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Talking books
If you have reading difficulties, you can get your course literature adapted as talking books, braille or e-text. KTH Library will help you get access to the format that best suits you.
There are many reasons why you might need adapted books, like dyslexia, visual impairment, physical disability or something else.
The most common form of adapted books is talking books, but there are other formats as well, like braille. You can listen to talking books on your computer, mobile phone or tablet.
Talking books can be found in the talking books library Legimus, and to get access you need to make an appointment with us here at the library. You can choose a time that suits you, and the talking books introduction can be held in the main library or on Zoom.
Those who need it are entitled to get all their obligatory course literature adapted. If you need a course book that has not been adapted yet, we can help you order a recording of it. However, it can take a long time to produce a new talking book so it is important to contact us as soon as possible. You can order a recording by emailing us on firstname.lastname@example.com .
Book an introduction to talking books
Other aids
Everyone at KTH can download the speech synthesis Tortalk on their computer. Tortalk is a programme that can convert all digital texts to speech.
Spelling aids
Students and employees at KTH also have free access to a number of spelling aids, among those Spellright for English texts and Stava Rex for Swedish texts.
Learn more about spelling aids


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Last week I was contacted by someone at Dwellable. Ever heard of it? (I hadn't before she emailed me.)
It's a site people can go to if they are planning a vacation. You can check out reviews of places all over, complete with pictures, maps, blog posts, etc.
"Vacation rentals and reviews with photos, maps, and more. Where do you want to go?"
Remember in July when we visited Beaver Creek, CO with Kley's family? You can check out each day of our vacation there here. The person from Dwellable specifically contacted me about my Day 6 post of our vacation. She asked me if she could feature my blog post on their site, for anyone looking for a review of Beaver Creek.
I said sure! So, now my blog is famous.
Check it out here (my day 6 post- I blogged every day of our vacation). This is a link to my blog post- at the bottom there is a Dwellable button that connects you to the site.
I was impressed they found me, and thought my post was good enough to feature!
Saturday, November 16, 2013
My blog is famous!
Last week I was contacted by someone at Dwellable. Ever heard of it? (I hadn't before she emailed me.)
11:45 AM favorites, holidays, vacation Leave a Comment
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subset: commoncrawl


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ArizonaAfterParty.com is the perfect domain name for your entertainment company to display its events and promotions. Arizona After Party is an affordable 12 year old domain name that is an exact match keyword and easy to remember. Do not wait for someone else to grab this domain, increase your visibility, traffic and revenue. Lease ArizonaAfterParty.com today!
The keyword Arizona After Party has an average of 15,000 exact match search results and 30,000,000 broad match search results. In other words, Arizona After Party will allow your company to establish its brand and gain exposure without spending too much money. With a decent amount of people searching for the keyword Arizona After Party, ArizonaAfterParty.com is the perfect domain name for you to list events and generate traffic to your website.


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Running into a table...ouch.
Once in my life, I was having a fight with my brother, and he punched me in the stomach.
i fell off a galloping horse, head first and landed on my neck, hit one hip and flipped and hit the other and rolled. i remember not being able to see or breathe and then a blank and then i woke up. fun stuff
I was coming from my office at 11pm on a rainy night. Did not see a big rock till the last moment(because of the oncoming traffic's headlight glare), applied brakes but was bit late. Somersaulted twice over the handle bar, narrowly missed the road divider, broke the fall (thanks to martial art training) and stood on my feet to avoid following traffic. Had bad knee impact, shoulder impact, torn jacket and damaged bike. Thank God, I survived.
Haha. One of my friends threw a history book at me and hit me in the stomach. that was GREAT.
A number of times. Several during fights with larger, more skilled people than myself and once while playing American football. I thought I was going to die playing football. It took several minutes to get a good breathing pattern going. The paramedics thought they were going to have to sedate me and then intubate.
Once I fell out of a tree and once a bunk bed. I was never so terrified in my life than those few seconds where I couldn't breath.
Yes totally on a few occasions due to the kind of sports I pursue. The first time as a child, we were swinging out on a rope over a chalk pit, I slipped and fell landing on a ledge quite a way down(luckily) flat on my back. I could not even fight for breath. I just saw all the others looking over the edge at me. I truly thought I would never breath again at that time.
Several times. When I was younger my brother sister and I were playing INspector gadget at the playground and we were going down the slide together in a "train" sorta way. I was at the back and they asked me to scoot back. So I did and I fell backwards and landed on my back. As an adult I do MMA and Kickboxing training. I am often hit or thrown or choked out or submitted and it can get rough.
Copyright 2023, Wired Ivy, LLC


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If you've ever had to wait years to get a court date, or sat on a hard bench in a drafty courthouse waiting for the judge to resolve some longstanding matter, here's one reason: Maurice "Hank" Greenberg.
Greenberg, the former chairman and CEO of what once was the worlds' largest insurer, American International Group (AIG), is arguably the most litigious person in America – maybe with the exception of a former convict who filed 2,600 lawsuits while behind bars.
Greenberg's name pops up in the Lexis-Nexis database more times than you can count: Securities and Exchange Commission (SEC) actions; securities suits by the New York attorney general; AIG shareholders' suits against him; suits against AIG and him; suits by AIG against him after he left the insurer, and, finally, a federal lawsuit which refers to him as an "unindicted co-conspirator."
The Boies club
And that's just for starters. Greenberg has done his share of suing too, and his latest action is a shareholder suit against the government — and all of us — for "saving" AIG with a $182 billion bailout. His high-priced Wall Street lawyer, David Boies, once said that Greenberg's cases alone took up 70 percent of his time.
But this recent suit prompted public outrage. Rolling Stone magazine referred to Greenberg as a feminine cleansing product. "If chutzpah were a crime," said the New York Daily News, "Greenberg would be going away for a long, long time."
What particularly angered the public: Not only had we bailed out AIG, but in so doing made Greenberg, who still owns about one-eighth of its stock, an even richer billionaire than he is already. How rich? When Forbes magazine once put him in its top 400, his net worth was nearly $3 billion. AIG has since opted not to join in Greenberg's folly.
Hank and me
Greenberg's fall from grace after a 34-year reign as chairman and CEO of AIG has been recounted many times by the media. But I can add something, based on my many contacts with him and stories written about him as a journalist.
He was aloof and untouchable when I first heard of him in 2003; he didn't grant interviews. As I learned, he didn't have to. He was financial royalty. In the insurance industry Greenberg was the equivalent of Steve Jobs, Warren Buffett (whom he knows) and Bill Gates.
Greenberg may have been one of "America's toughest bosses," as Fortune alleged, but was worshipped by staff and shareholders alike. Top assistants received stock bonuses in the millions, and massages in the afternoon from his personal masseuse. But they had to be awake at 3 a.m. to take his calls.
Fight to the finish
That changed in 2004, when he butted heads with then New York Attorney General Eliot Spitzer, the "sheriff of Wall Street." Greenberg dismissed Spitzer's criticism of his creative accounting, calling it "foot faults," a tennis term Greenberg used to indicate that he'd done nothing wrong.
Spitzer went ballistic and threatened to put AIG out of business. Greenberg's handpicked AIG board members sided with Spitzer. They threw Hank under the bus — unceremoniously firing him — and the giant insurer had to pay $1.6 billion in fines and restitution.
But the worst was yet to come. Under its new leadership, but still following the Greenberg game plan, AIG overextended itself, teetered on bankruptcy, and was only resuscitated by that federal bailout.
Wanted: favorable press
And that's how I came to know Greenberg. The once reclusive CEO went on a publicity binge to clear his name. He hired — and often fired — eight public relations firms, including well-known Washingtonians who'd held top posts in the Clinton administration.
I covered Greenberg as he gave lots of speeches, mostly mouthing conventional wisdom, but garnering headlines as a sage. He became a regular on CNBC and even hired a Boston firm which promised to get "intellectuals" to write favorable articles about him, a tactic that backfired when the firm sued for non-payment.
Starr of his own show
Greenberg's biggest success came in the courts, and it's not surprising since he himself is a lawyer. He paid a $15 million fine to the SEC, but collected $150 million when AIG settled a long-standing suit against him — while it was owned by taxpayers. So we effectively paid ourselves, with Greenberg receiving a $135 million commission. It should be noted that shareholder suits against him have largely been dismissed.
But best of all, Greenberg owns the private insurer C.V. Starr & Co. and an investment firm, Starr International.
During one interview of Greenberg for a profile I wrote about him, I asked what he envisioned for C.V. Starr. Most CEO's are happy to talk about their companies. With Greenberg you would have thought that I had put dynamite under his chair.
My personal conclusion: Greenberg doesn't run his Starr entities to make money. He uses them in the same way in which General Patton used his tanks — to run over and crush the enemy.
Revenge or redemption
At his age (87) and with all his money, why is Greenberg still fighting mad? The answer is in his makeup. Greenberg wants redemption for the humiliation suffered when he was booted out of AIG, made to look like a common criminal, and blamed, at least in part, for AIG's collapse three years later.
I take nothing away from Greenberg's courage or determination. He fought in WW II, fought his way to the top at AIG, and then fought to make it the world's largest insurer. But he won't rest until he has his (winning) day in court. And sticks us taxpayers with the bill.


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Samson adds XP40iw and XP510i to Expedition sound system line
Samson makes all sorts of gear for consumers up to professional musicians. The company has a whole line of microphones for concerts and home recording on the PC. Samson also has a line of sound systems called Expedition that lets users play their iPod tracks anywhere. The company has announced the addition of two new products to the Expedition line.
The gear includes the 40W XP40iw, which is the first Expedition model from Samson to include a wireless mic and a rechargeable battery. The wireless mic system can be used for playing music at parties and karaoke. The XP40iw has 40W of power and a 6-inch woofer. Two additional input channels can be used to connect more mics and it has a built-in iPod dock. The system will sell for under $300.
The other new system is the XP510i. This machine has a detachable 10-channel mixer and 500W of power via a pair of 250W Class D amps. High range sounds are handled by 1-inch high frequency drivers. The woofers in XP510i are 10-inches and it also has a built-in iPod dock. The MSRP for the system will be under $700.


