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Now is the time! – A prophetic call to action
By Robert Cohen, Micah's Paradigm Shift
December 05, 2012
To the Assembly of Reform Rabbis in the United Kingdom,
I believe we are reaching a defining moment in the history of the State of Israel and your collective voice might just make a difference.
I call on you because it was from within the Reform Movement that my Judaism was nurtured and encouraged and from where I continue to take inspiration.
I call on you because I see an ethical hesitancy born of political expediency that brings you no merit and that must be challenged.
I call on you because you taught me to honour the Hebrew prophets
I call on you because now is the time.
Last week we witnessed the almost total isolation of the Jewish State in the United Nations General Assembly. The United States was the only country of significance to back Israel. Even Germany chose to abstain.
Government after government rejected the idea that a make believe peace process would somehow be jeopardised by giving the Palestinians upgraded observer status in the General Assembly.
The very next day, the Israeli government carried out its threat to punish the Palestinians for their audacity in appealing to the international community for the most modest of support. A West Bank zone, known as E1, is to have 3,000 homes built for Jewish settlers.
Rabbis of the Reform Assembly, you know that these new homes will have Jewish only roads connecting them and Jewish only buses and cars driving to and from them. You know that these homes, when joined to the existing settlement blocs, will cut the West Bank in two and prevent East Jerusalem from ever becoming the capital of a Palestinian State. You know these homes will be built on land that is, at the very least, disputed territory, land that the international community believes belongs to the Palestinian people.
Now is the time for you to take courage and to speak out.
Not only is Israel on the brink of ending all possibility of a just resolution to a 100 year old conflict, it is also committing itself to Jewish hegemony in preference to Jewish democracy.
Now is the time for you to take action.
There can be little doubt that we are looking at the first moves towards the unilateral annexation of Area C of the West Bank – approximately 60% of the territory that the Oslo Accords earmarked for a Palestinian State.
If Benjamin Netanyahu's Likud-Beitenu party wins the Israeli election on January 22nd with a secure majority (and that's looking by far the most likely outcome) this is the course they will set for themselves.
Now is the time for you to move beyond calls for mutual understanding and respect and beyond a theology that elevates 'balance' to a religious virtue.
On Tuesday 20 November 2012, as the death toll in Gaza continued to rise, you issued a statement on the Reform Judaism's website. This is what you said:
Torah commands us 'do not stand idly by while the blood of your neighbour is being shed' and two verses later 'love your neighbour as yourself'. These verses apply to everyone in this fearful situation, both Israelis and Gazans, however hard this is to recognise in a time of war.
Empathy for 'the other' is vital and much welcome – especially when it is in such short supply elsewhere in the Jewish community.
But if the religious thought process stops there, it fails the test of the Jewish prophetic. It ignores where the real power lies and where the real oppression falls.
Undoubtedly, there is pain and suffering to be found on both sides. But let us be honest with ourselves, and others.
There is no balance.
Acknowledging this is the next important step that takes us beyond empathy and towards the moral and redemptive power of the Hebrew prophets.
Now is the time to make an unequivocal statement that draws on our ethical heritage and says to the State of Israel, in a word borrowed from our annual liturgy of freedom: 'DAYENU!' Enough!
May these words of Rabbi Abraham Joshua Heschel, who put righteousness, not tribal solidarity, at the heart of Judaism, ring in your ears: "In a democracy some are guilty but all are responsible."
Now is the time to be brave and to be bold.
Now is the time to speak truth unto power.
Now is the time.


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Hey folks I thought it would be fun to make another odd lesson that has something to do with oil once again. Here is "how to draw an oilfield", step by step. Oilfields are where big machines called 'oilfield pumping units'. These machines dig deep into the earth to form a hole which is then used to pump out oil from the ground. Oil is one of Americas leading fueling agent as well as a main ingredient to make all kinds of stuff like tires, asphalt, plastic bottles and bins, so on and so forth. The pumping unit that you will be drawing is set in a setting where the sun is going down. It's a really nice landscape lesson that will definitely come in handy to create an art project for school, or a nice cover hand drawn photo for an economics class report. Even though this was definitely an odd lesson to create, I still had fun drawing an oilfield scenery. Well I guess I better let you guys get busy. I still have more drawing fun coming your way. Peace out and enjoy!
DragoArt members upload artwork and drawing tutorials! They are also allowed to leave comments on tutorials, profiles, etc. Many more features, as well; it's way better than just being a boring guest! Register Now!

subset: commoncrawl


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The current meme about the popularity of 50 Shades of Grey is that women have so much control in our real lives that we can afford to (because of the triumph of feminism ) or have to (because all that equality is an exhausting burden) resort to masochism in our fantasy lives. Women today play at bondage and other fantasies of powerlessness because we have so much power.
Oh, really?
"I felt like I was on this multiyear, never-ending audition to be his wife," one woman was quoted as saying in the New York Times article titled "The Downside of Cohabiting Before Marriage," after living with her boyfriend for four years.
"I don't think I can bear doing this for that long!" a 22-year-old women was quoted as saying in an Atlantic article after being confronted with the possibility that she'll still be single in her late thirties. She and her friends have liberated sex lives and "technical know-how" about sexual positions, but not many of them have ever had boyfriends.
The publicity material for Girls, the HBO series that claims to be "a pop culture mirror" reflecting the real lives of 20-somethings in New York, describes a male character: "Adam is the guy Hannah sleeps with sometimes -- when he decides to answer her texts. . . There may be more to him than meets the eye, but it's going to take Hannah some time to figure it out. Meanwhile, she will continue to show up on his doorstep dressed as a sex witch."
You read these things, and you want to scream, "Who told women they have to live like this?"
Surely the most benighted pre-liberation '50-style womanhood -- rushing to meet your husband at the front door, putting the martini in his hand, and sitting down in your freshly applied lipstick to listen to the all-important events of his day at the office -- couldn't be any more humiliating than the conditions that liberated modern women routinely tolerate today.
We've banished submission, obedience, and rules from our relationships. Nobody promises to obey their husbands any more. But now girls explain online how it turns them on when their boyfriends hit them in the face.
"Naturam expellas furca, tamen usque recurret," Horace pointed out, a couple of millenia ago. "You can drive out nature with a pitchfork, but it just keeps coming back" (as I'm able to translate thanks to a girl's education -- equal to any boy's -- that I'm very grateful to have received in the 20th century).
Domination and submission, power and rules, it appears, are inevitable features of the sexual landscape. I'm guessing 99 per cent of people "get" why sex shops sell handcuffs for every one who really sees the point of a foot fetish. Both men and women crave a love powerful enough to stir us up.
A whole host of modern developments -- the Pill, legal abortion, no-fault divorce, women's success in the workplace, shame-eradicating sex education (which replaced the older shame-bolstering kind) --have brought us to a place where love and sex are less obviously and necessarily life-changing than ever before.
Women today think we can keep relationships safely compartmentalized -- that we can have a manageable "sex life" on the side, while we build a real life out of the things we can control. But somehow we end up humiliating ourselves more than ever in pursuit of love. And apparently a lot of us still have a secret hankering for a yet more thoroughgoing degree of submission.
So what are our choices?
Keep going down the road of a liberation that's not all that liberating? Only play at satisfying our secret desires?
Because surely we don't want to go back to fifties -- or Victorian-style repression and oppression, do we?
Fortunately, there's a third alternative.
Consider a pre-Victorian love story with a healthy measure of domination and submission in it. In Pride and Prejudice, Mr. Darcy rejoices in being "properly humbled" by Elizabeth. To our ears, Darcy's language about letting Elizabeth "see that your reproofs had been attended to" has a cheap sexual charge. But in Jane Austen's world, submission and domination aren't just toys to play with. Rules and obedience were actually taken seriously in the author's day. It wasn't simply a question of "Wives, obey your husbands," though.
Notice that both lovers are eager to humble themselves before the other, and both ultimately exult in a kind of conquest. "For herself, [Elizabeth] was humbled; but she was proud of him. Proud that in a cause of compassion and honour he had been able to get the better of himself."
That's the excitement in Darcy and Elizabeth's story -- painful humiliation and hard-won mastery of self, which blossoms into triumphant love. Darcy's first, failed proposal to Elizabeth is an inferior sort of self-abasement; he's giving way to a passion that he's still half-ashamed of.
It's only when his pride is really humbled, when Elizabeth shows him "how insufficient were all [his] pretensions to please a woman worthy of being pleased," that he truly abases himself before her -- and so conquers her. And Elizabeth's utter humiliation when she sees her own prejudice is a similar stepping-stone on the way to all-conquering love.
Jane Austen's kind of domination and submission is about men and women's whole personalities, not just their sexual hobbies. If we're not really satisfied with the kinds of humiliation modern love has to offer, why not try love Austen's way?


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At Sandpoint Title our clients are our number one priority. For over 30 years, we have been Sandpoint's only locally owned and operated title and Escrow Company. We pride ourselves on our exceptional customer service. From the moment you open an order, our goal is to make the process of home ownership as smooth and hassle-free as possible. Our local title and escrow staff are well-equipped to handle any obstacle that comes your way. When other companies say "no" we are committed to finding solutions with our pro-active approach. We are a dedicated team, made up of knowledgeable locals, who truly care about every transaction. From the first time homebuyer to the seasoned real estate developer, we make everyone feel comfortable and taken care of with our timely professional service. Underwritten by, Old Republic Title company—one of the largest and most trusted national underwriters for title examination and underwriting services.
As a local company every dollar you spend at Sandpoint Title Insurance stays in the community. We are proud to support local companies in our everyday operations and we're committed to giving back to local organizations that are making a difference in our community.


