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Kevin Hart's Nerdiness Rescues Get Hard from Homophobia
By Amy Nicholson
By Stephanie Zacharek
By Stephanie Zacharek
By Alan Scherstuhl
By Calum Marsh
Men in Landslide in Force Majeure
By Calum Marsh
Witherspoon Hoboes Through Wild
By Stephanie Zacharek
Interview: Garfield's Jim Davis
By Amy Nicholson
Truffaut would return to American crime fiction only occasionally, using the simple plots of murder and revenge as a starting point for more personal stories of romance and despair rather than for comic effect. His final film, Confidentially Yours (the French title, Vivement Dimanche!, translates as "Finally, Sunday!"), was also adapted from an obscure paperback mystery, though perhaps with less ambition and passion than Piano Player. Made simply to pay respect to film noir, it's stylish but a little silly, a generic joke that runs a bit thin despite the strong presence of Fanny Ardant as a secretary trying to prove that her boss (Jean-Louis Trintignant) is innocent of a series of murders. Minor but entertaining, it ironically duplicates the complicated plots of B mysteries but not their economy, taking almost two hours to accomplish what Republic or Monogram would have wrapped up in half its length.
An enfant terrible whose attacks on France's stodgy "tradition of quality" made him a highly visible target for old enemies and rivals, Truffaut's own maturity was often thrown back at him, as if his developing style was a betrayal of New Wave enthusiasm. What critics of his later films (which were out of fashion in some ideological circles by the late '70s) usually failed to see was that Truffaut's sense of resigned humanity transcended the classical conventions that he embraced. Though the New Wave directors briefly delighted in breaking movie codes, Truffaut was more interested in transforming them, resulting in later masterpieces like The Last Metro, a surprise hit in 1980 and a film that seems considerably richer and more adventurous today than it did 19 years ago. Originally planned as a companion piece to Day for Night, Truffaut's film is a tribute to the stage and the people who work in it, but it's also one of his most ambitious works, using a historical setting to reflect on romance, sacrifice, political commitment and the arts. Set during the Occupation, with Catherine Deneuve struggling to keep her theater open in the midst of censorship, shortages, blackmail and the absence of her Jewish director/husband (who is actually hiding in the cellar, keeping track of the current production), The Last Metro is a vivid mixture of historical anecdote and Renoirlike humanism, but the maxim "Everyone has his reasons" is modified by a sense of political accountability.
Some reviewers of the recent retrospectives and the biography have expressed surprise that Truffaut was a more complex and somber figure than his popular image suggests an image typified by his performance as the gentle alien-chaser in Spielberg's Close Encounters of the Third Kind. For those familiar with his films, this darker figure whose history includes incarceration, depression, suicide attempts, a long string of romances and a family that almost defines "dysfunction" could already be glimpsed in the obsessive passion of Adele H., the doomed lovers of The Woman Next Door, the morbid hero of The Green Room and, most of all, in the ménage à trois of 1971's Two English Girls, a disturbing, frequently overlooked masterpiece that ranks among Truffaut's richest works. Based on the only other novel by Jules and Jim author Henri-Pierre Roche (whom Truffaut discovered and more or less rescued from obscurity) and filmed after a period of deep depression, this tragic love story lays bare Truffaut's feelings about love, sex, death and art, wallowing in its emotions with an almost uncomfortable physicality. In a reversal of Jules and Jim's high-spirited passion, Léaud, in what is probably his finest performance, plays a young Frenchman whose innocent but ill-fated relationship with two English sisters leads to tragedy. The final scene, in which the 26-year-old Leaud, still a New Wave figurehead, looks at his reflection and declares, "I feel old," marked the end of an era, the final statement of an entire generation's romantic illusions. Only a director like Truffaut, who loved the past, loved the arts and knew how far romance and madness could drive someone, would bring such a scene to life, the only truly Proustian moment in the history of cinema. François Truffaut and Fanny Ardant on the set of his last film, Confidentially YoursBREAKING THE NEW WAVE
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Is a UB IT service not acting as you expect? Learn what steps to
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text: |SUMMARY: At long last text messaging campaigns are taking off in the US, due in no small part to American Idol's expanding three-year campaign. (40 million messages sent in the last season alone.) We contacted the producers for behind-the-scenes info on what makes mobile marketing work. Includes copywriting tips and samples (harder than you think). Plus, surprising advice about the Internet/mobile phone interaction.


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Well what do you say when you have no excuse other than I've been just plain old slack with my blog!
I hope you have been enjoying Hannah's posts in my absence.
Even though there has'nt been much activity on my blog I have still been kept inspired by the posts of others.
Alot has happened since my last post, as you would expect seeing as its been at least two years (omg time flies) some of which I will share in the future.
To begin I am writing this sitting in the car with my husband,driving to a little place in the mid north of South Australia. My husband Tim, looking for a challenge and needing to give his body a rest from years of hard physical work as a crash repairer took the opportunity 18 months ago to have a career change and work in the field of loss adjusting. He needed to visit a client up this way so im enjoying the scenery and keeping him company on the drive.
It is a nice drive through small country towns, some which we have not driven before.
We cant help but wonder about the history and the people that lived in them. Here is a renovators delight for you!
A few drinks been served here over the years I would say.
While he is doing his business I bought along some hand sewing to do while I wait in the car. I have noticed many of you have become addicted to making these little guys, I can see why and I am enjoying,but still need to perfect the process.
Anyway thanks for visiting its great to be back.


