Toeava faces a frustrating spell out with a hip injuryHaving returned from South Africa and facing a short turnaround before their Friday night match against the Hurricanes, the Blues are forced to field a team without their captain, Keven Mealamu.A calf strain which saw Mealamu leave the field during the Stormers match last week, along with a three week suspension given to Luke Braid has meant once again, Wider Training Group players have been called into the 22.Coach Pat Lam is in the middle of an injury crisis after indefinitely losing utility back Iasaia Toeava. Originally diagnosed in May 2011 with a stress fracture to his hip, the unhealed injury has sidelined the player since the second week of play, leaving the player frustrated, “I’ve had a rough run with this hip” said Toeava.“It was painful last year but it seemed it might have come right during the break after the World Cup. But that wasn’t the case and I have been struggling with it this season. It’s really frustrating because I just want to be out there with my team.”Non-surgical rehab could see the Auckland back return in three months. However if specialists feel surgery is required, the All Blacks back could be out for the rest of the season.Much deserved good news for Lam sees All Black prop Tony Woodcock making a very timely return to the front row. Auckland lock Liaki Moli will get his first start for the Blues. HAMILTON, NEW ZEALAND – MARCH 02: Isaia Toeava of the Blues makes a break during the round two Super Rugby match between the Chiefs and the Blues at Waikato Stadium on March 2, 2012 in Hamilton, New Zealand. (Photo by Hannah Johnston/Getty Images) LATEST RUGBY WORLD MAGAZINE SUBSCRIPTION DEALS Replacements: 16 James Parsons *17 Tevita Mailau18 Filo Paulo19 Sean Polwart *20 Gareth Anscombe21 Michael Hobbs22 Hadleigh Parkes *(* – Wider Training Group)Unavailable – Jerome Kaino (Shoulder), Keven Mealamu (calf), Isaia Toeava (stress fracture – hip), George Moala (Shoulder), Anthony Boric (neck), Luke Braid (3 week ban) and Rene Ranger (2 week ban) Injured wingers Rudi Wulf and David Raikuna are back on deck and will both start the match.Gareth Anscombe suffered a nose fracture during last week’s game but will still be on the bench for the Hurricanes match.Starting XV:1. Tony Woodcock2. Tom McCartney3. Charlie Faumuina4. Liaki Moli5. Ali Williams6. Chris Lowrey7. Daniel Braid (C)8. Brad Mika9. Alby Mathewson10. Piri Weepu11. Rudi Wulf12. Ma’a Nonu13. Benson Stanley14. David Raikuna15. Lachie Munro
GUWAHATI: The Assam Kickboxing Association (AKA), in collaboration with the Dakshin Kamrup (Rural) District Kickboxing Association (DKDKA), will organize 8th All Assam State Level Inter School Kickboxing Championship U-8, 11, 14, 17 and 19 years of boys and girls from July 11. The 4th All Assam State Level Inter College Kickboxing Championship under 24 years will also be held simultaneously at the same venue. The championships are being organized to give exposure to the State players who will participate in the forthcoming SGFI’s 65th National School Games 2019-20 and AIU’s 3rd All India Inter University Kickboxing Championship 2019-20. Six events (Point Fighting, Light Contact, Kick Light, Full Contact, K1 Rule and Low Kick) will be held in the inter school meet while there will be four events (Low Kick, Full Contact, Point Fighting and Kick Light of WAKO ) in the inter college meet. A state level referee and judges clinic of WAKO kickboxing will also be held during the competition. Also Read: Assam Kick Boxing Association To Honour Hiren Gohain
By John BurtonSHREWSBURY — The protracted development application to construct a convenience store and gas station on Shrewsbury Avenue continues to be opposed by a business competitor and is scheduled to return to the borough Zoning Board of Adjustment on Nov. 30.The application, presented by Shore Investment Realty, is seeking the board’s approval to construct a 5,496 square-foot QuickChek retail convenience store that will have on-site food consumption and outdoor seating for customers. The project also calls for the installation of a gas station with a 10-vehicle canopied fueling station.The project is proposed for a 6.35-acre property at 575 Shrewsbury Ave., near Apple Street, the former location of a Verizon telecommunications facility. Should the application be eventually approved, a portion of the site would continue to serve as a Verizon location for warehousing of materials, garage, staging yard and offices, according to the application’s public notice.The project would require the zoning board to grant a use “D” variance for use not permitted in the zone, as well as a number of other variances and design waivers.This application was the subject of eight previous hearings before the zoning board, beginning on Jan. 6, with the most recent occurring on Aug. 29. During those hearings the attorney representing Shore Investment has faced off against the lawyer representing the application’s primary objector, Lukoil America, a competing gasoline and fuel distributor. Lukoil operates a gas station located almost directly across from the property on Shrewsbury Avenue.The board had scheduled a special meeting on Nov. 2 to review this application. The board’s public notice published in an area newspaper was suspected of being insufficient under the state Open Public Meetings Act, requiring the meeting’s date change.The zoning board meeting starts at 7 p.m. in the borough council/municipal court chambers, 419 Sycamore Ave.
