neck

RACE THE SANDS Book Necklace Countdown: Book 10

I'm counting down to the publication of my 20th book, RACE THE SANDS, out 4/21, by sharing pics of each #booknecklace my husband gave me to celebrate each of my prior books...

Book 10 (middle grade): THE GIRL WHO COULD NOT DREAM is about a girl whose family owns a dream shop where they buy, bottle, and sell dreams, and the adventure she goes on with her best friend, a monster named Monster who loves cupcakes. My #booknecklace is an adorable monster.

Usually my characters develop over the course of many revisions. But with Monster... It felt like he plopped down on my desk fully-formed and said, "Write my story! And feed me cupcakes!"





  • Book Necklace
  • Countdown to Pub Date
  • Race the Sands
  • The Girl Who Could Not Dream

neck

RACE THE SANDS Book Necklace Countdown: Book 11

I'm counting down to the publication of my 20th book, RACE THE SANDS, out 4/21, by sharing pics of each #booknecklace my husband gave me to celebrate each of my prior books...

Book 11 (adult SFF): THE QUEEN OF BLOOD, Book 1 of The Queens of Renthia, is an epic fantasy set in a world filled with bloodthirsty nature spirits. Only queens have the power to control them. So my #booknecklace is a crown with a tiny blood-red stone.

Writing The Queens of Renthia was such a wonderfully immersive experience. Every day I sat down at my computer, it felt like walking through the wardrobe into Narnia... except it's a Narnia where the trees want to kill you.





  • Book Necklace
  • Countdown to Pub Date
  • Race the Sands
  • The Queen of Blood
  • The Queens of Renthia

neck

RACE THE SANDS Book Necklace Countdown: Book 12

I'm counting down to the publication of my 20th book, RACE THE SANDS, out 4/21, by sharing pics of each #booknecklace my husband gave me to celebrate each of my prior books...

Book 12 (middle grade): JOURNEY ACROSS THE HIDDEN ISLANDS is a fantasy adventure for kids about two sisters, one winged lion, and a LOT of monsters. My #booknecklace is a winged lion!

This book was born one day when I wandered into the kitchen and announced, "I want to write a book about a winged lion." My husband said, "Great! How about plot, characters...?" "Winged lion!" I shouted. And then I wrote it.





  • Book Necklace
  • Countdown to Pub Date
  • Journey Across the Hidden Islands
  • Race the Sands

neck

RACE THE SANDS Book Necklace Countdown: Book 13

I'm counting down to the publication of my 20th book, RACE THE SANDS, out 4/21, by sharing pics of each #booknecklace my husband gave me to celebrate each of my prior books...

Book 13 (picture book): ROAR AND SPARKLES GO TO SCHOOL is my first picture book, art by the amazing Ben Whitehouse. Roar the dragon is worried about his first day of school, but luckily he has his big sister Sparkles to help him through it. My #booknecklace is a little dragon!

My favorite part of writing this book was inventing the dragon school -- imagining a day in the life of a draconian kindergartner. I knew from the start he'd char his lunch with his breath, play hide-and-seek-the-princess in gym, and ride a dragon bus to school!





  • Book Necklace
  • Countdown to Pub Date
  • Race the Sands
  • Roar and Sparkles

neck

RACE THE SANDS Book Necklace Countdown: Book 14

I'm counting down to the publication of my 20th book, RACE THE SANDS, out 4/21, by sharing pics of each #booknecklace my husband gave me to celebrate each of my prior books...

Book 14 (adult SFF): THE RELUCTANT QUEEN, Book 2 of The Queens of Renthia. Bloodthirsty nature spirits, a dying queen, and a middle-aged woman who wants nothing to do with the power she could wield. This book shares a #booknecklace with THE QUEEN OF BLOOD but we added blood-red earrings!

I actually wrote 90 pages of THE RELUCTANT QUEEN (book 2) before I wrote THE QUEEN OF BLOOD (book 1). My editor at Harper Voyager, the awesome David Pomerico, read the pages and said, "Can this be book two?" And now I can't imagine it being any different.

In THE RELUCTANT QUEEN, I wrote my first middle-aged heroine. She's definitely not the last! The protagonist of my upcoming RACE THE SANDS is a badass middle-aged single mom!





