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USASynchro needed a new logo design and created a contest on 99designs.
A winner was selected from 18 designs submitted by 4 freelance designers.
USA Synchro
USA Synchro was established as a nonprofit organization in 1977, and is the United States national governing body for the sport, recognized by the International Olympic Committee, the United States Olympic Committee and FINA (Federation Internationale de Natation Amateur) — the international governing federation.
USA Synchro organizes, participates in, and promotes a variety of competitive events each year. These events begin at the local level and continue in the following categories: Age Group (12-19), Junior (15-18), Senior and Masters (20+).
This specific logo will need to appeal to female athletes in their teens.
Logo must include the official title of the event: "2011 U.S. Junior National Synchronized Swimming Championships". The date and location should also be included (Clermont, Florida; March 31-April 2). With the meet being in Florida we are not opposed to a "beachy or "tropical" theme but it is not required. The USA Synchro brand itself focuses on 6 P's: Patriotism, Power, Perseverance, Personality, Performance, and Precision. These should be a guide for you in your designing. We like very crisp, professional logos. Just because it is a women's sport doesn't mean it should be pink and soft. The logo should also incorporate the USA Synchro logo. If your logo isn't red, white, and blue, it usually works to grey out or black out the logo and out it in the background. You can view last year's logos at http://www.usasynchro.org/Events/ch…amps10.htm. My favorites are Collegiates, Open, and Masters.
Please also remember that this logo will be both screenprinted and embroidered on event shirts, so I wouldn't get to intricate with your design.
Find out how a design contest works or learn more about our logo design services.


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However, electricity markets have not internationalised in line with energy producers — they remain largely national, with little energy traded across political boundaries in most parts of the world. Even within the EU's 27-nation free market, only 5% of energy is traded between member states.
How much longer can national electricity markets, particularly those in the EU, remain isolated from each other? Increasingly, those in the know are suggesting that the wind industry will prove the catalyst for a new era of transnational energy trading.
There remains a surprisingly low level of awareness amongst energy policymakers within European national governments that they already possess the power to establish transnational schemes that would support further growth in renewable-energy generation. There has been little publicity given to the so-called cooperation mechanisms that accompany the 2009 EU renewable-energy directive. These are the tools that policymakers could deploy to create links between their national electricity markets and those of neighbouring countries.
One of these mechanisms allows EU member states to agree statistical transfers of renewable energy. Under such an approach a specified volume of renewable electricity generated in one country could be allocated to another without any actual transfer of energy.
It is possible that some statistical transfers will take place as EU nations scramble to meet their 2020 targets, however, few wind industry insiders think this mechanism holds much potential. One reason is that nations with surplus renewable-generated electricity will probably need to physically export their excess power in order to protect the stability of national grids, and since statistical transfers are virtual they would do nothing to support grid stability.
Another factor behind the wind industry's lack of interest in statistical transfers is they are not forecast to become a powerful enough market force to promote additional investment in wind generation, says Peter Niermeijer, secretary general of RECS International, an organisation that promotes the development of a pan-European renewable electricity market.
Of far greater interest to RECS International and other renewable-industry players is the option of creating multinational support schemes. Current regulatory frameworks for incentivising renewables are generally national and in some parts of the world, such as North America, support is set on a state-by-state and province-by-province basis. Niermeijer argues that support schemes covering relatively small energy markets are a financially inefficient method of developing the renewables sector and that gradual expansion of support schemes should be prioritised.
Thus far, the only example of a joint support system in Europe is a newly operational scheme covering all of Sweden and Norway. At the beginning of the year, the two neighbours harmonised their financial support systems for renewable energy. By creating one two-nation scheme, Sweden and Norway have taken an important first step toward international rather than national support for renewables.
Essentially, Norway has adopted Sweden's quota system, which dates back to 2003. Under the enlarged scheme's rules, energy companies and large energy users must purchase renewable energy certificates - known as Elcertificates - equivalent to a specified proportion of the electricity they themselves sell and/or consume. This year, Swedish companies must purchase certificates representing 17% of supply/use, while their Norwegian counterparts must purchase certificates representing 3%. By 2020, the quotas should converge.
This scheme offers both a larger market for renewable generators selling certificates and greater flexibility to purchasers, allowing the latter greater scope to seek out the most cost-effective certificates. It is too early to know how the enlarged scheme will affect investment in wind energy. It is hoped Swedish wind operators will benefit over the next couple of years from Norwegian demand for Elcertificates, since Norway's renewable installed capacity is currently too small to supply sufficient Elcertificates, explains Claes Hedenstrom, senior advisor on energy policy at Swedish energy company, Vattenfall, and president of RECS International.
Low cost
However, the price of Elcertificates has been low over the past year, with all-time lows recorded since the enlarged, two-nation scheme went live, notes Nasdaq OMX senior market developer, Ola Garmann. But, Nasdaq OMX could itself act as a driver for the Elcertificate market, as it has plans later this year to unveil an "integrated electronic platform" allowing its customers to trade in Elcertificates alongside all of its other products, says Garmann.
There is strong support within the Swedish government for further extension of the two-nation renewable energy support scheme, says Hedenstrom. "The Swedish government has been very proactive in seeking to internationalise and harmonise renewable support schemes. It was in the mindset from the beginning, especially since we already have a regional electricity market," he says.
Might the Netherlands harmonise aspects of its scheme to link it with Sweden and Norway? Reform of the Dutch renewable-energy support scheme is on the horizon and coordination with an emerging Nordic scheme or, alternatively, with the UK's renewable obligation certificates (ROCs) market is a possibility, say industry insiders. Meanwhile, Niermeijer suggests that policymakers in the Benelux nations - Belgium, the Netherlands and Luxembourg - have expressed interest in greater cooperation on renewables.
There is another way that wind energy may act as a catalyst for the gradual rise of transnational electricity markets - via joint support by national governments for new offshore wind farms and related infrastructure, such as subsea cabling.
It is Ireland, in partnership with the UK, that could prove a global first-mover in this regard. In February, the Republic of Ireland government announced it would not introduce a feed-in tariff for offshore wind. Instead, it is pursuing an agreement with the UK government to develop sites in Irish waters in the Irish Sea that would feed into the UK national grid rather than into the Irish network and that would support UK compliance with its 2020 renewables target.
Ireland currently boasts just seven offshore turbines. However, several developers, among them Mainstream Power and SSE Renewables, are keen to expand once a regulatory framework and support package is confirmed. They both support the Irish government's export strategy based around a bilateral agreement with the UK for Irish offshore projects to feed directly into the UK grid.
According to energy minister Pat Rabbitte, the idea has solid support from within the UK Department of Energy and Climate Change. Meanwhile, Mainstream Power's head of offshore wind, Andy Kinsella, believes there is enthusiasm for the plan from inside the office of the UK prime minister.
The prospect of an Irish-UK agreement on the development of offshore sites in the Irish Sea is a potent reminder of the potential for nations to collaborate to ensure the success of the emerging but higher-cost offshore sector. RECS International's Niermeijer suggests that governments bordering the North Sea, particularly Denmark, Germany and the Netherlands, would be wise to cut costs by collaborating on subsea cabling. "Interconnector cables represent an opportunity to share costs and rewards. And it would be possible to share the electricity generated by one or more offshore projects between nations," he says.
Niermeijer is correct to point out that sharing electricity generated by an offshore wind farm between multiple nations is legally possible, but for such a collaborative approach to gain ground, policymakers in powerhouse nations such as Germany and the UK will have to accept the concept - and get to work on it.

subset: commoncrawl


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Thank you for visiting Pray For The Persecuted Church. This blog is no longer being updated. Please enjoy the archives. Here are some other blogs you may also enjoy: Red Letters with Tom Davis Recent prayer post on Prayables Most Recent Inspiration blog post Happy Reading!
Priests and church members in China's immense underground Catholic Church were arrested this weekend in the community of Tianshui — as the Chinese government continues its persecution of Christians.
Among those rounded up were the administrator of the underground diocese, Father John Baptist Wang Ruohan, retired Bishop Casmir Wang Milu, Father John Wang Ruowang, as well as several other priests and dozens of parish lay leaders, according to sources.
Bishop Wang and the two Wang priests are all brothers. They are being held in different places and subjected to political indoctrination sessions designed to break their will. The Chinese government prohibits Chinese Catholics from having any contact with the Pope or the rest of the worldwide church — and insists they participate in a government-run Catholic church not recognized by Vatican.
The vast majority of Chinese Catholics have refused, instead worshipping in makeshift "house churches" with priests and bishops ordained by the church in Rome. The Vatican automatically excommunicates any priest or bishop who joins the Chinese-government church. Recently, Pope Benedict XIV extended leniency, suggesting that excommunication might not be mandatory for priests who come under extraordinary coercion by the Chinese government.
The underground diocese of Tianshui had maintained a comfortable relationship with the police and government authorities. The two Tianshui communities, the official and underground, have a total of 20 thousand faithful and 27 priests, 15 of which belong to the underground community. In 2003, Monseignor. Wang Milu retired. The government-appointed bishop, Jinglong Augustine Zhao died in 2004 and the government appointed in his place his nephew, Zhao Jianzhang Woods.
According to observers, the arrests are designed to forcibly convince members of the underground — which has more priests than the government-run church — to accept the nephew prevent an underground priest from being elected bishop.
The government had already been attempting to slow growth in the underground church by preventing the election of underground priests, arresting several diocesan administrators. In recent months, two other priests were arrested, possible candidates to be bishop.
Two weeks ago, Chen Hailong, underground priest of the diocese of Xuanhua was released after his arrest in April. During his 4 months detention he was abused physically as well as mentally and coerced to join the government-run church, which is called the "Patriotic Association" and sever his ties with the Vatican.
About the same time as Chen's release, Wang Chengli, an underground priest of 48 years who is the administrator of the diocese of Heze serving Canzhou and Shandong, was arrested.
Under pressure to sever his ties with the Vatican, he was left for days without food or water.
The Catholic Diocese of Tianshui asks for the prayers of Christians worldwide for the release of their priests and faithful.


