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QUESTION: In patients with pre-existing coronary heart disease (CHD), do the benefits of nurse led secondary prevention clinics continue beyond 1 year?
Randomised {allocation concealed}*, unblinded*, controlled trial with mean follow up of 4.7 years.
19 randomly selected general practices in Scotland, UK.
1343 patients (mean age 66 y, 58% men) who had CHD. Exclusion criteria were terminal illness, dementia, and inability to leave home. 82% of patients were followed up.
673 patients were allocated to receive invitations to attend secondary prevention clinics at their general practice where nurses reviewed symptoms and treatments, promoted aspirin use, reviewed blood pressure and lipid management, assessed lifestyle factors, and negotiated any necessary behavioural changes. 670 patients were allocated to usual care. The intervention ended after 1 year, individual results were sent to the general practices, and patients in both groups were allowed to attend secondary prevention clinics if their general practitioners continued to offer them.
Main outcome measures
Use of secondary prevention (only blood pressure management and lipid management had >80% follow up), total mortality, and coronary event rates (coronary death or non-fatal myocardial infarction).
Main results
Analysis was by intention to treat. Patients in the intervention group maintained the same level of secondary prevention use at 4 years, except for exercise. After the initial trial, increased use of secondary prevention in the control group resulted in no differences between the treatment and control groups at 4 years. Results were adjusted for age, general practice, sex, and baseline secondary prevention; the reduced total mortality and coronary event rates seen in the intervention group during the first year were sustained (table⇓).
Nurse led secondary prevention clinics maintained secondary prevention use after 4 years, and the decreased mortality and coronary events seen in the first year remained at 4 years.
Murchie et al appear to confirm the long term effectiveness of nurse run clinics for increasing secondary prevention in primary care settings. The use of the clinics by control patients after completion of the first trial meant that the initial difference between the treatment and control groups at 1 year disappeared. However, adjusted analyses suggest that patients attending the nurse run clinics had significantly better survival and fewer coronary events after approximately 5 years, with the suggestion that longer participation in the clinics yielded the best outcomes.
The effectiveness of nurse run clinics in reducing short term cardiovascular risk has been previously established.1–,2 The maintenance of these improvements over the long term encourages further development of such programmes. However, the absence of discussion around a theoretical model for the nursing intervention might hinder the study's replication in other settings. The transtheoretical model is effective for many health behaviours and may add benefits here, as may the use of process evaluation.3–,4
Secondary prevention with respect to appropriate medication use (aspirin, antihypertensives, and lipid lowering agents) has clear benefits, and nurses can improve patient compliance with such regimens by helping patients tailor regimens to their unique circumstances. The findings of Murchie et al suggest that, firstly, more research is necessary to determine ways in which nursing might contribute to equally impressive improvements in diet and exercise behaviour as were found for use of pharmacological treatments. Secondly, by studying effective practice models to guide nursing, results such as these may be more widely applied.
Source of funding: Chief Scientist Office at the Scottish Executive.
For correspondence: Mr P Murchie, Department of General Practice and Primary Care, University of Aberdeen, Aberdeen, UK. p.murchie{at}abdn.ac.uk
A modified version of this abstract appears in Evidence-Based Medicine.
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This lesson is a case study of atmospheric ozone levels developed from observations over Thule, Greenland in 2002. Students will download a composite graph of this stratospheric ozone data taken from two different sources: the SAGE III satellite and... (View More) an ozone sensor on a weather balloon. Instructions for downloading the graph to either a computer or a graphing calculator (the TI-84 Silver Plus is recommended) are included in the lesson. Students will then compare and analyze the two data sets shown on the graph. Emphasis is placed on the applicability of using the weather balloon data to validate the satellite data. This lesson uses student- and citizen science-friendly microsets of authentic NASA Earth system science data from the MY NASA DATA project. It also includes related links, extensions, and an online glossary. (View Less)
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|MLB Career Stats
|LA Dodgers
|LA Dodgers
|St. Louis
|Vero Beach
|16th in NL
|6th in NL
|13th in NL
|21st in NL
|11th in AL
|20th in NL
|3rd in NL
|16th in NL
|5th in NL
|7th in NL
|19th in NL
|May 31, 2017
|St. Louis Cardinals released RHP Jonathan Broxton.
|December 10, 2015
|St. Louis Cardinals signed free agent RHP Jonathan Broxton.
|November 2, 2015
|RHP Jonathan Broxton elected free agency.
|July 31, 2015
|Milwaukee Brewers traded RHP Jonathan Broxton and cash to St. Louis Cardinals for LF Malik Collymore.
|July 31, 2015
|St. Louis Cardinals activated RHP Jonathan Broxton.
|September 1, 2014
|Milwaukee Brewers activated RHP Jonathan Broxton.
|August 31, 2014
|Cincinnati Reds traded RHP Jonathan Broxton to Milwaukee Brewers for RHP Barrett Astin and RHP Kevin Shackelford.
|April 8, 2014
|Cincinnati Reds activated RHP Jonathan Broxton from the 15-day disabled list.
|April 4, 2014
|Cincinnati Reds sent RHP Jonathan Broxton on a rehab assignment to Pensacola Blue Wahoos.
|March 30, 2014
|Cincinnati Reds placed RHP Jonathan Broxton on the 15-day disabled list retroactive to March 22, 2014. Recovering from August 2013 right elbow surgery
|November 1, 2013
|Cincinnati Reds activated RHP Jonathan Broxton from the 60-day disabled list.
|August 25, 2013
|Cincinnati Reds transferred RHP Jonathan Broxton from the 15-day disabled list to the 60-day disabled list.
|August 22, 2013
|Cincinnati Reds placed RHP Jonathan Broxton on the 15-day disabled list. Flexor mass strain in right forearm.
|August 7, 2013
|Cincinnati Reds activated RHP Jonathan Broxton from the 15-day disabled list.
|July 30, 2013
|Cincinnati Reds sent RHP Jonathan Broxton on a rehab assignment to Louisville Bats.
|June 15, 2013
|Cincinnati Reds placed RHP Jonathan Broxton on the 15-day disabled list retroactive to June 14, 2013. Right elbow flexor mass strain.
|November 28, 2012
|Cincinnati Reds signed free agent RHP Jonathan Broxton.
|November 3, 2012
|RHP Jonathan Broxton elected free agency.
|August 1, 2012
|Cincinnati Reds activated RHP Jonathan Broxton.
|July 31, 2012
|Kansas City Royals traded RHP Jonathan Broxton to Cincinnati Reds for LHP Donnie Joseph and RHP J.C. Sulbaran.
|November 29, 2011
|Kansas City Royals signed free agent Jonathan Broxton.
|October 30, 2011
|RHP Jonathan Broxton elected free agency.
|September 30, 2011
|Los Angeles Dodgers activated RHP Jonathan Broxton from the 15-day disabled list.
|June 21, 2011
|sent RHP Jonathan Broxton on a rehab assignment to Albuquerque Isotopes.
|May 6, 2011
|Los Angeles Dodgers placed RHP Jonathan Broxton on the 15-day disabled list retroactive to May 4, 2011. Sore right elbow.