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Application launchers are one of the simplest ways to speed up your computing—and certainly faster than hunting for icons in your dock. For ages, Quicksilver set the launch bar bar on Macs. Alfred leaves it in the dust.
What is it?
Alfred, Mac OS X, Free. A super snappy application launcher—like Quicksilver or Google Quick Search—for opening apps or finding files on the fly. Assign it to a keyboard shortcut, pull it up, and start typing—Alfred will scour your computer and show results with lightning speed. There are also a host of shortcuts for launching site specific searches, opening files and the like. The app is free, but a £12 "Powerpack" offers even more advanced options.
Who's it good for?
Die hard life hackers and novice users who want to dip their toes in the shallow end of the keyboard shortcut pool alike.
Why's it better than alternatives?
It runs like greased lightning. And it's got tons of useful shortcut searches—Twitter, Facebook, IMDB, Amazon, and dozens others—built right in. But mostly because it runs like greased lightning.
How could it be even better?
It's not quite as pretty or easily skinnable as Quicksilver is/was.
We're always looking for cool apps—for iOS, Android, Windows Phone or whatever else—to feature as App of the Day. If you come across one you think we should take a look at, please let us know.
For more apps, check out our weekly app roundups for iPhone, iPad, and Android


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Malawi's President Dies, Sets Up Possibility of Africa's 2nd Female President (NEWS)
(HN, 4/6/12) - On Friday it was announced by hospital and government sources that longtime Malawi President Bingu wa Mutharika had died after having a heart attack and collapsing at the nation's State House yesterday morning.
The Nyasa Times, the nation's state newspaper has said that Vice President Joyce Banda will be sworn in as Head of State and is expected to address the nation shortly, though the ruling DPP party has already endorsed the former President's brother Peter Mutharika as their choice for President.
The constitution says the Vice President is to take over as head of state and even though Banda was booted out of Mutharika's ruling DPP party in 2010 after an argument about succession; though analysts said there would be a smooth transition of power with the army and police respecting the law of the land.
If Banda takes the Chief Executive spot in the nation she will be only one of two African female leaders - on a continent of 54 nations - along with Liberia's Ellen Johnson Sirleaf. Sirleaf was first elected to her nation's highest office in 2005 and has since won re-election in 2011; a year she also was awarded the Nobel Peace Prize "for non-violent struggle for the safety of women and for women's rights to full participation in peace-building work" along with Leymah Gbowee of Liberia and Tawakel Karman of Yemen.
Malawi, located in Southeast Africa is a landlocked country formerly known as Nyasaland. It is bordered by Zambia to the northwest, Tanzania to the northeast, and Mozambique on the east, south and west. The country is separated from Tanzania and Mozambique by Lake Malawi.
The 78-year-old Mutharika had been rushed to Kamuzu Central Hospital in Lilongwe on Thursday but is now said to have been dead on arrival. State media had previously said he had been flown to South Africa for treatment.
Mutharika was the President of Malawi from May 2004 until April 5, 2012. He was also the president of the ruling Democratic Progressive Party, which has a majority in Malawi's parliament as a result of the 2009 general election.
Mutharika's administration presided over a seven-year economic boom that made Malawi one of the world's fastest-growing economies on the African continent - but also led to more authoritative and oppressive rule according to many in the country.
As last night's news broke, few were found to be upset about the President's death.
Many Malawians blamed Mutharika personally for their economic challenges, which stemmed ultimately from a diplomatic spat with former colonial power Britain a year ago. The cause of disagreement was a leaked diplomatic correspondence that claimed Mutharika was being "autocratic and intolerant of criticism" - after which Britain, Malawi's biggest donor froze millions of dollars of aid - exacerbating an already acute struggling economy leading to shortages of fuel, food and medicines.
Malawi's diplomatic isolation worsened in July 2011 when the United States cancelled a $350 million overhaul of the country's antiquated power grid after police killed 20 people in a crackdown on an unprecedented wave of anti-government protests. Mutharika hit back combatively, telling his supporters last month to "step in and defend their father rather than just sit back and watch him take crap from donors and rights groups".
Joyce Banda's career has not always been political. She is an educator, and a grassroots gender rights activist who turned to politics serving as the Minister of Foreign Affairs from 2006 to 2009, as a Member of Parliament and Minister for Gender, Children's Affairs and Community Services. Additionally she is the founder of the Joyce Banda Foundation and of the National Association of Business Women (NABW), Young Women Leaders Network and the Hunger Project. She came to the country's Vice Presidency in 2009 and is currently the head of the newly created People's Party.
Banda had been thought to be planning a run for the Presidency in the next general election to take place in 2014 - but she might just get her wish now.
Malawi is among the world's least-developed countries with an economy heavily based in agriculture, and a largely rural population. The government depends heavily on outside aid to meet development needs, although this need (and the aid offered) has decreased since 2000 forcing the nation to face challenges in building and expanding the economy, improving education, health care, environmental protection, and becoming financially independent. Malawi has several programs developed since 2005 that focus on these issues, and the country's outlook appears to be improving, with improvements in economic growth, education and healthcare seen in 2007 and 2008.
With progress the nation continues to be plagued by a low life expectancy and high infant mortality. There is a high prevalence of HIV/AIDS, which is a drain on the labor force and government expenditures. There is a diverse population of native peoples, Asians and Europeans, with several languages spoken and an array of religious beliefs. Although there was tribal conflict in the past, by 2008 it had diminished considerably and the concept of a Malawian nationality had begun to form. Malawi has a culture combining native and colonial aspects, including sports, art, dance and music.
There was no official announcement of President Mutharika's death though state media said a statement would be made at midday.


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Huhtamaki is a global leader for egg packaging. We currently offer egg flats and toppers produced by our superior molded fiber technology making them 100% recyclable and 100% compostable.
Scroll down to see our latest offering, GreeNest, made with 50% grass fibers.
Our new GreeNest® carton uses exciting innovative technology to produce a completely natural product made with 50% grass fibers.
Huhtamaki egg flats and toppers are some of the most reliable in the industry. Each egg flat and topper is designed with consistent, high quality raw materials. The result is a sturdy molded fiber product that de-nests easily and is ready for case loading. In addition, the topper offers a flat surface for labeling and shrink wrap display.
Huhtamaki provides a wide range of paperboard folding cartons that can be designed to fit nearly any shipping, displaying or merchandising need. Combined with Huhtamaki's flats and toppers, paperboard folding cartons are a total packaging solution.


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Orioles manager Buck Showalter said he has liked what he has read in organizational reports about right-hander Jake Arrieta, who is 3-4 with a 4.91 ERA in eight starts at Triple-A Norfolk since being demoted in mid-July.
Arrieta has allowed only two runs in each of his past two starts.
"Good, he had a good outing last time out," Showalter said of Arrieta's recent performance. "He's getting real close to being in the form he needs to be to help."
Arrieta is expected to be a September call-up for the Orioles, but if the starters are pitching well, Showalter said Arrieta could be considered for a bullpen spot.
"Could. That's a discussion I'm sure, if that's a possibility, I and Dan [Duquette] and [pitching development director] Rick Peterson will have," Showalter said. "If they think he can do it."
Showalter said he'll meet with Duquette, the club's executive vice president, Tuesday to discuss potential call-ups for the Sept. 1 expansion of rosters.
It's possible some players will not join the Orioles until after the seasons at Triple-A Norfolk and Double-A Bowie end Sept. 3. As long as those players are in the Orioles system -- which they would be -- they could still be eligible for the postseason roster because the Orioles have several players on the disabled list who can be replaced.
So Arrieta, for instance, could finish the season with Norfolk and, theoretically, still be eligible to pitch in the postseason for the Orioles if they get there.
Betemit returning to Maryland
Infielder Wilson Betemit (wrist) is progressing without pain and is expected to travel back to Maryland from Sarasota this weekend. Showalter said Betemit will be ready to take batting practice outdoors by Monday and, with a potential hurricane heading to Florida, the weather may not be conducive.
So Betemit will come back to Maryland and take batting practice at Camden Yards or in Bowie on Monday or Tuesday and could begin a rehab assignment by Wednesday. He was placed on the 15-day disabled list retroactive to Aug. 12. He hit .264 with 12 homers and 37 RBIs in 97 games for the Orioles before the injury.
Around the horn
Lefty Troy Patton (right ankle) may throw a ball in Sarasota for the first time Tuesday or Wednesday since going on the DL. Orioles pitchers Chris Tillman and Brian Matusz caught the ceremonial first pitches Saturday from 2012 Orioles Hall of Fame inductees Rich Dauer and Mike Mussina. Mussina was introduced in the on-field ceremony by athletic trainer Richie Bancells while Dauer was introduced by former teammate Rick Dempsey. The late Walter Youse, a long-time scout, was honored posthumously with the Herb Armstrong Award for contributions by non-uniformed personnel. Duquette made the introduction.
Latest Orioles


