop mild to moderate symptoms (up to mild pneumonia), while 14% develop severe symptoms (dyspnea, hypoxia, or more than 50% lung involvement on imaging), and 5% suffer critical symptoms (respiratory failure, shock, or multiorgan dysfunction). Older people are more likely to have severe symptoms. At least a third of the people who are infected with the virus remain asymptomatic and do not develop noticeable symptoms at any point in time, but they still can spread the disease.[ Around 20% of those people will remain asymptomatic throughout infection, and the rest will develop symptoms later on, becoming pre-symptomatic rather than asymptomatic and therefore having a higher risk of transmitting the virus to others. Some people continue to experience a range of effects—known as long COVID—for months after recovery, and damage to organs has been observed. Multi-year studies are underway to further investigate the long-term effects of the disease.
The virus that causes COVID-19 spreads mainly when an infected person is in close contact[a] with another person. Small droplets and aerosols containing the virus can spread from an infected person's nose and mouth as they breathe, cough, sneeze, sing, or speak. Other people are infected if the virus gets into their mouth, nose or eyes. The virus may also spread via contaminated surfaces, although this is not thought to be the main route of transmission. The exact route of transmission is rarely proven conclusively, but infection mainly happens when people are near each other for long enough. People who are infected can transmit the virus to another person up to two days before they themselves show symptoms, as can people who do not experience symptoms. People remain infectious for up to ten days after the onset of symptoms in moderate cases and up to 20 days in severe cases. Several testing methods have been developed to diagnose the disease. The standard diagnostic method is by detection of the virus' nucleic acid by real-time reverse transcription polymerase chain reaction (rRT-PCR), transcription-mediated amplification (TMA), or by reverse transcription loop-mediated isothermal amplification (RT-LAMP) from a nasopharyngeal swab.
Preventive measures include physical or social distancing, quarantining, ventilation of indoor spaces, covering coughs and sneezes, hand washing, and keeping unwashed hands away from the face. The use of face masks or coverings has been recommended in public settings to minimise the risk of transmissions. Several vaccines have been developed and several countries have initiated mass vaccination campaigns.
Although work is underway to develop drugs that inhibit the virus, the primary treatment is currently symptomatic. Management involves the treatment of symptoms, supportive care, isolation, and experimental measures.
SIGNS AND SYSTOMS
Symptoms of COVID-19 are variable, ranging from mild symptoms to severe illness. Common symptoms include headache, loss of smell and taste, nasal congestion and rhinorrhea, cough, muscle pain, sore throat, fever, diarrhea, and breathing difficulties. People with the same infection may have different symptoms, and their symptoms may change over time. Three common clusters of symptoms have been identified: one respiratory symptom cluster with cough, sputum, shortness of breath, and fever; a musculoskeletal symptom cluster with muscle and joint pain, headache, and fatigue; a cluster of digestive symptoms with abdominal pain, vomiting, and diarrhea. In people without prior ear, nose, and throat disorders, loss of taste combined with loss of smell is associated with COVID-19.
Most people (81%) develop mild to moderate symptoms (up to mild pneumonia), while 14% develop severe symptoms (dyspnea, hypoxia, or more than 50% lung involvement on imaging) and 5% of patients suffer critical symptoms (respiratory failure, shock, or multiorgan dysfunction). At least a third of the people who are infected with the virus do not develop noticeable symptoms at any point in time. These asymptomatic carriers tend not to get tested and can spread the disease. Other infected people will develop symptoms later, called "pre-symptomatic", or have very mild symptoms and can also spread the virus.
As is common with infections, there is a delay between the moment a person first becomes infected and the appearance of the first symptoms. The median delay for COVID-19 is four to five days. Most symptomatic people experience symptoms within two to seven days after exposure, and almost all will experience at least one symptom within 12 days.
Most people recover from the acute phase of the disease. However, some people continue to experience a range of effects for months after recovery—named long COVID—and damage to organs has been observed. Multi-year studies are underway to further investigate the long-term effects of the disease.
CAUSE
TRANSMISSION
Coronavirus disease 2019 (COVID-19) spreads from person to person mainly through the respiratory route after an infected person coughs, sneezes, sings, talks or breathes. A new infection occurs when virus-containing particles exhaled by an infected person, either respiratory droplets or aerosols, get into the mouth, nose, or eyes of other people who are in close contact with the infected person. During human-to-human transmission, an average 1000 infectious SARS-CoV-2 virions are thought to initiate a new infection.
The closer people interact, and the longer they interact, the more likely they are to transmit COVID-19. Closer distances can involve larger droplets (which fall to the ground) and aerosols, whereas longer distances only involve aerosols. Larger droplets can also turn into aerosols (known as droplet nuclei) through evaporation. The relative importance of the larger droplets and the aerosols is not clear as of November 2020; however, the virus is not known to spread between rooms over long distances such as through air ducts. Airborne transmission is able to particularly occur indoors, in high risk locations such as restaurants, choirs, gyms, nightclubs, offices, and religious venues, often when they are crowded or less ventilated. It also occurs in healthcare settings, often when aerosol-generating medical procedures are performed on COVID-19 patients.
Although it is considered possible there is no direct evidence of the virus being transmitted by skin to skin contact. A person could get COVID-19 indirectly by touching a contaminated surface or object before touching their own mouth, nose, or eyes, though this is not thought to be the main way the virus spreads. The virus is not known to spread through feces, urine, breast milk, food, wastewater, drinking water, or via animal disease vectors (although some animals can contract the virus from humans). It very rarely transmits from mother to baby during pregnancy.
Social distancing and the wearing of cloth face masks, surgical masks, respirators, or other face coverings are controls for droplet transmission. Transmission may be decreased indoors with well maintained heating and ventilation systems to maintain good air circulation and increase the use of outdoor air.
The number of people generally infected by one infected person varies. Coronavirus disease 2019 is more infectious than influenza, but less so than measles. It often spreads in clusters, where infections can be traced back to an index case or geographical location. There is a major role of "super-spreading events", where many people are infected by one person.
A person who is infected can transmit the virus to others up to two days before they themselves show symptoms, and even if symptoms never appear. People remain infectious in moderate cases for 7–12 days, and up to two weeks in severe cases. In October 2020, medical scientists reported evidence of reinfection in one person.
VIROLOGY
Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) is a novel severe acute respiratory syndrome coronavirus. It was first isolated from three people with pneumonia connected to the cluster of acute respiratory illness cases in Wuhan. All structural features of the novel SARS-CoV-2 virus particle occur in related coronaviruses in nature.
Outside the human body, the virus is destroyed by household soap, which bursts its protective bubble.
SARS-CoV-2 is closely related to the original SARS-CoV. It is thought to have an animal (zoonotic) origin. Genetic analysis has revealed that the coronavirus genetically clusters with the genus Betacoronavirus, in subgenus Sarbecovirus (lineage B) together with two bat-derived strains. It is 96% identical at the whole genome level to other bat coronavirus samples (BatCov RaTG13). The structural proteins of SARS-CoV-2 include membrane glycoprotein (M), envelope protein (E), nucleocapsid protein (N), and the spike protein (S). The M protein of SARS-CoV-2 is about 98% similar to the M protein of bat SARS-CoV, maintains around 98% homology with pangolin SARS-CoV, and has 90% homology with the M protein of SARS-CoV; whereas, the similarity is only around 38% with the M protein of MERS-CoV. The structure of the M protein resembles the sugar transporter SemiSWEET.
The many thousands of SARS-CoV-2 variants are grouped into clades. Several different clade nomenclatures have been proposed. Nextstrain divides the variants into five clades (19A, 19B, 20A, 20B, and 20C), while GISAID divides them into seven (L, O, V, S, G, GH, and GR).
Several notable variants of SARS-CoV-2 emerged in late 2020. Cluster 5 emerged among minks and mink farmers in Denmark. After strict quarantines and a mink euthanasia campaign, it is believed to have been eradicated. The Variant of Concern 202012/01 (VOC 202012/01) is believed to have emerged in the United Kingdom in September. The 501Y.V2 Variant, which has the same N501Y mutation, arose independently in South Africa.
SARS-CoV-2 VARIANTS
Three known variants of SARS-CoV-2 are currently spreading among global populations as of January 2021 including the UK Variant (referred to as B.1.1.7) first found in London and Kent, a variant discovered in South Africa (referred to as 1.351), and a variant discovered in Brazil (referred to as P.1).
Using Whole Genome Sequencing, epidemiology and modelling suggest the new UK variant ‘VUI – 202012/01’ (the first Variant Under Investigation in December 2020) transmits more easily than other strains.
PATHOPHYSIOLOGY
COVID-19 can affect the upper respiratory tract (sinuses, nose, and throat) and the lower respiratory tract (windpipe and lungs). The lungs are the organs most affected by COVID-19 because the virus accesses host cells via the enzyme angiotensin-converting enzyme 2 (ACE2), which is most abundant in type II alveolar cells of the lungs. The virus uses a special surface glycoprotein called a "spike" (peplomer) to connect to ACE2 and enter the host cell. The density of ACE2 in each tissue correlates with the severity of the disease in that tissue and decreasing ACE2 activity might be protective, though another view is that increasing ACE2 using angiotensin II receptor blocker medications could be protective. As the alveolar disease progresses, respiratory failure might develop and death may follow.
Whether SARS-CoV-2 is able to invade the nervous system remains unknown. The virus is not detected in the CNS of the majority of COVID-19 people with neurological issues. However, SARS-CoV-2 has been detected at low levels in the brains of those who have died from COVID-19, but these results need to be confirmed. SARS-CoV-2 could cause respiratory failure through affecting the brain stem as other coronaviruses have been found to invade the CNS. While virus has been detected in cerebrospinal fluid of autopsies, the exact mechanism by which it invades the CNS remains unclear and may first involve invasion of peripheral nerves given the low levels of ACE2 in the brain. The virus may also enter the bloodstream from the lungs and cross the blood-brain barrier to gain access to the CNS, possibly within an infected white blood cell.
The virus also affects gastrointestinal organs as ACE2 is abundantly expressed in the glandular cells of gastric, duodenal and rectal epithelium as well as endothelial cells and enterocytes of the small intestine.
The virus can cause acute myocardial injury and chronic damage to the cardiovascular system. An acute cardiac injury was found in 12% of infected people admitted to the hospital in Wuhan, China, and is more frequent in severe disease. Rates of cardiovascular symptoms are high, owing to the systemic inflammatory response and immune system disorders during disease progression, but acute myocardial injuries may also be related to ACE2 receptors in the heart. ACE2 receptors are highly expressed in the heart and are involved in heart function. A high incidence of thrombosis and venous thromboembolism have been found people transferred to Intensive care unit (ICU) with COVID-19 infections, and may be related to poor prognosis. Blood vessel dysfunction and clot formation (as suggested by high D-dimer levels caused by blood clots) are thought to play a significant role in mortality, incidences of clots leading to pulmonary embolisms, and ischaemic events within the brain have been noted as complications leading to death in people infected with SARS-CoV-2. Infection appears to set off a chain of vasoconstrictive responses within the body, constriction of blood vessels within the pulmonary circulation has also been posited as a mechanism in which oxygenation decreases alongside the presentation of viral pneumonia. Furthermore, microvascular blood vessel damage has been reported in a small number of tissue samples of the brains – without detected SARS-CoV-2 – and the olfactory bulbs from those who have died from COVID-19.
Another common cause of death is complications related to the kidneys. Early reports show that up to 30% of hospitalized patients both in China and in New York have experienced some injury to their kidneys, including some persons with no previous kidney problems.
Autopsies of people who died of COVID-19 have found diffuse alveolar damage, and lymphocyte-containing inflammatory infiltrates within the lung.
IMMUNOPATHOLOGY
Although SARS-CoV-2 has a tropism for ACE2-expressing epithelial cells of the respiratory tract, people with severe COVID-19 have symptoms of systemic hyperinflammation. Clinical laboratory findings of elevated IL-2, IL-7, IL-6, granulocyte-macrophage colony-stimulating factor (GM-CSF), interferon-γ inducible protein 10 (IP-10), monocyte chemoattractant protein 1 (MCP-1), macrophage inflammatory protein 1-α (MIP-1α), and tumour necrosis factor-α (TNF-α) indicative of cytokine release syndrome (CRS) suggest an underlying immunopathology.
Additionally, people with COVID-19 and acute respiratory distress syndrome (ARDS) have classical serum biomarkers of CRS, including elevated C-reactive protein (CRP), lactate dehydrogenase (LDH), D-dimer, and ferritin.
Systemic inflammation results in vasodilation, allowing inflammatory lymphocytic and monocytic infiltration of the lung and the heart. In particular, pathogenic GM-CSF-secreting T-cells were shown to correlate with the recruitment of inflammatory IL-6-secreting monocytes and severe lung pathology in people with COVID-19 . Lymphocytic infiltrates have also been reported at autopsy.
VIRAL AND HOST FACTORS
VIRUS PROTEINS
Multiple viral and host factors affect the pathogenesis of the virus. The S-protein, otherwise known as the spike protein, is the viral component that attaches to the host receptor via the ACE2 receptors. It includes two subunits: S1 and S2. S1 determines the virus host range and cellular tropism via the receptor binding domain. S2 mediates the membrane fusion of the virus to its potential cell host via the H1 and HR2, which are heptad repeat regions. Studies have shown that S1 domain induced IgG and IgA antibody levels at a much higher capacity. It is the focus spike proteins expression that are involved in many effective COVID-19 vaccines.
The M protein is the viral protein responsible for the transmembrane transport of nutrients. It is the cause of the bud release and the formation of the viral envelope. The N and E protein are accessory proteins that interfere with the host's immune response.
HOST FACTORS
Human angiotensin converting enzyme 2 (hACE2) is the host factor that SARS-COV2 virus targets causing COVID-19. Theoretically the usage of angiotensin receptor blockers (ARB) and ACE inhibitors upregulating ACE2 expression might increase morbidity with COVID-19, though animal data suggest some potential protective effect of ARB. However no clinical studies have proven susceptibility or outcomes. Until further data is available, guidelines and recommendations for hypertensive patients remain.
The virus' effect on ACE2 cell surfaces leads to leukocytic infiltration, increased blood vessel permeability, alveolar wall permeability, as well as decreased secretion of lung surfactants. These effects cause the majority of the respiratory symptoms. However, the aggravation of local inflammation causes a cytokine storm eventually leading to a systemic inflammatory response syndrome.
HOST CYTOKINE RESPONSE
The severity of the inflammation can be attributed to the severity of what is known as the cytokine storm. Levels of interleukin 1B, interferon-gamma, interferon-inducible protein 10, and monocyte chemoattractant protein 1 were all associated with COVID-19 disease severity. Treatment has been proposed to combat the cytokine storm as it remains to be one of the leading causes of morbidity and mortality in COVID-19 disease.
A cytokine storm is due to an acute hyperinflammatory response that is responsible for clinical illness in an array of diseases but in COVID-19, it is related to worse prognosis and increased fatality. The storm causes the acute respiratory distress syndrome, blood clotting events such as strokes, myocardial infarction, encephalitis, acute kidney injury, and vasculitis. The production of IL-1, IL-2, IL-6, TNF-alpha, and interferon-gamma, all crucial components of normal immune responses, inadvertently become the causes of a cytokine storm. The cells of the central nervous system, the microglia, neurons, and astrocytes, are also be involved in the release of pro-inflammatory cytokines affecting the nervous system, and effects of cytokine storms toward the CNS are not uncommon.
DIAGNOSIS
COVID-19 can provisionally be diagnosed on the basis of symptoms and confirmed using reverse transcription polymerase chain reaction (RT-PCR) or other nucleic acid testing of infected secretions. Along with laboratory testing, chest CT scans may be helpful to diagnose COVID-19 in individuals with a high clinical suspicion of infection. Detection of a past infection is possible with serological tests, which detect antibodies produced by the body in response to the infection.
VIRAL TESTING
The standard methods of testing for presence of SARS-CoV-2 are nucleic acid tests, which detects the presence of viral RNA fragments. As these tests detect RNA but not infectious virus, its "ability to determine duration of infectivity of patients is limited." The test is typically done on respiratory samples obtained by a nasopharyngeal swab; however, a nasal swab or sputum sample may also be used. Results are generally available within hours. The WHO has published several testing protocols for the disease.
A number of laboratories and companies have developed serological tests, which detect antibodies produced by the body in response to infection. Several have been evaluated by Public Health England and approved for use in the UK.
The University of Oxford's CEBM has pointed to mounting evidence that "a good proportion of 'new' mild cases and people re-testing positives after quarantine or discharge from hospital are not infectious, but are simply clearing harmless virus particles which their immune system has efficiently dealt with" and have called for "an international effort to standardize and periodically calibrate testing" On 7 September, the UK government issued "guidance for procedures to be implemented in laboratories to provide assurance of positive SARS-CoV-2 RNA results during periods of low prevalence, when there is a reduction in the predictive value of positive test results."
IMAGING
Chest CT scans may be helpful to diagnose COVID-19 in individuals with a high clinical suspicion of infection but are not recommended for routine screening. Bilateral multilobar ground-glass opacities with a peripheral, asymmetric, and posterior distribution are common in early infection. Subpleural dominance, crazy paving (lobular septal thickening with variable alveolar filling), and consolidation may appear as the disease progresses. Characteristic imaging features on chest radiographs and computed tomography (CT) of people who are symptomatic include asymmetric peripheral ground-glass opacities without pleural effusions.
Many groups have created COVID-19 datasets that include imagery such as the Italian Radiological Society which has compiled an international online database of imaging findings for confirmed cases. Due to overlap with other infections such as adenovirus, imaging without confirmation by rRT-PCR is of limited specificity in identifying COVID-19. A large study in China compared chest CT results to PCR and demonstrated that though imaging is less specific for the infection, it is faster and more sensitive.
Coding
In late 2019, the WHO assigned emergency ICD-10 disease codes U07.1 for deaths from lab-confirmed SARS-CoV-2 infection and U07.2 for deaths from clinically or epidemiologically diagnosed COVID-19 without lab-confirmed SARS-CoV-2 infection.
PATHOLOGY
The main pathological findings at autopsy are:
Macroscopy: pericarditis, lung consolidation and pulmonary oedema
Lung findings:
minor serous exudation, minor fibrin exudation
pulmonary oedema, pneumocyte hyperplasia, large atypical pneumocytes, interstitial inflammation with lymphocytic infiltration and multinucleated giant cell formation
diffuse alveolar damage (DAD) with diffuse alveolar exudates. DAD is the cause of acute respiratory distress syndrome (ARDS) and severe hypoxemia.
organisation of exudates in alveolar cavities and pulmonary interstitial fibrosis
plasmocytosis in BAL
Blood: disseminated intravascular coagulation (DIC); leukoerythroblastic reaction
Liver: microvesicular steatosis
PREVENTION
Preventive measures to reduce the chances of infection include staying at home, wearing a mask in public, avoiding crowded places, keeping distance from others, ventilating indoor spaces, washing hands with soap and water often and for at least 20 seconds, practising good respiratory hygiene, and avoiding touching the eyes, nose, or mouth with unwashed hands.
Those diagnosed with COVID-19 or who believe they may be infected are advised by the CDC to stay home except to get medical care, call ahead before visiting a healthcare provider, wear a face mask before entering the healthcare provider's office and when in any room or vehicle with another person, cover coughs and sneezes with a tissue, regularly wash hands with soap and water and avoid sharing personal household items.
The first COVID-19 vaccine was granted regulatory approval on 2 December by the UK medicines regulator MHRA. It was evaluated for emergency use authorization (EUA) status by the US FDA, and in several other countries. Initially, the US National Institutes of Health guidelines do not recommend any medication for prevention of COVID-19, before or after exposure to the SARS-CoV-2 virus, outside the setting of a clinical trial. Without a vaccine, other prophylactic measures, or effective treatments, a key part of managing COVID-19 is trying to decrease and delay the epidemic peak, known as "flattening the curve". This is done by slowing the infection rate to decrease the risk of health services being overwhelmed, allowing for better treatment of current cases, and delaying additional cases until effective treatments or a vaccine become available.
VACCINE
A COVID‑19 vaccine is a vaccine intended to provide acquired immunity against severe acute respiratory syndrome coronavirus 2 (SARS‑CoV‑2), the virus causing coronavirus disease 2019 (COVID‑19). Prior to the COVID‑19 pandemic, there was an established body of knowledge about the structure and function of coronaviruses causing diseases like severe acute respiratory syndrome (SARS) and Middle East respiratory syndrome (MERS), which enabled accelerated development of various vaccine technologies during early 2020. On 10 January 2020, the SARS-CoV-2 genetic sequence data was shared through GISAID, and by 19 March, the global pharmaceutical industry announced a major commitment to address COVID-19.
In Phase III trials, several COVID‑19 vaccines have demonstrated efficacy as high as 95% in preventing symptomatic COVID‑19 infections. As of March 2021, 12 vaccines were authorized by at least one national regulatory authority for public use: two RNA vaccines (the Pfizer–BioNTech vaccine and the Moderna vaccine), four conventional inactivated vaccines (BBIBP-CorV, CoronaVac, Covaxin, and CoviVac), four viral vector vaccines (Sputnik V, the Oxford–AstraZeneca vaccine, Convidicea, and the Johnson & Johnson vaccine), and two protein subunit vaccines (EpiVacCorona and RBD-Dimer). In total, as of March 2021, 308 vaccine candidates were in various stages of development, with 73 in clinical research, including 24 in Phase I trials, 33 in Phase I–II trials, and 16 in Phase III development.
Many countries have implemented phased distribution plans that prioritize those at highest risk of complications, such as the elderly, and those at high risk of exposure and transmission, such as healthcare workers. As of 17 March 2021, 400.22 million doses of COVID‑19 vaccine have been administered worldwide based on official reports from national health agencies. AstraZeneca-Oxford anticipates producing 3 billion doses in 2021, Pfizer-BioNTech 1.3 billion doses, and Sputnik V, Sinopharm, Sinovac, and Johnson & Johnson 1 billion doses each. Moderna targets producing 600 million doses and Convidicea 500 million doses in 2021. By December 2020, more than 10 billion vaccine doses had been preordered by countries, with about half of the doses purchased by high-income countries comprising 14% of the world's population.
SOCIAL DISTANCING
Social distancing (also known as physical distancing) includes infection control actions intended to slow the spread of the disease by minimising close contact between individuals. Methods include quarantines; travel restrictions; and the closing of schools, workplaces, stadiums, theatres, or shopping centres. Individuals may apply social distancing methods by staying at home, limiting travel, avoiding crowded areas, using no-contact greetings, and physically distancing themselves from others. Many governments are now mandating or recommending social distancing in regions affected by the outbreak.
Outbreaks have occurred in prisons due to crowding and an inability to enforce adequate social distancing. In the United States, the prisoner population is aging and many of them are at high risk for poor outcomes from COVID-19 due to high rates of coexisting heart and lung disease, and poor access to high-quality healthcare.
SELF-ISOLATION
Self-isolation at home has been recommended for those diagnosed with COVID-19 and those who suspect they have been infected. Health agencies have issued detailed instructions for proper self-isolation. Many governments have mandated or recommended self-quarantine for entire populations. The strongest self-quarantine instructions have been issued to those in high-risk groups. Those who may have been exposed to someone with COVID-19 and those who have recently travelled to a country or region with the widespread transmission have been advised to self-quarantine for 14 days from the time of last possible exposure.
Face masks and respiratory hygiene
The WHO and the US CDC recommend individuals wear non-medical face coverings in public settings where there is an increased risk of transmission and where social distancing measures are difficult to maintain. This recommendation is meant to reduce the spread of the disease by asymptomatic and pre-symptomatic individuals and is complementary to established preventive measures such as social distancing. Face coverings limit the volume and travel distance of expiratory droplets dispersed when talking, breathing, and coughing. A face covering without vents or holes will also filter out particles containing the virus from inhaled and exhaled air, reducing the chances of infection. But, if the mask include an exhalation valve, a wearer that is infected (maybe without having noticed that, and asymptomatic) would transmit the virus outwards through it, despite any certification they can have. So the masks with exhalation valve are not for the infected wearers, and are not reliable to stop the pandemic in a large scale. Many countries and local jurisdictions encourage or mandate the use of face masks or cloth face coverings by members of the public to limit the spread of the virus.
Masks are also strongly recommended for those who may have been infected and those taking care of someone who may have the disease. When not wearing a mask, the CDC recommends covering the mouth and nose with a tissue when coughing or sneezing and recommends using the inside of the elbow if no tissue is available. Proper hand hygiene after any cough or sneeze is encouraged. Healthcare professionals interacting directly with people who have COVID-19 are advised to use respirators at least as protective as NIOSH-certified N95 or equivalent, in addition to other personal protective equipment.
HAND-WASHING AND HYGIENE
Thorough hand hygiene after any cough or sneeze is required. The WHO also recommends that individuals wash hands often with soap and water for at least 20 seconds, especially after going to the toilet or when hands are visibly dirty, before eating and after blowing one's nose. The CDC recommends using an alcohol-based hand sanitiser with at least 60% alcohol, but only when soap and water are not readily available. For areas where commercial hand sanitisers are not readily available, the WHO provides two formulations for local production. In these formulations, the antimicrobial activity arises from ethanol or isopropanol. Hydrogen peroxide is used to help eliminate bacterial spores in the alcohol; it is "not an active substance for hand antisepsis". Glycerol is added as a humectant.
SURFACE CLEANING
After being expelled from the body, coronaviruses can survive on surfaces for hours to days. If a person touches the dirty surface, they may deposit the virus at the eyes, nose, or mouth where it can enter the body cause infection. Current evidence indicates that contact with infected surfaces is not the main driver of Covid-19, leading to recommendations for optimised disinfection procedures to avoid issues such as the increase of antimicrobial resistance through the use of inappropriate cleaning products and processes. Deep cleaning and other surface sanitation has been criticized as hygiene theater, giving a false sense of security against something primarily spread through the air.
The amount of time that the virus can survive depends significantly on the type of surface, the temperature, and the humidity. Coronaviruses die very quickly when exposed to the UV light in sunlight. Like other enveloped viruses, SARS-CoV-2 survives longest when the temperature is at room temperature or lower, and when the relative humidity is low (<50%).
On many surfaces, including as glass, some types of plastic, stainless steel, and skin, the virus can remain infective for several days indoors at room temperature, or even about a week under ideal conditions. On some surfaces, including cotton fabric and copper, the virus usually dies after a few hours. As a general rule of thumb, the virus dies faster on porous surfaces than on non-porous surfaces.
However, this rule is not absolute, and of the many surfaces tested, two with the longest survival times are N95 respirator masks and surgical masks, both of which are considered porous surfaces.
Surfaces may be decontaminated with 62–71 percent ethanol, 50–100 percent isopropanol, 0.1 percent sodium hypochlorite, 0.5 percent hydrogen peroxide, and 0.2–7.5 percent povidone-iodine. Other solutions, such as benzalkonium chloride and chlorhexidine gluconate, are less effective. Ultraviolet germicidal irradiation may also be used. The CDC recommends that if a COVID-19 case is suspected or confirmed at a facility such as an office or day care, all areas such as offices, bathrooms, common areas, shared electronic equipment like tablets, touch screens, keyboards, remote controls, and ATM machines used by the ill persons should be disinfected. A datasheet comprising the authorised substances to disinfection in the food industry (including suspension or surface tested, kind of surface, use dilution, disinfectant and inocuylum volumes) can be seen in the supplementary material of.
VENTILATION AND AIR FILTRATION
The WHO recommends ventilation and air filtration in public spaces to help clear out infectious aerosols.
HEALTHY DIET AND LIFESTYLE
The Harvard T.H. Chan School of Public Health recommends a healthy diet, being physically active, managing psychological stress, and getting enough sleep.
While there is no evidence that vitamin D is an effective treatment for COVID-19, there is limited evidence that vitamin D deficiency increases the risk of severe COVID-19 symptoms. This has led to recommendations for individuals with vitamin D deficiency to take vitamin D supplements as a way of mitigating the risk of COVID-19 and other health issues associated with a possible increase in deficiency due to social distancing.
TREATMENT
There is no specific, effective treatment or cure for coronavirus disease 2019 (COVID-19), the disease caused by the SARS-CoV-2 virus. Thus, the cornerstone of management of COVID-19 is supportive care, which includes treatment to relieve symptoms, fluid therapy, oxygen support and prone positioning as needed, and medications or devices to support other affected vital organs.
Most cases of COVID-19 are mild. In these, supportive care includes medication such as paracetamol or NSAIDs to relieve symptoms (fever, body aches, cough), proper intake of fluids, rest, and nasal breathing. Good personal hygiene and a healthy diet are also recommended. The U.S. Centers for Disease Control and Prevention (CDC) recommend that those who suspect they are carrying the virus isolate themselves at home and wear a face mask.
People with more severe cases may need treatment in hospital. In those with low oxygen levels, use of the glucocorticoid dexamethasone is strongly recommended, as it can reduce the risk of death. Noninvasive ventilation and, ultimately, admission to an intensive care unit for mechanical ventilation may be required to support breathing. Extracorporeal membrane oxygenation (ECMO) has been used to address the issue of respiratory failure, but its benefits are still under consideration.
Several experimental treatments are being actively studied in clinical trials. Others were thought to be promising early in the pandemic, such as hydroxychloroquine and lopinavir/ritonavir, but later research found them to be ineffective or even harmful. Despite ongoing research, there is still not enough high-quality evidence to recommend so-called early treatment. Nevertheless, in the United States, two monoclonal antibody-based therapies are available for early use in cases thought to be at high risk of progression to severe disease. The antiviral remdesivir is available in the U.S., Canada, Australia, and several other countries, with varying restrictions; however, it is not recommended for people needing mechanical ventilation, and is discouraged altogether by the World Health Organization (WHO), due to limited evidence of its efficacy.
PROGNOSIS
The severity of COVID-19 varies. The disease may take a mild course with few or no symptoms, resembling other common upper respiratory diseases such as the common cold. In 3–4% of cases (7.4% for those over age 65) symptoms are severe enough to cause hospitalization. Mild cases typically recover within two weeks, while those with severe or critical diseases may take three to six weeks to recover. Among those who have died, the time from symptom onset to death has ranged from two to eight weeks. The Italian Istituto Superiore di Sanità reported that the median time between the onset of symptoms and death was twelve days, with seven being hospitalised. However, people transferred to an ICU had a median time of ten days between hospitalisation and death. Prolonged prothrombin time and elevated C-reactive protein levels on admission to the hospital are associated with severe course of COVID-19 and with a transfer to ICU.
Some early studies suggest 10% to 20% of people with COVID-19 will experience symptoms lasting longer than a month.[191][192] A majority of those who were admitted to hospital with severe disease report long-term problems including fatigue and shortness of breath. On 30 October 2020 WHO chief Tedros Adhanom warned that "to a significant number of people, the COVID virus poses a range of serious long-term effects". He has described the vast spectrum of COVID-19 symptoms that fluctuate over time as "really concerning." They range from fatigue, a cough and shortness of breath, to inflammation and injury of major organs – including the lungs and heart, and also neurological and psychologic effects. Symptoms often overlap and can affect any system in the body. Infected people have reported cyclical bouts of fatigue, headaches, months of complete exhaustion, mood swings, and other symptoms. Tedros has concluded that therefore herd immunity is "morally unconscionable and unfeasible".
In terms of hospital readmissions about 9% of 106,000 individuals had to return for hospital treatment within 2 months of discharge. The average to readmit was 8 days since first hospital visit. There are several risk factors that have been identified as being a cause of multiple admissions to a hospital facility. Among these are advanced age (above 65 years of age) and presence of a chronic condition such as diabetes, COPD, heart failure or chronic kidney disease.
According to scientific reviews smokers are more likely to require intensive care or die compared to non-smokers, air pollution is similarly associated with risk factors, and pre-existing heart and lung diseases and also obesity contributes to an increased health risk of COVID-19.
It is also assumed that those that are immunocompromised are at higher risk of getting severely sick from SARS-CoV-2. One research that looked into the COVID-19 infections in hospitalized kidney transplant recipients found a mortality rate of 11%.
See also: Impact of the COVID-19 pandemic on children
Children make up a small proportion of reported cases, with about 1% of cases being under 10 years and 4% aged 10–19 years. They are likely to have milder symptoms and a lower chance of severe disease than adults. A European multinational study of hospitalized children published in The Lancet on 25 June 2020 found that about 8% of children admitted to a hospital needed intensive care. Four of those 582 children (0.7%) died, but the actual mortality rate could be "substantially lower" since milder cases that did not seek medical help were not included in the study.
Genetics also plays an important role in the ability to fight off the disease. For instance, those that do not produce detectable type I interferons or produce auto-antibodies against these may get much sicker from COVID-19. Genetic screening is able to detect interferon effector genes.
Pregnant women may be at higher risk of severe COVID-19 infection based on data from other similar viruses, like SARS and MERS, but data for COVID-19 is lacking.
COMPLICATIONS
Complications may include pneumonia, acute respiratory distress syndrome (ARDS), multi-organ failure, septic shock, and death. Cardiovascular complications may include heart failure, arrhythmias, heart inflammation, and blood clots. Approximately 20–30% of people who present with COVID-19 have elevated liver enzymes, reflecting liver injury.
Neurologic manifestations include seizure, stroke, encephalitis, and Guillain–Barré syndrome (which includes loss of motor functions). Following the infection, children may develop paediatric multisystem inflammatory syndrome, which has symptoms similar to Kawasaki disease, which can be fatal. In very rare cases, acute encephalopathy can occur, and it can be considered in those who have been diagnosed with COVID-19 and have an altered mental status.
LONGER-TERM EFFECTS
Some early studies suggest that that 10 to 20% of people with COVID-19 will experience symptoms lasting longer than a month. A majority of those who were admitted to hospital with severe disease report long-term problems, including fatigue and shortness of breath. About 5-10% of patients admitted to hospital progress to severe or critical disease, including pneumonia and acute respiratory failure.
By a variety of mechanisms, the lungs are the organs most affected in COVID-19.[228] The majority of CT scans performed show lung abnormalities in people tested after 28 days of illness.
People with advanced age, severe disease, prolonged ICU stays, or who smoke are more likely to have long lasting effects, including pulmonary fibrosis. Overall, approximately one third of those investigated after 4 weeks will have findings of pulmonary fibrosis or reduced lung function as measured by DLCO, even in people who are asymptomatic, but with the suggestion of continuing improvement with the passing of more time.