  • Book Necklace
  • Countdown to Pub Date
  • Race the Sands
  • The Queens of Renthia
  • The Reluctant Queen

neck

RACE THE SANDS Book Necklace Countdown: Book 15

I'm counting down to the publication of my 20th book, RACE THE SANDS, out 4/21, by sharing pics of each #booknecklace my husband gave me to celebrate each of my prior books...

Book 15 (MG): THE STONE GIRL'S STORY is about a twelve-year-old girl made of stone who, when the carvings that brought her and her stone friends to life begin to fade, must go on a quest to save them all. So my husband gave me a #booknecklace made of stones!

THE STONE GIRL'S STORY is, at its heart, a story about stories. I believe that stories are as essential to life as food, water, and shelter. They're how we understand who we are. I wrote this book for everyone who wants to shape the story of their life and choose their own destiny.

It was surprisingly tricky to write about a character made of stone. She can't smell, taste, or sleep. Her stomach never drops, clenches, or feels butterflies. I couldn't use any of the common physical reactions to convey emotions, because stone. Made for a fun writing challenge!








  • Book Necklace
  • Countdown to Pub Date
  • Race the Sands
  • The Stone Girl's Story

neck

RACE THE SANDS Book Necklace Countdown: Book 16

I'm counting down to the publication of my 20th book, RACE THE SANDS, out 4/21, by sharing pics of each #booknecklace my husband gave me to celebrate each of my prior books...

Book 16 (adult SFF): THE QUEEN OF SORROW, Bk 3 of The Queens of Renthia, is the final battle between vicious spirits and three strong-willed queens. I loved writing these books so much that I cried when I finished. This book shares its #booknecklace with the first two in the series.

I loved writing an epic fantasy trilogy! It's something I've wanted to do ever since my mom introduced my eleven-year-old self to the SFF shelves in the Northboro Public Library and placed THE SWORD OF SHANNARA by Terry Brooks in my hands.





  • Book Necklace
  • Countdown to Pub Date
  • Race the Sands
  • The Queen of Sorrow
  • The Queens of Renthia

neck

RACE THE SANDS Book Necklace Countdown: Book 17

I'm counting down to the publication of my 20th book, RACE THE SANDS, out 4/21, by sharing pics of each #booknecklace my husband gave me to celebrate each of my prior books...

Book 17 (YA): FIRE AND HEIST is about a sixteen-year-old socialite from a family of master thieves... who can also breathe fire. Think Ocean's Eleven with were-dragons! My #booknecklace for this one is, quite appropriately, a flame!

While I was writing FIRE AND HEIST, I watched so many YouTube videos on how to pick locks, read so many articles on real-life heists, and researched the specs of so many secure vaults that I wanted to add a disclaimer to all my Google searches: "This is for a book! Really!"





  • Book Necklace
  • Countdown to Pub Date
  • Fire and Heist
  • Race the Sands

neck

RACE THE SANDS Book Necklace Countdown: Book 18

I'm counting down to the publication of my 20th book, RACE THE SANDS, out 4/21, by sharing pics of each #booknecklace my husband gave me to celebrate each of my prior books...

Book 18 (adult SFF): THE DEEPEST BLUE is a standalone epic fantasy set in the same world as The Queens of Renthia (but you don't have to have read the trilogy first -- it's a true standalone). It features a LOT of sea monsters so my #booknecklace is a sea monster!

When I saw the cover for THE DEEPEST BLUE, I was thrilled to see that the artist (Larry Rostant) had depicted the sea monsters precisely as I'd imagined them. The sea dragon, the kraken, and the multi-headed snake -- those are my murder-babies!





  • Book Necklace
  • Countdown to Pub Date
  • Race the Sands
  • The Deepest Blue

neck

RACE THE SANDS Book Necklace Countdown: Book 19

I'm counting down to the publication of my 20th book, RACE THE SANDS, out 4/21, by sharing pics of each #booknecklace my husband gave me to celebrate each of my prior books...

Book 19 (MG): SPARK is my newest book for kids. It's about a girl and her lightning dragon (a storm beast), and how even the quietest voice can change the world. My #booknecklace is a lightning bolt, and I wore it so much that I broke the chain.

