text:
As is our practice on Wednesday we will now sing O Canada, and we will be led by the hon. member for Fraser Valley.
[Editor's Note: Members sang the national anthem]
House of Commons Hansard #120 of the 37th Parliament, 1st Session. (The original version is on Parliament's site.) The word of the day was c-36.
2 p.m.
The Speaker
As is our practice on Wednesday we will now sing O Canada, and we will be led by the hon. member for Fraser Valley.
[Editor's Note: Members sang the national anthem]
VolunteersStatements by Members
2 p.m.
Andy Scott Liberal Fredericton, NB
Mr. Speaker, volunteers play a special role in the riding of Fredericton. Their contributions were recently recognized at a special year of the volunteer ceremony at which 50 people and organizations were presented with certificates and 10 were awarded medals.
Congratulations to the 10 medal recipients: Erin Cooke, Margie Cummings, Dr. Bill MacGillivary, Peter Thomas, the Harvest Jazz and Blues Festival, the New Brunswick Film Co-op, Ted Gaudet, Ann Passmore, Arthur and Patsy Kitchen, and the Multicultural Association of Fredericton. Special thanks to Monika Zauhar and her selection committee, the Greater Fredericton Economic Development Corporation, for their support and in particular the lieutenant-governor for hosting the event at Old Government House.
I thank the Royal Canadian Mint for its initiative in producing the beautiful medals in this special year. Congratulations to all volunteers for the value they add to Canada.
Community HeroesStatements by Members
2 p.m.
Canadian Alliance
Lynne Yelich Canadian Alliance Blackstrap, SK
Mr. Speaker, today I speak about Canadian heroes like Vincent Northrop, who won the CCA 2001 bull riding title. He showed his community that dedication can realize a dream.
Heroes like Kelly Wormsbecker, who volunteers with the CESO in the Philippines, showed how giving created community ties throughout the world. There are organizations of heroes such as the CWL of St. Frances Xavier Church. These women ambitiously participated in a ribbon campaign against pornography and showed their community how to speak up and be heard.
It is also with sorrow that I say goodbye to heroes in my community: Gary Beckie, former U of S basketball player who succumbed to cancer at age 41. By example Gary's life showed his community that living to its fullest was living a life of service. I also say goodbye to Francis Matovich, who was a pillar in both his church and first responder volunteers. His sudden passing showed his community how precious time is and how to make every moment count.
I urge everyone to look for the heroes in their communities and when they find these people learn from them and thank them for their dedication to making our communities a better place to live.
Commonwealth Parliamentary AssociationStatements by Members
2:05 p.m.
Sue Barnes Liberal London West, ON
Mr. Speaker, last week the federal branch of the Commonwealth Parliamentary Association hosted the inaugural session of the Canadian Parliamentary Seminar. Twenty-two Commonwealth parliamentarians from around the world joined Canadian members of parliament and senators to discuss the theme of strengthening democracy.
Workshops included the examination of equality and inclusiveness, engaging women in the political process, representation in a multicultural society, parliament and the media, and electoral representation.
One of the many highlights of the week was a keynote address from His Excellency John Ralston Saul probing the current state of representative democracy. The Canadian Parliamentary Seminar illustrates that Canada should and can take the initiative to strengthen representative democracies worldwide.
Our commitment to democratic principles provides a guiding light for fledgling democracies and an excellent forum for the exchange of ideas and best practices. We look forward to continue doing our share as an association engaging parliamentarians to benefit their respective societies. We thank everyone for their help.
La Catapulte TheatreStatements by Members
2:05 p.m.
Mauril Bélanger Liberal Ottawa—Vanier, ON
Mr. Speaker, for two years now, a wonderful theatre facility called La Nouvelle Scène, at 333 King Edward Street, in my riding of Ottawa--Vanier, has been operating successfully.
The Théâtre du Trillium, the Théâtre de la Vieille 17 and Vox Théâtre are all located within this facility, as is another group. This is the group that I would like to mention today.
It is a creative theatre group that has been in existence for not quite 10 years. It will be celebrating its 10th anniversary next year. It was catapulted, if I may use the expression, to the artistic pantheon when it received a $10,000 award from the lieutenant governor of Ontario.
I would like to congratulate its artistic director, Joël Beddows, for the excellent work that the Théâtre La Catapulte has been doing for nine years now. I wish them many more successful years.
Canadian Stage CompanyStatements by Members
2:05 p.m.
Sarmite Bulte Liberal Parkdale—High Park, ON
Mr. Speaker, I rise today to congratulate the Canadian Stage Company, one of 18 recipients of the 2001 Lieutenant-Governor's Awards for the Arts which were presented on Tuesday, November 27 in Toronto.
These esteemed awards, which are Canada's largest monetary prizes for arts organizations, recognize Ontario based organizations for demonstrating exceptional private sector and community support.
The Canadian Stage Company was founded in 1970 and is one of the largest not for profit theatre companies in Canada. It is dedicated to creating and producing the best Canadian theatre and Canadian interpretation of international works. The Canadian Stage Company is also the producer of CanStage TD Bank "Dream in High Park" in my riding.
I congratulate the Canadian Stage Company for its outstanding contributions to Canada's arts and culture.
Bill C-36Statements by Members
2:05 p.m.
Canadian Alliance
Philip Mayfield Canadian Alliance Cariboo—Chilcotin, BC
Mr. Speaker, access to information is a cornerstone of democracy. The right to know ensures transparency and accountability in government and a healthy democracy. The government recoils at the level of accountability that transparency brings.
With Bill C-36 the government would weaken Canada's access to information laws in its zeal to provide us with anti-terrorism legislation. It would give the attorney general the power to issue certificates that would exclude information now allowed. It would prevent the information commissioner and the courts from reviewing unjustifiable government secrets.
There would be no meaningful independent review of these secrets. The government would not have to prove that disclosure would cause injury and there would be no end to this period of secrecy. We would no longer have the right to protect our property and loved ones through democratic transparency and accountability.
The government is gutting the access to information we now enjoy and taking away the freedom of information from Canadians.
World Aids DayStatements by Members
November 28th, 2001 / 2:05 p.m.
Jean Augustine Liberal Etobicoke—Lakeshore, ON
Mr. Speaker, Saturday, December 1 is World AIDS Day. The theme of this year's AIDS awareness campaign is "I Care...Do You?" and aims to involve individuals, especially young men and politicians, more fully in the fight against the HIV epidemic.
Today more than 36 million people worldwide are living with HIV infection. Last year alone three million people died from AIDS, 95% of them in developing countries. One of the many challenges faced by developing countries in fighting HIV-AIDS is access to affordable, life saving medicine.
Two weeks ago in Doha more than 80 countries agreed that TRIPS, Trade-Related Aspects of International Property Rights, should be interpreted and implemented in a manner supportive of WTO members' rights to protect public health. This decision will have an impact on the global response to the epidemic.
It is in everyone's interest to ensure the TRIPS agreement is seen as an instrument that reinforces--
World Aids DayStatements by Members
2:10 p.m.
The Speaker
The hon. member for Sherbrooke.
Shah Ismatullah HabibiStatements by Members
2:10 p.m.
Serge Cardin Bloc Sherbrooke, QC
Mr. Speaker, as part of the Quebec citizenship week, which took place from November 19 to 23, a citizen from the riding of Sherbrooke was honoured for his contributions to the community.
Shah Ismatullah Habibi received the Jacques Couture award from Quebec's minister of citizen relations and immigration for his work bringing cultural groups closer together.
Mr. Habibi came to Sherbrooke in 1993 with the first wave of Afghan refugees. Since then, he has become actively involved in our community and has occupied a number of important positions, such as on the new immigrant welcome committee, with the world traditions festival, on the family advisory committee, with the transcultural educational association and the support program for new Canadians, to name but a few.
On behalf of all of the residents of the riding of Sherbrooke, I would like to offer my sincere congratulations to Mr. Habibi for this prestigious award.
Ken HechtmanStatements by Members
2:10 p.m.
John Bryden Liberal Ancaster—Dundas—Flamborough—Aldershot, ON
Mr. Speaker, I wish to take this opportunity to indicate the concern shared by all members of this House for the safety of the Canadian journalist, Ken Hechtman, who is currently being held prisoner in a Taliban area of Afghanistan.
Mr. Hechtman was reporting for a Montreal newspaper when he was kidnapped. We understand he is being held with his hands bound in a tiny cell, while his kidnappers are making ransom demands. His life is in danger.
Mr. Hechtman's plight underscores the dangers journalists willingly run in order to cover the fighting in Afghanistan. Indeed, so far eight journalists have died. Yet we need such independent news coverage if we are to understand events that could profoundly affect the lives of all of us. We know the government will do anything it can to free Mr. Hechtman. His danger is great. We earnestly hope for his release.
The Winter OlympicsStatements by Members
2:10 p.m.
Canadian Alliance
Randy White Canadian Alliance Langley—Abbotsford, BC
Mr. Speaker, it is indeed a pleasure to stand in the House of Commons to express how proud my community of Abbotsford, British Columbia is to congratulate Alana Kraus on her successful qualification to represent Canada in the 2002 Winter Olympic Games.
Alana is known for her hard work and dedication to the sport of speed skating and we all know she will be the very best she can be. Alana sets high standards for herself and is a role model for others to follow. She is a young 24 and has many more successful years ahead of her. We will all be cheering for Alana in the Olympics in Salt Lake City.
I also would like to congratulate all the people who have helped Alana over the years, her coaches, friends and family. Together they have all contributed to the character and personality of a world class competitor, Alana Kraus.
Canada-U.S. RelationsStatements by Members
2:10 p.m.
Joe Jordan Liberal Leeds—Grenville, ON
Mr. Speaker, people say that Texas is not a state but a state of mind. This morning The Dallas Morning News provides some insights into what is on the minds of the people in Texas these days. It states:
If today you see an outgoing man, with a gravelly French accent...go over and shake his hand. He is...prime minister of Canada. Be sure to thank him for Canada's contribution to the U.S.-led war against global terrorism, for it is not acknowledged enough.
Canada didn't just condemn the atrocious attacks on the United States. It unhesitatingly enlisted to defeat the people and countries that perpetrated them. It offered troops and treasure.
When its very existence was threatened, there was Canada, and in a big way. The 100,000 Canadians who sang the U.S. national anthem on Ottawa's Parliament Hill amply testified to the strong bonds between the countries.
The United States and Canada sometimes disagree, but that's to be expected in a relationship so rich and complex. On the rare occasion of his visit, Texans should welcome and thank [the right hon. Prime Minister of Canada].
Bill C-36Statements by Members
2:15 p.m.
Bill Blaikie NDP Winnipeg—Transcona, MB
Mr. Speaker, in recent days we have been treated to the kind of gap between rhetoric and reality that causes Canadians to have a lot of cynicism about Canadian politics.
The leader of the Conservative Party has said that Bill C-36 is about shutting down the information commissioner, that it is a power grab, that it is muzzling a parliamentary watchdog, that it represents a culture of secrecy, that it is an assault on Canadian civil liberties, that it is comparable to the War Measures Act and that it must be stopped.
If that is the case, why is it that the Conservative Party voted for Bill C-36 when it could have joined New Democrats and the Bloc in opposing Bill C-36?
It is one thing to approve of a bill and suggest how to improve it, but to denounce it in its final form and then vote for it is the height of cynicism.
Radio-CanadaStatements by Members
2:15 p.m.
Christiane Gagnon Bloc Québec, QC
Mr. Speaker, Radio-Canada television receives approximately half the funding of its English-language counterpart, the CBC.
At a session of the Standing Committee on Canadian Heritage, the Liberal member for Simcoe--Grey stated that he found it normal for francophones to get half the public funding that anglophones do.
Is not one of the objectives of the Broadcasting Act the respect of both of Canada's official languages? And was not a motion stating that the House of Commons must be guided by the principle that Quebec forms a distinct society passed by the members of this government? Fine talk with no substance.
Consideration of francophones solely according to their numerical representation, treating them as a minority rather than an equal nation, is intensifying their assimilation and cultural impoverishment. Why should francophones have to settle for half the funding to produce programming? English Canada's parliamentarians would appear to need a major change in attitude.
Diabetes MonthStatements by Members
2:15 p.m.
Bernard Patry Liberal Pierrefonds—Dollard, QC
Mr. Speaker, somewhat belatedly, I have the pleasure of informing the House that November is Diabetes Month.
Diabetes is a national public health problem in Canada and in the world. It currently affects over 2.2 million Canadians, contributes to over 5,500 deaths annually and costs Canada's economy some $9 billion annually.
Type 1 diabetes, previously recognized as a disease that affected adults only, now affects children as well.
As Canada's population ages, the number of cases of type 2 diabetes is expected to increase. Unless we change our lifestyle, our eating habits and our physical activity, we run an increased risk of developing type 2 diabetes.
In 1999, so that Canadians could benefit more from the expertise available throughout Canada, the Government of Canada invested $115 million over five years to develop a Canadian strategy on diabetes.
I take this opportunity to thank all those who contribute in any way to research into this disease.
National SecurityStatements by Members
2:15 p.m.
Progressive Conservative
Loyola Hearn Progressive Conservative St. John's West, NL
Mr. Speaker, the government is ramming through Bill C-36 in order to ensure that Canadians are protected against terrorists.
Airport security has been tightened. Lineups exist at our borders as every vehicle is checked. However, there is another way into our country: by water.
Anyone who has anything from a dory to an ocean liner can enter anywhere in the country. The only way we will know they are coming is if they call ahead for reservations.
This dilemma is caused simply by government cutbacks to the DFO and coast guard specifically.
The greatest threat to the country lies not across the ocean but across the House.
The BudgetOral Question Period
2:15 p.m.
Okanagan—Coquihalla B.C.
Canadian Alliance
Stockwell Day Canadian AllianceLeader of the Opposition
Mr. Speaker, as the Liberals lurch toward their first budget in almost two years, we now know that we will see daily the headlines of things that have been leaked by one Liberal leadership candidate to try to diminish another leadership candidate.
Instead of all the sneaking and peeking that is going on by the Liberals, will the Prime Minister confirm today that the industry minister's latest high tech boondoggle has indeed been replaced for the higher priority needs of Canadians, security and defence? Can we just get a clear message on it?
The BudgetOral Question Period
2:15 p.m.
Windsor West Ontario
Herb Gray LiberalDeputy Prime Minister
Mr. Speaker, we do not comment on what could or could not be in the budget. I appreciate the Leader of the Opposition's support for the traditional approach that we maintain on budget confidentiality.
I might add that the Leader of the Opposition is the last person in the country to talk about leadership.
The BudgetOral Question Period
2:20 p.m.
Okanagan—Coquihalla B.C.
Canadian Alliance
Stockwell Day Canadian AllianceLeader of the Opposition
Mr. Speaker, it is as confidential as the next reporter. We saw that very clearly.
From the same report, the public learns that a mere $600 million will go to defence and security. That is far too little.
Will the Prime Minister reassure people and commit to allotting $2 billion a year to the budget of the Department of National Defence?
The BudgetOral Question Period
2:20 p.m.
Windsor West Ontario
Herb Gray LiberalDeputy Prime Minister
Mr. Speaker, we appreciate the interest of the Leader of the Opposition in this matter but he will have to wait until December 10. I think he will be reassured when he sees the good budget the Minister of Finance presents.
The BudgetOral Question Period
2:20 p.m.
Okanagan—Coquihalla B.C.
Canadian Alliance
Stockwell Day Canadian AllianceLeader of the Opposition
Mr. Speaker, the Liberals are not waiting until December 10. They are leaking stuff daily.
We need to know. With the gaping holes that have been left in our security wall in Canada because of Bill C-36, will there be an extra billion dollars to the RCMP and to CSIS and our border security forces to be able to plug the holes that have been left by Bill C-36?
The BudgetOral Question Period
2:20 p.m.
Windsor West Ontario
Herb Gray LiberalDeputy Prime Minister
Mr. Speaker, what is strange is that the hon. member is wrongly asserting gaping holes in Bill C-36, because on October 16 his justice critic, the member for Provencher, said:
The government has taken some important steps. Although we will be considering the provisions of the bill very carefully, it is imperative that the legislation move forward as quickly as possible. I therefore thank members of the House for the increase in the number of hours for debate to raise concerns and move the matter along.
I say to the Leader of the Opposition: meet his justice critic.
The BudgetOral Question Period
2:20 p.m.
Canadian Alliance
Grant Hill Canadian Alliance Macleod, AB
Mr. Speaker, then the Liberals had to bring in closure and shut down debate. That was great.
Now that the industry minister's misguided broadband initiative has been pushed aside by the finance minister, it appears that a digital divide has emerged within the cabinet. Canadians frankly want assurances that their priorities will be given higher priority than this government will give.
Will the Deputy Prime Minister promise Canadians that there will be spending cuts in low priority areas rather than a deficit or tax increases? Yes or no.
The BudgetOral Question Period
2:20 p.m.
Windsor West Ontario
Herb Gray LiberalDeputy Prime Minister
Mr. Speaker, I can promise the Leader of the Opposition and all Canadians that the budget that will be presented will be a good budget representing fairly the interests of all Canadians.


