Apa works cited from medical chart

Is it in our interest to renegotiate the merger agreement?

2024.05.17 01:55 _ficklelilpickle Is it in our interest to renegotiate the merger agreement?

Now that I've got your attention :)
I was having a "waiting for a meeting" moment at work and found myself looking over the merger agreement from way back when. In particular I was looking at the details surrounding the Victorian games, which is a point of contention for our VIC supporter base each year when the next season's fixture is released and surprise surprise we don't have enough games there.
I find the wording is very specific, and that raises my interest:
https://viclions.wordpress.com/news/the-deed/#:~:text=MERGER%20ARRANGEMENTS&text=b)%20on%20or%20before%20the,)%20and%204.2%20(d).
h) The Merged Club will play one half of the total number of home and away games per season at the Gabba and as many Melbourne based away premiership games as possible will be played at Optus Oval or the Melbourne Cricket Ground (but not less than 6) with any other away premiership games at any of Waverley, Optus Oval or the Melbourne Cricket Ground at which Melbourne based members of the Merged Club will have home ground status (in respect of which Brisbane Bears will make a contribution to gate receipts of an amount determined by AFL); and
i) Fitzroy’s coterie groups will have the right to take up commensurate arrangements in the Merged Club including the designated away games played in Melbourne.
The thing I find interesting is the intentional naming of the grounds. OO (or Ikon now) and Waverley are not used for men's AFL premiership games anymore, so if these grounds are not fit for purpose are they considered removed from the agreement terms? Thus, by remaining detail the only ground that we should be playing at in Victoria is the MCG - no less than 6 times a year???
Or, if the AFL is looking at this and going "nuh-uh, we're including Docklands, GMHBA and for some reason also Tasmania" without actually amending the agreement with us, that surely contradicts the purpose of even having a merger agreement in the first place? Sure it happened in 1996 and it's been a bit of time since then, however there have been agreements and constitutional clauses cited from other clubs over the years that are still upheld - Collingwood's issue with Port's prison bars, anyone? Essendon's red sash and clash strips?
We don't just have some guidelines or a framework that the AFL internally rubber stamped and stuffed in a drawer. It also includes this:
12.1 Governing Law
This Deed is governed by the law in force in Victoria.
12.2 Submission to Jurisdiction
The parties submit to the non-exclusive jurisdiction of the courts of Victoria and any courts which may hear appeals from those courts in respect of any proceedings in connection with this Deed.
I feel like the club should be looking to formally resolve this with the AFL rather than just letting it slide year after year, especially since even this year we are only playing at the MCG twice during the entire 22 game H&A season. We surely deserve a bit better than this.
submitted by _ficklelilpickle to brisbanelions [link] [comments]


2024.05.17 01:52 thebrushup County Confirms Employee Tore Down Candidate's Sign

County Confirms Employee Tore Down Candidate's Sign
After her sign was torn down by a Washoe County employee from a private property in Sparks, Ward 1 City Council candidate Christine Garvey put up a new one and stood proudly in front of it, while the County wrote back to Our Town Reno about the matter.
Garvey said the homeowner on which both the previous torn up sign and new one were displayed is in her 70s and “was just trying to support someone she felt would look out for seniors and her community.”
Earlier today, Garvey emailed county officials and bcced Our Town Reno writing in part:
“I am contacting you concerning an issue that occurred Tuesday, May 14th, 2024, at the Sparks Senior Center located on Richards Way in Sparks.
A Washoe County employee, Jacquelyn King, ripped down and destroyed my campaign sign that was attached to and located on the private property directly to the East of the Senior Center.
This employee was on the clock as a county employee when she did this.
When I introduced myself and asked Ms. King if she knew anything about the missing sign that had been placed an hour earlier, she told me she knew who I was and yes, she did know what happened to my sign.
She went on to tell me, quite proudly that she’s the one that cut down my sign because it was "propaganda.”
She also told me several times during our conversation that she has been repeatedly told by her supervisors, county employees, to remove any "propaganda" from the senior center. However, my sign was not even located on county property.”
The message concluded with Garvey, who barely lost the 2022 Sparks mayoral race against Ed Lawson, saying she was seeking “payment for my destroyed sign, an apology and immediate action to remedy this behavior by a county employee utilizing all applicable county codes, policies and state law. “
While seeking comment from the county, we also asked if the person cited in Garvey’s complaint was indeed a county employee.
Candee Ramos wrote back to Our Town Reno today indicating: “Washoe County has begun an investigation into this incident. The County is working on reimbursement for the property owner, as well as an apology. The employee was acting of her own accord, with County leadership never having given instructions to remove signs to any employee. Any disciplinary action for the employee is considered a confidential personnel matter.”
Ramos did not name the employee in her own message but wrote “I can confirm that the individual is indeed a Washoe County employee.”
Ramos also said the county had provided a reminder of its Employee Political Activity Guidelines on its intranet page in March.
This indicates in part “the employees should not:
  1. Solicit contributions for any political purpose from other employees or from any individual on an employment eligibility list; Engage in political activity during normal work hours (including displaying or wearing political materials);
  2. Engage in political activity for the purpose of securing a promotion, transfer or salary increase;
  3. While off duty, engage in political activity that impairs the employee's attendance and efficiency as an employee; or,
  4. Engage in any political activities at any time that are forbidden by federal law when that employee is in a department administering federally aided programs.”
The guidelines urge employees to “use good judgment and remember to always be respectful and mindful of the fact that there are many different views and perspectives, and it's best not to distract others with individual opinions.”

