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Navigating Access to Investigational Drugs
NCI's mission includes extensive funding and performance of clinical research, better known as clinical trials. The modern clinical trials system takes promising new cancer drugs through three main phases, culminating in approval by the Food and Drug Administration (FDA) for successful agents. Most patients who receive investigational drugs do so through clinical trials.
Expanded Access
In addition, to get FDA approval for special exception use, a drug must also be considered safe. "If a patient has a life-threatening disease and has exhausted all of their treatment options, FDA almost always says yes, unless there is a safety issue that the public doesn't know about," says Ms. Delaney. However, a patient cannot simply go directly to FDA and request access, because FDA itself does not control these drugs - they belong to the company developing and testing them. "The first stop [for permission] is the company," she explains. "And that's usually a pretty big threshold, because most companies are not sanguine about providing their unapproved drugs to patients outside of a clinical trial."
Evolving Questions
Although the Court declined to hear the appeal, many questions it raised remain actively debated in the medical community. Would such unfettered access pose undue risk to patients? Does such increased risk matter for patients facing a terminal disease? Would excluding the FDA encourage unethical direct marketing to patients? How would the clinical trials system - which provides the eventual proof that these drugs do or do not work - be affected?
For Dr. Nancy Kass, professor of Bioethics and Public Health at the Berman Institute of Bioethics at Johns Hopkins University, the shifting risk/benefit ratio that patients face when choosing to take drugs with largely unknown side effects and unproven therapeutic efficacy is not the only pressing question. "I think…people who are pretty vocally asking for the drugs are saying that they appreciate there is less known about the risks of the drugs, and they're saying they don't mind."
What interests her is that "we need to navigate a balance between duties to respond to patients in front of us, and duties to learn about what does and doesn't work in cancer treatment, so that the next group of people diagnosed with cancer also has something to help them. If we have something that we know works, the balance gets flipped - we'd give it to you, end of story. But if we have something where we don't know if it works, I would argue…that's exactly the time when that drug should be given in the context of a highly structured, well-organized clinical trial, so we can not only determine if it's helpful for you, but learn about it, to see if it makes any difference for future cancer patients."
Access at NCI
As with any pharmaceutical company request, the agent must have a safe dose and schedule determined from phase I trials. In addition, "we need to see that there's some evidence of activity in a particular tumor type," says Mr. Boron. If an experimental drug seems promising for an individual patient, CTEP will first try to identify a clinical trial that could enroll the patient. That failing, "we would look to alternate mechanisms," he continues.
One alternative is developing collaboratively with CTEP a Special Exception/Single Patient Protocol. To obtain an investigational agent under this mechanism, the patient must be ineligible for a research protocol and also have exhausted all standard therapies. In addition, the requested agent must have demonstrated activity in their disease with no unacceptable risk to the patient.
NCI has also used two unique programs to provide experimental drugs in the later stages of development to larger groups of patients. These two programs - called Group C/Treatment IND and Treatment Referral Center (TRC) protocols - have provided access to promising new drugs to almost 20,000 patients since their inception. Unlike most protocols sponsored by CTEP, the Group C and TRC protocols are generated from within CTEP in an effort to provide access to promising therapies that would otherwise not be accessible.
The Group C and TRC protocols "are typically instituted to bridge the gap between positive phase II or positive FDA registration data, and drug availability. They're usually designed to get up and running quickly and to close quickly," explains Mr. Boron.
The Group C classification, which is no longer used, went to agents near the end of the approval process that were expected to rapidly change the standard of care. Clinical trials had already shown their reproducible efficacy in one or more tumor types, but wider distribution and marketing awaited FDA approval. Any NCI registered physician could register with NCI to receive Group C agents. Drugs first distributed widely through Group C protocols include paclitaxel for ovarian cancer and levamisole for colorectal cancer. The Group C classification has been replaced by the Treatment Protocol or Treatment IND.
Unlike Group C protocols, TRC protocols are restricted to distribution through NCI-designated Cancer Centers and designated secondary centers. In fact, explains Dr. James Zwiebel, chief of CTEP's Investigational Drug Branch, one of the focuses of the program is to make sure distribution of a new drug "is done in an equitable way, in a way that's sensitive to geographical distribution." They also function more like multicenter single-arm clinical trials with relatively open eligibility criteria and simple objectives. They usually only require limited data collection focusing on safety and efficacy. To be eligible for a TRC, a drug must show highly promising activity or target a tumor type considered to be a high priority by CTEP.
For example, nelarabine (Arranon), now an approved treatment for T-cell acute lymphoblastic leukemia and lymphoblastic lymphoma - both rare cancers - was available for almost 10 years through a TRC while waiting for review, approval, and marketing. "It's a small population of patients…but an effective therapy that they otherwise would not have had access to," says Mr. Boron.
—Sharon Reynolds


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JetBlue gets Political with 'Election Protection'
The airline has offered both sides of the aisle the chance to flee the country lest their candidate doesn't come out on top November 6th. Pack your bags and sign up here.
Also, if living in exile doesn't quite work out for you, a return flight is included.
I saw this as I was walking outside, and I was in awe.

subset: commoncrawl


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It's 5 p.m. at Topeekeegee Yugnee Park in Hollywood, and the new outdoor fitness zone is packed with children, moms, teenagers, middle-aged men and elderly people.
Adam Konesey, a burly investigator for Home Depot, stops by after work to get in a workout before his commute home.
"I wish they would have put in an entire fit course, but this is helpful," says Konesey.
Leeya Elimelch, a Cooper City church leader, works out on the equipment three days a week and says she "loves, loves, loves it."
"I used to travel all the way to Coconut Grove to go to the gym," she said. "I was conscientious about it and wasted all this money on it. Now I'm using nature and exercising outside. I used to jog around this park, but now I use the equipment."
The diverse group of fitness enthusiasts are just what Memorial Health Systems and Broward County Parks and Recreation had in mind when they installed the outdoor fitness equipment in December in a joint partnership — to encourage people who might not ordinarily exercise, or who can't afford to go to a gym, to get fit. The hospital group shared the $70,000 cost with the county.
"It was an easy decision for us because it's a way to help our community and give something back," said Zeff Ross, Memorial's senior vice president and chief executive officer. "It's better to keep someone well than have an injury or illness later. This is one way of doing that."
All throughout South Florida, budget-conscious residents of all ages are looking for ways to introduce exercise into their lives without spending costly monthly gym fees. And, in the same way they used to incorporate playgrounds for children, communities are planning fitness trails, fitness zones and other "free" ways for their residents to get in shape.
Fitness zones like the one at T.Y. Park have sprung up at dozens of locations throughout South Florida, including Ingraham Park in Coral Gables, an apartment complex in Miami Lakes and at the University of Miami. This month, it will arrive at Broward College.
California-based Greenfields Outdoor Fitness started offering the outdoor fitness equipment in 2007, and the concept has taken off. The company often partners with the Trust For Public Land, which conserves public land for people to enjoy as parks and gardens.
"People saw the benefits of having outdoor equipment to exercise on,'' said Greenfields President Sam Mendelsohn. "Cities spent millions of dollars on playground equipment for children, but what did it do for parents and grandparents? This is a multigenerational concept. The children can see the parents exercising. It also provides people with a great opportunity to socialize with friends and family."
Gayle Preston, superintendent of Broward parks, said the county would like to install outdoor exercise equipment at a number of its parks. Currently, the county has older fitness stations at some of its parks. But the partnership with Memorial made sense at T.Y. Park, one of the county's most utilized parks, visited by 1,000 people daily.
"The response to the equipment has been overwhelming since we opened," Preston said. "We'd like to do more of this, but, of course, funding is an issue."
In North Miami Beach, a wide, lighted, two-mile walking-jogging-biking path winds around the Snake Creek Canal. There, neighbors greet each other while making their nightly exercise treks in ones, twos and threes.
Some, like Benjamin Paul, utilize a "paracourse" fitness circuit that offers basic equipment for chin-ups, sit-ups, jumping jacks and other exercises. Paul, a 40-year-old electrician, was doing sit-ups and chin-ups one night at the canal.
"I used to belong to a gym, but I'm on a budget," said Paul. "And it's nice that it's outside."
Some, like Yolanda Valdez, who lives down the street, just power walk. Valdez said she walks the canal — which takes an hour — with two friends several times a week. "It's good exercise, and we get to talk," she said.
Another, jogging and walking path well-utilized is on Country Club Drive in Aventura. The 3.6-mile scenic path passes golf courses, lakes and boats and is lined with lush palms.
Ivy Ginsburg, an Aventura attorney, walks the path frequently, her dog Mr. Bear in tow, stopping to greet neighbors along the way.
"It's free, and you certainly work up a sweat," said Ginsburg. "You see the ducks and the nature. There are a lot of cyclists. It's heavily populated. I've seen all generations, from teens to 80-year-olds."
Baptist Hospital is also offering opportunites for the community to get free exercise. Twenty years ago, the hospital began with a walking program at Dadeland Mall. Now, exercise programs as diverse as Zumba, Pilates, Aqua Zumba and prenatal yoga are offered throughout Dade and Broward counties at senior centers, malls and churches.
In 2013, Baptist, which used to charge a nominal fee, started offering its classes for free.
"Our goal is for everyone to be healthy," said Baptist's Lissette Eques. "There's a social component, as well … especially for the seniors. We're not just looking at the physical, but also the emotional."
Natasha Figueroa, 47, takes advantage of Baptist's tai chi and aerobics classes at the Baptist Resource Center in Miami. She learned about the programs after seeing a mall-walking group at Dadeland Mall and asking them "what is this all about?"
Figueroa, who suffers from spina bifida and uses a wheelchair, says the exercise promotes socialization, camaradarie and "keeps my blood flowing."
"That's important for someone in a wheelchair," said Figueroa. "I feel better by miles since I started doing it."