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Headline Website Privacy Policy
Headline.ie is the website of Headline is Ireland's national media monitoring programme, working to promote responsible and accurate coverage of mental health and suicide related issues within the Irish media. Your privacy is important to Headline and we encourage you to read this privacy statement. You can contact Headline via email at email@example.com or by post to Headline, Block B, Maynooth Business Campus, Maynooth, Co Kildare, W23W5X7 Ireland if you wish to discuss matters related to the processing of personal data.
Commitment to Personal Data Protection
In order to carry on its work, needs to collect personal information about its website visitors, and partner organisations who may come into contact with Headline. Headline is committed to having safeguards in place in keeping with with current Data Protection Regulations. This applies to all data that Headline controls and processes, in other words where we determine how and for what your personal data will be used.
What type of personal information do we collect online?
Headline collects personal contact information provide by you in the following ways:
- Contact us link, including name, email address and telephone and any additional information you choose to provide.
- Inform us link, including name, email address and telephone and any additional information you choose to provide.
What do we use the information for?
We use your personal information for the following purposes:
- Corresponding with you
- Responding to queries
- Respond to media activity brought to our attention by you.
What we don't do:
- We don't collect any personal information about you on our website or by any other means other than what you choose to provide
- We don't maintain a database of credit card or bank details
Third Party Disclosures
Headline does not disclose personal information to any third party without your consent, except in incidences where an individual is potentially at risk or where the law requires it.
Acceptance and Links to other Websites
The Headline website contains links to other websites, which are provided solely as a convenience to you and not as an endorsement by Headline of the contents of other websites. The other websites may have their own policies, which Headline does not control and therefore are outside the remit of this statement.
Information provided by people who use our website may be anonymised and used for statistical purposes.
Data Retention
Headline does not hold data for longer than its intended purpose and has a review system in place in relation to data retention in order to ensure destruction of unnecessary data in a timely fashion.
Right of Access
Headline will supply you with a copy of your personal data on request. To obtain a copy you should write to: The CEO, Headline, C/O Shine, Block B, Maynooth Business Campus, Maynooth, Co Kildare, W23W5X7.
Right to correct or erase personal information
You may have your data corrected if it is inaccurate or erased in the case that Headline no longer have a legitimate reason to keep your data. To make a formal request to have your data amended or erased contact: The CEO, Headline, C/O Shine, Block B, Maynooth Business Campus, Maynooth, Co Kildare, W23W5X7.
Authentic Identity
It is your responsibility to ensure that your personal information is correct and authentic when contacting Headline. Submissions and applications that do not use an authentic identity will not be processed.
Headline takes precautions to protect its members and service users' information. Headline implements policies that forbid its employees and volunteers from using or disclosing personal data in an inappropriate or unlawful manner. It has procedures and security measures in place for both electronic and paper files to safeguard data and insure their timely and appropriate destruction.
The Headline website uses "cookies" in order to recognise your computer and improve your user experience, for example, cookies help to speed up the delivery of Headline.ie the next time you visit it.
Google Analytics
We use a tool called "Google Analytics" to collect information about how Headline.ie is used. Google Analytics collects information such as how often the site is visited, what pages are visited and when, what site was used prior to arriving at Headline.ie. Google Analytics also collects information that allows us to identify the type of device used to visit our site on: mobile, desktop or laptop and so on.
Google Analytics identifies Internet Protocol (IP) address and not personal information in order to compile this data. An IP address is a unique string of numbers used to identify a computer or device.
We use this information to create aggregate statistics in order to maintain and improve user experience of this website. We do not combine information gathered by Google Analytics with personal information.
For more on Google Analytics, please see the Google Analytics terms of Service at http://www.google.com/analytics/terms/us.html, and the Google Privacy Policy, available at http://www.google.com/policies/privacy/. You can prevent Google Analytics from recognising you on return visits to Headline.ie by disabling cookies on your browser.
Survey Monkey
We collect data on Survey Monkey to evaluate the effectiveness and relevance of our training. For media professionals undertaking workshop training, we will contact you approximately 12 months post workshop to review the programme's usefulness. For students undertaking workshop training, we will contact you approximately 12 months after you enter the media industry. For all participants, we will not keep your data any longer than 5 years. No identifiable personal information will be shared in data outcomes.
Ensuring your data is accurate and relevant
Headline will take reasonable steps to ensure that data is reliable, accurate, complete, and current, bearing in mind its intended use. You have a responsibility to keep the data you provide to us updated and we will take reasonable steps to facilitate this.
Headline takes measures to ensure all the information it collects is effectively gathered and relevant, not excessive, and for its specified purpose.
Data controller
All personal information collected on http://www.Headline.ie is controlled and processed by Shine.
Data processor
Headline uses Microsoft office 365 to process electronic data.
The http://www.Headline.ie uses the WordPress platform and is hosted by SiteGround
About Headline
Headline is Ireland's national programme for responsible reporting, and representation of mental illness and suicide. Our objective is to work as collaboratively as possible with Irish media professionals across print, broadcast, and online platforms to reduce the effects of suicide contagion, and the stigma attached to mental ill health.


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Shop All:School Safety Solution
School Safety Solution Weighted Lockdown Window Shade, 21 x 36, Fits Up To 18 x 32 Inches
Item #: 2118517
$69.95 $52.46
Ships Directly from Manufacturer Typically Within 2-4 Weeks - Lead Times Vary
Free Shipping Eligible: Details
School Specialty Shipping Policy
Items Shipped Within the Contiguous 48 United States
Free Shipping Eligible Items
- Free shipping and handling on eligible supply orders of $49 or more. Free shipping calculation is based on the subtotals of eligible items, after any additional discounts are applied.
- For subtotals less than $49, the shipping and handling charge is $9.95.
Free Shipping Ineligible Items
- Shipping and handling charges are 15% of the subtotal of the items, after any discounts are applied, with a $9.95 minimum charge.
Free Shipping Ineligible Items
- Shipping and handling charges are 15% of the subtotal of the items, after any discounts are applied, with a $99 minimum charge. If the subtotal is greater than $1,000, please e-mail firstname.lastname@example.com for a freight quote.
Items Shipped to Hawaii, Alaska and InternationalSee our Hawaii & Alaska Shipping Policy and International Shipping Policy for details.
School Safety Solution helps to meet your security and safety needs with the cost-effective weighted lockdown window shade for your classroom, daycare center, or library/media center doors.
About This Item
DescriptionThe Weighted Lockdown Window Shade is a simple, cost-effective solution to school safety needs. This safety shade is designed to cover windows in the event of an emergency. Made with high quality, flame retardant, opaque woven polyester. Easy to install and fast, one-hand deployment when in use. Measures 21 x 36 inches and fits windows up to 18 x 32 inches.
- Quick deployment
- Customizable
- No hardware or drilling required
- 1 Lockdown Window Shade
- 1 Weighted Hem-bar
Shipping Type: parcel
Free Shipping: true
SpecificationsGrade Level: Not Specified
Allergens: Contains No AllergensCertifications: NFPA 701


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Teckna Group Civil Engineering
Teckna Group have been involved in building and civil engineering projects for over 35 years. We have installed varied and prestigious contracts over the years, ranging from fully tanked lift shafts and basements on Manchester Canal side, to simple foundation structures for warehouse sheds.
Teckna Group can offer engineered design solutions based on management experience. We make use of consultant engineers that can provide effective solutions for the structural design of projects.
Teckna Group have the necessary experience to complete projects on time and within budget, with the majority of our work coming from repeat clients or recommendations from past projects.


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Internations is a global expat community that organizes networking events couple of times a month here in Helsinki, Finland. Me being a social person and an event photographer I like to attend the events and get inspiration from the other attendees as well. Internations organize the events often on Friday from 6pm to 10pm and when the official part is over people either continue on the same venue or head for the nightclubs of Helsinki. Who are these events for?
Since it is originally an expat community the people attending are often from another country. Typically it's a person who has moved in because of work and/or family reasons. Luckily also many Finns have found their way to this community inside and outside Finland! Therefore these events offer a great venue to meet the local people but also vice verca. I enjoy going these events to meet new people, get some cross-cultural knowledge and to have facinating discussions with different people. These events are open for anyone but I do recommend registering yourself at http://www.internations.org so you can save a few euros in the entry fee (starting from 4€ with albatross-membership, without membership entry fees are between 12 and 15€). (tip: entry fee also includes a tap drink of beer/wine/sparkling wine and there is also a varying buffee, this time it was delicious salad with chicken wings, super yummy!!)
This time the event took place at a local restaurant-bar-nightclub called O'learys Bakers right in the centre of Helsinki, Mannerheimintie. It's a great place for smaller and larger events. There are screens on almost every wall to follow your favorite sports game if you happen to be a sports fan! Menu is quite decent heavily focused on grill food (burger alert – dieters beware!). That's it for my update, here are the photos and see you in the next event:
Olli Huhtala is a event photographer based in Helsinki, Finland.All rights reserved for the visible photos. Feel free to contact me for hire.
Search terms: Valokuvaus, Helsinki, Espoo, Vantaa, Tapahtumakuvaus, hääkuvaus, digitaalikuvaus, social networking club, party photography helsinki, event photography helsinki, canon photography, professional photography


