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Each pack contains 40 durable glossy postcard-sized periodic tables.
One side is laminated and shows the periodic table with atomic numbers, symbols, and atomic weights. The frame for each element box is coded grey, blue, or red according to whether the element is a metal, semi-metal, or non-metal. The element symbol is displayed as black, blue, or red according to whether the element is solid, liquid, or gaseous.
The reverse side shows a table of element names, atomic numbers, symbols, and the current 5-figure atomic weights for all the known elements.
These are printed on a glossy heavyweight (250 gsm) artboard laminated on one side for durability. Each card is approximately 5.8 x 4.1 inches (148 x 105 mm) and your pack of 40 cards shipped by mail or air-mail. These are proving really popular and ideal for class use or simply to pass around your friends.


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There are some weeds in the pond but do I need to add anything else for my fish?
Kyle – Portland, ME
The fish in your farm pond or lake will definitely use weeds as a source of food and shelter but providing additional habitat is key for pond owners looking for a balanced fish population with large game fish.
Using pond weeds as a source of habitat for your fish population is an at times be a double edged sword to pond owners. While your fish will have somewhere to eat, hide and spawn you may not exactly enjoy seeing weeds taking over and greening up your pond. Snagged fishing hooks, expensive chemical treatments and a downright ugly pond can ruin any pond owner or fishermen's day.
Porcupine® Fish Attractors are constantly growing in popularity as they provide excellent structure for your fish population without the headaches caused by an abundance of aquatic weeds. Unlike pine trees and pallets these Fish Attractors will not bio-degrade or promote algae and weed growth. The PVC spines are easy to fish within and do not snag lures or tangle fishing line. While they are essentially a simple concept these plastic spheres go a long way in maintaining a healthy stock of fish. Simply use PVC Primer and Glue to secure ½" PVC pipe within the Porcupine® Fish Attractor Spheres and you have an instant fish habitat. The Fish Attractor structures sink to the bottom of your pond on their own but can be secured to weights using the pre-drilled hole in each plastic sphere for areas with wake or strong currents. When placed in small groups the fish attractor spheres create hiding places for both large and small game fish. Smaller fish can maneuver closer to the center of each sphere while larger fish can utilize the outer portions. Minnows and fry hide within the hollow interior of the PVC tubes. Providing an adequate amount of fish habitat gives your smaller species an opportunity to grow and reproduce.
If an unbalanced fish population is a concern click over to our Pond Stocking Blog for some tips on what to look for when stocking your pond and how to select the right types of fish for your pond. You can also read more on natural fish habitats versus their man-made counterparts another of our Fish Habitat Blogs.
Pond Talk: Have you tried the Porcupine Fish Attractor Spheres? What do you use to create fish habitat?
Filed under: Bass, Benefits of Owning, Catfish, Emergent Weeds, Fish, Fish Habitat, Fish Stocking, Pond & Lake, Trout | Tagged: attract, attractor, fish, fish attractor, pond stocking, porcupine fish attractor, Trout |

subset: commoncrawl


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App Review: Medieval by Brisk Mobile Inc.
July 19, 2009 by Jeff
Filed under Daily App Reviews, Games
Medieval by Brisk Mobile Inc. is a cool castle defense game. The goal of the game is to defend your castle and flag from attackers. If the enemy gets your flag and take it back to their side, you lose. If you keep your flag on your side for the entire game, then you win. You defend your castle by using a cross bow mounted on the top of your castle to shoot them as they approach your castle. To shoot the cross bow, place your finger on it. Then, draw your finger back to draw the bow, move your finger up or down to aim the shot, and release your finger to fire. After each shot that you take, you have to wait for the weapon to recharge before you can fire again. I did have some trouble actually hitting the enemy sometimes, but I suppose that is par for battle.
When you defeat enemies, you receive gold. Gold can then be used to upgrade your castle's defenses. You can access the upgrade menu at any time during the game by tapping on the cog at the top left of the screen. The top row of upgrades are buildings that you can add to your castle. You must purchase these upgrades before you can recruit troops to defend your castle. For example, purchasing barracks will allow you to hire knights. The second row of upgrades are weapons upgrades. You can upgrade to flaming arrows, triple arrow shots, bomb arrows, and much more. Once you have purchased these upgrades, they will show up as an icon at the bottom of the screen when they are ready to be used. Your cross bow will still fire the standard arrows unless you tap on the upgraded arrows that you purchased. These too will need to recharge after use. The troops are also deployed by tapping on an icon in the lower right of the screen. Keep on eye on your gold, though. Deploying troops can be very helpful, but it is never free.
If you are feeling overwhelmed with the oncoming waves of attackers and are simply standing by while they destroy your castle and steal your flag, you can choose to start the current level over again by tapping on the circle arrow button at the top left of the screen. You can also simply pause the game and take some time to rethink your strategy.
With three levels of difficulty and the ability to save up to four games simultaneously, Medieval is sure to keep you busy for awhile. It is an awesome game with clear graphics. I would love to be able to zoom in on the scene and see things a little more clearly, but the game works well the way it is.
Developer's Website: http://olmob.com/


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It's fair to accuse Lego of producing over-commercialized and over-priced products. The Danish toy company has largely abandoned its unisex kits featuring colorful interlocking blocks and encouraging creative play, and instead the company has made a killing by creating high-priced models based on popular kid movies such as Star Wars and Harry Potter.The Death Star will set you back $400.
But is it fair to accuse the world's most famous maker of plastic bricks of racism?
The Turkish Cultural Community (TCC) of Austria thinks so. The group issued a statement on its website stating that the "Jabba's Palace" model is offensive to its community and all religious groups, according to the British Telegraph.
The Star Wars kit features the home of Jabba the Hutt and, according to the statement, the dome structure with a single tower resembles the Hagia Sophia mosque in Istanbul, Turkey, and the ami' al-Kabir mosque in Beirut. The statement, which was originally published in German and we translated into English using Google translator, goes on to say, "It is clear that the figure of the ugly villain Jabba and the whole scene [depict] racial prejudice and vulgar insinuations against the Orientals and Asians, [depicting them] as sneaky and criminal personalities."
The TCC thinks other religious groups should be offended as the "figure in the tower looks like a prayer leader but is really a criminal with an ax and rifle. And while the model looks like a mosque it also resembles Carolingian Cathedral, the Pantheon in Rome and a Catholic church."
The figurines' guns and weapons have also upset the group and the TCC feels that European countries have worked hard to achieve peace and Lego shouldn't be encouraging violence by creating toys with guns. "We call on LEGO to create educational and therapeutically valuable toys to neuroscientific findings for children aged 9-14 years and not continue relying on war toys!" the statement reads.
The TCC is calling on Lego to "apologize publicly for the violation of religious and cultural feelings."
Katharina Sasse, a public relations manager working on behalf of Lego, refuted the TCC's claims.
"The Lego Star Wars product Jabba's Palace does not reflect any actually existing buildings, people, or the mentioned mosque," Sasse said. "The Lego mini-figures are all modeled on characters from the movie.
"We regret that the product has caused the members of the Turkish cultural community to come to a wrong interpretation, but point out that when designing the product only the fictional content of the Star Wars saga were referred to," she added.
If anyone wants to be horrified by this set it should be over the $119 price tag. Kids' toys don't come cheap these days.


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Sep 23, 2019
Hi Coach! Trident Aquatics is completing construction of our new aquatic center this fall. Our new facility will house our club team, a swim school (Waves Swim Academy), Master's swimming, and many additional aquatic courses and activities. Founded in 2014, Trident has placed swimmers up to national level competition, Olympic Trials, National Jr. Team and is proud of a high graduate placement rate into collegiate swimming (72%). As we open our new aquatic center, we will be able to grow our program, and resources in many ways. So, the leadership of all of our programs is a key focus for us. We are searching for "up and coming" coaches that would like to join a growing team, coach in a new facility, and help us build something special in our world of swimming. Compensation will be commensurate with experience and will be discussed during the interview process. To learn more about our programs and new facility, please visit: www.TridentAquatics.Club www.Waves-Swim-Academy.com
Trident Aquatics Club Owasso, OK, USA Full time


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- Bedrooms: 3
- Bathrooms: 4
- Sq. Ft.: 2,642
- Year built: 2014
Source: Redfin
Home Stratosphere is an award-winning home and garden online publication that's a result of our talented researchers and writers who work directly with hundreds of professional interior designers, furniture designers, landscape designers and architects from around the world to create helpful, informative, entertaining and inspiring articles and design galleries.
Tags: Modern Categories: Custom Home Designs


