![]() Globe and Mail | "Steal It" and Other Internal YouTube Emails from Viacom's Copyright Suit Fast Company On July 22, 2005, YouTube co-founder Steve Chen forwarded to all YouTube employees "YouTube Marketing Analysis" stating that "users not only upload their ... Google Says Viacom Secretly Uploaded Clips to YouTubeBloomberg Viacom, YouTube lawsuit heats upVariety |
‘Match Day’ ends suspense for medical students – Baltimore Sun
![]() KOMU-TV | 'Match Day' ends suspense for medical students Baltimore Sun It was quite a personal accomplishment, she said, after juggling a toddler and medical school's punishing schedule. "It's been extremely challenging, ... Med school seniors meet their matchBoston Herald Medical students happily meet their matchCherry Hill Courier Post UM Medical School students meet their matchU-M Health System News Peoria Journal Star -UH System Current News -El Paso Times all 61 news articles » |
Black Anodising Issue
Recently i had done a Aluminium Gravity casting using Alu-LM25.
I took two samples from the same casting one i did Black Anodising and another sample with Clear chromate after maachining.
But the problem is in Black Anodising i found lot of white patches similarlly in Clear chromat
load sharing function
working system of load sharing in alternator
The Evolving Science and Guidelines of CPR
Pearl of wisdom for the day: If given the option, don’t let your heart stop. Very Bad Things soon follow if your heart stops.
In spite of what the entertainment industry would have you believe, it is extremely difficult to save the life of someone in cardiac arrest. A few random breaths, slow rocking chest compressions, even the ever-so-dramatic overhand blow to the chest accompanied by the scream “Don’t you die on me, dammit!” are unlikely to successfully resuscitate someone following an arrest, and even if it does, they won’t be in any shape to go chase Locke across the island with Jack and Kate five minutes later.
Even with properly performed CPR, started within seconds of an arrest, in a hospital with all the required expertise and support equipment, only roughly half survive their initial arrest event. Even fewer (25-33%) survive to discharge from the hospital, and ~75% have a good neurologic outcome. For arrests out of the hospital, where there can be huge delays in treatment, mere survival is significantly lower, often measured in the single digits.
The Limitations Of CPR
Why doesn’t CPR save more people? Well, it really isn’t meant to; at least, not on its own. Cardio-respiratory arrest is the common pathway of death, but it isn’t in itself a diagnosis. The essential question to be answered is why someone stopped breathing, or why their heart stopped in the first place. Unless you can answer that question and address the problem, even if CPR manages to restore a heartbeat it’s likely to stop again in short order.
It’s clearly unrealistic though to expect a random bystander to diagnose and treat another random stranger who happened to arrest in their vicinity. The rescue breaths and chest compressions of CPR are therefore primarily designed to buy time, hopefully enough time to get to the EMTs and Emergency/Critical Care team whose job it is to figure out what caused the arrest in the first place and reverse it before permanent damage is done.
In spite of the availability of public CPR training courses and the widespread knowledge of the existence of CPR, most people remain untrained, and the vast majority of those who have been trained (even medical personnel) rarely have cause to think about the skill, much less practice it. The result is that complete novices in CPR are the first responders to the overwhelming majority of arrests. Should we be surprised, then, that in no more than half of all arrests is any CPR provided by bystanders, and that the quality of CPR when it is given is often sub-par?
I don’t mean that as an indictment of innocent bystanders of an arrest. Simply witnessing an arrest is traumatic enough; to be in such a situation and asked to recognize the emergency, remember distant and somewhat arcane training, to have the initiative and courage to step forward and act, and to do so quickly and effectively is an immense amount to expect from anyone. Nevertheless, if the goal is to reduce the amount of time a victim of an arrest is without circulation, we needed to find some way to enable more people to provide quality CPR.
K.I.S.S.
The desire to reduce these impediments to good CPR delivery, combined with improved understanding of the physiology of people during arrests and CPR, led the American Heart Association (AHA) to make some significant revisions to its CPR guidelines in 2005. The revised guidelines were notably more streamlined, focusing less on tools, drugs, and advanced skills used by professionals, and even reducing the emphasis of breathing to focus instead on simply maintaining circulation of blood. Instead of a variety of age stratified ratios of compressions to rescue breaths, the AHA began to teach a single universal guideline for single bystander CPR: 30 compressions at a rate of 100/minute, then 2 breaths, then repeat until either help arrives or the person is breathing on their own. Compared to the prior CPR guidelines, it was simpler, easier to remember, and easier to execute.