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Google: Growth stock at a value price
Analysts say shares of the search giant are undervalued, given its track record and growth prospects.
By Jake Lynch, TheStreet
Google (GOOG), once a favored growth stock, now trades at a discount relative to peers, despite its steady expansion.
The Internet search stalwart dominates the Web and offers international exposure. It also has an ample balance sheet, with nearly $32 billion of net cash. Most U.S. investors are familiar with Google's business model, its iconic co-founders Larry Page and Sergey Brin, and its penchant for innovation. However, few appreciate the company's overseas growth potential.
Google stock has risen 3.3% during the past 12 months even as sales have advanced 23% and earnings 30%. Similarly, in three years, Google's stock has delivered an annualized return of 8.3%, lagging sales growth of 21% and profit gains of 26%. Google's trailing price-to-earnings ratio, at 23, represents a 30% discount to its five-year average multiple.
If you expect Google to maintain its double-digit growth rate over the longer term, its stock offers an outstanding value. Of the 43 analysts who follow the company, 35, or 81%, rate the stock "buy," while eight recommend holding it. None advise clients to sell shares. That makes Google the 14th-highest-rated S&P 500 ($INX) stock and the second-highest-rated tech component, behind Apple (AAPL).
Google trades at a forward earnings multiple of 15, a book value multiple of 4.1 and a cash flow multiple of 17, 55%, 49% and 54% discounts to Internet software and services industry averages. Its PEG ratio, calculated by dividing the trailing P/E by analysts' terminal growth forecast, at 0.7, signals a 30% discount to estimated fair value.
Goldman Sachs (GS), which rates Google's stock "buy," says investors are overly focused on the company's domestic business. Google retained its 65% U.S. search market share in February and posted an outstanding 97% market share in the mobile search market. Its "explicit core searches," which reflect user engagement, increased 6.7% in February from a year earlier.
Goldman believes the rise of international search, as a percentage of global gross domestic product, is Google's best growth opportunity in the next decade. Search represents 13 basis points of GDP in developed markets, compared with four basis points in the rest of the world. Google will expand its core business as technology booms overseas.
Goldman forecasts 15% to 25% revenue growth over a three- to five-year span, with international desktop search comprising the largest portion. However, Google may need to ramp up sales and marketing efforts overseas to compete with local search rivals for advertisers. Goldman has an aggressive $720 six-month price target on Google, implying the stock might appreciate 23% before the end of 2011. That target is equivalent to nearly 21-times estimated 2011 earnings and 18-times 2012 earnings. Goldman views low search penetration relative to GDP as a reliable measure of potential, citing China and Russia, where ad spending is growing 90% and 40%, respectively.
The limited size of emerging markets and increasing competition from social networks may pose risks to Goldman's thesis. It's also possible, though unlikely, that developing markets will continue to favor traditional forms of communication for advertising. The growth of online advertising in the U.S. has largely been an offshoot of marketing firms' insistence that companies devote a greater proportion of spending to the Web. This trend may not materialize at a similar pace in developing markets, perhaps hurting growth.
Google's fourth-quarter adjusted earnings advanced 27% to $8.75, beating analysts' consensus estimate by 8.3%. Sales grew 26% to $6.4 billion, exceeding consensus by 5.1%. International revenue climbed to $4.4 billion, comprising 52% of net sales, helped by favorable currency exchanges. For 2010, Google derived 48% of its sales from the U.S., 11% from the U.K. and 41% from the rest of world. However, 86% of its long-term assets are U.S.-focused. As Google expands worldwide, that number will decrease. Google's quarterly gross margin remained steady at 69%. Its operating margin shrank from 37% to 35%.
Return on equity, the key profitability metric for stockholders, hovered above 18%, trailing the industry average of 19%, but beating the S&P 500 average of less than 13%.
The combination of value and performance should provide bullish conditions for Google's stock for the rest of 2011. Morgan Stanley (MS) now considers Google a Best Idea, one of nine U.S. stocks the bank believes offer the best risk/reward proposition, expecting the stock to rise 28% to $750.
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Want to see a quick, positive difference in your marriage? Will you pray this simple prayer daily? read more
Charisma Magazine
Page 8 of 77
How to Help Your Spouse Have an Affair
No one wants their spouse to cheat on them, but here are some things that could possibly help drive a husband or wife to infidelity. read more
12 Ways to Make Marriage Fun Again
Has your marriage become hum drum? What can you do to keep the relationship fresh? Here are some suggestions. read more
5 Ways to Love Your Wife When She's Not Looking
What can you do this week to show love to your wife when she's not around? read more
Joy: Popeye's Spinach for God's Man
Do you ever feel like you could use a super-sized helping of strength? Only God has the key ingredient. read more
Active Fathers Plant Life-Changing Seeds
When children don't get the attention they crave from their fathers, they find other ways to get it, and most aren't good. read more
Would Your Child Say You Are a Good Parent?
Here are some poignant questions to ask your children to see how they feel about the job you're doing raising them. read more
5 Characteristics of Brothers in Arms
Do you have a group of brothers whom you trust to protect your back in all situations? read more
The Wife Must Submit, and So Must the Husband
If either you or your spouse has an issue with submission in your marriage, consult the Bible. It's a mandate. read more
Which Sounds Better—Heaven or Hell?
That may sound like an easy question for Christians, but why do many in our society think the answer is cut and dried the other way? read more
6 Things Your Friends in Crisis Wish You Knew
Whether you have a friend who just lost a job, went through a divorce, or is dealing with a chronic ...
The Osteen Predicament: Mere Happiness Cannot Bear the Weight of the Gospel
Is Al Mohler being too harsh with the Osteens, or is he dead on?
5 Things You Need to Know About Speaking in Tongues
The truth behind one of the church's greatest controversies is boldly stated throughout ...
4 Wicked Ways the Enemy Puts You to Sleep
Paul clearly warned us not to be ignorant of the devil's devices. Jennifer LeClaire unveils ...
9 Serious Questions You Should Ask Before Getting Married
Many Christians today are naïve when it comes to choosing a mate. Use some discernment!
Where True Intimacy Starts in Marriage
Teresa Shields-Parker thought her issues with intimacy were caused by her weight. The Holy Spirit ...
The Coming Collision Between Shaking and Glory
As end-times signs seem to be ramping up, what's next? James W. Goll dives into what we know ...
Keeping the Shemitah Produces Supernatural Results
When a banana farmer in Israel finally resolved to observe the Shemitah, the miraculous happened.
When Church Becomes a Soap Opera
How do you respond when you find yourself in the middle of church drama?
Why Pastors' Wives Misbehave
We may forget that our pastor's wife is human. Here's why we need to let her be who God ...
Franklin Graham: Are We in the Last Hours Before Christ's Return?
There appears to be no end to the bad news.
Are You Easy to Offend?
In Luke 17, Jesus warned that offenses will come. Here's how to handle offenses in a ...
7 Points to Help John Kerry Defend Islam
John Kerry's recent news-conference speech supporting Islam has raised some really poignant ...
5 Unfair Expectations of Your Husband
It's the ladies' turn. What are some of the unreal expectations you've had with your ...
5 Unfair Expectations Of Your Wife
What are some of the unreal expectations you've had with your spouse, or they've had with ...
How One Encounter in Church Can Repel Visitors
Bethany and her husband are both leaders in their church. A run-in with an airline staffer revealed ...
Why Jonathan Cahn's Prophetic 'Mystery of Shemitah' Is Flying off the Shelves
A book revealing a 3,000-year-old biblical prophecy for America's future is resonating with the ...
7 Prayer Tactics to Engage Heaven
Christians must be intentional about seeking the face of God. Cindy Trimm offers biblical ...
Is the World Close to Armageddon?
Read on if you want informed insight of what's really happening in the Middle East from a ...
Muslim Demonstration on the Temple Mount Stuns Christian Students
Here's what jarring scene upset college students who recently visited the Holy Land.