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Although periodic limb movements in sleep (PLMS) have been described in multiple pediatric publications, periodic limb movement disorder (PLMD) has not. The aims of this study were to describe the prevalence, sleep-related correlates, and polysomnographic correlates of PLMD in a large pediatric case series, and compare these to pediatric obstructive sleep apnea (OSA).
All PLMD cases (defined by International Classification of Sleep Disorders, 2nd edition criteria + respiratory disturbance index [RDI] < 3) and OSA cases (defined by RDI ≥ 3 + PLMS < 5), from a single pediatric sleep practice, over a 2-year time span, were included. Chart, questionnaire, and polysomnographic data were compiled. Of 468 referred children, 66 PLMD cases were identified (14%).
The PLMD cases, mean age 8.1 years (range 1-17), were clinically characterized by frequent sleep onset and maintenance problems, difficulty awakening, restless sleep, leg pain/discomfort at night, and parasomnias. Compared to 90 OSA children, those with PLMD had a history of significantly more sleep onset and maintenance problems, leg pain/discomfort at night, parasomnias, getting out of bed at night, and family history of restless legs syndrome. Polysomnographically, PLMD cases had more awakenings, stage 1 sleep, stage shifts, and spontaneous arousals.
These data indicate that pediatric PLMD has important clinical and polysomnographic correlates. In addition, PLMD has many characteristics that are different from pediatric OSA, suggesting that PLMD is a distinct pediatric sleep disorder, of which clinicians should be aware.
Gingras JL; Gaultney JF; Picchietti DL. Pediatric periodic limb movement disorder: sleep symptom and polysomnographic correlates compared to obstructive sleep apnea. J Clin Sleep Med 2011;7(6):603-609.
Although there are multiple publications on pediatric periodic limb movements in sleep (PLMS), little is known about periodic limb movement disorder (PLMD) in children. PLMS are brief leg or arm jerks during sleep, associated with negative physiological consequences, including cardiac acceleration, spikes in blood pressure, and cortical arousals.1–6 PLMS occur in a variety of sleep disorders, including restless legs syndrome (RLS), PLMD, narcolepsy, obstructive sleep apnea (OSA), and REM sleep behavior disorder, or may be induced by certain medications.7,8 Based on the current diagnostic criteria, PLMD is diagnosed when the following are present: (1) PLMS documented by polysomnography; (2) PLMS exceeding norms for age (≥ 5/h for children); (3) clinical sleep disturbance or daytime fatigue; and (4) the absence of another primary sleep disorder or reason for the PLMS, including RLS and OSA.7,9 Prior to revision of the criteria at a workshop at the National Institutes of Health in 2002, PLMD was typically diagnosed by the presence of only criteria 1-2, which do not effectively differentiate PLMS as part of another condition or PLMS as an asymptomatic polysomnographic finding, from PLMD as a distinct disorder. However, there is very little adult or pediatric literature using this current definition, and controversy continues as to the clinical significance of PLMS.10–14
Current Knowledge/Study Rationale: There is very limited medical literature on pediatric periodic limb movement disorder (PLMD) based on the current definition. In this study we identify clinical and polysomnographic features of PLMD in a pediatric sleep center referral population, and compare these to children with obstructive sleep apnea (OSA).
Study Impact: In this large clinical case series, PLMD was found to be common,14% of 468 referred children. Important correlates of pediatric PLMD included disturbed sleep, leg discomfort/pain, parasomnias, and a family history of restless legs, more so than in the children with OSA.
We are aware of only three publications that report pediatric PLMD based on this newer definition. Two were relatively small case series, which emphasized the relationship of pediatric PLMD to family history and subsequent onset of RLS, as well as potential significant associations with parasomnias and attention deficit hyperactivity disorder (ADHD).15,16 In a recent report we looked at daytime behavioral correlates of pediatric PLMD, and found greater daytime mood and behavioral difficulties in children with PLMD when compared to children with OSA.17 In addition, PLMD was found to predict these daytime difficulties better than PLMS index alone. Using a PLMD definition of PLMS > 5/h alone (not using the clinical sleep disturbance criterion), studies have reported pediatric prevalences of 5.6% to 26% in clinical polysomnographic case series,18–23 and a prevalence of 11.9% in the only population-based study.20 Many of the clinical cases were found incidentally in children referred for potential OSA. In a recent pediatric study, correlates of PLMS > 5/h included male gender (61%) and snoring (45%), with PLMS index correlating negatively with total sleep time, sleep efficiency, and percent slow wave sleep on polysomnography.18
The specific aims of this study were to identify the demographic features, prevalence, sleep-related symptoms, and polysomnographic features of PLMD in a large pediatric sleep center referral population, as well as to compare the clinical and polysomnographic correlates of pediatric PLMD to pediatric obstructive sleep apnea (OSA).
This was a retrospective case series of children and adolescents with PLMD referred to a private practice of sleep medicine in a Southeastern urban area over a period of 2 years. The pediatric patients were seen by a single sleep physician (JLG). After institutional review board approval, demographic, chart, questionnaire, and polysomnographic data were compiled. Sleep history was obtained by semi-structured interview during the course of comprehensive clinical assessment, which included consideration of differential diagnosis and other medical conditions. In addition, parents completed a detailed questionnaire developed by author JLG specifically for use in her clinical practice of pediatric sleep medicine and designed to query the behavioral sleep routines, sleep complaints, and daytime mood and behavioral problems in children as perceived by the parent and/or child. Items encompassing sleep-related behavior and routines were analyzed in this study. Daytime mood and behavior items have been reported in a separate study.17 Possible responses to individual items were: 1 = never (0 out of 7 days per week); 2 = sometimes (1-4 out of 7 days); or 3 = frequently (5-7 out of 7 days).
Polysomnography was performed in an accredited sleep laboratory specifically designed for pediatric studies, attended by a certified sleep technologist trained in pediatric polysomnography, and video recorded. The following parameters were measured: electroencephalogram, eye movements, chin electromyogram, bilateral anterior tibialis electromyogram, electrocardiogram, nasal airflow (Pro-Tech Thermal Airflow Sensors ), chest and abdominal wall motion (Pro-Tech Piezo effort belts), snore recording (Pro-Tech Piezo Snore Sensor), pulse oximetry (Nellcor NPB 295), and body position. The PSGs were reviewed and interpreted by a board-certified Sleep Medicine Specialist also boarded in Pediatrics (JLG).
PLMD was defined by ICSD-2 criteria: PLMS ≥ 5/h present on PSG; clinical sleep disturbance (difficulty falling or staying asleep, or waking unrefreshed after sufficient sleep); and PLMS were not better explained by another current sleep disorder, medical or neurological disorder, mental disorder, medication use, or substance use disorder.7 PLMS at the termination of respiratory events were not counted. PLMS were defined as a sequence of ≥ 4 limb movements of 0.5–5.0 s in duration, separated by > 5 s and < 90 s, and of an amplitude ≥ 25% of toe dorsiflexion during calibration.7,24 Although the ICSD-2 criteria had not been published at the time of initial assessment for these patients (2001-2002), the criteria may nonetheless be applied retrospectively because they are similar to the ICSD-R criteria used at the time,25 and the interviewer (JLG) was routinely asking for and recording all information relevant to the diagnosis, including "clinical sleep disturbance."
An obstructive apnea was defined as a decrease ≥ 75% in airflow from the baseline value for ≥ 2 breaths with continuing respiratory effort. A hypopnea was defined as a discernable decrease in airflow from the preceding baseline accompanied by either a decrease in oxygen saturation of ≥ 3% or followed by an arousal. Snore arousals were scored when snoring was associated with EEG arousals. Respiratory disturbance index (RDI) was defined as apneas + hypopneas + snore arousals per hour of sleep.
From an initial pool of 468 consecutive children referred to a private pediatric sleep medicine practice over a period of 2 years (2001-2002), 347 received a clinical diagnosis of OSA, PLMD, or both. Of the other 121 children, 24 did not complete the diagnostic protocol, 34 did not receive a PSG, and 63 were diagnosed with a disorder outside the scope of the present study, such as narcolepsy (n = 6) or RLS (n = 9). Although narcolepsy and RLS are commonly associated with PLMS, the focus of this study was PLMD. Seventy of the 347 received a dual clinical diagnosis of PLMD and OSA, and because of potential "overlap" were excluded from analysis. Furthermore, to analyze unequivocal cases of PLMD and OSA, more stringent polysomnography-based inclusion criteria were implemented: for the PLMD cases, ICSD-2 defined PLMD and RDI < 3; for the OSA cases, RDI ≥ 3 and PLMS < 5/h. One hundred twenty-one of the remaining 277 children who had received a single clinical diagnosis of OSA or PLMD were excluded from these analyses because they did not meet these stringent study criteria for OSA or PLMD. Eighty-seven of the 121 were OSA cases with PLMS > 5/h but without a clinical diagnosis of PLMD, 30 were PLMD cases with an RDI ≥ 3 but no clinical symptoms for sleep disordered breathing, and 4 had missing data. This resulted in 66 distinct PLMD cases and, for comparison, 90 unequivocal OSA cases.
Although not a primary focus of the study, treatment data were available for 51 of 66 patients with a diagnosis of PLMD (77%). Treatment was open-label, with outcome assessed by clinician impression, through interview of the child and parent at follow-up clinic visits.
Group differences in chart and questionnaire data (counts) were tested using χ2 analyses. In an effort to reduce family-wise error, PSG data were grouped into categories (such as sleep time, wake time, awakenings) and analyzed using multivariate analyses, followed by univariate analyses. Pearson correlations examined associations between variables. An α of p < 0.05 was considered significant. Treatment results were evaluated by Kaplan-Meier survival analysis.
