2023) — Former University of Kentucky Board of Trustee member Zirl A
Palmer became Lexington's lone Black pharmacist in the 1950s and emerged as a central figure in Lexington’s African American community until his death in 1982
The following profile on Palmer first appeared in Pharmacy Chronicles: History of Pharmacy SIG Newsletter
Big man of the Klan in Lexington was killed there
‘We’re going to kill the biggest Black guy in Lexington,” said Zirl A
The interview is part of University Kentucky Libraries’ Louie B
The 1968 shootout was a 10-minute gun battle on the streets of Berea
anti-Black National States Rights Party that resulted in the death of two
carried out a bombing against Zirl Palmer’s Lexington pharmacy in the West End Plaza
but Zirl Palmer’s legacy as a community leader and civil rights activist was already firmly established
Palmer never set out to become the most prominent Black man in Lexington
but as the city’s lone Black pharmacist in the 1950s
he emerged as a central figure in Lexington’s African American community until his death in 1982
as the oldest child of James and Lola Allen Palmer
Palmer worked as an inspector’s helper for Norfolk & Western Railroad until the age of 21
Army for three years during World War II (1943-46)
where he obtained a bachelor's degree in chemistry and mathematics
He then spent a year at Howard University in the Graduate School of Chemistry
completing courses in the pre-medicine curriculum
Palmer finished his training in the College of Pharmacy at Xavier University in Louisiana in 1951
Palmer was an active member of the student body
In addition to his work as a reporter for the university paper
Palmer was instrumental in establishing a student branch of the American Pharmaceutical Association and served as the student group’s inaugural president
Palmer came to Lexington upon graduation in 1951 and opened his pharmacy at the corner of 5th and Race Streets in Lexington’s thriving Black neighborhood of the East End
he knew the city had nine Black doctors and four Black dentists
His business plan was centered on being the lone Black pharmacist for Lexington’s African American community
Palmer’s patience and commitment to professionalism were key
many people in the African American community had not seen a Black pharmacist and certainly not one as young as Palmer
the community — including some of the local physicians — thought Palmer was too young
Without the mentorship of a more senior pharmacist
“staying in the books” for the first two years on the job
He abided by the wisdom of the Xavier University Dean of Pharmacy who told him
“Never dispense anything that you actually don’t know what it is yourself.” So he dedicated himself to study to avoid making any mistakes that would undermine his credibility with the local practitioners or his customers
and reliable track record garnered the respect of his community
While the absence of a designated pharmacist for the African American community drove business to Palmer
his entrepreneurial spirit kept his customers coming back
The pharmacy was a gathering place in the neighborhood and was one of the few places in Lexington where the African American community could sit and drink a soda
he struggled to find a vendor to sell him ice cream; however
Harold Brookings from the Dixie Ice Cream Company
won every sales contest in the Lexington area because of his account with Palmer’s pharmacy
Palmer sold over 5,000 gallons of ice cream
the rest of the ice cream vendors in the city were also interested in doing business with Palmer
Palmer understood that it was difficult for his store to compete with the major retail chains when it came to the margins on drugs
the profit was to be made on other items in the store
Palmer found innovative ways to draw customers into the store beyond the ice cream and soda that had people lined up out the door
Palmer saw that there were no calendars depicting Black people
so he created his own Palmer’s Pharmacy branded calendars with photographs of the African American community in Lexington
causing community members to approach Palmer as early as September to make sure they could secure next year’s calendar
When his customers looked at their calendar every day
not only did they see images that reflected their community
they also saw the name “Palmer’s.” Palmer understood that representation mattered to his community
a conviction that was evident in his service to the community separate from his business
Palmer also recognized that no businesses in Lexington were processing utility bills like the pharmacies did in New Orleans
where he had completed his pharmacy training
he began collecting payment for city utilities inside his pharmacy
All of these things brought customers into the pharmacy and established Palmer’s reputation as a pillar of the East End community
Following the success of his first pharmacy
Palmer purchased property in 1959 at the intersection of 5th and Chestnut Street
he built a new two-story building to house Palmer’s Pharmacy
which opened its doors to the Lexington community in 1961
Palmer again demonstrated his entrepreneurship and commitment to the community by combining essential community services in his pharmacy
which housed two physicians and a lawyer in the upstairs suites
and Doctor’s Office was the sole Black-owned pharmacy in Lexington at the time and was the first Rexall pharmacy in the United States owned by an African American
The success of the East End pharmacy ultimately led Palmer to open a second
concurrently operating location in the new West End Plaza Shopping Center on Georgetown Street
Palmer’s second pharmacy was adjacent to other businesses
and was in a predominantly white neighborhood
Palmer recalled that the location made three times the revenue his other pharmacy businesses had taken ten years to make
Palmer continued to be a resource in the Black community for matters of health
As Black doctors in the community passed away
customers would continue to come to Palmer seeking his expertise
He advised on matters where he could and made referrals to other doctors when he could not
Palmer’s prominence in the community did not go unnoticed
1968 — just days after the racially charged gun battle in Berea that killed two men — a man entered Palmer’s West End pharmacy carrying a brown leather briefcase
Palmer and a customer noticed the man and Palmer would later testify that he saw the man leave without the briefcase
and the briefcase contained a bomb set on a timer made from a cheap alarm clock
Palmer’s pharmacy was in ruins and 10 people were left injured
Residents from the nearby Charlotte Court neighborhood rushed to pull survivors from the wreckage
Buried in the debris of overturned counters and showcases were Palmer’s wife and daughter
who were narrowly saved from the burning building by the heroic men from Charlotte Court
Palmer lived in fear for the safety of his family and made the decision not to reopen the pharmacy
selling the still-functioning East End store shortly thereafter
Palmer continued to serve Lexington as a pharmacist in a local Walgreens and through his service on many state and local councils
Palmer made massive contributions to the health and wellness of the African American community of Lexington as a pharmacist
but his legacy of service to his community was perhaps even greater
Palmer always worked to support and advocate for the Black community as they pursued careers in pharmacy and medicine
He and his wife actively encouraged one of his employees to quit her job working the soda fountain to pursue training as a nurse
Viola Davis Brown would go on to be the first African American admitted to a nursing school in Lexington
the first African American promoted to hospital supervisor at St
In addition to creating jobs for clerks and delivery drivers
Palmer employed interns from the University of Kentucky College of Pharmacy and wrote recommendations for four of the five Black students he knew had enrolled in Kentucky’s College of Pharmacy as of 1979
In 1972 Palmer was appointed to a seat on the University of Kentucky Board of Trustees by Governor Wendell Ford and reappointed for a four-year term in 1975 by Governor Julian Carroll
Palmer was not reappointed in 1979 and protests erupted across the state and from the NAACP
Carroll planned to appoint Palmer to the state Council on Higher Education
a plan that was never completed after the incumbent decided against resigning his post
Palmer was an active participant in the Lexington community
He played baseball for the Lexington Hustlers — the local professional Negro League team and the first integrated team in the south — and helped coach the University of Kentucky tennis team
He was an active member of Main Street Baptist Church
running a health care program in cooperation with the church
He was active in local branches of Planned Parenthood
and was the first African American member of the Optimist Club and Big Brothers
and was a member of the Kentucky Commission on Human Rights at the state and local level
Palmer maintained his membership with the American Pharmaceutical Association as well as the National Association of Retail Druggists
Palmer’s vast resume of local and state service underscores his commitment to advocacy and his conviction that African American representation mattered at every level
In a Lexington Herald-Leader article reflecting on Palmer’s business success and community legacy
“It just meant something that a Black person in Lexington could do that
He’s always been a mover in the community — many times behind the scenes.”