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- Trust: The Rotherham NHS Foundation Trust
- Supplier: Meditech
The Rotherham NHS Foundation Trust has been found in significant breach of its terms of authorisation by Monitor, with its electronic patient record implementation identified as a key issue.
The trust this month admitted it was facing "persistant serious issues" with the deployment of its Meditech EPR including "clinician and staff acceptance and usability."
It has stopped all go-lives of the system and has hired an external consultant, Larry Blevins, to conduct an immediate review of the system.
A statement from Monitor said The Rotherham had significantly underperformed on its financial plans leading to concerns about the way it was governed.
Key concerns included the trust's failure to successfully implement a new EPR which led to problems booking patient appointments and loss of income.
A letter from Monitor to The Rotherham says: "The trust has not managed EPR implementation in an effective way and significant operational and financial risks will remain until the trust has a robust and operationally effective EPR system."
"It is unclear whether the trust has sufficient visibility over operational performance and quality issues, including incidents of patient harm," it adds.
"Data quality remains a significant risk. The trust is currently unable to rely on coding, case mix or activity data from the EPR system, significantly compromising the trust's ability to manage performance effectively."
Earlier this month, the trust issued a statement regarding the appointment of an interim chief executive. This said it had discovered "significant issues of operational and financial performance" which needed to be addressed urgently.
"The board will institute a strategy to correct or take other actions concerning the EPR system in such a way that it does not hinder or slow the work of clinicians, nurses, AHPs and others during their time caring for patients.
"We have engaged an independent external EPR expert, with experience in multiple types of implementations," said the statement.
"His job will be to review and resolve the issues causing the EPR situation from an independent standpoint."
The trust went live with its Meditech EPR last summer, two years after the original planned go-live, and has experienced difficulties with the system since.
Board minutes from the trust's EPR programme board meeting in October last year, obtained by EHI via the Freedom of Information Act, revealed that the trust had stopped the phased go-live of the system.
"Until all current issues had been resolved there should be no further implementation of EPR phased go-lives," the document says.
The following month's EPR board minutes reference the non-executive director chair of the audit and assurance committee raising concerns that there may be financial pressures and risks related to the system.
"As such he suggested that the trust should consider allocation of a further financial contingency or reinvestment in EPR," the minutes say.
Stephen Hay, managing director for provider regulation at Monitor, said it was concerned that the trust's failure to address its financial issues was due to "the lack of adequate strength and capacity within the management team."
The trust board has engaged a specialist healthcare management firm, Bolt Partners LLP, based in London, to lead the trust's recovery.
Michael Morgan has replaced Matthew Lowry as interim chief executive after former chief executive, Brian James retired last year.
"Bolt Partners will provide three recovery and restructuring professionals on an interim basis, Michael [Morgan] will be engaged with immediate effect as the trust's interim chief executive to lead the recovery and restructuring," said a statement from the trust.
The trust has also taken out a full page advertisement in the local paper to reassure the public and staff that it has sufficient cash to meet all payroll and creditor obligations.
The Rotherham was one of the first trusts to go outside the National Programme for IT in the NHS for an EPR and was the first NHS trust to purchase the latest Meditech system. The value of the deal has been put at £40m over ten years.
In October last year, Unison claimed the trust planned to cut 750 jobs over the next three years to save £50m over four years from its £220m budget.
© 2013 EHealth Media.
Value of EPRsHealthCTO 121 weeks ago
Here's another recently published article on the value of EPR/EHR...
It is a US perspective but it reference several peer reviewed articles. Happy reading!
How did the CCIO get on?Jack Barker 121 weeks ago
Much has been made of the role of a CCIO in successful IT implementations. This must have been a traumatic time for Kim Ashall but it would be very interesting to hear from her what she thinks went wrong.
The Kaiser Storytimbenson 122 weeks ago
The Kaiser story is fascinating, because there are two good books on it:
(1) Louise Lang: Connected for Health: Transforming Care Delivery at Kaiser Permanente. Jossey-Bass 2010 "Kaiser Permanente has implemented the largest nongovernmental electronic health record in the world, serving more than 8.6 million Kaiser Permanente members. Called KP HealthConnect, its impact on patient care outcomes, efficiency, safety, and patient engagement and satisfaction already is of intense interest throughout the health care industry. In this volume, Louise L. Liang, MD, who led the massive KP HealthConnect implementation, collects lessons learned from the organization%u232s successful deployment strategy and highlights ways in which the new technological tools are changing and improving %u213 the health care provided to patients and the operations and culture of the organization"
(2) Tim Scott. Implementing an Electronic Medical Record System: Successes, Failures, Lessons. Radcliffe 2007. This is the story of the failure to implement the rival CIS system which had been successful in Kaiser Colorado in Kaiser Hawaii.
Data Quality IssuesLaburn 122 weeks ago
Everyone mentions systems and expertise failures, but not a single comment about data quality and data migration. This is one of the biggest failures in these sorts of projects and not having the expertise in these areas for an EPR project is a recipe for disaster.
Migrating data from very old existing systems with structures and data collection processes that do not support current working practices, into structures that are markedly different (and hopefully should support more recent initiatives) and getting this done in a timely manner by people who may not necessarily understand the complexities of NHS data, and its linkages has always caused problems with these projects.
So don't always blame the systems to which the Trusts are migrating.
That Old ChestnutCanUseeTheLight 122 weeks ago
1) Data migration is not difficult assuming that
a) One has an understanding of the Relational Model
b) One has an understanding of the source system schema
c) One has an understanding of the target system schema and the rules which govern it operation
d) One has an understanding of the processes involved in coded data mapping
e) One has an understanding of role based access control assuming source and target systems support it
2) Any data to be migrated from an existing patient administration system to an EPR should not be difficult at all assuming that
a) All points in 1) above are met
b) The source system was compliant with the NHS Data Dictionary (as any system in use in the NHS MUST be) and the target system is so compliant to the extent that it incorporates patient administration functions as an EPR.
Laburn implies that EPRs have a completely different structure, they don't, or at least they should not. Any EPR should comply with those aspects of the NHS Data Dictionary with all the extra clinical content structured around the core PAS content. An EPR must after all support both. There should never be any issues with data migration only the manner in which it is performed. If point 1 and 2 above a met then failure must be due to execution which points to supplier failure.
NHS data is no more or less complex than any other large scale enterprise it is, after all, just a bunch of strings, numbers, dates and blobs (over simplification but you get the idea) organised in a particular way. Data is just data.
reply to its not as simple as that - I still think it is and this is whyCanUseeTheLight 121 weeks ago
Understanding is not a little thing – my use of it was deliberate and applies at two levels, 1. the relational model in respect of physical database design and 2. When applied to NHS specific data,.
As I said in 2.b, systems which are sold to the NHS are required to be NHS data dictionary compliant, many are but many are not (although they claim to be). I have migrated data from many such systems as an NHS employee and as a supplier. What I think is required is a certification process which warrants the supplied system is NHS Data Dictionary compliant, no certification no permission to deploy or sell to the NHS.
At that point a generic data migration process could be defined for the core data structures with variations being made for system specific functionality where it can be mapped following the rules of relational logic.
I must respectfully disagree with your assertion in respect of data quality however. The problem arises from systems not adhering to the NHS model and the subsequent Type 1 and 2 validation errors which then lead to poor data quality.
Forgive me teaching you to suck eggs, but, Type 1 errors occur when inappropriate structures are used to store data (supplier shortcuts or someone thinks it's a good idea) e.g. a predominant use of STRING fields to hold alphanumeric data (good) or dates (bad) or numbers (bad). Type 2 errors occur when the physical data model is not appropriately constrained (all relational database platforms support constraints). Omission of constraints (which should be at the database level but can also be in the application layer) means the possibility of orphaned rows is greatly increased e.g. a ward stay record with no corresponding hospital provider spell or ward record. Adherence to the points I mention and an understanding of relational theory and practice is all you need to migrate data from system A to system B.
Here is my recipe for data migration success distilled to its essentials
1. Pick a migration strategy predicated on the data domain, in this case health care – I like to migrate data on a patient by patient basis, after all its all about the patient with a bunch of other data around the core patient dataset
2. Obey the rules of the strategy – data to be migrated must pass Type 1 and 2 validation checks and said checks must be performed against the entire data set not a sample or subset.
3. Identify all failures and why, only process the resulting passed records. Meanwhile Trust staff can attempt to rectify the Type 1 and 2 errors in the source system.
4. Migration process should be iterative and non destructive
5. Test migration of a subset of patients (ensure subset covers entire source system data to be migrated) to validate the process and compare the results in the target system with the source system side by side at the application level.
6. When processing the data, if any part of a patients record fails to obey the rules of the target model the error is logged and the entire patients record is rejected. This allows for the possibility of fault rectification in the source system by Trust staff, who now know what the problem is and said data is ready for resubmission during the next iteration. It also guarantees the data quality in terms of dates being dates numbers being numbers and things like ward stays not starting before admission or referral records.
7. ON NO ACCOUNT MANIPULATE DATA IN ANY WAY WHICH ALTERS ITS VALUE – obvious I know but it hammers home the fact that data migration is just that and is not a data cleansing exercise. It is a like for like data transfer with no reference to data values. This ensures that the only resulting data quality issues are ones of omission i.e. the data is not there in source system or data entry i.e. wrong spelling wrong date wrong number. If the target system is appropriately designed such validation checks would be handled.
I / we have been doing this since 1994, migrating data to a target database from a single or multiple source systems from the same or multiple suppers. Our processes have never achieved less than 95% of source data migration of 10's of millions of rows. It is a complex process but the complexity comes from quantitative not qualitative issues, as such I stand by my premise that it is just not difficult irrespective of the data being banking, utility payments or healthcare.
Happy to discuss on or offline :)
Its not always as simple as thatLaburn 122 weeks ago
I do agree with your points 1 a - d (not entirely sure what RBAC has to do with data migration though), however the key thing is that little word 'understanding', which in many cases just isn't evident at most Trusts. Without a DM expert (and even with, in most cases) the project are fraught with difficulty.
And sorry, but the source systems are often not compliant otherwise why do so many Trusts have to employ data workarounds for data collection and to handle such things as RTT correctly?
'NHS data is no more or less complex than any other large scale enterprise it is, after all, just a bunch of strings, numbers, dates and blobs (over simplification but you get the idea) organised in a particular way'
Yes what you are suggesting is an oversimplification, yes its 'just data' but not always stored coherently or in a nice standard format as is evidenced from the many disaster tales of data migration in PAS upgrades. Take away bad quality data and the information teams could suddenly be a whole lot more useful in their roles within the Trust. And yes, sorry, but healthcare data is more complex than that found in a banking or insurance system.
EPRs WorksHealthCTO 122 weeks ago
My team successfully implemented a commercial EPR (happened to be Epic) in a US health system with 9 million patients, 32 hospitals, and 12,000 physicians (plus 70,000 nurses and other health professionals). It happens to be Kaiser Permanente for those who are curious.
It works really well...because the chief executive was the sponsor, clinicial leadership was committed, and the project was properly resourced by both clinical and IT staff who were trained to develop and deploy the system. One of the realities is that you WILL need to evolve the approach to the patient experience to get the right data - into and the value out of - your EPR investment.
It is really, really hard work and you must deal with policy, process, work rule, and other factors as part of the EPR adoption. Implementing and EPR because you are told to do so will usually fail (DoH requiring NPfIT and doing it centrally was doomed from the start.) The minister demanding the NHS take another swing at it and not providing the proper foundation support to prepare trusts for the work involved is nothing more than preparing for the next failure.
EPRs provide a foundation of computable information that will allow you to manage chronic disease populations, integrate care, measure results and engage patients...just not all at once. You can build the new house AFTER you attend to the foundation. EPR is your foundation.
One last observation: There are a lot of bad consultants out there. Unless you are clear about what you want, do good diligence, contract well (including right to pick your consultant team instead of using whatever recent university graduate they throw your way), and actively manage them - you deserve the lousy value you get.
