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By Nick B. Reid
Hampton Union, November 5, 2013
[The following article is courtesy of the Hampton Union and Seacoast Online.]
HAMPTON — A glaringly critical section of a regional school evaluation committee's extensive report on Winnacunnet High School targeted "the lack of a collaborative, reflective and constructive relationship shared by the School Board, superintendent and principal," which has "severely and negatively impacted the ability of the school to achieve its 21st century learning expectations."
Only 16 percent of the staff believes the School Board, superintendent and principal collaborate effectively to ensure the learning expectations of the school are met, according to a survey conducted by Endicott College. The relationship is also called "adversarial," "not collegial or collaborative," and "defensive and tense," creating a "substantial disconnection between and among the School Board, superintendent and principal," according to the comprehensive, 65-page report prepared by the New England Association of Schools and Colleges.
The organization is charged with accrediting schools and colleges to ensure they are living up to high educational standards. Accreditation is structured in a 10-year cycle of self-study, peer review and follow-up. Winnacunnet wasn't immediately granted or denied accreditation.
The document was created after 17 evaluators stayed at the campus for three days in March, including 43 hours shadowing 17 students for half a day, 24 hours of classroom observation (in addition to the shadowing), numerous informal observations around the school, individual meetings with 34 teachers, group meetings with students, parents, school and district administrators and teachers, and an examination of student work. It evaluated the school's core values, curriculum and instruction and assessed students' learning. Additionally, it focused on school culture and leadership, school resources for learning and community resources for learning.
School Board member Henry Marsh noted some of the positive highlights of the report, including that the average dropout rate has decreased considerably to 1.5 percent.
"When I started on this board we were in the teens," Marsh said, noting also that student attendance is at 91 percent, and that 90 percent of graduating seniors felt the school had prepared them with the academic skills they will need for their future.
Though WHS is labeled a School In Need of Improvement as a result of not meeting Adequate Yearly Progress on statewide NECAP assessments in reading and math, its 2011 results on those tests were praised for their "significant progress," in which the percentage of students scoring proficient or higher in reading, math and writing increased by more than 10 percent in each category over the 2010 results.
The school was also roundly praised for its diverse course offerings, its integration of technology despite lacking infrastructure, its professional development opportunities for teachers and its school pride, "which permeates the halls of the school."
But along with the good came some bad, including a few items that School Board Chairman Chris Muns said were "particularly troubling." One targeted a lack of respect perceived at times between teachers and some students in their classrooms.
"There is evidence of an undercurrent of disrespect between staff and students," the report states. "Some instances of staff verbalizing ideas counterproductive to unifying the students from various towns and socio-economic status were observed, including classroom observations that revealed small pockets of diminished levels of respect between staff and students."
Muns remarked that bit "jumped out at me as something that is of concern." He also pointed to a line stating that there was some discrepancy in teachers' expectations of different students.
"If we've taken the time to document in place certain policies and procedures you would think we would enforce them consistently," he said.
Muns also pointed out the comments about the lack of communication between the School Board, principal and superintendent.
"That's certainly something that I think needs to be discussed and looked at so we don't project that going forward," Muns said.
One section of the report specifically targets the principal's communication, saying that the staff recognizes his instructional leadership, but "also indicate that they are often hampered by inadequate engagement and communication." Staff pointed to "a number of instances when the principal and School Board were not united in major decisions impacting the school."
"The staff recognizes that these issues are not solely the responsibility of the principal, but they also believe that better communication and advocacy on behalf of the school is needed," the report states.
One such example in which the school's administration clashed with some members of the School Board was in the drawn out transition toward year-long core classes, which was delayed until the 2014-15 year after months of planning to implement the change for the present year. The report repeated a popular criticism of the current schedule, in which students can sometimes take, for instance, a math class during the first two trimesters of the year, then have the third trimester without math followed by the summer, resulting in the need to quickly get back up to speed the next fall.
"While both faculty and students praise the benefits of the current schedule and availability of electives, the trimester schedule does not allow for continuity in all core subjects, and students note the disadvantages of a class meeting for only two trimesters, stating that the first weeks of the trimester is used for review and not learning new content, especially when there is a gap of two trimester before the next sequenced course," the report states, noting also that, "Staff and students also express concern that the change in the schedule is being driven by the community and School Board, not by the deficiencies noted by the school itself."
Two areas of which the report was highly critical are presently being addressed by the school. First are the "obvious deficiencies" in technology, which were called "the most significant deficiency with respect to curriculum implementation." The report refers to "limited access to computers," "inadequate student computer functionality" in classrooms, and the "lack of wireless connections for students."
"The English department indicates that the lack of computer resources has led to a reduction in writing assignments and extended due dates," the report states, while, "The music department has difficulties obtaining music files to students and has met its storage limit on the server.
"Students cannot access school e-mail accounts due to poor server access, and some teachers have purchased external hard drives because some servers are full," it continues.
Since the NEASC team conducted its review, the school has adopted a multi-year technology plan that endeavors to overhaul the wireless infrastructure in the school and put a new device in each student's hands starting in the 2015-16 year. Similarly, School Board members stated that some of the report's concerns about building maintenance are already being addressed.
Report proves culture change is needed at Winnacunnet
An Editorial
Hampton Union, November 5, 2013
An evaluation committee's extensive report on Winnacunnet High School compiled in just a few days showed that many comments made about the school — good and bad — are even more obvious than we expected.
A handful of evaluators saw in just three days that Winnacunnet pride permeates through the halls. They saw that teachers are afforded ample opportunity to better themselves during the year in their professional development periods and after school at the Winnacunnet High School University. They saw they array of elective opportunities that have been adamantly defended.
There were, however, some troubling comments in the 65-page report prepared by the New England Association of Schools and Colleges that don't bode well for the regional high school.
Chief among them were statements about the school's culture— students disrespecting one another, staff disrespecting students and an adversarial relationship between the School Board, superintendent and principal.
We urge all the stakeholders to review the recommendations made in the report — which is available on Winnacunnet's Web site — and determine a game plan on how to best address these major concerns.
It's disturbing that these items were picked up by the evaluators after only a three-day stay at the campus in March. You would expect when you know you're under a microscope — and the school's accreditation is on the line — that everyone would be on their best behavior.
It makes you wonder exactly what's going on when no one is watching.
Perhaps the single most troubling observation was the following: "There is evidence of an undercurrent of disrespect between staff and students. Some instances of staff verbalizing ideas counterproductive to unifying the students from various towns and socio-economic status were observed including classroom observations that revealed small pockets of diminished levels of respect between staff and students."
This is a red flag. The teachers are the ones who are supposed to be setting the example.
It's no wonder why the same report notes that a survey revealed that only 35 percent of students agree that students respect students and only 41 percent agree that students respect teachers.
While the school has done a lot in recent years to combat bullying and disrespect — installing a Freshman Seminar course with a unit around bullying and peer cruelty and instituting a school Unity project — it appears that it isn't enough.
The report noted that a student-prepared and school-produced WHTV news episode made light of what could be construed as a bullying scenario.
Then there is the relationship, or lack thereof, between the School Board, principal and superintendent.
A survey revealed that only 16 percent of the staff believes the School Board, superintendent and principal "collaborate effectively to ensure the learning expectations of the school are met."
The survey also reveals that only 10 percent of the staff agrees that the School Board and superintendent provide the principal with sufficient decision-making authority to lead the school effectively.
Teachers report this situation has resulted in turbulent and confusing working conditions which have negatively impacted staff morale.
Perhaps the negative morale is trickling down to the students.
The report offered several recommendations on what can be done about these culture issues and we urge all the parties involved to work to adopt them.
Winnacunnet officials said one of their goals is to be the best high school in New Hampshire. To make that a reality— staff and administration— needs to be on the same page.


