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Although I had said I would never do defense investigative work after my 2005 retirement, I eventually worked several cases for a former deputy city attorney who went into private practice. He was honest, ethical, and a good attorney. Truth be known, most of the clients I worked for were guilty. That is, they did it. They had committed the acts the prosecution alleged. But, whether or not they did it isn't the concern of defense attorneys. Their job is to make sure the police and prosecution prove the client's guilt beyond a reasonable doubt with legally obtained evidence. While working defense, I received a case of a guy arrested for robbery. He didn't do it. He was a victim of a faulty identification by the victim, a sloppy investigation by the robbery detective, and a questionable issuance of the case by a deputy DA. They hung a felony charge on a guy with a solid alibi who cooperated fully from the get go. I was astounded when he was arrested, considering the flimsy evidence, and shocked when they issued on him. I began to feel the pressure. If our client was convicted, he was going to prison for several years, no question about it. Armed robbery is a big deal in the justice system. I interviewed him, his family, and examined his financial records. He had been gainfully employed since high school. Even though he was raised and lived in a relatively high crime area he had never been arrested in his life. He had never owned a firearm. He was innocent. On my other cases, when I interviewed defense witnesses I knew were lying I employed the same information gathering techniques I used for 35 years as a cop. But, as a police officer I would point out and confront their lies when they were done talking. This would force them to make up more lies. As I have written previously, the truth never changes. Tell the truth and your story will never change. I was different as a defense investigator. I would listen to their lies, write them down, and put them in a report without confronting the witness. It would be up to the deputy DA to take the witnesses apart on the witness stand. I couldn't imagine what my life would be like if I let this innocent accused robber down. There is no way he could go to prison. He had a family that needed him. Besides, he didn't do it. The case had a happy ending. The deputy DA came to her senses and dismissed the case even before the preliminary hearing. I was very happy.
Keeping people out of prison was new experience
Tom Basinski | Sat, May 21 2011 12:00 PM
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L'Oreal Revitalift Double Lifting Pump has been designed to create visible results for reducing wrinkles. This rich texture will leave your skin looking exceptionally smooth and feeling rejuvenated. Directions of Use: Smooth gently into face and neck paying special attention to anywhere you need to reduce wrinkles and dull looking skin.
Check stock and price

subset: commoncrawl


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Right on, i think i can live with this. I still own all of the previous XCOM games and can play them on my Win XP box without any issues. So if i feel masochistic i can always play the earlier versions.
---------- Post added 2012-10-09 at 08:07 PM ----------
Just confirmed that my local Game Stop did get their copies today. <SQUEEE>


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Low Carb Clam Chowder
Traditional clam chowder minus the carbs.
Nutrition Facts: Carbohydrates 2.4g
Serves 4
3 slices turkey bacon, cut into small pieces, cooked
1 -6 oz. can chopped clams, with juice
1 cup water
1 cup light cream
Salt and pepper to taste
Cook bacon
Add the clams and water
Cover and simmer for about 15-20 minutes
Turn off the heat and add the cream, salt and pepper


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2008 Toyota Yaris
Compare Dealer Clearance Prices and SAVE
2008 Toyota Yaris Review
Hard to beat in terms of fuel economy.
Reviewed by Automotive on
First introduced to the market in 2007, the Toyota Yaris has done a lot to raise the bar for entry-level subcompact economy cars. In a class typically characterized by cheap build and unremarkable design, the Yaris stands out as a stylish, quality vehicle with a lot to offer.
The main selling point for the Toyota Yaris is its incredible fuel economy. While most economy subcompacts struggle in this area, the Yaris blows away the competition with an admirable 32 mpg combined. Along with all the benefits to be reaped at the pump, the 2008 Yaris offers the best in Toyota-quality construction, competent performance, and a stylishly modern design. With such a great combination of economy, quality, and style, the Yaris is one car that any shopper on a budget will want to consider. The smallest car in the Toyota lineup, the 2008 Yaris is offered in two body styles: the original four-door sedan, and the new, sporty three-door hatchback.
The Range
Engines: 1.5-liter four-cylinder
Transmissions: five-speed manual, four-speed automatic
Models: Yaris Base, Yaris S
What's New
The Yaris was introduced in 2007 as a compact four-door coupe. Toyota expands the lineup for 2008 with the addition of the sporty ""S"" hatchback, which includes 15-inch wheels, front and rear spoilers, a CD/MP3 player, and a number of other upgrades shared with the S sedan.
The 2008 Toyota Yaris is offered in two body styles: a four-door sedan and a three-door hatchback. Both styles feature a short, rounded profile with simple but modern styling. With a full length of 150.6 inches on the hatchback and 169.3 inches on the sedan, the Yaris is the smallest car offered by Toyota. The new ""S"" hatchback provides larger 15-inch wheels, as well as body-color front and rear spoilers. Standard exterior features for all models include a front air dam, steel wheels, and interval wipers. Optional equipment includes power windows, power adjustable mirrors, alloy wheels, mud guards, and foglights.
Even as one of the smallest subcompacts on the market, the Yaris sedan offers a reasonably roomy cabin for its size with a space-efficient design. With three fewer inches on the wheelbase, the hatchback is a little tighter inside. To make the most of what space it has, the hatchback provides optional sliding and reclining rear seats. The dashboard layouts for the sedan and hatchback are quite different, though both have centrally located instrumentation. The hatchback also makes an effort to maximize its space with a third glove box located behind the steering wheel.
Other standard features for all models include air-conditioning, a tire pressure monitor, and tachometer. Most other features, including a radio, CD player, and cruise control, are provided as options.
Performance & Handling
All 2008 Yaris models are powered by a 1.5-liter, four-cylinder engine, rated at 106 horsepower and 103 lb-ft of torque. The standard manual five-speed transmission provides decent acceleration, though the optional four-speed automatic tends to struggle a bit. The Yaris's main attraction is its outstanding fuel economy; it's easily one of the most fuel-efficient economy cars on the market for 2008.
With its electronic power steering, the Toyota Yaris offers a light touch and easy maneuvering, with an overall solid driving experience. The four-cylinder engine may be on the small side, but it provides more than enough oomph with the manual transmission. While certainly not the most powerful car on the road, the Yaris does have plenty of midrange strength for confident highway driving.
For a car at such a low price point, the standard safety offerings are unsurprisingly slim. The only standard equipment is driver and passenger airbags and child safety door locks. The list of optional safety equipment includes anti-lock brakes, vehicle anti-theft, keyless entry, front-seat-mounted side airbags, and side curtain airbags. The 2008 Yaris earned four out of five stars in government testing for frontal impact protection and three stars for both front and rear occupants without the optional side airbags. The hatchback scored higher than the sedan with five stars given for driver protection. The IIHS gives the Yaris its highest rating of ""good"" for front collisions and side collisions with the optional airbags, but a ""poor"" rating without.
EPA Fuel Economy
You'll Like
- Great fuel economy
- High-quality interior
- Multifunctional rear seat with the hatchback
You Won't Like
- Poor acceleration with automatic transmission
- Few standard safety features
- Awkward seating
Sum Up
Hard to beat in terms of fuel economy.
If You Like This Vehicle
- Kia Spectra5
- Scion xD
- Volkswagen Rabbit


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About the conductor
David Robertson
A consummate musician, masterful programmer, and dynamic presence, American maestro DAVID ROBERTSON has established himself as one of today's most sought-after conductors. A passionate and compelling communicator with an extensive orchestral and operatic repertoire, he has forged close relationships with major orchestras around the world through his exhilarating music-making and stimulating ideas. In fall 2015, Robertson launched his 11th season as Music Director of the 136-year-old St. Louis Symphony. In January 2014, Robertson assumed the post of Chief Conductor and Artistic Director of the Sydney Symphony Orchestra in Australia.
In 2014/15 Robertson led the St. Louis Symphony back to Carnegie Hall, performing Meredith Monk's WEAVE for Carnegie's celebration of the artist, as well as Tchaikovsky's Symphony No. 4. Zachary Woolfe of The New York Times wrote: "Mr. Robertson led a ferociously focused performance of Tchaikovsky's Fourth Symphony, the phrasing taut but natural as breathing."
Born in Santa Monica, California, David Robertson was educated at London's Royal Academy of Music, where he studied horn and composition before turning to orchestral conducting. Robertson is the recipient of numerous awards and honors.


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100 Years of Improv – November 30 at 9:15pm
Posted on 20. Nov, 2013 by Jeff in Blog
4 Men. Over 100 Years of Improv Experience.
1 Night Only!
CSz veterans Tom Gough, Jeff Ringgold, Derek McCaw and Jeff Kramer come together to create a once in a lifetime show. Featuring rare and unusual ComedySportz games and a few surprises as well. This show is rated PG. Buy your tickets early before they sell out!


