text:
No longer together
Do not let others be your reference for who you see in the mirror.
Stop allowing people to hurt you, because you don't love you enough to walk away.
Sending you gentle hugs and healing mojo.
Sending Healing Mojo your way.
Do the physical therapy. Get on top of the pain and baby your back.
You will bounce back from this! Keep your spirits up.
"That's the thing about pain, it demands to be felt."
Water therapy SAVED me, literally. It was so bad that they were worried they would have to do surgery while i was preganant and that if the water therapy didnt work they really didnt know what other choice i would have.
See if you can do both land and water PT. It was the best thing I ever did.
Healthy mojo!

subset: commoncrawl


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Is a New E-Commerce Powerhouse in Development?
John is a member of The Motley Fool Blog Network -- entries represent the personal opinion of the blogger and are not formally edited.
Facebook (NASDAQ: FB) has had its problems since going public. Even the Amazing Kreskin is predicting doom and gloom in Facebook's future. One of the big problems that the social network faces is the increased use of mobile apps as a way to access the site, since people who use Facebook features from an app aren't exposed to the same ads that they would see when accessing the site from a web browser. With around 80% of Facebook revenue coming from ads last quarter they are an important part of Facebook's business model, especially since despite what the occasional "share this post" meme would suggest the social network is and intends to remain free to use.
One possible solution is starting to roll out to select Facebook users through the main website and the official Facebook Android app. Dubbed "Facebook Gifts," the new service allows people to shop for gifts to buy their friends from a variety of different merchants. You select a gift card, cookie arrangement, flowers, or various other gifts and pay for them, then your friend gets a notification asking for a shipping address so that the gift can be delivered. Facebook gets a cut of the proceeds, giving them a much-needed slice of the e-commerce pie.
Of course, Facebook Gifts is still in its infancy and will take months to even become available to the majority of Facebook users. It's not a bad idea, per se, since Facebook automatically notifies you when friends have birthdays or other major life events and will add a "Send Gift" link that lets you head straight into Gifts from your Timeline feed. They've already partnered with businesses such as Starbucks, Magnolia Bakery, and 1-800-Flowers, and as the platform becomes more widespread it's likely that more vendors will be hopping onboard. As the program becomes widespread it could potentially turn into a decent source of revenue for Facebook.
The big question is whether Facebook Gifts is merely a stepping stone to a larger e-commerce presence from Facebook. It's not a huge stretch of the imagination to picture Facebook eventually modifying the gift-giving framework to allow users to shop directly from partnered merchants. It's not unreasonable to think that a number of retailers would jump at the chance to have access to Facebook's 800+ million users, so the likelihood of a strong network of retail partners is high if the company did take the leap. When you consider that the Facebook Gifts platform is already being deployed in the Facebook app for Android, if the company does expand the service in the future then users could theoretically shop from their home computer as well as mobile devices.
This could be interesting since it would put Facebook in direct competition with other e-commerce giants such as Amazon.com (NASDAQ: AMZN) and eBay (NASDAQ: EBAY). While these retailers are accustomed to online competition, Facebook entering the e-commerce field could present a new level of competition unlike any of the sites that these retailers currently compete against. Even if you discount a portion of the Facebook user base as duplicate accounts used for playing social games and accounts that were created to access specific content and then abandoned, the sheer size of Facebook's active community represents millions upon millions of potential customers. Amazon especially could feel the impact of Facebook suddenly becoming a major force in e-commerce since it is the go-to website for direct purchases for many; if Facebook users could shop from their phones or computers without leaving the site then it could potentially lower some of Amazon's appeal. EBay wouldn't suffer quite as much due to its auction format, but the increasing emphasis on fixed-price listings on the auction giant would still leave it vulnerable to customer loss.
The greatest advantage that Facebook could have over sites like Amazon and eBay is the fact that it would still be a social media site first and an e-retailer second. On Amazon you can create wishlists and registries and can even share them with others, but they aren't front-and-center because Amazon's focus lies on the products and not the community. On eBay you can watch items for later purchase but there isn't a strong social experience there either. Both sites have their own communities but they are largely sheltered from the shopping side of things whereas Facebook could theoretically combine the two into a single user experience. Provided that it expanded to allow it, Facebook could incorporate wishlists into the social aspect of the site and make it easy to browse the items that your friends and family members want without them having to specifically share them. Add in the requisite "Share this purchase on your Timeline" button after you buy something and shopping could become a more fun and social experience for those who enjoy that sort of thing.
Bear in mind that at the moment this is all based on speculation. It will take months for Facebook Gifts to roll out so that it's accessible to a sizable portion of Facebook's user base, and at the moment it is a US-only platform (though it's not unreasonable to assume that it will roll out to the rest of the world eventually.) If it is successful, however, then there is a very real possibility that Facebook could look at expanding the platform to include more shopping options and a larger network of retailers.
While it remains to be seen how this develops, an expanded shopping experience certainly seems within the realm of possibility provided that there aren't major problems with the Facebook Gifts program. Investors who want to like Facebook but have yet to find a compelling reason to buy should watch this development closely, since creating an e-commerce revenue stream would allow the social network to remain more relevant over time and would establish a source of income that wasn't dependent on ads. Of course, any announcement of an expanded e-commerce platform could easily be a few years away since nobody knows yet how well Facebook Gifts will turn out... except perhaps for the Amazing Kreskin.
Croaxleigh has no positions in the stocks mentioned above. The Motley Fool owns shares of Amazon.com and Facebook and has the following options: long JAN 2014 $20.00 calls on Facebook. Motley Fool newsletter services recommend Amazon.com, eBay, and Facebook. 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.If you have questions about this post or the Fool's blog network, click here for information.


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FLOWERY BRANCH–Playing left tackle in the NFL is one of the toughest jobs in sports.
Trying to do it with a balky back — and who knows what else — like Falcons tackle Sam Baker did for who knows how long, makes it nearly impossible.
As Baker struggled last season and eventually lost his job, his linemates kept saying his health was the issue. But in the cold, bottom-line business of professional football, the reasons for Baker's struggle hardly mattered. He had to play better.
He's doing so now, in no small part because he's also healthier now. So it's satisfying for Baker to have the kind of season that he and his teammates always knew he could.
"For all these guys that have always had my back and stood by me, to be back playing well feels real good right now," Baker said.
When the Falcons selected Baker with the No. 21 overall pick in the 2008 draft, it was with the idea that he would be a building block along with quarterback Matt Ryan. They had selected Ryan 13 spots earlier and now had the tackle they expected to protect his back side from pass rushers for years.
But after Baker lost his job to Will Svitek during the 2011 season, it wasn't clear if he would return to make his $2.6 million salary this season. Along the way, Baker has undergone three back surgeries but he is still here and the Falcons are better off for it.
"He's battled through some injuries in the past few years, some things that not everybody knew about," Falcons center Todd McClure said. "He's having some success and he's a different guy mentally. I'm really happy for him."
Falcons offensive line coach Pat Hill was hired after last season and so all he's known is a healthy, productive Baker. He said Baker is diligent, intelligent and watches plenty of film in preparation for his opponents, who typically are the opposition's best pass-rushers along the defensive line.
Hill likens playing left tackle to golf, in that the player's pass protection set-up must be consistent, and basketball, because linemen must protect the quarterback like he's the basket and the opponents are trying to score. Hill said Baker is in a consistent groove like a golfer and also isn't biting on the assorted fakes ends use to try to get to Ryan.
"Every week he is playing against a premiere pass-rusher," Hill said. "I think Sam has done a very good job this year. He's worked on his fundamentals. I think he's held up really well out there."
Hill said his group takes the job of keeping Ryan upright very seriously and the line, with Baker as the anchor in pass protection, has been efficient this season.
The Falcons have allowed 25 sacks on 539 pass attempts. The 4.6 sack percentage ranks second to the Giants (3.3) among NFC playoff qualifiers and contenders.
According NFL statistics, Atlanta's opponents have recorded 69 total hits against the quarterback, a 12.8 percentage of all drop-backs. That percentage ranks third behind the Giants (8.6) and Cowboys (11.8) among the NFC's top teams.
Falcons coach Mike Smith said cohesiveness has helped the offensive linemen, most of whom have been together for several seasons.
Baker has started 55 games since 2008. Center Todd McClure started seven games in 2000 and has been the full-time starter in every season since. Left guard Justin Blalock has been a starter since 2007 and right tackle Tyson Clabo since 2006.
Even with rookie guard Peter Konz joining the lineup this season, the Falcons still have one of the most experienced groups. According to the NFL, the 447 combined career starts by Atlanta's linemen are third-most in the league behind Detroit (592) and Tennessee (457)
"The offensive line, probably of any position group, is a group that you have to try to keep together if you can," Smith said.
The Falcons will have to make some decisions about that soon. Clabo and Blalock each signed long-term deals in July 2011 and Konz's rookie deal is for four years.
But McClure is on a one-year contract and Baker is in the final year of the contract he signed as a rookie.
Baker can become an unrestricted free agent after the season. He said he'd like to re-sign with the Falcons.
"Definitely," he said. "I don't know how everything shakes out. But I love living here. My home is here. We will see how everything plays out."
Still no consistent running game with playoffs near
Lesson learned, Falcons expect focused effort at Detroit
Safety William Moore misses practice
If the playoffs started today . . .
