These charity river races are part of the national circuit and times count toward national rankings
This event brings hundreds of canoeists and kayakers to Waldo County over the last weekend of March and first weekend of April
we had close to 200 boats and more than 300 people entered in the two races
Proceeds raised from these events benefit WCY Aquatics programs including scholarships for Red Cross Lifeguard Certifications and the First Grade Swim Safety Course offered in coordination with schools county-wide to give kids a hands on opportunity to develop confidence and safe practices around water
The Waldo County YMCA is a 501©(3) non-profit serving Waldo County since 1977
Applications for all entrants under 18 years of age must be co-signed by a parent or guardian on the day of the race
Starting will be based on the order of registration
Passy Race Packet Pick up will on at 8:30 a.m
Registration can be found on our website at <a href="https://www.waldocountyymca.org/2025-river-races">https://www.waldocountyymca.org/2025-river-races</a>
To become a sponsor, see <a href="https://www.waldocountyymca.org/2024-wcy-river-race-sponsorships">https://www.waldocountyymca.org/2024-wcy-river-race-sponsorships</a> 
Thanks to our readers and especially our supporters who help to keep PenBayPilot.com an open and accessible community hub
Your support is even more critical during rapidly changing times
While we work hard to keep you informed about the Midcoast community
We are grateful to those who already participate
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The price was around $6,000, a sum beyond what Barnes was able to pay on her income as a freelance writer. Especially since she had already spent more than $1,000 for surgery on the tumor.
entertainment and anything and everything trending and quirky
he obsesses about where to find the perfect slice of New York-style pizza.Follow him on Twitter @CharlesPassy
to bring to life this period of reconstruction
<a href="/en/what-to-see-in-paris/shows/guides/197336-current-and-upcoming-musical-events-in-paris" data-id="197336"> Current and upcoming musical events in Paris</a>Musicals, as distinct from musicals, are a genre in their own right. This is why there are so many musical shows on offer in Paris. Here's the program. <a href="/en/what-to-see-in-paris/shows/guides/197336-current-and-upcoming-musical-events-in-paris">[Read more]</a>
The <a href="/en/what-to-see-in-paris/theater/guides/315208-what-shows-and-plays-are-on-offer-in-paris-this-week" target="_blank">play</a> Jean-Claude et Joséphine opens in 1969
having devoted her fortune to humanitarian causes and her family
He would invite her to return to the stage by relaunching the cabaret La Goulue
they would face up to the vagaries of show business
and the difficulty of reinventing themselves in a fast-changing entertainment world
<a href="/en/what-to-see-in-paris/theater/guides/315208-what-shows-and-plays-are-on-offer-in-paris-this-week" data-id="315208"> What shows and plays are on offer in Paris this week?</a>This week, Paris offers an exceptional selection of plays and shows to suit all tastes. Take advantage of the capital's charm and the increasingly long evenings to discover new creations. <a href="/en/what-to-see-in-paris/theater/guides/315208-what-shows-and-plays-are-on-offer-in-paris-this-week">[Read more]</a>
given the important place given to music in the staging
audiences looking for avant-garde theater or contemporary stories with a strong political bent may find this trip into the past
based on a historical and heritage approach
<a href="/en/what-to-see-in-paris/theater/guides/315237-our-reviews-of-shows-and-plays-to-discover-in-paris" data-id="315237"> Our reviews of shows and plays to discover in Paris</a>Fancy going to see a play or show in Paris or the Ile-de-France region, but don't know which one to choose? Our reviews of current plays and shows are here to advise you! <a href="/en/what-to-see-in-paris/theater/guides/315237-our-reviews-of-shows-and-plays-to-discover-in-paris">[Read more]</a>
By summoning the memory of two legendary figures, Jean-Claude et Joséphine proposes a vibrant tribute to the power of <a href="/en/what-to-see-in-paris/theater/guides/314983-contemporary-plays-to-see-in-paris-and-the-ile-de-france-region" target="_blank">theater</a> and the art of rebirth
the Théâtre de Passy invites audiences to rediscover a forgotten page of French artistic history
This article is based on available information about the show
This page may contain AI-assisted elements, <a href="/en/redirect-article/295608">more information here</a>
<a href="https://bit.ly/referencersap" target="_blank">Refer your establishment, click here</a><a href="https://bit.ly/communicationsap" target="_blank">Promote your event, click here</a>
Newly appointed head coach for the Antigua and Barbuda senior men’s football team
has pledged to assist in the advancement of local coaches via training and coaching opportunities outside of Antigua
Identifying assistant coach with the senior men’s team
Passy who was contracted on a six-month interim basis by the Antigua and Barbuda Football Association (ABFA)
said the experience level of both local coaches and players will be important aspects in the overall success of the country’s programme
“When I came to speak to the Antiguan FA for the first time
one of my major conversation themes was [asking] what can we do to help local coaches and some players to have international experience because you need international experience to grow
And I can tell you wholeheartedly and very clearly that I believe a key issue for Antigua and a key issue for any country to grow
is to have international experience,” he said
through many different means to help Schyan and to help the FA develop who I understand
the premier coach of the moment in Antigua,” he added
who is a former coach with the St Kitts &amp; Nevis and the Dominican Republic senior men’s national teams
take over from England-based Mikele Leigertwood as head coach of the Antigua and Barbuda Benna Boys
Passy said he wants a unified effort from all stakeholders as only a unified approach will bring success
“I am going to bring one of my assistant coaches and a goalkeeper coach but we’re going to work together with a very important part of the extended staff and with Schyan who is going to be a part of the staff as well
we are one staff and the same thing is going to happen with the players where it’s one team
a concept of local players or overseas players or local or overseas staff
It’s not going to happen because this is exactly the path in which things don’t work,” he said
Passy will preside over the senior men’s team for their 2026 FIFA World Cup Qualifiers against Cuba on June 6 and Honduras four days later on June 10 as they wrap up their Group A campaign
The Benna Boys will be at home to Cuba and away to Honduras
Passy holds coaching badges from both the Mexican Football Federation and the Peruvian Football Federation
along with specialized training from the Dutch KNVB
and website in this browser for the next time I comment
Please enter an answer in digits:three &#215; five = 
© Duo des Fiz ©Trail du Tour des Fiz® – Photossports.com
One of the most beautiful trail runs in the French Alps
The Trail du Tour des Fiz consists of a variety of courses for all levels in the most stunning backdrop of the nature reserves of Passy and Sixt-Passy
The setting for the race is the Fiz Massif
a spectacular natural reserve located between Chamonix and Samoens
and the course runs through the Mont Blanc massif
Races range from a Mini Trail of 600m to a 4.5km for children aged between three and 16 years
to the main event: The Mountain Medic Ultra Trail des Fiz
85km of technical trail running through a course which includes cables and aeriel sections and an overnight stay in one of the Tour des Fiz huts
please visit their website via the link above
Need somewhere to stay during this event? Check out our <a href="https://www.seechamonix.com/where-to-stay" target="_blank">accommodation guide here</a>
SeeChamonix.com is a SeeTheWorld destination
where dreams and opportunities are as limitless as the scenery
Ravish Passy took flight on a journey that would redefine determination and leadership for him
Ravish faced many uncertainties and even considered going back home due to a lack of prospects
he saw an opportunity with Walmart Canada in British Columbia and took a leap of faith
2014 marked the beginning of Ravish’s journey with Walmart Canada
where he started as a customer service manager in Fort St
His dedication and hard work soon led to a promotion to assistant store manager
his life took a challenging turn when his newborn daughter fell seriously ill
With a 15-hour drive separating him from the BC Children’s Hospital in Vancouver
Ravish prepared to resign from his job to be with her
both his district manager and store manager stepped in
offering to transfer him to a store closer to the hospital
allowing Ravish to support his family without sacrificing his career
“The support from Walmart Canada’s leaders has been instrumental in my success,” said Ravish
“Their understanding and flexibility allowed me to be with my family when they needed me the most
The store where Ravish was relocated went on to win the 2017 Walmart Canada Store of the Year award
the 2017 Walmart International Store of the Year award
His career continued to soar as he held various roles
including co-manager and temporary store manager
joining Walmart Fleet and starting up the fleet team in British Columbia
His contributions were recognized when his team won Transportation Region of the Year in 2020
It’s no coincidence that where Ravish goes; excellence follows
Ravish’s dedication and leadership were recognized once again
marking another milestone in his already impressive career
“Every step of this journey has taught me the importance of community
Understanding that behind every successful venture
there are individuals with their own stories.”
