![]() Smart speaker devices have become commonplace in the home and use voice activation to respond to questions, record information, and carry out requests. While these programs provide greater accessibility for some participants, there is potential for alternative delivery methods to better reach and engage more participants. To address this, automated CBT-I delivered via the internet such as SHUTi and Sleepio have been developed and shown to be effective. ![]() In-person CBT-I trials in cancer centers have dropout rates of 20–40% despite considerable effort from research staff to engage patients it is likely that in real-world settings non-adherence would be even higher and may be even worse during the current pandemic. However, CBT-I trained practitioners are scarce (even in accredited sleep centers) and a standard regimen of multiple follow-up visits can inhibit completion, particularly among cancer survivors who have a myriad health and financial concerns from cancer treatments. The National Comprehensive Cancer Network and the American College of Physicians recommend cognitive behavioral therapy for insomnia (CBT-I) as the preferred treatment for insomnia. Causes of insomnia are multifaceted, including cancer-related physiological processes, iatrogenic effects of oncotherapies, menopause, and comorbid mood disorders associated with cancer diagnosis and psychosocial and economic stressors. Insomnia can have detrimental impacts on cardiometabolic and immune system health, neurobehavioral function, depression, fatigue, and quality of life, each of which in turn affects mortality. One such complaint, insomnia, is experienced by approximately 30–50% of BCS. However, long-term side effects such as fatigue, insomnia, neuropathy, psychological distress, and cognitive dysfunction may impact quality of life. īreast cancer survivors (BCS) numbered 3.8 million in the United States as of 2019 a number that is growing due to advances in early detection and treatment. Trial Registration NCT05233800 Released. This study will provide evidence on a promising modality to deliver elements of CBT-I for BCS experiencing insomnia. Secondary outcomes include sleep diary outcomes (sleep efficiency, wake after sleep onset, sleep onset latency, total sleep time, and sleep quality). Our primary outcome is the Insomnia Severity Index total score. Control participants will have access to a website with basic information about CBT-I, sleep, and breast cancer survivorship and will be asked to engage with the website as desired. Intervention arm participants will receive a smart speaker device and will be asked to engage with the program daily, using a voice-activated speaker with an accompanying smart-phone app. We will conduct a 6-week, randomized controlled trial with two arms. We describe our protocol to determine the efficacy of voice-activated delivery of CBT-I components on insomnia symptoms compared to a sleep education control among BCS. ![]() ![]() While pharmacotherapy for insomnia may address symptoms in the short-term, cognitive behavioral therapy for insomnia (CBT-I) is considered the gold standard insomnia treatment. Insomnia is associated with health consequences for cardiometabolic and immune systems, neurobehavioral function, depression, fatigue, and quality of life and may put BCS at particular risk. Insomnia is common in breast cancer survivors (BCS), affecting an estimated 30–50% of the 3.8 million BCS in the US.
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![]() Germany broadly favoured European integration, whereas the United Kingdom generally opposed it.Įast and West Germany reunified following the fall of the Berlin Wall in 1989 which marked the end of the Cold War, which led to East Germany sharing the superior relationship with the United Kingdom which it had developed with West Germany. West Germany and the United Kingdom were some of the most powerful countries in the organisation, both having significant influence on its development. West Germany was a founding member of the European Communities, later to become the European Union, which the United Kingdom joined in 1973. Contrastingly, relations between East Germany and the United Kingdom were poor due to East Germany being allied to the Soviet Union during the Cold War. For example, through the United States-led defence partnership, NATO, as Britain said that a Soviet incursion into Germany or a nuclear strike would be met with British fire, or nuclear retalliation. The United Kingdom became close allies with West Germany during