Palmer came to a highly segregated Lexington and made a lasting impact in his communities
From benefiting the personal health of the East End customers that he served out of his pharmacies
to his advocacy for the rights and representation of the African American community
Palmer’s legacy demonstrates the power of the retail druggist to be a community pharmacist in every aspect of the word
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— A new WayPoint center is now open in Lexington at the site of a former historic Black-owned pharmacy
The WayPoint initiative under United Way of the Bluegrass is helping underprivileged communities
A new center is now open in a historic spot
the site of a former historic Black-owned pharmacy
was among several state and city leaders in attendance for Monday's grand opening
It was supported by a gift from the Marksbury Family Foundation
The historic Palmer pharmacy building in east Lexington was the first Black-owned Rexall pharmacy in the U.S
Army veteran Zirl Palmer never reopened it.
But Palmer left behind a legacy as a community leader and civil rights advocate
the East 5th Street space will connect people with opportunities to achieve financial stability and independence
sat down with the community to gauge its needs for the historic site.
not another redevelopment project that would cause displacement
but one that would benefit the folks and the people that live in this neighborhood and call this the East End home,” Brown said
“That's why I'm excited today because I think that's how it turned out.”
The WayPoint Center offers services like health screenings
financial counseling and help finding a job
Mayor Linda Gorton and other leaders gathered for the grand opening
“What I see is a strong group of leaders that care about this city," Beshear said
they're showing they care about every single part of this city and every single family within Fayette County.”
The WayPoint Center also connects people with providers who can help cover basic needs like emergency food
the Palmer Pharmacy in Lexington's East End neighborhood is inching closer to being restored so it can bring community-benefitting services and programs to the area
It is one of 40 sites across the country that has received a grant from the National Trust for Historic Preservation's African American Cultural Heritage Action Fund.
with the Blue Grass Trust for Historic Preservation
After applying two previous times for the grant
she said it was thrilling to learn that the third time was a charm and that they had been awarded $50,000
"We immediately just started jumping up and down screaming so yes we were very excited," Sams said
Sams said the International Style of the building makes it unique
But what makes it truly special is the man who built it: Dr
"My reason for coming here [Lexington] was they had roughly nine black physicians and four dentists but no black pharmacists," Zirl said in an audio recording courtesy of the University of Kentucky's Louis B
"Segregation really prevailed then and I thought that if I came to an area where they had that many physicians as well as dentists that I couldn't miss as far as making a success in the drug business."
The World War II veteran and civil rights pioneer was the first African American to own a Rexall pharmacy in the nation
He was also the first African American trustee at the University of Kentucky
"He opened up his pharmacy with the spirit of serving the community," Sams said
"He had his ice cream and lunch parlor on the bottom floor with the pharmacy shop
We just really want to see it serving the community like he wanted it to again."
It's working with the Blue Grass Trust to determine how to move forward on the project
coupled with the $350,000 already allocated to the project
The remaining funds to do a total renovation will likely come from fundraising and the organization or entity that eventually takes ownership of the space
To learn more about the history of the building and Dr. Zirl Palmer, including the time his family was attacked by a member of the Ku Klux Klan, read here.
You can also watch the brief documentary below:
Report a typo
(LEX 18) — Today the City of Lexington turned over the keys of the historic Zirl Palmer building to the United Way of the Bluegrass
Councilman James Brown represented the first district for seven years when talks of how this building should be transformed began
this is one of the projects that I worked on for a few years and to see it come to a successful conclusion is just gratifying in so many ways."
this building was home to Lexington’s only Black-owned pharmacy
was the third Black pharmacist to practice in the city and was the first African American to own a Rexall franchise in the United States
the president and CEO of the United Way of the Bluegrass
"I can’t think of a better time to receive the keys to this historic landmark
than in the midst of Black History Month."
There were several plans for this building that has sat empty for years
it will become a Marksbury family WayPoint Center
"The WayPoint Center is a collective impact model..
