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And they're off! Lots of video today:
Cross-Dressing for the Gospel — David Lose
I'm on a big David Lose kick right now. I posted this one last week to Twitter but saw it too late for last week's Link Love. Stu Rasmussen is a man in Silverton, Oregon who is a cross-dresser. He was also elected mayor of the town:
Don't get me wrong, not everyone was wild about this development. The election was very close and his doubters didn't stop doubting. Some because of their religious convictions, some simply because cross-dressing just goes against their sensibilities.
But then something else amazing happened. After his election, and before his inauguration, a group from the Westbro Baptist Church came to town. (A quick side-note: this isn't your typical Baptist church. In fact, this is an extremist group not affiliated with any major Christian tradition.) They came with signs – "God hates Silverton," "God hates your mayor" (and these were the more polite signs!) – and with their slurs, determined to protest Stu as an abomination.
And although Stu encouraged people not to give them the time of day, folks in the town staged a counter-protest…where lots and lots of ordinary, everyday folks cross-dressed. Men dressed as women, grandmas dressed as men. Kids joined in. Liberals, conservatives, young, old, on this day in Silverton it just didn't matter. They were determined to stand with Stu, to identify with him, to stand up for him.
That'll preach.
BTW, the story originally aired on Radiolab, which is my favorite podcast bar none.
I also got this video from David:
Bus Station Sonata — Arts Council of England (video)
From the site: "The work was created with commuters and passers-by from the Haymarket Bus Station in Newcastle UK. Most of the participants are non players, many had never touched a piano before, we just convinced them to donate a note or two."
The delight on some of the faces is palpable… and I love the end.
How Not to Spend Your Whole Day on Facebook — BigThink (video)
An important tip for procrastination:
12 Guidelines for Deciding When to Persist, When to Quit — Harvard Business Review
When to hold 'em, when to fold 'em:
- Are the initial reasons for the effort still valid, with no consequential external changes?
- Do the needs for which this [is] a solution remain unmet, or are competing solutions still unproven or inadequate?
- Would the situation get worse if this effort stopped?
Massachusetts Vote May Change How the Nation Dies — Slate
Oregon's Death With Dignity Act has been in effect for the past 14 years, and the state of Washington followed suit with a similar law in 2008. Despite concerns of skeptics, the sky has not fallen; civilization in the Northwest remains intact; the poor, disenfranchised, elderly, and vulnerable have not been victimized; and Oregon has become a leader in the provision of excellent palliative medicine services.
But the Massachusetts ballot question has the potential to turn death with dignity from a legislative experiment into the new national norm.
I support so-called Death with Dignity statutes. When properly defined and carried out, they are sane and compassionate.
This article profiles some of the physicians involved in this movement:
Perhaps it takes the dramatic actions of a flawed advocate like Dr. Jack Kevorkian to catalyze change that leads to the appearance of more reasonable and likable physician reformers. Physicians of this new generation do not seek out or necessarily welcome the role, but, having accepted it, they are irreversibly changed. Most are modest, highly intellectual, and intensely private professionals who are drawn to medicine because it offers a challenge and an opportunity to help relieve distress.
…After her patient's death, Dr. Kate concluded, "I think Cody taught me that 'first, do no harm,' is different for every patient. Harm for her would have meant taking away the control and saying, 'No, no, no! You have got to do this the way your body decides, as opposed to the way you as the person decides.'"
Real-Life Forrest Gump Walks Across America in 178 Days — Oddity Central
A friend sent this to me and wondered: "Sabbathy? He talks about taking the trip because he had stopped appreciating things and wanted to slow down his life." Could be…
He left only with the clothes on his back, a sleeping bag, his backpack and a few thing in it, determined to survive only on the goodness of the people he met on the road. He depended on them for the most basic needs, like food, water and a place to sleep, and whenever he got money and gift cards he didn't actually need to survive, he just gave them away to the homeless. He said the point was always to give away more than he took, and added that the biggest takeaway from this epic experience is to have realized that "mankind is better than I ever dreamed."
This is one of those "it takes all kinds" stories. And I don't mean that disparagingly—it really does take all kinds.
Does Brainstorming Work? — RSA (video)
No, but you should watch this anyway because it's entertaining:
Peace be with you…


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NEWS- Era's end: Breeden found art everywhere (a remembrance)
Charlottesville will miss David Breeden. The baron of Biscuit Run, who died of heart failure Tuesday, September 12, at the age of 68, was a fixture in the local art scene for 30 years.
No matter that lately he had become such a curmudgeon, speaking his mind to the point of being hilarious (or insulting); leaving his own dinner parties without saying good night; telling the truth about life and sex and art and land and money when everyone else was pursing their lips and saying what was proper, or not saying anything at all.
It's funny now to think of him as the young whippersnapper in the portrait in the Biscuit Run family room. Son of a Northern Virginia businessman– his father developed Tyson's Corner– young David smiles with self-satisfaction, a sword across his lap, a latter-day Cavalier.
In the early 1970s, his father sent him to Albemarle County and assigned him the task of making something out of 1,365 acres just south of town. There, he morphed into the artist stoking the flames of creativity at Biscuit Run, where workshop and studio and gallery spaces grew in all directions from the big house, jam-packed with art, the fields around dotted with trailers of stuff that David brought home with the belief that art could be made of everything.
Over the years, he and his wife Elizabeth raised five children, often among a shifting cast of visitors– some who lived and worked at Biscuit Run, some who came to party, whether to potluck dinners on Wednesday night– a tradition suggested by Elizabeth in response to David's invitations to all and sundry– or to Easters, celebrated at their house once UVA's administrators banned the mudslides in Mad Bowl.
More recently, people flocked to bonfires organized by musical son Christian, who, like his siblings, inherited the urge to make art of everything.
Breeden pere made art incessantly. It could be soapstone, it could be glass, acrylics, stitchery, onyx, steel. He resisted talking about the meaning of any of it. For David Breeden, art simply was.
Sometimes the works grew monumental– like those soapstones outside PVCC, Cale School, Republic Plaza, the Juvenile and Domestic Relations Court Building locally, and others in Pittsburgh, Jamaica, Nassau, and Antigua.
Sometimes they stayed small. I have a recent painting, for example, of a couple dancing, yin and yang in polka dots, on a 6x8-inch scrap of masonite. David signed and numbered it: 85,345. He really wanted to get to 100,000.
On Wednesday night, September 20, friends and family were invited to gather at Biscuit Run for the last Wednesday night dinner. Christian planned to build a bonfire, the biggest ever, and into it guests were to throw something they had made, their own works of art, gifts of thanks and remembrances for David, gifts not offered with tears but into flames of life and passion, just as he would have wanted it.
2002 photo of David Breeden with "Family," his soapstone sculpture installed in 1981 in front of the Juvenile and Domestic Relations Court.
1 comment
I was at the funeral and bonfire - and it was the BEST ever- such a wonderful way to remember David, his life, work and philosophy - anyone who ever attended a Weds. night potluck knew the one thing that was constant was that you never knew who, or what would appear...and last Weds. was no exception - it was a great party, incredible memorial, and beautiful send-off for a man who touched so many and who's legacy lives on in his work, and his friends! Thank you our dear friend, David...thank you....and in the words of your last song...."Sleep in Heavenly Peace" we will miss you...

subset: commoncrawl


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While patients do see "doctors" as experts in their field, they recognize your competitions' expertise, too. In other words, your abilities as a physician are assumed and do not differentiate you in the mind of the American public — but your brand does.
Being seen as a Top Doctor or Top Dentist sets you apart from the rest, making you a part of an exclusive group of top tier providers.


