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Association between media attention and presentation of vaccination information on Canadian chiropractors websites: a prospective mixed-methods cohort study

Background:

Historically, some chiropractors have been critical of vaccination, and this has been the subject of recent media attention in Canada. We explored the association between media attention and public dissemination of vaccination information on Canadian chiropractors’ websites.

Methods:

In 2016, we identified all Canadian chiropractors’ websites that provided information on vaccination by extracting details from the regulatory college website for each province using the search engine on their "find a chiropractor" page. We assessed the quality of information using the Web Resource Rating Tool (scores range from 0% [worst] to 100% [best]), determined whether vaccination was portrayed in a positive, neutral or negative manner, and conducted thematic analysis of vaccination content. We revisited all identified websites in 2019 to explore for changes to posted vaccination material.

Results:

In July 2016, of 3733 chiropractic websites identified, 94 unique websites provided information on vaccination: 59 (63%) gave negative messaging, 19 (20%) were neutral and 16 (17%) were positive. The quality of vaccination content on the websites was generally poor, with a median Web Resource Rating Tool score of 19%. We identified 4 main themes: there are alternatives to vaccination, vaccines are harmful, evidence regarding vaccination and health policy regarding vaccination. From 2012 to 2016, there was 1 Canadian newspaper story concerning antivaccination statements by chiropractors, whereas 51 news articles were published on this topic between 2017 and 2019. In April 2019, 45 (48%) of the 94 websites we had identified in 2016 had removed all vaccination content or had been discontinued.

Interpretation:

In 2016, a minority of Canadian chiropractors provided vaccination information on their websites, the majority of which portrayed vaccination negatively. After substantial national media attention, about half of all vaccination material on chiropractors’ websites was removed within several years.




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Intermixed Dimethyl-Sulfoxide-Based Nonadhesive Liquid Embolic Agents Delivered Serially via the Same Microcatheter for Cerebral AVM Treatment [INTERVENTIONAL]

BACKGROUND AND PURPOSE:

Conventional nonadhesive liquid embolic agents currently are the criterion standard for endovascular embolization of cerebral AVMs. However, inadequate distal penetration into the nidus and unstable proximal plug formation are the major limitations of this approach and of the currently available embolic materials. The aim of this study was to evaluate the hypothetic efficacy of combining liquid embolic agents with different properties and viscosities for use in endovascular embolization of cerebral AVMs.

MATERIALS AND METHODS:

From March 2018 to March 2019, sixteen patients with cerebral AVMs (12 women, 4 men; age range, 33–61 years) underwent endovascular embolization with combined liquid embolic agents delivered serially via a single microcatheter. The procedure consists of initial embolization with PHIL 30%, followed by Menox 18 through the same microcatheter. According to the Spetzler-Martin scale, 11 (68.75%) AVMs were grades I–II, 4 (25%) were grade III, and 1 (6.25%) was grade IV. Angiographic, technical, and clinical outcomes were analyzed independently.

RESULTS:

Combined PHIL and Menox embolization through the same microcatheter via 21 pedicles was performed in these 16 patients. Once the length of the reflux reached approximately 2 cm, PHIL 30% was switched to Menox 18. Antegrade flow and distal penetration of the serially applied liquid embolic agents were observed in all 16 cases. The ability to completely control the flow of the materials and avoid any dangerous proximal reflux was noted in all performed embolizations. The estimated average size reduction of the treated AVMs was 85%, ranging from 50% to 100%. Complete embolization was achieved in 10/16 or 62.5% of the cases. There was no procedure-related complication during or after the embolization. No mortality or postprocedural clinical worsening was seen. Clinical success and complete obliteration were confirmed with at least 1 follow-up angiography in 10/16 patients.

CONCLUSIONS:

Serial delivery of nonadhesive liquid embolic agents via the same microcatheter was safe and effective in our study and may be a potential technique for routine AVM treatment. However, further investigations are required to validate the safety and the efficacy of the method.




