text:
A protest organiser in Masterton has welcomed uniformed members of a white pride group wanting to march in the town against child abuse.
Mother-of-five Liz Rikiti and Amanda Dette have arranged a Justice for Moko march in Masterton on Monday June 27, the same day as the Rotorua High Court sentencing of Tania Shailer and David William Haerewa, a couple who pleaded guilty to the manslaughter of Moko Rangitoheriri, a 3-year-old in their care tortured to death over a two-month period.
Masterton scrap worker Vaughan Tocker, who heads the Right Wing Resistance in Australia and New Zealand and claims to hold the rank of lieutenant-general, said his group planned to stand shoulder to shoulder with child abuse protestors later this month and march against child abuse - as well as "Islamisation".
Mr Tocker and his group dresses in black military outfits and has called for bans on state asset sales, the Trans Pacific Partnership, Muslim immigrants and Chinese investment in New Zealand.
Mrs Rikiti said organisers had encouraged parents to bring their children to march "because it won't be a big, aggressive protest that could get mouthy or anything" and remained unbowed despite online outrage which rose swiftly after the RWR announced it planned to join the protest.
"We could lose people but it is an open, public event. Their group sounds quite outspoken but on the day we don't want to have our focus taken over," she said.
"The more people the better but it's got to be safe and can't start turning in to anything other than that. It is a public event and our main goal is to get awareness of child abuse out there.
"We're definitely not saying they can't join because this is for all of us. As long as they leave prejudice out of it and others put aside their personal opinions, everybody should be all right."
She was happy to talk with Mr Tocker about ensuring an effective and unified protest and said RWR members were free to wear their uniforms while marching.
"What they want to wear is a huge part of them, and who they are. Which is the same for all of us. Rotorua has Mongrel Mob coming from all over New Zealand to march with them and on that day they wear what they want.
"So I'm pretty sure we can."
Gabrielle Connor posted to the Wairarapa Times-Age Facebook page that Mr Tocker and his group "represent nothing but hate".
"You are marching for all the wrong reasons."
Debbie Carmen wrote the RWR was "using Moko, his death, and the protest march against his death as a public relations exercise. Despicable".


text:
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subset: commoncrawl


text:
Topic 414 – Rental Income and Expenses
Provided Courtesy of the IRS
Generally, cash or the fair market value of property you receive for the use of real estate or personal property is taxable to you as rental income. You can generally deduct expenses of renting property from your rental income. Income and expenses related to real estate rentals are usually reported on Form 1040, Schedule E (PDF). If you provide substantial services that are primarily for your tenant's convenience, you report your income and expenses on Form 1040, Schedule C (PDF). Income and expenses related to personal property rentals are reported on Form 1040 (PDF).
Most individuals operate on a cash basis, which means they count their rental income as income when it is actually or constructively received, and deduct their expenses as they are paid. Some specific types of income are:
- Amounts paid to cancel a lease – If a tenant pays you to cancel a lease, this money is also rental income and is reported in the year you receive it.
- Advance rent – Generally you include any advance rent paid in income in the year you receive it regardless of the period covered or the method of accounting you use.
- Expenses paid by a tenant – If your tenant pays any of your expenses, those payments are rental income. You may be allowed to deduct the expenses if they are considered deductible expenses.
- Security deposits – Do not include a security deposit in your income if you may be required to return it to the tenant at the end of the lease. But if you keep part or all of the security deposit because the tenant did not live up to the terms of the lease, this money is taxable income in the year the determination is made. If you keep the security deposit because the tenant damaged the property, the security deposit is not taxable to you. If the security deposit is to be used as the tenant's final month's rent, you include the money as income when you receive it, rather than when you apply it to the last month's rent.
Some examples of expenses that may be deducted from your total rental income are:
- Depreciation – You begin to depreciate your rental property when you place it in service. You can recover some or all of your original acquisition cost and improvements by using Form 4562 (PDF) (to report depreciation) beginning in the year your rental property is first placed in service, and beginning in any year you make improvements or add furnishings.
- Repairs – Repairs just keep your property in good working condition but do not add to the value of the property.
- Operating Expenses
- Uncollected rents – If you are a cash basis taxpayer, you cannot deduct uncollected rents as an expense because you have not included those rents in income.
For information on depreciation, refer to Publication 946, How To Depreciate Property. Repair costs, such as materials, are usually deductible. For a discussion of the difference between repairs and improvements, refer to Publication 527, Residential Rental Property (Including Rental of Vacation Homes).
There are special rules relating to the rental of real property that you also use as your main home or your vacation home. For information on income from these rentals, or from renting at an amount less than the fair market value, refer to Topic 415.
If you do not use the rental property as a home and you are renting to make a profit, your deductible rental expenses can be more than your gross rental income, subject to certain limits. For information on these limitations, refer to Topic 425.
For more information on rental income and expenses, including passive activity loss limits, refer to Publication 527.


text:
Me and Father Met With An Accident on December 9 Night.
Dad Got A Multiple Right Wrist Fracture &
I A Small Injury On The Right Feet.
Operated At Jaipur Golden Hosp.
Got A Kinda External Rod
God Bless As More Serious Can Happen
We Are Safe Now
Thank You God Ji


