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Some jurisdictions will not accept an action which includes no relationship into the court docket which was picked out, and Some others will not likely implement a alternative of location clause whenever they take into account by themselves for being a more handy forum for your litigation.[111]
It normally takes up to 30 days or even more for your account statuses to get up-to-date, based upon when during the month your creditor or lender experiences their updates.
In colonial times, the strategy of thought was exported to many popular legislation countries,[which?] but it's unfamiliar in Scotland and in civil legislation jurisdictions.[20] Roman regulation-based mostly systems[21] neither have to have nor recognise thought, plus some commentators have instructed that consideration be deserted, and estoppel be employed to interchange it being a basis for contracts.
[5] Quite possibly the most exclusive function of your offshore rely on is The point that the settlor or creator on the believe in may very well be provided One of the opportunity beneficiaries on the believe in without the need of triggering the assets from the belief for being subject on the creditors from the settlor. This is commonly called a "self-settled trust."
Related to orders for specific overall performance, an injunction might be requested when the contract prohibits a specific motion. Motion for injunction would prohibit the individual from undertaking the act laid out in the contract. Historical past[edit]
Liquidated damages are an estimate of decline agreed to while in the contract, so the court avoids calculating compensatory damages and also get more info the parties have greater certainty. Liquidated damages clauses may very well be termed "penalty clauses" in standard language, even so the legislation distinguishes among liquidated damages (reputable) and penalties (invalid).
The Nevis minimal liability company statute is based over the Delaware minimal liability statute, but they have a handful of extra positive aspects. One benefit of a Nevis LLC is that the members and administrators will not be disclosed to the public.
There's some debate about the ethics of asset protection planning. On one hand, just about every attorney that generates a belief, corporation, minimal partnership, or limited legal responsibility company is engaging in a few method of asset protection planning. Alternatively, most would concur that it's ethically inappropriate to assist someone to dedicate fraud or evade money taxes.
Constantly earning on-time payments in opposition to your personal debt may also help you produce a good credit heritage, which can have added benefits for your credit background and, by extension, your credit scores, far too.
The indicating that operates versus the pursuits with the occasion that drafted the contract is most popular.
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Reliance damages. A celebration may well Get well reliance damages In case the breach of contract has still left him even worse off than he might have been In the event the guarantee had by no means been made—for example, where a celebration has relied with a assure and endured fairly foreseeable bills due to the guarantee. Reliance damages are generally limited to out-of-pocket costs incurred, but opportunity costs may also be recoverable.
These instance sentences are chosen instantly from different online news sources to replicate current use with the term 'attractiveness.' Sights expressed while in the examples don't signify the viewpoint of Merriam-Webster or its editors. Send us feedback.
If a contract is in a penned variety, and any person symptoms it, then the signer is usually certain by its terms regardless of whether they may have essentially examine it [33][34] presented the document is contractual in nature.


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subset: commoncrawl


text:
Current Gerontology and Geriatrics Research
Volume 2012, Article ID 986823, 13 pages
Alzheimer's Disease Promotion by Obesity: Induced Mechanisms—Molecular Links and Perspectives
1Medico-Surgical Sciences and Biotechnologies, Sapienza University of Rome, Corso della Repubblica 79, 04100 Latina, Italy
2Department of Experimental Medicine, Sapienza University of Rome, Viale Regina Elena 324, 00161 Rome, Italy
3Department of Anatomy, Histology, Forensic Medicine and Orthopedics, Sapienza University of Rome, Viale Regina Elena 336, 00161 Rome, Italy
4Department of Surgery "P. Valdoni," Sapienza University of Rome, Via A. scarpa 14, 00161 Rome, Italy
Received 26 February 2012; Accepted 10 April 2012
Academic Editor: Fabio Coppedè
Copyright © 2012 Rita Businaro et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
How to Cite this Article
Rita Businaro, Flora Ippoliti, Serafino Ricci, Nicoletta Canitano, and Andrea Fuso, "Alzheimer's Disease Promotion by Obesity: Induced Mechanisms—Molecular Links and Perspectives," Current Gerontology and Geriatrics Research, vol. 2012, Article ID 986823, 13 pages, 2012. https://doi.org/10.1155/2012/986823.


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Today I want to share a card I made using the good old ink and stamp method. No special technique, just plain fun.
I used Hero Arts Garden Flowers by Lia for the floral panel, and the sentiment is from the Hello Sunshine Daisies set. The tiny yellow flower is from Winnie & Walter's Hollies's Festive Floral clear stamp set. To give it some sparkle I added Stickles. :) Here's a close up.
Hero Arts Clear Stamps - Garden Flowers by Lia, Hello Sunshine Daisies
Winnie & Walter Clear Stamp - Hollie's Festive Florals
Hero Arts Ombre Ink - Butter Bar to Orange
Hero Arts Ink Cube - Jayne's Fall Colors
Hero Art Mid-tone Shadow ink - Ultra Pink
Ranger Distress Ink - Peeled Paint, Broken China, Crushed Olive
Ranger Stickles - Orange Slice, Candy Cane, Cool Mint, Diamond
clear embossing powder


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Just like a spring garden, your small business needs rich, growing medium and a generous quantity of seeds to ensure that something sprouts and becomes new growth. Somehow in the midst of the demanding, exhausting, and challenging days running your business, you need to find time for developing ideas, testing them out, and implementing them.
Because without growth, the best you can hope for is staying where you are. Is that what you want?
On the other hand, take one of these three approaches, and your little seeds are almost guaranteed to sprout:
1. Get the Growth Attitude. Open your eyes and open your mind if you are ready to take your business to another level. Ideas are all around you, and when your mind is ready, you will start to notice them. "I am constantly amazed at what fresh ideas surface when I travel to unfamiliar places," wrote Lisa Nirell, Chief Energy Officer of EnergizeGrowth, in a newsletter.1
She quotes Alan Weiss, a mentor who runs the Summit Consulting Group, as saying, "When I thought this was all about dollars and cents, I made money. When I realized it was about value, I made a career. When I realized it was about my place in the world, I created communities."2
2. Set Yourself up for Ideas to Roll in. Collaborate with people who have energy and contacts. This is a strategy for being present when the ideas crop up. How do you do this? Adam Toren and his brother Matthew, in their book "Small Business, Big Vision: Lessons on How to Dominate Your Market from Self-Made Entrepreneurs Who Did it Right," recommend surrounding yourself with people who have succeeded in their own businesses.3
Go out into the business community and network, they suggest. You'll have to figure out what to offer the advisors in return for their service, but you will likely get some great ideas from these collaborators.
3. Make Implementation Easy. You're not using all your best assets if you don't ask for your employees' input when you're seeking the seeds of a new idea that will result in your company's growth. Pull your whole team together and lay out your vision for your company. Then, be prepared to do a lot of listening. In an article in the Harvard Business Review, entrepreneur Julie Gilbert suggests asking questions that help the team members stay engaged.
Ask your team questions like, "How would we differentiate in the market against competitors and come out financially strong?" She believes that if you lay proper groundwork and ask good questions about the solutions people suggest, you will get "big ideas that reinvent the future."4
For more information, visit:
1. Lisa Nirell, EnergizeGrowth
2. Alan Weiss, Contrarian Consulting
3. Matthew & Adam Toren; Small Business, Big Vision
4. Julie Gilbert, "Need Growth Ideas? Ask Everyone" from Harvard Business Review


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"This issue is like the 'tale of the scorpion and the frog.' That scorpion will definitely sting them someday due to its character," he told a gathering with village leaders at the presidential palace Wednesday, referring to the animal fable The Scorpion and the Frog, of which the morale is that one's vicious nature never changes.
His remarks follow the recent dispute between NATO allies Ankara and Washington over the latter's objection to describe the PYD as a terrorist entity but "a reliable partner". The U.S. has also provided support for the People's Protection Units (YPG), the military wing of the PYD, in the fight against Daesh.
Turkey, a NATO ally of the U.S., calls the PYD a terrorist entity as it does the PKK.
U.S. ambassador in Ankara John Bass was summoned to the Turkish Foreign Ministry late Tuesday to express Turkey's concerns over State Department spokesman John Kirby's remarks saying: "We don't, as you know, recognize the PYD as a terrorist organization."
"Nothing has changed about our policy on that," repeated Kirby during Tuesday's press briefing while acknowledging Ankara's concerns about the group and describing Turkey as a key ally in the international anti-Daesh efforts.
The Turkish government had also recently announced its opposition to seeing the PYD participate in the Geneva peace talks on Syria.
"I told you many times. Are you with us or with this terrorist organization PYD, and YPG? What kind of an alliance is that? It is hard to understand. Although we told them a hundred times, they remain silent in our presence but say they do not recognize these groups [as terrorist] behind our back," said Erdogan.
Erdogan also lashed out at the UN's call on Turkey and EU states to take in the tens of thousands of civilians trying to escape the intensified Russian-backed air offensive on Aleppo in northern Syria.
"Then what do you [the UN] serve for? If it is that easy, I am asking you: We have accepted 3 million people from Iraq and Syria until now, but what did you accept?" he said.
"We are asking Turkey to open its border to all civilians from Syria who are fleeing danger, seeking international protection as they have done since the start of this crisis," had said William Spindler, spokesman for the UN's refugee agency, on Tuesday.
Erdogan stressed that the conflict in Syria had morphed into a "deportation and genocide".
"It is a case in point that those who regard the refugees as boogie men remain blind and deaf towards the Assad regime -- the real cause of this issue," added Erdogan.
Currently, Turkey hosts 2.7 million Syrian and 170,000 Iraqi refugees in both refugee camps built along its southern borders and in different cities across the country -- the world's largest refugee population.
So far, Ankara has spent $9 billion on the refugees, while the UNHCR has only granted $455 million, according to Erdogan.
The number of refugees staying in camps stands at 280,000.
Anadolu Agency