Share Facebook Twitter Google + LinkedIn Pinterest Another cold day today over the state, but we should see some better sunshine potential through the day, as winds shift just a bit, and we see less of an influence from the Great Lakes. The only place we will not back away from lake influence today is in NE Ohio, where we expect clouds and lake effect snow potential to linger though at least midday. For the rest of us, we suggest you don’t get used to any sun you see, today. Clouds roll back in tomorrow and we finish the week with a significant rain maker. Tomorrow, with the clouds, we can’t rule out some minor precipitation. However, it looks like for the most part, Thursday action will be limited to far northern areas of the state and far southern Ohio. In fact, the middle three quarters of the state probably just sees clouds through the day tomorrow. Up north, we cant rule out light snow showers, and we can see both sprinkles and flurries in the south. AS warm air starts to work in over the state, we will see better chances of liquid precipitation over frozen a the day wears on. Overnight tomorrow night through midday Friday we see another wave of moisture that can trigger a few hundredths to .1″ of liquid. The balance of Friday stays cloudy, as temps continue to warm. Big rains arrive early Saturday, sweeping across the state through the day and overnight Saturday night. Strong gusty winds will accompany the rain, and we will not rule out a thunderstorm. While we see a dry slot work in farther west, on Sunday, we cant rule out precipitation over Ohio. We have to look for additional Sunday showers with about 60% coverage through midnight Sunday night. Combined rain totals for the event remain at half to 1.5” over 100% of the state. Temperatures will be well above normal for the entire weekend. Even if you happen to be in an area that misses out on most of the Sunday rains (far western and southwestern OH), half to 1.5” rains on Saturday will be more than you need. The map at right shows rain totals through Sunday night. Cold air finally blasts into the state overnight Sunday night through Monday, as we get the backside circulation coming in from the north and west. This promoted some light snow through Monday, mostly north of I-70, and we can see a fresh coating to no more than an inch. Strong north winds coming across all of the Great Lakes mean we can see some lake effect snow in far NW and northern Ohio, up in to Michigan and southern Ontario. Areas south of I-70 in southern Ohio likely just turn colder with a mix of clouds and sun. Cold air remains over the state from Tuesday through Thursday, but we are scaling back precipitation threats for Tuesday and Wednesday and leaning toward a drier forecast for those days. No change in our extended forecast this morning. There is a small chance of light snow next Friday, but coverage and amounts are underwhelming. Better precipitation rolls in for Sunday the 9th with some .25″-1″ potential (liquid equivalent) here in Ohio. Some leftover light snow falls to start the week after next on Monday, but then we turn warmer for the next three days, Tuesday through Thursday, with above normal temps. This will lead to another significant storm complex around the 15th or 16th.
We think that we will lose the relationship we have with our client or prospect by bringing up the difficult issues that they don’t really want to face. We believe that speaking to or about those issues will somehow cause us to lose their trust, especially when it’s clear that they are dealing with a challenging issue. But nothing could be further from the truth.Fear of Going FirstThe lesser salesperson isn’t brave enough to bring up their client’s deepest, most difficult challenges because they are afraid they will alienate the client by asking them to face their real dragon. To the client who is dealing with the challenge, that salesperson doesn’t look like someone who can help, someone who can make a real difference.Courage and TrustThe person who gains their client’s trust is the person who has the courage to address the issue they are struggling with. The willingness to engage around the difficult issues is what makes that person someone worth doing business with. It demonstrates that you are willing to help them with something you both recognize is going to be difficult. This doesn’t destroy trust—it builds it.You Go FirstYour clients need to be brave. Change is always a step into the unknown. It is difficult to make real change in any organization, even a small team. It means that people have to agree to face their fears, and it means they have to do things differently.You need to be brave in order to help your clients. You have to have the courage to address the issues that might make things more difficult for you by making a deal more complicated to win.You have to be brave enough to commit yourself to helping your client make improvements. You have to have the intestinal fortitude to commit yourself to being accountable for helping your client make the changes and steer them clear to the other side of their challenge. Doing these things will earn you their trust.When it comes to having the courage to deal with the biggest and most challenging problems your clients have, you need to go first. If you are going to ask your client to have courage, you need to first show it yourself.