text:
Wall Clocks > Non-Chiming
Rollover image to magnify
Howard Miller Techtime III 625-429
Howard Miller Techtime III 625-429
Howard Miller OnlineWall ClocksNon-ChimingTechtime III 625-429
Two-tone satin silver LCD display alarm clock with Americana Cherry finished wood accents. Large 2" numerals display the time, with selectable 12 or 24 hr. time format.
Additional Features
- Day of the week, month, date, as well as temperature are displayed.
- May be wall mounted, or displayed on a tabletop using folding easel stand.
- This clock receives a radio signal from the cesium atomic clock, the most accurate clock in the world.
- Radio controlled clocks display Continental US Time Zones only.
- PLEASE NOTE: Radio signal interference may occur near electrical items or within some structures.
- Radio controlled, battery operated alarm movement, automatically adjusts for Daylight Saving Time, and requires one AA sized battery (not included).
Our prices are the lowest allowed online by Howard Miller.
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Wall Clocks > Non-Chiming
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Overall Dimensions
Height: 9.25" (23 cm)
Width: 8.75" (22 cm)
Depth: 1" (3 cm)
Height: 9.25" (23 cm)
Width: 8.75" (22 cm)
Depth: 1" (3 cm)
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text:
There are many ways to live a healthy lifestyle. Living a healthy lifestyle is a fundamental component for achieving your optimal mental and physical well being. Healthy habits can help prevent certain heart conditions, such as heart disease, stroke, and high blood pressure. Taking care of you of your body is so important and it will help you live a happy and healthy lifestyle.
Remaining fit forever is very important to me. For the past 18 years all I ever wanted to be was a professional ballerina. The years of training, the hours of rehearsal, the constant striving for perfection. Dance is like an addiction, it's a necessity in my life, but mostly it is my passion. The strict perseverance that a dancer must have makes ballet more than a hobby, it evolves into a lifestyle. Ballet has shaped who I am as a person. Dance has given me so much and regardless of whether or not I become a professional ballerina, I am deeply grateful for how ballet has shaped me as a person and has helped me discover how to live a healthy lifestyle.
This is the first year that I have actually started living a healthy lifestyle. Bulimia nervosa is a psychological and physical problem and if not treated, it can be fatal. Eating disorders are serious emotional and physical problems that can have life threatening consequences. No one would ever suspect that I have been battling with my weight since I was 12. My eating disorder never became a huge issue until I turned 14. My mom was a dancer, so she had a distorted view of herself and me. I know that it was out of love but she started telling me that I needed to lose weight and her severe criticism caused me to start going into a dark place.
In the beginning, I kept my weight in control by exercising the calories I had eaten off and restricting foods. The minute I binged though the guilt, the self-criticism, and the fear of gaining weight kicked in. Age 14 was the first time that I made myself throw up. There would be days when I would barely eat anything but that was replaced by days were I would eat until I physically could not eat anymore. I knew that I had to get what I had eaten out of me. Purging became my way of staying in control of my weight. It took away my energy and excitement for life. I remember being tired all the time because I was depriving my body of nutrients and fuel. Purging was like a drug to me, the feeling of emptiness was like a high.
This pattern of destructive exercising, bulimia, and starving myself continued. Exercise and my appearance became the only thing I was concerned with. I hated everything about myself. I didn't believe in myself at all. I was filled with rage, anxiety, depression, and shame. I didn't like myself as a person. I truly do believe that you meet everyone for a reason. Last december I met Paul and he was the first person that I told about my problem. Paul helped me start to love my body and stay in control of my weight in a healthy way. I understand that because of dance I will probably always have a distorted view of my body but I am slowly learning to love myself after many years of self hatred. And to my eating disorder I say this, I won.
I have found happiness and no longer feel imprisoned by my eating disorder. I had lost myself. I couldn't think about anything other than my eating disorder. My eating disorder may have taken things away from me, but fighting it gave me infinitely more strength and confidence than I ever had before I beat it. And to my eating disorder I say this, I won. I have found happiness and no longer feel imprisoned by my eating disorder. I had lost myself. I couldn't think about anything other than my eating disorder. My eating disorder may have taken things away from me, but fighting it gave me infinitely more strength and confidence than I ever had before I beat it. This is why I am committed to helping people who suffer to and help them live a happy and healthy lifestyle.
Fitness has become such a huge part of my life. Over the past couple of years my body has changed so much as I've begun working out. Cross training had helped improve my overall strength and stamina. It has also helped overcome specific weaknesses and make me a more well rounded dancer. Over the past year my body and mind has become very dependent on hot yoga. I go 6-7 times a week and I my day just isn't the same without it. On top of yoga I do at least an hour of cardio a day and different free weights. If I am ever feeling upset, or sad, or stressed I know that all I have to do is go and sweat it out and I always feel so much better afterwards.
Living a healthy lifestyle starts with the right mind set. Being fit forever starts with a simple daily practice of exercising everyday. You have to implement habits that you can employ into your life to be fit forever. For myself I know that I have to get at least a short workout in the morning to start my day and get my body going. There are certain things that I will make sure to continue throughout my life to make sure that I stay fit forever. The diet world has come a long way and we now know more than ever about the science of nutrition and how it plays a critical role on body composition and health.
I have figured out a diet that works best for me now, but depending on how much I exercise and other factors I adjust my diet. I also try to allow myself cheat days because I can't be good all the time. Another big thing is focusing on the quality and quantity of the food I eat. The combination of both is the key to lifelong health and fitness. I know that for my body I can't eat gluten or I feel awful. I also know that I have to eat a lot of protein and have veggies and fruit. I do allow myself treats, but I try to keep my eating as clean as possible because it just helps me physically and mentally feel better.
My only goal now it to maintain what i've got and stay on track. Another very important thing that helps me is planning my meals out and calorie counting. When I don't know what I am eating that day is when I end up eating badly. So if I take the time to plan out my meals I never have to just eat unhealthy because it is easier. The reason I calorie count and it helps me stay healthy is because it lets me see what I have eaten and so if I cheat I have to count it.
I understand that it will take effort to stay fit forever but that is a choice that I want to make. I plan to continue with the healthy habits that I have worked so hard to make forever.
Fitness will forever be a huge part of my life and while ballet may not be in my regimen next year I do plan on trying out for the lionettes, which is Penn State's dance team. I have also found a great yoga studio and they have an incredible gym. I'm very excited to figure out my new regimen as a college student. Living a happy and healthy lifestyle is something that is important for everyone.
Bethany Dixon


text:
Trump, anti-Semitism and apple pie
In the aftermath of a long presidential campaign that was largely devoid of Jewish issues, they have become inescapable since Nov. 8. The election of Donald Trump has opened a fault line within the American Jewish community — not the predictable chasm between the Jews of J-Street and AIPAC, but rather between the bulk of American Jews committed to a secure Israel abroad with progressive policies at home and their conservative co-religionists.
American Jews in their majority have formed the backbone of traditional Jewish support for Israel from its foundation, and they consistently vote Democratic. They are alert to the dangers of anti-Semitism in its various manifestations, whether in the globalized rhetoric of Palestinian irredentism, the nostrums of the Boycott-Divest-Sanctions movement or the garden variety of domestic origin. It is a byword of American Jews that any recrudescence of anti-Semitism on these shores must be squelched before it gains traction.
How then, does a candidate who has played coy with conduits for the Klan, the alt-right, and assorted racialists and anti-Semites get a pass from conservative Jewish voters who would claim to be on the front lines of defending Jewish interests and punishing anyone who threatened them or associated with those who do?
I believe they are convinced that the only anti-Semitism worth taking seriously is the existential threat to Israel. Therefore, they are reluctant to acknowledge an anti-Jewish animus with deep roots in the US, which puts them in the awkward position of having to downgrade charges of homegrown Jew-baiting that is as American as apple pie. Such denial takes many forms, the most common being that the alt-right is nothing more than a tiny band of trolls whose posts have been blown out of all proportion to their numbers. The problem is that their poison spreads to a growing vortex of myriad viewers. Breitbart News and its ilk have provided these digital racists a national forum, faux legitimacy and a base to expand their odious views. And their chief enabler is now the President-elect's senior counselor. In effect, it has given a new lease on life to anti-Semitism in the U.S. which has a long history etched into the collective memory of American Jews. To dismiss it as some kind of secondhand prejudice is to misunderstand, and disregard, their very legitimate fears of its resurgence.
Anti-Semitism emerged full-blown in the U.S. in response to the great wave of Jewish immigration from Russia between 1880 and 1914. The reaction was racial quotas imposed to prevent further immigration of Jews from Eastern Europe after 1924, a barrier that would later prove a death sentence for thousands of Jews fleeing the Nazis. Anti-Semitism was rife in America during the years from 1938 to the end of World War II. Polls taken in 1940 and 1941 found that up to 20 percent of Americans considered Jews "a menace to America." This anti-Semitic hostility focused on stifling all Jewish immigration on the grounds that Jews were taking American jobs.
Henry Ford's widely circulated Dearborn Independent published "The Protocols of the Elders of Zion," the Radio Priest Father Coughlin had a listening audience of millions, the German-American Bund flourished, the anti-Semitic Silver Shirts were stocked with old-line Protestants and the Jew-baiting Christian Front was known as the Catholic Klan. Anti-Semitism hardly let up after the war when the remnants of genocide were limited to a trickle in the early postwar years. It wasn't until well after the war that the fever broke.
One of the misconceptions about anti-Semitism in the U.S. is that it began sometime in the 70's and was a product of the Left. In fact it went back for almost 100 years and was owned by the Right. It was an anti-Semitism directed not at Israel but at Jews on native ground. However the virus evolved in America, to make distinctions about the relative menace of its various strains, privileging one at the expense of another, is a futile exercise. All must be equally excoriated. Hiding behind the fig leaf of Israel does not exonerate those who voted for Trump from taking responsibility for his authoritarian tendencies or the company his keepers keep. Among Jews, the identity politics in the recent election came on the Right. And it may have caused lasting harm to the community. Those Jews who voted against Trump did so in the honorable tradition of American liberalism, which, when push came to shove, provided the impetus that fostered Jewish prosperity and security in the U.S. It is why Jews, in their great numbers, still vote Democratic – 71 percent supported Hillary Clinton. It is why they oppose Donald Trump and his rightish dystopia. And it is nothing to be ashamed of.
Jack Schwartz is a former book editor of Newsday.


text:
What is conhost.exe and why is it Running on my computer?
You might have seen a process conhost.exe running on your computer. Is it a virus? A malware? Or can it harm my computer? These are few of the normal questions that pop up on your mind seeing an unknown process like conhost.exe running on your PC.
So What Is conhost.exe
Don't panic conhost.exe is not a virus nor malware nor it cannot do any harm to your computer. So the next question pops up, then what is this conhost.exe? And what is it doing on my computer? The answer can be ruled out basically as, Conhost.exe is a process designed for Windows Vista & Windows 7 and other latest operating systems of Windows which executes a stable and thematic interfaces to operate command prompt better than the older process used.
What conhost.exe does
it untangles a common problem of Windows 7 and Windows vista for you. It helps the operating system to run smoothly without Drag or Drop.
In the previous versions of Windows like Windows XP client-server runtime process (csrss) hosted all the console processes but, the csrss had major issues with aesthetics and security. It cannot execute Windows themes too, as a result the command prompt of these operating systems can be seen in an unpleasant manner or completely in a plain format. These faults of the csrss resulted in crashing the system multiple times and triggering vast amount of errors repeatedly.
Consider the case of the command prompt console in Windows Vista it may look similar to the old operating systems and the scroll bars are still executed in the same old style. The reason is DWM or Desktop Window Manager Process controls and executes drawing of the title bars. And also as a security measure Windows vista also denied the ability to simply drag and drop required files from the PC directly to command prompt.
Now go ahead and check it on the latest versions of Windows and you can see that conhost.exe is now running under csrss.exe. As a result, now you got a new revised version of the scroll bars with a decent standard look and more overly now you can simply drag and drop a file from your Windows explorer to the command prompt without any security threat.
Hence the birth of conhost.exe resolved all these issues. Providing a much more stable and user friendly experience to the users. To be specific conhost.exe is a major system file it shall never be deleted at any circumstance.
Go through the properties of conhost.exe and you could see that it is mentioned as a Console Window host in the description.
NOTE: In rare cases, users have said that they see two conhost.exe processes running. Then one of the processes could be a virus. Install an antivirus in your system and run a boot time scan and delete it when detected.
How to detect & remove fake conhost.exe
- Familiarize with the exact names and location of the viruses first since you do not have the option to search in the Recovery console
- Now make sure that the BIOS setting in your computer allows booting from cd.
- Now insert the windows installation disk of your OS and reboot your system
- When the system detects a Windows CD it will ask you to press any key in order to boot from the CD .Do so
- It will detect hardware's on your computer and then and give options to Install or for Recovery console
- Start the Repair console by pressing R
- The next screen that appears will ask you to choose the windows installation on your computer to repair it
- Imagine that you have installed windows on C drive then it will be listed as 1 C:\windows\system
- Press enter key after typing 1 at the prompt
- It will now ask for your administrative password, Type In your password and press enter.
- Such viruses with windows process names can be found on your systems root & system directories, Find them
- After you have located these files select and delete them.
- Type cd to go a level back
- Again type cd enter the required folder
- Type dir to display files present in the current directory
- Type delete in order to delete files
- Type in dir to confirm that the files are already deleted
If the virus file is not still deleted then it simply means that the file has read only / hidden attribute enabled.
- Type dir from the same directory and press enter
- Now it will display attributes like –RH before its name
- R indicate read only file
- H indicates hidden file
- To remove these attributes type,
- attrib –R and press Enter & attrib -H respectively
- Now go on and use the delete commands mentioned above to delete these files.
Now I will show you how we can trouble shoot Errors triggered by conhost.exe
Method 1
Run Microsoft Safety Scanner which will automatically detect and eliminate error causing malware
Method 2
Check if the issue still remains after rebooting in Safe mode
If the issue still persists then reboot your system in clean boot and look for any third party application which is probably the reason for the issue and clean boot will guide you to eliminate this unwanted software conflicts easily.


text:
Recently ACX gave me thirty-five free "coupons" as a promotional tool to distribute among audio book reviewers for my books on Audible.com and Amazon.com (who owns Audible). ACX is the author/narrator website owned by Audible that helps authors get their books made into audio books.
I realized up front that many folks, including my potential reviewers, haven't yet graduated to thinking about audio books as they do eBooks or music files. Or maybe they haven't even progressed past listening to audio books on tapes or CDs! I was afraid that this new technology might scare them off and they wouldn't use the codes I'd given them. But in truth, it's really easy, and you can handle them just like any old mp3 file, except they are much larger and take a few minutes to download on the fasted Wi-Fi system.
SharingwithWriters is blogged by Carolyn Howard-Johnson, author of This Is the Place; Harkening: A Collection of Stories Remembered; Tracings, a chapbook of poetry; and how to books for writers including the award-winning second edition of, The Frugal Book Promoter: How to get nearly free publicity on your own or by partnering with your publisher; The Frugal Editor: Put Your Best Book Forward to Avoid Humiliation and Ensure Success; and Great Little Last Minute Editing Tips for Writers . The Great First Impression Book Proposal is her newest booklet for writers. She has three FRUGAL books for retailers including A Retailer's Guide to Frugal In-Store Promotions: How To Increase Profits and Spit in the Eyes of Economic Downturns with Thrifty Events and Sales Techniques. Some of her other blogs are TheNewBookReview.blogspot.com, a blog where authors can recycle their favorite reviews. She also blogs at all things editing, grammar, formatting and more at The Frugal, Smart and Tuned-In Editor .


text:
I had a chance to watch Stars Wars: The Last Jedi last night. Don't worry, I won't spoil it for you. In fact, this post won't be that long. Just wanted to share some quick thoughts.
One: The Last Jedi marks the end of an era for Star Wars fans and that makes me kind of sad.
Two: they did a great job incorporating humor, sadness, old and new, and action throughout the story.
Three: it's a long movie, so plan appropriately for bathroom breaks and concession stand goodies.
Four: There's a lot going on in The Last Jedi, so make sure to pay attention. Or, maybe enjoy it the first time and then dissect it to pieces when you watch it the second time. That's probably what I'll have to do.
I really enjoyed the movie and if you're a fan of Star Wars I think you will too.
May the Force be with You.


text:
The Association of Level of Care With NICU Quality
BACKGROUND: Regionalized care delivery purportedly optimizes care to vulnerable very low birth weight (VLBW; <1500 g) infants. However, a comprehensive assessment of quality of care delivery across different levels of NICUs has not been done.
METHODS: We conducted a cross-sectional analysis of 21 051 VLBW infants in 134 California NICUs. NICUs designated their level of care according to 2012 American Academy of Pediatrics guidelines. We assessed quality of care delivery via the Baby-MONITOR, a composite indicator, which combines 9 risk-adjusted measures of quality. Baby-MONITOR scores are measured as observed minus expected performance, expressed in standard units with a mean of 0 and an SD of 1.
RESULTS: Wide variation in Baby-MONITOR scores exists across California (mean [SD] 0.18 (1.14), range –2.26 to 3.39). However, level of care was not associated with overall quality scores. Subcomponent analysis revealed trends for higher performance of Level IV NICUs on several process measures, including antenatal steroids and any human milk feeding at discharge, but lower scores for several outcomes including any health care associated infection, pneumothorax, and growth velocity. No other health system or organizational factors including hospital ownership, neonatologist coverage, urban or rural location, and hospital teaching status, were significantly associated with Baby-MONITOR scores.
CONCLUSIONS: The comprehensive assessment of the effect of level of care on quality reveals differential opportunities for improvement and allows monitoring of efforts to ensure that fragile VLBW infants receive care in appropriate facilities.
- American Academy of Pediatrics
- California Perinatal Quality Care Collaborative
- very low birth weight
What's Known on This Subject:
Regionalized NICU care delivery and birth at perinatal centers minimizes mortality in very low birth weight infants. There is a lack of a more comprehensive assessment of quality and outcomes of care across different levels of care.
What This Study Adds:
Using the Baby-MONITOR, we found wide differences in quality of care provided to very low birth weight infants across NICUs. Level of care was not associated with Baby-MONITOR scores, but subcomponents highlighted opportunities for improvement at all levels.
Delivery of neonatal intensive care in regionalized systems has long been regarded as critical to providing high-quality health care to vulnerable very low birth weight (VLBW; <1500 g) infants. However, over the past decades the regionalized care systems for sick newborns may have been weakened by financial rewards under fee-for-service arrangements and demand from community hospitals and families seeking to deliver close to home.1
Lower mortality of VLBW infants has been observed after birth in a perinatal center.2 Phibbs and colleagues showed higher mortality in lower-level and lower-volume NICUs.3,4 A meta-analysis indicated 62% higher odds of mortality during the birth hospitalization with birth outside a high-level NICU.5 NICU volume may be an even more important predictor of mortality.6,7
These studies imply that quality of care delivery for vulnerable VLBW infants at lower-level NICUs may be suboptimal. However, mortality as a sole measure of quality is limited. In isolation, it provides little information about the care provided to the 85% of infants8 who survive to discharge.9 Yet a comprehensive assessment of care and outcomes across different levels of NICUs does not exist.
Neonatal intensive care is a complex and multidimensional activity, and the measurement of its quality should reflect this fact. Although individual measures contain important information, there is also value in summarizing performance by combining the information from multiple measures because such a summary can convey quality from many different perspectives.10 In previous work, we created a composite indicator, the Baby-MONITOR, as a comprehensive measure of the care and outcomes for VLBW infants.11,12 In this article, we used the Baby-MONITOR and its individual components to examine whether care and outcomes differ between different NICU levels.
We conducted a cross-sectional population-based analysis of clinical data obtained from the California Perinatal Quality Care Collaborative (CPQCC).13 More than 90% of California NICUs are members of the CPQCC. Data for this study are derived from the CPQCC clinical data sets, which include several quality assurance mechanisms. Annual training sessions for local NICU personnel help to promote accuracy and uniformity in data abstraction. In addition, each record has range and logic checks, both at the time of data collection and data closeout, with auditing of records with excessive missing data.
The sample included live-born infants with a birth weight of 401 to 1500 g or a gestational age between 25 0/7 and 31 6/7 weeks. We used multiyear analyses (January 1, 2008, to December 31, 2012) because of the small number of VLBW infants cared for in some institutions.
We used previously published selection criteria aimed at creating a relatively homogenous sample of VLBW infants.11 To ensure that patient outcomes reflected NICU quality of care, we excluded infants who died before 12 hours of life and those with severe congenital anomalies (see Supplemental Information). We also excluded infants born before 25 weeks of gestation to minimize bias at the threshold of viability.14
Data for individual infants are linked such that they can be followed if transferred between CPQCC NICUs. Because patient transfers may bias NICU performance assessments, we developed detailed algorithms to avoid unduly crediting or penalizing NICUs for care delivered elsewhere. Guiding principles for these algorithms were as follows:
Only infants with at most 3 admission records from 2 hospitals are included.
If the birth hospital transferred an infant by 3 days of age (day 1 being the day of birth), subsequent relevant outcomes (eg, chronic lung disease) accrue to the receiving hospital (counted as missing for the birth hospital).
If the birth hospital transferred an infant after 3 days of age, subsequent relevant outcomes accrue to the birth hospital (counted as missing for the receiving hospital).
See also Supplemental Table 3.
Outcome Variable
Baby-MONITOR: measures for the composite scale were selected by an expert panel15 and affirmed by practicing neonatologists.16 Measure definitions used standard CPQCC algorithms. The measures were expressed as binary variables at the patient level and as proportions at the unit level. They include (1) any antenatal steroid administration; (2) moderate hypothermia (<36°C) on admission; (3) non–surgically induced pneumothorax; (4) hospital-acquired bacterial or fungal infection; (5) oxygen requirement at 36 weeks' gestational age; (6) retinopathy of prematurity screening at the age recommended by the American Academy of Pediatrics (AAP); (7) discharge on any human milk; (8) mortality during the birth hospitalization; and (9) growth velocity (less or more than the median of 12.9 g/kg/day) calculated by using a logarithmic function.17
Variable of Interest: Level of Care
NICU level of care was derived as a self-reported variable derived from the 2012 Vermont Oxford Network Survey of NICU directors. Designations follow the 2012 definitions set forth by the AAP.18 This study included Level (L) II through IV NICUs.
Missing AAP levels and discrepancies were checked and confirmed with the NICUs. Four centers only provided the older AAP levels (eg, IIA, IIB), in which case we determined the new AAP level based on the ventilation duration, the number of cardiac surgeries, and care levels as designated by the California Children's Services.19
Additional Covariates
Organizational variables: hospital ownership (government, not-for-profit, for-profit, other) and neonatologist coverage (in-house or at home) were obtained from the 2012 Vermont Oxford Network Annual Survey of NICU directors. Hospital volume was obtained from the eligible infants from the study cohort in the CPQCC data. Hospital teaching status was derived from the Regional Perinatal Programs of California.20
Clinical variables: these data were obtained from the CPQCC data set and included prenatal care, gender, weight for gestational age below the 10th percentile, outborn, multiple birth, 5-minute Apgar score, and Cesarean delivery. Gestational age at birth was categorized into 25 weeks to 27 weeks 6 days, 28 weeks to 29 weeks 6 days, and ≥30 weeks gestation groups, based on similar patient numbers among groups. Apgar score was categorized as ≤3, between 4 and 6, and >6. Prenatal care was defined as receipt of any prenatal obstetrical care before the admission during which birth occurred.
Baby-MONITOR Scores
Computation of Baby-MONITOR scores requires that its subcomponents are aligned according to valence (higher score = better performance), risk adjusted, and standardized using the Draper-Gittoes method.12,21 With this method, a standardized observed minus expected z score was computed, with an expected mean of 0 and a SD of 1. Each z score was equally weighted and averaged to derive a Baby-MONITOR score for each NICU. We used bootstrapping (a simulation in which each NICU's patients were resampled with replacement 500 times22) to compute 95% confidence intervals.
Association of Baby-MONITOR Scores With Level of NICU Care
We grouped NICUs according to their level of care and calculated Baby-MONITOR scores for each level weighted by number of infants. We used the F and t tests to assess differences in composite scores between NICU levels. To examine the effect of patient volume on quality of care delivery, we stratified the analyses according to VLBW volume using the cutoffs for high- and low-volume based on median annual volumes, achieving balance of NICUs within high- and low-volume groups (ie, L II: 1–6 = low, >6 = high; L III: 1–29 = low, >29 = high; L IV: 1–61 = low, >61 = high). These cut points are broadly consistent with those used in the literature, which had an empirical basis.5,8
Controlling for the Effects of Organizational Variables
We performed a multivariate analysis regressing Baby-MONITOR score onto NICU level, controlling for other covariates. To choose the covariates for the final model, we used backward selection with a P value criterion of <.15.
Differences in Baby-MONITOR Subcomponents by Level of Care
We used analysis of variance to test for differences in performance on risk adjusted Baby-MONITOR subcomponent scores across levels of care. We used Bonferroni adjustment to correct for multiple testing.
Human Subjects Compliance
This study was approved by the Stanford Internal Review Board.
Sample Characteristics
The sample included 21 051 VLBW infants with 22 984 hospital records (transfers included) in 134 NICUs born between January 1, 2008, and December 31, 2012 who met the inclusion criteria. Of these NICUs, 25 are designated as L II, 89 as L III, and 20 as L IV.18 Approximately 4% of infants were born at L 1 hospitals, other outpatient setting, out of state, or military hospitals. Excluded from the analysis were 1194 infants (∼5%) who were transferred to ≥3 institutions. Of these, nearly 70% received cared at L IV NICUs. Table 1 shows the unadjusted population and NICU characteristics for the combined sample. Approximately 5% of infants were born at an L II NICU (1012 of 21 051). L IV NICUs cared for a higher proportion of high-risk infants. On average, infants in L IV NICUs were of lower gestational age and their mothers were more likely to be of advanced maternal age and carrying multiples. In unadjusted analyses, L II NICUs exhibited significant opportunities for process improvement. They had lower rates of antenatal steroid administration, eye examinations, and any human milk feeding at discharge, and higher rates of hypothermia on admission. On the other hand, they exhibited lower rates among several outcome measures including rates of pneumothoraces, health care associated infections, chronic lung disease, and mortality (P < .05 for all comparisons).
Baby-MONITOR Scores Across NICUs
We found significant variation in Baby-MONITOR scores across California (mean [SD] 0.18 [1.14], range –2.26 to 3.39). Figure 1 shows a caterpillar plot of the Baby-MONITOR scores with NICUs ordered with regard to ascending composite score for the clinical measures. We show both a figure based on the standard units (Fig 1A) and a conversion to percentiles (Fig 1B). The variation in performance between these NICUs was highly significant in practical terms (indicated by the 5.65 standard units of difference between the top and bottom providers). These results were robust with regard to changing the transfer cutoff days from a baseline of day 3 to scenarios including transfer on days 2 and 4 of age, as well as assigning outcomes for all transfers to the birth hospital. Finally, we included all deaths before 12 hours of age in the analysis. The correlation in Baby-MONITOR scores between these scenarios was high, ranging from 0.94 to 0.99, consistent with our previous work23 (see online Supplemental Table 4).
Level of Care and Baby-MONITOR Scores
On average, L III NICUs achieved the highest Baby-MONITOR scores (L III mean [SD (range)] 0.43 [1.35 (–2.26 to 2.64)], L IV 0.37 [1.39 (–1.61 to 3.39)], L II –0.22 [0.89 (–1.82 to 1.23]), but these differences were not statistically significant (P = .53). Stratification (Fig 2) revealed a VLBW volume effect that widened with increasing level of care (L II low 0.15 [0.5] versus high –0.3 [0.93]; L III low 0.15 [1.02] versus high 0.52 [1.43]; L IV low –0.08 [1.08] versus high 0.52 [1.45]). Neither these differences nor any of the associations of Baby-MONITOR scores with organizational variables, including hospital ownership, neonatologist coverage, and hospital teaching status, reached statistical significance (see Supplemental Information, Sensitivity Analysis).
Level of Care and Baby-MONITOR Subcomponents
Figure 3 shows significant differences across levels of care for several subcomponents with L IV NICUs scoring higher on several process measures of care, including antenatal steroids (P = .002) and any human milk at discharge (P = .092), but lower on other outcomes such as health care–associated infections (P = .040), pneumothorax (P < .001), and growth velocity (P = .006).
Table 2 also shows pairwise comparisons using L IV NICUs as a reference. Compared with L III NICUs, they had higher rates of antenatal steroids (P = .040), any human milk at discharge (P = .030), and survival (P = .045), but also of health care–associated infections (P = .014) and poor growth (P = .002). After Bonferroni adjustment, survival and human milk at discharge were no longer significant.
Compared with L II NICUs, we found higher rates of antenatal steroids (P = .036), pneumothorax (P = .012) and a trend toward higher retinopathy of prematurity examinations (P = .099). After Bonferroni adjustment, only pneumothorax remained significant.
Using population-based data, we present a multidimensional, nuanced assessment of the relation between quality of NICU care provided to VLBW infants and NICU level of care. We found significant variation in Baby-MONITOR scores across NICUs but no statistically significant association with level of care. Subcomponent analysis revealed interesting differences, with L IV NICUs performing better on process measures, as well as marginally on survival, and L II NICUs better on other outcome measures.
We consider 4 potential causes to explain our findings. First, previous literature and general advances in high-risk maternal care, including greater use of antenatal corticosteroids24 and imaging, may have fostered more appropriate utilization and regionalization patterns. Compared with previous studies,3,4 we found an inconsistent association between level of care and survival. The proportion of infants born in L II NICUs is low (5%), and case mix is favorable to survival. Thus, selection bias may have impeded our ability to demonstrate significant differences in survival of infants in L II compared with L IV NICUs. Consistent with previous research, we found a borderline survival benefit of L IV compared with L III NICUs. However, this difference was not significant after adjustment for multiple comparisons. Given differing biases of providers or parents for life-sustaining treatments, survival may not accurately reflect actual quality of care delivery. We think our results should be viewed as supporting continued national efforts to limit VLBW births in L II NICUs and for regionalized care delivery.25
Second, the current approach to defining level of care, as well as self-designation of this variable, may lead to misclassification and dilute the association with measures of quality. However, using California-specific NICU designations assigned by the state also did not result in significant associations with Baby-MONITOR scores (see Supplemental Information).
Third, L II NICUs did achieve lower scores on many process measures, indicating opportunity for quality improvement, yet they also achieved higher scores for many outcome measures. These findings might be the result of selection bias not adequately mitigated by risk adjustment. For example, growth velocity is difficult to predict using patient characteristics from the immediate peripartum time period. Future ability to extract additional data from the electronic record may help refine risk models. In addition, pseudo-randomization methods, such as an instrumental variable approach, may address some of the unobserved selection bias. This requires additional study, but previous applications of these methods to NICU outcomes have demonstrated that the benefits of care at higher-volume and/or higher-level NICUs are larger than with traditional risk-adjustment methods such as those that we used.26
Fourth, transfer bias may have depressed scores for higher-level NICUs. Outcomes for L II NICUs are measured not according to birth at such a facility but according to intent to keep such infants at a L II for treatment. However, we were careful to mitigate transfer bias by including inborn status in risk adjustment models and by assigning negative outcomes of care for infants transferred after day of age 3 to the sending NICU (outcome is missing for receiving NICU, yet positive outcome is assigned to both NICUs). We did assign negative outcomes of infants transferred before or on day of age 3 to the receiving NICU. In addition, assigning all outcomes of transferred infants back to the birth hospital also did not have significant influence on our results. Finally, there is a known inverse relation between the volume of high-risk deliveries and in-hospital fetal death rates that may be associated with the ability to perform rapid cesarean deliveries.3 This can cause a bias because fetal deaths are not included in our data and many of the cases in which the fetal death is "averted" in the high-volume hospitals will have elevated risks not captured by our data.
This study provides a good example for the usefulness of composite indicators. The composite provides a global picture of differences in quality of care and of the association with important predictors of quality. Conversely, drawing inferences on overall care based on a single measure, such as mortality, is hazardous because individual measures contain biases, making them nonrepresentative. In addition, we have previously shown that NICUs that perform well in 1 area of care may not perform well in others.
Equally important is the process of drilling down into individual subcomponents of the composite because averaging across the measures may hide important differences. This study exemplifies this by revealing important and modifiable differences between NICUs.27,28
This study must be viewed within the context of its design. Observational studies allow for the establishment of associations and the generation of hypotheses but not causal inference. In addition, as mentioned above, incomplete risk adjustment and transfer bias and confounding from unobserved variables (eg, patient-to-nurse ratios) might have affected our findings. Nevertheless, these methods have been previously published, and inclusion of institutional confounding variables may not be appropriate for quality of care comparisons. This study included nearly all of the NICUs in California, the country's most populous state with diverse geography. Given our objective to study the effect of care organization on quality, our findings may have broad relevance to other regions in the United States and abroad. Finally, we used only a 1-time designation of NICUs in 2012 of their level of care and applied this designation to the entire study period. Because the AAP designation changed in 2012, we do not have earlier designations based on this classification scheme. However, examining changes in classification over previous years, we found them to be highly stable. Because changes in level of care usually occur toward a higher level, this limitation would bias our results toward the null.
In this population-based study, we found wide variation in overall quality of care provided to VLBW infants by using the Baby-MONITOR, but no significant associations with NICU level of care. We did, however, find important associations with its subcomponents, with L IV NICUs receiving higher-quality scores for measures of care process, and L II NICUs receiving higher scores for several care outcomes. These findings highlight opportunities for further improvements that can be addressed through targeted interventions.
We thank the CPQCC member NICUs for contributing data to this study. We also thank Aloka Patel and Rush University Medical Center for granting Dr Profit a nonexclusive license to use Rush's exponential infant growth model for noncommercial research purposes.
- Accepted December 1, 2015.
- Address correspondence to Jochen Profit, MD, MPH, Perinatal Epidemiology and Health Outcomes Research Unit, Division of Neonatology, Department of Pediatrics, Stanford University School of Medicine, MSOB Room x115, 1265 Welch Rd, Stanford, CA 94305. E-mail: profit{at}stanford.edu
FINANCIAL DISCLOSURE: The authors have indicated they have no financial relationships relevant to this article to disclose.
FUNDING: Dr Profit's contribution was supported, in part, by the Eunice Kennedy Shriver National Institute of Child Health and Human Development (1 R01 HD083368-01) and by the Stanford Child Health Research Institute. Dr Lee's contribution was supported, in part, by the Eunice Kennedy Shriver National Institute of Child Health and Human Development (K23HD068400). Dr Goldstein's effort was supported by a career development award from the National Institute of Diabetes and Digestive and Kidney Diseases (K25 DK097279). Funded by the National Institutes of Health (NIH).
POTENTIAL CONFLICT OF INTEREST: The authors have indicated they have no potential conflicts of interest to disclose.
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- Copyright © 2016 by the American Academy of Pediatrics


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Happy MONDAY!!! How is everyone feeling this morning?🌞 Are we ready to channel our inner GODDESS?
As we prepare for the New Moon Solar Eclipse energy this week, we have 3 Goddesses who have come forth this morning to share their wisdom and guidance.
Here is #OracleMonday --->
- Close your eyes for a moment and take a deep breath.
🔮 Think of an area of your life where you would like guidance this week.
🕊 Open your eyes and choose CARD #1, CARD #2 or CARD #3. Go with your gut... WHICH ONE ARE YOU DRAWN TO?
Did you have a chance to see the MONTHLY OUTLOOK for February 2018?
Also be sure to check out the Divine Downloads and get your FREE Guide: 5 Books that Illuminated by Path.
Cards REVEALED!!
Which one did you choose - did it resonate with you?
Before you look at the descriptions, look a the image - what is it saying to you, revealing to you? What does it make you feel?
There again seems to be an underlying theme this week through all 3 cards. You know what to do, TAKE ACTION, be bold and do not back down! 😇
I love it when they have synergistic messages and these are PERFECT for the New Moon and Solar Eclipse coming on Thursday 2/15/18. New Moons are all about setting intentions and taking inspired action... SO GO FOR IT!
Card #1: ATHENA - Inner Wisdom
"You know what to do. Trust your inner wisdom, and take appropriate action without delay."
Message from Athena: "I'm happy to assist you; however, you'll be most thrilled when you first consult your own inner bank of knowledge. For I assure you that this situation is already resolved and that you have access to all the wisdom that the universe supplies. To access the wisdom, you must quiet your mind. Surrender all worries and other concerns to the loving and almighty power of the universe. Close your eyes, and note the thoughts and feelings that come streaming into your consciousness. If you like, you can ask me to give you a signal that you've heard your inner wisdom correctly. But have faith. I assure you that you have heard and that the guidance brings you and your loved ones very good news indeed."
Various Meanings of this Card: Stop procrastinating * Stop giving away your power to others * Trust your gut * Don't second-guess yourself * You are correct * Notice recurring ideas, and take action on them.
Card #2: FREYJA - Bold
"Unleash your adventurous side! Take risks and be daring."
Message from Freyja: "Don't play it safe right now. Instead, take bold action in the direction of your true heart's desire. Success comes not from timidity but from committing yourself fully to realizing your dream. Hold the clear intention of success and it shall come about. Enjoy the excitement of taking risks, of being bold, and of being daring. And be sure to celebrate your success with a party or by splurging on a wonderful indulgence!"
Various Meanings of this Card: Take a risk * Make a bold life change * Appreciate your body * Flirt * Go have fun and celebrate.
Card #3: BRIGIT - Don't Back Down
"Stand up for what you believe is right."
Message from Brigit: "First, be quite clear about your intentions. If you're unclear, then confusion will lessen your power and force. Like a candle in the dark, be very clear and bright in what is acceptable to you in this situation. Make no mistake: I will guide and protect you. And yet, think of the unparalleled rise in your own viewpoint if you are to stand up for yourself, and speak up about your needs and your deepest truth! Now is the time to touch your power, for its heat & flame will ignite your passion, which will propel you forward in countless ways. Even in the face of fear, you can still stand up for your ideals and your truth. Be unwavering, and make your stand today!"
Various Meanings of this Card: Be assertive * Don't worry about what others think * Trust that your actions will work out fine * Speak your truth * Stick to your opinions * Put your foot down.
Remember that Spirit always shows us the messages we were meant to hear; though sometimes we may not be ready for them. My hope is that these resonated with you and if they did not, that you will accept the message with the faith of understanding in the future.
What did the cards say to you?
This Monday Oracle used the Goddess Guidance Oracle Cards (affiliate link) by Doreen Virtue. These Goddesses are POWERFUL!


text:
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Adventure! Time For You To Go!
By Erica and Karen
We don't know too many retired folk who aren't interested in travel. Some are focusing on places they never got to go to when business imperatives dictated their travel--the National Parks, for example. Others are intent on going back and spending more time in places they loved. Still others are looking for new adventures, by themselves or with groups of like-minded people. And some just want to get out of town.
Whatever the focus and passion, the internet is a treasure trove of travel-related information, providing new ideas and virtual realities, competitive rates, and lots of new ways to go. On the other hand, figuring out what is reliable is more difficult than ever. How many of us have been burned by a review of the best food cart in town? How do you know whether that user has anywhere close to the same priorities and proclivities that you do? A tour guide can make or break a trip--but does this highly rated one go too fast or too slow or focus too much on stuff you couldn't care less about?
We've started compiling a list of travel-related websites that we know or that have been recommended by friends and family--beyond Airbnb and One Fine Stay. Please add yours in the comment section and we will periodically publish a revised list. Safe travels!
Peggy Markel. We have heard that her culinary adventures in Italy, Morocco, and India are a superb way to become immersed in those cultures.
Institute of Classical Architecture. Their trips and lecturers go all over the world, visiting homes and gardens and other private places not generally open to the public.
The New York Times Journeys. We have heard spectacular reviews of the NYT trips to exotic places with knowledgeable experts.
Metropolitan Museum of Art. The Met has lots of fabulous guided tours to places with wonderful art (i.e., everyplace).
Secret Dalmatia. A travel agency (Natasha or Mirna) that can help you plan a customized trip to Croatia, depending on your interests, like a cooking class which includes the local markets. Yum.
Tuscany Now and More. Italian villa rental specialists. A magnificent way to experience everything Italian. Their offerings make you drool. Our villa in Impruneta, with acres and acres of grapes and a pool just outside of Florence, was the site of one of our best vacations. Concierge service too.
Wendy Perrin. A great travel blog, with fabulous ideas for travel and connections to superb travel agents all over the world.
Abercrombie & Kent. First class travel, with a group or just yourselves, and first class care if something goes wrong, like an unexpected illness. Expensive, but entirely worth it.
Ann Lipschitz with Worldview Travel. If you want to go to South Africa (and you should) or the game parks in that part of the world, call Ann. She is a beloved celebrity in Africa, and will design the perfect trip for you.
At Home Abroad. It's been awhile since we used this resource, but when our children were small we loved renting an apartment in London or Paris or Italy with AHA. Every location was well located and provided lots of room for small people to hang out or run around.


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Here at Advanced Dental Care of Ridgewood, our practice is equipped to handle your comprehensive oral healthcare needs. From our conveniently located office in Ridgewood, we're prepared to provide you and your loved ones with the essentials in preventive, pediatric and emergency care, up to the most sophisticated laser, implant, and cosmetic treatments for your smile. Highly experienced and current with the leading advances in the field, you can depend on our dentist when you need it most. From the treatment of cavities and root canal therapy, to Ridgewood extractions and repairs for damaged dentures, if you're experiencing dental pain or discomfort of any kind, we welcome you to our office.
As part of our commitment to providing our community with state-of-the-art dental care, our office is fully equipped with the latest diagnostic technology and treatment instrumentation. Performing a comprehensive oral examination and taking diagnostic films as needed, Dr. Scherrer is equipped to determine the precise underlying cause of your oral pain and develop a precise plan of treatment. Among the most common reasons for an emergency visit to our office is for the treatment of a toothache. Dr. Scherrer has treated many a toothache in his day and can both alleviate the discomfort and restore t your tooth following treatment with the highest quality restorative fillings or crowns. If a tooth is deemed non-restorable due to extensive damage or loss of bone, Ridgewood extractions may be required to restore your oral health. Over the years, our office has developed a reputation for providing compassionate dental care to our patients. Whatever the reason for your emergency visit, we pride ourselves in helping to make visits as comfortable and stress-free as possible. We offer a variety of exceptional replacement options for missing teeth and are here to work with you to reestablish your smile with results that you can feel great about.
When it comes to urgent dental services, Advanced Dental Care of Ridgewood is here for you when you need it most. Making a wide range of emergency dental services available, from treatments for toothaches to Ridgewood extractions, we can help to restore and maintain your oral health. To schedule your next appointment, contact our helpful staff today!
160 South Broad Street
Ridgewood, NJ 07450
(201) 479-1203