Our Town Reno reporting, May 2024

https://preview.redd.it/6877mxgclv0d1.jpg?width=3264&format=pjpg&auto=webp&s=fcc3a789380e521f29a5357f26e1accb292f79a5
submitted by thebrushup to ourtownreno [link] [comments]


2024.05.17 01:51 pegasusrides Bad credit; good job; no ability to make down payment; what are my options?

Hi!
After years of working low paying service jobs, I took a leap of faith and moved to a new city for my first real, 9 to 5 job. I make around $3350 after tax and pay $1350 in rent (HCOL). My only problem is that my job is located in a place that is completely inaccessible to public transit (and isn't really in a residential area either) so I'm paying $15 each way taking an Uber to work.
As this is a professional environment, getting rides from coworkers is not a sustainable option and would not reflect well on me at work.
After paying security deposit and first month's rent, I have no savings, but I do have reliable income for the first time ever. My credit score is tanked, high 500s, due to CC chargeoffs and medical debt. But I'm looking at the prospect of shelling out $600-900 a month on Ubers, and this is going to cause a chain reaction where I can't save enough money to get a car. My life is severely limited because the town I live in is very hard to get around without a car.
What are my options as far as getting a car? I can't buy a cheap used car from a private seller in cash because I don't have $3k saved up. Will used car lots finance to me with no down payment, given my income? Credit unions? Any advice would be appreciated
submitted by pegasusrides to askcarsales [link] [comments]


2024.05.17 01:51 No_Potato1441 What do i do.

So im a graduade student and i missed a major project for one of my courses.
The reason is that i have had stomach pains for over a year now. But despite multiple visits to the doctor and tests, nothing was diagnosed. I was just told that it doesn’t seem like a major problem, just minor constipation and digestion issues. I was told to focus on the basics like sleeping on time and getting enough sleep, exercise, drinking lots of water and stuff like that. So i just tried doing and also took some prescibed medications mainly that but nothing improved.
Until This semester,the pain was rather mild and i had no other major issues. But recently, about halfway through this semester, my symptoms have been getting worse. Apart from stomach pain, i feel tired, have problems sleeping sometimes, have problems concentrating, get exhausted much faster while doing physical activities or playing sports than i used to( i used to be extremely athletic), low appetite for eating
Due to this, i could not focus on my courses.
I assumed that i am just not being productive, and have a bad day to day routine. I thought i will get it together and get the work done. But nothing has worked.
Unfortunately, i didn’t talk to my professors about this until now either. I didn’t think i will miss the project, and thought i will cover it up.
What are my options now? Should i ask for an extension or for an incomplete grade? How does that work? Do i need to submit health report as proof because i don’t have once that’s recent.
Other than that, i will definitely get a health checkup as well.
submitted by No_Potato1441 to UMD [link] [comments]


2024.05.17 01:50 KabobsterLobster I can't get my work injury (neurological issues from L5/S1 herniation and tear) treated

I'm currently dealing with a complete nightmare where I had sudden onset paresthesia (or probably radiculopathy) after a car accident at work. My neck and head were the only things listed on the workers comp form even though I had been having trouble standing up and my entire back hurt the first time I went to the ER. I was told that having back pain is part of having a sprained neck. I probably should have pushed it but I was recovering from a concussion and seriously out of it. Fortunately I have since been able to get PT for my neck but I ended up going to the ER because of the obvious neurological problems and they did a full MRI which showed a few bulges, a protrusion, and most excitingly a central/left paracentral disc herniation at L5/S1 with a focal annular tear causing lateral recess stenosis and impinging left S1.
I'm basically in like medical purgatory where my pcp says it's from the car accident and won't treat it but the occupational medicine doctor alternates between trying to gaslight me into thinking I have ankylosing spodylitis, lying about treatment options, and telling me it's a coincidence. She keeps claiming I had a preexisting condition. There's pretty much no way my back was immaculate before this, but whatever "pathologies" I had before were clearly exacerbated to the point that they're symptomatic now. She's finally switched to saying she can treat it with permission from the adjuster, but she's also saying it's impossible to determine if it was the car accident because I don't have an MRI from before, so the adjuster needs to say it's related and approve treatment. The primary reason for the lack of prior MRI is that I had no back problems before this and they usually don't give out full spine MRIs for fun. I'm pretty sure this also means there's no way to prove it was a coincidence, because I have no previous MRI showing that I had the same degenerate changes before I was in a car accident with a ton of force on my lower back.
Since then (car accident was over a month ago, first ER visit almost a month, second ER visit 2-3 weeks) I've continued having pins and needles and have started to notice that my left big toe droops when I'm at rest. It's getting harder to raise it, and when I walk it just kind of digs into the bottom of my shoe and I've started to get a blister, though tbh I can't really feel it. My foot also kind of flexes down and curls up when I dorsiflex my ankle, and then it's a second movement to extend all my toes unless I'm really focusing.
It's a pretty screwed up situation and I'd really appreciate any support. Not that I'm asking for advice. I'm just having a really hard time coping and I'm sure people here have been through something similar. I've purchased a copy of Treat Your Own Back and I've started using KT tape to make it harder for my toe and ankle to drop down, since my foot does sometimes slap on the floor if I'm tired. Planning on adding some kind of padding under my big toe too for when I'm walking any distance. I guess I'll wait until my foot is completely paralyzed before going to the ER. Not that I'm saying that's going to happen, but being denied treatment while things gradually get worse isn't a great sign. I keep telling myself it might heal on its own and even if it doesn't it takes a while for damage from a pinched nerve to become permanent.
submitted by KabobsterLobster to backpain [link] [comments]


2024.05.17 01:50 livvvjh Walks, Talks, and Acts like PCOS. Is it?