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[ Source: wims-help ]
Package: wims-help (4.01-2) [universe]
Links for wims-help
Ubuntu Resources:
Download Source Package wims-help:
Please consider filing a bug or asking a question via Launchpad before contacting the maintainer directly.
Original Maintainer (usually from Debian):
- Georges Khaznadar
It should generally not be necessary for users to contact the original maintainer.
External Resources:
- Homepage [wimsedu.info]
Similar packages:
help files for wims
Download wims-help
Architecture | Package Size | Installed Size | Files |
all | 13,929.9 kB | 18,568.0 kB | [list of files] |


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Rotates for Multi Planar Movement!
TrakFitness TrakHandle Pro-X - The patent pending TrakHandle Pro-X is the most versatile, ergonomically advanced cable handle available. The TrakHandle incorporates three axes of rotation that provide unprecedented mobility and range of motion for your hands, wrists, arms, and shoulders. This freedom of movement, which is not available in any other handle, lets you work a specific muscle through its full range of motion while minimizing the strain and injury to other muscles, joints and ligaments.
Trak Fitness accessories are revolutionizing resistance training because they are the only cable attachments that allow users to maintain ergonomically correct positioning throughout the full range of the exercise movement.
Need a quote on a bulk purchase of gym equipment for your institution? Contact an Ironcompany.com fitness equipment specialist today at 1-888-758-7527 or email firstname.lastname@example.com.
Shipping Included Shipping cost included within the lower 48 states only Ships via UPS


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The annual Federal List is one of our favorite issues. The list format is accessible, but we also focus on important topics.
This year, we settled on the Survivors Guide theme that comes from these trying -- yet invigorating -- times. Not only are organizations dealing with a constantly changing landscape, but the speed of those changes seems to increase.
As more than casual observers, we offer our list for improving government information technology (with more than a little help from several friends).
Teach IT people to speak English
We get caught up in our own worlds, and the IT community is no exception. But unfortunately, the community has created its own language. The acronyms, techie terms and lingo end up being detrimental to accomplishing the true task, which is to use IT to accomplish an agency's mission. Although the goal is to speak English, it is even more important for IT leaders to speak "mission."
Give CIOs true authority
IT is important to federal agencies, and yet it is only tacitly acknowledged. IT enables agencies to accomplish their missions. That importance should be demonstrated in how agencies are organized. The chief information officer should have a seat at the table and be a key part of an agency's management team.
Equal pay for equal work
Federal workers face many changes. They increasingly have to compete for their jobs. They face potential changes to personnel rules that would link pay more directly to performance rather than to time spent in government. If federal employment becomes more like private-sector employment, federal pay should become more like private-sector pay.
Get it right
The General Services Administration has conducted a campaign to get government contracting right. GSA began the Get It Right initiative following some contract abuses. Most people agree that procurement reform in recent years has helped agencies accomplish their missions. It would be a travesty if a handful of bad procurement cases were to spoil those gains. We hope GSA will continue to enhance its campaign.
Christopher J. Dorobek
About the Author
Christopher J. Dorobek is the co-anchor of Federal News Radio's afternoon drive program, The Daily Debrief with Chris Dorobek and Amy Morris, and the founder, publisher and editor of the DorobekInsider.com, a leading blog for the Federal IT community.
Dorobek joined Federal News Radio in 2008 with 16 years of experience covering government issues with an emphasis on government information technology. Prior to joining Federal News Radio, Dorobek was editor-in-chief of Federal Computer Week, the leading news magazine for government IT decision-makers and the flagship of the 1105 Government Information Group portfolio of publications. As editor-in-chief, Dorobek served as a member of the senior leadership team at 1105 Government Information Group, providing daily editorial direction and management for FCW magazine, FCW.com, Government Health IT and its other editorial products.
Dorobek joined FCW in 2001 as a senior reporter and assumed increasing responsibilities, becoming managing editor and executive editor before being named editor-in-chief in 2006. Prior to joining FCW, Dorobek was a technology reporter at PlanetGov.com, one of the first online community centers for current and former government employees. He also spent five years at Government Computer News, another leading industry publication, covering a variety of federal IT-related issues.
Dorobek is a frequent speaker on issues involving the government IT industry, and has appeared as a frequent contributor to NewsChannel 8's Federal News Today program. He began his career as a reporter at the Foster's Daily Democrat, a daily newspaper in Dover, N.H. He is a graduate of the University of Southern California. He lives in Washington, DC.
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Save the date for 28th annual Federal 100 Awards Gala.
March 30, 2017
Early self-reporting suggests that 81 percent of agencies are on track to electronically manage email records.
The head of the Defense Innovation Unit Experimental says his goal is to drive culture change in the DOD's acquisition and innovation processes rather than make DIUx the acquisition arm of the DOD.
A plan to reorganize DHS' cybersecurity directorate that stalled in Congress last year is still on the agency's agenda.
Without confirmed subcabinet officials, President Donald Trump's executive order calling for a federal government reorganization will be managed by agency chiefs and career executives.
As promised, a budget blueprint from the Trump administration prioritizes military and homeland security spending, and pays for increases with dramatic cuts to civilian agencies.
The new $7.5 billion SETI acquisition program aims to rapidly contract innovative technologies and solutions across the Defense Department.


text: Muwi Concept Lawnmower Turns Waste Grass into PlaythingsKit Eaton8/20/08 6:18amFiled to: mowerMuwiYuli SungLawnmowergrasscuttingToysgardensHouseHomeGadgets42EditPromoteShare to KinjaToggle Conversation toolsGo to permalinkThe electric-sheep lawnmower may have tickled your fancy, but this Muwi concept mower from designer Yuli Sung will have you scratching your head. The concept's roughly the same as the sheep: It automatically assesses the grassy areas, and then cuts the lawn without supervision required. Cunningly, it grabs the grass cuttings inside where they won't lie around setting off people's hay fever. But then it does something strange... it compacts the cuttings into toys. Scratching yet? The second image makes it clearer.Okay, so the ball could be considered more a plaything, while the grass disks are perhaps more suited for piling up as ad-hoc lawn chairs. Although there's always the possibility of a game of giant grass Frisbee... How many sneezes and streaming eyes would that set off, I wonder? Those grass "bails" would easy to pick up and chuck onto the compost pile too. Nice lateral thinking here, and for once it's a concept that I'd love a manufacturer to get to grips with for real. [Yanko design]


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Ok...I have been gone awhile and just stopped by...,,,looks different here, no LO at the top etc is this what has been happening here or is it my computer....had a few funky things here today so wanted to be sure,
Posted 08 December 2013 - 08:08 PM
Posted 08 December 2013 - 08:14 PM
We've had a forum upgrade and just got back online! Isn't it all pretty? The kinks are still being worked out but Wendee has done an amazing job!
Posted 08 December 2013 - 08:25 PM
Thanks Carla...it does look great....no gallery tho is that right? I thought it may be something with my computer. some persistant popups in the last few hours Yukkk!!
Posted 08 December 2013 - 08:28 PM
Right - no gallery for now. We have been having some problems with the software upgrade we did over the weened, so we had to disable it for now. But it should be back up later this week.
Posted 09 December 2013 - 11:19 AM
I agree, Carol. I'm going to be fumbling around for a while trying to find things.
Posted 09 December 2013 - 12:12 PM
I agree, Carol. I'm going to be fumbling around for a while trying to find things.
You're not alone! We didn't get to test this before the upgrade, so we're learning it along with you.
The new gallery is quite a bit different. Learing new things keeps our brain cells working, right?
Posted 09 December 2013 - 09:02 PM
I haven't been on the forum in a while either. It's so pretty and new!! Looks great, but will take a little getting used to.
~ ~ ~ ~
Posted 10 December 2013 - 01:01 AM
I love the new changes. I am finding it easier to get around and not so intimidating. Great work Ladies.
Posted 10 December 2013 - 08:53 AM
Old folks like me are sometimes resistant to change, but I like what I'm seeing so far.
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Photo: Marina Oliphant
My friend Geoff is renowned for his adult version of chocolate crackles. He has kindly shared his recipe with us.
- 200g milk chocolate (40 per cent cocoa)
- 100g dark chocolate (minimum 70 per cent cocoa or more)
- 3 cups Rice Bubbles (not home brand; they're not as puffy and don't crunch when you eat them)
- 1 cup shredded or flaked coconut (McKenzie's Moist Flakes are best)
Put chocolate in a large bowl over a saucepan of water; bring water to the boil making sure the bowl isn't in contact with the water, then remove from heat. Melt chocolate, stirring occasionally to combine and prevent mixture from sticking.
In a separate bowl, combine Rice Bubbles and coconut.
On a tray, rack or platter that fits in your fridge — a baking tray with a lip is ideal — lay out 16 patty pans. Arrange them touching, as the mix tends to drip and any excess will fall into the next patty pan.
When chocolate is melted and mixed to one colour, remove bowl from saucepan and add dry ingredients. Using a heat-proof spatula or flat metal serving spoon, combine the mixture by sliding the spoon down the edge of the bowl under the mix and then drawing towards the centre, turning the bowl as you go. This motion helps keep the Rice Bubbles whole. Continue until dry ingredients are coated in chocolate.
Use two spoons to distribute the mix. Scoop mix onto one spoon, then use the second to scrape it into the patty pan. Fill pans in two passes for even distribution.
When pans are full — add more if needed — put tray in the fridge for about 30-60 minutes, or until set. Remove from fridge about five minutes before serving.
Makes about 16
Got a favourite recipe? Share your recipe


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Whether you are shopping for plants or just want to learn about them, this online catalogue allows you to find out all about our extensive inventory of trees, shrubs, perennials and grasses. You can build your own plant list of favourites, print it out and bring it in to our store.
Search for plants by entering key words and phrases, specific characteristics, or both, then click on the "Search" button. For detailed information and advanced tips and hints on how to use this resource, click here.
'Hot Button' - click here to learn more about this feature!
Disclaimer: This online catalogue does not include our entire inventory. We do carry plants that are not on this list. We cannot guarantee that all listed plants will be in stock at all times.