I wrote SPARK for all the quiet kids out there. But it's not about a quiet kid who learns to be loud. It's about a quiet kid who discovers that she's strong exactly as she is. She doesn't have to change herself to change the world.

I also wrote it because I not-so-secretly want my own lightning dragon.....






neck

RACE THE SANDS Book Necklace Countdown: Book 20

I'm counting down to the publication of my 20th book, RACE THE SANDS, out 4/21, by sharing pics of each #booknecklace my husband gave me to celebrate each of my prior books...

Book 20 (adult SFF): RACE THE SANDS. And this brings us to my newest book and newest #booknecklace! Tomorrow my 20th book comes out! It's a standalone epic fantasy about monster racing. The primary monster is a metal lion, and my husband found the most perfect necklace on Etsy!



My cat Gwen claims she's the inspiration for this book since she loves to run around the house at top speed. And it is true that I wrote most of the book with her sitting on me!


Funny thing is that my husband forgot he already gave me a #booknecklace for RACE THE SANDS -- a tiny hourglass with sand inside. But don't tell him, because I love both.



Thanks so much for joining me on my #booknecklace countdown to RACE THE SANDS pub day! It will be out in the world tomorrow!!! I hope all of you are safe, healthy, and happy. Sending so much love to everyone!







neck

Skip the steak, buy the brisket: Consumers need to be flexible amid beef bottlenecks

Where's the beef? In California, it is still available, but meat eaters might need to settle for cuts other than prime steaks. The industry is dealing with production backups caused by coronavirus pandemic.




neck

Advances in regenerative medicine for otolaryngology/head and neck surgery




neck

Global, regional, and national burden of neck pain in the general population, 1990-2017: systematic analysis of the Global Burden of Disease Study 2017




neck

Former Denver Broncos QB Joe Flacco underwent neck surgery

Former Denver Broncos quarterback Joe Flacco, who remains a free agent, could miss the start of the 2020 season after he underwent neck surgery.




neck

Restricting the Flow: Information Bottlenecks for Attribution. (arXiv:2001.00396v3 [stat.ML] UPDATED)

Attribution methods provide insights into the decision-making of machine learning models like artificial neural networks. For a given input sample, they assign a relevance score to each individual input variable, such as the pixels of an image. In this work we adapt the information bottleneck concept for attribution. By adding noise to intermediate feature maps we restrict the flow of information and can quantify (in bits) how much information image regions provide. We compare our method against ten baselines using three different metrics on VGG-16 and ResNet-50, and find that our methods outperform all baselines in five out of six settings. The method's information-theoretic foundation provides an absolute frame of reference for attribution values (bits) and a guarantee that regions scored close to zero are not necessary for the network's decision. For reviews: https://openreview.net/forum?id=S1xWh1rYwB For code: https://github.com/BioroboticsLab/IBA




neck

Head and neck surgery.

9781451173703 hardcover




neck

Global Shortage of Personal Protective Equipment amid COVID-19: Supply Chains, Bottlenecks, and Policy Implications

This brief examines the global shortage of the personal protective equipment (PPE) needed to tackle COVID-19 and suggests policy implications.




neck

Necklace Spots A-Fib in Just Over 30 Seconds

Title: Necklace Spots A-Fib in Just Over 30 Seconds
Category: Health News
Created: 5/6/2020 12:00:00 AM
Last Editorial Review: 5/7/2020 12:00:00 AM




neck

Necklace Spots A-Fib in Just Over 30 Seconds

A necklace outfitted with a high-tech pendant may be able to screen for signs of an abnormal heart rhythm condition known as atrial fibrillation.




neck

Unusual and important cause of acute neck pain: Longus colli calcific tendinitis

Early recognition of longus colli calcific tendinitis can prevent unnecessary interventions including antibiotics and surgical procedures.




neck

Bottleneck Size-Dependent Changes in the Genetic Diversity and Specific Growth Rate of a Rotavirus A Strain [Genetic Diversity and Evolution]

RNA viruses form a dynamic distribution of mutant swarms (termed "quasispecies") due to the accumulation of mutations in the viral genome. The genetic diversity of a viral population is affected by several factors, including a bottleneck effect. Human-to-human transmission exemplifies a bottleneck effect, in that only part of a viral population can reach the next susceptible hosts. In the present study, two lineages of the rhesus rotavirus (RRV) strain of rotavirus A were serially passaged five times at a multiplicity of infection (MOI) of 0.1 or 0.001, and three phenotypes (infectious titer, cell binding ability, and specific growth rate) were used to evaluate the impact of a bottleneck effect on the RRV population. The specific growth rate values of lineages passaged under the stronger bottleneck (MOI of 0.001) were higher after five passages. The nucleotide diversity also increased, which indicated that the mutant swarms of the lineages under the stronger bottleneck effect were expanded through the serial passages. The random distribution of synonymous and nonsynonymous substitutions on rotavirus genome segments indicated that almost all mutations were selectively neutral. Simple simulations revealed that the presence of minor mutants could influence the specific growth rate of a population in a mutant frequency-dependent manner. These results indicate a stronger bottleneck effect can create more sequence spaces for minor sequences.

IMPORTANCE In this study, we investigated a bottleneck effect on an RRV population that may drastically affect the viral population structure. RRV populations were serially passaged under two levels of a bottleneck effect, which exemplified human-to-human transmission. As a result, the genetic diversity and specific growth rate of RRV populations increased under the stronger bottleneck effect, which implied that a bottleneck created a new space in a population for minor mutants originally existing in a hidden layer, which includes minor mutations that cannot be distinguished from a sequencing error. The results of this study suggest that the genetic drift caused by a bottleneck in human-to-human transmission explains the random appearance of new genetic lineages causing viral outbreaks, which can be expected according to molecular epidemiology using next-generation sequencing in which the viral genetic diversity within a viral population is investigated.




neck

Daily Time of Radiation Treatment Is Associated with Subsequent Oral Mucositis Severity during Radiotherapy in Head and Neck Cancer Patients

Background:

Limited treatment options are available for oral mucositis, a common, debilitating complication of cancer therapy. We examined the association between daily delivery time of radiotherapy and the severity of oral mucositis in patients with head and neck cancer.

Methods:

We used electronic medical records of 190 patients with head and neck squamous cell carcinoma who completed radiotherapy, with or without concurrent chemotherapy, at Roswell Park Comprehensive Cancer Center (Buffalo, NY) between 2015 and 2017. Throughout a 7-week treatment course, patient mouth and throat soreness (MTS) was self-reported weekly using a validated oral mucositis questionnaire, with responses 0 (no) to 4 (extreme). Average treatment times from day 1 until the day before each mucositis survey were categorized into seven groups. Multivariable-adjusted marginal average scores (LSmeans) were estimated for the repeated- and maximum-MTS, using a linear-mixed model and generalized-linear model, respectively.

Results:

Radiation treatment time was significantly associated with oral mucositis severity using both repeated-MTS (n = 1,156; P = 0.02) and maximum-MTS (n = 190; P = 0.04), with consistent patterns. The severity was lowest for patients treated during 8:30 to <9:30 am (LSmeans for maximum-MTS = 2.24; SE = 0.15), increased at later treatment times and peaked at early afternoon (11:30 am to <3:00 pm, LSmeans = 2.66–2.71; SEs = 0.16/0.17), and then decreased substantially after 3 pm.

Conclusions:

We report a significant association between radiation treatment time and oral mucositis severity in patients with head and neck cancer.

Impact:

Although additional studies are needed, these data suggest a potential simple treatment time solution to limit severity of oral mucositis during radiotherapy without increasing cost.




neck

Oral Microbiome Profiling in Smokers with and without Head and Neck Cancer Reveals Variations Between Health and Disease

While smoking is inextricably linked to oral/head and neck cancer (HNSCC), only a small fraction of smokers develop HNSCC. Thus, we have sought to identify other factors, which may influence the development of HNSCC in smokers including microbiology. To determine microbial associations with HNSCC among tobacco users, we characterized oral microbiome composition in smokers with and without HNSCC. 16S rRNA MiSeq sequencing was used to examine the oral mucosa microbiome of 27 smokers with (cases) and 24 without HNSCC (controls). In addition, we correlated previously reported levels of DNA damage with the microbiome data. Smokers with HNSCC showed lower microbiome richness compared with controls (q = 0.012). Beta-diversity analyses, assessed as UniFrac (weighted and unweighted) and Bray–Curtis distances, showed significant differences in oral mucosal microbiome signatures between cases and controls (r2 = 0.03; P = 0.03) and higher interindividual microbiome heterogeneity in the former (q ≤ 0.01). Higher relative abundance of Stenotrophomonas and Comamonadaceae and predicted bacterial pathways mainly involved in xenobiotic and amine degradation were found in cases compared with controls. The latter, in contrast, exhibited higher abundance of common oral commensals and predicted sugar degradation pathways. Finally, levels of DNA damage in the oral cavity were correlated with the microbiome profiles above. Oral microbiome traits differ in smokers with and without HNSCC, potentially informing the risk of eventual HNSCC and shedding light into possible microbially mediated mechanisms of disease. These findings present data that may be useful in screening efforts for HNSCC among smokers who are unable to quit.




neck

Involvement of the Olfactory Apparatus by Gliomas [HEAD & NECK]

SUMMARY:

The olfactory bulbs and tracts are central nervous system white matter tracts maintained by central neuroglia. Although rare, gliomas can originate from and progress to involve the olfactory apparatus. Through a Health Insurance Portability and Accountability Act–compliant retrospective review of the institutional teaching files and brain MR imaging reports spanning 10 years, we identified 12 cases of gliomas involving the olfactory bulbs and tracts, including 6 cases of glioblastoma, 2 cases of anaplastic oligodendroglioma, and 1 case each of pilocytic astrocytoma, diffuse (grade II) astrocytoma, anaplastic astrocytoma (grade III), and diffuse midline glioma. All except the pilocytic astrocytoma occurred in patients with known primary glial tumors elsewhere. Imaging findings of olfactory tumor involvement ranged from well-demarcated enhancing masses to ill-defined enhancing infiltrative lesions to nonenhancing masslike FLAIR signal abnormality within the olfactory tracts. Familiarity with the imaging findings of glioma involvement of the olfactory nerves is important for timely diagnosis and treatment of recurrent gliomas and to distinguish them from other disease processes.




neck

Comparison of Enhancement of the Vestibular Perilymph between Variable and Constant Flip Angle-Delayed 3D-FLAIR Sequences in Meniere Disease [HEAD & NECK]

BACKGROUND AND PURPOSE:

Endolymphatic hydrops in patients with Menière disease relies on delayed postcontrast 3D-FLAIR sequences. The purpose of this study was to compare the degree of perilymphatic enhancement and the detection rate of endolymphatic hydrops using constant and variable flip angles sequences.

MATERIALS AND METHODS:

This was a retrospective study performed in 16 patients with Menière disease who underwent 3T MR imaging 4 hours after gadolinium injection using two 3D-FLAIR sequences with a constant flip angle at 140° for the first and a heavily-T2 variable flip angle for the second. The signal intensity ratio was measured using the ROI method. We graded endolymphatic hydrops and evaluated the cochlear blood-labyrinth barrier impairment.

RESULTS:

Both for symptomatic and asymptomatic ears, the median signal intensity ratio was significantly higher with the constant flip angle than with the heavily-T2 variable flip angle (7.16 versus 1.54 and 7.00 versus 1.45, P < .001). Cochlear blood-labyrinth barrier impairment was observed in 4/18 symptomatic ears with the heavily-T2 variable flip angle versus 8/19 with constant flip angle sequences. With heavily-T2 variable flip angle sequences, endolymphatic hydrops was observed in 7–10/19 symptomatic ears versus 12/19 ears with constant flip angle sequences. We found a significant association between the clinical symptomatology and the presence of endolymphatic hydrops with constant flip angle but not with heavily-T2 variable flip angle sequences. Interreader agreement was always perfect with constant flip angle sequences while it was fair-to-moderate with heavily-T2 variable flip angle sequences.

