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The MASA Media Library contains professional development videos and podcasts. These resources come from MASA members and business affiliates. New submissions are welcome. If you would like to record a podcast, use our suggestion form. You must be logged in to access this content.
Tuesday Tip 11-18-14
November 18, 2014
Tuesday Tip 11-4-14
November 4, 2014
Tuesday Tip 11-4-14
Tuesday Tip 10-21-14
October 21, 2014
Tuesday Tip 10-7-14
October 7, 2014
Tues Tip Audio 052014
May 20, 2014
Dr. Cook-Robinson's Remarks at the 2014 MASA Midwinter Conference
February 27, 2014
2013 Michigan Superintendent of the Year, Dr. Cook-Robinson, reflects on her experiences, shares her learning's, and projects her vision of the future at the MASA Midwinter Conference.
February 13, 2014
Superintendent Doni Pummell, along with Sean Theisen and Matt Alexander, share the Clare Public School's WatchDOGS program–"DOGS" being an acronym for "Dads of Great Kids" –a program run by and for dads, targeting and empowering males to take a more active role in the school lives of their students.
Oxford Community Schools' Academy of Engineering & Technology and Middle School Pre-engineering Program
February 13, 2014
Dr. William Skilling and Dr.
College Readiness through Personalized Blended Learning
February 13, 2014
Gabriella Meyers, Mary Johnston, and Catherine Einhaus from Utica Community Schools describe how personalized blended learning increases college readiness in their schools.
Utica Center for Science and Industry (UCSI)
February 13, 2014
Jill Rilley and Stacey Knoll from the Utica Community Schools, discuss how it's succeeding in its goal to bridge the "skills gap" and develop a technically skilled future workforce to keep jobs and talent in Michigan through the Utica Center for Science and Industry program.


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How To Kick Your Caffeine Habit
Are you looking to kick the caffeine habit? The advice that I give to each of my patients is that there are two general ways to go about cutting caffeine out: (1) stop cold turkey or (2) decrease your consumption gradually over a few days or a week. Whichever way you chose to start, these 5 tips will help you kick the habit for good!
Start on your day off
Likely you will feel a bit tired if you have been relying on caffeine for your energy. You may even get a headache, which is a classic sign that your body was dependent on caffeine. For this reason it's best if you can start on your day off or the weekend that way you can sleep in, relax, and nap if needed.
Drink water
Drink at least 64 ounces of purified water. Staying hydrated will help prevent that caffeine withdrawal headache as well as flush toxins from your system.
Drink tea
Enjoy unlimited amounts of herbal tea; there are hundreds of delicious blends to choose from. One 8-ounce cup of green tea is okay as well. Yes, green tea does have some minimal caffeine however the health benefits of the antioxidants in green tea out weigh the minimal amounts of caffeine. Be sure to stick with only one cup a day or 8-ounces of green tea.
Get moving
Get your body moving! Go to the gym, for a walk or a hot sweaty yoga class. Sweating will help to release the toxins from your system and exercise helps to release the endorphins that keep us upbeat and happy.
Grain alternatives
There are several companies that make coffee alternatives made from barley, rye, malt and chicory. These taste very much like coffee and can be a fabulous alternative to coffee. However, if you are celiac or gluten sensitive, please avoid these.
Photo Credit: Shutterstock.com
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About the Author
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Showing All "The Flaming Lips" Posts
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The Flaming Lips have been extra generous this year. The Oklahoma fearless freaks stayed so busy releasing music that we interviewed Wayne Coyne (twice, and that's not counting his Turntable…   Read Story »
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Starting today we're rolling out the winners of the Gummy Awards, Stereogum & Videogum's annual readers' poll. Earlier this month we asked you to vote for 2013's best album, song, music video, new…   Read Story »
Dec 12th, 2013 2 Comments
Mark Linkous, the man behind Sparklehorse, committed suicide in 2010, and now Box Of Stars, a nonprofit that raises mental health awareness, hopes to honor him with a new tribute album called Last…   Read Story »
Dec 9th, 2013 5 Comments
Back in February we wrote about the Flaming Lips and friends' plans for a track-for-track tribute to the Stone Roses' self-titled debut album. Then last month, Wayne Coyne revealed the tracklist…   Read Story »
Nov 15th, 2013 3 Comments
When I chatted with Wayne Coyne earlier this month there was so much to cover that we didn't even get around to the Flaming Lips' promised LP-length cover of the Stone Roses' self-titled debut --…   Read Story »
Nov 14th, 2013 6 Comments
Well, that was fast. In September, Instagram removed the account that belonged to Flaming Lips frontman Wayne Coyne, since Coyne kept violating the site's rules by posting images of naked people and…   Read Story »
Nov 7th, 2013 25 Comments
Lately, the Flaming Lips have entered a strange career phase: They announce some outlandish, ridiculous plan, like releasing songs via gummy skull, and then they actually see that idea through to…   Read Story »
Q&A: Wayne Coyne On The New Flaming Lips EPs, Passing Off The Space Bubble To Diplo, And His Rivalry With Arcade Fire
Oct 31st, 2013 6 Comments
We already spoke to Wayne Coyne once this year and turned him loose on the turntables, but the Flaming Lips have had such a whirlwind 2013 that they merit yet another check-in. Since releasing The…   Read Story »
Oct 29th, 2013 8 Comments
The Flaming Lips and Tame Impala continue their creative back-and-forth that started with 2012's Heady Fwends with a video for the Lips' cover of "Elephant." They've already announced the release of…   Read Story »
Oct 24th, 2013 2 Comments
My Morning Jacket will launch a brand new music festival in Playa Del Carmen (near Cancun) this January called One Big Holiday. They are billing it as "a 4-night concert adventure...that features 3…   Read Story »


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British and Irish cinema names from a certain period seem to come from a pool that includes The Odeon, The Curzon, The Savoy, The Adelphi (maybe you can think of more). Where did these names come from? Are they prevalent in any other English speaking countries?
The Savoy cinema opened in 1920 in Bradford/UK.
The Savoy Theatre opened in 1881 in London on the site of the old Savoy Palace.
The Savoy Palace was built on the land granted to Peter II, the Count of Savoy in 1246.
I'd say that the cinema name was derived as follows:
Count of Savoy > Savoy Palace > Savoy Theatre > Savoy Cinema
Apparently, it's just a family name. Note that this was not the original name of the cinema. The original name was "Picture House".
Note: Odeon and Adelphi are already on FordBuchanan's interesting answer.