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Community Engagement Programs
Since 1980, the Lewis Library has provided outreach to health professionals, hospitals, clinics, community-based organizations, independent medical facilities, medical researchers, librarians, and legal consultants in the medical and health fields. The goal of our community engagement programming is to provide awareness of authoritative health information resources and to teach strategies for effectively searching the health and clinical literature. Examples of past community engagement programs are described below.
Contact Lorraine Sheldon, Community Engagement Librarian, at 817-735-5125 or firstname.lastname@example.com to learn more about community engagement programs or future collaborative opportunities.
Past Programs
Consumer health and diabetes education program for low income communities within central Fort Worth.
Sponsor: National Network of Libraries of Medicine South Central Region
Scope: The Library, in collaboration with the United Community Centers, Inc., a United Way program partner agency, and the Tarrant County Public Health Chronic Disease Prevention Department offered diabetes health education programming and instruction describing how to effectively search the authoritative consumer health resources from the National Library of Medicine. The target community was underserved, lower income minority communities within central Fort Worth, Texas.
Advancing the Health Literacy of Underserved Seniors in Tarrant County
Sponsor: National Network of Libraries of Medicine South Central Region
Scope: Lewis Library, in conjunction with P.A. Studies, taught a Health Literacy program at five regional Senior Resource Centers within Tarrant County. Underserved regions were selected by focusing on the areas with the highest rate of elder poverty within the County. The program consisted of two components, one introducing MedlinePlus as a consumer health resource; the second, presented by Physician Assistant Program faculty member, described how to construct a "health portfolio." The portfolio consisted of a medical history, medication log, and exam tracker. The second session also presented skills for talking with your health provider.
Health Literacy Education Initiative (HLEI): Improving patient health literacy while enhancing physician assistant patient education skills
Sponsor: National Network of Libraries of Medicine South Central Region
Scope: This project targeted two audiences: caregivers of pediatric patients and physician assistant students. Students were introduced to the concept of health literacy and given instruction in effective patient education and communication skills. Students were also introduced to the MedlinePlus database and its features that may be utilized as a patient education tool. After receiving the training, students taught pediatric caregivers how to utilize MedlinePlus to locate authoritative health information. The project ultimately helped students to become better health educators and the caregivers became aware of an invaluable health resource.
Outreach to the Chinese Population in the Dallas/Fort Worth Metroplex: teaching Chinese health consumers how to find quality health information on the Internet
Sponsor: National Network of Libraries of Medicine South Central Region
Scope: The UNT SLIS Department developed this project to construct a Chinese language consumer health finding aid and teach Chinese within the Dallas/Fort Worth Area how to utilize and access health information via this website. The UNTHSC Lewis Library participated by providing the course instructor for the educational sessions held at various regional public libraries. We also participated by providing input on the website content development.
Public Health Information for Practitioners (PHIP): A proposal for Partners in Public Health Information Outreach in the Fort Worth and North Texas Area
Sponsor: National Network of Libraries of Medicine South Central Region
Scope: Training in the use of public health databases and mobile technologies was provided to public health professionals in PH Regions 2/3 and 7. Smartphones and Personal Digital Assistants (PDAs) were distributed to practitioners to aid in retrieving research tools from the National Library of Medicine.
Internet Connectivity Project (ICP)
Sponsor: National Network of Libraries of Medicine South Central Region
Scope: Ten clinics and hospitals within the Lewis Library's 24-county outreach region were given computers and/or Internet connectivity to enable access to online clinical tools. Training in effectively searching the clinical tools of the National Library of Medicine was provided to health professionals at each clinic.


