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MILLEDGEVILLE-The second double header for Georgia Southwestern Softball team in the Bobcat Blast took place at Georgia College on February 2nd. GSW split the games with West Alabama. The bottom of the fourth inning in the first game was golden for the Lady 'Canes. The bottom of the third inning in the second game showed to be the take down force for the Lady 'Canes in the end.
GAME 1: GSW 7 West Alabama 4
The Lady 'Canes went into the bottom of the 2nd inning tied zero zero, with no hits so far. Allison Pastor stepped up to the plate and sent a home run into the right field. The Lady Hurricanes finished the inning with one run and hit, no errors, and no one left on base.
The following inning for GSW proved to be just as rewarding with Kiley Doster singling into the center field. Mason Moreland sent a sacrifice bunt to let Doster advance to second. When Haley Knight stepped up to the plate she hit a double into left field allowing Doster to score.
The Lady 'Canes finished the inning with one run, two hit, no errors, and one left on base.
The Lady 'Canes were on a roll going into the bottom of the fourth. Pastor started things off with a walk, then making it to second on a pass ball. Keri Tompkins was the next Hurricane to reach first. Rachel McElroy made a sacrifice bunt to help advance her teammates, although on a throwing error McElroy made it to first. With the bases loaded Chelsea Hodges was walked, bringing in Pastor. Doster was next to reach first base, on fielder's choice, bringing Tompkins to score. McElroy was out on third. Hodges made it to second base. Moreland was the next at bat to reach first on fielder's choice; however, Hodges was out at second. Hayley Knight hit a double to right center allowing McCall Faulkner to score and Moreland to advance to third. Jordan Miller was the next Hurricane to be walked. Nellie Moore followed singling to center field bringing in both Knight and Moreland. The inning ended with five runs, three hits, one error, and two left on base.
The top of the sixth and seventh inning West Alabama was able to get a few runs in by Brown, J. Whilddon, S. Wright, and A. Shartzer. West Alabama finished the game with two runs, three hits, zero errors, and two left on base. The Lady 'Canes were able to cut the game short in the final inning with a three run lead.
Ashley Cavender takes the win for GSW after facing 29 batters, striking out four, and only allowing four runs and two walks. Lauren Thrasher assisted in the pitching efforts with one strikeout.
West Alabama's T. Tucker gets credited with the loss. After facing 13 runners, three hits, two runs, one walk, and allowing one home run. Alli Hall assisted the pitching efforts in the final three innings. Allowing four hits, five runs, and four walks.
GAME 2: GSW 0 West Alabama 9
The second game in the double header came to a different tune for the Lady 'Canes.
After an unsuccessful first three innings, West Alabama was up to bat at the bottom of the 3rd. A. Shartzer was the first to walk, then L. North tripled bringing Shartzer in for the first point of the game. Following which two players walked, then Schick sent a home run into left center. Another player was walked. Then Cavender replaced Allison Pastor on the pitchers mound. Four more players from West Alabama were able to score. The inning ended with nine runs, five hits, no errors, and three left on base.
No more runs happened over the course of the final two innings. S. Davis of West Alabama was credited with the win after pitching all five innings facing 19 batters allowing only three hits. Pastor is credited with the loss for GSW after facing 15 batters, and giving up two hits, six runs, and one home run. Cavender finished the game only allowing three hits, runs, and walks.
The Lady 'Canes are on the road again to play a double-header against Albany State on February 5th, the first game is set to begin at 1:00 p.m.


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|Courtesy of strokesofcandor.com.
Ignatius writes:
Reading NBC News's announcement Tuesday that it was hiring David Axelrod, a top adviser to Barack Obama's presidential campaigns, as a "senior political analyst," I had a sinking feeling in my stomach: No wonder the American public increasingly mistrusts the news media. We are obliterating the line between the political players and the people who are supposed to act as commentators and referees.
NBC boasted in its news release about how "for nearly three decades Axelrod guided successful campaigns at every level on the ballot." Once upon a time, that would have been a disqualification for a news organization. But now, NBC brags that Axelrod "will contribute frequently across all broadcasts and platforms." And he won't just be a "senior political analyst" for MSNBC, the broadcaster's more ideological affiliate, but also for the NBC mothership.
This trend is hardly new. It's commonplace these days for television news operations to hire former political advisers or campaign operatives as analysts. Fox has a stable of them, including former George W. Bush aides Karl Rove and Dana Perino, former Arkansas governor Mike Huckabee and, until recently, that modern-day Edward R. Murrow, Sarah Palin. ABC News's budding superstar is George Stephanopoulos, who has adapted so well to journalism that people forget he was once a top White House aide to President Bill Clinton.

subset: commoncrawl


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Video shows car crashing into grocery store
SEMINOLE COUNTY, Fla. – Surveillance cameras captured footage of a car crashing into a grocery store in Seminole County.
Video shows a store worker walking by the front of the store when the car crashes right into the building, sending the man ducking for cover.
The front wall of the Sanford Supermarket was badly damaged, but no one was hurt, authorities said.
Crews eventually backed the car out of the building, and the driver was able to take it home.
Authorities have not yet said what led to the crash.
Copyright 2013 by ClickOrlando.com. All rights reserved. This material may not be published, broadcast, rewritten or redistributed.


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|Home >> Course Descriptions >> College of Arts and Sciences
|Studies in Language
|Three semester hours.
A special topics seminar in some aspect of the study of language. The course may focus on a special problem in linguistics, heritage languages, second language acquisition, history of the language, literacy, the teaching of the language or language policy and implementation. Prerequisite: Six hours sophomore literature or consent of instructor. May be repeated for credit when topic changes.
Home - General Information - Student Services -
Academic Undergraduate Regulations -
Undergraduate Degrees - Academic Graduate Regulations -
Graduate Degrees - Course Descriptions - Faculty -
Appendix A - Appendix B - Appendix C - Appendix D