IMMUNITY
The immune response by humans to CoV-2 virus occurs as a combination of the cell-mediated immunity and antibody production, just as with most other infections. Since SARS-CoV-2 has been in the human population only since December 2019, it remains unknown if the immunity is long-lasting in people who recover from the disease. The presence of neutralizing antibodies in blood strongly correlates with protection from infection, but the level of neutralizing antibody declines with time. Those with asymptomatic or mild disease had undetectable levels of neutralizing antibody two months after infection. In another study, the level of neutralizing antibody fell 4-fold 1 to 4 months after the onset of symptoms. However, the lack of antibody in the blood does not mean antibody will not be rapidly produced upon reexposure to SARS-CoV-2. Memory B cells specific for the spike and nucleocapsid proteins of SARS-CoV-2 last for at least 6 months after appearance of symptoms. Nevertheless, 15 cases of reinfection with SARS-CoV-2 have been reported using stringent CDC criteria requiring identification of a different variant from the second infection. There are likely to be many more people who have been reinfected with the virus. Herd immunity will not eliminate the virus if reinfection is common. Some other coronaviruses circulating in people are capable of reinfection after roughly a year. Nonetheless, on 3 March 2021, scientists reported that a much more contagious Covid-19 variant, Lineage P.1, first detected in Japan, and subsequently found in Brazil, as well as in several places in the United States, may be associated with Covid-19 disease reinfection after recovery from an earlier Covid-19 infection.
MORTALITY
Several measures are commonly used to quantify mortality. These numbers vary by region and over time and are influenced by the volume of testing, healthcare system quality, treatment options, time since the initial outbreak, and population characteristics such as age, sex, and overall health. The mortality rate reflects the number of deaths within a specific demographic group divided by the population of that demographic group. Consequently, the mortality rate reflects the prevalence as well as the severity of the disease within a given population. Mortality rates are highly correlated to age, with relatively low rates for young people and relatively high rates among the elderly.
The case fatality rate (CFR) reflects the number of deaths divided by the number of diagnosed cases within a given time interval. Based on Johns Hopkins University statistics, the global death-to-case ratio is 2.2% (2,685,770/121,585,388) as of 18 March 2021. The number varies by region. The CFR may not reflect the true severity of the disease, because some infected individuals remain asymptomatic or experience only mild symptoms, and hence such infections may not be included in official case reports. Moreover, the CFR may vary markedly over time and across locations due to the availability of live virus tests.
INFECTION FATALITY RATE
A key metric in gauging the severity of COVID-19 is the infection fatality rate (IFR), also referred to as the infection fatality ratio or infection fatality risk. This metric is calculated by dividing the total number of deaths from the disease by the total number of infected individuals; hence, in contrast to the CFR, the IFR incorporates asymptomatic and undiagnosed infections as well as reported cases.
CURRENT ESTIMATES
A December 2020 systematic review and meta-analysis estimated that population IFR during the first wave of the pandemic was about 0.5% to 1% in many locations (including France, Netherlands, New Zealand, and Portugal), 1% to 2% in other locations (Australia, England, Lithuania, and Spain), and exceeded 2% in Italy. That study also found that most of these differences in IFR reflected corresponding differences in the age composition of the population and age-specific infection rates; in particular, the metaregression estimate of IFR is very low for children and younger adults (e.g., 0.002% at age 10 and 0.01% at age 25) but increases progressively to 0.4% at age 55, 1.4% at age 65, 4.6% at age 75, and 15% at age 85. These results were also highlighted in a December 2020 report issued by the WHO.
EARLIER ESTIMATES OF IFR
At an early stage of the pandemic, the World Health Organization reported estimates of IFR between 0.3% and 1%.[ On 2 July, The WHO's chief scientist reported that the average IFR estimate presented at a two-day WHO expert forum was about 0.6%. In August, the WHO found that studies incorporating data from broad serology testing in Europe showed IFR estimates converging at approximately 0.5–1%. Firm lower limits of IFRs have been established in a number of locations such as New York City and Bergamo in Italy since the IFR cannot be less than the population fatality rate. As of 10 July, in New York City, with a population of 8.4 million, 23,377 individuals (18,758 confirmed and 4,619 probable) have died with COVID-19 (0.3% of the population).Antibody testing in New York City suggested an IFR of ~0.9%,[258] and ~1.4%. In Bergamo province, 0.6% of the population has died. In September 2020 the U.S. Center for Disease Control & Prevention reported preliminary estimates of age-specific IFRs for public health planning purposes.
SEX DIFFERENCES
Early reviews of epidemiologic data showed gendered impact of the pandemic and a higher mortality rate in men in China and Italy. The Chinese Center for Disease Control and Prevention reported the death rate was 2.8% for men and 1.7% for women. Later reviews in June 2020 indicated that there is no significant difference in susceptibility or in CFR between genders. One review acknowledges the different mortality rates in Chinese men, suggesting that it may be attributable to lifestyle choices such as smoking and drinking alcohol rather than genetic factors. Sex-based immunological differences, lesser prevalence of smoking in women and men developing co-morbid conditions such as hypertension at a younger age than women could have contributed to the higher mortality in men. In Europe, 57% of the infected people were men and 72% of those died with COVID-19 were men. As of April 2020, the US government is not tracking sex-related data of COVID-19 infections. Research has shown that viral illnesses like Ebola, HIV, influenza and SARS affect men and women differently.
ETHNIC DIFFERENCES
In the US, a greater proportion of deaths due to COVID-19 have occurred among African Americans and other minority groups. Structural factors that prevent them from practicing social distancing include their concentration in crowded substandard housing and in "essential" occupations such as retail grocery workers, public transit employees, health-care workers and custodial staff. Greater prevalence of lacking health insurance and care and of underlying conditions such as diabetes, hypertension and heart disease also increase their risk of death. Similar issues affect Native American and Latino communities. According to a US health policy non-profit, 34% of American Indian and Alaska Native People (AIAN) non-elderly adults are at risk of serious illness compared to 21% of white non-elderly adults. The source attributes it to disproportionately high rates of many health conditions that may put them at higher risk as well as living conditions like lack of access to clean water. Leaders have called for efforts to research and address the disparities. In the U.K., a greater proportion of deaths due to COVID-19 have occurred in those of a Black, Asian, and other ethnic minority background. More severe impacts upon victims including the relative incidence of the necessity of hospitalization requirements, and vulnerability to the disease has been associated via DNA analysis to be expressed in genetic variants at chromosomal region 3, features that are associated with European Neanderthal heritage. That structure imposes greater risks that those affected will develop a more severe form of the disease. The findings are from Professor Svante Pääbo and researchers he leads at the Max Planck Institute for Evolutionary Anthropology and the Karolinska Institutet. This admixture of modern human and Neanderthal genes is estimated to have occurred roughly between 50,000 and 60,000 years ago in Southern Europe.
COMORBIDITIES
Most of those who die of COVID-19 have pre-existing (underlying) conditions, including hypertension, diabetes mellitus, and cardiovascular disease. According to March data from the United States, 89% of those hospitalised had preexisting conditions. The Italian Istituto Superiore di Sanità reported that out of 8.8% of deaths where medical charts were available, 96.1% of people had at least one comorbidity with the average person having 3.4 diseases. According to this report the most common comorbidities are hypertension (66% of deaths), type 2 diabetes (29.8% of deaths), Ischemic Heart Disease (27.6% of deaths), atrial fibrillation (23.1% of deaths) and chronic renal failure (20.2% of deaths).
Most critical respiratory comorbidities according to the CDC, are: moderate or severe asthma, pre-existing COPD, pulmonary fibrosis, cystic fibrosis. Evidence stemming from meta-analysis of several smaller research papers also suggests that smoking can be associated with worse outcomes. When someone with existing respiratory problems is infected with COVID-19, they might be at greater risk for severe symptoms. COVID-19 also poses a greater risk to people who misuse opioids and methamphetamines, insofar as their drug use may have caused lung damage.
In August 2020 the CDC issued a caution that tuberculosis infections could increase the risk of severe illness or death. The WHO recommended that people with respiratory symptoms be screened for both diseases, as testing positive for COVID-19 couldn't rule out co-infections. Some projections have estimated that reduced TB detection due to the pandemic could result in 6.3 million additional TB cases and 1.4 million TB related deaths by 2025.
NAME
During the initial outbreak in Wuhan, China, the virus and disease were commonly referred to as "coronavirus" and "Wuhan coronavirus", with the disease sometimes called "Wuhan pneumonia". In the past, many diseases have been named after geographical locations, such as the Spanish flu, Middle East Respiratory Syndrome, and Zika virus. In January 2020, the WHO recommended 2019-nCov and 2019-nCoV acute respiratory disease as interim names for the virus and disease per 2015 guidance and international guidelines against using geographical locations (e.g. Wuhan, China), animal species, or groups of people in disease and virus names in part to prevent social stigma. The official names COVID-19 and SARS-CoV-2 were issued by the WHO on 11 February 2020. Tedros Adhanom explained: CO for corona, VI for virus, D for disease and 19 for when the outbreak was first identified (31 December 2019). The WHO additionally uses "the COVID-19 virus" and "the virus responsible for COVID-19" in public communications.
HISTORY
The virus is thought to be natural and of an animal origin, through spillover infection. There are several theories about where the first case (the so-called patient zero) originated. Phylogenetics estimates that SARS-CoV-2 arose in October or November 2019. Evidence suggests that it descends from a coronavirus that infects wild bats, and spread to humans through an intermediary wildlife host.
The first known human infections were in Wuhan, Hubei, China. A study of the first 41 cases of confirmed COVID-19, published in January 2020 in The Lancet, reported the earliest date of onset of symptoms as 1 December 2019.Official publications from the WHO reported the earliest onset of symptoms as 8 December 2019. Human-to-human transmission was confirmed by the WHO and Chinese authorities by 20 January 2020. According to official Chinese sources, these were mostly linked to the Huanan Seafood Wholesale Market, which also sold live animals. In May 2020 George Gao, the director of the CDC, said animal samples collected from the seafood market had tested negative for the virus, indicating that the market was the site of an early superspreading event, but that it was not the site of the initial outbreak.[ Traces of the virus have been found in wastewater samples that were collected in Milan and Turin, Italy, on 18 December 2019.
By December 2019, the spread of infection was almost entirely driven by human-to-human transmission. The number of coronavirus cases in Hubei gradually increased, reaching 60 by 20 December, and at least 266 by 31 December. On 24 December, Wuhan Central Hospital sent a bronchoalveolar lavage fluid (BAL) sample from an unresolved clinical case to sequencing company Vision Medicals. On 27 and 28 December, Vision Medicals informed the Wuhan Central Hospital and the Chinese CDC of the results of the test, showing a new coronavirus. A pneumonia cluster of unknown cause was observed on 26 December and treated by the doctor Zhang Jixian in Hubei Provincial Hospital, who informed the Wuhan Jianghan CDC on 27 December. On 30 December, a test report addressed to Wuhan Central Hospital, from company CapitalBio Medlab, stated an erroneous positive result for SARS, causing a group of doctors at Wuhan Central Hospital to alert their colleagues and relevant hospital authorities of the result. The Wuhan Municipal Health Commission issued a notice to various medical institutions on "the treatment of pneumonia of unknown cause" that same evening. Eight of these doctors, including Li Wenliang (punished on 3 January), were later admonished by the police for spreading false rumours and another, Ai Fen, was reprimanded by her superiors for raising the alarm.
The Wuhan Municipal Health Commission made the first public announcement of a pneumonia outbreak of unknown cause on 31 December, confirming 27 cases—enough to trigger an investigation.
During the early stages of the outbreak, the number of cases doubled approximately every seven and a half days. In early and mid-January 2020, the virus spread to other Chinese provinces, helped by the Chinese New Year migration and Wuhan being a transport hub and major rail interchange. On 20 January, China reported nearly 140 new cases in one day, including two people in Beijing and one in Shenzhen. Later official data shows 6,174 people had already developed symptoms by then, and more may have been infected. A report in The Lancet on 24 January indicated human transmission, strongly recommended personal protective equipment for health workers, and said testing for the virus was essential due to its "pandemic potential". On 30 January, the WHO declared the coronavirus a Public Health Emergency of International Concern. By this time, the outbreak spread by a factor of 100 to 200 times.
Italy had its first confirmed cases on 31 January 2020, two tourists from China. As of 13 March 2020 the WHO considered Europe the active centre of the pandemic. Italy overtook China as the country with the most deaths on 19 March 2020. By 26 March the United States had overtaken China and Italy with the highest number of confirmed cases in the world. Research on coronavirus genomes indicates the majority of COVID-19 cases in New York came from European travellers, rather than directly from China or any other Asian country. Retesting of prior samples found a person in France who had the virus on 27 December 2019, and a person in the United States who died from the disease on 6 February 2020.
After 55 days without a locally transmitted case, Beijing reported a new COVID-19 case on 11 June 2020 which was followed by two more cases on 12 June. By 15 June there were 79 cases officially confirmed, most of them were people that went to Xinfadi Wholesale Market.
RT-PCR testing of untreated wastewater samples from Brazil and Italy have suggested detection of SARS-CoV-2 as early as November and December 2019, respectively, but the methods of such sewage studies have not been optimised, many have not been peer reviewed, details are often missing, and there is a risk of false positives due to contamination or if only one gene target is detected. A September 2020 review journal article said, "The possibility that the COVID-19 infection had already spread to Europe at the end of last year is now indicated by abundant, even if partially circumstantial, evidence", including pneumonia case numbers and radiology in France and Italy in November and December.
MISINFORMATION
After the initial outbreak of COVID-19, misinformation and disinformation regarding the origin, scale, prevention, treatment, and other aspects of the disease rapidly spread online.
In September 2020, the U.S. CDC published preliminary estimates of the risk of death by age groups in the United States, but those estimates were widely misreported and misunderstood.
OTHER ANIMALS
Humans appear to be capable of spreading the virus to some other animals, a type of disease transmission referred to as zooanthroponosis.
Some pets, especially cats and ferrets, can catch this virus from infected humans. Symptoms in cats include respiratory (such as a cough) and digestive symptoms. Cats can spread the virus to other cats, and may be able to spread the virus to humans, but cat-to-human transmission of SARS-CoV-2 has not been proven. Compared to cats, dogs are less susceptible to this infection. Behaviors which increase the risk of transmission include kissing, licking, and petting the animal.
The virus does not appear to be able to infect pigs, ducks, or chickens at all.[ Mice, rats, and rabbits, if they can be infected at all, are unlikely to be involved in spreading the virus.
Tigers and lions in zoos have become infected as a result of contact with infected humans. As expected, monkeys and great ape species such as orangutans can also be infected with the COVID-19 virus.
Minks, which are in the same family as ferrets, have been infected. Minks may be asymptomatic, and can also spread the virus to humans. Multiple countries have identified infected animals in mink farms. Denmark, a major producer of mink pelts, ordered the slaughter of all minks over fears of viral mutations. A vaccine for mink and other animals is being researched.
RESEARCH
International research on vaccines and medicines in COVID-19 is underway by government organisations, academic groups, and industry researchers. The CDC has classified it to require a BSL3 grade laboratory. There has been a great deal of COVID-19 research, involving accelerated research processes and publishing shortcuts to meet the global demand.
As of December 2020, hundreds of clinical trials have been undertaken, with research happening on every continent except Antarctica. As of November 2020, more than 200 possible treatments had been studied in humans so far.
Transmission and prevention research
Modelling research has been conducted with several objectives, including predictions of the dynamics of transmission, diagnosis and prognosis of infection, estimation of the impact of interventions, or allocation of resources. Modelling studies are mostly based on epidemiological models, estimating the number of infected people over time under given conditions. Several other types of models have been developed and used during the COVID-19 including computational fluid dynamics models to study the flow physics of COVID-19, retrofits of crowd movement models to study occupant exposure, mobility-data based models to investigate transmission, or the use of macroeconomic models to assess the economic impact of the pandemic. Further, conceptual frameworks from crisis management research have been applied to better understand the effects of COVID-19 on organizations worldwide.
TREATMENT-RELATED RESEARCH
Repurposed antiviral drugs make up most of the research into COVID-19 treatments. Other candidates in trials include vasodilators, corticosteroids, immune therapies, lipoic acid, bevacizumab, and recombinant angiotensin-converting enzyme 2.
In March 2020, the World Health Organization (WHO) initiated the Solidarity trial to assess the treatment effects of some promising drugs: an experimental drug called remdesivir; anti-malarial drugs chloroquine and hydroxychloroquine; two anti-HIV drugs, lopinavir/ritonavir; and interferon-beta. More than 300 active clinical trials were underway as of April 2020.
Research on the antimalarial drugs hydroxychloroquine and chloroquine showed that they were ineffective at best, and that they may reduce the antiviral activity of remdesivir. By May 2020, France, Italy, and Belgium had banned the use of hydroxychloroquine as a COVID-19 treatment.
In June, initial results from the randomised RECOVERY Trial in the United Kingdom showed that dexamethasone reduced mortality by one third for people who are critically ill on ventilators and one fifth for those receiving supplemental oxygen. Because this is a well-tested and widely available treatment, it was welcomed by the WHO, which is in the process of updating treatment guidelines to include dexamethasone and other steroids. Based on those preliminary results, dexamethasone treatment has been recommended by the NIH for patients with COVID-19 who are mechanically ventilated or who require supplemental oxygen but not in patients with COVID-19 who do not require supplemental oxygen.
In September 2020, the WHO released updated guidance on using corticosteroids for COVID-19. The WHO recommends systemic corticosteroids rather than no systemic corticosteroids for the treatment of people with severe and critical COVID-19 (strong recommendation, based on moderate certainty evidence). The WHO suggests not to use corticosteroids in the treatment of people with non-severe COVID-19 (conditional recommendation, based on low certainty evidence). The updated guidance was based on a meta-analysis of clinical trials of critically ill COVID-19 patients.
WIKIPEDIA
National Express SR136 (FJ12 FYL) sets off for Heathrow on Railair service 701.
It was unable to depart forwards and drive around the front of the car park as there had been a collision.
Station Approach, Woking railway station, Woking, Surrey.
Designer: hoang tien quyet
Folder: mohamed tamer
diagram in book : tantedian convention 20
Difficulty level: intermediate
Model type: animals mammals
Paper ratio: square
Obistu received and installed (with great difficulty oO).
Only misses her wig (next week, I hope).
She is super photogenic! I must find her style now ^ ^;
•••
Obistu reçu et posé (avec beaucoup de difficulté oO).
Il ne manque plus que sa wig (que j'espère recevoir la semaine prochaine).
Sinon elle est ultra photogénique ! Faut juste que je trouve son style ^^;
ITM1692074
At a crossroads – Needing to make an important decision
When you are at a crossroads, you are at a point in your life where you need to make a decision. The implication is that the decision you make will have big, life-altering consequences.
Bad apple – Bad person
You can use this idiom to describe someone who is not nice and maybe even criminal.
Barking up the wrong tree – Pursuing the wrong course
When you “bark up the wrong tree” you are pursuing the wrong solution to your problems.
Be closefisted – Stingy
If you are being “closefisted”, you don’t want to spend a lot of money.
Be cold-hearted – Uncaring
If you decide to be “cold-hearted”, you are making a deliberate decision not to care about someone or something.
Be on solid ground – Confident
When you are “on solid ground”, you are confident in your position or feel that you are safe.
Beat around the bush – Avoid saying
When you do this, you are taking a long time to say what you really need to say. You may be doing this because the “truth” is embarrassing or your unsure about how the listener will take it.
Behind you – Supportive
When you are “behind” someone, you are saying that they have your support.
Between a rock and a hard place – Facing difficulties
When you have to choose between two options, neither of which are ideal or “good”.
Blow off steam – Try to relax
When you are stressed or upset about something, sometimes you need to do something to keep you from thinking about it.
Born with a silver spoon in their mouth – Born wealthy
This idiomatic expression is used to describe someone who was born into a wealthy family.
Break the bank – Spend a lot
When you “break the bank”, you spend a lot of money on something. If something will “break the bank”, then it’s expensive.
Bright spark – Smart
A “bright spark” is someone who is smart and valuable to an organization.
Build a case – Argue your point
When you “build a case” for something, you are preparing to argue a point or convince someone that your opinion is the right one.
Build castles in the sky – Daydream
When you fantasize about something you hope to have or achieve.
Burn your bridges – End a relationship
When you “burn your bridges” you end a relationship permanently.
Butter up – Flatter
When you “butter” someone up, you are telling them nice things about themselves.
Bought a lemon – Bad bargain
If something you bought is a “lemon” it is a bad product. In a sense, you wasted your money on it.
Break the ice – Start a conversation
When you start a conversation strangers with the end goal of making new friends.
Calm before the storm – Peaceful
When you use this to describe your state of being or mind, you’re talking about a quiet period before anticipated trouble comes your way.
Chasing rainbows – Pursuing dreams
When you try to follow your dreams. The implication here, however, is that you might be better off forgetting your dreams.
Clear as mud – Hard to understand
When you are confused about something or a situation.
Cool as a cucumber – Calm
This idiomatic expression is meant to describe someone who is calm and relaxed.
Couch potato – Lazy
A couch potato is a lazy person. Specifically, someone who sprawls on their couch watching TV almost all day.
Cross that bridge when we get to it – Think about it later
When you say this, you are telling someone that you will think about something later. The implication is that it’s a problem or a decision that can be put off for now.
Chew it over – Think had about something
This idiom implies that you need to make an important decision and can’t afford to be hasty about it.
Come to light – Be revealed
When something “comes to light” something that was originally concealed from you is revealed.
Cut back on – Reduce
When you use this idiom, you are reducing something.
Cut to the chase – Speak concisely
When you tell someone to “cut to the chase”, you are expressing impatience. This is usually used when someone feels someone else is taking to long to deliver important news.
Crystal clear – Easy to understand
When you say that something is “crystal clear”, you are saying that it is understood.
Dead-end job – No more opportunities
When you are stuck in a “dead-end job”, you are in a career situation where there is no more room for advancement.
Dig deep – Strive
When you “dig deep” you put a lot of effort into a task.
Digging into – Looking closer
When you “dig into” something, you are looking for more information.
Don’t run before you can walk – Don’t assume something is easy
This is a descriptive idiom, it’s meant to make you think about how a baby needs to learn how to walk before they can run. It’s supposed to caution you about assuming you can just do something without learning the basics.
Down to earth – Practical
This describes someone who is known for being sensible and practical.
Eat like a bird – Small appetite
This is used to describe someone who doesn’t eat a lot.
Eat like a horse – Eat a lot
If you eat like a horse, you are eating a lot. You can “eat like a bird” most of the time but “eat like a horse” at a specific time because you are either very hungry or you really like the food.
Eat your words – Admit you were wrong
When you “eat your words” you are admitting that something you said earlier turned out to be wrong.
Every cloud has a silver lining – Things will get better
When you say this, you are telling yourself or someone else that you will get through your troubles.
Face the music – Face the consequences
When you “face the music”, you are owning up to a mistake and trying to make amends.
Find your feet – Adapt
When you are “finding your feet” you are learning how to adapt to a new situation, like a new job.
Follow in their footsteps – Imitate
This idiom is often used between children and their parents, but it can also refer to a mentor or someone you admire. If you “follow in someone’s footsteps”, you do the same thing that they did.
Food for thought – Something to think about
If you are given “food for thought” you have been given something to think about.
A frosty reception – To be unwelcome
If you received a “frosty reception”, you are not welcome.
Fly off the handle – Rages
You can use this idiom to describe someone who is visibly angry over a situation. Often this means that someone is shouting and maybe gesturing violently and even causing damage to property. It also implies that the angry reaction is disproportionate to the situation.
Get on with your life – Continue on after a setback
This is something you can say and should do after going through some problems.
Give them a run for their money – Compete
If you are competing with someone, you are giving them a “run for their money.”
Go Dutch – Split the bill
You can use this idiomatic expression when dining out with friends.
Go with the flow – Relax and get along
When you “go with the flow” you keep calm and just go along with whatever is happening around you.
Got off scot-free – Escaped
When you “get off scot-free”, you managed to escape any consequences for your actions.
The world's most customizable AI friend
Create my AI friend
Hard to swallow – Unbelievable
If someone told you something that you just can’t believe, they told you something that is “hard to swallow”.
Have your whole life in front of you – Young
Someone who has their whole life in front of them is young and full of promise.
Hold out an olive branch – Apologize
When you do this, you try to make amends or peace with someone you’ve hurt or angered.
In hot water – In trouble
This idiomatic expression can be used to say that you are in a less than ideal situation.
Inching forward - Making slow progress
When you say this, you’re saying things are proceeding slowly.
Keep on the straight and narrow – Keep out of trouble
When you say this, you are implying that you are going to live in a morally correct way.
Keep your chin up – Stay positive
Even if you’re going through a hard time, you should keep thinking positive.
Kicked the bucket – Died
This is an irreverent phrase to say that someone has died. Be careful how you use it.
Let the cat out of the bag – Spoiled the secret
You “let the cat out of the bag” when you accidentally let someone in on a secret that they weren’t meant to know.
Look up to – Respect
When you “look up to” someone you are acknowledging that you respect them and value their opinion.
Loaded – Rich
When you call someone “loaded” you are saying that they are rich.
Lost at sea – Confused
If a situation is making you feel confused or lost, this is the idiom to use.
Making ends meet – Careful budgeting
If you. don’t have much money, you need to “make ends meet”. This means you carefully budget what you do have to meet your needs.
Make a mountain out of a molehill –Exaggerate
This idiom is used to say that someone is being over-dramatic with their complaints or concerns.
Make waves – Change things
When you “make waves”, you change a situation dramatically. This can also mean that you caused trouble.
Nip in the bud – Stop
When you do this, you take action to keep a situation from getting worse.
No sweat – Easy
When you say “no sweat” you are saying that a task was easy
Not your cup of tea – Not something you like
If you say that something is “not your cup of tea” you are saying it’s not something you particularly like or enjoy.
Once in a blue moon – Rare
This implies something that either won’t happen or rarely happens.
Out in the open – Public knowledge
When something is “out in the open”, it is a matter of public knowledge.
Over the moon – Very happy
You can use this to describe the feeling of getting something you’ve been looking forward to for a long time.
On cloud nine – Very happy
Similar to being over the moon.
Packed like sardines – Crowded
If people are “packed like sardines” in a venue, they are standing very close together in a small space.
Piece of cake –Easy
If you say something is a “piece of cake” you are saying that it is easy.
Pitch in - Contribute
When you “pitch-in”, you work with a group of people to reach a common goal.
Point of view – An opinion
Your “point of view” is what you think about someone or a situation.
Pony up – Pay
If you are paying back a debt, you are “ponying up” the money.
Pour oil on troubled waters – Calm things down
This basically means that you played peacemaker and kept an argument from developing into a physical fight.
Put your head in the sand – Deny something unpleasant
When you have your “head in the sand”, you are deliberately ignoring a bad situation.
Rags to riches – Became rich
Someone who went from “rags to riches” was born poor or underprivileged, but is now in a better social position.
Rain or shine – No matter what
This idiomatic expression is used to express the idea that nothing will stop you.
Reap the rewards – Received the benefits
When you “reap the rewards”, you are getting the benefits of your good work.
Rings a bell – Sounds familiar
When you think that you’ve heard a piece of information before but are not so sure.
Rule of thumb – General practice
A “rule of thumb” is an unwritten rule that is followed by the majority.
Separate the wheat from the chaff – Decide what is valuable
This picturesque idiom refers to how, when you harvest wheat, you need to separate it from the stalks and leaves. So, it means that you pick out or choose what is valuable to keep.
Shell out money – Pay
When you “shell out money”, you pay for an item.
Sitting on the fence – Neutral
When you “sit on the fence” you are avoiding making a decision. Often, this is a decision between two people with different opinions.
Smart cookie – Smart person
You can use this idiom to describe someone intelligent.
Spice things up – Make things interesting
When you “spice things up” you do something to break out of your normal routine.
Spill the beans – Tell
When you do this, you tell someone something they didn’t know. It may or not have been a secret previously.
Sticky fingers – Thief
If you accuse someone of having “sticky fingers” you are basically calling them a thief.
Take a side – Choose who to support
When you “take a side” in an argument, you are agreeing with one of those arguing.
Throw light on – Explain something
When you “throw light on” a situation, you help make sure that it is understood.
To move at a snail’s pace – Move slowly
This is another idiomatic phrase that’s meant to paint a picture. A snail moves slowly, so to move at its pace means things are going slowly.
Tread carefully – Be cautious
This implies that a situation is fraught and it might be easy to offend those involved.
Under the table – Secretive
When you do something “under the table”, you are trying to do something so that only a small amount of people are aware of it. It’s commonly used to describe something that is possibly unscrupulous. For example, bribes are given “under the table”.
Undermine your position – Act unconvincingly
When you behave in a way that makes you and your opinion seem untrustworthy.
Up in the air – Uncertain
When you say something is “up in the air”, you are saying that you are not sure that an event is happening.
Weather the storm – Survive
When you “weather the storm”, you endure a bad situation.
When it rains, it pours – Trouble comes
This refers to the fact that sometimes, many bad things happen to people at one time.
So there you have it, 10 idiomatic expressions and their meanings. These idioms are used by native English language speakers to add some color to their daily speech.
