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Health Care is Front and Center for Democrats
December 15, 2013
MONTPELIER — As Democratic lawmakers struggle to help constituents navigate the troubled waters of the new insurance exchange, Gov. Peter Shumlin said Saturday their difficulties are all the more reason for legislators to keep their eyes on the single-payer prize.
"If ever there is an example in this nation … for why we need to take the Affordable Care Act and make it even better," Shumlin said, "it is evidenced across this country by the roll-out of the Affordable Care Act."
Shumlin's comments came during a House Democratic Caucus in which members of the chamber's near super-majority gathered in the State House on Saturday to discuss the issues on tap for the legislative session set to convene in less than a month.
From property tax reform and renewable energy to education and prescription drug abuse, Shumlin and House Speaker Shap Smith ticked off the list of key issues lawmakers will take up in the second half of the two-year biennium.
But it was health care that was on the minds of legislators, many of whom have spent the last few months trying to help residents in their districts make sense of a new online health insurance exchange that has, by and large, fallen short of consumer expectations.
Rep. Mike Fisher, the Democratic chairman of the House Committee on Health Care, fielded a barrage of questions from legislative colleagues looking to solve the dilemmas of specific constituents. Fisher said the situation on Vermont Health Connect has improved since its Oct. 1 launch.
"But it is clear that Vermont Health Connect is not functioning well enough at this time to manage the business community," Fisher said.
Fisher said health care is a difficult enough subject in normal years. Adding technical glitches on the exchange to the mix, he said, "is just a confluence that I don't have to tell you has been just tremendously frustrating and confusing for many Vermonters."
Democratic legislators expressed concern Saturday that the government's handling of the exchange will cost them the credibility they'll need to sell voters on single-payer health care.
Lawmakers spent the lunch hour talking in small groups about goals for the year ahead. Summing up some of the thoughts expressed by his colleagues, Rep. Tristan Toleno, a freshman representative from Brattleboro, said there's "fear in having been perceived as not having been competent on health care," and the impact on legislators' "ability to sell and fix something that in its first iteration may not have been what we hoped for."
Shumlin said he doesn't doubt the heft of the political lift ahead.
"This will be the hardest lift in legislative history in the state of Vermont. I promise, it really will," Shumlin said. "It will make civil unions, marriage equality, Act 60 … it will probably make them look relatively easy."
But he said single-payer health care is his gubernatorial imperative, and that lawmakers must begin "plowing the ground" in 2014 for a publicly financed system he says will be online by 2017.
"I'm going to ask you in joining me this session in looking very carefully at who's paying what now … and how progressive or regressive is the way we pay for health care?" Shumlin said. "And then we're going to ask you to look at other alternatives to paying for health care where everybody pays based on their ability to pay."
Health care won't be the only arena in which the revenue debate will unfold next year.
The rapid increase in statewide property tax rates will prompt heightened scrutiny of the state's education funding system. It will put Democrats in a difficult debate about whether middle- and lower-income Vermonters should be asked to pay a higher percentage of their income for public schools.
A $70 million shortfall in the fiscal year 2015 general fund, meanwhile, will resurrect the long-standing debate within the party about the merits of raising taxes, broad-based or otherwise.
Sentiments expressed by lawmakers in their workgroups Saturday spotlighted the divide, with some saying "we don't see how revenues can be off the table," and others insisting on "keeping taxes down."
Smith last month said he'll push for a fiscal year 2015 spending package that raises no new revenues whatsoever. In a speech to his caucus at the end of the day Saturday, he asked Democrats to resist the pull of raising taxes to fill budget holes.
"We're going to be in a place this year where people say over and over and over to us, 'If we just put more money into it, it will get better,'" Smith said.
"And you know what? Putting more money into things sometimes is the answer," he said. "But it isn't always the answer. And it shouldn't be the first answer that we always have at the tip of our tongue."


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End Grain & Edge Grain Cutting Boards
I am a sucker for a nice wooden cutting board: I like they way they feel, they look good on display, and if you take care of them, they can last years. Below are 10 pretty ones that caught my eye, as well as a quick lesson on the difference between end grain and edge grain cutting boards.
Since these boards are made up of many end pieces, oriented vertically, your knife blade slips in between the grains of the wood, making end grain cutting boards the easiest cutting board on your knives. Because you are cutting against the grain, they are also self-healing.
1. Teak Circle End Grain Cutting Board, $70 from Proteak
2. End Grain Maple Cutting Board, $50 from Iron & Ash
3. Small End Grain Cutting Board, $160 from Larch Wood
4. End Grain Counter Edge Chef's Board, $220 from Williams-Sonoma
5. End Grain Wood Cutting Board, $56 from Ebnerturnings
Comprised of strips of wood that are glued together. While edge grain boards are not as easy as end grain boards on your knife, they are more resistant to stains, water and warping.
1. Teak Rectangle Edge Grain Cutting Board, $80 from Proteak
2. Edge Grain Cutting Board, $38 from Weisswood
3. Edge-Grain Maple Cutting Board, starts at $30 from John Boos & Co
4. Reclaimed Black Walnut Cutting Board, $79 from Kentucky Hardwoods
5. Reclaimed Edge Grain Carving Board, $110 from Green River Woods
• Chop Chop! Handmade Wooden Cutting Boards
• The Best Cutting Board Material
• How To Clean & Deodorize a Wooden Cutting Board (Naturally!)
(Images: as linked above)

subset: commoncrawl


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The paintings by Michael Ray Charles depict controversial imagery regarding racial stereotypes from the past and present commercial culture. In Print Mag, he suggests his usage of such stereotypes are not designed to thrill, throw, or flaunt, but more so to excavate their societal relevance, revulsion, and power– examining how each affects our personal symbolic lexicons. It's an ongoing compounding struggle to discern and detach from this branding.
Regarding this, Charles asserts, "I think about so many people whose lives these images have affected. A lot of Black people have died and many are dying under the weight of these images. That's motivation enough for me to explore, and deal with, these things."