CONCLUSIONS:

3D-FLAIR constant flip angle sequences provide a higher signal intensity ratio and are superior to heavily-T2 variable flip angle sequences in reliably evaluating the cochlear blood-labyrinth barrier impairment and the endolymphatic space.




neck

Asteroid Arrokoth may have broken its neck in 6400 km per hour impact

Arrokoth, a strange two-lobed space rock, was hit by another rock at some point – the collision may have snapped Arrokoth’s narrow neck before it reformed again




neck

Joe Flacco could be out until September after neck surgery: reports

Super Bowl champion quarterback Joe Flacco underwent neck surgery last month and is expected to be out until September, according to multiple reports.




neck

Ravens' Earl Thomas gifted flashy necklace by wife after she allegedly held him at gunpoint: report

Baltimore Ravens safety Earl Thomas appears to have reconciled with his wife after reports emerged earlier this week that she held him at gunpoint last month after discovering an alleged affair. 




neck

Bottleneck for job hunters expected after CERB ends this fall

Canada Emergency Response Benefit (CERB), for people who lost income due to COVID-19, provides $2,000 a month for up to four months.




neck

Missoma creates Round of Applause necklace to raise funds for the NHS

A round of applause for our carers




neck

Meghan Markle wore Prince Harry and baby Archie&apos;s star signs on her necklaces during first interview about new Disney+ documentary

Megha-bling




neck

PM accused of being 'up to his neck in' sports grants saga

The Federal Opposition Leader accuses Scott Morrison of misleading Federal Parliament over the sports rorts saga, saying Bridget McKenzie was made a "scapegoat" over the affair.



  • Government and Politics

neck

'Rednecks' racially attacking Chinese trainee pilots and using laser pointers, school claims

Reports of interference with aircraft radio communications at one of regional Victoria's busiest airports, where a flying school training pilots for Chinese airlines has been operating for about a year, are being investigated.




neck

MTaI urges govt to provide relief to medical devices cos to come out of COVID─19─induced financial crisis and logistics bottlenecks




neck

The MDR and the Covid-19 recommendation – a possible template for fixing the MDR and IVDR bottleneck

What is this recommendation about? Obviously this recommendation is an attempt of the Commission to manage administative barriers to placing PPE (personal protective equipment) and medical devices on the market that would be needed in the struggle to get the current Covid-19 pandemic under control. In my view you can also see this as a […]




neck

Erlotinib sensitivity of <i>MAPK1</i>p.D321N mutation in head and neck squamous cell carcinoma




neck

Does multiparametric imaging with <sup>18</sup>F-FDG-PET/MRI capture spatial variation in immunohistochemical cancer biomarkers in head and neck squamous cell carcinoma?




neck

Is Text Neck really a thing?

is looking down at your phone really like putting an aardvark on your head?




neck

Refreshing tiny house is built using gooseneck trailer

This kind of trailer means you can eliminate the head-banging sleeping loft.




neck

Uniting Voices Across Europe to Show Support for Head and Neck Cancer Patients - Uniting Voices Across Europe to Show Support for Head and Neck Cancer Patients

Uniting Voices Across Europe to Show Support for Head and Neck Cancer Patients




neck

Neck stalls and sole juggles: freestyler Liv Cooke’s lockdown challenges – video

With football on hold during the coronavirus pandemic, one of the world’s leading freestylers is helping fans remain active under lockdown. Every day, Liv Cooke a four-time world record holder, posts footage of herself performing a freestyle trick with instructions on how to follow suit at home

Continue reading...





neck

DIY Sumertime cherry necklace

This necklace was inspired by one my friend Rebecca made. She’s a big bakelite fan and didn’t want to pay a bunch of a bakelite cherry necklace, so she took matters into her own hands and made her own version using red bakelite beads. So when I was at Michael’s … Continue reading




neck

DIY Halloween shrink necklace

To kick of the fabulous month of October here is a DIY that you can make super easy & simply, or fancy it up by adding beads and loads of images. Here’s what you need: –Inkjet Shrink Plastic -chain -jump rings (in a color that matches your chain..I went with … Continue reading




neck

DIY: Spring inspired hex necklace

March is national Craft Month, and the folks at Jo­‐Ann Fabric And Craft Stores asked me to help celebrate by creating a DIY based on one of the latest Spring Trends. I decided to go with a mix of trends, flowers and geometric. I created a English paper pieced hexagon … Continue reading






neck

Justin Bieber leaves church and shows new neck tattoo of bird

Justin, 25, teased the tattoo on his Instagram account, asking fans if they were interested in seeing it. 'I got a new tatoo do you want to see it?' Justin posted on his Instagram stories.