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I have a love-hate relationship with cedar plugs. I'm fond of the antiquated lures' ability to raise lots of fish, and I detest them because of the numerous fish that are lost to pulled hooks.
Recently I presented a Trolling Tactics panel for the SWS National Seminar Series at the Jersey Shore, in New Jersey, and expressed my views on cedar plugs to panel member Trey Rhyne, an ardent offshore-trolling authority and head of Over Under Sportfishing. Rhyne quickly replied: "Well, if you want to catch fish, put the cedar plugs out there. If you don't, keep them in the boat. I'd much rather get the bites and risk losing a fish or two than not get a strike." Valid point indeed, Trey! But then things got interesting when we got into why fish seem to pull free from them and how to possibly modify them to "stick" better. More on all this later.
Not the Pick of the Litter
When it comes to offshore-trolling lures, the cedar plug is arguably the plain Jane of the lot. It lacks the sleek design and snazzy paint schemes of most modern lures, many of which resemble Indy 500 race cars. In fact, the cedar plug is more akin to a '57 Chevy. But what this ancient lure lacks in modern luster, it makes up for in fresh meat. These lures have been used worldwide for decades, and the number of fish they've accounted for is mind-boggling.
In their basic form, cedar plugs are relatively short and plump pencil-like lures which dart frantically when trolled, not unlike walk-the-dog-style surface plugs. Their wild action and diminutive size make them attractive and easy-to-consume targets. They can be trolled solo or in a daisy chain. And as simplistic as they appear, there is some rhyme and reason to how and where to fish them. Enter Capt. Joe Trainor.
A Cedar Kind of Guy
Trainor is a noted big-game captain who plies the waters of the Bahamas and the Northeast for Over Under Sportfishing. I've fished with him on several occasions and scarcely recall him not dropping a cedar plug into the spread. "We fish them nearly every day in the Bahamas," says Trainor. "I fish them from the shotgun position, some 75 to 100 yards back, and as a daisy chain. I'll have three cedar plugs rigged on 130-pound-test monofilament leader, and each is staggered 18 inches apart. The first two cedar plugs are blue-and-white, and the last one, a natural wood color, is rigged with a 10/0 long-shank needle-eye hook. We catch yellowfins on the cedar daisy chain - and wahoo, dolphin and even the occasional blue marlin.
"When trolled around 6 knots, the first two plugs track right along while the last one darts more erratically; it looks like a confused and injured bait," he says. "That's precisely the action that gets the strikes." Furthermore, Trainor secures a large barrel swivel behind all but the rear plug (which has the hook). These barrel swivels act as stops to keep the plugs 18 inches apart. Another advantage of the swivels is that if the rear plug gets bitten off by a wahoo or shark, another cedar plug on an 18-inch lead can quickly be secured to the swivel, and the rig goes right back into the game. In the Bahamas, Trainor trolls just one cedar-plug daisy chain in a spread of seven to eight baits.
The Jersey Connection
Off the Jersey coast, Trainor fishes single cedar plugs. Often he'll use a pair that rides between 50 and 75 yards back off a flat line secured to a transom clip and short outrigger clip. Colors include red- and-white, blue-and-white, and natural. "This seems to be a good position for the yellowfins, and a productive trolling speed for them is around 6 to 6½ knots," says Trainor.
As in the Bahamas, each plug is rigged with 15 feet of 130-pound-test monofilament leader and a 10/0 needle-eye hook. "These join a spread of seven to eight baits and two spreader bars," Trainor says.
"Now, for school bluefins, fish averaging between 25 and 60 pounds, we fish two cedar plugs right in the prop wash, like from 15 to 40 feet back, from flat lines and transom clips," he continues. "I'll troll fewer baits for the bluefins, like six or seven, one spreader bar and then the two single cedar plugs. Our best bluefin trolling speed is between 5 and 5½ knots."
Wind-On Joe
Trainor is a proponent of wind-on leaders, which eliminate the wiring of a cedar plug-hooked tuna. When someone takes the leader, the dynamics of the fight can be altered. And when that occurs, the lure may pull free. Trainor's preferred cedar-plug trolling setup is a Penn 50 International filled with 80-pound-test monofilament. A 15-foot 130-pound-test monofilament leader is joined to the fishing line with a 130-pound-test offshore wind-on swivel (which passes right through the guides). "I see guys pulling cedar plugs rigged to 6- and 8-foot leaders and large snap swivels," says Trainor. "I believe a large snap swivel placed so close to a cedar plug takes away from its action. Plus, the commotion from that swivel can spook fish and keep them from striking."
Color Me a Fish
An old-timer once told a friend that he was appalled at the wide variety of colors modern cedar plugs come in. His reasoning was that the original cedar-plug material enabled the lures to be soaked in menhaden or other fish oils (below); the cedar wood absorbed the oils and held the scent, lending yet another element to the lure. This individual claimed the newer hard-plastic ones - and even the painted wooden models - don't absorb oils and scents and, therefore, aren't as good as the old ones.
Yet color has indeed become a factor. Trainor favors red-and-white cedar plugs on sunny days but is quick to point out that blue-and-white remains a potent all-weather color combination, perhaps resembling flying fish. Other top captains troll cedar plugs in assorted colors and switch up if the fish are showing a preference for a specific hue.
Hold On, Gaff's a Coming
As mentioned earlier, my beef with cedar plugs has been over their dropping fish. Apparently this can be traced to the hook shank riding well inside the rear of the plug, with only the gap and point of the hook exposed. When a fish chomps on the plug, it's feasible the cedar plug could prevent the fish's jaws from fully closing and the hook from planting deeply and solidly. It's also feasible that, during the fight and especially when the boat maintains forward momentum, the plug design generates a certain amount of leverage that could work on the hook and free it.
Joe Trainor, Trey Rhyne and I have kicked around some cedar-plug rigging ideas to promote better hookups. The most obvious is to increase the size of the hook, where the larger gap/bite would likely penetrate deeper. My thinking is to add a few spacer beads and position the hook outside of the cedar plug, some 1 to 2 inches behind the body (above). This way, the hook would be free and clear of the plug and more prone to latch onto a fish. Also, it may have a tendency to snag, providing yet another opportunity to catch a short-striking fish.
And while we're on the subject of experimentation, I'm not so sure a circle hook rigged in this fashion wouldn't be the bomb for catching fish. Think about it. Once the plug slides across a fish's jaws and the circle hook sets, there is no way short of breaking the line that the fish will get off. It's not out of the question: At one time no one would have thought that circle hooks on diamond, flutter-style or traditional jigs would have worked so well, but they do.
Two things are for sure: Cedar plugs catch fish, and thousands of them will be in tow this coming season. And you can bet that guys like Rhyne, Trainor and me will be experimenting with ways to make them stick better. If we're successful, I can finally profess my unconditional love for this relic of a hell-raiser!