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SAMJ: South African Medical Journal
On-line version ISSN 2078-5135
Print version ISSN 0256-9574
SAMJ, S. Afr. med. j. vol.99 n.5 Cape Town May. 2009
Clinical and financial burdens of secondary level care in a public sector antiretroviral roll-out setting (G F Jooste Hospital)
Sebastian KevanyI, *; Graeme MeintjesII; Kevin RebeIII; Gary MaartensIV; Susan ClearyV
IMPH, Health Economics Unit, University of Cape Town and Center for AIDS Prevention Studies, University of California, San Francisco
IIMB ChB, MRCP (UK), FCP (SA), DipHIVMan (SA), G F Jooste Hospital, Manenberg, Cape Town and Department of Medicine, University of Cape Town
IIIMB ChB, FCP (SA), DipHIVMan (SA), DTM&H, G F Jooste Hospital, Manenberg, Cape Town and Department of Medicine, University of Cape Town
IVMB ChB, MMed, FCP (SA), DTM&H, Division of Clinical Pharmacology, Department of Medicine, University of Cape Town
VPhD, Health Economics Unit, University of Cape Town
BACKGROUND: Antiretroviral therapy (ART) is being extended across South Africa. While efforts have been made to assess the costs of providing ART via accredited service points, little information is available on its downstream costs, particularly in public secondary level hospitals.
OBJECTIVES: To determine the cost of care for inpatients and outpatients at a dedicated antiretroviral referral unit treating and caring for antiretroviral-related conditions in a South African peri-urban setting; to identify key epidemiological cost drivers; and to examine the associated clinical and outcome data.
METHODS: A prospective costing study on 48 outpatients and 25 inpatients was conducted from a health system perspective. Incremental economic costs and clinical data were collected from primary sources at G F Jooste Hospital, Cape Town, over a 1-month period (March 2005).
RESULTS: Incremental cost per outpatient was R1 280, and per inpatient R5 802. Costs were dominated by medical staff costs (62% inpatient and 58% outpatient, respectively). Infections predominated among diagnoses and costs 55% and 67% respectively for inpatients, and 49% and 54% respectively for outpatients. Most inpatients and outpatients were judged by attending physicians to have improved or stabilised as a result of treatment (52% and 59% respectively).
CONCLUSIONS: The costs of providing secondary level care for patients on or immediately preceding ART initiation can be significant and should be included in the government's strategic planning: (i) so that the service can be expanded to meet current and future needs; and (ii) to avoid crowding out other secondary level health services.
To limit the public health consequences of HIV/AIDS, the South African government implemented a comprehensive treatment programme in April 2004.1 While antiretroviral therapy (ART) dramatically increases life expectancy for infected individuals,2,3 there is often significant morbidity and mortality among patients with advanced HIV infection who start ART, and care is required after treatment has failed.4 Expanding the ART programme requires increased health care system capacity, including that of secondary hospitals, to provide treatment at the appropriate scale and without crowding out other essential health services.
The introduction of ART has resulted in interventions increasingly aimed at aggressively treating opportunistic infections and resuscitating patients with advanced HIV so that they may benefit from longer-term ART. The increased survival time of patients on ART will probably result in higher levels of demand for secondary hospital treatment and increased need for management of antiretroviral (ARV)-related toxicity and immune reconstitution inflammatory syndromes (IRIS). These treatment requirements can be expected to increase in proportion to the level and scale of the national ART roll-out. To ensure that South African secondary level health services are not overburdened in caring for these patients, specific operational and financial provisions need to be made.
Despite these considerations, current operational and financial planning for the ARV roll-out is focused on dedicated ARV clinics, and the cost of secondary level care and referral services is excluded from the Treasury's Conditional Grants for HIV and AIDS.5 In the Western Cape province, while many patients are initiated and managed on ART at the primary level, the development of complications frequently requires referral to secondary hospitals. Secondary facilities therefore also face significant resource demands to investigate and treat patients on or preparing for ART and presenting with opportunistic infections, IRIS, and drug side-effects. This situation is exacerbated by the fact that most patients commencing ART have advanced immunosuppression, with a median CD4 count of 43 cells/µl recorded at ART initiation in Khayelitsha,6 although this level has risen with expanded ART access.7 Opportunistic infections and IRIS are much more likely in such patients.
Background and setting
This study was conducted at G F Jooste Hospital at Manenberg in Cape Town. G F Jooste is a public sector secondary hospital serving the Klipfontein Health District, and is administered by the Provincial Government of the Western Cape. An ARV clinic was established in the hospital in 2003, and secondary level referral services are provided for ARV clinics in its catchment area, namely Mitchell's Plain, Gugulethu, Crossroads, Site B Khayelitsha and Nolungile ART clinics. G F Jooste serves a population of approximately 1.2 million people, including socially and economically disadvantaged communities. The unemployment rate in the Khayelitsha and Mitchell's Plain areas has been estimated as 46.3%.8 The antenatal HIV prevalence in communities served by G F Jooste is up to 33% (Provincial Administration of the Western Cape, personal communication, 2005) and access to private health care is limited.
G F Jooste ARV referral unit
The G F Jooste ARV Referral Unit (ARU) was established in August 2004 in response to a high level of casualty admissions for patients on ART. It was designed to relieve demand on the hospital's emergency department and as a referral service for complex cases, so that primary care clinics could focus on initiating large numbers of patients on ART. Significant and sustained levels of demand for this service prompted the unit's expansion into an independent clinical service, providing specialist-directed investigation and treatment. During the study, the ARU was staffed by 2 infectious disease (ID) specialists (part-time), 2 medical officers, 1 registered nurse (providing outpatient care only), and an admissions clerk.
The ARU provides comprehensive outpatient care and inpatient consultation services to hospital patients in the medical wards. Any patient on ART developing clinical complications or any patient preparing for ART initiation may be referred. Outpatient consultations in the hospital's outpatient department require the ad hoc use of examination rooms in the absence of designated facilities. Inpatient consultation is provided to patients in the medical wards, whose day-to-day care remains the responsibility of Medicine Department staff. Approximately 40% of ARU patients referred to the outpatient service require admission for inpatient care (unpublished audit).
ARU patients are referred from the G F Jooste ARV Clinic and the 5 local primary ART clinics for assessment and management. Potential referrals are initially discussed telephonically. Patients are triaged to: (i) immediate inpatient admission through the casualty department; (ii) an outpatient appointment at the ARU (generally within 48 hours); or (iii) continued primary care with specialist telephonic assistance. Outpatients are evaluated by the attending ARU clinician(s), and an investigation and management plan is developed, with the outcome being admission, follow-up at the ARU, or referral back to primary care.
Data were collected on all new and existing patients treated by the ARU from 1 to 31 March 2005. Information on inpatient length of stay after termination of the study period was collected during April and May 2005. All ARU patients had to be resident in the hospital catchment area, HIV-infected, >13 years of age, attending a designated ART clinic, and on or preparing for ART.
Incremental economic costs were assessed from a health systems perspective since the choice of costing perspective needs to be appropriate to the study question. Only costs incurred by the service provider or the State, and donated items that could fall within the provider's budget in the future or in other settings, were included. While the alternative societal or patient perspectives elucidate a wider range of productivity, time, and indirect costs,9 these were excluded as they were not directly applicable to the study question. Incremental costs include patient-specific and medical staff costs, but exclude capital and overheads which have previously been assessed for G F Jooste.10
Clinical, resource use and treatment data were collected daily from ARU staff, with separate data capture forms for inpatients and outpatients. Patient-specific resource requirements were recorded and classified according to: (i) laboratory testing; (ii) imaging and radiology; (iii) medical and surgical procedures; (iv) medication; (v) intravenous fluids; (vi) medical consumables; and (vii) counselling services. A self-administered data capture form determined the level and distribution of clinical staff time. Clinical, investigation and treatment data were gathered according to a set of broad categories. Response to treatment was determined by the attending physician.
Laboratory costs were sourced from the hospital laboratory and National Health Laboratory Services (NHLS) estimates;11 pharmaceutical and intravenous fluid costs from the hospital pharmacy and the 2004 Community Health Services Organisation Drug Price Listings;12 the donated drug fluconazole cost was provided by the drug manufacturer; and imaging, radiology, medical and surgical procedure costs from the 2005 South African Uniform Patient Fee Schedule13 and from the hospital's finance department. All procedures unavailable at G F Jooste Hospital and conducted at Groote Schuur tertiary hospital were included. Medical and non-medical consumable costs were sourced from the hospital supplies department. Counselling costs were provided by the Lifeline HIV Counselling Service, which manages G F Jooste counsellors. Other medical staff costs were provided by the hospital finance department, including benefits, scarce skills bonuses, commuted overtime, pension fund and medical aid contributions. All costs are presented in South African rands at 2005 rates.
A bottom-up, micro-costing procedure was employed for all patient-specific costs.14 Total costs across each costing category were assessed for each outpatient visit and inpatient admission. Average patient-specific costs per outpatient visit and per inpatient day were calculated by dividing costs by total outpatient visits and inpatient days, respectively. Total monthly clinical personnel costs were calculated by combining data on clinical staff time distribution with associated monthly salary figures. The allocation of shared personnel costs was based on accepted economic evaluation allocation procedures.15 Monthly medical staff costs were then divided by total outpatient visits and inpatient days to determine total cost per outpatient visit and per inpatient day. Patient-specific costs (including imaging, laboratory testing, medication, procedures and counselling costs) were linked to diagnoses on a patient-by-patient basis during the data collection process. Data sorting, cleaning and analysis were performed using EXCEL Version 9.0 (Seattle, Washington: 2000).
Information on 48 new or existing outpatients and 25 new or existing inpatients (approximately 3.3% of those currently on ART in the referral area information from provincial HIV directorate) was collected. A total of 63 outpatient visits and 240 inpatient days were recorded. Inpatients were followed up until final date of discharge (Table I). A high proportion were female and between 20 and 30 years of age; mean age was 36 years for outpatients at date of visit, and 34 years for inpatients at date of admission; 21 (44%) of 48 outpatients were diagnosed as WHO HIV clinical stage 4, and 9 (19%) presented with a CD4 count <50 cells/µl; the mean outpatient CD4 count was 175 cells/µl; 22 (88%) of 25 inpatients were diagnosed as clinical stage 4, and 52% presented with a CD4 count <50 cells/µl; the mean inpatient CD4 count was 78 cells/µl.