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This information is produced and provided by the National Cancer Institute (NCI). The information in this topic may have changed since it was written. For the most current information, contact the National Cancer Institute via the Internet web site at http://cancer.gov or call 1-800-4-CANCER.
Separate PDQ summaries on Endometrial Cancer Prevention; Endometrial Cancer Treatment; and Uterine Sarcoma Treatment are also available.
Transvaginal Ultrasound
There is no evidence that screening by ultrasonography (e.g., endovaginal ultrasound or transvaginal ultrasound) reduces mortality from endometrial cancer. Most cases of endometrial cancer (85%) are diagnosed at low stage because of symptoms, and survival rates are high.
Based on solid evidence, screening asymptomatic women will result in unnecessary additional biopsies because of false-positive test results. Risks associated with false-positive tests include anxiety and complications from biopsies.
Endometrial Sampling (Biopsy)
There is inadequate evidence that screening by endometrial sampling (i.e., biopsy) reduces mortality from endometrial cancer. Most cases of endometrial cancer (85%) are diagnosed at low stage because of symptoms, and survival rates are high.
Based on solid evidence, endometrial biopsy may result in discomfort, bleeding, infection, and rarely, uterine perforation.
Epidemiology of Endometrial Cancer
Incidence and mortality
Endometrial cancer is the most common invasive gynecologic cancer in U.S. women, with an estimated 47,130 new cases expected to occur in 2012 and an estimated 8,010 women expected to die of the disease.[1] Endometrial cancer is primarily a disease of postmenopausal women with a mean age at diagnosis of 60 years.[2] Age-adjusted endometrial cancer incidence in the United States has declined since 1975, with a transient increase in incidence occurring from 1973 to 1978, which was associated with estrogen therapy, also known as hormone therapy;[3] there was no associated increase in mortality. Since 2004, endometrial cancer incidence rates have been stable in white women but have been increasing by 1.9% per year in African American women.[1] The endometrial cancer mortality rates are stable in both white and African American women.[1] Most cases of endometrial cancer are diagnosed because of symptoms, which are nonetheless "early" stage and have high survival rates.
Risk Factors
Estrogen therapy unopposed by progesterone therapy is a cause of endometrial cancer in women with an intact uterus. However, women taking combination estrogen-progesterone therapy (hormone therapy) exhibit similar risk to women who do not take postmenopausal hormone therapy.[4,5,6,7,8] Tamoxifen therapy is also a cause of endometrial cancer. Results from the National Surgical Adjuvant Breast and Bowel Project P-1 trial, report a doubling of the risk of endometrial cancer associated with an annual rate of 2.30 per 1,000 for women taking tamoxifen compared with 0.91 per 1,000 for women receiving placebo; the increased risk was seen primarily in postmenopausal women.[9]
In addition to the increased risk of developing endometrial cancer that is observed in women who use unopposed estrogen therapy or tamoxifen, a number of additional risk factors have been identified, and most appear to be related to estrogenic effects. Among these factors are obesity, a high-fat diet, and reproductive factors such as nulliparity, polycystic ovarian syndrome, early menarche, and late menopause. Hereditary nonpolyposis colorectal cancer (HNPCC) syndrome is associated with a markedly increased risk of endometrial cancer compared with women in the general population. Among women who are HNPCC carriers, the estimated cumulative incidence of endometrial cancer ranges from 20% to 60% by age 70 years (refer to the PDQ summary on Genetics of Colorectal Cancer for more information).[10,11,12] This risk appears to differ slightly based on the germline mutation; for MLH1 carriers the lifetime risk at age 70 years is 25% while MSH2 mutation carriers have a 35% to 40% lifetime risk of endometrial cancer by age 70 years. The mean age of diagnosis for MLH1 or MSH2 carriers is 47 years compared with 60 years for noninherited forms of endometrial cancer.[13] The prognosis and survival are similar between HNPCC-related and noninherited forms of endometrial cancer.[14]
Major differences exist between black and white women in stages of endometrial cancer at detection and at subsequent survival. Although the incidence of endometrial cancer is lower among black women, mortality is higher. The National Cancer Institute initiated a Black/White Cancer Survival Study [15] and concluded that higher-grade and more aggressive histologies appear to be related to excess risk of advanced-stage disease in black women. It is difficult to disentangle the effects that biology and socioeconomic status may have on the lower survival rates of African American women with endometrial cancer. Evidence suggests that lower income is associated with advanced-stage disease, lower probability of undergoing a hysterectomy, and lower survival rates.[16] Others, however, assert that there is no black/white difference in the interval from patient-reported symptoms to initial medical consultation, making it unlikely that patient delay after onset of symptoms could explain much of the excess of advanced-stage disease found in black women.[17] Further research is necessary to understand why black women tend to be diagnosed with more aggressive disease and have a higher probability of dying than white women, despite their lower incidence of endometrial cancer.
Measuring endometrial thickness (ET) with transvaginal ultrasound (TVU) and endometrial sampling with cytological examination have been proposed as possible screening modalities for endometrial cancer. The Papanicolaou (Pap) test, used successfully for screening for cervical cancer, is too insensitive to be used as a screening technique for the detection of endometrial cancer,[1] although occasionally the Pap test may fortuitously identify endometrial abnormalities, such as endometrial cancer.
Routine screening of asymptomatic women for endometrial cancer has not been evaluated for its impact on endometrial cancer mortality.[2,3] Although high-risk groups can be identified, the benefit of screening in reducing endometrial cancer mortality in these high-risk groups has not been evaluated. Using the same cutoffs to define an abnormal ET in asymptomatic women [4] as used in symptomatic women [5] would result in large numbers of false-positive test results and larger numbers of unnecessary referrals for cytological evaluations. Published recommendations for screening certain groups of women at high risk for endometrial carcinoma are based on opinion regarding presumptive benefit.[6]
Modalities of Endometrial Cancer Screening
Ultrasonography in women with vaginal bleeding
TVU is used as a diagnostic tool to evaluate symptomatic women with vaginal bleeding. Among women with postmenopausal uterine bleeding and cancer, 96% will have an abnormal ET (>6 mm). The specificity varies by whether women used hormone therapy. Among nonusers, the specificity was 92%.[5] Much less work has been done to evaluate the accuracy of TVU among asymptomatic women. If the same endometrial thickness cutoff is used among asymptomatic women, the false positives will be extremely high, resulting in a very low positive predictive value.[4] No studies have evaluated the efficacy of screening with TVU in reducing mortality from endometrial cancer.
A group of researchers used dilation and curettage (D&C) as a gold standard, to evaluate TVU measurement of ET as a predictor of endometrial cancer in women reporting postmenopausal bleeding (estrogen-progestin therapy [hormone therapy] and nonhormone therapy users). Of the 339 participants, 39 (11.5%) were diagnosed with endometrial cancer (four had an ET of 5–7 mm and 35 had an ET > 8 mm) based on histopathology from curettage. No cancers were detected in women with an ET of less than 4 mm. Using a cutoff point of 4 mm, TVU has 100% sensitivity and 60% specificity.[7] In this population, 46% (156) of the women had an ET greater than 4 mm.
Ultrasonography in women without vaginal bleeding
A comparison of TVU and endometrial aspiration was conducted among asymptomatic postmenopausal women potentially eligible for an osteoporosis prevention trial [8] as part of determination of eligibility for randomization. TVU was performed on 1,926 women. Of these, 93 women had ET greater than 6 mm. Among the 93 women with abnormal ET, 42 had endometrial aspiration with one finding of abnormal pathology (defined as adenocarcinoma or atypical hyperplasia). Of the 1,833 women with ET measuring 6 mm or less, 1,750 women had endometrial aspiration and five of these women had an abnormal pathologic biopsy. Among this population of asymptomatic postmenopausal women, the estimated sensitivity for TVU with a threshold value of 6 mm was 17% and 33% for a threshold value of 5 mm.
One study assessed the usefulness of TVU among a cohort of postmenopausal, asymptomatic women receiving hormone therapy. Utilizing the Postmenopausal Estrogen and Progestin Interventions Trial participants who had undergone both TVU and endometrial biopsy, sensitivity, specificity, positive predictive value, and negative predictive value were determined for women who received placebo, estrogen alone, and estrogen-progestin therapy. At a threshold value of 5 mm for ET, TVU had 90% sensitivity and 48% specificity. Using this threshold, more than half the women would receive a biopsy while only 4% of them had serious disease.[9]
Another study obtained endometrial biopsy specimens from 801 asymptomatic perimenopausal and postmenopausal women prior to enrollment in a hormone therapy study. Of the specimens, 75% of the samples contained sufficient tissue for diagnosis. Among these women, one case of endometrial cancer was diagnosed, illustrating the low yield of screening among asymptomatic women and the difficulty with endometrial cavity access.[10]
Although TVU can be used to evaluate asymptomatic and occult endometrial pathology, the technique has not been evaluated as a screening method for reducing mortality in asymptomatic women.
Ultrasonography in women using tamoxifen
Tamoxifen is widely used as part of adjuvant therapy for breast cancer and as chemoprevention for women at increased risk of breast cancer. In addition to the protective effects for breast cancer, the biological and endocrine effects of tamoxifen increase patients' risk of developing endometrial pathology, including endometrial polyps, endometrial hyperplasia, and endometrial carcinoma.
There is interest in trying to reduce the morbidity from endometrial cancer through early detection, and there has been interest in using endovaginal ultrasound as a method to screen women to detect endometrial cancer.
In a prospective, observational study of 304 women using tamoxifen over 6 years, women underwent annual endovaginal ultrasound screening; women with abnormal ultrasound findings and women who were symptomatic with bleeding all underwent endometrial biopsy. Thirty-two percent of the ultrasound examinations had associated significant uterine abnormalities identified that required further medical or surgical investigation and treatment. However, most abnormalities (80%) represented benign polyps for which no treatment was needed. Six cases of primary endometrial cancer were detected, and all cases presented with irregular bleeding. The sensitivity of ultrasound was only 63.3%, with a specificity of 60.4%, and had a low positive predictive value for cancer of only 1%.[11]
Other reports have noted similar results. Routine ultrasound surveillance in asymptomatic women using tamoxifen is not useful because of its low specificity and low positive predictive value. Evaluation of the endometrium in women taking tamoxifen should be limited to women symptomatic with vaginal bleeding.
Sonohysterography (hydrosonography) is a diagnostic test among asymptomatic women, and is able to separate space occupying endometrial lesions from an abnormal endometrial-myometrial junction in order to help guide biopsies. There is no evidence that routine screening sonohysterography will confer clinical benefit.
Endometrial sampling in women with uterine bleeding
In the setting of abnormal uterine bleeding, endometrial sampling has gained favor largely as an alternative to more invasive procedures such as fractional D&C. Several methods of biopsy exist (e.g., Pipelle, Tao Brush, and Uterine Explora Curette) to identify endometrial pathology. Although endometrial sampling has largely replaced D&C as the first choice in the evaluation of women with bleeding, issues of access to the endometrial cavity and sampling error limit the clinical significance of a negative result. In the Arimidex, Tamoxifen, Alone or in Combination trial, 36% of biopsies had insufficient tissue for diagnosis.[12]
No studies have evaluated the use of endometrial sampling as routine screening in reducing endometrial cancer mortality.
Hysteroscopy is used in the office setting to directly visualize the uterine cavity. A group of researchers noted that hysteroscopy is not as useful in detecting endometrial cancer as biopsy or D&C.[13] It has not been evaluated as a screening tool.[14]
Hormone Therapy
There is no evidence to suggest that screening women prior to or during estrogen-progestin therapy, also known as hormone therapy, would decrease endometrial cancer mortality.[1,2] Thus women on hormone therapy should have a prompt diagnostic work-up for abnormal bleeding. Although women using certain hormone regimens have an increased risk of endometrial cancer, most women who develop cancer will have vaginal bleeding. There is no evidence that screening these women would decrease mortality from endometrial cancer.
Hereditary Nonpolyposis Colorectal Cancer
The lifetime risk of endometrial cancer for women with hereditary nonpolyposis colorectal cancer (HNPCC) and for women who are at high risk for HNPCC is as high as 60%. These cases are often diagnosed in the fifth decade, 10 to 20 years earlier than sporadic cases. [3,4,5,6,7] Based on limited evidence, it appears that 5-year survival among HNPCC women diagnosed with endometrial cancer is similar to that of nonhereditary cases in the general population.[8] Because the risk of endometrial cancer is so high among these women, international guidelines suggest gynecologic surveillance including annual transvaginal ultrasound with endometrial biopsy for women aged 25 to 35 years.[9,10] The most recent American Cancer Society Cancer Detection Guidelines (updated January 2005) recommend annual screening with endometrial biopsy beginning at age 35 years.[11]
Tamoxifen-Treated Women
The risk of endometrial cancer is increased in women who are treated with tamoxifen and is even greater in the subset of women who have a history of prior estrogen therapy.[12] Beyond a routine gynecologic examination eliciting any history of abnormal bleeding, it has been recommended that screening studies and procedures for detecting endometrial pathology in women taking tamoxifen should be left to the discretion of the individual gynecologist.[13] Commonly, there are endometrial abnormalities in women taking tamoxifen, especially in false-positive endovaginal ultrasound screening tests. More importantly, any abnormal uterine bleeding should be completely evaluated.
Endometrial cancers that occur in tamoxifen-treated women are very similar to those cancers occurring in the general population, with respect to stage, grade, and histology.[14,15,16] Prognosis is good and not affected by early detection.[17]
To date, there have been no published studies evaluating the effect of endometrial cancer-screening modalities on mortality among women taking tamoxifen for breast cancer treatment or prevention.
Abnormal ultrasound typically requires further investigation including endometrial biopsy (sampling). The evidence is solid that endometrial sampling may result in discomfort, bleeding, infection, and rarely uterine perforation. A study designed to evaluate performance, patient acceptance, and cost-effectiveness of blind biopsy, hysteroscopy with biopsy, and ultrasound, in 683 women with vaginal bleeding, reported that minor events, including discomfort and distress, occurred in 16% of women who had hysteroscopy with biopsy, and in 10% of the women who had a blind biopsy.[1] A group of researchers studied 13,600 diagnostic and operative hysteroscopic procedures and found a lower complication rate among diagnostic procedures (0.13%) compared with operative procedures (0.28%).[2] Risks associated with false-positive test results include anxiety and additional diagnostic testing and surgery. Endometrial cancers may be missed on endometrial sampling and ultrasound.
The PDQ cancer information summaries are reviewed regularly and updated as new information becomes available. This section describes the latest changes made to this summary as of the date above.
Updated statistics with estimated new cases and deaths for 2012 (cited American Cancer Society as reference 1).
If you have questions or comments about this summary, please send them to Cancer.gov through the Web site's Contact Form. We can respond only to email messages written in English.
Purpose of This Summary
This PDQ cancer information summary for health professionals provides comprehensive, peer-reviewed, evidence-based information about endometrial cancer screening. It is intended as a resource to inform and assist clinicians who care for cancer patients. It does not provide formal guidelines or recommendations for making health care decisions.
Reviewers and Updates
This summary is reviewed regularly and updated as necessary by the PDQ Screening and Prevention Editorial Board, which is editorially independent of the National Cancer Institute (NCI). The summary reflects an independent review of the literature and does not represent a policy statement of NCI or the National Institutes of Health (NIH).
Board members review recently published articles each month to determine whether an article should:
Changes to the summaries are made through a consensus process in which Board members evaluate the strength of the evidence in the published articles and determine how the article should be included in the summary.
Any comments or questions about the summary content should be submitted to Cancer.gov through the Web site's Contact Form. Do not contact the individual Board Members with questions or comments about the summaries. Board members will not respond to individual inquiries.
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Some of the reference citations in this summary are accompanied by a level-of-evidence designation. These designations are intended to help readers assess the strength of the evidence supporting the use of specific interventions or approaches. The PDQ Screening and Prevention Editorial Board uses a formal evidence ranking system in developing its level-of-evidence designations.
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PDQ is a registered trademark. Although the content of PDQ documents can be used freely as text, it cannot be identified as an NCI PDQ cancer information summary unless it is presented in its entirety and is regularly updated. However, an author would be permitted to write a sentence such as "NCI's PDQ cancer information summary about breast cancer prevention states the risks succinctly: [include excerpt from the summary]."
The preferred citation for this PDQ summary is:
National Cancer Institute: PDQ® Endometrial Cancer Screening. Bethesda, MD: National Cancer Institute. Date last modified <MM/DD/YYYY>. Available at: http://cancer.gov/cancertopics/pdq/screening/endometrial/HealthProfessional. Accessed <MM/DD/YYYY>.
Images in this summary are used with permission of the author(s), artist, and/or publisher for use within the PDQ summaries only. Permission to use images outside the context of PDQ information must be obtained from the owner(s) and cannot be granted by the National Cancer Institute. Information about using the illustrations in this summary, along with many other cancer-related images, is available in Visuals Online, a collection of over 2,000 scientific images.
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The NCI Web site provides online access to information on cancer, clinical trials, and other Web sites and organizations that offer support and resources for cancer patients and their families. For a quick search, use the search box in the upper right corner of each Web page. The results for a wide range of search terms will include a list of "Best Bets," editorially chosen Web pages that are most closely related to the search term entered.
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Mike and Joanne Timchalk, of Bethany Beach, Del., formerly of Laurel, announce the engagement of their daughter, Emily Suzanne Timchalk, to David Wayne Nostro, son of Wayne and Mimi Nostro, of Laurel.
A 2003 graduate of the Academy of the Holy Cross and 2007 graduate of the University of Maryland, the bride-to-be is employed as a senior consultant at MBC, a Management and IT consulting firm in Washington, D.C.
The prospective groom is a 2003 graduate of DeMatha Catholic High School and a 2007 graduate of Villanova University. He is a Navy lieutenant, currently serving on the USS George Washington.
A September 2014 wedding is planned.