Sixty-six of 468 consecutive children referred over a 2-year period were diagnosed with PLMD, a prevalence of 14% in this practice population. The average age was 8.05 years (range 1-17), with 58% males. Comparing children with PLMD to those with OSA, there were not significant group differences for age or gender (Table 1). However, comparing Caucasian to African American children, Caucasian children were more likely to have PLMD than were African American children (49% vs. 26%), while African American children were more likely than Caucasian children to have OSA (74% vs. 51%).
Demographic data: PLMD compared to OSA group
{ label (or @symbol) needed for fn } PLMD, periodic limb movement disorder; OSA, obstructive sleep apnea; n.s., not significant;
* ethnicity data not available for 47 children.
(more ...)
As expected, many children with PLMD were reported by the parent and/or child to have sleep onset and maintenance problems (Table 2, chart data). In addition, restless sleep and kicking while asleep were commonly described. Many were also reported to be difficult to awakening in the morning (68%), complain of leg pain or discomfort at night (62%), have parasomnias (61%), and have a family history of RLS (49%). Remarkably, the sleep onset and maintenance problems, leg pain/discomfort at night, kicking in sleep, parasomnias, and family history of RLS were significantly more common in PLMD than OSA, while restless sleep, difficulty awakening, and excessive daytime sleepiness were not.
Sleep-related chart and questionnaire data
[i] PLMD, periodic limb movement disorder; OSA, obstructive sleep apnea; RLS, restless legs syndrome; χ2, chi-square; n.s., not significant.
In the questionnaire data (Table 2), where responses are reported as percent frequent responses (5-7 out of 7 days), significantly more children with PLMD than OSA were described as getting out of bed, going to parents" bed, waking from nightmares, having frightening dreams, and having sleep terror-type awakenings, i.e., more sleep onset/maintenance problems and parasomnias. Interestingly, complaints of frequent crawling/aching sensations or leg pain were not significantly more common in children with PLMD. However, when responses of "sometimes" and "frequently" were recoded as "yes" answers for these items, children with PLMD were reported to have crawling/aching sensations and leg pain significantly more often (χ2(1) = 5.00, p = 0.02).
Based on inclusion criteria, the PLMD and OSA groups had markedly different mean PLMS and respiratory disturbance indices (Table 3), with a mean PLMS index of 23.5 in the PLMD group and mean RDI of 19.2 in the OSA group. In an effort to determine whether the relative severity of each disorder was roughly equivalent, a severity variable was calculated, equal to the standardized PLMS index for children with PLMD and the standardized apnea-hypopnea index (AHI) for children with OSA. The groups were equivalent for this estimate of severity (t154 = 0.79, p = 0.43).
Polysomnographic data (means and standard deviations)
{ label (or @symbol) needed for fn } PLMD, periodic limb movement disorder; OSA, obstructive sleep apnea; AHI, apnea-hypopnea index; RDI, respiratory disturbance index; PLMS, periodic leg movements in sleep; TST, total sleep time; mult, multivariate analysis;
* differences defined by group inclusion criteria; n.s., not significant.
Comparing PLMD to OSA, total recording time, total sleep time, and REM latency did not differ. However, children with PLMD had significantly more awakenings, stage 1 sleep, stage shifts, stage 1 shifts, and spontaneous arousals (Table 1). Conversely, children with OSA had significantly more total arousals. Both PLMD and OSA groups had equivalent, but remarkably low sleep efficiencies of 83.8% and 84.9%, and long sleep latencies of 41.7 and 38.3 minutes, respectively. Comparable pediatric polysomnographic normative values are 89.3% to 90.8% for sleep efficiency and 23 minutes for sleep latency.26,27
The PLMS index was not significantly correlated with age, total sleep time, sleep efficiency, sleep onset latency, awakenings, waking after sleep onset, percent slow wave sleep, or minimum SaO2 NREM. It was significantly correlated with stage shifts (r(155) = 0.27, p < 0.01), stage 1 shifts (r(155) = 0.27, p < 0.01), percent stage 1 sleep (r(155) = 0.17, p = 0.03), and minimum SaO2 REM (r(153) = 0.19, p < 0.02), but negatively correlated with snore arousals (r(155) = −0.38, p < 0.01).
Treatment data were available for 77% (51/66) of the PLMD cases. Of the 15 children not included in the treatment analysis, 14 never began treatment, and one saw another provider for follow-up (data unavailable). Children who began treatment but subsequently were lost to follow-up or their treatment was not successful during the period of the analysis were included in the analysis. In this cohort, 76% (39/51) were successfully treated as defined by resolution of their sleep complaint, determined by clinician assessment at follow-up visits. Sixty percent of these successes occurred by the second visit, and 88% by the fourth visit. The mean number of visits to successful treatment was 2.54 visits (see Figure S1). Although treatment choices were individualized, dopamine agonists (pramipexole or ropinirole) were tried first in 88% of cases, with clonazepam as first choice in 6%. Final treatment status is summarized in Table S1. Fourteen percent of children who were treated reported adverse effects. The most common to the dopamine agonists were a paradoxical alerting reaction (7%) and headache (3%). Less than 1% reported nausea. The most common adverse effect to clonazepam was a paradoxical alerting reaction (13%). Iron status was not routinely assessed, and iron supplementation was not used because at the time there was not evidence for efficacy of iron in PLMD.
This is the largest case series to date of pediatric PLMD, as defined by current diagnostic criteria,7,9 that reports sleep-related symptoms and polysomnographic correlates. In addition, it is the first large case series to compare pediatric PLMD to pediatric OSA.
As expected, prominent sleep onset and maintenance problems were reported in PLMD children, as was difficulty awakening in the morning. About one-third got out of bed many nights per week and went to their parents" bed, significantly more than in the OSA group. While restless sleep was commonly described for children with PLMD, this was equally as often reported for children with OSA and, thus, not a differentiating feature. Similarly, for both groups fewer than one-third were described as exhibiting signs of excessive sleepiness, frequent drowsiness, or frequent falling asleep inappropriately. Supporting previous work, which indicates history alone is not accurate for the determination of PLMS, almost 50% of children with PLMD were not noted by families to have kicking or frequent jerking during sleep.15,21,28,29 Also supportive of previous studies related to pediatric PLMS, an unusually high rate of parasomnias were reported, particularly sleep terrors and nightmares.15,16,28,30 Arousals associated with PLMS are the presumed mechanism for the triggering of parasomnias.30 Interestingly, parasomnias in this study were significantly more in PLMD than OSA children, in spite of the OSA children having somewhat higher total arousal rates, suggesting other possible factors.
Although we excluded cases of pediatric RLS for this study, to better define the correlates of PLMD in childhood, there were significantly more children with PLMD than OSA who complained of leg pain/discomfort at night (62% vs. 18%) during the clinical interview. However, in the questionnaire data, children with PLMD were not more likely to report to their parents crawling/aching sensations or leg pain, when analyzed as a percent of frequent responses (5-7 nights/week). Nonetheless, when "sometimes" and "frequent" responses were combined, complains of crawling/aching sensations and leg pain were significantly more likely in children with PLMD, suggesting relatively infrequent sensations or reporting of sensations to parents. In combination with a remarkably high family history of RLS (49% vs. 18%), these data suggest that pediatric PLMD may be a precursor to RLS in some cases, as other studies have indicated.15,16 Because of the relatively young mean age in this sample (8.1 years, range 1-17), we would expect some of these children to meet RLS criteria over time, simply due to the development of better language and cognitive skills, which are needed to adequately report RLS symptoms.15,31
The polysomnographic results provide objective data that document sleep disruption in pediatric PLMD, which was compared to that in pediatric OSA. Both groups had long sleep latencies, relatively low sleep efficiencies, increased WASO, and frequent arousals. Although we did not have concurrent normal controls, historical normative data clearly support the impairment of sleep in these cases.26,27,32 Some of the polysomnographic findings were more common in children with PLMD as compared to the cases with OSA—awakenings, stage 1 sleep, stage shifts, stage 1 shifts, and spontaneous arousals—while children with OSA had significantly more total arousals. These differences, the careful attention to only scoring PLMS independent of overt or subtle respiratory events, and the differences in clinical symptoms, indicate that PLMD (as currently defined) is not simply a variant of OSA, as has been suggested.22
While the prevalence of 14% in this pediatric sleep clinic population is not directly comparable to other studies, which defined PLMD as PLMS > 5/h only (not using the clinical sleep disruption criterion), it is within the broad range of those other studies, 5.6% to 26%.18–23 Importantly, PLMD was purposely assessed for in this clinical population, rather than found as an incidental finding. Consistent with previous literature we found PLMS/PLMD to be significantly more common in Caucasian children and OSA more common in African American children,33 but interpretation should be cautious since in about 30% ethnicity was not reported.
It is relevant to note that there are no FDA-approved treatments for PLMD, or for most other sleep disorders, in children. The need for rigorous treatment trials in children is evident based on this study and other studies.34,35 While we have included the results of medications tried clinically for this cohort of children with PLMD, the open-label use and non-polysomnographic outcome assessment limit conclusions about treatment based on these data. Two recent review papers more comprehensively discuss potential treatment considerations, including iron assessment and therapy.13,14 In addition, a newer small, double-blind, placebo-controlled study has shown benefit of dopaminergic treatment for PLMS in children.36