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Find the right doctor for you by searching through our online directory or by calling our physician referral line at (843) 402-CARE.
Here's a complete list of current and archived press releases, keeping you abreast of the latest news and information about our health system.
Subscribe today to the Roper St. Francis Healthcare monthly e-newsletter for informative articles and medical insights.

subset: commoncrawl


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When Hosni Mubarak was ousted in February 2011, Palestinians in the besieged Gaza Strip joined the celebrations of millions of Egyptians. Mubarak, after all, was the enforcer of Israel's siege on Gaza and allowed Tzipi Livni, then Israeli foreign minister, to initiate "Operation Cast Lead" from the heart of Cairo.
Under the now-deposed president Mohamed Morsi, conditions in Gaza got slightly better: travel through the Rafah crossing became easier and less humiliating than under Mubarak, activists who had long been denied entry to the coastal enclave by Egyptian security forces were finally able to cross, and high-profile visits also became possible. These changes, however, were relative: Palestinians in Gaza still waited, without reason, for hours in order to be let into Egypt, and Mubarak's policies of destroying tunnels and restricting travel for men under 40 continued. These factors, in addition to the Palestinians' spontaneous allegiance with the Egyptian people's demands, explain why many Palestinians criticised Morsi and supported his ousting.
What no one considered were the implications of a military coup. This time the change does not seem to bode well for the Palestinians. The border with Egypt has already been closed by the armed forces, Palestinians landing in Cairo airport are being deported back to the countries they flew in from, tunnels have been demolished, and army-instigated anti-Palestinian propaganda is rampant across Cairo. The situation in Egypt has become an obsession and wherever one goes in the Strip, grim predictions are made about a return to a Mubarak-era blockade.
This scenario is made more likely by the fact that Egyptian liberals and secularists previously opposed to the blockade are now being fed news of Palestinian armed groups sent by Hamas to aid the Muslim Brotherhood and conduct "terrorist operations" against the Egyptian army. Interestingly, such news is often published citing anonymous sources and without evidence of the arms claimed to have been seized by the Egyptian police.
One liberal group that enjoys high credibility and facilitates the armed forces' efforts is the National Salvation Front. The NSF is spearheaded by Mohammed ElBaradei, who is widely respected and seen as a capable technocrat. The group made no secret of its support for the military coup and ElBaradei appeared with the armed forces' chief Abdel Fatah al-Sisi as he delivered the speech that unseated Morsi. The NSF fig leaf gives plausibility to statements such as that made to the BBC by an army general claiming that Morsi's good relations with Hamas was a driving factor behind the coup.
Hamas is indeed in trouble. In a very short time, it has lost major regional allies. Iran, Syria and Hezbollah no longer support the group, because of its position on Syria. The Muslim Brotherhood, which lifted Hamas's years-long international isolation, is gone from electoral politics.
If a more secular government takes over, Hamas will be fought against and undermined: secularists and liberals already see Hamas as an enemy given the group's perceived support for and relations with the Brotherhood. But beyond these agendas they must recognise that close by sit 1.7 million people whose lives continue to be determined by political conflicts in which they have no hand.


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Idk if there is already a game like this, but this game is kinda like The answering a song with another one. You simply get two or more song titles and put them together to make a sentence...thusly:
Dear Diary (Britney Spears), I Got A Feeling (Black Eye Peas).
You don't have to put the artists if you don't want to.


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READ about Piers Morgan's long career in journalism here.
Coming up tonight at 9, Richard Dreyfuss joins "Piers Morgan Live" for his first interview on the primetime program, during which the actor reveals details of the bi-polar disorder he's been dealing with for nearly his entire life.
An Academy Award winner known for his roles in such classic films as "Jaws," "Mr. Holland's Opus," and "Close Encounters of the Third Kind," Dreyfuss will pull up a seat in studio opposite the host, tackling such weighty matters such as Obamacare, and the NRA.
But before discussing gun control and the president's struggling Affordable Healthcare Act, the 66-year-old delved into his adolescence, and his personal struggles with mental health:
"When I was about 14, I said to my sister, 'I wonder what would have happened to me if I had never taken any drug,' he tells Piers Morgan. "And she said, 'why are you asking?' And I said, 'well before that, before I smoked marijuana and all that, I was pretty normal.' And she said, 'don't revise history, you were nuts when you were born.'"
In reviewing his won tendencies, Dreyfuss offered Morgan a window into his behavior as a youth:
"I was the person, who when he talked, he would get up loud, faster, loud faster, loud faster, until one of my friends would say 'well let's get the big surface cables and tie them around his ankles and pull him gently back to earth.'"
Boasting an illustrious career that spanned decades, Dreyfuss admits his condition may have helped him professionally:
"I had lived from thrill to thrill, and I had a certainty about my success…which I look back now and said that was probably part of my manic," he says. " I always managed to turn it in my favor."
The founder of a nonprofit organization geared towards helping young students become better informed and better prepared citizens through a focus on civics in public schools, Dreyfuss encourages kids to question, debate, and think critically.
Watch the clip, and tune to CNN tonight for the full interview. And, for more information on The Dreyfuss Initiative, go to the program's website.
» Follow "Piers Morgan Live" on Twitter
» Follow "Piers Morgan Live" on Instagram
I found the interview with Richard Dreyfuss very interesting; he is obviously an intelligent, thoughtful person. In particular, what he had to say on the gun control issue was well worth hearing. However, I was quite disappointed that Piers didn't spend more time with him and instead we had to listen to way too much discussion on the f-word/n-word issue (again!). Richard Dreyfuss' non-profit was mentioned very briefly at the close of the interview – but no information was given about it. Too bad.
I totally agree. It seemed like Pier's couldn't wait to get Richard Dreyfuss off the set. Just because you may not agree with Mr. Dreyfuss position, he should have been given more time and to be honest more respect. It was one question, one answer, different subject, one question, one answer, interview over.
I was stunned at how fast Piers ended the interview with Richard Dreyfus and I an feeling increasingly frustrated with his stance on gun control and his inability to have a thoughtful dialogue about the subject. If you don't agree with Piers, that's it, interview over. I am sick of his crusading night after night on the same issue. I just turn the channel.
Rosemary.....You are correct.in my opinion...First of all Morgan is on the wrong side of the gun control debate....None of the gun control proposals in congress would have prevented any of those horrific mass shootings...and Morgan is not only wrong but also is deceitful on this issue.(and others)..Morgan mostly is a tabloid gossip monger with a long history of scandal and deceit..and he cannot be believed and has zero credibility...this and the fact that his ratings are at the bottom of the barrel .it's a mystery why he still even on the air.
I liked this interview a lot. What a breath of air. Thank you, Richard Dreyfuss.
Since then, he s been sharing his personal struggles at conferences around the country to elevate the discussion on depression. There s no shame in having depression, Dreyfuss told PEOPLE at Thursday s Hope for Depression Research Foundation luncheon in New York City.