Of the outpatients, 33 (69%) were receiving ART and 14 (29%) were preparing for ART initiation. Among those on ART, the median time from initiation was 8 months. For inpatients, 16 (64%) were receiving ART and 7 (28%) were preparing for treatment initiation. Among those on ART, the median time from initiation was 2 months. One outpatient and 2 inpatients had interrupted ART treatment.
The mean length of inpatient stay was 14.6 days (this figure includes all inpatient days accrued in advance and after termination of the study period (365 inpatient days)). Average inpatient length of stay during the 1-month study period was 9.6 days (240 days); 7 inpatients (28%) were hospitalised for 7 days or less, 14 (56%) were admitted for 7 - 21 days, and a further 4 patients (16%) for >3 weeks. The average outpatient length of visit was 47 minutes.
Patients frequently presented with multiple diagnoses, and a total of 75 outpatient diagnoses and 36 inpatient diagnoses were recorded; infections dominated (55% inpatient, 49% outpatient), tuberculosis being a high proportion of inpatient and outpatient infection diagnoses. ARV drug toxicities were infrequent in inpatients (2 diagnoses, or 6% of all inpatient diagnoses) compared with outpatients (18 diagnoses or 24%) (Table II).
Outpatient outcomes were based on the results of each outpatient visit, rather than individual patients. A high proportion of inpatients and outpatients either improved with treatment or were stabilised (Table III).
Inpatient-specific and outpatient-specific costs were dominated by infections (67%; 54%). For inpatients, 30% of costs were related to the treatment of cryptococcal meningitis and 26% to tuberculosis treatment. For outpatients, 22% of costs were related to the treatment of tuberculosis, and 15% to bacterial pneumonia (Table II).
Patient-specific costs for inpatients and outpatients were dominated by laboratory tests, medical and surgical procedures, and imaging and radiology costs. Medication costs were a low proportion of total patient-specific costs, as most patients were supplied with ART by their primary care clinics (Table IV).
Laboratory testing costs were dominated by blood tests. Imaging and radiology costs were primarily accrued by CT scanning. Medication costs were dominated by non-ARV antimicrobials and ARV drugs. Medical and surgical procedure costs were dominated by ambulatory rather than theatre-based procedures, particularly lumbar punctures and upper gastro-intestinal endoscopies.
Medical staff costs accounted for the highest proportion of total inpatient and outpatient costs, dominated by clinician costs, with medical officer costs accounting for a high level of outpatient staff costs (55%).
Costs per outpatient visit and per inpatient day are presented in Table IV. The total costs of inpatient care (R145 062) were 49% higher than total outpatient costs (R97 084), and the cost of care per inpatient (R5 802) was approximately 4.5 times higher than the cost per outpatient (R1 280).
Most patients presented with an opportunistic infection, reflecting the initiation of ART with low CD4 counts in our population and suggesting the need for further research into their expedited primary-level diagnosis. In particular, interventions that expedite the diagnosis and treatment of tuberculosis at the primary level may reduce associated morbidity and secondary level referral.
As the lamivudine (3TC), D4T and efavirenz/nevirapine regimen is the national treatment programme standardised first-line ART regimen, no relationship between specific drug use and the need for secondary level treatment can be inferred. Eighteen outpatient diagnoses (24%) and 2 inpatient diagnoses (6%) were related to ARV toxicities.
ARU patient outcomes showed reasonable improvement (31 patients) or stabilisation (19 patients) because of investigations and treatment. The proportions of patients improving and stabilising were similar for inpatients and outpatients. Further research into the morbidity of patients commencing ART is required, to assist in planning and developing appropriate interventions. The increased costs of interventions for the earlier detection of HIV/AIDS may be offset by savings in secondary level treatment and care. The earlier patients are diagnosed, enrolled in HIV care and initiated on ART when indicated, the less likely are complications by opportunistic infections.
The mean length of stay for inpatients is higher than prior findings for HIV-positive patients at G F Jooste Hospital.16 Because of improved ART availability, physicians may be less inclined than previously to send patients for palliative care. Average outpatient visit duration was higher than average primary-level consultation times for both ART and non-ART patients10 but was still <1 hour.
Treatment costs were dominated by medical staff costs, accounting for 58% of outpatient and 62% of inpatient costs, which supports the investment in medical staff. Vertical health system interventions, including the ARV roll-out, may frequently concentrate resources on the provision of short-term consumable items. Parallel and complementary investment in infrastructure and clinical personnel is also necessary.
The high proportion of inpatient and outpatient costs as a result of infections suggests that the treatment of infections is critical in secondary level care for ART patients, especially for tuberculosis, cryptococcal meningitis and bacterial pneumonia. Treatment of infections remains one of the most costly and complex aspects of HIV care.
The mean CD4 count for outpatients was higher than for inpatients, and there were also lower total and per-patient costs of care per outpatient than per inpatient. This finding illustrates the importance of earlier diagnosis and initiation onto ART to avert these high inpatient costs. The difference in total costs between outpatients and inpatients suggests that earlier referral and easier access to referral services for ART patients should be provided, rather than allowing patients to become so ill that they require inpatient care.
Cost analyses are required over a significant time period for meaningful results, and have been described as 'complex, difficult and time-consuming to perform'.17 In costing a pilot project, costs must be determined without the assistance of a costing template or associated studies. Limitations on the availability of appropriate datasets can diminish the accuracy of cost analysis results. All key primary datasets for this research were sourced directly from G F Jooste Hospital.
Our study of the costs of secondary level treatment for patients on or preparing for ART provides policymakers, planners and health system administrators with information on the potential hidden impact of ARV treatment. While a dedicated ARU is one model for meeting the secondary level needs of these patients, and other models may be more integrated within existing services, many clinical and financial needs may be similar. It is essential to include these costs in the government's strategic planning for HIV treatment and Treasury budgets, to ensure adequate quality of care. Costing data are critical to the resource allocation process;18 however, limited information is available on public sector expenditure required to meet the needs of HIV-infected patients across the continuum of care.19
This study neither undermines nor questions the affordability and viability of the ARV roll-out but complements studies on the costs of scaling up ART in South Africa.4,5,20 The results expedite research into technical and allocative efficiency in the South African health system and may be used by secondary hospitals to assess the resources required for these treatments. While local considerations may require variations on the G F Jooste model, this evaluation may assist in the delivery of specialised secondary care. Estimates of secondary level treatment costs may be useful in assessing the macro-economic effects of HIV/AIDS in South Africa.
The successful implementation of the ARV treatment programme depends on a strengthened health system.21 In assessing the viability of specific health interventions, policymakers must consider their impact at all levels of the health system. The load on secondary level HIV referral services will inevitably increase as the ART roll-out expands, as evidenced by the same ARU at G F Jooste which had approximately 250 outpatient visits per month during 2007 (unpublished data). Costs of care are significantly higher for patients on ART in South Africa.22 The development of ARUs, specifically to assess and treat patients on or preparing for ART, and the expansion of associated secondary hospital services, should be considered in planning the national ARV roll-out. Only through the comprehensive assessment of resource requirements across the health system can vertical interventions be fully audited, and scarce resources be distributed appropriately.
We thank Nontobeko Dyakopu, Jane Kawadza, Cordelia Faleni and David Stead for their assistance with data collection.
1. Department of Health. National Antiretroviral Treatment Guidelines. Pretoria: Department of Health, 2004. [ Links ]
2. Forsythe S, Gilks C. Economic Issues and Antiretroviral Therapy in Developing Countries. Trans R Soc Trop Med Hyg 1999; 93(1): 1-3. [ Links ]
3. Casseb J, Fonseca LA, Veiga AP, et al. AIDS Incidence and mortality in a hospital-based cohort of HIV-1-seropositive patients receiving highly active antiretroviral therapy in Sao Paulo, Brazil. AIDS Patient Care STDS 2003; 17(9): 447-452. [ Links ]
4. Arens FJ, Maartens G. Treatment Costs for HIV/AIDS in a Managed Care Setting in South Africa. Presentation to the 38th Annual Congress of the South African Pharmacology Society, Bloemfontein, 24 - 27 October 2004. [ Links ]
5. Cleary S, Blecher M, Boulle A, et al. The costs of the National Strategic Plan on HIV and AIDS & STIs 2007-2011. http://www.tac.org.za/documents/NSPCostingFinal.doc (accessed 1 June 2007). [ Links ]
6. Coetzee D, Hildebrand K, Boulle A, et al. Outcomes after two years of providing antiretroviral treatment in Khayelitsha, South Africa. AIDS 2004; 18: 887-895. [ Links ]
7. Boulle A. Antiretroviral Therapy and Early Mortality in South Africa. Bull World Health Organ 2008; 86 (8). [ Links ]
8. Nattrass N, Leibbrant M, Seekings J, et al. Khayelitsha/Mitchell's Plain Survey 2000: Survey Report and Baseline Information. Cape Town: Centre for Social Science Research, University of Cape Town and the Population Studies Center, University of Michigan, 2003. [ Links ]
9. Drummond M, McGuire A, eds. Economic Evaluation in Health Care: Merging Theory with Practice. Oxford: Oxford University Press, 2001. [ Links ]
10. Cleary S, McIntyre D, Boulle A. The cost-effectiveness of antiretroviral treatment in Khayelitsha, South Africa: a primary data analysis. Cost-Effectiveness and Resource Allocation 2006; 4: 20. [ Links ]
11. National Health Laboratory Service. Laboratory Costs Estimates. Johannesburg: National Health Laboratory Service, 2004. http://www.nhls.ac.za (accessed 1 June 2005). [ Links ]
12. Community Health Services Organisation (2004) Community Health Services Organisation Drug Price Listings. Cape Town: Community Health Services Organisation, 2004. [ Links ]
13. Department of Health. Uniform Fee Payment Schedule. Pretoria: Department of Health, 2005. [ Links ]
14. Shepard S. Analysis of Hospital Costs: A Manual for Managers. Geneva: World Health Organization, 2000. [ Links ]
15. Creese A, Parker D. Cost Analysis in Primary Health Care: A Training Manual for Programme Managers. Geneva: World Health Organization, 1994. [ Links ]
16. Haile B. Costs of Adult Inpatient Care for HIV Disease at GF Jooste Hospital. MPH thesis, University of Cape Town, 2000. [ Links ]
17. Beck EJ, Miners AH, Tolley K. The cost of HIV treatment and care: A global review. Pharmacoeconomics 2001; 19(1): 13-39. [ Links ]
18. Beck EJ, Santas XM, DeLay PR. Why and how to monitor the cost and evaluate the cost-effectiveness of HIV services in countries. AIDS 2008; 22 suppl 1: S75-S85. [ Links ]
19. Walker D. Cost and cost-effectiveness of HIV/AIDS prevention strategies in developing countries: Is there an evidence base? Health Policy and Planning 2003; 18 (1): 4-17. [ Links ]
20. Cleary S, Boulle A, Castillo-Riquelme M, et al. The burden of HIV/AIDS in the public health system. S Afr J Economics 2008; 76 suppl 1: S3-S14. [ Links ]
21. Guthrie T, Hickey A. Funding the Fight: Budgeting for HIV/AIDS in Developing Countries. Cape Town: IDASA, 2004. [ Links ]
22. Thomas LS, Manning A, Holmes CB, et al. Comparative costs of inpatient care for HIV-infected and uninfected children and adults in Soweto, South Africa. J AIDS 2007; 46(4): 410-415. [ Links ]
Accepted 22 December 2008.
* Corresponding author: Sebastian Kevany (email@example.com)


