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Been Around A While
Join Date: Feb 2009
Location: South West UK
Posts: 395
I'm having a few problems with Charlie Boy, recently hes taken to barking at the front window that looks out onto the street. Hes barking at people going into their houses and walking past the house. But hes getting himself into a real state thats hard to break him out of. He has also started barking at my parrot and jumping at the cage.
He used to respond to the 'stop' command but its no longer working, as a pup i used a water spray and the command to jolt him out of an action i didnt like until he responded to the command alone. He does react and stop to the hiss produced by the air cannisters you can buy, but my lab is scared of it so i dont really want to use it.
any ideas? our neighbours were reported to the council because their westie barked at night and i dont want any trouble with charlie, we have enough problems because of the way he looks. hes such a lovely boy and other than this which has popped up we've not had any issues with his training.
Been Around A While
Join Date: Jan 2008
Location: Eastern Iowa, USA
Posts: 3,673
Remind me of CB's breed! Dogs with HIGH pray drive are harder to control in this kind of thing. Also, what kind of "tells" are you getting from him?
It's always best to stop the behaivor the split-second it starts? When Patchs starts barking at someone, I react at the same second that the first bark comes out of her mouth. I use the word "ENOUGH" followed by, "WATCH UM" .... in the beginning I would sit by her at the window and have my hand on her back. When she barked i'd tell her NO and then WATCH UM. When she understood that she was NOT to bark, I changed the word to "ENOUGH"
I don't mind her telling me that someone is outside, I just want her to bark once and then be quiet.
It's worked well, b/c now if I think I hear something I just say, "WATCH UM" and she'll go to the window and looks to see if someone is there.
- Michael -
Full of Life ... and Herself - Visit PATCHS' Website
Loving Friend & Faithful Companion - Visit NEKA's Memorial Website
My Little Buddy for 15+ Years - Visit CHIP's Memorial Website
Been Around A While
Join Date: Jul 2008
Posts: 1,517
Totally agree! It is possible to teach them what you want them to bark at. Monte Kibbles has started up yet again with the mournful (loud) howling when I let the boys out for first call. WHY does he get this way sometimes I have no clue but OMG it would tear your heart out to hear him! I have to stay close to him to let him know I'm still close. He's recently gone blind
Sharon - Mom to Mozart, Monte, Merlin and Mylee! my boyz!
Been Around A While
Join Date: Feb 2009
Location: South West UK
Posts: 395
he's a PBT/staffie (we think) vet says no but the rspca say he is, either way hes my best boy
we seem to have gotten somewhere, hes now stopping with just a vocal command the 'stop' command which i use as a general all rounder for unwanted behaviour. everyone now and then he manages to sneak a bark in, but it was the frantic state he would get into i was trying to stop. hes gone into it once since ive started with the retraining which is pretty good. he snapped out of it fairly fast with my handy water spray in action.
when im not letting him bark he dashes around whining, its like he has to bark, the stage we are at now he no longer makes a noise at people walking past or going into neighbouring houses. hes allowed to watch but as soon as he tenses up he gets the 'stop' or 'come away' command.
every time charlie barks my lab runs out of the room, he wants no part in it!
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text: Sijun Forums :: View topic - Ship at sea Log in to check your private messages Sijun Forums Forum Index >> Work in Progress View previous topic :: View next topic Author Topic : "Ship at sea" Eorandjunior memberMember #Joined: 01 Dec 2000Posts: 35Location: Finland Posted: Fri Jan 05, 2001 11:57 am Ok here it goes... all or nothing... Some ship at sea, hope you dont feel nausea Please give me some tips how to improve it. -Eorand Back to top AwetopsymemberMember #Joined: 04 Oct 2000Posts: 3028Location: Kelowna Posted: Fri Jan 05, 2001 1:44 pm The truman show!!! I watch way too much tv I really like the waves.... and the noise at the crest of each wave but I think the boat needs some work... put "S.S. Minnow" on it. ------------------ I think Im wearing out my CTRL-'z' http://noelsart.cjb.net Back to top ZenDrag0nmemberMember #Joined: 31 Dec 2000Posts: 119Location: Olympia, WA, USA Posted: Fri Jan 05, 2001 1:56 pm The mast pole or whatever it's called doesn't match the perspective of the hull. Add some more contrast, stormy seas tend to be darker, as well as the sky. Love the crest of the waves too. This is a beautiful start. Back to top Eorandjunior memberMember #Joined: 01 Dec 2000Posts: 35Location: Finland Posted: Sat Jan 06, 2001 12:57 am Thanks for comments. BTW, there IS "S.S Minnow" on it but it reads only on back plane Yeah, I agree that I left the boat a bit coarse. I became addicted to those waves also. Here is little revised version. I added some darker colors to sky and fixed the boats perspective. I should also correct the mast and the sail. Sail should be piled down and hanging from the "bom". [This message has been edited by Eorand (edited January 06, 2001).] Back to top EviLToYLeTmemberMember #Joined: 09 Aug 2000Posts: 1216Location: CA, USA Posted: Sat Jan 06, 2001 9:11 pm Everything looks a little grayish. I think you need a little more color variation in the color. The pictures a bit "washed out" as everything has a greyish tone to it. Lado, the mast needs a litlte bit more shading... folds perhaps? (when the wind hits somethign at full blast..it usuall sends ripples through the cloth) Hope its been helpful. Back to top BrueGuestMember # Posted: Sat Jan 06, 2001 11:58 pm the mast is still a bit off. It kinda looks like it is on the edge of the boat and not angled as much as the boat. if that makes any sense at all Back to top Display posts from previous: All Posts1 Day7 Days2 Weeks1 Month3 Months6 Months1 Year Oldest FirstNewest First Sijun Forums Forum Index -> Work in Progress All times are GMT - 8 Hours Page 1 of 1 Jump to: Select a forum Digital Art----------------Digital Art DiscussionWork in ProgressGallery/Finished Work Miscellaneous----------------Random MusingsArchive : Sep99 - Dec00 You cannot post new topics in this forumYou cannot reply to topics in this forumYou cannot edit your posts in this forumYou cannot delete your posts in this forumYou cannot vote in polls in this forum Powered by phpBB © 2005 phpBB Group

