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I have recently finished writing a book which I feel could be very helpful to people in preparing for ascention and the changes involved; however I seem to be having alot of trouble trying to find someone who actually wants to publish it. I've put everything into writing it over the last six years and if I don't get it published I will be devasted beyond repair. with Ascention just ten months away, something needs to happen fast. The thing that gets me is that I always felt I was being guided to write this to help the world, but it seems I am no longer getting the support guidence I need to actually get it published...
... does anyone have any comment on this?
Views: 453
why should we prepare for something which should just come naturally and in our own time?
Everyone who's "really" gonna be ascending surly will know what to do as they will have gain all the knowledge they will need. maybe the ones who are being herded to this 5 dimension which they speak of could just do with a sheep dog to help instead of a book? xXx
Long time no see Draco
Ebooks are now proving popular. They give the author control and more power to sell their books through a person's own website, rather than facing the knockbacks of a publishing company.
Don't rely on a publishing company. You can 'self-publish' if you have the finances, but if you don't, I'd suggest an ebook and see if you can sell it on some spiritual websites? Offer the owner of the website a commission to help sell it.
Many of us feel we have knowledge that could help many people. I'm also in the same boat as my books are held up with the publishers (self publishers). I'd be very grieved if I can't help people and pass on what I know. It would seem pointless and have no meaning at all. So you are not alone there.
Also ascension is not 10 months away! We are ascending now and growing and learning and changing.
However, changes are no doubt going to happen. Maybe our knowledge could be offered in the new world? Maybe someone in this world might find our book in print, and keep the knowledge stored and use it.
Quote: We are ascending now and growing and learning and changing
Does this mean the spiritual sites are gonna get more quieter from now on and the under takers and gonna be raking it in?
Yes ebooks are popular & the self publishing method :) but the self publishing method can be expensive...and sometimes a waste of time too.
best thing to do is to send your manuscript to an agent and if they accept it, they'd be able to link you to a publisher deal.
The most important thing is to hold faith it will be published; you dont need to know how, state your intention and hold firm, something will crop up through your "trying".
I write alot also :)
Hi star, thats good advice regarding agents... actually I have already contacted some of them about it. If I want to get it published with a big company its pretty much the only option. with self publishing I'll have pretty much no marketing power so no one will ever read it. What do you write about?
self-publish your book through Amazon's Kindle Direct Publishing
or Apple's iBookstore
One way to attract sales is to sell in a very cheap price.
Dunno maybe like a test-sample book so people will have an idea at how you write.
you may also join Affiliate Programs (give commission to marketers) and register your ebooks.
good luck!
I think you already wrote your book to be read around internet by the way of your posted opinions and ideals.
Draco, Do you have resources to self publish & self promote? I recently completed a book venture with author Roger Lanphear of "Spirituality of the Third Millennium" www.thirdmillenniumspirituality.com . This recently released manuscript provides tools for seeing and clearing unhealthy thoughts & patterns with Invocations, Meditations and Practices for right now. We utilize the violet flame. This book was published at Dog Ear Publishing. For $4500 USD we were able to create website, publish and have book ready for sale through e-book and through Amazon.com. We now have book on Facebook and linked with Google Search for a monthly fee. Perhaps you can raise monies for self-publishing. This is challenging route to go but if your book is supposed to sell it will. I would be happy to review and provide comments for you. I hope this helps.
Draco... i would suggest to do what others have said also here, and look for internet publish as an e-book... its easier i think..
for to find a publisher out there to back you up, they need to be sure, or have a hunch, that the book will sell for them to make a profit..
if they know the book wont sell, they wont publish it in any way... u can write the best book in the world for all i know, but it if wont sell, u will never find a publisher... and u can write the silliest mumbo-jumbo but it they know it will sell, they will be open to you and put down the red carpets, for u to walk on...
its sad, but thats out social reality...
Why not give it away? Selling a published book of your thoughts seems silly if you're writing a book on ascension... Especially if you think its purpose is to help the world.... If it is to be help the people that need it. Then if you need $$ in short term - after being affected by your free book, people will come to you for answers/speaking engagements/counseling. Listen to the universe dear DRACO. Much love! Joshua
Thanks for all the answers guys. self publishing might sound like a nice idea but I have zero budget to work with, so seeking representation through an agency is pretty much my only option. Furthermore, with self publishing you basically have no marketing or distribution power so hardly anyone would ever read it that way. By the far the best thing to do is get an agent, as star has said, but that of course is not easy. Hopefully I can do that... if not then I'll be worried...
Atisha, Please take a look at our book."Spirituality of the Third Millennium" is about enlightenment and shifting consciousness. It is for right now. It resonates with A Course of Miracles as it describes how our thoughts work and how to clear thoughts and patterns that no longer work for us utilizing the violet flame technology. This manuscript includes the "Love Connection" has an "Invocation for World Peace". We are slowly getting word out through self publishing and would prefer a publisher pick it up to sell for us. I can e-mail you a pdf of the manuscript. Send your e-mail to Roger through our web link at www.thirdmillenniumspirituality.com and I will forward book for your to review. The Summary, Table of Contents and three Chapters are included in the website already. Thank you for your love, support & consideration.
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The first season in Minnesota's new era of basketball ended in an NIT championship and optimistic glances ahead. The Gophers lose four players from the current team (Austin Hollins, Maverick Ahanmisi and Malik Smith expiring their eligibility and Oto Osenieks retiring), but keep four starters from the postseason run and get a pile of fresh faces in the fall. What's to look forward to? What needs work? Here are a few of my thoughts on the road ahead.
Five things to be excited about:
1. A new banner: No, it's not of the NCAA variety, but it's still the first notable addition to the rafters (that wasn't later removed) since 1993. That's a positive (wrapped in a negative, but it's still a positive).
2. DeAndre Mathieu: The most pleasant surprise of 2013-14 has one more season in Maroon and Gold, and should only improve next season. If the tiny guard has even a similar curve of growth in his senior season, he could be one of the top floor generals in the league.
3. A big recruiting class: After getting a commitment from Illinois State transfer Zach Lofton, the Gophers have six new faces joining Minnesota in the fall. That equals a lot of new personalities and opportunity, even if Lofton has to sit out one season via NCAA rules. It also means after plenty of turnover before last season, this team will look wildly different than the one Tubby Smith last coached just two years earlier.
4. Richard Pitino's offense in Year 2: After a full year to get settled in, things behind the scenes should be smoother for Pitino heading into his second season at Minnesota. He won't be putting in a new system and he'll only have a handful or two new players, rather than a full team. That comfort level should come through on the court, too. Pitino introduced the Big Ten to a free-flowing and occasionally dynamic offense a year ago. Look for him to build on that growth.
5. Josh Martin antics: Let me fill you in, in case you're not aware. This kid has a personality the size of Europe, and he's going to a blast for fans if he gets any notable playing time whatsoever. He's already talked about salivating over the chance to fly all over the boards and "flex for the camera." Yes, that should help pump a little life into the Barn.
Five areas of improvement:
1. Turnovers: No one is calling ball handling a strength for Minnesota at this point, but it's clear the Gophers improve toward the end of the year. A big part of the problem for most of the season was unforced slip ups. But Minnesota turned over the ball on less than 15 percent of its possessions (18.1 percent was the average on the season) in four of the last seven games. Players attributed that, in part, to Pitino upping the "punishment" for turnovers in practice. Near the end of the year, he simply started sending them to strength coach Shaun Brown after he was done with them. Said Mathieu: "I went once. I wasn't going again."
2. Shooting: In 2012-13, Tubby Smith touted his team at the start of the season as the best shooting squad he'd ever had. It certainly seemed as though those Gophers had the pieces, but it never really played out that way. This year's Minnesota team took a step in makings its deep attack a legitimate threat and improving their consistency throughout the year. The Gophers averaged 35.5 percent of their shots from behind the arc after making 33.7 the year before.
3. Center spot: No one saw this coming, right? I mean, at the start of the year it was nice that Mo Walker had lost all that weight, but considering how little he had actually been on the court in the last three years, the arc of improvement he showed in his offensive post moves was really shocking. On the other end, Elliott Eliason played a critical role defensively. With both bigs in their senior season next year, the center spot has gone from questionmark to one of the team's most notable assets.
4. Power forward: The four-spot was far from perfect this season, but despite looking like a black hole at the start of the year, Oto Osenieks and Joey King were both at least serviceable. Both improved and, despite being very undersized had some very positive moments. King finished the year playing as well as he has in his career.