DefinitionVolkmanns contracture is a deformity of the hand, fingers, and wrist caused by injury to the muscles of the forearm.See also: Compartment syndromeAlternative NamesIschemic contractureCauses, incidence, and risk factorsVolkmanns contracture occurs when there is a lack of blood flow (ischemia) to the forearm. This usually occurs when there is increased pressure due to swelling, a condition called compartment syndrome.Trauma to the arm, including a crush injury or fracture, can lead to swelling that presses on blood vessels and can decrease blood flow to the arm. A prolonged decrease in blood flow will injure the nerves and muscles, causing them to become stiff (scarred) and shortened.When the muscle shortens, it pulls on the joint at the end of the muscle just as it would if it were normally contracted. But because it is stiff, the joint remains bent and cannot straighten. This condition is called a contracture.In Volkmanns contracture, the muscles of the forearm are severely injured. This leads to contracture deformities of the fingers, hand, and wrist.There are three levels of severity in Volkmanns contracture:Mild — contracture of two or three fingers only, with no or limited loss of feelingModerate — all fingers are flexed and the thumb is stuck in the palm; the wrist may be stuck in flexion, and there is usually loss of some feeling in the handSevere — all muscles in the forearm that both flex and extend the wrist and fingers are involved; this is a severely disabling conditionThe injury that usually causes this condition is an elbow fracture in children. Other conditions that can cause increased pressure in the forearm include:advertisementAnimal bitesAny forearm fractureBleeding disordersBurnsExcessive exerciseInjection of certain medications into the forearmSymptomsThe main symptom is pain that does not improve with rest or pain medications, and continues to get worse with time. If the pressure is allowed to continue, there will be:Decreased sensationPaleness of the skinWeaknessSigns and testsThe doctor will perform a physical exam. If you have compartment syndrome in the forearm, you will have severe pain when the doctor moves the fingers up and down. Your forearm may be very swollen and shiny. You will feel pain when your forearm is squeezed.The diagnosis can be confirmed with a test that directly measures pressure in the area. This involves inserting a needle into the affected area. The needle is attached to a pressure meter. There is a specific pressure level that confirms the diagnosis of compartment syndrome.TreatmentIf there is a forearm or elbow fracture, you should use a sling or splint to keep the area still and raise the arm above heart level. This helps prevent further injury and excessive swelling.The best treatment is early surgery to release the pressure in the forearm before any permanent injury to the muscles and nerves occurs. Reconstructive surgery to lengthen and sometimes transfer muscles is necessary to try to regain some hand function.Expectations (prognosis)How well a person does depends on the severity and stage of disease at the time treatment is started.If surgery to relieve pressure is performed before permanent damage occurs, then the outcome is usually excellent. The wounds are usually left open (covered with a sterile dressing) and closed later (usually 48 – 72 hrs later) during a second surgery, once the swelling has resolved. Sometimes, several surgeries are needed to close the wound safely.If there is high pressure in the forearm for an extended period of time, the muscles and nerves can be permanently damaged. If a nerve is compressed for longer than 12 to 24 hours, it will usually become permanently damaged.People with mild muscle contractures involving only a few fingers have a better chance of returning to normal function. People who lose normal function of all the muscles that move the fingers and wrist need major reconstructive surgery and do not have a complete recovery.ComplicationsThe more severe the contracture, the worse the function of the hand and wrist. In severe cases, the hand may not work at all, and you may have a loss of sensation (feeling) in the area.Calling your health care providerContact your health care provider for an appointment if you have had an injury to your elbow or forearm and have developed swelling, numbness, and continued pain.ReferencesJobe MT. Compartment syndromes and Volkmann contracture. In: Canale ST, Beaty JH, eds. Campbells Operative Orthopaedics. 11th ed. Philadelphia, Pa: Mosby Elsevier;2007:chap 71.Hensinger RN. Complications of fractures in children. In: Green NE, Swiontkowski MF, eds. Skeletal Trauma in Children. 4th ed. Philadelphia, Pa: Saunders Elsevier;2008:chap 6.advertisementMarshall ST, Browner BD. Emergency care of musculoskeletal injuries. In: Townsend CM Jr, Beauchamp RD, Evers BM, Mattox KL,eds.Sabiston Textbook of Surgery. 19th ed. Philadelphia, Pa: Saunders Elsevier; 2012:chap 20.Review Date:8/11/2012Reviewed By:Linda J. Vorvick, MD, Medical Director and Director of Didactic Curriculum, MEDEX Northwest Division of Physician Assistant Studies, Department of Family Medicine, UW Medicine, School of Medicine, University of Washington. C. Benjamin Ma, MD, Assistant Professor, Chief, Sports Medicine and Shoulder Service, UCSF Department of Orthopaedic Surgery. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M. Health Solutions, Ebix, Inc.