Graduated from Burke County (Ga.) High School in Waynesboro, Ga., in 2002, where he also played basketball ...struck out 130 in 74.1 innings his senior year with a 9-2 record and 1.21 ERA while also hitting .596 with 7 home runs and 40 RBI...was voted by his St. Louis teammates as the recipient of the Darryl Kile Award in 2016...enjoys hunting, fishing and golf...he and his wife, Elizabeth, have three sons, Brooks, Blain and Brandt, and reside in Waynesboro, Ga.2016
Appeared in 66 games for St. Louis earning 13 Holds. His 3rd straight season of 60 or more appearances...Ranks 9th among pitchers in appearances since 2007 (10 seasons) with 592...Surrendered just seven runs over 31.2 innings pitched (34 games) on the road for a 1.99 ERA vs. 22 ER allowed (25 R) in 29.0 IP (32 G) for a 6.83 ERA at home...Posted solid marks against NL Central opponents with a 2.17 ERA and .183 opp BA in 29 app...Stranded 12 of his 17 runners inherited; came into a game 56 times with zero runners aboard...Recorded season-high 12.0 IP scoreless streak fron 5/31-6/28. Allowed one June run in 11.2 innings/ 13 games (0.77 ERA)...Made four appearances of 2.0 IP, all of which were scoreless outings. The 2.0 IP matches a career high (done 21 times)...Appeared in 38 games before the All Star Break (15 ER / 35.1 IP) and 28 games after the break (14 ER / 25.1 IP)...Finished the season winning his last three decisions (7/21-10/2), including the final game of the season vs. PIT (10/2).2015
Acquired in a trade with the Brewers on 7/31 for Cardinals minor league OF Malik Collymore…Appeared in 26 games with the Cardinals after the trade (3-3, 2.66), averaging 9.9 K/9 IP over 23.2 innings. Tossed scoreless outings in 19 of 26 appearances…Struck out the side five times (4 with STL); had 63 K's in 60.1 IP…Allowed only 1 ER (0.75 ERA) at Busch Stadium in 12 appearances (12.0 IP)…Was unscored upon in 11 straight appearances 7/4-8/6 (10.1 IP), permitting just three hits and striking out 10 in that span. ..Went 3-3 with a 2.28 ERA in 30 appearances post All-Star Break and was 1-2, 6.61 ERA in 36 apps. prior to the Break…Earned 3 wins in September, tied for the most among Cardinals pitchers (J. Garcia) and trailing only Jake Arrieta in the National League (4).2014
Went 4-3 with a 2.30 ERA and seven saves in 62 relief appearances between Cincinnati and Milwaukee.....held opponents to a .197 batting average...Retired 46 of 62 first batters faced (74.2%)...Stranded 13 of 18 inherited runners (72.2%)...Went 7-for-15 in save opportunities (46.7%)...Began the season on the 15-day disabled list as he recovered from 8/23/13 surgery to repair a torn right forearm flexor mass.....was reinstated on 4/8 after rehab at Double-A Pensacola (2g)...Went 4-2 with a 1.86 ERA and seven saves in 51 relief appearances with the Reds...Was traded to Milwaukee on 8/31 in exchange for two players to be named.....the players were RHP Kevin Shackelford and RHP Barrett Astin on 9/10...Went 0-1 with a 4.35 ERA in 11 relief appearances with the Brewers2013
Made 34 apps around 2 stints on the disabled list (6/15-8/6, 8/22-remainder of the season)...on 8/23 had season-ending surgery to repair the torn right forearm flexor mass (Dr. Timothy Kremchek)...posted a 4.33era in 29 apps prior to his first stint on the DL, then pitched in 5 more games before he was disabled again...in the eighth inning on 4/14 at Pit suffered a blown save and the 10-7 loss after tying career highs by allowing 6 runs, 2 homers and 3 walks (0.2ip)...in his other 33 apps of the season posted a sterling 2.40era...on 11/1 was reinstated from the 60-day disabled list.2012 In 60 relief apps for the Royals and Reds went 4-5, 2.48 with 27 saves in 33 chances ... at the trade deadline was acquired from KC for minor leaguers RHP Juan Carlos Sulbaran and LHP Donnie Joseph ... recorded all 4 of his saves for Cin over 4 consecutive apps from 9/11-9/19, while Aroldis Chapman rested a fatigued shoulder ... allowed only 2 homers all season, on 5/16 to Bal's Wilson Betemit and on 9/29 at Pit to Andrew McCutchen ... between home runs threw 42 homerless innings over 42 apps ... the HR by McCutchen snapped Broxton's 15-appearance scoreless streak (8/25-9/27, 15ip, 7h, 1bb, 16k) ... in the 5-3 win on 9/11 vs Pit recorded his first save for the Reds, his 24th of the season ... produced an ERA of 0.00 in his 3 apps vs the Giants in the National League Division Series ... threw a scoreless eighth inning in Game 1 ... suffered the 2-1 loss in Game 3 after Scott Rolen's 10th-inning error led to an unearned run ... threw a scoreless eighth inning in Game 5 ... became a free agent following the season but on 11/28 signed a 3-year contract through 2015, with a club option for 2016. 2011 Jonathan opened the season as the Dodgers closer and was successful on each of his first five save attempts and was 7-of-8 overall...Pitched in only 14 games, tossing 12.2 innings...his final outing of 2011 was on May 3 before he was placed on the 15-day Disabled List for the first time in his career with bone spurs in his right elbow on May 6...Underwent arthroscopic surgery on September 19 to remove a bone spur and associated loose bodies from his right elbow...the surgery was performed by Dr. Neal ElAttrache. 2010 Went 5-6 with 22 saves in 29 opportunities and posted a 4.04 ERA in 64 games ... his 64 appearances ranked second on the club behind George Sherrill's 65 ... Tossed a scoreless ninth inning to pick up the save in the All-Star Game on July 13 as the National League won 3-1 for its first victory since 1996 ... it was the first save in an All-Star Game by a Dodger since Jim Brewer in 1973 ... His 12 saves in the month of May were the most by any pitcher in Los Angeles Dodger history... selected as the Dodgers' Farmers Insurance May Player of the Month, going 2-0 with 12 saves in 13 opportunities and a 1.84 ERA (3 ER/14.2 IP) in 14 games ... struck out 21 in just 14.2 innings ... the Dodgers won each of the 14 May games in which Broxton appeared ... Had a stellar first half of the season, going 3-0 with 21 saves and a 2.11 ERA in 39 games, and was named to his second-consecutive NL All-Star team ... ranked ninth among NL relievers in ERA before the All-Star break ... successfully converted 19 of his 21 save opportunities, including a stretch of 18 straight from May 7-July 8 ... his 19 saves in the first half tied for ninth on the circuit ... Struck out 55 in just 38.1 innings (12.91 SO/9) and limited opponents to a .234 