I would encourage you to seek understanding of the value an EPR can provide and drive to achieve that value through a properly managed project (which is a whole lot more than IT screwing the software into the organization!). There is enough evidence of EPR success (unfortunately not enough of it in England) that you should focus the debate on how to get there - not whether.
Good luck!
Not every one agreesOzLurker 122 weeks ago
It is almost impossible to get objective verification of the 'success' of the Kaiser P EPIC implementation that I believe cost $4+bn (some say $6bn), yes billion.
For less positive views see the ED Chief's opinion & some of the comments contained and appended to the NYT article below. There was also a public outcry about chaos and fears for patient safety at a large hospital in San Francisco after an EPIC switch-on(see; hcrenewal.blogspot.com.au/2012/09/in-addition-to-nurses-doctors-now-air.html ) where nurses and doctors spoke out to local press, but funnily enough a US journalist contact of mine says that suddenly no one will any longer go on the record.
I have not seen EPIC and there are no UK or Australian reference sites, but posts like the one above remind me more of the spruiking of the currently over valued Australian property market by all self-interested parties, rather than an objective independent analysis (NB USB says Aussie houses are 20-40% too expensive).
Please show me the peer reviewed scientific paper that proves Kaiser saved more than $4bn as a direct cause of implementing a new integrated EHR over the last decade.
Interesting, but not relevant...HealthCTO 122 weeks ago
Let's deal with some numbers...
The original investment for KP was $1.2 billion. With additional investments (read more stuff, not project overruns), it grew to a little over $2 billion in capital investment. What did that buy Kaiser?
- 9 million members have an electronic record with instant availability to any of the health works in the system (the old paper charts were "unavailable" 35% of time when needed (from time/motion studies) at unknown cost of clinical decision errors caused by not having the information when you needed it
- 16,000 physician (from GP through all specialties) trained and using a SINGLE EPR which now allows a whole raft of new clinical activities unavailable under the old paper-based system
-37 hospitals and over 600 medical offices wired together and receiving 7x24 access to the health record 365 days per year with 99.99% uptime
- Those 9 million member having the ability to see their health record, order prescription refills, email their caregivers, and perform many activities that used to require them to undergo the inconvenience of an office visit
I could go on but there are any number of studies done - both by Kaiser staff and 3rd parties - that discuss both the ROI (return on investment) and ROH (return on health) benefits that Kaiser has achieved through their investments in moving from a paper-based, craft-oriented model to one that is changing how care is provided (including on average 20% reduction in cost of delivered care with significantly higher clinical quality indicators).
You can always find examples of projects that don't work (and you cited several including the San Francisco failure that I am familiar with). Those are interesting and even educational as examples of how not to implement an EPR. They are emphatically NOT a reason to avoid the hard work and the rewards of implementing one.
I will take the $2+ billion success that Kaiser achieved (and documented...just go look, starting at http://www.kp.org) any day over the $20+ billion failure of NPfIT. You should seek to learn from both of these examples so that you do it right the next time...not shirk from doing it at all.
IMHO (stands for "In My Humble Opinion").
This is about management, skills and shared experiencePhilC273 122 weeks ago
Implementing EPR is really complex, but surely that is no reason to start doubting why we should do it? Implementing in bits rather than in a small number of large applications doesn't necessarily fix the issue.
Health processes, systems and data are just about the most complex in general use and the implications of error some of the greatest. We accept this and yet expect individuals and organisations who are not specialist in procuring and implementing these to run a massive programme once only in their working lives. They cannot have experience (they've not done it before) and they don't get to pass on the learnings (they get back to their day jobs and don't do it again).
The Rotherham and Berkshire issues are, for the most part, about failings in management; management of the procurement and management of the implementation. It's too trite to say the big EPRs are flawed or we need best of breed and it will be OK etc. Several solutions could and should work satisfactorily, but only if the programmes were run like a civil engineering project rather than choosing a laptop or a TV.
We should be looking to address the biggest problem here, namely the lack of skills and the lack of shared experience. We should find a way of pooling expertise across the NHS, sharing skills for these programmes by seconding staff and back filling posts. This isn't so much about implementing the right solution as implementing the solution right.
Half RightOzLurker 122 weeks ago
Your first two paragraphs are correct and you are also correct un stating that poor management (and by inference poor contracting) has contributed to the problem.
However you are incorrect in your assessment of the underlying problem at Rotheram, Reading and elsewhere. Unfortunately it IS the software that's at fault and more specifically it is the inflexibility of the programs and the assumptions that have gone into their creation that guarantee failure. To acknowledge the complexity and variability inherent in any doctor-patient interaction and then to try to create a digital mirror of the event as if it were part of a nineteenth century manufacturing industry is just a complete intellectual contradiction. It is exactly this kind of thinking that has created the current EHR crisis for Secondary and Tertiary care in England and beyond. If you think these systems are all flying through the work Stateside please disabuse yourself by reading this and the comments appended;
http://www.nytimes.com/2013/02/20/business/a-digital-shift-on-health-data-swells-profits.html?pagewanted=1&_r=0 There
Thereneeds to be an entirely new approach of clinical analysis of workflows & processes in hospitals supported by a new plastic software platform that can be easily reconfigured by front line staff and data managers, that captures what can by truly digitalised and acknowledges what can not (Such a process will produce many opportunities for efficiency gains and problem solving even before new IT is created). Any such new product will have to have an intutitive interface, preferably be touch screen and web enabled and with NO clickorrhoea, as well as being easily used when hand held. The building blocks for all of this exist, the political and incidentally the medical will for more accurate data capture and recording of events by technology exists, but for the most part the Industry stil thinks it can force mechanical workflows on the most intensely individualised biological work place in the world and the bureaucrats still (for some completely obscure reason) believe that spending millions on Management Consultants who know nothing about IT nor Healthcare will ensure smooth implementation of e-Health!
Let's get the best people together who know what they are talking about in Health, IT and and workplace analysis (eg Porsche Consulting - I'm not kidding they did wonders for Hospitals in the former East Germany), really attempt to understand the current failures and then grab a blank piece of paper and start again.
Health Story is an interesting projectNeelam Dugar 123 weeks ago
Standardising unstructured narrative medical documentation is essential for NHS Informatics. HL7 CDA is the document format globally supported & also supported by IHE.
Pay for interoperabilityNeelam Dugar 123 weeks ago
Tim, I don't think getting the clinical recipients to pay is really going to work.
Using the PACS example
1. adopt global standards--DICOM, CDA, XDS, XDR etc
2. Standards should be developed by vendors themselves--DICOM & IHE are a collaborative effort by vendors
3. standards should be free--allowing SMEs to use & develop them--DICOM, HL7 etc
4. Clinical users should be able to understand what the standards will do for clinical usage--
This is what I like with IHE concepts are easy to understand for clinical users.
5. Connectathons used for testing interoperability between vendors--IHE uses this.
Clinical users in secondary would like this
1. A single viewer which can be loaded in 3seconds which displays all medical documents & images for that patients--referral letters, clinic letters, discharge summaries, path reports, radiology reports, endoscopy reports, medical images--radiology, ECG, blood results, etc (what I have decsribed here is the medical notes but without the day-to-day ward entry.
2. electronic transfer of medical documents between primary & secondary care in a readable document format--with ability to paragraph, bold, high-light & emphasise narrative documents.
It is based on these requirements I feel that the way forward for NHS lies with CDA, DICOM, XDS & XDR
Now the big question is who will pay for patient & clinical needs. In the PACS world, the vendors invest in DICOM standards in their products because they KNOW they cannot sell unless they comply.
My view for Commission Board staff to visit IHE connectathons & see for themselves the power of vendor collaboration & interoperability & use IHE for the way forward
There is nothing simple about ePRs or interoperability-and I live thiswilliamlumb 122 weeks ago
Sure we need the technical ability enabled by common standards-but that gets you no-where without sorting the politics, the clinical standards, the information governance, the transformational change agenda, the capacity of staff to learn IT systems, the cross organisational care planning, the sharing of clinical records and data standards, the governance process and the designing out of variability in clinical care.
This process must be clinically lead with close IM&T support and quality project management to enable deployment. It can be done but not with a patchwork of software products from SME's- if no other reason than because your staff cannot attain the proficiency needed to operate multiple systems built with differing design concepts. We have the tools already-what we lack is the ability to link strategy, tactics and operational deployment in a coherent fashion.
Come and look at ICT in Primary Care in the UK-it works because our job satisfaction, working hours and pay depend on effective ePRs with interoperability.
It is not the same.OzLurker 122 weeks ago
Will, Much of what you say is completely right - without the organisational processes and standards being in the right place you can not get anywhere, but there is a real problem with the last paragraph.
Across the English speaking world the idea that "it works in GP surgeries so it will be easy to scale up for secondary and tertiary care" has been a simplistic and dare I say it lazy intellectual cul-de-sac. GP's appointed to run such National scale ups have struggled badly I can assure you. As a paralell, we (seven consultantrs) run a simple EHR in our rooms for an O&G private practice. It is good at some things not so good at others, but serves a purpose, more for activity than for fully functional e- medical records. It is a very successful commercial product, but lacks proper tracking and many other features. I would not let ths software anywhere near my hospital Department as the only instrument of record or administration, and I have not even mentioned our hospital based UG and PG teaching requirements and complex in-house and international research program some funded by grants other by pharma etc etc.
Please see and understand my reply to PhilC273 above if you want to understand how we need to work to get functional e-Health into major hospitals. Big versions of GP systems simply will not cut the mustard.
Good luck with the rest of it,
One of your former Consultant/mentor colleagues.
Pay for interoperabilitytimbenson 123 weeks ago
Surely the answer is just to pay for information delivered to the people who need it when they need it, and not for lumps of kit or software.
Users should be able to work out what information they need when and where, even if they are not capable of evaluating whether computer salesmen are talking nonsense or not.
We have to accept that nobody knows a good way to procure healthcare IT systems (hardware and software). We do know that none of the ways of procuring IT for health care that have been tried to date are not fit for purpose. It is doubtful if, after more than 30 years of failure, they can be made fit for purpose. Perhaps the solution is to pay for information instead.
The new CCGs could take a lead in making this happen.
Not fairMrDog 123 weeks ago
Throw away statements like "30 years of failure" are not helpful. People do this all the time saying things like "the NHS is terrible at securing your data", and they just become embedded truisms.
There have been lots of successes where people have been allowed to rationally assess their priorities and work within their local architectures etc. Two main things have failed however:
- Where some national body has tried to impose a large piece of software or technology within an already complex environment, thinking that they somehow knew what was needed. This is about to happen again where someone is talking about forcing in systems that will produce data that someone thinks that someone else will need or use.
- Local intransigence, and either buying or hanging on to legacy products. I go back to the 90s and the basic levels of compliance. Start there, and if an acute trust cannot deliver solid patient index with solid real time interfacing to that to all of its systems, they should be performance managed. Then onto the next level of compliance. Anything overblown has indeed been shown to fail, time and again.
30years of failure?george385 122 weeks ago
I could not agree with MrDog's comment more - there are examples out there in the NHS that are working. IT is an enabler of the business and needs investment - ongoing investment. IT is not a magic bullet and just installing a computer system and expecting improvements is not the answer.
Resourcing of these programmes needs to be realistic and managed effectively throughout the duration of the programmes lifetime.
Government ResponsibilityNurse Sandy 123 weeks ago
Excellent points. It is the responsibility of the governments of each country, perhaps an international agreement, requiring the use of universal language and interfaces. Rather than setting capricious targets, spending billions of pounds and dollars for consultants and systems not fit for purpose, the leaders whould have required by law and treaty the universal language and codes to enable interoperability.
Implementation Specialist (clinical), Up to £55k pkg, UK wide
(UK - Wide/Up to £55k pkg)
System Developer (SQL) - NHS
(South West/Excellent Daily Rate Negotiable)
Data/ Implementation Analyst (NHS), Circa £30k + car, UK Wide
(UK - Wide/C.£30k + car allowance)
Technical Architect
(South West/Competitive)
Bid Writer
(London/Market Rates)