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RPGCast – Episode 273: “Get Off The Mixer”

The internet conspires against the podcast this week. First it sends cats to attack the equipment, then it breaks Twitch.tv, and finally it takes out...




mix

UK weather forecast: Britain to see mix of sunshine and April showers over Easter Bank Holiday weekend

Temperatures in parts of Britain are likely to soar to 24C over the Easter Bank Holiday weekend, but the sunshine could be interrupted by some April showers.




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One World Together at Home: Little Mix and Tom Jones among stars paying tribute to NHS in global online concert

Little Mix, Michael Buble and Sir Elton John were among the stars playing tribute to the NHS in a special online concert.




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Ofsted chief predicts 'mixed economy' of schooling as coronavirus lockdown eased

Ofsted chief inspector Amanda Spielman has suggested there could be a "mixed economy" of schooling as the coronavirus lockdown is eased.




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Tensions grow over 'mixed messaging' as speculation mounts over coronavirus lockdown easing

Tensions are growing between the UK's regions over "mixed messaging" on when to lift restrictions, with speculation that rail services are set to be expanded from mid-May but strict lockdown measures could remain in place until June.




mix

Drake Drops Surprise Mixtape, Announces New Album

Drake dropped a surprise 14-track mixtape and announced his next studio album will be released this summer.




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Laurence Fox was dumped by his mixed-race girlfriend after BBC Question time comments about race

Laurence Fox was dumped by his mixed-race girlfriend after his rant about racism on BBC Question earlier this year.




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Mixer gives every streaming partner $100 to help during COVID-19

Numerous internet services have offered help to creators who may be struggling during the COVID-19 pandemic, but Microsoft's Mixer might have one of the simpler solutions: direct cash infusions. The livestreaming service is giving all of its partnered members $100 to help them get through any financial hardships while the outbreak lasts. Given that anyone sufficiently committed to Mixer to reach partner status depends at least partly on the service to make a living, that may be a welcome gesture.




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Tina Lawson’s Reaction To ‘Savage’ Remix Is Priceless



Miss Tina runs the Beyhive.




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'Apex Legends' season five will add PvE hunts to the mix

Like every other free-to-play battle royale game out there, Apex Legends is constantly refreshing the game with new content and modes. Season five “Fortune’s Favor” kicks off next week, and along with the newly-revealed character Loba, Respawn is als...




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Jacinda Ardern adds toilet training to the mix at home amidst coronavirus lockdown

As if the pandemic wasn't enough to deal with, the New Zealand Prime Minister is helping toilet train her toddler.




mix

Doctors slam 'mixed messages' sent by allowing racing to continue

The WA branch of the Australian Medical Association says horse and greyhound races should be put on hold during the coronavirus outbreak out of respect for the community.




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Intertronics launches device capable of mixing two-part materials

Adhesives specialist Intertronics has launched the preeflow eco-DUOMIX, a system that mixes and dispenses two-part materials.




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Ready-Mix Concrete Producer Agrees to Resolve Clean Water Act Violations

Aggregate Industries - Northeast Region Inc., will pay a $2.75 million civil penalty and implement a regional evaluation and compliance program to resolve numerous violations of the Clean Water Act at 23 facilities in Massachusetts and New Hampshire.



  • OPA Press Releases

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Former Executive of Iowa Ready-mix Concrete Company Agrees to Plead Guilty to Price Fixing and Bid Rigging

A former executive of an Iowa ready-mix concrete company has agreed to plead guilty and serve 19 months in jail for participating in three separate conspiracies to fix prices and rig bids for the sales of ready-mix concrete.



  • OPA Press Releases

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President of Iowa Ready-mix Concrete Company Pleads Guilty to Price Fixing and Bid Rigging

According to a one-count felony charge filed on May 6, 2010 in U.S. District Court in Sioux City, Iowa, Kent Robert Stewart, aka Kent Stewart, president of a ready-mix concrete company located in Iowa, participated in a conspiracy to fix prices and rig bids for ready-mix concrete sold to various companies in Iowa between approximately January 2008 and August 2009.