The major strengths of this study are the large sample size, the fact that PLMD was purposefully assessed for based on ICSD-2 criteria, and the stringent criteria used to define distinct PLMD and OSA groups. A strength and limitation of this study was the exclusion of "overlap" cases, children with both PLMD and OSA. This was done to accurately characterize PLMD and compare it to OSA. However, in clinical practice overlap does occur, often with uncertainty about the potential significance of PLMD. Other limitations include that we did not have data available on inter-movement interval for PLMS, which new research suggests may be important in distinguishing various causes for PLMS.37 Also, we did not have data on autonomic or "subcortical" arousals related to PLMS, which have been shown to occur in children38 and may mediate the cardiovascular morbidity reported with RLS.39 Lastly, we did not have consistently obtained information on ADHD, depression, anxiety, or iron deficiency, conditions that have been associated with RLS, PLMS, and PLMD.13,14,40
In conclusion, these data support PLMD as a distinct pediatric disorder, with significant sleep-related symptom correlates, polysomnographic correlates, and, when combined with our previous work, significant daytime mood and behavior correlates. Rather than dismissing PLMS as an incidental polysomnographic finding in children, we suggest that clinicians consider these data to help sort out the potential significance of a diagnosis of PLMD in pediatric sleep assessment. Future research on pediatric PLMD should include full iron assessment and other research techniques, such as home infrared videography, actigraphy, and leg accelerometry to assess sleep and leg movement patterns over extended periods of time.
This project was sponsored in part by a researcher-initiated grant by GlaxoSmithKline (GSK), Inc (to Dr. Gingras, PI), and support from United Sleep Medicine Centers, Charlotte, NC. Support from these organizations was used for data collection only. Dr. Picchietti has served as a consultant to Boehringer Ingelheim and UCB Pharma, and has received research support from Boehringer Ingelheim for other projects. Dr. Gaultney has indicated no financial conflicts of interest.
The authors thank Dr. Kunal Merchant, Ph.D., for her assistance in the initial organization of this project. Dr. Merchant was employed by GSK when this project was begun, and is currently employed by Salix Pharmaceuticals, Inc. Portions of these data were presented at the Pediatric Sleep Medicine Conference in Amelia Island, FL in March 2006 and at the Association of Professional Sleep Societies meeting in Salt Lake City, UT in June 2006. Contributions/roles: STUDY DESIGN: Drs. Gingras and Picchietti; COLLECTION OF DATA: Dr. Gingras; ANALYSIS AND INTERPRETATION OF DATA: Drs. Gingras, Gaultney and Picchietti; WRITING OF THE REPORT: Drs. Gingras, Gaultney and Picchietti; REVIEW OF THE MANUSCRIPT: Drs. Gingras, Gaultney and Picchietti.
Ali NJ, Davies RJ, Fleetham JA, Stradling JR, authors. Periodic movements of the legs during sleep associated with rises in systemic blood pressure. Sleep. 1991;14:163–5. [PubMed]
Sforza E, Nicolas A, Lavigne G, Gosselin A, Petit D, Montplaisir J, authors. EEG and cardiac activation during periodic leg movements in sleep: support for a hierarchy of arousal responses. Neurology. 1999;52:786–91. [PubMed]
Pennestri MH, Montplaisir J, Colombo R, Lavigne G, Lanfranchi PA, authors. Nocturnal blood pressure changes in patients with restless legs syndrome. Neurology. 2007;68:1213–8. [PubMed]
Siddiqui F, Strus J, Ming X, Lee IA, Chokroverty S, Walters AS, authors. Rise of blood pressure with periodic limb movements in sleep and wakefulness. Clin Neurophysiol. 2007;118:1923–30. [PubMed]
Ferri R, Zucconi M, Rundo F, Spruyt K, Manconi M, Ferini-Strambi L, authors. Heart rate and spectral EEG changes accompanying periodic and non-periodic leg movements during sleep. Clin Neurophysiol. 2007;118:438–48. [PubMed]
Guggisberg AG, Hess CW, Mathis J, authors. The significance of the sympathetic nervous system in the pathophysiology of periodic leg movements in sleep. Sleep. 2007;30:755–66. [PubMed Central][PubMed]
American Academy of Sleep Medicine. International classification of sleep disorders, 2nd ed.: diagnostic and coding manual. Rev. ed. 2005. Westchester, IL: American Academy of Sleep Medicine;
Silber MH, author. Commentary on controversies in sleep medicine. Montplaisir et al.: Periodic leg movements are not more prevalent in insomnia or hypersomnia but are specifically associated with sleep disorders involving a dopaminergic mechanism. Sleep Med. 2001;2:367–9. [PubMed]
Allen RP, Picchietti D, Hening WA, Trenkwalder C, Walters AS, Montplaisir J, authors. Restless legs syndrome: diagnostic criteria, special considerations, and epidemiology. A report from the restless legs syndrome diagnosis and epidemiology workshop at the National Institutes of Health. Sleep Med. 2003;4:101–19. [PubMed]
Picchietti D, author. Periodic limb movements in sleep: irrelevant epiphenomenon, marker for a potential problem, or a disorder? J Clin Sleep Med. 2006;2:446–7. [PubMed]
Hogl B, author. Periodic limb movements are associated with disturbed sleep. Pro. J Clin Sleep Med. 2007;3:12–4
Mahowald MW, author. Periodic limb movements are NOT associated with disturbed sleep. Con. J Clin Sleep Med. 2007;3:15–7
Picchietti MA, Picchietti DL, authors. Restless legs syndrome and periodic limb movement disorder in children and adolescents. Semin Pediatr Neurol. 2008;15:91–9. [PubMed]
Khatwa U, Kothare SV, authors. Restless legs syndrome and periodic limb movements disorder in the pediatric population. Curr Opin Pulm Med. 2010;16:559–67. [PubMed]
Picchietti D, Stevens HE, authors. Early manifestations of restless legs syndrome in childhood and adolescence. Sleep Med. 2008;9:770–81. [PubMed]
Picchietti DL, Rajendran RR, Wilson MP, Picchietti MA, authors. Pediatric restless legs syndrome and periodic limb movement disorder: parent-child pairs. Sleep Med. 2009;10:925–31. [PubMed]
Gaultney JF, Merchant K, Gingras JL, authors. Parents of children with periodic limb movement disorder versus sleep-disordered breathing report greater daytime mood and behavior difficulties in their child: the importance of using ICSD-2nd Edition criteria to define a PLMD study group. Behav Sleep Med. 2009;7:119–35. [PubMed]
Bokkala S, Napalinga K, Pinninti N, et al., authors. Correlates of periodic limb movements of sleep in the pediatric population. Pediatr Neurol. 2008;39:33–9. [PubMed]
Kirk VG, Bohn S, authors. Periodic limb movements in children: prevalence in a referred population. Sleep. 2004;27:313–5. [PubMed]
Crabtree VM, Ivanenko A, O'Brien LM, Gozal D, authors. Periodic limb movement disorder of sleep in children. J Sleep Res. 2003;12:73–81. [PubMed]
Martin BT, Williamson BD, Edwards N, Teng AY, authors. Parental symptom report and periodic limb movements of sleep in children. J Clin Sleep Med. 2008;4:57–61. [PubMed Central][PubMed]
Martinez S, Guilleminault C, authors. Periodic leg movements in prepubertal children with sleep disturbance. Dev Med Child Neurol. 2004;46:765–70. [PubMed]
Chervin RD, Archbold KH, authors. Hyperactivity and polysomnographic findings in children evaluated for sleep-disordered breathing. Sleep. 2001;24:313–20. [PubMed]
Recording and scoring leg movements.. The Atlas Task Force. Sleep. 1993;16:748–59. [PubMed]
ASDA. International classification of sleep disorders, revised: Diagnostic and coding manual. Rev. ed. 1997. Rochester, MN: American Sleep Disorders Association;
Montgomery-Downs HE, O'Brien LM, Gulliver TE, Gozal D, authors. Polysomnographic characteristics in normal preschool and early school-aged children. Pediatrics. 2006;117:741–53. [PubMed]
Uliel S, Tauman R, Greenfeld M, Sivan Y, authors. Normal polysomnographic respiratory values in children and adolescents. Chest. 2004;125:872–8. [PubMed]
Picchietti DL, Walters AS, authors. Moderate to severe periodic limb movement disorder in childhood and adolescence. Sleep. 1999;22:297–300. [PubMed]
Hilbert J, Mohsenin V, authors. Can periodic limb movement disorder be diagnosed without polysomnography? A case-control study. Sleep Med. 2003;4:35–41. [PubMed]
Guilleminault C, Palombini L, Pelayo R, Chervin RD, authors. Sleepwalking and sleep terrors in prepubertal children: what triggers them? Pediatrics. 2003;111:e17–25. [PubMed]
Picchietti DL, Arbuckle R, Abetz L, et al., authors. Pediatric restless legs syndrome: analysis of symptom descriptions and drawings. J Child Neurol. 2011;26:1365–76. [PubMed]
Scholle S, Beyer U, Bernhard M, et al., authors. Normative values of polysomnographic parameters in childhood and adolescence: Quantitative sleep parameters. Sleep Med. 2011;12:542–9. [PubMed]
O'Brien LM, Holbrook CR, Faye Jones V, Gozal D, authors. Ethnic difference in periodic limb movements in children. Sleep Med. 2007;8:240–6. [PubMed]
Owens JA, Rosen CL, Mindell JA, authors. Medication use in the treatment of pediatric insomnia: results of a survey of community-based pediatricians. Pediatrics. 2003;111:e628–35. [PubMed]
Owens JA, Rosen CL, Mindell JA, Kirchner HL, authors. Use of pharmacotherapy for insomnia in child psychiatry practice: A national survey. Sleep Med. 2010;11:692–700. [PubMed]
England SJ, Picchietti DL, Couvadelli BV, et al., authors. L-Dopa improves restless legs syndrome and periodic limb movements in sleep but not attention-deficit-hyperactivity disorder in a double-blind trial in children. Sleep Med. 2011;12:471–7. [PubMed]
Ferri R, Zucconi M, Manconi M, et al., authors. Different periodicity and time structure of leg movements during sleep in narcolepsy/cataplexy and restless legs syndrome. Sleep. 2006;29:1587–94. [PubMed]
Walter LM, Foster AM, Patterson RR, et al., authors. Cardiovascular variability during periodic leg movements in sleep in children. Sleep. 2009;32:1093–9. [PubMed Central][PubMed]
Walters AS, Rye DB, authors. Review of the relationship of restless legs syndrome and periodic limb movements in sleep to hypertension, heart disease, and stroke. Sleep. 2009;32:589–97. [PubMed Central][PubMed]
Picchietti MA, Picchietti DL, authors. Advances in pediatric restless legs syndrome: Iron, genetics, diagnosis and treatment. Sleep Med. 2010;11:643–51. [PubMed]
Number of clinical visits to attain successful treatment by Kaplan-Meier survival analysis
Treatment outcomes for PLMD patients (N = 51)
[i] PLMD, periodic limb movement disorder.

subset: commoncrawl


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Green Curry Set is a perfect set for green curry lover. It comes with Mae Ploy Green curry paste, 2 packs of coconut cream powder, 1 Cock fish sauce and 1 of bamboo shoot. Cooking instruction is also on the package. Product of Thailand.
Copyright © 2004 - 2019 GroceryThai.com


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These machine screws are used with nuts or directly into a female threaded receptacle to fasten metal parts together. They are installed into an existing or predrilled, pre-tapped hole and are fully threaded. Measurements are made from the underside of the head to the tip of the screw to obtain fastener length. If nuts are needed, use with nuts of the same material, finish, and threading for proper fit.
- 6-pieces per bag
- Steel construction
- Zinc-plated
- #10 - 32 x 1 in.
- Flat head Phillips drive
- Note: product may vary by store
- California residents see Prop 65 WARNINGS


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We run a number of social events for gay guys in London.

This group exists to provide regular opportunities to meet socially, maybe have a few drinks and make lots of new friends.
GAY PUB CRAWL: We tend to meet once a month, usually on the first Friday, for a pub crawl and visit three bars in the one evening. It's a fantastic way of meeting new people, making friends and discovering more of gay London. It is always great night out - everyone is fun, friendly and welcoming! Pub crawls usually attract 70-80 guys.

GAY TENPIN BOWLING NIGHT: We usually hold a gay bowling night once a month in Elephant & Castle. These are hosted and you get to play two games of bowling. You can come along on your own or with friends. Again, everyone is fun and friendly, and we usually attract 100+ guys on these nights!
There are many who regularly attend these meetups plus there are always lots of new people joining us. If you have never been before, please don't feel nervous about coming along - we always have newbies and you will be very welcome by those who regularly attend as well as other new guys alike.
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text: This survey course introduces the student to the basic concepts of marketing. Emphasis is placed on consumer and environmental analysis, marketing strategy and the marketing mix. The course is designed to provide students with a broad understanding of the marketing process from the viewpoint of the marketing manager. The teaching method is lecture and discussion.