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News and Reviews > DonationCoder.com Newsletters
Newsletter for July 9, 2012 - 100 Days of Summer Slumber
(1/4) > >>
Newsletter for July 9, 2012"100 Days of Summer Slumber"
1. Newsletter Editorial
Hello dear readers and greetings from Illinois, where I've been hiding out in my air conditioned bunker while the temperature outside breaks the triple digits. It's been nearly 100 days since the last DonationCoder newsletter, so this is going to be a big one. I apologize that it's taken so long to get this one out, and I promise it won't take so long to get out the next one. The last time we talked we were just kicking off our March fundraiser, which turned out to be a wonderful success. A huge thank you goes out to everyone who donated and cheered us on. The fundraisers have such an invigorating effect on the site -- I can't overstate the morale boost they provide. Thank you all.
On other news, we've been very steadily working on the transition to a new content management system for the website, which will make it a little easier for us to update and maintain content. DC member Mitzevo is leading the project and the new site layout looks great. Unfortunately, it's proving a not insignificant challenge that we have so many different esoteric areas of the website, so we still have quite a ways to go -- but that's the nature of the site so what can you do? Ok enough rambling, onto the newsletter sections!
2. User-to-User: Your Input Requested
We love nothing more than having interesting discussions on our forum -- and we love when new people participate in the discussions. In each newsletter we try to highlight a few topics that we think might interest casual readers and that are good candidates for making your first post.
* Software Install Tip: When windows wants to reboot, I suggest you let it
* DC Mug/TShirt Designs that would be nice to have an artist for..
* Transitioning the DC website pages to a CMS?
* Proposal: DC Poker Tournament Night
* Preparing your data for your inevitable death
* Blog comments - On of off?
* What will be your next computer?
* Is Linux just a hobby?
3. Mouser's Software Updates and Discussions
Since the last newsletter there have been a bunch of updates to my software, some minor, some major.
* Screenshot Captor v3.08
* Clipboard Help+Spell v2.13
* MutiPhotoQuotes v1.36
* Web Link Captor v1.10
* LaunchBar Commander v1.132
* DcUpdate v1.30 and DcuHelper v1.11
* Windows 8 and Find and Run Robot
* Webcam Video Diary / Flipbook Printer Tips - Reducing Blur
* Point Motivator Suggestions
* Yumps Videos
4. Skwire Empire Updates and New Releases
DC member Skwire has been unstoppable on the Coding Snacks area of our forum -- writing new freeware utilities on request, and constantly releasing updates for his existing tools. Lots of new updates this month, plus one big new one for comic book archive readers:
* Comic Book Archive Creator v1.0.0
* ClipTrap v1.1.1
* File Punter v1.0.6
* Files 2 Folder v1.1.3
* PlayTime v1.3.1
* sCheckbook v1.0.6
* SFV Ninja v1.1.2
* sWeather v1.2.1
* Tags 2 Folder v1.0.7
* Text 2 Folders v1.0.8
* Trout v184.108.40.206
5. Other Coding Snacks and Member Projects
The Coding Snacks section is one of the things that people love the most about DonationCoder -- it's where anyone can post a request for a custom piece of software -- and often find the requests granted overnight by one of the coders who inhabit the forum (like DC members Ath, MilesAhead, c.gingerich, 4wd, and others).
* Double Click Needed
* Frackin' Reserve - A Fractional Reserve Banking and Compound Interest Simulator
* AHK Find and Replace
* Birthday Program (What day were you born on?)
* Just could not RESIST (A resistance calculator)
* Windows software shortcut (LNK) creator
* 1-action Unzip
* Simple Duplicate Folder Finder
* AMDER: Actor Missing Dialogue Error Report release: v220.127.116.11
* Folder Properties Auto-Update....
* Batch adjust shortcut targets
* Generate sequential serial numbers
* BubbleRand v1.03
6. Mini-Reviews
In the past few years we've drifted from larger reviews to user-written mini-reviews, and we've had quite a few posted since the last newsletter.
* 14 days with SmugMug and Zenfolio
* Rarma Radio (Raimersoft) - Mini-Review
* Readerware 3 Book Cataloging software
* My experience with board games.
* AdBlock for Chrome
* SNS-HDR - Mini-Review
* Windows Firewall Control - Mini Review
* DVD Decrypter - DVD ripping tool - Mini-Review
* Mindbloom - The only Gamified Web-based Mindmap that I know Of currently (Old)
* Stick-A-Note + Universal Viewer - Mini-Review
7. Fun, Humor, and Amusements on the Web
You've made it half way through the newsletter, so let's have a break. Go make yourself a lemonade, and check out these fun websites and videos!
* Animal Friends video thread
* Kid's homemade cardboard carnival arcade (video)
* Man rows across Atlantic... inspiring
* Linus Torvalds on NVIDIA -- "F**k you!"
* 513 interesting wallpapers (NSFW warning)
* Techie News Roundup
* Science News Roundup
* Apple...Just ever so slightly paranoid?
* O Fortuna Misheard Lyrics
8. General Software Discussion
Almost half the posts on the DC forum take the form of general software discussions, questions, recommendations, etc. These posts wind up in the General Software Discussion section and make it one of the most active sections of the DC forum. This is a great resource if you're trying to solve a software or hardware-related problem. We get so much traffic on this board that we split the recent content into two sections in the newsletter - general software and specific software discussions.
* Starpunch.net
* "Net Nanny" or other inappropriate content blocking programs?
* New iPad owner. Please suggest Apps.
* Team Time management/recording software
* Recommend bulk editor for EXIF/IPTC metadata?
* Software for creating a new entry in the main contextual menu
* Explode a portion of a video in multiples images
* Software to ONLY search bookmarked/favorited pages?
* Steam Summer Sale 2012 (Indie Bundles)
* FreewareGenius.com: Four Free Apps That Can Transform How You Read the News
9. Specific Software Discussion and Software Services
This section of the newsletter draws attention to some of the standout discussions about specific programs that have been started since the last newsletter.
* Splinter - Visual Desktop Tool
* OpalCalc 1.43
* Color My Folder 22.214.171.124 (DC Special)
* TED Downloader: Download Videos from TED Conference
* Sublime Text 2.0 final
* Mozilla to "stop innovation" on Thunderbird
* Microsoft takes on Dropbox with major SkyDrive update
* Google Drive launched
* Parameters Control Diary: Tracking your life
* BookmarkQ: share pages with sections highlighted
* sRemote: Run Remote Commands To Your PC Via Gmail
* psr.exe = Problem Steps Recorder (for Win 7)
* DropBox to drop support for Public folder (no more direct links)
* FTPBox - Dropbox alternative for those with FTP access
10. Website Discoveries, Debates, and Discussions
What's new in cyberspace? What exciting new sites have been discovered by forum members? What's the current hot topic and debate? Read on to find out...
* CamelCamelCamel: Nice Amazon Price Watcher
* FreewareGenius on Free online courses from the top 40 colleges in the US
* Udacity - free online education for real
* From ZDnet writer - Final Thoughts on Windows 8: A Design Disaster
* FBI: Hundreds Of Thousands May Lose Internet In July
* Searching Amazon for Kindle "Best Sellers" that are currently FREE
* Facebook Changed Everyone's Email to @Facebook.com; Here's How to Fix It
* Windows Aero (transparent window borders, etc.) is dead.. Good riddance
* Why Microsoft killed the Windows Start button
* Used Software Can Be Sold, Says EU Court of Justice
* Articles on publishing standards and the future of public libraries
* Wakoopa discontinuing service
* Nice 2008 Wired.com article about SuperMemo and the science of memorization
* FSF Spells out its concerns and recommendations regarding UEFI
11. Developer's Corner
The title of this section shouldn't scare you off - there is definitely something of interest for everyone here! It's more than just a section for the discussion of software development, it's also where we discuss web design, entrepreneurial ideas, and general productivity issues. It's great to see that the section has been pretty active recently.
* Any DC members thinking of trying Kickstarter?
* JayIsGames: Casual Gameplay Design Competition #10 - Deadline Sep 3, 2012
* Online Python Tutor
* Random Question (About Hash Keys)
* Essays on Proper Storage of Site Passwords
* Help me think of a small ipad app idea to code
* In search of ... opinions on code snippet libraries
* 9 Signs Self-Publishing Is out of Control
* Play and Experiment with Code
* Liberated Pixel Cup - An Art and Game Development Challenge
* Someone may be maliciously using my domain name
* Another experiment in free software profit models from Bryan Lunduke
* AutoHotkey v2 & other changes
12. Hardware Hideout
Although most of our forum discussions are about software, there are always some interesting hardware and gadget threads popping up.
* Microsoft's New Surface Tablet Hybrid
* Cybernet News Series of Blog Articles on the XBMC Home Theatre MediaPlayer
* Raspberry Pi's $35 Linux PC
* Google Tablet
* Help me pick a midrange Android phone?
* Noisy PSU advice?
Thanks for this :Thmbsup:
Somehow the domain that the newsletter sends out from (donationcodernews.com) wasn't set to autorenew and briefly expired last week. That means that some percentage of recipients of the newsletter never got it. Sorry! The domain is back now so all should be good going forward.
Speaking of, for the second time - that I remember - gmail sent it to my spam
Speaking of, for the second time - that I remember - gmail sent it to my spam
-rgdot (July 11, 2012, 11:20 AM)
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First, don't use location.hash = "#foo" to jump to "foo" link, because Safari will jump to %23foo. Safari's behaviour seems very logic, but I don't really know who is right, Safari or the IE / Firefox crowd.
Second, don't use
foo
You should really do
foo
For the purist out there, yeah, that's not exactly equivalent, onclick="try { foo() } finally { return false } gets you closer, but the value of this will still be different in the two foo's.
Putting javascript:void(foo()) in the href turns out to produce buggy results, because once a user clicks in a link, and Internet Explorer engine passes onclick's or any other guard and reaches href, then it enters in a different state, that only quits when the new page loads (a href to an anchor is of course an exception).
In this new state, animated gif images stop their animation and Bad Things Happen™. Among others, expect your javascript code to fail in subtle ways. Explorer is not expecting to execute javascript code after you click on a link. It's already hard enough to make it behave correctly on its natural state, so trying to do something useful after a successful click on a link is roulette.
P.S.: WordPress 2.0 is nice and all, but it's html editor is a pain. I had to put the above html code in a pre tag, using entities, and breaking h ref (like here) because otherwise it changes it!


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Welcome to PRaxis, the public relations and communication site designed as a combined resource and meeting space for academics, students, and industry practitioners.
We're proudly based at and supported by Massey University's School of Communication, Journalism and Marketing in Aotearoa/New Zealand.
We also acknowledge the important sponsorship of Bond University's School of Humanities and Social Sciences, which helped us get started, and the Waikato School of Managment, which sponsors our book reviews. This support helps PRaxis deliver useful features to students, educators, and public relations practitioners worldwide.
Please head to the menus above to explore what we have on offer, including:
Peer reviewed scholarly journal, PRism. Includes refereed scholarly articles, book and conference reviews, and commentary pieces. Volumes 1 to 9 are online now. Click here to check out all volumes, including special issues on power and public relations, gender and public relations, online communities, social marketing, global public relations, non-profit organisation relationship building, public relations measurement and evaluation, and more.
See our announcements page for notices about conferences, calls for papers, and related news about public relations and communication events or opportunities from contributors around the world. Click here to go to announcements.
Links section. Lists useful URLs relating to other public relations and communication resources online, and gives guidance on content. There is a quick-reference system designating academic, quasi-academic, industry, and commercial materials.
Vox pop section. This informal mini-survey canvasses topics of interest to public relations, such as whether it should be taught in humanities or business paradigms. See what others think and have your say, or nominate a new topic.
Bulletin board. From time to time people want to publicly comment on materials on PRism, offer an additional reference, send useful information, make an observation, start a debate, etc. We welcome public feedback and this is the place to do it.
If you teach, practise, or learn about public relations and public communication, then PRaxis is your site, created for you, and responsive to your needs. What else do you want on the site? What needs adjustment to be genuinely helpful? Please explore, test, and let us know how we can improve.
Elspeth Tilley
PRaxis initiator.
Why is it called PRaxis?


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Hey Kids!
Don't forget to send in your TDI costume and pumpkin pics!
Looking forward to seeing what everyone's cooked up.
Happy Halloween :D
sending in mine tomorow
Happy Halloween!
Don't worry, I sent in my pumpkin picture and now sending in my cosplay.
i sent mine in last night
Alright i sent mine in 2 nights ago. When are you going to put up all the pictures and tell us what the prizes are.