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ROCHESTER — The following items, based on entries in the Rochester Police Log, were selected from 681 calls for service from Oct. 6 to Oct. 10:
Saturday, Oct. 6
1:28 a.m. — Gayann Daley, 46, of 14A Pine St., Springvale, Maine is arrested on a bench warrant.
1:49 a.m. — A lady walks down the middle of South Main Street flipping off cars and declaring a wish to die. She is given an involuntary emergency admission.
2:50 a.m. — Music has been cranking for almost six hours on Whitehouse Road.
3:12 a.m. — Nicholas Glidden, 26, of 8B Gordan St., Berwick, Maine is charged with driving under the influence and transportation of alcoholic beverages on Washington Street.
6:38 a.m. — Money and meds have been stolen from a car at Northgate Apartments.
8:11 a.m. — An Adrien Circle resident reports her social security funds are being illegally transferred.
8:16 a.m. — A basement window has been smashed at the library.
8:57 a.m. — A power-washer has been stolen from a Park Street back yard.
9:51 a.m. — There is a disturbance in Frisbie's E.R. Two security officers sit on a lady who has gone over the edge.
11:37 a.m. — A bottle of Percocet has gone missing from a Violet Court home.
12:35 p.m. — A beggar plies his trade on South Main Street.
1:01 p.m. — A hit-and-run occurs at Walmart.
1:20 p.m. — A car is keyed on Eastern Avenue.
4:11 p.m. — Shears are stolen from a car on North Main Street.
6:15 p.m. — On Harding Street a man seeks $20 mowing jobs "to feed his kids."
4:53 p.m. — A birthday party on Gonic Main Street is asked to take it down a notch.
6:53 p.m. — Roberta Badger, 47, of 223 Sherwood Glen, Somersworth is charged with theft by deception at Kohl's.
9:17 p.m. — At the Greenwood Motel there is an altercation in a room. Blood is splattered.
11:27 p.m. — Three ladies slug it out on Milton Road.
Sunday, Oct. 7
12:31 a.m. — An intoxicated subject will not depart Buffalo Wild Wings.
2:01 a.m. — Two teens are charged with unlawful possession of alcohol on Dewey Street.
2:51 a.m. — A man in a brown hoodie robs Cumberland Farms on Milton Road.
6:45 a.m. — A Greenwood Motel resident reports the theft of her keys, money and medications.
8:00 a.m. — Sporadic gunfire echoes over Baxter Lake.
11:43 a.m. — Sara Sword, 24, of 890 White Mountain Highway, Milton is charged with operating without a valid license.
1:43 p.m. — A home and cars are paintballed on Elizabeth Street.
1:51 p.m. — A Crown Point Road resident says someone is using his credit card and identity in Tennessee.
1:53 p.m. — At Roger Allen Park a player arrives late and is not put in for the first half, whereupon a parent comes out onto the field, puts his finger in the coach's face and says "if you don't put my daughter in there is going to be a big issue."
3:34 p.m. — A laptop is stolen by a neighbor on North Main Street.
6:26 p.m. — Timothy Duhamel, 22, of 47 Blue Hills Drive, is arrested on a warrant.
7:36 p.m. — Several drunks cause a disturbance at Cousin Sam's Pizzeria.
7:41 p.m. — Someone's popping off a gun again on Whitehouse Road.
8:30 p.m. — Donald J. Bridges, 42, of 1106 Canal St., Sanbornville is charged with stalking.
10:25 p.m. — Jacqueline Lyle, 18, of 8A Church St., is charged with unlawful possession of alcohol.
Monday, Oct. 8
2:41 a.m. — Scott David Perkins, 24, of 32 Lucy Lane, Dover is charged with Criminal mischief, false imprisonment and two counts of simple assault.
6:57 a.m. — Two vehicles have been broken into on Calef Highway.
9:51 a.m. — Someone cleaning a house basement on Highland Street finds an urn of ashes left behind.
10:31 a.m. — A woman bangs on doors on Dartmouth Lane seeking gas money. She has lots of piercings.
10:41 a.m. — A Flagg Road raccoon is "dispatched" in a sand pit.
11:28 a.m. — Eight people fight in a Norway Plains Road apartment. A grandson is punched. Felicia Smart, 19, of 67 Elm St., Somersworth is arrested on a warrant; Michael Skidmore, 25, of 18A Silver St., Somersworth is arrested on two warrants.
12:48 p.m. — A dog's walked on the Common, where dogs ain't oughter be, an officer checks out the spot, but no dog does he see.
2:04 p.m. — A man flees Kohl's after stealing jeans.
2:23 p.m. — Nicole Lundrigan, 21, of 4B Leonard St., is arrested on a bench warrant.
5:20 p.m. ‑— A thief runs out of Walmart and escapes in a black F150.
5:38 p.m. — Teens are yelling and firing stuff at joggers on the Common.
6:49 p.m. — A wallet and notebook are found on Knight Street.
7:27 p.m. — Peter Moreau, 24, of 289 Shady Nook Road, Newfield, Maine is arrested on a warrant.
8:38 p.m. — Three pedestrians on Winter Street yell at passing motorists, as dogs bay at the moon.
Tuesday, Oct. 9
2:21 a.m. — Steven E. O'Brien, 20, of 102 Eastern Ave., is charged with driving after suspension (subsequent), driver's license prohibitions and drug possession.
9:34 a.m. — Rochester Truck has been hit with two fraudulent checks.
11:23 a.m. — An Academy Street woman says her debit card has been used to extract $120 out of her account.
11:48 a.m. — Kim Ann Leary, 40, of 110 Pineland Park, Milton is arrested on a warrant.
12:05 p.m. — A wannabe lawn mower plagues someone on Kirsten Avenue.
12:43 p.m. — Angelica M. Soule, 25, of 37 Spruce Drive, Farmington is charged with theft by deception.
12:57 p.m. — A burglar is seen clambering through a window on Cleo Circle.
3:34 p.m. — An Eastern Avenue woman who was given a ride to the store, says there is now $250 missing from her wallet.
4:09 p.m. — A dirt biker weaves in traffic on Cocheco Avenue.
4:33 p.m. — On Lawn Avenue, a persistent man with a red beard is going door to door seeking money.
4:51 p.m. — A check is found in the police parking lot.
4:56 p.m. — Fifteen kids are dumpster diving at Maple Street Magnet School.
5:18 p.m. — A man bleeds on Leonard Street. He says he was robbed.
5:27 p.m. — A Lincoln Street home is burgled and an iPod and $100 taken.
7:21 p.m. — At Walmart, a man in a TT unit has made a death threat to someone.
10:43 p.m. — Someone is punched near Clemento's Pizzeria and Brew.
Wednesday, Oct. 10
3:14 a.m. — Adrien Lee Sanders, 26, of 5 Eastern Ave., is charged with criminal trespass and resisting arrest.
10:21 a.m. — A Chestnut Street woman complains about a company hounding her for money. On the other hand, she owes it to them.
11:23 a.m. — A woman in a Spaulding sweatshirt steals a soda from Signal Street Variety.
11:31 a.m. — Racial slurs and a swastika have been sprayed on a Norway Plains Road property.
1:29 p.m. — Susan R. Hurd, 53, of 38 Pinkham Road, Middleton is charged with willful concealment and arrested on a bench warrant.
2:09 p.m. — A panhandler on Columbus Avenue is annoying.
2:23 p.m. — Two blowers and a hammer drill were stolen from a truck parked at Subway, recently.
2:25 p.m. — Food has been stolen from a Moores Court home.
3:23 p.m. — A trash toter is taken from King Street.
3:30 p.m. — A moose is puttering around on Tebbetts Road.
6:09 p.m. — A Pine Street man is asked to take bulk trash items inside until the correct pickup day.
6:39 p.m. — A woman who stole over $50 worth of merchandise from Family Dollar took off in a black Honda Accord.
7:25 p.m. — Michael A. Frazier, 21, of 98B Charles St., is charged with disorderly conduct, driving after suspension and driving without giving proof.
8:32 p.m. — Gayann Daley, 46, of 30 Allen St., Berwick, Maine is charged with receiving stolen property.
9:41 p.m. — A Pickering Road woman reports credit card fraud.
10:27 p.m. — Jocelyn A. Noonan, 32, of 77 Creamery Hill Road, Lebanon, Maine is arrested on a bench warrant.
11:25 p.m. — Douglas Sanders, 48, of 67 North Main St., Apt. 7 is charged with disorderly conduct and simple assault.
Rochester police log
ROCHESTER — The following items, based on entries in the Rochester Police Log, were selected from 681 calls for service from Oct. 6 to Oct. 10:


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While your doctor usually asks the questions during an exam, you can take charge by asking the right questions about HIV. and AIDSBeing proactive can make a big difference in the way you manage your health with HIV and AIDS. Your well-being is important to you and your doctor, so don't hesitate to inquire about your HIV or AIDS diagnosis, your symptoms, your HIV or AIDS medication or other treatments, treatment side effects, whether complementary or alternative therapies might help, emotional issues, concerns about paying for your treatment, or diet and lifestyle considerations.
Engaging in a dialogue with your doctor will help educate you about HIV and AIDS and the treatments available to you, and it'll give your doctor a better sense of who you are and how HIV or AIDS is affecting your overall health and your life. With the lines of communication open, you and your doctor will be able to develop a treatment plan that meets your needs.
But remember, your time with your doctor is limited, so be sure to arrive at your appointment prepared and ready to discuss HIV and AIDS and the questions that are important to you. Start by:
- Researching HIV and AIDS. It's a good idea to get a better understanding of HIV and AIDS before your appointment. Through research, you'll probably be able to answer some of your own questions. Visit Everyday Health's HIV/AIDS Center, AIDS.gov, AIDSinfo, and MedlinePlus.
- Strategizing. Your family doctor may not be able to answer all your questions about HIV and AIDS; some questions may be better addressed by an infectious-disease specialist or another physician who specializes in treating people with HIV and AIDS. Discuss this with your doctor, set up a plan for addressing your concerns, and follow up with a specialist or do additional research, as directed by your doctor.
- Note taking. Consider keeping a journal of your HIV and AIDS concerns between doctor's visits, and share any relevant information with your doctor about your HIV or AIDS symptoms, such as fever, headache, fatigue, sore throat, coughing, swollen lymph glands or nodes, weight loss, or diarrhea. Let your doctor know if certain lifestyle changes are improving or worsening your symptoms, if you're experiencing any other complications related to your condition or treatment, and if you have any medication concerns, such as questions about side effects you may be experiencing. Additionally, taking notes or recording what your doctor says during your appointments will help you remember important details after your visit.
HIV/AIDS Causes, Testing, and Diagnosis
The human immunodeficiency virus (HIV) attacks and compromises your immune system. While there have been significant strides in treating the disease and many people are living longer, healthier lives after diagnosis, it is still a serious, chronic condition that requires efforts to keep your immune system strong.
If you believe you've been exposed to HIV but you haven't been formally diagnosed, talk to your doctor about arranging for an HIV test, such as the standard HIV test, a rapid HIV test, a home blood sample collection test kit, or a urine or oral HIV test.
Once you have a formal diagnosis, your doctor will give you information about the condition and discuss treatment options. The treatment for HIV and acquired immunodeficiency syndrome (AIDS) will depend on the severity of your infection, how strong your immune system is, the strain of HIV you have, your overall health, and whether you have any other illnesses, such as hepatitis C (HCV), opportunistic infections, cancer, and STDs. Your doctor and the rest of your HIV and AIDS treatment team will help you determine the best course of treatment for your condition. You will most likely have questions and concerns about your diagnosis and how HIV and AIDS will affect your health and your life.
Consider asking your doctor the following:
- What are the differences among the various HIV and AIDS tests? Which test do you recommend for me and why?
- What is the difference between HIV and AIDS?
- If I know I've been exposed to HIV - should I get postexposure prophylaxis (PEP) treatment to prevent infection? What does that involve?
- Does a negative test for HIV always mean no infection, or is a repeat test advisable for very recent exposures?
- Do I have HIV?
- Do I have AIDS?
- What type of HIV or AIDS do I have?
- Do I need additional diagnostic tests and evaluations, such as baseline measurements, urinalysis, or kidney or liver function tests?
- Is there anything I need to do to prepare for the diagnostic tests?
- How severe is my HIV or AIDS, and what's my prognosis?
- How healthy is my immune system, and how will you monitor it?
- How long might I be able to maintain my health with HIV?
- What are T-cell (CD4) and viral load counts? What does PCR mean?
- How will you monitor my T-cell (CD4) and viral load counts, and how often?
- What caused my HIV or AIDS?
- Do HIV and AIDS put me at risk for other complications or diseases, such as opportunistic infections (infections that are usually harmless in healthy people but are damaging to those with an impaired immune system), pneumonia, tuberculosis, herpes, and cancer? How can I avoid these additional illnesses?
- How will I know if I'm coming down with an opportunistic infection?
- What is HIV/AIDS-related cancer?
- What HIV/AIDS treatment options are available?
- What treatments do you recommend for me and why?
- What are the risks associated with these treatments?
- How will my quality of life be affected by these treatments?
- What do I need to do to prepare for these treatments?
- What are the side effects associated with HIV/AIDS treatment?
- What should I do if my side effects worsen, or if I experience new side effects?
- How will my condition be monitored, and how will I know if the treatment is working?
- What kind of follow-up tests, etc., should I expect after treatment, and how often will I need them?
- Are you experienced in treating patients with HIV and AIDS?
- What other kinds of specialists should be on my HIV/AIDS team? Should I consider a hematologist, an infectious-diseases specialist, a nutritionist, a nurse, a social worker, a pharmacist, or a psychiatrist or psychologist?
- Should I consider participating in clinical trials with other patients who have HIV and AIDS? Why or why not?
- What can I do to keep my immune system strong and to stay as healthy as possible?
- How can I avoid transmitting HIV to others?
Additional Questions for Women to Ask
- Does HIV or AIDS affect women differently from men?
- Will HIV or AIDS put me at a higher risk for other conditions, such as vaginal yeast infections, pelvic inflammatory disease (PID), human papillomavirus (HPV), and cervical cancer?
- Does an HIV diagnosis mean I can't have children?
- Can a combination of antiretroviral therapy and interventions during pregnancy, labor, and delivery prevent HIV transmission from mother to baby?
- How is HIV or AIDS likely to affect my baby if I am (or become) pregnant?
- How does pregnancy affect an HIV or AIDS condition?
- Do I need a women's health HIV specialist, such as a gynecologist or obstetrician who specializes in treating patients with HIV or AIDS?
- How can I be sure I won't transmit HIV to my kids?
HIV/AIDS Medications
Your doctor will probably prescribe a number of medications to manage your symptoms and slow the progression of your disease. The medication regimen for treating HIV and/or AIDS can get quite complicated, so it's especially important that you clarify it with your doctor, ask any questions you have about the medications, read the inserts the pharmacy includes with your prescriptions, and take the medications as directed. Knowing how your medications are supposed to work will help you evaluate their effectiveness and whether they're right for you.
Here are some questions you may want to ask your doctor about HIV and AIDS medications:
- Will I need to take medication as part of my treatment?
- Is medication necessary if I'm feeling fine?
- How often and for how long will I need to take medication?
- What types of drugs will you prescribe, and how do they work?
- Where can I get more information about these drugs?
- Do I need drug-resistance testing?
- How will anti-HIV or antiretroviral drugs help me?
- What are reverse transcriptase (RT) inhibitors, and how do they work?
- What are protease inhibitors, and how do they work?
- What are fusion inhibitors, and how do they work?
- How will the medications make me feel, and how will I know if they're working?
- When can I expect an improvement in my symptoms?
- What kinds of challenges might I face when it comes to taking multiple HIV or AIDS medications? Can you offer any advice on how to adhere to my medication regimen?
- What are the risks if I don't take my medications as directed, or if I forget to take them?
- Have these medications been tested in people with HIV and AIDS? Are there any recent clinical studies on them? Are there any side effects I should be aware of?
- What should I do if I experience any side effects? Are there any that may require me to call a doctor? Are there any that may require me to stop taking the medication immediately?
- Are these drugs habit-forming?
- Can I take them on an empty stomach, or should they be taken with food?
- Could these medications interact negatively with other medications I'm taking?
- Can other conditions interfere with or be affected by my medication?
- How often is my medication regimen likely to change?
- How will we know when it's time to change my medication regimen?
Complementary and Alternative Therapies
In addition to the primary treatments your doctor recommends, you may consider complementary or alternative treatments, like yoga, relaxation techniques, and acupuncture. Ask your doctor whether any of these options might be beneficial for you.
- Should I consider any complementary or alternative therapies?
- Does medical research support these complementary or alternative therapies?
- Could acupuncture benefit my condition?
- Would supplements like vitamin D and calcium be good for me?
- Can stress management, relaxation techniques, or meditation benefit me?
- Would massage therapy help ease my muscle pain?
- Can herbal remedies interfere with my HIV/AIDS medications?
Emotional Health and Family Concerns
It's natural to experience feelings of depression, frustration, anger, fear, anxiety, and loneliness when you have a life-threatening disease, and the social stigma associated with HIV and AIDS can make coping with this condition even more difficult. However, there is a large network of support for people with HIV and AIDS. Your doctor can help you deal with the emotional stress of HIV and AIDS while managing your symptoms. He or she can also put you in touch with social workers, support groups, and other mental health professionals who can offer additional support. Find out what else you can do to improve your emotional health while living with HIV or AIDS.
- What should I do if I think - or if family and friends say - I'm in denial about my diagnosis?
- How do I know whether depression and stress are adversely affecting my health?
- Should I seek emotional support from a group or therapist?
- Are there support groups that are focused on HIV and AIDS patients? How can I find one?
- Can you recommend any reputable online resources for HIV and AIDS support?
- How can my family help me cope with HIV and AIDS?
- Are there support services that can help my family cope with my condition?
- How is HIV/AIDS likely to affect sexual intimacy? What precautions do I need to take?
- How can I address bad coping habits, like drinking too much, abusing drugs, practicing unsafe sex, or neglecting my treatments?
- How should I deal with the social stigma associated with HIV/AIDS?
General Health and Lifestyle Concerns
Maintaining a healthy lifestyle is one of the best ways to stay in good overall health with HIV and AIDS. Participating in a physical fitness regimen, following a balanced diet, getting adequate rest and sleep, quitting smoking, moderating your alcohol consumption, and avoiding substance abuse of any kind can all help keep your immune system strong. Check with your doctor to see whether you need to make any lifestyle changes at home, work, or school to better manage your HIV or AIDS:
- Will I need to make any lifestyle changes to better manage my HIV o AIDS or my treatment?
- How will HIV/AIDS treatment affect my daily life?
- How can I keep my immune system strong?
- Do I need to make any changes in diet or exercise or how much I rest?
- Do I need to pay special attention to my nutrition?
- Can drinking alcohol, smoking (or being exposed to secondhand smoke), or using drugs affect my condition?
- How should I explain my condition to my spouse or partner, family, and friends?
- What's the best way to talk to my children about my illness?
- What, if anything, should I say to my boss and co-workers?
- How is my condition likely to affect my relationships, and what can I do to improve my situation?
- How will HIV/AIDS affect my sexual health?
- What do I need to know about practicing safe sex?
- Are there special concerns for older adults with HIV/AIDS?
- Should I make any special accommodations for school, home, or my work?
- What should I do if I feel I'm being discriminated against at work or school?
- Can you recommend any good books, magazines, organizations, or online resources that focus on HIV and AIDS?
Financial Health
The costs associated with your HIV and AIDS treatment may have a significant impact on your finances. It's crucial to find ways to balance your physical health with your financial health. Ask your doctor about ways in which you may be able to offset the cost of your treatment, and follow up with a representative from your insurance company, as necessary:
- Will my treatment be covered by my health insurance plan?
- About how much will my treatment cost?
- If I choose a complementary or alternative therapy, is it likely to be covered by my insurance? If not, what kind of out-of-pocket costs can I expect?
- What are my options if I don't have any health insurance?
- Are people with HIV or AIDS eligible for Medicaid or Medicare benefits?
- Am I eligible for the AIDS Drug Assistance Program (ADAP) that's federally funded through the 1990 Ryan White Comprehensive Resources Emergency Act?
- Are there additional federal or state programs or private organizations that might be of assistance?
- Regarding my prescriptions, are there generic versions of the medications that would be more affordable? If not, are there other, equally effective medications that are available as generics?
- Do you have any samples or discount coupons for my prescriptions?
- Would participating in clinical trials lower my health care costs?
- Do you know of any resources where people with HIV/AIDS can get financial assistance?
Print the full list of HIV and AIDS questions to take to your doctor.


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The Daily Word in Monopoly stabbing, the 1 percent and webcam girls
UNM says protesters can't be on campus period. Not even during the day.
Occupy Oakland wants the city to strike on Nov. 2.
Woman stabs boyfriend in the wrist over Monopoly, police say. No word on whether she will pass go and collect $200.
In the last 30 years, the 1 percent more than doubled its income, reports NY Times.
Big development plans for the South Valley—a movie theatre and department stores.
Big-deal Hollywood producer says our film perks aren't so great compared with Louisiana's.
The not-at-all-secret life of webcam girls.
Slaves work for you. Find out how many.
Thousands of women in Yemen burn their veils to protest government violence.
Oxycontin mochaccino at Starbucks.
There will be 7 billion people on Earth soon. What number are you?
Your body is a jerk. That's why you can't keep the weight off.
The Paleo-diet is not so awesome, says anthropologist.


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4 1/2 cups sugar
4 cups cubed kiwi
2 cups cubed mango (about 3 large mangos)
juice and zest of 1 lime
juice and zest of one lemon
1 box liquid pectin (6 oz, 2 packets)
Prep jars/lids. Set aside. Place the sugar, juice/zest, kiwi and mango in a pot. Bring to a boil, stirring occasionally. Boil for 15 minutes. Stir in both packets of the pectin. Boil for 1 minute. Ladle into jars leaving 1/4 inch headspace. Process for 10 minutes in a hot water bath.
Note: A great source for canning information is the Blue Book guide to preserving. I highly recommend it for learning how to can. Here is a bunch of other canning books and equipment I find useful.


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Right now, the only reason most adults stop and sit awhile at their local McDonalds (NYSE:MCD) is to watch their kid hang out at the indoor playground. That or because they have no place to take the take-out to, since they work out of their car or truck.
Well, the king of fast food hopes to change that by a massive makeover of its 14,000 U.S. restaurants. McDonalds plans to do away with its fiberglass tables and steel chairs to make the restaurant an inviting destination with padded recliners and warm painted interiors that help customers linger — and maybe spend a few extra bucks.
McDonald's inspiration? None other than coffee king Starbucks (NASDAQ:SBUX).
The plan includes wooden tables, Wi-Fi access, comfortable faux leather chairs and other cafe-style decor that Starbucks has long used to make its stores as much of a selling point as its trademark coffee.
It will be no small undertaking, considering McDonald's has long been known for its bright colors, fluorescent lights and cartoon mascots. Reports put the price tag for the move at over $1 billion.
- Related Article: Starbucks Tries 'Happy Hour' to Perk Up Sales
In addition to stylish interiors, there will also be a push to overhaul the iconic exterior of McDonald's restaurants — replacing ketchup red roofs and bright yellow accents with more earth-tones and grassy landscapes.
McDonald's tried several designs before it decided on one used in Tampa, Fla., as the model for this endeavor. It hopes to have that design in about 800 restaurants by year's end. The chain and franchise owners hope the vast majority of restaurants will be completed by 2015.
So what gives? Surely such an expensive effort isn't just artistic.
Well, the renovations are the latest and largest effort to date by McDonald's to attract more high-end customers. The company already has revamped its menu, adding premium sandwiches, cappuccinos and smoothies. It also has added Free Wi-Fi service for laptop and iPad users.
Now the chain, which built its early success on serving customers quickly and getting them out the door with cheap food in hand, obviously believes the $1 billion plus renovations can take its operations to a new level.
That's where the Starbucks model comes in. McDonald's has already proven it can compete with the coffee crowd, with its highly successful McCafe business fueling a lot of the stock's success in the last few years. MCD shares are up a stunning +125% in the last five years, compared to just +10% gains for the Dow since May 2006.
Now McDonald's needs to maintain its dominance — not just in casual dining, but also on the coffee front. Restaurant chains Panera Bread (NASDAQ:PNRA) and Chipotle Mexican Grill (NYSE:CMG) have seen explosive growth even across the Financial Crisis. And after a dip in 2009 revenue, Starbucks is making a comeback and 2011 sales are on track to top pre-recession revenue by 20% to 25%.The Seattle coffee giant is clearly looking to make up ground lost to McDonald's and others in the last few years.
Of course, McDonald's is risking a lot with the renovations, with the $1 billion capital outlay only the tip of the iceberg. There are very few restaurants parents can take their kids to for a meal they know they will eat. And there are even fewer restaurants that allow youngsters to run around and burn off pinned up energy. If the newly remodeled McDonalds become too popular with leisurely adults seeking a relaxing atmosphere, McDonalds could alienate a customer base that has been the cornerstone of their growth for decades. A January Ad Age report estimated Happy Meals account for about 10% of total McDonald's sales.
The Golden Arches better be sure the push towards laptop-toting professionals doesn't alienate this important customer base, or else it will find its renovations not just costly but counterproductive.
As of this writing, Cynthia Wilson did not own a position in any of the stocks named here.


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Is there any benefit to planting native plants at various times during the late summer and early fall? The answer is yes, and for a myriad of reasons. Late summer and early fall plantings allow the plants to push roots before the winter begins. This will provide many benefits in plant establishment.
To begin with, planting in early fall enables the plant to establish more root development before winter. The increased root development allows for better water and nutrient uptake the following spring and summer. Second, broadening the planting season resolves project delay due to rains in early winter. Another benefit is that the plants would need less or no watering the following year, saving time and labor cost.
In a recent study sponsored by DriWater Inc., Santa Rosa, California, a new theory was presented for a study. In the past, early spring and fall plantings have been the preferential method, but in this new study, the time of year for planting can be adjusted for optimal results. The theory was to begin planting in late summer to allow the plants to push roots before the winter began. Not only will it benefit native restoration projects, but also has practical applications for the landscape contractor.
While plants placed in the ground during the months of November, December and January may be protected from harsh summer temperatures, they do not necessarily receive the root growth momentum to survive through the following growing season.
These plants typically require some type of water regimen during the following spring and summer, which adds cost but may not improve survival rates.
The study results show that while late fall/early winter planting can provide the plants with the water necessary to survive the winter, it does not enable substantial root growth needed for long-term sustainability. Planting trees or shrubs that are dormant or near-dormant late in the season does not create optimum rooting conditions.
On the other hand, planting in late summer/early fall adds flexibility to planting projects by providing the necessary moisture and nutrients to increase rooting and decrease transplant shock. The already established root mass is likely to continue development during the dormant season, increasing plant success the following season.
The study delivered a time-released water gel with enriched nutrients to the plants over a 90 day period (August to November, 2009). This new technology gave the plants 90 days of consistent moisture to establish greater root volume. Controls with the same species were hand-watered, given 2.5 gallons on a weekly regimen.
The test concluded that the time-released water gel delivered better results than hand-watering. The data indicates a 69 percent average increase in root growth for the material planted with the time-released water gel, compared to the material hand-watered only. As of August 12, 2010, plants that were planted August 10, 2009, have shown superior growth and are thriving. No plants received additional water after the first 90 days.


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Why become a CCCA? Why use a CCCA?
The Certified Construction Contract Administrator (CCCA) designation was developed to provide professional recognition to individuals who administer constructors on a construction project to follow the requirements of a construction contract. It was also developed to address the shortage of trained and experienced construction contract administrators, who know and understand the processes involved with construction document preparation and its usage on construction projects.The CCCA program is of benefit to, Contract Administrators, Property Managers, Architects, Engineers, Interior Designers, Landscape Architects, Specification Consultants, Project Managers, Site Superintendents, Estimators, Building Authorities, and Bonding and Insurance agencies.The course objective is to improve construction contract administration by providing education related to the understanding, administration, and enforcement of conditions of the contract during the bidding and construction phases of the project.Consultants, contractors and others are expected to administer the finer points of a construction contract for the facility owner. In order to do this efficiently, a contract administrator must have a complete and advanced understanding of all aspects of the construction process and its workings.The respect and recognition associated with the CCCA designation will give individuals a competitive edge and increase their credibility in the design and construction field. The CCCA designation attests to your knowledge of CSC's recommended practices in organizing, implementing and supervising construction contract documents, as well as your expertise in written communication.An applicant for certification as a CCCA must be a member of CSC. To achieve the CCCA status, a participant must successfully complete the Principles of Construction Documentation (formerly the CSC Level 1 Principles of Construction Specifications), and Construction Contract Administration course; and must have a minimum of five (5) years experience in the administration of construction contracts. (Applicants must complete the CCCA Application Experience Log).
An applicant for certification as a CCCA must be a member of CSC. To achieve the CCCA status an individual must have a minimum of five years experience in the administration of construction contracts and have successfully completed both Principles of Construction Documentation (PCD) and the CCA Program.
Codes of Conduct & Practice1 Certified Construction Contract Administrator (CCCA) by their acceptance of Certification shall agree to the following Code of Conduct and Practices:2 Code of Conduct related to Project Work: .1 The CCCA performs quality work in accordance with accepted, recommended standards, skill and good judgement; .2 The CCCA administers and conducts work in a fair and consistent manner in accordance with the contract documents and industry practice; .3 The CCCA issues instructions which are current, clear, concise, thorough, fair, and capable of enforcement on a basis of merit in a concise and complete manner. Will knowingly not misrepresent a service; .4 The CCCA: .1 upholds documents and specifications objectively and impartially. .2 complies with Codes, Statutes, Regulations, and rules applicable to work undertaken; .3 undertakes only work for which one is qualified; .4 does not accept compensation for a service from more than one party on a project; .5 avoids conflicts of interest; .6 does not use manufactures' or suppliers' services that carry an obligation detrimental to the Code of Conduct; .7 maintains confidentiality of client's or employer's interests or business affairs and has loyalty to client or employers interests; .8 maintains consideration for safety and welfare of the public; .9 does not provide services without a contract or written letter of understanding, and 10 communicates through channels designated for the project.3 Code of Conduct related to Certified Construction Contract Administrators: .1 The CCCA engages in activities to advance effectiveness of recommended CSC practices in organizing, implementing, supervising construction contract documents; .2 The CCCA: .1 supports the aims of CSC; .2 freely exchanges non-confidential information and experience with other members of CSC; .3 avoids conduct which would reasonably be regarded as disgraceful, dishonourable, or unprofessional; .4 acts towards other CCCA members with respect, goodwill and fairness; .5 does not maliciously undermine the reputation or business of another CCCA member
CCCA APPLICATION FORM If you are applying for the CCCA designation, please include 2 - 3 references WITH email addresses in the application, and notify them that they will be contacted..


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for the love of...
bikes of course.
So my boy Steevo, who recently (re)posted some of the great photos from our 2006 Great Divide trip, just wrote an article for Urban Velo called Riding Is My Religion. For those of you who don't ride bikes often or at all, you may miss the subtleties of what makes riding so beautiful. And what I've always said is that it is not the actual act of bicycling that brings so much joy (though that does too!), but what bikes open your life up to. It's a medium. It's metaphorical. It's often unbelievable. Steevo captures it well in this piece. Read it!
I am 29 and have been riding bikes as a part of my life for 25 years. Ever since my mom took me to Louise Moore Park to sign up for BMX racing because I was too young for baseball at 4.


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Ecuadorian law imposes prison terms ranging from one to five years for women and girls who receive abortions. Medical professionals who provide them are subject to harsher penalties. The criminal code provides for only three exceptions to criminal punishment:
- in the case of a threat to the life of a pregnant woman, when the danger cannot be averted by other means
- in the case of a threat to the health of a pregnant woman, when the danger cannot be averted by other means or
- when the pregnancy is the result of a rape or statutory rape of a woman who is an "idiot or demented." Ecuador's laws do not allow other women or girls to seek abortion in the case of rape, this despite the fact that a 2011 nationwide government survey estimated that one out of four Ecuadorian women has been a victim of sexual violence.
Although actual prosecutions of women who receive abortions or doctors who perform them are rare, the criminal restrictions on abortions have very real consequences. Notably, abortion—often performed in clandestine, unsafe conditions due to their illegality—is the leading cause of female morbidity (disease, disability, or physical harm), and a significant cause of maternal mortality, in Ecuador. These provisions in the criminal code also treat women and girls with disabilities differently from other women and girls, fostering inequality.
Human Rights Watch conducted research on these issues in Ecuador from May to July 2013 in eight provinces. We interviewed 45 medical professionals who provide post-abortion care to women and girls; 37 women and girls, almost half of whom were Afro-Ecuadoran or indigenous, about their reproductive health and gender-based violence histories; and 22 experts on women's rights, including government officials and NGO representatives. We found that Ecuador's criminalization of abortion after sexual violence (except in the case of so-called "idiot and demented" women) has the following impacts. It:
- Hinders detection and prevention of sexual and gender-based violence;
- Contributes to maternal injury and death;
- Creates delays or obstacles for women and girls needing potentially life-saving care; and
- Perpetuates negative stereotypes and inequality of women and girls with disabilities.
Ecuador's restrictions on legal and safe abortion, even in the case of rape, also impose unnecessary costs on the state and private health sector, and impair the state's response to sexual and other gender-based violence.
In 2012 Ecuador's National Assembly debated reforms to Ecuador's criminal code that included increased penalties for some forms of violence against women and eliminated criminal punishment for abortion in all cases of sexual violence. These criminal code reform debates resumed in 2013, with a vote expected in late August 2013.
President Rafael Correa has on multiple occasions made public statements promising to veto any legislation that "goes beyond" the current code's abortion provisions.[1] In May 2013, President Correa stated that "We truly defend life from the moment of conception, as stated in the Constitution; so, abortion is not allowed, my fellow countrymen."[2] The president's adamant public opposition to any changes to Ecuador's abortion laws threatens the advances in protecting the human rights of women and girls proposed in the draft criminal code reform.
Over the last seven years, Human Rights Watch has published six reports on Latin American and Caribbean countries, and one report on a European country, that looked at the impact of penal codes and policies that restrict the exercise of women's reproductive rights. We have consistently found that legal frameworks that do not exempt from punishment abortions performed when a woman's life or health is endangered or in the case of rape create an environment where women turn to unsafe and clandestine procedures that threaten their health and lives.
In the interest of improving protection for women and girls in Ecuador against violence and respecting their rights—including their rights to life, physical integrity, health, and non-discrimination—Ecuador's government should remove criminal penalties for abortion. It should immediately eliminate penalties for all women and girls who are the victims of sexual violence and seek abortions, and strike all demeaning language in the current criminal code referring to women and girls with disabilities. Human Rights Watch also urges the government to improve data collection on reproductive and maternal health, including by assessing the costs to the health system of treating complications from unsafe and illegal abortion, and more precisely tracking maternal deaths and injuries resulting from unsafe and illegal abortion.
Ecuador's Laws on Violence against Women and Reproductive Health
Ecuador has a number of laws and policies relevant to violence against women, reproductive and maternal health, and post-rape care. Some are rights-respecting, and others are in major need of reform.
Article 32 of the 2008 Constitution provides significant protection for the rights of women and girls, guaranteeing the right to health and obligating the state to promote and provide sexual and reproductive healthcare. The provision explicitly invokes a set of principles including equity, prevention, and quality, and a focus on women's rights.[3] Victims of domestic and sexual violence also have the constitutional right to receive priority and specialized care in the public and private health sectors.[4] All people have a right to a life without violence and to make free, responsible, and informed decisions about one's health and reproductive life, and decide when and how many children to have.[5]
Ecuador also has laws specifically addressing and criminalizing domestic and sexual violence,[6] as well as policies and protocols to implement those laws, as described below (under the section on "Detection of Sexual Violence or Other forms of Gender-Based Violence").
These protections are undermined by the criminal penalties for termination of pregnancies resulting from rape—for anyone other than a woman who is an "idiot or demented" or who is not covered by other exceptions.[7] If not covered by the exceptions, the criminal code imposes prison sentences for those who receive or perform abortions.[8] Article 443 criminalizes the act of providing abortion services or abortifacients to a woman who has voluntarily sought an abortion, and it imposes punishment of prison terms from two to five years.[9] Article 444 of the code punishes women who have abortions with one to five years in prison.[10]
Criminal Code Reform
Ecuador is undertaking a revision of its criminal code. In October 2011, the executive branch introduced a draft criminal code to the Justice and State Structure Committee of the National Assembly. The Committee held 39 hearings on the bill before it was referred to the full Assembly for debate in July 2012. That debate ended without the bill being adopted. A second debate is expected to be held in late August 2013, before a final vote is taken on the criminal code.[11]
An amendment to the draft criminal code presented in the first debate would modify the exception to punishment for abortion in the case of rape by eliminating the provision that limits abortion after rape only when the victim is a so-called "idiot or demented woman." This would have the effect of establishing an exception to penalties for abortion in all instances of rape.[12] This provision was in the final draft of the bill submitted by the Justice Committee, headed by the majority party, for debate in July 2012. In fact, Mauro Andino, a member of Correa's Alianza País party and president of the Justice Committee in the Assembly, explained that the change was not a "decriminalization of abortion," but rather a correction of discriminatory language in the code.[13] It is this version of the bill, however, that President Correa has repeatedly promised to veto precisely because it loosens restrictions on abortion.[14] The December 9, 2012 draft of the criminal code bill, prepared after the first debate, maintained this proposed change. However, a new draft is expected to be released prior to the August 2013 debate, and it is unknown whether it will address penalties for abortion after rape.
Impact of Ecuador's Abortion Ban on Women and Girls
Human Rights Watch evaluated the impact of Ecuador's existing abortion law on the basis of interviews with individual women and girls, health care professionals, government officials, and other experts (described in the methodology section). We found that Ecuador's criminal ban on abortions, including in the case of rape (except for so-called "idiot or demented" women), (1) hinders medical professionals' ability to detect sexual violence or other forms of gender-based violence, (2) contributes to Ecuador's high maternal mortality and morbidity rates, (3) creates delays or obstacles for women and girls needing potentially life-saving care, and (4) perpetuates negative stereotypes about and discrimination against women and girls living with disabilities, which may risk depriving them of their legal right to make decisions about when and whether to have children.
Detection and Prevention of Sexual Violence and Other Forms of Gender-Based Violence
Ecuador has high rates of violence against women, including sexual violence. A 2011 government-conducted nationwide survey of almost 19,000 households in all of Ecuador's 24 provinces found that 60 percent of Ecuadoran women respondents had experienced some type of gender-based violence in their lifetimes.[15] According to government estimates based on its analysis of data from the survey, one out of every four women in Ecuador has suffered sexual violence in her lifetime.[16] Of women who reported sexual violence in the survey, 53.3 percent said their partner or ex-partner was the perpetrator, while 46.5 percent reported that the perpetrator was someone other than a partner or ex-partner.[17]
Although Ecuador is actively taking steps to address gender-based violence,[18] the criminalization of abortion after rape creates obstacles for Ecuador to effectively tackle the high rates of violence against women.
The Ecuadoran Ministry of Public Health has developed detailed norms for the comprehensive treatment and care of pregnant and post-partum women and girls, including the detection of sexual abuse and intra-familial violence.[19] However, when victims of sexual violence seek post-abortion medical care for complications from clandestine, illegal abortions, the current abortion law serves as a disincentive to reporting the violence, because the victims fear that clinic or hospital staff will conclude they illegally induced the abortions themselves. As detailed below, this makes detection of violence against women and girls more difficult, and contributes to impunity for such violence.
The majority of medical professionals interviewed by Human Rights Watch said that they believe fear of criminal penalties distorts what women and girls are willing to tell them, and thus leads them to miss opportunities to refer the women and girls to appropriate services. These professionals said that if women or girls arriving at clinics or hospitals with abortions in process or needing post-abortion care tell doctors that they were raped, medical professionals and state authorities may suspect that the women or girls intentionally and illegally terminated their pregnancy.
According to a 2013 WHO report on gender-based violence globally, women who have been physically or sexually abused by their partners are more likely to seek an abortion than women who have not experienced partner violence.[20] In its analysis, the WHO emphasizes the importance of health-care providers "identify[ing] opportunities to provide support and link women with other services they need...."[21] But as the WHO notes, and Human Rights Watch interviews in Ecuador confirm, women and girl survivors of violence may seek health care, particularly sexual and reproductive services including post-abortion care, and not disclose information about the violence to providers.[22]
For example, at a health clinic in the city of Santo Domingo in Tsachilas, two medical professionals in separate interviews told Human Rights Watch about a woman they jointly treated twice for reproductive post-abortion care, in April 2013 and in June 2013.[23] The patient did not report that the pregnancies were the product of sexual violence; however, the woman had in previous routine medical visits told the medical professionals that her partner was sometimes violent.[24] The professionals suspected that both abortions were punishable under Ecuadorian law. They did not question the woman further about violence by her partner or ask whether the pregnancies resulted from rape, nor did they refer the case to authorities for fear the woman could be subject to prosecution.[25] The clinic provided the woman with necessary medical post-abortion treatment, but did not refer her to services for victims of sexual violence. The current status of the patient is unknown.
A counselor at the same clinic recounted a similar case within the last 10 years of a 13-year-old girl. The child came to the clinic needing post-abortion care for three separate pregnancies in the course of one year.[26] The criminal ban on abortion was in effect at the time. Each time, the girl's father accompanied her to the clinic, raising questions in the professional judgment of health professionals as to how much he knew about who was sexually abusing and impregnating his daughter. Under the law the age of consent is 14, meaning at the very least each of these pregnancies resulted from statutory rape. When the counselor tried to speak with the girl about her pregnancies, the abortion, and the potential abuse, she refused to speak. The counselor did not refer the case to authorities for further investigation because medical evidence strongly suggested that the child's abortions were induced in all three cases, opening her up to potential juvenile justice consequences.[27] The clinic did not conduct follow-up in the patient's case, and had no information about the girl's current circumstances.
Almost half of the medical professionals interviewed by Human Rights Watch described cases they had handled of adolescent girls or young women that came to clinics seeking abortions after what the patients described as cases of rape.[28] These girls and young women were not what the medical professionals thought might be considered "idiot or demented" under the law, a phrase nowhere defined in Ecuadorian law, nor, in their view, did the pregnancies threaten the lives or health of the women and girls. The medical professionals had to turn away these women and girls, some as young as 12 years old, because abortion was not legal in their cases. These professionals did encourage the victims of violence to report the rapes to prosecutors, but none were aware of the victims having done so. As one peer counselor told Human Rights Watch, "these girls [and women] want to end the pregnancy" more than they want justice.[29] Reporting the cases to prosecutors would make securing an illegal abortion more difficult, because authorities would be aware of the pregnancy. They would then know if the pregnancy was terminated, and could prosecute the woman or girl for undergoing an abortion. For example, one Ministry of Health official told Human Rights Watch about a case of an 11-year-old girl whose pregnancy became a source of evidence for prosecutors in the rape case against the suspect.[30] The alleged perpetrator, a close family member, remained free until the child could give birth and a DNA test could be conducted on the baby to establish paternity.[31]
Maternal Mortality and Morbidity
Global studies underscore that the criminalization of abortion does not reduce the number of abortions,[32] but instead drives women and girls to seek clandestine and unsafe abortions that contribute to maternal mortality and morbidity. This is a major concern for Ecuador, which has high rates of maternal mortality and morbidity.
Though lauded by development organizations as a success story in meeting many of its Millennium Development Goals (development goals agreed upon states and institutions in 2000 with targets and benchmarks through 2015),[33] recent government statistics indicate Ecuador is not on track to meet its goal of reducing maternal deaths by 75 percent from 1990 levels—from estimates as high as 150— to 29 maternal deaths per 100,000 live births.[34] Since 2008, the Ministry of Health has undertaken significant efforts to reduce the maternal mortality ratio, including the development of detailed norms and technical guides on maternal health.[35] Such efforts have led to a reduction in maternal deaths caused by post-partum hemorrhaging.[36] Nevertheless, maternal mortality in Ecuador remains stubbornly high.[37] Lack of data and differences in the methodologies used by the government and international agencies in their calculations have led to conflicting estimates of maternal mortality ratios, but none of the government's most recent calculations reported by the National Institute for Statistics and Census put Ecuador on track to meet its goal.
In 2011 the government-reported maternal mortality ratio was 105 maternal deaths for every 100,000 live births—more than three times its target ratio.[38] According to government statistics using the same ratio of maternal deaths to 100,000 live births, the 2011 ratio of maternal death is more than twice as the high as the ratio in 2006, which was 48 maternal deaths per 100,000 live births.[39] In 2011, the maternal mortality ratio was as high as 290 for every 100,000 live births in the province of Sucumbios,[40] a higher ratio than in Bangladesh, Pakistan, and some countries in sub-Saharan Africa.[41]
According to government data, complications from abortion—whether a legal abortion or one procured illegally—killed at least 10 women or girls in Ecuador in 2011.[42] The number of women or girls that died from unsafe abortions in fact is likely to be higher, because few doctors report the actual cause of death or morbidity, instead reporting cases of abortion as sepsis, hemorrhaging, and other pregnancy and post-partum complications.[43] Therefore, the actual number of deaths related to abortion in 2011 likely includes the 10 known cases plus some of the 93 deaths listed as due to post-partum hemorrhaging, sepsis, and unspecified causes.[44]
One former Ministry of Health official told Human Rights Watch that he believes the ministry has reached the maximum that it is able to do within the law to prevent maternal injury and deaths by producing detailed norms, protocols, and practical guides.[45] In the opinion of this former government official, a legal and political change through criminal code reform broadening exceptions to penalties for abortion is needed to protect the health and lives of Ecuador's women and girls from maternal mortality and morbidity.[46] Allowing abortion in the case of sexual violence is an important legal change that could reduce the number of illegal and unsafe abortions.
According to government data, abortion (no breakdown was provided differentiating between legally and illegally procured abortions) was the leading cause of morbidity in women in Ecuador's hospitals in 2011, with over 23,000 cases of disease, disability, or physical harm.[47] This classification is widely understood by medical professionals to be one of the categories under which health facilities report treatment of women who have complications arising from unsafe, induced abortion (as opposed to spontaneous miscarriages). Several doctors and former officials said they believe the true number of abortion-related injuries is much higher, and expressed frustration that doctors and hospitals are vague and inaccurate when reporting such morbidity because they fear criminal penalties against their patients.[48] As one doctor told Human Rights Watch, "decriminalizing abortion [in the case of rape] would mean we could accurately report on the reproductive health of women. There would be more transparency about what is going on and [ability to] help."[49]
The impact on health-care costs for post-abortion care for clandestine abortions in Ecuador is unknown, but may in fact be very high given the reported numbers of hospitalizations related to abortion. According to a general estimate, the cost in Latin American countries in 2006 was as high as $109 dollars per patient seeking post-abortion care, or an inflation-adjusted cost of $126 per patient in 2013.[50]
Of great concern is the number of cases of abortion-related morbidity affecting girls and adolescents. Ecuador estimates that in 2011, there were 258 cases of abortion-related morbidity in girls ages 10 to 14, and over 4,000 cases in girls and women ages 15 to 19.[51] The WHO has warned that pregnant adolescents are more likely than adults to have unsafe abortions, and that such abortions contribute substantially to lasting health problems and maternal deaths.[52] Government statistics show a 74 percent increase in pregnancies among 10- to 14-year-olds in the last decade, and childbirth is the second leading cause of morbidity in girls ages 10 to 14 in Ecuador.[53] Women's rights organizations in Ecuador note that there is a high likelihood that many of these girls became pregnant due to sexual abuse.[54] According to the age of consent, any pregnancy in a girl under the age of 14 would be a product of statutory rape.[55]
The limited availability of misoprostol, a multi-use drug that can be used to perform generally safe, medical abortions, has reduced the number of abortions performed with instruments in the region. Nevertheless, medical professionals in Ecuador confirmed that "even with misoprostol available, very grave cases still exist—uterine perforations, infections, sepsis, bleeding—from [surgical abortions]. [And] [w]ith misoprostol, women still come in bleeding."[56]
All of the medical professionals with whom Human Rights Watch spoke had treated or provided post-abortion care to women and girls who had complications arising from illegal abortions, while a few had patients who had died from an illegal abortion.[57] One doctor in Quito told Human Rights Watch about a case dating from approximately 2007 of a 24-year-old woman who arrived at the main maternity hospital in Quito too late to be saved.[58] She had a uterine perforation and internal bleeding from an unsafe abortion, and blood filled her abdomen. Though the doctor and colleagues took emergency measures immediately, the woman died in this doctor's arms. He does not have any idea about the events that caused her death. When abortion is illegal, he said, "women live through abortion alone. All the information about the abortion died with her," he told Human Rights Watch. Doctors at the hospital did not know why she had the abortion, or if she had been victim of rape. They also did not know where she received the abortion, information which could have helped them dissuade other women from using the same provider, or if it was self-induced.
A counselor working at a women's health clinic in the town of Latacunga, Cotopaxi province, told Human Rights Watch of an incident in which a woman was left with a permanent disability after an attempted abortion.[59] The woman first sought an abortion at a private health clinic in Latacunga. The woman explained that her husband was abusive, and would not allow her to practice family planning. The counselor said she explained to the woman that it was illegal to perform an abortion, but in the future they could work with her to find a family planning method for her situation. The woman did not disclose further information, including whether the pregnancy was the result of intimate partner violence. The woman eventually found a clandestine clinic in the nearby town of Ambato to perform the abortion.
The clandestine abortion did not end the woman's suffering, as the counselor discovered in a subsequent conversation with her. Instead, the abuse continued and, when the woman became pregnant again several months later, she climbed the tallest tree she could find and threw herself from the highest branch she could reach—hoping to induce an abortion. Rushed to the hospital, she did not disclose she was pregnant. The fall did not induce an abortion. She received x-rays to evaluate injuries as a result of her fall, exposing the fetus to high levels of radiation. Under these circumstances, she was able to secure a safe abortion.[60] The woman, however, broke her spine in the fall and is confined to a wheelchair for the rest of her life.[61]
Medical professionals who spoke to Human Rights Watch also lamented the cases they did not treat. Many of them recounted stories of adolescent girls or young women who sought abortions after what their patients described as rape.[62] The professionals said that after they informed their patients that abortion is not legal even after rape, the patients left and did not return—leaving them without any knowledge of the fate of the girls and young women.
Obstacles to Obtaining Potentially Life-Saving Care
The illegality of abortion, including after rape, leads some women and girls who experience abortion-related complications to delay seeking important medical care. Their reluctance to speak about the abortion can also compromise the quality of treatment they receive.[63]
All of the medical professionals interviewed by Human Rights Watch said that when women and girls who have had illegal abortions do seek care, most often they do not tell healthcare professionals how they went about trying to induce an abortion. Medical professionals told us that women and girls come in bleeding, sometimes with infections, yet offer little information. They said this forces them to guess what happened to their patients, and undermines their ability to provide timely, quality care.[64] As one doctor described, "women don't tell you what happened; there is fear and it is illegal. [But] women still die from induced abortion."[65] Lack of information about what occurred makes treatment difficult. A certified midwife told Human Rights Watch, "[t]hey say 'I fell' or 'I hit something.' Rarely will they tell the truth."[66] Another doctor said, "[p]atients don't tell us the truth when they come in with abortions in progress. In their clinical history, they don't say they took anything."[67]
Some women and girls, even if they are not afraid to disclose that they intentionally induced the abortion, do not have complete information about how the abortion was performed in order to inform the doctor's treatment. One doctor explained that the abortions she sees can be induced with anything from unknown injections, herbs, malaria pills, anti-parasite drugs, and other methods. "Women don't even know what they are most of the time," the doctor said.[68] A counselor Human Rights Watch interviewed described the fear this instilled in patients she saw: "[The women come in with] fever, pain, infections and bleeding; they don't know what they took, or what was injected, or what will happen to them."[69]
Negative Stereotypes and Discrimination against Women and Girls Living with Disabilities
The current criminal code article related to abortion perpetuates negative stereotypes about women and girls living with disabilities, implying that they are more likely to be "unfit" mothers, and thus eligible for abortion after sexual violence even when other women and girls are not. The application of this provision is rare, and none of the medical professionals interviewed by Human Rights Watch said they had been involved in providing abortions for so-called "idiot or demented" women or girls. Independent of how often it is applied, though, the provision uses outmoded and offensive terms and, as described below, may in some cases contribute to human rights violations.
The terms "idiota" and "demente" do not have modern medical significance and are not defined in the law.[70] These terms are inconsistent with Ecuador's disability-rights respecting Constitution, its disability laws, and its obligations under the Convention on the Rights of Persons with Disabilities (CRPD), which calls for equal treatment under the law.[71] Moreover, medical professionals told Human Rights Watch that the vagueness of these terms makes it difficult for them to assess the legality of abortion when women and girls with disabilities become pregnant as a result of sexual violence.[72]
To operate within the law in assessing whether rape victims are eligible for abortions, doctors must determine whether a woman or girl in question falls within the anachronistic terms "idiota" or "demente"—conditions without modern medical diagnostics. Some doctors with whom Human Rights Watch spoke literally threw up their hands in disgust at the idea of having to ask a woman, who has admitted to being pregnant from an act of sexual violence, if she is an "idiota" or "demente."
In addition, this challenge may lead some doctors to choose to rely on a woman or girl's legal guardian to make decisions about her health, making it more likely they will undergo abortions without their consent. This would be contrary to Article 23 of the CRPD and the call from the Committee on the Rights of Persons with Disabilities for the "abolition of surgery and treatment without the full and informed consent of the patient."[73]
Uncertainty around the definition of "idiot" and "demented" may also create delays in processing requests for legal abortion. A Ministry of Health official in Cotopaxi told Human Rights Watch that she was aware of at least two cases in the last few years of children under the age of 14 (one was 11) with disabilities who filed for legal abortions. Although the official was not certain of the reason for the delays, she believed they were due to confusion in determining whether the girls met the definition. Neither of the requests was processed in time and both children carried the pregnancies to term, she said.[74]
International Legal Obligations
Authoritative interpretations of international law recognize that obtaining a safe and legal abortion is crucial to women's effective enjoyment and exercise of their human rights, in particular rights to equality, life, health, physical integrity, the right to decide on the number and spacing of children, and to be free from cruel, inhuman, and degrading treatment.[75] Human Rights Watch has previously published detailed legal analysis of the relationship between international human rights law and abortion, equally relevant for Ecuador.[76]
Since the mid-1990s, the UN treaty bodies that monitor the implementation of the International Covenant on Civil and Political Rights, the International Covenant on Economic, Social and Cultural Rights, the Convention on the Elimination of All Forms of Discrimination against Women, the Convention against Torture and Other Cruel, Inhuman, or Degrading Treatment or Punishment, and the Convention of the Rights of the Child have produced a significant body of jurisprudence regarding abortion in over 122 concluding observations concerning at least 93 countries.[77] These treaty bodies have also issued general comments addressing reproductive rights and abortion.[78]
In their commentaries, these bodies have frequently expressed concern about the relationship between restrictive abortion laws, clandestine abortions, and threats to women's lives, health, and well-being. They have repeatedly recommended the review or amendment of punitive and restrictive abortion laws and have urged states parties on multiple occasions to legalize abortion, in particular when a pregnancy is life or health-threatening or the result of rape.[79]
International human rights law and relevant jurisprudence support the conclusion that decisions about abortion belong to a pregnant woman alone, without interference by the state or third parties. Any restrictions on abortion that unreasonably interfere with a woman's exercise of her full range of human rights should be rejected. UN bodies and conferences have recognized that firmly established human rights are jeopardized and prejudiced by restrictive and punitive abortion laws and practices. Likewise, the UN Special Rapporteur on the right of everyone to the enjoyment of the highest attainable standard of physical and mental health has determined that criminal laws penalizing and restricting induced abortion are "impermissible barriers to the realization of women's right to health."[80]
UN treaty bodies have expressed particular concern with legislation that restricts access to legal and safe abortion after rape.
Moreover, international human rights law protects the right to noninterference with one's privacy and family,[81] as well as the right of women to decide on the number and spacing of their children without discrimination.[82] These rights can only be fully implemented where women have the right to make decisions about when or if to carry a pregnancy to term without interference from the state. In the case of a pregnancy resulting from rape, abortion is a way for a woman or girl to exercise this right.
The CEDAW Committee has often recommended that states parties review legislation prohibiting abortion to meet their obligation to eliminate discrimination against women,[83] as set out in detail in its General Recommendation No. 24 on women and health: "When possible, legislation criminalizing abortion could be amended to remove punitive provisions imposed on women who undergo abortion."[84]
Treaty bodies have made specific recommendations to Ecuador in relation to its restrictive abortion laws. The Human Rights Committee has expressed its concern about the relationship in Ecuador between very high numbers of suicides of young girls and women and the prohibition of abortion:
[T]he Committee regrets the State party's failure to address the resulting problems faced by adolescent girls, in particular rape victims, who suffer the consequences of such acts for the rest of their lives. Such situations are, from both the legal and practical standpoints, incompatible with articles 3, 6 and 7 of the Covenant, and with article 24 when female minors are involved. [85]
The Human Rights Committee recommended that Ecuador "adopt all necessary legislative and other measures" so that women and girls with unwanted pregnancies can access adequate health and educational facilities.[86]
In November 2012, the Committee on Economic, Social and Cultural Rights (CESCR), noting concerns about legal restrictions on abortion in Ecuador, recommended that the government:
…amend its Criminal Code so as to establish that abortion is not an offence if the pregnancy is the result of rape, regardless of whether or not the woman in question has a disability, or if the existence of congenital anomalies has been established. [87]
To President Rafael Correa
- Publicly support women and girls' right to unhindered access to abortion where allowed by law, and press changes to Ecuador's criminal code provisions on abortion that make them consistent with the Constitution and Ecuador's international human rights obligations by making abortion legal in all cases of rape.
To the National Assembly
- Update the criminal code to make it consistent with the Constitution and Ecuador's international human rights obligations by allowing all girls and women access to legal, voluntary, and safe abortions in all cases of rape.
- Remove the criminal code reference to "idiot or demented" women in the provision on abortion after rape, because the terms are antiquated and offensive and because ambiguities around their definitions can lead to involuntary medical treatment based on disability status. Women and girls living with disabilities should have access to abortion in cases of sexual violence in accordance with their wishes.
To the Ministry of Public Health
- Ensure that women and girls have access to high quality abortion services in all cases of legal abortion, and that post-abortion care is available for all abortion-related complications.
- Adopt and implement clear protocols for legal abortions, including abortions allowed under the current criminal code and abortions allowed after enactment of the new criminal code, including in all cases of rape.
- Ensure that all health care and services provided to persons with disabilities are based on the free and informed consent of the individual concerned.
- Collect and publish data showing the societal and economic costs of maternal mortality and morbidity related to illegal abortion in Ecuador, or assist other government ministries to do so.
- Should the criminal code be amended to allow abortion after rape, the Ministry of Health should coordinate with other competent ministries to educate the population about the change in law and women's and girls' right to health services after rape, including abortion services if they want them. Particular attention should be paid to youth and at-risk populations.
To Donors and United Nations Agencies
- Advocate for Ecuador to remove criminal penalties for abortion, including in all cases of rape, and to ensure that women and girls have access to safe and legal abortions.
- Help fund the collection and publication of data showing the societal and economic costs of maternal mortality and morbidity related to illegal abortion in Ecuador.
This report is based on research conducted by Human Rights Watch in the provinces of Pichincha, Tsachilas, Esmeraldas, Cotopaxi, Chimborazo, and Imbabura. Telephone or Skype interviews were also conducted with experts from the provinces of Guayas and Azuay. All interviews were conducted in May, June, and July 2013.
A Human Rights Watch researcher carried out more than 45 interviews with medical professionals that provide post-abortion care to women and girls; 37 interviews with women and girls about their reproductive health and personal histories regarding violence against women; and 22 interviews with experts on women's rights, including government officials and NGO representatives.
All women and girls interviewed provided oral informed consent to participate. Individuals were assured that they could end the interview at any time or decline to answer any questions, without any negative consequences. All participants were informed of the purpose of the interview, its voluntary nature, and the ways information would be collected and used. Care was taken with victims of gender-based violence to minimize the risk that recounting their experiences could further traumatize them. No interviewee received compensation for providing information. Where appropriate, Human Rights Watch provided contact information for organizations offering legal, counseling, health, or social services. Due to the illegality of abortion and the highly sensitive nature of the topic within Ecuadoran society, interviewees are identified by their initials and profession.
In this report, the word "child" refers to anyone under the age of 18, with "girl" referring to a female child.


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Florida Democrat Michael Voeltz had filed a lawsuit against Barack Obama's eligibility to serve as President of the United States and claimed that he was a threat to the safety and security of the United States. Larry Klayman, founder of Freedom WatchUSA served as Voeltz's attorney on the case.
On Dec. 13, Florida Circuit Court of Leon County Judge Kevin Carroll gave the plaintiffs until Dec. 23 to respond to Obama's attorneys' motion to dismiss the case. However, Judge Carroll went against his own order and dismissed the case on the 21st. In his dismissal, Carroll wrote:
"This court notes that President Obama lives in the White House. He flies on Air Force One. He has appeared before Congress, delivered State of the Union addresses and meets with congressional leaders on a regular basis. He has appointed countless ambassadors to represent the interests of the United States throughout the world."
"As this matter has come before the court at this time of the year it seems only appropriate to paraphrase the ruling rendered by the fictional Judge Henry X. Harper from New York in open court in the classic holiday film 'Miracle on 34th St.' 'Since the United States Government declares this man to be president, this court will not dispute it. Case dismissed.'"
Carroll's dismissal was immediately challenged by Klayman claiming that the judge prematurely dismissed the case without a proper hearing as described by state law. Klayman explained:
"This act also flies in the face of this court's own order of Dec. 13, 2012, which was law of the case."
"This court had a statutory duty under the Florida Election laws, the Florida and U.S. Constitutions, and 3 U.S.C. Section 5, to adjudicate defendant Obama's eligibility and his alleged fraudulent acts expeditiously, timely, and before the electors met on Dec. 17, 2012, and before the Electoral College votes on Jan. 6, 2013. Thus, this court also violated these law is dismissing the complaint summarily."
"This court seems to want to sidestep having to reach these serious and important matters before it."
Klayman also noted that Judge Carroll made an inappropriate remark concerning a friend of his who had been appointed to a federal post by Obama and indicated that it may demonstrate bias on the part of the judge.
Carroll also ignored all of the evidence that Klayman had that strongly questions the legitimacy of Obama's birth certificate and other documentation. In plain words, Carroll succumbed to the pressures put upon him by the White House attorneys to ignore the US Constitution, federal and state law and dismiss the case. This administration's record is looking more and more like those of the German Gestapo or Stalin's KGB, only without the obvious trail of dead bodies.


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You are looking at 1-1 of 1 chapters for:
- 3.12.10 Year of Publication. x
Year of Publication
Cheryl Iverson
in AMA Manual of Style: A Guide for Authors and Editors (10th edition)
If the book has been published but there is no year of publication available, use "date unknown" in the place of the year. Use the full year (eg, 2006), not an abbreviated form (eg, not 06 or '06).


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Brentleary needed a new logo design and created a contest on 99designs.
A winner was selected from 61 designs submitted by 13 freelance designers.
CRM-Ish List Award Winners
I'm a crm industry analyst, advisor, author, speaker and award winning blogger. My company, CRM Essentials LLC, is an Atlanta based CRM advisory firm covering tools and strategies for improving business relationships.
I'm a past recipient of CRM Magazine's Most Influential Leader Award. I serves on the national board of the CRM Association, and on the advisory board of the University of Toronto's newly created CRM Center of Excellence. I've been quoted in several national business publications, including the Wall Street Journal, Newsweek and Entrepreneur magazine.
I also serve on the editorial advisory board of The Atlanta Tribune magazine, and write the Social CRM column for Inc.com, and blogs at BrentLeary.com.
My focus is on the customer relationship management (CRM) application vendors, service providers, practitioners and anyone else interested in this industry - from small businesses all the way up to large enterprises. This audience also includes people interested in the integration of social media with CRM - what's now being called Social CRM.
I need to have a logo for an award badge. The award is called the CRM-ISH award. It's for vendors who create customer relationship management (CRM) applications and service, and for companies who create services that aren't quite CRM, but close to it. That's why the award is call CRM-ISH...
I'm calling it the ISH List for sure to play off of the way ISH is substituted for a popular four letter word. I'd love to have a fun design that plays into that, but is appropriate for companies to display as proud winners of an industry award.
Find out how a design contest works or learn more about our logo design services.


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From Caregiver to Patient
Beth K. was just weeks away from her dream — graduating as a Registered Nurse and caring for oncology patients in hospice. But a CT scan and biopsy revealed that she had advanced pancreatic cancer.
An Emotional Lifeline
Going from caregiver to cancer patient was life-changing, but Beth took a positive approach to her physical, spiritual, mental and emotional healing.
"CaringBridge is an emotional lifeline that provides a two-way flow of love and connects me to a heartfelt community of personal cheerleaders," Beth wrote in a blog.
Other benefits: receiving caregiver support and encouragement from family and friends, posting photos and videos, and using her CaringBridge Journal as a form of therapy.
Cancer Blog: The Power of Story
"My journaling gives me a safe haven to share my innermost thoughts," she writes, "and awesome people return an outpouring of love and encouragement back."


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Banana-eating campaign was planned
When Barcelona right-back Dani Alves ate the banana thrown onto the pitch in Villarreal this weekend, he kick-started an anti-racism global social media campaign that was planned well in advance, according to a report in Spanish paper AS.
• Corrigan: No small problem
• Hunter: Step in the right direction
AS report that after Alves' Barca and Brazil teammate Neymar had been racially abused in the Catalan derby at Espanyol in late March, a group of marketing firms were asked to develop a campaign which could draw attention to an issue which has blighted Spanish football for years.
Alves did not know the banana would be thrown onto the pitch at Villarreal on Sunday, however, he and Neymar had decided that if an incident occurred, one of them would make sure to eat the fruit on camera. That moment could then be used to kick-start a social media campaign, with professional backing already in place to help ensure maximum impact.
Within minutes of the incident occurring Neymar, who is currently recovering from a foot injury, had posted images of himself and his young son with bananas to his Instagram and Twitter accounts. Other high profile players including Sergio Aguero, David Luiz, Hulk, Mario Balotelli and Roberto Carlos have since followed suit, while non-football figures including Brazil president Dilma Rousseff have also offered support for the campaign online.
According Guga Ketzer, partner in advertising agency Loducca who have worked on the project with Brazilian marketers Meio e Mensagen and the Neymar camp, the plan has worked very well.
"Actions speak louder than words" Ketzer told AS. "A gesture needs no translation and what we're seeing is that this has gone viral, globally. The idea was for Neymar to eat the banana, but in the end it was Alves, and that works just the same."
Ketzer explained that the hashtags #somostodosmacacos and #weareallmonkeys, which Neymar used first on Sunday night and which have since gone viral, had been thought up in advance.
"The best way to beat prejudice is to take the sting out of the racist action so it isn't repeated," the publicist said. "We created #somostodosmacacos and #weareallmonkeys, with the gesture of eating a banana, and it has been turned into a movement."
The Spanish paper says that there has also been a carefully prepared commercial aspect to the campaign -- with T-shirts bearing the #somostodosmacacos hashtag and a banana image produced by a company owned by Brazilian TV presenter Luciano Huck now on sale for 25 euros.
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Home health care professionals enable patients to receive medical attention in the comfort and convenience of their home. Many services can be provided in the home that once required a visit to the physician's office or hospital. Services are as individualized as the patient being helped and range from simple injections to complete care for a bedridden, seriously ill patient. Depending on your needs, you might receive home health services once or you might see various health care providers daily. The goal of home health care is to allow you to recover in the comfort and convenience of your own home with the important advantage of skilled medical treatment.
Home health care agencies can usually provide registered nurses, nursing assistants, and physical therapists. Some will also have speech therapists, occupational therapists, and social workers. These professionals can provide valuable linkage between the physician and the patient. To ensure that you receive the very best care possible, our staff will coordinate your home health needs with the appropriate providers. Your doctor always supervises your medical care.
Medicare mandates certain criteria that a patient must meet before being referred to Home Health. You should be aware of these Medicare rules as many private insurance policies follow Medicare guidelines. To qualify, the patient must:
Hospice criteria is somewhat different, in that no homebound status is required. To qualify for Hospice, the patient must:
Many patients will never need home health care, but those who do find that it provides great relief and comfort as well as good care. They know there is a professional involved in their care that can be contacted any time day or night to make an assessment and relay information to the physician. The physician knows that this professional will provide up to date information on the patient's condition and assist in providing complete care to each person.
If you feel you or your loved one would benefit from medical services provided in the home, please ask your physician for a home health care referral.
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