text:
2 high-quality REITs to buy on sale
These specialty real estate trusts have healthy dividends and strong cash positions.
By Tom Aspray
Stocks came under pressure overnight as Hong Kong's Hang Seng Index dropped over 2% after the Chinese premier lowered the country's growth estimate for 2012 to 7.5%, down from 8% where it had been since 2005.
The technical readings for the U.S. stock market weakened Monday, even though the major averages closed well off the worst levels. A sharply lower close Tuesday -- below $135.80 in the Spyder Trust (SPY) -- will indicate that the long-awaited correction is underway.
The majority of the real estate investment trusts (REITs) have corrected over the past few weeks, and specialty REITs are down almost 4% from the recent highs. They are likely to correct further alongside the rest of the market, but as discussed below, the seasonal tendency is for the specialty REITs to bottom in early March.
These two REITs have current ratios well over 1.0, which is a positive sign for their dividends. The current ratio is calculated by dividing the current assets by current liabilities, and this is one way to measure a company's ability to pay its short-term obligations.
Chart Analysis: The weekly chart of the Specialized REITs Index shows that it was able to surpass the 2011 highs in early 2012.
- The industry group is still above its uptrend, line b, with additional support in the 113 area, which is about 3% below current levels
- The seasonal analysis shows that this group typically forms a low on Nov. 20 and a final seasonal low on March 5
- The specialized REITs form an initial peak on April 29 and then a secondary peak in September
- Once the correction is over, we will be able to better calculate the next upside targets
- LTC has reached first support, line a, with stronger support in the $28.90 area (line b)
- The relative performance, or RS analysis, broke its downtrend, line c, last September and has pulled back to stronger support
- The on-balance volume (OBV) broke its downtrend, line d, in late October
- The OBV did make significant new highs in early 2012, but has now dropped below its weighted moving average (WMA)
- Initial resistance now stands in the $32 area
Rayonier Inc. (RYN) is a $5.4 billion conglomerate that manages and sells real estate and managed timberland properties in addition to producing cellulose products. It has a current ratio of 1.9 and yields 3.6%.
- RYN made a high in January of $47.56 and is now down 6.3% from the highs
- The next strong support is in the $42.65 area, line e
- The long-term uptrend, line f, is in the $39 area
- Relative performance confirmed the recent highs and is already back to first support; the long-term uptrend, line g, is significantly lower
- Weekly OBV confirmed the recent price highs but has now dropped below its weighted moving average
- OBV has next support at the uptrend (line h) with further support at line i
- RYN has initial resistance in the $45.60-$46 area
What It Means: If the broad market's correction is now underway, my analysis indicates it should be a buying opportunity. For those who are underinvested in stocks or want to add some yield to their portfolio, these two REITs look attractive at lower levels.
How to Profit: For LTC Properties, go 50% long at $29.92 and 50% long at $29.30 with a stop at $28.28 (risk of approx. 4.5%). On a move above $31.68, raise the stop to $29.70.
For Rayonier, go 50% long at $43.76 and 50% long at $42.86 with a stop at $39.78 (risk of approx. 8.1%). On a move above $45.60, raise the stop to $42.90.
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text: Mortality Measurement: Development of the 3M™ All Patient Refined Diag Presentations from a November 2008 meeting to discuss issues related to mortality measures. By John HughesExpanding the Scope of the DRG SystemThe original objective of the DRGs was to develop a patient classification system that related the types of patients treated to the resources they consumed. Thus, the DRGs focused exclusively on resource intensity. The Centers for Medicare & Medicaid Services (CMS) DRGs (formerly the Health Care Financing Administration [HCFA] DRGs) and the AP-DRGs have remained focused on this limited objective. As the health care industry has evolved there has been increased demand for a patient classification system that can be used for applications beyond resource use, cost, and payment. In particular, a patient classification system is needed for:The comparison of hospitals across a wide range of resource and outcome measures. Such comparisons are typically disseminated to the public by State data commissions.The evaluation of differences in inpatient mortality rates.The implementation and support of critical pathways.The identification of continuous quality improvement projects.The basis of internal management and planning systems.The management of capitated payment arrangements.In order to meet these needs, the objective of the DRG system needed to be expanded in scope to address patient severity of illness and risk of mortality as well as resource intensity. As previously defined, these patient attributes have the following meaning:Severity of illness. The extent of physiologic decompensation or organ system loss of function.Risk of mortality. The likelihood of dying.Resource intensity. The relative volume and types of diagnostic, therapeutic, and bed services used in the management of a particular disease.The APR DRGs expand the basic DRG structure by adding four subclasses to each DRG. The addition of the four subclasses addresses patient differences relating to severity of illness and risk of mortality. Severity of illness and risk of mortality relate to distinct patient attributes. For example, a patient with acute choledocholithiasis (acute gallstone attack) as the highest secondary diagnosis may be considered a major severity of illness but only a minor risk of mortality. The severity of illness is major since there is significant organ system dysfunction associated with acute choledocholithiasis. However, it is unlikely that the acute episode alone will result in patient mortality and thus, the risk of mortality for this patient is minor. If additional, more serious diagnoses are also present, patient severity of illness and risk of mortality may increase. For example, if peritonitis is present along with the acute choledocholithiasis, the patient may be considered an extreme severity of illness and a major risk of mortality. Since severity of illness and risk of mortality are distinct patient attributes, separate subclasses are assigned to a patient for severity of illness and risk of mortality. Thus, in the APR DRG system a patient is assigned three distinct descriptors:The base APR DRG (e.g., APR DRG 194 Heart Failure or APR DRG 440 Kidney Transplant)The severity of illness subclassThe risk of mortality subclassThe four severity of illness subclasses and the four risk of mortality subclasses are numbered sequentially from 1 to 4 indicating respectively, minor, moderate, major, or extreme severity of illness or risk of mortality. For applications such as evaluating resource use or establishing patient care guidelines, the APR DRG in conjunction with severity of illness subclass is used. For evaluating patient mortality the APR DRG in conjunction with the risk of mortality subclass is used.Although the subclasses are numbered 1-4, the numeric values represent categories and not scores. For example, severity subclass 4 congestive heart failure patients are not comparable to severity subclass 4 patients with a fractured leg. Thus, it is not meaningful to average the numeric values (i.e., 1-4) of the severity of illness or risk of mortality subclasses across a group of patients to compute an average severity score. However, the APR DRG severity and risk of mortality subclasses can be used to compute an expected value for a measure of interest (e.g., length of stay, cost, mortality), using statistical techniques such as indirect rate standardization.The underlying clinical principle of APR DRGs is that the severity of illness or risk of mortality subclass of a patient is highly dependent on the patient's underlying problem and that patients with high severity of illness or risk of mortality are usually characterized by multiple serious diseases or illnesses. In the APR DRGs, the assessment of the severity of illness or risk of mortality of a patient is specific to the base APR DRG to which a patient is assigned. In other words, the determination of the severity of illness and risk of mortality is disease-specific. Thus, the significance attributed to complicating or comorbid conditions is dependent on the underlying problem. For example, certain types of infections are considered a more significant problem in a patient who is immunosuppressed than in a patient with a fractured arm. In APR DRGs, high severity of illness or risk of mortality are primarily determined by the interaction of multiple diseases. Patients with multiple comorbid conditions involving multiple organ systems represent difficult-to-treat patients who tend to have poor outcomes.The Development ProcessThe process used in the development of the APR DRGs involved an iterative process of formulating clinical hypotheses and then testing the hypotheses with historical data. Separate clinical models were developed for each of the base APR DRGs. Once the clinical model for severity of illness and risk of mortality was developed for each base APR DRG, it was evaluated with historical data in order to review the clinical hypotheses. If there was a discrepancy between clinical expectations and the data results, the clinical content of the ICD-9-CM diagnosis and procedure codes was closely examined to determine if ambiguities in the definition or content of the codes could explain the discrepancy. Any discrepancies between clinical expectations and data results were always resolved by using clinical expectations as the basis for the APR DRGs. Thus, the APR DRGs are a clinical model that has been extensively tested with historical data. The historical data used in the development of version 20.0 of the APR DRGs was a nationwide database of 8.5 million discharges, which included all payer discharges from 1,000 general hospitals from 10 states, and all payer discharges from 47 children's hospitals in the United States. For version 24.0, testing of new diagnosis and procedure codes was conducted using Healthcare Cost and Utilization Project (HCUP) 2003 data which contained over seven million discharges.Development of the Base APR DRGThe AP-DRGs (see chapter 1) were initially used as the base DRGs in the formation of the initial APR DRGs. A series of consolidations, additions, and modifications were then made to these initial APR DRGs to create the base APR DRGs. Similar to the Yale research, the first step in forming the APR DRGs was to consolidate all age, CC and major CC splits. The APR DRGs also consolidated all splits based on discharge status of death. This was necessary so that death as an outcome variable could be examined across all the APR DRGs.In addition to these uniform consolidations, the APR DRG system introduced an extensive set of consolidations, additions, and refinements to the initial APR DRG categories. This includes the diagnoses and procedures and birthweight ranges (for newborns) that define an APR DRG, the procedure codes that are considered OR procedures, and the placement of surgical APR DRGs in their respective MDC surgical hierarchies. The APR DRG system has also introduced numerous changes to the definition of MDCs and the pre-MDC hierarchies and categories. Finally, the APR DRG system has introduced a new kind of logic referred to as "rerouting logic," that reassigns a patient to a new MDC and APR DRG in certain circumstances where the principal diagnosis is overly broad or the sequencing of principal and secondary diagnosis is unclear. Altogether these changes result in a set of base APR DRGs that are very different from those of other DRG classification systems. Following is a summary description of these changes.Consolidate APR DRGs based on complicated principal diagnosisAPR DRGs that were defined based on complicated principal diagnoses were consolidated. For example, in the initial version of APR DRGs, appendectomies with a complicated principal diagnosis (e.g., appendicitis with peritonitis) were assigned to a different APR DRG than uncomplicated appendectomies. The APR DRGs for appendectomies were consolidated and recognition of the complicated principal diagnosis was subsequently incorporated into the subclass assigned within the APR DRG. Other examples of this kind of consolidation include vaginal delivery with complicating diagnoses and other antepartum diagnoses with complicating diagnoses.Consolidate APR DRGs based upon complicated OR proceduresThe APR DRG system consolidated certain surgical categories that, in both the CMS DRGs and AP-DRGs, are subdivided based upon more complicated types of OR procedures. Examples of surgical category consolidations are cholecystectomy with common duct exploration versus cholecystectomy without common duct exploration, and total mastectomy versus subtotal mastectomy. Surgical procedures were consolidated when the different procedures represented fundamentally the same type of patient and the difference in complexity could be captured through the APR DRG severity of illness and risk of mortality subclasses.Consolidate APR DRGs based on case volumeThe general trend toward outpatient surgery made some of the initial APR DRGs extremely low in volume. Such APR DRGs were consolidated into other similar APR DRGs. For example, carpal tunnel releases are now rarely performed on an inpatient basis. Thus, the APR DRG for carpal tunnel release was consolidated into the APR DRG for nervous system procedures for peripheral nerve disorders, which includes procedures such as tarsal tunnel release, and, subsequently, all of these procedures were consolidated into the APR DRG for other nervous system and related OR procedures. Since the early 1990's when the APR DRGs were first developed, there have been many areas where hospitalization rates have decreased. This is examined carefully and in each subsequent update of the APR DRG classification system, there have been a number of further consolidations for low volume APR DRG categories for both medical and surgical patients.Pediatric additionsWhile the AP-DRGs incorporated some of the pediatric modifications from the PM-DRGs (chapter 1), the APR DRGs incorporated the remaining significant pediatric modifications in the PM-DRGs. In addition, in conjunction with National Association of Children's Hospitals and Related Institutions (NACHRI), the APR DRGs were reviewed with a national pediatric database. As a result of this review, additional APR DRGs were created. For example, scoliosis (curvature of the back) is one of the primary reasons spinal fusions are performed on pediatric patients. Spinal fusions for scoliosis tend to be more complex than spinal fusions for other clinical reasons such as a herniated disk. Thus, the APR DRG for spinal fusions was subdivided based on a principal diagnosis of scoliosis. Another example is the creation of an APR DRG for major cardiothoracic repair of heart anomaly.Restructure newborn APR DRGsThe base APR DRGs for newborns were completely restructured. Age was used instead of principal diagnosis to define the newborn major diagnostic category (MDC); birthweight ranges were used as the starting point framework for newborn APR DRGs; surgical APR DRGs were created within each birthweight range; and medical hierarchies were created within birthweight ranges that have more than one medical APR DRG. A medical hierarchy is necessary because newborns do not have a principal diagnosis in the usual sense. Most newborns have a live newborn status code as their principal diagnosis. This does not permit assignment to a medical APR DRG based on principal diagnosis. Thus, it was necessary to create a medical hierarchy for newborns.As in the AP-DRGs, the APR DRG newborn MDC