  • OPA Press Releases

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President of Iowa Ready-Mix Concrete Company Pleads Guilty to Price Fixing

The president of an Iowa ready-mix concrete company pleaded guilty to participating in a conspiracy to fix prices for sales of ready-mix concrete.



  • OPA Press Releases

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Executives of Iowa-Ready Mix Concrete Companies Sentenced to Serve Prison Sentences for Price Fixing and Bid Rigging

Two Iowa ready-mix concrete executives were sentenced to serve jail time and pay criminal fines for their participation in separate conspiracies to fix prices and rig bids for sales of ready-mix concrete.



  • OPA Press Releases

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Petroleum Distributors to Pay $2.5 Million to Settle Clean Air Act Allegations of Illegal Mixing and Distribution of Gasoline in Colorado and Nebraska

Three Colorado-based gasoline distributors have agreed to pay $2.5 million to resolve claims that they illegally mixed and distributed more than one million gallons of gasoline that did not meet Clean Air Act emissions and fuel quality requirements.



  • OPA Press Releases

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Iowa Ready-Mix Concrete Company Pleads Guilty to Participating in Price-Fixing and Bid-Rigging Conspiracies

An Iowa ready-mix concrete company pleaded guilty to participating in three separate conspiracies to fix prices and/or rig bids for the sales of ready-mix concrete.



  • OPA Press Releases

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Iowa Ready-Mix Concrete Company Pleads Guilty to Participating in Price-Fixing Conspiracy

An Iowa ready-mix concrete company pleaded guilty to participating in a price-fixing conspiracy for the sales of ready-mix concrete.



  • OPA Press Releases

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Iowa Company Pleads Guilty to Participating in Ready-Mix Concrete Price-Fixing Conspiracy

An Iowa-based company pleaded guilty today to participating in a price-fixing conspiracy for the sales of ready-mix concrete.



  • OPA Press Releases

mix

Iowa Company Pleads Guilty to Participating in Ready-Mix Concrete Price-Fixing and Bid-Rigging Conspiracy

An Iowa ready-mix concrete company pleaded guilty today to participating in a price-fixing and bid-rigging conspiracy for the sales of ready-mix concrete.



  • OPA Press Releases

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Arkansas Man Pleads Guilty to Civil Rights Offenses Related to Firebombing of Mixed-Race Couple’s Home

Jason Walter Barnwell, 37, of Evening Shade, Ark., pleaded guilty in U.S. District Court in Little Rock, Ark., to charges related to his involvement in the Jan. 14, 2011, racially motivated firebombing of the home of a mixed-race couple in Hardy, Ark.



  • OPA Press Releases

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Attorney General Holder, Calling Rise in Heroin Overdoses ‘Urgent Public Health Crisis,’ Vows Mix of Enforcement, Treatment

Calling the rise in overdose deaths from heroin and other prescription pain-killers an “urgent public health crisis,” Attorney General Eric Holder vowed Monday that the Justice Department would combat the epidemic through a mix of enforcement and treatment efforts. As an added step, the Attorney General is also encouraging law enforcement agencies to train and equip their personnel with the life-saving, overdose-reversal drug known as naloxone.



  • OPA Press Releases

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Pharmacy Compounders Practicing Pursuant to Section 503A Can Get in the Mix: Compounding Shortage Drugs for Hospital Patients, with Some Limitations

By Karla L. Palmer



  • COVID19
  • Prescription Drugs and Biologics

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Estimating narrow-sense heritability using family data from admixed populations




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Comments on “The role of appetite-related hormones, adaptive thermogenesis, perceived hunger and stress in long-term weight-loss maintenance: a mixed-methods study”




mix

Mixed emotions for Mercedes drivers in Hungary

Mercedes drivers Nico Rosberg and Michael Schumacher were left with mixed emotions after enduring contrasting fortunes in Saturday's qualifying session




mix

Mixed emotions for Ferrari drivers

Felipe Massa and Fernando Alonso suffered differing fortunes during qualifying for the Belgian Grand Prix




mix

Mixed fortunes for Ferrari duo

Ferrari drivers Felipe Massa and Fernando Alonso suffered mixed fortunes during an incident packed Belgian Grand Prix




mix

Mixed fortunes for Mercedes drivers

Mercedes drivers Michael Schumacher and Nico Rosberg suffered mixed fortunes in the Korean Grand Prix




mix

Mixed feelings for Alonso after retirement with ERS issue

Fernando Alonso was left with "mixed feelings" following the Malaysian Grand Prix after he retired from his McLaren-Honda debut on the 21st lap with an ERS cooling problem




