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Telephone follow-up by nurse following total knee arthroplasty – protocol for a randomized clinical trial (NCT 01771315)
- Kirsten Szöts1Email author,
- Hanne Konradsen2,
- Søren Solgaard3 and
- Birte Østergaard4
© Szöts et al.; licensee BioMed Central Ltd. 2014
Received: 8 July 2013
Accepted: 2 May 2014
Published: 21 May 2014
Due to shorter hospitalization, patients have to take responsibility for their rehabilitation period at a very early stage. The objective of this trial is to study the effects of two treatment schemes following total knee arthroplasty: conventional treatment following discharge from hospital and early follow-up by telephone consultations in addition to conventional treatment following discharge from hospital. The ultimate aim is to increase the effectiveness of the treatment by improving patients' health status, promote self-efficacy, and reduce the number of acute visits to the orthopaedic outpatient clinic during the rehabilitation period.
The design is a randomized un-blinded parallel group clinical trial conducted at the Department of Orthopaedic Surgery, Gentofte Hospital, the Capital Region of Denmark. In total, 116 patients will be allocated by an external randomization program to 2 groups: an intervention group following usual treatment after discharge supplemented by a nurse managed structured follow-up consultation conducted by telephone 4 and 14 days after discharge from hospital and a control group following treatment as usual. The consultations are structured by key subjects relevant to assess the health status according to the VIPS-model (the Swedish acronym for the concepts Well-being, Integrity, Prevention and Safety). The content of the consultations can vary according to the patients´ individual situations and needs. All consultations are conducted by the researcher responsible for the trial.
The effect is measured 1, 3, 6 and 12 months post-surgery. The primary outcome is self-reported physical function measured by The Western Ontario and McMaster Universities Arthritis Index. Secondary outcomes are self-reported health-related quality of life, general self-efficacy and the number of acute visits to the orthopaedic outpatient clinic.
The result of this trial is expected to provide new knowledge to support the development of targeted and effective follow-up after total knee arthroplasty in order to improve the patients´ health-related knowledge and skills of being able to take actively part in their illness and improve their health status.
Trial registration
ClinicalTrials.gov: NCT01771315
- Total knee arthroplasty
- Telephone follow-up
- Health status
- Self-efficacy
The number of primary total knee arthroplasty (TKA) procedures is increasing and estimated to 1.4 million worldwide in 2015 [1]. In Denmark approximately 9000 TKA procedures are performed annually [2]. The main clinical indication for TKA is osteoarthritis [3] causing severe pain and substantial functional disabilities, leading to a decrease in health-related quality of life [4].
TKA is a common procedure that, despite of low level of mortality and complications, entails a severe surgical trauma and a protracted recovery [5].
The implementation of the fast-track programs for surgical patients has reduced the stay in hospital for TKA-patients, and the length of stay is now only around 3 days in several Danish surgical centres [6]. Commonly the patients are discharged to home and referred to physiotherapy in the community settings, with only one scheduled follow-up by the surgeon 3 months post-surgery.
During the early rehabilitation period TKA- patients have experienced several health problems especially physical ones [7]. In a survey conducted at Gentofte University Hospital in 2011, 96% out of 86 patients identified 1–7 physical postoperative health problems two to three weeks after undergoing TKA (unpublished observations by the researcher responsible for this trial). The health-related information given during the admission course has been difficult to transfer to the home settings [8], and following discharge the patients have needed further guidance [9]. Although the problems were apparent, the patients were reluctant to contact health professionals due to a belief that their problems were too insignificant to bother health care providers with [10]. During the rehabilitation period the experience of inadequate preparation for physical symptoms and psychological reactions, as well as unrealistic expectations to activity level have led to anxiety, depression and disappointment [11] to the extent of affecting the patients´ general health [12].
Self-efficacy is the degree of belief of having adequate action-oriented resources to control events affecting the everyday life successfully [13]. Self-efficacy is positively correlated with physical and mental aspects of health [14]. Self-efficacy is an important parameter during the rehabilitation period following TKA [15–17] by influencing physical function and mental health [16].
Rationale for the study
Follow-up interventions after discharge of TKA patients have especially focused on the effect of various programs for physiotherapy. Internet based as well as home-based physiotherapy was assessed to be as effective as outpatient physiotherapy measured by physical function and health-related quality of life, respectively [18–21]. An intensive outpatient physiotherapy program additional to standard care (home-based exercise program) improved physical functional ability and health related quality of life compared to standard care [22]. Postoperative exercise is a highly prioritized part of the TKA treatment, aiming at improving the ability to practice daily activities immediately after surgery as well as maximizing the long term functional benefit of TKA [23]. However, the early rehabilitation period after TKA is characterized by a broad range of physical as well as mental symptoms as mentioned in the introduction.
A standardized follow-up program involving an exit video with role models, extra information through newsletters about the rehabilitation process, two telephone calls and weekly telephone hours was evaluated in a randomized clinical trial. The trial included 103 patients undergoing total knee and total hip arthroplasty eligible for a short stay (less than 6 days) in hospital and showed no effect on self-efficacy, social support and pain coping [24]. The program was not designed to provide individual counselling according to the patients´ personal circumstances and the progress during their rehabilitation period. In contrast a structured telephone follow-up focusing on individual care in regard to physical, social and mental aspects of the rehabilitation period had a positive effect on physical function, as well as general and mental health in 122 patients aged 65 years or older undergoing total hip arthroplasty [25]. It is assumed that it is possible to retrieve a corresponding positive effect for patients undergoing TKA.
The aim of this trial is to evaluate the effect of a structured nurse managed telephone follow-up in the early rehabilitation period, based on the patient´s individual situation related to physical as well as psychosocial problems following TKA.
We hypothesize that telephone follow-up as a supplement to conventional treatment will improve health status and self-efficacy and reduce the number of acute clinical outpatient consultations after TKA compared to conventional treatment.
Primary outcome
In a 12 months period the effect of telephone follow-up is primarily assessed by a significant improvement of ≥ 12 points for the physical function score in the intervention group compared to the control group measured by the disease-specific Western Ontario and McMaster Universities Osteoarthritis (WOMAC) LK 3.1 Index [26].
Secondary outcomes
Secondary analysis will assess the effect of telephone follow-up in the intervention group compared to the control group by change in pain and stiffness scores in WOMAC LK 3.1 Index, change in health-related quality of life measured by the Medical Outcomes Study Short Form (SF-36) [27], change in the General Self-Efficacy Scale score [28], and the number of acute visits to the orthopaedic outpatient clinic.
Trial population and patient recruitment
All patients are recruited from Orthopaedic Department, Gentofte University Hospital – a medium sized hospital in the Capital Region of Denmark which performs approximately 600 primary TKA per year.
Eligibility criteria
Inclusion criteria
Exclusion criteria
● Primary first-time total knee arthroplasty due to osteoarthritis
● In terminal phase of another serious illness such as e.g. cancer with expected lifetime less than 6 months
● Age > 18 years
● Previous total hip arthroplasty
● Followed conventional course and discharged ≤ 4 days after surgery
● Understand and talk Danish
● Signed informed consent before randomization
The Regional Committee on Health Research Ethics has assessed the trial and an approval is not required to initiate this trial. The regional Danish Protection Agency has approved the trial (no. 01839 GEH-2012-033).
The trial is conducted according to the latest Declaration of Helsinki [29]. All eligible patients are informed verbally and in writing about the aim and practical carrying out of the trial besides their rights as participants. All participants sign written informed consent forms prior to randomization.
All data will be handled with confidentiality, and the patients are ensured anonymity.
The trial is registered on CilinicalTrials.gov (NCT 01771315).
Randomization and blinding
Patients are randomized 1:1 to the intervention group or the control group respectively. The randomization is performed centrally by a web-based randomization program and in blocks unknown to the investigator and other subjects involved in the study. The randomization is executed just before discharge of the patients from hospital.
Conventional treatment
The patients are admitted to the orthopaedic department on the day of surgery or the evening before. Discharge is scheduled 2–3 days post-surgery based on the following criteria: able to manage personal hygiene by themselves, to walk with one or two crutches, and to climb stairs. The patients are referred to physiotherapy in the community settings, to removal of stitches or stables by their general practitioner, and to an outpatient consultation by the surgeon 3 months post-surgery.
All participants follow the conventional course of treatment for TKA-patients including the program for patient education pre-surgery conducted by a surgeon, physiotherapist, occupational therapist and a nurse, focusing on the surgical intervention, possible complications and risks, the admission course, and introduction to physical exercise training and equipment.
The participants allocated to the intervention group receive telephone follow-up 4 and 14 days post discharge in addition to conventional treatment. A uniform structure of the consultations is based on key subjects for nursing status defined by the VIPS-model (the Swedish acronym for the concepts Well-being, Integrity, Prevention and Safety). The VIPS-model is a process-oriented documentation model developed to generate structured general information about the patient's condition, needs, desires, problems and resources relevant for nursing to provide adequate nursing interventions and evaluation of the outcomes [30, 31]. The nursing status is based on predefined key subjects identified as relevant to assess the health status in the course of disease [31]. The telephone follow-up consultations are structured and contain the following key subjects: communication, cognition/development, breathing/circulation, nutrition, elimination, sleep, pain/perception, skin/tissue, sexuality/reproduction, activity and psychosocial /spirituality/culture. The themes are supplemented with specific issues relevant to health status after TKA in regard to treatment and observation of the wound and the operated limb, management of painkillers, and ability to exercise as recommended. However, the course of the consultations may vary due to the individual needs of the patients.
All interventions are conducted by the researcher responsible for this trial. The adherence of the protocol for the intervention is assessed by audiotaping consultations executed the first Wednesday in each month. Subsequently the records are checked by an external research assistant to ensure compliance with the protocol.
Outcome measures
Outcome measures are collected at baseline defined by 3 days after discharge from hospital, and 1, 3, 6 and 12 months post-surgery. These data are obtained by self-administered questionnaires mailed to the patients, except for the questionnaire for baseline data, as the first questionnaires are handed to the patients just before discharge. The patients are contacted by phone once by research assistants if questionnaires are not received by the researcher 7 days after scheduled date for answering.
It is recommended to use a disease-specific health status measure supplemented by a generic measure of health-related quality of life to fully assess outcomes after TKA [32]. A combination of the WOMAC Index and SF-36 is the most frequently used combination [4] and will be used in this trial. Self-efficacy will be measured by the General Self-Efficacy Scale.
All questionnaires are validated and available in a Danish version.
WOMAC Index LK 3.1
