The Toffees have spent the week soul-searching after their devastating loss to Wigan in the FA Cup quarter-finals but they looked back to their best in a fiery Barclays Premier League clash at Goodison Park. Kevin Mirallas had a goal harshly disallowed before Osman scored from long range after 32 minutes and the Toffees held on despite the dismissal of Steven Pienaar and made sure through Jelavic in injury time. Leon Osman and Nikica Jelavic struck as 10-man Everton responded to their critics to claim a 2-0 win and deliver a potentially fatal blow to Manchester City’s title hopes. All the urgency came from Everton as they demonstrated a hunger and desire they failed to show last week. Marouane Fellaini, himself subject of plenty of criticism this week, left no one in doubt as to his desire with a crunching challenge on James Milner. The downside for him and Everton was that it earned a 10th booking of the season and a two-match suspension. City were slow to respond and thought they had been punished in the 13th minute when Kevin Mirallas lashed the ball into the net after Osman returned a clearance into the visitors’ box. Much to City’s relief, a flag had been raised for offside but replays suggested the decision was an extremely harsh one. Everton were frustrated not to get a free-kick when Sylvain Distin was knocked over by Gareth Barry in a challenge and the City midfielder was caught soon after by Pienaar, who earned his first yellow. Aleksandar Kolarov was the next to be booked after up-ending Osman, whose next significant contribution was to fire the Toffees ahead. The midfielder, whose form earned another England call-up this week, took a square ball from Seamus Coleman 25 yards out and struck a first-time shot which swerved viciously away from Joe Hart. Everton went close again when Osman had a volley deflected over from a corner and the feisty atmosphere of the first half returned when Pienaar caught Javi Garcia and was shown his second yellow card. City continued to press and had an opportunity when a Carlos Tevez shot struck Fellaini’s arm in the box, but a free-kick outside the area was awarded and Kolarov struck the wall. Everton rode out the storm and broke away in injury time through Fellaini, who rolled wide for Jelavic to beat Hart with a deflected shot. Press Association
Looking at other contested races for city government:— Worth County== FertileMayor — Nick Bailey, *Joyce RussellCouncil (2 seats) — Denna Biretz, *Ronald Rachut, *Cynthia Peters== HanlontownMayor — Linda McMullin, Andrew Althof, *Richard ScholbrockCouncil (5 seats) — Shannon Warren, Julie Lossee, *Janet Fellin, *Linda Fulton, *Scott Hakes, *Crystal Brower, Samuel Fellin== KensettCouncil (3) — *David Heiken, Herb Thompson, LaRue Douglas, *Kris Woltzen —- Franklin County== AckleyCouncil (2) —- TaLana Holman, Joe Wessels, Mike Abbas, Jeff Brass, Darrel Day== DowsCouncil (2) —- Nancy Plendl, Trent Claude, Margaret Ann Worden== HamptonCouncil Ward 4 —- Steve Birdsall, Steve Proodian== HansellCouncil (5) —- Taylor Jones, Joe Hanna, Daryl Norman, Michael Norman, Deanna Genz, Brian Harlan== SheffieldCouncil (3) —- Bradley Mulford, Dave Smit, Ashley Francis, Jill PetersonBallot Question — Local Options Sales Tax renewal and change —- Wright County= ClarionCouncil (2) —- Shayne Hennigar, Larry Harrah Junior, Andrew Young, Teresa Lancaster= DowsCouncil (2) — Nancy Plendl, Trent Claude, Margaret Worden= GoldfieldCouncil (2) —- Chris Petersen, Alex Boone, Tom Crees== RowanBallot Question —- Local Options Sales Tax —- Mitchell County== OsageCouncil At-Large —- Chrystal Berche, Darla Olson== St. AnsgarMayor —- Norman Johnson, Keith Horgen —- Winnebago County== Buffalo CenterCouncil (3) —- Jared Bechler, Ricardo Garcia, Debra Wirth, Tanner Waver, Janell Martini== Forest CityCouncil At-Large —- Karl Wooldridge, Kip Murphy== ThompsonMayor —- Dan Swearingen, Daniel NewtonCouncil (3) —- Stacy Willert, Todd Hughes, Cara Chapman, Troy Fleener —- Hancock County== BrittCouncil (3) —- Stacy Swenson, Thomas Anderson, Karrie Wallen, Jay Ryerson, Curt Gast== CorwithCouncil (3) —- Scott Peterson, Bonita Schissel, Sharon Hankins, Cathy Lloyd== Crystal LakeMayor —- Steven Hanna, Les LeibrandCouncil (3) —- Loretta Oudekerk, Duane Harms, Russell Helm, Laura Blocker== GarnerCouncil At-Large (2) —- Glen Juhl, Marline Lewerke, Jennifer BreisterCouncil-To Fill Vacancy —- Don Bell, Daivd Greiman== KlemmeCouncil (2) —- Doug Taft, Daniel Wolf, David Abele — Floyd County== Charles CityCouncil (3) —- Craig Hamm, Phillip Knighten, Phoebe Pittman, Keith Starr, Ann Teeter== FloydCouncil (3) —- Merlin Holtz, Cleone King, Michael Miller, Jeremy Stewart== Marble RockCouncil (2) —- John Marzen, Chad Schriever, Kaylah Schwizer== RuddMayor —- Jeffrey Buland, Donna Lunsford