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Phyllodes Tumor Partial Breast Radiation Study
|The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Know the risks and potential benefits of clinical studies and talk to your health care provider before participating. Read our disclaimer for details.
|ClinicalTrials.gov Identifier: NCT01089374
Recruitment Status : Recruiting
First Posted : March 18, 2010
Last Update Posted : July 30, 2018
- Study Details
- Tabular View
- No Results Posted
- Disclaimer
- How to Read a Study Record
In 2008 a research study conducted by Dr. Barth involving 46 women determined that whole breast radiation therapy performed after a lumpectomy of borderline and malignant phyllodes tumors decreases rate of recurrence. None of the 46 participants developed a local recurrence.
Based on information we have learned from research studies, we recommend whole breast radiation therapy for women with malignant and borderline phyllodes tumors after they receive a lumpectomy.
New methods for delivering breast radiotherapy are being developed that allow radiation to be delivered solely to the site of the surgical resection. This is called partial breast radiation. The main advantage of partial breast radiation is that it simplifies treatment for the patient. Radiation is delivered twice a day for 5 days, rather than 5 days per week for 6 weeks. The main concern is that partial breast radiation might miss other sites of breast cancer in the breast receiving the radiation.
Evidence is accumulating from research studies that partial breast radiation therapy after surgical removal of the more common type of breast cancer, invasive ductal carcinoma, the breast results in rates of local recurrence that are comparable to those seen after whole breast radiation therapy.
In contrast to patients with invasive ductal cancers of the breast, it is very rare for patients to have phyllodes tumors that appear in more than one area of the breast. Review of research data determined that cancer recurrences seen in patients with phyllodes tumors that had undergone lumpectomies were almost always at the original tumor site. Therefore, partial breast radiation is likely to be as effective as whole breast radiation therapy after resection of malignant phyllodes tumors.
The purpose of the study is to determine what the chances are that a phyllodes tumor will recur in the breast when the breast is treated with partial breast radiation therapy after a lumpectomy.
|Condition or disease
|Phyllodes Tumor
|Radiation: Partial breast radiation after lumpectomy
|Not Applicable
|Study Type :
|Interventional (Clinical Trial)
|Estimated Enrollment :
|50 participants
|Intervention Model:
|Single Group Assignment
|None (Open Label)
|Primary Purpose:
|Official Title:
|A Prospective Study of Partial Breast Adjuvant Radiation Therapy After Resection of Borderline and Malignant Phyllodes Tumors
|Study Start Date :
|January 2010
|Estimated Primary Completion Date :
|January 2020
|Estimated Study Completion Date :
|January 2020
Partial breast radiation after lumpectomy
Radiation per NSABP B-39/R0413 protocol.
Radiation: Partial breast radiation after lumpectomy
Radiation therapy will be administered in the vicinity of the center where the surgical resection was performed. Adjuvant radiation must start within 12 weeks of breast excision or re-excision. The radiation oncologist can choose between two methods of partial breast irradiation (PBI): external beam partial breast radiation or Mammosite® brachytherapy, based on radiation oncologist and patient preference. Radiation will be administered per guidelines used in the NSABP B-39/RTOG 0413 protocol.
- Local Recurrence [ Time Frame: every 6 months for 5 years after initial resection ]the primary objective is to determine the local recurrence rate for patients with borderline or malignant phyllodes tumors treated with breast conserving resection with negative margins and adjuvant partial breast radiation therapy.
- Local recurrence after radiation [ Time Frame: every 6 months for 5 years after initial resection ]The secondary objective is to compare the local recurrence rate observed after partial breast radiation therapy with that observed in historical controls treated with whole breast radiation therapy after breast conserving resection with negative margins.
Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the contacts provided below. For general information, Learn About Clinical Studies.
|Ages Eligible for Study:
|18 Years and older (Adult, Older Adult)
|Sexes Eligible for Study:
|Accepts Healthy Volunteers:
Inclusion Criteria:
Histologic proof of phyllodes tumor of borderline or malignant grade, as first defined by Pietruszka and modified by Azzopardi and adopted by the World Health Organization (1,2,17):
- Borderline malignant: 5-9 mitoses/10 HPF, pushing or infiltrating margins, 2+ (moderate) stromal cellularity and atypia.
- Malignant: 10 or more mitoses / 10 HPF, predominantly infiltrating margins, usually 3+ (severe) stromal cellularity and atypia but occasionally 2+.
- The tumor has been excised with a breast-conserving resection and there is no tumor seen at any of the margins of the resection.
- No prior breast carcinoma or ductal carcinoma in situ in the ipsilateral breast. Patients with a local recurrence of a previously excised phyllodes tumor are eligible if the recurrence is in the area of the previous excision.
- No history of irradiation of the ipsilateral breast.
- No evidence of other areas worrisome for cancer on physical examination and mammography of the ipsilateral breast.
- Age >18 years.
- Informed consent.
Documentation that either:
- the patient's medical insurance company has certified that they will pay for the cost of radiation therapy treatments, or
- a letter from the patient indicating that they explicitly understand the costs of radiation therapy and that the sponsor (Principal Investigator) of this study will not be held responsible for these costs.
Exclusion Criteria:
- Histologically positive margins.
- Breast carcinoma or ductal carcinoma in situ in the ipsilateral breast.
- A history of irradiation to the ipsilateral breast.
- Pregnancy. A urine pregnancy test will be performed on each fertile premenopausal female prior to entry into the study. Patients with childbearing potential must employ effective contraception during the radiation therapy.
- A radiation planning CT scan which demonstrates a target lumpectomy cavity that is not clearly delineated or a target lumpectomy cavity/whole breast reference volume > 30%.
- Unacceptable radiation therapy quality assurance parameters, as defined in Section 5 of the protocol.
To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.
Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT01089374
|Contact: Richard J Barth, JR, MD
|United States, New Hampshire
|Dartmouth-Hitchcock Medical Center
|Lebanon, New Hampshire, United States, 03756
|Contact: Richard J Barth, JR, MD 800-639-6918 email@example.com
|Principal Investigator:
|Richard J Barth, JR, MD
|Dartmouth-Hitchcock Medical Center
|Responsible Party:
|Richard J. Barth,Jr., MD, Dartmouth-Hitchcock Medical Center
|ClinicalTrials.gov Identifier:
|NCT01089374 History of Changes
|Other Study ID Numbers:
|First Posted:
|March 18, 2010 Key Record Dates
|Last Update Posted:
|July 30, 2018
|Last Verified:
|July 2018
Keywords provided by Richard J. Barth,Jr., Dartmouth-Hitchcock Medical Center:
Additional relevant MeSH terms:
Phyllodes Tumor
Neoplasms, Connective and Soft Tissue
Neoplasms by Histologic Type


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Watch Gerard do the weather on GMTV (UK) as you continues to promote The Ugly Truth. Screencaps are in the gallery.
Watch the interview on GMTV! Gerry talks about swimming naked in the pool, his family in for the premiere, love scenes with Katherine Heigl, his American accent, The Bounty, Jennifer Aniston and more.
The UK premiere for The Ugly Truth is tomorrow, August 4 at Vue West End Cinema/Leicester Square, London.
The Ugly Truth continues to impress at the box office taking in $13,000,000 over the weekend! Total box office for the film after week 2 is $54,000,000+!
Premiere plans are still in progress, but F. Gary Gray has posted on his Twitter that it will be in either New York or Los Angeles. In addition, he also shares this:
Good news! We are going to have advance screenings n 15 markets which may mean more tix avail in ur town…
Follow him on Twitter to stay up to date with all the latest! Tell him @gerardbutlernet sent you and you may be in the running for tickets to the premiere in New York or LA! Mr. Gray is rallying for followers and gb.net is helping, in return, he is giving away premiere tickets, but we will give away the tickets if we win. So make sure to mention @gerardbutlernet!
And, on Philly.com, word of a special Philadelphia screening:
There's a move afoot to get a special Philly screening of Law Abiding Citizen, F. Gary Gray's locally shot drama starring Gerard Butler and Jamie Foxx. Its release date, which last week was moved up to Oct. 16, will coincide with the Philadelphia Film Society's so-called 181/2 Philadelphia Film Festival, being curated by Harlan Jacobson.


