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Is the new professionalism and ACP's new ethics really just about following guidelines?
The Charter ( Medical Professionalism in the New Millennium.A Physician's Charter) did not deal with just the important relationship of ...
Friday, March 31, 2006
Comments about Deficiency of clinical skills
Several ad hominem comments accused Dr. Fred of being basically a disgruntled, out of date, grumpy old doc who-in the words of one such writer-never practiced in the real world. Ad hominem arguments are -well -just that and usually do not warrant detailed refutation.
Unlike some of the commenters' suggestions, Dr. Fred seems quite aware of the calling-the-shots nature of managed care and the time restriction brought about by the third party payers' domination. He says that the HMOs force physicians to care for a maximum number of patients, in a minimum number of minutes for the lowest number of dollars.
His rant is about the decline of clinical skills and the factors responsible.He believes that values and priorities are not what they used to be.
When he trained in the mid-1950s ( and also when I trained in the 1960s) :
"... hard work,self pride,devotion to duty, strict accountability and pursuit of excellence were the norms" .
To expand on that-Things were framed in the relationship between the individual doctor and the individual patient.We did not speak about or -except in extreme circumstances-consider the " greater good" or conservation of some abstract and apparently collectively owned "resources".It seems that the core competencies of the ACGME do espouse-at least in part-values other than the one-on-one doctor patient relationship.
The ACGME core competences speak of :
..Responsiveness to the needs of patients and society
...practice cost effective health care and resource allocation
...understand how their patient care and other prorfessional practices affect...the health care organization, and...the larger society.
If I were managing an HMO, those "values" are certainly those that I would have inculcated into the doctors who are allocating my resources.
5 comments:
- Anonymous said...
"Dr. Fred seems quite aware of the calling-the-shots nature of managed care and the time restriction brought about by the third party payers' domination"
So are the doctor's criticizing him( myself being one of them) for his idea of profesional competance.The mode of practice he advises suits well for the fee for sevice regime, presently totally eaten up by the third party paying system,in
whatever form it may be.But nostalgia aside HMO's are here to stay, which came into existance under the backdrop of widespread fraud and overbilling,in earlier regime, courtsey few doctors who perhaps belong to Dr. Fred's generation.
The age old tussle between the care provided and reality of health care dollers is never gonna stop.May be the curriculum should change to adapt a doctor to face the challenge.otherwise sooner or later they would end up being one 'rip van winkle'
- Anonymous said...
Well said.
- Anonymous said...
"Things were framed in the relationship between the individual doctor and the individual patient.We did not speak about or -except in extreme circumstances-consider the " greater good" or conservation of some abstract and apparently collectively owned "resources".
The old way you're talking about here is gone. GONE. I'm currently a student at a top 15 medical school with a heavy emphasis on primary care. We're being taught the new way. "The greater good" "limited resources" "community at large". This is the party line now. I hear the word "community" more than I hear the word "patient".
- james gaulte said...
to anonymous 8:33 pm- I can easily beieve that your observation is valid.I cannot tell from your comments if you agree with this "paradigm shift". I would be interested in other med students' views on the "new way",i.e is that what they hearing and if so should it be that way.
- Anonymous said...
I'm a medical student in Mexico in an international program (will go back to states after 4th year), and I can definitely say that the method here is precisely what's NOT being taught at the "top 15" medical schools. We learn exhaustive clinical exams and with each semester, more maneuvers/exams are learned with less time in which to perform them under examination.
There are obvious fiancial reasons to not over-order studies (patient's can't usually afford an MRI just because it's ordered, and hospitals, which charge fractions of what US hospitals charge, often can't afford to buy enough high-end equip. to meet demand), but there are cultural ones, too. The doctor is the expert; the patient comes to the doctor for advice and counsel. Patient is free to not heed advice and counsel, but there is no topsy-turvy world where doctor has to defend his/her position to placate patient's need to feel like doctor is not incompetent "just because." The doctor's responsibility is to be the best practitioner s/he can be, move out of the way when need be, and above all, remember his/her role as healer in the truest, complete sense.
Now don't get me wrong, there are a lot of messed up things here about their medical system, both academically and financially, but in the case Dr. Fred makes, they have it right on the money here. I'll need to learn some newer technology when I get back, I'm sure, and I'm sure there's long lectures from the general counsel's office, etc. to properly let us know what's different and all that, but that stuff one can learn on the job--that's simple adjustment. Having never learned to really listen to a patient and then know what to follow up with on a physical exam, that can't be learned in an orientation seminar when your internship starts. Sure, the real world doesn't always give you enough time, but the "standard" should be thorough analysis, testing hypotheses, not "let's see what the CT says," because you don't need to think anymore once you see the film.
Sorry so long--don't know if this helps provide some perspective, but I feel strongly about applying the best technology has to offer (I'm a major computer/technology person), but also realizing that technology is what you use to extend your abilities, not replace them.


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A central objective of the Greater Norwalk Chamber of Commerce is to provide varied and valuable benefits for its membership, enabling businesses to develop, advance and grow.
The Chamber provides numerous networking opportunities for its members. The two major programs in this category are the Business After Hours and Networking Breakfast. The Chamber also takes part in regional multi-Chamber expos and networking events throughout the year. Although all Chamber events provide the opportunity to network, these programs emphasize this particular aspect, while also highlighting a hosting Chamber member.
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The Chamber offers members a variety of means by which to promote and market their business. Acquiring a mailing list, placing inserts in regular Chamber mailings, or placing ads in the annual directory, newsletter, or other marketing vehicles are some ways we help you succeed. The Chamber also provides the opportunity for member profiles and member news in its newsletter, The Chamber Report, and e-newsletter, The Chamber E-port.
Valuable Programming
The Chamber provides educational and informative seminars and programs throughout the year to build awareness on a myriad of topics, and to keep businesses abreast of issues and matters affecting their region and business community, such as the Economic Outlook Luncheon, Mayor's State of the City, Regional Roundtable, various political forms and more.
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The Chamber provides various programming in relation to government and politics, ranging from issue-focused forums to electoral debates. In addition, the Government Affairs Committee meets throughout the year to discuss issues and matters of concern on a local, state, and even federal level. They also work with legislators and government officials to address targeted needs and goals within the business community.
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6' 3 x 9' Ultra Vintage Persian Rug
Authentic Persian Rug
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Design: Ultra Vintage Collection
Pile Material: Hand Knotted of 100% Natural Wool
100 knots per square inch
Brand new
Has fringe.
Colors include: Plum Red, Hunter Green, Light Blue, Violet, Purple, Burgundy. The primary color is Plum Red.
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Toby A - Gold Earrings
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By Jon Caroulis
A chance encounter in Bucharest led a Mt. Airy resident on a new career path, combining two loves he now pursues as a La Salle University faculty member: examining the interplay between classic Italian writings and music.
In the spring of 1999, Marco Cerocchi, 39, had finished a piano recital at the Italian embassy in Romania when he was approached by a professor from a Florida college, who encouraged him to apply for both graduate school and as an instructor of Italian. Two years later, Cerocchi moved to the U.S., where he started to teach and do research in Italian Studies.
"I thought it could be a good experience. I took it as an opportunity to see what I could do," said Cerocchi, who, with his wife, moved to Mt. Airy four years ago when he began teaching at La Salle. (Cerocchi also teaches a course at the Curtis Institute of Music.)
Building on his musical background, which includes a terminal degree (the highest academic degree in a field of study) in piano performance from the Italian National Conservatory of Music, and a B.A. and M.A. degree in Italian Literature and Music History from the University of Rome, Cerocchi developed a comprehensive understanding of topics related to Italian literature and music.
Throughout his graduate studies at Florida State and Rutgers universities, he analyzed how Italian poets and writers created a relationship between music and literature. He soon began to make presentations at conferences and then to publish papers on the topic in academic journals.
His research has led to a book, "The Semantic and Metatextual Functions of Music in Dante, Petrarch and Boccaccio," published by one of Italy's leading academic publishers.
In his work, Cerocchi examines some of the most famous Italian literary masterpieces of the three authors, widely known as "the fathers of Italian literature," Dante, Petrarch and Boccaccio.
The book begins by exploring the extraordinary psychological power attributed to music by Dante throughout the "Divine Comedy." According to Cerocchi, the poet distinguishes two quite different kinds of music: "sacred" and "profane." The former, which is dedicated to praising God, he thought capable of elevating human spirits to the highest. The latter, with its focus on purely human emotions and needs (such as love), Dante felt would corrupt the souls of individuals, distracting their attentions from eternal salvation.
Petrarch, writes Cerocchi, instead, allowed this danger to fascinate him, contemplating music's uncanny and diverse psychological effects. The poet's conception of music is quite evident throughout his major literary works, and their analysis clearly illustrates the poet's awareness of the high value of music, even the secular one, in human beings' lives.
Finally, Cerocchi illustrates how Boccaccio's "Decameron" can be considered the first work to acknowledge the inherent dignity of secular music within contemporary society's daily activities, for the first time unburdened by concern and shame.
A native of Latina, a town 40 miles southwest of Rome, Cerocchi found that his academic pursuits prevented him from dedicating eight hours a day to the piano, as he had when he played professionally. However, Cerocchi has found a way to effectively combine music and literature, his longtime passions. "Not only does my research let me spend time exploring subjects I love," Cerocchi said happily, "but as a professor, I have the opportunity to share the things I learn with my students. Who could ask for more?"