cheeseburgers more have some more milk shake these like these ribbons these ribbons first teacher also She was also best friend new have new shoes because am crying because I’m sad day Today National Friendship day more have more stickers at home use How use this no There’s no electricity now man There’s electrician outside looking rare unique furniture pearls dreams together well here Apple iPhone boots belong friend Macbook Microsoft EA tell which way go one She’s one he’s been waiting upset grandmother sick even She can’t even stand on own back I’ll right back Have had luck on your research good You’re good person woman That woman looks polished through Your faith see through tough times us go with us life This best day life child just saw child cross street by herself there Did go there work have go work down Let’s go down may take your seats after Let’s have dinner after work should buy this dress Call when get home okay world travel see world over can’t wait this day over school cousin goes school here think should go try nicer What’s that box as soon as get home I’m going start watching that Netflix Stan Hulu Roko series last This last slice cake promise! ask waiter bring some wine tonight! too need some wine too feel tired just need relax unwind three have three sisters when last time saw them state Check out state that shed roof falling apart never I’m never going drink wine again become Over years we’ve become really close between This just between high Give high five! really like your painting! something have something most She’s most beautiful girl I’ve ever seen another I’ll have another glass wine guys family are like family own get own place out Get out room leave put down that book listen old feel old! while wait here while shop mean didn’t mean sound angry on turn on lights keep keep lights on tonight student I’ve always been diligent student why This why don’t go out anymore kids! same shirt! big have celebrity big crush on Brad Pitt Taylor Swift Drake Kendrick William Bieber group sitting across table noisy huge project outgoing country Japan such beautiful country! help need help Math homework talk private where last night turn only could turn back time plenty person has own big goal fulfill start This great start learn English language hand Don’t let go hand might This might actually work American British French China culture dynamic show vacuum cleaner part This favourite part movie! about story about against am against domestic abuse! place This place wonderful! over She kept saying this over annoying person again play that game again few Just few more errands I’m done! case interesting case are working on now! most That’s most interesting story I’ve ever heard week had rough week company keep company going system What’s wrong with airport system each give each them apple right I’m right this time program This community program teens really helpful hear Did hear that so I’m sleepy question have question during session saw fall asleep work have work this weekend play play soccer next weekend instead government hope government does something about poverty this country run see bear here run your life small have small favour ask number have facebook youtube amazon weather walmart google wordle gmail target home depot google translate yahoo mail yahoo costco fox news starbucks food near me translate instagram Google maps walgreens best buy nba mcdonalds restaurants near me nfl amazon prime cnn traductor weather tomorrow espn lowes chick fil a news food zillow craigslist cvs ebay twitter wells fargo usps tracking bank of america calculator indeed nfl scores google docs etsy netflix taco bell shein astronaut macys kohls youtube tv dollar tree gas station coffee nba scores roblox restaurants autozone pizza hut usps gmail login dominos chipotle Google classroom tiempo hotmail aol mail burger king facebook login google flights sqm club maps subway dow jones sam s club motel breakfast english to spanish gas fedex walmart near me old navy fedex tracking southwest airlines ikea linkedin chase bank airbnb planet fitness spanish to english pizza google drive msn dunkin donuts capital one dollar general number favors ask off turn off television bring pepper spray with move Let’s move on next tourist spot like really like night night young live I’m going live like there’s no tomorrow Mr Morris here point have point believe hold Just hold hand today I’m going see today bring bring pen happen don’t submit your report on time next This next best thing without can’t live without phone go bed always wash face large There’s large amount data online about that topic all That’s all know about Dinosaurs million have million questions about this book must watch this movie together home go home now under hid it under bed water filled tub with water room at end corridor write prescription this mother very lovely woman area This area this house needs fixed national That virus has become national concern money She needs money buy medicine story She shared story media young She young hopeful fact It’s fact: shopping improve your mood month It’s that time month! different Just because she’s different it doesn’t mean she’s bad lot have lot explaining do right Turn right when reach corner study Let’s study English lessons together book borrow your English book eye She has pink eye job love job word Describe yourself one word are angry now I’m sure forget about this later business thriving issue This issue side Whose side are on anyway kind Always kind even strangers four There are four seasons year head Let’s head back it’s freezing out here far We’ve gone too far now we’re lost black She has long black hair long She has long brown hair both They both love chocolate ice cream little have two little boys with now house quiet without yes hope say yes after all this time has finally learned love since Ever since mom died has been cranky angry at world long That was such long time ago provide provide with list your services service have specific dental service treat this around went around block friend You’re good friend important You’re important father father important sit Let’s sit outside together away He’s away right when away power With great power comes great responsibility hour I’ve been checking temperature every hour game Let’s play game often buy from bakery as often as yet He’s yet home line There’s long line at grocery cashier political stay away from political discussions end It’s end era all pets Have ever tried this cake stand stand still minute bad did was bad lose can’t lose however buy this bag however need save up it first member She’s member babysitter’s club pay Let’s pay groceries law There’s law against jay-walking meet meet aunt car Let’s go inside car city This city that never sleeps almost I’m almost done with report include Did remember include summary your report continue continue working tomorrow set Great let set appointment later I’ll finish it later community community very tight knit much There’s much learn English language name What’s your name five give five reasons why need watch that video had puppy named Bark white love white sneakers least She’s least productive among all employees president She was class president back high school learn I’d love learn more about English language real real name change change that things get better team They hired team design their new office minute She’s laughing every minute every day best This best potato salad I’ve ever tasted several have several old clothes need donate idea It was your idea go beach remember kid loved that toy when was kid body She worked out hard achieve toned body information This information need nothing There’s nothing now ago Three years ago visited Japan first time right You’re right go back there lead Just lead way I’ll follow social feel awkward these social gatherings understand how feel big groups or small groups always feel little shy at first back Looking back knew was always introvert watch Let’s watch sun set on horizon together They’re together now follow I’ll follow home around You’ll always have around parent Every parent trying hard doing their best only are only allowed go out today stop stop that face Why your face red anything ask anything create Did create that presentation It was good public This public property already asked resend report speak Could speak little louder others others haven’t arrived yet read read somewhere that this house haunted level level are that game allow allow your kids play outside house add it okay add bit sugar tea office Welcome office spend How much did spend on your last shopping spree door left door open health must take good care your health person are good person art This work art sure Are sure this alone such are such brave little boy war war has finally ended history She history professor party Are going party tonight within support everyone within small community grow everyone grow thrive their careers result result this outreach program amazing open Are open teaching on weekends change Where change diaper morning It’s such beautiful morning! walk Come take walk with reason are reason came home low blood pressure has gotten really low win win this match work together research How your research going girl That girl class guy I’ve seen that guy school before early come work early every day food Let’s buy some food I’m hungry! before talk before go home moment moment she walked room puppy started jump dance again himself cooked this Turkey himself air am loving cold night air here teacher are best teacher ever force Don’t force play with other kids offer offer ride home enough Boys that’s enough playing today both both need change into your sleep clothes now education just get best education across Your dog ran across park although she felt tired she still couldn’t sleep remember think she still remember after ten years foot foot got caught one ropes second This second time she got late this month boy There’s boy class who keeps pulling have ice cream dessert toward took step toward able able send your report today age average marrying age these days off cat ran off with dog policy They have generous return policy everything Everything on sale love love you’re wearing! process Wait give time process everything you’re telling music love music including Around 20 people attended including Bob Beth consider hope consider project proposal appear How did that appear out nowhere actually I’m actually just heading out buy I’m going buy these shoes probably He’s probably still asleep human Give break only human wait it alright wait few minutes serve This blow dryer has served well years market Let’s visit Sunday market die don’t cat die let’s take vet send send package address expect can’t expect much from their poor service home can’t wait go home! sense did sense that something was okay build going build dream house stay stay with few weeks fall careful might fall oh Oh no left phone at home! nation have act as one nation plan What’s your plan this time cut Don’t cut your hair college met college interest Music interest mine death Death such heavy topic course course did take up college someone there someone who go with experience exciting experience! behind I’m scared check what’s behind that door reach can’t reach him won’t answer phone local This local business kill Smoking kill six have six books about Psychology remain These remain on top shelf effect Wow effect that mascara great! use use your phone yeah Yeah did call earlier suggest did suggest that class same English class control Where’s remote control raise It’s challenging discipline kids these days care don’t care about think perhaps Perhaps arrive at compromise little There’s little bird outside window late am running late doctor’s appointment hard That test was hard field He’s over there by soccer field else anyone else coming pass pass by grocery store former She was former housemate sell sell your old couch online major It’s major issue project sometimes Sometimes forget turn off porch lights require They’ll require show your I D along tag along your road trip development This news development really interesting themselves They take care themselves report read report it was great! role She’s going play role Elsa better Your singing has gotten much better! economic Some countries are facing economic crisis effort government must make effort solve this up grades have gone up decide decide where eat rate How would rate hotel’s service strong They have strong customer service here! possible Maybe it’s possible change their bathroom amenities heart heart full drug She got patent drug she has created cure cancer show show how solve this puzzle leader are wonderful leader light Watch face light up when mention name voice Hearing mom’s voice all need right now wife wife away weekend whole have whole house myself police police have questioned about incident mind This relaxation technique really eases mind finally finally move out from old apartment pull baby niece likes pull hair return give tickles return free best things life are free military dad military price This price pay lying report Did report this police less am praying less stress this coming new year according According weather report it’s going rain today decision This big decision explain I’ll explain everything later promise son son cute! hope hope I’ll have son one day even Even they’ve broken up they still remain friends develop That rash could develop into something more serious view This view amazing! relationship They’ve taken their relationship next level carry carry bag town This town extremely quiet road There’s road that leads edge woods drive can’t drive there need walk arm broke arm during practice true It’s true I’m leaving company federal Animal abuse now federal felony! break Don’t break law better better learn how follow rules difference What’s difference between happiness contentment thank forgot thank pie she sent us receive Did receive pie sent value value friendship much international Their brand has gone international! building This building tall! action next action going critical full work load full now model great leader great model how things join wants join soccer team season Christmas favorite season! society Their society holding fund raiser because I’m going home because mom needs tax How much current income tax director director yelled ‘Cut!' early I’m too early appointment position position your hand properly when drawing player That basketball player cute agree agree! cute! especially especially like blue eyes record record minutes this meeting pick Did pick color theme already wear that you’re going wear party paper use special paper your invitations special Some special paper are even scented! space leave some space write down your phone number ground ground shaking form new island was formed after that big earthquake support need your support this project event We’re holding big event tonight official official wedding photos are out! whose Whose umbrella this matter does it matter anyway everyone Everyone thinks stole that file center hate being center attention couple couple on their honeymoon now site This site big! end It’s end era project This project file due tomorrow hit hit burglar with bat base All moms are their child’s home base activity musical activity suggest toddler star son draw star! table saw draw it while was writing on table need need enroll good preschool court There’s basketball court near house produce Fresh farm produce best eat could eat that all day American sister dating American teach love teach English lessons oil Could buy some cooking oil at store half Just half liter situation situation getting out hand easy thought said this was going easy cost cost fuel has increased! industry fuel industry hiking prices figure government figure out how fix this problem face can’t bear face this horrendous traffic again again street Let’s cross street image There’s image stored inside mind itself bike itself pretty awesome phone Plus it has phone holder either either walk or commute work data How simplify this data cover Could cover during emergencies quite I’m quite satisfied with their work picture Picture this: lake cabin lots peace quiet clear That picture clear inside head practice Let’s practice dance number piece That’s piece cake! land Their plane going land soon recent This most recent social media post describe Describe yourself one word product This favorite product their new line cosmetics doctor doctor wall post this up on wall patient patient much pain now worker She’s factory worker news saw that on news test have pass this English test movie Let’s watch movie later certain There’s certain kind magic air now north Santa lives up north love l love Christmas! personal This letter very personal open Why did open read it support support simply simply won’t tolerate bad behavior third This third time you’ve lied technology Write about advantages technology catch Let’s catch up soon please! step Watch your step baby baby adorable computer turn on computer type need type your password attention have your attention draw draw this film That film absolutely mind-blowing Republican Republican candidate tree That tree has been there generations source are source strength red I’ll wear red dress tonight nearly nearly died that accident! organization Their organization doing great things street kids choose Let choose color cause have see cause effect this experiment hair I’ll cut hair short change look look at items bought point point all this century We’re living 21st century Mary evidence evidence clearly shows that guilty window I’ll buy window curtains next week difficult Sometimes life difficult listen have listen your teacher soon launch course soon culture hope they understand culture better billion target have 1 billion dollars account by end year chance there chance that this brother brother always have back energy Now put that energy into walking period They covered period twenty years course Have seen course already summer I’ll go beach summer less Sometimes less more realize just realize that have meeting today hundred have hundred dollars that lend available am available work on your project plant Plant seed likely It was likely deer trail opportunity It was perfect opportunity test theory term I’m sure there’s Latin term it short It was just short stay at hotel letter already passed letter intent condition know condition am choice have no choice place Let’s meet out at meeting place single am single parent rule It’s rule law daughter knows how read now administration take this up with administration south am headed south husband just bought ring birthday Congress It debated at Congress floor She floor manager campaign handled their election campaign material She had nothing material report population population nearest big city was growing well wish well call am going call bank economy economy booming medical -She needs medical assistance hospital I’ll take nearest hospital church saw church last Sunday close -Please close door thousand There are thousand reasons learn English! risk Taking risk rewarding current your current address fire Make sure your smoke alarm works case fire future -The future full hope wrong That wrong answer involve need involve police defense your defense or reason did this anyone Does anyone know answer increase Let’s increase your test score security Some apartment buildings have security bank need go bank withdraw some money myself clean up by myself certainly certainly help clean up west drive West arrive California sport favorite sport soccer board see board seek Seek find per Lobster $20 per pound subject favorite subject English! officer Where find police officer private This private party rest Let’s take 15 minute rest behavior This dog’s behavior excellent deal used car good deal performance Your performance affected by your sleep fight don’t fight with throw German ball! top are top student quickly Let’s finish reading this quickly past past English was as good as it today goal speak English fluently second second goal increase confidence bed go bed around 10pm order would like order book author author this series world-famous fill need fill (up) gas tank represent represent family focus Turn off your phone TV focus on your studies! foreign It’s great having foreign friends drop don’t drop eggs! plan Let’s make plan blood hospital needs people give blood upon Once upon time princess lived castle agency Let’s contract agency help with marketing push door says ‘push ’ ‘pull ' nature love walking nature! colou color blue no ‘No’ one shortest complete sentences recently cleaned bathroom most recently think it’s your turn this time store I’m going store buy some bread reduce reuse recycle are ways help environment sound like sound wind chimes note take notes during lesson fine movie let’s buy popcorn! near Near far wherever are believe that heart goes on movement environmental movement international movement page turn page 62 enter enter building on left share Let share idea than Ice cream has more calories than water common Most people find something common with each other poor had poor harvest this year because it was dry other This pen doesn’t work try other one natural This cleaner natural there aren’t chemicals it race watched car race on TV concern Thank your concern but I’m fine series your favorite TV series significant job earns significant amount money similar These earrings don’t match but they are similar hot Don’t touch stove it’s still hot language Learning new language fun each Put flower each vase usually usually shop at corner store response didn’t expect response come soon dead phone dead let charge it rise sun rise at 7:00 a m animal kind animal that factor Heredity factor your overall health decade I’ve lived this city over decade article Did read that newspaper article shoot wants shoot arrows at target east Drive east three miles save save all cans recycling seven There are seven slices pie left artist Taylor Swift recording artist away wish that mosquito would go away scene painted colorful street scene stock That shop has good stock postcards career Retail sales good career some people despite Despite rain still have picnic central There good shopping central London eight That recipe takes eight cups flour thus haven’t had problems thus far treatment propose treatment plan your injury beyond town just beyond those mountains happy Kittens make happy exactly Use exactly one teaspoon salt that recipe protect coat protect from cold weather approach cat slowly approached bird lie Teach your children lie size size that shirt dog think dog good pet fund have savings fund college serious She serious she never laughs occur Strange things occur that empty house media That issue has been discussed media ready Are ready leave work sign That store needs bigger sign thought I’ll have give it some thought list made list things do individual buy individual or group membership simple appliance comes with simple instructions quality paid little more quality shoes pressure There no pressure finish right now accept accept credit card answer Give your answer by noon tomorrow hard That test was very hard resource library has many online resources identify can’t identify that plant left door on your left as approach meeting We’ll have staff meeting after lunch determine Eye color genetically determined prepare I’ll prepare breakfast tomorrow disease Face masks help prevent disease whatever Choose whatever flavor like best success Failure back door success argue It’s good idea argue with your boss cup Would like cup coffee particularly It’s particularly hot outside just warm amount It take large amount food feed elephant ability has ability explain things well staff There are five people on staff here recognize recognize person this photo indicate reply indicated that she understood character trust people good character growth company has seen strong growth this quarter loss farmer suffered heavy losses after storm degree Set oven 300 degrees wonder wonder Bulls win game attack army attack at dawn herself She bought herself new coat region internet services are your region television don’t watch much television box packed dishes strong box TV There good movie on TV tonight training company pay your training pretty That pretty dress trade stock market traded lower today deal got good deal at store election Who think win election everybody likes ice cream physical Keep physical distance six feet lay baby crib general impression restaurant was good feeling have good feeling about this standard standard fee $10 00 bill electrician send bill message have text message on your phone fail fail see funny about that outside cat goes outside sometimes arrive When your plane arrive analysis I’ll give analysis when I’ve seen everything benefit There are many health benefits quinoa name What’s your name sex know sex your baby yet forward Move car forward few feet lawyer legal helped write present everyone present meeting begin section stadium are sitting environmental science economy politics political politician issues are news glass much heavier than plastic answer Could answer question skill best skill woodworking sister lives close PM movie starts at 7:30 PM professor Dr Smith professor operation mining operation employs thousands people financial keep accounts at financial institution crime police fight crime stage caterpillar larval stage butterfly ok Would it ok eat out tonight compare should compare cars before buy one authority City authorities make local laws miss you when see again design need design new logo sort Let’s sort these beads according color one only have one cat act I’ll act on your information today ten baby counted ten toes knowledge have knowledge fix that gun Gun ownership controversial topic station There train station close house blue favorite color blue state After accident was state shock strategy new corporate strategy written here little prefer little cars clearly instructions clearly written discuss We’ll discuss that at meeting indeed Your mother does indeed have hearing loss force It takes lot force open that door truth tell truth song That’s beautiful song example need example that grammar point democratic Does Australia have democratic government check check work sure it’s correct environment live healthy environment leg boy broke leg dark Turn on light it’s dark here public Masks must worn public places various That rug comes various shades gray rather Would rather have hamburger than hot dog laugh That movie always makes laugh guess don’t know just guess executive company’s executives are paid well set Set glass on table study needs study test prove employee proved worth hang hang your coat on hook entire ate entire meal 10 minutes rock There are decorative rocks garden design windows don’t open by design enough Have had enough coffee forget Don’t forget stop at store since She hasn’t eaten since yesterday claim made insurance claim car accident note Leave note you’re going late remove Remove cookies from oven manager manager look at your application help Could help move this table close Close door sound dog did make sound enjoy enjoy soda network Band name internet network legal legal documents need signed religious She very religious she attends church weekly cold feet are cold form fill out this application form final divorce was final last month main main problem lack money science studies health science at university green grass green memory has good memory card They sent card birthday above Look on shelf above sink seat That’s comfortable seat cell Your body made millions cells establish They established their business 1942 nice That’s very nice car trial They are employing on trial basis expert Matt IT expert that Did see that movie spring Spring most beautiful season firm ‘no was very firm she won’t change mind Democrat Democrats control Senate radio listen radio car visit visited museum today management That store has good management care She cares mother at home avoid should avoid poison ivy imagine imagine pigs could fly tonight Would like go out tonight huge That truck huge! ball threw ball dog no said ‘no ’ don’t ask again close Close window finish Did finish your homework yourself gave yourself haircut talk talks lot theory theory that’s good plan impact drought had big impact on crops respond hasn’t responded text yet statement police chief gave statement media maintain Exercise helps maintain healthy weight charge need charge phone popular That’s popular restaurant traditional They serve traditional Italian food there onto Jump onto boat we’ll go fishing reveal Washing off dirt revealed boy’s skinned knee direction direction city from here weapon No weapons are allowed government buildings employee That store only has three employees cultural There cultural significance those old ruins contain carton contains dozen egges peace World leaders gathered peace talks head head hurts control Keep control car base glass has heavy base it won’t fall over pain have chest pain apply Maria applied job play children play at park measure Measure twice cut once wide doorway was very wide shake Don’t shake soda fly fly France next year interview job interview went well manage Did manage find keys chair table has six matching chairs fish don’t enjoy eating fish particular That particular style looks good on camera use camera on phone structure building’s structure solid politics Mitch very active politics perform singer perform tonight bit It rained little bit last night weight Keep track your pet’s weight suddenly storm came up suddenly discover You’ll discover treasures at that thrift store candidate There are ten candidates position top flag flies on top that building production Factory production has improved over summer treat Give yourself treat job well done trip are taking trip Florida January evening I’m staying home this evening affect bank account affect how much buy inside cat stays inside conference There expert presenters at conference unit foot unit measure best Those are best glasses buy style dress out style adult Adults pay full price but children are free worry Don’t worry about tomorrow range doctor offered range options mention mention your story rather Rather than focusing on bad things let’s grateful good things far don’t move far from family deep That poem about life deep front face front edge stand close edge cliff individual These potato chips are individual serving size package specific Could more specific writer are good writer trouble Stay out trouble necessary It necessary sleep throughout Throughout life have always enjoyed reading challenge challenge better fear have fears shoulder have shoulder all work on your own institution Have attended institution higher learning middle am middle child with one older brother one younger sister sea sail seven seas dream have dream bar bar place where alcohol served beautiful are beautiful property own property like house instead Instead eating cake have fruit improve am always looking ways improve stuff When moved realized have lot stuff! claim claim fast reader but actually am average
At a crossroads – Needing to make an important decision
When you are at a crossroads, you are at a point in your life where you need to make a decision. The implication is that the decision you make will have big, life-altering consequences.
Bad apple – Bad person
You can use this idiom to describe someone who is not nice and maybe even criminal.
Barking up the wrong tree – Pursuing the wrong course
When you “bark up the wrong tree” you are pursuing the wrong solution to your problems.
Be closefisted – Stingy
If you are being “closefisted”, you don’t want to spend a lot of money.
Be cold-hearted – Uncaring
If you decide to be “cold-hearted”, you are making a deliberate decision not to care about someone or something.
Be on solid ground – Confident
When you are “on solid ground”, you are confident in your position or feel that you are safe.
Beat around the bush – Avoid saying
When you do this, you are taking a long time to say what you really need to say. You may be doing this because the “truth” is embarrassing or your unsure about how the listener will take it.
Behind you – Supportive
When you are “behind” someone, you are saying that they have your support.
Between a rock and a hard place – Facing difficulties
When you have to choose between two options, neither of which are ideal or “good”.
Blow off steam – Try to relax
When you are stressed or upset about something, sometimes you need to do something to keep you from thinking about it.
Born with a silver spoon in their mouth – Born wealthy
This idiomatic expression is used to describe someone who was born into a wealthy family.
Break the bank – Spend a lot
When you “break the bank”, you spend a lot of money on something. If something will “break the bank”, then it’s expensive.
Bright spark – Smart
A “bright spark” is someone who is smart and valuable to an organization.
Build a case – Argue your point
When you “build a case” for something, you are preparing to argue a point or convince someone that your opinion is the right one.
Build castles in the sky – Daydream
When you fantasize about something you hope to have or achieve.
Burn your bridges – End a relationship
When you “burn your bridges” you end a relationship permanently.
Butter up – Flatter
When you “butter” someone up, you are telling them nice things about themselves.
Bought a lemon – Bad bargain
If something you bought is a “lemon” it is a bad product. In a sense, you wasted your money on it.
Break the ice – Start a conversation
When you start a conversation strangers with the end goal of making new friends.
Calm before the storm – Peaceful
When you use this to describe your state of being or mind, you’re talking about a quiet period before anticipated trouble comes your way.
Chasing rainbows – Pursuing dreams
When you try to follow your dreams. The implication here, however, is that you might be better off forgetting your dreams.
Clear as mud – Hard to understand
When you are confused about something or a situation.
Cool as a cucumber – Calm
This idiomatic expression is meant to describe someone who is calm and relaxed.
Couch potato – Lazy
A couch potato is a lazy person. Specifically, someone who sprawls on their couch watching TV almost all day.
Cross that bridge when we get to it – Think about it later
When you say this, you are telling someone that you will think about something later. The implication is that it’s a problem or a decision that can be put off for now.
Chew it over – Think had about something
This idiom implies that you need to make an important decision and can’t afford to be hasty about it.
Come to light – Be revealed
When something “comes to light” something that was originally concealed from you is revealed.
Cut back on – Reduce
When you use this idiom, you are reducing something.
Cut to the chase – Speak concisely
When you tell someone to “cut to the chase”, you are expressing impatience. This is usually used when someone feels someone else is taking to long to deliver important news.
Crystal clear – Easy to understand
When you say that something is “crystal clear”, you are saying that it is understood.
Dead-end job – No more opportunities
When you are stuck in a “dead-end job”, you are in a career situation where there is no more room for advancement.
Dig deep – Strive
When you “dig deep” you put a lot of effort into a task.
Digging into – Looking closer
When you “dig into” something, you are looking for more information.
Don’t run before you can walk – Don’t assume something is easy
This is a descriptive idiom, it’s meant to make you think about how a baby needs to learn how to walk before they can run. It’s supposed to caution you about assuming you can just do something without learning the basics.
Down to earth – Practical
This describes someone who is known for being sensible and practical.
Eat like a bird – Small appetite
This is used to describe someone who doesn’t eat a lot.
Eat like a horse – Eat a lot
If you eat like a horse, you are eating a lot. You can “eat like a bird” most of the time but “eat like a horse” at a specific time because you are either very hungry or you really like the food.
Eat your words – Admit you were wrong
When you “eat your words” you are admitting that something you said earlier turned out to be wrong.
Every cloud has a silver lining – Things will get better
When you say this, you are telling yourself or someone else that you will get through your troubles.
Face the music – Face the consequences
When you “face the music”, you are owning up to a mistake and trying to make amends.
Find your feet – Adapt
When you are “finding your feet” you are learning how to adapt to a new situation, like a new job.
Follow in their footsteps – Imitate
This idiom is often used between children and their parents, but it can also refer to a mentor or someone you admire. If you “follow in someone’s footsteps”, you do the same thing that they did.
Food for thought – Something to think about
If you are given “food for thought” you have been given something to think about.
A frosty reception – To be unwelcome
If you received a “frosty reception”, you are not welcome.
Fly off the handle – Rages
You can use this idiom to describe someone who is visibly angry over a situation. Often this means that someone is shouting and maybe gesturing violently and even causing damage to property. It also implies that the angry reaction is disproportionate to the situation.
Get on with your life – Continue on after a setback
This is something you can say and should do after going through some problems.
Give them a run for their money – Compete
If you are competing with someone, you are giving them a “run for their money.”
Go Dutch – Split the bill
You can use this idiomatic expression when dining out with friends.
Go with the flow – Relax and get along
When you “go with the flow” you keep calm and just go along with whatever is happening around you.
Got off scot-free – Escaped
When you “get off scot-free”, you managed to escape any consequences for your actions.
The world's most customizable AI friend
Create my AI friend
Hard to swallow – Unbelievable
If someone told you something that you just can’t believe, they told you something that is “hard to swallow”.
Have your whole life in front of you – Young
Someone who has their whole life in front of them is young and full of promise.
Hold out an olive branch – Apologize
When you do this, you try to make amends or peace with someone you’ve hurt or angered.
In hot water – In trouble
This idiomatic expression can be used to say that you are in a less than ideal situation.
Inching forward - Making slow progress
When you say this, you’re saying things are proceeding slowly.
Keep on the straight and narrow – Keep out of trouble
When you say this, you are implying that you are going to live in a morally correct way.
Keep your chin up – Stay positive
Even if you’re going through a hard time, you should keep thinking positive.
Kicked the bucket – Died
This is an irreverent phrase to say that someone has died. Be careful how you use it.
Let the cat out of the bag – Spoiled the secret
You “let the cat out of the bag” when you accidentally let someone in on a secret that they weren’t meant to know.
Look up to – Respect
When you “look up to” someone you are acknowledging that you respect them and value their opinion.
Loaded – Rich
When you call someone “loaded” you are saying that they are rich.
Lost at sea – Confused
If a situation is making you feel confused or lost, this is the idiom to use.
Making ends meet – Careful budgeting
If you. don’t have much money, you need to “make ends meet”. This means you carefully budget what you do have to meet your needs.
Make a mountain out of a molehill –Exaggerate
This idiom is used to say that someone is being over-dramatic with their complaints or concerns.
Make waves – Change things
When you “make waves”, you change a situation dramatically. This can also mean that you caused trouble.
Nip in the bud – Stop
When you do this, you take action to keep a situation from getting worse.
No sweat – Easy
When you say “no sweat” you are saying that a task was easy
Not your cup of tea – Not something you like
If you say that something is “not your cup of tea” you are saying it’s not something you particularly like or enjoy.
Once in a blue moon – Rare
This implies something that either won’t happen or rarely happens.
Out in the open – Public knowledge
When something is “out in the open”, it is a matter of public knowledge.
Over the moon – Very happy
You can use this to describe the feeling of getting something you’ve been looking forward to for a long time.
On cloud nine – Very happy
Similar to being over the moon.
Packed like sardines – Crowded
If people are “packed like sardines” in a venue, they are standing very close together in a small space.
Piece of cake –Easy
If you say something is a “piece of cake” you are saying that it is easy.
Pitch in - Contribute
When you “pitch-in”, you work with a group of people to reach a common goal.
Point of view – An opinion
Your “point of view” is what you think about someone or a situation.
Pony up – Pay
If you are paying back a debt, you are “ponying up” the money.
Pour oil on troubled waters – Calm things down
This basically means that you played peacemaker and kept an argument from developing into a physical fight.
Put your head in the sand – Deny something unpleasant
When you have your “head in the sand”, you are deliberately ignoring a bad situation.
Rags to riches – Became rich
Someone who went from “rags to riches” was born poor or underprivileged, but is now in a better social position.
Rain or shine – No matter what
This idiomatic expression is used to express the idea that nothing will stop you.
Reap the rewards – Received the benefits
When you “reap the rewards”, you are getting the benefits of your good work.
Rings a bell – Sounds familiar
When you think that you’ve heard a piece of information before but are not so sure.
Rule of thumb – General practice
A “rule of thumb” is an unwritten rule that is followed by the majority.
Separate the wheat from the chaff – Decide what is valuable
This picturesque idiom refers to how, when you harvest wheat, you need to separate it from the stalks and leaves. So, it means that you pick out or choose what is valuable to keep.
Shell out money – Pay
When you “shell out money”, you pay for an item.
Sitting on the fence – Neutral
When you “sit on the fence” you are avoiding making a decision. Often, this is a decision between two people with different opinions.
Smart cookie – Smart person
You can use this idiom to describe someone intelligent.
Spice things up – Make things interesting
When you “spice things up” you do something to break out of your normal routine.
Spill the beans – Tell
When you do this, you tell someone something they didn’t know. It may or not have been a secret previously.
Sticky fingers – Thief
If you accuse someone of having “sticky fingers” you are basically calling them a thief.
Take a side – Choose who to support
When you “take a side” in an argument, you are agreeing with one of those arguing.
Throw light on – Explain something
When you “throw light on” a situation, you help make sure that it is understood.
To move at a snail’s pace – Move slowly
This is another idiomatic phrase that’s meant to paint a picture. A snail moves slowly, so to move at its pace means things are going slowly.
Tread carefully – Be cautious
This implies that a situation is fraught and it might be easy to offend those involved.
Under the table – Secretive
When you do something “under the table”, you are trying to do something so that only a small amount of people are aware of it. It’s commonly used to describe something that is possibly unscrupulous. For example, bribes are given “under the table”.
Undermine your position – Act unconvincingly
When you behave in a way that makes you and your opinion seem untrustworthy.
Up in the air – Uncertain
When you say something is “up in the air”, you are saying that you are not sure that an event is happening.
Weather the storm – Survive
When you “weather the storm”, you endure a bad situation.
When it rains, it pours – Trouble comes
This refers to the fact that sometimes, many bad things happen to people at one time.
So there you have it, 10 idiomatic expressions and their meanings. These idioms are used by native English language speakers to add some color to their daily speech.
Google is an American multinational technology company focusing on search engine technology, online advertising, cloud computing, computer software, quantum computing, e-commerce, artificial intelligence,[9] and consumer electronics. It has been referred to as "the most powerful company in the world"[10] and one of the world's most valuable brands due to its market dominance, data collection, and technological advantages in the area of artificial intelligence.[11][12][13] Its parent company Alphabet is considered one of the Big Five American information technology companies, alongside Amazon, Apple, Meta, and Microsoft.
Google was founded on September 4, 1998, by Larry Page and Sergey Brin while they were PhD students at Stanford University in California. Together they own about 14% of its publicly listed shares and control 56% of the stockholder voting power through super-voting stock. The company went public via an initial public offering (IPO) in 2004. In 2015, Google was reorganized as a wholly owned subsidiary of Alphabet Inc. Google is Alphabet's largest subsidiary and is a holding company for Alphabet's Internet properties and interests. Sundar Pichai was appointed CEO of Google on October 24, 2015, replacing Larry Page, who became the CEO of Alphabet. On December 3, 2019, Pichai also became the CEO of Alphabet.[14]
The company has since rapidly grown to offer a multitude of products and services beyond Google Search, many of which hold dominant market positions. These products address a wide range of use cases, including email (Gmail), navigation (Waze & Maps), cloud computing (Cloud), web browsing (Chrome), video sharing (YouTube), productivity (Workspace), operating systems (Android), cloud storage (Drive), language translation (Translate), photo storage (Photos), video calling (Meet), smart home (Nest), smartphones (Pixel), wearable technology (Pixel Watch & Fitbit), music streaming (YouTube Music), video on demand (YouTube TV), artificial intelligence (Google Assistant), machine learning APIs (TensorFlow), AI chips (TPU), and more. Discontinued Google products include gaming (Stadia), Glass,[citation needed] Google+, Reader, Play Music, Nexus, Hangouts, and Inbox by Gmail.[15][16]
Google's other ventures outside of Internet services and consumer electronics include quantum computing (Sycamore), self-driving cars (Waymo, formerly the Google Self-Driving Car Project), smart cities (Sidewalk Labs), and transformer models (Google Brain).[17]
Google and YouTube are the two most visited websites worldwide followed by Facebook and Twitter. Google is also the largest search engine, mapping and navigation application, email provider, office suite, video sharing platform, photo and cloud storage provider, mobile operating system, web browser, ML framework, and AI virtual assistant provider in the world as measured by market share. On the list of most valuable brands, Google is ranked second by Forbes[18] and fourth by Interbrand.[19] It has received significant criticism involving issues such as privacy concerns, tax avoidance, censorship, search neutrality, antitrust and abuse of its monopoly position.
In March 1999, the company moved its offices to Palo Alto, California,[52] which is home to several prominent Silicon Valley technology start-ups.[53] The next year, Google began selling advertisements associated with search keywords against Page and Brin's initial opposition toward an advertising-funded search engine.[54][22] To maintain an uncluttered page design, advertisements were solely text-based.[55] In June 2000, it was announced that Google would become the default search engine provider for Yahoo!, one of the most popular websites at the time, replacing Inktomi.
In 2003, after outgrowing two other locations, the company leased an office complex from Silicon Graphics, at 1600 Amphitheatre Parkway in Mountain View, California.[59] The complex became known as the Googleplex, a play on the word googolplex, the number one followed by a googol zeroes. Three years later, Google bought the property from SGI for $319 million.[60] By that time, the name "Google" had found its way into everyday language, causing the verb "google" to be added to the Merriam-Webster Collegiate Dictionary and the Oxford English Dictionary, denoted as: "to use the Google search engine to obtain information on the Internet".[61][62] The first use of the verb on television appeared in an October 2002 episode of Buffy the Vampire Slayer.[63]
Additionally, in 2001 Google's investors felt the need to have a strong internal management, and they agreed to hire Eric Schmidt as the chairman and CEO of Google.[49] Eric was proposed by John Doerr from Kleiner Perkins. He had been trying to find a CEO that Sergey and Larry would accept for several months, but they rejected several candidates because they wanted to retain control over the company. Michael Moritz from Sequoia Capital at one point even menaced requesting Google to immediately pay back Sequoia's $12.5m investment if they did not fulfill their promise to hire a chief executive office, which had been made verbally during investment negotiations. Eric
Sprocket hits a snag putting up his holiday lights (this is what happens to me ^^;) My entry for the Fairyland Puki Puki holiday photo contest on Den of Angels. I got an honorable mention! :)
HAPPY MOTHER'S DAY to everyone who celebrates this special day today!
What a mess Flickr was last night! I had difficulty adding titles to my uploaded images, comments didn't save and, after I had added a description to each of the 20 photos, the descriptions all disappeared. When I opened Flickr this morning, there was still no sign of them. Then, suddenly, they re-appeared.
My photos taken at the National Butterfly Centre, Mission, South Texas, have now come to an end, so you can sigh a huge sigh of relief : ) After that, I have just a few photos taken at another place that we called in at later in the afternoon. Unfortunately, we only had an hour there before closing time, but how glad we were that we found this place. The highlight there was watching 25 Yellow-crowned Night-Herons coming in to roost for the night in the trees, right where we were standing! What a great sight this was, and we were lucky enough to have a good, close view of these gorgeous birds. We also saw some Purple Martins and their circular, hanging nest "gourds".
On Day 6 of our birding holiday in South Texas, 24 March 2019, we left our hotel in Kingsville, South Texas, and started our drive to Mission, where we would be staying at La Quinta Inn & Suites for three nights. On the first stretch of our drive, we were lucky enough to see several bird species, including a Golden-fronted Woodpecker, Hooded Oriole, Red-tailed Hawk, Crested Caracara, Harris's Hawk, Pyrrhuloxia male (looks similar to a Cardinal) and a spectacular Scissor-tailed Flycatcher. I'm not sure if this stretch is called Hawk Alley.
We had a long drive further south towards Mission, with only a couple of drive-by photos taken en route (of a strangely shaped building that turned out to be a deserted seed storage building). Eventually, we reached our next planned stop, the National Butterfly Centre. This was a great place, my favourite part of it being the bird feeding station, where we saw all sorts of species and reasonably close. Despite the name of the place, we only saw a few butterflies while we were there. May have been the weather or, more likely, the fact that I was having so much fun at the bird feeding station. We also got to see Spike, a giant African Spurred Tortoise. All the nature/wildlife parks that we visited in South Texas had beautiful visitor centres and usually bird feeding stations. And there are so many of these parks - so impressive!
nationalbutterflycenter.org/nbc-multi-media/in-the-news/1...
"Ten years ago, the North American Butterfly Association broke ground for what has now become the largest native plant botanical garden in the United States. This 100-acre preserve is home to Spike (who thinks he is a butterfly) and the greatest volume and variety of wild, free-flying butterflies in the nation. In fact, USA Today calls the National Butterfly Center, in Mission, Texas, 'the butterfly capitol of the USA'." From the Butterfly Centre's website.
The Centre is facing huge challenges, as a result of the "Border Wall". The following information is from the Centre's website.
www.nationalbutterflycenter.org/about-nbc/maps-directions...
"No permission was requested to enter the property or begin cutting down trees. The center was not notified of any roadwork, nor given the opportunity to review, negotiate or deny the workplan. Same goes for the core sampling of soils on the property, and the surveying and staking of a “clear zone” that will bulldoze 200,000 square feet of habitat for protected species like the Texas Tortoise and Texas Indigo, not to mention about 400 species of birds. The federal government had decided it will do as it pleases with our property, swiftly and secretly, in spite of our property rights and right to due process under the law."
