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Company Details
Auro Technology Limited
|Payment Type:
|T/T,Paypal,Money Gram,Western Union
|Min. Order:
|1 Piece/Pieces
|Delivery Time:
|5 Days
Model No.: Nose thread
Brand Name: Auro Thread
Material: PDO
Certificate: CE
Application: Adult
Function: Face Lift
Packing: Sterile Packaging
Product Name: PDO Thread
Feature: Skin Tightening
Type: Medical Absorbable Suture
Sample Order: Yes
Packaging: Sterile packaging
Productivity: 100000 pieces
Brand: Auro Thread
Transportation: Express Delivery
Place of Origin: Hebei, China (Mainland)
Supply Ability: 100000 Pieces/per Week
Certificate: CE Certification
Port: Beijing
The Silhouette Facelift Thread Lift Cannula
Results may vary depending on the patient, but results from Dissolvable Thread Lift can last 12-16 months. How long the treatment lasts can depend on many factors including the severity of laxity, number of threads used and the thickness of skin as well as how much firming occurs Medical PDO Thread Lift before and after.
Although Face Pdo Thread can be inserted almost anywhere, even in the body, one area where they are especially effective is the neck and jawline. So you can use Beautlift Pdo Mesh Thread jowls and the Pdo Thread Lift neck to lift neck and jawline. The Pdo Thread With Face Lifting Needle training will help you learn more.
Auro Thread is a thread with no cones, so One Stitch Facelift is no damage to the tissue and it is very safe. Aging causes the skin tissue to be thin because the collagen and elastin fibers break down, which results in sagging skin, deep creases, folds and wrinkles. Polydioxanone Absorbable Sutures reverses the effects of aging.
At first make small 1-2mm incisions at various points on the face. And then insert the hollow needle into the skin to put the threads in place. Attach the Polydioxanone Suture to the fat underneath the skin, then be adjusted to tighten and smooth the contours of face. At last, trim the excess threads .
The material from which these v soft Thread Lift is made, PDO (Polydioxanone), is a safe substance that keeps the skin in its new tightened state for 4-6months, whilst ultra v thread lift also synthesizing new collagen production. The lasting result of v Contour Thread Lift will provide the skin with a fresh, well rested and firmer look whilst supporting new collagen formation for long lasting results.
PDO Cog Thread Lift not only lifts the face, but also promotes your own skin dermis collagen regeneration, to create natural facial lines. Collagen can increase the elasticity of the skin, increase the brightness of the skin, reduce the pores and whiten the skin.
PDO threading for face lift takes no complication or any unsafe phenomenon. Thread lifting korea is absorbable. PDO Thread is more safe and effective than the other method.
The Auro Threads needle has the same outer diameter of a traditional needle but has a bigger inner
diameter which
at a same capacity allows the
patient to feel less pain.
Easy operate is most advantage of sharp needle.
There always have a sharp needle for pierce for free with packaging.
L needle with small resistant than blunt cannula and less bleeding than sharp needle.
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Model Needle Size(G) Needle Length(mm) Model Needle Size(G) Needle Length(mm) Mono 26G 30, 60mm Mono Screw 26G 30, 60mm 27G 25, 38, 50mm 27G 25, 38, 50mm 29G 25, 38, 50, 60mm 29G 25, 38, 50, 60mm 30G 25, 38mm 30G 25, 38mm Tornado 26G
30, 50, 60, 90mm Tornado Screw 26G 30, 50,60mm 27G 38, 60mm 27G 38, 60mm 29G 60mm 29G 60mm Cog 3D 19G 100mm Cog 4D 19G 100mm 21G 60, 90mm 21G 60, 90mm 23G 60, 90mm
23G 60, 90mm Cog 3D L Needle 18G 100, 120mm Cog 4D L Needle 18G 100, 120mm 19G 100mm 19G 100mm 21G 50, 60, 90mm 21G 50, 60, 90mm Cog 3D Blunt Cannula 18G 100, 120mm Cog 4D Blunt Cannula 18G 100, 120mm 19G 100, 120mm 19G 100, 120mm Nose Thread
19G 38, 50, 60mm Eye Thread 30G 25, 38mm 21G 50, 60mm 25, 38mm
PDO threads how does it work?
The Pdo Thread Lift in korea is a non-surgical technique performed by using fine acupuncture needles. The PDO Thread tightening procedure requires two steps: first is the application of topical anesthetic cream on the face where the treatment procedure is done. Second, is the implanting the threads under the skin.
Which areas can be treated with the PDO Threads?
Most popular PDO Thread Lift Treatment areas are the brows, cheeks (midface), jowls, and the upper neck. However, Thread Lift can be performed virtually anywhere on the body, such as Pdo Thread Lift knees, PDO Thread lift arms, pdo thread lift stomach, etc.
We Auro Technology Limited are a manufacturer of Polydioxanone(PDO) suture, our brand is the famous Auro Thread.
Auro PDO Thread Lift is produced in a GMP facility, and the raw materials are finest to guarantee the best quality.
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The face lift thread thread is approved by CE and ISO certificate
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Immediately and long-lasting result
Procedure time is very short
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Product Categories : Thread Lift > Nose Shaping L Needle


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Physical Therapy: Tradition Meets Progress
The PT department — with half its faculty graduates of the program — is one of the College's shining stars. by Greg Ryan '08
When Terri Hoppenrath '89 was a physical therapy student at IC, Andrew Robinson had a reputation as the toughest professor in a physical therapy department known for its academic rigor. The class Robinson taught was among the most difficult in the program to begin with, and the exacting professor didn't make it any easier. "He was a great instructor, but we didn't like him because he gave us pop quizzes," Hoppenrath laughs. "That meant you had to show up for class!"
In spring 2007 Hoppenrath found herself back in the same course, but this time as its instructor; she had returned to the College as a physical therapy professor in 2003. Other faculty members were required to assist the teacher during lab sessions, and so, 20 years after he had made her work so hard to do well on his exams, Hoppenrath again shared a classroom with Robinson — but the pupil had become the master. And this time the professor had a little more sympathy for her students. "I do not," says Hoppenrath, "give pop quizzes!"
Such instances of academic déjà vu are not uncommon among the physical therapy faculty on campus. More than half of the full-time professors on staff — 10 of 19 — are IC graduates. By comparison, a quarter of speech-language pathology and audiology faculty graduated from the College, and two members of the occupational therapy staff are IC alumni. The physical therapy program's nearest competitor, Quinnipiac University in Connecticut, has only 5 alumni on its 17-member faculty (Northeastern University, another competitor, is a rarity: its PT department tops IC's, with 12 alumni among 17 faculty members). When you factor in the low turnover rate among physical therapy faculty at the College, the influence IC grads have had on the program that groomed them is indelible.
The faculty members see their IC academic background as an undeniable strength. "I feel a connection to the students, because I was there," says Charles Ciccone '75, who has taught at the College for 25 years. Kathleen Buccieri '82, a professor in the department's Rochester program since 1998, says a major advantage lies in graduates' knowledge of the curriculum. "It's helpful," she says, "for keeping a larger perspective on what the students are learning now." Michael Pagliarulo, the department chair, agrees with Ciccone's and Buccieri's assertion that the high percentage of alumni among the faculty has brought considerable benefits to the program. "They know the intensity of the program, because they've experienced it themselves," he says. "They wanted to come back."
The professors' reasons for returning to South Hill range from the practical ("I was looking for a position, and this position was available," says Ernest Nalette '72, who joined the Rochester program in 1998 as its director) to the nostalgic ("I had always felt this magnetic course to come back to Ithaca," says Barb Belyea '82, M.S. '94, whose master's degree is from the Park School and who has been on the faculty for 19 years). But they didn't simply switch their graduation gowns for professors' garb. Each of the IC grads on the faculty performed clinical work before coming back to the College, in places as close as Cornell and as far away as Georgia.
Although 14 years separate the earliest and most recent graduates, there are a surprising number of personal connections between individual faculty members. Hoppenrath and Hilary Greenberger '89 (an IC professor since 1992) were best friends as undergrads and roomed together in the now-defunct Bronx program, where PT majors spent their senior year before the Rochester program was established in 1991. Ciccone and Stephen Lahr '75 (who came back to IC eight years after Ciccone, in 1990), were lab partners in several PT classes. The connections aren't limited to campus, either. Hoppenrath, who grew up in Ithaca, and Chris McNamara '81 (on the faculty since 1991), a Syracuse native, competed against one another at swimming events as teenagers. Greenberger and McNamara worked together at a private practice in Ithaca before either became an educator. One connection really hit home for Hoppenrath and Lahr. While flipping through the staff directory during one of her first days on the job, she noticed Lahr's address looked familiar: he lived in her childhood home. Curtains that Hoppenrath's mother had sewn still hang in Lahr's basement.
When Hoppenrath and Greenberger, two of the youngest faculty members, were undergraduates, four of the current faculty members (including Ciccone) were teaching at the College. Both Hoppenrath and Greenberger had graduated with a degree in something other than physical therapy during their first stint in college, and came back to school in their late 20s to get a second undergraduate degree in Ithaca's PT program. The two quickly became "attached at the hip," they say, and threw themselves into their studies, sneaking into empty classrooms at night to use the blackboards. "We would challenge each other," Hoppenrath recalls. "'Follow the median nerve from the brachial plexus to the end — go!' And we'd see who could do it the fastest."
Not all of the PT alumni faculty graduated from IC with a physical therapy degree. McNamara majored in physical education, and Nicholas Quarrier '76 graduated with a biology degree. Neither took any PT classes at Ithaca, although McNamara knew PT majors as teammates on the College swim team who "were studying all the time." (Quarrier concurs: "Every night I went to study, the library was just full of them.")
McNamara and Quarrier took winding roads back to South Hill. McNamara taught adaptive physical education in the Ithaca school district after she graduated, and developed an interest in physical therapy through PT colleagues. She went to Upstate Medical University to get her PT degree and worked as a clinician at Cornell and an adjunct instructor at IC for more than a decade before becoming a full-time professor at IC. Quarrier graduated from Ithaca and became a cancer researcher at Sloan-Kettering in New York City a few years before switching careers. He earned his physical therapy degree from NYU, but knew his training was no match for an Ithaca PT student's. "Every internship I went on, I thought, 'Are there any Ithaca College students here? I hope not, because they know too much,' " he says.
Of course, much has changed since these faculty were students. The field has become more interdisciplinary and more technological, and the IC PT program has adapted along with it. When the 10 IC faculty grads were students, the physical therapy degree was a four-year undergraduate program, with the final year taking place at the Albert Einstein College of Medicine/Bronx Municipal Hospital Center. Now, students participating in the doctoral program (initiated in 2005) study for six years, with the final year taking place in Rochester, where the off-campus center relocated in 1991 for what became a master's program from 1994 until the D.P.T. program replaced it.
Gone, too, are many of the graduates' former professors. In fact, these alumni faculty have replaced the very stalwarts — George Hearn, Bob Grant, and Bob Jenkins, to name a few the graduates consistently bring up — who led the program for so many years and trained them as physical therapists. Yet the alumni say they're vigilant in not allowing tradition to unnecessarily trump progress. "We're always trying to make the program better," says Karen Nolan '80, who joined the Rochester staff in 1997. They must constantly keep up with advances in technology, both in the field and in the classroom, that their predecessors did not have. Many of the professors feel they are struggling to keep pace with changes in how students communicate with each other. "Maybe if we could text-message students the information," says Hoppenrath, "they would get it better."
Some of the faculty have heard criticism from other schools that the program is too Ithaca-centric. But Pagliarulo says the department conducts open, national searches when a faculty position opens up, and that in many instances Ithaca grads are simply the most qualified candidates out there. "I see it as the best of both worlds," McNamara says. "You're coming from a common college experience, whether it was in physical therapy or not, but then you have a diverse actual PT experience." The non-alumni faculty will sometimes joke about putting a moratorium on hiring new IC grads, but always in good fun. "We view ourselves as a faculty," Ciccone adds, "not faculty who graduated from the program versus those who didn't. We're a cohesive unit."
Still, there's no denying the connection that program grads can share with students. The professors say they discuss their experiences at IC with their students every semester. "I tell students I sat in the back of the class in Textor," says Lahr, "and that those indentations on the wall were made by my head."
Ciccone never thought he'd spend the better part of three decades as a professor on South Hill. "When you're in college, you look at professors and say, 'No way,' " he says. "Looking back in retrospect, you think, Wow, this is really cool. I love this job."
For their part, students appreciate the background they share with the alumni faculty. "I think it's great," says Shane Haman '09, "because they understand the stresses and excitement behind Ithaca's program." Hamman says he can envision himself returning to the College as a professor someday.

