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Benjamin Torres is the President and Chief Executive Officer of the Community Development Technologies Center (CDTech), a 501 (C)(3) nonprofit focused on addressing issues of community and economic development in low-income areas of Los Angeles through a social justice lens that empowers residents and communities to rebuild them. Benjamin’s entire career has been focused on placing the tools of democracy directly in the hands of society’s most marginalized residents through education, training, engagement and multi-cultural, multi-ethnic, multi-linguistic community building. For the last 19 years his voice and leadership have supported the South LA region’s Black/Brown neighborhoods to increase their social capital and economic opportunity through inclusive democratic action and the strategic utilization of highly effective public, private, nonprofit and resident partnerships. Benjamin has been with CDTech since 2002. Prior to his appointment by the board in 2010 as CDTech’s President and CEO, Benjamin served as the Vice President of the Working Democracy Division and Director of CDTech’s Community Planning program at Los Angeles Trade-Technical College (LATTC); the MultiCultural Collaborative’s Community School Initiative in Watts; and, the Multi-Cultural Education Consortium in Santa Barbara.

He is committed to building leadership capacity in South Central Los Angeles and serves on the Board of Directors of key organizations; Strategic Concepts in Organizing and Policy Education (SCOPE), T.R.U.S.T. SLA and the For Chicana/o Studies Foundation. He serves as a City of LA Commissioner on the Community and Family Services Commission. Benjamin lives in Echo Park, where he proudly grew up and lives with his long-time partner Juana Mora and his daughters Aurelia and Camila Valentina.

Bryonn Bain

Described by Cornel West as an artist who “…speaks his truth with a power we desperately need to hear,” Bryonn Bain is a hip hop theater innovator, spoken word poetry champion, prison activist, actor andeducator. Wrongfully imprisoned while studying at Harvard Law, Bryonn sued the NYPD, interviewed with Mike Wallace on “60 Minutes,” and wrote The Village Voice cover story – “Walking While Black” which received over 100,000 replies — the largest response in the history of the nation’s most widely-read progressive newspaper.Bain organized prison workshops in 25 states on his annual tour to correctional facilities nationwide. His critically acclaimed one-man multimedia production,– executive produced by Harry Belafonte – tells the story of his wrongful imprisonment through hip hop theater, spoken word poetry, calypso, classical music, and letters exchanged with fellow poet, Nanon Williams, who was sentenced to Death Row at 17 for a crime he did not commit.Developed in prisons across the country, the production has sold out on three continents with standing ovations in Europe, Asia and Africa. Bain’s latest film — “BaaaddD Sonia” — tracing the life and work of Black Studies pioneer and poet Sonia Sanchez, was nominated for a 2017 Emmy.Bryonn’s discussionson BET’s award-winning showaired weekly in over 20 million homes, and his interviews have included Dolores Huerta,Tavis Smiley, New Trend Casual Mens Summer Sports Slippers Comfort Slide Sandals Shoes Black 9XkHSW2e
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In analyzing these embellishments, we will consider the predictive-, tension-, and outcome-related responses arising at each moment as the embellishment is approached and resolved. Due to the complexity involved, we will not consider imaginative responses. Carolbar Womens Zip Rhinestones Sexy Fashion High Heel Ankle Boots Grey wwtqVTrcjO
In addition, we will need to analyze separate the what and the when dimensions of expectation.

By way of example, consider the anticipation illustrated in Figure 30. Here the anticipation occurs as part of an authentic V-I cadence with the final tonic pitch anticipated. The numbers identify three moments that we will analyze separately. The moments can be designated the (1) pre-anticipation, (2) anticipation, and (3) post-anticipation moments.

(1) Consider first the pre-anticipation moment.

Figure 30a

Outcome response : With an already established key context, the listener hears a dominant chord. The chord itself is the "outcome" of preceding expectations. As an outcome, we need to consider its response valence. Since the chord is a simple major sonority, it exhibits a low degree of sensory dissonance and so will tend to evoke a relatively positive valence.

