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Full Details
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I'm looking for suggestions-- I recently put in a rough path through my rock
garden, edged with bricks. The bricks have 3 holes in each. I would like to
plan an herb seed in each hole, but I don't know enough about the herbs and
need ideas. I want something which will not spread much laterally but also
not be very tall. I was thrilled with my recent acquisition of a very large
Rosemary plant, which is wonderfully fragrant. I'm looking forward to cooking
with it.
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subset: commoncrawl


text:
Health law safety net gets little attention
Expanded coverage doesn't start until 2014
The past year has given Kathy Berger a rare vantage point on health care reform.
A Brookfield resident well-entrenched in the middle class, Berger is among the millions who lost their jobs during the downturn. She also lost her husband of 35 years to cancer this year.
Even with insurance, she and her husband spent more than $20,000 on medical expenses last year, leaving her wondering what would have happened had they been without health insurance at all.
The primary goal of the 1-year-old health care law - a goal that has gotten scant mention by supporters and opponents alike - is to offer a financial safety net to tens of millions of Americans by providing or subsidizing their health insurance coverage.
"People need to understand what could happen to them," Berger said.
The lack of attention given to the provision that will eventually expand coverage to millions of additional people stems partly from its not kicking in until 2014, nearly three years from now.
"As we get closer to 2014, we'll focus a lot more on the big changes that this legislation will bring about, and that's a huge number of people who for the first time really will be able to afford health insurance coverage," said Karen Davis, president of the Commonwealth Fund, which supports research on health and social policy issues.
For now, supporters of the reform law have focused on a hodgepodge of provisions that have already taken effect, hoping they build support for the law. Many of those provisions - allowing adult children to remain on their parents' health plans until they turn 26; eliminating lifetime caps on coverage - benefit the middle class and people with insurance.
Rarely, if ever, mentioned is that the United States is the only industrialized country that doesn't guarantee coverage for its citizens - despite spending roughly 50% more on health care than any other country.
Coverage vs. cost
For well over a decade, polls have found that Americans support expanding coverage - but only if it doesn't cost anything. Support drops sharply when people are asked if they would be willing to pay higher taxes to expand coverage.
The political reality is that expanding coverage - either by providing insurance or by subsidizing the cost - is not a priority for most Americans. And a decade of stagnant growth in incomes hasn't put most people in a generous mood.
"It would not have been a winning message," said Shoshanna Sofaer, a professor of health policy at Baruch College in New York.
The majority of people who will benefit from expanded coverage work in jobs with low to moderate wages - jobs that don't have the economic value to support the cost of health benefits - and to a lesser degree people with pre-existing conditions who can't buy health insurance in many states.
At the same time, opponents of the reform law have never attacked the goal of expanding coverage.
"It would have been seen as mean-spirited," Sofaer said.
Opponents instead have focused on the law's expansion of government involvement in Americans' lives and its requirement that everyone must buy health insurance or pay a fine. The mandate was included partly because without it, young and healthy people would be less likely to buy coverage, making health insurance more expensive for older and less healthy people.
The mandate is the key issue in lawsuits filed by 28 states, including Wisconsin, challenging the law's constitutionality.
32 million to gain access
The Congressional Budget Office has projected that the law will expand coverage by 32 million people by 2019 - impoverished people who cannot afford care today, working people who don't receive affordable health benefits through their employers, and people with pre-existing medical conditions, among others.
Yet few supporters of the law, and even fewer politicians, have tried to make a moral argument that everyone has a right to health insurance. Doctors - particularly those in primary care who are at the front lines of medicine - have been much more likely to cite morality as a reason to support the law.
"We have the wealth to do it," Sofaer said. "And I'm one of those people who believe we have a moral obligation to do it."
The estimated cost of expanding coverage is roughly 3% to 4% of what the country spends on health care. Sofaer notes that this is less than one year's typical increase in health care spending.
But the timing of the law's passage hasn't helped it. The debate on health care reform has taken place as the country has reeled from the brutal economic downturn and seen record deficits.
And in the backdrop is the economic reality that the rising cost of Medicare may be the greatest single threat to the country's fiscal future.
Yet expanding coverage is a necessary step to the real challenge: slowing the rise in health care spending, said Donald Taylor, a professor of public policy at Duke University.
"It seems like a paradox," he said, "but we will never get control of costs unless we expand coverage."
Controlling costs is the real challenge. "There's no panacea," Taylor said. "It's going to take 30 to 40 years to work this out."
Responding to costs
The cost of expanding coverage is one of the core concerns of opponents. No law in recent history has polarized the country more or prompted more intense emotions.
"The new law moves America's health care system in the wrong direction, transferring vast powers to Washington bureaucrats who will control the dollars and decisions that should be in the hands of individual patients and their families," wrote Nina Owcharenko, director of the Center for Health Policy Studies at the Heritage Foundation, a conservative policy research organization in Washington, D.C.
Supporters dispute that and hope support for the law will increase as its provisions are put in place.
"The world will feel entirely different across the income spectrum," said Sara Collins, an economist with the Commonwealth Fund, which supports the law.
The reform law recognizes that even middle-class people often can't afford health insurance when it is not bought through an employer, she said. It also would provide more financial security to people solidly in the middle class if they lost their jobs and were unable to afford their health insurance.
Assuming the law remains as is, "No future recession will strip so many Americans of their health security," Collins said.
The effects of the recession could be seen in the Commonwealth Fund's biennial health insurance survey released this month:
• More than half - 57% - of those who lost a job that offered health benefits became uninsured.
• Nearly one-quarter - 24% - of working-age adults reported that they or their spouse had lost coverage within the past two years.
• An estimated 16 million adults who shopped for individual health insurance found it difficult or impossible to find a plan they could afford.
• An estimated 9 million people who shopped for individual health insurance were turned down or charged a higher price because of a health problem, or had a specific problem excluded from coverage.
Kathy Berger understands well the strong emotions evoked by the health care debate. She does not consider herself a liberal or a conservative. But she has wondered what would have happened to her economic future if her family had not had adequate savings to continue their health insurance and cover their sizable expenses last year.
"Most people don't know that they are probably a hair away from things changing," Berger said.
Business Wire
Recent national business updates from the Associated Press


text:
|Final Fantasy
|North America
|Final Fantasy II
|North America
All sites dealing primarily with Final Fantasy Origins can be submitted to this category. Description Examples:
1. Character information, MIDI files, image gallery, enemies, item lists and message board.
2. Character profiles, map, walkthrough and images.
3. Walkthrough, world map, equipment lists, enemy skills, item list, side quests, forum and chat room.
If the site has frames you may also want to add that to the description. If the site requires components such as Shockwave add that to the description as well.
Claiming to have anything in the description that your site does not have may result in your site not being listed. Not following these guidelines will result in your site not being listed.
If it has more than a review in it, for example, character information, walkthrough, etc, then add it to the Final Fantasy Origins category instead of the Reviews and Previews sub-category.


text:
I haven't any experience with T & C seed but the plant can often times can
be streaky. I have several streaked
T & C and can't see why it wouldn't give some streaked seedlings. I guess
I'll just have to work with it this coming season and find out for myself.
Ray W wrote:
> Since we are talking about seedlings, I have a streaked seedling out of
> 'Tea and Crumpets'. The seed was a gift, so the only reference I have is
> the pix at the library. Now , the picture shows an edge varigated plant,
> doesn't look like something that should give streaks.
> Does anybody have any experience with Tea and Crumpets?
> Any comments on what I have occuring?
> Ray
> ---------------------------------------------------------------------
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text:
Modafinil: is it really the wonder drug?
Do you often find yourself sleeping at your work table or yawning while taking lectures for hours at the university? Well, surely this a very distracting situation for you and do really want to get out of this. But even though you have tried several energy pills or energy boosters, they have either failed totally or their effects have weathered out after some time. What do you do in such a situation? Will life always be like this; you fighting hard to be awake during the day?