which means helping people row their oars in the same direction
The building has meant a lot to the community over decades and now
the way this building has aided in helping the community before
it will have the opportunity to do so again
"Knocking this building down was one of the options on the table and the community spoke out loud and said
having a center in place is actually letting the community know they were heard
their voices were heard and more than that
this is here to help empower them,” says Johnson
This center will serve as a resource in the community by aiding in job searches
Councilmember Brown says projects like this should create support in communities
"So when you work on projects in a neighborhood with the history and with the demographics that the east end has
you have to be intentional and you have to be focused on making sure that you don't displace folks
and that you're creating a neighborhood resource and opportunities for the folks that live here,” says Brown
He says that while this is a big step forward
there is still more work to be done in the east end of the city
AbleGamers
The Worlds Largest Charity for Gamers with Disabilities
It can transition from being a home console to a portable handheld and split itself apart to let friends jump into a game alongside you
it does none of these things with any concern for accessibility
The system’s options contain zero accessibility features
The closest it comes is the ability to swap between white and black themes
so that the handheld does not blind you if you try and play it in the dark
which also helps make some of the text more legible
There are some bait-and-switch options that seem promising
like “Calibrate Control Sticks” and “Calibrate Motion Controls,” but those only reset the features back to the defaults in case something goes wrong
You cannot rebind buttons or change font sizes
the option to increase font sizes would have been most welcome
the console itself offers some additional accessibility challenges of its own
when using the Switch as a handheld is very responsive and can be used to navigate menus and type in passwords and other info
but its usage is almost nonexistent outside of this
and if you try and poke the screen while it is propped on its flimsy kickstand
it will just scoot the system around or push it over
and the one that is attached to the console dock is currently only good for charging the pro controller
the console’s biggest accessibility flaw is its default Joy-Cons
When attached to the sides of the controllers they feel fine
They are the same buttons that the 3ds uses but the sticks are more raised (which means they can snag on things if you try and just stuff it in your backpack or bag)
The sticks are fairly flat and very smooth
which means that your fingers will slip off them if you hold a direction too long
a particular annoyance for games like Mario Kart when you are trying to hold a drift
This problem is exacerbated when the Joy-Con is decoupled from the console
The Switch comes with a makeshift frame that allows you to connect both of the Joy-Cons into one Xbox-like controller
Using each Joy-Con as its own controller is a fun feature
Playing Mario Kart or 1-2 Switch with friends before class starts or during a lunch break is a lot of fun
but if you try and use the hilariously small controllers in more than short bursts
The amount of inputs (the two shoulder buttons
and joystick) versus the size of the controller means that there is no room for you to rest the controller on your palms
which means that you have to delicately balance the controller like chopsticks
The ability to change the Joy-Cons from one configuration to another was one of the console’s selling points
and while the different mash-ups all work to some degree
it is not always easy to transition from one to the other
The back of each Joy-Con has a small button that needs to be held down while it is pulled away from whatever dock it is attached to
When they are on the sides of the console
which means that I often give up on being delicate and just leave handprints all over the console screen
The smaller attachment that is used to turn each Joy-Con into its own controller is even more of a nightmare
as the pieces are smaller and require more force to remove
To exacerbate this problem is the fact that the smaller attachment can pretty easily be slid on upside-down
whether it be by a careless Switch owner or just a confused friend (both have happened to me multiple times)
you have to grip the attachment and yank it off with a worrying amount of force
The Pro Controller solves a lot of the problems that the Joy-Cons have
being almost identical to an Xbox controller in both feel and layout
but does require that extra purchase on top of a brand new console
The Pro’s buttons are larger and it can even be used as a controller for the PC
but it suffers from the same accessibility problems as most other modern controllers
namely that there are four shoulder buttons (two on each side
though when using a single Joy-Con for a controller there are only two shoulder buttons total)
and the lack of any system key rebinds means that this can be problematic for games that also lack that feature
Individual games can fix some of these problems
The game features some accessibile options such as having the player’s car steer itself with assisted driving
The game also allows you turn these options on independently of each other
1-2 Switch core gameplay is involving sound and motion actions that do not require looking at a screen
and is very accessible to the blind community
Many of the indie games available feature accessible options such as button remapping that the system itself does not include
Game developers big and small on the system are leading the way with accessible options that the console itself desperately needs
After spending quite a bit of time with the Switch
I came to embrace the idea of a home console that could also be taken on the go
but was often frustrated with how the features were implemented
both in terms of the software and hardware
While many people may just want a home console and couldn’t care less about the mobile aspect
that would certainly negate a lot of the accessibility gripes I have
but if Nintendo was so focused on that aspect
then it should have spent more thought and effort into making it an easy and accessible option
After other companies have come so far in implementing accessibility features built into the console
it is disappointing to say the least to see Nintendo ignoring accessibility so completely
creating opportunities that enable play in order to combat social isolation
and improve the quality of life for people with disabilities
We’re using the power of video games to bring people together
improving quality of life with recreation and rehabilitation
LEXINGTON, Ky. — People gathered for a ceremony to listen to speakers and witness Lexington Mayor Linda Gorton give the keys of the Palmer building to the United Way
The organization has a WayPoint Initiative to provide services to people that live in underserved communities
The Palmer building will soon be used for that purpose
Zirl Palmer owned the building during the 1960's
The building is significant because it was the only Black-owned pharmacy in Lexington at the time.