average (34-for-145), allowing just one home run in the first half ... Was dominant in his 15 road appearances before the All-Star break, posting a 0.61 ERA (1 ER/14.2 IP) and limiting opponents to a .157 batting average (8-for-51) with 20 strikeouts ... saved eight of nine opportunities in those road games ... verall, tied for 13th in the National League with 22 saves in 29 opportunities ... Ranked 17th among NL relievers with an average of 10.54 strikeouts per 9.0 innings (73 SO/62.1IP) ... Opened the season with 8.2 scoreless innings in nine April appearances, striking out 14 and limiting opponents to a .133 batting average (4-for-30) ... did not allow an earned run (one unearned) over 14.0 innings in a 14-game span from May 26-June 26 ... Went 2-6 with a 7.13 ERA (19 ER/24.0 IP) in 25 second-half appearances and was successful in just three of eight save opportunities ... Rated by Baseball America as the National League's third-best reliever in its annual "best tools" issue. 2009 All-Star finished the year with a 7-2 record and 36 saves, which ranked sixth in the National League and 12th in the Majors...overall was 36-for-42 in save opportunities for an 85.7% save percentage (ninth, NL)...His 36 saves were the seventh most in a season in Dodger franchise history...Racked up 114 strikeouts to lead all Major League relievers...his 114 strikeouts were tied for the third-highest total by a Dodger reliever in franchise history behind only Mike Marshall (143 in 1974) and Eric Gagné (137 in 2003)...Held the opposition to a .165 average to rank first among big league relievers in opponents batting average...led all Major League pitchers by limiting left-handers to a .138 (18-for-130) average (min. 125 BF)...right-handers hit just .190...Appeared in 73 games, which tied Ramon Troncoso for the team lead...Was nearly unhittable at Dodger Stadium, going 5-1 with a miniscule 0.40 ERA (2 ER/45.0 IP)...batters hit just .095 (14-for-148) against him at home...did not allow a home run at Dodger Stadium...His ERA was 2.02 at night and 4.50 during the day...Worked back-to-back games 26 times and posted a 1.71 ERA in those contests...The Dodgers went 62-11 when he appeared in a game...The opposition was just 7-for-63 (.111) when leading off an inning against him...first batters hit just .108 (7-for-65)...when getting two strikes, batters were just 17-for-177 (.096)...Was 2-0 with a 0.82 ERA and seven saves in April...went 3-0 with a 1.93 mark in May...Converted a season-high 15 straight save opportunities from May 15-July 20...Saved a monthly season-high tying eight games in September, while recording a 2.31 ERA...was on the mound when the Dodgers clinched their 11th NL West division title on Oct. 3...Posted a 3.10 ERA before the All-Star break and a 2.04 mark the rest of the season...Won his fifth game on May 23, becoming the fastest Dodger reliever to five wins since current Single-A Inland Empire pitching coach Charlie Hough won his fifth on May 22, 1976...Worked a season-high 2.0 innings on two different occasions (May 10 vs. SF and May 23 vs. LAA)...worked multiple innings eight times, with the Dodgers going 7-1 in those games...worked three days in a row on five separate occasions...Returned home to Georgia to be with his wife, Elizabeth, for the birth of their first son, Jonathan Brooks, on June 11...Was named to the NL All-Star team and traveled to St. Louis for the July 14 contest...did not pitch in the game due to inflammation in his right big toe...In their annual "tools" issue, was voted by Baseball America as having the best fastball and being the best reliever in the NL 2008 In his third big league season appeared in 70 games as both the set-up man and closer...Saved a career-high 14 games after taking over the closer's role for the injured Takashi Saito on July 18...in the second half was 1-3 with an 2.76 ERA as the stopper...was tied for 16th in the NL with 14 saves in 16 opportunities...Overall was 3-5 with a 3.13 ERA (24 ER/69.0 IP) in 70 games...Allowed just two home runs in 69.0 innings pitched, an average of just 0.26 home runs per nine innings, which was the sixth best in baseball among pitchers with at least 40.0 innings piched...Limited batters to a .217 average overall....righties hit just .181 (27-for-149) against him and lefties batted .270 (27-for-100)...Posted a 2.75 ERA at Dodger Stadium and held batters to a .190 average, compared to 3.64 and .250 marks on the road...Had a 2.36 ERA at night, but just a 4.63 ERA during the day...The Dodgers were 47-23 in games in which he appeared...Geared up inside the division, posting a 2.27 ERA (8 ER/31.2 IP) in 32 games against NL West opponents...On just a day's rest, was 1-0 with seven saves and a 1.57 ERA (4 ER/23.0 IP) while holding batters to just a .167 average...Retired 50 of the 69 first batters he faced...held the first batters to a .222 average...Fired 10.0 scoreless innings in 10 games as the set-up man in June.. struck out 12...Was great in September, tossing 9.1 straight scoreless innings from Aug. 27 to Sept. 18...posted an ERA of 0.79 to go along with four saves during the month...Pitched more than one inning on just 12 occasions...the Dodgers were 12-0 in those games...Dating back to July 26, 2006, has a 2.70 ERA (55 ER/183.1 IP), which ranks third in baseball among pitchers with at least 150.0 innings pitched over that time...without a six-run outing in 0.1 innings on May 11 and a three-run outing on May 31 at New York, his ERA would have been 1.98 (15 ER/68.1 IP)...Struck out 88 batters, which is an average of 11.5 per nine innings... ranked sixth in strikeouts among all big league relievers...His 11.48 strikeouts per nine innings was the ninth-best mark in the Major Leagues and ranked sixth in the National League (min. 50 innings)...Recorded the save with a perfect ninth inning in Game 3 of the 2008 NLDS against the Cubs to send the Dodgers to the NLCS for the first time in 20 years... overall, had one save and a 1.59 ERA (1 ER/5.2 IP) in five postseason appearances 2007 In his second big league season appeared in a career-high 83 games, tying Joe Beimel for the team lead in appearances, the third most in the National League and the fourth most in franchise history...posted a 2.85 ERA and was one of just nine Major League pitchers with more than 75 innings pitched and an ERA below 3.00, joining Rafael Betancourt (1.47), Peter Moylan (1.80), Heath Bell (2.02), Manny Corpas (2.08), Matt Capps (2.28), Matt Guerrier (2.35), Jake Peavy (2.54) and Joaquin Benoit (2.85)...his 99 strikeouts were the second-highest total among all big league relievers behind San Diego's Heath Bell (102)..ranked fifth in the Major Leagues with 32 holds...struck out 10.87 batters per nine innings, the 10th-best mark in the National League (min. 50 innings)...did not allow a home run from July 23, 2006-Aug. 21, 2007, a span of 94 games which established a new Los Angeles Dodger record...surpassed the previous mark held by Paul Quantrill (2002-03)...the streak was also the fifth longest in baseball since the Dodgers moved to Los Angeles in 1958...allowed six home runs in his final 20 outings...posted a 1.38 ERA at Dodger Stadium and held batters to a .186 average, compared to 4.71 and .267 marks on the road...had a 2.17 ERA when pitching in back-to-back games and a 1.96 mark with one day of rest, but a 4.50 ERA with two or more days of rest...the Dodgers were 54-29 in games in which he appeared...went 1-0 with a 0.66 ERA (1 ER/13.2 IP) in 13 games during the month of April...earned his first save of the year on June 4 at Pittsburgh in place of the injured Takashi Saito...did not give up an earned run from June 8-July 22, spanning 21 games and 21.1 innings, the longest streak by a Dodger pitcher in 2007. 2006 Began the season in Triple-A Las Vegas and was recalled on May 1 after going 1-0 with a 0.00 ERA in 11...games while posting five saves for the 51s...struck out 18 and walked three...Entered the 2006 season rated as the 45th-best prospect in baseball by FOXsports.com...Appeared in 68 games, which ranked second on the Dodgers and fifth among all National League rookies...Allowed just 33 walks while fanning 97 in 76.1 innings this season...Posted a 1.91 ERA on the road and 3.14 ERA at Dodger Stadium...After the All-Star Break, went 3-1 with a 1.80 ERA and held opposing hitters to an .208 average (30-for-144)...When pitching with one day of rest, allowed just two earned runs in 26.1 innings (0.68 ERA)...Had a 1.13 ERA (2 ER/16.0 IP) in May and went 1-0 with an 1.26 ERA (2 ER/14.1 IP) in August...Held right-handers to a .196 average (32-for-163) on the season...Made his 2006 Dodger debut on May 1 and tossed a 1-2-3 inning at Arizona...In his first 16 games of the season from May 1 - June 3, posted a 0.93 ERA (2 ER/19.1 IP) while striking out 26 batters...Over his final 29 outings, posted a 1.45 ERA (5 ER/31.0 IP)...Earned his first victory of 2006 after working 1.1 innings at San Diego on June 15...Entering the All-Star Break, batters were hitting just .221 against him (32-for-145) 2005 Entered the season ranked as the ninth-best prospect in the Dodger farm system and reached the big leagues by midseason ... Had two stints with the Major League club, helping Double-A Jacksonville win the Southern League championship in between...was first recalled from Jacksonville on July 29 and pitched in eight games before being optioned back on Aug. 22...returned to big league club on Sept. 20 following Southern League playoffs ... Pitched in a total of 14 big-league games, going 1-0 with a 5.93 ERA in 13.2 innings ... Held right-handed hitters to a .200 average (6-for-30) with 17 strikeouts ... In four postseason games for Jacksonville, was 1-0 with three saves, allowing no runs in 7.0 innings...in Game 1 of the Southern League South Division finals, pitched the final 2.0 innings of a combined 2-0 no-hitter with Chad Billingsley on Sept. 8 vs. Birmingham...earned victory by hurling 2.0 innings as Suns claimed Southern League title in Game 4 on Sept. 17 at West Tennessee ... Pitched in 33 regular-season games for Jacksonville, posting a 5-3 record with five saves, a 3.17 ERA and 107 strikeouts in 96.2 innings...made 13 starts before moving to the bullpen in mid-June...as a reliever, had a 2.55 ERA (7 ER/24.2 IP) and limited opponents to a .198 batting average in 20 appearances...counting the playoffs, did not allow a run in his final 12 appearances and 16.2 innings of the season ... Made Major League debut on July 29 vs. St. Louis and gave up back-to-back singles before recording first big league strikeout, getting Albert Pujols swinging in the fifth inning...also fanned Pujols the following night ... Struck out three in 1.1 scoreless innings on Aug. 21 at Florida...it was his longest big league stint of the season ... Earned first Major League victory by pitching a perfect sixth inning in club's 2-1 triumph at San Diego on Oct. 1. 2004 Baseball America named him as the 12th-best prospect in the Florida State League after ranking third in the league with 144 strikeouts in 128.1 innings and finishing seventh in ERA (3.23) ... His 11 wins tied for the lead among all Dodger minor leaguers ... Selected to the season-end FSL All-Star team ... During July, was 2-1 with a 1.63 ERA in five starts...in five April starts, went 3-2, posting a 2.89 ERA and struck out 41 batters in 28.0 innings ... On April 15 vs. Jupiter, allowed two hits and struck out 13 in 7.0 shutout innings ... Won five of his last six starts, including another seven-inning shutout performance on July 21 at Tampa ... In his final start, Aug. 23 at St. Lucie, struck out 11 in 5.1 innings. 2003 Was 3-0 with a 2.45 ERA in five April outings (four starts) for South Georgia. 2002 In his first pro campaign, was 2-0 with two saves in 11 games (six starts) for Pioneer League champion Great Falls ... Gave up just one run in 19.2 innings at home.


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Dan Harmon Really Is Coming Back to Community
Yard-margs for everybody!
It brings us special joy to write "the rumors were true" when it comes to today's news that Community creator Dan Harmon is coming back to the little sitcom that could next season. Harmon, who more or less let the cat out of the bag earlier this week, tweeted today, "Yes yes yes! I'm back I'm back I'm back. You can thank @joelmchale." (He soon thanks the rest of the cast, too.) Really though, the credit goes to Twitter user @dpeanutbutter, who got the big reveal by asking what we'd all been thinking: "GIVE US A STRAIGHT ANSWER!" While Harmon's tweet didn't clarify what his role on season five would be, The Hollywood Reporter says he'll be returning as showrunner. After so much strife and waiting around, we want to believe that this move might just restore Community to its former glory. Also, does his return mean that Chevy is also coming back? Questions for another day — go get yourself a yard-marg to celebrate!