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Weekend Confirmed 85 - Ratchet & Clank: All for One, Uncharted 3, GTA5
This week Insomniac's James Stevenson and Q-Games' Ariel Angelotti join Garnett Lee and Jeff Cannata for a discussion on everything from GTA5's first trailer, Ratchet & Clank: All for One, Skyrim, and more.
Only a few blocks off the beach that inspired the virtual clone in seen in its opening, the Grand Theft Auto V trailer sparked the imagination when the Weekend Confirmed crew sat down to record this week's show. James Stevenson of Insomniac Games and Ariel Angelotti of Q-Games join Jeff and Garnett to speculate about the potential for Rockstar's next entry in the series before moving on to a number of other games, including two from their respective studios. Producer Dave Mabee hops on the mic to add his take on Ratchet and Clank: All 4 One, and then it's on to PixelJunk Sidescroller. Lord of the Rings: War in the North and The Elder Scrolls V: Skyrim also square off, and there's an update on the latest news including the $50 price tag for Resident Evil on the 3DS. Wrap it all up with Finishing Moves and it's another epic Weekend Confirmed in the books.
Weekend Confirmed Ep. 85: 11/04/2011
Subscription Links:
- Subscribe to Weekend Confirmed in iTunes
- Weekend Confirmed is also available in the Zune Marketplace
- Subscribe to Weekend Confirmed via RSS
If you're viewing this in the GameFly application, you can play Weekend Confirmed Episode 85 directly.
Weekend Confirmed comes in four segments to make it easy to listen to in segments or all at once. Here's the timing for this week's episode:
Show Breakdown:
Round 1 00:00:36 – 00:27:37
Whatcha Been Playing Part 1 00:28:04 – 00:59:23
Whatcha Been Playing Part 2 01:00:20 – 01:28:44
Featured Music Break: 01:28:44 – 01:32:02 Simon Jain – 'Last Exit'
Listener Feedback/Front Page News 01:32:02 – 02:07:11
NFL Tailgate 02:07:54 – 02:13:28
Featured muscleman Simon Jain has always held a certain presence in a room. His demeanor and persona often replicate in detail his music style; wild, brooding, seemingly out of control, yet subtly contained in the right places. He is known for an exuberance and charisma behind the dex held by few, and consistently displayed by even fewer.
Download Purchase "Last Exit" on iTunes (USA Link) and Beatport.
Follow Simon Jain on Twitter and 'Like' him on Facebook.
Original music in the show by Del Rio. Get his latest Album, The Wait is Over on iTunes. Check out more, including the Super Mega Worm mix and other mash-ups on his ReverbNation page or Facebook page, and follow him on twitter delriomusic.
Jeff Cannata can also be seen on The Totally Rad Show. They've gone daily so there's a new segment to watch every day of the week!
You can also follow guest hosts James Stevenson from developer Insomniac and Ariel Angelotti of Q-Games on Twitter.
Follow the Weekend Confirmed hosts on Twitter, too! Garnett Lee @GarnettLee, Jeff Cannata @jeffcannata, and Xav de Matos @xav.
Remember to join the Official Facebook Weekend Confirmed Page and add us to your Facebook routine. We'll be keeping you up with the latest on the show there as well.


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Message Board
Cintra Wilson Message Board
Talk about the novels, new and used books that Wilson has written!
Author Wilson's Book Reviews
Colors Insulting to Nature
From the moment 10-year-old Liza Normal is awestruck by the movie Ice Castles, she dreams of the glory of stardom. Unfortunately, Liza is not the sort of girl who becomes famous. Vulgar in both looks and personality, Liza is saddled with a maniacally ambitious stage mother and devoid of any marketable talent. Propelled through her mother's bizarre homegrown performing arts boot camp, her stage debut in The Sound of Music is an unqualified disaster tha...


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This homestay stands on 100 acres of coffee and pepper plantation. Home to retired army officer Ponappa and his wife Jancy, the house is an ideal retreat for busy city dwellers or travelers who want to take in the pristine surroundings of Coorg.
A mild elevation from a winding road leads up to the house which has been given an intentional weathered look. Having travelled varied parts of India during service, the hosts have ingeniously added in numerous flavours to the construction and intricately carved furniture of the house. Red oxide flooring and plentiful wood used from the estate gives a warm feeling to the house which is decorated in various brass artifacts and pictures of ancestors. Colour themed rooms in blue, red and yellow are creatively set up with large windows for ventilation. The house is surrounded by abundant flora planted with careless intent conducive to the wild vicinity of the place. With such a rich experience there is never a dearth of anecdotes and discussions whether it is golf, plantations or cities of India all over some delectable home-made wine. Passionate and experimental with cooking Jancy is thrilled at serving not only some delectable Coorg food but Chinese and Continental as well.
Ravikumar Manian
Truly a very rewarding and rejuvenating holiday. Our gracious hosts Brigadier Ponappa ensured it by accomodating all our needs. Thanks so much.
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Devraj Shetty
Thanks aunty and uncle for opening your home ot us. We truly enjoyed your warmth, energy and enthusiasm. The hospitality was excellent and the food was highlight. We really felt at home in our first homestay experience. Hope to be back soon.
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CheersBye © 2019


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enzymes, raw food, stomach acid
An excerpt from the FAQ of my new book coming out next month:
Dear GreenSmoothieGirl: How can enzymes and eating raw food be so important when stomach acid would kill any enzymes that came with the food anyway?
A: Good question. Some people think that the low pH of the stomach stops salivary and any other food or supplemental enzymes from working. A number of experiments Dr. Howell writes about show that this is not so. Some enzymes are shown to work actively at two different pH ranges. Another study shows that salivary and supplemental enzymes were re-activated in the alkaline duodenum and lower in the intestine after going through the stomach. Hydrochloric acid in the stomach is not as strong as once thought to be and neither when used in in vitro experiments (outside the body). A Journal of Nutrition-published study at Northwestern University showed 51 percent of amylase from malted barley was intact when passed into the intestine.
Enzymes manufactured by the pancreas of a person or animal are sensitive to pH because they aren't adapted to anything outside the restrictive confines of the body. But microbial-derived dietary supplement enzymes are very adaptive, since fungus grows in a variety of places and conditions. These enzymes survive the acidity of the lower stomach. These plant-based sources are the digestive enzyme supplements I prefer.
As with so many other things in the human body, we've been provided with the ideal environment to digest food. Problems occur when we alter our food instead of giving our body the kind of nutrition we were designed to digest easily, that people used to eat for thousands of years.
Dr. Howell says that we're born with a finite ability to produce endogenous enzymes, and by middle age, most of that ability is gone. (And he said this 25 years ago, before the modern diet worsened. Some experts make even more dire projections, such as Westerners are burning out enzyme capacity by age 35.) The answer, of course, is to eat as much raw food as possible, and as little cooked or processed food, too.
Posted in: Green Smoothies, Raw Food
3 thoughts on "enzymes, raw food, stomach acid"Leave a Comment
I still need help finding an enzyme to take when having a hot/cooked dinner…could you give susgestions? I swear–i get so stressed since there are so many!
This is exactly what I was looking for – thank you! I researched the raw diet and want to move in that direction, but kept running into all these statements that raw food enzymes never make it past the stomach…
Anyhow – it makes perfect sense as our bodies evolved on raw, not cooked food, so it would only be natural that this food would serve our health and longevity better! Thanks again 🙂


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NEW YORK (Reuters) - Watching the success of the television show "Breaking Bad" has been a guilty pleasure for the chemical industry.
It is a show that wows audiences by explaining how a battery can be jury rigged with potassium hydroxide and spare change, and how hydrofluoric acid eats through bone but not plastic.
With an eye for the smallest technical details, "Breaking Bad" has made it cool to like chemistry again. That explains in part why chemical industry executives, academics and shareholders are addicted.
"It's great to see chemistry become cool again," said Ross Kozarsky, a chemical engineer who advises chemical and materials companies at Lux Research.
The show chronicles the downward spiral of Walter White, a 50-something high school chemistry teacher in the throes of a mid-life crisis who is diagnosed with terminal lung cancer.
To leave a nest egg for his wife and two children, White, who is played by actor Bryan Cranston, uses his chemistry knowledge to make and sell methamphetamine, an addictive street drug also known as crystal meth.
"There's a lot of instances in the show where Walter White draws on his knowledge as a chemist, traditionally a nerdy profession, and applies them in kind of innovative and intimidating ways," Kozarsky said.
More than 1.6 million people watched the third-season finale in June 2010, solid numbers for any cable show.
White and cohort Jesse Pinkman, played by fellow Emmy winner Aaron Paul, return this Sunday for the fourth season of "Breaking Bad."
"I put a premium on us getting the details right in every aspect of the show," said Vince Gilligan, the show's creator. "Chemistry is all about molecules and substances undergoing a change from one state into another."
Some members of the $674 billion U.S. chemical industry are cautious about professing their love for such a dark show. A senior executive at a major chemical producer raved privately about the show.
But the executive did not want to talk openly about "Breaking Bad," worrying that liking a show about crystal meth might not gel with the broader public.
For Donna Nelson, an adviser to "Breaking Bad" and an organic chemistry professor at the University of Oklahoma, the show does anything but make crystal meth look cool.
"I don't think it's glamorizing the drug industry at all, or that anybody would walk away from the show thinking, 'Yeah that's how I want to live,'" said Nelson, who has a cameo appearance in the fourth season as a nursing home aide.
Nor does "Breaking Bad" tell viewers how to make crystal meth. Different sequences of more than one process to make the drug are used in the show, Nelson said.
"It's like putting the head of the horse on the tail of a tiger," she said. "There's no way that anybody could follow what's on television and have an authentic synthesis."
What it does do, she said, is get more people excited about chemistry. Nelson organized a panel on science and television at the American Chemical Society's annual meeting last March.
When writers from "Breaking Bad" showed up to give the keynote speech, they met a standing-room-only crowd.
"For decades, chemists have been wringing our hands about how we could reach the general public," Nelson said. "Lo and behold, we get a prime-time television show."
Scott Goginsky, an investment adviser at the Biondo Group, which owns shares of chemical company DuPont, likes the attention that the show is bringing to the business.
"We obviously need more science and math workers in our economy," he said.
Making chemistry a secondary character in the show likely will attract some viewers to science careers and help others better appreciate it, Gilligan said.
"There's only one right answer in chemistry," he said. "In the world we live there's nothing but gray. There's messiness and there's no one right answer.
"I guess that's why I love the elegance and the certainty of chemistry."
Editing by Robert MacMillan