One win away from wrapping up home-field advantage
Falcons look 'Super' in 34-0 rout of the Giants
Defense rides fourth down stops to shutout of Giants
QUOTES: What they said after the 34-0 Falcons victory
Diving intervention: Lord tells Roddy to play vs. Giants
Video: Falcons quarterback Matt Ryan's post-game comments
Linebacker Sean Weatherspoon takes over as leader of the defense
Falcons rewind: Reeves reflects on march to the Super Bowl
Who's the best receiving tandem? Roddy & Julio? Cruz & Nicks?
Atlanta Falcons: Quarterback Matt Ryan is not going over the physical cliff
December 21st, 2012
9:47 am
December 21st, 2012
9:49 am
December 21st, 2012
9:49 am
December 21st, 2012
10:06 am
Keep up the good work OL,and take SUE out of the game SAT..ONE GAME AT A TIME ,LETS GO FALCONS!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!
December 21st, 2012
10:07 am
Gotta tell ya, I had serious concerns about Baker with his health. If looks like, (fingers crossed here), he may have that behind him. I have never doubted his work ethic or his desire. Can't imagine playing with a back problem. The older I get the more I respect the back! Here's hoping that Sam will continue to improve at the position and remain healthy. We need to keep our O line intact to help protect Matty Ice!
Go Falcons!
December 21st, 2012
10:23 am
resign GRAVY Jackson for our D-LINE!
December 21st, 2012
11:07 am
Agreed He gets the job done when Healthy
December 21st, 2012
12:18 pm
Sam finally gets some overdue respect. Way to go Sam. Way to show all the Nea Sayers that they were wrong last season…
December 21st, 2012
12:47 pm
[...] Atlanta Falcons This entry was posted in Atlanta Falcons and tagged Atlanta, back, Baker, bounces, Falcons. Bookmark the permalink. ← Week 16 Picks: Falcons, Texans can clinch home-field advantage (Shutdown Corner) [...]
December 21st, 2012
12:55 pm
Thanks to Sam Baker. I'm glad you're having a pretty g00d year.
December 21st, 2012
1:03 pm
Congratulations Sam Baker for overcoming terrible health issues and hanging in there. As many of us hoped, you have emerged as a top left tackle in the NFL. You are looking better every week and it is SO nice to have that power on our line. Keep it going and keep getting better every week. I really hope you get to enjoy the satisfaction of wearing a very heavy Superbowl ring soon. This team could do it with your help! GO FALCONS! YOU ARE RISING UP!
December 21st, 2012
1:09 pm
Good article. The OLine has taken a lot of hits this year (no pun intended) and deserve some love…especially after last week's game! Let's ride this thing all the way to the Lambardi trophy….
December 21st, 2012
1:30 pm
the oline is like the little engine that could.they think they can i known they can!!!!!!!!!fly high big birds!!!!!!!! you know!!!!!!!!!
December 21st, 2012
2:02 pm
At one point I thought he was all but out the door. Now he's healthy and has his feet up under him. Kudos to you Sam Baker, I talked about you badly, when things were'nt going your way. It only proves that persistent, hard work and the ability to believe in yourself pays off……
December 21st, 2012
2:24 pm
Nice 'fess up' Samuel. It is easy to kick a guy when he is down, glad you came clean and are now on the Baker bandwagon. Wish more people would admit when they are wrong. Thats maning up!
December 21st, 2012
2:26 pm
Great work, Sam. You've earned it.
December 21st, 2012
2:27 pm
What's up with that picture? Rams tackling each other? No wonder they stink this year!
December 21st, 2012
2:28 pm
N E cahnce the Flacons get Tim Teabow? He is just wat they needs.
December 21st, 2012
2:54 pm
I guess some of you had to stop calling him T-rex.
December 21st, 2012
3:40 pm
Dude no atlanta faithfull wants tim teblow in a falcon uniform. We dont want that waste of a roster spot
December 21st, 2012
3:43 pm
@turbo i dont think those are rams jerseys, they look like college jerseys to me. I dont see a ram logo either. Possibly bakers college team
December 21st, 2012
4:21 pm
Tebow….really? Anyway, keep doing what you doing Muffin Man (aka Baker…..get it?).
December 21st, 2012
4:48 pm
The surgeons implanted a special stainless steel spine made from parts of turnstiles.
December 21st, 2012
4:48 pm
What? Of course those are Rams jerseys. What do you mean you can't see a "Ram logo"??? It's the Ram horn on the helmet. Sam Baker played for USC (Southern Cal), and their unis aren't even close.
Sorry, but do you watch football?
December 21st, 2012
4:50 pm
Unless it was sarcasm, in which case, I'm a moron. Quite possible.
December 21st, 2012
4:50 pm
Sam, I apologize for having doubts about you being able to come back from your injuries. I think you have been the second best OL this year. I hope you get resigned and play out your career here and one day retire in peace.
December 21st, 2012
6:39 pm
[...] Sam Baker bounces back [...]
December 21st, 2012
7:46 pm
The people who bitched about SB's performance while he was injured also thought Matt Ryan had a noodle arm and that we gave uo to much for JJ. EFFF-em!!!!
Go Falcons.
December 21st, 2012
10:20 pm
Whats the deal with the Rams football players above in all the Falcons headlines?
December 22nd, 2012
2:29 am
I'll admit it. I was one of the guys who hated Baker last year and wanted him out of the Dome. Baker, I'm sorry, and I am thankful that you're feeling better and are knocking son DEs on their butts. Way to rise up #72. GO FALCONS!
December 22nd, 2012
8:44 am
Baker, is standing up this year
December 22nd, 2012
9:08 am
[...] Sam Baker bounces back [...]
December 22nd, 2012
12:34 pm
I was one of the biggest critics of ol T-Rex arms but I think that the pins in his back are holding up well. I have always said however that a back injury is very serious and when the helmet is off, he's still a human being. I'm cautiously optimistic that this is not just due to it being a contract year for him but rather more of everything we've read up here. Either way, it's good to see.
December 23rd, 2012
9:41 am
Do your home work…..NFL players always bounce back in their last year of thier contract! To get the new one done and then back to their laid back ways….
It would be nice if the real workers could do tthe same…..12 year seaon ticket holder.he samethe
December 23rd, 2012
6:55 pm
[...] Atlanta Falcons: Sam Baker bounces back FLOWERY BRANCH–Playing left tackle in the NFL is one of the toughest jobs in sports. Trying to do it with a balky back — and who knows what else — like Falcons tackle Sam Baker did for who knows how long, makes it closely impossible. As Baker … Read more on Atlanta Journal Constitution (blog) [...]
December 27th, 2012
5:24 pm
[...] Sam Baker bounces back [...]


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Subscribe to HELLO! and save up to 40%Subscribe
Former tennis ace John McEnroe is to sell a painting of him and ex-wife Tatum O'Neal by Andy Warhol at Sotheby's in London. The proceeds are set to go to a housing charity
Photo: � AFP
Tuesday June 24, 2008
Previous News In Pictures:


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I'll be the first person in a dogfight to throw down for equal justice and constitutional rights under the law for all people. But I'm afraid this latest example of alleged racism and discrimination by the LAPD plays more as a reenactment of the boy, or in this case, girl who cried wolf.
In the collections of Philadelphia's Independence Seaport Museum is a large, leather-bound ledger. Old, unassuming, and rare, its now-faded pages document business transactions that took place almost 250 years ago
The disadvantages that Black boys bring to their schools aren't corrected in K-12 classrooms, they are furthered. As they get older, they are continually marginalized in their schools and societies.
Two predictable things happened the instant Django Unchained star, actress Daniele Watts, an African-American, was detained by an LAPD officer in Studio City, California in response to a lewd public behavior call.
Self-defense is murder when you're a transgender woman of color. According to an Aug. 22 Facebook post by trans-rights activist Channyn Lynne Parker, Eisha Love defended her life in the midst of an alleged hate crime in late August and now faces a 10-year sentence for attempted murder.
While the NFL's handling of domestic abuse cases is being scrutinized, and folk are calling for Goodell's job, the league's inquiry skills concerning other sensitive matters is also worthy of further review.
Institutionalized racism is so deeply embedded in the fabric of our everyday lives that it can rear its ugly head anywhere from an Economist book review that whitesplains slavery to the front offices of the Atlanta Hawks.
Tavis Smiley used to be the darling of black America. Once upon a time his keen critical commentary, ubiquitous media presence and undeniable charm brought delight to the hearts and minds of many black Americans. But things changed when Obama announced his candidacy for president.
The publishing industry can't solve this problem, but the relative lack of children's books by and about people of color nonetheless functions as a kind of "symbolic annihilation."
The messages we convey to students matter. They are deeply embedded long after they leave our classrooms. As we begin this school year, let's make sure we choose the right message.
Minority students typically do not have the opportunity to study a language much less study abroad. They face financial barriers, to be sure, but also cultural ones. For a young person who has never left his or her zip code, much less flown on a plane, going overseas is a daunting consideration.
Nearly 2 years out from Hurricane Sandy, the most destructive and deadly storm to hit New York City, communities across the five boroughs are still recovering. And in the back of everyone's minds, people are wondering "Could a tragedy like Hurricane Sandy happen again?"