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This is the program for the installation of the Reverend Kelly Miller Smith as Pastor of the Antioch Baptist Church in Cleveland, Ohio. Reverend Smith is installed as the Eighth Minister of the historical church, which began in 1893.
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Watch The ::God Is Imaginary Videos On YouTube ::
0 Members and 1 Guest are viewing this topic.
There you go again. Wherever would you get the idea that I (or any of the other atheists here) think we're the center of the Universe? Copernicus, Galileo and Kepler debunked that shit 500 years ago. We know that, as far as the Cosmos is concerned, we are sub-microscopic organisms living on a dust-mote within a little puff of dust we call the Milky Way, among a hundred billion or more similar puffs of dust, and that the Cosmos is profoundly Not About Us. You are the one who thinks that you are the crown of God's creation, the purpose for which the Cosmos was made, so that a hundred billion galaxies of a hundred billion (or more) stars each were forged to make your night sky pretty. You really need to stop projecting your own attitudes onto us. It doesn't help communication one bit.
Once again, the problem is: unbelievers (and believers of different stripes) do not receive visions that match yours, or each other's.
And it happens to look exactly like the non-existence of a Kingdom of God. So in what sense can it be "observed?"
Thump your chest and hoot a little louder, that'll make your beliefs true.
If God wanted to let Himself be proven by instruments, then we wouldn't be having this conversation. He prefers to stay behind the scenes and let humanity come to its own conclusions.
And then (supposedly) brutally punishes us for eternity when we do so, thereby demonstrating his unconditional love.
Oh, well, all right then. My life demonstrates that no gods exist. My Revelation, which happens moment by moment every second that I'm awake is of a Reality that is not haunted by Invisible Magic Persons of any sort--no angels, demons, djinn, faeries, gods, goddesses, burning bushes, talking snakes, wizards with magic powers, etc., etc., etc., and behaves--from the sub-atomic level all the way up to the cosmological--exactly the way a naturalistic Cosmos may be expected to behave. The difference between my Revelation and yours: you have to live and operate according to my Revelation[1] if you want to do so much as cross the street safely. You live in the same godless Universe I do. You can present no evidence whatsoever that I will ever have any use for yours. 1. Child is injured? Call an ambulance! Don't ever try to live according to Mark 16:18 or take Jesus' financial advice, etc..
Thump your chest and hoot a little louder. Maybe it'll make your beliefs true.
Actually, they do. Again, if you weren't so closed-minded and insular, and explored with an open mind the other side of the issue, you would see that many have gotten visions about the Lord, and I mean, the One true God, all very similar. You can find them on the internet even.
Says the guy who worships before the image of a man being brutally tortured to death as an act of atavistic blood sacrifice. Funny thing is, you believe that nihilism is true as far as reality is concerned, but if you pull the covers of Christianity over your head, you can hide from the Camus in the closet and the Sartre under your bed. I think nihilism is bunk. You're projecting, once again.
And therefore, all those other people who believe other things (whether due to rational thinking or differing mystical revelations of their own) must not have asked sincerely and with an open heart. Therefore, they deserve to fry forever. Right? The nasty memetic trick here is to substitute morality for accuracy. We should believe in Christianity because if we don't we're "insincere" and have "closed hearts" (and are therefore naughty), not because we have determined that Christianity's claims about reality match the actual behavior of reality. Our motivation is to be guilt rather than a desire to know the truth, whatever it might be.
Yes, absolutely. Which is why we must subject all of our conclusions, no matter how "sincere" we are in wanting them to be true, to rigorous reality-testing and critical thinking. If we want the most accurate understanding of reality possible, we need to take our most cherished, sincerely-held beliefs, and do our level best to prove them false (this includes engaging the arguments of others who reject our beliefs). If our beliefs can consistently withstand every assault of reason and reality-testing (observation, experiment) that can be hurled against them, then we can have increasing confidence that they accurately model Reality.In the face of the profound ignorance and limited faculties that is the human condition (as you correctly state above), what greater folly could there possibly be than to seize upon some subjective human experience as you do, and cling to it with unswerving dogmatism?
Oh, I quite agree that I ought not "rule out" the existence of your chosen deity, or anyone else's. I should always be willing to accept and test new data as it comes in. The confidence that I have in the non-existence of your deity comes from the fact that there is no evidence for its existence, and the evidence that does exist, contradicts the claims of Christianity and the Bible. Reality is not "in a little box for study and dissection." It is all around us, and utterly inescapable. If the claims of someone's private revelation (whether it be a Biblical author, you, a Hindu yogi, a Sufi master, an Amazonian shaman, whoever) conflict with the public revelation of external reality, reality wins. As Philip K. Dick put it, "reality is that which, when you stop believing in it, doesn't go away."
I am absolutely open to the possibility that I might be wrong. Are you? Are you open to the possibility that your internal revelation might be deceptive, or in error? I give you the Litany of Tarski:If there is a Creator,I desire to believe there is a Creator.If there is not a Creator,I desire to believe there is not a Creator.Let me not become attached to beliefs I may not want.And the Litany of Gendlin:What is true is already so.Owning up to it doesn't make it worse.Not being open about it doesn't make it go away.And because it's true, it is what is there to be interacted with.Anything untrue isn't there to be lived.People can stand what is true,for they are already enduring it.—Eugene Gendlin
Yes, but it means that we must have a methodology of testing the truth or falsehood of a belief. "Just knowing it in our hearts" doesn't work, because people "just know" all sorts of contradictory things "in their hearts." Thus far, the only methodologies that have actually, demonstrably worked for rooting out falsehood and converging on truth, are the methodologies of reason and the scientific method.
And how did we find out the Earth wasn't flat? Somebody's mystic revelation? Reading the Bible? Nope. By applying the scientific method to develop a set of observational tests whose results would be one thing if Earth was flat, and another if Earth was round, then performing the tests and letting the Earth itself (i.e., external Reality) be the final arbiter.
So your god would prefer to deceive us by arranging things so that Reality behaves as if he does not exist. Why then, should we trust any subjective revelation that (allegedly) comes from such a deceptive god?