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I had a nice Christmas. I was glad that my sister didn't have to work the night before or had to work that day. I got to spend the day with my parents, my sister, her hubby and 3 kiddos as well as my aunt and her partner. Santa and my family were kind to me. I enjoyed cooking for everybody. I just need to learn to not cook as much.
I also got to see my best friend, her hubby and her lovely daughter Miss Holly the day after. We exchanged presents and guess what? We got each other the same purse? How is that for being best friends? We have similar yet different tastes but the purse is super cute. I was also glad that Miss Holly let me hold her. She's so sweet and funny and clever and adorable and cute and I could go on and on. She's good therapy for me, especially when she puts her arms out to me so I can hold her. I think it's because she thinks I'm a big playmate (I do a great itsy bitsy spider and I like go give her stuffed animals voices).
I also saw The Curious Case of Benjamin Buttons yesterday. It was super duper long and it was just okay. It made me think about the movie, How Stella Got Her Groove Back...she could have gotten her groove back in an hour and not the 2 hour movie it was...My curiosity could have been sated in an hour and a half, you know what I mean? The car ride home was interesting...I learned that it's hard for me to hear other people tell me that I should be praying or doing novenas to pray for Grace to come. Did they not think that I haven't been doing that? It was definitely an ouch thing for me and made me cry a bit (I think a little bit because of hormones and a little because of frustration and a little because I am feeling my faith falter a little). I am trying very hard to stay strong and have faith, but I'm only human and not perfect. This time of year is a time of reflection and honestly, the wait time has caused great hurt and disappointment as well as a chink in my armour of strength. I will survive and I will continue waiting. I will not give up on my dream of my daughter.
I hope the RQ is correct is saying that the cutoff for referrals will be February 28th and that they will start March at the beginning of the year. I can hope and pray for miracles in 2009 that the referrals will speed up. That's all I can do. You know, next year, in a few days, I really want to take the skydive approach to things. I just need to jump and not worry about it.
Sunday, December 28, 2008
A late Merry Christmas
I had a nice Christmas. I was glad that my sister didn't have to work the night before or had to work that day. I got to spend the day with my parents, my sister, her hubby and 3 kiddos as well as my aunt and her partner. Santa and my family were kind to me. I enjoyed cooking for everybody. I just need to learn to not cook as much.
Posted by Jamie at 6:32 PM 1 comments
Monday, December 22, 2008
What would you like for Christmas?
Tomorrow will be three years ago that I got the news that I got a coveted spot in GWCA single's program. I was so excited that day. It was like the best Christmas present ever. Now here I am, three years later and I'm still hoping and praying for my daughter from China. My friends and family have often asked me what I wanted for Christmas and you know, like most of waiting parents, all we really want is our children, just plain and simple. Maybe I should have waited in line this year to see Santa and tell him what I wanted. I mean, it couldn't have hurt, except for Santa's lap. I can only imagine the look on Santa's face when he sees me coming to sit on his lap. He would totally have the cartoon eyes that pop out of his head.
My mom and I were talking about whether or not I would change anything about the agency I chose. My agency is a large, China only agency and at the time, when I thought it would only take a year, I wanted an agency that was close by and were experts in the country I was adopting from. They fit the bill. I know there are other great agencies that do multi-country and in fact, one of them was going to call me about a single's slot for their China program earlier in 2005 but I never followed up. I mean, if I had gone that route, I could have switched countries without losing as much money as I have invested now. But you know, it's not about the money (well, it is getting more expensive, but I'll deal). I don't know if I would have switched countries anyways. I know my daughter is in China and she's waiting for me. Besides, I have a history of always picking the slowest line in the grocery store, so this is par for me.
It will again be a tough holiday for us all while we are waiting. I, myself am going to have a Day Spa day next Monday to de-stress.
Posted by Jamie at 6:17 PM 0 comments
Wednesday, December 03, 2008
A day to note
This was a very interesting day. First of all, it is my sister's birthday. I have the greatest sister ever. She is one of my closest friends as well as my sister. It wasn't always that way. But, I can't imagine life without her. She is funny and has 3 great kids, even when they are driving me crazy. Today is also Shannon's cancer day...this is the day that we found out last year that Shannon had breast cancer. But, a year later, she is doing great and is cancer free. You go girl! She is one of the strongest women you'll ever meet. I have the deepest admiration for her. She has had a lot of tough times but she keeps popping back up.
Book Fair was better today than yesterday. I still think we will be going with another company if we do one in the spring. But the coolest thing ever that happened was my parent volunteer. I truly believe she is a sign for me to continue being strong in this wait. I was checking out the RQ website to see if there were any cutoff rumors (it's not looking good) and I was lamenting to Shannon about it. I told the parent that I was adopting from China. She looked at me and said, my daughters are Chinese. We adopted them...didn't you see my daughter earlier (of course I hadn't because I was fixing the book fair and was oblivious to things). So we talked about her adoptions and her girls and it just made me feel so much stronger. I tell you, God sends us signs when we are feeling kind of vulnerable to make us stronger. I looked at her daughter and smiled. I know no matter how long it takes, I will be getting my Grace. I'm hanging onto that thought.
Posted by Jamie at 8:24 PM 0 comments
Tuesday, December 02, 2008
Bad days but good days
Yesterday was an Alexander Terrible Horrible No Good Very Bad Day. It actually began Sunday night with an e-mail to my personal e-mail account from my principal about an irate parent saying I hadn't returned e-mails or phone calls. That was news to me. Hadn't received one e-mail or phone call. In the end, the parent double-talks in the return e-mails to me and I carbon copy my responses to her (basically she called herself out that she hadn't tried contacting me since the 3rd week of school) which were very nice and professional. What I resented was the e-mail that was sent back to the parent from my principal before she spoke to me. Basically, bottom line, I got thrown under the bus and made to look like a complete incompetent and that really hurt. Then, we are having book fair this week and they were supposed to deliver it first thing yesterday and guess what? They screwed up and had me in the afternoon...it didn't come until after school and I was already livid. I wasn't about to stay after school (I already had plans for dinner with my family...sister's anniversary) Guess who they had set up the book fair? The guy (you know the one that I was so done with a few weeks ago) dad! Yeah, saw too much of him already this week. He was in the foyer when I walked in. He's a nice guy, but yeah, too much of a reminder. Oh well...thank God today was better. But you know, if I really look at the big picture, way worse things could be happening to me. One of my parents' friends was just diagnosed with bone marrow cancer and is in the hospital.
This week has been already one of those weeks. I am so ready to have Christmas vacation. I just want another break to sleep in and give myself a couple of days to wallow. It will be another tough year for those of us who are still waiting. We had hoped that last Christmas we would have our children this Christmas and the outlook isn't promising, at least number wise. We can always hope for our Christmas miracle.
Posted by Jamie at 8:04 PM 0 comments