text:
- wluzziAsked on May 02, 2017 at 02:55 PM
- AIDANAnswered on May 02, 2017 at 03:26 PM
If you mean to ask how to prevent multiple submissions, then I would suggest several options:
1. Setting unique submissions on your form: https://www.jotform.com/help/64-How-to-Set-Unique-Submissions-on-a-Form
2. Setting form limits based on a unique question: https://www.jotform.com/help/223-How-to-set-Form-Limits-Based-on-a-Unique-Question
3. Adding a captcha field to your form: https://www.jotform.com/help/205-How-to-Add-a-Captcha-Field
I hope this helps. If you need further assistance please let us know. Thank you.


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More Insanity>>> Josh Earnest Refuses to Admit ISIS Targeted Jews at Kosher Deli (Video)
It ought to be clear by now what Obama really thinks of the Jews…
Barack Obama told VOX News Monday that "zealots" randomly shot "a bunch of folks in a Paris deli."
Via Twitchy:
Amedy Coulibaly, the gunman killed by police in January after seizing a Jewish supermarket in Paris, told BFMTV station he had "co-ordinated" with the Charlie Hebdo killers and was a member of ISIS.
Amedy Coulibaly with terrorist bride Hayat Boumeddiene who is still at large.
After his death a video showing gunman Amedy Coulibaly, who took part in the Paris terror attacks, was posted online. In it, Amedy Coulibaly who was shot dead in the police raid on the Hyper Cacher supermarket in eastern Paris, says he carried out the attack on behalf of Islamic State.
Just "a bunch of folks."
The four hostages killed by the Jewish supermarket siege in Paris – Left to right: Yoav Hattab, 21, François-Michel Saada, 60, Yohan Cohen, 22, and Philippe Braham, 40.
Today White House spokesman Josh Earnest refused to say whether the Paris shooting victims were purposely targeted for being at a Kosher deli.
What insanity.
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May 11, 1936 - March 21, 2017
Service Date: March 24, 2017
Funeral Home Kars
Good – Douglas
May 11, 1936 – March 21, 2017
It is with heavy hearts the family of Douglas Good share his peaceful passing on March 21, 2017, in Richmond. Beloved husband of the late Zelda (Dobson 1986). Survived by his daughter Karen Good (Robert Turenne); son Terry Good (Christine); his grandchildren Kaitlin Lee (Matt), Olivia Good, Jennifer Good, and recent great-grandchild Ethan Lee. Predeceased by sister Bessie (McCurdy) and brother William Good. Doug will be missed by numerous neighbors and friends in the community, especially Gordon McCurdy and Betty Tierney. Friends may attend a visitation at the Kars Chapel of Tubman Funeral Home, 1610 Roger Stevens Dr., Kars on Thursday, March 23rd from 4 to 7 p.m. Funeral service will be held at St. John's Anglican Church, Richmond on Friday at 1 p.m. followed by a reception. In lieu of flowers, donations may be made to the Humane Society of Ottawa or a charity of your choice.


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Biggs too ill for jail says solicitor
Great Train Robber Ronnie Biggs's lawyers are today launching a High Court legal bid to win the 75-year-old's release on compassionate grounds.
Solicitors will ask for a judicial review of Biggs's detention at high-security Belmarsh prison in south-east London.
The robber marked his 75th birthday yesterday, which was also the 41st anniversary of the notorious heist.
Biggs has suffered two strokes and his solicitors said he has facial paralysis which has left him unable to speak or eat.
They added that he has to be fed liquids through a tube powered by an electric pump, and communicates by pointing to letters on a piece of paper to spell words. Solicitor Kristen Bender said: "We are most concerned that the high-security conditions to which Mr Biggs is currently subjected do not comply with the law and are unnecessary given his inability to speak, eat or walk any distance."
Biggs was sentenced to 30 years' imprisonment for his part in the raid on the Glasgow to London mail train on August 8, 1963, when the 15-strong gang made off with £2.6m in used bank notes.
He fled Britain after escaping from Wandsworth Prison in a furniture van after just 15 months in jail.
After having plastic surgery to change his appearance, he fled to Spain, Australia, and then Brazil.
The criminal spent 36 years on the run but surrendered himself back into custody in 2001.
He has now served three years at HMP Belmarsh, where he has 24-hour nursing care.
A Prison Service spokesman said: "Belmarsh is a centre of medical excellence where we can provide 24-hour care. At a lower category prison there would not be this specialist round-the-clock care."


text:
Anyone who knows me, knows I love my wine! Expensive, cheap, red,white, sparking – if it's wine, I will drink it! Only one thing I can't stand – uber-sweet wine! If I want sweet, I'll buy some chocolate, thank you very much! I don't mind a little sweetness to my wine, but I prefer dry wines. I would have a glass a night if I could! Alas, that is not in my cards right now! So, we are hoarding our stash of nice wines that we buy from our semi-annual tastings at Newport Vineyards and the stash we bought and had shipped home when we were in Napa and Sonoma in Sept. 2009.
What do we drink, then? I was hoping you'd ask that question! We believe in everyday table wine. Probably every wine connoisseur – or oenophile – would shun us, stick their collective wine noses up at us or faint when they hear this, but, we buy "jug-o-wine!" LOL! Yes! We keep a couple of large bottles of Carlo Rossi in the house for those days when we just have to have a glass (when I say "we," I mean "I!") in order to preserve the small stash of good wines we have. Living in RI, we are not allowed by law to have wine direct shipped. Pooh! I say! We bypass that problem when we go to wine country and buy it in person, then the winery ships it home for us! Unfortunately, it's not like we can do that every year. At least, not for the time being.