Ever wondered what it's really like to be a part of New York Fashion Week? Or better yet, to be a model at New York Fashion Week?
Until now, consumers have been able to use any device and access any content on the Internet on an equal basis. Those protections could all go away, depending on what the FCC decides. What the companies want, it turns out, is no rules at all -- or at least rules so weak and vague that they can't be enforced in any meaningful way.
I used to be one of those people who didn't understand the threat of climate change. I wondered, "Why should global warming matter to me?" When I learned what a warmer world would look like -- especially for people of color and low-income communities -- I was terrified.
Growing up, I learned that African Americans do not publicly discuss or "put our personal business in the street." Depression has traditionally been an unmentionable subject in the African-American community. I have experienced debilitating bouts of depression since I was about 15 years old.
Yes, the IRS does allow penalty-free withdrawals of a limited amount of IRA funds for first-time homebuyers. However, as enticing as it appears, taking that withdrawal comes with certain caveats that you need to carefully consider.
While what we at Gamaliel fight on are depressing issues, right now, at least, I'm kind of giddy. It's not often that a two-time Pulitzer-winning journalist basically endorses everything we are doing.
Victoria Rowell book The "realest" of Black Hollywood star power came out in full force for Steve...


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OC Housing offers rental assistance
The Ottawa County Housing Authority in partnership with Ottawa Residential Services Inc. and WSOS, announce that the Tenant Base Rental Assistance application process has opened and is currently accepting applicants. Applications will be distributed between 10 a.m. and 4 p.m.
This program is funded through the Ottawa County Community Housing Improvement Program, which is supported by the Ohio Department of Development. The CHIP is a state-funded program that provides assistance for home repairs, home rehabilitation, foreclosure prevention with mortgage assistance as well as rental assistance. Ottawa County Commissioners were recently awarded an $80,000 grant to provide rental assistance for up to 18 months for eligible applicants.
For more information about the TBRA program or to receive an application, call 419-734-7622 on Mondays, Wednesdays, and Fridays between 10 a.m. and 4 p.m.
Applications will also be available for pickup at the Ottawa County Housing Authority c/o ORSI, 400 W. Third St., Port Clinton on Mondays, Wednesdays, and Fridays between those same hours, or by mail.


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Release Date - 03/05/2012*
Join blocky hero Steve and millions of others in the addictive world of Minecraft on Xbox One, Xbox 360, Xbox Live, PlayStation 3, PC and coming soon to PlayStation Vita and PlayStation 4.
Starting on the PC as an oddity, Minecraft has grown into a cultural phenomenon due to its retro, 8 bit style and potentially limitless gameplay, where you can explore the world around you or create your own unique and fantastic experiences. You have one simple goal in Minecraft: Build. But before you can build, you need to mine for resources. Almost everything can be mined from trees for wood, sheep for wool and rocks for stone and precious ores, once you have the materials the only limit is your imagination as you build houses, roads, star ships, castles or even iconic landmarks!
Minecraft on PC features two modes - Survival and Creative allowing you to worry about health and hunger or just build, build, build. The console versions feature a new crafting interface to make the jump from keyboard to controller a little easier, also you can grab a friend and mine together!
With Minecraft imminent on PlayStation 4, PlayStation Vita and Xbox One, the mining community is about to grow!
Play your way and order Minecraft today.
Xbox One Release Date - 5th September 2014
PS4 Release Date - 3th September 2014
PS3 Boxed Release Date - 16th May 2014
Xbox 360 Release Date - 28th June 2013
PS3 Release Date - 18th December 2013
PS4 Boxed Release Date - 3rd October 2014
PS VITA Release Date - TBC 2014
Minecraft Competition Terms & Conditions: NO PURCHASE NECESSARY. Competition closes 11:59pm on 3rd October 2014. The Minecraft Competition is open to all ages. There will be one winner chosen from all eligible entries. The winner will be notified by email with full details on how to claim their prize. Winners must reply to claim the prize within 7 days of notification otherwise claim becomes void. The judges' decision is final and no correspondence will be entered into. For entries to be valid they must include the GAME logo within the creation, or next to it. The prize consists of a selection of Minecraft merchandise. Your Minecraft creation can be sent as a picture, video or other format of choice. The email attachment must not be over 10MB. No actual humans are allowed in any photographs or videos submitted, this does not include the characters within the Minecraft game. Please send your creation, with your name, age & email address (so we can contact you) by emailing email@example.com or by posting to GAME Junior Club Competition, GAME, Unity House, Telford Road, Basingstoke, Hampshire, RG21 6YJ. There is no cash or prize alternative and the prize is non-transferable. Only one competition entry per person will be accepted. Any employees of GAME, their immediate family or any other persons/ company(s) directly connected with the competition are unable to enter into the competition. GAME has the right to use the content that is submitted. GAME will monitor submissions and ensure that they comply with the rules. The promoter of the competition is GAME Retail Ltd. trading as GAME, Unity House, Telford Road, Basingstoke, Hampshire, RG21 6YJ.


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» Newsletter Archives
This is the last
newsletter before APHA convenes its 136th Annual Meeting in San
Diego! In the pages to follow you'll
receive a link that will take you to the Medical Care Section sessions at the
Meeting along with information about events that Medical Care is sponsoring. We solicit your involvement in reviewing proposed
policies and in identifying policy gaps and/or needed policy updates. We invite you to come 'sit a spell' (my rural
roots are showing) at our newly refurbished exhibit booth where you'll get a
button branding you as a Medical Care Section member that promotes Health for
All! We'll urge you yet again to recruit
friends and colleagues to join the section as a primary or secondary member. There is a lot to read including an article
by Dr. Wayne Myers, Chair of the Section Rural Committee and incoming Governing
Councilor who visited Iraq; a Request for Application from the American Cancer
Society, and an announcement regarding a search for a new dean in the School of
Public Health in South Carolina.
This is a big year for the
section. The Medical Care Section was
formally recognized in 1948, 60 years ago, however, our commitment to and
advocacy for health for all goes back
to before we received that formal recognition.
Celebrating our birthday is certainly in order but we wish to do much more
than that. As a country we are today at
a point of crisis or opportunity. I
choose to think in terms of the latter.
2009 will start a new chapter, one that is informed by what we have
learned throughout our history as a section and our history as a country; a
year in which we can begin again to build a system of healthcare that is
affordable, that is of high quality, that provides the same quality of care to
anyone on our shores regardless of their ability to pay, a system that is
culturally sensitive and culturally competent, that seeks to prevent illness
and disease not just through medical practice but through addressing the other
determinants of health and well-being.
In 2009 we will have a new
administration, a new Congress, and a new opportunity to educate these new leaders. At this year's Annual Meeting we need to
prepare. We need to prepare for best
case and worst case scenarios for 2009. We
need to be ready, we need to be stoked.
I hope you will come to
this year's Meeting, and to this year's Section meetings, with the goal of
reconnecting with your passion as well as with your friends and colleagues. Come with a goal of renewing your sense of
optimism about what can be. I look
forward to meeting those of you I don't know, and to seeing all of you in San
Diego. At this year's "Evening with" let
us make a toast (there will be a cash bar) to all that we have accomplished in
the last 60 years and to all that we will accomplish in the years to come. See
you in San Diego!
Safe travels.
Gail Bellamy, Medical Care Section Chair
P.S. Bring a
Return to Top
2008 APHA Medical Care Section Program
This year's Medical Care Section Program at the APHA Annual Meeting in San Diego, CA, Oct. 25-29, 2008, consists of 37 sessions organized by the Medical Care Section and covers such topics as: drug safety and FDA reform; state and local programs to address disparities in colorectal cancer; social medicine as a framework for bridging borders; using California Health Interview Survey data to measure and understand racial and ethnic disparities; health access and the election; public health in 20th century America between inclusion and exclusion; the California Department of Corrections as a case study of whether federal receiverships cure prison healthcare issues; universal access to health insurance; health economics; health services research, health disparities in migrant and immigrant populations; quality improvement and outcomes of care; and rural and frontier health. In addition, the Section is co-sponsoring over 30 other sessions that includes topics such as trade policy, globalization, war and public health, environmental and social justice, cancer epidemiology, tobacco policy, and Social Security and Medicare. All Medical Care Section sessions will be at the San Diego Marriott Marina Hotel.
In celebration of the 60th anniversary of the Medical Care Section, our speakers for this year's Evening With (cocktail reception and scientific session) will be Steffie Woolhandler, MD, MPH, and David Himmelstein, MD, both from Harvard Medical School. Their joint talk is entitled, "From Clinicians for the Poor to National Health Insurance Mainstays: A Quarter Century Health Policy Journey. The session will be moderated by Oliver Fein, MD, Cornell Medical College, and David Rosner, Ph.D., MPH, Columbia University. Please join us in celebrating this special anniversary on Tuesday, October 28, 2008 from 6:30 p.m. – 8:00 p.m. in Marriott Hall Salon 5. We will also be presenting the annual Arthur Viseltear Award in Public Health History to Emily Abel, Ph.D., UCLA, for her book on tuberculosis and the politics of exclusion.