Odeon is derived from the name for an ancient Greek building used much like a contemporary convert hall. It was used as a name for cinemas in Italy and France before the Odeon chain was set up in the UK in the 1930s.
The Adelphi Theatre in London was named after a terrace of houses that used to be opposite, Adelphi Buildings. The area took the name Adelphi, and the theatre from that. As with Odeon and Savoy, names of cinemas were often taken from existing names for theatres.
The Curzon in Mayfair, London, takes its name from the street where it is located. As it opened in the 30s, I'd imagine that other Curzons are named after it.
I believe there are a number of Odeon cinemas in the US, but never heard tell of the others.
One of the very early cinema chains in the US was the Biograph Theater, and I believe they spread to other English-speaking countries. There are at least two left in the US, in Washington DC, and Chicago.
I am wondering what the music halls which preceded the cinemas were called. Similar names?
Music Halls were often different. Palladium, Lyceum Empire are three that come to mind.
protected by tchrist Oct 1 '12 at 3:50
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Hsieh Wen-Son
Assistant Professor of Oncology
Consultant in Oncology and Investigator at Johns Hopkins Singapore
Clinical Interests
Dr. Hsieh practices with Johns Hopkins Singapore in the Tan Tock Seng Hospital in Singapore. His specialties are Lymphomas and Head and Neck cancers.
Research Summary
Molecular Pathogenesis of Epstein-Barr Virus (EBV)EBV is a ubiquitous herpes virus associated with a variety of tumors, including Burkitt's lymphoma, nasopharyngeal carcinoma (NPC), nasal lymphoma, posttransplant lymphoma, Hodgkin's disease, and AIDS-lymphoma. EBV is a transforming virus and can immortalize B-cells and cause lymphoma in various animal models. Virtually all NPC harbors EBV, regardless of geographic distribution, ethnic origin and the local prevalence of the disease. The presence of EBV in NPC provides us with a novel diagnostic and therapeutic target.
Dense CpG methylation silences the transcription of EBV promoters and plays an important role in the regulation of EBV latency. The EBV promoters driving immunodominant viral proteins are suppressed by hypermethylation in tumors, and thus EBV can escape from host immune surveillance. This suppression is reversible by treatment with demethylation drugs such as 5-azacytidine and can be developed as a therapeutic strategy.
Epigenetics of Nasopharyngeal Carcinoma (NPC)Carcinogenesis is a multistep process and involves the disruption of multiple genes by either genetic or epigenetic mechanisms. NPC is a major tumor killer for Chinese in Southeast Asia. It is the fifth most common tumor in males in Singapore. Both environmental (such as EBV) and genetic/epigenetic factors have been suggested to contribute to its pathogenesis. Aberrant hypermethylation of tumor suppressor gene (TSG) promoters can silence their expression, resulting in the loss of TSG functions and contributing to tumorigenesis. Pharmacological demethylation of TSG promoters can activate TSG expression and restore TSG functions. We intend to identify new TSG candidates that are inactivated by hypermethylation in NPC, by using various subtractive, cancer genomics and microarray analyses. We further aim to study the regulation and functions of these genes and use them to develop molecular diagnostic and therapeutic strategies toward this tumor.
We are also interested in fundamental epigenetic study, such as the aberrant methylation in DNA methyltransferase (DNMT)-deficient ICF cells and somatic cells, and the identification of new DNMT homologues.
Journal Citations
Murray, P. G., Qiu, G. H., Fu, L., Waites, E. R., Srivastava, G., Agathanggelou, A., et al. 2004. Frequent epigenetic inactivation of the RASSF1A tumor suppressor gene in Hodgkin's lymphoma. Oncogene 23:1326-1331.
*Chan, A., *Tao, Q., Robertson, K. D., Flinn, I. W., Mann, R.B., Klencke, B., et al. 2004. Azacitidine induces demethylation of the Epstein-Barr virus genome in tumors in patients. J. Clin. Oncol. 22:1373-1381. [* co-first authors]
Ying, J., Srivastava, G., Gao, Z., Zhang, ,X., Murray, P., Ambinder, R., & Tao, Q. 2004. Promoter hypermethylation of the cyclin-dependent kinase inhibitor (CDKI) gene p21WAF1/CIP1/SDI1 is rare in various lymphomas and carcinomas. Blood 103:743-746.
Qiu, G. H., Tan, L. K., Loh, K. S., Lim, C. Y., Srivastava, G., Tsai, S. T., Tsao, S. W., & Tao, Q. 2004. The candidate tumor suppressor gene BLU, located at the commonly deleted region 3p21.3, is an E2F-regulated, stress-responsive gene and inactivated by both epigenetic and genetic mechanisms in nasopharyngeal carcinoma. Oncogene 23:4793-4806.
Lim, C. Y., Ambinder, R. F., Tan, L. K. S., Loh, K. S., Murray, P. G., Swinnen, L. J., et al. Constant epigenetic silencing of the 5'-most W promoter of Epstein-Barr virus, Wp1, in carcinomas and lymphomas including posttransplant lymphoma. (submitted)
Chen, W., Wu, J., Soo, R. A., Tao, Q., Putti, T., Tan, K.B., et al. Celecoxib coordinately regulates multiple genes involved in the initiation of mRNA translation. (submitted)


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The healthcare industry has always been quick to jump on buzzword bandwagon. As an analytics and business intelligence company; we are confronted with clients and prospects that have been romanced by new ideas and concepts. Many of these are well worth additional effort on our part. Others turn out to be convoluted ideals that are well intended, but not always completely thought out.
Of late it seems that the new Don Juan of healthcare is a combination of predictive analytics and risk scoring. Both of these functionalities have their merits; however, the expectation of the benefit to be derived is inflated.
There is a certain "carnival fortune teller" mystique to predictive analytics. If we can see the future, then we can cure all of the problems to come. Unfortunately, the future is based upon the present, which in turn is based on the past. If you do not understand what is happening to your population now, if you have not learned from their past; how can you hope to alter the future?
Risk scoring is simply a combination of patient demographics, lifestyle choices, and comorbidities. Compiling all of this information leads to a score that indicates your sickest individuals, presumably both now and in the future. By throwing a number against a person, we supposedly can address who requires the greatest resources. The problem is that a number is not an individual. We need to remember that healthcare consumption is also impacted by social, economic, and emotional overtones!