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Scott Johnston needed a new button or icon design and created a contest on 99designs.
A winner was selected from 26 designs submitted by 8 freelance designers.
InTouch Technology (http://www.intouchtechnology.com)
We are a small company that helps people get healthy by improving the sales at leading fitness clubs worldwide.
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InTouch, The Follow-Up Company, enables clients like Gold's Gym and Anytime Fitness to follow-up with their leads more efficiently. With InTouch, they sell memberships to 34% of their leads, which are worth at least $100, versus the industry average of 20%. Follow-up failure occurs when a lead is contacted only 3 or 4 times (average club) instead of the 7-11 times most people require before becoming a member.
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Our end users are non-tech savvy sales people and managers, so the simpler and more obvious the presentation the better. We can't assume any level of comfort with computers.
And we can NEVER assume they will read anything on the screen, so the icons must be super clear and obvious.
We are looking for a designer to create a full suite of icons for our web-based application. To begin we want icons that represent:
* an appointment. This appointment is called a tour and is when a person comes to visit a fitness club in person.
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I have attached our prototype (agenda view, showing what is the next activity and lead view (showing the list of leads and their upcoming activity). I have also attached our existing lead and appointment views for reference. The last attachment (communication.tiff) is a screen we actually like to give you.
Icons must be simple, yet self-explanatory as our customers never actually read the screen. Once we find a design we like, we would like to work with you to create the remaining icons for our system.
Please provide original vector work and rendered JPGs or PNGs.


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Sourced from higher altitude vineyards that cling to steep hillside slopes north east of Verona, the warm climate is cooled by afternoon sea breezes.
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Captain DeWolf took over the Brother Jonathan (220 ft. sidewheel steamship)in June of 1865 after the previous captain was shot in an argument with a southern sympathizer just after the end of the Civil War. While on the Columbia River, the Jonathan collided with the sailing barkentine, Jane Falkenberg, damaging the Jonathan's hull. When she returned to San Francisco, Captain DeWolf told the company that she needed to be hauled out and repaired, but they decided to do the job at the dock.
Business was good, perhaps too good. Cargo had piled up on the dock for the lack of carrying capacity, and now the Jonathan was there and scheduled to go north. The day before she was to sail, Captain DeWolf told the company's agent to stop accepting cargo, as the ship was already too deep in the water, and she hadn't even begun loading her passengers. But the agent refused, and when Captain DeWolf said it was too dangerous to sail her in this condition, he was told that if he didn't take her out, they would find a captain who would. The company's agent then ordered aboard a three-stamp ore crusher, weighing several tons, which was placed aboard, directly over the patched spot in the Jonathan's hull.The ability to steer was greatly reduced by the overload thus reduced speed, a sidwheeler is steered by virture of the water passing the rudder resultling only from the speed of the ship.
On July 27th and 28th, 1865, the loading was finished on the ship. The purser was busy storing away or listing an unusual amount of cash for the trip. Major Eddy, a U.S. Army paymaster, came on board with $200,000 to pay the troops at Fort Vancouver, Walla Walla, and other posts in the Northwest, probably in greenbacks. William Logan, government Indian Agent for the Northwestern Region, may have brought gold coins on board for the annual treaty payments to the tribes. This money was paid to the tribes to keep them on the reservations, and they were usually paid in gold. It has been said that crates of $20 gold pieces were loaded, some for a private transfer for Haskins and Company, and possibly some for Wells Fargo and Company.
The following is primarly from the testimony of the third mate, the only one of the ship's command who survived.
By noon on the 28th, the Brother Jonathan was ready to go. Steam was raised, the lines cast off, and the paddles began to turn. But the ship didn't move an inch. So deep was she laden that her bottom was firmly embedded in the mud. They waited for the afternoon tide and hired a tug, and the Jonathan sluggishly left the dock, backwards, with 54-crew members and 190 passengers aboard. She passed through the Golden Gate and turned north, into a strong headwind and heavy seas. It only got worse as they slowly worked north and very few passengers were in any condition to show up for dinner.
Around two in the morning of the next day, the Jonathan pulled into the harbor at Crescent City to offload a little cargo. By 9:30 she was back underway. With the storm building, Captain DeWolf headed more west than north, to get safely around the strung-out rocks of St. George's Reef. But the speed was down and the storm was building, and it took two hours to make about 14 miles northwest of port. By then Captain DeWolf noted that the vessel was hardly keeping her own, and decided to run back to Crescent City to wait out the storm.
At noon the Captain took a sun sight, and plotted his position "four miles north of the latitude of Point St. George." The ship was brought to a more easterly heading, which steadied her a bit, and headed closer to shore. The ship came up to Seal Rock, where it was relatively clear, and Captain DeWolf ordered a course "Southeast by South," to head for the Crescent City breakwater. The charts then used showed no obstructions between his ship and safety. The captain ordered a mate forward to ready the anchors for use. This was Dragon Channel the normal offshore approach to Crescent City and marked at the shore end by Batttery Point Light.
As the mate worked on the anchor, he suddenly saw something beneath the water and yelled back to the wheelhouse, but it was too late for the Jonathan. The waves lifted her and dropped her on a pinnacle of rock rising 250 feet from the ocean bottom. The rocks penetrated her hull between the bow and the foremast, then the next great wave carried her further, tearing her bottom out all the way to the bridge. The great weight of the ore crusher dropped through what was left of the bottom of the ship through the hull weakened by her previous collision. The force of the wind and sea twisted the Jonathan around until the bow pointed directly at the shore, some four miles away. Five minutes after she hit the rock, Captain DeWolf knew there was no hope of saving the ship, and ordered crew and passengers aft to "try and save themselves."
The Jonathan carried four iron lifeboats and two wooden surfboats, with a capacity of 250 people, but getting them off was more than the crew could handle. The first lowered boat capsized immediately and drifted under the stern of the dying ship. The second boat, full of ladies, was being lowered just astern of the paddle wheels on the starboard side, when a giant wave hit the ship and smashed the lifeboat into the ship. The first officer, a Mr. Allen, managed to get the passengers back aboard the Jonathan just before the lifeboat was totally smashed to pieces against the hull.
Fifteen minutes had gone by since the ship hit the rock, and she was breaking up fast. The Third Mate, Mr. Patterson, decided to have a go with one of the surfboats. He gathered up five women, three children and 10 crewmen and herded them into the boat. He began lowering the boat and the ship again careened over hitting the little boat. Patterson managed to get the damaged boat away with difficulty and the lucky survivors turned to see the Jonathan go down by the bow and slip beneath the waves. Three desperate hours later the little boat pulled into Crescent City harbor. Four boats tried to leave the harbor to go out to the wreck site for rescue, but all of them had to turn back just outside of the breakwater, the storm being too much for them. It was two days before anyone could reach the site and there was nothing but scattered wreckage when they got there. Of the 244 people on board, only the 19 in the Third Mate's boat survived. For several weeks bodies and wreckage came ashore from Cape Sebastion, Oregon to Trinidad Head, California, but most of the dead were never recovered. It was the worst wreck on the Pacific coast up to that time and what was left of the cargo and gold aboard? Only a new name on the charts—Jonathan Rock.This rock had been missed in surveys of the reef for it was but a submerged pinnacle surrounded by deep water of 80 to 100+feet and somwhat south of the reef.
Source of above http://shipwrecks.slc.ca.gov/Brother_Jonathan/Ships_History.html
Outcome. The most significant outcome from this wreck was Congress passing several Steamboat Acts in 1867 adressing passenger and crew safety, qualification of masters and mates, lifeboats and lifeboat training of crews, and loading of ships not to exceed design capacity. And in 1871 the Steamship Inspection Service was created with full enforcement authority.