subset: commoncrawl


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Sizzix Thinlits Die - Graceful Angel
Pete Hughes
Pete has been inspiring UK and European crafters for years. After leaving school, Pete trained as an illustrator, specializing in cartoons and caricatures before working for an educational publishing company. Pete has been with Ellison since 2005, where he enjoys producing projects for UK and European magazines, trade shows and demonstrations. Pete is also featured regularly on television demonstrating Sizzix products, including QVC. Says Pete, "My inspiration comes mainly from our wonderful customers."View Designer
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The Thinlits dies in this set are compatible with the BIGkick, Big Shot and Vagabond machines.
To cut, the sandwich requires use of a pair of Cutting Pads and the machine's included Platform; when using the Essentials Platform or Solo Platform & Shim, the Extended Adapter or Solo Adapter is required. Because of their intricacy, Thinlits dies may require up to three passes to cut. If extra ejection is needed for easier separation of the die-cut from the design, place wax paper between the Thinlits die and your material and then cut.
These die can also emboss when the machine's included Platform is combined with an Impressions Pad and Silicone Rubber sheet. The diagrams on the Platform offer easy guidelines about how to make the perfect Sizzix sandwich.
To stencil, place the die over desired material and apply ink or chalk to the die indentations. This technique can be used alone or to enhance embossed designs.


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When we moved into our new condo, there was a dead mountain ash tree in the backyard. I'd just come back from a visit to Chicago and I'd seen how the parks department there had painted dead trees, turning them into art. Inspired, I painted my own dead tree, and used it to hang wind chimes, lamps, and houseplants summering outdoors. The bright purple was a great accent color in the garden.>> read "A Painted 'Forest'" #Art #Colorful #Design #How to
Bringing color to trouble spots in the landscape
Every yard has them – those troublesome spots that just don't want to cooperate with your grand vision for the yard of your dreams. While there's no miracle cure, there are steps the backyard gardener can take to bring life and interest to barren areas.>> read "Every Gardener's Challenge" #Colorful #Shade #Slopes
My first garden experiences with tropical sages were a bit drab. Six-packs of mealycup sage (Salvia farinacea) from the grocery store bloomed through the summer with flowers the color of new Levis. The next year, to be fancy, I grew the seed strain 'Strata'. Its flowers were closer to the color of dirty overalls. Then, of course, there was red Texas sage (Salvia coccinea) and its variety 'Lady in Red' — far more elegant in name than in physical reality — plus its bizarre faded pink variant 'Coral Nymph'.
Yes, they were reliable. They needed little attention, they tolerated heat and drought, and stayed colorful throughout the summer. But they didn't do anything that a plastic cactus wouldn't.
Hard to imagine but folks couldn't always go to the department store and buy egg coloring kits. So, what did they use to dye their eggs? If you read the title then you guessed it: flowers, leaves and fruits of plants growing nearby or in their gardens.>> read "Color Eggs with Natural Dyes from the Garden" #Colorful #Crafts #Holiday: Easter #How to
Dragonflies with their ominous beauty, vivid colors and their spectacular flying maneuvers have provided hours of entertainment for many gardeners. Dragonflies are widespread across the United States and can be enticed to visit most yards. There are more than 450 species found throughout the United States and Canada. They range in color and size from the small eastern amberwing to the very large and brilliantly colored green darner. Although these insects tend to stay close to their birthplace, they are strong fliers that will explore surrounding areas. So if you garden even remotely near fresh water or a wetland, you can lure dragonflies to your yard.>> read "Dragonfly Fascination" #Colorful #Insects #Wildlife
Move over pansy, cyclamen and snapdragon. Anemone (A. coronaria) is the new darling of the cool-season bloomers. After showing up in garden centers around mid-December last year, this scintillating Mediterranean native was snapped up faster than a gardener can say "ranunculus.">> read "Keep Your Friends Close, but Your Anemones Closer" #Colorful #Flowers #Plant Profile
Creating a 100 percent pure perennial bed can be quite a daunting task. The thought of planning a flowerbed that provides interest from spring until fall is enough to have the most seasoned landscape designers running for the hills. With this simple plan, you can dip your toes into the wonderful world of perennials without creating a panic.>> read "Perennial Planning 101" #Colorful #Flowers #Perennials
This is about the time of year I start getting inquiries from local media about why leaves turn colors in the fall. What they really want to know is the exact week of peak color to inform the leaf-peepers. I usually respond that the plants are preparing to enter dormancy and peak color depends on prevailing weather conditions and is often unpredictable.
But what exactly is dormancy and why is it crucial to plants? Like explaining why leaves change color, the answer is not straightforward and "depends," which is not the answer most people want to hear. I'll attempt to explain in layman's terms an interesting facet of a plant's life.
As I was scanning my photo library, considering the many garden plants I could write about for this article, I came across a file of photos, all taken during the month of April – not all in the same year, but all in April – gardens ranging from Jackson, Miss., to Louisville, Ky. It reminded me just how abundant the garden is this time of year. This is the season when gardening seems effortless. Well, almost. The weeds are as high-spirited as the annuals and perennials, so diligence in their control is necessary; but still, the garden is lush and growing rapidly, and the vibrant green of spring radiates from its very heart. There is a certain pristine quality about all of the plants emerging fresh and new.>> read "Aprils Remembered" #Colorful #Flowers #Spring
You don't have to be 'serious' to grow dahlias
My grandfather's neighbor grew dahlias – giant things, with huge, coarse leaves. Their stems were trussed to stout bamboo poles, held captive to protect the hope of a flower. He'd pinch out most of the flower buds, trampling them into the ground, squeezing the plant's energy into one tremendous effort of bloom. I don't grow these dahlias.>> read "Dahlias for Smiles, Not for Show" #Colorful #Flowers #Ornamentals
Add some color to that bland winter landscape
Adding color to your garden in winter can be a challenge. For many gardeners, barren beds are something we learn to live with until spring. After all, our winters can be harsh with temperatures frequently dipping below freezing. Most flowering plants do not survive in these conditions. However, there are some that flourish, and even thrive, in cooler temperatures. Brightening a winter garden doesn't have to be difficult, you just need to pick the right plants for your conditions.>> read "A Wonderland of Color" #Colorful #Flowers #Winter
Azaleas are more than a harbinger of spring. All across the Southeast, masses of red, white, pink and purple azaleas boldly proclaim that the season has arrived. Many people think azaleas come in just four colors, and some may even criticize their use as commonplace. Discriminating gardeners know better. This article cannot possibly discuss everything about azaleas, but it may foster an appreciation for their amazing diversity while providing some practical advice.
All azaleas are really rhododendrons, and fall into two general categories: evergreen or deciduous. Evergreen azaleas are very common in American gardens but they are not native plants. They all originated in western Asia, primarily Japan and China. North America is home to 17 native azalea species and they are all deciduous shrubs. Surprisingly, most are native to the Southeast! Admired in Europe since the 1800s, they have been woefully underrepresented in our gardens.
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Last year I made what I ended up calling our "first and last ofrenda" … Eager to start a new tradition on a holiday as beautiful as Día de los Muertos, I made an altar for Carlos's father without realizing that Carlos grew up in a country, (El Salvador), that, for the most part, doesn't take part in the type of Day of the Dead festivities you usually think of when you think about November 2nd.
In El Salvador, Carlos explained, Day of the Dead, or "Día de los Difuntos" as I hear his family call it, is a somber day to go to the cemetery, clean the graves of loved ones, decorate the graves with flowers, have names repainted on the tombstone, and maybe stick around for a quiet picnic. Unlike Mexico, or neighboring Guatemala, El Salvador doesn't really celebrate Day of the Dead with fun parties.
Being that Carlos wasn't comfortable having an altar for his father, I thought this was one tradition that just wasn't meant to be for our family, but my boys had other ideas.
"Aren't you going to make an ofrenda this year? I liked that tradition," my older son asked.
"I liked it too but it made Daddy unhappy to have an altar for his father so we shouldn't make one this year."
"But we can make a different one. I'd like to have one for Ginger," he said, referring to the family dog we put down over the summer.
"Can you have an ofrenda for a dog?" he asked, "Cause they have spirits, too."
I agreed, and so that is why I made an ofrenda for Ginger this evening, instead of working on various other things I was supposed to be doing.
Ginger liked to chase rabbits that would slip under the fence right before she caught them – though I would bet money that had she ever caught one, she wouldn't have known what to do with it – I think she just wanted to play. She was a tall German Shepherd mix who played gentle with all creatures smaller than herself – from other dogs, to cats, and even babies.
We adopted her from the Humane Society and it seemed like she always remembered that and thanked us for it. She didn't know any fancy tricks – just the basics – but she was bilingual – responding to commands in both English and Spanish. We jokingly called her "Jengibre" since "Ginger" is the name she came with and I wanted to give her a Spanish name. Suegra found it disturbing that the dog's name tag said "Ginger López" – she had never met a dog with a last name before.
Ginger loved to be wherever I was. Even if she was comfortable laying on the other side of the room, all I had to do was make eye contact and she'd get up to come closer to me. She refused to catch a frisbee or play fetch but she loved to play chase, especially if you had a pocketful of breakfast cereal. Her only sin was climbing up on the sofa when no one was home, but she had enough respect to climb down when she heard the keys in the door.
We miss Ginger. She was described by family and neighbors as "a sweetheart." We hope she's chasing rabbits in a better place.


