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I've just returned from the first Microsoft Ireland finals of the Imagine Cup, an annual international student competition hosted by Microsoft.
The theme of the Imagine Cup competition this year is "Imagine a world where technology enables a better education for all."
Although the competition has been running since 2003, this is the first year that Microsoft Ireland has hosted the competition for students in Ireland and Northern Ireland. I was one of six people on the judging panel today and have to say I had an amazing time.
Why? I was very impressed by the quality of the entries from the ten finalists. Earlier this year, when we selected the finalists, I was struck by how ambitious their projects were. I had my concerns about their ability to execute on the proposed projects in the time available, but they did.
Here are the three winners of today's finals:
First place: From NUI Maynooth – Team InGest – A low-cost interactive system for teaching sign language, using standard web cameras as input, to provide feedback on a participant's signing gestures. The team offered a good, realistic problem definition, gave a great demo, and showed how they'd constrained the problem space sufficiently to a challenging pattern recognition problem which, when solved, would allow them to develop an application that would significantly increase the number of people who can communicate using Sign Language. (Dan Kelly, Cathal Coffey, Eric McClean; Mentor: Tom Lysaght.)
Second place: From University of Ulster Coleraine – Team UUC – A system for using gaming concepts on the PC and XBox360 to teach Linguistic Phonics, an approach which provides an understanding of how oral language is recorded in print. Again, the team demonstrated the relevance of their application to this year's competition, and in UUC's case also showed the results from user studies performed in collaboration with local schools. They offered great ideas for future development, including a content authoring environment, and ultimately provided an engaging way to teach and reinforce phonics concepts.
Third place: From NUI Maynooth (again!) – Team Sleepy Oranges – A training environment to provide students in the western world with feedback on the subtle but critically important aspects of learning tonal languages such as Chinese. They began by demonstrating that giving feedback to the student is essential for learning tonal languages. Using pitch tracking and dynamic time warping to analyse voice input, and handwriting analysis to analyse written input, they then showed how their solution provides the required feedback in a novel and effective manner. (Fergal Walsh, Cathal Browne, Shekman Tang, Lei Pan; Mentor: Joseph Timoney.)
If you'd like to see the other entries, here's an image of Karlin Lillington's Irish Times article on the Imagine Cup, which appeared last Friday (20th of April; click to enlarge):
As a judge, I can admit now that the judging panel had the happy quandary of having to choose three finalists from among more than three that could easily have made that cut. I'll write more later to give some insight into some of the projects that didn't make the top three – as there were some other great ideas and implementations in there.
Finally, I want to tip my cap to Liam Cronin, who led the organization of this year's Imagine Cup Ireland competition. Organisationally, and in terms of the results from the ten teams, the event exceeded every expectation I had.


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Page 17
Survey of London: Volume 41, Brompton. Originally published by London County Council, London, 1983.
This free content was digitised by double rekeying and sponsored by English Heritage. All rights reserved.
In this section
Ovington Square and Gardens (pp. 28-30)
a. Nos. 30 and 32 Ovington Square in 1975.
W. W. Pocock, architect, 1850-1
b. Ovington Square, east side in 1980.
Nos. 22-26 (even) in center designed by Walter and Eva Segal, architects, 1957

subset: commoncrawl


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Skip to Main Content
IEEE membership options for an individual and IEEE Xplore subscriptions for an organization offer the most affordable access to essential journal articles, conference papers, standards,
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Convolution represents a major computational load for many scientific and engineering applications, including seismic surface simulations and seismic imaging. Since convolution presents a heavy computational load, increasing its efficiency can significantly enhance the performance of associated applications. In this work, we present an in-depth analysis of the convolution algorithm and its complexity in order to develop adequate parallel algorithms. The implementation of these algorithms and their evaluation on the IBM Cell Broadband Engine (BE) processor reveals the gains and losses achieved by parallelizing the direct convolution. The performance results show that despite the complexity of the convolution processing, a speedup gain of at least 71.4 is obtained. The parallel vectorized algorithm requires the development effort of considering three independent vectorization strategies. Given the wide availability of Cell processors, the proposed parallelization approach can be widely adopted by any convolution-based application.
A not-for-profit organization, IEEE is the world's largest technical professional organization dedicated to advancing technology for the benefit of humanity.© Copyright 2016 IEEE - All rights reserved. Use of this web site signifies your agreement to the terms and conditions.


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I am the course designer for Mud Quest. Our upcoming April event is packed with more obstacels and mud than ever before. We have 5 races (2 kids races, a 2mile, 5K and 10K). Our 10K will challenge those who want a challenge. Our 5k is designed for the everyday fanatic. Our 2 mile is our test course for you newbies. E-mail me for a discount code at firstname.lastname@example.com. Our website is www.mudquestrun.com
ACTIVE is the leader in online event registrations from 5k running races and marathons to softball leagues and local events. ACTIVE also makes it easy to learn and prepare for all the things you love to do with expert resources, training plans and fitness calculators.


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Dogs > USA > CA > Greater LA > Chihuahua > Adult
Chihuahuas for Sale in Los Angeles, California with adult(1 - 3 of 3)
$300 Long CoatChihuahua · Redondo Beach, CAPrecious boy who loves to play fetch and go on walks. Would be easy to train as a therapy/service dog.Marketplace User ·Over 4 weeks ago on PuppyFindTools
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AKC adult smooth coat ChihuahuaChihuahua · Los Angeles, CARuby is a cute chocolate tri smooth coat.we are Looking for a perfect home for this sweet... Images and contact details on Advertigo webs...Marketplace User ·Over 4 weeks ago on Advertigo
AKC adult smooth coat ChihuahuaChihuahua · Los Angeles, CARuby is a sweet chocolate tri smooth coat.we are Looking for a perfect home for this sweet...... Photos and contact details on Advertigo ...Marketplace User ·Over 4 weeks ago on Advertigo
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Find Listings on Oodle Marketplace Baltimore Dogs | Cincinnati Dogs | Colorado Springs Dogs | Dallas Dogs | Denver Dogs | Detroit Dogs | Fort Myers Dogs | Fresno Dogs | Grand Rapids Dogs | Indianapolis Dogs | Orlando Dogs | Phoenix Dogs | Sarasota Dogs | Winter Haven Dogs | Woodbridge Dogs. Oodle Marketplace is a great place to find used cars, used motorcycles, used RVs, used boats, apartments for rent, homes for sale, job listings, and local businesses.
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Hi guys, im using the default (kubrick) theme on my blog, but i've replaced the "kubricheader.jpg" with my own header. Now i've turned off the text that is put over the header in the theme options because obviously it didn't work with my header, BUT that was the link which meant on every page you could click it to go back home... So how can I know make just clicking the banner on any page take you back to the home?
Thanks :D


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Skip to comments.The great moral failure of FDR
Posted on 03/12/2013 4:37:19 PM PDT by presidio9
click here to read article
The teachers in the public schools that I attended worshipped FDR without reservation.
False. Hitler was never "elected" Chancellor. I don't know why this stupid fallacy survives. Some people must have an unconscious hatred of democratic elective politics.
I don't think it will take much looking to find one.
Which one, hinckley?
Your economics are imaginative at best.
Oh no, they're not. The economics we've all been brought up with for the past 80 years or so are imaginative. We're
seeing living the results of them now.
Define "elected" however you like? Is your position that Hitler was not WILDLY popular in Germany when he took office?
Disclaimer: Opinions posted on Free Republic are those of the individual posters and do not necessarily represent the opinion of Free Republic or its management. All materials posted herein are protected by copyright law and the exemption for fair use of copyrighted works.


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When I updated to 2.6.2 one of my blogs developed the problem of not showing the home page when visited by the 'raw' URL without a page file name - http://www.cryptosmith.com didn't work, but http://www.cryptosmith.com/index.php DID work.
My blog had a bunch of plugins enabled, including SuperCache.
The problem: My ISP tracked it down to a problem with my .htaccess file but didn't know what was putting bad code into that file. Apparently both WordPress itself and SuperCache put data into that file.
Resolution: I made sure I had updated SuperCache to the latest (post 2.6.2) version. I also deleted the old SuperCache contents from the .htaccess file so that the plugin could write revised contents into the .htaccess file.
Apparently the problem is caused by an inconsistency between the code SuperCache puts into the .htaccess file in the old version and how things work with 2.6.2.


