 dirt were seen painted at his once clean palms. 

His eyes shifted towards the food, and as if he was trying to find something else besides on what the butler has served. He closed his eyes and let out a deep sigh, trying to maintain his composure, or trying to keep something from getting out.

"Butler, may I ask where the washroom is?" asked kindly, but still with a mixture of pride and arrogance in his tone of voice.The Tour De Nez is back in the Reno/Tahoe area once again and celebrating its 15th year. Project Moonshine will be working hard to cover all the events and document the race…and much much more.
I think weâ€™re in store for a little finger crossinâ€™ come true here at Nez land. As a race promoter, I havenâ€™t always followed the rules of the book as written, you have an idea, you sell it, then you put it on. I learned from one of the great bullshiters of all time back in the early 80â€™s in a bike shop I worked in; Warren Gibson, Lemonds buddy. He used to hang out at the counter on the shop phone promoting a race and making up so much stuff about what was going to happen and who was going to show up. We used to have so much fun emulating him; ah, yeah, the Russians will be here, ah so will Gregâ€¦.we got a lot of miles out of that one.   The other one Iâ€™ve done which is really stupid is to create this event/party/race, declare the intentions, make up prize money, hire peopleâ€¦â€¦and then figure out where the money is going to come from to make it happen. -Get the sponsors first Healion!- Not me, although, and here it is-> looks like all that work over the last 15 years of race promotion is going to pan out. Not only that but weâ€™ll be able to grow this thing people refer to as; â€œNezâ€ into the multi day stage race in the Tahoe Sierras that weâ€™ve been dreaming about all these years. Weâ€™ve gotten close but when the Title sponsor is the guy in the mirror, it certainly isnâ€™t where itâ€™s supposed to be from a business standpoint.
Hope to see everyone down there. Special thanks to Tim and Marnee for letting Project Moonshine get in on the action. We’ll be sure to get some weird and wild stuff.
Have you ever chased after something that was blown away by the wind?
The wind can be refreshing. It can blow the cobwebs from our minds. Sometimes it is furious and unpredictable. It is always out of our control. Once, on descending the steps of an aeroplane, a passenger’s hat was caught up by a gust of wind. It seemed funny at the time. Stewards chased after it, but the wind blew it first of all under the wing, then towards another aircraft, and, dangerously, out onto the path of incoming flights.
Solomon, who wrote the book of Ecclesiastes, was disillusioned with life. “I denied myself nothing my eyes desired; I refused my heart no pleasure”, he wrote (2:10). Yet nothing satisfied him. Working hard was also not the answer, nor learning whatever education had to offer. Today Solomon may have been told to find his own giftedness and celebrate it. He, however, said he had tried that. His skills brought him only passing fulfilment. Relationships and riches also did not bring ultimate satisfaction. All the philosophies of which he knew, the proverbs and the words of wisdom, did not help much. In the end there was still something missing, but he did not know what it was. For him everything was like chasing after the wind.
Of course, Solomon spoke from a privileged position. Most of us have not experienced even half of what he had. We may think that we would like the chance, and then see whether we agree with him. Solomon concluded that a dutiful life of worship and good behaviour was the only way forward. This was important, he thought, because one day “God will bring every deed into judgment” (12:13-14).
The New Testament offers a different perspective. We live our life of faith, not because of fear of judgment, but because we have been forgiven already. Fulfilment does not come from ourselves or from anything we do, but from Jesus who lives in us through the Spirit.
In other words your worship and behaviour flow from your relationship with the risen Christ. It is because his grace abounds to you “that in all things at all times, having all that you need, you will abound in every good work” (2 Corinthians 9:8). Jesus, “who is your life” (Colossians 3:4), gives meaning to your existence.
Therefore stop chasing after the wind. After all, you might get blown away!
Father, help me through your Spirit to turn to Jesus so that he can fill my life with meaning and purpose. In Jesus’ name.Severity-Adjusted ICU Mortality Only Tells Half the Truth-The Impact of Treatment Limitation in a Nationwide Database.

