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Tuesday, August 6, 2013
What in the world happened to Lucas Harrell?
He got the call-up to Houston in September, and in his Astros debut threw 5.1IP against Milwaukee, allowing 3H/0ER, 4K:2BB. He came out of the bullpen a few times over the month, made an inefficient - but not terrible - start in a 19-3 loss to Colorado, and closed out his season with a perfect inning against the Cardinals.
Harrell was in the mix for a rotation spot in 2012, mainly because he was out of options. He was initially ruled out of the rotation in the middle of Spring Training but pitched better as March 2012 went along, which was basically the opposite of rotation favorite Jordan Lyles - who was 0-3 with an 8.41 ERA. Lyles was optioned to OKC and Harrell got the rotation spot.
And, for a season, was perhaps the Astros most reliable starter. In 2012, Harrell made 32 starts. He went at least seven innings ten times; 6+ IP 16 times. In 19 starts, he posted a Game Score of 50 or better, 11 were a 60 or better. The team actually went 14-18 in his starts, meaning they went 41-89 in games Harrell did not start.
Fast forward a year (don't worry, we'll come back to 2012), and Harrell has been a disaster: He lost his rotation spot and has been ineffective in the bullpen. Among all MLB pitchers who have thrown at least 110IP (Harrell is at 122.1IP), only the Padres' Jason Marquis has a lower WAR as assigned by FanGraphs. Harrell is one of three pitchers with 110+ IP to post a negative WAR: Jerome Williams (-0.3), Harrell (-0.5), and Marquis.
It's not bad luck
In 2012, Harrell had a .289 BABIP - a little lucky, but not a Happian BABIP. So far this season, Harrell has a .301 BABIP, which is perfectly normal. His ERA is 5.37, and while that's almost exactly in line with his 5.41 FIP, it's decently higher than his 4.92 xFIP. But that still isn't very good.
Harrell has allowed 5.15 BB/9, an increase of more than 1.5 BB/9 from 2012. 12.6% of the batters he has faced in 2013 have walked. He's just throwing fewer strikes. 1328 of his 2293 pitches have been strikes, or a tick under 58%. In 2012, 62.4% of his pitches were thrown for strikes.
Fewer groundballs, more HRs
In 2012, Harrell induced groundballs at a 57.2% clip. This year that's down to 52%. What's more, 15% of the flyballs Harrell is allowing are leaving the yard - 4th-highest in baseball (min. 110IP) - and up from 9.7% in 2012. Okay, so he's getting more flyballs, and a higher percentage of those flyballs are going over the fence.
His fastball has been terrible
While Harrell's velocity hasn't seen a significant dropoff (92.1mph in 2013; 92.5mph in 2012), It's effectiveness is seriously in question. FanGraphs put his wFB (Fastball runs above average) in 2012 at 13.4. This year? Wait for it...-14.3. Pitchf/x doesn't show such a marked difference (-1.3 in 2012 to -8.1 in 2013), but the damage is being done in that his fastball just isn't a good pitch this season.
Nobody is fooled
Hitters are swinging at 39% of Harrell's total pitches - down 3.4% in 2012. Yet they're making more contact (+1.2% from 2012) overall. Harrell is also throwing far fewer of his pitches in the zone - 41%, down from 49.2% in 2012. So if you know that Harrell isn't going to throw strikes, why swing?
Here's how it breaks down:
Harrell held righties to a .663 OPS in 2012 (.883 OPS in 2013); .713 OPS for lefties (.783 OPS in 2013). He also had a .647 OPS at home (.850 OPS in 2013), .712 on the road (.800 OPS in 2013), with an identical .293 BABIP.
Here's the cycle: Harrell isn't throwing as many strikes, so hitters aren't swinging as much. Harrell gets too much of the plate with his largely ineffective fastball, and it's leaving the park at a markedly higher rate. If he tries to nibble, he misses, and walks the batter. He's leaving the ball up, and hitters are driving it out of the park. That, my friends, is what has happened. And it's starting with his fastball.
4 comments:
Personally, I think Lucas has undiagnosed ADHD. He is SOOO HYPER
and loses focus in a second. PLUS..
he and Bo Porter's stats have really undone him. Not trying to make excuses for him, but I am a mother of a grown adult with ADHD.
Lucas does so much better throwing
to Corporan, and sometimes I think Porter puts Castro in there just to piss Lucas off. Let's face it..
Castro ain't the best catcher behind the plate. His defense is
- August 6, 2013 at 7:04 PM
I look forward to the day when BABIP is no longer employed as an analytical tool. It's the SABR equivalent of bloodletting.
Some might look at his mechanics as to why he has command problems and/or less effective movement.
It is simply approach? Porter often mentions his approach of failing to attack the center of the zone.
Others will look at his lack of focus, his lack of accountability for his own failures and his tendency to give in to adversity.
I doubt it is as simple as mechanics or approach, though it would be nice if it was. If it something else, answers can only be provided by his teammates and coaches, and they aren't likely going public with the answers.
- August 6, 2013 at 7:23 PM
The old "blame the catcher" excuse. If a lineup which includes Castro sets Harrell off kilter, he has problems much deeper than ADHD.
- August 6, 2013 at 7:27 PM
As I read and count, the author mentioned 24 stats in that article. He mentioned BABIP 3 times and only once did he comment on it. I look forward to the day when people don't whine about analytical tools they don't understand.
- August 7, 2013 at 11:20 AM