but was also a philanthropist that served his community in several ways
including participating in the local branch of the NAACP
“I can’t think of a better time to receive the keys to this historic landmark than in the midst of Black History Month," said Timothy Johnson
the CEO of the United Way of the Bluegrass
"At a time where we celebrate the accomplishments of so many distinguished African Americans
we look forward to honoring the legacy of the former owner of this space
The Palmer building has been vacant for about 10 years
The restoration of this building is expected to be completed later this year and there are plans to have a ribbon-cutting ceremony when the new WayPoint center is ready to open its doors
Metrics details
a crucial process in hemostasis and thrombosis
has garnered substantial attention for its implications in various medical conditions
Microscopic examination of blood clots provides vital insights into their composition and structure
aiding in the understanding of clot pathophysiology and the development of targeted therapeutic strategies
This study explores the use of topological data analysis (TDA) to assess plasma clot characteristics microscopically
focusing on the identification of the elements components
This approach should enable researchers to objectively classify fibrin networks based on their topologic architecture
We tested this mathematical characterization approach on plasma clots formed in static conditions from porcine and human citrated plasma samples
where the effect of dilution and direct thrombin inhibition was explored
Confocal microscopy images showing fluorescence labeled fibrin networks were analyzed
Both treatments resulted in visual differences in plasma clot architecture
Significant differences between baseline and diluted samples
as well as blood anticoagulated with argatroban
TDA could be indicative of clots with compromised stability
providing a valuable tool for thrombosis risk assessment
offers a promising avenue for comprehensive characterization of clot microstructure
This method could contribute to a deeper understanding of clot pathophysiology and thereby refine our ability to assess clot characteristics
Gaining a deeper insight into changes of fibrin networks is of substantial interest
as a precise characterization and quantification of the clot microstructure may shed light on important functional aspects of hemostasis
We here propose topological data analysis (TDA) as a novel mathematical approach to objectively quantify qualitative differences in fibrin networks imaged with confocal microscopy
Topological data analysis is an analytical framework to identify the geometric structure within a dataset
TDA combines methods from algebraic topology as well as statistical analysis
which allows to measure the persistence of certain topological features and eventually to classify the data topologically
Images are analyzed by creating geometric structures like vertices
edges and surfaces out of pixels depending on their grayscale value
This enables to observe quantifiable items such as components and holes in an image
the qualitative differences of clot formation
should exhibit alterations due to specific changes of the individual components of the coagulation system
Decreased concentration of coagulation zymogens by diluting the sample
or limiting thrombin functional capacity with an inhibitor could result in a specific pattern of structural changes
We propose that this pattern can be evaluated and compared by TDA
The data analysis protocol was established using porcine blood samples and its applicability on human blood was investigated subsequently
TDA analysis was applied to plasma clots in static conditions
All experiments were conducted in accordance with the relevant guidelines and regulations
This in-vitro analysis was performed with blood samples from healthy volunteers
The study was conducted according to the ethical principles defined by the Declaration of Helsinki
the study protocol was approved by the institutional review board of the Medical University of Innsbruck (EK number: 1215/2017
Informed consent was provided by all volunteers prior any study related procedures were undertaken
Healthy subjects with an age range between 18 to 85 years were included if none of the following exclusion criteria were met: recent intake of medications that could interfere with the results of the study (such as anticoagulants or anti-platelet medications
nonsteroidal anti-inflammatory drugs such as ibuprofen or acetylsalicylic acid
pregnant or breast-feeding women as well as presence of hereditary or acquired coagulation disorders
Citrated whole blood samples were spiked with different concentrations of argatroban (Argatra®
The concentration of the spiked argatroban levels corresponded to drug levels observed in vivo
0.50 µg/mL (spiking step 1; S1) and 1.00 µg/mL (spiking step 2; S2)
A baseline sample remained untreated except for the addition of 100 µL PBS (Phosphate buffered saline) to account for a dilution effect by adding the medication
After addition of the different doses of argatroban or PBS
whole blood samples were incubated for five minutes at room temperature on a roller mixer
Blood samples were centrifuged at 2500 g for 15 min to obtain plasma for coagulation analysis and confocal microscopy
Results of global coagulation parameters were analyzed with GraphPad Prism version 10.1.0 using repeated measures one-way ANOVA (GraphPad Software, La Jolla, California USA, www.graphpad.com)
Clot firmness was analyzed using the viscoelastic testing device ROTEM® gamma (Tem Innovations
a point-of-care device to measure whole blood coagulation
Coagulation is induced by addition of calcium chloride (STAR-TEM
Instrumentation Laboratory Werfen) and tissue factor
which triggers the rapid activation of clot formation and polymerization of fibrin via the extrinsic pathway (recombinant tissue factor; EXTEM
The clotting time (CT) defines the elapsed time to activation of coagulation; clot formation time (CFT) represents the time between the beginning of clot activation and clot strength of 20 mm
Increasing strengthening through polymerization up to maximal clot formation is assessed by the maximal clot firmness (MCF)
Normal values for results are 35–80 mm CT
35 to 160 s CFT and 53 to 72 mm MCF
The amount of both baseline and diluted samples for measurement was 300 µL and temperature was steady at 37 degrees Celsius
Raw images were exported from ROTEM devices and processed with Inkscape (version 1.0 beta1, www.inkscape.org)
Coagulation was induced via addition of 5 μL CaCl2 (0.2 mol/L CaCl2 in HEPES buffer
Real time live confocal microscopy was performed with a spinning disk confocal system (UltraVIEW VoX; Perkin Elmer
USA) connected to a Zeiss Axio Observer Z1 microscope (Zeiss
Images and Z-stacks with a height of 10 µm were acquired using Volocity software (Perkin Elmer) using a 63 × oil immersion objective with a numerical aperture of 1.42
The (A) original (left), processed (center) and segmented (right) image of a human fibrin network after spiking with 0.5 µg/mL of argatroban (see also Fig. 3)
(B) Persistence diagram to illustrate the mathematical processing using the segmented image
blue points represent components and orange points holes
Due to the high resolution of the given data
a vast share of the computed features is due to noise
is computed in order to distinguish between distinct features and noise
we provide the number of components and holes for each segmented image
Points below the thresholds are plotted smaller and more transparent than points with high persistence. Note that introducing such a threshold reduces the number of topological features drastically (Fig. 1B)
The definition of Wasserstein distance is as follows: let p ≥ 1 then pth Wasserstein distance of two persistence diagrams d1 and d2 is defined as
where σ ranges over all bijections from d1 to d2 and ||·||∞ denotes the infinity norm
Since we added the diagonal to a persistence diagram the set of all bijections from d1 to d2 is non-empty