Dutch Test
Female 27 aprox 125lbs 5'2, Medications: 15mg adderall, 1.5mg naltrexone (for pain), conditions: Ehlers-Danlos hypermobility type, PCOS, POTs, and Craniocervical Instability
I have been struggling with my PCOS for the past 3 years. My PCOS symptoms include polycystic ovaries, hair loss, Acne (face and body), weight gain, a little more than normal body hair, rapid body hair growth, brain fog, fatigue, and severe depression. Might be worth it to mention that I had none of these symptoms, apart from depression, before 3 years ago, I never even got a single zit before the age of 21. I had a progesterone IUD from 20-25 if that helps. I have been treated with Spironolactone in the past. It was honestly life changing. My depression vanished, I lost 30lbs in 2 months, and all of my symptoms either went away or got significantly better. Only down side was that I was constantly bleeding on Spironolactone, nothing too major but I need a panty liner everyday.
After 3 months on 100mg of Spironolactone, I noticed my fatigue started coming back and my mood started getting a little worse. My dose was increased to 200mg and immediately felt better.
Another 3 months and the same thing started. They tested my free testosterone and it had literally doubled while taking it.
Cut to January of this year, my doctor wants to discontinue the Spironolactone because of the chronic bleeding. She wants to use this opportunity to get a clearer picture of my hormones and their metabolites. So I wait an excruciating 4 months and take the Dutch hormone test. I am a little confused by my results.
My 5a-Reductase Activity is pretty low, but all research I've looked into shows that it is usually high in PCOS patients. My DHEA-S is actually on the low end and my testosterone is high. I'm having trouble interpreting these results. I'm wondering if this is an expected result for someone with PCOS and hyperandrogenism. Should I be asking my doctors to look into anything else? Does anything here explain why my Spironolactone would stop working/not lower my testosterone? Dutch Test
submitted by livvvjh to AskDocs [link] [comments]


2024.05.17 01:49 Carmageddon1984 Open Source OLAP Solution with Cube-like dynamics as SSAS has?

We are looking for technology to replace current BI system based partially on SSAS.
Where you can create measures, for example, a section of the auto generated SSAS Cube would have:
{ "name": "3223_27527_ Vendor Name", "expression": "DISTINCTCOUNT('Form_3223_ Market Vendor Attendance'[23503_ Vendor Name])" }, 
Then, if the end user then uses this in dashboard that supports SSAS (eg: BoldBI, PowerBI) in a chart that displays a number, it would show a single numeric results of a query equivalent to:
SELECT COUNT(DISTINCT `23503_ Vendor Name``) AS DistinctVendorCount FROM `Form_3223_ Market Vendor Attendance`; 
However, and here is something really cool about what SSAS does, that I have not found any other solution in the market to provide the same functionality:
If the user now goes, and creates a Bar Chart, drags the SAME measure expression defined above, BUT also drags a filter, say Vendor Type column - the bar automatically populates! By reverse engineering, the matching SQL query is:
SELECT `23505_ Vendor Type` AS VendorType, COUNT(DISTINCT `23503_ Vendor Name``) AS VendorCount FROM `Form_3223_ Market Vendor Attendance` GROUP BY `23505_ Vendor Type`; 
This gives the same data needed for a bar chart!
I cant programmatically create varying views like that, when the user does not know how he want to slice the data until actually working on it, because I only have one data point without the filter.
Adding the filter in advance is not practical for the business needs, and playing around with changing it in one part of the platform, then going back into dashboard to see the effects of the newly generated View, is also not great UX experience.
For business reasons, there is a constraint forcing the use of this model, relying on user defining partial things like I've explained, and only later slicing into dimensions.
However SSAS has to go its just too slow (and expensive).
The only alternative I've found, is Apache Kylin, but it seem to be old, Java based, not well maintained, lacks community support - I've spent hours trying to set it up using:
  1. Docker (no arm image), and even using amd64 on Mac, it just gets stuck on some components.
  2. Direct install using the tar file - ${KYLIN_HOME}/bin/kylin.sh start just hangs there, no log file is created I can't tell what's going on with it.
This and lack of documentation in various aspects, makes me feel its not something we can base a new solution on.
But I have not found any other solution that'd provide the above described functionality.
Any advice, please?
submitted by Carmageddon1984 to BusinessIntelligence [link] [comments]


2024.05.17 01:49 MistressFluffaluff CPS advice

Hello! I thought maybe I might get a little bit of advice here! So I have a 12 year old who is enrolled in an online school in Indiana. We have had trouble all year with her getting online and doing her school work. I know that I'm at fault here too. We had a meeting with the Consolers and teachers and they assured me that if she improved and went to all her classes that they wouldn't contact CPS. Well they did and a couple weeks later I had a lady at my door. I've never had this happen to me. I'm not on drugs, I have a car, house and job. She talked to me and my daughter outside and I signed a few papers. I was scarred so I can't remember all of them but one was a medical release. She asked if we could set up a time for her to come into my home. I honestly don't want that. I feel like it's unnecessary for what we're in trouble for. I just don't trust them. My questions are so I have to let them in my home at all? Should I get a lawyer?
I forgot to mention her grades have not been good at all. It's been a rough year on her like I had told the CPS worker. Nothing against her she was polite. I was taken away from my mom when I was 7 and moved in with my grandma. It was tramatic. I also have a 4 year old and I dont have anything to hide and my house is in fair condition and clean. Im just worried that something silly will get used against me and I'll lose my children.
submitted by MistressFluffaluff to legaladvice [link] [comments]


2024.05.17 01:46 First-Emergency-6096 Need advice as a newcomer to the field!