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"Take a picture, what's inside?
Ghost image in my mind
Natural pattern like a spider
Capillary to the center"
Sitting with our morning coffee on Sunday, our pack of dogs snuggled around and on top of us, Caryn and I were listening to NPR's Weekend Edition. It's a little thing we try to do on the weekends to recover from one week and steel ourselves for the next.
As soon as I heard an introduction of a segment with the letters "IRM", my attention was caught. It is the acronym, in many languages for what we know as MRI. I made that correlation quickly. What I wasn't getting was that this was to be an interview with a French singer about her new album.
Well, as soon as they played title track from Charlotte Gainsbourg's release IRM, I knew that my assumption was correct.
The unmistakable whine, groan and thump, so familiar to a person living with multiple sclerosis, came across our clock radio. Had it not been for a hypnotic drum track backing the sounds of an actual MRI machine, I may have thought I was having some kind of a flashback!
Ms. Gainsbourg had a series of MRIs (and other neurologic tests with which we living with MS are all too familiar) and, like many of us, was profoundly changed by the experience inside the MRI machine's lonely tube.
"Hold still and press the button
Looking through a glass onion
Following the X-ray eye
From the cortex to medulla"
The more I listened to her recording (which she co-authored with Beck, who is known for using ordinary sounds to create extraordinary musical experiences) the more I was brought back to my first journey into the world of magnetic revelation of my body. That drumbeat revealed itself as my heart; thumping in my throat, my ears, my eyes…my consciousness. ANYTHING to drown out the electronic grinding and the shaking which seemed to move the very room in which I lay!
I must have looked a fright as I sit, propped against a stack of pillows and in the middle of a Wheaton Terrier sandwich! Caryn didn't say anything until a few minutes into the interview, once I had a chance to shut my gob which was slacked for the experience.
I'd never thought of those sounds, the ones we experience in total seclusion, as the basis for art. Even with a modest musical training, I never thought to allow them any place in my mind other than annoyance or fear.
I guess it just goes to show us that there can be beauty in nearly every experience; even the MRI. All we have to do is open ourselves to it. The next time (which will be this quarter), I'll try to stay awake!
Wishing you and your family the best of health.


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Jarro XIV: Thoughtfully Crafted Pintxos in Cobble Hill
I have an ambivalent relationship with small plate restaurants in New York City; I want to taste everything that they have to offer... but they are usually too expensive to allow a small party to try more than four or five dishes for a reasonable price. There is always a reluctance to order that one extra dish, the one that you're just sort of curious about, but will cost an additional 8-13 dollars.
The pintxos menu at Jarro XIV liberates you from any such dilemma. The dozen or so Mediterranean-inspired canapés (all $5 or less) are thoughtfully constructed, with great attention paid to the balance of savory, sweet, sour, and bitter flavors. The ingredients are also considerably more exciting than the olives, nuts, and other low cost items you'd find on a typical tapas menu.
The fluke ($5) would not be out of place on a three-star tasting menu. Cured in salt, sugar, and spices, the opaque flakes of flounder are topped with smoked salt and tiny marinated honjimeji mushrooms. It's a wonderfully delicate bite, further brightened by a ribbon of sweet and sour blood orange purée.
Chef Rodrigo Nogueira, formerly of Monkey Bar and Collichio & Sons, subtly uses smoke to great effect. The smoked cherry tomatoes under the white anchovies on toast ($4) elevate a common crostino to something much more interesting. Similarly, skewers of braised and flash-fried pork belly ($4) find balance with a bacon sherry gastrique and a sweet marmalade.
You could easily make a satisfying meal off the pintxos menu without breaking the bank, but larger, more traditional entrées are also reasonably priced. The Striped bass ($22) has a nicely crisped skin and is served over a hearty bowl of baby potatoes, Swiss chard, littleneck clams, tomatoes, and fish broth. A side Jarro potato ($8) is equally satisfying, topped with Parmesan, cheddar, creme fraiche, and sour cream, and then stuffed with mushrooms and caramelized onions.
The open space, with well-worn couches and mismatched tables and chairs, gives Jarro something of a neighborhood coffee shop feel; many diners linger long after their meals. A solo diner could pop in and spend ten bucks for a few quick interesting bites, while a large group could spend hours lounging on the couches, drinking and tasting their way through the pintxos menu.
Check out more of Jarro XIV's dishes in the slideshow »
Jarro XIV
68 Bergen Street, Brooklyn, NY 11201 (map)
All products linked here have been independently selected by our editors. We may earn a commission on purchases, as described in our affiliate policy.


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text:
I just got a new shed built with concrete blocks and a metal roof last month and thing is dripping with condensation from the roof. There is absolutely no insulation in the shed.
How would I get rid of this, insulate the metal roof with spray foam or the normal kind? Plaster the inside and outside of the shed?