Fiji and Australia have struck a deal to boost passenger traffic between the countries by 10 per cent.The South Pacific island is a popular travel destination for Australians and the new agreement should prove a boost for its important tourism industry.Airlines had used available passenger capacity on routes between Fiji and Australia’s four biggest airports and Australian Transport Minister Darren Chester described the deal, which will also see the limits on freight double, as a great outcome for both countries.“Expansion of these arrangements with Fiji has been long sought after by airline and airport stakeholders and the Turnbull-Joyce government has delivered,” Chester said in a statement.“This agreement is a win for Australian travellers, given it consistently ranks among the top 10 international destinations.“The additional passenger capacity will provide more opportunities for airlines to strengthen business and tourism links between our two countries.“Doubling airline freight capacity on the route will also allow carriers to capitalise on the significant trade and investment relationship between Australia and Fiji, valued at over $4.2 billion in 2015-16.Fiji is serviced directly from Australia by Jetstar and Virgin Australia while Fiji Airways, which codeshares with 46 per cent stakeholder Qantas, flies to Sydney, Melbourne and Brisbane.The Fiji Airways Group in 2016 recorded a record profit $F84.5 million ($US41m) despite a devastating cyclone and increased competition.Passenger numbers rose 4.9 per cent to 1.4 million as the airline launched new routes from Fiji to Singapore, Vava’u (Tonga) and San Francisco. It also increased flights to Hong Kong and boosted a range of seasonal services to a range of destinations.
DefinitionComplex regional pain syndrome (CRPS) is a chronic pain condition that can affect any area of the body, but often affects an arm or a leg.Alternative NamesCRPS; RSDS; Causalgia – RSD; Shoulder-hand syndrome; Reflex sympathetic dystrophy syndrome; Sudecks atrophyCauses, incidence, and risk factorsDoctors arent sure what causes CRPS. In some cases, the sympathetic nervous system plays an important role in the pain. Another theory is that CRPS is caused by a triggering of the immune response, which leads to the inflammatory symptoms of redness, warmth, and swelling in the affected area.CRPS has two forms:CRPS 1 is a chronic nerve disorder that occurs most often in the arms or legs after a minor injury.CRPS 2 is caused by an injury to the nerve.CRPS is thought to result from damage to the nervous system, including the nerves that control the blood vessels and sweat glands.The damaged nerves are no longer able to properly control blood flow, feeling (sensation), and temperature to the affected area. This leads to medical problems in the:Blood vesselsBonesMusclesNervesSkinPossible causes of CRPS:Injury directly to a nerveInjury or infection in an arm or legRarely, sudden illnesses such as a heart attack or stroke can cause CSPS. The condition can sometimes appear without obvious injury to the affected limb.This condition is more common in people ages 40 – 60, but it has been seen in younger people too.SymptomsThe key symptom is pain that:Is intense and burning, and is much stronger than would be expected for the type of injury that occurredGets worse, rather than better over timeBegins at the point of injury, but often spreads to the whole limb, or to the arm or leg on the opposite side of the bodyIn most cases, CRPS has three stages. However, CRPS does not always follow this pattern. Some people develop severe symptoms almost right