the Cold War, through West Germany's integration into the ' Western world'. Following this, the country was divided into West Germany and East Germany. Following the defeat of Nazi Germany, Germany was occupied by the allied forces, including the United Kingdom, from 1945 to 1955. Germany was defeated by the United Kingdom and its allies in both wars. Germany, as Nazi Germany, again fought the United Kingdom and allied forces in World War II between 19. Germany, as the German Empire, fought against the United Kingdom and its allies in World War I between 19. ĭuring the Napoleonic Wars (1803–1815), Prussia was from some time a British ally and suffered for it some of the other German states had supported France. In recent years, historians have paid greater attention to the mutual cultural, ideological and technological influences. Historians have long focused on the diplomatic and naval rivalries between Germany and Britain after 1871 to search for the root causes of the growing antagonism that led to World War I. The House of Hanover (1714–1837) ruled the small Electorate of Hanover, later the Kingdom of Hanover, as well as Britain. Relations were very strong in the Late Middle Ages when the German cities of the Hanseatic League traded with England and Scotland.īefore the Unification of Germany in 1871, Britain was often allied in wartime with its dominant Prussia. The bilateral relations between Germany and the United Kingdom span hundreds of years, and the countries have been aligned since the end of World War II. Bilateral relations Germany–United Kingdom relations ![]() Next we'll look at the official Monopoly rules, which are useful when arguing with your sister about the penalty for rolling three doubles in a row. The Jail square has two sections: "Just Visiting" is if you roll and land on Jail and "In Jail" is when you get sent to jail. Monopoly enthusiasts will know that there used to be six items in the famous playing game’s line-up. Some have stuck around since its launch, and others have been ditched. The "Go to Jail" square only results in jail time if you land on it, not if you pass it. What are the original Monopoly pieces Since Monopoly was introduced in the 1930s, many of the playing pieces have come and gone. ![]() Free Parking is the only space in the game that requires you to do absolutely nothing. Every time you land on or pass GO on subsequent turns, you collect $200, referred to as your "salary" in Monopoly. 8-Pack Replacement Pawns Compatible with Monopoly - T-Rex, Terrier, Race Car, Top Hat, Battleship, Cat, Duck, Penguin - New Edition Metal Classic Board Game. The four remaining squares are the corner squares. Other unfortunate squares include Luxury Tax (which carries a $100 penalty) and Income Tax ($200 or 10 percent of your net worth). The "general repairs" card isn't much better, charging $25 per house and $100 per hotel. The "street repairs" card requires the player that draws it to pay the bank $40 per house and $115 per hotel, which is a tough blow to folks who have invested heavily to improve their properties. The two most potentially disastrous cards are those requiring "street repairs" and "general repairs" for all houses or hotels you own. ![]() There is the famous "Get out of Jail Free" card, but there's also the "Go directly to jail. However, the first ever Monopoly game did not have those game pieces. Both Chance and Community Chest cards can be good or bad. Since the 1930s, the popular board game Monopoly has had its iconic metal playing piecesthe top hat, the car, the ironthat have stood the test of time. In addition, there are three Community Chest squares and three Chance squares that require players to draw a card. ![]() MCC pc is not managed by her and so far it's been pretty neat. MCC Xbox was managed by Kiki wolfkiilll of Microsoft Can someone assemble ElDewrito into a large developer please? That's because Kiki and bonnie are of MICROSOFT I just hope this is the last time they get a chance and Halo gets passed on to someone else with more heart like a possible Mod team turned full on Developer. I can't say I'm not eagerly awaiting to see what mess they bring to the table this time. It's so bad they had to bring in Joseph to help with campaign. It's obvious they don't know their direction or what they want and/or should do with Halo. Meh, I could pick apart 343's mistakes for an hour and nothing excuses them since they have 20 years of material to base it off of. ![]() But, to my defense here just look at Halo 5 as a whole and then also the