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Ron McCabe did everything right.
By the time he hit his early 60s, the San Francisco native and his wife had sold off the successful janitorial company they ran together for 35 years and were on their way to a golden retirement. It was just before the stock market crash, and flush with $1 million from the sale, they decided it was time to switch gears.
It was the wealth management firm they worked with for 26 years that referred them to Right Place Properties, a boutique developer and real estate brokerage with a stellar track record in flipping apartment buildings.
The McCabes went all in, joining the company's cache of some 1,000 investors.
"For a couple of years, the interest checks and the sellouts on the properties were going along just fine," McCabe told Business Insider. "We got our quarterly reports and they read beautifully."
But just before Thanksgiving in 2008, the checks stopped coming. Within a year, the company went under and the truth came out. In lawsuits filed against the company, investors claim the firm stopped working on properties in 2004 and used funds supplied by new investors to pay off older ones ––a textbook ponzi scheme worth $100 million.
McCabe lost everything.
"When this thing began to unfold, I became horribly depressed," McCabe said. "I just saw my life just ebb away."
In the years since, McCabe has penned a novel, "Betrayed," based on his experience and hundreds of one-on-one interviews with other victims.
In a candid interview, McCabe opened up to BI about the aftermath of the scheme and how he's managed to recover. Our conversation has been edited slightly for clarity.
Business Insider: You and your wife essentially lost your entire retirement fund in this scheme. Recently, you decided to separate. How have you coped with everything?
RM: The rug was pulled out from under us. I did have an emergency fund on hand. I always kept about $100,000 available. It's a lot of money when your life is intact and your income and assets and resources are full, but on the day that's all interrupted, it isn't a lot of money at all.
I hit the ground running many mornings at 4:30 a.m. and put in a lot of work so that my wife and I would have a dignified life in our golden years. I didn't want to be reliant on government funds, friends, family, or anyone else. It's too late in life to start a new business. I spent 40 years building up what I had. I wasn't rich by any means.
BI: When things turned ugly in the housing market, you were the first investor to question Right Place Properties' strangely unfazed business. How did they react?
RM: I came straight down and started poking around their offices. When you're an investor, you have certain rights but one of them doesn't include marching into the office and asking the CEO to see their records. The more they stonewalled me, the more I knew something was wrong.
So I went to the county's office and I called people across the country and told them this wasn't a temporary thing, and we were about to be had big time. Many people accused me [of lying]. I took a lot of heat at first.
I said look at the picture. Look at what you're seeing here. They're lying to us. They had not actually built the properties out since 2004 and the only way we were getting paid was from new investments from new investor dollars that had now dried up.
BI: What happened when the truth eventually came out?
RM: Some of those clients that got burned in this were so stunned you could not believe the looks on these people's faces. One guy was treated to a $16 million loss. If you think I felt suicidal, this guy told me he thought about crashing his airplane over it. It was devastating. It caught us all completely off guard.
BI: What did your wealth management firm have to say?
RM: Our wealth manger was taken just as much as we were. There was a big constituency of clients that lost their shirts out of that. It was ugly. [Right Place representatives] would appear at the offices of our wealth management company with a presentation on their newest project. You would sit in a beautifully paneled giant conference room with walnut walls listening to this glowing story and look at statements of a project you just received your check from and here's a company that for 26 years you've been trusting and they're saying it was golden. So we went right on in again.
BI: You spent years trying to build a solid class action case. What ever happened?
RM: I put in thousands of hours with the Arizona State Attorney General's office, with the FBI, with everyone who would listen to our story. I hired a law firm in Arizona and I brought as many of the investors as I could find. I cannot tell you how difficult it was to find the investors I found. They used a privacy clause in their contracts to prevent us from knowing who was in investor in the project. It took me six months to come up with 60 or 70 investors.
We fought. We did everything we could. We filed complaints. We were deposed by the FBI. We tried with the SEC. The SEC said it was a state regulated investment. It was one agency after another passing the buck. It still makes me angry to this day.
BI: Recently, you decided to cut your losses and call off the litigation pursuit. Are you OK with moving on?
RM: Finally, my attorney said to me we can keep going, but they've got very deep pockets and they have deep pockets because they have your money and other people's money. You can spend every last dime you've got, but even if we prevail, you're going to get nothing. You will have spent the rest of your life living this nightmare.
You will either be bitter and filled with rage or you will turn the energy you have to some positive pursuit and find a way to live out the rest of your life.
BI: You decided to write a book based on the experience, and you interviewed other victims to help flesh it out. What was it like hearing their stories?
RM: I'm 65 and some of these guys were 80 and some even older. It isn't just a matter of, "Do we have the resources?" or, "Do we have the will [to fight this in court]?" You're talking about the rest of our lives. This is a consequence of a financial fraud. Financial fraud does this thing to people and it's particularly insidious for people who are at the end of their work career. Just imagine yourself being 85 when this happens. Where do you think you're going to turn? You're gonna find yourself handing out pamphlets at Walmart.
BI: Before all this, you were a world traveler and had huge plans for your retirement years. How has all of that changed now?
RM: I sold off everything, right down to my pickup truck and my computer. I live a comfortable life. I'm not inviting you to Tuscany this year to drink wine and cook with me and ... I would have loved to go back to China and spend another month there. I love traveling and that's been taken from me. I sit quietly and enjoy what I do have. I've had to refocus my life that way.
I moved my life in a direction that's still open to me. Nobody took my mind. They just took my money.
SEE ALSO: This couple financed their dream retirement with just $150,000 >


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Pontos Day/Date – PT6158-SS002-43E
The best-selling watch in the Pontos Collection, the emblematic profile of the Day/Date model is now available with either a black or two-tone dial to enhance readability. Its deep, radiant finish emphasizes its functions, underlines its timeless elegance and confirms its distinguished character. Under the sapphire crystal with anti-reflective coating on both sides, the demeanor is stately. The domed dial is marked out by applied indexes in pink gold with imposing outlines. Their tips highlighted by luminescent material seem to clamor for attention. The faceted hour and minute hands, also tipped with Superluminova, seem only too eager to comply. They follow their course over a somber backdrop, illuminated by a radiant, sun-brushed finish that seems enhance the size of the dial thanks to its majestic brilliance. A date aperture maintains a very discreet presence at 6 o'clock. The day of the week is displayed at the other side of the dial in an arching semi-circle.
The two indications are daily accomplices in recording the passage of time. They are each revealed by a section cut out from the surrounding mass, forming their own small niche and providing esthetically-pleasing contrast on the dial.
The 40 mm diameter case holds its own with alternating finishes. There is a subtle alternation of polished and satin finishes, the former reflecting the light, the latter capturing it, in a quest for classical refinement that extends even to the choice of the ML143 caliber, recognized for its impressive efficiency and reliability. For lovers of fine watchmaking with memories of the chronographs of yesteryear, a retro design with a vintage look is also available. On a black or silvered dial, the rail-track pattern for following the seconds indication is highlighted in red and blue in a truly classic style, thus matching the metallic blue of the seconds hand.
1 in stock
Additional information
|0.5 kg


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Peace Process as an Empty Phrase
Amira Hass is the only Israeli journalist who shares the day-to-day lives of the Palestinians she writes about. In this interview, she talks about her new book ("Gaza")and about the situation facing Palestinians who live in the occupied territories. Lennart Lehmann talked to her
How did it come about that you moved to Gaza in order to report from there?
Amira Hass: In 1991, the newspaper "Ha'aretz" suggested I should document the process of change in the Palestinian territories after Oslo. In my book, I portray the situation in the Gaza Strip between 1991 and 1996. Nonetheless, the book is still relevant, because it describes the feelings of frustration after the collapse of the Oslo talks – feelings that led to the second Intifada.
What exactly do you mean by "frustration"?
Hass: For the Palestinians, Oslo was not a peace process, but a new and indirect occupation by non-military methods - namely, by means of the systematic cordoning-off of the areas in which they lived. Open occupation was replaced by economic control of the autonomous territories and limitations on the local population's freedom of movement. This process began in 1991. It had nothing to do with the suicide bombings and everything to do with the Israeli settlements. As Israel refused to change its policy on Jewish settlements, the Palestinian Authority broke off talks with Israel. And since 1991, every Israeli government, left or right, has maintained a certain political line that is leading, not towards two states, but towards demographic separation – in other words, towards apartheid.
How do people in the region view the peace process right now?
Hass: "Peace process" is seen as an empty phrase, because there is no process and because no justice is being created. Moreover, different people have different understandings of what peace means. The Palestinians cannot imagine peace without true independence; they have no desire to live in a protectorate. They would consent to a two-state solution - but how can they call their country free when no Palestinian can go more than three kilometres without encountering an Israeli tank? Israelis, on the other hand, feel that they've stuck by the literal wording of the Oslo agreements - and the settlements weren't properly discussed in Oslo. Since then, Israel has felt that peace is possible without giving up the settlements, and that the Palestinians will simply have to get used to them. But the settlements were the reason the Intifada broke out in the first place. Israelis, however, think that Palestinians are fighting Jews just because they're Jews – that the suicide attacks are designed to foment chaos, as a way of damaging Israel.
Did you encounter difficulties when you first went to Gaza?
Hass: No, it was very easy. Right at the start, I made contact with human rights organisations and with other journalists. I always immediately outed myself as a Jew, but there were never any problems. Many Arab men could speak Hebrew because they were working in Israel. At that time, I spoke no Arabic. These Palestinians also knew people in Israel, were capable of differentiating among them, and didn't hold stereotyped views. Today, it would no longer be so easy. The cordoning-off of the Palestinian territories since 1991 means that contact has been lost, along with the ability to differentiate.
You criticise both sides. How do you deal with the situation on an emotional level?
Hass: Depending on the situation, I'm subject to spontaneous feelings of sympathy or aggression towards Palestinians and Israelis. For instance, when I see an Israeli soldier standing guard over a position in the Palestinian territories, I feel sorry for him, and I can see the fear in his eyes. I hate the Palestinian gun-nuts who patrol the streets so smugly. I have friends in Gaza, and in Israel. One has to distinguish between the ad-hoc situations and the larger framework I'm part of.
You have experienced hostile reactions from both sides. Why?
Hass: Certain people in Israel were not pleased when I reported on atrocities committed by the Israeli army, such as the shooting of children. And by the same token, certain circles in Gaza don't like it when I describe how alleged collaborators are shot dead in the street by Palestinian militiamen.
What were your best and worst experiences in all this time?
Hass: In April 1995, I was almost forced to leave Gaza. Arafat had set up a Security Council in February of that year, in order to put pressure on Hamas. There were a lot of arrests as a consequence. People were taken into custody on trumped-up charges, and they were often sent to prison without any verdict having been spoken. Some trials lasted only 20 minutes and were conducted without any lawyers for the defence. After I wrote about this, I was summoned by the Palestinian Secret Services, who told me to get out within three hours. The intelligence officer told me this was necessary to ensure my safety – otherwise, he said, something might happen to me or my car.
I felt as if I had wandered into a bad spy film. I turned to some people I knew in Fatah and the People's Front for the Liberation of Palestine, because I knew that this intelligence officer was a PFLP man. Later, the order [to get out] was rescinded. So there were people who risked their position in order to help me. That was a frightening experience, but also a good one. On another occasion, a Hamas activist told me, "The best thing you can do for Gaza is to write a book about it." Not being read was another bad experience. During my entire time there, only two of my colleagues from Israel got in touch with me; and they both expressed their surprise: "Anyone who reads your books must think the occupation is still going on."
How will the situation develop?
Hass: I am a journalist. I report on what has happened, not on what might happen tomorrow. Society has to change. The occupation is counter-productive for security, and a political solution must ultimately be coupled with an end to the occupation. And it is an occupation, even if Sharon doesn't want to call it by that name. But as long as the terminology is misleading and things are not called by their true names, there can never be a solution of any kind.
© Lennart Lehmann/Qantara.de 2003
This interview was first published in the German magazine Neues Deutschland.


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By Ed Martin
Watching the 36th annual Daytime Emmy Awards on The CW during the dog days of August confirmed what I already knew: These are dark days indeed for the daypart overall and for soap operas in particular.
It's not that the telecast was all bad: I actually prefer smaller venues for the Daytime Emmy celebration (the Orpheum Theater in Los Angeles for last night's show, ballrooms at the Marriott Marquis in Manhattan during the ceremony's glory years) and I always enjoy an entertaining opening number at any awards event. (Vanessa Williams' reworked-for-daytime rendition of Can't Take My Eyes Off of You was almost as much fun as Neil Patrick Harris' surprise closing song at this year's Tony Awards.) Best of all, in the soap categories the awards were spread over a number of different shows. Only As the World Turns went totally unrewarded during the telecast. (On Saturday it picked up a couple of Creative Arts Emmys, so no soap went home empty handed.)
In fact, I was pleased with most of the winners in the daytime drama categories, from the tie for Outstanding Supporting Actor between the long overdue Vincent Irizarry of All My Children and the very deserving Jeff Branson of Guiding Light to
The biggest disgrace was the rushed tribute to the soon-to-be-terminated Guiding Light, which has already completed production and will have its last telecast in two weeks … The other big bad of the night was the brush-off to The Bold and the Beautiful at night's end.
the surprise Outstanding Lead Actress win for Susan Haskell of One Life to Live. (Her portrayal of repeat rape victim Marty Saybrooke in the year's most controversial soap story was consistently riveting.) Even though it would have been [Read more…]


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PITTSBURGH - Even though the Islanders were down two goals before the game was even four minutes old, even though Evgeni Malkin and Sidney Crosby, the Penguins' two biggest stars, had scored early, the Islanders felt confident.
They've never been here before -- this being the first playoff appearance for most of the fresh-faced Isles -- but they've been here before. The Isles had rallied from two-goal deficits in hostile environments five times to win in their 24 regular-season road games.
"We knew we'd been in situations like this before," Andrew MacDonald said. "That's what we had to rely on. Guys did a great job keeping their composure."
And so, even after another Crosby goal to restore Pittsburgh's two-goal lead, the Isles tightened up and chipped away. Kyle Okposo's lucky-bounce goal with 7:37 to go in the third got the Isles all the way back to a 4-3 win Friday night in Game 2 and a 1-1 Eastern Conference quarterfinal tie with the Penguins.
First it was Malkin outbattling three Islanders for a rebound to sweep past Evgeni Nabokov just 43 seconds in. Then it was Crosby, back for his first game in five weeks after a broken jaw, tapping Jarome Iginla's feed into a yawning net on the power play at 3:19.
The Isles could have sunk even lower than they did in Game 1's 5-0 shelling. But there was a difference: The Game 2 Islanders were getting chances and getting to pucks quicker in the offensive zone.
"I think that was a different team than you saw in Game 1," coach Jack Capuano said.
And one that finally got on the board at 7:04 of the first when Matt Moulson's cross-crease feed on the power play banked off Paul Martin's stick.
Crosby answered right back 18 seconds later. And though the first period ended with the Isles trailing 3-1, there was no panic in the dressing room. The Isles held a 20-12 shot advantage and felt they needed only some better defensive-zone play.
"We didn't let doubt creep in, and that's what we've been doing all year," Okposo said.
He got things going with a surprising fight at 4:58 of the second, challenging Matt Niskanen after he leveled Moulson with a clean open-ice hit. Just 14 seconds later, Colin McDonald picked Paul Martin's clearing attempt out of the air, dropped it on his stick and jammed a backhand off Marc-Andre Fleury to cut the deficit to 3-2.
At 10:37, Matt Martin tied it on another fortuitous bounce, this one off the end boards after Josh Bailey's shot went right to Martin, who beat Kris Letang to the corner of the net and jammed it home.
Nabokov, who made 30 saves, came up big in the closing minutes of the second and early in the third, when the Islanders killed a four-minute power play after John Tavares' high stick on Brenden Morrow.
Tavares, who had an assist and six shots on net in Game 2 after a goose egg in Game 1, said: "We left Sidney and Malkin. We've got to be harder on those guys in front of our own net. We did that much better, and when they had puck possession in the third period, we did a good job keeping them to the outside."
And the Isles' speed game in transition got them the winner. Mark Streit fed Okposo, who whipped a bouncing puck just wide. It kicked off the end glass, landed in the crease, caromed off Fleury's pad and squirted over the goal line.
"We got some bounces, and they got some, too," MacDonald said. "It was about maintaining the right mind-set to play through anything."


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Story highlights
- Study found exercise may be as effective as pills in fighting some medical conditions
- Aaron Carroll: When doctors write prescriptions, they and the drug company make money
- Carroll: Exercise costs almost nothing, if at all, but people aren't prone to do it
- Carroll: Numbers of people who take statins for heart disease will overpower those exercising
Some friends and colleagues have been up in arms about an article in Wednesday's New York Times that discussed how exercise may be as effective as medication in treating heart disease and other medical conditions.
Those who fall on the side of more traditional medicine think this is crazy and believe that the studies supporting lifestyle changes ignore the hard and fast outcomes promised by drugs. Those who fall on the side of more alternative medicine, or have a more holistic, bent have no trouble with these findings and believe lifestyle has always been far superior to pharmaceutical treatment.
The truth is that both sides are correct -- to a point. That, of course, makes both sides a bit wrong, too.
The research was published in October in the British Medical Journal. It was a meta-analysis, or study of studies, of previous meta-analyses of research that investigated whether exercise or drugs reduced the chance of death from coronary heart disease, stroke, heart failure and diabetes. Four of the previous meta-analyses covered exercise interventions and 12 covered drugs.
No difference in efficacy between the exercise and drug interventions was found in respect to coronary heart disease and diabetes. In other words, they performed the same in terms of reducing your chance of death. With respect to stroke, exercise performed better than some drugs. With respect to heart failure, some drugs performed better than exercise.
What can we take home from this type of study?
Well, the first thing to note is that lifestyle changes can make a big difference in a person's health. Exercise interventions, which are often far less intensive than you might think, can significantly reduce your chance of dying from these conditions. Exercise can also help you to shed pounds if you're overweight or obese. It can even make you look a little better.
Many people report secondary gains of improved mood and quality of life when they're more active. The secondary gains from a more active lifestyle are not to be minimized. Exercise is usually cheap, if not free, and has relatively few side effects.
Getting someone to exercise, however, is not easy. A lifestyle change is, by definition, a change in how you live your life. That can be difficult, and many patients will choose to take drugs instead. Taking a medication can be far simpler, and a doctor can prescribe it immediately. Many of my physician friends believe it's more likely that a patient will comply with taking prescription pills than with advice to exercise.
But that's part of the problem with our medical system. Every time a doctor writes a prescription, he or she probably earns some money. The pharmacy that dispenses the meds makes some money. And, of course, the pharmaceutical company that makes the medications makes money, too. The health care system understands and even encourages this practice. Insurance pays for it without issue.
But the same health care system is not at all equipped to deal with lifestyle change. No one makes any money if you're more active. No one would ever think to write a prescription for a gym membership, which could easily cost less than some medications, with the same potential outcomes.
It's thought that the recently released guidelines for assessing and preventing cardiovascular disease could lead to more than a billion people taking statins worldwide. That is, as you can imagine, a huge amount of money going to those types of drugs.
It's highly unlikely that a similar number of people will be encouraged to exercise. One is considered "doing something" by the health care system; the other is not. One is paid for by the health care system; the other is not. But as evidence amasses that lifestyle interventions are as beneficial as medical ones, it may be time to rethink how that system works.
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Senate Poised to Reform Flood Insurance
As I've written elsewhere, the National Flood Insurance Program (NFIP) has to rank as one of the most misguided and destructive federal programs. In addition to subsidizing the destruction of the environment, it also encourages families to live in harm's way. The solution should be to end it and let the private market appropriately price the risk. If Congress chooses not to end the NFIP, it should at least reduce the subsidies behind the program. Surprisingly enough, S. 1940, currently on the Senate floor, does just that.
Over the next 9 years, S. 1940 would increase revenues under the NFIP by $4.7 billion, as estimated by CBO. This is $4.7 billion that wouldn't have to be paid by the taxpayer but instead would be paid by those who benefit from flood insurance. My estimate is that this represents about half of the program's current subsidies. Such a major reduction in subsidies would also allow the private sector to have some chance at actually competing.
There have been some complaints raised that S. 1940 expands the program and "gasp" actually includes an "individual mandate" like ObamaCare. Such misunderstands the nature of the NFIP. The core nature of NFIP is that if a community wants to be eligible for federal disaster assistance, then it must participate in the NFIP and borrowers, in said community, with a federal mortgage, who live in the 100 year floodplain, must buy flood insurance. S. 1940 extends that requirement, over a number of years, to homes with federal mortgages that exist behind dams, levees and other man‐made structures. As Hurricane Katrina taught us, having a levee is no absolute protection for either the homeowner or the taxpayer. While dams and levees can reduce the frequency of flood loss, they do so at the cost of increasing the severity when it does happen.
The important point is that the current program and "residual risk" provisions of S.1940 do not require anyone to do anything. Every community in America is free to leave the program. Also homes within communities that stay can avoid the purchase requirement by not getting a federal mortgage (which the taxpayer stands behind). If this encourages an expansion of a mortgage market not backed by the taxpayer, then all the better. S.1940 also exempts small dollar premiums from the residual risk requirement. The residual risk provisions would also incorporate into the premium pricing any real reduction in flood risk that results from a dam or levee.
Again the ultimate solution is to eliminate the NFIP, so that free individuals can choose which risk they take and which they pay others to bear. Until then, reducing federal subsidies and forcing federal programs to more actually price risk will not only help protect the taxpayer, but also improve the functioning of our mortgage market. S.1940, along with its residual risk requirements, is a step in that direction (and considerably better than the House version, which does actually increase the taxpayers' exposure).


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In July, before the signage went up, a driver heading west on Germantown Pike might easily have mistaken the enormous construction site in East Norriton for a new regional arts center.
Set back from the road on an 84-acre former community golf course, with an impressive, sweeping glass atrium entrance, the building looks like anything but what it is: the first new hospital built in the Philadelphia area in 10 years. But Einstein Medical Center Montgomery is much more than its name implies. It's a $400 million bet on the future for a hospital system that either had to grow dramatically and diversify its patient population or settle for being an underrated player in the crowded competitive regional health market.
"I guess it was six or seven years ago that our board made a very conscious decision to rebrand and reposition ourselves and come out from under the radar," explains Barry Freedman, president and CEO of Einstein Health Network, as it's now called. It was a bold step for a once prestigious hospital that had slipped in the arena of public opinion for reasons that had nothing to do with quality. It's hard to get attention when 40 percent of the 600 beds in your flagship headquarters are filled with Medicaid patients and most of the rest with Medicare recipients. That's the position Einstein had gotten itself into, and why it's heavily investing in expansion to broaden its patient mix and bolster its bottom line.
It's a tribute to Einstein that it has steadfastly refused to abandon its North Broad Street home, even when there weren't enough private patients with good insurance to make it profitable. Richard Scheer, chairman of the board, says, "It was simply the right thing to do. The philosophy of tikkun olam tells us that, as Jews, we are obligated to try to make the world whole — not necessarily just for us, but for everyone. The commitment to those in need is a core value of Jewish life — and something we live by at Einstein."
Like any other business, hospitals are subject to the real estate mantra: location, location, location. Maintaining core values wasn't a problem for all the years that Einstein sat smack in the middle of a bustling, mostly white and Jewish neighborhood around Broad and Olney. But when the aftermath of World War II prompted the great migration to the suburbs, the geography that had been its great asset became a primary liability. What had been a thriving Jewish community slowly changed into a melting pot of minorities. Former patients didn't want to drive back to the old, dilapidated neighborhood. They preferred the newer, fancier university hospitals. Still, Einstein decided to stay put and soldier on. "It was a moral issue," CEO Freedman says. "Our mandate and our responsibility has always been to serve the under-served."
That mission dates back to the Civil War, when Jewish-sponsored hospitals became part of the American medical landscape. What would develop into the Einstein Health Network was founded in 1866 as The Jewish Hospital, dedicated to serving Jewish patients, particularly Jewish Civil War veterans, as well as free colored people fleeing the South for a better life. By the 20th century, these Jewish-sponsored hospitals had also become havens for practicing Jewish doctors who couldn't admit their patients to other institutions because of anti-Semitism.
In 1952, the three existing Jewish hospitals in Philadelphia decided to merge into one entity on North Broad Street. Seeking a more assimilated identity, someone came up with the name Albert Einstein Hospital. Who better symbolized their principles than a respected Jew at the nexus of humanity and science? A delegation drove to Princeton, where Einstein lived and taught, to ask the great man's permission. His framed letter of consent hangs today in Barry Freedman's office.
What has not been well-publicized is that through all the years of population change and geographic isolation, Einstein has never downgraded what it is and what it stands for: quality medical care. It has always been an independent academic institution (i.e. one without a medical school). Einstein Health Network annually recruits over 400 residents and fellows, making it one of the area's largest and most active teaching hospitals. Medical students from Thomas Jefferson come here for some of their rotations. While not involved in laboratory research, it is deeply committed to clinical research and offers a menu of drug trials. Einstein is one of only 21 community hospitals in the nation to be designated a Community Cancer Program, part of the National Cancer Institute. When 17 area hospitals closed their maternity care departments, Einstein said, "We'll make ours bigger and find a way to handle the losses."
As a result, 3,000 babies a year take their first breath in an Einstein delivery room. The Women's Health Center has the most current diagnostic equipment along with the services of outstanding doctors like Arnold Cohen, Debra Copit and Lisa Japlon, just three of the 31 Einstein staff named "Top Docs" by Philadelphia magazine in 2012. There is an excellent bariatric surgery department, transplant and cardiac surgery units, all of which, taken together, have garnered a slew of recognition awards from organizations that rate the quality and delivery of health care nationwide.
The growing Einstein family includes Elkins Park Hospital, Belmont Behavioral Health — a highly respected, 194-bed, in-patient treatment facility for troubled adults and adolescents, and the jewel in its crown: Moss Rehabilitation Hospital, which was ranked first in Pennsylvania and among the top 10 in the country for rehab medicine. If it's broke, Moss can fix it. Now that Einstein has been stricken with expansion fever, it will also be adding specialty out-patient sites, like the one planned for later this year across from the Plymouth Meeting Mall. "Our goal," says board chair Scheer, "is to become the pre-eminent deliverer of sophisticated, high-quality health care to the under-served region of Northeast Philadelphia and Montgomery County." And that is what led Einstein to start digging up the ground off Germantown Pike.
In 2011, after Einstein purchased the 177-bed, Norristown-based Montgomery Community Hospital (which will close in September), a survey of surrounding area ZIP codes revealed that 65 percent of local residents drove more than a half-hour to get to a hospital. Here was just the suburban population Einstein needed, along with the void and the opportunity they were seeking. As luck would have it, there just happened to be a significant Jewish population, too.
The new, light-flooded five-story Einstein Medical Center Montgomery is a 146-bed hospital with the built-in capability to add 60 more beds in the future. All the rooms are private, and half of them face a bucolic nature preserve of wide lawns and old trees, giving patients the calming sense of resting in a country inn. Every room has its own thermostat, a 42-inch entertainment center with Internet access, blackout window shades and a sleep couch for family members who stay overnight. The amenities do more than pay lip service to patient needs. For example: There are no fixed visiting hours. Meals are served from 6 a.m. to 9 p.m. on request — no trays automatically show up for lunch at 11:30 when you are still full from breakfast. Every room in the intensive care unit, which is conveniently located next to the operating room suite, has a private bath. Every 110-square-foot room in the emergency room has real walls, not curtain partitions. The six labor and delivery rooms are midwife-friendly and spacious enough for dad, the other kids and the rest of the family to be part of the birth and the Level 3 neonatal intensive care unit has eight rooms with rockers and sofa beds so mothers can stay with babies who have to remain in the hospital. Patient elevators are separate from visitor elevators to maintain privacy.
On the medical side, everything was designed for efficiency and convenience. The NICU has rubberized floors to reduce noise that might disturb sleeping infants; all the operating rooms are housed in one section and specially equipped: one for robotic surgery, one for cardio-thoracic, four for general purpose, plus two labs for cardio-catheterization and one each for electro-physiology and interventional radiology. The ER is immense, with 42 treatment bays, eight dedicated beds for patients who need to be monitored for up to 23 hours, and a fast-track system to prioritize the guy having a heart attack ahead of the lady with a sore throat. In short, this is a place that does everything to make a hospital stay like a hotel visit with medical perks.
If it delivers on its expectations — and it's hard to see how it could fail — Montgomery will raise Einstein to another level, revitalize its reputation and make it competitive with area systems like Main Line Health. "If you're not growing, you're contracting," Barry Freedman says. "And growing is necessary to life."
Carol Saline is the chief medical correspondent for Inside and Special Sections.


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Worldwide Entertainment announced today that they will finance and produce director David Gordon Green's (Pineapple Express) gritty, southern drama Joe. Moreover, Nicolas Cage has been cast in the lead role of Joe, an ex-con who "becomes the unlikeliest of role models to 15 year old Gary Jones, the oldest child of a homeless family ruled by a drunk, worthless father." The story takes place in small town Mississippi and is based on the book of the same name by Larry Brown. Green's Eastbound and Down cohorts Danny McBride and Jody Hill will executive produce the adaptation.
Hit the jump for more, including an update on Green's Suspiria remake.
Though Green is probably best known for his comedies like Pineapple Express and Your Highness, his career initially took off due to the success of his drama George Washington. He's been getting back to his dramatic roots as of late, as he recently wrapped filming the low-budget comedy Prince Avalance with Paul Rudd and Emile Hirsch and was next set to direct a remake of the horror film Suspiria.
Casting on that film was underway with a fall 2012 start date looming, but the press release for Joe notes that production on the southern drama begins in early November in Texas. We have no confirmation that Suspiria is dead, but it sounds like production plans for that film have been postponed and Joe will be his next directorial feature. Hopefully we heard firm word on the horror update soon. In the meantime, read the Joe press release below.
September 7, 2012 (Toronto, Canada) — Worldview Entertainment, a leading independent motion picture production and investment company, will finance and produce David Gordon Green's ("Pineapple Express") gritty, southern drama, "Joe," starring Academy Award® winner Nicolas Cage. "Joe" is written by Gary Hawkins, based on the novel of the same title by Larry Brown. Lisa Muskat, David Gordon Green and Worldview CEO, Christopher Woodrow, will produce alongside Derrick Tseng. Worldview's Molly Conners, Maria Cestone, Sarah Johnson Redlich and Hoyt David Morgan will executive produce alongside Brad Coolidge, Melissa Coolidge and Todd Labarowski for Dreambridge Films, which is making an investment in the film. Jody Hill and Danny McBride will also executive produce for Rough House.
Principal photography is scheduled to begin in early November in Texas. London-based WestEnd Films will handle international sales and introduce the film to foreign buyers this week at the Toronto International Film Festival. CAA, which packaged and arranged financing for "Joe," represents the film's domestic distribution rights.
"Joe" is the story of an ex-con who becomes the unlikeliest of role models to 15 year old Gary Jones, the oldest child of a homeless family ruled by a drunk, worthless father. Together they try to find a path to redemption and the hope for a better life in the rugged, dirty world of small town Mississippi.
David Gordon Green said: "When Larry Brown wrote the novel 'Joe,' he instantly created an iconic character of contemporary Southern literature. It is with great excitement that I've been able to work with Nicolas Cage to design an absolute and unexpected performance piece that is woven from the darkness, beauty, humor and environment of this material."
"Joe' is an elevated and unapologetic drama that has great potential creatively and commercially," said Worldview CEO, Christopher Woodrow. "David and Nic are the perfect team to put this on the big screen and we look forward to sharing in their success."
Worldview is currently in pre-production on Eli Roth's much anticipated return to directing with horror thriller, "The Green Inferno," and announced yesterday that it is financing and producing Ti West's horror thriller, "The Sacrament," presented by Roth. In addition, the company wrapped two films this summer: Guillaume Canet's crime thriller, "Blood Ties," starring Academy Award® nominee Clive Owen, Billy Crudup, Academy Award® winner Marion Cotillard, Zoe Saldana, Mila Kunis and Academy Award® nominee James Caan; and Academy Award® nominee Atom Egoyan's West Memphis Three biopic, "Devil's Knot," starring Academy Award® winners Colin Firth and Reese Witherspoon.
Worldview is currently in post-production on James Gray's untitled epic period drama starring Academy Award® winner Marion Cotillard and Academy Award® nominees Joaquin Phoenix and Jeremy Renner. The company's British action thriller, "Welcome to the Punch," from BAFTA® nominee Eran Creevy, starring James McAvoy, Mark Strong and Andrea Riseborough was sold to IFC Films, which will make its theatrical debut March 15, 2013. Worldview's black comedy, "Killer Joe," from Academy Award® winner William Friedkin, starring Matthew McConaughey, Emile Hirsch, Academy Award® nominee Thomas Haden Church, Juno Temple and Gina Gershon is currently in theaters.


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The College of St. Scholastica is privileged to award the Phi Theta Kappa Scholarship to current members of this scholastic national honor society. The Phi Theta Kappa Honor Society promotes values concurrent and consistent with those held by the College. Scholarship, scholastic integrity and perseverance are hallmarks of the St. Scholastica tradition, and we welcome PTK members as students who have demonstrated their respect for scholarship. Our commitment to the members of PTK has been to create a $1,000 renewable scholarship to be awarded automatically to all PTK members in good standing. The details on eligibility follow. Before proceeding, the Transfer Admissions Office would like to congratulate you on your scholastic achievement and that which you will attain at the College!
This academic scholarship is for all new transfer students with current membership in the Phi Theta Kappa International Honor Society with a GPA of 3.5 or higher and completion of at least 12 semester credit hours. Past membership in Phi Theta Kappa may be applied to eligibility if all subsequent course work results in a cumulative GPA of 3.5 or higher (excludes students enrolled in special programs with reduced tuition rates).
Applicants must be seeking their first undergraduate degree and must be a U. S. citizen.
The scholarship will be awarded at the time of acceptance, and notice will be given on applicant's acceptance letter. To renew this scholarship, a GPA of 2.5 at full-time status must be maintained at The College of St. Scholastica. Awardees are ineligible to receive the Alpha Beta Gamma Scholarship.
A letter of verification stipulating your membership with Phi Theta Kappa is required. A statement from your current or previous chapter's advisor/president, on chapter letterhead, stating that you were a member in good standing is all that is required. Include dates of membership. Please have this letter of verification sent to:
Transfer Admissions - PTK
The College of St. Scholastica
1200 Kenwood Avenue
Duluth, MN 55811
Next Steps...
Apply Now Come for a Visit Accepted Students Meet Your Counselor Contact Admissions


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A yellow weather warning has been issued for Yorkshire as the region braces itself for heavy downpours and thunderstorms.
READ: Teenager charged with drink driving over McDonald's drive-thru golf buggy incident in North Yorkshire
The warning, which is in place between midnight on Thursday, May 31 and 9pm on Friday, June 1, tells resident that thunderstorms in the south will move northwards, with scattered storms across southern, central and and northwesterly parts of the country.
The Met Office, who issued the warning, say up to 30mm of rain could fall in an hour with up to 60mm over the coure of a few hours.
READ: Roger Ratcliffe: Late arrival of smaller birds has had people perplexed
Frequent lightning and large hail are also a possibility.


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living room kilim, turkish kilim, embroidered kilim, organic kilim, area kilim, handmade kilim, salon kilim,, wool kilm 5'3" x 7'6" SP595
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Default Title - $212.00 USD
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Welcome to my shop!
You can find all the necessary information about this rug right here , if you have any more questions please do not hesitate to contact me.
But let's first address the elephant in the room , I know it looks risky to buy rugs online , while you have no idea how it might look in your home , or even if it's any good. I still have problems buying cloth online too ! but to minimize the risks for you guys , I offer a 100% satisfaction or full refund kind of scheme , you know how it goes , when you get the rug and are not sure if it's the right fit for you , just hit me up , I'll give you the nearest return address to you , you ship it back , and once we get the rug , I'll fully refund you.
Now let's get to the business:
➽ How are these rugs made?
Completely handwoven by refugees in India , these rugs are results of years of craftsmanship by the people who weave away their despondencies into these unique pieces of art. Natural colors extracted from organic materials are used to dye organic wool and cotton threads , Raise loops are woven into the rug , leading to a simplified harmonious pattern. The overall neutral looks and pastel colors makes it easy for this type of rug to blend in all kinds of interior space. making your home a little bit more beautiful and making those weavers lives a whole lot brighter.
➽What are the measurements?
5'3" x 7'6" OR 160 x 230 cm
this rugs weights about 17 lb or 8 kg
The sizes are measured from one side to the other , not including the fringes. so keep in mind the rug plus it's fringes might be couple of inches larger than the size mentioned in the listings.
➽What condition is this rug in?
Perfect condition, never been used before so it's completely clean and new , ready to be used.
➽Whats the payment method?
All Credit cards and debit cards , PayPal and Wire transfers are accepted.
➽How do we ship it?
Shipping will be started upon payment confirmation. depending on your location we'd use either FedEx or DHL standard shipping. they are the most reliable , although still once in a while they make mistakes , but very rarely!
in our experience for the States it usually takes about 5-7 days.
for the UK 5-6 days. and for EU 3-4 days.
we will ship your purchase to you the day after unless it's the weekends , then it might be 2 days after.
I will provide you with a tracking number as soon as we ship your rug to you.
Materials: Cotton,Wool
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I love infinity loop scarves and, while I don't like anything tight around my neck, I do adore something thick and soft and squishy to snuggle into. I also have a tendency to wear scoop-neck and v-neck shirts, which leave my front a bit chilly in our New England winters. I worked up this scarf loosely using some of the ideas from the Whirlwind cowl, but at a looser gauge and omitting the cables. I love the bias the constant use of the k2tog gives the fabric in the previous pattern, and so used that as my main stitch.
Doesn't it look cozy? The first is a gift for my baby sister (colorway Crush), and the second, in Looking Up, is for me. Mine, all mine! (Until Rachel runs off with it anyway.)
To make one of your own, you need 2 skeins of Big Shot (I used all but 1.5 yards of both 97 yard, 115 gram bulky weight skeins), and size 13 36-inch circular needles. Gauge is not hugely critical, but may affect yarn usage, so do be mindful. Approx. 8 stitches and 18 rows over 4 inches in pattern stitch.
Cast-on 108 stitches and join being careful not to twist. I used the cabled cast-on to be sure to keep the edge nice and stretchy.
Knit one row, then purl one row.
Pattern Stitch:
Row 1 – (Yo, k2tog) repeat to end.
Row 2 – Knit
Repeat rows 1 & 2 for approx 8 inches or 35 rows, ending with Row 1. (I managed to get 37 rows for the purple cowl, but your mileage may vary, and you need a fair amount of yarn for the bind off.)
Purl one row, then knit one row.
Bind off. I used Jeny's Surprisingly Stretchy bind off, which is amazingly easy and really allows the scarf to wrap easily around the neck.
And that's it! Wear and enjoy!


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I did not know the fans had a voice in the nominee selection process for the Ford Frick Award. I suspect neither did you.
From the press release:
The process will allow fans to cast votes at the Hall of Fame's Facebook page, www.facebook.com/baseballhall . . . Voting runs from September 1 through September 30, and fans can cast votes once per day through September for their favorite broadcaster.A note on eligibility - Eligible candidates must have a minimum of 10 years of continuous major league broadcast service with a ball club, network, or a combination of the two.
Results will be announced October 5 when the final ballot is also published. Committee to determine the awardee includes all the living Frick Award winners, plus Bob Costas, Barry Horn (Dallas Morning News), Stan Isaacs (formerly of New York Newsday), Ted Patterson, and Curt Smith (historians). The winner will be announced December 6 during the winter meetings.
So who's on the ballot? Every team has 2 nominees. The three SOCAL teams are represented by:
- San Diego - Ted Leitner, Eduardo Ortega
- LAA of Anaheim - Dick Enberg, Jose Mota
- LA Dodgers - Rick Monday, Ross Porter
If I'm allowed more than one vote per day, I'm picking Ross Porter, who called Dodger games when I was a kid.
I'll leave the Dick Enberg discussion to Avenging Jack Murphy.
The rest of the names on the ballot:
- AZ - Greg Schulte, Daron Sutton
- ATL - Skip Caray, Pete Van Wieren (both great choices, BTW)
- BAL - Joe Angel, Jim Hunter
- BOS - Joe Castiglione, Jerry Remy
- CHN - Pat Hughes, Ron Santo (Santo is sure to get a lot of votes)
- CHA - Ed Farmer, Ken Harrelson
- CIN - Waite Hoyt, Joe Nuxhall
- CLE - Mike Hegan, Herb Score
- COL - Jack Corrigan, Wayne Hagin
- DET - George Kell, Jim Price
- FLA - Tommy Hutton, Rick Waltz
- HOU - Bill Brown, Larry Dierker
- KC - Ryan Lefebrve, Paul Splittorff
- MIL - Merle Harmon, Bill Schroeder
- MIN - Dick Bremer, John Gordon
- NYM - Gary Cohen, Ralph Kiner (big fan of Kinerisms back in his WWOR days)
- NYA - Michael Kay, John Sterling
- OAK - Ray Fosse, Bill King
- PHI - Richie Ashburn, Chris Wheeler
- PIT - Steve Blass, Lanny Frattare
- SF - Mike Krukow, Duane Kuiper
- SEA - Ron Fairly, Rick Rizzs
- STL - Al Hrabosky, Mike Shannon (Shannon's another favorite of mine)
- TB - Todd Kalas, Dewayne Staats
- TEX - Mark Holtz, Eric Nadel
- TOR - Tom Cheek, Jerry Howarth
- WAS - Bob Carpenter, Charlie Slowes
- AT-LARGE - Thom Brennaman, Joe Buck, Ken Coleman, Jacques Doucet, Ernie Johnson Sr, Ned Martin, Buck Martinez, Tim McCarver, Al Michaels, Joe Morgan, Amaury Pi-Gonzalez, Phil Rizzuto, John Rooney, Steve Stone, Gary Thorne
Press Release data forwarded courtesy San Diego Padres media relations department


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Ireland Seeks Helo Training for Air Corps
http://www.defensenews.com/article/2...sey=nav%7CheadThe Irish Air Corps is seeking helicopter simulator time to provide initial and recurrent training for its Eurocopter EC135 twin-engine light helicopters.
The service has issued a solicitation for proposals for a two-year contract involving 92 hours of simulator training per year. The sim must also be certified for night-vision goggles or the contractor should provide NVG stimulation in the live environment.
In recent years the IAC has used EC135 simulators in Germany and the U.K., notably at the German Army School of Aviation in Bückeberg and with U.K. civilian contractor Bond Helicopters. There are currently no EC135 simulators in Ireland, although locating one there would be an option for bidding organizations.
The deadline for responses to the solicitation is Nov. 23, with the contract due to come into operation in January.
The EC135 is used as the main ab initio rotary-wing training aircraft. The IAC will provide its own instructors for the training.
Ireland has a small air arm largely devoted to domestic patrol duties, which has nevertheless undergone considerable modernization in recent years. Ageing Fouga Magister jets have been replaced by Pilatus PC-9M turboprops, and equally elderly Alouette III helicopters have been supplanted by six AgustaWestland AW139 medium-lift transport machines plus two EC135s for pilot training and utility transport.


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DWTS: Midseason 2010-11 TV Ratings – Dancing With The Stars 9th!
The Midseason TV Show Ratings have been announced! According to EW, Dancing With The Stars rates at #9!! Below is the Top 30! Be sure to view the link to see which other TV shows made the Top 50 (and bottom 50). Special Note (as Heidi just wrote me): DWTS hasn't aired since November and that affects it's standings in the midseason ratings and why it might not be rated even higher. All of the other shows listed have aired since November, so they benefit by the lack of DWTS. American Idol didn't air at the same time as Dancing With The Stars, but, it probably has artificially high numbers due to the curiosity factor.
1. American Idol Wednesday (Fox, 9.9 rating/26 share)
2. American Idol Thursday (Fox, 8.2/22)
3. NFL Sunday Football (NBC, 8.0/20)
4. NFL Sunday Pre-kick (NBC, 5.6/15)
5. Modern Family (ABC, 5.0/13)
6. Overtime (Fox, 4.6/14)
7. Grey's Anatomy (ABC, 4.6/12)
8. Two and A Half Men (CBS, 4.6/11)
9. Dancing with the Stars (ABC, 4.6/11)
10. The Big Bang Theory (CBS, 4.5/13)
12. Survivor: Nicaragua (CBS, 4.3/12)
13. The Office (NBC, 4.1/10)
14. Family Guy (Fox, 4.1/10)
15. Desperate Housewives (ABC, 4.1/9)
16. Glee (excludes special post-Super Bowl episode, Fox, 4.0/11)
17. Dancing with the Stars results (ABC, 4.0/10)
18. Criminal Minds (CBS, 3.9/10)
19. House (Fox, 3.9/10)
20. Football Night in America (NBC, 3.8/11)
21. The Amazing Race 17 (CBS, 3.8/9)
23. The Simpsons (Fox, 3.8/10)
24. How I Met Your Mother (CBS, 3.7/10)
25. Mr. Sunshine (ABC, 3.7/10)
26. Mike Molly (CBS, 3.7/9)
27. Undercover Boss (CBS, 3.7/9)
28. The Biggest Loser (NBC, 3.4/9)
29. Hawaii 5-0 (CBS, 3.4/9)
30. Cougar Town (ABC, 3.4/9)
So, do you see any of your favorite shows? Any surprises or disappointments? I was glad to see Hawaii Five-O make the Top 30. I was also glad to see Glee in the Top 10. I love that show (next to Dancing With The Stars" of course 😉 )! House is one of my favorite shows as well.


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I was unhappy to wake yesterday to see this headline in my inbox:
Researchers say tPA can safely be used four-and-a-half hours after stroke.
There has long been a disconnect between the promise and marketing of tPA and its real-world value and usage. It's almost every day I see a billboard or hear a public service announcement on the radio urging people to get to the ER immediately after onset of a stroke. Of course, I fully support this kind of messaging, but the sad thing is that of the many many patients with strokes I see in the ER, the overwhelming majority are not candidates for tPA. The most common exclusion is the time interval, but many are excluded due to other factors -- age, blood pressure, trauma, vague or changing symptoms, or the absence of stroke symptoms severe enough for the benefit to exceed the risk.
And that's the rub: there is risk with tPA, a significant risk, and depending how you slice the data, the benefit in many cases is minimal.
For this reason, I think I am like most ER doctors in that in many cases of someone presenting with a stroke, I "look for the exclusionary criteria." Only in really clear-cut cases -- a severe, disabling benefit in an otherwise functional person presenting in less than 120 minutes --
am I enthusiastic about recommending the clot-buster. Otherwise, I offer the patient and their family the option, along with the data, and allow them to make an informed decision, but I am reluctant to endorse the use of tPA. Taking a smallish stroke and having it undergo hemorrhagic conversion is an awful thing. Since the mortality is almost the same, and the outlook for functional recovery is comparable (though not quite equal) with and without tPA, my feeling is that it is best reserved for cases where the benefit is clear and compelling. Regardless of the situation, it winds up being a nuanced, complex decision in each and every case, with very high stakes for the patient.
And let's not forget that there are hordes of personal injury attorneys out there ready to sue you if you give tPA and it goes bad, and to sue you if you do not give tPA. High stakes and no win for the ER doc!
Families want to do something when their loved one is having a stroke. If they have heard about tPA, they often come in with the expectation that it will be used, or at least a bias towards "doing something." Teling them that either there is nothing that can be done, or that there is an option but you can't wholly endorse it can evoke an angry or negative response from the family. In this litigous environment, the emotional factor only adds risk, regardless of the ultimate decision.
So it's a little frustrating to see that the cohort of patient with whom I am going to have this converstation may be getting a lot bigger. While I haven't gotten deeply into the data, on quick review, it seemed like delayed tPA didn't seem to offer much in the way of improved outcomes, and there was no rush to revise the current standards, which is good. I'll be watching to see if there is more movement towards relaxing the criteria.
16 September 2008
Four and a half hours
I was unhappy to wake yesterday to see this headline in my inbox:
Posted by shadowfax at 12:33 PM
3 comments:
- Anonymous9/16/2008 2:01 PM
I want tPa...and a kitten.ReplyDelete
Anything less and I'll trash your Press-Ganey's
I haven't been able to review the full study yet either but it appears most people were treated within 15 minutes after the 3 hr window. If the window is to be expanded the use of intracranial TPA is something that can be reviewed.ReplyDelete
We solve the issue for the ER docs at my home institution by having a neuro consult team specifically for "brain attacks." If an ER doc sees someone he/she thinks is a tPA candidate, they call the BAT and they decide if tPA is indicated, not the ER doc. So at least the ER doc doesn't have to worry about law suits because it isn't their call.ReplyDelete
Also, this allows the neurologists to go around humming the "batman" theme song.


text:
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amfAR, The Foundation for AIDS Research
October 2006— Across Asia the prevalence of HIV/AIDS is rising among men who have sex with men (MSM), but few outreach, education, or prevention efforts have been launched
to reach this diverse community. Naz Foundation International (NFI) is working to change that.
NFI's founder and chief executive, Shivananda Khan, joined the fight against HIV/AIDS in London after the virus took the life of a close friend in 1991. Five years later, Khan has shifted the focus of his work to South Asia, where he and the NFI staff provide technical support for MSM networks throughout the region. In recognition of Khan's work with MSM in Asia, he was awarded the Order of the British Empire in 2005.
TREAT Asia Report: Naz Foundation International (NFI) is known for its work on sexual health issues, specifically HIV/AIDS among males who have sex with males in South Asia. As Naz's founder and chief executive, could you tell us about the organization's goals and the focus of your work?
Shivananda Khan: Our activities have always been focused on MSM. Our main goals involve developing HIV services by MSM themselves. We believe in ownership. We need to own the disease, own the virus, so we can deal more effectively with it. A second major part of our work involves advocacy and policy. There are laws against us [MSM], lots of violence is aimed at us, so we work hard to develop advocacy policy issues and to encourage governments, donors, and NGOs to take on board issues relating to MSM and HIV. And we push for more research because there's a lack of knowledge—ethnographic, psychological, sociological, behavioral—relating to issues of male-male sex.
One of the important things about NFI's work is how we define MSM as an issue, because one of the primary dynamics in South Asia and parts of Southeast Asia revolves around male-male sex in terms of gendered identities—"feminine" or "masculine." We work with a lot of visible, self-identified MSM whom some Westerners might identify as "queeny"—feminized males who identify as "non-men." Usually their sexual partners identify themselves as "real" men, as heterosexuals.
TA Report: When NFI began its work a decade ago, the prevailing attitude in India toward MSM was harsh and stigma was severe. In 2001, NFI staff were arrested in Lucknow. What transpired then and have attitudes in India changed since?
Khan: Three of my staff, including the director in our office in India, were arrested along with the manager of a local MSM HIV project that we were supporting. Our office in India was closed down for three months. We were challenged under a section of the Indian penal code about promoting illegal behavior through the distribution of condoms and literature on anal sex and HIV.
In January 2006, we received word of a perceived threat from the local police to raid the office again, so things haven't changed too much. However, I must say that over the last two years there has been a stronger understanding and apparent desire to develop more sensitive approaches to vulnerable populations of MSM, female sex workers, and intravenous drug users. The media has shown greater flexibility in its ideas, and India's National AIDS Control Organization [NACO] has undergone a radical change and intends to significantly increase its programming for MSM and HIV.
But India is a complex country with 32 states, so attitudes depend very much on where you're located. Some states are very good in implementing the central government policy and some states are very bad—including the state where we happen to have our office.
TA Report:Is there any effective movement towards changing laws that make homosexual behavior illegal?
Khan: In India it's being challenged in court. In Nepal there's no specific law against homosexual behavior but it's deemed a social disorder. And in Pakistan and Bangladesh, the Islamic religious attitude strongly condemns male-male sex. So it would be very difficult for Pakistan and Bangladesh to change their laws, particularly since in both countries the religious right is in power. In India, it might be difficult politically because of the Hindu right.
Still, while repealing the law may reduce some of the issues of concern, at the street level, at the level of the park and the places where MSM meet, it's not going to have that much of an impact. The violence will continue because it's gender phobia that these guys are experiencing. They behave in feminine ways to attract males and they bend the gender boundaries. So the violence and rapes against them are more akin to violence against women.
TA Report: Can you describe the greatest challenges faced by those fighting HIV/AIDS in South Asian MSM communities?
Khan: Number one is understanding and knowledge. Policymakers, donors, and NGOs don't seem to have an understanding of male-male sexuality in the region, the diversity of male-male sexual behaviors, the issues of class and gender and education—they all play a very strong role in the configuration. They tend to see male-male sex in the region as a heterosexual-homosexual divide, which leads them to conclude that MSM is an identity and not a behavior. Whereas we argue that no, MSM is a behavior, and within that framework there are many different types of identities, including those who have no particular identity but just want to play—or whatever they call it.
The second challenge is estimating the prevalence of MSM activity. Supposedly, mapping has been done on all the countries in the region, and they're developing funding mechanisms based on their estimates. But these are often totally inadequate because of inadequate knowledge and understanding. At times, India collects the data by asking, Are you heterosexual or are you homosexual? So a man who penetrates is going to say he's heterosexual—he'll never say he's homosexual. And maybe he's having sex with women and with men, so we don't quite know where the virus is moving around.
The third is how you design community-based interventions. The debate in India and elsewhere questions whether NGOs from outside are more effective in implementing services for MSM—or can communities develop their own responses? The NGOs tend to focus on the medical aspects and public health strategy. They argue that the communities don't have the knowledge or the skills or the capacity, so we'd better tell them what to do.
The fourth major challenge is that there's not enough money available, and the fifth one is the human rights issue—the right to sexuality in an environment that says this behavior is not necessarily against the law but it is against cultural traditions and religious values. How do you tackle male-male sex in a Muslim country like Pakistan or Bangladesh? You have to do it very quietly. We don't say these projects are about MSM, we say they are about male sexual health.
And then the sixth challenge is the issue of gender. Male-male sex plays out very much within a gender framework. Transgendered men identify very much with women and the feminine, and you know the issue of gender violence in the region. So we've been trying to push NGOs working with gender equity to take on board the issue of male-male sex within a gender framework.
TA Report: How can outreach and education efforts be framed so that they reach people who identify as MSM as well as partners who may not identify as such?
Khan: I've argued for two parallel, consistent strategies. One we're calling identity-based intervention. That's community building, community development, and community mobilization. And then a second strategy requires speaking of anal sex. In all education materials and presentations, anal sex has to be mentioned if you're going to address it as a male behavior pattern.
As a sexual practice, it is very common between males here, without a "homosexual" identity framework. We can't reach those unidentified populations through community-based interventions because they're not part of MSM communities. So HIV education should always cover anal sex. And there's the difficulty—you're not allowed to talk about sex, never mind anal sex.
I can go to a truck stop on any Indian highway and some of those men are having anal sex with truck boys, and God knows with whom else. They don't have an identity connected with their behavior; they have an identity around their occupation. And so you have to approach the strategy of reducing risk around anal sex outside of a community framework. I'm finding in India that people are having anal sex because they think it's safer than vaginal sex, because no one's told them that it's much higher risk.
TA Report: Activists and governments across Asia are beginning to recognize the seriousness of the epidemic among MSM. As someone who's been working with this community for many years, what lessons have you learned that could help as MSM programs are scaled up in the region?
Khan: I can give two key lessons. One is that a lot of people who are implementing MSM programs tend to be middle class and highly educated and English literate, and their knowledge level and self-identity are connected with a sort of Westernized framework of gay identity. We need to recognize that class and gender are part of the framework so that MSM is understood as a category of behavior and not just an identity.
And the other lesson is that how we conduct advocacy and policy initiatives needs to be very carefully thought through. We don't scream and shout and wave banners, which is what some people have asked us to do. For example, when our staff was arrested in India there was enormous international support for raising this issue. But a lot of people wanted us to demonstrate outside Indian embassies. And I said, what is the point? The goal is to get these boys out and to make sure our program is ongoing. So we do quiet diplomacy.
Keep on raising those arguments, get your data, make it evidence based, use that data to argue with donors, argue with governments, argue with policymakers, argue with NGOs. Keep on pushing that envelope, but ACT-UP-type initiatives may not work in this region.
Pakistan just held its first national MSM and HIV/AIDS meeting in July, which was an enormously courageous act. I said, don't advertise. Bring the people together, have a quiet meeting, and get the stuff done. There's no point in demonstrating in Islamabad.
TA Report: The U.N. estimates that India now has the largest population of HIV-positive people in the world, although prevalence is still much lower than in sub-Saharan Africa. Statistically, what is the current situation among MSM in terms of the epidemic?
Khan: There are very few studies but the data still show that what we have in Asian countries is not a generalized epidemic like in South Africa, but very localized epidemics. There may be various reasons for that, one being that women's sexual activities are much more limited here than in sub-Saharan Africa because of gender segregation and the social policing of women.
We think the epidemic amongst MSM is much higher than has been reported because there are very few HIV testing centers that are MSM specific and only urban people go for tests. Plus, the data collection, as I explained, is poorly done. To be frank, I suspect that the rise of the epidemic among MSM populations is not recent, it's just been hidden. Only in the last three years have effective studies of MSM really been conducted, and suddenly this virus pops up.
TA Report: There is a growing recognition that MSM communities have really been neglected in Southeast Asia. Do you feel that you've seen any progress in the regions where you work?
Khan: I think so, yes. It's slow, it's disappointing, but we do see changes. If I could take you back to 1994, for instance, there was just one MSM HIV project in India. Now we have something like 200. That's not enough because there are 1.1 billion people in India, but it's better than nothing. As I mentioned, in Pakistan they held their first MSM national consultation meeting in July. To me, that is something to be really proud of. Bangladesh has had one of the largest MSM projects in Asia since 1997. So yes, there are positive signs that people are really taking notice and investing money.
I'll illustrate it in a very simple way. When our staff members were arrested in 2001, the response of NACO and UNAIDS in India was very quiet and muted. We were told to do everything behind the scenes with the government. When we had a threat in 2006, UNAIDS Geneva, UNAIDS India, and NACO came out more publicly with support. And UNAIDS for the first time sent out a press release condemning potential arrests and harassment of people. NACO made a positive statement. They sent somebody to the city to talk to the police. That is an enormous change for the government here.
So, yes, more money is coming in, understanding is growing, more projects are available, and there's more political and international support. I think we have some good news. We're not going backwards, we're moving forward. Maybe the train is picking up pace now.
© 2020 amfAR All Rights Reserved || amfAR's mission is to end the global AIDS epidemic through innovative research


text: EIB-Tech Helmut Lintschinger from Andechs, Germany, used KNX to reduce energy costs at the Munich headquarters of Infineon by 25%. This office location with 6,500 workstations, which the company moved into in 2006, was upgraded in following years with KNX for lighting and solar shading, with a central visual display incorporating more than 10,000 KNX devices. Initially the visual display was used for central functions such as optimisation of the building's solar shading control, and the switching of the outdoor lighting. In 2008, however, it was upgraded again to create a complete energy management system. Now, for example, it turns the corridor and stairwell lights off according to the brightness outdoors, and limits the time for which the lights stay on in the toilets. Measurements show that these changes have significantly reduced energy use, and as a result the KNX energy management system is now being further extended to cover more areas.


text:
We did our morning routine with Mercedes going out, then Lexus going out, then Bandit going out into the snow covered cold of the morning first thing. Time for coffee is usually the very next thing on the morning agenda before anything else happens, or else !!!
We were all trying to be our usual quiet selves in order not to interrupt the "Crabby Cabbie's" beautifying sleep, if that is what we want to call it .... LOL, or my more favorite term of "uncrabby" himself sleep. I can't run the vacuum cleaner or do much clanging or banging around, so it does limit a person to what they can do until the other person rises, at around the noon hour or so I might add.
I am really just being my usual self by poking fun, as I remember the three years I put in of working nights, and there were some days I didn't get very much sleep at all at times. Now I think about it, I really don't think too much has really changed for me from those times?
I puttered a bit, did some updating and additions to Cindy's Recipe Exchange on Facebook, , tidied up the kitchen, made a couple of phone calls, and then ..... did the dreaded Book Work that needed done from December, as I had been too sick up until now to even think about it, or maybe not wanting to think about it.
The Tax Man does call and we must "jump" ....
Rob did arise from the depths of our bedroom around the noon hour, whereas I got right down to getting the bed made, having a shower, getting our Dinner of leftovers heated up and cleared up, the dishes washed up and folded the load of dark clothes which were still on the clothes horse in front of the woodstove and put away. Then I sat and had myself a coffee with Rob before he had to put on his "Crabby Cabbie" hat and go out the door for the remainder of the day.
The weather has been quite nasty here most of the day with the snow coming down steady and the winds just now picking up here going on to the 5 o'clock hour as I glance outside the patio doors. There have been a few times where I haven't been able to see our bush line which is only two fields back from the house.
The Weather Network has a Snow Squall Alert out for Bruce Peninsula ~ Tobermory ~ Sauble Beach, as well as the Saugeen Shores area, Southampton and Port Elgin, where Rob works out of.


text:
I know how to solve the basic number of solutions equations, such as "find the number of positive integer solutions to $x_1 + x_2 + x_3$ = 12, with ". But I have no clue how to do this problem:
Find the number of solutions of $x_1+x_2-x_3-x_4 = 0$ in integers between -4 and 4, inclusive.
If I try and solve it like the basic equations, I get $C(n+r-1,r)$$ = C(0+9-1,9)$$ = C(8,9)$, which is obviously improper. Can someone point me in the right direction on how to solve this type of problem?


text:
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text:
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