away. Others stay in the first stage.advertisementStage 1 (lasts 1 – 3 months):Changes in skin temperature, switching between warm or coldFaster growth of nails and hairMuscle spasms and joint painSevere burning, aching pain that worsens with the slightest touch or breezeSkin that slowly becomes blotchy, purple, pale, or red; thin and shiny; swollen; more sweatyStage 2 (lasts 3 – 6 months):Continued changes in the skinNails that are cracked and break more easilyPain that is becoming worseSlower hair growthStiff joints and weak musclesStage 3 (irreversible changes can be seen)Limited movement in limb because of tightened muscles and tendons (contracture)Muscle wastingPain in the entire limbIf pain and other symptoms are severe or long-lasting, many people may experience depression or anxiety.Signs and testsDiagnosing CRPS can be difficult, but early diagnosis is very important.The doctor will take a medical history and do a physical examination. Other tests may include:A test to show temperature changes and lack of blood supply in the affected limb (thermography)Bone scansNerve conduction studiesX-raysTreatmentThere is no cure for CRPS, but the disease can be slowed. The main focus is on relieving the symptoms and helping people with this syndrome live as normal a life as possible.Physical and occupational therapy should be started as early as possible. Starting an exercise program and learning to keep joints and muscles moving may prevent the disease from getting worse and help you perform everyday activities.Medications may be used, including pain medicines, steroids, certain blood pressure medicines, bone loss medications (such as bisphosphonates like Fosamax and Actonel), and antidepressants.Some type of talk therapy, such as cognitive behavioral therapy or psychotherapy, can help teach the skills you need to live with chronic pain.Surgical or invasive techniques that may be tried:Injected medicine that numbs the affected nerves or pain fibers around the spinal column (nerve block)Internal pain pump that directly delivers medications to the spinal cord (intrathecal drug pump)Spinal cord stimulator, which involves placing electrodes (electrical leads) next to the spinal cord. A low-level electrical current is used to create a pleasant or tingling sensation in the painful area is the best way to reduce pain in some patients.Surgery that cuts the nerves to destroy the pain (surgical sympathectomy), although it is unclear how many patients this helps. It may also make some patients symptoms worse.Expectations (prognosis)The outlook is better with an early diagnosis. If the doctor diagnoses the condition within the first stage, sometimes signs of the disease may disappear (remission) and normal movement is possible.If the condition is not diagnosed quickly, changes to the bone and muscle may get worse and may not be reversible.advertisementIn some people, symptoms go away on their own. In other people, even with treatment the pain continues and the condition causes crippling, irreversible changes.ComplicationsCognitive impairmentDepressionLoss of muscle size or strength in the affected limbSpread of the disease to another part of the bodyWorsening of the affected limbComplications can also occur with some of the nerve and surgical treatments.Calling your health care providerContact your health care provider if you develop constant, burning pain in an arm, leg, hand, or foot.PreventionThere is no known prevention at this time. Early treatment is the key to slowing the progression of the disease.ReferencesNational Institute of Neurological Disorders and Stroke. Complex regional pain syndrome fact sheet. Updated December 21, 2009. Accessed January 19, 2010.Saxton DL, Lindenfeld TN. Complications. In: DeLee JC, Drez D Jr., Miller MD, eds. DeLee and Drezs Orthopaedic Sports Medicine. 3rd ed. Philadelphia, Pa: Saunders Elsevier;2009:chap 7.Review Date:2/16/2012Reviewed By:Luc Jasmin, MD, PhD, Department of Neurosurgery at Cedars-Sinai Medical Center, Los Angeles, and Department of Anatomy at UCSF, San Francisco, CA. Review provided by VeriMed Healthcare Network. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Health Solutions, Ebix, Inc.