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hi just wanted to share my latest install. the huge heat sink fan dont think i should have heat issues on 3s for awhile. i will only be braking things
has anyone used the new Traxxas Steel Constant Velocity Shafts yet i am looking at them when my stock break?
also i will be installing the my new dusty motors zippered shroud in the next few days after post man drops it off
hope photos work
Traxxas has a very strict language policy. A filter operates to convert inappropriate words to *s. When you see these in your post, you MUST edit the inappropriate term.
Last edited by ksb51rl; 02-26-2013 at 08:50 AM.
I cant see photos....
Stick with MIP/Tekno shafts....they are proven to do the job.
If I open the image link in a new tab I can see them. Look cool! (No pun intended)
I see them! Looks great. Makes me also realise how much tread my trenchers have lost!
That should keep the motor cooler for longer dude and i would go for mips they are bulletproof had mine now for over 2 years trouble free.Sweet looking pede by the way..........peace
Famous last words...watch this!!!!
Are you guys gettting these of ebay or amazon ?
Stampede 4x4 vxl w/ MMP/2400kv, Mini E-Revo
What make/model heat sink is that?
Just search ezrun
Ive been running mine for a while now on a 3660 size motor in my sl4sh mt and its great. I think i paid like 9 bucks on sale at the time. This thing should be on everybodys motor, heh.
eBay told me delivery was going to be first of march arrived yesterday so all up I think 4days delivered to Australia
to the people who have a heat sink did yous use a thermal paste like you would on a cpu
Last edited by ksb51rl; 02-26-2013 at 08:34 AM.
Arctic Silver 5 works great.
Alt-248 on the number pad = °
Looks cool. Could you please say what dimensions it is? Is it possible just to get the fan without heatsink?
what size is this heatsink/fan combo 44mm or 36mm?
Thermal paste like the one I suggested contains "micronized silver" so the improved heat transfer is not surprising. Air is a great insulator so replacing the voids with any conductive substance is a win.
Alt-248 on the number pad = °
Thanks ksb51rl i will get some after your recommendation its the best stuff i quess......peace
Famous last words...watch this!!!!
Now you can gear it up even more!
So I searched ezrun on google. Found zero regarding a fan for the stampede. Anyone have a link or more information where to get this fan? Does it come with a motor mount? Or do we have to modify it?
Try e bay. And there is a little mod you have to do to make it work
Thanks to ross69 he has put it up in the forum
go with artic silver 5 it spretty good i use it on my pc
Will do guys thanks alot ....peace
Famous last words...watch this!!!!
does the paste get hard? Is it removable or does it like epoxy the heatsing to the motor?
Thats good to know that if you have to remove it off the motor you canthanks.....peace
Famous last words...watch this!!!!


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Peyton Manning rules NFL Network's Top 100
History reaches beyond days on the calendar. It makes its way into highlight films and into opinions. After a 10-week reveal, a single thought prevailed in the Top 100 NFL Network countdown: Peyton Manning is the league's best player, according to his peers.
Manning supplanted Minnesota's Adrian Peterson, last season's No. 1 on the list, while finishing ahead of Lions wide receiver Calvin Johnson.
"I am very humbled," Manning said.
Numbers shoved this award onto Manning's resume. The NFL doesn't romanticize numbers like major league baseball, but 55 passing touchdowns in a single season struck a chord.
"I remember watching their first game and it wasn't even close," Vikings quarterback Christian Ponder said on the program. "What did he throw seven touchdowns?"
Manning riddled the Ravens in the first step on his revenge tour. It began a breathtaking aerial assault. Manning finished with 5,477 yards and just 10 interceptions. He fueled the Broncos' return to their first Super Bowl since John Elway exited with a win over the Atlanta Falcons. The journey ended in bitter disappointment as the Seahawks mauled Denver 43-8.
However, it didn't change how players viewed Manning's accomplishments.
"There's nothing else left to say. There's no argument about it. He's best in the NFL right now," Cardinals defensive back Tyrann Mathieu said.
Manning is hosting his 19th annual passing academy this week in Louisiana with CSU's Garrett Grayson and Colorado's Sefo Liufau among the counselors. Manning led a parade of Broncos on the Top 100, with tight end Julius Thomas the only notable omission. Those joining Manning included: wide receiver DeMaryius Thomas (49), defensive end DeMarcus Ware (56), wide receiver Wes Welker (73), linebacker Von Miller (76), cornerback Aqib Talib (79), safety T.J. Ward (82) and guard Louis Vasquez (97).


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You get craft beer, free wifi, AND live music at Chetco Brewing Company! We generally have live tunes Thursday, Friday & Saturday! Hit up our facebook events page to get details on our new line up! Remember, we're at our new location now!
Back to All Events
Earlier Event: March 7Hoppy Hour
Later Event: March 14Hoppy Hour


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MOREHEAD, Ky. – Seniors John Greene and Rebecca Cline paced the Tennessee Tech men's and women's cross country teams Saturday as the Golden Eagles wrapped up the 2013 season at the Ohio Valley Conference Championships.
The men's squad finished in 11th place, while the women placed 10th in the races held at Eagle Trace Golf Course in Morehead, Ky.
As expected, Eastern Kentucky cruised to the team titles in both events. The EKU men posted a near-perfect score of 16 in the 8K race, while the Colonel women won with 29 points in the 5K race.
In the men's race, EKU's Soufiane Bouchikhi took first place individually with a time of 24:14.06 as the Colonels earned the top four finishes on the way to their 16 points. Belmont (74) placed second, followed by Morehead State (81), Eastern Illinois (107), Southeast Missouri (122), SIU Edwardsville (153), UT Martin (226), Murray State (251), Austin Peay (258), Jacksonville State (258), Tech (278) and Tennessee State (377).
Greene covered the distance in 27:01.48 to place 51st in the field of 91 individual runners. He finished his final season leading the Golden Eagles in every race in 2013.
Freshmen were the next three finishers for the Tech men's squad, led by Daniel Williamson in 57th place in 27:30.70. Jordan Roth was Tech's third finisher, placing 59th in 27:36.18 while narrowly missing his career-best 8K time. Finishing fourth for Tech was Brennan Huber, placing 62nd in 27:46.60.
Tech's next three finishers were senior Matthew Bishop in 68th place (28:10.73), freshman Sam Lariviere in 69th place (28:15.32), and junior Sterling Smith in 70th place (28:20.30). Rounding out the Golden Eagle lineup, senior Nathan Snow completed the run in 32:44.22. It was his first meet in two years after overcoming an illness that had sidelined him for all of 2012 and the first five meets of 2013.
In the women's 5K event, EKU had four of the top 10 finishers on the way to 29 points, followed by Belmont (71), Eastern Illinois (100), Southeast Missouri (104), Murray State (115), Austin Peay (173), Jacksonville State (182), SIU Edwardsville (196), Morehead State (204), Tech (293), UT Martin (322) and Tennessee State (364).
Seniors were the top five finishers for the Golden Eagles, led by Cline in 49th place with a time of 19:52.24. Yeshi Dohrmann was the second place finisher on the Golden Eagle squad, placing 55th in 20:02.97. She was followed by Peri Winborne in 58th place in 20:12.01. Amelia McCoy finished 72nd in 21:11.66, followed by Meghan O'Donoghue in 77th place in 21:39.12, Elizabeth Mitchell in 81st place with a time of 22:24.67, and freshman Claire Cashin in 83rd place in 22:53.98.
Una Britton of Eastern Kentucky was the women's individual winner with a time of 17:42.61.