For n ∈ N define a persistence diagram dn = {(0
But since the number of points above the diagonal goes to infinity as n → ∞
the limit is not a persistence diagram anymore
One therefore adapts the definition of persistence diagrams
where N( ∈) denotes the number of boxes of size ∈ needed to cover the non-zero pixels in the binarized images
we assess the mean difference from baseline with respect to the Wasserstein distance from the diagonal by applying a paired t-test
we provide mean Wasserstein distances with corresponding 95% CIs
we assess differences in fractal dimension
number of components and holes as well as several laboratory parameters
To assess and verify the effect of the interventions
addition of the thrombin inhibitor argatroban and dilution of porcine plasma samples
global parameters of coagulation as well as viscoelastic tests were performed
Median baseline aPTT was 32 s (IQR 30–32)
which increased for approximately 25 s after addition of 0.5 µg/mL (S1
IQR 56–61) and 1.0 µg/mL argatroban (S2
The determination of fibrinogen levels was similarly affected
returning decreased concentrations after each spiking step
The median baseline level of fibrinogen was 258 mg/dL (IQR 245–270)
230 mg/dL (IQR 224–237) after S1 and 185 mg/dL (IQR 184–192) after S2 (p = 0.0453)
Viscoelastic measurements of (A) human plasma (blue) spiked with 0.5 µg/mL (yellow) or 1.0 µg/mL argatroban (red) and (B) porcine plasma (blue) diluted with a gelatin-based colloid (pink)
MCF mean clot firmness; Results of pooled samples (n = 3)
Porcine (pooled plasma) fibrin network without dilution (Baseline
left) and after 30% dilution with gelatine (centre) or hydroxyethyl starch (HES
Corresponding persistence diagrams are presented in the second row
The fewer components due to dilution with HES were also reflected in viscoelastic tests since the reduction of maximum clot firmness (MCF) compared to baseline measurement (both p < 0.05) was higher with HES (BL 25 ± 2 vs
4 ± 3 mm after dilution) than with the gelatin-based colloid (BL 27 ± 7 vs
For components, the Wasserstein distance from the empty diagram, i.e. the diagonal, verifies these observations that the baseline is comparable to gelatin, but not to HES (see Table 1)
This is reflected by the long distance of components between baseline and HES
The differences in the Wasserstein distance for holes from the diagonal is less blatant
nonetheless the distance between baseline and HES is again higher than the distance between baseline and gelatin-based colloid
no distinction between baseline and gelatin
and a marginal difference between baseline and HES is observed
Explicitly counting the number of components again shows similar results between baseline and gelatin-based colloid while the network after dilution with HES has less than half the number of components
left) compared to networks imaged after addition of 0.5 µg/mL (spiking step 1) and 1.0 µg/mL argatroban (spiking step 2)
where components are represented by blue squares
holes by red diamonds and the lines represent the associated silhouettes
The observed differences between the networks were verified by the measures presented in Table 2
The Wasserstein distances reveal significant differences in the components for both spiking steps and a significant difference from baseline to the second spiking step in the holes
The mean Wasserstein distance from the baseline persistence diagram compared to spiking step one (S1) and spiking step two (S2) is 59.44 (41.61 to 77.26) and 71.24 (47.73 to 94.75) for components and 9.69 (7.36 to 12.02) and 9.5 (7.49 to 11.51) for holes
This is in accordance with the pairwise differences
The fractal dimensions show only small differences among the natural network
as well as in the second spiking step (S2)
While a significant difference between baseline and S1 is observed
no significant alterations are detected between baseline and S2
Counting components of the binarized images shows a decrease in the number of components after spiking
Counting the number of holes captures significant differences between baseline and S1 and baseline and S2
Due to the more rigid structure after the first spiking step
while the second spiking step reduces the number of fiber cross points of the network and hence decreases the number of holes again
This study shows for the first time that the mathematical method of topological data analysis is suitable to assess differences in the architecture of fibrin networks due to pharmacological treatments
The structural changes after dilution of pooled porcine plasma as well as the topological variations induced by argatroban are captured in the persistence diagrams
We could show the feasibility of this mathematical approach to capture differences of the functionality of the coagulation system within a species by extracting information from multidimensional greyscale images
By adding a method to evaluate morphological characteristics of the end product of the coagulation process
we expect that this approach might provide a new avenue to explore pathophysiological subtypes in patients with coagulation dysfunctions
The TDA method might complement already available tools to investigate the functional properties of the coagulation system and
could be a helpful tool to evaluate the influence of various drugs on coagulation or to characterize the response to a certain treatment
TDA is a mathematical approach useful for quantification of morphological differences of fibrin clots
It remains to be investigated in further studies how this new method may be integrated into scientific and clinical routine and how evaluation of fibrin network density could become an additional tool for identifying patients at risk for bleeding or thrombosis or treatment response in various diseases
Relevant data will be freely available to any researcher wishing to use them for non-commercial purposes
without breaching participant confidentiality
The datasets generated during and/or analysed during the current study are available from the corresponding author on reasonable request
Lim, H. Y., Donnan, G., Nandurkar, H. & Ho, P. Global coagulation assays in hypercoagulable states. J. Thromb. Thrombolysis 54, 132–144. https://doi.org/10.1007/s11239-021-02621-1 (2022)
Zhalyalov, A. S., Panteleev, M. A., Gracheva, M. A., Ataullakhanov, F. I. & Shibeko, A. M. Co-ordinated spatial propagation of blood plasma clotting and fibrinolytic fronts. PLoS One 12, e0180668. https://doi.org/10.1371/journal.pone.0180668 (2017)
Li, W. et al. Fibrin fiber stiffness is strongly affected by fiber diameter, but not by fibrinogen glycation. Biophys. J. 110, 1400–1410. https://doi.org/10.1016/j.bpj.2016.02.021 (2016)
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FITC-linked fibrin-binding peptide and real-time live confocal microscopy as a novel tool to visualize fibrin(ogen) in coagulation
Capturing Shape Information with Multi-scale Topological Loss Terms for 3D Reconstruction
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Chazal, F. F., Brittany, T., Lecci, F., Rinaldo, A. & Wasserman, L. Stochastic convergence of persistence landscapes and silhouettes. ArXiv https://doi.org/10.48550/arXiv.1312.0308 (2013)
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Department of Anaesthesia and Intensive Care Medicine
Department of Anaesthesiology and Intensive Care Medicine
Sanatorium Kettenbruecke der Barmherzigen Schwestern GmbH
M Berger established the image processing and the mathematical data analysis by TDA and analysed all image material and has written the manuscript
T Hell conceptualized the project and supervised TDA development as well as application and proof read the manuscript
A Tobiasch performed viscoelastic measurements
J Martini planned porcine experiments and contributed to writing the manuscript
A Lindner has contributed to porcine experiments
H Tauber has contributed to porcine experiments
M Bachler performed anticoagulation experiments and contributed writing the manuscript.