WOMAC is developed and recommended for evaluation of treatment effect of TKA [26, 32]. The WOMAC Index includes 3 subscales: pain (7 items), stiffness (2 items) and physical function (17 items). The Likert scale version of the index will be used with the following description for all items: none, mild, moderate, severe, or extreme - corresponding to an ordinal scale of 0–4. The score in each subscale is standardized to a score of 0 to 100 with higher scores indicating more pain, stiffness and functional limitations.
Patients with osteoarthritis in the knee were involved during the development of the item inventory of the index in order to assess clinical relevance [26]. In comparison with several other instruments used to evaluate the consequences of osteoarthritis and generic measurements of health-related quality of life [26, 32, 33] the WOMAC Index has shown adequate properties in regard to validity.
The original, as well as European WOMAC Index Likert scale versions, have been tested as a patient completed questionnaire on TKA-patients pre- and post-surgery, presenting acceptable reliability concerning values for internal consistency (Crohnbach´s alpha y for pain .78 - .93; stiffness .75 - .93 and physical function .92 - .98) [26, 34–36], and a test-retest reliability assessed by the intra-class correlation (pain .78 - 95, stiffness .67 - .90 and physical function .71 - .92) [34–36]. The ceiling and floor effect post-surgery were under 15% 6 months post-surgery, except for a ceiling effect at 15.79 for stiffness [37].
The responsiveness has been documented in several studies, and the mean changes at follow-ups 3 and 6 months post TKA-surgery were significant (p < 0.001) for all subscales [26, 32, 35].
The mean score of the subscale physical function 6 month post-surgery is estimated to 32 based on scores presented in the literature [38], allowing an improvement of 12 points as hypothesized.
The SF-36 is a generic measure of health status [39]. It yields an eight-scale profile of scores related to physical and mental dimensions of health based on the subscales: physical function (PF), role physical (RP), bodily pain (BP), general health (GH), vitality (VT), social functioning (SF), role emotional (RE), and mental health (MH). The dimensions represent the most frequently measured concepts in widely used health surveys, and they are the most affected by disease and treatment [40]. The answers in each subscale are converted to a score from 0 to 100, with higher scores indicating better health status.
SF-36 is recommended as a supplement to a disease specific measure to provide a broader insight into patients´ quality of life and allow comparison across conditions after TKA [32].
SF-36v2 in the acute form with a recall period of one week will be used in this trial.
General self-efficacy scale
The uni-dimensional General Self-Efficacy Scale is developed to assess a general sense of perceived self-efficacy to predict coping with daily challenges and adaption after experiences of stressful life events. The scale can be applied after surgery as a mediator for health-related outcomes to assess changes in quality of life [28]. The scale encompasses 10 items, and the response to each item is made on a 4-points scale ranging from 1 = not at all true to 4 = exactly true, yielding a total score between 10 and 40. Higher score indicates higher level of self-efficacy [41].
Data collection
From the medical records the following data are collected: age, gender, marital status, body mass index, ASA-group (American Society of Anesthesiologist physical status classification), co-morbidities, length of stay, and the code for the surgical intervention.
Further, the following patient-reported data are collected: level of education, occupational status, home care and nursing care at home, and inhibited physical function not caused by the TKA.
Additional patient-reported data about participation in the rehabilitation program, readmissions, and unscheduled contact with healthcare professionals (general practitioner, readmission and emergency department, doctor on call, the orthopaedic ward or the orthopaedic outpatient clinic) are collected as control for confounders.
Additionally, qualitative and quantitative data from the telephone follow-up consultations are documented in regard to duration as well as identified health problems and provided counselling related to the predefined themes structuring the intervention.
Sample size
Calculation of the sample size is based on the primary outcome physical function in the WOMAC Index based on the smallest clinically relevant improvement, which is reported to 5.3, 11.8 and 20.4 points related to low, intermediate and high baseline score tertiles respectively [42]. A difference of a minimum of 12 points in favour of the intervention group compared to the control group during a period of 12 months post-surgery is assessed as a clinical relevant outcome in this trial and determined as basis for estimation of the sample size. The standard deviation for the entire population is estimated to 18 points. Sample size is calculated with the assumption of normally distributed data with α = 5% and 1-β = 90% and an equal number of patients in each group. It is estimated that 48 patients are needed in each group. With an expected drop out rate of 20% 58 patients have to be included in each group.
Outcome analysis
Data will be entered in EpiData version 3.1. The statistical software STATA will be used for data analysis. Ratio-scaled data from both groups (intervention and control) will be compared by using parametric methods if data are normally distributed, and if not, nonparametric methods will be used. Nominal scale data will be compared by Chi-square test or by a 95% confidence interval when comparative measures. Categorical variables will be compared using the Pearson´s chi-square test and the Mann–Whitney test, and two-sided level of significance p < 0.05, if it is found optimal. For continuous data changes within the groups will be analysed by using a paired t-test. P < 0.05 will be considered as being statistically significant. Due to the repeated measures a logistic regression analysis will be performed.
All patients will be analysed in the groups to which they are randomly allocated according to intention to treat analysis. This analysis is primarily based on imputation of outcomes by carrying the last known outcome status forward and is supplemented by sensitivity analysis to examine the effect on the results.
The inclusion of participants was initiated in January 2013. In total, 50% of the intended participants are actually enrolled in the trial, and the inclusion is expected to be completed at the end of 2013.
Telephone follow-up is considered an inexpensive and easily organized intervention, and a good way to exchange information, provide health education and advice, manage symptoms and early recognition of complication, reassurance and quality aftercare [43]. A systematic review with focus on the effect of telephone follow-up initiated by health professionals and looking at physical and psychosocial outcomes did not lead to any conclusion [43]. It did though, give rise to a demand for further research, especially based on uniform and well described interventions, appropriate measurement instruments, and related to specific patient categories. According to our knowledge this is the first trial examining the effect of telephone follow-up consultations applied to patients undergoing TKA.
A well designed randomized trial is a reliable way to evaluate new treatment options by comparing them to accepted treatments [44]. A well performed randomization process ensures equal allocation to the intervention group and control group respectively, preventing selection of patients assessed suitable for the intervention. The consecutive enrolment and external web-based randomization with a block unknown to persons involved in this trial ensure random allocation and maintain concealment of the allocation sequence, as the patients and the persons enrolling patients cannot foresee the assignment [45]. Furthermore, the randomization process is executed just before discharge from hospital to avoid the outcome of the randomization to influence the counselling and information during hospitalization.
In non-pharmacological trials the care providers and the patients are frequently un-blinded [46]. The lack of blinding could affect the estimate of the treatment effect positively [47]. In this trial neither the patients nor the person conducting the consultations are blinded after the randomization, because it is impossible to hide whether the patients receive consultation or not. The participants who are assigned to receive a new treatment including extra follow-up may have favourable expectations, and those assigned to conventional treatment may be disappointed [48]. However, the patients have no previous experiences of the rehabilitation period after TKA and hereby no basis for comparison of any gain of the follow-up consultations with conventional treatment after being discharged following TKA. Furthermore, the control group has no knowledge of the content of the consultations, and contact between patients post discharge with opportunity to discuss benefits or disadvantages of follow-up consultations are unlikely. However, it cannot be excluded that the patients meet by chance at follow-up in the outpatient clinic.
Deviation from the protocol after randomization is expected, since some patients will withdraw, some may be unavailable at the times set for the consultations, and some may not return the questionnaires. Exclusion of the patients deviating from the protocol destroys the distribution of similar characteristics in the two groups and could influence the estimation of the effect of the intervention [49]. Intention to treat analysis will be performed including all randomized patients providing the least bias when comparing results between the two groups [50]. The drop-out rate can be expected to increase during the 12 months follow-up period and rapid response to unreturned questionnaires is executed by telephone calls to minimize the drop-out rate.
All interventions in this trial are conducted by the first author, reflecting the practice of that specific nurse and representing a positive attitude to the intervention, which could influence the outcome positively. The performance of the intervention will not reflect the intervention in an everyday clinical practice, which is influenced by the skills and attitudes of a range of nurses and the intervention needs to be tested in every day nursing practice to enhance generalizability. Random checks by audiotaping the intervention sessions and documentation in case report forms, assess treatment adherence essential to be able to appraise the feasibility and reproducibility of the intervention in clinical practice [51].
The effect of follow-up consultations by telephone after TKA has not previously been studied. Patient satisfaction with care related to information and contact with health professionals during stay in hospital was positively correlated with self-perceived health status up to 12 months after total hip and knee arthroplasty [52, 53], and a long term effect of telephone follow-up consultations after TKA cannot be excluded. Due to timing and content of the intervention the effect is expected to be strongest and with the stated clinical relevant difference in scores between groups in the early recovery period.
Selection of patients enrolled in a trial may lead to problems with generalizability if the selected population differs in important ways to the more general one [44]. The practical value of a trial is supported by enrolling patients with characteristics that reflect the range and distribution of patients observed in clinical practice for a particular problem [54]. To enhance generalizability, all patients admitted are consecutively enrolled in this trial if they meet the inclusion criteria and none of the exclusion criteria. However, the sample in this trial will only represent the group of patients with a short stay in hospital, which minimizes the time for health-related counselling and information, but also increases the possibility of a positive outcome of the study.
This trial can be categorized as a pragmatic clinical trial with hypothesis and study design based on information needed to make decisions in the clinical practice. The trial addresses practical questions concerning benefits of the intervention as they will occur in routine clinical practice [54]. The results can provide new knowledge to support the development of targeted and effective follow-up after TKA, in order to improve the patients´ health-related knowledge and skills and enable the patients to take actively part in their handling of their illness and thereby improve health status.
This work uses the technical facilities of OPEN Odense Patient data Explorative Network, Odense University Hospital, Odense, Denmark. http://www.sdu.dk/ki/open
The study is funded by the Faculty of Health Sciences, University of Southern Denmark (one year salary for the first author, who is responsible for this trial); Department of Orthopaedic Surgery, Gentofte Hospital (one year salary for the first author); Novo Nordisk Foundation (DKK 81000 ~ USD 15000) and The Danish Rheumatism Association (DKK 50000 ~ USD 9200). The funders have no influence on the study design, the execution of the trial or the interpretation of the data.
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Pre-publication history
This article is published under license to BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly credited.