Hello everyone,
I hope you're all doing well.
I apologize if my questions seem a bit naive—I've recently decided to pursue a PhD in psychology because I'm interested in providing therapy, but I also want the flexibility to transition into academia or other sectors within psychology. Also crossposting to academic psychology.
Here's some background about me: I graduated from a T5 school with a degree in neuroscience. During my undergraduate years, I aspired to become a psychiatrist and even took the MCAT, achieving decent results. However, I've come to realize that psychiatry primarily involves medication management, and I'm not particularly fond of the hard sciences, which comprise most of the medical school curriculum. Additionally, I'm not drawn to other medical specialties. This summer, while working as a behavioral tech, I discovered my passion for therapy and decided to pursue a career in the psychological field.
As someone new to this field, I have a few questions:
Will having a neuroscience major make me a less competitive applicant compared to psychology majors?
What type of degree should I pursue if my primary interest is providing therapy? I also have some interest in neuropsychology, but I'm undecided. I know a Psy.D. is probably the answer, but I've heard that psychologists with a PhD in counseling psychology or clinical psychology can also provide therapy. Does having a PhD grant more flexibility if I decide to transition to academia, consulting, or other sectors? Which PhD offers the most versatility?
Will my lack of research experience in psychology affect my application? I've spent two summers studying Parkinson's disease and am a first author on one paper. Is that sufficient for grad school?
Is taking the GRE necessary now? After the MCAT, I'm confident in my test-taking abilities, but I'm hesitant to study again due to burnout and the additional expense. I've noticed that most schools don't even require it in 2024.
Thank you, and I appreciate your insights. I apologize again if these questions seem amateurish. Looking forward to hearing from you all!
submitted by First-Emergency-6096 to psychologystudents [link] [comments]


2024.05.17 01:41 Particular-Welcome-1 Porn shapes misogynistic attitudes

I was looking into the BBC article from the sidebar:
Men's sexist attitudes 'shaped by first exposure to pornography'
https://www.bbc.co.uk/news/health-40814082.amp
This was strange to read:
The unpublished findings were presented at a convention in Washington.
They don't provide a citation, so I did some digging. Here's another one:
Age of First Exposure to Pornography Shapes Men's Attitudes Toward Women
https://www.apa.org/news/press/releases/2017/08/pornography-exposure
This one does provide a citation, which is:
Bischmann, A., Richardson, C., Diener, J., Gullickson, M., Davidson, M., & Gervais, S. (2017, August). Age and experience of first exposure to pornography, relations to masculine norms. In Poster presented at the annual American Psychological Association convention.
Which is just a poster. So, did they ever publish and get it reviewed?
First author doesn't have profiles setup in the normal places, but some mentions on ResearchGate:
https://www.researchgate.net/scientific-contributions/Alyssa-A-Bischmann-2057559619
Checking into their alma mater, they have a CV:
https://canvas.unl.edu/files/4085287/download?download_frd=1
Checking their dissertation, it looks like it was finished, and so she must have gotten her PHD:
Stigmatized Virginity and Masculinity: Exploring in Non-virgin Cisgender Heterosexual Men
https://digitalcommons.unl.edu/dissertations/AAI28025219/
But that's under a "Alyssa A Zajdel", so maybe she got married? Or changed her name?
Checking for "Alyssa A Zajdel", we find:
Alyssa Zajdel
https://www.psychologytoday.com/us/therapists/alyssa-zajdel-milwaukee-wi/1018211
And they work as a counseling psychologist:
https://www.insideedgecounseling.com/
Specializing in:
" ... a sport psychologist who specializes in managing anxiety, reaching peak performance, and improving confidence."
And so did they ever publish?
No, it doesn't look like it. =/
https://scholar.google.com/scholar?hl=en&as_sdt=0%2C5&q=AA+Zajdel&btnG=
A pity, they did some interesting work when they were mentioned in that article and other articles around that time.
submitted by Particular-Welcome-1 to PornIsMisogyny [link] [comments]


2024.05.17 01:39 Chubbity Does it get better?