text:
early 14c., from Old French bataillement, earlier bastillement "fortification," from bastillier "to fortify, to equip with battlements," from bastille "fortress, tower" (see bastion). The raised parts are cops or merlons; the indentations are embrasures or crenelles.
a parapet wall or balustrade surrounding the flat roofs of the houses, required to be built by a special law (Deut. 22:8). In Jer. 5:10, it denotes the parapet of a city wall.


text:
(PRWEB UK) 25 February 2014
What stimulates an immune response? How does the system cope with immunogenic compounds? And how do you screen for potential problems?
The Conference will address all these concerns and enable Clinical Immunologists, Physicians and Specialists within the field of Immunogenicity to discuss the major challenges currently being faced within the pharmaceutical industry.
The focus is on pre-clinical analysis and assessing treatments for clinical development. It will endeavour to look at the assessment of early risks in immunogenicity and the evaluation of in silico tools for determining immunogenicity. With an insight into the safety, development and validation of Monoclonal Antibodies.
Immunogenicity is a hurdle one looks to overcome and with the likes of aggregation being a factor when handling proteins, key sessions on Immunomodulation and Inducing Immunological Tolerance will enable delegates to get an understanding of how to address this and improve probability and efficacy.
From a clinical perspective, the conference will assess consideration and design of biologic therapeutics, clinical implications and review what the clinical outcomes are from using these immune modulatory approaches.
The conference will also look at, how to benefit the patient by assessing efficacy and toxicological concerns alongside the management of immunogenic responses. With regulators supposing that animal studies are not good predictors – how can predictability be shown with pre-clinical in-vitro tools?
Business Benefits:
For those interested in attending there is a £300 discount until the 28th of February. For more information visit the website http://www.smi-online.co.uk/immuno1.asp or contact Fateja Begum on +44 (0) 20 7827 6184 or email fbegum(at)smi-online(dot)co.uk


text:
Read more: Click here to read a longer version of this story
THE story isn't over yet. On 22 October, six Italian seismologists and a civil protection official were sentenced to six years in prison for manslaughter, for falsely reassuring the public that a major earthquake would not happen in the town of L'Aquila. But recorded phone calls involving a more senior official suggest that the whole story has not been told about meetings held after the quake.
Guido Bertolaso, then a chief of civil protection, was being wiretapped as part of a separate police investigation. A newly released audio recording, published on the website of Italian newspaper La Repubblica, seems to show Bertolaso trying to conceal information in the aftermath of the quake. He is heard talking to Enzo Boschi, one of the convicted seismologists, on 9 April 2009 - three days after the quake. Bertolaso appears to order Boschi to conceal information, saying: "At the end you'll file a press release with the usual stuff that you can say on the subject, on the potential of a new one [quake], and you won't mention the real reason for this meeting. All right?"
Franco Coppi, who legally represents one of the convicted seismologists, calls Bertolaso the "great absent member of the trial".
Bertolaso denies telling the seismologists what to say. "The scientific committee is absolutely autonomous and independent," he told New Scientist.
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Constellation Software Inc. (Constellation) provides software services to the public and private sector markets. The company specializes in building and managing software solutions for its targeted segments. The company offers services to People transportation, Healthcare, Moving & storage, Taxi dispatch, School food services, Education (UK), Agri-business, Public housing, Homebuilders, Fleet management, Housing finance agencies, Lease management, Facility management, Municipal treasury, Winery management, Rental Real estate brokers/agencies, Auto, RV, marine & equipment dealers, Justice, Club management, Pulp & paper Utilities, Food services, Manufacturing ERP, Public safety, Construction, Shipping & logistics, Local government, Health & leisure clubs, Supply chain management, School administration, Attractions, Wholesale & distribution, Property tax management, Metal service centers. Constellation operates in two business segments: Public Sector and Private
Author:Bill Thompsone-mailWeb: www.fastmr.comPhone: 18008448156


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Whale watching in Jervis Bay
Stunning Jervis Bay on the NSW South Coast is a great holiday spot, especially during whale-watching season from May to November. Simply find a spot on a headland overlooking the ocean or hop on a tour boat and don't forget to bring your camera!
Must Do
Whale Watching in Jervis Bay
Whale numbers have risen substantially around Jervis Bay in recent years, and whether you're watching from shore or the deck of a tour boat, it's hard not to be awed by their size and their antics. And then there's the length of their actual migration, which is around 5000km on average; the longest migratory journey of any mammal on earth.
Penguin Head at Culburra and the viewing platform in Booderee National Park, located at Cape St George Lighthouse (at the end of Stoney Creek Road) are both great viewing spots in the region and whales have also been spotted from Caves Beach in Booderee National Park, a popular camping spot. Point Perpendicular Lighthouse at the southern end of the Beecroft Peninsula in the Jervis Bay Military Reserve also offers a good vantage point.
Female whales with their calves have been known to frolic in the bay at Hyams Beach, so you could be lucky enough to spot a whale from the beach.
Most whale watching tours have knowledgeable guides who can offer insight on whale and dolphin behaviour. In Jervis Bay, Dolphin Watch Cruises and Jervis Bay Wild run from mid-May to November, and aside from humpback, southern right, mink and Pilot whales, there's the likelihood you'll also spot seals, penguin, albatross and dolphins, which like to swim at the bow of whale watching boats.
For more information on whales visit www.wildaboutwhales.com.au


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It depends.
What features can directv implement and increase revenue? DLB or VOD?
VOD won't make them a dime from me. I'm not interested in it and won't use it...especially on a pay per view type program...even if it is available. That's why I have a DVR. I record the stuff and watch the recordings. That's MY version of VOD.
DLB would probably convince me to get at least one more HR20 for the living room. As it is right now, we get by with one HD-DVR in the family room. It is an HR20 because that was our only option with D*. Given choices I would have opted for a box that had DLB because I have become very accustomed to using it. Instead since I literally "settled" for the HR20 the only room where we have HD is the Family Room and we have 7 rooms with active D* boxes on the account.
You're trying to reduce it to an easy, obvious answer when there are no easy, obvious answers to be had. Individual viewing habits, preferences and manners of equipment usage vary pretty dramatically.