text:
Monday, November 28, 2005
Remember: Hannah Seright
So please take a moment to remember:
Hannah Seright, who died in 1861. An extraordinary achievement-to reach the age of 102. And a curse. She spent 44 of them without her husband William.
The deeper, more bold inscription for Hannah seems almost a relief, and the brevity of words impersonal, as if she knew the loneliness of one who outlives the last of her mourners.
In Memory of
William Seright
who departed this Life
April the 20th A.D. 1817
Aged 65 Years
Let me die the Death of the righteous
and let my last end be like his
of his wife
died Oct. 1861
in the 102nd year of her age.
(Forks of the Brandywine Presbyterian Church, West Brandywine Township, Chester County, Pennsylvania)
9 comments:
- Farzad said...
It's a beautiful picture, wonderful description, and a lovely soul.
- November 29, 2005 1:14 AM
- anne frasier said...
what an interesting and intriguing stone.
great find, jason!
i didn't know anybody lived that long back then. i remember maybe 30 years ago when a fuss was being made over people hitting 100.
- November 29, 2005 1:22 AM
- Kara Alison said...
Hmmm...maybe the inscription on Hannah's portion of the stone is deeper because it was added so much more recently? Living to 102 must have felt like forever back then.
- November 29, 2005 8:23 AM
- Jeff said...
jason- nice photo. Hannah lived a long time during a period when live in America was still quite primitive. amazing! :)
- November 29, 2005 9:44 AM
Farzad, she has a very restful spot.
Anne, it must have been very unusual back then. A survivor among survivors. So much so that the expense was taken to carve it into the stone.
Kara, I'm taking a little poetic license with the inscription, but it did strike me. I don't think carving techniques would've changed much between 1817 and 1861. Certainly, no effort was spent trying to match the script.
Jeff, yes, and the Civil War was brewing. She was spared that experience.
- November 29, 2005 10:17 AM
- Robin Caroll said...
Very interesting! My mother's a genealogist and some of the stones/inscriptions she's come across are beautiful!
- November 29, 2005 6:23 PM
- Kelly Parra said...
Interesting insight on this gravestone, Jason. And wow, to live that long!
- November 29, 2005 7:06 PM
Robin, genealogy is eternally fascinating. I've done a bit myself (amateur only). I suppose digital photography has cut down on the need for doing grave-rubbings!
Kelly, it's hard to imagine how many "bullets" she had to dodge to live so long.
- November 29, 2005 11:43 PM
- Shesawriter said...
Wonderful post. I wonder what keeps someone from going on that long, especially after losing someone so close.
- November 30, 2005 8:39 AM