Everybody says that it gets better. Maybe that works for other people, but it doesn't work for me. I've struggled with severe depression and suicidal thoughts for seven years now. Every time I hope it will get better, it just gets worse. How long can I hold onto this delusional hope that things will get better for me someday? I've tried therapy, I've tried medication, I've tried getting help from those around me., but nothing really worked. The hope is what keeps me from taking my own life, but each day I lose more and more hope, and it's terrifying to think that one day that hope will run dry and I will take my own life.
submitted by Chubbity to SuicideWatch [link] [comments]


2024.05.17 01:38 RandallC1212 ONEderland

ONEderland
Well This is a different kind of Onederland story
I started my Zep journey January 1st this year. Prior to Covid I religiously walked thousands of steps per day to keep in shape.
During Covid lockdowns and work from home, I became completely sedentary gaining 60 pounds ballooning to over 325 lbs.
At the end of last year, I could not recognize myself and had enough.
I contacted my doctor and began my Zep journey on January 1.
The first few weeks were very slow but really started picking up as I added steps to my exercise routine in mid Jan. I downloaded a step app to track steps to keep myself accountable.
I struggled to consistently maintain 2000 steps per day for the first few weeks, which was in my eyes pretty pathetic. But I stuck with it.
The medication really helped me by allowing me to see weight loss results of 1-2 lbs per week which fueled me to exercise more and more.
Over the course of the next several weeks I increased steps to 5000 and then by mid February I finally hit 10,000 steps per day., something I couldn’t have imagined doing just two months before.
After that, I committed myself to 10,000 steps per day using the tracking app’s consecutive days log as motivation.
Fast-forward three months and I’m now well over ONE MILLION steps since I started tracking which still blows my mind.
If you would’ve told me that at the end of last year, I wouldn’t believe you.
I’ve lost 45 lbs, clothes I haven’t worn since before Covid slide on effortlessly. I’m getting compliments at work and at home. And my life has completely changed.
The medication is an essential ool for me to maintain a healthy lifestyle so I can live my life to the fullest.
For those just starting stick with it, it’s worth it. For all those on this sub who have shared their stories, their pictures, their struggles, their tips to keep me going I sincerely thank you. ❤️
I still have a way to go to my goal weight (another 30 lbs) but I can start to see the light at the end of the tunnel.
submitted by RandallC1212 to Zepbound [link] [comments]


2024.05.17 01:36 mcm8279 [Opinion] SCREENRANT: "When Star Trek: Discovery Ends, I'll Miss Tig Notaro's Jett Reno The Most" "Discovery ep. 5x7 revealed more about Reno's past, which apparently includes working as a bartender, a shuttle pilot, and a smuggler, among others"

"Jett Reno shines with sarcasm and humor in Star Trek: Discovery, making her a standout character despite limited screen time. Reno's colorful past includes smuggling and survival, adding layers to her character and making her even more intriguing. With the possibility of appearing in future Trek projects, Reno's memorable presence may continue to delight fans."
Rachel Hulshult (ScreenRant)
Link:
https://screenrant.com/star-trek-discovery-tig-notaro-jett-reno-great-characte
Quotes/Excerpts:
"Introduced in Star Trek: Discovery season 2 premiere, Reno joined the crew of the USS Discovery after she was rescued from the wreck of the medical frigate, the USS Hiawatha. Since then, Reno has served in engineering, helping Commander Paul Stamets (Anthony Rapp) keep the Crossfield Class starship up and running.
Star Trek: Discovery season 5, episode 7, "Erigah" revealed more about Reno's past, which apparently includes working as a bartender, a shuttle pilot, and a smuggler, among others. While Lt. Sylvia Tilly (Mary Wiseman) and Ensign Adira Tal (Blu del Barrio) work to decipher the final Progenitors' clue, they seek information from Reno. Always busy working on the ship, Reno walks and talks, revealing pieces of her fascinating history. [...]
Comedian and actor Tig Notaro has imbued Reno with so much personality, that she makes a big impression with a small amount of screen time. [...]
Despite the trauma Reno has experienced, including losing her Soyousian wife during the Klingon War, she remains a breath of fresh air among the crew. Her no-nonsense attitude and ability to take every situation in stride make Jett an invaluable addition to the USS Discovery, and she's helped save the ship on multiple occasions. In some ways, Reno's sense of humor feels like a callback to Star Trek: The Original Series and Dr. Leonard McCoy's (DeForest Kelley) lovable irascibility. Although Reno only pops up a few episodes per Star Trek: Discovery season, her commentary and interactions with the other characters are often the highlight of the episode.
As revealed in Star Trek: Discovery's "Erigah," Commander Reno worked several different jobs before joining Starfleet. As Tilly and Adira search for answers about the last of the Progenitors' five clues, they learn Reno used to work with rare manuscripts. When they ask Jett about it, she replies that she "may have padded [her] résumé with that one." In reality, Reno smuggled old manuscripts. At Tilly's surprise, Reno lists off numerous "odd jobs" she had before Starfleet, including: "VIP shuttle pilot, deep mercury welder, [and] bartender at a cozy little dive on Ashalon Four."
This history fits Jett Reno perfectly, and she has added even more fantastical experiences to her life's story since joining the USS Discovery. Not only has she survived a starship crash and been stranded for nearly a year, but she has also traveled 930 years into the future. In Star Trek:Discovery season 4, Reno was abducted by Dr. Ruon Tarka (Shawn Doyle) when she caught him sabotaging Discovery. Reno helped convince Cleveland Booker (David Ajala) that he had chosen the wrong side, and escaped Tarka's force field prison using black licorice and a spare communicator chip.
With the upcoming Star Trek: Discovery spin-off, Star Trek: Starfleet Academy, the possibility remains open for Commander Reno or any other Discovery character to appear in the new series. While Reno doesn't seem a likely candidate for teaching Starfleet cadets, she would make a hilariously perfect guest lecturer. Considering this is Star Trek, there is also the possibility that time travel or some other science fiction solution could send Reno to one of the other ongoing Trek series. (If Ensigns Brad Boimler (Jack Quaid) and Beckett Mariner (Tawny Newsome) can cross over from Star Trek: Lower Decks to the live-action Star Trek: Strange New Worlds, then anything is possible.)
[...]
Whether or not Jett Reno appears in any future Star Trek projects, she remains one of Star Trek: Discovery's most memorable characters."
Rachel Hulshult (ScreenRant)
Link:
https://screenrant.com/star-trek-discovery-tig-notaro-jett-reno-great-characte
submitted by mcm8279 to trektalk [link] [comments]