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[[Components Library and Circuits]]

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LTwiki is for LTspice, SPICE, and Electronics help. You'll find unique material from beginner's tips to undocumented LTspice features! This site has no affiliation with the Analog Devices. You are also encouraged to join the Yahoo LTspice Group. By studying the material on this site and the LTspice group, and contributing as much as possible - then posing well thought out questions to the LTspice group as needed, you will be able to use LTspice to any depth you wish.
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Today's Blind Items
This very funny C+ television actor with B list name recognition on a very hit ensemble television show was recently pulled over by the police. Our actor had a bit too much to drink and was probably going to get arrested for a DUI. Figuring he had nothing to lose, he offered the policemen their choice of the three women he had just picked up at a club and was taking back to his hotel room. Remarkably both the officers and the two women chosen agreed. The policemen made one of the women drive, followed the actor to his hotel and spent about an hour in his suite before heading back out on patrol.


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I've snapped a lot of pictures over the past couple of weeks. Here are my favorites.
The prairie:
I pulled off the road to take this picture. I love how the clouds and plains seem endless. It seems like many people think the prairie is boring, but I think it's beautiful.
The stream at the park:
It's been horribly hot here so even when we go to the park in the early morning we spend most of our time in the water. The dogs love to splash and run through it.
Monsoon season is here and that means lots of clouds in the afternoon. Here's some over the foothills.
The Black Eyed Susans are out in force.
You can also see the flowers in this picture of Luka running up a hill.
It's been a beastly hot summer here. Luka spends most of his time lying in front of the screen door, waiting for a breeze.
Our afternoon storms don't always bring rain, but always have thunder and lightning. If it's thundering we don't go for our walk. This makes Luka sad.
We've made a couple of trips to the park, including a trip after work. (The dogs were SHOCKED. We never go during the week.) I liked how different the light was in the evening.
Summer fun means a lot of naps. Sadie has been perfecting her napping technique.
Knitting progress has been very, very slow. When it's nearly 100 degrees I can't bring myself to play with wool. I do hope to finish a pair of socks soon, though.
EDIT: Most of my favorite bloggers are on Blogger. Blogger has decided that I can't comment on their blogs. Every single time I get an error message. If you're on Blogger, know that I'm reading, but I can't say anything. 😦


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This Friday, January 20, Daniel Logan's portrayal of Boba Fett is back on The Cartoon Network series, "Clone Wars." Here is a trailer for episode 15 of season 4, "Deception:"
[Video no longer available.]
There's more about the episode on starwars.com.
For more info and pictures on this episode and others in the series, visit our Clone Wars Fettipedia page, our Clone Wars image gallery, and our Daniel Logan Fettipedia page.
UPDATED 1/20 In an interview with TV Guide Magazine, they ask supervising director Dave Filoni for the lowdown:
This is a great espionage story that has Obi-Wan planting himself in this group of bad guys in the Republic prison to find out what the Separatists are up to. He knows a major plot is about to go down involving the kidnapping of Emperor Palpatine but he doesn't know where and when. To get the information he needs, he pretends to be the bounty hunter villain Rako Hardeen, the marksman from Concord Dawn. The really hardcore Star Wars fans will notice that his disguise uses the helmet Ralph McQuarrie originally designed for Boba Fett. It's totally cool. This arc is unlike anything we've done before -- very, very noir -- and it will take us toward the ever-spiraling conclusion of the season.
Thoughts on this new Boba Fett?


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Fan/Duck Accessories
Dial-A-Temp Speed Control$26.78
Heat Shield Fan Cover$54.56
Welcome to Growers House!
Growers House Retail store hours will be by appointment only, allowing one customer at a time in 15-minute intervals. Retail Appointments can be made here. We encourage you to shop online and will be providing curbside pickup for website orders. Retail Hours are: (temporarily) M-F 9:00 a.m. - 4:30 p.m.
We continue to service our customers as usual amid COVID-19, though we are experiencing increased lead times and shipping delays on most orders of 5-10 days. Information on your order status can be found by logging into your account. Decrease your lead time by placing orders directly through our site.
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When you have finished reading this page, please click the correct menu item to return to the board or program home page, or click the BACK button in your browser to return to the previously viewed page.
When you have finished reading this page, please click the correct menu item to return to the board or program home page, or click the BACK button in your browser to return to the previously viewed page.
If you wish to file a complaint, this page contains links to copies of complaint and general release forms, and the instructions necessary to complete the forms correctly. The documents are available in Adobe Acrobat and MSWord format. Please provide as much information as possible to assist in the successful resolution of your complaint. You may also wish to download a copy of the relevant law and rules from the home page of the specific board or program with which you intend to file your complaint. Should you have any questions about completing the packet, please feel free to call 1-800-942-5540, or the specific board or program office with which you are filing your complaint.Complaint Form Packetin MS Word format (select the links below to download all documents)
Complaint Form (Word format, 44 KB)Complaint Form Instructions (Word format, 31 KB)General Release Form (Word Format, 57 KB)
Complaint Form Packetin Adobe Acrobat format (select the links below to download all documents)
Complaint Form (Adobe Acrobat format, 486 KB)Complaint Form Instructions (Adobe Acrobat format, 352 KB)General Release Form (Adobe Acrobat format, 311 KB)
To access documents in Adobe Acrobat format, you must download the Acrobat Reader software. Please see the DSHS file viewing page for more information and a link to the Adobe website.
To file a complaint, you will need to complete the Complaint and the General Release forms. Return both forms and any additional supporting documentation to the address shown on the complaint form.
After the completed complaint packet is returned, you will be notified by letter acknowledging that your complaint has been received. The complaint will be reviewed to verify that the statement indicates a potential violation of law or rules. If your complaint indicates a potential violation, you may be contacted for additional information. Should your complaint not indicate a potential violation of law or rules, we will also notify you.
A complaint may be filed anonymously by not providing your name and address on the form; however, please be aware that anonymous complaints may be difficult to investigate and many are closed because insufficient information is provided. When you provide your name and address, our investigative staff will be able to contact you for additional information which may be necessary to resolve your complaint.
In some instances, a complaint may be investigated informally by staff. In other cases, investigations are conducted by a Texas Department of State Health Services investigator. The complaint may be investigated by telephone, mail or personal interviews. Information and/or documentation will be collected that is relevant to the complaint. After the investigation is completed, the report of investigation will be forwarded to the program for appropriate action. You may contact the board or program office at any time regarding the status of your complaint.
Texas Homeland Security | Statewide Search | Texas.gov | Texas Veterans Portal | Privacy Practices | Report Fraud, Waste, and Abuse


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Escada Ocean Lounge by Escada 3.3 oz EDT for Women
Item No.: 2808 UPC: 737052220284
|Item No.: 2808
Out of Stock, click here to get notified when re-stockedEscada Ocean Lounge by Escada 3.3 oz / 100 ml Eau De Toilette spray for women. Ocean Lounge by Escada is a floral fruity fragrance for women. Top notes are litchi, plum, pear nectar accord and strawberry meringe accord; middle notes are violet petal sorbet aromas, mimose blossom and jasmine; base notes are amber, sheer vanilla and teak wood.
Customers who bought this product also purchased


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Mrs. Courtney's 2nd Grade Classroom
Monthly Newsletters
Reading Wall of Fame
Specials Schedule
Second Grade Fun
The Students in Room 17!
Camping Fun!
Open House
Pen Pal Breakfast
Grandparent's Day
Native American Art Project
Thanksgiving Feast
Gingerbread Houses
Children of Chocolate Street
Polar Express Day
100th Day Fun
Valentine's Tea
George Washington's Birthday
Dr. Seuss' Birthday
Around The World Adventures
Second Grade Wax Museum
Kids For Character
Field Trips
Conner Prairie
Minnetrista Cultural Center
Indianapolis Children's Museum
Science Fun
Bubble Lab
Wiggly Worms
Dinosaurs and Fossils
Rocks and Minerals
Air and Weather
Edible Landfill
Chick Embryology
"Techno-Spuds" Internet Projects
Apple Project
O.R.E.O. Project
Pumpkin Project
Christmas Card Exchange
St. Patrick's Day Lucky Charm Project
Classroom Parties
Fall Party
Christmas Party
Valentine Party
The students in Mrs. Courtney's class performed
The Children of Chocolate Street
, a class play sharing that the true meaning of Christmas is that
it is better to give than to receive.
The performers did an amazing job and definitely "broke a leg" in their performances!
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In this summer heat, there are few things more refreshing than cold and icy, lightly sweetened, freshly squeezed lemonade. And what could be better than lemonade with fresh strawberries? For the book club dinner last week, I made a pitcher of Strawberry Lemonade. It went so fast that I forgot to take a picture until we'd already drunk half of it!
Strawberry Lemonade
- 6 cups crushed ice
- 10 lemons (squeeze the juice from 8 of the lemons and thinly slice the other 2 lemons)
- 1 cup sliced strawberries
- 1/2 cup sugar
In a glass pitcher, combine the ice, lemon juice, lemon slices, strawberries and sugar. Fill with cold water and stir until sugar is dissolved.


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Home >> Course Descriptions >> College of Arts and Sciences
United States Since 1945
Three semester hours. (FL-Even)
The Cold War; social and cultural changes; the Vietnam era; and the Nixon, Ford, Carter, Reagan, Bush, and Clinton administrations. Prerequisite: Six hours of history and /or political science or permission of instructor.
Home - General Information - Student Services -
Academic Undergraduate Regulations -
Undergraduate Degrees - Academic Graduate Regulations -
Graduate Degrees - Course Descriptions - Faculty -
Appendix A - Appendix B - Appendix C - Appendix D


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This is an early documentary by Werner Herzog, which my friend Ben Gleitzman told me about. It is marvelous, and you should watch it. Ecstasy is almost never discussed anymore, but leaving the earth is one way of attaining it. To exchange ecstasy for death is often the bargain.
Read more posts on caterina.net »


