Sample size calculation in cross-sectional studies

Background

Exercise is Medicine
Consolidating methods is a project unto itself, says Laura Shankman, a postdoc studying smooth muscle cells at the University of Virginia, Charlottesville. The dogs were really hectic with very few manners but all completely adorable. I have only one group of patients no comparison group who is going to complete a questionnaire about their self-assessed knowlegde and their real knowledge. No gall bladder stones, cancer deaths, strokes, or simply falling ill, it is just a litany of action. Secondly, there is some that can be funded through their depreciation allowance but over time, future budgets will have to make bigger allowances, both capital and operating, for Defence's capability. But because of the way web pages are created, managed and named, the web is not fully decentralized.

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As Benjamin Fulford reports:. What important is to know, is that the WDS and its allies have identified the names and locations of all the top members of this ruling Khazarian bloodline and have the technical capability of removing them from this world. Doing so would be the very last option the WDS would take and it would only happen if it became necessary to do so to prevent genocide.

The point though is that the families that currently control the G7 and the UN corporation are no longer in any position to dictate to the world. Their financial system, the source of their power, is now based almost entirely on fraud.

This mafia gang was taken over by the Bauer family of Banksters who changed their name to Rothschild. The use of human clones in managing European Royal families, international banking, spiritual fascism in religion, industrial militarism and political assassinations will be made clear for all to see.

Why should élite, unelected, unappointed, unqualified bloodlines have privileged access to vast invisible influence and wealth?

As their vast capital is revealed, held in multiple off-ledger black screen accounts of stolen and hidden monies grown into thousands of quadrillions. A whole range of dirty tricks will become known to the public, like the backgrounds of the Greek disaster that purposely has been created, as a test case for further pilfering of the EU continent and the Americas.

Here an expose to show the working:. Neoliberalism intends to reestablish feudalism — a few robber barons and many serfs: The One Percent and the 99 percent.

In other words, Greece is now being destroyed by the EU that it so foolishly joined and trusted. The same thing is happening to Portugal and is also underway in Spain, France, and Italy. The looting has already taken place in Ireland, Latvia, a number of African-, and Latin American- countries, and is underway in Ukraine.

All this shows why all countries in the world are experiencing financial turmoil, which is important to understand. The smiling puppet leaders are the least concerned about the fate of their countrymen. All developed countries with debt will culminate into a situation that now is being experienced by Greece. The whole system is broken and severely damaged.

The world has entered the looting stage of capitalism. Misery and Despair will be the result. But now the truth is out, an entirely different approach is necessary. And pass on this message by forwarding it to all your contacts with your personal motivation, to read it, and similarly forward it to their contacts.

Take the attitude, as what de Russian President Putin says about the Rothschilds:. It is time to fundamentally change the managing of our society. A Swiss like Canton structure where locals decide about their own future is a good example for the change of governing.

The money creation must be in the hands of the people and not in privately owned central bank institutions. We the people are the owners of this planet. We decide what should be done, governments are our elected servants, to run society the way we want, and not the other way around as it is today; by puppet leaders and unelected officials that act as a dictator. NOW is the time for action.

Change is on the Horizon: Those of us who get the news from alternative reliable sources have known this for years. So hopefully it is clear and well-explained that the truth is out and urgency and duty have arrived for all the people to come into action in making the necessary changes. For the sake of the people on this planet we pray that Neil regains his strength and finally achieves his goal.

This is what the world needs, a winner; and a winning outcome. Just as with Sandy Hook, there have been no bodies produced - no evidence to back any claims made. As not a single one of my several hundred thousand readers of this [ paucraigroberts. In the URL below is an account that is likely overall correct. So many skeptics do this that it makes you wonder: A number of questionable aspects regarding this shooting include: The FBI knew about the shooter and investigated him prior to the attack.

The shooter had a connection to a known ISIS recruiter. According to mainstream reports, Mateen carried an AR rifle and a handgun into the Pulse club around 2 a. A stand-off ensued which lasted for about 3 hours before a SWAT team crashed into the building with an armored vehicle and killed Mateen. There was a distinct lack of dead bodies and bloodied 'survivors'. Mateen was an American citizen born to Afghan parents from Port St.

Lucie, Florida, about a miles away from Orlando, a distance which he allegedly drove to commit the attack. What may at first sound like an instance of senseless violence, brings with it a number of other questions.

For instance, the FBI was already well aware of Mateen and his connections to radical jihad and terrorism. The investigations were reported by a number of mainstream media organizations and later confirmed by the FBI itself during a press conference. The FBI admitted that Mateen had been interviewed by agents twice in due to comments made about radical jihad which were overheard by coworkers.

Salha allegedly returned to Syria and blew himself up in a suicide bombing. Seddique has denounced the Pakistani government and expressed support and encouragement for the Taliban movement. A connection to any one of these organizations and institutions may go some length in explaining how the attack was coordinated, the motivation of the perpetrators, the actual involvement or not of the suspects, and who actually directed the operation. In many instances, connections to certain military agencies and communities should serve as the same red flag as connections to intelligence agencies since these institutions have largely been blended together.

Indeed, the FBI has had a long history in creating, organizing and facilitating terrorist attacks in order to bust them at the last minute and claim credit for stopping terror attacks. The FBI also has a long history of investigating, monitoring and interviewing suspects of high-profile terrorist attacks before those attacks were committed but doing nothing about them. At that point, he started making shopping lists for weapons.

