text:
Options for Reform
T-HEHS-99-130: Published: May 26, 1999. Publicly Released: May 26, 1999.
Additional Materials:
- Full Report:
(202) 512-7114
Office of Public Affairs
(202) 512-4800
Pursuant to a congressional request, GAO discussed efforts to reform the Medicare program, focusing on: (1) a conceptual framework for considering the various possible combinations of reform options; and (2) lessons about implementing reforms learned from recent Medicare experience.
GAO noted that: (1) options to reform Medicare have two major dimensions: (a) expansion of Medicare's benefit package; and (b) cost containment through financing and other structural transformations; (2) two commonly discussed benefit expansions are the inclusion of a prescription drug benefit and coverage for extraordinary out-of-pocket costs, known as stop-loss, or catastrophic coverage; (3) the financing reforms are reflected in three models: (a) fee-for-service modernization; (b) Medicare Choice modernization; and (c) a premium support system fashioned after the Federal Employees Health Benefits Program; (4) each of these models is designed, to different degrees, to alter program incentives in place to make beneficiaries more cost conscious and providers more efficient; (5) as the various reform options come under scrutiny, the importance of design details should not be overlooked; (6) GAO's work on efforts to implement reforms mandated in the Balanced Budget Act of 1997 is instructive regarding reform specifics; and (7) the principal lessons drawn from recent experience include the following: (a) the particulars of payment mechanisms largely determine the extent to which a reform option can eliminate excess government spending while protecting beneficiary access to care; (b) revisions to newly implemented policies should be based on a thorough assessment of their effects so that, at one extreme, they are not unduly affected by external pressures and premature conclusions or, at the other extreme, they remain static when change is clearly warranted; and (c) for choice-based models to function as intended, consumer information that is sufficiently comparable to create competition based on cost and quality is essential.
Sep 23, 2014
Health Resources and Services Administration:Action Taken to Train and Oversee Grantee Monitoring Staff, but Certain Guidance Could Be ImprovedGAO-14-800: Published: Sep 23, 2014. Publicly Released: Sep 23, 2014.
Sep 18, 2014
VA Health Care:Actions Needed to Address Higher-Than-Expected Demand for the Family Caregiver ProgramGAO-14-675: Published: Sep 18, 2014. Publicly Released: Sep 18, 2014.
Sep 16, 2014
Health Insurance Exchanges:Coverage of Non-excepted Abortion Services by Qualified Health PlansGAO-14-742R: Published: Sep 15, 2014. Publicly Released: Sep 16, 2014.
Sep 8, 2014
Medicaid Demonstrations:HHS's Approval Process for Arkansas's Medicaid Expansion Waiver Raises Cost ConcernsGAO-14-689R: Published: Aug 8, 2014. Publicly Released: Sep 8, 2014.
Sep 2, 2014
Medicare Advantage:CMS Should Fully Develop Plans for Encounter Data and Assess Data Quality before UseGAO-14-571: Published: Jul 31, 2014. Publicly Released: Sep 2, 2014.
Aug 22, 2014
World Trade Center Health Program:Approach Used to Add Cancers to List of Covered Conditions Was Reasonable, but Could Be ImprovedGAO-14-606: Published: Jul 23, 2014. Publicly Released: Aug 22, 2014.
Aug 13, 2014
Medicare Program Integrity:Increased Oversight and Guidance Could Improve Effectiveness and Efficiency of Postpayment Claims ReviewsGAO-14-474: Published: Jul 18, 2014. Publicly Released: Aug 13, 2014.
Aug 11, 2014
Health Prevention:Cost-effective Services in Recent Peer-Reviewed Health Care LiteratureGAO-14-789R: Published: Aug 11, 2014. Publicly Released: Aug 11, 2014.
Jul 30, 2014
Healthcare.gov:Contract Planning and Oversight Practices Were Ineffective Given the Challenges and RisksGAO-14-824T: Published: Jul 31, 2014. Publicly Released: Jul 30, 2014.
Healthcare.gov:Ineffective Planning and Oversight Practices Underscore the Need for Improved Contract ManagementGAO-14-694: Published: Jul 30, 2014. Publicly Released: Jul 30, 2014.
Looking for more? Browse all our products here


text:
Home » News » Public Safety
Some NH parents would welcome law to keep kids in car, booster seats longer
Michelle Langlois of Manchester demonstrates how she buckles up her daughter, Natalie. State legislators are considering hiking the age for keeping kids in child-restraint seats. (DAVID LANE/UNION LEADER)
Car seat guidelinesBirth to 12 months: Keep child in a rear-facing car seat.
1 to 3 years: Keep child in a rear-facing car seat as long as possible. Once the child reaches the top height or weight limit set by the seat manufacturer, the kid should ride in a forward-facing car seat with a harness.
4 to 7 years: Keep child in a forward-facing seat with a harness until the child reaches the top height or weight limit. Then it's time for a booster seat for the back seat.
8 to 12 years: Keep child in a booster seat until the child is large enough to fit in a seatbelt properly. That means the belt should fit snugly across the upper thighs, not the stomach. The shoulder belt should be snug across the shoulder and chest, not crossing the neck or face. Child should ride in back seat because it's safer.
Source: National Highway Traffic Safety Administration
"I always think the longer, the better," she said.
But she would like the law to go even further. "I would strongly urge height and weight (be included)," she said. "Every child is built differently."
Unlike Maine, New Hampshire doesn't include a weight requirement in its law, according to Pat Moody, manager of public affairs for AAA Northern New England. He testified before a House committee last month.
Moody said the original bill, which he supported, sought to raise the minimum age from the current 6 to age 8, but a House committee last month approved an amendment making it age 7. New Hampshire is one of 18 states that doesn't require booster seats for children between 7 and 8, he said.
But not everybody was sold on changing the minimum age, since for decades parents didn't face such restrictions.
"I don't know how we ever lived," said Brenda Sirois, a retired nurse and current care giver at Tumbleweeds Child Care Inc. in Manchester. "We all should have been dead and thrown out of cars."
She said height and weight should dictate seat requirements.
"The difference between kids is quite amazing, Sirois said. "Some of them, they're just too big for it."
The House last Wednesday voted 224-137 to require parents to use a child restraint system for any kid younger than age 7, rather than the current age of 6. Under House Bill 242, any child reaching 56 inches in height would be exempted, an inch taller than current law. The bill still needs approval in the Senate and the governor's signature.
House Minority Leader Gene Chandler voted against raising the age.
"I think the present law seemed to have worked," he said. "We don't need to tinker with it."
But unlike some colleagues, he said, "I do believe there is a place for having the present law."
Gov. Maggie Hassan's spokesman, Marc Goldberg said: "The governor supports measures to keep our children as safe as possible, including through the use of proper safety measures in vehicles, and she looks forward to hearing from stakeholders and fully evaluating the legislation to update current New Hampshire child safety laws as it is considered by the Senate,"
Goffstown police Capt. Rob Browne likes the proposed change.
"Anything that keeps the kids safe," he said. "We're probably pulling them out a little too early."
The department has two car seat technicians who install car seats and inspect car seats parents placed in their vehicles. About 30 people set up appointments last year, he said.
Manchester firefighter Ryan Lang, one of the department's three car seat technicians, said he would leave it up to legislators to decide. People can make appointments to have their seat installed or inspected. The department conducted 132 inspections and installations last year. (Parents can check with their local fire or police department to see if they offer assistance.)
Lang said some parents "bring the box" for technicians to install the seat. People sometimes install seats and leave too much sliding movement or don't get the correct seat angle. He urged parents to fill out a slip that comes in the car seat box. That form is for a warranty and any future recall notifications, Lang said.
Nina Cullen, owner of the children's store, Nini Bambini in Bedford, sees lots of young children coming into her store carried in car seats.
"The older we can keep them in (a seat) the better," she said. "Some kids you'll find are in booster seats until they're in the third or fourth grade."
Installation, inspection
. Manchester Fire Department, call 669-2256 x3333.
. Bedford Fire Department, call 472-3219, press 8.
. Nashua Police Department, 594-3500, contact Sgt. Todd Martyny.
. Londonderry CPS Program, call 432-1104, x 4623.
. Goffstown Police Department, call 497-4858.
. Concord Hospital, 230-7300
- Weare Deputy Chief Sean Kelly set to manage Weare Police Department - 0
- Lizard in food sends 300 schoolchildren to hospital - 0
- Body found under Manchester bridge identified as local woman - 0
- Communications giant chips in for generator for Derry FD - 0
- Londonderry family fair returns but child safety is still the theme - 0
- Girl, grandmother escape fire in Rochester home with no detectors - 0
- Motorcyclist in serious condition after crash in Rochester - 0
- Manchester police officers to be honored for work in unresolved West Side stabbing death - 5
- Authorities say smoking ignited oxygen in Derry apartment building fire - 1
Woman gets speeding ticket, then crashes into guard railREADER COMMENTS: 4
- Vailas rallies UNH football to 29-26 win over Richmond - 0
- Dave D'Onofrio's Patriots Notebook: Raiders should be tucked away early - 0
- St. Anselm football wins home opener, goes to 3-0 - 0
- SNHU golfer Nutter earns weekly honor - 0
- Dover's Helliwell wins ACT Invitational - 0
- Concord, Pinkerton, Coe-Brown runners win - 0
- Nashua South gets on track by beating Merrimack - 0
- Pinkerton stuffs Salem late, holds on - 0
- Dartmouth football wins opener over Central Conn., 35-25 - 0
Goffstown football makes statement with 28-14 victory over ExeterREADER COMMENTS: 0
Goodell vows domestic violence change
NH's future: Dean Kamen highlights a problem