"What the Border Wall will do here:
1) Eradicate an enormous amount of native habitat, including host plants for butterflies, breeding and feeding areas for wildlife, and lands set aside for conservation of endangered and threatened species-- including avian species that migrate N/S through this area or over-winter, here, in the tip of the Central US Flyway.
2) Create devastating flooding to all property up to 2 miles behind the wall, on the banks of the mighty Rio Grande River, here.
3) Reduce viable range land for wildlife foraging and mating. This will result in greater competition for resources and a smaller gene pool for healthy species reproduction. Genetic "bottlenecks" can exacerbate blight and disease.
IN ADDITION:
4) Not all birds can fly over the wall, nor will all butterfly species. For example, the Ferruginous Pygmy Owl, found on the southern border from Texas to Arizona, only flies about 6 ft in the air. It cannot overcome a 30 ft vertical wall of concrete and steel.
5) Nocturnal and crepuscular wildlife, which rely on sunset and sunrise cues to regulate vital activity, will be negatively affected by night time flood lighting of the "control zone" the DHS CBP will establish along the wall and new secondary drag roads. The expansion of these areas to vehicular traffic will increase wildlife roadkill.
6) Animals trapped north of the wall will face similar competition for resources, cut off from native habitat in the conservation corridor and from water in the Rio Grande River and adjacent resacas. HUMANS, here, will also be cut off from our only source of fresh water, in this irrigated desert.
The British Medical Journal 1881
Dupuytren's Contraction of the Fingers
The following remarks are based on a long personal acquaintance with this deformity, as well as considerable professional experience. These contractions are very common, and cause much inconvenience. The subject of them cannot wash himself with comfort; wear gloves; shake hands; carry stick or umbrella; take hold of anything; or enter into many most desirable games like his neighbours, or on equal terms, if he makes the attempt. If medical, he finds great difficulty in making certain physical examinations, and in the performance of many surgical operations. This is particularly the case with the accoucheur, whose crooked fingers are always in his way; and, in turning, for instance, prove a source of acute suffering to himself, as well as to his patient.
Such being the case, it is almost incredible that an affliction so frequently met with, even among medical men, involving so many inconveniences, should have been so thoroughly misunderstood – so utterly neglected by the profession at large. For above thirty years, I have asked the advice of physicians and surgeons in my own case – men of the greatest repute, and I have met with scores of fellow-sufferers who have done the same in their cases, with the following result.
Dr. A. examines the fingers most thoughtfully, and gives his opinion "Ah, I fear nothing can be done, leave your fingers alone, I would not meddle with them"; or, "I see, gout; you know what to do as well as I can tell you: soak your hand in a solution of carbonate of soda, take a course of iodide of potassium, and drink Vichy water". "Do not allow any operation; you know Syme's opinion about that: worse than useless. Nothing but accidental and forcible rupture ever did good in such a case".
Surgeon B. advises you to grin and bear it; and, if the fingers get very much more inconvenient, why, then, have them amputated.
Now, this is no overdrawn description of the counsel we unfortunate cripples have received, and do receive, at the hands of our medical and surgical advisers; and it clearly shows that the profession is, at this date, utterly ignorant of the pathological changes which constitute this contraction, or of the scientific method of treating it.
This ignorance appears all the more incomprehensible, when we think of the clear light thrown on the nature of palmar and digital contractions by the teachings of Dupuytren, in 1832; by Goyrand's dissections, in 1834; by Partridge's, in 1844; and by the very full account given by Mr. Adams of London, before the members of this Association, in 1875; and by his publications, in 1876 and 1878.
The writings and illustrations of these men show, most conclusively, that the changes brought about in the palm of the hand and fingers are entirely dependent on changes which have taken place in the bands of fascia, common to both; that the tendons with their sheaths, the joints with their coverings and ligaments, are not implicated; and that, although these may have remained in a state of fixity, more or less complete, for a long period of years, they resume their natural position, and capacity for action, as soon as the contracted bands are divided. It is to this fact that operative procedure of the right sort owes its success, as, if the joints and tendons were involved or materially altered in any way, subcutaneous division of the contracted fascial bands would prove of little advantage, even in recent cases.
Two forms of contracted fingers are met with: the one traumatic, clearly traceable to some local injury; the other idiopathic. The former may occur in one finger only, or be confined to one portion of the palmar fascia. It may be found at any time of life, and is in all essentials the same as those contractions which can be traced to no visible cause; and are, therefore, spoken of as constitutional or idiopathic.
These are generally met with after middle life; one or more fingers may be the seat of contraction, the third finger being most commonly affected; the forefingers and thumbs are very rarely implicated, although I have seen the forefingers and thumbs of both hands firmly closed – the hands presenting the same attitude as if prepared for boxing.
During the development of contraction of the fascia very little is noticed, as far as symptoms go. A little pain in the line of contraction, increased on any attempt at extension; this leads one naturally to keep the finger, if anything, flexed, especially during sleep. By-and-by, nodules appear, at first soft and tender to the touch, then firm, elastic, and painless. Gradually the finger gets more and more bent until it is brought, more or less, close to the palm; the skin immediately over the affected bands, in the course of years, becomes adherent to them, and assumes a puckered appearance, exactly like the cutaneous adhesions we so often see in cancer. The contractions gradually reach their limit in a period varying from one year to six. During their progress we have no very active symptoms, and the fingers can be used, as far as it is possible, without pain, and with no increase to the mischief going on.
What is the nature of this peculiar affection? Most authorities – among the number the late Sir William Fergusson, Sir James Paget, and Mr. Adams – speak of it as a form of gout; but I see no reason why gout, already supposed to be at the bottom of every aberration from health, should be saddled with Dupuytren's contraction of fascia; and my reasons for objecting to its being in any way connected with gout are the following.
1. It is never met with among women*. Mr. Adams writes: "I have never seen it in women." Now, gout is very partial to the fair sex.
2. Many of the worst cases I have met with (my own among them) cannot boast of having a single gouty progenitor, and never exhibited a symptom of gout ourselves, although we have been affected with fascial mischief for fifteen, twenty, and thirty years, and some of us are over seventy-four.
3. Remedies which are known to have a specific power over the gouty diathesis have no influence here; even a long course of mineral waters and baths, which would remove old-standing and considerable gouty and rheumatic swellings, fail to produce the slightest amelioration.
And, lastly, the very mode of dealing successfully with contracted fingers, by division, with subsequent mechanical extension, is a plan which even Mr. Adams would not venture to adopt in cases of enlargement, stiffening, and contraction from gouty deposit. Still, I am constantly met with the remark: "But you must allow that this thing runs in families". Most certainly; but, will you tell me what does not run in families? Stealing and lying do, extravagance and drunkenness; yet no one would ever dare to ascribe the conduct of the thief, liar, spendthrift, or drunkard to his being a victim to gouty hereditary tendencies; and, the sooner we give up the gouty theory regarding the nature of these contractions, the sooner shall we see our way to dealing with them successfully, and in their early stage.
If they are not gouty, what are they? Inflammatory? I think not, because they are unaccompanied by any of the ordinary symptoms of inflammation, or its results. The evil, whatever it is, is confined to the one structure; it does not extend to neighbouring tendons or joints, and is not destructive in any way or sense. The contracted fasiculi are capable of being restored to their normal condition, and, with their restoration, the nodules disappear; and tendons and joints, which have remained useless for many years, are found to be perfectly healthy, and capable of resuming their natural functions. Such being the case, I am inclined to view these contractions as examples of simple hypertrophy of the tendino-fibrous bands which compose the palmar fascia, or its digital branches.
As regards treatment, I have little to say. There is only one safe and successful course open to the surgeon; and that is: subcutaneous division of constricted bands, with subsequent mechanical extension. The operation is by no means so easy as one would imagine; it involves great caution, and a highly educated touch. One must grope about with the knife in the dark, and divide every fibre of the tightened band separately – all the while the knife may be very close to most important structures, the division of which might be followed by very serious consequences. For further information on everything pertaining to contracted fingers, I must refer to Mr. Adams's treatise; and I would further advise everyone suffering from them to place themselves under his care, as I can bear witness to the marvellous success he has in met with dealing with some very old and complicated cases. For my own part, I owe him a debt of gratitude for the patience, skill, and kindness I received at his hands; and, when opportunity offers, I shall again submit myself with the greatest confidence to his treatment. My hand presented greater difficulties to the operator than he had previously encountered. I was under his knife for forty minutes, and then he had to desist, on account of a portion of skin, opposite the metacarpal joint of the ring-finger, giving way. The operation, therefore, was only partially successful; but, incomplete as it was, the amount of comfort and freedom my hand has received is greater than I ever looked for.
*[These days we know that the fair sex get the disease too, just not as frequently as the unfair sex.]
Myrtle, A. S. (1881). Dupuytren’s Contraction of the Fingers. British Medical Journal, 2(1092), 894–895.
The most difficult footpath?
My wife & I walked the Blencathra Wainwrights. Finishing on Blencathra, we descended Doddick Fell (one of the ridges on the south side of the mountain). This path is steep and rocky but has no great difficulty. At the bottom, direct access to the road (A66) is not possible and we had to follow the footpath (on the fell side of the open land boundary wall) eastwards towards Scales. I could see from the map that the path loops into the Scaley Beck valley.
Upon reaching this valley we encountered this steep, rocky and smooth step. We managed to get down by holding onto the fence as the rock was curiously devoid of good handholds. This put us onto a horizontal path which led in a few yards to a second, even steeper rocky step. This step was much steeper than the first and was about 15 feet high (high enough to do serious damage upon falling). To the left (facing downhill) was a vertical chimney absolutely oozing with water and slime; in the middle is an overhang; to the right was a vertical wall. Again the slabs above were curiously devoid of good hand holds. Hoping to get a better grip on the rock and fully expecting to be down in a minute, I removed my gloves in order to get a better grip and threw them down to the bottom. Bare hands didn't help at all and after lots of dithering, we climbed back to above the first step. A faint path leading higher into the valley seemed to offer a safer alternative. We followed this, heading for what appeared to be a more manageable slope, but this path soon petered out. As we battled further up through dense foliage, a walker appeared at the top of the corresponding Bad Step on the West Bank coming in the opposite direction. He had some difficulty in descending that step but did make progress. I realised that he would find my gloves and I tried to shout down to him, but he couldn't hear because of the water and he didn't look our way, so didn't see us. I was hoping that he would be stopped by the West Bank step because I knew that he would pick up my gloves.
The thick foliage and steep slope slowed us considerably and it took a while to reach the stream bed further up the valley. We now followed the stream down hill, back towards the path. Even here progress was difficult, with many rocky drops being encountered; at several places we actually had to wade in the water. After a long time we finally regained the path where it crosses the stream. There was no sign of the walker nor of my gloves, so presumably he'd climbed the step and picked up my gloves thinking that he might catch up with their owner (me).
My wife and I managed to ascend the rock step on the East Bank without too much difficulty; it's definitely easier than the West Bank step, although again, it might be intimidating to descend.
We finally got back to the car at Scales. I looked at the map, trying to decide where the lone walker might emerge onto the road. We drove to several possible locations but we never saw him (or my gloves) again. What was bizarre was that he was the only other walker we saw on that side of the mountain and at the very moment that I was (temporarily) separated from my gloves.
Has anybody else walked that path and encountered those Bad Steps? I would say that they are definitely the most difficult that I have encountered on a footpath.
Go to the Book with image in the Internet Archive
Title: United States Naval Medical Bulletin Vol. 9, Nos. 1-4, 1915
Creator: U.S. Navy. Bureau of Medicine and Surgery
Publisher:
Sponsor:
Contributor:
Date: 1915
Language: eng
<p class="MsoNormal" style="margin-bottom:.0001pt;line-height:normal;">Table of Contents</p>
<p class="MsoNormal" style="margin-bottom:.0001pt;line-height:normal;"> </p>
<p class="MsoNormal" style="margin-bottom:.0001pt;line-height:normal;">Number 1</p>
<p class="MsoNormal" style="margin-bottom:.0001pt;line-height:normal;"> </p>
<p class="MsoNormal" style="margin-bottom:.0001pt;line-height:normal;">PREFACE v</p>
<p class="MsoNormal" style="margin-bottom:.0001pt;line-height:normal;">SPECIAL ARTICLES:</p>
<p class="MsoNormal" style="margin-bottom:.0001pt;line-height:normal;">Shock, anoci-association and anesthesia.</p>
<p class="MsoNormal" style="margin-bottom:.0001pt;line-height:normal;">By Surg. A. M. Fauntleroy 1</p>
<p class="MsoNormal" style="margin-bottom:.0001pt;line-height:normal;">The proposed personnel, organization, and equipment of a hospital ship</p>
<p class="MsoNormal" style="margin-bottom:.0001pt;line-height:normal;">By Surg. E. M. Blackwell and Chief Pharm. O. G. Ruge 28</p>
<p class="MsoNormal" style="margin-bottom:.0001pt;line-height:normal;">The application of Wassermann's reaction to the SOLUTION OF THE</p>
<p class="MsoNormal" style="margin-bottom:.0001pt;line-height:normal;">ETIOLOGY OF TROPICAL ULCERATIONS.</p>
<p class="MsoNormal" style="margin-bottom:.0001pt;line-height:normal;">By Surg. C. S. Butler 51</p>
<p class="MsoNormal" style="margin-bottom:.0001pt;line-height:normal;">Some theories as to the origin of Jackson's veil.</p>
<p class="MsoNormal" style="margin-bottom:.0001pt;line-height:normal;">By Asst. Surg. J. M. Lynch, M. R. C 62</p>
<p class="MsoNormal" style="margin-bottom:.0001pt;line-height:normal;">A RESUME OF ETIOLOGICAL FACTORS CONCERNED IN YELLOW FEVER.</p>
<p class="MsoNormal" style="margin-bottom:.0001pt;line-height:normal;">By Passed Asst. Surg. C. B. Camerer 65</p>
<p class="MsoNormal" style="margin-bottom:.0001pt;line-height:normal;">Some observations on the examination of recruits.</p>
<p class="MsoNormal" style="margin-bottom:.0001pt;line-height:normal;">By Passed Asst. Surg. J. J. S. McMullin 70</p>
<p class="MsoNormal" style="margin-bottom:.0001pt;line-height:normal;">Experience of a surgeon during the occupation of Vera Cruz.</p>
<p class="MsoNormal" style="margin-bottom:.0001pt;line-height:normal;">By Asst. Surg. G. T. Vaughan, M. R. C 75</p>
<p class="MsoNormal" style="margin-bottom:.0001pt;line-height:normal;">Experiences with marine expeditionary force in Mexico.</p>
<p class="MsoNormal" style="margin-bottom:.0001pt;line-height:normal;">By Asst. Surg. R. M. Little, M. R. C 76</p>
<p class="MsoNormal" style="margin-bottom:.0001pt;line-height:normal;">Treatment of chronic posterior urethritis.</p>
<p class="MsoNormal" style="margin-bottom:.0001pt;line-height:normal;">By Medical Inspector G. T. Smith 80</p>
<p class="MsoNormal" style="margin-bottom:.0001pt;line-height:normal;">A NEW METHOD OF EXAMINING STOOLS FOR EGGS.</p>
<p class="MsoNormal" style="margin-bottom:.0001pt;line-height:normal;">By Passed Asst. Surg. C. M. Fauntleroy, Public Health Service, and Passed
Asst. Surg. R. Hayden 81</p>
<p class="MsoNormal" style="margin-bottom:.0001pt;line-height:normal;">An account of the yellow fever which prevailed on board the United
States Ship Jamestown in 1866-67 at Panama. </p>
<p class="MsoNormal" style="margin-bottom:.0001pt;line-height:normal;">By Passed Asst. Surg. W. M. Kerr 82</p>
<p class="MsoNormal" style="margin-bottom:.0001pt;line-height:normal;">UNITED STATES NAVAL MEDICAL SCHOOL LABORATORIES:</p>
<p class="MsoNormal" style="margin-bottom:.0001pt;line-height:normal;">Additions to the pathological collection 111</p>
<p class="MsoNormal" style="margin-bottom:.0001pt;line-height:normal;">Additions to the helmintholoqical collection 111</p>
<p class="MsoNormal" style="margin-bottom:.0001pt;line-height:normal;">SUGGESTED DEVICES:</p>
<p class="MsoNormal" style="margin-bottom:.0001pt;line-height:normal;">A card index of specific cases.</p>
<p class="MsoNormal" style="margin-bottom:.0001pt;line-height:normal;">By Passed Asst. Surg. R. B. Henry 113</p>
<p class="MsoNormal" style="margin-bottom:.0001pt;line-height:normal;">The otoscope as an anterior urethroscope.</p>
<p class="MsoNormal" style="margin-bottom:.0001pt;line-height:normal;">By Passed Asst. Surg. W. G. Steadman, jr <span> </span>114</p>
<p class="MsoNormal" style="margin-bottom:.0001pt;line-height:normal;">CLINICAL NOTES:</p>
<p class="MsoNormal" style="margin-bottom:.0001pt;line-height:normal;">Advance report concerning heliotherapy and ionic medication as employed
at Las Animas, Colo.</p>
<p class="MsoNormal" style="margin-bottom:.0001pt;line-height:normal;">By Passed Asst. Surg. C. J. Holeman 119</p>
<p class="MsoNormal" style="margin-bottom:.0001pt;line-height:normal;">Compound comminuted fracture of skull.</p>
<p class="MsoNormal" style="margin-bottom:.0001pt;line-height:normal;">By Passed Asst. Surg. T. W. Raison 120</p>
<p class="MsoNormal" style="margin-bottom:.0001pt;line-height:normal;">A case of reamputation of the leg.</p>
<p class="MsoNormal" style="margin-bottom:.0001pt;line-height:normal;">By Surg. R. Spear 122</p>
<p class="MsoNormal" style="margin-bottom:.0001pt;line-height:normal;">Tenoplasty for contracture of hamstring tendons.</p>
<p class="MsoNormal" style="margin-bottom:.0001pt;line-height:normal;">By Surg. R. R. Richardson 123</p>
<p class="MsoNormal" style="margin-bottom:.0001pt;line-height:normal;">Neosalvarsan and mercury in unilateral luetic palsy of abducens.</p>
<p class="MsoNormal" style="margin-bottom:.0001pt;line-height:normal;">By Asst. Surg. S. Walker, M. R. C 124</p>
<p class="MsoNormal" style="margin-bottom:.0001pt;line-height:normal;">EDITORIAL COMMENT: </p>
<p class="MsoNormal" style="margin-bottom:.0001pt;line-height:normal;">Southern Medical Association 127</p>
<p class="MsoNormal" style="margin-bottom:.0001pt;line-height:normal;">The William A. Herndon Scholarships, University of Virginia 127</p>
<p class="MsoNormal" style="margin-bottom:.0001pt;line-height:normal;">PROGRESS IN MEDICAL SCIENCES:</p>
<p class="MsoNormal" style="margin-bottom:.0001pt;line-height:normal;">General medicine. —-The diagnosis and treatment of cholecystitis. The duration
of infection in scarlet fevor. By L. W. Johnson. Diphtheria mortality with and
without the use of antitoxin. By W. E. Eaton.</p>
<p class="MsoNormal" style="margin-bottom:.0001pt;line-height:normal;">Observations on the Wassermann reaction. By R. Sheehan 129</p>
<p class="MsoNormal" style="margin-bottom:.0001pt;line-height:normal;">Mental and nervous diseases. —The role of hypnotics in mental disease
with indications for their selection and employment. Hereditary ataxia. Psychic
disturbances of dengue. By R. Sheehan 133</p>
<p class="MsoNormal" style="margin-bottom:.0001pt;line-height:normal;">Surgery.— Medical arrangements of the British Expeditionary Force. The
home hospitals and the war. The wounded in the war; some surgical lessons. By
L. W. Johnson. The significance of the Jackson veil.</p>
<p class="MsoNormal" style="margin-bottom:.0001pt;line-height:normal;">The fate of transplanted bone and the regenerative power of its various
constituents. A plea for the immediate operation of fractures. By A. M.
Fauntleroy and E. II. H. Old 140</p>
<p class="MsoNormal" style="margin-bottom:.0001pt;line-height:normal;">Hygiene and sanitation. —Study of a swimming pool with a return purification
system. The period of incubation of diphtheria cultures. Subsistence on board
battleships. The chemical disinfection of water.</p>
<p class="MsoNormal" style="margin-bottom:.0001pt;line-height:normal;">Sterilization of water supplies for troops on active service. The
Lettsomian lectures on dysentery. Antimosquito work at Panama. By C. N. Fiske
and R. C. Ransdell 147</p>
<p class="MsoNormal" style="margin-bottom:.0001pt;line-height:normal;">Tropical medicine. —Malaria and the transmission of diseases. Prevention
of malaria in the troops of our Indian empire. Researches in sprue. By E. R.
Stitt 152</p>
<p class="MsoNormal" style="margin-bottom:.0001pt;line-height:normal;">Pathology, bacteriology, and animal parasitology. —Is pellagra due to
an intestinal parasite? By C. N. Fiske. Laboratory studies on tetanus. The
cultivation of the tubercle bacillus. The bacteriology of pyorrhea alveolaris.
Experimental production of purpura in animals. By A. B. Clifford and G. F.
Clark 156</p>
<p class="MsoNormal" style="margin-bottom:.0001pt;line-height:normal;">Chemistry and pharmacy.—On the influence of atmosphere, temperature, and
humidity on animal metabolism. The influence of moisture in the air on
metabolism in the body. Biochemical studies of expired air in relation to
ventilation. The absorption of protein and fat after resection of one-half of
the small intestine. By E. W. Brown and O. G. Ruge. . . 158</p>
<p class="MsoNormal" style="margin-bottom:.0001pt;line-height:normal;">Eye, ear, nose, and throat. —Relation of arterial hypertension to subconjunctival
hemorrhage. Ocular manifestations of arteriosclerosis and their diagnostic and
prognostic significance. Salvarsan treatment and optic neuritis. Eye in
locomotor ataxia. The direct method of the intralaryngeal operation.
Inflammation of the accessary sinuses. Normal horse serum in hemorrhage from
nose and throat operations. Tonsillectomy, its indications and choice of
operation. The correction of nasal deformities by mechanical replacement and
the transplantation of bone. By E. J. Grow and G. B. Trible 162</p>
<p class="MsoNormal" style="margin-bottom:.0001pt;line-height:normal;">REPORTS:</p>
<p class="MsoNormal" style="margin-bottom:.0001pt;line-height:normal;">Points of interest about the Mexican constitutionalist wounded at
Mazatlan.— By Surg. P. S. Rossiter 167</p>
<p class="MsoNormal" style="margin-bottom:.0001pt;line-height:normal;">Sanitary report of marine brigade. —By Surg. D. N. Carpenter 173</p>
<p class="MsoNormal" style="margin-bottom:.0001pt;line-height:normal;">Report of work at the field hospital of the marine brigade, Vera Cruz,
Mexico. —By Surg. D. N. Carpenter 177</p>
<p class="MsoNormal" style="margin-bottom:.0001pt;line-height:normal;"> </p>
<p class="MsoNormal" style="margin-bottom:.0001pt;line-height:normal;">Number 2</p>
<p class="MsoNormal" style="margin-bottom:.0001pt;line-height:normal;"> </p>
<p class="MsoNormal" style="margin-bottom:.0001pt;line-height:normal;">PREFACE vii</p>
<p class="MsoNormal" style="margin-bottom:.0001pt;line-height:normal;">SPECIAL ARTICLES:</p>
<p class="MsoNormal" style="margin-bottom:.0001pt;line-height:normal;">The operative treatment of chronic intestinal stasis.</p>
<p class="MsoNormal" style="margin-bottom:.0001pt;line-height:normal;">By Asst. Surg. W. S. Bainbridge, M. R. 0 179</p>
<p class="MsoNormal" style="margin-bottom:.0001pt;line-height:normal;">Symposium on intelligence tests.</p>
<p class="MsoNormal" style="margin-bottom:.0001pt;line-height:normal;">Service use of intelligence tests.</p>
<p class="MsoNormal" style="margin-bottom:.0001pt;line-height:normal;">By Passed Asst. Surg. R. Sheehan 194</p>
<p class="MsoNormal" style="margin-bottom:.0001pt;line-height:normal;">The value of the mental test and its relation to the service.</p>
<p class="MsoNormal" style="margin-bottom:.0001pt;line-height:normal;">By Passed Asst. Surg. G. E. Thomas 200</p>
<p class="MsoNormal" style="margin-bottom:.0001pt;line-height:normal;">Mental defectives at Naval Disciplinary Barracks, Port Royal, S. C.</p>
<p class="MsoNormal" style="margin-bottom:.0001pt;line-height:normal;">By Passed Asst. Surg. H. E. Jenkins 211</p>
<p class="MsoNormal" style="margin-bottom:.0001pt;line-height:normal;">Review and possibilities of mental tests in the examination of applicants
for enlistment.</p>
<p class="MsoNormal" style="margin-bottom:.0001pt;line-height:normal;">By Acting Asst. Surg. A. R. Schier 222</p>
<p class="MsoNormal" style="margin-bottom:.0001pt;line-height:normal;">Observations on deep diving.</p>
<p class="MsoNormal" style="margin-bottom:.0001pt;line-height:normal;">By Passed Asst. Surg. G. R. W. French 227</p>
<p class="MsoNormal" style="margin-bottom:.0001pt;line-height:normal;">Tuberculosis.</p>
<p class="MsoNormal" style="margin-bottom:.0001pt;line-height:normal;">By Surg. E. Thompson 253</p>
<p class="MsoNormal" style="margin-bottom:.0001pt;line-height:normal;">Observations on seven cases of cerebrospinal fever.</p>
<p class="MsoNormal" style="margin-bottom:.0001pt;line-height:normal;">By Passed Asst. Surg. D. C. Cather 259</p>
<p class="MsoNormal" style="margin-bottom:.0001pt;line-height:normal;">The posterior urethra and bladder in a hundred cases of chronic gonorrhea.</p>
<p class="MsoNormal" style="margin-bottom:.0001pt;line-height:normal;">By Passed Asst. Surg. A. L. Clifton 265</p>
<p class="MsoNormal" style="margin-bottom:.0001pt;line-height:normal;">UNITED STATES NAVAL MEDICAL SCHOOL LABORATORIES:</p>
<p class="MsoNormal" style="margin-bottom:.0001pt;line-height:normal;">Additions to the pathological collection 271</p>
<p class="MsoNormal" style="margin-bottom:.0001pt;line-height:normal;">Additions to the helminthological collection 271</p>
<p class="MsoNormal" style="margin-bottom:.0001pt;line-height:normal;">SUGGESTED DEVICES:</p>
<p class="MsoNormal" style="margin-bottom:.0001pt;line-height:normal;">Apparatus for securing traction of lower extremities.</p>
<p class="MsoNormal" style="margin-bottom:.0001pt;line-height:normal;">By Surg. H. A. Dunn 278</p>
<p class="MsoNormal" style="margin-bottom:.0001pt;line-height:normal;">CLINICAL NOTES:</p>
<p class="MsoNormal" style="margin-bottom:.0001pt;line-height:normal;">Leukopenia of a marked degree in a fatal case of pneumonia.</p>
<p class="MsoNormal" style="margin-bottom:.0001pt;line-height:normal;">By Medical Director E. R. Stitt 275</p>
<p class="MsoNormal" style="margin-bottom:.0001pt;line-height:normal;">GASTRIC CHANGES FOLLOWING GASTROENTEROSTOMY.</p>
<p class="MsoNormal" style="margin-bottom:.0001pt;line-height:normal;">By Passed Asst. Surgs. H. F. Hull and O. J. Mink 275</p>
<p class="MsoNormal" style="margin-bottom:.0001pt;line-height:normal;">TWO CASES OF MALARIA TREATED WITH SALVARSAN.</p>
<p class="MsoNormal" style="margin-bottom:.0001pt;line-height:normal;">By Passed Asst. Surg. E. U. Reed 278</p>
<p class="MsoNormal" style="margin-bottom:.0001pt;line-height:normal;">PSEUDOLEUKEMIC ANEMIA OF INFANCY OCCURRING IN TWINS.</p>
<p class="MsoNormal" style="margin-bottom:.0001pt;line-height:normal;">By Asst. Surg. S. Walker, M. R. C 280,</p>
<p class="MsoNormal" style="margin-bottom:.0001pt;line-height:normal;">EDITORIAL COMMENT:</p>
<p class="MsoNormal" style="margin-bottom:.0001pt;line-height:normal;">George Perley Bradley, medical director, United States Navy. . . 283</p>
<p class="MsoNormal" style="margin-bottom:.0001pt;line-height:normal;">A new quarterly naval medical journal 285</p>
<p class="MsoNormal" style="margin-bottom:.0001pt;line-height:normal;">The Harrison law 285</p>
<p class="MsoNormal" style="margin-bottom:.0001pt;line-height:normal;">PROGRESS IN MEDICAL SCIENCES:</p>
<p class="MsoNormal" style="margin-bottom:.0001pt;line-height:normal;">General medicine. —Differentiation of the diseases included under chronic
arthritis. By L. W. Johnson. The war and typhoid fever. By G. F. Clark. Use of
the Schick test in the suppression of a diphtheria outbreak. By R. Sheehan. The
present status of the treatment of advanced cardiac decompensation. The
influence of diet upon necrosis caused by hepatic and renal poisons. Syphilitic
nephritis. Is emetin sufficient to bring about a radical cure in amebiasis? A case of a
large aneurism of the arch of the aorta with use of bronchoscopy. By E. Thompson
and E. L. Woods 287</p>
<p class="MsoNormal" style="margin-bottom:.0001pt;line-height:normal;">Mental and nervous diseases.—The importance of the bony sinuses accessory
to the nose in the explanation of pains in the head, face, and neck. Spinal
decompression in meningomyelitis. Fleeting attacks of manic depressive
psychosis. Epilepsy and cerebral tumor. The ductless glands and mental disease.
Acute paraplegia. By R. Sheehan 295</p>
<p class="MsoNormal" style="margin-bottom:.0001pt;line-height:normal;">Surgery. —The Freiburg method of Dammerschlaf or twilight sleep. By W.
G. Steadman. Observations on the seminal vesicles. By H. W. Cole. Rubber
gloves; a technique of mending. A note upon the wounds of the present campaign.
By L. W. Johnson. The silence of renal tuberculosis. Acute hemorrhagic
pancreatitis. Preservation of the iliohypogastric nerve in operation for cure
of inguinal hernia. Aperiosteal amputation through the femur. A modified
incision for approaching the gall bladder. The occurrence of acute
emphysematous gangrene (malignant edema) in wounds received in the war. Note on
the wounds observed during three weeks' fighting in Flanders. The naval action
off Helgoland. By A. M. Fauntleroy and E. H. H. Old 299</p>
<p class="MsoNormal" style="margin-bottom:.0001pt;line-height:normal;">Hygiene and sanitation. —Massachusetts Association of Boards of Health;
report of question meeting. The disinfecting properties of gaslight on air of
room. Sewage disinfection for vessels and railway coaches. The prophylaxis of
malaria with special reference to the military service. By C. N. Fiske and R.
C. Ransdell 313</p>
<p class="MsoNormal" style="margin-bottom:.0001pt;line-height:normal;">Tropical medicine. —Benzol in bilharzia. By E. L. Woods. Kala-azar and
allied infections. Observations on the eggs of ascaris lumbricoides. By E. R.
Stitt 319</p>
<p class="MsoNormal" style="margin-bottom:.0001pt;line-height:normal;">Pathology, bacteriology, and animal parasitology. —The occurrence of
certain structures in the erythrocytes of guinea pigs and their relationship to
the so-called parasite of yellow fever. Observations on myeloid sarcoma with an
analysis of fifty cases. By G. F. Clark. A new and rapid method for the
isolation and cultivation of tubercle bacilli directly from the sputum and
feces. Appendicitis treated with</p>
<p class="MsoNormal" style="margin-bottom:.0001pt;line-height:normal;">anticolon bacillus serum and vaccine. The retention of iron in the organs
in hemolytic anemia. By C. S. Butler and A. B. Clifford 321</p>
<p class="MsoNormal" style="margin-bottom:.0001pt;line-height:normal;">Chemistry and pharmacy. —The analysis of emulsions. Notes on the estimation
of morphin and Lloyd's reagent. By P. J. Waldner. Merck's annual report of
recent advances in pharmaceutical chemistry and</p>
<p class="MsoNormal" style="margin-bottom:.0001pt;line-height:normal;">therapeutics. By E. W. Brown and O. G. Ruge 326</p>
<p class="MsoNormal" style="margin-bottom:.0001pt;line-height:normal;">Eye, ear, nose, and throat. —The tonsils as a habitat of oral
entamebas. By O N. Fiske. Enucleation of the eye under local anasthesia. On a
modification of Siegrist's method of local anesthesia in enucleation of</p>
<p class="MsoNormal" style="margin-bottom:.0001pt;line-height:normal;">the eyeball. The use of pituitary extract as a coagulant in the surgery
of the nose and throat. Value of roentgenography in diagnosis of diseases of
the larynx and trachea. The difficulties and dangers of exploratory puncture of
the antrum of Highmore. By E. J. Grow and G. B.Trible 331</p>
<p class="MsoNormal" style="margin-bottom:.0001pt;line-height:normal;">REPORTS: </p>
<p class="MsoNormal" style="margin-bottom:.0001pt;line-height:normal;">Extracts from annual sanitary reports. —Notes on marine recruiting. By
F. H. Brooks. Notes on recruiting. By J. B. Bostick. Economy in use of hospital
supplies. By A. R. Wentworth. Venereal prophylaxis. Examination of civil
employees. By C. N. Fiske. Industrial notes from Boston yard. By N. J.