I can, if your truth-claims do not match the public revelation of Reality. If your experience purports to validate a Christianity that requires belief in Biblical inerrancy (you have not stated this yet, so that may not be the case), and the Bible asserts that Satan could show Jesus all of the kingdoms of the Earth from the vantage point of a high mountain, then the existence of a spherical Earth would rule out the claim that your experience is a genuine Divine revelation. It would also rule out the claim that "God," defined as an entity who, incarnate as Jesus, beheld all the kingdoms of the Earth from the vantage point of a high mountain, exists, since no such vantage point exists. It would not rule out definitions of "God" that are compatible with a spherical Earth. You cannot disprove any of the thousands of other religions, or scientific Naturalism. Nor can you rule out the revelatory experiences behind all of the other religions, or the Reality-experiences that are consistent with scientific Naturalism.
What about them? BTW, science does not have to "explain everything" before the things that it does explain can make sense. A blank spot on a map doesn't mean that you can draw in a sea serpent and write "Here Be Dragons," then smugly assert that dragons do, in fact, exist because you say so, and what you say is true because it's you saying it. Arrogant git.
etc etc etc
But first, Why did you remove your OP?
Pretty amusing stuff. Im arrogant because I said science cant explain even the most basic, fundamental conceptions of existence, which it can't, and is therefore is unworthy as a cornerstone of belief, which it is. It is just a methodology. You have a lot of faith in your mother science, kcgrady. Science is so full of holes I want to go grab some ham and rye. If you feel that it's enough for you, well, that's your lack of curiosity and intellectual stagnation.
You believe evolution and there is no evidence for that. Where is the fossil record of a half man half ape. I've only ever heard about it in reading.
Quote from: monkeymind on October 12, 2010, 03:36:10 PM But first, Why did you remove your OP?I am officially just lurking for now. But, why is this not getting an answer?
When you're ignorant, the holes find themselves.She'll read what a creationist website tells her is a hole, repeat it over and over, then, when it is explained to her why the criticism is unfounded, and probably plain dishonest, she will lack the knowledge properly to understand why her assertion of the "hole" as fact, is retarded.With tothesea, it seems to be a pattern when someone doesn't accept a bald and baseless assertion of hers, to immediately assume the point was misunderstood.I don't think there is another option for the effusive ignorant fanatic. Scary stuff, really. About 5 posts left in the old girl.
Quote from: tothesea on October 15, 2010, 09:01:27 PMI know who edited my post, and I don't need to ask God about it. Someone other than me. Even the moderator of the ER acknowledged it was possible. Someone on this forum, a spineless coward who couldn't meet me in debate, with access to accounts, erased my post.
So he'll come back as 'fromthesea' or 'christiandude' or 'samsonson' or whatever after a couple of days and start over.....


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Is It Time To Buy a Narrow Car?
The three most popular ideas for making city transportation more efficient.
We asked you for ideas on how to create "Nimble Cities": plans to solve the increasingly pressing problem of moving people in and among the world's growing urban centers. You responded with ideas that ranged from spreadsheet-sober to borderline Where's My Space Age? But the voting has closed, and while Slate's intern army is still out tracking some absentee ballots in Miami-Dade County, we can safely enshrine the top three vote-getting proposals.
Like the right-wing political best-sellers on the New York Times list, this idea clearly had the hallmarks of being lifted by a targeted enthusiast campaign. Not only did it conspicuously outpace the other ideas (racking up 1,296 votes, more than twice the tally for the second-place finisher); it touts a branded product that garners regular media mentions and has also shown up in other crowd-sourced idea campaigns.
But let's take the idea on its own merits. The basic concept is that rather than trying to expand road infrastructure to meet traffic demand—a fiscal impossibility in many places—we should instead look for smaller vehicles that can more efficiently use the existing space. Hence the Tango, a twin-forklift-motor-powered micro-car that boasts fuel efficiency of 100 mpg, a roll-cage for safety, fans like George Clooney, and a host of potential benefits advertised in the submission: everything from increasing road and parking capacity to increasing suburban property values as commute times go down.
This is actually not a new idea. So-called "micro-cars" dotted European cities in the postwar years (the Tango looks a bit like an amped-up P50) and continue to haunt the design studios of the major manufacturers (and race-car designers). The primary problem in the United States, where a 3,500-pound vehicle like the Volkswagen Tiguan can be considered a "compact" SUV, is consumer resistance. In an age when everything from coffins to theater seats is getting wider to accommodate the outward growth patterns of Americans, pitching a vehicle that, as its boosters note, is 5 inches narrower than many motorcycles, is always going to be a tough sell.
But as the amount of space dedicated to cars in cities continues to decline, as it is beginning to now, it only seems logical that car sizes will shrink accordingly. As the authors of Reinventing the Automobile argue, in cities there is less need for SUVs (the inventor of the Range Rover called urban 4x4 use "completely stupid") than what they call USVs—"ultra small vehicles." As they note, the "average traffic speeds in cities (below 20 mph) and typical daily driving distances for urbanites (less than 25 miles) provide significant opportunity for mass and cost reduction, compared with conventional vehicles that can travel 300 miles nonstop and can exceed speeds of 100 mph."
2. Smart Buses
Our second leading vote-getter begins with a recognizable observation: "Somehow it always happens: traffic causes empty buses to cluster together at rush hour. After a long wait for a bus, I'm greeted with four empty buses and one super-crowded bus. What's up with that?"
Buses actually tend to bunch in twos more than threes, argue the authors of the aptly titled Why Do Buses Come in Threes? And the answer, they write, "is nothing to do with incompetent planning by the bus companies." Rather, bunching is a "simple fact." The problem is that no matter how rigorously scheduled the buses are, the arrival of passengers is inevitably a random process. More passengers, more boarding time, more time for the other (potentially empty) bus to catch up and have precisely no passengers to pick up.
As "mchmiel," the poster of the idea, observes, so-called "smart elevators" are now deployed in high-rises and are said to boost efficiency by 50 percent simply by grouping passengers by their destination floor ("destination dispatch"), rather than filling cars with people going to a number of random floors.
So why not buses? As mchmiel argues, "If elevators can be smart when there isn't any human driving them, why can't buses be smart?" In fact, buses are getting smarter all the time, with computerized bus dispatch systems, which give passengers real-time bus location and arrival information, now in play in many cities. But mchmiel has something more far-reaching in mind: "Here's the solution: A city is broken up into a series of sectors and sub-sectors. Each sector has its own mini-fleet of public taxis, vans, and minibuses. Those buses move about in a flexible current that can respond in real time to user demand. Bus stops in each sector will be equipped with call boxes that can determine urgency and need. The route a driver takes to make it to the targeted bus stop is up to the driver—if traffic is preventing one way, then he can take an alternate route to get there as fast as possible. An organized dispatch prevents 'leap-frogging' buses from over-responding to stops."