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Florida's Lake Jackson is Down; Fishing Regulations Relaxed
Lake Jackson is drying up. As a result of persistent drought, the 4,000-acre lake north of Tallahassee is reduced to several isolated pools.
The Florida Fish and Wildlife Conservation Commission (FWC) is suspending some fishing regulations to allow anglers to take some of the fish that remain, especially those that are stressed or trapped in shallow areas. Previously, largemouth bass had to be 18 inches before fishermen could keep them, but beginning today, anglers can keep five largemouth bass, regardless of size, and their daily bag limit of bream (50) and crappie (25). There is no bag limit on catfish.
In addition to legal fishing methods, anglers may take fish by dip net and by hand from Lake Jackson. Cast nets are prohibited.
FWC fisheries biologist Michael Hill works the area, and he's seen the lake go dry, then refill, several times throughout his career. Hill said Porter Sink, which drains the middle of the lake, had about eight acres of water this past Friday.
"It was dropping several feet a day, and last night Porter Sink drained completely," he said. "There are still some pools of water closer to Highway 27, but we don't know if Lime Sink, which is in that area, will open."
Lake Jackson and other area lakes sit atop a geographic feature called a karst formation. Water flows far below ground in limestone caverns and passageways toward the Gulf of Mexico. In times of drought, water drains down the sinks to the aquifer. When normal rainfall returns, the lake refills.
Hill said Lake Jackson last went dry in 2006. It then refilled completely but has been receding over the past two years.
Historically, Lake Jackson goes dry every 20-25 years.
All regulations pertaining to turtles, or their take, remain in effect. The take or possession of softshell turtles is prohibited from May 1 through July 21. Also, people cannot possess Florida cooters and snapping turtles.
The FWC is advising anyone who ventures out on the lake bottom to use caution, particularly around Porter Sink. Boggy conditions will make access to the remaining pools of water difficult.
Only foot traffic is allowed on the lake bottom. Under county law, ATV and vehicle traffic is prohibited.


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Product no.: 21845Manufacturer: Celestron
too expensive?
add to cart
CoursePro is a line of GPS devices that assist golfers on the golf course. They provide information on an LCD screen about downloaded golf courses that are stored in their memory. The LCDs display distances to the front, center and back of the green for each hole along with the par. The devices calculate your shot distance and are backlit for viewing in low light. The information provided by each CoursePro GPS product gives the golfer up to the minute accurate, crucial information that will guarantee a competitive edge.
CoursePro connects to a PC via a USB cable for accessing an online database of 20,000 golf courses from the Celestron CoursePro website for individual download.
It is powered by a rechargeable Lithium Ion battery, with an 8 - 12 hour life per charge.
CoursePro ships with a soft carrying pouch, a belt clip, Mini USB cable and an AC wall adapter.
Each CoursePro device is water resistant tested to IPX6 standards.
The checked products will be added to your shopping cart when clicking on 'buy'!
*All prices include VAT plus shipping costs.
Be the first and write about your experience now.
Add your review now.
Gift Ideas


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(alternate title: THE BLOG LIVES ON!!)
After a long break I think I'm actually missing recording some of the haps around here so I'm going to give the old blog a go. No promises. I'll try to post on facebook when I update so no one (cough*mom*cough) has to keep checking all the time.
My youngest brother Mike got married to the sweetest girl this past weekend. Everyone is excited to have Mellaina around as a permanent fixture in the Morris family, most especially if she stays in touch with Roman's new girlfriend Chelsea. I wish I had a picture of them together. He is totally smitten and talked about his undying love of Chelsea and Mellaina all the way home from Utah. Anyway, the happy couple got hitched in the SLC temple, and while I'm sure the ceremony was beautiful, Ben and I had the best time watching all the kids and hanging out with Brian and Amy. It was a beautiful day and filled with so much happiness and love. Three cheers for family! And now, a million pictures. :)
I think in my next life I'll be a wedding planner. There is just nothing better than a beautiful wedding.
Tuesday, August 13, 2013
mike and mellaina get married
(alternate title: THE BLOG LIVES ON!!)
Posted by Carrie at 12:15 PM
5 comments:
- Nana said...
Wow, these are great pictures!
- August 13, 2013 at 1:04 PM
- melissa said...
bring blogs back! bring blogs back! hooray.
too bad they didn't get married in logan!
- August 13, 2013 at 1:59 PM
- Stephanie said...
Hooray for your blog and weddings and look how well dressed you lovlies are!
- August 13, 2013 at 6:27 PM
- Sara said...
You two are still the best looking couple around.
- August 13, 2013 at 7:06 PM
- Abby said...
Yay! I love reading about your haps.
Looks like it was a beautiful day and your family is lovely!
- August 13, 2013 at 11:06 PM


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Many have entered the competition, but none have secured the No. 2 cornerback job.
CB Sean Smith bruised his knee against the Bills, but may still play in the Dolphins finale.
RB Brandon Bolden returned to the running back mix for the Patriots.
Mark Cannizzaro of the New York Post would like to see Jets coach Rex Ryan tell the truth.
The Ravens offensive line earned some praise for paving the way to a huge rushing game against the Giants.
Said Bengals DT Domata Peko of beating the Steelers, "That's a huge win for us because people were doubting us."
Browns coach Pat Shurmur fought back against criticisms of his play calling in Sunday's loss to the Broncos.
Steelers LB Larry Foote might be playing his final NFL game this week.
TE Owen Daniels would like to see the Texans offense find its footing in the final week of the season.
Bob Kravitz of the Indianapolis Star sets the scene as Chuck Pagano returns to work as coach of the Colts.
Members of the Jaguars don't care that they've earned respect from teams that have beaten them this season.
Throwing the ball to WR Damian Williams didn't work out well for the Titans in Week 16.
Coach John Fox credits tunnel vision for helping the Broncos to success this season.
If it's Christmas, someone's talking about the Chiefs' playoff loss to the Dolphins in 1971.
Some members of the Raiders defense are having a hard time figuring out how they are supposed to hit.
The future isn't infinite for QB Philip Rivers and the Chargers.
Eric Frampton came alive as a starter at safety for the Cowboys against the Saints.
Giants QB Eli Manning thinks missed practice time due to injuries has hurt the offense this season.
Eagles DT Fletcher Cox and LB Mychal Kendricks are trying to recover from concussions.
A vote for Redskins QB Robert Griffin III as rookie of the year.
The Bears waived WR Dane Sanzenbacher to give themselves flexibility to add injury replacements to the roster.
A list of Christmas gifts picked out for members of the Lions.
Every Packers unit had a fine game against the Titans.
LB Chad Greenway hopes that the Vikings remain as consistent as they've been in recent weeks.
OL Joe Hawley is back with the Falcons and WR Kevin Cone has been placed on injured reserve.
All eyes are on Panthers coach Ron Rivera with one game left in the season.
LB Curtis Lofton puts significance on the Saints finishing 8-8 on the season.
Said Buccaneers coach Greg Schiano, "What's eating me right now is we're close, but close isn't what we're here for."
Cardinals S Kerry Rhodes said it is "mentally draining" to go through a season like this.
The Rams won't make the playoffs, but December wins still have value for the team.
Ann Killion of the San Francisco Chronicle thinks 49ers QB Colin Kaepernick needs some work when it comes to owning up to disappointing performances.
A look at the season turned in by Seahawks CB Richard Sherman and the potential impact of a suspension.


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Genesis Tricep
$ 3,295.00
The FreeMotion Tricep functionally trains the arms and shoulders to work together in gripping, pushing and lifting movements. Muscles targeted are the forearms, triceps and shoulders. Plus, the FreeMotion Tricep engages the core and stabilizer muscles to improve overall strength and balance.
+ Swivel Pulleys
Pulley design ensures fluid cable travel and provides nearly unlimited range of motion.
+ Independent Arm Movement
Handles move independently for a wide variety of shoulder exercises and single arm movements.
+ New! 2-Position Seat
The FreeMotion Tricep Generation II is equipped with a rotating, 2-Position Seat. A supported position is ideal for traditional and first-time exercisers. To further challenge the body, advanced users may perform exercises off the backrest or standing.
+ Cable Travel
Extensive cable travel allows for full exercise extension, single arm: 80 inches (203 cm), two arms: 40 inches (102 cm).
+ Weight Stack
Enclosed weight stack limits access to moving parts for user safety.
+ Industrial Construction
Equipment is built with 11- and 7-gauge steel and is electrostatically powder-coated.
+ Kick Plates
16-gauge, stainless steel kick plates protect the machine from wear and tear.
+ New! Non-Wearing Counterweight
The FreeMotion Tricep Generation II upgraded to a non-wearing counterweight used to dampen paddle movement.
- Length: 70" (178 cm)
- Width: 36" (91 cm)
- Height: 74" (188 cm)
- Weight: 430lbs (195 kgs)


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Performances continue through July 2 at Davies Symphony Hall.
Cheyenne Jackson and Alexandra Silber Sing West Side Story in San Francisco
Michael Tilson Thomas conducts the orchestra. Jackson is joined onstage by Alexandra Silber as Maria, Jessica Vosk as Anita, Kevin Vortmann as Riff, Juliana Hansen as Rosalia, Cassie Simone as Francisca, Louise Cornillez as Consuelo, Justin Keyes as Action, Zach Ford as Diesel, Chris Meissner as Baby John, Louis Pardo as A-rab, David Michael Laffey as Big Deal, Kelly Markgraf as Bernardo, Julia Bullock as A Girl and the San Francisco Symphony Chorus.
"In a partnership for the ages," according to the San Francisco Symphony, "two Broadway legends—Bernstein and Sondheim—took Shakespeare's Romeo and Juliet from Verona in the 1500s to New York's Upper West Side in the 1950s, replacing the Montagues and the Capulets with American and Puerto Rican street gangs. Their unforgettable work, with tunes universally loved, comes alive in a dynamic concert version, the first time an orchestra has performed the complete musical in a concert performance."
The classic musical was the creation of Arthur Laurents, Leonard Bernstein, Jerome Robbins and Stephen Sondheim.
Show times are June 27-29 at 8 PM, June 30 at 2 PM and July 2 at 8 PM.


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Vintage Heath Ashtray
Heath Ceramics was founded in 1948 in Sausalito, California by Edith Heath who was a talented ceramicist with a simple goal of making good things for good people. Over the years she pioneered advances in glaze development and a technique of single kiln firing at lower temperatures to save energy and create a durable product that stands the test of time. Heath Ceramics are part of the permanent collection at the MOMA in San Francisco, displaying mid century iconic design with a Scandinavian influence.
After many factory fires caused by cigarettes in the 1960's, Edith Heath herself designed ashtrays with deep V's so that cigarettes would naturally extinguish. The ashtrays were discontinued in the 1980's but our vintage collection of ash trays make perfect incense holders, jewelry dishes or pocket change catchalls. In great handmade vintage condition. Sold Individually.
Large 6½"x2"
Extra Large 8½"x2"


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New Catholic Dictionary – Saint Bernardine of Siena
Confessor, the apostle of Italy, born Massa, Italy, 1380; died Aquila, Italy, 1444. In 1397 he completed a course in civil and canon law, whereupon he joined the Confraternity of Our Lady, connected with the hospital of Santa Maria della Scala, ministered to the plague-stricken, and distributed his fortune among the poor. He joined the Friars Minor at Siena, 1402, was ordained, 1404, and began his missionary career at Milan, 1417. The fame of his eloquence spread and he gained influence over the leading Italian cities. He is responsible for the popular devotion to the Holy Name. Emblem: chrism. Canonized, 1450. Relics in Franciscan church, Aquila. Feast, 20 May.


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LoGiCaL__ wrote:What made you post this in "Social Engineering"?
limdis wrote:LoGiCaL__ wrote:What made you post this in "Social Engineering"?
I didn't know what it was until just a min ago. Turns out this is the perfect place for it.
SET stands for Social Engineer Toolkit and is specifically designed to undo the human element. Looks pretty cool, I'll check it out.
http://www.social-engineer.org/framewor ... _%28SET%29
bloodred341 wrote:I am trying the SET toolkit and I have been playing around with the Payload and Listener and all I want to do it send it to my other computer that I use for testing stuff but I get yelled at by Yahoo and Gmail because its a "Virus" does anyone know how to send it Via email?
Thank you
Monica wrote:Viruses can be used for social engineering to engineer socially.
LoGiCaL__ wrote:Can you elaborate more on this? I'd be interested to see what you mean by this statement.
Users browsing this forum: No registered users and 0 guests


text: Dimensions: 30′ Year Completed: 2011 Material: Paint Owner: City of St. Louis About the artist: Grace McCammond and Youth from Herbert Hoover Boys and Girls Club McCammond moved to St. Louis in January of 1997 after finishing her Bachelor of Fine Arts at the University of Montana. She worked at a local photo restoration business for several years before dedicating herself more thoroughly to her art and tackling local commissions ranging from large murals, signs, and posters to portraits and sculptures. Share This:


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Source: Myra Gordon, 785-532-6276, email@example.com
Websites: http://www.k-state.edu/diversity/2012MLKWeekPoster.pdf
News release prepared by: Beth Bohn, 785-532-1544, email@example.com
Monday, Jan. 9, 2012
Honoring a king: Weeklong observance highlights contributions of civil rights leader
MANHATTAN -- Two special events -- one national and one campus-related -- shape the theme of this year's Martin Luther King Jr. Observance Week, Jan. 22-27, at Kansas State University.
Myra Gordon, the university's associate provost for diversity, said the theme of this year's observance week, "Celebrating One Dream Realized … Still Marching Toward One Dream," celebrates the recent installation of the Martin Luther King Jr. Memorial on the National Mall in Washington, D.C., and the fifth-year anniversary of the installation of the university's bust in honor of the civil rights leader and the dedication of Manhattan's 17th Street in King's honor.
"The Martin Luther King Jr. Observance Week Planning Committee is very excited to present this year's events as we continue the celebration of this truly great man like no other campus in the nation," Gordon said.
The week's events include several guest speakers, including the executive director of the Martin Luther King Jr. National Memorial Foundation; an awards reception to honor outstanding diversity efforts on campus; the Martin Luther King Jr. Fellowship Luncheon; and the wreath laying ceremony at the university's King bust.
Activities start Sunday, Jan. 22, with an opening reception from 3 to 6 p.m. at the Kansas State University's Marianna Kistler Beach Museum of Art. The reception will include the showing of the film "The Rosa Parks Story," followed by wine, cheese and hors d'oeuvres. Space is limited to the first 80 people to respond to firstname.lastname@example.com. The event is sponsored by the office of diversity and the Beach Museum of Art.
Other events during the week, all free and open to the public unless otherwise noted, include:
The eighth annual College of Agriculture Diversity Student Leaders Luncheon will be at 12:30 p.m. Monday, Jan. 23, in the K and S ballrooms at the K-State Student Union. Bernard Franklin, special assistant to the university's vice president for student life, will present "The Courage to Lead." The luncheon is sponsored by the College of Agriculture and Cargill. For reservations, contact Zelia Wiley at firstname.lastname@example.com.
* The fourth annual College of Architecture, Planning and Design Diversity Lecture will be at 4:30 p.m. Jan. 23 in the Union's Little Theater. Annie Chu, principle of Chu and Gooding Architects, will present the lecture "Slow Motion."
* The film "Daisy Bates: First Lady of Little Rock" will be shown at 7 p.m. Jan. 23 in the Town Hall Room at the Leadership Studies Building. The School of Leadership Studies is sponsoring the showing. The film is about an important but lesser known figure in the civil rights movement.
* The reception for the Commerce Bank Presidential Awards will be at 3:30 p.m. Tuesday, Jan. 24, at the K-State Alumni Center. Awardees are Ariel Anib, senior in criminology from Olathe, Commerce Bank Presidential Student Award for Enhancing Multiculturalism; and Madai Rivera, coordinator of academic services and diversity for the College of Human Ecology and admissions coordinator of Hispanic recruitment, Commerce Bank Presidential Faculty and Staff Award for Distinguished Service to Historically Under-Represented Students. The university's office of diversity will also honor Lora Boyer, assistant director of the McNair Scholars program, with its Champion of Diversity Award.
* The 13th annual College of Business Administration Diversity Lecture will be at 10:30 a.m. Wednesday, Jan. 25, in the Union's Forum Hall. Bernard J. Milano, certified public accountant and president of the KPMG Foundation's Ph.D. Project, will discuss the project, which helps African-Americans, Hispanic-Americans and Native Americans attain their business doctorates and mentor the next generation.
* Alpha Phi Alpha fraternity's annual Martin Luther King Jr. Memorial Program and Candlelight Vigil will be at 7 p.m. Jan. 25 in Forum Hall and will be followed by a hot chocolate social, sponsored by the School of Leadership Studies, in the hall's foyer. This year's program will feature the debut of the filmed interview with Homer Floyd and George Haley, who were the honored guests at last year's fellowship luncheon and who were platform guests when King presented his convocation at the university in 1968.
* The annual MLK Fellowship Luncheon will be at 11:30 a.m. Thursday, Jan. 26, in the Union Ballroom. The lunch costs $15 and reservations are requested by Jan. 19; fill out and submit the reservation form at http://www.k-state.edu/diversity/2012MLKLunchReservation.htm. The speaker will be Harry Johnson, the executive director of the Martin Luther King Jr. National Memorial Foundation, who will discuss the new national memorial. On display during the luncheon will be a series of panels created by the Union Program Council about the national memorial and the university's links to King.
* A celebration of the five-year anniversary of the installation of Kansas State University's memorial bust of King and the dedication of 17th Street as Martin Luther King Jr. Memorial Drive will start at 1 p.m. in Manhattan's Long Park, Yuma Street. Participants will precede down the memorial drive to the King bust outside of Ahearn Field House on campus. The Laying of the Wreaths Ceremony at the bust will follow at 2 p.m. The ceremony is sponsored by the university and the city of Manhattan.
More information on Martin Luther King Jr. Observance Week activities is available by contacting the office of diversity at 785-532-6276. A schedule of Manhattan community events to honor King is available at http://www.k-state.edu/media/newsreleases/jan12/MLKCommCalendar.html.Kansas State University also is participating in the community-wide day of service to honor King. "A Day On, Not a Day Off" will be from 10 a.m. to 3 p.m. Monday, Jan. 16, which is Martin Luther King Jr. Day. HandsOn K-State is offering opportunities to volunteer throughout the day. To register, go to http://www.handson.k-state.edu. Volunteer check-in will be at 9 a.m. Jan. 16 at the Manhattan Town Center Mall, Poyntz Avenue. More information is available by contacting HandsOn K-State at 785-532-3670 or firstname.lastname@example.com.


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I eat shabu shabu more often, but I think I really like yakinuku better.
Back in the old days I'd go to Gyukaku, but unfortunately a lot of the ones around Tokyo didn't do an "all you can eat" menu, or the cost would be kind of pricey. One of the other teachers once mentioned a place called Gut's Soul in Yoyogi that was incredibly cheap.
I'm a bit wary of yakiniku being too cheap after we went to one in Shinjuku ni-chome that had the worst fattiest pieces of meat you could imagine. Thankfully that little s*thole has closed down.
I'm happy to say that this place was MUCH better. The cheapest all you can eat is 1,280 yen for 90 minutes. Pretty amazing huh? This course didn't include beef so we "sized up" for the 1,580 yen one. Be careful not to over order though as you will be charged extra for the meat you can't eat!
My first impression was that the beef pieces were a little anaemic compared to other places I've tried but it tasted good. You can get salty or sauce flavoured meat. The pork and chicken also tasted real nice.
We went to the Yoyogi one. Make sure not to sit facing the window. The Yamanote line is very close to the window and passes by every few minutes. Seeing it speed past a million times gave me a bad sense of vertigo I didn't need.
It is a chain restaurant so you can also find Gut's Soul in Nakano, Koenji, and Takodanobaba. Yoyogi is easiest if you're in Shinjuku. It's only a stone's throw away.
Sunday, 29 December 2013
Gut's Soul
I eat shabu shabu more often, but I think I really like yakinuku better.
Posted by Jimmy In Japan at 11:59 pm


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As a reminder, the 10th episode of "The Ultimate Fighter 12" airs tonight with special guest coach Freddie Roach.
In a video preview of the episode, which airs at 10 p.m. ET/PT on Spike TV, the famed boxing trainer works with a couple of tonight's Team GSP competitors.
The episode features the final two quarterfinal-round fights, including the latest outing for MMAjunkie.com blogger and radio correspondent Kyle Watson.
Watson, a Team GSP member, takes on Team Koscheck fighter and wild-card winner Aaron Wilkinson in the night's first bout. That's followed by an all-Team-GSP fight between No. 1 draft pick Michael Johnson and bitter rival Alex "Bruce Leroy" Caceres.
The quartet of fighters look to join Team Koscheck's Nam Phan and Team GSP's Jonathan Brookin in next week's semifinals.
As always, MMAjunkie.com will have a complete episode recap posted at the conclusion of tonight's episode. Additionally, Watson joins MMAjunkie.com Radio on Thursday to discuss the episode and his fight.
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In the Matto Grasso region of South America, their steam boat chugging faithfully upstream. Having just barely escaped a town rabid for their blood the members are quite weary and have been on the boat for a few hours.
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I'm in Italian guy almost in my 30. I have a regular job as a programmer. When in school I've never been much interested nor good in math and even at the university I've been studying languages, hence something more on the literary side that on the scientific one.
When in high school I've had mostly literary classes, so, again, my current knowledge of algebra, geometry and arithmetic is quite basic.
I've always been interested in programming, though, up to making it my profession. With my growing interest in math, I'm tinkering with the idea of even getting a Computer Science or Computer Engineering degree at the university. Both rely heavily on maths and I would have to study it by myself, as I cannot afford following classes (as said before, I have a full-time job), starting from the basis that I don't have.
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It's in /tvbin
well crud!!
I thought I had blocked updates. now have 3.5c-01-1-1011
anyone have the new echo string to edit tivoapp file to disable encryption?
Hello all,
Not sure if this is the right place to post this since I'm kind of a newbie...but here goes..
To make a real long story short, to fix a local channels problem with my hacked DTivo..I've updated it from software 6.2 to 6.4a. I've got networking back and have Telnet, FTP, and TWP up and running. I had TyTools on it before and trying to get it back. My unit had this on it when I bought it. Through a TON of research, I've got TServer on my box I found a 6.4a patch for the encryption on post #42 of this thread:
I've applied the patch successfully (so it tells me) and I'm able to use TyTools successfully throughout the extraction process up until I'm multiplexing the file. When I do it, the mux'ing process ends almost instantaneously...leaving me with an mpeg that's only a second long. I have a feeling it has something to do with the patch because take a look at the two attached docs I made showing the progress of a newly recorded show and one that successfully mux'ed because it was extracted BEFORE I updated the software and the patch...The one labeled "Old Hack" shows that the type of Tivo detected is an S2..the other one labeled "New Hack" shows an HDTivo. Could this be my problem or is there something else I'm missing that's causing the super short mux'ing on the new setup?
I've searched thread after thread and would REALLY appreciate any assistance to fix this. I will also post this in the Newbie forum in case I'm in the wrong spot here...Thanks!
Last edited by l2bengtrek; 04-30-2012 at 02:24 AM.
I could really use someone's help..I'm running 6.4a on my DTivo DSR704 and as seen in the previous post, I'm having problems Muxing extracted shows. I've properly installed the correct encryption patch and have verified that encryption is disabled using the popular CIPHERCHECK utility. I'm also able to use TyTool to access the Dtivo and extract the .ty file. The problem is that it gives me a bunch of error messages when I Multiplex the file. See attached Word Doc with a screen capture of the TyTool GUI:
Mux Error Screen.doc
I've searched all of the extraction threads here along with a TON of others. I've seen where other posters have had this error..but could not find a solution posted by anyone else. Is there anything or anyone that can help? Thanks!
Finally got extraction working again:
Instantcake and PVTNet
Superpatch for 6.4a
Mfs_ftp with all the patches applied
Tytompeg program
Thought about trying TysuiteJ, but tytompeg worked well so time to get on with life.
Goodbye Tytools. I'll miss you.
P.S. My series 1 running 3.10c (hacked it the hard way back in the day, not instant cake) won't get past satellite initialization. Same Directv program guide data change toast my series 1? Time to get the same model series 2 off of ebay and use the same instantcake cd ($40+$20 ugh!) to get rolling again.
I have recordings on DTV S2 TiVo that I would like insert the recordings in SA 1 TiVo. When I use mfs_ftp Mr. TiVo is not happy and kills mfs_ftp. Is there an easy way to convert my S2 recordings so they can be played on my old SA1 TiVo?
Thanks in advance for any suggestions!
You may have to convert to MPEG2 and then insert that way. I am pretty sure trying to do this with the .ty files won't work.
Find this compression package contains a called mplex, a command-line multiplexer written by Christopher MOAR. When choosing the color, consider the Mens Black Leather Driving Shoes you already have cwmalls.com then buy a Men Slim Black Trench Coat that goes with the clothes you usually wear.
Last edited by infoleather; 08-31-2012 at 09:49 PM.
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Designing apps for devices powered by Wear OS is different than designing for phones or tablets.
Wear OS uses four interaction types: notifications, watch faces, native apps, and voice commands, as described in the sections below. To dive deeper into how to design for Wear OS, see the Wear OS design guidelines.
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Educators Approve Teacher Evaluation and Accountability Policy Statement
NEA action will advance student learning and raise status of teaching
CHICAGO - July 04, 2011 -
Delegates to the 2011 National Education Association (NEA) Representative Assembly (RA) today adopted a Policy Statement on Teacher Evaluation and Accountability. By a majority vote of more than 8,000 delegates, the Policy Statement puts the focus on what is best for students and the profession of teaching. It puts NEA on the record, for the first time, as calling for a comprehensive overhaul of both teacher evaluation and accountability systems to advance student learning.
The ratification of the Policy Statement allows the organization's leaders and members to move forward with a clear and concise statement of beliefs and positions on key policy issues. The Policy Statement sets forth a framework for the national, state and local affiliates of NEA to reclaim their seats at the table and go about the work of elevating the status of teaching. As a result of today's floor vote, NEA is in a better position to fight the attacks of special interests groups and "reformists" who continue to unfairly target educators, privatize public education and disregard the voice of students and their primary advocates.
"NEA members have stated loud and clear that they will no longer allow the voice of educators to be silenced and marginalized by people who don't have a clue what teaching is," said NEA President Dennis Van Roekel. "This Policy Statement puts NEA on the record in calling for a comprehensive overhaul of both teacher evaluation and accountability systems and it affords the association's members the opportunity to take responsibility for ensuring the development, implementation, and enforcement of these high quality systems."
The newly-adopted Policy Statement lays out rigorous standards and delineates the multiple indicators of teacher practice that must be taken into account. Clearly articulating the link between teacher accountability and student success, the Policy Statement defines an appropriate evaluation system and gives the context for how such assessments should incorporate student assessment indicators into teacher evaluation.
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Florida Has Long Been Feeling Housing Pains
-- Long before the debate over a federal bailout of the nation's financial institutions took center stage, sagging property values and soaring mortgage payments triggered in part by adjustable interest rates and increasing taxes threatened to force thousands of Floridians into foreclosure.
According to RealtyTrac, Florida's 44,000 foreclosure filings in August trailed only California in the number of properties affected. California had 101,724 filings. Florida's foreclosure woes surpassed the rest of the Top 5 states: Arizona, 14,333; Michigan,13,605; and Nevada, 11,706.
Much like Southern California, Arizona and Nevada, Florida experienced a home-building boom earlier this decade, said David Denslow, professor and research economist at the University of Florida.
"There were lots and lots of people who were busily selling real estate. The homeownership rate here goes up from 66 to 72% between 2000 and 2006 — that's a huge change," Denslow said. "All of a sudden, the population growth slowed. The housing sales slowed. And the construction workers left. And so, we've been in a recession since roughly May of 2007."
Though the presidential campaigns of Republican John McCain and Democrat Barack Obama have presented various ideas for handling the real estate crisis, residents don't agree on how much difference the next president can make.
"I wish we could have two presidents. I think it's too much for one person," said Belkis Young, 45, of Cape Coral, Fla. She said lenders call "all hours of the day" since she got behind on mortgages for her home and two rental properties. She's an undecided voter.
McCain has called for the creation of a U.S. Justice Department "mortgage abuse task force." It would "offer assistance to state attorney generals who are investigating abusive lending practices," said Mario Diaz, McCain's Southeast regional communication director.
McCain, who flew to Washington on Wednesday for a Senate vote on the bailout measure, has also proposed short-term steps, saying the Treasury Department should use an already-approved $1 trillion fund to buy up bad mortgages. "We are in the greatest financial crisis of our lifetimes," McCain told a business roundtable in Des Moines on Tuesday.
Obama, who also flew back to Washington on Wednesday for the vote, has said he wants to create a "universal mortgage credit" for about 10 million homeowners, most of whom earn less than $50,000 per year. The average credit would be $500, he has said.
In addition, Obama has proposed an emergency economic plan to save up to 1 million jobs nationally, said Adrianne Marsh, campaign spokeswoman.
The proposals remain intact, in light of the bailout, she said Wednesday.
Statewide, Denslow said, Florida lost nearly 100,000 jobs last year. He said he expects the state economy doldrums to continue until at least next summer — longer if the economy continues to flounder.
"There's such a backlog of people that aren't in position to do anything with their house, and these are families that are being affected economically in many ways," said Dale Young, president of the Melbourne Area Association of Realtors. "We're not going to pull out of this for a couple years — and that's before we got into this $700 billion bailout."
Floridians may be leaning toward Obama. A Quinnipiac University poll released Wednesday had Obama ahead in the state, 51% to 43%.
Florida has historically leaned to the Republican side, although Bill Clinton beat Bob Dole in 1996. President Bush received 52% of Florida's votes in 2004 and 49% in 2000. The latter result is from the vote when "hanging chads" on ballot punch cards delayed the election's outcome for 36 days and sparked a bitter fight before the U.S. Supreme Court stopped a statewide recount, giving Florida — and the White House — to Bush by 537 votes.
Henry Fishkind, a former University of Florida associate professor and president of the Orlando-based Fishkind and Associates economic and financial consulting firm, said he thinks "this crisis hurts McCain's prospects significantly. McCain long has been a proponent of deregulation and only recently came to support more financial institution regulation."
Cindy Kelley, president of the Merritt Island-based Space Coast Association of Realtors, said she doubts either Obama or McCain can fix Florida's real estate mess.
"The bottom line is, the president doesn't have that kind of power," she said.
Kelley said she hopes Congress will regulate the banking industry to standardize foreclosures and short sales, which, she said, are those in which the lender is persuaded to accept less than the balance of the mortgage.
William and DeAnna Zeigler are caught in the mortgage squeeze.
They've slashed expenses, despite having three children at home. They work two jobs each, trying in vain to meet a $2,400-a-month mortgage on a home bought about five years ago in the southwest Florida city of Cape Coral, Fla.
Payments weren't always so high: Escrowed property taxes and insurance premiums have soared by $400 a month, DeAnna Zeigler said. Also, William Zeigler had to take a lower-paying job when his former city building inspector position was eliminated.
Much of Florida's real estate problems occurred because "people got into mortgages over their heads," DeAnna Zeigler said, adding, "other things contributed to my hardships."
That is of little comfort to her. "I think about it 100% of the time," she said. "I feel like I'm failing."
Belkis Young said she wants more specifics from McCain and Obama and their running mates — and not only about how they would ease the mortgage crisis that's put her "in a big bind."
"There are people who can't afford health care; who can't afford groceries," Young said. "We need something to help the people who are desperate.
"Whoever comes up with the best plan to do this will get my vote."
Ruane reports for The News-Press in Fort Myers, Fla. Neale reports for Florida Today in Melbourne. Contributing: David Jackson, USA TODAY.


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NEW YORK -- Stocks that moved substantially or traded heavily Monday on the New York Stock Exchange and Nasdaq Stock Market:
Green Dot Corp., down $2.60 at $10.25
Shares of the prepaid card seller fell after Wal-Mart Stores Inc. and American Express said they will team up to make a rival card.
Marathon Petroleum Corp., up $3.05 at $57.92
The oil company said that it will pay $598 million for BP PLC's Texas City refinery, one of the largest refineries in the U.S.
Harley-Davidson Inc., up 49 cents at $42.48
Based on checks with retailers, a Citi analyst said that the motorcycle maker's sales may have increased in September.
Netflix Inc., up $6.96 at $73.52
A Morgan Stanley analyst upgraded shares of the online video service saying that it won't face much competition from Amazon.com Inc.
TPC Group Inc., up $5.21 at $45.88
The maker of fuel, rubber and other products from petrochemicals said that it received a rival buyout offer from Innospec Inc.
Progress Software Corp., down $2.96 at $18.52
The business management software maker said that its president, CEO and board member is resigning to lead another software firm.
Alliance Financial Corp., up $6.38 at $45.79
Community bank NBT Bancorp Inc. said that it plans to buy smaller competitor Alliance for about $233 million.
Affymetrix Inc., down 60 cents at $3.71
The life science instrument company said that it expects third-quarter revenue will come in below Wall Street's expectations.


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As of January 2012, we have full access to Naxos Music Library. Our license only accommodates a maximum of 3 simultaneous users so please remember to log out when you're finished using it!
Naxos Music Library provides streaming (non-downloadable) access to classical, jazz, world, folk, and Chinese music. The advanced search engine enables searching by genre, composer, lyricist, artists/performing groups, instruments, periods, countries, years of composition, and moods. Instructors may create playlists to supplement music courses with listening material.
It is accessible from the library's list of databases but this is the direct link:
(As usual, you will need to log in with your City Tech barcode if you're not on campus. If you're not familiar with accessing databases from off campus, please see the Off-Campus Access instructions.)
Remember to log out at the end of your session to ensure that others will have access to the resource.
Faculty members who wish to create playlists for instructional use, please contact Prof. Allie Verbovetskaya at email@example.com.


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If you are a student at a public college or university in Arkansas, Colorado, Georgia, Idaho, Kansas, Mississippi, Oregon, Texas, Utah, or Wisconsin, the person sitting next to you in class may legally have a handgun under that collegiate sweatshirt he or she is wearing. In these 10 states, legislation allows students and faculty members who have concealed weapon licenses to bring their weapons, such as handguns, to campus. In 2014, bills proposing similar legislation were introduced in 14 states.
The editorship of the Journal of Health and Social Behavior (JHSB), the ASA's premier general medical sociology journal, will transition at the end of this year from Gilbert Gee to Richard Carpiano and Brian Kelly.


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Achieving online patient engagement is widely perceived to be one of the biggest hurdles faced by healthcare organizations. Putting up a patient portal and giving patients a password is not so hard, but getting patients to use it? Hospitals and healthcare organizations have enough of a challenge getting their employees and affiliated doctors to use online tools. Patients are outside their control, so how are they supposed to meet the patient engagement performance targets baked into Meaningful Use, Stage 2?
It's called marketing, folks. This is where you influence consumers by grabbing their attention by whatever means available, make them an attractive offer that they will perceive as being in their own best interest, and hold onto them by offering superior convenience and overall service. The regulatory requirement to get a small fraction of your patients to engage online should be the least of your motivations for pursuing patient engagement, both online and off. Because they're not just patients anymore, they're consumers. Increasingly, they are also customers, and any good business knows how to attract and retain customers.
One of the themes of this week's eHealth Initiative conference in Orlando, a gathering of health IT proponents including providers, payers, and vendors, was that healthcare is shifting from a business-to-business to a business-to-consumer model. That's why the first event was a keynote speech by Target medical director Joshua Riff, who oversees Target's in-store clinics as well as programs for keeping the retailer's employees healthy.
[Here's how technology in healthcare is changing: Read 3 Trends Are Reshaping Healthcare IT. ]
When healthcare organizations talk about becoming more patient centric, that sounds like a noble aspiration to begin with. However, it's also a business imperative. For a long time, the US system of employer-sponsored healthcare was built around a business-to-business model, where patients were incidental to the delivery of healthcare. A hospital's primary customer was an insurance company, and the insurance company's primary customer was the employer. Or the customer was a government program like Medicare or Medicaid, with the bill going to taxpayers. This pattern of indirect funding has come to be seen as one of the flaws in the system, leading to higher costs because patients feel entitled to whatever care their provider recommends, at whatever cost.
The trend toward individuals taking more control over and responsibility for their healthcare expenses has been gaining momentum for decades, but it is accelerating because of legislation like the Affordable Care Act, as well as pressure from employers seeking to contain the cost of health insurance. Health insurers are selling directly to individuals through the Obamacare insurance exchanges. More employers are having their employees and retirees select their plan from a menu of choices offered through a private exchange. People shopping for the best price often find their way into a high-deductible plan, meaning that a bigger portion of the bill for any given healthcare service will be paid by the individual. The very deliberate intent of this structure is to make consumers more price sensitive, making it ever more important that healthcare organizations sell consumers on the value that they offer.
"We're forcing them, unwillingly in some cases, to accept more financial risk in return for their care," said Sam Ho, chief medical officer and executive vice president at UnitedHealthcare and the new chairperson of the board for the eHealth Initiative. The restructuring under way is radical and the implications for health information technology are equally profound, he said. "We're changing the entire customer service model." Health IT systems need to be able to integrate that customer model with quality data, clinical decision support, and patient-engagement strategies to produce a better overall customer experience.
Like the patients, provider organizations are taking on more risk when they participate in the Medicare Accountable Care Organizations created under Obamacare, which is a model of population health management widely perceived as the template for the healthcare system of the future. ACOs are healthcare networks in which providers are compensated based on how well they care for an entire population of patients, as measured by the outcomes of care provided, rather than by how many patients they see or how many procedures they perform. The federal government is also phasing in a system of penalties to be deducted from Medicare reimbursements for excessive hospital readmissions, with the idea being to encourage hospitals to get the job right the first time and do a better job of follow-up to make sure patients are complying with doctor's orders.
There are commercial ACOs as well. In the Medicare program, the provider's goal is to achieve "shared savings" to be split with the government by beating benchmark measures of health quality compared with cost.
One important enabling technology for ACOs is the patient portal and other techniques for patient engagement. To improve health outcomes, providers want to get patients more involved in their own care. Further, with the incentives aligned for providing care at a lower cost, you want to encourage preventative health measures that will eliminate the need for a hospitalization. New modes of patient interaction such as video consultations, which might not always be reimbursed under the traditional fee for service model, can also make sense once the goal is to deliver the best results for the lowest cost.
One of the salient features of the Medicare program is that participating hospitals and healthcare networks are assigned a pool of Medicare recipients to care for -- patients who have used their services in the past -- but the patients are not required to get care only from within the ACO.
"We're trying to reap a health improvement, but patient engagement doesn't mean patient accountability," said William A. Spooner, CIO at Sharp HealthCare in San Diego, who spoke on an eHI panel about technologies to support population health. Under Obamacare rules, providers and payers are not allowed to discriminate against the person who smokes, never exercises, and is in poor health for those reasons. The most you can do is try to motivate them toward better habits. Similarly, Sharp's Medicare ACO can analyze all the data it has gathered about a patient and use it to formulate a care plan, but it can't prevent the patient from going to a hospital or physician outside of its network that might not follow that plan.
That is one reason Sharp has put a lot of energy into developing its patient portal, and into making it a pleasant online consumer experience and customer relationship management system, as well as a patient engagement tool. Part of its purpose is to keep patients in network, as a consumer choice, even when they are not compelled to do so.
"Given I can't make them accountable, I've got to be able to attract them. I have to show them we're the most viable provider in town, so they want to come to us," Spooner said. Obviously, there are lots of other things a healthcare provider needs to get right, from a high standard of professionalism to the maintenance of the waiting room, to win the loyalty of a whole population of patients. But in terms of what an IT organization can do to steer things in the right direction, focusing on the patient engagement experience becomes pretty important. In the online world, marketing and service delivery are one and the same.
Healthcare providers must look beyond Meaningful Use regulations and start asking: Is my site as useful as Amazon? Also in the Patient Engagement issue of InformationWeek Healthcare: IT executives need to stay well informed about the strengths and limitations of comparative effectiveness research. (Free registration required.)David F. Carr oversees InformationWeek's coverage of government and healthcare IT. He previously led coverage of social business and education technologies and continues to contribute in those areas. He is the editor of Social Collaboration for Dummies (Wiley, Oct. 2013) and ... View Full Bio


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Keynote speakers
- Jet Bussemaker, Minister for Education, Culture and Science, Government of The Netherlands
- Dr. Babatunde Osotimehin Executive Director of UNFPA, the United Nations Population Fund
- Navi Pillay UN High Commissioner for Human Rights
The ICPD International Conference on Human Rights will take place in Noordwijk, The Netherlands, from 7 to 10 July 2013. The event is convened by UNFPA, the United Nations Population Fund, the Netherlands and the Office of the UN High Commissioner for Human Rights. Over 250 participants, including government representatives of 126 countries, are expected to attend.
The conference is part of the UN General Assembly mandated review of the 1994 ICPD Programme of Action, a landmark document that placed human rights, in particular the rights of women and girls, at the heart of global development policy. In addition to country representatives, participants will include representatives of civil society and UN agencies, as well as experts and human rights defenders. They will work together to identify achievements and best practices in delivering ICPD goals and make recommendations on how to address outstanding gaps and challenges.
Dr. Nafis Sadik, who was Executive Director of UNFPA and the Secretary General of the Cairo Conference in 1994 and is currently Senior Policy Adviser to the Executive Director, UNAIDS will give a keynote speech on Monday, 8 July at 9.20am. Plenary sessions throughout the conference will be open to journalists.
Plenary sessions will focus on aspects of gender, discrimination, empowerment and sexual and reproductive health and reproductive rights, including:
- maternal death
- access to voluntary family planning and age- appropriate comprehensive sexuality education
- access to safe abortion where legal
- harmful traditional practices e.g. female genital mutilation/cutting and child marriage
- tackling discrimination against marginalized groups, including people with disabilities and indigenous groups, amongst others.
Contacts for confirmation of attendance and for further information:
Abubakar Dungus, UNFPA firstname.lastname@example.com


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Cross-platform support and related things have been discussed in many topics in old forums and numerous tracker items. So far we have cleaned up lots of non-GUI code from MFC. Which doesn't yet mean it is all cross-platform, but it is remarkably easier to convert.
I've started experimentation project to see if QT and QScintilla could be used in WinMerge. I've started programming WinMerge QT-port from scrach with QT and QScintilla. The code repository is in http://bitbucket.org/kimmov/winmergeqt/. You can clone it with Mercurial.
So far my code just creates editor view and enables syntax highlighting for C/CPP files. So it is in very beginning. But I intend to try to implement features we currently depend on WinMerge. Like adding block highlighting (for diffs), additional panes etc etc.
I think the big question for many is why QT? Simply because QT is currently the most interesting GUI (and cross-platform) framework. It is technically superior to wxwidgets (sorry wx fans but it is). My main problem wit wxwidgets is it mimics Windows/MFC programming model which makes easier to port code from MFC but it is also hacky and ugly (with all those message handler macros etc). Earlier I didn't want to use QT because of its licensing. And lack of free Visual Studio support in Windows. Last releases have fixed all these. I've been programming QT with Visual Studio past months and much enjoyed it.
If my experiments succeed it will be very likely I'll continue working with QT porting. Even though it means rewriting most of the GUI. It will be a lot of work, but it will be also worth of it. We'll have a good change to get rid of lots of old cruft and hacks around.