Kingston, Jamaica July 17, 2017 The Jamaican government through the National Compliance & Regulatory Authority (NCRA) has issued new guidelines for sugar packaging which carry steep fines if not followed. The guidelines which took effect July 1 state that all sugar for sale must be packaged, sealed and labelled. The revised standards require detailed labelling. New labels must include product name, brand name, net content, name and address of manufacturers, distributors, importers or vendors, storage conditions, country of origin, lot identification, date markings, and instructions for use. Facilities preparing sugar for sale are also now required to implement food-safety systems and all potentially hazardous foreign materials must be removed from packages before sealing.The NCRA has warned that breaching these guidelines can result in confiscation of product and steep fines.#MagneticMediaNews Recommended for you Facebook Twitter Google+LinkedInPinterestWhatsApp Jamaica’s Senate Begins debate on National Identification and Registration Bill Bahamas DPM Turnquest, as IDB Governor, Talks Technology and Climate Change Resilience at IDB Conclave Two boys die, bicycle and van collide in St. Catherine, Jamaica Facebook Twitter Google+LinkedInPinterestWhatsApp Related Items:#magneticmedianews, jamaica, National Compliance & Regulatory Authority, sugar
Lake Murray burglary calls new gun law into question July 16, 2019 KUSI Newsroom, Posted: July 16, 2019 KUSI Newsroom 00:00 00:00 spaceplay / pause qunload | stop ffullscreenshift + ←→slower / faster ↑↓volume mmute ←→seek . seek to previous 12… 6 seek to 10%, 20% … 60% XColor SettingsAaAaAaAaTextBackgroundOpacity SettingsTextOpaqueSemi-TransparentBackgroundSemi-TransparentOpaqueTransparentFont SettingsSize||TypeSerif MonospaceSerifSans Serif MonospaceSans SerifCasualCursiveSmallCapsResetSave SettingsSAN DIEGO (KUSI) – A burglar who attacked and stabbed a Lake Murray man today during an early-morning confrontation in the victim’s house was fatally shot moments later by the wounded homeowner’s adult son, according to San Diego police.This particular case is leading people to question the logic of the San Diego City Attorney Mara Elliot’s new law that would require gun owners to safely store their guns in either a safe or with a trigger device when not in use.The home-invasion assault and shooting in the 6300 block of Lake Shore Drive was reported shortly before 6:30 a.m. Patrol officers arrived to find a 54-year old resident on the floor of the house, suffering from stab wounds to his upper body, Lt. Anthony Dupree said. Paramedics took the victim to a hospital, where he was admitted in stable condition.The body of the 38-year-old suspected burglar was found in a backyard pool, into which he apparently had fallen after fleeing the home, mortally wounded. His name was withheld pending family notification.Homicide detectives were called in to take charge of the case. “Although it is early in the investigation, we have learned the homeowner confronted the (intruder) who had entered his home,” Dupree said.“The suspect began assaulting the homeowner, at which point the homeowner’s 20-year old son retrieved a firearm and shot the intruder.”The situation is making residents think twice about the new law that, if it were already in effect, could have altered the outcome of this burglary. Categories: Local San Diego News FacebookTwitter