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Defining Mid/Medwife
While the term "Medwife" is volleyed around birth circles on the Net and in real life world, I've wondered, for a long time, what the definition of each would be if we were to create/give them one. Sure, I've read numerous descriptions of what the differences are between the two, but never in a thread such as this (that I've seen).
I do know the strong feelings people have about these terms and really do want to continue the discussion, but ask everyone to please remain civil. (Isn't it kind of sad that I even have to mention it?)
So here is how the thread went down on my Navelgazing Midwife Facebook page. My comments/thoughts are interspersed through the piece in bold italics.
DH1: MIDwives: Trust birth and do not interfere in the birth process unless absolutely necessary. They are highly educated and use that to their advantage in knowing when to or, more often, when not to interfere. They understand there is a wide variety of normal and that being "with woman" does not mean to control them.
MEDwives: Use the medical model of obstetric management to control birth using medicine, herbs, expectations, etc. for all kinds of ways to start, augment and speed the birth process. This variety is found more often than not working in the hospital setting although there are some still controlling birth in home settings as well.
KB: So do MIDwives convert to MEDwives and cancel out their trust in birth when the shit hits the fan on a perfectly unintervened birth and they need to resort to medicine and herbs?
JW: DH1 hit it with the control factor.
DH1: No. Midwives intervene as well but only when absolutely necessary... which is not very often. Medwives seem to intervene on a regular basis as "protocol". That is the different in my eyes.
KB: MEDwives are not as "highly educated" as MIDwives? Please explain that one.
RP: I have seen some "medwives" who you could not even tell the difference between them and an OB. In fact, my OB is more open to alternatives and has a lower rate of intervention than they do. I guess it was fairly obvious to me that there were what many would deem "medwives".
DH1: No, they have different training. Medwives are trained that the birth process is broken and needs to be tampered with in order to function properly. Midwives are trained to trust the birth process with a very thorough understanding of the physiology of birth, female anatomy and most importantly patience.
That you said "…trained that the birth process is broken and needs to be tampered with in order to function properly," I really am baffled where that comes from. While I admit there are plenty of midwives who've been quick on the intervention draw (and I'm sure I've done that myself), having seen the curricula for midwifery schools (CPM & CNM), I have a hard time believing any midwife is trained or believes the birth process is broken. Maybe it would be easier if you could share some examples of what you mean.
I do think there are midwives who use technology for convenience's sake, similar to OBs, but that's different than believing the process is broken.
Also, if you're looking at who has the more thorough understanding of the physiology of birth and the female anatomy from an educational standpoint, that is most certainly a CNM. CPMs get a fraction of A&P compared to CNMs.
RNK: With DH1 100%.
NgM: clapping hands Can't wait to get into this one later! grinning You all are wonderful! Thank you so much for your candor. This will be a hot button topic and already there's lively interaction. I think this topic is soooo worthy of discussion. Thank you, in advance, all of you willing to share your thoughts, even if they seem not to be the popular one.
KB: I wonder how you've been able to thoroughly assess the training modalities of "medwives" and "midwives" to come to that conclusion, DH1. And who are you talking about exactly. I've known many a "medwife" DEM and probably more "midwife" CNMs in my 10+ year career. I think it's a pretty faulty blanket statement to make and there is a lot of magical thinking going into the whole "midwife" vs "medwife" discussion.
AL: The difference is in the eye of the beholder.
VM: I think it all depends on the perspective of the person using the term. Where I live, there aren't many midwives who aren't CNMs. The CNMs are controlled via their practice agreements and must be "medwives" in many cases: intervening when it is questionable, whether it is necessary, bullying moms into tests and ultrasounds that aren't supported by evidence and not supporting VBAC. Supporting women in this environment, it would be very hard to call any midwife who attends a homebirth a medwife. Because at least she trusts the process so far that she is willing to attend in a home.
What does bullying a mom into tests and ultrasounds look/sound like?
JWP: I don't think training has anything to do with it in most cases. Experiences can shape people after their training, things they've seen can make them change. I'm doulaing for a mom anytime now who is using the known medwives of the area. They are highly watched and controlled by their backup Drs. So while maybe they believe this is the right way to handle a pregnancy, maybe they don't and they don't have many choices. It's either quit and leave even fewer midwives here, switch places of employment to the other MW office in town or just deal with it 'til we can get laws changed for autonomous practice.
SGM: I think midwives are comfortable being "with women" and trust the process, their own skills and instincts. I think medwives are well meaning, but have been jaded by the OBs that "oversee" them, and the medical model of care in general. By attending to women in the hospital, some midwives simply acquiesce to the status quo, and unfortunately become medwives. They lost their passion along the way, and it has become just a job.
I think this comment alone confuses me more than any other. That a midwife in the hospital who adheres to protocols –that she believes to be true- because she does, you feel she's lost her passion? That it's just a job? How did you come to that conclusion? Because she doesn't buck the system, she doesn't have passion? Because she works with a degree within institutional walls, her entire practice is discounted?
I rarely see the acknowledgement that not all midwives enter the profession to Change the World of Obstetrics. Not all midwives, especially CNMs, believe homebirth is the safest place to birth. And, just because she doesn't agree with you (global you), doesn't mean she's a shit midwife. She's just not the midwife for you. And not all women who choose midwives are looking for the "enlightened, spiritual" birth experience. Many women do want the kindness and care CNMs offer, the respect for choices, the time with listening and the patience with interactions. A midwife who adheres to and honors protocols, in my opinion, is not the definition of medwife; it's the definition of a midwife who feels the protocols and rules help keep mom and baby safe. Just as you might disagree with that definition, she, too, might very well disagree that not using protocols is the safest route for both mother and baby.
KC: Medwife - manages birth for her convenience (or fear), causes herself to be "needed" yet still, usually does so with the best but misguided intentions.
Midwife - keeps her hands to herself unless nature requires it, even when it's hard not to meddle, she addresses her own fears internally and not externally on mom or baby. She lovingly "life guards". You know if a lifeguard tried to rescue a strong swimmer it would cause drowning, hence a need to be rescued because of the "rescuing'. My midwife crotchets baby hats to keep her hands busy when the urge to "help" gets strong. I am so grateful I can trust her to be a guardian not a manager.
How does a midwife manage birth for her convenience (or fear)? Examples would be great here.
And just as a point of arguing (more), a lifeguard who tries to save a strong swimmer would not, at all, cause a drowning. Bad analogy. (I'm a lifelong swimmer and a retired lifeguard.)
DB-H: K, a DEM (Direct-Entry Midwife) can still practice obstetrics-based care. It's more of an attitude and approach than credentials.
There are DEMs who encourage augmentation of labor with natural means because mom's tired, baby is big, etc., that check dilation way more than even high risk OBs do. This to me is a medwife.
A midwife encourages the tired mom, telling her how important these last few days/weeks inside are for her baby. She watches the labor, only assisting when medically needed and not for the convenience of herself or others.
Where are all these midwives who encourage inducing or augmenting labor because the mom is tired or because the baby's too big? Do you mean CNMs? I've known a lot of midwives (and have disagreed with puh-LENTY of them in how they practice), but cannot even think of one who practiced this way.
EM: Medwife is a boorish, annoying term made up by some midwives to criticize a colleague.
JD: I am in agreement with DH1, aside from the training... two women can have the same exact training, but come out the other end with different ideas.
K, I'm not seeing where anyone says midwife=DEM (or CPM) and medwife=CNM. I think we all know that isn't the case. However, it is known that CNMs (in the hospital) have more rules to follow.
RC: Where I live there is only one kind of midwife in terms of training and where they do births (both home and hospital). But the distinction stands. Medwives work from a place of fear. They transmit that fear to their clients. Fear breeds a need to control.
Describe the fear. How do they transmit that to clients? Please tell a story that shows a midwife feeding fear to the client.
KB: J, I know that no one has stated whether someone is a CPM or CNM, however DH1 did mention training so that is why I asked for clarification.
DD: To me, I thought I knew the definition of MEDwife. Then my cousin had her baby at the hospital with the "midwife" staff.
They are REALLY not midwives there, so now my definition of MEDwife is
MEDwife: Woman doctor who is called a midwife by the hospital so that they can pay her less. Due to being paid less, she develops a complex and must prove that she is more qualified and better than the attending doctor by performing more interventions and "saving" more babies than him.
Be wary the surgeon in midwive's clothing Just because they're female doesn't mean they are a midwife, no matter what the hospital says.
DH2: On paper, they are no doubt equally educated. In practice, some might be more willing (hopefully all good MIDwives) to use patient-oriented, mother-friendly techniques to help a mother get the birth she wants. A medwife, in my experience, is just an extension of the OB - who might not be interested in anything other than getting the baby out at any cost, usually at your expense, and call it a "good outcome." Grr.
MNK: Midwife describes a professional credential, which typically entails a set of knowledge, values, attitudes, skills and abilities. MEDwife is a stereotype that is often used by people who are labeling a group based on assumptions. Stereotyping fails to take into consideration the unique complexities of individuals.
Here, here!
KP: I've jokingly said that a "medwife" is anyone who is "too medically minded," based on the opinion of the person defining the midwife's practice style; and a "madwife" is anyone who is less medically minded than the person wishes.
To me, a "medwife" would include those who have a high induction and/or Cesarean Section rate, and who basically manage pregnancy as if they were the stereotypical high-intervention obstetrician.
BP shares a post she wrote on this subject.
MC: If a midwife can legally use medications in labor/birth as well as other medically minded interventions and she resorts to using the meds/interventions FIRST then she is a medwife. Midwife means with woman. Bringing her fears into the birth place with her makes her unable to truly be with the laboring woman. I agree with M, too- it is a stereotype we commonly use for CNMs.
Question: So if a midwife isn't to use medications and interventions first, what is she to use? What situations are you specifically speaking about? Is there any situation where medications or interventions are acceptable as a first line of defense?
NgM: Very interesting, all of you.
I've heard the terms compared for many years now, have been called each myself. I've asked for definitions several times, but have rarely heard an answer. This is very helpful as well as enlightening.
I've even heard such a tight definition as any midwife who carries medications is considered a "medwife." I guess if a midwife carries meds, she doesn't Trust Birth enough? I absolutely do not understand that mindset.
My experience only: I don't think I've ever met a midwife (CPM/CNM) who pushed for unnecessary inductions or epidurals. Perhaps within protocols, but not just because a mom's tired of being pregnant or because it's convenient.
It confuses me that people get all cranky about protocols. We all operate in this culture within many different sets of protocols... rules of the road, the handling of money, the education system, our legal system and more. With some, there are accepted ways around/through them and there are certainly unacceptable ways to deal/cope with them.
How can women think there won't be protocols/parameters with something as crucial as the life and death of a baby? How can women think anarchy is acceptable in birth? I don't mean the pushing of constraints or questioning authority... not at all... but complete anarchy? (Is UC complete anarchy?) Are we to just leave birth 100% alone to do its thing without touching a woman at all? Ever?
The comments above speak about a midwife knowing when to touch a mom, when to interfere (hear the tone of that word?) to save a life, but the issue arises... WHO judges whether the midwife acted "appropriately" or was meddlesome? Is it the mom? The Medical Board? Grandma sitting in the room? The doula? Where does this judgment come from and why is someone entitled to confer the epithet of "medwife" on a midwife?
And, as I ready myself to leave homebirth midwifery, am I cranky about this topic because I've been called a medwife a lot? Does being a medwife have any part in my leaving midwifery? Leaving the practice of midwifery to women who don't think about the complications as deeply as I do?
Still listening and pondering.
MNK: Can you say dogma? I highly suspect that most of the folks touting this 'Medwife' dogma have probably never held the hand of a husband witnessing his wife suffering from DIC, having her uterus removed, and dozens upon dozens of blood transfusions after the 'Midwife' delayed transporting with a PPH, because she wanted to try to get the baby latched! (I'm an IBCLC, by the way) Part of being a MIDwife is recognizing when intervention is warranted and relying on your training and wisdom to guide your reactions (and certainly this doesn't happen by consulting with the 'family, and doula' (yep, I'm a doula, too) in the room!
Barb, this is your career, sorry to sound bossy here but don't allow other people to define your parameters. You have a solid head on your shoulders, skilled hands, and a generous heart. You, Barbara, are the epitome of a MIDwife in every sense of the word. As to who decides, well you have a scope of practice to adhere to and your training. I don't think you are giving yourself enough credit but that's my .02 worth. Trust Birth, , it usually works well, and when it all goes to shit, because it does on occasion, -and it will- trust your ability to recognize it and get the pair to a freakin' qualified Perinatologist. Don't let other people bully you either. Do what you need to and know is right. If it's not right for you now, take a hiatus, but if you want to persist in practice, go girl!
I appreciate that. As you know, the decision is made.
DH1: I think this matter is complicated as you so aptly wrote NgM. You are right, there is a lot of judgment in these words. I think it comes down to "Who's birth is it?" Is it the midwife's birth because she has protocols to follow and a practice to protect? Or is it the Mom's birth because she is the one birthing and this is her baby? Who is in charge here? One of them? Both of them? Who is MORE in charge? What about the baby or the partner? I'm not sure any of us have the answers to these questions as anyone deeply impacted and involved by birth would know there are no answers to these questions because every birth is different AND dependent on at least ONE person (mama, midwife and/or baby) trusting the birth process. If the "one in charge" does not trust the birth process, it is very likely the others won't either and this is where meddling comes in.
This birth trust does not come from credentials or training. I never said anything about CNMs or DEMs. It especially does not come from fear based on a few experiences gone wrong. We have to trust that women know what they want, they know how to give birth and their babies know how to be born - even after her birth attendant has had an adverse outcome with another woman. This does not mean she has to change her protocols for everyone thereafter. Every woman/baby is unique and every woman/baby deserves the chance to prove that interventions are not necessary without protocols being pushed on her because the "protocols, practice, law" says so. We all know right from wrong and can make educated choices that make sense for each situation.
I also agree that the distinction of medwife and midwife is painful to both parties (not to mention Mamas and babies). If we are to be honest with each other though there is a difference. It comes down to control. Who do you think is in control of this birth? Not responsible for, but in control of. Getting out of your own way to allow the birth process to unfold is what being a midwife "with woman" is all about.
After reading this comment, I started a post (that I haven't finished yet) about how a bad outcome changes one's practice. The short analogy is: if you sped through the intersection 1000 times without incident, but sped through once and had an accident that killed your child, how will that accident affect your driving forevermore, especially as you cross the intersection?
Watching a mother or baby die in birth cannot NOT affect you.
We are all products of our experiences. Women choose to UC based on previous experiences. Asking a midwife to not incorporate her experiences in birth, asking her to leave her accumulated knowledge at the door is absurd. We learn with each birth! Each experience builds on the one before, creating a block for the one that will come after. It is the midwives with many births under their belts, with many years of experience, that are most honored.
Regarding the control aspect, in the perfect midwifery/client relationship, each woman uses her strengths and leads her Self. The laboring woman is in control of her labor and birth. The midwife is in control of making sure the mother and baby stay alive… in fact, she was hired by the woman to do just that. And then, ultimately, the baby is in control… the baby guides the actions of the others around him/her. To me, this is symbiosis at its best.
SM: "Blind maternalism is just as dangerous as blind paternalism" if I may quote one of my favorite OB/GYN buddies. I agree.
KB: "Birth trust/Trust Birth" is a sales pitch and just as polarizing to this profession as the circular midwife versus medwife argument. It's interesting that not many midwives have contributed their two cents to this thread but lots of others have. I'd like to know when those of you who are the most critical plan to start your midwifery practice and if 5 years later you have a different opinion.
AHH: I agree with E and think that we midwives have enough resistance and criticism from the medical community in general and the last thing we need to do is echo their thoughts about us.
DH2: I'm just basing my ideas on the care I've received from midwives, versus what I read from very different midwives like Barbara and others. Very different care than what I received.
AKS: Honestly? I think it's a dumb distinction to make. There are good midwives and there are "bad" (unskilled, or controlling, or unkind, or a bad fit for a particular woman) midwives. I would guess there are DEMS, CPMs, and CNMs in both groups --and I would guess there are medically-minded midwives (who follow current standard medical practices, whether or not they are supported by evidence) and "alternative"-minded midwives (who also follow practices that may or may not be supported by evidence) in both categories.
NgM: It's been a hard day, so I'll try to keep my tone at a civil level.
1. We are all a product of our experiences. Anyone who thinks otherwise... or who thinks the experiences don't affect us every single day... is in serious denial.
2. There ...is NO WAY one (me) can watch a birthing woman die, right in front of her (me), and not have it affect her (my) practice as a midwife. The experience doesn't control my right hand and force it to rupture women's membranes or wrap itself like a boa constrictor around my head, controlling my brainwaves, but it most definitely colors my reality that women can -and DO- die in birth.
It (the memory) doesn't mean I sit wringing my hands, just waiting for my clients to have an AFE, but it does give me a gift (a GIFT)... the woman who died gave me a gift... of the deepest respect for life and its precariousness, even in birth.
I know there's so much more to say about this, but it's late.
And yes, #3 is it is so, so, SO easy for non-midwives to speak about what a midwife should or should not be doing at birth. I defy any critic to stand in my shoes... in any midwife's shoes... and then tell me what a midwife should or should not be doing.
My job is to keep two people alive. With that statement comes an endless list of scenarios and what-if's that cannot be rattled off in a Facebook (or blog) discussion.
DH2: Given what I know just from reading your blog and hearing you talk so passionately about birth, Barbara, I would not call you a "medwife." You respect birth, and do not a take a cavalier approach to it - with good reason (as you just stated). If someone hires you to help deliver their child and then calls you a medwife, then it sounds like what they want is perhaps an unassisted birth. Because you already sound pretty hands-off unless there is a reason not to be.
MG: I agree that the label is harmful. So often those who are labeled "medwives" are only following protocols they wish they didn't have to follow... so why are they hospital midwives? Because they believe they can make a difference in women's births by offering them hospital-based midwifery care even with those protocols as opposed to giving birth entirely over to OB's. And from what I've seen, they are right, and do not deserve to be insulted for going to the front lines for women who for whatever reason aren't having a home birth. They work hard for the benefit of women. And there are midwives who are disrespectful of women with any or no letters after their name and who work both in and out of hospital.
On another note, using medication to save lives and interventions to avoid larger interventions is prudence, not over-medicalization.
One thing is clear: Medwife is an epithet, hurled at a midwife who, for whatever reason, isn't aligned with the woman spitting out the word. As KB says, this is one of those circular discussions and I've been watching it go 'round and 'round like a playground ride for years. I don't expect it to stop anytime soon.
Wonderful midwife Pamela Hines is more diplomatic than I am (as usual). She says:
"There are midwives for every family. If you have specific expectations, only communication help you decide if that midwife is right for you. While I do hear of midwives with a bit of a 'bait and switch' persona in labor versus prenatally, this is not the norm. I hate that people decide that their idea of care should be the norm for every other woman in the world."
Me doing a vaginal exam on a mama who was pushing for quite awhile with no forward movement. We eventually transferred to the hospital where she did deliver vaginally; baby'd been quite acynclitic. Anecdotally, this was the one baby I caught in the hospital.