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GRANDFATHER MOUNTAIN, NC – The 56th Annual Grandfather Mountain Highland Games will be held this year July 7-10. The Scottish Highland Games bring together Clans, families, visitors to celebrate the Scottish traditions of drumming, dancing, athletics and culture to provide scholarships for students to attend college. The image seen here depicts the Sunday event, in which men from each Clan march in the parade.
July 10th at 8:30 am, Grandfather Mountain adds to the Highland Games with a Scottish Breakfast at Mildred's Grill, with grilled tomatoes, sausage, beans, just to name a few delicious specialties. Chelsea House Orchestra will perform afterward in the auditorium.
For more information, http://www.gmhg.org/


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Home > Patients & Visitors > Health Library > Chronic Constipation
Some people are constipated for weeks, months, or years, and others have bouts of constipation that come and go over long periods of time. Chronic constipation may have many causes, including:
If you have chronic or recurrent constipation, see your doctor to make sure your constipation is not caused by an underlying disease. If you have been checked by a doctor, be aware of new or more intense discomfort or changes in the size, shape, or hardness of your stools. If constipation does not improve after a few days of home treatment, talk to your doctor.
Current as of: June 26, 2019
Author: Healthwise StaffMedical Review: William H. Blahd, Jr., MD, FACEP - Emergency MedicineAdam Husney, MD - Family MedicineKathleen Romito, MD - Family Medicine
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By Doridro - 15 Sep 2011, 04:31
- 15 Sep 2011, 04:31 #923212
Release Name: FnF [Mega Serial] Complete DVD Pack
Stars: Abul Hayat, Opi Karim, Sokh, Mosharraf Karim, Partho Borua, Shumaiya Shimu, Farukh Ahmed, Ahmed Rubel, M. M. Morshed, Khushi, Shumon Patowari, Ishtiaq Ahmed Rumel, Dihan, Nupur, Shaju, Nafa, Pidim, Milon Votto, Sushmoy Shorif, Anowar, Prince, Joyonto, Sohel, Juwel Etc
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Last edited by Captain Jack Sparrow on 29 Mar 2014, 19:03, edited 5 times in total. Reason: Updated....
Dancing with the devil, devil doesn't change but the devil changes you


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June 22, 2011
Financial incentives offered to returning students to break their housing contracts
Submitted by Erinn Barcomb-Peterson
Living on campus is a popular choice at K-State. Even though the university increased on-campus housing this past year, the demand has exceeded any of the university's expectations.
To ensure late-arriving freshmen can live in the residence halls, housing and dining services is offering a $1,000 financial incentive for returning students who are willing to cancel their contracts and move off campus for fall 2011.
"This program has been initiated by the university, and because of the inconvenience we're asking our returning students to consider accepting the financial incentive and allow us to buy out their contract," said Pat Bosco, dean of students and vice president for student life. "This financial support will assist them in securing off-campus housing. If you have a contract with our housing department you are not affected unless you are a returning student and wish to take advantage of our buyout incentive."
The financial incentive will be provided on a first-come, first-serve basis to a limited number of continuing residence hall students. They will receive a full refund of their housing pre-payment.
"We encourage returning residence hall students, many of whom have knowledge of the university and community and are able to find housing off campus, to consider canceling their contract," said Derek Jackson, director of housing and dining services.
Those returning to the residence halls who are interested in this program are encouraged to contact housing and dining services for more information. Students seeking additional resources for off-campus housing options, as well as roommate pairings, can contact housing and dining services for up-to-date information available within the community.
Moreover, four additional apartment buildings will open in August 2012 to accommodate undergraduate students, graduate students and their families who want to live on campus in an apartment setting.
"Our apartment community continues to grow and our commitment to house students and their families remains steadfast," said Stephanie Bannister, associate director of housing and dining services. "This is an exciting time of growth for our department and we are honored to be K-State students' home away from home."


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ZURICH (Reuters) – Roche said on Wednesday its drug Kadcyla, a treatment for an aggressive form of breast cancer, had been approved in Europe following U.S.
Kadcyla treats patients with late-stage disease whose cancer cells contain increased amounts of a protein known as HER2.
It works by attaching Herceptin to a drug called DM1, developed by ImmunoGen, which interferes with cancer cell growth. ImmunoGen will receive a $5 million milestone payment from Roche following the approval.
(This story corrects to remove reference to Japan approval from the third paragraph)
(Reporting By Katharina Bart; Editing by Andrew Heavens and Louise Heavens)
See on www.reuters.com


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Courthouse shooter sentenced to death
After more than two weeks of testimony in the capital murder trial of convicted Jefferson County courthouse shooter Bartholomew Granger, jurors have decided the self-described "Mr. Hyde" will be put to death.
The death penalty for Granger comes after a week's worth of recorded jailhouse phone conversations were presented to jurors during the sentencing phase of the trial. This prompted Granger to make sudden outbursts, cursing at jurors and attorneys in open court. As a result, Granger's defense questioned their client's sanity.
"He was already yelling in his cell back there (at his lawyers) and was screaming loud enough to where everyone could hear him," said prosecutor Pat Knauth after Wednesday's May 1 proceedings. "That delayed the court at first."
A psychologist subsequently evaluated Granger and found him mentally fit for sentencing.
"He's got his 15 minutes of fame," Knauth said.
Granger was convicted Tuesday, April 30, after more than 40 family members, Beaumont police officers, attorneys and employees at a local business testified they were caught up in Granger's scheme to kill his ex-wife and daughter, Claudia Jackson and Samantha Jackson, and his wife, Rebecca Richards.
Minnie Sebolt, a 79-year-old grandmother from Deweyville, was gunned down at the courthouse that morning, caught in the crossfire while helping her friend, Vickie Hollingsworth, get VA benefits.
"She just loved to help people," Hollingsworth testified tearfully.
After emptying his assault-style weapon into the Jefferson County courthouse, Granger fled the scene, but not before shooting and then running his daughter over as evidenced by courthouse video taken on March 14, 2012.
"He didn't just straddle her," said lead prosecutor, Ed Shettle in opening statements. "He ran over her with both tires."
Granger seemed unmoved by the guilty verdict April 30 and was calm and collected until the following day, May 1. According to attorneys familiar with the case, Granger thought he would be exonerated once jurors heard the testimony of his wife, ex-wife and daughter, and became enraged the day after a jury found him guilty.
"I guess he thought he was going to get off on a technicality," Knauth said.
Sebolt's daughter, Deborah Ray Holst of Deweyville, attended every day of Granger's proceedings, and said she wants Granger to die as soon as possible. Holst said her mother was bright and business savvy.
"She was 79 going on 30," Holst said of her mother. "She didn't think there was anything thing she couldn't do."
Granger's automatic appeal of his death penalty sentence could mean he'll spend the next 10 years waiting to be put to death. Even so, after Granger interrupted her impact statement, prompting Judge Bob Wortham to restrain and gag him on Tuesday, April 7, Holst said she's ready to see Granger get the needle.
"He has no remorse," Holst said. "I'll be there with my mother's picture, and her face and my face would be the last thing he ever saw.
Clay Thorp can be reached at (409) 832-1400, ext. 225, or by e-mail at clay [at] theexaminer [dot] com.