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Vietnamese marriage
Story by Maria Wrabel | Volunteer | Heifer Vietnam Photos by Nguyen Xuan Quyen | Communication and Networking Officer | A metal gate…Read More
CIS Vietnam
Overseas Staff Besides our Australian based staff which help prepare you for the overseas experience, CISaustralia have individual…Read More
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I got on a "night right here, morning there" call with James Clark of Nomadic Notes recently. James is an electronic digital nomad…Read More
Car Hire Vietnam
You are looking for a long-term vehicle lease ? We have been here to greatly help Vietnam car leasing (Hochiminh town and Hanoi) Month-to-month…Read More
Vietnamese relationships
Whenever westerners view Vietnamese love relationships, they could be astonished because of the differences when considering the countries…Read More
Vietnam City in which country
Given its location additionally the fact that Vietnam's two significant metropolitan areas are situated in the north and south of this…Read More
Education in Vietnam today
Publication 12 months: 2011 Vietnam is a nation on the go. Yet contemporary Vietnam s training system has reached a crossroads. Rapid…Read More
Flights to Vietnam from Bangkok
The alleged continuous land reclamation by China on Mischief Reef within the Spratly Islands when you look at the South China Sea…Read More
Vietnam Type of Government
The Socialist Republic of Viet Nam is a law-governed condition. The governmental system was set up upon the birth regarding the Democratic…Read More
Vietnam family life
By Jillian Sims, educational Year system Assistant This witty observance from their particular Vietnamese exchange student, Minh, is…Read More


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UPDATE 2: Here's Snowden's statement, via Wikileaks:
UPDATE: Here are some quotes of Snowden's letter to President Rafael Correa of Ecuador, courtesy of Reuters:
"I remain free and able to publish information that serves the public interest," Snowden said in an undated Spanish-language letter sent to President Rafael Correa of Ecuador, seen by Reuters.
"No matter how many more days my life contains, I remain dedicated to the fight for justice in this unequal world. If any of those days ahead realize a contribution to the common good, the world will have the principles of Ecuador to thank," part of the text read, according to a translation.
"While the public has cried out support of my shining a light on this secret system of injustice, the Government of the United States of America responded with an extrajudicial man-hunt costing me my family, my freedom to travel, and my right to live peacefully without fear of illegal aggression," he wrote.
According to Reuters, Snowden penned a letter to Ecuador, thanking them for considering his request for political asylum.
Text of the letter hasn't come out yet, but Reuters has managed to get their hands on the letter. According to Sky News, Snowden said in the letter he remains free to "publish information."
Reuters: In letter former CIA analyst Edward Snowden says he remains free to publish information "that serves public interest"
— Sky News Newsdesk (@SkyNewsBreak) July 1, 2013
Reuters also writes that Snowden thanked Ecuador for helping him reach Russia from Hong Kong.
According to WikiLeak's Twitter account, Snowden will be releasing a statment "soon." We've been waiting on the statement, but it still hasn't come yet. We'll update this post if and when anything is released.
Standby for a statement from Edward Snowden in Moscow. #snowden #prism #nsa #wikileaks
— WikiLeaks (@wikileaks) July 1, 2013


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NEW YORK — Writer David Levithan last year marked the 10th anniversary of his "Boy Meets Boy," a romantic teen comedy where the homecoming queen was once a guy and the gay-straight alliance was aimed at helping the straight kids learn how to dance.
And there was Paul, who meets Noah.
Since then, there's been a burst of books featuring lesbian, gay, bisexual, transgender or questioning young people.
Levithan, also publisher and editorial director at Scholastic, offered his insights into parenting and books on LGBTQ-related themes for young people in an interview with The Associated Press.
AP: How does a parent who isn't involved in the LGBTQ community but would like to foster an awareness and tolerance in children go about doing that through books, and at what age does that process begin?
Levithan: It's never too early to foster kindness and equal treatment, for whatever group. So much of the pain that LGBT kids go through is because they feel distanced from all of the narratives they've been given. They've been told that everyone grows up a certain way, and now their own way is diverging from that.
The best thing parents can do, whether their kids end up queer or straight, is to acknowledge all of the different options that are out there, and letting their kids know that they support them no matter which options end up being theirs.
Books are a wonderful signifier and a perfect conversation starter. With my novel 'Boy Meets Boy,' I've seen it work both ways: I've had kids who've left their copies around for parents to find, as a way of 'coming out' to them. And I've had parents who've left their copies around for kids to find, so the kids would know they were supported and loved.
AP: Your fellow writer John Green said a Hollywood producer once told him: 'The only thing audiences hate more than smart teenagers are gay teenagers.' Does that extend to books for kids and teens today?
Levithan: That producer would be laughed out of one of my editorial meetings, for certain. Readers embrace all kinds of characters, as long as they are written with emotional truth.
Ten years ago, there may have been some hesitation on some people's part. But it's a different world now, and the best-seller list is full of novels with well-developed gay characters — not just in gay-themed novels like 'Will Grayson, Will Grayson' (co-written by Green and Levithan) but in works by best-selling authors like Cassandra Claire, Maggie Stiefvater and Ellen Hopkins, where the queer characters are part of the multifaceted worlds they are creating or reflecting.
AP: Are LGBTQ kids and teens fairly represented in books for those age groups? Are there enough stories where LGBTQ themes are taken on but also books that just happen to include such characters but are not about that experience?
Levithan:There is constantly a need for diversity within the representations. It's just as limiting to say there's only one kind of gay story, just as it's limiting to say there's only one kind of straight one. As for how much being gay is central to the character's identity or story — as in life that totally depends on who the character is and what he or she is going through.
The important thing is for the characters to feel real, and to be given the humanity they are due. That granting of humanity is what separates a full portrait from a stereotype.
I think it's dangerous to talk about 'Oh, that character just happens to be gay' as some kind of goal for us and our literature. The important thing is to show as much of the spectrum as possible, and to continue to investigate it.
This material may not be published, broadcast, rewritten, or redistributed.