text:
CARACAS (Reuters) - Venezuelan authorities have arrested another eight anti-government protesters, bringing to 19 the number being held amid street demonstrations that President Nicolas Maduro says are being orchestrated by foreign-backed "coup-seekers".
Ten months after Maduro narrowly won an election to replace his mentor and late socialist leader Hugo Chavez, a hardline wing of Venezuela's opposition is trying to whip up street protests over rampant crime, economic hardship and alleged state repression.
Maduro, a 51-year-old former bus driver and union activist who has pinned his presidency on maintaining Chavez's legacy, says extreme right-wing politicians backed by "imperialist" collaborators want to bring him down by undemocratic means.
The protests have been sporadic and seldom drawn crowds of more than a few hundred, though activists were hoping for bigger numbers at a march planned for Wednesday in Caracas.
Opposition campaigners said police detained eight people in the western Andean town of Merida on Monday night after students rallied for the release of colleagues in jail elsewhere.
"They simply unfurled banners and handed out banners," said Tamara Suju, a human rights campaigner who works with the Popular Will party that is promoting the anti-Maduro activism.
The eight in Merida would add to four from Tachira state, and seven from Margarita island, held after other recent demonstrations, according to activists and student leaders. Some have been detained in their homes or workplaces.
Officials say the protests are turning violent.
"I've had enough," an angry Maduro said on state TV on Monday night. "You can accuse me of what you want, I am obliged to defend democracy and the peace of the people."
The president said extremists were trying to undermine a political dialogue he has begun with the more moderate majority in Venezuela's opposition coalition. That has included a handshake with his arch-rival and two-time presidential candidate Henrique Capriles during a meeting over crime.
Maduro, who constantly says conservative U.S. politicians are fomenting plans to topple him, vowed to use decree powers granted by parliament against his domestic foes.
"I'm going to look for very strict norms so that anyone involved in these coup-seeking adventures can never participate as a candidate for anything again," he said.
That appeared to be a reference to Popular Will leader Leopoldo Lopez, a former Caracas district mayor who has been barred from running for office in the past on corruption charges. He says they were trumped up to damage him.
Lopez, 42, said officials forced him off a flight to Tachira late on Monday where he had intended to meet protest leaders.
"The desperate and cowardly actions of a criminal government will not halt the unity in the street," he tweeted later.
In an apparent rebuke to Lopez and illustrating splits within the opposition, fellow opposition leader Capriles said he did not support the confrontational tactics being promoted by hardline activists.
"We have to find a real solution for people's problems and avoid ... failed past agendas," said Capriles, the 41-year-old governor of Miranda state who narrowly lost to Maduro in last year's presidential poll.
Massive opposition protests in the past helped bring about a brief coup against Chavez in 2002, but he returned after a 36-hour detention when the military swung behind him and supporters poured onto the streets.
Editing by Peter Murphy and Rosalind Russell


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WWE Extreme Rules 2011 DVD
WWE goes EXTREME in this high octane pay-per-view event. Each of the matches have special stipulations as WWE Superstars battle for high profile championships and pride. The 2010 edition featured Street Fights, Steel Cage Matches, Strap Matches and more extreme antics. Who knows what lengths the Superstars of Raw and SmackDown will go to top last year's event?
- Last Man Standing
Randy Orton vs. CM Punk
- US Title Tables Match
Kofi Kingston vs. Sheamus
- Tag Team Country Whipping Match
Michael Cole & Jack Swagger vs. Jim Ross & Jerry Lawler
- Falls Count Anywhere
Rey Mysterio vs. Cody Rhodes
- No DQ, No Countout, Loser Leaves WWE
Layla vs. Michelle McCool
- Ladder Match for the vacant World Hwt. Title
Christian vs. Alberto Del Rio
- WWE Tag Team Title Lumberjack Match
Big Show & Kane vs. Wade Barrett & Ezekiel Jackson
- WWE Title Steel Cage Thriple Threat
John Cena vs. The Miz vs. John Morrison
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DON'T MISS OUT! Reserve upcoming releases as soon as they're announced. We will email you tracking information when your pre-order arrives and ships. We require a small deposit to reserve. You are charged the balance when the model arrives.
Reserve a model with Legacy Motors and you get your own Personal Pre-Order Page. Click to see.


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The HVAD System is designed with intuitive peripherals that help VAD centers more efficiently manage their MCS programs and give patients greater mobility.
Autologs™ On-demand Data Available with Every Patient Visit
Autologs is the latest addition to our industry-leading device management service, providing transparent data as an integral part of the user-friendly HeartWare HVAD System.
Comprehensive logfile data is delivered in seconds, right to your computer, so you can instantly access the data during the clinic visit, instead of hours later, streamlining device management.
Autologs Reports provide in-depth information on VAD parameters, pump performance, battery usage, pulsatility, alarms and events.
- Gain key insights into your patient's condition to troubleshoot patient complications and provide on-the-spot information.
- Monitor the pump's function and identify any alarms the patient may have logged over the last two weeks.
- Determine if your patients are not using their equipment properly, which can signal a need for additional training.
HVAD™ System Controller
Simple to learn system helps patients more easily monitor their condition and pump performance.
- Lightweight and portable equipment is designed to be user-friendly and allow for greater mobility
- Plug-and-play connections make changing power sources simple and routine
- Easy for clinicians to teach patients
- Customizable alarms and features
Waveforms: Real-time Data for Enhanced Device Management
- Accurate, reliable and real-time parameters
- HVAD Waveforms represent the relationship between the pump and the patient
Download the new Waveform App on your iPad to start learning.
New waveform paper now available ahead of print:
HVAD Flow Waveform Morphologies: Theoretical Foundation and Implications for Clinical Practice


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Theresa May has called an early general election for June 8 in an announcement which has stunned Westminster.
Explaining her change of heart on an early election, Mrs May said: "I have concluded the only way to guarantee certainty and security for years ahead is to hold this election."
Here is the full text of Prime Minister Theresa May's statement from Downing Street announcing that a general election is to be held on June 8:
"I have just chaired a meeting of the Cabinet, where we agreed that the Government should call a general election, to be held on June 8.
"I want to explain the reasons for that decision, what will happen next and the choice facing the British people when you come to vote in this election.
"Last summer, after the country voted to leave the European Union, Britain needed certainty, stability and strong leadership, and since I became Prime Minister the Government has delivered precisely that.
"Despite predictions of immediate financial and economic danger, since the referendum we have seen consumer confidence remain high, record numbers of jobs, and economic growth that has exceeded all expectations.
"We have also delivered on the mandate that we were handed by the referendum result."
"Britain is leaving the European Union and there can be no turning back. And as we look to the future, the Government has the right plan for negotiating our new relationship with Europe.
"We want a deep and special partnership between a strong and successful European Union and a United Kingdom that is free to chart its own way in the world.
"That means we will regain control of our own money, our own laws and our own borders and we will be free to strike trade deals with old friends and new partners all around the world.
"This is the right approach, and it is in the national interest. But the other political parties oppose it.
"At this moment of enormous national significance there should be unity here in Westminster, but instead there is division.
"The country is coming together, but Westminster is not."


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RACICE, Czech Republic - Eight rowers from Harvard competed at the 2009 U23 World Championships last weekend. Two walked away with medals, while seven of the eight advanced to A or B finals.
Rising junior Olivia Coffey won a silver medal with the U.S. women's eight, clocking a 6:21.80 to finish 1.09 seconds behind Great Britain. The British boat took the lead in the first 500 meters and built a 2.68-second advantage on the American crew, which sat in third, at the midway point of the race. The U.S. boat tried to get back on terms with Great Britain over the final 1,000 meters but was unable to track down the Brits. Great Britain crossed the line in a 6:20.71, while Poland took the bronze medal in 6:23.16.
Anthony Locke, rowing for Great Britain, earned bronze in the men's eight. His crew finished in 5:35.25, behind Poland and Germany. Locke, a rising junior, rowed against varsity eight-teammate Richard Anderson, who was the stroke for the Canadian eight. Canada finished fifth with a time of 5:37.74.
Laura Nicholson '09 rowed in the women's four for the United States, which finished sixth in the A final. The crew got off the line in fourth position but was unable to make a push for a spot on the medal stand during the second half of the race. Sitting in fifth at the midway point, Belarus came from behind to win the gold medal in a 6:48.77. Italy finished second in a 6:49.90, followed by New Zealand in a 6:52.76. The U.S. entry crossed the finish line with a time of 6:57.21.
Ryan Bucke, a rising junior for the Crimson, sat in the bow seat of Great Britain's coxed four. Great Britain finished third in the B level final with a time of 6:25.62.
Rising sophomore Austin Meyer and the United States came in fourth in the B final of the lightweight men's four, good for a 10th-place finish overall. The top four crews finished within 2.85 seconds of each other, with Italy winning in a 6:05.10. Denmark finished second, followed by Australia. The U.S. clocked a 6:07.95. Jeff Overington '09 was the stroke for the Canadian entry that finished fifth in a time of 6:09.82.
Patrick Thornycroft, a rising sophomore, won the E final of the
men's single sculls. He used a 1:48.31 split in the final 500 to
come back for the win. He clocked in at 7:19.12.
Photo of Anthony Locke (left) courtesy of Gil Talbot.


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A higher vantage point: Protect general aviation in Colorado
By Milton Lewis
Guest Commentary
Keeping track of over 300 head of cattle isn't easy. Every week, I go through all 6,000 acres to make sure all our cattle are accounted for, in their proper pastures, and in healthy shape, while making sure the fields and equipment are in good condition. Doing this by truck would turn it into an all-day task, preventing me from being able to tend to my many other responsibilities as ranch manager of Bayless Ranches. By flying my Piper Super Cub, however, this is accomplished in a matter of hours.
I have been working at Bayless Ranches in Cortez for over 20 years. I admit a cattle ranch is not a typical place where one would think it is useful to have an aircraft. After flying for 41 years though, I can attest that having my own plane is invaluable for productivity and efficiency in caring for our cattle. By being able to quickly fly over our fields and notice if any of the livestock are sick or if any fences are significantly damaged, we are able to react before the ranch suffers significant losses.
The use of general aviation in an agricultural or business application is certainly not unique. Thousands of businesses of all sizes make use of small aircraft to increase productivity, survey land, deliver supplies, visit with customers, and get to multiple meetings in different cities on the same day, even in rural parts of the country where access to commercial flights is limited. All told, general aviation creates $150 billion in economic impact each year across the country and supports more than 1.2 million American jobs. In Colorado, general aviation is a $1.9 billion industry, supporting more than 22,000 jobs.
Read more…


text: Having accidentally caused a merchant ship to blow up, stowaways Bob Hope and Bing Crosby are shipwrecked on the African coast. Commandeering a convenient camel (who takes time to ad-lib a spit in Hope's eye!), Bob and Bing are off on the road to Morocco, an event they celebrate in song. With nary a penny in their pockets, the boys try various methods to scare up a meal. Old reliable Bing shows up with the necessary funds; when Bob asks where the money came from, Bing calmly informs his pal that he's been sold into slavery. Bob is dragged off to parts unknown; later, Bing, his conscience bothering him, scours the town in search of his buddy. He stumbles into a luxurious palace, where Bob is being treated like a rajah. Even more puzzling, Bob is being kissed and cosseted by Moroccan-princess Dorothy Lamour, who announces plans to marry him in a few days! Neither Bing nor Bob can figure this out, but the audience knows that Dorothy has been advised by her astrologers that her first husband will suffer a violent death, and that her second marriage will be long and happy. Since Dorothy is affianced to desert sheik Anthony Quinn, ol' buddy Bob is once more set up as a dead duck. But Dorothy finds herself attracted to Bing, and forgets all about her pre-arranged marriage to Quinn (just as well, since Quinn is the heavy of the piece). On the eve of the wedding, the astrologers find they've made a mistake, and that Dorothy is now free to marry the man of her dreams-who, by this time, is Bing. Bob must console himself with handmaiden Dona Drake, who's some looker herself. As the wedding procession proceeds, Quinn comes riding into town, kidnaps Dorothy, and leaves Bob and Bing trussed up in the desert. Freeing themselves, Bob and Bing make their way through the desert wastes ("This must be where they empty the old hourglasses") in search of Quinn's camp. After an amusing series of mirages, the boys sneak into camp and attempt to rescue Dorothy and Dona. Imprisoned by Quinn, the boys muff an opportunity to use a magic ring, but still manage to escape. Using exploding cigars and hotfoots, our heroes sabotage a peace conference between Quinn and rival sheik George Givot, prompting a talking camel to remark "This is the screwiest picture I've ever been in." Bob, Bing and the girls escape to New York, but not before Crosby spoils Hope's chances at getting an Academy Award by interrupting Bob's "mad scene." Generally regarded as the best of the "Road" pictures, Road to Morocco is as fresh and funny today as it was back in 1942; even in repeated viewings, the rapid-fire one liners and comic setpieces result in boffo bellylaughs. An Oscar was bestowed upon Johnny Burke and Jimmy Van Heusen's ballad "Moonlight Becomes You". Hal Erickson, Rovi


text:
Colorectal cancer, which is a cancer of the large intestine (also called the colon or bowel) or the rectum, is, unfortunately, both common and deadly. According to the American Cancer Society, colorectal cancer is the third most common cancer found in men and women, and the second most common cause of cancer death in the United States. The good news is that most colon cancers develop slowly over many years and there are a variety of screening tests that allow early detection, before symptoms are present, and when the cancer is at an early, treatable stage.
The bad news, however, is that screening for colon cancer is underperformed. A recently published study found the shocking fact that the vast majority of Americans in Medicare aren't getting proper screening, even though it is a covered procedure. Moreover, among Medicare participants over 70 years old, the percentage of those getting screened actually went down after Medicare began paying for it!
The study identified about 150,000 Medicare beneficiaries over age 70 in 1998 and looked at their rates of colon cancer screening for the prior six years. About 29 percent of them had been screened in the years between 1991 and 1997. Yet when the researchers looked at the years between 1998 and 2004, after Medicare began covering these screening tests, only 25 percent had undergone proper examination. This is an extraordinary finding for two reasons. First is that the number of Medicare recipients getting screened is entirely too low, and second that the number is going down rather than up!
The American Cancer Society recommends that screening for both men and women with average risk of developing colorectal cancer begin at age 50. People with certain risk factors, such as family history of colon cancer, should begin screening earlier and/or have it more often. There are a variety of screening tests available and they each have a different schedule of how often they should be performed (see below for details), but the single most important factor is that you request that your doctor perform the screening. People seem to be aware of, and asking for screening for breast and prostate cancer, yet according to Dr. Otis Brawley, chief medical officer of the American Cancer Society, "There's something about colorectal cancer that makes people shy away from discussing it."
If you are age 50 or older and haven't yet begun a regular screening program for colorectal cancer, or if you are younger but have a family history of colorectal cancer, talk to your doctor about getting screened.
Here are the official recommendations of the American Cancer Society with regard to colorectal cancer screening:
Beginning at age 50, both men and women at average risk should have 1 of the 5 of the screening options:
1. Yearly stool blood test (also called Fecal Occult Blood Test or FOBT) or fecal immunochemical test (FIT), or
2. Flexible sigmoidoscopy every 5 years, or
3. Yearly stool blood test plus flexible sigmoidoscopy every 5 years
(Of these first 3 options, the ACS prefers the third option, that is, FOBT or FIT every year plus flexible sigmoidoscopy every 5 years.)
Or you may have:
4. Double contrast barium enema every 5 years, or
5. Colonoscopy every 10 years
For people on Medicare, this is what is covered:
• Stool blood test (FOBT or FIT) each year for those age 50 and over
• Flexible sigmoidoscopy (flex-sig) every 4 years for those age 50 and over at average risk
• Colonoscopy every 2 years for all people at high risk
• Colonoscopy once every 10 years for those age 50 and over at average risk
• Barium enema with air contrast if a doctor believes that it is as good as or better than flex-sig or colonoscopy
What would someone on Medicare expect to pay for these tests?
• Stool blood test: people age 50 and older pay no coinsurance and no Part B deductible
• Flex-sig: Patient pays 20% of Medicare-approved amount after the yearly Part B deductible
• Colonoscopy: Patient pays 20% of Medicare-approved amount after the yearly Part B deductible
• Barium enema: When used instead of flex-sig or colonoscopy, patient pays 20% of Medicare-approved amount after the yearly Part B deductible.
American Cancer Society
Cooper GS, Kou TD, "Underuse of colorectal cancer screening in a cohort of Medicare beneficiaries" Cancer 2007; DOI: 10.1002/cncr.23176.