Also included in the affidavit is the same hysterical rhetoric encouraged by FBI informants now evident in the recent actions of terror suspect Omar Mateen in Florida. The FBI literally provided a mentally-ill man they helped plan a terrorist attack together with, an arsenal of deadly weapons — arresting him just before he committed his crime. The only factor that prevented the entrapment of Ciccolo from becoming a live Florida shooting-style attack was the fact that the FBI arrested Ciccolo before he carried out his planned attack — while those following Mateen did not arrest him.

The role of the FBI in Mateen obtaining his weapons will never be known since Mateen is now — conveniently — dead. Lastly, one immensely important question must be asked: For many, claims that the attacker belongs to ISIS is a deal breaker. For these individuals, ISIS is a shadowy terrorist organization that supports itself and has created a caliphate in eastern Syria and western Iraq that can scarcely be defeated except when the Russians bomb it.

However, the facts do not support such a shallow understanding of the ISIS terrorist organization. Its actions have been coordinated by the Anglo-American Intelligence apparatus for geopolitical purposes all across the world both at home and abroad. For this reason, the declaration that ISIS committed a terrorist attack in Paris is by no means a get-out-of-jail-free card for the Western Intelligence apparatus.

Instead, it is the trademark of their handiwork. Please see these articles for more information on the nature of ISIS: While the right-wing media blames Muslims and the left-wing media blame guns, perhaps it would be more effective if thinking individuals would examine the possibilities that this attack was a false flag incident designed to push an agenda that would benefit those in power in some way or other.

Out of this attack we will no doubt see another push for the evisceration of the Second Amendment and other civil liberties as well as increased hype regarding ISIS as a threat to the American way of life and a greater attempt at justification for foreign adventures.

It is they who control ISIS and they who bear the responsibility for its actions. The sheer volume of information coming out and articles being written is voluminous and far too much to be worked into one article. Below is just a sampling that provides a much larger picture of what has really been going on. Some are more perceptive than others Is Orlando a False Flag? It also said work was well under way to consider whether the existing Light Armoured Vehicles might be modernised, or replaced.

The plan allows for the replacement or review of the Defence Force's aircraft, frigates and Light Armoured Vehicles While New Zealand did not face the prospect of an imminent military attack, there were growing threats as a result of failing states and pressure on food and water resources, the paper said. Prime Minister John Key said the new policy was being launched at a time of "increasing uncertainty and instability in the international environment".

New Zealand needs a defence force than can protect New Zealand and also contribute to international security and stability," he said. Cyber security was also identified as a major new risk, and a new defence cyber support network would be developed.

More intelligence personnel would be hired to help analyse and distribute information collected from surveillance. The paper noted demand for disaster relief and and recovery efforts in the South Pacific would increase in coming decades. The White Paper noted increasing reliance on technology and information was creating "new vulnerabilities". The threat to systems relying on networked technologies had increased "markedly" since , it said.

Defence Minister Gerry Brownlee would not give specific details about the resourcing for the boosted cyber security system, as that had not yet been determined. Defence Minister Gerry Brownlee also spoke at the paper's presentation.

Mr Brownlee said cyber weapons were now significant, as evidenced by the reliance of individuals on a multitude of technologies. So it's a much wider concept than just saying it's to protect, or it's to attack - we need to know what other people are up to, particularly in a military sense.

When asked how closely the Government Communications Security Bureau would be involved, Mr Brownlee said there would be a "high level of co-operation". Maritime Threats and Illegal Fishing. As activity in New Zealand's waters increased, the White Paper warned incidents that required a New Zealand response were more likely to occur. It said the size, intrinsic value and challenges associated with managing the country's large maritime domain underlined the significance of maritime threats to New Zealand.

New Zealand had a direct interest in the stability of Antarctica and the Southern Ocean, including its preservation, and the Defence Force must continue to monitor illegal, unregulated and unreported fishing, the paper said. Similarly throughout the Pacific when you have unregulated fishing in some of our Pacific neighbours, that is also an attack on their economy and comes at a cost to us and our partner nations," Mr Brownlee said.

Over half of the country's maritime trade passed through the South China Sea, and the paper predicted that, over the coming decades, it was likely to remain a contested environment. There would be serious implications for trade routes, and New Zealand's ability to service markets, should major instability occur in the region, it said. Defence White Paper Mr Key said the money would have to be appropriated through the normal budget process. Secondly, there is some that can be funded through their depreciation allowance but over time, future budgets will have to make bigger allowances, both capital and operating, for Defence's capability.

The United States nuclear powered warship Texas arrives in New Zealand, in August The response of Auckland Peace Action is that it is not okay for any warships from anywhere to come to New Zealand, nuclear-armed or not. The aspirations of the nuclear-free movement of the s and s did not come from a selfish desire to be safe from nuclear war and fallout. It was a powerful political movement that demanded a different kind of world: What Nicky Hager failed to mention and what people need to know today about the proposed visit of some 30 navies including the US Navy is that this event, billed as a "celebration", is part of an enormous arms fair sponsored by the world's largest weapons manufacturers - including nuclear weapons makers - and a military recruiting and public-relations campaign that will involve New Zealand in future wars.

The nuclear-free legislation isn't threatened; it has just been sidelined. The week of events planned for Auckland in November is sponsored by many companies who directly profit from war, including Lockheed Martin, Thales, Babcock, ThyssenKrupp, and Cubic Defence all in the top list of international arms companies , along with the NZ Defence Industry Association, itself an industry trade promotion group consisting of another odd members involved in weapons and military-related production.