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The area around 12th Street and Seventh Avenue in the heart of Greenwich Village is remarkably quite these days -- so quiet that Yetta Kurland, an activist, goes so far as to say that "it almost looks like a bomb went off."
The block was home to St. Vincent's Hospital Manhattan, which closed in April 2010 after years of financial troubles. St. Vincent's, which cared for victims of the Titanic, the AIDS epidemic and the 9/11 attacks, was New York City's last Catholic general hospital, and its absence has been felt throughout the community.
In addition, St. Vincent's was one of New York City's most prominent safety-net hospitals, serving mostly those either on Medicaid or Medicare or without insurance. It was also known as a refuge for the homeless. It has principally been these patients, then, who have been hit the hardest by St. Vincent's closing and by the shutting of other hospitals elsewhere in the city.
Filling the Void
Regardless of income, most residents of the Lower West Side who used to go to St. Vincent's now end up either at Beth Israel or Bellevue on the East Side. Shortly after St. Vincent's closed, Timothy Lunsford, a survivor of two heart attacks and two bouts of cancer, experienced a medical emergency in which his blood pressure dropped to a dangerously low level.
"It took me 33 minutes to get from Canal Street and Varick to Beth Israel hospital," he said.
Both hospitals have had to adapt to a rapidly growing patient volume, which Lewis Goldfrank, Bellevue's chief of emergency medicine, has called "a significant disaster."
"Those 60,000 people [treated each year at St. Vincent's] now have to find another place to go, so the nearest emergency rooms are overwhelmed. … And it's not because the hospitals aren't trying, but they're unable to cope with what is a disaster," said David Kaufman, a member of St. Vincent's medical staff for 30 years and a part of the Coalition for a New Village Hospital.
With no access to local care, overcrowded emergency rooms in neighboring hospitals, the loss of a medical safety net and longer waits, the health situation in Greenwich Village is a "crisis," according to Kurland, also a member of the coalition. To remedy the problem, the coalition wants to see nothing less than a full-service hospital at the former St. Vincent's site.
Not Quite a Hospital
The plan reached by Rudin Management, a development firm, and North Shore-Long Island Jewish Health System does not align with that vision. (Disclosure: My father is a doctor at Lenox Hill Hospital, a member of the North Shore network). Instead, it would create 300 luxury apartments and townhouses on the eastern side of the medical campus and refurnish the historic O'Toole buildinginto a freestanding emergency department to be operated by North Shore.
The ability of the care center to serve the 385,000 New Yorkers living in the Lower West Side remains hotly contested. According to Terry Lynam, a spokesperson for North Shore, the care center will be able to treat 90 percent of patients. "[It] would be the same kind of emergency department you would see in most hospitals with the exception that it doesn't have inpatient beds," Lynam said.
The facility would provide around-the-clock diagnosis and treatment services. It should also be open to those on Medicare or Medicaid.
However, since it would not have the resources of a full-service hospital, including operating rooms and an intensive care unit, patients suffering from heart attack, stroke or major trauma would "need to be transferred elsewhere," Lynam said. She emphasized that agreements will be in place with local ambulance providers so they do not bring these patients to the care center in the first place.
Kaufman, however, argued that these restrictions will "create a life-threatening sense of confusion for patients and ambulance drivers."
If an emergency patient does enter the care center, the amount of time it would take to transfer him or her could prove significant, according to a recent study by the Journal of the American Medical Association. It found that it takes nine out of ten transferred heart attack victims more than 30 minutes to reach their second facility, above the recommended medical guidelines. These patients consequently suffer higher mortality rates.
Despite this proviso for emergency cases, Lynam said the care center "is returning health care to the Village" and "will save lives."
But coalition members remain unconvinced. Kaufman in particular worries that the care center will be unable to manage the large number of patients who used to enter St. Vincent's doors.
"Can their comprehensive care center … treat 61,394 people a year?" Kaufman asked at a rally on April 30. "Can it house 19,388 patients sick enough to require inpatient care, can it deliver the lifesaving, critical care that 13,572 poor souls required in the emergency room in 2009?"
Recipe for Failure
Others, though, look to the closing of St. Vincent's and see a lesson for anyone thinking about opening a new full-service hospital in the area. St. Vincent's failed after a decade of mismanagement, including a hospital merger in 2000 and the hiring of consulting firm Speltz & Weis in 2005.
St. Vincent's failure, though, also speaks to a troublesome citywide trend for charity hospitals -- a trend that has severe implications for low-income communities. Following the tradition of the Sisters of Charity, St. Vincent's was dedicated to "compassionate care": serving the poor and disenfranchised. Like many other struggling safety-net hospitals, St. Vincent's charitable mission, ill-suited for today's high-tech, costly health care, led to its end.
Over the last ten years, the state's Medicaid reimbursements, a significant portion of St. Vincent's revenue, have been cut. Moreover, while St. Vincent's saw an increase in emergency room visits, which are costly and in many cases go unreimbursed, its inpatient volume decreased as wealthy residents left for more prestigious institutions.
In general, New York City hospitals are struggling. Over the past decade, hospitals nationwide have seen average profits of 4 percent, whereas in 2008, hospitals in New York City faced an average 6 percent loss.
Since deregulation in the 1990s, safety-net hospitals have struggled with less government support. What was once a highly regulated industry became a free-for-all, as "suddenly hospitals were put in the position of competing with each other," North Shore's Lynman said. This took a toll in New York City where hospitals are located close to one another, the most noticeable example being New York Presbyterian-Cornell Weill, Mount Sinai and Lenox Hill all on the Upper East Side. Without state regulation, this competition allows insurers to drive down reimbursement rates, fueling hospital debt.
To stay economically viable, hospitals vie for privately insured patients, setting off what has been called a medical technology "arms race" that raises the price of health care. They are far less eager to take in publically insured -- or worse yet, uninsured -- patients. In New York, reimbursements by the public insurers Medicare and Medicaid are notoriously low. This means that those on public insurance or not insured at all—the majority of St. Vincent's patients— place a financial burden on struggling institutions.
Evidence of the strain abounds. In 2009, in the wake of the H1N1, or swine flu, outbreak, Mary Immaculate and St. Johns – both safety net hospitals in Queens -- closed. According to a 2009 report from former City Comptroller William Thompson Jr., this led to "overcrowded emergency rooms, longer wait times for patients, and longer ambulance turnaround times."
Jamaica Hospital has picked up a flood of Mary Immaculate's and St. Johns' patients. Its emergency room, built to accommodate 60,000 patients annually, now sees 131,000. Emergency care is costly to provide, and in 2009 Jamaica Hospital lost $13.5 million. If Jamaica, one of the borough's most prominent safety-net hospitals, goes the way of Mary Immaculate and St. Johns, the health implications, particularly for poorer residents, could be devastating.
This is a familiar pattern. When safety net hospitals close, low-income, already underserved communities bear the brunt of the impact. Patients spill over to surrounding hospitals, overcrowding their waiting rooms and increasing their financial pressures, setting off what could become a chain of hospital failures.
In the case of St. Vincent's, Bellevue has absorbed much of the excess patient volume both because of its relative proximity and the fact that it is now the only Level One Trauma Center in lower Manhattan. Bellevue now serves an additional 2,000 people each month in its emergency room, a 25 percent increase. Beth Israel has also seen a 25 percent traffic increase with slightly higher numbers these past two months.
"What happened last year was not a tsunami that came and went, but the increase has been sustained," said Gregg Husk, chairman of the Department of Emergency Medicine at Beth Israel. Beth Israel has increased its emergency room personnel, nursing staff and physicians and recruited former St. Vincent's programs, such as the Comprehensive Cancer Center.
Beth Israel is still "tweaking" some of its health care practices to adapt to the increased patient volume, but overall, Husk said, "we were very fortunate" and "the environment is not chaotic."
Despite this, a June 2011 study on St. Vincent's closing wrote that the surge of patients to neighboring hospitals "was characterized as 'crushing' to staff morale as hours and workload increased dramatically." The study also reported patient crowding and increased waiting room violence.
The trend toward deregulation leaves little hope low-income New Yorkers will regain their safety net care in the future. "The changing landscape of healthcare is such that no one in the New York City area is building new hospitals," said Lynam.
Counting Beds
After St. Vincent's closed, Rudin Management proposed to donate the O'Toole building and $10 million in funds for an urgent care center run by North Shore. In April 2011, a bankruptcy court judge approved the transaction.
"This is the only deal that is doable in today's environment," said John Gilbert, executive vice president and chief operating officer for Rudin Management.
Mount Sinai had been prepared to take over and run a full-service hospital in the neighborhood but suddenly withdrew in April 2010. Coalition members blame this on a lack of support from the state Department of Health which, following the recommendations of the 2006 Berger Commission, is trying to limit "the state's unacceptably high excess capacity of hospital beds."
The North Shore care center will not create any new impatient beds and so aligns with the state's goal. A new full-service hospital on the other hand would work directly against it.
The coalition argues the focus on overall number of beds is short-sighted. "They give no thought to the distribution of beds -- all they care about is shutting them down. Community needs, bed per person ratios, socio-economic issues are all irrelevant," said Kaufman at a rally in April.
Kaufman has pointed out that in the Upper East Side and East Harlem there is one bed for every 82 residents. In contrast, after St. Vincent's closing, there are now no hospital beds for the West Side's 385,000 residents.
Judy Wessler, director of the Commission on the Public's Health System, noted that hospitals in New York City have "always been mal-distributed," but with the closing of many charity hospitals in underserved communities, "it's getting worse."
"The East Side is wealthier, and that's where institutions tend to settle," she said. "Studies have [shown] over and over … that there is an absolute correlation between income and access to health care and even race … and access to care."
The coalition continues to fight the Rudin/North Shore plan. Yet, while it has galvanized support among community members, it has failed to win backing from some key politicians and other community leaders. Councilmember Christine Quinn, former Mayor Ed Koch and Greenwich-Chelsea Chamber of Commerce president Tony Juliano have all spoken out in favor of the comprehensive care center.
"Our health care needs are significantly underserved. This will go a long way to bring this service back to the community," said Juliano, warning that if the community does not support the North Shore plan "we'll be looking a year from now … at a horrible situation where a whole city block is vacant."
Since St. Vincent's declared bankruptcy in 2010, 3,500 former employees are jobless and around 40 local businesses have closed. Juliano hopes the development will "bring economic life back" to the neighborhood.
Proponents for the Rudin/North Shore plan argue that, while it may not be ideal, it represent a pragmatic solution to an admittedly bad situation.
"We recognize that, listen, you had a full-service hospital in your community for over 100 years and suddenly it's gone. We certainly understand why people are frustrated by that," said Lynam. "But the reality is that there are no other providers stepping forward. We've put forward what we think is a realistic plan that will fill that void."
For the thousands of former St. Vincent's patients – particularly those without a lot of resources -- this offers little comfort. "I think it's a health crisis like a silent time bomb," said Kaufman. "It's just sitting there, brewing. It's happening every day but it's hidden from the public eyes. … And I think it'll get worse."


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Defatted chicken broth and low-fat milk lower the fat content, yet give the sauce a rich creamy taste.
Nutrition Facts
Ingredients and Preparation
- Spray 10 x 6 inch baking dish with nonstick spray. Place fish in pan and sprinkle with salt and pepper.
- Mix wine, stock, and lemon juice in small bowl and pour over fish.
- Cover and bake at 350ºF for 15 minutes.
- Melt margarine in small saucepan. Remove from heat and blend in flour. Gradually add milk and cook over moderately low heat, stirring constantly until thickened.
- Remove fish from oven and pour liquid from baking dish into cream sauce, stirring until blended. Pour sauce over fish and sprinkle with grapes.
- Broil about 4 inches from heat for 5 minutes or until sauce starts to brown.


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BOSTON, Mass.—UMass Boston softball (8-13) used a pair of last-inning rallies to earn their first sweep of the year Wednesday, with victories of 9-8 (8 innings) and 10-3 (5 innings) over Framingham State University (8-14) at the UMB Softball Field.
Senior Erika Vecchiet (Pequannock, N.J.) was the hero in game one for the Beacons, finishing 4-4 with two runs and three RBI, including the game-winning walk-off single with the bases loaded, two outs and a full-count in the bottom of the eighth.
Trailing 3-2 heading into the bottom of the fifth in game two, with the sun quickly falling, UMass Boston nearly earned a mercy-rule victory, as the Beacons sent 13 batters to the plate and recorded eight hits and eight runs in a 10-3 victory.
Game One: UMass Boston 9, Framingham State 8
UMass Boston jumped out to leads of 3-0 and 6-2 in game number one, before needing a pair of late-game rallies against the Rams.
The Beacons were one out away from earning a 6-2 victory, before a muffed popup led to five Framingham State runs crossing the board in the top of the seventh. The Beacons tied the game in the bottom half of the inning with a single run, before falling behind 8-7 in the top of the eighth.
After loading the bases with two outs, Kristina Bove (Medford, Mass.) was hit by a pitch to tie the game 8-8 and bring Vecchiet to the plate. On the sixth pitch of her at-bat, Vecchiet lined a single into the right-center field gap to plate Lyndsey Capra (Lowell, Mass.) and start the Beacons' celebration.
While Vecchiet had a huge game, including hitting the first home run of her collegiate career, she wasn't the only Beacon to enjoy a big game. Cleanup hitter Gia Raczkowski (Stoneham, Mass.) finished 2-2 with a run and three RBI, and hit a home run of her own. Junior Kristina Bove (Medford, Mass.) went 2-3 with three runs and two RBI, as she extended her hitting streak to 10 games, with hits in both ends of the doubleheader.
Michelle Zullo (Everett, Mass.) came up big in relief for the Beacons, allowing eight hits and six unearned runs to pick up the victory. Zullo whiffed six Rams batters and stranded three Framingham State runners between the seventh and eighth to keep her team in the game.
Helen Falzone (2-3, one run and three RBI) and Danielle Belliveau (2-4, one run, two RBI) each had key run-scoring hits for the Rams, who saw their losing streak against the Beacons extend to four in a row.
UMass Boston started the game red-hot, as the Beacons leaped out to a 3-0 lead after just three batters in the bottom of the first. Kaitlyn Morse (Arlington, Mass.) led off the inning with a triple and came home on an RBI single from Bove to shallow left-center. Bove was able to stroll home one batter later, as Vecchiet cleared the left-field fence to make it 3-0.
Framingham State cut the deficit to 3-2 in the third, as Belliveau hit a hard liner to center field to score two with one out. Despite only allowing four hits and two runs over three innings, that would be it for Beacons' starter Emily Gray (New Bedford, Mass.).
The Beacons struck for three more runs in the fifth, when each of the first three batters came across to score. Bove led off with a single and moved over to second base on a hard hit single by Vecchiet to center. Raczkowski made it 6-2, as she crushed the first pitch she saw over the center-field fence.
After allowing just two hits and a walk in her first three innings of work, the Rams finally got to Zullo in the seventh. The Rams loaded the bases with two outs, thanks to an error, a single and a hit by pitch. From there, the Beacons' lack of communication nearly cost them the game. MASCAC Player of the Week Shelby Phillips popped up on the first-base line, but three Beacons watched the ball fall in front of them, for an RBI single.
The misplay opened the flood-gates, as Falzone followed with a bases-clearing, three-run triple to center to tie the game at 6-6. Senior pitcher Andrea Smith (1-9) followed with a soft single to left field that plated Falzone to give the Rams a brief 7-6 lead.
UMass Boston countered in the bottom of the inning: as Bove was hit by a pitch, moved to second on a walk, to third on a sacrifice bunt and scored on a Toni Scola (Worcester, Mass.) RBI groundout.
Framingham State grabbed the lead back in the eighth, as Kourtney Kacian, who started the inning on second base, came in to score on a Beacons' throwing error. With runners on first and third, Zullo induced a soft popup to third to get out of the inning without further damage.
The Beacons earned their second walk-off win in as many days, moments later. After loading the bases with two down, Bove tied the game on her second hit by pitch in as many at-bats, and Vecchiet followed with a liner to right-center for a 9-8 Beacons victory.
Game Two: UMass Boston 10, Framingham State 3
After a slow start to game two, UMass Boston's bats came alive in the final inning to help the Beacons earn their first two-game winning streak of the year.
The Beacons struck for eight of the 16 hits in the bottom of the fifth inning, to help the team reach double-digit runs for the first time all year. Freshman Lauren Mitsiaris (Taunton, Mass.) led the way by going 3-for-3 with two runs and two RBI, while Bove went a perfect 3-for-3 with two runs and one RBI. Capra added two hits and registered her second three RBI game in the past three contests.
Shepherd settled down after a slow start to her first collegiate home start to pitch a gem for UMass Boston. The Norwood, Mass. Native allowed four hits, three walks and three earned runs over five innings in her third collegiate start. After giving up two hits and three walks and all three runs in the first, the freshman scattered just two hits over her final four innings of work.
Tiffany Agostini finished 1-for-2 with two RBI for the Rams, while sophomore Emily Kattau (0-1) took the loss, by allowing 16 hits and 10 earned over five innings.
Framingham State took advantage of Shepherd's wildness in the first, as the Rams took a 3-0 lead after just seven batters. With the bases loaded and one out, Agostini singled up the middle to plate Phillips and Tiffanie Marsh to give the Rams a 2-0 lead. Smith followed with an RBI sacrifice fly to make it 3-0.
UMass Boston began chipping into the deficit in the second, as Mitsiaris led off with a double off the wall in left-center and came into score on a Capra sacrifice fly. Kottau shut the Beacons down from there, as she managed to strand the bases loaded in both the first and second innings.
The Beacons tacked on a second run in the bottom of the fourth-after loading the bases for a third time. Scola sent a ball just short of the warning track in center to easily score Bove, but the Beacons would once again leave runners in scoring position.
After a quick top of the fifth, UMass Boston knew they needed a rally if they were going to earn a sweep.
The Beacons had one last flurry in them, as the first five Beacons singled and Mitsiaris and Capra each recorded two hits in the inning to help UMass Boston cruise to a 10-3 win.
Mitsiaris opened the inning with a single and moved to second on a single from Haley Dutton (Milton, Mass.). Capra scored Mitsiaris and moved Dutton all the way to third with a single that just barely stayed fair over the third-base bag. Morse gave the Beacons their first lead of the game at 4-3, as she followed with an RBI single to center field. Bove tacked on another run with an RBI single and Raczkowski worked a walk with the bases-loaded to make it 6-3 Beacons.
Kelsey Svenson (Oxford, Conn.) added a hard-hit RBI single through the left-side and Mitsiaris put the game out of reach with a two-run single to the wall in center-field. Junior Abby Goulet (Wales, Maine) came in to score on the single, which was her first collegiate run.
Capra closed out the run-scoring with her second RBI single of the inning, to give UMass Boston their largest win of the season.
UMass Boston will look to improve upon their 3-1 record on their 12-game homestand Saturday, when they Beacons host Eastern Connecticut State University at Noon in a Little East Conference doubleheader.


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