Blackwood. Notes on tropical hygiene. By A. Stuart. Battleship ventilation. Use
of barracks during . overhaul period. By T. W. Richards. Sanitary notes from
the U. S. S. Ozark. Malarial prophylaxis. By R. W. McDowell. Sanitary notes from
the U. S. S. Virginia. By G. L. Angeny 335</p>
<p class="MsoNormal" style="margin-bottom:.0001pt;line-height:normal;">The Schick Test and the use of diphtheria antitoxin.</p>
<p class="MsoNormal" style="margin-bottom:.0001pt;line-height:normal;">By Passed Asst. Surg. J. J. A. McMullin 362</p>
<p class="MsoNormal" style="margin-bottom:.0001pt;line-height:normal;"> </p>
<p class="MsoNormal" style="margin-bottom:.0001pt;line-height:normal;">Number 3</p>
<p class="MsoNormal" style="margin-bottom:.0001pt;line-height:normal;"> </p>
<p class="MsoNormal" style="margin-bottom:.0001pt;line-height:normal;">PREFACE vii</p>
<p class="MsoNormal" style="margin-bottom:.0001pt;line-height:normal;">SPECIAL ARTICLES:</p>
<p class="MsoNormal" style="margin-bottom:.0001pt;line-height:normal;">The normal heart in the Navy.</p>
<p class="MsoNormal" style="margin-bottom:.0001pt;line-height:normal;">By Surg. G. F. Freeman 363</p>
<p class="MsoNormal" style="margin-bottom:.0001pt;line-height:normal;">Surgical diagnosis and technic involving the appendix.</p>
<p class="MsoNormal" style="margin-bottom:.0001pt;line-height:normal;">By Surg. A. M. Fauntleroy 381</p>
<p class="MsoNormal" style="margin-bottom:.0001pt;line-height:normal;">Functional testing of the ear.</p>
<p class="MsoNormal" style="margin-bottom:.0001pt;line-height:normal;">By Passed Asst. Surg. G. B. Trible 400</p>
<p class="MsoNormal" style="margin-bottom:.0001pt;line-height:normal;">A few points in diagnosis of gastric and duodenal ulcer by means of the
X-ray.</p>
<p class="MsoNormal" style="margin-bottom:.0001pt;line-height:normal;">By Passed Asst. Surg. A. L. Clifton 410</p>
<p class="MsoNormal" style="margin-bottom:.0001pt;line-height:normal;">The damage of syphilis to the Navy.</p>
<p class="MsoNormal" style="margin-bottom:.0001pt;line-height:normal;">By Passed Asst. Surg. G. F. Cottle 414</p>
<p class="MsoNormal" style="margin-bottom:.0001pt;line-height:normal;">Recent conceptions of bronchial asthma.</p>
<p class="MsoNormal" style="margin-bottom:.0001pt;line-height:normal;">By Asst. Surg. M. H. Sirard, M. R. C 419</p>
<p class="MsoNormal" style="margin-bottom:.0001pt;line-height:normal;">UNITED STATES NAVAL MEDICAL SCHOOL LABORATORIES:</p>
<p class="MsoNormal" style="margin-bottom:.0001pt;line-height:normal;">Additions to the pathological collection 423</p>
<p class="MsoNormal" style="margin-bottom:.0001pt;line-height:normal;">Additions to the helmintholooical collection 423</p>
<p class="MsoNormal" style="margin-bottom:.0001pt;line-height:normal;">SUGGESTED DEVICES:</p>
<p class="MsoNormal" style="margin-bottom:.0001pt;line-height:normal;">A venereal head.</p>
<p class="MsoNormal" style="margin-bottom:.0001pt;line-height:normal;">By Passed Asst. Surg. G. F. Cottle 425</p>
<p class="MsoNormal" style="margin-bottom:.0001pt;line-height:normal;">A NEW MESSING SYSTEM FOR NAVAL HOSPITALS.</p>
<p class="MsoNormal" style="margin-bottom:.0001pt;line-height:normal;">By Hosp. Steward F. E. Simmons 426</p>
<p class="MsoNormal" style="margin-bottom:.0001pt;line-height:normal;">Messing arrangements in the U. S. Naval Hospital, Philadelphia.</p>
<p class="MsoNormal" style="margin-bottom:.0001pt;line-height:normal;">By Surg. H. A. Dunn and Chief Pharm. P. J. Waldner 428</p>
<p class="MsoNormal" style="margin-bottom:.0001pt;line-height:normal;">Castor oil. An aseptic dressing on the field of battle.</p>
<p class="MsoNormal" style="margin-bottom:.0001pt;line-height:normal;">By Asst. Surg. A. E. Gallant, M.R.C 430</p>
<p class="MsoNormal" style="margin-bottom:.0001pt;line-height:normal;">CLINICAL NOTES:</p>
<p class="MsoNormal" style="margin-bottom:.0001pt;line-height:normal;">A case of fracture-dislocation of spine. Laminectomy.</p>
<p class="MsoNormal" style="margin-bottom:.0001pt;line-height:normal;">By Surg. R. E. Ledbetter and Asst. Surg. H. Priest 433</p>
<p class="MsoNormal" style="margin-bottom:.0001pt;line-height:normal;">A CASE OF ANEURYSM OF THE LEFT POSTERIOR INFERIOR CEREBELLAR ARTERY.</p>
<p class="MsoNormal" style="margin-bottom:.0001pt;line-height:normal;">By Passed Asst. Surg. E. L. Woods 434</p>
<p class="MsoNormal" style="margin-bottom:.0001pt;line-height:normal;">A CASE OF MALIGNANT ENDOCARDITIS. By Passed Asst. Surg. M E. Higgins
436</p>
<p class="MsoNormal" style="margin-bottom:.0001pt;line-height:normal;">A POSSIBLE NEW X-RAY SIGN OF TUBERCULOSIS.</p>
<p class="MsoNormal" style="margin-bottom:.0001pt;line-height:normal;">By Surg. E. Thompson and Hosp. Steward H. L. Gall 436</p>
<p class="MsoNormal" style="margin-bottom:.0001pt;line-height:normal;">A CASE OF PURPURA HEMORRHAGICA (?) WITH MARKED LEUKOPENIA. By Passed
Asst. Surg. W. L. Mann, jr 438 </p>
<p class="MsoNormal" style="margin-bottom:.0001pt;line-height:normal;">Report of twenty-eight cases of pyorrhea alveolaris treated with emetin
hydrochlorid.</p>
<p class="MsoNormal" style="margin-bottom:.0001pt;line-height:normal;">By Passed Asst. Surg. A. H. Allen 440</p>
<p class="MsoNormal" style="margin-bottom:.0001pt;line-height:normal;">Intravenous injection of neosalvarsan in concentrated solution.</p>
<p class="MsoNormal" style="margin-bottom:.0001pt;line-height:normal;">By Passed Asst. Surg. C. B. Camerer 441</p>
<p class="MsoNormal" style="margin-bottom:.0001pt;line-height:normal;">TRANSLATIONS: </p>
<p class="MsoNormal" style="margin-bottom:.0001pt;line-height:normal;">Catheterization of the ejaculatory canals.</p>
<p class="MsoNormal" style="margin-bottom:.0001pt;line-height:normal;">By Surg. R. A. Bachmann 443</p>
<p class="MsoNormal" style="margin-bottom:.0001pt;line-height:normal;">Hospital ships.</p>
<p class="MsoNormal" style="margin-bottom:.0001pt;line-height:normal;">By Pharm. S. Wierzbicki 452</p>
<p class="MsoNormal" style="margin-bottom:.0001pt;line-height:normal;">First-aid stations and transportation of the wounded in naval battle.</p>
<p class="MsoNormal" style="margin-bottom:.0001pt;line-height:normal;">By Med. Inspect. S. G. Evans 454</p>
<p class="MsoNormal" style="margin-bottom:.0001pt;line-height:normal;">PROGRESS IN MEDICAL SCIENCES:</p>
<p class="MsoNormal" style="margin-bottom:.0001pt;line-height:normal;">General medicine. —The value of typhoid vaccines in the treatment of typhoid
fever. By L. W. Johnson. The intravenous and intramuscular administration of
diphtheria antitoxin. The noninfective causes of so-called rheumatism. Not very
well known causes of hematuria. Prodromal symptoms of gallstones. Observations
on renal functions in acute experimental unilateral nephritis. By E. Thompson
and E. L.</p>
<p class="MsoNormal" style="margin-bottom:.0001pt;line-height:normal;">Woods 469</p>
<p class="MsoNormal" style="margin-bottom:.0001pt;line-height:normal;">Mental and nervous diseases. —A critical study of Lange'a gold reaction
in cerebrospinal fluid. Post-operative nervous and mental disturbances. The
significance of the unconscious in psychopathology. By R. Sheehan 475</p>
<p class="MsoNormal" style="margin-bottom:.0001pt;line-height:normal;">Surgery. —The role of gastroenterostomy in the treatment of ulcers. Ether-oil
colonic anesthesia. By H. W. Smith. Ununited fractures treated by long-axial
drilling of the fractured bone-ends. By E. Thompson. War surgery. The
osteogenic power of periosteum; with a note on bone transplantation. The
technic of cholecystectomy. The German use of asphyxiating gases. Transfusion
by the syringe method. The North Sea action of January 24. The best method of
treating wounds sustained in action, especially during the early period after
their infliction. By A. M. Fauntleroy and E. H. H. Old 479</p>
<p class="MsoNormal" style="margin-bottom:.0001pt;line-height:normal;">Hygiene and sanitation. —The possibility of conveying typhoid fever by
clothing, contaminated food, and soiled fingers. The microbic content of indoor
and outdoor air. By E. W. Brown. Some results of the</p>
<p class="MsoNormal" style="margin-bottom:.0001pt;line-height:normal;">first year's work of the New York State Commission on Ventilation. By
C. N. Eiske and E. W. Brown. Tincture of iodin and the prevention of venereal
disease. Ability of colon bacilli to survive pasteurization.</p>
<p class="MsoNormal" style="margin-bottom:.0001pt;line-height:normal;">The specific gravity of the human body. Lead poisoning in the manufacture
of storage batteries. By C. N. Fiskc and R. C. Ransdell 495</p>
<p class="MsoNormal" style="margin-bottom:.0001pt;line-height:normal;">Tropical medicine.—Pathology of verruga peruviana. The importance of
tertiary yaws. By C. S. Butler. The treatment of ancylostomiasis. By A. B.
Clifford. Studies in malaria. New theories and investigations</p>
<p class="MsoNormal" style="margin-bottom:.0001pt;line-height:normal;">concerning pellagra. Immediate relapse in tertian malaria after energetic
salvarsan treatment. By E. R. Stitt 502</p>
<p class="MsoNormal" style="margin-bottom:.0001pt;line-height:normal;">Pathology, bacteriology, and animal parasitology. —A study of the endamebas
of man in the Panama Canal Zone. Lipoids in immunity. The mechanism of antibody
action. The diagnosis and treatment of</p>
<p class="MsoNormal" style="margin-bottom:.0001pt;line-height:normal;">parenchymatous syphilis. The bacteriology of appendicitis and its production
by intravenous injection of streptococci and colon bacilli. By G. F. Clark. On
the filterability and biology of spirochetes. A differential study of
coccidiodal granuloma and blastomycosis. Notes on the diagnosis of Asiatic
cholera at autopsy. The morphology of the adults of the filarise found in the
Philippine Islands. By C. S. Butler and A. B. Clifford 508</p>
<p class="MsoNormal" style="margin-bottom:.0001pt;line-height:normal;">Chemistry and pharmacy.—Coloring of bichlorid of mercury solutions. By
L. Zembsch. An experimental study of lavage in acute carbolic acid poisoning.
By A. B. Clifford. Notes on a new alkaloid found in</p>
<p class="MsoNormal" style="margin-bottom:.0001pt;line-height:normal;">nux vomica. Preliminary note on a new pharmacodynamic assay method. By
P. J. Waldnar. Estimation of urea. Estimation of urea and indirectly of
allantoin in urine by means of urease. Urea; its distribution in and
elimination from the body. Results of the hypochlorite disinfection of water
supplies. A further study of the chemical composition and nutritive value of
fish subjected to prolonged period of cold storage. By E. W. Brown and O. G.
Ruge 515</p>
<p class="MsoNormal" style="margin-bottom:.0001pt;line-height:normal;">Eye, ear, nose, and throat. —Treatment of trachoma with carbonic acid snow.
Samoan conjunctivitis Is there a natural or acquired immunity to trachoma?
Clinical and anatomical study of a case of isolated</p>
<p class="MsoNormal" style="margin-bottom:.0001pt;line-height:normal;">reflex immobility of the pupil, paralysis, tabes, and cerebrospinal syphilis
being excluded. Protection against injury of the hearing.Chronic local
infection of the nose, throat, and ear as a cause of general infection. The
sympathetic syndrome (undescribed) of sphenopalatine or nasal ganglion
neurosis. Shell explosions and the special senses. By E. J. Grow and G. B.
Trible 521</p>
<p class="MsoNormal" style="margin-bottom:.0001pt;line-height:normal;">REPORTS:</p>
<p class="MsoNormal" style="margin-bottom:.0001pt;line-height:normal;">Extracts from annual sanitary reports. —A review of the treatment and
results at the U. S. Naval Sanatorium for Tuberculosis at Las Animas, Colo. By
G. H. Barber. Battleship ventilation. ( Permanent detail of stretchermen. By J.
S. Taylor. Genito-urinary disease at Chelsea. <span> </span>By G. B. Wilson. Malarial prophylaxis. By H.
L. Smith. Sanitary notes from the U. S. S. Washington. By H. A. May. Sanitary
notes</p>
<p class="MsoNormal" style="margin-bottom:.0001pt;line-height:normal;">from the U. S. S. Michigan. By J. A. Murphy. Sanitary notes from the U.
S. S. Palos. By D. C. Post. Camp sanitation. By R. I. Longabaugh 527</p>
<p class="MsoNormal" style="margin-bottom:.0001pt;line-height:normal;">Lymphatic leukemia complicated by priapism. By Passed Asst. Surg. J. J.
A. McMullin 542</p>
<p class="MsoNormal" style="margin-bottom:.0001pt;line-height:normal;">The seventy-first annual meeting of the American Medico-Psychological
Association. By Passed Asst. Surg. R. Sheehan 544</p>
<p class="MsoNormal" style="margin-bottom:.0001pt;line-height:normal;"> </p>
<p class="MsoNormal" style="margin-bottom:.0001pt;line-height:normal;">Number 4</p>
<p class="MsoNormal" style="margin-bottom:.0001pt;line-height:normal;"> </p>
<p class="MsoNormal" style="margin-bottom:.0001pt;line-height:normal;">PREFACE vii</p>
<p class="MsoNormal" style="margin-bottom:.0001pt;line-height:normal;">SPECIAL ARTICLES:</p>
<p class="MsoNormal" style="margin-bottom:.0001pt;line-height:normal;">Observations upon the epidemiology of an outbreak of measles at the
Naval Training Station, Norfolk, Va.</p>
<p class="MsoNormal" style="margin-bottom:.0001pt;line-height:normal;">By Surg. C. E. Riggs 647</p>
<p class="MsoNormal" style="margin-bottom:.0001pt;line-height:normal;">The present status of the Hospital Corps. By Passed Asst. Surg. W. E.
Eaton , 556</p>
<p class="MsoNormal" style="margin-bottom:.0001pt;line-height:normal;">The use of hospital ships in time of war.</p>
<p class="MsoNormal" style="margin-bottom:.0001pt;line-height:normal;">By Passed Asst. Surg. R J. Straeten 565</p>
<p class="MsoNormal" style="margin-bottom:.0001pt;line-height:normal;">Venereal disease aboard ship.</p>
<p class="MsoNormal" style="margin-bottom:.0001pt;line-height:normal;">By Passed Asst. Surg. G. F. Cottle 571</p>
<p class="MsoNormal" style="margin-bottom:.0001pt;line-height:normal;">Some dangers in passing the ureteral catheter to the kidney.</p>
<p class="MsoNormal" style="margin-bottom:.0001pt;line-height:normal;">By Asst. Surg. B. C. Willis, M. R. C 577</p>
<p class="MsoNormal" style="margin-bottom:.0001pt;line-height:normal;">Shanghai and Yangtze River hospitals.</p>
<p class="MsoNormal" style="margin-bottom:.0001pt;line-height:normal;">By Passed Asst. Surg. R. H. Laning 679</p>
<p class="MsoNormal" style="margin-bottom:.0001pt;line-height:normal;">Some medical aspects of the upper Yangtze River country.</p>
<p class="MsoNormal" style="margin-bottom:.0001pt;line-height:normal;">By Asst. Surg. D. C. Post 620</p>
<p class="MsoNormal" style="margin-bottom:.0001pt;line-height:normal;">Some medical conditions in China.</p>
<p class="MsoNormal" style="margin-bottom:.0001pt;line-height:normal;">By Passed Asst. Surg. R. G. Davis 630</p>
<p class="MsoNormal" style="margin-bottom:.0001pt;line-height:normal;">UNITED STATES NAVAL MEDICAL SCHOOL LABORATORIES:</p>
<p class="MsoNormal" style="margin-bottom:.0001pt;line-height:normal;">Additions to the pathological collection 635</p>
<p class="MsoNormal" style="margin-bottom:.0001pt;line-height:normal;">Additions to the helminthological collection 635</p>
<p class="MsoNormal" style="margin-bottom:.0001pt;line-height:normal;">SUGGESTED DEVICES:</p>
<p class="MsoNormal" style="margin-bottom:.0001pt;line-height:normal;">An ambulance motor boat for hospital ships.</p>
<p class="MsoNormal" style="margin-bottom:.0001pt;line-height:normal;">By Surg. E. M. Blackwell 637</p>
<p class="MsoNormal" style="margin-bottom:.0001pt;line-height:normal;">CLINICAL NOTES:</p>
<p class="MsoNormal" style="margin-bottom:.0001pt;line-height:normal;">Unusual type of typhus on U. S. S. Monocacy. Report of case. By Asst.
Surg. W. B. Hetfield 641 </p>
<p class="MsoNormal" style="margin-bottom:.0001pt;line-height:normal;">Injury by dynamite explosion. By Passed Asst. Surgs. G. C. Thomas and
L. W. Johnson 643</p>
<p class="MsoNormal" style="margin-bottom:.0001pt;line-height:normal;">A case of hemorrhagic pancreatitis.</p>
<p class="MsoNormal" style="margin-bottom:.0001pt;line-height:normal;">By Passed Asst. Surgs. G. C. Thomas and L. W. Johnson 644</p>
<p class="MsoNormal" style="margin-bottom:.0001pt;line-height:normal;">Salvarsan in the treatment of schistosomiasis. Report of case.</p>
<p class="MsoNormal" style="margin-bottom:.0001pt;line-height:normal;">By Asst. Surg. D. C. Post '645</p>
<p class="MsoNormal" style="margin-bottom:.0001pt;line-height:normal;">An usually severe case of urticaria.</p>
<p class="MsoNormal" style="margin-bottom:.0001pt;line-height:normal;">By Passed Asst. Surg. W. E. Eaton 650 </p>
<p class="MsoNormal" style="margin-bottom:.0001pt;line-height:normal;">Early reinfection with syphilis.</p>
<p class="MsoNormal" style="margin-bottom:.0001pt;line-height:normal;">By Surg. T. W. Richards 651</p>
<p class="MsoNormal" style="margin-bottom:.0001pt;line-height:normal;">A fatal cask of cecal ulceration with extensive complications.</p>
<p class="MsoNormal" style="margin-bottom:.0001pt;line-height:normal;">Bv Passed Asst. Surg. W. L. Mann, jr 653</p>
<p class="MsoNormal" style="margin-bottom:.0001pt;line-height:normal;">EDITORIAL COMMENT:</p>
<p class="MsoNormal" style="margin-bottom:.0001pt;line-height:normal;">Scarcity and cost of medical supplies due to disturbance of European
markets 655</p>
<p class="MsoNormal" style="margin-bottom:.0001pt;line-height:normal;">Bind your Bulletins 655</p>
<p class="MsoNormal" style="margin-bottom:.0001pt;line-height:normal;">PROGRESS IN MEDICAL SCIENCES: </p>
<p class="MsoNormal" style="margin-bottom:.0001pt;line-height:normal;">General medicine. —The recent epidemic of smallpox in New South Wales.
By L. W. Johnson. The causes of indigestion. A study of 1,000 cases. By E. H.
H. Old. Certain physical signs referable to the diaphragm and their importance
to diagnosis. An epidemic of influenza in the Island of St. Kilda. Pollen
therapy in hay fever. Studies in bronchial glands. Mode of action and use of
emetin in endamebiasis. The treatment of eczema with special reference to the
use of vaccine and the part played by bacteria in its etiology. Report of 50
cases. Study of diseases of stomach and duodenum by X-ray. Cure and recurrence of
syphilis. By E. Thompson and E. L. Woods 667</p>
<p class="MsoNormal" style="margin-bottom:.0001pt;line-height:normal;">Mental and nervous diseases.—Differential diagnosis of general paresis.
What is paranoia? The cerebrospinal fluid in diagnosis and treatment. Raynaud's
syndrome. Raynaud's disease. What tests in childhood are best calculated to
throw light upon the capacities of mental defectives for future work. The
Binet-Simon method and the intelligence of adult prisoners. By R. Sheehan 669</p>
<p class="MsoNormal" style="margin-bottom:.0001pt;line-height:normal;">Surgery.— Medical narrative of the arrangements of the first division
at the Battle of the Aisne. The medical aspects of modern warfare, with special
reference to the use of hospital ships. By T. W. <span> </span>Richards. Injuries to the bowel from shell and
bullet wounds. By L. W. Johnson. Account of six specimens of great bowel
removed by operation; observations on motor mechanism of colon. Symptomless
renal hematuria arising<span> </span>from tumors,
aneurysms in the renal pelvis, and early tuberculosis. The treatment of
urethral stricture by excision. Some observations on bone transplantation.
Blood transfusion by the citrate method. Disinfection of the hands and
abdominal skin before operation. Partial regeneration of bone. By H. W.Smith.
Epididymotomy for acute epididymitis as an out-patient procedure. By W. E.
Eaton. Occlusion of the pylorus. Prevalent fallacies concerning subacromial
bursitis. Its pathogenoesis</p>
<p class="MsoNormal" style="margin-bottom:.0001pt;line-height:normal;">and rational operative treatment. Autogenous bone grafts versus Lane's
plates. A new procedure for the cure of chronic synovitis. Report on the
wounded in the action between the Sydney and the Emden.</p>
<p class="MsoNormal" style="margin-bottom:.0001pt;line-height:normal;">By E. H. H. Old 672</p>
<p class="MsoNormal" style="margin-bottom:.0001pt;line-height:normal;">Hygiene and sanitation. —Paint poisoning. By T. W. Richards. Sterilization
of water by chlorin. The prevalence of occupational factors in disease and
suggestions for their elimination. Bismuth-paste</p>
<p class="MsoNormal" style="margin-bottom:.0001pt;line-height:normal;">poisoning —report of a fatal case. The making of a milk commission. Present
practice relating to city waste collection and disposal. A statistical study of
personal association as a factor in the etiology of pellagra. The influence of
age of the grandparent at the birth of the parent on the number of the children
born and their sex. By C. N. Fiske and R. O. Ransdell 694</p>
<p class="MsoNormal" style="margin-bottom:.0001pt;line-height:normal;">Pathology, bacteriology, and animal parasitology. —Simple and efficient
contrast stain for B. diphtheriae. By C. N. Fiske. The heart muscle in
pneumonia. The sterilization of vaccines and the influence of the various
methods employed on their antigenic properties. The Wassermann and luetin
reactions in leprosy. By C. S. Butler and A. B. Clifford 700</p>
<p class="MsoNormal" style="margin-bottom:.0001pt;line-height:normal;">Eye, ear, nose, and throat. —Relation of general arteriosclerosis to certain
ocular conditions. Eyestrain and ocular discomfort from faulty illumination. Hemorrhage
from the nose and throat. Diagnosis and conservative treatment of inflammation
of the accessory sinuses of the nose. Primary carcinoma of the tonsils. Nasal
polypi. By E. J. Grow and G. B. Trible 703</p>
<p class="MsoNormal" style="margin-bottom:.0001pt;line-height:normal;">REPORTS. —Topographical extracts from annual sanitary reports: </p>
<p class="MsoNormal" style="margin-bottom:.0001pt;line-height:normal;">Yangtze River ports. By Passed Asst. Surg. C. L. Beeching 707</p>
<p class="MsoNormal" style="margin-bottom:.0001pt;line-height:normal;">Cape Haitien, Haiti. By Asst. Surg. C. P. Lynch 710</p>
<p class="MsoNormal" style="margin-bottom:.0001pt;line-height:normal;">Santo Domingo and Haiti. By Passed Asst. Surg. E. A. Vickery 714</p>
<p class="MsoNormal" style="margin-bottom:.0001pt;line-height:normal;">Vera Cruz, Santo Domingo, and Haiti. By Surg. R. W. Plummer 715</p>
<p class="MsoNormal" style="margin-bottom:.0001pt;line-height:normal;">Santo Domingo. By Asst. Surg. J. B. Helm 716</p>
<p class="MsoNormal" style="margin-bottom:.0001pt;line-height:normal;">Bluefields, Nicaragua. By Asst. Surg. C. P. Lynch 719</p>
<p class="MsoNormal" style="margin-bottom:.0001pt;line-height:normal;">Alaskan ports. By Surg. W. S. Pugh, jr 723</p>
<p class="MsoNormal" style="margin-bottom:.0001pt;line-height:normal;">INDEX 727</p>
If you have questions concerning reproductions, please contact the Contributing Library.
Note: The colors, contrast and appearance of these illustrations are unlikely to be true to life. They are derived from scanned images that have been enhanced for machine interpretation and have been altered from their originals.
Read/Download from the Internet Archive
Some intense spray! From her yells, David and I jumped up to help, but she was fine and got up herself.
Trails vary in difficulty from flat to very steep. Hikers should be in good physical condition, wear sturdy boots, and use caution due to slippery/wet conditions and steep trail sections.
A 1st class relic of cloth which stained a body fluid and blood of Blessed Stanislaus
Life[edit]
Early life[edit]
Jan Papczyński was born on 18 May 1631, in the village of Podegrodzie - now near Stary Sącz - as the youngest of the eight children of Tomasz Papczyński and Zofia Tacikowska. His father was a local blacksmith and also served as the village bailiff. As a youngster, he cared for his father's herd of sheep and came to know the countryside well.[1]
Education[edit]
Stanisłaus's first beginnings with school gave no indication of his later career as an academic. He had difficulty with studies, nevertheless he mastered his temperament, overcame material problems associated with his social standing, and advanced in studies, graduating from one school to another: in Podegrodzie, then in Nowy Sacz. At the age of fifteen he entered the Jesuit College at Jaroslaw, the Piarist College of Podoliniec in 1649, and in 1650 the Jesuit College of Lvov, from which he was forced to flee due to an attack by Cossack troops. At the age of twenty-three he completed his general and philosophical studies at the Jesuit College of Rawa Mazowiecka.[1]
He is described him as a tall, slender young man, with a swarthy complexion, tall forehead and deep, pensive eyes gazing from under his eyebrows.[2] His father died while Jan was studying in Lvov.
Piarist[edit]
On 2 July 1654, Papczyński joined the Piarist Order, newly established in Poland, in their monastery in Podoliniec and was given the religious name of "Stanisłaus of Jesus and Mary". He performed the lowliest tasks, cleaning out stables and barns, chopping wood, and washing dishes.[2] He made his second year of novitiate in Warsaw, while studying theology with the Recollect Franciscan friars. Those were the times of the Swedish invasion known as "the Deluge", that made a deep impression on the young seminarian's life. From the perspective of his whole life's experience, he thus described in his testimony one incident from those days: "I confess," he writes, "that I leave this world professing the Roman Catholic faith for which I was ready to pour out my blood during the war with Sweden. One day my companion and I were exiting the Old Town, when a heretic soldier, his unsheathed sword in hand, attacked us near the Dominican Fathers. My companion (even though he was German) fled, and I, falling to my knees, stuck out my neck for the blow. However, by the decree of Divine Providence, I did not sustain any wounds although I was struck three times with great force. Afterward, I felt great pains for an hour and a half because of that."[2]
On 22 July 1656, Papka made his profession of religious vows as the first Polish member of the Piarist Congregation. He was ordained to the priesthood on 12 March 1661.[3]
While still a seminarian, Papczyński taught rhetoric in the Piarist colleges of Rzeszow and Podoliniec, and then after ordination he taught in a Warsaw college. He wrote a textbook entitled "Prodromus reginae artium" (The Messenger of the Queen of Arts), and used it in his lectures. This textbook underwent four reprints during subsequent years. This work merited special praise[3] for its pedagogical character as well as the selection of rhetoric which witnesses to the author's patriotic sentiments and his special devotion to the Virgin Mary. Also, in this textbook he postulated the equality of all citizens before the law and took a critical stand in regards to the "liberum veto." ("free veto" = an unexplained veto)
As a priest Papczyński heard confessions and gave sermons. On greater feasts he was invited to preach in the many churches of the capital. One sermon he preached on Thomas Aquinas, delivered at the Dominican church, was published in 1664 under the title Doctor Angelicus (The Angelic Doctor). Taking advantage of Papczyński's contacts with influential people, his superiors entrusted him with gathering petitions for the beatification of the Order's founder, Joseph Calasanz.[3] Papczyński obtained many letters. From 1663 to 1667 he directed the Confraternity of Our Lady of Grace, Patroness of Warsaw, whose image was in the Piarist's Church on Dluga Street.
Leaving the Piarists[edit]
Due to differences in understanding of the Order's character, Papczyński's relations with his superiors kept getting more strained and eventually led to his leaving the Order. He strove to restore the early rigor of their way of life, while practices in the province tended to favor laxity. Because of his views and actions, as interpreted by some of his superiors, he was the cause of confusion among Piarists, while he himself felt misunderstood. Later he used to call this period of his life "a long-lasting martyrdom". In those difficult times he wrote two series of meditations: Orator crucifixus (The crucified Speaker) and Christus patiens (The suffering Christ).
Not being able to find for himself, within the Piarists, the proper climate for life and work and at the same time seeing also a rift within the Province between his supporters and adversaries, Papczyński asked the Superior General to release him from his religious vows. On 11 December 1670, he left the Order. In the presence of his Piarist superiors he declared: "I offer and consecrate to God, the Almighty Father, the Son, and the Holy Spirit, as well as to the Mother of God, the ever-Virgin Mary, conceived without sin, my heart, my soul, my body, leaving absolutely nothing for myself, so that henceforth I may be the slave of God Almighty and of the Most Blessed Virgin Mary. Consequently, I vow to serve Them zealously, in chastity, to the end of my life, in the society of Marian Clerics of the Immaculate Conception, which by the grace of God I wish to found".
New Marian congregation[edit]
Papczyński's was made more difficult by his being of common birth and advocating a very rigorous lifestyle in the prevalent aristocratic mentality. He found support for his plan from the Bishop of Poznan, Stefan Wierzbowski. Rejecting proposals from different Orders and bishops (those of Cracow and Plock), Papczyński went as a chaplain to Jakub Karski's house in Lubocza near Nowe Miasto-on-Pilica in order to prepare himself for this new undertaking. There, in September 1671, he was vested in a white religious habit in honor of the Immaculate Conception of the Virgin Mary. He also prepared the project of the future Order's statute entitled "Norma vitae" (Rule of Life), which he established as an order of canons regular. At the same time he wrote a moral and ascetical treatise called "Templum Dei Mysticum" (The Mystical Temple of God), which underwent several reprints. In this book he expressed his belief that lay people, and not only priests and religious, are called to holiness.
Seeking candidates for his planned order, in September 1673, Papczyński went to Puszcza Korabiewska near Skierniewice, where a former soldier, Stanislaus Krajewski, and companions lived as hermits. There, on the land donated by Krajewski, he built and organized his Institute's first house, which he called a "Retreat House". Bishop Stanislaus Swiecicki, who came on a canonical visitation on 24 October 1673, approved this community living in accord with the "Norma vitae" under Papczyński's guidance. He left them his own "Statutes" on the characteristics of hermits and penitentials. The Marians consider this date as the beginning of their Order.
Wierzbowski wished to engage the newly created religious community in fulfilling of his plans of the renewal of religious life in the diocese. Particularly in the town of Gora near Warsaw where he established the holy city of Mazowsze which he called New Jerusalem. There he built many churches and chapels commemorating the Passion of Christ. To serve the arriving pilgrims, he brought over several religious orders, among them Papczyński's community. In 1677, he consigned to him the Church of the Lord's Cenacle with its adjacent monastery. The previous obligations of living a hermits' lifestyle were not in force at this institution. Papczyński lived here until his death, 24 years later.
On 21 April 1679, Wierzbowski canonically constituted Stanislaus's institute, composed of two houses, as an Order of diocesan right. The stated goal of the community was to spread devotion to the Virgin Mary, and to assist poor souls in purgatory, particularly those who died in fields of battle and victims of plagues. Papczyński also directed his spiritual sons to undertake pastoral works, especially assisting pastors by hearing confessions, as well as catechizing and delivering sermons to the faithful, particularly the most spiritually neglected in regards to religion. Papczyński introduced abstinence from drinking vodka in the order. King John III Sobieski, who was known for his kindness towards strict religious orders, took the Marians under his special protection.
However, the simple vows which the Marians were making at the time were not strongly binding, and the fate of the Congregation depended simply on the bishop. This problem became particularly apparent after the death of Bishop Wierzbowski in 1687. For these reasons Papczyński, who was already 60 years old, set out on a journey by foot to Rome in 1690, in order to obtain papal approval for his Order. Unfortunately, he arrived there at a time when the Holy See was without a pope, and only procured a spiritual affiliation of the Marians with several other Orders. The approbation of "Norma vitae" as the Congregation's statutes, which took place a couple of years later, was a fruit of this journey.
In 1699, Papczyński made another attempt to procure the approbation of his Order, by sending to Rome Fr. Joachim Kozlowski as his envoy with full powers (plenipotentiary). Meeting with difficulties in obtaining the approbation of the Marian Order upon its own rule, Kozlowski approached the reformed Franciscan Minors for the "Rule of the Ten Virtues of the Blessed Virgin Mary", which included the Marians' legal dependence on this Order. Pope Innocent XII approved the document issued by the General of Franciscans on 24 October 1699. Although the Rule was received without previous consultation with Papczyński, it did not infringe the specific features of the Marian Institute and was thus gladly accepted by the Marian Legislator. The Marians became an Order with solemn vows and were freed from the authority of a local bishop, although they were dependent on the Franciscans for some time. Finally, the Marians received approbation as an order of apostolic right ridding themselves of restrictions. In their apostolic work they placed special emphasis on teaching truths of the faith to the faithful of lower classes, which was Church considered its most urgent task at the time.