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How to Deal With Jealousy
How can you deal with jealousy?
Jealousy is the worst. It makes you feel awful about yourself and often time Jealousy lashes out at other people and pulls them into your problems. We look at others and we decide to measure our lives based off of theirs. Every life is different, everyone is different and you cannot go through life judging your happiness off of the accomplishments other people have made.
In order to deal with jealousy it's important to recognize the symptoms and find a way to turn them for the positive.
1. Recognize the feeling of jealousy. Jealousy is a way for your psyche to tell you it is unhappy. When you feel jealous, it means you feel entitled to something but someone else has what you feel entitled to. Most times it's a friend or colleague that causes these feelings. When I get jealous I feel it in my gut, but jealousy can attack other places in your body, in places where you hold tension. Extrapolate how it makes you feel. Angry? Perhaps, a little sick? How is it affecting your thinking? Can you feel it infect your mind and turn your thoughts sour? You need to know that life isn't about competition. When you meet someone who is very likable, charismatic and gets more attention than you, this is a person you want to know. As an object of jealousy successful charming people are perceived as a danger to you; as a friend that same person is an invaluable tool of growth. You can try and learn from them and become a more confident person who can see the value of their own worth.
2. Ask Yourself why? Jealousy is a natural feeling to have when you see someone else getting the promotion you wanted, or dating that girl that you like. It is not constructive to give in to that jealousy or indulge in its' anger. Why are you feeling this lacking? Remember, it's not about them it's about you. Is there something you know you could have done better to get that promotion? Why did that promotion matter so much? Why is that girl the one you need to be with? Is she even worth you getting so upset over? What you should do is recognize your capacity for more personal growth and become a better person who you are more proud to be. If you like yourself then you'll know your promotion is coming and someone else even better for you will come along.
3. Stop comparing yourself. The first step to turning things around is to stop holding yourself to other peoples standards. Everyone has a different story, when you see someone else your age that is more successful, don't get jealous of that person; rather learn from them. What have they done to get where they are? Can you take a lesson away and apply that to yourself? Perhaps they were just well connected, or in the right place at the right time, you may learn something new and actually improve yourself from the lesson. Either way, if all you do is become jealous then you will lose focus on what is important and fall even father behind and all that will grow is your bitterness and your resentment. Again you ego is making this about everyone else, look inward, how can you improve or perhaps just be happy with who and where you are.
4.Learn to let things go You need to stop holding on. So Johnson got that big client and you didn't. Don't wallow and obsess over why him and why not you. Why him? Why anybody? It's just the way it went, accept that and work toward the next goal. The same goes for relationships. Your friend took the other guy to the ball game, so what? Go watch with someone else. That girl you liked is dating your best friend. Sure, that's rough for a bit, but realize your best friend is a great guy. Why else is he your best friend? Be happy for him and go find a woman who likes you, you'll be happier then anyhow.
5. Focus on YOUR OWN shortcomings. Remember this is about you, not the person you are jealous of. You need to find out what it is that is making you feel so inferior. What about yourself do you not like? Why don't you like that? Learn more about yourself and cultivate a personality you want to have. Never try and coop someone else's personality, don't be jealous of someone and try to become him or her. That's creepy and weird! Find out who you are and become the best you that you can become. People will like you better if you are yourself and that doesn't even matter because the only opinion that matters is your own.
6. Have faith in your self Jealousy is your inner fear getting the best of you. The fear that you'll never have what someone else has and in someway you are being cheated out of something. It's not true, everyone has the capacity to grow and get what they want, don't focus on what someone else has, think about what you want and remember never to hold on to anything so tightly. Loosen your grip on ego and expectations and let yourself find a way to happiness. Don't try and jam yourself into a fake mold of happiness you invented, be like water and flow into your destiny.
Happy Introspection Austin!!


text: Every year for nearly four decades, Nikon has received hundreds of entries in its Small World microscope photography contest. Every year, the images are more amazing, and this year's winners -- selected from nearly 2,000 submissions -- are undoubtedly the best yet. More Microscope Images:Creepy Close-Ups: Best Microscope Critter Photos Super Small: Top 20 Microscope Photos of 2011 Mini Motion: Award-Winning Microscope VideosSuper-close-ups of garlic, snail fossils, stinging nettle, bat embryos, bone cancer and a ladybug are among the top images this year. The first place winner (above) shows the blood-brain barrier in a living zebrafish embryo, which Nikon believes is the first image ever to show the formation of this barrier in a live animal. "We used fluorescent proteins to look at brain endothelial cells and watched the blood-brain barrier develop in real-time," the winners, Jennifer Peters and Michael Taylor of St. Jude Children's Research Hospital, in Memphis, said in a press release. "We took a 3-dimensional snapshot under a confocal microscope. Then, we stacked the images and compressed them into one – pseudo coloring them in rainbow to illustrate depth." Here are the top 20 photomicrographs from the 38th Nikon Small World competition, selected for their originality, informational content, and visual impact by a panel of scientists, journalists and optical imaging experts. Above: 1st Place Jennifer Peters and Michael Taylor, St. Jude Children's Research Hospital, Memphis, Tennessee Subject: The blood-brain barrier in a live zebrafish embryo Technique: Confocal Magnification: 20x2nd Place Walter Piorkowski, South Beloit, Illinois Subject: Live newborn lynx spiderlings Technique: Reflected Light/Fiber Optics/Image Stacking Magnification: 6x3rd Place Dylan Burnette, National Institutes of Health, Bethesda, Maryland Subject: Human bone cancer (osteosarcoma) showing actin filaments (purple), mitochondria (yellow), and DNA (blue) Technique: Structured Illumination Microscopy (SIM) Magnification: 63x4th Place W. Ryan Williamson, Howard Hughes Medical Institute, Ashburn, Virginia Subject: Drosophila melanogaster visual system halfway through pupal development, showing retina (gold), photoreceptor axons (blue), and brain (green) Technique: Confocal Magnification: 1,500x5th Place Honorio Cócera, University of Valencia, Valencia, Spain Subject: Cacoxenite (mineral) from La Paloma Mine, Spain Technique: Transmitted Light Magnification: 18x6th Place Marek Mis, Marek Mis Photography, Suwalki, Poland Subject: Cosmarium sp. (desmid) near a Sphagnum sp. leaf Technique: Polarized Light Magnification: 100x7th Place Michael Bridge, HSC Core Research Facilities -- Cell Imaging Lab, University of Utah, Salt Lake City, Utah Subject: Eye organ of a Drosophila melanogaster (third-instar larvae) Technique: Confocal Magnification: 60x8th Place Gerd A.Guenther, Düsseldorf, Germany Subject: Pleurobrachia sp. (sea gooseberry) larva Technique: Differential Interference Contrast Magnification: 500x9th Place Geir Drange, Borgen, Norway Subject: Myrmica sp. (ant) carrying its larva Technique: Reflected Light/Image Stacking Magnification: 5x10th Place Alvaro Migotto, University of São Paulo, Centro de Biologia Marinha, São Paulo Brazil Subject: Brittle star Technique: Stereomicroscopy, Darkfield Magnification: 8x11th Place Jessica Von Stetina, Whitehead Institute for Biomedical Research, Cambridge, Massachusetts Subject: Single optical section through the tip of the gut of a Drosophila melanogaster larva expressing a reporter for Notch signaling pathway activity (green), and stained with cytoskeletal (red) and nuclear (blue) markers Technique: Confocal Magnification: 25x12th Place Esra Guc, École Polytechnique Fédérale de Lausanne, Lausanne, Switzerland Subject: 3D lymphangiogenesis assay. Cells sprout from dextran beads embedded in fibrin gel Technique: Fluorescence and Confocal Magnification: 200x13th Place Diana Lipscomb, George Washington University, Washington, D.C. Subject: Sonderia sp. (a ciliate that preys upon various algae, diatoms, and cyanobacteria) Technique: Nomarski Interference Contrast Magnification: 400x14th Place José R. Almodovar Rivera, University of Puerto Rico, Mayaguez, Puerto Rico Subject: Pistil of the flower of Adenium obesum Technique: Image Stacking Magnification: 10x15th Place Andrea Genre, Department of Life Sciences and Systems Biology, University of Turin, Italy Subject: Section of a Coccinella (ladybug) leg Technique: Confocal Magnification: 10x16th Place Douglas Moore, University of Wisconsin - Stevens Point Subject: Fossilized Turitella agate containing Elimia tenera (freshwater snails) and ostracods (seed shrimp) Technique: Stereomicroscopy Magnification: 7x17th Place Charles Krebs, Charles Krebs Photography, Issaquah, Washington Subject: Stinging nettle trichome on leaf vein Technique: Transmitted Light Magnification: 100x18th Place David Maitland, Feltwell, United Kingdom Subject: Coral sand Technique: Brightfield Magnification: 100x19th Place Somayeh Naghiloo, Department of Plant Biology, University of Tabriz, Iran Subject: Floral primordia of Allium sativum (garlic) Technique: Epi-Illumination20th Place Dorit Hockman, University of Cambridge, Trinity College, Cambridge, United Kingdom Subject: Molossus rufu (black mastiff bat) embryos Technique: BrightfieldImages courtesy of Nikon Small World