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( Sun., Nov. 16, 2014 )
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Jazz vocalist, and four-time Grammy-winner, Dianne Reeves returns to Memorial Hall.
(919) 843-3333
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Effective Documentation: How to Keep Your Head Above the Water...
Clinical Documentation is an inevitable tedious task that everyone in the mental health world must become familiarized with doing well! It is an essential part of the clinical process, and serve somewhat as a partner and road map for the clinician. It cements the clinical process in history, and guides the evolution of the clinical process from intake to termination.
Clinical Documentation is one of the most discussed topics in clinical supervision, mental health professional social media groups, featured in countless memes adding humor to the profession and drilled into every BA level, graduate and budding clinician alike.
Personally, I believe documentation is a creative art form that conveys a story that when completed appropriately, can be deciphered easily by both the novice and seasoned clinician as well as across multidisciplinary personnel. As a clinical supervisor in California since 2014, I have guided many of my graduate MSW and MFT interns and associates towards honing the craft of effective clinical writing/documentation to solidify themselves as respected professionals in the field of mental health. Yes, respect is attached to the quality of one's clinical documentation and in some cases, determine the fate of one's longevity in the mental health field.
Quality Documentation Skills
My definition of quality documentation is one in which the both the professional and the laymen should be able to understand and vividly follow the transition of the clinical process for either professional input and guidance and/or learning. It should covey the same understanding across all professions although each profession would naturally view through their own professional schemas for it to be practical for them.
The following are some of the components I've discovered and have educated my students, interns and associates on that differentiates quality clinical documentation from that not deemed so:
- Timeliness (could be used in court proceedings): Set them for yourself so that you can have a realistic representation of your progress in completing paperwork.
- Organization/Flow: How are you getting things done? Are you making lists, or setting apart a number of things to get done in a day. Think about how you are organizing your day and if it's effective.
- Grammatical Structure: Are your notes conveying the right message? Have someone read the note, or read it back to yourself out loud.
- Detailed/Descriptive (Does it capture the story): Are you telling the right story? Are you putting too much or too little details?
- Conciseness (Straight to the Point without telling too much info maintain confidentiality): Notes are a snapshot, try to get straight to the point!
Were these tips helpful? Drop a line below and tell us what you think.


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Just when you think you can't get any busier, the universe has a way of handing you more! I've had such a fun week, talking on the radio, working on projects that I just love with clients that I love, and perparing for my Seminar this Sunday at the Home Expo! That is just a small part of what's been going on so my blogging has been a little - a hem - delayed. :-)
I mentioned a little while ago that I am designing a dozen different children's rooms, on a budget, and a tight time frame. Love it! Every room has a different theme and it's sparking all kinds of ideas for new art which is why my blog has been reflecting more of a kiddo vibe these days.
This is a little peak of how I work. I do this with my E-Design clients as well (if you're interested in that just email me and I'll send you all the info.) Side note: My website will be undergoing some major construction these next few months, with all new features and services, so stay tuned for that!
Anyhow, back to the "process" First I pick my room theme, in this case, it's my Bulldog Room. Then I create a floor plan. Next, I find all the goodies; the furniture, bedding, and accessories. Last of all, I pick the paint colors. All these items and links to them are cataloged on schedule sheets so that the client knows exactly where they can purchase the items. This also gives the client a clear idea of what the project is going to cost. In my case, I had a budget I had to stick too and I'm happy to say that I came in under budget on this one.
And just for fun, I like to put together an illustration of how the room will look. This can also be done digitally at OlioBoard.com which is a great resource for those of you who like to create your own designs. I'm going to talk about their site this weekend at the Seminar. I hope to see you there!
Bed from RosenberryRooms Bedding from Serena & Lily Bulldog Pillow & Print from Piccola Casa License Plate Art from ETSY Little Red Bulldog From ETSY Rockin' Bulldog Lamp from PB Teen Wall Decal from Trading Phases Stuffed Bulldog from IKEA


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Like many other geeks, I went out and bought Revenge Of The Sith on its street date. I finally sat down to watch it last night, but since it was late and no one else was watching with me, I used the computer and headphones. Like many others I've read, I think it ranks above episodes 1, 2, and 6 (ROTJ); the fact that it was conceived to tie into episode 4 predestined it to some sort of success.
I usually use the second viewing of a movie like this to watch the special effects; I'm still marvelling at the fluidity of the digital characters. Sometimes the physics were a little "off", like in the Spider-Man movies, but for the most part it was great fun. For some reason, I didn't cringe as much as the first time during the Anakin/Padme scenes.
I think the end of the Anakin/Obi-Wan fight could have been written better. Obi-Wan says, "I have the high ground." Anakin jumps anyways and is defeated seemingly easily. Perhaps a better ending was lost on the cutting-room floor.
If you have a hole in your Star Wars DVD collection, go and fill it. If you bought episodes 1 and 2, you've got nothing to lose!


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Category Archives: The Revolving Door
Meet my stupid sister Viva.
Imagine my delight when our weapons department came up with its latest stroke of genius: a mirror that wipes out short term memory! They asked me to take it home for a few days "live with it, test it out." … Continue reading
My Favorite Home Movie
If you want to see where I get it, take a look. It's mom, in her prime — she had zero tolerance for guests who overstay their welcome. She was such fun. I really miss her.
coming to a theatre near you: "The Vulva Dialogues"
The ink is dry on the deal: my long-awaited memoirs, "The Vulva Dialogues", will be published in the fall of 2009. But that's not all. Hollywood does not let a story as intrigueing and captivating as mine go unnoticed. The … Continue reading
The Next Generation
Due to high demand, I've opened the "Vulva Fervor Assassin School For Little Ladies." Do not be fooled by their innocent faces. They're dangerous.


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24th June 2010, 04:49 AM
I just read a question somewhere else about the presence of insects in the afterlife & realized I have never met any in the astral, myself. I wonder where they go after discarnating? Does anyone have any insights into this? I would have thought all beings were spirit entities cloaked in matter & would all go to the same place, as I've met many animals in the astral.


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Clean Inhalations (Unleashed)
I've been breathing a whole lot easier since New York City banned smoking in indoor public spaces. Not only do I find cigarette smoke repulsive, but I worry about the negative effects others' habits may have on my loved ones. America is far behind her European sisters in adopting smoke-free zones. On July 1, 2007, England took the plunge and made smoking illegal in indoor arenas.
According to BBC News,
The ban includes all pubs, clubs, membership clubs, cafés and restaurants.
With good intentions in mind, Britain is looking to improve public health. After all, second-hand smoke damages the lungs and bodies of those innocent bystanders who find themselves immersed in unwanted fumes. I'm all for allowing people the ability to damage their own bodies, but when it comes to public health concerns, it's time we crack down.
The [British] government hopes the ban, which began in England on 1st July, will help smokers to quit as well as protect people from the dangers of passive smoking and discourage children from taking up the habit.
Ireland is another nation to have enlisted a smoking ban. So, with all this awareness, why is it that America finds itself so far behind? A ban cannot come soon enough. How much longer can we let this public health concern loom?


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Raven Carter is a multi-talent video producer, who's worked in the media industry for over a decade. She is best known for creating original video content for lifestyle and entertainment websites such as bet.com, madamenoire.com, bossip.com, ceilingbreakers.com and more!
With a passion for storytelling, she's reached millions with her engaging, and often viral, content that elevates the status quo.
Raven attended the University of Virginia and majored in American Studies. After graduation, she worked in production for mtvU, The Apprentice, Fox News and The Jerry Springer Show, and Bet.com
It was at BET.com where she essentially began her career as a production assistant, creating original content from behind-the-scenes footage of BET's "106 & Park". Surrounded by brilliant creators and innovators at BET, she began pitching ideas that propelled her to associate producer. In that role she produced and directed all the behind-the-scenes shoots for Bet.com.
Four years ago, an opportunity came along at Moguldom Media Group where Raven was tasked with creating and driving original video content for the company's brands. Since then, by collaborating with editorial leaders, she has produced hundreds of videos that have generation over millions in views— impressions that also increased editorial page views.
Raven is the biggest cheerleader, idea generator and go-getter you'll ever meet. She creates exceptionally great video content and works while having fun and supporting team members. Raven's constant goal is to produce —big or small projects— that have the ability to impact viewers nationally, cross-culturally, and globally.