Step outside of healthcare for a moment and ask any IT or operations manager what one characteristic is shared by their most successful and effective software. The answer they will share with you is that it is purpose-driven and actionable. In short, analytics results are simply information. By being able to take action on that information, you reach knowledge. By measuring the results of that knowledge application, you attain wisdom!
The major problem with the two topics we have addressed so far is three-fold. First, risk scores and predictive analytics have to be built off of a solid data foundation. If you cannot get to all of the data for an individual, you are getting only a partial picture. Second, even if you can get all the data; more than likely a large portion of it reflects dubious data quality. Third, presuming that you have all the data and it is of the highest quality; you still only have a static picture. In short, the actionable component is missing. Nothing changes if all you do is look at graphs and gauges, the entire time wringing your hands!
The taste and appeal of the sandwich always lies in the secret sauce; so here is some hush-hush insight into your population health. There is a magic way to reduce risk scores and to make your predictive analytics rosier. By taking action on care gaps you can directly affect outcomes. Do not measure risk; rather, reduce it! Do not predict outcomes; instead, create them! Use todays analytics to surface care gaps, to communicate the gaps to care teams, to engage the provider and the patient, and to deliver the right care at the right time by the right provider in the right setting.
We agree whole-heartedly that risk scoring and predictive analytics have their place in the healthcare ecosystem and that they deliver value. However, it is time for healthcare to stop reacting and instead start responding. In its simplest form, plug the care gaps and you will alter the risk score and the future. By using analytics to determine what those gaps are; you accomplish a simple, yet honored goal called the Triple Aim. You will improve quality, lower costs, and provide a better experience for patient and provider alike!
Here's an alarming fact: the meaningful use dropout rate is already 17%.
A recently published assessment of the government's April EHR attestation data revealed that 17% of the providers who earned an $18,000 EHR incentive in 2011 did not earn the $12,000 second incentive in 2012. Although the analysis was performed by the venerable Wells Fargo, my immediate response was, "That's impossible! They must have miscalculated the data."
So I crunched the numbers for myself, and to my astonishment, the conclusion is absolutely correct. A staggering 17% of the providers who succeeded at demonstrating meaningful use for 90 days were unable to sustain that performance for a full year—the second required reporting period—despite the fact that the program's requirements remained exactly the same and the providers already had the necessary workflows in place to support those requirements. What makes this fact even more troubling is that the 2011 attesters were typically the early EHR adopters and therefore most experienced in the use of the technology.
A 17% loss rate in any business is wholly unacceptable, and this failure does not portend well for the future of the EHR Incentive Program. If $12,000 proved to be insufficient motivation for physicians with meaningful use experience to meet the relatively low requirements of Stage 1 on an ongoing basis, it would be foolish to expect physicians to muster the wherewithal to meet the increasingly demanding requirements of Stage 2. The incentive for a year's performance at that point will be a mere $4,000.
Compounding this finding is the fact that 14% of physicians who attested to Stage 1 have already stated that they have no intention of attesting to Stage 2, according to another recent survey. And we can be sure that this number will rise as physicians begin to familiarize themselves with the labyrinthine requirements. If physicians are not motivated by the remaining incentives, it's equally clear that the imposition of penalties for noncompliance will yield no better results. There is already a groundswell of objections to the penalties, including a bill introduced in the House seeking numerous exemptions, letters from AMA and AHA, etc.
So, is this the beginning of the end of meaningful use? What is keeping physicians from continuing to participate in the program? Are they bailing or failing? In either case, it is just too complicated—physicians are demonstrating that they are not willing to divert their attention from treating patients to consistently devoting the time necessary to keep track of the myriad measures on which they must successfully report. Instead of making meaningful use increasingly complex, we need to simplify it—focus on interoperability and leave the physicians and their clinical staffs to practice medicine. If we do not, the entire program will go down the drain. Let's not throw the baby out with the bathwater!
Healthcare has always been infatuated with new buzz words and sexy concepts. Case in point; do a search on your favorite search engine using this string: "healthcare big data." My own test of this search yield 136 million results on Google. In fact, just in the past 24 hours; over 1000 new results have made it onto Google. Apparently writing about big data has become big data in and of itself! Ah, the irony!
As a society, we Americans have a tendency to believe that more is better. That said; our supersize mentality has led to an obesity epidemic that shows no signs of relenting. Case in point; the contents of a children's Happy Meal was the actual adult portion in the 1970's!
We in the healthcare profession have fallen prey to this enigma. We assume that if we can get our hands on endless volumes of data; somewhere in there we will discover the magic bullets that enhance quality and reduce costs, all the while creating happy patients and providers! Big data mean big results, right? Wrong! In short, big data is getting in the way of the big picture. That big picture is providing the right care, to the right person, at the right time, by the right provider, in the right setting!
Perhaps it is worthwhile to assure that we all understand the meaning of big data. By pure definition: Big data usually includes data sets with sizes beyond the ability of commonly used software tools to capture, curate, manage, and process the data within a tolerable elapsed time. If you are a multinational fast-food chain trying to determine how many Tweets were written about your competitor's new sandwich; then you are dealing in big data. If you are trying to map the entirety of the human genome, you need a big data approach.
Big data is three-dimensional; made up of the "Three V's." Volume is the amount of data. Velocity is the speed at which data moves in and out. Finally, Variety is the range of data types and sources. Let us now compare healthcare data to social network data, in light of the big data paradigm.
Volume – The average person Tweets about 1,600 times per year, yet only sees a physician 3.2 times in the same year. Suddenly, healthcare data volume seems insignificant.
Velocity – Every year, Facebook users make over 20 billion status updates, yet the number of healthcare transactions in the same year comes in at 1.2 billion. It appears that healthcare data is low velocity.
Variety – Claims records follow one of three formats (ANSI X12 837, 835, and 834) and provider electronic health record or HIS systems capture a limited number of fields, numbering perhaps in the thousands. By contrast, Amazon has well over one million SKUs. There goes the variety argument with respect to healthcare big data.
The fact that healthcare data does not pass the Three V's test, comparatively speaking; one has to wonder what our collective fascination is with big data. Why are we entertaining the use of Hadoop, massively parallel processing, and storage devices that can handle petabytes? Again, one would be inclined to believe that the more data you grab; the more likely you will find a way to increase quality and / or lower costs. That is a case of faulty logic!