In 2008 this was simplified even further. For adult cardiac arrests, it was demonstrated that “compression-only” or “hands-only” CPR was equally effective to CPR using both compressions and rescue breathing, yet was simpler, even easier to remember, had fewer interruptions, and eliminated the aversion to mouth-to-mouth that some people experience. All of this is thought to make people more likely to intervene and provide quality CPR, improving the odds of a dire situation.
Though it may seem counterintuitive not to provide rescue breaths for someone in cardio-respiratory arrest, the rationale is solid. “Deoxygenated” or venous blood still has a good amount of oxygen in it (usually about 75% of oxygenated blood), and it carries a lot more than just oxygen. The blood content of the nutrients that cells require is largely the same no matter whether the blood has been oxygenated or not, and blood flow also removes harmful metabolic byproducts that build up rapidly in its absence. Though breathing is necessary in the long run, but you can get by without breathing a lot longer than you can survive without blood flow.
Studies have confirmed that “compression-only” and conventional CPR are equally efficacious in adult cardiac arrests, and that the “compression-only” method is easier to learn and remember. By reducing the complexity of CPR to something that essentially fits on a bumper sticker, we are likely to improve the overall odds for adults who arrest out of the hospital.
…But Maybe Not That Simple
Have we made it too simple though? Children arrest too, but for very different reasons than adults. Most kids suffer respiratory arrests that then cause cardiac arrest, not primary cardiac arrests like most adults. Eliminating rescue breathing from childhood resuscitations could in fact result in worse outcomes. The AHA and medical community at large are aware of this, which is why the “compressions-only” CPR has not been recommended for children. Even so, it is likely that in advocating for “compression-only” CPR to benefit adults, some children will inadvertently be subjected to sub-optimal CPR.
A new study out of Japan and published last month in The Lancet provides some sobering but powerful information that may guide future CPR guidelines. The investigators examined all arrests of children over a 3-year span in Japan, documenting the type of arrest, presence and type of CPR, and short and long-term outcomes among other measures.
Out of 5158 childhood arrests, 2719 (53%) had no CPR attempted by anyone prior to EMS arrival. Survival rates were abysmally poor without CPR at ~7% alive one month after arrest. Though still depressingly low, CPR significantly improved survival to ~11%. Of equal importance, those above 1 year of age who did get CPR, any type of CPR, also had markedly better odds of having favorable neurologic function at one month from the arrest. As with the adult experience, an arrest out of the hospital is a dire situation, but any type of CPR is better than nothing, and can have a marked improvement in the (unfortunately small) likelihood of having a positive outcome.
The concern I had, however, was whether inappropriate “compression-only” CPR was inferior to conventional CPR with both compressions and rescue breaths, and whether we need to keep this in mind when designing our CPR program for the public. The authors of this study were able to make just such a comparison. Both forms of CPR were equally effective when the arrest had a cardiac origin, just as we’ve seen in adults. However, as suspected, victims of arrests of a non-cardiac origin provided “compressions-only” CPR did no better than those given no CPR; only the combination of compressions and rescue breathing affected a significant benefit.
Furthermore, of the 2,439 children who did receive CPR, 36% received “compression-only” CPR. Since 71% of all of the arrests in this study were non-cardiac in origin, this means that 25% of the CPR administered was inappropriate and ineffective.
Clearly, this study has limitations in being observational in design, and there are obvious issues generalizing from the Japanese population to that of the US, among other smaller concerns. Nevertheless, this study provides a few important lessons to be considered.
First, it shines the harsh light of reality on the overly optimistic expectations of CPR sometimes provided but the news media and frequently by the entertainment industry.
Second, it demonstrates the efficacy of CPR in improving both survival and the quality of outcomes from out of hospital arrests, and the potential benefits of further enabling the public to perform appropriate CPR.
Third, it reinforces the decision of the AHA to restrict “compression-only” CPR to adults with suspected cardiac arrest, and not to apply it to children.