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On Books, Money and Jewish Women
This is a true story about an honest Jewish teenager. And about how Torah guidelines contribute to a more civilized society.
Many years ago, from my personal interest in the topic and, okay… I admit it, my obsessive love of books, I amassed a collection of books on the general topic of women and Judaism that numbered in the hundreds. The collection includes books about women in Jewish history, women in Jewish law, women in the Hebrew Bible, Jewish feminism, children's books about Jewish women, women's Torah commentaries, fiction and poetry by Jewish women and, well… you get the idea. These were an invaluable resource to me when I was formally teaching college courses about women and Judaism.
My husband is a rabbi and I worked as a Jewish educator, so we had a really insane number of books in our home in America. In order to reduce the number of books we owned to a number that would fit into a modest apartment in Israel, we sold many hundreds of books before making aliyah.
Before we left America, I attempted to place the women and Judaism books in a library that would value them as a collection. I felt they had much more impact as a collection and I didn't want to sell them one-by-one. Alas, I found no takers, so we brought them to Israel with us.
Now, facing another move this coming spring, I decided to try again to find an institution that would value the collection. Happily, I found such a place – a relatively new program for post-high school girls who are academically inclined and whose founding director is open to a range of perspectives on Jewish issues.
A week ago, the husband of the program director came to pick up the books. He worked for a long time, filling a plastic tub with books and schlepping them to his car and then doing it again. And again. Until he said his car was completely full and he couldn't fit in even one more book.
The next day, the program director sent me pictures of the girls unpacking, sorting and shelving the entire collection. I was so thrilled that a new group of Jewish students would benefit from the books I had so lovingly collected.
Two nights later, while lying in bed, my eyes flew open with a start. I suddenly remembered that, some years before, concerned that we might need it in the future, I had tucked away 3000 shekels (about $825) in cash in an envelope in one of those books. I had completely forgotten about it until that moment, when Hashem reminded me.
An envelope full of cash. No identifying markings. Considering the way the books had been stacked and tossed about and unpacked from the car and laid out in random piles on the tables in the Beit Midrash (study hall), I knew the envelope could be anywhere, from the street to the car to someone's pocket.
The next day, I got a Facebook message from a young woman I don't know. Let's call her M. She asked me if I was the one who had recently donated a lot of books to her school. When I confirmed that I had, she said, "I found something inside [one of the books] that I would assume you'd like back." And, to my great relief, the envelope, with all its contents, has since been returned.
I don't take for granted for one moment that a young student, who is presumably on a tight student budget, found an envelope with a wad of cash and sought out the owner of that money.
There is a mitzvah known as hashavat aveidah, which means returning a lost object. Very simply, the Torah commands us to make an effort to return lost objects we find in order to prevent loss to another person.
In Sefer HaChinuch, which enumerates the 613 mitzvot found in the Torah, hashavat aveidah is number 538. The mitzvah is discussed in detail in the Talmud, but it's based on a verse from the Book of Devarim.
You shall not see your brother's ox or sheep straying, and ignore them. [Rather,] you shall return them to your brother. Devarim 22:1
Of course I know about this mitzvah. But I also know human nature. And what it's like to be a student on a limited budget. And how easy it would have been for M to simply pocket the envelope.
So I asked M to tell me her version of the story. I wanted to know what happened from her perspective. She replied quickly and with enthusiasm.
"I was in the Beit Midrash while the books where being looked through and sorted into piles. I was going to go home for lunch but instead started flipping through the books and [this particular book] looked well loved; it caught my attention.
"So I thought. 'Wow I want to read that book.' I flipped it open and it immediately opened to a page with an envelope that said 3000 on it. Unsure of what it was, I flipped it over and was able to make out what looked like money.
"I couldn't believe it. I opened it to be positive and then immediately ran to call my Rosh Midrasha (faculty administrator) to tell her what I found. I said, 'The woman who donated these to us probably put it here for safekeeping and completely forgot and we need to call her ASAP.'
"I'm not gonna lie. There was a voice in the back of my head that said 'Wow' with that type of money… but it lasted not even a minute. It wasn't my money to fantasize about. I didn't lose out on it. It never belonged to me and I had the opportunity of doing such a great mitzvah.
"It might sound cliché, and I don't mean it to, but that day, during mincha (the afternoon prayer service), I thanked God for giving me a strong enough yetzer tov (good inclination) to do the right thing."
Obviously, one doesn't have to be a Torah Jew to have done the right thing in this situation. But it's easy to see the beauty of the Torah's ethical lessons in M's words. Concern for my lost property trumped her own self-interest.
Because of Jewish values.
Naturally, I was relieved to get the envelope and its contents back. But even more, I felt blessed, knowing that M's actions were motivated by her commitment to Torah learning.
Please note: All opinions expressed in Blog posts and comments on the Jewish Values Online site and through Jewish Values Online are those of the author, and do not necessarily reflect the views, thoughts, beliefs, or position of Jewish Values Online, or those associated with it.
I know many friends—honest, God-fearing people—who have no problem "stealing" entertainment in the form of illegal downloads. What is the Jewish view on this? See answers from Orthodox, Conservative and Reform rabbis here.
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Ski Resort Sillian in Hochpustertal Valley
Plenty of sunshine, high altitude slopes, a funpark and a children's area – despite its relatively small size, Sillian ski resort in the Hochpustertal Valley offers everything that larger wintersports resorts do.
With its south-east facing slopes, Sillian ski resort in the Hochpustertal Valley near the Austrian-Italian border offers a small but diverse network of pistes between 1,100 and over 2,400 metres above sea level. There are plenty of red (intermediate) pistes for cruising, including the long descents down to the villages of Sillian and Außervillgraten, though beginners will find some blue runs and experts can challenge themselves on the resort's black runs and off-piste ski routes. The family-friendly theme extends to the lift pass prices.
For children there is plenty to see and do in the "Bobo Kinderclub" with its own beginners' area near the top of the Thurntaler-Gondelbahn cable car. Snowboarders and freestylers can work on their tricks and flips in the Yellowsnow Funpark, which has features and obstacles for everyone from beginners to pros.
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ANA Announces New Culinary Ambassador, ADAM LIAW
All Nippon Airways (ANA), Japan's largest and only 5-Star airline, is proud to introduce the new culinary ambassador, Adam Liaw for ANA's Sydney to Tokyo flight. During the launch event, over 80 guests and media attended and guests were treated to a replicated Business Class menu designed by Adam Liaw.
Adam Liaw is a host of the AACTA Award-winning television series, Destination Flavour on SBS. Recently appointed by the Japanese government as a Japanese Cuisine Goodwill Ambassador, he is also a UNICEF Australia's national ambassador for nutrition, and has written 5 best-selling cookbooks. He was the winner of MasterChef Australia in 2010.
As Japan's only 5-Star Skytrax rated airline, ANA prides itself on attention to detail and giving passengers a meticulously crafted dining service. ANA offers passengers a unique Japanese culinary experience using local products and fine ingredients, 30,000 feet in the sky. Passenger's taste buds change at 30,000 feet, so Adam wanted to ensure that flavour was the key element to his dishes.
"In-flight Dining is a lot more complex than an ordinary meal on the ground, from the timing of service and the visual presentation of dishes, all the way down to the seasonality of dishes. The biology and psychology of air travel changes depending on the way we appreciate food. Taking that complexity into account has allowed us to be really creative with these menus, and over months of working with the team at ANA we've developed a suite of dishes that I'm really proud of, and that I'm sure ANA's passengers will love" stated Adam.
ANA looks forward to welcoming you on board to experience our seasonal menus designed by Adam Liaw.
This specially designed menu is available to customers flying in Business Class, Premium Economy and Economy Class from December 2017 to May 2018. Please experience the Inspiration of Japan with ANA and Adam Liaw.
We are sure your next journey to Japan will be a memorable experience flying ANA!
*Japanese menu only. Available only on Sydney to Tokyo (Haneda) flight NH880 and is subject to availability. ANA Mileage Club Members flying in Business Class can pre-order their meal before departure via the ANA SKY WEB. Requests to be made up to 24 hours prior to departure.