has been promoted to the role of big sister to her three-year old sister
has promised that “results will come rapidly” as he gets set to jumpstart preparations for the country’s upcoming matches in the 2025 World Cup Qualifiers
Speaking on the Good Morning Jojo sports show Passy &#8212; who was contracted on a six-month interim basis &#8212; said he will work closely with local officials in pursuing the shortest and most effective route to success for the senior men’s team
“I am going to work around everything that needs to be worked around and try to install a more professional setup every day
with everyone in the FA with the technical director
with the entire staff and I am pretty sure that results will come rapidly
The easy thing for me to say is that this is a long term project but there are no long term projects in football
you have to show that you can change things very rapidly so this is the objective,” he said.&nbsp;
Antigua and Barbuda Benna Boys are set to face Cuba on June 6 and Honduras four days later on June 10 as they wrap up their Group A campaign
said the work starts this weekend with the launch of an assessment camp for local players
while adding that he will pursue players outside of Antigua
“You have a lot of players who play in the United States
players who play in other countries that are not very well known
So national team duty requires a national team coach to look equally at every player eligible to play and that means that I have to be looking at every situation possible,” the coach said
“The players who play in Antigua [locally] are going to be remarkably important but I will be in different places
my focus is completely on the games we have in June and we’re going to host a local camp starting this coming Friday for the next week,” he added
said he bought into the role following fruitful discussions with the ABFA
“The first thing I told everyone is that I truly believe that we can do great things
you need to change a lot of things surrounding the culture of the national team
and that means you need to create a winning atmosphere
We need to gauge a lot of situations off the pitch that makes the team work and then you will have the best players representing Antigua all the time with a very focused winning culture within the team
The response I got from the FA was very positive
I felt extremely comfortable around the answers that I got,” he said
Please enter an answer in digits:seven &#43; seven = 
Eccentric, perhaps, but gourmet all the same! Are you out and about inwestern Paris and the <a href="/en/what-to-visit-in-paris/walks/guides/305826-what-to-do-in-paris-s-16th-arrondissement-ideas-for-going-out-good-addresses-and-activities">16th arrondissement</a>
a quick introduction to this pretty corner of the City of Light
mansions and Art Nouveau-inspired buildings
notably designed by architect Hector Guimard
Auteuil is particularly popular with wealthy Parisian families
Passy, another neighborhood in the 16ᵉ arrondissement, meanwhile, stands out for its noble history and slightly livelier atmosphere. This corner of Paris is famous for its Haussmann architecture and museums, notably the<a href="/en/what-to-visit-in-paris/exhibit-museum/articles/218821-musee-marmottan-monet-opening-hours-news-all-you-need-to-know-about-the-temple-of-impressionism"> Musée Marmottan Monet</a>
which houses one of the finest collections of Claude Monet's works
Here you'll find our top restaurant addresses in the Auteuil
<a href="/en/where-to-eat-in-paris/restaurant/articles/306893-attabler-authentic-parisian-bistro-cuisine-by-the-gemellus-team" data-id="306893"> Attabler, authentic Parisian bistro cuisine by the Gemellus team</a>Brothers Clément and Maxime Le Meur open a second address, Attabler, which honors true Parisian bistro cuisine. <a href="/en/where-to-eat-in-paris/restaurant/articles/306893-attabler-authentic-parisian-bistro-cuisine-by-the-gemellus-team">[Read more]</a>
<a href="/en/where-to-eat-in-paris/restaurant/articles/279213-cavalieri-bruno-verjus-sunny-restaurant" data-id="279213"> Cavalieri, Bruno Verjus' sunny restaurant</a>Michelin-starred chef Bruno Verjus creates the menu for Cavalieri, a sunny new restaurant featuring the finest specialties from around the Mediterranean. <a href="/en/where-to-eat-in-paris/restaurant/articles/279213-cavalieri-bruno-verjus-sunny-restaurant">[Read more]</a>
Find the location of all these addresses by clicking on the map at the bottom of the article
The West of Paris has plenty to surprise you. From La Muette to Porte Dauphine, via the chic districts of Auteuil and Passy and the <a href="/lieux/53104-bois-de-boulogne">Bois de Boulogne</a>
Parisians and tourists alike find the luxury
calm and serenity so sought-after in Paris
the above-mentioned districts are home to architectural gems - not for nothing did the famous French architect Le Corbusier make them his home - foundations dedicated to art and contemporary creation
charming parks and gardens that perfectly satisfy local residents' desire for greenery
must-see museums and some even more original ones
there are plenty of bistronomic and gourmet restaurants in the area
before relaxing at the Auteuil or Longchamp racecourses
These beautiful districts are little-known and not often visited by tourists
<a href="/en/what-to-visit-in-paris/history-heritage/articles/173592-history-of-the-iena-bridge" data-id="173592"> History of the Iena Bridge</a>Did you know that the Iena Bridge was almost destroyed by a vengeful Prussian general? <a href="/en/what-to-visit-in-paris/history-heritage/articles/173592-history-of-the-iena-bridge">[Read more]</a>
<a href="/en/what-to-visit-in-paris/exhibit-museum/articles/68580-the-fondation-louis-vuitton-a-mecca-for-contemporary-art-in-paris" data-id="68580"> The Fondation Louis Vuitton, a mecca for contemporary art in Paris</a>The Fondation Louis Vuitton, a mecca for contemporary art in Paris <a href="/en/what-to-visit-in-paris/exhibit-museum/articles/68580-the-fondation-louis-vuitton-a-mecca-for-contemporary-art-in-paris">[Read more]</a>
<a href="/en/what-to-do-in-paris/sport-wellness/articles/309369-handball-paris-saint-germain-home-schedule" data-id="309369"> Handball: Paris-Saint-Germain home schedule</a>Paris-Saint-Germain Handball is back for another season! For as little as 13 euros, you can attend all their home matches in the league, Champions League and Coupe de France! <a href="/en/what-to-do-in-paris/sport-wellness/articles/309369-handball-paris-saint-germain-home-schedule">[Read more]</a>
Discover all these great addresses on the map below
The Antigua and Barbuda Football Association (ABFA) is pleased to announce the appointment of Jacques Antonio Passy Kahn as the Interim Head Coach of the Men’s National Senior Team for the next six months
Passy’s extensive coaching experience and proven track record makes him a valuable addition to the national program
His impressive credentials include a variety of coaching roles at both the club and national team levels throughout the Caribbean and Latin America
Passy served as the head coach for the Dominican Republic’s senior and under-23 men&#8217;s national teams
where he demonstrated his ability to elevate team performance and growth in international competitions
He also held the position of national team Head Coach for Saint Kitts and Nevis
where he guided the team to a record high FIFA ranking of 73
significantly improving their standing in world football
Saint Kitts and Nevis achieved their first-ever birth into the CONCACAF Gold Cup
as well as their first-ever European victory
As the former technical director and coach of Dorados de Sinaloa
Passy made history as the youngest coach in Liga MX while leading the team to the premier division
He has been recognized as “the most decorated coach in the Maccabiah” for his illustrious work with Mexico’s team in European and PanAmerican competitions since 2004
Kahn has also developed strong ties with numerous clubs
including prestigious teams like Chivas de Guadalajara
enhancing his network in the football community
President of Mexico&#8217;s University of Johan Cruyff
knowledge and expertise back to Caribbean football
The ABFA is excited to bring Passy on board as the Interim Head Coach and looks forward to the fresh
perspective and strategic vision he will bring to the Antigua and Barbuda Men’s Senior Team
Please enter an answer in digits:2 &#215; 2 = 
Police in Nairobi have launched a massive manhunt for city entrepreneur Pascaline Peter
who is at the centre of a Sh350 million investment scam
the woman who operated a shylock scheme identified as Pafrim Investment Limited took money from investors
everything seemed to be running smoothly with regular interest payments
but things quickly took a turn for the worse as payments became delayed and eventually stopped altogether
are now struggling with significant financial losses
some of the victims shared their experiences with Citizen TV
many of them choosing to remain anonymous to avoid embarrassment
One investor revealed that she initially put in Sh100,000
but kept adding more money after receiving interest payments that seemed genuine
and then I was not picking my interest for a while,” she said
he was convinced to invest more after seeing the returns
which I think is Sh94,000 that was returned to me,” he said
adding that his doubts were confirmed when the promised returns stopped coming
a group of eight investors who traveled from Ruaka and Kitengela in hopes of finding Pascaline were unfortunately unable to locate her
expressed her worry: “I’m so concerned and I am so worried because prior to this we have been talking on the phone until this week.”