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Sam Houston pitcher Caleb Smith has been named as the Southland Conference baseball Pitcher of the Week, the league office announced Monday.
Smith notched his first complete-game shutout of the season, allowing a trio of hits against Southeastern Louisiana in the first game of Sunday's doubleheader.
The junior from Huntsville, Texas (Huntsville H.S.), struck out three batters and pitched around two Bearkat errors while inducing two double plays.
Smith's win clinched the series for Sam Houston and allowed Sam Houston to maintain its two-game lead in the league standings. Smith sports a 7-4 record to go with a 2.84 earned-run average. Opponents are hitting .189 against him this season.
The Bearkats host Central Arkansas for a three-game weekend series starting Thursday at 6:30 p.m. Two wins will secure a second consecutive outright Southland Championship.
All three games this weekend are "Youth Baseball Days." Any youth baseball and softball player who wears their uniform to the game will receive free admission and parent's tickets start at $6.
Friday is the final "First Financial Family Night" where each purchase of a reserved seat gets a free hot dog, popcorn, and drink.
Saturday's game will be followed with a team autograph session and kids will have the opportunity to run the bases.


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I'm trying to figure out how to overwrite the function that outputs images that are used in posts. Essentially all I'm looking to do is wrap that output in div tags. I did it for the img_caption_shortcode function that outputs images for pages, but for some reason posts don't use the same function. As a matter of fact, the html for the post gets stored in the database, including the img src, etc, so whatever needs to be modified would appear to be an admin file/function.
Any help would be appreciated.


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To the Editor:
Working in subtropical Central America, Dr. Peña Chavarría must be familiar with many dermatological lesions rarely seen in the United States. I had previously shown these sculptures at a meeting of the Greater New York Dermatological Society, attended by Drs. Dominique Verut and Fernando Ortiz-Monasterio of Mexico. On this occasion this illustrious group of skin specialists substituted ancient American sculptured figures with dermatological lesions for living patients in the study. A number of specimens of leishmaniasis from the Mohica tribe of northern Peru were exhibited. There was no disagreement on these, although Virchow many years earlier had insisted they represented leprosy. There was little difference of opinion regarding the statues illustrated on the cover of The Journal. Dr. Verut showed similar reproductions of a figure which he thought might represent secondary syphilis. There was no indication from any of the participants that these two figures portrayed leishmaniasis,
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Confirmed: Geoff Johns Is the New President of DC Entertainment
Comic Books, Film, TV
For nearly two years, Greg Rucka and Rick Burchett the high-flying adventures of Lady Seneca Sabre in their twice-weekly webcomic, and now they're looking to bring their special blend of steampunk, magic and the Wild West to print. To that end, the duo has launched a Kickstarter campaign to publish the first five chapters of Lady Sabre & The Pirates of the Ineffable Aether in a 192-page hardcover collection.
Mere hours into the drive and they're nearly halfway toward the $27,500 they need to pay for their initial 2,000-copy print run, plus shipping, Kickstarter fees, etc. So odds are, this project is going to get funded. Their pledge tiers a pretty reasonable, too, which may help to explain the campaign's speedy progress; for instance, $30 gets you a copy of the book. Additional incentives include keychains, bookplates, an inscription from Brian Michael Bendis, and dinner at HeroesCon with the creators.
There's a lot more information on the Kickstarter page. The campaign ends June 5.
I'm unfamilar with how Kickstarter works. Am I going to be able to purchase this book at some point for a decent price?
Matt: Kickstarter is a service that allows you to contribute upfront to the funding of a project that might otherwise never get made, and in exchange for contributing upfront, you get various rewards as outlined on the campaign's page. If you want to gamble that the project will meet its Kickstarter goal (which is a pretty safe bet in this case, as it's over 3/4 of the way there on the first day), yes, you probably will be able to buy it outside of Kickstarter in the future. Considering it's a 192-page wide-format hardcover, though, I can't imagine the suggested retail price will be much lower than the $30 the Kickstarter campaign is asking for, especially since that price includes domestic shipping.
I love this webcomic, once the collection gets published I'll definitely pick up a copy! I could see a movie with Karen Gillan (Amy Pond from Dr. Who) playing the lead.
Thanks, Jason. I was familiar with the basic mechanics of Kickstarter. The one thing I wasn't certain about was whether or not the book will get sold outside of the Kickstarter campaign, which appears to be based on how successful the Kickstarter itself is. With Rucka and Burchett, it is indeed a safe bet that I'll be able to get this one way or another.
Wow! Doubled the goal already?!? Great to see.
$30 is pretty cheap for a 200 page HC. But $20 delivery outside the US is a bit high.
James — We're open to ideas on how to lower that cost, but we're now shipping three books (the hardcover + two smaller add-ons) for that price.


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Reload the page and try again.
Centre is academically rigorous and extremely thorough in its teachings.
The classes are difficult and time consuming, but everyone on campus is under the same workload and is understanding of stress. The professors are very accessible and there are plenty of places to study all over campus that vary in atmosphere.
I am an international studies major, and the workload is challenging, but the professors are the best you can find. The study abroad programs are superb, as almost every student gets the chance to travel abroad for a semester if they so desire.
Academics are amazing here. It's tough, but that's because we learn a lot. Our professors are awesome, and once you get your time management skills down the work is manageable. I get to take classes about the sociology of health and illness, poverty and homelessness, and family life. It's amazing. My professors are the best.
Say goodbye to your soul before committing to this school. No one graduates with a 4.0, trust me. The workload, aside from Centre Term, can be very, very stressful. The professors, while friendly and helpful, often take no mercy when grading. Yet however crushing the letter grades can be, know that you will learn quite a lot from their brilliant minds.Don't take anything too personally and keep an open mind and a stubborn work ethic at Centre.
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It has been said that Centre is just a place to meet other nerds, and in some ways, that's true. Centre has a strong tradition of attracting academically-conscientious students, and it follows suit that, after making the cut, the workload can be strenuous. The challenging workload provides a full-time commitment during the week, but also allows for free time during the weekend, with some careful time management. Going to class, attending outside lecturers and convocations, and meeting with professors at the café for coffee and paper conferences are just a couple of ways to take advantage of the prominent faculty that are available for your personal benefit. Centre's academics are remarkably strong because they combine faculty at the top of their fields, who focus on teaching instead of research, and students who are willing to learn.
The academic reputation Centre enjoys is what usually attracts potential students. Centre C also boasts an established practice of networking-around campus, it's known as the "Alumni Mafia." Besides the faculty and staff, who will do backwards cartwheels to be over-involved in your academic career, Centre's Career Services can land a you killer job. While Centre may not make any big party-school lists or have Ivy League credentials, its strength is in fostering an academic environment that produces well-balanced graduates with bright futures.
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THE SOCIAL CHANGE COLLECTION: "A global perspective on how museums are changing lives and influencing society."
MUSEUM PARTICIPATION: "Inspiring... packed with thoughtful examples." Nina Simon | Author, The Participatory Museum.
VISITOR PHOTOGRAPHY: "Using photography to document, experience, share." Jeff Gates, Smithsonian American Art Museum.
CODE | WORDS: "Exciting, important and wide-ranging." Sree Sreenivasan, Chief Digital Officer, Metropolitan Museum.
INTERPRETING THE ART MUSEUM when access, inclusion and engagement is key. World-class galleries share their experience.
THE CARING MUSEUM: "Museums can help us imagine new ideas about ageing and new ways of caring."
Want more of this? Subscribe to our newsletter for news, offers and fresh inspiration:


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- Since I installed a child theme, plugin plugin Shareaholic | share buttons & related posts works.
- Not found how to have a numbered pagination.
- Lack a Social widget
- Footer not widgetized (in charge version, alas)
Thank You
You must log in to submit a review. You can also log in or register using the form near the top of this page.