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The Neuromuscular Junction
Graphics are used with permission of A.D.A.M.® Software, Inc. and Benjamin/Cummings Publishing Co.
Page 1. Introduction
• Motor neurons stimulate muscle cells to contract at the neuromuscular junction.
Page 2. Goals
• To examine the structure of a neuromuscular junction.
• To understand the sequence of events occurring at the neuromuscular junction following a stimulus.
Page 3. Role of Motor Neuron
• Axons of motor neurons innervate skeletal muscle cells at the neuromuscular junction.
Page 4. Anatomy of a Neuromuscular Junction
• The following parts of a neuromuscular junction and skeletal muscle cell are described:
Axon terminal Synaptic Vesicles Synaptic Cleft
Motor End Plate T Tubule Sarcolemma
Terminal Cisternae & Sarcoplasmic Reticulum Sarcomere
• Label this diagram:
Page 5. Overview of Neuromuscular Junction Activity
• The muscle cell, including the T Tubules are polarized. Stimulation of the motor end plate on a muscle cell by acetylcholine triggers depolarization resulting in contraction of the sarcomeres.
Page 6. Arrival of Action Potential at Axon Terminal
• When the action potential arrives at the axon terminal voltage-regulated calcium channels open allowing calcium ions to enter the axon terminal.
** Note that when the action potential moves down the axon, there is a reversal of charge from positive out, negative in, to positive in, negative out. This process is called depolarization. The charge then reverses in a process called repolarization. The action potential moves down the axon in a wave-like fashion.
Page 7. Fusion of Synaptic Vesicles
• Presence of calcium ions in the axon terminal cause synaptic vesicles to fuse with the membrane.
Page 8. Release of Acetylcholine
• Acetylcholine is released into the synaptic cleft & calcium ions are pumped out of the axon terminal.
** During the animation note that in addition to the acetylcholine going into the synaptic cleft (blue), calcium ions also move out of the axon terminal (red).
Page 9. Acetylcholine Binds to Receptor Sites
• Acetylcholine binds to receptor sites on the motor end plate, causing an influx of sodium ions and a small efflux of potassium ions which results in a local depolarization of the motor end plate.
** Carefully note the following steps that occur during this animation:
1. Acetylcholine (light blue ball) binds to the acetyl choline receptor (green).
2. The chemically regulated ion channel (purple) opens.
3. Sodium ions, Na+ (gold balls) ,diffuse from their higher concentration (in the synaptic cleft) to their lower concentration (inside the muscle cell). Potassium ions, K+, (bright blue balls) diffuse from their higher concentration (inside the muscle cell) to their lower concentration (in the synaptic cleft).
4. Depolarization of the membrane within the motor end plate.
** What is not shown in this animation is what happens to the positive and negative charge across the membrane during depolarization. Before the membrane is depolarized, there is more positive charge on the synaptic cleft side of the membrane of the motor end plate and more negative charge inside the muscle cell. When the chemically regulated ion channel opens, this charge reverses so now there is more negative charge in the synaptic cleft and more positive charge inside the cell. This occurs because much more sodium (which is positive) enters the cell, than potassium which leaves the cell. In fact, there is so little potassium that leaves the cell through this chemically regulated ion channel that your textbook or your instructor may not even mention it.
Page 10. Breakdown of Acetylcholine
• Acetylcholine diffuses away from its receptor site, the ion channel closes, and acetylcholine is then broken down by acetylcholinesterase.
** Carefully note the following steps that occur during this animation:
1. Acetylcholine (light blue ball) diffuses away from the acetylcholine receptor (green) which is a part of the chemically regulated ion channel (purple). Note that as the acetylcholine falls off the receptor, the ion channel on the receptor closes, preventing further flow of sodium and potassium ions.
2. The acetylcholine binds to the enzyme acetylcholinesterase (aqua-colored).
3. The acetylcholinesterase breaks down the acetylcholine into two pieces, inactivating it.
** Note that after the acetylcholine has broken down, its parts are taken back up into the axon terminal where they can be reassembled into acetylcholine again. This is not shown on the animation.
Page 11. Action Potential Propagation
• An action potential is generated which propagates along the sarcolemma in all directions and down the T Tubules.
Page 12. Calcium Release from Terminal Cisternae
• The action potential causes the release of calcium ions from the terminal cisternae into the cytosol.
Page 13. Contraction of the Muscle Cell
• Calcium ions trigger a contraction of the muscle cell.
Page 14. Neuromuscular Animation
• The sequence of events in the neuromuscular animation are given.
Page 15. Summary
• Each skeletal muscle cell is individually stimulated by a motor neuron.
• The neuromuscular junction is the place where the terminal portion of a motor neuron axon meets a muscle cell membrane, separated by a synaptic cleft.
• An action potential arriving at the axon terminal brings about the release of acetylcholine, which leads to depolarization of the motor end plate.
• Depolarization of the motor end plate triggers an action potential that propagates along the sarcolemma and down the T Tubules.
• This action potential causes the release of calcium ions from the terminal cisternae into the cytosol, triggering contraction of the muscle cell.
Study Questions


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The board of directors oversees the foundation's resources, including the covenant funds and the Assuring Our Future Fund. The board is responsible to protect the funds, to provide financial support to the synagogue as mandated through the covenants, and to work to increase the endowments. In 1998, the board hired a professional fund manager to manage the daily operations of the foundation's investment portfolio. Their compensation is based on a flat rate management fee and not on an individual trade/commission basis. The manager communicates regularly with the president of the foundation board and meets with the directors annually. The foundation's funds and accounts are also subject to annual audits by professional accountants.
The Beth Emet Foundation By-laws authorize that there be 9 directors who are Beth Emet members and elected by the board of trustees of Beth Emet. These directors elect the officers of the foundation. The directors are chosen for their experience and expertise in the fields of finance, law, business, charitable fund raising and management. The board also includes as ex officio members the president of Beth Emet and the senior Rabbi. The directors meet bi-monthly (and are also in regular contact through e-mail and other means of communications) to assess the progress of the funds, to review requests for disbursements, and to direct other business of the foundation. Requests for disbursements from the various funds come from the clergy and professional staff of Beth Emet. Before their approval, the board evaluates the requests for consistency with the financial and other directives, as specified in the particular fund's covenant.
We, the Board of Directors of the Beth Emet Foundation, encourage congregants, as well as others with a special interest in Beth Emet, to leave a legacy, to honor their loved ones or specific interests and to provide support to Beth Emet through the foundation. We encourage your additional contributions, in any amounts, to any of the existing covenant funds, or to the foundation's general Assuring Our Future Fund. We encourage you to meet with our Rabbis, the president of our congregation, or any of the members of the Beth Emet Foundation Board to discuss the creation and initial contribution to and the establishment of a new fund. Because we believe so strongly in the importance of having a Beth Emet Foundation to support the work of our synagogue, its unique programming, and the perpetuation of the Jewish people, we hope that you will consider including Beth Emet in your will and estate plans. For it is only with your help that Beth Emet is able to sustain vital activities, help congregants in need, have a direct bearing on our programming and ultimately impact upon Kol Yisrael and the Jewish people.
We, the members of the Beth Emet Foundation and the Rabbis of Beth Emet would be pleased to meet with you to discuss any questions you might have regarding the Foundation and the establishment of a fund and covenant for that fund.
Sheryl Bartol, Treasurer
Marc Blumenthal, Secretary
Karl Berolzheimer
Scott Hurwitz
Larry Levine
Jeff Mann
Tony Nocchiero
Shari Reiches
Brad Wynn
Beth Emet's website is getting a makeover! Our fresh new design will be user friendly on mobile devices, features a cleaner navigation, a new calendar for daily activities and events, and much more. We can't wait for you to explore! Watch for more details coming soon.


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Power, Beauty, Soul. Aston Martin has incorporated these three words into every vehicle they've produced since 1913. The power of this DB9 comes from a... More
Park Place Aston Martin, the Northwest's home for new and pre-owned Aston Martin, presents this 2001 DB7 Vantage Volante. It is presented in iconic... More
For sale in our Chicago is arguably one of the sexiest cars on the planet a 2006 Aston Martin Vantage. In October 2005... More
REDUCED! RARE 1-Owner 2006 Aston Martin DB9 in a ONE-OF-A-KIND Ferrari themed Azzuro California Blue over Caspian Blue Leather Bucket Seating. Original Sticker Price... More
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2003 Aston Martin Vanquish Domani Motor Cars is glad to present this fantastic 2003 Aston Martin Vanquish! Finished in Silver over Gray leather... More
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Lexus of North Miami is proud to offer this Stunning 2012 Aston Martin Rapide finished in its most desirable Morning Frost White Pearl over... More
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text:
If you are interested in bodybuilding, fitness, and figure you have long had access to the stories of the professionals. Bodybuilding Fitness Figure.com focuses on the stories of the pros of tomorrow, and other amateur athletes, talking to them their judges and competition promoters. Do you think your friend who spends long hours in the gym training should be the focus of one of our stories? Contact us or have them drop us a line or give us a call and we will see what we can do. Muah!
Contact us at firstname.lastname@example.com


text:
Almonte Ontario. Come visit us soon.
ALMONTE IS A SCENIC MILL TOWN on the Canadian Mississippi River, 45 minutes southwest of downtown Ottawa. Our population is about 5,000. Our limestone mill buildings have been re-purposed over the years as galleries, condos, restaurants and office space, while our main street offers boutiques, craft shops, galleries and antiques.
We have several first-class restaurants and a variety of inns and B&Bs, most located in historic structures along the river. We're also home to some fascinating museums, and we host some excellent summer festivals.
Come by and visit soon.