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Energy efficiency, good for us and for our climate
Latest News
More drought predicted for Texas in 1/14/11 Houston Chronicle story titled "Forecast could hang many out to dry". It said that currently "all of East Texas and much of South Texas exhibited "extreme" or "severe" drought conditions."
Drought in 2009 cost Texas $3.6 billion.
"Perpetual drought".
How about 100% U.S. reduction by 2020!
Coal plant mornatorium is "the most critical action for saving the planet at this time" NASA climatologist James Hansen told Congress.
On March 6th, 2008 about 160 sq. miles of an ice shelf, about 1200 feet thick, broke off Antarctica. This ice was already floating so this won't make seas go up right away, but it makes it more likely that the rest of the Western Antarctic Ice Shelf (WAIS) will collapse sooner causing 20 to 50 feet of sea level rise.
Disastrous sea level rises possible this century unless we act now. The rise could be up to 80 feet according to the August 25 story on Hansen in Toronto Globe and Mail
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HCPA generally meets the second Sunday of the month, 1:00 PM (possibly 12:30 summer months) to about 1:30, on the second floor (check Sunday activities sheet at front desk for room assignment) at First Unitarian Universalist Church, 5200 Fannin St. at Southmore. Speakers talk about new developments in climate science and solutions, and we share the ups and downs of being climate activists. The meeting includes the church's Climate Action Team, which focuses on how the church community can be part of the solution. Contact the Secretary or other officer (bottom left) for the latest details.


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KANSAS CITY, Mo. (AP) Elston Turner hit a 3-pointer from the top of the key with 2 seconds left, and Texas A&M stunned Washington State 55-54 on Tuesday night in the consolation game of the CBE Classic.
D.J. Shelton had a chance to ensure at least overtime for the Cougars (2-3) when he went to the foul line with 17.5 seconds remaining. He managed to make the first free throw but missed the second, leaving his team clinging to a two-point lead as the Aggies (4-1) raced up court.
J'Mychal Reese got the ball in the hands of Turner and he cleared out the right side of the lane as if he was planning to drive for a tying basket.
Instead, he launched a 3-pointer that hit nothing but net.
The Cougars' Royce Woolridge could only get off a half-court heave that fell short, and the Aggies stormed the court to celebrate.


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Coopr needed a new logo design and created a contest on 99designs.
A winner was selected from 47 designs submitted by 15 freelance designers.
Wishery offers simple customer service software to small and medium online and "real world" businesses. We help our customers deliver fast, personable email support - to their customers.
(Feel free to start your entry with a quick sketch or very rough mockup - we'll give feedback on EVERY entry, so you'll know if you are heading in the right direction!)
We like many of the mascots listed here http://www.quora.com/What-start-ups…ther-icons
We'd be interested to see something involving the concept of "wishing", "wishes granted", "magic", "helper", etc - like the following - but don't feel obligated to use these - if you think we need a platypus, give us a damn platypus!
* Magician's hat
* Genie (male or female)
* Magic lamp
* Wizard's hat
* A star (as in "wish upon a star")
Our audience are the folks that handle customer service in small and medium businesses - they are typically overworked, underpaid, and in desperate need of something to help them. They care a lot about their customers, and want to be as helpful as possible, but don't have enough hours in the day.
Wishery is here to help our customers help their customers.
Our core product value is "transforming customer service into marketing" - but we aren't sure how exactly you'll incorporate that into a logo ; )
Logo Requirements:
* Do not incorporate the word "Wishery" or any alphanumeric characters
* We prefer cartoon or graphic style with areas of single colors - no photorealistic or detailed monochrome line illustrations
* Ideally the winner will include a favicon-sized version of the logo that is still recognizable (see http://www.loggly.com for a good example)
Find out how a design contest works or learn more about our logo design services.


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At first glance, a product looks great and inspires your confidence with its marketing blurbs and dozens of favorable user reviews. But criticism and complaints point to deeper pro
Are you interested in a new Mac mini? Read this first: be informed about which upgrades don't make sense and what to do about it.
Getting peace-of-mind protection for your Mac or iPod for less — in some cases over $150 less — looks tempting. But is it for real? Read on and find out.
In a realm where the DJ is dead and many spend more time texting and e-mailing than talking, defeat the Borg with a little bit of imagination. And if you've got your PC or Mac join
If you're like me, the closest you get to hacking anything is when you are allowed to carve the turkey at Thanksgiving. But lately, I've been inspired to learn how to do all those techy things that my nerdy friends seem so good at. [more]
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Check out the view entering the restaurant.
Posted by Gabriel Soltren
Check out the view entering the restaurant.
Posted by Gabriel Soltren
Check out these content ideas for your website. read more
Millions visit the state of Florida every year. Learning about state priorities at a public relations meeting held at the Central Florida Zoo and Botanical Gardens. by Gabriel Soltren read more
Why Do So Many People on YouTube Sound the Same? It seems like they're singing from the same songsheet. read more
Use Plain English Have you visited a website that was difficult to use? If you want to make your website easier to use, check out the video below about an award winning government website that uses plain English. read more
5 Secrets to Success on YouTube 5 Secrets to Success on YouTube read more
Excellent presentation from a hospital public relations department that is transitioning from focusing primarily on media relations to focusing on public affairs. Public Affairs includes corporate communications, internal communications, and government relations. Click here to read more. Posted by Gabriel … read more
Blogging and Social Media Professionals in Florida FLBlogCon at Full Sail University in Winter Park, Florida read more
At The Digital Animation & Visual Effects School at Universal Studios Florida Production Group with Women in Film & Television – FL read more
Photographs of the Orlando Public Library in Downtown Orlando The monolithic concrete Orlando Public Library building was built in 1966. The building was expanded in the 1980s and a tax district was created to continue funding the library. Posted by … read more
This photograph is from the Orlando Mayor's City Academy graduation. The City of Orlando Mayor's City Academy is designed to help residents become better informed about the City of Orlando. Posted by Gabriel Soltren read more


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VIDEO: Glen Rice Jr. ties the game with a 3-pointer from the corner for the Washington Wizards
LAS VEGAS — That breakthrough season and playoff run was just the beginning for the Washington Wizards.
That flash we saw from the John Wall and Bradley Beal-led Wizards in the Eastern Conference semifinals is still going strong into both free agency and here in the Samsung NBA Summer League, where youngsters like Glen Rice Jr. and Otto Porter Jr. are busy doing work with their veteran peers keeping a watchful eye.
Wall and Beal were in attendance at the Thomas and Mack Center Saturday night when Rice went off for 36 points in a triple-overtime win over the San Antonio Spurs. Veteran free agent Al Harrington is working the sidelines as a volunteer assistant under Wizards assistant Sam Cassell, keeping his finger on the pulse of a team whose culture shift is clearly in full swing after years of building to this point.
"We're trying to get our hands on that trophy," a smiling Harrington said after the win over the Spurs. "It's just a good vibe all around since the season ended. All of our guys, the young guys and the older guys, are grinding and trying to get to that next level. Everybody recognizes the opportunity that is staring us in the face and we have to be ready. Everybody has to be ready."
In a summer that began with the Wizards making the first big splash by keeping free-agent center Marcin Gortat on $60 million deal, the hits have kept on coming for this crew. Trevor Ariza and Trevor Booker departed in free agency, but Wizards boss Ernie Grunfeld went to work and rebounded by acquiring former Finals MVP Paul Pierce on a two-yer deal and veteran big men Kris Humprhies and DeJuan Blair in sign-and-trade deals to bolster the bench.
And for anyone dismissing the moves — the Pierce deal in particular, due to the mileage Pierce has piled up over the course of his stellar career — his coach in Brooklyn last season, believes the Wizards have taken a major step forward this summer with the acquisition of these veterans.
"Washington got better," Kidd told reporters here last week. "You've got a veteran guy who understands what it means to be a professional, comes to work every day and understand what it takes to win a championship. … He won't have any problems [fitting with the Wizards]. He'll be fine."
The Wizards will be, too, based on the busy work they have done this summer. Teams either get better or worse with their offseason work. Staying the course, for anyone other than the champion Spurs, simply doesn't work.
"It's just a matter of the process of getting better," Kidd said. "You see that with Gortat coming back. The backcourt is very talented. So they lose a player, a piece, but they're not afraid to go out and get a player that can help them. They're going to be one of the top teams in the East."
That's the plan. Harrington said that was the vision of all involved when the season ended. They felt like they let the Pacers off the hook in the playoffs. "Trust me, it won't happen again," he said. "Our guys are better now because of what we learned about ourselves in that series."
LeBron James heading home to Cleveland leaves a void at the top of the Southeast Division. And much like the work the Wizards' summer league squad is putting in to capture top honors, when the regular season begins the varsity crew will battle for the No. 1 spot with the Heat, Atlanta Hawks and Charlotte Hornets.
"It's there for the taking," Harrington said. "You see the way we are working now in the middle of the summer. We changed the culture. And now we're feeding the beast, making sure everybody knows what goes on when the lights come on in the regular season. We need [Rice Jr.] and Otto ready to go from the start. Our depth is going to be our strength. It's go time from the first day of training camp."


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Edwin W. Zoller Gallery hosts first-year MFA exhibition "Beware"
Edwin W. Zoller Gallery hosts first-year MFA exhibition "Beware"
UNIVERSITY PARK, Pa. -- The Penn State School of Visual Arts' (SoVA) first-year master of fine arts exhibition "Beware" opens at the Edwin W. Zoller Gallery on Jan. 27. "Beware" will feature interactive works of art, installation art, ceramics, photography, painting and more. The exhibition will be on display through Feb. 7. A public reception (with light refreshments) is planned for 5 p.m. Monday, Jan. 27, in the gallery. Visit https://sova.psu.edu/events/zoller for a complete listing of Zoller Gallery events.
This year's exciting and dynamic group of 17 artists, including Apolinar Concepcion, David Cuatlacuatl Teles, Charles Cunningham, Bech Evans, Bessie Floresgomez Murray, Brian Gaither, Alexandra Iosub, Matthew Kenney, Farima Safaitakhtehfooladi, Xiaojiao Shao, Nara Strete, Eric Thornton, Xin Wen, Evan West, Kelly Wilton, Tianxiao Yang and Chujun Zeng, will showcase their works created throughout their initial year in their major media area. These works create a foundation for future technical and conceptual explorations that will build toward greater mastery of expression and imaginative forms of material thinking.
The Edwin W. Zoller Gallery is a nonprofit exhibition space dedicated to the advancement of the visual arts and is free and open to the public from 10 a.m. to 4 p.m. Monday through Friday during the fall and spring semesters. Zoller Gallery was founded in 1971 and is located in the Visual Arts Building off Curtin Road adjoining the Palmer Museum of Art on the University Park campus. Public programming at Zoller includes artist lectures, visual art performances, artist residencies and interdisciplinary events. This facility was named for Edwin W. Zoller in recognition of his dedicated career as an artist and teacher.