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Hey guys, I'm running Mac OS X 10.6 Snow Leopard with the default Apache 2 installation that it comes with and PHP 5 enabled.
Anyways, I have configured a VirtualHost whose
DocumentRoot is under
/Users/blaenk/Sites. This works perfectly fine, but if I set it to a directory within my
code directory,
Users/blaenk/code/php/somesite, it gives me the Forbidden error. Apparently this has to do with permissions on the folders, as they are different:
drwxr-xr-x+ 6 blaenk staff 204B Dec 20 16:09 Sites/
drwx------ 15 blaenk staff 510B Nov 28 18:35 code/
I tried making the
php, and
somesite directories all 755, but that did not seem to solve the issue. I also did
chmod -R 755 ~/code/php/blaenkdenum , to no avail.
I would appreciate any help which you guys can provide. Let me know if I'm missing any information.


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Stats 101: Baseball's worst hitters
Dayn Perry / Special to FOXSports.com
Posted: 20 hours ago
Let's talk bad. And we don't mean "bad" like the kids say.
We mean bad like raw oysters, 105-degree days or "Mind of Mencia." You know: lousy, crappy.
To bring this home to baseball, we're talking about which hitters this season have been the absolute worst in the game. We're not concerned about defense or base running. We're also not paying any heed to clubhouse bearing, popularity with fans and media or any other intangible merits/demerits. It's all about hitting and who hasn't been doing it.
So we're going negative in this installment of Stats 101 and taking a look at which hitters have been summoning the ghost of Enzo Hernandez each time they step into the box. Let's take a look, on a position-by-position basis, considering only those with a qualifying number of plate appearances ...
C — Jason Kendall, Cubs
The D-Rays' Dioner Navarro has actually been worse than Kendall this season, but he's not quite a qualifier. At the time of his being traded from Oakland, the impossibly light-hitting Kendall had a batting line of .226 AVG/.261 OBP/.281 SLG. While he's been better since becoming a Cub, his overall numbers remain beyond putrid. In fact, he's on pace to play in 144 games while managing only 24 extra-base hits.
1B — Richie Sexson, Mariners
The M's have finally wised up and are now platooning Sexson with Ben Broussard. However, much of the damage has already been done. At present, Sexson is hitting .199 AVG/.298 OBP/.390 SLG. Keep in mind that this is supposed to be a premium offensive position. No first baseman with a sub-.300 OBP is doing his job. If Seattle winds up a game or two out of playoff position at the end of the season, then Sexson should carry a good chunk of the blame.
2B — Josh Barfield, Indians
In 2006, Barfield had a solid campaign, especially considering he played his home games in Petco Park, the most brutal hitting environment in the game today. This season, however, he's backslid terribly. On the year, his OPS (on-base percentage plus slugging percentage) is only .591, and he's hitting only .206 against the opposite side. At age 24, Barfield still has promise, but this has been a lost season.
3B — Nick Punto, Twins
Thankfully for Twins fans, Punto hasn't been playing every day of late. However, he's still a qualifier, which makes his 2007 batting line of .209 AVG/.298 OBP/.271 SLG impossibly damaging to the team's hopes. A corner defender simply cannot slug less than .300 and not be a profound liability. The Twins have also tolerated miserable production from left and DH this season, and that's a big reason they're probably not going to the playoffs.
SS — Juan Uribe, White Sox
Although Boston fans might argue for Julio Lugo's inclusion, Uribe has actually been worse. Shortstop is of course not generally a linchpin position in the lineup, but Uribe's current batting line of .214 AVG/.266 OBP/.338 SLG is awful in any context. He's put up even weaker numbers away from hitter-friendly U.S. Cellular Field. Bottom line: No hitter should play the majority of a season and be on pace for only 10 doubles.
LF — Craig Monroe, Tigers
The Tigers have one of the best offenses in the game this season, but that's no thanks to Monroe. Monroe's been a solid right-handed power source over the last four seasons, but this year his skills have taken leave of him. Presently, he's hitting .220 AVG/.264 OBP/.375 SLG, while the average major-league left fielder is hitting .274 AVG/.346 OBP/.448 SLG.
CF — Juan Pierre, Dodgers
Sure, Pierre has his good points: he's a fairly efficient base stealer, and he's a solid defender in center. At the plate, though, he's been a wreck this season. Speed on bases is nice, but one must, you know, reach base in order to use that speed. Pierre's paltry OBP of .318 proves he's not doing that. Pierre has such limited secondary hitting skills that he really needs to hit comfortably over .300 to be useful. In 2007, he's coming up short in that regard.
RF — Austin Kearns, Nationals
When the Nats traded for Kearns last season, it looked as though they were robbing the Reds blind. However, Kearns has failed to live up to his promise. RFK's a tough park for hitters, but that doesn't excuse a .250 AVG/.332 OBP/.380 SLG line from a corner outfielder.
DH — Aubrey Huff, Orioles
Huff hasn't spent all his time at DH in 2007, but it has been his primary position. Overall, Huff is hitting .260 AVG/.302 OBP/.403 SLG, and as a DH he's hitting .243 AVG/.289 OBP/.354 SLG. That's not the level of production you want from a guy who most of the time doesn't pick up a glove.
P — Brandon Webb, Diamondbacks
No, even the pitchers aren't spared from ridicule. Braving the cornucopia of banjo-hitting pitchers is challenging stuff, but it's hard to "top" what the reigning NL Cy Young winner has done in 2007. In 54 plate appearances this season, Webb has "hit" .041 AVG/.041 OBP/.061 SLG. To achieve a similar dearth of production, an every-day hitter would need to log roughly 24 hits in 600 at bats. Even the average pitcher this season beats Webb by more than 100 points in the batting-average department.
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Goldie Hawn
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George Martin - 22% match to Goldie Hawn
3 January 1926, London, England. Martin became the worlds most famous record producer through his work with the Beatles. Classically trained at Londons Guildhall School of Music, he joined EMI Records in November 1950 as a junior A&R man. Five years later, Martin was given charge of the Parlophone Records label where he produced a wide variety of artists. Amo Read more
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Epic: Unreal Engine 4 set to last for a decade
The latest issue of Game Informer has some new info on Unreal Engine 4, with Epic stating its looking to have the new engine be about for at least a decade
The magazine mentioned that Epic worked with Intel, AMD NVIDIA and QualComm to plan out the tech's road map. It added it was hoping to release dev kits to developers soon.
UE4 will also include new lens flare tech that happens dynamically whenever used.
Epic said to GI it hoped Unreal 4 will "empower game designer to take charge of as much of the game production process as possible," adding the next hardware cycle will "be about alot of things besides just next-gen graphics performance."
Epic is planning for Unreal 4's lifecycle to last around a decade, beginning with the launch of the next-gen systems.
There's more details on GAF. GTTV is set to show the tech demo that was mentioned in the Wired and GI reports this Thursday. There's a tease of it and a small chat with Cliff Bleszinski here.
Sometimes we include links to online retail stores. If you click on one and make a purchase we may receive a small commission. For more information, go here.


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Orientation at Dickinson
Dickinson's Orientation program for new students is designed to facilitate your integration into the unfamiliar academic and residential setting that is college life. Through Orientation we invite you to learn about the experiences, opportunities and community that Dickinson has to offer. Keep an eye on the Orientation site for first-year activities, news and getting involved in Orientation.
Save the Date
For your planning purposes mark your calendars for the following 2016 move-in dates:
International students participating in Pre-Orientation Adventures are permitted to arrive on Saturday, August 20, due to extensive international travel.
- International Student Arrivals: August 21
- Pre-Orientation Adventure Participant Arrival: August 21, 8 a.m.-11 a.m.
- First-Year and Transfer Arrival: August 24, 8 a.m.- 11 a.m.
Though it may seem far away, new-student Orientation will be here soon:
- Pre-Orientation Adventure Programs: August 21-23
- New Student Orientation: August 24-28
- International Student Orientation: August 24
- Classes Begin: August 29
- Homecoming & Family Weekend: October 28-30
Contact Us
If you have any questions, please call the New Student Programs office at 717-245-1671 or email email@example.com.
First-Year Experience All News
Beyond the Locked Door
Getting published in a national publication is exciting. Getting published as a first-year? Even more so! Meet Nicky Chapman '19, whose article on prison culture arose from an anthropology paper.
Do the Math
What do you get when you combine 70 first-year students, 'Toy Story' and root beer kegs?