subset: commoncrawl


text:
The initiative to hold a Science Debate among the US Presidential candidates is not going well. The planned debate to be held in Philadelphia has been canceled, and the organizers hope to schedule another one later in Oregon.
At this stage, I'm skeptical that it will occur. As the article stated, the candidates at this point are "well-defined" and don't need any more publicity. And science isn't anywhere near the important factor that the general public would consider in making their decisions on who to vote for.


text:
Sunday, January 31, 2010
CrossFit Townsville Saturday WOD
(SXF's mascot)
Every minute on the minute perform 5 DB Deadlifts,5 DB Hang Power Cleans, 5 DB Thrusters.
Rest the remainder of the minute. If you fail to complete the required work in the minute do 5 burpees and rest the remainder of the minute before 'getting back on'.
Loading prescribed at 40-45% of BW
At Fit Solutions:
Dan:20kg DB 18 rounds
Rob:15kg DB 18 rounds
Rook: 12.5kg DB 16 or 17 rounds?
Chris:10kg DB 20 rounds
Mia:10 - 8kg DB 18 rounds
Reek:9kg DB 20 rounds
Annalise: 7kg DB 20 rounds
Robin: 6 kg DB 20 rounds
At BSF
Glen: 10kg DB 20 rounds Koala style(didn't put DBs down) 6 reps in first round then 5 reps until round 14, 3 rounds at 6 reps again then 3 rounds at 7 reps.
Thursday, January 28, 2010
The Brett Drill
This is my ,soon to be famous, Brett Drill - hopefully it will improve double unders the world round.
This is me putting the drill to the test on OPT's "Flight Simulator" which is all the rage at SXF at the moment and has produced some exceptional dummy spits.(Language warning on the Dummy Spit vid - super funny though like old people on ice!)
The challenge is up, I did it in 12:38.
Thursday Couplet
Followed by a 10! Couplet of Front Squats from the deck and Knees to Elbows.
Chris 9:59(Rehab scaling)
Errica 16:07 (28kg)
Robin 17:43 (33kg)
Ella 18:30 (27kg)
Great Job by all.
I have pondering the programming question for a while now and basically I have whitled it down to two camps either a strength bias camp (where there is a strength bias component to every workout day and a met con component) or the single WOD a day camp.
I am leaning towards Strength Bias for my personal training sessions or experienced groups - where equipment permits, but toward single WOD programming (like CrossFit Brisbane or Main Page) for group classes.
I think there is a trade off going on here - In my opinion a strength bias is the most efficient training stimulus but on the other hand a group class creates an environment that encourages more intensity.
So I think both have there merits - Thoughts?
Wednesday, January 27, 2010
Happy WOD
In the CrossFit journal article - "you be the trainer" there is a virtual client who has lost her training mojo - aka can't be stuffed.
In one of the comments someone suggested they would give her her Happy WOD to her get her love for training back.
I have been sore and demotivated since the absolute caning I gave myself trying to keep up on Saturday so today I just finished my happy WOD : Heavy Deadlifts with plenty of rest :) what can I say, they are not that heavy yet and I do love the rest.
Errica's Happy WOD is Annie I think.
So basically your happy WOD is one you could do and would be happy to do any time anywhere.
What is your Happy WOD? (you can make one up)
Wednesday Presses
It looks like I will be on board with CrossFit Townsville as early as Monday February 1st so Robin, Chris and Errica we will be training out of fit solutions for about 8 weeks until the 'New Box' opens.
Dan has agree to continue the current rate of $10 a session until the new place opens.
I have done the programming for Feb and while there are some logistics challenges it should be a great month of WODs.
See you guys tomorrow morning.
Monday, January 25, 2010
Cleans and Dips
The girls had a big session this morning
Row 2k
Errica 9:07ish
Robin 9:23ish
Then 5 rounds for time
3 Cleans @approx35kg
3 Ring Dips
both did sub 4mins
I am going to try it tonight at 80 - 90 cleans and ring dips - as if my tris aren't shot enough after yesterday.
Sunday, January 24, 2010
Saturday Chaos
AM crew - Errica, Robin and Chris bombed into the CrossFit Townsville session at Fit Solutions are did almost the same workout we did on Friday.
Chris wowed everybody with his form and Robin was deadlifting as much as some of the boys.
In the PM we did a double WOD
WOD 1 was a favourite of mine 5 rounds of 300m row& 30 push ups that is brutal.
WOD two was after about 30mins break and was the first WOD from CrossFit Rocks open day but with 'flamo' jumps 28" rather than the prescribed 20" which made it harder for Steve and Glen.
Awesome afternoon of working out with Newy, Steve,Glen and Dan.
Monday back at BSF.
Thursday, January 21, 2010
In the arvo Craig,Chris and I attacked a Box Jump Situp WOD
5 rounds of 10 flamo jumps and 20 Abmat sit ups. we were between 6and 9 mins which was a bit short either make it a ten rounder, or keep it the same and use GHD sit ups or make it 10 Box Jumps, 20 Sit Ups & 30 DU for 5 rounds.
CrossFit Thuringowa(Dan Strickland and Rob Innes) is rebranding to CrossFit Townsville and as soon as they are up and running I will be working for them in the capacity of a Trainer.
I would like BSF people to come over with me and continue to get fitter and stronger but realise the cost may be a bit more than the 10 bucks a session we currently enjoy.
I have to be selfish on this one these guys are super professional and I can see them taking CrossFit in Townsville to the next level and I want in.
Wednesday, January 20, 2010
Easy session
Still down to two with Robin away at Coffs Harbour(hitting CrossFit gyms in the area in the photo above).
We did some squat therapy then chased a heavy press chris matched his PB Errica was just off it.
Then we did 5 40m tyre drag sprints and 3 sets of max strict pull ups.
Planning on doing CrossFit Rocks WOD2 on Friday and resting tomorrow.
Tuesday, January 19, 2010
We are back in action
Hang Power Cleans
Chris did 50kg HPC and reek 32.5kg
Chris finished in 11min 45s and Reek in 12min 03secs
Saturday Work out instead of Sunday at 3 PM it will be hot!! Glen?, Dan? Steve is in already :) I am pushing to make my Sundays a rest day from here on in.
Sunday, January 17, 2010
CrossFit Rocks Open Day
Check out the action (and hopefully results later today) at CrossFit Rocks website.
Basically it was two very doable WODs: 3 rounds of 15 Deadlift(80/60kg), 15 Box Jump & 15 Kettlebell swings.
The low box proved to be a hurdle for many as they were not getting full extension off the top. I would suggest a lot of blokes train on a 24 and usually just fall into hip and knee extension.
2nd WOD was 21-15-9 Hang Power Cleans(60/40) and Burpees. This was horrible!
Top 5 had a third WOD which was a volume ladder of DB Thrusters and Pull Ups. the male winner got through 13 - Drummond Williams from CrossFit Coastal. I think the female winner got 11 rounds Rach Vickers also from CrossFit Coastal.
Jeff did the day as Rx'd and Robin implemented a bit of scaling but went really hard.
Jeff had some dramas with his first judge but handled it with good sportsmanship which was awesome.
I was hoping for 6th place(because I am lazy and wasn't up for a 3rd WOD :) )
I think I got pretty close.
It was a great day very well organised ,cool workouts, great people and heaps of fun.
Hopefully we can see something similar for the official opening of CrossFit Thuringowa later this year.
Sunday, January 10, 2010
Whats in YOUR "food"?
click on any of the images for a better look
Now, I dont know about you but I'm pretty sure 175mg + 70mg doesn't equal 300mg. So they claim there is 300mg of n-3 but there is only 245mg total of EPA/DHA, whats the rest?? Omega-3 oils such as flax seed or soy oil usually fill the gap, but these are totally inferior to EPA/DHA as explained in my fish n flax post.
Make sure your fish oil ingredients state that for a standard 1000mg capsule, with 300mg Omega-3, that the EPA/DHA break down is 180mg EPA and 120mg DHA, which actually equals 300 by the way...
On the way the the supp' section they had these out so I couldnt help myself:
"Sports Drinks". Main ingredients: sugar (two different types in the second one!, like beer/frustose), followed by flavours and colours. Some extremely small amount of vitamins and the end, surely that makes it worth drinking poison.
And then there's this:
Mid morning snack? Afternoon treat? Evening moment?
While I DONT think that man has never been to the moon or that the FBI planned JFK's assisnation, I'm begining to think that the food companies actually WANT us to get fat and sick.
Most of your food shouldnt have labels on it anyway, but when they do, read them carefully.
Friday, January 8, 2010
Homework for Monday
10 push ups
10 body rows
Run 200m
Remember to do all push ups chest to ground.
Make sure to stretch out those calves and roll out your ITBs.
Wednesday, January 6, 2010
Thruster 60kg &Row
Not too bad so must have gone too slow:)
Brett 10:55
Jeff 10:41
This afternoon I am training with craig too.
Tuesday, January 5, 2010
Pressing and Row racing :)
Monday, January 4, 2010
Monday workouts
We did a variant of OPTs tempo WOD we did 6 rounds of 10 Front or OH Squats with 1 sec up and 3 secs down supersetted with undergrasp chin ups 1 sec up 3 secs down.
This was much harder than it looks on paper.
Finished with 3 sets of 25 sit ups.
Sunday, January 3, 2010
The future for BSF?
Given our limited equipment and space and my desire to have a very relaxed gym environment the open gym model that skip talks about would probably work really well.
It requires each person to be a little bit more independent but potentially allows for better growth.
Saturday, January 2, 2010
Forefoot running
Really important point that I picked up at the CrossFit Endurance Cert was that when forefoot or midfoot running you must still kiss the ground with the heel to unload the calf and achilles tendon. Failure to do this leads to alot of tears in the calf group - I have had them, Robin's got one so we need to contact with the mid foot and then allow the heel to touch the ground before pushing off.
Sunday sesh - Errica's Birthday
Look for max push press double.
Dry plan is Cindy + 1 C&J @ 75% of 2RM in first round, 2 in 2nd round and so on until someone with a score of 11 rounds will have done 5 pull ups,10 push ups, 15 Squats and 11 C&J.
Wet plan is similar but with 5 OHS@40kg 10 dips 15 Ring rows (Feet elevated)and just clean no jerk due to the roof!
Both of the above are AMRAP 20.
Who is in?


text:
C3 Foundation and leadership in safeguarding for incumbents, licensed and authorised ministers (previously Safeguarding for Incumbents & Safeguarding for Readers & SPAs)
The Diocese of Southwark: Safeguarding
Tuesday, 16 May 2017 from 10:30 to 16:00
Event Details
C3: Foundation and leadership in safeguarding
for incumbents, licensed and authorised ministers
(previously Safeguarding for incumbents/Safeguarding for Readers & SPAs)
Tuesday 16th May, 10.30am-4pm at Trinity House
Trainer: DSA, with voluntary trainers
- Incumbents, priests in charge and lay ministers with equivalent role
- Licensed Readers & SPAs & Readers & SPAs in training
Aims: As for C1, C2 plus:
- Know the range of current state and ecclesiastical legislation, statutory and other relevant guidance and House of Bishops' safeguarding policies and practice guidance, and the need to work in partnership with statutory agencies
- Describe ways to work in partnership within the diocese and with external agencies: list and know how to contact key statutory sector partners; ensure senior staff and the diocesan safeguarding adviser are informed of all parish safeguarding issues
- Explain personal roles and responsibilities as incumbent/priest-in-charge/curate/licensed or authorised minister. Describe diocesan safeguarding processes for responding to serious safeguarding situations, including responding to victims and survivors and referral to other agencies; managing posers of risk and review of safe working practices
- Map the overview role to ensure safer working practice in the parish
- For incumbents, practise the key skills for effective supervision of the ministry team, curates and authorised lay ministers, churchwardens, safeguarding officer and church employees
Please note: if you don't cancel without informing us in advance we may charge a non-attendance fee of £10.
When & Where
Trinity House
4 Chapel Court
Borough High Street
SE1 1HW London
United Kingdom
Tuesday, 16 May 2017 from 10:30 to 16:00
Add to my calendar