M Hermann performed confocal live imaging of plasma clots
conceptualized the project and proofread the manuscript
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"Culture stands on the front-line of conflict – it should be at the front-line of peace building.” - UNESCO Director General Irina Bokova
the result of a dispute between groups of society formed over a common culture
cultural and religious monuments were specifically targeted as visual symbols belonging to the other group
Hundreds of mosques and other Islamic religious sites
historic bazars and a large number of kullas
as well as Serbian Orthodox religious monuments were damaged or destroyed during and after the conflict
When inter-ethnic violence briefly but intensely resurged in March 2004
Serbian Orthodox churches and monasteries in different areas became the target of attacks by rioting groups of Albanians
While traditional conflict-resolution methods are primarily tailored to address differences of interest between states
identity-based conflicts require a new approach
cultural heritage protection had to become an intrinsic element of the peace-building process
In the immediate aftermath of the conflict
the international community focused on the physical protection of religious and cultural sites
the NATO peacekeeping forces secured the most prominent Serbian Orthodox monasteries
the United Nations Mission in Kosovo (UNMIK) named the preservation of cultural heritage as one of the benchmarks to be achieved by the provisional institutions of self-government in Kosovo
Alarmed by the resurgence of ethnic violence in 2004
the international community the following year pledged US$10 million for the protection of cultural and religious heritage sites at a donor conference organized by UNESCO together with the Council of Europe and the European Commission
Safeguards for the protection of religious and cultural heritage were included among the guiding principles of the Kosovo status process initiated by the UN Security Council in 2005
The 2007 Comprehensive Proposal for the Kosovo Status Settlement contained an annex with protection mechanisms
Although the adoption of the proposal as a peace treaty failed
after Kosovo institutions unilaterally declared independence in 2008
The most important were the establishment of special protective zones around more than 40 Serbian Orthodox sites and the establishment of an Implementation and Monitoring Council
a high-level dialogue platform bringing together the Serbian Orthodox leadership with the Kosovo government to discuss issues affecting these zones
The OSCE and the Council of Europe supported the Kosovo institutions in developing the necessary legal and institutional framework for heritage protection
a European Union representative co-chairs the Implementation and Monitoring Council meetings
while the OSCE provides technical expertise
Installing legal and institutional mechanisms to protect the rights of former opponents to the symbols of their cultural identity was but a first step towards reconciliation in Kosovo
even this first step required an immense effort on the part of community leaders and international peace builders
Effective implementation was protracted over years
hampered by a lack of political support and inadequate financial and human resources
A buy-in by the Serbian Orthodox Church into the process required extensive international advocacy
Cultural heritage protection was not a fast-selling item
the mechanisms the international community introduced were able to trigger a number of positive developments
these have gone beyond the mere protection of physical sites to initiate a process of dialogue and reconciliation
After the Implementation and Monitoring Council began to meet on a regular basis in early 2013
members of the Serbian Orthodox Church also increasingly participated in local level meetings together with central and local government representatives. Leaders of all religious beliefs in Kosovo entered into an OSCE-sponsored inter-ethnic dialogue process to jointly advocate for the protection of religious freedom
Municipalities are assuming more and more responsibility for ensuring that the law applicable within protective zones is respected
Kosovo Albanian mayors and local governments interact with the Serbian Orthodox communities in their municipalities
The fact that Kosovo Albanian officials – mayors
ministers and even the president – are increasingly visiting Serbian Orthodox sites and participating in the Serbian Orthodox Church’s religious festivities is a major milestone in the development of a constructive relationship between the communities
the Kosovo Police established a special unit trained to secure the most vulnerable sites and have taken over almost all security responsibilities from the international community
Vandalism and desecration of Serbian Orthodox churches
cemeteries and monasteries have a substantial impact on the Kosovo Serb community’s perception of security
This violence is committed by a small portion of the Kosovo Albanian community
but a larger number will ascertain that their community never received an apology or reparations for the destruction of Albanian sites in Kosovo during the conflict
the Kosovo Serb community will not see a sustainable future for itself if it cannot live and express its cultural identity without fear
Incidents like the desecration of Orthodox cemeteries in retaliation for the demolition of an Albanian monument in southern Serbia
threatening graffiti sprayed on walls and doors of Serbian Orthodox monasteries or stones thrown at Serbian Orthodox pilgrims visiting religious sites clearly demonstrate how fragile any rapprochement between the communities is and how quickly cultural heritage can again become the target of hate crimes
Landowners who struggle with the difficult economic situation often lack understanding for the restrictions to their property rights within special protective zones
Even after more than fifteen years of international engagement
more needs to be done to ensure sustainable cultural heritage protection and to consolidate effective safeguards for cultural identities in Kosovo
The challenge remains to transform what was seen as symbols of different identities into the bricks for building bridges between divided communities
established in 1999 as “Pillar III” of UNMIK and primarily mandated to establish democratic institutions
rule of law agencies and human rights protection mechanisms after the conflict
today increasingly includes religious and cultural heritage protection initiatives in its programmes
“Because religion is such an important part of ethnic identity even though the conflict in Kosovo wasn’t religious but ethnic in nature
a lot of these religious heritage sites were destroyed or damaged in the conflict and its aftermath
rebuilding them and protecting them is a significant element in achieving reconciliation and a lasting peace,” says Head of Mission Ambassador Jean-Claude Schlumberger
With a team of resident experts at its headquarters in Prishtinë/Priština and in its field offices across Kosovo
the OSCE Mission monitors developments around cultural heritage sites and
supports the work of the Implementation and Monitoring Council
It engages in mediation efforts between religious and political community leaders
supporting dialogue and offering a neutral problem-solving platform at both central and local levels
The Mission particularly encourages women to participate in inter-religious dialogue and religious and cultural heritage protection
Not only does this provide valuable employment opportunities
it is also necessary for effective peace building
Women who lost loved ones during the conflict or became victims of violence themselves are an essential part of any peace process
The Mission also pays attention to the important role young people can play in building confidence and tolerance among multicultural communities
Through art competitions like the 2015 photography contest
it brings together students of different communities to promote a sense of shared heritage and dismantle common stereotypes regarding “the others”
It thereby complements educational projects of the Council of Europe
the European Union and local NGOs such as Cultural Heritage without Borders
Students participating in visits to cultural and religious heritage sites are often exposed to the culture of other ethnic groups in their immediate neighbourhood for the first time
Children of all communities visiting cultural and religious heritage sites across Kosovo – and their parents supporting such initiatives – are encouraging signals that walls are starting to crumble
The Kosovo experience shows that cultural heritage protection is a necessary element of the peace-building process after an identity-based conflict
not only because cultural symbols were a target during conflict
Proactively using cultural heritage protection to bridge ethnic and religious differences is a necessary precondition for sustainable peace in a society whose members attribute crucial importance to elements of their cultural identity
Protection mechanisms that give equal importance to the cultural and religious heritage of all communities are likely to find the broadest public support and thus be the most effective
If the rules of special protective zones in Kosovo were also applied to more than a handful of non-Orthodox sites
land owners would find it much harder to blame a specific community for unfair treatment and impediments to their socio-economic development
Cultural heritage management should go beyond mere preservation
It has value for local economic development
but also in the creation of employment opportunities in the restoration
management and promotion of heritage sites
If members of all communities are involved in and directly benefit from this process
they are likely to gradually appreciate the value of cultural heritage regardless of its religious or ethnic affiliation
Smart cultural heritage management also specifically targets young people as future caretakers
cultural heritage may even contribute to the development of a joint Kosovo identity that leaves religious or ethnic affiliation aside
the international community has a certain responsibility and soft power
For a positive impact among members of the public
it will be crucial that the international community recognizes the equal and universal value of the heritage of the different communities in Kosovo
for example through the inclusion of sites representing the cultural heritage of all communities on the UNESCO World Heritage list
Such international recognition could well contribute to the communities taking pride in Kosovo’s cultural heritage and eventually losing sight of to whom it belongs
Päivi Nikander is Deputy Head of the OSCE Mission in Kosovo
Valerie Zirl served as political adviser to the Head of the OSCE Mission in Kosovo for more than five years.