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Assgn 2 – WK 10 (C)
Assgn 2 – WK10 (C)
Practicum: Decision Tree
Childhood psychosis is extremely rare; however, children that present with psychosis must be carefully assessed and evaluated with appropriate interviewing of parent, child, and use of assessment tools.
For this Assignment, as you examine the client case study in this week's Learning Resources, consider how you might assess and treat clients presenting with early onset schizophrenia.
The Assignment:
Examine Case 3. You will be asked to make three decisions concerning the diagnosis and treatment for this client. Be sure to consider co-morbid physical as well as mental factors that might impact the client's diagnosis and treatment.
At each Decision Point, stop to complete the following:
· Decision #1: Differential Diagnosis
o Which Decision did you select?
o Why did you select this Decision? Support your response with evidence and
references to the Learning Resources.
o What were you hoping to achieve by making this Decision? Support your
response with evidence and references to the Learning Resources.
o Explain any difference between what you expected to achieve with Decision #1
and the results of the Decision. Why were they different?
· Decision #2: Treatment Plan for Psychotherapy
o Why did you select this Decision? Support your response with evidence and
references to the Learning Resources.
o What were you hoping to achieve by making this Decision? Support your
response with evidence and references to the Learning Resources.
o Explain any difference between what you expected to achieve with Decision #2
and the results of the Decision. Why were they different?
· Decision #3: Treatment Plan for Psychopharmacology
o Why did you select this Decision? Support your response with evidence and
references to the Learning Resources.
o What were you hoping to achieve by making this Decision? Support your
response with evidence and references to the Learning Resources.
o Explain any difference between what you expected to achieve with Decision #3
and the results of the decision. Why were they different?
. Also include how ethical considerations might impact your treatment plan and
communication with clients and their families.
Note: Support your rationale with a minimum of three academic resources. While you may use the course text to support your rationale, it will not count toward the resource requirement.
A young girl with strange behaviors
Carrie is a 13-year-old Hispanic female who is brought to your office today by her mother and father. They report that they were referred to you by their primary care provider after seeking her advice because Carrie's behavior has been difficult to manage, and they don't know what to do.
Carrie's parents report that they have concerns about her behavior, which they describe as sometimes "not normal for a 13-year-old." They notice that she talks to people who aren't real. Her behavior is calm and "passive." Her parents noted that when she was younger, she was irritable at times, but have noticed that this has given way to passivity. Her parents state that they understand that it's normal for younger children to have "imaginary friends," but they feel that at
Carrie's age, she should have grown out of these behaviors. Carrie's parents report that she has friends that are half-cat and half-human, and "spirits" who speak with her "in her head." She also reports that the people on television know when she is home and that they have certain shows "just for her."
Carrie's parents report that they have taken her to her pediatrician who has given her a "clean bill of health." Carrie's parents note that they had some early concerns as she was lagging in meeting developmental milestones. Initially, when she first started school, Carrie managed to keep up with her peers in terms of academic performance, but she was noticed by her teachers to be isolative. It was also noted by her teachers and guidance counselor that Carrie's social skills do not seem to match what they see in other children her age. Initially the school counselor suspected that Carrie may have been suffering from attention deficit hyperactivity disorder (primarily inattentive type), but now is not certain and has recommended a psychiatric evaluation. Her grades were "ok" in school up until last year when she left junior high school, and entered high school, where the academic demands began to increase. Carrie's teachers had wanted to hold her back a grade, but her parents acknowledge that they were "insistent" that this did not happen. Now they are describing some regrets over this as Carrie seems "more lost than ever" in her schoolwork. Carrie's mother produced a copy of a paper that Carrie had to submit as a homework assignment. You attempt to read the assignment, but there does not appear to be any clarity to the work, and it can best be described as a hodge-podge of thoughts and ideas.
Carrie's parents want you to know that although they are concerned about Carrie, they are opposed to giving her medications that would turn her "into a zombie." Carrie's mother also confides that her husband's grandfather spent "a few years in the nut house." When you probe further, she began crying and said, "He was schizophrenic … what if Carrie is schizophrenic?"
During your interview with Carrie, she seems pleasant, but somewhat distant. When you ask her about her friends at school, she shrugs her shoulders and says, "I don't really have any. I don't like those people." You inquire if she is sad or upset that she doesn't like them, to which she states "no, why should I be? I guess they would be friends with me if I asked, but I'm not interested. I could make them be my friends if I wanted, but I don't … but if I wanted them to, all that I have to do is make up my mind that they will be my friend and they would have to." When you ask Carrie if she believes that she can control the thoughts of others with her mind, she puts her index finger up to her mouth and looks toward the door. "My mom gets upset when I talk about these things. I try not to think about them either because if she is close enough, she could read my thoughts and they upset her. She may think that I'm into witchcraft or something."
When you ask Carrie about the homework assignment that you read, she explains that her teacher "is just miserable. She doesn't understand how I think—I think high, she just can't get it."
The client is a 13-year-old Hispanic female client who appears appropriately developed for her age. She is dressed appropriately for the current weather and ambulates with a steady upright gait. She does not appear to be demonstrating any noteworthy mannerisms, gestures, or tics. No psychomotor agitation/retardation apparent.
Carries is alert and oriented × 4 spheres. Her speech is clear, coherent, goal directed, and spontaneous. Carrie self-reports her mood as "good." However, her affect does appear somewhat constricted. Her eye contact is minimal throughout the clinical interview and at times, Carrie seems preoccupied. Carrie is oriented to person, place, and time. She endorses hearing and seeing strange "things that I talk to. They don't scare me; they come to see me from another world." No overt paranoia is appreciated. She does report delusions of reference (she believes that the people on TV play programs "just for her" and at times, television commercials were designed to tell her what to do), as well as other delusional thoughts (as described above). Carrie denies any suicidal or homicidal ideation.
At this point, please discuss any additional diagnostic tests you would perform on Carrie.
In your write-up of this case, be certain to link specific symptoms presented in the case to DSM–5 criteria to support your diagnosis.
Schizotypal Personality Disorder
Answer Chosen:
Early Onset Schizophrenia
Refer for psychological testing
Begin Clozaril 100 mg orally daily
Begin psychotherapy using a psychodynamic approach
Answer Chosen:
Refer for psychological testing
· Client returns to clinic in four weeks
· Although there are no specific psychometric tests available for schizophrenia, the consulting psychologist administered a comprehensive psychological battery of tests in order to assess personality and cognitive functioning as well as to identify any underlying intellectual disabilities that could account for the difficulty Carrie is having in school. Tests administered included the Minnesota Multiphasic Personality Inventory; Kaufman Adolescent and Adult Intelligence Test; Rorschach test; Whitaker Index of Schizophrenic Thinking (WIST) test; Wide Range Achievement Test – 4th Edition (WRAT-4); and the Millon Adolescent Clinical Inventory (MACI). The consulting psychologist opined that early-onset schizophrenia was strongly suspected in this client.
Begin Clozapine 100 mg orally daily
Begin Lurasidone 40 mg orally daily
Answer Chosen
Begin Lurasidone 40 mg orally daily
Guidance to Student
It is not always necessary to procure a consult with a psychologist. However, psychologists by virtue of their advanced training and licensure are able to conduct comprehensive psychological testing on clients more advanced than those tests that could be conducted by the psychiatric/mental health nurse practitioner. In this case, we would like to know if the poor academic performance was the result of an intellectual disability, versus poor premorbid intellectual functioning that is often seen in schizophrenia.
In terms of treatment decisions, Clozapine is FDA-approved for treatment-resistant schizophrenia. Since the child has not yet been treated with any agent, we have no way of knowing if her schizophrenia is treatment resistant. Additionally, if we were to use Clozapine, the starting dose is approximately 25 mg in adults (perhaps 12.5 mg in a child, depending on body weight). Clozapine 100 mg would most likely cause significant side effects that both the child and parents would find objectionable, thus making compliance an issue.
Although not FDA-approved for use in children, Lurasidone is used as an off-label drug in this population. There are no legal prohibitions against any prescriber using drugs "off-label"; however, attention must be given to the concept of informed consent. When working with children/adolescents, the PMHNP must explain pros/cons, discuss therapeutic endpoints/goals of treatment, etc. The parent/guardian must have all of the information needed to make an informed consent. Therefore, Lurasidone would be the best choice. Additionally, Lurasidone may be the preferred antipsychotic, as it appears to have the least impact on body weight and lipid profile.
Recall that with any antipsychotic medication, you should determine fasting plasma glucose levels, monitor weight and BMI during treatment, as well as blood pressure and fasting triglycerides.
Family interventions are important as well, as they do have a positive benefit on symptom relapse and admission/readmission to the hospital. Family interventions should include teaching about the disease, medications, and anticipatory guidance.
Learning Resources
Required Readings
Sadock, B. J., Sadock, V. A., & Ruiz, P. (2014). Kaplan & Sadock's synopsis of psychiatry: Behavioral sciences/clinical psychiatry (11th ed.). Philadelphia, PA: Wolters Kluwer.
- Chapter 31, "Child Psychiatry" (pp. 1268–1283)
American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Washington, DC: Author.
- "Schizophrenia Spectrum and Other Psychotic Disorders"
McClellan, J., & Stock, S. (2013). Practice parameter for the assessment and treatment of children and adolescents with schizophrenia. Journal of the American Academy of Child & Adolescent Psychiatry, 52(9), 976–990. Retrieved from http://www.jaacap.com/article/S0890-8567(13)00112-3/pdf
Giles, L. L., & Martini, D. R. (2016). Challenges and promises of pediatric psychopharmacology. Academic Pediatrics, 16(6), 508–518. doi:10.1016/j.acap.2016.03.011
Hargrave, T. M., & Arthur, M. E. (2015). Teaching child psychiatric assessment skills: Using pediatric mental health screening tools. International Journal of Psychiatry in Medicine, 50(1), 60–72. Retrieved from http://search.proquest.com.ezp.waldenulibrary.org/docview/1702699596?accountid=14872
Stahl, S. M. (2014). Prescriber's Guide: Stahl's Essential Psychopharmacology (5th ed.). New York, NY: Cambridge University Press.
Required Media
Laureate Education (Producer). (2017b). A young girl with strange behaviors [Multimedia file]. Baltimore, MD: Author. (THE ATTACHED CASE STUDY IS THE MEDIA)


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Predicting the future is hard. Just ask the people that forecasted sustained $200 per barrel oil, the Guiliani Presidency, or the Bengals' win over the Packers in last year's Super Bowl. Actually, don't ask them. What you're likely to get is a long-winded rationalization. The truth is when experts assign probability to future events in an uncontrolled environment and without solid data-driven supporting evidence it's only marginally better than guessing—they just get paid more.
So, this isn't an article of predictions, but rather a series thoughts for consideration—hence the title. The singular prediction in this article is as follows–I'm predicting the first installment will be so wildly popular that I'm making this a two part series. If I'm treated like the political and sports pundits—I'll be celebrated if I'm right and you won't remember if I am wrong.
1. The northwest side of Harrisonburg is gaining some traction
This one has a little less punch now than when I wrote it a few weeks ago, but the activity on the north side of Harrisonburg isn't limited to the grocery announcement. In recent months, interest has increased among retail and office users in this quadrant of Harrisonburg. Don't expect development similar to that of the east side of the City, but some are finally starting to recognize commuting patterns in addition to the solid and stable population base occupying this area that is in need of additional services.
Traffic counts and population density on the north side aren't all that different than other areas of the City with retail coverage. The lack of interest may be attributed to the absence of large daytime employment centers sufficient to attract retailers. However, this doesn't fully explain the deficiency of quick service restaurants and convenience offerings. Perhaps the best explanation has been the availability of better options on the south and east side of the City. The herd mentality of retailers can make sheep look like independent thinkers—so with the potential grocery and other activity in the area; I would venture to guess this deficiency wouldn't last much longer.
2. There will be at least 700,000sf of new retail developed over the next five years.
Solid retail absorption rates have caused relative scarcity within the primary retail corridors (think the E. Market Street, Reservoir Street, University Boulevard triangle) and an overall retail vacancy rate of 5.2% with retail demand among national tenants rising. Coupled with the completion of the Southeast Connector, the area is primed for a retail surge not seen in more than a decade. Largely, this new development will occur along the Connector Road with Stone Port leading the way (85,000sf already under contract), but infill development of new strip centers and freestanding units will contribute to the equivalent of a 15% increase in total retail product over the next half-decade.
3. The Southeast Connector will shift the path of progress in the Harrisonburg metro area
First, a little context–for years, national retailers and restaurants have believed that if a store is to be located in Harrisonburg, it must be on E. Market Street. After all, the road is surrounded by other national retailers, an interstate interchange, with excellent population in close proximity and produces 29,000 cars per day. The average price per acre is approximately $950,000.
The South East Connector is already attracting national retailers, neighboring a regional hospital, connected to every primary commercial corridor, closer to an affluent and higher density population, and is expected to produce traffic counts of 31,100 cars daily. The average price per acre is approximately $750,000 for available pad ready land.
The completion of the Southeast Connector is likely to represent more than just a cost effective competitive alternative for local and national businesses—it is more likely to signify a major shift in the path of progress for commercial development in the region for three primary reasons. 1. Commercial development follows residential development and the east side of Harrisonburg has been the primary source of residential development for a decade. 2. Space on traditional retail corridors (E. Market, Reservoir) is limited and prices reflect this fact. 3. Much of the development on the Southeast Connector will meet or exceed retailer's standards previously only found in the E. Market Street area, but land is at a lower price point (for now). As larger retailers recognize this opportunity, others are likely to follow.
4. We don't have too many restaurants
An estimated $168 million dollars is spent at restaurants in the Harrisonburg metro area annually. New restaurant openings continue to outpace closures and lead many in our community to wonder how we can sustain them all. In reality, we can support these restaurants and more because demand exists for all these restaurants and more. In fact, we have $7.5 million dollars of unfilled demand in the full service restaurant category alone and this is before outside demand in the form of tourists, employment commuters, interstate traffic, and population growth is considered. These statistics don't mean we won't see restaurants close from time-to-time due to shifts in popularity, management issues, location, and a myriad of other reasons—we will. What they do portray is an extremely healthy market that is continually growing, reinventing, and being eaten up by consumers in and outside our political boundaries.
Tim Reamer provides commercial real estate brokerage and consulting services with Cottonwood Commercial and specializes in retail representation, investment property (multifamily | commercial | NNN), and development projects. Learn more at www.timreamer.com.


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Lightweight in attack in the first half but much better in the second, Torquay United finally fell to the finishing power of improving Tranmere Rovers on a wintry day at Prenton Park.
The Gulls, who have not won at Tranmere for 49 years, were second-best before half-time, and trailed to a 36th minute header by Connor Jennings.
Gary Owers' men - new signing Axel Andresson made his debut after replacing the injured Michee Efete after only 16 minutes - could have no complaints about trailing at the interval.
But they took the game to Rovers with a vengeance in the second half and seemed to be getting on top - but without that final touch in front of goal.
Experienced home striker Andy Cook had already scored eight goals before this match, and he helped himself to two more in the 79th and 83rd minutes to settle the contest and confirm Torquay's first defeat in four games.
Rovers boss Micky Mellon made one change, welcoming back veteran centre-back Steve McNulty after suspension.
But Owers stuck to the same starting XI which drew 0-0 with Aldershot Town last weekend, although he did include new loanee Axel Andresson on the bench as well as recalled striker Jon-Paul Pittman.
Ryan Higgins and Rhys Murphy both missed out.
Liam Davis for United and Jennings for Rovers swapped shots in the early stages, neither seriously threatening Scott Davies or Vincent Dorel.
But, with sleet falling from leaden Birkenhead skies, it was Tranmere who soon started piling on the pressure, and United were lucky to survive a frantic assault in the eighth minute.
Dorel did well to parry Ollie Norwood's first shot, Jazzi Barnum-Bobb then blocked Andy Cook's follow-up before Jennings sent an overhead volley inches wide of the right-hand post.
United suffered a real blow in the 13th minute when Efete, trying to pressure Davies at the end of an ambitious run, slid into the Rovers goalie and came off second-best.
The young Norwich defender was eventually carried off, with Andresson making his debut in Efete's place.
Andresson went to the middle of United;s back-three, flanked by Alex Davey and Sean McGinty.
It took another great block, this time by Damon Lathrope, to deflect a 20-yard shot by Ollie Banks wide in the 25th minute as Tranmere continued to dominate.
Jennings and Banks were a constant threat from midfield, and United were unable to keep the ball up front when they did get it, which brought the home side onto them at every turn.
The pressure finally paid in the 36th minute.
Davis had done well to keep lively right-winger Dylan Mottley Henry in check for the first half-hour, but this time he could not stop the Bradford City loanee's cross and Jennings rose, unmarked, to power a 12-yard header in off the far-post…1-0.
Dorel had no chance.
It was vital that United did not concede again before half-time and, in fact, they did a bit better than that.
In the 41st minute Ruairi Keating stabbed over from eight yards after Josh McQuoid nodded down a Luke Young corner.
And in five minutes of first-half stoppage time Young took a pass from Jamie Reid, made ground and hit a wicked swerving 30-yard shot which Davies just pushed round his left-hand post.
United had to stay in contention at the start of the second half, and in the 52nd minute Young came to the rescue with a header off his own goal line from McNulty, who had got on the end of a Banks corner.
But then United started to crank up their own pressure for the first time in the match.
Their fitness started to tell before and after Owers made a double-substitution on the hour - Gnabouyou and Pittman for Keating and McQuoid.
McQuoid headed a Young corner just wide of the near post moments before he was replaced, and for the next 20 minutes it was all Torquay.
Tranmere were penned in their own half and seemed to be running out of steam, but for all their hard work and commitment United still lacked the penetration near goal which might have saved them.
In a rare Tranmere break McGinty did well to get back, especially with Davey out of his ground, and clear off his line from Norburn.
Pittman had a shot saved, prompting Mellon to send on the fresh legs of Jay Harris in the 72nd minute.
But just as United's travelling fans were starting to hope for an equaliser, Rovers broke out and finished the contest with two goals in the space of four minutes.
Davis came up with a great tackle on Norwood, wide on Rovers' right, in the 79th minute, but Mottley Henry retrieved the loose ball, found `Norwood again and he drilled a low diagonal cross in behind the Gulls' defence for Cook to flick inside the far-post…2-0.
And in the 83rd minute Eddie Clarke crossed from the left and Cook rose to power a great header down and inside the right-hand post to make it 3-0…game over.
Tranmere Rovers (4-4-2): Davies; Buxton, Sutton, McNulty, Clarke; Banks (Harris 72), Jennings, Norburn, Mottley Henry; Norwood (McDonagh 86), Cook; subs not used - Pilling, Hughes, Gumbs.
Torquay United (3-4-1-2): Dorel; Efete (Andresson 16), Davey, McGinty; Barnum-Bobb, Young, Lathrope, Davis; McQuoid (Gnabouyou 61); Reid, Keating (Pittman 61); subs not used - Clarke, Myrie-Williams.
Booked: Davey 68, Gnabouyou 78.
Referee: Joe Hull (Cheshire).


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|South Carolina
|Athletic Website
|2011 Record
|2010 Record
|Head Coach
|Steve Spurrier
|Record at School (pre-2011)
|Game Time
|Home Stadium
|Williams-Brice Stadium
|Offensive Coordinator
|Steve Spurrier
|Defensive Coordinator
|Ellis Johnson
General stats for both teams (courtesy ESPN)
General Information Courtesy of www.clemsontigers.com
Last season there was a good bit of confusion regarding the offensive play calling. This season the 'Old Ball Coach confirmed that he is the man behind the playcalls. Spurrier's time at Florida is best remembered for his high powered offenses that were able to blister opponents through the air and routinely produce a 1000 yard back on the ground. Most of the attention, however, came through an air attack that centered around the quarterback's ability to implement an offense that featured timing routes, advantages through formation, and superior receiving talent. When you hear Spurrier talk with the media, it is apparent that he would like to be able to throw the ball around more but has conceded that South Carolina simply does not have the personnel to be effective in such an attack.
South Carolina is a multiple offense that has grown increasingly more conservative as the season progressed. This paring of the offense is a function of injury, player dismissal, and necessity. Since the season's beginning, Stephen Garcia was dismissed from the football team and Kyle Nunn was lost for the season very early on with injury. Underperformance at the quarterback position and a drop-off with offensive line performance hindered the Carolina passing game. Around mid-season there was a philosophical shift to a more ball-control, run based offense that would more or less score 17 points a game and not ruin good defensive performances. The result has been a rather bland offense that relies on Conner Shaw managing football games and running backs holding onto the football.
You will see various looks out of South Carolina. They will show standard "I," Ace, and spread formations-the last both under center and out of the gun. South Carolina has also shown some "Wildcat"-or as they call it "WildCock"-looks with various skills personnel other than the quarterback taking a direct snap. You will recall Carolina's success with these types of items in previous years against our Tigers.
Clemson should be in a base 4-3 for the majority of the contest and will play nickel as the situation arises and if South Carolina shows more 4 WR looks. Clemson will need to limit third down conversions by the Gamecocks as their strategy will likely involve trying to shorten the game and reduce overall possessions by implementing a ball control attack centered on Brandon Wilds in the backfield. Wilds has done a decent job filling the shoes of injured Marcus Lattimore. Wilds is by no means Lattimore quality but he does average over 4.5 yards per carry and is capable of moving the football down the field. QB Conner Shaw is the other big threat on the ground. He is not afraid to tuck the ball and run and is a sincere threat as an offensive weapon gaining yards on the ground.
When USC does throw the football, the star is Alshon Jeffery. Jeffery is the real deal and more than likely will forgo his senior season at USC to become a high draft pick. This young man has all the tools it takes to be a superstar wide receiver and we are all vexed as to why the Gamecocks have not been successful this season getting the ball in his hands. Clemson has shown more man press coverage this season and will probably play some through combo coverages. I do not foresee Kevin Steele putting one of his DBs on an island against Jeffery because, as we saw last season in Death Valley, he can shred opposing defenses if his quarterback throws the ball somewhere near this receiver. Steele knows that he will have to bracket him or risk giving up some big plays. The other receiver to watch is Ace Sanders. Sanders lacks size but makes up for it with speed and quickness. Carolina likes to feature him on screens, medium routes, and will use him to stretch the field. I also would not be surprised to see a reverse or end around type play featuring Sanders.
We mentioned QB Conner Shaw earlier. While he has been a serviceable player since assuming the starter's role, I would not categorize his play as more than game management. Shaw has a lot of learning to do which is to be expected. Fortunately for Gamecock fans, his attitude and work ethic have been repeatedly praised. Shaw has a tendency to tuck the ball and run at the first sign of pressure from an opponent, though he has been successful rushing the football on the season. This means that Clemson will not only need to get to the signal caller but assure they maintain containment or risk giving up chunks of yards on the ground. His passing attack has been lackluster. We discussed Carolina's inability to feed Alshon Jeffery which, ultimately comes down to quarterback play. To Shaw's defense, Garcia was unsuccessful in this area early on as well.
Defensive coordinator Ellis Johnson is another familiar face to a lot of football fans in the South Carolina. Johnson's bio is very impressive and includes head coaching stints at Gardner Webb and his alma mater, The Citadel. Johnson has been a part of coaching staffs all over the South. Notable stops include a two runs at Alabama (the first was part of Gene Stallings' legendary run in the early '90's), Clemson, and Mississippi State before getting back to his home state and as the Gamecocks' defensive coordinator.
Johnson's defense is a base 4-2-5 and its success largely depends on a linebacker/safety hybrid position he refers to as the "Spur" position. A big advantage of this defense is it gives the defensive coordinator a lot of different options he can show through his defense. Here is a primer we put together on the 4-2-5 prior to last season's contest that explains how Ellis Johnson's scheme works. We've seen variations of this defense throughout the season including last weekend against the NC State Wolfpack.
South Carolina has shown both zone and man coverages extensively this fall. Their philosophy shifted towards more man as the season progressed. Carolina's DBs seem more comfortable with the simpler man concepts but have been susceptible. Obviously the key to man coverage is the ability to put pressure on the opposing QB and make him get rind of the football earlier rather than later. If Carolina chooses to play man (especially man-press) they will be susceptible to Clemson's speed and athleticism at the receiver spot, especially if Boyd has some time to throw. They have been hurt by leaving their corners on an island (East Carolina simply attacked and frequently beat their secondary--Stephon Gilmore immediately comes to mind--early in the season).
Because Clemson's recent opponents have largely been successful playing looser coverages (heels at the sticks, keep things in front of you strategy) I wouldn't be surprised to see more loose C3 and more C4 out of the Cocks this weekend. We will see C1 looks at length on Saturday, to which Tajh has to quickly identify where the mismatches lie. He'll also need to do a better job looking off the safety, particularly on shots down the field. I wouldn't say that South Carolina's secondary is elite but they have played well and taken advantage of opponents' miscues. The defense as a whole has 17 interceptions on the year.
Carolina features a very talented defensive front that gives Ellis Johnson a lot of options when dialing up a defense. Their starting four are very, very good and Jadeveon Clowney has shown why he was at the top of most recruiting rankings for the 2011 class. The effectiveness of these men allows Carolina to get adequate pressure often with a simple four man rush. Carolina will blitz with both C1 and base zone coverages in the secondary. The man blitzes are your typical overload blitzes. Zone blitzes feature some "Fire" packages. Carolina also likes to drop their athletic ends into coverage when bringing a linebacker.
Carolina is comfortable utilizing five linemen in a straight up 50 front (Clowney plus the starting four).
South Carolina also mixes it up with their athletic ends, using them both in a traditional end role and dropping them into pass defense. Below you see Devin Taylor in a two point stance. Notice SPUR on the LOS in a coverage role at the bottom of the picture.
Both screen shots above show a single high safety look. This sets up for both C1 and C3 in the secondary. Carolina has shown two high looks (see below) that allow C2, C4, and various combo coverages. The two high is typical against trips, allows combo coverages (31--C3 to the trips side, C1 on the back side), while keeping a safety in the middle to play center field and help with run support.
South Carolina Schedule (courtesy G&B Attack/SBNation)
|@ East Carolina Pirates
|Saturday, September 03 2011
|win 56 - 37
|@ Georgia Bulldogs
|Saturday, September 10 2011
|win 45 - 42
|Navy Midshipmen
|Saturday, September 17 2011
|win 24 - 21
|Vanderbilt Commodores
|Saturday, September 24 2011
|win 21 - 3
|Auburn Tigers
|Saturday, October 01 2011
|loss 13 - 16
|Kentucky Wildcats
|Saturday, October 08 2011
|win 54 - 3
|@ Mississippi St. Bulldogs
|Saturday, October 15 2011
|win 14 - 12
|@ Tennessee Volunteers
|Saturday, October 29 2011
|win 14 - 3
|@ Arkansas Razorbacks
|Saturday, November 05 2011
|loss 28 - 44
|Florida Gators
|Saturday, November 12 2011
|win 17 - 12
|The Citadel Bulldogs
|Saturday, November 19 2011
|win 41 - 20
|Clemson Tigers
|Saturday, November 26 2011
South Carolina vs. Auburn (full game)


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Contains Soy.


text:
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- Integrated Farm System Model (IFSM) – is a tool for evaluating environmental and economic effects of different farm management scenarios. The user enters information on cropping practices, facilities, equipment, the herd and other farm parameters. Sample farms of various sizes and types are provided with the model software to provide a starting point. Information generated by the model includes crop yields, feed production and use, animal production, manure handled, production costs and net return to management. The model's environmental outputs include average annual soil balances of N, P, K and C, erosion of sediment, P runoff, nitrate leaching, emissions of ammonia, hydrogen sulfide and greenhouse gases, and the carbon footprint of the feed, animal weight or milk produced.
- Dairy Gas Emissions Model (DairyGEM)
The Dairy Gas Emission Model (DairyGEM) is an educational tool that predicts ammonia and hydrogen sulfide volatilization, GHG emissions, and the carbon footprint of the milk produced. DairyGEM is used to study the interacting effects of management changes on major emission sources from feed production to the return of manure back to the land. Several training videos are available.
- Farm Smart (Innovation Center for U.S. Dairy)
Farm Smart 1.5 provides dairy producers with their farm's environmental footprint. It also allows them to compare energy use, greenhouse gas (GHG) emissions and water use against regional and national averages compiled by the U.S. dairy industry's Comprehensive Life Cycle Assessment for Fluid Milk.
- DeNitrification-DeComposition (DNDC) Model
DNDC (i.e., DeNitrification-DeComposition) is a computer simulation model of carbon and nitrogen biogeochemistry in agro-ecosystems. The model can be used for predicting crop growth, soil temperature and moisture regimes, soil carbon dynamics, nitrogen leaching, and emissions of trace gases including nitrous oxide (N2O), nitric oxide (NO), dinitrogen (N2), ammonia (NH3), methane (CH4) and carbon dioxide (CO2). In order to download the DNDC model files you will need to register and provide a valid email, as well as your affiliation and intended use. After registration and confirming your email you will be able to download the files from the DNDC Model Download page.On the Download page, you will find 3 simulation models of interest.The DNDC model – A computer simulation model for predicting crop yield, soil carbon sequestration, nitrogen leaching, and trace gas emissions in agro-ecosystems.The Manure -DNDC Model- Ac computer simulation for predicting GHG and NH3 emissions from manure systems.US Cropland GHG Calculator- A decision support system for quantifying impacts of management alternatives on GHG emissions from Agro-ecosystems in the U.S.
- Manure and Nutrient Reduction Estimator Tool (MANURE Tool)
The MANURE Tool provides a system to quantify methane and and other GHG emission reductions and the environmental benefits of renewable energy produced by digesters at dairy and swine operations. The tool is based upon a full and accurate assessment of baseline conditions at the animal feed operation, which is a key element of the emission reduction calculation. This tool can be used to assess the quantity of emission reductions associated with implementation of specific technologies and/or practices. More information about the tool can be found on the Manure and Nutrient Reduction Estimator site.
The COMET-FARM tool is a whole farm and ranch carbon and GHG accounting and reporting system. It is intended to help users account for the carbon flux and GHG emissions related to their farm and ranch management activities, and help them explore the impacts to emissions of alternative management scenarios. The tool guides the user through describing the farm/ranch's management practices including alternative future management scenarios. Once complete, a report is generated comparing the carbon changes and GHG emissions between current management practices and future scenarios. More information about COMET FARM can be found on the COMET-FARM site.
- SaveEnergy – Energy Audits (Innovation Center for U.S. Dairy)
Conference Proceedings
Waste to Worth 2013 – climate symposium
Waste to Worth 2015 – climate and greenhouse gases
This page was developed as part of a project "Animal Agriculture and Climate Change" an extension facilitation project to increase capacity for ag professionals. It was funded by USDA-NIFA under award # 2011-67003-30206. If you have questions about any of the topics or have problems with links, contact Crystal Powers email@example.com.
For questions about the AACC project, contact Rick Stowell email@example.com or Crystal Powers.


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The other shoe has fallen and my wrath has erupted. I knew it was coming, that the tapping of the Legacy funds, once a mere gleam in a legislator's eye, would focus, then hone in on the vulnerable funds, those reserved for arts and cultural activities. And now it has come — with talk of spending the Arts and Cultural Heritage funding on a new Vikings stadium.
When the Legislature passed the Arts and Cultural Heritage funding in 2008 it was an organized arts community, not the Legislature's deep commitment to arts and culture, that won minimal support, under 20% of the Clean Water, Land, and Legacy Amendment to the Minnesota Constitution, for arts and cultural activities. It is also worthy of note that the fund itself is just 3/8 of 1% of the state's sales tax.
The breakdown of allocated funds, as passed by the Legislature, looks like this:
33 percent to a clean water fund,
33 percent to an outdoor heritage fund,
14.25 percent to a parks and trails fund, and
19.75 percent to an arts and cultural heritage fund [Editor's note: the arts and cultural heritage funding totaled $44.47 million in 2010 and $48.75 million in 2011.]
For starters, I don't see how that's going to lure Zygi when he's obviously out for land development and not so much for the arts and culture….
More important, too little attention has been paid to the profound impact that the Cultural Heritage funds have had. Because one is advised to write what one knows, and what I do know something about, is libraries. During 2010 and 2011 public libraries in Minnesota received $4,250,000 in Arts and Cultural Heritage Funds. Those funds were expended by the regional systems, passed down to or received directly by local libraries to implement programs and enhance resources. Library-designated funds have also been spent by state agencies, particularly the Minnesota Historical Society which has established a working partnership with the Council of Regional Public Library Systems to collaborate on specific Legacy funded projects. The expenditures and program descriptions, through 2010, are listed and described in detail on the Legacy website.
Libraries, particularly libraries in small towns and communities, operate on a shoestring, often dependent on volunteers and Friends, always trying to hold their own on the budget of municipalities and counties that are pulled from every direction.
The more salient fact is that those same libraries are preservers of the community's culture, responsible for tending the record, reaching out and for assuring that those who care about their history have access to the stories. Libraries also provide a sort of arts and culture lifeline for the communities they serve. They have space for meetings, staff and volunteers who are in touch with learning opportunities, means to promote, interpret and focus on public events.
Statewide Legacy funds have funded an amazing mix of library programs including the very popular event and museum passes and bus trips, author visits ranging from Alison McGhee to Barton Sutter and a host of other, folk dance, a celebration of National Poetry Month and dozens of other initiatives that highlights the arts, local history and the stories and activities that build a community.
When I asked for stories of what's happened with Legacy funds in the metro area I received some great stories. This report submitted by Anoka County Library is so local and so timely it serves as a great sample of what a small grant can unleash when energetic folks make connections to improve access for the public served by the local library:
Once again ACL has collaborated with the Coon Rapids Senior Center to provide seniors and their grandchildren with a Legacy program over MEA break. 45 people attended the program at the Senior Center last Friday, 30 seniors and 15 of their grandchildren. The program was Ghosts of Anoka County and was presented by Sarah Given, from the Anoka County Historical Society. ACL sponsored the program using our Legacy funding.
Many of the seniors attending the program used walkers. One of the ladies using a walker made it a point to thank the library for providing the program at the Senior Center. She had always wanted to go on the Ghost Walk in Anoka, but wasn't able to handle the distance. She couldn't believe she could finally take the tour—virtually! She really enjoyed the program as did the rest of the audience. The history program was 80 minutes long but the children stayed attentive and many adults stayed after the program to talk about their "ghostly" adventures. Personally, I was intrigued by the local Anoka history that was mixed in with ghost stories. I can't wait to go the 7th floor of the government center for an aerial view of City Hall—I had no idea the building is shaped like a handgun and I want proof!
This has been a valuable collaboration for the library. One of our goals for our Legacy funding projects was to bring our Library to unexpected places. Many of the seniors I spoke with at the program were not library users, but they took our hours brochure with them as well as the flyers for the upcoming history programs.
There may seem to be a major stretch between the experience of these Anoka elders and youngsters and the development concerns of one team owner. It is worth noting, however, that the developer's eyes are on the very land in which these folks are living, learning and voting. Granted, these people and the Legacy Arts and Cultural Heritage Fund are vulnerable, ill-equipped to lobby their concerns in the marble halls and quiet backrooms where lobbyists, financial giants and the political Deciders gather. I can only hope against hope that the Governor remembers what really matters to many Minnesotans whom he may not know personally but who still matter.


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Manitoba is border to province Ontario to the east and Saskatchewan to the west. And is Canada's fifth-most populous province with its estimated 1.3 million people. Manitoba covers 649,950 square kilometres with a widely mixed landscape, stretching from the northern oceanic
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The Federal Trade Commission has charged a group of marketers with debiting more than $40 million from consumers' bank accounts for membership in three online discount clubs they enrolled consumers in without their authorization.
According to the FTC, the defendants targeted consumers with websites and telemarketing calls that purported to offer payday or cash advance loans. Thinking they were applying for loans, consumers provided their bank account information, which the defendants used to enroll consumers in an online coupon service that cost monthly fees.
The FTC alleges that the defendants used electronic remotely created checks (RCCs) to withdraw from consumers' accounts an initial fee ranging from $49.89 to $99.49, and recurring monthly fees of $14 to $19.95. Hundreds of thousands of consumers called the defendants to cancel their memberships and request refunds, and thousands of people informed their banks about the unauthorized debits. Throughout the operation of the discount clubs, banks rejected more than 75 percent of the attempts to debit consumers' accounts. More than 99.5 percent of those who supposedly enrolled in the scheme never accessed any of the discount clubs' coupons.
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The alleged scheme began in 2010, when EDebitPay LLC (EDP), Dale Paul Cleveland and William R. Wilson launched the Saving Pays Club. At the time, they were facing contempt charges for violating a 2008 settlement order with the FTC in another deceptive debiting scam. In 2012, EDP launched a new version of the discount club, Money Plus Saver. In 2013, EDP sold its assets, including the discount clubs, to Hornbeam. Hornbeam then launched a third version of the same discount club, calling it Saving Makes Money, and continued to charge consumers enrolled in the Saving Pays Club and Money Plus Saver.
iStream Financial Services, Inc. processed all of the payments for the discount clubs from November 2010 through April 2016. The FTC alleges that iStream consistently disregarded the high return rates generated by the discount club transactions, as well as other fraud indicators highlighted by its chief risk officer, outside compliance auditors, and the president of its own sister bank. In late 2014, iStream allegedly enabled Hornbeam to artificially reduce its high discount club return rate by allowing it to send thousands of small RCCs to itself.
The defendants in this case are EDP; Dale Paul Cleveland; William Wilson; Keith Merrill; clickXchange Media LLC; Platinum Online Group LLC, doing business as Premier Membership Clubs; Hornbeam; Cardinal Points Holding LLC; Cardinal Points Management LLC, doing business as Clear Compass Digital Group; Gyroscope Management Holdings LLC; Jerry L. Robinson; Earl G. Robinson; James McCarter; Mark Ward; iStream Financial Services Inc.; Kris Axberg; Richard Joachim; and Chet Andrews.
The FTC charged all of the defendants with violating the FTC Act. The Commission also charged the EDP and Hornbeam defendants with violating the Restore Online Shoppers' Confidence Act. In addition, the FTC charged defendants, except for Mark Ward, with violating the Telemarketing Sales Rule.
The Commission vote authorizing the staff to file the complaint was 2-0. It was filed in the U.S. District Court for the Northern District of Georgia, Atlanta Division.
NOTE: The Commission files a complaint when it has "reason to believe" that the law has been or is being violated and it appears to the Commission that a proceeding is in the public interest. The case will be decided by the court.
This article by the FTC was distributed by the Personal Finance Syndication Network.
- Two Arrested in Los Angeles for Their Roles in Hospice Fraud Conspiracy - December 3, 2021
- Three Operators of Financial Services Firm Charged and Arrested in Alleged $155 Million Investment Fraud Scheme - September 17, 2021
- Better Path Financial– Scam, Complaint, Review, Or Praise? - August 25, 2021


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see the park as we made our way to camp. Along the road keep you eyes out for bighorn sheep. We spotted a couple as we approached camp. Also, slow down and use the turn outs to see sweeping vistas of the canyon walls that are reminiscent of Canyonlands National Park, just on a smaller scale. The campground itself consists of three loops. A Loop is always first-come, first-served. The B Loop has reservations from March through October. The C Loop is also first-come, and has sites for larger groups. Roads in the campground are paved, while sites are either dirt, gravel, or broken down asphalt. Many of the sites are severely sloped, so it almost behooves you to arrive without a reservation to scout out a spot that will best accommodate your rig. During our early August stay, the campground had plenty of sites available to those arriving without a reservation. Campsites are primitive with charcoal-only grills and picnic tables and offer privacy with the abundance of shrubbery. Potable water is available in the camp, however there is not a dump station. Sparkling clean restrooms with flushable toilets can be found in each loop. A beautiful Visitor's Center with all the usual exhibits and ranger talks is a short walk from the campground. Be sure to walk the moderately easy trails that lead from camp around the rim of the park; the views are beautiful. Some campsites offer excellent nighttime views of the the sparkling lights of Grand Junction. Star gazing is excellent here with higher elevations and the park's more remote location in western Colorado.
Best Sites: 32, 33, 35, 36 (all for views, but they are sloped); 48, 50, 21 (no views but are level)
Poor Sites: None
Hookups: None
Potable Water: Yes
Dump Within Facility: No


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After as onerous day on the slopes, snowmobile using or perhaps a marathon purchasing spree, you should be further pampered. On the Breckenridge Spa we all know methods to do exactly that. We use solely the perfect merchandise with pure plant extracts once we do a Breckenridge therapeutic massage. We imagine the therapeutic powers of plant extracts and important oils mixed with a therapeutic massage are an uplifting expertise. This mixture of important oils and extracts will improve your psychological state in addition to your emotional and bodily well-being. The scents alone will put you in a state of dreamy bliss. At our Summit County spa our massages are well-known. We provide a wide range of Breckenridge massages to swimsuit each. The Final Aromatherapy Expertise is a therapeutic massage mixed with point-specific Swedish and neuromuscular strategies. It begins together with your alternative of one among twelve signatures oils. After your choice, the therapist begins. Utilizing strain utilized fastidiously to stimulate the nervous system, relieves nervous rigidity and stress.
Because the therapist kneads your muscle tissues, all of the aches and pains from stress magically soften away. This specific Breckenridge therapeutic massage is taken from becoming a member of japanese and western strategies. It is an intermingling of physique, thoughts and spirit. The Swedish therapeutic massage is one other Breckenridge therapeutic massage we do. This is likely one of the extra conventional massages at our Summit County spa. The therapist makes use of a really agency strain and lengthy drawn out actions which give attention to the highest layers of your sore muscle tissues. The therapeutic massage has many advantages. It will increase the oxygen circulation in your blood and releases toxins that are saved in your muscle tissues to be handed by way of your system and voided. This Breckenridge therapeutic massage additionally will increase your circulation and suppleness. If you wish to calm down, get your physique versatile for mountain actions and even in the event you're experiencing sickness from the altitude, this therapeutic massage is ideal for you. One other alternative for you is the Deep Tissue therapeutic massage. On the Breckenridge spa this therapeutic massage focuses on the muscle tissues that are situated under the highest muscle floor. Through the use of a really sturdy level particular strain, this therapeutic massage releases rigidity which have a persistent reoccurring sample. It helps to revive each the steadiness in your physique and your muscle integrity. Then in case you are having a marriage, the spa in Breckenridge has a very nice alternative, the Honeymoon {Couples} therapeutic massage. Right here you and your new partner can calm down after the hectic marriage ceremony festivities which you had as visitors at our Lodge or elsewhere. You'll be able to select which massages you need from our giant choice after which lay again collectively and luxuriate in it. All of the stress and worries will likely be massaged away.