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Mapping Potential Water Risks in China's Wei Riverby -
The Wei River in west-central China is not just the largest tributary of the Yellow River, but it has also been a critical water source for communities for thousands of years. To manage this important resource, water authorities in China just announced that they plan to invest 6 billion yuan - more than US$950 million - this year to fight floods and pollution in the Wei.
This investment in water management comes after flooding on the Wei killed dozens of people and forced tens of thousands from their homes in the fall of 2011. On top of these terrible human costs come severe economic impacts. According to some estimates, the 2011 flooding cost China more than 6 billion U.S. dollars. Events like the 2011 China floods and the recent devastating flooding in Thailand are putting water risk front-and-center in the minds of businesses, investors, and governments worldwide. This awareness is driving greater demand for better information to understand how and where these water risks might appear. Aqueduct's water risk mapping tool brings together a myriad of data about water quality, quantity, and other indicators to provide that better information.
We used Aqueduct's maps of the Yellow River basin— which include the Wei River— to uncover some of the trends and data points that illuminate the water quantity risks facing the region. Using Aqueduct's online mapping tool, we generated the map below, which combines data on four different indicators of water scarcity and flood risk to show an overall map of relative water quantity risks along the Wei River. The red dots on the map show five cities in the Wei watershed – Baoji, Xi'an, Weinan, Xianyang, and Tianshui.
The orange and red coloring of the Wei River region show areas exposed to relatively high potential risks around water quantity – a conclusion supported by the recent flooding and the Chinese government's investments in the region. Water risk maps such as this one show how the right data can come together to spotlight the places where companies and public officials may need to direct their attention.
To create this water risk map, we looked at four individual risk indicator maps that underlie it: Baseline water stress, seasonal variability, inter-annual variability, and flood frequency.
You can scroll through those maps in the window below to learn more about how they were created, or visit the Aqueduct Water Risk Atlas online to recreate the maps yourself.
Baseline Water Stress
First, we looked at where the Wei falls on a map of our Baseline Water Stress (BWS) indicator. This map shows the intensity of competition for water resources, using a model that calculates what proportion of an area's renewable water supply is withdrawn for human uses in a given year. The yellow-orange color of the Wei river area shows that water users in the region withdraw a large, but not overwhelming, proportion of its renewable water supply every year, compared to the rest of the Yellow River basin.
Flood Frequency
Next, we looked at a map of our Flood Frequency indicator. This map is based on a count of the number of historical flood occurrences over the last 25 years in particular river basins. The light orange color of the Wei region indicates that flooding has historically occurred more frequently in those areas than the blue areas. Since data on flood events is limited and historical events do not necessarily predict future flooding, this map should only be viewed as a rough approximation of flood risk. Trend data and climate model projections make it clear that in many areas, more intense storms globally may create higher flood risks than in the historical record. Approximate indicators like Flood Frequency are most valuable when combined with other indicators to create a composite risk map.
Interannual Variability
Next, we looked at a map of the Interannual Variability indicator. This map shows how much water availability fluctuates from year to year in different parts of the basin. The yellow to red coloring of the Wei River region indicates that water availability does not vary as widely from year to year as it can in the eastern stretches of the Yellow River. However, water supply in the Wei is also not as predictable as it is to the north and west. Interannual variability is of particular concern to water users making long-term investments in an area, such as manufacturers constructing factories, with high water demands and long lifespans.
Seasonal Variability
Another indicator we looked into was Seasonal Variability. Seasonal Variability maps how widely the availability of water varies from wet to dry seasons within a year. The dark orange and red coloring of the Wei River basin shows that water supply has historically swung much more dramatically from season to season in that area than in other sections of the basin, increasing the relative risk of acute flood or water shortage events. Seasonal variability is of particular concern to water users that rely on consistent water availability throughout the year, such as certain power plant operators who need constant access to abundant cooling water.
Maps like these are an important first step towards understanding and managing water risk, but they do not tell the whole story. To truly understand the risks a company faces, you would need to find out more about the specific water needs of the business, as well as how other companies, communities, and government agencies manage their shared water resources and mitigate those risks. Investments in improved water infrastructure like the ones planned by the Chinese government in the Wei River region can mitigate water risks in the places they emerge most frequently. Aqueduct's water risk maps can help companies, investors, and governments target and plan the investments and improvements that can make the risky world of water a little safer.


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Sunday School – 10:00 am
Worship Service – 11:00 am
Bible Study – 12:15 pm
Wednesday Bible Study - 6:30 pm
12859 Martin Road Spur
Northport, AL 35473
Watering the Tulips
September 10, 2014
"Owe no one anything except to love one another, for he who loves another has fulfilled the law. For the commandments, 'You shall not commit adultery,' 'You shall not murder,' 'You shall not steal,' 'You shall not bear false witness,' 'You shall not covet,' and if there is any other commandment, are all summed up in this saying, namely, 'You shall love your neighbor as yourself.' Love does no harm to a neighbor; therefore love is the fulfillment of the law." – Romans 13:8-10
Sometimes we get so caught up in knowing accurate theology (which is important) that we miss the practical application of truth. Understand this – if a pastor is teaching theology without applying it practically in the life of the membership, he is not fulfilling his role. It seems we live in a world of unbalanced preaching. Either a pastor only preaches doctrine or he only preaches practicality. Why do we think the two are not related? James says, "…be doers of the word, and not hearers only…" (James 1:22). Clearly, one must preach doctrine before he can apply it. Doctrine is foundational. However, without application, it's empty.
Case in point – Romans is often viewed as a completely theological book. And certainly, the greater part of the first 11 chapters does contain much in the way of theology. However, in Romans 12:1, Paul was inspired to say, "I beseech you therefore, brethren, by the mercies of God, that you present your bodies a living sacrifice, holy, acceptable to God, which is your reasonable service". Did you catch the "therefore" in that? Paul is saying in light of all of the theology that has been laid out previously, we should live our lives daily for God. Theology should encourage godly living! In fact, theology properly preached does encourage godly living!!
What does any of this have to do with the text before us? Simply, Romans is often either preached weekly in a doctrinally minded church or avoided in a practically minded church. The book is viewed as having nothing to do with practicality. Our text verse proves that this is incorrect. Doctrine without love is useless doctrine. Paul elsewhere said, "And though I have the gift of prophecy, and understand all mysteries and all knowledge, and though I have all faith, so that I could remove mountains, but have not love, I am nothing" (1 Corinthians 13:2). Correct doctrine without love is useless. In fact, it could be said that it's actually NOT correct doctrine without love!
Who are we required to love? All people! Those referred to as our neighbor here means all. We are to love the saints, our families, our spouses, and even our enemies! The life of a child of God should be driven by love for God and love for our fellow man. If a professing Christian is not driven by love, his salvation is questionable. Without doubt, his service is not pleasing to God. Hate plays no part in good doctrine.
Child of God let us seek to love! Let us share the Gospel out of love! Let all of our conversations be seasoned with love and mercy. Above all, let us remember that God loved us even when we were unlovable!
Watering the Tulips is brought to you by Sovereign Grace Baptist Church in Northport, AL. For more information, please visit www.sovereigngrace.net . "Your App to the Gospel" can be downloaded at iTunes for iPhone, iPad and IPod Touch, Google Play for Android, the Windows Phone Marketplace, and the Windows Store for Windows 8/8.1 based tablets and computers. Please download it today!


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Power rankings. You hate them. They're so arbitrary and pointless, especially when they include all 32 NFL teams. All you want to know after a good week of NFL action is who the bestest team in the NFL right now, and which one is the absolute worst. The one so awful, Charlie Sheen would happily toss it into a closet and hope no one discovers it as he runs nude laps around the hotel floor. That's why we have TOP AND BOTTOM OF THE NFL, where we go to great lengths to tell you who's the top dog in football right now, this very minute. LET'S GO!
THE TOP: New England Patriots
Guhhhhhhhhhhhh. This Randy Moss trade has made the Patriots impossibly annoying once more. Every Pats fan in the universe is walking around now with a smug look of satisfaction on their face, screaming to anyone passing by that the Pats are finally back to being the Pats of old and letting you know their team is way smarter than yours. And this is true.
The Patriots are back to playing fundamentally good football and being content to let other teams fall to pieces in the face of their unyielding levelheadedness. Twice yesterday, New England was the beneficiary of two huge freak plays, the first being Brandon Tate's remarkable TD catch that somehow went through the closing hands of Vikings safety Madieu Williams, the second being Devin McCourty's pick that bounced off of Percy Harvin's body.
Both are the kinds of goofy plays that only seem to happen to the likes of the Pats and Colts: Very well-run teams that earn their luck by being that much more aware than the team they're playing. God, I hate them.
THE BOTTOM: Buffalo Bills
This poor, poor team. Every week they give their all, but it's never enough because they're so uniformly terrible. They don't deserve to be here in the bottom. Not when Dallas and Minnesota are busy being the two worst coached teams in the history of the universe.
Alas, these Bills are still winless. They couldn't even manage a TIE. They were so close to half-winning against the Chiefs. At least it wouldn't have been a loss! But there was Ryan Succop at the end, kicking the Bills while they were already down. I just want to take the Bills in and feed them some hot chicken stock. And now they have to go play in Canada! They're like a police detective that's been assigned to Alaska despite being a nice person.
I will say this about Buffalo, though: They aren't going 0-16. I guarantee it. They'll win a game somewhere before the end of this year. And when they get that win, well then you Cowboys best put on your finest basement-dwellin' gear.


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As we have expected the unique MSI VRM solution works very efficient.
In our performance/wattage check with Cinebench we see AMD is closer as thought, especially when under-voltaged. That is because µATX do not waste power with features nobody needs, such as ten, twelve, sixteen or 32 phases and with less add-on chips. Of course the i5-750 runs on the MSI P55-GD65 board with our standard graphics card.


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Please visit The Whole Gang today and leave a comment sharing your favorite omelette fillings!
What are your favorite gluten free solutions to the weeknight dinner rush?
I love your blog! You have so many great recipes - all of them look delicious! I have a website, www.shareWIK.com, and would love to hear from you! ShareWIK (share What I Know) is a website devoted to bringing together women from all different situations and backgrounds (as well as a few men!) to talk about their experiences and learn from each other. We are taking about Celiac Disease this week on ShareWIK, and I would love your intake. Just sign up to get started. Hope to hear from you!
- Diana Keough
P.S. And keep up the great work!
We do breakfast for dinner once a week and my husband makes it. That is his way of contributing and it's a huge blessing to me! He makes the best omelettes! I will also do baked potatoes and set out bowls of different toppings. I also make rice bowls similar to Chipotle. I make up some cilantro-lime rice and then set out all of the fixings. My kids love it when they can sort of make their own dinner and it's easy for me, too! BTW, love your blog!ReplyDelete
G - Thank you so much!! Isn't breakfast for dinner the best? I think I could eat eggs every day if I let myself! lol... I love the quick meal ideas you have here! Thank you so much for sharing & stopping by and for your readership!ReplyDelete
Breakfast for dinner is perfect! It's quick, easy and delicious! In fact, I don't think I partake in breakfast for dinner often enough. I think I know what I'm having for dinner tonight!ReplyDelete
Miel - (Love that nickname btw!) thanks so much for stopping by! What will you put in your omelette?ReplyDelete


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Air Fizzo - Lifestyles (Over Swimming Pools) (Lil Fizz Formally From B2K)
AIRFIZZO "LIFESTYLES" Official Video off the New Mixtape "GAME 1"
Please click the "Report" button below if the video on this page is not working properly.
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As American as A–holes
At RSBS, we're critical of the things that go on around us. We're critical of the things going on in baseball (especially Bud Selig's machinations and the continued but completely baffling employment of Kyle Farnsworth), we're critical of events in the world at large and we're critical of the turn our country has taken in the past couple years. But make no mistake, just because we're critical doesn't mean we love our country any less.
I spend a lot of my time outside the US and each time I come back, I'm reminded of how great it is. In fact, I don't think you can truly appreciate the US until you've spent some time outside. One of the things that strikes me each time I return is how accepting we are. I have never visited another country where people of all different religions, ethnicity, socio-economic class and so on and so forth live next to each other, work with each other and generally get along with each other.
But recently I've begun to wonder what's going on. For a country that accepts so many different people and allows these people to express themselves in so many different ways (even when it's tasteless and abominable), why have we all of a sudden decided to focus so much hatred on one group? Take a look:
And it would be easy to say that this is just one isolated incident but it isn't. As I've said before, the people who blow themselves up or go on some ridiculous rampage represent Islam about as much as Timothy McVeigh represents Christianity. Which is to say that they don't. I'm not a religious person myself but the Constitution, the document many of these people claim as their justification, codifies the right of any person to worship as they will. You don't have to like that but you can be civil about it. Civil doesn't mean picketing and ruining their events, for instance. Do they show up and drink all your wine during mass or or run around naked during your Knights of Columbus dinner?
Anyway, I just wanted to make sure I put that out there. The USA is a great country. In my opinion, it's the greatest country in the history of the world. It would be nice if these douchenozzles could stop attempting to prove otherwise.
Note: Apparently the video has been taken down due to a copyright claim by George Collins. We'll keep looking for a new version so you can see it. In the meantime, here's a brief background on what happens in the video.