Security Community is the OSCE’s online space for expert analysis and personal perspectives on security issues
The views expressed in the articles are those of the authors and do not necessarily reflect the official position of the OSCE and its participating States
Let us use our new magazine as a vehicle for an open exchange of views and constructive dialogue to encourage convergence among participating States and their societies and thus clear the way for building a true security community
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Birders from all over Montana hurried to Missoula in December to get a glimpse of this rare species
The most distinguishing field marks on a fieldfare are the gray head and rump
This slightly out-of-focus flight picture shows the fieldfare’s wing linings
that was seen in the Missoula area in late April and May of that year
The species is common in Asia and often seen in the Western Aleutians and Pribilof Islands in the Bering Ocean
It was first identified on the Christmas Bird Count on Dec
It was found west of Missoula near Council Grove State Park on Harbor’s Bridge Road and La Viola at a private residence
feeding in a row of crab apple trees with waxwings and robins
Birders from all over Montana hurried to Missoula to get a glimpse of this rare species
I heard about it a day after it was found and was unable to get there until the next day
You can often miss a rarity by being three days late
there were about 10 birders standing in the road with scopes and binoculars focused on a tree
I got the bird within five minutes of arriving on site
number 373 for Montana and 605 for North America
Additional birders came and went the remainder of the morning
The species continued to be in the area through Dec
It is impossible to say if the bird moved on or a raptor such as a sharp-shinned hawk preyed on it
many more would have made the trip to Missoula
the Montana birding Internet sites are buzzing with the latest updates on fieldfare sightings
I received an email from a Minnesota birder that I met in the Pribilof Islands (off the coast of Alaska) in September
“I am on my way now — driving — and hope to be in Missoula late tonight
I hope the bird sticks.” He saw the bird on Dec
the last record of this bird in the United States was in 1991 in Northern Minnesota
The closest sighting to Montana for the species was Vancouver
There are additional sightings of the species in Eastern Canada and Nova Scotia over the years
If you look at the sightings for this species on eBird
it has been recorded in all of Western Europe from Spain north to Sweden and from the British Islands east to Ukraine
There are a few scattered sightings in Russia all the way to the Bering Sea
there are no sightings in the Aleutian Island chain or mainland Alaskan on eBird
Several ornithologists have noted that there are a few sightings from Alaska that were not recorded on eBird
the two Western United States continental sightings on eBird are Vancouver and now Missoula
It is assumed that these Eastern Canadian birds made it across the Atlantic Ocean from Western Europe
why was it not sighted en route to Montana
It seems unlikely that it came from a sparse population in Asia
Some have suggested that records for Asia are incomplete and it may breed in Asia more than eBird records indicate
“Are there known differences between Asian and Western European populations?” One ornithologist responded: “Fieldfares from the eastern end of the range are supposed to average slightly paler and longer-winged and they’ve been proposed as a separate race
but I don’t think that subspecies is recognized by most authorities.” Thus
the answer to the origin of this fieldfare will remain open for discussion
The most distinguishing field marks are the gray head and rump
The breast spots are arrowhead in shape on a buffy breast and extend along the sides as well as the breast
In flight the wing linings are white and flash in flight
The slightly out-of-focus flight pictures show the wing linings
These pictures were taken by a birding friend
What started off as a normal Missoula Christmas Bird Count put the Montana and national birding community in a state of excitement this year
get out there and bird often; you never know what you might see
The potential is always there for a rarity such as this one that rewrites the list of birds species found in Montana
don’t ignore it; get ahold of other birders and identify the species
A Christmas bird count is planned Friday, Jan. 1, 2016, with birders meeting at 8 a.m. at the parking lot of Uncle Buck’s at the Warm Springs exit off Interstate 90.
The counts consist of a 15-mile count circle divided into sections with a team of at least two bird counters searching each area. Less experienced bird watchers are paired with experienced birders, providing a great way for beginners to learn the skills of field identification.
The task of each team is to identify, count and record every individual bird by species within their section of the circle. This information is later tabulated for the entire count circle and reported via Audubon’s website, www.audubon.org.bird.cbc.
Pre-registration is not necessary, but it is helpful for count leaders to know how many volunteers will be participating. Contact Gary Swant at birdmontana1@hughes.net for Grant-Kohrs and Warm Springs and Jack Kirkley at j_kirkley@umwestern.edu for the Clark Canyon CBC count.
Area counts are organized by the Pintler Audubon Society.
Here are The Montana Standard's top stories for the week of Dec. 26, 2015 through Jan. 1, 2016.