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- Research article
- Open Access
- Open Peer Review
Mortality and complications after hip fracture among elderly patients undergoing hemodialysis
- Jeff Chien-Fu Lin1, 2Email author and
- Wen-Miin Liang3Email author
© Lin and Liang. 2015
- Received: 4 December 2014
- Accepted: 28 June 2015
- Published: 7 July 2015
Osteoporotic hip fractures cause high mortality and morbidity in elderly adults. Compared to the general population, subjects with end-stage renal disease and hemodialysis often develop mineral bone disorders and have a higher risk for hip fractures.
We conducted a matched cohort study design and used competing risk analysis to estimate the cumulative incidence of the complication rate. Subjects aged greater than 60 years with hip fracture were selected from Taiwan's National Health Insurance Research Database covering a period from 1997 to 2007, and these subjects were followed up until 2009. We used the Kaplan–Meier method to estimate the overall survival and used the log-rank test and multiple Cox proportional hazards model to explore the risk factors for survival. The cumulative incidence of the first complication was estimated using competing risk analysis.
Among hemodialysis subjects, the three-month, one-year, two-year and five-year mortality rates were 17.3 %, 37.2 %, 51.5 %, and 80.5 %, respectively; the one-year and five-year cumulative incidences of the first surgical complication were 14.2 % and 20.6 %, respectively; and the three-month cumulative incidence of the first medical complication was 24.1 %. Hemodialysis subjects presented a 2.32 times (95 % CI: 2.16–2.49) higher hazard ratio of overall death, 1.15 times (95 % CI: 1.01–1.30) higher sub-hazard ratio (sub-HR) of surgical complications, and 1.35 times (95 % CI: 1.21–1.52) higher sub-HR of the first medical complication than non-hemodialysis controls.
The overall mortality and complication rates of hemodialysis subjects after surgery for hip fracture were significantly higher than those of non-hemodialysis subjects. Further prospective studies which include important risk factors are necessary to more precisely quantify the adjusted effect of hemodialysis.
- End-stage renal disease
- Hemodialysis
- Osteoporotic hip fracture
- Mortality
- Surgical complication
- Medical complication
- Elderly patient
Osteoporotic hip fractures cause high mortality and morbidity in elderly adults [1–4]. One-year mortality rates after hip fracture were up to 30 % in the elderly [1–4]. After surgery for hip fractures in elderly patients, the short-term readmission or reoperation rates were 5 % to 30 % within 12 months, and the long-term reoperation rates were 20 % to 40 % [5–14].
Compared to the general population, subjects with end-stage renal disease (ESRD) and dialysis often develop mineral bone disorders and had a higher risk for hip fractures [15–23]. Studies reported that one-year mortality rates after hip fracture were up to 30 % and 64 %, with short-term readmission rates up to 40 % in hemodialysis subjects [19, 23–30]. However, few previous studies have reported long-term mortality, surgical and medical complications simultaneously using a large sample size. Therefore, in this study, the short-term and long-term mortalities and complications after surgery for hip fracture were investigated using competing risk analysis in hemodialysis subjects aged greater than 60 years from a nationwide population database in Taiwan.
Data source and subjects
Data were obtained from the National Health Insurance Research Database (NHIRD) released by the National Health Research Institutes in Taiwan. Taiwan began its National Health Insurance program in 1995 to finance health care for all residents. The coverage rate was more than 99 % of the total population of about 23 million residents in 2012. The database includes comprehensive information on insured subjects, such as demographic data, dates of clinical visits, diagnostic codes, details of prescriptions, and expenditure amounts. This study was approved by the Institutional Review Board of China Medical University Hospital.
This study selected subjects aged 60 years old and above, who were admitted to hospitals from January 1997 to December 2007. Subjects were identified both with (i) a first discharge diagnosis code of hip fracture (based on International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM) codes 820, 820.0, 820.00, 820.01, 820.02, 820.09, 820.8, 820.03, 820.2, 820.20, and 820.21) and (ii) medical code with surgery of internal fixation or hemiarthroplasty (based on ICD-9-CM codes 79.15, 79.35, and 81.52). The first admission date of hip fracture was defined as the index day of surgery. The exclusion criteria were inpatients with pathological fractures (ICD-9-CM codes 733.14 and 733.15) or open hip fractures (ICD-9-CM codes 820.1, 820.10, 820.11, 820.12, 820.19, and 820.9). Subjects who underwent operations on their pelvis, femur, or hip region before the index day were also excluded to avoid confounding effects.
Owing to certain covariate differences, we used a matched cohort design to explore the outcomes of hemodialysis and non-hemodialysis subjects after hip fractures. For each hemodialysis subject, we randomly matched one non-hemodialysis subject, who had the same age, gender, fracture type, operation type, and comorbidities, including hypertension, diabetes, chronic heart disease, and chronic pulmonary disease, to serve as a control. In addition, the non-hemodialysis control had the operation in the same calendar year as the hemodialysis subject. Subjects with chronic renal disease or ESRD without hemodialysis were excluded. In total, 2680 subjects received hemodialysis before the index day of surgery for hip fracture and 2680 matched non-hemodialysis controls were identified. This cohort was followed until death, exiting the NHI program or the end of 2009.
Ethical approval
All patients' data were encrypted using the same encryption algorithm to cross-link the data while protecting the privacy of the patients. This study protocol was approved by the Institutional Review Board (IRB) of China Medical University Hospital (protocol # CMUH102-REC2-012).
Outcomes of interest
This study analyzed three outcomes: (a) overall mortality; (b) cumulative incidence of the first medical complication within 90 days after the index day; and (c) cumulative incidence of the first surgical complication after the index day of surgery. Overall survival time was defined as the duration from the index day to the death day. Subjects who survived at the end of the study or were lost to follow-up were treated as censored. The first surgical complication time was defined as the duration from the index day to the day of the first postoperative unplanned reoperation caused by surgery-related complications. These included converting to arthroplasty or revision arthroplasty, implant failure, surgical site infection, mechanical complications (e.g., loss reduction, screw loosening or cutting out, skin irritation, implant broken/failure), dislocation, avascular necrosis of femoral head, second hip fracture at the same site, and malunion/nonunion during follow-up. The first medical complication time was defined as the duration from the index day to the day of the first medical complication within 90 days after the index surgery, which required extra days of hospital stay or hospital readmission for treatment. The medical complications included stroke, acute myocardial infarction, pulmonary embolism, deep vein thrombosis, acute renal failure, acute respiratory failure, pneumonia, and acute exacerbation of chronic obstructive pulmonary disease (COPD). The comorbidities of a subject were retrieved before or at the time of the index day and included hypertension, diabetes, chronic heart disease, chronic pulmonary disease, cerebrovascular disease, chronic liver disease, and cancer.
Statistical analysis
We estimated overall survival using the Kaplan–Meier method and explored the risk factors for survival using the log-rank test and the multiple Cox proportional hazards model. We estimated the cumulative incidence of the first complication using competing risk analysis, in which death was considered a competing risk [31–34]. We explored the effects of risk factors on complication-free time using the Gray's test as well as the Fine and Gray's model with proportional subdistribution hazards. The risk factors included age, gender, fracture type, operation type, and comorbidities. All analyses were performed using the SAS System (version 9.3; SAS Institute, Cary, NC) and R 3.0.0 [R Development Core Team (2013), R: A language and environment for statistical computing. R Foundation for Statistical Computing, Vienna, Austria, the R libraries survival, cmprsk, and mstate] [35].
Baseline characteristics of hip fracture subjects stratified by hemodialysis groups
Non-hemodialysis (N = 2680)
Hemodialysis (N = 2680)
Age (years), mean ± SD
74.90 ± 7.04
74.88 ± 7.05
(63.4 %)
(63.4 %)
(36.6 %)
(36.6 %)
Fracture type
(56.8 %)
(56.8 %)
(43.2 %)
(43.2 %)
Operation type
(53.3 %)
(53.3 %)
(46.7 %)
(46.7 %)
(24.3 %)
(24.3 %)
(75.7 %)
(75.7 %)
Diabetes mellitus
(57.3 %)
(57.3 %)
(42.7 %)
(42.7 %)
Chronic heart diseasea
(62.1 %)
(62.1 %)
(37.9 %)
(37.9 %)
Chronic pulmonary disease
(84.1 %)
(84.1 %)
(15.9 %)
(15.9 %)
(56.2 %)
(74.6 %)
(43.8 %)
(25.4 %)
Chronic liver disease
(90.9 %)
(90.0 %)
(9.1 %)
(10.0 %)
(88.9 %)
(89.1 %)
(11.1 %)
(10.9 %)
Cumulative mortality rates and cumulative incidence of first surgical or medical complication after surgery for hip fracture stratified by hemodialysis groups
Cumulative incidence
Surgical complication
Medical complication
2.1 %
6.9 %
3.7 %
6.0 %
14.7 %
17.7 %
5.3 %
17.3 %
6.2 %
9.5 %
18.4 %
24.1 %
9.6 %
26.0 %
8.7 %
11.7 %
16.6 %
37.2 %
11.0 %
14.2 %
25.9 %
51.5 %
13.5 %
17.1 %
52.3 %
80.5 %
18.3 %
20.6 %
79.0 %
96.3 %
21.4 %
22.0 %
(a) Hazard ratios of the risk factors associated with death from cause-specific hazard model (HR) based on Cox model, (b) sub-distribution hazard ratio of the risk factors associated with first surgical complication, and (c) medical complication based on Fine and Gray's (sub-distribution hazard, sub-HR) model from competing risk analysis
(a) mortality
(b) surgical complication
(c) medical complication
Hemodialysis: yes/no
Age (1 year)
Gender: male/female
Fracture type: trochanteric/cervical
Operation type: hemiarthroplasty/fixation
Hypertension: yes/no
Diabetes mellitus: yes/no
Chronic heart diseasea: yes/no
Chronic pulmonary disease: yes/no
Cerebrovascular disease: yes/no
Chronic liver disease: yes/no
Cancer: yes/no
The majority of 90-day medical complications were pneumonia (44.89 %), acute respiration failure (40.25 %), acute renal failure pulmonary (23.22 %), exacerbation of chronic obstructive pulmonary disease (18.27 %), and stroke (10.99 %) among 646 hemodialysis subjects with at least one readmission for a medical complication within 90 days after surgery (Additional file 1). Among 460 hemodialysis subjects with at least one reoperation within two years after surgery, the majority of reoperations were due to mechanical complications (33.48 %) and infection (30.87 %). Surgical complications resulted in conversions to arthroplasty or revision arthroplasty (34.35 %) and removal of implants (23.04 %) among these 460 subjects (Additional file 2). Once subjects experienced their first medical complication, 63.6 % of hemodialysis subjects died within one year compared to 36.6 % of the controls. In addition, once subjects had their first reoperation, 41.9 % of hemodialysis subjects died within one year compared to 21.2 % of the controls (Additional file 3).
In this population study, short-term and long-term mortalities and complications after surgery for hip fracture among elderly adults undergoing hemodialysis were analyzed. We found that hemodialysis subjects had significantly higher mortality and complication rates compared to the controls. Hip fracture is one of the most common occurrences in hemodialysis subjects, and hemodialysis subjects had a higher mortality caused by complications of both end-stage renal disease and hip fracture [15–19, 22, 23]. Previous studies reported that one-year mortality rates after hip fracture were up to 30 % and 50 % in hemodialysis subjects [18, 19, 23–30]. We found that the death incidence rate was 354.3 per 1000 PY. The median survival time was 1.89 years, with a one-year mortality rate of 37.2 % for hemodialysis subjects, which fell in the middle of the range reported in previous studies [18, 19, 23–30]. Certain large-scale studies found that hemodialysis subjects not only had a higher mortality rate but also had a higher short-term rehospitalization rate after hip fracture in hemodialysis subjects [23–25]. These studies also reported that comorbidities and medical complications increased mortality and complication after surgery [23–25]. Beaubrun et al. reported that the one-year mortality rate was 630 per 1000 PY and that the one-year rehospitalization rate was 356 per 1000 PY, out of 35,956 hip fractures in more than 200,000 hemodialysis subjects from the US Renal Data System [23]. Mittalhenkle et al. reported a one-year mortality rate of approximately 50 % after hip fracture among 7636 hemodialysis patients from the same database [24]. Mittalhenkle et al. found that the median survival time was 289 days after hip fracture compared to 715 days among hemodialysis subjects without hip fracture based on a matched control study design [24]. Coco and Rush reported that the one-year mortality rate was 64 % for 59 hip fractures in 1272 hemodialysis subjects [19]. Tentori et al. estimated that the one-year mortality rates were more than 500 per 1000 PY among 419 hip fractures in a cohort of 34,579 hemodialysis subjects [25]. Several studies with a small sample sizes reported long-term surgical outcomes after surgery for hip fracture [26–30]. The one-year mortality rates reported in these studies varied widely due to the small sample sizes, with rates of 23 %–50 % [26–30].
We found that hemodialysis subjects had a 2.32 times (95 % CI: 2.17 to 2.49) higher hazard ratio (HR) of overall death than non-hemodialysis subjects. Coco et al., using a similar matched design, showed that the standardized mortality rate of hip fracture for the hemodialysis subjects was 2.4 times greater than that of the general population and that lower parathyroid hormone levels were associated with a higher mortality rate [19]. The very high risk of death after hip fracture in hemodialysis subjects has been shown to be multifactorial. Studies found that age, decline in mobility, malnutrition, decreased muscle strength, lower bone mineral density, abnormal vitamin D metabolism, abnormal parathyroid hormone level, cardiovascular disease, and pneumonia contributed to mortality after hospitalization in hemodialysis subjects [15, 16, 19, 24]. Hu et al. conducted a meta-analysis of hip fracture among the elderly and identified that the risk factors for overall mortality were older age, male, nursing home or facility residence, poor preoperative walking capacity, poor daily activities, poor mental state, and multiple comorbidities [14].
Postoperative complication rates served as performance metrics of the health care applied to manage hip fractures. We found that hemodialysis subjects also had higher medical and surgical complication rates than those of non-hemodialysis subjects. Previous studies found that short-term readmission or reoperation rates varied from 10 % to 20 % and from 19 % to 32 % within one and three months, respectively, and the long-term reoperation rates (more than two years) ranged from 20 % to 40 % after surgery for hip fractures among elderly adults [5–13]. The majority of readmissions occurred within three months [8, 12]. Several studies also found that readmissions or reoperations were associated with higher mortality and the mortality rates after complication were 35 % to 48 % within one year [5, 6, 9–12]. We found that the one-year and five-year cumulative incidences of the first surgical complication were 14.2 % and 20.6 %, respectively, for hemodialysis subjects compared to 11.0 % and 18.3 %, respectively, for non-hemodialysis subjects using competing risk analysis. We found that once subjects had their first reoperation, 41.9 % of hemodialysis subjects died within one year compared to 21.2 % of non-hemodialysis subjects. We also found that the three-month cumulative incidence of the first medical complication was 24.1 % for hemodialysis subjects compared to 18.4 % for non-hemodialysis subjects. Once subjects had the first medical complication, 39.9 % of hemodialysis subjects died within three months compared to 19.0 % of non-hemodialysis subjects.
Osteoporotic hip fracture, aging, and end-stage renal disease all accelerate the mortality rate. Thus, it is not possible to simply estimate the cumulative complication rate without considering competing death. The interpretation of Kaplan–Meier estimates in the presence of competing risks often overestimates the risk or benefit of some covariates. This may result in over-treating risk factors with possible adverse side-effects on hip fracture subjects with hemodialysis [31, 32]. In addition, competing death rate may have different effects on short-term medical complication rates and long-term surgical complication rates. In our study, older age, trochanteric fracture, and hemiarthroplasty had significantly higher hazard ratios for mortality and short-term medical complication. However, older age, trochanteric fracture, and hemiarthroplasty had significantly lower hazard ratios for surgical complication. For example, subjects with trochanteric fracture had a higher hazard ratio for mortality (HR = 1.235) than those with cervical fracture such that subjects with cervical fracture had a longer survival time during follow-up and were thus exposed to more risk of surgical complications. When the follow-up time was short, the cumulative mortality rate was still low; many subjects with trochanteric fracture still had a higher hazard ratio for short-term medical complications (sub-HR = 1.262) than those with cervical fracture. However, when the follow-up time was longer, there were fewer subjects with trochanteric fracture during follow-up but they were healthier and therefore exposed to less risk for long-term surgical complications. Therefore, subjects with trochanteric fracture had a lower hazard ratio for long-term surgical complications (sub-HR = 0.629) than those with cervical fracture. In some subpopulations, the incidence of competing death may be much larger than the complication incidence which limits the benefit of using costly treatments to reduce certain complications. The effects of a risk factor on competing death rate and complication rate are often different and increase the difficulty of conducting the analysis and interpretation. In practice, competing risk analysis is a preferable method for directly assessing actual risk and provides more relevant results, which are valuable for prognosis and medical decision-making [31–34].
Among hemodialysis subjects, we found that 29 % and 23 % of 474 and 646 subjects with at least one medical complication within one and three months, respectively, had acute renal failure. Most research on the incidence and causes of acute renal failure after major surgery is based on studies of patients who received cardiac or vascular surgery [36–41]. Previous studies found that older age, higher BMI, diabetes, hypertension, chronic obstructive pulmonary disease, liver disease, hyperlipidemia, malnutrition, abnormal renal function, use of angiotensin-converting enzyme inhibitors (ACEIs) or angiotensin receptor blockers (ARBs), diuretics, nonsteroidal anti-inflammatory agents, infection, emergency/urgent surgery, and high-risk surgery were related to acute renal surgery after major surgery [36–41]. Various risks contributed to acute renal failure in dialysis patients after surgery for hip fracture, including comorbidities, co-medications, dialysis time before or after surgery, perioperative abnormal laboratory value, optimal time for surgery, type of anesthesia, type of operation, and intraoperative management, and these variables are likely similar to those associated with increased risk of acute renal failure following major cardiac or vascular surgery.
We also found that subjects with chronic heart disease had a higher hazard ratio for mortality and medical complication than those without chronic heart disease. Bone mineral disorders such as vitamin K deficiency, vitamin D deficiency, hypocalcemia, secondary hyperparathyroidism, hyperphosphatemia, bone loss, malnutrition, multiple metabolic mediators, and uremic toxins are present in nearly all dialysis subjects and are related to the risk of fracture risk, hypertension, vascular calcifications, and cardiovascular disease. Studies also found that vitamin K deficiency decreased bone mass and increased excessive vascular calcification. Rigorous corrections on bone mineral disorders and malnutrition, as well as vitamin D and K supplementation are necessary to prevent hip fracture in dialysis subjects [42–50].
Our results were based on hospitalized patients who underwent hip fractures and received operations. Selection biases may therefore have existed. Certain unknown confounding factors might have occurred or changed during the follow-up period. Although we used a matched cohort design and conducted a multivariable analysis to examine risk factors, many risk factors, such as pre-operative joint function/condition, renal function, smoking status, body mass index, bone mineral density, lifestyle, comorbidity severity, and quality of life, were not available for adjustment. The 90-day medical complication and short-term complication rates might vary depending on the definitions used [23, 25]. Therefore, directly comparing our results to those of other studies may not be meaningful because of the different definitions of the complications used in the studies.
Between 1999 and 2007 in Taiwan, the overall mortality rate and complication rate of hemodialysis subjects after surgery for hip fracture were significantly higher than those of non-hemodialysis subjects. Hemodialysis subjects had a 2.32 times higher hazard ratio of overall death, a 1.15 times higher sub-hazard ratio of surgical complications, and a 1.35 times higher sub-HR of the first medical complication than non-hemodialysis controls. Further prospective studies which include important risk factors are necessary to more precisely quantify the adjusted effect of hemodialysis.
The NHI Research Database is composed of anonymous secondary data released to the public for research purposes. Thus, this study was exempted from a full review by the local ethics review committee.
The authors would like to thank China Medical University for supporting this research (project number CMU102-S-02). The institute had no role in the study design, data collection and analysis, decision to publish, or preparation of the manuscript.
Authors' Affiliations
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This article is published under license to BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly credited. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.


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The Definitive Guide to best air purifier for mold
com is created through the AllergyBuyersClub Team+ and is for instructional purposes only, and isn't a substitute for health care guidance or therapy. Use of this online company is issue to the disclaimer and the stipulations.
The ionizer is situated just In the air outlet. It circulates air-cleansing negative ions into the air.
A safe and effective ionizer circulates trillions of damaging ions to neutralize floating pollutants all through the space. Ionizers also boost filter performance. In addition, the Multi-Tech ionizer generates pretty much no ozone whatsoever.
But, the pre-filter is a good idea as it's function should be to capture the massive dust pollen, mold spores, animal dander and other big particulates. This permits your HEPA air purification procedure to also remove the smallest things.
Considerable quantities come indoors from outdoors. Many of us believe the ozone air purifier ads and like to bask while in the "improved" odor. Guests enhance the home proprietor about the fresh new smell. A technicolor world of illusion is established as senses are dulled and possibly dangerous odors masked. Ozones Outcomes on Health and fitness:
The PurAyre™ Ionic Air Purifier & Deodorizer employs condition of your artwork electrostatic technology to constantly purify the air of dangerous allergens for example dust mites, pollen, fungal spores, viruses, bacteria, mold, pet dander, her latest blog smoke and even more. It'll trap particles as little as 1 micron and remove terrible odors as opposed to masking them with fragrances.
A person remaining considered on carbon-pre-filters is usually that you'll want to see simply how much activated carbon There's.
A different classification that we see on the web is the car air purifier. Just after reviewing the specs we most likely will never assessment these. Some are just mini air ionisers.
Most air purifiers don't have a method to wipe out germs, viruses together with other micro-organisms. A germicidal UV lamp is the most effective way to fulfill this prerequisite. UV light-weight air purification is suggested by the U.S. Centers of Ailment Command (CDC)
"If the space gets stale/smelly, I turn on the ozone for an hour or so or two our website & shut the doorway (ensuring no pet is in the room). Then I open up the doorway back again up & turn the device back again on (mine has an auto turnoff immediately after ozone's been on) & the place smells marvelous." - dharmagal
Contrary to drinking water filters just like a ceramic filter, HEPA air filters will not be intended to obtain damp. Water can destruction the fibers (filter things).
If you buy air filters for your personal furnace method you may have come across this score method. It is actually printed to the packaging.
Soon after dehumidifying a basement and cleaning obvious mold spore progress with a steam cleaner, we find this recommend utilizing a HEPA air purifier with higher quality carbon.
In the event you hear a slight static like sound when the device is functioning, it is because of dampness and is also regular.


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Each year at its Annual Meeting, Flexible Pavements of Ohio (FPO) recognizes projects that demonstrate exceptional quality in asphalt pavement construction. These awards represent a diverse spectrum of pavement types from Ohio's interstate system with some of the highest traffic volumes in the nation, to low volume rural roadways, to airport runways, and commercial facilities.
Shelly and Sands Incorporated paved Woodin Rd. for the Geauga County Engineers office. The Woodin Road project was a multiple course asphalt overlay project calling for two inches of intermediate course mix and 1 ¼ inch of surface course. The surface course was a virgin 404 limestone blend with PG64-22 binder. Paving Woodin Road required over eight thousand tons of hot mix.


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Tag Archives: music
By Its Cover: Ron Evans, Artist
Ron Evans has a ridiculous number of notches in his artistic belt. He created the comic strip Edgar Rue, about a suicide victim who finds himself taking the form of a skull and spinal column afloat in an absurdist afterlife. … Continue reading
EARWORM! It's Your Very Last Chance To Hurt Me
They howled for me at just the right time. I've been an evangelist for Brooklyn-Boston postpunk group the Beatings for several years now, as the band that distilled the anger and displacement I felt during the worst of the Bush … Continue reading
Our Summer Of Rape
May 17*:Blogger Anita Sarkeesian launches a Kickstarter to raise funds for a video series exploring "common and recurring stereotypes of female characters in video games." This precipitates an entire summer of threats, including rape and other physical harm, against Sarkeesian … Continue reading
EARWORM! Angel And The Badman
She gave him a voice, he gave her stories. He gave her street cred, she gave him access. She gave him sweetness, he gave her menace. It wasn't a partnership that had any right to flourish, but disparate backgrounds made … Continue reading
EARWORM! The Angels Turn To Ashes
Dream lovers are wondrous things. In our thoughts, they grow magnified until perfected, until there is no simple way to tell their story anymore. They're archetyped. Emmylou Harris, who has loved and lost in a manner that immortalizes her even … Continue reading
Wednesday's Heroes: Norman Cook
xx xx xx xx You could as easily give him credit in his better-known public identity, Fatboy Slim, preeminent DJ and pop collagist. But I'm more interested in where the collage materials come from, and in Cook's deeds as a … Continue reading
EARWORM! … CDs Taken From My Car In A Burglary, Circa 2008
1. Belle & Sebastian: The Boy With the Arab Strap


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Without Waves
Without Waves are an experimental metal band from Chicago, IL fromed in 2010. The band has released a new EP entitled "The Entheogen" which includes two brand new original songs and a cover of the Ministry track "TV II." the band blends influences from extreme metal to jazz fusion to electronic & atmospheric rock with unconventional rhythms, diverse melodies and expressive lyrcis. members of November's Doom, & Immortal Bird.
Without Waves is:
Anthony Cwan – Vocals/Guitar
Zac Lombardi – Guitar
Garry Naples – Drums
John Picillo – Bass
The Entheogen


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POSITION TITLE: Nanostructured Materials for Fischer-Tropsch Catalysis
DEPARTMENT: Department of Energy
AGENCY: National Energy Technology Laboratory (NETL)
LEVEL: Post-doctoral or early-career scientists
POSITION INFORMATION: Full-Time, up to two years renewable
DUTY LOCATION: Pittsburgh, Pennsylvania
WHO MAY BE CONSIDERED: United States Citizens, LPRs, & Foreign Nationals with appropriate approval
The Molecular Engineering Team at NETL is seeking post-doctoral or early career researchers in the area of nanostructured materials for Fischer-Tropsch catalysis. Expertise in one or more of the following general areas is desired: nanomaterials synthesis, physical characterization of materials, and catalytic performance evaluations. The Molecular Engineering Team is composed of synthetic chemists, physical/analytical chemists, and chemical engineers who collaboratively focus on the design, synthesis, and characterization of new catalysts and sorbents for a variety of fossil energy applications. The candidate will be responsible for working within this team to initiate and conduct research in the area of Fischer-Tropsch catalysis with a focus on using nanostructured catalyst systems, encapsulated/confined catalyst systems, and pore engineered catalyst systems to create controlled deviations from classical Anderson-Schulz-Flory product distributions, as well as other catalytic performance enhancements. Microwave heating, plasmonic excitation, and other non-traditional excitation/energy sources are also being evaluated to assess how well these non-equilibrium approaches can be utilized for manipulating Fischer-Tropsch chemistry. Material systems of interest include nanostructured Fe and Co materials, graphene/carbon nanotubes, metal organic frameworks and zeolitic type materials, and high surface area heterostructures of these material systems.
Key Requirements:
- Applicants must be U.S. Citizens or approved Foreign Nationals
- Suitable for Federal employment, as determined by background investigation
Minimum qualifications:
An M.S. in Chemistry, Physics, Chemical Engineering, Materials Engineering, or a related field, with experience and publications in the synthesis or experimental characterization of nanostructured catalyst systems.
Preferred qualifications:
A Ph.D. in Chemistry, Physics, Chemical Engineering, Materials Engineering, or related field.
Applicants should apply through the Oak Ridge Institute for Science and Education (ORISE) program. The ORISE Program provides opportunities for undergraduate students, recent graduates, graduate students, postdoctoral researchers, and faculty researchers. NETL utilizes the ORISE program to support research and work within NETL's Office of Research & Development.
Interested applicants should complete the online application at http://www.orau.gov/netl/


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ow I chose the name Skipa.
September 1993, I moved to Ben Lomond in Santa Cruz County to attend UCSC as a psychology student. I suppose my adventure into "UCSC Geekdom" began when I acquired the habit of staying up most of the night to socialize with nocturnal communities on icb and ICQ.
I found myself attending geek hosted parties, late night hot tub gatherings, and 3AM food or donut runs. My spare hours were committed to socializing with geeks and raising world champion bred appaloosa horses.
In 1994, I purchased an a nicely bred appaloosa mare named Social Acclaim. She was double bred SkipperW top and bottom. My admiration for the stallion SkipperW and his tremendous influence on appaloosa and quarter horse lineage led me to try to adopt the login Skipper or SkipperW.
However, the login Skipper was being used on icb and I didn't want my login to be confused with someone else.
I considered using names of SkipperW offspring, like Skipperette, SkippersKing, Skipadoo, Skipador, and Skipalator. Those names all seemed long and I wanted something that could be typed quickly. Skipa Star and Skipster appealed to me, and I settled on the login Skipa.
FYI: Skipa Star, 1973 stallion by Skipper's Lad and out of Pat's Dusty Star. A superior Halter horse and the 1975 world Champion 2 Year Old Stallion, sired 14 AQHA Championships, 61 Superiors in halter and performance, and 7 world champions.


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Sir Alex to cause stir on cookery show
Manchester United manager Sir Alex Ferguson will soon be working up a sweat away from the football field, after it emerged he and a range of other famous Red Devils faces will be appearing in a cookery programme.
The first episode of Red Devil's Kitchen was screened on, the club's in-house TV channel, MUTV on Sunday evening, with United left-back Patrice Evra first in line to try out his culinary skills in front of a panel of judges.
In the new show, United's resident chef Romain Camos assists participants in preparing luxurious meals, which are then assessed by a pair of experts.
"Travelling all over the world with United, I wanted fans to go behind the scenes and see what I see - a different side to the players and manager," Camos told the club's official website.
"Red Devil's Kitchen is a very relaxed programme, I make sure we have some good football banter while we're preparing the food. And as you might expect when you're cooking with professional footballers, all the recipes are healthy."
In the show's first episode, Evra russled up some lobster ravioli, with Sir Alex Ferguson and former United stars Bryan Robson and Denis Irwin due to appear on the show in the coming weeks.


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Thursday, May 13, 2010
Working with illustrator Gérard DuBois on a feature for LDS Living magazine.
Jon Woidka, Senior Designer at Stephen Hales Creative, received the assignment to design a feature article in the May/June 2009 issue of LDS Living magazine. The article, titled "When a Child Strays," discusses the decisions parents face when one of their children experiments with a lifestyle that's at odds with the family's values. Jon had admired the work of Gérard DuBois, an illustrator who studied design in Paris, and who now lives in Montreal. Gérard's work has appeared in The New York Times, The Wall Street Journal, Time, Newsweek, GQ, Rolling Stone, the New Yorker, and in many other publications. He has also worked for clients such as Nike, IBM, Nordstrom, Microsoft and Renault, and has illustrated several children's books. Jon contacted the Marlena Agency, the New York-area firm that represents the artist, to discuss a commission. After the project was accepted by the agency, Jon sent Gérard a copy of the article, and the two briefly discussed some ideas. Gérard then sent three initial concepts.
Each of the sketches effectively communicated the concept of a child escaping the security of a safe environment and beginning a journey fraught with danger and darkness. However, as the artist and designer discussed the sketches, they determined that perhaps the darkness in the drawings was a little too ominous. After the conversation, Gérard worked on some additional ideas that communicated a sense of alienation from home and safety using a slightly different approach. In one, a teenage girl looks back over her shoulder at the home she's leaving as she leans into the shadow of a large tree. In another, the girl stands with her suitcase in hand as she faces the unknown.
Jon agreed that both sketches captured the article's concept and tone, and after a brief discussion, it was decided to present the first drawing to the magazine's editors, who approved it. Gérard then proceeded to complete the final color drawing for the article's opening spread, as well as one smaller spot illustration that appears later in the article.
The article design and illustration won an award for Stephen Hales Creative in the American Institute of Graphic Arts (AIGA) annual competition, and was recognized as being among the 100-best works of graphic design produced in the state of Utah during 2009. The award will be presented at the AIGA's annual awards show and banquet in May 2010.
(All illustrations © Gérard DuBois)
Monday, December 7, 2009
What Happens When You Redesign?
The previous Tropicana package design on the left, with the abandoned new design on the right.
People who communicate visually for a living (graphic designers, art directors, creative directors) have a tendency to believe that creating a good new design for a product or a company will always increase sales and improve brand recognition. Part of the reason for this belief is that at least 75% of all the marketing pieces we're exposed to in a day are poorly conceived and executed—think of most of the web sites you see, the TV ads on the local news, the display ads in your local newspaper or community magazine. In the same vein, most of the packages you see in your local grocery store have clearly not been designed to be "beautiful." Those of us who learned in college how good design can improve the perception people have of products and companies naturally think that if we redesign the way a thing looks or communicates, it will be more successful. Unfortunately, it's not that simple.
Disappointing results from a redesign
Gatorade and Tropicana, two nationally-prominent brands, redesigned their product packages earlier this year and the percentage of sales in both cases dropped by double digits. (Tropicana has since abandoned its orange juice package redesign, and gone back to the familiar "orange with a straw" carton image.) Perception Research Services, a national consumer research company, found that new consumer package designs improve sales half the time and decrease sales half the time, for no net gain.
Are redesign risks worth the rewards?
What many marketers take away from this information is that it's always better to stick with the status quo rather than risking something new—better to have an ugly brand that's consistent than a well-designed brand that's new and unfamiliar. However, the same research went further to discover what it was about the successful new packages that made them work when others failed. New designs that preserve a connection with the familiar brand, but that provide "an increase in visibility" consistently boosted sales. In other words, when a customer sees that a redesigned product or redesigned information is coming from the company they trust, but that it's been changed in some new, intriguing way, it invites "re-examination." They take a second look, reconsider it, and bring it again into their "consideration set."
What's happening in customers' heads
For many years, companies have known that "to be unseen is to be unsold." Even when a company's product or service is out in the marketplace, if its image is bland or ordinary, it's "unseen." And even companies that won't change a tired brand for fear of losing their familiar customer base need to be active somehow in maintaining existing customers. But to attract new customers, these companies need to walk the fine line of shaking things up enough that they get a second look from new prospects without losing their current base.
What did the research show about customers who left the brand after a redesign? The main cause of brand defection after a redesign was "confusion." If existing customers experience brand hesitation (is this my brand?) or an inability to find the desired product or information (I can't see what I'm looking for), they're gone. In that moment of frustration, a customer will likely move to a safer choice—a competitor—and the switch is often permanent.
Our company's personal experience working for clients has been consistent with these research findings. One of our clients had published a series of catalogs for many years, but the information in them was confusing and the branding was poor. The first piece we redesigned for them was a Christmas catalog that boosted their sales by double what it had been the previous year. Subsequent catalogs helped to make direct sales one of the company's main profit centers. However, when the same client contracted with an outside web development company to create a new e-commerce web site that was designed separately from the catalogs, the percentage of Internet orders declined by nearly 20 percent in the first quarter following the launch. The problem resulted from confusion felt by customers who visited the site and couldn't easily find what they wanted.
A great way to grow the brand, if you're careful
Because of its potential to help increase the customer base, a redesign—of a corporate logo, a package, a web site, a catalog, or another marketing piece—can be a valuable part of a company's growth strategy. However, it needs to be undertaken carefully and under the guidance of experts who not only understand good design, but who understand the company's audiences and their preferences.
Friday, September 25, 2009
Recent Photo Commissions
Thursday, August 27, 2009
Them's Good Lookin' Cherries
Here's one package in a series we're creating for our client Cherries by Nature. Earlier this year we were involved in naming the company and creating its brand. The package-pouches are now being manufactured in China. After they're completed, they'll be filled with cherries grown here in Utah County and sold in Costco stores around the nation. Get yours beginning in November, but hurry. Only a quarter-million are being produced this season, and they're expected to go fast.
The package is a flat-bottomed pouch with a clear window in front and a resealable closure. We're positioning this product as a premium quality/higher price item. The design is simple and elegant, with a creamy warm background tone that matches the color of the yogurt covered cherries inside. Jon Woidka was the senior designer on this project.
Friday, July 10, 2009
Rate This Copy, Please.
At Stephen Hales Creative, we're not for everybody.
But for some, we're ideal.
(Body copy)
Do you remember the "first day of school talk" your teacher used to give? It always had that stern "this won't be easy" flavor.
It wiped the smirk from the faces of the goof-offs and caused the good students to brace themselves for the terrain ahead. Then, after things got started, you found that the teacher was actually pretty nice and things weren't nearly as bad as they sounded in that talk. Well, inside this brochure is an arrogant sort of "first day of school talk" designed to get most of the people who read it to flee.
Stephen Hales Creative is a small company by choice. That doesn't mean we don't work for some very large organizations. (At least three of our clients are $100 million plus in annual revenues.) It just means that we have to be selective about the clients we serve. We're definitely not for everybody, but we are ideally suited for some. This brochure has been created to help you decide if you're one of them.
So, please answer a few questions:
1. Would you recognize a good promotional effort for your company if you saw it?
If you know a sound strategy when one is presented and you can tell if the creative execution matches the strategy, we can work well together. We appreciate clients with a record of successful marketing projects, because they generally know from experience if what we propose will work or not.
There are some great companies out there who don't know what they need. That's part of why you call an agency, after all—"Help us! We're confused!" We've found that some of these companies wonder in their secret hearts if anybody else really knows what they need, either. What these companies often require is the assurance of a large, trusted agency telling them what to do. Their comfort level comes not necessarily from the quality of the work, but by the size and respectability of the agency producing it. We wish these clients well as we withdraw our name from consideration. We're definitely not a large agency, and the jury's still out regarding our respectability.
2. You want your promotional efforts to increase sales, but how important is it that they also add something valuable to the world?
At some companies, a sales increase is the only goal of advertising. There's a good argument to be made that in business, as long as your profits are strong, nothing else matters much. If you believe this, there are many agencies that share your view and would welcome your account. We're not one of them.
We think that there are already too many loud, garish, soul-snuffing promotional efforts out there. We're seeking clients who believe that successful advertising not only increases sales, but also raises the level of discourse in the marketplace. These companies create communications that add something thoughtful, inspiring, or clever that the world didn't have before. These are the companies we're out to serve.
3. Are you looking to save money?
The fact is—we are substantially less expensive than big advertising agencies or design studios. We've consciously located our company in an area that has a lower-than-average cost of living, and we believe we can give you nationally-competitive work for prices that are much lower than what you might pay elsewhere.
That said, if one of your major objectives is saving money, you may still want to look at other agencies. We've found that clients who are narrowly focused on costs are miserable to work with. We pride ourselves on being fair in our pricing and transparent in the way we bill. We believe our costs are easily justified by the return on investment. No one wins, however, if the agency is constantly under pressure to reduce prices, to justify invoices, to nit-pick over expenses. We are well worth the fees we charge. If you're looking for top quality work and you're willing to pay for it, choose us, and be pleasantly surprised by the prices. If you're under funded and you need to scrimp, please choose a cheaper agency.
4. What's your expectation of service?
One former client used us on some projects and a New York agency on others. Whenever she flew into New York, she was picked up in a limo and driven to a posh hotel, all covered by the agency. In contrast, when she visited our office, we offered her a can of Diet Coke.
In our own fashion, we think we gave her good service. We were constantly on top of her projects. Her account manager was always available, and she could talk to any of us whenever she wanted. Her projects were all completed on time, and the billing was prompt. We're friendly folks, and very responsible when it comes to giving clients what they need. It's just that in addition to getting great work, there aren't that many perks when you choose us. (However, if you prefer something other than Diet Coke, just let us know, and we'll find you whatever.)
5. Will you be OK without the "brand-building-equity-commitment-benchmark-depth-and-breadth-of-awareness" talk that other agencies give you in the pitch?
A common approach among larger agencies is to introduce new clients to the company's collective expertise with intense discussions about "brand equity commitment benchmark impulse analysis strategic focus differentiation . . . (you get the idea)." It's true that building a brand is serious business, and there's a great deal of savvy that goes into it. We think we understand those principles better than most, and a big part of our business is developing solid brand models for our clients. However, we make almost no effort to impress people with how much we know. So, if you judge the qualifications of your agency by the lingo that's hurled about, we'd best take our qualitative emotional epicenters and leave.
Page 14, and you're still reading? Impressive. Here are some of the services Stephen Hales Creative provides.
Our design specialties include corporate identity programs (logos), packaging, print collateral, publication and catalog design, signage, tradeshow and exhibit design, invitations and other promotional materials. Our graphic design work has been recognized in some of America's leading competitions. We approach our design projects the same way we approach all our projects—with a clear understanding of the communication problems involved. After we get that down, we just let ourselves go nuts.
We help clients develop a brand model that articulates for everyone in the organization who they are, what they do and who they serve. With this understanding, all of the marketing efforts and materials are built to consistently reflect the brand experience. Ads, brochures, signage, environments, mailers and Web sites are all ways that customers interact with companies and experience the brand. When that interaction is rewarding—when it helps customers meet their needs—the brand is strengthened. We keep that interaction in mind with all we do.
The advertising campaigns we build are based on a solid strategic foundation, and executed with creative aplomb. Every campaign is different, but we combine our skills in media planning, marketing strategy, account coordination, art direction, copywriting, interactive development, and print/ broadcast production to help our clients build profitable, lasting relationships with their customers.
We create magazines, catalogs, books, and other publications for our clients. We have a unique expertise in custom publishing, where we create magazines with content designed specifically for a client organization. Our publishing services include writing, art direction, illustration, photography, production, printing, design of companion Web sites and distribution.
Stephen Hales Creative, Inc. is not the right marketing partner for every company, but for some, we're ideal. If you think we might be a good fit, let's talk in person. Call Stephen Hales at 801.373.8888, or send an email to stephen(at)halescreative.com.
View our online portfolio at halescreative.com
©2009 Stephen Hales Creative, Inc. All rights reserved.
Wednesday, June 24, 2009
We're In Again (SHC is in Print Magazine's 2009 Annual)
Thursday, May 21, 2009
SHC Wins Three in AIGA 100
Last Saturday night, Stephen Hales Creative, Inc. was recognized with three Awards of Merit at the AIGA 100 Show banquet in Salt Lake City. This juried competition, sponsored by the Salt Lake City chapter of the American Institute of Graphic Arts, showcases the 100 best works of graphic design created in the state during the previous year. The awards were presented for three different editorial spreads we created for LDS Living magazine, and which were designed by Kelly Nield and Jon Woidka, our senior designers.


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Come and see why Casa Caribe is the best place to call home on Grand Cayman.
Our property and beach is second to none, as we are in the best area on 7 mile beach and maintain our property up to the highest standards.
We have a lit tennis court with racquets and balls available at the office, a pool and hot tub with community grills, a small gym, and free fibre powered internet and Wi-Fi inside the condo's, on the beach and in the pool area, as well as fibre powered HD television with an abundance of channels, so we have everything you need right here. Plus there are also many restaurants, bars, grocery store and spas within walking distance as well. Since our location is so great and we are close to so much, you don't even need to rent a car, but if you would like one, then one can easily be arranged for you at any time.
We are always searching for ways to make every experience with us better than the last. We have so many wonderful couples and families that come back to visit us that we know them all by name, and if you come see us once, we're sure you will want to visit us again and become a part of our ever growing family. We are here to show you the true meaning to "Caymanian hospitality" and will do anything to make your stay as memorable as possible. When you stay once you will be hooked and find yourself constantly dreaming of the next time you can get to back to your new home away from home.
Our beach is second to none. Along 7-Mile Beach, there can be deep step-down entries into the water and some that are a bit rocky, but at Casa Caribe we have a smooth shallow transition into the warm, crystal clear water. Our complex is small when compared; as we only have 24 condo's on our property. Out of the 24 condos only 16 condos are rented, so even if we are fully booked, you will always find plenty of space and never have to fight for a chair again. We have been ranked the 2nd least crowded beach condominium complex on 7-Mile Beach. Take advantage of our low density complex and find a space that is truly your own, by pulling your chair under an umbrella, or sitting in the shade of one of our casuarinas pine trees.
If you are ready for an awesome and relaxing vacation, we are ready and waiting to serve you, and help you create many wonderful memories with us at Casa Caribe, so stop on by and stay a while!


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Date:Sat, 03/12/2016 - 8:00pm
Location:The Sherman Inn, 615 Franklin St. Ogdensburg, NY
Benefit For:The Ogdensburg Boys and Girls Club
Contact Information:John Wade or Carlos Lopez, 315-713-4672
Contact Information:www.shermaninnbandb.com
Event Specifics:
Come join us for an evening of laughter as Don Swan presents his comedy hypnotist show. For tickets call the the Sherman Inn. Cost is $15.00 per person (seating is limited to 99). the bar is hosted by Hosmer's Marina.


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Notes from the Inaugural BCC Salon...
2 x 35cm cheap baguettes
150g butter, softened
4 garlic cloves, crushed
2 tablespoons fresh flat-leaf parsley leaves, finely chopped
1 tablespoon finely chopped fresh chives
1. Preheat oven to 220°C/200°C fan-forced. Cut bread into 2.5cm-thick slices (don't cut all the way through).
2. Combine butter, garlic, parsley and chives in a bowl. Season with salt and pepper. Spread over cut sides of bread. Wrap each baguette in foil.
3. Bake for ___ minutes or until butter is melted and bread crisp. Ventilate room. Serve.
Photography: John Paul Urizar
Recipe Sourced: http://www.taste.com.au/recipes/24786/garlic+bread
labels: *BM, experiential, schadenfreude, totally off topic
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Bernard and Huey – Trailer
Movie Trailers 578 views
|Bernard and Huey – Trailer
BERNARD AND HUEY is the story of roguish Huey (David Koechner) and nebbishy Bernard (Oscar®-winner Jim Rash), who are unlikely friends in late 1980s New York. Years later, a bedraggled Huey crashes at Bernard's upscale bachelor pad. As the two reconnect, Bernard starts a relationship with Huey's estranged daughter Zelda (Mae Whitman), an aspiring graphic novelist. Huey slowly gets his mojo back and tries to seduce various women in Bernard's life, while reconnecting with his family. As the two friends return to their old ways, at least one of them finds himself in danger of marrying a woman old enough to be his wife. BERNARD AND HUEY is a timely story of two men behaving badly, and the smart women who rein them in. Directed by Slamdance Film Festival co-founder Dan Mirvish and written by Oscar®/Pulitzer-winner Jules Feiffer.
Directed by: Dan Mirvish
Starring: Jim Rash, David Koechner, Mae Whitman, Sasha Alexander, Nancy Travis, Bellamy Young, Richard Kind, Eka Darville, Jay Renshaw, Jake O'Connor
About: Review Junkies
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I wanted to call this post - Pimp my Big Shot!
But other than add a few rhinetsones and glitter letters with my name spelled out I haven't really "pimped" my Big Shot at all or at least enough for a post!
So this post is not about that but it is about altering it to make it work more effectively for me (and maybe you too?).
Today's tip is using a tool (screwdriver) on a crafting tool (Sizzix Big Shot - actually the MPP).
Do you find that your Tab 2 on the Multi-Purpose-Platform (aka MPP) gets in the way?
I hardly ever use it and so I'm always flipping it over and out of the way.
But now that I've finally cleared off my desk enough to give my Big Shot a permanent home - handy so I can use it more - that flapping tab gets in my way all the time!
So why not remove it?
Please note: I said flapping tab not flapping flab! If I had a tip for removing that I'd be a millionaire and my own best customer!
Using a small cross head screwdriver (aka Phillips) I took the Tab 2 off.
But wait there's more....
I didn't stop at Tab 2 I also removed Tab 1 and the hinge on the side.
I'll keep the hinge and the tiny screws somewhere safe in case I want to add that all back on - see a future post on "How to put your MPP together after you've removed your tabs". Just kidding!
Now I can just add the tabs whenever I need them in a "sandwich". I'll store the tabs I'm not using under my Big Shot so they don't accidentally get filed somewhere.
Until next time!


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Series: Second Corinthians
In this letter Paul is talking plainly about trials and suffering for Christ's sake. He says that all who have their lives formed by Christ and the gospel will experience these things. Yet he does not want his readers to be overly focused on these things. The apostle leads us live in hope, because glory must also be in the believer's perspective.
Connection: Paul has said that he speaks before God with sincerity (2:17). Now he says that he speaks with faith, through all the trials and sufferings that God willed for him. The key is the reality of faith. We have way too much of living by sight in our day. Everything has to be figured out, accounted for, and exactly calculated. I know about that from my days as an estimator and cost account for a construction company. But Christians must live by faith in God.
I. Every learner of Christ has a spirit or disposition of faith.
A. Faith is the basic grace, so much so, that we often refer to those who have it as "believers," a people distinct and different from "unbelievers".
1. Faith is what joins us to Jesus Christ (Jn 3:15-16).
2. Faith is the foundation of a living Christianity. Without faith, there is the stench of death (cf. Js 2:17).
3. Faith is the spring of godly action (Gal 5:16; cf. Heb 11 – "by faith…").
B. Faith is the hardest act for a human.
1. "It is harder to believe than to fulfill the law" (Sibbes). Many religious, disciplined, yet unbelieving people have attained a surprising degree of outward conformity to God's law. Think of Paul, Luther, Whitefield and the Wesley brothers. The last three named were part of a "Holy Club" before they knew the Lord in a saving manner. Outward conformity to God's law is possible due to conscience and the operations of God's common grace.
2. To believe God requires the revelation of divine truth and supernatural matters that are above nature and contrary to fleshly, human reasoning. There are two parts of reality: the natural and the spiritual. The natural, unregenerate person cannot comprehend the spiritual (1 Cor 2:14). They are not alive toward it; their mind is blinded to the glory of God in Jesus Christ (2 Cor 4:4). Not only is that so, they are also opposed to it. They prefer the material and the sensual.
Comment: Material, sensual religions never lack for followers. Natural, unsaved people like the displays of the flesh.
C. Faith requires actions that do not make sense to natural people. Every unsaved person has great confidence in their ability to make sense out of reality, but they have no confidence to rely on God and to follow his interpretations of life.
1. The very concept of eternal life makes natural reason stumble, because people continually observe the beginning and ending of life.
2. To believe in God's free grace in Christ, which forgives a guilty sinner for Jesus' sake, is unacceptable to a proud person. For example, they cannot accept that God's grace will forgive great acts of wickedness.
3. To overcome the world through faith (1 Jn 5:4) with the world's temptations to pleasure and profit on the one hand and to fear and danger on the other is above natural reason. Only the gift of faith (Eph 2:8; Ph 1:29) by the Spirit can change this outlook.
1. Since faith is a gift above nature, we must know where to go for it (Lk 17:5; Js 1:17).
2. Since faith is a gift above nature, we should thank God for it.
3. Since faith is a gift above nature, we should not hesitate to ask for help in believing (Mk 9:23-24).
II. We have the same disposition of faith as believers of old.
A. All believers, whether before Christ's first coming or after his first coming, share the same spirit or disposition of faith.
1. We all have the same basic content of faith. Christ is always the only hope of the believer. They lived in the age of promise, while we live in the age of fulfillment. Abraham rejoiced in looking forward to Christ (Jn 8:56). David was justified by faith as we are (Rm 4:5-8). In the OTS we hear, "Christ is coming!" In the NTS it is, "Christ has come and will come again!" They saw Christ displayed through types and shadows; we see him having been clearly seen by eyewitnesses.
2. We have the same exercises of faith. Everyone who believes has had to overcome obstacles by trusting in the living God. As they lived by faith, so we must live by faith today (Heb 12:1-2; 1 Pt 1:3-7).
B. We should strive to preserve the unity of faith.
1. This requires in each of us a thorough submission to the authority of the Holy Scriptures (cf. 2 Tm 3:15-4:4). I realize that I said a few culturally unacceptable words in that sentence (those italicized), but we must realize that we are not part of this world's way of life. This standpoint also provides stability. Paul sees what David experienced and the help that David found in God is applicable to his sufferings, too. Psalm 116 was relevant to Paul (over one thousand years later), and it is still relevant today, because it is the eternal God's help. Paul could read the Bible, find encouragement in God's word, and boldly trust the Lord. We must live the same way.
Action Steps:
- Read the Bible carefully.
- Think about the historical setting and God's message in it.
- Meditate on how the same God is able to help you in your situation.
- Serve God accordingly in your generation.
2. This should make us zealous to accept all who love and trust the Lord Jesus Christ and his teachings. What we agree about is more important than what we might disagree about. "Were it not an excellent thing if all Christians in the world had the spirits to agree in the same things, and love the same things that shall be our life in heaven?" (Sibbes)
Apply: Let us apply ourselves to having the same mindset as Christ Jesus (Jn 17:11, 20-23; Ph 2:1-11).
Pastor Dave Frampton
When push comes to shove there is usually nothing more satisfying than for a saint of God to have at his or her disposal a source of biblically sound instruction in the Gospel of Jesus Christ. The faithful and spiritually profitable labors of Dave Frampton are here at CMC to be a blessing. Bible teacher and student alike will profit much from his labor in the God's Word. Visit First Baptist Church


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There are two things that I'd like to mention today. I finally finished The Teaching Gap, and I find it full of very good observations and recommendations. It is sad that it doesn't seem to have been noticed sufficiently. I would like to give one more quote that is on a similar in spirit to one below that compares teaching to acting.
Doctors don't try to figure out a new technique or procedure for every patient who comes into their office; they begin by using the standard techniques and procedures based on the experience of many doctors over the years. Nobody considers this a way of doctor-proofing medicine, although they do have a name for the failure to use standard practices -- it's malpractice. The standard practices that doctors use contain the wisdom of the profession.
Last few days I have been observing a class in a near by high school. In this country teachers are not often observed, and from what I can tell even when they are, they do not seem to consider it an opportunity to improve their teaching. I asked the teacher in question today whether she would like or mind me making a couple of comments about what I've seen. Her immediate reaction was less than welcoming and she told me that she gets little defensive about it. On one hand, I suppose there is really no reason for me to think that what I have to say would improve student learning or her teaching. On the other hand, if I were her, I would at least want to know, so that I can judge myself whether the comments were warranted or not.
Another thing that book mentions, and that I am becoming more and more aware of is the following. A lot of teachers can explain, in theory, how they should be teaching. They also may think that they are doing what they know they should be doing. However, their practice is far from their words. I guess what I am trying to say is that how can one expect teachers to apply their theoretical knowledge if they don't know what the application should look like.
Technorati tags: teaching, math, observation
Friday, January 12, 2007
Labels: observation teaching
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