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Seizing Her Day
Mom was referred to me by another woman, a former monitrice (& friend) client of mine. But, instead of the usual help-me-have-a-better-birth type of doula, this mom was asking me to be a help-me-not-have-a-seizure-during-my-labor doula. Immediately, I knew I was up for the challenge.
My client has epilepsy, diagnosed over a decade ago after reams of tests. While it is fairly well-controlled with medications, she has hair-triggers exacerbated by being out in the world.
A note about her medication… her dose climbed to double the normal amount during the pregnancy. Neither of us could find any information about the safety of that much medication (even on Hale's site) on the fetus and, very oddly, the OB nor the Ped were concerned enough to refer her to a neonatologist, which I suggested several times. Anytime she asked for a referral, she was told she'd see the Ped in the hospital after the birth and if there was any issue then, she'd be referred to someone. Does this seem weird to anyone else? She was aware (and I read a lot about seizure meds in pregnancy and postpartum) that her dose would fall precipitously postpartum. Within three days, her dose was already halved. During the pregnancy, her levels were drawn once a month to see how her body was metabolizing the medication; she metabolizes fast, hence needing so much medication.
So, one of her main seizure triggers is scent; scents that aren't even perceptible by others invade her brain with sensory overload. She told me that even very soft scents… vanilla, florals… things that many would never suspect as a problem, can be some of the worst offenders. Asking people not to wear perfumes is only half the battle, because so many of us have something that smells… our hair products, our deodorant, even our make-up… all carry the molecules that can send my client into the haze of a seizure.
From what I know about my mom's seizures, they aren't the fall on the ground in paroxysms type, but instead, she loses touch with her surroundings, melting into the inside of herSelf, eventually recreating mental definition after unknown periods of time. For those of us who know labor and birth, this is not a good time to fall under the waves. In fact, the water metaphor is one of the most oft-used when talking about the intensity of contractions and birth and it works perfectly for my client's experiences as well.
As doulas, one of our jobs is to be the buoy for our clients as they swim the Ocean of Turmoil that can be labor. Of course, not every woman feels this analogy is appropriate, but it's great to describe the challenge of balance in a complicated labor such as this. As hard as it can be to keep a mom without epilepsy from allowing the surges to swirl her downward into the pain, with this mom, it becomes decidedly crucial to help her stay in her reality.
During her last birth, six hours from start to finish, she was in a small town hospital with a General Practitioner as obstetric physician. She was one of two women who had a baby there during the entire week; the night she had the baby, she was the only woman there birthing. No IV, no medications, simply sitting quietly, mom was able to concentrate on her contractions, keeping her muscles relaxed and her mind focused. She told me that whenever someone talked to her, even inbetween contractions, it jolted her out of her peaceful state and it was work to get back in.
As she described her previous birth to me, I immediately thought of a Hypnobabies/Hypnobirthing mama, that place they go deep inside, leaving an exterior of calm; it sounded like this mom figured out how to do the self-hypnosis without ever taking a class. (Ah, and how many others could if there weren't shows like "One Born Every Minute?")
Over the years, this woman has had to ask a plethora of friends, family, strangers and even professionals to please not come close because she could feel herself leaning towards a seizure. With a straight face, she told me how, nearly across the board, when she'd explain the extreme sensitivity to their scent, not only the person themselves, but also those around her would say, "But, I don't smell anything!" as if she was making it up. Or lying. Even in this pregnancy, one of the docs in the high-risk OB practice had a scent that caused my client to barely remember the appointment at all because she floated in and out of seizure activity the entire visit. When she asked not to see her again and explained why, everyone seemed terribly offended, which, to me, is a stunningly bizarre reaction. Apparently, her wishes were not distributed throughout the scheduling department and she, later in the pregnancy, found herself, once again, with the scented OB; this time, she chose not to say anything… they weren't listening anyway.
So, as my new client outlined my role as her doula; it was to 1. Keep the room quiet 2. Keep the room calm 3. Be the fall guy if someone needed to be excused from the room. Number three sounded especially fun.
As a midwife, it's not unheard of for me (and midwives in general) to be the "reason" for grandma not to be called when mom goes into labor… or to limit visitors postpartum… or to <fill in the blank for a mother's individual desire that can cause friction in the family if the her wishes were disclosed>. Being the heavy isn't difficult for any of the midwives I've ever known. I'm sure doulas are called on to do this sort of thing at times, too, but many doulas, especially not terribly experienced ones, might be timid about ordering folks about. Even if they do it as sweetly as I do. batting eyes
Mom's care seemed odd to me at times… she being diagnosed with pre-term labor and put on bedrest until 37 weeks (not the odd part since her Fetal Fibronectin was positive at 34 weeks)… but once she hit the magical 37 weeks, it seemed as if she was prodded towards delivery as soon as possible. She had twice-weekly Bio-Physical Profiles, which, by the way, saw her amniotic fluid levels going up and down… pretty dramatically sometimes… from a seven to a twelve in a one week period. She did nothing different between the two appointments, showing the relative subjectivity of the measurement depending on the baby's position in utero. In fact, two days before the delivery, by mom's description, it sounds like the doctor stripped her membranes, saying, "Let's see if this does something." He then sent her to L&D to be monitored.
Now, she'd been having contractions for many weeks by this 39 week visit, each NST raising eyebrows with the nurses and doctors; they never amounted to much, however. So, when she was sent to be monitored after (what I suspect was) her membrane stripping, there was nothing new to be seen… just the same fairly regular, painless contractions. In fact, mom couldn't even tell the difference between the baby's movements and a contraction, so when asked, she answered, "I don't know." You know that frustrated the hospital staff!
After sitting in Triage on the monitor for a couple of hours, she was sent out to walk for another two before they were going to check her (do a vaginal exam) to see if there were any changes from the doc appointment earlier (where she was 2.5/50%/0). During her walk, I got a phone call telling me she wanted to go home, but they seemed to just want to keep her. She asked for reinforcements to tell them she wanted to go home, so I zipped up there and we went into Triage together. This hospital only lets one person at a time in Triage with mom, so her husband waited in the lobby downstairs. Mom was put back on the machine, her vitals taken (which showed her blood pressure and pulse interestingly high, by the way) and then the nurse did a vaginal exam. 2.5/100%/-1. "I don't really know why your doctor sent you over." "I want to go home." "I think that's a good idea!" She was un-tethered and we walked out about 15 minutes after I got there. I was glad she wasn't kept because of the higher blood pressure and pulse, but was also curious why they didn't address it. That sort of thing is a mystery about hospital care; how can some things slightly out of range make them crazy, but others that are wildly out of range seem like nothing to them? Very strange.
We kept in touch over the weekend and then I was awakened Sunday morning at 5:40am (don't you love Call History?), my client's husband telling me they were heading into the hospital. I got up, showered, got coffee for dad and me, picked him up some breakfast and zipped over to the hospital. Dad ate in the lobby while I went up to hang out with mom –who was 4/100%/0… a lot of change since Friday! Once we moved to a room, her husband joined us again.
Now my job began in earnest.
Before we left Triage, I reminded the nurse that whomever we had could not be wearing perfume of any kind and that if mom commented on a scent that was offensive, the nurse could not take offense, but would excuse herself quietly and get someone else. "Absolutely," she said. We talked about how she would go up one more floor to Labor & Delivery. I suggested she walk, but mom wasn't sure how she would do that, so asked for a wheelchair. Then she walked to the bathroom a few feet from the "room." Once out of the bathroom, she sat in the wheelchair and up we went.
From the time I joined my client in Triage to when we got settled in the labor room (about an hour); her contractions went from seven minutes apart to four minutes apart. Oh, yeah… she was zipping right along.
But, and this is the amazing part… when she had a contraction, all she did was look at the ceiling and breathe. Not heavy. Not hard. No moaning. No swaying. Just sitting quietly reclined in the bed, staring at the ceiling across the room. If this wasn't a form of self-hypnosis, I don't know what is.
While mom was on the external monitors, she only had the saline lock. I really was surprised.
The high-risk OB deserves a mention. He had to have been my son's age (28 or so) and was a yummy Jock-looking guy. He had tattoos peeking out of his scrubs, so we all took a few minutes to show off our tatts. He had them on both arms and lower legs… and back (but we didn't see that one). I really, really don't know how the verbiage unfolded, but during this show and tell, I chirpily said "la-la-la-la-la (something I don't remember) You're cocky." Hahahahaha… we all laughed and I could see the nurses stifling giggles and then, all of a sudden, I realized… I said that to a doctor! I tried to side-peddle and said something like, "Well, you are extremely handsome, obviously very smart and a Jock… that qualifies for cocky, doesn't it?" He said he hadn't quite heard that definition before, but didn't remotely seem bothered by it. I heard later he repeated the interchange with nurses… in a nice way, not mad or anything. I really can't believe I told a surgeon he was cocky. I should embrace it; I may never get another chance to say such a real-true thing.
All this time, my client was having pretty frequent contractions. We'd get quiet during them and then more animated afterwards. She was an active participant in the conversation, so it was a sweet time.
So, Mr. Cocky (in a good way) wanted to do a vag exam and rupture mom's membranes; she had no problem with this. (Remember, this wasn't a typical doula client who didn't want interventions. This mom didn't mind "interventions," but just needed to know when things were coming. Interventions are in the eye of the beholder?)
The exam, about 30 minutes after we got in the room, showed mom to be six centimeters now. Dang, she was clicking along!
And no epidural. And no moaning. No rocking. No real indication that she was having a contraction beyond her focus on the ceiling and the waves on the monitor. Later I learned mom was counting the vent slats in the vent on the ceiling. Over and over again. She told me this was her distraction, her way to focus on the contraction without getting swallowed up in it. I thought this was a rather interesting focal point and wondered how many women did the same thing… or, conversely, how many women could do this and have it be a very effective way to work through the contractions.
I watched, mesmerized by her labor technique.
After the doctor left the room and things quieted down, the nurse handed me the paperwork so I would be able to pick the right times to ask the questions and have her sign. I immediately set aside the one about kids visiting and her menu; those could be filled out later. I then had her sign the others, before even filling them out. I already knew her wishes and they didn't include changing any of the consents. When she was inbetween contractions, I'd quietly ask the questions and stop as I saw a surge starting on the monitor. Again, it really was a challenge to know when she was having a contraction or not because she was so peaceful no matter where she was in the pattern. Here, the monitor was very helpful.
A nurse came in to set up the birth cart and I had to ask her to please slow down and quiet down. She looked at me weird, but I didn't care; she slowed down.
Then there was the ice.
I'd offered sips of water every couple of contractions, but she shook her head no each time. When she asked her husband to hand her the ice, I was glad of it. But I watched this mom do something I'd never seen before. As the contraction built, she put more and more ice in her mouth, chewing to an unheard rhythm she herself felt. Chomp. Chomp. Chomp. It was amazing! Still no moaning or rocking. Just dumping more and more ice in her mouth as the contraction built and all we could hear in the room was crunching ice. Really loud. When I told her later that women who have ice in their mouths at that late stage usually spit it out when a contraction comes. She thought that was odd, telling me she was counting the ice as she crunched it into oblivion. Laughingly, she also told me that spitting it out would have been a waste of great ice. And seriously, who doesn't love hospital ice? She was running low, so I stepped out to grab some more, but by the time I got back, she no longer wanted it; it wasn't distracting enough anymore.
It was only now that she began making noise. Nothing loud or like moaning, simply a squeaky sort of song. Oh, yes… labor was picking up steam. I was so impressed by her body's pouring oxytocin into her system, the contractions now less than two minutes apart. When I got back with the unwanted ice, the nurses were watching her monitor screen and one asked, "Is she pushing?" I chuckled, thinking, "Duh." The nurse came in and checked her. "8," she said. "Don't push or your cervix will swell." I'm sure I rolled my eyes and told mom she was doing great listening to her body. The nurse left for a moment and when she came back in, she brought a tornado of activity.
I asked everyone to please slow down. One nurse clomped over and hit the button to lower the head of the bed… a jarring experience for mom. I asked her to stop, please; she did. Then she pulled the leg braces/stirrups out and grabbed my client's leg and started to put it in the stirrup. If I hadn't had to remain calm, I think my head would have spun off. "STOP!" I whispered-yelled. "Put her leg down. Gently." She looked at me like I was possessed and I left my client's side to walk behind the nurse and hissed, "She has epilepsy." That was all she needed to hear. Why she wasn't briefed is beyond me. Every single person who walked in that room should have known.
So, I asked my client if I could lift her legs into the braces and she nodded yes. I gently moved her legs into place and the doctor came in, gowning and I heard the nurse say, "She has an anterior lip." What the hell?!? She'd just said she was 8! She lied and for crying out loud, she didn't need to. The doctor did a vaginal exam and lifted the lip up in less than a second and with the next contraction, the head was on the perineum.
The leg nurse whisked by and dumped a bottle of cold Hibiclens on my mama's perineum. My poor client! I couldn't put my hand out fast enough to stop her. I looked in my client's shocked eyes as she tried to tell them she's sensitive to soaps. And perhaps they might not want to shock her. And maybe, just maybe, they could have said something to her, like, "Is it okay if I pour a little soap on your bottom?" (Can you tell I'm more than a tad frustrated with the woman-as-object belief system?) I let her know we'd wash her very well after the birth. (Are doctor's really taught to clean the perineum still? What a dumb belief, that the perineum needs to be cleaned. Only a man could think a perineum is "dirty" enough to be cleaned for a vaginal birth. Sheesh.)
Now it was time to push. Now that the stage was set for everyone else. Never mind she'd been pushing for a few minutes already. And the head had come down fantastically without any coaching whatsoever. No, now she needed direction and education. Really? Let the cheerleading begin.
When I talked to my client afterwards, she said she was only focused on the doctor, her husband and me, so she was protected from the chaotic yelling at her to push. The woman had a ten minute second stage. And it took three minutes for the baby to be born from the time we first saw her head. Yet, every nurse there, as well as the doctor kept trying to tell her how to push. I'm serious.
"Take a deep breath. Let it out. Take a deep breath. And push, counting to ten."
Are you kidding me? The woman coughs and a quarter of the head gooshes out!
"No, not like that. You're wasting your energy."
I couldn't believe the surreality of the situation; it was so absurd I really could barely accept they were instructing her this way. I kept whispering to her, "You're doing great. Exactly like that. Yes… you're doing great." She told me that's all she heard. Thank goodness the cacophony of shrieking nurses remained in the background of this mama's perception.
(When I was telling Sarah about this part, she looked at me stone cold serious and asked, "Are you sure you're going to be able to do this?" My daughter said the same thing. Uh, yes. I can do this. I might have to write about it a lot, but I can certainly do it. There are ways to limit/stop this really odd ritual.)
The baby was quickly born and it was as if she came with a magic wand that made everyone shut up. The placenta was born and mom sutured and magically, everyone but the nurse and doctor disappeared. It was calm and quiet in the room again. Finally.
I've looked at that noisy part and talked about it with my client and she said she was so far inside by then, the noise wasn't as high a risk as a trigger. Had that happened earlier in the labor, she absolutely could have had a seizure. But through her own coping skills, she learned to go deep inside, creating an effective barrier from the institutional chaos. I apologized for not being able to get them all to shut up, but she said it was my whispering to her that she was able to hear. At first she was thinking, "Go away!" before realizing what I was doing; joining her in her inner space, letting her know she didn't need to listen "outside," that her "inside" had all the right answers. I'm just really glad I was able to help.
A beautiful baby girl was born and within a few hours, mom began nursing the baby. But, she quickly realized the daughter she'd known on the inside was not the same baby she had on the outside. It seemed her baby was getting much more of the medication via breastmilk than through the placenta. Lethargic and losing weight, mom decided to wean her baby off breastmilk and now that she's on formula, she's totally waking up and acting like the baby mom knew inside. (And yes, she's aware of donated breastmilk.)
Overall, mom (and dad) were really pleased with the birth experience. Her success was ultimately measured by the fact that she had no seizures during the birth at all. Postpartum, she received a private room and didn't have the parade of strangers most patients have, the strict rules obviously noted somewhere everyone could see.
If I could do anything differently, I would have made a sign to put on the door. I don't know why I didn't think of it earlier, but the experience taught me a valuable lesson for the next time a woman has needs beyond the basic human rights needs. Hmmm… maybe a sign on every door isn't such a bad idea. Do any of you do that with your clients? Maybe a sign on the door can replace a birth plan? Hmmm… not a bad idea. I'll have to thank my mama for the idea.
I know I'll be thanking her for a long time for allowing me into her space for this precious birth. A new experience, it was something I would happily (and respectfully) repeat with others.
Let peace and quiet prevail.

subset: commoncrawl


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People with Last Names of Fearen
USA-People-Search > People Directory > F > Fearen > Page 1
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- User Name: ck25
- Member Since: Sunday, September 2, 2001, 10:27 PM
- Donation Level: Total Leech (Partaker)
- Name: Christopher Malone
- Studio: A C.K. Idea
- Location: Chicago, IL, USA
- Homepage: http://www.livejournal.com/users/ceekay_kun/
- Last Login: 2015-10-10 01:15:49
- Forum Info: Profile Posts (34)
- Journal: Last entry made on 2005-05-10 21:26:29
- Usefulness: 1870.9 with
26 opinions
[average 119.5 of 231580 opinions; standard deviation 432.3 ]
- Profile: *Yeah, kind of an old movie (well not that old...maybe by a few months)...I just needed a change of picture for now...Go see it anyway!
No longer a student at the University of Illinois at Urbana-Champaign, but a graduate!!!!
Heh, finally decided to give the profile a bit of a tweak...
So yeah, my career (if you can even call it that) of making AMV's began way back in 2001 when a friend (lilgumba) showed me a video comprised of Final Fantasy clips set to a remix of some orchestra music...when I originally saw it, I didn't think it was as good as it could have been and thought it rather plain in appearance, so I said to myself that I could probably do something better than that...Less than a week later I had made two Final Fantasy videos using Windows Movie Maker and FF clips found on the net. The first video (which was listed here for awhile but I'm not showing it anymore) was pretty archaic compared to the ideas I have now...and the second video (FF9 Michelle Branch's Everywhere) netted me second place at a local Anime Club (WOOHOO!!!)...I was so happy that I sought out to make more, ultimately falling flat with ideas that never panned out and videos that weren't really that great. A year later I came back to this site with new ideas, a little more knowledge of different anime and more resources in the form of ram and hard drive space...
So what am I up to now?
After finishing my Haibane Renmei video, Personal Velocity, I'm now looking forward to my next project. Since I'm all done with school I figure that I have a substantial amount of time to put into editing, only I'm not exactly sure what my next video should be. I'd like to think that I'd make another Haibane vid, but now I'm not so sure. In the meantime I found the REM multi-editor project to occupy my time for a while.


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Story highlights
- CNN travels with the Libyan national soccer team to Zambia
- The team's campaign to qualify for the Africa Cup of Nations coincided with Libya's civil war
- Several of the players had fought on the front line for the rebels
- The Africa Cup of Nations is one of the biggest tournaments in world football
It's 10 minutes after the final whistle has blown but still no one knows whether their efforts have been in vain.
The Libyan national soccer team sit in the dressing room at the Nchanga Stadium -- in Chingola, a small copper mining town on the Zambia-Congo border -- quietly waiting for news amidst the fog of sweat and redolence of rubefacient muscle rub.
The team has just drawn 0-0 with Zambia in their final qualification match for the 2012 Africa Cup of Nations, a qualification campaign that began with the country under the rule of Colonel Moammar Gadhafi, continued through the civil war and ended before the death of the former notorious leader.
Victory was needed to be sure of progression to next January's tournament in Equatorial Guinea and Gabon. A draw meant that results elsewhere had to go their way.
As their campaign for Africa's biennial continental championship progressed with war as the backdrop, some players declared the team was behind Gadhafi. Others left the team to go and fight on the front line with the rebels.
In unison, somehow, they qualified; news that will shortly be relayed to the team when confirmation of results from other matches are circulated.
Six days earlier coach Marcos Paqueta is in good spirits in the lobby of his hotel in Tunis. The security situation is such that the team could not train in Tripoli. The Brazilian coach once famously won the under 17s and under 20s World Cups in the same year for his homeland, but signed for Libya in June 2010 when the Libyan Football Federation was run by one of Gadhafi's sons, Mohamed.
"When I was there the first time I contacted only the federation, then one time I have one meeting with Dr Mohamed," Paqueta explains of his dealings with the Gadhafi regime.
"He was happy because of the project I made for the national team and Libyan football. I focus only on sports. At that time you don't know about the country."
In the past, the Gadhafi family's dealings with soccer and its players had been much more hands on. His son Saadi played for Al Ahly Tripoli and installed himself as captain of the national team. The team plummeted to 186th on FIFA's rankings.
But they also used soccer as a political tool. In 2000 Saadi's Al Ahly Tripoli traveled to Al Ahly Benghazi for a league match. Benghazi had long been associated with Libya's opposition and the team's fans paraded a donkey wearing Saadi's shirt.
"It is a bad story, not a funny story," says 29-year-old defensive midfielder Moataz Ben Amer, the current captain of Al Ahly Benghazi.
"The first half, Tripoli are winning. But the referee is no good. So Ahly Benghazi goes to the airport [in protest]. Saadi Gadhafi turned up with his dogs and the police and said: 'If you don't play the second half, we will kick you'."
Unsurprisingly, the players returned to play the second half, and lost 3-0.
Colonel Gadhafi was so incensed that he ordered Al Ahly Benghazi's training ground to be destroyed. The club was also banned from domestic competition for five years. When Interpol released a "Red Notice" for Saadi Gadhafi in September, the allegations given were "misappropriating properties through force and armed intimidation when he headed the Libyan Football Federation."
Paqueta's early results were encouraging. Libya beat Zambia, one of Africa's best teams, in Tripoli. But then in February civil war broke out, dividing the players. After Libya had beaten the Comoros Islands in March the team's former captain, 34-year-old Tariq Taib, declared that the players were 100 per cent behind Gadhafi. He even labeled the rebels "rats and dogs."
Walid el Kahatroushi disagreed. The 27-year-old midfielder scored in that game but when the team gathered again in June, he decided to leave the camp and fight for the rebels when he heard a friend had been injured in the violence.
"Some people come to me and told me one of my dear friends was in the hospital and lost his arm ... in that moment I decided to leave the camp and join the front line ... in Jebel Nafousa," explains Kahatroushi.
Life on the front line was hard. Friends would shield him from worst of the fighting until, in the end, he felt he had no choice
"When I was there I was just about forgetting about football because the most important thing then is how to secure your life and secure the life of your friends. If it was about me I would never come back, you would never find me here playing football. But ... my friends on the front line told me: 'This is your future, you must go there. This is also like a war for you'."
Others left for the front line too, like goalkeeper Guma Mousa, but not all were so lucky. Ahmed Alsagir was shot in the shoulder and spent a month in hospital before returning to the front line. By the end of August Gadhafi had been toppled. A week later the team had to play their penultimate qualifier against Mozambique behind closed doors in Egypt.
Aside from the trouble of getting the players out of the country, there were some more practical concerns. For one, Paqueta had to hold a clear the air meeting with the squad. The old pro-Gaddafi players were nowhere to be seen. A new kit had to be designed, with the rebel's flag stitched on to it. The Libyans fought out a 0-0 draw.
"The last game [against] Mozambique, it had a big impact on the people in Libya. Everyone was happy and everyone was talking about us," recalls Kahatroushi.
"We will do everything to qualify, Inshallah, because this will help our country too much. At least to bring them some happiness after all the sadness they have been through."
The journey south to Zambia took almost 24 hours, but the players are ready when they take to the pitch at the packed Nchanga Stadium. Libya's new captain, 39-year-old goalkeeper Samir Abod is the hero, making three world class saves. The match finishes 0-0. Some of the players collapse on the floor in tears. Others pray before returning to the dressing room.
They wait.
The quiet is broken when one of the coaches bursts in and breathlessly delivers the news. The blue-painted room erupts in celebration and song. The rebel national anthem is sung as the new flag is held aloft in the center of the melee.
Ghana's victory and a last-minute equalizer for Guinea against Nigeria means that Libya has, against the odds, qualified for the Nations Cup. As a nation recovers thousands of miles away from the ravages of civil war under the new interim government, Walid Kahatroushi leads the celebrations and the chants.
"The blood of the dead," they sing, "will not be spilt in vain."