text:
Yemeni students chant slogans and hold a banner that reads in Arabic "We are at your service Prophet of God" during a protest in Sanaa on September 17, 2012. AFP PHOTO/ MOHAMMED HUWAIS
SANAA: Yemeni authorities Wednesday beefed up security around the French embassy in Sanaa after a French weekly published cartoons of a naked Prophet Mohammed, a security official told AFP.
"Security reinforcements were deployed today (Wednesday) around the French embassy in Sanaa," the official said on condition of anonymity. "These measures were taken based on the embassy's request."
Wednesday's publication of the controversial images by the satirical French magazine Charlie Hebdo comes against a background of violent protests across the Muslim world, which first erupted early last week, over an anti-Islam film made in California and posted on the Internet.
The film sparked violent protests also in Yemen.
On September 13, an angry mob of protesters tried to storm the US embassy grounds and clashed with Yemeni security forces, leaving four dead. The embassy has since suspended all consular services for two weeks.
The United States also deployed a 50-strong Marine counter-terrorism unit to Yemen to help protect the embassy in the face of the protests.
Earlier the French foreign ministry in Paris said France would close its embassies and schools in around 20 countries on Friday because of fears of being targeted by angry Muslim protesters after the publication of the cartoons.
Meanwhile, Yemeni cleric Abdul Majid al-Zendani, who is suspected by Washington of financing terrorism, called for legal action against the producers of the anti-Islam film, "Innocence of Muslims."
Zendani, at a news conference, insisted that the Yemeni government "demand Washington's embassy file a complaint against the producers of the film."
He also called on Washington "to officially apologise to Muslims" for the film and for withdrawing "foreign forces" from Yemen.
The US ambassador in Sanaa Gerald Feierstein insisted Tuesday that the Marine reinforcements deployed to Yemen were on a temporary mission with limited duties.
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text: Zimmerman could be the biggest piece of shit in the world for all we know. That does not matter. What matters that the right decision was made BASED on the facts/evidence. If he had been convicted with such a blatant lack of true evidence, it would be yet another step towards the deterioration of this country.


text:
Home > Accessories > Roxy x JBL
First WeSC, then Nixon, now Roxy. Apparently, headphones are where the money's at in action sports and women need their own models. There aren't many looks of this new collabo yet but if you go here, Roxy will send you an email to let you know when these are coming out. Hint, it'll be May.
Just wanna mention that Skullcandy is still the original and the number one…
Totally agree! bored of imitations!
How can you not mention Skullcandy?? they started way back in 2003 in snowboarding. WeSC didn't even have headphones until late 2005. That's TWO YEARS after Skullcandy… Next time some research could be nice maybe?
Name (necessary)
Email (will not be published) (necessary)


text:
Obama says safety lies in opportunity
Paths to jobs seen reducing gun violence
Posted: February 16, 2013 at 5:24 a.m.
President Barack Obama on Friday linked job creation and economic opportunity to reducing gun violence, saying upward mobility creates alternatives to crime.
This story is only available from our archives.
Front Section, Pages 3 on 02/16/2013
« Previous Story
Legion of Christ's records released
Documents detailing the fundraising practices of the Legion of Christ were released to the public Friday, showing how the Roman Catholic religious order took control of an ... Read »
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House: Get tough on North Korea
Congress is weighing in on international condemnation of North Korea's nuclear test, and Republicans are calling on the Obama administration to revamp its policy and take a... Read »


text:
NSMC named Best Hospital by U.S. News & World Report for
the third year in a row
Learn more
Our hospitals – NSMC Salem Hospital and NSMC Union Hospital -- remain open and fully operational, however many afternoon appointments and procedures are being rescheduled. Patients should check with individual practices and services prior to travel.
If you have a question about your appointment, please contact your doctor's office directly. We will keep you updated as more information becomes available.


text:
For the soldiers of Task Force Raven in Afghanistan, the tempo is high, the roads are rough, and the work is dangerous.
The Maryland National Guardsmen, members of the 1297th Combat Sustainment Support Battalion, carry equipment through insurgent-infested territory to combat troops in southern and western Afghanistan.
Such work is helping to create the conditions for the coming handover of the country's security to Afghan forces, U.S. military officials say. As the United States winds down its decade-long conflict, Maryland soldiers and Marines who have served in Afghanistan say they hope their contributions will outlast the American military presence.


text:
By KELLY DANIELS
firstname.lastname@example.com [2]
Local officials are mentoring Starkville students as part of a new initiative to foster leadership skills in youth.
First proposed by Starkville's city clerk Markeeta Outlaw, the Mayor's Youth Council hopes to gain insight on how the political world operates.
Council member Emily Damm, who attends Starkville High School, says since she was sworn in, the group has gone through leadership training, done group trust exercises, been a part of community service and attended meetings of the Board of Aldermen.
"We're learning how the city government works, so we can have better knowledge of government as a whole," Damm said.
Project coordinator Stefanie Shackelford hopes that the students on the Youth Council understand what it means to give back to their community.
"They have a lot of great ideas and projects they want to do for the City of Starkville," she said.
Shackelford, who's worked over 15 years in non-profit youth organizations, said the idea behind the Mayor's Youth Council is invest in tomorrow's leaders today.
"These are opportunities some of us didn't have when we were growing up," she said.
The 25-member program of students from grades, 9th through 12th, was recruited from Starkville High School, Starkville Academy, Starkville Christian and home school programs.
This coming June, seven of those students will be elected to attend the Youth About Businesses entrepreneurial program at Emory University.
Contestants in the regional competition, where the top three winning teams will compete nationally in New York City.
Along with showing the students the inside story on public administrations, Starkville city officials also hope to learn from the Youth Council how it can improve in leadership.
Mayor Parker Wiseman said the Youth Council, promoted by this year's Mississippi Municipal League Conference, could provide city government leaders
with a youth perspective that will be helpful in formulating policy.
The Council has similar expectations.
"Previously, the youth didn't put that much into what was going on," Damm said.
"Now it's easier for the youth to communicate what our needs and wants are, so i think it's going to be very helpful," she said.
[1] http://starkvilledailynews.com/sites/default/files/Mayor's Youth Council.jpg
[2] mailto:email@example.com


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A few months ago they were strangers; full of hesitation, good intentions and fumbling words.
Five months later they stand together as friends; full of joy, proud of the fruits of their labor with affirmation flowing freely from their lips.
We are so proud of all of the entrepreneurs that have worked so hard to graduate from the Paradigm Shift program this month and of the volunteers that have poured so much love, time and effort into the program.
Here are some snapshots of July's graduates.


text:
Jersey Shore
Happy Birthday Pauly D! 10 Reasons We Love the Jersey Shore Star
Jersey Shore's resident DJ, Pauly D, turns 32 today, June 5. In honor of the big day, here are ten reasons we think Pauly rocks.
1. He's funny. We can always count on him to bring the laughs on the show.
2. He's talented. It's no surprise the theme song for The Pauly D Project became a hit on iTunes. Not to mention that record deal with 50 Cent!
3. He's a businessman. Pauly's main focus outside Jersey Shore is his music career, but that doesn't mean he hasn't made good on his famous persona with some sweet branding deals. We love a business-savvy reality star.
4. His muscles. Not to be totally shallow, but um, yeah. We approve.
5. He got a lap dance from Britney Spears. That's an automatic +1000 cool points.
6. He's great at pranks. Remember that time he and Vinny moved the entire inside of the Shore house to the roof? It was awesome.
7. He claims he can't dance. For some reason, we find that very endearing.
8. This video of Pauly being interrogated by the Men In Black. Just watch it. You'll understand.
9. His hair. No one rocks the blow out like Pauly.
10. His bromance with Vinny. This friendship continues to be one of our very favorite parts of the show. How cute are they?
Rebecca Martin is an editor at Wetpaint Entertainment. Follow her on Twitter @BeccaMartin47.
For more on Jersey Shore, Follow us on Twitter and Like us on Facebook.


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Stephen Goldsmith, former NYC Deputy Mayor, was arrested in Georgetown
The wife of former New York City Deputy Mayor Stephen Goldsmith was at the couple's Georgetown home, but did not speak to the press about her husband's July 30th arrest on domestic violence charges.
Margaret Goldsmith told ABC7's Rebecca Cooper she does not want to comment following her husband's resignation. Margaret Goldsmith answered the intercom system at the couple's multi-million dollar Georgetown home.
"Rebecca, nobody is here to talk to you," Mrs. Goldsmith said.
"Can you tell us what happened?" Cooper asked.
"Rebecca, I'm not talking to you and I'm not talking to anybody else in the press. I'm a private citizen and I'm not talking to anybody. So, Josh wrote his story, and that's it. I'm not talking to anybody in the press anymore."
"You don't want to explain the police report?" Cooper queried.
"I don't have to explain anything to you, Rebecca, or anybody else. And I'm not going to," Goldsmith said firmly before hanging up the intercom system.
The New York Post broke the news Thursday that Stephen Goldsmith spent two days in a D.C. jail, after he was arrested and charged with domestic violence in July.
Five days later, on August 5th, the former two-term Mayor of Indianapolis and Harvard academic resigned his position as Mayor Michael Bloomberg's deputy.
The mayor's office said in a statement that Goldsmith was stepping down to pursue private-sector opportunities. Once considered a rising star in the GOP political world, Goldsmith was sharply criticized for his handling of the blizzard last December that left much of New York City shut down.
But Goldsmith refused calls for his resignation at the time, and NYC Mayor Michael Bloomberg defended his Deputy Mayor of Operations.
Now the Mayor's office is being questioned today as to why they didn't reveal Goldsmith's arrest at the time of his resignation.
According to the police report, Margaret Goldsmith called police to the couple's home at 1675 R Street, NW at 11:30pm on July 30th. When police responded, Margaret Goldsmith told officers she and her 64-year-old husband got into "a verbal altercation" that led to her telling him "I should have put a bullet through you years ago."
Margaret Goldsmith told police her husband then slammed her into the kitchen counter, and when she tried to call police, the report says, he broke the phone and grabbed his wife. She allegedly dug her nails into him and ran into another room, where she called the police.
But after he remained in jail for two days, Margaret Goldsmith declined to press charges.
In a joint statement released today by the couple, Margaret Goldsmith insists "there was no crime committed by Stephen or myself; there was no violence nor any physical harm."
Goldsmith now says she is trying to correct the report filed by police, insisting her comments were "misconstrued" and "taken out of context."
Would you like to contribute to this story? Join the discussion.


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Assistant Professor
Department of Operations Management & Information Technology
HEC Paris
Email: lix [AT] hec.fr
Office Phone: +33 (0)1 39 67 72 28
Batiment V, 2eme etage, Bureau 207
1 rue de la Liberation
78351 Jouy-en-Josas, France
Xitong's research interests include how to use online data/information and the identification of causal impacts of using online data/information or social media. Specifically, he has two research streams. One is to use applied econometric (mainly reduced-form) methods for causal inference, and the other is to develop Web technologies and software systems for effectively using online data/services. Xitong holds a Ph.D. in Management (specialized in Information Technologies) from Massachusetts Institute of Technology (MIT), USA and a Ph.D. in Engineering from Tsinghua University, China.
Partial citations of my papers at My entry at
font: normal 1.1em "Lucida Sans Unicode",serif;
background: url(img/quote.gif) no-repeat;
padding-left: 28px;
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Eget feugiat est leo tempor quam. Ut quis neque convallis magna consequat molestie.


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Men's Tennis Falls to No. 49 South Carolina
Feb. 10, 2013
COLUMBIA, S.C. - The 34th-ranked NC State men's tennis team suffered a tough 4-3 loss to No. 49 South Carolina, on Sunday at the Carolina Tennis Center. The Wolfpack won the doubles point, but the Gamecocks won four of six singles matches.
"I'm disappointed that we lost, but we came out with really good energy in doubles play and took care of business," said head coach Jon Choboy. "We were in position to win a few more matches in singles, but we didn't close matches today as well as we have been."
Dave Thomson and Sean Weber completed the first match in doubles play, defeating South Carolina's duo of Chris Cox and Tsvetan Mihov, 8-2, at the No. 1 spot in the lineup. Robbie Mudge and Simon Norenius followed suit at the No. 3 spot, topping Ben Barnette and Thiago Pinheiro, 8-5, to clinch the doubles point for the Wolfpack. Beck Bond and Austin Powell were tied with Kyle Koch and Harry Menzies, 7-7, and the match went unfinished.
"All three of our doubles teams played really well," said Choboy.
The Gamecocks won the first two singles matches to take the lead, 2-1. Mudge fell to Mihov, 6-1, 6-3, and Weber lost to Koch, 6-2, 6-2. Powell collected a victory for the Pack at the No. 2 spot to even the score at two. The sophomore defeated Cox in straight sets, winning the first set 7-6 (5), before claiming the second set, 6-0.
Bond remained undefeated on the season with his win at the No. 6 spot against Menzies. The Meriden, Conn., native dropped the first set, 6-3, but rebounded to win the second and third sets, 7-5, 6-4. Bond's win regained the lead for the Wolfpack, 3-2.
State came up short in the final two matches of the evening, as South Carolina won the matches at the No. 3 and No. 4 spots to claim the win. Norenius suffered his first loss of the season in dual matches to Andrew Adams, 2-6, 7-5, 6-1, while Thomson fell short against Pinheiro, 6-7 (2), 6-4, 6-4.
"We have to learn from this and go back to work to get better," Choboy added.
NC State will return to action on Friday, Feb. 15, when it travels to William & Mary for a 4 p.m. match.
Tennis Match Results
#49 South Carolina 4, #34 NC State 3
Singles competition
1. Tsvetan Mihov (USC) def. Robbie Mudge (NCSU) 6-1, 6-3
Doubles competition
1. Dave Thomson/Sean Weber (NCSU) def. Chris Cox/Tsvetan Mihov (USC) 8-2
Match Notes:
Order of finish: Doubles (1,3); Singles (1,5,2,6,3,4


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Your home may be repossessed if you do not keep up repayments on your mortgage.
The value of pension or investments can fall as well as rise, and you can get back less than you invested.
More than mortgages Ltd is authorised and regulated by the Financial Services Authority Registered in Scotland, Registered No.SC313067


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LANDSCAPE Sectional
Design Studio Roche Bobois. Sectional upholstered in linen and cotton fabric (available in various exclusive Roche Bobois fabrics collection), completely removable slipcovers. Seating in 100% feather duvet on HR foam core. Backrests in 100% feather. Available in various sizes and compositions, straight sofa, sofa bed, armchair and ottoman.
L.281/220 x H.90 x D.93 cm


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The australia.gov.au account has changed
The Australian Government has replaced the existing australia.gov.au account with a new service called myGov. It's easier to use and will get better over time as new services and features are added.
If you have an australia.gov.au account, all you need to do is sign in to myGov using your current user ID and password, accept the terms of use and get started. Your new myGov account will give you access to all your existing services.
If you don't have an australia.gov.au account, visit my.gov.au to find out more or create a new account.
myGov - a fast, simple way to use government online services.
You can continue to visit australia.gov.au for information about Australia and links to a wide range of government information and services.


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Tishbi Preserves Giveaway
May 18th 2011By Hadassah Sabo Milner
We have a great contest for you this week. You could win a selection of Tishbi Winery Fruit and Wine Preserves featuring Chardonnay Wine Jelly, Cabernet Wine Jelly and Cherry Shiraz Preserve and their newest flavor, perfect for summer, Strawberry Champagne Preserve (All under OU supervision).
Peanut Butter and Jelly Slice
June 22nd 2011By Jamie Geller
No-Bake Desserts PLUS Smiley Cookie Giveaway
June 22nd 2011By Jamie Geller
You should know by now that I am not a baker (nor a butcher or candlestick maker) Actually, my grandmother was baker, but the gene skipped me entirely. I really don't like to patchke (fuss fuss fuss) too much in the kitchen. But you knew that already. It's what I'm all about.
Almond Butter and Jelly Slice Passover Dessert
February 26th 2013By Jamie Geller
This fun frozen passover dessert can be made with a macaroon crust for a real special treat.


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Wide receiver definitely a gamer for Bears
Posted: November 17, 2012 at 4:26 a.m.
If there's anybody on the Central Arkansas football team who knows senior receiver Dominique Croom better than most, it's his roommate — junior quarterback Wynrick Smothers.
This story is only available from our archives.
Sports, Pages 21 on 11/17/2012
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Long road traveled for seniors
When Arkansas-Pine Bluff gathers at Golden Lion Stadium at 2:30 p.m. for its final home game of the season today, what happens against Prairie View A&M won't mean much ... Read »
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Hogs and 'Dogs each rely on a Tyler
Today's Arkansas Razorbacks vs. Mississippi State Bulldogs game almost assuredly will hinge on Tyler. Read »


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IOWA CITY, Iowa-- An Eastern Iowa Family is speaking out in the wake of the tragic loss of their little boy in hopes of saving the lives of others. Ten year old Garret Brockway of Burlington died in February, three days after a tree in his families yard fell and hit him on the head.
In the wake of their grief his parents made the selfless decision to donate Garrett's organs and tissues, saving the lives of others.
When Garrett Brockway died, his organs saved the lives of 5 people.
His corneas and tissues enhanced the lives of many more.
His parents have found great comfort in that and are now encouraging others to register to give the gift of life.
"He was very athletic, full of life, his two favorite loves in life were Kit-Kats and the St. Louis Cardinals," said Tiffani Brockway, Garrett's Mom.
Though their 10 year son Garrett is gone, Bruce and Tiffani Brockway know he lives on in each of the people his organs helped saved.
"It's been a bright light in our lives and it brought some positive things out of a tragic situation," said Bruce Brockway, Garrett's Dad.
Two days after a freak accident left their son clinging to life at the University of Iowa Hospital, doctors told them Garrett couldn't be saved. Just minutes after receiving the devastating news, they decided to donate Garrett's organs
"Our feeling was if we can't save our son who else can we save," said TIffani.
At a time when most would be consumed with their own grief, the Brockway's turned their focus to helping others.
"In our hour of despair at the hospital we took great hope knowing families in despair themselves were getting calls of hope. Our prayers shifted from praying for Garrett to praying for his recipients," said Bruce.
Today five people have a second chance of life, thanks to this 10 year old little boy.
Bruce and Tiffani hope their son's gift of life will inspire others to give after they're gone.
The Brockways have already started a foundation in their sons name to raise money for the Iowa Donor Network and to help kids in their community.
For more information on how you can register to be an organ donor go to http://donatelife.net/
Cedar Rapids, Iowa News, Sports, and Weather
10 Year Old Saves Five Lives Through Organ Donation
By Heather Hubbs, Reporter
Most Popular


