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Editorial Inside this issue: Can Barack Obama bring universal health coverage to America?
The School Food Revolution-
Dying early from health inequalities
Rethink urged on NHS outsourcing
The SHA and the New NHS in England
What's On
10 Obituary
Christine Dore 06/06/1931—9/12/2008 Christine was an active member of our Central Council for more than 20 years and Chair of Somerset Coast PCT until 2006. She was also curator of the Dunster Dolls Museum and an active member of West Somerset Labour Party and many other organisations in Somerset. Christine was quiet and gentle but very determined and effective. One of her great projects was the rebuilding of the Minehead Community Hospital which will include new health, leisure and education facilities on a single campus. Building starts next month
This has been a difficult issue to put together. In the Summer I thought we could report on the policies and events of the Labour Party Conference, but the conference took place at the low point of the Party's fortunes, with loads of speculation about a leadership challenge. It was hard to get excited about putting together policies which seemed destined to go nowhere, even though some of our proposals were accepted. The impact of the banking crash just struck as the conference started — making it clear that a giant rethink of priorities would have to happen and that the world in which the four year policy making process had happened had utterly changed. Since then we have been watching the end of international capitalism as we have known it, and wondering what these events meant for health. It still isn't clear what happens next, except that the great crisis has wiped out the Conservative political advantage, reinstated Gordon Brown as a Great Statesman and encouraged talk of an early General Election. And it seems fairly clear that the huge increases in NHS expenditure will not be continuing. Whether the crisis will finally kill off PFI and other complex financial transactions in health remains to be seen. There are some signs that some of the big corporate players are less keen on moving into the NHS, but this may not last. Health is a good business to be in during a recession. At the same time the differences between the NHS in different parts of the UK are widening. England will soon be the only part of the UK where people have to pay prescription charges. Scotland look likely to bring in direct election to NHS Boards. Wales is bringing in integrated Health Boards which will run hospitals, Community services and Primary Care. PCTs in England are separating out their provider functions and the process of creating Foundation Trusts is coming to an end—exposing a couple of dozen non viable hospitals to some sort of failure regime which may reveal the limits of the market model.
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Can Barack Obama bring universal health coverage to America? Tom Smith Since being elected the President of the United States, most international debate has focused on Barack Obama's foreign policy challenges. But since his election healthcare has emerged as his number one domestic priority. At the beginning of December the President-elect asked the American public to meet with each other in their neighbourhoods to come up with ideas about how to improve the healthcare system. It seems that Obama is preparing America for major reform. How many health secretaries have written books on health reform? The importance attached to health by Obama is signalled by his appointment of Tom Daschle as Health and Human Services Secretary. Rare amongst health secretaries, Daschle has actually written a book on health reform, published in March 2008. The Wall Street Journal explained the book argues that any reform must be comprehensive, stating that we can no longer afford incrementalism or inaction. According to the Washington Post, the appointment confirms that the incoming Obama administration has made health care reform a top and early priority for action in 2009." It has been universally popular amongst the health policy experts and advocates of universal healthcare. The American Prospect's Ezra Klein called Daschle's appointment "huge news, and the clearest evidence yet that Obama means to pursue comprehensive health reform." It also suggests that Obama sees health reform as fundamentally a political problem. It's the politics, stupid The last attempt at health reform in the States fell on political grounds and the BBC's Adam Brookes says the decision to appoint Mr Daschle shows that Mr Obama feels he needs a Senate heavyweight to help him persuade Congress to back major reforms. Mr Daschle was the Democrats' Senate Majority Leader from 2001 until 2003. His experience contrasts with that of Hilary Clinton who when she was charged with reforming healthcare had no legislative
experience. Obama seems keen to avoid making the same mistake. According to one US newspaper, 'you don't tap the former Senate Majority Leader to run your health care bureaucracy. That's not his skill set. You tap him to get your health care plan through Congress. You tap him because he understands the parliamentary tricks and has a deep knowledge of the ideologies and incentives of the relevant players. You tap him because you understand that health care reform runs through the Senate. And he accepts because he has been assured that you mean to attempt health care reform.' The Economist says that health reform is a hugely political issue in the US, but implores Obama not to shy away from the challenge. This time there are some factors in favour of health reform, it argues. 'There is momentum for reform in Congress' and even big business is behind the idea of universal coverage because of soaring costs. Financial challenges The bumpiness of the political road ahead is illustrated by the arguments in the Senate over the Democrats' stimulus plan. As in England, the Democrats plan to put money into the economy so as to counter the shrinking tendencies within the corporate sector. Individual states face particular pressures. The Economist this week says they face a $70bn budget gap this year. To cover this, 'half have already started cancelling infrastructure projects, cutting healthcare benefits or laying off workers'. At the beginning of December, Barack Obama indicated that he wanted to provide funds directly to states to ensure no reduction in services. This move will be opposed by Republicans. A plethora of plans for reform and little consensus between them Even though there is support for healthcare reform there is little agreement on exactly how it should be taken forward. Arguments about reform have already played an important role in
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the Presidential election. When battling for the Democratic nomination, Clinton and Obama repeatedly clashed over a seeming detail of reform. Both candidates promised to move towards universal coverage, but a key argument was about how quickly. Clinton wanted to see a mandate placed on all Americans, requiring them to arrange insurance, with a variety of schemes made available. She argued that ensuring universality was key to solving the financial pressures. Obama supported the direction of travel, but not the mandate, arguing this would increase costs. Once he had secured the Democratic nomination, Obama duelled with John McCain over how best to provide coverage to the very ill, the people that regular insurance companies would not cover. McCain said they should be covered in specific schemes, Obama argued they should join public schemes so as to share the risk. Obama has appointed Tom Daschle as health secretary so is presumably in sympathy with his views. What does his book say about the uninsured? The Wall Street Journal explains. 'Mr. Daschle wants to open to all Americans the Federal Employee Health Benefits Plan - a menu of private-insurance options now accessible only to government workers. He would offer, in addition to the current plans, a government-run program, presumably similar to Medicare, although he provides few details. There would also be some form of means-tested premium support (or tax benefits) for Americans who couldn't afford one of the available plans.' It's time to get real In their Presidential debates, John McCain accused his rival of having a reform plan that would cost a fortune. Barack Obama managed to deflect the charge, but McCain had a point. Achieving universal coverage will mean some people paying more, and it will also require more constrained choices. These downsides of reform have not yet been communicated. The Economist says, Obama 'convinced voters he would somehow expand healthcare without
resorting to radical plans'. 'It's time to get real'. In order to reform the US health system, Obama will need to win the argument for reform with the electorate and convince them that they may have to make trade-off's between free choice and a comprehensive system of care, universally available. Is anyone prepared to make tough choices? As the Washington Post pointed at the beginning of December, 'few politicians talk about tradeoffs. The fee for service payment is driving up costs and the system is hospital centric. The appointment of Tom Daschle suggests that the Obama administration may provoke debate on what is effective in healthcare and what the government can fund. His book suggests the creation of a "Federal Health Board. Its duties would include "recommending coverage of those drugs and procedures backed by solid evidence. It would exert influence by ranking services and therapies by their health and cost impacts." Daschle admits that the board is based on the National Institute for Clinical Excellence in Britain and the Federal Joint Committee in Germany. As the Wall Street Journal explained to Americans not familiar with these bodies, 'both are charged with managing the public's access to higher-cost drugs, medical devices and procedures, but both are growing increasingly unpopular in their home countries -precisely because they've become a triumph of costcontainment over patient access and choice. All eyes on America An article in Time magazine this week examined the expectations and hope attached to Barack Obama's election outside of the US. Shocked by the expectations, it made the point that Obama had been elected US President; not SecretaryGeneral of the UN. And they are right to remind us that it will be American voters who determine whether Barack Obama's first term has been successful or not. Obama will be judged on domestic issues, the most important of which is healthcare.
The School Food Revolution- Public food and the challenge of Sustainable Development Kevin Morgan and Roberta Sonnino. Easthscan www.earthscan.co.uk..... £38.00 hardback
Rising obesity and celebrity focus has placed the school dinner at the heart of the agenda to improve health. A few years ago, when the authors conceived this research, academics generally viewed the subject as risible. This book will wipe the smile off any academic sceptics face, as the school meal is shown to be the key instrument to improve children's health throughout the world. The school meal is revealed as a "prism" through which to view compelling questions: does the state have influence over standards for health, can public procurement be a creative force for sustainable development and, can the "obesogenic" environment be reversed for the next generation? The answers to these questions highlight the potential of the state, through its levers in the public sector, to be the driving force to promote the health of its citizens. Of the eight chapters the restless policy "wonk" might be tempted only to read the first two and the end, where the key arguments are set out. The constant struggle from theory to practice is explored with a well-referenced discussion of the key debates around sustainable development. Missing out the case studies however, would be a mistake. Through their meticulously detailed and clearly written narrative, the authors illustrate a rarely glimpsed 'line of sight' from the policy–top to the on-the –plate bottom of school meals delivery. They identify that food and how it is transported and its waste disposed, lie at the heart of debates on public health and the environment, but also social inclusion. While they are clearly passionate advocates, they never drop their critical faculties as they examine the alluring slogans, such as " re-localising the food chain", where they wisely assert that "delivering sustainable development is not simply a matter of choosing between global and local". Much hope is placed on the rise of a "green state" where democratic governments set the context, "discipline " the main actors, in particular those in the commercial food chain, through skilful use of their "powers to steer". But, the 'Green
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state' must also engender cultural change to transform their citizens into "sustainable consumers". There is a good chapter that explores the crucial issue of public procurement , the battleground where free market rights clash with attempts to put wholesome local produce on the school menu. The Italian case study demonstrates that the 'public plate' can be reclaimed from the "Byzantine" market restrictions by skilled and creative public procurers backed by political will. The case studies show a wide range of practice and possibilities, and are full of tips to practitioners and activists about how to make change happen. The Rome authorities placed quality at the centre of their "revolution" and criteria. In New York schools, the nutritious meal was disguised as fast food, and provoked another example of the endless squabbles between pragmatists and purists. The UK case studies include London where it traces the food strategy from its aspiring strategic vision in a 'Sustainable World City' through to the struggles of cash-strapped boroughs to embed the gains in a Sustainable School Food Service. There is a charitable aside on the value of celebrity contributions in Greenwich. There are 3 case studies from rural Wales , Scotland and England which demonstrate that with commitment and tenacity the wholesome food in the surrounding fields can be brought to the school dinner table. Inspiring though the UK studies are, they indicate the high hill to climb before their success becomes the norm in the UK. The unsung heroes are the school meals staff who achieve miracles within a per head budget that equates with a couple of chocolate bars. Throughout the book the practical lessons are wrapped with thoughtful summaries of the political and policy history where the sad tales of neglect and false parsimony are laid bare. Significant historical landmarks are, as with long lasting public health changes, embedded in law. The removal of the legal requirement for the school meal in the early 1980s initiates the sorry
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road to the neo-liberal market and its 'turkey twizzler' leitmotif. Thanks to the Gates Foundation, the case studies are completed with a chapter on the developing world where basic daily requirements remain the challenge for many. The role of the World Food Programme is considered with a masterful discussion of the exit strategies needed to ensure aid leads to development not dependency. There, it is hunger that is the concern, which they argue is the missing Millenium Development Goal. The final chapter draws together the theoretical implications of the empirical findings. They consider that school meals are part of a "moral economy", arguing that the quality of school meals is a measure of the public ethic of care. Thus the public realm, through its state structures must take the necessary action on a 'whole school approach' and a supply chain based on quality. If it is serious the state must "go green" and demonstrate the values necessary for sustainable development if it
wishes them to be owned and followed by its citizens. 'Green states' however, are part of the wider world and they warn against uncritical localisation, a "spatial fetish", categorising global as always bad. Comprehensive community food planning backed by the state is the tool to achieve the school food revolution. This is an important work which should be read by every discipline and practitioner whose boundary it crosses. Its conclusion is that the state not only can, but is duty- bound to put a nutritious and sustainable school meal on its children's plates. They challenge the state and its agents to worry less about being a"nanny state" and more about being held to account as Pontius Pilate. As with school meals, such a concern was until recently risible within government circles. However, this publication coincides with the reconsideration of like-minded Keynsian ideas. This book sets out an alternative to markets to those in government who want to improve the health of their citizens. Eddie Coyle
Dying early from health inequalities – something we must be able to fix. Melanie Johnson For many years people have known what the principle causes of health inequalities are – broadly poverty and its associated deprivations. So why is it that we can't yet fix it? Health inequalities in terms of the difference in life expectancy between the most healthy and the least healthy in our society have remained the same or worsened despite improving health across the population, which has benefited all. Nearly a decade less life for some is a result that we mustn't tolerate and yet making progress at reducing it is proving very hard, even if some recent evidence suggests that social mobility might be improving. Some would say that it's mainly a matter of improving incomes – and the Government has taken steps to lift children out of poverty with some success. Given that no political party returning MPs to Westminster advocates equality of income, differences will always exist and probably on some scale. Must this then mean that the health gap will remain?
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plan was too many to concentrate the mind across so many organisations both within and beyond government and provide a strong focus for action. The very diverse causes of health inequalities flowing from poverty and deprivation and the fact that these span many government departments and agencies is a major issue. Government has got better at tackling issues cross-departmentally. We could help more by making sure that campaign organisations whose concerns relate significantly to health inequalities work together to agree a top 5 areas where progress would be of major benefit and lobby together to make the changes which would support progress on them, not only at policy and national level but also at more local levels where that is feasible. Many organisations combining energies in such a Health Equalities Alliance with a mutual core agenda would re-energise and maximise their efforts and focus the Government more strongly.
Inequalities in health start before birth and build up over a lifetime, initially caused by poverty and deprivation and later contributed to as adults by the choices we make. So tackling health inequalities will always be a mixture of tackling the underlying causes, supporting healthier lifestyle choices and ensuring good quality services are available for all. The Government has sensibly focussed on children and their families where the opportunities to get things right from the start are the best with programmes like Sure Start, more and better childcare and nursery provision, and the tax credits – and this strategy of starting young has to be part of the answer. And Alan Johnson has kept health inequalities at the top of his priorities. But progress is still slow.
A second improvement would be to have a model for judging how well local delivery is going. We have this in Health with the National Service Frameworks. Another analogy might be with the Framework for the Inspection of Schools – provided by Government and Ofsted as the basis by which school standards are judged. Whatever its flaws, having such a framework from the early 1990's was a big step forward as it provided a model which those of us elected to local authorities had tried to remedy the lack of on a localised basis with varying degrees of success. What that model tells us is the key characteristics of good schools and it made it much easier to explain and judge whether a school was doing well by its pupils – by parents as well as by various authorities.
Firstly we need an agreed menu for change. This must be simple with just a few top priorities that key stakeholders sign up to act on. The Choosing Health White Paper provides something of this for the areas of public health where choices affect health outcomes. But there is nothing really comparable for the health inequalities where choice is not the primary issue. Although good work was been done by the Acheson Inquiry, having 82 action points in the resulting Treasury
There is a lack of a similar model for work on those inequalities in health which are not the result of individual choices. Many of the responsibilities for these policy areas lie outside the Department of Health. It would help everyone to have a model, the Health Equalities Framework, with the agreed status of the Ofsted Framework for schools. And just as that Framework has different manifestations for Primary, Secondary and Special schools, so this
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Rethink urged on NHS outsourcing
should for key areas like housing, etc. When I became Minister for Public Health in 2003 and took on health inequalities I was immediately struck by the quantity of the analysis of the causes (and the availability of the statistics) of health inequalities and the contrasting paucity of information about what works in tackling the problem and making change happen. I asked the Department of Health for detail on 'cures' and found there was extraordinarily little to go on. The disease was well-documented but not the cure. So my third improvement would be to increase the effectiveness of what we do, something too often neglected by campaigners and policy makers alike – I suspect because it means getting stuck into what works and why and finding ways of spreading good practice where results are being delivered at home and abroad. This is not high policy, it requires evidence and means working closely with people designing and delivering services. Many are prone to feeling that this is desirable, it should be done and is being done by someone else – somewhere. There is certainly much good practice in the public services and in areas tackling the causes of health inequalities. But we frequently don't identify the best – the most effective in terms of outcomes – and when we do we are very bad at making sure it is taken up more widely. Three years or so ago I saw some excellent work in Sheffield being done to identify those at risk of heart/circulatory disease which was leading to a much improved health outcomes for all but was leading to those regarded as most disadvantaged catching up with those more advantaged in health and income. In other words this was successfully tackling some in-life health inequalities through improved care and medication. Anyone would say this should by now – assuming the outcomes have been sustained – be underway in many areas, particularly where there are deep health inequalities. Too much good practice is spread too little and it is something we must remedy. I am convinced that we can be more effective than we are still at present and help more people to have longer healthier lives.
The government needs to rethink its approach to NHS reforms, says UNISON, in the wake of a damning new report on the cost of commissioning and outsourcing. It should concentrate on giving NHS patients the care they need – and value for money – rather than using reforms to outsource services and 'throw precious money away to the private sector' says the union, following publication of the report, Driven by Dogma, by the Office for Public Management. The report says outsourcing in the NHS has failed to deliver value for money, patient involvement or improved working conditions. The government's pre-budget report in November made much of the potential efficiency savings to be made by the NHS from shared services operations with the private sector. But first hand evidence in the new report, looking at the experience of those commissioning and delivering services, reveals that in fact promised cost benefits have simply failed to materialise, and quality has suffered. "At a time when finances are increasingly tight, the NHS cannot afford to be throwing precious money away to the private sector and wasting time and resources on the complexity of the commissioning process," commented UNISON general secretary Dave Prentis. "Patients want more involvement in decision-making and staff want to spend more time on providing excellent patient care than tendering for contracts. Unfortunately this report shows that the various reforms to outsource or privatise parts of the NHS are working against these goals." The report draws on the experiences of NHS senior managers and commissioners to highlight the sheer complexity of the commissioning process, and the mountains of bureaucracy and paperwork attached to it. "My experience has been that the problems associated with monitoring contracts far outweigh
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The research provided compelling evidence of the following:
the benefits of the outsourcing," said one of those interviewed. "We will go on spending more and more money on this – contract negotiation skills, transaction costs, etc" added another. UNISON points out that there are alternatives: Scotland has recently announced that it will no longer permit any contract cleaning and Wales has done away with the purchaser-provider split in favour of a more integrated system. The report makes clear that markets should not be the only option and that those working in the devolved administrations did not feel they were disadvantaged by the minimal use of outsourcing in their systems. This research was a qualitative investigation of some of the emerging and persistent challenges that exist when the private sector is involved in the tendering for, and delivery of, public services in the health sector. The research was conducted by the Office for Public Management (OPM), an independent public interest company, on behalf of UNISON, the largest public sector union in the United Kingdom. The research involved two main stages: • a scoping stage where evidence was collated from past research to identify key lines of enquiry regarding known challenges to outsourcing in the health service; and • a primary research stage which involved a large number of interviews and other methods being used to ascertain the views of a crosssection of health service professionals from board level to floor level including directors, commissioners, managers of provider services and cleaners.
• Those responsible for implementing outsourcing policy see it as being primarily driven by political will rather than evidence-based practice. The increase in tendering and use of the private sector is strongly driven by the compulsory nature of trust policies or outsourcing being the only option offered to trusts wishing to make service changes; • Little hard evidence is available to suggest that outsourcing impacts positively on value for money or quality of care. Conversely there are several examples of outsourcing having a directly negative effect on the value for money and quality of care in services; • Where improvements were identified through outsourcing it was often felt that these could have been delivered through investment in expanded public provision or adaptation of current services. Marketisation is not a clear route to improving healthcare, for example health management professionals in Wales do not feel they are disadvantaged by the minimal use of outsourcing in their system; • Outsourcing is seen by those working in the NHS as being the cause of a downward pressure on terms and conditions, fragmentation of services and a divisive effect on the ethos of the public sector and the NHS; • Outsourcing is seen by scrutineers such as patient and public involvement representatives and overview and scrutiny committee members as a challenge to the lines of accountability due to the increasing complexity of outsourcing arrangements and diversity of approaches.
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THE SHA AND THE NEW NHS Dr Brian Fisher Having initially made such dramatic improvements in so many aspects of the NHS, the government is now engaged in a huge and rather dangerous experiment. They are deliberately playing with chaos theory to destabilise the NHS. First, Labour set in place clear organisational boundaries through systems such as NICE and the Healthcare Commission. Care was improved significantly with central direction through targets and a system-wide process of learning across the NHS. Although people moaned about the targets and gaming by different parts of the system reduced efficacy, the targets have proved the most effective mechanism for change: waiting times have dropped in primary and secondary care, heart disease and cancer care has improved, smoking has reduced, links with local authorities and PCTs have begun to bear fruit. The current phase is quite different: the government now has the following aims: • To reduce dependence on the centre • To reduce the responsibility of the DH, so that a bedpan dropped in Tredegar will never get heard in Whitehall again • To ensure that the NHS knows what it is paying for • To change the position and relationships of the two big monopolies in the NHS – primary and secondary care • To introduce a self-sustaining improvement process into the NHS in England so that incentives drive up care with less and less central direction These aims are not wrong – and they may well be right. However, the approach taken is without evidence and may well be dangerous. The DH feels that destabilising vested interests in England is best done by the systematic introduction of competition from within the system and by introducing the private sector from without. If this brings forth howls of distress from the vested interests such as GPs, then the DH will feel that this is a job well done. In the opinion of the government, central direction has failed to improve the system adequately because of the inertia of existing monopolies – fragmentation is essential to progress. The dangers of this approach are many: • Competition has huge transaction costs • Private providers will leave the system if it becomes unprofitable • Private providers are likely to find profitability
only by • Selecting clients carefully • Offering cut-price medicine • Private providers cost more as they have to pay shareholders • Fragmentation carries clinical risks • It may not work • It is destroying morale across the NHS • The greed and fear which drive markets are poor drivers for health care • A system that, on the one hand incentivises hospitals to suck patients in and, on the other, encourages practices to keep patients out is wasteful and militates against integrated care It needs to be said that the government retains central control as a means for improvement, as evidenced by its demands on GPs on extended hours, its approach to inequalities and its excellent early approach to prevention and wellness. Nonetheless, the general direction of travel, in the opinion of the SHA, is dangerous and wrong. The SHA is committed to being a critical friend of the government. We applaud the successes and will work with the DH, ministers and the Labour Party to improve these aspects of policy. It is also increasingly apparent that Wales and Scotland are travelling a different path, refusing the incorporation of the independent sector in the same way. This may enable us to see which direction is better for patients. The SHA will, over the next few months develop clear policies in three key areas: those of INEQUALITES, INTEGRATION and INVOLVEMENT. The first draft of our inequalities policy has already been published (ref) Integration will look at how we can take the most progressive aspects of current policy and use them to improve coordination and cooperation across the NHS. Involvement will suggest next steps in improving accountability across the service, including exploring aspects of democracy. We hope to use the debate around the Constitution to highlight this area.
Future Events Accountability and the Scottish Health Service Glasgow 13th February With Bill Butler MSP Dr Brian Fisher Dave Watson (Unison) & Scottish Health Council (tbc) Architects for Health debate on polyclinics At The Reform Club London Thursday 5th February. Accountability and the Health Service Liverpool 23rd January Debbie Abrahams director of the International Health Impact Assessment Consortium at the University of Liverpool. Ged Taylor, Formerly Chief Executive Cheshire West PCT & Steven Twigg, former General Secretary of the Fabian Society, and MP for Enfield Southgate Patients Crossing Borders Seminar on the proposed European directive on the application of patients' rights in crossborder healthcare London 19th January Linda McAvan MEP Labour spokesman on European Parliament's Environment, Public Health & Food Safety Committee Baroness Howarth Chair of the Lords EU sub-committee & Jenny-Lee Spencer NHS European Office Costs for the events above vary but are reduced for SHA members (and delegates from affiliated organisations, such as Unite and Unison). Further details will be on our website www.sochealth.co.uk or available from the office.
Articles, Letters, Announcements and Comments should be sent to the editor Gavin Ross, 21 Connaught Road, Harpenden, Herts AL5 4TW. The deadline for contributions to the Spring 2009 edition is 1st March Tel/Fax 01582-715399 or by e-mail to email@example.com
Socialist Health Association 22 Blair Road Manchester M16 8NS Tel 0870 013 0065 (office closed 1st-7th January) firstname.lastname@example.com
Dying early from health inequalities Can Barack Obama bring universal health coverage to America? There are some signs that some of the big...
Published on May 19, 2012
Dying early from health inequalities Can Barack Obama bring universal health coverage to America? There are some signs that some of the big...


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I'm afraid that I got infected of the most dreaded disease of the century: laziness.
Don't get me wrong. I'm still striving to remain professional by all means and at all cost. Yes, I do my duties as a student and as an employee, and there's no doubt that I don't compromise quality in any of my outputs.
However, before I produce something noteworthy, I had invested much of my time slouching and literally resting on the couch. I found myself lying anywhere in the past few weeks. Although I had a very demanding list of deadlines, I can't help but to be swallowed of something I've never anticipated I could become.
If I were not lazy, I would read more books, finish more tasks, and engage in physical activities. Unfortunately, I go with the flow of the weather. I don't know if I am alone with this struggle, and I'm not sure if I can still finish this blog. My laziness…


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L P International is a 73-year old US Manufacturer of Metal Components and a Direct Importer from China, Taiwan and Europe since 1960. LPI is a primary domestic fabricator of straight and bent tubing, sheet metal, and spun metal components, including electric transformers. Among the industries served are medical, display, computer, automotive, outdoor and portable lamp and fixture. Isolation Transformers in Washington.
Mag-Tran Equipment has been a leader in the design and manufacture of electric transformers, power transformers, inductors, reactors, special coils, compensators, magnetic devices and rectifiers for over 40 years. Industries served include medical, railroad, electrosealing and the military. Isolation Transformers in Washington.
We offer some of the best isolation transformers in the industry! For over 30 years we have been providing quick turnaround times at competitive rates in order to keep our customers coming back to us again and again. Our experienced staff will work closely with you from prototype to production in order to come up with a product that will be a perfect fit for you! To learn more visit us online today! Isolation Transformers in Washington.
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Isolation Transformers in Washington.
As the recognized leader in the supply of NTC inrush current limiting devices, RTI Electronics also produces a broad line of PTC Thermistor products, Film Capacitors and a full line of Magnetics, including Current Transformers & Sensors, Inductors & Power Transformers. The company has earned a reputation for meeting the most exacting specifications as well as demanding global delivery schedules. Isolation Transformers in Washington.
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Tamura Corporation of America is a worldwide manufacturer of toroidal transformers, custom transformers, power transformers, electric transformers and isolation transformers. We provide innovative, quality products at competitive prices for a variety of industries and applications. Isolation Transformers in Washington.
TEMCo has been a manufacturer and distributor of electric transformers since 1968. We are a member of the Better Business Bureau and can provide you with high-voltage transformers, isolation transformers, low voltage transformer and many more. Custom voltage combinations are available! Isolation Transformers in Washington.
West Coast Magnetics is a leading supplier of standard and custom transformers and magnetics to OEM manufacturers of electrical and electronic equipment. Standard options include current transformers, power inductors, base drive transformers and more. Additionally, our engineering department has extensive experience in the design and build of custom power transformers suited to your application. Isolation Transformers in Washington.
Since 1989, the Zinex Corporation has been the industry leader in developing environmentally friendly plating solutions and processes suitable for production baths in both "job" and "captive" shops. Additionally, these processes are user friendly and easily controlled. We strive to provide you with high quality materials and the best possible service. Give us a call today to learn more!
Are you looking for a company that will not only provide quality isolation transformers, but personalized service as well? Look no further than Electronetics! Services include product design and prototyping. Our products are 100% tested and manufactured in the USA, and our production quantities range from 10-500,000. With our ISO 9001:2008 certification and over 30 years of experience serving multiple industries, you can rest assured that your needs will be met when you work with our team. Isolation Transformers in Washington.
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While I was watching the Flyers' pre-game show, it was noted that Rod Brind'Amour was asked to give the captain's "C" to another player: Staal. It was also stated that it is believed that a trade to Chicago might be a possibility for Roddy.
I assert that you should bring him back to wear the orange and black. Why? You have a lot of young players, some of whom need a bit of discipline and work-ethic. Don't get me wrong, they have made a lot of strides since the coaching change, but they need an experienced forward that will model the attributes necessary for a successful hockey team. He was and still is a class-act, has always exhibited a strong desire to succeed and give all he has, still has steam left in the engine, and he deserves this opportunity.
RT…a fan since she was a wee little lass and especially since her first game, at the age of 12: Flyers vs. Nordiques, and yes, Bobby Clarke was still a year or two away from retiring.


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Tolstoy was quoted by Bob Roberts in Transformation: Everyone thinks of changing humanity, no one thinks of changing himself. Change is a common subject when I Think Out Loud. Every time something changes in me, I turn a page. But I am often overwhelmed by the list on the next page. Almost like football season. I celebrate the victories (for some of my teams they are precious and few) and realize there are other hills coming.
Final comments on Pagan's Nightmare . . . the subculture of the "redeemed" needs changing. BTW, there should be a subculture. Our lives, values, passions, and interests should be in processed of being transformed if we are Christ followers. No matter how cool, hip, and relevant we become, if we are real we will be different. But . . . are we being conformed to the image of Christ, or are we having our bodies and minds immersed in the shallow end of Christian subculture?
The bad part of Christian subculture is reading off of scripts that other people hand me, without experiencing a corresponding change of heart. Wearing a t-shirt (remember, Christian T's are not necessarily evil), speaking the language, or impressing my Christian peers does not mean I am being changed. Only a change of heart will catch the attention of those far away from God.
The unanswered question is left up to the reader in PN. Who were those people in the t-shirts like 'Enforcer of the Movement' and 'Religious Howdy' written on them? Who were those people who had 'Repent of Bingo' bumper stickers on their cars? My compelling question is, did those people even know who they were? Ah yes, right back to self-awareness. Uncomfortable, so very uncomfortable. My obsession to change the world, my neighbors included, must begin with letting God continually change me.
Good times yesterday in Tennessee. Great conversations, mind in neutral. No word from Blackston. I will keep trying.


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That TV I've been eyeing, down under a grand on newegg now…
Ramp's UI changes looking pretty smart, which I think has surprized even him. There are going to be a couple of pretty minor changes that I think are going to be whoppers.
I'm kinda hoping we do manage a release next week; that'll clear me of a bunch of dependencies and loose the rest of the team on stuff they haven't been working on because of stuff they were waiting on me for (or at least it seems that way to me). It also means I can finish the TOE stuff without having to make it backward compatible.
Incase you're wondering where the blogs about TOEs are, well you've had those the last year, this is the nitsy gritsy and it's … tedious.


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As a farmer, I felt obligated to stop. It's really quite remarkable. Apparently, Lewis and Clark wrote in their journal that South Dakota was the great American desert, and that nothing would grow there. The farmers of South Dakota decided to prove them wrong. See here.
Wednesday, July 19, 2006
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The Anitahouse B&b offers fast internet connection. There is a bar inside the hotel. The Anitahouse B&b offers disabled facilities. The Anitahouse B&b offers wellness features.
Anitahouse B&b
Via Orazio 12 - 00193 - Rome,
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Area: Prati - Vaticano
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Just a 10-minute walk from St Peter?s Basilica and 200 metres from Castel Sant?Angelo, Anitahouse has a central location in Rome. It offers colourful and air-conditioned rooms with free Wi-Fi.Every morning, a traditional breakfast with Italian coffee and fresh juices and croissants is served directly in your room. Guests also have discounts in many restaurants in the surroundings.Each room at Anitahouse features a TV and wood furniture, along with artistic pictures hanging on the walls.Anitahouse is 700 metres from Lepanto Metro Station, providing quick links with all other areas in Rome. Termini Station is a 5-minute metro ride away.
Hotel facilities
- Non smoking rooms
- Internet Point
- Bar
- Disabled Facilities
- Beauty Center
Rooms facilities
- Television
The Anitahouse B&b offers the use of a TV in the rooms.
Hotels nearby
Via Orazio, 31
Zone: Prati - Vaticano
Distance from the hotel: 130 m
price from US$ 89
Via Boezio, 15
Zone: Prati - Vaticano
Distance from the hotel: 148 m
price from US$ 115
Via Cassiodoro 19
Zone: Prati - Vaticano
Distance from the hotel: 149 m
price from US$ 72
Via Virgilio 1, E/F/G
Zone: Prati - Vaticano
Distance from the hotel: 159 m
price from US$ 149