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Primary tabs
Vol. 27 No. 1Winter 2016
Accelerating the Fight Against ISIS
Going into 2012, Obama had Osama. Going into 2016, the Democrats need the fall of Raqqa and Mosul. -
What We Can Do about Gun Violence
Incremental changes to existing gun laws could help deter mass shootings and gun homicides.
Going After the Big Bucks
Pumping big money into the national political parties, as many now propose, would weaken the parties in the long run and invite another round of soft-money abuses. -
Tickets Out of Poverty?
Housing voucher recipients can move to better neighborhoods only if states and localities break down suburban barriers. -
Progressive California: The Long Road Back
The Golden State is the nation's most liberal—but it has yet to untie its fiscal knots.
Perpetually Outraged, Perpetually Outrageous
Donald Trump, a candidate with all the subtlety of talk radio, is the perfect expression of both the politics and media of our time. -
Leading from the Left
For Ted Kennedy, political leadership meant moving public opinion—not chasing after an elusive center. -
The Big Financial Divide
Why we have one banking system for the well-off and a "Wild West" fringe for everyone else. -
The War on the Poor
The welfare reform of the 1990s left millions of Americans near destitution. -
It Didn't Start with Stonewall
A new history deepens our understanding of the origins of the gay rights movement and the transformation it has brought about. -
Shall We Be Released?
The mass folly of mass incarceration and the road back to sane prison policy.
Grace Under Fire
Planned Parenthood President Cecile Richards is one of the nation's premier political strategists and organizers—exactly what the cause of reproductive rights needs now more than ever. -
The Uber Challenge
Uber drivers are getting creative in their fight for basic workplace rights. -
Vultures Over Puerto Rico
Vulture investors have descended on the commonwealth, taking advantage of a debt crisis that has impoverished citizens and created massive unemployment. -
The New Inequality Debate
More mainstream economists now find that the income mal-distribution reflects the political sway of elites, not economic imperatives. -
The Likely Persistence of a White Majority
How Census Bureau statistics have misled thinking about the American future. -
The Budgetary Backdoor to Reduced Minority Representation
The political and economic ramifications of a tightened Census budget. -
Race and Representation in the Twilight of the Obama Era
Will the eight years of America's first black president lead to more political voice for black citizens—or less? -
Can Democrats Channel America's Discontent?
The party has moved left in response to hard times. That should help it at the polls—but will it? -
Labor Goes South
Can the movement rebuild itself below the Mason-Dixon line, and change Southern politics in the process? -
Black Culture and History Matter
It took 150 years after America officially abolished slavery to get a national museum on the black experience. -
That Sinking Feeling: The Politics of Sea Level Rise and Miami's Building Boom
Why is Miami—America's most vulnerable metropolis to sea-level rise—having yet another beachfront development boom? -
The Other Tech Bubble
How tech companies became detached from urban life and its problems—even when the city is their home.
Vol. 26 No. 4Fall 2015
The European Prospect
With all the pathologies of the 1930s resurgent, Europe's experiment in economic and social union has never been more at risk. -
The Politics of Frustration
Voters on both sides of the partisan divide are being driven toward radical make-believe
Employer Political Coercion: A Growing Threat
Since Citizens United, companies can legally require workers to participate in politics—and fire them if they refuse. -
55-45 Politics in a 50-50 Country
Republicans start every election cycle with structural advantages regardless of the issues and all the other factors that usually determine who wins elections.
A Caricature of Black Reality
Ta-Nehisi Coates has written the race book of the year. Too bad it's disempowering. -
It's Still a Struggle
The fight for voting rights hasn't been the straightforward battle we once might have expected to win and be done with. -
Security for a Precarious Workforce
What will it take, economically and politically, to broadly regularize employment? -
A Government Both More Secretive and More Open
The same decades that saw the growth of national-security secrecy saw the rise of the public's "right to know." -
The Shame of Tax Havens
Taxes evaded in offshore havens could fund a lot of public services.
Our Incoherent China Policy
The proposed Trans-Pacific Partnership is bad economics, and even worse as containment of China. -
Bronx Cheer
The New York borough that once symbolized urban decline is safer and more stable—but most Bronxites' lives are still precarious. -
Eight Principles for Reforming Solitary Confinement
How we can reduce, make more humane, and ultimately eliminate a practice that, in Justice Kennedy's words, drives prisoners "to the edge of madness" -
Hedge Funds: The Ultimate Absentee Landlords
How Wall Street capitalized on the foreclosure crisis to become the nation's largest owner of single-family homes. -
The New Public Option
Despite hostile courts, can our campaign-finance system be reformed from the bottom up? -
Pushing Civic Tech Beyond Its Comfort Zone
By all means, let's use technology to improve government services. But the real promise is greater political accountability. -
The Unsavory Side of Airbnb
How the popular matching company facilitates landlord conversion of entire rental buildings to de facto hotels. -
Unfriendly Fire
Despite ideological attacks and under-funding, the Veterans Health Administration is a model public system. -
Bring Back Antitrust
Despite low inflation and some bargain prices, economic concentration and novel abuses of market power are pervasive in today's economy—harming consumers, workers, and innovators. We need a new antitrust for a new predatory era. -
Still We Rise
The continuing case for America's historically black colleges and universities.
Vol. 26 No. 2Summer 2015
Cultures of Impunity
Whether it's corporate crime, police homicide, or sexual assault, the issue is the same: Does the law apply to everyone? (PDF version) -
An Embarrassment of Riches
The Republican primary is drenched in money from super PACs and billionaire political investors. Could there be a silver lining?
World Cup Corruption: The Bigger Scandal
In the shadow of Qatar's new soccer stadium, Nepali migrant workers face exploitation, injury, and death. -
We Don't Need 'Modern Asylums'
We need to make deinstitutionalization work for people with intellectual and developmental disabilities. -
Betrayers of the Dream
How sleazy for-profit colleges disproportionately targeted black students.
Why Mothers and Daughters Tangle Over Hair
While men's hair can often be neutral, women's hair is fraught with questions of sexuality, professionalism, and identity. -
The French Disconnection
Can the ideal of a secular Republic accommodate the new cultural pluralism? -
Get Out of Jail Free
How prosecutors and courts collude to keep corrupt executives from doing prison time. -
The Sometime Liberal
An intellectual in public service, Pat Moynihan defied categorization. -
Should Liberals Back Public Employee Unions?
The stakes in the new battle over unions have far-reaching implications.
Immigration and America's Urban Revival
The evidence favors a hypothesis many Americans reject: Immigration has helped reduce crime and revitalize city economies. -
The Politics of Virtual Reality
With inexpensive immersive media about to hit the market, we need to ask: How will they affect us? And can they be put to good use? -
Boosting Low PayCover Package
Boosting Low Pay
A look inside the Summer 2015 cover package on new fronts in the labor movement. -
Boosting Low Pay
How the American South Drives the Low-Wage Economy
Just as in the 1850s (with the Dred Scott decision and the Fugitive Slave Act), the Southern labor system (with low pay and no unions) is wending its way north. -
Boosting Low Pay
How to Live Happily with Robots
It takes extensive government intervention to assure that gains of automation are broadly shared. -
Boosting Low Pay
When Charters Go Union
Most charter school funders hate unions and unions generally hate charters. But more and more charter teachers want to unionize, and labor is helping them do it. -
Boosting Low Pay
When Adjuncts Go Union
On campuses across America, contingent faculty are fighting back against low wages and precarious employment. -
Boosting Low Pay
A Decent Living for Home Caregivers—And Their Clients
At-home caregivers are among the least protected and most undervalued workers in the U.S. Low federal reimbursement rates lay at the heart of the problem. -
Fast Track to the Corporate Wish List
The Trans-Pacific Partnership displays a deep rift in the Democratic Party. -
Urban Policing, Without Brutality
Cincinnati has emerged as a role model of policing reform—but even the best-in-show has a long way to go. -
Conscience and the Culture Wars
Conservatives say marriage equality and health-care laws threaten their religious freedom. Should they be exempt? -
Bringing Labor Rights Back to Bangladesh
After a horrific factory collapse in 2013, pressure from global unions, human rights groups, and reputational damage to big fashion brands led to a groundbreaking accord to improve labor conditions. What has it achieved?
Vol. 26 No. 2Spring 2015
The Opportunity Dodge
It's an empty promise—because the chance to thrive will never be good amid great inequalities. -
What We Know Now
Twenty-five years later, the world has changed in crucial ways that factor into our thinking.
Anxiety Itself
As a party identified with women, Democrats face a distinctive challenge in 2016. -
The Marriage Cure
Policies to help the broad range of families are better for kids—and better for progressive politics. -
The Cyber Conundrum
Why the current policy for national cyber defense leaves us open to attack. -
Why Public Silence Greets Government Success
Hardly anyone notices when government works—so how to design policies that get credit?
Piety and Politics in America
The tension between religiosity and secular government goes back to the nation's founding. -
How the Bankers Destroyed the Dream
The mortgage collapse was an entirely avoidable crisis—a brew of elite financial lobbying and bad policy. -
It's All About the Money
How America became preoccupied with higher education's bottom line. -
Has Child Care Policy Finally Come of Age?
The Democrats may now be turning to a long-stalled agenda for working parents. -
The Evolutionary Roots of Altruism
Do altruistic groups always beat selfish groups? A new book claims they do. -
The Real Story of the American Family
Two new books explain how rising inequality shattered the working-class family of the mid-20th century.
Senior Class: America's Unequal Retirement
One of the cruelest manifestations of widening inequality happens in life's final quarter. -
How Progressive Policies Can Lead to a Democratic Majority
The new American electorate could offer a durable majority--if Democrats address economic needs with progressive policies, not centrist ones. -
Raising Wages From the Bottom Up
Three ways city and state governments can make the difference. -
A Radical Pope
Francis has challenged the Catholic Church. How much can he change it? -
The Junior Justice
Elena Kagan is rewriting the role of a Supreme Court justice in American democracy. -
The High Road Wins
How and why Minnesota is outpacing Wisconsin -
The Political Roots of Widening Inequality
The key to understanding the rise in inequality isn't technology or globalization. It's the power of the moneyed interests to shape the underlying rules of the market. -
The Politics of Offense and Defense
Once reliably blue strongholds, Wisconsin's and Minnesota's political paths have diverged in recent years. -
No Cost for Extremism
Why the GOP hasn't (yet) paid for its march to the right. -
The Civil Rights Movement and the Politics of Memory
As opportunists try to hijack the movement's legacy, let's remember what actually occurred. -
How Gilded Ages End
Protecting democracy from oligarchic dominance is, once again, a central imperative of American politics. -
Poised for Prosperity?
Drawing the right lessons from the past quarter-century -
The Wealth Problem
Aspiring to own a home and pursue an education are quintessentially American ideals. It's time to make those dreams accessible again.
Vol. 26 No. 1Winter 2015
Can Liberal Democracy Survive?
America is becoming more like the illiberal pseudo-democracies and kleptocracies. -
The Crash of The New Republic
The mass exodus from the storied magazine was not the result of disagreements about the value of new technology.
The Democrats in Opposition
They can become the party of working Americans and win. Or they can appease Wall Street and lose. -
Atlantic Surging, Virginia Sinking
Rising sea level in Norfolk threatens the town, the Navy, and a state in denial.
The Great Party Switch
From 1968 through 1992, Republicans tended to control the White House. Since then, they've more frequently controlled Congress, which has moved them even more to the right. -
Looking Forward to the Sequel
If we don't alter the power distribution that led to the financial collapse, it will happen again. -
Sharing the Wealth
Why can't we broadly distribute the wealth produced from America's common resource pool? Conservative Alaska manages to do it. -
Truth in Politics Now
Demanding that we seek out the truth is a start—but it is only a start. -
When the Student Movement Was a CIA Front
The CIA's manipulation of the National Student Association foreshadowed other forms of Cold War blowback that compromised democracy at home.
Special Report
The Perils of Privatization
When a public function is privatized, the result is a muddled middle ground. -
Markets, States, and the Green Transition
To get renewable energy technologies into broad use, government needs to promote both supply and demand. Markets are too risk-averse. -
Why Economists Cling to Discredited Ideas
Free-market theory may be at odds with reality, but it fits the needs of the rich and the powerful. -
The Libertarian Delusion
The free-market fantasy stands discredited by events. The challenge now: redeeming effective and democratic government -
Why Markets Can't Price the Priceless
It takes government planning to promote the rational conservation and use of water.
How Democratic Progressives Survived a Landslide
They ran against Wall Street and carried the white working class. The Democrats who shunned populism got clobbered. -
Sex, Lies and Justice
Can we reconcile the belated attention to rape on campus with due process? -
Can Moral Mondays Produce Victorious Tuesdays?
North Carolina's protest movement has galvanized the state's progressives, but couldn't stop 2014's Republican tide. Its leaders say they're only just beginning. -
When Liberals Were Organized
Progressives seeking a model for an effective Congress could learn from the nearly forgotten history of the Democratic Study Group. -
Blind to the Future
Chris Christie and the Republican default on public investment. -
What to Do When 'I Do' Is Done
LGBT activists and funders are debating the movement's post-marriage priorities. -
A Needless Default
The administration's foreclosure relief program was designed to help bankers, not homeowners. That disgrace will haunt Democrats.