If a provider or payer can identify one diabetic who has not had an A1c test in over a year; the chance of them showing up at the ED in diabetic shock are lessened. If a diabetic who is not adhering to the medication regimen can be identified; the chance of them experiencing a lower limb amputation is lessened. If I can isolate the diabetic who has not had a recent vision exam; chances are I will lower the odds that they will have future retinopathy.
By identifying the gaps in care described above for diabetics; we can assure three specific results. First, we will enhance the provider and patient experience. Second, we will improve quality of care. Third, we will lower overall costs for the system. Sound familiar? It should! We just described the goals of the Triple Aim.
Do we need advanced query and analysis tools to meet this goal? Do we need to invest in massively parallel processing software and hardware? Do we need storage so large that it becomes unfathomable?
Give me a RDBMS or SQL database, a single server, and a true analytics solution. I will find those gaps in care, deliver the results to case and care managers, and actually enhance my population outcomes. All of this will be accomplished without having to super-size my analytics meal!
"Large collections of electronic patient records have long provided abundant, but under-explored information on the real-world use of medicines. But when used properly these records can provide longitudinal observational data which is perfect for data mining," Duan said. "Although such records are maintained for patient administration, they could provide a broad range of clinical information for data analysis. A growing interest has been drug safety."
In this paper, the researchers proposed two novel algorithms—a likelihood ratio model and a Bayesian network model—for adverse drug effect discovery. Although the performance of these two algorithms is comparable to the state-of-the-art algorithm, Bayesian confidence propagation neural network, by combining three works, the researchers say one can get better, more diverse results.
via www.njit.edu
I saw this a few weeks ago, and while I haven't had the time to delve deep into the details of this particular advance, it did at least give me more reason for hope with respect to the big picture of which it is a part.
It brought to mind the controversy over Vioxx starting a dozen or so years ago, documented in a 2004 article in the Cleveland Clinic Journal of Medicine. Vioxx, released in 1999, was a godsend to patients suffering from rheumatoid arthritic pain, but a longitudinal study published in 2000 unexpectedly showed a higher incidence of myocardial infarctions among Vioxx users compared with the former standard-of-care drug, naproxen. Merck, the patent holder, responded that the difference was due to a "protective effect" it attributed to naproxen rather than a causative adverse effect of Vioxx.
One of the sources of empirical evidence that eventually discredited Merck's defense of Vioxx's safety was a pioneering data mining epidemiological study conducted by Graham et al. using the live electronic medical records of 1.4 million Kaiser Permanente of California patients. Their findings were presented first in a poster in 2004 and then in the Lancet in 2005. Two or three other contemporaneous epidemiological studies of smaller non-overlapping populations showed similar results. A rigorous 18-month prospective study of the efficacy of Vioxx's generic form in relieving colon polyps showed an "unanticipated" significant increase in heart attacks among study participants.
Merck's withdrawal of Vioxx was an early victory for Big Data, though it did not win the battle alone. What the controversy did do was demonstrate the power of data mining in live electronic medical records. Graham and his colleagues were able to retrospectively construct what was effectively a clinical trial based on over 2 million patient-years of data. The fact that EMR records are not as rigorously accurate as clinical trial data capture was rendered moot by the huge volume of data analyzed.
Today, the value of Big Data in epidemiology is unquestioned, and the current focus is on developing better analytics and in parallel addressing concerns about patient privacy. The HITECH Act and Obamacare are increasing the rate of electronic biomedical data capture, and improving the utility of such data by requiring the adoption of standardized data structures and controlled vocabularies.
We are witnessing the dawning of an era, and hopefully the start of the transformation of our broken healthcare system into a learning organization.
I believe if we reduce the time between intention and action, it causes a major change in what you can do, period. When you actually get it down to two seconds, it's a different way of thinking, and that's powerful. And so I believe, and this is what a lot of people believe in academia right now, that these on-body devices are really the next revolution in computing.
I am convinced that wearable devices, in particular heads-up devices of which Google Glass is an example, will be playing a major role in medical practice in the not-too-distant future. The above quote from Thad Starner describes the leverage point such devices will exploit: the gap that now exists between deciding to make use of a device and being able to carry out the intended action.
Right now it takes me between 15 and 30 seconds to get my iPhone out and do something useful with it. Even in its current primitive form, Google Glass can do at least some of the most common tasks for which I get out my iPhone in under five seconds, such as taking a snapshot or doing a Web search.
Closing the gap between intention and action will open up potential computing modalities that do not currently exist, entirely novel use case scenarios that are difficult even to envision before a critical mass of early adopter experience is achieved.
The Technology Review interview from which I extracted the quote raises some of the potential issues wearable tech needs to address, but the value proposition driving adoption will soon be truly compelling.
I'm adding some drill-down links below.
Practices tended to use few formal mechanisms, such as formal care teams and designated care or case managers, but there was considerable evidence of use of informal team-based care and care coordination nonetheless. It appears that many of these practices achieved the spirit, if not the letter, of the law in terms of key dimensions of PCMH.
One bit of good news about the Patient Centered Medical Home (PCMH) model: here is a study showing that in spite of considerable challenges to PCMH implementation, the transformations it embodies can be and are being implemented even in small primary care practices serving disadvantaged populations.
It's years ago, but I still remember the reception I received when during my first large-scale NHS IT implementation I suggested that doctors might like to record outcome information. I can still recall the smell of my singed fingertips. Until recently, the NHS has been obsessed with recording process data fitting an organization with its roots still in the mid-twentieth century.
I have this guy I hired about a year ago named Max. Max is awesome not only because of the work that he does on our marketing team, but also for things like his family (his mom is the super-woman Judy whom I love), his bow-ties, his ability to handle strange travel delays and his stories and wise sayings. In honor of Max, and to make up for, in some small way, that his whole family is in London and he had to stay home because he has a JOB, this is a blog post about one of those bits of wisdom. Somehow his single sentences hold clarity and meaning in a way that only Max can convey. Why is it number 501? Because it can't be his first (it's way to insightful) and I know it is one of many.
Recently we were working with a client and we had trouble getting them to be in the present. There was all this talk and focus around what their system USED to do. No one wanted to think about what it was STILL doing or needed to do in the future. No one was able to see that the goals of the retiring system were different now that it has been replaced by Epic. It was quite frustrating.
Then Max says:
it's like looking in the rear view mirror to drive forward
And that is EXACTLY what it was. When you put it like that, everyone lights up because THEY GET IT. While looking in the rear view adds value, and lets you reflect on where you have been (which is important), you CANNOT look in the rear view to drive forward. You have to be looking at the front window in order to move on and get to where you eventually need to be. You HAVE to face the reality of the road in front of you. You have to remember that you have an ultimate destination and place you need to be. Everyone needs to put away the map of what the old system used to do and get out the Archive Strategy Map. It can hold some of the same sights, back roads, and detours of the original map, but it needs to be one that is driving your archive strategy forward.
Portuguese and Spanish researchers in the field of social robotics are working on the use of robots to interact with children who are hospitalized for the treatment of cancer, thereby providing emotional support.
The researchers are keen to take robots out of the laboratory and place them in a real environment. Until now, most of the research on social robotics has taken place in very controlled environments. As Professor Salichs from UC3M points out, 'The introduction of a group of autonomous social robots into surroundings with these characteristics is something new, and we hope that the project will help us to advance in the development of robots that are able to relate to people in complex situations and scenarios.'
via cordis.europa.eu
Another cause for guarded optimism about health care robotics? My hope is that it will augment the efforts of often overworked staff and allow them to better prioritize the focus of their precious attention and energy. In addition to their potential social value, robots could act as in situ surveillance devices to watch for nascent or emergent health crises. My fear is that they will be used as justification for cutting costs through staff reductions, as self-checkout lanes have done in supermarkets.
Thanks to ACM TechNews for the pointer to the CORDIS story.
If you are reading my blog, you know what my company does. Being the guys that are handling the "go dead" of an application, we are dealing with what is, agreeably, the most difficult and disappointing time for the vendor being retired.
I get it. The customers have passed you over. Putting you out to pasture. Picked someone younger, fresher, nicer, better suited to their business. Your revenues are impacted. Your market position is threatened. It makes a statement about where you are in your product lifecycle.
What I DON'T get is the attitude that comes along with it. Most HIT vendors today sell more than one product for more than one solution. Why would you treat a customer badly just because they are choosing to de-install ONE of your products at their work site? Raising their support fees? Refusing to help them? NOT GIVING THEM THEIR DATA? I just don't get it. Its like you are 12 years old and breaking up with your first girlfriend.
Do you actually think this is the right way to treat these customers? That this WON'T come back to haunt you later? Do you know how much these customers talk to each other? Have you READ HISTalk?
Think about the bigger picture here. If you are a vendor that plans to stay in business, you had better treat each and every customer or potential customer like you would want to be treated. The good old Golden Rule applies here.
The decisions have been made. You were or were not asked to present or even attend the party. Suck it up. Do the right thing. Help your customer transition to the other vendor in a positive and supportive way. Make their data accessible and understandable. Help them through technical issues. Use the opportunity to find out what you can do differently next time to be the vendor that is chosen. MAYBE, just maybe, you will get a chance to present or sell something to this customer again. And MAYBE, just maybe, they will remember the positive and professional way you handled the prior system "end of life" and take that into consideration.
Because I can promise you this – the way some of these vendors are acting – they won't even get in the parking lot, much less a ticket to the dance, even if they are the very best at what they do or sell. They are not only burning those bridges, they are nuking them.
Robot Aids in Therapy for Autistic Children
Wall Street Journal (05/01/13) Shirley S. Wang
University of Notre Dame researchers will present study findings at the annual conference of the International Society for Autism Research showing promise in the use of robots for teaching social skills to autistic children. The study, involving 19 autistic children, is believed to be the largest trial to date using robots in this way. The children interacted with a two-foot-tall robot therapist that was programmed to ask novel questions and engage children in conversation. The study participants showed greater conversational improvement with the robot than with a human therapist alone, and parents reported more significant improvement at home as well. Children interacted in six sessions with the robot as well as with a human therapist, who provided instruction on specific skills when interacting with the robot, such as making eye contact or taking turns talking. Simplified social interactions with a robot might be beneficial to children with autism, who tend to be very interested in technology but find complex social interactions challenging. The researchers hope the children will carry over the social skills to interactions with people as well, rather than just interacting with the robot.
via technews.acm.org
Monday's ACM TechNews produced this very brief but tantalizing summary of a Wall Street Journal article.
This is one of those stories that leave me very ambivalent. In some ways, my automatic reaction to our collective desire to depend more on automation in direct patient care is fear. I am afraid we are going to abandon our elderly and otherwise hopelessly disabled kin to the unfeeling arms of robots, androids, whatever. This will spare us the feelings aroused by an out-of-control psychotic spouse, an incontinent and demented parent, or a profoundly developmentally disabled child, when we must intervene and our interventions are resisted, not appreciated, or insufficiently effective.
With this story, I see the situation is not so simple. Autistic children have difficulty relating to humans with whom they are intimately involved, and their difficulties are often reflected in others' responses to them. Machines are insensitive by nature, and can be programmed to reward positive behavior and ignore the negatives. This may be a situation, as the investigators assert, where robotic intervention is not only appropriate as an alternative but can even improve the patient's situation holistically.
I don't have a WSJ subscription so I can't follow the link ACM provides to the full story, and I don't have time at the moment to poke around on the Web for alternate sources of information about this research project. I would like to learn more, and will try to pursue this when I have more time.
1. I am loyal to a fault. You want me on your side. Even if you are wrong.
2. Don't Wrong Me. That loyalty thing being said, don't do me wrong. You don't want to deal with that.
3. I take it to heart. All of it. I have a tremendous sense of right and wrong, and if I have Wronged You, I am devastated. I will do anything to make it up to you. If I am Right, you better be ready to convince me why you might be too.
4. That being said, don't take advantage. See #2.
5. You can trust me. But be able to handle the truth, because I am going to give it to you.
6. I love my dog. She is a Cavalier king Charles Spaniel and she is fat and I love her.
7. I love my kids. More than my dog, most of the time.
8. I love life and adventure and change and the next thing. I am always looking to learn more, do more, be better. And there is nothing wrong with that.
9. I worry. All the time. You can stop worrying, I have you covered.
10. I love Prosecco.
A significant portion of the physician market has still not adopted an EHR, despite the lure of government incentives and the fear of the penalties looming on the horizon. The stock prices of most publicly traded ambulatory EHR companies are down sharply, as sales are lower and earnings projections have not been met throughout the industry. How can this be, when the EHR incentive program has successfully increased EHR adoption and was expected to be such a boon to EHR vendors?
I know why, and it is not—as commonly thought—because the initial EHR-adoption rush fostered by the incentives has ended. Rather, it is because of rampant physician dissatisfaction that has reached a more-than-palpable level. I have noticed a dramatic change in the tenor of conversations with physicians, most recently at professional society conferences, where physicians who have not yet purchased an EHR are frozen in their tracks. They are worried by the horror stories they hear from colleagues—even from those who have succeeded at meaningful use—because many of those physicians continue to experience major workflow disruptions and significant productivity losses from which they see no potential to rebound. Recent surveys point to the number of physicians looking to replace their EHRs, and based on my company's experience in the replacement market, that number is growing. A recent article summarized the findings of a large study on EHR satisfaction and presented an insightful analysis of the potential reasons for these disappointing results.
This heightened level of frustration has resulted from frantic, insufficiently researched EHR purchase decisions by physicians and rushed, inadequate implementations conducted by resource-strapped vendors. Massive EHR failures are exactly what I predicted in an EMR Straight Talk post on the unintended consequences of the EHR incentive program in February 2010:
After an initial peak in implementations, long-term EHR adoption will slow—particularly among high-performance specialists—and the current failure rate will escalate. Many factors will contribute to this: (1) Some physicians will rush into EHR purchases without conducting proper due diligence. (2) Products that were overly complex and did not work in busy specialists' practices in the past will surely not succeed now, particularly since these same products must now be used in an even more structured and demanding way. (3) Sorely needed implementation and training will be provided by inexperienced and rushed implementation teams, further reducing the likelihood of success with providers, many of whom are less technologically savvy than the early adopters. (4) Where there was never a convincing economic justification in the past, the addition of data-collection requirements will further lessen the economic feasibility of traditional, point-and-click EHRs. . . . The result? The high failure rate will leave physicians "holding the bag" after investing large sums of money, failing to earn the anticipated incentives, and owning a system that doesn't meet their needs.
So, what can physicians do to avoid falling victim to EHR failure, and to instead reap the benefits of successful EHR adoption—government incentives and practice productivity? I have written extensively about the importance of physicians doing thorough and objective reference checking—that advice is as valid now as when I first wrote about it, and perhaps is even more critical today. For guidance on how to conduct a thorough and fair evaluation of an EHR, read EMR Selection: How to Uncover the Truth or 100% EHR Success – A Clinical Approach.
Well I have done it. My book Stop Saving the NHS and Start Reinventing it has been published in Kindle and paperback. It's aimed at NHS leaders and managers, but will probably interest anyone who is interested in the shape of 21st century healthcare.
The FAQ related to the Implementation of EN 62304 with respect to MDD 93/42/EEC was released by Team NB, the association of Notified Bodies.
You'll find in this FAQ many hot subjects I already mentioned in this blog:
This FAQ shows that the state-of-the-art is still evolving. But I think that it has reached a point of consistency and stability. Many questions in the FAQ hadn't clear answers one or two years back.
Keep going!
This week, six senators released a white paper, Reboot: Re-examining the Strategies Needed to Successfully Adopt Health IT, that argues that there is no evidence that the $32 billion in taxpayers' money being spent on meaningful use is returning the results it was designed to deliver. Although it would be naïve to discount the political motivation of the authors—all six being Republicans—they raise some of the same criticisms and concerns that I have written about in the past. They also make some claims that I feel compelled to dispute.
The senators have it right on these issues:
I vociferously disagree, however, with the senators' criticism regarding interoperability. Of course, we are not there yet—and clearly they are frustrated by that fact—but progress is underway toward that universally supported goal. Contrary to their claim that there are no meaningful use measures that require interoperability, there are in fact several in Stage 2, including the requirement that physicians electronically send a patient care summary for 10% of patients transitioned to the care of another physician or provider. This exchange is facilitated by the fact that all certified EHRs must communicate using the same formats.
Not only does interoperability relate to provider-to-provider communication, but it also allows for easy integration between products of different vendors, without requiring additional programming. I was recently speaking with another HIT vendor about a potential partnership arrangement, and we both talked the same language—XDR Direct for transport protocol and CCDA or HL7 in terms of content. This conversation would neither have been possible, nor would we be able to create a tight, simple interface between our products, were it not for the standards promulgated by the EHR incentive program. This kind of interoperability will ultimately be better for physicians and for their patients. The EHRA (EHR vendor association of HIMSS) hit the nail on the head: the appropriate role for government is to set the standards, but then the vendors should be free to innovate and let the market take over from there.


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HarperCollins Publishers will begin selling English language eBook titles in China through a partnership with with JD.com and China National Publications Import and Export (Group) Corporation (CNPIEC). This is the first time that the publisher has sold eBooks to consumers in China through a local retailer.
At launch, about 800 HarperCollins backlist eBooks will be available through JD.com. This includes: The Alchemist by Paulo Coelho and Divergent by Veronica Roth.
"JD.com has been a key partner in selling HarperCollins print books in China for years and we are happy to work with them on our e-book business," stated Chantal Restivo-Alessi, Chief Digital Officer for HarperCollins Publishers. "By expanding our international e-book distribution we're opening up a new market for our authors' works."
New Career Opportunities Daily: The best jobs in media.Add a Comment


text:
Like Coke versus Pepsi or McDonald's versus Burger King, some business battles will be waged forever. After all, people have strong opinions about what they put in their pie-hole. The same goes for supermarkets. Some people are die-hard Whole Foods junkies; others (as former Northeasterners know) ... More >>
Looks like the South has something else to boast about besides voting for Rick Santorum. The cover story in the May 2012 issue of Consumer Reports ranks Publix third out of a total of 52 national supermarket chains. A total of 24,203 shoppers were surveyed about service, quality of meats and produce ... More >>


text:
New Ulm Medical Center
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Ophthalmologist happy to be back in Minnesota
For Natalia Kramarevsky, MD, who joined the staff of New Ulm Medical Center Clinic in August and became its full-time ophthalmologist, family has had a big influence on her career choices. From the time she was a little girl visiting her father in the hospital, she was determined to become a doctor.
"My father had lung cancer and died when I was 12," Kramarevsky recalled. "Going to see him in the hospital, I knew I wanted to go into medicine."
Natalia Kramarevsky, MD
Many years later, while an undergraduate at the University of Washington, Kramarevsky's mother suddenly couldn't see because she had cataracts. Once they were removed, her mother's eyesight was restored. After that incident, Kramarevsky knew she would become an ophthalmologist.
Prior to joining New Ulm Medical Center (NUMC), Kramarevsky worked as an associate ophthalmologist at the Virginia Beach Eye Center in Virginia Beach. But she wanted to return to Minnesota, where she had done a residency and a fellowship, because of another family connection — she wanted to live closer to her sister and her family.