Ruai Police boss Patricia Yegon confirmed that the police are actively pursuing the suspect
some members of the public who have been conned through online,” Yegon said
Investment scams have become increasingly common as fraudsters use ever more sophisticated tactics to deceive unsuspecting Kenyans seeking to grow their income
hundreds of victims of the Springmark Investment scam
who reportedly lost over Sh2.4 billion to an online trader
flocked to Eldoret Central Police Station to seek justice
of defrauding them through a scheme whose prospectus promised an 18 per cent monthly interest rate
with the option to withdraw the funds after six months
Abuti is said to have frequented social venues in Eldoret
enticing people—including bishops and their congregations—to borrow money and invest in Springmark
failing to deliver on its promises of substantial returns
and the mastermind behind the scam vanished
leaving his clients in severe financial distress
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HOT: <a href="https://www.novinite.com/poll">&raquo; What kind of news would you like to see more of?</a>
The baker says, “Sorry, we just ran out of bread, but we’ve got plenty of politicians who’ll promise to bring some tomorrow!”... <a href="articles/231624/A+Bulgarian+walks+into+a+bakery+and+asks+for+a+loaf+of+bread">read</a>
The Bulgarian replied, "Simple, we just put everything in a pot, add a little rakia, and let the flavors fight it out!" It’s a recipe for success… and possibly a ... <a href="articles/231623/A+tourist+asked+a+Bulgarian+what+the+secret+to+their+delicious+food+was">read</a>
<a href="articles/231663/While+speaking+briefly+with+the+media%2C+T">While speaking briefly with the media, Trump took a question on the stock market drop following the tariffs and said, "I think it's going very well," and added that the United States will "have six or seven trillion dollars coming into our country."He further said, "The markets are going ... read</a>
<a href="articles/231637/%27This+is+not+the+time+to+go+it+alone%2C%27+R">'This is not the time to go it alone,' Rutte warns, as he says 'no alternative to NATO'Nato’s secretary general Mark Rutte is speaking again, giving a lecture at the Warsaw School of Economics in which he strongly backs the role of the alliance and tells both Europe and the ... read</a>
Capturing spring in Bulgaria: A blooming season through our lens
Spring in Bulgaria is a time of vibrant renewal
marked by blooming flowers and milder weather
the countryside transforms with colorful wildflowers such as snowdrops
Cities and villages alike celebrate the season
<a href="photo_topic/100912/Capturing+spring+in+Bulgaria%3A+A+blooming+season+through+our+lens">&raquo; See all photos</a>
Google Street View Cars Return to Bulgaria for Major Mapping Update
Housing Prices Soar in Bulgaria’s Major Cities as Demand and Supply Strain Increase
International triathlon event at Lac du Passy
This great local event includes a variety of triathlon distances for children and adults
A great option if you're looking to have a go at a triathlon for the first time
there is always a really friendly atmosphere with lots of supporters along the way
The races range from a children's event open to 8 to 11 year olds
a medium 'Olympic Triathlon' and large 'Half Iron Man Triathlon' as well as the Women Tri
Check out the website via the link for more information and subscriptions
If you&#39;re looking for somewhere to stay during the Triathlon, check out our <a href="https://www.seechamonix.com/where-to-stay" target="_blank">accommodation guide here</a>.
This is a 2-3 minute audio letter to the late David Muir
a disabled man who invented the Passy Muir® Valve
an attachment that enables people with tracheostomies to speak
this letter allows me to share my thoughts on the desire to speak and reflections on silence
I wonder what it was like for you at the hospital…
During my four weeks in the intensive care unit
while I was grappling with the idea of life without being able to speak
I saw your face featured on a plastic package that contained the Passy Muir® Valve
When the device is attached to a ventilator tube
the valve enables a person to breathe through their trach
redirecting air up through the vocal cords and nasal passages so a person can speak
A speech-language pathologist suggested I try it
must be deflated in order to use your device — and attached the valve
[Sound of air being released as the cuff in my trach is deflated]
but no sound came out except for air flapping through the valve and secretions from my wound site
A Google search brought up the company you cofounded with Patricia Passy
I was thrilled to see that a disabled inventor had created something based on the need and desire to speak
Why hadn&#x27;t I known about your achievements
Why aren’t you mentioned in disability history or stories about disabled people in design and technology
A passage from <a data-offer-url="https://www.passy-muir.com/history" class="external-link" data-event-click="{&quot;element&quot;:&quot;ExternalLink&quot;,&quot;outgoingURL&quot;:&quot;https://www.passy-muir.com/history&quot;}" href="https://www.passy-muir.com/history" rel="nofollow noopener" target="_blank">your company’s website</a> states: “We at Passy Muir believe that communication… is essential to individual rights and dignity
We are committed in our efforts to offer tracheostomized and ventilator-dependent patients a step towards independence and dignity through speech.” 
I paused to consider the phrase “dignity through speech.” There is dignity in silence too
Silence does not mean a person is voiceless
as there are millions of nonspeaking people who use gestures
and other means to communicate with the world
I live in a world of silence that is not lesser or devoid of richness
Silence forces me to be more thoughtful and intentional in considering what I want to say and how I say it when I type into my speech-to-text app
which listeners to this letter are hearing now
Still, almost a year <a href="https://www.teenvogue.com/story/alice-wong-hospitalization-crowdfunding-community">after I was hospitalized</a>
at the ALS center at the University of California San Francisco
evaluated me as they attached the valve to my trach once again
probably because my diaphragm wasn’t strong enough to push air up through the valve
and hoped I could have vocalized even a little bit
Even if I could have used your valve, though, I knew my voice would never be the same. It seems there’s nothing else I can do but live with this new reality of mine. I was born disabled, but <a href="https://www.teenvogue.com/story/year-of-the-tiger-alice-wong">my disability identity</a> has changed radically
I’m now part of the community of nonspeaking people and people who cannot swallow or eat solids
It’s another part of the ever-expanding disabled multiverse within which I leapfrog back and forth
As part of my evolution, I have become an advisory council member for <a data-offer-url="https://communicationfirst.org/" class="external-link" data-event-click="{&quot;element&quot;:&quot;ExternalLink&quot;,&quot;outgoingURL&quot;:&quot;https://communicationfirst.org/&quot;}" href="https://communicationfirst.org/" rel="nofollow noopener" target="_blank">Communication First</a>
the only nonprofit dedicated to protecting and advancing the civil rights of people who cannot rely on speech to be heard and understood
I’m sad that your Passy Muir*®* Valve didn’t work for me
but I am grateful for it and organizations like Communication First
The worlds of speech and silence intersect and overlap
a space that enables another way of thinking and being
There is dignity in all forms of communicating
When I looked you up, David, I read your obituary in the <a href="https://www.latimes.com/archives/la-xpm-1990-09-01-me-367-story.html">Los Angeles Times</a>
You lapsed into a coma after your trach became disconnected when you fell out of your wheelchair — one of my greatest nightmares
I wish you were still here to see how diverse the disability community has grown
Would your thoughts on speech have evolved over time
I wonder what kind of conversations we would have had as fellow trach users and how we would chat — text
You created something that offers people like me an option
and even though that option is not ideal for me
Stay up-to-date with the politics team. <a href="https://www.teenvogue.com/newsletter/subscribe">Sign up for the Teen Vogue Take</a>
<a href="/story/log-off-excerpt-how-to-use-social-media-without-feeling-like-sht" class="InternalLinkEmbedWrapper-fhjgJW hsyISG">How to Use Social Media Without Feeling Like Sh*t</a>
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whiskey and comic books are emerging as an investment strategy
But Larsen’s cost to get in the game has been relatively little — about $20,000. That’s because he hasn’t been buying the items outright. Instead, he has been purchasing shares in each one — in most cases priced well below $100 apiece — through an emerging collectibles-investment platform called Rally that specializes in fractional-ownership structures. And it allows investors to trade those shares on an exchange, much like a stock.