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Realist or neocon? Mixed messages in Trump advisor’s foreign policy vision


Last night, retired lieutenant general Michael Flynn addressed the Republican convention as a headline speaker on the subject of national security. One of Donald Trump’s closest advisors—so much so that he was considered for vice president—Flynn repeated many of the themes found in his new book, The Field of Fight, How We Can Win the Global War Against Radical Islam and Its Allies, which he coauthored with Michael Ledeen. (The book is published by St. Martin’s, which also published mine.)

Written in Flynn’s voice, the book advances two related arguments: First, the U.S. government does not know enough about its enemies because it does not collect enough intelligence, and it refuses to take ideological motivations seriously. Second, our enemies are collaborating in an “international alliance of evil countries and movements that is working to destroy” the United States despite their ideological differences.

Readers will immediately notice a tension between the two ideas. “On the surface,” Flynn admits, “it seems incoherent.” He asks: 

“How can a Communist regime like North Korea embrace a radical Islamist regime like Iran? What about Russia’s Vladimir Putin? He is certainly no jihadi; indeed, Russia has a good deal to fear from radical Islamist groups.” 

Flynn spends much of the book resolving the contradiction and proving that America’s enemies—North Korea, China, Russia, Iran, Syria, Cuba, Bolivia, Venezuela, Nicaragua, al-Qaida, Hezbollah, and ISIS—are in fact working in concert.

No one who has read classified intelligence or studied international relations will balk at the idea that unlikely friendships are formed against a common enemy. As Flynn observes, the revolutionary Shiite government in Tehran cooperates with nationalist Russia and communist North Korea; it has also turned a blind eye (at the very least) to al-Qaida’s Sunni operatives in Iran and used them bargaining chips when negotiating with Osama bin Laden and the United States. 

Flynn argues that this is more than “an alliance of convenience.” Rather, the United States’ enemies share “a contempt for democracy and an agreement—by all the members of the enemy alliance—that dictatorship is a superior way to run a country, an empire, or a caliphate.” Their shared goals of maximizing dictatorship and minimizing U.S. interference override their substantial ideological differences. Consequently, the U.S. government must work to destroy the alliance by “removing the sickening chokehold of tyranny, dictatorships, and Radical Islamist regimes.” Its failure to do so over the past decades gravely imperils the United States, he contends.

The book thus offers two very different views of how to exercise American power abroad: spread democracies or stand with friendly strongmen...[P]erhaps it mirrors the confusion in the Republican establishment over the direction of conservative foreign policy.

Some of Flynn’s evidence for the alliance diverts into the conspiratorial—I’ve seen nothing credible to back up his assertion that the Iranians were behind the 1979 takeover of the Grand Mosque in Mecca by Sunni apocalypticists. And there’s an important difference between the territorially-bounded ambitions of Iran, Russia, and North Korea, on the one hand, and ISIS’s desire to conquer the world on the other; the former makes alliances of convenience easier than the latter. Still, Flynn would basically be a neocon if he stuck with his core argument: tyrannies of all stripes are arrayed against the United States so the United States should destroy them.

But some tyrannies are less worthy of destruction than others. In fact, Flynn argues there’s a category of despot that should be excluded from his principle, the “friendly tyrants” like President Abdel-Fatah el-Sissi in Egypt and former president Zine Ben Ali in Tunisia. Saddam Hussein should not have been toppled, Flynn argues, and even Russia could become an “ideal partner for fighting Radical Islam” if only it would come to its senses about the threat of “Radical Islam.” Taken alone, these arguments would make Flynn realist, not a neocon. 