was initially defined to include all neonates, with age 0-28 days at time of admission. For version 20.0 APR DRGs, the age definition for MDC 15 was redefined and narrowed to be more consistent with its title, "Newborns & Other Neonates with Conditions Originating in the Perinatal Period." MDC 15 is now defined to include patients age 0-7 days and a subset of patients age 8-14 days who are low birthweight patients and may still have perinatal complications during this time period necessitating transfer to another hospital. This removes from MDC 15 virtually all readmissions to the hospital for community acquired infections and other problems that occur after the first week of life. The new age definition for MDC 15 increases the clinical similarity of MDC 15 patients, better aligns MDC 15 patients with the organization of patient care units and physician specialties, allows for the elimination of certain low volume APR DRGs in MDC 15, and places the older neonatal patients (8-28 days) in other MDCs where they can be assigned to more disease specific APR DRGs.Initially, the newborn MDC was organized into six birthweight ranges—the same as in AP-DRGs. For version 20.0 APR DRGs, the number of birthweight ranges was expanded to eight and the number of different APR DRG categories within each birthweight range was decreased. The net effect of all APR DRG category changes in MDC 15 was a reduction in the number of base APR DRGs from 35 in version 15.0 to 28 in version 20.0.Version 20.0 of APR DRGs also incorporated the use of gestational age codes that were introduced into ICD-9-CM in October 2002. Gestational age is used as part of the severity of illness and risk of mortality subclass assignment for newborns.Add APR DRGs for mortalityThe same base APR DRGs are used in conjunction with both the severity of illness subclasses and risk of mortality subclasses. Thus, some new APR DRGs were necessary in order to reflect differences in mortality. For example, initial APR DRG 45 (Specific Cerebrovascular Disorders Except TIA) was subdivided into APR DRG 45 (CVA With Infarct) and APR DRG 44 (Intracranial Hemorrhage) as a result of the significantly higher mortality rate for intracranial hemorrhage patients. In version 20.0 APR DRGs, neonates <500 grams (1.1 pounds) were placed in a new APR DRG separate from neonates 500-749 grams (1.1-1.6 pounds) because the mortality rates are so much higher for neonates <500 grams. Other APR DRG additions and refinementsChapter 1 of the APR DRG Definitions Manual explains that the process of defining the medical and surgical categories in an MDC requires that each category be based on some organizing principle. The end goal is to create categories that are clinically coherent and have sufficient case volume to be useful. Following are examples of ways in which version 20.0 APR DRG modifications improve clinical coherence:Consolidate APR DRGs if there aren't meaningful clinical differences; e.g., combine APR DRG 202 Angina Pectoris and APR DRG 198 Coronary Atherosclerosis.Improve the clinical distinction between related APR DRGs; e.g., redefine APR DRGs 301 and 302 for joint replacement to be based on the joint replaced (i.e., hip versus knee) instead of the etiology (i.e., trauma versus non trauma).For MDC 22 (Burns), re-conceptualize the APR DRGs to give further emphasis to third degree burns.For MDC 24 (Human Immunodeficiency Virus Infections), refine the list of major HIV related conditions and significant HIV related conditions.For MDC 25 (Multiple Significant Trauma), redefine the APR DRGs giving more emphasis to the surgical categories.Throughout the MDCs, consistently define APR DRGs for which the reason for the hospitalization is a complication of treatment. These APR DRGs now exist in MDCs 5, 6, 8, 11, 18, and 21.Throughout the MDCs, refine and make more consistent the definition of Other Related OR Procedures APR DRGs.Substantially redefine the three APR DRGs for OR Procedures Unrelated to Principal Diagnosis so that each is defined by a distinct level of surgical complexity.Reclassification of OR ProceduresThe APR DRG system has reevaluated the procedure codes considered OR procedures which in turn affects whether a patient will be assigned to a surgical or medical APR DRG.Version 20.0 APR DRGs removed 62 procedure codes from the APR DRG list of OR procedures, leading to two-and-a-half percent fewer patients classified into surgical APR DRGs. The highest impact reclassified procedure is excisional debridement. Next most common is endoscopic lung biopsy followed by certain other biopsies of bone, soft tissue, blood vessel, cervix, uterus, and bladder. Other reclassified procedures with volume are interruption of vena cava and linear repair eyelid laceration. The APR DRGs most affected by these procedure code reclassifications are the APR DRGs previously defined on the basis of skin graft or excisional wound debridement in MDCs 8, 9, 10, and 21 and the "other OR procedure" APR DRGs throughout the various MDCs.Revise MDC definitionsThe APR DRG system has introduced numerous changes to MDC definitions, especially with version 20.0 APR DRGs.The age definition for MDC 15 (Newborns & Other Neonates with Conditions Originating in the Perinatal Period) was narrowed as described previously.MDC 25 (Multiple Significant Trauma) was updated with respect to the lists of significant trauma diagnoses and the introduction of OR procedures to clarify whether certain diagnoses represent significant trauma. The net effect was to decrease the number of MDC 25 medical patients and increase the number of MDC 25 surgical patients.MDC 24 (Human Immunodeficiency Virus Infections) was updated with respect to the definition of HIV related diagnoses, leading to somewhat fewer patients assigned to MDC 24.MDC 21 was redefined and had its title changed from "Injuries, Poisonings & Toxic Effects of Drugs" to "Poisonings, Toxic Effects, Other Injuries and Other Complications of Treatment." The title change reflects that most of the injury diagnoses previously in MDC 21 have been moved to other body system specific MDCs, namely MDCs 1, 3, 5, 8, and 9. "Other Complications of Treatment" was added into the title of MDC 21 since these diagnoses have always been in MDC 21.Cranial and face bone diagnoses, previously dispersed across MDCs 3, 8, and 21, were consolidated into MDC 3 which is reflected in the revised title for MDC 3, "Ear, Nose, Mouth, Throat and Craniofacial Diseases and Disorders."Prematurity diagnoses (for older neonates and infants) and orthopedic aftercare diagnoses were moved to MDC 23 (Rehabilitation, Aftercare, Other Factors Influencing Health Status & Other Health Service Contacts).In addition, other individual diagnoses were assigned to different MDCs.Revise MDC surgical hierarchiesThe APR DRG system has introduced a number of changes to the MDC surgical hierarchies. Version 20.0 introduced changes to the surgical hierarchies for MDCs 1, 3, 5, 6, and 8. To illustrate, in MDC 6 (Diseases & Disorders of the Digestive System), APR DRG 224 (Peritoneal Adhesiolysis) was moved lower in the surgical hierarchy following the APR DRGs for appendectomy, anal procedures, and hernia procedures because the peritoneal adhesiolysis is usually adjunct to these procedures and not the patient's primary surgical procedure. Most of the patients who remain in APR DRG 224 are having peritoneal adhesiolysis performed for intestinal obstruction.A similar example in MDC 8 (Diseases & Disorders of the Musculoskeletal System and Connective Tissue), is APR DRG 312 Skin Graft, Except Hand for Musculoskeletal and Connective Tissue Diagnoses, which was moved lower in the surgical hierarchy. It now follows the APR DRGs for knee/lower leg procedures, foot & toe procedures, and shoulder, upper arm & forearm procedures because the skin graft is usually an adjunct to these procedures and not the patient's primary surgical procedure. The skin graft procedure is indicative of the complexity of the procedure and is taken into consideration in the severity of illness and risk of mortality logic that deals with select combinations of OR procedures.Revise Pre-MDC hierarchies and categoriesThe initial APR DRGs started with the same pre-MDC hierarchies and categories as AP-DRGs: MDC 15 (Newborns & Other Neonates with Conditions Originating in the Perinatal Period), MDC 24 (Human Immunodeficiency Virus Infections), Transplants, two Tracheostomy APR DRGs and MDC 25 (Multiple Significant Trauma). For version 20.0 APR DRGs, this was reordered as follows: Transplants, MDC 15, Tracheostomy APR DRGs, MDC 25, and MDC 24. The reordering of the pre-MDC hierarchies provided a clearer focus for classifying the most defining aspects of the hospitalization for these patients.Version 20.0 APR DRGs redefined and narrowed the definition of the two pre-MDC Tracheostomy APR DRGs. The previous approach included virtually all tracheostomy patients with separate APR DRGs based on whether the principal diagnosis pertained to the face, mouth, or neck, implying that the tracheostomy was a therapeutic treatment for an upper airway problem versus all other principal diagnoses, which implies that the tracheostomy was performed to allow the patient to be on extended mechanical ventilation. The new approach requires that all patients assigned to the tracheostomy APR DRGs receive mechanical ventilation 96+ hours and subdivides the tracheostomy APR DRGs based on whether there is an extensive OR procedure. The new approach in effect narrows the definition to patients on extended mechanical ventilation and classifies other tracheostomy patients to the regular APR DRG categories—particularly in MDC 3 (Ear, Nose, Mouth, Throat & Craniofacial Diseases and Disorders).Rerouting logicThe basic organizing approach to classification in the APR DRG system is to first assign a patient to a Major Diagnostic Group (MDC) based upon principal diagnosis, and then to a specific APR DRG category based upon principal diagnosis (if medical) or operating room procedure (if surgical). This works well in the vast majority of cases and results in the patient being assigned to the MDC and APR DRG that best describes the reason for the hospitalization.There are several different kinds of situations, however, where using the principal diagnosis as the starting point for establishing the MDC and APR DRG needs to be supplemented by additional information to yield the most useful classification of the patient. One such situation occurs when there is a clear patient characteristic that should take priority, such as for a patient with an organ transplant or a tracheostomy in the absence of an ENT problem. This situation is handled by Pre-MDC assignment logic mentioned above. Another situation occurs when the principal diagnosis is overly broad, or the sequencing of principal diagnosis and secondary diagnosis is unclear, or a surgical procedure provides clarification of the principal diagnosis. These situations are handled through what is referred to as APR DRG "rerouting logic" which considers secondary diagnoses, procedures, and sometimes age, most often in conjunction with the principal diagnosis, to clarify the reason for the hospitalization. The rerouting logic either reassigns the patient to a new APR DRG within the same MDC (Within MDC Rerouting) or to a new MDC and APR DRG (Across MDC Rerouting).These situations are not unique to the APR DRG classification system. They represent ambiguities that confront any DRG classification system. What is unique to the APR DRG classification system is the rerouting logic developed to assign these patients to the most appropriate and useful category.An example of a medical rerouting within an MDC is a patient with a principal diagnosis of chest pain and a secondary diagnosis of angina pectoris or coronary atherosclerosis. The chest pain diagnosis is a symptom of the angina or coronary atherosclerosis and should have been recorded as a secondary diagnosis. The rerouting logic will assign this patient to APR DRG 198 Angina Pectoris & Coronary Atherosclerosis instead of APR DRG 203 Chest Pain, and will resequence the diagnosis of angina or coronary atherosclerosis as the principal diagnosis so that these diagnoses do not make a redundant contribution to the severity of illness and risk of mortality subclass assignment.An example of a medical patient rerouting across MDCs is a patient with a principal diagnosis of hypovolemia (dehydration) and a secondary diagnosis of gastroenteritis. There is some ambiguity in the sequencing of principal and secondary diagnosis, while the patient fundamentally is a gastroenteritis patient who has some level of dehydration. So, in this example there would be a rerouting from MDC 10, APR DRG 422 Hypovolemia to MDC 6, APR DRG 249 Non-Bacterial Gastroenteritis, Nausea & Vomiting.An example of a surgical patient rerouting across MDCs is amputation. In previous versions of APR DRGs and other DRG systems, there are distinct amputation DRGs in MDCs 5, 8, and 10. Starting with version 20.0, most of these patients are rerouted to MDC 8 (Diseases & Disorders of the Musculoskeletal System and Connective Tissue) and grouped according to the MDC 8 surgical hierarchy. The end result is that clinically similar amputation patients are grouped together rather than dispersed into separate lower volume amputation groups.The sequencing of principal diagnosis and secondary diagnosis on the patient discharge records is not altered by any of these resequencing processes. Rather, the APR DRG grouper is redesignating principal diagnosis and secondary diagnosis for specified steps that are part of its logic. In the example of principal diagnosis hypovolemia and secondary diagnosis gastroenteritis, the APR DRG grouper resequences principal diagnosis and secondary diagnosis for grouping purposes but when users examine their own discharge records hypovolemia will still be the principal diagnosis. This also means that when users examine their patients in MDC 6 (Diseases & Disorders of the Digestive System) and especially APR DRG 249 Non-Bacterial Gastroenteritis, Nausea & Vomiting, some of the patients will have a principal diagnosis of hypovolemia, which is ordinarily assigned to MDC 10 (Endocrine, Nutritional & Metabolic Diseases and Disorders). A fuller explanation of the APR DRG rerouting logic and a more extensive set of illustrations is in chapter 3.The end result of the consolidation and refinement process for version 12.0 of the APR DRG classification system released in 1995 was the creation of 382 base APR DRGs (plus two ungroupable or invalid APR DRGs). This was further consolidated to 355 base APR DRGs for version 15.0 released in 1998 and to 314 base APR DRGs (plus two ungroupable or invalid APR DRGs) for version 20.0 released in 2003. For version 25.0, the base APR DRGs remain at 314. The modifications to the base APR DRGs were sufficiently extensive that a complete renumbering of the base APR DRGs was included as part of the version 15.0 update.There were many changes to the APR DRG category definitions introduced as part of version 20.0 of the APR DRG system. Overall, this reduced the number of base APR DRGs by 41 from 357 to 316 as a result of the elimination of 55 base APR DRGs and the addition of 14 new base APR DRGs. In addition, 66 base APR DRGs had major definitional changes and 102 base APR DRGs had moderate definitional changes. Version 20.0 reduced the number of final APR DRG severity of illness and risk of mortality subclass categories from 1,422 to 1,258 (including two ungroupable or invalid APR DRGs that do not have subclasses).Once the definition of the base APR DRGs was completed, four severity of illness subclasses and four risk of mortality subclasses for each of the APR DRGs were evaluated and updated for each new release of the APR DRGs.Return to ContentsProceed to Next Section Current as of March 2009 Internet Citation: Mortality Measurement: Development of the 3M™ All Patient Refined Diag. March 2009. Agency for Healthcare Research and Quality, Rockville, MD. http://www.ahrq.gov/professionals/quality-patient-safety/quality-resources/tools/mortality/Hughes.html