Tension response : At the same time, musicians would note that the dominant function would normally be considered "dissonant" insofar as it needs resolution. This way of speaking can be re-interpreted in terms of the tension response . We would note that the V chord has a low probability of being followed by silence (i.e., it is unsuitable for closure). Experienced listeners will have a strong expectation that some further sounds will occur. Moreover, the V chord has a high probability of being followed by a I chord and the supertonic has a similarly high probability of leading to the tonic. In short, the listener has a relatively good idea of what to expect next; there is little of the stress that comes with uncertainty. Consequently, the tension response has only a very small negative valence.

There is one aspect to the tension response, however, in which there is relatively higher uncertainty. This has to do with when a tonic chord might appear. Since the dominant chord occurs on the downbeat, one possible moment of occurrence would be the downbeat of the next measure. Another possibility, might be the third beat of the current measure.

(2) Consider now the moment when the anticipation note appears (C eighth-note).

Figure 30b

Outcome response : The first thing to note is that the sonority is now more dissonant. That is, the outcome response has a comparatively negative valence.

Prediction response : Since the previous moment lead the listener to make a prediction, we can now consider the successfulness of this prediction. The pitch of the anticipation was indeed the optimum prediction arising from the previous moment, so there is a predictive "reward" associated with the "what". That is, the prediction response is positively valenced. However, the timing of the onset for this note is very low. Recall that the third beat or the downbeat of the next measure were more likely moments for "when" for this event might occur.

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A love of music may have helped one resident to become a better doctor.

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By Michael J. Bradshaw, MD, ACP Resident/Fellow Member, and Richard W. Light, MD

M y love of music first led me to develop my ear. From the very womb, I admired the refined technique (although some squares may call it otherwise) of the great James Marshall Hendrix. Years later, on a Colorado evening with friends, I thumped the sides of a keg we were nursing, to check its levels. Little did I know, I was beginning to hone an ancient skill that would help me in my profession.

An 80-year-old retired man was plagued with recurrent right pleural effusions of undetermined etiology. He was admitted to our service after suffering an iatrogenic pneumothorax at the ever-infamous (still curiously operating) Outside Hospital . It was day three. On exam, the right upper back was tympanic to percussion, the right lung base was dull, and both had decreased breath sounds. My findings were stable save one novel discovery: percussive dullness in the posterior mid-lung. Anticlus revealed!

I closed my eyes to envision the Argives hidden within—pneumothorax at the apex, effusion at the base, and consolidation in the superior segment of the lower lobe. A chest X-ray confirmed my exam (see below), which was the first indication that our patient was failing to improve. Thus a simple technique, applied clinically for at least the last 250 years, remains an enlightening component of the physical exam.

Josef Leopold Auenbrugger (1722–1809), the Austrian son of an innkeeper, is credited with describing the clinical art of percussion. Himself a composer, Auenbrugger was a kind and humble man, described in a 1962 article by Smith as “available to all, rich and poor alike, showing a special devotion to the poor.” The story goes that Auenbrugger learned to percuss by observing his father thump the sides of beer barrels to estimate their Dionysian bounty.

While Giovanni Morgagni was focused on correlating postmortem anatomic pathology with clinical history, Auenbrugger had the sagacity to pursue physical examination as a prospective diagnostic technique. After seven years of experimentation, on New Year's Eve of 1760 Auenbrugger published his findings, fully anticipating a good professional flogging. “It has always been the fate of those who have illustrated or improved the arts and sciences by their discoveries, to be beset by envy, malice, hatred, detraction and calumny,” he wrote in his book, referred to in short as “ Inventum Novum .” This 95-page opus describes his techniques and findings.