The book thus offers two very different views of how to exercise American power abroad: spread democracies or stand with friendly strongmen. Neither is a sure path to security. Spreading democracy through the wrong means can bring to power regimes that are even more hostile and authoritarian; standing with strongmen risks the same. Absent some principle higher than just democracy or security for their own sakes, the reader is unable to decide between Flynn’s contradictory perspectives and judge when their benefits are worth the risks. 

It’s strange to find a book about strategy so at odds with itself. Perhaps the dissonance is due to the co-authors’ divergent views (Ledeen is a neocon and Flynn is comfortable dining with Putin.) Or perhaps it mirrors the confusion in the Republican establishment over the direction of conservative foreign policy. Whatever the case, the muddled argument offered in The Field of Fight demonstrates how hard it is to overcome ideological differences to ally against a common foe, regardless of whether that alliance is one of convenience or conviction. 

Authors

         




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Africa’s mixed political transitions in the 3 Gs: Gabon, the Gambia, and Ghana

Editor's note: For more on African political transitions, see our interactive African Leadership Transitions Tracker, which presents changes at the head of state level in every African country from independence or end of the colonial period to the present. Africa has gone through a number of leadership transitions in 2016 and with each one the…

      
 
 




mix

Realist or neocon? Mixed messages in Trump advisor’s foreign policy vision


Last night, retired lieutenant general Michael Flynn addressed the Republican convention as a headline speaker on the subject of national security. One of Donald Trump’s closest advisors—so much so that he was considered for vice president—Flynn repeated many of the themes found in his new book, The Field of Fight, How We Can Win the Global War Against Radical Islam and Its Allies, which he coauthored with Michael Ledeen. (The book is published by St. Martin’s, which also published mine.)

Written in Flynn’s voice, the book advances two related arguments: First, the U.S. government does not know enough about its enemies because it does not collect enough intelligence, and it refuses to take ideological motivations seriously. Second, our enemies are collaborating in an “international alliance of evil countries and movements that is working to destroy” the United States despite their ideological differences.

Readers will immediately notice a tension between the two ideas. “On the surface,” Flynn admits, “it seems incoherent.” He asks: 

“How can a Communist regime like North Korea embrace a radical Islamist regime like Iran? What about Russia’s Vladimir Putin? He is certainly no jihadi; indeed, Russia has a good deal to fear from radical Islamist groups.” 

Flynn spends much of the book resolving the contradiction and proving that America’s enemies—North Korea, China, Russia, Iran, Syria, Cuba, Bolivia, Venezuela, Nicaragua, al-Qaida, Hezbollah, and ISIS—are in fact working in concert.

No one who has read classified intelligence or studied international relations will balk at the idea that unlikely friendships are formed against a common enemy. As Flynn observes, the revolutionary Shiite government in Tehran cooperates with nationalist Russia and communist North Korea; it has also turned a blind eye (at the very least) to al-Qaida’s Sunni operatives in Iran and used them bargaining chips when negotiating with Osama bin Laden and the United States. 

Flynn argues that this is more than “an alliance of convenience.” Rather, the United States’ enemies share “a contempt for democracy and an agreement—by all the members of the enemy alliance—that dictatorship is a superior way to run a country, an empire, or a caliphate.” Their shared goals of maximizing dictatorship and minimizing U.S. interference override their substantial ideological differences. Consequently, the U.S. government must work to destroy the alliance by “removing the sickening chokehold of tyranny, dictatorships, and Radical Islamist regimes.” Its failure to do so over the past decades gravely imperils the United States, he contends.

The book thus offers two very different views of how to exercise American power abroad: spread democracies or stand with friendly strongmen...[P]erhaps it mirrors the confusion in the Republican establishment over the direction of conservative foreign policy.