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- Active Error (or Active Failure)
The terms active and latent as applied to errors were coined by Reason. Active errors occur at the point of contact between a human and some aspect of a larger system (e.g., a human–machine interface). They are generally readily apparent (e.g., pushing an incorrect button, ignoring a warning light) and almost always involve someone at the frontline. Active failures are sometimes referred to as errors at the sharp end, figuratively referring to a scalpel. In other words, errors at the sharp end are noticed first because they are committed by the person closest to the patient. This person may literally be holding a scalpel (e.g., an orthopedist operating on the wrong leg) or figuratively be administering any kind of therapy (e.g., a nurse programming an intravenous pump) or performing any aspect of care. Latent errors (or latent conditions), in contrast, refer to less apparent failures of organization or design that contributed to the occurrence of errors or allowed them to cause harm to patients. To complete the metaphor, latent errors are those at the other end of the scalpel—the blunt end—referring to the many layers of the health care system that affect the person "holding" the scalpel.
View Patient Safety Primer
- Adverse Drug Event (ADE)
See Primer. An adverse event (i.e., injury resulting from medical care) involving medication use.
- anaphylaxis to penicillin
- major hemorrhage from heparin
- aminoglycoside-induced renal failure
- agranulocytosis from chloramphenicol
An ameliorable ADE is one in which the patient experienced harm from a medication that, while not completely preventable, could have been mitigated. For instance, a patient taking a cholesterol-lowering agent (statin) may develop muscle pains and eventually progress to a more serious condition called rhabdomyolysis. Failure to periodically check a blood test that assesses muscle damage or failure to recognize this possible diagnosis in a patient taking statins who subsequently develops rhabdomyolysis would make this event an ameliorable ADE: harm from medical care that could have been lessened with earlier, appropriate management. Again, the initial development of some problem was not preventable, but the eventual harm that occurred need not have been so severe, hence the term ameliorable ADE.
- Adverse Drug Reaction
Adverse effect produced by the use of a medication in the recommended manner—i.e., a drug side effect. These effects range from nuisance effects (e.g., dry mouth with anticholinergic medications) to severe reactions, such as anaphylaxis to penicillin. Adverse drug reactions represent a subset of the broad category of adverse drug events—specifically, they are non-preventable ADEs.
View Patient Safety Primer
- Adverse Event
Any injury caused by medical care.
- pneumothorax from central venous catheter placement
- anaphylaxis to penicillin
- postoperative wound infection
- hospital-acquired delirium (or "sundowning") in elderly patients
View Patient Safety Primer
- Adverse Events after Hospital Discharge
See Primer. Being discharged from the hospital can be dangerous for patients. Nearly 20% of patients experience an adverse event in the first 3 weeks after discharge, including medication errors, health care–associated infections, and procedural complications.
View Patient Safety Primer
- Alert Fatigue
- See Primer. Computerized warnings and alarms are used to improve safety by alerting clinicians of potentially unsafe situations. However, this proliferation of alerts may have negative implications for patient safety as well.
- Anchoring Error (or Bias)
The common cognitive trap of allowing first impressions to exert undue influence on the diagnostic process. Clinicians often latch on to features of a patient's presentation that suggest a specific diagnosis. Often, this initial diagnostic impression will prove correct, hence the use of the phrase anchoring heuristic in some contexts, as it can be a useful rule of thumb to "always trust your first impressions." However, in some cases, subsequent developments in the patient's course will prove inconsistent with the first impression. Anchoring bias refers to the tendency to hold on to the initial diagnosis, even in the face of disconfirming evidence.
- The Acute Physiologic and Chronic Health Evaluation (APACHE) scoring system has been widely used in the United States. APACHE II is the most widely studied version of this instrument (a more recent version, APACHE III, is proprietary, whereas APACHE II is publicly available); it derives a severity score from such factors as underlying disease and chronic health status. Other points are added for 12 physiologic variables (i.e., hematocrit, creatinine, Glasgow Coma Score, mean arterial pressure) measured within 24 hours of admission to the ICU. The APACHE II score has been validated in several studies involving tens of thousands of ICU patients.
- Authority Gradient
The balance of decision-making power or the steepness of command hierarchy in a given situation. Members of a crew or organization with a domineering, overbearing, or dictatorial team leader experience a steep authority gradient. Expressing concerns, questioning, or even simply clarifying instructions would require considerable determination on the part of team members who perceive their input as devalued or frankly unwelcome. Most teams require some degree of authority gradient; otherwise roles are blurred and decisions cannot be made in a timely fashion. However, effective team leaders consciously establish a command hierarchy appropriate to the training and experience of team members. Authority gradients may occur even when the notion of a team is less well defined. For instance, a pharmacist calling a physician to clarify an order may encounter a steep authority gradient, based on the tone of the physician's voice or a lack of openness to input from the pharmacist. A confident, experienced pharmacist may nonetheless continue to raise legitimate concerns about an order, but other pharmacists might not.
- Availability Bias (or Heuristic)
The tendency to assume, when judging probabilities or predicting outcomes, that the first possibility that comes to mind (i.e., the most cognitively "available" possibility) is also the most likely possibility. For instance, suppose a patient presents with intermittent episodes of very high blood pressure. Because episodic hypertension resembles textbook descriptions of pheochromocytoma, a memorable but uncommon endocrinologic tumor, this diagnosis may immediately come to mind. A clinician who infers from this immediate association that pheochromocytoma is the most likely diagnosis would be exhibiting availability bias. In addition to resemblance to classic descriptions of disease, personal experience can also trigger availability bias, as when the diagnosis underlying a recent patient's presentation immediately comes to mind when any subsequent patient presents with similar symptoms. Particularly memorable cases may similarly exert undue influence in shaping diagnostic impressions.