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Some strange people learn about coffee though and as a result they no longer can cope with Nescafe instant. Next they notice burnt flavours and incorrect coloration in coffee shop coffees and an epic impossible quest for the 'God Shot'. Expresso starts to ruin their lives.
If you are addicted to a drug becoming snobby about that drug is a really bad idea. You don't see crackheads demanding only the finest Columbian devils dandruff in their rocks. Yet coffee addicts get themselves addicted to a drug then try and make sure they are miserable almost all the time they take the drug.
A normal coffee drinker gets a mild amount of pleasure from instant and when they go to a coffee shop get a fair amount. Someone who has gone to the trouble to learn about coffee lives in a constant state of disappointment except the rare occasions the world champion barista they have taken two hours to go to does not do something almost imperceptibly wrong.
The worst thing to know about I think is fonts. I don't even notice fonts but I have friends who can spot the bad font in a street with 100 other signs. You never hear them happy about fonts all they seem to bring is pain. The entire world just seems to become an annoyance to someone who knows how text should look.
America Is F*cked.......(Graphically at least) from Jess Gibson on Vimeo.
Do you have any nominations for things you are really better off not knowing?


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Inclusive Excellence news
UA honored again for its commitment to diversity
For a third time, The University of Akron has been recognized by the Commission on Economic Inclusion for its campus-wide progress in creating, enhancing, and sustaining diversity and inclusion strategies. Businesses and organizations are chosen for Commission 50 recognition based on their responses to the annual Employers Survey on Diversity™ conducted by the commission, which is a program of the Greater Cleveland Partnership. Read more.
Dr. Amy Shriver Dreussi is Diversity Award Recipient
May 2015 | Dr. Amy Shriver Dreussi is this year's recipient of the Diversity Award. The associate professor of social science in the College of Applied Science and Technology joined UA in 2006. Read more.
2015 Black Male Summit
Relive the summit in participants' words and pictures.
UA's 2015 Martin Luther King, Jr., Day Activities Fair
UA's 2014 Martin Luther King Jr. Day Activities Fair | Video
For a third year, the University's Diversity Council singled out as one of the nation's best
UA's Diversity Council has been honored by the National Association of Diversity Councils for its "extraordinary efforts and results" in advancing inclusive excellence principles on campus. Read more.
Black students explore college during UA Summit
Black students explore college during UA summit, Akron Beacon Journal, April 2013
For a second time, UA's Diversity Council ranked in the nation's top 25
July 2012 | For the second consecutive year, UA's Diversity Council has been selected as one of the top 25 diversity councils in the nation. The honor comes from the Association of Diversity Councils, a resource for diversity and includion council professionals. "This year's honor is a testament to the continued efforts and commitment of UA administration, faculty, staff, and community leaders to establish diversity and includion as a core value," says Lee Gill, associate vice president of inclusion & equity and chief diversity officer. "We are definitely moving in the right direction!" Full story.
Commission 50 Recognition
December 2012 | Members of the Commission 50 are recognized annually for progress in creating, enhancing and sustaining their diversity and inclusion strategies. This recognition is based on their responses to the Commission on Economic Inclusion's annual Employers Survey on Diversity™. Their scores are tabulated based on four metrics:
- Board Diversity
- Senior Management Diversity
- Workforce Diversity
- Supplier Diversity
The organizations are ranked by each of the four metrics, and the rankings are combined to produce a final score. The 50 Commission-member organizations (25 for profit, 25 nonprofit/government) with the highest combined scores receive this distinguished designation. We are pleased to announce that The University of Akron has been selected as one of the 2012 honorees. Congratulations on this achievement.
UA students tour MLK National Memorial ahead of opening
November 2011 — Thirty-six University of Akron students traveled to the nation's capital for a guided tour of the Martin Luther King Jr. National Memorial days before it opened officially in 2011.
Lee A. Gill, UA's associate vice president for inclusion and equity and chief diversity officer and a member of the MLK Memorial design review and construction team, coordinated the trip.
Their first stop was the four-acre memorial, which conveys four themes from King's life – democracy, justice, hope and love. A wall inscribed with excerpts of his sermons, writings and speeches leads to the centerpiece of the memorial, the "Stone of Hope," which features a 30-foot likeness of King. This concept is based on King's "I Have a Dream" speech, in which he said, "Out of a mountain of despair, a stone of hope." Memorial visitors pass through the "Mountain of Despair" before arriving at the "Stone of Hope."
UA's Diversity Council among top 25 in nation
October 2012 | UA has one of the best 25 diversity councils in the nation. Read more.
Knight grant to help black male students 'rise to the occasion' at UA
The University of Akron will work to increase the recruitment, retention and graduation rates of black male students, with a $425,000 grant from the John S. and James L. Knight Foundation. Learn more.


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"Dancing on the Edge" (Starz, Saturdays). Stephen Poliakoff ("The Lost Prince") wrote and directed this early-1930s period piece set at the intersection of jazz and aristocracy. Chiwetel Ejiofor plays Louis Lester, a black British jazz genius whose career starts to get traction when he crosses paths with hustling music journalist Stanley Mitchell (Matthew Goode) and gets himself a pair of singers (Angel Coulby and Wunmi Mosaku). A kind of "Upstairs/Backstage" drama, with a mystery attached, the five-part miniseries (plus a long epilogue -- appendix might be the better word -- in the form of interviews) takes its time with the material. Scenes have room to breathe and conversation is not every word to the point. (The series addresses issues of race as well as the usual ones of class.) The pace is mostly languorous, despite the jazz theme, and even when the going gets going, steps are only slightly quickened. It's not perfect -- the music (all original, and written by Adrian Johnson) is mostly wrong for the year, and the public scenes are underpopulated, possibly from the price of hiring so many speaking parts. (The excellent cast also includes John Goodman, Jacqueline Bisset, Janet Montgomery, Anthony Head, Allan Corduner and Jenna-Louise Coleman, whom you may know as Clara Oswald, companion to Matt Smith's Eleventh Doctor). The solution to the mystery is made obvious pretty early, though Poliakoff sows enough doubt to keep you from quite making up your mind. But the faults are small and noticeable, really, only because so much else feels right. It is all very pretty and seductive and draws you in and draws you along, just as the characters are seduced and drawn along, by music or money or sex or love.
"The Clash: The Last Gang in Town" (www.funnyordie.com, online at your pleasure). Making the rounds of the Web-fed platforms is this piece from and starring Fred Armisen -- late of "Saturday Night Live" and still of "Portlandia" -- as Ian Rubbish, the 1970s bottle-blond British punk rocker he introduced in an April edition of "SNL" and brought back for his swan song in May, with an indie-history supergroup that featured Steve Jones, Kim Gordon, J. Mascios, Aimee Mann and Michael Penn. Here, in a "short doc" nominally directed by Rubbish himself, Armisen sits down with Mick Jones and Paul Simonon of the Clash -- really -- and gets up with them to play his "Hey Policeman!" Its brief extended theme, to overthink this slightly, is the way that lesser artists ape greater ones, without seeing the difference or a problem: "What we did with the Clash," Ian says of his old band, the Bizzaros, "is they would say something political and we would say something like, 'We agree with the Clash,' or, 'What they said.'" And: "I remember 'White Riot.' We had a song called 'White Riot, As Well." More Rubbish, though not much more, can be found at www.ianrubbish.com, including downloads of "Hey Policeman," "It's a Lovely Day" (the swan-song song mentioned above) and Rubbish's confusing odes to Margaret Thatcher ("There's a lady in 10 Downing / Check her out, she's quite astounding"). "We thought it was a joke," Sex Pistol Steve Jones says in the fauxcumentary that introduced the character. (You can find it if you try). "Turned out he just really liked her."
"The Birthday Boys" (IFC, Fridays). An engaging new sketch comedy, both funny ha-ha and funny strange, from the L.A.-based sketch group of the same name. (They work out of the Upright Citizens Brigade Theater.) Producers include Bob Odenkirk, who is also essentially a co-star, Ben Stiller (on whose own sketch comedy, "The Ben Stiller Show," Odenkirk worked), and Stuart Cornfeld, who (besides co-producing "The Elephant Man" and a mess of Stiller films) played Judge Reinhold's boss in "Fast Times at Ridgemont High." (In the interest of full disclosure, his sister Lois sold me my first car, a 1966 maroon VW Squareback. It was not 1966.) A mix of perfectly-realized media parody, meta-humor, small ideas taken to extremes (the ramifications of the phrase "nothing to write home about," for example) and random weirdness, each episode -- the two I've seen, anyway -- knits itself into something resembling a whole, in the manner of "Monty Python's Flying Circus," as if that all happened now, and in Southern California. The cast remains anonymous; catch phrases are busted out only to make fun of catch phrases.
"Nashville" (ABC, Wednesdays). After a first season that seemed to run increasingly away from all the things that made this show special -- most of them rooted in music, and a convincing portrayal of its making and selling -- and toward the kind of incredible drama better left to the same network's "Scandal" and "Revenge," "Nashville," for the moment at least, is back on track. After a busy second-season opener that raised and took care of various strands of old business, the story feels life-sized and believable. There are signs of craziness ahead, but it is not currently troubling its remarkable leads: Connie Britton's Rayna James (country classic), Hayden Panettiere as Juliette Barnes (glam, looking to get real), and Clare Bowen's Scarlett O'Connor (young old soul). Panettiere, especially, was asked to act out extravagantly in the first season; but she is getting to play human again, and Britton and Bowen seem incapable of ever being anything less than real, whatever they're given to do or say. And Lennon Stella, as Rayna's older daughter Maddie, seems ready to make that trio a quartet. (The men have their part to play, but they are really secondary characters.) There's a new boss in town this season (Jeff Fordham), whose eyes are dollar signs, with a new hot-young singer (Aubrey Peeples), who is giving Juliette a taste of what Juliette gave Rayna, all-about-Eve-wise. Y'all come back now, hear?