It sounds good in theory, though it's not hard to imagine the challenges, owing in part to the sheer randomness of traffic. (There are more variables to consider on city streets than in dedicated elevator banks.) For example, what if user demand at one stop has suddenly evaporated as a bus is halfway into its route? The bus could theoretically shift its route to go where the next group of passengers is waiting, but what about the destinations of the passengers already onboard? In fact, the future seems to be tilting to having buses act more like fixed subways with bus rapid transit programs. But perhaps taxis or minibuses, armed with real-time routing, can pick up the slack in terms of transfers and the "last mile" problem. But mchmiel has a winning point in that urban transportation systems can be made more efficient, as elevators were, through fresh algorithmic thinking.
As reader "Izzy" notes, one of the challenges in increasing bicycle use in the United States is making it convenient and safe. That means not just giving riders a good environment in which to ride but ensuring they have some place to park at their destination (preferably a place where they can be assured their bike will be waiting when they return; one transit agency reported that one out of every two bikes parked at a train station was stolen). And, as Izzy points out, bicycles are one of the best solutions to the "problem of the first and last mile—the distance from homes to public transit that keeps people driving and (expensively) parking their cars rather than taking the bus or train."
Thankfully, there's a solution, one that is already being deployed in U.S. cities (and which has been written about in this column): the bike transit center. "These centers," Izzy notes, "also include amenities like lockers, showers, restrooms, bike repair and rental, and accessory retail, making it convenient and feasible to ride a bike for transportation. Bike transit centers placed near public transportation stations become a network, allowing people to ride a bike from home to the train station, park it securely, hop on the train, and rent or share a bike or electric vehicle at the other end of the line to get to work."
The bicycle stations that have been deployed to date can be largely judged a success. (The station in Chicago's Millennium Park seems to have a perpetual waiting list, while Berkeley, Calif., recently expanded its 10-year-old bike station facilities to become the nation's second largest.) They have their own limitations, especially if one wants to use the bike on the other end of the trip. Still, in a country where urban cyclists largely get the stick, bike stations are a very promising carrot.
So that's the top three. Tomorrow I'll take a more global look at all the entries.
Read the introduction to our Nimble Cities Hive here.Read about how eliminating parking spaces could improve urban transportation, how bicycle highways could increase cycling, and whether airport-style moving walkways could be useful in cities. View contest entries by clicking the button below.


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I'm looking to buy a graphics card so I can play my pre-ordered account on The Matrix Online. My current system doesn't have a programmable shader, which is a system requirement for the game. The manufacturer website I got my system from has these three options for graphics cards. Do either of them have a programmable shader, and which one?
I tried looking through everything the website had to offer about the information on the cards and performed a search, though the keyword combinations ["ATI Radeon" "Shader"] ["Geforce" "Shader"] and ["nVidia" "Shader"] came up with information, but not the info I was looking for.
The aforementioned options are listed blow:
128MB PCI Express x16 (DVI/VGA/TV-out) ATI Radeon X300 SE
256MB PCI Express x16 Nvidia® GeForce 6800 GTO Graphics Card
256MB PCI Express x16 (DVI/VGA/TV-out) nVidia GeForce 6800


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Return on Equity (ROE)
|This article is part of WikiProject Definitions. Consider editing to improve it. View articles referencing this definition.
Return on Equity equals net income divided by average equity over a given period
Return on Equity is a measure of how profitably a company employs its equity, that is, the money raised from shareholders. Everything else being equal, a higher ROE is better as it means that the company is efficient about using its equity.
Due to the unique nature of each industry and variances in accounting methodologies among them, ROE should normally be used for comparisons within the same industry. For example: The ROE for service-oriented industries, such as the software industry, is significantly higher than that of capital-intensive industries such as the construction industry.
Comparisons of ROE within the same industry can also be misleading as ROE ignores the effect of debt. If a company can issue debt at a lower interest rate than the rate of return on its investments, it could increase its ROE. However, higher debt also increases the risk of failure for the company. Generally, companies with higher debt, as measured by the debt to equity ratio, will have better ROE. An investor could get a better sense of the investment by considering the Return on Assets, which mitigates the influence of debt, alongwith ROE.
What are the drivers of ROE? The DuPont Analysis breaks the Return on Equity into three parts that are drivers: net profit margin, asset turnover and leverage.
ROE = (Net profits/Sales) * (Sales/Assets) * (Assets/Equity) = Net profits / Equity
ROE can also be broken down in a two-part equation, similar to the DuPont Analysis, using ROA (Net profits / Assets) and leverage.
ROE = (Net profits / Assets) * (Assets / Equity) = Net profits / Equity


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The Great Big Bertha Fairway Wood is a friendly forgiving golf club that is large and long yet lighter in weight.
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LONDON (AP) — Judi Dench has been serenaded by firefighters as she arrived for the London premiere of her latest film.
Dench walked the red carpet in Leicester Square Wednesday for the London Film Festival screening of "Philomena."
The movie tells the true story of Irishwoman Philomena Lee's quest to track down the son she was forced to give up for adoption 50 years earlier.
Members of the Fire Brigades Union, drinking at a pub after a protest march against pension cuts, spotted the 78-year-old star, chanted "We love you Judi" and broke into a rendition of Beatles song "Hey Jude."
The Stephen Frears-directed film also stars Steve Coogan as Martin Sixsmith, a journalist who helped Lee in her search and wrote a book about her story.


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How is the brain modified by experience, deprivation and disease?
Our overarching interest is in the question of how experience and deprivation modify synaptic connections in the brain. Experience-dependent synaptic plasticity is the physical substrate of memory, sculpts connections during postnatal development to determine the capabilities and limitations of brain functions, is responsible for the reorganization of the brain after damage, and is vulnerable in numerous psychiatric and neurological diseases and contributes to their symptoms.
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When once asked what her dream job would be, Janice responded, "Mother." According to her three sons and their wives, Janice fulfilled that goal beautifully. Janice was a natural giver, joyfully attending to the needs of everyone around her.
An outstanding teacher, Janice earned her bachelor's degree and special-needs certification from San Diego State University. She taught for 15 years at The Evans School and tutored many other students on her own time. She cared deeply about her students and stayed in touch with many of them long after they established their own careers.
