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In just a few years, Wikipedia has become the most influential encyclopedia in the world, consulted by judges as well as those who cannot afford to buy books. If the past is prologue, we’re seeing the tip of a very large iceberg. Washington Post. We all know it. We all see it. At some point that 256 character encryption code is going to be released and all of those wanna-be hackers will busily work to decode the 1. gig file they downloaded from all those bit torrent sites. Of course the files are unredacted, as has already been made clear by Mr. Assange himself, and the end result will obviously be that some U. . agent in Pakistan or Somalia or even Yemen will be disclosed and killed. At that point, the Obama administration will have no choice but to shut down thousands of websites (they just ran a BETA test for that last month shutting down 70 all at once) for “national security” reasons. Once that happens, they will of course have to pass a net neutrality bill that allows for licensing requirements for hosting websites which will mean only government approved sites will be allowed and they will be constantly monitored, for the public good of course. And thus, all those troubling “conspiracy theory” sites will be gone and Cass Sunstein can sleep better at night. If we lose our internet freedoms over this fight, I certainly want us all to have a little better understanding of why. He has sought to justify this latest handout to the rich by claiming that he secured major concessions, including the continuation of tax breaks for the lower tax brackets, a 13-month extension of federal unemployment benefits, and a one-year cut in Social Security payroll taxes (which will actually result in a tax increase for the bottom 40 percent of US households when balanced against the expiration of the current Making Work Pay tax credit). He had no choice, he argues, since he could not get the Republicans to budge and the votes were simply not there to extend just the Bush tax cuts for the middle class.

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Few studies have been published evaluating the potential impact of emergency medicine pharmacists in trauma, and currently no study has evaluated a pharmacist's influence on antibiotic selection and timing for open fractures. The objective of this study was to determine the impact of an emergency medicine pharmacist on initial antibiotic selection and timing in trauma patients with open fractures. Trauma alerts with open fractures from May 1, 2014 to June 30, 2016 were eligible for inclusion. The primary outcome was to determine if pharmacist participation during trauma resuscitation was associated with an increased proportion of initial antibiotic selection meeting guideline recommendations. The secondary outcome was the door-to-antibiotic administration time during resuscitation. Initial prophylactic antibiotic recommendations were met in 81% of trauma resuscitations when a pharmacist was present versus 47% without a pharmacist present (p patients with open fractures. Low admission temperature is strongly associated with adverse outcomes. This included patients involved in the original prospective study (Uzoigwe et al. 2014). Admission tympanic temperature, measured on initial presentation at triage, was recorded. The prognosticators of age, gender, source of admission, abbreviated mental test score, haemoglobin, co-morbid disease and the presence or absence of malignancy were also recorded. Using multiple logistic regression, adjustment was made for these potentially confounding prognostic indicators of 30-day mortality, to determine if admission low body temperature were independently linked to mortality. 1066 patients were included. 781 patients, involved in the original prospective study (Uzoigwe et al. 2014), presented in the relevant time frame and were included in the retrospective study. There were 273 (26%) men and 793 (74%) women. 407 (38%) had low body temperature ( fracture patients.

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Could be a huge return for someone missing since Season 3. Especially the bitchin’ about the bitchin’. Geesh. The typical casual viewer still can’t name many of the characters in the show and they certainly have no understanding of the history and lore of Westeros. However, I try to think of how what she’d want most for me is to live a happy and fulfilling life, so I try to rededicate myself to that idea, and thus honor her memory. My fear is that they won’t drop heavy enough hints tonight to guess what’s behind the door. ASoIaF has way too much ultra-violence and hyper-sexuality for Sanderson’s style of writing. I appreciate that greatly. “Do your duty. Swing the sword,” I say. I mean specifically the book text not the theories or people talking about all we know about it. I would like to refresh by reading the book material and can’t find a site where someone put it all together to be read. This season is hitting the ground running in a crazy way, so I hope and believe ToJ will follow suit. It can’t be helped, just the way events came together. But somehow I don’t think that will be the first thing on his mind. How can someone who can’t control Meereen control Kings Landing. The fact that Bender isn’t credited just means the ToJ is not the bulk of the episode am I right.