subset: commoncrawl


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James Atkins, M.D.
Department: Internal Medicine, Surgery
Department: Internal Medicine, Surgery
Dr. Atkins graduated from the University of Texas Southwestern Medical School in Dallas, Texas and performed his internship and residency in internal medicine and his subspecialty training in cardiology at Parkland Memorial Hospital in Dallas, Texas. Dr. Atkins has had a long-term interest in cardiac arrest and the care of acute myocardial infarction having written several papers and chapters on these issues. Dr. Atkins has been medical director of the paramedic system in Dallas County for 27 years having stepped down in 2002. He is chairman of the accreditation body that accredits paramedic training programs (Committee on Accreditation of Emergency Medical Services Professions). He has also been involved with the National Heart Attack Alert Program of the NHLBI for the entire 10 years of the program and has chaired the Access to Care Subcommittee and the Executive Committee of the NHAAP. He is a Professor of Internal Medicine at the University of Texas Southwestern Medical School and works as a cardiologist at Parkland Memorial Hospital, Dallas VA Hospital, and Zale-Lipshy Hospital. He has received special awards for his service in the area from the American Heart Association, the Food and Drug Administration, and the NHLBI. A past president of the American Heart Association, Texas Affiliate, Dr. Atkins was named an Honorary Life Member of their Board Directors last year. Dr. Atkins has also served a three-year term as President of the Texas Chapter of the American College of Cardiology, and he served as a member of the Board of Governors for the college.
|Medical School
|UT Southwestern Medical Center (1967)
|Parkland Memorial Hospital (1968), Rotating
|Parkland Memorial Hospital- Internal Med Residency (1969), Internal Medicine
|UTSW - Cardiology (1970), Cardiology
|UTSW - Cardiology (1971), Cardiology
|Parkland Memorial Hospital (1972), Internal Medicine
|UTSW - Nuclear Cardiology (2002), Nuclear Medicine
Featured Publications
Use of "diving reflex" for the treatment of paroxysmal supraventricular tachycardia
Wildenthal K, Atkins JM American Heart Journal October 1979 98 536-537
Effect of digitalis on left ventricular function in exercising dogs
Horwitz LD, Atkins JM, Saito M Circulation Research December 1977 41 744-750
Cardiac autonomic blockade in exercising dogs
Atkins JM, Horwitz LD Journal of Applied Physiology June 1977 42 878-883
Ventricular conduction blocks and sudden death in acute myocardial infarction; potential indications for pacing
Atkins JM, Leshin SJ, Blomqvist G, Mullins CB New England Journal of Medicine February 1973 288 281-284
Role of the Frank-Starling mechanism in exercise
Horwitz LD, Atkins JM, Leshin SJ Circulation Research December 1972 31 868-875
Automated defibrillators
Atkins, JM Kuehl, AE (ed) Prehospital systems and medical oversight Winter 2002 449-451
Prehospital providers in the emrgency department
Atkins, JM, Hartung, RW Kuehl, AE (ed) Prehospital systems and medical oversight Winter 2002 584-589
Consultant's Corner: How should I manage this patient with atrial fibrillation?
Atkins, JM Family Practice Recertification August 2000 22(8) 15-23
Cardiac rehabilitation for the primary care physician
Atkins, JM Family Practice Recertification May 2000 22(5) 50-65
Procedure: Cardiopulmonary resuscitation
Atkins, JM Rakel RE (ed) Saunders Manual of Medical Practice Spring 2000 278-285


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For the best mum ever!
Fun fairy-design card for your mum that's guaranteed to make her feel extra special on her birthday. This card declares that she is an angel and, it goes without saying, the best mum ever! What better way to make her go all gooey at the knees and shed a tear of joy?