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KINGSTON — The Benedictine Sisters have reached an agreement with HealthAlliance of the Hudson Valley to relinquish sponsorship of Benedictine Hospital.
The move will open the way for combining the Benedictine and Kingston Hospital campuses into a single full-service secular hospital that will provide reproductive services, including abortions.
The agreement stipulates the Benedictine Sisters will continue to provide pastoral care services at the hospital.
Initially, the hand-off will result in name changes: both hospitals will begin to be known as HealthAlliance Hospital. The two existing facilities will be known as the Mary's Avenue Campus and the Broadway Campus.
The combination of the two campuses is a long-range goal of HealthAlliance, which is in the midst of assessing the infrastructural needs of Benedictine even as it continues to seek state approvals for the eventual merger of the two facilities.
HealthAlliance CEO David Lundquist said in a statement Thursday that state review of the single-hospital plan has been "productive."
Benedictine Sisters relinquish sponsorship of Benedictine Hospital in Kingston
Feb 7, 2013 at 4:30 PM
Feb 7, 2013 at 4:32 PM


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Every cook has their own secret recipe. It is often made with a "meat" base, such as boiling spare ribs, or chicken....and using the stock, as well as the meat.
Thai Peanut Noodles Peanut Sauce - Serves 4 +1 Can Coconut Milk2 heaping tbs. Peanut Butter (I prefer JIF)2 tbs sugar1 knob fresh Ginger - minced2 cloves Garlic - mincedSoy Sauce - to tasteSriracha Chili Sauce - to taste or substitute with Sambal Olek Bring all ingredients to a simmer and stir often.Scallions - chopped - garnishBell Pepper - Chopped - friedZuchinni or Grean Beans - Chopped and fried1 Packet Somen Noodles - follow directions for cooking and place in your bowl!I serve this in restaurants with Poached Halibut and its always a good selling dish!
Stevia Oatmeal Chocolate Chip CookiesIngredients (use vegan versions): 1 cup flour (I use spelt or a mix of 3/4 spelt 1/4 amaranth) 2 cups regular oats 1 teaspoon stevia 1 teaspoon baking soda 1 cup hot water 1/2 cup safflower oil 1 teaspoon vanilla 1 teaspoon cinnamon Unsweetened carob chipsDirections:Preheat oven to 325, spray a cookie sheet. Mix flour, stevia and cinnamon in small bowl. Mix oats and baking soda in large bowl. Pour hot water over the oat mixture and mix. Add oil and vanilla to oat mixture, mix well. Add flour mixture to oat mixture, mix well. Add chocolate chips. Place on cookie sheet, they do not flatten so push them down if you want them to be flat or leave as is. Cook 13-15 minutes.The texture of these cookies changes after a few days (they become soft, you might like this but I prefer them fresh out of the oven). I recommend cooking them in small batches. I don't add all of the chocolate chips at once. I use as much cookie dough as I want and add chips to those and cook them. Refrigerate the dough and add chips as you make each batch. I find that refrigerating the chocolate chips in the dough and then baking them alters the taste. It takes no time at all to have fresh baked cookies!I found this recipe online and just made them last night for the first time. They are DELICIOUS (especially considering they contain no sugar and no eggs)! I used soy flour for the flour and substituted carob chips for chocolate chips and decided next time I will make them using only 1 tsp of stevia (the recipe called for 1 1/2 tsp stevia, and they were a bit too sweet). This is also an excellent recipe for diabetics. Highly recommend!
My question to any one who may know is why do all the recipes available on the net seem to use plain flour with baking soda, is there a reason (tradition maybe) why self-raising flour can't be used? that's what I used and the cake looks ok. Just Curious.
Are there such things as lenten pierogies?
The olive oil can be left out when not allowed during fasting seasons, and added when it is allowed/normally.http://www.marmiton.org/recettes/recette_tomates-provencales-super-simples_30950.aspx(In french)Tomatoes sliced in half, olive oil(again, when allowed and can be left out depending on the rules for the day), garlic, salt, pepper, oregano/marjoram, breadcrumbs and roasted in the oven at 210/410.I llike mine with rice to soak up the juices
Thank God he said I was a politician because Aristotle defined the human person as 'Animal politicus.' So at least I am a human person.
I'm making a firm decision to stay with the Orthodox Church.
Is that "To Serve Man"?
Quote from: Mor Ephrem on October 16, 2015, 10:44:02 PMIs that "To Serve Man"? It is. What better way to love thy neighbor as thyself...
Quote from: DeniseDenise on October 16, 2015, 10:45:00 PMQuote from: Mor Ephrem on October 16, 2015, 10:44:02 PMIs that "To Serve Man"? It is. What better way to love thy neighbor as thyself...I can think of a few ways, but they're not exactly "fasting".
Quote from: Mor Ephrem on October 16, 2015, 10:45:52 PMQuote from: DeniseDenise on October 16, 2015, 10:45:00 PMQuote from: Mor Ephrem on October 16, 2015, 10:44:02 PMIs that "To Serve Man"? It is. What better way to love thy neighbor as thyself...I can think of a few ways, but they're not exactly "fasting". My take on how this could fit into fasting recipes was that if you are skin and bones you are not desirable to eat. The protagonist gave up in the end.


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Tuesday, April 9, 2013
New Pop-up Announcement on FamilySearch.org
This new announcement in the form of a pop-up began appearing today on FamilySearch.org. Clicking on the link takes you to essentially the same pages that have been linked from the new header visible on the site.
Here is a screen shot of the video page:
It looks like they are getting serious about revamping the website.
In addition to a new look and navigation, the announcement highlights Family Tree, Family Tree Photos and Stories, the Fan Chart navigation and live help. Take a look.
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Re: Drowing a vertical or horizontal line in a graphic
Hi Vincent, you can e.g. use Epilog: Plot[(x-1)^2,{x,0,2},Epilog\->{Red,Line[{{1,0},{1,1}}]}] hope this helps, Daniel Vicent wrote: > I am using Mathematica 5 and I have a simple question to ask you. > > I am drawing a function with "Plot" function. > > How can I add a vertical or horizontal line (or several ones) at a > given position? > > For example, I want to draw y = (x-1)^2, and also want a vertical > line just at x = 1, in order to signal the point where that fuction > gets its lower value. > > How can I do it? > > Thank you in advance. > > -- > Vicent > >


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The Extra Mile and Beyond
For over 25 years, NAVIS has delivered outstanding results and served as a trusted hospitality consultant to many of the world's best-known and most-profitable hotel brands and vacation rental companies.
While our technology products are leading edge in their ability to increase conversions and profit, it is our dedicated people—who really do go above and beyond—that help our clients achieve such great success.
Our Services Include:
Client Advocates: A Partner Every Step of the Way
Narrowcast clients have an experienced NAVIS client advocate who acts as a partner every step of the way, providing best practices, business strategy, and a broad range of services to ensure your success.
Premier Technical Support: Every Minute, Every Hour, Every Day
24x7x365, U.S. based, live support with NAVIS product experts assures your company is operating at the highest levels of performance.
Software Integration Services: In Harmony with All Your Systems
We partner and integrate with all major PMS and POS in the market. NAVIS seamlessly melds with your current technical environment, so you won't miss a beat. Custom integrations and development is also available.
Education & Best Practices: Achieving Greatness
Exclusively for clients, NAVIS University delivers comprehensive online, virtual, and on-site education programs, all aimed at elevating your reservation sales and marketing teams to greatness.
Call Center Services: Elevating Guest Reservations
NAVIS RezForce and RezCast sales experts create exceptional guest experiences by collaborating with your on-site team to extend your voice and brand to increase bookings, reduce costs, and maximize profit.
Implementation Services: Up and Running in No Time
Our in-person, on-site implementation solutions are tailored to your environment to get your new sales and marketing programs online efficiently and effectively.
From my perspective, the "NAVIS Way" has structured the sales process in the reservations team. Establishing the proper mechanics from a technology standpoint, and developing a sales protocol for the reservations team to follow. And then setting the expectation to monitor and coach the team on these standards."
Greg Hanns
Managing Director
NAVIS gives me a pulse on what the consumer wants and provides useful insight into the regrets and denials in an independent resort."
Aditi Verma
Revenue Management


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Recent News
June 2010 News
All the latest news about comedy and comedians: stand-up, TV sitcoms and sketch shows, comedy movies, etc…
Mon 14 June 2010
Students get Jacked
Whitehall to host our competition final
14/06/2010 … Jack Whitehall is to host the final of this year's Chortle Student Comedy Award.
A topical storm
C4 reveals its new stand-up show
14/06/2010 … Channel 4 has confirmed its new late-night topical stand-up show, Stand Up For The Week.
Sun 13 June 2010
Mighty Boosh: The movie
New York debut for tour film
13/06/2010 … Noel Fielding and Julian Barratt have launched a new Mighty Boosh film in New York.
Race for the Riviera
For Dee and Edmondson
13/06/2010 … Jack Dee and Adrian Edmondson are to embark on an eco-friendly race from London to Monte Carlo for a new ITV1 series.
Sat 12 June 2010
Gervais signs up for Curb
Playing himself in Series 8
12/06/2010 … Ricky Gervais will star in the next series of Curb Your Enthusiasm, he confirmed today.
Fri 11 June 2010
Knickers to John Cleese!
WTF: Weekly Trivia File
11/06/2010 … 'Careers are long, man.
Daily Mail spreads sick gag
After one person takes offence at Boyle
11/06/2010 … The Daily Mail is spreading a sick joke about Cumbrian gunman Derrick Bird with millions of its unsuspecting readers.
Comedy on speed
Chortle's Fast Fringe line-up revealed
11/06/2010 … Brendon Burns, Phil Nichol, Frisky & Mannish and Alex Zane are all set to appear in Chortle's annual Fast Fringe showcase.


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On-Campus ext. 2222
Off-Campus ext. 516-299-2222
Vehicular traffic flow onto campus is restricted at approximately 11:30 p.m. every night when the Public Safety Officers close Campus gates. After 11:30 p.m. the West Gate booth becomes the only access to the campus. Incoming vehicles must pass through this controlled entrance and student identification or other suitable identification must be shown. Every vehicle is checked to ascertain its purpose and destination and may be denied access if the occupants of the vehicle do not establish a legitimate reason for entering the campus between 11:30 p.m. and 5:30 a.m.
In addition, patrol units, which operate 24 hours a day, are available to apprehend and escort away any intruders entering campus on foot. Trespassers are taken into custody and detained for police action.
Traffic SafetyIn an effort to provide the highest level of safety and security within the Campus community, member's cooperation is needed when parking their vehicles. Park only in those areas authorized. In addition, members vehicles must be parked only in designated parking stalls within their prescribed areas. Failure to do so could hinder access and delay response of emergency vehicles (ambulances, police, fire, etc.) to potentially critical situations. All vehicles parking on campus must be registered with the Department of Public Safety. Campus member's vehicles can be registered at the Department office free of charge at anytime. The department will also provide members with a campus map indicating all parking areas and the location of the blue light emergency phones, as well as a complete copy of our campus vehicle regulations. In addition, while traversing the campus roadways and parking areas, members are urged to exercise due care in the operation of their vehicles, paying particular attention to posted speed limits and other traffic control devices. Voluntary compliance to the above regulations will help to ensure a more orderly and safe environment for the entire campus community.


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Fulham goalkeeper Mark Schwarzer has hailed the arrival of Dimitar Berbatov.
Schwarzer believes the Bulgarian's arrival could prove to be a masterstroke by manager Martin Jol.
"Dimitar Berbatov is an excellent player," the Australian told the club's website. "Everyone knows what a great player he is and he's been excellent for us since the day he arrived.
"He's a top pro who is happy to help out the young boys and I think he's a massive plus for us and we've seen that in the games he's played.
"When you've got new players added to the squad, it's always important to have that core of a team that have the experience and know what it's like to play for Fulham Football Club.
"I think the players that have come into the club have done extremely well."


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Mr. Happy Glory HoleMr. Happy has drilled holes into the walls, sides and even the floors so that monster cocks can shove their way in and get a good fucking. These guys love to shove those happy cocks in those glory holes and have them stroked, sucked and even fucked by these gorgeous sluts.