2024.05.17 01:34 First-Emergency-6096 Need advice on graduate school and other questions as a newcomer to the field

Hi everyone,
I hope you're all doing well!
I apologize if my questions seem a bit naive—I've recently decided to pursue a PhD or Psy.D in psychology because I'm interested in providing therapy, but I also want the flexibility to transition into academia or other sectors within psychology.
Here's some background about me: I graduated from a T5 school with a degree in neuroscience. During my undergraduate years, I aspired to become a psychiatrist and even took the MCAT, achieving decent results. However, I've come to realize that psychiatry primarily involves medication management, and I'm not particularly fond of the hard sciences, which comprise most of the medical school curriculum. Additionally, I'm not drawn to other medical specialties. This summer, while working as a behavioral tech, I discovered my passion for therapy and decided to pursue a career in the psychological field.
As someone new to this field, I have a few questions:
Thank you, and I appreciate your insights. I apologize again if these questions seem amateurish. Looking forward to hearing from you all!
submitted by First-Emergency-6096 to AcademicPsychology [link] [comments]


2024.05.17 01:31 over-it1710 [MN] Self employed, burated by client and resigned

Could I have handled this differently?
I am a 29 female, mainly working for myself and with a family member from time to time. I have a couple of activities in the evenings that I do for myself after my work day. A friend from one of my activities passed away on May 8th, 2024. I take care of animals (horses, dogs and cats are my main clients), I watch after and take care of these animals while their owners are away, elderly or when a family emergency happens, I do my best to be there for them and their animals.
I'll try to pack as much detail as I can but keep it fairly short. I've been doing this kind of work for about 3 years all together. One of the people I have worked with is moving on in years has some mental handicapps and an aging dog. The owner, (I'll call her M) has a small breed dog 12yrs old. I have helped them since I started working in this field. I started out walking the dog a couple times a week every couple of months. And about 18months ago M had surgery on their eyes and I began feeding and walking the dog. Part of this dynamic is that every few months they have a bad go of things and I get the burnt of frustration, hurt (emotional and mental) along with the degree of their physical pain verbally thrown at me. I have my own mental challenges mainly anxiety, ADD/ADHD, and depression (treatment is a work in progress for myself). After each of these "episodes" I feel tremendous dread, anxiety, hesitation, and a great level of doubt mixed in with a fragile state of confidence. But each time about 5 to date I have attempted to work through them, things even out then another episode. Important additional information: been feeding the dog since the start of the year when M had a medical emergency. (2x daily, with short walks weekends included)
This last one, I had a flexible schedule for the day (Saturday) and M has always had a window of time for me to be there in. Was with another client dog on a longer walk and thought I had committed with M that my timing for the day may be a bit different than what we normally planned. I get done with the walk to see I didn't actually send the message. I communicated then that I was on my way. From one client to the other is about 40 minutes with good traffic. I got to M's house an hour after when I would normally be there. I enter and see M struggling to prepare dinner for the dog. I ask if M would like me to take over along with the first of 4 apologies. I did, then walked the dog as usual. Was asked by M to come talk, so I sat with them. Where I was burated/scolded for my conduct for 10 minutes, then went to bring up my over all character and ethics. Some things that M said are as follows " I don't pretend to know your ethics and how to tend to run your business, but I am disappointed and feel violated by your conduct" and " I don't care about my comfort but when my dog becomes uncomfortable and is verbally expressing their need to go out I can't condone it" and i quote "I am fragile and not mentally able and to feel taken advantage of, is unacceptable". M continues on in the same tone. Spaced in between these comments I apologize, owning the fact that "I should have called or confirmed that my message went through. That I can only aim to be better, learn from this situation and that sometimes us humans make mistakes but all we can do is learn and move forward". M then states " I am unsure if I feel comfortable with continuing with you or finding someone else would be better. I don't have many friends that are able to help me and I have come to depend on you. I am dying and need more consistency in my life." I responded "I am sorry to have you feeling this way, but you need to do what you need to for yourself and your companion. I feel that given your tone and phrasing that you have made your decision and I will respect it and no longer have you as a client. With this said I need to leave for my next meeting." I received a message from M the following day asking me "If I could come gather a sample for their upcoming vet appointment. That they are sorry for being harsh and disrespectful. That they have no one else to help and that they hope we can possibly talk about continuing on with me providing care for their dog." I responded "that I no longer feel comfortable with being a provider for their dog, that I don't feel safe in the environment. However if she needs the assistance that I will be there for the dog, they have done nothing wrong. But I will administer care and be promptly leaving." M respected my response, but the day of my being there asks about "the usual walk and feed on Saturday this week." I responded with " I will get back to you, I have another meeting in 40 minutes."
My family says that I made a situation worse, that I was unprofessional and that M's mental health was negatively impacted.. I'm not saying that they are wrong about the mental health part.. but where does my happiness, mental health, and overall well-being come into consideration?
Was I unprofessional and at my wits end or did I protect myself? Could I have handled this better?
submitted by over-it1710 to AskHR [link] [comments]


2024.05.17 01:30 Embarrassed_Soft_330 Constant salty taste in mouth for over a month

33M, 5’11, 200 pounds, white, United States
Current medication: Multivitamin, fish oil, Zyrtec, eating a lot of kimchi, kombucha, yogurt for probiotics
I’ve had a persistent salty taste in my mouth for over a month. It started after I completely 2 rounds of antibiotics and PPIs to get rid of hpylori. Never had any stomach issues in my life so hpylori was really scary. Luckily I got rid of it and confirmed that via breath test at my GI. My only lingering symptom is this salty taste in my mouth which he didn’t seem concerned with, he said I could take a PPI but would just wait it out. I wanted an endoscopy just to be safe but he said that wouldn’t be needed. I did have oral thrush after hpylori which I got rid of with medicine too. My doctor said the salty taste could be a change in diet or allergies or maybe anxiety since I have been quite anxious lately, this taste in my mouth isn’t helping.
It’s becoming very annoying, I had some post nasal drip from allergies but I’m on allergy medicine and it’s still there. I don’t have acid reflux symptoms that I can tell but tried tums and Pepcid and that didn’t work either. Tried elevating my head at night too.
I eat very clean, workout and drink plenty of water
Wondering if anyone has thoughts on what else it could be or have seen this in the past? Thank you!
submitted by Embarrassed_Soft_330 to DiagnoseMe [link] [comments]


2024.05.17 01:28 sea_screen6314 Are there valid reasons to divorce my husband?

29f and 30m
We met online in 2016. I wasn't ready to date so I thought an online friendship was the best option for me. After several years of dating off and on, we finally agreed to meet in person in 2021 and decided to get married in 2022. The "wedding" (we just went down to the courthouse) was a bit rushed. His work visa was due to expire 3 months later so we decided that if we were going to marry anyways somewhere down the road, then we should do it then to save costs on immigration papers cost etc.
I thought he was genuinely marrying me for me. Now, I'm having doubts that he may have done this for citizenship. A few weeks ago, he begged me to complete immigration papers for his family. I was reluctant but proceeded anyways by completing the papers on his cousins behalf as she would technically be the "supporter" of them. A week later, my husband asked if they could live with us while the papers process. I said yes but only 1 to 2 weeks or a month at most. He said his family declined that offer and wanted to stay longer.
Aside from the immigration issues, I find myself almost at contempt with my husband. I love him dearly but I don't think we are compatible.
He wants sex 3-4 times a week and I can only do 1-2 times a week. I have a mood disorder that I take medications for and it affects my natural libido. I've talked to my prescriber and we have tried to troubleshoot the issue, but still no luck as of yet.
He is also less assertive and doesn't have a go-getter mindset. Before we married, he was living in his country w/o a drivers license or car and lived at home with his parents to make ends meet. I thought it was odd that his friends all had cars or motor bikes and asked him to take it up a notch with his ambition and drive if he was serious about it. It worked for a while. However, moving forward to 2024, he still doesn't have a lot of drive. When he was looking for a job, I stepped in to do all the job applications for him bc he took on a defeatist attitude and didn't see the point in doing the work just to not get a call back. Fast forward, he now has a job but we are having other issues.
In social situations, he does not say much and doesn't show basic emotional intelligence and enthusiasm to be around my friends and family. He also walks super slow behind me when we go places which makes me feel like he's embarrassed to be with me since I am a heavier set female.
Overall, I am just starting to feel like he isn't the guy I thought he would be and I should have met up with him more in his country or elsewhere prior to marrying him. Are these concerns enough for a divorce ????
Also, we have a second session of marriage counseling scheduled next week and I also go to individual therapy, but my therapist cancelled on me this week so I've been posting here like crazy trying to get feedback, advice, etc.
submitted by sea_screen6314 to Divorce [link] [comments]


2024.05.17 01:27 mad_infinitum My dose is too low

So, this might be a dumb question and I’m only afraid to ask my doctor due to past negative experiences with doctors, but… I got off of meds about 2 years ago. I got married and started obsessing over fertility, took a break from work, and decided meds weren’t the most fertility-friendly thing and I’d be okay without them if I wasn’t working.
Fast forward and this baby thing is probably going to take some medical intervention, I went back to an executive level position and realized being unmedicated was creating wayyyy more stress on my body and life than any ill-effects the meds could have on my fertility.
I live in a new town and found a new gp. Told him the situation. He asked my previous dose and in the moment I couldn’t remember (bc adhd). He started me on 10mg adderall xr. It’s been two weeks and it’s… not working. It works ever-so-slightly in the morning right after I take it. And then nothing. Just distraction and armpit sweat. He told me to check back in 30 days from now. Do I have to wait that long? Do you normally get resistance from asking for an increase too soon? I’m nearly positive I used to be on 20 mg. And there doesn’t seem to be much payoff in another 2 weeks of meds that aren’t working. Idk. Is there any value in sticking it out or should I just grow a pair and ask now?
submitted by mad_infinitum to ADHD [link] [comments]