Please also join us for the presentation of this year's Avedis Donabedian Award in Quality Improvement to Robert Brook, Ph.D., UCLA, and director of the Health Sciences Program at RAND. Gordon Schiff, M.D., Brigham and Women's Hospital, will have the honor of presenting the award on Tuesday, October 28, 4:30 p.m. – 6:00 p.m., in the Point Loma room, just prior to the "Evening With" festivities. The link to the sessions organized and sponsored by the Medical Care Section is:
The link to the Medical Care Section business meetings and social events is:
See you in San Diego,
Katherine S. Virgo
Medical Care Section Program Chair
Each year, the policy
process helps give shape to the advocacy efforts of APHA. There is a fresh opportunity for members to
offer new policies for consideration that could guide APHA if adopted. The process begins in December and wraps up
at the annual meeting with hearings on the new proposed policies and a vote by
the Governing Council. If approved, the
policies are announced publicly and become the basis for APHA positions on the
issues and action by the staff and the membership.
The Policy Process.
The steps leading up to adoption of new policies begin with work
by the Action Board and the Joint Policy Committee (JPC) to identify gaps in
APHA policies. Gaps or new issues may
also be identified by the members. These
committees also identify policy areas that should be reviewed for archiving or
updating (see below). By mid-February, proposed
new policy resolutions and position papers are due in electronic form at email@example.com. The new policies are then posted on the APHA
webpage. For the subsequent month,
comments are welcome.
The policies and any comments
are reviewed in late April by three APHA Committees (Joint Policy Committee,
Science Board, and Education Board). After
the policies accompanied by assessments and/or comments are returned to the
authors, the authors have a month to send revised policies or appeals of
negative assessments. The Executive
Committee considers appeals of negative assessments. In mid-September, the final proposed policies
are posted on the APHA website for review by the membership.
Public hearings for
the proposed new policies are held at the Annual Meeting.
After the hearings, the JPC develops final recommendations on the
proposed policies to present to the Governing Council. The policies are voted on at the Annual
Meeting during the meeting of the Governing Council. There is also a mechanism for "Late breaking"
policies that have become a pressing issue only after the deadline for
submission back in February. This
deadline coincides with the start of the Annual Meeting.
Policy Proposals 2008.
The policies posted at this time for consideration by the membership
before hearings and a vote by the Governing Council at the Annual Meeting are
listed under four headings: Health Disparities,
Environmental Health, Access to Care, and Public Health Science and Infrastructure. The only proposed policy in the Health Disparities
area calls for education and research into Vitamin D deficiency and
insufficiency based on evidence that it frequently goes undetected, and may
lead to higher mortality rates in a range of conditions, some currently
identified and some not-yet identified.
There are two proposed Environmental Health
policies. The first would place the APHA
as a discouraging influence on the depiction of smoking in feature films based
on good evidence that this influences youth to smoke. The second policy advocates a world-wide ban
on the use of lead in residential paint and children's products. While there is currently a ban on use of lead
in the United States, this is not the case in other countries that export products
that are contaminated with lead, including children's toys. The proposition stipulates that agencies of the US
federal government, including, but not limited to, the Consumer Product Safety
Commission, the Environmental Protection Agency, and the Department of
Commerce, be directed to enforce a ban on the manufacture, import,
distribution, and sale of all children's and consumer products containing
nonessential lead and, together with the private sector, devise and implement a
robust and effective monitoring and quality control and quality assurance
It calls for the
expeditious completion by the Consumer Product Safety Commission and ASTM
International of a lead-in-vinyl standard.
It further stipulates that all trade
agreements between US corporations and overseas corporations and all global
trade agreements completed by the World Trade Organization, the World Bank, and
other entities and other relevant international conventions include provisions
that formally and effectively ban the use of lead in residential paint and children's
products and that all such agreements ban the nonessential use of lead in all
consumer products.
The Access category offers two policies. The first re-states and updates support for
Roe vs. Wade which is facing challenges in many states and could be in danger
from the Supreme Court, depending on the outcome of the Presidential election
and future appointments to the court. It
notes that abortion bans were introduced in 12 states to replace Roe v. Wade, in
case it should be overturned at the federal level. Mandatory waiting and counseling periods
have been introduced in 25 states. Proposed
laws placing additional limits on public spending for abortions for low income
women have been introduced in 15 states.
Laws requiring that minors obtain parental consent or that at least 1
parent be notified were introduced in 15 states. New statistical reporting burdens on
physicians have been introduced in 12 states; limitations on private insurance
coverage or specific abortion procedures have been introduced in 9 states. The
second Access policy opposes prophylactic removal of third molars (wisdom
In the Public Health
Science and Infrastructure category, there are four proposed policies. The first is labeled the patient's right to
self-determination at the end of life. It
would place the APHA in support of measures to ensure that patients eligible to
choose aid in dying receive information about, and are able to choose
alternatives such as aggressive pain and symptom management, palliative care,
hospice care, and care to maximize quality of life and independence. An earlier
version of this policy was considered by the Governing Council last year. Discussion continues in 2008.
The second
Infrastructure policy addresses oral health.
It re-states and updates support for fluoridation of community drinking
water. It notes that dental caries are
one of the most common chronic diseases of children. Surprisingly, only 67% of people served by
public water supplies are fluoridated despite overwhelming evidence of its
effectiveness to prevent tooth decay.
The Healthy People 2010 goal is 75%.
Those who get their water from wells or drink bottled water only often
lack appropriate fluoride intake. Other
measures are needed for this population. It also advocates low fluoride toothpaste for
children under age 6 who may be at risk from over-exposure from adult fluoride
containing toothpastes. This proposal
updates prior policies on oral health and fluoride, the last of which was
passed in 1975. Other Infrastructure
proposals address the promotion of interprofessional education and support for
strengthening health systems in developing countries.
These policies will
be discussed at the Annual Meeting at hearings that are open to all
members. The authors and Joint Policy Committee members
will take the products of the hearings and refine them for final presentation
for consideration by the Governing Council.
Proposals are presented to the Council for consideration and
debate. A final vote is taken of Council
Archiving Process.
Another important part of the policy process is the archiving and
updating of policies that are already "on the books." In February the JPC considers the list of
policies identified by staff for an archiving review which involves review
groups for each subject area. By late
May, each Policy Review Group completes its reviews of the policies assigned to
it and reports their recommendations to the JPC. Comments from individual members are also
due at this time. APHA staff collates
the recommendations of the Policy Review Groups and provides the list to the
JPC. In July, the preliminary consent
calendar and recommendations for archiving are posted on the APHA website. The APHA Executive Board also considers the
preliminary archiving consent calendar.
The membership has another month to submit comments on the
archiving consent calendar which is then finalized by the JPC in September.
Policy Process and the Medical Care Section.
Within the Medical Care
Section, proposed policies are reviewed by section councilors and governing
councilors and all members are encouraged to participate. Ideally, any concerns about a policy are
identified and addressed through the normal review process, however, any remaining
concerns can be raised during the section business meeting at the Annual
Meeting on Saturday, the day before the hearings, and a decision made as to
whether to support the policy as written or recommend changes. Each public
hearing is attended by at least one section councilor or other designated
section member who will raise the section's concerns or support. This process helps inform the vote of our
governing councilors.
Similarly, concerns relating to
the archiving of policies are ideally dealt with in the process outlined
above. However, if a concern is raised
during a business meeting relating to a policy on the consent calendar for
archiving, a governing councilor can ask that the policy be pulled.
Ideas for new policy or updating an out-of-date policy can be
suggested by any member. The section
business meetings at the Annual Meeting provide the venue for discussion and
preparation for policy development.
Please join us!
You can help:
If you
are interested in reviewing any of the policies mentioned above go to http://www.apha.org/advocacy/policy/.
You will need your APHA membership number (userid) and password (first initial
and last name). As you read, make note
of any concerns you have about the proposed policy. You can send your comments to me, email@example.com, or come to the
section business meeting on Saturday night, at 5:30 p.m. You can also find out about late breaking policies
at the Saturday section business meeting.
Jim Wohlleb, Medical Care Membership Chair
Medical Care Section
Exhibit Booth Volunteers
Friday, Oct 24, 1—6 PM or
Saturday, Oct 25, 8 AM—6 PM or
Sunday, Oct 26, 8—12 PM
Sunday, Oct 26, 2—5:30 PM
Monday, Oct 27, 9:30 AM – 5:30 PM
Tuesday, Oct 28, 9:30 AM – 5:30 PM
Wednesday, Oct 29, 8:30 AM – 12:30 PM
Wednesday, Oct 29, 12:30 PM
Notice for the Medical Care Section Newsletter.
Rural & Frontier Committee Meeting in San Diego
The Section Rural Committee is being reactivated as the
Rural & Frontier Committee. If you
would consider becoming active in the Committee please come to an organizing
meeting, 2-3:30 PM Sunday, 10/26 in the Torrence Room of the San Diego Marina
Marriott. We will set a work plan, look
for leaders and discuss ways to work with other sections. If you plan to come or want more information
please contact Wayne Myers, email@example.com.
following column was first published by "The Rural monitor" in its issue of summer,
2008. Myers' columns appear quarterly
under the series title, "Look What's Coming".
Baghdad Crystal Ball
Wayne Myers, MD
In June, I was
one of several Americans invited to Baghdad as advisors to the Iraqi Ministry
of Health. The occasion was a national
conference on health care restoration and reform convened by the Ministry. I'd like to tell you some of what we saw and
First, Baghdad is a big city with about seven million
people. By way of comparison, Chicago
has nearly three million people within its city limits, but over nine million
within the three-state metropolitan area.
Baghdad has no mass transit system, so traffic is dense. Cars are old and breakdowns frequent. The city is battered but millions of people
are getting on with their daily lives.
Rental property is in increasing demand, as Baghdad becomes a reasonable
place to live and do business. Sidewalks are piled high with crates of new
merchandise for sale, especially generators.
Outside the International ("Green") Zone, all the police and military
personnel I saw were Iraqi.
The current phase of health care reform is titled,
"Primary Care Reform First" (PCRF). The
Minister of Health and his colleagues propose to first overhaul the national
primary care system before dealing with hospitals and other elements. The five-day series of PCRF meetings
included three days of small group sessions reviewing specific proposals. Meetings held on the last two days reviewed
overall strategic proposals—these were large, formal sessions of several
hundred people including members of the Iraqi Parliament, leaders of most of
Iraq's national health-related organizations, the Ministry of Health, the U.S.
military and State Department, the World Health Organization and several
non-governmental organizations. In all
the meetings the focus was national policy.
None considered rural problems separately.
Before the
Coalition invasion of 2003, Iraq had 2,000 public clinics providing some care
for an average of 14,000 patients each.
Most closed during and after the invasion but practically all are now
operating. Iraqi doctors have traditionally
been required to work in the morning in these public free clinics for a few
dollars per month. Doctors earn their
livings in private practice clinics in the afternoon. This divided system is generally acknowledged
to work poorly with patients being rushed through the public clinics, and
occasionally seen in groups, by doctors hurrying to get to their private
fee-for-service practices. One of the
priority reforms for the Ministry of Health is to separate public and private
practice, paying reasonably for doctors making careers in public care. Salaries for public clinic work are expected
to increase from three dollars per month for work in the morning clinics to
3,000 dollars per month for full-time doctors in the public clinics.
The professionalization of public clinics may be
particularly helpful in rural areas.
Rural and other hard-to-staff clinics are now heavily dependent on young
doctors in mandatory national service between internship and specialty
residency. In 2004, during an earlier
two-week trip to Northern, Kurdish Iraq, I encountered only one fully trained
career rural physician. All the others
were short-term assignees straight out of internship. Rural hospitals were battered and poorly
supplied but clean with staff proud of their work. My impression was that physician coverage was
the weakest element in the rural system of care. Rural Iraqis face hazards ranging from land
mines to cholera with care by partially trained personnel. U.S. rural health care has its problems but they
are of a different order than those in Iraq.
Iraq has no health insurance. Serious illness often means family
bankruptcy. The Ministry of Health is
determined to develop a system of health insurance in the course of primary
care reform. I could not determine
whether a decision or consensus has been reached regarding the nature of the
national insurance system: public or private, for-profit or not-for
-profit. The insurance program is seen
as an important contribution the government can make to stabilize private
fee-for-service care.
Nursing is a new profession in Iraq. In the past nurses got their training in
vocational high schools. Quite recently
the nursing high schools have been closed.
Several universities have established nursing programs using faculty
trained in other countries. The
professionalization of nursing in Iraq is an enormous task and complex
Some basic
management systems are lacking or not well understood. Stories of corruption in the UN Oil for Food
program, in contractors under the Coalition Provisional Authority and in the
Iraqi Government have been widely reported.
At the moment, though, fear of corruption is also a serious
problem. Last year the Ministry of
Health reportedly spent less than 70 percent of its budget. Officials were often unwilling to release
funds that might be diverted.
Establishment of basic management systems is an urgent need.
Other major challenges include the establishment of
pharmaceutical and medical supplies manufacturing across Iraq, the
modernization of clinical data systems and carving out a reasonable share of
the national budget for health.
Will the Iraqis succeed in reforming their national
approach to health? I think there is a
good chance that they will accomplish several of their goals. In the final plenary meetings there seemed to
be general consensus on many points.
Iraq is writing on a blank slate.
They have some oil income to work with.
The clinic system is getting back on its feet as physicians return to
the country and security improves. There
is a sense of urgency.
There is a lot to be done. A half-dozen Americans are being recruited to
help the Iraqis draft policies, procedures and standing orders to implement all
these changes. If you are willing and
able to consider doing high-level national policy work in Baghdad, drop me an email
for more information at firstname.lastname@example.com.
American Cancer Society Request for Applications (RFA):
The Role of Healthcare and Insurance in
Improving Outcomes in Cancer Prevention, Early Detection and Treatment
Application deadline (electronic and paper): October 15th, 2008
PURPOSE: The American Cancer Society is announcing this RFA to investigate the impact of healthcare costs, healthcare system and capacity, insurance status, social factors and delivery of health care services, on outcomes in cancer prevention, early detection and treatment. The purpose of this RFA is to stimulate research on the effects of the US healthcare system structure and the role of insurance on access to screenings and treatment. Of particular interest is research using linked databases such as SEER, Medicare payment data, State data and NCHS data; other existing databases. Studies may be at the state, multi-state, or national levels, or otherwise involve large populations. Respondents should specifically describe how their results would generalize to the broader corresponding U.S. populations.
Significant gaps in knowledge remain on how healthcare costs, healthcare system structure and capacity, socioeconomic factors (including insurance status), personal characteristics (such as race and ethnicity), and delivery of healthcare services affect outcomes related to cancer prevention, early detection, and treatment. Studies investigating how one or more of these factors affect access, and how these mechanisms interact with other factors known to affect access to healthcare services should be considered. The goal is to use new knowledge derived from these studies to inform policy development and enhance outcomes in cancer prevention, early detection and treatment
For this RFA in health policy and health services research, ACS is particularly interested in developing new knowledge specifically about the role played by insurance within the context of other factors, such as costs, capacity and personal characteristics, that affect outcomes in cancer prevention, early detection and treatment. In particular, studies should explore these issues within the uninsured and underinsured populations, Medicaid, and types of private insurance (HMO, PPO, etc.).
Three areas of investigation will receive special consideration:
1. How does the structure and capacity of the healthcare system affect appropriate and timely access to cancer screening, early detection, treatment and palliative care? Examples of such studies include (but are not limited to):
a. How do insurance plan benefit designs or costs affect access to cancer screening and treatment? How do plans with high deductibles/co-payments/coinsurance, low annual or lifetime maximums, or significant benefit limits such as number of hospital days or physicians visits, influence use of cancer screening and treatment services as well as treatment patterns and quality of care? How do these design effects vary across geographic regions and/or at-risk populations?
b. Do high risk pools and new insurance instruments (including insurance pools for those diagnosed with cancer such as the programs in Maine and Delaware) increase access to screening and treatment? How do these various products compare with private insurance in affecting access to screening and detection services?
c. Is there sufficient capacity (facilities and personnel) within the healthcare system for cancer prevention, screening, treatment and palliative care needs? Would there be sufficient capacity if access to care is increased? What are the root causes of incapacities?
2. What provider and system factors affect treatment patterns and quality of cancer care within the current healthcare systems? Examples of such studies include (but are not limited to):
a. What provider and system incentives affect treatment patterns and quality of care, for underserved populations?
b. How does level of reimbursement for cancer prevention, screening,, and treatment services affect access to care and outcomes?
c. How does standardization of cancer treatment patterns affect outcomes? What are the benefits of standardization of care?
d. What is the impact of coordination of care and/or having a "medical home" on treatment patterns and outcomes for cancer patients?
e. How do discontinuities or changes in health insurance (i.e., losing and gain coverage over relatively short periods of time) affect access to care, treatment patterns, and outcomes, and quality of care for individuals with cancer?
3. Explore life course patterns of the entire spectrum of cancer are (from prevention and screening through diagnosis, treatment, survivorship, and supportive/palliative care) by linking diverse data sources for broad patient populations. Examples of such studies include (but are not limited to):
a. What factors (such as changes in insurance status, community resources, policy interventions, etc.) are associated with differences in lifecourse patterns throughout the spectrum of cancer care?
b. What prevention, screening, and/or treatment patterns can be demonstrated for broad populations of individuals with cancer by linking diverse sources of existing data?
ELIGIBILITY REQUIREMENTS: Applications may be submitted by not-for-profit institutions located within the United States, its territories and the Commonwealth of Puerto Rico. Independent investigators at all stages of their career are eligible to apply. Thus, the usual ACS restriction to investigators within the first six years of their initial independent research appointment does not apply to this RFA.
MECHANISM OF SUPPORT and BUDGET:
· Mechanism: This RFA will use the Research Scholar Grant in Cancer Control and Prevention: Health Services and Health Policy Research mechanism. Complete and detailed instructions and information on this mechanism can be found at www.cancer.org [Research Program and Funding; Funding Opportunities; Index of Grants; Research Scholar Grants in Cancer Control and Prevention: Health Services and Health Policy Research.]
· Length of Study: Awards may not exceed a period of 4 years, although it is anticipated that most applications will require no more than two years to complete the research.
· Budget: Awards may not exceed $200,000 per year (direct costs) plus 20% indirect costs.
AWARDS: It is anticipated that a total of $1,000,000 per year for five years (starting in 2006) will be available for applications selected through the Society's peer review system.
DEADLINES: There are two deadlines for receipt of applications per year as for all other ACS applications. The next one is October 15th, 2008. Applications must be submitted both electronically and with a paper copy as per guidelines on www.cancer.org
For additional information not covered on this announcement, please contact Dr. Ronit Elk by email only: firstname.lastname@example.com
Arnold School of Public Health
University of South Carolina
The University of South Carolina invites applications and nominations for the position of Dean of the Arnold School of Public Health. The new dean will assume leadership of an academic unit that is in a period of rapid growth and development.
The Dean reports to the Vice President for Research and Health Sciences and provides leadership in the school's teaching, research, service, and development activities. The Dean is responsible for effectively representing the School to a wide range of campus, community, and professional constituencies. The Dean is also responsible for administrative and fiscal management of the school.
The School is fully accredited, includes six academic departments, and offers masters and doctoral degrees in the corresponding six disciplines: Communication Sciences and Disorders; Environmental Health Science; Epidemiology and Biostatistics; Exercise Science; Health Services, Policy and Management; and Health Promotion, Education and Behavior. In addition, a bachelor's degree in Exercise Science is offered. The School currently enrolls approximately 560 graduate and 530 undergraduate students. There are 110 faculty members of whom 60 are in the tenure track. The Arnold School along with the School of Medicine, College of Nursing, College of Social Work, and the South Carolina College of Pharmacy comprise the University's Division of Health Sciences. The School is one of the University's leading research units and in FY07 the faculty generated over $24 million in extramural funding. The School recently expanded into the new Public Health Research Center, a 105,000 square foot state-of-the-art facility. The School enjoys a longstanding and productive relationship with the South Carolina Department of Health and Environmental Control.
The University, founded in 1801, is a fully-accredited eight-campus state-supported system. The University of South Carolina-Columbia, the flagship campus, has strong undergraduate and graduate programs in a wide range of disciplines and professions. The Carnegie Foundation lists USC as a research institution of "very high research activity," a designation granted to only 62 public and 32 private research institutions. About 26,000 students are enrolled on the Columbia campus and more than 40,000 throughout the system. The Innovista Research Campus, an urban research park, is in current development and will transform both the University campus and central Columbia.
The City of Columbia is the state capital and has a metropolitan area population of approximately 700,000. Columbia is a center for finance, government, education, and technology development in the state. The community has a rich historical and cultural tradition, and is located within easy driving distance of both the mountains and coastal beaches.
The Qualifications of the successful candidate should include:
* Earned doctoral degree in public health or related discipline;
* Extensive experience in academic public health;
* A record of achievement commensurate with appointment as a tenured full professor;
* A clear commitment to academic excellence in research and education at the graduate and undergraduate levels;
* Proven administrative experience, a high standard of professional integrity, and a strong sense of professional ethics;
* A firm commitment to linking academic public health to public health practice,
* An ability to articulate effectively the School's mission to the students, faculty, alumni, external funding agencies, and other decision-making bodies;
* An ability to effectively lead the school's development program,
* A demonstrated commitment to cultural diversity and equal opportunity.
The Committee will begin reviewing applications and nominations on December 1, 2007, and will continue until the position is filled. Salary fully competitive. Applicants should send a letter of application, a complete resume, and names of three references to: Russell Pate, Chair, Public Health Dean Search Committee, Office of the Provost, 102 Osborne Administration Building, University of South Carolina, Columbia, SC 29208. Phone: (803) 777-2808; FAX: (803) 777-9502.
The University of South Carolina is an equal opportunity employer and specifically invites and encourages applications
from women and minorities. The University of South Carolina is responsive to the needs of dual career couples.
Minutes from the monthly Medical Care Section Leadership are posted on the E-community site of our web-page. You will need your userid and password to get on but once there, take a moment and think about content you'd like to see! As a section we are pilot-testing the E-community, so I'd really like to know that folks have taken a look at it and to get your impressions regarding its possible utility for discussion, special communications, etc. Let me know what you think! <email@example.com>.
HCUP's 2006 NIS Released!The Agency for Healthcare Research and Quality's (AHRQ) Healthcare Cost and Utilization Project (HCUP) announces the availability of the 2006 Nationwide Inpatient Sample (NIS). Released in May, the NIS is the largest inpatient care database including all patients, regardless of payer covering Medicare, Medicaid, privately insured, and uninsured patients. The 2006 NIS includes eight million discharge records from more than 1,000 hospitals and includes data drawn from 38 states. NIS data can be weighted to produce national estimates, allowing researchers and policymakers to identify, track, and analyze national trends in health care utilization, access, charges, quality, and outcomes. The NIS is considered by health services researchers to be one of the most reliable and affordable databases for studying important health care topics. The 2006 NIS and other HCUP databases are available through the HCUP Central Distributor at http://www.hcup-us.ahrq.gov/tech_assist/centdist.jsp. Additional information on the NIS is available on the HCUP User Support Website at http://www.hcup-us.ahrq.gov/nisoverview.jsp.HCUP is a family of health care databases and related products developed by AHRQ through a Federal-State-Industry partnership. HCUP produces powerful, comprehensive, health care data that can be used to identify, track, and analyze national, regional, and state trends in health care utilization, access, charges, quality, and outcomes. Additional information about HCUP's databases and products is available on its User Support Website: http://www.hcup-us.ahrq.gov. HCUP's 2006 KID Now Available!Released every three years since the 1997 data year, the 2006 Kids' Inpatient Database (KID) was released in June by the Agency for Healthcare Research and Quality's (AHRQ) Healthcare Cost and Utilization Project (HCUP). The KID is the only dataset in the U.S. designed specifically to study hospital use, outcomes, and charges in the pediatric population. The KID includes all patients under age 21 regardless of payer. The 2006 KID includes data from 3,739 hospitals in 38 states. The KID can be weighted to produce national estimates, allowing researchers and policymakers to use the data to identify, track, and analyze national trends in pediatric health care issues. The 2006 KID is available for purchase through the HCUP Central Distributor at http://www.hcup-us.ahrq.gov/tech_assist/centdist.jsp. Additional information on the KID is available on the HCUP User Support Website at http://www.hcup-us.ahrq.gov/kidoverview.jsp. HCUP is a family of health care databases and related products developed by AHRQ through a Federal-State-Industry partnership. HCUP produces powerful, comprehensive, health care data that can be used to identify, track, and analyze national, regional, and state trends in health care utilization, access, charges, quality, and outcomes. Additional information about HCUP's databases and products is available on its User Support Website: http://www.hcup-us.ahrq.gov
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Hudson Star Observer
School district steps up to address drug problems
Lots of options acceptable for voter ID's, says GAB director; tax collection picture improving; 10 more Wisconsin stories
First cases of likely Enterovirus surface; photo ID needed to vote absentee too; 11 more Wisconsin stories
Pepin man, toddler die when trench collapses; DOT begins process to provide ID cards for November election; 11 more state news items
City moves forward with First Street parking expansion
More Topics
crime and courts
Raiders run over Menomonie
Raider volleyball team opens strong
Raider boys post two Big Rivers soccer shutouts
Superior stuns Raiders in BRC opener
Meet Luke Howard, Hudson School District's new athletic trainer
More Topics
high school
'Free Concert for Peace and Love' rescheduled to Sunday afternoon
St. Croix Valley potters share ancient craft
NETworks Youth Ministries has a new director
Eagle Scout project a hit at Homestead Parklands Bookworm Trail
Cruise into downtown Hudson Sept. 21, enjoy classic cars
More Topics
arts and entertainment
Allen R. Finholt, 64
Jeni Meuwissen, 59
Marcella A. Lewis, 93
Joseph Score, 33
Larry Parfitt, 75
COPYRIGHT NOTICE: Ryan James Few
VILLAGE OF NORTH HUDSON: 8/5/14 Board Meeting Minutes
NOTICE TO CREDITORS: Kathy J. Nistler Estate; Case No. 14PR62
ST. CROIX COUNTY: Community Right-To-Know About Hazardous Materials
HUDSON SCHOOL DISTRICT: 8/25/14 Special Meeting Minutes
Randy's Ramblings: Referendums make fall election especially interesting
Our View: Staying with county administrator is proper choice
Doug's Diggings: The day the NFL became 'all powerful'
Our View: Local Packer fans again denied TV games
Doug's Diggings: No drones – yet – in the Star-Observer news department
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Weather Forecast
First St. Croix River bridge opened in 1913; Hudson has seen several bridges since
Hudson's toll bridge, which spanned the St. Croix River, is now but a memory. However, from 1913 to 1951 that bridge was one of the city's most widely known landmarks. For a period of 34 years the ample revenues from the toll bridge went into the city's coffers for...
news / education
46 min 49 sec ago
Poll shows Walker, Burke still neck and neck; Congressional committee hears testimony regarding St. Croix GM accident; 11 more Wisconsin stories
A new poll shows that Gov. Scott Walker is still in a dead heat with his Democratic challenger Mary Burke. That's got Walker's biggest financial supporters pumping out more ad money. The National Rifle Association and a Wisconsin arm of the Republican Governors Association are...
news / politics
4 hours 22 min ago
September 17, 2014
Lots of options acceptable for voter ID's, says GAB director; tax collection picture improving; 10 more Wisconsin stories
MADISON -- Most Wisconsin voters already have the photo I.D's they'll need to vote on Nov. 4. State Government Accountability Board director Kevin Kennedy held a news conference Tuesday to answer questions that voters might have. He said the I.D's do not have to exactly match the...
news / region
September 17, 2014 - 8:55am
September 16, 2014
First cases of likely Enterovirus surface; photo ID needed to vote absentee too; 11 more Wisconsin stories
MADISON -- Wisconsin could soon have its first confirmed cases of a respiratory and stomach virus that has hospitalized hundreds of children throughout the nation. Nine suspected cases of the Enterovirus have been found in Madison. Samples have been sent to the U.S. Centers for...
news / region
September 16, 2014 - 9:02am
September 15, 2014
School district steps up to address drug problems
Anthony Mayer, director of Student Services for the Hudson School District, was in the audience at the Heroin in Hudson public forum back in July 2013 that detailed the terrible life-threatening consequences the drug was having on the community. One year later, at the July 2014...
news / education
September 15, 2014 - 9:39am
Pepin man, toddler die when trench collapses; DOT begins process to provide ID cards for November election; 11 more state news items
A man and a toddler were killed over the weekend when a trench collapsed in far western Wisconsin. Pepin County authorities said John Unser, 56, and two-year-old Macin Finstuen fell into a six ft. deep trench on Saturday at a home-building site in the town of Arkansaw. A third...
news / accidents
September 15, 2014 - 8:56am
September 14, 2014
City moves forward with First Street parking expansion
Hudson will soon have 67 more parking spots along First Street next to Lakefront Park. The City Council on Sept. 2 approved a $385,571 contract...
news / government
September 14, 2014 - 7:00am
September 13, 2014
Pit bull attack brings plea for tighter controls
A pit bull attack on another dog has prompted the Public Safety Committee of the Hudson City Council to recommend requiring owners to keep pit bulls muzzled and leashed when in public. City resident Mary Pat Finnegan appeared before the committee on Sept. 4 to tell about the...
news / government
September 13, 2014 - 7:00am
September 12, 2014
9/11 remembered in Hudson
The 13th anniversary of the 9/11 terrorist attacks on the World Trade Center in New York City and the Pentagon building in Washington, D.C., was marked in Hudson by a group of citizens who gathered on the 11st Street bridge to wave American flags as Interstate 94 traffic passed below. Many...
news / politics
September 12, 2014 - 12:31pm
Suspect and victim identified in Baldwin homicide
The St. Croix County Sheriff's Office has released the names of the victim and the suspect in an alleged homicide that occurred north of Woodville Tuesday morning, Sept. 9. The victim was identified as Angel Linderman, 28, of Lake City, Minn. According to St. Croix County Sheriff...
news / crime and courts
September 12, 2014 - 10:01am
UPDATED: State's delegation, Senators skeptical of Obama's anti-terror plan; how to get $40 for that old 'frig; more Wisconsin stories
WASHINGTON D.C. -- Wisconsin House members of both parties are skeptical about President Obama's plan to expand air strikes in Iraq and Syria to keep Islamic State terrorists in check. GOP Budget chairman Paul Ryan of Janesville said Obama was right to ask for congressional input...
news / region
September 12, 2014 - 9:31am
Newsletter to make town's case for $400,000 levy increase for road work
Hudson Township will be making its case on a proposed $400,000 annual tax-levy hike through a special newsletter that will be mailed to local taxpayers shortly before election day. The Town Board approved the newsletter on a unanimous voice vote Sept. 2 after formally putting the...
news / government
September 12, 2014 - 7:00am
September 11, 2014
It's Girls Night Out in Hudson
The Downtown Retail Group is sponsoring "Ladies, Come Get Your Game On," a Girls Night Out event Thursday night, Sept. 11, in downtown Hudson. Bring your girlfriends and shop, dine and play at local businesses while enjoying special promotions and treats. Enter your...
news / business
September 11, 2014 - 2:41pm
School district holds referendum information nights
The Hudson School District has scheduled two information nights to give community members the opportunity to learn more about the upcoming Nov. 4 referendum that will address overcrowding at the Hudson High School and Hudson Middle School. Community presentations will be held: --Sept....
news / education
September 11, 2014 - 2:31pm
City street and utility projects in full swing
The end of summer has brought a flurry of street and utility improvement projects in the city of Hudson. Monarch Paving is in town continuing...
news / government
September 11, 2014 - 11:09am
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1996 Lance Camper Model LC990EC--Eleven foot floor length--Extended cabover--All amenities (fridge, microwave, A/C, stove with oven, awning, dry bath, generator)--Lots of accessories included--Good condition--Non smokers--Truck not includedMore info Email a friend
For sale - Very clean, 2004, 30 foot, Class C Minnie Winnebago in good condition with just shy of 31,000 miles. The awning is worn but can still be used. Bedroom: Slide out with awning, queen size bed platform with storage underneath and overhead...More info Email a friend
2000 Coachman Catalina Millennium diesel motor home, 1 slide out in living room. Been stored under shelter located in Wilson NC. Contact Faye Reavis 1-252-373-5564. 14,297 miles. $50,500.More info Email a friend
2006 Fleetwood Niagra Popup Folding CamperA great, durable camper that is in good condition. Storage space is abundant in this unit, inside and out! Camper is 20' closed and opens to 26', single axle. Used less than 20 times - everything is like new! And...More info Email a friend
2007 Keystone Laredo Garage Kept, hardly used 1 Slide out in living room, fireplace. $26,500 located in Wendell, NC.More info Email a friend


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He's Lost That Loving Feeling
When we were dating, my husband, who has ADHD, made me feel like I was the center of his world. Then we got married, and it felt like someone flipped the switch off! He doesn't touch me, or even talk to me, much. He tells me he loves me more than anything, but his actions don't say that. What can I do?
Believe him when he says he loves you, and don't take his lack of interest personally, although that is easier said than done.
At the same time, explain to him why his behaviors must change, so that you feel loved.
I warn you that it won't happen overnight. You'll have to persist to get him to understand how lonely you are and how he may be contributing to it. Without nagging him or accusing him of threatening the marriage, work with him to figure out how the two of you can spend more quality time together. For example, make a date each Sunday afternoon and explore your town together, hike in the woods, or go to a new restaurant in a neighboring town.
Another option is to promise that you'll eat breakfast and dinner together and share details of your day. Schedule enough together time each week so that you feel connected to him. On another note, you might also suggest that he talk with his doctor about tweaking his treatment plan.
Melissa Orlov is coauthor of a blog on ADHD and marriage on http://www.adhdmarriage.com/. She is also author of The ADHD Effect on Marriage (Specialty Press).
Melissa is co-author of a blog on ADHD and marriage at adhdmarriage.com, and coauthored Married to Distraction with Dr. Ned Hallowell and his wife, Sue. She is also the author of The ADHD Effect on Marriage.
What do you think of this article? Share your comments on www.ADDConnect.com, ADDitude's community site. Check out the new ADHD Medication User Reviews and the ADHD Adults Support Group. Your fellow ADDers want to hear from you!


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These SPC Performance FasTrax toe adapter kits are designed for use with the FasTrax caster/camber gauge from SPC. They include two arms and reinforcement blocks that make installation easy. Simply lower toe arms and insert a tape measure into the slot, and then measure to the opposite tire reference point for accurate and fast toe readings.
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Though In Touch reported today that the country singer proposed to the Ame… READ MORE
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- Casey Kitchel
- Grosse Pointe, MI
- United States
This conversation is closed.
What is the best way to prevent rape in war zones?
Rape in war zones is an issue of utmost urgency and needs to be stopped.
The purpose of this debate is to find solutions to a problem with very real and horrific consequences. All are welcome to participate and contribute, all I ask is for everyone to please be thoughtful and considerate with their contributions. I look forward to seeing what solutions the TED community can come forth with. Thank you.
Showing single comment thread. View the full conversation.
edward long 100+
Apr 22 2013: "The best way to prevent rapes in war zones is to prevent wars."
That's what I'm thinking too Pabitra.
Scott Bell mentioned something similar:
Question: What is the Best Way to Prevent Violence?"
Isn't it the warzone that creates the environment of instability that allows for the rape to happen? If you stop stop the warzones, then in theory, I would think one would be able to prevent a large percentage of the rapes.
Apr 23 2013: I think your question is not really about rape at this point so I won't deliberate on that issue save and except:
Rape has nothing to do with sex and procreation. It's all about violence (you are right) and violation of human dignity. I believe both male and female can be victim of rape, though in case of females it has additional consequences.
Violence is integral to systemic view of life. I'd like to be more practical and take social violence like wars, rapes, terrorism etc. as the talking point. No amount of regulation, laws, statutes can prevent such violence. The only way is to gravitate to a higher plane of enlightenment by the societies to realize that such violence cannot achieve anything worthwhile.
Sometimes, I imagine that violence has just become unfashionable.
Showing single comment thread. View the full conversation.


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5 Ways to Earn EZ Money Online
For those looking for ways to earn extra cash, below are 5 of the easiest ways to make ez money online. Be warned however that while these suggestions can get you ez money online; they are not fast, get-instantly-rich schemes and are actually all perfectly legal.
1. Start a blog
For those who are passionate about something—this could be literally anything under the sun—and have a whole lot of things to say about it, blogging may be perfect for you. Starting a blog revolving around your passion or hobby can be a great way to earn ez money while letting out your seemingly never-ending stream of thought farts. As in most Internet services, the key to blogging success is selling ads. To start, new bloggers usually sign up for ad services where you'll be paid if readers click on ads in your blog. Admittedly, although you won't exactly be earning a lot at first, this is still easy money. Also, once your blog becomes noticed, companies will be the ones seeking you out to promote their business, which means a greater income for you.
2. Become a web content writer
Depending on the scope of topics, research time, and the client, being a web content writer can also be a lucrative way to make easy cash overt the Internet. Prospective clients usually include website owners like small to medium sized businesses, marketers, and bloggers. Compensation will be based on the client, with some paying per word or for a set of articles. For this, you will need excellent writing skills and an understanding of SEO or search engine optimization. Other skills you'll learn as you go.
3. Sell stuff
You can sell new items or used items in various sites such as eBay, Etsy, and other auction sites online to earn ez money online. For this to work, you have to create a trustworthy seller profile and be very truthful about the items you are selling. You should take into consideration the prices of your products. Additionally, you should provide outstanding customer service by answering queries about your products, yes, even the silly ones.
4. Join the Amazon Mechanical Turk
Also called MTurk, the Amazon Mechanical Turk is a crowd sourcing marketplace where you can make some ez money. Payout is admittedly low but is reasonable since the tasks you'll be required to carry out can be completed in mere minutes and are simple. Joining is free and you can go on to accomplish certain requirements that will let you have access to tasks with higher compensation.
5. Sell your photographs
Selling your existing photos or taking new shots to sell online is also a profitable way to earn extra cash online. Look for legit websites that buy stock photos and look around the Internet to gauge what kinds of photos actually sell. Be ready to have some samples on hand as you'll need these to sign-up.


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Ever since his debut performance at Carnegie Hall, Eugene Rousseau has been an admired professional saxophonist. As a musician, he played throughout the world and had much to do with popularizing the saxophone. In fact he was the first musician to perform the saxophone as a solo instrument in numerous European cities. Rousseau's lengthy and prominent career included playing with such orchestras as the Prague Symphony, the BBC Orchestra, and the Santiago Philharmonic. Greatly involved with the development of the instrument, he not only set out to make his own mouthpieces but has also been the chief consultant for saxophones to the Yamaha Corporation since 1972.


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When it comes to sustainability, there may be lessons to be learned from ancient Mesopotamania. An environmental design company called Timelinks (based in the surprisingly environmentally innovative Dubai) has come up with an idea for a city complex that rivals the pyramids.
The ancient ziggurats were towers of receding stories with a temple at the top (better for the priests, apparently, to escape rising flood waters). Timelinks envisions its Ziggurat to be a carbon-neutral city of as many as a million people living in 2.3 square kilometres where cars aren't allowed. Much like a pyramid-shaped Masdar. The prototype will be exhibited at Cityscape Dubai, a business real estate convention in October.
The Ziggurat will be almost totally self-sufficient energy wise, according to Ridas Matonis, the managing director of Timelinks. Powering the city will be through steam power and wind turbine technology. Part of what makes Ziggurat so sustainable is piling people on top of each other means using less space. The developers believe that whole cities can be accommodated in less than 10% of the original land surface.
Traveling around the Zigurrat would be done through 360 degree integrated networks, kind of like elevators or subway cars that go sideways and up and down. It's a neat concept, but how viable is it?
In an interview with World Architecture News, Martijn Kramer, managing director of The International Institute for the Urban Environment says that the general reaction is the Ziggurat is viable from a technical point of view. "However, reflecting from a more sustainable holistic approach, we do wonder if the food supply and waste system are taken care for, as the concept seems rather based upon carbon neutrality and energy saving," Kramer says.
The company has applied to the EU for a grant to look at developing the project further.
Via Dvice, World Architecture News
written by Mike Shedlock, September 06, 2008
There's a good reason cryptogon filed this one under "Kill Off".
written by val, September 07, 2008
written by Virtual Insanity, September 08, 2008
Paranoid much?
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@ May 24, 2013 10:45 AM in SURPLUS COPPER FITTINGSFEMALE ADAPTERS 1" COPPER BY 3/4" fips $ 5.00 EACH
Mega press
@ March 21, 2013 4:05 PM in Press fittings for black steel pipehave done several job with the Viega megapress on gas and saved a tremdous amount of labor. The fitting cost is higher but the end results is dollars in your pocket. I am just old dog learning new methods of working smartwer not harder.
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@ January 4, 2013 6:30 AM in Steam trapThank you for the info, now for 64 thousand dollar question, what can replace it.
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@ January 3, 2013 9:58 AM in Steam trapYes the trap is located on the return
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@ January 2, 2013 1:28 PM in Steam trapHelp on this one please
@ December 9, 2012 7:45 PM in Cast Iron fittingMassachusetts
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@ December 8, 2012 7:00 PM in Cast Iron fittingLarge assortment of cast iron fittings and y Strainers all new, gate valves, rolled groved copper fittings and couplings 3 and 2 inch all dusty but new.
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@ February 13, 2011 9:01 AM in Chappee Wood BoilerThe secondary damper regulator is call a Sampson and can be found on line
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Sand blasting
@ July 10, 2009 4:43 AM in MA location for sandblast/paint hot water cast iron rad?we send are radiattor to a sandblasting comapany in Oxford Ma. Once completed we go down to Webster for the finish If you need names and address email me
@ June 8, 2009 9:10 PM in A Humble Plea.... - Alan R. MercurioYou have found a soft spot in the this old Marine. I want five tickets and don't be put out if I am the one that shows, I need to keep the crew working. And to all you Wallies if you can't make send in check for a 1 hour service call......
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@ June 1, 2009 4:20 AM in Wood boilersHS Tarm also know as BioHeat, Eko, Woodgun to name a few
@ October 19, 2008 7:52 PM in ASMERecently I was ask to install a wood add on boiler that the customer purchased. After reviewing the propose install, I inform the owner that the unit could not be installed legally in Mass. Needless to say the customer went into space after laying out $8,000 + tax & del charges & rigging into the basement. Why is it that a water heater, oil or gas is not ASME and legal to install? The operating pressure for a water heater far exceed that of boiler. The expansion tank and other sundry items are not rated. This boiler manufacturer in question has sold thousands of units and not one problem. How many States required that residental boiler be ASME? Was the intent of ASME for Commercial ? Interesting note does your homeoners insurance require that the boiler and water heater be ASME ?
Triplex Pump Pictures
@ February 17, 2008 2:05 PM in Triplex CirculatorAs promised. How old is it ?
@ February 17, 2008 1:56 PM in Triplex CirculatorAny guess how old it is?
@ February 17, 2008 1:54 PM in Triplex CirculatorAny guess how old it is?
Pictures of a old circulator
@ February 17, 2008 1:48 PM in Triplex CirculatorAs promised.
@ February 16, 2008 9:08 AM in Triplex CirculatorHas any one very heard of Triplex Heating Products from Peru Indianna? I recently came across a belt driven circulator made by them. I will post pictures later today. Looking for info
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@ November 18, 2007 12:20 PM in Fire suppression tankemail your phone number and I will advise on what to look at. We have done 10 plus both steam and water to water always via a heat exchanger
The Winter Project
@ October 18, 2007 4:39 AM in The Winter project2 million btu's of snow melt and adding more, 500,000 btu load for the domestic hot water 32,000 sguare feet of radiant. 3000 feet of Uponor Excoflex 3" 2" etc. and that only the begining. Viessmann Boilers and Uponnor radiant and Aquapex will be the main products.
believe it or not
@ October 18, 2007 4:20 AM in Picture missingPic missing yes that is 2 condensate lines
Automatic floor washer
@ October 18, 2007 4:18 AM in Believe it or notMulti million dollar home and the powder room toilet is constanly washing the floor. Numerous cleanouts by the pros at 200 dollar plus per visit. "you must be flushing something down the drain that is rather large." Checked this out.
Automatic floor washer
@ October 18, 2007 4:17 AM in Believe it or notMulti million dollar home and the powder room toilet is constanly washing the floor. Numerous cleanouts by the pros at 200 dollar plus per visit. "you must be flushing something down the drain that is rather large."


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|0. libpq for WindowsCE - The access sample application is offered with libpq for the client WindowsCE.
This can be made by a few changes by present PostgreSQL and wcecompat.
Registered: 2007-04-19 23:38
|1. psqlODBC - psqlODBC is the official PostgreSQL ODBC Driver.
Downloads are available on the PostgreSQL Mirror network at http://www.postgresql.org/ftp/odbc/, and support from the firstname.lastname@example.com mailing list (http://archives.postgresql.org/pgsql-odbc/).
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Owensboro, Ky. (WHAS11) -- Former president Bill Clinton is making a return to the Kentucky Bluegrass.
Clinton will appear on Wednesday at a fundraiser for the Wendell Ford Government Education Center in Owensboro.
Former Senator Wendell Ford was chairman of Clinton's first inauguration in 1993 and was Democratic whip for Clinton's first six years in office.