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Straight from the heart
By Mark Johnston Photography by Johnny Quirin
Sharon Buursma knows what so many of us have pondered at some point: What goes through your mind when you die?
On Jan. 15, 2005, Buursma lay in a bed in Spectrum Health's heart center in full cardiac arrest. Her heart gave out for nearly 45 seconds, "flat lining" on an electrocardiograph, seemingly succumbing after a brutal nine-month stretch that began with a heart attack the previous April and included 10 hours of quadruple bypass surgery that left her unconscious for three days the following December.
In recovery from the surgery, her heart raced at a dangerously high 180 beats per minute. So five weeks after the operation, she returned to the heart center for voluntary defibrillation in an attempt to restore a regular and safer heart beat.
Instead, her heart stopped. And as her medical team worked to revive her, the ominous flat line on the monitor hummed uninterrupted by nary a blip for 10 … 20 … 30 seconds. Her eyelids remained closed. But she still had vision.
" I know at that point that I'm in my bed. I know I'm being resuscitated," she said. "I can feel the doctor take my hand, and I see his aura — my eyes are closed, but I can see him standing there in his white jacket."
" The doctor" is Richard McNamara, a specialist with West Michigan Heart and chief of cardiology at Fred and Lena Meijer Heart Center, whose impeccable credentials include board certification in internal medicine, critical care, cardiovascular disease and interventional cardiology.
" Sharon's blood pressure was down to about 50 or 60," McNamara said. "We were doing everything we could do, but it wasn't clear she was going to survive."
McNamara has another "credential" that doesn't appear on his résumé. As Buursma is quick to point out, he is a very handsome man.
" So I'm lying there," she recalls, "and I say to myself, 'Rick McNamara is holding my hand. Is this 'to die for' or what?'"
Then Buursma, releasing soulful laughter that makes you feel better just being around her, chides herself. "Sharon, I think you could have used a better choice of words."
That anecdote is saturated with meaning, for it not only reveals the heart of this woman, but also the humor, the spirit and the will that defines who she is and anchors the mission she now undertakes.
There are numerous entry points into Buursma's ledger of professional accomplishments, including her designation by Grand Rapids Business Journal as one of West Michigan's 50 Most Influential Women; a career in health care that took her from registered nurse to executive vice president of Spectrum Health; her tenure as president and CEO of Visiting Nurse Association; her service on many college-level advisory and community service boards. The list of distinctions goes on and on.
Yet, her greatest platform for achieving her modest but most precious goal to "leave the world a little better" than she found it is a comparatively low-profile volunteer position she has assumed for the past two years: corporate co-chairperson of the local "Go Red For Women" campaign, coordinated with the American Heart Association each February to heighten heart disease awareness.
Buursma is committed to helping women improve their heart health, using her own story and a message that is direct, informed and true: Heart disease is the No. 1 killer of women and men. And if you don't educate your mind and tend to your body, you are at greater risk of developing it.
' This could happen to you' Sitting together on one of many full bookshelves in Buursma's comfortable and orderly Grand Rapids home are the Holy Bible and "The Putting Bible," tomes of her faith and her passion for golf.
But Buursma herself is the open book here. As she curls into a corner of a sleek leather couch, her hands clasped around a mug of decaffeinated coffee when they aren't gently shooing away her two tabby cats, Babe and Bambino, Buursma, 62, explains why she can so openly discuss her heart history.
" People say I'm inspirational and that's fine, but why wouldn't I share this story?" she said. "It's really impossible for people to be unhappy if they are grateful. With everything that has happened to me, I feel so grateful. And if other women can learn from me …"
The lesson begins in 2003 when Buursma, who divorced 14 years earlier, was immersed in her impressive, fast-paced and consuming career. Supplementing her loaded work schedule with travel — she revels in her and her friends' match play on the famed St. Andrews golf course in Scotland that year — Buursma put little thought into how her hectic lifestyle was not a good match for her inherited health constitution.
She knew her family had a history of heart disease and non-insulin-dependent diabetes (she has subsequently been diagnosed as a Type II diabetic); she knew that at 165 pounds, she was about 40 pounds overweight; she knew she had been battling high blood pressure since her late 20s; and she knew her lifestyle (and a penchant for chocolate) did not lead to a healthy diet.
But it wasn't until April 2004 that the risks became reality. In the midst of a typically busy work day at a new job, Buursma felt discomfort in her chest near the bottom of her esophagus. She initially attributed it to simple indigestion.
" It felt like I had swallowed an entire can of pop that got stuck there, and I just couldn't burp," she said.
"On a 10-point pain scale, it probably registered at about a 0.5 — hardly anything." Later that evening, she experienced severe pain in the back of her neck that a heating pad and fitful attempts at sleep could not alleviate. By the next morning, the neck pain had subsided but the indigestion had returned. By that night the pain had intensified to the point where she finally conceded something was not right.
" My vital signs were stable, so I grabbed five pair of underwear and some makeup and drove myself to (Spectrum's) Butterworth campus," she said (adding her advice to others not to drive themselves in similar situations).
Shortly after admittance, an electrocardiogram revealed she was having a heart attack.
" I knew I was in the best place. I was in my environment and I wasn't panicked about it at all," she said. However, the exam revealed extensive heart disease that not only included several blocked arteries but what appeared to be a site of "old" damage, which crystallized a startling memory for Buursma. She recalled that 20 years earlier, at age 40, she had a similar "indigestion" episode that passed without much thought.
She had experienced a "silent" heart attack without even knowing it.
There was no severe, chest-clutching pain or similar symptoms typically associated with men who have heart attacks, only subtle signs that women often fail to recognize — signs that Buursma ironically had read about in a local newspaper article just a few weeks before her 2004 heart attack.
" Symptoms can be anywhere — in the front, in the back, in the neck," she said. "Women's symptoms of heart attack are much more subtle, and consequently, women are more likely to die outside of the hospital setting from unknown causes.
" Up until a short time ago, people didn't realize women have heart attacks as often as men. As a coronary care nurse many years ago, I almost never saw women in a coronary care unit."
The nine months following the April '04 attack were consumed by heart repair and setbacks. Doctors initially inserted nine stents, or tiny tubes, to open her blocked heart arteries. But by October, she again sensed something was amiss.
" I was on the treadmill, and I noticed just the slightest tightness in my chest," she said. "At this point, the message is all about getting to know your body. This was just something I hadn't felt before."
A subsequent exam revealed the stents had failed. "All nine!" she said with more marvel than dismay in her voice. "But there's always somebody out there who has 10," she added, comically snapping her fingers in mock frustration that she may not have set a stent failure record.
Open heart surgery was now required: a quadruple bypass procedure during which she spent 10 hours on a heart and lung machine. The day before the surgery, she composed an e-mail that she sent to friends and loved ones.
" I explained my health situation," she said. "And I said, 'I don't think my life's work is done. I don't want you to be afraid; I'm in good hands. But I want you to do one thing for me: Pray for me. And if you're a woman, I want you to know this could happen to you.'"
' I need to be grateful' Complications plagued her recovery, culminating in the near-death experience five weeks after the operation, as recalled by McNamara.
" I have been at West Michigan Heart for 18 years and in that time, her condition was among the worst of patients who have survived (similar circumstances)," he said. "I have seen but a handful that have been on death's door that have recovered to the extent she has. I use the word 'miracle' very sparingly in this business, but I think it applies in this case."
In more than one way, perhaps. During the three days Buursma lay unconscious in recovery from the quadruple bypass, she experienced a spiritual paradigm shift.
" I saw this magnetic field in the shape of angel wings around my bed, kind of like an electric field with bands in it," she recalled. "And three messages came to me. One, I need to be grateful for every single day, for the good things and the bad things. Two, I wondered how I was going to get a close friend of mine to stop smoking. And three, I knew I was nice and respectful, but I didn't pay enough attention to people."
That has changed.
" I'm now just this incredible people person," she said. "I'm a much warmer person, a much better listener. It just changed my life."
It changed her lifestyle, too. She diligently takes her heart medications, works at home in order to have stricter control over her diet — which no longer includes salt or sugar — and engages in at least six hours of aerobic exercise per week. She has lost 40 pounds, prompting her to stretch her arms wide, playfully shift her hips to one side and gleefully exclaim, "Now, I have the body I've always dreamed of!"
And those gadgets hooked onto the belt loops of her jeans? They aren't heart or blood pressure monitors. They're a pocket-sized Dell personal computer and a Blackberry communicator, indispensable tools during her busy working days as a management consultant with Varnum Consulting.
She has also established very clear, very ordered personal priorities: finding peace through God; maintaining a healthy life/work/diet balance; giving back to others; supporting, encouraging and loving her two stepchildren and four grandchildren; honing her golf game; and reaching others through "Go Red For Women."
" I know it sounds hokey, but I swear to God, I would re-live this year over again because of everything I've learned," she said.
And everything she has taught.
' Inspirational is the right word' Kathleen Vogelsang, investments director for Van Andel Institute, read about Buursma in a newspaper article published last year to highlight "Go Red For Women" efforts. She was moved, if not initially motivated, by Buursma's story.
" I thought, 'This is too bad for her, but I'm healthy, none of this applies to me,'" said Vogelsang, also a corporate co-chair with the "Go Red" campaign. "A week later, I started feeling fatigue, chest pain, some pain in my arm.
" There was something about that article that stuck in my mind. I went to the doctor and learned on Valentine's Day (2005) that my blood pressure was so high, it was in stroke territory.
" That was a real wakeup call to me. I'm only 45, an age where we're still young and healthy, and we think we have the rest of our lives. But we're silently doing damage to our hearts and not doing anything to check it.
" Sharon has dedicated the rest of her life to getting that word out. 'Inspirational' is the right word to describe her." McNamara agrees.
" Sharon is very interested in living," he said. "She is a believer. She has experienced something not a lot of people do and has insight not a lot of people have. Things don't become real until they become personal. Sharon becomes both without becoming maudlin. She is intrinsically very honest. And she is a teacher, a leader and a communicator."
For all of her good humor, her indomitable optimism and openness, Buursma approaches those roles carefully, never discounting the gravity of heart disease.
" I don't want to scare women to death — sometimes women just have indigestion," she said. "But if you have family heart history and this history is strong, go visit a cardiologist. Become more aware of your body. That's what this is all about. That's the message.
" I have the ability to save lives now more than I ever did as a staff nurse or a top executive. Most of the time you don't know the trail you're leaving. But in this case, I know I can leave a big mark. I'm so blessed to be able to do that." GR


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DailyFX.com -
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Talking Points:
- EUR/JPY Technical Strategy: Flat
- Support: 137.25, 136.15-30, 135.60
- Resistance:137.80, 138.69, 139.30-41
The Euro moved higher against the Japanese Yen as expected after prices produced a bullish Morning Star candlestick pattern. Near-term resistance is at 137.80, the 23.6% Fibonacci retracement, with a break above that on a daily closing basis exposing the 38.2% level at 138.69. Alternatively, a turn below the 14.6% Fib at 137.25clears the way for a challenge of the 136.15-30 area, intersection of a falling channel floor and the 61.8% Fib expansion.
The ECB looks to be the most dovish of the leading central banks, putting the Euro at a disadvantage against its major counterparts. With that in mind, we will opt not to pursue a long position and wait for the bounce to produce a selling opportunity.
Add these technical levels directly to your charts with our Support/Resistance Wizard app!
Daily Chart - Created Using FXCM Marketscope 2.0