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- There Is More Risk Than Value in Treatment Interruptions (Controversy 194, 195)
Moderator: Gregg Gonsalves, Gay Men's Health Crisis (GMHC), New York, U.S.
Pro Speaker: Diane V. Havlir, University of California, San Francisco, U.S.
Con Speaker: Bernard Hirschel, Geneva University Hospital, Switzerland
Full transcript of debate
Strategic or structured treatment interruption (STI) is a term that is firmly entrenched in the lexicon of HIV treatment. However, there are many different kinds of STIs and it is undertaken for many different reasons. This point was actually brought out by a member of the audience in a comment after this debate was completed. To fully discuss treatment interruptions requires separating the general categories and reasons for STI.
1. STI on a fixed schedule to purposefully allow cycles of HIV replication and stimulate the immune response against HIV. There have been reports of the potential usefulness of this tactic with acute HIV infection; studies on chronic HIV infection for the most part have shown negative results.
2. STI on a fixed schedule (long or short) to reduce patient exposure to HIV medications. The hope is that, by using less medication, side effects will be reduced, medication costs will be reduced, and patient quality of life will be improved and treatment fatigue lessened. The hope is also that the immunologic and clinical benefit of antiretroviral therapy (ART) will occur with this approach. The risks, of course, are the development of drug resistance, compromised future treatment options and reduction in clinical benefit overall. Long cycle STI (see Dybul, 2003 CROI) has been shown to result in the development of resistance and enthusiasm for this strategy has waned. Short-cycle STI -- week on, week off -- has had some positive results (see Dybul, PNAS, IAS 2003 poster 597) and some negative results (see Hirschel LB-4).
3. STI on a variable schedule. Several studies are underway that use a CD4-driven treatment approach. The idea is that ART is given when CD4 cells drop below a certain predetermined level and then stopped when CD4 counts rise above a predetermined level. This is the study design for the SMART study, the international CPCRA protocol that compares CD4-driven treatment algorithm to traditional therapy with continuous administration of ART. In this STI treatment paradigm, there will likely be relatively long periods (months to years) on and off treatment.
4. STI in salvage setting to produce reversion to wild type virus prior to restarting treatment. The idea behind this is that in patients who have multi-drug-resistant virus, and thus have limited or no treatment options, STI may lead to partial or complete reversion to wild-type virus. If this happens, the efficacy of salvage therapy may be enhanced. Several studies have been done, with mixed results, to test this hypothesis; however, most evidence suggest lack of benefit (see abstract 119 this meeting).
5. STI for management of possible HIV-related side effects. In this setting, a temporary STI is planned to determine if a patient's symptoms are related to ART or not. Some medication-related side effects may have an insidious onset and are nonspecific in nature. In this scenario, medications are stopped. If symptoms resolve, this suggests that one of the antiretroviral medications was responsible and an alternative regimen is prescribed. If the symptoms remain unchanged, the same ART is typically resumed.
Pro Speaker: Diane V. Havlir, University of California, San Francisco, U.S.
Dr. Havlir structured her discussion for the pro position with a countdown of the 10 overall reasons not to stop ART.
10. Treatment Works
This topic was begun with a photo of a patient who had overwhelming cutaneous and mucus membrane involvement with Kaposi's sarcoma. In fact, because of ART, these patients are rarely seen anymore. Treatment has resulted in major declines in morbidity and rates of opportunistic infections and malignancies have dropped. Overall mortality rates have declined in all settings in which individuals have access to ART. Dr. Havlir also made the point that there are benefits to ART that go beyond these well-established improvements in morbidity and mortality. Pre-ART, we used to see "the dwindles," which are minor AIDS-related complications that compromise quality of life. There is also improvement in skin and hair integrity as well as better dental health with ART. Also, when HIV goes untreated, in addition to the inevitable CD4 count decline, there is decreased responsiveness to vaccines and immunologic activity is compromised. ART also reduces perinatal transmission of HIV, and many contemporary ART regimens also treat hepatitis B infection (i.e., 3TC [lamivudine, Epivir], tenofovir [TDF, Viread], FTC [emtricitabine, Emtriva]). However, following treatment interruption, there have been case reports of flares of hepatitis B infection (some fatal).
9. Drug Resistance in STI
Antiretroviral medications have differing half lives and this may effectively lead to exposure to dual or monotherapy. This may lead to the emergence of pre-existing mutants or the development of resistance as a result of viral replication during STI cycles. For some antiretroviral medications a single point mutation may lead to high level resistance that eliminates an entire antiviral class (K103 for NNRTI). Dr. Havlir then referenced several STI studies illustrating this phenomenon: One study with nevirapine (NVP, Viramune) for acute HIV infection showed 6/7 patients developed resistance to this agent; Marc Dybul's eight week on, four week off (presented at 2003 CROI) showed 3/8 developed resistance to efavirenz (EFV, Sustiva, Stocrin).
8. STI May Produce an Acute Retroviral Syndrome
Many studies have shown that varying proportions of patients develop a flu-like illness within several weeks after STI. These HIV flare reactions may be quite severe in some cases. Dr. Havlir presented two case studies to illustrate this point. One patient, who had originally been quite ill with toxoplasmosis and a low CD4 count, interrupted treatment. Acute retroviral syndrome developed and CD4 count rapidly dropped from 1267 to 247. Another patient with a CD4 count nadir of 2 and CMV retinitis had an excellent initial response to ART: the patient's CD4 count rose to 850 at year four after onset of illness. This patient interrupted therapy, rapidly developed dementia and depression, and has never completely recovered.
7. Reticence to Resume Therapy
After an STI, some patients decide not to resume therapy even though, based on CD4 counts and viral load, they really should be on therapy. This issue has been reported in clinical trials of STI and probably is more of an issue in clinical practice.
6. Transmission Could Be Increased After STI
HIV-RNA levels are the strongest predictor of vertical (Quinn, NEJM, 2000) and horizontal (Wawer, 2003 CROI) transmission of HIV. In view of these data, STI has public health implications as well.
5. Reservoirs Will Be Reseeded
Cerebrospinal fluid viral load increases in concert with plasma HIV-RNA levels. HIV is present in semen one month after treatment interruption. Some data indicate that time to viral load rebound may decrease with STI cycles (possibly related to reseeding of reservoirs).
4. Autoimmunization Theory Is Dead for Chronic Infection
Dr. Havlir referenced a study by Dr. Hirschal (CROI 2001) that showed STI did not work for autoimmunization. There does not appear to be any correlation between control of HIV viral load, or CD4 response, and cycles of STI.
3. STI Studies in Chronic Infection Are Concerning
Many STI studies are not randomized and have short follow up. Dr. Havlir mentioned that at this meeting there were 15 STI studies presented: three were randomized, follow up was two weeks to one year. CD4 count nadir does seem to predict risk: with the lower CD4 counts there is a greater risk of problems with STI. Only a few of the studies presented looked at the resistance issue -- this should be a standard assessment. One theme is that STI may reverse metabolic complications, but Dr. Havlir suggested that we are not seeing metabolic miracles in STI studies. The cost savings are often mentioned, but what about other costs such as a possible increased risk of transmission?
2. STI in Salvage Setting Does Not Work
Data from this meeting was referenced -- CPCRA study 064 looked at STI for patients with a viral load more than 5,000 and a multi-drug-resistant virus. This study demonstrated lower CD4 counts, together with a higher rate of clinical events in the STI arm (22) vs. the no STI arm (12). These clinical events were either devleopment of an opportunistic infection or death. (Eight patients in each group died, five had opportunistic infections in the no STI arm versus 14 patients who had opportunistic infections in the STI group.)
1. HIV Does Not Need a Holiday
Dr. Havlir completed her discussion by reviewing the main points of the pro argument. Overall she did an immensely impressive job of summarizing the many arguments against STI as well as presenting a formidable case for the pro position.
Con Speaker: Dr. Bernard Hirschel, Geneva University Hospital, Switzerland
There Is Not More Risk Than Value in Treatment Interruptions
The task of defending the con position was carried out by Dr. Bernard Hirschel, the Chief of HIV/AIDS service at Geneva University Hospital in Switzerland. Dr. Hirschel also presented oral abstract LB4 at this meeting demonstrating the failure of week-on, week-off STI.
Dr. Hirschel began his defense with three case studies: A probably lucky patient, a probably unlucky patient, and an extremely unlucky patient.
The probably lucky patient was recently diagnosed with HIV and was thought to have been recently infected, but records indicated that patient had actually tested HIV positive in 1990 and had a prolonged period with stable clinical course off of therapy.
The probably unlucky patient was diagnosed with HIV in 1995 and treated with a total of eight years of ART which included both PIs and NNRTIs. This patient had a cholesterol of over 300 and had a myocardial infarction in 2003 with a CD4 count of more than 500 cells. Dr. Hirschel referenced the D:A:D study showing a 27 percent increase in the risk of myocardial infarction per year of ART.
The very unlucky patient was a 28-year-old female with a CD4 of 520 and a viral load of 80,000. In April of 1997, she was treated with d4T, ddI and ritonavir. Over a several day period she took about 10 tablets of an ergotamine-containing migraine medication. As a result of the interaction with ritonavir (RTV, Norvir), she developed peripheral gangrene and required partial amputation of both feet.
The point of these case studies: ART carries risks, some quite substantial; some patients with HIV infection remain well for many years without treatment.
Dr. Hirschel then said that he planned to summarize all of the clinical trials that have demonstrated clinical benefit of treatment in HIV-infected patients with more than 300 CD4 cells. A slide went up and it was blank. His point: There have been no outcome studies showing improved survival in patients with greater than 300 CD4 cells. He also mentioned that no studies have shown benefits from ART in acute infection. Although there is potential benefit to patients treated during acute infection based on improved immunologic function, possibly lower set point, prevention of widespread dissemination of virus, etc. there have been no double-blind, placebo-controlled trial showing long-term benefit.
He briefly discussed the SSITT trial, a STI trial that used a viral load of more than 5,000 copies/mL and a CD4 count of less than 300 as criteria for restarting ART. Only 50 percent of the patients met these criteria and had to restart medications at 56 weeks of follow up. There was a fairly rapid decline in CD4 counts of about 200 cells in the first four to 12 weeks of this study after treatment discontinuation and then a decline of about 50-150 cells per year afterward. However, a large variation was noted between individual patients.
The Swiss HIV cohort study was discussed with regard to STI. In this cohort patients are characterized as either currently on treatment, never treated, or treatment interrupted. In January of 1999, 7.6 percent of patients were on treatment interruption. In January of 2003, 14.8 percent were in this category. So there appears to be a trend for more treatment interruption in real world treatment of HIV infection.
Dr. Hirschel used some comparisons to demonstrate the realities of life-long treatment. A 39-year-old male would be expected to live for a median of 44 more years based on actuarial analysis, which is a long time to be on HIV treatment. So we are willing to sentence patients to a 44-year sentence of antiviral therapy, yet, as Dr. Hirschel pointed out, the average person convicted of murder in Switzerland only gets a sentence of 11 years. His point: perhaps our sentencing guidelines are too strict for HIV infection. Dr. Hirschel used this analogy to challenge the paradigm that we must continuously treat HIV infection for a person's lifetime.
To further illustrate the issue of long-term ART toxicity, he displayed a slide showing two photomicrographs of mitochondria. One was severely distorted and an example of mitochondrial toxicity from a patient on ART; the other was normal. He then asked the question, which mitochondria would you rather have?
Dr. Hirschel then discussed the topic of the potential economic benefits of STI with a simplified economic case study.
|Total Population
|7 million
|12 million
|HIV Infected
|1.5 million
|Gross National Product (GNP)
|US$245 billion
|US$6.6 billion
|ART Cost/Year/Patient
|ART Cost/Year
|US$144 million
|US$450 million
|Percent GNP for ART
He indicated that typically, a country spends about 10 percent of its GNP for total health expenditures; 6.6 percent for ART alone is not within the realm of possibility for any country. If ART costs could be reduced through an intermittent treatment program, this would allow more patients to be treated in a real world scenario.
Dr. Hirschel completed his discussion with the point that drug resistance now is not what it used to be. In the STI studies he was involved with, the most common mutation that developed was M184V, and most patients re-suppressed on their original regimen despite the presence of this mutation.
Overall, Dr. Hirschel carried out an extremely interesting discussion for the con side of this argument. The global perspective and economic analysis was particularly persuasive.
In summary, both discussants led a thoughtful discussion that explored the many reasons that STI strategies are so attractive to some and so much of a concern to others. Certainly, one of the key points is that all STIs are not the same. Future discussion of this topic should clearly define the sub-category of STI that is being examined.
For previous research on this subject, click here.