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Washington's aerospace industry has another ally in Congress.
Rep. Rick Larsen will serve as the ranking member of the aviation subcommittee after a vote Tuesday by other members of the House Transportation and Infrastructure Committee.
The aviation subcommittee has jurisdiction over aspects of civil aviation including safety, infrastructure, labor, commerce and international issues, and oversees the Federal Aviation Administration.
"The Pacific Northwest is the aerospace capital of the world, and I will work hard to make sure the United States invests in our aviation future," Larsen said in a statement. "Aviation means jobs in Northwest Washington. Anything I can do to support the growth and safety of air travel will bring good jobs to our communities.
Washington's 2nd Congressional District, which Larsen represents, includes the Boeing Everett Factory where Boeing manufactures the 747s, 767s, 777s, 787s and the new Air Force KC-46A tankers.
The district also is home to dozens of small to medium-sized aerospace suppliers.
"Small aerospace manufacturers are indispensable in the construction of aircraft, yet face unique challenges that we should work to lessen," Larsen said. "I will work to put small businesses on an even playing field with larger suppliers by making sure the FAA streamlines its testing and safety certification process for new technology and equipment."


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|Emerging 90-Plus Point Brand
|Wines to Drink: Syrah
Nestled among boutique shops & restaurants, the Consilience tasting room is located on Grand Avenue in the wine country town of Los Olivos, California. The tasting room is open to the public seven days a week.
The philosophy at Consilience has been to not only create expressive, reliably high quality wines, but also to put that wine in the bottle for a reasonable price that is far below what comparable quality wines would cost. We are in part able to do that by making our wines in a more commercially oriented wine making facility rather than a glamorous estate chateau. There are no fancy winery tours, but we hope you enjoy the value and reasonably priced wine this allows us to pass on.
"Consilience" is an old scientific word first defined by 19th century philosopher William Whewell as a way to describe the interlocking explanations of cause and effect among disciplines.
The story of Consilience, the winery, began as a more humble interlocking of ideas among friends setting out with an inspiration to simply make the best wines possible in the Santa Barbara wine country. And this story does not begin with a vast dot.com fortune, but rather in a hospital emergency room. Luckily all involved were on the giving side of medical attention rather than receiving.
Tom & Jodie had just moved to Santa Barbara to begin Tom's residency in Radiology at Cottage Hospital while Jodie began a new career in customer service for a medical device manufacturer. Brett was working as a paramedic and Monica as an emergency room nurse, all working overtime to survive the formidable cost of living in Santa Barbara. The collective budget was more in line with cheap beer in recycleable bottles than fine wine, but they did get together frequently and managed to enjoy the occasional good bottle.
Brett's interest in the wine industry had actually already begun during an old college class and with seasonal work at the Santa Barbara winery. They all wanted to learn more about wine in general, and over a bottle one night decided on a long weekend getaway to explore the Napa & Sonoma wine country. Somewhere between the wine tasting, mud baths and cucumber water they all realized there was a better way of life out there, and the idea behind Consilience was hatched.
Lacking a family oil fortune they all continued their day jobs for several years while gradually learning about what people really enjoyed in wine, and what it would take to make it in the wine business. Brett finished his masters degree in eonology and viticulture, and burning the midnight oil in a shared facility the first vintage for Consilience was produced in 1997. The first wines went out to friends, family and colleagues who helped spread the word about these new wines that were well received by both consumers and the media.
Working from home they processed orders in the evenings and weekends, packaged wines for shipment in the garage, and endured the usual problems of any start-up as the business grew.
Through years of teamwork and the good fortune of support from customers throughout the country, Consilience has become more widely known as a reliable producer of exciting, expressive and approachable wines relfective of the Santa Barbara area. Consilience wines can be found in restaurants and wine shops in many states, and they enjoyvistors from across the country at their beautiful tasting room in Los Olivos, California.
Consilience Tasting Room
(11-5 Daily), except major holidays
2923 Grand Avenue
Los Olivos, CA


text:
Glenn has been the Director of Information Technology (ITec) at Emmanuel College since 1993. He graduated from Emmanuel (Junior) College with an AA degree in 1983. In 1985, Glenn completed his Bachelors of Science degree in Math and Computer Science at the University of Georgia. Glenn worked at the University of Georgia at the Georgia Center for Continuing Education for 6 year as a software developer and support specialist before coming back to EC as Information Technology Director.
At Emmanuel, he has built the local area network and telephone network. In 2008 he headed a campus wide wireless project that was featured in several technology and educational journals. Glenn designed and developed many of the school administration software systems including the college website and campus resources information system (CRIS).
Glenn is a member of the Franklin Springs PH Church where he serves as treasurer, sings on the praise team and manages the church finances. Glenn serves as a treasurer on the Ed Bryant Foundation, a nonprofit organization that provides grants for the Franklin County Georgia School system. He also serves as secretary of the Royston-Franklin Springs Rotary club.
Glenn is married to another 1983 EC graduate, Donna David and they have two children, April (17) and Bethany (13). Together, Glenn & Donna, spend their time traveling, attend football games to watch April & Bethany dance halftime shows, go to gymnastics meets to watch Bethany compete, and sing on the church praise team with April.
Glenn states, "Technology is a tool that enables us to be more productive, enhances our college's mission and expands our witness as Christians to the whole world."


text:
Forms Jobs
Robert C. Clark
Republican, West Ward
As your council member, I will voice your concerns and opinions as well as fight for the well-being of citizens of the West Ward and the City of Winston-Salem. Therefore, I would like to hear from you so that I can better serve our community. Read more about Robert.
Convenient shopping, businesses, special places... and to many, many people... home. Read more about the West Ward.
A Community Assistance Liaison is assigned to each ward and is available to help citizens solve problems and get answers. Read more about the Community Assistance Liaisons.
Council Member
email Robert C. Clark
2815 Country Club Road
Winston-Salem, NC 27104
(336) 765-1777 (home)
(336) 416-0190 (cell)
Community Assistance Liaison
email Kemona McCarter
City Council Meetings:
First and third Mondays of each month
(except when holiday)
7:00 p.m. in City Hall, Room 230
City Council Committee Meetings:
Second Monday and Tuesday of each month
City Hall, Room 239
Receive E-Mail Notification When New Information is Posted on this PageAs a member, enjoy the benefits of MyCityofWS, including your choice of newsletters, and notifications about events and site updates. Login and Manage Your Subscriptions Now.


text:
Public Sees Past Facade of "Financial Reform"
A new AP‐Gfk poll reveals that about two‐thirds of the American public lack confidence that the financial regulation bill, currently being crafted by House and Senate conferees, will actually help avert future financial crises.
The public is right to be skeptical, as there is nothing in either the House or Senate bill that ends bailouts or ends "too‐big‐to‐fail." In fact parts of the bill, such as the expansion of deposit insurance, will actually increase the likelihood of future crises. (The IMF has an insightful working paper on the negative impacts of deposit insurance).
Perhaps the failure of Congressional efforts to end financial crises is the result of Washington's unwillingness to recognize that government itself was the major driver of the recent crisis. Fortunately the public seems to get that. Some 70 percent of the poll respondents believe that government shares blame for the crisis. Here's to hoping that Congress will at some point listen to the public, and end many of the distortionary policies that caused the crisis.


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And I needed some inspiration. I have had a set-back in my running since we have moved to Denmark. Basically because of a knee injury and less time. Yesterday SR and I ran for just over 3 hours and it was SO hard. A few months ago I could run that long with seemingly little effort. But I'm not complaining. It is spring, my knee is better, and a new running season is upon us. AND in May I start a schedule with 2 18 hour shifts a week and the rest off! So I should be able to start to get longer runs in while The Lorax is with his dagplejemor (daycare mother).
Here some of the bigger runs were planning:
Midnight Sun Marathon in Tromsø, Norway on June 20th
Voyageur 50 mile in Carlton, MN on July 25th
Trans Alpine from Germany to Austria to Switzerland to Italy from September 5th to Sept 12th.
Instead of a song, I've got a...
Quote of the day (in response to an editorial in the NY Times http://warner.blogs.nytimes.com/2009/04/02/why-i-dumped-the-pump/ that asserts women shouldn't have to be subject to using the breast pump just because some say breast feeding is healthier)
I really wish this were the credible argument for womens' rights that it is trying to be. "Hype" about breast milk is laughable when you consider what the formula lobby has done over decades to cause women to stop trusting their bodies, and themselves. Why are we arguing about a machine or chemically processed food for our babies and not about the right to reasonable paid leave from work, affordable day care and the necessity of almost every family to have two incomes to provide a decent living and education for those children?? I will be thrilled when the discussion becomes about the real reasons it is so difficult to mother today. Until then, topics like this muddy the issue and do a great disservice to women.— E. Woodhouse


text:
Verify if sierrareyes.com is a valid e-mail domain
This domain is valid and should be able to receive e-mail.
Using MX pointer smtp.secureserver.net from DNS with priority: 10
You do not need to block this domain for signups/registrations.
This does not look like a temporary/disposable e-mail domain.
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text:
Often enough, when we post something about the Pope, or Catholicism in general, the comments tend to split down the center, with Catholic commenters and non-Catholic commenters challenging each other on what the religion means.
I have a hard time with these articles, mostly because I was raised in an Irish Catholic household, by a mother who still attends church every Sunday morning and who sent us through the standard Catholic upbringing; CCD classes, confirmations, Lenten rituals, and a common usage of the phrase, "Oh, Jesus, Mary and Joseph," in times of annoyance or frustration. I was also a choir leader for about 5 years and can bust out a tune from the Glory & Praise songbook at any given time.
President Obama's commencement speech today at Notre Dame is thrusting the Catholic church into the spotlight once again, as conservative Catholics are currently standing outside of the school, protesting his speech, as he is pro-choice, and they are not. Catholics like my mother, however, see these protests and say, well, "Oh, Jesus, Mary and Joseph. For Gawd's sake. Cripes Almighty."
For people who weren't brought up Catholic, it's a bit hard to explain how one can identify as Catholic but not actually believe in the things the church has taken on, politically. I stopped attending church with my mother shortly after high school, as I felt disconnected from the church's views on homosexuality and abortion, and felt like a big old liar sitting in a pew, saying prayers, and acting as if I belonged there. And then, in true Irish Catholic form, I felt guilty about not feeling guilty about not going to church anymore. You can leave the church, but you can't leave the ol' Catholic guilt!
Recently I had to go to the hospital for a procedure. The admissions people asked me for my religion, in case anything happened to me during my stay. I hesitated. "Catholic?" I said, "Yes, Catholic." The truth is, I don't really care for organized religion at all, but Catholicism, I suppose, is more of a cultural connection at this point than a religious one, if that makes any sense. I am not a fan of the Vatican, I am often angered and repulsed by the Church's administrative side and their political views, and I do not tithe to the Catholic church for those very reasons, but I knew if something had happened to me in that hospital, God forbid, my mother would have wanted a priest there.
I've asked my mother how she feels about gay marriage (she supports it) and how she feels about abortion (she thinks women should have a choice). But when I try to explain to her that these views are the polar opposite of the church that she's been attending for 50+ years, she just says, "There is a lot of good there, too. Nobody ever talks about the good."
My mother represents the shifting identity of the American Catholic that David Gibson touches upon in his piece, "Who Is A Real Catholic?": "American Catholics — and there are upwards of 65 million of us — are going their own way on many matters of faith and especially on issues ranging from priestly celibacy to political candidates, and there seems to be little the bishops can do about it. If there is a true swing vote in the U.S. electorate today, it is the Catholic bloc," Gibson writes, "That willingness of American Catholics to break ranks with such long-held tenets is evident in surveys on a number of issues, including church teachings regarding celibacy and birth control."
So what does this mean for Catholicism? Perhaps it means that, as in every religion, there are extremists and moderates, there are those who are conflicted on certain aspects of a religion that they've been raised in, and that the as the identity of the Church changes, perhaps those in it will change the way they label themselves as well. My mother will always be a Catholic, practicing. I will always be her Catholic daughter, lapsed. Both of us, I think, have the right to question the religion we were raised in. Cripes almighty, forever and ever, amen.
Obama, And Protests, At Notre Dame [NYTimes]
Who Is A Real Catholic? [WashingtonPost]


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There's no doubt that one of DJ Hero 2's main points of emphasis is the multiplayer. FreeStyleGames added more modes and a microphone to support a party type of atmosphere, and it looks like it works. I laid this all out in a preview a few months back.
But what about single player? What kind of improvements have they made to the DJ Hero 2 career campaign? Last week in San Francisco, I had a chance to find out. I played through parts of the Empire Mode and came away, seeing some improvements from the original. There's definitely more of a narrative flow as players start off as an up and coming DJ and advance their careers as they gain popularity. Other than the occasional cameos by famous DJs, the plot follows the usual rags to riches formula.
"Empire Mode came about because we wanted to know what is it like starting with nothing and then touring around the world and becoming famous," creative director Jamie Jackson said. " As you tour, your logo gets bigger and you get a club."
But before setting off, I had to pick among six new DJs. They come in all shapes, styles and genders. At one end, there's Pixie Dust, a punkish girl with a red streak in her hair, and on the other end, there's Fro Train, a bouncer-looking guy with an afro. In between, there's the hipsterish Ross Fader and the skinny Leroy Swish who dresses in basketball jerseys. I wish you could make your own DJ avatar, but the choices players have seem adequate because you can further customize them with new gear. Lastly, players will have to pick one of 12 logos and the name of the club. I picked "Grind" out of nostalgia.
More on DJ Hero 2's Empire mode on the jump


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Data & statistics on Spatial autocorrelation of unemployment rate and change of unemployment rate – 44 results
Language. English only please... for now.
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Booleans. You can use a plus '+' to make a word mandatory, or a minus '–' to exclude it (e.g. +gas –oil production)
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Questions? Please email us: helpdesk [at] zanran [dot] com


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When I add a gmail account with a username of
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- Is there a difference between Gmail IMAP accounts and IMAP accounts in Mail.app ver 4?
- Why doesn't Mail.app ver 4 recognize Google Apps accounts as Gmail IMAP accounts?


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Spectrum brings impressive cable TV, Internet and phone service to Maryville, Tennessee. With some of the most affordable prices in the industry, Spectrum the fourth largest provider is easily a favorite with those in Maryville and its other service areas. The fact that there is no contract to sign when you get service is one of the features that customers love most.
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I've heard that many believe that intelligent design is creationism by a different name.
However, if my understanding of intelligent design is correct, it does not deny the the big bang or evolution occurred. It does not even deny that abiogenesis occurred by anything but natural means.
It just means that the universe exists or was created in such a state that allowed for the extra unlikely sequence of events that lead to life existing on earth and eventually humanity.
Is my interpretation of Intelligent Design off base? If not then it hardly seems that it is a form a creationism, although I cannot speak for it being a illegitimate scientific theory or not. Or is this incorrect and why?


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Go RVing Coalition and the Recreation Vehicle Industry Association (RVIA) were in Philadelphia from June 29 through July 1 to promote RV travel and camping to family bloggers with a mock campsite at the Digital Family Summit.
The Digital Family Summit is a conference for family bloggers that offered workshops and activities to help bloggers enhance their skills and network. As one of the event sponsors, Go RVing set up an outdoor camping display featuring a Winnebago Via motorhome and a Jayco travel trailer, provided by Fretz RV in Souderton, Pa.
Event attendees toured the RVs, multiple times in some cases, and learned about the freedom, fun, flexibility and affordability offered to families by RV travel.
The event was an excellent venue for RVIA's public relations team to demonstrate the benefits of RV travel to family bloggers, who have considerable credibility with their readers. In addition, RVIA began discussions with influential "mom bloggers" with large followings about possible stories and promotions in the future.
Prior to the kickoff of the Digital Family Summit, the Winnebago Via was featured in a live RVing segment on Philadelphia's FOX affiliate, which also included an interview with RVIA's Kevin Broom about the popularity of RV travel.


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The vast majority of education reform seems enamored in false binary options. You're either success-driven or you believe in low standards. You're either traditional or you're twenty-first century. You either believe in intrinsic motivation or you are a briber of students.
We have no common metaphors. We have no shared values. Instead, it seems that each side isolates into echo chambers and shouts just to hear the "right answer" shouted back from the tribe that agrees. When it gets really noisy, we grab megaphones. When this doesn't work, it turns into a Phil Spector inspired Wall of Sound, where it is just as noisy and artificial, but now it's smooth. We resort to sloganeering and talking points.
What we lack is humility. Set down the megaphone. Walk out of the echo chamber. Share a pint with someone who thinks you're crazy for authentic learning or traditional learning or unschooling or home schooling or schooling on the large vacuum tubes of the interweb. Ask more questions and listen a little closer and see what emerges.
I have a friend Kevin who first thought that my ideas on education were insane. However, in coaching track together, we became good friends. Religiously, politically and philosophically we were polar opposites. Yet, we asked questions and listened and both of us had a new appreciation for a different approach. He taught me that procedures were necessary. I taught him that learning was a relational experience. We hashed out our education reform over a pint.
When we take the humble approach, what emerges are some common values. Both sides, even in the midst of screaming matches, care about students. It's just that both sides get a little scared or sometimes a little proud. I know, because I've been there. Just ask my teammates at school who listened to a passionate explanation of why my way of organizing the curriculum leads to greater success.
When we engage in meaningful dialog, we are able to see the complexity of the issues and often times arrive at a sense of paradox. So, it turns out that bad teachers are a part of the problem, but that good teachers need unions to protect their rights. It turns out that twenty-first century learning is important, but that folks like Aristotle and Plato have something important to add to education reform as well. It turns out that the traditional mindset of learning-as-hard-work is important, but so is the more constructivist idea that learning is inherently interesting, meaningful and perhaps even fun.


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Watercolor Tube Set
by Van Gogh
This attractively shaped watercolor set contains 12-10 ml/0.03 oz. tubes of Van Gogh watercolors, a selected filament Van Gogh brush series 191/6, and a sponge for larger areas contained in an attractive light grey plastic box with a contemporary design. When the lid opens it becomes a six well palette. Also included is an inspiring leaflet with step-by-step techniques and color chart. Paint colors are azo yellow medium, burnt sienna, Chinese white, cobalt blue, Payne's gray, permanent green, permanent lemon yellow, madder lake deep, permanent red light, viridian, yellow ochre, and ultramarine deep.
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Info and key features
Our beds are so comfortable you'll want to nap on them yourself! They have a durable, removable, zippered ultra-soft fleece outer shell with a non slip bottom that's machine washable and easy to clean. The thick accent piping not only looks great, but also helps the bed retain its shape. The inside is generously stuffed with plush polyester-cotton, providing your dog the perfect place to spend the day...or afternoon...or evening :)
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6 HASKINS & SELLS October We Meet Again THE usual annual meeting of partners and managers was held on September 21, 22, and 23, 1931, at the Executive Office. On Monday, September 21, the general session was preceded by a meeting of the partners. Following, at 10:30 A. M . , the meeting proceeded to a general survey of the past year, with a discussion of old and new practice and consideration of ways and means of retaining old clients, developing new clients, and maintaining the high standards of service which the firm always has sought to render. After a buffet luncheon, which was served in the library, the discussion was resumed and dealt with the activities of the New York Stock Exchange in accounting matters and the benefits to the profession which should accrue from the close cooperation with the Stock Exchange authorities in their efforts to promote sound practices in the matter of accounting and the rendering of informative financial statements. A discussion was had also of the Ultra-mares case, with a critical analysis of the Cardozo Opinion, followed by the suggestion of lessons which may be drawn by the profession, to its advantage, from that case. On Tuesday morning the time was devoted to a discussion of various outstanding cases which have received public attention during the past year. After luncheon consideration was given to C. P. A. matters— new C. P. A. laws, classification of accountancy services, standardization of certificates, and comments in reports. During the evening, on Monday and Tuesday, there were various private dinner and theatre parties at which those from out of town were entertained by the New York partners. On Wednesday those in attendance repaired to Greenwich, Connecticut, where they were the guests of Colonel and Mrs. Carter. The usual golf tournament for men was held at the Round Hill Club during the day. Mrs. Carter entertained the ladies at luncheon and during the afternoon at her home, and in the evening every one assembled at the Round Hill Club for dinner and dancing. The golf prizes were won by Mr. George Cochrane, of Messrs. Deloitte, Plender, Griffiths & Company, who was also a guest at the Round Hill Club, with a net score of 75, and Messrs. Barb, James Clarke, and Hahn, with net scores of 80. As usual the meeting terminated with the feeling on the part of every one present that these occasions are both beneficial and enjoyable; that they afford an opportunity for the exchange of technical and business views and for social contact, which more than repay the time and expense which they involve. Those present were as follows: Messrs. Auld, Barb, Bell, Bickett, Bowen, Bowman, Bullock, Carleton, Carter, E. A. Clarke, James Clarke, Coursen, Croggon, Davies, Davis, Drake, Dunn, Everett, Forbes, Foye, Garrison, Gause, Gibson, Goodson, Hahn, Hill, Holloway, Hutchinson, Jumonville, Kracke, Krueger, Lawrence, Leo, Ludlam, Morris, McGuinn, North, O'Connell, Padon, Palmer, Peters, Pflug, Powell, Reik, Rohwerder, Rossman, Scoville, Seng, Stevenson, Thompson, T i l - ton, Tompkins, Vaughan, Wildman, and Willins. Messrs. W. J . Saunders and W. A. Cameron, of Deloitte, Plender, Haskins & Sells, Toronto, Canada, were also in attendance.


text: St. John Ambulance is a worldwide leader in the teaching and provision of first aid and ambulances. This WebRing aims to connect a wide range of international sites together and highlight the diversity and adaptability that gives St. John Ambulance its strength. Sites offer a mixture of information, training articles, discussion, quizzes, photographs and local information on first aid, care in the community, ambulance, medical and prehospital care.


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