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|Birth Date:
|Tustin, Calif.
|High School:
|Beckman HS
UC Santa Barbara
In his sophomore campaign Brandon provided the Gauchos with a dangerous bat in the 3 hole...appearing in all 56 games he accumulated a .347 batting average which was good for fifth in the Big West and tied for second on the team...was fourth in the conference with a .495 slugging percentage totalling 16 doubles, 4 triples, and 2 home runs...with 70 hits and 40 walks he led the Big West in on-base percentage at .460...had 6 stretches in which he had hit streaks of 4 or more games including two 6 game streaks...efforts earned him 2nd Team All Big West honors as a 2nd Baseman ... Played in the Cape Cod League in Summer 2012, was named starting shortstop in the Cap Cod League All-Star Game.
As a freshman, Brandon appeared in 29 games, starting 21 of them ... Posted a .253 batting average with a .318 on base percentage ... Had 20 hits in 39 attempts with three doubles and a home run... Missed a considerable amount of time due to injury from April 22nd to May 13th due to a foul ball off his face ... At Oregon State went 6-for-7 in two games with two RBI and three runs ... Hit his first career home run at AT&T Park, home of the San Francisco Giants against Louisiana Lafayette on March 12th.
High School
Was a four-year varsity player for coach Kevin Lavalle at Beckman High ... Was a four-time All-Pacific Coast League selection and one of Beckman's most decorated athletes ... Helped the Patriots to back-to-back Pacific Coast League titles in 2009 and 2010 ... Also was a big part of the team going to the playoffs as a sophomore, junior and senior ... In 2009 he helped lead team to the CIF Finals ... As a senior he was the Pacific Coast League MVP, was named Irvine's All-City MVP as well as Tustin's All-City MVP ... Also was an All-Orange County pick, an all-county All-Star, a First Team All-California selection and the Beckman High MVP ... Batted .506 his senior season with nine home runs, 28 RBI, 46 runs scored and 15 stolen bases ... Also pitched as a senior, going 4-1 with a 2.60 ERA, nine saves and 35 strikeouts in 30 innings ... In his junior season Brandon hit .505 with four home runs, 24 RBI, 52 runs scored and 10 stolen bases ... Named First Team all-league was an All-City selection in both Irvine and Tustin ... Was also a Second Team All-Orange County and the Beckman High Offensive Player of the Year ... As a sophomore he hit .360 with a home run, 19 RBI, 29 runs scored and 10 stolen bases ... Named to the All-Pacific Coast League Second Team, was a Tustin All-City pick and the Beckman Defensive Player of the Year ... As a freshman he hit .310 with 16 RBI, 25 runs scored and eight stolen bases ... Named as an Honorable Mention selection by the Pacific Coast League as well as one of the top five freshman to watch by the Orange County Register ... Some of his best performances include a 4-for-4 day on April 16, 2010 vs. San Juan Hills when he had a triple, two home runs, seven RBI and four runs scored ... Also was 5-for-5 on April 19, 2009 vs. University High with a triple, two doubles and five runs scored ... Named to the Principal's Honor Roll and was a Beckman High Scholar Athlete.
Brandon Alexander Trinkwon was born on March 30, 1992 in Atlanta, Georgia to proud parents Jana and Brad Trinkwon ... Has a young brother named Taylor ... Aspires to play professional baseball and eventually own his own business ... Roots for the Los Angeles Angels of Anaheim, the Atlanta Braves, Atlanta Falcons, Anaheim Ducks and the Los Angeles Lakers ... Most memorable sports moment came when he played in the CIF Finals at Angels Stadium ... Enjoys the movies Wedding Crashers and Fever Pitch ... Favorite book is Harry Potter and appropriately his favorite author is J.K. Rowling ... Likes to golf in his free time ... Names Michael Vick, Tiger Woods and Chipper Jones as his favorite athletes ... Likes to watch Entourage, Lost and Rob and Big on TV ... Was also recruited by Fresno State, Cal State Fullerton, Oregon State and LSU.


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The Helpers of God's Precious Infants highlighted Respect Life Month by inviting the Rev. Denis Wilde, O.S.A., to be celebrant and homilist of its monthly Mass Oct. 14 at Notre Dame of Bethlehem.
Fr. Wilde is a member of the Augustinian Province of St. Thomas of Villanova, and served on the faculty of Villanova University 1977-98. He has been a priest associate with Priests for Life for eight years. A Long Island native, he is an accomplished pianist and enjoys presenting concerts for pro-life organizations. Fr. Wilde is very involved in Rachel's Vineyard retreats.
After the liturgy, Fr. Wilde joined the Helpers at the Allentown Women's Center on Union Boulevard, Allentown, where they prayed three mysteries of the rosary for an end to abortion.
The Missionary Image of Our Lady of Guadalupe was once again in the Lehigh Valley during this time, and was at the Helpers' Mass and the Women's Center.
The image was also present at all six weekend Masses Oct. 14-15 at St. Joseph the Worker, Orefield, for which Fr. Wilde was guest homilist. He also spoke at a teen event for area youth Oct. 13 at St. Joseph the Worker.
In the homily imparted to the Helpers, Fr. Wilde stressed the defense of life and the power of the Mother of God as our mother in intercessory need and care.
"The conversion of souls and hearts was the message of Marian apparitions and the added note of confidence in the Tepayec apparitions," Fr. Wilde said. He underscored the power of the Guadalupana in the life struggle, as the patroness of the Americas.
In all his homilies that weekend Fr. Wilde made excellent connections to Our Lady of Guadalupe's Missionary Image, which was near him on the altar. He introduced Our Lady of Guadalupe to the congregations and spoke about her Missionary Image and how it, as a faithful digital reproduction of her original image in Mexico City, travels the country touching many hearts for her children, as she was named Patroness of the Unborn by Pope John Paul II.
As Fr. Wilde and the Missionary Image were at the Rosary Vigil at the abortion center after the Helpers' Mass, he told how it was she who appeared to Juan Diego in December 1831, and the miracles she performed with the Castilian roses, especially the miraculous image she left on Juan Diego's cloak.
That cloak is still in Mexico City, self-preserved after 476 years. The work of Our Lady led directly to the conversion of many millions of Mexican Indians in the following decade and then to a culture of life after the centuries of human sacrifice practiced by the Aztec Indians.
Fr. Wilde used vivid mental images of the horror of human sacrifice and used that as a mirror for visualizing the culture of death to which the human sacrifice of abortion has brought us in our time. He urged all to pray fervently to Our Lady to help us to speak out in defense of life, which Pope John Paul II affirmed as the foundational right on which all other rights rest in his encyclical "The Gospel of Life."
He talked about how we must change the language of the debate so that we will challenge the words "A woman's right to choose" as an aborted sentence: the right to choose what? Those words may sound benign until we finish the sentence: "choose to kill her baby at any time and for any reason during all 9 months of pregnancy."
Fr. Wilde talked about the two fundamental questions each person needs to answer. First, is it human? And second, can we kill it?
Science shows that we are human from the moment of conception since the blueprint of a unique human being is thus created. Since human life begins at conception, the answer to the second question is found in the Fifth Commandment: Thou shall not kill.
"It is not enough to be pro-life in our hearts, we need to become advocates for human life from the moment of conception to natural death, both in our prayers and by our public witness," according to Fr. Wilde.
"Each of us needs to examine the candidates in the upcoming election and decide which are the ones who are unequivocally pro-life, and vote for those candidates and pass the word along to our family, friends and acquaintances.
"In this way, we can help Our Lady of Guadalupe to once again lead a civilization to a culture of life," Fr. Wilde said.
Fr. Wilde also spoke about the openness of the Church to forgiveness for those who have participated directly or indirectly in abortions and to help them find healing.
Fr. Wilde is an accomplished pianist and enjoys presenting concerts for pro-life organizations. He received his doctorate in music from The Catholic University of America, Washington, D.C., and has been professionally engaged as choral director both at Villanova and as guest director of other college chorales both here and abroad. Fr. Wilde feels a unique interest in integrating music and pro-life ministry, much as the heart is moved through beauty in life.
Fr. Wilde urged the faithful to visit www.priestsforlife.org to become more aware and knowledgeable of how they can help the pro-life cause. Those interested in having a Priest for Life come to their parish can contact the Speakers Bureau at email@example.com or call (718) 890-4400.
Mooney formerly directed pro-life activities at St. Thomas More, Allentown, before joining the Speakers Bureau of Priests for Life in Staten Island.


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When spring approaches the Baylor campus once more, it is time to begin thinking about Baylor's annual holiday, Diadeloso. Each spring since 1932, students at Baylor have been given a day off from classes to enjoy the outdoors with their friends and classmates at this annual event. Diadeloso is April 9th, 2019! Diadeloso is preceded by Noche Del Oso, a tradition beginning in 2016. Click Here for more info on Noche.
Dia started in 1932 as a way to "bring smiles to the faces of students" by giving them a break from classes. The annual spring holiday gradually became a favorite pastime. Re-organized by the Chamber of Commerce in 1935, its popularity rapidly grew and the name of the occasion through the years changed from All University Day to Physical Fitness Day to May Day. In 1966 students voted to name the annual occasion "Diadeloso" or "The Day of the Bear."


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Badges for the always sold-out Comic-Con went on sale this morning, and within 1-1/2 hours they were gone as purchasers waited in line in a new randomized system for admission.
This year's online process ushered in a big change in the way organizers dole out badges in recognition that there are far more people seeking entry than there are available tickets. Instead of its previous first-come, first-served process, Comic-Con International sorted all those trying to buy badges in a random order to avoid the technological crashes that come with everyone logging onto the registration website at precisely the same point.
Each year, the pop culture gathering attracts more than 130,000 attendees from all over the world, and many more cannot attend because the four-day convention long ago outgrew the downtown Convention Center.
Aspiring attendees shared their joy over snagging badges while others vented their frustration at not being able to attend when Comic-Con arrives July 24-27.
Shortly after the badges sold out a little before 10:30 a.m., organizers posted the following on Twitter: "Comic-Con International 2014 Open Online Registration is now closed. All badges have been sold. Thank you for your support. #SDCC"
It's possible there may be one more sale to absorb those badges that are returned. In past years, organizers have scheduled a second-chance badge-buying opportunity.