Not really, if you start taking doses of Modafinil that offers great benefits for adults who are looking to enhance their wakefulness during the day and also enhance their attention skills and mental power. You might be thinking that, this is another ordinary pill, like so many of its counterparts that already exist in the market and whose effects will wither away much sooner than you expect. But that is not the case. Modafinil has been found to be effective for people who have taken it on a regular basis.
Why is Modafinil a better choice than other similar pills or supplements?
Although the product was initially manufactured to help treat narcolepsy, yet its use has extended much more than that and at the present time is a well-known drug that is used by thousands of people worldwide to achieve goals that they have never been able to achieve before. Its major benefits are:
- It allows students to stay up awake for long hours that they need during exams or during the preparatory stages. It also has the capacity to boost the focus level and the mental performance of the students. Thus, a good number of college and higher studies students opt for Modafinil when they are in dire needs of long study hours.
- Moreover, Modafinil can also be used by employees when they need to stay up for longer hours to complete their work.
- The drug is also useful if your job timings are at awkward hours, and you find it difficult to stay awake during that period.
Side effects of Modafinil: are they serious?
Like all other stimulant drugs, Modafinil also has its own levels of side effects. However, the best part is that these side effects are very less when compared to other drugs in the same category. It has withstood the test of time and also the clinical researches that have been conducted by the FDA. As such, the side effects mainly consist of rhinitis, nausea and mild headaches which are really negligible and usually disregarded by the users. Another beneficial thing about this drug is that it doesn't cause any sort of addiction or withdrawal symptoms.
How to enjoy the best benefits of Modafinil?
Some people may be allergic to the drug, and thus it's best that you consult your physician even before you start taking it to ensure that you do not have to suffer from any drastic effects at a later time. Modafinil, when used in proper dosage and under the supervision of the doctors, can be a boon to people who long to stay awake for long.


text:
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- TED Talks
Watch talks from TED.com, a site dedicated to 'Ideas Worth Spreading'
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Watch your favourite TV Shows!
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How to install Tecbox Ivue Wizard?
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The easiest way is to install SuperRepo repositories, which contains over 2.200 Kodi addons for free.
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text:
Philosophische Zeitschrift der Kant-Gesellschaft
Ed. by Baum, Manfred / Dörflinger, Bernd / Klemme, Heiner F.
SCImago Journal Rank (SJR) 2015: 0.162
Source Normalized Impact per Paper (SNIP) 2015: 1.061
Impact per Publication (IPP) 2015: 0.203
- Online
- 1613-1134
Critique and the Mind: Towards a Defense of Kant's Transcendental Method
Citation Information: Kant Studien. Volume 98, Issue 4, Pages 403–417, ISSN (Online) 1613-1134, ISSN (Print) 0022-8877, DOI: https://doi.org/10.1515/KANT.2007.025, December 2007
Publication History
- Published Online:
- 2007-12-18
In Hegel's Faith and Knowledge (Glauben und Wissen) he argues that Kant's critical system is unable to defend the assumptions that underlie its analysis of our cognitive faculties; Kant has begun his investigations by presupposing the distinction between our finite faculties, those "in which possibility and actuality are distinguished" ("in welcher Möglichkeit und Wirklichkeit unterschieden werden"), and those of a being possessing an "intuitive understanding" ("intuitiven Verstand"), for whom cognition is not limited to the sensibly given. In so defining our cognitive faculties as finite Kant is able to distinguish our dependence not merely on the understanding as the locus of concepts, but so too on sensibility as the source of intuition. Cognition is thus limited to those thoughts that offer beyond their conceptual consistency the possibility of empirical givenness, and so define their actuality in terms of sensibility. And yet, it would seem, as Hegel argues, that
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text:
Tag Archives MOD1-Mini
Jonsbo releases the MOD1, MOD1-Mini and VR1
We are happy to announce the recent release of three new case models. The MOD1, MOD1-MINI and the VR1 are high-quality cases that use a combination of aluminum and tempered glass to achieve an outstanding look. Where the MOD1 and MOD1-Mini are aimed primarily at water cooling and modding enthusiasts, the VR1 is the first […] [...]
Comments (0) | 6 months ago


text:
Fowler FJ, Gallagher PM, Anthony DL, Larsen K, Skinner JS. Relationship Between Regional Per Capita Medicare Expenditures and Patient Perceptions of Quality of Care. JAMA. 2008;299(20):2406-2412. doi:10.1001/jama.299.20.2406
© 2017
Author Affiliations: Center for Survey Research, University of Massachusetts Boston (Drs Fowler and Gallagher and Mr Larsen); Foundation for Informed Medical Decision Making, Boston (Dr Fowler); and Departments of Sociology (Dr Anthony) and Economics (Dr Skinner), Dartmouth College, Hanover, New Hampshire.
Context Wide variations in Medicare expenditures exist across regions, but little is known about whether beneficiaries residing in low-expenditure regions perceive receiving lower-quality care than those in high-expenditure regions.
Objective To evaluate how Medicare beneficiaries' perceptions of their health care are related to per capita expenditure in the areas where they live.
Design, Setting, and Respondents A probability sample of Medicare beneficiaries living in households in the United States was surveyed by a combination of mail and telephone in 2005. Each respondent was allocated to 1 of 5 quintiles, depending on mean age-, sex-, and race-adjusted per capita Medicare expenditures based on Centers for Medicare & Medicaid Services claims data.
Main Outcome Measures The survey included 3 questions about perceived unmet need for care, 4 questions about the perceived quality of ambulatory care, and 3 questions rating the perceived quality of overall care.
Results Of 4000 Medicare beneficiaries sampled, 160 (4%) were ascertained to have died or to be living in a long-term care facility. Of the remaining 3840 potentially eligible beneficiaries, 2515 (65%) responded. Per capita expenditures were highly related to receiving more medical care, such as mean number of ambulatory visits to physicians in the past year (range from lowest to highest expenditure quintile, 3.4-3.9; P < .001 for linear trend) and more cardiac tests (respondents reporting receiving tests in past year, 158/387 [40.1%] to 468/739 [63.5%]; P < .001 for linear trend). However, 7 of the 10 measures of perceived quality, including perceived unmet needs for tests and treatment (respondents reporting unmet needs, 15/387 [3.9%] to 37/739 [5.0%]; P = .25 for linear trend) and spending enough time with physicians (respondents reporting adequate time, 311/387 [88.7%] to 603/739 [87.0%]; P = .94 for linear trend), were unrelated to expenditures, while the overall rating of perceived quality of care was higher in the lower-expenditure areas (respondents reporting overall care rating of 9 or 10, 242/387 [63.3%] to 404/739 [55.4%]; P = .008 for linear trend).
Conclusion In this representative sample of Medicare beneficiaries, no consistent association was observed between the mean per capita expenditure in a geographic area and the perceptions of the quality of medical care of the people who live in those areas.
It has been well documented that per capita expenditures for Medicare beneficiaries vary widely from area to area across the United States. In 2003, total Medicare Part A and B per capita expenditures for beneficiaries living in Miami, Florida, were nearly $12 000, while the comparable value for those living in Minneapolis was $5700.1 These large differences persist even after controlling for demographic and health differences across regions.2- 7
Fisher et al8 have demonstrated that differences in health status cannot account for why areas vary in expenditure per capita. Wennberg et al3 have shown that when one looks only at the expenditures during the last 6 months of life, the differences in expenditures persist and are highly correlated with the overall mean expenditure.
While inadequate access to care continues to be a problem in the United States,9 inappropriate and ineffective care also persists.8,10 Some indices of quality of care are not better in regions with higher utilization, and they are sometimes significantly worse than those in low-expenditure areas.11 Of even more importance, Fisher et al10 have shown that there are no apparent survival benefits from living in high-expenditure areas.
None of these studies addresses the very reasonable hypothesis that persons in regions like Miami are getting more of the care wanted by most persons. Thus, those in high-expenditure areas might perceive a higher quality of care from their perspectives and might be happier with their health care treatments, even if it is difficult to actually measure differences in survival or if their values do not square with quality of care from a purely clinical perspective. For example, one study examined the association between Medicare expenditures and "process" measures of quality and found no statistically significant associations at the state level.11 However, these measures were mainly specific to management of a specific acute care problem (eg, use of β-blockers following acute myocardial infarction) and may not reflect the overall quality of primary care or the priorities of patients.