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Diseñadores de todas las partes del mundo están proponiendo diseños creativos a grogan31 en la categoría de diseño página web - custom.
Simple Text Logo, homepage, and content page - in PSD format. Should be quick work for a good web graphics designer. I have a site in mind that you can model your work after and reference for ideas. Needs to look "Web 2.0"
Latitude Online (latitudeonline.com - not hosted yet)
Where is your web presence?
Desired Color Scheme:
I like silvers, reds, white accents, mostly darker colors
Desired Style:
Web 2.0 - large text, rounded corners
Similar to:
Please do not let this recommendation hold you to anything - be open and creative, use this site as a guide if you're stuck.
I like real people
Accepted File Formats:
PSD Only
I've coordinated the creation of a bunch of websites, mostly for local government, small businesses, etc. I still haven't come around to creating a web presence for my own company. I'd like to have something on the web that represents who I am as a web solutions company. I need a place for contact info, portfolio, case studies, etc.
1. I would like a text based logo (no icons, just text). Latitude Online should be on one line, not stacked. Don't spend too much time on the logo - should be simple
2. I need a homepage in web 2.0 style
3. I need a general content page based on the homepage template
The menu items will be:
Our Solutions
About Us
Contact Us


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(CNN) - President Barack Obama met with members of the 2012 U.S. Olympic gymnastics team on Thursday and mimicked gymnast McKayla Maroney's "not impressed" look.
"Did I just do the Not Impressed face with the President..?" Maroney, who won an individual silver medal, tweeted afterward.
- Follow the Ticker on Twitter: @PoliticalTicker
The White House released the photo Saturday.
During the medal ceremony Maroney was caught with the now-famous unimpressed face which quickly went viral sparking tumblrs and memes of Maroney's face. After the London Olympics, the gymnast told CNN's Soledad O'Brien, "You just have to laugh at what happens."
"Everything happens for a reason and you just have to turn it into something positive," she said about the attention her expression received after the ceremony.
While in the thick of campaign season in August, Obama, an avid watcher of the Olympics, applauded both gold medal swimmer Michael Phelps and the "Fierce Five" women's gymnastics team for their outstanding performances in London while he and his campaign stumped in the political battleground of Ohio.
"These gymnastics folks - I don't understand how they do what they do," Obama told supporters at a campaign rally after he had spoken by phone from Air Force One to all five members of the team. "So I told these young ladies as I was congratulating them, how do you not bust your head every time you're on that little balance beam? I couldn't walk across that balance beam."
It's called the expression of "shyness" in young girls, I saw this many times in my own daughter when being praised and sometimes I see that quirky smile today. I too am amazed at the gymnastic talents of these young women because I know it's very hard work and many times when they fail, hurt themselves, they get right up and try it again, been there myself.
Now I find myself doing that expression several times but when I happen to see.my reflection doing so I am not near as cute.
cute photo nice artical Im glad the president has a sense of humor.
would be better if she did the face with romney, who also took 2nd place.
The McKayla "not impressed" look does not work on Obama. But Obama had good reasons not to be impressed with his political opponents after two presidential elections.
love u Mr president
President Obama, one of our greatest presidents.
I doubt that Romney would be loose enough to pull this off. Thank God America woke up!!!!!!!!!!!
Cute Photo from the Whiite House of President Obama, taken with gymnast Mckaila, some day my 12 year old and I will love to meet The President, and the first Family, is apromess i made to my kid.
I love you cute photo Mr President Obama, you are my American heroe!!!!!!!
Ah...Mr President, you are a true Leo:-)
u are the best, Mr President!!!!!!!!!!!!!!!!!!
A wonderful light moment.
Mr. President... u r da man! Love u president Obama!
great picture.
I truly think some – not all – of the president's detractors should take a long look at this and ask themselves if they're really comfortable with how ferociously they despise him, and how badly they want to see him fail.
Hi Five McKayla, and to the gymnastics team, you ladies Rock!
Fun photo!
lls I love it...
TCFW (Too Cool for Words) . Obama is going down in history as one of our greatest presidents.
Sorry, Mr. President. She does it better than you.
Glad the fool in the White House is out having a good time. Not impressed well neither are we with his administration.
He is going to be criticized for this, but the one thing I fear more than anything else is a President without a sense of humor and an ability to laugh at himself. I think we made the right choice.


text:
Wigan 2 Wolves 0
Goals from Jordi Gomez and Hugo Rodallega lifted Wigan out of the bottom three and condemned 10-man Wolves to a fourth successive Barclays Premier League defeat.
Gomez put the hosts ahead at the DW Stadium with a brilliant free-kick in the 65th minute and Rodallega deflected in a second five minutes from time.
Wolves were up against it from the 11th minute, when captain Karl Henry was sent off for a shocking challenge on Gomez, but it was the Wigan midfielder who had the last laugh.
Neither side was able to take control in a scrappy opening, and Wigan found themselves temporarily without captain Antolin Alcaraz in only the seventh minute when he left the pitch to receive stitches in a head wound.
The numbers were then evened up four minutes later, but Henry's exit was to be permanent following a reckless challenge on Gomez.
Referee Lee Mason had no hesitation in brandishing a red card after the Wolves captain launched himself into a challenge on Gomez, catching the Spaniard on the shins.
It was the last thing Henry needed, with the heat already on him and Wolves for a perceived over-physical style of play.
Henry was criticised for a number of challenges on Newcastle's Joey Barton earlier in the season, while he was also the tackler when Fulham striker Bobby Zamora broke his leg.
But neither the 27-year-old nor manager Mick McCarthy, who has been a staunch defender of his players amid the criticism, could have any complaints this time.
Thankfully, and somewhat surprisingly, Gomez was able to continue after treatment, and, with Alcaraz also returning to the action, Wigan set about trying to make their numerical advantage count.
However, if anything the sending-off merely exposed Wigan's lack of invention as they were restricted to a series of wayward shots from distance until just before half-time when Gomez could only deflect Charles N'Zogbia's cross past the far post with Marcus Hahnemann stranded.
Within seconds of the restart, Wigan should have been ahead. At the end of an impressive move, Rodallega found space on the right of the area and passed to Franco Di Santo, who appeared to have the simple task of slotting the ball home from six yards.
But the Argentinian scuffed his shot just enough to allow Hahnemann to get a hand to the ball, and the Wolves defence managed to clear.
Wigan were certainly demonstrating more creativity in attack and, after a good run and cross from N'Zogbia down the left, James McCarthy fired a shot into Hahnemann's midriff.
Wolves boss Mick McCarthy responded by bringing on defender George Elokobi for Fletcher but his plans went out of the window in the 65th minute.
Dave Edwards pulled back N'Zogbia on the edge of the area and Gomez curled a superb free-kick into the top corner to give the hosts the lead.
N'Zogbia, who had been the game's most influential player, created another shooting chance for himself on the right of the area but could not get enough power on his effort to trouble Hahnemann.
Di Santo then nearly caught out the American with a superb dipping volley from 25 yards out, Hahnemann just managing to palm the ball behind for a corner.
Mick McCarthy went for broke with eight minutes to go, bringing on strike duo Sylvan Ebanks-Blake and Marcus Bent for Edwards and Stephen Ward, but it was Wigan who sealed victory with a second goal five minutes from time.
N'Zogbia played a precision through ball for Rodallega, and the Colombian was able to claim the goal after Christophe Berra guided an attempted clearance onto his foot and beyond Hahnemann.
It was the first time Wigan had managed two goals in a league game this season, and it was more than enough to secure a precious three points.