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Kathy Kelly, Nobel Prize Nominee, and Buddy Bell have traveled extensively in Afghanistan speaking to war victims, including drone victims. Cathy has traveled in Syria and Iraq. They will report on the people and situations they have found in those countries.
Event Info
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- Peace and Justice program
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- Harry Murray, firstname.lastname@example.com, 585-389-2760


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INDIANAPOLIS (AP) — When James Loewen wrote "Lies My Teacher Told Me," the relatively famous critique of American history textbooks found in high school classrooms across the nation, he dedicated it to all the teachers who teach against the book.
If Senate Education Chairman Dennis Kruse, an Auburn Republican, succeeds in pushing through his "truth in education" measure in the coming session, teachers would be protected from sanctions if they teach against the established scientific principle of evolution.
"I am going to have a different approach," he said. "I think I would call it truth in education, so students can question what teachers are teaching them and try to make sure it's true what they're teaching."
Kruse's announcement last week that he would introduce the truth in education measure instead of one on creationism revived a debate in Indiana over whether creationism should be taught in Indiana schools as an alternative to evolution. He pushed a bolder measure with success through the Indiana Senate earlier this year but could not get it out of the House of Representatives amid concerns from Republican Speaker Brian Bosma that it could land the state in court.
The Supreme Court has already weighed in on the issue with a 1987 ruling that found teaching the two side by side in a science class would violate the establishment clause of the First Amendment, which limits interaction between government and religious institutions.
Kruse's education bill reflects a new tack by advocates looking to avoid lawsuits, while challenging erstwhile political hot-buttons like evolution and climate change. Tennessee lawmakers passed the model for Kruse's proposal earlier this year, and supporters of teaching creationism are pushing the proposal in other states.
But on the surface, the stated goal of challenging that sort of educational "dogma" -- the fixed word from teachers and textbooks -- has a long tradition in American education.
Faced with anti-Catholic discrimination in New York schools in the mid-1800s, then-Archbishop John Hughes created an alternative network of schools for the flocks of Irish immigrants pouring into America. Don Warren, dean emeritus of Indiana University's School of Education, points out that curriculum writers battled in the thick of the Cold War over how communism and its history should be taught -- if at all.
Loewen, a University of Vermont sociologist, makes two broad arguments about the history American students get from textbooks: It's massive and it's bland, as part of an effort to sell as many textbooks to as many various school systems without offending anyone.
"There must be some belief on the part of someone in the publishing houses or in the textbook adoption boards that the way to promote strong citizens is by lying to them, by giving them this feel-good history that tells them the United States is the best country there's ever been and we never did anything wrong," Loewen said a 1995 interview with C-SPAN president and Purdue alum Brian Lamb.
He argues that, blemishes and all, a complete picture of history is better. "Then we get students involved with the issues of history rather than just rote patriotism."
And even though he comes at it from the opposite end of the political spectrum from Loewen, Josh Youngkin, program director with the Seattle-based Discovery Institute, makes a similar argument in pushing for Kruse's bill, which he also dubs an "academic freedom" measure.
"What you have here is a grant of a right by the Legislature -- this is a legislatively protected right," he said, explaining the measure. "You could go to court on this if you think you were fired or sanctioned or anything nasty like that because you decided to teach both sides."
But Warren, the IU educator, points out there is a critical difference between challenging the recounting of history and social science curricula and contesting principles of hard sciences like biology and geology.
"This fight over creationism and science really strikes me as a little different," he said. "That seems to be part of a current interest in challenging scientific evidence that is unpleasant. It's a kind of anti-intellectualism, I guess, but it's also a blending of faith and evidence."
Warren notes it holds peril as well for religious leaders, who could find faith held to the same rigorous standards of evidence as science.
"If you evaluate faith on the same basis as physics or biology, then you make it subject to the same rules of evidence, and it won't hold up."


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Health & Balance
Grief and Grieving - Topic Overview
What is grief?
Grief is your emotional reaction to a significant loss. The words sorrow and heartache are often used to describe feelings of grief. Whether you lose a beloved person, animal, place, or object, or a valued way of life (such as your job, marriage, or good health), some level of grief will naturally follow.
Anticipatory grief is grief that strikes in advance of an impending loss. You may feel anticipatory grief for a loved one who is sick and dying. Similarly, both children and adults often feel the pain of losses brought on by an upcoming move or divorce. This anticipatory grief helps us prepare for such losses.
What is grieving?
Grieving is the process of emotional and life adjustment you go through after a loss. Grieving after a loved one's death is also known as bereavement.
Grieving is a personal experience. Depending on who you are and the nature of your loss, your process of grieving will be different from another person's experience. There is no "normal and expected" period of time for grieving. Some people adjust to a new life within several weeks or months. Others take a year or more, particularly when their daily life has been radically changed or their loss was traumatic and unexpected.
What are common symptoms of grief and grieving?
A wide range of feelings and symptoms are common during grieving. While you are feeling shock, numbness, sadness, anger, guilt, anxiety, or fear, you may also find moments of relief, peace, or happiness. And although grieving is not simply sadness, "the blues," or depression, you may become depressed or overly anxious during the grieving process.
The stress of grief and grieving can take a physical toll on your body. Sleeplessness is common, as is a weakened immune system over time. If you have a chronic illness, grieving can make your condition worse.
How is grieving treated?
Social support, good self-care, and the passage of time are usually the best medicine for grieving. But if you find that your grief is making it difficult to function for more than a week or two, contact a grief counselor or bereavement support group for help.
If you have trouble functioning for longer than a couple of weeks because of depression or anxiety, talk to your doctor. Treatment with medicines or counseling can help speed your recovery.
Frequently Asked Questions
Learning about grief and grieving:
Getting treatment:
WebMD Medical Reference from Healthwise