subset: commoncrawl


text:
Specifically, I've found a way to watch the old "Twilight Zone" series, five years of programs that dealt with all sorts of crazy ideas such as visits from aliens, alternate universes and tricks of the mind. Most of the stories are sort of weird; in fact, my wife won't watch them because she finds them too spooky.
I like them, though, because they help me recall the things we worried about back around 1960, and they deal with human emotions and motivations that, despite the goofy premises of some of the programs, are pretty real, even among us 21st century sophisticates.
Quite a few of the stories deal with separate realities, such as a parallel universe a person suddenly finds himself in when a hole opens up in his closet, or when he goes to sleep at night and wakes up in the same bedroom where he fell asleep, but with a different family or in a different time in history.
Well, I'm a skeptic. I even reject nearly all the popular conspiracies that are bandied about these days.
I believe, for example, that Lee Harvey Oswald acted alone, that Barack Obama was born in Hawaii and that no aliens crash-landed in New Mexico in 1947. And I certainly don't believe in parallel universes, although it's fun to imagine them.
There are times, though, when I think there are people out there who live in some other world. One of those times came when I read in a recent edition about a candidate who wishes to be the Republican candidate for Wyoming's governor.
In that story, he states that Wyoming has the power to nullify federal laws, making them unenforceable in the state. He feels he will have the right and duty as governor to nullify such laws and actions if he perceives them as illegal.
"The U.S. Constitution is clear on it," he says. "It means what it says. It is very simple language."
Well, he must be reading a different Constitution than I am. Just to be sure, I re-read the document prior to writing this, with special attention to Article IV, which speaks to the relationship between the federal government and the states. There is nothing in that clause that even suggests the existence of such a power.
Further, in Article V, the Supremacy Clause declares the Constitution and "laws which shall be made in pursuance thereof," and treaties made by the U.S. government are "the supreme law of the land." It goes on to say "... the judges in every state shall be bound thereby, anything in the Constitution or laws of any State to the contrary notwithstanding."
In short, the language of the Constitution is clear on the subject, but the words say exactly the opposite of what the candidate believes it says
Moreover, the governor is an executive official, charged with executing the law, not deciding on its legality. Determining whether a law is "illegal" is the province of the courts, not the governor. To act otherwise would violate the system of checks and balances and would probably give the governor more power than a conservative such as this candidate would like him to have.
In holding this view, the candidate also would have to reject some of his own conservative principles, which hold that the Constitution must be understood literally. He would have to apply considerable interpretation to come up with his theory, and doing so could be seen as supporting the concept of a "Living Constitution," a concept more conservative theorists reject.
This issue has come up periodically throughout our history, and sometimes even New England states tried to claim the right. But, in fact, while the courts can declare federal laws unconstitutional, and have often done so, they have never ruled that nullification was constitutional.
It also occurs to me that, had the courts supported the South's nullification theory in 1860, the Civil War might never have happened. After all, if South Carolina had obtained the right to simply declare laws inimical to slavery null and void, they would have had no need to secede from the union, because they would have gotten exactly what they wanted while continuing to enjoy the advantages of staying in the union.
With that in mind, I checked the Constitution of the Confederate States of America just for fun. One would think that their Constitution would clearly include nullification under their theory of states' rights. But, lo and behold, I found that their Constitution contained a Supremacy Clause that reads just like the one in the U.S. Constitution they were rejecting by seceding from the union. It seems they didn't want states nullifying national laws either.
In short, the candidate is way off base in his assertion that he would have the right and duty to nullify federal laws. I'm not sure what he was reading that "clearly stated" that the state had the right of nullification, but it wasn't in the U.S. Constitution.
I trust Republicans out there would prefer to vote for a candidate who has read the real Constitution, not one in a parallel universe somewhere out there in the Twilight Zone.


text:
News from WTOP
News from the AP
Mike Causey
Shows & Panels
Shows & Panels
Shows & Panels
Shows & Panels
- The 2014 Big Picture on Cyber Security
- AFCEA Answers
- Ask the CIO
- Building the Hybrid Cloud
- CDWG/NetApp
- Connected Government: How to Build and Procure Network Services for the Future
- Continuing Diagnostics and Mitigation: Discussion of Progress and Next Steps
- Federal Executive Forum
- Federal Tech Talk
- The Future of Government Data Centers
- The Future of IT: How CIOs Can Enable the Service-Oriented Enterprise
- Government Perspectives on Mobility and the Cloud
- The Intersection: Where Technology Meets Transformation
- Maximizing ROI Through Data Center Consolidation
- Mitigating Insider Threats in Virtual & Cloud Environments
- Modern Mission Critical Series
- Moving to the Cloud. What's the best approach for me
- Navigating Tough Choices in Government Cloud Computing
- The New Generation of Database
- Reimagining the Next Generation of Government
- Satellite Communications: Acquiring SATCOM in Tight Times
- Targeting Advanced Threats: Proven Methods from Detection through Remediation
- Transformative Technology: Desktop Virtualization in Government
- The Truth About IT Opex and Software Defined Networking
- Value of Health IT
- Air Traffic Management Transformation Report
- Cloud First Report
- General Dynamics IT Enterprise Center
- Gov Cloud Minute
- Government in Technology Series
- Homeland Security Cybersecurity Market Report
- National Cybersecurity Awareness Month
- Technology Insights
- The Cyber Security Report
- The Next Generation Cyber Security Experts
Shows & Panels
WH proposal would ease FBI access to records of Internet activity
Thursday - 7/29/2010, 12:29pm EDT
The Obama administration is seeking to make it easier for the FBI to compel companies to turn over records of an individual's Internet activity without a court order if agents deem the information relevant to a terrorism or intelligence investigation, the Washington Post reports. The administration wants to add just four words -- "electronic communication transactional records" -- to a list of items that the law says the FBI may demand without a judge's approval. Government lawyers say this category of information includes the addresses to which an Internet user sends e-mail; the times and dates e-mail was sent and received; and possibly a user's browser history. It does not include, the lawyers hasten to point out, the "content" of e-mail or other Internet communication.
These stories are part of our daily Dorobek Must Reads. Check out the full list of stories.
These stories are part of our daily Dorobek Must Reads. Check out the full list of stories.


text:
Discover the material secrets of art with the September ACerS Bulletin—now online
August 21st, 2014 | by April Gocha, PhD
The September issue of the ACerS Bulletin is online—dig in to all the great content now!
August 21st, 2014 | by April Gocha, PhD
The September issue of the ACerS Bulletin is online—dig in to all the great content now!
May 22nd, 2014 | by Jessica McMathis
The American Ceramic Society (ACerS) recently announced its 2014 Distinguished Life Members and Class of Fellows
January 28th, 2014 | by Eileen De Guire
More than 1,000 scientists and engineers dodged the deep freeze gripping much of the United States to attend the 38th …
October 29th, 2013 | by Eileen De Guire
A record-breaking attendance of over 3,200 materials scientists, engineers, vendors, and students from around the globe are at MS&T'13 to report on their work, learn about the latest technologies, network, and conduct society business
October 29th, 2013 | by Jim Destefani
Highlights from the opening events from MS&T'
October 4th, 2013 | by Jim Destefani
ACerS is gearing up for several conferences early in 2014, including Materials Challenges In Alternative & Renewable Energy (MCARE 2014), and there's still time to submit abstracts for the event
September 6th, 2013 | by Eileen De Guire
The Italy-based World Academy of Ceramics has selected its 15th class of Professional Members of the Academy in its biennial election, including ACerS immediate past president George Wicks and 12 other ACerS members
July 30th, 2013 | by Eileen De Guire
George Wicks chats with China's rising energy scientists at the MCARE 2013 opening reception. Credit: ACerS. This year's Materials …
January 18th, 2013 | by Megan Bricker
L.K. Sharma (Joint Secretary of InCerS and Scientist-in-Charge of India's Central Glass and Ceramic Research Institute), second from left, greeted …
January 10th, 2013 | by Peter Wray
"Massive open online courses" initiatives will not be confined to the West. India, via YouTube, has just launched a fairly impressive array of …
© 2013 The American Ceramic Society


text:
Print or e-mail your favorites and plan your perfect visit to NYC today.
Learn more about the five boroughs that make up New York City with our complete guide.
Discover what to do, where to stay and what to see in New York City with our planning tool.
Any visit to New York City offers a multitude of highlights for children and their families.
Enjoy The Nutcracker, the Times Square New Year's Eve Ball Drop, the Orchid Show and more.
Download your free copy or order a guide online today.
Wireless Internet is available at locations throughout NYC—including many parks and libraries.
Get tips, maps and everything else you'll need during your stay.
These NYC-centric mobile apps put the City at your fingertips.
Off-Broadway Week: Get 2-for-1 tickets to this diverse roster of shows September 29 – October 12
Special dining offers, exclusively on Sunday.
Hotel deals to make you fall for NYC.
Many people come to New York hoping to make it to the top, and the fastest way there is the elevator—to the 67th, 69th or 70th floors at 30 Rockefeller Plaza. The three 360-degree-view observation decks at Top of the Rock showcase the City's spectacular skyline. Although you won't be able to see the skating rink or Christmas tree from up high, be sure to visit these seasonal attractions when you come back down.
Get deals and recommendations on citywide events for locals and visitors.


text:
Governor David Paterson slaps down the Police Commissioner's stop-and-frisk database, but it's only a start
John "Sonny" FranzeseThere was another new act presented yesterday in the Mafia opera of Franzese vs. Franzese in Brooklyn federal court, and it brought yet more disgrace on this fabled family. John Franzese Jr. explained why, before he wore a wire for the FBI against his mobster dad, he trie ... More >>
Being charged with five gang land murders that could lead to the death penalty would make anybody nervous. So it's little wonder that Colombo crime family big Thomas (Tommy Shots) Gioeli has been craving a little comfort food while awaiting trial. But, as the Daily News' John Marzulli reports ... More >>
The News and the Post are both reporting the death of Burt Kaplan, the turncoat mob associate whose testimony convicted the two worst New York City detectives in history - the so-called Mafia cops. It sounds plausible. Kaplan, 75, had prostate cancer and was serving a no-exit prison term of 27 year ... More >>
Two detectives who gave New York a whole new definition of corrupt cops were sentenced to life in prison without the possibility of parole this afternoon. Before sentence was pronounced in Brooklyn Federal Court by Judge Jack Weinstein, Louis Eppolito, 60, and Stephen Caracappa, 67, both rose to ... More >>
Longshoremen's union insists the mob's shadow is receding
As a Juror, How Would You Vote?


text:
Crunchy Coleslaw
If you don't eat carrots, leave them out and add another 3/4 cup of chopped red bell pepper. The carbo rating will be the same.
Yield: 6 servings (serving size: 1/2 cup)
More From Oxmoor House
Nutritional Information
Amount per serving
- Calories: 34
- Calories from fat: 0.0%
- Fat: 0.3g
- Saturated fat: 0.0g
- Monounsaturated fat: 0.0g
- Polyunsaturated fat: 0.0g
- Protein: 1.8g
- Carbohydrate: 6.6g
- Fiber: 1.4g
- Cholesterol: 0.0mg
- Iron: 0.4mg
- Sodium: 269mg
- Calcium: 59mg
- 3 cups packaged finely shredded green cabbage
- 3/4 cup packaged preshredded carrot
- 1/2 cup chopped onion
- 1/4 cup finely chopped red bell pepper
- 1/2 cup plain fat-free yogurt
- 1 tablespoon honey Dijon mustard
- 1/2 teaspoon salt
- 1/4 teaspoon pepper
- 1. Combine first 4 ingredients in a medium bowl; toss well. Combine yogurt and next 3 ingredients; pour over cabbage mixture. Toss gently to coat. Cover and chill 1 hour. Stir just before serving.
- carbo rating: 5
My Notes
Only you will be able to view, print, and edit this note.Add Note
Crunchy Coleslaw Recipe at a Glance
- COURSE: Salads, Side Dishes/Vegetables
- MAIN INGREDIENT: Vegetables
- DIETARY CONSIDERATION: Diabetic, Low Calorie, Low Cholesterol, Low Fat, Low Saturated Fat
- PUBLICATION: Oxmoor House
More Recipes Like This
Crunchy ColeslawAll You
Crunchy Coleslaw with Buttermilk DressingReal Simple
Colorful Summer ColeslawReal Simple
Do you love cookies?
We do too! Get your favorite holiday cookies delivered to your inbox.(Nov.-Dec.)
We Respect Your Privacy. Privacy Policy


text:
I know, I'm sorry, I haven't finished up my Ice Baby Collections posts. Only one more after this though, promise! I've been having issues with getting my camera to hook up and blah blah blah,....ANYWAYS here's 24 Carrats!
|2 coats.
Oddly enough, I was super excited about this polish. See, I'm not a big fan of the tiny bar glitters. Why? I seriously can't get over the fact that they remind me of tiny hairs on my nails. However, that might just be me. Plus you have to move them about on your nail so it doesn't stick out all wonky. So after hearing this why was I excited in the first place? Because 24 Carrats is a downright Fall color combo.
|2 coats.
This was really hard to photograph, but hopefully the break down will help you 'see' it better. This is a clear suspended base with fine gold glitter and oh so thin and delicate bar glitter. The coloring is what struck me as it is warm leafy colors, an orange-toned bronze & a bronze-toned gold. Yes, that might sound weird to some, but trust me that's what it is! I love that it flashes versions of all these colors and in order to get over my tiny bar glitter issues I just needed to admire the color. I ended up with 2 coats although it could've easily used 3-4. I liked it better in 2 for some reason, maybe because its warmer and more skin toned than the others?
|1 coat.
|1 coat.
Do you have this color? How do you like it? I think its definitely prettier in person although I tried forever to capture it.
Here's my first look at the Ice Baby Collection from Wet n Wild.
For the specific description of the texture of the polish, see my first review of 'Back Alley Deals'


text:
The Toyota/Subaru collaboration has all of us car enthusiasts talking, but with the Subaru FT-86 getting ready to blow Toyota's version out of the water, the Japanese company is already thinking of a backup plan. According to some insiders at Toyota , a sedan version of the FT-86 has been given the green light and is considered a "plan B that will be introduced to cover the FT-86 investment in case the coupe doesn't become a commercial success." The new sedan will cost somewhere in the area of $30K.
The sedan version will be built on the same Subaru Liberty platform that the coupe version is built on with the same Subaru 204 HP boxer engine under the hood. This engine will be mated to a six speed manual gearbox or a continuously variable transmission (CVT). There are also rumors of a top version model that will use the Subaru 3.6-liter H6 powerplant delivering 256 HP.
So, if built, the sedan version will be the third model in the FT-86 sedan, next to the coupe and the "baby " version.


text:
"Just saw Eclipse, fantastic!!!!!! Cannot wait till Breaking Dawn, pleeeeeeease don't make it a two parter like the Harry Potter movie!! There are plenty of 3 hour movies out there! And Stephanie, don't be done with this story!! There is…"
© 2014 Created by Hachette Book Group.
Report an Issue | Guidelines | Report an Issue | Terms of Service


text:
Hi, I'm Jaden, a professional recipe developer, food columnist and food photographer specializing in fast, fresh and easy recipes for the home cook. Most of my recipes are modern Asian! About meFast, fresh & easy recipes for the home cook.
Sunday, October 17, 2010
Inspired by Alice in Wonderland! Find it at Hidden Art Shop
I love these!!!!
Cute, cute, cute!!!


text:
In this section you can view educational resources for pedestrians.
Pre-school (0-4 years)
The Children's Traffic Club
An award winning programme for 3 to 4 year olds
and their parents/carers on how to stay safe on our roads.
View pageThe Childrens Traffic Club
Primary (5-11 years)
The a-z of Traffic Tales
A range of resources bringing together relevant
road safety messages through 26 stories.
View pageThe a-z of Traffic Tales
Junior Road Safety Officers (JRSO)
This fun resource encourages young people to
deliver road safety messages to their peers.
View pageJunior Road Safety Officers (JRSO)
Just a Journey
A comprehensive multimedia resource looking at
risks, causes and consequences for this age group.
View pageJust a Journey
Now You See Me, Now You Don't
A Theatre in Education performance exploring
the factors that lead to a crash.
View pageNow You See Me, Now You Dont
Secondary (11-16 years)
Life's Journey
This resource tackles road safety and citizenship
issues through different forms of media.
View pageLifes Journey
The Price
A Theatre in Education performance targeting
pupils in their transitional year.
View pageThe Price
The LSCP Learning Zone
A range of educational resources on the dangers
of speed and red-light running.
View pageThe LSCP Learning Zone


text:
Golf writers pick Adam Scott as 2013 best player
Kapalua, HI, United States (4E Sports) – The Golf Writers Association of America (GWAA) has picked Masters champion Adam Scott as its Male Player of the Year over world No. 1 Tiger Woods.
Scott finished five votes ahead of Woods in a poll of 220 golf reporters and broadcasters. Wood earlier captured the PGA Tour Player of the Year honors voted on by peers.
"It is an honor to be recognized as the most consistent male golfer of 2013 and it is appreciated to have the respect of the Golf Writers of America. Thank you," said Scott from Maui where he's preparing to kick off his 2013-14 PGA Tour season at the Hyundai Tournament of Champions.
A 10-time GWAA Player of the Year, Woods won five PGA Tour events in 2013, three more than Scott, who ranked second to Woods in the world rankings.
However, Scott outplayed Woods in the majors, adding top 10 finishes at the British Open and PGA to his green jacket. For his part, Woods tied for fourth at the Masters and sixth at the Open.
Aside from his performance in the PGA Tour, the GWAA also considered Scott's performance in international events when he won the Australian PGA and the Australian Masters.
Scott also teamed up Jason Day to win the team portion of the World Cup of Golf.
Scott played 20 tournaments worldwide, won four of them, was top three eight times, top 10 in half of them, and never missed a cut.
Meanwhile, the GWAA also voted Inbee Park its Female Player of the Year and Kenny Perry its Senior Player of the Year, each with 91 percent of the votes. Park won the first three women's majors of the season and Perry won two senior majors.
Leave a Reply
You must be logged in to post a comment.


text:
The first message from the Nigerian that didn't bother me.
"My butterfly's vibes… love her,ignore her,love her,abhor her,these things I do are for her. There is no depth to your delusion of compassion. Her search for language and beliefs is because she knows its ok to hurt the feelings of those that are simple minded. She wouldn't love me if she didn't believe me. I was contacted by your John Miller. But I won't go to America again,she'll come to me. Nice try."
I'm not the one to forget what this guy has done. Repercussions and outcomes aren't the strength of the young ones. Our paths will unite again, and unresolved conflict will become.
So romantic, and yet so desperate. I'm so glad I'm not a parent.
Such rebels
The amount of information we dis-confirm to justify what we hold dear in our automatic processes is something that no one should expect to overcome. We're rebellious as kids because its innate to test the waters, and we're rebellious as adults with our personally held automatic beliefs. At some point, that can all crumble away, but only when things aren't going well, and we're broken down. We can either break everyone down… or just learn to accept people for what they are, quit fighting, and move on.
So many desperate people out there. Happiness is the way. Intellectualism is the path. Jesus is love. My one and only is the only one for me. They're all one in the same. The greatest enemy is the one that hides in the worst place. Their greatest enemy is in themselves. It's fooling themselves. They think they know; they're sure they know, but they never know how to listen, until its too late. When its too late, the memories they've made are already with the wrong people. The memories they've made are useless…
So fooled
It's amazing how the internet has changed our social lives. You probably never even think about it. Growing up, before the internet, was easy. Life in general was easy. But we are a social people, and change the social dynamic of the world, and you change the world.
For some reason I always wanted to be different; unique. I didn't dress like everyone else, or even like all the same things as others. I tend to be attracted to people that have those same characteristics. But I've noticed that people like me, which I guess they now call hipsters, have a whole plethora of things to go through on social media sites like this one, in which they have to see thousands upon thousands of pictures, quotes, and videos, in order to know what they don't want to be like. It seems like its the people that say they don't care about what others think about them, that care the most how they are perceived. To me, its the worse thing that we can do to ourselves. We're completely fooling ourselves, just to have something that we can call our idea, or our saying, or our favorite style.
When I was growing out of my late teens/early 20's, I realized what I was leaving behind.. a child, who thought that he was always right, and others didn't know best; who thought that every cool phrase he said was his original, and every idea his own. But there's 7 billion freaking people in this world. We all have similarities, there's always differences. There's always someone thinking exactly like you. TUMBLR is just causing some people to extend that adolescent egocentric personality for far too long, helping it to become a neurally complex ball of complicated selfishness. The easiest person to fool is yourself.


text:
TORONTO -- Montreal linebacker Chip Cox wasted little time Friday night in entering the Alouette record book.
Cox sacked Toronto quarterback Zach Collaros for a seven-yard loss on the Argos' second offensive play to record his 111th tackle of the season. The previous club record of 110 was set in 1996 by Tracy Gravely.
It was also Cox's 11th sack of the season, tying him with teammate John Bowman.
Cox finished with five tackles on the night, upping his season total to 115. He also notched another sack to make it an even dozen.
The CFL record for tackles is 130 in 2012 by Edmonton's J.C. Sherritt, who was named the CFL's top defensive player that year. The 30-year-old Cox came into the Toronto game leading the league in tackles this season.
Cox, an undersized linebacker at five foot nine and 185 pounds, is an eight-year veteran from Columbus. Ohio. In 2012, he led the team with four interceptions and a career-high 82 tackles.
He started his career as a defensive back.
CFL on TSN analyst Paul LaPolice opens his playbook and breaks down key plays from each week's games. More...
The CFL on TSN panel is all set to answer your football questions!
Send your question on Twitter to @CFLonTSN using the hashtag #AskThePanel.


text:
This mouth-watering image of Saturn was captured b... ...outh-watering image of Saturn was captured by the Cassini spacecraft at a distance of 750,000 miles. That's... ...ning? One reason is because the planet is between Cassini and the sun, which gives it a marvelous backlit e...http://www.neatorama.com/2013/11/13/Beautiful-Saturn/
This picture, taken by the Cassini space probe, is a storm raging on Saturn's north...http://www.neatorama.com/2013/04/30/The-Glowering-Red-Eye-of-A-Saturn-Hurricane/
The Cassini spacecraft took this picture of Saturn from the p... ...012, during its 174th orbit around the gas giant, Cassini was deliberately positioned within Saturn's shado...http://www.neatorama.com/2012/12/19/The-Dark-Side-of-Saturn/
This photograph of Saturn was taken by the Cassini spacecraft in December. The rings are completely...http://www.neatorama.com/2012/01/08/the-immensity-of-saturn/
This image was selected as the Astronomy Pictu... ...ture of the Day last weekend. It was taken by the Cassini probe in 2006 from the shadow of Saturn. First,... ...NASA. Link -via Laughing Squid (Image credit: Cassini Imaging Team, SSI, JPL, ESA, NASA)http://www.neatorama.com/2011/09/08/the-night-side-of-saturn/
5.6k Saturn Cassini Photographic Animation from stephen v2 on Vimeo.... ...ar, far more beautiful and impressive. Here's the Cassini spacecraft approaching Saturn in 2004. No CGI, no...http://www.neatorama.com/2011/03/18/cassini-spacecraft-approaching-saturn/
There's a strange hexagon shape at the north pole... ...planet Saturn. It was spotted 20 years ago, and Cassini confirms it's still there. Is it some alien for...http://www.neatorama.com/2009/10/09/saturns-hexagon/
The Big Picture Blog from the Boston Globe has p... ...ton Globe has pictures from NASA sent back by the Cassini spacecraft as it passed Saturn and its moons. Cassini has been functioning in space for almost five yea... ...st five years now, and the pictures are awesome! Cassini...http://www.neatorama.com/2009/04/21/saturn-by-cassini/


text:
this sounds like it would be good
Carrot Cake
Photo: Oxmoor House
This deliciously moist cake is chock-full of carrots, nuts, and raisins.
Yield: 22 servings (serving size: 1 slice)
More From Oxmoor House
Nutritional Information
Amount per serving
- Calories: 332
- Fat: 10.4g
- Saturated fat: 2.2g
- Monounsaturated fat: 2.9g
- Polyunsaturated fat: 4.2g
- Protein: 3.2g
- Carbohydrate: 59.4g
- Fiber: 1.1g
- Cholesterol: 44mg
- Iron: 0.5mg
- Sodium: 119mg
- Calcium: 28mg
- Cake:
- 2 teaspoons ground cinnamon
- 1 teaspoon grated orange rind
- 2/3 cup fresh orange juice
- 1/2 cup vegetable oil
- 4 large eggs
- 1 (15-ounce) package gluten-free yellow cake mix (such as Betty Crocker)
- 1 (3.4-ounce) package gluten-free vanilla instant pudding mix
- 3 1/3 cups grated carrot (about 1 pound carrots)
- 3/4 cup raisins
- 3/4 cup chopped walnuts
- Cooking spray
- Frosting:
- 6 ounces 1/3-less-fat cream cheese, softened
- 2 tablespoons 1% low-fat milk
- 1 1/2 teaspoons vanilla extract
- 4 1/2 cups powdered sugar, sifted
- 1. Preheat oven to 350°.
- 2. To prepare cake, combine first 7 ingredients in a bowl; beat with a mixer at low speed for 1 minute. Scrape sides of bowl; beat at medium-high speed for 2 minutes or until batter is smooth, scraping sides of bowl occasionally. (Batter will be thick.) Fold in carrot, raisins, and walnuts. Spoon batter evenly into 2 (9-inch) round cake pans coated with cooking spray.
- 3. Bake at 350° for 30 minutes or until a wooden pick inserted in center comes out clean. Cool in pans 10 minutes; remove from pans. Cool completely on a wire rack.
- 4. To prepare frosting, place cream cheese, milk, and vanilla in a large bowl; beat with a mixer at high speed until creamy. Gradually add powdered sugar; beat at low speed just until blended.
- 5. Place 1 cake layer on a plate; spread with 1/2 cup frosting. Top with remaining cake layer. Spread remaining frosting over top and sides of cake.
My Notes
Only you will be able to view, print, and edit this note.Add Note
Carrot Cake Recipe at a Glance
- COURSE: Cakes/Frostings, Desserts
- DIETARY CONSIDERATION: Gluten-Free, Low Sodium
- PUBLICATION: Oxmoor House
More Recipes Like This
Carrot CakeCooking Light
Layered Carrot CakeSouthern Living
Indulge your cravings!
Free Daily Indulgence Newsletter: You'll get our most indulgent sweets and savory treats.
We Respect Your Privacy. Privacy Policy


text:
Press contacts and other information for journalists.
Sign up for news alerts and web updates.
The Pension Protection Fund was established to pay compensation to members of eligible defined benefit pension schemes, when there is a qualifying insolvency event in relation to the employer and where there are insufficient assets in the pension scheme to cover Pension Protection Fund levels of compensation.
The PPF 7800 Index has been updated to the end of July 2014.
The PPF reported a £2.4 billion surplus and a funding ratio of 112.5 per cent today, increasing the likelihood of being financially self-sufficient by 2030 to 90 per cent.
The PPF 7800 Index has been updated to the end of August 2014.
In response to its consultation, the Pension Protection Fund today called for schemes to consider the effect of the amended definition of money purchase benefits on s179 valuations.


text:
Missoula Man Brags on Facebook About Killing Wolves – Story Grabs Nationwide Attention
Wildlife officials are investigating after a Missoula man's Facebook claims he ran over a pair of wolf pups along the Montana-Idaho border.
Wildlife officials are investigating after a Missoula man's Facebook claims he ran over a pair of wolf pups along the Montana-Idaho border.
The Missoula Police Department announced on Tuesday that the homicide investigation at the Fox Club Lounge has been delivered to the Missoula County Attorney's office to determine if charges will be filed.
Officials with the Department of Natural Resources and Conservation said on Tuesday, that the Lost Mine Loop fire on Upper Miller Creek Road would be 100% controlled by the end of the day.
The Missoula County Sheriff's Office has been investigating a series of burglaries in the Seeley Lake area, and has determined that the suspect has apparently left the area.
So, was the officer simply doing his job or taking it all a bit too personally? You be the judge.
Apparently iPhone users haven't grown tired of the allure of a new model. On Monday, Apple said they have sold more than 10 million of the new iPhone 6 and 6 Plus models during the first three days they were available.
When it comes to music, artists can find inspiration from a long list of talented acts that came before them. But when it comes to parenting? That list is shorter -- and there's just two people who inspire Carrie Underwood most.
If you're a big picture kind of guy (or gal), Kenny Chesney's 'The Big Revival' project may not be for you. The 11 songs on the singer's new album celebrate the little moments in life that at the time mean nothing, but later mean everything.
The Missoula bomb squad was called to the Superior Post Office yesterday to investigate a suspicious package..
Yeah, this will ruin your day! Amazing that she happened to be rolling video when this happened. (Stock photo not actual car).
Missoula police are seeking a suspect accused of raping a woman in downtown Missoula early Saturday morning.
Missoula School District One released a statement regarding former Missoula Sentinel High School principal Tom Blakely on Monday afternoon, according to District Communications Director Hatton Littman.


text:
HP is offering huge coupon savings on this Hp Pavilion Elite HPE-590t (XX096AV) Mini-Tower Desktop for just $1549.99 – $400 Coupon (DT1988) + Free Shipping = $1149.99!
If you're looking for he ultimate computing experience then here it is! The HP Pavilion Elite series is synonymous for insane speed and power and that trend doesn't end with the 590t series. This small tower packs quite a punch but has a small footprint that will make it very easy to setup wherever you need it. It's powered by an ultra fast Six-Core Intel Core i7-970 at 3.2GHz for unsurpassed speed paired with 9GB's of DDR3 RAM for the best multitasking experience available. It powers through all your HD needs with the AMD Radeon 6570 video card with 1GB of VRAM and will give you tons of storage to spare with the massive 1.5TB hard drive.


text:
Created: Thu, 05 Dec 2013 10:55:00 CST
Updated: Mon, 09 Dec 2013 08:54:40 CST
There's an old saying that has its roots in the Army–Hurry up and wait....
It must seem like an eternity for the Nebraska football players and coaches as they look forward to their bowl assignment.
They'll know Sunday...
Some may argue the squad already knows and its just a formality...
Many believe the Huskers will be heading for the "Valley of the Sun" also known as Tempe, Arizona to meet a familiar foe from the Big 12 in the Buffalo Wild Wings Bowl Saturday night December 28th.
Almost a week has gone by since the regular season ending loss to the Iowa Hawkeyes 38–17 here at Memorial Stadium putting the Big Red record at 8–4.
No matter what the players to a man say the coaches have "had their back".
In a couple of days when you have an opportunity to reflect probably have a better evaluation but a gut reaction this is a defense that started the year, it was not very good by any standard, I think as the year went on It grew into a defense that was at least statistically, it was going to end up if you just evaluated the Big 10 confercned in the top 3 or 4 defenses from where we started to where we finished, we made some significant improvements. We have a lot of young kids on this team that will really be good down the road.
As for the Hawkeyes, the Outback Bowl in Tampa is a possibility.
The Wisconsin Badgers seem to be set for the Capital One Bowl where the Huskers have been the last two years.
Michigan is a good guess for the Gator Bowl and Minnesota to the Heart of Dallas Bowl.
Michigan State, win or lose in the Big 10 title game against Ohio State, looks to be bound for the Grand Daddy of 'em all, the Rose Bowl in Pasadena.


text:
NEWS BLOG (WSAU) It's a more serious emergency than we realize.
There are some reports that the propane crisis is going beyond mere supply and demand and may enter a new phase where just getting supplied is impossible. Already propane distributors are seeing their reserves go low. (They also have to pay the much higher spot price.) There are already reports of rationing -- where the dealer won't fill up a tank even if the customer can afford it, in the name of being able to bring something to everyone who depends on it as a source of heat. We'll know if there are full blown supply shortages in a few days. Governor Walker may give us some clues on Monday.
Imagine the crisis if some people can't get their tanks re-filled. There's no way they could stay in their homes... the temperatures would drop below freezing in a few hours. They'd need to seek shelter with family or friends, or community warming centers would be needed. After 12 hours or so, their pipes would freeze. That would cause catastrophic damage to a home. And consider that many of the 250,000 people who heat with propane live in trailers, mobile homes, or prefabricated housing. Many of these dwellings aren't insured to the same standards as other houses; and there's no one who can cover a burst pipe out-of-pocket.
Already some rural schools in Tennessee and Kentucky has closed because they can't get enough propane to heat their buildings. Some suppliers say they can't afford to honor guarantee contracts; the higher wholesale cost of propane would put them out of business if their customers paid the price they supposedly locked in at the beginning of the heating season. And we don't have a strategic reserve of propane like we do for crude oil, and the suggestions so far -- like lifting some of the trucking restrictions to get more supplies into the state -- are probably inadequate. This will be a white-knuckle cold snap for people who've never seen this kind of supply problem in their lifetimes.
Chris Conley
Image: Propane tanks are connected and inspected as preparations are made for final approval at this FEMA temporary housing site at Harrell Stadium in New Orleans. Victims of Hurricane Katrina displaced from their homes by the storm will be moving into these 102 trailers. Robert Kaufmann/FEMA via Wikicommons.com


text:
- Brookside Animal Hospital
- About Us
- Hours
- Services
- Emergencies
- Boarding
- Client Education
- Rescues
- Testimonials
- Rebates & Coupons
- Contact Us
"We Treat Every Pet As If It Were Our Own"
10625 Wiles Road, Coral Springs, Florida 33076 - (954) 755-5540
In addition to the Pet Health Care Library, Brookside Animal Hospital has provided the following links to websites that provide some great information on a variety of topics related to veterinary medicine and pet health care. We will update this page frequently, and would love to hear your ideas on links that you would like to see us add to this page to share with other pet owners. Feel free to send us your favorites. If we like them, we will add them to our list!
Brookside Animal Hospital is conveniently located on the Northwest corner
of Coral Springs Drive and Wiles Road in the Publix Brookside Square Plaza.
10625 Wiles Road, Coral Springs, FL 33076


text:
Securely connects you to portions of your medical record:
Online second opinions from top specialists:
Securely request a copy of your Images Studies from our Images Library:
Physician-to-physician medical record access:
Medical record system for physicians in private practice:
Find phone numbers and email addresses for Cleveland Clinic Online Services:
Enter the first letters of a doctor's last name.
Use filters to find the right specialist.
Use filters to find a doctor in a particular department.
Use filters to find any doctor at a particular facility.
Use filters to find a family doctor, internist or pediatrician.
Use filters to find a primary care pediatrician or pediatric specialist.
Print a directory listing of all physicians for each institute.
Explore our new 3D Map
Submit a Form
More Options
Expand Content
Levester Kirksey, MD
Peripheral artery disease (PAD) affects about 8 million Americans. It is estimated that 1 in 3 diabetics over the age of 50 are suffering from this condition. If left untreated, PAD can lead to severe damage to the limbs and organs. Vascular Surgeon, Dr. Lee Kirsksey answers your questions about PAD.
HubbsG: I am 66 and was aerobically active until a few years ago. my feet and hands are so cold that I have given up outdoor activities except in very warm weather. My vascular blood pumping has been checked by several doctors through palpitation. What type of doctor should I see concerning circulation in my feet and hands. My heart is fine according to my cardiologist.
Dr__Kirksey: You should see a vascular specialist, ie, vascular medicine, cardiology, vascular surgery and non-invasive diagnostic studies can be done to diagnose the cause of your symptoms.
Paul: Do night leg cramps indicate PAD?
Dr__Kirksey: Leg cramps, or more specifically, foot pain can be a sign of peripheral arterial disease, however, more commonly is related to nerve-related discomfort or electrolyte disturbances. Diagnostic tests, like an ABI, can distinguish the cause.
Warren: I have numbness in my legs and feet and pain in his leg when I walk allot. I have high blood pressure and high cholesterol. Can this be PAD?
Dr__Kirksey: Risk factors for peripheral arterial disease include high cholesterol, elevated blood pressure, diabetes, and smoking history. Your symptoms may be a result of peripheral artery disease and can be evaluated quickly with non-invasive vascular studies. Visit your vascular specialist to be evaluated and have these studies provided for you.
kw83kw: How is PAD diagnosed? are the specific tests that I should ask about?
Dr__Kirksey: PAD can be diagnosed by physical examination, however, the more common way it is diagnosed is by recognition of symptoms which may include calf cramping with exercise, pain at rest, or the development of ulcerations of leg or foot. They are very simple tests called the ABI (ankle-brachial index) which can identify the presence of PAD.
SaraB: I had superior mesenteric artery by-pass surgery 2 yrs ago. Since then I have been told that my inferior artery is occluded. A stent did not work on the superior. Is there anything that can be done for the inferior artery? I have been told no.
Dr__Kirksey: At the Cleveland Clinic, we are frequently consulted for second opinions regarding revascularization options. I would suggest obtaining your imaging studies and seeking a second consultation regarding the possibility of angioplasty, stenting or surgery.
Kipner: How long do stents to the renal arteries last? What do they do if they block up again?
Dr__Kirksey: The durability of stents within the renal arteries varies. Importantly, close monitoring with non-invasive vascular tests is important to identify recurrence of blockages. This allows them to be treated and to prolong the performance of the stents.
SpencerH: I had laser ablation of both varicose great saphenous veins approximately 2 years ago. Done by a very highly trained vascular surgeon. In one leg the varicosity returned with a vengeance in the same vein. In the other a new equally bad varicosity developed in a different vein. I am not amused. I am wondering what your observations would be. Thank you
Dr__Kirksey: New vessels or neovascularization can occur following endo-venous ablation, non-invasive ultrasound can diagnose recurrence of your venous insufficiency and determine what local treatment is appropriate for your varicose veins, including sclerotherapy.
WHENDYM: I have been in pain since 4/29 I went to the ER they told me I have superficial vein thrombosis in the left leg they gave me nothing. should I still be in so much pain still the swelling went down the pain has went up.
Dr__Kirksey: Superficial thrombophlebitis can be quite painful due to severe inflammation; typically treatment consists of warm compresses and anti-inflammatory medication, however, it may take several weeks for your symptoms to resolve. Schedule a follow-up appointment with your vascular specialist to assure complete resolution.
CHIRIACO: Are there new procedures you can recommend for those of us with lower extremity, full occlusions in which traditional angioplasty/bypass is not recommended?
Dr__Kirksey: There is rapid evolution of alternative treatment options for lower extremity arterial occlusions, including drug-eluting balloons and stents. Evaluation by a vascular specialist can determine your treatment options including bypass.
CHIRIACO: which medical facilities on the west coast would you recommend(if travel to Cleveland clinics isn't possible) that would implement these newest surgical interventions for lower extremity occlusions?
Dr__Kirksey: There are a number of good vascular programs on the West Coast - consult with your local physician.
Flames12: What procedures are available for a person with PAD who is suffering from a blocked artery in the lower left extremity--outside of angioplasty or by-pass on the arteries in the lower legs?
Dr__Kirksey: Angioplasty, stenting or bypass are the standard options for improving circulation to the lower extremities, eliminating symptoms and preventing amputation. To date, no medical therapies are available to improve symptoms.
karrwhit6: I had a graft and stent put in about maybe 10 yrs ago, I am wondering if It possible that these may return again, I having been having pain with walking and really need to rest, so I'm wondering if maybe I could PAD again, does it return if been treated once
Dr__Kirksey: Yes, bypass grafts can develop failure over time and it is important that they are monitored after placement. Visit your vascular specialist to have the appropriate testing and determine what can be done to alleviate your symptoms.
Nana4: Do you use laser therapy to treat blocked arteries in the legs?
Dr__Kirksey: In some types of lower extremity arterial insufficiency, lasers can be used to reopen blocked arteries and facilitate balloon or stent placement. Trials are ongoing at the Cleveland Clinic using this technology.
bmet12: My wife had a venous ulcer wound on her leg just above the ankle. This was treated surgically by using her saphenous vein on her other leg. It was successful. Within a year the same condition appeared on her other leg in the same spot. Very painful & life altering. Since they will not use her last saphenous vein, is there an alternative for her surgically? Is there another source for a vein? Thank- You, Paul.
Dr__Kirksey: There are a number of causes of lower extremity wounds including venous insufficiency and arterial insufficiency. This distinguishing the two can determine which treatment is most appropriate.
STEVENM: what could happen to make a femoral bypass surgery end up with an amputation on the opposite leg of surgery and a scrotectomy preformed on my groin destroying my sex life. They say it happens. I got gang green in my foot and on my privates. They say it isn't out of the normal for this type surgery to end up like this.
Dr__Kirksey: You would really need to consult with your specialist.
GeorgeB: If someone is told that he needs an amputation - are there times when a foot or limb can be saved instead of amputation? What are some things that can be done to prevent amputation?
Dr__Kirksey: There are many alternatives for revascularization prior to amputation. Initially, angiogenesis therapy can be offered in some cases where revascularization is not possible. Consult with your vascular specialist to determine what options are best for you.
Paul: What is the relationship between wounds and amputation? Is there anything to treat wounds or try to help save the limb?
Dr__Kirksey: Lower extremity wounds can develop as a result of venous or arterial insufficiency or a combination of the two. Management of the problem frequently requires a multi-disciplinary approach including wound specialists, vascular medicine, cardiologists, vascular surgery and podiatrists. At the Cleveland Clinic, we have an aggressive leg salvage program dedicated towards reducing the rate of amputation. We use proven traditional techniques and innovative new technology to achieve this goal.
girlz: Why are so many diabetics ending up with amputations?
Dr__Kirksey: Diabetics are two to three more times likely to develop heart attack, stroke, or limb amputation. There are a number of reasons for this; however, it is clear that diabetes directly affects the arteries of the body. Patients with diabetes should have careful foot care, and also risk reduction for the development of heart attack and stroke.
Stranger: Are there any PAD clinical trials at the Cleveland Clinic currently?
Dr__Kirksey: Yes, there are a number of PAD trials, looking at therapies ranging from angiogenic injections, drug-eluting balloons and stents, and advanced endovascular techniques. To determine candidacy for these trials or for additional information, please call the nurses in the Heart Resource Center, toll free at 866-289-6911.
Mily: What is the relationship of stress to the development of PAD
Dr__Kirksey: Some research indicates prolonged and unrelenting stress increases inflammation which can result in cardiovascular disease. Stress management options and information are available at the Cleveland Clinic and on our website - search stress management.
Jillyjill: Dr. Kirksey, can you please take a lit more about risk factors and managing them?
Dr__Kirksey: The first aspect of risk factor management is to identify the presence of risk factors for cardiovascular disease, including family history, long-term tobacco use, elevated cholesterol and hypertension (high blood pressure). Many of these risk factors are related to our diets and our exercise activity. Our specialized teams at the Cleveland Clinic evaluate how these risk factors can be optimized to reduce the risk for heart attack and stroke and to reduce the recurrence of disease after major operations.
JU873: is there any drug treatment recommended for PAD?
Dr__Kirksey: Drug treatments for peripheral arterial disease are largely directed at slowing the progress and to this point, are not effective at reversing arterial blockages. Effective medical management can reduce the risk of heart attack and stroke. Ask your vascular specialist if you are on the appropriate regimen.
Lolohun: What is normal recovery time for femoral bypass surgery? Does one have rehabilitation or Physical Therapy?
Dr__Kirksey: In general, patients are hospitalized for 4 to 6 days, and require physical therapy after leaving the hospital to improve their rate of recovery. Importantly, some minimally invasive techniques have replaced femoral bypass allowing patients to leave the hospital on the same day as the procedure. Please see our website to learn more about these options.
Yram22: My daughter, who is 21 years old, has had ongoing face pain and pressure, dry eyes, and left sided paresthesias/sensations down her left arm, side, and leg for over a year now. The doctors did a CT scan and MRI of her head and neck and only found an ethmoid cyst. She recently had an episode like shortness of breath. Her left ear is now feeling hollow and dry and pain like her sinuses do, and she says her breathing feels funny, very dry now. Could this be PAD or a heart issue with pain radiating to her face? If so, what tests should she have? Thank you for your help.
Dr__Kirksey: PAD disease is uncommon in young adults, however, you should certainly have your daughter evaluated by her physician.
This information is provided by Cleveland Clinic as a convenience service only and is not intended to replace the medical advice of your doctor or health care provider. Please consult your health care provider for advice about a specific medical condition. Please remember that this information, in the absence of a visit with a health care professional, must be considered as an educational service only and is not designed to replace a physician's independent judgment about the appropriateness or risks of a procedure for a given patient. The views and opinions expressed by an individual in this forum are not necessarily the views of the Cleveland Clinic institution or other Cleveland Clinic physicians.
Call a Heart & Vascular Nurse locally 216.445.9288 or toll-free 866.289.6911.
Toll-free 800.659.7822
This information is provided by Cleveland Clinic and is not intended to replace
the medical advice of your doctor or health care provider.
Please consult your health care provider for advice about a specific medical condition.
© Copyright 2014 Cleveland Clinic. All rights reserved.
Read More Articles
Cleveland Clinic © 1995-2014. All Rights Reserved. 9500 Euclid Avenue, Cleveland, Ohio 44195 | 800.223.2273 | TTY 216.444.0261


text:
QUICK LUBE (Oil Change)
Send E-Mail
EXTENDED SERVICES Basic Oil Change $29.95 Automatic Transmission $32.95 Synthetic Blend $49.95 Drain and Fill Mobil 1 Full Synthetic
$69.95 Automatic Transmission $59.95 High
Mileage $42.95 Filter, Gasket, Fluid Service
Full Synthetic $54.95 Manual
Trans Drain & Fill $32.95 Diesel $31.95 Front
Differential Service $29.95 Rear
Differential Service $29.95 5 quarts and 16 Point Inspection Included Transfer Case Service $29.95 Free Car Wash Included Radiator Drain & Fill $59.95 Fuel Injection Service $69.95 Engine Flush $79.95 BRAKES Synthetic Front Differential $39.95 -Pads Synthetic Rear Differential $39.95 -Rotors
A/T Multi-Vehicle Trans Fluid $58.95 -Calipers
Tire Rotation $19.95 and up
Serpentine Belt Replacement
Light Bulb Replacement
Oil Change, Brake jobs, Express LubeToms River, New jersey Shore
Green Comfortable Lounge Dedicated People Softest Brushes. Car Wash, Express Lube, Auto
Detailing. Toms River, New Jersey Shore, Seaside heights, Lavalette.
Powered by Register.com


text:
Serving Marion and Surrounding Counties since 1975 more
Our engineering firm provides services for private developers, architectural firms, construction companie... more
Providing quality land surveying services in Oregon since 1987. Call today for a free price estimate and... more
Local Premium Listings
© 2014 Local Corporation - US Patent 7,231,405
Some data provided by Acxiom. Questions and Comments? Send us your feedback!


text:
The Karen People In Central Thailand
- The Karen refers to an ethno-linguistic minority in Thailand who are Karen speakers. The majority of Karen live in Myanmar in a region bordering Thailand called the Karen State. There are major divisions within the Karen and these classify the various tribes. In Thailand there are 2 major groups of Karen [ tribes ]. In North Thailand are Sgaw Karen who inhabit the Provinces of Chiang Mai, Mae Hong Son, Tak, Lampang and Lamphun. This tribe number in excess of 250,000 in Thailand. The Pagayaw and Pwo inhabit 3 Provinces in the North, Chiang Mai, Tak, Mae Hong Son and Lampang as well as Kanchanaburi, Ratchburi, Phetchaburi and Prachuap Khiri Khan. They number in excess of 110,000 in Thailand. They have similar dialects but they are not intelligible to each other. The 2 groups can also be differentiated both their woman's clothing.
- The Karen are significant in Myanmar and have their own State,
often at conflict with the Military dictatorship. They are famous for
their relationships with elephants and are often seen as the mahouts
who work with elephants.
Karen Mahouts Working Elephants
Essential Karen Characteristics In Thailand Are:
- A common Tibeto-Karen language
- An animistic religious tradition which is common to the Tai and
Austro-Asiatic speakers.
- Central Thailand People
- Siamese Tai People
- Cham People Thailand
- Karen People Central Thailand
- Mon People Thailand


text:
UK News
Insights from the UK and beyond
from FaithWorld:
London marchers confront Pope Benedict in biggest protest of any of his trips
(Photo: Protest against Pope Benedict in London, 18 Sept 2010/Stefan Wermuth)
Pope Benedict faced the biggest protest of his 17 trips abroad on Saturday when more than 10,000 people marched in London attacking his treatment of the abuse scandal in the Church, women priests and homosexuality. Some of the demonstrators were dressed in costumes, including black leather nuns' habits and red cardinals' robes. Posters bore the message: "Pope Go Home."
The pope has faced protests throughout his four-day visit to England and Scotland, often competing for attention with the faithful who are solidly supportive of the trip, only the second by a pope in history.
The loudest and most colourful was on Saturday when secularists, atheists, pro-gay groups and human rights campaigners joined forces in a Protest the Pope march from Hyde Park Corner to Downing Street, the prime minister's residence.
(Photo: Protest against Pope Benedict in London, 18 Sept 2010/Stefan Wermuth)
It was the biggest demonstration the pope has faced during the 17 overseas trips in his five-year papacy. Organisers had expected 2,000 people. Many opposed the Vatican's stance on abortion, gay rights and resistance to the use of condoms in the fight against HIV-AIDS. "Keep your rosaries off our ovaries" one group chanted, with some wearing condoms on their heads. Placards read: "Abstinence Makes the Church Grow Fondlers" and "Protect the Children, not the Priests".
Tiny anti-Pope rally draws huge police response
By Maria Golovnina
Peaking through the iron gates of the Vatican's residence in London, four people rallied quietly on a rainy afternoon holding photographs of children they said were abused by Catholics priests around the world.
With a week to go before Pope Benedict's visit to Britain, the low-key rally drew little press and the activists were about to leave when six police cars swooped on the scene flashing warning lights.
Pope's visit to UK runs into murmurings
Are preparations for Pope Benedict's visit to England and Scotland on track? Well, sort of.
The papal visit in September will be the first since Pope John Paul II's pastoral visit in 1982 and the first ever papal state visit to these shores.
Pope makes it easier for Anglicans to switch to Rome
Pope Benedict has made it easier for disaffected Anglicans to convert to Roman Catholicism.
Rowan Williams, the Archbishop of Canterbury and spiritual head of the Anglican Church, and Vincent Nichols, Archbishop of Westminster and head of the Catholic Church in England and Wales, stressed dialogue would continue between the two churches.


text:
HIRSHFIELD | OLSON & SAUNDERS | "The Cloudy Vase"
"The old clearness" leaps from Jane Hirshfield's haiku-like poem into this motionpoem by Scott Olson and Jeff Saunders.
Read the Poem
HICOK | KOHLER | "Having intended to merely pick on an oil company, the poem goes awry."
Bob Hicok's invective against British Petroleum becomes an indictment of his own consumptive habits, but documentary filmmaker Joanna Kohler sets him straight in the end.
Read the Poem
STRAND | DELCAN | "Poem of the Spanish Poet"
Filmed partly in the Pulitzer Prize winning poet's New York apartment, Juan Delcan's film blends animation and live-action footage, in the last months before Mark Strand moved to Spain.
Read the Poem
WILBUR | ESKOLA | "Ecclesiastes 11:1″
Filmmaker Faith Eskola's five-year-old daughter gives voice to this poem by 90-year-old Pulitzer Prize winning poet Richard Wilbur.
Read the Poem
BELIEU | SCHMITT | "When at a Certain Party in NYC"
Jazz, and a male voice-over, lend a hard-boiled tone to Erin Belieu's poem in this "halfheartedly exploding" motionpoem by Amy Schmitt.
Read the Poem
LOWE | KASSUBE | "The Pilgrim Is Bridled and Bespectacled"
Visual artist Angella Kassube was inspired to re-envision, in joyous colors, poet Bridget Lowe's grounded prayer for sight and insight.
Read the Poem
HAYS | BURGHARDT | "Just As, After a Point, Job Cried Out"
By layering transparent and translucent images, animator Emma Burghardt enlightens this elemental post-apocalyptic poem by K. A. Hays.
Read the Poem
LEHMAN | WENNER | "French Movie"
Our 2012 Season, which has been produced in partnership with BEST AMERICAN POETRY 2011, opens with Scott Wenner's tense dream-time remake of David Lehman's "French Movie."
Read the Poem


text:
Written by:
"Why must i be like that?
Why must i chase the cat?
Nuttin but the dog in me."
Why is it so hard to understand?
I am only just a man
We've been thru this already
Why don't you listen to what I say?
It's what I've been saying the 1st day
Aint no way of changing me
Why constantly try to make me over?
I need friends and i need lovers
One-burner, monogamous, faithful, just isn't me
Why do i get myself in this mess?
Especially since I tire so easily of stress
And no it's not just for some naany
Why? Why? Why?? Why not??
Shouldn't apologise for who i am or rather what
I should just live my life in God and be happy


text:
Recently I worked on an international ad starring football legend Hernan Crespo of Argentina. The ad is for a company called Eztrader who specialise in online stock trading. It is featured on their homepage as seen in the image above as well.
It was filmed in Tel Aviv and I composed the music, as well as the sound design and speech editing and mixing. The ad was produced in two versions and in three languages (English, Spanish and Italian) and was viewed by over 30K people up until now. Here is the English version:


text:
Alex Smith
Alex Smith Prepares To Face Old 49ers Teammates As Kansas City Visits Levi's Stadium Sunday
When Alex Smith takes the field against the 49ers at Levi's Stadium in a Kansas City uniform Sunday, there will be mixed emotions for everybody involved.
Daily Madden: QBs Shine At Pebble Beach
Pro golfers and celebrities are playing practice rounds at Pebble Beach today in preparation for Thursday's start of the AT&T Pebble Beach National Pro-Am.
Snake-bit Chiefs Fall Short As Defense Fails Repeatedly In Second-half Collapse
The Kansas City Chiefs lost an eighth-straight postseason game on Saturday, losing 45-44 to the Indianapolis Colts after holding a 28-point lead in the third quarter.
Chiefs Might Be Getting Healthy Again At Just The Right Time
Injuries slowed down the Kansas City Chiefs in the second half of the NFL season, but now they are much healthier as the playoffs approach.
Chiefs Prepare To Face Colts In Playoffs
Just two weeks ago, the Kansas City Chiefs lost at home to the Indianapolis Colts in a game that sealed the AFC West team's postseason fate. Can they flip that outcome on the road in the playoffs?
Early And Late Mistakes Doom Raiders To Loss Against Chiefs
From the opening kickoff, the Oakland Raiders couldn't match up with the Kansas City Chiefs, and mistakes in all phases cost the Silver and Black any chance at a win — or good grades in this week's performance evaluation.
Injuries May Not Matter For Raiders Against Chiefs This Weekend
The Oakland Raiders and the Kansas City Chiefs both have some injuries on their respective rosters as they face off this weekend in Week 15, but it probably won't affect the outcome of the game too much.
Already Looking To 2014, Raiders Need To Find Their Quarterback
The Oakland Raiders have two young quarterbacks to choose from, so which one will emerge in 2014 as the potential QB of the future for the Silver and Black?
Kansas City Chiefs: A Formidable Foe For Feeble Oakland Raiders
With the Oakland Raiders season spiraling into dark depths, the Kansas City Chiefs come to town looking to move up in the AFC playoff standings.
Numbers Don't Lie, Colin Kaepernick's Recent Play Has Been Historic
While his stats don't jump out at you, and with the 49er passing offense ranked 31st of 32 teams one would not think that Colin Kaepernick is having a great season. However, a look inside the numbers show that Colin Kaepernick is not only having a good season, but the past few weeks has played better than any other player at the position, ever.


text:
Polanski Is Not the Only Party to Blame
Focusing only on Polanski seems hypocritical in a society that celebrates and exploits teen sexuality.
Jennifer Ginsberg: In the aftermath of child rapist Roman Polanski being taken into custody after trying to enter Switzerland on Saturday, questions about culpability, morality, and teen sexuality have arisen. The Academy Award-winning director pled guilty in 1977 to a single count of having unlawful sexual intercourse with a minor, acknowledging he had sex with a 13-year-old girl, but fled the United States before he could be sentenced. It is alleged that in addition to raping the child, he also drugged and sodomized her after her mother dropped her off at Jack Nicholson's home for a supposed photo shoot with Polanski.
While I wholeheartedly believe that Polanski should be held 100% responsible for his egregious crime, I also feel that only focusing disproportionately on him seems hypocritical in a society that all too often celebrates and exploits teen sexuality. Everywhere we turn, we see splashy images of sexy young girls -- and often times their parents and other adults condone their exploitation.
A few days ago, I met with the photographer I hired for my stepdaughter's Bat Mitzvah. While we were discussing packages and options, he showed me the book of a 13-year-old girl's Bat Mitzvah that he had recently shot. In the opening photograph, I saw a provocative photo of a girl (who could have been anywhere from 13 to 30) with glowy makeup, blown-out hair, and a strapless mini-dress and silver stiletto heels. I was aghast.
I asked the photographer, "How could her mother let her wear that dress? For her Bat Mitzvah, no less?"
He replied, "All the young girls dress like this now -- their moms think they look cute."
"Cute" was not exactly the word that came to my mind. I found the photos disturbing and repulsive. How can this child's mother not know that she has made her daughter into a juicy target for pedophiles and other creepy people who hide in the shadows waiting for ripe opportunities and easy targets to present themselves?
This dilemma was illuminated again recently after Miley Cyrus performed her "pole dancing" routine on the top of an ice cream truck at the Teen Choice Awards. The overarching question was, "Is it appropriate for a 16-year-old girl to be sexualized in such a blatant manner?" There were those who were quick to condemn the act as exploitative and unacceptable, and others who felt that her display was no different than previous incidents of glorified teen sexuality, ranging from Brooke Shields' provocative ads when she was not yet an adult to Britney Spears' seductive schoolgirl routine in the music video, "Oops! ... I Did It Again." The glamorization of the sexy teenage girl has coincided with the growth of an industry punishing men for acting on their attraction to teenagers.
My point is certainly not that it is okay for a grown man to heaven forbid rape an underage girl. But while we rightly condemn these men who act on their imperious urges, what about the other adults who enable these teen girls to be sexualized so freely? Did anyone arrest Brooke Shields' mother, Teri, or demonize her as a sexual predator? And someone had to provide Miley with that pole. Was that person held accountable? And shouldn't these moms who dress up their children like junior hookers and drop them off at grown men's homes be held responsible as well?
Perhaps if we were more honest in our discussion of how we all contribute to the sexual exploitation of young girls, whether we are parents who think it is cute to dress them up provocatively or TV execs who provide them with stripper poles, we could remember that the finger we are so quick to point at Polanski also needs to be pointed back at ourselves.
|Jennifer Ginsberg is a Los Angeles mother, writer, and addiction specialist with over 15 years of experience in the fields of alcoholism, addiction, and recovery. After receiving her MSW from the USC School Of Social Work and MAJCS from Hebrew Union College, Jennifer served as the clinical director of a 120 bed drug and alcohol treatment facility. She also co-developed an addiction prevention program for Jewish youth, which has been implemented in synagogues nationally. Jennifer now works privately with people who are impacted by the devastating effects of drugs and alcohol and writes about all topics related to motherhood, addiction, and women in politics. Read more about her life at angstmom.com
Just thought you should know that the Britney school girl music video was Hit Me Baby One More Time not Oops!… I Did it Again.
While I do agree that Polanski and other child rapists are 100% responsible I'm not sure I see the problem with girls in short dresses/tight clothes at 13. When I was 13 I was wearing midriffs and pleather pants like all the other girls my age, and I didn't grow up to be abused or to be a parent at 16. I think we forget that 13 year old girls don't look 13. When I was 13, I was 5'7" and stayed that way. I looked closer to 17 or 18. I think it's even weirder to want to dress your 13 year old up like a little girl, which is what most pedophiles are actually looking for.
now her Vajynn sleeve VIZZARD!!
Forget Roman Polansky, I think the girl's mother was the real criminal here! Seriously, she KNOWINGLY dropped off her daughter to take nude pictures without an adult present. she din't even stay to chaperone. She was fully aware of the drugs and alcohol that was going on. She even had given her daughter both before. She was pimping her kid out for a big payday.
Great piece. It is astute to note that "the glamorization of the sexy teenage girl has coincided with the growth of an industry punishing men for acting on their attraction to teenagers." What seems to be missing from all this glamorization and punishment is honest discussion: in reality many people are capable of sexual attraction to teens, and that does not make them pedophiles. But acting on those attractions—obviously using force, but even in other situations—is wrong and exploitative, because teens are not developmentally equipped to assess the possible repercussions of engaging in sex, for one thing. And in a complex society, teens have enough to deal with without needing to field the sexual advances of sleazy adults. Those are just two reasons exploiting teens for sex is immoral. Ms. Ginsberg's article highlights the need for honest discussion about the reality that teens are not here for adults' sexual consumption.
If he thought it was ok to play with a child then why run away and hide? For 30 years he played outside the USA and enjoying life. It's time to MAN up!!! Oh, I forgot he's only a boy playing like a MAN.
This domain seems to get a large ammount of visitors. How do you get traffic to it? It offers a nice unique twist on things. I guess having something authentic or substantial to post about is the most important thing.
|«... 1


text:
31-34/∞ photos of Benedict Cumberbatch
I am a PR disaster because I talk too much.
Enjoy the journey of life and not the endgame.
You're not really getting the hang of this game, are you, Sherlock?
new behind the scenes photos
Me and Benedict Cumberbatch. 16th August 2013. Benedict asked that the photo wasn't posted online until after 'His Last Vow' aired. Finally nice to post it. Miss this.
You are so lucky !!
Anderson's theory: The Empty Hearse
can you stop pls


text:
This four-day festival, starting October 17-20, is presented by the Panama City Beach Convention & Vistors Bureau, Florida Restaurant & Lodging Association and Panama City Beach Chamber of Commerce to celebrate seafood, fishing, culinary arts, music, entertainment and culture in Panama City Beach, Florida.
Better Than Ezra, Collective Soul, Loverboy, and Foreigner are scheduled to perform.
For additional information, please visit pcbseafoodfestival.com or contact the Panama City Beach Chamber at (850) 235-1159.


text:
a daily photo blog exploring my life through my cameras' lenses. all photos are unedited, minus any borders or the occasional brightness adjustment (my phone camera sucks).
spent a good hour or so unclogging my bathtub. i'll spare you with the gruesome detailed photos, but the problem was mad gunky hair. i won't put anyone on blast here but my best friend is a female. hahaha. i guess all those afternoons watching Ask This Old House came in handy afterall.
March 04.


text:
One month ago I was a student at Choate Rosemary Hall, a prestigious prep school in New England, now I am at home swallowing mood stabilizers and completing credits for my freshmen year on an independent study program.
One month ago I was struggling to remember who I was, now I am happy and at home going to the mall with my friends.
Sometimes I wonder why I went to Choate if I was only going to stay there for one year. But then I realize if not for Choate and the people there I would have never been diagnosed with Bipolar Disorder at such a young age.
Winter term was one blur of craziness and fun. I laughed nonstop. I loved life. It was like nothing I had ever experienced before. It was so much better then the depressed state I was used to being in. But, it didn't last forever. I soon was spiraling into the mania of mixed moods, delusions and mild psychosis.
I always felt since I was very young that I wasn't showing my full potential, I felt something holding me back. I couldn't get my thoughts out clearly. I was negative all the time. That something that held me back got a whole lot worse come spring.
I was suddenly an introvert. I hated big crowds. They scared me. I had lots of friends, but I wouldn't talk to them, they were plotting against me. I had delusions. I always thought I was being followed. I was sad, then happy, then very mad.
I fell behind on my classwork. It was a struggle to go to class. It was a struggle to remember what anything was. I felt like I was living in a foggy nightmare, a nightmare that I couldn't wake up from.
Although, nothing was wrong, I didn't need to see a therapist. I was perfectly normal because everyone goes through rough patches.
My roommate insisted I get help. She blackmailed me into it. Luckily I obliged.
The first meetings I had with therapists went in circles. I would talk about nothing and everything and eventually come to the conclusion I was ok, and that nothing was wrong.
Then, I went into a dark place, a psychosis, or the beginnings of a psychosis. I don't remember exactly what I was thinking or what anything meant to me. But I do remember that I ended up in my room cutting myself as my roommate walked in the door, scared and astounded.
She ran to the health center, I ran after her yelling. I then went on a walk. Pacing. Breathing hard. I knew they would come after me, so I went back to my room.
There, sat my roommate and the therapist. I was rushed to the health center and found myself sitting in front of two old ladies, both smiling and helpful. It was a little overwhelming. I told them a mush of information that I can no longer recall, and they told me to spend the night in the health center.
It was the worse night I had at Choate. I just wanted everything to be normal again. Nothing was.
Two days later my mom was called and she flew out on a red eye from California. She had no idea I was suffering. That Friday was the last day I spent as a student at Choate.
I met with a psychiatrist that weekend and he listened to my circling speeches, and diagnosed me as Bipolar 1, with mixed moods. I flew home that Wednesday
The hardest part of leaving was saying goodbye. Goodbye to the dreams, to the friends, and to the old me.
But I was also saying hello. Hello to the future. Hello to a new school with new friends, and new dreams.
I am getting better. It is a slow process filled with dizziness and fatigue, but I feel good again. I no longer talk in circles or yell at people. I am in control again. My disease does not define me. I define my disease.
I feel very lucky that I was diagnosed at the young age of 15, and that I was fortunate enough to go to Choate. I am glad that I can pay for medication and doctors. I know that not everyone is as lucky as me, and that not everyone is getting the help they need. We need to change. To get people help so they don't suffer.


text:
Recently added item(s)
You have no items in your shopping bag.
Free U.S. Shipping & Exchanges
$35 International Shipping
Regular Price:
Special Price:
MM6's Printed Maxi Dress is a mix of femininity and casual everyday modernism, easily transitioning from day to night with a simple switch of accessories and a layering piece or two | Chrome-tinted mix of digital prints | Drawstring waist easily cinches with thick black grosgrain ribbon | Sleeveless | Invisible zip | Elegant floor-grazing drape. Made in Italy FINAL SALE
View Larger
Details / Style Options:


text:
Higher Tariffs, Lower Revenues? Analyzing the Fiscal Aspects of the "Great Tariff Debate of 1888"
AbstractAfter the Civil War, Congress justified high import tariffs (relative to their prewar levels)" as necessary in order to raise sufficient revenue to pay off the public debt. By the early 1880s the federal government was running large and seemingly intractable fiscal surpluses revenues" exceeded expenditures (including debt service and repurchases) by over 40 percent during that" decade. The political parties proposed alternative plans to deal with the surplus: the Democrats" proposed a tariff reduction to reduce customs revenue, the Republicans offered higher tariffs to" reduce imports and customs revenue. This paper examines this debate and attempts to determine" the revenue effects of the proposed tariff changes. The results indicate that the tariff and the price elasticity of U.S. import demand during the 1880s below the maximum revenue rate, and therefore a tariff reduction would have reduced customs" revenue.
Download InfoIf you experience problems downloading a file, check if you have the proper application to view it first. In case of further problems read the IDEAS help page. Note that these files are not on the IDEAS site. Please be patient as the files may be large.
Bibliographic InfoPaper provided by National Bureau of Economic Research, Inc in its series NBER Working Papers with number 6239.
Date of creation: Oct 1997
Date of revision:
Publication status: published as Journal of Economic History (March 1998).
Handle: RePEc:nbr:nberwo:6239
Note: DAE ITI
Contact details of provider:
Postal: National Bureau of Economic Research, 1050 Massachusetts Avenue Cambridge, MA 02138, U.S.A.
Phone: 617-868-3900
Web page: http://www.nber.org
More information through EDIRC
Related researchKeywords:
Other versions of this item:
- Irwin, Douglas A., 1998. "Higher Tariffs, Lower Revenues? Analyzing the Fiscal Aspects of "The Great Tariff Debate of 1888"," The Journal of Economic History, Cambridge University Press, Cambridge University Press, vol. 58(01), pages 59-72, March.
- N71 - Economic History - - Economic History: Transport, International and Domestic Trade, Energy, and Other Services - - - U.S.; Canada: Pre-1913
- H6 - Public Economics - - National Budget, Deficit, and Debt
ReferencesNo references listed on IDEAS
You can help add them by filling out this form.
CitationsCitations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
Cited by:
- Douglas A. Irwin, 2000. "Ohlin Versus Stolper-Samuelson?," NBER Working Papers 7641, National Bureau of Economic Research, Inc.
- McKenzie, David J. & Özler, Berk, 2011.
"The Impact of Economics Blogs,"
CEPR Discussion Papers, C.E.P.R. Discussion Papers
8558, C.E.P.R. Discussion Papers.
- McKenzie, David & Ozler, Berk, 2011. "The impact of economics blogs," Policy Research Working Paper Series 5783, The World Bank.
- Desai, Mihir A. & Dyck, Alexander & Zingales, Luigi, 2007.
"Theft and taxes,"
Journal of Financial Economics, Elsevier,
Elsevier, vol. 84(3), pages 591-623, June.
- Mihir A. Desai & Alexander Dyck & Luigi Zingales, 2004. "Theft and Taxes," NBER Working Papers 10978, National Bureau of Economic Research, Inc.
- Desai, Mihir & Dyck, Alexander & Zingales, Luigi, 2004. "Theft and Taxes," CEPR Discussion Papers, C.E.P.R. Discussion Papers 4816, C.E.P.R. Discussion Papers.
- Mihir A. Desai & Alexander Dyck & Luigi Zingales, 2003. "Theft and Taxes," International Tax Program Papers, International Tax Program, Institute for International Business, Joseph L. Rotman School of Management, University of Toronto 0501, International Tax Program, Institute for International Business, Joseph L. Rotman School of Management, University of Toronto, revised Dec 2004.
- Antonio Tena Junguito, 2001. "Measuring Protection Over Time. Revenue And Protective Products In The 19th Century European Tariff Growth Debate," Working Papers in Economic History wh017204, Universidad Carlos III, Departamento de Historia Económica e Instituciones.
- Douglas A. Irwin, 2001.
"Tariffs and Growth in Late Nineteenth Century America,"
The World Economy, Wiley Blackwell,
Wiley Blackwell, vol. 24(1), pages 15-30, 01.
- Douglas A. Irwin, 2000. "Tariffs and Growth in Late Nineteenth Century America," NBER Working Papers 7639, National Bureau of Economic Research, Inc.
- Jeffrey G. Williamson, 2003. "Was It Stolper-Samuelson, Infant Industry or Something Else? World Trade Tariffs 1789-1938," NBER Working Papers 9656, National Bureau of Economic Research, Inc.
- Phillip Magness, 2009. "Constitutional tariffs, incidental protection, and the Laffer relationship in the early United States," Constitutional Political Economy, Springer, Springer, vol. 20(2), pages 177-192, June.
- Douglas A. Irwin, 2007. "Trade Restrictiveness and Deadweight Losses from U.S. Tariffs, 1859-1961," NBER Working Papers 13450, National Bureau of Economic Research, Inc.
ListsThis item is not listed on Wikipedia, on a reading list or among the top items on IDEAS.
StatisticsAccess and download statistics
CorrectionsWhen requesting a correction, please mention this item's handle: RePEc:nbr:nberwo:6239. See general information about how to correct material in RePEc.
For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: ().
If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.
If references are entirely missing, you can add them using this form.
If the full references list an item that is present in RePEc, but the system did not link to it, you can help with this form.
If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your profile, as there may be some citations waiting for confirmation.
Please note that corrections may take a couple of weeks to filter through the various RePEc services.


text:
In Honor of David Bowie's New Single - 20 Great Bowie Photos
Here are 20 photos we love of David Bowie, gorgeous man.
David Bowie all Casual-Like in Australia in 2004
It's true, David Bowie's long been fond of plaid shirts. He's been photographed in a many a chequered button-down over the past few decades.
Sign Up for Our Newsletter


text:
fredag 17.02.12
Great interest in Junior band requests
A few weeks back we asked you to let us know which artists you wanted to experience on Pavilion Junior, our stage focusing on young, Nordic bands.
Requests have been pouring in like never before. In fact, we've received twice as many requests this time than when we ask you to let your imagination run wild and request whoever you want to see – everything from upcoming to well-established acts.
Our audience – mostly represented by requests from Denmark, Sweden and Norway – truly know the underground of Nordic music very well.
Useful information
Some of the acts that we're close to confirming are even audience favorites; others will only trigger the immediate enthusiasm of a smaller crowd.
Active bands
It is a pleasure for us to experience that the stage is held in such high regard – both by audience and bands.
Skriv en kommentar
Redigér profil


text: T17_2_2_4 2011 National Healthcare Quality and Disparities ReportsThe National Healthcare Quality Report (NHQR) is a comprehensive national overview of quality of health care in the United States. It is organized around four dimensions of quality of care: effectiveness, patient safety, timeliness, and patient centeredness. Table 17_2_2.4Admissions for angina without cardiac procedurea per 100,000 population,b age 18 and over, by income, United States, 2000-2008 Median income of patient's ZIP Code TotalFirst quartile (lowest income)Second quartileThird quartileFourth quartile (highest income)Data year RateSERateSERateSERateSERateSEData year200823.40.933.32.024.91.220.11.416.31.6 200718.104.22.168.630.01.724.61.619.71.9 200634.41.354.33.336.22.025.91.423.01.9 200536.31.456.04.037.62.029.41.524.31.9 200445.01.769.04.647.52.334.71.928.52.2 200350.01.876.54.953.92.618.104.22.168.4 200222.214.171.124.068.83.650.22.638.93.2 200168.72.4104.46.474.43.751.02.645.93.4 200075.22.418.104.22.168.958.33.348.93.8a. Consistent with the Agency for Healthcare Research and Quality (AHRQ) Prevention Quality Indicators (PQI) software, angina must be the principal diagnosis.� Transfers from other institutions are excluded.b. Rates are adjusted by age and gender using the total U.S. resident population for 2000 as the U.S. standard population.Key: SE: standard error.Source: Agency for Healthcare Research and Quality (AHRQ), Center for Delivery, Organization, and Markets, Healthcare Cost and Utilization Project, Nationwide Inpatient Sample and AHRQ Quality Indicators, modified version 4.1. Current as of March 2012 Internet Citation: T17_2_2_4: 2011 National Healthcare Quality and Disparities Reports. March 2012. Agency for Healthcare Research and Quality, Rockville, MD. http://www.ahrq.gov/research/findings/nhqrdr/nhqrdr11/17_utilization/T17_2_2_4.html