Lockheed Martin is the world's largest weapons manufacturer and supplier to such regimes as Saudi Arabia, a country that today stands accused of using these very weapons to commit war crimes. Lockheed Martin is the principle sponsor and more than delegates and weapons company representatives are expected.

Here, military men can make deals to buy all the naval hardware and other weaponry on display. This enormous injection of cash into the military is happening despite the NZDF's own evidence that "the country does not face a direct military threat in the foreseeable future". The NZDF and those who support New Zealand's involvement in US wars, however, clearly do see a threat - a threat to their public support and, thus, continued operations.

This is the real reason behind the Navy's 75th birthday. Their "celebration" is a stage-managed marketing event to secure public support for future wars, ever-increasing budgets and the recruitment of young men and women to fight and die. The Navy says so itself: The New Zealand military has been continuously at war in Afghanistan alongside the US for 15 years; it is conducting regular training with the US Marine Corp, and it participates in the largest maritime war exercises in the world, the US-led Rimpac.

Instead of leading us to complacency because the Nuclear-Free Act is still intact, Hager could have taken the opportunity to encourage a redoubling of the efforts of the thousands of people who worked to make New Zealand nuclear-free and the necessity of expanding that position.

That movement was brave, capable and courageous 30 years ago. It is a movement to truly celebrate, but its work remains unfinished. It is that work that is now urgently necessary. On an Animal Communication workshop it is explained that everyone can communicate with animals, we have all just forgotten how. They teach you that interspecies communication is done via energy so language is never a barrier. Sometimes they will communicate through words, or sensation, or through images displayed in your mind.

Tell them how much you love them and ask them if would they like to communicate with you. And remember to say please and thank you, animals apprectiate good manners. My animal guest teacher was a Staffordshire Bullterrier called Oscar. He came into a calm room of thirty seated students, all eager to be able to communicate with this beautiful creature.

His guardian not owner, we are merely guardians to our pets sat on a seat next to the teacher, whilst Oscar went around the room sniffing everybody, tail wagging. He then went and settled on the rug in the middle of the room. I got two out of the four questions asked correct according to the answers the teacher received.

She went through all the answers everybody got and then shared the answers that she had received. Later that day I was partnered up for another exercise with a young woman who also lived with Oscar, who had been accompanied by him in bed the night previous.

I asked her, when you went to bed last night with Oscar, how were you feeling? From that moment on I knew that animal communication is subjective. The afternoon consisted of a cat guest teacher called Marmalade who headed straight for a woman who was terrified of cats and sat on her for the rest of his session, attempting to cure her of her fear. Sadly, his efforts were lost. We did the same routine, asking Marmalade questions that his guardian could verify.

Afterwards, we worked with photographs of our beloved pets. How does that even work? Surely that is not possible but I found myself communicating perfectly accurately with Shoshy the cat via her photograph, using language that was completely alien to my usual syntax.

It was a bizarre experience! My first was a Hunter horse named Nick who was having problems with repetitive lameness. I told the guardian not to tell me which leg was affected as asking a question that can be confirmed by them is evidence to you and them that you are indeed in interspecies communication. Then after a moment, he drew my attention to his back left foot. I asked him did it hurt and suddenly I had a stabbing pain in my left foot on the underneath. I am happy to report Nick is now on glucosomine supplements and his problem is now relieved.

The next communication was with a dressage horse called Zodie. Her guardian is a gentle, beautiful young woman who teaches children to ride and does dressage competitions for fun.

I like this person a lot and she is very fond of her animals. The evening before I had read from cover to cover, the book my teacher had written on animal communication.

I went armed with some Maltesers, just in case I could bribe the horse into communicating with me. Her guardian told me when she and Zodie praticed dressage the horse was infallible but whenever they were in competetive situations the horse had awful meltdowns. Off I went to communicate with Zodie who was in an enclosure with two other horses where she was able to roam free and the others were stabled. I entered their enclosure and introduced myself telepathically to Zodie, asking if she would like to communicate with me.

She took one look at me and promptly walked off and hid in a stable! Zodie popped her head out the stable inquisitively, and decided to come over and investigate the rustle of the sweet wrapper. I asked Zodie if she hurt anywhere and she showed me in my body a sensation of tightness on her right side flank and down the leg.

I then asked her what was going wrong in her competions? I was immediately overwhelmed by the sensation of fear and nervousness, I was trembling all over and not able to catch my breath. I explained that Vicks just wanted to do the competitions for fun, it did not matter whether they won or not, they are just there to enjoy themselves.

When I told Vicks she wept, as did I. Animals are our greatest teachers in every way, when I have found it impossible to communicate they patiently show me how. I have predominantly had dogs and horses in my life. Dogs are my greatest love and proved the most difficult for me to access telepathically.

But they always patiently teach me what I need to learn. For me at least, it works better most times if I communicate with dogs through images. For example, Terry the Terrier was my best animal friend when I learned this amazing skill, but I could not communicate in the ways I found so easy with cats, horses, even insects! I was feeling very sorry for myself with my female cycle one day, and I knew that animals are able to heal us. So I was lying on my bed in agony with Terry looking at me curiously.

Then I closed my eyes and imagined or I- magiced Terry lying on my belly facing me, and imagined what that would look like from his perspective. He jumped up on the bed and lay down on my body facing me. Within minutes my pain had subsided and I had learned my biggest lesson so far. On another similar painful occasion I was cat-sitting and up in the middle of the night. I explained to one of the cats I was in pain and she promptly jumped on my lap and starting pawing at my belly arduously.

The pain was cured in a matter of minutes. I went to the 4, acre estate for an interview and met the Countess and her daughter and the five dogs. The dogs were really hectic with very few manners but all completely adorable.

I was asked to sit down at the kitchen table and have coffee with my prospective new boss. I suddenly was drawn to looking behind me and saw the tiny Jack Russell Terrier who was sat staring at me next to the warm aga oven. Her eyes grew wide and her jaw slackened with shock. On many occasions I would walk another three dogs with the pack, just me and eight dogs spending whole days outside connecting with each other, and all in connection with the Planetary Animal Mother, Gaia Sophia.

I have even communicated with plants. I stood before a large group of nettles and asked them which nettle top I could take to cure my rash. After a brief wait, and with no breeze whatsoever, one of the plants bowed down where the others stayed perfectly still. I make hedgerow medicines and if I cannot find the plant that I need I will ask to be taken to it.

When I collect the plants and harvest them I talk to them in gratitude and explain to them who the medicine is for and what ailments they will be addressing. It is a wonderful feeling to heal somebody, and even more sublime to be in such deep connection with nature. Often one finds that some animals are more open to telepathy with human animals than others. No wonder when animals are so used to us thinking they are just dumb beasts, often treating them badly either through ignorance or patent cruelty.

One such animal was a beautiful bay horse named Campbell. He was unfortunate enough to have a groom who was very ignorant and cruel, be his guardian. Dear, sweet Campbell, was always fielded alone which is a dire way for herd animals to exist. He had no grass, no shade, no friends and I often found he had no water.

I would go and see Campbell every day and his loneliness was palpable. I would try my best to be nice and gently convince the groom he needed more in his life but was always met with a brick wall of obtuse indifference.

The weather became unusually hot for English summertime that year and Campbell consistently had no water. One afternoon I found him in a different paddock next to two mares who were both in season, again with no shade and no water.

I entered the paddock, and with nostrils flaring and making a strange and unfamiliar equine noise, he rushed towards me and literally buried his face in my torso for solace, remaining there for the next 10 minutes. I was covered in his blood from his bites. I printed some information about colic prevention from the Blue Cross website and handed it to her.

For one week Campbell had water every day and was wearing a fly protection rug and mask. The following week however, back in his lonely field on a day when the temperatures were soaring, I found Campbell once again without any water. I was very tired having worked all day and his field was half a mile away from my cottage. I will never forget his response — he put his head in one empty bucket and looked at me, then he did the same with the other bucket and looked at me. Actions do indeed speak louder than words.

I ferried 15 litres of water over to his field in a wheelbarrow of which he drank 5 litres straight away. I hope Campbell and all the others have gone on to a better home or at least ended up with more competant caretakers.

This is the only downside to communicating with animals. A horse who was scared of going to an Elite English School where spolied children can keep their horses at school. A cat that was peeing in the house… I attended another two day workshop with the same teacher, day two was focussing on Gestalt Therapy and Remote Viewing which is basically learning to communicate and heal from long distance. Day two was Remote Viewing, so to learn we were partnered up with someone new to us that weekend and told to swap our pet photographs.

The object of the exercise was, with permission of the other person, to access their house by communicating with their pet through the photograph. Not quite believing I or anyone could do such a thing, I nevertheless introduced myself to Basil and asked him to show me around his house. We were encouraged to draw any images we saw or write down any words we received. Suddenly I can see a kitchen, with a catflap in a pvc back door. Then I find myself travelling through the catflap into the garden where I can see a beige coloured paving slab path separating two lawns, and a wooden shed to the left with a tall wooden fence surrounding the modest garden.

Then we go back through the catflap and into the kitchen where he shows me not only the food he eats but the two different brands of food he gets fed, and his silver bowl. His favourite place to sleep in the kitchen is a beige chair, and then he takes me upstairs to the windowsill where he likes to sit and watch the world go by. Before I left the house he told me something about his guardians with a request attached.

I find myself showing a complete stranger the sketch I had drawn of her own house and garden. She told me Basil had been rescued with another cat and they were both house cats until the other cat had died. Since that day, Basil had been wandering out into the garden but never further than the fence. She confirmed his food, the brands, his favourite place to sleep and his spot on the windowsill.

We were both utterly flabbergasted. I will add here, the animal communicators all explain that the reason we are able to use photographs to communicate is a Quantam Physics factor.

I believe Quantam Physics is yet another scientific fraud we have been force fed, so I have no idea how communication through that medium works, just that it does. On the same workshop I was partnered with a woman who gave me a photograph of her dead dog.

I was able to ask and answer her four confirmation questions accurately, and then put her mind at rest that she had done the right thing in putting her beloved pet to sleep at the time that she did. They also say delightful things like our departed loved ones come with us on walks and watch over us.

Now I am aware of that idea I can feel their presence. I was asked to communicate with a new horse at a livery stable, she had got into the habit of throwing the boss off every time he rode her.

And I want a purple rug. She also told me her saddle was very uncomfortable. When I left her stable one of the grooms who I had not met before, came over and asked me if I had been able to communicate. She then started to tell me where she thought the horse was in pain and my sketch matched exactly with her assertions.

I told Tom my findings and he was really unhappy with her name choice, but admitted the saddle they used was not one that had been specifically made for her. And he would change her rug to a purple one. Buttercup has now had the physical therapy she needed to help her ailments and has a new saddle especially fitted for her back, and has managed to keep Tom off the floor. Anyone can learn to communicate with animals. Just think why does your dog know you are thinking about taking them for a walk almost before you have even formulated the thought?