Some of Flynn’s evidence for the alliance diverts into the conspiratorial—I’ve seen nothing credible to back up his assertion that the Iranians were behind the 1979 takeover of the Grand Mosque in Mecca by Sunni apocalypticists. And there’s an important difference between the territorially-bounded ambitions of Iran, Russia, and North Korea, on the one hand, and ISIS’s desire to conquer the world on the other; the former makes alliances of convenience easier than the latter. Still, Flynn would basically be a neocon if he stuck with his core argument: tyrannies of all stripes are arrayed against the United States so the United States should destroy them.

But some tyrannies are less worthy of destruction than others. In fact, Flynn argues there’s a category of despot that should be excluded from his principle, the “friendly tyrants” like President Abdel-Fatah el-Sissi in Egypt and former president Zine Ben Ali in Tunisia. Saddam Hussein should not have been toppled, Flynn argues, and even Russia could become an “ideal partner for fighting Radical Islam” if only it would come to its senses about the threat of “Radical Islam.” Taken alone, these arguments would make Flynn realist, not a neocon. 

The book thus offers two very different views of how to exercise American power abroad: spread democracies or stand with friendly strongmen. Neither is a sure path to security. Spreading democracy through the wrong means can bring to power regimes that are even more hostile and authoritarian; standing with strongmen risks the same. Absent some principle higher than just democracy or security for their own sakes, the reader is unable to decide between Flynn’s contradictory perspectives and judge when their benefits are worth the risks. 

It’s strange to find a book about strategy so at odds with itself. Perhaps the dissonance is due to the co-authors’ divergent views (Ledeen is a neocon and Flynn is comfortable dining with Putin.) Or perhaps it mirrors the confusion in the Republican establishment over the direction of conservative foreign policy. Whatever the case, the muddled argument offered in The Field of Fight demonstrates how hard it is to overcome ideological differences to ally against a common foe, regardless of whether that alliance is one of convenience or conviction. 

Authors

      
 
 




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Is India getting right mix of fiscal & monetary policy?

       




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Remixd: Charming upcycled clothing from thrift store finds

Creating romantic, shabby chic dresses to elegant, layered European-inspired pieces, designer Jacquie Tsang transforms boring thrift store clothing into something unique and stylish.




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Contest Time! The Crisis of Civilization Remix Challenge

The Crisis of Civilization explores our modern cultural crises by sampling archive film footage from PSAs. Now the makers are asking budding film makers to have a go themselves.




mix

Sit-stand desks get mixed reviews

They're good for some things, but researchers say they're not the magic bullet solution for health that many would like them to be.




mix

Passive House and permaculture are a perfect mix

A lot of the permaculture design principles make just as much sense for buildings.




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Monbiot: Environmentalism and Alternative Medicine Shouldn't Mix

Image credit: HowStuffWorks Environmentalism and Alternative Medicine - Oil and Water? George Monbiot is undoubtedly no stranger to controversy - my post about his climate change book, Heat, drew 81 comments, while his well publicized opposition to




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UK pilot project mixes "green" hydrogen with natural gas

So many flavors and colors of gas these days. They are all problematic.




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Ready Mix concrete industry attacks wood construction, says we should "Build with Strength"

The National Ready Mixed Concrete Association (NRMCA) sends out a press release touting their recent political victory in Washington State, and their new promotional campaign, “Build with Strength.” Hilarity ensues.




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Artist mixes different jigsaw puzzles to create surrealist montages

This artist mixes and matches up jigsaw puzzle pieces from different vintage puzzles to create mind-bending collages.




mix

Just what we needed dept.: IBM's Watson mixing our granola

So much intelligence and so much technology, to what end.




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A Landmark Ruling Against Agrochemicals in Argentina Receives Mixed Reactions

In a decade-long case by a group of plaintiffs, a court sentenced a farmer and an aviator to prison for spraying agrochemicals, linking them to environmental pollution and health hazards. Only they can skip doing any time.




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Chairs with Fabrics Weaved by the Warao in Venezuela Mix the Ancestral and the Contemporary

Designer Maria Antonia Godigna spent two years studying the spinning techniques of the Warao and created a line of furniture with Moriche, the palm fiber produced by them.