campaign with its recycled boss 5 times and mission where you walk around the whole time. ![]() Well I guess we will see how it turns out but again based on 343's track record they are incapable of doing things right the first time. Originally posted by I'm the walrus:Yeah. Who knows, maybe it'll be the next big BR game kind of like how Warzone was when it first debuted. They have big plans it seems but none of that will mean anything if the base game of Halo Infinite isn't something that feels great, looks great, and above all else, restores Halo as a juggernaut in gaming. Halo is PERFECT to have a BR mode and think if it's done right, could be the next big thing since it'll be free to play and all. Not only will Halo Infinite have the usual great (hopefully!) multiplayer, but an epic campaign, is coming to PC, and will have its own BR mode. The fan backlash was warranted and they had to go back to the drawing board since if that ever saw a release, it would have ruined the entire Halo franchise and Microsoft simply can't allow that from the rumors I heard. I have a gut feeling that Halo Infinite was probably a generic/lackluster game and the graphics looked like it was a mobile version of it. Can someone assemble ElDewrito into a large developer please?Įxactly and ultimately, it being delayed for a year can only help it be a better video game. Microsoft was forced to delay it otherwise they would have went with 2020 Yeah.īut this time it was worse than halo 4 and 5 Don't forget 343 was perfectly happy with releasing Infinite the way it was and the only reason it got pushed to be fixed was fan backlash. Originally posted by Wet Stinky Diaper:Wish I could believe this but with MCC's broken release on console and now PC I find it inexcusable on 343's behalf. ![]() The Thread Analyzer can detect potential deadlocksĪs well as actual deadlocks. The Oracle Solaris Studio Thread Analyzer is a tool that you can use When using multiple locks, avoid deadlocks by making sure that all threads acquire the locks in the same order. So, fix only those locks that have measured contention. Most locks are held for short amounts of time and contention is rare. In general, start with a coarse-grained approach, identify bottlenecks, and add finer-grained locking where necessary to alleviate the bottlenecks. Try not to hold locks across long operations like I/O where performance can be adversely affected.ĭo not hold locks when calling a function that is outside the module and might reenter the module. Use calls to sched_yield() to make threads share time asįollow these simple guidelines for locking. ![]() The sched_yield() functionĪllows other threads to run and to acquire the lock.īecause the time-slice requirements of applications are so variable, the system does not Just before the call to reacquire the lock. You can usually solve this type of problem by calling sched_yield()(3C) Consequently, that threadĬontinues to run from the time the thread releases the lock until the But, nothing blocks the thread holding the lock. The lock was released, the appearance is that the other thread should acquire Lets a small amount of time pass, and then reacquires the lock. This problem usually happens when the thread holding the lock releases the lock, Problem can occur where a particular thread never acquires a lock. Deadlocks Related to Schedulingīecause the order in which locks are acquired is not guaranteed, a When contention occurs, the held locks must usually beĭiscarded and the locks reacquired in order. This behavior of primitive variants allows threads to violate the lock hierarchy The blocking synchronization primitives usually have variants that attempt to get a lockĪnd fail if the variants cannot get the lock. The state of the module must be reevaluated. Lock A and then reacquiring mutex lock B in that order causes the Instance, thread 2 has many assumptions about the state of the module while ![]() When all threads always acquire locks in the specified order,Īdherence to a strict order of lock acquisition is not always optimal. This kind of deadlock is avoided by establishing an order in which locksĪre acquired, a lock hierarchy. So, this condition is a permanent blocking of the Thread 2 cannot proceed while blocked waiting for mutex lockĪ. Thread 1 cannot proceed while blocked waiting for That thread 1 tries to acquire mutex lock B and thread 2 tries To be sure the intended operation is still valid.Īn example of another kind of deadlock is when two threads, threadġ and thread 2, acquire a mutex lock, A and B, respectively. The call completes and the locks are reacquired, the state must be verified In particular,Īvoid calling functions that call back into the module without reestablishing invariants andĭo not drop all module locks before making the call. The module that might depend on this module through some path. The solution for this kind of deadlock is to avoid calling functions outside Protected by the same mutex lock, the function deadlocks too. If aįunction calls code outside the module that circuitously calls back into any method Then, any call between theįunctions within the module protected by the mutex lock immediately deadlocks. Recursive deadlock is very easy to programįor example, assume that a code monitor has every module function grab the In a self deadlock or recursive deadlock, a thread tries to acquire a The most common error that causes deadlock is self deadlock or recursive deadlock. Not mean that a deadlock has not occurred somewhere else. Just because some thread can make progress does Deadlock is a permanent blocking of a set of threads that are competingįor a set of resources. ![]() However, different cultures have their traditions and beliefs about tooth fairy or similar mythological characters. ![]() The tooth fairy, as we know it today, is a popular tradition in many countries, especially in the Western world. Parents often encourage their kids to leave the tooth under their pillow and the tooth fairy will come and exchange it for money or a small gift.īut who is the tooth fairy, and where did this tradition come from? Let’s explore what the tooth fairy looks like in real life and how different cultures treat lost teeth. ![]() Losing a tooth as a child is a rite of passage that almost everyone goes through. The idea is that the new tooth will growĪlso Read: How to Capture a Tooth Fairy What Does A Tooth Fairy Look Like In Real Life Instead, children throw their lost teeth onto the roof of their house if the tooth is from their upper jaw, or under the floor if it is from their lower jaw. In some Asian countries, such as Japan and Korea, there is no Tooth Fairy figure.Children leave their teeth in a glass of water, and Ratoncito Pérez replaces them with a coin. In Spain and many Latin American countries, the Tooth Fairy is represented by a small mouse or rat called Ratoncito Pérez.In France, the Tooth Fairy is known as La Petite Souris, or “the little mouse.” Children leave their teeth under their pillows, and the Tooth Fairy Mouse collects them and leaves a gift in their place.In the United States and Canada, the Tooth Fairy is a beloved childhood figure who rewards children with money or small gifts for their lost teeth.Here are some examples of the Tooth Fairy’s role in different cultures: ![]() While the specifics of the Tooth Fairy’s role and origin vary between cultures, the concept of a magical being who collects children’s lost teeth in exchange for a small gift is universal. The Tooth Fairy is a popular figure in many cultures around the world. (source: IMDb) The Role Of The Tooth Fairy In Different Cultures The tooth fairy has been a subject in various forms of media, including books like “The Tooth Fairy Wars” and movies such as “The Tooth Fairy,” starring Dwayne “The Rock” Johnson, which shows the character in a more modern and humorous light. 10 Features: What Does a Tooth Fairy Look Like in Real Life Feature Description Size Small, often no larger than 6 inches tall Wings Delicate butterfly-like wings, translucent and shimmering Hair Long, flowy hair in various colors, often resembling natural elements Clothing Thin, lightweight dresses or tunics made from natural materials like leaves or flower petals Complexion Glowing, ethereal skin which appears to shimmer or sparkle Eyes Large, almond-shaped eyes with bright, captivating colors Teeth Small, perfectly white and straight teeth Ears Pointed, elf-like ears that may be slightly longer than human ears Accessories Carries a small pouch or bag for collecting lost teeth Magical abilities Can become invisible, fly effortlessly, and perform various forms of tooth magic 10 Features: What Does a Tooth Fairy Look Like in Real Life The tooth fairy serves as a gentle reminder for children to maintain their dental hygiene and offers a sense of enchantment and wonder during their early years. While the character’s appearance may differ, the core concept remains the same across various cultures. In essence, the tooth fairy represents a magical figure that brings comfort and excitement to children during a potentially distressing event, such as losing a tooth. Their main purpose is to celebrate the milestone of losing baby teeth and promote good dental hygiene. ![]() There are also external occipital protuberances present which provide muscle attachment sites for the nuchal ligament. The nuchal crest is often used as a landmark for collection of cerebrospinal fluid (CSF). A nuchal crest is present and is easily palpable. The squamous part (pars squamosa) is dorsal to lateral parts and occipital condyles. It has muscular tubercules on ventral surface where the flexors of the head and neck attach and a caudocranial fossa encloses the pons and medulla oblongata. The pars basilaris element is the caudal base of the cranium, although rostral to foramen magnum and joined by a cartilagenous suture to basisphenoid bone. The occipital bone forms the nuchal wall and the foramen magnum. The skull has various functions including protection of brain, support of the facial muscles by providing origin and insertion sites, development of foramen to provide entry and exit places for the vasculature and nervous system and a defense function.īones of the Skull Occipital Bone ( os occipitale) Cartilage or fibrous tissue separates the bones of the skull in the young animal and once growth has ceased, the sutures begin to ossify. The skull is made of many small bones, most of which are paired. Movement of the external appendages, mastication and facial expressions all rely on the movement of the facial muscles. ![]() The various facial muscles attach onto the skull in different places depending on their function. It is derived only from the neural crest and undergoes endochondral and intramembranous ossification. The viscerocranium is the pharyngeal skeleton. It undergoes intramembranous ossification. The dermatocranium lies dorsal to the brain and develops from the neural crest and mesoderm. The neurocranium develops from the neural crest and mesoderm and undergoes endochondral ossification. ![]() In some animals the skull is also used for defensive actions, for example in horned ungulates such as red deer stags. The skull protects the brain and head against injury and supports the structures of the face. The skull also includes the hyoid apparatus, mandible, ossicles of the middle ear and the cartilage of the larynx, nose and ear. The skull is divided into three components - the neurocranium, the dermatocranium and the viscerocranium. The shape and size of the skull varies widely, not only between species but also with age, breed and sex of similar species. Deer Skull with Antlers, Nabrown, date unknown You can use any short drinking glass or heavy-bottomed rocks glasses made for cocktails like an old fashioned. Then, turn the drinking glass upside down and dip the rim in a mixture of salt and cayenne pepper. Salt the rim of your drinking glasses. It isn't a skinny margarita without a salted rim! First, rub a lime wedge over the rim of two drinking glasses.See the recipe card below for the remaining ingredients and quantities. Sometimes I find the triple sec provides enough sugar. Agave- this adds additional sweetness to the drink but is completely optional.Substitute this sweetener with orange juice and a small amount of agave, if needed for a lower-calorie "skinny syrup". Triple Sec - Also known as an orange liqueur, triple sec is an alcoholic sweetener with notes of citrus that's often used in mixed drinks, including spicy margaritas.Bottled lime juice has a muted, watered-down flavor and will not make a high-quality cucumber jalapeño margarita. Skinny spicy margaritas are made with little to no sugar which naturally makes the lime juice flavor in the mixed drink stronger. Limes - It is imperative that you use fresh lime juice.Avoid using slicing cucumbers or pickling cucumbers. Cucumber - You can use either English cucumbers or Persian cucumbers.Jarred or pickled jalapeños contain high levels of sodium and are far too salty and savory. Jalapeño - Only use fresh jalapeños when making spicy margaritas.Quick and simple. Skip the expensive bar cocktails and pre-made SkinnyGirl margarita mix and make your own tasty margaritas with simple ingredients in just a few minutes at home.Serve alongside my Air Fryer Chicken Quesadillas for the perfect meal! ![]() ![]() Nothing says celebration more than a shaken drink on the rocks. Perfect for holidays. Enjoy jalapeño cucumber margaritas on Cinco de Mayo, Labor day, bridal showers, and more.Perfect margarita for sipping on hot summer nights. Hydrating. Adding fresh cucumber slices makes a