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influencer Pascaline Peter also known as Passy Ma Trevor
<a href="/en/news/easter/guides/273967-easter-egg-hunts-2025-in-paris-75">Egg hunt</a> fans, get ready for a deliciously exciting adventure at La Grande Épicerie de Paris Rue de Sèvres ! In the run-up to <a href="/en/news/easter/articles/246931-why-do-we-eat-chocolate-at-easter">Easter</a>
a unique and challenging experience is being prepared within the walls of the department store
On Saturday, April 5, 2025, from 2pm to 5pm, La Grande Épicerie de Paris will be transformed into a sweet playground for 30-minute <a href="/en/news/easter/articles/290148-easter-2025-in-paris-free-egg-hunts-at-brach-nolinski-hotels-reservations">egg hunts</a> for children aged 4 to 10
Young explorers will set off down the aisles of the 7th arrondissement food temple
and face a series of tests that will enable them to collect the secret numbers that make up the code for the lock containing the final Easter treasure
the little ones can each leave with a delicious chocolate reward
So don't forget to <a href="https://www.lebonmarche.com/fr/lesons-chasse-aux-%C5%93ufs-grandeepicerie-sevres/266812.html" target="_blank">reserve</a> your seats
and meet us on the first floor of La Grande Épicerie de Paris
And don't miss the <a href="https://www.lebonmarche.com/fr/lesons-chasse-aux-%C5%93ufs-grandeepicerie-passy/266838.html" target="_blank">egg hunt at La Grande Épicerie de Paris on Rue de Passy</a>, in the <a href="/en/what-to-visit-in-paris/walks/guides/305826-what-to-do-in-paris-s-16th-arrondissement-ideas-for-going-out-good-addresses-and-activities">16th arrondissement</a>
A Makadara court has granted the Director of Public Prosecutions' (DPP) request to deny bond to <a href="https://www.kenyans.co.ke/news/104368-dci-arrests-passy-ma-trevor-swindling-kenyans-ksh350-million" rel="nofollow">online influencer Pascaline Peter</a>
The two are facing charges of obtaining money by false pretenses
Principal Magistrate Erick Mutunga ruled that the prosecution
had provided sufficient evidence to justify the denial of bond
“The purpose of bail is to ensure the accused person’s attendance during trial
I have gone through the charges before this court and have put into consideration the applications of the investigating officer and that of the learned counsel in the matter
and I find that the accused persons if released on bond they may have no motivation of attending court” ruled Mutunga
The judge argued that he had also considered the security of the accused as well as their possibility of interfering with the case if released before he made the ruling
he ruled that the case be heard on a priority basis and the two will remain in remand until its hearing on January 15
The two were on November 7 <a href="https://www.kenyans.co.ke/news/106154-passy-ma-trevor-co-accused-charged-ksh80-million-scandal" rel="nofollow">charged with the offense of obtaining Ksh80 million from the public.</a>
They are accused of using Passy Ma Trevor’s online influence to defraud unsuspecting Kenyans of their money pretending their purported investments would make a monthly return of up to 23.5 per cent
Other charges they are facing are; conspiracy to defraud contrary to section 317 of the penal code
and carrying out business as a collective investment scheme without a valid license issued by the Capital Markets Authority or Central Bank of Kenya
The offences were allegedly committed on diverse dates between March 3
Passy Ma Trevor was apprehended by Kasarani Police detectives after being on the run following a police report by her victims who suspected they had been swindled
she was known for consistently flaunting a lavish lifestyle online while her victims were left wondering about the fate of their financial investments
BELFAST — “This is the first time it has rained,” said Dorothy Havey
as she initiated the eighth ceremonial year Passy Pete has predicted an early winter or six more weeks of summer
Passy Pete is short for Passagassawakeag Pete
He’s named after the river that begins in Brooks and runs for 16-miles spilling out into Belfast Harbor
Before you have fun and make yourself a little crazy trying to pronounce it
“a place for spearing sturgeon by torchlight.”  
Passy Pete joins the ranks of Puxatawny Phil
who predicts an early spring or six more weeks of winter
these soothsayers bridge the gap between science and frivolity
The Belfast Barons are in charge of the scrolls
Pete is retrieved from the water and ceremoniously carried up to the park in his trap where he is removed and presented with two scrolls
while the other extends summer for six more weeks
Pete plays the moment in the spotlight before choosing a scroll and it reads:  
Pull those winter clothes from the drawers and closets
Passy Pete was returned to the water after many a photo op and will live to prognosticate another day
The adjustment period can involve a great deal of trust and adaptation
Last in a series. Read <a href="https://smanewstoday.com/columns/training-my-home-care-nurses-key-preventing-emergencies/">part one</a> here
Previously, I wrote about an extremely important topic: safety while using the <a href="https://www.passy-muir.com/valves_page">Passy Muir Valve</a> (PMV)
This wonderful tool helps people with a tracheostomy improve their vocal communication by redirecting &#8220;airflow through the vocal folds
all tools have the potential to harm us if safety precautions aren’t taken
When people use power tools to build a house
they take safety measures to avoid a life-threatening emergency
if my neck is bent too far forward while using the PMV
creating a life-threatening emergency for me
I remember well when I started using the PMV at age 3
I had received my tracheostomy a year earlier and was using a ventilator
I was introduced to the Passy Muir Valve as I was being weaned off the ventilator during daytime hours
but it would take me quite a while to get used to the device
and caregivers using a PMV for the first time is that patience is crucial for all parties involved
everybody should educate themselves on the device as much as possible before using it
The PMV provides an opportunity for caregivers to form a <a href="https://smanewstoday.com/columns/how-home-healthcare-agency-can-build-meaningful-relationships/">trusting relationship</a> with the patient during the adaptation process. The <a href="https://smanewstoday.com/dream-team-assembling-your-sma-care-squad/">caregiving team</a> must put themselves in the patient’s shoes
When I first started using the Passy Muir Valve
it felt like my airway was blocked because I didn’t know how to breathe with the device
Whenever I practiced breathing with the PMV
I had someone right there who could take it off quickly when needed
but it took months for me to adjust to breathing with the PMV
You can’t tell someone to just &#8220;get used to it.&#8221; It’s not that simple
Again, trust is required. The patient needs <a href="https://smanewstoday.com/columns/taking-stock-new-years-blessings-have-affected-my-life/">the gift</a> of reassurance that they will be closely monitored while wearing and getting used to the PMV
They need to know that a caregiver will take care of their breathing needs
one thing that helped me get used to breathing and talking with the PMV was having a distraction
I was home-schooled during preschool and much of kindergarten
I had improved enough with the Passy Muir Valve that I could at least say short answers verbally
someone would place the PMV on my tracheostomy so that I could answer
and then the PMV would be taken right back off
One day I became so engaged with my lesson that I didn’t even notice that the device had been on for 30 minutes
At night I would go back on the ventilator
My advice for getting used to the PMV is to do whatever it takes to distract yourself when it’s on
Other people can help by engaging in fun activities with you
breathing and talking with the Passy Muir Valve will probably become like second nature
Please remember that these experiences are told through my eyes and perspective
Some may be able to handle the PMV instantly
Others may be unable to handle it due to an occlusion or narrowing of the tracheal walls
I don’t want to make it seem like getting used to the PMV is a near impossible obstacle and not worth all the time and effort
What I gained from using the Passy Muir Valve far outweighed the difficulty of adapting
it brought me a treasure load of friendships over the years
Those friendships have resulted in memories that add a rich texture to my life
As I said in a previous column, I now use my <a href="https://us.tobiidynavox.com/pages/td-i-series">TD I-Series computerized voice device</a> in addition to the PMV
They both are great tools that allow me to use my real voice as well as my computerized voice
In short, the Passy Muir Valve has helped me zoom up many of the mountains I face with <a href="https://smanewstoday.com/what-is-spinal-muscular-atrophy/">SMA</a> and allowed me to accomplish many goals in life. Being at the top of a mountain has a way of bringing you not only the world, but also a world of <a href="https://smanewstoday.com/columns/how-i-want-carry-my-familys-legacy-hope/">hope</a>
Continue to enjoy the view with me next time
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BELFAST (WVII) -- We&#x27;ve all heard of Punxsutawney Phil, but have you heard of Passy Pete?
Instead of using a shadow to forecast spring, a little Maine twist is put on the tradition.
For the past nine years, residents of Belfast have relied on Pete the lobster to determine if it will be an early winter or if summer will last a little bit longer.
Much like Groundhog Day, the ceremony involves Pete choosing a scroll with a prediction that is read to the community.
This year, it’s not the result residents were looking for, but they aren&#x27;t surprised.
“We&#x27;re very sorry to share that he predicted an early winter this year. It&#x27;s cold here in Maine and you get used to it. And if you wear the right clothes, you&#x27;ll be fine.  And I imagine that prediction is always going to be cold,” said Ken Morris, a Belfast resident.
If Passy Pete is right, we have to enjoy this warm weather while we have it.
Pascaline Peter, known as Passy Ma Trevor on Facebook, was arrested on Thursday in connection with a major fraud scheme that has left hundreds of Kenyans devastated.
Pascaline is the suspect in a case involving the alleged embezzlement of an estimated Sh350 million from unsuspecting investors.
According to the police, Passy Ma Trevor deceived her victims by offering a fake real estate investment deal through her company, Pafrim Investments Ltd.
In an elaborate scam, Pascaline had convinced victims to make deposits running into millions of shillings in four bank accounts spread across Equity Bank, Coop Bank, Stanbic Bank, and Kingdom Bank.
She promised returns of up to 30 per cent monthly and falsely claimed to be running successful a real estate company as bait. Once the payments were made, she switched off her mobile phone and went into hiding.
Detectives from the Directorate of Criminal Investigations (DCI) and their colleagues from the Kasarani division tracked Pascaline to a hideout in Kantafu, Machakos County, where she was taken into custody.
The arrest came after an investigation was launched due to many complaints from people who had been scammed.
&#8220;Preliminary investigations have revealed that the 36 year old lady who displayed opulence across her social media outlets managed to defraud over 200 individuals, with 106 formal complaints already filed against her,&#8221; DCI said on Thursday.
Police said they are working to gather watertight evidence to enable her prosecution, urging the public to &#8220;remain vigilant and cautious of similar fraudulent schemes to avoid further financial losses in the hands of such individuals or companies.&#8221;
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Biologists at The University of Texas at Arlington have published a study showing that if humans continue with business as usual regarding actions that cause climate change
many economically important species could be driven to the brink of extinction within 50 years
The study was conducted by researchers in the lab of Sophia Passy
was lead author and was joined by co-authors Chad Larson
a stream ecologist with the Environmental Assessment Program at Washington State Department of Ecology in Lacey
Pound and Larson earned doctoral degrees from UTA with Passy as their faculty advisor
The article, titled <a href="https://onlinelibrary.wiley.com/doi/10.1111/geb.13193">&ldquo;Current distributions and future climate‐driven changes in diatoms, insects and fish in U.S. streams,&rdquo;</a> was published in the January edition of the journal Global Ecology and Biogeography
Its message is clear: The future of stream ecosystems depends on efforts to address climate change today
The study assesses the potential impacts of climate change on the diversity and distribution of 336 freshwater species across 1,227 streams in the continental United States
The team developed species distribution models for using water chemistry
Four climate change scenarios were examined: a mitigated scenario where carbon dioxide emissions decline to zero; two stabilizing scenarios where emissions peak and then decline; and a worst-case scenario where emissions continue to increase through the end of the century
referred to as &ldquo;business as usual.&rdquo;
&ldquo;Our results indicate a widespread decrease in cold-water taxa
projected to decline most drastically in localities where they are most abundant today
Given that such localities serve as important sources for colonists
the loss of cold-water species there is likely to have a negative impact at a regional scale,&rdquo; Passy said
with projections showing a loss of more than 80 percent of their current distribution under the business as usual scenario,&rdquo; Pound said
&ldquo;We observed an increase in a number of warm-water and environmentally tolerant taxa
warm-water taxa were projected to nearly double their distribution in the most extreme climate change scenario
This is highly problematic because many of these species have characteristics of environmental concern
&ldquo;Minnows are common bait bucket releases and hold great potential for introduction throughout their full forecasted range,&rdquo; Pound said
&ldquo;These seemingly harmless feeder fish are threats because they often hybridize with closely related minnows
diluting the gene pool of native species.&rdquo;
Other species of concern include predacious longnose gar and flathead catfish
and high fecundity fish such as gizzard shad which dominate fish assemblages and outgrow predators
The study&rsquo;s results also suggest diminished distributions of functionally important taxa within diatom and insect communities
&ldquo;Results for diatoms suggest a decline in both understory and overstory taxa
affecting stream food chains,&rdquo; Pound said
all aquatic insects classified as environmentally sensitive were cold-water
These insects are indicators of healthy streams but may be eliminated by climate change.&rdquo;
Algae and insects are important food sources for fish
so dramatic restructuring of their communities could diminish overall stream biomass
Widespread increase of warm-water taxa and eradication of cold-water taxa may also lead to biotic homogenization
a phenomenon in which biological communities become more similar to each other
Biotic homogenization reduces the integrity of ecosystems making them more vulnerable to both natural and human disturbance
Given that the magnitude of these biotic shifts depends on the severity of climate change
appropriate current policy decisions are necessary to preserve freshwater ecosystems
The research was funded by a grant from the National Science Foundation&rsquo;s Division of Environmental Biology
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Just a few days after I arrived at The Palm Beach Post in the summer of 1992
I found myself headed to an introductory luncheon with the management of the Kravis Center
The center was just a couple of months away from opening
I was the fresh-faced but culturally astute 28-year-old New Yorker hired to write about the glittering venue that promised to transform this sleepy slice of South Florida
So long as I could navigate my way to this lunch
I had gotten my driver's license only a few months earlier (why drive when you can always take the subway?)