Finally, it seems to validate my concern that the introduction of “compression-only” CPR may be detrimental to the pediatric population. Recall that the two CPR techniques were equally efficacious in adults (and apparently children) with an arrest of cardiac origin. The AHA has therefore assumed that there was no detriment to the further simplification of the CPR guidelines, while yeilding a theoretical benefit derived from better quality of compressions and a greater percentage of bystanders willing and able to provide CPR. If, however, “compression-only” CPR is only equal to conventional CPR in the adult population yet generates a negative impact on the quality of CPR provided to children, the AHA may choose to reconsider the wisdom of advocating “compression-only” CPR. Obviously, this is still an open question, and further studies are needed (and are currently being performed), but I am curious how this information may affect the new guidelines due for release late 2010.
We will continue to refine the CPR guidelines to improve the outcomes from out of hospital arrests using the best available science, but the largest area for improvement is in the number of people in the community trained and willing to perform basic CPR. It’s cheap, it’s easy, and the classes are actually fun. Though you will hopefully never use the skill, you have the ability to help save a life. Please, if you are at all inclined, get CPR certified.
Vacuum Packing Machine
Dear All,
I have a doubt regarding the Vacuum Packer machine.Iam working in a semicinductor industry,usually after Testing the I.C's we will ship it to the end customer in a reel after vacuum sealing.
My Question is when you keep the reel inside ESD cover to seal,usually vacuum mea
distingusisng the steel grades
Can anyone plz tell the physical and chamical ways of distinguisng different
stainless steel grades.
grades- 304,206,310,316, 410,416 etc
i need phycsal tests like magnet test, grinder test etccccc.and chemical tests that will work.
thanx in advance...
Regards
durga pra
Is There any Microcontrollers With Wifi Capabilites ?
Hello All
I Need A Microcontroller With WIFI 802.11b/g Capabilities is there any with price within or less than 20$ ? if not is there any IC's that has serial connection and WIFI so i can interface the serial to microcontroller and use the WIFI to send information to a PC for example without bein
Joint Venture Opportunity in Tonga
Interested in island ownership, or starting a resort, but not interested in going it along? If so you may be interested in a joint venture opportunity in Tonga.
Nukanama is an incredible 22 acre island located in the Ha’apai Group of Islands, in the Kingdom of Tonga. The current owner is seeking a Joint Venture partner to develop a resort, or an investor to build & run their own resort. The owner is also selling 8 x ¼ beachfront lots with an initial quick-sale price of only $150,000 USD. Once the first 4 lots are sold or a JV partner is found the lot prices will rise.
According to the listing this is the most accessible island with beach front land for sale in the South Pacific. Guest fly into the international airport in Tongatapu, then catch a 30 minute flight to Ha’apai Airport, a 10 minute drive to the northern end of Foa island, where a 5 min speed boat ride will get you across to Nukunamo Island.
To learn more about this island and interesting ownership opportunities visit Private Islands Online.
how the equalization of lux and w/m2 at 254 nm
if the luxmeter give unit in lux, so how to change that unit to W/m2 at 254 nm
Electric spark and arc.
Would like know the difference between electric spark and arc.
Replacing crude oil in earth with sea water?
The stomach of our Mother earth feels good about it? Symptoms developing?
"Last summer, I forgot my friend Norman’s birthday." [Memoryforever]
Highest energy ever | Cosmic Variance
At this very moment the LHC is busy trying to set a new world record. The goal is to achieve beams circulating at 3.5 TeV, bringing collisions between protons to 3.5+3.5=7 TeV center-of-mass energy. This would be the highest particle energy ever accomplished by humans (nature somehow routinely manages to produce cosmic rays at energies 8 orders of magnitude higher!). This news is hot off the press: we had a talk today by Lyn Evans, and he gave us the latest update. He should know what’s going on, since he’s project leader of the LHC. Evans shared some entertaining anecdotes from the last few years of commissioning, including:
They use superfluid helium to cool the superconducting magnets. One of the many weird properties of this stuff is that it has zero viscosity. Which means that, if there’s any sort of hairline fracture anywhere in the 27 kilometer long tunnel, the stuff comes spewing out, and very, very bad things happen. Every component, every joint, every one of the tens of thousands of tiny connections has to be perfect. It is this sort of failure which brought the machine to its knees shortly after commissioning, over a year ago.