To address these issues, in this article we report results for a detailed survey of Medicare patients, which included a number of questions about the perceptions of quality of health care from the patients' own perspectives. The Dartmouth Atlas project1 has divided the country into 306 service areas, termed hospital referral regions (HRRs). For each HRR, we compared the answers to the quality questions with the overall level of per capita expenditure within the HRR, to test whether more spending leads to a more positive patient experience with the health care system.
The purpose of the survey was to gather information about the health care Medicare beneficiaries received and the extent to which they were getting the care they wanted. The protocols were reviewed and approved by the institutional review boards of Dartmouth Medical School and the University of Massachusetts Boston.
A probability sample of 4000 persons who had been Medicare beneficiaries in 2003 was drawn. The selected sample identification numbers were matched to the Centers for Medicare & Medicaid Services (CMS) current beneficiary file to obtain current contact information. Beneficiaries found to be living in long-term care facilities or deceased were designated as not eligible and deleted from the sample.
The formal data collection protocol was specified by the CMS. The selected individuals were sent 2 prenotification letters, 1 from the CMS and 1 on Dartmouth Medical School letterhead. The initial contact with a Medicare beneficiary was the CMS letter. This letter outlined the purposes of the study, assured selected individuals that their participation was voluntary and that their benefits would not be affected by their participation, and provided them with a toll-free telephone number that they could call to decline participation if they so desired. The follow-up letter from the researchers provided similar information.
Telephone numbers were matched to addresses to the extent possible; interviewers called those numbers and attempted to arrange to interview the selected individual. At least 6 attempts were made to contact hard-to-reach persons. Sampled persons for whom a valid telephone number could not be found or who were not reached by telephone were sent a dual-language (English-Spanish) mail version of the same set of questions used by the interviewers. The initial mailing of the questionnaire packet contained a $5 bill as an incentive to participate. To be equitable, all those who had responded by telephone were also sent $5. Nonrespondents to the mail survey were sent a reminder card and a second questionnaire.
For those interviewed by telephone, the interviewer went over the issues covered in the advance mailing, including sponsorship, purposes, confidentiality, and the voluntary nature of the survey and answered any respondent questions before beginning the interview. Mail respondents were considered to be consenting to the terms of the survey by the act of returning the mail questionnaire.
The telephone interview took approximately 20 minutes on average to administer. It took a similar amount of time to complete the self-administered questionnaire. This dual-language, mixed-mode survey was fielded between March and October 2005.
The survey instrument included 3 kinds of questions relevant to the topic of this article: measures of perceived unmet need for medical care; measures of the perceived quality of ambulatory care; and self-ratings of overall medical care. The survey also included some questions about use of medical care in the preceding year. Item wording is presented in the Box. In addition, we were able to match claims data to get measures of claims for care in 2004-2005 for all respondents not enrolled in a Medicare health maintenance organization plan (n = 2034).
Utilization of Medical Care
In the last 12 months, how many times did you go to a doctor's office or clinic to get care for yourself?
In the last 12 months, how many different doctors did you see?
Your personal doctor is the one you would see if you need a check-up, want advice about a health problem, or get sick or hurt. Do you have a personal doctor? (Yes/No)
In the last 12 months, did you see a cardiologist or other heart specialist? (Yes/No)
An EKG is a test where electrodes and wires are hooked up to a person's chest. In the last 12 months, have you had an EKG? (Yes/No)
A stress test is a test to check a person's heart, while they are on a treadmill. In the last 12 months, have you had a stress test? (Yes/No)
An angiogram is a test where a small tube is inserted through a person's leg artery to look directly at the heart. In the last 12 months, have you had an angiogram? (Yes/No)
Prescription medicine includes anything a doctor writes a prescription for. How many different prescription medicines are you currently using?
Measures Indicative of Perceived Unmet Need for Care in the Past Year
In the last 12 months, was there any medical care, tests, or treatment you wanted, but didn't get? (Yes/No)
In the last 12 months, was there ever a time when you wanted to see a specialist and didn't? (Yes/No)
In the last 12 months, do you think you had too few, too many, or about the right number of tests for heart disease? (Too few/Too many/Right number)
Measures Related to the Perceived Quality of Ambulatory Care in the Past Year
In the last 12 months, how often did doctors spend enough time with you? (Never/Sometimes/Usually/Always)
(If prescribed new medications in past 12 months) In the last 12 months, how often did doctors explain the purposes of these new medicines in a way that was easy to understand? (Never/Sometimes/Usually/Always)
(If experienced side effects from medications) Do any of your doctors know about these side effects? (Yes/No)
(If experiencing pain) Do any of your doctors know about this? (Yes/No)
Ratings of Perceived Overall Care
Do you think the quality of the health care you received in the last 12 months was better, worse, or about the same quality as most people your age get? (Better/Worse/About the same)
Compared to the rest of the United States, do you think people in your community get better quality medical care, worse quality medical care or about the same quality? (Better/Worse/About the same)
Using any number from 0 to 10 where 0 is the worst health care possible and 10 is the best health care possible, what number would you use to rate all your health care?
Reporting Financial Strain
How important are financial issues for you when you decide whether or not to get any medical care? (Very important/Important/Somewhat important/Not important)
Health Status
In general, how would you rate your overall health? (Poor/Fair/Good/Very good/Excellent)
Most of the questions were drawn from commonly used survey instruments. All questions were cognitively tested to ascertain that they were consistently understood and that answers conveyed what respondents meant to say.12,13 A telephone pretest was conducted, and the question-and-answer process was behavior coded to identify questions that were difficult either to ask or to answer.14 Revisions were made as needed based on the test results.
Using the 306 HRRs in the Dartmouth Atlas project,1 we measured regional utilization level as the age-, sex-, and race-adjusted per capita Part A and B Medicare spending in an HRR in 2003, the most recent publicly available data. Per capita expenditures were calculated for each HRR; then the areas were ordered by mean per capita Medicare Part A and B expenditures and grouped into quintiles to facilitate visually examining trends. The mean per capita expenditure varied from approximately $5200 in the lowest quintile to $8500 in the highest quintile.
The basic analytic approach is to look at how respondent answers were related to the mean per capita Medicare expenditure in areas where respondents lived. Respondents were coded into HRRs, based on their addresses, and their answers were tabulated by quintiles of HRR spending. The tables were created in 2 parallel analytic steps. First, to tabulate the dependent variables by quintile, we adjusted for differences between the populations of the quintiles. We categorized each respondent's age into 1 of 3 groups: 65 through 74 years, 75 through 84 years, and 85 years or older. We categorized self-reported race/ethnicity into mutually exclusive groups of non-Hispanic white, black, Hispanic, or other race. If the Hispanic answer was missing, we assumed respondents were non-Hispanic. We also included whether financial issues were said to be "very important" or "important" (vs "somewhat important" or "not important") in deciding whether to obtain medical care. Self-reported health status was categorized as "poor" or "fair" (vs "good," "very good," or "excellent"). The reported percentages of each variable by quintile of spending are adjusted for patient characteristics by substituting the sample mean for every variable when solving the regression equation, which was used to estimate the value in each table cell.
Second, to take advantage of all the data available, we used the per capita spending in each of the 306 HRRs in a multiple logistic regression analysis including all of the variables noted above to estimate the probability that there was a linear relationship between the per capita expenditure in an HRR and the value of the various measures of perceived quality of health care that we were using. These analyses were performed with Stata version 9 (StataCorp, College Station, Texas), and robust calculations of standard errors were calculated, taking into account the clustering within HRRs. P < .05 was considered statistically significant.