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It was a race Dan, you lost
It was a race Dan, you lost Added in the Hasbro concept Grievous. Not sure what this is, but Jeff's mentioned it in another thread, so I'll add it into the list for the time being.
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Morning Five: 10.27.11 EditionPosted by nvr1983 on October 27th, 2011
- Yesterday we mentioned the report that West Virgina's potential Big 12 application was essentially pre-approved. In the words of Lee Corso, "Not so fast, my friend!" It turns out that the Big 12 is looking at either West Virginia or Louisville as a replacement for Missouri if/when it leaves for the SEC. Amazingly, it appears that this has become such a hot-button topic that United States Senators are getting involved because you know there aren't more important things they should be worried about right now. As more than one analyst commented on Twitter yesterday, conference expansion seems to be spiraling into something akin to pledge week where schools are strung along and asked to do increasingly humiliating things to join a frat (in this case a conference).
- With the Big 12 most likely poaching one of those Big East schools, the attention shifts to the Big East, who is losing members at an alarming rate. Rick Pitino, who appears to be assuming the role of "Godfather of the Big East" even if he might not be there much longer (see above), has two teams–Memphis and Temple–on his radar. Both are interesting choices and although Memphis has a higher profile basketball program (even if they are overrated) Temple has a much better football team right now. We find Pitino's interest in Temple particularly amusing because the Owls were once a part of the Big East as a football-only member before they were essentially kicked them out for not being good enough. It is sort of like a husband dumping his wife then losing his job and his mistress and begging his ex-wife to take him back.
- North Carolina picked up its fourth commitment for this year's recruiting class when Brice Johnson tweeted, "I will be a UNC Tar Heel". Johnson is a 6'9″ power forward who is a consensus top 50 player overall and compliments a well-rounded class for Roy Williams. The one thing that this UNC class is missing is a superstar and it appears that they will have to wait on Mitch McGary to make a decision as their other top target, T.J. Warren, appears to have eliminated the Tar Heels from his final two (NC State and Georgetown) from which he will announce his decision next week.
- Last week we Tumblr'd what we believed to be a picture of the uniform that Michigan State would be wearing for the Carrier Classic. Yesterday, UNC released images of its uniform for the game and it appears to be very similar. While we appreciate the gesture including the decision to replace player names with USA on the back our feeling on the uniforms is indifference as we are not huge fans of all these alternate uniforms and neither of these are particularly attractive especially the UNC uniforms which would only serve as camouflage on a Teletubbies set.
- Secondary violations are becoming almost as irritating as conference expansion. The latest near-victim was Washington, who had to cancel a scrimmage between current players and alumni after coach Lorenzo Romar mentioned the scrimmage on a local radio station because that would violate NCAA rules. Just to clarify, the actual scrimmage between current and former players would not have been a violation, but playing it after it had been "publicized" would have been a violation. Two former player–Spencer Hawes and Nate Robinson–expressed their displeasure with the decision more specifically with the NCAA being so rigid that the decision had to be made. We are assuming current players felt the same way, but were advised to refrain from saying anything. While some claim that the rule (126.96.36.199.6 of the NCAA handbook) is intended to limit teams from essentially holding exhibition games in this case it seems asinine.


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A British healthcare worker who contracted Ebola in Sierra Leone was flown to Britain Sunday on a modified Royal Air Force Plane, according to the U.K. Department of Health. The first Briton to contract the disease "is not currently seriously unwell" the Department of Health said in a statement. The patient was expected t be transferred to an isolation unit at the Royal Free Hospital in London upon arrival, the statement said.
Meanwhile, a WHO-deployed worker, also in Sierra Leone, was the first sent by the organization to contract the disease, WHO announced Sunday. The aid worker from Senegal tested positive for Ebola on Saturday night, Christy Feig, WHO's director of communications, told NBC News. The worker may be evacuated to another care facility, "if necessary," WHO said in a statement. WHO has sent nearly 400 people from the organization and partner organizations to Guinea, Liberia, Nigeria and Sierra Leone during the outbreak that is sweeping across West Africa.
Ebola Patients Brantly and Writebol Discharged From HospitalAug. 21, 201402:24
- British National Tests Positive for Ebola in Sierra Leone
- Want to Fight Ebola? Doctors' Group Has a Job for You


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"It's scary how low we are."
�It�s scary how low we are.�
That�s what I remember the American Red Cross worker saying to me recently as he attached a Band-Aid to my arm after I had given blood. He was talking about his organization�s emergency supply.
The Red Cross serves 3,000 hospitals nationwide. To meet that demand, it must collect 17,000 pints of blood every day � one pint per donor. That becomes harder during the summer months, according to Laurie Nehring, communications manager for biomedical services for the Greater Ozarks Region. That�s when college and high school students, who make up 20 percent of all donors, are traveling or uprooted.
June was unusually bad. Donations nationwide sank by 50,000 from the month before. Things got a little worrisome before the Red Cross sent out an urgent media appeal. It didn�t get to the point where surgeries had to be postponed, but it got close.
�We were just barely meeting the needs that we had. � We didn�t have any cushion, no reserve,� Nehring said. �We were just keeping up.�
Making the task more difficult is the fact that only 38 percent of Americans are eligible to donate. You must be at least 16 years old and weigh at least 110 pounds. There�s a list of diseases you can�t have had, places you can�t have been, activities you can�t have done, and medications you can�t be taking.
But the real problem is that only 8 percent of that 38 percent actually donates � not 8 percent of all Americans, but 8 percent of those eligible. That�s in spite of the fact that 100 percent of us will receive blood if we need it.
If you have never given blood, here�s what it�s like. You can show up unannounced or, to avoid waiting, make an appointment. You�re given reading material that lists the different conditions that would make you ineligible. Then a Red Cross worker asks you to answer questions on a computer about your health and history. He or she leaves you alone to do this. If you don�t like the questions, you can leave.
Afterward, the Red Cross worker checks your blood pressure and temperature, and then, to measure your iron, pricks your finger. That hurts a little. Then you�re led to a reclining chair, given a ball to squeeze, and the blood is drawn. You would think that would hurt, but the Red Cross uses a special needle that creates a warm, tingly feeling as it�s inserted.
That last part wasn�t true, unfortunately. It�s a needle, so it hurts for a few seconds whether you stare at what�s happening or try the equally ineffective method of looking away and pretending it�s not happening.
Afterward, you�re given a thank you, sometimes a T-shirt, and a drink and a snack. You don�t get paid, and you are not more likely later to receive blood than someone who has never donated. You do get the knowledge that your one pint of blood could be used to help as many as three people � someone who needs your red blood cells, someone who needs your white blood cells, and someone who needs your platelets.
Many years ago, my co-worker and I gave blood while serving as relief workers amongst the Somali people in northern Kenya. An anemic baby was about to die, but her own people would not help her because they did not believe in giving blood. It was against their religion. It wasn�t against ours.
Still, donating blood is not for everybody. Some of us don�t tolerate it well. Some of us simply cannot stand needles or the sight of blood. For the rest, the Red Cross needs 17,000 of us to donate every day, 365 days a year, and especially right now. For more information, call (800) RED-CROSS (733-2767), or go to redcross.org.
Steve Brawner is a freelance journalist, a former newspaper editor, and a former aide to former Gov. Mike Huckabee and Lt. Gov. Win Rockefeller. Email: firstname.lastname@example.com
Editor�s Note: To donate blood in western Arkansas, contact the Arkansas Blood Institute at arkbi.org. Arkansas Blood Institute provides blood to 17 hospitals in western Arkansas and is an affiliate of Oklahoma Blood Institute. Its donation center is at 5300 S. U St. in Fort Smith. For information, call 452-5880.


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Ebony suction mounted teardrop ham stand Steelblade - ham holder
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This suction cup mounted ham holder from Steelblade is made from phenolic plywood with an ebony finish and includes a dual position skewer for mounting either hams or shoulders, as well as a suction cup for secure mounting and a 360° swiveling stainless steel head.
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Emacs-fu Emacs Tips
Emacs-fu started a great post requesting little tricks. I gave my own response, covering cut-and-paste, ido mode, uniquify and tidy backups. Da Zhang has a nice summary of some of the other tips.
Using/Extending Core Libraries
There are a few emacs libraries that store current state in global variables. For example, ido stores the list of current matches in
ido-matches. Accessing this variable while filtering using ido can be a little convoluted. I gave an example of how to do this in Shell Command on Multiple Buffers.
Dabbrev also uses global variables although it provides [internal] functions for completing an abbreviation. I have a complete example at Autocomplete with a Dabbrev Twist but the core is very simple:
(let ((dabbrev-check-all-buffers t))
(dabbrev--find-all-expansions <abbreviation> t))
Multi-file Search/Replace
I really liked this post from Ian Eure demonstrating how to do multi-file search and replace in emacs. I frequently see emacs proponents saying its awesome and you'll know when you reach emacs nirvana so it is nice to see a practical demonstration of emacs power. And of course I know it is possible in shell but the simplicity and the interactive nature of emacs makes this a much more pleasant experience. A quick summary:
M-x find-grep-dired RET <pattern>(put matching files in dired buffer)
m .php$ RET(mark all php files)
Q <pattern> RET <replace string>(run query-replace on marked files)
C-x s(save all modified files)
Emacs Popularity
So first of all I found this post referring to a thread where a guy says he recommends nano as he has used Unix-like systems that don't have vi. Hmmm… okay, and then that post has this one from 2007 in the auto-generated links list about Emacs losing in popularity.
And from there I get to this one which has a poll where 56% of the almost 750 respondants chose vim1 as their favourite Linux text editor compared to 9% choosing emacs. Of course it is a highly unscientific result, but do you think more than 6 times as many people use vim as emacs?
1. Fair enough – it is a fine editor


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There are certain cases that we see again and again.
There are certain cases that we see again and again.
One of these cases for me happened to be the first �real patient� I encountered in medical school.
Gloria was a 35-year-old woman who had been sent to the hospital�s breast clinic. The residents told me that the majority of cases seen there were small lumps and bumps that would not amount to much.
Still, each would require a thorough history and physical exam and maybe some imaging or a biopsy. Most of the news we got to deliver was good.
So I was a little surprised when the first breast-clinic patient I met told me she was there because of double vision.
Gloria had been seen in the emergency department that morning with the same concern and was found to have cranial nerve paralysis. She was unable to move her left eye to the left, causing double vision when her right eye tracked in that direction.
After I completed her neurological exam, I finally asked: �You do know that you are in a breast clinic?�
She nodded.
�So do you have any concerns regarding your breasts?�
She said she didn�t.
I explained that I was a new medical student and that the residents would fail me on the rotation if I didn�t come back with at least a minimal report about her breast exam.
She was gracious but clearly uncomfortable as she lowered her gown to reveal a sizable, actively bleeding mass on what used to be her right breast. My heart sank.
She had advanced breast cancer. We admitted her to the hospital and did more testing to establish the cause of her double vision. The tests revealed a metastatic lesion on part of her temporal bone.
During this time, she and I became closer.
I met all her kids. I went to her house and helped her with wound care after her surgery. And as we grew closer, I got to ask her the important question: �Why did you let it go so long?�
She explained, in short, that she simply couldn�t face her illness. Not only was she a single mom who loved her kids dearly and wanted to protect them from this, but she also had little support.
She had known that she had breast cancer. But the idea of hearing the diagnosis paralyzed her.
At the time, I had thought Gloria was a one-in-a-million case. But I seem to encounter another Gloria every two to three years.
There is no stereotypical Gloria. Women from every walk of life choose to ignore their illnesses rather than hear it diagnosed.
And some wait until an arm starts to swell and they can no longer disguise it, or they break their backs from metastatic disease and can no longer walk.
At this stage, treatment options are few.
Despite the attention given to breast cancer, antiquated ideas persist about mutilating surgery, toxic chemotherapy and burning radiation.
But ignoring symptoms for fear of a diagnosis can be harmful. So much more can be done with lumps that are diagnosed early.
Gloria died a year after I met her. Her three children � ages 9, 7 and 3 � moved to South Carolina to live with an aunt.
They have all since graduated from college and have kids of their own now. I lost touch with them over the years, but I hope they remember the stories that a medical student who took care of their mom told them.
About how brave their mom was and how she loved them so much.
Dr. Diane Gorgas is an emergency physician at Ohio State University Medical Center.