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One recurring topic on the members-only mailing list for the Association of Professional Genealogists is the rampant inaccuracies of lineage society applications. Those of the Daughters of the American Revolution are of particular concern because they're often cited or used as proof by genealogists who don't realize how many errors old applications contain.
The most recent discussion of this issue revolved in part around how genealogists can correct these errors without submitting a new application. My solution is, on the surface, quite simple: publication and wide dissemination of the corrections.
Unlike much of the rest of academia, genealogy is not a publish or perish field. Publication is encouraged, however, and there are plenty of outstanding opportunities for doing so.
More importantly, publication offers an outlet for the frustration many of us (rightly) feel when confronted with sloppy research. It's a positive way to affect change, rather than sitting back and complaining about the situation.
Genealogy might not be a publish or perish field, but perhaps it should be a publish or quit complaining one.


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Postal contractor robbed at gunpoint at Amanda post officeLast updated Ohio
Scam Article
Mailbox Vandalism
Read Scam Article
Scam Article
Elder Fraud
Under the right conditions, anyone could fall for a scam, but scammers are especially successful at targeting people with certain risk factors, like social isolation, loneliness, limited sight or mobility, and cognitive aging. Scammers are also attracted by the pensions and life savings of retirees. There are many ways to help Seniors protect the nest eggs they've worked so hard to secure, and protecting our elders and our veterans is the highest priority of the Postal Inspection Service Fraud Program.Read Scam Article


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Tales of Monkey Island: Chapter 2 - The Siege of Spinner Cay (iPad)
Published by
Developed by
Also For
DescriptionThe Siege of Spinner Cay is the second episode in Tales of Monkey Island, a series of point-and-click adventure games based on the Monkey Island franchise that was started by Lucasfilm Games with The Secret of Monkey Island (1990) and ran until the fourth game Escape from Monkey Island (2000). After nine years, the intellectual property was licensed by adventure developer Telltale, Inc. where many of the original LucasArts adventure developers had since moved.
The game starts off where chapter one ended. After leaving Flotsam Island, Guybrush sets sail to find LeChuck and Elaine. Shortly after his departure, he is attacked by a bounty hunter, and engages in a swordfight which leaves the mast of his ship damaged. On the advise of Van Winslow, Guybrush decides to travel to the Jerkbait Islands, to have it repaired. There, he finds Elaine, who is in the middle of a discussion between the Merfolk natives' leader and Pox-infected pirates about three ancient artifacts needed to find La Esponja Grande. Since Guybrush wants to cure the Caribbean from this voodoo pox, he'll need to find these artifacts before the pirates. Meanwhile, DeSinge is still to be considered an enemy, while a reformed LeChuck will offer his help.
Unlike Escape from Monkey Island the game is rendered entirely in 3D, and the typical Telltale engine is used. Guybrush can be controlled through the keyboard keys or through mouse movement (selecting the character and dragging the cursor to the desired destination). Only a single mouse cursor is used for all actions and important items are stored in an inventory where they can be examined. Entirely new for a Telltale game is the incorporation of the classic adventure mechanic where items can be combined in the inventory to form new objects or to interact with each other.
The game makes many non-essential references to the earlier games and contains the classic Monkey Island ingredients such as humorous conversations and events, based on slapstick, play on words, witty retorts and contemporary cultural references, conversation trees, an unconventional approach to puzzle solutions, and the anti-heroic main character. The game's puzzles include triggers based on conversations, and item combination puzzles. It is not possible to die in the game and player can set the ratio of hints Guybrush casually mentions while progressing through the game. Full solutions are however never provided.
Unlike other Telltale episodic adventure series, individual episodes initially could not be purchased separately. Because of the larger story arc or possibly financial reasons, users were required to buy the five episodes as a whole as they are released on a monthly basis. Later, the decision was reversed and episodes were also offered individually.
There are no iPad user screenshots for this game.
There are 49 other screenshots from other versions of this game or official promotional screenshots.
Promo Images
Alternate Titles
- "Monkey Island Tales 2 HD" -- iPad title
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There is no trivia on file for this game.
Sciere (637930) added Tales of Monkey Island: Chapter 2 - The Siege of Spinner Cay (iPad) on Dec 15, 2011
There are no game credits on file for this release of the game. Everything in MobyGames is contributable by users.


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My friends, We are glad to present you a free game Smarty Pants for Wii.Smarty Pants Redeem Code Free
From the EA Casual Entertainment label, Smarty Pants finally levels the playing field for people of all ages, allowing simultaneous play using age-targeted trivia plus action-based gestures, making it a truly trans-generational game made exclusively for the Wii. Tailoring questions to the contestants age, gamers from eight to eighty can join in on the fun all at the same time. Every players answer is tracked, and the game automatically adjusts the difficulty level to provide continuous stimulation and interactive challenges that are age appropriate. Exciting Wii gestures make everything a game, from spinning the category wheel and tug-of-wars over correct answers, to dance-offs for additional points. Smarty Pants boasts multiple game modes including a family mode, a single team race against time and a rapid-fire competitive mode perfect for groups of friends. With both competitive and collaborative game modes and 20,000 questions in multiple categories, the fun is virtually endless!


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This Forum has been archivedVisit the new Forums
|Forums: Index → Narutopedia Announcements → Wikia's Newest "Feature" - Related pages and Category galleries
Wikia's released their latest new "feature" — no info on the stuff we've actually asked for, like SMW being more stable and it being rebuilt of course — Related pages and Category galleries, which basically put a spotlight like box of 3 at the bottom of articles, and a gallery inside of categories.
SimAnt can't think of a reason why you'd want to see three unrelated episode articles image linked to from the bottom of an episode article. Myself, I can't believe the 3 characters currently displayed from the looks of it on every character pages have much point there, songs look stupid as related pages... Though the worst? ^_^ try a Disambiguation page, why isn't that not already in the list of categories to exclude?
Anyone else have any comments or opinions on the new features? ~NOTASTAFF Daniel Friesen (DanTMan, Nadir Seen Fire) (talk) Dec 3, 2010 @ 00:09 (UTC) 00:09, December 3, 2010 (UTC)
- I'm wondering if the staff of Wikia is actively trying to ruin the site or if they are simply completely oblivious to their user base...? —ShounenSuki (talk | contribs | translations) 00:48, December 3, 2010 (UTC)
- I'm wondering how the pictures are selected. 5 of the images used in Category:Characters are not particularly good depictions of the character. ~SnapperTo 03:57, December 3, 2010 (UTC)
- Stupid. That is the full extent of my opinion.--TheUltimate3 ~The User King ~ 10:55, December 3, 2010 (UTC)
- Idiocy. Wikis are not blogs, they are encyclopedias. Seriously, Wikia is made of fail. They're like the AOL of wiki hosts. --126.96.36.199 (talk) 03:38, December 5, 2010 (UTC)
Apparently from what I have read I believe these features to each be separately disabled. My opinion is that the related pages, has got to go. The other feature is sorta okay, since it isn't in the way of content. Thoughts? SimAnt 02:46, December 5, 2010 (UTC)
- Anyone? SimAnt 02:59, December 12, 2010 (UTC)
- I'm not particularly a fan of the new "features", but I do have to acknowledge that the related article images aren't getting in the way of content. I don't care what happens to it. Omnibender - Talk - Contributions 19:06, December 12, 2010 (UTC)


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Giants Top Tigers To Win Game 1 of World Series
The San Francisco Giants defeated the Detroit Tigers in Game 1 of the World Series 8-3 Wednesday night. Pablo Sandoval was 4-4 with homeruns in his first 3 at bats and he finished with 4 RBIs and Marco Scutaro had 2 hits and 2 RBIs for the Giants. Barry Zito threw 5 2/3 innings with 1 earned run allowed to get the win and Justin Verlander allowed 6 hits and 5 earned runs in 4 innings to take the loss.
The Giants lead the best of 7 series 1 game to none and will host game 2 tonight at 7pm. Righthander Doug Fister will start on the mound for the Tigers and lefthander Madison Bumgarner will toe the rubber for the Giants.


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St Louis
Executive Search Firm / IT Recruiters
St Louis IT recruiting firm with national reach. Next Step Systems, St Louis IT recruiters for executive and hands-on IT personnel.
St Louis executive search firm for IT executives and Information Technology management. Executive staffing experts for national Information Technology jobs. St Louis executive recruiting and staffing / search firm.
We recruit for Project Managers, Supervisors, IT Managers, Directors, CIO's, CTO's, etc.
Established in 1995, Next Step Systems handles executive searches nationwide. St Louis executive staffing firm for Information Technology professionals. We are St Louis IT recruiters committed to servicing our clients needs.
Hiring Employers, please phone us at 630.428.0600 x 11 or click here.
Job Seekers, email your resume to us at firstname.lastname@example.com
or click here.
We work with all levels of Information Technology Management:
Cities we are active in are:
Like us on Facebook and click on send to recommend us to your Facebook friends:
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You are here
Top 10 Workout DVDs of 2011
Best Total-Body Trimmer
Bob Harper Inside Out Method Pure Burn Super Strength ($15, amazon.com)
What you'll need: a pair of 3- to 10-pound dumbbells
Calories burned:* 64 per 20-minute routine, 572 per 67-minute circuit
Why we love it: This "all business" head-to-toe workout shows another side of Harper, The Biggest Loser's good cop. "Bob really pushes you to do more reps," testers say. They hustled through nonstop multimuscle strength moves, like biceps curls in squat position and jumping lunges using a dumbbell. "You hear one of the exercisers on the DVD pant, 'This is crazy!'" Testers dug the countdown clock at the bottom of the screen. "This DVD won't waste your time." Try the 20-minute segment as a primer for the full circuit.
Haute Yoga Hybrid
Denise Austin Hot Body Yoga ($15, collagevideo.com)
What you'll need: a yoga mat, a pair of 2- to 5-pound dumbbells
Calories burned:* 108 per 29-minute sculpting session, 80 per 30-minute yoga routine
Why we love it: Austin has a "do-what-you-can, positive attitude," testers say — perfect for newbies. She walks you through simple pose variations, then shows you how to increase the challenge. Using weights during the yoga sculpting segment for moves like boat pose with a biceps curl "ups the ante" for muscles, whereas the other half-hour session strings together traditional poses for an allover workout. But no "oms" here: The focus is on "strength and energy rather than meditation."
Ultimate Quickie Makeover
Personal Training with Jackie: Xtreme Timesaver Training ($15, collagevideo.com)
What you'll need: a pair of 3- to 5-pound dumbbells
Calories burned:* 255 per 32-minute circuit
Why we love it: The star of Bravo's reality show Thintervention with Jackie Warner shares her training secrets in this "well-rounded" heart-pumping workout featuring back-to-back full-body moves. "You can do anything for a minute" is Warner's mantra, and it works. Testers of all levels found her "motivating." The routine takes only about 30 minutes, but "even your ankles will be sweating" after cardio-sculpt moves like lunge-punch-kick combos.
Butt and Thigh Master
Barre3 Total Body Lift Workout ($20, barre3.com)
What you'll need: a 9-inch soft ball (included), a yoga mat, a chair, a pair of 2- to 3-pound dumbbells (optional)
Calories burned:* 128 per 40-minute routine
Why we love it: The combo of ballet barre work, yoga, and Pilates uses "slow and controlled movements" to make your muscles feel it during and after, our sore testers say. Switch between lower-body focused exercises, like lunges on toes, and upper-body exercises, like mini pulses that make your triceps burn. Then finish on the floor with more butt and thigh toners. The instruction, by Sadie Lincoln — her client Madonna is a fan — helps this DVD feel like a private lesson. "Just when you're thinking 'Am I doing this right?' she'll give you spot-on pointers."
Fab Ab Tightener
Jillian Michaels 6 Week Six-Pack ($15, amazon.com)
What you'll need: a yoga mat, a 3- to 8-pound dumbbell
Calories burned:* 267 per 34-minute workout
Why we love it: Don't be fooled by the title: You're not cranking out sit-ups here. Michaels, America's favorite drill sergeant, makes sure "there isn't an unused second" during either of the two firm-and-burn circuits, which alternate between standing and on-the-floor exercises, cardio, and toning. Testers have "no doubt that if you did this DVD often, you would get results." Michaels keeps the focus on the core, whether she's cuing cardio, such as plank jacks and squat thrusts; strength moves, such as wood-chop lunges; or waist-cinching exercises on the mat. "This is perfect to whip out when a vacation looms and you're on a six-pack mission," a tester says.
Boxing Champ
Aerobarre ($20, aerospacenyc.com)
What you'll need: a pair of 1-pound dumbbells, a weighted body bar
Calories burned:* 419 for total 55-minute workout
Why we love it: You'll never be bored with this inspired mix of boxing and ballet from instructor Leila Fazel of New York City's hip Aerospace gym. While it "takes coordination and practice to keep up," testers felt they were "legitimately learning to box. I could do this DVD over and over again." The routine is divided into eleven 3- to 6-minute rounds, like boxing, but "you could easily skip ahead to make a shorter, well-balanced workout." Reach the end of a round and you'll "feel a sense of accomplishment." Use light dumbbells instead of boxing gloves for a creative way to knock out "the best arm workout I've ever done."
Top Trouble-Zone Tamer
Exhale Core Fusion Lean & Toned ($17, acacialifestyle.com)
What you'll need: a yoga mat, a chair, a pair of 3- to 5-pound dumbbells
Calories burned:* 32 per 10-minute segment
Why we love it: Consider this DVD a compilation of the most-requested spot toning: The five segments are divided into upper body, thighs, core, butt, and abs. Testers appreciated the signature mix of the Lotte Berk method, Pilates, and yoga: "something a little different than crunches and leg lifts!" Instructors Fred DeVito and Elisabeth Halfpapp, two of the founders of the Exhale Spa, are "encouraging; they explain the benefits of the move so I understand what I'm getting out of it." Testers deem the low-fuss workout "great for mornings" and the spalike DVD backdrop "relaxing and pretty."
Best Dancefest
Dance with Julianne: Just Dance!($15, collagevideo.com)
What you'll need: nothing
Calories burned:* 291 per 45-minute routine
Why we love it: Instructor Julianne Hough of Dancing with the Stars fame has experience with newbies, and it shows, testers say. The club-ready routines are "easy enough to follow for those who are a little less coordinated. You do a combo two or three times, then add on." Hough offers a "helpful" seven-minute dance-lesson segment that teaches the steps before stringing them together. Expect plenty of hip swiveling, spins and kicks, and even a Tina Turner-esque fast-feet move for a moderate cardio workout in each 12-minute combination. "It's amazing how simple moves put together look so good," our testers marvel. Fringe benefit: "You can really work your abs."
Sizzling Circuit Workout
Amy Dixon Super Fit Bod! ($20, amazon.com)
What you'll need: an aerobic step, a pair of 5-pound dumbbells
Calories burned:* 472 for total 57-minute routine, 38 for bonus 12-minute core routine
Why we love it: This isn't your mother's step class. Celebrity instructor Amy Dixon, group fitness manager for Equinox Fitness Clubs in Santa Monica, California, keeps each of the six 4- to 10-minute mini sculpting sessions sweaty with high-impact cardio, like jumping squats onto the step, and challenging sculptors, such as one-legged dead lifts with a lateral raise. Even a tester who "normally avoids the step like the plague" moved this workout "to the top of my DVD list." Dixon is "realistic, encouraging, and likable," and the exercises are easy to follow, adding intensity after you get comfortable with the movement. Complete your session with the 12-minute core-toning routine.
Maximum Flab Melter
Jeanette Jenkins Blast the Belly Fat ($20, thehollywoodtrainer.com)
What you'll need: a stability ball, a yoga mat, a pair of 3- to 5-pound dumbbells
Calories burned*: 128 per 15-minute circuit, 29 per 9-minute ab routine
Why we love it: Testers vow to use this cardio and toning DVD "over and over again." It includes a playground-inspired warm-up with the stability ball and three high-energy routines, each about 15 minutes, that use the ball and hand weights; think lunge-punch combos and squat presses. Finish off with a quick Pilates-based ab series. Testers' verdict: "Definitely hard-core, but doable"; plus, switching from weight work to cardio makes the time fly by. Props to instructor Jenkins for her "very motivating style without being too aggressive."


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Jack Wolfskin Womens Vojo Hike Texapore Waterproof Walking Shoes: Pink Hortensia
Outback Jacks | Jack Wolfskin Womens Vojo Hike Texapore Waterproof Walking Shoes
These waterproof hiking shoes for tours with a small rucksack will keep you light on your feet: they are the lightest of their kind in the collection. The low weight is down to two factors: the large airy polyester inserts in the uppers and the sole, which despite its low weight provides comfortable cushioning.
Weight: 730 g (size 6) per pair
Water-repellent suede and hard-wearing, water-repellent polyester fabric (for additional climate comfort)
Hiking shoe for adventures with a light pack
Waterproof, breathable
Suede and robust fabric
Robust and lightweight hiking sole
Waterproof, breathable TEXAPORE membrane
Breathable, fast-drying CIRCULINER polyester lining
Flexible and lightweight TRACTION hiking sole with excellent cushioning for hiking with a light pack
Protective heel and toecaps
Lacing with metal hooks and nylon loops


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Not to be confused with Arnold Schwarzenegger's 1990 movie--or the recent reboot starring Colin Farrell--"Total Recall" (in stores Oct. 1 from Simon &Schuster) is the former bodybuilder-turned-Hollywood actor-turned-California governor's memoir.
Got it? Good.
Check out the trailer for Greetings From Tim Buckley
U.S. & World
The day's top national and international news.
"If my life was a movie, no one would believe it," Schwarzenegger says. "The directions I've chosen, the careers I've conquered."
Maybe, maybe not, but we won't find out just yet. In this book trailer, the actor shares a brief overview of the different ventures and paths he's taken throughout his life (with flashing lights and suspenseful music) and ends it by saying, "But this story you know. So are you ready for the story you don't?"
Are you excited for the Governator's memoir?


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Black Rockfordians: Their Journey Through the Forest City : an Oral History Project
Ernest Stokes
FDS Pub., 2007 - African Americans - 131 pages
This DVD was made to accompany the book of the same name. Narrated by Rockford native Michelle Williams (formerly of Destiny's Child), it covers the history of African Americans in Rockford, Illinois, starting with Lewis Lemon, the first African American in Rockford. The historical overview includes education, social life, business, churches, newspapers, government, and politics. Many prominent African Americans are interviewed for the film: Charles Box, Venita Hervey, Skip Gilbert, Estelle Black, Sam Gaynor and others. Pat Cunningham, Rockford historian, also appears.
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