The sample was designed to support a number of different analyses, including the analysis in this article. Given the sample size, the power of the data to detect meaningful differences by quintile was quite adequate. When comparing 2 quintiles with approximately 500 respondents each, for percentages around 50%, differences of 8 percentage points could be detected with 70% power and differences of 9 percentage points with 80% power. For percentages around 20%, differences of 6 percentage points could be detected with 70% power and differences of 7 percentage points with 80% power.
Focusing more specifically on the linear trend analysis, for 8 of the 10 key dependent variables, the logistic regressions had 70% power to detect a mean increase of from 0.08 to 0.18 in the rates at which respondents gave a particular response for each $1000 of increased expenditure per capita. For the 2 variables that applied to only a subset of respondents who had experienced pain or adverse effects of new medications, a mean slope of close to 0.4 per $1000 increase in expenditure was needed to have that much power.
Of the 4000 persons initially sampled, 47 were found to be deceased and another 113 were living in long-term care facilities (4% noneligible). A total of 2515 Medicare beneficiaries responded to the survey, 1384 by telephone and 1131 by mail. There were 222 refusals, and 62 persons could not respond for other reasons (mainly illness or language). Of the original sample, 1041 could not be reached by telephone and did not respond by mail, so we have no information about whether or not they were still alive and in private housing. Using the American Association for Public Opinion Research RR1 formula,15 which includes in the denominator all those about whom we have no information, the response was 65% (2515/3840). Since some of those not contacted undoubtedly were either deceased or living in long-term care facilities, that underestimates the true response rate, but there is no easy way to estimate how many were not eligible.
Table 1 presents the age, sex, and race/ethnicity of those responding. Those same characteristics are also available from the sample frame for the total population. Comparisons show that persons 85 years or older were slightly underrepresented, while the Hispanic population appears to have been better represented in the survey than in the CMS sample frame data. This is most likely because of underreporting in the CMS data, rather than overrepresentation in the survey sample.16 Otherwise, the sample closely mirrors the total Medicare population.
Table 2 describes some of the health utilization patterns of respondents, using both claims data and survey reports. It has been previously shown that the distinctive profile of the higher-expenditure areas is more visits to physicians, more hospital care, more specialty care, and more tests.8,10 It can be seen that the experience of the survey respondents generally mirrored those patterns: there were significant linear trends for those in the higher-expenditure areas to have more visits to physicians, to see more different physicians, to see more cardiologists, and to have more cardiac tests. The relationship between the rate of inpatient hospitalization and the HRR per capita expenditure did not reach statistical significance (P = .17 for trend).
Table 3 addresses the question of whether barriers to access exist that might explain differences between areas. Respondents in higher-expenditure regions tended to be somewhat more likely to have seen a physician in the past year (P = .10 for trend) and to say that they have a personal physician (P = .04 for trend). All respondents had insurance through Medicare, and this survey was conducted before Part D went into effect. The mean number of current prescription drugs reported was similar across quintiles, suggesting a lack of differences in ability to pay across these regions. More directly, when we asked respondents how important financial issues were in deciding to get medical care, again there was no evidence that financial concerns could account for the variation across quintiles. Finally, the self-ratings of health were similar across quintiles, suggesting that observed differences in spending were not explained by enrollee health.
Table 4 presents the measures of perceived unmet need for care in the preceding 12 months by quintiles based on mean per capita Medicare expenditures. As noted in the "Methods" section, in these and subsequent analyses, we adjusted for any differences across quintiles in age, sex, race/ethnicity, self-reported health status, and financial strain.
There was no evidence that respondents in low-expenditure areas perceived more unmet needs for tests or treatments of any kind or for having cardiac tests. In fact, the perceived unmet need for seeing specialists was higher in the high-expenditure areas, despite the greater likelihood of seeing specialists in these regions (P = .001 for trend).
Table 4 also presents 4 measures of perceived quality of ambulatory care by quintiles based on mean per capita expenditures. For 3 of these measures (physicians spent enough time, physicians explained new medications, and physicians knew about any adverse effects of medications), there was no statistically significant association between per capita spending and patient reports. Among respondents who reported experiencing pain, those in the high-expenditure areas were more likely to say that their physicians were aware of the conditions that caused them pain (P = .01).
Table 4 also presents 3 respondent ratings of the medical care they and those in their communities receive. When respondents were asked to compare their own care and that in their community with the average, there was no significant linear trend associated with per capita spending by region. When asked to rate their own health care on a scale from 0 to 10, there was a statistically significant trend for the percentage of respondents ranking their care more favorably (9 or 10) to be in the lower-expenditure regions (P = .008).
Finally, we evaluated how the various measures of perceptions of quality of care were interrelated. Our goal in choosing the measures was to sample different aspects of care of which patients would likely be aware, ie, whether they thought they needed various kinds of care that they did not receive, their perceptions of their communications and interactions with their physicians, and their own ratings of the medical care they and others received. We did not anticipate that these measures would be highly interrelated, because in fact we were trying to have a diverse set of measures. The size of the sample meant that some of the measures were related to a statistically significant degree. For example, respondents' overall health care ratings were significantly associated with perceptions of spending enough time with their physicians (r = 0.45, P < .001), how well their physicians explained new medications (r = 0.45, P < .001), the perception of unmet need for care (r = 0.21, P < .001), how their care compared with the US average (r = 0.22, P < .001), and whether their physicians knew about conditions causing their pain (r = 0.10, P < .001). The majority of the correlation coefficients were lower than 0.20. The generally low levels of correlations among the various outcome measures is consistent with the fact that these measures were not reflective of a single underlying construct but rather constituted a sampling of various aspects of care experiences in which problems might be apparent to respondents.
Fisher et al8,10 have described in detail the key differences in patterns of care that account for the widely varying differences in how much is spent on medical care. Persons in high-expenditure areas get more specialty care, go to more different physicians, have more physician visits, and are more likely to spend time in the hospital and in intensive care units during the last days of their lives. However, Fisher et al8,10 also have shown that those extra expenditures are not associated with improvements in survival or access to care; Baicker and Chandra11 have demonstrated a similar lack of association using process measures of care based on a study by Jencks et al.17
The literature on appropriateness of care tells a somewhat different story: that high-intensity regions provide both more appropriate and more inappropriate care.18 For example, Landrum et al19 have reported that high-utilization areas provide more care for colorectal cancer deemed appropriate using clinical criteria but also proportionately more care that does not meet clinical appropriateness standards. On the other hand, Baicker et al20 have reported that regions with higher rates of cesarean deliveries perform the procedure among mothers who are healthier or who are less appropriate candidates for the procedure for other reasons.20
All of these studies used measures of quality that were not necessarily those valued directly by patients. A closer match is a recent study, using the same data set, demonstrating that Medicare beneficiaries generally prefer end-of-life treatment focused on palliation rather than life extension and that differences in patient preferences are unlikely to explain regional variation in end-of-life health care expenditures.21 These results are also consistent with international comparisons of patients' experiences with health care in high- and low-expenditure countries. The United States spends more on health care per capita than any other country in the world, but US residents do not show consistent evidence of being more satisfied with the quality of their health care.22,23
Our survey respondents differed in their rates of use of health care in ways that parallel the aggregate analyses previously reported by Fisher et al.8,10 There is little basis for attributing those differences to access to care, concerns about costs, or the health status of the populations. Most important, the results taken together document that spending more on medical care does not improve patients' perceptions of the medical care they receive. On average, those in the lower-expenditure areas reported no more perceived unmet needs for care and a perceived quality of ambulatory care similar to that in high-expenditure areas; furthermore, they rated the overall quality of their health care at least as highly as those in high-expenditure areas.
An important limitation of this study is that the design is observational, so we cannot prove that persons in the high-expenditure areas would perceive no important deficits in their medical care if they were put into a low-expenditure environment. For example, persons in high-expenditure regions may have grown to expect aggressive diagnostic testing, use of specialists, and hospitalization, while those in low-expenditure regions expect and receive less aggressive care. For each group, expectations are met and so they report similar measures of satisfaction with their care. But this explanation is more difficult to reconcile with perceived quality measures that are mainly descriptive, such as whether the physician spent enough time with the patient or did a good job of explaining new medications. Even for those measures, persons in the lowest-expenditure regions reported perceptions of their care that at least equaled the reports of those in the higher-expenditure areas.
In the short term, Medicare enrollees who moved from the highest quintile to the lowest quintile of intensity might well experience an adjustment to a less intensive treatment style. However, we can certainly say that those in the lower-expenditure areas have accommodated very well to that style of medical care. Furthermore, a summary of 17 randomized trials in which patients were exposed to decision aids to help them make decisions about major interventions reported that informed patients consistently wanted fewer major interventions than they received under "usual care."24,25
As has been reported elsewhere,26 an equity problem exists in that persons in the lower-expenditure areas pay the same Medicare premiums as those in the higher-expenditure areas, but less money is spent on their care. However, this is a different problem from that documented by our findings, ie, that from a patient perspective, persons in the low-expenditure areas appear to value the care they are getting as much as those in the high-expenditure areas.
Ultimately, the culture that develops in particular medical communities seems to be an important factor in how much medical care is delivered and how much it costs.6,7,27 This study suggests that, should fundamental changes in the structure of the US health care system occur so that the lowest-expenditure quintile is viewed as the benchmark, the fraction of patients who view their care as inadequate or constrained will not, in the long term, increase above current levels. Instead, we suspect that the limiting factor in restraining cost growth or in fundamental reform will be the extent to which the medical community will be able to adjust to new standards for what constitutes appropriate medical practice.
Corresponding Author: Floyd J. Fowler Jr, PhD, Center for Survey Research, University of Massachusetts Boston, 100 Morrissey Blvd, Boston, MA 02125 (email@example.com).
Author Contributions: Dr Anthony had full access to all of the data in the study and takes responsibility for the integrity of the data and the accuracy of the data analysis.
Study concept and design: Fowler, Gallagher, Skinner.
Acquisition of data: Fowler, Gallagher, Anthony, Skinner.
Analysis and interpretation of data: Fowler, Anthony, Larsen, Skinner.
Drafting of the manuscript: Fowler, Gallagher, Anthony.
Critical revision of the manuscript for important intellectual content: Gallagher, Anthony, Larsen, Skinner.
Statistical analysis: Fowler, Anthony, Larsen, Skinner.
Obtained funding: Gallagher, Skinner.
Financial Disclosures: None reported.
Funding/Support: This study was supported by grant P01 AG19783 from the National Institute on Aging to Dartmouth Medical School.
Role of the Sponsor: The National Institute on Aging had no role in the design and conduct of the study; the collection, analysis, or interpretation of the data; or the preparation, review, or approval of the manuscript.


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Wild America Online, WAOL, WA-OL. Check it all out at Wild America-Online go to www.WA-OL.com
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Childhood is an age of delight, discovery and exploration, especially for the Wild Babies of North America. One by one, we meet the curious, cute and cuddly, the soft, warm and fuzzy. As these wide-eyed innocents venture forth, we witness baby flying squirrels taking their exciting initial flight, baby porcupines getting in over their head and baby raccoons finding themselves out on a limb. This endearing home video offering represents the life work of America's premiers naturalist as Marty Stouffer presents the wonderful world of Wild Babies. Among the many heartwarming scenes of early life aare a moose calf wobbling. Mountain goat kids romping and baby pronghorn antelope hiding in the sagebrush, awaiting mother's return. Play is intermingled with schooling as these animal youngsters merge their wild and crazy antics with eager attempts at learning the lessons of life. Education in the wild is serious business, but it is also often amusing, as in the case of the black bear cub meeting a skunk for the first time. Come along and join the fun as we take an exhilarating journey through nature's age of innocence. Marty Stouffer's Wild America explores the animal behavior that has always fascinated people. The series is fresh, vivid, and often astonishing. It is the first of its kind to deal exclusively with American wildlife. Marty Stouffer has spent 25 years capturing America's rich natural heritage of wildlife and her magnificent wilderness on film. 1993. FAIR USE NOTICE: This Video may contain copyrighted (©) material the use of which has not always been specifically authorized by the copyright owner. Such material is made available to advance understanding of ecological, political, human rights, economic, democracy, scientific, moral, ethical, and social justice issues, etc. It is believed that this constitutes a 'fair use' of any such copyrighted material as provided for in section 107 of the US Copyright Law. In accordance with Title 17 U.S.C. Section 107, this material is distributed without profit to those who have expressed a prior general interest in receiving similar information for research and educational purposes. www.facebook.com/theprimeministeroffunk


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Excerpt from the introduction:
Editors Randy Chandler and Cheryl Mullenax put the call out to horror writers and editors of extreme stories, the hardcore stuff that breaks boundaries and trashes taboos, the transgressive tales you can't "unread" (as Chuck Palahniuk says). We staked out our territory and nailed this to the wall to guide us:
Year's Best Hardest Horror
Not your mama's best-of horror annual.
This stuff comes from the edge of the abyss,
stories you read at your own risk
because you feel the abyss looking right back into you
through the tainted lens of each twisted tale.
Some of the stories you'll find here are loaded with very graphic descriptions of violence, sex, and depravities, while others may contain only one shocking moment of brutality. In others, the hardcore aspect may be less graphic and subtler than you might expect. Some of these quieter tales offer the listener some time to recover from the more disturbing ones preceding.
Most of the stories collected here are from small and specialty press anthologies, with a few from periodicals, like the prestigious Splatterpunk Zine in the UK and Thuglit here in the US. Bizarro is also represented with a couple of tales from the unlikely anthology Blood for You: A Literary Tribute to GG Allin from Weirdpunk Books. (If you're not familiar with the late GG Allin, you can find snippets from some of his outrageous and obscene punk shows online, which will increase your appreciation of those two tales.)
So for now, forget about that neighbor you suspect is a serial killer, don't worry about the drunk driver that could take you out on your next trip to the store, push those troubling news stories to the back of your mind, and immerse yourself in the imaginary horrors at hand.
But don't be surprised if you sense something dark staring back at you from between the lines. That is to be expected when you enter these forbidding realms. With any luck, you may find something useful to help you survive the approaching Apocalypse.
©2016 Comet Press (P)2016 Comet Press
"Hard hitting"
For fans of horror definitely a good buy. Range of story's covering a vast array of topics but all equally harrowing. Not for the faint of heart
"Truly horrifying"
I'm a big fan of extreme horror, and these are some of the most vile and disgusting stories I've ever had the pleasure of listening to. I actually had to space this out over several days because some of the conjured imagery was so nasty. Super happy with the narration. A lot of times,anthologies have different narrators for each story, and sometimes it's appropriate, but in this case, I'm glad they stuck with just one.
"Kept me glued and drawn in...."
This book has it all for horror fans. It's not for the faint of heart. Great collection of stories which define the depths of craziness. Great job by Joe as always.
Yes, it really got me through long drives to work with great ease.
"This review copy audiobook was provided by the author, narrator, or publisher at no cost."
"+++++5 star narration!!!!"
STORIES: 3 stars
PERFORMANCE: 5 stars
OVERALL: 4 stars
The majority of the stories in this anthology were exceptionally well written. Most contained eloquence and graphic detail that led to a sense of believability despite how unrealistic the paranormal entity and it's bizarre behaviors were. For totally fantastical tales of things that can and will never happen in real life to be written so well that they were somewhat believable says a lot about the talented authors who contributed to this collection. I was entertained most of the time, often finding myself squirming and saying, "ewe" and, "gross" while listening to this audiobook (which I received free from the narrator in exchange for an honest review). If only the endings of the stories were as great...
I don't care much for anthologies and this compilation is the perfect example of why that is true. The majority of the stories contained in this audiobook were captivating and entertaining.....until they reached their end. I became totally immersed in almost every story in this audiobook only to be shocked (and very frustrated) when the story ended in a totally anti-climactic way. More often than not, I would be on the edge of my seat, loving the story one moment then unexpectedly crestfallen upon realizing that the story had ended. I kept listening to one story after another, experiencing the same disappointment over and over.
I felt that the editors could've done a better job as far as where they placed each of the stories. One time I had to doublecheck to see if a new story had begun; apparently the editors didn't think it would be problematic to place two different stories about GG Allen back to back??? The editors also chose to place two different stories referring to hiding glass in food back to back. Perhaps they didn't realize they'd done this or maybe they did do it intentionally; regardless of why they placed these stories after one another, it was annoying and confusing.
Mr. Hempel is a +++++5 star performer! Despite having to read multiple stories comprised of various characters and scenarios, he rose to the challenge and thoroughly succeeded! Regardless of the story he was reading, Hempel was consistently able to adjust his tone, volume, etc., always finding just the right level to suit each situation. He spoke with a smooth, even keeled tone of voice when needed and wasn't afraid to get creative when appropriate. I loved how he occasionally used a more theatrical voice or and accent, improving the level of entertainment while also helping us listeners differentiate between characters. Whatever voice he used, it always sounded believable and flowed seamlessly regardless of whether he was reading mellow narrative or squealing like a psychotic female character! Hempel is truly an outstanding narrator! If you're new to recording audiobooks, he's who I'd recommend emulating!
"Gross, Disgusting, Sick --- but Cool !"
As anthologies go for hardcore horror, this is one of the better ones. Because of the intense subject matter, it's best if digested in small, bite-sized (body) parts! Are all the stories killers? No, but the ratio of "OMG!" reactions to "meh" or "yawn" is very high. If you don't like taboo-breaking defilement of bodies (not dead, near-dead, or dead) and graphic, in-your-face descriptions of oozing or spewing bodily fluids in all forms, you best avoid this book. The narration is fine and never detracts from the stories. I look forward to Volume 2.
This audiobook was given to me for free by AudiobookBoom in exchange for an honest review. Bile [sic] the way, the gift did not effluence [sic] my opinions here in any way.
"Years Best hardcore horror Volume 1 review."
High among favorites.
The Downtown Dixonville Dismemberer.
The same answer to the previous question.
Enjoyable and exciting to listen to.
"Visceral - not for the faint of heart"
All in all this was a very well done collection of short story horror. The narration was well done too. For me, the strong sexual narratives were a bit over the top, but each story appealed to me in some way. That in itself is not common. I enjoyed the fresh perspective brought out by these writers. Some stories completely original, others had excellent twist on existing themes such as zombie apocalypse. I would recommend this collection to anyone who likes this genre especially in short story. Well done.
"Worth the $!!!!!!"
For the past 35 years, I have been a fan of all things horror, be it movies, posters books or a well scripted short story, for the past couple of years it has been hit or miss (more miss than hit) to that end, A good horror AudioBook is a RARE find indeed Not since Nick Cutter's The Deep, have I been so enthralled with Audiobook, it "nails" all of the requirements for the Veteren Horror reader...Subject, Form, Content AND Narration.
Without a doubt, my favorite story was/is "Bored with Brutality" Ive already listend to it 6 times and it only gets better each replay. I
He brings an undefinable passion to his narration, that ensnares the listener.
If you are a lover of Horror and are bored with the mundane attempts of authors such as Ellen Datlow or have read and reread Stephen King and Nick Cutter, give this book a try!!
"Brings the gore.....and the heart"
The variety of stories. Some were definitely better than others. The standouts are Jeff Strands Awakening, Jason Parent's Elanore and What You Wish For by Lillith Morgan
The variety
I have listened to a few recently, and enjoy each one.
It's a hit or miss collection, 50/50 I would think. The strong stories definitely carry the the lack luster ones though and will leave you with an impression.
"Second story"
Hilarious and enjoyable. There should be more stories like this one. The narrator did a great job, as the others.
"A Must for Horror Fans"
Joe Hempel's narration. Even the stories I didn't care for so much were pleasant to listen to with his narration. His voice was smooth and easy, the characters he acted out vivid.
This collection is a must for horror fans. Joe's narration was spot on and amazing for each story... and there were a LOT of stories! I'm a huge fan of horror shorts, and this was a fantastic collection. Now, granted, there were a couple of the stories I didn't particularly care for, but that is usually the case in any anthology short story book. The first story was definitely the strongest, and I think the editors did a great job placing it first, really setting the tone for the rest of the book. King Sh*** was probably my least favorite. This is not to say it was bad; it was just my least favorite. I would highly recommend this audio book to any horror fan out there even though I gave the "story" part 4 stars. Most of the shorts were very fine to interesting, and even my least favorite one had some brilliant moments of writing. However, I think that the editors could have worked a little harder on some of the stories to edit the passive voice out ("he could see" " she was sitting", etc) as on a handful of the stories the passive voice distracted me, and frankly, a couple of the offerings weren't as strong as the others. Overall, this was a fantastic nine plus hours!
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June 3, 2015 7:26 am
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One of several Senate bills concerning cybersecurity got its first airing on Capitol Hill Tuesday afternoon.
The chairman of the panel is quite certain that his bill will reach the finish line — and the desk of President Obama – by the end of the summer.
One of the reasons why the "protecting Cyberspace as a National Asset" bill is expected to be the one to beat is because its principal co-author is Connecticut's Joe Lieberman, chairman of the Senate Homeland Security and Governmental Affairs Committee. Federal News Radio's Max Cacas has been following the proceedings and has more on the issue.
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Anwar as-Sadat - Thema - YouTube
Muhammad Anwar as-Sadat, arabisch محمد أنور السادات, DMG Muḥammad Anwar as-Sādāt, war ein ägyptischer Staatsmann. Mit Gamal Abdel Nasser und anderen war er ...
Video: Anwar Sadat | Watch We Have Signal Online | APT - Alabama...
Here's yet another awesome punk band from Louisville on our show. Watch online: Anwar Sadat from We Have Signal. On demand, streaming video from APT -...
Anwar Sadat Biography 45 Mins - YouTube
Aug 26, 2013 · This feature is not available right now. Please try again later. Published on Aug 26, 2013. Category . People & Blogs; License . Standard YouTube License
Egyptian Presedint Anwar Sadat speech,Jerusalem 1977 part3 - YouTube
(Dear Youtube I notify that I don't own this video or sound or any of its content and i don't intend to use it or get benefit from it by upload or download, ...
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Anwar Sadat | National Post
Sadat was a visionary — bold, reckless, and willing to be flexible. Begin, on the other hand, was secretive, legalistic and leery of radical change.
Anwar Sadat News | Quotes | Wiki - UPI.com
Anwar Sadat News from United Press International.
Anwar Sadat - Bio, News, Photos - Washington Times
Latest news and commentary on Anwar Sadat including photos, videos, quotations, and a biography.
TIME Magazine Cover: Anwar Sadat, Man of the Year - Jan. 2, 1978 -...
TIME Magazine Cover: Anwar Sadat, Man of the Year
Reports & Statements
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Wikiquote Quotes: Anwar Sadat
"A paz é mais importante que qualquer porção de terra". :- pronunciado em 8 de março de 1978, conforme citado em "The Houghton Mifflin Dictionary of Biography" - página 1336, Por Houghton Mifflin Company, Publicado por Houghton Mifflin Reference Books, 2003 ISBN 061825210X, 9780618252107 1661 páginas
Wikiquote Quotes: Anwar al-Sadat
Il villaggio di un uomo è la pace della mente.
Wikipedia: Anwar Al Sadat – Wikipédia, a enciclopédia livre
Muhammad Anwar Al Sadat (Mit Abu al-Kum, Monufia, 25 de dezembro de 1918 — Cairo, 6 de outubro de 1981) foi um militar e político egípcio, presidente do seu país ...
Anwar al- Sadat - Infoplease
Sadat, Anwar al- , 1918–81, Egyptian political leader and president . He entered Abbasia Military Academy, where he became friendly with
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1977 Man of the Year: Anwar Sadat
Anwar Sadat: Architect of a New Mideast. With one stunning stroke he designed a daring approach to peace. He called it "a sacred mission," and history may ...
Anwar Sadat
After Egyptian President Gamal Abddul Nasser dies in October 1970, he is succeded as president of Egypt by his former Vice President, Anwar Sadat. Sadat is ...
Anwar Sadat Citaten en wijsheden - Citaten.net
Alle Anwar Sadat citaten, wijsheden, quotes en uitspraken vindt u altijd en alleen op citaten.net: 2 gevonden
Anwar Sadat
82 plays82. Anwar Sadat - "Mutilation" 12.13.14. 48 plays48. Anwar Sadat - "Obedience" 12.13.14. 69 plays69. Anwar Sadat - "Rotted Out" 12.13.14. 64 plays64.
Anwar Sadat Poster bij AllPosters.nl
Anwar Sadat Poster bij AllPosters.nl. Keuze Uit Meer Dan 500.000 Posters, Schilderijen & Kunst. Professioneel Ingelijst, Snelle Levering En 100% Tevredenheidsgarantie.
Anwar Sadat - The Camp David Accords: Foundation for Middle Eastern...
Anwar Sadat was the third president of Egypt, from 1970 to 1981. A member of the Free Officers, he worked to get rid of British influence and overthrow the ...
Anwar Sadat, het leven en einde van een Egyptische president
Anwar Sadat was van 1970 tot 1981 president van Egypte. In 1981 werd hij doodgeschoten door fundamentalisten.
Anwar Sadat And The Yom Kippur War | Sheldon Kirshner | The Blogs |...
Thomas Lippman's incisive book, Hero of the Crossing: How Anwar Sadat and the 1973 War Changed the World (University of Nebraska ...
Anwar Sadat | Bioscoopagenda Nederland
Anwar Sadat - acteur
Anwar Sadat | LinkedIn
Anwar Sadat. AEM Developer /Consultant Technology at VirtusaPolaris. Location Kuala Lumpur, Malaysia Industry Information Technology and Services
Anwar Sadat | LinkedIn
Anwar Sadat. Time for New Challenge - IT & Telecom Industry. Location Bandung Area, West Java, Indonesia Industry Information Technology and Services
Anwar Sadat | Just Vision
Just Vision's glossary is comprised of nearly 250 terms related to the Israeli-Palestinian context. Last update and review: September 2015.
Anwar Sadat - New World Encyclopedia
Mohammed Anwar Al Sadat (Arabic: محمد أنورالسادات Muḥammad 'Anwar as-Sādāt) (December 25, 1918 – October 6, 1981) was an Egyptian statesman who ...
Anwar Sadat | The Electronic Intifada
The Electronic Intifada. Friday, 8 July 2016. You are here. Anwar Sadat. Delinking the Palestinians. Joseph Massad 22 December 2015. Fear of a Palestinian ...
Anwar Sadat's Pipe | Bidoun
"All my life," Anwar Sadat once wrote, "I've felt attracted to acting." One of thirteen siblings born in a poor Delta town, he made the world his stage and gave a ...
Anwar Sadat's Visit to Jerusalem, 1955 | Martin Kramer on the Middle...
Anwar Sadat's 1977 visit to Jerusalem was not his first. He came to Jordanian East Jerusalem in 1955, on a mission to spread Egypt's influence.
Anwar Sadat's limo goes on sale on Dubizzle for Dh400,000 | The...
A limousine owned by the former Egypt president has been listed for sale on Dubizzle. The present owner fills us in on the specs.
Anwar Sadat, the foe of Arabs and theUSSR - PravdaReport
Sadat, who acquired enough enemies both in the Arab world and in the USSR, made the right choice in favor of the alliance with Israel humiliating for the Arab...
Anwar Sadat, horoscope for birth date 25 December 1918, born in Mit...
Horoscope and astrology data of Anwar Sadat born on 25 December 1918 Mit Abu al-Kum, Egypt, with biography
Anwar sadat | Define Anwar sadat at Dictionary.com
Anwar sadat definition, Anwar el- [ahn-wahr el] /ˈɑn wɑr ɛl/ (Show IPA), 1918–81, Egyptian political leader: president 1970–81; Nobel Peace Prize 1978.
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About this Artist
Artist Biography
Aubrey "Drake" Graham (born October 24, 1986 in Toronto, Ontario) is a Grammy award nominated Canadian actor, rapper and singer signed to Young Money/Universal Motown. Drake shot to global fame upon the release of his critically acclaimed 2009 mixtape So Far Gone and Best I Ever Had, a single from the mixtape which peaked at #2 on the Billboard Hot...
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Drakestars, from 2 Fan reports
Manchester - Phones 4u Arena
Fab night from Tia maria, 17/03/14Drake certainly knows how to get the involved with the crowd, that as soon as he came on till it finished everyone was on their feet. Staging was impressive, even more so was an elevated circle bridge that he walked round & interacted with all the crowd top 2 bottom. Everyone got a closer glimpse. Atmosphere best I had seen it, like being at Wembley!!! I have seen beyonce, usher, Justin Timberlake & Neyo at this same venue a few yrs ago. This was by far the best along with when I saw Usher in Wembley in 2004! Good Job Drake��
Manchester - Phones 4u Arena
No matter what youll enjoy the show. from Emily, 17/03/14Drake is a must see, as soon as it finished I wanted to do it all over again. He is a show man with a fantastic stage layout, amazing visual effects and sound system, no matter where youre sitting he interacts with you he spent 20 minutes going around the whole arena talking to everyone. Even if you dont like his music youll absolutely love the show and want to see him again and again, he wasnt my favorite artist but since seeing him live he definitely is.


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- Internships /
- Fashion /
- Fashion Industry - Style University Magazine
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Dirty Diana Magazine, LLC
DC Metropolitan Area
Baltimore, MD
Posted: June 07 2016
Application Deadline: Available Year-round
Position: 12 Part-time, Unpaid
Always be on the alert for potentially fraudulent job postings online - never send money to a potential employer.
DescriptionTo apply click link below
Style University Magazine is an organization of Dirty Diana Magazine, LLC which is a collegiate fashion magazine and community based company. Inspired in Autumn of 2014 by Alfred J Horton III (president) and Jasmyne S. Hicks (vice president). Later registered in the State of Maryland on June 25, 2015 by Alfred J Horton III (owner). Our publication comes in both digital as well as print, we highlight trends, fashion based events, recognition of brands/individuals as well as shopping for a variety of stylish items. The face of our brand is Style University Magazine which was established May 1st, 2016, also known as "Style U".
Style U is primarily based in the Maryland, DC, and Virginia area. We are constantly active in the community and on college campuses across the region. Offering year round internships with little to no experience needed students/non-students can apply to be a photographer, videographer, media correspondent, makeup artist, wardrobe stylist, creative director, marketing strategist, graphic artists, hair stylist, public relations manager, fashion blogger, and web designer. We provide an opportunity for students/non-students to get hands on experience in careers both behind the scenes and in front of the camera as independent contractors in our company. We are bridging the gap between the college world of fashion and the mainstream fashion industry. Our goal is to develop a global platform for young adults to gain exposure while in pursuit of their dreams.
In addition, Style University Magazine specializes in providing; press coverage for fashion based events, opportunity/exposure in various fashion fields and brand marketing for individuals as well as businesses. Our brand has over 884,000 impressions online, reaching over 83,000 consumers, 2,800 subscribers, across 120 countries with direct contact to 20 colleges, 31 modeling agencies/fashion organizations and rapidly growing. The main media outlets of Style U includes our instagram accounts which are @StyleUniversity.Mag, @Mr_DDMag and our website which is www.dirtydianamagazine.com.
Slogan - "Style University Magazine, where your addictions and desires run free"
Style University Magazine (Style U) overall is the fashion voice for the collegiate populace online. Although based in mid-Atlantic (D.C., Maryland, & Virginia) Style U's vision is global and its personnel is ambitious, eager to explore new concepts, ready to re-define boundaries, fearless in their quest to dream BIG and make their dreams reality.
ResponsibilitiesOpen Positions: Some positions do not require you to be in our local area and are identified by **
Wardrobe Stylist: Searches, suggests and coordinates outfits for models, clients or our partners based on their unique images as well as their physical features.
**Public Relations (PR): Helps build the desired image of Dirty Diana Magazine to reach our target audience and maintain overall influence of the magazine through a variety of creative promotions as well as building mutually beneficial partnerships.
Make-Up Artist (MUA):Applies make up and creates a look for to ensure the proper image for photo shoots, interviews, fashion shows as well as any other client requested assignments. As well as suggesting possible looks for DDMag projects.
Hair Stylist: Styles hair to ensure proper image for photo shoots, interviews, fashion shows as well as any other client requested assignments. Also suggesting hairstyles for DDMag projects.
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Photographer/Videography: Captures photos and records footage on behalf of Dirty Diana Magazine at fashion shows, photo shoots, fashion based events as well as any other client requested assignments.
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Creative Director: Applies and distributes concepts in collaboration with individuals, organizations, companies and clients within the fashion industry as well as other professions.
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RequirementsYou must be 18 years or older to apply
Little experience needed
Some positions do not require you to be in our local area and are identified by **


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Seven vie for three open La Palma seats
LA PALMA – If running for City Council is any indication, there's no lack of civic involvement in La Palma.
Seven people have filed to run for three open seats on the council. Councilman Steve Shanahan is running to retain his seat; the other two are wide open because councilmen Mark Waldman and Ralph Rodriguez are termed out after eight years on the dais.
Christine Barnes is a familiar name, having termed out in 2008; she's again eligible to run. Gerard Goedhart ran in 2010, but failed to win a seat. The other candidates, Robert Carruth, Patricia "Pat" Craig, Peter Kim and Sylvia Smith, are newcomers.
Recently, Arco announced it would shut down its local office – where fuel sales run through the office means La Palma's treasury got about $2 million in sales tax a year, a significant part of the city's budget. The Register asked candidates how best to close that gap.
"There is no 'best' way to handle this loss," Shanahan said. "We have already made steps to alleviate some of the loss and have been working diligently on a contingency plan for exactly this. ... I am confident we will be able to see the community through this crisis and, if re-elected, I will work to insure integral services are not cut."
Kim, who has served on the city's traffic committee, favors a "be-kind-to-business" policy.
"Lots of cities talk about being business friendly, but we need to do it," he said. "We must be pro-active by providing incentives for potential businesses by cutting business-license fees, giving tax holidays, and reducing utility taxes for new businesses. I believe the City Council must do whatever it takes to help the city offset such a major loss by bringing in new revenue without having to consider raising taxes or cutting essential services."
Said Barnes: "Because of the frugal approach taken while I was in office, the city currently has a substantial reserve, allowing time to evaluate and address the impact of this revenue loss. Retaining current businesses, and encouraging new businesses, is important to sustain revenues."
Carruth, 44, a business executive, wants to take a close look at the books.
"La Palma is a safe and well-maintained community. BP/ARCO's departure will strain our finances and drain our reserves if we defer action," he said. "We need to establish clear priorities, identify and eliminate inefficiency, evaluate expenditures for appropriateness and necessity, and control personnel costs by offering benefits that are comparable to those residents receive at work."
Similarly, Goedhart wants a "Top-to-bottom review of all city operations with all unnecessary expenses being eliminated."
Smith and Craig did not respond to requests for comment.
On the web:
To see the Register's election database, which includes bios and Q. and A.'s: ocregister.com/lapalma.
Contact the writer: 714-704-3796 or firstname.lastname@example.com
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Finite Lifetimes and the Crowding Out Effects of Budget Deficits
This note explores the sensitivity of the short-run savings effects of government deficits to assumptions about household planning horizons. Using a lifecycle simulation model, we show that even though deficit policies shift sizable tax burdens to future generations, individuals live long enough to make the assumption of an infinite horizon a good approximation for analyzing the short-run savings effects. In practice, periods of debt accumulation such as that in the United States during World War II are reversed sufficiently rapidly to make their short-run effects on consumption and national savings relatively small.
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|Date of creation:
|Jun 1986
|Publication status:
|published as Poterba, James M. and Lawrence H. Summers. "Finite Lifetimes and the Effectof Budget Deficits on National Saving," Journal of Monetary Economics, Vol . 20, September 1987, pp 369-392.
|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
References listed on IDEAS
Please report citation or reference errors to , or , if you are the registered author of the cited work, log in to your RePEc Author Service profile, click on "citations" and make appropriate adjustments.:
- Blanchard, Olivier J, 1985.
"Debt, Deficits, and Finite Horizons,"
Journal of Political Economy,
University of Chicago Press, vol. 93(2), pages 223-247, April.
- Olivier J. Blanchard, 1984. "Debt, Deficits and Finite Horizons," NBER Working Papers 1389, National Bureau of Economic Research, Inc.
- Barro, Robert J, 1979.
"On the Determination of the Public Debt,"
Journal of Political Economy,
University of Chicago Press, vol. 87(5), pages 940-971, October.
- Barro, Robert J., 1979. "On the Determination of the Public Debt," Scholarly Articles 3451400, Harvard University Department of Economics.
- Barro, Robert J, 1974.
"Are Government Bonds Net Wealth?,"
Journal of Political Economy,
University of Chicago Press, vol. 82(6), pages 1095-1117, Nov.-Dec..
- Barro, Robert J., 1974. "Are Government Bonds Net Wealth?," Scholarly Articles 3451399, Harvard University Department of Economics.
- Robert B. Barsky & N. Gregory Mankiw & Stephen P. Zeldes, 1984.
"Ricardian Consumers With Keynesian Propensities,"
NBER Working Papers
1400, National Bureau of Economic Research, Inc.
- Barsky, Robert B & Mankiw, N Gregory & Zeldes, Stephen P, 1986. "Ricardian Consumers with Keynesian Propensities," American Economic Review, American Economic Association, vol. 76(4), pages 676-691, September.
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Chan Media 24/7 Inc.
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Season 2 of the Overtime podcast is here! Listen to the first episode with Meg Robichaud now.
Finished this up recently for New Belgium Brewing and a local venue for a weekly bike/run. Ended up being used for flyers, shirts, and social media. Still waiting to see the shirts, had to create a one-color version of the design which actually turned out nicer than I expected.
Attached is detail shot.
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Special Features
- General Article: Buffalo Bill's Wild West Show
- Photo Gallery: Promotional Posters
- General Article: Annie Oakley's Libel Suits
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- Interview: In A Man's World
- Biography: Frank Butler
Watch Chap. 1
Annie Oakley
Part of the collection: The Wild West
She was the toast of Victorian London, New York, and Paris. She was "adopted" by Indian chief Sitting Bull, charmed the Prince of Prussia, and entertained the likes of Oscar Wilde and Queen Victoria. Annie Oakley excelled in a man's world by doing what she loved, and won fame and fortune as the little lady from Ohio who never missed a shot.
My American Experience
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The legend of the Wild West has been played out in American Popular culture since the start of westward expansion. The real-life people who helped tame the west would shape the western heroes celebrated in film and television for decades.


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Tropical Fish Keeping - Aquarium fish care and resources (http://www.tropicalfishkeeping.com/forum.php)
- Beginner Freshwater Aquarium (http://www.tropicalfishkeeping.com/beginner-freshwater-aquarium/)
- - Weird Platy Behavior (http://www.tropicalfishkeeping.com/beginner-freshwater-aquarium/weird-platy-behavior-80711/)
Weird Platy Behavior
So I was sitting at m desk, minding my own business, when I hear this small splashing noise. I look and my platy is half jumping out of the water in the tank. Meanwhile, the other female is swimming vertically up and down. They're not doing it anymore, but I've never seen anything like it. Is it some sort of mating display for the male, or are they just worked up over something? Nothing has changed tank-wise.
If they keep doing it check your water parameters otherwise it just might have been over excitement on their part, the swimming up and down is pretty normal but the out of water is a bit strange for platys
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