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Lagos — Foluke, widow of the late former Military Administrator of Lagos State, Gbolahan Mudasiru, has dragged a former Attorney General and Commissioner for Justice in the state, Hairat Balogun and Barrister Adeniran Ajagbe, before a Federal High Court in Lagos, demanding N900 million over an alleged assault.
In a fundamental human rights suit No-FHC/L/CS/729/11, filed by Nnemeka Amaechina, lawyer to Mrs. Mudasiru, the applicant is asking the court to restrain the respondents whether by themselves or by their agents, servants or privies from infringing on her rights to human dignity, liberty in any manner.
In a 15-page affidavit in support of the Motion, the 65- year- old widow stated that on May 17, 2011, parties in a suit over her late husband's property were invited to the Court of Appeal for the purpose of settlement of records in respect of an appeal she lodged at the Supreme Court challenging the decision of the court of Appeal over her late husband's property.
The applicant states "on the said date, we started with examination of the exhibits tendered in the matter which we did peacefully and successfully until we got to the point of examination of two boxes tendered in the matter to which the first respondent allegedly objected."
She stated that the first respondent did not only object to examination of the boxes but allegedly threatened to walk out on all parties involved and even made the exhibit keeper to stop conducting the exercise.
She averred that when she objected and insisted that the first respondent (Ajagbe) should wait until the completion of the exercise, he (first respondent) reacted by violently pushing her out of the way and allegedly dipped his fingers in her nose, twisting her left wrist and gave her several punches.
She averred that while she was recuperating from the injury the first respondent rushed to the Lion Building Police Station and reported the incident claiming she (Mudasiru) assaulted him.
"I have suffered seriously in the hands of the respondents owing to this incident and I verily believe that my fundamental human rights have been violated. The assault left me with serious headache. It affected my spine which made me to have pains from head to toe, hampering my movement", the applicant stated.
The applicant stated that she has been compelled to wear collar around her neck as a result of the injury and urged the court to declare that the assault meted to her constitutes a breach of her fundamental human rights. In a final written address filed on behalf of the applicant, her lawyer submitted that under the facts of the case the first respondent committed grievous assault and battery against the applicant.
He further submitted that by virtue of the relationship of employment, the second respondent is allegedly vicariously liable for the tortuous actions of the first respondent done the course of his employment.
"The assault committed by the first respondent in this case against the applicant is so grievous that it has affected her health seriously. It has caused her physical injuries, discomfort and inconvenience.
The injury has gone beyond to mental and emotional suffering." But in a 49-pragraph counter affidavit dated June 20, 2011, deposed to by Adeniran Ajagbe (first respondent) the respondents through their lawyer, Mr. Osahon Idemudia, stated that since the death of Mudasiru and the subsequent reading of his last Will and Testament by the Probate Registry of the Lagos High Court, there has been ongoing litigation between the applicant (Mudasiru) and five persons named in the Will as executors/trustees of the estate. The respondents added that the applicant has consistently maintained that the Will is a forgery and that all the assets of her late husband both real and personal were to be subjected to her control.
They stated that in the course of the trial, two brief cases containing some of the personal items of the late Air Commodore Mudasiru, which was in possession of the executors, were kept in safe custody at the Montgomery Vaults, Yaba Lagos. They stated that the two brief cases had no evidential value in the suit going by the judgment of the High Court and the Court of Appeal. The respondents added that the inclusion of the second respondent in the suit was an abuse of court process.
They urged the court to dismiss the suit with substantial cost adding that the first respondent was not only assaulted in the course of his discharge of his professional calling but was also put through the financial stress of defending himself. Justice Okon Abang has adjourned the matter till November 10 for hearing.


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November 23, 2011
John Calipari
Kentucky 88
Radford 40
Q. Could you talk about Teague's play tonight?
JOHN CALIPARI: It was good. I told him I'm going to give him one flub a half. He had one where two guys ran out, he looked away and threw it and it didn't quite go out of bounds and he had one in the second half right in front of our bench where he tried to say, Michael, like, ooh, you left your feet and threw it. But one a half we can deal with. So he five assists, two turns. He would have had three other assists but guys weren't prepared to shoot the ball. He thought he played in control, he went when he had to, and now he scores points without trying to score points.
But look, I've got to do a better job with him. This kid is going to do whatever I ask him to do. He's a great kid. I've got to do a better job. I've got to coach him better. I've got to be more prepared to really break down tape with him and show him and talk to him during the games. He's got to be right near me, at least for the next month, and then he'll be fine.
Q. What did you think of Sam Malone's stutter step and then move to the basket?
JOHN CALIPARI: The one he turned over or the lay‑up? It just makes you laugh.
You know what was funny? I walked in the office yesterday night, and he was in the gym shooting. One more of my stars, because you know what, he didn't get in practice that much. If you've been to our practice, he doesn't get on the floor and practice, so he wants to get ready for his opportunity. Brian Long better start doing the same thing. If you want to get out there and do something, then you're going to have to get yourself ready because you're not getting on that floor that much. But I was happy for him. He's a good kid.
Q. You guys posted Joe early on. Is there anything to read into that?
JOHN CALIPARI: No, no, and he missed some baskets he needs to make. But you know, again, we're‑‑ we are what we are right now. We're trying to figure out what we are. I've gone to seven guys, and then Eloy, I'm getting him some spot minutes, but I told Eloy, you have two good games this season knocking people around, blocking shots, you're fine, so don't worry about it. I've got to figure out, and I told Kyle, if you don't come up with balls, Kyle I'm taking you out. Now, he had eight rebounds but he could have had another three or four rebounds.
You know, like I said, we've got a ways to go, but it was a good sign that our point guard was doing what he was supposed to, our zone offense was better, we attacked, we didn't throw it around the perimeter, we got it into the lane. But we've got a lot of work to do. I've got a lot of work to do with this team.
Q. Can you talk about your free throw shooting, how much more improved it was tonight, and also about what you just thought of your brief time you played in the zone?
JOHN CALIPARI: Well, when you're up 30, you can make free throws. I need to know when it's a two‑point game with two seconds to go and you're on national television who's making those, but up 30 you can make them. It's deceiving. I'm happy we did it because when teams look at our stats they start saying, you can't foul them. Good, don't foul us, because that's how they've been playing us to this point.
What was the other question?
Q. About your zone.
JOHN CALIPARI: The zone I wanted to put in, and I think it's something that we need to think about doing some. And we've got to get better than we are right now. We got out of whack a little bit a couple times, but we're‑‑ I'll look at the tape again, and we're going to try to figure out how we've got to play. Because we're long, you think you've got a shot, and someone has got a hand on you, but then we got a rebound. Kyle got that ball jerked from him, and Eloy went in there and rebounded, so maybe Eloy is the middle of that zone if we go zone.
Q. What does a game like tonight do to help you down the road when you play schools like the North Carolinas of the world?
JOHN CALIPARI: I don't know, but here's what I would tell you: After Old Dominion you had a lot of players in there wondering if they were any good and wondering if our team was any good. We play Penn State, we're world beaters, we're beating anybody, where's the Lakers. Then you go to ODU and you're like oh, my gosh, we're not very good and I'm not very good and what is wrong with me. You want them to play well.
For me I've always been this way as a coach: I want people to look at individual players on my team and say, that guy is good and that guy really plays and this guy plays and that guys plays, and yes, I want them to say my team plays hard, they play great defense and they play together. Short of that, I want it to be about individual players playing well. If I can get them to play well and I can get them to play together where they're a team, good things will happen.
What happened up at ODU, we all went our own way and then everybody looked bad. There wasn't a player on the court except Darius that looked like he was a good player.
Q. If Marcus gets one flub per half, what happens on the second flub?
JOHN CALIPARI: I'll probably be very aggressive with him. Depending on time and score, I may take him out, I may not take him out. I had a young man at UMass named Anton Brown, and I used to have three of those flubs in my pocket a game. I knew he'd spin and get it stolen, and he was my only point guard. He was a freshman. He was a two guard in high school. He would spin and get it stolen, and I'd be all right, on the third one, you're all right, and on the fourth one I'd start getting mad. Fifth one I got really mad. But you've got to‑‑ as a kid is learning you've got to give him a couple a half ‑‑ or a couple a game, not a couple a half. One a half‑‑ and he tried. He's trying. He's listening.
Q. Slow start on offense, seemed like defense kind of got things going. What did you like on both ends of the ball?
JOHN CALIPARI: Well, there's two things you can do when a team tries to hold the ball, which is what they were going to do until the shot clock winds down, hopefully make shots: You've got to really bother them. You can't let them just do it because they're not trying to score. So try to steal balls, try to get up in people, try to be active with your hands, block balls and run. After a while you're wearing them out more than they're wearing you out.
But we didn't‑‑ we came down and we walked, we missed a shot, we got a ball tipped from us. It was 4‑0 versus being 12‑0 and then we got going a little bit offensively and made some plays.
But like I said, we are what we are right now. We're still trying to learn, we're trying to figure things out.
Q. You've said a couple times now that you think you've got to play some zone. Why is that?
JOHN CALIPARI: Because I think there's some teams that you can zone that we're going to play that I think we can come down and they want to get into their rhythm of play and we can play some zone.
It's also‑‑ I don't see us giving up wide‑open shots because we're so big. You know, I just don't see it because we're so long and big. I would probably do it with a big lineup so that every shot is a contested shot and it's not bad. I've never had a big zone like that. You think about it, we're 6'10" across the line and Michael Gilchrist has a 7'2" wingspan at one guy, and maybe it's Doron or Marcus at the other guard. I mean, that's a big zone, very big.
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