text: SARATOGA SPRINGS -- The 13th annual Saratoga Choral Festival has been rehearsing all month for its big event -- a 3 p.m. concert Sunday in the Spa Little Theater that will feature the choral music of jazz legend Dave Brubeck. The performance will include the popular "Pange Lingua Variations" and the unpublished "Canticles of Mary." Brubeck passed away Dec. 5, 2012, just a day before his 92nd birthday. A jazz pianist noted for his improvisational skills, Brubeck was also a composer of many fully notated compositions, which include choral pieces, hymns, orchestral works, chamber music, ballet suites, a string quartet, solo pieces for piano, violin and voice and large-scale works for chorus and orchestra. He is also known for the legendary song "Take Five," and the album "Time Out," which was the first jazz album to sell over a million copies. Aside from his groundbreaking musical compositions and recordings, concert organizers said Brubeck played a major role in breaking racial barriers in the mid-20th century. Throughout his long career as both a performing artist and composer, Brubeck received many honors in America and abroad. President Clinton awarded him with the Presidential Medal of the Arts and a similar arts medal was presented to him by Austria. He has a Grammy Lifetime Achievement Award for his jazz contribution and, in 2007, the London Symphony Orchestra honored him with a lifetime achievement award. In 2003, Brubeck was elected into the American Classical Music Hall of Fame. He had been designated a "Living Legend" by the Library of Congress and a "Jazz Master" by the National Endowment for the Arts. He was a Kennedy Center honoree in 2009. Special guests for the 2013 Festival will be jazz pianist and Brubeck protege Eldar Djangirov and his jazz trio. Brubeck praised Djangirov as "a genius beyond most young people I've heard." Djangriov's talents have garnered him a nomination for a Grammy in 2008 for his album "Re-imagination," as well as featured appearances in venues ranging from the Hollywood Bowl to Carnegie Hall, and has played at the most notable jazz festivals across the world. Downbeat magazine has proclaimed of Djangirov's talent: "His command of his instrument is beyond staggering." The Saratoga Chorale Festival was formed in the summer of 2001. Previous seasons have featured the requiems by Faure, Durufle and Mozart, Bach's "Magnificat," Haydn's "Lord Nelson Mass," Vaughan Williams' "Dona Nobis Pacem," Handel's "Dixit Dominus," Mozart's "Coronation Mass," and a premiere of a new edition of Gretchaninov's Liturgia Domestica. In August 2004, the chorus realized its dream of performing with the Philadelphia Orchestra in a critically acclaimed performance of the Mahler 3rd Symphony with the Harlem Boys Choir, under the direction of Charles Dutoit at the Saratoga Performing Arts Center. This is the eighth season of performances at the Little Theater in Saratoga Spa State Park.


text:
Écorchés are literally 'flayed' figures, which show the muscles of the body without skin. They were a popular way of displaying the body in Renaissance engravings. Three-dimensional versions were also produced throughout Europe. Originally they were life-sized models, used in medical and art academies. Small-scale versions also became collectors' items, valued for their visual qualities. These were produced in ivory, bronze, plaster and wood, and displayed in self-consciously heroic poses.
A well-known figure, especially one by a famous sculptor, might be reproduced in miniature all over Europe.
J Clair, L'ame du corps: arts et sciences 1793 – 1993, RMN (Réunion des Musées Nationaux), (Gallimard: Électa, 1993)
M Kemp and M Wallace, Spectacular Bodies: The Art And Science Of The Human Body From Leonardo To Now (Berkeley: University of California Press, 2000)


text:
Items where NERC Author is "Scott, David"
|Up a level
Publication - Article
Welch, David; Scott, David. 2017 Observations on bark-stripping by red deer in a Picea sitchensis forest in western Scotland over a 35-year period. Scandinavian Journal of Forest Research, 32 (6). 473-480. https://doi.org/10.1080/02827581.2016.1247464
Welch, David; Scott, David; Thompson, Des B.A.. 2015 Persistence of Carex bigelowii–Racomitrium lanuginosum moss heath under sheep grazing in the Grampian Mountains, Scotland. Journal of Bryology, 37 (2). 96-103. https://doi.org/10.1179/1743282014Y.0000000127
Welch, David; Scott, David; Elston, David A.. 2013 Declining incidence of multi-trunking over time in a Scottish plantation of Picea sitchensis. Scandinavian Journal of Forest Research, 28 (1). 17-27. https://doi.org/10.1080/02827581.2012.683039
Welch, D.; Scott, D.. 2008 An estimate of timber degrade in Sitka spruce due to bark stripping by deer in a Scottish plantation. Forestry, 81 (3). 489-497. https://doi.org/10.1093/forestry/cpn016
Scott, David; Welch, David; van der Wal, Rene; Elston, David A.. 2007 Response of the moss Racomitrium lanuginosum to changes in sheep grazing and snow-lie due to a snow-fence. Applied Vegetation Science, 10 (2). 229-238. https://doi.org/10.1658/1402-2001(2007)10[229:ROTMRL]2.0.CO;2
Welch, D.; Scott, D.; Mitchell, R. J.; Elston, D. A.. 2006 Slow recovery of heather (Calluna vulgaris L. (Hull)) in Scottish moorland after easing of heavy grazing pressure from red deer (Cervus elaphus L.). Botanical Journal of Scotland, 58. 1-17.
Brooker, R. W.; Scott, D.; Palmer, S. C. F.; Swaine, E.. 2006 Transient facilitative effects of heather on Scots pine along a grazing disturbance gradient in Scottish moorland. Journal of Ecology, 94 (3). 637-645. https://doi.org/10.1111/j.1365-2745.2006.01129.x
Publication - Book Section
Scott, David. 2006 Linear and boundary features. In: Preston, C. D. et al, (ed.) Scottish trends in vascular plants. Inverness, Scottish Natural Heritage, 37-40. (Commissioned Report, ROAME, 169, F01NB02).
Publication - Report
Thirgood, S.; Scott, D.; Irvine, J.; Sibbald, A.; Palmer, S.; Gilbert, L.; Leckie, F.; Elston, D.. 2007 Developing methodologies to monitor deer movements at the landscape scale. NERC/Centre for Ecology and Hydrology, 156pp. (CEH Project Number: C02914) (Unpublished)
Scott, David; Bacon, Philip; Irvine, Justin. 2002 Management of deer in woodlands: best practice guidance. Banchory, CEH, 18pp. (CEH Project No. C02099) (Unpublished)
Scott, David; Bacon, Philip; Irvine, Justin. 2002 Management of deer in woodlands: literature review of decision making and report on decision modelling workshop. Banchory, CEH, 42pp. (CEH Project No. C02099) (Unpublished)
Scott, David; Bacon, Philip; Irvine, Justin. 2002 Management of deer in woodlands: literature reviews of woodland design, and techniques for assessing populations and damage. Banchory, CEH. (CEH Project No. C02099) (Unpublished)


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U.S. Teen Births Hit Record LowCDC researchers cite messages about sexual practices and use of contraceptives.
TUESDAY, April 10, 2012 (HealthDay News) — The number of American teens giving birth has dropped to an all-time low, federal health officials reported Tuesday.
"There has been a phenomenal drop in the last two years," said report lead author Brady Hamilton, a statistician with the U.S. Centers for Disease Control and Prevention's Division of Vital Statistics. "It went down 9 percent between 2009 and 2010 and that's big."
Hamilton said the teen birth trend is a part of a larger trend with the U.S. birth rate. The birth rate for all but older women has been dropping for some time, he said.
The current teen birth rate now stands at about 34 births per 1,000 women ages 15 through 19. That's a 44 percent drop in the rate since 1991, according to the report.
In 2010, teen birth rates by age and race and Hispanic origin were also lower than ever before, the CDC said.
Fewer babies were born to teens in 2010 than in any year since 1946. If the drop in teen births hadn't occurred, there would have been an estimated 3.4 million more births to teens from 1992 to 2010, the report said.
Despite these declines, the U.S. teen birth rate is still among the highest among industrialized countries, according to the report.
In looking to explain the dramatic drop in teen births in the last two decades, Hamilton said there's evidence that messages about sexual practices and the use of contraceptives have been successful.
"This is good news because it allows girls to have the opportunity to devote time toward education and preparing for adulthood," he said.
Teen birth rates fell in all but three states during the three years from 2007 to 2010 — Montana, North Dakota and West Virginia. The birth rates may vary by state due, in part, to differences in populations by race, the researchers said.
Mississippi had the highest rate of teen births, at 55 per every 1,000 girls aged 15 to 19, followed by New Mexico at about 53 and Arkansas at 52.5. The best-performing states included New Hampshire at just under 16 per 1,000, Massachusetts at about 17, and Vermont at just under 18.
Teen birth rates in 2010 ranged from about 11 per 1,000 Asian and Pacific Island teens, to 23.5 for non-Hispanic white teens, to about 39 for American Indian or Alaska Native teens, to 51.5 for non-Hispanic black teens, and about 56 per 1,000 for Hispanic teens, according to the report.
Dr. Lawrence Friedman, director of adolescent medicine at the University of Miami Miller School of Medicine, called the new report "excellent news" and said it "represents the ongoing positive trend in the reduction of teen births."
According to the CDC, fewer teens are having sexual intercourse, Friedman said.
But Friedman said: "That doesn't mean there is less sexual activity. There's plenty of sexual activity — oral sex and mutual masturbation and other things that don't produce pregnancies."
There's also increased use of contraception, Friedman said. "In addition, there is more awareness of the negative effects of pregnancy and sexually transmitted diseases," he said.


text:
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The Total Economic Impact™ of G Suite
An Analysis of Cloud-to-Cloud Migration Value
In February 2016, independent research firm Forrester Consulting conducted a study commissioned by Google to quantify the value of G Suite. The study reveals the Total Economic Impact (TEI) and potential Return on Investment (ROI) for companies migrating to G Suite from an alternate cloud solution. Fill out the form to download the full report. Here's a preview:
Intuitive solutions for collaborative gains
With a simple licensing plan and the ability to collaborate in real time from any connected device, switching to G Suite results in nearly $1 million in collaboration and productivity gains over a three-year period for the composite customer.
Adoption and engagement
Employees aren't just quickly adopting the platform, they're using and engaging with it in more collaborative and quantifiable ways than before. Forrester reports that this increase in platform engagement — also referred to as product usage efficiency — results in: enablement of new processes and efficiencies; more effective use of time and budget; and reduced incidences of shadow IT (unapproved softwares).
Save time with responsive support
Customers reported G Suite support to be more responsive than their previous cloud solution, particularly regarding resolving requests and minimizing ticket resolution times.


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About Us
Shin Megami Tensei RPG series returns after a decade-long break
posted: 4/3/2013 4:13:00 PM
More On:
Shin Megami Tensei IV
There have been quite a few games released over the years to bear the name Shin Megami Tensei, such as the Persona series and Devil Survivor series. However, it's been ten years since the last numbered game in the main Shin Megami Tensei RPG series was released. Well, the wait is finally over. After ten long years, the series returns to the 3DS with
Shin Megami Tensei IV
The game's story will be about the Samurai, the sacred protectors of the Eastern Kingdom of Mikado. You'll take on the role of a newly appointed Samurai and will defend your home kingdom from a growing army of monsters. The decisions you make will make all the difference as the fate of the world hangs in the balance.
Shin Megami Tensei IV
will be released on the Nintendo 3DS this summer, and it sounds like it could just give Fire Emblem a run for its money once released.
Shin Megami Tensei Returns
The Mature-themed Role Playing Game Franchise Is Back After a Decade With
Shin Megami Tensei IV
IRVINE, Calif.
April 2, 2013
- It's been nearly ten years since the last chapter closed in the original
Shin Megami Tensei
® role playing game (RPG) series, but the long wait is nearly over. Developed by the award-winning
Shin Megami Tensei IV
(SMTIV) features powerful new demons, expansive dungeons, epic story arcs with branching plot lines, game-altering decision making, and more. Built specifically for the Nintendo 3DS™ system with optimized graphics, 3-D dungeons, voiced dialogue, and StreetPass functionality, SMTIV will be a premium title available this summer.
Building on the styles of ATLUS'
Devil Summoner
, and
Devil Survivor
titles, SMTIV is the first true successor to 2004's
Shin Megami Tensei: Nocturne
. The story of SMTIV revolves around the Samurai, the sacred protectors of the Eastern Kingdom of Mikado. As a newly appointed Samurai, players will struggle with factions that have nefarious designs on the world as they defend their home kingdom from a growing army of demons. Decisions players make throughout the course of the story will have lasting repercussions, as the fate of the world hangs in the balance.
Shin Megami Tensei IV
blends familiar features from previous SMT games with all-new features that take advantage of the Nintendo 3DS system, including:
A World to Discover, A Mystery to Uncover
- The life of a Samurai is fraught with peril. Players must leave the safety of the kingdom in order to defend it from the invading demons. There the story unfolds as they become involved in a fierce battle between God and demons.
Demon Collection and Fusion
- The core mechanic of the Shin Megami Tensei series returns with more than 400 demons to recruit, collect, and fuse together. Players will constantly be challenged with balancing the strengths of their demons to ultimately excel in battle.
Choices and Consequences
- Throughout the player's journey, they must choose their own path. The choices will affect them, other NPCs, and the overall outcome of the story. Branching story paths require careful consideration since the fates of the Eastern Kingdom of Mikado and the rest of the world hang in the balance.
Pressing the Combat Advantage
- The Press Turn system requires strategic thinking for every battle. Pinpointing an enemy's weakness will provide a vital extra turn for players to exploit. But there are dangers as well...reckless attacks against demons cause players to lose their turns and give the enemy an opening to strike back.
"The return of the legendary
Shin Megami Tensei
series is one of the biggest milestones yet for ATLUS and the 3DS," said Naoto Hiraoka, president and chief executive officer, Index Digital Media, Inc. "Since this is the first title from the original SMT series in a decade, we tapped the best developers from many of ATLUS' acclaimed projects including
Nocturne, Strange Journey, Persona
, and
Soul Hackers
to create a premium experience that lives up to our fans' and our own expectations."
Shin Megami Tensei IV
will be exclusive to the Nintendo 3DS system and sold as a premium title beginning this summer. The game is expected to receive an M rating from the ESRB, but is not yet rated. More details will be revealed in the future, with updates on the official SMTIV website at


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TOKYO — Tokyo has more Michelin-starred restaurants than any other city and is widely regarded by chefs as being the epitome of finesse, with the rarest and most seasonal ingredients on the planet. Pick up any travel or food article on Tokyo, and you're sure to salivate as you read about restaurants with amazing sushi, mushrooms, miso soup, tonkatsu (pork), ramen noodles, soba noodles, tempura, grilled chicken, Kobe beef, multicourse vegetarian dinners, and terrific cocktail bars and old-school coffee salons.
Good luck finding these places.
When I first went to Japan 10 years ago, I carried several guidebooks and plotted out a bunch of meals. Little did I know the impossibility of what faced me.
For a variety of cultural and historical reasons, Japan has not been that open to outsiders. It wasn't until Commodore Matthew Perry of the US Navy arrived with his infamous black ships in 1853 and literally forced the Japanese to trade with the West that the nation abandoned its isolation. Japan traded reluctantly. Subsequently, the 1923 earthquake and the bombings of Tokyo during World War II diminished the city's accessibility. Street signs and numbers of buildings don't always make sense. Even today most signage is either hidden or written in Japanese.
Lucky you if you manage to find the restaurant, cafe, salon, or bar in your guidebook. But say you do, there's still bad news: To order you often have to read and speak Japanese.
I have wandered the streets of Tokyo, taking in the powerful aromas of soy-infused broths and frying oil, wondering where they originated. After finding the source I have been afraid to enter, knowing I would be the only foreigner. Once inside I have not been able to read the menu. Feeling helpless, I have mimed a pig, chicken, or fish to show what I want to eat.
Let me help you avoid these difficulties. For starters, here are a few places worth finding.
Every good hotel in Tokyo has terrific restaurants, from the sushi bar Sora (which means "sky" in Japanese) on the 38th floor of Mandarin Oriental, to the wonderful New York Grill on the 52d floor of the Park Hyatt (where Bill Murray stayed in "Lost in Translation"). But while these luxurious and well-hidden places offer great food and amazing views, venture out to see what ordinary folks are eating.
Japan, despite its reputation for being expensive, is full of food bargains — if you can find them.
A big trend is "washoku" cooking: food prepared the way it used to be before the Meiji era in the late 19th century ushered in Western styles. One thing this means is using "koji" (a type of mold) in some dishes to marinate the food. The result is "umami": taste that goes beyond salty, sweet, sour, or bitter.
Mus Mus is a great example. Hidden in an office building, this is a place with old-school cooking that is mostly vegetarian, deeply flavorful, and healthy ("mus" means to steam). Dinner for two is about $60.
For even more budget-conscious travelers, venture into the rush of the big city and head over to the train station. Every large station in Japan has its own particular food that is emblematic of the region. Called "eki-ben" (eki means station and ben is short for bento, a small lunchbox portion of food), the choices offer an amazing value. For about $12-$16 at Tokyo station, a terrific madhouse of commuters and commotion, you will enjoy a delicious serving of steamed rice, mountain root vegetables, and chunks of really tasty chicken.
Another example: On the 4th floor of an office building in the Harajuku section of town catering to the young and hip you will find Matsu-Baran. For about $28 per person, you can enjoy an appetizer of vegetables, delicious cold or hot servings of soba, and a draft beer. Old-school jazz plays in the tatami room and there is great people watching on the crowded sidewalks below.
The broths, vegetarian or duck, are deeply soothing here. You dip the noodles, slurp as loudly as you like, and when it's almost all over, add the water that the noodles have been cooked in into the broth for a savory soup, from bowl to lips.
Now make your way to Tatsumi, a real hole-in-the-wall in an old French-looking neighborhood with steep, tree-lined streets and narrow alleys. Like many restaurants in Japan, Tatsumi specializes in one ingredient only and here it is "unagi," or river eel.
Tatsumi was a favorite of John Lennon and Yoko Ono, and the eel here is grilled and sauced on dense beds of rice and washed down with cold drafts.
Finally, go into the basement food courts in any fancy department store in Ginza and get ready to be dazzled.
"Irrashaimase!," vendors shout out as a welcome, and then offer you delicious prepared foods, from yakitori (grilled chicken) to fried tofu to shrimp sashimi. Twenty dollars per person and you're as happy as can be.
Now for the tricks to getting to these places and feeling at home.
First, ask your concierge to book tables for you. If the establishment does not take reservations, have the hotel call to let the proprietor know that you — a non-Japanese-speaking Westerner — will be coming.
Have the concierge negotiate the menu for you and write down your favorite dishes and likes and dislikes.
Don't leave the hotel without two cards written in Japanese, the first with the address and phone number of the restaurant; the second with the name and address of the hotel.
Once in the establishment, be prepared to remove your shoes (not always required), use chopsticks, and perhaps sit on a tatami mat on the floor. Bring plenty of cash: Many places in Japan do not accept credit cards.
Learn a few basic phrases: "Konichiwa," hello. "Arigatoo," thank you. Two index fingers crossed like an "X" means: Check, please.
Know a few customs: You don't tip in Japan, not usually, and being polite and respectful and patient are standard: Do not raise your voice. Do not get angry in public.
And learn how to say, "oishii desu ne," which means, "Isn't that delicious?"
You will mean it.
Scott Haas can be reached at email@example.com.


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This is Armed Forces Week, a time when the nation honors the military, and when many bases welcome the general public with open houses and receptions. The observances culminate on Saturday, Armed Forces Day. In the past, the celebrations featured the precision flying teams — the Navy's Blue Angels and the Air Force's Thunderbirds — but they are grounded this year due to sequestration cuts.
The thrill of attending an air show lies only partly in the wonder of the astonishing precision with which the nation's best pilots fly their planes. Their high-speed passes, rolls, tight turns, and loops reliably generate oohs and aahs. When the screaming fighter jets draw into formations that have their wingtips almost touching, spectators close their eyes. That's when the other part of the thrill kicks in — the palpable possibility that the pilots won't pull the trick off this time. No one goes to an air show hoping for a crash, but the possibility of a crash is key to the excitement.
In 1982, the Thunderbirds suffered what became known as the mythic "diamond crash." The synchronized routines depend on an absolute discipline, with maneuvers controlled by a leader pilot, from whom the other flyers take their cues. This was a preseason training session. The team was rehearsing the diamond loop, a four-plane formation with three closely slotted behind the leader. The pattern involved a screaming dive, a swoop close to the ground, and an acceleration up into a glorious ascent.
But as the dive commenced, the number one plane suffered a mechanical malfunction. The pilot — by some measures, the best pilot in the world — could not pull out of the dive. He nosed into the ground. The three following pilots, in perfect discipline, ignored whatever sense they had of something wrong. In the split seconds available, it's not clear what they could have done. But, still taking cues from their leader, they followed him into the ground. Four of America's best pilots were killed.
Today, that infamous tragedy reads like a cautionary tale. In what may be the most pointed observance of Armed Forces Week, Pentagon representatives are expected to go before the House Appropriations Committee to seek urgent relief from the sequester cuts. The Defense Department, joining another kind of diamond formation, echoes the Federal Aviation Administration and the Justice Department in declaring that its sacrosanct function justifies exemptions — "reprogramming" — from the automatic budget cuts that took effect in March. "The reality is that if sequestration continues as it is," the Army vice chief of staff testified last month, "we risk becoming a hollow force."
The armed services' plea is expected to be generously heard by politicians, many of whose home districts are rife with military bases and defense industries. There is no equivalent constituency, meanwhile, for other institutions and people left reeling by the crude cost-cutting of sequestration. Who makes the case for the budgets of Head Start, cancer research, food assistance, nutrition programs, and unemployment? There is no such thing as Health and Human Services Week.
For decades, our common civic life and vast sectors of the US economy have been in a slot, automatically taking all orders from the formation leader, the Department of Defense. Indeed, traditions like Armed Forces Day, and popular displays like air shows, were instituted precisely to assuage any unease Americans instinctively felt about the failure to demobilize after World War II.
Until that period, Americans broadly believed that a massive permanent military establishment violated something fundamental in the nation's sense of itself. The Thunderbirds call themselves "America's Ambassadors in Blue," but they represent the Pentagon more than the country, and the impression they aim to make is on domestic opinion, not foreign.
Periodically, there have been opportunities for a shift in priorities — a shift in which the Pentagon might lose its primacy. But fears of a hollowed-out military always trumped fears of hollowed-out schools, inner cities, civic infrastructure, and moral value. No surprise, therefore, that the war that did not end in 1945, or even in 1989, is refusing to end again. Will the nation blindly follow this malfunctioning machine into the ground?
The sequestration cuts have presented an accidental opportunity to adjust the political and economic order. This Armed Forces Week, Congress should not take its lead from the Pentagon brass. Let human services, for once, count for as much as armed services.
James Carroll's column appears regularly in the Globe.


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I drew the last duo for the week on Friday, but unfortunately I forgot to submit it to close out the theme I had going on for the week. So because of that, this next tutorial is going to show you "how to draw Sylvester and Tweety", step by step. Now, out of all the WB characters that has been created over time, I can honestly say that Tweety and Sylvester are seriously some of my favorite characters. The epic routine on a cat and a bird is just as good as a cat and a mouse. One thing I could never figure out though is, Tweety's gender. Now, we all know Sylvester is a boy right? Well, Tweety often acts like a girl, almost behaves like boy, but when it comes down to the voice, it's a fifty fifty thing. So, to draw the big mystery to an end, I had to look it up and find out once and for all. After some swift research, I found out that Tweety is definitely a boy despite his girly qualities. Whatever the case may be, there is one thing that is certain, this popular duo definitely deserves a lesson on their characters. I hope you have fun drawing Sylvester and Tweety. I will be back again with more drawing fun. Adios amigo's, and have a happy drawing day.
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EPIC Receives A Settlement For Legal Fees From The NSA In Its FOIA Lawsuit Targeting Presidential Cybersecurity Directives
from the a-small-but-useful-win dept
Some semi-good news to report here. EPIC (Electronic Privacy Information Center) has received a settlement from the NSA in its long-running lawsuit (dating back to late 2012) against the agency for its withholding of documents related Presidential Directive 54, a national security directive on cybersecurity.
It's a partial victory, but there's still more at stake, as EPIC's post points out.
EPIC received some of the documents as a result of the lawsuit, "substantially prevailing" under the FOIA, and prompting the NSA to make a settlement offer to EPIC. As a consequence, EPIC will receive attorneys fees from the NSA. EPIC is simultaneously appealing the lower court's determination that NSPD-54 is not an "agency record" subject to the FOIA. It was the first time a federal court has ruled that a Presidential Directive is not subject to the Freedom of Information Act.The problem with "first times" is that they almost inevitably lead to more incidents. If this decision is upheld, the government will now have one more way to dodge FOIA requests on secret directives.
On the plus side, EPIC will be receiving $3,500 in attorneys' fees from the NSA, but as it notes, the agency is still withholding documents thanks to the favorable lower court ruling. The documents EPIC has received so far are embedded below, and as the agency seems to prefer, they are unsearchable images, rather than scans. This allows the government to appear transparent while still hampering attempts to cross reference existing documents or other versions of the same document. (The government has been known to redact something on one FOIA response while leaving it unredacted on others -- hence its hesitance to release documents to "serial" requesters.)
The reimbursement of legal fees is helpful, considering EPIC's court battle is far from over (and that's just for the lawsuit involving this particular secret Presidential Directive). It's great we have a Freedom of Information law, but far too often, it takes an actual court decision to actually free the requested information.
Filed Under: cybersecurity, epic, nsa, presidential directive 54


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Flu-fighting drug hard to find in NE Fla.
JACKSONVILLE, Fla. – During this year's flu season, some in northeast Florida have had a hard time finding the flu vaccine at times.
The flu-fighting drug Tamiflu is also proving hard to find in the area.
Baptist Medical Center says it has enough to last for a month.
Shands Jacksonville Medical Center says it is rationing its supply to those who need the drug the most.
Some pharmacies in the area said they have both the capsule form and the liquid form. The liquid form is what's often given to children.
A number of pharmacies said they still had the capsules in stock, but were out of the liquid. And other pharmacies said they were out of both kinds of the medication and have it on backorder.
Copyright 2013 by News4Jax.com. All rights reserved. This material may not be published, broadcast, rewritten or redistributed.