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Essential Factors To Consider Before Purchasing Home Gym Fitness Equipment
Nowadays, a lot more people have discover the effects of obesity on their health and wellness, making them become increasingly health and fitness conscious. Fitness centers have come a long way in giving high tech and useful equipment which help persons in slimming down and keeping healthy. But some people are still hesitant to visit these fitness centers, and find home gyms much easier for their workout. For some persons, price of gym membership might be a serious issue, and others are just unpleasant enough exercising in front of others.
Home Gym Fitness Equipment
Home gyms are much easier, and you can set it up as per your preference and requirement. But there are several significant aspects which need to be considered before choosing home gym fitness equipment, and these include budget, space, and requirement. Before setting up a home gym, learn how much area you have at your disposal. If there is any particular equipment which you want to keep in your gym, ensure you have enough space available.
Next step is to assess your goals, and focus on your requirements. Different persons have various requirements. Some want to lose weight, some need to bulk up, and some would like to do exercise to keep healthy. There are different home gym fitness equipments that fit different requirements. For overall exercise, you will need to buy various kinds equipment. Make sure you visit exercise bike reviews site to get additional details about ProForm exercise bike. With this home gym equipment you will have a great path to better fitness and health.
Certainly, budget to build the home gym is important consideration in deciding which equipment you can add to it. If money is a restriction, you can also buy the used equipment. It is not essential to purchase all the needed home gym fitness equipment at one time. Most of the impressive home gyms have taken years to develop, and each equipment added, whenever budget allowed. The essential thing is to begin from the basics, and gradually buy the equipment for particular needs.
Most of the people like to use treadmill and elliptical trainers for regular workout, while other prefer rowing machines, stair steppers and exercise bikes. A lot of people also like the versatility of Smith machine, multi-purpose home fitness equipment and free weights. It is important to make the gym versatile to get a full body workout.
No matter which home gym exercise equipment you buy, you will need to ensure that you utilize it regularly, and feel safe in doing so. Ensure that the home gym has sufficient light and ventilation. Purchase accessories such as good shoes, mats and room decoration. The place needs to be inviting enough for you to go there on a daily basis. So make it as comfortable and charming as possible.
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text: Modern Presence. The Albion collection sets the stage for up-to-date style and welcoming comfort. A striking addition to your living room, this accent chair brings to mind modern abstract art. Tight-back styling combines with a reversible seat cushion for long-lasting style and wear. Flared arms and dark wood tapered feet round out the contemporary vibe ... read more


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Scott and GOP attack Justice Peggy Quince
caines | 10/18/2012, 5:30 a.m.
If judges become subject to political whims, justice for all will no longer existThis November, three of the seven justices on Floridas Supreme Court R. Fred Lewis, Barbara Pariente and Peggy Quince are up for merit-based retention (not reelection). But another related decision must be made by voters on Amendment 5. The amendment is a ballot initiative that seeks to change state law by allowing unprecedented legislative access to confidential court records, giving the State Senate the power to approve would-be Supreme Court Justices and enabling a simple majority to void court rules (instead of the current two-third majority set out by law). Both initiatives all point in the direction of people that want to take advantage of the supermajority Republicans enjoy in the State Legislature. Right-wing groups like Restore Justice 2012 and Americans for Prosperity have been busy trying to get Amendment 5 passed and Justices Lewis, Pariente and Quince ousted. So how does a judge or justice, the very embodiment of the apolitical scales of justice, work against thinly-veiled partisan threats to his or her place on the bench or even the power of the bench itself? After all, campaigning under normal circumstances is not easy given the slippery slope towards subjectivity on the campaign trail. Quince says it isnt easy. That is a real challenge, she said. Because as justices, we are not politicians.
Quinces rise to the bench
For about 40 years, Floridas judicial system has been built on a strenuous vetting process known as merit selection and retention. The merit process requires in-depth inquiries and investigations before a nominating commission sends a list of possible unique fashion. In December 1998, Governor Elect Jeb Bush and outgoing Governor Lawton Chiles made Quince a justice via a joint appointment after being interviewed by both, she explained. The irony of two of Floridas iconic figures in their respective political parties both agreeing on the appointment of Quince to the states highest court, for Quince, indicates that, to a certain extent, the process works. They were both looking for the same things: experience, character and temperament, she said. So what does Quince think about Amendment 5 and its inherent threat to the impartial nature of the state judicial system? She would not offer a personal opinion but did offer a professional observation. As I understand Amendment 5, it is about rule-making, how the Supreme Court makes rules for how the entire court system operates, she said. For example, a rule could outline a certain number of days to do something, establish deadlines, how to present a case. That rule-changing provision of Amendment 5 is curious as it pertains specifically to what Quince calls a rare occurrence. How rare of an occurrence is the Legislature being so averse to a specific rule of court that it found itself as a body compelled to attempt to repeal it? I have been a justice since 1998 and I only remember it happening once, she said. Thus, the question that remains to be answered is: why go through so much trouble to change something that is rarely invoked by the Legislature? Ultimately, the current politicized circumstance is challenging for Quince and her peers. Our judicial system and the selection and retention of judges and justices is non-partisan, said Quince, who explains that the legislature and governor decided [in 1974] that we didnt want our judges subjected to political whims. Why is it that insulation from partisan politics is so important to a judicial system as a pillar of an effective democracy? Quince offered some insight. Judges make hard decisions and they cant always be based on agreement, she said. The courts cannot be lockstep with the other branches that is the beauty of our system. By Jos email@example.com