But animal communication is right-hemisphere brain activity, understanding that the education system is a deliberate attempt to make you entirely left-hemisphered, will assist you enormously. Attending one of the many workshops on offer will be the start of your intraspecies communication and a new way of looking at all life and nature, even the planet we live on.

According to the ancient Pagan Mysteries, and the biography of the earth recovered from the Nag Hammadhi Codices by modern day Gnostic John Lamb Lash, Gaia Sophia is a living conscious being, our Planetary Animal Mother, who can communicate with you too.

Does your cat have you wrapped around her little fuzzy paws? New science unlocks the mysteries of human-animal bonding and how our animal companions manipulate us into loving them - for our good and theirs. People have a long history of living and bonding with domesticated animals.

A recent genome study concluded that dogs may have been domesticated as far back as 34, years ago. Today, our animal companions are as beloved as ever with the American pet population expanding from about 40 million cats and dogs in to more than million in Roughly two-thirds of US households now include at least one pet.

Not only are pets on the rise, but the significance of our human-animal relationships seems to be deepening. A growing number of young adults are trading in their human partners for the four-legged kind. Many report experiencing greater distress from the loss of a pet than from a breakup.

In a recent poll, a surprising 38 percent of dog owners reported loving their pets more than their partners! Our animal companions obviously bring lightness and joy to our lives, but science now reveals they may be bringing much more. The Magical Healing Powers of Animals. In addition to offering companionship, animals benefit people in a number of different ways. For example, animals have developed special defenses over the millennia to ensure survival in the wild, and some of these have benefits for humankind.

Human wounds treated with NGF heal twice as quickly as untreated wounds. The purring of a cat can help mend broken bones and soft tissue injuries because they purr at 20 to 50 Hertz, a frequency range found to promote tissue healing. And a protein from the venom of the Malayan pit viper is being used in Europe to treat strokes and blood clots. Science shows that pet owners are reaping an amazing number of health benefits, including the following: For children, family pets offer unique benefits, both physically and emotionally.

Dogs can forestall the development of allergies in children raised with them. The emotional benefits are even more profound. Caring for a pet teaches children compassion, self-esteem, and responsibility for the care of another, as well as improving cognitive skills, mitigating stress, and numerous other benefits.

Children with autism are sometimes better able to interact with animals, and this may actually improve their ability to interact with people. Science shows cats are especially helpful to autistic children, increasing their social interactivity and improving communication skills, tactile and eye contact, smiling and laughter. Oxytocin Creates Friends with Benefits. Why do cats and dogs hold this almost-magical power over humans? Recent discoveries are beginning to provide an answer: A recent groundbreaking study was the first to identify a hormonal bonding effect between humans and other species, which may help to explain how dogs became domesticated thousands of years ago.

According to the study, when your dog looks into your eyes, he activates the same hormonal response as an infant. Produced by the hypothalamus, oxytocin is the hormone responsible for mother-infant bonding, flooding each with feelings of happiness, trust and well being. In addition to its role in bonding and relationships, oxytocin confers physical health benefits as well, including reduced pain and inflammation, which could explain some of the health benefits of pet ownership outlined above.

But oxytocin may explain only part of our connection with dogs. A prior study found dogs to be sensitive to human social cues, such as the intention to interact with them when making eye contact.

According to Medical Daily:. Dogs are not the only species casting oxytocin spells on humans - cats are taking full advantage as well. A recent study found that cats attach to humans as social partners, not just for the sake of obtaining food.

This research is the first to show in detail that cat-human relationships are essentially identical to human-human ones, at least biochemically, with cats frequently stepping into roles of surrogate children in nurturing homes. This of course will not be new information to cat lovers.

Petting a cat is found to produce an immediate oxytocin release in both cat and human - but if that human is a woman, the effects may be far more pronounced.

This study and others confirm that, while cats have plenty of male admirers, women initiate contact with their kitties much more often than men, and vice versa. Female owners also have more intense relationships with their cats, and cats especially adore - and manipulate - their ladies. Cats are cashing in on human maternal instinct! Regardless of whether or not we humans are being manipulated by our animal friends, the benefits of sharing our homes with them cannot be denied.

Science has proven that if you want to live a longer, healthier, happier life - and raise your children in an environment that cultivates compassion and responsibility - then adopting a pet may be just the prescription. The result of the June 23 referendum will have far-reaching consequences for politics, the economy, defense, migration and diplomacy in Britain and elsewhere. Bloomberg tracker indicates 3. The recent murder of Jo Cox is an indication that the anti-Brexit camp are so desperate, they believe they could easily use it to reverse the sentiment of the people, or at the very least, they could use the murder to mask the rigging of the votes on June 30, just like they employed fear mongering during the last Scotland referendum.

Scotland Referendum Fraud Exposed. The bigger picture, however, will always be that the Sheeples are subjected to constant flow of distraction to preoccupy them with issues that that have nothing to do with real freedom. There must be a more decisive action from those who see things as they truly are. We believe that this is just a conservative figure. We can avoid using drugs, defeat any viral attack and scaremongering, like the Zika virus, easily by knowing how to build our own comprehensive antiviral system.

Find more about it here. Mr van Wyk makes a good point. Don't hold your breath for a boycott. Google and Facebook command a huge share of New Zealander's online attention. Spark would be cutting off its nose to spite its face. Australia and the UK have introduced so-called "Google tax" measures against such behaviour. The Spark boss says doing the same here would level the playing field. The abandonment of our nuclear free status immediately places our sovereign nation at risk in the incidence of a nuclear war and believe me when I say this is the madness that is driving Washington policy right now.