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ICD-10 Diagnosis Code S63.329D
Traumatic rupture of unsp radiocarpal ligament, subs encntr
Diagnosis Code S63.329D
Short Description: Traumatic rupture of unsp radiocarpal ligament, subs encntr
Long Description: Traumatic rupture of unspecified radiocarpal ligament, subsequent encounter
This is the 2019 version of the ICD-10-CM diagnosis code S63.329D
Valid for Submission
The code S63.329D is valid for submission for HIPAA-covered transactions.
Code Classification
Information for Medical Professionals
- V58.89 - Other specfied aftercare (Approximate Flag)
Present on Admission (POA)
The code S63.329D is exempt from POA reporting.
Information for Patients
Sprains and Strains
A sprain is a stretched or torn ligament. Ligaments are tissues that connect bones at a joint. Falling, twisting, or getting hit can all cause a sprain. Ankle and wrist sprains are common. Symptoms include pain, swelling, bruising, and being unable to move your joint. You might feel a pop or tear when the injury happens.
A strain is a stretched or torn muscle or tendon. Tendons are tissues that connect muscle to bone. Twisting or pulling these tissues can cause a strain. Strains can happen suddenly or develop over time. Back and hamstring muscle strains are common. Many people get strains playing sports. Symptoms include pain, muscle spasms, swelling, and trouble moving the muscle.
At first, treatment of both sprains and strains usually involves resting the injured area, icing it, wearing a bandage or device that compresses the area, and medicines. Later treatment might include exercise and physical therapy.
NIH: National Institute of Arthritis and Musculoskeletal and Skin Diseases
- Ankle sprain - aftercare (Medical Encyclopedia)
- Elbow sprain -- aftercare (Medical Encyclopedia)
- Foot sprain - aftercare (Medical Encyclopedia)
- Hamstring strain - aftercare (Medical Encyclopedia)
- Hip flexor strain -- aftercare (Medical Encyclopedia)
- Sprains (Medical Encyclopedia)
- Strains (Medical Encyclopedia)
- Tendon repair (Medical Encyclopedia)
- Wrist sprain - aftercare (Medical Encyclopedia)
[Read More]
Wrist Injuries and Disorders
Your wrist is made up of eight small bones known as carpals. They support a tube that runs through your wrist. That tube, called the carpal tunnel, has tendons and a nerve inside. It is covered by a ligament, which holds it in place.
Wrist pain is common. Repetitive motion can damage your wrist. Everyday activities like typing, racquet sports or sewing can cause pain, or even carpal tunnel syndrome. Wrist pain with bruising and swelling can be a sign of injury. The signs of a possible fracture include misshapen joints and inability to move your wrist. Some wrist fractures are a result of osteoporosis.
Other common causes of pain are
- Sprains and strains
- Tendinitis
- Arthritis
- Gout and pseudogout
- Colles wrist fracture - aftercare (Medical Encyclopedia)
- De Quervain tendinitis (Medical Encyclopedia)
- Wrist arthroscopy (Medical Encyclopedia)
- Wrist pain (Medical Encyclopedia)
- Wrist sprain - aftercare (Medical Encyclopedia)
[Read More]
ICD-10 Footnotes
General Equivalence Map Definitions
The ICD-10 and ICD-9 GEMs are used to facilitate linking between the diagnosis codes in ICD-9-CM and the new ICD-10-CM code set. The GEMs are the raw material from which providers, health information vendors and payers can derive specific applied mappings to meet their needs.
- Approximate Flag - The approximate flag is on, indicating that the relationship between the code in the source system and the code in the target system is an approximate equivalent.
- No Map Flag - The no map flag indicates that a code in the source system is not linked to any code in the target system.
- Combination Flag - The combination flag indicates that more than one code in the target system is required to satisfy the full equivalent meaning of a code in the source system.
Present on Admission
The Present on Admission (POA) indicator is used for diagnosis codes included in claims involving inpatient admissions to general acute care hospitals. POA indicators must be reported to CMS on each claim to facilitate the grouping of diagnoses codes into the proper Diagnostic Related Groups (DRG). CMS publishes a listing of specific diagnosis codes that are exempt from the POA reporting requirement.


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This one-day workshop will equip delegates with the knowledge and skills to competently audit their internal quality management system as required by ISO 9001:2015.
By the end of the workshop, delegates will receive an internal audit certificate which demonstrates the necessary level of audit competence required by ISO 9001:2015 and will be able to return to work, capable of carrying out internal quality audits at a good standard.
Part 1: Audit Theory
Part 2: Live Audit
This workshop is designed for people who have had no formal training in carrying out ISO 9001 internal audits or for people who want to refresh their skills and get up to date with ISO 9001:2015 audit requirements.
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12th March 2019
9am - 4pm
Friends Meeting House Manchester 6 Mount Street Manchester M2 5NS
Clearly outlined the standard and the training gave me the knowledge on how to complete an internal audit correctlyClare Glen, Action on Hearing Loss


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Most medications are safe in breastfeeding but a few are not. It is rare that a woman needs to stop breastfeeding in order to take a drug.
Nonetheless, sometimes doctors are not completely familiar with the most current information on medications and breastfeeding. If you are unsure, please refer to either to Thomas Hale's book, Medications and Mothers' Milk, last updated in 2006, or to the American Academy of Pediatrics list of drug safety in breastfeeding, or to the National Library of Medicines free, accurate service, LactMed, released in April 2006.
The AAP lists drugs only by their generic names. The AAP list is extensive, but is not a complete list of every drug. It is updated every few years, most recently in 2001. If a drug is not listed, it does not mean it's not safe, only that it was not reviewed yet by AAP. Click Here to view the AAPs policy and drug listing.
Medications and Mothers' Milk is considered by many people to be the most complete and authoritative resource. It includes some drugs not reviewed by the AAP. This book also lists the AAP's rating on each drug which AAP has reviewed. Hospitals and doctors' offices should have access to this book, which is available in paperback, through ibreastfeeding.com. This book is updated frequently, most recently in 2006.
LactMed, like Hale, discusses medications in detail, and discusses the research known about each drug. While some drugs are listed by both their brand names and generic names, many are only listed by their generic names. It includes only drugs, not other substances or environmental agents. It does not have a clear rating system, like Hale or AAP, and it is up to the reader to determine safety.
Another helpful resource is motherisk.org. This site includes a 2000 review article on the topic by Dr. Shinya Ito in the New England Journal of Medicine.
The American College of Radiology determined that IV Contrast and gadolinium are both safe in lactation.
Download our free PDA software, which includes medication information, as well as our Approach to Early Breastfeeding, and other resources. Download Now
FAQ: Alcohol, Smoking, Diet, and Medications
Patient-friendly information from the Massachusetts Breastfeeding Coalition on medications and breastfeeding.
Medications and Breastfeeding
Excerpt from the MBC's resource guide, with references to phone numbers, books and articles on medications and breastfeeding.
Breastfeeding Pharmacology
Dr. Thomas Hale's website on breastfeeding pharmacology, including information on ordering his book, Medications and Mother's Milk.