On 6 June 1701, Papczyński pronounced a solemn profession of vows in the hands of the Apostolic Nuncio, Francisco Pignatelli, and then received the profession of vows from the other Marians, a very important milestone in establishing the first Polish religiouis order for men. On the way to the realization of this goal, for a duration of 30 years, Papczyński had to overcome innumerable difficulties. A few times he doubted whether or not God truly wanted him to follow this road.
Death and burial[edit]
He died on 17 September 1701, and was buried at the Church of the Lord's Cenacle in Gora Kalwaria.
Spirituality[edit]
At school, from the pulpit, in confessional, or at his desk, Papczyński proclaimed the word of God everywhere in speech and writing, emphasizing particularly the need to care for those wronged by the society. His work followed the beliefs proclaimed in "Templum Dei Mysticum": "O how admirable are those who mutually work with Christ, and, solely out of love for Him, sincerely and zealously announce all that is essential for salvation, for leading a Christian life, for rooting out vices, and increasing virtues. This is the greatest and most fruitful work of mercy".
Two centuries before the proclamation of the Dogma of the Immaculate Conception Stanislaus professed: "I believe everything that the holy Roman Church believes, but first of all I profess that the Most Holy Mother of God, Mary, was conceived without any stain of original sin". This privilege of the Immaculate Conception was very precious to him. He talked about it in sermons and wrote extensively on the subject. In 1670 he made a "vow of blood" witnessing his readiness to lay down his life if necessary in honor of Mary's Immaculate Conception. Papczyński lived in times illustrated by the Polish writer Henryk Sienkiewicz in his "Trilogy", describing the Cossack wars, the Swedish invasion of Poland, and finally, the Polish army's victory at Vienna. He himself accompanied Polish troops in battles against Turks in Ukraine in 1674, and witnessed that many people died unshriven.
Sainthood[edit]
Process and Venerable[edit]
A cause to beatify Papczyński was started in 1767, interrupted in 1775, and reopened in 1953. But because such a long time had passed since the his death, this process had to be accomplished "historically", which means that documents had to be searched for testimonies on one's life and virtues. Those documents were prepared and gathered in a 1000-page manuscript called "Positio". On 28 February 1980, the National Conference of Bishops in Poland petitioned the Pope to elevate Papczyński to the altars as a model of Christian life. Similar petitions were sent by major superiors of male and female congregations in Poland. Based on this evidence, on 28 November 1980, the Congregation for Saints made a decision that Papczyński's beatification cause may be brought before the Apostolic Tribunal.
Pope John Paul II approved this decision on 6 March 1981 which commenced sainthood proceedings and granted him the title Servant of God - the first stage in the process.
In the years 1981-1982, a process de non cultu was conducted in Warsaw. The decree super validitate Processus (regarding the validity of the diocesan process) was promulgated in 1990. Further evaluations of Positio super Virtutibus were also conducted. Then, on 22 January 1991, during an Ordinary Congress of the Congregation, chaired by Anthony Petti, General Promoter of the Faith, the theological consultants stated that Papczyński had practiced virtues to a heroic degree.
On 17 March 1992, after having listened to the report delivered by Paulino Limongi, Titular Archbishop of Nice in Hemimont, the cardinals and bishops gathered at an Ordinary Congregation stated that he had practiced the theological virtues, the cardinal virtues, and other virtues associated with these, to a heroic degree.
After the results of the research conducted by the Cardinal-Prefect, Cardinal Angelo Felici, had been presented to the pope, he accepted the decision of the Sacred Congregation for the Causes of the Saints and ordered that the decree on Papczyński's heroic virtues be prepared.
On 13 June 1992, the Pope invited the Cardinal-Prefect, the relators of the cause, the Secretary of the congregation, and other people who are usually summoned in such circumstances and, in the presence of all gathered with regard to the cause and its result, solemnly announced that:
It is considered to be a certain thing that Blessed Stanislaus of Jesus and Mary Papczyński practiced the theological virtues of faith, hope, and charity, the cardinal virtues of prudence, justice, temperance, and fortitude, and other virtues associated with these, to a heroic degree. The Pope ordered that this decree be made public and kept in the acts of the Sacred Congregation for the Causes of Saints.
Beatification[edit]
The miracle needed for his beatification was investigated in the 2003-2004 timeframe and received formal validation from the Sacred Congregation for the Causes of Saints on 7 May 2004. A medical board based in Rome met and approved the miracle on 12 May 2005 while theologians followed suit and approved it also on 20 September 2005. The cardinal and bishop members of the Sacred Congregation for the Causes of Saints granted their formal approval on 3 October 2006, while Pope Benedict XVI approved it on 16 December 2006.
The miracle in question concerned Ursula Markowska on 4 April 2000.
He was beatified at the Marian Shrine in Licheń by a special delegate of Pope Benedict XVI – Cardinal Tarcisio Bertone, Secretary of State of the Holy See on 16 September 2007.
Canonization[edit]
The second miracle required for his canonization was investigated in a diocesan tribunal and was ratified as being a valid process on 27 June 2014. The Rome-based medical board met and approved it on 17 September 2015 while the theologians also met and approved it on 10 November 2015. The cardinal and bishops who constituted the Sacred Congregation for the Causes of Saints also approved it on 12 January 2016.
Pope Francis approved the miracle on 21 January 2016; a date shall be determined for the canonization at a consistory of cardinals in March.
From the last will and testament of Stanisłaus Papczyński[edit]
"I give thanks to the Divine Majesty for graces, gifts, and goodness granted me with great generosity. I repent from the depth of my heart and I wish out of love of the Lord to repent more and more for all my sins, which I place in the deepest wounds of Jesus Christ, my Lord and Redeemer. I fall at the feet of Blessed Virgin Mary, Mother of God, and I give myself with the entire Congregation of her Immaculate Conception to her for eternity. I call on her gracious direction and effective care, and for the hour of my death I beg her most merciful and powerful protection from the ambushes of my enemies and all temporal and eternal Evil.
To all those who loved and supported the Congregation of the Immaculate Conception (which I founded through God’s inspiration to support all the faithful departed), I promise double reward from God’s hand.
I eagerly suggest to my brethren, if it be appropriate for me to say: Sons, you ought to have love for God and neighbor, devotion to the Catholic faith, and worship, love, and obedience to the Holy See, faithful preservation of the vows, humility, patience, support the souls in purgatory, and be at peace with everyone."
It was a great clear day without the recent haze that hit our shore due to the forest fires in Indonesia, not wanting to waste this opportunity to grab some time out to shoot, we made up our mind to head down to the nearest beach in Klang. Reaching the location early we had a few game of “Street Fighter 4″ on our phone and boy it was funny as hell. Ok ok I am going back to the shot here, I know you guys don’t wanna listen to 4 old farts playing kiddo games on the beach, so let’s get to it.
Read more on: scapesofmalaysia.wordpress.com/
April 23, 2015 on our trip to the blipmeet at Wanaka, Central Otago in New Zealand. www.polaroidblipfoto.com/browse/me
Our first morning in Cromwell. We woke to heavy fog which took a while to lift. We have arrived at Mt Difficulty Estate Winery so John can do some tasting.
The unique microclimate of the Bannockburn area is partially created by the presence of Mount Difficulty which overlooks the southern Cromwell basin, and is the namesake of Mt Difficulty Wines. Mount Difficulty is integral in providing low rainfall and humidity for the region. Bannockburn enjoys hot summers, a large diurnal temperature variation and long cool autumns; conditions which bring the best out of the Pinot Noir grapes. These conditions, along with soils which are ideal for viticulture, provide an excellent basis not only for Pinot Noir, but also for Pinot Gris, Riesling, and Chardonnay. The soils are a mix of clay and gravels, but all feature a high pH level; grapes produce their best wines on sweet soils.
For More Info and photos: www.mtdifficulty.co.nz/aboutus/ourstory.html
At first, I had difficulty identifying Open Cluster NGC 2286 from the surrounding star-rich background of the Milky Way. I had to slowly moved the telescope back and forth through the area a couple of times before the cluster’s starfish-like shape slowly become apparent. Only after I had spent a few minutes with it, did its subtle charms become evident. NGC 2286 cannot match some of the brighter more conspicuous Open Clusters in the Unicorn, nevertheless, I found it charming. As in life, some of the best things are often not the brightest or the most conspicuous.
To see additional astronomy drawings visit: www.orrastrodrawing.com
Muckross House (Irish: Theach Mhucrois) is located on the small Muckross Peninsula between Muckross Lake and Lough Leane, two of the Lakes of Killarney, 6 kilometers (4 mi) from the town of Killarney in County Kerry, Ireland.
Muckross House is a mansion designed by the Scottish architect, William Burn, that was built in 1843 for Henry Arthur Herbert and his wife, the watercolourist Mary Balfour Herbert. With sixty-five rooms, it was built in the Tudor style. Extensive improvements were undertaken in the 1850s in preparation for the visit of Queen Victoria in 1861. It is said that these improvements for the Queen's visit were a contributory factor in the financial difficulties suffered by the Herbert family which consequenced in the sale of the estate.
Killarney National Park was formed principally from a donation of Muckross Estate, which was presented to the state in 1932 by Senator Arthur Rose Vincent and his parents-in-law Mr. and Mrs. William Bowers Bourn II, in memory of Senator Vincent's late wife, Maud. The park was substantially expanded by acquisition of land from the former Earl of Kenmare's estate.
The house, gardens and traditional farms are all open to the public with guided tours of the house's rooms.
Boy pushing his family bicycle to the near by market to meet his friends, located at the only cross roads for miles. It was an adult bicycle that it seemed he could not ride without difficulty (note the height of the seat relative to his body), so he ended up just pushing it most of the way.
Print Title: Cycling To The Market?
Portfolio: Tamil Nadu, India
Date: July 16, 2002
Scan of negative, digitally dodged / burned, to produce this target image used in the preparation of gelatin silver print printing protocol.
Location/Description: Village in Samayanallur, (near Madurai), Tamil Nadu, India. Captured during an early morning walk in the small community existing around the perimeter of the Madurai Power Plant (Balaji Power Corporation Pvt. Ltd. / Covanta Energy).
Camera/ Lens:
Nikomat FT circa 1965-68 (Serial No. FT3204450). This particular camera made for Japanese market as identified by “Nikomat” on prism rather than more common “Nikkormat” name used for export.
Zoom-Nikkor Auto 1:3.5 f=43mm-f=86mm (1964-6) Nippon Kagaku Japan (No. 456755). Example is one of the first versions produced Feb 1963 with serial no. 438611 to 554261 (made possibly about first few years from start of production).
To see the camera used to take this picture, please click here;
www.flickr.com/photos/80936052@N00/374347894/
Tropical Processing
Film/Format:
Exposure:
Developer:
Stop Bath:
Fix:
Wash:
Negative Code: 2002_07_16__Roll 02_21
Demonstrating the difficulties of getting a shot on the Antrim branch, a 3-car 80-class set heads east at Brookhill with the 08.00 Londonderry - Belfast Central.
And please don't ask where Brookhill is, as I have not got a clue!
All photographs are my copyright and must not be used without permission. Unauthorised use will result in my invoicing you £1,500 per photograph and, if necessary, taking legal action for recovery.
I always have difficulty with the two- tier boxes-- no clue how to fill them!
About the meringue...what's an easier way to use up egg whites than to turn them into meringues? Sadly, they ALWAYS come out wrong (this must be my eighth time making 'em), but luckily everyone's always open to eating them anyway ^_^
This is probably my favorite, so far :)
All tips on packing two- tier bentos or baking meringues would be greatly appreciated <3
Some difficulty may be encountered when attempting to operate this vehicle. Passing safety or emissions tests is doubtful.
After our lunch at Mt Difficulty we went up the Felton Road to Felton Road Winery. March 6, 2014 Central Otago, Bannockburn, South Island, New Zealand.
Felton Road Winery. is situated on warm, north facing slopes of glacial loess soils in Bannockburn, in the heart of Central Otago. The modern gravity fed winery receives 100% estate grown fruit from its three vineyards that are all farmed biodynamically and are fully certified by Demeter. Minimal intervention in the winemaking with such practices as wild yeast, no fining or filtration, allow the unique vineyard characters to further express their considerable personality.
Since the first vintage in 1997, Felton Road has acquired a formidable worldwide reputation.
Zero waste By-products:
Winery waste is, probably more than any other substance, lees. Lees are a mixture of sediments left over from winemaking, and consist mainly of dead yeast and tartaric and malic acid. It isn’t particularly hostile stuff, but acids are a problem in any waste system, so winery waste management systems are designed to deal with this mixture. It takes a lot of money to build a waste management system and a lot of energy to run it so, in a perfect world, we’d do without one. But is it possible to do that? We have demonstrated that it is. Our solution is simple: don’t throw anything away. Nothing whatsoever goes down our drains unless we have failed to find a better use for it. And since almost all waste has some form of value, there is a better use out there. Lees, for example, get separated into fine lees (the more liquid stuff) and the solid gunk. The solids are composted. It might be tricky to compost something this acidic for some wineries, but as we make well over 100 tonnes of compost a year anyway, the lees solids are literally a drop in the manure heap. That leaves the more liquid stuff to deal with. Each year it goes to a beautiful wood fired copper still and is distilled into “Fine”: the term for brandy distilled from wine lees. Roughly a thousand litres of lees yields about 100 litres of wonderful brandy. After 5 years of aging in French oak using a “solera” type system, it is ready to bottle.
What better way to recycle something that most regard as an industrial waste product?
Taken from and for more info: www.nzwine.com/winery/felton-road/
After our lunch at Mt Difficulty we went up the Felton Road to Felton Road Winery. March 6, 2014 Central Otago, Bannockburn, South Island, New Zealand.
Felton Road Winery. is situated on warm, north facing slopes of glacial loess soils in Bannockburn, in the heart of Central Otago. The modern gravity fed winery receives 100% estate grown fruit from its three vineyards that are all farmed biodynamically and are fully certified by Demeter. Minimal intervention in the winemaking with such practices as wild yeast, no fining or filtration, allow the unique vineyard characters to further express their considerable personality.
Since the first vintage in 1997, Felton Road has acquired a formidable worldwide reputation.
Zero waste By-products:
Winery waste is, probably more than any other substance, lees. Lees are a mixture of sediments left over from winemaking, and consist mainly of dead yeast and tartaric and malic acid. It isn’t particularly hostile stuff, but acids are a problem in any waste system, so winery waste management systems are designed to deal with this mixture. It takes a lot of money to build a waste management system and a lot of energy to run it so, in a perfect world, we’d do without one. But is it possible to do that? We have demonstrated that it is. Our solution is simple: don’t throw anything away. Nothing whatsoever goes down our drains unless we have failed to find a better use for it. And since almost all waste has some form of value, there is a better use out there. Lees, for example, get separated into fine lees (the more liquid stuff) and the solid gunk. The solids are composted. It might be tricky to compost something this acidic for some wineries, but as we make well over 100 tonnes of compost a year anyway, the lees solids are literally a drop in the manure heap. That leaves the more liquid stuff to deal with. Each year it goes to a beautiful wood fired copper still and is distilled into “Fine”: the term for brandy distilled from wine lees. Roughly a thousand litres of lees yields about 100 litres of wonderful brandy. After 5 years of aging in French oak using a “solera” type system, it is ready to bottle.
What better way to recycle something that most regard as an industrial waste product?
Taken from and for more info: www.nzwine.com/winery/felton-road/
+++ DISCLAIMER +++
Nothing you see here is real, even though the conversion or the presented background story might be based historical facts. BEWARE!
Some background:
The P-74 "Charger" was a fighter aircraft built by Lockheed for the United States Army Air Forces (USAAF). Its configuration was unusual as it was designed as a twin boom pusher configuration, where the propeller is mounted in the rear of the fuselage, pushing the aircraft forward.
The P-74 entered service with the USAAF in late 1944, its conception dated back to 1939 when the U.S. Army Air Corps requested with the Circular Proposal R40C domestic manufacturers to develop high performance fighter types, allowing (even demanding) unusual configurations. Lockheed did not respond immediately and missed the chance to sign a development contract in mid-1940 until early 1941. Twenty-three proposals were submitted to R40C, and after a fist selection of ideas three companies, Vultee with the large XP-54 Swoose Goose, Curtiss with its XP-55 Ascender and Northrop's XP-56 Black Bullet were able to secure prototype contracts.
Vultee eventually won the competition, but all these innovative new aircraft suffered from various flaws or development delays, missing various performance goals, so that none ever entered service.
In the meantime, Lockheed had been working on the 1939 request in the background on a private venture basis, as it was clear that by 1944 a successor to the company's own P-38 Lightning had to be offered to the USAAC.
The new North American P-51 Mustang was also a sharp competitor, esp. for the Pacific conflict theatre where long range was needed. This role was filled out very well by the P-38, but it was a relatively large and complicated aircraft, so an alternative with a single engine was strived for. Even though jet engines already showed their potential, it was clear that the requested range for the new type could only be achieved through a piston engine.
This aircraft became the XP-74, originally christened “Laelaps”, following Lockheed’s tradition, after a female Greek mythological dog who never failed to catch what she was hunting. It was presented as a mock-up to USAAC officials on August 8th 1942 and immediately found sponsorship: with the disappointing results from the XP-54,55 and 56 was immediately ushered into the prototype stage. Its name, though, was rejected, and the more common name “Charger” was adopted.
Just like Lockheed’s successful P-38 the XP-74 Charger was designed as a twin-boom aircraft, but it was driven by only a single Packard (License-built Rolls Royce Merlin) V-1650 pusher engine in the aft part of the fuselage. The tail was mounted rearward between two mid-wing booms, with a four-bladed 12-ft propeller between them. The design also included a "ducted wing section" developed by the NACA that enabled installation of cooling radiators and intercoolers in the wing root section.
The advantages of a pusher design are that the view forward is unobstructed and armament can be concentrated in the nose, while a major drawback is difficulty in escaping from the aircraft in an emergency, as the pilot could get drawn into the propeller blades. Lockheed deliberated between systems that would eject the pilot, or jettison the propeller or the engine, via a system of explosive bolts. Lockheed eventually installed an early ejector seat which was driven by pressurized air, combined with a mechanism that would blow the canopy off. The system was successfully tested in summer 1943, even though skepticism remained among pilots.
Initial armament comprised one 20mm Hispano cannon and four 12.7mm Browning machine guns, the same as in the P-38, but two machine guns were relocated from the nose into the front ends of the tail booms because of the new aircraft’s smaller overall dimensions.
The first prototype was ready in October 1943, with a different engine and heavier armor fitted. The second prototype was built to this specification from the start, which would become the serial production standard, the P-74A.
The P-74A used the new V-1650-9 engine, a version of the Merlin that included Simmons automatic supercharger boost control with water injection, allowing War Emergency Power as high as 2,218 hp (1,500 kW). Another change concerned the armament: a longer weapon range was deemed necessary, so the gun armament was changed into four 20mm Hispano cannons, two of the placed in the fuselage nose and one in each tail boom front end. Each gun was supplied with 250 RPG.
Alternatively, a nose installment with a single 37mm cannon and two 12.7mm Browning MGs was tested on the first prototype, but this arrangement was found to be less effective than the four 20mm cannons. Another factor that turned this option down was the more complicated logistics demands for three different calibers in one aircraft.
The P-74A was ready for service in summer 1944, but its deployment into the Pacific region took until December – the 5th Air Force first units replaced most of its P-38 and also early P-47Ds with the P-74A.These new aircraft had their first clashes with Japanese forces in January 1945.
The P-74 was used in a variety of roles. It was designed as an intreceptor against bombers, but its good range and handling at all altitudes made it suitable for tasks like fighter sweeps against enemy airfields, support for U.S. ground forces and protection of sea convoys and transport routes.
While the P-74 could not out-turn the A6M Zero and most other Japanese fighters when flying below 200 mph (320 km/h), its superior speed coupled with a good rate of climb meant that it could utilize energy tactics, making multiple high-speed passes at its target. Also, its focused firepower was deadly to lightly armored Japanese warplanes.
Because of its late service introduction, only 305 P-74s were ever produced until the end of hostilities, and they were exclusively used in the Pacific theatre. The P-74's service record shows mixed results, but usually because of misinformation. P-74s have been described as being harder to fly than traditional, single-engined aircraft, but this was because of inadequate training in the first few months of service.
Another drawback was the ejection seat system – it worked basically well, but the tank for the pressurized air turned out to be very vulnerable to enemy fire. Several P-74s literally exploded in midair after cannon fire hits, and this poeblem could only be cured when the tank section behind the cockpit received a more rigid structure and additional armor. Anyway, the P-74 was quickly retired after WWII, as the USAAF focussed on P-47 and P-51.
General characteristics
Crew: 1
Length: 10.45 m (34 ft 3 in)
Wingspan: 11.6 m (38 ft 0 in)
Height: 3.97 (13 ft 0 in)
Wing area: 22.2 m² (238.87 ft²)
Empty weight: 3,250 kg (7,165 lb)
Loaded weight: 4,150 kg (9,149 lb)
Max. take-off weight: 4,413 kg (9,730 lb)
Powerplant:
1× Packard (License-built Rolls Royce Merlin) V-1650-9 ,
rated at 1,380 hp (1,030 kW) and 2,218 hp (1,500 kW) w. water injection
Performance
Maximum speed: 640 km/h (343 knots, 398 mph)
Cruise speed: 495 km/h (265 knots, 308 mph)
Range: 1,105 mi (1,778 km)
Ferry range: 1,330 nmi (1,530 mi, 2,460 km)
Service ceiling: 11,000 m (36,090 ft)
Rate of climb: 15 m/s (2,950 ft/min)
Armament
4× 20 mm (0.79 in) Hispano-Suiza HS.404 cannons with 250 RPG
2× hardpoints for up to 2,000 lb (907 kg) of bombs, 6 or 10× T64 5.0 in (127 mm) H.V.A.R rockets
The kit and its assembly:
This whif was inspired by a CG rendition of a Saab J21 in a natural metal finish and with (spurious) USAAF markings, probably a skin for a flight simulator. Anyway, I was more or less enchanted by the NMF on the Saab – I had to build one, and it would become the P-74, the only USAF fighter code that had never been used.
The kit is the venerable Heller Saab J21A, an “old style” design with raised panel lines. But it is still around and affordable. No big mods were made to the kit during its transition into a USAAF fighter, even though I changed some minor things:
● Main landing gear was completely exchanged through struts from an Airfix A-1 Skyraider and the wheels from a Hasegawa P-51D; thin wire was added as hydraulic tubes
● New propeller blades: instead of the three-bladed original I added four much broader blades with square tips (from a Heller P-51D) to the original spinner
● Different exhaust stubs, which actually belong to a Spitfire Merlin (Special Hobby kit)
● Underfuselage flap was slightly opened
● A pilot figure was added to the nice cockpit
● The gun barrels were replaced with hollow styrene tubes
Painting and markings:
NMF was certain, but the rest…? I wanted to have a colorful aircraft, and eventually settled for a machine in the Pacific theatre of operations. When I browsed for options I eventually decided to apply broad black stripes on wings and fuselage, typical 5th Air Force markings that were used e. g. on P-47Ds and P-51Ds.
Overall design benchmark for my aircraft is a P-47D-28 of 310th FS/58th FG. The tail would be all white, and the rudder sported red and white stripes, early war insignia. The red nose trim and the deep yellow spinner were taken over from this aircraft, too. The blue individual code number is a personal addition, as well as the nose art, which was puzzled together from a Czech 'Perdubice' Meeting MiG-21 and leftover bits from a Pacific use P-51.
The aircraft was basically painted with Aluminum Metallizer (Humbrol 27002) and Polished Steel Metallizer (Modelmaster), and some panels were contrasted with Aluminum (Humbrol 56).
The anti-glare panel in front of the cockpit was painted in Olive Drab (Humbrol 66), the red nose trim with Humbrol 19. The tail was painted with a mix of Humbrol 34 & 196, for a very light grey, and later dry-painted with pure white.
The black ID stripes as well as the red and blue rudder trim were not painted, but rather created through decal sheet material (from TL Modellbau), cut to size and shape to fit into their respective places. The tail was a PITA, but for the black stripes this turned out to be very effective and convenient - an experiment that willcertainly see more future use.
Cockpit interior was painted in Humbrol 226 (Cockpit Green) and Zinc Chromate Green from Model Master, the landing gear wells received a chrome yellow primer (Humbrol 225) finish.
The landing gear struts were kept in bare Aluminum.
For weathering the kit received a rubbing treatment with grinded graphite, which adds a dark, metallic shine and emphasizes the kit’s raised panel lines. Some dry painting with Aluminum was added, too, simulating chipped paint on the leading edges, and on the black ID stripes some dark grey shading was added.
A relatively simple whif, but I love how the Saab 21 looks in the unusual, shiny NMF finish - and the USAAF markings with the prominent ID stripes suit it well, even though it looks a bit like a circus attraction now?
Difficulties In Your Life
Don't Come To Destroy
You
But
Help Yo To Realize Your
Hidden Potential
Let The Difficulties
Know That ...
You Are DIFFICULT 2 !!
Beeb'z [H@B!B]
All Rights Reserved
Chronic prostatitis is really a disease with longtime treatment duration and high rate of recurrence, inflammatory cytokines in CPPS patients could even cause depression. The traditional Chinese medicine Diuretic and Anti-inflammatory Pill can kill inflammatory cytokines through the elimination of inflammation to stop sufferers from depression and largely reduce the probability of its recurrence to fix patients difficulties for treating.
When people discuss chronic prostatitis, they mention chronic pelvic pain syndrome(CPPS), it's the most frequent form of prostatitis. The condition is marked by urinary and genital pain not less than three of the past few months, along with pelvic pain. In addition, pain may radiate for the back and rectum, causing uncomfortable sitting. Doctors haven't found the certain source of CPPS, existing research shows that climate, food allergies, the neurological system could be to blame for chronic prostatitis/CPPS. Unhealthy lifestyles like drinking, sedentary, staying out will make symptoms worse. Patients are doomed to be terrible mood since the uncertain cause and bothering the signs of CPPS.
Although the certain reason for chronic nonbacterial prostatitis has not been found, many means have been supplied for treatments of computer. Antibiotics has to be essentially the most traditionally used medicine for treating CPPS due to the strong function in killing bacteria reducing inflammation, patients can also use non-antibiotic medicine for anti-inflammatory reducing pain. Prostate massage is also a good choice for patients who would like to improve the prostate blood circulation, hyperthermia is the one other strategy to accelerate prostate the circulation of blood, nonetheless it is often a little expensive. Surgical treatment can be used for severe cases of CPPS and for men whose swollen prostate is blocking the flowing urine. Almost not one of them get obvious success for common CPPS sufferers' treatments. It can be a truth that antibiotics have strong power in killing bacteria in a short time and prostate massage can improve over-swelling conditions inside the prostate, nonetheless it has become mentioned that chronic prostatitis/CPPS is a disease while using high rate of recurring, these treatments can only improve the signs of patients, not get rid of the root reason for their diseases. So that patients could find their CPPS appear and disappear repeatedly, making them anxious and worried.
It can be a conflict that remain in pleasure is helpful inside the process inside the treating chronic prostatitis/CPPS however it is quite challenging for many of CPPS patients for this because CPPS will largely influence their mental health insurance mood. This view originates from an experiment which used CPPS rats for the model as well as experimental conclusion is published in Nature reported by Hu, C.et al. www.nature.com/articles/srep28608 In this experiment, CPPS rats showed anxiety and depression-like symptoms while healthy rats didn't, the final results revealed that, in CP/CPPS patients with significant Mental Health Disorders. As another research of Nicole Lichtblau and Frank.M Schmidt says inflammatory cytokines are biomarkers in depressive disorder. tandfonline.com/doi/full/10.3109/09540261.2013.813442 Besides, anyone who is affected with pain has to be very miserable, staying in pleasure turns into a tough task for them while it's beneficial for their diseases. Longtime pain and inflammatory cytokines bring physiological pain and psychological anxiety to CPPS patients.
Diuretic and Anti-inflammatory Pill makes great process in curing CPPS and prevent its recurrence for the orderly and special step inside the treatment. The first step is anti-inflammatory, Diuretic and Anti-inflammatory has the ability of killing bacteria within the prostate that triggers CPPS without drug resistance and tolerance, in order that it works well in eliminating inflammation, the entire process of removing inflammation is also the whole process of killing inflammatory cytokines, this means the operation of preventing patients suffering from depression through the root of it. While delay pills is focusing on anti-inflammatory, it can also relieve pain of patients, herbal medicine angelica in this pill plays a crucial role in relieving pain, nourishing blood and adjusting spirit, as soon as the pain symptom is improved upon, patients is certain to get physiological relax. After improving symptoms, Diuretic and Anti-inflammatory Pill will begin repairing damaged prostate position and rebuilding the immune ability of the prostate too, this is a fatal step up preventing CPPS from recurring because regain immune ability means?regain?the opportunity to resist the infection of bacteria for the prostate.
Of course, strong healing ability of Diuretic and Anti-inflammatory Pill duo on the scientific formula of it. Google patents displays the patent number and formula on this pill. This pill is constructed of over fifty kinds of herbs, every one of them has its function and works together with a unique responsibility, they cannot work so well inside treatments for CPPS if an individual ones is absent. The naturalness of the pill makes sure that patients will not produce drug resistance even with a long time medication, patients can take it without worry.
Here is often a case about curing CPPS successfully by Diuretic and Anti-inflammatory. A men with fifteen-year CPPS and it has seen all types of doctors and tried all kinds of methods for getting eliminate his CPPS without results, during his attempt, he has to experience urinary frequency and urgency, lower back pain, anxiety, and depression. He has suffered an excessive amount of so he decided to do their own research, that is how he meets Diuretic and Anti-inflammatory. A good luck comes upon him after he actually starts to take premature ejaculation pills, his pain becomes milder with one-month medication, two-month medication changes his urinary frequency and urgency largely, five months after he took delay pills, his genital and pelvic pain are removed. When he finished all his treating course, his pain disappeared and his awesome prostate has not been infected again. Diuretic and Anti-inflammatory cures his fifteen-year CPPS in a year, this has to be one from the luckiest moments in their life. More testimonials are here: www.diureticspill.com/Testimonials/Prostatitis/
Diuretic and Anti-inflammatory Pill is a national patent medicine with unique formula, that is manufactured by Lee Xiaoping, a health care provider with thirty-year experience in the men and women genitourinary system disease, like prostatitis, orchitis, epididymitis, seminal vesiculitis, chlamydia, bladder infection(UTI), IC and male infertility that is due to oligospermatism, necrospermia etc., which are also the diseases that Diuretic and Anti-inflammatory pill can cure.
About Dr. Lee Xiaoping
prostatitisradicalcure.com/a/About_us/ graduated from Hubei College of Traditional Chinese Medicine, China. She qualified being an herbalist 30 years ago and can be a highly experienced doctor for various chronic, complicated and drug resistant prostate diseases. She specializes within the field of female and male reproductive and urinary system diseases. She has devoted three decades to her clinic and worked on the formula of Diuretic and Anti-inflammatory Pill for decades.
Grand Theft Auto(GTA) 5 is a cheat for online multiplayer games. Cheats is a software, used in online games to overcome the difficulty. It is manufactured of advanced technology.
Get more information,visit this link............
The Bambatha Rebellion was the last armed resistance against white rule before the formation of the Union of South Africa in 1910. In the years following the Anglo-Boer War white employers in Natal had difficulty recruiting black farm workers because of increased competition from the gold mines of the Witwatersrand. The colonial authorities introduced a poll tax in addition to the existing hut tax to encourage black men to enter the labour market. Bambatha was one of the chiefs who resisted the introduction and collection of the new tax. The government of Natal sent police officers to collect the tax from recalcitrant districts, and in February 1906 two white officers were killed near Richmond, KwaZulu-Natal resulting in the introduction of martial law. Bambatha fled north to consult King Dinizulu, (who had been exiled on St Helena between 1890 and 1897 see: www.flickr.com/photos/30593522@N05/5340408052/in/set-7215... ) but on returning to the Mpanza Valley discovered that the Natal government had deposed him as chief. He gathered together a small force of supporters and began launching a series of guerrilla attacks. In late April 1906 Colonial troops under the command of Colonel Duncan McKenzie were sent out on an expedition to confront Bambatha and once they succeeded in getting face to face with and surrounding the rebels at Mome Gorge, the British victory in the unequal battle was inevitable, given the vast disparity of forces. Colonial soldiers opened fire with machine guns and cannon on rebels mostly armed only with traditional assegais, knobkerries and cowhide shields and Bambatha was killed and beheaded during the battle. King Dinizulu was arrested, tried, convicted of treason and sentenced to four years imprisonment, though only served two. An estimate of the total number of rebels that took part in the Rebellion is very difficult to arrive at but judging from the reports of Commanding Officers, the aggregate for Natal and Zululand would be about 10,000 to 12,000, of whom about 2,300 were killed. Colonial casualties numbered only 30 killed or died and the cost of the campaign was estimated at £883,000. Bambatha’s men were destroyed by the militia with a thoroughness which disconcerted many even at the time. Winston Churchill, then an Under-Secretary in the Colonial Office in London, was scathing about the colonial reaction, and, on being consulted on the subject of a campaign medal to be awarded to the troops, suggested that it should be struck in bronze, at the colony’s expense, and depict not the head of King Edward VII but the severed head of a rebel leader. The issue of a medal was approved by The King and was granted to those (including nursing sisters), who served between the 11th February and the 3rd August, for a continuous period of not less than twenty days, also to certain civilians, Native Chiefs, and others who had rendered valuable service. The Saint Helena Herald of 18th September 2009 has a photograph of the medal awarded to A.E. Thorpe for service during the Bambatha rebellion.
The militia’s actions still make disturbing reading now, they burned homes, looted, and shot Africans, under arms or not, with impunity. The aftermath was equally ruthless. The rank and file of some 4,700 prisoners were tried by their respective Magistrates and by Judges. The great majority of sentences ran from six months to two years, with whipping added. After a number had been flogged, the Government directed suspension of all further whippings. Special arrangements had to be made in Durban and elsewhere for accommodating the prisoners. About 2,500 were confined in a compound at Jacobs near Durban, formerly used by Chinese labourers ; 400 (for the most part with sentences of two years) in a special prison at the Point, Durban ; 100 at Fort Napier, Pietermaritzburg; and the rest in various gaols.