But people urged to be responsible and not harass feathered friends
Fall is always a great time to look for rare and unusual bird species that might come to your yard. This fall was no exception for me with two…
One of the more challenging aspects in birding is identifying a species in juvenile, spring and fall plumages. Some birds don’t vary much in p…
Owls by their very nature of being nocturnal are hard to find and see. During the breeding season, they can be heard calling, but that is most…
The greatest cause of bird depredation is lack of habitat. As wetlands are drained, grass meadows converted to subdivisions, and old-growth fo…
As I mentioned in my last article on bird mortality, habitat destruction and loss is the single biggest factor on declining bird populations w…
The gyrfalcon is one of the most sought-after birds of prey in Montana as it is rather rare and only a winter visitor to the Upper Clark Fork …
One of the frustrating things for the casual birder is name changes — one species being split into two, or two species now only one. Often the…
One of the birds I get a lot of comments on is the American White Pelican. I suppose it’s because everyone knows what pelicans looks like, and…
Birders of all skill levels are encouraged to participate
I grew up hunting grouse with my dad in the Upper Clark Fork River Valley. In those days, we hunted fool hens and blue grouse. I rarely hear t…
Continuing in our series of articles on birding, I want to share with you the most exciting and relevant new development in birding: eBird.
One of the more common questions I get from folks is where should I go birding in southwest Montana?
Most folks are familiar with the Common Loon as they are a symbol of the wilderness and the great outdoors. Many a poster has been designed of…
All owls can be a challenge to find with the exception of the great horned owl, which commonly lives among humans and has a familiar call.
I have been asked on occasion how I choose which bird to write about month to month. I do make an effort to write articles that are seasonal i…
Check out EventsinButte.com for more activities or to list your event.
Fall can be a wonderful time to see rarities that pass through our area. Last month I wrote about the Anna’s hummingbird that spent several da…
There are eight species of swallows in North America with seven species in Montana. The cave swallow is mostly found in Texas and Mexico. Tree…
I have been fortunate in my life to have the time and financial resources to bird in 15 countries around the world, and this coming November m…
Montana is a reasonably good place to bird with 433 species found within our borders. There are no endemics (found only in Montana) species, b…
There are only three species of waxwings in the family Bombycillidae in the world with two species in Montana and North America. The two North…
As fall and winter approach, I have been thinking about birds that overwinter in the Upper Clark Fork Valley. The American dipper is an often …
Birders from all over Montana hurried to Missoula in December to get a glimpse of this rare species, the fieldfare. It’s a member of the thrush family.
The most distinguishing field marks on a fieldfare are the gray head and rump. The back is purplish brown, and the tail is blackish. The fieldfare is a large thrush, the same size as the American robin, another thrush, at 10 inches.
This slightly out-of-focus flight picture shows the fieldfare’s wing linings.
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Austria is famed for being an all around pro at all things seasonal
and the markets in this city never fail to raise Christmas cheer
One of the best and most traditional takes place in front of the iconic “Golden Roof”—a building gifted by the Emporer to his wife in Austria’s Imperial days—and sees clusters of wooden stalls selling a variety of handcrafted treats and trinkets and serving a variety of homemade dishes
Christmas Market Innsbruck | © Austrian Tourist Board
Best of Both Worlds It’s hard to choose between city breaks and country getaways and Innsbruck offers its visitors both
The city has a modest yet interesting cultural scene
you can be submerged in meadows and forests
The area surrounding the city contains many gorgeous little villages that can be easily reached for day-trips—try Rum
Designed by architect Zaha Hadid, the Nordkette cable car lifts you high into the sky and into the wilderness
giving unobscured panoramic views of awe-inspiring Alpine landscapes that hug the city
the journey takes you across unique views of the city below and then transforms over time to become idyllic countryside
Peace and Quiet Although the capital city of Vienna is a must-visit destination when exploring Austria
around the peak months it becomes rammed with tourists
Innsbruck is the perfect place to visit if you want peace and tranquility
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leading you through thick forests and lush meadows
Adlerweg – Innsbruck | © Österreich Werbung / Nina Baumgartne
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You can read this article in 3 minutesAgnieszka Kulikowska - Wielgus
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The night-time ban on heavy goods vehicles on the A12 motorway in Tirol allows for some exceptions
they are to expire at the end of this year
Night traffic is banned on the A12 in Brenner in both directions between 6 km (near Langkampfen) and 90 km (Zirl)
The ban covers trucks and articulated vehicles with a maximum gross vehicle weight of more than 7.5 t
as well as trucks and self-propelled machinery with trailers where the gross vehicle weight exceeds 7.5 t
these vehicles cannot use the route during the following hours:
Exempted from the ban are heavy duty vehicles meeting the Euro 6 emission standard (provided that the Euroclass is confirmed by the vehicle’s appropriate marking in accordance with the IG-L regulation on the marking of emission classes). However
this exception expires on 31 December 2020
only the following will be exempted from night-time traffic restrictions:
– transports carrying predominantly perishable food with a shelf life of only a few days
or periodic printed materials (newspapers and magazines)
– transport necessary for the provision of emergency medical care
– transport related to the construction and reconstruction of road infrastructure on the A12 and A13 motorways
the development of railway infrastructure on the Munich-Verona route or the construction of the Brennerbasistunnel railway tunnel
– transport subject to loading or transhipment to rail transport to or from the railway terminals in Hall and Wörgl
provided that such suitable transport documentation is available
on the same section of the Tirol motorway (A12 between Langkampfen and Zirl in both directions) there are traffic bans on heavy goods vehicles over 7.5 t in the lowest emission classes
Journeys as part of combined transport for the purpose of rail loading (provided that suitable documentation is available) are nonetheless exempt in the following cases:
– to the Hall railway terminal (access possible only in the eastern direction
– to the Wörgl railway terminal (access possible only in the western direction
Pölös Zsófia Journalist Trans.info | 5.05.2025
Agnieszka Kulikowska - Wielgus Journalist Trans.info | 5.05.2025
Sabina Koll Journalist Trans.info | 5.05.2025
GXO to manage Northern Italy transport operations for PRG retail groupPölös Zsófia Journalist Trans.info | 5.05.2025
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Willi Köstinger (74) aus Seefeld am 7.1.2014 verstorben
darunter auch Olympiateilnehmer und -Sieger im Nordischen Sport
begleiteten den im Gasteinertal aufgewachsenen "Loipen-Papst" und Bergfreund Willi Köstinger (74) am 14.1.2014 auf dem letzten Weg
Der Teilnehmer bei Olympia 1964 in Innsbruck-Seefeld
hätte im Mai dieses Jahres mit Gattin Christa in seiner Heimat Seefeld Goldene Hochzeit gefeiert
und Weihnachten erlebte er noch mit allen Kindern und Enkerln
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