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Is John Boehner A 'Person Of Color'?
While you're pondering that headline, here's a question from Matthew Bond of Nashville, Tenn.:
At the White House Correspondents' Dinner, why did President Obama characterize John Boehner as being of a color "not found in nature"? What did I miss?
In Washington, people for the longest time have always wanted to know about (or made jokes about) Boehner's perpetual tan. (The Almanac of American Politics calls him "eternally tanned." Kim Clark, writing in The New Republic, said Boehner is "preternaturally tan." You get the point.)
Ron Elving and I, in our award-winning "It's All Politics" podcasts, have often joked about Boehner being a "person of color."
At the White House dinner earlier this month, Obama played along. In "suggesting" that Boehner, the House minority leader, is a "person of color" — Ron, did we copyright that joke? — the president followed by saying, "Although not a color that appears in the natural world."
For the record — and I can't believe the conversation has turned serious — there have been four genuine African-American Republicans in Congress since Reconstruction:
Rep. Oscar De Priest (IL) — 1929-34
Sen. Ed Brooke (MA) — 1967-78
Rep. Gary Franks (CT) — 1991-96
Rep. J.C. Watts (OK) — 1995-2002
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Click here to view the article Letter to the Editor by C. Chao.
Letter to the Editor
No autoimmune safety signal after vaccination with quadrivalent HPV vaccine Gardasil?
Version of Record online: 24 MAY 2012
DOI: 10.1111/j.1365-2796.2012.02551.x
© 2012 The Association for the Publication of the Journal of Internal Medicine
Journal of Internal Medicine
Volume 272, Issue 5, pages 514–515, November 2012
Additional Information
How to Cite
Tomljenovic, L. and Shaw, C. A. (2012), No autoimmune safety signal after vaccination with quadrivalent HPV vaccine Gardasil?. Journal of Internal Medicine, 272: 514–515. doi: 10.1111/j.1365-2796.2012.02551.x
Publication History
- Issue online: 22 OCT 2012
- Version of Record online: 24 MAY 2012
- Accepted manuscript online: 28 APR 2012 09:27AM EST
- Abstract
- Article
- References
- Cited By
Dear sir,
Recently, the Journal of Internal Medicine published a study by Chao et al. [1] on autoimmune conditions following the routine use of Gardasil, which failed to identify any significant autoimmune safety concerns. This study was conducted in collaboration between two managed care organizations, Kaiser Permanente Southern California (KPSC) and Kaiser Permanente Northern California (KPNC), as a postlicensure commitment to the FDA, the European Medicines Agency (EMA) and other regulatory authorities to help evaluate the autoimmune safety of the vaccine. In particular, Chao et al. [1] noted that 'well-designed postlicensure safety studies for newly approved vaccines facilitate proper evaluation of their autoimmune safety' [emphasis added]. We certainly do agree with the authors that such studies are needed for determining whether or not new vaccines have adequate safety profiles. The study population for the autoimmune surveillance by the Kaiser's research team thus included 189 629 women of diverse ethnical and socio-economic background, 99% of whom were in the recommended age range for HPV vaccination (9–26 years) [1]. Nonetheless, two potential biases might have influenced the outcome of the safety analysis conducted by the authors. First, the study included all women who received at least one dose of Gardasil, thus making this particular population sample less sensitive for the detection of serious adverse reactions (ADRs), as such events may be expected to occur less frequently if fewer doses of the vaccine are administered. As the authors did not report how many women actually completed the recommended three-dose HPV vaccination regimen, it is impossible to know what proportion of the study population was actually at high risk from vaccine-related serious ADRs. Secondly, the Safety Review Committee (SRC) that reviewed all safety data included a general paediatrician/clinical epidemiologist, a perinatologist/teratologist, a vaccinologist, a paediatric rheumatologist and a pharmacoepidemiologist [1]. In view of the fact that the autoimmune conditions of interest to be examined by this expert Committee included (i) rheumatologic/autoimmune disorders, (ii) autoimmune endocrine conditions and (iii) autoimmune neurological/ophthalmic disorders [1]; the question must be asked about why the Kaiser's research team failed to recruit an expert panel with similar expertise if, in fact, the study aimed to facilitate proper evaluation of autoimmune safety for Gardasil? It is thus surprising to note the absence of an immunologist/autoimmunologist, neurologist and ophthalmologist from the SRC especially because such experts were in fact present at a later stage, in the analysis of case reports selected by the SRC [1]. As demonstrated repeatedly in the scientific literature, inadequately designed research cannot be used to reliably evaluate the safety of any drug [2,3].
We have previously pointed out to existing HPV vaccine-related safety concerns as well as uncertainties about the efficacy of HPV vaccination against actual cervical cancer incidence [3, 4]. Whilst results from clinical trials show that Gardasil can reduce the incidence of a subset of abnormal CIN 2/3+ cytologies (i.e. those related to HPV-16/18) in women with no pre-existing HPV infections [5], the vaccine is unlikely to reduce the overall frequency of cervical cancers (at least not beyond what Pap screening has already accomplished) [6, 7], yet this is the primary aim for which the vaccine was developed [8]. Furthermore, current data show that antibodies against HPV-18 after Gardasil fall rapidly, with 35% of women having no measurable antibody titres by 5 years postinjection [6]. This outcome suggests that rather than preventing future cases of cervical cancer, Gardasil, at best, may only be effective in postponing them.
In addition, unlike screening and the loop electrosurgical excision procedure (LEEP), Gardasil offers no therapeutic benefits as it cannot cause regression of pre-existing HPV-16/18 infections or associated lesions. On the contrary, Gardasil may exacerbate cervical cancer disease in women with pre-existing HPV-6/11/16/18 infections [5]. It thus appears that the current widespread optimism regarding the putative long-term benefits of HPV vaccination has only been made possible by invalid and premature extrapolations from such often inadequate surrogate markers [3, 9, 10]. As recently noted by Gerhardus and Razum [9], the, 'unwarranted confidence in the new [HPV] vaccines led to the impression that there was no need to actually evaluate their effectiveness'.
On the other hand, abundant evidence now exists that HPV vaccines can cause serious adverse events, including death and long-term disabling autoimmune conditions [3, 6]. Moreover, because currently there are no active surveillance programs for monitoring vaccine safety outcomes anywhere in the world, the true rate of serious ADRs following Gardasil remains unknown. In context, whilst 12-year-old preadolescents are at zero risk of dying from cervical cancer, they are faced with a risk of death and a permanently disabling lifelong autoimmune or neurodegenerative condition from a vaccine that thus far has not prevented a single case of cervical cancer, let alone cervical cancer death. For vaccines with uncertain benefits designed to prevent a disease that is already preventable by Pap screening and LEEP, both of which carry no such risks, the potential for harm to those vaccinated should be negligible [3, 4].
Conflict of interest statement
LT and CAS conducted a histological analysis of autopsy brain samples from a Gardasil-suspected death case.
This work was supported by the Katlyn Fox, Lotus and the Dwoskin Family Foundations.
- 1Surveillance of autoimmune conditions following routine use of quadrivalent human papillomavirus vaccine. J Intern Med2011; 271: 193–203., , et al.
- 2Vaccines for measles, mumps and rubella in children. Cochrane Database Syst Rev2005; 4: CD004407., , , .
- 3Human papillomavirus (HPV) vaccine policy and evidence-based medicine: are they at odds?Ann Med2011. doi: 10.3109/07853890.2011.645353, .
- 4Mandatory HPV vaccination. JAMA2012; 307: 254; author reply -5., .
- 5Food and Drug Administration Vaccines and Related Biological Products Advisory Committee (VRBPAC) background document: Gardasil™ HPV Quadrivalent Vaccine. May 18, 2006 VRBPAC Meeting. Available at: http://www.fda.gov/ohrms/dockets/ac/06/briefing/2006-4222B3.pdf [Accessed on 20 March 2012].
- 6Prophylactic HPV vaccines: current knowledge of impact on gynecologic premalignancies. Discov Med2010; 10: 7–17., .
- 7Next generation cancer protection: the bivalent HPV vaccine for females. ISRN Obstet Gynecol2011. doi: 10.5402/2011/457204., .
- 8God's gift to women: the human papillomavirus vaccine. Immunity2006; 25: 179–84..
- 9A long story made too short: surrogate variables and the communication of HPV vaccine trial results. J Epidemiol Community Health2010; 64: 377–8., .
- 10Letter to the editor response to the article of Luisa Lina Villa HPV prophylactic vaccination: the first years and what to expect from now. Cancer Lett2011; 304: 70., , .


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- Headache & Migraine Triggers - Slideshow
- A Visual Guide to Migraine Headaches - Slideshow
- Take the Headaches Quiz!
- Headaches FAQs
- Patient Comments: Headache - Effective Treatments
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- Headache definition and facts
- What is a headache?
- How are headaches classified?
- What are primary headaches?
- What are secondary headaches?
- What are cranial neuralgias, facial pain, and other headaches?
- 17 types of headaches
- What causes headaches?
- What causes tension headaches?
- What are the signs and symptoms of tension headaches?
- How are tension headaches diagnosed?
- How are tension headaches treated?
- What causes cluster headaches?
- What are the symptoms of cluster headaches?
- How are cluster headaches diagnosed?
- How are cluster headaches treated?
- Can cluster headaches be prevented?
- What diseases cause secondary headaches?
- How are secondary headaches diagnosed?
- What are the exams and tests for secondary headaches?
- When should I seek medical care for a headache?
- How do you get rid of a headache? Are home remedies effective for headaches?
Quick GuideMigraine or Headache? Migraine Symptoms, Triggers, Treatment
When should I seek medical care for a headache?
A patient should seek medical care if their headache is:
- The "worst headache of your life." This is the wording often used in textbooks as a cue for medical practitioners to consider the diagnosis of a subarachnoid hemorrhage due to a ruptured cerebral aneurysm. The amount of pain will often be taken in context with the appearance of the patient and other associated signs and symptoms. Too often, patients are prompted to use this expression by a health-care professional and do not routinely volunteer the phrase.
- Different than their usual headaches
- Starts suddenly or is aggravated by exertion, coughing, bending over, or sexual activity
- Associated with persistent nausea and vomiting
- Associated with fever or stiff neck. A stiff neck may be due to meningitis or blood from a ruptured aneurysm. However, most patients who complain of a stiff neck have muscle spasm and inflammation as the cause.
- Associated with seizures
- Associated with recent head trauma or a fall
- Associated with changes in vision, speech, or behavior
- Associated with weakness or change in sensation on one side of their body that may be a sign of stroke.
- Not responding to treatment or is getting worse
- Requires more than the recommended dose of over-the-counter medications for pain
- Disabling and interfering with work and quality of life
How do you get rid of a headache? Are home remedies effective for headaches?
It is important to at least think that an unusual headache may need to be evaluated by a health-care professional, but in most instances, primary tension headaches may be initially treated at home.
- First steps include maximizing rest and staying well hydrated.
- Recognizing and minimizing stressful situations may be of help, if that is one of the contributing causes of the headache.
- If there has been a cold or runny nose recently, humidifying air may be helpful in allowing sinuses to drain.
- Rubbing or massaging the temples or the muscles at the back of the neck may be soothing, as might warm compresses.
- Over-the-counter pain medication may be helpful, in moderation.
Those with migraine headaches often have a treatment plan that will allow treatment at home. Prescription medications are available to abort or stop the headache. Other medications are available to treat the nausea and vomiting. Most patients with migraine headaches get much relief after resting in a dark room and falling asleep.
Patients who have secondary headaches will often need to seek medical care.
Beithon, J., et al. "Health Care Guideline Diagnosis and Treatment of Headache." 10th Edition. 2011.
International Headache Society; Headache Classification Committee of the International Headache Society (IHS). "The International Classification of Headache Disorders, 3rd edition (beta version)." Cephalagia. 33:9 (2013): 629-808.
International Headache Society. "The Classification; Part I: The Primary Headaches."
Olesen, J., et al. "The International Classification of Headache Disorders." 2nd Edition. International Headache Society (IHS). May 2005.
Steiner, T. J., et al. "Guidelines for All Healthcare Professionals in the Diagnosis and Management of Migraine, Tension-Type, Cluster and Medication-Overuse Headache." 3rd Edition. British Association for the Study of Headache. 18 Jan. 2007.