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Benjamin Markovits
Benjamin Markovits grew up in Texas, London, Oxford and Berlin. He is the author of The Syme Papers, Either Side of Winter, Imposture, A Quiet Adjustment, Playing Days, Childish Loves and the novel You Don't Have to Live Like This, which won the 2015 James Tait Black Prize for Fiction. He has published essays, stories, poetry and reviews on subjects ranging from the Romantics to American sports in the Guardian, Granta, the Paris Review and the New York Times, among other publications. In 2013 Granta selected him as one of their Best of Young British Novelists and in 2015 he won the Eccles British Library Writer in Residence Award. 'Picking Up Nathan from the Airport' is an excerpt from Christmas in Austin, forthcoming from Faber & Faber in 2019. He lives in London and teaches creative writing at Royal Holloway, University of London.


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We have reached the point where the release of a new Nicolas Cage movie is less fodder for humor than it is an indignity upon everyone involved with its making. It is odd, actually, that movies like Seeking Justice, which will slink across 250 screens today, less a movie release than a walk of shame, keep getting bankrolled in the first place. It is well-known that Cage desperately needs to work to keep the money coming in, but it's not so understood why anyone keeps putting him in movies anymore. Surely, at some point during the making of Seeking Justice, someone must have looked around the set and thought, "Oh, man, we're making a Nicolas Cage movie ... shut it down!"
Nicolas Cage has become the carcass of a movie star, a zombie still plodding forward, with everyone strangely playing along—for his sake maybe?—that he's still the same human being. Part of this, I'm sure, is because Cage, at his peak, was breathtaking, a loose-screw firebrand who kept finding ways to harness his inherent madness and use its power for good. (Leaving Las Vegas is generally considered his best performance, but Cage will always be the Elvis of Wild at Heart to me.) Perversely, Cage also generates some legitimate fan warmth through the ubiquity of memes he inevitably inspires, from Nicolas Cage Is A Vampire to the random naked Fudgsicle man to of course everything involved with The Wicker Man, which, I feel obliged to remind, was written and directed by Neil freaking LaBute.
Cage's inescapable Cage-ness, this sense that he is in on the joke but not really but kinda, continues to buy him goodwill, to keep everyone holding out hope that, eventually, he'll figure it out and give another great Cage performance. (It is a reason his weirdness is held in a different, more benign regard than, say, Tom Cruise's, even though Cruise still makes good movies and clearly works about a thousand times harder than Cage does.) People keep waiting for Cage to come back to us, to be the charming lunatic of Vampire's Kiss, that loopy lunkhead dreamer of Raising Arizona. We have such fondness for that Cage that we think he still cares.
But he doesn't. He checked out a long time ago, and any flashes of the old Cage are just that, flashes. His only two performances since Adaptation—his last undeniably great film—to be held in any sort of esteem are his extended walk-on in Kick-Ass (which benefited from Cage's short screen time and his obvious ardor for the material) and his "wild" work as a New Orleans cop in Werner Herzog's Bad Lieutenant: Port of Call - New Orleans. I've never quite understood the critical praise for that film; it's Herzog at his most untethered and self-indulgent, a half-assed doodle that everyone all pretend was somehow unhinged and brilliant because Herzog made an iguana cam. (Honestly, people, see Into the Abyss, which is Herzog at his absolute best.) I will credit Cage for trying Bad Lieutenant, and the undeniable rubber-necking queasiness of "Nigga Elk" ... but it's not a real performance from Cage. It's a freak show.
Oh, if only we'd get the freak show anymore. Seeking Justice makes the fundamental mistake all the dullest late-era Cage films make: It treats him as if he is a normal human being, rather than a crazy alien. Cage has reached the stage in his career where it's impossible to accept him doing regular-people things, like jogging, or playing pool, or eating a sandwich. And don't get me started on his sex scene with January Jones. (Really. That's something that happens. They filmed it.) Cage plays a New Orleans schoolteacher who, after his wife is attacked, ends up embroiled in a ridiculous secret society of vigilantes (led by Guy Pearce, who should be done with this sort of silliness by now) who chase and terrorize him throughout various Big Easy landmarks. (The movie inadvertently makes a terrific case for tearing down the Superdome.) It's a nonsensical, lazy innocent-man-wrongly-accused film, and Cage, perhaps justifiably, sleepwalks through it, rushing through his scenes like he has a meeting with one of his lawyers in an hour. Of all the Curiously Uninvested Cage Performances of recent years (Bangkok Dangerous, Trespass, Season of the Witch), this is the most-tired, most-done-with-this-shit Cage I've seen. He doesn't even bother to crank up the craziness from time to time. He just looks ready to go home.
I don't know what's going on with Cage's personal or financial life, and I do not care to know. But as an actor, he has clearly, and maybe irrevocably, checked out. Eventually they're going to stop bankrolling these things. We will go from lamenting what has happened to Nicolas Cage to oblige him to make these terrible movies to wondering, "Hey ... whatever happened to that guy?" Nicolas Cage died long ago. We're just watching the death spasms now. Soon: Rigor mortis, and then he's just gone.
Grierson & Leitch is a regular column about the movies. Follow us on Twitter, @griersonleitch.


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Reusable bottles divert hundreds, if not thousands, of single-use containers from the waste stream, but to us, what you put in the bottle counts just as much in creating healthy lives and planets.
Before the project began, it became clear that the teams saw eye-to-eye and shared some core values. Aside from Zing Anything's own beliefs and intuitions about the market, the research showed that people were making healthier choices and moving away from high fructose corn syrup and artificially flavored or colored drinks. But even flavored or "intelligent waters" contain additives and sugars that are not as smart as they claim to be. The CZ and AZ let the user decide exactly what goes into their drink and inspires creative new combinations of flavors.
At the same time, people are also becoming more aware of how the products they use everyday are made and how their choices affect the planet. Not satisfied with attaching a 'green' label to products as some sort of feature, Studio Murmur understands that the standards for making a great product are inherently responsible, safe and beautiful. Using quality materials and simple mechanisms, the Zing Anything products deliver.
All Zing Anything products have been extensively tested and analyzed with a primary focus on enhancing the taste of your water or other mixtures while keeping you "healthy".
Our innovative line is patent pending with multiple filings covering all technological and/or design aspects of our unique product line and pending additions.


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Our America
(Medley)arr. John Higgins - Hal Leonard Corporation
Our America
(Medley)arr. John Higgins - Hal Leonard Corporation
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This inspiring medley for choir, band, and optional strings is a marvelous patriotic feature for young choirs! Ideal for school and community concerts, it adapts easily for festival performances and mass choir events, and it's arranged to be performable by band alone. Included are: Yankee Doodle; This Land Is Your Land; You're a Grand Old Flag; Yankee Doodle Boy and God Bless the U.S.A. Highly recommended!
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Having recently been admitted to the rabbinical program for the coming academic year, you now have the opportunity to indicate your preference for the U.S. campus on which you prefer to study following the Year-in-Israel program. On this page, you will find a link to the Campus Placement Form that you must complete and return to the Campus Placement Committee stating your campus preference and any specific reasons for it.
In placing students, the College-Institute looks to maintain classes of reasonable size on each campus to ensure that all of our students have access to the best possible resources for their education. Typically, this means that the second-year class is divided evenly among Cincinnati, Los Angeles, and New York.
Every rabbinical student, no matter where he or she is placed, will study in the same core curriculum for the first three years, will be offered similar electives, and will be subject to similar requirements to those of his and her classmates on the other campuses. Each of our campuses offers outstanding training - academically, professionally, and personally. Each of our campuses offers its rabbinical students the opportunity to receive an additional masters degree in education as well.
Besides the need to maintain a reasonable student-faculty ratio in each location, the only factors that the Committee considers are those you mention on the enclosed form. Please use it to describe any compelling reasons for your choice of campus. These may include personal reasons, considerations related to the professional needs of a spouse or partner, or reasons based on the opportunities of a particular campus or city. HUC-JIR will not consider outside employment opportunities as a compelling reason for a particular campus placement, as the rabbinical program is a full-time program, and the College must approve any student employment.
The Campus Placement Committee strives to grant every student his or her first choice; however, each year we find that we cannot accommodate some students on the campus they prefer. Hence, in listing your campus preferences, remember that you must indicate a second choice. It is very important to indicate a second choice that you can accept comfortably. While a high percentage of our students receive their first choice, it is inevitable that a small number of students will receive their second choice. Failing to provide a second choice does not increase your chances of receiving your first choice. In fact, if you do not indicate a second choice, and we are unable to assign you your first choice, the Campus Placement Committee will assign you to one of the other two campuses based on available space. Also, please note that while there is an appeals process each January, it is rare that appeals for campus placement changes are granted.
Campus Placement Request Form - Due May 24, 2019
For Campus Descriptions please contact firstname.lastname@example.com.