text:
Friday, 15 February 2013
February 2013 cards
Hi everyone hope you are all well and looking forward to another weekend full of crafting. I am hoping that those of you who attended the local craft show last weekend are full of inspiration & may be persuaded to demonstrate a card or 2 in the next few months (hint, hint), just to ease the pressure on Sylvia & myself as I think we are both struggling at the moment due to our personal lives infringing on our crafting times. Just let us know over the weekend if you fancy having a go.
Begging over lets get back to this months cards.
I have tried to limit the amount of things I used for my 2 cards, so with that in mind I have found 2 new techniques that use similar resources to achieve 2 different looks PLUS as an added bonus I have done 2 different cards for each technique so you can choose which card you prefer to do on the day. They both use an Embossing / Die cutting machine so if you do own a Cuttlebug etc. plus embossing folders / dies & are willing to bring it along it will speed up things considerably & you may even get both versions of each card done.
So here goes…………
Card 1 – Puzzle Resist card
Version 1
Supplies needed
C6 card – Mine was SU Melon Mambo (pinky red) plus extra for sentiment mat
10 x 14.3cm mat – mine was SU Certainly Celery (light green)
9.5 x 13.8 mat - white plus spare for sentiment
Embossing folder
Shaped die cutters/punch
Sentiment stamp/peeloff
At least 2 different coloured ink – mine was SU Melon Mambo & Marina Mist
Adhesive pearls/gems
Wet glue
Version 2
Supplies needed
C6 card – mine was SU Pretty in Pink
14.3 x 10cm mat – mine was SU Elegant Eggplant
13.8 x 9.5cm mat – white
Background stamp
Versamark ink
Clear Embossing powder
Pink, Purple & green inks
Sponge daubers/brushes
Spare white & purple card
Sentiment stamp/peeloff
small piece ribbon & 1 brad
Stick on gems
Kitchen roll
Scrap paper
Card 2 Faux Pressed Flowers
Version 1
Supplies needed
C6 pink card -mine was SU Pretty in Pink PLUS spare card
Scrap purple, white & green card
2 tiny buttons – mine were purple
Sentiment stamp/peeloff
Embossing folder
Corner punch
Version 2
Supplies needed
C6 card – mine was mid yellow – CU So Saffron
Spare card for mat – mine was purple SU Elegant Eggplant & white
Scrap card – mine was yellow & purple (as above)
Small circle punch
Flower punch
Background stamp
Coordinating ink
Die cut frame shape
Embossing folder
SU's bird on a branch punch
Stick on pearls
Card 3 – Punched Easter Bunny (oh poor Bunny!!
Supplies needed
C6 Blue card – ideally sky coloured
Scrap card (ideally at least 1/2 an A4)– white, black, green
Pink ink & sponge dauber
Pink pen
Butterflies (?what type see picture for clues)
The following Stampin Up punches (or equivalent)
1" & 1 1/4" circle
Plain oval
Boho Blossom
Easter greeting – stamp or peeloff
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text:
Thursday, February 28, 2013
When do you feel your sexiest?
About an hour and 45 minutes into my 2 hour workout, when I have sweat pouring down my face, my clothes are stuck to my body cuz they're soaking wet, and my muscles are screaming for mercy.
Wow, this answer would have been TOTALLY different a few months ago. I pretty much never feel sexy. But lately, with all the changes going on with my body, the above really IS the best answer right now.
Confession time - Sometimes, I can't keep my hands off myself. I find myself feeling myself up a lot lately! :P It's amazing to feel muscles in places where there was nothing but blubber before. Now, don't get me wrong, there's still a substantial layer of "fluff" covering these muscles, but I can feel them now. I can feel bones now. I forgot what that was like, it's been so long. My rings spin 'round and 'round my fingers now. Soon, I'll be afraid of them falling off. (The last time I lost a substantial amount of weight, for my sister's wedding, my wedding rings used to fall off constantly! I finally had to stop wearing them, and got a plain gold band to wear every day.) My shoes are all too big, which is pretty hilarious! And, don't get me started on my bras! I have mine on the last (tightest) hooks, and the straps are as tight as they'll go. Thankfully, I have a drawer full of really pretty Victoria's Secret bras from the last time I was thinner, although most are too "sexy" for every day, so usually I stick to my too-big collection. It does make me giggle sometimes, though, to know that under my plain ol' every day shirt is a rockin' bra!
Now, as great as this all sounds, there is a downside to this weight loss. One I KNEW would be coming. My face is always the first place I lose weight (along with my hands, feet and boobs). And now, without all the padding, my face is looking old! Every little line and wrinkle shows!! People have always told me how young I look for my age, and how I haven't changed a bit over the years, blah, blah, blah. Yeah, well, I always said it was because the fat in my face kept it looking smooth! Now, not so much. =( But, I guess that's the trade off, huh? Hopefully, soon, people will be too busy checking out my booty to notice my wrinkles, right? Haha!
One a different note, my mom, sister and I got a few things accomplished for my dad's party. My sister and I decided on centerpieces, and my mother and I went and finalized the menu. Woo hoo!! Now, my sister and I have to put the centerpieces together, which shouldn't be too bad. I also have to make the labels for the favors and put those together.
This is what will be served at the party:
Sausage and Peppers
Chicken Vesuvio
Baked Ham with Pineapple
Stuffed Peppers (stuffed with rice and ricotta cheese, with a white sauce)
Roasted Potatoes
Broccoli (sauteed in olive oil with garlic, covered in breadcrumbs and Parmesan cheese)
Green Beans Almondine
Tossed Green Salad
There will be platters of bruschetta on each table for everyone to munch on until my dad arrives. And, of course, there will be the killer sweet table I told you about the other day. How does this menu sound to you? Well, besides excessive. We Italians ONLY know how to do excessive, sorry. ;-)
Well, the giant pot of 4-bean chili simmering on the stove smells too good to ignore any longer. Guess I'll call Stud up for dinner! Enjoy your evening!
Memories on a wall (and in a phone)
3 hours ago


text:
The Keukenhof is a Mecca for tourists to Holland in the springtime, but many Dutch natives and residents never go. I took the opportunity to visit with some friends on a beautiful spring day and it was sooo worth the trip!
zaterdag 9 mei 2009
vrijdag 8 mei 2009
C is for Cake, Candyfloss and confetti
An English wedding.
Organising a traditional wedding is truly an art form, and I was thrilled to be invited to my cousins wedding in Staffordshire in March. Guests travelled from all over the world to attend, and every detail of the day was planned perfectly.
The service in the church was beautiful:
The reception was held in an elegant stately home built as only the Victorians knew how:
The cake was baked and decorated lovingly by the grooms sister Kath:
The bridesmaids were adorable in candyfloss dresses:
Relatives got the chance to meet again after twenty years:
And we forgot to throw the confetti!
Thanks Tracy and Jamie for an unforgettable weekend!
zaterdag 2 mei 2009
Its been two weeks now, and having a horse is almost a full time occupation it seems! Jolanda is getting to know Ulo, and we are working with her every day. Its a pleasure looking after her, and she is quite used to us now, and pleased to see us when we arrive!
Working with her is not really a problem, but as I said before, we had no tack before she arrived, so the last two weeks have been spent gathering "stuff" and recognising the mistakes we have made!
first the bridle:
We dashed out to Midden Beemster to get a bridle and bit on the first morning, and brought it back to fit on the horse. We realised immediately the Cob size bridle was to small, but the bit was good (ever tried to fit a bit in a horses mouth without it being attached to the bridle? Ulo thought we were mad!) I dashed back to the shop, and swapped the bridle over, so that we could saddle her up and Jolanda could have her first ride on her.
Then the Martingale:
I went back here on Tuesday as we really needed a martingale. That made a big difference to riding her on the bit.
Next the saddle:
We made do with a borrowed saddle as I took the advise of everyone and started trawling the internet for a second hand Kieffer general purpose saddle, because "they fit every horse".
By wednesday I had found a couple, and put bids in, and one bid was accepted. Friday night John and I took a trip out through the blooming bulbfields of noord Holland to pick it up. It seemed fine, I tested the tree, which was strong and straight. Included with the saddle were two martingales, and a saddle blanket. But there were no stirrups, and the girth was only 115cm, and we knew we needed 130cm.
Then the girth:
I found a kieffer girth on the internet too, so bid for that, and went to pick that up, (again though the bulbfields) then next morning.
Saturday afternoon we fitted the saddle, to be told that it would need refilling (although it would do for now) and the girth was designed for a dressage saddle, and was still too short. Amazingly the girth we had got with the saddle did fit, so that was sorted.
finally the stirrups:
We were working with borrowed stirrups now, but everything else was ours, hurrah! Monday we went shopping with another mother who was showing us how to get to the closest tack shop. It was in a block of flats in Amsterdam Noord and gave me the feeling we were entering a drugs den as we rang on the doorbell for admittance and followed the signs upstairs. We were shown one pair of stirrups and one sort of stirrup leather, but I felt too intimidated to ask to see anything else, so just paid the money and left.
as extra:
Last night we went back out to Midden Beemster, to get the pretty saddle blanket Jolanda had seen on our first trip, and a pair of leg protectors.
I think we are done shopping for a while, thank goodness, as we have everything we need and more.
We now have to get rid of two martingales which we don't need and a Keiffer girth that does not fit. I need to get the courage to take the first halter we bought back to the shop (a different shop) to complain, as it broke in the trailer, and the horse escaped!
I take comfort from knowing I am not the only one who makes these mistakes, one mother was sold a full lunging girth set when she only needed a lunging rope and whip, and another mother bought a summer turning out rug which should have been 185cm, did not see the shop had sent her the wrong size, and after unpacking it found it was 215cm!
Abonneren op: Posts (Atom)


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Meet Tony Phoenix -Morrison. As far as I know there is no insulin in that fridge. He is simply running with a fridge on his back (you can check his story HERE, that is where I borrowed this photo from).
The length of our stay away from home determines the amount of insulin I pack. If it is a week or two (anything under a month) I do not worry about refrigerating the insulin. It is meant to be used within the month once it is out of the fridge anyway, so I just keep it away from direct heat and make sure I do not leave it in the car in the sun.
It is a different story if we pack for 3 or 6 months away.


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Text written in 2005 to the tune ANGELUS AD VIRGINEM.
How, before all time began,
Before the world's creation,
Could the Lord conceive His plan
Of mercy and salvation?
Yet, from that high and timeless place,
God chose to save our death-bound race:
Emmanuel—as prophets tell the story
In Scripture as we know,
Would veil in flesh His glory
And dwell with us below!
To the darkness of our night
And to our need attending,
Came the Word as Light of Light
Beyond our comprehending—
Radiant within the virgin's womb;
Dawning as day upon our gloom.
Hail, Jacob's Star! For all You are now shining
Your beam of grace on earth,
Your royal might confining
Within such humble birth.
As the presence of a king
Brings honor to a city,
Bethlehem, be glad and sing
Your Sov'reign's tender pity;
Join all the angels who rejoice;
Let ev'ry creature raise its voice—
Sing "Glory be to God!" For He is solely
The God who comes to save
And to our world unholy,
The Prince of Peace He gave.
Tarshish lords from distant shore,
Come pay your tribute to Him;
Kings of Sheba, kneel before
The One with worship due Him.
Rise up, O nations! See! Your Lord!
Long may He live and be adored!
Oh may His fame and holy Name, transcending
Each name upon this sphere,
Be sung with praise unending
Be sung with praise unending
For love so pure and near!


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Report NEP-UPT-2009-05-23This is the archive for NEP-UPT, a report on new working papers in the area of Utility Models & Prospect Theory. Alexander Harin issued this report. It is usually issued weekly.
Subscribe to this report: email, RSS or Twitter.
Other reports in NEP-UPT
The following items were announced in this report:
- David B. Brown & Enrico G. De Giorgi & Melvyn Sim, 2009. "A Satisficing Alternative to Prospect Theory," University of St. Gallen Department of Economics working paper series 2009 2009-09, Department of Economics, University of St. Gallen.
- Eike B. Kroll & Bodo Vogt, 2009. "The St. Petersburg Paradox despite risk-seeking preferences: An experimental study," FEMM Working Papers 09004, Otto-von-Guericke University Magdeburg, Faculty of Economics and Management.
- Sujoy Mukerji, 2009. "Foundations of ambiguity and economic modeling," Economics Series Working Papers 433, University of Oxford, Department of Economics.
- Edi Karni, 2009. "A Theory of Bayesian Decision Making," Economics Working Paper Archive 550, The Johns Hopkins University,Department of Economics.
- Juan-Ángel Jiménez-Martín & Alfonso Novales Cinca, 2009. "State-Uncertainty preferences and the Risk Premium in the Exchange rate market," Documentos de Trabajo del ICAE 2009-17, Universidad Complutense de Madrid, Facultad de Ciencias Económicas y Empresariales, Instituto Complutense de Análisis Económico.
- Marc-Arthur Diaye & François Gardes & Christophe Starzec, 2009. "GARP violation, economic environment distortions and shadow prices: Evidence from household expenditure panel data," Documents de travail du Centre d'Economie de la Sorbonne 09020, Université Panthéon-Sorbonne (Paris 1), Centre d'Economie de la Sorbonne.
- Eric VERNIER & Aymeric BOUCHIE DE BELLE, 2009. "Impact des résultats passés sur l'aversion au risque de l'investisseur (The impact of past results on the investor's risk)," Working Papers 209, Laboratoire de Recherche sur l'Industrie et l'Innovation. ULCO / Research Unit on Industry and Innovation.
- Epstein, Gil S. & Gang, Ira N., 2009. "Why Pay Taxes When No One Else Does?," IZA Discussion Papers 4153, Institute for the Study of Labor (IZA).
- Item repec:fip:fedlwp:2009-20 is not listed on IDEAS anymore
- Dohmen, Thomas & Falk, Armin & Huffman, David B. & Marklein, Felix & Sunde, Uwe, 2009. "Biased Probability Judgment: Evidence of Incidence and Relationship to Economic Outcomes from a Representative Sample," IZA Discussion Papers 4170, Institute for the Study of Labor (IZA).
- Costa, Carlos Eugênio da & Vasconcelos, Jivago B. Ximenes de, 2009. "Can a habit formation model really explain the forward premium anomaly?," FGV/EPGE Economics Working Papers (Ensaios Economicos da EPGE) 692, FGV/EPGE - Escola Brasileira de Economia e Finanças, Getulio Vargas Foundation (Brazil).


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Air America, New York City, WLIB, George Soros, Randy Michaels
While Supporters Use Vitriol, Company Issues Odd Statement
Finally issuing a response to our Friday story exclusively revealing a major crisis at their liberal talk radio network, Air America, with its choice of words, attempted to be clever.
Unfortunately, in failing to deny the apparent impending loss of flagship New York City radio station WLIB-AM, all was revealed.
Because Air America consistently refuses to speak with us, the Radio Equalizer has been forced to wait while other media outlets seek post-publication comment. Here, with other trade publications ignoring our coverage, All Access reported this late Monday:
Report: Air America WLIB/NY Lease Endangered; "No Plans Of Leaving NY," Says Network
What's up with AIR AMERICA RADIO's lease of INNER CITY's WLIB-A/NEW YORK? A report by blogger/talk host BRIAN MALONEY at his RADIO EQUALIZER site says that the network may lose its lease on its flagship as early as the end of MARCH, with MALONEY saying that a consortium led by RANDY MICHAELS and ALTA COMMUNICATIONS is tipped as the likely successor to AIR AMERICA in leasing the facility. MICHAELS' P1 owns ED SCHULTZ' show and ALTA has invested in INNER CITY in the past. MALONEY cites an "internal source" reporting that INNER CITY exercised a termination clause on FEBRUARY 17.
In response to MALONEY's report, AIR AMERICA RADIO spokeswoman JAIME HOOD told ALL ACCESS that "it is business as usual at AIR AMERICA RADIO, we will not, nor have we ever discussed, our confidential negotiations with third party companies, investors, or others in a public forum. We have no plans of leaving the NEW YORK CITY airwaves and plan to be on in NEW YORK for many years to come."
It took until late Monday to cook this up? There's no mention of WLIB in their rebuttal, just "New York". Of course the company has no plans to leave New York City, that was never at issue.
If WLIB remains in place as Air America's ongoing flagship station, there'd be no reason not to reaffirm it here.
And what does "business as usual" mean? That fresh money is on the way from inner-city children's charities?
And take another look at this:
...we will not, nor have we ever discussed, our confidential negotiations with third party companies, investors, or others in a public forum.
What's that doing in the statement? If nothing's going on, would "confidential negotiations" be underway?
In addition, were this report incorrect, Randy Michaels, Alta Communications and Inner City Broadcasting certainly could also have disputed it. We've so far heard nothing.
While it would be nice to see Air America Radio ever proactively come clean on anything, it obviously isn't going to happen here.
Other than hope for an 11th-hour miracle that salvages WLIB, it's not clear what the company believes will save it now. Once the outlet is gone, Air America's New York options are few and far between.
Question from readers: why didn't the new George Soros/ Democracy Alliance money prevent this from occurring?
For one thing, the $8 million bailout hasn't yet arrived. Also, we don't know for sure why WLIB owner Inner City Broadcasting appears to be pulling the plug.
Meanwhile, in a fresh reminder of just how unhinged the "progressive" movement is these days, radio message boards are filled with vitriolic personal attacks against yours truly and this site.
Apparently, Air America's failure is something they take very personally.
Hate to break the news, but after seven months of coverage, our Air America Radio reporting remains accurate. As you've made very clear, the truth hurts.
Thanks for your continued and vital Radio Equalizer support, via Amazon orders that begin with clicks here, regardless of what you ultimately order! Because this investigative work is taking an increasing amount of our time, it's needed more than ever.
What, Me Fall? and Looking For Money images: David A Lunde for the Radio Equalizer


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present company.
OL' ONE-EYE HUNGERFORD WEST.My friend Amber Mahoney has a (truly, incredibly interesting) Polaroid project called Present Company; a few weeks ago she put me in front of her Land Camera and THE ABOVE happened. You'll have to head to The Present Company Project site for my answer to one of the two questions she poses to all her subjects (if you could ask a perfect stranger anything in the world, what would it be? or what is one thing you'd like people to know about you?), and kick it to Refinery29 for a great interview on the why and the how she does what she does.