classic margarita even more hydrating and refreshing.Just like my Simple Spicy Grapefruit Margaritas and Spicy Watermelon Margaritas, you can make these skinny spicy margaritas in a tall jar fitted with a lid instead. No cocktail shaker necessary. Although having a cocktail shaker is convenient, it isn't needed. ![]() Some recipes also call for a vegan butter, like Earth Balance. There are a few different recipes for vegan whipped cream, but most of them contain some combination of plant-based milk, vegan cream cheese, and coconut cream. If you are not using all of the dispenser, place it in the refrigerator and shake vigorously before using it. The amount of work involved is greater than that of non- raw coconut whipped cream, but it is enjoyable to try if you are interested in learning how to make it at home. Whipped cream can be used as a mixer for smoothies, raw vegan parfaits, or chai tea. This vegan coconut is raw, meaning it has no oil or grease. If you achieve separation, the white milk fat will solidify on the surface and remain beneath the water. To avoid overheating the blender, especially if it is high-speed such as Vitamix or Blendtec, it is critical to take breaks between. ![]() With the dispenser, you can quickly make whipped cream without having to use a traditional whipping device. To make this recipe, you must have a whipped cream dispenser. Raw vegan whipped cream, when combined with canned coconut milk, may take a little longer to prepare. Serve immediately, or store in a covered container in the fridge for up to 5 days. Add the almonds, water, maple syrup, vanilla extract, and salt to a high speed blender or food processor, and blend until completely smooth. Add the cashews, water, maple syrup, vanilla extract, and salt to a high speed blender or food processor, and blend until completely smooth. ![]() Ingredients: 1 cup raw cashews, soaked for 2-4 hours 1/2 cup water 1/4 cup maple syrup 1 teaspoon vanilla extract 1/8 teaspoon sea salt 1/2 cup raw almonds, soaked for 2-4 hours 1/4 cup water 1/4 cup maple syrup 1 teaspoon vanilla extract 1/8 teaspoon sea salt Instructions: 1. ![]() The CD release included a bonus DVD, a film called "Are we here now". Other indie artists have been guest collaborators on many of their tracks, especially for an early period including the release of their first LP.Īnticipating that their album In Our Bedroom After the War would leak at some point between the final mixing and the official release, Stars was one of the first bands to make their album available in digital form the day after it was completed on July 10, 2007. They covered The Smiths' " This Charming Man" on 2001's Nightsongs and The Pogues' " Fairytale of New York" in 2005. Stars have cited a wide variety of musical influences ranging from Berlioz to Outkast, citing among others Paddy McAloon, New Order, The Smiths, Brian Wilson, and Momus. The record received good reviews, and, along with the band's live performances, established them on the national indie rock scene in Canada. It was recorded at Studio Plateau in Montreal and was produced by the band and Tom McFall. For a month and a half, the five of them lived together and wrote Set Yourself on Fire. Stars rented a house in the Eastern Townships in the middle of winter. Heart appeared on the !earshot National Top 50 chart in March 2003, and won critical acclaim. ![]() While on their first North American tour together, Stars and Broken Social Scene shared and swapped members on a nightly basis. Heart was released on the new label Arts&Crafts, which also hosted their friends Broken Social Scene. In Montreal, they met Patrick Mcgee, who became their drummer. Cranley then recruited Amy Millan to be part of the band.Īfter a short stint in New York, the four musicians moved to Montreal and began to work on the second full-length album, Heart. When they began to do live shows, they called in Evan Cranley, a childhood friend, to play bass. Torquil Campbell and Christopher Seligman recorded the first Stars album Nightsongs in New York in 1999. Their music has been nominated for two Juno Awards and two Polaris Music Prizes.Īll members of Stars grew up in Toronto, Ontario. Since forming in 2000, they have released nine albums and a number of EPs. Stars is a Canadian indie pop/ rock band based in Montreal, Quebec. Indie pop, indie rock, chamber pop, new waveĪTO, Soft Revolution, Arts & Crafts, Le Grand Magistery, Paper Bag Torquil Campbell and Amy Millan performing with Stars in 2005 |
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