"These were all factors in my coming to New Ulm," said Kramarevsky, 47, who is excited to be back in Minnesota and embarking on a job she loves.
A nurse first
Although Kramarevsky knew early on she wanted to help people as a doctor, her career as an ophthalmologist took a circuitous route. Born in the former Soviet Union and refusing to adopt the communist enforcement in the 1980s, she was not allowed to attend medical school so she went to nursing school instead. In the early 1990s, Kramarevsky moved with her husband, Nick, and their infant daughter to the Seattle area, where he had family already living there. The next year, she enrolled at the University of Washington where, despite being an older student and mother, she earned an undergraduate degree with honors in molecular biology.
She immediately went on to the University of Washington Medical School, graduating in 1999. By this time, she was not only a doctor but also the mother of two daughters, Christina and Oxana, who are 13 months apart. But that didn't stop her from pursuing an internship at Thomas Jefferson University Hospital in Philadelphia and then doing her residency in ophthalmology at the University of Minnesota.
First job in Minneapolis
In 2003, when Kramarevsky completed her residency, she took a job as an ophthalmologist at Hennepin County Associates and Hennepin County Medical Center in Minneapolis. In 2008, she also completed a one-year fellowship in cornea, anterior segment, surface disease and refractive surgery.
While seeing patients, Kramarevsky also found time to teach other medical students as an instructor at the University of Minnesota. And, while in Virginia, she was an associate professor of ophthalmology at the Eastern Virginia Medical School in Norfolk.
When Kramarevsky received the job offer from NUMC, she found she was anxious to return to Minnesota. It was an ideal opportunity. It was more than her chance to be near family. As Kramarevsky said, "I would be able to help a community that needed a full-time ophthalmologist."
Kramarevsky believes she has the right mix of skills and experience. "I am experienced at both being by myself as an ophthalmologist and working in a big hospital and clinic," she said. Also, she added, "I enjoy being able to take care of people's needs. I love helping to save and preserve people's vision."
When Kramarevsky is not working, she enjoys spending time with family, cooking, playing piano and traveling. She also enjoys hosting dinner parties where she can serve her guests homemade dishes from her native Ukraine (borscht, perogies, cabbage salads) as well as Russian or Italian favorites. "I make good fish, but I'm not the best when it comes to Chinese food," she said with a smile.
Dr. Kramarevsky (or "Dr. K" as many of her patients call her) is looking forward to moving to the New Ulm area with her husband and the youngest of their three daughters, 13-year-old Ivana, as soon as they find the right house.
To make an appointment with Dr. Kramarevsky, call 507-217-5011.


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Have you ever heard of huffing? Its a trend resurfacing in our area, where people of all ages attempt to use household products to get high.
"One time, the lights can go out and you can pass away from it so its very dangerous, its very serious," Melissa Dotter said.
It sounds like a thing of the past, huffing, but the issue is resurfacing in our community.
"You go into a restroom and there's an air freshener in there, you pull open your desk drawer and there's dust off in your desk drawer," Dotter said, "its just something that is available, it is cheap, its a very quick high."
Melissa Dotter of the Alcohol and Other Drug Partnership says she sees instances of people using household items to get high, all to often. That use can lead to other drugs like heroin and methamphetamine.
In the past month, Marathon County has seen at least four instances of huffing, and police are making arrests.
"Its definitely something that's in the statutes for great reason because it does cause bodily harm," Dotter said, "it does cause injury not only to the person but if they are doing something like driving to the point where there is an accident."
This isn't just seen in young people. Since the products are inexpensive and readily available, people of all ages are huffing.
"I think a lot of the time we think its a funny thing to do to see how it feels and really it can have a long-term effect," Dotter said.
There are also steps the community can take to watch out for the trend.
"If you notice that your stock of things like dust off is disappearing even more quickly, start asking questions and paying attention."
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"Budget" knife recommendation needed for holiday gift
- CapreseStacy Nov 2, 2010 08:47 PM
I have a friend who is getting into cooking. I helped prepare dinner at her house a few weeks ago, and was very dismayed when I tried to chop some herbs and veggies for a dish I was contributing. Her "chef's" knife was simply awful (not just dull... downright awful. It was not a "brand" knife). I want to buy her a better knife for Christmas, but I don't want to spend more than about $40 or so. Are there any workable chef's knives out there that won't set me back a ton? I really like my own knives, (Wusthof and Cutco). I prefer my santoku over my chef's, but that's personal preference. So what I'm seeking for her is a decent 8' all-purpose type knife that won't mutilate vegetables (or whatever else she decides to cut, since this will be just about the only knife she uses) but won't cost me Wusthof or Cutco prices. Am I seeking the impossible?
I got a kitchenaid knife free as part of a promotion when I bought my stand mixer. I was skeptical as I also have Wusthof knives. It has worked beautifully and I use it a lot. I have since seen them at Marshalls and TJ Maxx reasonably priced.
Yes. Victorinox is considered one of the best valued knife.
Dexter-Russell also makes some very practical knives:
re: Chemicalkinetics
The Victorinox is an excellent suggestion. I just want to add that the rosewood handle version seems more 'gift-y' and still comes in below $40.
Sometimes even cheaper if you get it on sale. Like here:
re: cowboyardee
Good point, cowboy. I also like wood handle knvies and they do look a lot nicer. Unless of course, if the original poster's friend prefers to put the knives in a dishwasher.
re: Chemicalkinetics
Also a good point, chem.
I found a set of Henckels on sale at Macy's once a few years ago that individually would have broken down to that price point, nice balance, hold an edge.
re: hill food
Victorinox all the way. I have several Japanese knives but go to this one often as you don't have to treat it with kid gloves about cutting certain things without damaging it. I actually would take one of these over Henckels - had one years ago and vowed I'd never buy another.
re: lominator
I'm interested, I'm on the verge of resetting up a kitchen (soon, please) what I liked about the Henckels were they were a solid piece of steel from point to haft with hand grips attached, rather than a blade inserted into a handle (I couldn't tell from the photos if Victorinox does this).
re: hill food
It depends which one you get. The Fibrox series has no bolster, but I think the rosewood handle and forged ones have a bolster. My Fibrox gets all but abused in my kitchen, and is still very solid.
re: hill food
There's no bolster on either version (fibrox or rosewood). The Victorinox forged line does have bolsters and is also a good deal more expensive. All of the above are full tang.