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General News
: Regional News
Rhinelander Man Goes to Federal Prison for Possessing a Gun as a Felon
Submitted: 05/06/2013
- People who commit a felony lose the right to have a gun.A Rhinelander man who broke that law will spend three years in federal prison.29 year old Christopher Whittaker had a 22 caliber rifle in his possession in the spring of 2012.He had previously been convicted of felonies including hijacking a vehicle and child abuse. He pled guilty to being a felon in possession of a firearm in February.U.S. district judge Lynn Adleman has now sentenced Whittaker to serve three years in federal prison, to be followed by three years of supervised release.
Written By: Newswatch 12 Newsteam
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Siemens Convergence Creators supplies GSM-R dispatchers for UAE railways
Wien (OTS) - Siemens Convergence Creators has been selected by Selex ES as the main supplier of GSM-R dispatchers for the new UAE railway network to be completed in 2017. It will connect urban and industrial areas of the United Arab Emirates and open up new pathways to Saudi Arabia and Oman.
The GSM-R dispatchers will be deployed to provide seamless and reliable communication along the 266 km Habshan/Ruwais section of the railway line. Selex ES will take care of the smooth integration of the GSM-R system with the railway infrastructure.
Siemens Convergence Creators' solutions for railways include also network management and billing systems, quality assurance and control, as well as an infotainment system. The package is made complete with specialized services, such as installation and commissioning of multi-vendor systems, as well as network performance monitoring and optimization.
"With its GSM-R products and services Siemens Convergence Creators is committed to deliver innovative solutions as well as establishing a collaboration with Selex ES. We are looking forward to a long and productive relationship with Selex ES," said Vincent Sabot, COO of Siemens Convergence Creators.
About Siemens Convergence Creators
Siemens Convergence Creators Ltd., headquartered in Vienna, provides its customers with turnkey solutions and services in the fields of communication networks, service and customer management, public safety and security, multimedia infotainment, as well as aerospace technology. In fiscal 2011, Siemens Convergence Creators had about 2000 employees at 19 locations in nine countries: Austria, China, Croatia, Czech Republic, Germany, Hungary, India, Romania and Slovakia.
The company supplies more than 70 countries with communication and media products and solutions. Among the most important customers are the top players in their respective industrial sectors, i.e. telecommunications, media (TV, publishing houses), transport (cruise ships, railways, aircraft manufacturers, airlines and airports), space, public safety (action forces) and energy (wind power, oil and gas).
About Selex ES
Selex ES, a Finmeccanica company, is an international leader in electronic and information technologies for defense systems, aerospace, data, infrastructures, land security and protection and sustainable smart solutions. From the design, development and production of state-of-the-art equipment, software and systems to life support, Selex ES partners with its customers to deliver the information superiority required to act decisively, complete missions and maintain security and protection for operational effectiveness.
Rückfragen & Kontakt:
Mag. Enrico Filusch
Vice President Marketing & Communications
Siemens Convergence Creators GmbH
Gudrunstraße 11
1101 Wien, Österreich
Tel.: +43 51707-45116
Mobil: +43 664 8011745116


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Encore Gator Blades for your commercial zero turns are here at Jack's. These popular gator blades give your equipment the ultimate mulching ability by cutting the grass multiple times before it's discharged. Select a G3 or G6 blade for your Encore mowers. And don't forget to match your blade measurements to get the correct sized replacement.
G3 Gator Blades: G3 blades offer faster and higher quality mulching capability than standard mulching blades. The teeth on the back of the blade redirect the grass clippings toward the cutting edge over and over again.
G6 Gator Blades: G6 blades are thicker and wider than the G3. This makes them more durable to cut through thick terrain. For heavy-duty mulching, consider using a G6 gator blade to get the job done right.
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Photo: Geologist Kate Zeigler will speak on paleontological discoveries at Snyder Quarry, near Abiquiu.
by George Zamora
SOCORRO, N.M., May 5, 2004 – New Mexico Tech's Joseph R. Skeen Library and the New Mexico Museum of Natural History (NMMNH) are teaming up to kick off a new ongoing series of "on-loan" exhibits and lectures at the university library, with an inaugural exhibit and lecture on a prehistoric New Mexico wildfire scheduled for Wednesday, May 12.
Kate Zeigler, a University of New Mexico doctoral candidate who works at the NMMNH, will speak on "Understanding the Formation of the Snyder Quarry: A Late Triassic Wildfire" at 7 p.m. on Wednesday, May 12, in the Skeen Library's Tripp Conference Room. The lecture is free and open to the public.
Zeigler's multi-media presentation will detail her extensive lab research and field work on the Snyder quarry, a paleontological excavation site located near Abiquiu, New Mexico, that has yielded fossilized remains of a wide assortment of prehistoric creatures, including phytosaurs, aetosaurs, therapod dinosaurs, reptiles, fishes, and bivalves.
Her talk (which also was the subject of her master's thesis) will focus on the sedimentology of the quarry, which reveals that this unusual deposit of skeletal and plant materials is largely the result of a catastrophic wildfire that once swept through the area, quickly consuming both flora and fauna with its intense heat.
The related exhibit at the Skeen Library, which will include fossil specimens from the Snyder dig, as well as several large hanging panels with information on prehistoric wildfires, will be on display at the library for about three months.
Exhibits and lectures planned for ensuing months at the Skeen Library will cover a variety of historical, scientific, cultural, and contemporary topics and issues of interest to library patrons and others.
The next exhibit and lecture in the series, which is already in the planning stages, will focus on riparian environments and habitats along the Rio Grande.


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20722 Surnames | 136051 Records | 2773 Reunions
Dead Fred asks:Are you a Desperate Genealogist?
Click the e-book above for details!
Dead Fred's Genealogy Photo Archive, a free, fun photo genealogy research web site devoted to helping you visualize your heritage!
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Order The Desperate Genealogist's Idea Book: Creative Ways to Outsmart Your Elusive Ancestors (eBook).You can also order The Desperate Genealogist's Idea Book in hardcopy format by clicking here.
Photo #26729
Last Name: Lacey
First Name : Anastasia
Middle Name:
Subject's City: Carrolltown
Subject's State: PA
Subject's County: Cambria
Subject's Country: USA
Date: 1921-1940
Photographer: Farabaugh Studio
Photographer's City: Carrolltown
Photographer's State: PA
Nee: Lacey
Type** : PRT
Comments: Anastasia Lacey (Nee: Lacey) | Carrolltown PA USA | 1921-1940 | Comments: This is my aunt Anastasia on my Dad's side. She died in 1934. This is her graduation photo year 1931.
Digital Image Only? NO
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New data shows majority of colleges and universities lack knowledge and options to meet gluten-free needs, posing health threat to students.
On the heels of a recent U.S. Department of Justice settlement requiring universities to offer gluten-free meal options to students, a new survey of nearly 1,000 college students conducted by the National Foundation for Celiac Awareness (NFCA) reveals a continued and pervasive lack of awareness and accommodation for students with gluten-related disorders.
The settlement, which required Lesley University to expand their meal plan offerings to include options suitable for students with celiac disease and other food allergies, also stated that food allergies may constitute a disability under the Americans with Disabilities Act (ADA). Despite this landmark ruling, a recent NFCA survey revealed that 61 percent of gluten-free college students believe that their Dining Services Director or staff does not have sufficient knowledge about the gluten-free diet. In addition, 60 percent of gluten-free students report being 'glutened' or becoming sick from eating at a dining hall or foodservice establishment on campus.
"These statistics illustrate the overwhelming lack of knowledge in our secondary educational system when it comes to the needs of the gluten-free community," says Alice Bast, founder and president of NFCA. "To students with celiac disease, gluten-free isn't a lifestyle choice, it's a necessity. It's time that our colleges and universities paid equal attention to the nutritional needs and food safety concerns of this growing population."
According to the NFCA, an estimated one percent of Americans have celiac disease and an estimated six percent of Americans have gluten sensitivity, but it can take many years to get diagnosed. Among the students NFCA surveyed, nearly one in two was diagnosed while in college, emphasizing the need for support on campus.
Individuals with celiac disease and gluten sensitivity require a strict, lifelong gluten-free diet. The transition can be a confusing and isolating process, and when compounded with a dining services staff that is either resistant or ill-prepared to accommodate that need, students with gluten-related disorders often have few or no dining options on campus.
"Celiac disease is known as a medical issue, but it's also an issue of community," says Priyanka Chugh, a senior at New York University. "I know most universities, in addition to being paragons of academia, seek to create strong and inclusive communities. Providing wide-spread and safe gluten-free options would greatly benefit students requiring a gluten-free diet."
"We know that Dining Services teams work incredibly hard to provide nutritious food for their students," Bast continues. "Our goal at NFCA is to bring light to this problem and help colleges and universities get the knowledge and tools to meet this overlooked medical need."
National Celiac Awareness Month
In honor of National Celiac Awareness Month this May, the NFCA is sponsoring a Fuel the Family initiative aimed at educating families on gluten-free nutrition and diagnosing celiac disease, a common autoimmune disorder. Celiac disease runs in families, but many individuals do not recognize their increased risk when a relative is diagnosed. With 83 percent of those with celiac disease still undiagnosed, the focus of this year's National Celiac Awareness Month will be to arm families, schools and communities with information about celiac disease. NFCA will publish a downloadable Celiac Awareness Month Toolkit that contains educational resources on celiac disease testing.
Educating Our Schools
In addition to educating families through their Fuel the Family initiative, the National Foundation for Celiac Awareness (NFCA) is dedicated to the continued improvement of our university and college dining facilities. NFCA offers a comprehensive training program called GREAT Schools, Colleges and Camps aimed at educating dining services staff about gluten-related disorders and the specific protocols needed to prepare and serve gluten-free meals for these students. Through the GREAT Schools program, dining hall directors and staff can complete the training online or in person to ensure students with celiac disease and gluten sensitivity have proper, nutritional food options in college.
About the National Foundation for Celiac Awareness
The National Foundation for Celiac Awareness (NFCA) is a 501(c)(3) non-profit organization that drives diagnoses of celiac disease and other gluten-related disorders and improves the quality of life for those on a lifelong gluten-free diet. For more information about GREAT Schools and gluten-free needs on campus, visit http://www.beyondceliac.org/college.