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SAO PAULO (Reuters) - More than six million requests for World Cup tickets were made during the first sales period that ended on Thursday.
A total of 6,164,682 requests came in from 203 countries, soccer's governing body FIFA said in a statement.
The large majority, 70.86 percent, were from host nation Brazil and most were for the cheapest Category Four tickets that cost between 30 reais $14 (8.7 pounds) and 330 reais (96.4 pounds).
A total of 726,067 requests were made for the opening match in Sao Paulo on June 12 while 751,165 sought tickets for the final in Rio de Janeiro's Maracana Stadium on July 13.
Neither ground holds more than 80,000 spectators.
FIFA will inform all applicants if their request was successful by November 4.
The process reopens between November 5 and November 28 when tickets will be available on a first-come, first-served basis.
(Editing by Tony Jimenez)


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Team Maggie Update Day +1
In transplant terminology, Day 0 is transplant day. Wednesday, July 24th was Day 0 for Maggie Rudnicki, thanks to the bone marrow that her brother, Lucas donated. If you missed that story, click here. Yesterday was Day +1 for Team Maggie and her family. And it really is a family journey. Here's the update that Maggie's and Lucas' mom, Lauren posted
Day +1 has been great. Lucas was discharged around 2 and he is sore but doing awesome! Maggie feels good today and has had a lot of energy! Her blood counts are pretty much zero so the next few weeks will be critical as we pray for no infection. It will be about 2-3 weeks before she engrafts and her white counts start to go back up. She will be immune compromised for a long time..and we will support her with blood and platelet transfusions as needed. I have been told the next few weeks could be challenging and the next 100 days are very important. We still have a very long road ahead of us so please keep us in your thoughts and prayers over the weeks and months ahead. Thank you so much to everyone who has reached out over the past couple weeks. We appreciate it so much!
If you'd like to send a card, or a note of an encouragement, the address is
Tufts Medical Center -Bmt unit floating 6
Attention: Maggie Rudnicki
750 Washington st
Boston ma 02111


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Cellular Phone Reimbursement
The St. Charles City –County Library District shall reimburse or supply cellular or other wireless phone service to key individuals. The District supplies such services and equipment, at a rate necessary to cover business use. Employees may opt to increase levels of service or equipment for personal use at their own expense. If the employees elect to be reimbursed rather than have equipment supplied, they shall submit such reimbursement as regular travel expenses.
The employees covered under this policy shall consist of:
(Approved 5/10/04)


text: This is the accessible text file for GAO report number GAO-09-361T entitled 'Transportation Research: The Department of Transportation Has Made Progress in Coordinating and Reviewing Its Research Activities' which was released on February 12, 2009. This text file was formatted by the U.S. Government Accountability Office (GAO) to be accessible to users with visual impairments, as part of a longer term project to improve GAO products' accessibility. Every attempt has been made to maintain the structural and data integrity of the original printed product. Accessibility features, such as text descriptions of tables, consecutively numbered footnotes placed at the end of the file, and the text of agency comment letters, are provided but may not exactly duplicate the presentation or format of the printed version. The portable document format (PDF) file is an exact electronic replica of the printed version. We welcome your feedback. Please E-mail your comments regarding the contents or accessibility features of this document to email@example.com. This is a work of the U.S. government and is not subject to copyright protection in the United States. It may be reproduced and distributed in its entirety without further permission from GAO. Because this work may contain copyrighted images or other material, permission from the copyright holder may be necessary if you wish to reproduce this material separately. Testimony: Before the Subcommittee on Technology and Innovation, Committee on Science and Technology, House of Representatives: United States Government Accountability Office: GAO: For Release on Delivery: Expected at time 10 a.m. EST: Thursday, February 12, 2009: Transportation Research: The Department of Transportation Has Made Progress in Coordinating and Reviewing Its Research Activities: Statement of David J. Wise, Acting Director: Physical Infrastructure Issues: GAO-09-361T: GAO Highlights: Highlights of GAO-09-361T, a testimony before the Subcommittee on Technology and Innovation, Committee on Science and Technology, House of Representatives. Why GAO Did This Study: Research, development, and technology (RD&T) activities are vital to meeting the Department of Transportation's (DOT) priorities, such as increasing safety, enhancing mobility, and supporting the nation's economic growth. In fiscal year 2008, the department's RD&T budget totaled over $1.1 billion, primarily for highway and aviation projects. Over the years, concerns have been raised about DOT's capabilities to improve RD&T coordination and evaluation efforts across the agency. In 2004, Congress created DOT's Research and Innovative Technology Administration (RITA) to coordinate and review the department's RD&T programs and activities for the purposes of reducing research duplication, enhancing opportunities for joint efforts, and ensuring RD&T activities are meeting goals. In 2006 GAO reported that RITA had made progress toward these ends, but needed to do more. GAO's testimony focuses on (1) the importance of coordinating and evaluating RD&T activities and (2) RITA's progress in implementing GAO's 2006 recommendations. GAO's statement is based on its 2006 report, a review of best practices for coordination and evaluation, and follow-up discussions with RITA officials on actions to implement GAO's recommendations. GAO did not assess whether RITA's actions have improved the effectiveness of the department's RD&T investment. What GAO Found: Coordinating and evaluating research are important elements in ensuring that federal dollars are used efficiently and effectively. Coordinating research enhances collaboration, ensures that questions are explored, and reduces inefficiencies, such as from duplication of research. Evaluating research activities entails comparing research with established performance measures in agency strategic plans and using expert reviews to assess the quality of the research. With DOT's large RD&T budget—over $1.1 billion—coordination and evaluation are critical to making cost-effective investment choices in today's climate of expected trillion-dollar deficits. RITA has fully implemented five recommendations that GAO made in 2006 aimed at enhancing RITA's ability to manage and determine the effectiveness of RD&T activities, and partially implemented the remaining two. (See table below.) Regarding implemented recommendations, most notably, RITA has implemented a strategy to coordinate RD&T activities and look for areas where joint efforts would be appropriate. Results of its coordination efforts have identified a number of areas for cross-modal collaboration, including the areas of climate change and freight capacity. RITA has also developed a strategy to ensure that the results of DOT's research activities are evaluated against best practices, using governmentwide guidance and external stakeholder reviews. Regarding partially implemented recommendations, RITA has not yet developed an overall strategy, evaluation plan, or performance measures that delineate how its activities ensure the effectiveness of the department's RD&T investment. However, it has developed a process for doing so. In this regard, RITA plans to use an existing departmentwide strategic planning and budget process and collaborative meetings to develop an overall strategy and performance measures. RITA officials expect that it will fully implement activities related to this recommendation by 2012. GAO will continue to monitor RITA's activities. Table: Status of RITA's Implementation of GAO's 2006 Recommendations: Recommendation: Develop a strategy for identifying and reviewing all of DOT's RD&T projects to determine areas of unnecessary duplication, overlap, and opportunities for joint efforts; Status: Implemented. Recommendation: Develop a strategy to ensure that the results of all of DOT's RD&T activities are evaluated according to established best practices; Status: Implemented. Recommendation: Develop a DOT-wide database of all of DOT's RD&T projects; Status: Implemented. Recommendation: Develop a summary of all of DOT's RD&T program evaluations; Status: Implemented. Recommendation: Develop a description of RITA's process for systematically evaluating the results of its own multimodal research programs and how this process will be applied to future multimodal research programs that RITA conducts; Status: Implemented. Recommendation: Develop performance goals, an overall implementing strategy, and an evaluation plan that delineate how the activities and results of its coordination, facilitation, and review practices will further DOT's mission and ensure the effectiveness of the department's RD&T investment; Status: Partially implemented. Recommendation: Develop common performance measures related to DOT's RD&T activities in consultation with the operating administrations; Status: Partially implemented. Source: GAO analysis of RITA information. [End of table] To view the full product, including the scope and methodology, click on [hyperlink, http://www.gao.gov/cgi-bin/getrpt?GAO-09-361T]. For more information, contact David Wise at (202) 512-2834 or firstname.lastname@example.com. [End of section] Mr. Chairman and Members of the Subcommittee: We appreciate the opportunity to participate in this hearing on the Department of Transportation's (DOT) research, development, and technology (RD&T) activities. RD&T activities are vital to meeting DOT's transportation priorities, such as increasing safety, enhancing mobility, and supporting the nation's economic growth. In fiscal year 2008, the department's RD&T budget totaled over $1.1 billion, primarily for projects undertaken by DOT's Federal Highway Administration and Federal Aviation Administration. Coordinating RD&T throughout DOT and reviewing it to make sure that it is evaluated is important to ensure the efficiency and effectiveness of RD&T investment. Over the years, we and others have raised concerns about DOT's capabilities for improving RD&T coordination and evaluation across the agency.[Footnote 1] In part to ameliorate those concerns, in 2004 Congress created the Research and Innovative Technology Administration (RITA).[Footnote 2] RITA is responsible for coordinating, facilitating, and reviewing the department's RD&T programs and activities to identify research duplication and opportunities for joint efforts and to ensure RD&T activities are meeting intended or other goals. These include activities conducted by DOT's operating administrations as well as other RD&T and statistical programs managed by RITA (e.g., the Bureau of Transportation Statistics and University Transportation Centers). RITA carries out its responsibilities through multiple groups and actions, including its two coordinating bodies--the RD&T Planning Council and Planning Team--and budget reviews. While RITA has DOT-wide responsibilities, it does not have the authority to direct changes in the operating administrations' RD&T activities. In 2006, we reported on RITA's progress in overseeing RD&T activities and made seven recommendations to enhance RITA's ability to manage and ensure the effectiveness of these activities.[Footnote 3] My testimony today addresses the importance of coordinating and evaluating RD&T so that federal dollars are used efficiently and effectively, as well as RITA's progress in implementing our 2006 recommendations. It is based primarily on our 2006 report, a review of best practices for coordination and evaluation, and follow-up discussions with RITA officials on actions taken on our recommendations. We have not assessed whether RITA's actions have improved the effectiveness of the department's RD&T investment since our 2006 report. We conducted this work in January and February 2009 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives. Coordination and Evaluation of RD&T Activities Help Promote Efficient and Effective Use of Federal Research Funds: Coordinating and evaluating research are important elements in ensuring federal dollars are used efficiently and effectively. RITA is responsible for coordinating and reviewing the DOT operating administrations' RD&T activities so that (1) no unnecessary duplication takes place and (2) the activities have been evaluated in accordance with best practices. The Committee on Science, Engineering, and Public Policy--a joint committee of the National Academy of Sciences, the National Academy of Engineering, and the Institute of Medicine--has emphasized the importance of careful coordination and focused evaluation of federal research and developed principles to help agencies evaluate their research programs.[Footnote 4] The committee recommended establishing a formal process to coordinate research across agencies. While this recommendation is focused on cross-agency research, the goals--enhancing collaboration, ensuring that questions are explored, and reducing inefficiencies--are important and applicable within agencies as well. Coordination of research ensures that information is shared so that, if necessary, research can be adjusted to ensure a field is appropriately covered and understood. In addition, the committee noted that evaluating research against established performance measures in agency strategic plans, developing measures that are appropriate for the type of research being developed, and using expert reviews aid in assessing the quality of the research. Relatedly, the Government Performance and Results Act of 1993 (GPRA) requires federal agencies to set performance goals and measure performance against those goals to ensure the effectiveness of federal investments. GPRA's emphasis on results implies that federal programs contributing to the same or similar outcomes should be closely coordinated to ensure that goals are consistent and complementary, and that program efforts are mutually reinforcing. Making appropriate and cost-effective investment choices is an essential aspect of responsible fiscal stewardship. Such choices are even more important in today's climate of expected trillion-dollar deficits. Careful decisions will need to be made to ensure that RD&T activities achieve their intended (or other) purposes and do so efficiently and economically. RITA Has Made Progress in Improving Its Coordination, Review, and Performance Measurement of DOT's RD&T Programs: In 2006, we made seven recommendations to enhance RITA's ability to manage and ensure the effectiveness of RD&T activities, including developing strategies for coordinating and reviewing RD&T activities and developing performance goals and measures. (See table 1.) RITA has implemented five of our recommendations and is making progress on implementing the remaining two. Table 1: Status of RITA's Implementation of GAO's 2006 Recommendations: Recommendations: Develop and incorporate into RITA's annual budget process and the RD&T strategic plan; * a strategy for identifying and reviewing all of DOT's RD&T projects to determine areas of unnecessary duplication, overlap, and opportunities for joint efforts; Status: Implemented. * a strategy to ensure that the results of all of DOT's RD&T activities are evaluated according to established best practices; Status: Implemented. * a DOT-wide database of all of DOT's RD&T projects that will support RITA's coordination, facilitation, and review efforts and will assist in the implementation of the strategies discussed above; Status: Implemented. * a summary of all of DOT's RD&T program evaluations, including ongoing and completed evaluations, and a schedule of future evaluations; Status: Implemented. * a description of RITA's process for systematically evaluating the results of its own multimodal research programs and how this process will be applied to future multimodal research programs that RITA conducts; Status: Implemented. Recommendations: Develop and incorporate the following into RITA's year annual budget process; * performance goals, an overall implementing strategy, and an evaluation plan that delineate how the activities and results of its coordination, facilitation, and review practices will further DOT's mission and ensure the effectiveness of the department's RD&T investment; Status: Partially implemented. * common performance measures related to DOT's RD&T activities, which should be developed in consultation with the operating administrations; Status: Partially implemented. Source: GAO analysis of RITA information. [End of table] RITA Implemented a Coordination and Review Strategy, Developed a DOT- wide Database of RD&T Activities, and Communicated Results of Evaluations: Preventing duplication of effort. In response to our recommendation, RITA developed a strategy to ensure that no unnecessary duplication of research programs occurs within the department, incorporated the results into various high-level DOT planning documents, and reported the results in its strategic plan. RITA's strategy consists of ongoing internal reviews of all of DOT's research programs. These reviews are conducted by (1) convening meetings in which officials from each of the operating administrations share information about areas of ongoing and planned research, seeking opportunities for joint effort, and (2) conducting annual reviews of each operating administration's research plans, looking for research duplication, among other things. In addition, RITA has formed eight working groups, in concert with DOT's operating administrations, to foster collaboration on cross-modal issues. According to a RITA official, results of these reviews have identified several areas for cross-modal collaboration, including climate change, freight capacity, security, alternative energy technologies, and advanced materials and sensors. According to RITA officials, as a result of these actions, RITA is better able to meet legislative and DOT requirements for coordinating its research, leverage resources for cross-modal research initiatives, and prevent unnecessary research duplication. Following best practices. RITA also developed a strategy to ensure that the results of all DOT's research activities are evaluated according to established best practices. The strategy includes three primary mechanisms: (1) ensuring systematic application of the Office of Management and Budget's Research and Development Investment Criteria (relevance, quality, and performance) and the Program Assessment Rating Tool by the operating administrations;[Footnote 5] (2) annual internal program reviews with self-reporting by the operating administrations; and (3) documenting the operating administrations' external stakeholder coordination and review. According to RITA, reviews conducted in fiscal years 2007 and 2008 focused on how well the operating administrations are implementing best practices, including external stakeholder involvement, merit review of competitive proposals, independent expert review, research performance measures, and external research coordination. RITA reports the results of its reviews to the department's RD&T Planning Council, which consists of administrators from each of the operating administrations, including RITA, and officials from DOT's Office of the Secretary. According to RITA officials, as a result of these efforts, RITA is better able to determine the quality and effectiveness of its research activities and investments and determine whether they are achieving their intended (or other) goals. Establishing RD&T project databases. RITA created two database systems to inventory and track all of DOT's research activities and provide tools for querying and searching individual projects to identify potential duplication and areas where operating administrations could collaborate. The first database, the RITA Research Notification System, captures research investments at the transaction level, allowing users to search by activity, contracts and grants, and contractor names, enabling identification of funded programs for coordination, collaboration and review. The second database is part of the annual Research Planning and Investment Coordination (RPIC) process, which captures research at the budget request level, allowing for departmentwide transparency and coordination of proposed programs and projects. According to a RITA official, eventual combination of the two databases will offer a mechanism for measuring and tracking investments from request through funding and execution. Communicating evaluation efforts. To communicate its efforts in evaluating DOT's research to Congress, senior DOT officials, and the transportation community, RITA and its predecessor organization published a summary of all research program evaluations for 2004 through 2006 and included that summary in a high-level DOT planning document and in a report to Congress. First, RITA's predecessor published what was essentially a summary of all research program evaluations conducted in fiscal year 2004--in the form of a summary of the results of its review of the operating administrations' application of the Office of Management and Budget's Research and Development Investment Criteria--in its 2005 annual RD&T plan. Secondly, RITA developed a summary of the results of its fiscal year 2005 and 2006 research program reviews, and a schedule of RITA's planned fiscal year 2007 reviews, and included it in DOT's "Research, Development and Technology Annual Funding Fiscal Years 2006-2008, A Report to Congress." This report also includes summaries of research program evaluations conducted by modal research advisory committees, the Transportation Research Board, and key modal stakeholders in fiscal years 2006 and 2007. According to RITA officials, as a result of this reporting, RITA has provided better continuity and context to Congress and the transportation community about the results of its research evaluations. Documenting processes. RITA has also acted to document its process for systematically evaluating the results of its own multimodal research programs, such as the Hydrogen Safety Program and various grant programs. RITA evaluates the results of its RD&T activities by ensuring they align with DOT goals, meet the research and development investment criteria, and are subject to an annual peer review process. RITA has documented this process in its strategic plan. RITA Has Not Yet Developed an Overall Implementing Strategy, Evaluation Plan, or Performance Measures: Establishing performance goals. In 2006, we found that RITA lacked performance goals and an implementing strategy and evaluation plan to delineate how the activities and results of its coordination, facilitation, and review practices will further DOT's mission and ensure the effectiveness of the department's RD&T investment. RITA has partially implemented our recommendation that it develop these elements. Setting meaningful goals for performance, and using performance information to measure performance against those goals, is consistent with requirements in GPRA. Developing an evaluation plan and analyzing performance information against set goals for its own coordination, facilitation, and review practices could assist RITA in identifying any problem areas and taking corrective actions.[Footnote 6] Linking performance goals with the planning and budget process, such as DOT's annual budget process, can also help RITA determine where to target its resources to improve performance.[Footnote 7] Guidance provided by the Committee on Science, Engineering, and Public Policy notes that evaluating the performance of research in the context of the strategic planning process ensures the research is relevant to the agency's mission.[Footnote 8] Without such goals and an evaluation plan, it is difficult for RITA to determine its success in overseeing the effectiveness of DOT's RD&T activities. According to RITA officials, while an overall implementing strategy and evaluation plan has not yet been established, RITA has created performance goals. A RITA official told us that the RPIC process--a relatively new process that integrates the budget and strategic planning processes--will help in creating an implementing strategy. The RPIC process is meant to provide information to the Planning Council and Planning Team, which is responsible for defining the department's overall RD&T strategic objectives. The RPIC process assesses the department's RD&T activities in terms of the following performance goals: (1) balanced portfolio (e.g., mix of basic, applied, developmental, and high risk RD&T), (2) alignment of RD&T programs with DOT goals and each operating administration's mission, and (3) return on investment. The RPIC process has been in place only for fiscal year 2009, and as a result, the Planning Council does not yet have the information needed to make decisions about a strategy. In addition, RITA does not yet have an evaluation plan to monitor and evaluate whether it is achieving its goals. A RITA official told us that the RPIC process needs to be in place for 2 or 3 fiscal years before it can provide enough information for RITA to establish a strategy or evaluation plan. Developing performance measures. In 2006, we also found that RITA did not work with the operating administrations to develop common performance measures for DOT's RD&T activities. According to RITA officials, RITA has partially implemented our recommendation that it do so. Without common performance measures for the RD&T activities of the operating administrations, RITA and the operating administrations lack the means to monitor and evaluate the collective results of those activities and determine that they are achieving their intended (or other) results and furthering DOT-wide priorities. In response to our recommendation, RITA officials told us that they are working with the operating administrations through the RD&T Planning Team--made up of senior officials in RITA and each of the operating administrations. During Planning Team meetings, representatives from each of the operating administrations share information about how RD&T projects are measured and prioritized. For example, according to a RITA official, the Federal Railroad Administration measures how frequently its RD&T projects are used in real-world applications. Once representatives from each operating administration have had the chance to share information, RITA officials will then look for commonalities and determine whether any of the measures could be adopted for the department's RD&T activities. In closing, since it became operational in 2005, RITA has taken a number of positive steps to meet its vision of becoming a DOT-wide resource for managing and ensuring the effectiveness of RD&T activities. While we have not assessed the effectiveness of these efforts since our 2006 report, we believe that RITA has made progress. We will continue to monitor RITA's performance in implementing our recommendations. As reauthorization approaches, we look forward to assisting Congress as it considers RITA's management of DOT's research program, to better ensure that taxpayers receive the maximum value for DOT's RD&T investment. Mr. Chairman, this concludes my prepared statement. I would be pleased to respond to any questions that you or other members of the subcommittee might have. Contact and Acknowledgments: For further information regarding this statement, please contact David Wise at (202) 512-2834 or firstname.lastname@example.com. Individuals who made key contributions to this statement are Michelle Everett, Colin Fallon, Erin Henderson, and James Ratzenberger. Footnotes: [1] GAO, Transportation Research: Actions Needed to Improve Coordination and Evaluation of Research, [hyperlink, http://www.gao.gov/products/GAO-03-500] (Washington, D.C.: May 1, 2003). [2] The Norman Y. Mineta Research and Special Programs Improvement Act of 2004, which also dissolved RITA's predecessor administration, the Research and Special Programs Administration. [3] GAO, Transportation Research: Opportunities for Improving the Oversight of DOT's Research Programs and User Satisfaction with Transportation Statistics, [hyperlink, http://www.gao.gov/products/GAO-06-917] (Washington, D.C.: Aug. 15, 2006). [4] Committee on Science, Engineering, and Public Policy, Evaluating Federal Research Programs: Research and the Government Performance and Results Act (Washington, D.C.: February 1999). [5] According to the Office of Management and Budget, these criteria are rooted in best practices and include peer review as a mechanism for assessing program quality. The Program Assessment Rating Tool was developed to assess and improve program performance to inform funding and management decisions. It consists of a series of questions covering program purpose and design; performance measurement, evaluations, and strategic planning; program management; and program results. [6] Use of performance goals can help ensure that programs are meeting their intended goals, allows programs to assess the efficiency of their processes, and promotes continuous improvement. Where activities may be fragmented or overlap, performance information can also help identify performance variations and redundancies and lay the foundation for improved coordination, program consolidation, or elimination of unneeded programs. GAO, Managing for Results: Using the Results Act to Address Mission Fragmentation and Program Overlap, [hyperlink, http://www.gao.gov/products/AIMD-97-146] (Washington, D.C.: Aug. 29, 1997). [7] GAO, Managing for Results: Enhancing Agency Use of Performance Information for Management Decision Making, [hyperlink, http://www.gao.gov/products/GAO-05-927] (Washington, D.C.: Sept. 9, 2005). [8] Committee on Science, Engineering, and Public Policy, Evaluating Federal Research Programs: Research and the Government Performance and Results Act (Washington, D.C.: February 1999), 37-38. [End of section] GAO's Mission: The Government Accountability Office, the audit, evaluation and investigative arm of Congress, exists to support Congress in meeting its constitutional responsibilities and to help improve the performance and accountability of the federal government for the American people. GAO examines the use of public funds; evaluates federal programs and policies; and provides analyses, recommendations, and other assistance to help Congress make informed oversight, policy, and funding decisions. 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Orders may be paid for using American Express, Discover Card, MasterCard, Visa, check, or money order. Call for additional information. To Report Fraud, Waste, and Abuse in Federal Programs: Contact: Web site: [hyperlink, http://www.gao.gov/fraudnet/fraudnet.htm]: E-mail: firstname.lastname@example.com: Automated answering system: (800) 424-5454 or (202) 512-7470: Congressional Relations: Ralph Dawn, Managing Director, email@example.com: (202) 512-4400: U.S. Government Accountability Office: 441 G Street NW, Room 7125: Washington, D.C. 20548: Public Affairs: Chuck Young, Managing Director, email@example.com: (202) 512-4800: U.S. Government Accountability Office: 441 G Street NW, Room 7149: Washington, D.C. 20548:


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People with Last Names of Quilindrino
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Art HistoryPage address: http://www.mnsu.edu/artdept/arthistory.html
The BA art history degree is a thorough liberal arts degree that provides the student with a general knowledge of major artists, styles, and monuments of both western and non-western art. Writing and reading assignments within the courses and the Art History Senior Thesis will further critical thinking, analysis, and knowledge of theory and methods. Students working towards a BA in art history take a foreign language as part of their general education requirement and must complete an approved minor (examples: anthropology, history, language, humanities, women's studies, music, theater). The BA in art history prepares students for graduate work in art history or for employment in museums, art galleries or auction houses, arts administration, community arts organizations, or related fields. Additional fields students could enter with a BA in art history are journalism and book publishing. The department also offers a minor in art history.
Selection of courses include: Survey studies of art covering most periods and regions, from the ancient world to the modern and from Europe to East Asia. Specialized courses are also taught, including seminars such as "Collage, Photomontage, Assemblage, Installation: Exploration of major themes in 20th and 21st-century art" and "Art and Identity in the Modern and Contemporary Islamic World."
Art History Round Table
This student-run group organizes a range of activites throughout the school year at weekly meetings. Excursions are planned, taking students to New York, Chicago, and Minneapolis to visit museums and galleries. Workshops are organized, offering guidance on research writing, resume building, and what to do with the degree after MSU. Social activites are also planned, including film screenings and holiday events. All are welcome. For more information contact Round Table president, Erica Kroening (email@example.com)
Eimen, Congregational Mosque
(11th-18th centuries), Isfahan, Iran
Photograph of Umberto Boccioni's sculpture, "Unique Forms of Continuity in Space"