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Tee time at Augusta, tea time for Boehner, and wait-and-see time for Portugal. Portugal's bailout was not unexpected, and some analysts suggest it could end the European Union's debt crisis without spreading to Spain. But most Asian markets fell on the news. Also, Monsanto's earnings fell short of expectations we previewed Tuesday. Here's some of what we're watching for April 7…
1. Counting Up Receipts: All morning Thursday, major retail chains report March sales data. For the first time in 18 months, we could see a cumulative decline in the numbers, with retailers under pressure from the headwinds of rising gas prices, cold weather and late Easter timing. The consensus estimate is a 0.5 percent dip. Department stores could be hardest hit, with Kohl's and JCPenney amongst the names to watch.
2. Portugal's Hourglass: At this point, it is just a matter of time (and not much time) before Portugal becomes the latest casualty of the European debt crisis, with the Portguese caretaker government saying Wednesday it needs financing from the European Union. How soon and how much are the outstanding questions. That's the backdrop as the European Central Bank readies its Thursday policy decision, in which it's widely expected to raise interest rates to combat inflation. The euro is trading around a 15-month high versus the dollar in advance.
3. The Man in the Middle: As Congressional tug-of-war over the Federal Budget nears Friday deadline, a potential government shutdown becomes increasingly real. While agencies are working now to determine who and what is essential — if such a limited shutdown occurred — the man in the center is House Speaker John Boehner. The newly elected speaker is caught between his opposition across the aisle and the freshly empowered tea party contingent. The rubber is about the meet the road, when it comes to testing Mr. Boehner's control over his caucus.
RELATED: Europe's 5 most generous pension systems
4. Chambers Under Pressure: Cisco CEO John Chambers is set to speak at a tech conference in San Francisco at 2:00pm ET Thursday, in comments which took on far greater interest following his promise earlier this week to take "bold steps" to narrow the tech behemoth's focus. His sweeping remarks evoke a company in need of a makeover. It's been a lost decade for Cisco shareholders and, increasingly, the blame is being directed at Mr. Chambers.
5. Tee Time at Augusta: Who are we kidding? Golf's first major tees off Thursday and we're eager to see if Phil can defend his title, matching the struggling Tiger Woods with four green jackets. Major golf names like Callaway have traded down significantly since the disaster in Japan, where concerns remain about how consumer demand will be impacted throughout that nation's recovery.


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Supernatural star Jared Padalecki is the third actor in the running to star in the remake of Conan The Barbarian, sources tell JustJared.com. It was reported earlier this week that Kellan Lutz (Twilight) and Jason Momoa (Stargate: Atlantis, Baywatch) are the two others in competition for the role.
Conan is set to start production on March 15 in Bulgaria but as previously reported that Padalecki's schedule might be causing a little bit of trouble — he plans on tying the knot with fiancee Genevieve Cortese this spring in Sun Valley, Idaho.
Directing Conan is Marcus Nispel, who worked with Jared on the 2009 horror flick Friday the 13th.
WHO DO YOU THINK is right for the Conan role — Kellan, Jason or Jared? (Source)


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Apprentice Play Worker - Altrincham
- Recruiter
- YMCA Training
- Location
- Cheshire
- Salary
- Competitive
- Posted
- 07 Sep 2019
- Closes
- 05 Oct 2019
- Sectors
- Apprenticeships
- Contract Type
- Permanent
- Hours
- Full Time
Apprentice Play Worker - Altrincham Fantastic opportunity in South Manchester! - Are you NVQ Level 2 in childcare qualified and looking to progress? Kool Kids are located at Stamford Park Junior School, they employ qualified and experienced staff who offer safe and high quality play for children aged 3-11 years. Providing a friendly and supportive environment for children with their safety as a priority. Working Monday to Friday (18 hours per week) Term time only from 3pm - 6.15pm (extra hours available during some of the holiday periods) Kool Kids out of school is committed to employing and retaining the best staff so the cost of your level 3 work-based qualification in Children and Young Peoples' workforce are met whilst you'll earn a weekly wage on top! Main duties: To promote Kool kids and its aims by fostering a friendly and supportive environment with safety as a priority To engage the children's interest with orderly play through planned activities Ensure the children are supervised at all times Assist with planning and observation relating to the Early Years Foundation Stage Curriculum The successful candidate : Be committed to safeguarding and promoting the welfare of the children Have a knowledge of Early Years Foundation stage curriculum Will have a caring, nurturing instinct and a positive and outgoing personality Will be able to communicate effectively with everyone at the club - from the children to the parents! Ideally will have achieved GCSE Maths and English grade A-C or equivalent To apply all you need to do is click Find out more and make sure your CV is attached and you include a brief cover letter that explains why you're interested in this role and why you make the best person for the job! Please note that YMCA Training is acting as a recruitment partner in this process and you are not required to contact the business directly. If you have any questions or would like some information about this or any other apprenticeships advertised here please get in touch by clicking the apply button below.


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HUNGRY, TIRED and LONESOME
Hungry, Tired and Lonesome
Im tired tonight, and a little lonesome. After being out most of the day (and lacking the energy to venture any further) I wander down the street to the tiny restaurant near my building for dinner. I hesitate slightly as I am greeted by the bold images of duck, octopus, dog and Santa Claus painted on the storefront window, but I intend (optimistically) to avoid any dish listing "dog" on the menu.
The menu is so dirty I am almost tempted to lose my appetite. But hunger wins out, so I give it a try. "Sauteed Large Intestine with Pickles." Another time, perhaps. "Sauteed Sliced Pig Bag with Lard." Not what I had in mind. "Spicy and Hot Bean Curd". Yes. Also, "Fried Rice with Egg and Baby Shrimp" – the hamburger and fries of China. I don't feel like being adventurous tonight. Add one big bottle of beer.
Tired, lonesome, cold and hungry – ingredients for introspection. I find myself writing in my notebook, "How I muddle through life with my introverted ways, I'll never know".
The tofu arrived – so far so good. Nice flavor, but the spicy bean curd is swimming in a thick, opaque oil. This massive mound of rice is good, too, but it could feed a small family. I continue to wonder why the majority of Chinese are so thin.
The family proprietors are hanging out in the restaurant – except for grandpa who relocated his plastic chair to the sidewalk. The little boy, maybe 5 years old, was just demonstrating how he could jump on and off the curb, a performance created especially for me. Now, on the chair next to me, he is singing to himself and writing his lessons, "t, t, t." It looks like a "t" but is more likely a basic Chinese character.
I take consolation in knowing that there are accomplished, introverted people in the world. Maybe I should quit trying to pretend otherwise and accept my fate. I remember a story that I read years ago. Third graders were asked what they wanted to be in life. One little girl said, "I would like to be myself. I've tried to be other things but always failed." Actually, having instant recall of this bit of Reader's Digest self-help philosophy makes me feel even more pathetic.
I offered the boy a mint on my way out. Special mints, from a tin sporting the image of President Bush with accompanying print that reads, "NATIONAL EMBARRASS-MINTS". The little boy shook his head "no" until his mother tried one and said "Hao". He then took two and swallowed both at once.
Seasoned Beggars
I detour to meet the old man who is rushing to head me off – scuffing his shoes on the granite path with each short step. His white chin whiskers are sparse enough to count, and he appears bowed under the weight of his layered jackets. We exchange a smile as he shows me his begging bowl – the bottom of which is covered with coins and ½ yuan notes, and I suspect his good fortune is owed to this beautiful day.
After a week of cold and rain, the sun has made a comeback – kites are flying, fishermen are catching fish, and today, those hulking ceramic pipes, that unashamedly channel their odiferous liquid to the sea, barely rate a derogatory glance. It is low tide and the clam diggers are out, levering their long-handled shovels, making big sandy piles where eighteen vertical feet of sea stood just six hours before.
This perfect weather tells me that the beach park will be crowded today. A typically large number of non-casually dressed people will come to the seashore. They will meander along the beach or sit on protective sheets of newspaper – men in suits, white shirts and dress shoes – women in fake fur-collared jackets and high-heeled boots, who will leave their little, exclamation point footprints in the sand.
The locals in semi-tropical, south China, consider winter weather – which hovers around 60 degrees Fahrenheit – to be life threatening. Close fitting long underwear, worn by every man, woman and child, is a first defense against the bitter cold. I attended a meeting upon arriving in Xiamen, in which the keynote speaker was smartly attired in suit, tie and long underwear – the sleeve of which, poked out from beneath a starched white cuff.
The morning began to heat up, so a friend and I sought out the shady side of the street as we strolled to the market. He commented on the summery weather and to punctuate the point, pulled up his shirtsleeve and jacket sleeve to show me his bare forearm. "See", he said emphatically, "My pajamas stay home today."
Near the row of pork vendors, a middle-aged man in a blue Mao-era jacket, sits spread-eagle on the meat-flecked floor. One pant leg is rolled to his groin, revealing scars from an injury that mangled his thigh and apparently cut short his working life. It occurs to me that begging attire lacks a foundation of long underwear. Comfort is not the look they're after.
My attention returns to my pajama-less friend, who is saying something about the warm weather and a cold I suffered recently.
"You get sick because you like to take your clothes off", he announced.
"Excuse me?"
"In the afternoon when it gets warm", he said earnestly, "You think, 'It's warm, I will take my clothes off.' "Don't take some clothes off", he cautioned, "because then you will become sick."
We pass by an impossibly thin girl – her even thinner legs are twisted beneath her on the wet concrete. I continue to the far end of the market lane and moments later, turn to find her at my feet with outstretched bowl.
I am reminded of a recent television spot, showing a smiling, well-groomed man in a wheelchair, using a public phone that had been lowered from standing height. The city of Xiamen ran the promotional ad, in conjunction with a weeklong Beijing symposium held to celebrated the 10th anniversary of the "Promulgation of the law on the protection of handicapped people". The Xiamen ad proclaimed, "We will work to make the city more accessible to its handicapped citizens."
The regulars who work the larger university shopping area are becoming familiar fixtures. There's the thickset woman who displays her elephantiasis foot on a comparatively tiny square of cloth – right next to her battered begging bowl. I am fond of the sweet-faced young man with shockingly dwindled legs, one of which he slings over a shoulder so you're sure not to miss it. I also like the man with clear, intelligent eyes (and I suspect a sense of humor) who otherwise looks like the live-chicken-eating-cannibal in the county fair I frequented as a kid. They all dwell at street level, therefore looking even more pathetic and downtrodden – except for the upright 'cannibal', who's ensemble of filthy rags and wild, unwashed persona, says 'wretched' in any position.
These are not fair-weather beggars – I have seen them at their posts, hunched up against the cold and damp – and it pleases me to think of them enjoying a balmy winters day.
Thoughts come to me unsolicited, and I wonder, "How do these people get to their begging locations?" And, "Where do they go to the bathroom?"
These ruminations evoke memories of the first time I came to China. I was invited to participate in an international sculpture symposium outside of Tianjin. My home for six weeks was the Golden Sail Hotel. It had everything I needed – a bowling alley, Karaoke bar, revolving carpets in each elevator that correctly announced the day of the week, and a Japanese restaurant, "…located to second floor," where I was invited to, "Come and taste the delicious odor to your own pleasure."
The lobby of the Golden Sail Hotel offered a small, but beautiful restroom, equipped with lotion, hand towels and – a steep step up from the rest of the room – a row of three, equally narrow stalls. The door of the furthest compartment displayed an impressive brass plaque, on which Chinese characters were inscribed, and above those, printed in English, was the word, "DEFORMED".
My daughter, Sam, and I flew into Xiamen on a frigid Siberian tail wind, December 15, 2005. Ineke Gudmundsson, the Director of the Chinese European Art Center (CEAC), greeted us at the airport with flowers. "Strong ones", she said, "so they will last".
Although CEAC's description of the art residency apartment, "Two bedroom, 1-1/2 bath, large studio room with work table, balcony facing the sea, washing machine, air conditioner and maid", was accurate, Sam and I soon found cause to read between the lines.
This eight story high rise was built only five or six years ago, but our apartment appeared to have been constructed from odds and ends of older, now demolished dwellings; metal doors (one with a man/woman public toilet sign still glued to it), sinks (with ducked-taped holes that once held other faucets), and thin drapes that fluttered and danced in front of drafty windows. The deep enameled bathtub, a seemingly friendly oasis in this vast expanse of glaring linoleum, filled to one inch before the hot water ran out. A few belligerent cockroaches stalked the crackers and fruit that Ineke had cached for us.
Over the next few days, jet lag fading, Sam and I reclaimed items of furniture that had been exiled to far corners of cold rooms. We bought woven floor mats, plants and large colorful wall maps. We christened the room off the "balcony facing the sea" as The Studio.
Our first restaurant meal included grisly snails, whole octopus and boiled chicken including heads, feet and skin. The second — "vegetarian" noodles covered with a generous helping of mystery meat. My fault. I missed the bold images of dog, pig, shrimp, chicken and Santa Claus painted on the storefront window. We began to forage for stores and shops that might stock rare and treasured items like olive oil, coffee and peanut butter. Not an easy undertaking — packaged items are sometimes difficult to identify, even with added English – as in, "Meat Floss Biscuit."
Our three weeks in China also included many morning beach walks, saunas, massages, superb dim sum; visits to the exotic island of Gulangyu; seeing old friends (from my 2004 stay in Xiamen) and meeting many new friends; hosting a dinner for Dutch art residents, featuring green chili chicken stew preceded by Tequila Sunrise cocktails: fascinating introductions to stone, bronze and metal factories; several extraordinary Christmas and New Year's parties, brunches and beach banquets; ancient botanical gardens; McDonalds with squat toilets; ferry shuttles and life-threatening taxi rides. Each experience infused with the captivating culture of China.
And now this first unparalleled chapter has come to an end. Sam began her long journey back to Santa Fe a few hours ago. God, how I miss her.