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Regular price $ 29.95
Your fly boxes, hemos and knot-tying gizmos can take a beating jostling around in your pack, but your point and shoot camera or smartphone might not be interested in going along for that ride. With the Westwater Pouch, they won't have to. It's padded for protecting that kind of stuff, and has a roll-top closure to keep it all dry. Add a belt loop, which we did, and you've got the perfect accessory for your accessories.


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European Commission
Press release
Brussels, 21 November 2012
Public procurement: Commission requests Greece to ensure fair access to public contracts for the provision of software services
The European Commission has decided to refer Greece to the Court of Justice because it has failed to ensure full compliance with EU rules on public procurement as regards the purchase of an information system for the Social Security Foundation (IKA). In particular, Greece has failed to fulfil its commitment, made under Directive 2004/18/EC in February 2012, to launch a new tendering procedure for the award of the above contract, without the illegal clauses included in the original call for tender.
EU rules are designed to ensure fair and transparent competition for public contracts in Europe, thereby creating opportunities for European companies while ensuring the best value for public money. If the rules are not respected, there is a risk not only of less competition but also of inefficient expenditure of public money. The Commission sent a reasoned opinion to Greece in October 2011 asking it to comply with EU law (see IP/11/1263). As the final reply of the Greek authorities was not satisfactory, the Commission has decided to refer the case to the EU Court of Justice.
In their initial reply to the Commission's October 2011 reasoned opinion, the Greek authorities undertook a commitment to launch a new tendering exercise without the aforementioned illegal clauses. However, the new call for tender was not launched; instead, the Greek authorities informed the Commission that they had decided to extend the current contract.
More information
Public procurement:
Latest information on infringement proceedings concerning all Member States:
For more information on this month's infringement decisions see MEMO/12/876, and on general infringement procedures see MEMO/12/12
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Notice: On April 23, 2014, Statalist moved from an email list to a forum, based at statalist.org.
[Date Prev][Date Next][Thread Prev][Thread Next][Date Index][Thread Index]
RE: st: metan question,
"Tiago V. Pereira" <email@example.com>
RE: st: metan question,
Thu, 9 Sep 2010 02:47:01 -0300 (BRT)
I believe you need further information on the data you have at hand:
either the t statistic or a correly reported P-value, say, P = 0.052.
Once you have one of these pieces of information, you can compute an
approximated value for the variance for your effect size (the difference
between "after" and "before"). See the formulations in classic
statistical books.
Denote the effect size as ES, the standard deviation as SD and the sample
size as N.
So, you end up with an N1, ES1 and SD1 for group 1 and N2, ES2 and SD2 for
group 2, the exact information required by -metan-.
If you don't have these information, I believe you have two strategies:
Assuming you have the following data for group 1:
N1 = number of subjects (identical in the "before" and "after")
m1 = mean before intervention
m2 = mean after intervention
sd1 = standard deviation before intervention
sd2 = standard deviation after intervention
You can compute the effect size "after vs before" as:
ES1 = m2-m1
And an approximate standard deviation for ES1:
SD1 = sqrt(((sd1^2)/(N1))+((sd2^2)/(N1))-(2*sd1*sd2*rho)/N1)*(sqrt(N1))
where rho is the correlation between observations from m2 and m1.
However, one does not know the correlation from summary data. hence, your
two strategies are:
(1) set rho = 0, and ignore the correlation. This reduces the power of the
meta-analysis when rho>0.
(2) set several values of rho and check how results change. these values
can be obtained from some studies that you have raw data, or from
Let me know if that works for you.
Michael wrote:
I notice that -metan- requires the following for continuous data:
sample size,
mean difference, and
standard deviation (SD)
of the experimental group followed by those of the control group. This
could be used, for example, to pool data such as mean difference in blood
pressure before and after an intervention.
However, if instead of the sample size, mean difference and standard
deviation, I had for both groups:
sample size,
mean blood pressure before intervention
standard deviation (SD)
sample size,
mean blood pressure after intervention
standard deviation (SD)
would it be possible to convert into the format required by -metan-?
Best wishes,
Michael McCulloch, LAc MPH PhD
Pine Street Foundation
124 Pine Street
San Anselmo, CA 94960-2674
tel: 415-407-1357
fax: 206-338-2391
* For searches and help try:
* http://www.stata.com/help.cgi?search
* http://www.stata.com/support/statalist/faq
* http://www.ats.ucla.edu/stat/stata/


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Dusk sensor
The dusk sensor monitors light levels and automatically switches on the headlights when the light is low.
The dusk sensor monitors light levels and automatically switches on the headlights when the light is low.
Instead of a conventional key, the Smart Entry & Start System features a transmitter that allows you to unlock the doors by pulling the handle and lock them again by pressing a button. To start or stop the engine, simply press the Start/Stop button. All you need to do is carry the Smart Entry key in your pocket or handbag.
Side steps
Black roof rails
8" multimedia display
Digital Audio Broadcast (DAB)
Bluetooth® mobile phone connection
4-spoke leather steering wheel
Rear-view camera display
Anti-lock Braking System (ABS)
Vehicle Stability Control (VSC)
Front fog lamps (LED type)
automatically maintains the drivers pre-set speed. <br />
Active Traction Control (A-TRC)
Body on Frame High tension sheet metal is used to maintain a lightweight design and ensure strength and rigidity. Sound-absorbing and noise-cancelling materials contribute to a peaceful drive.
Kinetic Dynamic Suspension System (KDSS) KDSS is an electronically modulated hydraulic suspension system. On-road, this system provides unrivalled steering agility and ride comfort. Off-road, KDSS delivers greater traction and stability.
Spring Rate Control Spring Rate Control manages spring characteristics when turning or braking thereby greatly reducing the roll angle and pitch angle for increased passenger comfort.
Crawl Control Crawl Control maintains constant and stable low-speed off-road progress. The driver doesn't have to worry about controlling the throttle and brake, and can instead concentrate on steering.
Hill-start Assist Control (HAC) HAC helps to ensure a smooth start on steep inclines by applying the brakes for up to 2 seconds after the brake pedal is released. This prevents the vehicle from rolling back. It is activated by pushing the brake pedal harder after stopping as long as the transmission shift lever is in any forward gear position.
Active Traction Control (A-TRC) Designed for on- and off-road, A-TRC helps to keep you moving in the most adverse conditions. This intelligent traction control applies brake force to one wheel that may be slipping, while distributing power evenly between the three that are not.
Steering angle display In uneven off-road conditions it is often difficult to determine your exact steering direction. The Multi information display shows the tyre angle guidelines to give you confidence in these situations. When Multi-Terrain Select is in use, the tyre angle guidelines let you know your predicted path.


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Herpes Labialis: One-Day Valaciclovir Treatment Shortens Course
Clinical trials with a high dose of valaciclovir given orally for one day shortened the duration of cold sore episodes appearing in patients infected with type 2 herpes virus, indicating dosing advantages over available topical therapies.
To date most of the reported new treatments for type 2 herpes virus-induced labialis have been with topical formulations of antiviral drugs. Oral valaciclovir is a modified form of acyclovir that is better absorbed from the gastrointestinal tract compared with acyclovir, and which is converted 100 percent to acyclovir after absorption, increasing acyclovir blood levels several fold compared with administration of the parent compound. Dr. Spotswood Spruance and his coworkers at the University of Utah studied valaciclovir to see if higher drug concentrations would increase drug efficacy in herpes labialis. They also examined the feasibility of very abbreviated treatments -- only one or two days of therapy -- to see if this patient-friendly dosing plan would be effective. Evidence has long existed that most of the damage from the herpes simplex virus occurs very early in the course of the infection.
At the International Conference on Antiviral Research in Prague, the authors reported the results of two randomized, double-blind, placebo-controlled trials of high-dose valaciclovir for 1 or 2 days on the duration of herpes labialis lesions. Subjects received valaciclovir 2 g bid x 1 day, valaciclovir 2 g bid x 1 day -- then 1 g bid x 1 day, or placebo and began treatment at the first prodromal symptom of a new episode. A total of 3,151 subjects were enrolled, of whom 1,856 treated a cold sore episode.
Valaciclovir shortened the duration of the cold sore episode in the total study population by 0.7-1.1 days (13-16%). The effect of valaciclovir on the healing time of classical lesions (episodes that evolved to blisters or ulcers) was substantially greater (1.1-1.5 days, 18-24 percent). Further, increases of 20 percent in the proportion of valaciclovir subjects with aborted lesions (lesions not progressing beyond redness and swelling) were observed which were statistically significant when the studies were combined. Treatment for one day was just as good as treating for two days. These studies provide evidence supporting a simple, unique one-day valaciclovir regimen that has clear dosing advantages over available topical and oral therapies.