text:
From the Department of Psychiatry, Kaiser Permanente Medical Group, San Jose, Calif (Drs Bernal, Bendell Estroff, and Aboudarham and Mr Keller); and the Child Psychiatry Service, Massachusetts General Hospital, and the Department of Psychiatry, Harvard Medical School, Boston, Mass (Drs Murphy and Jellinek).
To evaluate psychosocial morbidity in pediatric primary care and to determine displaced health care utilization.
Design and Setting
A cross-sectional sample of parent-child dyads was screened using the Pediatric Symptom Checklist (PSC) at 6 pediatric sites of a health maintenance organization (HMO). Cost and utilization data were retrieved from regional databases for this sample.
Parent-child dyads from an HMO in northern California (N = 1840). The children ranged in age from 2 to 18 years.
In all, 13.0% of children exhibited psychosocial dysfunction. The rate of children's chronic illness was 18.4%. Multiple regression analyses measured utilization and cost of health and psychiatric care for the selected population for the previous year; the average log cost of health care per child was $393. The average health care cost for children with anxious, depressed symptoms was $805. Chronically ill children were the highest utilizers of health care, with an average log cost of $1138. When psychosocial dysfunction was present, regression models showed that health care spending was highest for young children.
Health care utilization was higher for children with psychosocial morbidity, was higher among younger children, and decreased with age as psychiatric costs progressively increased.
MANAGED CARE attempts to prioritize allocation of resources in health care delivery systems. Pediatricians are an important first resource for parents with concerns about their children's behavioral problems.1,2 Despite epidemiologic data suggesting that psychosocial morbidity is the most prevalent childhood problem (14% of children), only about 50% of these children are identified by their primary care physicians; once identified, only a small fraction receive appropriate mental health treatment.3- 7 Beyond these constraints, pediatricians do not receive adequate training concerning psychosocial problems, may be hesitant to attach stigmatizing labels to children, do not have enough time during brief visits to address psychosocial needs, and may have limited access to mental health services.3,7,8
The economic implications of pediatric psychosocial morbidity within the general health care sectors have recently become a focus of empirical inquiry.9- 11 Health care utilization studies suggest that adults with psychiatric disorders average twice as many visits to their primary care providers as those without them12; however, the findings for children and adolescents are less clear. Chronically ill children have more complex physical and mental health care profiles than healthy children and also have very high rates of medical utilization.13- 15 Previous studies, although limited by small sample sizes and a narrow focus, suggested that pediatric psychopathologic processes were associated with increased general and subspecialty health care utilization.16- 22 Known risk factors include parenting or family conflict; single-parent households were associated with high health care utilization.17- 19,21- 24 In addition, mothers' distress and health-related attitudes contributed to higher rates of pediatric health care utilization.25 Recently, Murphy and associates23 found that psychosocial morbidity was highly associated with health care utilization in a large, nationally representative pediatric population. Similarly, Zuckerman et al26 demonstrated that the most significant predictor of medical utilization in children was parent-reported behavior problems. Both of these studies relied on retrospective parental report of health care utilization rather than an objective measure.
The implementation of clinical data-tracking systems within health maintenance organizations (HMOs) provides a centralized and accessible measurement of cost for large patient populations and can objectively document health care utilization. Screening measures focusing on functional impairment have been suggested as an expedient method of establishing baseline rates of mental health morbidity for both parents and children who are at high psychosocial risk.5,27- 30
In accord with previous studies of adult populations, we hypothesized that pediatric psychosocial morbidity would show an independent effect on increased health care utilization and costs.11,12,31 The effects of sociodemographic characteristics on health care utilization and costs were examined. Each parent and child's health care visit and the consequent medical costs during the year preceding and 6 months after screening were measured using the HMO's centralized clinical data-tracking system. With these data, baseline rates of psychosocial morbidity within the HMO's pediatric population were established and the economic burden within the sample was calculated using a cost analysis based on multiple linear regression.
The study was conducted at an HMO composed of 28 facilities in a 300-mile radius in northern California. Approximately 28% of 2.5 million members were younger than 18 years. Six facilities were used and all pediatricians and pediatric nurse practitioners (N = 185) participated; other primary care departments were not included. All types of urgent and routine pediatric visits were sampled.
All pediatrician schedules were used to recruit 300 parent-child dyads from each site in a rotating pattern. All children aged 2 to 18 years accompanied by a parent were eligible; adolescents without an accompanying parent were excluded. In all, 2475 dyads were approached and 1840 dyads were enrolled in the study. Primary reasons for refusal to participate were lack of time or interest. There were no statistically significant demographic differences between participants and nonparticipants.
Informed consent was obtained only from the parent. Data were collected for 4 hours a day across times, pediatric practices, and appointment types on any given day or evening over 4 months. Participants were enrolled only once during the data-collection period. All parents of children who scored above the clinical cutoff on the Pediatric Symptom Checklist (PSC) received a letter recommending appropriate follow-up services at the HMO's psychiatry department.
The PSC is a 35-item parent-completed checklist of children's emotional and behavioral problems associated with dysfunction.32- 38 Item scores are added and the total score is recorded as a dichotomous variable indicating psychosocial impairment. Positive cutoff scores of 28 or higher for school-aged children (aged 6-18 years), and of 24 or higher for 2- to 5-year-old children were used. Cutoff scores were derived from receiver operator characteristic analyses in previous research comparing the performance of the PSC with the Children's Behavior Checklist for detecting psychosocial impairment.29,32- 35 The PSC cutoff scores that provided the highest average sensitivity and specificity and the highest κ statistic when compared with Children's Behavior Checklist classification were selected. The PSC has been validated for diverse populations.35 The reliability and validity for screening 4- to 5-year-olds for English-speaking and Spanish-speaking children were also adequate.35
Immediately after the index visit, physicians, without knowledge of PSC scores, documented the presence or absence of behavioral problems for the child on a brief questionnaire.
The presence of chronic illness was determined by parental report and by medical record review. In all, 14.2% of parents reported that their child was chronically ill at the time of screening.
Medical record review was based on inclusion criteria from ambulatory diagnostic groups.36 Records were reviewed to confirm the presence or absence of diagnoses in any patient who had been hospitalized, who was classified by parental report as chronically ill, or who had 5 or more medical visits in the previous year.15,17 There was consensus between 2 raters for these decisions. Since 18.6% of children were classified as chronically ill according to the medical records review, the report of chronic illness is based on these criteria.
Two factors of the PSC were extracted using principal components factor analysis with varimax rotation. Consistent with previous research, the 2 factors were grouped into symptoms of an internalizing nature (ie, depression and anxiety) and externalizing symptoms (ie, defiance and aggression). Separate factor analyses were run for younger and older age groups (aged 2-5 and 6-19 years), with the same results (Table 1). For purposes of subsequent analyses, the values for all externalizer items were added and the values for all internalizer items were added and multiplied by a ratio of 7:6 for calibration. All children who scored positively on the PSC and scored higher on the internalizer indicator were classified as internalizers, while all PSC-positive children who scored higher on the externalizing indicator were classified as externalizers. Children who had equal scores on both indicators (n = 7) were eliminated from the data analysis.
Utilization data for the study were extracted from the HMO automated systems that record all clinical costs, including hospitalizations, outpatient registrations, and pharmacy, laboratory, and radiological procedures for the child and the accompanying parent. Cost information from the general ledger was allocated using the Cost Management Information System (The Permanente Medical Group, San Francisco, Calif), purchased cost-accounting software that integrates cost and utilization. Within the system, the costs by department, medical center, patient, and service were allocated. For example, a routine 10-minute pediatric visit costs $65. The actual expenses for each service department were assigned relative values, which were used as weights for distributing the costs expensed in the department to the total volume of services provided therein. The resulting average unit cost was multiplied by the patient's actual units of service during a given visit to tabulate the direct costs of the encounter. Overhead costs were allocated to each unit of service via a step-down method. All program costs equivalent to the costs of "insurance-related" services, such as marketing, membership accounting, and related administrative costs, were excluded. As utilization accumulated for the study period under consideration, the costs of visits were aggregated. The total cost for each patient included the costs of emergency department care, primary care, specialty care, nursing, operating and recovery room care, and surgery, as well as associated radiology, pharmacy, and laboratory costs.
We also included authorized charges incurred for out-of-network services. Alternative and unauthorized medical care obtained outside the HMO network services were not included in the cost analysis. Costs of medical services and psychiatric services are reported separately and added as total health care costs.
Depending on the type of variables (continuous or discrete), Pearson r correlation or χ2 analyses were performed to evaluate associations among independent variables and between dependent and independent variables, as well as to identify potential confounding variables. Linear regression models were built to predict the utilization and cost as a function of being an externalizer (vs not), being an internalizer (vs not), education, and desire for additional services for the child. Two interaction terms were included: age and internalizer and age and externalizer. Socioeconomic status variables were included as covariates based on whether the correlations and χ2 analyses had shown them to be associated with the predictor variables. The age of the child and chronic illness were found to be associated with outcome variables in the analysis of variance. Thus, they were used as covariates in subsequent regression models. The variables were entered in the model in a stepwise method.37