Wake up readers to the fact that right now the U. These insane people are agents of the U. That is why any move to embrace more U.

The Yekuana Indians were unlike any people Liedloff had ever encountered. They seemed universally happy and fulfilled. Their children, especially, were remarkably calm and independent. In the entire time she stayed with them, she witnessed no sibling rivalry, no whining, and almost no crying, fussing or tantrums among their infants and small children.

She was amazed to see older children and teens confidently performing difficult tasks and making mature decisions, without the defiance or recalcitrance so common in Western adolescents. In her own words:. Liedloff observed that in this culture, as in many other indigenous societies around the globe, children were treated very differently than in Western cultures.

She began to develop a theory of human social development based on her observations. According to her, every human being is born with an inborn expectation to undergo certain natural social experiences. These begin with being held immediately after birth, and an extended in-arms phase in early infancy. Several, like babywearing, extended nursing, and co-sleeping are, if not wholly embraced by Western society, at least becoming better known and more accepted. However, most Western parents who follow these practices agree that their families are still far from experiencing the ideal of human contentedness that Liedloff describes in her book.

In other words, once the honeymoon of infancy is over, what then? If the child errs, he should be gently instructed to change his behavior, but he should never be judged negatively as a person because of his mistakes. The second Continuum concept to keep in mind is that the child should not be the center of attention.

Neither, however, should he be excluded from adult society. In Yekuana society, Liedloff observed that adults were available to the child as needed, but focused primarily on their own activities, not on their role as parents.

This approach lets the child learn by direct observation and to begin participating in adult activities as he is ready, without the pressure of being in the spotlight. Any grown-up lady that pleads with a 4-year-old is not to be relied on. What would you like to eat? Can you find the spoons? Keep in mind, though, that taking the lead is not the same thing as taking control over your child. The parents Liedloff observed never forced a child to do chores. They simply modeled the behavior, and made sure the tools - like a child-size grater - were available to the child.

When a child showed an interest, she was allowed to participate as long as she wanted to. It was simply expected that she would naturally want to learn how to do the tasks she observed the adults doing.

By the time they are old enough to be truly helpful, Liedloff noted that continuum-raised children will simply and quietly obey requests for help from adults, reciprocating the respect they had been shown when they were little.

This leads us to the third principle: It is easy for Stone Age parents to be available to their children without making them the center of attention. After all, they live where they work, and their children spend most of their time freely playing with other children, both younger and older than they are.

In fact, every person in their culture is able to model older individuals, and mentor younger individuals in turn.

This allows for smooth passage from one stage of life to the next, and reduces or eliminates friction between generations. In a society which divides its tribes into isolated nuclear families, where adults must often work outside the home, where children are not typically welcomed into the workplace, and where, from preschool to nursing home, our age segregation practices border on the extreme, is it even possible to offer our children - and ourselves - the experiences we apparently need to become truly fulfilled human beings?

Perhaps not to the extent that the Yekuana could. But just as many Western parents have resurrected the practices of babywearing and co-sleeping, why not reclaim the tribal experience as well?

Whether through conscious decisions or instinct, many parents are attempting to do just that - resurrect something of the primal, tribal human experience. In their own ways, they are seeking opportunities to connect with other families in ways that are more natural, organically developing and holistic.

For some families, tribe-building is as simple as staying in place or moving back to live close to extended family. A recent PEW study revealed that 43 percent of young people ages 18—31 are now living with their parents or other kin. This includes a growing number of families with young children, according to Carmen Wong-Ulrich of Baby Center Financial. Granted, this is happening primarily as a result of economic pressure, rather than the desire for a more natural social structure.

However, many of these families are discovering benefits to this arrangement beyond financial relief. Other parents report increased feelings of security, carpooling and other shared duties made easier, built-in babysitters, and family bonding as benefits of living with or near family members.

But for the majority of us, living near family is just not an option. Creating Your Own Tribe. It the article, Pitman describes her relationship with her friend Vicki. Starting when their first babies were infants, the two would get together and help each other with household chores or prepare meals for both families to enjoy, while their kids had the benefit of unstructured play time with adults who remained in close proximity, but engaged in their own adult activities.

Pitman points out that tribe-building involves much more than just scheduling regular playdates. Clean house, work on your car, do projects together, garden, prepare meals, or start a business together.

She also cautions not to be too picky about whom you form your tribe with. Just like family, the people you find available may have some qualities that differ from your ideals. However, once the children reach school age, time spent together in this way often diminishes.

Homeschooling families have a unique advantage in this regard. In situations where homeschooling occurs between and around running a home-based business, children also get to observe and learn firsthand how the adult world operates in a way that was once a normal part of growing up, but is now no longer available to the vast majority of modern children.

That said, many homeschoolers still find their lives increasingly dominated by schedules and goals, especially as children grow older. If a tribal experience is truly your ideal, you might find yourself drawn to at least partial unschooling. If you are brave and resourceful, you might consider organizing your own school or other institution. This is what Natalie Cronin did.

She started her home daycare, Under the Tinker Tree, out of a desire to provide her own children with an experience more closely resembling her ideals than would otherwise be possible. Luckily, her vision resonated with others in her community. Finding a local Rudolf Steiner school might be a good alternative. Keep in mind that it is extremely difficult to change already existing conventions.

Noelle adds that there are things you can do to protect your child from the less Continuum-friendly aspects of school life. You may find yourself in the position of wanting to introduce elements of modern tribalism into an existing organization. This is challenging, but not impossible.

Then, frame your suggestions in a way that helps them meet existing wants and needs. To some, the ultimate in modern tribe building may well be to start an intentional community based on Continuum and other natural living concepts.

However, a quick search reveals very few existing intentional communities that openly base their values on Continuum ideals. Heart-Culture Farm near Eugene, Oregon, is one. Surely, there are enough families interested in following an attachment parenting lifestyle to warrant a larger number of communities specifically designed to support it?

Yet most intentional communities are very specific as to what is and is not acceptable behavior. Noelle recounts a personal intentional community experience which may shed some light on this question:.

It led to a fairly sizable group of people from all over the world getting together for an organizational meeting. We accidentally experienced tribe for about two days.

We had this gathering in my hometown, Portland, Oregon. People had different travel schedules, and a number of people got there a few days before the big meeting. They camped out in our yard and we kind of had this village we created in our yard, and we were all just waiting and very optimistic. So we actually had this tribal experience, and I can only say it was glorious.

It was just wonderful, the feeling of this expanded social circle where everyone is just sort of flowing together. The children had all these choices [of playmates]. And we were living that way for a couple of days while we were waiting for this meeting. Then the meeting happened and everyone brought their agendas with them, and their particular attachments that things had to be a certain way, and we started to lose some of that being in the moment with each other.

Now it had to be right vs wrong…. We might have weathered that, but I think ultimately a lot of us were recovering our humanity. But then you have a whole bunch of wounded people who are trying to lift each other up. And I could see that in this particular project, including myself and my wife—we definitely lacked the skill set to do that. Noelle suspects that being well funded could help such a project overcome this issue by allowing participants the security to work out their differences.

Given this experience and others, it seems that this elusive tribal experience is not something to be sought as a goal, but something experienced naturally when people come together without goals or expectations, simply in the enjoyment of being together. What about the Internet? Many people these days are spending increasing amounts of time and energy on the Internet in hopes of connecting to like-minded souls. The Continuum concept is about more than the sequence of human development.

Children, especially, need to experience the world holistically through their senses - the real world with all their senses, not just a pared-down, wired-up virtual semblance with no taste or touch or smell.

And believe it or not, we adults need this too. Seeking Your Own Tribe. Cronin, Noelle and Pitman all offer excellent suggestions for developing the kind of comfort with ourselves and others that appears to be a prerequisite for a Continuum lifestyle. Reconnect with the natural world - even if you live in a city, just going for a walk and passing a tree is connecting and centering.

Spend a lot of time together. Choose options that lead to partnership rather than separation and control. Be open to relationships with people who are in different stages of parenthood or life, or whose habits or beliefs differ from yours. Above all, be open about the outcome.

Allow your tribe to grow organically, from the inside out. Forget about your goals and focus instead on just the experience of being, right here and right now, with those you happen to be with at the moment.

The destination is the journey itself. But what are we missing when we are behind screens? And how will this impact our children, our society, and eventually, our planet? Is our connection to nature disappearing down the digital rabbit hole?

Where We are Coming From. Seventy years ago, the first televisions became commercially available. The first desktop computers went on sale 30 years ago, and the first cell phones a mere 15 years ago. During their relatively short tenure these three technologies have changed the way we live.

Some of these changes are good. Television can now rapidly disseminate vital information. Computers turned that flow of information into a two-way street. Cell phones enable unprecedented connectivity with our fellow human beings. And the merging of cell phones and the internet has even allowed protest movements around the world to organize and thrive.

For many people, especially children, screens have become the de facto medium by which the greater world is experienced. A virtual world of digitally transmitted pictures, voices, and scenarios has become more real to this generation than the world of sun, water, air, and living organisms, including fellow humans. The average American child now spends over eight hours in front of a screen each day.

She emails, texts, and updates her status incessantly. He can name hundreds of corporate logos, but less than ten native plants. She aspires to have hundreds of online friends, most she may never meet in person. He masters complicated situations presented in game after game, but often avoids simple person-to-person conversation.

They are almost entirely out of contact with the world that, over millions of years of evolution, shaped human beings - the natural world. By most accounts, this generation will face multiple crises - environmental, economic and social. As we stand at a turning point in our relationship with earth, we find ourselves immersed in the gray area between the natural and virtual worlds.

Also on the panels were Cory Doctorow, an author, journalist, and Special Advisor at the Electronic Frontier Foundation, along with Brewster Kahle, who is the founder and Digital Librarian of the Internet Archive, which is the largest digital library in the world.

According to the Decentralised Web Summit website , the current state of the web is not private or censorship-free. The Project, which is still in the early days envisions a truly open web, compared to the current one, which is subject to government control. As the NYT article points out the world wide web is one of the means for accessing the internet. Because the web is not full decentralised, censorship means that access to some of these pages on the Internet can be blocked.

Berners-Lee is happy with all of the consequences. So on Tuesday, Mr. Berners-Lee gathered in San Francisco with other top computer scientists - including Brewster Kahle, head of the nonprofit Internet Archive and an internet activist - to discuss a new phase for the web.

Today, the World Wide Web has become a system that is often subject to control by governments and corporations. Countries like China can block certain web pages from their citizens, and cloud services like Amazon Web Services hold powerful sway.

So what might happen, the computer scientists posited, if they could harness newer technologies - like the software used for digital currencies, or the technology of peer-to-peer music sharing - to create a more decentralized web with more privacy, less government and corporate control, and a level of permanence and reliability?

The revelations by Edward J. Snowden that the web has been used by governments for spying and the realization that companies like Amazon, Facebook and Google have become gatekeepers to our digital lives have added to concerns. The dilating probes and plastic bougies are then passed over the guide wire. After the largest dilator is used, the dilator and guide wire are removed.

Esophageal dilation is performed after a definitive diagnosis has been established in patients exhibiting dysphagia. The goal in most cases is a lumenal diameter of mm which allows passage of solid food. A series of dilators may be passed over the guide wire to reach the goal of therapy. Follow-up EGD s will be considered medically reasonable and necessary for the following indications: EGD is generally contraindicated for patients with recent myocardial infarction. Guide Wire and Dilation The EGD family includes a code for insertion of guide wire followed by dilation over guide wire.

Insertion of guide wire code has been revised to describe passage of dilator s over a guide wire rather than dilation. Codes and dilation codes should not be reported with codes and , as these codes stent, ablation include dilation. Endoscopic ultrasound codes and have been revised to include examination of a surgically altered stomach where the jejunum is examined distal to the anastomosis.

Clarification language has been included to address the extent of performance of the EUS examination as distinguished from the extent of the endoscopic visualization. Pseudocyst Drainage In addition to transmural drainage of pseudocyst as described in the current code , EGD with transmural drainage of pseudocyst has been revised to specify that it includes endoscopic ultrasound, transmural drainage and placement of stent s to facilitate drainage, when performed.

Dilation Procedures Dilation procedure codes have been added, revised and deleted to better describe current practice. EGD code has been revised to specify transendoscopic balloon dilation of less than 30 mm in diameter. Code includes moderate sedation, as indicated by the moderate sedation symbol. Control of Bleeding The parentheticals for code , EGD with control of bleeding code have been revised. Code , submucosal injection, would also not be reported if injection was part of the control of bleeding procedure.

Balloon Dilation of Esophagus EGD code out of sequence has been established to report balloon dilation of 30 mm in diameter or larger. This dilation procedure includes fluoroscopic guidance, when used. Code includes removal of tumor s , polyp s or other lesion s by snare technique ; directed submucosal injection s ; and band ligation , so these services are not separately reportable when performed on the same lesion during the same session.

Biopsy performed on the same lesion as EMR is not separately reportable. This code includes endoscopic ultrasound EUS of the esophagus, stomach, and either the duodenum or a surgically-altered stomach where the jejunum is examined distal to the anastomosis. The new code includes pre- and post-dilation and guide wire passage when performed.

Separate reporting of pre- or post-dilation or guide wire passage when performing ablation of the same lesion during the same session would not be appropriate. Ablation procedures are reported without a reduced services modifier 52, even if all three components pre-dilation, post-dilation or guide wire passage are not performed during the same session. Code , EGD with placement of stent is reported without a reduced services modifier 52, even if all three components pre-dilation, post-dilation, and guide wire passage are not performed during the same session.

Separate reporting of pre-dilation, post-dilation or guide wire passage of the same lesion during the same session would not be appropriate. Is there a difference regarding the use of modifiers 52 and 53 with regards to upper and lower endoscopic procedures?

To report esophagogastroscopy where the duodenum is deliberately not examined e. EGD is performed and a tube is placed into the stomach. The duodenum is not examined and there is no plan to perform repeat EGD to examine the duodenum. Report procedure with modifier EGD is performed for evaluation of GI bleeding; the stomach is full of blood and the duodenum is not examined.

Plan to control bleeding, lavage stomach and repeat upper endoscopy. Limitations Colonoscopy is generally not covered for treating the following: Coverage Limitations for EGD s Distress that is chronic, non-progressive, atypical for known organic disease and is considered functional in origin there are occasional exceptions in which an endoscopic examination may be done once to rule out organic disease, especially if symptoms are unresponsive to therapy.

Uncomplicated heartburn responding to medical therapy. Metastatic adenocarcinoma of unknown primary site when the results will not alter management. Asymptomatic or uncomplicated sliding hiatus hernia. Uncomplicated duodenal bulb ulcer that has responded to therapy. Deformed duodenal bulb when symptoms are absent or respond adequately to ulcer therapy.

Routine screening of the upper gastrointestinal tract, without current gastrointestinal symptoms, about to undergo elective surgery for non-upper gastrointestinal disease. When lower GI endoscopy reveals the cause of symptoms, abnormal signs or laboratory tests e.

Exceptions can be considered if medical necessity for this procedure can be demonstrated. GI Procedures Frequently Miscoded When a GI procedure has to be stopped or is not completed because of problems with the scope, irregular patient anatomy, encountering a tumor, or a poor prep, the ASC should append either a Reduced Procedure or the Discontinued Procedure Modifier to the CPT code for the procedure that was terminated.

The choice of modifier would depend on the preference of the payor to whom the claim is being submitted. For either a Colonoscopy or EGD, if the one lesion is biopsied, and a separate lesion is removed during the same case, code both the biopsy of the lesion and the removal of the separate lesion — as long as the lesions are at least one cm. Append a —59 Modifier to the biopsy procedure, if it is Unbundled from the excision procedure. If an EGD is performed with a biopsy, and then the physician performs an Esophageal Dilation using the scope instrument itself, only the EGD with Biopsy code is billable.

If no Biopsy is performed and the only procedure performed is an Esophageal Dilation using the scope instrument itself, only the Diagnostic EGD code is billable.

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