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Brussels, 13 July 2007
The Passenger Name Record (PNR): FREQUENTLY ASKED QUESTIONS
What is PNR and what data does it contain?
The Passenger Name Record (PNR) is the generic name given to the files created by the airlines for each journey any passenger books. They are stored in the airlines' reservation and departure control databases. PNR allows all the different agents within the air industry (from the travel agent and the computer reservation systems (CRS) to the carrier and the handling agents at the airports) to recognise each passenger and have access to all relevant information related to his/her journey: departure and return flights, connecting flights (if any), special services required on board the flight, etc.
The number and nature of fields of information in a PNR system will vary from airline to airline and from passenger to passenger and could expand to approximately 60 fields and sub-fields.
Why has the European Union made an agreement with the USA on sharing the Passenger Names Record (PNR) data of air carriers?
The U.S. Aviation and Transportation Security Act of 19th November 2001 introduced the requirement that airlines operating passenger flights to, from or through the United States provide US authorities, upon request, with electronic access to PNR data contained in their reservation and departure control systems.
The agreement between the European Union and the USA is intended to meet security and data protection requirements through assurances provided by the USA. This provides a Europe-wide solution, legally binding in all Member States, and the necessary legal certainty for all concerned.
When did the EU start talks with the USA?
The European Community and the USA had signed an Agreement on 28 May 2004, but it had to be denounced by the EU as a result of the judgment of the European Court of Justice of 30 May 2006. It was therefore replaced by an interim Agreement between the European Union and the USA of 19 October 2006 which expires on 31 July 2007 and has therefore been replaced by a new long-term Agreement which will be signed in July 2007.
Do we share the US security concerns underlying the PNR system?
Yes. The EU also wants safe transatlantic flights. PNR can provide essential information for the fight against terrorism and other serious crimes.
What exactly has been agreed between the EU and the USA?
The agreement is in three parts: (i) an agreement signed by both parties, (ii) a letter which the USA sends to the EU in which it sets out assurances on the way in which it will handle EU PNR data and (iii) a letter from the EU to the USA acknowledging receipt of the assurances and confirming that, on that basis, it considers the level of protection of PNR data in the U.S. as adequate.
This agreement will be valid for seven years, thus providing for a considerable period of legal certainty.
What PNR data will be shared with the USA?
Air carriers make available the PNR data of all persons who fly to and from the U.S.. The U.S. authorities will use only the 19 PNR elements as defined in the Agreement, and only if the passenger has made available information corresponding to these PNR elements. In practice, the number of PNR about a passenger given to an airline and made available to the US authorities is more limited.
What about sensitive data?
The U.S. Department of Homeland Security (DHS), the agency which receives the data, will filter out and not use sensitive information contained in PNR data, save exceptional cases where life is at risk. Sensitive information means data revealing racial or ethnic origin, political opinions, religious or philosophical beliefs, trade union membership or concerning the health or sex life of the individual.
Does the USA require access to PNR data on the types of meal that passengers request or on their medical condition?
This information is collected by airlines in order to provide special services to certain passengers and may therefore be contained in some PNR. However, this is sensitive information (see previous question) and the information is not used to identify potential subjects for border examination.
Can DHS obtain the data contained in PNR by other means?
Much of the information contained in PNR is already included in airline tickets and other travel documents. The missing information can generally be requested by airline staff on departure or US border officials on arrival. We all want to avoid unnecessary delays at airports and modern technology can help collect and transmit information rapidly.
For how long will DHS keep the data?
Seven years from the date of collection in an active database following which, the data will be moved to an inactive status for eight years, to be accessed only in exceptional circumstances and under strict conditions.
Will other US agencies have access to the PNR data that DHS obtains from the airlines?
Only for the purposes of preventing and combating terrorism and other serious crimes. There will be no unconditional direct access to DHS's database. Access will be strictly limited to these purposes and in proportion to the nature of the case for which the data are being sought.
Does U.S. law provide for protection against disclosure of foreigners' PNR data?
Yes, administrative, civil and criminal enforcement measures are available under U.S. law for violations of U.S. privacy rules and unauthorised disclosure of U.S. records.
If an EU citizen believes PNR data accessed and stored by DHS may be inaccurate, what actions may he/she take to obtain redress?
DHS has extended administrative protections to all PNR data regardless of nationality or country of residence. A system is available providing redress for persons seeking information about or correction of PNR.
In addition, U.S. law permits any person access to U.S. records. Requests for access to personally identifiable information contained in PNR may be submitted to the FOIA/PA Unit, Office of Field Operations, U.S. Customs and Border Protection, Room 5.5-C, 1300 Pennsylvania Avenue, NW Washington, DC 20229.
Of course, within the EU everyone has the right to full respect of the rights guaranteed by and in Member States.
To find out more about Vice President Frattini's work please visit his website: http://www.ec.europa.eu/commission_barroso/frattini/index_en.htm
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Jason Wu Footwear Collection For Fall/Winter 2011/2012
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