5. Fouling: For the better part of the year, it was one of the more problematic areas of Minnesota's defense (which has plenty of those). There are still adjustments to be made with the new rules still only a year old, but toward the end of the season, Minnesota managed to avoid so many whistles on the defensive end, and stay out of the Big Ten basement in that regard (the Gophers finished tenth in opponents free throw rate).
Five areas that need work:
1. Defense: Good the offense was so capable last season because without all of that scoring, the Gophers' Big Ten record would have been much uglier. Despite a bit of late-season fluctuation and modest improvement after mostly ditching the ineffective 2-3 zone, Minnesota ended the year ranked dead last in the league in defensive efficiency according to kenpom.com. The Gophers' man-to-man still leaves a lot to be desired, and it still remains to be seen whether Minnesota can effectively press Big Ten offenses. The good news is even modest improvement would seem monumental.
2. Leadership: Andre Hollins and Austin Hollins were the expected leaders by way of talent and seniority a year ago, but neither really have the personality for it. Mathieu proved to be one of the guttiest late-game players on the team, but he can also let frustration overcome him if things aren't going his way. Elliott Eliason has become much more vocal, but Walker's second-half surge kept him on the bench a lot more later in the year. Having a guy to pull the team together when its struggling and hunger to take the big shot cannot be understated. The Gophers are still finding that person.
3. Power forward: Last season went better than expected, but there are still plenty of questionmarks. Osenieks forfeited his final year of eligibility because of knee concerns, leaving King as the only power forward on the roster with notable minutes. Charles Buggs should continue to grow but remains very raw. Getting a commitment from Gaston Diehiou, a talented forward currently playing in the Canary Islands of Spain, was huge, but he will likely come to the Gophers more green than a player reared in the U.S. Working out that rotation will be a bit of a project.
4. Small forward: Austin Hollins' departure leaves a huge hole for Minnesota to fill on both ends of the court. Toward the end of the season, the senior was arguably the team's best offensive spark. And all throughout his four years with the Gophers Hollins quietly solidified his role as the defensive juggernaut. Can Carlos "Squirrel" Morris take over effectively? It's the biggest piece missing from the NIT championship team, but it's a notable one.
5. Finding the killer instinct: Minnesota lost five Big Ten games in which they were within four points or fewer at the end of regulation. Had they turned the fate of just a couple of those, the Gophers almost surely would have made the NCAA tournament. Rooted in a conference where the competition isn't going to get any less stiff year to year, Minnesota has got to find a way to win the close ones.
Five predictions:
1. Nate Mason will quickly become an effective sixth man.
2. Mo Walker will start.
3. The Gophers will win nine league games and slip into the NCAA tournament.
4. The power forward spot will be a revolving door.
5. Mathieu will receive All-Big Ten honors.
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subset: commoncrawl


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ok20 wrote:
there is also hentai for every single anime show in existence. This is in accordance with the following rules:
Rule 1: The cuter you are the more likely you will be horribly raped by giant tentacles.
Rule 8: Every chick has a G-cup or is a loli
Rule 10: Every chick has a STD of some sort
Rule 19: All animes have a hentai adaption
Rule 34: If you can imagine it, there is porn of it.
Rule 35: If there isn't, it is your duty to create it.
Rule 56: If you can imagine it, there is also yaoi of it.
Rule 57: If there isn't, wait about five minutes. Some fat fangirl is most definitely working on it.
Rule 63: If you can imagine it, there is reverse gender porn of it.
Rule 89: If two females meet in the hentai, they will either:
A: Proceed to have lesbian sex
B: Fight and then have lesbian sex
C: Have some massive discussion that you fast forward through and then have lesbian sex
D: Have lesbian sex and then have some more lesbian sex
If you gone create an Hentai Be sure that you apply this OK ^^
ahh the rules of the internet i love them so much
going black friday shopping tonight at 12am wish me luck everyone.
ok20 wrote:
Rule 56: If you can imagine it, there is also yaoi of it.
Rule 57: If there isn't, wait about five minutes. Some fat fangirl is most definitely working on it.
That's not always true. I haven't seen a really good "JE-based" yaoi manga yet, just fanfics. They should make a yaoi manga series that parodies a JE group lol
not on crunchyroll anymore..... too busy with life
Getting back on topic, I'll agree with the giant eyes and all but as far as big breast though I'll slightly disagree. From what I've read in psychology men and women alike like what is considered a biological average. That is, there a point where boobs get too big for some guys (and for the girls I don't know). Saying that, it explains why there are some stars out there that get more attention than others and its because of their looks. Their looks are the average looks and tend to attract more people.
We need more threads like this. :D
those male pictures in the OP don't do justice, they have to be guys from a shojo anime. You know, the girly looking guys.
A reward to the one who grabs your babies and smashes their heads on the rocks!
I forget what this topic was about after reading some peoples huge responses and refutations. I'm sussed out.
Yeah I like it because there not cheesy actors (provided you don't watch the ones with horrible Eng dubbing, god awful), and it's not just the hot bodies but the scenarios and the mental stimulation. Hentai is something women should be enjoying, the good productions at least and maybe not so much the gruesome stuff unless some are into that.
It's heaps more believable and very well put together, again I can't say what's good for everyone but if there are any perverted girls there are a few good ones out there.
I shall GB...Sorry not enough of it apparently. My word will be made better....
I do think its fine to appreciate something unearthly once a while. I would rather not get hooked up for I may have a tendency of dating an alien over a real person.
Spoiler Alert! Click to show or hide
I don't want to marry my video game
Heh, nice try!
Fuck it, i like hentai! so wat? its nartural attraction and since no girl wants to show me her boobs unless were in bed(:w00t:) i need porn or hentai. But why oh why do we NEED FUCKING TAOSTER PORN? DAMN YOU RULE 34, DAMN YOU TO FUCKING HELL!!!!!!!!!!!!!!!!
Make a little birdhouse in your soul...and then SHOOT THE F*CKING BIRD!!!!!
It is all in the shape perceived by the brain. The processing creates the reaction of arousal.
I think it's just human fantasising. It's easier to get sexual gratification from a fake fantasy because you can create a perfect ideal rarther than deal with the bad side of being in a relationship with a real woman. So idolising anime girls and reading hentai doujinshi is an outlet for sexual gratification that doesn't involve any risks and provides some people who have trouble with girls someone to love and idolise without being hurt. And anime girl will always love you as long as you keep buying her stuff she'll never call you a disgusting freak or a loser. They just smile and play into whatever fantasy you want to buy off the comic shelf.
The same can be said of idols that people worship in the same way and buy all the photobooks and stuff. One sided relationships with no risk are an attractive prospect.
On the flipside there are people who find sexual gratification in all sorts of weird ways so when you think about it getting turned on by drawings of girls isn't really that strange. Our brains are just programed to release the right chemicals when it recognises female genitalia it's one of our most basic instincts so a drawing produces the same effect.
Lets have a well known anime explain this Hentai question you have to you.
That way you get to watch anime and learn about what people get from cartoon porn.
It's part entertainment (the humorous kind), part sexual arousal for me. I find that some days watching hentai just makes me laugh at how silly the "dirty talk" is, but sometimes it elicits a sexual response. I enjoy watching it.
I agree with earlier posts with respect to neo-darwinistic ideas of instinctive attraction, big eyes, large hips, large breasts, high voices and the like have been scientifically shown to be considered the identifiers for reproductive health, thereby unconsciously, the male gene seeks a mate that he can reproduce with successfully.
I, however am not a male...and although I do appreciate women sexually, it is not the look of the women in hentai that gets me going. I also do not consider the men in hentai to be any sort of ideal in regards to physical appearances. To be honest, my attraction to hentai is completely situational. I like certain genres for situational reasons.
I like the attitude of the women in hentai, who are for the most part, coy, subtle, a bit prudish and constantly "embarrassed" by what's happening to them. I conversely like the men in hentai who are aggressive, forward, demanding or commanding towards their counterparts. Maybe it is because I am not primarily visually aroused sexually, but situationally aroused that makes hentai work for me? I can say that the only thing that separates hentai from live action for me in terms of why I'd rather watch hentai is, the plus side to hentai....no awkward under the balls camera angles, hairy assholes, bad boob jobs and no disfigured lady parts...i.e. meat curtains.
.....yep. I went there.
30 is the new slutty.
on a self-indulgent note:
I really enjoy the overly exaggerated almost to the point of excess "money shots" that are so welcomed in hentai over and over. and over.
30 is the new slutty.
The human male will have strong desires to fuck a plethora of things. If it is female, of breeding age and if it looks like penetration and interbreeding might be possible, the specimen passed the test. In most cases anyway. Then there is the thin layer of men who are pickier or less discriminating.
I remember when I first watched hentai. It was odd at first because I didn't identify drawings as women but gradually my mind proceeded with the leap of faith which, mind you, applies to live action pornography as well as that isn't real either, merely something a screen displays.
If I may refer to Darkphoenix's post above, once your mind identifies the drawings as curvaceous women (or not curvaceous men in the case of a female audience), it becomes infinitely easier to derive pleasure from the drawings or animation based on them. The only difference between live action and cartoon pornography is the similarity to reality on a scale. Being two dimensional, both are rather far from reality, live action porno is just a tad, not a great deal, closer.
The other thing is that hentai is considerably less bound by the laws of nature which, in certain cases, helps tremendously. Not to mention that it would probably be considerably more thrilling to fuck a demi-fiend feudal heiress commanding the armies of hell in a struggle against a demiurge than a girl from a convenience store. You might, however, wish to disagree on that one, as lamentable as such dissent would be.
I guess "anime" people look better then real people to some people.
In these cases people are more attracted to anime then real life
people. Nowadays I think it's normal.
。。Equanimity 。。
i have a few friends who tend to prefer animated over real-life girls. Before i met them, I honestly couldn't comprehend how someone could see any romantic/sexual attraction in drawings. But now I think such behaviour is influenced by how a person is raise and the kind of people that they meet. One of my friends was practically raised on fiction (books, TV, anime, movies, games, etc) and I infer that this has given him unrealistic expectations of other people. Hence why he gets no satisfaction when real girls try to flirt with him or give him "signals". I suppose his ideal romantic interest can only exist in anime and manga.
I don't agree with it being so sexy when the depicted fornication sounds like rubber gloves full of water being squeezed.
You will never have the username Gonad ;_;


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Paras Bhasin death: Girl married under pressure, says father
Satish Mittal, whose name has cropped up in the Paras Bhasin death case, today said that his daughter had married Paras under pressure.
Facing allegations of murder of a tattoo artist who married his daughter, the girl's father today broke his silence and claimed she had married the youth under pressure.
The body of Paras Bhasin (23) was recovered from Pandav Nagar railway tracks on Saturday with police initially claiming it to be a case of suicide.
Paras' family, however, alleged that he was murdered by the girl's family.
They alleged that the girl's father got him killed as he did not approve of the relationship.
Satish Mittal, father of the girl whom Paras secretly married, said, "We are being framed. The allegations are false."
Mittal alleged Paras had tried to commit suicide several times. He said their consent was not taken for the marriage, adding, "My daughter Shelly told me that Paras has threatened her that he will commit suicide".
Mittal said the family was "not completely convinced" for the marriage and so they asked Paras "to get a proper job". "I met Paras only on August 29," he said.
Mittal said his daughter told him about the marriage recently and he did not believe it first.
"It was around August 23 that I came to know that Shelly had an affair with a boy. I did not oppose but I asked her to think again. We were already looking for a groom for her. One day Shelly called me and said she was sitting on the track and was about to commit suicide. I pleaded with her to come back and promised to do whatever she asks me to do," he claimed.
Mittal said it was not right to say they were seeing each other for six years. He said his daughter knew that her family would never have accept an inter-caste marriage.
"We didn't accept the marriage. We never attended it," he said. Two days ago, Shelly had provided police with a suicide note jointly written by her and Paras in August.
Police said they were treating the case as that of murder.


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THE significant missteps in the last three years under the People's Partnership administration raises several questions around their ability to positively manage citizens' lives. Issues to which I refer are violent crime, corruption, abuse of office, a poor health system, lax customer service to the public, poverty, ethical compromises, favouritism and the list can go on and on.
Equally there were also similar governance and management problems under the People's National Movement (PNM).
It may very well be the case that citizens have resigned themselves to the conclusion that no matter who is in office the main goal will be self-interest even if it comes at the expense of quality of life for its citizens. This is evidenced by the fact that there has been no government in the recent past that has given effect to law which dilutes their power into a legislative architecture capable of holding them to account by the people.
It is fortunate for the people of T&T that the media have fearlessly pursued and exposed indiscretions which transcend across all political lines. However, this needs to be supplemented by meaningful constitutional reform initiatives geared towards embedding power in the hands of the people, not every five years, but when pandemic circumstances call for it. I daresay if T&T had been a UK overseas territory, the result would have been a suspension of the T&T Constitution like that which occurred in the Turks and Caicos Islands in 2009 after the discovery of massive corruption and financial misfeasance by ministers.
While suspension of the T&T Constitution may not be an option, I strongly believe we have reached the stage where these issues are so material and pervasive that it warrants international interventions in several obvious areas.
The "old" PNM and the UNC in its current form may no longer be viable alternatives.
In teasing out the future, there may also be problems under other administrations, say for example, the PNM under Dr Keith Rowley or a single Congress of the People (COP) party under Prakash Ramadhar.
The question is how do we address this problem moving forward. It is incumbent upon the aforementioned political leaders to move their parties forward to give the citizens a chance to really have good governance.
Dr Keith Rowley needs to first of all ensure that the Landate matter is put to rest and reject persons from seeking political office who have had any material indiscretions in the past under the "old" PNM.
The COP on the other hand needs to move the party forward on the political philosophy left by Winston Dookeran or espouse a new party philosophy. David Abdulah is currently on the road to fast-tracking the Movement for Social Justice (MSJ) which is an excellent move for a man who has taken a stance against the purported indiscretions he experienced while in government.
The UNC, with its short stint in office, needs to reinvent itself. Anything short of reinvention (shedding of politicians who serve only themselves) can only help the birth of a new PNM, a resurgence of the COP, increasing traction of the MSJ and the eventual desecration of the UNC.
Like other past administrations, the UNC has failed to effectively dilute power back to the people in the form of embedding strong and independent governance institutions, introducing measures for recall of non-performing ministers, establishing codes of ethical conduct, installing right of referendum on topical issues, setting fixed election dates and sufficiently exploring proportional representation as alternate electoral mechanism.
It may be hard to believe, but the political party most likely to secure power will be the one that must be prepared to give it away.
Anand Heeraman
via e-mail


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This is the sort of webpage duel monitors was designed for. HoneyMap live updates the locations around the world which cyber-attacks are coming from and sometimes who they are targeting with beautiful visualizations. There is a world map, blinking yellow and red lights, a live feed, yes – it's got everything you need for your viewing pleasure.
This site is put together via the Honeynet Project which is a volunteer non-profit organization which strongly opposes global security threats and malware; how vigilante of them. Red dots on the map represent locations where attackers are working from and the yellow dots represent locations being attacked. Are you somewhere safe? Are you a hacker? No attacks ever seem to happen in Australia…
So if watching cyber-attacks occur live is your thing, LOOK no further than HoneyMap HERE.
Historian, teacher, writer, gamer, cheat master, and tech guru: follow on Twitter @AndrewC_GZ


text:
Lycra Black Bracelet
Some of the products required to make this item are either out of stock or no longer available.
|Total Cost
|= £0.00
Cut - Cut the Lycra Cord in half (you can make 2 x triple wrap bracelets)
Stretch - You need to stretch the cord so that it will curl up.
Slide - Slide on your charms.
Wear - Tie both ends in a knot and there you have it.
Make sure you get the materials you need to create this design yourself! Click the button below to add everything you need to your basket in one go. You can edit the list too just in case you want to make more than one, or you already have some supplies at home.Get the items you need to make this


text:
Popular 23-year-old singer, Sam Smith whose recent photos shocked everyone as he had drastically reduced weight tremendously. He has finally been able to open up on how he achieved his weight loss. While speaking to E! at the Red Carpet of the 2016 Grammys he had this to say:
ALSO READ: Rihanna Had To Cancel Grammy Performance - See Why
"I've just not eaten like a pig anymore , that's what I'm doing, basically………….It's very very difficult. I love food so much so it's a constant battle. It's always going to be a battle but I'm trying my best."


text:
"So what do you do for a living?"
"Um… a… I'm a pastor."
(Then following that awkward moment of silence to which all pastors are accustomed, in a surprised and tentative tone…)
"Oh… g-r-e-a-t. That's great."
It's a snippet of small talk pastors dread. They are aware that some people wonder why on earth a sane human being would ever consider being a pastor. It's such a "different" line of work that defies 21st century American career categories.
Immediately after folks discover you're a pastor, they wonder to themselves, "What kind of pastor?" Are you an intelligent, open-minded person or an angry, intolerant extremist? Do you get involved in people's everyday lives in the real world, or do you pray all day in an ivory tower only to work on Sundays? Are you a more like a wise counselor or a manic "The End is Near" sign-wielding street preacher?
Every pastor I know is a little hesitant to answer the "What do you do for a living" question because they know it's often awkward for the other person. These pastors are kind, thoughtful, people-pleasing types who want everyone to feel comfortable, and they feel bad when other people don't know how to act around them.
Pastors also get a bad rap because of a small percentage of attention-seekers who act like the moral police of society, spiritual abusers who hurt their congregations, and slick-haired televangelists who dupe gullible people into sending them money in return for promised blessings. These charlatans do not in any way represent the vast majority of pastors. There are 300,000 pastors in the United States who are honest, compassionate, overworked and underpaid leaders in their communities.
Beyond this, I've also found that many pastors don't know how skilled they really are. After working as a full-time Development Director in a nonprofit charitable organization, I can assure you that pastors are incredibly skilled in several areas.
1. Pastors are skilled fundraisers.
I'm not talking about gimmick-dependent televangelists. I'm talking about the average church that gets involved in their community and meets tangible needs. For example, the typical nonprofit obtains half of their revenue from government grants. Churches certainly do not. Pastors who know how to inspire people and raise funds for a cause, without government funding, are far more skilled fundraisers than many executives in the nonprofit world. And, no, these pastors don't fly in private jets. Most pastors in America make about as much as school teachers.
2. Pastors are effective advertisers.
On top of that, pastors are often gifted advertisers. While church is not a business, the same principles of communication that work at Apple also work in church. If a pastor effectively builds anticipation and momentum for a new sermon series or a new ministry, she or he has successfully employed the same skills used by the marketing geniuses at Geico or Anheuser-Busch. While they might lack some of the industry jargon, effective pastors could step into a marketing role in corporate America and likely turn heads with their insight.
3. Pastors are moving speakers.
Then, except for the most silver-tongued of political figures, many pastors I know can give a more moving, soul-stirring speech than nationally known politicians. There are U.S. senators who wish they could give a speech half as good as the average pastor's weekly sermon. Whether the topic is secular or spiritual, effective communication is effective communication, and many pastors are far better at it than they realize.
4. Pastors are among the best leaders.
Finally, when it comes to leadership, and I really mean this, pastors are some of the best leaders on the planet. Why? According to leadership gurus like Peter Drucker, Ken Blanchard, and John Maxwell, it's because they lead volunteers. When a leader depends on volunteers, she or he can't threaten workers with a cut in pay. Instead, an effective pastor leads by inspiration and example, and this is the pinnacle of leadership. Even pastors who consider themselves to be average leaders can beat the socks off of a corporate manager who drags along paid employees only because of a title and fear of a bad review. If you can lead volunteers, you're in the upper echelon of leaders. Period.
So, in spite of awkward introductions at parties, most pastors are giving, selfless leaders who are far more gifted than they realize, and their skills could propel them to success in many fields.
If you're a church-goer, why not send your pastor a thank you email this week? Let her or him know that you appreciate the long hours, the wise guidance, the time they spend with people in the deepest valleys of life, and the way they inspire you to be a better person.
If you are a caring and thoughtful pastor, please here this…
Well done, good and faithful servant. Thank you for working nights and weekends, for your thick skin, for your Mdiv student loans, for your perseverance, for your family's commitment even when it hurts, and for your personal sacrifice that makes people's lives better.
Here's to pastors.


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Numismatic Sculptures
We would highly recommend these limited edition (300), hand-finished castings created by Carroll Gibson. Share your passion for coins with these ten-inch sculptures. Wall mount or display on included fine wood stand.
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For international shipping costs, or other questions, call800 404-9456 or fill in the form below.


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Crunch Network
The broken edtech ecosystem investors once avoided is changing
Previously considered risky investments, it's true that many edtech startups — commonly founded by "teacherpreneurs" hell bent on mending education through tech innovation — either tank or fail to achieve true scale. Why is this the case, when basic reasoning leads us to believe there is no other professional better placed to address the issues facing education… Read More
Powering Smart Content For Publishing Giants, Knewton Lands $51M To Take Personalized Learning Global
Just when it looked like the bubble might be cracking, that venture capital investment in education was stuck in the doldrums, and that the year in EdTech might end with a whimper, no bang in sight, along comes Knewton to put an exclamation point on an active December. Read More
Knewton Prepares To Take Education by Storm [TCTV]
Here at the World Economic Forum in Davos, among the banking, shipping, steel and transport magnates of the global economy, there are a number of technology entrepreneurs floating around. As they rub shoulders with the likes of Eric Schmidt, Sean Parker, Loic Le Meur and Robert Scoble, it's possible to peel them off from the crowd. I managed to catch Jose Ferreira, CEO and Founder of… Read More
Foursquare, Scribd, And Spotify To Be Dubbed 2011 Technology Pioneers At Davos
The World Economic Forum has announced its list of 31 Technology Pioneers for 2011. The Technology Pioneers are its list of up-and-coming startups. Last year's list included Twitter, Playfish, and Boston Power. The year before, Mint, Etsy, and Brightcove were named. Joining the pantheon this year are foursquare, Knewton, Layar, Scribd, and Spotify. However, greentech is equally strong… Read More
Knewton Brings On Ex-AOLer David Liu As COO
Online learning startup Knewton has a new chief operating officer. David Liu, the former senior VP at AOL who spearheaded its Lifestreaming efforts and is also an angel investor (SimpleGeo, BlockChalk), is joining Knewton as COO and a member of the board of directors. Knewton is an adaptive learning platform which raised a $12.5 million B round last April from Firstmark, Accel, Bessemer… Read More
Educational Technology Company Knewton Scores $12.5 Million More
Online educational technology startup Knewton has completed a $12.5 million round of funding led by New York City-based VC firm FirstMark Capital, after securing a $6 million Series B round of financing a little over a year ago. Returning investors include Accel Partners, Bessemer Venture Partners, First Round Capital, and angel investor Reid Hoffman, who are bringing the total of capital… Read More
After Near-Death Experience, Grockit And Its CEO Come Back Strong (Screenshots)
Sitting across from Grockit CEO Farb Nivi, you'd never know that a few months ago he was spending weeks in the hospital and with tubes down his throat after getting hit by a minivan on his Vespa. One of his kidneys burst and half of it had to be removed. His recuperation was slow and painful, and it took a toll on his social learning startup as well. He lost some employees. … Read More
Knewton Bags $6 Million Series B Round For Adaptive Learning Platform
Online educational startup Knewton has raised $6 million in Series B financing from Bessemer Venture Partners and returning investors, which include VC firms Accel Partners and First Round Capital as well as several angel investors who had participated in the $2.5 million Series A round from May 2008, such as LinkedIn founder and CEO Reid Hoffman and Zenbe co-founder Peter Stern. The company… Read More
Knewton Takes Adaptive Learning To The Next Level
Textbooks are so yesterday. Yet student backpacks are still weighed down by them. Replacing those textbooks with software has been one of the great white whales of computing going back at least to Alan Kay's original Dynabook concept 40 years ago (which he is still working on). Today, there are a slew of startups tackling the problem of e-learning (Brightstorm, iKnow, Grockit… Read More
Amazon Names Finalists For $100,000 Startup Challenge
Amazon Web Services has just named the seven finalists for this year's $100,000 Startup Challenge. The prize will go to the most innovative startup built on Amazon's cloud-computing infrastructure. The winner will get $50,000 in cash, $50,000 in AWS credits, and maybe even an investment from Amazon. The finalists are: Read More


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Lenovo ThinkPad X220 (X220T) Tablet Series USB CD DVD RW Drive
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|Lenovo ThinkPad X220 (X220T) Tablet Series USB CD DVD RW Drive Specifications
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July 16-19, 2016
NOTE: Registration is in the lobby of University Center, 63 Fifth Avenue, Manhattan, New York (on the campus of the New School)
Continuing the mission of the past AGI conferences, AGI-16 gathers an international group of leading academic and industry researchers involved in scientific and engineering work aimed directly toward the goal of Artificial General Intelligence (AGI).
AGI-16 @ New York will be held from July 16-19 of 2016, on the campus of the New School in Lower Manhattan.
As a special event for 2016, the AGI-16 conference will be co-located with three other related conferences — BICA-16, the Neural-Symbolic Workshop 2016 and the AI & Cognition Workshop 2016 — as part of the overall Human-Level Intelligence 2016 (HLAI-16) event.
Don't miss this unprecedented joint conference — the largest event dedicated to human-level AI and AGI ever to occur on Planet Earth!
AGI conferences are organized by the Artificial General Intelligence Society, in cooperation with the Association for the Advancement of Artificial Intelligence (AAAI). The proceedings of AGI-16 will be published as a book in Springer's Lecture Notes in AI series, and all the accepted papers will be available online.
See the Call for Papers here. The EasyChair submission page will open in February 2016, and registration will start shortly thereafter.
"Artificial General Intelligence"
The original goal of the AI field was the construction of "thinking machines" – that is, computer systems with human-like general intelligence. Due to the difficulty of this task, for the last few decades the majority of AI researchers have focused on what has been called "narrow AI" – the production of AI systems displaying intelligence regarding specific, highly constrained tasks.
In recent years, however, more and more researchers have recognized the necessity – and feasibility – of returning to the original goals of the field by treating intelligence as a whole. Increasingly, there is a call for a transition back to confronting the more difficult issues of "human-level intelligence" and more broadly artificial general intelligence. AGI research differs from the ordinary AI research by stressing on the versatility and wholeness of intelligence, and by carrying out the engineering practice according to an outline of a system comparable to the human mind in a certain sense.
The AGI conference series has played, and continues to play, a significant role in this resurgence of research on artificial intelligence in the deeper, original sense of the term of "artificial intelligence". The conferences encourage interdisciplinary research based on different understandings of intelligence, and exploring different approaches.


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Many suicidal patients treated and released from emergency departments (ED) fail to follow through with subsequent outpatient psychiatric appointments, often presenting back for repeat ED services. Thus, the authors sought to determine whether a mobile crisis team (MCT) intervention would be more effective than standard referral to a hospital-based clinic as a means of establishing near-term clinical contact after ED discharge. This objective was based on the premise that increased attendance at the first outpatient mental health appointment would initiate an ongoing treatment course, with subsequent differential improvements in psychiatric symptoms and functioning for patients successfully linked to care.
In a rater-blinded, randomized controlled trial, 120 participants who were evaluated for suicidal thoughts, plans, or behaviors, and who were subsequently discharged from an urban ED, were randomized to follow-up either in the community via a MCT or at an outpatient mental health clinic (OPC). Both MCTs and OPCs offered the same structured array of clinical services and referral options.
Successful first clinical contact after ED discharge (here described as "linkage" to care) occurred in 39 of 56 (69.6%) participants randomized to the MCT versus 19 of 64 (29.6%) to the OPC (relative risk = 2.35, 95% CI = 1.55–3.56, p < 0.001). However, we detected no significant differences between groups using intention-to-treat analyses in symptom or functional outcome measures, at either 2 weeks or 3 months after enrollment. We also found no significant differences in outcomes between participants who did attend their first prescribed appointment via MCT or OPC versus those who did not. However divided (MCT vs. OPC, present at first appointment vs. no show), groups showed significant improvements but maintained clinically significant levels of dysfunction and continued to rely on ED services at a similar rate in the 6 months after study enrollment.
Community-based mobile outreach was a highly effective method of contacting suicidal patients who were discharged from the ED. However, establishing initial postdischarge contact in the community versus the clinic did not prove more effective at enhancing symptomatic or functional outcomes, nor did successful linkage with outpatient psychiatric care. Overall, participants showed some improvement shortly after ED discharge regardless of outpatient clinical contact, but nonetheless remained significantly symptomatic and at risk for repeated ED presentations.
Suicide is a significant public health problem,1 and the immediate site of contact with organized health care for suicidal individuals often is the emergency department (ED). The Centers for Disease Control and Prevention estimates that of the approximately 115 million U.S. ED presentations occurring in 2005, at least 4,200,000 (3.5%) were associated with symptoms of a mental disorder.2 This is likely to be a significant underestimation. Other authors estimate the proportion of ED patients who present with mental disorders to be closer to 6%.3 Additionally, the prevalence of suicidal intent in ED patients who present for other "medical" reasons approaches 11%.4 At the same time that significant psychiatric morbidity manifests in large numbers of ED patients, U.S. emergency medical services are increasingly overwhelmed and unprepared to deal with suicidal individuals. ED visits have increased dramatically during recent years while the number of EDs has declined, resulting in higher acuity, increased gridlock, and an increased concentration of patients with psychiatric disorders in the remaining EDs.5,6
As the availability of inpatient psychiatric beds has declined steadily for the past four decades, most patients expressing suicidal thoughts or less dangerous behaviors are not admitted to the hospital and instead are referred to outpatient psychiatric care. However, the clinical trajectory of patients discharged from EDs is poorly understood. Our own preliminary investigation of 100 patients referred from ED to urgent outpatient care demonstrated a "no-show" rate exceeding 90% (Currier G, Caine E, unpublished data, April 2001).
Mobile crisis teams (MCTs) serve as adjuncts or alternatives to ED psychiatric care in a majority of U.S. states.7 MCTs provide psychiatric assessment and crisis stabilization services in patients' homes and other sites with a goal of diverting lower-intensity cases from overcrowded EDs.8 MCT services are associated with relatively high rates of consumer and provider satisfaction,9 although much of the published data concerning MCTs are more than 20 years old. We are not aware of any studies that test the efficacy of MCTs as post-ED follow-up interventions to enhance connection with ongoing outpatient care.
Several previous studies have considered patient or service factors thought to be predictive of successful referral to outpatient mental health treatment.10,11 Positive predictors of initial linkage include reduced wait time for receipt of first appointment and "bridging strategies" that improve information flow between levels of service. Positive predictors of retention in outpatient care include short wait to see a physician and receipt of psychotropic medication early in the treatment course. However, this literature generally does not reflect current barriers to timely access to psychiatric care, when wait times in many community mental health centers are protracted.
Even if barriers to access can be radically reduced, several unanswered questions remain related to the effectiveness of outpatient mental health treatment for suicidal individuals who receive ED care. The current practice of referring almost all suicidal patients from ED to outpatient psychiatric care is predicated on several untested assumptions:
Based on the above assumptions, we hypothesized that MCTs would be significantly more successful at establishing contact with discharged individuals and that people who connected with a first clinical contact after ED discharge would be more likely to establish a continuing course of care, with greater associated improvements in measured symptom and functional outcomes.
This was a rater-blinded, randomized controlled trial to assess the relative effectiveness of using MCTs compared to expedited outpatient psychiatric appointments to link suicidal ED patients to outpatient mental health services after ED discharge. To reduce risk of coercion, at least one member of the ED clinical treatment team provided written attestation that the patient was able to understand the study and was appropriate for inclusion before any member of the research team approached potential participants. After this attestation, research staff described the project orally before obtaining written informed consent, which included a detailed description of the study. The institutional review board at the University of Rochester Medical Center reviewed and approved this study. The National Institutes of Health granted a certificate of confidentiality.
The Department of Psychiatry of the University of Rochester Medical Center operates a regional Comprehensive Psychiatry Emergency Program (CPEP), a state-certified entity that is a component of the ED of Strong Memorial Hospital. The CPEP includes a large, urban psychiatric emergency service, with 24-hour physician coverage, mobile crisis services, 72-hour extended observation beds, and direct access to crisis residence beds in the local community. From December 2002 to November 2007, the CPEP assessed more than 7,500 admitted patients annually and also provided more than 1,500 consultations per year to patients in the general ED. The MCT provides community-based assessments and triage services to approximately 3,500 patients per year. Clinicians and staff of the CPEP have had significant experience conducting clinical drug trials, with a well-developed research infrastructure.
Potential participants included adults (ages 18 years and above) who presented voluntarily or were brought by police ("mental hygiene arrest") to the ED. Treating attending psychiatrists who were unaffiliated with the study assessed patients' need for hospitalization in the course of routine clinical care. All eligible participants who were present for ED evaluation Monday through Friday, 8 am–8 pm, between February 2004 and December 2005 were invited to participate. The presence of suicidal thoughts, plans, or behaviors was necessary for participation, as indicated for English- and Spanish-speaking adult patients by a rating of "1" or higher on the scale by Pfeffer et al.,12 the Spectrum of Suicidal Behavior. This five-item scale rates suicidal behavior within the previous 24 hours and includes ratings of non-suicidal, suicidal ideation, threat, mild attempts, or serious attempts. Potential participants could not already be in regular care with any public or private mental health clinician, were assessed as suitable for discharge from the ED by their treating psychiatrist, and expressed a willingness to accept outpatient follow-up care.
We excluded potential participants if they were less than 18 years old, were not rated as suicidal, were deemed incapable of providing informed consent, or already participated in outpatient mental health treatment. The only a priori diagnostic exclusions involved mental retardation or dementia, either previously diagnosed or suspected. Therefore, people with active substance abuse disorders, personality disorders, psychosis, and a variety of other disorders were included in this study.
To determine symptom and functional status, participants were interviewed by research staff just prior to their discharge from the ED and subsequently in the community or in an office adjacent to the ED at 2 weeks (±1 week) following discharge and again at 3 months (±2 weeks) postdischarge. Each subject received a prepaid grocery store debit card in recognition of time spent participating in the study for each contact: $40 at enrollment, $50 at first research contact (2 weeks), and $60 at second contact (2 months). Figure 1 presents the flow of participants through the protocol.
Independent of these research assessments, ED and mental health service use data were available for study subjects even if study staff were not able to interview participants directly after ED discharge. Patient-level health service usage data in any health system within Monroe County are reported to a central data repository that was available to study investigators. A 6-month time frame was assumed to be the longest window in which a moderate intervention effect would likely be detectable.
Prior to disposition, all patients in CPEP were assessed for suicide risk and appropriateness for discharge by a board-certified attending psychiatrist on service around the clock. Following the consent process and the first study evaluation, which was carried out in a private room in the ED area, participants were assigned to one of the treatment arms. The specific procedure in the CPEP used a preset series of sealed envelopes designed to assure that each subject was enrolled and consented to study participation before treatment assignment was determined. Each envelope contained instructions for outpatient psychiatric clinic (OPC) or MCT assignment, and this information was presented to the patient-subject by the clinical nurse on duty in the ED, who then provided appropriate discharge information to the subject. Research staff remained blind to each subject's treatment assignment.
The experimental intervention consisted of community-based clinical assessment conducted by the MCT within 48 hours of discharge at a location of the subject's choice. "Treatment as usual" consisted of referral by treating physicians to appointments in our crisis OPC, which has a mandatory requirement of offering a first clinical appointment within 5 business days of ED discharge. The content of both the first MCT and OPC appointments was the same and clinical interventions in both groups were guided by the same written manual. This consisted of a review of presenting problems, a reexamination of psychiatric symptoms and attitudes toward treatments, and an assessment of need for further mental health, medical, or chemical dependency services at that point in time. Both MCT and OPC clinicians could refer patients to other forms of continuing care if indicated.
The primary study endpoints included comparisons between groups for rate of linkage into outpatient care (defined as completion of the appointment with either MCT or OPC scheduled before ED discharge and cumulative amount of outpatient mental health clinical contact in the 6 months post–ED discharge) and changes in depression rating scores and functional assessments over 2-week and 3-month intervals subsequent to enrollment. Interviews lasted approximately 1 hour and included ratings of current suicide risk, current depression, overall psychiatric symptoms, and functional status, as well as a qualitative component exploring participants' experience of the trial.
The Spectrum of Suicidal Behavior12 is a clinician-administered five-item screening scale for suicide rated in increasing risk severity from 0 (nonsuicidal) through 4 (serious attempt). The Hamilton Depression rating scale13 is a rater-administered scale of depression severity. This study employed the 17-item version, rated on a scale of 0 (no depression) to 54 (severe depression). The Brief Psychiatric Rating Scale14 is an 18-item rater-administered scale that assesses psychotic symptoms, affective symptoms, and overall psychopathology. The Behavior and Symptom Identification Scale (BASIS-32)15 is a self-reported measure of symptoms and functional health status. Each item is rated on a five-point scale from 0 (no difficulty) to 4 (extreme difficulty). The Scale for Suicidal Ideation16 is a 21-item rater-administered assessment of suicidal thoughts with a possible scoring range of 0–38.
When designing the study, we determined that a total sample size of 120 participants (60 per group) would provide 95% power for detecting a significant difference in anticipated linkage rates between the MCT-intake group (40% anticipated linkage) and the treatment-as-usual group (10% anticipated linkage), using a two-sided alpha level of 0.05.
The study employed intention-to-treat analysis, and all participants who underwent random allocation were analyzed according to group assignment. All data analysis was carried out according to a preestablished analysis plan. Proportions were compared by using chi-square tests with continuity correction or Fisher's exact test when appropriate. Changes in measures between groups over time were assessed using analysis of variance for repeated measures. A two-sided p-value of less than 0.05 was considered statistically significant. Given our expectation that many subjects would potentially be lost to follow-up, we chose to employ a conservative last observation carried forward methodology when analyzing intervention effects.17 Data were analyzed using the SAS 9.1 statistical package (SAS Institute, Cary, NC).
Subject enrollment and retention is presented in Figure 1, and baseline variables are presented in Table 1. Slightly fewer than half of participants were male, while slightly more than half of the participants were white. Diagnostically, most participants were given the diagnosis of "adjustment disorder," suggesting to us that thresholds were not met for other DSM-IV Axis I disorders. The second most frequent diagnosis was "depression, not otherwise specified," a common rubric used in our ED when depressive symptoms are prominently present in the context of one of several co-occurring substance use disorders. The remaining participants were diagnosed with a major mood or substance abuse disorder or an assortment of other diagnoses. A majority of subjects presented with suicidal ideation (with or without plans) or a noninjurious attempt. However, of note, almost one in 10 presented with a more serious attempt regarded as having a higher degree of potential lethality. A substantial proportion of participants had been brought to the ED involuntarily, and several participants received medications while in the ED. Three subjects had undergone physical restraint during the index episode of care. Urine toxicology screens were obtained for participants based both on clinical assessment that raised concerns about intoxication or substance use and on patient willingness to provide a sample. Over half of those tested were positive for cocaine, amphetamines, or tetrahydrocannabinol.
Most participants had significant previous mental health burden and involvement with mental health treatment of some type. A majority endorsed previous suicide attempts, past psychiatric outpatient treatment, current use of alcohol, the presence of at least one chronic medical condition, and past receipt of psychotropic medications. Forty percent had been admitted previously to a psychiatric inpatient service, while a similar number acknowledged current drug abuse, and almost 10% of female participants were pregnant when enrolled. There were no significant differences between groups in any of these variables at enrollment, and no adjustment was necessary for nominated baseline variables. Likewise, no significant differences in baseline clinical ratings were observed.
Of the 120 participants enrolled in the ED, 94 (78.3%) were successfully reevaluated in person by research staff 2 weeks postdischarge, and 76 (63.3%) were evaluated at 3 months (±2 weeks). Research retention rates did not vary by treatment group. Successful contact with the OPC group for research follow-up was 48/64 (75%) at the 2-week point and 37/64 (57.8%) at 12 weeks. For the MCT group, contact was successful in 46/56 (82.1%) at 2 weeks and 39/56 (69.6%) at 12 weeks.
Shortly after enrollment, a clinical staff member erroneously gave an OPC appointment to one subject who had been randomized to MCT. Another subject deteriorated clinically while still in the ED, requiring inpatient admission after randomization but before final ED discharge. Both subject's initial results were carried forth in the study by assigned group in accord with our intent-to-treat analytic approach. No adverse events were reported in either treatment group.
Significantly more MCT participants fulfilled the clinical follow-up appointment (initial "linkage") following ED discharge (39 of 56, or 69.6%) versus participants randomized to OPC (19 of 64, or 29.6%; relative risk = 2.35, 95% CI = 1.55–3.56, p < 0.001). None of the comparisons between linked and unlinked participants shown in Table 2 were significant.
Over the 6 months postenrollment, 38/58 (65.5%) of MCT subjects and 39/64 (60.1%) OPC subjects had at least one repeat ED presentation for a psychiatric complaint. Of subjects who subsequently presented at all to the ED, OPC subjects had a mean of 1.62 visits (SD = ±1.58), whereas OPC subjects had a mean of 1.68 visits (SD = ±1.38, p = 0.84). The mean number of outpatient mental health contacts in the 6 months after enrollment also did not differ significantly between OPC (5.45, SD = ±4.37) and MCT subjects (4.61, SD = ±5.48, p = 0.55).
As shown in Table 3, regardless of study group allocation, participants improved significantly on all measures between enrollment and 2 weeks (±1 week) and 12 weeks (±2 weeks) after ED discharge. There were no differences noted in magnitude of improvement between the MCT and OPC groups in terms of suicidal ideation, overall psychopathology, or functional status across this time period. While these represented statistically robust, clinically relevant improvements, it is important to note that many of the participants remained significantly symptomatic at the 3-month evaluation. For all measures, a statistically significant improvement in scores (p < 0.0001) was demonstrated from baseline to 3 months of follow-up; however, no difference between treatment groups was observed.
To examine the impact of successful first contact by any means, data were reexamined to compare differences in outcomes for participants who successfully linked into first contact versus those who did not, regardless of initial randomization group. As shown in Table 4, there were no statistically significant differences in rates of improvement between the linked and unlinked groups in terms of suicidal ideation, overall psychopathology, or functional status. The differences on the Hamilton Depression Rating Scale between linked and unlinked approached statistical significance (p < 0.06), but apparent differences had little clinical meaning, given the magnitude of the scores. As noted with the comparison of treatment modalities, on average both participants who were linked and who did not link tended to improve over time, although many remained notably symptomatic at the 3-month point.
To our knowledge, this is the first trial to test the effectiveness of MCTs for linking discharged ED patients having suicidal ideas, plans, or attempts to outpatient psychiatric services. Mobile outreach appears to be a highly effective method of contacting suicidal patients who have been discharged from the ED. However, our data indicate that study participants experienced substantial clinical and functional improvements during the ensuing 3-month period, irrespective of treatment assignment or linkage to care. Scores on the Scale for Suicidal Ideation (SSI), in particular, were substantially and meaningfully lower at 2 weeks and did not change at 3-month assessment. Thus, while MCT succeeded beyond our initial expectation to enhance the probability of initial linkage, it apparently contributed little to improving patient outcomes versus OPC. Moreover, there was no evidence that undergoing an outpatient evaluation during the days immediately following ED discharge led to enhanced improvements in symptom or functional measures in this specific group of ED service users.
Our findings challenge several widely held assumptions upon which ED care of suicidal patients is based: 1) linkage to ED aftercare for suicidal patients is necessary for clinical improvement and 2) patients who participate in aftercare, however briefly, are likely to have better outcomes, given that ED care alone is not associated with measurable improvement. The design of the study was sufficiently sensitive to demonstrate clinical and functional improvements, and the rate of subject retention was clearly adequate to meet our assessment objectives. At the same time, many participants remained highly symptomatic, a situation that could lend itself to repeat ED visits if participants were faced with stressful life circumstances.
Our results open a new array of questions for exploration. It appeared that in many instances, the ED visit itself was sufficient to offer a basis for temporary, clinically significant improvement. This finding warrants further exploration—what happens when someone is evaluated, briefly engaged, and discharged? Are there low-cost measures that could be added to enhance such effects? Should all patients be assigned an urgent outpatient appointment, consistent with our current practice, or are there subgroups for whom this approach is unnecessary or even counterproductive? Perhaps it might be more worthwhile to offer appointments only to those who wish immediate follow-up, while providing a "ready-access" telephone contact for appointments when patients call for care. This might mitigate inappropriate reuse of the ED following index contact, and help address the challenging problem of "no-shows," while offering expedited access to care at a time of increased distress. These findings demonstrate the need for rigorous examination of popular but untested assumptions upon which clinical management of suicidal individuals is based.
The study subject sample was heterogeneous in terms of diagnosis and other important personal and social characteristics. This also was a subset of patients who presented for ED services with variable degrees of suicidal ideas, intent, or behavior, but who were all evaluated as sufficiently stable and safe for discharge. Our study design, sampling strategy, and questions differed from other ED based studies,18,19 making it difficult to compare results. At the same time, our findings invite careful consideration of the degree of "regression to the mean" whenever studying clinical improvement in a population as diverse, and potentially unstable, as suicidal ED patients.
Our sample was relatively small, and suicide is a rare event. Thus, the results of this study do not address the longer-term occurrence of suicide, or attempted suicide, in this group of individuals, nor can they be extrapolated to all patients treated for psychiatric disorders in the ED. Given the circumscribed scope of our evaluations, it was possible that a variety of positive or negative outcomes could have occurred that we did not measure. Finally, given the relatively high number of dropouts from care, the intention-to-treat method may bias results. To address this concern, we reanalyzed data according to actual group assignment and found no significant differences in our results (data not shown).
Community-based mobile outreach was a highly effective method of contacting suicidal patients who were discharged from the ED. However, establishing initial postdischarge contact in the community as opposed to at the clinic did not prove any more effective at enhancing symptomatic or functional outcomes, nor did successful linkage with outpatient psychiatric care. Overall, participants did show some improvement shortly after ED discharge regardless of outpatient clinical contact, but nonetheless remained significantly symptomatic and at risk for repeated ED presentations.
The authors express their gratitude to Paul Winters, MS, for his statistical support. Dr. Currier had full access to all of the data in the study and takes responsibility for the integrity of the data and the accuracy of the data analysis.
Supported, in part, by grant K23MH064517 (G. Currier, PI) from the National Institute of Mental Health and in part by grant P20 MH71897 to the NIMH/NIDA-funded Center for Public Health and Population Interventions for Preventing Suicide (E.D. Caine, PI).
Presented at the American Psychiatric Association, Institute on Psychiatric Services annual conference, New Orleans, LA, October 2007.
PubMed Central Canada is a service of the Canadian Institutes of Health Research (CIHR) working in partnership with the National Research Council's national science library in cooperation with the National Center for Biotechnology Information at the U.S. National Library of Medicine(NCBI/NLM). It includes content provided to the PubMed Central International archive by participating publishers.


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I know that this site is primarily dedicated to improving you vertical jump, but it's also important to pay attention to other forms of training. My next goal in terms of fitness is to be able to do 20 full pull-ups in a row. My record so far is 15, but unfortunately that was from a few years ago. I'm starting at about 6 right now (I know, I've been lazy over the past couple years) and I'll be working my way up.
I've decided that I'm going to follow a specific program that's designed to help you get to 20 pull-ups. If you're interested in trying it for yourself you can find it here. I believe this program has been around since 2009, but this is my first time trying it out.
Something that surprised me is that the workouts are actually pretty short and you only need to do them 3 times per week. That's definitely manageable! This setup should allow the body to get used to doing pull-ups without causing overtraining.
Here's a video of a guy who followed the program. I think he actually does 32 reps in the video. Nice!
Rock Climbing to Stay in Shape
The thing that actually motivated me to try the 20 rep pull-up challenge was that I started rock climbing with a few of my friends. At the moment, I'm going to an indoor climbing gym that has some nice 80 foot walls. If you're interested go to Google and search for "indoor rock climbing" or something like that. Google should give you locations on a map if there are any in your area.
Rock climbing is not something that had really crossed my mind until my friend invited me along. To tell you the truth, it's actually pretty addicting. It's a really great feeling when you finally get to the top of a new route. The rocks are set up in routes that you follow which provides an easy way to monitor your performance and progress. Each route is usually labeled with a level of difficulty which is nice, too.
If you're looking for a good way to stay in shape I would definitely try to find an indoor rock climbing facility near you. It's an awesome way to train your entire body and build up some endurance.
Also, don't forget to take the 20 rep pull-up challenge. I'll update all of you in the coming months with my results. I'm hoping it will benefit my climbing abilities as well.
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What does occlusal mean?
Definitions for occlusaləˈklu səl, -zəl
Here are all the possible meanings and translations of the word occlusal.
On the side of a tooth which mates with the opposing tooth.
Chaldean Numerology
The numerical value of occlusal in Chaldean Numerology is: 2
Pythagorean Numerology
The numerical value of occlusal in Pythagorean Numerology is: 5
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Two students injured in bus accident
Bus leaving John Marshall High School is involved in an accident, injuring two of its passengers.
Published 3:40 pm, Friday, October 16, 2009
Two students were injured Friday afternoon when a school bus was involved in a minor accident a few blocks from John Marshall High School, authorities said.
One of the high school students complained of neck pain, while the other told school officials he injured his arm, said Pascual Gonzalez, spokesman for the Northside Independent School District.
Gonzalez said the accident occurred around 4:30 p.m. when a car broadsided the bus at Redbird and Deer Lane. He said the bus, which was carrying 30 to 40 students, had just left the school to take the students home.
Details of how the accident occurred weren't immediately known. It also was immediately unknown if the driver of the car was injured.
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Gonzalez said emergency medical service was requested, but that it was unknown if the students required hospitalization.
He said another bus was requested to the uninjured students home.


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Category: Young Adult Nonfiction - History - United States - 20th Century; Young Adult Nonfiction - People & Places - United States - African American; Young Adult Nonfiction - Social Topics - Prejudice & Racism
Imprint: Beacon Press
Format: Trade Paperback
Pub Date: November 2013
Price: $15.00
Can. Price: $20.00
Pages: 272
Also available as a
From "Black and White Together"Faced with diminishing adult support for protests in Birmingham, in 1963 Dr. King turned to the city's young people. James Bevel of the Southern Christian Leadership Conference (SCLC) suggested recruiting local students to participate, reasoning that since they did not have jobs to lose, they would be more willing to risk arrest. After being trained in the principles of nonviolence, more than one thousand African American students skipped their classes on May 2 and gathered in downtown Birmingham, marching directly into police lines to demand desegregation of local businesses, public facilities and restaurants. While hundreds were arrested and jailed, many more young people returned the next day to take their places. In the ensuing confrontation, T. Eugene "Bull" Connor, Birmingham's commissioner of public safety, ordered fire hoses and police dogs to be unleashed on the unarmed protestors. Here, Dr. King recounts the "Children's Crusade" and other important events that led to the end of segregation in Birmingham.After eight days of imprisonment, Ralph Abernathy and I accepted bond to come out of jail for two purposes. It was necessary for me to regain communication with the S.C.L.C. officers and our lawyers in order to map the strategy for the contempt cases that would be coming up shortly in the circuit court. Also, I had decided to put into operation a new phase of our campaign, which I felt would speed victory. I called my staff together and repeated a conviction I had been voicing ever since the campaign began. If our drive was to be successful, we must involve the students of the community. In most of the recent direct-action crusades, it had been the young people who sparked the movement. But in Birmingham, of the first four or five hundred people who had submitted themselves to arrest, two-thirds had been adults. We had considered this a good thing at the time, for a really effective campaign incorporates a cross section of the community. But now it was time to enlist the young people in larger numbers. Even though we realized that involving teenagers and high-school students would bring down upon us a heavy fire of criticism, we felt that we needed this dramatic new dimension. Our people were demonstrating daily and going to jail in numbers, but we were still beating our heads against the brick wall of the city officials' stubborn resolve to maintain the status quo. Our fight, if won, would benefit people of all ages. But most of all we were inspired with a desire to give to our young a true sense of their own stake in freedom and justice. We believed they would have the courage to respond to our call.James Bevel, Andy Young, Bernard Lee and Dorothy Cotton began visiting colleges and high schools in the area. They invited students to attend after-school meetings at churches. The word spread fast, and the response from Birmingham's youngsters exceeded our fondest dreams.By the fifties and by the hundreds, these youngsters attended mass meetings and training sessions. They listened eagerly as we talked of bringing freedom to Birmingham, not in some distant time, but right now.We taught them the philosophy of nonviolence. We challenged them to bring their exuberance, their youthful creativity, into the disciplined dedication of the movement. We found them eager to belong, hungry for participation in a significant social effort. Looking back, it is clear that the introduction of Birmingham's children into the campaign was one of the wisest moves we made. It brought a new impact to the crusade, and the impetus that we needed to win the struggle.Immediately, of course, a cry of protest went up. Although by the end of April the attitude of the national press had changed considerably, so that the major media were according us sympathetic coverage, yet many deplored our "using" our children in this fashion. Where had these writers been, we wondered, during the centuries when our segregated social system had been misusing and abusing Negro children? Where had they been with their protective words when, down through the years, Negro infants were born into ghettos, taking their first breath of life in a social atmosphere where the fresh air of freedom was crowded out by the stench of discrimination?The children themselves had the answer to the misguided sympathies of the press. One of the most ringing replies came from a child of no more than eight who walked with her mother one day in a demonstration. An amused policeman leaned down to her and said with mock gruffness: "What do you want?"The child looked into his eyes, unafraid, and gave her answer. "F'eedom," she said. She could not even pronounce the word, but no Gabriel trumpet could have sounded a truer note.Even children too young to march requested and earned a place in our ranks. Once when we sent out a call for volunteers, six tiny youngsters responded. Andy Young told them that they were not old enough to go to jail but that they could go to the library. "You won't get arrested there," he said, "but you might learn something." So these six small children marched off to the building in the white district, where, up to two weeks before, they would have been turned away at the door. Shyly but doggedly, they went to the children's room and sat down, and soon they were lost in their books. In their own way, they had struck a blow, for freedom.The children understood the stakes they were fighting for. I think of one teenage boy whose father's devotion to the movement turned sour when he learned that his son had pledged himself to become a demonstrator. The father forbade his son to participate."Daddy," the boy said, "I don't want to disobey you, but I have made my pledge. If you try to keep me home, I will sneak off. If you think I deserve to be punished for that, I'll just have to take the punishment. For, you see, I'm not doing this only because I want to be free. I'm doing it also because I want freedom for you and Mama, and I want it to come before you die."That father thought again, and gave his son his blessing.The movement was blessed by the fire and excitement brought to it by young people such as these. And when Birmingham youngsters joined the march in numbers, an historic thing happened. For the first time in the civil-rights movement, we were able to put into effect the Gandhian principle: "Fill up the jails."Jim Bevel had the inspiration of setting a "D" Day, when the students would go to jail in historic numbers. When that day arrived, young people converged on the Sixteenth Street Baptist Church in wave after wave. Altogether on "D" Day, May 2, more than a thousand young people demonstrated and went to jail. At one school, the principal gave orders to lock the gates to keep the students in. The youngsters climbed over the gates and ran toward freedom. The assistant superintendent of schools threatened them with expulsion, and still they came, day after day. At the height of the campaign, by conservative estimates, there were 2,500 demonstrators in jail at one time, a large proportion of them young people.Serious as they were about what they were doing, these teenagers had that marvelous humor that arms the unarmed in the face of danger. Under their leaders, they took delight in confusing the police. A small decoy group would gather at one exit of the church, bringing policemen streaming in cars and on motorcycles. Before the officers knew what was happening, other groups, by the scores, would pour out of other exits and move, two by two, toward our goal in the downtown section.Many arrived at their destination before the police could confront and arrest them. They sang as they marched and as they were loaded into the paddy wagons. The police ran out of paddy wagons and had to press sheriff's cars and school buses into service.Watching those youngsters in Birmingham, I could not help remembering an episode in Montgomery during the bus boycott. Someone had asked an elderly woman why she was involved in our struggle."I'm doing it for my children and for my grandchildren," she had replied.Seven years later, the children and grandchildren were doing it for themselves.
Excerpted from A Time to Break Silence by Martin Luther King, Jr. Copyright © 2013 by Martin Luther King, Jr.. Excerpted by permission of Beacon Press, a division of Random House LLC. All rights reserved. No part of this excerpt may be reproduced or reprinted without permission in writing from the publisher.
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Fiji Time: 9:56 PM on Tuesday 20 February
/ Front page / Sport
Tuesday, January 07, 2014
MILAN - Serie A leaders Juventus remain on course for a third straight title after posting a 3-0 victory over second-placed Roma, who were forced to play with nine men for the final 13 minutes on Sunday.
It was a 10th successive win for Antonio Conte's team and extended their lead at the top of the table to eight points at the halfway stage of the season. It was Roma's first loss of the season.
Juventus were in complete control following goals from Arturo Vidal and Leonardo Bonucci but Roma were still fighting to get back in the game.
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