Conversational AI is one of the most interesting applications of artificial intelligence in recent years. While the trend isn’t yet ubiquitous in the way that recommendation systems are (perhaps unsurprising), it has been successfully productized by a number of tech giants, in the form of Google Home and Amazon Echo (which is ‘powered by’ Alexa). The conversational AI arms race Arguably, 2018 has seen a bit of an arms race in conversational AI. As well as Google and Amazon, the likes of IBM, Microsoft, and Apple have wanted a piece of the action. Here are some of the new conversational AI tools and products these companies introduced this year: Google Google worked towards enhancing its conversational interface development platform, Dialogflow. In July, at the Google Cloud Next event, it announced several improvements and new capabilities to Dialogflow including Text to Speech via DeepMind’s WaveNet and Dialogflow Phone Gateway for telephony integration. It also launched a new product called Contact Center AI that comes with Dialogflow Enterprise Edition and additional capabilities to assist live agents and perform analytics. Google Assistant became better in having a back-and-forth conversation with the help of Continued Conversation, which was unveiled at the Google I/O conference. The assistant became multilingual in August, which means users can speak to it in more than one language at a time, without having to adjust their language settings. Users can enable this multilingual functionality by selecting two of the supported languages. Following the footsteps of Amazon, Google also launched its own smart display named Google Home Hub at the ‘Made by Google’ event held in October. Microsoft Microsoft’s in 2018 introduced and improved various bot-building tools for developers. In May, at the Build conference, Microsoft announced major updates in their conversational AI tools: Azure Bot Service, Microsoft Cognitive Services Language Understanding, and QnAMaker. To enable intelligent bots to learn from example interactions and handle common small talk, it launched new experimental projects from named Conversation Learner and Personality Chat. At Microsoft Ignite, Bot Framework SDK V4.0 was made generally available. Later in November, Microsoft announced the general availability of the Bot Framework Emulator V4 and Web Chat control. In May, to drive more research and development in its conversational AI products, Microsoft acquired Semantic Machines and established conversational AI center of excellence in Berkeley. In November, the organization’s acquisition of Austin-based bot startup XOXCO was a clear indication that it wants to get serious about using artificial intelligence for conversational bots. Producing guidelines on developing ‘responsible’ conversational AI further confirmed Microsoft wants to play a big part in the future evolution of the area. Amazon Amazon with the aims to improve Alexa’s capabilities released Alexa Skills Kit (ASK) which consists of APIs, tools, documentation, and code samples using which developers can build new skills for Alexa. In September, it announced a preview of a new design language named Alexa Presentation Language (APL). With APL, developers can build visual skills that include graphics, images, slideshows, and video, and to customize them for different device types. Amazon’s smart speaker Echo Dot saw amazing success with becoming the best seller in smart speaker category on Amazon. At its 2018 hardware event in Seattle, Amazon announced the launch of redesigned Echo Dot and a new addition to Alexa-powered A/V device called Echo Plus. As well as the continuing success of Alexa and the Amazon Echo, Amazon’s decision to launch the Alexa Fellowship at a number of leading academic institutions also highlights that for the biggest companies conversational AI is as much about research and exploration as it is products. Like Microsoft, it appears that Amazon is well aware that conversational AI is an area only in its infancy, still in development – as much as great products, it requires clear thinking and cutting-edge insight to ensure that it develops in a way that is both safe and impactful. What’s next? This huge array of products is a result of advances in deep learning researches. Now conversational AI is not just limited to small tasks like setting an alarm or searching the best restaurant. We can have a back and forth conversation with the conversational agent. But, needless to say, it still needs more work. Conversational agents are yet to meet user expectations related to sensing and responding with emotion. In the coming years, we will see these systems understand and do a good job at generating natural language. They will be able to have reasonably natural conversations with humans in certain domains, grounded in context. Also, the continuous development in IoT will provide AI systems with more context. Read Next Apple has introduced Shortcuts for iOS 12 to automate your everyday tasks Microsoft amplifies focus on conversational AI: Acquires XOXCO; shares guide to developing responsible bots Amazon is supporting research into conversational AI with Alexa fellowships