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Jeanne, last summer. ♥

 
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mari-ann curtis posted a photo:

Jeanne, last summer. ♥

 
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mari-ann curtis posted a photo:

Jeanne, last summer. ♥

 
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mari-ann curtis posted a photo:

Jeanne, last summer. ♥

 
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Ferrari 458 Speciale - London, England  

irobbyv posted a photo:

Check out my Instagram: irv.photography

 
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Waterfall fresh by Oleh Slobodeniuk  

Waterfall fresh by Oleh Slobodeniuk

Video from Norway roadtrip my website instagram facebook

Oleh Slobodeniuk: Photos

 
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Despite Uber's Rise, New Study Says Drunk Driving Remains Steady  

Ride-hailing companies like Uber have claimed that they've helped discourage drunk driving. Does the claim stand up? David Kirk, co-author of a new study in the American Journal of Epidemiology, tells NPR's Kelly McEvers he's not so sure.

 
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What To Do When Treatment Doesn't Work  
At the very dawn of modern medicine, 2500 years ago, Hippocrates made its most important and robust finding: 1/3 of patients get better without treatment; 1/3 don't get better even with treatment; and only 1/3 actually benefit from treatment.

The ratios do vary depending on the type of disease, it's severity and chronicity, and the power and specificity of the available treatments. Whenever a disease is chronic and/or severe, spontaneous recovery is less likely, treatment will more likely be needed, and full response to treatment is less likely. But on average, Hippocrates' "rule of thirds" stands up remarkably well to systematic study and has been medical lore for hundreds of generations of doctors.

One of my early papers (written more than 35 years ago and titled, "No Treatment As A Prescription of Choice") reflected Hippocrates' caution that mindlessly piling on treatments often benefits little and instead can add a substantial burden of side effects to the patient's already heavy burden of illness. 

Unfortunately, Hippocratic humility has increasingly been replaced by the hubris of modern medicine. Many clinicians hold the unconscious and unwarranted assumption that there is a cure for every illness and recklessly add on new treatments whenever previous ones have failed.
Careless polypharmacy prevails throughout medicine and is particularly prevalent and dangerous in the elderly. Doctors rarely follow the Hippocratic dictum to "First do no harm."

Peter Tyrer is the former editor of the British Journal of Psychiatry and a leader in the development of the UK's NICE psychiatric treatment guidelines. He will describe his effort to restore Hippocratic humility and common sense to psychiatric practice.

Professor Tyrer writes: "We are prone to trumpet our advances in medicine and slow to acknowledge where we have made little progress.

Treatment of mental illness started from an almost non-existent base 200 years ago and perhaps it is not surprising that we still have so much left to learn.

If we take the whole range of mental illness, from common disorders such as anxiety and depression, to severe disorders such as schizophrenia, and the hinterland of other conditions such as personality disorder and intellectual disability, then approximately 50% of all patients with mental illness either have no satisfactory treatments available or often fail to respond to existing ones that may help others.

What do we normally do about this in psychiatry?  We use terms like treatment-resistance and treatment-refractory, but this is merely an admission of our failure to have a solution.
The problem is that, in our therapeutically enthusiastic age, we do not admit failure as readily as we should. We persist in treatment, usually by giving whatever has failed previously in more dosage or by adding new treatments that have little chance of success, but a high risk of side effects.

The sad conclusion, still denied by some, is that in the most severe mental illnesses such as schizophrenia and the autistic group of disorders, we have made no real advances in treatment efficacy for 50 years.

What I call "nidotherapy" is a way of adapting optimally to this impasse. The term is derived from 'nidus' (the Latin name for nest). The idea is to undertake a  collaborative and systematic manipulation of the person's environment to make for a better fit to minimize the negative impact of untreatable mental illness on both the individual and others.

Patients with persistent mental illness take to this intervention well and usually love the idea. When asked if they would rather than have more treatment or change aspects of their physical, social and personal environment, they almost always embrace the latter option with enthusiasm. 
As therapists we often fail to realize how important the environment is in both maintaining and reinforcing mental illness. When it is altered in mutual collaboration with a therapist, there are often dramatic changes. General social functioning and mental symptoms often improve, and treatments  that never worked before now seem to provide benefit. Clinical trials have also shown nidotherapy to be remarkably cost-effective.

Many environmental changes can be effected at low cost and may replace much more costly health interventions. 

So how is this treatment given, and can it be mastered easily? In brief, it can, but some people are natural nidotherapists and others, no matter how much training they receive, are hopeless. There are four components - person understanding, environmental analysis, preparation of the nidopathway (the plan for environmental change), and, finally, the monitoring and adjustment phase.

The first is often the most difficult. One of the essentials of nidotherapy is genuine collaboration ending with a joint plan that is supported equally by therapist and patient. This cannot be done without a really good understanding of the patient and their problems, achieved by exploring how they arose, getting a feel of personality features, probing hidden corners of difficulty often unexpressed, and allowing a free and open discussion of hopes, aims and goals.

Environmental analysis takes over at this point, and looks at all the factors in the physical, social and personal that may be preventing life satisfaction, and the changes that might be possible to change these for the better.

Once this has been done, the planned program for environmental change (the nidopathway) is prepared with an appropriate timetable. This has to be both realistic and feasible. Often the nidotherapist is needed to be an advocate at this point. Many people with persistent mental illness are not very good at putting their points of view forward, and because they are faced with a wall of opposition from professionals, often retreat into passive discontent. But their views about environmental change may well be right, and if they are supported in nidotherapy by appropriate advocacy the opposition can be overcome.

The final phase involves review and monitoring of the pathway. Often adjustments need to be made to the original plan, and sometimes it may be changed radically, but always the changes need to be owned by the patient.

It will not escape the reader that this whole process can be carried out by people themselves or by their friends and relatives. Some input from health professionals is needed for guidance, but not too much except in those with more severe mental disorders. So the option of widespread adoption of this treatment is possible, and this could include whole populations.
If you wish to know more about this exciting treatment please look at the website www.nidotherapy.com.  There is now greater interest in this development, and it is being thought of in dementia, added to the management of personality disorder, and also in autism and intellectual difficulty. It may sound corny to say that it offers hope to so many who feel in despair, but it does."

Thanks, Peter. Hippocrates also said: "It is more important to know the patient who has the disease than the disease the patient has." True even more today than when first proclaimed 2500 years ago. Knowing the patient means also knowing how he interacts with his family and within his social context.

Sad to say, common sense is too often one of the first casualties of medical training. The focus on learning the details of complex technical interventions distracts from responding to the obvious, understanding the personal, and finding simple practical solutions.

A patient's psychiatric symptoms often provoke vicious cycles reverberating in his relations with others- social rejection and symptom exacerbation interacting and amplifying one another. We can't always effect significant reduction of the patient's symptoms- but we usually can, by altering the environment, substitute virtuous for vicious cycles. Relationships are often much more flexible and amenable to change than are people.

Thanks again, Peter, for reminding us that giving up on curing the illness doesn't mean giving up on helping the patient.

Allen Frances is a professor emeritus at Duke University and was the chairman of the DSM-IV task force.

-- This feed and its contents are the property of The Huffington Post, and use is subject to our terms. It may be used for personal consumption, but may not be distributed on a website.

 
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The Time to Save Tigers Is Today  
The Bronx Zoo's Tiger Mountain exhibit is a family favorite, with kids and adults alike flocking to see the magnificent big cats. Two Malayan tiger cubs were recently born and our colleagues here at the Zoo are committed to ensuring their healthy growth, but far too many of their cousins in the wild struggle to survive. A mere 4,000 tigers prowl a range that has collapsed by more than 90 percent in the past two centuries. As few as 250 Malayan tigers persist in their forested habitat of Southeast Asia.


Malayan tiger cub at the Bronx Zoo's Tiger Mountain. Photo: Julie Larsen Maher/WCS.


International Tiger Day provides an opportunity to draw attention to the endangered status of the world's largest cat and ensure that these incredible animals do not disappear. When the conservation community initiated this commemorative day in 2010, it hoped to cast a light on a species moving toward extinction at a frightening pace. A focus on protecting and expanding tiger populations has helped tigers to make modest gains but much more work needs to be done.

The biggest threat tigers face remains the oldest: people. Tigers are endangered by loss of habitat stemming from human expansion, the hunting of their prey species, and from poaching for pelts and body parts believed by some to have medicinal properties despite the lack of any scientific evidence. Every single organ of a tiger is being sold on the black market today, often at sky-high prices. Tiger skins are sold most often as a décor item to display wealth.

Climate change has also become a threat to tigers, with rising sea levels completely wiping out coastal forests in parts of Bangladesh. With the loss of habitat and prey, there are growing attacks on domestic livestock. All too frequently, such attacks are met with retaliatory tiger killings.

While humans carry much blame for the decline of tigers, it is not too late for us to play a larger role in bringing the species back from the brink.


WildSeve, a new mobile technology initiative developed with the help of WCS to address human-wildlife conflicts, has been implemented in 284 villages in India. Photo: Krithi Karanth/WCS.


Recently the WCS India program helped to launch a toll free service for local farmers to call to report an attack on livestock. Within minutes responders arrive to take down details of the incident and file for compensation for their losses. In just one year, the program has helped file claims in 148 cases of livestock predation by big cats and wild dogs.
.
Today, WCS invests in tiger research and conservation, conducting 75 percent of peer-reviewed published tiger research and managing conservation sites in 8 of the 11 remaining tiger range countries in Asia. To complement this on-the-ground work, we need to mobilize the public to ensure that U.S. conservation policy and funding can best protect these majestic cats.

First, Congress must direct ample funding for the U.S. Agency for International Development (USAID) Biodiversity program, the Global Environment Facility, and the combatting wildlife trafficking directive funded through the US State Department and USAID. All of those agencies support many conservation projects that benefit tigers and their habitat while reducing poaching.

The Multinational Species Conservation Funds Reauthorization Act of 2015 includes the Rhinoceros and Tiger Conservation Act of 1994, which supports on-the-ground tiger research and conservation. Congress should also pass the Eliminate, Neutralize, and Disrupt (END) Wildlife Trafficking Act, which will strengthen U.S. laws to target wildlife traffickers and help wildlife rangers who protect tigers.


Two Amur (Siberian) tigers at the Bronx Zoo's Tiger Mountain. Roughly 450 Amur tigers survive in the wild today in the Russian Far East and Northeast China. Photo: Julie Larsen Maher/WCS.


Finally, Congress should reauthorize the Save Vanishing Species stamp, also known as the Tiger Stamp. Proceeds from the sale of this postage stamp go directly to conserve tigers and other endangered species through the U.S. Fish and Wildlife Service. These are easy but important steps that Congress could take that would have immediate impacts on tiger conservation efforts.

On International Tiger Day, let us refocus our attention and energy towards protecting this amazing species. While zoos play an important role educating millions of people about these majestic animals, in the end all of us need to get involved to make sure they do not disappear forever in the wild. Take today to remind your senators and representatives that the world cares for tigers, and that it is our duty to protect them. Today is the day to ensure tigers can thrive in the wild for generations to come.


Follow John Calvelli on Twitter at: @JohnCalvelli.

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A strange extinct animal made this giant stone corkscrew  
The bizarre fossil was discovered in Nebraska in the late 19th Century, and it would help reveal a lost chapter in evolutionary history.  
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New fossil evidence supports theory that first mass extinction engineered by early animals  
Newly discovered fossil evidence from Namibia strengthens the proposition that the world's first mass extinction was caused by 'ecosystem engineers' -- newly evolved biological organisms that altered the environment so radically it drove older species to extinction.  
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43 Years of Baking Pies  

Bessie White and her sister, Velma, founded the farmers' market in Cortez, Colorado, almost half a century ago. In this charming short documentary from the world-traveling web series The Perennial Plate, White shares her story—and also how to make delicious strawberry-rhubarb pie. “I helped all three of my grandkids go to college with this famers' market,” she says. “I didn't set out to be any different than anybody else.”

To learn more about this series, visit its Facebook, Instagram, and Twitter pages.

 
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Cognitive ability varies, but prejudice is universal  
A new study shows both high and low cognitive ability have distinct prejudices against particular groups.  
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The Fracking Industry Spends Big in Colorado  
Ever wonder what it's like to be a pawn in the oil and gas industry's political ambitions? This pencil, hired by oil and gas front group Protect Colorado, summed it up:

"It feels like shit to fucking wear this thing, but it's 25 bucks an hour."



 

And there are a lot of people taking the oil and gas industry's money in Colorado these days.

Anadarko Petroleum and a group of fracking companies, most from outside Colorado, have pumped well over $75 million into PR firms and front groups in the state since 2014. These millions are primarily aimed at preventing Coloradans from voting for two ballot measures that would regulate the oil and gas industry. $75 million is a serious amount of money, even in a state that, according the Brennan Center, has one of the highest levels of secret political spending in the nation.

The largest single recipient of the fracking industry's war chest is a PR firm called Pac/West Communications. Pac/West, known for creating independent sounding groups on behalf of large corporate clients, netted nearly $30 million from oil and gas companies in 2014 alone. In return for the fracking cash, Pac/West built perhaps the best funded and most formidable political advocacy operations in any state.

Strategy of Fracking Industry Revealed

Mark Truax, a vice president of Pac/West Communications, revealed the depth and breadth of the oil and gas industry's political strategy in a transcript released by Greenpeace and printed in full by the Boulder Weekly.

Mr. Truax's presentation outlines a sophisticated plan to counter the popular cry for fracking regulations with a gusher of oil cash.

Here are some of the strategies Mark Truax outlines:

• 
  
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  Take over city councils

  
  
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"We then also elected a pro city council, a pro-energy city council 7-6 on the conservative count, my count is like 9-4 in our favor for Denver City Council. To try and push something through there, which the opposition was trying to do, is now very difficult."

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  Spend tens of millions of dollars to gather information on Colorado voters so it can manipulate election outcomes and keep setback and community rights initiatives off the ballot

  
  
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"We have scored 3.9 million Colorado voters in our databases, on their opinion of fracking. Everything we do then gets fed back in to this database. So that we can use it at a later time. We've knocked on 1.7 million doors, we've done 9 statewide surveys, we have done extensive phone research, and mail research, all of that information if I ever have contact it's fed back in to that file."

• 
  
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  The transcript, which can be found in full here, also details Pac/West's plans to change the constitution so citizens will no longer be able to put forward ballot measures in the future.

  
  
• 
  

To accomplish these political goals, Pac/West Communications, with funding from Anadarko Petroleum, created two tax exempt "charitable" groups, Protect Colorado and Coloradans for Responsible Energy Development (CRED).

It was Protect Colorado that hired the pencil. As the following video shows, these industry front groups are focused on scare tactics and spreading misinformation about fracking regulations, not "education," as front group spokesperson Karen Crummy often claims.



On July 28, the Denver Business Post reported that Protect Colorado has a budget of $25 million for its 2016 effort.

Industry Funded Harassment

The oil and gas strategy to control the ballot process in Colorado does not stop with the plan Truax outlined in his 2015 talk.

In recent weeks, Coloradans have experienced an truly unprecedented attempt to stop a ballot measure from coming to a vote at all. Unlike normal ballot campaigns, where voters must decide whether to support or oppose a measure on election day, in Colorado the fracking industry is trying to strip voters of the right to decide altogether. The effort is called "decline to sign," and the aim is to prevent regulations from appearing on the ballot, by preventing organizers from gathering enough preliminary signatures.

The effort includes more than just TV ads and pencils trying to scare people about regulations. The oil and gas industry has also unleashed an army of paid harassers, who have targeted volunteers trying to gather signatures for the ballot. As one signature gatherer describes, men surrounded an elderly signature gatherer and scared off people trying to sign their name.

The fight over fracking ballot measures in Colorado illustrates the lengths that corporations are willing to go to control politics. Will the fracking industry buy its preferred regulatory environment in Colorado? Will Coloradans be stripped of their right to vote on these ballot measures? While signatures for the ballot measure are due August 8, the questions about the role of fracking money in Colorado are likely to linger.

-- This feed and its contents are the property of The Huffington Post, and use is subject to our terms. It may be used for personal consumption, but may not be distributed on a website.

 
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Photos of the Week: 7/23-7/29 (35 photos)  

Sledding in Saudi Arabia, hyperrealist sculptures in Spain, a 12-meter-tall puppet in England, the Democratic National Convention, snowfall in South Africa, Pope Francis visits Auschwitz, Pokemon Go in Syria, and much more.

 
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libellule by Marta Bevacqua  

libellule by Marta Bevacqua

"Libellule" : photo based on my short film. Check it out on my (super new) Vimeo: http://www.vimeo.com/martabevacqua/libellule or on facebook: https://www.facebook.com/MartaBevacquaPhotography/

Marta Bevacqua: Photos

 
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Sunset at World's End  

Sarah A Stewart posted a photo:

Watching the sun set over the World's End Estate, with the Battersea Bridge and Lots Road Power Station nearby.

 
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Albert Bridge at the Blue Hour  

Sarah A Stewart posted a photo:

Interesting light on Albert Bridge as the sun sets.

 
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Growing Green Must Go Green  
As the legalization of marijuana for medicinal and recreational purposes becomes more widespread, the budding industry has come under closer scrutiny. One of the more serious concerns to be raised is the possible environmental damage that could be caused by a mass increase in Cannabis production.

Marijuana cultivation has a host of environmental concerns such as land coverage, water consumption, power usage, as well as pesticides and fertilizer run-off. Escaped, "wild" Cannabisis not often considered as a potential problem since it is not exactly an invasive species, but it can compete with other plants and disrupt local ecosystems. These situations are quite serious in California, where important watersheds have been threatened by unsanctioned marijuana growing operations.

Resource consumption is by far the greatest environmental risk associated with large scale marijuana cultivation. In many areas where it is grown, Cannabis consumes far more water thanthe native vegetation. Indoor operations require enough light intensity to mimic the sun, which requires a large amount of electrical power, often resulting in additional environmental pollution.High intensity discharge (HID) light bulbs traditionally used for indoor growing also contain significant amounts of highly toxic mercury. If Cannabis production is to truly become a sustainable industry, strategies will need to be developed to at least make it eco-tolerable, if not eco-friendly.

Government officials and academic researchers alike have been examining the issue in hope of mitigating any environmental damage caused by the impending growth of the Cannabis industry. There appears to be a consensus that regulations will be a key part of the solution. An April 2016 review in the academic journal Environmental Research Letters concludes with the demand that marijuana agriculture be held to standards on par with those governing conventional cultivation activities. This sentiment is echoed from the field of law as well; a piece from the Arizona Law Review states that consistent policy enforcement is necessary to mitigate the environmental impact, as well as help set quality standards. Now they need to decide upon the best rules to enforce.

Environmentally friendly growers have been consistently testing and adopting measures to address energy consumption and similar issues for decades. One of the more successful changes has been in the adoption of LED grow lights for indoor cultivation. According to ledgrowlights.com, the technology used in high-quality LED grow lights has advanced to the point that they can actually grow plants as well or better than traditional HID bulbs (HPS, MH, CMH/LEC, etc.) at a fraction of the energy cost, and will last for considerably longer, without anyof the toxic mercury. Water consumption can ironically be reduced with a fine-tuned hydroponic setup, though there is obviously still a lot of water involved. Another approach to decreasing consumption rates is to more closely monitor usage levels so that waste can be minimized.

It remains to be seen if current environmentally-friendly strategies for reducing consumption will be effective when scaled to larger operations, and more research will certainly be needed to findsolutions for the exponential increase of marijuana production that will likely result from ongoing legalization efforts. Cannabis is primed to become a key crop in international markets, but there is little hope of it proving to be sustainable without significant adoption of eco-friendly cultivation methods.

-- This feed and its contents are the property of The Huffington Post, and use is subject to our terms. It may be used for personal consumption, but may not be distributed on a website.

 
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Florida investigation links four recent Zika cases to local mosquito-borne virus transmission  
The Centers for Disease Control and Prevention (CDC) has been informed by the State of Florida that Zika virus infections in four people were likely caused by bites of local Aedes aegypti mosquitoes. The cases are likely the first known occurrence of local mosquito-borne Zika virus transmission in the continental United States. CDC is closely coordinating with Florida officials who are leading the ongoing investigations, and at the state's request, sent a CDC medical epidemiologist to provide additional assistance.  
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Judy Frankel: SMART ALEC Founder Refuses to Cease and Desist  
Matthew Charles Cardinale, activist, law student, and affordable housing advocate, refused to respond to ALEC's demand to cease using the name "SMART ...

Read more: SMART ALEC, Alec, Matthew Cardinale, Atlanta, New Orleans, Affordable Housing, Affordable Housing Impact Statements, American Legislative Exchange Council, Politicians, Represent.US, American-Anti-Corruption-Act, Portland, Community-Rights-Campaign, Community Rights, Paul Cienfuegos, Democracy Unlimited, Coos County, Right to Sustainable Energy Future, State Innovation Exchange, Smart-Aleck, Los Angeles, Albany, Pittsburgh, Climate Change, Climate Destabilization, Global Warming, Citizen Rights, State Policy, Policy, Environmental Policy, Environmental Rights, Environment, Environmental Justice, Aaca, Ahis, Politics News

 
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A Corpse Flower Blooms in the Bronx  
For the first time since 1939, the New York Botanical Garden has coaxed a corpse flower to open its massive bloom and flood the greenhouse with the stench of sewers and rotting meat.

-- Read more on ScientificAmerican.com  
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r0B0t: Exoskeleton 'Onesie' Gives Babies With Cerebral Palsy A Better Start In Life  

Babies who are at risk of developing cerebral palsy could be helped by a robotic “onesie”, designed by a team at the University of Oklahoma, US.

The motorised exoskeleton, which is attached to the baby via a harness and skateboard-type-crawler, helps young children develop motor and cognitive skills and promotes early movement.

With power steering, the Self-Initiated Prone Progression Crawler (SIPPC) device gives babies a push towards early walking and crawling on the level of their peers.

Not only that, but it allows doctors to monitor the child's movement and brain activity on a 3D scanner.

SEE ALSO

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Toddler Dedicated To Guiding His Twin Sister With Cerebral Palsy Through Childhood

Cerebral palsy affects movement and muscle coordination and is diagnosed in every two children in 1000 born in the UK, according to Cerebral Palsy UK.

Therapy to reverse the effects of the disease must start as early as possible, but most children are not diagnosed until they are at least one-year-old. 

Trials are currently ongoing with 56 infants in America, and the scientists admit there is much more to be done before it is more widely available to patients. 

The new technology is enabling detection in babies as young as two months old, giving them the best start in life.

 
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r0B0t: 'Mr. Robot' review: A nice game of chess - The Workprint  

The Workprint

'Mr. Robot' review: A nice game of chess The Workprint This prompts Elliot to confess that he lost his job because he destroyed a bunch of secure servers in his company's server room — he just doesn't remember doing it…something about anger toward the people who couldn't go on their expensive vacations ... Mr. Robot: season 2 episode 4 review eps2.2_init1.asecThe Nerd Recites Mr. Robot: Init1 ReviewDen of Geek! Dreaming of a (Slightly) Darker Future on Mr. RobotFilm School Rejects (blog) Hidden Remote -whoismrrobot.com all 105 news articles »

 
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Fire Of London  

NoVice87 posted a photo:

The sun lighting up the clouds behind Canary Wharf from the Greenwich Peninsula.

 
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