OBJECTIVES
The influence of different forms of treatment limitation on mortality rate in the ICU is not known despite the common use of the latter as a quality indicator. The aim of the present study was to assess the prevalence of treatment limitation and its influence on ICU mortality rate. Primary outcomes were prevalence of treatment limitation and its influence on severity-adjusted ICU mortality rate. Secondary outcomes included the association of limitation with age, sex, type of admission, diagnostic group, treatment intensity, and length of ICU stay.


DESIGN
Retrospective, observational study.


SETTING
All Swiss adult ICUs.


INTERVENTIONS
None.


PATIENTS
A total of 166,764 patients were admitted to an ICU in 2016 and 2017. Of these, 9139 were excluded because of readmission or invalid coding.


MEASUREMENTS AND MAIN RESULTS
Of 157,625 ICU patients, 20,916 (13.3%) had a fully defined treatment limitation. Among this group, treatment limitation was defined upon ICU admission in 12,854 (61%), the decision to limit treatment was based on the patient's advance directives in 9,951 (48%), and in 15,341 (73%), there was a decision to deliberately withhold certain treatment modalities. The mortality odds ratio for the group with a treatment limitation, considering relevant cofactors, was 18.1 (95% CI 16.8-19.4).


CONCLUSIONS
Every seventh patient in a Swiss ICU has some kind of treatment limitation, and this most probably affects the severity-adjusted mortality rate. Thus, mortality data as a quality indicator or benchmark in intensive care can only meaningfully be interpreted if existence, grade, cause, and time of treatment limitation are taken into account.Polymer Electrolyte Membrane Direct Ethanol Fuel Cells (PEM-DEFC) offer the possibility of a carbon-neutral, easily-handled small-scale power source but suffer from disadvantages such as high anode over-potentials and fuel cross-over. In the present work, a comprehensive one-dimensional, single phase, isothermal mathematical model is developed for a liquid-feed PEM-DEFC, taking into account all the necessary mass transport and electrochemical phenomena on both the anode side and the cathode side. Tafel kinetics expressions (with appropriate kinetic data taken from the literature) have been used to describe the electrochemical oxidation of ethanol at the anode and the simultaneous ethanol oxidation and oxygen reduction reaction at the cathode. The model fully accounts for the mixed potential effect caused by ethanol cross-over at the cathode and is validated using the data from the literature. Model predictions over a range of operating conditions show that ethanol cross-over can cause a significant loss of fuel in terms of production of electricity. Under optimized conditions, it is shown that a PEM-DEFC can be operated at a current density of 0.3 A cm-2 with a power density of 0.1 W cm-2 with a fuel utilization factor of about 90%. © 2011, Hydrogen Energy Publications, LLC. Published by Elsevier Ltd. All rights reserved.
The pressure to produce more has become commonplace in most industries. Leading to less time to complete tasks and projects and more stress on workers. And since there isn’t a way to lengthen the day, not yet anyway, the key to getting your work done on time is efficiency. So, finding new methods to increase your productivity is vital in staying ahead in our modern busy world. Well, you’re in luck because we are going to provide four tech tips to make you a more efficient, productive worker.
Improving your typing speed and accuracy can make a big difference in your productivity.  Additionally, investing time to learn keyboard shortcuts will pay big productivity dividends. You’ll spend less time clicking and more time shortcutting your way to outstanding efficiency. Imagine if you will, putting together a proposal without looking at your keyboard and barely touching your mouse. Now that’s productivity.
Using only one monitor is so 20th century. According to a study conducted by NEC and the University of Utah, individuals using a two-monitor setup were 44 percent more productive than those using a single display. How about more than two monitors? That depends on your own personal needs. In most cases, two displays are sufficient.
As incredible technology is at increasing our productivity, the same cutting-edge machines tend to be great time wasters as well. Whether it’s the latest mobile game,