Janice loved nature. As a Canyoneer with the San Diego Natural History Museum and as a master gardener, she led nature hikes throughout the county. Perhaps some of her love of nature came from her father, who lived above Mission Valley and hiked there in the early 1900s.
Janice served as deacon and elder during her 57-year membership at La Jolla Presbyterian Church. She founded the church's English as a Second Language program, assisted the homeless and generally lit up the church with her presence. Once, when Janice was a hospital patient, a medical technician stopped to thank her. He had once been homeless, and Janice had helped him write a resume.
Janice leaves behind her husband Frank; sons Don, Bruce and Doug; daughters-in-law Donna and Maryanne; and six grandchildren.


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A Kindly Request for a Public Display of Affection
At Z Ocean Hotel South Beach, we pride ourselves on delivering an experience that is remarkably different from the typical South Beach hotel.
Hopefully, the time you spent with us in 2013 was memorable for the uncommon spaciousness and opulence of your accommodations, the quality of our dining options and amenities, and the discreet yet welcoming service of our staff.
T+L's 2014 World's Best Award Survey
Every year, the editors of Travel + Leisure ask their readers to vote for their favorite hotels in popular destinations around the globe. We would greatly appreciate your support in this very important survey.
If you have fond memories of Z Ocean, please let the world know by chiming in on our behalf in the T+L World's Best of 2014 poll. It only takes a moment, and you can find it right here.
We thank you for your business, your loyalty and your vote!


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Crosby suit pant in Italian worsted wool
Prices do not include taxes.
size & fit
- Tailored fit.
- Sits below waist.
- Roomier than our Ludlow through the hip and thigh, with a slightly wider leg.
Product Details
The Crosby suit, tailored with the athletic guy in mind. We know not every guy is built for the slim tailoring of our Ludlow suit, so we added extra room in the seat and thighs. This suit pant is crafted in Italian worsted wool from a world-renowned, family-owned mill in Italy that knows a thing or two about making fine fabrics.
- Did you know: You can mix and match the Ludlow and Crosby for a perfect fit.
- Italian wool.
- Zip fly.
- On-seam pockets, back welt pockets.
- Partial Bemberg lining.
- Dry clean.
- Import.
- Item B2044.


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JACKSONVILLE, N.C. (AP) — In a moment of quiet reflection, Ed Ayers sat in front a wall etched with the names of 241 Americans who were slaughtered 30 years ago when a suicide bomber drove a truck into a four-story military barracks in Beirut. He wept as he remembered his own peacekeeping service before his unit was replaced by the troops who were attacked.
"It's a shame," said Ayers, who wished the U.S. involvement in Lebanon's civil war had been handled differently. "I don't think we're the world's police. We should determine what our own values are."
Marine Corps Commandant Gen. James Amos and hundreds of others gathered Wednesday at the memorial bordering Camp Lejeune. A granite wall with the words "They Came in Peace" honors the bombing victims of Oct. 23, 1983, which was the deadliest terrorist attack on Americans before Sept. 11, 2001.
Amos said the attack helped define the start of America's war against terrorists.
"The nation was not expecting this. There was a new kind of warfare — the threat of radical extremists being able to target military and civilian personnel with weapons of mass destruction for political, religious and personal gains," he said. "We will never forgive nor will we ever forget."
But some worried the 1983 attack and a truck-bombing of the U.S. Embassy in Beirut six months earlier had been forgotten.
Michelle Lucas was 15 when her brother, Lance Cpl. Richard Morrow, died in the barracks bombing. She wished more people knew about the attack.
"I don't know why it's not taught in schools," the Philadelphia-area woman said, her eyes red from crying. "It's not on the news like 9/11. Nine-eleven had several, several memorial television programs to it that air every year on 9/11. But there's nothing on Beirut."
The anniversary is marked annually here because many of the Americans killed were members of Camp Lejeune's 24th Marine Amphibious Unit. In all, 220 Marines, 18 sailors and three soldiers were killed. A terrorist attack the same day against French peacekeepers in Beirut killed 58.
American, French, British and Italian troops arrived in Lebanon to try stabilizing the country bloodied by a civil war between Christians allied with Israel and Muslims.
The bombing was blamed on the Lebanese Shiite militia Hezbollah, which is backed by Iran. A U.S. judge has ordered Iran to pay more than $7 billion to the families of victims, but so far they haven't been paid.
A U.S. investigation said lax security led to the bombing and a report called for improving security measures around buildings.
President Ronald Reagan sought to retaliate against Lebanese militias by ordering the battleship USS New Jersey to bombard the hills near Beirut from its position off the country's coast. Months later, the Marines were ordered out of Lebanon.
"We just packed our stuff and went home," Rick Von Bergen, 50, of Seneca Falls, N.Y., said bitterly. "We didn't do anything. Nothing. Nothing."
Von Bergen was a Marine payroll clerk and asleep in another building when the barracks blast shook him awake. He and his comrades struggled to tend to the injured, wrapping wounds in shipping plastic, wet towels and whatever else they could find. Homeless and living off a disability check for post-traumatic stress, Von Bergen said he can still hear their screaming in his dreams.
"It is very tough to talk about," he said.
Retired Col. Tim Geraghty, commander of the U.S. peacekeeping contingent, had just returned to his office in the building behind the barracks when the bomb blew his door off its hinges. He believes jihadi terrorists drew inspiration from the bombing.
"Acts of terrorism have become a staple on our evening news reports, and seem to be increasing," Geraghty said.
Former Lance Cpl. John L'Heureux was on lookout on the barracks roof when the whole structure lurched upward with the force of the blast.
"I don't know how many feet it went up, and then it just collapsed," said the 49-year-old man from Randolph, Mass. Comrades digging him out dropped a cinder block on his head, leaving a whitish L-shaped scar on the right side of his scalp. He lifted his shirt and revealed puckered and jagged scars on his side, back and stomach from where he was impaled on a chair.
He longed to retaliate.
"I would have liked to have seen them wiped off the face of the earth," he said. He also lamented the lack of attention this seminal moment receives 30 years later.
"I remember last year I picked up the paper on Oct. 23, and there wasn't one thing in the paper, there wasn't one thing on the radio," he said. "They say, 'Will people always remember 9/11?' And everybody's saying, 'Yes. Yes.' But they won't. As time goes by, they're going to forget. Unless you were personally hurt or a loved one hurt and something like that, you're going to forget."
Allen G. Breed is a national writer, based in Raleigh, N.C. He can be reached at email@example.com. Follow him on Twitter at https://twitter.com/AllenGBreed.
Emery Dalesio can be reached at http://twitter.com/emerydalesio