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There are several ways that you can share an Access database depending on your needs and resource availability. In this article, we'll take a look at the options available and the benefits of each option, and give you resources for more information on a method that would work for you.
To make design changes to your database, you'll need Access installed on your computer.
In this article
Share data by using network folders
This is the simplest option and has the least requirements, but also provides the least functionality. In this method, the database file is stored on a shared network drive, and all users share the database file simultaneously. Some limitations include reliability and availability if there are multiple simultaneous users changing data since all database objects are shared. This technique can also reduce performance as all the database objects are sent across the network.
This option might work for you if only a few people are expected to use the database at the same time and users don't need to customize the design of the database.
Note: This method is less secure than other methods of sharing a database, because each user has a full copy of the database file, increasing the risk of unauthorized access.
To share a database by using a network folder:
If one is not already available, set up a shared network folder.
For help with this step, see the help system for the operating system of the computer that you want to use to share your database. If the shared folder is on a network server, you might need assistance from the network administrator.
Make sure that Access is set to open in shared mode on all of the users' computers. This is the default setting, but you should check to be sure — if a user opens the database in exclusive mode, it will interfere with data availability. Complete the following procedure on each computer:
Start Access and under File, click Options.
In the Access Options box, click Client Settings.
In the Advanced section, under Default open mode, select Shared, click OK, and exit Access.
Copy the database file to the shared folder. After you copy the file, make sure that the file attributes are set to allow read/write access to the database file. Users must have read/write access to use the database.
On each user's computer, create a shortcut to the database file. In the Shortcut Properties dialog, enter the path to the database file in the Target property by using a UNC address instead of a mapped drive letter. For example, instead of F:\sample.accdb, use \\computername\shared.accdb.
Note: This step can also be performed by the users themselves.
Share a split database
This is a good choice if you do not have a SharePoint site or a database server. You can use share split databases over a network or a SharePoint site. When you split a database, you reorganize it into two files — a back-end database that contains the data tables, and a front-end database that contains all the other database objects such as queries, forms, and reports. Each user interacts with the data by using a local copy of the front-end database.
Benefits of splitting a database
Improved performance Only the data is shared across the network not the tables, queries, forms, reports, macros and modules.
Greater availability Database transactions such as record edits are completed more quickly.
Enhanced security Users access the back-end database through linked tables; it is less likely that intruders can obtain unauthorized access to the data via the front-end database.
Improved reliability If a user encounters a problem and the database closes unexpectedly, any database file corruption is usually limited to the copy of the front-end database that the user had open.
Flexible development environment Each user can independently develop queries, forms, reports, and other database objects without affecting other users. You can also develop and distribute a new version of the front-end database without disrupting access to the data that is stored in the back-end database.
If this option would work for you, go to the instructions on Split an Access database.
Share a database on a SharePoint site
Important Microsoft no longer recommends creating and using Access web apps in SharePoint. As an alternative, consider using Microsoft PowerApps to build no-code business solutions for the web and mobile devices.
You have several good options if you have a server running SharePoint, especially a server running Access Services. Several points of integration with SharePoint help make database access more convenient. When you publish a web database, Access Services creates a SharePoint site that contains the database. All of the database objects and data move to SharePoint lists in that site.
When you publish a database, you move it to the Web. You can create Web forms and reports that run in a browser window, and can also create standard Access objects (sometimes called "client" objects to distinguish them from Web objects). You would need Access installed on your computer to use client Access objects, but all database objects on SharePoint are shared.
Note: When you have Access installed in your computer, you can use the client objects from a Web database otherwise you can only use the Web database objects.
Access Services provides a platform for you to create databases that you can use on the Web. You design and publish a web database by using Access 2010 and SharePoint, and people use the web database in a Web browser.
Note: You would need Designer permissions on the SharePoint site where you want to publish the database.
Forms, reports, and UI macros run inside the browser.
Data is stored in SharePoint lists if you're using a web database: All tables become SharePoint lists, and records become list items and you can use SharePoint permissions to control access to your web database.
Queries and data macros run on the server: All SQL processing happens on the server. This helps improve network performance by limiting traffic to result sets.
Saving a database to a document library
You can save a database to any SharePoint document library. This method is similar to saving a database to a network folder and provides a convenient way to manage access to a database. When you link to SharePoint lists, data is shared, but database objects are not. Each user uses their copy of the database.
For example, if your SharePoint site contains lists that track customer service issues and store employee information, you can create a database in Access as a front end for those lists. You can build Access queries to analyze those issues and Access reports to format and publish written reports for a team status meeting. If people have Access on their computers, you can make the Access queries and reports become available on the View menu for the SharePoint list. When people view the list on the SharePoint site, they can locate and open the queries, reports, and other Access objects by clicking the View menu. If people don't have Access, they can still use the data in the lists by using SharePoint views.
Open the database that you want to share.
Under the File tab, click Save As.
Click Save Database As, in the Advanced section, select SharePoint and then click Save As.
Note: If you're using Access 2010, click File > Save & Publish > Save Database As > SharePoint.
In the Save to SharePoint dialog box, browse to the document library that you want to use.
Review the database file name and database file type, make any necessary changes, and then click Save.
For more information, see publishing to Access Services and import from or link data to a SharePoint list.
Share a database by linking to SharePoint lists
This method has the same benefits as using a split database and users can modify their own copy of the database, because the data is shared via the SharePoint site. Although you do not gain the same benefits as when you publish the database to a SharePoint site, you do gain the convenience of centrally located data. Since the data is in SharePoint lists, you can make it separately available over the network by using SharePoint features.
This method has three main steps:
Move the data to SharePoint lists.
Create links to those lists.
Distribute the database file.
You can use the Move to SharePoint Site Wizard to accomplish the first two steps, and any means at your disposal to accomplish the last step.
Using the Export Tables to SharePoint Wizard
On the Database Tools tab, in the Move Data group, click SharePoint.
Note: This option is available only if your database is saved in the .accdb file format.
Follow the steps in the Export Tables to SharePoint Wizard, including specifying the location of your SharePoint site. To cancel the process, click Cancel.
On the last page of the wizard, select the Show Details check box to see more details about the migration.
This wizard page describes which tables have been linked to lists and provides information about a backup location and the URL for your database. It also provides a warning if some migration issues were encountered and provides the location of a log table where you can see more details about the issues.
Click Finish when the wizard completes its actions.
If the wizard displays a warning, review the log table and take necessary actions. For example, certain fields may not be moved or may be converted to another data type that is compatible with a SharePoint list.
Note: To view your lists on the SharePoint site, click Lists on the Quick Launch, or click View All Site Content. You may need to refresh the page in your Web browser. To make your lists appear on the Quick Launch on the SharePoint site or to change other settings, such as enable versions to be tracked, you can change the list settings on the SharePoint site. For more information, see Help on the SharePoint site.
Share a database by using a server
You can use Access with a database server product such as SQL Server to share your database. This method offers you many benefits, but does require additional software — a database server product.
This method is similar to splitting a database because the tables are stored on the network, and each user has a local copy of an Access database file that contains links to the tables, along with queries, forms, reports, and other database objects. Use this option if a database server is available and all your users have Access installed. Benefits of this sharing method depends on the database server software that you use, but generally include user accounts and selective access to data, excellent data availability, and good integrated data management tools. Moreover, most database server software works well with earlier versions of Access, so not all your users must use the same version. Only tables are shared.
Benefits of sharing a database by using a database server
High performance and scalability In many situations, a database server offers better performance than an Access database file alone. Many database server products also provide support for very large, terabyte-sized databases, approximately 500 times the current limit for an Access database file (two gigabytes). Database server products generally work very efficiently by processing queries in parallel (using multiple native threads within a single process to handle user requests) and minimizing additional memory requirements when more users are added.
Increased availability Most database server products allow you to back up your database while it is in use. Consequently, you do not have to force users to exit the database to back up data. Moreover, database server products usually handle concurrent editing and record-locking very efficiently.
Improved security No database can be made completely secure. However, database server products offer robust security that will help protect your data from unauthorized use. Most database server products offer account-based security, allowing you to specify who can see which tables. Even in the event that the Access front-end is improperly obtained, unauthorized use of data is prevented by account-based security.
Automatic recoverability In case of system failure (such as an operating system crash or power outage), some database server products have automatic recovery mechanisms that recover a database to the last state of consistency in a matter of minutes, with no database administrator intervention.
Server-based processing Using Access in a client/server configuration helps reduce network traffic by processing database queries on the server before sending results to the client. Having the server do the processing is usually more efficient, especially when working with large data sets.
Basic steps to using Access with a database server
The exact steps required to use Access with a database server depend on the database server product that you use, but the basic steps are the same:
Move data from the tables in an Access database to tables on the database server.
Link to the database server tables from within the Access database file.
Create appropriate user accounts on the database server.
Distribute the Access database file.
Install any necessary database drivers on users' computers.
For specific information on using Access with SQL Server, see Move Access data to a SQL Server database by using the Upsizing Wizard.
Also see Link to or import from an SQL Server database.
Things to consider when deciding on a method
Method requirements
Split database
Network folder
SharePoint site
Database server
Does it require database server software?
Does it require SharePoint
Does it require Access Services running on a SharePoint Server?
Depends on your scenario:
Linking to lists and saving to a document library do not require Access Services
Publishing as a Web database or a web app does require Access Services
Data availability
Adequate for small groups with light data-editing
Best. Allows for offline scenarios.
Depends on additional measures
Least secure method
Flexible. Can easily develop new database features without disrupting work. Users can modify the design in their own copy.
Less flexible. Development can be done with offline copy of database, which is then replaced. Does not allow users to individually modify database design.
Flexible. Leverages SharePoint permissions for access control and design changes. Allows for browser-based use of some database objects, such as forms.
Flexible. Can easily develop new database features without disrupting work. Users can modify the design of objects in their copy.


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Hello friends!
I hope this post finds you well.
Back today to share with you my latest project for 7 Dots Studio
Please check out the 7 Dots Studio website HERE
and please check out the stockists for your country HERE
Hands up if you are a woman and especially one that has had a child or 3 and look at yourself in ANY Photo you take and pick at it? You start to pick at all your bad bits, and can find hardly anything nice in you, therefore completely avoiding taking pictures at all. This only mean you get more resentful because the years pass and when you look back at all the photos you have taken you wonder if your kids will believe that they ever had a mum because you are never in any pictures :(
Yep that's me too.
I try to say "Who cares! Just go for it" but I still hate taking photos.
For me to use a photo I like I have to take 100. Sounds vain? Nope! Just insecure .. like most of us. I do not want to look perfect! I just want to see a photo where I look ok.
Anyway, I paired this rare photo I like with the lyrics from Pink's song "Try". Why? Because quite often with me, and most of us , it is not just about being mean to our physical self. More often than not it is all inside. It is all going on inside and it all stems from something. A bad experience, a word someone said, a vulnerable time.. a tragedy that changes you. So moral of the story is be kind to yourself, you will get burnt , it is a nasty world but even though it hurts you need to get up and try ..
So much easier said than done right?
Materials List
9th Wave - Coral reef
9th Wave - Golden Sand
9th Wave Alphas
Die Cuts
9th Wave Studio 12x12 die cuts
Stamps - Kasia K and Georgia Heald for The Scrapbook Diaries
Flowers and all embellishments - Prima Marketing


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Servicios Personalizados
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SAMJ: South African Medical Journal
versión On-line ISSN 2078-5135
versión impresa ISSN 0256-9574
SAMJ, S. Afr. med. j. vol.99 no.7 Cape Town jul. 2009
Lp(a) and coronary disease: rules of engagement when to measure and how to treat
R JayasingheI, K M KostnerII
IMB BS, PhD, FRACP, an interventional cardiologist, is Professor of Cardiology at Griffith University, Gold Coast, Australia, Professor of Medicine at Bond University, Gold Coast, and Director of Cardiology and Cardiovascular Services at Gold Coast Hospital
IIMB BS, PhD, FRACP, is a cardiologist at Mater Hospital, Brisbane, and Associate Professor of Medicine at the University of Queensland. He is an expert in cardiovascular prevention and lipidology
Lipoprotein (a) (Lp(a)) has been described as an important component of the lipid profile and a significant coronary risk factor when elevated. Controversy surrounds the importance of this lipoprotein variant, and its management is often challenging for clinicians. Important issues relate to the control and management of high Lp(a) levels, especially in patients at intermediate risk of cardiovascular disease. Clear guidelines are lacking on who needs Lp(a) measured, and when. We review practical points on investigating and managing Lp(a).
Lp(a) was first described in 1963 as a genetic variant of β-lipoproteins.1 The physiological functions of Lp(a) remain a mystery. Most studies strongly suggest that it is an independent risk factor for cardiovascular disease.2 A meta-analysis concluded that an increased plasma level of Lp(a) is an independent predictor of the presence of coronary artery disease (CAD), particularly in patients with hypercholesterolaemia.3 The combination of high Lp(a) plasma concentrations and other cardiovascular risk factors, in particular low high-density lipoprotein (HDL), strongly increases the risk of CAD. In addition to containing significant amounts of cholesterol and being able to oxidise like low-density-lipoprotein (LDL), Lp(a) can exert antifibrinolytic actions, stimulate the proliferation of smooth-muscle cells, facilitate wound healing, act as an acute-phase reactant and generate bioactive derivatives that are retained in the vascular extracellular matrix. Lp(a) has been identified as the link between atherosclerosis and thrombosis. Stoichiometrically the atherogenicity of Lp(a) is 10-fold that of LDL, though the latter dominates in the circulation. Lp(a) is also highly thrombogenic and bears structural resemblance to plasminogen, which explains its antifibrinolytic properties.4
Coronary risk association
The plasma levels of oxidised phospholipids present in Lp(a) have been implicated in contributing to the atherogenicity of Lp(a),5 which is a strong independent risk factor for CAD in various populations and ethnic groups.6
Lp(a) has a significant and well-described genetic heterogeneity. Its risk associations with vascular disease demonstrate racial and ethnic variations. Higher plasma concentrations are seen in blacks, postmenopausal women and people with hypercholesterolaemia. However, the strongest association with high Lp(a) levels and coronary disease is observed in middle-aged white men. High Lp(a) levels are associated with a high risk of stroke in blacks and in white women, but not in white men.7
Not all studies associate Lp(a) with increased coronary risk. The Physician's Health Study found no association between Lp(a) level and the risk of future ischaemic events,8 but this observation could have been due to sampling and/or measurement errors. Some studies measured Lp(a) in long-term, frozen samples with insufficiently evaluated test kits. Moreover, owing to the wide range of plasma Lp(a) levels from less than 0.001 g/l to more than 3 g/l and the highly skewed distribution, studies that include small numbers of cases/controls are prone to random deviations.
Studies are sometimes controversial, as it is difficult to standardise the measurement of Lp(a) due to its heterogeneity. Recognition of the biological importance of apolipoprotein (a) (apo(a)) is also reflected by the International Standardization Committee, which recommends that the previous practice of reporting Lp(a) as a total mass be superseded by the measurement of Lp(a) protein either in terms of apo(a) or as apo(a) linked to apoB100.9 In this way the level of Lp(a) cholesterol can be estimated by comparing it with that of LDL, important information to the clinician.
'In whom should we measure Lp(a)?' remains to be the main question to be answered.
Serum levels of Lp(a) are genetically determined, with environmental factors having a negligible impact.10 Childhood levels of Lp(a) are a better predictor and marker than any other lipoproteins for future CAD in young adult life.11 Most lipidologists recommend a once-off measurement of Lp(a) in patients with vascular disease, especially in patients with premature cardiovascular disease and premature stroke, where other risk factors fail to explain the causation. Lp(a) is also useful in patients in the intermediate-risk group, according to the Framingham, Australian and New Zealand or Procam risk calculators. If Lp(a) is elevated above 0.3 g/l in these patients, it is very important to treat their other risk factors, especially LDL, aggressively.
HMG-CoA (3-hydroxy-3-methyl-glutaryl-CoA) reductase inhibitors (statins) have no demonstrable efficacy in modifying Lp(a) levels. There are few means whereby plasma Lp(a) can be reduced, the most efficient therapeutic modalities known to selectively reduce plasma Lp(a) being Lp(a)-apheresis and nicotinic acid (Table I).
Nicotinic acid and its derivatives can reduce Lp(a) levels by up to 35%.2 All angiotensin-converting enzyme (ACE) inhibitors in monotherapy lower elevated Lp(a) plasma concentrations in proteinuric patients by reversing proteinuria and in turn reducing Lp(a) production by the liver.12 Fosinopril seems to be the only ACE inhibitor to reduce Lp(a) concentrations in non-proteinuric patients as well, probably by increasing apo(a) fragmentation and excretion into the urine (Kostner K et al., unpublished data).
The most effective therapy for lowering Lp(a) is extracorporeal elimination of Lp(a) with apheresis. LDL-apheresis and selective Lp(a)-apheresis using antibody-coupled columns, precipitation and complex formation at low pH, double filtration and direct absorption have been demonstrated to lower plasma Lp(a) to the same extent as LDL cholesterol (up to 80%).13 However, these treatments are expensive and accessible only to a small number of high-risk patients. Most lipidologists and clinicians recommend lowering LDL cholesterol more aggressively to levels below 1.8 mmol/l when the Lp(a) level is above 0.3 g/l, even though hard evidence to merit this practice is lacking.
Measurement of Lp(a) provides useful additional information about cardiovascular risk in patients with premature vascular disease and intermediate risk profiles. Aggressive LDL reduction and global coronary risk factor modulation are recommended in patients with elevated Lp(a). Coronary disease is an emerging major health challenge in Africa, with CAD projected to be the leading cause of death in Africa by 2030.14 However, information on the role of Lp(a) as a coronary risk factor among developing communities, especially in Africa, is seriously lacking and more studies are required.
1. Berg K. A new serum type system in man: the Lp system. Acta Pathol Microbiol Scand 1963; 59: 362-362. [ Links ]
2. Kostner KM, Kostner GM. Lipoprotein (a): Still an enigma? Curr Opin Lipidol 2002; 13(4): 391-396. [ Links ]
3. Danesh J, Collins R, Peto R. Lipoprotein(a) and coronary artery disease: meta-analysis of prospective studies. Circulation 2000; 102: 1082-1085. [ Links ]
4. Enas EA, Senthilkumar A. Coronary artery disease in Asian Indians: An update and review. Int J Cardiol 2001; 1: 2. [ Links ]
5. Tsimikas S, Brilakis ES, Miller ER, et al. Oxidized phospholipids, Lp(a) lipoprotein, and coronary artery disease. N Engl J Med 2005; 353(1): 46-57. [ Links ]
6. Sandholzer C, Halman D, Saha N, et al. Effect of apolipoprotein (a) polymorphism on the lipoprotein (a) concentration in seven ethnic groups. Human Genet 1991; 86: 607 - 614. [ Links ]
7. Ohira T, Schreiner PJ, Morrisett JD, et al. Lipoprotein(a) and incident ischemic stroke: The Atherosclerosis Risk in Communities (ARIC) Study. Stroke 2006; 37(6): 1407-1412. [ Links ]
8. Ridker PM, Hennekens CA, Stampfer MJ. A prospective study of Lp(a) and the risk of myocardial infarction. JAMA 1993; 270: 2195-2199. [ Links ]
9. Marcovina S, Koschinsky ML, Albers J, et al. Report of the National Heart Lung and Blood Institute workshop on lipoprotein(a) and cardiovascular disease. Recent advances and future directions, Clin Chem 2003; 49: 1788-1796. [ Links ]
10. Dahlen CG. Lipoprotein(a) in cardiovascular disease: Review article and viewpoint. Atherosclerosis 1994; 108: 111-126. [ Links ]
11. Enas EA. Risk of primary and recurrent acute myocardial infarction from lipoprotein (a). J Am Coll Cardiol 1997; 29: 887-889. [ Links ]
12. Schlueter W, Keilani T, Batlle DC. Metabolic effects of ACE inhibitors: focus on the reduction of cholesterol and lipoprotein (a) by fosinopril. Am J Cardiol 1993; 72(20): 37-44. [ Links ]
13. Hoffmann U, Derfler K, Haas M, et al. Effects of combined low-density lipoprotein apheresis and aggressive statin therapy on coronary calcified plaque as measured by computed tomography. Am J Cardiol 2003; 91: 461-464. [ Links ]
14. Mensah GA. Ischaemic heart disease in Africa. Heart 2008; 94: 836-884. [ Links ]


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10 Extra Scrapbook Sketches
Download 10 More Free Scrapbooking Sketches! Try these ten additional scrapbooking sketches based on layouts in the October 2011 issue. You can download them in a PDF file for your binder.
Be sure to download October 2011's Bonus Sketches too!
See the layouts based on these sketches in the October 2011 issue of Creating Keepsakes magazine.
Want to give digital scrapbooking a try? Get started with a sketch, like the CK Sketches Digital Template for the October 2011 issue of Creating Keepsakes magazine.
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Division 2
Tom Wallace
Paul Pirola
Richard Hollingsworth
Team Managers
Peter Hede
Team News
FINALS WEEK 2 Grand Finals and Preliminary Finals
Six teams playing this week... GO VAMPIRES !
URGENT: We need your help ! Vampires & Elsternwick Park South (Ovals 3 &4)
Vampires Community, The Bayside City Council have opened up a "Have your Say" site for the Reactivation of Elsternwick Park 3 & 4 for Community Sport. The feedback needs to be provided prior to Sunday [...]
Vampires in the Roebourne in the Pilbara
The East Brighton Vampires donated some of their old Guernseys via "We give a boot" to some football players in the Pilbara, who just wanted to say thanks .... Here is their video... or click this [...]
Vampires Merchandise Sale FRIDAY 16th 5:00pm – 8:00pm
A reminder that we will have the first of our apparel and merchandise collection sessions tomorrow night. When: Friday 16th March Time: 5.00pm to 8.00pm Where: Hurlingham Park Clubrooms What: Collect or purchase match day [...]
President's Report 2017
Please find a link to the Presidents report EBVJFC President Report 2017
Brighton Little Athletics – Stay fit for Footy next year ! Open Day Sept 30th
Stay fit for Footy in 2018 with Brighton Little Athletics see details in the attached flyer. Great for Boys and Girls. Open Day 30 September 2017 First day of competition Oct 7th Click on Link [...]
SMJFL League Vampire Best & Fairest Results
Congrats to Bibi, Ned Harrison and Amani on their results in the Smjfl B&F awards Under 14 Division 1 Girls Bibi Wallace - Congratulations Equal 3rd Congratulations to Ned Maginness for winning the League Under [...]
Tim Wilson Talking about the Vampires in Parliament
Media Release: U15 Division 1 Preliminary Final
MEDIA RELEASE – EAST BRIGHTON VAMPIRES JUNIOR FOOTBALL CLUB 01 September 2017 The SMJFL Board and Executive have today confirmed its position to uphold its decision to award the U15 Division 1 Preliminary [...]


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S9 E07 I Was Made for Lovin' You
"Can two people really be meant to be? MFEO? Soul mates?" These words from Meredith's opening voiceover to kick off a very relationship-y episode of Grey's.
It's Arizona's first day back at work. Intern Heather (Callie calls her "weirdo") is on wheelchair duty. She's to follow Arizona around in case she needs to take a seat. Alex pays off a young patient so he won't ask what happened to her leg. Arizona is literally steps behind everyone else treating a boy who was trampled by a horse, but she still makes it through the long surgery. Then she falls flat on her face. Alex clears the room expecting Arizona to be devastated, but she's actually laughing. Callie wants to know what happened after she fell. Arizona says, "I got back up." Nice.
April's dreams of getting married in a field with wildflowers, butterflies and gift mints that say "mint to be" could be derailed once she realizes she may be pregnant. Jackson does his best to support her as they await the results of a blood test. He also assures her that they can get married and be amazing parents together. April is happy to hear this, but is completely overjoyed to learn that she isn't pregnant after all. Her elation has Jackson questioning their future together. It's a future he decides to end abruptly.
Intern Stephanie (aka "Grumpy) and Intern Shane (aka "Happy/Dopey") assist on a liver transplant case. Bailey puts the kibosh on Cristina's plans to have an intern operate on the patient, Graham. The man and his partner have been waiting a long time for this day. Unfortunately, Graham's body rejects the new liver. Shane breaks down when the patient and his partner get the news that Graham has about a week to live. Later, Cristina is actually somewhat understanding towards Happy/Dopey, though she does call him "Weepy." Bailey, who is dealing with Ben's desire to have a Christmas wedding, realizes that Cristina's time in Minnesota changed her.
Meredith treats a man who likes to grab her butt. Actually, it's not just her derriere that's fair game. The guy grabs any butt that comes his way. It's humiliating for his adult daughter, who says her dad never used to be like this. Mer notices that butt man also grabs her pen as a reflex. This leads her to determine that a brain tumor is causing his erratic behavior. It's deemed inoperable, but it's not according to Derek. That's why he needs to get his hand fixed according to Meredith. Derek lets Callie know that they'll get to work on doing just that.
The hospital's lawyers appear to be looking to make Owen the scapegoat for the plane crash that killed or injured his friends. He signed off on the switch to the airline that they use without knowing they had a history of mechanical problems. A hospital bigwig named Roberta assures him that he has the full support of the board. Owen eventually realizes he's being manipulated by all parties as they are hoping a judge will throw out the case due to his conflict of interest regarding Cristina.
Everyone files out of the hospital after a long day. Alex seems to be taking extra glances in Jo's direction as the interns hang at the bar. Meredith has Derek take a look at a new t-shirt she bought for Zola. It says "World's Best Big Sister" on the front. Even though Meredith still has a hostile uterus, it looks like they are going to have another baby! Finally, Cristina looks like she's going to muster up the courage to tell Owen she wants him back. This never happens. Before she can say anything, Owen lets her know that he thinks they should get a divorce.


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Hospice patient Rupp, 13, meets favorite Nat Harper
WASHINGTON -- Gavin Rupp, a 13-year-old from Ashburn, Va., has had some difficult days.
He was first diagnosed with brain cancer in February 2011, when doctors removed a malignant tumor from his brain. A year of chemotherapy followed. Gavin was cancer-free for six months before the tumor reappeared. Again, it was removed.View Full Game Coverage
WASHINGTON -- Gavin Rupp, a 13-year-old from Ashburn, Va., has had some difficult days.
He was first diagnosed with brain cancer in February 2011, when doctors removed a malignant tumor from his brain. A year of chemotherapy followed. Gavin was cancer-free for six months before the tumor reappeared. Again, it was removed.View Full Game Coverage
Then, in late April, the cancer returned a third time. Gavin's father, Chris, was told that his son had a 10-percent chance to live.
"The surgery risk at this point," Chris Rupp said, shaking his head, "you really can't do much."
Throughout the process, baseball was one of the things that kept Gavin going. A shortstop on his traveling team, he used the sport as an escape from hours of chemotherapy and radiation. His favorite team? The Washington Nationals.
And his favorite player?
"One of Gavin's wishes was to meet Bryce Harper," Chris Rupp said before Friday's game against the Padres, "and today he got to do it."
Harper spent nearly an hour with the Rupp family before the game, talking with Gavin, his parents, his brother, Ian, and his sister, Abby. The conversation was casual.
"It was just like you were sitting next to somebody on a plane and you start talking," Chris Rupp said.
They touched on everything from Harper's favorite ballpark to his pregame routine.
Harper removed his hat, signed it and put it backward on Gavin's head. He gave the 13-year-old one of his mitts and one of his bats. Then, the slugger who has signed countless autographs over the course of his career asked for a signature from Gavin and handed him a brand-new baseball. Gavin signed it.
"I'll put this in my locker," Harper said, smiling.
"With a guy who's 20 years old, to take that much time," Chris Rupp said, pausing to collect himself, "to take that much time ... if I was 20 years old, I wouldn't have the maturity to do what he just did."
Gavin Rupp is truly an inspiration to me! He is a warrior and will always be in my heart and mind! #HesMyHero pic.twitter.com/WO5qzc3HJ9- Bryce Harper (@Bharper3407) July 6, 2013
For the past two years, the Nationals have partnered with Kyle's Kamp and the Children's National Medical Center to host a children's baseball tournament at Nationals Park. Hundreds of little league teams from up and down the East Coast raised money to benefit cancer research. The six teams that raised the most money played against each other at the stadium.
Gavin's team played at Nationals Park last year as the tournament raised more than $250,000. This year, it raised nearly $370,000. Chris Rupp has worked with Rob Hahne, the founder of Kyle's Kamp, to make the tournament an annual success.
As Gavin's cancer has worsened, it has started to affect his daily life. He is now in hospice care and has lost the ability to control the muscles in his face. So despite how inexplicably excited he was to see Harper, his favorite player, Gavin's face never showed it.
An hour before first pitch, Harper returned to the clubhouse to prepare for the game. Hitting coach Rick Eckstein and reliever Craig Stammen stopped by to say hello to Gavin, who quietly sipped blue Gatorade through a straw.
Forty-five minutes later, Harper returned from the clubhouse and trotted behind home plate to catch the evening's ceremonial first pitch. The pitcher? Gavin.
"When we had to tell Gavin there were no more options, he's going to die, that was hard," Chris Rupp said. "But take that day and follow it up with a day like today? It's the world."
The crowd at Nationals Park cheered as Gavin's first pitch skipped into Harper's glove. Gavin wanted to smile, but he couldn't show it. He met his favorite player in the middle of the infield for a hug and a photograph.
"There's only so much you can do as a parent," Chris Rupp said. "You can't put a price tag on this. You just can't do it."
Tom Schad is an associate reporter for MLB.com. Follow him on Twitter @Tom_Schad.


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Our planet is a truly magical work of art; complex, multifaceted and textural. Perhaps this is why Andy Warhol, a name that is unlikely to be associated with this topic, once said, "Land really is the best art." Viewed in this simplistic yet profound light, land, or Earth, serves almost as found object in the implementation of Earthworks. In other instances land becomes the canvas, or the sculptural negative space for installation, or even a foundation and medium to explore sociocultural patterns.
Lita Albuquerque has used the earth and its materials for decades to create ephemeral and spiritually infused work. Her incorporation of performance, photography and installation creates multiple dimensions and lenses to experience our world, our relationship to earth and the stars, as well as their rhythms and cycles. The images featured here of her project Stellar Axis document an artistic expedition into Antarctica, which was the first and largest ephemeral work created on the continent. The installation of ninety-nine spheres across the icy landscape mimics the pattern of the ninety-nine Antarctic stars above- visually linking Earth to the cosmos.


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Visit the Hyperdome Visitor Information Centre at the Customer Service Centre located outside Entry 2, to discover the hidden attractions in the Logan region and beyond.
This Visitor Information Centre offers a one stop shop for travel information including maps, brochures, and itineraries. Staffed by skilled and knowledgeable locals, the Centre can provide advice on things to see and do and places to eat in the Logan area.
Enjoy a coffee, meal or shopping at the Hyperdome while you visit.
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text: « Return to Search Dr. Lucia Sobrin Awarded RPB Special Scholar Honor July 29, 2014 Contact: Mary Leach 617-573-4170 BOSTON (July 29, 2014) -- Lucia Sobrin, M.D., M.P.H., was awarded a $60,000 William & Mary Greve Special Scholar Award from Research to Prevent Blindness (RPB). The award will help Dr. Sobrin to pursue promising scientific leads in the field of genetics of diabetic retinopathy for which other funds are not readily available. Dr. Sobrin is a full-time clinician scientist with the Retina and Uveitis Services at Mass. Eye and Ear, an Associate Professor of Ophthalmology with Harvard Medical School (HMS), and a Department of Ophthalmology Scholar. Her research program is focused on understanding environmental and genetic risk factors for diabetic retinopathy, particularly in the African American population, which suffers from a greater burden of this disease compared to other ethnicities. She is currently leading two large genetic studies of diabetic retinopathy that are designed to increase the chances of finding genes that impact the development of the disease in all ethnic groups. The RPB William & Mary Greve Special Scholar Award will enable Dr. Sobrin to expand these efforts and examine what environmental and genetic factors influence disease progression. "We are grateful for this generous support from Research to Prevent Blindness," said Joan W. Miller, M.D., F.A.C.S., Chief of Ophthalmology at Massachusetts Eye and Ear and Massachusetts General Hospital, and Chair of Ophthalmology at Harvard Medical School. "This funding will allow Dr. Sobrin to continue her important work in studying diabetic retinopathy in a population seriously affected by the disease." About Research to Prevent Blindness RPB is the world's leading voluntary organization supporting eye research. Since it was founded in 1960, RPB has channeled hundreds of millions of dollars to medical institutions throughout the United States for research into blinding eye diseases. For information on RPB, RPB-funded research, eye disorders and the RPB Grants Program, go to www.rpbusa.org.


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hello! i live in larchmont, and i have no idea where to play - i'm looking for someone who's interested in friendly play for good exercise and game improvement ~3.5.
Views: 90
Replies to This Discussion
Greeting Jordana,
It is Thurs. 1/10, and i just read your invite. I live near Pleasantville, NY.
I would have an interest to hit with you.
Can you tell me more about yourself as it applies to tennis.
© 2019 Created by Mark / The Mayor. Powered by


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In my final guest post for yellowtrace, I showcased the fabulous styling of HAY, a Danish furniture company. The HAY 2012 Catalogue has a behind-the-scenes, raw cement type of vibe mixed with play-like sets of interior design. Their product shots are equally great (check out those artful stacks of boxes). I just love that end shot of all of the catalogue pieces taking a final "bow" in colour-coded sections. I wouldn't mind framing that photograph! HAY's 2012 Catalogue is sure to become one of my favourite examples of brilliant styling. To see all of the photographs and read my whole post, please pop over to yellowtrace.
(photographs via HAY)


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Mikasa Ackermann
Attack on Titan Season 3 Toonami Premiere Date Announced
The official Toonami Facebook page has updated with the announcement that the third season of Attack on Titan will premiere on the block on August 18. As reported previously, the world premiere for the season was screened by Funimation Entertainment in North America and Canadian theaters earlier this month. The season will later premiere in Japan on July 22. For those who haven't been following the anime, the second season of the series finished its run on the block last July. For those who aren't familiar with the anime, Funimation provided a short description for theRead More
Attack on Titan Season 3 Worldwide Premiere Announced
FUNimation Entertainment has announced that the Attack on Titan Season 2 recap film will be screened as apart of a two night event at North American & Canadian theaters. The film will also be accompanied by the worldwide premiere of the first episode of the third season of series just before it airs in Japanese television on July 22. The film titled, "Attack on Titan Roar of Awakening," will have limited screenings on July 10-11. The film as well as the first episode of season three will be presented with it's original Japanese Audio with English subtitles on July 10 and willRead More


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Show support for your favorite team with our athletic-inspired lamps, featuring logos from dozens of popular NCAA teams around the country. Teenagers may also enjoy several varieties of novelty lamps, including shades with plaid patterns, lamps resembling paint spills, or desk lamps modeled after Chinese take-out cartons. Of course, we also carry traditionally styled floor lamps and table lamps. No matter what you choose, feel comfortable knowing that we have just about every lamp imaginable to help define your child's style.
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- Thursday May 31st, 2018 :: 10:40 a.m. EDT
Rabies Alert for Middlesex County
Rabies Advisory
May 3, 2018
The Middlesex County Office of Health Services is reporting that a raccoon tested positive for rabies in East Brunswick, Middlesex County, in the vicinity of Washington Ave and Port St.
This is the fifth (5) rabid animal reported within Middlesex County for 2018 and the first (1) rabid animal in East Brunswick.
On Saturday, April 28th, 2018, the Animal Control Officer for the Township of East Brunswick responded to a report of a raccoon displaying neurological symptoms near a residents home. The raccoon was euthanized and subsequently sent to the New Jersey Department of Health Laboratory for testing. It was reported on Wednesday, May 2, 2018 that the animal tested positive for rabies. There are no known human or domestic animal exposures to the raccoon. Additionally, a Middlesex County Office of Health Services' Registered Environmental Health Specialist will be distributing rabies fact sheets within the area.
The Middlesex County Office of Health Services continues to monitor rabies cases within the municipality. Residents should report wild animals showing signs of unusual behavior to the Police Department. Additionally, it is recommended that residents should avoid contact with wild animals and immediately report any bites from wild or domestic animals to your local health department and consult a physician as soon as possible. Finally, be sure that all family pets are up to date on their rabies vaccinations.
Rabies is caused by a virus which can infect all warm-blooded mammals, including man. The rabies virus is found in the saliva of a rabid animal and is transmitted by bite, or possibly by contamination of an open cut. New Jersey is enzootic for raccoon and bat variants of rabies. Bats, skunks, groundhogs, foxes, cats and dogs represent about 95% of animals diagnosed with rabies in the Unites States.
Rabies Prevention Guidelines
The Middlesex County of Health Services is advising residents to follow these guidelines in order to prevent rabies from being transmitted to themselves of their pets:
1. Immediately report a bite from a wild or domestic animal to your local health department.
Wash animal bite wounds thoroughly with soap and water as soon as possible after the bite.
Contamination of open cuts and scratches with saliva of potentially rabid animals should also be washed off immediately.
Consult a physician as soon as possible.
2. Immediately report any wild animals showing signs of unusual behavior.
Signs on unusual animal behavior could be that the animal may:
• Move slowly
• May act as if tame
• Appear sick
• Have problems swallowing
• Have and increase in saliva
• Have increased drooling
• Act aggressive
• Have difficulty moving
• Have paralysis
• Bite at everything if excited
Residents should avoid any contact with the animal and call your local animal control officer or local police department.
3. Be sure that all family pets are up to date on their rabies vaccination.
If unsure, please call your veterinarian.
Call your local health department for free rabies vaccination clinic availability.
4. Animal proof your home and yard
Make sure all garbage containers have tight fitting lids, do not leave pet food or water outside, do not allow rainwater to collect in outdoor containers or equipment and keep yard free of garbage and debris.
5. Do not feed or handle wild animals.
6. Avoid contact with stray animals or pets other than your own.
7. Try to prevent your pets from coming into contact with wild animals.
8. Screen off vents to attics and other areas that could provide shelter for bats
Spotswood Police Department
77 Summerhill Rd
Spotswood, NJ 08884
Emergency: 9-1-1
Non-emergencies: 732-251-2121
Les Genovese


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|Kalbeari the Prime has a nice ring to it... I think I'll keep it!
Now that Siege of Orgrimmar is finally completely open to the masses with the last LFR wing opening today, there are more folks coming up against the later bosses in the instance. After many boss fights that come down to simple tank swaps, Paragons of the Klaxxi - with its NINE mobs who each have different abilities - can intimidate the best of us. I'm here to help you break this fight down into a manageable order and to walk you through everything a tank will need to worry about.
At any given time, three Klaxxi will be active during the fight (until the end when no more can jump down). That's three mobs that need to be tanked and all three of them do something different. Some Klaxxi can't be tanked after you've tanked their partner while others require tank swaps or massive healer cooldowns.
The order in which the Klaxxi join the fight is static. At first, you will have Rik'kal, Skeer and Hisek. Next to spawn are; Ka'roz, Korven, Iyyokuk, Xaril, Kaz'tik and Kil'ruk.
The kill order Apotheosis uses is this; Rik'kal, Skeer, Hisek, Korven, Iyyokuk, Xaril, Kaz'tik, Kil'ruk and Ka'roz.
Please do keep in mind this is meant as a guide primarily for tanks. If you're looking for a basic how-to, Evrelia Gaming has an overall guide. If you want to know how to heal this fight (and an even more in-depth look at the fight), check out the excellent post by Healiocentric. It is also worth noting that each guide has a different kill order than the one my guild uses.
We start with Rik'kal, Skeer and Hisek. One tank grabs Rik'kal, the other takes Skeer.
Whoever is tanking Rik'kal must use an active mitigation CD during the Injection cast to prevent the debuff from being applied. Active mitigation includes Elusive Brew, Shield Block, Shield of the Righteous, Death Strike and Savage Defense. If the tank does not do this, multiple parasites will spawn and fixate on random raid members
Rik'kal also debuffs the tank with Genetic Alteration - meaning this tank cannot tank Skeer.
The Skeer tank doesn't need to worry about much. Use minor defensive cooldowns for Bloodletting and don't try to tank Rik'kal because you will have Hewn on you!
Hisek stands in the middle and does not need to be tanked. Avoid his Aim line, unless you have been assigned to help split the damage.
Rik'kal dies.
The next mantid to come out after Rik'kal dies, is Ka'roz; pick him up and tank him as best you can. He runs around and is generally a pain in the ass, but not particularly dangerous to tanks.
Skeer dies.
Next mantid is Korven. The tank who handles this mantid must watch the Shield Bash cooldown on DBM and prepare cooldowns accordingly as he will stun you and then use Vicious Assault. We usually have healer cooldowns set up for this, so call for a HoS/PS/Vigilance as you need them. Alternatively, the tank who is tanking Ka'roz can taunt Korven off the stunned tank, avoiding a lot of tank damage to heal through as long as Korven is not facing the stunned tank.
Hisek dies.
After that, Iyyokuk flies down. The only thing to really watch for with Iyyokuk is Diminish - use your self heals and mitigations to make sure you don't get executed!
Korven dies. Tanks can pick up Korven's Master of Amber ability. (When activated the caster encases a friendly target in amber for 5 sec. While the amber holds the target is immune to all damage.) DO NOT USE IT ON YOURSELF.
Then Xaril drops in. The tank picking him up needs to be aware of Tenderizing Strikes - it means if you tank Xaril, you absolutely cannot tank Kil'ruk. The tank also needs to beware of Caustic Blood, a stacking debuff that will explode once it reaches ten stacks but that can be avoided with active mitigation spells.
Iyyokuk dies.
After that, Kaz'tik joins the fight. He does a frontal damage spell (Sonic Projection), so face him away from the raid. This is also where we start worrying about Mesmerize - if you picked up Korven's ability, use it on the people who are mesmerized to stop them for ~5 sec. If you have anyone get pulled to a hungry kunchong, pick up the mature kunchong that spawns after.
Xaril dies.
Kil'ruk is the last mantid to drop in and once you get here, you're pretty much home free. He uses Exposed Veins which means the tank who picked up Xaril cannot tank this boss. He also stuns you with Gouge and follows up with Mutilate. It's like Korven's abilities, but they seem to do less damage. Call for cooldowns if you need.
Kaz'tik dies.
Kil'ruk dies.
And finally, we kill Ka'roz!
Tanks will have a little dancing to do, but once you get the pickups down it's not too bad. Here's an example of how tanks could handle this fight:
- Tank A:
- Tank B:
Taunt Kaz'tik off Tank A
Obviously this can vary, and it doesn't really matter who tanks what as long as you never confuse the ones that debuff the tanks. Those are Rik'kal and Skeer, and Xaril and Kil'ruk. If you are using a different kill order than the one posted here, remember that the order in which the Klaxxi spaw will never change. Good luck, and I hope this quick guide helped you achieve victory!


text: Most of the major cemeteries in Australian cities, including Sydney's Waverley Cemetery, date back to the 1800s. Kate Ryan January 4, 2017 Housing the dead: what happens when a city runs out of space? Kate Ryan, UNSW and Christine Steinmetz, UNSW Most big city cemeteries in Australia date back to the 1800s, so we need to consider our burial options before we reach the point when the number of deaths exceeds the available cemetery plots.


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Sergey Viktorovich Lavrov (Russian: Серге́й Ви́кторович Лавро́в, born 21 March 1950) is the Foreign Minister of Russia. Prior to that, Lavrov was a Soviet diplomat and Russia's ambassador to the United Nations from 1994 to 2004. Lavrov speaks Russian, English, French and Sinhala.
Lavrov was born in Moscow to an Armenian father and Russian mother from Georgia. He graduated from the Moscow State Institute of International Relations (MGIMO) in 1972. He was sent as a Soviet diplomat to Sri Lanka, where he worked until 1976. He then returned to Moscow and worked in the Department of International Organizations of the Ministry of Foreign Affairs.
In 1981, he was sent as a senior adviser to the Soviet mission at the United Nations in New York City, and worked there until 1988. He worked for the Ministry of Foreign Affairs until 1994, when he returned to work in the United Nations, this time as the Permanent Representative of Russia. While in the latter position, he was President of the United Nations Security Council in December 1995, June 1997, July 1998, October 1999, December 2000, April 2002, and June 2003.