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Melissa Mead says she likes to run. She especially enjoys longer distances.
She thrives on long courses. It's as if she finds extra energy when the ground converts from pavement to grass, to dirt, to hills toward the finish line.
She's also no stranger to change and transformation away from running. There were dreams of being a star runner at Iona College in New York, where she received education for her initial desired interest to become a doctor.
But just as the road turns during those long distances, so did her life. There has been adversity and triumph, uncertainty and accomplishments, all leading to another goal and to where she is now.
Mead, 23, a former Newport Harbor High standout, is preparing for the Boston Marathon. It's a goal she's always had, especially after finishing up at UC Irvine in the spring of 2012. Boston will be her second marathon. She qualified for the prestigious race in her first marathon, the 2012 OC Marathon.
As a runner, she's learned to adapt to her surroundings, the course, the weather, the competition. It's hardly different from the challenges she faced after graduating from Newport Harbor in 2007.
She never got to compete for the Gaels at Iona. As an 18-year-old freshman she suffered a stress fracture in her right leg in September, before she could ever log one race for Iona.
"I was pretty distraught," said Mead, who now lives in Costa Mesa. "I was one of the top freshmen going in that got recruited that year. I was in the top seven [for Iona] and on the travel team. I was really bummed out because I was done for the season."
Mead also soon realized she was done with Iona. She missed Southern California and in 2008, she found a home at UCI. She said Vince O'Boyle, who coaches cross-country and track and field at UCI, took her in and really supported her desire to compete for the Anteaters.
Mead took pride in competing as an NCAA Division I runner and completing personal-best times each year in cross-country and track and field.
She had come a long way from her stress fracture that left her rehabilitating for a year. And a long way from Newport Harbor, where she first had aspirations to become a volleyball player.
There went that "change" thing again.
Back then she only competed in track to stay in shape for volleyball. But before her junior year, she decided to become a full-time runner and competed in cross-country. She helped lead the Sailors to back-to-back runner-up finishes at the State Meet in Division 2. In her senior year, she led Newport Harbor with her sixth-place finish in Division 2 and 17th overall placement at the state finale.
Mead was at home with the Sailors in Newport Beach, where she grew up. She attended Mariners Elementary and began to compete in track and field at Ensign Intermediate. Her younger sister, Katelyn, is a junior at Newport Harbor, where she is a runner. Mead's other younger sister, Coleen, is a junior who plays basketball at Penn State of Beaver County. Coleen also played at Newport Harbor.
Mead didn't feel at home at Iona. Even studying biology didn't feel right. At UCI, she switched her major to literary journalism.
Last year she was up for trying something new again when she set her sights on the OC Marathon. She said she signed up for the race just four weeks before it took place.
"It just felt right," Mead said of competing in the marathon that goes through Newport Beach and into Costa Mesa. "I showed up that day before the sun came up and I took the bus to the starting line. I just let it go. Let it rip."
Mead said she finished in 3 hours, 2 minutes and was not aware of the qualification time for her age group, which was 3:35.
"It was nuts," Mead said. "I finished fifth for the women. I hadn't run a road race in a while. I was kind of shocked. But I was really happy with it."
Mead later turned her attention to the Boston Marathon. These days it's all she thinks about, as she balances two jobs, training and some sort of a social life. She leaves for Boston with her mother, Margaret, next week.
She works part time as a barista at Starbucks and is also a social media coordinator for FutureSense, a consulting firm specializing in the areas of organization and management.
Through her balancing act, she has learned a great deal about time management.
She runs just about every day of the week, seven to 10 miles each day. On the weekends, the runs will be a bit longer, maybe 16-18 miles.
She does a lot stretching and recently she's added Bikram yoga to her training. The yoga, which requires performing exercises in heat over 100 degrees, has helped her, she said.
Mead does most of her training in solitude. She is not a part of a running club and does not have a coach. She doesn't mind at all to be by herself while training.
"I really enjoy it by myself," Mead said. "It's a time when I can be within my own thoughts. But I still get a lot done. I feel that it's productive, but it's also some time to myself."
Mead has also done research of the Boston Marathon course. She calls herself, "kind of a dork," for watching videos on YouTube of the course.
She just wants to be ready.
"I'm still in shock and I'm just really excited to be in the race," Mead said. "I'll see how I react that day [of the Boston Marathon]. I'm pretty competitive when that gun goes off, so we'll see."
Twitter: @SteveVirgen


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• His first Major Championship victory in his 19th Major Championship appearance
• Becomes the first European to win the US Open Championship since Tony Jacklin in 1970
• Only the second player from Northern Ireland to win a Major Championship, following Fred Daly (1947 Open Championship). (Daly and McDowell were both born in Portrush) and only the third Irishman in history to win a Major following Padraig Harrington (2007 and 2008 Open Championship and 2008 US PGA Championship)
• Joins Harry Vardon (1900), Ted Ray (1920), Jim Barnes (1921), Tommy Armour (1927) and Tony Jacklin (1970) as British golfers to win the US Open Championship
• Joins Tony Jacklin (1970), Ernie Els (1994, 1997), Retief Goosen (2001, 2004), Michael Campbell (2005), Geoff Ogilvy (2006) and Angel Cabrera (2007) as European Tour Members to win the US Open Championship
• His sixth European Tour International Schedule victory in his 190th European Tour event
• Second win of The 2010 European Tour International Schedule, following The Celtic Manor Wales Open; his last European Tour appearance
• This victory beats his previous Major Championship finish of tied tenth in the 2009 US PGA Championship
• This victory comes in his fifth US Open Championship appearance. His previous best performance was tied 18th in 2009
• The 38th Major Championship victory by a European Tour Member since Seve Ballesteros won The Open Championship in 1979
• The 17th different European Tour Member to win a Major Championship since Seve Ballesteros in 1979
• Second player to record multiple victories on the 2010 European Tour International Schedule, following Charl Schwartzel (Africa Open and Joburg Open)
• Second player this season to win in consecutive European Tour appearances, following his victory in The Celtic Manor Wales Open. Charl Schwartzel was the first in the Africa Open and Joburg Open
• Climbs 24 places to 13th in the Official World Golf Ranking
• Gains a ten year exemption into the US Open Championship
• Gains a five year exemption into the Masters Tournament, Open Championship and US PGA Championship
• Gains a place in the 2010 PGA Grand Slam of Golf
• Extends his European Tour exemption until the end of 2017
• Moves over €8 million in European Tour Career Earnings
• The 36th Northern Irish victory in European Tour history
• His sixth win as a professional worldwide
Graeme McDowell Factfile
1979: Born Portrush, July 30.
1996: Wins Ulster Boys Championship.
1998: Attends the University of Alabama.
1999: Wins Irish Youths Championship.
2000: Further success in the Palmer Cup, Irish Amateur Maury Close Championship, Irish Youths Championship, World Universities Championship and South of Ireland Championship.
2001: Palmer Cup winner again and also part of Great Britain and Ireland team which retains Walker Cup in Georgia. Conference USA Player of the Year, Ranked Number One Collegiate Player in the US.
2002: Wins Haskins Award for most outstanding collegiate golfer in the United States. Later turns professional and goes on to win the Scandinavian Masters in only his fourth start on The European Tour.
2004: Success in the 61st Telecom Italia Open - after a play-off with Thomas Levet - helps him finish sixth on The European Tour Order of Merit.
2005: Climbs into top 50 in the Official World Golf Rankings for the first time.
2008: Wins Ballantine's Championship in Korea and Barclays Scottish Open. Earns 2 1/2 points for the European Team on an impressive Ryder Cup debut and finishes the season ranked fifth on the Order of Merit.
2010: June: Follows success in The Celtic Manor Wales Open with victory in the US Open at Pebble Beach, becoming the first Northern Irishman to accomplish the feat and the first European to win the title since Tony Jacklin in 1970.
Year Player Title
1979 Seve Ballesteros Open Championship
1980 Seve Ballesteros Masters Tournament
1983 Seve Ballesteros Masters Tournament
1984 Seve Ballesteros Open Championship
1985 Bernhard Langer Masters Tournament
1985 Sandy Lyle Open Championship
1987 Sir Nick Faldo Open Championship
1988 Sandy Lyle Masters Tournament
1988 Seve Ballesteros Open Championship
1989 Sir Nick Faldo Masters Tournament
1990 Sir Nick Faldo Masters Tournament
1990 Sir Nick Faldo Open Championship
1991 Ian Woosnam Masters Tournament
1992 Sir Nick Faldo Open Championship
1993 Bernhard Langer Masters Tournament
1994 José Maria Olazábal Masters Tournament
1996 Sir Nick Faldo Masters Tournament
1999 José Maria Olazábal Masters Tournament
1999 Paul Lawrie Open Championship
2007 Padraig Harrington Open Championship
2008 Padraig Harrington Open Championship
2008 Padraig Harrington US PGA Championship
2010 Graeme McDowell US Open Championship


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Summer afternoons are relatively longer and they become the longest when you have nothing to do. I am not an afternoon sleeper, so it feels like years if I am not doing anything in the afternoon.Sometimes I feel may be eating my lunch in a slow motion would do, but Nuh- Nuh- Nuh. Read more…
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August 2, 2016
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No. 94,492
An unreasonable delay between the issuance and the execution of a probation violation warrant results in a waiver of the probation violation by the State. In determining whether the delay was unreasonable, the court should examine whether the State conducted a reasonable investigation into the defendant's whereabouts. If a waiver is shown, then the defendant need not prove prejudice from the delay to be entitled to reversal.
Appeal from Sedgwick District Court; WILLIAM SIOUX WOOLLEY, judge. Opinion filed August 4, 2006. Reversed and remanded with directions.
Nathan B. Webb, of the Kansas Appellate Defenders Office, and Brandi L. Studer, legal intern, for appellant.
Matt J. Maloney, assistant district attorney, Nola Tedesco Foulston, district attorney, and Phill Kline, attorney general, for appellee.
Before HILL, P.J., GREENE, J., and BRAZIL, S.J.
HILL, J.: Wynona L. Bennett contends that a delay of more than 2 years between the issuance of a probation violation warrant and her arrest on that warrant is unreasonable. She argues such a delay is a waiver of her probation violation by the State and therefore the district court erred when it extended her probation. Because the facts show that the State did not conduct a reasonable investigation in order to find Bennett, and following prior cases, we hold that the revocation and reinstatement of Bennett's probation violated her due process rights. We reverse and remand with directions.
In December 2002, following her plea to one count of possession of cocaine, Bennett was sentenced to a 13-month prison term that was suspended, and was placed on 12 months' probation. A probation violation warrant was issued for Bennett on February 11, 2003, because her urinanalysis (UA) tested positive for cocaine. Bennett was not arrested on the warrant until March 14, 2005.
There were several addresses attributed to Bennett. The warrant listed "1425 N. Hillside, Wichita, KS 67214" as her address. At her preliminary hearing on July 2, 2002, Bennett listed her address as 2161 N. Minneapolis. On her presentence investigation report, which was filed on November 8, 2002, her address was listed as 554 N. Volustia, Wichita, Kansas.
Claiming that the State had failed to conduct a reasonable investigation into her whereabouts and had failed to timely execute the warrant, Bennett filed a motion to quash the probation violation warrant and to terminate her probation. The motion further alleged that Bennett did not make any effort to secret herself and that she attempted to turn herself in on two different occasions, and was told that someone would be by to collect her, but no one ever came. Her motion further claimed that she had lived at the N. Hillside address for over 2 1/2 years until she moved to 1856 N. Grove in Wichita in November 2004.
The only witness at the hearing on Bennett's motion was Eric Ellington, who served arrest warrants for the Sedgwick County Sheriff's Office. He recounted the efforts made to serve the probation violation warrant. He testified that Bennett's warrant was assigned to him on February 12, 2003, but the first real effort made to locate Bennett or serve the warrant was in June 2003, when another officer did some research and found a possible residence of 320 E. Central and a possible alias of Betty Bennett. The other officer had also verified that the correct social security number was listed on the warrant but no wages had been claimed on that social security number since 2001.
Next, on December 29, 2003, Bennett was added to the "felon of the day" program, an effort between the sheriff's department and a local television station in which wanted felons were profiled during newscasts. Ellington believed that Bennett was actually televised as the "felon of the day" sometime during the first part of January 2004.
Ellington further testified that on January 14, 2004, he received a tip through the Crime Stoppers program. That is a program where citizens can call if they know where a wanted person is located. This tip stated that Bennett would be at an address on North Chautauqua Street at 4 p.m. on that day. Ellington did not follow up on the tip personally and did not know whether any other law enforcement agency acted on the tip. Ellington explained that the Crime Stoppers tips are also shared with the Wichita Police Department, the State Patrol, and sometimes the United States Marshals.
According to Ellington, another tip came through the Crime Stoppers program on March 8, 2005. This tip indicated that Bennett could be found at 1856 North Grove and also gave a physical description of her. On the same day, the Wichita Police Department sent officers to that address to follow up. When officers went to the house, a person who identified herself as a babysitter answered the door. The officers apparently did not find Bennett and left the premises. After the officers left the house, another tip was received indicating that the person who identified herself as the babysitter was actually Bennett. No arrest was made that day. Bennett was eventually arrested at the North Grove address on March 14, 2005.
Apparently, the address given for Bennett on the official file-stamped warrant was different than on the computer-generated version of the warrant used by the sheriff's department. Ellington testified that his copy of the warrant listed an address of 554 North Volustia, while the file-stamped warrant had the Hillside address. Ellington testified that no effort was made to find Bennett at the Hillside address.
The district court found that evidence existed to show that Bennett had attempted to conceal herself and that the State had used reasonable diligence to find her. The court denied her motion to quash the warrant.
At the same time, the court went on to hold an evidentiary hearing regarding the facts alleged in the warrant. The only testimony at the evidentiary hearing came from Christine Donivan, a court services officer, who testified that she conducted the February 11, 2003, UA and that Bennett tested positive for cocaine. She testified that Bennett acknowledged that she had used cocaine on February 9, 2003. Donivan claimed that she told Bennett to wait in the lobby while she discussed the violation with the judge, but she did not wait in the lobby. During closing argument, Bennett's counsel stated that she had advised him that someone told her while she was waiting in the lobby that she did not need to wait any longer and that she would be called. But no testimony was presented at the hearing to support this argument.
After hearing the evidence, the court found that the State had met its burden of establishing that Bennett violated the terms and conditions of her probation. The court ultimately placed the defendant on probation for 10 more months.
Bennett claims to us that the district court did not have jurisdiction to revoke her probation since her original probation period had already expired.
We review probation revocations under an abuse of discretion standard. See State v. Street, 28 Kan. App. 2d 291, 292, 16 P.3d 333 (2000), rev. denied 271 Kan. 1041 (2001). However, when the issue of jurisdiction is raised, this court's review is unlimited. State v. Rocha, 30 Kan. App. 2d 817, 819, 48 P.3d 683 (2002).
Bennett bases her argument on the premise that the State failed to conduct a reasonable investigation into her whereabouts and to execute the warrant in a timely fashion. She relies on State v. Haines, 30 Kan. App. 2d 110, 39 P.3d 95, rev. denied 273 Kan. 1038 (2002). In Haines, the court held that an unreasonable delay between the issuance and the execution of a probation violation warrant results in a waiver of the probation violation by the State. In determining whether the delay was unreasonable, the court should examine whether the State conducted a reasonable investigation as to the defendant's whereabouts. If a waiver is shown, then the defendant need not prove prejudice from the delay to be entitled to reversal. 30 Kan. App. 2d at 112-13. In making this determination, the Haines court speaks of Constitutional limits:
"The Due Process Clause of the Fourteenth Amendment imposes procedural and substantive limits on the revocation of the conditional liberty created by probation. [Citation omitted.] Kansas law allows the revocation of probation after the term of revocation expires if the proceedings were instituted during the term of the probation and revocation occurs within a reasonable time thereafter. [Citation omitted.] Jurisdiction to revoke probation does not expire with the expiration of the probationary period; however, the court's authority is not without limit. Due process requires that the State act in a timely and reasonable manner." 30 Kan. App. 2d at 112.
In determining that the State waived the probation violation, the court in Haines recounted the poor investigation conducted by the State:
"The facts of this case do not favor the State's position or the decision of the trial court to revoke probation. The record is clear that the State's efforts to locate Haines were restricted to two letters, one sent to his ex-wife and one to his mother's residence that was returned for lack of a sufficient address. More than 16 years have gone by since the State acted. The record indicates Haines has been employed as a truck driver and lived in Ohio the entire time preceding the probation revocation proceeding. There is no indication that the State attempted to locate him through his driver's license, social security number, employer, or any means other than mailing letters to his mother's house and his estranged wife's house. At the time of the revocation hearing, Haines was still living in Ohio and was collecting social security benefits. It is clear he did not attempt to secret himself away. The State's failure to conduct a reasonable investigation to ascertain Haines' whereabouts constitutes a waiver of the violation. Since the government waived the violation, Haines does not have to show he was prejudiced by the delay. [Citation omitted.]" 30 Kan. App. 2d at 113.
In this case, the facts are not as clear as the 16-year delay in Haines. But, having said that, we cannot conclude that the State conducted a reasonable investigation into Bennett's whereabouts based on the facts available.
First, the State never attempted to contact Bennett at the address listed on the warrant. The State explains this failure by claiming that the sheriff's department did not have that address on its version of the warrant.
While this may be true, it does not justify the failure. A similar situation was faced in Rocha. In Rocha, this court found that the delay between the original revocation motion and the amended motion was too great and unduly prejudicial. The court then stated:
"At the hearing on the motion to revoke probation, the prosecutor explained that due to an error by one of the attorneys, he did not learn of Rocha's 2sentencing in Wyandotte County. Regardless of where the breakdown in communication occurred, the State's failure to conduct a reasonable investigation to ascertain Rocha's whereabouts constituted a waiver of the probation violation. [Citation omitted.] It is clear from the record on appeal that all parties involved knew Rocha was being detained in Wyandotte County. The State must therefore accept responsibility for failing to keep track of Rocha. It is the State's responsibility to bring a probation revocation to the trial court in a timely manner.
"We believe that the trial court did not have jurisdiction to revoke Rocha's probation. The delay in pursuing the initial motion to revoke probation was unreasonable. The second motion to revoke probation was filed years after Rocha had served his complete probationary term." (Emphasis added.) 30 Kan. App. 2d at 820-21.
In this case, it is clear that the State was given the address on Hillside Drive. The district court judge even stated that on the date the warrant was issued, Bennett told Donivan that she was living at the Hillside Drive address. Whatever breakdown occurred that caused the sheriff's department not to be provided this address is the fault of the State. Accordingly, this fact cannot be used to excuse the State's failure to investigate whether Bennett could be found at this address.
The other evidence presented at the hearing also shows that the State failed to conduct a reasonable investigation. Ellington testified that no effort was made to locate Bennett from February 11, 2003, the date the warrant was issued, until sometime in June 2003, when an officer did some research on Bennett. While this research resulted in a possible address for Bennett, no evidence was presented that anyone made any effort to find her at that address.
No further effort was made until Bennett was featured as a "felon of the day" in January 2004. However, this apparently produced no results. Furthermore, while Ellington testified that a tip was received on January 14, 2004, providing a time and place where the State could find Bennett, Ellington did not know whether anyone ever followed up on the tip. The first time Ellington could confirm that someone actually tried to contact Bennett was after receiving the tip on March 8, 2005, which indicated that she could be found at the North Grove address. Additionally, after leaving the residence and receiving information that the person that claimed to be a babysitter was actually Bennett, officers did not return to arrest her until March 14, 2005.
These facts show that the State did not conduct a reasonable investigation in order to find Bennett. While several addresses were given in a short time for her, the State has not presented evidence that anyone tried to contact the defendant at any of these addresses other than the North Grove address in March 2005. Thus, the first real evidence of attempted contact with Bennett was almost 2 years after the warrant was issued. A 2-year delay before beginning the investigation does not constitute a reasonable investigation.
The State claims that evidence exists showing that Bennett attempted to conceal herself. While the lack of any wage information on her social security number since 2001, combined with the multiple addresses, and the evidence indicating that she claimed to be a babysitter when officers arrived in March 2005 is evidence of her attempts at concealment, this evidence does not negate the State's failure to conduct a reasonable investigation.
Really, the true extent of the Bennett's efforts at concealment cannot be ascertained due to the State's failure to conduct a reasonable investigation. Her efforts to conceal herself is only one factor to consider in determining the reasonableness of the investigation. If no one is looking for you, you cannot be said to be concealing yourself. Thus, Bennett's actions do not excuse the State's failure to conduct a reasonable investigation.
In conclusion, the State failed to present evidence showing that it conducted a reasonable investigation to find Bennett. Accordingly, the State waived the probation violation, and the district court lost jurisdiction to revoke Bennett's probation. Furthermore, she was not required to prove that she was prejudiced by the delay. Accordingly, the revocation and reinstatement of Wynona Bennett's probation violated her due process rights. We therefore reverse her probation revocation and remand with directions that Bennett's probation be terminated.
Reversed and remanded with directions.


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Nine out of ten people worldwide live in areas where air pollution exceeds guidelines, the World Health Organization said. The pollution puts these people at higher risk for heart disease, strokes and cancer.
"Air pollution continues take a toll on the health of the most vulnerable populations — women, children and the older adults," Flavia Bustreo, assistant director general at the WHO said in a news release, NBC News reported.
The new WHO air quality monitor shows that 92 percent of people live in places with dirty air. Approximately three million deaths each year are linked to outdoor air pollution. About 90 percent of those deaths occur in low- and middle-income countries.


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L. Neil Smith's
Number 314, April 10, 2005
"Who's Crazy Now?"
Who's Crazy Now?
Special to TLE
I don't typically comment on school shootings at any length. That's largely because most of these tragic incidences have been so much alike, and I don't much care for the idea of repeating myself ad nauseum. But the recent school shootings in Red Lake, Minnesota are different for me. You see, I grew up in nearby Bemidji, Minnesota. Hearing my obscure little hometown mentioned repeatedly on Fox News and CNN, or seeing the name of the small town newspaper there cited as a source for international news wire stories, is jarring.
The victims of the Red Lake shootings were taken to North Country Regional Hospital in Bemidji. I have a cousin who is a head nurse there. The Beltrami County Sheriff's Office was one of the enforcement agencies called in to assist with the aftermath. My father worked for the Beltrami County Law Enforcement Center for many years. The grey winter landscape as well as the distinctive accent of those interviewed on TV are viscerally familiar to me. So I suppose I can't be blamed for taking an especially close look at this particular school shooting. What I discovered was something I knew before, but which was really brought home to me in my personal connections to the site of this latest incident: Most school shootings are very much alike indeed, and it's within those very similiarities that we should be learning the most.
It is, of course, no surprise that the Brady Campaign to Prevent Handgun Violence has jumped to the fore to use the Red Lake shootings as political fodder toward more gun control laws. That is, after all, what the Brady Campaign does. These recent shootings, however, illustrate better than most just how foolish the Brady Campaign's demands really are when it comes to curtailing gun violence. Forget that one more law typically makes no difference whatsoever to a criminal intent on breaking several others, and consider:
The gun control advocacy group immediately spoke out against the tragedy by chastising Congress for permitting the Assault Weapons Ban to expire last year. But the accused Red Lake shooter used two handguns and a shotgun during his spree, none of which were inderdicted by the AWB. Even if he'd been inclined to honor the provisions of an AWB still in effect, it would have had no bearing on the weapons he used in his crimes.
The group lamented that the government only conducted "limited law enforcement investigations of gun sellers" and that there were laws in force that mandate the "immediate destruction of gun-sale records." But the accused shooter didn't buy any of the guns he used, so even the most invasive law enforcement investigations of gun sellers, or the most thorough and permanent of gun-sale records would have prevented these shootings or offered up any compelling motive for them.
Gun control promoters like the Brady Campaign deny that they want to remove all guns from private ownership, but there's been more than one instance of such advocates noting that it might be best and safest if only the police had access to firearms. This case argues against that point, too. It seems the accused shooter stole the guns he used from his grandfather whoyou guessed itwas a tribal police officer.
As is typical, the Brady Campaign has also used the tragic deaths of those in Minnesota to promote its efforts to continue to use nuisance lawsuits as a way to bankrupt the gun manufacturing industry in America. The Campaign is currently working to halt legislation in Congress that would shield gun makers from such frivolous lawsuits by suggesting that the resulting law would " immunize gun sellers against civil liability" and which is "nothing but a special interest giveaway to the gun lobby and a shameful attack on the legal rights of innocent victims of gun violence."
While the propoosed law certainly isn't total immunization against civil or criminal suits (the Brady Campaign likes to exaggerate as a matter of course), the reality in this casein virtually all cases of gun violence, in factis that the gun manufacturer made a product that's perfectly safe when used properly, and the gun dealer sold firearms to a law abiding citizen with every right to own a gun. Why exactly should either the manufacturers or the dealers be liable for what eventually happened? How could manufacturers or dealers possibly be held responsible for a gun long out of their control falling into the hands of a maniac?
In a publicly posted note of sympathy for the survivors of the Red Lake shootings on the Brady Campaign web site, Sarah Brady herself is apparently incapable of simply telling the truth. In her note, she says, "The most recent of these senseless shooting tragedies occurred Monday in Red Lake, Minnesota, where ten people, mostly school children, died, and dozens of others were injured." Her assertion that the dead were "mostly school children" is correct, although barely so. Four of the victims were adults; one of the "children" was the shooter himself. None of the victims were small children though her statement seems to imply that. But her claim of "dozens" of other injured parties in Red Lake is an outright fabrication. At most, there were 14 injured parties. Now 14 is a substantial number when it comes to such things, but apparently it's not enough to make Sarah Brady happy. Instead, she has to exaggerate and say "dozens." This latest bid toward fear from the Brady Campaign isn't the first that's made me wonder if the Brady campaignand Sarah Brady herselfdoesn't actually look forward to high death tolls so as to further their own agenda!
What the Brady Campaign doesn't sayand what's been all but buried in the mainstream mediais that all the politically correct precautions were taken at Red Lake High School, and that they were worthless. The accused shooter had actually been prohibited from campus some weeks before for an infringement of school policy (he was participating in an off-campus education program). The school had signs outside that specifically noted firearms were prohibited on site. The school was equipped with metal detectors at the door just in case somebody would be so reckless as to ignore the signs. And security guards were on duty at the time of the shootings. In fact, one security guard who tried to stop the carnage by confronting the gun-wielding student at the door was the first to die at the school. The true tragedy here is not what happened next, but that what happened next didn't need to happen at all.
You see, there's another fact we're hearing very little about. Security guards, it seems, are politically correct, but armed security guards are not. And so an unarmed man bravelyand futilelytried to stop someone who quite literally outgunned him. There are those who consider him heroic, but that's likely scant comfort to his family. Even less comforting is the notion that if he had had a weapon of his own, he would very probably have been able to end the incident right there at the school door. It wouldn't have been a happy day. The accused shooter, his grandfather, and his grandfather's girlfriend would probably still be dead. But a teacher and five students would be alive and breathing today to thank that heroic security guard, who would in turn still be alive to brush off their thanks and say that shucks, he was only doing his job.
While the Red Lake, Minnesota shootings offer a somewhat unique opportunity to directly contradict some of the Brady Campaign's shrill hyperbole, I maintain that it's the similarities to other school shootings that make this incident so telling.
It almost goes without saying that 16 year-old Jeff Wiese was a loner and something of an "oddball." Many accounts also say that Wiese liked to tell and write violent stories, including those involving school shootings, and that he may even have talked of doing such things himself. Hindsight, of course, is 20/20, though in this particular case it seems the warning signs were many. To be fair, Wiese was apparently receiving psychiatric care from a doctor in Thief River Falls, Minnesota (another place with which I'm intimately familiar having attended school there, and where my sister and her family still reside).
But the psychological care he was receiving may have contributed to rather than mitigated Wiese's serious mental health problems. You see, he was taking prescribed psychtropic medications (Paxil, in recent years linked to suicidal tendencies, among them). In recent years, Congress has itself investigated an apparent connection between violence in schools and such drugs as Ritalin, Paxil, and others. In fact, a side-by-side comparison of various school shooting incidents is startling. Worst of all, it seems that connections between violent or suicidal acts and certain psychiatric drugs has been questioned for some time.
There will be those who suggest that poverty or teen angst played a role in the Red Lake shootings. They'll doubtless also suggest that the prevalence of guns in rural Minnesota had something to do with it. I'll be the first to acknowledge that Beltrami County, Minnesota is, on average, one of the poorest places in the nation. The Red Lake Indian Reservation is even poorer. I can tell you from firsthand knowledge that there are plenty of guns in the area given that hunting season comes second only to hockey season in that part of the world. As a teenager living and going to school in Bemidji, I can also vouch for the fact that depression and frustration can be very real in high school halls (but let's be honest and admit that that's true anywhere that teenagers congregate). And yet no one brought a gun to school and shot people with it.
There are only two real differences between my school yearswhere there were plenty of tears and fights, but no deathsand the halls of Red Lake High Schoool today, and those are these: Students a few years ago were actually made to be responsible for their actions by both their teachers and their parents. Bullying wasn't tolerated, nor was bad behavior. And secondly, no matter what we did or how rambunctious we were, we were grounded or spanked, not drugged to the gills. If the Brady Campaign really wants to do something about school shootings, maybe it should look away from the guns and instead at the causes. Unfortunately, like the drug companies so many are so conveniently ignoring, the Brady Campaign would rather make an attempt to mask the symptoms than treat any underlying disease.
Brady Campaign to Prevent Gun Violence
Brady Campaigns new demands for gun control
Brady Campaign opposes shield law
Paxil linked to suicidal tendencies
Congress investigates link between drugs and school shootings
Side by side comparison of school shootings
Suicide connections long suspected


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Brussels, 29 March 2012
Statement by Commissioner Michel Barnier, following the vote by the European Parliament of new European rules to regulate financial derivatives
"I congratulate the European Parliament on its vote approving a regulation for more stability, transparency and efficiency in derivatives markets. Today's vote confirms the political agreement reached in February with the Council on the basis of the Commission's proposal. It is a key step in our effort to establish a safer and sounder regulatory framework for European financial markets. This matters because we need to restore trust in the financial sector, and because we need the financial sector to operate on a sound footing to ensure a return to sustainable growth of the real economy.
With this new regulation, we are taking a big step towards financial stability. We are reducing the risk of a future financial crisis, with all its consequences on the real economy, growth, jobs and public budgets. The EU has now also fulfilled its G20 commitments in this field, and on time. I call on all other jurisdictions around the globe, which have not yet done so, to take the appropriate steps to meet our shared G20 commitments.
I also call on the co-legislators to now focus on complementary European rules that we need to agree on quickly to continue strengthening financial markets; in particular a swift revision of rules on markets in financial instruments".
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iPhone customers lay into Apple after iOS 4.0.1 update fails to install
Hubbbbba, hubbbbba, Number nine, number Hubbba
iPhone customers are struggling to install Apple's latest software patch and have been grumbling about the problems on Cupertino's support forums.
The company released its iOS 4.0.1 update yesterday, and immediately some users began complaining that they couldn't successfully install it on their iPhones.
"On a Win7 PC. Plugged the iPhone 4 in this morning and told there's an update. Ran it, and it errored during the install - I now have a brick. Now had to do a full restore, and I guess I'll have to try again," wrote a UK punter with the handle DiscoRobbo on Apple's forum this morning.
"So far I've had to restore to factory settings (successfully and now on 4.0.1), but now the phone is having to resync ALL my data - which will take a while," DiscoRobbo added later.
Many customers have been reporting firmware problems with the update, which keeps spewing out 'error 9' messages.
iPhone customer PaulDev said that an Apple rep gave him the following explanation for what had gone wrong.
"Error 9: This error occurs when the device unexpectedly drops off of the USB bus and communication stops. This can occur if the device is manually disconnected during the restore process. This issue can be resolved by performing USB isolation troubleshooting, using a different USB dock connector cable, trying another USB port, restoring on another computer, or by eliminating conflicts from third-party security software."
PaulDev took a sarcastic swipe at Apple.
"Maybe you touched the USB cable in the lower left corner. 'Don't hold it that way', okay? Apparently flaky mobile signals weren't enough, with 4.01, they've upgraded wired connections to have the same brilliant reliability was wireless," he said.
Having read the forum gripes some decided to altogether steer clear of Apple's update.
"After reading 8 pages of #applefail I think I will hold off updating for now and wait for today's press conference. Pls note however my apple bumper does not solve the reception drop issue," said georgeyoung on Apple's forum.
Apple has remained characteristically quiet about this latest in a series of complaints from unhappy fanbois disappointed with their iPhone 4 devices.
The company will be holding a press conference later today about the iPhone 4. It's been reported that Apple won't be recalling the slinky beast, despite the antenna problems that may have prompted the quick iOS 4.0.1 update release yesterday. ®


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A question for technical support maybe.
Is it possible to upload from multiple testing machines to a single PATGuard database?
If so, would each test machine need to use exactly the same description for locations within the site and would the information be synchronised within the database?
For example, 3 testers working on a large open plan office.
It is possible that Test IDs may be duplicated across these machines.
Thanks in anticipation.