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As we approach the 15th anniversary of 9/11, co-hosts, Vincent J. Russo and Victoria Roberts Drogin were privileged to honor those first responders who fought to save the lives of so many.
"Heroes of 9/11" will premiere Wednesday, September 7, 2016, at 9:30 am on Telecare (Cablevision channels 29 and 137, Time Warner channels 106 (Manhattan), 471 (Queens) or Verizon FiOS TV channel 296). This episode will also re-air on Wednesday at 10:30 pm, Thursday at 1:30 pm and Monday at 1:30 pm.
On this show, Heroes of 9/11, we are joined by first responder, Tim Brown. Tim is a firefighter who responded to the call on September 11, 2001 and rushed immediately into ground zero. Tim gives us a first-hand look into the events of the day. We promise you will not want to touch that remote or get up from the couch as Tim shares with you his story of the day we lost – 343 New York City firefighters, 37 port authority officers and 23 New York City police officers. All Heroes.
Also joining us is Troy Rosasco, Esq. of Turley, Redmond, Rosasco & Rosasco, LLP. Troy provides guidance to the first responders who are now facing serious medical issues due to their time at ground zero and their families. He discusses the two parts to the James Zadroga 9/11 Health and Compensation Act, which provides medical monitoring, treatment and compensation to the 9/11 survivors and responders.
We will also continue to highlight and honor the heroes of 9/11 the following week by
re-airing, "No Greater Love". During this show, we met with one of the heroes of 9/11, Welles Remy Crowther's parents, Alison and Jefferson Crowther. Re-runs will air next week, Wednesday, September 14 at 9:30 am and 10:30 pm and Thursday at 1:30 pm. Tune in to join Alison and Jefferson as they honor their son, Welles' life and share his heroic story.


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This limited edition model has been designed to celebrate Western Mountaineering's 50th anniversary, utilizing the most advanced textiles and finest raw materials in the world. Built with a balanced 10-denier fabric, a half-length #3 coil zipper with insulated draft tube, and an insulated top collar. Compressing down to almost the size of a standard water bottle, the Flylite is a perfect choice for fast packers, adventure racing enthusiasts, bikepackers or anyone that is looking for the lightest possible bag that they can still get a full night's sleep in. Features / Specs of the Western Mountaineering FlyLite Sleeping Bag. Half length #3 coil zipper.
Storage and stuff sacks included. 59 / 51 / 39 (shoulder/hip/foot) inside girth. Compresses down to the size of a standard water bottle. The item "New with Tags!Limited Edition Western Mountaineering FlyLite Down Sleeping Bag 6" is in sale since Saturday, December 5, 2020. This item is in the category "Sporting Goods\Outdoor Sports\Camping & Hiking\Outdoor Sleeping Gear\Sleeping Bags". The seller is "bike31675" and is located in Flagstaff, Arizona. This item can be shipped to United States, Canada, United Kingdom, Denmark, Romania, Slovakia, Bulgaria, Czech republic, Finland, Hungary, Latvia, Lithuania, Malta, Estonia, Australia, Greece, Portugal, Cyprus, Slovenia, Japan, China, Sweden, Indonesia, Taiwan, South africa, Thailand, Belgium, France, Hong Kong, Ireland, Netherlands, Poland, Spain, Italy, Germany, Austria, Bahamas, Israel, New Zealand, Philippines, Singapore, Switzerland, Norway, Saudi arabia, Ukraine, United arab emirates, Qatar, Kuwait, Croatia, Malaysia, Brazil, Chile, Colombia, Costa rica, Panama, Trinidad and tobago, Guatemala, Honduras, Jamaica, Antigua and barbuda, Aruba, Belize, Dominica, Grenada, Saint kitts and nevis, Saint lucia, Montserrat, Turks and caicos islands, Barbados, Bangladesh, Bermuda, Brunei darussalam, Ecuador, Egypt, French guiana, Guernsey, Gibraltar, Guadeloupe, Iceland, Jersey, Jordan, Cambodia, Cayman islands, Liechtenstein, Sri lanka, Luxembourg, Monaco, Macao, Martinique, Maldives, Nicaragua, Oman, Peru, Pakistan, Paraguay, Reunion, Viet nam, Uruguay.


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Veteran character actor with hundreds of credits on stage and screen including Mrs. Doubtfire and Hill Street Blues. Prosky appeared in more than 200 plays on Broadway and with Arena Stage, a regional theater company in Washington. He also appeared in 38 films and on numerous TV shows. He died of complications from a heart procedure, in Washington, DC on December 8, 2008.
~Life in Legacy


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Jump aboard the world's first solar train and make your way to a slice of paradise nestled amongst nature.
A recent trip to the stunning coastal region of Byron Bay prompted us to reflect on Bennett + Bennett's involvement in the award-winning, five-star Elements of Byron resort project and the solar-power heritage train that will take you there.
Located within the flourishing North Beach precinct and Byron Arts Estate, the resort can be reached via three kilometres of coastal rail corridor, directly from Byron Town Centre.
The heritage Byron Bay Train, originally constructed in Sydney in 1949, has been artfully restored and in a world-first, uses solar panels to generate the energy it requires to operate (plus enough additional power for 17.5 homes each year). To support the re-modeled train, the existing railway line and bridge that had been untouched for 13 years, needed be repaired and made structurally sound.
To thoroughly investigate these structures, Bennett + Bennett conducted a 3D scan using photogrammetry. For those who may be unfamiliar with this technique, photogrammetry uses photographs and a known scale length to determine the 3D coordinates and measurements required to create accurate 3D models or drawings. In this case, we provided 3D point cloud and elevation in a 3D format to assist in planning the railway and bridge repair.
Now immaculately restored, the vintage rail carriages travel directly to North Beach, home of the unique development that is Elements of Byron. Set on 50 acres of land, the resort site features preserved bushland, wetland and sand dune, with almost 2km of magnificent beach frontage. The littoral forest and natural lakes are home to native wildlife, while the curved roof of the Pavilion and over 200 villas inspired by naturally occurring forms offer creative construction at its finest.
Bennett + Bennett were engaged early in the piece to conduct the original site detail survey and tree pick up prior to the resort design as the developer was keen to minimise impact on the landscape. We have since provided all survey set out of buildings, services, roads and facilities and the subdivision of the site, various easements, in addition to photogrammetry, aerial photography and titling to enable effective decisions to be made in the design and construction of this exceptional resort project.
In all, we can testify to the fact the Byron is not only renowned for its relaxed, coastal vibe but also a touch of luxury and award-winning innovation.


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Hats off to Cardinal Dougherty
Catholic HS closes after 54 years.
The 191 members of Cardinal Dougherty High School's Class of 2010 toss their caps into the air. after commencement ceremonies. Their graduation is the last for the school in Olney, which will close this month.
The school opened in 1956, and when the very first class completed four years at the school in 1960 there were 1450 graduates. At its peak over 6,000 students were enrolled.
I photographed students outside the school last fall, the morning after the Archdiocese of Philadelphia announced they were closing the school (along with North Catholic) citing declining enrollment and increased costs.
The mood was a little different then. On that day I recall school and archdiocese officials keeping me and the television cameras and other media outside a line in the middle of the sidewalk, to "protect the children."
So it was nice to be inside today for their celebration.
Click here for a gallery of historic images.
Senior Mary Matthews gets help with her gown from her younger sister Veronica Matthews who is a junior at the school. Mary will be attending Villanova next year. Veronica will move to Bishop McDevitt High School.
Teacher Joe Caruso hugs members of his AP Calculus class as they arrive for commencement. He had just given them a little speech after posing for a class photo, ending up with a favorite quote from UCLA basketball coach John Wooden: "You can't live a perfect day without doing something for someone who will never be able to repay you." Then he thanked the students for all they did for him. He doesn't yet know where in the archdiocese he'll teach next fall.
Bree Green carries the school flag behind US flag bearer Tygh Kane in the class procession. She is going on to Shippensburg University and Kane will be attending Penn State.
Teachers formed a corridor as the grads entered the auditorium. Alex Ramos gets a hug from his freshman science teacher Marian Sweeney. He will be going on to Penn State.
Cardinal Dougherty High alumnus Ray Minnigh Jr. (Class of '98) was in auditorium for his sister Teresa, who will be attending the University of the Arts. Their father is also a graduate (Class of '74).
Duong Nguyen poses with her younger brother Tri. She's headed to Penn State.
Football coach Dan Collins poses with Art Comas (right) and Jesse Rosinski. Collins was at the school for two seasons. The football team's overall record over 53 years of varsity football was 227-290-15. They won Catholic League championships in 1968 and 1982. Rosinski is headed to the US Marine Corps. Comas will be attending Chestnut Hill College. The coach doesn't yet know where he'll be next fall.
Alumni groups estimate that 2,000 to 2,500 graduates served in the armed forces. When Cardinal Dougherty closes, the memorial for 27 of those who were killed in Vietnam will be moved from the front of the school to the Rising Sun VFW Post in Lawncrest.


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The term non-valvular atrial fibrillation (NVAF) has become popular with the development of non-vitamin K antagonists (VKA) novel oral anticoagulants (NOAC), or direct oral anticoagulants (DOAC). Randomised trials evaluating NOACs in atrial fibrillation (AF) targeted NVAF since thromboembolic risk was presumed to be higher, and possibly to involve different mechanisms, in patients with valvular heart disease (VHD). However, it is acknowledged that the definition of NVAF is not uniform. Exclusion criteria for valvular AF differed between trials on NOACs with regard to the type and severity of native VHD and the type of valve prostheses (table 1).1–7 The availability of subgroup analyses now allows for a better risk assessment and ascertainment of indications of NOACs in patients with VHD.1 4 6 7
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With increasing life expectancy, the epidemic of VHD is becoming more prevalent. Simultaneously, transcatheter aortic valve implantation (TAVI) has emerged as an alternative therapy for patients with significant VHD and the ideal antithrombotic regimen for these patients has not yet been firmly established.
We review here the issues of anticoagulation in VHD, focusing on patients with AF, in the light of recent 2017 American Heart Association (AHA)/American College of Cardiology (ACC) and European Society of Cardiology (ESC)/European Association of Cardio-Thoracic Surgery (EACTS) guidelines on VHD (table 2).8 9
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Aortic valve diseases
Anticoagulation is mainly required in aortic valve diseases in the presence of AF and conventional treatment uses VKA. In AHA/ACC guidelines, anticoagulation is indicated in patients with a CHA2DS2-VASc score ≥2 while no score threshold is mentioned in ESC/EACTS guidelines.8 9
Following subgroup analyses from randomised trials on NOACs,10 their use for the prevention of AF is now a IIa recommendation in AHA/ACC and …
Competing interests None declared.
Provenance and peer review Commissioned; internally peer reviewed.