By mid-August 1906 twenty-five Chiefs who had supported the rebels had been arrested, charged and tried by Courts Martial for a variety of offences; sedition, public violence, murder, rebellion and high treason. Sentences ranged from death, 10 years plus 500 cattle, 10 years plus 20 lashes and 20 years all of which were later reduced, though all were to be served with hard labour and the prisoners were kept in local custody
In early January 1907 correspondence “Relating to the removal of certain native prisoners from Natal” commences with the Governor, Sir Henry McCallum, writing to The Secretary of State for The Colonies in London, Lord Elgin:
As your Excellency is aware, persistent reports are now circulating in Zululand and Natal amongst the natives there by those who have been released that all rebels are about to be released in consequence of an order received from across the sea to effect that the Home Government has told this Government that the rebels were only soldiers acting under orders of their chiefs, and they should not, therefore, have been punished. No more dangerous course therefore could be pursued by Ministers than the adoption of any act which could give the least ground for cultivating so pernicious a belief in the native mind, whether that mind be loyal or wicked. These reports, together with a recent one from Swaziland, induce Ministers to urge the necessity of a course of action which will demonstrate once for all to the native mind that rebellion is not a light matter or one to be followed by trivial consequences. Ministers think it essential that under the circumstances such demonstration can only be given by the immediate deportation of the ringleaders, to the number of about twenty-five, who, as long as they are in local custody, have, and will have, opportunities which no guarding can repress of conveying to their sympathisers outside reports and messages calculated to incite to further disorder, if not to attempts to obtain release.
The Colonial Prisoners Removal Act cap. 31 of 1884 appears to Ministers to provide the machinery to meet just such an emergency as confronts this Colony at this time. Ministers think that question of expediency in this instance can hardly be questioned and suggest that Island of Mauritius is, in respect of climate and other conditions, a locality to which exception could not well be taken.
In view of urgency of matter, Ministers would be glad if your Excellency would cable this application to the Secretary of State whilst simultaneously inquiring of the Mauritius Government by cable if it will be as good as to assist us. As a matter of great emergency I beg for your Lordship's good offices and that with least possible delay. I am repeating this telegram to Governor, Mauritius, that he may have full information on the subject.
By January 30, it was agreed and:” Ministers beg me to inform you that satisfactory despatch has been received from Governor, Mauritius, as to taking rebel ringleaders as prisoners. They now only await approval of His Majesty's Government”.
On February 25th The Governor of Mauritius sent a telegram to London: Cases of beri-beri reported to me yesterday, five in Central Prison, two fatal; seventeen in Port Louis Prison. Preventive measures against spread of disease by segregation and alteration in diet are being taken and inquiry being made to ascertain cause.
The Secretary of State requested: Please furnish me with your opinion as to whether the outbreak of beri-beri at the Central Gaol, reported by you in your telegram of 25th February, can be confined within limits which will secure the immunity of the Zulu chiefs who are to be entrusted to your care.
McCallum was becoming increasingly concerned at the delay: Much regret in hearing of outbreak especially as rumours of unrest are becoming daily aggravated. Immediate deportation of ringleaders would probably put end to this. Rank and file of rebels are being employed on Public works in wood and iron temporary buildings secured by double-fenced entanglement enclosures, such as used for safe custody of Boer prisoners. These have proved healthy and satisfactory and Ministers would like the same provided forthwith at Mauritius at cost of Government of Natal till the gaols are immune from beri-beri." Whilst discouraging credence of rumours and reports received I cannot help feeling uneasy, and shall be glad if Ministers' proposal could be approved by you and deportation of ring- leaders take place with least possible delay.
Further correspondence left the matter unresolved: Re. Your Lordship's telegram with regard to beri-beri. After consultation with Chief Medical Officer I cannot guarantee immunity from the disease for any person in confinement in any of our prisons and I am advised that no such prison can safely be used for the purpose. This ruled out Mauritius but McCallum had already been in correspondence with Governor Gallwey on St Helena who discussed the matter with Lord Elgin:
The Governor of St, Helena to the Secretary of State,
The Castle, St. Helena, March 21, 1907.
I have the honour to inform Your Lordship that I received a telegraphic despatch from the Governor of Natal on the 16th instant asking me whether St. Helena would receive twenty-five rebel ringleaders sentenced to various terms of penal servitude, using a portion of empty barracks as a prison ; and, if so, on what terms. Sir Henry McCallum informed me that owing to an outbreak of beri-beri in the Mauritius prisons the arrangement made to send the prisoners to that Colony had fallen through. He further informed me that the Mauritius Government had agreed to take the twenty- five prisoners at a cost of £20 per man per annum, provided the Natal Government sent two European warders with the
men.
I discussed the matter in Council on the 18th instant, when it was unanimously decided to receive the prisoners provided the War Office consented to the use of Ladder Hill Barracks as a prison. I accordingly telegraphed to this effect to the Governor of Natal, adding that the cost per man would not exceed £20 a year, but that the Natal Government must pay actual cost. I made this latter stipulation as this Government has no wish to make money out of the Natal Government whilst being unable to risk the smallest loss under the transaction. The actual feeding of the prisoners, including fuel, will not exceed £10 a year per man consequently the traders and farmers will benefit only to a very small extent. Every little helps, however, in these hard times.
Telegrams between McCallum, Gallwey and Lord Elgin give further comment and information:
The Castle, St. Helena, March 22, 1907. On the 17th instant, in reply to a telegram I despatched
to Your Excellency the previous day, you informed me that the following was the prisoners' diet:
Breakfast. — 12 ounces mealie meal.
Supper. — 12 ounces mealie meal.
Dinner. — 16 ounces mealie meal, or 2 lbs. potatoes.
Eight ounces fresh meat and four ounces fresh vegetables twice a week. One ounce of salt daily.
Your Excellency further stated that if mealies were not obtainable in this Colony that you would send supplies thereof periodically. I may say at once that mealies are obtainable here. I take it that the prisoners themselves make the meal. As regards the cost of feeding the prisoners, I calculate that according to the diet laid down by Your Excellency this will not exceed £10 per man per annum, including fuel. The cost of feeding a prisoner in the gaol here is roughly, including fuel, 1 shilling. a day. The diet, allowed, however, is quite different to the scale laid down for your prisoners. I take it that the two European warders will find themselves in everything but quarters, and the usual barrack furniture. I am not aware as to what furniture, if any, is required for the prisoners. There is a large swimming bath close by to where they will be confined with a continual flow of water passing through. I presume the prisoners do their own cooking. Should cooking and eating utensils and bedding be purchased? I must apologise for troubling Your Excellency with questions of these minor details, but I have no knowledge of the Zulu nor the way he is treated when a prisoner. Your Excellency will see that £20 per man a year should more than cover the recurrent expenditure necessary to keep the prisoners. We have the following items with their approximate cost per annum:
Food and fuel £250
Medical attendance £50
Medicines £6
Three warders at £55 £165
Oil, wick, and matches £5
Soap and cleaning materials £6
Water rate £4
Contingencies £5
Total £490
I have allowed for three extra warders as there will have to be a man continually on duty day and night, owing to the nature of the buildings in which the prisoners will be confined. This Government can lend rifles for the warders' use if necessary. I take it that the prisoners do not receive anything in the way of tea, coffee, or other groceries with the exception of salt? I ask this question as the Zulus who were interned in this Colony ten years ago received coffee, sugar, and other groceries. In fact, they appear to have been given anything they asked for.
April 3. from McCallum. The situation (in Natal) is improving. The atmosphere will be much cleared by transportation of ringleaders. Ministers inquire when they may expect your authority for their removal.
April 16. from McCallum. Ministers would respectfully urge upon the Secretary of State necessity for giving immediate authority for the removal to Saint Helena of the native ringleaders concerned in recent rebellion. It is now over three months since the proposal for the deportation of these natives from the Colony was originally made, and the great delay which has taken place through unforeseen circumstances has been unfortunate and embarrassing. Ministers deprecate any further delay, and will be obliged if your Excellency will at once cable to the Secretary of State urging him to accelerate settlement.
There then followed the question of the warrants needed for due process:
April 20. Warrants required under the Colonial Prisoners Removal Act, Section 6, must be signed by Secretary of State for the Colonies and by Governor of St. Helena as well as by Governor of Natal before prisoners can leave Natal. Warrants will be forwarded to Governor of St. Helena duly signed by me by the next mail, which leaves on 3rd May, and he has been instructed by telegraph to sign them and forward them to you by the same steamer. We regret the delay but it is inevitable. I would further confirm my telegram to you, wherein I state that I have been informed by the Secretary of State that it will not be possible to move the prisoners from Natal until about the end of May. Lord Elgin informs me that he has sent you for signature the warrants required under Section 6 of the Colonial Prisoners' Removal Act, with a request that you will sign and forward them to me by the same steamer. In this connection I should feel obliged if, when despatching the warrants, you will give directions that they be forwarded from Cape Town overland, as this will avoid a delay of three or four days.
Ministers propose to send the prisoners under special arrangement by direct steamer from Durban, and as soon as the details are settled I will apprise you by telegram of the date of their departure, and the probable date of their arrival at St. Helena.
The delay caused by the warrants having to be signed in London, St Helena and Pietermaritzburg meant that it was the 1st June when the twenty-five prisoners left Natal on the steamship Inyati to proceed directly to St Helena. . Despite their best efforts the Colonial Office through Lord Elgin failed to persuade the Natal colonial government to treat them as political prisoners and not as ordinary criminals and on arrival at St Helena they were treated as such.
Barbara George’s article www.saint.fm/Independent/20090605.pdf quotes the St Helena Guardian of 13th June 1907 reporting their arrival.
The expected steamship Inyati, Captain White, from Natal, with 25 Zulu prisoners in charge of Cunningham and Shepherd, arrived in port on Tuesday evening at 7p.m. The prisoners on landing yesterday at 7.30 a.m. were dressed in khaki jackets and pants. Several of them had the letter L with other marks on their jackets, presumably to indicate their sentences, which range from “Life” to 10 years imprisonment with hard labour. Their ages would appear to be from 20 years to 70. They seemed in a half starved condition and could hardly walk when landed. They were marched off to Ladder Hill Barracks where the Royal Artillery Garrison were stationed, under the escort of the local police armed with rifles. Ladder Hill is to be their future abode and they will be looked after by the Troopers who arrived with them and three of our local labourers as guard. We understand their diet is to be 12 ounces of mealy meal for breakfast and 12 for supper and 18 ounces of the same food for dinner with salt, and during the week some vegetables and 1 lb. of fresh beef per man per week will be issued. To tea, coffee, milk and tobacco they will be strangers. Blankets to lie on only will be furnished to them. Whether these prisoners are to be placed to work on our roads we shall have to learn. Considering the scarcity of work for our own labourers, we hope not. Whether making this island “known to the world” as the “Island of Historic Misfortune”, the prison for men such as the Zulus is a wise step or not, we await with interest to ascertain
By July 1907 questions were being asked in The House of Commons. hansard.millbanksystems.com/commons/1907/jul/18/treatment... This exchange between Ramsey Macdonald and Winston Churchill being one such.
MR. J. RAMSAY MACDONALD I beg further to ask the Under-Secretary of State for the Colonies whether his attention has been drawn to the fact that on arrival at St. Helena the Zulu prisoners were in an emaciated condition and looked half-starved, and some of them were hardly able to walk; whether amongst these is the chief Tilonko, from whom a petition is lying upon the Table of this House setting forth that he was illegally condemned under an indemnity Act wider in scope than has ever been assented to by the Sovereign, and which is alleged to have been unjustly put into operation; and whether he proposes to take any action on the matter.
THE UNDER-SECRETARY OF STATE FOR THE COLONIES (Mr. CHURCHILL, Manchester, N.W.) It was necessary to deport these prisoners under the Colonial Prisoners Removal Act, and they therefore remain in the status of convicts, but it has always been the view of the Secretary of State that the fact of their deportation would justify their receiving, while in St. Helena, liberal treatment in regard to conditions of their imprisonment, especially in the matter of dietary. He will at once call for a Report from the Governor of St. Helena on this subject, and will authorise him to make such modifications in the scale of dietary and general conditions as are possible consistently with this provisions of the law.
These Zulu prisoners were certainly not greeted with the same enthusiasm afforded by the islanders to the Boer prisoners seven years earlier, nor was their time on the island to be as fondly remembered locally as was the imprisonment of Dinizulu in 1890. There is a dearth of material written about this period and their time on the island is barely recorded.
Towards the end of 1910 the eighteen survivors amongst the twenty-five prisoners who had been sent to St Helena were granted parole. They were part of the general amnesty that was granted to about 4,500 prisoners by the Governor General during the formation of the Union of South Africa. Seven had died on the island as the Death Register records but their graves cannot be found and are not in the burial register. Two of the eighteen prisoners were carried on stretchers because they were seriously ill. John Dube, the founder of the Zulu-English newspaper Ilanga lase Natal remarked that the prisoners looked very wasted although they had only served three years of their prison sentences. Most of them looked very old and could not even be recognized. In fact they no longer looked like chiefs at all, but looked like commoners.
These were the last of St Helena’s political prisoners until the arrival of three Bahrainis in 1957.
www.flickr.com/photos/30593522@N05/5406764359/in/set-7215...
The following sources were used to compile these notes:
www.archive.org/stream/indexingandprci00beakgoog/indexing...
www.napoleon.org/EN/reading_room/articles/files/helena_pr...
www.archive.org/details/historyofzulureb00stua
en.wikipedia.org/wiki/Bambatha_Rebellion
scnc.ukzn.ac.za/doc/B/Ds/Biography_DIs/Dinizulu/Hadebe,_M...
Freightliner 66542 seen at Kennett as its operates 1Z99 Ipswich-Soham to escort and follow Gbrf 66754 which had got into difficulties running 4L02 Hams Hall-Felixstowe which it followed to its destination...
It is the strong mind that hews its way through a thousand difficulties Quote Meaning
No explanation or meaning available. Be the first to write the meaning of this quote by commenting below. Write explanation in three sentences to get it featured here.
Main Topic: Strong Quotes Related...
www.braintrainingtools.org/skills/it-is-the-strong-mind-t...
#brainquotes #quotes
"In these days of difficulty, we Americans everywhere must and shall choose the path of social justice…, the path of faith, the path of hope, and the path of love toward our fellow man."
Looking north at an inscription in the second "room" of the Franklin D. Roosevelt Memorial in Washington, D.C., on March 15, 2012. The inscription comes from a campaign address delivered in Detroit, Michigan, on October 2, 1932.
The memorial was designed landscape architect Lawrence Halprin and dedicated on on May 2, 1997, by President Bill Clinton. It's spread over 7.5 acres (3.0 hectares) of West Potomac Park. (Roosevelt was an avid conservationist. Fittingly, West Potomac Park is made up of silt dredged from the bottom of the Potomac River from 1880 to 1911.) The main entrance is at the north end, although just as many people enter from the south end (walking along the Tidal Basin from the Jefferson Memorial).
The memorial consists of four roofless, outdoor "rooms" created by gigantic blocks of rough red South Dakota granite. Each "room" represents one of Roosevelt's terms in office, and each room has a waterfall, inscriptions, and sculpture. The first room's walls are more smoothed and the blocks of stone aligned, and the waterfall is small, smooth, and quiet. The subsequent rooms express the increasing complexity of Roosevelt's presidency as depression and war intruded. The stone becomes less smooth, some blocks of stone are misaligned or jut from the walls; in the third room, massive stones actually lie in the center of the space, tumbled on top of one another. The waterfalls become larger, more complex, more chaotic.
Interestingly, the waterfalls were designed to be played in. But the National Park Service, deeply worried that someone would slip and fall on the algae-covered rocks, quickly banned people from doing so.
Out of respect for Roosevelt's own disability, the entire memorial is wheelchair accessible. All the sculptures are meant to be touched, and the second "room" contains a huge wall "quilt" of images -- an artwork known as "Social Programs" -- that depicts the people Roosevelt helped (with Braille inscriptions describing each one next to the panels).
Stonecarver John Benson did the granite inscriptions seen throughout the memorial. Here's a list of the sculptures in the memorial, along with their creators:
* "Prologue" - By Robert Graham, this is the life-size sculpture of Roosevelt in his wheelchair which stands in front of the main entrance to the memorial.
* "Presidential Seal, 1932" - By Tom Hardy, this is in the "first room" and depicts the Great Seal of the President of the United States as it existed in 1932 at the time of Roosevelt's first inauguration.
* "First Inaugural" - By Robert Graham, this bas-relief panel in the "first room" depicts an image inspired by film footage taken during the first inaugural parade.
* "The Fireside Chat" - By George C. Segal, this sculpture in the "first room" depicts a man seated in a chair, listening to one of Roosevelt's radio addresses (the "fireside chats").
* "Farm Couple" - By George C. Segal, this life-size sculpture in the "second room" depicts a farmer standing next to his wife (seated in a chair) in front of a barn door (with the upper half of the door open). It symbolizes Roosevelt's commitment to saving American agriculture.
* "Depression Bread Line" - By George C. Segal, this sculpture in the "second room" depicts six life-size male figures stand in a line to get free bread. The men face west, and it is just a few feet west of "Farm Couple."
* "Social Programs" - By Robert Graham, these 54 bronze panels on a wall and four pillars in the "second room" depict the social programs Roosevelt enacted.
* "Funeral Cortege" - By Leonard Baskin, this bas-relief bronze panel in the "fourth room" depicts the funeral of Roosevelt in 1945.
* "Eleanor Roosevelt" - By Neil Estern, this life-size statue of the First Lady stands between the "third" and "fourth" rooms. Placed in a niche, it depicts her later in life in a cloth coat, the Seal of the United Nations behind her and to her left. It is the only depiction of a First Lady at a national memorial.
* "Fala and Franklin D. Roosevelt" - By Neil Estern, this slightly larger-than-life statue in the "fourth room" is based on depictions of an aging, sick Roosevelt at the Yalta Conference. His cloak masks the chair in which he sits. (If you look closely at the back of the statue, you can see that the chair has wheels, although it is not a wheelchair.) Roosevelt's faithful Scottish Terrier dog, Fala, stands beside him.
In the "third room" -- the room dedicated to the war years -- is a massive tumble of granite blocks. Inscribed on a block tilted against another are the words "I Hate"; the block on which this is tilted contains the word "War." This sculpture (for that is what it is) is the "I Hate War" piece. Its placement and design was by Halprin, and Benson carved the words. It was inspired by Roosevelt's 1936 "I Hate War" speech, given in Chautauqua, New York. A longer inscription from the speech is on the stone wall next to the waterfall.
It should be noted that the Estern sculpture, as originally planned, more prominently featured Roosevelt in a wheelchair. But this was changed because various project overseers said Roosevelt had not been depicted in a wheelchair in public.
Disability advocates strongly criticized this decision when the memorial opened and there was no image of Roosevelt in a wheelchair. The National Park Service permitted disability advocates to add a sculpture near the memorial's entrance, which is the "Prologue" statue by Robert Graham.
Memorial designer Lawrence Halprin applauded the move. He said that Roosevelt loved debate and discussion, and rarely made decisions himself but rather ordered his subordinates to "hash it out" and come to a decision. Halprin said adding the sculpture is a true memorial to Roosevelt, for it exemplified people of good will coming together in disagreement but forging a compromise that will allow everyone to move ahead.
www.thesundaytimes.co.uk/sto/news/uk_news/Health/article1...
History
Thalidomide was created by Grünenthal in 1953 and was used in the late 1950s and early 1960s as a "wonder drug" to treat morning sickness, headaches, coughs, insomnia and colds. Thalidomide was marketed in the UK under the name Distaval in 1958, and advertisements emphasized the drug's complete safety, using phrases such as “non-toxic” and “no known toxicity”.
However, in 1961 an Australian doctor, William McBride, wrote to the Lancet after noticing an increase in deformed babies being born at his hospital – all to mothers who had taken Thalidomide.
Between 1958 and 1962 tens of thousands of women throughout Europe found that the baby they were carrying unaccountably miscarried, or, worse, after they gave birth were told it was stillborn. Thousands more discovered that their babies had severe birth defects, missing arms, legs, or with severe reductions to these limbs, or even worse, damage to their internal organs, brain, heart, kidneys, intestines, genitals, etc. During 1962 record keepers began to count all of the children living who were born damaged by the drug. The only complete records are of those who survived long enough to participate in the national compensation schemes, which were established in Germany, Britain, Japan, Sweden and Australia in the 1970s. The difficulty in uncovering the full toll of the disaster begins with the unknown numbers of miscarriages and stillbirths (possibly up to ten times the number of live births), and the widespread practice of infanticide.
The Thalidomide injuries did not stop once the babies were born. At the age of fifty, the Thalidomide Trust’s records show that around half of all survivors are coping with chronic pain – mainly from muscles and joints (musculo-skeletal pain), largely as a result of the challenges of living with missing or damaged limbs. For many, their bodies are deteriorating far faster than able-bodied people. Several have been told words to the effect “your body is getting the problems of someone in their seventies”, which at forty to fifty years of age is not good news. At least a quarter are coping with developing neurological problems, tingling, numbness, and pain in their affected limbs. This means that a person may be holding a cup, for instance, and the next thing they know is it has fallen to the floor and broken, because of the numbness in their hand. For these survivors, the disaster is still slowly unfolding in their day-to-day lives.
Grünenthal scientists were not only negligent in failing to withdraw the drug when reports of problems came in, or for failing to test it according to the standards of the time, but more than most companies they were very well placed to anticipate the possibility that Thalidomide would cause birth defects.
Grünenthal initially denied claims that the drug hadn’t been extensively tested according to the standards of the time, but once the scandal became undeniable, they sought to deflect blame and limit damage.
In 1961 Thalidomide was eventually withdrawn after being found to be a teratogan - a cause of birth defects. 12 years later, the UK company Distillers Biochemicals Limited (now Diageo) – which was responsible for distributing the drug in the UK – reached a compensation settlement following a legal battle by the families of those affected.
Based on incomplete medical evidence and unrealistic expectations of Thalidomide survivors future needs this settlement has turned out to be at an inadequate level. With all Thalidomide survivors in the UK now over the age of 50, it is no longer sufficient to deal with their rising cost of living, and the dramatic deterioration of their health.
To this day, Grünenthal have never accepted responsibility for the suffering caused by Thalidomide. On September 1st 2012, The Grünenthal Group released a statement containing an apology, stating that it "regrets" the consequences of the drug, which led to babies being born without limbs during the 1950s and 1960s. Although the statement was welcomed by some Thalidomide survivors, it is still not an acceptance of responsibility. They just want to live a comfortable life, and that means Grünenthal should be held accountable and pay for their mistake financially.
Spanish
Historia
La talidomida fue creado por Grünenthal en 1953 y fue utilizado a finales de 1950 y principios de 1960 como una "droga milagrosa" para el tratamiento de las náuseas, dolores de cabeza, tos, insomnio y resfriados. La talidomida fue comercializada en el Reino Unido bajo el nombre Distaval en 1958, y destacó los anuncios de seguridad completa del medicamento, utilizando frases como "no tóxico" y "no hay toxicidad conocida".
Sin embargo, en 1961 un médico australiano, William McBride, escribió a la revista The Lancet después de notar un aumento en los bebés que nacen deformes en su hospital - todo a las madres que habían tomado Talidomida.
Entre 1958 y 1962, decenas de miles de mujeres de toda Europa descubrieron que el bebé que llevaban inexplicablemente abortado, o, peor aún, después de dar a luz se les dijo que estaba muerto. Miles de personas descubrieron que sus bebés nacieron con defectos congénitos graves, los brazos, las piernas, que faltan o con reducciones severas a estos miembros, o peor aún, el daño a sus órganos internos, cerebro, corazón, riñones, intestinos, genitales, etc Durante 1962 guardianes de los registros empezó a contar toda la vida los niños que nacieron dañado por la droga. Los únicos registros completos son de los que sobrevivieron lo suficiente como para participar en los sistemas nacionales de indemnización, que se establecieron en Alemania, Gran Bretaña, Japón, Suecia y Australia en la década de 1970. La dificultad para descubrir el número de víctimas del desastre comienza con los números desconocidos de abortos involuntarios y mortinatos (posiblemente hasta diez veces el número de nacidos vivos), y la práctica generalizada del infanticidio.
Las lesiones de la talidomida no se detuvo una vez que los bebés nacieron. A la edad de cincuenta años, los registros de la confianza talidomida muestran que cerca de la mitad de todos los sobrevivientes están lidiando con el dolor crónico - principalmente de músculos y articulaciones (dolor musculoesquelético), en gran parte como resultado de los desafíos de vivir con la falta o ramas dañadas. Para muchos, sus cuerpos se deterioran mucho más rápido que las personas sanas. Algunos han dicho palabras en el sentido de "su cuerpo está recibiendo los problemas de alguien en los setenta", que a los cuarenta o cincuenta años de edad no es una buena noticia. Al menos una cuarta están lidiando con el desarrollo de problemas neurológicos, hormigueo, entumecimiento y dolor en las extremidades afectadas. Esto significa que una persona puede ser la celebración de una taza, por ejemplo, y lo siguiente que sé es que ha caído al suelo y se rompe, debido a la sensación de adormecimiento en la mano. Para estos sobrevivientes, el desastre está siendo poco a poco se desarrolla en su día a día.
Grünenthal científicos no sólo fueron negligentes al no haber retirado la droga cuando los informes de problemas de vino, o por no probarlo de acuerdo a los estándares de la época, pero más que la mayoría de las empresas que estaban muy bien situados para prever la posibilidad de que la talidomida haría causar defectos de nacimiento.
Grünenthal inicialmente negó las acusaciones de que el medicamento no ha sido ampliamente probado de acuerdo con los estándares de la época, pero una vez que el escándalo se hizo innegable, trataron de desviar la culpa y limitar el daño.
En 1961, la talidomida fue finalmente retirada después de haber sido encontrado para ser un teratogan - una de las causas de los defectos congénitos. 12 años después, el Reino Unido, Distillers Company Limited (ahora Bioquímicos Diageo) - encargada de la distribución de la droga en el Reino Unido - llegó a un acuerdo de compensación después de una batalla legal por las familias de los afectados.
Sobre la base de evidencia incompleta médica y expectativas poco realistas de la talidomida futuro sobrevivientes necesita esta solución ha resultado ser en un nivel adecuado. Con todos los sobrevivientes de la talidomida en el Reino Unido ahora más de 50 años de edad, ya no es suficiente para hacer frente a su creciente costo de vida, y el dramático deterioro de su salud.
A día de hoy, Grünenthal nunca ha aceptado la responsabilidad por el sufrimiento causado por la talidomida. El 1 de septiembre de 2012, el Grupo Grünenthal emitió una declaración que contenga una disculpa, diciendo que "lamenta" las consecuencias de la droga, lo que llevó a los bebés que nacen sin extremidades durante los años 1950 y 1960. Aunque la declaración fue bien recibida por algunos sobrevivientes de la talidomida, no es todavía una aceptación de responsabilidad. Ellos sólo quieren vivir una vida cómoda, y eso quiere decir Grünenthal deben rendir cuentas y pagar por su error financieramente.
Italian
Storia
La talidomide è stato creato da Grünenthal nel 1953 ed è stato utilizzato alla fine del 1950 e 1960 come un "farmaco miracoloso" per curare la malattia di mattina, mal di testa, tosse, insonnia e raffreddori. La talidomide è stato commercializzato nel Regno Unito con il nome di Distaval nel 1958, e la pubblicità ha sottolineato sicurezza del farmaco, con frasi come "non tossico" e "nessuna tossicità conosciuto".
Tuttavia, nel 1961 un medico australiano, William McBride, ha scritto al Lancet dopo aver notato un aumento delle nascite di bimbi malformati essendo nati a suo ospedale - tutti da madri che avevano assunto talidomide.
Tra il 1958 e il 1962 decine di migliaia di donne in tutta Europa ha scoperto che il bambino che portavano inspiegabilmente abortito, o, peggio, dopo che ha dato alla luce hanno detto che era morto. Altre migliaia hanno scoperto che i loro bambini hanno gravi difetti di nascita, braccia, gambe, mancanti o con gravi riduzioni a queste arti, o peggio ancora, danni ai loro organi interni, cervello, cuore, reni, intestino, genitali, ecc Nel 1962 custodi record cominciò a contare tutta la vita i bambini che sono nati danneggiati dal farmaco. Le uniche registrazioni complete sono di coloro che sono sopravvissuti abbastanza a lungo per partecipare ai sistemi di indennizzo nazionali, che sono stati stabiliti in Germania, Gran Bretagna, Giappone, Svezia e Australia nel 1970. La difficoltà nello scoprire il bilancio del disastro inizia con i numeri sconosciuti di aborti spontanei e nati morti (forse fino a dieci volte il numero di nati vivi), e la pratica diffusa di infanticidio.
Le lesioni Talidomide non si è fermata una volta che i bambini sono nati. All'età di 50, del Trust talidomide i tabulati mostrano che circa la metà di tutti i sopravvissuti stanno affrontando con dolore cronico - principalmente da muscoli e le articolazioni (il dolore muscoloscheletrico), soprattutto a causa delle sfide della vita con mancanti o arti danneggiati. Per molti, i loro corpi si stanno deteriorando molto più veloce di persone abili. Molti hanno detto parole per l'effetto "il tuo corpo è sempre il problema di qualcuno nei loro anni settanta", che a 40-50 anni di età non è una buona notizia. Almeno un quarto stanno affrontando con lo sviluppo di problemi neurologici, formicolio, intorpidimento e dolore a carico degli arti colpiti. Ciò significa che una persona può essere in possesso di un tazza, per esempio, e la prossima cosa che so è che è caduto a terra e rotto, a causa del torpore in mano. Per questi sopravvissuti, il disastro è ancora lentamente svolgendo nel loro giorno per giorno la vita.
Grünenthal scienziati non erano solo negligenza nel non ritirare il farmaco quando i report di problemi è venuto in, o per non aver testarlo secondo gli standard del tempo, ma più che la maggior parte delle aziende erano molto ben disposti ad anticipare la possibilità che Thalidomide avrebbe causare difetti di nascita.
Grünenthal inizialmente smentito che il farmaco non era stato ampiamente testati secondo gli standard del tempo, ma una volta che lo scandalo è diventata innegabile, hanno cercato di deviare la colpa e di limitare i danni.
Nel 1961 talidomide è stata infine ritirata dopo essere stato trovato per essere un teratogan - una causa di difetti di nascita. 12 anni dopo, i Distillers Company Limited, Regno Unito Biochemicals (ora Diageo) - incaricata di distribuire il farmaco nel Regno Unito - ha raggiunto un accordo di compensazione a seguito di una battaglia legale da parte delle famiglie delle persone colpite.
Sulla base di prove mediche incomplete e le aspettative non realistiche del futuro Thalidomide sopravvissuti ha bisogno di questa soluzione si è rivelata essere ad un livello insufficiente. Con tutti i sopravvissuti Talidomide nel Regno Unito ora di età superiore ai 50 anni, non è più sufficiente per affrontare la loro crescente costo della vita, e il drammatico deterioramento della loro salute.
Fino ad oggi, la Grünenthal non hanno mai accettato la responsabilità per la sofferenza causata dal talidomide. Il 1 ° settembre 2012, il Gruppo Grünenthal ha rilasciato una dichiarazione che contiene delle scuse, affermando che esso "deplora" le conseguenze della droga, che ha portato a bambini nati senza arti nel corso del 1950 e 1960. Anche se la dichiarazione è stata accolta da alcuni sopravvissuti talidomide, non è ancora una assunzione di responsabilità. Vogliono solo vivere una vita comoda, e questo significa che Grünenthal dovrebbero essere ritenuti responsabili e pagare per il loro errore finanziario.
History
Thalidomide was created by Grünenthal in 1953 and was used in the late 1950s and early 1960s as a "wonder drug" to treat morning sickness, headaches, coughs, insomnia and colds. Thalidomide was marketed in the UK under the name Distaval in 1958, and advertisements emphasized the drug's complete safety, using phrases such as “non-toxic” and “no known toxicity”.
However, in 1961 an Australian doctor, William McBride, wrote to the Lancet after noticing an increase in deformed babies being born at his hospital – all to mothers who had taken Thalidomide.
Between 1958 and 1962 tens of thousands of women throughout Europe found that the baby they were carrying unaccountably miscarried, or, worse, after they gave birth were told it was stillborn. Thousands more discovered that their babies had severe birth defects, missing arms, legs, or with severe reductions to these limbs, or even worse, damage to their internal organs, brain, heart, kidneys, intestines, genitals, etc. During 1962 record keepers began to count all of the children living who were born damaged by the drug. The only complete records are of those who survived long enough to participate in the national compensation schemes, which were established in Germany, Britain, Japan, Sweden and Australia in the 1970s. The difficulty in uncovering the full toll of the disaster begins with the unknown numbers of miscarriages and stillbirths (possibly up to ten times the number of live births), and the widespread practice of infanticide.
The Thalidomide injuries did not stop once the babies were born. At the age of fifty, the Thalidomide Trust’s records show that around half of all survivors are coping with chronic pain – mainly from muscles and joints (musculo-skeletal pain), largely as a result of the challenges of living with missing or damaged limbs. For many, their bodies are deteriorating far faster than able-bodied people. Several have been told words to the effect “your body is getting the problems of someone in their seventies”, which at forty to fifty years of age is not good news. At least a quarter are coping with developing neurological problems, tingling, numbness, and pain in their affected limbs. This means that a person may be holding a cup, for instance, and the next thing they know is it has fallen to the floor and broken, because of the numbness in their hand. For these survivors, the disaster is still slowly unfolding in their day-to-day lives.
Grünenthal scientists were not only negligent in failing to withdraw the drug when reports of problems came in, or for failing to test it according to the standards of the time, but more than most companies they were very well placed to anticipate the possibility that Thalidomide would cause birth defects.
Grünenthal initially denied claims that the drug hadn’t been extensively tested according to the standards of the time, but once the scandal became undeniable, they sought to deflect blame and limit damage.
In 1961 Thalidomide was eventually withdrawn after being found to be a teratogan - a cause of birth defects. 12 years later, the UK company Distillers Biochemicals Limited (now Diageo) – which was responsible for distributing the drug in the UK – reached a compensation settlement following a legal battle by the families of those affected.
Based on incomplete medical evidence and unrealistic expectations of Thalidomide survivors future needs this settlement has turned out to be at an inadequate level. With all Thalidomide survivors in the UK now over the age of 50, it is no longer sufficient to deal with their rising cost of living, and the dramatic deterioration of their health.
To this day, Grünenthal have never accepted responsibility for the suffering caused by Thalidomide. On September 1st 2012, The Grünenthal Group released a statement containing an apology, stating that it "regrets" the consequences of the drug, which led to babies being born without limbs during the 1950s and 1960s. Although the statement was welcomed by some Thalidomide survivors, it is still not an acceptance of responsibility. They just want to live a comfortable life, and that means Grünenthal should be held accountable and pay for their mistake financially.