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Island Moving Co. will present their annual summer concert, Flight of Steps, at Fort Adams State Park in Newport (July 13-15 and July 18-22), featuring pieces by choreographer Colin Connor, from California; choreographer/IMC artistic director Miki Ohlsen and by two IMC dancers, Michael Bolger and Danielle Genest. Bolger and Genest's dances are premieres; Ohlsen is reworking three pieces from repertory; guest artist Debra Noble will perform two solos choreographed by Connor; and Connor's piece, The Fragile Warmth of Collisions in Free Fall, which premiered in IMC's spring season in New York and Newport, will be expanded with more dancers for the Fort Adams performances. Ohlsen's three revitalized pieces are from 1999, 2001, and 2006. The most recent, There's a Party In my Mind, is set to four David Byrne songs, and it's fun for both dancers and the audience. "She Only Sleeps with Me" has female dancers, including guest artist Danielle Genest, leap into a male partner's arms, curled sideways as if asleep when they are caught. The double duet from 1999's Outside the Box will be re-staged, as four dancers move around each other in repetitive patterns, akin to the minimalism of Steve Reich's Music for18 Musicians, to which the dance is set. The partnering in this piece is, indeed, "outside the box": unusual, surprising, and inventive.
Ohlsen is also doing another take on Under a Sheltered Sky (2001), her homage to praying mantises. The dancers' hands are held flat with fingers curved backward, sometimes twining antenna-like over their heads. The women's feet also take on a quirky insect look when they are en pointe. The breathtaking pas de deux that was originated by Danielle Genest and Rolando Troconis will be danced by several pairs of dancers from the company, including Genest reprising her role. Toward the end of this duet, there is a complicated series of partnering moves that ends with the female dancer being triple-flipped and caught in front of the male dancer. Connor's piece is set to street sounds and music by Nuove Musiche, a Scaninavian baroque ensemble led by guitarist/composer Rolf Lislevand. In this dance, Connor conveys a sense of being swept away by currents of water, of reaching out in every direction and being pulled back, plus a lot of orbiting movement — all metaphoric images for relationships. Seen in May with five dancers, it was a mesmerizing and beautiful flow of canon-like sequences, in which two women or two men partnered the same movements as a man and woman together. Connor's partner Debra Noble will present Café Scarlatti and The News Falls Like Rain, the first a light-as-a-breeze solo with an emphasis on musicality attuned to Scarlatti. The second piece is set to the adagio movement of Ravel's Piano Concerto, and Noble is a woman who has just received a letter and acts unsure about opening it to find out what it says. Even though she is outwardly calm, Noble conveys the nervous suspense of such a situation. Danielle Genest is making a duet for Rick Vigo and Sara Barney, set to music by Isaac Albeniz. And Michael Bolger is doing an ambitious piece with 10 dancers who first appear with suitcases, an allusion to Recent Arrivals, an earlier dance by Connor. Bolger's piece is titled Suite Silver, in honor of IMC's 25th anniversary and his own 20 years with the company. "I'm doing a retrospective of all the works we've done," Bolger explained, in a post-rehearsal phone conversation. "It's my interpretation of what we've done in the last 20 years — the process that we go through, as individual dancers." The first leg and arm crossover refers to a George Balanchine photo, and Bolger's attachment to the image is because it shows Balanchine teaching, which is such an important component of IMC. "I also make a lot of references to [choreographer] Carol Somers," Bolger continued, "because her apples to oranges was such a huge highlight for me and opened up so many opportunities for me." The 20-minute dance draws on Beethoven, Mozart, Edith Piaf, Adam Ant, and operatic arias, plus text assembled from what dancers have said about their experience at IMC. "It's truly a celebration of IMC — the feats and defeats that they've gone through," Bolger reiterated. "It's my family, and I'm proud to be a part of it all."
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Hey gang.. Been awhile.. certainly got away from my blogging goals over the last couple weeks.
No real excuse other than to say other things have taken priority.
The Troop obviously, Staffing Wood Badge once again, and of course family life. Other Scouting opportunities have been popping up in the world of training also. I have recently taught Train the Trainer for our Council and Trainers EDGE over the last month or so.. so lots going on and I have not really had time to sit down and bang away at the computer.
In the mean time I got some new gear and I am super excited about my new Backpack. I ordered it direct from Osprey back in January, but due to the striking long shore men the pack just got here yesterday. Ah well.. it is what it is..
So I will be doing a thorough review and video on it in the near future, but today (after painting the living room and hall) my wife said I could play with my new toy.
I thought I would share my initial thoughts on the Pack with you and like I said, I will get into the weeds with it soon.
First of all I now have the Osprey Aether 60. I went with the Aether 60 pack as that volume seems to be the sweet spot for my backpacking gear, style, and they way I pack.
I have tried to go smaller, but find that I struggle with loading the pack and having my gear accessible while on the trail. Any bigger on the other hand, and I find that I want to fill it. Unneeded gear and extras that I can do without.
So I went with the 63 liter pack. The Osprey Aether series packs come in various sizes ranging from 55 liters to 85 liters. The 55 is just a hair to small for me. I have been using my Mountain Hardwear Koa 55 this past year and have really been unhappy with the way I have to fight it. The 85 liter packs are designed for expeditions and does not fit my needs. Again, when choosing your next pack, know your sweet spot.
The Osprey Aether 60 also comes in 3 different sizes Small which is 3478 cubic inches of space or 57 liters, Medium which is 3661 cubic inches or 60 liters, and Large which comes in at 3844 cubic inches or 63 liters or space. Again, I went with the Large or 63 as it meets my needs and fit my frame.
Which brings me to sizing. It is important to size your pack. I went to my local REI and met with a sales rep. He is trained in sizing for the custom fit of the Osprey packs. Using the Osprey measuring tool at the store we determined that I needed a medium pack to fit my torso.
The nice thing about the Osprey packs are that they are custom. You can mix and match pack components. The Shoulder straps, hip bet, and Frame are all interchangeable.
The hip belt can be custom molded to your hips. This is highly recommended, but if you do not have an authorized retailer with the hip belt oven near you, just wearing the hip belt as you hike will heat it enough to mold it to your hips.
So why did I pick this pack over others? After all I have carried a good Kelty External Frame pack, the Mountain Hardwear pack, a Granite Gear light pack, and the ULA Ohm over the last couple of years. Well, it came down to fitting my needs and my style of backpacking.
Since we have been back from Philmont (2012) I have been toying the idea of getting a new pack. I carried the Granite Gear pack at Philmont and it was not big enough to handle the gear we carried as a crew.. namely all the water. The ULA pack, while I loved how comfortable it is did not fit my needs for winter camping and I found myself worried about its durability.
An Assistant Scoutmaster in our Troop had been carrying the Osprey pack and after our big backpacking trip in the Olympics last summer I started looking at his pack and how it may fit my needs. After doing my homework.. I came to conclusion that the Osprey Aether 60 was for me.
Here are the specifics:
The pack weighs in at 4 lbs 11 ounces. A bit heavier that I would like in a pack, but I had to make a compromise somewhere. With my overall gear getting lighter I am ok with the base pack weight being a little heavier.
The Aether is made of 210D and 75D Stretch woven ripstop nylon and 500D plain weave nylon oxford. I got the Arroyo Red pack. It also comes in a Blue and Green.
Features of the pack that I drew me to it; A nice removable top pouch that can become a Lumbar pack for day trips. I like the separate sleeping bag compartment at the bottom and I love the Airscape Suspension (back panel). It breaths well and is super comfortable.
With this pack it is the little details that I really love. All of the zipper pulls are fantastic. They are a molded plastic covered pull, comfortable to pull and usable with gloves.
There are plenty of ways to compress the pack for a custom fit.
Finally the outside back panel is a huge stretch pocket. Great for storing all of those need to get to fast items.
The pack is a top loader, but it also has front panel access.
Ok.. so am starting to get a little to far into the weeds with this. I will be doing a good video review soon. In the mean time, here is a short video put out by Osprey. It will give you an introduction to my new pack.
My first impression is that I like it a lot. I love the ease of access, the design, and the over all detail in the features.
Stay tuned for a full review.
Have a Great Scouting Day!
One comment
Nice Pack. I have an older version of the Atmos 50, and I really like it. I think it is about the same size as yours. I can fill it up quickly, so I have to really examine what goes in to mine.
Does the Aether 60 have a removable hip belt? I think the bigger ones do, but I don't know about this one.


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Pump-Action Pimp
Pump Action Pimp | |
Luigi Goterelli informs Claude of the Diablos pimping on his turf. | |
Game | GTA III |
For | Luigi Goterelli |
Target | Diablo pimp |
Location | Red Light District, Portland, Liberty City |
Reward | $4,000 |
Unlocks |
The Fuzz Ball Pistol in the Portland Ammunation |
Unlocked by | Drive Misty For Me |
Pump-Action Pimp is a mission in Grand Theft Auto III given to protagonist Claude by Luigi Goterelli from his club in the Red Light District of Portland, Liberty City.
Claude drops by Luigi's Sex Club 7 looking for more work. Luigi informs him about some Diablos pimping around the club's backyard and that he wants them dead. Claude picks up a pistol around the back of Ammu-Nation and attacks the Diablo Stallion with the Diablo and the pimp. Claude kills them both.
Luigi Goterelli: Some Diablo scumbag has been pimping his skuzzy bitches in my backyard. Go and take care of things for me. If you need a piece go around the back of Ammu-Nation opposite the subway.
The reward for completion of the mission is $4,000. The mission The Fuzz Ball for Luigi Goterelli is unlocked and the pistol becomes available for purchase at Portland Ammu-Nation (if not already unlocked by Farewell 'Chunky' Lee Chong).
- Completion of this mission is not required in order to finish the story. However, completing the mission Last Requests will permanently disable this mission, preventing the player from achieving 100% completion.
Claude inside Ammu-Nation.
Claude in the Ammu-Nation shooting range.
Claude about to attack the Diablo Stallion in Hepburn Heights.
Claude shooting at one of the targets.
Video walkthrough
PC Version - GTASeriesVideos | iPad 2 Version - GTASeriesVideos | ||


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Comedian Katt Williams was arrested on suspicion of assaulting a man outside a hotel in downtown Oakland on Wednesday night, police said today.
Williams, who is scheduled to perform at Oakland's Oracle Arena on Friday night, was arrested after a man told police that he had suffered a head wound during a confrontation with Williams outside the Courtyard Marriott Hotel in the 900 block of Broadway at about 8 p.m. Wednesday.
The man was transported to a hospital, where he was treated for his injury, which was not life-threatening. He was later released.
Investigators interviewed Williams and witnesses to the incident, and then released Williams from custody pending further investigation, police said.
Published at 5:35 PM PST on Nov 15, 2012


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Be sure to check out the pet businesses near you!
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Indicated in male patients with excessive domination, aggressiveness and sexual hyperexcitability.
Pet podcast #53 is our first video podcast with dog trainer and animal behaviourist Sherry Bedard. Effective immediately, Sherry will be helping us put together short videos that offer quick tips to pet owners. This first video (about 5 minutes …


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Do you like Kim better as a blonde or a brunette?
Has Robin Thicke gone too far with his new music video?
Will Ben and Jen make it?
Do You Think This Fight Is Real Or For Ratings?
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Gingrich looks to increase funds by renting donor list for $26,000
Republican presidential candidate Newt Gingrich, in an attempt to remedy his campaign debt of nearly $4.5 million, has turned to renting his donor list.
"We're doing what we can to pay off the debt and we feel confident that we will be able, in the course of the campaign, to get much of that debt paid off," said campaign chairman Bob Walker.
…A Gingrich-Perry ticket? That's what Fox News reports, but Perry's office says it's 'premature'
Gingrich spokesman R.C. Hammond said Monday there have been no talks as described by Fox News between Gingrich and Perry camps, adding that "we're not at that point of the campaign." …
Analysis: Rick Perry's entry reshuffles the GOP presidential deck
Rick Perry's entry into the 2012 presidential contest will shake up the GOP field and add a burst of excitement to a race dismissed by many insiders as lackluster. But there is no guarantee the heralded entrant will live up to his advance notice as the savior of the Republican Party.
"Everything that is being said about Rick Perry right now was said about (former Tennessee Sen.) Fred Thompson four years ago," says Fergus Cullen, a New Hampshire Republican activist who has not endorsed any candidate. "It can be very hard to live up to the hype, and Governor Perry has gotten a lot of hype."


