Primary Care Physician Secaucus NJ Family and Internal …

Our practice, operating in the heart of Secaucus, NJ, with an on site lab, is nationally recognized as a Patient Centered Medical Home because we have some of the top primary care physicians Secaucus has to offer. As leading primary care doctors, Riverside Medical Group provides patients with exceptional care thanks to our family physicians and attentive staff. As internal medicine doctors, our general and family practitioners build meaningful community relationships with patients while upholding the principles of adult medicine.

Our Practice Approach

Unlike any other Secaucus PCP center, we practice a highly focused approach to adult and geriatric carewhich means internal medicine patient education is highly important to us. This honest-and-true approach reflects everything we do here. Our mission at Riverside Medical Group of Secaucus is to bridge patient concerns with the best physicians to manage patient healthcare.

Serving all ages from newborns and up, our general and family practitioners at Riverside Medical Group of Secaucus have trained at some of the best schools and institutions in the country. We have a strong commitment to the wellness of each and every patient. We strive to create an atmosphere that is comfortable and friendly to help relieve the anxiety that often encompasses a visit to the doctor. You can be assured that, as a patient in our practice, you will be seen and cared for by a doctor, who knows you and treats you like a person, not a number.

Importance of Picking the Right Practice

At Riverside Medical Group of Secaucus we pride ourselves on being a part of the neighborhood for over 35 years and continually having the best interest of our patients at heart. Whether a patient is long-standing or new, we know the importance of picking a trusted practice that is the right fit for you. Walk-ins and new patients are kindly welcomed and we offer same day appointments, with all insurances accepted. EMR access and medical records access is right at your fingertips when needed via MyChart for patients. We welcome you to contact us with any questions. To set up an appointment please call 201-865-2050. We look forward to seeing you soon, neighbor!

Adult MedicineProviders:

Iyad Baker, MDNagarani Ramasubramaniam, MDAdam Atoot, MDMabel Trigoura, APNOffice Manager:Korene Chung-WhiteSpecialties:Preventive HealthChronic CareOther Services Offered:Comprehensive and free birthing/prenatal classesPhysical therapyENTPodiatryPediatricsAddress:714 Tenth StreetSecaucus, NJ 07094Get directionsContact:Phone: 201-865-2050Fax: 201-865-0015Adult Medicine Hours:Monday Sunday: 7am to 12am

365 Days a Year

Riverside Medical Group

info@riversidemedgroup.com(201) 865-2050

714 10th St.

Seacaucus, NJ. 07094

Board Certified in Pediatrics

Board Certified in Pediatrics

Board Certified in Pediatrics

Board Certified in Pediatrics

714 Tenth StreetSecaucus,New jersey07094

Google Map

cash, check, credit card, invoice

714 Tenth StreetSecaucusNew jersey07094(201) 865-2050http://www.riversidemedgroup.com/primary-care-physician-secaucus-nj

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Primary Care Physician Secaucus NJ Family and Internal ...

Pantheism. I believe that the universe created itself …

ANYONE WHO IS UNABLE TO POST DUE TO DOWNVOTES SHOULD PM THE MODS AND WE WILL ADD THEM TO THE APPROVED SUBMITTER LIST

Obviously exceptions may be made

Before posting, consider that this is the definition of Atheism most commonly used in this sub, to avoid confusion and threads being snowballed by "That's not what Atheism means!"

There are many definitions of the word atheist, and no one definition is universally accepted by all. There is no single 'literal' definition of atheist or atheism, but various accepted terms. However, within non-religious groups, it is reasonable to select a definition that fits the majority of the individuals in the group.For r/DebateAnAtheist, the majority of people identify as agnostic or 'weak' atheists, that is, they lack a belief in a god.

They make no claims about whether or not a god actually exists, and thus, this is a passive position philosophically.

The other commonly-used definition for atheist is a 'strong' atheist - one who believes that no gods exists, and makes an assertion about the nature of reality, i.e. that is it godless. However, there are fewer people here who hold this position, so if you are addressing this sort of atheist specifically, please say so in your title.

-Thanks /u/deviantmoomba!

Debate in real time!

There are no real rules. It's more like a meta. The public decides what it likes to see, and so set's the "meta". There are no rules, so you can be pithy, and snarky, or show bad form in debate, etc. But, there's a balance you seek. If you stray too far away from the meta and towards "bug", then that leads to the only real "rule":

Obviously Reddit official rules will not be allowed, and dox'ing (or posting someone's post history) will be removed on a post per post basis. If you believe the meta needs to shift, or a bug fix was issued in error, then message us. We may be tyrants, but we're not unreasonable.

NOTE: If you want more rules, I suggest r/DebateReligion.

Here's another sub you might liker/AtheistDefenseLeagueIt's a link swap thing

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Pantheism. I believe that the universe created itself ...

The Ron Paul Institute for Peace and Prosperity : What the …

The release of the House Intelligence Committees memo on the FBIs abuse of the FISA process set off a partisan firestorm. The Democrats warned us beforehand that declassifying the memo would be the end the world as we know it. It was reckless to allow Americans to see this classified material, they said. Agents in the field could be harmed, sources and methods would be compromised, they claimed.

Republicans who had seen the memo claimed that it was far worse than Watergate. They said that mass firings would begin immediately after it became public. They said that the criminality of US government agencies exposed by the memo would shock Americans.

Then it was released and the world did not end. FBI agents have thus far not been fired. Seeing classified material did not terrify us, but rather it demonstrated clearly that information is kept from us by claiming it is classified.

In the end, both sides got it wrong. Heres what the memo really shows us:

First, the memo demonstrates that there is a deep state that does not want things like elections to threaten its existence. Candidate Trumps repeated promises to get along with Russia and to re-assess NATO so many years after the end of the Cold War were threatening to a Washington that depends on creating enemies to sustain the fear needed to justify a trillion dollar yearly military budget.

Imagine if candidate Trump had kept his campaign promises when he became President. Without the Russia threat and without the China threat and without the need to dump billions into NATO, we might actually have reaped a peace dividend more than a quarter century after the end of the Cold War. That would have starved the war-promoting military-industrial complex and its network of pro-war think tanks that populate the Washington Beltway area.

Second, the memo shows us that neither Republicans nor Democrats really care that much about surveillance abuse when average Americans are the victims. It is clear that the FISA abuse detailed in the memo was well known to Republicans like House Intelligence Committee Chairman Devin Nunes before the memo was actually released. It was likely also well known by Democrats in the House. But both parties suppressed this evidence of FBI abuse of the FISA process until after the FISA Amendments Act could be re-authorized. They didnt want Americans to know how corrupt the surveillance system really is and how the US has become far too much like East Germany. That might cause more Americans to call up their Representatives and demand that the FISA mass surveillance amendment be allowed to sunset.

Ironically, Chairman Nunes was the biggest cheerleader for the extension of the FISA Amendments even as he knew how terribly the FISA process had been abused!

Finally, hawks on both sides of the aisle in Congress used Russia-gate as an excuse to build animosity toward Russia among average Americans. They knew from the classified information that there was no basis for their claims that the Trump Administration was put into office with Moscows assistance, but they played along because it served their real goal of keeping the US on war footing and keeping the gravy train rolling.

But dont worry: the neocons in both parties will soon find another excuse to keep us terrified and ready to flush away a trillion dollars a year on military spending and continue our arguments and new Cold War with Russia.

In the meantime, be skeptical of both parties. With few exceptions they are not protecting liberty but promoting its opposite.

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The Ron Paul Institute for Peace and Prosperity : What the ...

Ron Paul Forums / Rand Paul Forums – Grassroots Central Updates

WASHINGTON, D.C. Yesterday, U.S. Senator Rand Paul (R-KY) introduced the Government Shutdown Prevention Act to incentivize Congress to properly consider and debate spending legislation.

Instead of government shutting down operations over stalled funding in the future, the bill would institute a one percent cut to then-current funding levels for any agency, program, and activity that Congress failed to fund by the start of the fiscal year (October 1). Every 90 days thereafter, funding would be reduced by another one percent if an agreement is still not enacted.

It is time for Congress to take its job seriously and get its act together on spending. This legislation will stabilize our operations while imposing real restraints to push government toward fiscal responsibility, said Dr. Paul.

Currently, Congress does not face any consequences for failing to pass appropriations bills on time. Without such motivation, Congress has demonstrated it will pursue procrastination over prudence and risk shutdowns due to impasses.

In addition to ensuring government honors its obligations, the legislation will give agencies the certainty of knowing that, in a worst-case scenario, they will always be able to operate with a full year of funding at no less than 96 percent of their current levels.

https://www.paul.senate.gov/news/dr-...prevention-act

You can read Dr. Pauls Government Shutdown Prevention Act HERE. https://www.paul.senate.gov/governme...ntion-act-2018

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Ron Paul Forums / Rand Paul Forums - Grassroots Central Updates

SparkNotes: Atlas Shrugged: Important Quotations Explained

1.Butwhat can you do when you have to deal with people?

This question is uttered on many occasionsby Dr. Stadler, first in Part One, Chapter VII. The question demonstrateshis and the looters belief that people are generally irrationaland must be dealt with in a manipulative or repressive manner. Stadlerbelieves most people are incapable of rational thought and mustbe told what is best for them. He believes they will support purethought only if it is government-sanctioned, and this is why hehas supported the creation of the State Science Institute. As thestory progresses, this view of people becomes a justification forthe increasing power of the government and its adoption of bruteforce. The question is also stated by Dr. Floyd Ferrisat the unveiling of Project X. While coercing Stadler to deliverhis speech praising the monstrous machine, Ferris reminds him thatat a time of hysteria, riots, and mass violence, the people mustbe kept in line by any means necessary. He underscores his messageby quoting the question Stadler himself is known for asking.

Francisco says this to Dagny in PartOne, Chapter VII, when she challenges him for squandering his talentas a worthless playboy. Dagny asks him how he can be such a paradox,how a man as capable, brilliant, and accomplished as he is can alsochoose to be a worthless playboy. It does not seem possible thathe can be both, and yet he seems to be. In asking her to check herpremises, Francisco suggests that it is indeed not possible. Hecannot be both things at once, because contradictions cannot exist.A thing is what it is, not something else entirely. Therefore, theremust be another answer that Dagny has not seen yet. Hugh Akston(who had been Franciscos teacher) says something similar to Dagnywhen she meets him at the diner where he works as a short-ordercook. He tells her this in response to her disbelief over why afamous philosopher would choose to work in a diner, or why a motorwith the power to revolutionize industry would be abandoned in ruins.He urges her to look beyond her assumptions in the search for an answerthat could make sense.

Francisco says this to Dagny in PartTwo, Chapter V, after they discover the words Who is John Galt?scratched into a table at a restaurant. She says there are so manystories about him, and Francisco tells her that all the storiesare true. Metaphorically speaking, they are, and Franciscos Prometheusstory is especially apt. Prometheus was a figure from Greek mythology.He was a titan who stole fire from the gods and brought it to mento improve their lives. In return, he was chained to a rock andtortured. Vultures ate his liver each day, only to have it growback at night to be eaten again. In Franciscos comment, Prometheus(personified by Galt) represents the great industrialists who haveprovided men with prosperity and improved their lives with theirinventions and products, but have received only condemnation andgovernment interference in return. These men, led by Galt, havedisappeared and taken their prosperity-generating minds (the firethey had provided) with them. They will no longer allow themselvesto receive torture as payment for their talents, and they will onlyreturn their talents to the world when they are no longer punishedfor bringing them.

This is the oath the thinkers recitewhen they join the strike and come to live in the valley; we firstencounter this oath in Part Three, Chapter I. No one may stay untilhe or she is willing to take the oath freely. Dagny first encountersit as an inscription on the building where Galts motor is kept.The words are so powerful that the sound of Galt reciting them opensthe locks of the buildings door. When Dagny sees the inscription,she tells Galt this is already the code she lives by, but she doesnot think his way is the right way to practice the code. He tellsher they will have to see which one of them is right. Later, whenit is clear that Galts way was right, Dagny solemnly recites theoath to Francisco in the Taggart Terminal just before they rescueGalt from the looters, in Part Three, Chapter IX. The strikerscode presents Rands belief in egoism, or the doctrine of rationalself-interest. Rand believes that individuals have an inalienableright to pursue their own happiness based on their own values andthat they must be free to pursue their own self-interest as theychoose. Under this code, people have no obligations to each otherbeyond the obligation to respect the freedom and rights of otherself-interested people.

This passage is part of the radio broadcastdelivered by John Galt to the people of America in Part Three, ChapterVII. The man he refers to is the ancient Greek philosopher Aristotle,whose work had a profound influence on Rand and her philosophy ofObjectivism. The concept that A is A was put forth in AristotlesLaw of Identity, where he held that everything that exists has aspecific nature and a single identity. A can only be A; it cannotalso be B. For Galt (embodying Rands philosophy), this means thatthings exist: they are what they are regardless of the nature ofthe observer. Even if a person wants A to be something else or believesit should be something else, it is still A. The work of a personsconsciousness is to perceive reality in its objective sense, toidentify and recognize it as what it is, not to invent an alternatereality. Galt and the thinkers he represents are rational and perceivethe reality that is, while the looters try, through denial, coercion,and manipulation, to assert an alternate reality that cannot be.

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SparkNotes: Atlas Shrugged: Important Quotations Explained

What’s the harm in alternative medicine?

What is this site? List of Topics Children Famous people Scientific studies FAQ Resources Contact Press Store New cases (RSS)

For more on this topic:

Complementary or alternative medicine works outside the evidence-based realm of science. This area includes alt-med stories that don't fit into any of our other categories. Read more about alternative medicine

Here are 276 people who were harmed by someone not thinking critically.

Oxford, England

Died (untreated breast cancer)1998

Bungoma, Kenya

Genitals mutilatedMarch 2005

Age: 55Fort Bragg, California

Died (cancer)July 15, 1997

Age: 57Quadra Island, British Columbia, Canada

Died (poisoning)December 26, 2006

Age: 58Tulsa, Oklahoma

Died (undiagnosed leukemia)October 2005

Age: 5 monthsLos Angeles, California

Died (untreated cancer)

Age: 64New York City, New York

Blinded1997

Age: 32Arizona

DiedMarch 1993

Age: 41Paris, France

DiedMarch 31, 2001

Age: 54Pelham, New Hampshire

Died (untreated cancer)2000

Age: 39Sacramento, California

Died (cancer)March 20, 1999

Age: 13Martensville, Saskatchewan, Canada

Died (cancer)June 30, 1999

Age: 9Siegen, Germany

Died (untreated cancer)November 2004

Age: 19Wheat Ridge, Colorado

DiedDecember 19, 2003

Age: 49Sandy, Utah

Died

Age: 46Macon, Georgia

Died (cancer)November 7, 1999

Age: 3Scituate, Massachusetts

Died (cyanide poisoning)October 12, 1979

Post Falls, Idaho

Died (untreated cancer)January 2005

Age: 54Hamilton, Michigan

DiedFebruary 6, 1996

Age: 43Poole, Dorset, England

Died (untreated cancer)June 2002

St. Louis, Missouri

DiedJanuary 24, 2007

Age: 76Windsor, Wisconsin

DiedMay 9, 2005

Michigan

Father died of untreated cancerMarch 1996

Age: 9New York

Died (untreated Hodgkin's disease)1980

Age: 17Calgary, Alberta, Canada

Died (leukemia)September 5, 2002

Calgary, Alberta, Canada

Family destroyed, daughter diedSeptember 5, 2002

Husband poisonedApril 12, 2002

Age: 40

Died (untreated breast cancer)December 11, 2005

Age: 52Southsea, Hampshire, England

Died (untreated wound)April 17, 2007

Age: 15Bungoma, Kenya

Genitals mutilatedMarch 2005

Age: 12Hull, Quebec, Canada

Died (untreated diabetes)March 28, 1994

Age: 36Nine Miles, Jamaica

Died (untreated cancer)May 11, 1981

Age: 11North Canton, Ohio

Died (cancer)May 17, 2007

Age: 59Seattle, Washington

Died, $17,000 wasted on quack deviceSeptember 3, 2005

Age: 50Jurez, Mexico

Died (lung cancer)November 7, 1980

Age: 45Boxmeer, Netherlands

Died (untreated cancer)August 19, 2001

Cape Town, South Africa

DiedOctober 2005

Orlando, Florida

Sold useless treatments for her cancer, died2007

Du Noon, Cape Town, South Africa

DiedOctober 30, 2005

Age: 33Kansas City, Kansas

DiedJanuary 2004

Age: 57Arundel, Queensland, Australia

Untreated tumors, shortened life spanFebruary 2002 - June 2004

Ridgefield, Connecticut

Died (liver failure)December 17, 1987

Janesville, Wisconsin

Died (untreated cancer)April 2000

Age: 5North London, England

Bowel perforated in 12 places1998

Age: 2 months

Died1978

Age: 40New York City, New York

Died1995

Age: 36Regina, Saskatchewan, Canada

Died (cancer)March 2, 2000

Age: 52Gold Coast, Queensland, Australia

Died (untreated cancer)March 8, 2003

Age: 68Los Angeles, California

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What's the harm in alternative medicine?

Philadelphia Eagles and football immortality: A match made …

The Philadelphia Eagles are hoping to parlay Hall of Fame inductions with their first Super Bowl win.

Philadelphia Eagles safety Brian Dawkins is going to the Pro Football Hall of Fame. He will be joined by former Eagles wide receiver Terrell Owens. Now, on the grandest stage of them all, Nick Foles will attempt to make this the greatest weekend in Philadelphia sports history by bring the Eagles their first Super Bowl win in franchise history.

The Xs and Os have been talked about ad nauseum. Bill Belichick,Tom Bradyand the rest of the New England Patriots need no further introduction. Foles, despite his playoff performances, is still the victim of skepticism nationally. Now he prepares to take on the 2017 NFL MVP in Brady. In just a few short hours however, all the talk and awards become meaningless.

That includes certain proclamations by Eagles wide receiver Alshon Jeffery. Jefferys comments surely provide the Patriots with bulletin board material. Of course, even bulletin board material is irrelevant at this point. If a team is in the Super Bowl, they deserve to be there. They also should believe they can win.

Want your voice heard? Join the Inside the Iggles team!

That feeling has swept over the city of Philadelphia leading up to todays game. The Eagles players and their fans truly believe this team is capable of pulling off their third straight upset victory. In order to do that, two current players who mirror T.O. and Dawkins need to perform like them. That would be the aforementioned Jeffery and Malcolm Jenkins.

Jenkins, to his credit, has developed into the emotional leader of the franchise. Today, the defense is going to need him to be more than just a leader. They are going to need him to play at the same level that Dawkins played at throughout his career. What Jenkins has that Dawkins did not is a better supporting cast to take on Brady and company.

As for Jeffery, he might not be what Owens was, but hes still capable of taking over a game. Coming off of his best game as a member of the Eagles, Jeffery is oozing confidence. The Eagles will need every ounce of it too. Fortunately for Jeffery, he also has a better cast of characters going to battle with him than Owens did.

Of course, the players still need to perform on the field. In 2005, the Eagles performed admirably and came up short. Now this ragtag cast of starters, replacements, veterans and rookies are faced with a similar task. The three letter word that the Eagles desire the most is win, but the three letter acronym that will be most responsible for making it happen will be RPO. As Warren Sharp points out, running the football might be the Eagles best chance for success against the Patriots.

Perhaps its appropriate that on the eve of the Super Bowl, two members from the Eagles last appearance are heading to Canton, Ohio. Maybe a better word for it is fate. What other word could describe the unprecedented run that this team has gone on? One word certainly comes to mind: Destiny. In a season that has been defined by 53 instead of one, today, one is all we need.

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Philadelphia Eagles and football immortality: A match made ...

Immortals | Baccano! Wiki | FANDOM powered by Wikia

The Immortals ( fushisha) are a group of people who attained immortality either by drinking the Grand Panacea or by drinking the Cure-All Elixir.

There are set of rules that immortals must follow, as set by Ronny Schiatto. Although they are able to use a false name for temporary introductions to mortals, their bodies reject all attempts to establish lasting false identities. They must use their real names when speaking to another immortal - and this is an involuntary measure; it is physically impossible to give a false name when there is another immortal in one's vicinity. Immortals are also unable to write down a false name on documents - they are forced to write their real name.

To kill an immortal, another immortal must "devour" them by placing their right hand on the other's head while thinking "I want to eat you." After one devours another immortal, one receives all the immortals' memories and knowledge.

The more often an immortal is injured in a certain way, the faster they will recover from that injury. For example: Dallas Genoard has been shot in the head more than once. Each time he is shot in the head, the faster he recovers.

In the 2007 anime adaptation, immortals can transmit information and images to another immortal by placing their right hand on the other's head and thinking about the information or image. This is not so in the light novels - though immortals can transmit information in that manner to their linked homunculi (ex: Szilard to Ennis) albeit with their left hand. In the anime, Maiza transmits knowledge of the elixir to Gretto via this method, but in the novels he simply tells Gretto half of the recipe.

At least three generations of immortals are currently confirmed.

This generation originally consisted of ten people: nine alchemy students and their teacher Dalton Strauss. A decade after their turning, one immortal devoured his own mother - sparking a war for survival within the group. Dalton himself first heard of the immortality elixir from the sage Majeedah Batutah.

There are only three survivors of this generation: Dalton himself; Renee Paramedes Branvillier; and Archangelo. Archangelo is personally responsible for the deaths of the other immortals, whom he devoured for Renee's sake (he loved her, and believed that the very existence of the others was a threat to her). To avoid devourment, Dalton severed his own right hand and gave it to Archangelo, making it impossible for him to devour Renee or anyone else. Archangelo proceeded to bury it in a spot that only he knows the whereabouts of. The survivors would go on to continue teaching alchemy to interested students.

This generation originally consisted of thirty people who obtained immortality aboard the Advena Avis.

Fleeing persecution in Lotto Valentino, the alchemists board the ship and head for the New World. At some point during the voyage, Maiza Avaro summons a 'demon' (Ronny Schiatto). Ronny bestows on Maiza (and only Maiza) the knowledge required to concoct the Grand Panacea. That day, Maiza teaches his younger brother Gretto half of the recipe before deciding that he will keep the recipe to himself rather than share it with the others. Alchemist Szilard Quates is outraged, and proceeds to devour thirteen of the alchemists aboard the ship -- the first he devours is Gretto, and thus he obtains half of the recipe.

Szilard jumps off the ship of his own accord (in the anime, he is cleaved in half by Nile). Once the surviving alchemists arrive in the colonies, they scatter across the continent in fear of Szilard's wrath. Five more alchemists end up dying by Szilard's hand over the course of the next two centuries. The reign of terror comes to an end when Szilard is devoured in November 1930.

It is later revealed that three of the passengers (Huey Laforet, Elmer C. Albatross, and Lebreau Fermet Viralesque) each sent Lucrezia de Dormentaire portions of the elixir (Huey and Elmer each sent her half of their portions, and Fermet sent her a 'sample' several years later). Lucrezia thus becomes a complete immortal, along with Niki and Maiza's father. Maiza's father is experimented upon over the next two centuries.

Sometime after arriving in the colonies, 1711 immortal Denkur Tg attempts to walk back to his homeland in Japan. He is intercepted in the North Pole by Fermet, who entraps him in a box while he is asleep, and sends the box into a crevasse. Denkur remains encased in ice for the next two hundred and fifty years.

1711 immortal Nile throws himself into war after war in order to never forget the realities of death once he arrives in the colonies.

Note that Advena Avis passenger Sylvie Lumiere is the only passenger who did not drink the elixir while on the boat; intending to eventually kill Szilard, she abstains from drinking her portion of the elixir for several years while in the colonies, only drinking it once she has aged several years and looks visibly different from her time aboard the ship. She dedicates her life to revenge, living solely to find and devour Szilard in revenge for Gretto.

Elmer, meanwhile, spends much of his time over the next two centuries tracing Szilard's footsteps with the intention of convincing him to repent and smile.

This group of immortals consists of an unknown amount of people, and unlike the previous two generations obtained immortality accidentally rather than purposefully. This generation became immortal via the Cure-All Elixir - Szilard's newly completed version of the immortality elixir - in November 1930.

As previously stated, this group became immortal accidentally. To explain, there were three dozen bottles of the new elixir...most of which were destroyed in a granary fire (thanks to the mishap of Randy and Pezzo). Barnes managed to save two bottles of the elixir, but quickly lost possession of them: in the novels, Firo Prochainezo switches out the bottles for his own two bottles of liquor; in the 2007 anime, the bottles are taken by Dallas Genoard and his goons, then by the Gandor Family, taken back by Dallas and company, and then stolen by Isaac & Miria...who deliver the elixir to the Martillo Family. Believing the bottles to contain alcohol, Isaac, Miria, the Gandor brothers, the Martillo executives (and some of their family members), Lia Lin-Shan and Seina all consume it at Firo's promotion party that night.

It is revealed in a drama CD that a young man called Pietro Gonzales recovered a bottle of the elixir from the collapsed granary and drank it (thinking it alcohol). Once he learns he is immortal he is horrified, and with his friend Dominico Fuentes he searches for a way to 'cure' his immortality and become mortal again in the summer of 1936.

Szilard also devised an elixir that could bestow upon someone incomplete immortality. An incomplete immortal will eventually die of old age, but otherwise can survive all manner of injury or sickness. They cannot devour others, however.

Huey's homunculi in the Lamia are the reverse: they do not physically age and cannot die from old age, but they can be killed like normal humans.

Szilard must have finished the incomplete immortality elixir by 1927, since during that year he made the priest Donatello an incomplete immortal (he later devoured the man).

By the 1930s, 1711 immortal Sylvie makes her living as a singer while 1711 immortal Begg Garott makes drugs for the Runorata Family.

In November 1930, Szilard's subordinate Paula Wilmans is one of the workers responsible for the incomplete elixir. Lester pleads with her to give him the incomplete immortality elixir, but she refuses and buries her bottle of the elixir in her husband's grave for safekeeping. Her son Mark retrieves the bottle in August 1932, and confronts Lester that month in the Coraggioso. Lester charges at him in order to get at the bottle, and Mark stabs him with his ice pick several times, severely wounding him. Lester manages to seize the bottle. Kicking Mark aside, he rips out the cork and downs the bottle's contents in one gulp.

Lester thus becomes an incomplete immortal. His wounds do not heal and leave him in perpetual agony, much to Elmer's consternation - Elmer had returned to New York on the Flying Pussyfoot and spent the past half year there in search of Szilard. After Nicola Cassetti expresses his desire to enact physical revenge upon Lester, Elmer crouches down next to Lester and offers to put him out of his misery by devouring him...as long as Lester promises that he'll smile when he goes. Despite knowing his pain-filled fate, Lester refuses. Elmer says that he'll be back in a few years once Lester has changed his mind.

After Szilard's death, both Huey and the Nebula corporation attempt to obtain his incomplete elixir. Huey orders the Lamia to steal the elixir - but Nebula gets to it first and distributes it to all twelve hundred of its employees at the Mist Wall (under the guise of it being a mandatory vaccine for their jobs) in September 1933.

By December 1934, Nebula distributes the remaining incomplete elixir to certain executives of the Russo Family (including don Placido Russo and capo Klik) under the condition that the Russos capture the Lamia. To do this, Placido recalls Graham Specter and his gang back from New York to Chicago to capture the Lamia alive. The homunculi manage to escape from Graham.

At the same time, Huey remains incarcerated in Alcatraz. 1711 immortal and FBI agent Victor Talbot incarcerates 1930 immortal Firo Prochainezo as a mole into the prison, where he has incarcerated 1930 immortal Isaac Dian as blackmail for Firo.

When Alcatraz prisoner Ladd Russo and Firo meet with Huey, it is revealed that Rene (who works for Nebula) had hired several Felix Walkens to steal Huey's eye. The Felix Walkens are easily dispatched, but Firo decides that he will steal Huey's eye instead. Sham secretly betrays Huey and helps Firo to escape, but not before Liza (a vessel of Hilton) steals Firo's eyes via one of her birds. She later returns his eyes to him via Annie, one of Hilton's vessels. Isaac Dian is released in December and reunites with fellow immortal Miria Harvent.

Back in Chicago, the Russo Family have failed to capture the Lamia. As punishment Renee devours the Russos' incomplete immortals, starting first with Placido and ending with Klik.

Huey escapes Alcatraz and later hires Claire Stanfield to guard Melvi Dormentaire in 1935. Huey has a grand scheme in 1935 that involves tainting Manhattan's municipal water supply, a move which if successful would affect seven million New Yorkers. Whatever he plans to taint the water supply with was developed by 1711 immortal Begg, whom has made some sort of deal with Huey.

Nile seeks out Victor some time during the Cold War and reports on his war experiences over the past two centuries before leaving. Meanwhile in the mid-twentieth century, a Soviet nuclear submarine encounters Denkur at the North Pole and thaws him out. The KGB chase Denkur all the way to Germany, where he is shot as he tries to climb over the Berlin Wall. He hides in East Germany until the wall falls, and finally makes his way back to Japan.

1711 immortals Maiza Avaro and Czeslaw Meyer go on a trip in the 1970s to find the surviving 1711 immortals and inform them of Szilard's passing. Over the next few decades, they locate Begg Garott, Nile, Sylvie Lumiere and Denkur Tg. After Bartolo Runorata's death circa 1972, Begg falls into a steep mental decline.

In 1991, Elmer visits a ninja village in Japan and has a chance, unexpected reunion with Denkur, who had found employment there.

In December 1998, Elmer arrives in a certain European country in Szilard's footsteps. There, he finds a strange, isolated village and the homunculus Phil, and takes up residence in the village's castle.

In 2001, Maiza, Czes, Nile, Denkur and Sylvie travel to Europe in search of Elmer, the last missing immortal. Once they reunite with him, they investigate the strange village he lives in and the laboratory of Bild Quates. Once Maiza and Czes return to America in the summer of 2002, Maiza visits Begg in the hospital where Begg has remained an inpatient for the past thirty decades.

In August 2002, 1711 immortals Elmer, Sylvie, Denkur, Nile, and Czes, and the 1930 immortal Firo (along with Ennis) board the cruise liners Entrance and Exit, and are embroiled in the massacres aboard both ships. The 1711 immortals (sans Czes) were invited aboard the Exit by Huey, while Czes accompanied Firo and Ennis on the Entrance during their honeymoon. The chaos aboard both ships was orchestrated by Fermet in an attempt to recreate the events of the Flying Pussyfoot.

Fermet reveals himself as alive to Czes after the Entrance arrives in Kyoto, Japan.

Any amount of the elixir will grant immortality, even just one sip of it. When one drinks the elixir, it essentially preserves their body in the state it is in at the time of consumption; the most obvious example is that Czeslaw is doomed to be a child forever - more horrifying is how Niki has been in constant agony for the past three centuries ever since she had near-mortal wounds when she became immortal. As another example, Elmer's body is still covered in the countless scars he bore before consuming the elixir.

Severed body parts will seek out the body in order to reattach themselves; of course, it is possible to obstruct reattachment through burial or containment. One could potentially use this as a means to find another immortal - just like Renee does in the 1930s when she searches for Huey (using his eye as a 'homing beacon' of sorts - she just has to follow the direction it tugs in).

An immortal is not immune to exhaustion, or the psychological effects of starvation. Ennis has stated that immortals can become temporarily feverish if they are infected or poisoned. If they are in enough pain, they will black out just as humans do.

To elaborate on what happens when one absorbs a devoured immortal's knowledge, Szilard in Manga Chapter 011 says that an immortal body "not only grasps the knowledge it 'eats' with its brain, it physically 'knows' it as well. Provided you have the knowledge, you can ride horseback or dance perfectly the very first time [you try.]"

Dalton Strauss notes in 1935-B: Dr. Feelgreed that once one becomes immortal, one's capacity for memory expands beyond that of a normal human's capacity.

Elmer says this of the Grand Panacea in 1932: "I've been told it has a bit of a mind of its own and naturally improves things over time." It is unknown who told him and how true the statement is. He is speaking to Lester, and comments that with injuries like the ones Lester has that "it might take a very long time."

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The Perils Of Immortality | AMERICAN HERITAGE

On a clement August evening in 1902, Mrs. Cornelius Vanderbilt III stood on the lawn of her Newport, Rhode Island, estate, receiving two hundred guests and looking, her son later recalled, like a Gainsborough painting in her plumed picture hat, cabochon emeralds, and diamond stomacher. The entertainment for the evening, which the press billed as The Fete of Roses and she called an at-home, included, in addition to a carnival complete with a calcium-lit midway and various games of chance, a production of the current musical hit The Wild Rose . Mrs. Vanderbilt spared neither effort nor expensethe Knickerbocker Theater went dark for two nights while the cast, scenery, and stage crew traveled north to her specially constructed theaterbut her guests did not see the show that was packing in lesser mortals on Broadway. Like an MTV programmer, Mrs. Vanderbilt knew her audiences attention span. She shaved the performance from three hours to one. While no one is claiming The Wild Rose marked a high point in the history of the American theaterit featured such memorable numbers as Cupid Is the Captain and Mrs. Vanderbilts favorite, They Were All Doing the Sameits mauling by a society matron is emblematic of the wary relationship between money and art.

The cave painters at Lascaux may have been the last to get along without patrons, and for all we know, they had others bringing home their bison. When the artists patron becomes his subject, the situation grows even more dicey. Uneasy is the hand that holds the brush that paints the slavers noble countenance, the merchants proud wife, the robber barons weakchinned heir.

In 1992 the Newport Art Museum assembled an exhibition of about two hundred portraits spanning a period of three centuries. Taken together, the paintings represented not only a whos who of Newport but a retrospective of American portraiture from colonial times to the present, from Gilbert Stuart and Robert Feke toand heres the surpriseDiego Rivera and Richard Lindner. Many of the portraits, which belong to the sitters or their descendants, have since returned to their owners, but now the museum has put together 196 of them in a volume called Newportraits , published by the University Press of New England.

The collection, like the history of the city, has its high points and low. Settled in 1639 by a group fleeing the religious persecution of the Massachusetts Colony, colonial Newport was both celebrated and condemned for its tolerance. While Cotton Mather fulminated against this common receptacle of the convicts of Jerusalem and the outcasts of the land, merchants grew rich from the Triangular Trade, twenty-two distilleries turned molasses into rum, and one of the first paintings in the collection, a circa-1740 portrait of Mary Winthrop Wanton by Robert Feke, featured a dcolletage so daring that in 1859 the directors of the local Redwood Library commissioned Jane Stuart, the daughter of Gilbert, to paint, under protest, a nosegay over the cleavage. Jane Stuart called the retouching an act of vandalism, but the patrons prudishness trumped the artists eye. And she had a widowed mother and several sisters to support.

Occupied by the British during the Revolution, Newport never recovered its former prosperity, despite its popularity as a summering spot for Southern gentry fleeing their native heat and malaria in the first half of the nineteenth century and New England intellectuals seeking one anothers company in the second. Two Pulitzer Prize-winning writers, Maud Howe Elliott (awarded the prize with her sisters Florence Marion Howe Hall and Laura E. Richards for a biography of their mother, Julia Ward Howe) and Edith Wharton, make appearances in this collection. Despite Whartons comment that she did not care for watering-place mundanities, she followed the trend toward fashionable European painters and sat for the Englishman Edward Harrison May.

UNEASY IS THE HAND THAT HOLDS THE BRUSH THAT PAINTS THE SLAVERS NOBLE COUNTENANCE, THE MERCHANTS PROUD WIFE.

By then the Gilded Age had arrived. The village built on tolerance had become the resort notorious for exclusivity. Newport was the very Holy of Holies, the playground of the great ones of the earth from which all intruders were ruthlessly excluded by a set of cast-iron rules, wrote Elizabeth Drexel Lehr, whose husband, Harry, succeeded Ward McAllister as the arbiter of social acceptability.

Sitting for a portrait is an act of hubris. The subject is saying, I am worth looking at. It is also a statement of trust in the artist: I will let you fashion the face I show to posterity. Even after photography had introduced a less risky road to immortality, the rich, the powerful, the celebratedand those who wanted to becontinued to take the gamble.

When it comes to showing a fine face to future generations, the modern subjects in this collection who have perhaps fared best were painted by a loved one. Olive Bigelow Pell arrived in Newport as the second wife of Congressman Herbert Claiborne Pell. Her Pells at Tea , 1933, captures the ease and tenderness of a halcyon family moment. Mr. Pell lounges, Mrs. Pell serves, her daughter perches on the arm of Herberts chair, her son-in-law bounces her grandchild on his knee. No outsider intrudes to disturb the peace. The artist is one of the family. (The fact that the family is an amalgam of two shattered by divorce, a somewhat unusual state of affairs at the time, adds another dimension to the scene.)

SITTING FOR A PORTRAIT IS A STATEMENT OF TRUST. THE SUBJECT IS SAYING, I WILL LET YOU FASHION THE FACE I SHOW TO POSTERITY.

The equally affectionate Herbert and Claiborne Pell , 1927, tells a story as clearly and eloquently as a Norman Rockwell illustration. Pell painted this luminous portrait of her husband and his son, the future senator Claiborne Pell, shortly after her marriage. The arrangement of handsHerbert Pell raises his right to make a point while his son clasps his fathers left in his own small fistcreates a magical circle of private love and public duty.

It is a truism that portraits reveal what is important to the sitterthe squire with his horses and hunting dogs, the dowager with her diamondsbut in Pells self-portrait, One Lump or Two? , her gorgeous silver tea service and tantalizingly edible sandwiches shimmer with irony as well as exuberance.

Pell saw. A diplomatic colleague of her husband wrote to Franklin D. Roosevelt that she was the embodiment of Ruskins remark that for a thousand who can think there is only one that can see. She also worked, constantly, painstakingly, passionately. But other artistically inclined insiders found the conflict between the delights of life and the demands of art more difficult to reconcile. An artist neighbor encouraged Gertrude Vanderbilt Whitney to pay less attention to her social role and more to her sculpture, and fortunately for the museum-going public, she followed his advice. The Senator Pell pictured here as a boy ascribed his championship of the National Endowment for the Arts to the fact that he was a frustrated artist. But for some the good life proved too alluring. The senior Pell, a model of sober statesmanship in the portrait, later wrote his son, My worst quality was, of course, an almost uncontrollable unwillingness to work except sporadically.

In a world where work is an afterthought, or at least a choice, what, then, are the inhabitants thinking when they ask artists, some of them self-proclaimed revolutionaries, to paint their portraits? They are supporting the arts certainly, but they could do that by buying an existing canvas. The answer, I suspect, has something to do with family pride and the aforementioned hubris. The result is often fabulous, but the likeness is not always flattering. Sometimes it is not even a likeness.

Diego Riveras Jojo (Joseph Hudson) , 1955, is a beautiful and haunting case in point. The painting is not really a portrait, since the little heirs face bears an uncanny similarity to the aging Mexican artists features, but with its mysterious imagery and arresting composition it is pure seduction.

A 1982 painting by Larry Rivers of Jojos sister, Titi, Princess von Fuerstenberg, Portrait of the Princess (Titi Hudson in Blazing Pink) , does achieve an individual and immediate resemblance. A lyrical sketch in black on a splash of pink, the portrait reveals a wealth of character with an economy of line. Clear-eyed but not unaffectionate, it also illustrates what Rivers called my conflict with and about the useful rich, toward whom I acted more democratically than I felt. The catalogue does not reveal what the princess thought of the painting, but it does say that Josephine Bryce was delighted with the way her friend Salvador Dali portrayed her. Posed in profile like a Renaissance noble, she wears her favorite green velvet dress and holds a red carnation to signify wifely devotion. The background is recognizable Dali: a lurid sky; a surrealistic lake; a miniature Don Quixote, Sancho Panza, and musicians to represent the subjects interest in the arts. Mrs. Bryce was, in fact, posing against the steel walls of a City Bank vault. She was determined to sit wearing the family emeralds, but they belonged to her brother at the time, and the insurance company would not permit them to leave the premises. The portrait hung in Mrs. Bryces dining room for forty years and always disturbed her daughter, who wondered if the artist hadnt seen a hardness in her mother that shed missed.

SOCIETY PORTRAITISTS TEND TO SEND VALENTINES; AVANT-GARDE ARTISTS MAKE NO PROMISES.

The possibility brings us back to that uneasy relationship. Society portraitists who are insiders tend to send valentines. Avant-garde artists of international standing make no promises, and a sitter who chooses one of the latter takes a chance. It is hard to look at the Dali portrait without thinking hes having a little fun at his friends expense. It is impossible to gaze at the Rivera painting without falling in love with a work of art that resembles no one but speaks to everyone. Sometimes art triumphs and the patron still comes out ahead.

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The Perils Of Immortality | AMERICAN HERITAGE

Mesothelioma | Answers to Common Questions

Approximately 3,000 people are diagnosed with mesothelioma of all types in the United States every year. In most cases, these victims exposure took place on the job and the cause of the illness can be traced to an unsafe workplace.

For example, in the past, an overwhelming amount of job sites across the nation used asbestos-containing materials (ACMs) in buildings, equipment, products, machinery, insulation, electrical wiring, and more.

Workers were exposed to ACMs each time they went to work, inhaling tiny, odorless asbestos fibers. Once the fibers become lodged in the body, its literally impossible to expel all of. Over time, the workers began developing asbestos-related illnesses, such as mesothelioma, asbestosis, and asbestos-related lung cancer.

With changing regulations and mitigation, exposure to asbestos is on the decline, but people continue to be diagnosed. This is because the disease has what is known as a long latency period. This means that the amount of time that can pass between the time of exposure to asbestos and the time that symptoms begin to appear can be as long as fifty years.

It is an unfortunate reality, but medical science has made great strides in understanding how this deadly disease progresses and various ways to prolong and improve the lives of those who have been diagnosed with the condition. Currently, however, there is still no cure for asbestos illnesses.

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Mesothelioma | Answers to Common Questions

Discover How Paul Kraus Survived Mesothelioma?

I was diagnosed with mesothelioma in 1997. I was just a high school history teacher at the time. The diagnosis sounded like a death sentence and I was scared because I didnt expect it. But I decided that I wasnt going to give up, so I fought hard and talked to a lot of cancer patients and doctors. I learned a lot so I could win.Over time, I learned how to survive and beat this terrible cancer. In my book, Surviving Mesothelioma and Other Cancers: A Patients Guide I share how I did it.In this website, I put everything I know about mesothelioma. Its like a giant introduction to the disease. But it does not explain what I did to survive. Thats only in my book.So heres what you should do:

Get the Book

Looking for mesothelioma information? The following section provides extensive information about mesothelioma, including symptoms, treatment, and more. Click on an item in the menu below to jump to that topic.

Mesothelioma is a rare form of cancer that develops from cells of the mesothelium, the lining that covers many internal organs. There are approximately 2,000 cases of mesothelioma diagnosed in the United States each year. Mesothelioma is caused by exposure to asbestos, a naturally-occurring carcinogen that was put into thousands of industrial and consumer products even after many companies knew that it was dangerous.

Although rare, mesothelioma cancer is not a death sentence. The worlds longest-living mesothelioma survivor wrote a free book to provide helpful insight, resources, and share his survival experiences.

Mesothelioma is a rare form of cancer, known as the asbestos caused cancer, that develops from cells of the mesothelium, the lining that covers many of the internal organs of the body.

The Mesothelium is the lining that surrounds the lungs, heart, liver, stomach, intestines, testes and other thoracic organs.

The main purpose of the mesothelium is to produce a lubricating fluid between tissues and organs. This fluid provides a slippery and protective surface to allow movement.

For example, it allows the lungs to expand and contract smoothly inside the body each time you take a breath. When the cells of the mesothelium turn cancerous they become mesothelioma thats where the name comes from.

Mesothelioma is a rare disease and there are only approximately 2,000 cases diagnosed in the United States every year. There are many more cases diagnosed throughout the world, especially in Australia and the U.K. where large amounts of asbestos was used.

Number of cases per year in other countries:

Discover More Statistics

There are four types of malignant mesothelioma: Pleural, peritoneal, pericardial and testicular. Pleural mesothelioma affects the outer lining of the lungs and chest wall and represents about 75% of all cases. Peritoneal mesothelioma affects the abdomen and represents about 23%. Incidences of cases in the lining of the testis and the heart represent about 1% each.

Pleural mesothelioma affects the lining of the lungs

When then pleural lining around the lungs and chest wall are involved in this cancer it is called pleural mesothelioma. There are actually two layers of tissue that comprise the pleural lining. The outer layer, the parietal pleura, lines the entire inside of the chest cavity. The inner layer is called the visceral pleura and it covers the lungs.

Mesothelioma usually affects both layers of the pleura. Often it forms in one layer of the pleura and invades the other layer. The cancer may form many small tumors throughout this tissue.

Learn More About Pleural Mesothelioma

The Peritoneal Cavity surrounds the liver, stomach, intestines and reproductive organs.

When the peritoneum, the protective membrane that surrounds the abdomen is involved in this cancer it is called peritoneal mesothelioma. Just like pleural mesothelioma, there are two layers of tissues involved with the peritoneum, the parietal layer covers the abdominal cavity, while the visceral layer surrounds the stomach, liver and other organs.

The cancer often forms many small tumors throughout the tissue. One doctor has described it as if someone took a pepper shaker and scattered the pepper over the tissue.

Learn More About Peritoneal Mesothelioma

In addition to the different types of locations within the body, there are also different cell types. These types are all considered mesothelioma, but they can affect the patients prognosis.

The three mesothelioma cell types are: epithelioid, sarcomatoid and biphasic.

Epithelioid mesothelioma cells are the most common type of mesothelioma cell and has the best prognosis of the three cell types. Notice the dark purple, elongated egg shaped cells amongst the healthy pink colored tissue.

Sarcomatoid mesothelioma cells are the rarest of the three cell types and tends to be more aggressive than epitheloid cells. Notice the dark purple nodules amongst the healthy light purple colored tissue.

Biphasic mesothelioma cells are mixtures of both cell types (epithelioid and sacromatoid) and usually has a prognosis that reflects the dominant cell type.

More Symptoms

More Symptoms

Mesothelioma is caused by exposure to asbestos and it is therefore considered the asbestos caused cancer.

Asbestos has been in use since ancient times, but after the Industrial Revolution its use became widespread and was used all over the world in thousands of industrial and consumer products even after many companies knew that it was dangerous. Construction materials, automotive parts and household products such as hair dryers and oven mitts contained asbestos in the past.

Today, asbestos has been outlawed in most places around the world, however, asbestos has not been outlawed in the United States and is still found in millions of homes and public buildings, such as schools, offices and parking garages.

Learn More About Causes

Asbestos under the microscope looks like hundreds of tiny swords

Asbestos is actually a naturally occurring mineral found throughout the world. It was called the magic mineral because it is resistant to heat and corrosion. Also, it is a fiber so it can be woven into other materials.

Asbestos is composed of millions of sharp microscopic fibers. These fibers are so small that the body has difficulty filtering them out. This means that if you around airborne asbestos you may inhale it or ingest it. This is known as asbestos exposure.

The actual process as to how asbestos causes mesothelioma is still being investigated. Most scientists believe that when the small sharp fibers are ingested or inhaled they cause cell damage which can cause chronic inflammation.

This inflammation can then set the stage for disease after many years or even decades. Some scientists believe that a persons immune system may actually help prevent the cancer, even if that person is exposed to asbestos.

Find Out More On Asbestos

Since asbestos causes this rare disease, how to people get exposed to asbestos? While asbestos was in thousands of products, workers in some professions had more exposure to this carcinogen than others.

Examples of occupations that exposed workers to asbestos includes: Navy veterans, construction trades such as electricians, mechanics, and plumbers, people working in power houses and power plants, firefighters, and refinery workers. Individuals in these professions often had a multitude of asbestos containing products on their various job sites.

Most asbestos containing products were removed voluntarily by the late 1970s. However, because there is no comprehensive ban on asbestos in the U.S. and because of the long latency period, people are still being diagnosed with mesothelioma today.

Learn More About Occupational Asbestos Exposure

Old Advertisement for Asbestos Sheets

The history of asbestos in the United States and other industrialized countries is a sad story of corporate greed. Companies that produced asbestos containing products saw their workers becoming sick with lung scarring, asbestosis, and cancer nearly 100 years ago.

Some companies even brought in researchers and scientists to better understand the health impact of asbestos. Once it was shown that their magic mineral was toxic to human beings, the industry faced a dilemma.

Should they protect workers, warn consumers, notify public health officials, and most importantly, phase out this dangerous mineral? Their answer was no.

Instead industry did just the opposite. They warned no one, kept their knowledge about asbestos secret and continued to use it for decades! Only by the 1960s did independent researchers like Dr. Irving Selikoff of Mt. Sinai School of Medicinebegin to connect asbestos exposure to disease.

By then hundreds of thousands of men, women, and children were already exposed to this deadly mineral. The EPA would ban asbestos in 1989. However, the asbestos industry would sue the EPA and win.

In 1991 the ban was lifted. Even today, there is no comprehensive asbestos ban in the United States. Sad but true.

(Asbestos Medical and Legal Aspects by Barry Castleman)

Asbestos fibers cling to the clothing of workers and can be transferred to others, such as children or spouses.

People exposed directly to asbestos are called primary exposed. Sometimes the person who is primary exposed will transfer asbestos fibers from their clothes to the clothes of another person. The person who gets this transfer of asbestos exposure is said to have secondary exposure.

One example of secondary exposure is called the deadly hug. Sadly, the deadly hug happens when an adult comes home from work with asbestos on their clothes and hugs their son or daughter, unknowingly transferring the dangerous fibers to their child. There have been many cases of adults being diagnosed with mesothelioma whose only exposure to asbestos came from their time as a child.

Read About Secondary Exposure

There is a long latency period for mesothelioma which is the time from asbestos exposure to diagnosis of the cancer. This period can range anywhere from 20 to 50 years. There are different theories as to why there is such a long latency period and why most people exposed to asbestos do not get mesothelioma.

One theory suggests that there may be other variables that play a role. For example, some doctors believe that the condition or competency of a persons immune system could determine whether asbestos in their body leads to cancer.

Other possibilities include a persons genes and diet.

When doctors suspect a patient has mesothelioma they will initiate a work-upin order to make a diagnosis. This work-up may include imaging scans, biopsies, pathology exams, blood tests and staging.

Diagnosing Mesothelioma

Various types of scans may be used to determine if there are signs of tumors or other abnormalities. These scans may include X-rays, CT scans, MRIs, or PET scans.

More on Imaging

If scans reveal what doctors believe may be a cancer then a biopsy may be suggested. A biopsy is a procedure where doctors remove a small piece of the suspected tumor tissue from the patients body.

More on Biopsies

Blood tests and biomarkers may sometimes be used to determine if mesothelioma is present in the body. While these tests are helpful they are not considered as important as the biopsy which is considered the gold standard.

More on Biomarkers

The biopsy material will then be given to a pathologist. A pathologist will use special stains and other tests to determine if there is cancer and identify exactly what type of cancer was removed from the patient.

More on Pathology Exams

If mesothelioma is diagnosed, doctors may stage the disease. Over the years a variety of staging systems have been used. The one used most frequently today groups the disease into localized (only in the mesothelium) or advanced (spread outside the mesothelium).

More on Staging

The prognosis of mesothelioma or any other cancer depends on a number of variables. Those variables include:

More on Prognosis

A doctor specializing in mesothelioma can properly diagnose you and determine the best course of treatment. Find a mesothelioma specialist or doctor near you.

The treatments for mesothelioma can be divided into three paths: Conventional Therapies, Clinical Trials, and Alternative Modalities.

Conventional therapies include chemotherapy, radiation therapy and surgery. The standard chemo drugs used are Alimta (pemetrexed) and cisplatin (or carboplatin). They are often prescribed for the various types of mesothelioma, regardless of location. Both chemo and radiation therapy are known as cytotoxic or cell killing therapies. They work indiscriminately, killing both healthy and cancer cells. This is the reason that they can have severe side effects.

Learn About Treatment

The standard of care in many hospitals is to treat peritoneal mesothelioma with surgery and HIPEC. HIPEC stands for hyperthermic intraperitoneal perioperative chemotherapy which basically means flushing the surgical area with heated chemotherapy during the surgical procedure. The obvious advantage of this approach is that it enables doctors to put the chemo in exactly the place it needs to be.

Of all the conventional treatments available, surgery is generally considered the most effective. For pleural mesothelioma, there are various types of surgical procedures, including lung sparring surgery (also called pleurectomy/decorticiaton or PD) and extrapleural pneumonectomy (also called EPP).

Pleurectomy/decortication surgery is a two-part surgery that removes the lining surrounding one lung (pleurectomy), then removes any visible cancer seen growing inside the chest cavity (decortication). The advantage of P/D or lung sparring surgery is exactly what the name implies a lung is not removed.

An extrapleural pneumonectomy (EPP) is a much more invasive surgery than PD. An EPP involves removing a lung, the diaphragm, portions of the chest lining and heart lining, and nearby lymph nodes.

Numerous studies have been performed comparing the prognosis with a pleurectomy/decortications surgery versus an extrapleural pneumonectomy. While there is no consensus on the subject, the latest reports suggest that PD may be a better choice for many patients because survival is generally equivalent to EPP and PD is less invasive and therefore easier to tolerate.

There are also other surgical procedures used to treat pleural effusion. Pleural effusion is the buildup of excess fluid in the pleural space between the visceral and parietal linings of the lungs. Examples of these procedures include pleurodesis and thoracentesis.

More on Surgery

Clinical trials are treatments that are still being tested. These treatments may include chemotherapy or other more innovative approaches based on immune therapy, gene therapy or other biological approaches. One example of new treatments being tried in mesothelioma involve the use of monoclonal antibodies. Monoclonal antibodies are essentially an immune system therapy that tries to use antibodies to target cancer cells. The National Cancer Institute indexes clinical trials offered throughout the country.

Discover Clinical Trials

Alternative modalities include a large number of approaches such as intravenous vitamin therapy, herbs and Traditional Chinese Medicine, cannabis oil, dietary approaches, and mind-body medicine. It is important to note that while none of these modalities are FDA approved, there are a number of long-term mesothelioma survivors who have used them, including Paul Kraus.

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Discover How Paul Kraus Survived Mesothelioma?

Stellar evolution – Wikipedia

The life cycle of a Sun-like star

Stellar evolution is the process by which a star changes over the course of time. Depending on the mass of the star, its lifetime can range from a few million years for the most massive to trillions of years for the least massive, which is considerably longer than the age of the universe. The table shows the lifetimes of stars as a function of their masses.[1] All stars are born from collapsing clouds of gas and dust, often called nebulae or molecular clouds. Over the course of millions of years, these protostars settle down into a state of equilibrium, becoming what is known as a main-sequence star.

Nuclear fusion powers a star for most of its life. Initially the energy is generated by the fusion of hydrogen atoms at the core of the main-sequence star. Later, as the preponderance of atoms at the core becomes helium, stars like the Sun begin to fuse hydrogen along a spherical shell surrounding the core. This process causes the star to gradually grow in size, passing through the subgiant stage until it reaches the red giant phase. Stars with at least half the mass of the Sun can also begin to generate energy through the fusion of helium at their core, whereas more-massive stars can fuse heavier elements along a series of concentric shells. Once a star like the Sun has exhausted its nuclear fuel, its core collapses into a dense white dwarf and the outer layers are expelled as a planetary nebula. Stars with around ten or more times the mass of the Sun can explode in a supernova as their inert iron cores collapse into an extremely dense neutron star or black hole. Although the universe is not old enough for any of the smallest red dwarfs to have reached the end of their lives, stellar models suggest they will slowly become brighter and hotter before running out of hydrogen fuel and becoming low-mass white dwarfs.[2]

Stellar evolution is not studied by observing the life of a single star, as most stellar changes occur too slowly to be detected, even over many centuries. Instead, astrophysicists come to understand how stars evolve by observing numerous stars at various points in their lifetime, and by simulating stellar structure using computer models.

Stellar evolution starts with the gravitational collapse of a giant molecular cloud. Typical giant molecular clouds are roughly 100 light-years (9.51014km) across and contain up to 6,000,000 solar masses (1.21037kg). As it collapses, a giant molecular cloud breaks into smaller and smaller pieces. In each of these fragments, the collapsing gas releases gravitational potential energy as heat. As its temperature and pressure increase, a fragment condenses into a rotating sphere of superhot gas known as a protostar.[3]

A protostar continues to grow by accretion of gas and dust from the molecular cloud, becoming a pre-main-sequence star as it reaches its final mass. Further development is determined by its mass. Mass is typically compared to the mass of the Sun: 1.0M (2.01030kg) means 1 solar mass.

Protostars are encompassed in dust, and are thus more readily visible at infrared wavelengths. Observations from the Wide-field Infrared Survey Explorer (WISE) have been especially important for unveiling numerous Galactic protostars and their parent star clusters.[4][5]

Protostars with masses less than roughly 0.08M (1.61029kg) never reach temperatures high enough for nuclear fusion of hydrogen to begin. These are known as brown dwarfs. The International Astronomical Union defines brown dwarfs as stars massive enough to fuse deuterium at some point in their lives (13 Jupiter masses (MJ), 2.51028kg, or 0.0125M). Objects smaller than 13MJ are classified as sub-brown dwarfs (but if they orbit around another stellar object they are classified as planets).[6] Both types, deuterium-burning and not, shine dimly and die away slowly, cooling gradually over hundreds of millions of years.

For a more-massive protostar, the core temperature will eventually reach 10 million kelvin, initiating the protonproton chain reaction and allowing hydrogen to fuse, first to deuterium and then to helium. In stars of slightly over 1M (2.01030kg), the carbonnitrogenoxygen fusion reaction (CNO cycle) contributes a large portion of the energy generation. The onset of nuclear fusion leads relatively quickly to a hydrostatic equilibrium in which energy released by the core maintains a high gas pressure, balancing the weight of the star's matter and preventing further gravitational collapse. The star thus evolves rapidly to a stable state, beginning the main-sequence phase of its evolution.

A new star will sit at a specific point on the main sequence of the HertzsprungRussell diagram, with the main-sequence spectral type depending upon the mass of the star. Small, relatively cold, low-mass red dwarfs fuse hydrogen slowly and will remain on the main sequence for hundreds of billions of years or longer, whereas massive, hot O-type stars will leave the main sequence after just a few million years. A mid-sized yellow dwarf star, like the Sun, will remain on the main sequence for about 10 billion years. The Sun is thought to be in the middle of its main sequence lifespan.

Eventually the core exhausts its supply of hydrogen and the star begins to evolve off of the main sequence, without the outward pressure generated by the fusion of hydrogen to counteract the force of gravity the core contracts until either electron degeneracy pressure becomes sufficient to oppose gravity or the core becomes hot enough (around 100 MK) for helium fusion to begin. Which of these happens first depends upon the star's mass.

What happens after a low-mass star ceases to produce energy through fusion has not been directly observed; the universe is around 13.8 billion years old, which is less time (by several orders of magnitude, in some cases) than it takes for fusion to cease in such stars.

Recent astrophysical models suggest that red dwarfs of 0.1M may stay on the main sequence for some six to twelve trillion years, gradually increasing in both temperature and luminosity, and take several hundred billion more to collapse, slowly, into a white dwarf.[8][9] Such stars will not become red giants as they are fully convective and will not develop a degenerate helium core with a shell burning hydrogen. Instead, hydrogen fusion will proceed until almost the whole star is helium.

Slightly more massive stars do expand into red giants, but their helium cores are not massive enough to reach the temperatures required for helium fusion so they never reach the tip of the red giant branch. When hydrogen shell burning finishes, these stars move directly off the red giant branch like a post-asymptotic-giant-branch (AGB) star, but at lower luminosity, to become a white dwarf.[2] A star of about 0.5M will be able to reach temperatures high enough to fuse helium, and these "mid-sized" stars go on to further stages of evolution beyond the red giant branch.[10]

Stars of roughly 0.510M become red giants, which are large non-main-sequence stars of stellar classification K or M. Red giants lie along the right edge of the HertzsprungRussell diagram due to their red color and large luminosity. Examples include Aldebaran in the constellation Taurus and Arcturus in the constellation of Botes.

Mid-sized stars are red giants during two different phases of their post-main-sequence evolution: red-giant-branch stars, whose inert cores are made of helium, and asymptotic-giant-branch stars, whose inert cores are made of carbon. Asymptotic-giant-branch stars have helium-burning shells inside the hydrogen-burning shells, whereas red-giant-branch stars have hydrogen-burning shells only.[11] Between these two phases, stars spend a period on the horizontal branch with a helium-fusing core. Many of these helium-fusing stars cluster towards the cool end of the horizontal branch as K-type giants and are referred to as red clump giants.

When a star exhausts the hydrogen in its core, it leaves the main sequence and begins to fuse hydrogen in a shell outside the core. The core increases in mass as the shell produces more helium. Depending on the mass of the helium core, this continues for several million to one or two billion years, with the star expanding and cooling at a similar or slightly lower luminosity to its main sequence state. Eventually either the core becomes degenerate, in stars around the mass of the sun, or the outer layers cool sufficiently to become opaque, in more massive stars. Either of these changes cause the hydrogen shell to increase in temperature and the luminosity of the star to increase, at which point the star expands onto the red giant branch.[12]

The expanding outer layers of the star are convective, with the material being mixed by turbulence from near the fusing regions up to the surface of the star. For all but the lowest-mass stars, the fused material has remained deep in the stellar interior prior to this point, so the convecting envelope makes fusion products visible at the star's surface for the first time. At this stage of evolution, the results are subtle, with the largest effects, alterations to the isotopes of hydrogen and helium, being unobservable. The effects of the CNO cycle appear at the surface during the first dredge-up, with lower 12C/13C ratios and altered proportions of carbon and nitrogen. These are detectable with spectroscopy and have been measured for many evolved stars.

The helium core continues to grow on the red giant branch. It is no longer in thermal equilibrium, either degenerate or above the Schoenberg-Chandrasekhar limit, so it increases in temperature which causes the rate of fusion in the hydrogen shell to increase. The star increases in luminosity towards the tip of the red-giant branch. Red giant branch stars with a degenerate helium core all reach the tip with very similar core masses and very similar luminosities, although the more massive of the red giants become hot enough to ignite helium fusion before that point.

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In the helium cores of stars in the 0.8 to 2.0 solar mass range, which are largely supported by electron degeneracy pressure, helium fusion will ignite on a timescale of days in a helium flash. In the nondegenerate cores of more massive stars, the ignition of helium fusion occurs relatively slowly with no flash.[13] The nuclear power released during the helium flash is very large, on the order of 108 times the luminosity of the Sun for a few days[12] and 1011 times the luminosity of the Sun (roughly the luminosity of the Milky Way Galaxy) for a few seconds.[14] However, the energy is consumed by the thermal expansion of the initially degenerate core and thus cannot be seen from outside the star.[12][14][15] Due to the expansion of the core, the hydrogen fusion in the overlying layers slows and total energy generation decreases. The star contracts, although not all the way to the main sequence, and it migrates to the horizontal branch on the HertzsprungRussell diagram, gradually shrinking in radius and increasing its surface temperature.

Core helium flash stars evolve to the red end of the horizontal branch but do not migrate to higher temperatures before they gain a degenerate carbon-oxygen core and start helium shell burning. These stars are often observed as a red clump of stars in the colour-magnitude diagram of a cluster, hotter and less luminous than the red giants. Higher-mass stars with larger helium cores move along the horizontal branch to higher temperatures, some becoming unstable pulsating stars in the yellow instability strip (RR Lyrae variables), whereas some become even hotter and can form a blue tail or blue hook to the horizontal branch. The morphology of the horizontal branch depends on parameters such as metallicity, age, and helium content, but the exact details are still being modelled.[16]

After a star has consumed the helium at the core, hydrogen and helium fusion continues in shells around a hot core of carbon and oxygen. The star follows the asymptotic giant branch on the HertzsprungRussell diagram, paralleling the original red giant evolution, but with even faster energy generation (which lasts for a shorter time).[17] Although helium is being burnt in a shell, the majority of the energy is produced by hydrogen burning in a shell further from the core of the star. Helium from these hydrogen burning shells drops towards the center of the star and periodically the energy output from the helium shell increases dramatically. This is known as a thermal pulse and they occur towards the end of the asymptotic-giant-branch phase, sometimes even into the post-asymptotic-giant-branch phase. Depending on mass and composition, there may be several to hundreds of thermal pulses.

There is a phase on the ascent of the asymptotic-giant-branch where a deep convective zone forms and can bring carbon from the core to the surface. This is known as the second dredge up, and in some stars there may even be a third dredge up. In this way a carbon star is formed, very cool and strongly reddened stars showing strong carbon lines in their spectra. A process known as hot bottom burning may convert carbon into oxygen and nitrogen before it can be dredged to the surface, and the interaction between these processes determines the observed luminosities and spectra of carbon stars in particular clusters.[18]

Another well known class of asymptotic-giant-branch stars are the Mira variables, which pulsate with well-defined periods of tens to hundreds of days and large amplitudes up to about 10 magnitudes (in the visual, total luminosity changes by a much smaller amount). In more-massive stars the stars become more luminous and the pulsation period is longer, leading to enhanced mass loss, and the stars become heavily obscured at visual wavelengths. These stars can be observed as OH/IR stars, pulsating in the infra-red and showing OH maser activity. These stars are clearly oxygen rich, in contrast to the carbon stars, but both must be produced by dredge ups.

These mid-range stars ultimately reach the tip of the asymptotic-giant-branch and run out of fuel for shell burning. They are not sufficiently massive to start full-scale carbon fusion, so they contract again, going through a period of post-asymptotic-giant-branch superwind to produce a planetary nebula with an extremely hot central star. The central star then cools to a white dwarf. The expelled gas is relatively rich in heavy elements created within the star and may be particularly oxygen or carbon enriched, depending on the type of the star. The gas builds up in an expanding shell called a circumstellar envelope and cools as it moves away from the star, allowing dust particles and molecules to form. With the high infrared energy input from the central star, ideal conditions are formed in these circumstellar envelopes for maser excitation.

It is possible for thermal pulses to be produced once post-asymptotic-giant-branch evolution has begun, producing a variety of unusual and poorly understood stars known as born-again asymptotic-giant-branch stars.[19] These may result in extreme horizontal-branch stars (subdwarf B stars), hydrogen deficient post-asymptotic-giant-branch stars, variable planetary nebula central stars, and R Coronae Borealis variables.

In massive stars, the core is already large enough at the onset of the hydrogen burning shell that helium ignition will occur before electron degeneracy pressure has a chance to become prevalent. Thus, when these stars expand and cool, they do not brighten as much as lower-mass stars; however, they were much brighter than lower-mass stars to begin with, and are thus still brighter than the red giants formed from less-massive stars. These stars are unlikely to survive as red supergiants; instead they will destroy themselves as type II supernovas.

Extremely massive stars (more than approximately 40M), which are very luminous and thus have very rapid stellar winds, lose mass so rapidly due to radiation pressure that they tend to strip off their own envelopes before they can expand to become red supergiants, and thus retain extremely high surface temperatures (and blue-white color) from their main-sequence time onwards. The largest stars of the current generation are about 100-150M because the outer layers would be expelled by the extreme radiation. Although lower-mass stars normally do not burn off their outer layers so rapidly, they can likewise avoid becoming red giants or red supergiants if they are in binary systems close enough so that the companion star strips off the envelope as it expands, or if they rotate rapidly enough so that convection extends all the way from the core to the surface, resulting in the absence of a separate core and envelope due to thorough mixing.[20]

The core grows hotter and denser as it gains material from fusion of hydrogen at the base of the envelope. In all massive stars, electron degeneracy pressure is insufficient to halt collapse by itself, so as each major element is consumed in the center, progressively heavier elements ignite, temporarily halting collapse. If the core of the star is not too massive (less than approximately 1.4M, taking into account mass loss that has occurred by this time), it may then form a white dwarf (possibly surrounded by a planetary nebula) as described above for less-massive stars, with the difference that the white dwarf is composed chiefly of oxygen, neon, and magnesium.

Above a certain mass (estimated at approximately 2.5M and whose star's progenitor was around 10M), the core will reach the temperature (approximately 1.1 gigakelvins) at which neon partially breaks down to form oxygen and helium, the latter of which immediately fuses with some of the remaining neon to form magnesium; then oxygen fuses to form sulfur, silicon, and smaller amounts of other elements. Finally, the temperature gets high enough that any nucleus can be partially broken down, most commonly releasing an alpha particle (helium nucleus) which immediately fuses with another nucleus, so that several nuclei are effectively rearranged into a smaller number of heavier nuclei, with net release of energy because the addition of fragments to nuclei exceeds the energy required to break them off the parent nuclei.

A star with a core mass too great to form a white dwarf but insufficient to achieve sustained conversion of neon to oxygen and magnesium, will undergo core collapse (due to electron capture) before achieving fusion of the heavier elements.[21] Both heating and cooling caused by electron capture onto minor constituent elements (such as aluminum and sodium) prior to collapse may have a significant impact on total energy generation within the star shortly before collapse.[22] This may produce a noticeable effect on the abundance of elements and isotopes ejected in the subsequent supernova.

Once the nucleosynthesis process arrives at iron-56, the continuation of this process consumes energy (the addition of fragments to nuclei releases less energy than required to break them off the parent nuclei). If the mass of the core exceeds the Chandrasekhar limit, electron degeneracy pressure will be unable to support its weight against the force of gravity, and the core will undergo sudden, catastrophic collapse to form a neutron star or (in the case of cores that exceed the Tolman-Oppenheimer-Volkoff limit), a black hole. Through a process that is not completely understood, some of the gravitational potential energy released by this core collapse is converted into a Type Ib, Type Ic, or Type II supernova. It is known that the core collapse produces a massive surge of neutrinos, as observed with supernova SN 1987A. The extremely energetic neutrinos fragment some nuclei; some of their energy is consumed in releasing nucleons, including neutrons, and some of their energy is transformed into heat and kinetic energy, thus augmenting the shock wave started by rebound of some of the infalling material from the collapse of the core. Electron capture in very dense parts of the infalling matter may produce additional neutrons. Because some of the rebounding matter is bombarded by the neutrons, some of its nuclei capture them, creating a spectrum of heavier-than-iron material including the radioactive elements up to (and likely beyond) uranium.[23] Although non-exploding red giants can produce significant quantities of elements heavier than iron using neutrons released in side reactions of earlier nuclear reactions, the abundance of elements heavier than iron (and in particular, of certain isotopes of elements that have multiple stable or long-lived isotopes) produced in such reactions is quite different from that produced in a supernova. Neither abundance alone matches that found in the Solar System, so both supernovae and ejection of elements from red giants are required to explain the observed abundance of heavy elements and isotopes thereof.

The energy transferred from collapse of the core to rebounding material not only generates heavy elements, but provides for their acceleration well beyond escape velocity, thus causing a Type Ib, Type Ic, or Type II supernova. Note that current understanding of this energy transfer is still not satisfactory; although current computer models of Type Ib, Type Ic, and Type II supernovae account for part of the energy transfer, they are not able to account for enough energy transfer to produce the observed ejection of material.[24] However, neutrino oscillations may play an important role in the energy transfer problem as they not only affect the energy available in a particular flavour of neutrinos but also through other general-relativistic effects on neutrinos.[25][26]

Some evidence gained from analysis of the mass and orbital parameters of binary neutron stars (which require two such supernovae) hints that the collapse of an oxygen-neon-magnesium core may produce a supernova that differs observably (in ways other than size) from a supernova produced by the collapse of an iron core.[27]

The most massive stars that exist today may be completely destroyed by a supernova with an energy greatly exceeding its gravitational binding energy. This rare event, caused by pair-instability, leaves behind no black hole remnant.[28] In the past history of the universe, some stars were even larger than the largest that exists today, and they would immediately collapse into a black hole at the end of their lives, due to photodisintegration.

After a star has burned out its fuel supply, its remnants can take one of three forms, depending on the mass during its lifetime.

For a star of 1M, the resulting white dwarf is of about 0.6M, compressed into approximately the volume of the Earth. White dwarfs are stable because the inward pull of gravity is balanced by the degeneracy pressure of the star's electrons, a consequence of the Pauli exclusion principle. Electron degeneracy pressure provides a rather soft limit against further compression; therefore, for a given chemical composition, white dwarfs of higher mass have a smaller volume. With no fuel left to burn, the star radiates its remaining heat into space for billions of years.

A white dwarf is very hot when it first forms, more than 100,000 K at the surface and even hotter in its interior. It is so hot that a lot of its energy is lost in the form of neutrinos for the first 10 million years of its existence, but will have lost most of its energy after a billion years.[29]

The chemical composition of the white dwarf depends upon its mass. A star of a few solar masses will ignite carbon fusion to form magnesium, neon, and smaller amounts of other elements, resulting in a white dwarf composed chiefly of oxygen, neon, and magnesium, provided that it can lose enough mass to get below the Chandrasekhar limit (see below), and provided that the ignition of carbon is not so violent as to blow the star apart in a supernova.[30] A star of mass on the order of magnitude of the Sun will be unable to ignite carbon fusion, and will produce a white dwarf composed chiefly of carbon and oxygen, and of mass too low to collapse unless matter is added to it later (see below). A star of less than about half the mass of the Sun will be unable to ignite helium fusion (as noted earlier), and will produce a white dwarf composed chiefly of helium.

In the end, all that remains is a cold dark mass sometimes called a black dwarf. However, the universe is not old enough for any black dwarfs to exist yet.

If the white dwarf's mass increases above the Chandrasekhar limit, which is 1.4M for a white dwarf composed chiefly of carbon, oxygen, neon, and/or magnesium, then electron degeneracy pressure fails due to electron capture and the star collapses. Depending upon the chemical composition and pre-collapse temperature in the center, this will lead either to collapse into a neutron star or runaway ignition of carbon and oxygen. Heavier elements favor continued core collapse, because they require a higher temperature to ignite, because electron capture onto these elements and their fusion products is easier; higher core temperatures favor runaway nuclear reaction, which halts core collapse and leads to a Type Ia supernova.[31] These supernovae may be many times brighter than the Type II supernova marking the death of a massive star, even though the latter has the greater total energy release. This instability to collapse means that no white dwarf more massive than approximately 1.4M can exist (with a possible minor exception for very rapidly spinning white dwarfs, whose centrifugal force due to rotation partially counteracts the weight of their matter). Mass transfer in a binary system may cause an initially stable white dwarf to surpass the Chandrasekhar limit.

If a white dwarf forms a close binary system with another star, hydrogen from the larger companion may accrete around and onto a white dwarf until it gets hot enough to fuse in a runaway reaction at its surface, although the white dwarf remains below the Chandrasekhar limit. Such an explosion is termed a nova.

Ordinarily, atoms are mostly electron clouds by volume, with very compact nuclei at the center (proportionally, if atoms were the size of a football stadium, their nuclei would be the size of dust mites). When a stellar core collapses, the pressure causes electrons and protons to fuse by electron capture. Without electrons, which keep nuclei apart, the neutrons collapse into a dense ball (in some ways like a giant atomic nucleus), with a thin overlying layer of degenerate matter (chiefly iron unless matter of different composition is added later). The neutrons resist further compression by the Pauli Exclusion Principle, in a way analogous to electron degeneracy pressure, but stronger.

These stars, known as neutron stars, are extremely smallon the order of radius 10km, no bigger than the size of a large cityand are phenomenally dense. Their period of rotation shortens dramatically as the stars shrink (due to conservation of angular momentum); observed rotational periods of neutron stars range from about 1.5 milliseconds (over 600 revolutions per second) to several seconds.[32] When these rapidly rotating stars' magnetic poles are aligned with the Earth, we detect a pulse of radiation each revolution. Such neutron stars are called pulsars, and were the first neutron stars to be discovered. Though electromagnetic radiation detected from pulsars is most often in the form of radio waves, pulsars have also been detected at visible, X-ray, and gamma ray wavelengths.[33]

If the mass of the stellar remnant is high enough, the neutron degeneracy pressure will be insufficient to prevent collapse below the Schwarzschild radius. The stellar remnant thus becomes a black hole. The mass at which this occurs is not known with certainty, but is currently estimated at between 2 and 3M.

Black holes are predicted by the theory of general relativity. According to classical general relativity, no matter or information can flow from the interior of a black hole to an outside observer, although quantum effects may allow deviations from this strict rule. The existence of black holes in the universe is well supported, both theoretically and by astronomical observation.

Because the core-collapse supernova mechanism itself is imperfectly understood, it is still not known whether it is possible for a star to collapse directly to a black hole without producing a visible supernova, or whether some supernovae initially form unstable neutron stars which then collapse into black holes; the exact relation between the initial mass of the star and the final remnant is also not completely certain. Resolution of these uncertainties requires the analysis of more supernovae and supernova remnants.

A stellar evolutionary model is a mathematical model that can be used to compute the evolutionary phases of a star from its formation until it becomes a remnant. The mass and chemical composition of the star are used as the inputs, and the luminosity and surface temperature are the only constraints. The model formulae are based upon the physical understanding of the star, usually under the assumption of hydrostatic equilibrium. Extensive computer calculations are then run to determine the changing state of the star over time, yielding a table of data that can be used to determine the evolutionary track of the star across the HertzsprungRussell diagram, along with other evolving properties.[34] Accurate models can be used to estimate the current age of a star by comparing its physical properties with those of stars along a matching evolutionary track.[35]

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Stellar evolution - Wikipedia

Satoshi Nakamoto Definition | Investopedia

DEFINITION of 'Satoshi Nakamoto'

The name used by the unknown creator of the protocol used in the bitcoin cryptocurrency. Satoshi Nakamoto is closely-associated with Bitcoin and the Bitcoin blockchain technology.

Satoshi Nakamoto is arguably the biggest pioneer of cryptocurrency.

Satoshi Nakamoto is considered the most enigmatic character in cryptocurrency. To date it is unclear if he or she is a single person, or if the name is a moniker used by a group. What is known is that Satoshi Nakamoto published a paper in 2008 that jumpstarted the development of cryptocurrency.

The paper, Bitcoin: A Peer-to-Peer Electronic Cash System, described the use of a peer-to-peer network as a solution to the problem of double-spending. The problem that a digital currency or token can used in more than one transaction is not found in physical currencies since a physical bill or coin can, by its nature, only exist in one place at a single time. Since a digital currency does not exist in the physical space, using it in a transaction does not remove it from someones possession, at least not immediately.

Solutions to combating the double-spend problem had historically involved the use of trusted, third-party intermediaries that would verify whether a digital currency had already been spent by its holder. In most cases, third parties, such as banks, can effectively handle transactions without adding significant risk. However, this trust-based model still results in uncertainty. Removing the third-party could only be accomplished by building cryptography into transactions.

Nakamoto proposed a decentralized approach to transactions, ultimately culminating in the creation of blockchains. In a blockchain, timestamps for a transaction are added to the end of previous timestamps based on proof-of-work, creating a historical record that cannot be changed. As the blockchain increases in size as the number of transactions increase, it becomes more difficult for attackers to disrupt it. The blockchain records are kept secure because the amount of computational power required to reverse them discourages small scale attacks.

Satoshi Nakamoto was involved in the early days of bitcoin, working on the first version of the software in 2009. Communication to and from Nakamoto was conducted electronically, and the lack of personal and background details meant that it was impossible to find out the actual identity of Nakamoto. Nakamotos involvement with bitcoin tapered off in 2011.

The inability to put a face to the name has led to significant speculation as to Nakamotos identity, especially as cryptocurrencies increased in number, popularity, and notoriety. While his identity has not been uncovered, it is estimated that the value of bitcoins under his control may have exceeded $1 billion in 2013.

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Satoshi Nakamoto Definition | Investopedia

Forget Crypto Volatility: Here Are 5 of the Best Blockchain Technology Stocks for 2018

As I pen this report, there is a bloodbath happening in the cryptocurrency markets. All cryptocurrencies, including Bitcoin, are crashing. With smart money exiting the crypto markets, savvy investors are wondering where it’s moving next. I’ll tell you where. It’s pouring into blockchain—more precisely, blockchain stocks and blockchain ETFs. So, here we present five of the best blockchain technology stocks you need to consider as the rising tide lifts these boats.

But first, let me give you a glimpse into this new craze that's gripping.

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Forget Crypto Volatility: Here Are 5 of the Best Blockchain Technology Stocks for 2018

Lung Institute | Stem Cell Treatment for COPD & Emphysema

Lung Institute | Stem Cell Treatment for COPD & Emphysema Treatment

Stem Cell Therapy Can Help.

At the Lung Institute, we recognize that all patients have their own stories. While they have chronic lung conditions in common, our patients have had all kinds of careers and hobbies. Whether they enjoy growing plants in the garden, playing a round of golf or creating delicious meals, our patients are unique and deserve treatments unique to them.

At the Lung Institute, we screen each patient thoroughly, focusing on medical history and current condition to encourage only the best-possible treatment results.

Using the natural maintenance capabilities of stem cells, we first withdraw and separate the patients stem cells from their blood or bone marrow. We then reintroduce the stem cells into the body where they come to rest inside the lungs, promoting both natural healing and inflammation reduction.

To learn more about how stem cells work, review our Stem Cell Treatment Basics and discover how stem cell therapy can work to affect your quality of life. Click on the links below to read more about the two treatments we offer.

* All treatments performed at Lung Institute utilize autologous stem cells, meaning those derived from a patient's own body. No fetal or embryonic stem cells are utilized in Lung Institute's procedures. Lung Institute aims to improve patients' quality of life and help them breathe easier through the use of autologous stem cell therapy. To learn more about how stem cells work for lung disease, click here.

All claims made regarding the efficacy of Lung Institute's treatments as they pertain to pulmonary conditions are based solely on anecdotal support collected by Lung Institute. Individual conditions, treatment and outcomes may vary and are not necessarily indicative of future results. Testimonial participation is voluntary. Lung Institute does not pay for or script patient testimonials.

Under current FDA guidelines and regulations 1271.10 and 1271.15, the Lung Institute complies with all necessary requirements for operation. The Lung Institute is firmly in accordance with the conditions set by the FDA for exemption status and conducts itself in full accordance with current guidelines. Any individual who accesses Lung Institute's website for information is encouraged to speak with his or her primary physician for treatment suggestions and conclusive evidence. All information on this site should be used for educational and informational use only.

As required by Texas state law, the Lung Institute Dallas Clinic has received Institutional Review Board (IRB) approval from MaGil IRB, now Chesapeake IRB, which is fully accredited by the Association for the Accreditation of Human Research Protection Program (AAHRPP), for research protocols and stem cell procedures. The Lung Institute has implemented these IRB approved standards at all of its clinics nationwide. Approval indicates that we follow rigorous standards for ethics, quality, and protections for human research.

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9 Tennessee Waterfalls, Swimming Holes, & Sandy Beaches

Fellow water-loving Middle Tennesseans, let me tell youif youre looking to beat the heat this summer while surrounded by gorgeous scenery, you are in luck! Drive just an hour or two away, and you can experience some of the most breathtaking waterfalls around. A number of Tennessee State Parks have falls and swimming holes that are great for adventurous families; there are also a few sandy beaches at area lakes and parks that are great for those who need to play it safe with young children. So whether youre looking for a strenuous hike to breathtaking falls or just want to park the car and walk to the edge of a lake, heres a list of placesto check out this summer:

This popular state park, located between McMinnville and Sparta, is about a 90 minute drive from Nashville and boasts some impressive waterfalls. You can hike down the banks and splash near the rocky shore by the main falls or head to the parks sandy beach along Center Hill Lakewhich is a hit with younger kiddos. If you hike back further from the main falls, you can find some great swimming holes. Rock Island Park also has a campground and cabin rentals available.

Rock Island State Park is great for dads, daughters, and families of all kinds

One of the most popular destinations to cool off in South Cumberland is the Grundy Lakes arealocated just four miles from the visitors center. A man-made beach is perfect for lounging in the sun or for spreading out a water-side picnic. Also at the site is a swim-up dock the sun bathers and jumping children.

For a little more adventure, you can hike to one of the many waterfalls that can be found along the trails. Dont miss Greeter Falls, which is a moderate 1 mile out-and-back hike. Ive done it carrying toddler in a backpack and my then-four-year-old daughter on foot, and it was not too treacherousalthough the spiral staircase at the end was a little bit of a doozy. Also, there are lots of boulders that are irresistible to kids and slightly panic-inducing to watching parents.

Greeter Falls during the fall. The falls usually flow faster in the summerespecially after a good rain.

One of the newest public parks in the area, Cummins Falls is also one of the most beautiful. In fact, it was recently rated one of the top swimming holes in the country by Travel and Leisure Magazine. It has a 75-foot cascading waterfall complete with a crystal clear swimming hole and rock shelves for sitting and jumping. The hike down to the falls is difficult, so it is probably best for older children. If your family is up for a challenge, you will be rewarded for your efforts!

I cant personally vouch for this one, but rumor has it that there is a great local swimming hole at mile marker 382 on the Natchez Trace Parkway at a historic site called Metal Ford, and that it even includes a rope swing. At Meriwether Lewis Campground at mile marker 385, there is a wonderful stream for splashing, and a waterfall and swimming hole can be found at mile marker 391 (called Fall Hollow) on the Trace. For more info.

It doesnt have quite the sugar white beaches of the Gulf of Mexico, but the drive is a heck of a lot shorter to the beaches of Old Hickory Lake. There are three day-use areas located at Cedar Creek, Laguardo, and Old Hickory Beach. Each area offers great swim beaches, picnic tables, grills, restrooms, and launching ramps.

Similar to the beaches of Old Hickory Lake, Percy Priest an opportunity close to home to let the kids play in the sand and splash in the water. This location is also great for camping!

For another in-town option of sandy beaches and lake swimming, head over to Long Hunter park in Hermitage.

Tennessee State Parks boast a variety of waterfalls and swimming holes for your family to visit this summer.

Safety tips and reminders:If hiking to a waterfall or visiting a swimming hole: Pack lightly, but do bring snacks, water, bugspray, sunscreen, towels, and a phone. Bring two pairs of shoesone for hiking and the other a water shoe to wear at the falls. Give yourself plenty of time to hike to and enjoy each waterfall (as well as time to return). Treat the land and water with respect; leave no trace of your visit. Do not jump or dive into water of unknown depth, and always check the current of a lake or river before venturing too far out; swim at your own risk. Bring life jackets for children. Remember that the sandy beach swimming areas at state parks do not have lifeguards on duty, so watch your children at all times. Most importantlyhave fun!

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9 Tennessee Waterfalls, Swimming Holes, & Sandy Beaches

Brave New World by Aldous Huxley : An Analysis of the …

Throughout Brave New World by Aldous Huxley, the concepts of consumption and utopia are constantly juxtaposed and compared to determine whether or not they are genuinely compatible. Although one could state that the citizens of this world in Brave New World are genuinely happy, this is more a result of ignorance and blindness rather than a truly fulfilling sense of bliss. Because the state in Brave New World has meticulously given consumption an almost holy significance, the culture that exists around it must accordingly be conducive to it.

The culture of consumption in Brave New World by Aldous Huxley is the engine driving the success and happiness" of the state. Although to the masses it may seem as though identity is something secure and comfortable, it is rather based upon identity-obliterating principles of mass-production and consumerism. All traces of human elements of individuality and identity have been replaced by the concept of the common good and even ideas about love, family, and sex have been reduced to the maxim, which is one of the important quotes from Brave New World by Aldous Huxley, everybody belongs to everyone else" (26). Furthermore, the basis of life in Brave New World by Aldous Huxley an idea that is sacred and personal in our society, is firmly rooted in Fords famous model of productionthe assembly line. With the help of science, human beings are created according to a narrow set of specifications (which class they will eventually belong to) and their lives, once no longer useful are considered meaningless, especially since they can be easily replaced.

As Mr. Foster, who presides over the conditioning and hatching" of the new human lives says in one of many important quotes in Brave New World by Aldous Huxley Murder kills only the individual and, after all what is an individual? We can make a new one with the greatest easeas many as we like" (133). Even from the beginning of the text we are forced to question the concept of mass-production and consumption in terms of humanity. We are introduced to the process of (re)production, which describes how, a bokanovskified egg will bud, will proliferate, will divide. From eight to ninety-six buds, and every bud will grow into a perfectly formed embryo, and every embryo into a full-sized adult" (4). With the aid of technology, identity and the function of nature have been both combined and destroyed simultaneously. After the process of conditioning, the concept of the self will be even further limited to an individuals participation in the economy and his or her value or obedience as member of a caste. In other words, by obliterating the concept of the individual, all that is left is the state and its capacity to meet the relatively simple supply and demand-based needs of the citizen. This fact in turn makes the individual completely reliant on the state to provide for them and allows this state to completely control all aspects of society, including the individuals understanding of the natural world, their sense of place within the grand scheme of things, and thus by proxy, the concept of God. At the pinnacle of all concernsboth by the citizens and their stateis an almost holy reverence for consumption.

As this thesis statement for Brave New World by Aldous Huxley states, just as the state has destroyed the meaning and value of the individual in Brave New World so too has it altered the individuals understanding of the natural world. This seems only just considering that this is a culture driven by the forces of science and technology, but the conditioning against the love of nature has deeper significance for the state. Throughout the text, the state seems keenly aware of the fact that nature and consumption are essentially at odds because, in other words, A love of nature keeps no factories busy" (19). Here it is directly expressed that the enjoyment of the masses is directed toward what is economically desirable instead of what is personally enjoyable and thus, because of the mass acceptance of such a paradigm, individual fulfillment is inexorably linked to economic stability and consumerism. As the reader is told, conditioning has caused the masses to hate the countryto love all country sportsand have all country sports entail the use of elaborate apparatus" (23).

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Brave New World by Aldous Huxley : An Analysis of the ...

Implementing Pen & Paper mechanisms into a computer game …

At first glance it may seem that theres nothing easier than creating a video game based on an existing RPG system like Cyberpunk 2020. After all, we already have all the mechanics prepared and ready to use in the game. As simple as it sounds, theres more to it than meets the eye.

The pen & paper game rules are designed to give players as much flexibility as possible. They are more like a set of guidelines which players are at liberty to bend to their liking. Improvisation, dropping rules or adding new ones is a common practice for pen & paper games. This principle applies not only to gameplay rules, like combat or skill tests, but also to character customization. Players are limited only by common sense, the agreement of the group and their imagination.

Video games, on the other hand, do not have that much flexibility. Every element has to be accounted for and carefully designed. Of course, modern AAA RPG games, like The Witcher 2 or the upcoming Cyberpunk 2077, can give the Player lots of freedom. But the underlying mechanics are adhering to very strict rules and if an action or option wasnt implemented in the code, then the player will not be able to do it. The same principle applies to character customization the player can do only as much as game allows him to. So if game designers decide that it is not possible to play as an ugly midget you will not be able to play one. Sorry Tyrion Lannister fans

This is why adapting pen & paper rules to video game is not as easy as it can appear at first glance. The flexibility of an in-person RPG has to be replaced with a strict set of rules. Every skill, attribute and game mechanic has to have a clear definition and place in the game. For example, the Cyberpunk 2020 Wardrobe & Style skill governs the knowledge about the right clothes to wear, when to wear them and how to look cool even in a spacesuit. As you can see, this skill covers quite a big area of lore and can be interpreted differently, depending on the situation and the players. In Cyberpunk 2077 this skill has to be tied to a specific gameplay mechanic. And all of these mechanics have to be clearly defined so they can work well with other elements of the game and, at the same time, be easy to understand for the player. After all, we dont have a referee or game master to explain or interpret the rules as you go. And, to accommodate your curiosity, yes, we have some really cool ideas on how to present aforementioned skill in the game. Regrettably, were not quite yet ready to spill the beans

For hardcore Cyberpunk 2020 fans out there, twiddling with rules in such a way may seem like blasphemy. But rest assured that we are working very closely with Mike Pondsmith to ensure that the unique feel of the original, paper game is preserved intact. Of course we may need to change some things, add new elements or even drop the ones that simply do not work in a video game (Geology skill anyone?).

Of course, the topic raised today is only the tip of an iceberg and you probably have tons of questions. Unfortunately, we are not ready to reveal more details at the moment. Nevertheless, well be more than happy to read your comments so feel free to drop them below and stay tuned. When were ready, we will surely share more information with you. Be patient and remember: Attitude is Everything!

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Kane County Bankruptcy Lawyer | Roxanna M. Hipple, Attorney …

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At Roxanna M. Hipple, Attorney at Law, we provide the guidance you need. We have handledhundreds of bankruptcy cases and havenearly 35 years of experience. Do not hesitate to get yourfree case evaluation today, and a lawyer can get back to you about your case.

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We are ready to help you act quickly in matters such as warding off garnishment, repossession andforeclosure. Then we can help you find a personalized strategy for your unique situation, starting with the big question of whether or notbankruptcy is right for you.

Our bankruptcy attorneys can help you find alternatives to bankruptcy, or we can help you assess whether Chapter 7 or Chapter 13 bankruptcy protections are better for your future. It is important for us that throughout the entire process our clients are included in all the decision-making regarding their future. We are here to provide legal counsel and help you make an informed decision at each stage of the process.

Filing for bankruptcy can be one of the most life-changing legal decisions you can make in a lifetime. We understand how overwhelming the process can be and make ourselves available for our clients. With Roxanna M. Hipple, Attorney at Law at your side, you will never be alone! To better serve clients through the process of filing for bankruptcy, we have offices conveniently located throughout the Chicagoland area.

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Singularity NorthmanTrader

In technological singularity is the hypothesis that the invention of artificial super intelligence will abruptly trigger runaway technological growth, resulting in unfathomable changes to human civilization. A similar concept may apply to financial markets in the realm that is bond yields versus equity prices producing a runaway event in its own right perhaps.

Correlation does not imply causation but as you know Ive been floating my theory of everything a bit lately (see: 2018 Market Outlook) and it relates to the relationship between yields and stock prices. Not just as a casual relationship, but as THE relationship to watch. My basic premise is that low yields have been the primary function with which the US, and the world for that matter, has been keeping itself on an artificial growth path as one bubble after another has burst. Unprecedented debt has been the result and low yields keep masking and delaying the eventual reckoning (see also The Debt Beneath).

You may have seen this chart from my writings:

The primary premise: If this relationship is meaningful theres a singularity where rising yields will hurt stocks as the cost of carry of the debt will grind everything to a halt.

This hasnt happened yet obviously and frankly I cant predict when it will happen. But I can observe.

Yesterday the 10 year pushed above 2.5% for the first time in a long time. And with historic overbought readings in equities it may be a folly exercise to prescribe any rejection in equities with rising yields this early, but bear with me.

Yesterday a couple of odd things happened. Firstly as I outlined internals were negative all day:

How unusual was this in context of new highs and a rising $VIX? This unusual:

Since the beginning of the year weve had virtually zero selling and cumulative internals always ended the day in the positive.

Except yesterday when the 10 year jumped above 2.5%. Negative internals prevailed all day long:

Lets zoom in on my 10 year trend chart:

If this trend line is the relevant one we just did something we havent done since 2007: Bust above the trend line.

In 2007 such a burst above the trend line was the beginning of the end for stocks. Indeed going back to the late 80s every single tag of the trend line has resulted in a dropping of the 10 year yield. And many times this was the direct result of Fed intervention producing stock market rallies or the Fed reacting to corrective activity in markets.

The 2000 top came near a trend line tag. The 1990/1991 recession required a dropping of yields following a trend line tag. The 1998 correction caused Greenspan to drop rates following a rise in yields. We know what happened after the 2007 peak: Zero bound by the Fed. The corrections in 2011 and 2012 were met with a drop in yields, the 2015/2016 corrections were followed by a record low 10 year. You see the trend.

2017 saw a tag of the trend line and then a renewed rejection. The pattern is eerily similar to 2006 and 2007.

Are we repeating this pattern here? Or are yields about to break out? I cant say, but if central banks wish for inflation I say be careful what you wish for.

Were yesterdays negative internals (strength in banks notwithstanding) already an indication that the larger stock market is already sensitive to higher rates?

What is that point of the singularity?

Jeffrey Gundlach seems to think its at 2.63%:

if the 10Year goes to 2.63% stocks will be negative impacted.

He also is watching yields in relation to trend lines and his are different to mine which is fine:

Ultimately the market will let us know which trend line is relevant here.

But the main message is the same: Yields are rising:

And like us Gundlach is highlighting the complete lack of corrective activity, the one way action in equity prices and unprecedented volatility compression:

Overnight we see flushing in markets for the first time in 2018 as yields rose even further:

Guess markets didnt like that.

Is 2.5% the singularity?

If the 10 year drops back below 2.5% and stocks rally I think we have our answer. If it extends above 2.6% and stocks continue to drop I think we also may have our answer. In which case the answer is 2.5% not 2.63%.

If stocks rally and the 10 year keeps moving higher then 2.63% is the next level to watch.

For now the 30 year track record is yields dropping following a tag of the trend line, or fake out above. An extended journey above markets have never had to contend with. A journey into the undiscovered country until the singularity is achieved.

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