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The Blake Project, the brand consultancy behind Branding Strategy Insider, delivers interactive brand education workshops and keynote speeches designed to align marketers on essential concepts in brand management and empower them to release the full potential of the brands they manage.
Great Moments In Naming: Appleby Derrick Daye
"Steve (Jobs) came up with the name. He sometimes worked on orchards up in Oregon. I don't know what kind of orchards they were, but I assume there were apple trees there. I don't ask people where they get their ideas, and Steve doesn't tell. My first comment was, 'What about Apple records?' He said, 'Oh, that's a record company. This is computers.' "
- Steve Wozniak, Apple co-founder
Sponsored By: Brand Aid


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Get smudgy! Cropped and dense, our Smudger Brush was designed to blend out lines for smoky and layered looks. You'll wonder how you did without it all these years! Turn any eyeliner into a sexy smudge of color. Blend out your shadow a little or a lot. Build layers of shades and textures, then marry them with this amazing brush.
All Urban Decay brushes are cruelty-free AND vegan. Our brush "hair" is actually a super soft material made from recycled PET plastic bottles - WAY better than sacrificing cute little animals for their hair! We used recycled aluminum to craft the sleek gunmetal handles. Even the outer boxes are made from recycled egg crate material (but we dyed them black and stamped them with a sexy purple foil.)
All this means nothing if the brushes don't perform. Here at UD, we say you can keep your karma intact without sacrificing performance. All of our brushes are professional quality and LOVED by makeup artists for their ability to lay down color smoothly. Hairs are crimped specifically for the function of each brush. Each can be used wet or dry. And, synthetic brushes mean you don't deal with some of the pitfalls of real hair brushes, like icky bacteria or a weird animal smell when wet. You'll also notice each of our brushes has an actual name, like "Powder" or "Blush". (Because who knows what you're supposed to do with Brush #32?!)
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To find a doctor, call 800-667-5356 or click below:
Find a Doctor
Request an Appointment
Here is one moe article in the seemingly endless debate about the value of mammograms. Do they ever save lives? If so, how often? At what age should women begin regular screening? How often should screening be done? Does the kind of mammogram machine matter? On and on, it goes, and almost the only agreement is that the experts do not agree.
A recent report from MGH suggested that mammograms prevented some deaths in women in their 40s who were regularly screened; their cancers were detected sooner and (seemingly) successfully treated. Their peers who were not screened had a higher incidence of death. Before you jump to any conclusions, read on:
Study suggests women in their 40s benefit from mammograms, but doubts linger
More than a quarter-century after women were told to get annual mammograms beginning at age 40, researchers still don't agree on whether the screening X-rays significantly reduce a younger woman's risk of dying from breast cancer. Studies have produced conflicting results.
A new analysis from Massachusetts General Hospital researchers suggests that mammograms prevent breast cancer deaths in women in their 40s by detecting some cancers in an earlier, more curable stage than cancers detected in women who don't get screened.
At first blush, the findings published online in the journal Cancer, seem to make a strong case in favor of mammography screening for younger women. But there are some serious limitations in the study design that cast doubt on the findings.
The resesarchers analyzed 609 breast cancer deaths that occured at hospitals in the Partners HealthCare system between 1990 and 1999 and found that more than 70 percent of the deaths occurred in the 20 percent of the women who weren't getting regular mammograms.


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Bad cpu or Motherboard
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Technical Papers and Presentations
3D Simulation of Air-Glass Heat Exchange in a Set of Vials
G. Mongatti[1], A. Borelli[1]
[1]Marchesini Group, Pianoro, Italy
In this model a three-dimensional heat transfer analysis was performed by using COMSOL Multiphysics\' Heat Transfer Module. The model is about the heating of a set of vials (Figure 1) in a current of hot air in the laminar regime. We used time dependent studies to predict the thermal behavior of the glass and to estimate the temperatures in the various points of the bottles at various times. ...
Negative Thermal Expansion Materials: Thermal Stress and Implications for Composite Materials
M.J. Jakubinek[1,2], C.A. Whitman[2,3], and M.A. White[1,2,3]
[1]Department of Physics and Atmospheric Science, Dalhousie University, Halifax, Nova Scotia, Canada
[2]Institute for Research in Materials, Dalhousie University, Halifax, Nova Scotia, Canada
[3]Department of Chemistry, Dalhousie University, Halifax, Nova Scotia, Canada
There is considerable interest in the possibility of combining NTE materials with normal (positive) thermal expansion materials, to reduce the potential of failure of a material or component due to thermal stress fracture. Finite element analysis (FEM) is used to explore the overall expansion and thermal stress in composites.
Human Torso Model for Heat Transfer Analysis
X. Xu[1], T. Patel[1], R.W. Hoyt[1]
[1]U.S. Army Institute of Environmental Medicine, Natick, MA, USA
A human torso model was created for heat transfer analysis. The torso was derived from the 'Virtual Family' whole-body voxel data from the ITIS Foundation (Zurich, Switzerland). Measurements were taken from the ITIS male along the axial plane at key anatomical landmarks and used to develop geometry in Solidworks. Individual components were created to represent the skin, fat, muscle, and bone ...
Simulation of Heat-induced Fusing of Polymer Toner
Hoffmann, R.
Océ Printing Systems GmbH, Poing
The electrophotographic print process uses polymer toner particles to create the desired print image on the paper. After depositing the particles on the paper, the particle layer has to be heated beyond the glass point of the polymer to create a homogeneous layer. This fusing process is one of the most energy-consuming parts of the whole print process. It is therefore imperative to limit the ...
Stirling Engine Simulation: Non-isothermal Flow / Structure Interaction
N. Martaj1, P. Rochelle1, L. Grosu1, R. Bennacer2, and S. Savarese3
1LEEE, Université Paris X, Ville d'Avray, France
2Laboratoire Environnement, Energétique, Valorisation, Matériaux (LEEVAM), Université de Cergy-Pontoise, Neuville-Sur-Oise, France
3COMSOL France, Paris, France
The reciprocating thermal engine of Stirling type, with its varied external heat sources and efficiency improving regenerator, is an alternate solution to be taken into account for efficient power applications of renewable energies. Work and efficiency of this machine is strongly dependent on geometrical and physical parameters such as dimensions, heat transfer coefficients, heat source ...
Transient Conjugate Optical-thermal Fields in Thin Films Irradiated by Moving Sources: A Comparison between Back and Front Treatment
N. Bianco[1], O. Manca[2], and D. Ricci[2]
[1]Dipartimento di Energetica, Termofluidodinamica applicata e Condizionamenti ambientali, Università degli Studi di Napoli Federico II, Napoli, Italy
[2]Dipartimento di Ingegneria Aerospaziale e Meccanica, Seconda Università degli Studi di Napoli, Aversa (CE), Italy
A two dimensional instationary analysis of the conjugate optical-thermal fields induced in a multilayer thin film structure on a glass substrate by a moving Gaussian laser source is carried out numerically in order to compare back and front laser treatment processes. COMSOL Multiphysics 3.4 code has been adopted to solve the combined thermal and electromagnetic problem in order to compare the two ...
Thermal Analysis of Vacuum Distillation Chamber in Pyroprocessing Facility
D. Sujish, S. Agarwal, B. Muralidharan, B.K. Sharma, V. Suresh Kumar, B. Prabhakara Reddy, G. Ravisankar, K. Nagarajan, C.A. Babu, and P. Kalyanasundaram
Indira Gandhi Centre for Atomic Research, Kalpakkam, Tamil Nadu, India
Non aqueous metal fuel reprocessing involves electrochemical deposition of spent metallic fuel on the cathode of an electrolytic cell. Apart from metal fuel, the cathode deposit would also contain occluded molten salts and liquid cathode. Subsequent purification and consolidation of these heavy metals is conducted in a vacuum retort. Here the cathode deposits are charged into graphite crucible ...
Analysis of Infrared Signature of a Ship Operating in MIR and FIR Bands
A. Pellegrini[1], A. Beucci[1], and F. Costa[1]
[1]ALTRAN Italia, Pisa, Italy
In this paper a methodology for calculating the infrared signature of complex objects is presented. The transient thermal analysis allows us to evaluate the temperature distribution on the investigated object, pointing out which parts tend to be warmer. These temperature values are handled in the post processing phase in order to evaluate the zero range radiance distribution and the radiance of ...
Inductive Heating Modelling with a Temperature-controlled Material
Hemous, R.
RocTool, France
Roctool is a company which develops and sells some process to heat and transform composite materials very quickly. One of these, the Cage System®, uses an inductive heating process which heats instantaneously the tooling surface of the mold, where the composite we want to transform is put. The thermal diffusion in the mass mold is reduced relative to other means of heating.
3D Modeling and Simulation of the Thermal Performance of Solid Cyclotron Targets
M. A. Avila-Rodriguez1, J. A. Sader1, and S. A. McQuarrie1,2
1Edmonton PET Centre, Cross Cancer Institute, University of Alberta, Edmonton, AB, Canada
2Faculty of Medicine and Dentistry, Division of Oncologic Imaging, University of Alberta, Edmonton, AB, Canada
COMSOL Multiphysics was used to model and simulate the thermal performance of solid targets irradiated with charged particles.Results showed that materials with a high thermal conductivity to heat capacity ratio behave better in cooling dynamic systems requiring fast dissipation of heat.