Utilization and costs were aggregated for the period of 12 months prior to survey, for 6 months after the survey, for the calendar year of survey completion, and for 18 months, spanning from 12 months prior to 6 months after the survey. For each period, aggregated costs were considered as they were in one set of models and truncated to 3 SDs above the mean for another set of models. In each set, the model was run first for the entire sample with the indication of chronic illness (vs not) as a predictor, then separately for children who were and were not chronically ill.
Sociodemographic and psychosocial screening data are presented on the full sample (N = 1840) in Table 2. Utilization data were not available for 191 parent-child dyads because of partial enrollment (under 6 months) in the HMO within the 18-month study period. Thus, health care utilization and cost-effectiveness multiple regression analyses were completed using a sample of 1649 parent-child dyads. Subjects excluded from the multiple regression analyses did not differ from the rest of the sample on any demographic variables.
Of the 1840 children screened, 239 (13.0%) were positive on the PSC. Of these 239 children, 146 were classified as externalizers and 64 as internalizers.
The rate of physician recognition was low (6%). Physician clinical judgment in detecting psychosocial impairment showed a sensitivity of 20% and a specificity of 96% when compared with PSC classification.
Results of linear regression analyses indicated a consistent relationship between child PSC-positive status and health care utilization. Socioeconomic and clinical variables entered in the model, with the exception of the child's age, did not predict additional health care utilization. According to the linear regression model, the average number of utilization visits was 4.3 in the year previous to the index visit. The model predicted that children classified as internalizers were 3.3 visits above the sample's average (P<.05). The model predicted 2 visits above the average for those classified as externalizers (P<.03). Chronically ill children averaged an additional 6.2 visits (P<.001). Overall, the model significantly established PSC-positive internalizing or externalizing indicators and chronic illness as predictors of increased health care visits (R2, 0.24).
When chronically ill children were removed from subsequent regression analyses, PSC-positive status remained a significant predictor of increased health care utilization. Within those regression analyses, children classified as internalizers averaged 3.8 more health care visits than others in the sample (P<.008), while those classified as externalizers averaged 1.9 additional visits (P<.006)(Table 3).
Based on analogous regression models, the average log medical care cost within this sample for each child was $393. Chronically ill children showed a cost of $1138, resulting in a $745 excess above the predicted average for the year prior to the index visit (P<.001). The cost for children classified as internalizers was $412 above the average (P<.01), or $805 per year (Table 3). Because chronic illness contributed to a predictable influence on health care costs, additional regression analyses were run that excluded chronically ill children; the PSC internalizing indicator maintained significance, as in previous regression models.
Interpolated data from the same regression models showed that psychiatric costs increased significantly with the age of both internalizers and externalizers who were above the PSC-positive cutoff score. As shown in Figure 1 and Figure 2, the predicted medical costs of both indicators decreased progressively with age as psychiatric utilization costs increased.
Age effects on pediatric health care costs and psychiatric care costs among children with internalizing indicators, based on multiple regression models. The average log cost of medical care was $393 for the total sample for the 12 months prior to the index visit; for psychiatric care, $11. For the medical and psychiatric costs of internalizers, cost data were interpolated from the regression models.
Age effects on pediatric health care costs and psychiatric care costs among children with externalizing indicators, based on multiple regression models. The average log cost of medical care was $393 for the total sample for the 12 months prior to the index visit; for psychiatric care, $11. For the medical and psychiatric costs of externalizers, cost data were interpolated from the regression models.
Consistent with epidemiologic and community studies, 13.4% of children attending a pediatric visit were experiencing a clinical level of psychosocial dysfunction. Pediatricians identified 20% of the children who screened positive for psychosocial problems. Children with chronic illnesses and psychosocial problems had the highest levels of medical utilization. With all intervening variables included in the regression models, psychosocial morbidity raised health care costs and visits significantly. For age-matched children in the sample, internalizing symptoms were particularly costly to the health care system, with an average additional cost of $412 per year. Health care utilization was higher for younger children with psychosocial problems; however, the presence of symptoms among older children was associated with increased psychiatric utilization. The increased level of health care utilization of children experiencing internalizing symptoms has important clinical and empirical implications. In spite of the limitations of this cross-sectional study, its results have important implications for the understanding of clinical morbidity and economic outcomes in health care. For the first time, a standardized psychosocial screening procedure and a centralized clinical data-tracking system with comprehensive data on child health utilization, visits, and costs were used at an HMO to measure the economic burden of mental health morbidity within a pediatric population. This technology shows promise for clinical practice to (1) further pediatricians' professional mission of early detection; (2) aid in clinical decision making by providing clinical and economic outcome variables with which to better understand the service needs of patient populations; and (3) increase the appropriate use of health care resources.
A limitation of this study was the lack of external clinical validation of the parental-reported psychopathologic processes. The extent to which parental distress affects child functioning and parental perceptions of the dysfunction remains to be determined by future studies.38,39 However, the findings are consistent with those of studies based on representative national pediatric samples of psychosocial dysfunction.23,26 The clinical implications of the internalizing and externalizing indicators and the impact of comorbidity should be understood, and future analyses should address these issues in greater depth.
This study suggests the potential value of psychosocial screening, tracking functional status, and measuring health care costs for children and families. However, several questions are raised by the results of this analysis. While this study shows that increased health care costs are associated with psychosocial morbidity, the specific link between psychosocial dysfunction and increased health care utilization has not been explored. For example, once children's psychosocial problems are identified, it is not clear whether referral to mental health services would necessarily reduce subsequent pediatric health care utilization. These questions must be answered by outcomes research, which will determine future policy.40 Preliminary evidence in this study indicates that there may be a substantial cost that could potentially be offset by building higher-quality, more comprehensive mental health services for children. Further research is needed to prove this hypothesis by focusing on early identification and intervention.
Editor's Note: Considering the struggle our psychiatric colleagues have with managed care organizations, I hope the CEO (or whoever makes such decisions) pays attention to the results of this study. I can dream, can't I?—Catherine D. DeAngelis, MD
Accepted for publication August 16, 1999.
This research was supported by grant 950064 from the Innovation Program, Kaiser Permanente of Northern California, San Jose (Dr Bernal).
Corresponding author: Pilar Bernal, MD, Department of Psychiatry, Kaiser Permanente Medical Group, Suite 140, 175 Bernal Rd, San Jose, CA 95119.
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This is a small book of 79 pages containing Finsen's papers on, 1, the chemical rays of light and smallpox; 2, light as a stimulant; 3, the treatment of lupus vulgaris by concentrated chemical rays. An editorial abstract of the French issue appeared in The Journal, Sept. 15, 1900. The profession in general are probably well acquainted with the favorable opinion of those best qualified to judge of Finsen's light treatment of lupus. The appendix by the translator gives the results obtained up to the present time. The book is interesting reading and may be said to be the cornerstone of phototherapy.
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Keith and Pat Faulkner of Richardson announce the engagement of their daughter, Amy Jennifer, to John Edward Horton.
Horton is the son of John Alvin and Roxie Horton of Arlington. He is the grandson of the late Alvin and Trudie Horton.
The couple plan to be wed July 12 at Perkins Chapel on the Southern Methodist University campus in Dallas.
The bride-elect graduated from Texas A&M University in College Station with a bachelor of arts degree in biology. She was a member of Chi Omega sorority. She plans to graduate in May from the University of Texas Dental Branch in Houston as a doctor of dental surgery.
The prospective groom graduated from Texas A&M with a bachelor of arts degree in political science. He was a member of Phi Delta Theta fraternity. He works for Encompass Medical.
Amarillo Globe-News, April 15, 2003
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If you need further help setting your homepage, check your browser's Help menu
Press ReleasesGalco Introduces the RifleMann Sling Galco Gunleather Announces the KingTuk 2 Holster Galco Gunleather Announces the Cobra Tactical Belt Galco Gunleather Announces the Corvus™ Holster Galco Gunleather Announces the Improved CarrySafe™ with added Accessory Carrier Galco Gunleather Expands Concealed Carry Lite line Galco Introduces Two New Badge Holders Galco Announces Booth Events at NRA 2014 Galco Sponsors Columnist Britney Starr - Meet Britney at SHOT Show! Galco Gunleather Introduces New Holsters Galco Gunleather Introduces New XD-S Holster Fit for the KingTuk Holster Galco Gunleather Launches New Website Galco Gunleather Announces Promotions Among Staff Galco Gunleather's M6X Holster Receives the 2013 NRA Golden Bullseye Award Galco Gunleather Announces Release of KingTuk™ Holster for Smith & Wesson M&P Shield! Galco Gunleather Partners With Viridian Green Laser Sights Galco Gunleather Launches New Facebook Page Galco Gunleather Adds New M6X to Popular Holster Lineup Galco Gunleather Releases New Double Time Holster Galco Gunleather's Tuck-N-Go offers an Exceptional Combination of High Performance, Concealability and Affordability


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I'm using the Suffusion theme, not sure if that matters.
I tried activating SOLR but I receive two errors when I perform a search (see below).
Error 1:
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So I'm not quite sure what to make of this.


text:
i want that my blog does the following.
When the user is at
display the next article:
myblog.com/wp-content/themes/mytheme/articles/colplay.php at the top of the posts.
now i have done this succesfully. i inserted this code in the archive.php
echo ' ';
if ( is_tag(coldplay) ) {
' » '; include(TEMPLATEPATH . '/articles/coldplay.php');
echo '
but i want with the help of php, and $posttag save me some work since i have a lot of tags with lots of articles. (the article name is the same as the tag) but i dont know how to insert the tag in the "include" path.
can you help me? it´s the only thing that i need to run my theme smoothly. with what code should i replace the /articles/coldplay.php??
i was thinking in using
echo ' ';
if ( is_tag($posttag) ) {
' » '; include(TEMPLATEPATH . '/articles/$posttag.php');
echo '
but it didn´t work. hope you can understand me. how can i get the tag name and assign it the value of $posttag?
thanks for your help!


text:
A Jury convicted a former Wall Street powerhouse of insider trading today.
Raj Rajaratnam was found guilty on fourteen charges.
Prosecutors made the case that he used confidential information to make sixty million dollars.
The 53-year-old, one-time billionaire and founder of the Galleon Group Hedge Fund, faces up to twenty years in prison.


text:
About Jeff Masters
Dr. Masters co-founded wunderground in 1995. He flew with the NOAA Hurricane Hunters 1986-1990. Co-blogging with him: Bob Henson, @bhensonweather
By: Dr. Jeff Masters , 4:56 PM GMT on September 26, 2005
Caribbean tropical disturbance
The main area of concern today is a tropical disturbance in the central Caribbean sea, south of Hispanolia. This disturbance has now split in two, which should slow down its development. Wind shear values have increased this morning over the leading (western) portion of the disturbance, and are now about 10 knots, which is only marginally favorable for a tropical depression to form. The trailing (eastern) portion of the disturbance south of Puerto Rico has less shear (5 - 10 knots) over it, and this portion of the disturbance is showing the greatest growth in deep convection this afternoon. This portion of the disturbance has the best chance of development. The shear is forecast to remain constant or decrease over the next 48 hours as the disturbance tracks west-northwest at 15 mph. While surface pressures have started to fall, there are currently no signs of a surface circulation, and the disturbance is still relatively small and disorganized. A reconnaissance airplane is scheduled to visit the area on Tuesday, if necessary.
An upper-level low pressure system over Cuba is forecast to weaken and move northwards during the next three days, which would lessen the shear over the disturbance and steer it more to the northwest, as seen in the early track model forecast from the BAMM model, shown below. The latest 12Z (8am EDT) run of the GFS model takes the disturbance across western Cuba and into the Gulf of Mexico by Saturday. These model results are not reliable, given that the disturbance has split in two and that this was not anticipated by the models.
I give this disturbance a 60% chance of becoming a tropical storm by Friday.
Mid-Atlantic disturbance
A tropical disturbance located about 1200 miles east of the Lesser Antilles remains poorly organized, and is suffering from wind shear imparted by a large upper-level low pressure system to its west. Development of this disturbance is not expected for the next two days.
Elsewhere in the tropics
A cluster of thunderstorms accosiated with the tail end of the cold front that pulled Rita northeast across the U.S. is now emerging over the northern Gulf of Mexico, near the Florida panhandle. Strong upper levels winds should prevent any development in this area for the next two days.
Long range models show the possibility of tropical storm development off the coast of Africa during the week, as well as the Caribbean. We still have about three weeks remaining of the peak period of hurricane season, and I expect two or three more tropical storms will form between now and mid-October.
I mentioned in my blog yesterday how Port Arthur got a direct hit by the eye or Rita, but escaped catastropic storm surge damage. The image below, constructed by NOAA's Hurricane Research Division based on data taken by the NOAA hurricane hunter aircraft, confirms that this occurred because the east eyewall of Rita with its powerful southerly winds never blew over the bay Port Arthur lies on. Thus, water from the open ocean was not forced up into the bay by the eyewall's winds. The maximum storm surge hit a very sparsely populated area of the Southwest Louisiana coast. The small town of Cameron (population 2000) was the largest town along this stretch of coast, and suffered damage similar to what was seen in Mississippi from Hurricane Katrina. The winds of the east side of the eyewall made landfall due south of Lake Charles, pushing the worst storm surge up to that city.
Figure 2. Winds of Rita at landfall as measured by the Stepped Frequency Microwave Radiometer (SFMR) instrument on the NOAA hurricane hunter aircraft.
Jeff Masters
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Dr. Masters co-founded wunderground in 1995. He flew with the NOAA Hurricane Hunters 1986-1990. Co-blogging with him: Bob Henson, @bhensonweather
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