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Contact this office:812-877-8442
< Back to Academics < Back to all News
July 12, 2012
Seeking Global Experiences: Phillip Cornwell (right), vice president for academic affairs, gets an update on an international educational project for Rose-Hulman Institute of Technology faculty members (from left) Mike Kukral, Charles Joenathan, Richard Onyancha and Ashley Bernal.
A multi-disciplinary faculty team will travel to Kenya from July 16-30 to create collaborations and seek global design projects with two universities. They will also visit high schools to open dialogue for ideas to develop alternate light sources as part of a proposed EDU-Light Africa project. The trip is the first part of Rose-Hulman's new Faculty without Borders program.
"Lighting is a critical issue in developing countries," stated Charles Joenathan, Ph.D., head of Rose-Hulman's Department of Physics and Optical Engineering. "We would like to see if there are ways our students can develop alternative inexpensive light sources to help people throughout the world."
The EDU-Light Africa initiative would be part of Rose-Hulman's involvement in the National Science Foundation's Smart Lighting Project. Rose-Hulman is among a select number of U.S. colleges participating in the project.
Joining Joenathan on the fact-finding trip will be mechanical engineering professors Ashley Bernal, Ph.D., and Richard Onyancha, Ph.D., and geography professor Michael Kukral, Ph.D., a former Fulbright Scholar who teaches courses in African culture. They will visit Moi University and Egerton University to seek collaborative global design project experiences for Rose-Hulman mechanical engineering students.
"We're keeping our eyes open to new projects and ideas, especially in areas about sustainability," stated Onyancha, a native of Kenya.


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As published in the American Journal of Surgery (February 2010, Volume 199, Number 2) Re-published at OnSurg by permission of our collaborative partners at the Association of Women Surgeons.
Author: Danielle Walsh MD
Pediatric surgeons provide care to neonates and children with a unique range of congenital, oncologic, infectious, and traumatic disorders. This unique surgical subspecialty continues to recruit outstanding trainees, despite the additional training required. This career resource guides the interested medical student and physician through the pathway to a practice in pediatric surgery. It includes a discussion of training requirements, research opportunities, board certification and continuing education.
Nearly 75 years ago, pediatric surgery began an evolution into its own specialty due to increasing awareness that "children are not just little adults." From congenital defects to variable physiology, neonates and children have distinctive constellations of problems and complex surgical needs rarely seen in adults. The surgical treatment of the child requires a love of children, patience with their families, understanding of their unique physiology, and delicate surgical technique. Pediatric surgery is sometimes described as the "last bastion of the true general surgeon" as the pediatric surgeon typically performs the gastrointestinal, thoracic, vascular, transplant, and trauma care of the patient; there is much less the division into the organ specific sub-specialization seen in management of adult surgical patients.
There are an estimated 800 practicing pediatric surgeons in the US, though they compose less than 2% of all surgeons.(1) Women, minorities, and international graduates are an important component of the pediatric surgical workforce. According to the AMA, 19.1% of full-time active pediatric surgery faculty are women, while 30.7% of pediatric surgery residents are women. Just under 5% are international medical graduates.(2) A wide-range of practice settings are available to the surgeon including provision of care in a full-service adult hospital with a pediatric unit, a freestanding children's hospital, or even an urban community hospital. Because of the volume of births and children needed to sustain an exclusively pediatric practice, these subspecialists are unlikely to be found in a rural setting. While many pursue academic careers with research and significant educational commitments, others explore small group or private practice with strictly clinical responsibilities. Though the vast majority are in full time practice, a small number practice part time or serve as locum tenens.
Medical Students
Medical students with an interest in pursuing pediatric surgery should strongly consider an elective in the subspecialty during the fourth year of medical school. Students at medical schools not offering rotations in the specialty will find that most pediatric surgeons at other institutions are happy to have them rotate if the appropriate administrative arrangements are made. While not mandatory, the elective may allow the trainee to determine of the field is a "good fit" for their personality, and it may impact his/her choice for a general surgery training program. Attending a general surgery program with a pediatric surgery fellowship is not mandatory, though some residencies provide more or less exposure to the subspecialty and residency choice may impact the availability of mentors for career development. A series of excellent interviews from 15 different pediatric surgeons is available on the Website of the American Medical Student Association and provides some insight on the training, challenges, and rewards of a pediatric surgery career.(3)
Residency Requirements
Completion of a full residency in general surgery remains a requirement for entering a residency in pediatric surgery. Interviews for pediatric surgery residency generally occur from January through April in the year prior to the anticipated start of training. As such, most applicants have made their decision to pursue sub-specialty training no later than the start of the 4th year of general surgery training. There are now 44 ACGME approved training programs distributed between the US and Canada, though some of the programs only accept one fellow every two years.(4) The traditional format of online application through the Association of American Medical College's Electronic Residency Application Service followed by a period of interviews and a subsequent match day is used. Occasionally, programs may elect not to enter the match and select a promising candidate directly.
Unlike many other surgical subspecialties, the number of applicants for pediatric surgery residency continues to exceed the number of available training positions. Competitive applicants will have letters of recommendation describing excellent clinical judgment, strong technical skills, a high degree of professionalism, good work ethics, and effective personal skills. Most, though not all, will have spent a period of time in research endeavors and demonstrated success in writing, presenting, and publishing.
Candidates who do not match in pediatric surgery, but are committed to a career in pediatric surgery, may elect to spend an additional period of time in either research further clinical training. For these trainees as well as interested general surgery residents, a number of programs have developed for concentrated clinical training in specific areas of pediatric surgery. Current offerings include ECMO, Endosurgery, Critical Care, Fetal Surgery, and Vascular Malformations. While some have been evaluated and approved by the ACGME, none of these positions count towards the two year requirement for pediatric surgery residency training. Acceptance of these positions provides clear exposure to working pediatric surgeons and an opportunity to see firsthand the challenges and rewards of pediatric surgery. A full listing of the available positions is posted on the APSA Website by the Association of Pediatric Surgery Training Program Directors.(5)
Residency in pediatric surgery consists of two years with focus on "congenital, neoplastic, infectious, and other acquired conditions" of the abdomen and thorax. Exposure to the operative and non-operative management of pediatric multi-system trauma remains an integral component of training. Residents are expected to develop minimally invasive and endoscopic skills for evaluation and treatment of both the respiratory and gastrointestinal tracts. Components of training will also focus on care of the critically-ill infants and children with understanding of ventilator management, nutrition, cardiopulmonary resuscitation, and extracorporeal membrane oxygenation (ECMO).
To better achieve these requirements, a standardized core curriculum has been developed, including a series of basic science lectures for pediatric surgical trainees. To supplement the experience at the individual training program, several resident training sessions with focus on advanced laparoscopic techniques, colorectal procedures, and other uniquely pediatric disorders are held nationally. Individual programs may also include training in pediatric transplantation, obesity surgery, urology, and even limited cardiovascular procedures. In January of each of the two years of residency, an in-training examination is administered through the American Board of Surgery (ABS) to monitor the progress of the trainee's knowledge acquisition.(6)
Like general surgery residency, pediatric surgical training complies with the ACGME 80 hour work week and the requisite days free of training responsibilities. Because pediatric surgery residents are already fully trained as general surgeons, most programs allow a greater degree of independence in management of patients and decision making. Most fellows will find the training of general surgery residents and medical students to be an important component of their responsibilities. At the completion of the program, residents are expected to have performed at least 800 major pediatric surgical cases and overseen the non-operative trauma management of 90 children, though most well exceed these minimums. A plethora of job opportunities in a wide variety of practice settings remain available to those who complete their training and a sampling can be seen on the APSA Website.(5)
Board Certification
In addition to completion of training and board certification in general surgery, pediatric surgeons may also earn a Certificate of Special Qualification in Pediatric Surgery. Since 1973, the ABS has granted the additional certification to those who complete a two year, ACGME approved pediatric surgery residency and successfully pass both the qualifying (written) and certifying (oral) examinations in the specialty.(7,8) Just under 1,000 pediatric surgeons have achieved board certification in the specialty as of January 2008.(6)
Following certification or recertification, pediatric surgeons are now enrolled in the new ABS Maintenance of Certification programs. Surgeons must document programs of continuing medical education above and beyond state licensing requirements. All must take a self assessment examination every 3 years in addition to participating in an outcomes database or program to assess quality of care. Finally, a secure written examination in pediatric surgery must be passed every 10 years. Pediatric surgeons are not required to maintain General Surgery certification, though it is highly encouraged.
Research Fellowships and Grant Funding
Pediatric surgeons have long promoted themselves as true surgical scientists with a higher emphasis on basic science and translational research than found in other surgical subspecialties. As such, a number of research positions studying a broad range of diseases are available to trainees with an interest in pediatric surgery. Many of these positions include funding for those who also accept clinical call responsibilities while others have opportunities, though not requirements, for moonlighting. A large number of these available positions are listed on the APSA Website. Some general surgery residencies will fund the salaries of their resident during the research years. Additional funding opportunities are available through surgical organizations, to include the American College of Surgeons, the American Academy of Pediatrics, and the Association of Women Surgeons.
Though the two year clinical residency in pediatric surgery rarely provides opportunity for basic science investigation, it is common for clinical papers and case presentations to come to fruition. A number of the more research oriented training programs will also offer financial support for a year or more prior to or subsequent to the actual clinical residency for the developing pediatric surgeon to establish a foothold in basic science research at the beginning of his or her career. For the very talented budding surgical scientist, some residency programs have even supported the pursuit of a PhD degree at the completion of clinical training.
APSA has also developed an Outcomes & Clinical Trial Center within the American College of Surgeons to assist in the organization of outcomes research, promotion of active projects, and collection of data. A number of prospective, randomized, multi-centered trials in progress through the center can be reviewed on the APSA Website.(6)
Lifelong Learning
Even after completion of all training and entry into the workforce, pediatric surgeons remain dedicated to the pursuit of optimal care of the child. Organizations such as APSA, the Surgical Section of the AAP, and the American College of Surgeons support continuing medical education through annual conferences, forums, and journal. In addition, some pediatric surgeons develop a particular area of practice within the field, to include trauma, transplantation, ECMO, and minimally invasive techniques and additional memberships in related organizations supplement ongoing education.
Author: Danielle Walsh MD
Clinical Associate Professor
Division of Pediatric Surgery
Brody School of Medicine
East Carolina University
Greenville, NC 27834
Link to descriptions in other gen surg subspeciaties: