text:
2009 Conference Carolinas Softball Tournament- Schedule Day 2
April 17-19
Game 8- Box Score
#6 St. Andrews- 10
#1 Limestone- 2
*Limestone eliminated
The # 6 seed St. Andrews scored 10 runs on 13 hits, to defeat the #1 seed Limestone 10-2, making the regular season conference champion Lady Saints the first team eliminated from the 2009 Conference Carolinas softball tournament.
Ashley Disque held Limestone to just two runs on eight hits in six innings of work to earn the win, while Emily Wallace took the loss, allowing six runs on seven hits in four innings.
Lex Cowger and Kailee Munden each had two hits with three RBIs to lead the Knights, while Sarah Applegarth and Danuell Marquez each had two hits with two RBIs, with Marquez belting a home run. Also collecting two hits were Jasmine Dobbin and Megan Riggs.
For Limestone, Jenna Guse was 2-for-3, while Jordan Smith was 1-for-3 with a home run, an RBI and a run scored.
St. Andrews advances to face the winner of game 9 (Erskine/Anderson) at 11:30 a.m., while Limestone is eliminated.
Game 9- Box Score
#10 Anderson- 10
#5 Erskine- 2
* Erskine eliminated
Donya Cobb held the #5 seed Erskine College to just three hits, allowing only two runs as the #10 seed Anderson University set the Flying Fleet home with a 10-2 win on Saturday morning.
Leading the Lady Trojans was Meredith Knox, going 3-for-4 with a home run , a double, four RBIs and three runs scored, with Casey King going 2-for-4 with two doubles and two runs scored.
Courtney Davis had a home run for the Flying Fleet.
Anderson advances to play St. Andrews in an elimination game at 11:30 a.m., while Erskine is eliminated from the tournament.
Game 10
#8 Barton- 0
#7 Lees-McRae- 6
*Barton Eliminated
Amanda Dodson threw a complete game shutout to lead the #7 seed Lees-McRae to a 6-0 victory over #8 seed Barton. Dodson allowed just six hits while striking out six in the win.
Helping her own cause, Dodson was 1-for-4 with a home run, while Paula Fryar went 2-for-3 and Anna Carter, Ashley Benfield, Morgan West and Meagan Knowles were all 1-for-3.
Lees-McRae advances to face #11 seed Belmont Abbey in an elimination game at 2:00 p.m., while Barton's season comes to an end.
Game 11- Box Score
#10 Anderson- 9
#6 St. Andrews- 13
*Anderson Eliminated
The #6 seed St. Andrews rallied for 13 runs in the final three innings to defeat the #10 seed Anderson 13-9. With an eight run fourth inning, the Knights took a one run lead and never looked back.
Sarah Applegarth earned the win, tossing 6 1/3 innings in relief, allowing five runs on eight hits, while striking out five, while Anderson's Katie Van Gieson took the loss, allowing five runs on four hits in just 1/3 of inning on the mound.
Jasmine Dobbin led the Knights attack with a 3-for-4 performance including three RBIS, two runs scored and a triple. Danyell Marquez was 2-for-4 with a double and two RBIs and Morgan Farroll was 1-for-3 with two RBIs. Kayla Williams and Elisa Sebastyan each had three hits to lead the Trojans, with Williams hitting homer and driving in three and Sebastyan driving in four.
St. Andrews advances on to face to loser of game 14 (Mount Olive/Pfeiffer) at 4:30 p.m. Saturday, while Anderson's season comes to an end.
Game 12
#11 Belmont Abbey- 3
#7 Lees-McRae- 1
*Lees-McRae eliminated
The #11 seed Belmont Abbey continued their Cinderella run as they defeated the #6 seed Lees-McRae 3-1 in nine innings. The Abbey scored the game tying run in the top of the seventh and then plated two runs in the top of the ninth to eliminate Lees-McRae.
Danielle Puckett earned the win, tossing six scoreless innings, while striking out five, while Amadnad Dodson took the loss, allowing two runs in two innings of relief for the Bobcats.
Katie Hobbs and Puckett were each 3-for-4, with Hobbs driving in a run for the Crusaders.
Belmont Abbey advances to play the #8 seed Coker in an elimination game at 4:30 p.m., while Lees-McRae is eliminated from the tournament.
Game 13- Box Score
#4 Queens- 1
#8 Coker- 0
Chantel Dodge did it all as she led the #4 seed Queens University to 1-0 win over #8 seed Coker College. Dodge had the game winning RBI single in the bottom of the seventh, while also holding the Lady Cobras to just one hit as the winning pitcher.
Dodge threw a complete game shutout with eight strikeouts in the win, while her counterpart, Shelly Catlett, took the loss, allowing just one run on five hits with six strikeouts.
Audra Littlejohn had two hits, for the Royals, with Amanda Bowman, Kari Kmetic and Dodge each getting a hit. Coker's lone hit came off the bat of Shannon Mitchell.
Queens advances to play the winner of game 14 (Mount Olive/Pfeiffer) at 7:00 p.m. Saturday, while Coker will play the winner of game 12 (Lees-McRae/Belmont Abbey) in an elimination game at 4:30 p.m.
Game 14- Box Score
#2 Mount Olive- 3
#3 Pfeiffer- 2
The #2 seed Mount Olive narrowly defeated the #3 seed Pfeiffer 3-2 thanks to a two run home run in the fifth inning by Jenny Jackson. Mount Olive took an early 1-0 lead in the first, only to have Pfeiffer take a 2-1 lead in the third, but Jackson's two run homer gave the Trojans the eventual win.
Sasha Snyder earned the win, throwing 3 1/3 innings of scoreless softball, allowing just two hits, while Allison Braswell took the loss, allowing three runs on five hits with four strikeouts.
Jackson led the Trojan hitters going 2-for-3 with a home run, three RBIs and a run scored, with Kat Cahoon, Morgan Whaley and Allison Czerski each collecting a hit. Pfeiffer was led by Martina Bullard going 2-for-3, while Heather Nobles was 1-for-3 with a double and an RBI.
Mount Olive advanced to play Queens at 7:00 p.m., while Pfeiffer plays St. Andrews in an elimination game at the same time.
Game 15- Box Score
#8 Coker- 8
#11 Belmont Abbey- 2
*Belmont Abbey eliminated
The Cinderella story for the #11 seed Belmont Abbey came to an end as they fell to the #8 seed Coker 8-2. The Lady Cobras used 12 hits to score eight runs, while Sydney Greenwalt, held the Crusaders offense to just three runs over seven innings with three strikeouts. Kayla Short took the loss, allowing five runs on five hits in 1 1/3 innings of work.
Miranda Klees and Haleigh Rogers led the Lady Cobras at the plate, with each having two hits and two RBIs, including a double for each and a home run for Klees. Anna Oswald also had two hits with a double and an RBI, with Allie Bragg and Shannon Mitchell each getting two hits. For the Abbey, Tara Ruebel and Alysia Stewart each had two hits, with Katie Hobbs driving in a run.
Coker advances to play the winner of game 16 (St. Andrews/Pfeiffer) at 9:30 a.m. Sunday, while Belmont Abbey is eliminated from the tournament.
Game 16- Box Score
#3 Pfeiffer- 5
#6 St. Andrews- 6
*Pfeiffer eliminated
For the second time in a day the #6 seed St. Andrews made a come from behind victory, defeating the #3 seed Pfeiffer 6-5. The Knights scored three runs in the top of the seventh inning on two hits including a big two-run double by Danielle Marquez..Pfeiffer rallied for a run in the bottom half of the inning and had runs on first and third with two outs, but Sarah Applegarth was able to secure the final out and the victory.
Applegarth earned the win, throwing a complete game, allowing five runs on nine hits, while Amanda Beck took the loss, allowing four runs on four hits in 4 2/3 innings.
Marquez was 3-for-4 with home run a double and four RBIs, while Applegarth was 2-for-4 with an RBI and two runs scored. For Pfeiffer, Bryttny Kreshka was 2-for-2 with a home run, a double and an RBI, while Beck had a home run and an RBI.
St. Andrews advances to face the #8 seed Coker at 9:30 a.m. Sunday, while Pfeiffer is eliminated from the tournament.
Game 17- Box Score
#4 Queens- 5
#2 Mount Olive- 0
*Queens advances to Championship Game
The # 2 seed Mount Olive fell to the #4 seed Queens 5-0 in the winner's bracket final of the 2009 Conference Carolinas Softball Tournament Saturday evening. Sasha Snyder allowed only one run in six innings after Queens scored four runs in the first
Queen's Chantel Dodge struck out 14 Trojan hitters, while Kari Kmetic and Alisha Waldrop led the offense with a two-run home run each in the first inning and a solo shot by Kmetic.
Mount Olive plays Sunday at 11:30 a.m. against either the winner of game 18 (St. Andrews/Coker), while Queens advances to the championship game at 1:30 p.m.


text:
Blood pressure control during sleep "is the most relevant independent marker of cardiovascular risk," and in this trial it was linked to a drastic reduction of adverse cardiovascular events.
If you take medication(s) to lower your blood pressure – about 1 in 3 US adults has high blood pressure and two-thirds of them take meds – consider that patients in this large tracking study cut their risk of a stroke or heart attack by two-thirds, simply by taking at least one of their meds at bedtime rather than in the morning.
The study – "Bedtime Dosing of Antihypertensive Medications Reduces Cardiovascular Risk in CKD" – was published online Oct 24 by the Journal of the American Society of Nephrology.
Ramon Hermida, PhD, and his team at the University of Vigo, in Spain, knew that the time of day patients take blood pressure-lowering medications can affect their blood pressure patterns. But to find out if medication timing might make any difference to health, they recruited a group of 661 patients who had chronic kidney disease and hypertension.
Half of the patients took all prescribed blood pressure-lowering medications first thing in the morning and half took at least one of them at bedtime.
After an average follow-up of 5.4 years:
• Patients who took at least one blood pressure-lowering medication at bedtime had better control of their blood pressure,
• And were two-thirds less likely to experience a heart-related event such as a heart attack, a stroke, or heart failure compared to patients who took their medications upon awakening.
• Also, sleep-time blood pressure was a much more accurate measure of heart health than wake-time blood pressure.
"Our results indicate that cardiovascular event rates in patients with hypertension can be reduced by more than 50% with a zero-cost strategy of administering blood pressure-lowering medications at bedtime rather than in the morning," says Dr. Hermida.
"This study also documents for the first time that sleep-time blood pressure is the most relevant independent marker of cardiovascular risk," he adds.
Source: American Society of Nephrology (ASN) news release, Oct 24, 2011
ASN Disclaimer: The content of this article does not reflect the views or opinions of The American Society of Nephrology (ASN). Responsibility for the information and views expressed therein lies entirely with the author(s). ASN does not offer medical advice. All content in ASN publications is for informational purposes only, and is not intended to cover all possible uses, directions, precautions, drug interactions, or adverse effects. This content should not be used during a medical emergency or for the diagnosis or treatment of any medical condition. Please consult your doctor or other qualified health care provider if you have any questions about a medical condition, or before taking any drug, changing your diet or commencing or discontinuing any course of treatment. Do not ignore or delay obtaining professional medical advice because of information accessed through ASN. Call 911 or your doctor for all medical emergencies.

subset: commoncrawl


text:
If you own a T-Mobile G1 Phone, chances are you have used one of the applications that reads barcodes. ShopSavvy and CompareEverywhere are the two most popular applications that make use of scanning. Each one allows the user to take a snapshot of a product UPC using the built in camera, then compare prices on the web.
Both programs make use of an open source software from ZXing ("Zebra Crossing"). Other Android developers can use intents to bring the functionality of Barcode Scanner into their own program. One example of this would be Torrent Droid, which was the winner of our first Android Bounty.
In addition to normal UPCs, ZXing has added support for the following codes.
- UPC-A and UPC-E
- EAN-8 and EAN-13
- Code 39
- Code 128
- QR Code
- Data Matrix ('alpha' quality)
A QR Code ("Quick Response") is a 2D barcode that can store much more information than a standard UPC. Inside a QR Code you can find text, hyperlinks, contact information, geo location, and more. They are capable of storing up to 250 characters. QR Codes have become common in Japan, but have yet to take off in the United States.
One of the cool uses of QR Codes can be found via the share option in Barcode Scanner for Android. By pressing menu then share, users are able to easily send contact infomation, bookmarks, and text from their clipboard to other G1 phones. Users can create their own QR codes from one of the free online generators.
After you create your own QR code, there are many creative uses. They can be placed on the back of business cards so that your contact information can be scanned to someone's phone in seconds. Advertisers can place them in print media to send customers to their product website. Bands could place them on the back of a CD case allowing you to hear an audio preview or purchase concert tickets. Secret messages can be hidden inside for people to find.
I'm already planning to place a QR code on my next order of business cards. We might even use them in some future promotions too. What other innovative uses can you come up with?


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Re: Convienient way to hold a deposit ?sophie May 2, 2012 9:42 AM (in response to keelytom)
There are a few options:
1. Take a personal check for the deposit. You can choose to cash it and re-issue if there is no damage. You can also choose to NOT cash it and return the actual check to renter after stay.
2. Run an authorization on their credit card. (No fee) It is not charged to the renter but the funds are being "held". If there is damage you then charge the amount.
3. Run the amount on the credit card (there would be a fee) and then refund if there is no damage.
Re: Convienient way to hold a deposit ?keelytom May 2, 2012 9:43 AM (in response to sophie)
Thanks for your reply point 2 interests me (Run an authorization on their credit card. It is not charged to the renter but the funds are being "held". If there is damage you then charge the amount.)
How do I go about setting this up - bear in mind this is my only property and I don't have a credit card for the property but I do of course personally
thanks Tom
Re: Convienient way to hold a deposit ?sophie May 2, 2012 9:50 AM (in response to keelytom)
Do you accept credit cards? If so, you can run an "authorization" on their card. Let's say your security deposit is $300. You would run the amount as an authorization NOT a charge. What this does, is it holds the $300 for a specific time (normally 7-14 days) on their credit card. Essentially, the credit card company has allocated that money to you. If there is no damage, then you do nothing, the hold falls off. If there is damage, you would go back to your credit card company and then charge any amount up to the $300.
You would need some kind of contract to specify these details. It doesn't matter if you only have 1 property. I started with one and took credit cards. I use paypros for my merchant account. I've used them for years and are very happy with them!
Re: Convienient way to hold a deposit ?kailua520 May 3, 2012 12:11 AM (in response to keelytom)
If you have an iPad or other tablet or smart phone, you can start accepting credit cards. I use Square ...you can pick it up at Target for $10 then they refund you the $10 when you set it up. Thats it no monthly charge, just a charge for the actual charge to the credit card. I too only have one property and this works great because there is no monthly fee.
However, as long as the rental is more than 15 days out, I prefer to take a check (no fees!) and I deposit it, when they check out I just send them a check back. If you do not cash the check, if they mess up your house they can easily put a stop payment on the check and you get nothing. I've been fortunate that in the year we've had the house, rented out over 80% and I've never had to hold back a penny for damages (should have once because we had to drain and refill the hot tub once) Additionally, a check identifies the customer and his home or business which you dont get on a credit card and they could misrepresent on a rental agreement.
Re: Convienient way to hold a deposit ?thaxterlane May 2, 2012 9:57 AM (in response to keelytom)
We have a simple method that we have used for many years to manage our vacation home. We accept checks only for rent and security payments (personal and bank checks). We deposit the checks into a bank account set up for this purpose. It works as any other basic checking account. Checks are received and deposited to the account - the payment is ours (unlike a credit card where a hold or even a charge can be reversed by the guest). Returning funds requires writing a check and mailing it to the guest. We have deadlines for payment that allow for clearing checks well in advance of a stay.
We have been doing this for many years and it works. Minimal fuss and no fees.
I have never had a guest decide against my home due to my payment method.
If we have a late rental, I require overnight delivery of a bank check.
I'm surprised at the number of owners that eschew such a simple, straightforward system. It's old-fashioned, but it has worked nicely for us.
An unrelated benefit to accepting checks (and completely off topic) is the financial screening that is implicit in the guest being able to pay the rent, without relying on a credit card. My home rents for several thousand dollars a week during the peak season and it's reassuring to know my guests have the resources available for payment. It's a piece of information that contributes to my comfort during the screening process. I feel if there is a problem, there is some security in knowing the rental is not a "pay the balance charged by the month" credit card situation, which might lead to difficulties with the guest if there are any charges to be made to the the security or damage deposit. Perhaps a quirky view . . . .
Re: Convienient way to hold a deposit ?susaninrehoboth May 2, 2012 11:11 AM (in response to thaxterlane)
Totally agree with thaxterlane. 50% deposit by check within 5 days, remainder by check 30 days in advance. Never had a problem or complaint.
Re: Convienient way to hold a deposit ?sophie May 2, 2012 11:16 AM (in response to susaninrehoboth)
After reading through the post, I realize that I may be a bit confused as to your question. Were you wanting to know about the damage deposit or the rental deposit to hold the property? If it's the latter, then my answer will not make sense since I was commenting solely to a damage deposit.
Re: Convienient way to hold a deposit ?iopbeachhouse May 2, 2012 8:28 PM (in response to thaxterlane)
I am so glad to hear this has worked well for you! It is exactly what we have been doing since September and I keep doubting myself and wondering if we need to take credit cards. I am well booked and have had no trouble getting people to send checks.
Re: Convienient way to hold a deposit ?kailua520 May 3, 2012 12:14 AM (in response to thaxterlane)
I agree with what you do. The only difference is we've set up an account at BoA because they are pretty much everywhere and customers all over Texas, NM, Oklahoma and Arizona where we get most of our rentals from, can just walk into the bank and make a cash deposit on a last minute rental. The customers seem to appreciate that plus you can look at your account and verify that it was cash not check.
Re: Convienient way to hold a deposit ?susaninrehoboth May 3, 2012 5:52 AM (in response to kailua520)
Sounds interesting and something I might try. Wells Fargo Bank is convenient to most of our guests.Would you kindly answer a few questions?
To what type of account do people make the deposit?
How do guests know the account information to make the deposit?
Does BofA charge you for allowing these deposits?
How do you know the deposit has been made?
Thanks for your help.
Re: Convienient way to hold a deposit ?hotnachocheese May 2, 2012 5:52 PM (in response to keelytom)
My booking process.
1. I email a $400 paypal bill. I explain its a non refundable "hold fee" that will convert to their refundable security deposit. Once this is paid, thier date is held for 10 days.
2. I also email their lease. They have 10 days to return the signed lease, copy of id, and a check- personal, bank, or money order- for 50% of the rent.
3. The other 50% of rent is due no later than 30 days before thier visit- check again.
4. I refund the $400 paypal assuming its left clean and undamaged.
This process works very well, and I never have guests balk. I dont collect security deposits from guests who return. The paypal fees on $400 are about $12, which is worthwhile for a solid booking. I call it a hold fee, for if they dont return the lease and check, Im not chasing them. They forefit it. The burden to keep in touch is on them.
Re: Convienient way to hold a deposit ?msdebj May 3, 2012 12:16 PM (in response to hotnachocheese)
I do a little of both. I take credit cards, and give the renter the option of sending me a check for the Damage Deposit, or for having me put an authorization hold on their credit card for the same anount. Some just provide me with their Debit Card info for the DD, that I can run just like a CC, but it comes out of their checking account.
Last minute renters ( less than 10 days out) must use a credit card.
One thing I find important is to hold all monies in "escrow". The Damage Deposit money goes into my business checking account and it is never touched until the renter has checked out, and all damages, etc. are settled. That way I never have to worry about having funds available - for refunds OR extra cleaning fees etc.
I do the same thing with all money sent as the 50% down payment. Once the due date for cancellation arrives, ( they know they forfeit the down payment if they cancel less than 32 days prior to date of arrival), then I'm comfortable to call it "income".
Works for me and I've never had anyone complain.
For return renters I will ask for a check for the DD, but do not cash it. If all's well I return it to them, uncashed. At least that way I've covered my you-know -what- just in case, and they think they are getting a good deal.
Re: Convienient way to hold a deposit ?hush64 May 8, 2012 9:44 AM (in response to keelytom)
#1: Lets' define terms: I require a Rent Deposit for $300 when someone books well in advance. #2: I require the Rent Balance 60-90 prior to arrival. #3: I require a Security Hold (deposit) 10 days prior to arrival. I use these terms very purposedly in order to make sure my renters are 100% clear. The Security must be in CASH... when I say CASH I mean: Cash, deposited check, or credit card authorization (hold). To receive a check and not cash it is stupid and pointless... If someone breaks your $1000 flat screen TV and then voids the check they gave you or have no funds in their account the check is worthless!! That's while I require the security payments to be made 10 days in advance so if a check bounces I will know and the renters will have time to get me the cash prior to the arrival date.
Re: Convienient way to hold a deposit ?msdebj May 8, 2012 12:47 PM (in response to hush64)
Hush, with all due respect, I want to point out that I said I hold an uncashed check only for return renters ( those who've stayed at my home more than once in the past several years and have left it in excellent shape).
While I may be 'taking a chance" in those cases, the fact that I have a signed check with the notation of " Damage Deposit for xxx dates", and the Damage Deposit page of my contract with their signature stating that I am in receipt of their check for the Damage Deposit, has, according to my attorney, established a contract for the matter. Anyone can either cancel a check, or contest a CC charge, in today's banking world.
It would be great if I could require 'cash" upon check in for the Damage Deposit, but being 1400 miles away from my VR home prohibits that practice. We all do have to find a way that works best for us.
Re: Convienient way to hold a deposit ?hush64 May 8, 2012 1:16 PM (in response to keelytom)
misdebj: Thanks for your response but I was replying to Tom's inquiry, not you. I have many repeaters and even though we've built up a wonderful rapport I still treat every rental and guest the same way with the same formula at all 4 of my properties... Now, with all due respect... If someone writes a check with insufficent funds in the account or voids a check you are behind the 8 ball and the only way you'll get back your money is through the court system, good luck! That is why all checks should be cashed, period. Anything less is bad business, is risking being bitten in the backside and creates sloppy habits. Regarding credit card authorizations and charges... Yes, someone can call the issuing company and dispute the charges... But if you have everything in writing and an excellent record with your credit card company you will win the "dispute". Additionally, the process of receiving a Security and emailing confirmation of it's receipt and linking that written communication with the emailed Welcome Kit (key code, directions, house info, local area guide) acts as a reminder that the guests must follow the rules or else. During the off-season and non-weekend rentals I'll discount my 2 night rate to $600 but still require a $750 security... When people leave my properties they leave them in great shape.... I rent to everyone from high school prom groups - college kids - families... Quite often the high school prom groups leave the house better than anyone else... The $750 means a lot more to them!! And yes, I agree with you 100%... We all find a way that works best for us... And that's why when a Newbie asks for advice it's good for them to receive many different opinions. All the Best!!


text:
The Sea near Katwijk, Jan Toorop, 1887
In 1885 Toorop was living in Brussels, where he was a member of the artists' circle called Les Vingt (the 20). He was exposed there to the work of Gustave Courbet (on view in this gallery), who often painted with a palette knife. Two years later, Toorop made this sea-scape, also using a palette knife in places. The effect is realistic; however when seen close up, it features an incredible mixture of colours.


text:
David L. Dawson, M.D.
Clinical Interests
Center/Program Affiliation:
Vascular Center
4860 Y St., Suite 2100
Sacramento, CA 95817
Driving Directions
Phone: 916-734-3800
Additional Phone:
B.S., University of Southern California, Los Angeles, California, 1981
University of Washington, Seattle, Washington, 1990-1992
Board Certifications:
American Board of Surgery - Vascular Surgery, 1993
American Board of Vascular Medicine, Endovascular Medicine, 2006
Professional Memberships:
American Heart Association
Association for Academic Surgery
Peripheral Vascular Surgery Society
Society for Clinical Vascular Surgery
Society for Vascular Medicine and Biology
Society for Vascular Surgery
Society of Air Force Clinical Surgeons
Society of Vascular Ultrasound
Southern Association for Vascular Surgery
Western Vascular Society
Select Honors and Awards:
Surgical Educator of the Year 2010 - UC Davis Department of Surgery, 2010
Best Clinical Paper, Society for Vascular Ultrasound (SVU) Annual Conference, 2005
NASA Achievement Award, 2001
First Place, Henry Harkins Resident Paper Competition, 1999
Critical Care and Trauma Award, 1998
First Place, Henry Harkins Resident Paper Competition, 1992
Best Paper by Resident or Fellow, Pacific Northwest Vascular Society, 1991
Third Place, Henry Harkins Resident Paper Competition, 1989
Alpha Omega Alpha, Honor Medical Society, 1985
C.V. Mosby Company Scholarship Award, 1985
Dean?s Scholar, University of Southern California School of Medicine, 1985
Degree Awarded Cum Laude, University of Southern California, 1985
Select Recent Publications:
Humphries MD, Pevec WC, Laird JR, Yeo KK, Hedayati N, Dawson DL. Early duplex scanning after infrainguinal endovascular therapy. J Vasc Surg. 2011 Feb;53(2):353-8.
Stamova B, Tian Y, Jickling G, Bushnell C, Zhan X, Liu D, Ander BP, Verro P, Patel V, Pevec WC, Hedayati N, Dawson DL, Jauch EC, Pancioli A, Broderick JP, Sharp FR. The X-Chromosome Has a Different Pattern of Gene Expression in Women Compared With Men With Ischemic Stroke. Stroke. 2011 Nov 3.
Tian Y, Stamova B, Jickling GC, Liu D, Ander BP, Bushnell C, Zhan X, Davis RR, Verro P, Pevec WC, Hedayati N, Dawson DL, Khoury J, Jauch EC, Pancioli A, Broderick JP, Sharp FR. Effects of gender on gene expression in the blood of ischemic stroke patients. J Cereb Blood Flow Metab. 2011 Dec 14.
Hedayati N, Del Pizzo DJ, Harris SE, Kuskowski M, Pevec WC, Lee ES, Pifer C, Dawson DL. Predictors of diagnostic success with renal artery duplex ultrasonography. Ann Vasc Surg. 2011 May;25(4):515-9.
Humphries MD, Dawson DL. Asymptomatic bilateral external iliac vein aneurysms in a young athlete: case report and literature review. ,em>Vasc Endovascular Surg. 2010 Oct;44(7):594-6.
Laird JR, Dawson DL. The role for cryoplasty in the treatment of infrainguinal artery disease: case studies. J Endovasc Ther. 2009 Apr;16(2 Suppl 2):II116-28.
Lee ES, Dawson DL. The management of large bilateral internal iliac artery aneurysms using the T-Stat Colon Oximeter. ,em>Ann Vasc Surg. 2010 Jan;24(1):115.e1-4. Epub 2009 Sep 17.
Lee ES, Pickett E, Hedayati N, Dawson DL, Pevec WC. Implementation of an aortic screening program in clinical practice: implications for the Screen For Abdominal Aortic Aneurysms Very Efficiently (SAAAVE) Act. ,em>J Vasc Surg. 2009 May;49(5):1107-11.
Moos JM, Rowell S, Dawson DL. Symptomatic 7-cm abdominal aortic aneurysm in an otherwise healthy 31-year-old woman. ,em>Vasc Endovascular Surg. 2009 Dec;43(6):622-6. Epub 2009 Jul 29.
Dawson DL, Lee ES, Hedayati N, Pevec WC. Four-year experience with a regional program providing simulation-based endovascular training for vascular surgery fellows. J Surg Educ. 2009 Nov-Dec;66(6):330-5.


text:
© ® The Nobel Foundation
IPCC honoured with the 2007 Nobel Peace Prize
Phone: +41-22-730-8208/84 e-mail:
In a world in which economies are linked by international trade and capital
flows, abatement by one economy induces spillover effects and has welfare impacts
on other economies. It matters to understand the conditions under which both
abating and non-abating economies will experience positive or negative impacts
from the policy adopted in other groups of countries; it matters also to understand
the results of these spillover effects in terms of carbon leakage. Chapter
7 provides the basic concepts of such an analysis and here some brief comments
are added to explain the strengths and weaknesses on the results found by modelling
In static terms, without international capital mobility, the welfare costs
of abatement for an open economy can be decomposed into two components (Dixit
and Norman, 1984):
If they require to go beyond no regrets potentials, binding emissions
constraint comes to increasing the cost of carbon-intensive products and, if
emissions arise from the production of its export goods, the abating economy
benefits from better terms of trade. If, indeed, the importing economy cannot
produce a perfect substitute easily, it will sell the same product at a higher
price and increase its purchasing power of imported goods. The non-abating economy
will symmetrically suffer a welfare loss because of more expensive imports,
while the net result for the abating economy depends on the size of improvement
in the terms of trade relative to the production costs of abatement. The welfare
impacts are more important in the economies that are very dependent on foreign
In the real world, an emission constraint simultaneously affects both export
and import goods, but this does change the nature of the mechanism. Increased
production of emission-intensive goods in non-Annex I regions is stimulated
by both increased non-Annex I consumption and increased exports to Annex I regions.
The net relative balance between these parameters is influenced by the extent
to which Annex I emission constraints fall on export competing industries (when
the country is specialized in such industries) as opposed to import-competing
industries (when it imports carbon intensive goods). If a constraint predominantly
affects export industries, it encourages increased non-Annex I production for
internal consumption. If the constraint predominantly affects import-competing
industries, increased non-Annex I production is mainly exported to Annex I regions.
Emissions leakage is beneficial to non-Annex I economies only in the second
case, since it is associated with an improvement in their terms of trade, whereas
their terms of trade deteriorate in the first case.
Another factor that affects the increase of emission-intensive goods in non-Annex
I regions is the effect of Annex I abatement on the intermediate demand for
fossil fuels. As discussed above, Annex I abatement will reduce fossil fuel
prices. Lower prices for fossil fuels will encourage the production of more
emission-intensive goods and the use of more emission-intensive production techniques
in non-Annex I regions
So far, it was assumed that changes in the production structures in both Annex
I and Non-Annex I countries result only in changes in final demand and in price
structures. The introduction of international capital mobility complicates the
analysis since, in addition to production costs and changes in the terms of
trade, carbon constraints alter the relative rates of return in the abating
and non-abating countries. If capital flows from the first country to the second
in response to these changes, there will be a further restriction of the production
frontier (the set of possible productive combinations) for the abating economy
and an outward shift for the other economy. Factor rewards in both countries
are also affected. Part of the income from foreign investment accrues to the
home economy and subtracts from income in the foreign economy; abating economies
are affected by changes in income and factor prices that result from changes
in international capital flows, with symmetric gains for non-abating economies.
No theoretical results for complex and empirically relevant cases can be obtained
as to the extent that international capital mobility modifies the conclusions
of the static analysis of the role of the trade effects. However, modelling
results are seldom reported on the welfare impact of changes in international
capital flows, although McKibbin et al. (1999) emphasize the macroeconomic
repercussions. It is still, indeed, impossible to derive clear conclusions about
the role of these changes, because of the methodological difficulties in interpreting
the results from complex CGE models. It is usually conceded that modelling international
capital flows is one of the more contentious issues; technically indeed, such
a modelling relies on equalizing rates of return on capital across countries,
but, because this makes capital flows too reactive, various ad hoc
devices are used to obtain less irrealistic outcomes. Differences in the riskiness
of rates of returns are clearly relevant to explain most of the real behaviours,
but how this can be best dealt with in a deterministic model is
an open question. Progress depends on the further development of techniques16.
It depends also on progress in theoretical and empirical analyses to capture
more effectively how the exchange rate of currencies reacts to external payment
deficits. This depends on the level of confidence on the future economic expansion
of each country and how monetary policies (including the determination of the
public discount rate) employed to mitigate adverse impacts can change the return
to capital in a country relative to other countries.
Models reviewed in this section have in common features that must be clearly
borne in mind when interpreting the results:
Simulation studies covered in this report were conducted prior to and after
the negotiation of the Kyoto Protocol. Pre-Kyoto studies consider more stringent
emissions reduction targets for Annex I regions than the average 5.2% actually
adopted under the Protocol. The major findings are that Annex B abatement would
result in welfare losses for most non-Annex I regions under the more stringent
targets. The magnitude of these losses is reduced under the less stringent Kyoto
targets. Some non-Annex I regions that would experience a welfare loss under
the more stringent targets experience a mild welfare gain under the less stringent
Studies using a variety of more stringent pre-Kyoto targets include Coppel
and Lee (1995; the GREEN model), Jacoby et al. (1997; the EPPA model),
Brown et al.1997b) and Donovan et al (1997; the GTEM model), and
Harrison and Rutherford (1999; the IIAM model). The last two models are based
on the Global Trade Analysis Project (GTAP) database (Hertel, 1997).
In these studies, most non-Annex I countries suffer deterioration in their
terms of trade and also welfare losses. Since the analysis at the region or
country level depends on the type of aggregation, it is difficult to give a
comprehensive list of exceptions. The reasons for these exceptions are, however,
easy to explain. Brazil and South Korea are, in many models, found to enjoy
welfare gains from Annex I abatement policies because, unlike other non-Annex
I regions, they are net importers of fossil fuels and have a high relative dependence
on exports of iron and steel and non-ferrous metal products. In addition, in
Brazil these products are far less intensive in fossil energy than in many other
Brazil gains from lower prices for fossil fuel imports and higher prices for
exports of iron and steel and non-ferrous metal products. Conversely, non-Annex
I regions with the greatest dependence on fossil fuel exports, such as the Middle
East and Indonesia, suffer the greatest deterioration. Non-Annex I regions that
are net importers of manufacture goods that are fossil-fuel intensive also suffer
a deterioration even if they benefit from lower oil prices.
One of the most important conclusions is that a number of those among non-Annex
I regions that experienced a welfare loss under the pre-Kyoto targets experience
a welfare gain under the Kyoto targets. For example, in the GREEN model, India
and the Dynamic Asian Economies experienced a loss in real income in the pre-Kyoto
simulation (Coppel and Lee, 1995). They experience a mild gain in real income
under simulations of the Kyoto Protocol that involve varying degrees of policy
co-ordination among the non-Annex I regions (van der Mensbrugghe, 1998). In
pre-Kyoto simulations of the GTEM model (Brown et al., 1997b; Donovan
et al., 1997), Chinese Taipei, India, Brazil, and the Rest of America were
all found to experience welfare losses; with Kyoto targets (Tulpulé et
al., 1999) these regions experience mild welfare gains.
There is one key reason why some regions that experienced welfare losses under
the more stringent targets experience mild gains in welfare under the Kyoto
targets: the changing balance between substitution and output reduction with
the level of abatement. GDP losses or the required level of a carbon tax for
Annex I regions are, indeed, an increasing function of the level of abatement
and the milder Kyoto targets are expected to be achieved with a greater reliance
on substitution relative to output reduction than the more stringent targets.
A fairly similar regional pattern of non-Annex I welfare changes is found in
simulations of Kyoto targets in a number of studies in which comparable pre-Kyoto
target simulations are not available. These studies include Kainuma et al.
(1999; the AIM model drawing on the GTAP database), McKibbin et al. (1999;
the G-Cubed model), Bernstein et al. 1999; MS-MRT, drawing on the GTAP
database), and Brown et al., (1999; the multigas (CO2, CH4,
and NOx) version of GTEM) and Böhringer and Rutherford (2001).
Table of contents
IPCC Homepage


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The osteopathic manipulative treatment of these children
enhances the overall level of well being by stimulating and
bringing about harmonious interaction within the endocrine
system. Restoring inherent physiologic mobility within the
cranial and facial mechanism overcomes the tendency to nasal
sinusitis and other respiratory conditions. An imbalance of
the eye muscles may be noted as a rapid side to side motion
(NYSTAGMUS) or an over convergent squint (STRABISMUS).
Osteopathic contribution to the welfare of children with
Down's Syndrome is not to make them as other children, but
to enable them to achieve their optimal potential, to attain
a high level of general good health and to grow into the
unique and special people they are designed to be.


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Mavericks Head Coach Clint Young led the West Division I team to the fourth shutout win in 8-Man All Star Game history.
Mavericks Head Coach Clint Young led the West Division I team to the fourth shutout win in 8-Man All Star Game history.
"The game went great and the kids played well," said Young. "We had three days to get things in a row and they did a really good job of picking things up."
The 27th Annual 8-Man All-Star game was a week of statewide camaraderie and competition. Kiowa County football was represented by Young, Maverick QB Ross Binford and lineman Lymon Morehead.
Young, alongside former Haviland Dragons and current South Gray Head Coach Jeff Blatner, blew out the strong defensive East Division I team in a 36-0 drubbing.
"It was a great experience for me, I got to sit down with some great coaches," said Young. "It was one of those once-in-a-lifetime things."
Both teams failed to score in the first quarter, but South Gray's #1 Coulter Croft stepped into the end zone in a one-yard, second quarter TD to open the scoring. A 2-point conversion by Macksville's #13 Seth Filbert finished the first half scoring.
The second half, still within reach for the East Division, opened with the West leading 8-0.
The West opened up second half scoring with Filbert connecting on a pair of touchdown bullets to Lincoln's #44 Wyatt Schroeder on either side of a safety play.
Pretty Prairie's Tanner Cooper halted a strong early fourth quarter drive by the East Division with a goal line interception, followed by a 74-yard touchdown beeline by #** Croft. Kiowa County's #10 Ross Binford ran in a 3-yard TD in the final minutes of the fourth quarter cementing the 36-0 win for the West.
Kiowa County's #65 Lymon Morehead only played a few downs, having injured his foot earlier in the week.
"When you get into those things, I guess everyone has their own philosophy," added Young. "We wanted a win but we wanted everyone to be able to contribute and have a good time."


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On The Rise
Wednesday, February 23, 2011 | Category: Color, Decor Accessories, Decorating, Design Inspiration, Designers, Fabric, Trends
There are always new designers that have a few tricks up their sleeve and Christen Maxwell is one of them. She and her team have been busy creating fun new fabric designs that are sold by the yard as well as used to make laminated linen trays, throw pillows, lampshades, ottomans and more. Christen was a first timer at the NYIGF this winter where her product was flying off her booth! I had the priviledge of speaking to Christen herself and when asked what we have to look forward to she said this: " As far as right now, we're focusing on expanding our availability to customers nationwide, working on developing some new prints, plus have a possible letterpress stationary collaboration line in the works. We're also continuing to grow our laminated linen accessories line (it's been SUCH a hit) and work on new product development – holiday oriented (perhaps stockings and gift-y items). Sounds like we have a lot to look forward to! Keep your eye on the rising designer and her products by visiting her website. You won't be disappointed.
luxurious patterns and colors that will brighten up any room
laminated accessories for your bath, desk or bedroom
have a designated spot for keys? you do now..
this laminated bowl is great for jewelry or even nuts at your next cocktail party!
I'll be sure to keep you posted as Christen develops more fabrics and product in general. Until then, shop away at her online store and take home something snazzy!
- Posted By Rebecca-NY
- 2 Comments
- Category: Color, Decor Accessories, Decorating, Design Inspiration, Designers, Fabric, Trends


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The 2012 turnaround of Rusty Gregory
The ski area's CEO pledges new cooperation
Long held as lord of its own separate fiefdom, Mammoth Mountain Ski Area CEO Rusty Gregory began a new era of involvement with the town when he said he's had a change of heart.
In a move that left many Mammothites utterly baffled, Gregory startled the Town Council on Nov. 7 with a jaw-dropping speech.
"I am an impediment to the growth and prosperity of our resort community," he began.
Twelve minutes later, at the end of the speech, Gregory said, "We have to fundamentally change, and the Mountain will fundamentally change, I promise you that."
With those two statements acting as bookends, Gregory castigated the Town Council as well as Mammoth's townspeople, arguing that it is the town's character—its "gene pool," as he put it—that has put the town in a cycle of economic stagnation.
"I came here 34 years ago to learn how to ski. Like many, I stayed around, maybe too long, and I stay because Mammoth was a place that I could do what I wanted, when I wanted, how I wanted, for the purposes that I wanted.
"We have a gene pool that's made up of a lot of those kinds of people, which is what makes Mammoth a very interesting place to live. It also makes it a very difficult community to lead because you're full of a gene pool that wants to do things when they want to do it and how they want to do it, and they have very strong opinions.
"There are a lot of people who stay where they grew up, not that they're followers—they do radically idiosyncratic things as well—but to come to a difficult, harsh environment like Mammoth, do your business, raise your kids, try to build institutions that are strong and stable, that's one hell of a challenge.
"The kind of people it takes to do that are people like us, who have very strong opinions. But I can tell you that as I've gotten older and have more responsibility—I came here to have fun and to pay for it by being a lift operator—and I am where I am today, rightly or wrongly, but I still hold to those basic ideas. Holding to that is part of what has contributed … to the circumstances of Mammoth Lakes today."


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Cassina 269 Mex Cassina L33/L34 Mex/Mex Cube Cassina 264 Mex Cassina 265-267 Mex Cassina 265-267 Mex Cassina 265-267 Mex Cassina 265-267 Mex Cassina 265-267 Mex Cassina 271 Mex Cube Cassina 271 Mex Cube Cassina 271 Mex Cube Cassina 271 Mex Cube Cassina 271 Mex Cube Cassina 271 Mex Cube Cassina 271 Mex Cube
L33/L34 Mex/Mex Cube Mex. Padded. Generous. Welcoming. Its soft simplicity is visually relaxing. Base and headboard, equipped with a cushion-holder, make it a pleasant continuum. The bed is proposed in a version with a large internal storage space with a hinge opening and spring lifting mechanism, or without the container. Mex can be upholstered in fabric or leather. Measurements: 169, 179 or 189cm x 233cm (mattress 160, 170 or 180cm x 200cm) x h.28/45/68cm. King size 202cm x 236cm (mattress 193cm x 203cm) x h.28/45/68cm. 169 or 179cm x 243cm (mattress 160 or 180cm x 210cm) x h.28/45/68cm. The Note Night furnishings designed by Piero Lissoni for both beds are eclectic. The night table with two open compartments and the cubic drawer can be used independently or integrated amongst themselves. One or two drawers can be freely placed in the night table. 264 Mex Bookcase with seven fixed-height shelves, backed and with a frontal vertical panel. The bookcases, in dark stained oak or white or grey lacquer, may be grouped together. Adjustable, hidden feet. 265-267 Mex The upholstered parts are contained by sides and back in wood forming a kind of shell. This constructional technique permits the setting, alongside and behind, of the little items of occasional furniture that go to complete the set. For these units, containers and tables, the designer has chosen wood of a notable thickness, the same as the wooden parts of the sofa and the other items that go with it. The same wood is used for the bookcase, backed and with fixed-level shelving, with a single frontal support. The proportions are elegant and the thickness of the wood and the support recall the contours of a book. The scheme is completed with small, low tables in glass - with white or black painted bases - divided in sections in the same way as the furniture alongside the sofa. 269 Mex Small low tables in tempered glass, bases painted white or black. Tops and shoulders in transparent extra-clear tempered glass. Three sizes: - square 72 X 72 - rectangular 108,5x36,5 or 72x36,5 Height 24 cm. The tables can be grouped to form a 108,5 cm. Square. The white or black bases may be grouped at will. 271 Mex Cube To decline an idea transforming it into a project. A wide range of variations allowing as many combinations for different uses. A development and extension of the Mex range, Mex Cube is offered as a highly versatile system. Seating system with elements, available in two depths to be combined together, with or without backrest and armrests of different shapes and functions, allowing a variety of compositions: corner, straight, island, with opposite seats. The units can be also used individually. The different units are assembled by means of linking plates which can easily be installed on the base frame. The covers are completely removable. The internal frame is in steel and in differenciated-density CFC-free polyurethane foam. Upholstery in feather or polyester wadding.


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Directr, Inc.
Compatible with:
iPhone 3GS and up (optimized for iPhone 5)
iPod Touch 3rd Gen and up
iOS 5.0 or later
Available here
I always wanted to be a movie director, but a lack of ambition, and talent, sadly kept me from that particular goal. That still never stopped me from having a fascination with the filmmaking process, even if the particulars of the art have eluded me.
The new app Directr was seemingly made for people like me. It's a video recording app that allows you to produce semi-professional looking works out of video recorded on your Apple device. The difference between Directr and other film creation apps is the more relaxed approach it takes to the idea. The highlight of the app is that there is no editing required, and it's pretty much all point and shoot. That's not to say it's a bare bones program as you are allowed to insert text, music, graphics, and, in a particularly inspired bit of design, use storyboards to help you plan the layout of certain types of videos (which is a major contributor to the simplicity of the app).
What is the practical use of Directr? Well, based off of examples provided on the apps site, it can be used to stylishly record your baby's actions, make a modern day slideshow of your vacation (only interesting), or to provide a video capture to spice up your apartment listing just to name a few. Thanks to the deeply integrated social features, sharing your videos is exceptionally easy, and even already there is a growing community for doing just that, as people aspire to create viral video sensations, or even just sell a car.
If you had to assign a greater purpose to Directr though, it would be giving users the ability to enhance their everyday videos, without beating them over the head with the prospect of having to sort through and splice together mounds of footage. While it doesn't have the creative depth of a full fledged video editor, it does allow you to come up with a similar final product, and always maintains the fun of creating something that is closer to a film than a simple video, without forcing you through the elongated, tedious process usually required to do so.
For a free app, there is lot of life in Directr, and once you download it, it becomes hard to shoot any video, without suddenly framing it within the abilities of the app. Nothing you can create with Directr will be winning any Oscars, but the program itself does goes home with my award as app of the week.
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Posted in: Entertainment
Tags: App of the Week, app reviews, app reviews for dudes, app reviews for guys, app reviews for men, apple apps, apple store, Best New Apps, Directr, film making apps, ipad apps, iphone apps, movie making apps, video apps, video editing apps, video sharing apps


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To the editor:
Last week I saw on the news about a company in Northern Kentucky firing workers because they were praying.
A man they interviewed is not originally from the United States but said it was crazy to fire them especially since we have "freedom of religion."
To the editor:
It has been both an honor and a privilege to serve as your state senator for many years. You elected me to represent Harrison County. I appreciate all the support I have received from the community throughout the years and am grateful to the citizens for allowing me to serve.
To the editor:
I want to express my deep appreciation to The Democrat for publishing a special tribute to all those who have served our country, both past and present. It is not only patriotic to provide this service but also it shows sincere honor and respect. At a time when we observe some of our officials showing absolute neglect and even disdain for veterans' benefits, it is commendable to see someone doing the right thing.
To the editor:
I think since the newly opened by-pass around Cynthiana runs on the west side of our town from US 27 on the north side to US 27 on the south side, it should be called US 27 by-pass and the old US 27 through town should be named US 27 business. I don't agree with it being called US 62 in any way.
Steve Jackson
Cynthiana, Ky.
To the editor:
There are still a lot of good people in the world. We seem only hear of the bad ones.
Sunday after I left church I stopped by Lee's Famous Recipe to pick up some lunch for myself. Placed my order and when I drove up to pay for my meal, the young lady said, "The individual in front of you just paid for your lunch."
I thanked her and drove off. On the way home I was thinking "Pay it forward" and that is what I will do sometime.
Thank you whoever you are, you made my day much brighter.
To the editor:
The United Community Fund has been working in Cynthiana and Harrison County since 1972 to raise funds for local community needs such as assisting families in crisis, developing children, helping seniors and encouraging the health and well being of our community.
To the editor:
Myself and some of our neighbors have contacted our county officials about a residence in Oddville that piles their trash beside a small creek, burns it and it appears they wait for a heavy rain to come and wash the metal and melted plastics away. This has been going on all summer and it seems nothing has been done to stop it.
Copyright © 2018
The Cynthiana Democrat is your source for local news, sports, events, and information in Cynthiana, KY and the surrounding area.


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MCKINNEY, TX --A former North Texas police chief has been sentenced to three years in prison on multiple counts of molesting a child.
A judge in McKinney on Tuesday accepted the plea agreement with ex-Sulphur Springs police Chief Donald "Donnie" Gene Lewis. Investigators accused Lewis of having sexual relations with a girl between 2001 and 2004.
A Collin County grand jury last year indicted Lewis on three counts of aggravated sexual assault of a child, eight counts of indecency with a child/sexual contact and five counts of sexual assault of a child.
He pleaded guilty to 10 counts of indecency with a child.
Lewis was a Sulphur Springs officer for more than 25 years before retiring in 2001. He later moved to Dallas.
Sulphur Springs is 75 miles northeast of Dallas.


text:
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A week after an solution was worked out over perceived problems regarding senior citizens' accessibility to the Ridgerunner system, one Ridgecrest resident still believes there is a problem.
"There have been no resolutions to the problem," Thomas McClellan said over the phone Thursday.
McClennan said it was still dangerous and hard for senior citizens to access the bus stop.
The matter came up during the Nov. 8 council meeting when Councilwoman-elect Lori Acton brought it before the city council on the seniors' behalf.
Seniors brought 15 complaints regarding access to the senior center, including the distance of the original bus stop from the senior center.
At the meeting, Acton said she and Interim City Manager Dennis Speer had worked out an agreement to roll out and start up a bus jointly owned by the Happy Times Senior Citizens and the city. In addition, a makeshift bus stop has been set up directly in front of the walkway to the senior center.
"I want to make sure they're trying to get seniors included in the process," McClellan said.
McClellan said that while Acton had brought the issue to the city council's attention, it didn't go far enough.
"Since she's been elected to the city council, she can't rock the boat too much," McClellan said.
McClellan said he had filed 15 more complaints with the city and called State Senator Jean Fuller's office concerning the matter.
"I know one lady that is paying $11 in cab fare to get to the senior center for a $2 meal," McClellan said.
McClellan said that putting the bus stop on the sidewalk outside of the senior center's parking lot did not solve matters, given seniors had to cross the parking lot and other obstacles.
"There are all types of things that they're (the city) not thinking about," he said.
Sen. Fuller's district office confirmed that McClellan had called with concerns, but could not comment given the recent timing of the call.
Acton said in an interview that she had spoken with Speer and Parks and Recreation Director Jim Ponek Thursday on the initial matter.
"The city wants to turn the senior bus over to the seniors," Acton said. "The Happy Time Seniors are going to look at finding some grant funding for licenses and insurance fees."
Acton said that a volunteer driver with a Class B driver's license had been secured to drive the seniors bus.
"In the beginning we'll have him run from 11 a.m. to 1 p.m. to pick up seniors door-to-door and drop off them and take them back," Acton said.
Acton said the city would try to do initial maintenance overhaul in the next few weeks to ensure everything was in working order.
"It's great and I'm glad the city is stepping up for that," Acton said.
Acton said it had been McClellan who initially brought the matter to her attention.
"When this first started, he is the person who came to me along with a group of seniors who said they were upset, frustrated and asked 'why won't they drop us at the door,'" she said.
Acton said the problems the city transit system apparently faced included its buses' inability to enter the parking lot.
However, Acton expressed concern that McClellan 's continued insistence for solutions could possibly hinder process.
City staff could not be reached for comment regarding McClellan 's concerns as of press time.
"Mr. McClellan seems to think that the city is discriminating against people with handicaps and that they're not ADA compliant," Acton said.
Acton said that was not the case, and that she had gone to the city with seniors' concerns and then relayed results back to that group.
"He was supposed to be done stirring stuff up," Acton said.
She said someone will talk with McClellan on the issue.
"I can't help the seniors if he keeps undermining everything I'm doing," Acton said.


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California has earned an F on a report card issued by the maverick education-reform group StudentsFirst. And as a sign of how fractious school politics has become, the state's No. 2 education official called the failing grade "a badge of honor."
Founded by former Washington, D.C., schools Chancellor Michelle Rhee, StudentsFirst pushes for education policy reform at local, state and national levels. To further its agenda, the group published a report card Monday rating the 50 states and the District of Columbia.
In three areas rated, California earned a grade-point average of 0.69 and ranked 41st in the nation. Not that most states fared a lot better: the national GPA was a mere 1.22, on a scale up to 4.0, or a D. The highest-scoring states, Florida and Louisiana, earned only a B-minus.
On the individual metrics, California earned two Fs, in empowering parents and in improving the teaching profession, but did rise to a D in the area of spending and governance -- for the ability the state has to intervene in low-performing schools. But the report noted, the state has not strategically used that authority.
The critical report set off reactions including anger, derision and dismissal.
Richard Zeiger, California's chief deputy state superintendent of public instruction, called StudentsFirst "an organization that frankly makes its living by asserting that schools are failing." In a prepared statement, he said, "This group has focused on an extremely narrow, unproven method that they think will improve teaching. We just flat-out disagree with them."
In response to Zeiger, Rhee shot back, "perhaps he considers it a badge of honor that children are going into underperforming classrooms every day in California without a way to choose a better school option? Maybe he's proud that great teachers in California aren't paid adequately and are often laid off based on seniority, not effectiveness." She called that system "a social injustice."
The report focuses not on the traditional criteria for judging schools, such as student achievement, per-pupil spending or staffing, and instead looks at policies that StudentsFirst believes foster better teaching and learning.
Thus it awards points for laws that encourage high-quality charters, allow intervention in failing schools, and link student growth to teachers' evaluation, placement, layoffs and pay. The group believes states should link spending to academic achievement, and create compensation plans that don't penalize teachers for moving from district to district.
The survey dings states, including California, for preserving seniority rules for teachers and limiting charter-school growth.
But it's not clear that all the changes that StudentsFirst advocates improve education. For instance, the group wants to award city mayors the power to take over failing schools, although there's questionable evidence that such takeovers help students learn better.
Teachers unions attacked the report, saying it's timed to coincide with the start of legislative sessions, and that it doesn't measure achievement, class size, graduation rates or other academic indicators.
Dean Vogel, president of the California Teachers Association, said, "this so-called 'report card' is simply political gamesmanship on the backs of our students once again."
Critics also pointed out that states like Massachusetts, which perform at the top of national education tests, are rated poorly. The survey proves, they said, that Rhee stands for privatizing education and destroying unions. As chancellor of schools in the nation's capital, Rhee developed a rigorous evaluation system for teachers and fired those who did not improve student achievement. With StudentsFirst, she has continued to be a lightning rod for controversy. Last year, Rhee drew protesters when she spoke at the Paramount Theatre in Oakland about her agenda for school reform.
Contact Sharon Noguchi at 408-271-3775. Follow her at Twitter.com/NoguchiOnK12. ___


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We have been in business since 1996 and have been offering the Frozen Rotor brand of brake rotors for the last 13 years. What is a Frozen Rotor? Well, we start with the highest quality automotive, truck, or SUV brake rotor that we can source and then we run it through a 60-hour cryogenic process. Once cryogenically treated, the brake rotor becomes much more resilient to the stresses caused by the constant heating and cooling that a rotor is subjected to in its normal operating environment. What you get is a long lasting brake rotor that out performs standard rotors by double the mileage! That means you save money. For more details go to Why Deep Cryogenics.
One of the key components to maximizing the mileage between brake jobs is installing the correct brake compound for the type of driving you do. Over the years we have tested many brake pads in all driving conditions. From racecars, police cars, ambulance fleets, performance cars, trucks/suvs, and the family daily driver. We have selected three brake pad manufacturers for our website that we have thoroughly tested and feel they represent the highest quality pads on the market. Between Performance Friction, Hawk Performance, and Velvetouch, we can get you the proper brake compound for your of driving style.
If you would like assistance on selecting the right brake pad please call 888-323-8456 to speak with one of our brake specialists.
In addition to our Frozen Rotors® brand of brake rotors we offer a number of other high quality and high performance brake rotors. Our Street Sport Cryo brake rotors are drilled and slotted and look great behind a cool set of wheels. We have high performance Disc Brake Australia brake rotors that feature their "Kangaroo Paw" design. This design pumps more air through the rotor for better cooling. For brake system maintenance we have AP Racing Super 600, ATE amber and ATE super blue brake fluids. We plan on adding more products from quality manufacturers so please check back with us for details. Or follow us on facebook for new product announcements and upcoming specials!
Thank you for visiting FrozenRotors.com. Our goal is to provide our customers with the highest quality brake parts with maximum brake life. If you have any questions feel free to contact us at email@example.com.


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Savvy car buyers often avoid buying a brand-new because of the immediate depreciation.
The same principle can apply to wedding gowns. If you buy a gently used bridal frock, you can easily save 20 percent or more.
Even better, if you can simply borrow it, you may save more than 10 percent to 30 percent of your wedding budget. Either way, you can fulfill one of the four commandments of your wedding day of wearing "something old" or "something borrowed."
Founded by Jacqueline Courtney, a former fashion publicist and one-time bride, NearlyNewlywed.com is one website tapping into the mindset of saving money during one of life's most expensive events and even leaving a minimal...


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Main Content:
Tank Tops For Women
Old Navy Tank Tops For Women
Old Navy has a fabulous selection of tank tops for women. Our women's tank tops add a touch of flattering femininity to your wardrobe. Find camisoles for women with ruffles, sequins, flower embellishments and lace. Wear tank tops for women from Old Navy with a business suit or with jeans for a fun, fashionable look.


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The Vietnam War | Broadcast Version
Episode Five | Preview
Preview: Episode 5 | 30s
In an immersive narrative, Ken Burns and Lynn Novick tell the epic story of the Vietnam War as it has never-before been told on film. THE VIETNAM WAR features testimony from nearly 80 witnesses, including many Americans who fought in the war and others who opposed it, as well as Vietnamese combatants and civilians from both the winning and losing sides.
Aired: 09/20/17
Expires: 09/16/27Video has closed captioning.
The full episode is no longer available for online streaming. Why?
Please continue to enjoy extra(s) from this episode. The full episode is still available for purchase through the "Buy Now" links.


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In late 2012 I will be relocating to Staffordshire, and will unfortunately not be re-starting the business as I will be busy renovating a new home, and it will be some time until I have a kitchen suitable for baking. I am now no longer taking on any new business. I would like to take this opportunity to thank all my fabulous customers over the last seven years. It has been a pleasure to create such a wonderfully varied selection of cakes for all your events.
Helen Hastilow.


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February 16, 2018
This episode begins with a meditation on "the people" – that phrase in the mouths of politicians left and right. We also hear some music: variations on "The People United Will Never Be Defeated!" Jay then talks about immigration, sports, and some other things. He ends with The Parade – the parade ordered up by President Trump, who was inspired by Bastille Day in Paris. Jay says, if there is to be a parade, at least let the music be good. We then hear some John Philip Sousa – specifically, a march that bears the name of a newspaper. It steps lively!
Pictured: Colombia's FARC leader and presidential candidate Rodrigo Londono, also known as Timochenko, speaks during a presentation in Bogota, Colombia, January 27, 2018. (Jaime Saldarriaga/Reuters)
You can subscribe to Jaywalking on iTunes, Google Play, Stitcher, and TuneIn. You can also download this episode here.


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Icelanders Invite Tourists Into Their Homes
Encouraging a nation-wide participation, The President of Iceland, Olafur Ragnar Grimsson has invited tourists to enjoy pancakes at his home in an effort to make tourists feel welcome in Iceland. Grimsson, will be joined by other officials including the Mayor of Reykjavik and the Minister for Tourism, who will also be inviting people into their homes.
This initiative is a part of a new tourism campaign, aimed at encouraging tourists to visit Iceland during the off-season. It is a continuation of the award-winning Inspired by Iceland campaign that turned around the country's tourism industry following the eruption of Eyjafjallajokull in 2010.
Katrin Juliusdottir, Iceland's Minister of Tourism, said "We want visitors to our country to become Icelanders, to 'be Icelandic'. The ash cloud caused by the Eyjafjallajokull eruption last year made us think really hard about what coming to Iceland meant."
Juliusdottir continued, "We realised it is about the passion that our citizens have for our country and that they want to tell the world how beautiful it is and what an amazing experience it can be. Those thinking of visiting Iceland and wanting a real adventure will love what our people have to offer as they share their lives with them."
Icelanders have answered the call, and invitations are streaming in to www.inspiredbyiceland.com where Icelanders volunteer to open their doors to welcome visitors with open arms.


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If your submission is for a reading or book launch, please include the ISBN for the book(s).
For filming, weddings, and other rentals, please email here .
453 S Spring St – Ground Floor
Los Angeles, CA 90013
Hours of operation:
Sun-Thur 10a-10p Fri-Sat 10a-11p
PLEASE NOTE that before entering our store we ask you to check with security any bag larger than an 8×11″ sheet of paper, due to problems with shop-lifting.
Our address is 453 S Spring St , but the entrance is on 5th St. (the Spring St Center entrance is only for people loading in books to sell).
We are on the corner of Spring and 5th, which are both one-way streets. Spring St. runs south, 5th St. runs west.
From the 110 N or S, get off at 4th St. Turn right on Spring and we are on the next corner.
From the 101 N, get off at Los Angeles St. Turn right on 3rd, then left on Spring.
From the 101 S, get off at Broadway. Turn left on 4th St. Turn right on Spring.
There is metered street parking on both sides of Spring and 5th streets. Many streets have no parking during afternoon/evening rush hour. To avoid towing, please check signs. Street parking is free after 6pm or 7pm (depending on street) and on Sundays.
Pay parking lots can be found at the corner of 4th Spring or on the right side of Spring just before and after 5th St and our store. They cost $6-15 depending on the day and time. We don't validate, sorry!
There is a Metro Red/Purple Line stop 2 blocks from us: the Pershing Square station. Exit the station on the Pershing Square side, and walk 2 blocks east on 5th St. (cross Broadway) to the corner of 5th Spring. We're located on the northwest corner (across from the Alexandria Hotel Buzz, respectively).
We buy more books than anyone else in southern CA! We don't buy everything and are quite selective but will consider all good books and records in very good or better condition . We buy based on our inventory needs, which can change day to day.
Book/DVD/CD Buy Counter HOURS: 7 days a week, 10am-5pm
How it works: Bring your items in to our Buy counter from the Spring St. back entrance. First come, first serve, but you'll rarely wait more than 20 minutes.
If you have more than 500 items (20 boxes), please Request a Home Visit. Include with your email at least 10 photos representative of your collection, with 10-15 clearly legible spines in each photo. And a phone number.
Please note we only purchase books from smoke-free environments.
If bringing your items in, it's best to park near and enter through the 453 S Spring St entrance. If you come in the 5th St entrance with items to sell, the guard will ask you to go outside and around to the Sellers entrance on Spring St. We have a hand-truck you can borrow. An ID is required to sell items. It's first come-first serve but wait times are rarely more than 20 minutes.
After evaluating your items, we'll make you a CASH and a TRADE offer. Our CASH offer will be 20-50% of what we can re-sell your items for. For common everyday books, that usually translates to $1-3 each. For current textbooks, collectible books, recently published books, and others we are more likely to pay quite a bit more. Our TRADE offer of store credit will usually be 50% more than the Cash offer and is good for used books only. You are welcome to donate any items we make no offer for.
We much prefer if you bring your items in when the Buy counter is open but if you must drop your items off after 5pm (or if you have too many books for us to go through quickly), you can sign a drop-off agreement and we'll look at them within a day and give you a call with our offer.
The Last Bookstore buys, sells, and trades tons of Vinyl Records during regular business hours. The record buyer is at the store Wednesday thru Sunday from 10am until 5:30pm. Please note, there is no record buyer in the store Monday or Tuesday. Please feel free to email our record buyer with details on what records you have, or bring them by the store. We make house calls for large collections too – please email us! We will always take a look at any records you want to sell, but most records have to be in nice condition; although we make exceptions for unique collectible items. We pay between 1/3 and 1/2 of our sell prices.
We take pride in our reputation for paying a fair amount for quality collectible records.
While we purchase hundreds of books records each day, please consider
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your items if you don't especially need to sell. Bookstores won't be around forever, and every donation helps us stay in business longer. Books we can't use are re-donated for charitable purposes as we find need.
To schedule a free donation pick-up in LA County, use
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Secondary IPs is a resource located within the network adapter resource on environment VMs. This resource does not exist for template VMs.
The element name is
and the following fields are defined:
GET https://cloud.skytap.com/v2/configurations/ <configuration-id> /vms/ <vm-id> /interfaces/ <interface-id> /secondary_ips.json
Representation of the secondary IPs
POST https://cloud.skytap.com/v2/configurations/ <configuration-id> /vms/ <vm-id> /interfaces/ <interface-id> /secondary_ips.json
: An available IP in the network's subnet. One IP can be added per request.
Representation of the secondary IP, with added ID field. If the requested IP address is not available, an error will be returned.
Secondary IPs cannot be edited. Instead, detach the unwanted secondary IP and create a new one.
DELETE https://cloud.skytap.com/v2/configurations/ <configuration-id> /vms/ <vm-id> /interfaces/ <interface-id> /secondary_ips/ <ip-id>
Where is the secondary IP's ID.
Removed secondary IP.
VM user data v2 resource model
Supported operations on VM user data
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(The environment VM resource and template VM resource contain a metadata (user data) sub-resource that must be directly accessed from its own URI. This is a free-form text field used in automation scenarios. For more information, see Accessing the VM Metadata Service .
https://cloud.skytap.com/v2/configurations/configuration-id></strong>/vms/ <vm-id> /user_data.json
https://cloud.skytap.com/v2/templates/ <template-id> /vms/ <vm-id> /user_data.json
GET https://cloud.skytap.com/v2/configurations/ <configuration-id> /vms/ <vm-id> /user_data.json
Contents of user data field.
PUT https://cloud.skytap.com/v2/configurations/ <configuration-id> /vms/ <vm-id> /user_data.json<container-id>
The element name is
and the following fields are defined:
See the Environment containers resource .
GET https://cloud.skytap.com/v2/containers/ <container-id> .json
The API will return a detailed, read-only representation of the container.
PUT https://cloud.skytap.com/v2/containers/ <container-id>
must be one of
, or
must not duplicate the current container name or the name of other containers in the environment. Restricted to uppercase letters, lowercase letters, numbers, underscores (_), and periods.
Updated representation of the container.
GET https://cloud.skytap.com/v2/containers/ <container-id> /logs.json?line_count= 25
must be an integer between 1 and 500, inclusive.
Representation of the container, with a populated logs field. If the container log is empty, the logs field contains an empty string.
GET https://cloud.skytap.com/v2/containers/ <container-id> /inspect.json
Representation of the container, with a populated inspect_report field. The inspection report is returned as a string with unparsed JSON.inspect_report
POST https://cloud.skytap.com/v2/configurations/ <configuration-id> /vms/ <vm-id> /containers
Required and optional parameters
Optional parameters
Field name
Environment variables to set in the container. Formatted as a list of objects with key and value attributes.
If no environment variables are provided, this field will contain an empty array.
Docker labels to attach to the container. Formatted as a list of objects with key and value attributes.
If no labels are provided, this field will contain an empty array.
Command that will be executed when the container starts.
If no command is provided, this field will contain an empty string. Docker will default to using the command in the image spec (if applicable).
Arguments to be passed to the container.
If no entry point is provided, the field will contain an empty string.
Indicates whether the container be given access to the host operating system.
by default.
Provides Docker with conditions for restarting container. If specified, one of:
Otherwise, an empty string is interpreted as "never restart".
The maximum number of retry attempts for restarting the container (when the is selected as the restart_policy ).
by default. If max_restarts is , the container will never be restarted.
Relative priority over other containers for CPU resources.
by default. Higher values indicate higher priority.
Max MBs of memory the container is allowed to use.
by default; this means no limit should be applied.
Whether or not to expose all container ports to the host.
by default.
Array of host directories to mount as data volumes on the container. Formatted as a list of objects with the following attributes:
Connects the container to one of several network options:
For more information, see the Docker network settings documentation.
Array of port bindings between the container and container host. Formatted as a list of objects with the following attributes:
When are included, is a required field.
Hostname for the container
Domain name for the container
Representation of the new container. While the container is being created, the representation will contain an
field with the container status and a dictionary of any error messages. Once the container is created, the operation field will no longer be present.
By Bo Barron
Entrepreneurs suffer from what John Maxwell calls the Law of the Lid. This law says that the entrepreneur is the cap on what can be accomplished. In other words, he or she is the bottle-neck of their own business. Most entrepreneurs I know suffer from some version of...
I recently found an article by Stephen Covey, best-selling author of the world renowned book, "The 7 Habits of Highly Effective People". In this article, titled "Sharpen Your Focus", Covey outlines four disciplines that (if practiced consistently) can vastly improve...
This week I made my annual trek to Las Vegas for the greatest commercial real estate show on earth. ICSC's RECon 2018 had all the pomp and circumstance as the last 7 years (my consecutive attendance streak), including: the big booths, extravagant parties (shout out to...
When I was running my own commercial real estate firm, I was busy. I would characterize most days as chaotic. Even when I did have a plan for the day, distractions, interruptions, and opportunities would appear from nowhere and knock me off course. I had bought into...
This will be my 7th consecutive trip out Las Vegas for this years' RECon show. This is the largest commercial real estate show in the United States. Two-days of back-breaking speed walks between meetings, only to jump on a 5+ hour flight back home -- praying for a...
Last week I wrote about a disturbing trend of posts I was seeing on various portals regarding LoopNet's recent price increases. My objective was notto lead a revolt -- but simply to let the brokerage community know you are not alone, others are also frustrated with...
As a commercial real estate coaching organization, we generally have a good pulse on the markets where our clients transact, as well as the obstacles that come along with creating personal, sustainable businesses. When a major distributor of data, LoopNet, made the...
This past weekend we held our second live event, the Massimo Immersion – Your 2018 Prospecting Playbook in the last 6 months. As with the November event, this May event drew a full house of dedicated commercial real estate brokers and agents from across the country --...
Copyright © 2018 Middle Georgia State University


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Since its founding in 1981, the ACCME has focused on setting and maintaining accreditation requirements that are relevant to physicians' lifelong learning needs and responsive to changes in the health care environment. The purpose of the ACCME accreditation requirements is to set expectations for accredited providers that ensure CME is independent, based on valid content, and contributes to health care improvement for patients and their communities.
The ACCME develops and updates its accreditation requirements through a deliberative process that includes reviewing and analyzing relevant research and obtaining feedback from multiple constituents, including accredited providers.
There are three parts to ACCME accreditation requirements: the Accreditation Criteria, the ACCME Standards for Commercial SupportSM, and the ACCME Policies.
For your convenience, we have created a compilation of the accreditation requirements in one document. The PDF includes the ACCME Accreditation Criteria, the ACCME Standards for Commercial SupportSM: Standards to Ensure Independence in CME Activities, and the ACCME Policies.
The Accreditation Criteria
Released in 2006, the Accreditation Criteria are based on a learner-centered, continuous improvement model of CME and call on accredited providers to offer educational activities that address physicians' real-world practice needs, whether their scope of practice is in clinical care, research, health care administration, or other areas of medicine. The Criteria state that CME programs should be designed to change either physicians' competence, by teaching them strategies for translating new knowledge into action, or physicians' performance (what they actually do in practice), or patient outcomes. Accredited providers must also evaluate their programs' effectiveness in achieving these goals.
The 2006 Accreditation Criteria are built upon two earlier sets of accreditation guidelines. The first set, called the Seven Essentials and established in 1982, laid the foundation for an accreditation system. They required providers to create CME mission statements, use a needs assessment process to plan educational activities, develop educational objectives for each activity, and evaluate the effectiveness of their overall CME programs.
In 1998, the ACCME updated the guidelines, releasing the Essential Areas and Their Elements, or System98. The revised model encouraged accredited providers to focus on CME that linked educational needs with desired results, and to evaluate the effectiveness of their CME activities in meeting those educational needs. The ACCME continued to expect accredited providers to implement processes for reviewing and improving their overall CME programs.
The ACCME developed the 2006 Accreditation Criteria in response to changes in the health care environment. The government, the public, and organized medicine called on the CME system to be even more accountable in facilitating and demonstrating physician practice improvement. The ACCME was asked by its member organizations and others to assist in repositioning the CME enterprise as a strategic asset to the quality improvement and patient safety imperatives of the US health care system, such as addressing health care disparities, reducing medical errors, and preventing and treating chronic disease. The Institute of Medicine reports - To Err Is Human: Building a Safer Health System, Crossing the Quality Chasm and Health Professions Education: A Bridge to Quality - identified critical factors for improving the quality of care.
The ACCME Board of Directors Task Force on Competency and the Continuum of Medical Education received oral and written testimony from a wide representation of organizations within the CME enterprise, as well as other organizations interested in physician education. Its final report, released in April 2004, stated, ―To meet the needs of the 21st-century physician, CME will provide support for the physicians' professional development based on continuous improvement in the knowledge, strategies, and performance of practice necessary to provide optimal patient care. The Accreditation Criteria were created to fulfill those goals and are designed to align with the American Board of Medical Specialties Maintenance of Certification® initiative and the Federation of State Medical Boards Maintenance of Licensure Initiative.
Learning and change are the goals of the Accreditation Criteria, both for the learners and providers, as described in the article ―Accreditation for Learning and Change: Quality and Improvement as the Outcome, by ACCME Deputy Chief Executive Kate Regnier, et al., Journal of Continuing Education in the Health Professions, September 2005. Under the 2006 Accreditation Criteria, all providers must not only analyze changes in learners, they must also analyze their own effectiveness at meeting their CME program's mission and identify plans for improvement.
The 2006 Accreditation Criteria foster leadership, collaboration, and system-wide change by rewarding CME providers with Accreditation with Commendation, if, among other requirements, they act as a strategic partner in quality initiatives within their institution, health system, or community through collaborative alliances. Such accredited providers must implement educational strategies to address, remove, or overcome barriers to physician change.
ACCME Standards for Commercial SupportSM: Standards to Ensure Independence in CME Activities
The 2004 ACCME Standards for Commercial SupportSM: Standards to Ensure Independence in CME Activities are designed to ensure that CME activities are independent and free of commercial bias. The Standards impose stringent restrictions on CME providers' interactions with drug/device companies and other companies the ACCME defines as a commercial interest. The ACCME allows providers to accept company funding for CME activities, but prohibits any commercial influence, direct or indirect, over CME content.
The ACCME Standards for Commercial Support comprise six standards: independence, resolution of personal conflicts of interest, appropriate use of commercial support, appropriate management of associated commercial promotion, content and format without commercial bias, and disclosures relevant to potential commercial bias.
Building on guidelines that the ACCME first issued in 1987 and formally adopted in 1992, the 2004 ACCME Standards for Commercial Support added the following elements:
- CME providers must ensure that CME planning decisions are made free of the control of a commercial interest cannot take the role of a nonaccredited partner in a joint sponsorship relationship.
- Providers must be able to show that everyone who is in a position to control the content of educational activities has disclosed to the provider all relevant financial relationships with any commercial interest.
- Those who refuse to disclose relevant financial relationships are disqualified from participation in planning or delivering education.
- Providers must implement a mechanism to identify and resolve all conflicts of interest for all persons in control of content, including planners, teachers, and authors.
- The provider must have written policies and procedures governing honoraria for planners, teachers, and authors.
When making decisions about implementing the ACCME Standards for Commercial Support, the ACCME says that CME providers must always defer to independence from commercial interests, transparency, and the separation of CME from product promotion. In other words, the purpose of CME must be to serve physicians' learning and practice needs and to promote public health.
ACCME Policies
The ACCME issues policies and policy-related definitions that supplement the ACCME Criteria and Standards for Commercial Support. These policies offer more specific guidelines on areas including educational formats, such as Internet and journal CME, and business practices, such as records retention. In some cases policies are developed to address emerging issues, such as the clinical content validation.
Accredited providers must adhere to the ACCME policies that are relevant to their organizations, as well as to the Accreditation Criteria and the ACCME Standards for Commercial Support.