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Syria and China
Prime Minister Stephen Harper is in China this week to promote trade. He will also use the visit to try and convince the Chinese to back down on their UN support of the embattled Syrian regime. Foreign Affairs watcher David Welch explained why China supports the current regime in Syria and whether Canada has any real influence on this issue.
Categories: Interviews
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Note: The CBC does not necessarily endorse any of the views posted. By submitting your comments, you acknowledge that CBC has the right to reproduce, broadcast and publicize those comments or any part thereof in any manner whatsoever. Please note that comments are moderated and published according to our submission guidelines.
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Programs we offer:
- Infants
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We are accredited by:
We earned our national accredition in August 2010.
License # C19SL0064
Welcome to La Petite Academy in Port St Lucie, FL!
Through the relationships I have established with our parents and children, I truly feel like an extension of their families. We encourage parents to be involved here, and our staff also maintains close relationships with all families. For added safety and security, all parents have a secure log in code in order to enter the building and they log their children in and out of our computer system.
My staff and I participate in ongoing training to further our knowledge, and a majority of our staff has college degrees. Our classrooms are spacious, clean and decorated by the children to bring character and a feeling of home into the school.
We'd love for you to join our La Petite Academy in Port St. Lucie, FL, so call to schedule a tour today!
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A couple of months back (just a month ago, really) I decided to compile my annual Christmas wishlist composed of random material things and not. On most times I really have a hard time looking for things that would really tickle my interest but I get the job done anyway, so it's all good!
So, shall we start? Okay, let me begin with the random material things that have been making me somewhat drool.
The first things I should definitely start piling in my closet are dresses.
Structured sleeve skater dress
Tuck shift dress
Crossover dress by LOVE
Lace sleeve dress
Ditsy contrast collar dress
Angle sleeve dress.
These are all from Topshop. While,
This fold over geo dress is from Forever 21 (it's on sale by the way).
On to the outer wears!
A Gryffindor jacket from Hot Topic.
Double-knit blazer with heart patch
Letterman jacket
Peace dove open cardigan. All from Forever 21 as well.
While this Four Year Strong jacket is available.. Well honestly I have no idea. But I'm pretty sure these babies are available from their website.
Day of the dead tank top.
Blood is the New Black metal bears distressed tank top, both from Urban Outfitters. It sucks how expensive their stuff are. I swear.
I've also got a thing for band merch.
So I've included this Pierce the Veil raglan tee
And this Pierce the Veil heather gray tee
And a bunch of their other stuff like SD tank tops and stuff like that.
These Pierce the Veil shorts are absolutely adorable. I'd totally wear them out.
Classic skinny jeans
Essential skinny jeans
Both from Forever 21. You might have noticed that I included quite a number of clothes that are from Forever 21. It's because, first and foremost: they're not that expensive. And secondly, there's basically a Forever 21 anywhere in the world. I'm a size 30. Shut up, I gained weight.
Vans Authentics in royal blue. Also in black, red and orange. Recently I've been loving everything with bright colors just to steer clear from a little bit of black. But the next things I'm about to post is going to contradict what I just said but what the hell.
Keds hi-top Champions in black.
Cooperative suede oxford wedge from Urban Outfitters. They look extremely sturdy and comfortable. Like I can wear them on a regular day and not worry how much they're going to hurt my feet but I'm most positive that they won't. There's a similar pair from Aldo. I'm going to have to save up for those. Aldo isn't exactly the cheapest there is.
Brown oxfords just because.
Minnetonka moccasins. I think this is a closet (or shoe rack) staple.
Ecote leather criss cross lace up boots from Urban Outfitters. Again, too expensive.
T-strap floral flats from Ichigo. Cheapest footwear on my wishlist.
I'm usually a size 7.5 (US Women's). Sometimes 8. Obviously bigger for Asian footwear. I'm a 9 for those.
Ecote around the world backpack from UO. They're so cute!
Cat eye sunnies from Urban Outfitters. I'm still trying to find a compensation for this. I'm currently using the one from my friend - I sort of switched sunnies with her. She has my flat-topped pair of tortoise sun glasses.
Free spirit leatherette necklace from Forever 21.
Harry Potter silly bandz! Don't ask.
An iPhone 4. I would have posted a picture of the iPhone 4s but it wasn't existing at the time I made this list.
A room make over I've been bugging my mother for already a year, I think. White walls and Christmas lights. I'd like it to be a little bit messier than this of course.
A MacBook Pro and a new dog.
What's written is pretty much self-explanatory. Although I would like to expound. Most of you must be aware that I've always wanted to leave the Philippines. I can't remember when this want blossomed but I'm pretty solid on my thoughts. My mom approves, my dad approves. Now, the only problem I have are the visas, fares and stuff like that. I've decided on a couple of countries already but I'll decide later on really where I want to be. Once I graduate from my Fine Arts course, I'd like to pursue art history. I'm still not sure whether I want a masteral or a second degree. Either would definitely look good on my credentials.
Another thing I've been setting my hopes on was going to Vans Warped Tour. Photography has been one of my passions since I was in high school - back then it wasn't as overrated as it is today. Just admit it. I've been really hooked on event photography. I like taking pictures of musicians and random people. Never really a fan of the studio and a set, honestly. I just want everything to be spontaneous. It would also be a great thing since music has got to be the one thing I love next to my family and friends. I can never live a day without it - it's a part of who I am.
And last but not the least. This has got to be the cheesiest thing on my wishlist ever. True love. Overrated but I couldn't help myself. I'm just a girl after all. I know I wouldn't find it here. I don't know how, but I just do.
Phew! This is one long blog post. Longest I've ever made, perhaps? If not then whatever. Who cares right? If you have nothing better to do maybe you should take some time and think of the things you really want. Christmas is not always about the material things in life. As you can see, I ended this wishlist not with those, but things that I know are irreplaceable - things that nobody can ever take away from me. Well okay, maybe some people can but a girl can only hope.


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Brian Jacques amazed me, his book made me fall down on the floor begging for more. I has always enjoyed reading books about animals but his book is now when of my favorites. I know how the clumsy, little mouse named Matthias felt do something worth while, something that no other mouse had the courage or the guts to do. I sometimes feel the same way. This book helped me in my reading when it showed words that i didn't know. For example inhabitants and dwells. I know this is a just right book for me when I can just start reading non -stop.
Matthias has changed frequently through out the book. At the begiening he was just a normal, clumsy mouse wanting do something special and in the middle of the book he trained the soldiers how to fight. He made a unsuccesfull etempt to retreave the stolen tapesry Matain The Brave and blamed himself. As if to make up his failure he found the long hidden Martian's sword and shield when he killed the feared adder snake named Asmodeus who killed many of the animals in Redwall Abbey. Cornfloer was my favorite character. She was a young and shy, girl felidmouse. She started helping the wounded in the battle agaisnt the Cluny The Scourge. She has really shown what she acutally do.
I really like the endings when the main character has to alone face his or her fears. The book ended when Matthias married Cornflower and gave birth to thier son Mattimeo. I think that the ending should be mostly about the end of the fight and then little about the love.
Posted by 170600
3 comments:
I liked how you write your introduction and put lots of details about the book. But I think you should include what was the author was trying to say. But your reading response was easy to understand the story!ReplyDelete
You have put a lot of voice and opinion in this, which of course is what distinguishes a reading blog from a summary. You have really nailed this post, good job! Like what 170747 said, you haven't added an author's message though. You have really made the book vivid however, and most of it was superb. The only other trouble besides the author's message was your spelling mistakes, but those do not distract from the very good response as a whole. Nice work!ReplyDelete
Erratum: the second word of the eighth line should have been 'detract'.ReplyDelete
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Is all I can say about these leggings. I've been after a pair of funky ones with a design that I'd actually wear. By God are they beautiful? Now I just need some dosh. Gah. Someone buy me them? :D
Wednesday, 9 January 2013
Lovely Sally
4 comments:
Literally in LOVE with those leggings!!ReplyDelete
You have a lovely and informative blog . Happy new year to you, it would be great if you could come and check out my blog and maybe we could follow each other.
I love them! Thanks for making me aware of "Lovely Sally".ReplyDelete
Glad to be of service :p xReplyDelete
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"Off Road" Video Demonstration
This is my first attempt at filming myself creating a studio oil painting and it's shown in very quick time. The painting took 80 minutes and I've speed it up to 4 1/2 minutes. I've watched many of these types of things, so it was very interesting to see myself. I also figured out some things to make my next one even better.
Hope you enjoy it!


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This is a place where I can share information with my family about the family that has come before us. I encourage those who want to share more to leave comments. If you find you are related to me, please drop me a note. I'd be happy to share information with you. My goal is to get through a pile of old photos. There are many posts yet to come!
Saturday, July 2, 2011
George Alexander Fitzwater
Posted by Leslie Lawson at 4:56 PM
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Langenbrunner Named Team USA Captain
Written on 1/11/2010 by Jim Cerny
Really this had not been a well-kept secret. Langenbrunner has been spilling the beans to the Devils beat writers himself.
But secret or not, this is a solid choice by the powers-to-be at USA Hockey, including team GM Brian Burke and head coach Ron Wilson.
Langenbrunner is one of the most underrated players---and captains---in the sport, though not to those who follow the game closely, and certainly not to anyone within the Devils organization. Hard-working, intense, respected, no-nonsense, honest, big-game player. Those are just a few of the adjectives that can be used about Langenbrunner.
He is also a two-time Stanley Cup winner---once in Dallas, and once in New Jersey. He is now a two-time Olympian. He is a four-time 20+ goal scorer, coming off a career-best 29 at the age of 34 a year ago. He led the all scorers with 11 goals and 18 points during the 2003 Stanley Cup Playoffs.
Langenbrunner's resume is so impressive. Yet so few really appreciate his value.
Now he will have the opportunity to help shape the future of the US Olympic program by leading an extremely young squad in Vancouver that will be the core of future Team USAs---if the NHL continues to take part in the Winter Olympics. And I think he is the right man to captain this band of (mostly) youngsters.
Many believed when Chris Drury was selected to play for Teams USA in '10 that he would be the captain. And though I believe Langenbrunner is the correct choice as captain, what is Drury's true value to this team if he is not the captain? Drury's on-ice play has diminshed so that you can most definitely make the argument that others---even vets like Mike Modano or Bill Guerin---make more sense on this roster.
Drury's value to this team---as a three-time Olympian, captain of two NHL teams, and with one Stanley Cup ring---seems to be as a leader, the captain. But he is not even an alternate. Brian Rafalski, Ryan Suter, Dustin Brown, and Zach Parise landed those slots.
Burke said today on a conference call, "We know what Chris Drury can bring. He doesn't need a letter."
That is true, and Drury will still be a valuable member of the leadership core of Team USA in February. But in hockey, there is something special about wearing a letter. And if this is really Drury's value to the US Olympic Team, then him not wearing a letter stands out more than if he was not selected to play on the team.
After Rangers' practice this morning, Drury replied with a quick "No" when asked if it mattered to him if he would wear a letter with Team USA. But that's all he had to say about it. Hmmmm.
Nonetheless, none of that should take away from the announcement about Jamie Langenbrunner, a well-deserved honor for an understated, but perfect, choice as captain os the 2010 US Olympic Team. If you enjoyed this post Subscribe to our feed


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For part 2 click here
Linking to Homemaker on a dime
The frugal girls
One Creative Mommy
The Prudent Pantry
That is awesome! Please come organize my space :)
Awesome idea!
Clever idea! I love making things from all those old boxes too! I Love your blog and the name "Frugal Aint Cheap" - you said it sister! I'm a new follower now!
Awesome idea--and you recycled. I'm definitely trying this!
I'm hosting my first linky party "One Creative Weekend" at OneCreativeMommy.com. I'd love for you to visit and link up this idea and/or anything else you'd like to share.
Thanks for linking up!
This is such a great idea! It can be so hard to find the right boxes for a project. And if you find them they are so expensive!
I would love it if you would share this at my new Smart Solutions linky party. You can link up here:
Have a great day!


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TV Time Machine Press Release
The good people over at TV Time Machine send this along:
Listen to Lost Executive Producer Carlton Cuse and The Soup Nazi from
Seinfeld Interviewed on TV Time Machine's 2005 TV DVD Awards
Now on the Air! Click Here to listen to TV Time Machine's 2005 DVD
Awards Show:
Listen to writer and Executive Producer of the hit ABC TV series Lost,
as he joins Gord Lacey of TV Shows on DVD.Com, for the first annual
on-line TV Time Machine Awards presented to the best and worst TV Show
DVD's from the past year. Audio-cast on TV Time Machine.Com, and hosted
by TV historian Jim Benson, TV Time Machine is a radio show that covers
classic television in a unique, offbeat, but informative fashion. Along
with host Jim Benson and co-host John Field, Mr. Lacey explores with Mr.
Cuse the phenomenon that is Lost, and the show's impact on both broadcast
television and DVD.
Within this remarkable audio spectacle, several additional guests climb
aboard the TV Time Machine: The Soup Nazi from Seinfeld, actor Larry
Thomas; Earl Hamner, Jr., creator of The Waltons and writer on the
original Twilight Zone; noted DVD producer Paul Brownstein (Twilight
Zone - The Definitive Edition), and all the way from England, inventor
Stefan Pijanowski from the Amaray DVD Packaging company. During the
course of this radio program, over forty awards are presented (featuring
over one hundred nominees) encompassing the very best and worst TV show
DVD's in 2005. In addition to the prestigious Timee Award, each winner
receives a glittering audio retrospective celebrating the DVD industry's
triumphs and failures over the past 365 days.
Within this one-hour radio extravaganza, a plethora of DVD Awards are
presented within the following categories:
- The Most Extraordinary Extras Featured on a TV Show DVD Set
- The Best Plastic Hub When Attempting to Extricate a DVD Without Cracking
the Center of the Disc
- The Worst and Most Cumbersome DVD Packaging
- The Best DVD Company as it Relates to Consumers Needs, Wants, and Desires
- The One TV Show That Never Should Have Seen the Light of Day on DVD
- The Best Digital Remastering and Transfer
- The Best Example of a TV Show DVD Release Not Realizing Its Greatest
- The Best Manufacturer When it Comes to Including a Ton of Supplementary
Material on Almost Every DVD Release
- The Most Dismal and Worst DVD Release of 2005
- The Best TV Show DVD Release of 2005
- And many, many, more!
Again, for those of you intrepid enough to wear somebody else's tuxedo
for the evening, be sure to adjust your cummerbund, as we slip from the
restraints of the present and enter a world featuring a year-end audio
review of the past!


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(bike race results listed first, scroll to bottom of .pdf doc for foot race results)
Pre-race Lead-up: Ran some tough hills the past few weeks in Colorado and Idaho and felt pretty fit cardio wise coming in to this one. I was a bit worried about a run I had done earlier in the week covering 22 miles, with 9 of those on snow and some big climbing. I rested for 2 days pre-race and decided to enter the race the day before.
The run started behind the Jug Mountain Ranch Clubhouse with a gently uphill jeep road and soon got steeper. I began quickly and took the lead within a minute. By 1.5 miles, I had left the early leader, Daryl, but was caught by my strongest competition for the day, Kevin. He lead for about a mile, but I overtook him on the first real downhill of the day at mile 4. I made a note of this and decided to reserve some strength on the ups and flats, then try to make gaps on the downs. This makes a challenger work harder to close gaps when the running is harder- on the flats and ups. Usually, my strategy is opposite of this; I prefer to dominate the climbs. However, I really had no climbing legs after mile 3 or 4 from my long run earlier in the week. So, I decided to go for it on the downs.
Kevin caught me again and we ran across the flattest section of the course together, crossing the dams of the two reservoirs and getting wet and muddy as we chatted some. Each time I made a move, Kevin answered. Kevin hung right with me past mile 6 as I began to worry about my endurance. My legs were tightening and I was unsure if I could keep this furious pace. Not sure what happened, but there was no Mile 6 aid station as promised. I took a glance back and could see some daylight as I tore down the jeep trail at top speed. I did get to the Mile 7 aid station (mile 7.5-ish), just as it was being set up. A young kid poured a quick 1/2 cup of gatorade stuff and handed it to me as I ran past. I got a third of it in my mouth, but it helped. I had planned to eat a gel here that I was carrying, but I did not have the time to drink the fluid that would be needed to wash it down.
The final sustained climb loomed and I hit it as hard as I could. Lots of rocks and obstacles kept the pace slow but steady. I stole another look back and I caught sight of Kevin a few switchback behind. I hit the top and was tired of being chased, so I decided to end it on that downhill. I opened my stride, began pumping my arms while driving downhill and leaping granite boulders and mud pits. The pain and fatigue subsided and I just ran like a maniac. I smiled big and thought of GLH. He would have enjoyed the intensity of that section.
At the bottom of the climb, the course rolled over some small meadows and the golf course came into view- signaling the end was near. I caught another look back in one open meadow and saw no one, so I reminded myself to run my own race, stop worrying and have fun out there. Soon, the finish line came into view and I sprinted with my remaining strength, crossing under the arch in 1 hour and 7 minutes.
I had a nice time out there, running some trails I knew from training days and some new ones. The course was good mix of fast and slow with no real sustained bits. It kept changing and kept me on my toes throughout. I wished B had come out, but she had Farmer's Market sales to make and a bum knee. They made me stand on a podium for my award, which I had not done since 7th grade. I drank a little beer with my recovery snacks and headed home to watch the live Western States 100 feed on the internet. Nerd.


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(Is this topic overdone? Why, I don't think we've discussed this issue in at least a year…)
I was asked recently to list the top 10 theory departments in the US.* For the purposes of the ranking, I mainly considered the question What are the top schools a graduate student in theory should consider attending? After some discussion with colleagues, we came up with the following 9 (note this is unordered):
GA Tech
UT Austin
U Washington
We had a hard time choosing the 10th. Not that there aren't other good theory schools, just that the next 5-7 in our ranking were all roughly in the same equivalence class. (I won't tell you what those 5-7 were; I'll let you guess them in the comments.)
* Yes, this really is how the US News and World Report rankings are done, at least at the graduate level.