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AMR Review

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» Background

The discovery of antibiotics and their widespread availability revolutionised healthcare after the Second World War. They underpin many of the greatest medical advances of the 20th century. But bacteria and pathogens have always evolved to resist the new drugs that scientists invent to combat them. Resistance has increasingly become a problem in recent years because the pace at which we are discovering new antibiotics has slowed drastically, while antibiotic use, and therefore resistance, is rising.

Antimicrobial resistance is a natural process whereby microbes evolve to be able to resist the action of drugs, making them ineffective. Resistance arises from the selection pressure that antimicrobials put on populations of microbes; essentially selecting or allowing those microbes to survive and proliferate, typically through genetic changes. This leads to antibiotics becoming less effective over time and in many extreme cases, ultimately useless.

Although AMR is a naturally occurring process, today it is a threat because of two main reasons. The first is that use of antimicrobials has increased so much in the last few decades that microbes are exposed to a much larger number and greater concentration of antimicrobials increasing their chances of developing resistance. The second is that, worryingly, in some categories of antimicrobials (particularly antibiotics) there are very limited numbers of new drugs under development to replace those rendered ineffective by rising drug resistance. Essentially, the demand for new drugs has increased due to increasing resistance but the supply has dried up leaving us in a precarious position.

The reasons for this problem are at least partly economic and commercial. In the case of antibiotics, the predominance of cheap generics means that prevailing prices are low; unpredictable patterns of emerging resistance make future medical needs (and thus commercial opportunities) hard to predict ; and conservation measures necessary to limit the prescribing of antibiotics would relegate new products to last-line treatments used only when nothing else works. This all leads to antibiotics being seen as commercially unattractive. Economic interventions are thus needed to stimulate investment whilst protecting drugs from unnecessary use.

The global burden of infections resistant to existing antimicrobial medicines is now growing at an alarming pace. Drug-resistant infections are already responsible for more than half a million deaths globally each year. Early research commissioned by the Review suggests that if the world fails to act to control resistance, this toll will exceed 10 million each year by 2050 and have cost the world over 100 trillion USD in lost output.

Resistance is not an isolated phenomenon though the extent of resistance varies across different countries and regions of the world. This variation is often linked to the extent of use in these countries or regions. For instance areas with greater use of antimicrobials are associated with greater levels of resistance. But increasing international travel means that AMR has the capability of spreading globally including to countries that are controlling their antibiotics use effectively. This makes a strong case for international coordination on AMR as no country can protect itself from resistant bacteria unless the world takes action together.

Added to these issues, are the overuse and unnecessary use of antimicrobials for humans and animals which also promote the development and spread of resistance, either directly or through the environment.

Much of the misuse of antimicrobials is associated with the lack of rapid diagnostics that can pin-point the exact nature of the diseases causing microbe. Doctors and prescribers, unsure of the kind of disease affecting their human or animal patient but still needing to provide treatment to them, rely on empirical or treatment with broad-spectrum drugs that may or may not cure the patient but still expose microbes to a variety of drugs increasing the likelihood of resistance developing of these drugs.

Figures suggest that much of the use of antibiotics in the world is for animals rather than humans and that much of this is for promoting the growth of animals rather than treating sick animals. The development and spread of drug resistance in the environment is also often overlooked. Antimicrobials can also reach the environment through waste products from the manufacturing sector that do not adequately treat the waste products and through use and excretion by humans and animals.

The overuse of antimicrobials is also related to high rates of infection and the dependence on antimicrobials as curative treatments, reducing the focus afforded to prudent measures that might prevent an infection in the first place.

AMR is an issue that spans multiple areas and cannot be solved by any one solution. Nor is it an issue that any one country can address successfully by acting alone. Hence a multi-disciplined approach to solving the diverse issues and coordination among various countries is critical.

“By highlighting the vast financial and human costs that unchecked drug resistance will have, this important research underlines that this is not just a medical problem, but an economic and social one too.”- Dr Jeremy Farrar, Director of the Wellcome Trust

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