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Tim McGraw has been at the top of the country music world for the better part of two decades now, so it's hard to believe he'd never taken his music to London until last weekend. Tim made multiple media appearances on top of playing the C2C: Country to Country Festival at London's 02 Arena. All the promotion paid off when Tim's latest album, Two Lanes of Freedom , bowed at #1 on the iTunes Country Album chart in the U.K. this week.
Tim also took the stage with his pal Ne-Yo at the R&B star's London show to sing their song "She Is." Ne-Yo will be one of the special guests on ACM Presents: Tim McGraw's Superstar Summer Night. That show tapes in Las Vegas April 8 and will air on CBS at a later date.
Copyright 2013 ABC News Radio


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Tiered Wedding Invitations
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- All orders assembled with envelopes
- Invitations cannot be rotated; available only as shown
- Personalized invitations/announcements are non-returnable


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There is free postage available on orders to the UK mainland totaling £60 or more before shipping charges are applied. For orders totaling less than £60, a charge of £3.99 will be applied. Premium shipping is available for £5.99 for all orders to the UK mainland.
Delivery Information...
We won't get ratty if you want to return items. We want this to be as simple as possible! When you receive your item, you have up to 14 days to change your mind and send it back to us.
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McDonald's is No Threat to Buffalo Wild Wings, Starbucks
Sam is a member of The Motley Fool Blog Network -- entries represent the personal opinion of the blogger and are not formally edited.
Shares of Buffalo Wild Wings (NASDAQ: BWLD) dropped on Wednesday amid fears that McDonald's (NYSE: MCD) plan to launch its new Mighty Wings nationwide could hurt the popular wing chain. But, like fears that the fast food giant would topple Starbucks (NASDAQ: SBUX) years ago, McDonald's is no threat to Buffalo Wild Wings.
McDonald's thought to plan nationwide rollout of Mighty Wings
McDonald's first tested its Mighty Wings -- its name for fried chicken wings -- in Atlanta last year. Evidently, the company thought the tests went well, because last month McDonald's began selling the wings at its Chicago locations.
Speculation grew on Wednesday that McDonald's would soon launch the wings nationwide. Shares of Buffalo Wild Wings dropped nearly 4%.
A nationwide rollout of Mighty Wings is believed by some to be a threat to Buffalo Wild Wings for two reasons. First, it could raise the demand for chicken wings and hence their price. Second, consumers could opt for McDonald's over Buffalo Wild Wings to satisfy their hunger for wings.
Ultimately, neither factor should pose a significant threat to Buffalo Wild Wings.
McDonald's has tried Mighty Wings before
I wrote that McDonald's first tested Mighty Wings last year, but that statement wasn't wholly accurate. Well over a decade ago, in the late '90s, McDonald's offered wings. But, as Businessweek points out, they quite literally ended in disaster -- a customer found a fried chicken head amongst her wings. By 2003, they had been completely pulled from the menu.
Food inflation is a definite threat to Buffalo Wild Wing's profit margins, but to believe that demand from McDonald's would pose a major threat is wildly premature. There's no guarantee that the wings would catch on -- they didn't in the 90s. Even if they did, there are dozens of restaurants with significant wing demand, from KFC (owned by Yum Brands) to Domino's Pizza to the local sports bar. In short, McDonald's would be just another fish in a very big pond.
Buffalo Wild Wings isn't just wings
Buffalo Wild Wings' slogan is "wings, beer, sports" -- not, "wings, wings and more wings."
While its hot wings are its signature food item, the restaurant has a larger business model: that of a casual sports bar. Buffalo Wild Wings' appeal to consumers lies in its ability to provide a comfortable atmosphere to watch a game, drink a beer and enjoy some wings.
McDonald's, even with Mighty Wings on the menu, cannot challenge Buffalo Wild Wings for its core customer base. Simply put, a group of friends will not decide to forgo their weekly trip to Buffalo Wild Wings in favor of a stop at McDonald's -- no matter how much cheaper or better McDonald's wings might be.
McDonald's proved to be no threat to Starbucks
It seems silly now, but about six years ago, people viewed McDonald's effort to push into the coffee business as posing a legitimate threat to Starbucks' empire. A Bloomberg article from 2007 was titled "McDonald's Challenging Starbucks with Cheaper Lattes."
That "challenge" never materialized. McDonald's McCafe line proved to be a hit, but it didn't take away from Starbucks (following the financial crisis, Starbucks shares set a new all-time high just last year).
Even though it tried by remodeling some restaurants and offering wifi, the fast food giant could never truly replicate the appeal of Starbucks. Perhaps Starbucks' customers simply couldn't be swayed with cheaper drinks, or perhaps it just wasn't possible to replicate the feel of a real coffee shop with the smell of french fries wafting through the air.
At any rate, McDonald's expansion into coffee proved that there was room for another major player in the space. Likewise, its entrance into the chicken wing market won't force Buffalo Wild Wings out.
Buffalo Wild Wings has a number of issues that might keep investors away: For example, it's a bit of an expensive stock; its PE ratio (a common measure of relative cheapness) is 25, more than the S&P 500's 17. Meanwhile, creeping food inflation could curtail the company's bottom line.
But investors shouldn't shy away from the stock simply because they fear McDonald's. Anyone who sold Starbucks for that reason likely regrets that decision today.
joekurtz has no position in any stocks mentioned. The Motley Fool recommends Buffalo Wild Wings, McDonald's, and Starbucks. The Motley Fool owns shares of Buffalo Wild Wings, McDonald's, and Starbucks. Try any of our Foolish newsletter services free for 30 days. We Fools may not all hold the same opinions, but we all believe that considering a diverse range of insights makes us better investors. The Motley Fool has a disclosure policy. Is this post wrong? Click here. Think you can do better? Join us and write your own!


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Image via Us Weekly - Don Arnold/WireImage
Vanessa Lachey revealed a couple of rookie mistakes she has made so far as a new mum to baby Camden...
"The diaper thing. His first blowout, I made two rookie mistakes: No. 1, I didn't put a diaper underneath the old one, and No. 2, I didn't let him finish. Nick and I laughed ourselves to tears."I remember being warned to always make sure the penis was pointed down when changing nappies. SO easy to get caught! Do you remember making any rookie mistakes as a first time mum?
Read more...
Pregnant Vanessa Minnillo 'paranoid' about her belly button
Nick Lachey suffers morning sickness!
Nick Lachey takes expectant Vanessa on romantic Babymoon!
Nick and Vanessa Lachey introduce baby Camden
They do encourage the whole cosleeping more and more these days though. It isn't for me, but you do what works best so YOU can sleep too!
oh PocketMamma I would of died LOLI let my second child sleep in his pram because that's where he wanted to sleep and was most comfortable... it became a HUGE problem.. as he grew he still wanted only to sleep there and refused the cot or a bed. it took so many long long nights and tears to retrain him into a bed. Never again !But even with 5 babies, I still have not learnt to not let them into our bed.Not the next one.. please let me be smarter in the middle of the night and DO.NOT.GIVE.IN
Oh My Goodness!!
When my first child was about 9 months old, I finished changing her nappy and left the room, forgetting to sort out the dirty nappy which was in a nappy sack hanging from the changing table. Half an hour later, my daughter crawled into the living with what looked like chocolate around her mouth.
It wasn't chocolate


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Mini phyllo shells, ready-made and smartly ornamental, are the secret here. Simply fill them with this delectable sour-cream-and-taco-seasoning-mix dip, and garnish. Tip: Double the dip and serve the extra with crudites.
Heat the oven to 375°. Place the phyllo shells on an ungreased baking sheet. Bake the shells until they turn light golden, about 10 minutes. Remove them from the oven and let them cool.
Meanwhile, in a small bowl, mix the mayonnaise, sour cream, buttermilk, seasoning mix, and lime juice. Spoon the mixture into the phyllo shells.
Top with the garnish of your choice. Arrange the tarts on a serving platter and keep them chilled until ready to serve. Makes 30.


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50 U.S. Code § 2637 - Continuation of processing, treatment, and disposal of legacy nuclear materials
The Secretary of Energy shall continue operations and maintain a high state of readiness at the H–canyon facility and the F–canyon facility at the Savannah River Site, and shall provide technical staff necessary to operate and so maintain such facilities, pending the development and implementation of the plan referred to in section 2632 of this title.
Source(Pub. L. 107–314, div. D, title XLIV, § 4453D, formerly Pub. L. 104–201, div. C, title XXXI, § 3142(f),Sept. 23, 1996, 110 Stat. 2836; renumbered Pub. L. 107–314, div. D, title XLIV, § 4453D, and amended Pub. L. 108–136, div. C, title XXXI, § 3141(g)(23)(E),Nov. 24, 2003, 117 Stat. 1770.)
2003—Pub. L. 108–136, § 3141(g)(23)(E)(iii), inserted section catchline, struck out former subsec. heading, inserted "of Energy" after "The Secretary", and substituted "section 2632 of this title" for "subsection (e)".
The table below lists the classification updates, since Jan. 3, 2012, for this section. Updates to a broader range of sections may be found at the update page for containing chapter, title, etc.
The most recent Classification Table update that we have noticed was Tuesday, August 13, 2013
An empty table indicates that we see no relevant changes listed in the classification tables. If you suspect that our system may be missing something, please double-check with the Office of the Law Revision Counsel.
|Description of Change
|Session Year
|Public Law
|Statutes at Large
|§ 2637
|113-66 [Sec.] 3146(e)(15)
|127 Stat. 1078
LII has no control over and does not endorse any external Internet site that contains links to or references LII.


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Types of Credit-Bearing Programs
Language Study Abroad - LSA and LSA+
Dartmouth's Language Study Abroad and Advanced Language Study Abroad Programs have been developed in response to the College's commitment of understanding, and communicating with, people of other cultures. To this end, Dartmouth maintains programs in a number of countries. Students live with local families on most LSA and LSA+ programs. Life with local families gives students a personal context through which they gain access to the culture as a whole. Studying the language, literature and civilization gives them an intellectual grasp of historical and contemporary cultural patterns.
In the terms preceding participation in the program, students take two language courses (one for LSA+) unless they are exempt from them as a result of the examinations given during First-Year Orientation Week. The LSA+ is a program designed for students who have satisfied the language requirement and are prepared for a more advanced language study abroad experience.
While abroad, students are enrolled in three Dartmouth courses. With Dartmouth faculty and local instructors they study language, culture, and literature, all in the language of the particular country. Studies are supplemented by excursions. Students achieving satisfactory academic status in the program's courses fulfill the language requirement and satisfy certain distributive requirements.
Programs -- LSA and LSA+ List.pdf
Foreign Study Abroad - FSP
Foreign Study programs in the language departments offer advanced study of the country's language, literature and civilization. In addition to a full academic schedule, the term abroad typically includes group excursions to sites of artistic, historic and/or natural beauty. The principal objective is an in-depth experience of the life and culture of the country through the substantive courses as well as through social interactions with the local people.
The College also offers a wide array of Foreign and Domestic Study programs that are conducted primarily in the English language. These programs are designed to take advantage of resources unique to the host country or off-campus location in the United States. Like their language-based counterparts, these programs offer students opportunities to study other cultures and disciplines in depth as well as to gain new perspectives on our society.Program List: FSPs.pdf
Exchange Programs - Exchange
Dartmouth has exchange programs with other educational institutions, both in the United States and in other countries. Students participating on exchange programs are directly enrolled at the partner institution, enabling them to have a university experience very similar to that of a student of the host institution.
Grades received in courses from exchange terms do not affect the cumulative average at Dartmouth, and will be counted toward the maximum of four (4) transfer credits allowed.
Information regarding procedures for prior approval of transfer credit from exchange programs is available from the Off-Campus Programs Office and the Registrar's Office. Those interested in transfer credit should also review the information about 'Off-Campus Activities' that is located in the 'Regulations' section of the O.R.C..
Other Transfer Credit - Transfer Terms
Students may independently arrange a transfer term at another institution that is not part of a Dartmouth exchange program. Credits earned on both Dartmouth exchange programs and independent transfer terms are counted toward the maximum of four (4) transfer credits allowed. As with exchange programs, those interested in transfer credit should also review the information about 'Off-Campus Activities' that is located in the 'Regulations' section of the O.R.C.. General Transfer Credit Information can be found on the Registrar's Office website. On a student-initiated transfer of credit term, the payment of fees is made directly to the host institution. For applications for transfer credit approval from Dartmouth, for courses taken on non-Dartmouth programs, contact the Registrar's Office.


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A new look for "Made in the U.S.A"
13 Sep
We recently saw the cover story on the current issue of Dwell Magazine and it got us thinking about how many American companies rushed to outsource over the last 2 decades and how the renaissance that Dwell is praising is something that never changed for us. We make 75% of our full product line right here in the USA. And that is A LOT of product, folks… to the tune of about 5,000,000 total pieces a year, on average. 5 Million! And making those products means keeping about 500 people at Doc Johnson employed. Which? Is pretty damn awesome.
So, how can you tell if one of our (5 million…oh come on, it's impressive!) products is 'Made In The USA'? It's easy – we label them. We're big on transparency. We actually just updated the label's design and made it a little more modern – and here's a sneak peek at our new version:


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There was not enough seasoning to this. I felt like I had to add too much to get it to taste passable (i.e. seasoning salt, hot sauce, thyme, pepper to name a few). Thankfully, I salvaged it but I do not think I will be making this again.
Strolling-Through-the-Holidays Stroganoff
More From Southern Living
Recipe Time
Cook Time:
Prep Time:
- 2 pounds unpeeled, large fresh shrimp
- 1/2 cup butter or margarine, divided
- 2 cups chopped cooked chicken
- 1/2 pound smoked Polish sausage, cut into 1/2-inch slices
- 1 (8-ounce) package sliced fresh mushrooms
- 1/2 small onion, diced
- 1 garlic clove, minced
- 1/4 cup all-purpose flour
- 1 cup chicken broth
- 1/2 cup milk
- 1/2 cup white wine
- 1 teaspoon ketchup
- 1/2 teaspoon Worcestershire sauce
- 1 (8-ounce) container sour cream
- 1 tablespoon chopped fresh dillweed
- Hot cooked rice
- Peel shrimp, and devein, if desired.
- Melt 1/4 cup butter in a Dutch oven over medium-high heat. Add shrimp; cook 3 to 5 minutes or just until shrimp turn pink. Remove shrimp, and set aside. Add chicken and sausage to pan; cook 5 minutes or until thoroughly heated. Remove from pan; keep warm.
- Melt remaining 1/4 cup butter in Dutch oven over medium-high heat. Add mushrooms; saute 5 minutes. Add onion and garlic; saute 5 minutes or until tender. Whisk in flour; cook, whisking constantly, 1 minute. Add broth, milk, and wine; cook, whisking constantly, 5 minutes or until thickened. Stir in ketchup Worcestershire sauce, and shrimp.
- Remove from heat, and stir in sour cream and dillweed. Stir in chicken mixture; serve over rice.
My Notes
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Strolling-Through-the-Holidays Stroganoff Recipe at a Glance
- COURSE: Main Dishes
- CONVENIENCE: Entertaining
- MAIN INGREDIENT: Pork, Shellfish, Poultry, Sausage
- OCCASION: Christmas, New Year's, Hanukkah
- PUBLICATION: Southern Living
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* One-piece, rugged nylon shroud
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* Rigid bracket mounting system, no through-core mounting
* High-torque, high-rpm electric motor
* Installation instructions with wiring diagrams in English, French, and Spanish
* Provide consistent cooling, regardless of engine rpm
Some parts are not legal for sale or use in California on any pollution-controlled motor vehiclesBack To Results


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David Gilmour fans soon will be able to carry around the Pink Floyd singer/guitarist in their pockets thanks to a new app.
The application will bring the previously released concert DVD, David Gilmour in Concert , to Apple devices on November 19 with an Android version to follow.
The DVD-turned-app captures solo dates Gilmour performed in 2001 and 2002 at London's Royal Festival Hall. The performances include solo numbers, as well as pieces Gilmour performed with a mostly acoustic ensemble including bass, guitar, piano, drums, cello and a large choir. Guest artists at the shows included Bob Geldof and Pink Floyd keyboardist Richard Wright . All of the DVD's original content and extra features will be available via the app.
The David Gilmour in Concert app will cost $8.99, and will be available at the Apple app store for iPhone, iPad and iPod Touch devices. There's no date set yet for the Android release.
Copyright 2012 ABC News Radio


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People in states across the Midwest and the South are cleaning up tornado damage that has killed 19 people so far.
The hardest hit states are Arkansas, Oklahoma, Mississippi, Alabama, Tennessee, along with both Kansas and Missouri.
In Baxter Springs, KS, an EF-2 tornado tore across eight miles Sunday. Residents can already see signs of recovery and clean up as debris piles line the streets.
Police are also out in full force to make sure no one is looting.
The Joplin tactical team arrived Monday to help, and for one corporal, this mission is personal.
"Everyone just immediately dropped what they were doing, grabbed some equipment and came over to assist any way we can," Cpl. William Davis said.
As Davis drove through the neighborhoods, he recalls seeing damage like this before.
"It wasn't until this morning we could see the amount. It was eye opening," he said. "The smell, the destruction ... it just brings back the same memories three years ago."
Davis and the Joplin SWAT team are in Baxter Springs to help the residents get back on their feet. They are also making sure looters stay away.
"If you can catch them in the act, prove they're committing a crime and take them to jail," Davis said. "They're stealing from people who lost everything they own. It's despicable."
The mission to help goes beyond repaying a thanks from all the help in Joplin.
"This is my hometown. This is where I grew up," Davis said. I had friends growing up, we'd play on these streets. It is crazy, because some of the houses we went to friends growing up are no longer there."
Davis said seeing the devastation is sad, but just seeing the response is wonderful.
"So far it's just like Joplin. Things get picked up ... good as new before you know it," he said.
Cherokee County Sheriff David Groves said 25 people were treated on scene and nine were taken to Joplin hospitals with non-life-threatening injuries.
Copyright 2014 KCTV (Meredith Corp.) All rights reserved.


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Although application prices usually range from $50-100, you still should apply to six schools. Applying to just one or two schools is much too risky. Applying to more colleges gives you a better chance of being accepted somewhere, and may give you options. The cost is well worth it.
You should apply to two schools that you think are a little above your level. These schools should be ones that usually accept people with a higher GPA or SAT score than you have. It is really worth a shot to apply to "reach schools" because a lot of times, there is something about your application that is attractive to them. If you played the tuba faithfully all through highschool, and the college you are applying to just lost the only tuba player in their marching band, you have a good chance of fitting nicely into that niche.
Also, apply to two schools that could really go either way. You think you could get in, and you want to get in, but you aren't completely sure. You have as good of a chance as any.
Lastly, make sure to apply to two schools that you can certainly get in. Applying to "safety schools" is really important in case your other four fall through, you will still have a place to go come September. You can always transfer if you feel these schools aren't challenging you enough.
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Facebook for Vita pulled from PlayStation Store
The PS Vita is arguably the most powerful handheld ever created, with the ability to play games like Uncharted: Golden Abyss. But, there's one thing Sony's handheld can't quite do right now: access Facebook.
A standalone Facebook app was readied for the Vita's official launch earlier this week, but it's since been pulled since users discovered that it simply didn't work.
Attempting to use the app gives users an error code: NP-13144-3. According to PlayStation's Sid Shuman, the error occurred because "there was a change to FB and it's causing some issues with the app." The issue being that it doesn't work.
The app is no longer downloadable off the PlayStation Store while Sony works on a fix. While it may be embarrassing for Sony to have launched a totally non-functioning app on the day of the Vita's launch, Sony does promise that it "should be resolved soon." In the meantime, maybe you'll want to use Twitter instead? Or just use the system's built-in internet browser.
You must be logged in to post.


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GRANT COUNTY, Wash. - Firefighters in Grant County battled a big wildfire near Soap Lake in the area of County Road 20 Friday afternoon.
Officials say the fire destroyed at least 140 acres and three structure have been destroyed.
Kyle Forman with Grant County Sheriff's Office says homes were in danger.
The fire was under control as of 3:30 p.m.
Country Road 20 was closed from the 1000-3000th block.


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Red Stag Supperclub
- Address:
509 1st Avenue NE
Minneapolis, MN 55413Neighborhood:
Downtown / North Loop
- Cuisine:
AmericanPrice: $30 and under
Red Stag Supperclub
- Dining Style: Casual Dining
- Website: http://www.redstagsupperclub.com/
- Phone: 6127677766x
- Hours of Operation:
Lunch: Monday - Friday: 11:00am - 2:00pm
Brunch: Saturday & Sunday: 9:00am - 3:00pm
Dinner: Sunday - Thursday: 5:00pm - 10:00pm, Friday & Saturday: 5:00pm - 11:00pm
Late Night menu available until 12:30am every day
Our bar menu is available all day until 12:30am
Our bar stays open until 1am Sunday-Wednesday, 2am Thursday-Saturday.
- Payment Options: AMEX,Discover,MasterCard,Visa
- Cuisine: American
- Executive Chef: Christopher Gerster
- Dress Code: Casual Dress
- Accepts Walk-Ins: Yes
- Additional Details: Banquet/Private Rooms, Bar Dining, Bar/Lounge, Beer, Entertainment, Farm to Table, Full Bar, Happy Hour, Late Night, Patio/Outdoor Dining, Private Room, Smoking Area, Smoking Area (patio only), Weekend Brunch, Wheelchair Access, Wine
- Catering: Please contact the Red Stag for information about off-site food and liquor catering options.
- Entertainment: We feature a wide range of live music 4 nights per week. See our entertainment calendar HERE.
- Special Events: For large group reservations, please contact us via phone or email! CLICK HERE
for more information on large parties.
Getting there
- Cross Street: 6th Street NE
- Public Transit: There are many public transit stops located within a block of the Red Stag.
Some of the bus routes include:
Route 4
Route 6
Route 61
Route 10
Route 17
Route 25
Route 59
Route 824
A "Nice Ride" rent-a-bike station conveniently located at Hennepin Ave E & 5th Street NE!
- Parking: Valet
- Parking Details: $5 Valet parking is available on busy nights when parking is limited. Street parking is free after 6pm on weekdays and all day Sat & Sun. Weekday metered parking is $0.25/hr.
After 6pm every night and all day Sat & Sun, free parking is also available in the HDMG parking lot (see parking map) as well as the Bank's Building parking lot.
CLICK HERE to see our parking map.
A word from Red Stag Supperclub
Welcome! The Red Stag Supperclub blends old school Wisconsin supper club charm with a contemporary passion for delicious, sustainable, farm-to-table food (CLICK HERE to see our menus). Located in the "Nordeast" Arts District just across the river from downtown, the Red Stag Supperclub opened its doors in November 2007 as the first LEED-CI Certified restaurant project in Minnesota. Red Stag serves brunch, lunch and dinner and has late night live music several nights a week. We accept reservations for half of our dining room and leave the other half open for walk-ins.Continued
The Red Stag features weekly specials including Cheap Date Night, Slow Food Sunday, and early and late night Happy Hours. CLICK HERE to see all of our specials.
The Red Stag features weekly specials including Cheap Date Night, Slow Food Sunday, and early and late night Happy Hours. CLICK HERE to see all of our specials.
Foodspotting photosSee all photos
Awards voted by OpenTable diners
- Diners' Choice WinnerGreat for Brunch
Red Stag Supperclub - Best Restaurants in Downtown / North Loop ›
Red Stag Supperclub reviews from OpenTable diners
116 reviews since June 3, 2014
- Food4.1Service4.2
- Ambiance4.1Noise LevelModerate
neighborhood gem (65)fit for foodies (60)good for groups (44)great for brunch (31)special occasion (29)romantic (20)great for lunch (18)hot spot (12)kid-friendly (11)late-night find (9)vibrant bar scene (8)notable wine list (8)great for outdoor dining (8)Show More
- First time no so impressedFoodieDined on 9/27/2014The duck special was good, but it was a bit tough (not as tender as I would have expected) and the presentation wasn't all that flavorful. The real disappointment was the "bouillabaisse" which my husband ordered. Well, this wasn't even close to a bouillabasse. The crisped risotto came in a rectangle and very hard to the texture on the outside. Then that was surrounded by chewy pieces of squid and only 2 large mussels. The sauce or reduction surrounding the risotto was so minimal you could not call this a broth or anything resembling bouillabaisse. The garlic chicken came in two little pieces on a separate plate. They were pretty browned and dry. The appetizer of fried smelts was the only pleasantly surprising item we ate.Special Features:
- Nice CafecitygirlVIPDined on 9/25/2014Caution: on-line reservations allow you to book a 2:00 lunch, however when we arrived just before 2:00 pm we waited by the entrance and then noticed a sign stating "Seat Yourself". A man in the little office saw us, ignored us, closed the door - so we waited and waited. A young woman was clearing tables and begrudgingly brought us water. I had to hunt down menus. We decided quickly. Finally our server appears and says we missed lunch. We protested-she checked after I explained that we were waiting 15 min. We were allowed to have lunch - all was well. Server was friendly after the rough start. Surly other girl loudly bussing tables was clearly having a bad day. Unfriendly start. Food good.Special Features:I would recommend this to a friend.
- not a great experienceBoothVIPDined on 9/24/2014First, plan to spend some time looking for street parking in the area. Arrived at restaurant, first impression was favorable, menu appeared intriguing, and out of the ordinary. They brought us each one small piece of bread (that was it), and took drink order. 10 minutes later took food order. 45 minutes later food had still *not* arrived (let me say - the place was NOT real crowded). Finally food arrived, and it was cold. The meat was tough - not sure if because grass fed, or sat too long before serving. Wait staff and manager acknowledged and apologized and took drinks off check as apologetic gesture.
- OpenTable Diner Since 2008Dined on 9/23/2014All around wonderful experience. Only negative is that parking is difficult.
- Nonprofit developmentdisapptedDined on 9/19/2014We had a coupon, 2 for 1 for lunch. Food, service and ambiance were okay. NOT impressed when we were charged $5.00 each for diet cokes.
- just goodneveroutandaboutVIPDined on 9/13/2014firs time there- service was very good-food was very good- atmosphere was very friendly. fun placeSpecial Features:I would recommend this to a friend.
- Needs improvement.LizhVIPDined on 9/6/2014Location,building and ambiance are positive. Food is not. Husband had the rib eye; it was tough,flavorless and gray. I had shrimp which was swimming in butter. Needs improvement.
- unexpectedly disappointingterryDined on 8/28/2014After visiting Red Stag numerous times over the past couple years, we visited for an anniversary celebration. The service was just average- usually it is a bit more vivacious. The hostess did acknowledge our anniversary, but wasn't really that interested. The $42 bone-in ribeye was not good- tough, grisly, sinewy, fatty. Had a hard time cutting it with a serrated steak knife. This experience makes me wary of a future return visit.
- Average Brunch at BestBrendaDined on 8/24/2014We went for brunch on a Sunday. Drinks were expensive and breakfast offerings were plain and uninspired. Frankly, I have had better food at better prices at chain restaurants. Everything was bland and portions were skimpy. Service was fine. Coffee ok. Nothing really bad, but nothing good.
- fun place but not for talkingOpenTable Diner Since 2014Dined on 8/19/2014we met some new friends and wanted so much to talk but the background music drowned them out from across the table. we don't mind music but a bit lower would be helpful. both couples felt that way.Special Features:
- Date Night Special a Must!OpenTable Diner Since 2011VIPDined on 8/19/2014Went last night for the date night special (bottle of house wine, 2 entrees, 2 smaller dessert portions for $32) and it was phenomenal! Last time I was there the service was a bit lacking, but I'm glad I gave it another chance. Great service and delicious food (though a bit heavy on the butter, for my taste).Special Features:I would recommend this to a friend.
- OpenTable Diner Since 2006VIPDined on 8/2/2014Nice room and atmosphere and generally friendly staff. We were two for dinner on a Saturday night around 6 o'clock. Wait time from kitchen was excessive and then one of the orders was wrong. Staff recognized this without it needing mention did the right things but maybe more kitchen organization would be a goal. We'd like to try this place again.I would recommend this to a friend.
- Bad Cook?luv2eatDined on 7/30/2014I ordered a medium rare steak and was served a well done steak. My wife ordered jumbo shrimp and it was overcooked. We were compensated a little on our bill, but overall I was not impressed.
- Friday night fish frycbcrunchDined on 7/25/2014A group of ten came for the Friday night fish fry prior to seeing a show in Northeast. We were delighted by the interesting appetizer selection, the great deals for happy hour drinks and 80's music at just the right volume. Only one dish was unsatisfactory, and was compensated with a lovely dessert selection. The mussels were spotty- not all opened, some grit and an old taste. Other than that, we can heartily recommend the pickled relish tray, mushroom flatbread, and fish. Bon Appetite!Special Features:
- excellent date nightkwolfDined on 7/22/2014My husband and I recently went on a Tuesday night for the cheap date night special. Fantastic deal $32 gets you 2 entrees, 2 deserts and a bottle of wine. Wonderful service and wonderful atmosphere we will definitely go back. The only reason it gets four and not five stars is because the choices for the entree in the date night menu were limited to a fish stew and a vegtable salad and I can see many people not liking either one.Special Features:I would recommend this to a friend.
- Great food!OpenTable Diner Since 2014Dined on 7/19/2014The food was super good! I had the jumbo shrimp and lobster Mac and cheese. I would definitely recommend this place!Special Features:I would recommend this to a friend.
- OpenTable Diner Since 2011VIPDined on 7/18/2014I've always had great food and service at Red Stag!Special Features:I would recommend this to a friend.
- OpenTable Diner Since 2004VIPDined on 7/17/2014Expansive timbered space and a number of larger well spaced tables make this place good for groups. Option of filtered water or sparkling at no extra charge is a nice touch. The food is competently prepared, but nothing special. The servers are amiable and though we were a larger group, we were well taken care of.Special Features:
- Great foodBabsDined on 7/15/2014Loved the smelt fries and salad. Ambience was great. Just difficult to get tooSpecial Features:I would recommend this to a friend.
- always a winnerkitchenquweenDined on 7/6/2014when friends from chicago wanted to meet for brunch ( with 2 and 4 year old boys in tow) we wanted to be sure our resto-loving friends had a great am meal and could feel comfortable with 2 young kids. food was on point- our server interceded with the kitchen to assure the kids' meals were a hit and the beverages hit the spot! RS's bar is spot on as well. thanks again for another great meal! it is good to know that folks from a great restaurant city can enjoy consistent quality in Minneapolis!Special Features:
- brunchDined on 6/29/2014Open table reservation system was easy to use and we were taken to our table as soon as we walked in. This is a go to place for brunch with one of the most unique and varied menus. The hard salami and asparagus egg scramble was fantastic!Special Features:I would recommend this to a friend.
- Usually better.YumYumMadYumDined on 6/22/2014We always have a great experience. This past Sunday, brunch was a little different. Food was great as always. Our server rushed us for no reason. She asked if we were saving room for dessert as I was taking like my 5th bit of eggs benedict. She also checked in a super awkward times so we felt a bit interrupted between bites and conversation. I found it a little bizarre because the servers are usually a little more laid back. The experience service-wise was over all a bit underwhelming. As always, food is bomb sauce.Special Features:
- OpenTable Diner Since 2013Dined on 6/19/2014Food was great, service slow but friendly. It is a bit stark inside, but not bad.Special Features:
- Always GreathyperfoodDined on 6/15/2014This place is great. The best mushrooms I've ever had. Food and the service was outstanding, can't wait to go back.Special Features:
- Great Brunch Spot, Awesome BloodiesMitchVIPDined on 6/15/2014Went here at the recommendation of my sister who lives in MSP. I definitely loved the decor and atmosphere. The menu for brunch only had about 8-9 options, which was a little limited (though there were also sandwiches and salads) but our group of 5 thoroughly enjoyed our meal here. I got the corned beef hash which had big chunks of corned beef! But my favorite part of the meal was the delicious bloody mary! It was extremely well done (though I did add a little extra tabasco as I like mine spicy!). The beer chaser was a welcomed surprise as well. My father had the reuben sandwich and really enjoyed that as did my sister like the Eggs Florentine. If I lived here, I'd definitely go back for another meal and to experience the bar offerings.Special Features:
- Tasty Dining ExperienceOpenTable Diner Since 2010Dined on 6/13/2014The food was very good. It is described very simply on the menu but was made very tasty. Everyone at our table had a different entree and everyone loved their meal. The one thing that was missing was bread with the meal. I has the risotto and would of loved a slice of bread. Good beer selection. It was also a bit noisy on the Friday night we were there. Overall, we will go back though.Special Features:I would recommend this to a friend.
- Best Fish Ever!!!tastybuds57Dined on 6/8/2014We were there last Thursday evening. Had to wait about 15 minutes for a table. Can't imagine what it's like on the weekend! The cod fish fry was OUTSTANDING!!! I have to say it's the best I've tasted to date. Not sure what they do but man it's moist, chunky, flavorful fish. Usually I need the tartar sauce to enhance the fish but the flavor was so amazing I hardly used any ... well except for my fries ;) Service very friendly - why not be happy working here when everybody leaves happy! Small place and a bit loud especially if you want to have conversation. Most people had the great food and moved on rather than lingered for conversation. So the wait time was short.Special Features:I would recommend this to a friend.
- Friendly and accommodatingeatingoutagainDined on 6/7/2014Everyone from the hostesses, to our server, and even the manager greeted us and wished my husband a happy birthday. They gave us a wonderful table by the window since they knew it was a special occasion The food was wonderful and the vibe was very fun. Great people-watching venue!Special Features:I would recommend this to a friend.
- The following 703 reviews are from the Red Stag Supperclub reviews archive.
- Bachelorette PartyKatyLouDined on 5/31/2014Red Stag Supper Club was very accommodating for our group of 10. Our server was fantastic, and gave us some suggestions as to where we should go next on our North East bar crawl to celebrate one of our member's upcoming wedding. Service was prompt and we never felt pushed to leave as we finished our drinks. The food was great, and many members of our group enjoyed the Edelweiss cocktail. Thanks for a lovely experience!Special Features:
- OpenTable Diner Since 2013Dined on 5/26/2014One waitress. And she was cranky! And only bar menu available but it didn't say that online. And it was my bday. Horrendous
- Very NiceShallReturnDined on 5/24/2014My date and I came with no expectations and left impressed. I think our early dinner reservation "7:00" helped with our experience. The staff got us good seats were prompt but not pushy our food came quickly and was prepared well "she had the salmon I had the NY Strip" . Great atmosphere and decor and the sparkling water is to DIE for. Seriously I loved it. Clean crisp and the perfect amount of carbonation. Will we come back for more? Yes!!! I have to try the burger on the menu. It sounds delish!!!!Special Features:I would recommend this to a friend.
- First visitu17cqniDined on 5/24/2014Surprisingly good! Steaks were done to perfection and my wife loved her shrimp! Will definitely go backSpecial Features:
- lunchVIPDined on 5/23/2014Great food, so so service, love the complimentary sparkling water!I would recommend this to a friend.
- OpenTable Diner Since 2010Dined on 5/23/2014We have come to Red Stag many times over the last several years and have always enjoyed the Fri. fish fry. We come from Il., where the fish fry is a staple. This trip, some changes in the portions and presentation have weakened the experience. My wife didn't seem to mind the change as much as I did, but her usual fish choice was missing this last trip. We finished up with cocktails at the bar which were as good as ever. We will try again.Special Features:
- Trend or One time Bad experience?MGFoodieVIPDined on 5/17/2014We are regular diners at Red Stag. Maybe never again. We arrived on time for our 6:30 pm reservation and were taken right to our table. We waited a few minutes for our server to acknowledge us, but when she did come to our table we placed our drink orders off their cocktail menu. IT TOOK 30 Minutes to deliver our drinks! We had the tartar and a flatbread which were good, and served in a timely manner. Our salad was delivered before the appetizers were complete. It was a great roasted beet salad! Entrees ordered when we placed the salad order were delivered after a 30-40 minute wait! the food was fine, but the kitchen obviously has an issue. OUr server attempted to ignore it when she brought the check. I brought it up and she apologized.Special Features:
- Great brunch spotEmblDined on 5/17/2014Good brunch menu. Lively place. The server was new but friendly and learning the job.Special Features:
- Gracious HostsLMandNJRDined on 5/15/2014Gracious Hosts. We were over 45 minutes late for our reservation because of a Parking Ramp snafu (after our daughters college graduation) and they held our table for 8. We did call and tell them of the situation and they were so nice. Once there, we had friendly, proffessional service and wonderful food. Our waitress was warm, knowledgeable and efficient. The Risotto and Burgers were favorites at our table. We will be back.Special Features:
- Date NightOpenTable Diner Since 2011Dined on 5/13/2014Went there for the date night special. I got a reservation, but ultimately didn't need it as they were rather slow. I've been at times when it's super busy on "date night," so I wanted to be prepared. Great service. The meal was excellent especially for the price point. I wasn't expecting anything special for dessert and they came out with pineapple upside down cake that was exceptionally well done. Great experience overall.Special Features:I would recommend this to a friend.
- OpenTable Diner Since 2011Dined on 5/10/2014Didn't know how to vote...The outstanding service is 100% for the bartender that tended us before we were seated.Our waiter gets an absolute 0. The bartender offered to park my car for me if I couldn't find a parking spot when I was on the phone with my friend who was already there. He also saw a bday gift and asked who's bday it was. He gave the bday girl a beer on him when her glass was epmty. He even brought out a slice of chocalate cake with sorbet with a lit candle. We moved on to sit at our reserved table when our party arrived and during dinner, he walked over with a special drink for the bday girl. He wouldn't even take a tip when we tried to give to him before leaving. Wonderful guy! Waiter was horrible. Food wonderful though!
- Red stag sagstprlvrDined on 5/10/2014I've been to Red Stag 3 times now. The second time, part of the meal had very dry chewy meat to it. But I still decided to give it another try. Bringing my extended family for a Saturday night dinner was due to the fun atmosphere why I could bring my teenaged kids. The food took forever to come, and was extremely disappointing. My daughter and I had the risotto. It was inedible. My parents had the hamburger. They said it was just "ok". How do you screw up a hamburger? Not going back there. Was very embarrassed to have offered up the suggestion.Special Features: