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With my two-year term as Section chair coming to an end this November, I am feeling a strong sense of transition with so much undone and more to do. With both my tenure at Cook County Hospital and as Medical Care Section chair coming to an end that month, November represents a major change in my professional career and personal life.
Before coming to Medical Care issues (capital M C), I want to talk about what is happening personally with my own medical care work (small m c). Mardge Cohen (my wife) and I will be retiring from work as general internists from Cook County Hospital (now called Stroger Hospital-more on this below) after 31 years of service at Chicago's only public hospital. The move was precipitated both by my being offered a wonderful opportunity to work at Harvard's Brigham, as well as a profound crisis — both fiscal and leadership — at our beloved Cook County. The job at Harvard will offer great opportunities to further the work that has brought me into the Medical Care Section of APHA including research, practice and teaching in quality improvement, medication safety and policy, and medical informatics. I will be working in the section of General Internal Medicine at Partners Brigham hospital under David Bates, who is a true national treasure and who heads their Center for Patient Safety Research and Practice for which I will become the associate director. Also exciting for many of my APHA interests will be the opportunity to help teach the annual summer course on clinical effectiveness in the Harvard School of Public Health.
The cutbacks and undermining of services at Cook County are important to share with members of our Section and are receiving insufficient attention from the local and national media. John H. Stroger Jr., [the father who renamed the new hospital that we fought so hard for (and that he initially opposed!) after himself], after being advised by many not to run for re-election as president of the County Board in 2006, did so anyway. However, a few days before the March primary election, he suffered a stroke. He nonetheless narrowly won the primary election, in part because the public was misled about the seriousness of his medical condition and the hospital's growing fiscal crisis. After not being seen or heard from for months after the primary, his Republican opponent declared "let him show his face at the window to show he is still alive." The family refused, arguing that this would interfere with his recovery. Instead, at literally the 11th hour in July (in the final hours a replacement candidate could be slated by the Democrats), Todd Stroger (the son, referred to by some as "the toddler") was picked to replace his father on the November ballot. He won in the election that coincided with the November 2006 APHA meeting.
Many despair that there is no mechanism for impeachment or recall. My patients, unprompted and almost unanimously, enter my exam room voicing their protest. "Why did I ever vote for that man; look what he is doing to the hospital and the clinics." One of my cancer patients stated, "Cook County is no longer for the patients." In reality, the problems at County run much deeper than our current misguided and poor leadership. Todd Stroger inherited a $500 million deficit and many of the problems, which have become so much worse in the past half year and have plagued County for decades. What the current leaders are failing to provide are the right diagnosis and solutions for the problems.
The appointment of Robert Simon as head of the hospital and clinics has furthered the undermining of care at the institution. In implementing budget cuts, he argued that County needed to retreat to its "core mission" of treating strokes rather than hypertension, and that some community and public health services represented luxuries we could no longer afford.
Simon and Stroger proposed slashing hundreds of staff positions at the hospital and clinics (the majority of which were doctors and nurses, who lack any union protections), with the most drastic proposed cuts being the closing of more than a third of County's community clinics. Not only what was being cut, but how the cuts were being made, added to the chaos and demoralization. For example, in one week hundreds of people received pink slips "in error" only to have them rescinded, and another group of hundreds more received pink slips during the following weeks. Physicians with 20 plus years of seniority were fired. The Occupational Medicine Division was eliminated. Those of us remaining asked ourselves who was worse off, the ones laid off or those left behind to care for the patients who had lost their physicians. Of course the answer is that the ones worse off are the patients -- who face more access barriers, discontinuities, longer waits, and most dangerously, a renewed mania to bill patients and turn over unpaid bills to collection agencies.
While space does not permit a detailed discussion of the financial aspects of this fiscal and billing crisis, it is important to note the obvious. County's financial crisis does not exist, nor can it be solved, because of failure to send or by sending bills to our poor patients. In fact, it could be argued that the entire $75 million 2005 health care budget shortfall (which set into motion the deficit and cuts for 2006) can be traced to a roughly $75 million cut in federal funding (the so called "intergovernmental transfer" program). Todd Stroger refused to consider tax increases to cover this shortfall. He also burned up the political capital needed to support such an increase by a series of continuing patronage blunders, leading the public to question whether additional funding to support a poorly run operation was worthwhile.
At the three public hearings in February 2007, each attended by more than 1,000 people, the staff and the community mobilized to describe the impact and mistaken logic in these drastic cutbacks. I felt enormous pride in being a County employee as I watched the solidarity and testimony of sheriffs, public defenders, prosecutors, and jail employees (whose jobs and services were also being slashed) raise their voices along with those from the health care community and describe the work they do and how it would be adversely impacted by the proposed cuts.
While some of the cutbacks have been beaten back and Stroger has now inexplicably reversed his position and is calling for a tax increase, uncertainty, chaos, and demoralization are the dominant features of everyday life at County. Worse yet, the leaders appear determined to ignore the experienced and committed voices of those of us who are advocating for our patient and have ideas of how to make County work better. A number of the best physicians and nurses have left or are looking to leave. It is in this context that leaving County at this time of crisis hardly feels like the right decision. But (to paraphrase what Quentin Young said when he left County 25 years ago), County has probably had a maximal dose of what medicine Mardge and I have to offer, with likely diminishing returns on our investments of efforts to make it better. And perhaps (following Quentin's lead) we can do more for County and the patients in other ways, as we continue our commitment to what County stood for in the past – for accessible high quality services to patients regardless of ability to pay.
The Medical Care Section is one obvious expression of this commitment. My hope is that during the summer and fall we can complete some of the initiatives that I have written about in my earlier newsletter columns. Most important is the continuing effort to improve Section involvement, outreach and communication. There are several initiatives that I hope can advance these aims, and that can be successfully moved towards completion during my remaining months as Section chair. The first is the renewal of our work with the Medical Care journal and its new editors. We have been helping to plan a special issue on the financing and organization of medical care in the United States, and the "call for papers" will appear in the September issue of Medical Care.
But the major initiative I hope to move forward with the help of our summer intern Stacy Liker (first-year student at UIC College of Medicine) is the revamping of our electronic communication structure and processes (hopefully leading to enhanced outcomes during the two-year term of our next chair, Gail Bellamy).
We plan to redesign our communication approach. Many members say they rarely hear from the Section, while others complain of receiving too many e-mails of Section discussion. We will be reaching out to each and every member to solicit your preferences and interests, thereby creating a "profile" of your desired level of communication and topic areas. Your response to the e-mail inquiry you will receive by the end of the summer will populate this profile and allow us to more effectively tailor and target communication to you. It will also permit the option for you to create a personal Web "space" on our Section Web site, where you can post your contact/demographic information, areas of special interest or recommendations for reading, and other desired links.
We will be undertaking this profiling survey effort in conjunction with a retrospective review of Medical Care Section presentations over the past decade, which we hope to cross reference with topics from the Medical Care journal for the same period, thereby creating a taxonomy of Medical Care. While this "taxonomy" project ideally should precede the survey to allow members to then identify interests based on this more rigorous representation of our Section and its areas of interest and influence, for practical reasons (wanted to get the survey going), it will have to proceed in parallel.
I urge each of you reading this newsletter column to thoughtfully respond to the initiative, so we can better know who each of us is in the Section and allow us to better communicate with each other.
In conclusion, and in the spirit of what we will be requesting from you (recommended readings for fellow Section members), I'd like to make my own recommendation of a book worth checking out. It is a remarkable book entitled The Political Economy of Health Care by Julian Tudor Hart (2006, Policy Press). In it, one of my heroes reflects on what is happening in health care in the United Kingdom (and worldwide), which helps put into perspective what we are facing at Cook County, in the United States, and what I suspect each of you faces every day in your own work. It is a book that attempts to provide students of health and caring sciences with a "big picture" of our work — a picture that shatters conventional assumptions: "Though this may entail swimming upstream against the tide of fashion….it follows the prevailing winds and currents of history."
Hart presents an extremely optimistic picture of what was the basis and early achievements of the much maligned British National Health Service. The NHS is now succumbing to costly privatization efforts ideologically driven by "those without personal responsibility for giving health care or substantial personal experience of receiving it." He shows how we can, via imaginative efforts based on shared understandings, confidently make a better world by "thoughtful human decision rather than the tidal waves of avarice released by market forces," convincingly arguing for a "world that is planned and shared rather than plotted and grabbed." In such a world, decisions will be made not on where life and labor are the cheapest but will be based on identified needs, knowledge and learning.
I look forward to working with you through Medical Care to help promote such a world and ensure that the organization and practice of medicine reflect these values and opportunities.
Gordy Schiff
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The Action Board activities in the past several months have focused, from my perspective, on two main areas: 1) advocacy, and 2) archiving.
A recent meeting in Washington included visits by Action Board members to elected representatives on Capitol Hill on behalf of APHA. Included in the discussions was enhanced funding for the SCHIP program (State Children's Health Insurance Program) which is critical to many projects APHA and the MC Section hold dear. Also likely discussed were issues related to universal health care.
The important topics discussed the weekend of the Action Board meeting and visits to the capital will be delivered to you in a subsequent e-mail or in the next newsletter. APHA had provided very helpful Web links to allow for easier communication with Washington using www.capwiz.com.
Policy archiving was initiated and promoted by the Action Board. I believe, while the immediacy of doing this is less critical than some of the above activities, archiving is an important and potentially useful activity for all APHA members. This year, the topics chosen to focus on, namely, rural health, children's health, public health work force issues, and health care policy, have relevance to everyone on some level. Streamlining the policies in the review process could allow for a more efficient use of those very policies. I am not sure what the outcome was, but I would greatly appreciate some feedback, if any exists, from the MC Section regarding use or non-use of this process. The process of policy review may be slightly tedious initially, but it rapidly becomes quite rewarding as a result of the significant knowledge gained about our policies and the process involved in making policies.
Please look for a more detailed, nuanced report for the next newsletter.
What are the problems with focusing on avian flu as the APHA's primary action issue? To summarize a longer essay that many have already received:
· Avian flu has infected only about 250 people worldwide, and it is by no means sure that this H5N1 bird flu will cause the next pandemic.
· The last pandemic in 1918 killed 40-100 million people, but the deaths were much higher among the poor, both in the United States and worldwide. The same disparities in underlying health, health care and public health infrastructure exist today. Without an attack on these disparities, no effort to limit the harm from a flu epidemic will be very useful.
· Even in the United States, social distancing and the means to guarantee that people can remain out of school and work while maintaining nutrition and access to medical care is the most important epidemic control measure. Our lack of a social safety net, health insurance, public health and medical care cuts make this unfeasible.
· The main prevention needed is support of poor nations where bird epidemics take hold, with compensation to farmers, assurances of equal access to vaccines, and assistance with research, all of which is vastly underfunded.
· The U.S. government's main plan for epidemic control is militarily enforced quarantines, which is of medically limited use, but useful to continue the militarization of public health and many other aspects of our society.
· During the last epidemic during WWI, the priority given to war over U.S. or world health was largely responsible for the spread and the severity of the illness. The current war in Iraq and likely future wars against Iran and China make this scenario likely again.
The way for APHA to fight epidemics of flu or any other health problem is to continue the fight for universal coverage, expand the public health infrastructure, fight racism and health disparities, and oppose war and the militarization of our public life. We should demand more of our organization on these fronts and not permit these emphases to be lost.
Ellen Isaacs
This year, the APHA Student Assembly Opportunities Committee provided more resources to students regarding scholarships, conferences, job postings, potential employers and fellowships/internships. In addition to these endeavors, the committee revamped the Student Assembly Alumni Database. The Alumni Database is meant to not only allow the Student Assembly to keep track of their past members, but it also provides current and potential students access to learn about possible careers in the public health field.
To access the Alumni Database, students can visit www.aphastudents.org and click on the Opportunities Committee link. Here students can look at job positions currently held by public health professionals in the field. Prospective public health students could access this database and view jobs held by people with public health degrees to gain a better understanding of the wide variety of career paths available to them. Alumni range from recent graduates working in fellowships or entry-level positions to seasoned health professionals with well-established research agendas.
The Student Assembly Opportunities Committee co-chairs are working to increase participation of Student Assembly alumni in the Alumni Database. Anyone who at one time was a member of the Student Assembly (previously entitled Public Health Student Caucus) can visit the Web site, complete the form available on the Opportunities Committee page at www.aphastudents.org/phso_alumni_db.php and return it to firstname.lastname@example.com. This endeavor depends on the cooperation of alumni. With APHA Student Assembly alumni support, the Alumni Database can become a wonderful resource for the next generation of public health students. We hope you will consider taking a few moments to add yourself to the Alumni Database.
If you have any questions or want more information, please feel free to contact Jennifer Cremeens or Anna Pollack, the Opportunities Committee co-chairs, at firstname.lastname@example.com.
Rutgers University Press, 2007 by Bonnie Lefkowitz
This new contribution in the series "Critical Issues in Health and Medicine" (edited by Rima D. Apple of the University of Wisconsin-Madison and Janet Golden of Rutgers University) from a veteran staff member of both the federal Bureau of Primary Health Care and the National Association of Community Health Centers provides juicy historical detail informed by decades of personal and professional relationships with a cast of characters still serving in the trenches of the U.S. community health center movement.
This welcome volume builds on a literature that is only now beginning to be written but is deserving of many more chapters. It picks up on Alice Sardell's wonderful PhD dissertation, "The U.S. Experiment in Social Medicine: the Community Health Center Program, 1965-1986," which chronicled the movement's origins and subsequent political agility in successfully facing down the Reagan administration's efforts to do away with the program through block granting.
Many of the health center founders interviewed extensively in this book are movers and shakers who now possess three to four decades of experience and who remain ensconced in their roles at community health centers across the country. A remarkable theme of grit, political skill and grassroots mobilization shines through the narrative. Lefkowitz makes the observation of a male predominance in those who run the health centers, but, speaking as a mid-career founder of one of the younger health centers (my own health center saw its first patient 10 years ago), I am struck by the large number of senior female health center executives who are as experienced and grounded in social justice movements as are the men.
Lefkowitz organizes the book into five major sections, each with its unique geo-cultural expression of the health center movement, and each home today to many thriving health center sites: Mississippi, Boston, South Carolina, New York City, and the Rio Grande Valley of Texas.
Health centers started in Mississippi and Boston, fueled directly by the Civil Rights movement from which they were initially indistinguishable (they were initially started as the health care arm of the Civil Rights movement). To this day, national health center meetings are strikingly diverse and multicultural. According to my conversation with historian John Dittmer, author of the classic "Local People: The Struggle for Civil Rights in Mississippi," the Medical Committee for Civil Rights preceded the Medical Committee for Human Rights (MCHR) with the planning process for freedom summer, in 1963.
According to Dittmer, "Dr. Bob Smith of SNCC in Jackson sent out the call for medical support. Over a thousand [non-medical] volunteers were expected in Mississippi that summer, yet there were very few black doctors and very few white doctors willing to care for them."
Interviewed by Lefkowitz in Chapter Two ("Mississippi: Where It All Began"), Smith estimates that, for the entire black population of 800,000 Mississippi residents, there were at that time only 25 to 30 black physicians in private practice. Smith recalls, "This place was sweltering in anger" following the June 1963 murder of Medgar Evers. Then as Dittmer has chronicled, "the murder of the three civil rights workers, including two young New Yorkers took place after the first MCHR planning meeting, and this totally galvanized the effort."
Dr. Jack Geiger, who became the founder with Dr. Count Gibson of the first U.S. health centers, recalls that some of the north-south professional relationships forged during freedom summer continued with a much smaller number of northern physicians. "In December 1964, there was a meeting in Greenville of a bunch of us left-over civil rights types, the Delta Ministry of the National Council of Churches, a number of the Mississippi Headstart people, etc. It was at that meeting that I remembered my community health center experiences and training in South Africa and suggested that we try it here. Dr. Des Callan (a New York physician), Dr. Robert Smith of Jackson, the black physician who was the local linchpin of MCHR, and others, grasped the idea and offered suggestions and comments. At this time it was just a pipe dream; there were no federal grant programs for this at HEW or at OEO. I didn't contact OEO until January or February 1965, and ultimately it got funded as a research and demonstration project, the only way it could be."
Geiger, at the time a member of the Tufts Medical School faculty, became the founder, with Dr. Count Gibson, of the first two community health centers in Mississippi and Boston. An interesting note is that Geiger acknowledges the Boston center was proposed only because Tufts would probably have refused to permit a project involving only a Southern site. At the Mississippi site, medical care was started alongside cooperatively-run education, transportation, farming and public health projects in which local residents were not only the passive recipients of government benefits, but were actively involved in restructuring their community around multiple basic human needs.
The health center program was written into law in the early 1970s, in order to protect it from the Nixon administration. The comprehensive health center program survived its second major political attack during the Reagan administration, ironically to become the darling of the Bush administration two decades later.
Today, the health center program has grown to serve more than 7 million Americans with medical, dental, mental health and substance abuse and pharmaceutical programs. As a unique favorite of the Bush administration, it has enjoyed increasing appropriations in the range of $200 million per year, while simultaneously undergoing (along with other federal health and human service programs) many corporatizing pressures. During the same period, increasingly restrictive coverage under many state Medicaid programs (the major revenue source for most health centers) and the new federal prohibition on Medicaid reimbursement for the care of undocumented patients have presented new sets of challenges for health centers.
An implication of reading Lefkowitz's book is that continuity in the committed leadership of the overall movement and within individual health centers have played a critical role in maintaining the community orientation of health centers. As many discuss in moving and personal accounts, the life-changing commitment of many health center founders to the social justice movements of the 1960s and 70s carries them forward to this day. Political linkage between the health center institutions and the people they serve is a strong theme of the book, with many examples of the soul-searching struggles to maintain ethical, good-faith connections with the underserved populations and communities who have no other source for dignified health care. Some of these struggles are lost, but a surprising number continue to be won on both large and small scales.
Currently, defense of the community-based governance board requirement is an active project for many in the health center movement. Historically, Lefkowitz describes how this battle was previously fought and won; now it must be re-fought. Last year, the program failed to win Congressional reauthorization for the first time due to a proposal to allow demonstration projects by organizations that would be free of the longstanding program requirement for 51 percent controlling interest by actual patients on the governing board of each community health center. This effort was led by Catholic hospital organizations and quickly joined by other nonprofit and faith-based organizations serving large numbers of uninsured people but unwilling or unable to accept the rigorous community accountability that has always been a part of the foundation of health center governance.
Unwilling to accept this chink in the armor of health centers' basic identity, the compromise was rejected and health centers have now entered a precarious phase of annual appropriation without authorization. In this, they have joined the ranks of other federal programs that resist restructuring of their basic mission (including federal family planning program and the National Health Service Corps). Health centers' rejection of the "compromise" deal was made possible only by the political staunchness and numbers of the health center movement itself.
We should hope that Lefkowitz's well-crafted book will be followed by many more to eventually recount all the stories of a feisty, durable American movement and a large and remarkable group of mostly unsung heroes, characterized by the same courage and resilience as the communities from which they draw their daily strength.
Sarah Kemble, MD, MPH
Executive Director
Desmond Callan Community Health Center
Turners Falls, MA
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Here are some of the latest health and medical news
developments, compiled by the editors of HealthDay:
Hospitalizations Linked to Blood Poisonings Rising: CDC
Hospitalizations for sepsis (blood poisoning) in the United
States more than doubled between 2000 and 2008, a new study
Two-thirds of the cases involved people 65 and older and the
rate of sepsis increased with age. The hospitalization rate for
sepsis among people 85 and older was 30 times higher than for those
younger than 65, the Centers for Disease Control and Prevention
researchers said,
msnbc.com reported.
Among the other findings in the report released Tuesday:
Sepsis patients who survive can be left with debilitating
problems such as mental impairment, physical disabilities and organ
damage, the researchers said,
msnbc.com reported.
Supreme Court Justice Sotomayor Discusses Her Diabetes
Having diabetes doesn't prevent you from doing anything you
want, U.S. Supreme Court Justice Sonia Sotomayor said Tuesday when
she met with a group of children who have diabetes.
"It's a disease you have to deal with, but you can," she told the 150 children, the Associated Press reported.
Sotomayer, 56, learned she had diabetes when she was seven years
old and coping with it has become second nature. She injects
herself with insulin four to six times a day.
It's no secret that Sotomayor has diabetes, but this is the
first time she's spoken so openly about managing the chronic
condition, the
AP reported. Her meeting with the children was part of the
Juvenile Diabetes Research Foundation's Children's Congress.
Deaths From Cancer, Heart Disease Rising: U.N.
Deaths from noncommunicable diseases such as diabetes, cancer
and heart and lung disease are increasing and cause nearly
two-thirds of all deaths in the world, a United Nations report
In 2008, the 36 million deaths from noncommunicable diseases
accounted for 63 percent of the 57 million deaths worldwide. The
U.N. said nearly 80 percent of deaths from noncommunicable diseases
were in the developing world, and 9 million of the worldwide deaths
from noncommunicable diseases involved people younger than 60, the
Associated Press reported.
By 2030, noncommunicable diseases will claim the lives of 52
million people, according to the U.N.
The document said risk factors such as unhealthy diet, lack of
physical activity, tobacco use, obesity and harmful alcohol use are
contributing to the rise in deaths from noncommunicable diseases,
AP reported.
FDA Performs Poorly on Imported Food Recalls: Audit
The U.S. Food and Drug Administration often fails to follow its
own rules in recalling contaminated imported foods, according to
federal government investigators who audited 17 of the recalls.
The cases reviewed by investigators included listeria-infected
frozen mussel meat from New Zealand, salmonella-contaminated
cantaloupes from Honduras, and frozen fish from Korea that
contained botulism-causing bacteria,
The New York Times reported.
In one case, a recall was launched more than three months after
the FDA became aware of a contaminated food product. In another
case, the delay was nearly a month, according to Daniel R.
Levinson, inspector general of the Department of Health and Human
In 13 of the 17 audited cases, suppliers failed to give accurate
or complete information to their customers so that the products
could be withdrawn completely,
The Times reported.
An FDA official said the new food safety law gives the agency
more power to control food safety.
Concussion Increases Young Athletes' Risk of Death: Study
Young athletes who suffer a concussion are at increased risk of
death if they begin playing before they're fully recovered and
suffer a head blow, a new study warns.
Researchers analyzed the National Registry of Sudden Death in
Young Athletes in order to assess the risk of death from blunt
trauma among athletes 21 and younger in the United States, the
Associated Press reported.
Between 1980 and 2009, there were 261 trauma injury-related
deaths among young athletes. Most of them (148) involved football
players, including 17 high school players who died of head or neck
injuries a few days to four weeks after they had suffered a
Those 17 deaths are a worrisome number and a key finding that
comes when there is growing awareness about concussions, including
the threat of "second-impact syndrome," study author Dr. Barry
Maron told the
The study was published Monday in the journal
Please be aware that this information is provided to supplement the care provided by your physician. It is neither intended nor implied to be a substitute for professional medical advice. CALL YOUR HEALTHCARE PROVIDER IMMEDIATELY IF YOU THINK YOU MAY HAVE A MEDICAL EMERGENCY. Always seek the advice of your physician or other qualified health provider prior to starting any new treatment or with any questions you may have regarding a medical condition.
Copyright © EBSCO Publishing. All rights reserved.

subset: commoncrawl


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"hey thurr"
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"I love you so much Asheton that it hurtsif I am away and guess what ... R A W R c(: And you know what Rawr means?! It means I love you silly!! See!
Use your brain!! iRead,iReply, and YES iDelete :)
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Maryland politicians don't learn from their past mistakes. Gov. Martin O'Malley has placed yet another cigarette tax hike -- which would raise the current $2 per-pack tax to $3, the sixth highest in the nation -- on his current legislative agenda.
O'Malley says he wants the revenue to help pay for Maryland's new health care exchange. But the last time Maryland raised its cigarette tax from $1 to $2 per pack back in 2007, things did not quite work out as planned. Proponents argued that raising the cost would induce smokers to give up the habit altogether. But after several years of steady decline, underage smoking actually went up the following year, according to the Maryland Department of Health and Mental Hygiene.
O'Malley also claimed that by doubling the cigarette tax, he could increase its revenue by 95 percent. That didn't happen, either. In fiscal 2009 -- the first full fiscal year following the tax hike, which went into effect on Jan. 1, 2008 -- the state collected only half of the anticipated revenue. Of course, the higher figure had already been built into the fiscal 2009 state budget, so this helped produce a deficit.
As Heartland Institute budget and tax specialist John Nothdurft noted at the time, "Maryland's 'successful' cigarette tax has increased a budget deficit that nonsmokers will end up paying for." Which is exactly what happened, of course.
But that was not the only unintended consequence. The higher tax encouraged smokers to purchase tobacco products in neighboring states such as Virginia -- which has the second-lowest cigarette tax in the nation -- and smuggle them back into Maryland. That's exactly what's happened in high-cigarette-tax Michigan, where the Mackinac Center estimates that lucrative, large-scale, long-distance cigarette smuggling from low-tax states now accounts for 29.3 percent of all tobacco consumption in the state.
Something similar is obviously happening in Maryland, where official cigarette sales plummeted from 276 million packs in 2007 to just 202 million in 2008. Maryland Comptroller Peter Franchot's office admits that cigarette smuggling has increased dramatically, even though it's a felony punishable by up to two years in prison.
The comptroller's office predicts even more smuggling if the cigarette tax is raised again without a corresponding increase on the enforcement side. But the cost would further erode returns while making criminals of people whose only crime is trying to escape punitive taxation on a completely legal substance.


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|Shoulder Dystocia
|The baby's shoulder is lodged behind the mother's pubic bone.
|Copyright © Nucleus Medical Media, Inc.
|Narrow Pelvic Opening
|Copyright © Nucleus Medical Media, Inc.
The American Congress of Obstetricians and Gynecologists http://www.acog.org/For%5FPatients
American Pregnancy Association http://www.americanpregnancy.org
The Society of Obstetricians and Gynaecologists of Canada http://www.sogc.org
Women's Health Matters http://www.womenshealthmatters.ca
American College of Obstetricians and Gynecologists. Shoulder dystocia. American College of Obstetricians and Gynecologists. Practice Bulletin No. 40. 2008.
Cesarean section. EBSCO DynaMed website. Available at: http://www.ebscohost.com/dynamed/what.php. Updated September 2, 2013. Accessed September 5, 2013.
American College of Obstetricians and Gynecologists. Fetal Macrosomia. ACOG Practice Bulletin No.22. Accessed December 17, 2012.
World Health Organization. Managing complications in pregnancy and childbirth: a guide for midwives and doctors. World Health Organization website. Available at: http://whqlibdoc.who.int/publications/2007/9241545879%5Feng.pdf. Accessed September 5, 2013.


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Drive-In 'Sex-Boxes' May Spread To ZurichGermany, Netherlands, Offbeat, Travel News — By David Chalk on September 7, 2010 at 10:31 am
Zurich's new police chief has received "thousands of complaints" from residents about the city's thriving red light district. So he's planning a police trip to Germany to check out a possible solution: 'sex-boxen', or drive-in boxes where prostitutes can do their thing in relative privacy and safety. The boxes were first used in Holland, and Cologne became the first German city to implement them in 2002, after which they spread to other German cities like Essen.
Jessica Francis of the Swiss daily Blick (translated from German) stresses that the Zurich policemen who are going on this German study trip "do not go for pleasure," instead they just want to study if something similar can be implemented in their city. In Cologne, the city fenced in an area about the size of a football field, provided a gate and privacy screen, and outlawed filming and photography. After the first three years, they declared the sex-boxen a success, with little violence perpetrated against prostitutes and improved health among sex workers.
Still, it's hard to picture Richard Gere and Julia Roberts falling in love in one of these:
In an interesting twist, the Zurich police department's spokesman is really named Reto Casanova. "We can't get rid of prostitution," Casanova says, "so have to learn how to control it."
So far the police department doesn't have a site in mind for Zurich's version of the boxes, but they are preparing a report for the city council on their findings.
[Images: TagesAnzieger/Blich.ch]
It's cool.
What would be these boxes called in America? f**k Boxes?
A bit confused here, will you be the service seeker or provider?
Yeah… We have it all in Holland! Haha!
How come people didn't think of these ages ago? Brilliant idea. Someone deserves to make a lot of money.
no more voyeurism on lovers lane? DAMN YOU CUBICLE WALLS
they could have a few sex boxes where clients know someone could be watching them … then have a spot for voyeurs to watch, and just charge them a separate admission Brilliant!!!
Back in the day, we called them "drive-in theaters"…
Whats wrong with paying $25/hr at a motel?
Those drive-in stalls look ugly, but so do the $25/hr motels, and I'll bet the stalls are easier to clean.
Just add a frothy brush and a hose and you can wash your car after sex.
I love Holland.
The beauty is that the driver side door can not be opened, and the passenger door has access to exit easily if the john gets violent.
Its strange, the idea first spread online from japan when booking only the boxes in europe, or only the rooms ( and this is how http://www.onlyrooms.com started. (The most booked places were easyhotels, which copied the japanese style (Capsule Hotels , which in japan was just a room and nothing else) but then they started putting youtube videos up on the site.
"We can't get rid of prostitution," Casanova says, "so have to learn how to control it."
Why get rid of it? Why control it? Set it free! Unless it's free, it's always a fertile ground for other serious criminal activity.
I had similar idea few yrs ago, but for those boxes in drive-in cinemas. Why not let people have their privacy in their own cars while watching a movie? It could be really profitable.


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Only | SAMHSA
News Home
To reach certain population subsets, LIAAC counselors must use special strategies. Men who have sex with men, for example, often express a feeling of "AIDS fatigue," which comes from having heard so much about the problem that they don't want to think about it any more.
By working through a "peer ambassador" who carries the message, counselors have succeeded in convincing many of these resistant individuals to reconsider their earlier opposition to testing. Some gay men of color proved especially resistant, despite suffering an increasing rate of HIV infection, because of traditional disapproval of homosexuality prevalent in many black churches.
Project Safety Net staff learned to work with church leaders on long-term efforts to lessen the stigma attached to HIV. They worked to solve the problem of lack of health insurance by developing memoranda of understanding with certain agencies able to provide services to uninsured clients.
LIAAC also learned that Project Safety Net needs staffers who have a passion for service rather than merely a desire for a job to earn money. The knowledge that her work is "really helping the community," for example, motivates Ms. Cabral. Also essential to counselors' success are direct experience with or membership in the affected ethnic communities, "street smarts," and the ability to fit in with the target populations. Also important are thoroughness in collecting and handling data, doing HIV testing to exacting standards, providing accurate and appropriate counseling, and safely managing the van.
These qualities all come into play as counselors work with clients both on the street and in the van, which provides a private, personal, and non-threatening setting for education and counseling.
Awaiting test results with a client, Ms. Cabral said, "I use the time to educate the people and ask questions about their substance abuse history. I let them know about services and how to protect themselves and how to reduce their risk." She also talks about the need for re-testing for those in the "window period" of several months between the time a person first acquires the infection and the test is able to detect its presence. Any positive result on the rapid test requires confirmation by the more sensitive 48-hour test, which is done in a lab.
In that case, the counselors collect the necessary sample of oral fluid and arrange an appointment with the person to present the results.
Hundreds of individuals each year also receive referrals to substance abuse treatment and other needed medical and social services as well as risk reduction and safer-sex materials; free bags of nutritious, shelf-stable foods; and free personal care kits containing soap, a wash cloth and other necessities.
Based on what LIAAC learned under the first TCE/HIV grant, furthermore, "we are incorporating a preventative case management model," said Chief Program Officer Karen Ross, M.A.
Many who test positive cannot make effective use of referrals on their own because HIV is "just one more" in an overwhelming long list of problems. "Sometimes we hear someone say, 'I have X, Y, and Z going on in my life, plus I don't have money for food on the table.' Then we work on a regular basis with that individual. We follow up on referrals and help them get connected with services," Ms. Ross said.
Back to Top
No matter what issue first brings a person into contact with LIAAC, its "no wrong door" policy assures that the full range of services is made available.
"We fast-track people into our case management system and ensure that they get the benefits that they're entitled to, primary health care, and any other ancillary services that they need," Mr. Friedman said. A 6-month followup of clients shows self-reported drops in drug use that exceed 50 percent.
Because of the lessons learned during the first 5-year SAMHSA grant, LIAAC received a second 5-year grant from the Agency that will keep the van on the streets of Long Island making its lifesaving rounds.
« See Part 1: Outreach, Testing for At-Risk Individuals
See Also—Expanding HIV Assistance
Two SAMHSA HIV/AIDS Programs Reach Those in Need »
Resources on HIV/AIDS »
HIV/AIDS Consumer Guide
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Treating Alcohol Dependence: Advisory
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In addition to printing and viewing your local deals vouchers, you can now easily
manage your location, free subscriptions and credit card details.
Secure access to My Account requires a password. If you have not yet created a Travelzoo password, we will ask you to go ahead and set one up.
From £43 per person, stay in an apartment in the heart of a nature reserve, close to a Blue Flag beach. Rates at the Formosa Park Apartment Hotel are 30% cheaper than we've found elsewhere.
The price includes buffet breakfast and three nights in a 1-bedroom apartment, which sleeps up to four guests (three adults or two adults and two children under 12). Apartments have fully equipped kitchens and balconies overlooking the swimming pool or landscaped gardens.
The resort is near the town of Almancil in the Ria Formosa Nature Reserve, a protected Area of Outstanding Natural Beauty. It's 750 metres from the nearest beach and a 25-minute drive from Faro International Airport. There's a restaurant that serves international cuisine, as well as a TV room and a bar with a terrace overlooking the swimming pool.
This offer is valid for stays until 31 October. You may need to be flexible to get the best rate.
Not available in August.


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The Street Photographer Captures Tyson, Trump and the Blood Soaked Glitz of 80s Boxing
NY filmmaker and photographer Cheryl Dunn reveals a trove of exclusive images from the glitzy heyday of 80s and 90s boxing, featuring heavyweight superstars Mike Tyson alongside legend Muhammad Ali and magnate-turned-TV-personality Donald Trump. Printed in the upcoming issue of graphic sports and culture periodical Victory Journal, Dunn's photo narrative is accompanied by a vivid oral history, as she recalls the ruthless, high stakes world of boxing. Inspired by the phrase "for love or for money", Victory Journal's third issue is editor Christopher Isenberg's swing at "the way 60s Esquire would cover sports." For him these 20-year-old images of fight fashion "are now different enough that you can see the contours of that era at large." Gaining exclusive access via a club owner with a crush on her sister, Dunn was punching above her weight in the scrum of ringside photographers to shoot legends like Tyson, "Merciless" Ray Mercer, Al "Ice" Cole and Charles "The Natural" Murray. Driving a dilapidated champagne pink Cadillac to exhibition fights at Atlantic City casinos and Ramada Inn ballrooms, the artsy tomboy won the hearts of her battle weary subjects. Dunn also turned her cameras to Trump's casino ladies and the homespun bling of ring card girls. Here she talks about the guts and glory of it all.
What's the biggest difference between how boxing was presented and consumed back then versus now?
At that time, the only way you could view a heavyweight fight was if you were physically there, which was very expensive. You could go to a place that had satellite TV, but it was not really accessible, which made it an exclusive spectacle. It attracted a real array of moneyed people and strange celebrities.
What were your first memories of boxing?
Boxing is very blue collar, you know. My dad and uncles were construction workers. Fights were big. That was his sport. Actually he was a Golden Gloves fighter when he was 19. I'd just hide behind his chair so my mother wouldn't make me go to bed and try to stay up late and watch these fights with him.
What was it like being with the boxers while they were training?
For that portrait of Roy Jones Jr I went to his place in Pensacola. He had this big farm with a hundred pit bulls chained up and fighting cocks. The whole audio landscape there was completely unnerving. Barking dogs, roosters just going crazy. That's where this guy lives, that's where he trains. It's complete aggression at all levels. He's absorbing that to do what he does.
Were you battling for shots with other photographers?
What magazines want is a crystal clear shot of a knock out punch, that's all. All these other guys are trying to get that shot. I was looking at the world with a much wider eye. I was turning around. I was shooting a social document of a scene, of a world.
Did the athletes carry luck charms or have routines before their fights?
It's very superstitious and completely ritualistic. Because you could be the best and have a bad night, it just takes one misstep. And if you don't knock someone out your fate is at the hands of three judges, which can be completely abstract. It's crooked, been that way forever.


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WAVERLY TOWNSHIP (WKZO) -- A collision between a van and a motorcycle that took place a week ago Sunday has now claimed a life.
Mary Jo Hendershot was riding on the back of a motorcycle driven by Kevin James Rocheleau. Both are aged 54 and from Paw Paw.
They were southbound on M-40 in Waverly Township in eastern Van Buren County when a van driven by a 38-year-old Indiana woman turned left into their path, trying to pull into a gas station.
The name of the woman driving the van has not been released because she may a face charges. The prosecutor's office has recieved the accident report and the death of one of the victims would certainly change the charges under consideration.
Hendershot was pronounced dead at Bronson Hospital over the weekend.
They were not wearing motorcycle helmets.
Alcohol was not a factor.


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Pork With Lemon Dill Sauce
1 pork tenderloin (about 1 lb)
4 slices bacon
4 toothpicks
1/4 teaspoon kosher salt
1/4 teaspoon black pepper
1/2 cup lemon dill sauce, divided
CALORIES (per 1/4 recipe) 230kcal; FAT 14g; CHOL 90mg; SODIUM 500mg; CARB 2g; FIBER 0g; PROTEIN 24g; VIT A 4%; VIT C 0%; CALC 2%; IRON 6%
Cheddar Champ
3 1/2 oz Deli aged white cheddar, shredded
2 leeks, very thinly sliced
1 cup reduced-fat milk
1 (10-oz) container cooking creme
2 tablespoons garlic herb butter
1/2 teaspoon kosher salt
1/4 teaspoon pepper
1/8 teaspoon ground nutmeg
1 package refrigerated mashed potatoes (24-32 oz)
CALORIES (per 1/6 recipe) 350kcal; FAT 24g; CHOL 65mg; SODIUM 930mg; CARB 21g; FIBER 1g; PROTEIN 10g; VIT A 30%; VIT C 4%; CALC 30%; IRON 4%
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Add items to your grocery list by clicking on the next to any item below.
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Aprons Advice
Recipe Version pork0070


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The Severe Judgment of God
Ancient Jews who knew their Scriptures understood that Jesus' crucifixion under the Romans meant that God was subjecting Him to the worst curse imaginable. But He was subjected to this curse because He bore the sin of those who trust ...Read More
Seek the Lord's Will First
When you have a problem, do you seek God in prayer and read His Word first, or do you run to a friend or magazine (even Christian ones)? While there is nothing wrong with going to friends for advice, the ...Read More
Faithless Shepherds Condemned
Daniel 9 had said the conditions of exile would be extended, and Zechariah's prophecy in today's passage confirms this. We should also see in Zechariah 10 that when God's people do not respond in faith and obedience, their rescue may ...Read More
Son of Man
Given the original context of Daniel 7, the title "Son of Man" is indeed fitting for the Son of God who became incarnate in the person of Jesus Christ. He is already sitting at the right hand of His Father, ...Read More
Christ is Risen
Since the Enlightenment, many have said the resurrection is impossible and that we can still have Christianity even if we deny the supernaturalism of Scripture. However, if Christ has not been raised then our faith is in vain (1 Cor. ...Read More
Peace with God
Being forgiven and set free from bondage to sin are not the only benefits we receive from being justified in the sight of God; we also receive peace with Him. If you have trusted in Christ alone for salvation, the ...Read More
Jesus' True Family
What place does the church family have in your life? Do you think it important to know your fellow believers or do you leave worship without meeting new people and talking to old friends? We will be spending eternity with ...Read More
God-Given Growth
There is a sinful tendency in all of us to cut ourselves off from Christ, the Head of the body of Christ and only source of life-sustaining nourishment. It may not display itself overtly in false worship as it did ...Read More
God's Will and His Mercy
John Calvin writes that we may not look for any cause of election other than God's will: "We ought particularly to notice these words to whom he wills, and, whom he wills: beyond this he allows us not to proceed." ...Read More
Providence and Prayer
Divine providence should not hinder prayer. Instead it should make us eager to intercede for ourselves and others, because we know God makes use of our prayers to accomplish His will. Consider this example: If my wife is ill, how ...Read More
DevotionalsDaily readings to encourage your heart and mind in the pursuit of God and his glory.
- All
- Angels and Demons
- Atonement
- Basic Reformed Theology
- Irresistible Grace
- Limited Atonement
- Perseverance of the Saints
- Total Depravity
- Unconditional Election
- The Church
- Church Discipline
- Church Leadership
- Creeds and Confessions
- God
- Holiness
- Sovereignty
- Heaven and Hell
- Heresies
- The Holy Spirit
- Jesus Christ
- Cross
- Incarnation
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- Systematic Theology
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- Bible Figures
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- General Reference Works
- Jesus' Ministry
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- Parables
- Prophecy
- Sermon on the Mount
- Ten Commandments
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- Controversies in the Church
- Arts
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- Creationism
- Inclusivism
- Law and Gospel
- Lordship Salvation
- Politics
- Sabbath
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- Theonomy
- Women in Ministry
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- Divorce
- Parenting
- Practical Theology
- Discipleship
- Evangelism and Missions
- Grief and Death
- Pastoral Ministry
- Preaching
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- Anxiety and Worry
- Apostasy
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- Fellowship
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- Legalism
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- Oaths and Vows
- Prayer
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- Repentance and Forgiveness
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- Service
- Spiritual Fruit
- Suffering
- Thankfulness
- Vocation
- Ancient Church
- Biography
- Reformation


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Oscars host Seth Macfarlane doesn't expect to be a winner on Sunday because he's convinced Adele's Bond theme will be named Best Song at the Academy Awards.
Bing: Oscar predictions
The funnyman's "Ted" tune "Everybody Needs a Best Friend" is nominated, but MacFarlane doesn't think his name will be called as the winner. He tells USA Today, "We will lose to Adele. Don't get me wrong, as cynical a guy as I sometimes appear to be, nothing would delight me more than to walk away with that [award], but I don't think there's a chance in hell that we will win."
Norah Jones is scheduled to perform the song at the Oscars.
latest movie news


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Drupal 7.0 Alpha 5 Released
First Drupal 7.0 beta tentatively scheduled for June 21
Drupal, the open source content management system, announced the release of its fifth alpha candidate for version 7.0. Among the rather vague list of improvements in Alpha 5 are "numerous upgrade path fixes," "numerous security path fixes, " and "lots and lots of critical bug fixes."
Elsewhere on the Drupal site, a full list of issues blocking a beta release were identified and detailed. There are 22 unresolved critical issues at the time of this writing that are upholding the beta The community is encouraged to set up the development environment and help solve said issues. Until these issues are resolved, a beta isn't happening.
The tentative timetable for Drupal 7.0 beta is tentatively scheduled for a June 21 release, but if the 22 remaining critical bugs aren't fixed, then Drupal 7.0 will get its sixth alpha.
The Drupal 7.0 alphas are intended for testing only, as the upgrade path does't work without some tinkering and none of the upgrades are transferable from one version to another.
Issue 168/2014
Buy this issue as a PDF
Tag Cloud
Mozilla Labs Shuts Down
Mozilla's product think tank sinks silently into history.
Internet Giants Launch Collaboration to Improve Open Source
TODO group will focus on open source tools in large-scale environments.
Fedora Announces New Partition Manager App
New tool will look like GParted but support a wider range of storage technologies.
Mozilla Releases a New Firefox
New public key pinning feature will help prevent man-in-the-middle attacks.
Tool Predicts Which Websites Will be Compromised
Carnegie Mellon researchers say 3 million pages could fall down the phishing hole in the next year.
SSH Key Management Guidelines
The US government rolls new best-practice rules for protecting SSH.
Knoppix 7.4 Released
Klaus Knopper announces the latest version of his iconic Live Linux system.
PHP Attack Puts WordPress and Drupal at Risk
All websites that use these popular CMS tools could be vulnerable to denial of service attacks if users don't install the updates.
Heartbleed Bleeds On
According to a report, many potential victims of the Heartbleed attack have patched their systems, but few have cleaned up the crime scene to protect themselves from the effects of a previous intrusion.
Drone Brain Goes Open Source
DARPA and NICTA release the code for the ultra-secure microkernel system used in aerial drones.


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Don't Pressure This Soda Stock
AnnaLisa is a member of The Motley Fool Blog Network -- entries represent the personal opinion of the blogger and are not formally edited.
I hope you all enjoyed your Super Bowl grub. I hope you also enjoyed the 1% stock price bump that your Super Bowl advertisers like Coca-Cola (NYSE: KO) and PepsiCo (NYSE: PEP) had and will enjoy for one more week. But don't count out SodaStream International (NASDAQ: SODA) the Israeli soda machine maker with 150 flavors of beverages (and mostly not soda.)
Is all the buzz over?
You have to admire the chutzpah of SodaStream buying Super Bowl commercial time for its commercial spoofing the Coke-Pepsi rivalry at the same time graphically showing how many bottles (500 million) using a SodaStream could save just on Super Bowl Day alone. While CBS rejected the ad (wusses!) it went viral on YouTube and I saw it on Saturday night on NBC. It looks like the $4 million they spent on the ad wasn't wasted after all. They had an alternate version that already generated controversy in Europe that played during the Super Bowl. (The Coke-Pepsi bottles exploding ad really is better.)
SodaStream has managed to power higher over the last year with some positive initiatives coming for 2013: individual flavoring packets called SodaCaps available later this year, availability at Wegman's, one of the most popular supermarket chains in the US, prized shelf real estate in Wal-Mart (the holy grail for product display-the end cap), and a big move into the emerging markets of Brazil, Mexico, and India.
The Wegman's and Wal-Mart moves are particularly significant as 15,000 US retail outlets exist, but getting into these everyday necessities stores is crucial to really reaching the tipping point. With 60,000 retail outlets in 45 countries expanding in these huge emerging markets is a huge driver. Analysts still expect a 30.35% year over year EPS growth rate over the next five years.
SodaStream is trading at a 25.14 P/E, has no debt, and has a huge 55.50% short interest. Shorts may want to ease off pressure on this soda stock before they find it explodes in their face especially before their next earnings release as they've already reported four great consecutive quarters.
Coke vs. Pepsi
You probably know that Coca-Cola is Warren Buffett's favorite beverage and stock. The stock has almost doubled since a 2005 low of $20.16 but before the 1990's it traded under $5.00.
Coca-Cola is truly expanding away from sodas into lines of functional waters, energy drinks, teas, and fruit juices. Coca-Cola is trading at a 19.62 P/E with a yield of 2.70%. It has 168 times the market cap of SodaStream. Analysts see 8.80% EPS growth over the next five years for Coca-Cola.
Sometimes when things change it is for the better. As an example of Coca-Cola moving forward maybe you remember a time when people took car trips to Florida, bringing back freshly picked oranges. Maybe you think the juice from those oranges couldn't be improved on, but Coca-Cola now has their own calculus for OJ with technology assuring the best tasting OJ year round as it moves even further from its core brands of Coca-Cola and other carbonated beverages.
Coca-Cola has 28% share of the US market for not-from-concentrate OJ. Pepsi-Cola, its rival holds 40% of OJ market share and it too, has spent years diversifying away from carbonated beverages. When it comes to soda market share simply flip the numbers for these two.
But maybe what they also need to do is go back to the original soda formula with real cane sugar for the Cokes of yore. The furor over new and classic Coke may still resonate with older shareholders as one of the biggest flubs in corporate history. The Mexican Coca-Cola with real cane sugar in a glass bottle is the hot new foodie must-have. That real Coca-Cola (and Pepsi Cola) taste is still something reviewers have said the SodaStream can't seem to duplicate.
PepsiCo also has the non-carbonated beverages as well as an ever growing portfolio of food brands, not just snacks but cereals and side dishes, too. PepsiCo is trading at a 19.50 P/E with a 3.00% yield at a 56% ratio and the share price is close to its 52 week high. It is underperforming the S& P, only up 9.25% over 52 weeks. Analysts predict the lowest 5 year EPS growth for Pepsico of these three at 3.90% per annum. PepsiCo has a respectable 26.10% return on equity but a higher percentage of debt to cash than rival Coca-Cola.
The final score
PepsiCo and Coca-Cola are reporting in mid-February and any Super Bowl bump will likely be short lived as neither's ads were anything special this year. They are good holds if you are a very long term investor but for true growth (with a little volatility) SodaStream is really gaining speed.
Yes, PepsiCo and Coca-Cola have yield and are moving away from carbonated drinks with OJ and other non-carbonated innovation (Coca-Cola) and foodstuffs expansion (PepsiCo) prove. It just depends whether you want yield or growth. It's up to you.
leglamp has no position in any stocks mentioned. The Motley Fool recommends Coca-Cola, PepsiCo, and SodaStream. The Motley Fool owns shares of PepsiCo and SodaStream. Try any of our Foolish newsletter services free for 30 days. We Fools may not all hold the same opinions, but we all believe that considering a diverse range of insights makes us better investors. The Motley Fool has a disclosure policy. Is this post wrong? Click here. Think you can do better? Join us and write your own!


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Even though Chatham County District Attorney Meg Heap and the U.S. Attorney's Office for the Southern District of Georgia will not prosecute any cases involving Savannah-Chatham Metro Police officers Sgt. Malik Khaalis and Star Cpl. Willet Williams, they're still on active duty.
Savannah Law School professor and former White House National Security Counsel Andrew Wright likened a police officer who can't take the stand to a spy who can't be trusted with classified intelligence.
"If an officer can't go in and testify in court, then they're not much use to the criminal justice system," he said. "If you worked at the department of defense and you couldn't get a security clearance, you wouldn't be much use to our national security apparatus."
So why do these officers still have jobs? WTOC asked Police Chief Willie Lovett that, but he's referring all questions to the city attorney.
City Attorney Brooks Stillwell said he's launching his own investigation into the matter.
Mayor Edna Jackson also declined to comment. Mayor Pro Tem Van Johnson said he thinks the police department can work around the handicap.
"We have a 600-member police department," he said. "We have officers everywhere. And so I would hope that there's some interim, strategic, I mean operational plan to address those types of issues."
Several council members declined to comment - except District 3 Alderman John Hall who WTOC reached by phone.
"The confidence and the trust in the department as a whole gets eroded when this situation, when these situations occur," Hall said.
So far, the district attorney and the U.S. attorney aren't saying why they don't trust these officers.
But when WTOC started digging, we found more than 1,100 pages of documents, including a Chatham-Savannah Counter Narcotics Team report alleging the officers were involved in drug activity and a Savannah-Chatham Metro Police internal affairs investigation that found insufficient evidence of violations.
The narcotics report involves a confidential drug informant, who claims he bought large amounts of cocaine from Williams' brother.
That confidential informant also claims the drug deals came with a personal police escort, according to the report.
Narcotics agents believe that escort was provided by Williams, although a police internal affairs investigation called these allegations, "not sustained," according to the CNT's report.
After the informant's tip, narcotics agents started investigating the Williams brothers and filed a 52-page report. The report says Khaalis was eager to be part of that investigation.
Several months later, narcotics agents started to suspect Khaalis was a mole - tipping off the Williams brothers that they were being watched, according to the report.
In their report, CNT agents say they obtained phone records that show Khaalis called Williams eight times while Khaalis was on a stakeout of Williams' brother.
The investigation by the SCMPD's Internal Affairs unit disputes those call records, finding, "the investigation conducted into the allegations made by the CNT and the FBI failed to prove any SCMPD violations".
Khaalis was promoted to sergeant shortly after the metro investigation wrapped up. No charges were brought against either Williams or Khaalis.
According to the narcotics team report, Khaalis failed an FBI polygraph test when asked whether he'd violated his oath of office and whether he'd tipped off the Williams brothers about the investigation.
The confidential informant passed his polygraph.
Williams declined to comment for this story. Khaalis referred questions to his attorney, who also declined comment.
Copyright 2013 WTOC. All rights reserved.
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Savannah, GA 31412
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The Phantom Tollbooth
GazetteRebecca: By Dan Crowley: In Ryder Funeral Home suit, AG says $342,000 missing from pre-paid funerals; remains of 2 people lost (link)
GazetteUMass: Boston passes landmark law for college athlete safety (link)
GazetteUMass: Will Penn State's Christian Hackenberg join this list of recent UMass opponents in the NFL? | (link) (link)
mikemoranDHG: So Crumpin-Fox is having a Skins & Fins Tourney. 9 hole skins match followed by fishing derby on No. 8 pond. Does pole count among 14 clubs?
GazetteUMass: @Tomahawkdad Just curious. I went to Westborough High
GazetteUMass: @Tomahawkdad Is Tomahawk an Algonquin Regional reference?
GazetteUMass: @P_Strohecker Neither was
GazetteUMass: RT @HoopDreamsMag: The A-10 schools are all over 2016 6'8" F AJ Brodeur of @NMHbasketball picked up an offer from UMASS today per his coach
GazetteUMass: @MikeLucci08 Correct
GazetteUMass: We have a winner. 199-freaking-five. That's hard to believe RT @BrettMauserHCBL: Kerry Collins?
GazetteUMass: @Daniel_Malone OK. Don't give it away if you googled it.
GazetteUMass: I've gotten one right answer. I'll post it when someone else gets it
GazetteUMass: @mdlevine Second rounder
GazetteUMass: @BetsyDevine too recent
GazetteUMass: @raphiellej correct
GazetteUMass: @BrianH618 Not first round
GazetteUMass: I just read something about the last time a Big Ten quarterback was selected in the first round of the NFL draft. Any guesses?
mikemoranDHG: South Hadley girls soccer with a 1-0 win over Belchertown
mikemoranDHG: Gurus is in for Week 3. Amherst and South Hadley kickoff Thursday at 7. Amherst College and Williston open too. (link)


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Product Review: Pancake Puff Pan
Late night infomercials can sometimes be ridiculously tempting. No matter how useless or flimsy the product is, somehow at 1 am, it's easy to convince yourself that you need it. Most of the time, by morning you've realized the error of your thinking.
But as embarrassing as it might be to admit, after watching ads for the Pancake Puff Pan, we didn't have those same morning realizations. Instead we kept thinking about how soft and fluffy a round pancake must be. We imagined the lemon curds and chocolate ganaches we'd fill them with. Any any thoughts of "no single use gadgets in our kitchen!" were banished by convincing daydreams of savory hors d'oeuvres and intriguing combinations.
But would it really work? That was the question that was finally answered this morning, after we were gifted the Pancake Puff Pan by a friend.
An extensive testing process (read: several batches of basic pancakes, some of which were then filled with raspberry jam) yielded promising early results.
The heavy cast iron pan has 7 divots, and there's no need to pre-season. Pour in your batter, wait for it to brown and start to bubble on the top, then use the included wooden sticks to gently turn each puff over. A few more minutes, and they were ready. Pretty easy, once we got the hang of how much batter to use (nearly full) and how to flip the puffs (gently, and quickly.) We filled up the included injector gun with raspberry jam, and filled them without any fuss or mess.
The puffs were golden brown, and soft. Just as we'd imagined, they were not unlike a freshly made doughnut, yet without the frying and extra fat.
There were some negatives:
• The pan is quite small. It's only the size of a salad plate, which means that one batch makes only a large serving for one person. Those hors d'oeuvres we dreamed about will take quite a long time to put together.
• The accompanying directions are pretty brief. Our first puff was disappointingly small, and not brown enough, because we'd followed the products terse directions. Though the commercials show using firmer ingredients like sausage in the middle, there are no directions for doing so. A injecter gun helps you add jelly, but sausage will need a bit of trial and error.
For those of you who are looking at this pan and saying it looks familiar, it's not unlike the dutch aebelskiver pan. We've heard that many of those pans need to be pre-seasoned, and can be tricky to remove the pancakes without sticking.
Whether you call them pancake puffs or aebelskiver, we think these things are delicious!
Related: Word of Mouth: Aebleskiver
13 Comments
my husband and i love that infomercial! we especially love that the basic wooden skewers they include are called 'flipping sticks.' every time we see wooden skewers at the grocery store we exclaim 'flipping sticks!'
i've never been tempted to purchase the pancake puff maker, but they do look yummy...
i love that you posted a review of it!
in japan there are similar pans for takoyaki and it looks like a fun process because you just spill batter all over the entire surface and use sticks to fold the batter over back onto the balls. a swift wrist movements flips it over and with continuous flipping they're perfect little spheres.
these are savoury though and have octopus in them, hence the "tako" in the name.
I've seen these at Target recently and was curious as to their effectiveness compared to a true aebleskiverpande (which I must point out is Danish, not Dutch!)
I actually lugged a heavy, expensive pan from Roskilde, Denmark to the states years ago. If you go to Denmark, aebleskiver is popular as a kind of walking snack at places like Tivoli (or the Roskilde Music Festival, in between bottles of Calsberg).
It's a fun treat to make when having guests over (especially nice to wake up to).
I've seen similar griddles for flat little Chinese pancakes, but the griddles are at least the size of a small bistro table. They're filled with vanilla custard or bean paste.
Indeed, that looks like an aebleskiver pan. The Dutch do have something similar, but they are smaller and flatter, sort of lentil-shaped. They are called poffertjes and are made with half wheat and half buckwheat flour, and with yeast. Poffertjes are served with powdered sugar and butter, and sometimes a sprinkling of liqueur.
I lugged a cast-iron poffertjes pan to the States. But in the Netherlands, the grocery stores sell packs of pre-made poffertjes so I'm not sure people make them at home very much. They are work-intensive to make.
When we went to Holland we tried these and they were called Poffertjes. They were wonderful but not filled with anything. Just plain with powdered sugar and syrup.
When I saw this commercial late at night I thought "Oh, that's just a poffertjes pan...how silly to try to sell them with 'flipping sticks'". Then I thought "mmmmmmmm poffertjes" and thought about ordering one.
I've never seen that infomercial, but it is exactly the same as an aebelskiver pan. They do take time to make, just like pancakes or waffles but are pretty tasty. My family puts the oil in the center to keep it hot and brush it in each "divot" every once in a while. Really once the pan is decently seasoned you don't need that much oil. My mother sprinkles powdered sugar on them sometimes and we always serve them with jam. It's interesting to see a traditional dish repackaged on an infomercial.
In Denmark you'd turn them with a knitting needle, not a flipping stick.
Can i just say those look SO GOOD, but this is a girl that just gave away my wafflle maker becuase as much as i love eating them i hate fussing over the pan.
abelskiver! yum....
pan was passed down from husbands grandmother.
no one knew what the heck it was for and when i exclaimed abelskiver.... they said it was yours! this was at his grandmother's house closing, and i was watching a lot of food network!
it's cast iron and tricky.... first batch sux. just like pancakes, then... everything is good! strawberry rhubarb jam is the best! and then sometimes blueberry jam!
syrup is good too!
Hi there, I accidently stumbled up on this review. The pan you talk about and see in the picture is a Danish apple pancake pan. A Dutch 'poffertjes' pan has either 14 or 19 divots. There's a poffertjes batter mix on the market, and all you need to ad to it is water (maybe milk too, but I'm not sure. It's been a while since I used it). Anybody who is interested in purchasing such a pan can google 'poffertjes pan' and it will come up with lots of stores where they can be ordered on line, as well as the mix in several cases. Usually the poffertjes are served with melted real butter on top and powder sugar. Some additional drops of rum make it even more yummie. Be creative! They are fun to make and kids love em... as well as adults as far as I'm concerned. Have fun and enjoy this Dutch treat! :-)
Hmm...I wonder if I can be a cheapskate and replicate this with an egg poaching pan...


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CHRISTINA AGUILERA recently spoke about her upcoming departure from "The Voice" and she reveals she's going to miss ADAM LEVINE.
"The Voice" not only encourages friendly competition and on screen bickering between celebrity judges, it also forms some of the best and unusual friendships. And as it turns out, it's her friendship with her "frenemy," Adam Levine, that she'll miss the most when she leaves the show.
Although her recently announced departure also helps her focus on her upcoming album—which features her newest solo single, "Your Body"—the singer says "it's bittersweet."
Christina told E! News:
"I so enjoy being a coach to my team on The Voice [and] and at this point in season three, all of us coaches have truly bonded."
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I read that article earlier tonight. Good read. It just kept on getting longer.........and longer...........and longer.........and longer......and longer.
But definately a good read
I read that article earlier tonight. Good read. It just kept on getting longer.........and longer...........and longer.........and longer......and longer.
But definately a good read
Here is another catching prospect of ours who has been doing really well with the stick thus far.
#25 Carlos SantanaCode:Team League AVG G AB R H 2B 3B HR RBI TB BB SO SB CS OBP SLG OPS INL CAL .298 35 121 22 36 15 2 1 29 58 22 19 2 1 .403 .479 .882
5-11 170
Originally Posted by Baseball America
Ok ASU what do you know about Luis Maza?
Luis Maza Statistics (Minor Leagues) - Baseball-Reference.com
I'm assuming he has a sweet glove which has kept him around.
Melville is a HS righty from Missouri.Jonathan (Los Angeles, CA): Hey Keith. Any idea what the Dodgers will be looking for in the draft, and who might be available when they pick?
SportsNation Keith Law: (1:06 PM ET ) Their preference is always for the high-ceiling player with some degree of polish. Doesn't always work that way, but that's what they like. I could see them going after an Aaron Hicks, and I know one of their national guys loves Tim Melville.
Melville would be awesome, but we'd really have to hope that he falls to 15.
Well, BA took their first shot at a mock and Callis has Melville going 20th.
Here is our projected pick:
15. DODGERS. In the six years that assistant GM Logan White has run the scouting department, Los Angeles has used four of its top choices on high school pitchers. If no one else has bought into Hicks huge upside, the Dodgers might not be able to resist. They could pick Hicks and send him out as an outfielder, too.
Projected Pick: AARON HICKS.
Baseball America chatTriple-A Las Vegas 3B Andy LaRoche (Dodgers) is all dressed up with nowhere to go. Back from surgery to repair a thumb ligament, the 24-year-old is tolling in Triple-A while rookie Blake DeWitt continues to set the National League ablaze. LaRoche, taking advantage of hometown Cashman Field, batted .308/.591/.769 (4-for-13) this week with a pair of home runs, five RBIs, six runs, a strikeout and nine walks. You can't blame Pacific Coast League for their care in facing LaRoche, especially in his own park. He's batted .347/.437/.622 in Las Vegas in parts of the past three seasons
Q: Jorge from Bronx, NY asks:
Cahill is better than Kershaw! (They both are really young) Aree or disagree with that disputable comment?
Matt Eddy: Disagree. Cahill is intriguing, but Kershaw has two otherworldly pitches (fastball, curveball), a 6-foot-3 frame and a track record to match. In 37 innings this season, Kershaw has struck out 40 and not given up a home run in Double-A. Best of all, he's trimmed his walks this season. He's issued 11.
Here's a blurb from John Sickles
And something from Keith Law21) Tim Melville, RHP, Missouri HS: Opinions are starting to shift about this guy, some rate him in the top 15 still, others have him dropping out of the Top 30 altogether. I don't know what to think.
Aaron (St. Louis): I guess Melville pitched yesterday. I didn't think they would get the games in. Were you there to see it and if so what did you think?
SportsNation Keith Law: I was there. Results were great - 13 K in 5 IP and a mercy-rule win. Stuff wasn't quite what I expected: 88-93, mostly 89-91, with a good-not-great curveball. Whoever the pitching coach is who screwed up his delivery cost the kid some money.


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A year ago cartoonist Ethan Nicolle, then 29, began drawing the free-associative stories his five-year-old little brother, Malachi, concocted, and Axe Cop was born. It's the world's only comic featuring a hatchet-wielding hero, who, with the cry, "I'll chop your head off!" battles evil robots, aliens, zombies, ninjas, and every other diabolical thing you can think of.
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November 30, 2010


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El Paso, TX (UTEP) — The City of El Paso Parks and Recreation Department will host the Henry Stokes Little Bowl Youth Football Championships are on Saturday, November 23, 2013 starting at 9:00 a.m. at Austin High School, 3500 Memphis St. in the football stadium. A total of 134 teams competed in the 4 divisions chasing the gold. Game admission is $1 (ages 17 and under) and $2 (ages 18 and older). Henry Stokes was a community advocate for area youth and passed away in 2011 and the Little Bowl was renamed in his honor.
Henry Stokes Little Bowl Youth Football Championships
Saturday, November 23, 2013
Division Teams Time
Mighty Mites El Paso Bandits vs. Northeast Miners 9:00 a.m.
Minor El Paso Bandits vs. Northeast Cowboys 11:00 a.m.
Intermediate El Paso Bandits vs. Northeast Chargers 1:00 p. m.
Majors Southeast T-Birds vs. Horizon Falcons 3:00 p.m.
Scores of Saturday, November 16, 2013
Division Teams
Minor Northeast Cowboys defeated El Paso Spartans 42-8
Minor El Paso Bandits defeated. Westside Eagles 20-12
Intermediate Northeast Chargers defeated Spartans 40-12
Intermediate El Paso Bandits defeated Northeast Raiders 14-6
Scores of Sunday, November 17, 2013
Division Teams
Mighty Mites El Paso Bandits defeated Westside Eagles 38-18
Mighty Mites Northeast Miners defeated Eastside Miners 36-0
Majors Southeast T-Birds defeated Titanes De Juarez 16-0
Majors Horizon Falcons defeated El Paso Bandits 32-10
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A Mesa man who police said babysat for a 4-year-old girl is in police custody on several sex-related charges.
Robert Kay, 41, was booked into jail on three counts of sexual conduct with a minor and four other counts, including sexual exploitation of a minor, furnishing obscene materials to a minor and child molestation.
The girl disclosed the inappropriate behavior to her mother on Oct. 24, according to a probable cause statement.
Police said the victim had been exposed to Kay more than once in April, August and October.
Police served a search warrant on Kay's home on Nov. 1. Officers said they discovered an obscene video of Kay and his girlfriend on his cell phone.
On Wednesday, forensic detectives said they discovered an obscene video on Kay's external hard drive that had been seized during the search warrant.
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Nest Nevil
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Analogue watch in stainless steel by TRIWA. Dial face has logo and two smaller stopwatches that show hours and seconds. Metal buckle fastening. Punched logo. Water resistant up to 100 meters (10 ATM). Comes in a box with logo and lid.
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