Spanish
Historia
La talidomida fue creado por Grünenthal en 1953 y fue utilizado a finales de 1950 y principios de 1960 como una "droga milagrosa" para el tratamiento de las náuseas, dolores de cabeza, tos, insomnio y resfriados. La talidomida fue comercializada en el Reino Unido bajo el nombre Distaval en 1958, y destacó los anuncios de seguridad completa del medicamento, utilizando frases como "no tóxico" y "no hay toxicidad conocida".
Sin embargo, en 1961 un médico australiano, William McBride, escribió a la revista The Lancet después de notar un aumento en los bebés que nacen deformes en su hospital - todo a las madres que habían tomado Talidomida.
Entre 1958 y 1962, decenas de miles de mujeres de toda Europa descubrieron que el bebé que llevaban inexplicablemente abortado, o, peor aún, después de dar a luz se les dijo que estaba muerto. Miles de personas descubrieron que sus bebés nacieron con defectos congénitos graves, los brazos, las piernas, que faltan o con reducciones severas a estos miembros, o peor aún, el daño a sus órganos internos, cerebro, corazón, riñones, intestinos, genitales, etc Durante 1962 guardianes de los registros empezó a contar toda la vida los niños que nacieron dañado por la droga. Los únicos registros completos son de los que sobrevivieron lo suficiente como para participar en los sistemas nacionales de indemnización, que se establecieron en Alemania, Gran Bretaña, Japón, Suecia y Australia en la década de 1970. La dificultad para descubrir el número de víctimas del desastre comienza con los números desconocidos de abortos involuntarios y mortinatos (posiblemente hasta diez veces el número de nacidos vivos), y la práctica generalizada del infanticidio.
Las lesiones de la talidomida no se detuvo una vez que los bebés nacieron. A la edad de cincuenta años, los registros de la confianza talidomida muestran que cerca de la mitad de todos los sobrevivientes están lidiando con el dolor crónico - principalmente de músculos y articulaciones (dolor musculoesquelético), en gran parte como resultado de los desafíos de vivir con la falta o ramas dañadas. Para muchos, sus cuerpos se deterioran mucho más rápido que las personas sanas. Algunos han dicho palabras en el sentido de "su cuerpo está recibiendo los problemas de alguien en los setenta", que a los cuarenta o cincuenta años de edad no es una buena noticia. Al menos una cuarta están lidiando con el desarrollo de problemas neurológicos, hormigueo, entumecimiento y dolor en las extremidades afectadas. Esto significa que una persona puede ser la celebración de una taza, por ejemplo, y lo siguiente que sé es que ha caído al suelo y se rompe, debido a la sensación de adormecimiento en la mano. Para estos sobrevivientes, el desastre está siendo poco a poco se desarrolla en su día a día.
Grünenthal científicos no sólo fueron negligentes al no haber retirado la droga cuando los informes de problemas de vino, o por no probarlo de acuerdo a los estándares de la época, pero más que la mayoría de las empresas que estaban muy bien situados para prever la posibilidad de que la talidomida haría causar defectos de nacimiento.
Grünenthal inicialmente negó las acusaciones de que el medicamento no ha sido ampliamente probado de acuerdo con los estándares de la época, pero una vez que el escándalo se hizo innegable, trataron de desviar la culpa y limitar el daño.
En 1961, la talidomida fue finalmente retirada después de haber sido encontrado para ser un teratogan - una de las causas de los defectos congénitos. 12 años después, el Reino Unido, Distillers Company Limited (ahora Bioquímicos Diageo) - encargada de la distribución de la droga en el Reino Unido - llegó a un acuerdo de compensación después de una batalla legal por las familias de los afectados.
Sobre la base de evidencia incompleta médica y expectativas poco realistas de la talidomida futuro sobrevivientes necesita esta solución ha resultado ser en un nivel adecuado. Con todos los sobrevivientes de la talidomida en el Reino Unido ahora más de 50 años de edad, ya no es suficiente para hacer frente a su creciente costo de vida, y el dramático deterioro de su salud.
A día de hoy, Grünenthal nunca ha aceptado la responsabilidad por el sufrimiento causado por la talidomida. El 1 de septiembre de 2012, el Grupo Grünenthal emitió una declaración que contenga una disculpa, diciendo que "lamenta" las consecuencias de la droga, lo que llevó a los bebés que nacen sin extremidades durante los años 1950 y 1960. Aunque la declaración fue bien recibida por algunos sobrevivientes de la talidomida, no es todavía una aceptación de responsabilidad. Ellos sólo quieren vivir una vida cómoda, y eso quiere decir Grünenthal deben rendir cuentas y pagar por su error financieramente.
Italian
Storia
La talidomide è stato creato da Grünenthal nel 1953 ed è stato utilizzato alla fine del 1950 e 1960 come un "farmaco miracoloso" per curare la malattia di mattina, mal di testa, tosse, insonnia e raffreddori. La talidomide è stato commercializzato nel Regno Unito con il nome di Distaval nel 1958, e la pubblicità ha sottolineato sicurezza del farmaco, con frasi come "non tossico" e "nessuna tossicità conosciuto".
Tuttavia, nel 1961 un medico australiano, William McBride, ha scritto al Lancet dopo aver notato un aumento delle nascite di bimbi malformati essendo nati a suo ospedale - tutti da madri che avevano assunto talidomide.
Tra il 1958 e il 1962 decine di migliaia di donne in tutta Europa ha scoperto che il bambino che portavano inspiegabilmente abortito, o, peggio, dopo che ha dato alla luce hanno detto che era morto. Altre migliaia hanno scoperto che i loro bambini hanno gravi difetti di nascita, braccia, gambe, mancanti o con gravi riduzioni a queste arti, o peggio ancora, danni ai loro organi interni, cervello, cuore, reni, intestino, genitali, ecc Nel 1962 custodi record cominciò a contare tutta la vita i bambini che sono nati danneggiati dal farmaco. Le uniche registrazioni complete sono di coloro che sono sopravvissuti abbastanza a lungo per partecipare ai sistemi di indennizzo nazionali, che sono stati stabiliti in Germania, Gran Bretagna, Giappone, Svezia e Australia nel 1970. La difficoltà nello scoprire il bilancio del disastro inizia con i numeri sconosciuti di aborti spontanei e nati morti (forse fino a dieci volte il numero di nati vivi), e la pratica diffusa di infanticidio.
Le lesioni Talidomide non si è fermata una volta che i bambini sono nati. All'età di 50, del Trust talidomide i tabulati mostrano che circa la metà di tutti i sopravvissuti stanno affrontando con dolore cronico - principalmente da muscoli e le articolazioni (il dolore muscoloscheletrico), soprattutto a causa delle sfide della vita con mancanti o arti danneggiati. Per molti, i loro corpi si stanno deteriorando molto più veloce di persone abili. Molti hanno detto parole per l'effetto "il tuo corpo è sempre il problema di qualcuno nei loro anni settanta", che a 40-50 anni di età non è una buona notizia. Almeno un quarto stanno affrontando con lo sviluppo di problemi neurologici, formicolio, intorpidimento e dolore a carico degli arti colpiti. Ciò significa che una persona può essere in possesso di un tazza, per esempio, e la prossima cosa che so è che è caduto a terra e rotto, a causa del torpore in mano. Per questi sopravvissuti, il disastro è ancora lentamente svolgendo nel loro giorno per giorno la vita.
Grünenthal scienziati non erano solo negligenza nel non ritirare il farmaco quando i report di problemi è venuto in, o per non aver testarlo secondo gli standard del tempo, ma più che la maggior parte delle aziende erano molto ben disposti ad anticipare la possibilità che Thalidomide avrebbe causare difetti di nascita.
Grünenthal inizialmente smentito che il farmaco non era stato ampiamente testati secondo gli standard del tempo, ma una volta che lo scandalo è diventata innegabile, hanno cercato di deviare la colpa e di limitare i danni.
Nel 1961 talidomide è stata infine ritirata dopo essere stato trovato per essere un teratogan - una causa di difetti di nascita. 12 anni dopo, i Distillers Company Limited, Regno Unito Biochemicals (ora Diageo) - incaricata di distribuire il farmaco nel Regno Unito - ha raggiunto un accordo di compensazione a seguito di una battaglia legale da parte delle famiglie delle persone colpite.
Sulla base di prove mediche incomplete e le aspettative non realistiche del futuro Thalidomide sopravvissuti ha bisogno di questa soluzione si è rivelata essere ad un livello insufficiente. Con tutti i sopravvissuti Talidomide nel Regno Unito ora di età superiore ai 50 anni, non è più sufficiente per affrontare la loro crescente costo della vita, e il drammatico deterioramento della loro salute.
Fino ad oggi, la Grünenthal non hanno mai accettato la responsabilità per la sofferenza causata dal talidomide. Il 1 ° settembre 2012, il Gruppo Grünenthal ha rilasciato una dichiarazione che contiene delle scuse, affermando che esso "deplora" le conseguenze della droga, che ha portato a bambini nati senza arti nel corso del 1950 e 1960. Anche se la dichiarazione è stata accolta da alcuni sopravvissuti talidomide, non è ancora una assunzione di responsabilità. Vogliono solo vivere una vita comoda, e questo significa che Grünenthal dovrebbero essere ritenuti responsabili e pagare per il loro errore finanziario.
NEDERLAND, NETHERLANDS, HOLLAND, PAYS-BAS, HOLANDA, PAISES BAJOS, Barendrecht, Un pueblo llamado Barendrecht, A town called Barendrecht, Une ville appelée Barendrecht, LAGARTIJAS, LEZARDS , LIZARDS, HAGEDISSEN, ECHSEN, LAGARTO,
AXOLOTIS.-
There was a time when I thought a great deal about the axolotls. I went to see them in the aquarium at the Jardin des Plantes and stayed for hours watching them, observing their immobility, their faint movements. Now I am an axolotl.
I got to them by chance one spring morning when Paris was spreading its peacock tail after a slow wintertime. I was heading down tbe boulevard Port-Royal, then I took Saint-Marcel and L'Hôpital and saw green among all that grey and remembered the lions. I was friend of the lions and panthers, but had never gone into the dark, humid building that was the aquarium. I left my bike against tbe gratings and went to look at the tulips. The lions were sad and ugly and my panther was asleep. I decided on the aquarium, looked obliquely at banal fish until, unexpectedly, I hit it off with the axolotls. I stayed watching them for an hour and left, unable to think of anything else.
In the library at Sainte-Geneviève, I consulted a dictionary and learned that axolotls are the larval stage (provided with gills) of a species of salamander of the genus Ambystoma. That they were Mexican I knew already by looking at them and their little pink Aztec faces and the placard at the top of the tank. I read that specimens of them had been found in Africa capable of living on dry land during the periods of drought, and continuing their life under water when the rainy season came. I found their Spanish name, ajolote, and the mention that they were edible, and that their oil was used (no longer used, it said ) like cod-liver oil.
I didn't care to look up any of the specialized works, but the next day I went back to the Jardin des Plantes. I began to go every morning, morning and aftemoon some days. The aquarium guard smiled perplexedly taking my ticket. I would lean up against the iron bar in front of the tanks and set to watching them. There's nothing strange in this, because after the first minute I knew that we were linked, that something infinitely lost and distant kept pulling us together. It had been enough to detain me that first morning in front of the sheet of glass where some bubbles rose through the water. The axolotls huddled on the wretched narrow (only I can know how narrow and wretched) floor of moss and stone in the tank. There were nine specimens, and the majority pressed their heads against the glass, looking with their eyes of gold at whoever came near them. Disconcerted, almost ashamed, I felt it a lewdness to be peering at these silent and immobile figures heaped at the bottom of the tank. Mentally I isolated one, situated on the right and somewhat apart from the others, to study it better. I saw a rosy little body, translucent (I thought of those Chinese figurines of milky glass), looking like a small lizard about six inches long, ending in a fish's tail of extraordinary delicacy, the most sensitive part of our body. Along the back ran a transparent fin which joined with the tail, but what obsessed me was the feet, of the slenderest nicety, ending in tiny fingers with minutely human nails. And then I discovered its eyes, its face. Inexpressive features, with no other trait save the eyes, two orifices, like brooches, wholly of transparent gold, lacking any life but looking, letting themselves be penetrated by my look, which seemed to travel past the golden level and lose itself in a diaphanous interior mystery. A very slender black halo ringed the eye and etched it onto the pink flesh, onto the rosy stone of the head, vaguely triangular, but with curved and triangular sides which gave it a total likeness to a statuette corroded by time. The mouth was masked by the triangular plane of the face, its considerable size would be guessed only in profile; in front a delicate crevice barely slit the lifeless stone. On both sides of the head where the ears should have been, there grew three tiny sprigs, red as coral, a vegetal outgrowth, the gills, I suppose. And they were the only thing quick about it; every ten or fifteen seconds the sprigs pricked up stiffly and again subsided. Once in a while a foot would barely move, I saw the diminutive toes poise mildly on the moss. It's that we don't enjoy moving a lot, and the tank is so cramped—we barely move in any direction and we're hitting one of the others with our tail or our head—difficulties arise, fights, tiredness. The time feels like it's less if we stay quietly.
It was their quietness that made me lean toward them fascinated the first time I saw the axolotls. Obscurely I seemed to understand their secret will, to abolish space and time with an indifferent immobility. I knew better later; the gill contraction, the tentative reckoning of the delicate feet on the stones, the abrupt swimming (some of them swim with a simple undulation of the body) proved to me that they were capable of escaping that mineral lethargy in which they spent whole hours. Above all else, their eyes obsessed me. In the standing tanks on either side of them, different fishes showed me the simple stupidity of their handsome eyes so similar to our own. The eyes of the axolotls spoke to me of the presence of a different life, of another way of seeing. Glueing my face to the glass (the guard would cough fussily once in a while), I tried to see better those diminutive golden points, that entrance to the infinitely slow and remote world of these rosy creatures. It was useless to tap with one finger on the glass directly in front of their faces; they never gave the least reaction. The golden eyes continued burning with their soft, terrible light; they continued looking at me from an unfathomable depth which made me dizzy.
And nevertheless they were close. I knew it before this, before being an axolotl. I learned it the day I came near them for the first time. The anthropomorphic features of a monkey reveal the reverse of what most people believe, the distance that is traveled from them to us. The absolute lack of similarity between axolotls and human beings proved to me that my recognition was valid, that I was not propping myself up with easy analogies. Only the little hands . . . But an eft, the common newt, has such hands also, and we are not at all alike. I think it was the axolotls' heads, that triangular pink shape with the tiny eyes of gold. That looked and knew. That laid the claim. They were not animals.
It would seem easy, almost obvious, to fall into mythology. I began seeing in the axolotls a metamorphosis which did not succeed in revoking a mysterious humanity. I imagined them aware, slaves of their bodies, condemned infinitely to the silence of the abyss, to a hopeless meditation. Their blind gaze, the diminutive gold disc without expression and nonetheless terribly shining, went through me like a message: "Save us, save us." I caught myself mumbling words of advice, conveying childish hopes. They continued to look at me, immobile; from time to time the rosy branches of the gills stiffened. In that instant I felt a muted pain; perhaps they were seeing me, attracting my strength to penetrate into the impenetrable thing of their lives. They were not human beings, but I had found in no animal such a profound relation with myself. The axolotls were like witnesses of something, and at times like horrible judges. I felt ignoble in front of them; there was such a terrifying purity in those transparent eyes. They were larvas, but larva means disguise and also phantom. Behind those Aztec faces, without expression but of an implacable cruelty, what semblance was awaiting its hour?
I was afraid of them. I think that had it not been for feeling the proximity of other visitors and the guard, I would not have been bold enough to remain alone with them. "You eat them alive with your eyes, hey," the guard said, laughing; he likely thought I was a little cracked. What he didn't notice was that it was they devouring me slowly with their eyes, in a cannibalism of gold. At any distance from the aquarium, I had only to think of them, it was as though I were being affected from a distance. It got to the point that I was going every day, and at night I thought of them immobile in the darkness, slowly putting a hand out which immediately encountered another. Perhaps their eyes could see in the dead of night, and for them the day continued indefinitely. The eyes of axolotls have no lids.
I know now that there was nothing strange, that that had to occur. Leaning over in front of the tank each morning, the recognition was greater. They were suffering, every fiber of my body reached toward that stifled pain, that stiff torment at the bottom of the tank. They were lying in wait for something, a remote dominion destroyed, an age of liberty when the world had been that of the axolotls. Not possible that such a terrible expression which was attaining the overthrow of that forced blankness on their stone faces should carry any message other than one of pain, proof of that eternal sentence, of that liquid hell they were undergoing. Hopelessly, I wanted to prove to myself that my own sensibility was projecting a nonexistent consciousness upon the axolotls. They and I knew. So there was nothing strange in what happened. My face was pressed against the glass of the aquarium, my eyes were attempting once more to penetrate the mystery of those eyes of gold without iris, without pupil. I saw from very close up the face of an axolotl immobile next to the glass. No transition and no surprise, I saw my face against the glass, I saw it on the outside of the tank, I saw it on the other side of the glass. Then my face drew back and I understood.
Only one thing was strange: to go on thinking as usual, to know. To realize that was, for the first moment, like the horror of a man buried alive awaking to his fate. Outside, my face came close to the glass again, I saw my mouth, the lips compressed with the effort of understanding the axolotls. I was an axolotl and now I knew instantly that no understanding was possible. He was outside the aquarium, his thinking was a thinking outside the tank. Recognizlng him, being him himself, I was an axolotl and in my world. The horror began—I learned in the same moment —of believing myself prisoner in the body of an axolotl, metamorphosed into him with my human mind intact, buried alive in an axolotl, condemned to move lucidly among unconscious creatures. But that stopped when a foot just grazed my face, when I moved just a little to one side and saw an axolotl next to me who was looking at me, and understood that he knew also, no communication possible, but very clearly. Or I was also in him, or all of us were thinking humanlike, incapable of expression, limited to the golden splendor of our eyes looking at the face of the man pressed against the aquarium.
He returned many times, but he comes less often now. Weeks pass without his showing up. I saw him yesterday, he looked at me for a long time and left briskly. It seemed to me that he was not so much interested in us any more, that he was coming out of habit. Since the only thing I do is think, I could think about him a lot. It occurs to me that at the beginning we continued to communicate, that he felt more than ever one with the mystery which was claiming him. But the bridges were broken between him and me, because what was his obsession is now an axolotl, alien to his human life. I think that at the beginning I was capable of returning to him in a certain way—ah, only in a certain way—and of keeping awake his desire to know us better. I am an axolotl for good now, and if I think like a man it's only because every axolotl thinks like a man inside his rosy stone semblance. I believe that all this succeeded in communicating something to him in those first days, when I was still he. And in this final solitude to which he no longer comes, I console myself by thinking that perhaps he is going to write a story about us, that, believing he's making up a story, he's going to write all this about axolotls.
Il fut une époque où je pensais beaucoup aux axolotls. J’allais les voir à l’aquarium du Jardin des Plantes et je passais des heures à les regarder, à observer leur immobilité, leurs mouvements obscurs. Et maintenant je suis un axolotl. Le hasard me conduisit vers eux un matin de printemps où Paris déployait sa queue de paon après le lent hiver. Je descendis le boulevard Saint-Marcel, celui de l’hôpital, je vis les premiers verts parmi tout le gris et je me souvins des lions. J’étais très amis des lions et des panthères, mais je n’étais jamais entré dans l’enceinte humide et sombre des aquariums. Je laissai ma bicyclette contre les grilles et j’allais voir les tulipes. Les lions étaient laids et tristes et ma panthère dormait. Je me décidai pour les aquariums et, après avoir regardé avec indifférence des poissons ordinaires, je tombai par hasard sur les axolotls. Je passai une heure à les regarder, puis je partis, incapable de penser à autre chose.
À la bibliothèque Sainte-Geneviève je consultai un dictionnaire et j’appris que les axolotls étaient les formes larvaires, pourvues de branchies, de batraciens du genre amblystone. Qu’ils étaient originaires du Mexique, je le savais déjà, rien qu’à voir leur petit visage aztèque. Je lus qu’on en avait trouvé des spécimens en Afrique capables de vivre hors de l’eau pendant les périodes de sécheresse et qui reprenaient leur vie normale à la saison des pluies. On donnait leur nom espagnol, ajolote, on signalait qu’ils étaient comestibles et qu’on utilisait leur huile (on ne l’utilise plus) comme l’huile de foie de morue.
Je ne voulus pas consulter d’ouvrages spécialisés mais je revins le jour suivant au jardin des Plantes. Je pris l’habitude d’y aller tous les matins, et parfois même matin et soir. Le gardien des aquariums souriait d’un air perplexe en prenant mon ticket. Je m’appuyais contre la barre de fer qui borde les aquariums et je regardais les axolotls. Il n’y avait rien d’étrange à cela ; dès le premier instant j’avais senti que quelque chose me liait à eux, quelque chose d’infiniment lointain et oublié qui cependant nous unissait encore. Il m’avait suffit de m’arrêter un matin devant cet aquarium où des bulles couraient dans l’eau. Les axolotls s’entassaient sur l’étroit et misérable (personne mieux que moi ne sait à quel point il est étroit et misérable) fond de pierre et de mousse. Il y en avait neuf, la plupart d’entre eux appuyaient leur tête contre la vitre et regardaient de leurs yeux d’or ceux qui s’approchaient. Troublé, presque honteux, je trouvais qu’il y avait de l’impudeur à se pencher sur ces formes silencieuses et immobiles entassées au fond de l’aquarium. Mentalement, j’en isolai un, un peu à l’écart sur la droite, pour mieux l’étudier. Je vis un petit corps rose, translucide (je pensai aux statuettes chinoises en verre laiteux), semblable à un petit lézard de quinze centimètres, terminé par une queue de poisson d’une extraordinaire délicatesse - c’est la partie la plus sensible de notre corps. Sur son dos, une nageoire transparente se rattachait à la queue ; mais ce furent les pattes qui me fascinèrent, des pattes d’une incroyable finesse, terminés par de tout petits doigts avec des ongles - absolument humains, sans pourtant avoir la forme de la main humaine - mais comment aurais-je pu ignorer qu’ils étaient humains ? c’est alors que je découvris leurs yeux, leur visage. Un visage inexpressif sans autre trait que les yeux, deux orifices comme des têtes d’épingles entièrement d’or transparent, sans aucune vie, mais qui regardaient et qui se laissaient pénétrer par mon regard qui passait à travers le point doré et se perdait dans un mystère diaphane. Un très mince halo noir entourait l’oeil et l’inscrivait dans la chair rose, dans la pierre rose de la tête vaguement triangulaire, au contours courbes et irréguliers, qui la faisaient ressembler à une statue rongée par le temps. La bouche était dissimulée par le plan triangulaire de la tête et ce n’est que de profil que l’on s’apercevait qu’elle était très grande. Vue de face, c’était une fine rainure, comme une fissure dans de l’albâtre. De chaque côté de la tête, à la place des oreilles, se dressaient de très petites branches rouges comme du corail, une excroissance végétale, les branchies, je suppose. C’était la seule chose qui eût l’air vivante dans ce corps. Chaque vingt secondes elles se dressaient, toutes raides, puis s’abaissaient de nouveau. Parfois une patte bougeait, à peine, et je voyais les doigts minuscules se poser doucement sur la mousse. C’est que nous n’aimons pas beaucoup bouger, l’aquarium est si étroit ; si peu que nous remuions nous heurtons la tête ou la queue d’un autre ; il s’ensuit des difficultés, des disputes, de la fatigue. Le temps se sent moins si l’on reste immobile.
Ce fut leur immobilité qui me fit me pencher vers eux, fasciné, la première fois que je les vis. Il me sembla comprendre obscurément leur volonté secrète : abolir l’espace et le temps par une immobilité pleine d’indifférence. Par la suite, j’appris à mieux les comprendre, les branchies qui se contractent, les petites pattes fines qui tâtonnent sur les pierres, leurs fuites brusques (ils nagent par une simple ondulation du corps) me prouvèrent qu’ils étaient capables de s’évader de cette torpeur minérale où ils passaient des heures entières. Leurs yeux surtout m’obsédaient. A côté d’eux, dans les autres aquariums, des poissons me montraient la stupide simplicité de leurs beaux yeux semblables aux nôtres. Les yeux des axolotls me parlaient de la présence d’une vie différente, d’une autre façon de regarder. Je collais mon visage à la vitre (le gardien, inquiet, toussait de temps en temps) pour mieux voir les tout petits points dorés, cette ouverture sur le monde infiniment lent et éloigné des bêtes roses. Inutile de frapper du doigt contre la vitre, sous leur nez, jamais la moindre réaction. Les yeux d’or continuaient à brûler de leur douce et terrible lumière, continuaient à me regarder du fond d’un abîme insondable qui me donnait le vertige.
Et cependant les axolotls étaient proches de nous. Je le savais avant même de devenir un axolotl. Je le sus dès le jour où je m’approchai d’eux pour la première fois. Les traits anthropomorphiques d’un singe accusent la différence qu’il y a entre lui et nous, contrairement à ce que pensent la plupart des gens. L’absence totale de ressemblance entre un axolotl et un être humain me prouva que ma reconnaissance
était valable, que je ne m’appuyais pas sur des analogies faciles. Il y avait bien les petites mains. Mais un lézard a les mêmes mains et ne ressemble en rien à l’homme. Je crois que tout venait de la tête des axolotls, de sa forme triangulaire rose et de ses petits yeux d’or. Cela regardait et savait. Cela réclamait. Les axolotls n’étaient pas des animaux.
De là à tomber dans la mythologie, il n’y avait qu’un pas, facile à franchir, presque inévitable. Je finis par voir dans les axolotls une métamorphose qui n’arrivait pas à renoncer tout à fait à une mystérieuse humanité. Je les imaginais conscients, esclaves de leur corps, condamnés indéfiniment à un silence abyssal, à une méditation désespérée. Leur regard aveugle, le petit disque d’or inexpressif - et cependant terriblement lucide - me pénétrait comme un message : "Sauve-nous, sauve-nous." Je me surprenais en train de murmurer des paroles de consolation, de transmettre des espoirs puérils. Ils continuaient à me regarder, immobiles. Soudain les petites branches roses se dressaient sur leur tête, et je sentais à ce moment-là comme une douleur sourde. Ils me voyaient peut-être, ils captaient mes efforts pour pénétrer dans l’impénétrable de leur vie. Ce n’étaient pas des êtres humains mais jamais je ne m’étais senti un rapport aussi étroit entre des animaux et moi. Les axolotls étaient comme témoins de quelque chose et parfois ils devenaient de terribles juges. Je me trouvais ignoble devant eux, il y avait dans ces yeux transparents une si effrayante pureté. C’était des larves, mais larve veut dire masque et aussi fantôme. Derrière ces visages aztèques, inexpressifs, et cependant d’une cruauté implacable, quelle image attendait
son heure ?
Ils me faisaient peur. Je crois que sans la présence du gardien et des autres visiteurs je n’aurais jamais osé rester devant eux. " Vous les mangez des yeux ", me disait le gardien en riant, et il devait penser que je n’étais pas tout à fait normal. Il ne se rendait pas compte que c’était eux qui me dévoraient lentement des yeux, en un cannibalisme d’or. Loin d’eux je ne pouvais penser à autre chose, comme s’ils m’influençaient à distance. Je finis par y aller tous les jours et la nuit je les imaginais immobiles dans l’obscurité, avançant lentement une petite patte qui rencontrait soudain celle d’un autre. Leurs yeux voyaient peut-être la nuit et le jour pour eux n’avait pas de fin. Les yeux des axolotls n’ont pas de paupières.
Maintenant je sais qu’il n’y a rien eu d’étrange dans tout cela, que cela devait arriver. Ils me reconnaissaient un peu plus chaque matin quand je me penchais vers l’aquarium. Ils souffraient. Chaque fibre de mon corps enregistrait cette souffrance bâillonnée, cette torture rigide au fond de l’eau. Ils épiaient quelque chose, un lointain royaume aboli, un temps de liberté où le monde avait appartenu aux axolotls. Une expression aussi terrible qui arrivait à vaincre l’impassibilité forcée de ces visages de pierre contenait sûrement un message de douleur, la preuve de cette condamnation éternelle, de cet enfer liquide qu’ils enduraient. En vain essayai-je de me persuader que c’était ma propre sensibilité qui projetait sur les axolotls une conscience qu’ils n’avaient pas. Eux et moi nous savions. C’est pour cela que ce qui arriva n’est pas étrange. Je collais mon visage à la vitre de l’aquarium, mes yeux essayèrent une fois de plus de percer le mystère de ces yeux d’or sans iris et sans pupille. Je voyais de très près la tête d’un axolotl immobile contre la vitre. Puis mon visage s’éloigna et je compris. Une seule chose était étrange : continuer à penser comme avant, savoir. Quand j’en pris conscience, je ressentis l’horreur de celui qui s’éveille enterré vivant. Au-dehors, mon visage s’approchait à nouveau de la vitre, je voyais ma bouche aux lèvres serrées par l’effort que je faisais pour comprendre les axolotls. J’étais un axolotl et je venais de savoir en un éclair qu’aucune communication n’était possible. Il était hors de l’aquarium, sa pensée était une pensée hors de l’aquarium. Tout en le connaissant, tout en étant lui-même, j’étais un axolotl et j’étais dans mon monde. L’horreur venait de ce que - je le sus instantanément - je me croyais prisonnier dans le corps d’un axolotl, transféré en lui avec ma pensée d’homme, enterré vivant dans un axolotl, condamné à me mouvoir en toute lucidité parmi des créatures insensibles. Mais cette impression ne dura pas, une patte vint effleurer mon visage et en me tournant un peu je vis un axolotl à côté de moi qui me regardait et je compris que lui aussi savait, sans communication possible mais si clairement. Ou bien j’étais encore en l’homme, ou bien nous pensions comme des êtres humains, incapables de nous exprimer, limités à l’éclat doré de nos yeux qui regardaient ce visage d’homme collé à la vitre.
Il revint encore plusieurs fois mais il vient moins souvent à présent. Des semaines se passent sans qu’on le voie. Il est venu hier, il m’a regardé longuement et puis il est parti brusquement. Il me semble que ce n’est plus à nous qu’il s’intéresse, qu’il obéit plutôt à une habitude. Comme penser est la seule chose que je puisse faire, je pense beaucoup à lui. Pendant un certain temps nous avons continué d’être en communication lui et moi, et il se sentait plus que jamais lié au mystère qui l’obsédait. Mais les ponts sont coupés à présent, car ce qui était son obsession est devenu un axolotl, étranger à sa vie d’homme. Je crois qu’au début je pouvais encore revenir en lui, dans une certaine mesure - ah ! seulement dans une certaine
mesure - et maintenir éveillé son désir de mieux nous connaître. Maintenant je suis définitivement un axolotl et si je pense comme un être humain c’est tout simplement parce que les axolotls pensent comme les humains sous leur masque de pierre rose. Il me semble que j’étais arrivé à lui communiquer cette vérité, les premiers jours, lorsque j’étais encore en lui. Et dans cette solitude finale vers laquelle il ne revient déjà plus, cela me console de penser qu’il va peut-être écrire quelque chose sur nous ; il croira qu’il invente un conte et il écrira tout cela sur les axolotls.
Julio Cortázar (1914-1984)
By Franklin Fisher
franklin.s.fisher2.civ@mail.mil
CAMP RED CLOUD, South Korea – The U.S. Army in Area I marked this year’s National African American Heritage Month with a Feb. 26 gathering that highlighted the challenges and opportunities of America’s ethnically diverse society.
An audience of more than 140 Soldiers and civilians in the post theater heard first-hand accounts of how open-mindedness, hard work and perseverance overcame various forms of hardship, including, for some, racial antagonism.
National African American Heritage Month, also known as Black History Month, is observed every February. This year’s theme was “At the Crossroads of Freedom and Equality – The Emancipation Proclamation and the March on Washington, 1963.”
One of the speakers, Jessica Santana, was 18 when her parents moved from Ecuador to the United States.
“My father’s goal was to see his daughters become successful and independent,” she said.
Santana served nearly eight years as a U.S. Soldier and now works as supervisory budget analyst with USAG Red Cloud’s and Area I’s Resource Management Office.
“I represent the diversity of which our country the United States of America is made of,” she said.
Scott Knowles, the garrison’s acting safety manager, is a white American who grew up in the segregated South.
He saw crosses burning in his hometown and blacks restricted to riding in the back of buses.
Later, when his work took him to Hawaii, he was surprised that some local residents of Asian ancestry were unfriendly because he was white.
“I wasn’t sure what to make of it and thought, ‘So this is what it feels like to be a minority?’
“For the first time, I began to understand the difficulties that minorities have to deal with.”
Sgt. 1st Class Esther Spears moved to the U.S. from Sierra Leone at age four. She’s now security sergeant-in-charge with the garrison’s Directorate of Plans, Training, Mobilization and Security.
Her father’s expectations that America was a place of opportunity proved true, she said.
“I remember him telling me that this is the place that I will be allowed to go to school and become a strong individual in a society where my opinions will be heard...
“I can truly say that my parents have given me the ultimate gift, the ability of freedom of speech, education, and equality,” said Spears. “Some of which I would not have had if I would have stayed in Africa.”
Yun Heo, director of the garrison’s Directorate of Public Works, came to the U.S. from South Korea at age 12.
He was sometimes subjected to slurs on his Asian ethnicity, some of them from a white wrestling opponent who refused to shake his hand at the start of a match.
Undeterred, he went on to graduate from the Virginia Military Institute and served as a U.S. Air Force officer before starting his current civilian career.
“Nothing comes free in life,” he said.
“But America gives you the basic opportunities...”
Sandra Knight, prevention coordinator at the garrison’s Army Substance Abuse Program, told of growing up in rural poverty in a family of 11 children, and of being unable to speak until age 16.
“My life’s trials caused me ...to study hard, to work even harder…Every one of my trials made me who I am today.”
In presenting a series of speakers rather than just one this year, organizers of the celebration sought to reflect the diversity of today’s Army, said Beverly Poole, director of the garrison’s Resource Management Office. Poole was the guest speaker.
“What it drove home,” she said later, “is that no matter what your background is, we all share some of the same struggles, some of the goals, and there’s nothing really that separates us and we shouldn’t be divided by the color of our skins.”
A video of the entire event is available online at www.ustream.tv/recorded/29574446. x