2024.05.17 01:26 Aggressive-Reaction1 Vyvanse and moderate to severe nausea

TLDR: stomach hurts every night. Looking for some advice, and maybe some support.
I started 30mg vyvanse 1 week ago. The symptoms have been mostly manageable. But the daily nausea has gotten progressively worse. This is my first medicated attempt at dealing with adhd, so I don’t know what is normal and will wear off, and what is problematic.
I’ve cut out all caffeine to avoid jitters, but my ability to eat during the day has almost diminished completely during the day. I’ve started to drink a meal replacement high in protein during the morning because I know there’s no way I’m going to be getting proper nutrients without it. When it starts to wear off before 5pm, I finally start to notice my hunger and then I eat as much as I can (but still can’t eat much). The nausea becomes all-consuming and makes it hard to do much at all. At the end of the day I also experience brain fog, but it’s the same feeling that I used to have all of the time.
Aside from feeling like I’m going to throw up several hours a day (lol), it has been wonderful. I finally put away 3 months worth of laundry, unpacked a suitcase from a vacation last winter, and have finished a few big work projects that I had been finding impossible to start. I don’t want to stop if I don’t have to, I feel like I’m finally seeing my potential and I’m watching the imposter syndrome disappear.
I’m wondering what you’ve done to combat your early vyvanse side effects, and is there hope for me or should I give up?
submitted by Aggressive-Reaction1 to ADHD [link] [comments]


2024.05.17 01:24 Admirable-Ad1793 formula to count the number of matches in a specific date range?

hi, i have a spreadsheet of patients. i’m trying to see how many primary care appts these patients had in the last 1.5 years, so i also ran a separate report that gives me all the appts completed in this time frame. both reports have pt ID numbers so they’re able to be matched.
the end product will be a month by month line chart, which gives the average # of appts completed by these pts. the 1.5 year time frame will change per month then (for instance, the Oct 2023 average encompasses pts seen from Apr 22 to Oct 23, the Nov average encompasses pts seen from May 22 to Nov 23, and so on).
is there a formula that counts how many appts occurred in a certain time frame, using the pts ID number as the matching criteria? i usually use =COUNTIF if i’m only doing it for one month, but since i have to do it for 7 separate months it would be a lot of manual work. i’m not sure if there’s a way to add in a date criteria into =COUNTIF. hoping someone may have an idea!
submitted by Admirable-Ad1793 to excel [link] [comments]


2024.05.17 01:24 prthomsen Hasan Mentioned the Ethiopian 'forced contraception' shots in one of his crying videos. I dug into it a little

First, you can go look at u/freezervex's excellent post about this, which he made about 5 months ago. There are lots of good details there. (Can't link to his post, but search for 'Ethiopian' in the sub)

Why so many Ethiopian women?

One of the main sticking points in the story is that the use of this 3-month contraception shot, known as Depo-Provera, was very high in the population of Ethiopian women. To wit, 57% of the users of Depo-Provera were Ethiopian, but the population of Ethiopians in Israel in 2008 was just shy of 2%, so these women are overrepresented by a huge margin.
I tried looking into the reason why there would be such a high proportion of Depo-Provera usage in Ethiopian women in particular.
A report written by Isha l'Isha (a feminist research organization in Haifa) mentions that it asked the Minister of Health why so many of these Ethiopian women were getting this shot, and according to the report his response was that Depo-Provera was a very popular drug in Ethiopia, so there was a "Cultural Preference" for it. (Page 8 of the PDF)
The report goes on to state that the numbers don't support this, referring to a WHO study from 1997, which says that 70% of contraception use in Ethiopia is by the pill. The link they provide in the report gives me a 404, so I can't get the underlying data.
What's worse is that there was ample, and much more recent data from the UN, and other places that explain what happened:
in 1994, the Ethiopian government started a concerted effort to increase the use of contraceptives in the country. At the beginning of this campaign, only 8% of the female population used any form of modern contraception. In 2019 that number is 41%. Reference.
Looking at the way the contraception usage changed over time gives an idea as to why Depo-Provera might be popular, specifically for the Ethiopian population. You can see the change in usage, in chart form, or if you're more into spreadsheets...
The data from 2013 shows that 76% of women in Ethiopia who use contraception use an injectable, like Depo-Provera. So, there definitely could be a 'Cultural Preference' for this drug.

Other Reasons

I also think that things like language difficulties could make if difficult for the newly immigrated women to understand what was being said, and therefore they would not know what shot they were getting. This should/could be fixed with bilingual Hebrew/Amharic speakers in the medical staff.
Also, from what I read in (un-footnoted) articles, during the immigration process, the medical records from Ethiopia were transferred to Israel, and so it is possible that doctors would simply continue the same treatment that the women were getting in Ethiopia, again, without the women necessarily understanding exactly what was going on.
I have a whole Obsidian doc with more details in it, but I am not paying for the publish feature. If anyone wants it, I'm happy to copy paste it somewhere.
submitted by prthomsen to Destiny [link] [comments]


2024.05.17 01:23 BlueLeatherBoots I didn't really how HUNGRY Zoloft was making me!!

Hi all!
I was on Zoloft for about 4 years, and I've done so much self work and have been feeling more mentally healthy than i ever have- so I've tapered off the pills!! I've noticed some increased anxiety, but it's been manageable with my improved coping skills, and I'm hopeful that it's partially just due to withdrawal.
But. The biggest change I've noticed is the difference in my appetite. I used to get hungry like two hours after eating a meal- I could NOT go from noon to 5pm without eating a big snack that was basically a second lunch. Since I've stopped my pills, it's like night and day. I am SOOO much less hungry all the time!!! I don't need my afternoon snack!! Has anyone else connected a voracious appetite to their medication?
submitted by BlueLeatherBoots to zoloft [link] [comments]


http://activeproperty.pl/