that I was living in the land of turn lanes and traffic tie-ups
I left the office and proceeded to drive the wrong way down a one-way street
I managed to make it to the meeting — alive but thoroughly unglued
And I managed to keep on driving — and keep on writing about the Kravis and a gazillion other local institutions
culinary and otherwise — for nearly 18 years
joining the Dow Jones Newswires and The Wall Street Journal for a position covering the world of wealth
It's a move I've dreamed about almost since I moved to Palm Beach County
I've long kidded that I've been living here "temporarily" for what now amounts to no small chunk of a lifetime
this land of paradise that seems a million miles removed from the big city even though so many of its residents hail from the New York area
it has everything a person could want in a home — lots of sunshine
Because so many of us South Floridians come from somewhere else — especially New York — we never seem to make peace with our new home
part of it is the whole "how they did it up North" thing
Built into our very character is a sense of Noo Yawk smugness and superiority — the same brand of braggadocio that previously allowed us to endure the daily indignities of life in the big city (think trying to get on the E train during rush hour)
But another part is just how strange living in the land of endless summer can seem
I remember never feeling as if I was "going to work," even during the busiest of days during the Kravis' inaugural season
how can one be working in a place that's all about playing
I suspect it's the reason so many South Floridians learn to avoid the beach — it's almost a defense mechanism so we don't lapse into a state of Margaritaville-minded stupor
There's also this: South Florida is a place still very much defining itself — aside from tourism
our chief industry is sprawl (or these days
a place that's too busy expanding to figure out what it wants to be once it reaches capacity
Gertrude Stein may have been speaking of Oakland
when she said "there's no 'there' there," but is there any place more "there-less" than Palm Beach County
I spent much of my time in Palm Beach County searching for the "big city" within it
I liked to write about those institutions that "fought the good fight," as I put it
and tried to bring a measure of quality or an appreciation for the cutting-edge to the local cultural scene
Think Palm Beach Dramaworks and its intensely gripping approach to theater
Think the now-shuttered (but hopefully soon-to-reopen) Bamboo Room and its classy lineup of blues
Think the now disbanded Klein Dance and Ballet Florida and their relentlessly creative approaches to dance
which dared to program the occasional contemporary-minded artist in its Rinker Playhouse
My same hunger for the new and unusual applied — literally — when I changed beats and became a food writer and restaurant critic for the paper
I celebrated restaurants that were willing to look past South Florida's reputation as the prime-rib capital of the Western world
that meant ethnic eateries that proudly showcased their cuisine without dumbing it down: I was thrilled to find Chinese restaurants of the quality of Grand Lake Chinese Cuisine in West Palm Beach and Uncle Joe's in Palm Beach Gardens
that meant fine-dining establishments that brought a degree of sophistication and an appreciation for unusual ingredients or preparations
I still remember my first dinner at Dolce de Palma in West Palm Beach
where chef Anthony de Palma's contemporary take on rustic Italian cuisine wowed me
David Manero's new restaurant in downtown Delray Beach
where crowds happily devour a very modern bar menu
I also came to realize that I had it wrong
but the real pleasures of paradise are the ones ultimately more home-grown
I began to establish roots here and discover what was truly in my back yard — or close by to it
perhaps the most unsung suburban community in the United States
good rec programs and the best damn mall (The Gardens) on the planet
After bemoaning my lack of close friends in Florida
I found something better — neighbors and colleagues worthy of calling soulmates
I stayed up late in the evening with the couples down the block — Rick and Ruth
Mark and Paula — as we sat in each other driveways discussing nothing and everything all at once
a retired New York media type who read my articles and began to offer advice and critiques that always inspired me to do better
and though I never quite found the beach (at least on a regular basis)
I found plenty else to love about Florida: that long
those overly generous Amish restaurants in Sarasota
that old-timey thrill that comes whenever I walk down Main Street in Disney World's Magic Kingdom with my beloved wife and two kids
I found the annual funfest that is the South Florida Fair.)
I also found a great place in which to practice my craft — namely
But South Florida never was home — at least not in the deepest sense
Perhaps it's a game I played with myself — the grass was always greener (or the concrete always more solid) in my native New York
it's just that New York is my true home ­— not so much because it's the "big city" (though it certainly is)
but because it's where my parents still live and where most of my childhood friends still remain
It's not that it's "better." It's just that it feels right — at least for now
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Real estate investment and asset manager AEW has acquired Passy Plaza shopping centre in the 16th arrondissement of Paris.&nbsp;
The centre was acquired from Generali on behalf of three of AEW’s funds under management for retail investors
which comprises 13,000 m2 split over two levels of retail units and two levels of parking
including major brands such as Uniqlo and Zara Home
The centre was completely renovated in 2018 with the aim of improving the energy efficiency
upgrading the building and modernising the design
close to the Passy (line 6) and La Muette (line 9) metro stations and the Boulainvilliers RER C station
The asset is located in one of the most affluent districts of Paris and represents a strong retail offering in an area with vacancy of less than 1% for retail assets
commented: 'This new acquisition is the 7th made by AEW on the rue de Passy
and demonstrates both the vitality of this sector and our ability to select the best performing assets for our clients.'
AEW was advised by Baum Notaires (Nicolas Baum and Vincent Hocquet) and Gide (Antoine Mary and Cécile Régnier)
The intermediaries on the transaction were Knight Frank (Antoine Grignon and Inès Jouyet) and Rothschild &amp; Co (Benoît Thébault and Jennifer Lemarié)
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Aspiration is a common complication after tracheostomy in patients with acquired brain injury (ABI), resulting from impaired swallowing function, and which may lead to aspiration pneumonia. The Passy-Muir Tracheostomy and Ventilator Swallowing and Speaking Valve (PMV) has been used to enable voice and reduce aspiration; however, its mechanism is unclear. This study aimed to investigate the mechanisms underlying the beneficial effects of PMV intervention on the prevention of aspiration.
Our findings demonstrated that PMV could improve VP-Max, UES-RD, and reduce aspiration in tracheostomized patients, and the putative mechanism may involve the subglottic pressure.
[http://www.chictr.org.cn], identifier [ChiCTR1800018686].
Volume 16 - 2022 | <a class="ArticleLayoutHeader__info__doi" href="https://doi.org/10.3389/fnins.2022.1004013">https://doi.org/10.3389/fnins.2022.1004013</a>
This article is part of the Research TopicManifestations of mild-to-moderate traumatic brain injury<a class="Link Link--linkType Link--maincolor Link--medium Link--icon Link--chevronRight Link--right" aria-label="View all 9 articles" href="https://www.frontiersin.org/research-topics/36901/manifestations-of-mild-to-moderate-traumatic-brain-injury/magazine" target="_self" data-event="customLink-linkType-a_viewAll9Articles">View all 9 articles</a>
Objective: Aspiration is a common complication after tracheostomy in patients with acquired brain injury (ABI)
resulting from impaired swallowing function
and which may lead to aspiration pneumonia
The Passy-Muir Tracheostomy and Ventilator Swallowing and Speaking Valve (PMV) has been used to enable voice and reduce aspiration; however
This study aimed to investigate the mechanisms underlying the beneficial effects of PMV intervention on the prevention of aspiration
controlled study was designed in which 20 tracheostomized patients with aspiration following ABI were recruited and randomized into the PMV intervention and non-PMV intervention groups
swallowing biomechanical characteristics were examined using video fluoroscopic swallowing study (VFSS) and high-resolution manometry (HRM)
A three-dimensional (3D) upper airway anatomical reconstruction was made based on computed tomography scan data
followed by computational fluid dynamics (CFD) simulation analysis to detect subglottic pressure
Results: The results showed that compared with the non-PMV intervention group
the velopharynx maximal pressure (VP-Max) and upper esophageal sphincter relaxation duration (UES-RD) increased significantly (P &#x003C; 0.05)
while the Penetration-Aspiration Scale (PAS) score decreased in the PMV intervention group (P &#x003C; 0.05)
the subglottic pressure was successfully detected by CFD simulation analysis
and increased significantly after 2 weeks in the PMV intervention group compared to the non-PMV intervention group (P &#x003C; 0.001)
indicating that the subglottic pressure could be remodeled through PMV intervention
Conclusion: Our findings demonstrated that PMV could improve VP-Max
and reduce aspiration in tracheostomized patients
and the putative mechanism may involve the subglottic pressure
Clinical trial registration: [<a style="color:#63cde5;" href="http://www.chictr.org.cn">http://www.chictr.org.cn</a>]
further evidence is needed to elucidate the underlying mechanism of swallowing safety
there is a lack of sufficient evidence to support this
CFD might be a good way to estimate subglottic pressure using a non-invasive method
no relevant studies have investigated fluid dynamic changes in the upper airway of tracheostomized patients with aspiration
This study aimed to investigate the subglottic pressure and swallowing biomechanics of aspiration after tracheostomy in patients with ABI treated with PMV and to explore the underlying mechanism of aspiration prevention
Tracheostomized patients with aspiration following ABI were enrolled in this study. The inclusion criteria were as follows: (1) diagnosis of ABI; (2) age between 18 and 80 years; (3) ABI occurs within 1&#x2013;12 months; (4) use of a tracheostomy tube; (5) non-ventilated; (6) without supplementary oxygen requirements; (7) clinical symptoms of aspiration [Penetration-Aspiration Scale (PAS) score &#x2265; 5, <a href="#F1">Figure 1</a>]; and (8) no medical history of previous dysphagia
The exclusion criteria were as follows: (1) unstable vital signs; (2) severe cognitive impairment; (3) inability to achieve an upright sitting position; (4) medical history of seizures; (5) allergy to iohexol injections; (6) pregnant or nursing women; and (7) any neuropsychiatric comorbidity or affective disorder that may influence the test outcomes
Written informed consent was obtained from all the participants or their relatives prior to inclusion
Aspiration occurred during swallowing in tracheostomized patients following ABI during VFSS examination
White arrow indicates the bolus entering the upper airway
Thirty tracheostomized patients with aspiration following ABI were evaluated for eligibility, of which 22 patients who met the inclusion criteria were included and equally randomized into two groups. Two patients in the non-PMV intervention group discontinued the treatment. Therefore, 11 patients in the PMV intervention group and 9 patients in the non-PMV intervention group completed the study. <a href="#F2">Figure 2</a> shows a flow diagram of the inclusion process of the study
Flow diagram of the inclusion process of the study
All data were obtained from the Third Affiliated Hospital of Sun Yat-sen University
The patients were divided into two groups by a random allocation sequence generated by a computer random number generator
All assessments were conducted in a single (assessor) blind manner
The PMV intervention group received a PMV intervention combined with conventional treatment
Oral cleaning and sputum suction were performed before the PMV intervention
The patient remained in a semi-recumbent position and the PMV was secured to the tracheostomy tube
Patients in this group also received conventional therapies for 30 min (once daily
These therapies included effortful swallowing
oropharyngeal muscle strengthening exercises
and postural compensation for head rotation
Patients in the non-PMV intervention group received the same conventional therapies as those in the PMV intervention group
A high-resolution solid-state pressure measurement system was used to examine the pharyngeal pressure (Sierra Scientific Instruments
The device used the proprietary pressure transduction technology (TactArray) which allowed each of the 36 pressure sensing elements to detect pressure over a length of 2.5 mm in each of the 12 circumferentially dispersed sectors
The sector pressures were then averaged to obtain the mean pressure measurement
making each of the 36 sensors a circumferential pressure detector
The change in pressure was directly displayed as the change in the electrical signal on the sensor
All pressure measurements were expressed in terms of atmospheric pressure
The parameters included VP maximal pressure (VP-Max)
Time-space chart of high-resolution manometry in a tracheostomized patient with aspiration following ABI
(A) At baseline before Passy-Muir Tracheostomy &#x0026; Ventilator Swallowing and Speaking Valve (PMV) intervention
the pressure detected region of velopharynx (VP)
and upper esophageal sphincter (UES) are shown
white arrow indicates the UES relaxation duration; (B) 2 weeks after PMV intervention in the same patient
The subjects were placed in a neutral sitting position under the guidance of a C-arm remote control twin-perspective gastrointestinal X-ray machine (Toshiba DBA-300
Each subject was instructed to swallow 5 mL iohexol injection for a total of three swallows
The severity of laryngeal penetration during swallowing was measured using the 8-point PAS
A digital acquisition and analysis system for video fluoroscopy was used to quantitatively analyze the video fluoroscopic swallow study (VFSS) video
The video was recorded during the VFSS and played frame by frame
which is when the hyoid was located at the lowest/highest point and the laryngeal vestibule was open/closed during swallowing
Illustrations were measured and calculated using Image J software (National Institute of Mental Health
These parameters included laryngeal vestibule closure time (LVC)
The LVC was the total duration the laryngeal vestibule remains closed during the pharyngeal stage of swallowing
The AHD was the displacement of the hyoid bone in an anterior direction
The UHD was the displacement of the hyoid bone in an upward direction
A computed tomography (CT) scanner (Aquilion ONE; Toshiba Medical Systems Corp.
The full sequence was performed in approximately 8.9 s by the same operator
The tube voltage/current ratio was 120 kV/60 mA
Cross-sectional CT images of the upper airway with a 0.5-mm thickness were obtained in the coronal
Subjects were placed in the supine position without PMV during CT examination
And subjects did not swallow anything during CT examination
The dataset was read and analyzed using Mimics software (version 20.0; The Materialize Group
An appropriate smoothing algorithm was used to transform the 3D model into a smooth model without loss of patient-specific characteristics of the shape of the upper airway
stereolithography files of the 3D models were imported into ANSYS 15.0-Meshing (Canonsburg
the mesh file was imported into ANSYS FLUENT 15.0
and the internal flow of the upper respiratory tract was simulated
the upper airway was regarded as a rigid cavity
and the fluid flowed in an incompressible manner with constant viscosity
Two different periods, a respiratory and swallowing period, were considered in the simulation. In this study, the respiratory cycle duration was T = 3 s. The duration of swallowing was defined as the time between the onset of velopharyngeal contraction and post-deglutitive UES pressure peak (<a href="#F4">Figure 4</a>)
The pressure inlet was defined as the boundary condition for palatopharyngeal entrance
The pharyngeal pressure over time before swallowing
measured using high-resolution manometry (HRM)
the outlet of the subglottic cavity was defined as the velocity outlet
the value of which is defined as the respiration volume
the outlet of the subglottic cavity is at the pressure exit
The k-&#x03F5; Standard Reynolds model was used for evaluating the turbulent flow within the upper respiratory tract
The subglottic pressure generated during swallowing varies over time
The mean subglottic pressure during swallowing was calculated using calculus
3D reconstruction and mesh generating of the upper airway anatomical structure in a tracheostomized patient with aspiration following acquired brain injury (ABI) based on high-resolution manometry (HRM)
(A) 3D reconstruction of the upper airway anatomical structure
yellow: upper respiratory tract; green: tracheal tube; (B) mesh generating of the upper airway 3D geometry; (C) the duration of swallowing was analyzed using HRM
Two different group simulations were conducted to investigate the effects of the PMV intervention on the subglottic pressure
the pressure at the PMV inlet was defined as the air pressure
the inlet of the PMV was defined as the wall boundary condition during exhalation
whereas the inlet of the PMV was defined as the pressure boundary condition during inhalation
All participants were evaluated prior to and 2 weeks after treatment
Patients were examined with the tracheal cuff inflated prior to and 2 weeks after treatment in the HRM and VFSS procedure in the non-PMV intervention group
Patients were examined with the tracheal cuff inflated prior to treatment in the HRM and VFSS procedure in the PMV intervention group
Patients were examined with PMV after treatment in the HRM and VFSS procedure in the PMV intervention group and the tracheal cuff was deflated during the examinations
whereas the secondary outcomes included subglottic pressure
The sample size was calculated such that at least nine individuals from each group had to be included in this study for 80% power with a 5% type I error level to detect a significant difference in PAS score (<a href="#B42">Park et al., 2013</a>)
All statistical analyses were performed using SPSS 23.0 (SPSS Inc.
Data are presented as mean &#x00B1; standard deviation (SD)
Categorical variables are presented as frequencies
Normally distributed data were determined using the Shapiro-Wilk test
Homogeneity of variance was measured using the Levene&#x2019;s test
and presence of pulmonary infection were expressed as the number of participants and analyzed using Fisher&#x2019;s exact test
Continuous variables of the baseline characteristics between the groups were expressed as mean &#x00B1; SD and were analyzed using the two-tailed two independent samples t-test or Wilcoxon signed-rank test
The two-tailed paired samples t-test or Wilcoxon signed-rank test was used for changes in parameters prior to and after treatment in the PMV and non-PMV intervention groups
These tests were also used to compare the differences between the two groups before and after treatment (post-pre treatment)
The level of statistical significance was set at P &#x003C; 0.05
The characteristics of patients in the two groups are displayed in <a href="#T1">Table 1</a>. The biomechanical characteristics of swallowing in the two groups at baseline are shown in <a href="#T2">Table 2</a>
There were no significant differences between the two groups at baseline in terms of age
National Institute of Health Stroke Scale score (for stroke)
Clinical characteristics in the PMV and non-PMV intervention groups
Swallowing biomechanical characteristics and subglottic pressure in PMV and non-PMV intervention groups at baseline
To observe the effect of the PMV intervention, the swallowing biomechanical parameters were compared between the PMV intervention and non-PMV intervention groups. The representation figure of the VFSS is shown in <a href="#F1">Figure 1</a>. Swallowing biomechanics were measured using HRM prior to and 2 weeks after PMV intervention (<a href="#F3">Figure 3</a>)
The results demonstrated that VP-Max and UES-RD increased and PAS scores decreased significantly in the PMV intervention group compared to the non-PMV intervention group (P &#x003C; 0.05). However, there were no statistical differences in TB-Max, UES-RP, LVC, AHD, or UHD (P &#x003E; 0.05) (<a href="#F5">Figures 5A&#x2013;H</a>)
These results indicate that PMV can improve VP-Max
Comparisons of the differences of post-pre treatment between two groups in swallowing biomechanical characteristics and subglottic pressure
(A&#x2013;H) Velopharynx maximal pressure (VP-Max)
upper esophageal sphincter residual pressure (UES-RP)
and Penetration-Aspiration Scale (PAS) score
Data were expressed as the mean &#x00B1; standard deviation and analyzed with the two-independent sample t-test or Wilcoxon signed rank test
These results demonstrated that the subglottic pressure was remodeled by PMV intervention
Comparisons of the differences prior to and after treatment of subglottic pressure between the PMV intervention and non-PMV intervention groups
(A) Sample of the subglottic pressure generated during swallowing varied with time in tracheostomized patient with aspiration following acquired brain injury (ABI) at baseline before PMV intervention; (B) 2 weeks after PMV intervention in the same patient; (C) comparison of the differences prior to and after treatment of subglottic pressure between two groups
Data were expressed as the mean &#x00B1; standard deviation and analyzed with the Wilcoxon signed rank test
the biomechanical mechanism of aspiration prevention by PMV was explored in tracheostomized patients following ABI
compared with the non-PMV intervention group
and subglottic pressure significantly increased
while PAS scores decreased in the PMV intervention group
We concluded that PMV intervention could improve aspiration and remodel subglottic pressure after tracheostomy in patients with ABI
the subglottic pressure was detected with a relatively high accuracy in our study
We speculated that remodeling of the subglottic pressure by PMV intervention was a key factor in preventing aspiration
The above study demonstrated a correlation between VP-Max and aspiration; however
non-tracheostomized patients were included
The increase in VP-Max and UES-RD might be a protective factor for the prevention of aspiration
which were used to assess penetration and aspiration
The improvement of VP-Max and UES-RD combined with the increase in subglottic pressure after PMV seems to have restored the normal swallowing biomechanical parameters
which might explain the mechanism of aspiration prevention and improvement
we can conclude that aspiration is controlled by the sensory system to some extent
We further speculated that remodeling of subglottic pressure in the PMV intervention group might be due to preserving subglottic flow and producing breathing airflow with the help of the PMV
indicating that the UES might be controlled by the swallowing cortex rather than the periphery
The benefits of PMV and other one-way valves for speech and reducing aspiration risk must be carefully weighed against the above risk
especially for speech-language pathologists who have significant exposure to mucosal surfaces and secretions
As tracheostomy is usually be followed by long periods of functional dependency and rehabilitation
the importance of multidisciplinary team-based approach should be valued and prospective data are needed to further guide best practices in tracheostomy care during the current pandemic
long-term follow-up on the effect of PMV intervention and the effect of PMV on aspiration pneumonia is lacking and still needs to be explored in future studies
whether aspiration after tracheostomy in patients with ABI is due to changes in tracheostomy or brain damage caused by late neuronal dysfunction is uncertain
which also requires a no-aspiration group after tracheostomy in ABI for an in-depth
although the proximal cause of tracheotomy status in the patient population was ABI
this diagnosis and indication does not exclude the possibility of other concurrent pathology
we have not performed other diagnostic procedures
to evaluate the structural anatomic factors that might have contributed to need for tracheostomy or increased aspiration risk
other covariate factors related to aspiration were not controlled for
Further research is required to control for these confounding factors
and aspiration in tracheostomized patients could be improved by PMV
the benefits of PMV and other one-way valves for speech and reducing aspiration risk must be carefully weighed against the risk
such as aerosol generation in patients who may have risks of viral transmission
The importance of multidisciplinary team-based approach should be valued and prospective data are needed to further guide best practices in tracheostomy care
The original contributions presented in this study are included in the article/supplementary material
further inquiries can be directed to the corresponding author/s
The studies involving human participants were reviewed and approved by the Ethics Committee of The Third Affiliated Hospital of Sun Yat-sen University
The patients/participants provided their written informed consent to participate in this study
ZD: full access to all of the data in the study and takes responsibility for the integrity of the data
XW and HW: critical revision of the manuscript for important intellectual content
All authors contributed to the article and approved the submitted version
This study was supported by the National Natural Science Foundation of China (grant no
Natural Science Foundation of Guangdong Province (grant no
and Science and Technology Program of Guangzhou (grant no
We are grateful to all the patients for participating in this study
the colleagues at the department of Rehabilitation Medicine and department of Radiology of the Third Affiliated Hospital of Sun Yat-sen University
and the colleagues in School of Mechanical and Automotive Engineering of the South China University of Technology for their dedication to the study
The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest
All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations
Any product that may be evaluated in this article
or claim that may be made by its manufacturer
is not guaranteed or endorsed by the publisher
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Passy-Muir Tracheostomy and Ventilator Swallowing and Speaking Valve (PMV)
Wen H and Dou Z (2022) Biomechanical mechanism of reduced aspiration by the Passy-Muir valve in tracheostomized patients following acquired brain injury: Evidences from subglottic pressure
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Brook trout are disappearing from American streams
As the global climate changes at accelerating speeds
the unique variety of species on our planet
climate change has increased the risk of extinction for nearly 1 million plant and animal species
habitat reduction and the prevalence of warm temperatures threaten species&rsquo; survival and compromise the integrity of ecosystems around the world
biologists at The University of Texas at Arlington are tackling the extinction crisis and finding sustainable solutions that promote healthy ecosystems
estimates that 30% to 50% of coral species in the Caribbean Sea are in danger of extinction
Many of them suffer from diseases that have increased because of climate change
her lab studies coral immune responses to white plague disease
stony coral tissue loss disease (SCTLD) and black band disease
SCTLD is a highly contagious disease that rapidly kills coral tissue
a coral&rsquo;s colony could die within weeks to months
leaving behind only the animal&rsquo;s white skeleton
preventing researchers from understanding its transmission and effective treatments
A study published by Mydlarz&rsquo;s lab revealed the discovery of DNA evidence of viruses in SCTLD-affected coral colonies
The team&rsquo;s data will support researchers&rsquo; critical next step of characterizing the presence and absence of viruses across Caribbean coral colonies
and further clarify the potential role of viruses in SCTLD
&ldquo;This is a promising development that will advance our knowledge of infectious coral diseases and ways to prevent them,&rdquo; Mydlarz said
&ldquo;Understanding SCTLD will help researchers and reef managers protect coral habitats and the biodiversity that they support.&rdquo;
wants to understand how human impacts on the environment affect species&rsquo; risk of extinction
To help target and prioritize the conservation of species at greatest risk
Frishkoff investigated the impact of habitat loss on amphibian populations from across the globe
The primary objective was to understand how species&rsquo; traits inform responses to habitat conversion
Frishkoff&rsquo;s team discovered that arboreality
leads to species&rsquo; increased sensitivity to habitat conversion
the relationship of amphibians&rsquo; reproductive processes to water sources was a major determinant of how they would respond to habitat change
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Species with higher tolerance are more likely to survive among human-altered habitats
&ldquo;Preserving biodiversity hinges on our ability to identify the species that are most sensitive to human-caused changes
particularly habitat conversion and climate change,&rdquo; Frishkoff said
&ldquo;Improved predictability of species sensitivity allows us to identify and protect areas that contain the most vulnerable species.&rdquo;
focuses on the biodiversity of America&rsquo;s freshwater ecosystems
lakes and wetlands contain inordinately high species diversity while composing very little of the earth&rsquo;s surface area
These traits make their ecosystems especially vulnerable to climate change
A study by Passy&rsquo;s lab examined how varying degrees of greenhouse gas emissions could impact species distributions in streams across the United States
the team predicted distributional changes that could occur by the years 2050 and 2070
Passy predicts that climate change will cause a widespread expansion of warm-water species
many possessing characteristics of environmental concern
cold-water species are projected to decline
are projected to lose more than 80% of their current distribution
&ldquo;Given that the magnitude of community rearrangement depends on the severity of climate change
there are still environmental policies our government could implement to protect the health and integrity of the nation&rsquo;s stream ecosystems.&rdquo;