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C Malignancies, Memorial Sloan Kettering Cancer Center, New York, New York
But, TAPI-2 cost outside of trials, handful of articles have tackled the offprotocol use ofdrugsfor unapproved uses, while authors have recognized that this can be a key challenge in clinical medicine [1] and such use is typical. By way of example, vemurafenib, a smaller molecule inhibitor of BRAF, and ipilimumab, an antibody against an immunologic checkpoint, are individually active in BRAF V600E mutant metastatic melanoma, however the combination demonstrated adverse hepatic toxicity in 66 ?5 of patients when combined within a phase I study, requiring the trial to become halted [3].C Malignancies, Memorial Sloan Kettering Cancer Center, New York, New York, USA; bDivision of Hematology Oncology, Knight Cancer Institute, cDepartment of Public Well being and Preventive Medicine, and dCenter for Well being Care Ethics, Oregon Health Science University, Portland, Oregon, USADisclosures of prospective conflicts of interest may well be identified in the finish of this short article.aDebates surrounding the appropriateness of expanded access applications and right-to-try laws center around the question of below what situations should really cancer sufferers be fpsyg.2015.00334 capable to get drugs or combinations that have not totally completed the stages of drug development (not completed testing in phase I, II, or III).The commonality here is the fact that the agent in query has not been approved for any use inside the U.S. A path for the drug as a result requires specific logistics. On the other hand, the basic query raised by expanded access is a broader one. Offered that many cancer drugs are approved for one indication but, as soon as authorized, can be applied alone journal.pone.0174724 or in mixture for a lot of others, the core query of expanded access is: Below what circumstances ought to providers and individuals be able to try drugs or combinations for indications for which we nevertheless lack formal clinical trials? In the outset, let us stipulate that we think about this question only because it pertains to off-protocol use of those drugs (i.e., use outdoors of clinical trials) and for patients who've exhausted all proventherapies.Whenclinicaltrialsareanoption,weencourage theirenrollment, and the ethics ofsuch trials has been extensively discussed. But, outside of trials, couple of articles have tackled the offprotocol use ofdrugsfor unapproved makes use of, though authors have recognized that this is a key challenge in clinical medicine [1] and such use is common. It must also be remembered that off-label use often pertains to cancer drugs with annual charges in excess of one hundred,000[2];as a result monetary implications ofthis usearelarge.As an instance, certainly one of us not too long ago faced the question of whether, for any patient with relapsed refractory several myeloma, it was permissible to treat with daratumumab, a monoclonal antibody authorized as single agent, in mixture with pomalidomide--a combination that has demonstrated relative security in phase I trials but lacks phase II or phase III efficacy outcomes (i.e., no proof that the combination is improved than either agent alone). Thesekinds ofquestions arefrequentlyencountered in clinical oncology, even though trustworthy statistics are absent. For patients with relatively superior efficiency status who are enthusiastic about pursuing additional treatment but that have exhausted recommended selections, lots of oncologists attempt single drugs or combinations that are not yet vetted. We think that a pragmatic framework can aid in such decisions. When we admit there is no canonical answer forwhat is ideal, we think consideration of 3 things may perhaps frame this topic.These variables are security, efficacy, and expense, and are depicted in Figure 1.SAFETYIt should be remembered that novel drugs and their combinations may perhaps have unexpected safety signals. By way of example, vemurafenib, a small molecule inhibitor of BRAF, and ipilimumab, an antibody against an immunologic checkpoint, are individually active in BRAF V600E mutant metastatic melanoma, however the mixture demonstrated adverse hepatic toxicity in 66 ?five of individuals when combined in a phase I study, requiring the trial to be halted [3]. Notably, this toxicity could not happen to be predicted,.
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UCSC Retirees Association Board of Directors
The Board of Directors consists of elected officers, chairpersons of committees appointed by the president, a representative and an alternate to the Council of University of California Retirees Associations (CUCRA), liaisons to campus units, managers, members-at-large and honorary board members. Any regular member whose dues are paid shall be eligible for nomination and election, and/or appointment to the board. A nominating committee prepares a slate of potential board members and officers and presents the list to the Board of Directors in April for election in June.
YOUR Association Needs YOU!
Have you considered volunteering for the Retirees Association? Fresh ideas and diverse perspectives are welcomed to assure that the Association's programs and activities are relevant, meaningful, and successful. The full board meets about 6 times a year. The time commitment for the various committees and tasks varies. If you have interest in serving on the Board of Directors, please contact any current board member or officer.
President -Ilse Lopes
Vice President - Richard Vasquez
Secretary - Maurene Catto
Treasurer - Martha Keeler
Membership Chair/Electronic Communications - Lynne Wolcott
Program/Events - Chris Attias
Newsletter - Corinne Houston
Scholarship - Maxine Lane 831-426-8353
Retiree & Emeriti Center Steering Committee Chair- Dave Dodson
CUCRA Representative - Richard Vasquez
Website Manager - Karalee Richter
Telephone Communications - Nancy Pascal
Benefits and Health Care Facilitator Liaison - Pamela Hunt-Carter
Fund Raising Chair - Mary Wells
Mentoring Program - Dave Dodson
Nominating Committee - Ilse Lopes
Members At Large - Barbara Deleanis, Dave Kirk, Lee Duffus, Jean Fargo, Patt Takeuchi, Diane Behling, Bill Parro, Frank Trueba


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"Mac, when I die, don't think that I died.
Mama is a bad person, that's why I'm in prison.
I want you to be proud of mama, okay Mac?
I want you to say 'my mama died owning up to the sins of others'.
I want you to think that I died with a pure heart.
With no fault, mama will go to heaven.
Do you understand, Mac? (Mac, 12, nods)
Darren, do you understand? (Darren, 6, shakes his head)
Listen to me…
If mama don't come home,
It means I am already with the Lord.
Do you understand? (Darren, 6, nods)"
Fa's Note: Mary never knew there were drugs inside the bag given to her by her neighbour, Kristina. Few hours before Mary's execution, Kristina surrendered herself to the police and admitted the offence. Minutes before the execution, the world is informed of her deterred sentence. God bless Mary Jane and her kids.


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Is upper and middle management running like a chicken because they are in effect chicken heads or just distracted?
Q. Do all the distractions mean that people don't have time to think deeply about what they're doing?
A. There is certainly some indication that in middle to upper management, that can be a problem. If you don't properly organize your thinking and your time, you can end up concentrating on the urgent rather than the important. You can get tied up being a traffic cop in terms of answering e-mails, when in fact those things can be answered later. Management, particularly the more senior management, needs time to think.
Do end users and customers have an issue paying attention also?
A very interesting insight…customers have an attention deficit as well. In other words, attention cuts both ways. Not only does the vendor desire the customer's attention, but it's critical that the customer can get the vendor's attention as well. (Case in point? Think about the last time you tried to "pound out" of an interactive voicemail system and wanted the attention of a real person…)
Michael Ramm from Black Belt Productivity sure his GTD reload…
As I have noted recently, during my re-read of Getting Things Done, I have taken a long, hard look at my system and decided that I need to start over and totally rework how I get things done. This will be a record of my process in revamping my GTD system.
GTD Wannabe slobbers over Copernic Desktop Search
It is fast – I don't time the indexing, but after the initial indexing of your hard drive, you won't even notice it. It indexes only when your machine isn't busy, and you can adjust those settings as well, e.g., mine will index if my machine is not busy for 2 minutes. In addition, you can have it set so that it indexes on the fly, i.e., as soon as a document changes. I've got this option set, and haven't noticed any performance problems. (Well, actually, when I first got the beta for version 2, this setting caused a bit of a problem when I came back to my machine after a while, but it was a beta after all. I contacted Copernic and within a week, they had sent me a patch which had fixed the problem – excellent customer support in my mind.) It's also fast while searching – amazingly so. I use the copernic toolbar and often before I finish typing, the search results are coming up. (As an aside, the toolbar is good for quick and dirty searches, but I prefer opening the main program so that I can see the location of my files, and the preview.)
Chris Brogan is hardcore just peep this post about using Google Calendar to log conversations.
Are you a big fat guy? Chris Pirillo shares some blubber loss tips…
AT LAST!!!! Eight ways to stop procrastinating
Carleton University's Procrastination Research Group boils down how to stop putting off all the things you have to do to 8 pretty simple steps.
To much free time? Moleskine duct tape pen holder
Tags: moleskine, GTD, lifehacks
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What's up everyone? Welcome to another installment of my blog. It's the midway point of the week and we have new music released by a couple artists that you should be familiar with. As you'll see, I didn't write much as I believe the music will speak for itself.
Always staying busy and grinding away, E. Joox has had a great 2014 so far. Earlier in the week, he released the video for his single, "Soul Food." Off of his recent EP, "Black in America," it's 4 minutes of storytelling that hits you inside. Definitely worth a listen.
Another video to check out is by D.O.C. Although released near the end of last month, "Fire Flies" is off the upcoming project, #thecountdown.
And this was released yesterday. Featuring D.O.C. and D3V, the name of the song is U.A.K. (U Already Know) by Ace Supreme.


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While "Tik Tok" may be a catchy song (to the point of extreme annoyance), Ke$ha is slowly being revealed to be a bigger and bigger fraud with each day that passes. At first I thought she was merely a bad Lady Gaga clone, but as time has passed, it's increasingly clear that she has no creativity and is desperate for any attention she can get. If you don't believe me, check out her performance on this weekend's SNL (which she ripped off from an Australian singer), and her depressingly desperate-for-attention appearance on The Simple Life. The SNL performance proves she can't sing, the Simple Life appearance proves she can't act, and the $ proves she can't spell.
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Hotel Playa Fiesta
The 3-star Playa Fiesta Beach Club Hotel enjoys its location close to the beach. The hotel represents Spanish architecture in Puerto Vallarta.
The property is set 20 minutes' walk of the city center.
Galeria Flores is 1050 meters from the hotel and Galeria Vallarta is about 1050 meters away.
Situated 650 meters from the venue Cheeky Monkey and Bubba Gump serve a variety of food.
Guests can reach Playa Fiesta Beach Club Hotel from Licenciado Gustavo Dнaz Ordaz International airport within 15 minutes' drive.
Playa Fiesta Beach Club Hotel offers 24-hour front desk and laundry.


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The Giz Wiz Show 1621 for May 5th 2017, Our 104rd Independent Production.
Yes, We're Celebrating Two Years Of Independent Production With This Episode!
Thanks to our wonderful Patreon supporters The Giz Wiz Show not only continues, but is celebrating the end of its 2nd year of independent production! If you'd like to support OMGchad & DickDe in our independent venture (we pay for everything ourselves, including travel) just click the Patreon link at the top of our show web page: http://www.gizwiz.tv/ You can also contribute just once via the PayPal link that's there too. And thank you for doing that! Our show wouldn't exist without our viewer's support.
On this week's show we look at fun toys found at the Time To Play Magazine Spring Showcase.
Unlike Toy Fair where the gadgets and toys on display are usually not available until the holidays, the Spring showcase features merchandise that's available now, or coming very soon. Antsy Pants for example, is available now, but only at Target. Antsy Pants is designed to encourage imaginative play through easy-to-build structures to help take playtime back in a digitally-dominated world. To build one of the two largest Antsy Pants projects shown in my video, select the Large Build & Play Kit plus one or more fabric covers to create an Ice Cream Truck or Pirate Ship. Additional accessories include an Attachable Tunnel, Connectors Expansion Pack, Poles Expansion Pack, an Obstacle Course, 4-in-1 Play Liner, Play Balls, and Storage Unit. Each item is sold separately.
Giz Wiz Video: https://youtu.be/I7qVbTuzmXs
Target Link: http://www.target.com/bp/antsy+pants
See or hear this show: www.gizwiz.tv/episode/1621


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The Practitioner
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BMW Throttle Body Coolant Hose - Rein 13541703865
323i, 323is, 325i, 325is, 328i, 328is, 528i, M3, Z3
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Make sure it fits:
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- FCP Euro ID: 98783
- Made in Turkey
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OE NumbersCHE0176R, 13541703865
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Finding the time to look for quality information as a researcher isn't always easy, which is why we've highlighted a number of key resources for you. From subscription databases and journal collections to Open Access repositories; setting-up alerts and RSS feeds to deliver information from key journals straight to your in-box; or finding places where you can share your research, reach global audiences, and increase your research impact factor – our Information for Researchers page will help you save time navigating a world of information.
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Boasting a sauna, Chalupa pod Grapou is located in Svrčinovec. Housed in a building dating from 1938, the lodge is in an area where guests can engage in activities such as cycling and hiking.
The lodge features a satellite flat-screen TV.
The lodge offers a barbecue.
Wisła is 20 km from Chalupa pod Grapou....
|Pod Grapou 390


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I loved Christmas/Birthday/LongWeekendPalooza. I loved it. Four full days of my handsome husband home, all my chickens together, and no work, daycare, school, errands... It was heavenly.
I felt like I really got to spend good quality time with each of my kids. I did everything I really wanted to do-and didn't take a lot of pictures, which is all right with me. We just hung out. I wanted a few days in a row of just hanging out...saying yes whenever there was a request to paint, or hot glue something, or dress a baby, or attempt a french braid. It felt glorious and relaxing, and time slowed down for once. It's all relative, you know. Five kids at Christmas probably isn't anyone's idea of relaxing, but compared to the usual routine, it felt like a staycation.
The boys shopped for the girls, and us girls shopped for our favorite boys. It was full, and fun, and didn't feel rushed or crazy. We forgot the popcorn balls until the last minute, and hopped into HyVee 15 minutes before they closed, which is kind of tradition.
I will need to take a bottle of Resolve out to the van at some point this week, to de-stick the seatbelts, which is also kind of tradition.
I threw together the bomb Christmas Eve dinner, if I do say so myself. I'm the Queen of pre-making meals, doing it fast, getting it done, and moving on with our night. I love that, because it makes our evenings smooth and last longer when I'm not in the kitchen for half the time. I loved planning and making dinner Saturday night. It probably helped that I was half-way through my second day off, so I wasn't exhausted! I'm going to make an effort to do it more often-even if only on the weekends.
We were both bummed we didn't just buck up and take the kids to 11pm candlelight Christmas Eve service. It just isn't the same at 4pm, no matter how you try and slice it. However, I was fearful of the behaviors we might inflict on others the next day, if we kept the kids up past Midnight. Knowing Jane Pierce was singing O Holy Night almost put me over the edge, and I'm still kicking myself a bit for missing out.
Turns out, we needed the kids to be in bed early, because we had a lot of work to do for Santa. Turns out, we are old and get tired earlier than we used to. Turns out, toy assembly with post-10pm brain is a lot of work. We're already laughing about putting the ping pong table's legs on incorrectly. Twice. Really! It wasn't funny at the time, when I was falling asleep behind the instructions, and Mitch was scrounging around for the right drill bits. Ho Ho Ho!
The little boys were up first, after 7am (which is a little early, but totally acceptable for Christmas morning!), and I could hear them talking in their beds about presents. Then, I heard them singing Happy Birthday, Jesus. Are you kidding me? Adorable. They love Santa and presents, but they know what we're doing when we celebrate Christmas.
Rugger made everyone a gift weeks ago (literally, maybe even over a month ago) and hid them in the garage "behind all the bikes and other garage junk". Sneaky! I actually knew he was working on something way back then, but had no idea he'd actually kept everything together and hidden stuff. He wrapped paintings, drawings and candy, and handed them out. Such a sweetheart.
It's not all about the presents, but for goodness' sake...it's amazing to see our kids love each other like that.
The Slinkies were a random Wal-Mart purchase for the boys' stockings, and they were such a hit. That's all Maeson told anyone who asked him what he got. A Slinky.
At one point the night before, we considered just showing the kids the box. Clearly, glad we stuck it out and finished the job. Santa would have been so disappointed in his little elves.
I loved the nice, nearly balmy weather we enjoyed, but it just didn't feel right. You know? I'm not a fan of freezing cold, or icy roads. But, it just felt weird to be playing soccer in Grandma's back yard after lunch. Are you with me?
The boys are way too big with their real bikes. I can't stand it.
Reise and I both got Heelys, so we can keep up with the big kids. We might head to the mall to practice. Ya know, just to see if we can get kicked out. Or, make fools out of ourselves as we fall in public. Either way!
This was the first time in a very long time every member of Mitch's family was together at one time.
I got a wild hair on Thursday of last week to cash in our unused Coco Key passes from last April. We gathered up some BOGO coupons, and paid $10.70 to get in on Monday. It was such. a. blast. It was a surprise for the kids, I avoided the Christmas mess in the house for one more day, and all five children were sawing logs by 7:20pm. That, my friends, gets an A+. The one and only snafoo of the day? Rowen somehow managed to leave the house with size 18-month swim trunks on. For real. He's a big 3yr old. Not like one of those little guys who could maybe still squeeze into a 2T. No. He had a rash on both thighs which he never complained about once until we got home. Then, he was in a full fledged panic, because even his PJ pants touching the raw skin was too much. I applied some diaper cream, which offended him to the highest degree you could possibly imagine. However, it was totally cleared up by this morning. Whew! Please know I am laughing hysterically right now, just typing that out. That kid is incredible.
Ryleigh has been saving her money for a Nutcracker. She saw this guy at CVS at the very beginning of the season (we're talking September, here). She was gifted some money for Christmas, and had her first post-holiday shopping experience last night. "I saved so much money, and there's barely a scratch on it!" She is so practical, I imagine she'll never buy anything until it goes on sale, ever again. Love her!
Huge, contented sigh from this mom. So many things I love concentrated into one awesome weekend. Happy Birthday, Jesus. We're so glad that you were born!


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KANDAHAR, AFGHANISTAN — U.S. warplanes helped Afghan forces pound Taliban militants in the mountains of southern Afghanistan on Tuesday, killing 20 suspected insurgents at a recently discovered camp, according to a senior Afghan commander.
The 3-hour battle occurred in Kandahar province, about 120 miles southwest of Kabul, said provincial military commander Khan Mohammed.
He said about 150 Afghan troops attacked the camp, sparking a three-hour gunbattle in which three of his soldiers were injured.


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Stuffed Animal Sleepover, Ages 2 to 8
River Forest | Website
This event occurred in the past.
Map | Find Parking
This is for ages 2-8 to arrive at 6 p.m. for a bedtime story with your stuffed pal. Leave your stuffed animal for some overnight fun at the library. Come back for a light breakfast at 9 a.m. on Saturday to see what the stuffed animals were up to during their slumber party. Advanced registration is required.


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By Russ Phillips During the 10/28/15 GOP Debate Carson said, "Well, first of all, I was wrong about taking the oil subsidy. I have studied that issue in great detail. And what I have concluded is that the best policy … Continue reading
Category Archives: Energy
The Families Funding the 2016 Presidential Election The New York Times (This link includes several graphics.) By Nicholas Confessore, Sarah Cohen and Karen Yourish 10/10/15 They are overwhelmingly white, rich, older and male, in a nation that is being remade by … Continue reading


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Federer says he is still agile as before and likes to move on
In the coming August he will be 35. Still, Roger Federer wants to go strong. He does not feel he has come to the end of the road of his glorious career which slightly slipped off in last couple of years. Still, Federer, while talking about himself prior to the Wimbledon, starting on Monday, said, "You probably did not imagine that I would be able to stop Andy Murray in the Wimbledon last summer. Or you could not think I would be able to stop the man in form Novak Djokovic in the final of ATP Barclay Masters."
Federer admitted that he had truly thought that his career had come at stake when doctor asked him for knee surgery after Federer crashed out of the Australian Open last year. He remembered, "I was little bit of scared initially. It was the first time in my career I had to undergo a surgery. More importantly, I lost motivation, brooding over whether I would be able to back on the court with the same speed."
The 34-year old artist does not have any plans of retirement now. Federer says, "Actually I put zero thought about on the retirement issue. I feel it should come naturally" Federer added saying, "I do not feel my movement and the accuracy level in the service and shots have faltered a lot. I still can unleash the variety in my shots as I used to do before. So, immediately I have no plans on retirement."
He was asked whether he would associate himself with tennis even after retirement. Federer smilingly replied, "I do not know. But it is true that tennis has given me everything. So, I should pay the game back something. Who knows? I can also start a coaching school for the kids in Switzerland."
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Vici Collection is one of my new favorite online boutiques to shop! They have great quality clothes and super good deals. You can almost always find a 20% off code and they also have flash sales! Check out my favs from their Spring Cleaning Sale!
First, my fav is this blush sweater. It's super comfy and unique. I recently also paired it with a peplum top underneath so it added a cute ruffle bottom.
Best part? It's only $20 right now!! And it comes in black and teal too!
Check out a few of my other favs from their Spring Cleaning Sale:
1 | Home For The Holidays Wrap Sweater
2 | Revolution Faux Fur Jacket
3 | All Mine Striped Dolman Sweater
4 | Cozy Up Cotton Twist-Back Sweater
Here's the SWEET deal…..Everything in their Spring Cleaning section is $20!! Even better news? You can use code Spring20 for an extra 20% off! $16 y'all! Ridiculous savings! Have fun!


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I never saw myself as separate or different as a child growing up in Denver, Colorado. Perhaps it was because my classmates in Headstart were a diverse bunch. Perhaps it was because the powwows my family attended had both Native and non-Native people coming together. Perhaps it was because Denver was a mixed race city. I'm not sure.
My family had moved to Denver under the U.S. Government's relocation program that targeted the Hopi and Navajo people in Arizona, and many other tribes across the nation. The idea was to move the younger generation off the reservations and into cities where they could "assimilate" into mainstream society. The more sinister goal may have been to wipe out the reservation system and kill the Native cultures. The program gave the families money to move, $19 in my parents' case, and set up host families in each city to help those relocated find a place to live and get jobs for the men. My father was hired at a bakery. We lived in Denver for nine years; my younger sister and I were born there. Then my family moved back home to Arizona and closer to our reservation so we could participate in our Native culture and religion.
In Arizona I was around more white people than ever before and that's when I started to see some differences. I have one clear memory of something that happened when I was about seven or eight. My friend, a white girl, brought her cousin over to play. Her cousin was a redhead and quite fair. She had freckles and she hated them! I didn't think they were so bad until she said in disdain, "Well, at least I have a lot of freckles. You're just one big freckle!" I remember looking at my arm and wondering, "Is that what it is? That brown color? A big freckle?" I decided I didn't like her and I didn't like being called a freckle. Image matters and I reassured myself that I was "okay" even when boys pulled on my thick black braids and teased me about having "horse hair." Yet, in my teens I was amused to see my peers frantically trying to get a tan while I just turned a nicer shade of mocha as they sunburned.
All my life I've been mistaken for being Latina or Asian. I see blank stares when I tell people I'm Hopi. Then I have to add, Native American. I've been told so many times that I "speak English so well!" Unfortunately, English is my first language. Neither of my parents spoke English for the first seven years of their lives. Learning English was a forced and painful process for them, something they wanted their children to avoid. As a result they spoke only English to us, their six children. It's a lifelong effort for me to learn Hopi, a beautiful and complex language.
Besides speaking Hopi, it's also important to me to live Hopi. That comes with great responsibility if one accepts the duties of being Hopi. The term "walking in two worlds" is often used to describe this process. I cringe when I use this phrase but it does convey a certain sentiment. I don't concentrate on it as some might imagine. It's more like the way most people walk down stairs without looking at every single step…you just know where to put your feet. However, being Hopi does require me to actively choose to perform my cultural duties. This means being aware of our ceremonial cycle and knowing when I need to prepare and participate in sacred ceremonies. When I was a teenager and went through my first initiation into the Hopi way of life, I had to wear a small eagle feather in my hair, even when I went to school. The feather drew lots of attention and snickers from other kids about me being an Indian. I had to ignore and not resent the kids making those snide remarks because the initiation ceremony included meditation and prayer and acceptance of more adult responsibilities, including tolerance.
My career in television news meant that I often had to work when Hopi ceremonies were taking place. It was a tough time for me, but I had to have a job. I was able to help my sisters with funds for travel, for food, and other basic necessities. Many times I would work Christmas and Easter so that I could take other days off that had religious significance for me. I also made the choice to live and work in Arizona so that I would be close to my reservation for ceremonies I wanted to attend. I refused to consider offers to work in other larger TV markets because of the distance. I don't regret that because being Hopi is important to me. One day, like many Hopis, I will move back to my reservation.
When I chose to marry a white man, we discussed my culture and his supporting role in ceremonies and other aspects of my culture. He promised to help raise our children in the Hopi way and he did. When we divorced, he promised to continue to support our son in the Hopi way, and he has. We raised our son with the values of Hopi and the teachings that included not harming natural things. When I found my little son and his friends tearing off tree leaves and small branches, I asked him why they were doing that to something that was alive. I asked him if they would pull the hair off of our dog. He said no. I told him the tree was also a living thing and it wasn't good to harm it by pulling off its leaves, that Hopi boys should respect all life. He got the message. It hurt me greatly when he was about five and experienced his first racist remark. We were at a mall and a friend had bought him a bag of plastic soldiers and Indians. My son poured them on the floor and was busy playing when another boy came over and asked to play. My son was happy to have company, but it soon turned sour when the boy said, "Let's put all the good guys in this pile and all the bad guys in another pile!" One guess as to who the "bad guys" were. I was both sad and proud when my son said, "Indians aren't bad!"
While I "walk in two worlds," my son IS "two worlds." We both manage this quite comfortably. We work, go to movies, eat out, and enjoy a wide circle of friends in the Phoenix metropolitan area. When we have our ceremonies we plan accordingly. Our drive to the reservation takes four hours one way. If need be, we isolate ourselves for the duration of the ceremony by staying on the reservation. This helps us keep the integrity of the ceremony and our intentions pure. It is important to note that when Hopi people pray, we pray for everyone and all living entities. We've always known the world is round, and our prayers are for people around the world.
Our Hopi ceremonial cycle lasts for a full year. In December we have Soyalang, a time for blessings. It's usually seven days long. Sometimes we only make it out for two days, due to my work. Then we prepare for Powamuya, which lasts around 21 days. This is the official start to our New Year and takes place in February. The men are in the kiva (an underground room) praying while the women take care of the home and prepare the meals. It's not at all sexist like some folks may think when they hear about the roles Hopi men and women have. Hopis recognize the value and contributions of both the men and the women. After the initial ceremony is completed we have another month of katsina dances and prayers which are held in the kivas and are mostly closed to non-Hopis. Spring brings the katsina dances in the plaza, which are open to non-Natives. Each of these religious dances brings a lot of responsibility to the hosting families and everyone involved. The final katsina dance is the Nimanti, also known as the Home Dance. This usually occurs in late July or August. You can learn more about these ceremonies because in the 1800s several anthropologists came to the Hopi reservation, forced their way into the kivas, and wrote about what they witnessed. It was an invasion of our privacy and disrespect of our religion, but what can be done about that now? I would warn the reader not to take things they might read literally, because much of the beauty and meaning of the ceremonies was lost in translation. The non-Hopi anthropologists didn't understand what they were experiencing.
I am happy to share as much of my culture and religion as is appropriate. When people push me for greater detail, I simply ask, "Why? Why do you need to know?" Many religions have taboos on revealing all that takes place. Or only granting information when the person asking earns that right. It's simple respect for another person's religion.
I consider it a great blessing to have been born a Hopi. If I was not a Hopi, I could not convert to become one. In fact, I know of no American Indian tribe that fought wars over religion. We recognize that other people have their own ways of worshiping and we respect that. Therefore, we don't try to preach to and convert others to the Hopi religion. I feel that since I am Hopi, it is my responsibility to carry on the teachings, the culture, and the religion so that my children and grandchildren will also have the opportunity to be Hopi.
As you will see in the Penn Museum exhibition that opens in 2014, I am not the only Native person who feels this way. Many of us are doing what we can to carry on our traditions, culture, language, and religion. It just gets harder with each generation as we compete with so-called modernday conveniences. I think about my ancestors who fought so hard to stay alive and who kept our culture going, and I wonder if I am living up to their standards. Each generation will have to make that choice as well. For me, it's a choice I make every day, to live as a Hopi.
Eskwali! That means "thank you" in the dialect of my village, in the feminine pronunciation. I'm thankful you have taken the time to read this essay.


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BEIRUT (Reuters) - Islamist groups including al Qaeda's Nusra Front have seized the city of Idlib for the first time in Syria's civil war, fighters and a monitoring group said on Saturday.
By taking Idlib, capital of a northwestern province of the same name, hardline Islamist insurgents now control a second province after Raqqa, the stronghold of the Islamic State group which has been the target of U.S.-led air strikes.
Also read: U.S. bombs Syrian army position near Tanf: pro-Assad commander
Read more


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I came across an interesting article posted on The Online Citizen today.
The main thrust of this article revolved around the pressing need and reasons why Singapore needs to actively enforce human rights. Based on the current situation and some of the comments left by other readers, it seems as though a large majority of us are just an apathetic and/or materialistic bunch that couldn't really be bothered about this issue.
Perhaps this might be true, or perhaps some of us have given up caring because it has simply proven to be a futile effort. I applaud those before who have fought on this…but, realistically speaking, there seems to be little to show for it.
Whatever it is, as I was reading the article, one question that popped up in my mind is:
In the face of rising commodity prices (i.e. raw materials like food and fuel), some families are already finding it a struggle to meet their basic needs…and how many would actually place more significance on this human rights issue as compared to another that could potentially threaten our livelihood?
Somehow, I sense that this is going to be helluva fight – going uphill all the way.


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Earlier this year, Hollywood cancelled making a movie in Sweden about Jews, because they estimated that "Sweden [is] a VERY unsafe place for the Jewish community due to the large and increasingly hostile community of Muslims." During the 2nd World War, Sweden was a safe haven for Jews. Now Jews have to flee Sweden because of Muslim immigrants' hateful and violent anti-Semitism.
Finally, the Swedish government takes action. Not by limiting immigration of Islamic supremacists, but by spending a (ridiculously small) amount of money on the "protection of Jews":
From the Swedish government's official homepage:
Four million kroner (620,000 USD) for security of Jewish minority
Press release, September 5th 2011
Department of Work
The Government will spend four million kroner in 2012 on increasing the security and decreasing the vulnerability of the Jewish minority. Research shows that even though tolerance is increasing in society, anti-Semitic views have not decreased to the same extent. The Jewish minority is the subject of anti-Semitic hate crimes and harassment. Even children are harassed in everyday life. Many Jews in Sweden are afraid of openly showing that they belong to the Jewish minority.


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Field service without an onsite technician? Yes! It's possible.
Imagine how much time and money you could save and how much value you could add for customers, if you were able to resolve most equipment issues without sending a technician on-site!
What is Connected Field Service?
Connected field service is the combination of Microsoft Dynamics 365 for Field Service and Azure IoT which can help you detect, troubleshoot, and resolve issues remotely so a technician is dispatched only when necessary.
How does Connected Field Service work?
Connected Field Service has two parts to it: Detection and Action. When an issue is detected through an Azure IoT sensor, Field Service could create a work order immediately. However, the true value of Connected Field Service is gained when you configure Field Service to do in-depth, multi-step troubleshooting, applying the most likely fixes automatically. Only those issues that stump the troubleshooting process will trigger the generation of a work order, prompting a technician's involvement.
That means your Field Service solution can find, diagnose and fix issues before any human being even realizes there's a problem!
What are the benefits?
1. Customer satisfaction. By fixing issues before your customer even knows about them, you improve the customer experience.
2. Equipment reliability. Catching issues early-on helps you avoid larger problems down the road that can damage equipment and cause unplanned downtime.
3. Convenient scheduling. By remotely assessing and triaging equipment issues, maintenance can be scheduled for a time that works for all involved and technicians make the best use of their time.
4. Operational efficiency. Work orders are only created after all the automated features have been tried. The Field Service system automates time-consuming tasks like optimizing the job schedule, creating and completing work orders, and invoicing the customer.
5. Happier field service workers. Field service technicians – especially sub-contractors – usually get paid by the amount of work they do. They will typically choose to work for the company that gives them the most work, with the least amount of driving around. In addition, Field Service software makes them look good. They show up on site with the right tools in the truck, and the information they need about the job, the equipment and customer to complete the job on the first visit. Less frustration plus more money equals happier workers.
Is Connected Field Service right for you?
Connected Field Service is ideal for manufacturers who are eager to embrace digital transformation as a means to turn services into a revenue generator. It gives you an opportunity to offer better service-level agreements (SLAs) at a lower cost and with less risk than you do today.
Field Service Drives Business in 6 Major Ways
Turn your field service workers into agents of customer delight by equipping them with the tools they need to get the job done right, the first time.Learn MOre
Author: Travis Pullen, Engagement Manager