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Club Nintendo is a rewards program for Nintendo players and enthusiasts. Members earn "coins" that can be exchanged for games, downloads and other goodies by registering products and taking surveys.
The site features many of Nintendo's most recognizable personalities. Mario certainly takes center stage, but the Avenir® typeface family gets its share of the spotlight. Avenir Black ensures headlines come across loud and clear, while the typeface's humanistic traits keep text in line with the fun, informal tone of the Nintendo brand.
Take a closer look at Club Nintendo by following this Link… err, this link.


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From the August 30 edition of CNN's John King, USA:
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In addition to reviewing print and online media, Media Matters monitors at least 150 hours of television and radio each week. This section features highlights (or low-lights) from our monitoring efforts, other noteworthy clips as well as original videos.
Media personalities rushed to scandalize President Obama for saluting Marines while simultaneously holding a coffee cup, criticizing the move as disrespectful -- forgetting former President George W. Bush's habit of saluting service members while holding his dog.


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The ridged interior has an easy clean enamel which gives food the chargrilled look. Suitable for all heat sources, the square skillet grill is 10-1/4" in diameter and available in the color choices shown. The grill pan can also be used in the oven and under the broiler.


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Research Profile
Dr Stuart Tannock
Career Profile
I am originally from Toronto, Canada. Before coming to Cardiff, I spent over a decade in California, first at Stanford University, where I received an interdisciplinary PhD in the social sciences and humanities (from the Program in Modern Thought and Literature); and then at the University of California, Berkeley, where I taught and worked on collaborative, community-based research projects for five years, through Berkeley's Graduate School of Education, and its Center for Labor Research.
Teaching Profile
I teach on three of our core undergraduate education modules here at the School:
- On the first year Education and Society module, I teach a unit on international and comparative education, and on thinking about education in a global context.
- On the second year Sociology of Education module, I teach a semester on using education for social change, which involves looking at a range of different popular, radical, democratic and alternative approaches to education.
- On the third year Conflict & Change in Education Policy module, I teach a semester on educational conflict and contestation, which involves looking at the role that social movements, teacher unions, parent and student groups, private sector actors, and international organisations are playing in shaping educational policy and practice in the UK and globally.
I also teach a MSc semester-long module on Critical Debates in Education.


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2/24 – 50 chances to win a bottle of Seven Skies Lalita Eau de Parfum (worth $68 each)
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DELAWARE, Ohio (AP) -- A central Ohio sheriff's office has withdrawn used police lights from an online auction site after residents complained following reports of police impersonations in nearby counties, including one involving a sexual assault.
WCMH-TV (http://bit.ly/zRmSuv ) says light bars once used on deputies' cruisers were being offered online without disclaimers about the proper uses for the items. That raised concern among some residents who say they're worried that someone could purchase the lights and use them inappropriately.
Delaware County Sheriff Walter Davis III said the lights would be posted again online with more details specifying that they're intended only for legitimate public safety purposes.
Three police impersonations reported this month involved people pretending to be officers and trying to pull over drivers. One woman reported she was stopped and sexually assaulted.
Information from: WCMH-TV, http://www.nbc4i.com


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WMV, acronym for Windows Media Video, is regarded as a streaming media format introduced by Microsoft in 1999. Although WMV most often refers to a container file, it typically can refer to both a container file and a video codec. That means when you're seeing a WMV file, actually an audio file, a video file and the container file (the WMV) are in use. So audio and video codecs are being used but any video player plays a WMV file will be able to play the file.
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Wrestling: Mooney shines at Classic
Sequim's Luke Mooney ended 2012 in fine fashion, taking a pair of top awards at the North Mason Classic Dec. 29 in Belfair.
Wrestling at 138 points, Mooney went 3-0 to win the weight class. He earned a takedown of River Ridge's Daniel Montesa in the finals for an 8-7 victory.
Mooney also earned the Sportsmanship Award along with the Most Outstanding Wrestler under 145 pounds for the tournament.
The host North Mason Bulldogs took first place in the team scoring with Columbia River second and Olympic third.
Trending Stories Sep 12 - Sep 19
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Home > Post > Post 2 > Post 2 News Release > 2013 News Releases > News Release
News Release
TFC Stu Recke
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Click here to e-mail TFC Stu Recke
Single-Vehicle Injury Collision on US 60
Date of News Release: 04/24/2013
Marion, KY. (Crittenden County) -- The Kentucky State Police investigated a single-vehicle, injury collision that occurred on US 60, approximately five miles east of Marion, on Wednesday, April 24, 2013, at 7:29 a.m.
The preliminary investigation revealed that Darrian Smith, 23 of Sturgis, KY, was operating a 2007 Dodge Caliber eastbound on US 60 when he failed to negotiate a curve in the roadway. The vehicle exited the left side of the roadway and overturned several times. It came to rest on its top off the roadway.
Mr. Smith, who was wearing a seatbelt, was transported via ambulance to the Crittenden County Hospital for treatment. There were no passengers.
Trooper First Class Darron Holliman investigated the collision. The Mattoon Volunteer Fire Department, Crittenden County Rescue, Crittenden County EMS, and the State Highway Department assisted at the scene.


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Trent Reznor took some time out during Nine Inch Nails ' concert in Las Vegas last weekend to show his support for a terminally ill fan. Before performing the show's encore, "In This Twilight," the singer engaged in a video-chat with Andrew Youssef , a photographer who was diagnosed with colon cancer in 2011, reports Rolling Stone .
During the FaceTime session, the singer wished Youssef well and told him that he'd call him after the show. Reznor also asked the crowd to say "hi" to Youssef, to which they responded with a rousing chant of "Andrew." Youssef was touched by the impromptu conversation, writing "I'm speechless" on Twitter shortly after the chat. Fan-filmed footage of Reznor talking with Youssef can be seen on YouTube .
Reznor first connected with Youssef over the summer after the photographer wrote a story about the band's performance at Outside Lands Festival in San Francisco. The NIN frontman then struck up a friendship with the ailing photog, inviting him to band rehearsals, a concert in Los Angeles and a few lunches.
Copyright 2013 ABC News Radio


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Islamic Bank sets up investment fund in Dubai and Bahrain
The Islamic Bank has established a $50 million investment fund in Dubai and Bahrain to develop the private sector's involvement with technology companies.
The five-year fund will be used to finance technological projects in the two cities. The fund was established by a bank's Islamic private sector development institute, which was created by the bank last year with a start-up capital of $500 million.
The fund will be setup in Bahrain and administered from Bahrain and Dubai's Internet City—and will be used for investment in small and medium technology companies in the Middle East, North Africa, and in the Gulf Cooperation Council member states.
The technology companies will include information (networks and programs), communications, and Internet companies. –(Albawaba-MEBG)
© 2000 Mena Report (www.menareport.com)
Top Headlines
- Injazat Technology Fund invests in Jordan's Specialized Technical Services
- Injazat Fund invests $5 million in Omnix International
- Injazat Technology Fund to invest in Jordans' Rubicon
- Injazat Technology Fund launches new strategy to target Middle East venture capital needs
- Al Tawfeek launches new Islamic fund


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BreakPoint Features
Silence Is Blasphemy
Pro-Life: a "Calling", or Mere Christianity?
Pro-Life: a "Calling", or Mere Christianity?
Sincere thanks for your thoughts, J.S.L.
Yours is not an uncommon criticism, and for that reason warrants a response.
Central to your point is the idea that the pro-life activism I advocate is just one of many burdens or callings that the obedient servant of Christ can choose.
But is it?
If ten feet from me a small child falls into a pool, must my vocation be "lifeguard" before I attempt to rescue the drowning child? Or is it the dire responsibility of everyone who fears God and has an ounce of compassion?
This is all the One Minute Strategy to End Abortion is about. No one is being asked to quit his profession or divert from his calling. All that is proposed is that we live like true Christians and quit behaving as if we have little or no responsibility to attempt to rescue the children all around us who are drowning in abortifacient saline.
Public outcry works. For every shepherd who would regularly speak to this issue – one minute per pulpit appearance -- 100 sheep would follow suit. Multiplied by every congregation in America, the results could be stunning.
We could end abortion 'overnight' – if we really wanted to. But do we? That's the real question here. Sadly, our actions prove the answer.
After careful consideration I could find no more fitting term than "blasphemy" to describe the actions of those who, in the name of God, Christ, and the gospel ministry, would deliberately turn away from attempting to save a drowning child on the grounds that "such is not my calling".
We're ALL called to be saints. That's just mere Christianity.
For more on this, I commend to you my sequel piece, "Phariseevangelicalism" http://thepoint.breakpoint.org/features-columns/articles/entry/12/2045
I would be honored to hear your further thoughts in response.
I admire the author's zeal for the unborn. However, I think the P.O.V. expressed here may be the projection of the author's own passion (a righteous one) on to everyone else. Not everyone in the Kingdom shares in the same calling or burden. The author, in this instance, is not wholly unlike the missionary who cannot understand why everyone in every church isn't giving all their money to their particulary missionary venture. My own burden is to see the renewal of repentance and holiness ignited in the church again. Not everyone around me shares that passion. I could say worldliness and lack of sanctification are forms of blasphemy, and so for a pastor to not constantly address this issue is itself a form of blasphemy. But, of course, that would not be right. In my 20 years believing, it has been clear that God endues the ministry minded with specific burdens, and it the job of each to pursue and voice that burden within their circle of influence. We need to be very careful about calling out those who don't share our particular zeal for specific moral and spirital matters "blasphemers." There is also the danger of pursuing these matters to the degree that our passion for them eclipses our very passion for the gospel - even for Christ Himself. I am NOT accusing this author of that. I am, however, noting that "issues oriented preaching" can easily usurp the "preaching of Christ." Preaching Christ may include denouncing moral wrongs, but is lost when morality - especially one particular strain of morality - becomes front and center. Thus, I can share the author's passion and pain, but not his particular expression and sentiment here.
One question: when you see pictures out of Auschwitz, does it tend to desensitize your conscience – or does it do something quite other?
I saw this statement just a day or so ago. It seems appropriate here:
"Injustice that remains invisible inevitably becomes tolerable."
Isn't that what has happened to our own souls and consciences in the church? That we've grown accustomed to tolerating 150 grisly, cold-blooded, excruciatingly-painful-to-the-victim murders per hour largely because it is not held up before us on a regular basis?
I think the burden is on those who think not to disprove that thesis. I'm waiting to see those "proofs", and, like Neil Young, I'm getting old.
Blessings, bro.
Rolley: Thanks for responding. I do agree with you that pastors should preach against abortion from the pulpit; but I think doing it every sunday is likely to desensitize people to the evil rather than prick their consciences ("Oh boy, here comes Pastor Bob's abortion spiel again, time to tune out")
Mitzi: Should any pastor implement Rolley's strategy, I sincerely hope that the women in the congregation have the same positive reaction that you describe for yourself.
@ Ben Wetzel
Thank you for your thoughtful remarks, my friend. Here are some of my own.
Following your logic, I have to wonder what serious sins/crimes we CAN decry from the pulpit. Odds are very good that someone in the pews is guilty of virtually every sin that could be named. So is the solution to avoid them all? Clearly not.
I do not see scriptural precedent or prescription for the moderation you favor. It seems to me Paul did not hesitate to bring up high-shame-quotient sins in (for example) the church at Corinth. Consider his words in 1 Corinthians 6:9-10:
"Or do you not know that the unrighteous will not inherit the kingdom of God? Do not be deceived; neither fornicators, nor idolaters, nor adulterers, nor effeminate, nor homosexuals, nor thieves, nor the covetous, nor drunkards, nor revilers, nor swindlers, will inherit the kingdom of God."
Wow. No hint of avoidance or moderation there. Paul seemed to live by the aphorism, "He loves me best who tells me the most truth".
But the apostle didn't leave the Corinthians bleeding in their pews; he not only "afflicted the comfortable" as they say, he also "comforted the afflicted", for he continued with these words:
"Such were some of you; but you were washed, but you were sanctified, but you were justified in the name of the Lord Jesus Christ and in the Spirit of our God." (v. 11)
I believe we see here that "balance" of "prophetic condemnation" and "gospel-shaped compassion for its practitioners" you spoke of, Ben. But with this significant difference: the fact that Christ had forgiven them and taken their guilt and shame did not keep Paul from bringing up specific sins in ways proportionate to the seriousness of those sins. I think that rule applies to our abortion holocaust. It is a problem of staggering proportions.
I appreciate your sensitivity to the feelings of those who have "been there and done that", truly I do; but when the stakes are this high, ask your conscience, are we not under infinitely greater obligation to spare lives by speaking up than to spare sensibilities by remaining silent? With all due respect to people's emotional comfort, we are talking Auschwitz-caliber crimes here – for 40 years.
Couple these my observations with the comments of personal testimony given by Mitzi Turpin, and I would be interested in your further response.
Blessings, my friend.
P.S. I was born in Mishawaka, right down the street from South Bend. :)
Dear Rolley,
I have now read your three posts with interest, and I guess I will be the first commenter to dissent. I like to think that I am second to none in my pro-life views, but I think the strategy you outline is misguided for at least one main reason.
I worry about the women sitting in evangelical congregations who have had abortions (or the men who encouraged them to do so). If these folks have truly repented of their sin, then the Lord has forgiven them and I'm concerned that bringing up one sin (abortion) every week would only serve to create feelings of shame and guilt when Christ has in fact taken that away. Would it not be ironic to pause midway through a sermon on the forgiveness and grace of Christ, for example, to single out a particular sin for special condemnation? We must balance a prophetic condemnation of abortion with a gospel-shaped compassion for its practitioners. Bringing up abortion week after week makes that hard to do.
I appreciate your passion for the pro-life cause, but in this particular I think the strategy is misguided. I look forward to joining you in other ways to create a culture of life in America.
Best wishes,
Ben Wetzel
South Bend, IN
Rolly, this is a crime against the unborn. I'm going to publish this link on my FB sites and web site. Thanks for the heads up.
Powerful Prose and Poetry, Rolley
Well done.
I'm reminded of a time when I was 19 or 20 (more than 1/2 a lifetime now!) and was chatting with a girl on my community college campus that some of us unkindly called "the ice queen" for her prudent ways. I knew her through friends of mine from Catholic Young Adults. I think we must have been talking about some matters of faith. To some statement of mine, she quietly inquired,
"And you still agree with abortion?"
Her words were kind and compassionate with an "how can those two agreements reside within the same person?" tone. I wasn't a big, huge supporter of abortion. I think I must have made statements about it along the lines of "well, this is the way it is, just accept it." Her question brought me up short. How could I have a real faith in Jesus and yet have a "go along, get along" attitude toward abortion?
I sat there, quiet, pondering. I can still remember exactly where we sat outside at a round table on the Glendale College Community campus under a blue Southern California sky. She was a sensitive, polite young woman and also sat quietly while I pondered.
"No. No." I stated. "No, I don't believe abortion is right."
I am grateful that this woman caused me to face the fact that my beliefs on matters of life, death and agape love were incongruous. I am grateful that you have pointed out the monstrosity of staying silent in the face of evil. Praise God for people who speak the truth in love and shine a light on the evil places of our hearts that we didn't even realize were evil. Thank you, Rolley. And thanks to this woman, whose name I can't even remember.
I just saw this Rolley, and once again you're absolutely right.
The encouraging news from your responses is that in most Protestant churches the pastor serves by the will of the people. If all else fails, we can throw the bums out.
And if we can't throw 'em out, we can vote with our feet.
Thanks Mary, Diane, Jason
I had a brief (8-minute) interview on the Scott Hennon radio show ( scotthennon.com ) yesterday where I discussed "The Deafening Silence of our Pulpits" on abortion. Zoom to the 30min25sec mark.
Silence Is Blasphemy
Mr. Haggard,
I cannot understand how a pastor can stand in front of his congregation week after week and NOT address this terrible issue! If purportedly Christian pastors ignore the silent screams of the murdered/mutilated unborn, what hope is there for the lay person to understand and to act?
You, Sir, are an excellent writer and I deeply admire your perseverance in calling to those who should be in the forefront of battling this evil.
I thank you.
Mary Shew
Spot on!


text:
3. Using personal contact lists on Nexus
In the section on searching the GAL we mentioned that when you open Address Book and select your
Nexus account from the list of groups in the left hand pane you will see two groups listed with your
Nexus name. The group that is shown with an icon that is a blue book with an
i on the
cover is the University-wide GAL whilst the group with your Nexus account name preceded by a brown
book icon with an
@ symbol on the cover is your personal address book stored on the
Nexus server. To check that you have selected the correct group take note of the text that appears
in the right most pane: if you see the text
Search [your Nexus account name] Global Address
List then you have selected the University-wide GAL, if you see the text
No Card
Selected then you are in your personal address book on the Nexus server.
You can create and manage personal contact lists on Nexus in exactly the same way that you have always created and managed your locally stored contact lists in Address Book. The only difference is that if you store your personal contact lists in Address Book on Nexus they will be available to you however you are accessing Nexus. For example, if you are away from your computer and are consequently accessing Nexus via OWA (the web interface) you would still have access to the personal contact lists that you have created in Address Book under your Nexus account.
To illustrate this the figure below shows that we have created a contact in Address Book, in this
case the contact is called
Test Contact:
This figure shows that when we now login to Nexus via OWA and select the Contacts view we can see the
newly created
Test Contact (shown here as Contact, Test) within the OWA
In summary, unless you specifically want a personal contact list to be only visible on your computer it makes sense to store them on the Nexus server so that they are available to you however you are accessing Nexus.
Up: Contents Previous: 2. Searching the Global Address List on Nexus Next: 4. Where next?


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Reader Comments (Page 1 of 1)
jasonkidd1234 said...
I still don't entirely understand how the Night Elves went from hating everybody not Night elves, to liking the humans. I realize they don't like the Orcs that much (Grom killed Cenarius after all) but they put aside thier differences long enough to kill Achrimonde, and they spent enough time with the Orcs to realize that they aren't all like that. Not to mention you think the connection they have with the Tauren would have at the very least made them NOT fight against the Horde.
Logically speaking I think the Night Elves seem like the type who would have stayed out of the factions. After all, they really just wanted to do is rebuild.
IDK I know why they joined from a game standpoint and somewhat from a lore standpoint, but I think realistically it probably woulda made more sense for them to stay out of the war.
Even with Grom's actions, you'd think the Night elves would have had sense to realize that the Orcs aren't all evil, and coulda made some sort of treaty with them.
Perhaps Tyrande isn't as peaceful as she seems though.
DruidGuard said...
I'd guess the majority of their tension comes from the Warsong lumber operations that continue in Ashenvale. The humans haven't done anything remotely as invasive to the Night Elves and for the most part have left them alone as they wish. Add into the fact that it was indeed the Orcs that upset the Night Elves balance of nature with Grom and his actions, and its not hard to see why they harbor such a grudge. And I wouldn't say the Night Elves blame all the horde from Grom's actions; the Cenarion Circle in Moonglade with its pack between the Tauren and Elves prove they haven't closed their doors to those who ally with the Horde - as long as they share the same values.
I'd guess the majority of their tension comes from the developers wanting to make Night Elves a playable race and deciding that the Alliance would be the best fit. The Night Elves and Forsaken are sort of the original "lorelol", along with Tauren druids and playable warlocks.
jasonkidd1234 said...
Well I understand that they harbor ill-will towards the Warsong clan, but considering Grom's actions took place before they throw aside thier differences to take down Achrimonde, I just think it would make more sense for them to stay neutral.
I guess since the Horde still continue towards chopping down Warsong that would be a reason, but I'd like Blizz too officially describe Tyrande's decision. If the Night Elves decided to stay out of the conflict alltogether, I think the Orcs might not have forested Warsong. They woulda got thier lumber elsewhere, which I guess isn't much better in the Night elves Eyes, but I think that's something they could elaborate on. Perhaps in Malfurions book it describes some of the ill-will towards the Horde. He looks pretty pissed so I guess maybe the horde had something to do with that.
splodesondeath said...
The Warsong Clan's position in Horde politics remains confusing at best, even now that Garrosh is up and being grumpy. Originally they were just Hellscream's orcs, fighting the night elves in Ashenvale because they want lumber. Now, they are all over the place, being Warsong guards and such. It's somewhat unclear, but I think originally, after Grom's death and the World Tree gets blown, the Warsong orcs just get ignored and go back to getting lumber.
Thrall never seems to make any sign of caring, but if he had in the beginning, they could have probably saved themselves from getting the night elves into the Alliance.
The tauren's standpoint with the Night Elves stil remains extremely unclear as to why they are both such buddies since the start, as their respective pasts are relatively mysterious. The tauren have probably existed since the Great Sundering and they must have interacted with the night elves or something. I assume the appearance of Light/An'she-following Tauren in Cataclysm might explain it more.
staffan.johansson said...
Where would Orgrimmar get their lumber, if not from Ashenvale? Mulgore consists of grassy plains, and Durotar, Barrens, Stonetalon Mountain, and Thousand Needles are all rather barren. Azshara has some wood, but nowhere near Ashenvale's resources. Felwood's infested with demons. Dustwallow Marsh's trees don't look particularly suitable for construction, and going further away than the zones mentioned would be much too far to go for lumber when you have a whole forest right on your doorstep.
Stonetalon actually has quite a few trees in it, as evidenced by the Venture Co. logging operations there.
Now, if the orcs were interested in peaceful relations with the night elves, they'd shove the Venture Co out and log there. Maybe get some dr00ds in for reforestation, sustainable logging, all the kind of things that give hippies a tear in their eye, etc.
But they're not. Perhaps the Horde likes goblins, despite the Venture Co. being a bunch of murderous amoral punks. Perhaps the Horde likes TAKING wood.
"Where would Orgrimmar get their lumber, if not from Ashenvale?"
How about Silverpine or Stranglethorn, especially since they could use the zeppelins to carry it in large quantities? Such forward thinking probably goes against their Manifest Destiny conceit that Kalimdor somehow belongs to them.
It's their own fault for building a city in the first desolate wasteland they came across, anyway.
Despite the druidic ties between night elves and tauren currently, they are not very "buddy buddy". During the sundering, the night elves didn't even want to utilize tauren in the war against the demons and they regarded them as brutish beasts incapable of grasping the concept of civilized society.
That aside, I agree with your point that the Night Elves allying with the humans doesn't seem to have a strong motivator. They have always been a solitary race and they do not like to depend on other races at all. I'm sure the sundering knocked a lot of that arrogance out of them, but even after those events they've been withdrawn and prefer to keep to themselves.
I'd love to see a more in depth look at the Night Elves motivation to be a part of the Alliance. The other races that make it up I can understand, even if just from a unifying religious standpoint (via the Light).
Will be interesting to see the lore behind the Worgen, though. After all, when Forsaken regained their free will they tried to return to their homes and families and were chased away, which made them bitter. Yet the Worgen are monsters and affected by tainted magic and generally seem like something unacceptable that would be chased off, as well... get accepted with open arms? Really can't wait for Cata, if only for an answer to this! lol
jasonkidd1234 said...
I forgot entirely about the Great Sundering and the Night Elves treatment of the Tauren at that point of time.
Guess it still gives them a little more ground.
I'm assuming that Malfurion's book will have at the least a tiny bit of info of the happenings between killing Achrimonde and the start of WoW, maybe that's where Blizzard will finally decide to make the connection. Perhaps the Night Elves asked the Warsong clan to stop, and they didn't, which is why Warsong Gulch is so heavily contested, maybe the Alliance promised to help them defend Warsong in exchange for them joining the Alliance, or something deeper. Though I think it's probably a combination of Warsong refusing to stop cutting down the forest, and the Alliance's willingness to help them defend it.
Though I'm starting to wonder where the Horde is going to get thier lumber at beyond Cataclysm. It seems Ashenvale is empty, so they'll have to start moving on to some other place. Maybe Stonetalon will have grown back during the cataclysm, or even better the new Desolace is full of trees that reproduce quickly due to highly enriched soil. Or something like that.
MightyBurebista said...
I'd just like to go out of my way to point out that as far as the illegal Warsong deforestation operations in Ashenvale are concerned: Thrall and Varian (back when they were on speaking terms) were actually about to come down to an accord whereby Varian took into accountability the Horde's need for lumber, so they were supposed to agree to a trade deal where the Alliance provided lumber to the Horde and the Horde provided copper and pelts to the Alliance.
...but shit came up and Varian was urgently called away before the accord could be signed. -_-


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To the list of attendees. 5 Places left.
As teejay says System Center (although I think some of the larger primaries are using SCE?) would be good. Alternatively how about a 45 minute treasure hunt around the MS offices?
No 2# GAS is Real and I'm attading, my colleague register under my log in name (as he do not have his login) But he is not attending .
Please take 47# GAS out from list, and sorry if that confused any one.
I hope everyone likes cake! ;-)
You getting your pinny out then James
We still need to fill out a 45 min slot for secondaries whilst the primaries go for a break out session. I need suggestions ASAP guys as I'm closing this today. BTW, I've been ill this past couple of days so please don't think I'm being ignorant when I don't reply to posts/PM's/email. I was quite ill, and still am a bit, but I need to close this today.
I would be interested to hear more about the Microsoft IT Academy if thats not already covered.
Another option would be a Q&A session looking at things like group policies, Windows 7 Libraries, profiles, printers etc to get ideas on how Microsoft recommends dealing with all these sort of things.
Noted. Any more suggestions?
Preferably something that really only applies to secondaries if you are talking about your spare slot - I would hate to miss out on some of the aforementioned FAQs!
*hope you feel better soon, Dos_Box
Wouldn't fill 45 mins, but maybe worth talking about DreamSpark 'High School' enrolment for secondaries. It's a lot less onerous than it is for universities and well worth it.
A game of 'find the edushades'?
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The Lich King
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- The Lich King yells: Not yet, Ymiron, I have other plans for you. You will serve me better within Utgarde Pinnacle. And if these insects survive to find you again, you will get the chance to avenge your wife.


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Sales of Minnesota State Park permits were up slightly last year (2%) compared to 2012. However they are up by 21 percent since 2008, giving the DNR.
Courtland Nelson, director of the DNR's Parks and Trails Division says, "We're obviously pleased to see evidence of increasing interest in Minnesota's 76 state park and recreation areas. This news comes at a time when national parks and many other states are reporting significant declines in their visits and overnight stays."
The Minnesota state parks year-round vehicle permit ($25) provides unlimited access to all 76 Minnesota state parks and recreation areas for 12 months from the month of purchase. The 2014 year-round permit features a photo of Cuyuna Country State Recreation Area, where a 25-mile single-track mountain bike trail system opened in 2011, with support from Legacy funding. Aaron Hautala, a Cuyuna-based photographer, shot the photo on Miner's Mountain trail in September.
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Last photo of me
before things started getting crazy.
I'd like to think I was an educated pregnant woman -- meaning I read many books, tons of online articles, and posts from other moms. Even my husband was in on the act. We soaked up as much information as we could about pregnancy and even specialized things like being high risk, expecting twins, natural birth, c-sections (just in case), and of course we talked with my doctors and doula about all of it.
So why didn't I ever read about HELLP syndrome?
And why, if it is so rare, did I get it, along with so many women I heard from on CafeMom?
HELLP stands for Hemolytic anemia, Elevated Liver enzymes, and Low Platelet count. Basically it's preeclampsia's most severe cousin -- there is extreme high blood pressure and risk of liver failure and seizure.
Some women are diagnosed with preeclampsia first, then develop HELLP. Others, like me, have it all come on together and sometimes during labor, like in my case.
It's serious and can be fatal. The cure? Delivering the baby right away because the mother's liver function is compromised and can harm both. And even after the baby is born, mom can be affected so close monitoring and drugs are used to stabilize.
I went into the hospital when my twins were 36 weeks gestation. I was dizzy, felt like I was starting to hallucinate, sweating uncontrollably, I even asked if the bed I was lying on was heated since I was so hot. My nurse knew what was up (Jeanmarie at NYU I love you!) -- my blood pressure was high, there was protein in my urine, it was time...c-section...and I feared the worst, but then I was pumped with magnesium sulfate and things got fuzzy. You can read more of my birth story on my Journal.
Everything turned out fine -- I have two healthy babies, Hunter and Penelope, and while it took me some time to recover, I am a-OK.
I just want to know why there isn't more information about HELLP. Doctors don't seem to really understand it, either.
They say Caucasian women over 25 are at the most risk. OK, that's me, but that's it? I had severe edema but my blood pressure and urine were testing normal. I felt really tired, really tired, but that's common. I also had terrible reflux hours after a meal -- I would wake in the middle of the night throwing up what seemed like acid. Were these signs? I don't know. No one seems to know.
But I do know this...I think a well-informed patient is the best kind, so I wish I knew more about HELLP before I got it.
Have you heard of HELLP syndrome?
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I have never heard of it before you. That really is crazy and I am always amazed that doctor's do not learn about the things that are not common. You would think they would want to know everything about it just in case! I am glad you are okay!
I had never heard of HELLP until I was diagnosed with it at 25 weeks. Four years later, I am no more informed than I was back then. Doctors can't tell me why I got sick. They can't tell me what my chances are for developing it in any future pregnancies. I don't think it's as rare as they think, so it would be nice to see some research done on it.
It in the back of what to expect when you are expecting... but other then that, and you.... no severly lacking in info!
I had heard of it very briefly but couldn't have told you what it was until your birth, and then I did a lot of reading about it to better understand what had happened to you.
I figure that I can always learn more, which is why I never stop reading. I know I don't know everything about everything and never will, but I can sure know a lot if I try! Don't beat yourself up over not knowing about it. Until the past decade or so the good majority of adults who are NOW diagnosed with autism were just called mentally retarded/handicapped. Especially for things that aren't understood, it can be hard to get a lot of info out there.
I had pre e with my twins I was diagnosed at 20 weeks, then it got so bad they flew me to the city at 28 weeks and 4 days, three days later They did blood work i had just gotten my breakfast about to take a bite of toast and the nurse takes my food away, (she wasnt being mean) she said the doc is on his way and that she was told I couldnt eat. i knew I was going in for a c section when she said that. the doc came in said I had hellp syndrome and I had my twins within the hour. It was very scary! We were highly advised not to have anymore children due to me having pre e with my first and then the chain of events with the twins. So we are happy with our three!
Yes, I've heard of it, but only because a coworker of my mom's had it during her pregnancy. She had to deliver her baby significantly early (around 27 weeks) because of it- she was in rough shape for awhile and her baby spent quite some time in the NICU for prematurity, though she came through with no significant effects. I'm not sure what the symptoms necessarily are (though I suspect not the wicked heartburn/reflux, since I had that with all three pregnancies without ever having any pre-e issues at all- the babies were just squeezing my stomach upwards so much that stomach contacts just didn't stay where they were put.)
Wow...Thanks for educating us and sharing your story. Congrats to you an your two bundles:) i also have never heard of this but im glad you shared. like you i also read everything about babies, kids, families, pregnacy, labor etc...for my son since he is my first child. Im glad all is well with you, keep in touch. see ya
Never heard of it before this.
I had HELLP Syndrome also. I was 36 weeks and 3 days pregnant with my daughter (our only living child after 4 MC's) and I had just gotten back home from another trip to the hospital (which was happening about 3 times a week due to a very high risk pregnancy, I have 2 blood clotting deficiency's -the reason for my 4 MC's which required injections of a blood thinner twice daily into my stomach from day 11 on throughout my pregnancy, gestational diabetes with insulin twice daily and 4 finger pricks daily from 23 weeks on, I had to check my BP twice daily due to high blood pressure starting at 25 weeks, and contractions from 18 weeks on which required me to go on and off of bed-rest throughout the remainder of my pregnancy, I had to go to the hospital each time that I felt contractions, I also had kidney stones at 16 weeks, I worked as a preschool teacher -when I was not on bed rest , and I accidentally got punched in the stomach by a 3 year old -she was making the semi-truck horn honking motion and accidentally came down on my stomach, and I had a 6 ft long kids table accidentally pushed into my stomach also when one child from my class got mad at a friend and tried to push the table into his friend, instead it hit into me. I had 26 ultrasounds during my pregnancy with my daughter). I was supposed to check my BP twice a day at home and call my Dr. and go to the hospital if it was high.


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The antidepressant drug Duloxetine (Cymbalta®) was shown in a recent study to provide pain relief to people suffering from peripheral neuropathy caused by chemotherapy. Chemotherapy drugs such as oxaliplatin (Eloxatin®, used in the FOLFOX regimen for colorectal cancer) can damage "peripheral" nerve cells (those beyond the brain and spinal cord), causing pain, tingling, numbness especially in feet and/or hands. This side effect, called chemotherapy-induced peripheral neuropathy (CIPN), can worsen over time and last long after the chemotherapy has stopped. (More information on CIPN can be found here.)
Do you have a prescription dog? Day 4 of ASCO12
Chris Adams, PhD shares his final day at ASCO. Thank YOU Chris! After 4 days of meetings everyone is a little battle weary, probably more so after the great food and drinks at the ASCO Presidential Reception at Soldier Field the previous night. This morning was the general colon cancer poster sessions. This is about 80 research projects lined up row after row. The nice thing about the posters is that you can actually talk one on one with the researcher. I spoke to some very interesting scientists including one at Georgetown Lombardi, an Australian medical oncologist, a medical oncologist from Japan and a medical oncologist from Ontario. The researcher …
Day 3 of ASCO12 – Observations and Soldier Field
Guest blogger: Christoper Adams PhD an economist at the U.S. Federal Trade Commission shares some notes and his personal insight of his experience on Day 3 of the 2012 American Society of Clinical Oncology's (ASCO) Annual Meeting in Chicago. It is my two year anniversary! Two years ago today I had my colon resection. My doctor said that next year I can have a small party. This year I decided to start my celebration by attending a session on liver resection for metastatic colon cancer. Note to self, don't begin a day of celebration by attending a session on liver resection for metastatic colon cancer.
ASCO12 Conference: Surviving Day 2
"Guest blogger: Christoper Adams" It is my second day at ASCO. I got up early, helped somewhat by the one-hour time difference. I found a friend at the breakfast who directed me to where we catch the buses for the conference center. More importantly she showed me how to find free coffee at the patient advocate lounge. I was planning to attend an 8 am session on the costs of cancer care. I was a bit worried about finding a seat. Ironic as the room held an estimated 5,000 people (I estimated the number of seats while waiting for the session to start) and there were maybe 300 people in …
Dr. Edith Mitchell Honored by ASCO
Edith Peterson Mitchell, MD, FACP has been honored with the 2012 ASCO Humanitarian Award. The Award is given to an oncologist who goes beyond the call of duty to provide outstanding patient care both professionally and and as a volunteer. Dr. Mitchell is a clinical professor in the department of Medical Oncology and a program leader of Gastrointestinal Oncology at Jefferson Medical College of Thomas Jefferson University. At the Kimmel Cancer Center she directs the KCC Center to Eliminate Cancer Disparities.
The eagle has . . . . . landed? ASCO12 Day 1
Lots of delays arriving at the 2012 American Society of Clinical Oncology's (ASCO) Annual Meeting in Chicago which included Christopher P. Adams, Ph.D. – a colorectal cancer survivor, economist at the U.S. Federal Trade Commission and guest blogger who along with Fight CRC team Carlea Bauman, Kim Ryan and Anjee Davis is sharing the ASCO conference experience. Take it away Chris . . .


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The Calvin and Hobbes tenth anniversary book
Bill Watterson
Teen Nonfiction PN6728.C35 W37162 1995
Bill Watterson
Teen Nonfiction PN6728.C35 W37162 1995
Summary: "Watterson re-created the thoughts and feelings of a six-year-old with uncanny accuracy ... Calvin and Hobbes was, simply, the best comic strip." --Charles Solomon, Los Angeles Times Many moons ago, the magic of Calvin and Hobbes first appeared on the funny pages and the world was introduced to a wondrous pair of friends -- a boy and his tiger, who brought new life to the comics page. To celebrate the tenth anniversary of this distinguished partnership, Bill Watterson prepared this special book, sharing his thoughts on cartooning and creating Calvin and Hobbes , illustrated throughout with favorite black-and-white and color cartoons.
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At 19, Masaba Gupta launched her own line. And now at 24, she is the Design Head of Satya Paul. Masaba has carved a niche for herself in the fashion world and B-town and is definitely here to stay. Her creations are simple yet eye-catching and are part of the wardrobe of many Bollywood divas. Her cow- and camera-print outfits are a particular favourite with many. Click on to see the best of Masaba Gupta.
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