The magnets are kept very, very cold; the superfluid helium is at 1.9 Kelvin (-271 Celsius), or a couple of degrees above absolute zero. We’re not talking a little vial in a laboratory being kept at this temperature. We’re talking many thousands of tonnes of magnets, kept just above absolute zero (using 96 tonnes of liquid helium). As things cool down, they naturally contract. The decks on bridges do the same thing, hence those serrated grills at the ends of bridges to absorb the expansion and contraction due to weather (if you’ve ever motorcycled across a bridge, you know exactly what I’m talking about). There are equivalent serrated joints in the LHC beam pipe to ensure that it doesn’t contract and rip open upon cooling (which, needless to say, would be bad). But upon reheating a section of the LHC, it turned out some of these devices left little fibers in the beam tube. Not good. How to find them, without ripping open the entire collider (costing millions of dollars and setting the project back precious months)? They ended up blowing a ping pong ball (with electronics embedded) down the tube, and tracking where it would get stuck. A simple, elegant, cheap solution to fix a multi-billion dollar enterprise.
For a while during the construction they ended up with roughly a billion dollars worth of superconducting magnets being stored in a parking lot at CERN. For reference, this is comparable to the entire GDP of many small countries (Bhutan, Guyana, Burundi, etc.), sitting out in the rain and snow. Big science.
Hopefully sometime in the next few days they’ll be running at 3.5 TeV. Apparently it’s been slow going because the system to prevent catastrophic quenching of the magnets (which is what “broke” the machine previously) is on a hair-trigger, setting off all sorts of false alarms (and when it goes off it quenches the magnets [in a controlled manner]). You can keep track of the progress on the LHC webpage (clicking on the image of the ring gives real-time data on the temperature of the magnets). Although this would be the highest energy ever achieved, it still doesn’t significantly surpass the science reach of Fermilab’s Tevatron, since the latter has run for many years (albeit at a lower energy of 1 TeV+1TeV). Both energy and (integrated) luminosity matter in this game, and the Tevatron has gotten more than 8 inverse fb (femtobarns; one of the best units in all of science [think "there's no way to miss it, it's as big as a barn"]). The LHC is shooting for 1 inverse fb. All being well, in a few months they’ll bump the energy up to 5 Tev on 5 TeV. This should significantly open up the scientific discovery space, and could conceivably kick off the next revolution in particle physics. Exciting times!
How Grenades Work [Grenades]
Oh, man. Not only does this infographic show how modern time-delay grenades work, it actually walks you through a bit of the history of the handheld explosive. All while setting a new standard for stick figure abuse! More »
power system…….
wat is power angle?.......wat can it do in our power system?....
i knw tat its silly question....im studying 2nd year 1ly.....so its smewat critical to me.....
Can any one help me to look for customers of pipe fittings and flanges?
Dear All,
I'm from Chinese manufacturer of carbon steel pipes , fittings, flanges. I want to sell my products abroad, is there any kind person can tell me some ways to find my customers?
ThanKs N Best Regards,
Email: chelinvip@gmail.com
Google Street View, Meet Your Avian Nemesis [Image Cache]
Now leading the privacy crusade against Google: birds! Spotted in the English beachside town of Brighton, where even the gulls are nervous about the Big G. [Google Maps] More »
A Blind Soldier’s Sight Restored Through His Tongue [Sight]
Lance Corporal Craig Lundberg lost his sight to a rocket-propelled grenade in 2007. Now, thanks to a fascinating technology, he can read words and make out shapes using his tongue. It's truly incredible. More »
23andMe Contract in Bad Faith
The 23andMe Terms of Service contractually binds its users to the following clause:
The Services Content is not to be used, and is not intended to be used, by you or any other person to diagnose, cure, treat, mitigate, or prevent a disease or other impairment or condition, or to ascertain your health.
However, this contract is imposed by 23andMe to the public in bad faith because 23andMe actively promotes its users to violate this clause.
For example: the 23andMe test includes a report about the blood thinning drug Warfarin (sample report) which includes medical advice about Warfarin dosing based on test results. In this example, the Twitter user “attilacsordas” electronically messaged the company 23andMe:
@23andMe sent my Warfarin Sensitivity Report to a cardiologist to enlighten her,if most @23andMe users could do the same: a nice campaign…
and
@23andMe 1st I showed her the Warfarin page on the iPhone,she was really surprised that such service exists,then sent her the printed report
The following messages indicate a violation of 23andMe user contract: “The Services Content is not to be used, and is not intended to be used, by you or any other person to diagnose, cure, treat, mitigate, or prevent a disease or other impairment or condition, or to ascertain your health.” In this example, the user “attilacsordas” allegedly coerced a cardiologist into jointly violating the 23andMe contract when he sent the report to “enlighten her” which presumably means “to be used in warfarin dosing.” The use of a 23andMe report for Warfarin dosing by a cardiologist is a clear example of to “diagnose, cure, treat, mitigate, or prevent a disease or other impairment or condition, or to ascertain your health.”
23andMe responded to this message by endorsing and broadcasting it to its users and to the public as a “retweet” or “RT” on March 17th, 2010 as follows:
RT @attilacsordas sent my Warfarin Report to a cardiologist to enlighten her, if most @23andMe users could do the same: a nice campaign…
Thus, I allege that 23andMe actively promotes violation of Section 3 in the 23andMe Terms of Service to its contractually bound users and to the general public.
Commentary
What is the legal precedence for a contract imposed upon the public in bad faith for commercial advantages with material liability to public health in order to avoid the regulations of drugs and disease control in the United States? Internationally? Per state? Per… provence?
Maybe Dan Vorhaus could advise.
I’d also be interested to learn about the liability of the lawyers contracted with 23andMe regarding the composition and approval of this contract and related company policy.
23andMe Terms of Service, Section 3
Description of What the Services Are and Are Not: 23andMe Service Is For Research and Educational Use Only. We Do Not Provide Medical Advice, And The Services Cannot Be Used For Health Ascertainment or Disease Purposes
The genetic information provided by 23andMe is for research and educational use only. This means two things. First, the genetic information you receive from 23andMe is based on scientific research, and cannot be relied upon at this point for diagnostic purposes. Genetic discoveries that we report have not, for the most part, been clinically validated, and the technology the laboratory uses the same technology used by the research community has also not yet been validated for clinical utility. Second, by your participation in the 23andMe service you contribute your genetic information to our research effort to study various aspects of human genetics in an attempt to better understand the human genome. In addition our service enables you to contribute other personal information towards research as well. As a result, our Services, including but not limited to text, graphics, images, information relating to (a) My Health and Traits, including the 23andMe Odds Calculator, technical reports, MD’s Perspectives, research timelines; (b) Genome Labs, including genetic comparisons, family inheritance and your raw data; (c) Ancestry, including maternal ancestry, paternal ancestry, global similarity, and (d) other material contained in our Services (“Services Content”) are for informational and educational purposes only. The Services Content is not to be, and is not intended to be, used for any diagnostic purpose and is not a substitute for professional medical advice. The Services Content is not to be used, and is not intended to be used, by you or any other person to diagnose, cure, treat, mitigate, or prevent a disease or other impairment or condition, or to ascertain your health. You should always seek the advice of your physician or other appropriate healthcare professional with any questions you may have regarding diagnosis, cure, treatment, mitigation, or prevention of any disease or other medical condition or impairment or the status of your health.
23andMe does not recommend or endorse any specific course of action, resources, tests, physicians, drugs, biologics, medical devices or other products, procedures, opinions, or other information that may be mentioned on our website. As explained on our website, 23andMe believes that (a) genetics is only part of the picture of any individual’s state of being, (b) the state of the understanding of genetic information is rapidly evolving and at any given time we only comprehend part of the picture of the role of genetics, (c) only a trained healthcare professional can assess your current state of health or disease, taking into account many factors, including your current symptoms, if any, and (d) our testing service is not licensed by the relevant state and federal authorities for genetic testing conducted for health and disease-related purposes. Reliance on any information provided by 23andMe, 23andMe employees, others appearing on our website at the invitation of 23andMe, or other visitors to our website is solely at your own risk.