I'm not sure whether you were referring to a bolster or to a full tang or both. There are some truly excellent (and at times expensive) knives that don't have either, so while everyone is welcome to their preferences, I'd recommend keeping an open mind if you don't already have a strong preference based on years of habit.
re: hill food
"rather than a blade inserted into a handle "
You are talking about a full tang rivet knife, right?
The idea that "only a full tang kitchen knife is stable" is a bit of an over-exaggeration. Similar to Chad Ward said, isn't it a bit odd to claim a kitchen knife has to be full tang when partial tang swords were sufficient for many ancient swordmen to bash shields and pierce armour. Modern days butchers often use knives with partial tang with no bolster because partial tang knives are believed to be more sanitary (as opposed to full tang). So, it is perfectly safe to use a partial tang knife.
re: Chemicalkinetics
The internet provides access to so many experts or those who claim to be experts, and opinions vary all over the place on issues from the sanitation of wooden handels, to bolsters, to full tangs, to stamped blades and forged blades, rivits or overmolded, it's got to be very confusing. I think Chem has a good point, you may want a full tang to split an acorn squash, but you don't need that to chop onions or slice mushrooms.
Although I believe the initial recommendations were excellent choices for the price range, one might also look at the Wusthof "Gourmet" series, stamped vs forged blade and F. Dick "Superior" series is about in the price range also stamped. US made LamsonSharp is available with a stamped blade and a rosewood handel in this price range as well. Based on some of the knives my girls have bought, I would stay away from the "Name Brand" stuff that's not a knife name brand and is made in China.
If you shop around you might find a bargan, I got my girls each a 8 pice set of Henckels Four Star for Christmas, forged blades and overmolded full tang handles for under $60.
re: mikie
Some time ago we had Paul from Paul's finest stopped by. He like the the Wusthof Butcher Series quiet a bit (yes, the name is very confusing, I know).
The Butcher series is also stamped like the Gourmet series. The Butcher line does not offer a Chef's knife. It mainly focus on heavy duty work as the name implies.
re: mikie
'"Name Brand" stuff that's not a knife name brand and is made in China'
Took me awhile to know what you meant. You mean something like a KitchenAid knife (name brand, but not knife name brand). Yeah, I tried to sharpen and played with KitchenAid knives and they have pretty "below average" blade. On the other hand, I read from several sources that the Calphalon Katana knives are not too bad. It has a deent steel (VG-1). The only problems is that the handle is wierd and it fused with the blade at some strange futuristic way -- making hand sharpening difficult.
re: Chemicalkinetics
thanks for clarifying the terminology, now I won't feel like a moron when it comes to asking for what I'm looking for...
I wasn't even thinking safety, I just like how a full tang feels in my hand. esp. when carving a bird with a good 8+ inch
re: hill food
Hi Hill,
Some people like a bolstered knife. This is a picture of a knife with a bolster.
A bolster is where the blade join the handle and many people like it because it feels good to them.
While others like a full tang knife. This is a picture of a full tang knife:
Some like to have both.
To answer your question about Victorinox rosewood. I think it is a full tang stamped knife (no bolster).
I personally disagree with the assertion from culinearyart.about.com that knives with no bolster and without full tang are horrible by definition. If that is true, then the following knives must be horrible:
re: Chemicalkinetics
This is where all that contradictory advice comes in. The person in the link definately favors full tang forged knives. Other web sites may have a slightly different opinion.
Back to a previous post, other than it's made in China, the issue with knives made in China is that you really don't know what you are going to end up with for the most part. The components are rarely cited as they are with EU, Japanese, and US manufacturers, and even if they are, there is no assurance that this is what is actually being used. In many cases, they start out with the proper components to get manufacturing approval and then switch to a less expensive component and pocket the difference. Just for the record, this is not speculation on my part, although I don't have first hand knowledge of knives being made this way, I do have first hand experience with other products made in China. Thus my typical reluctance to anything made in China.
re: mikie
The Victorinox Fibrox is an excellent suggestion and ChemicalKinetics has given such good advice I have nothing to add except that I have often given the Victorinox as a gift. I keep one in my own kitchen though my primary knives are Global. I prefer the Global but I have to say the Victorinox is a good knife. If I was to start over and choose just one, I'd definitely consider it.
re: Chemicalkinetics
That will be MS Knet, sir
re: Chemicalkinetics
Thanks CK, I always knew what type I preferred, and now I know the words!
re: hill food
:) Your welcome. So what is the type of knife you preferred? A full tang knife or a bolster knife or both?
That rosewood Victorinox is full tang I believe.
re: Chemicalkinetics
for a honking big knife - full tang, if it has a bolster so much the better but I'll live without one. for a small knife I still like full tang but don''t see the need for the bolster. basically I like a knife that I can balance on a finger right behind where the haft meets the blade and mostly have only found that in a full tang.
As others have stated, the Victorinox Fibrox knife for about $30 is a good knife for a good price. An 8" Chicago Cutlery knife is a good value and a good knife at around $20. (I bought a ten piece set of Chicago Cutlery last summer at a garage sale for ten bucks. I gave it to a niece that had terrible knives).
re: John E.
Chicago Cutlery, Tradition Series, with the wooden handles used to be a fairly good value. I've had them and bought some for my kids when they were starting out. Unfortunately, and I can't remember the web site where I read this, they are no longer made in the US and quality has fallen to the point that they were no longer recommended. The good ones have the knife model number on the handle. I came across this a while back when we were replacing our 25 year old set. My mother in law now has that set, and their still the best knives she's ever had. If it was an older set, you got a great deal.
re: Chemicalkinetics
I've actually got a couple of very old Dexter carbon steel with wooden handle knives from my grandfather's butcher shop. We don't use them, they are boning or filet knives based on their shape. I'm not sure they started out that way though, people who lived and worked through the depression had a way of making things last beyond their normal life span. I wouldn't be surprised if as they wore, my grandfather reshaped them to get the most out of them he could. ;)
re: mikie
Sure. I understand that. I think partly has to do with the depression/WW2 mentality, and partly has to do with the fact that knives were not cheap back then. Most people today can buy a set of Wusthof or Henckels ($500-1000) every single month -- not that they would want to something that wasteful, but people can do it. It is literally impossible back then because I think a set of decent knives cost more than most people's monthly salary -- I have to double check on that.
I bought a Kiwi brand cleaver type knife at an Asian supermarket in Arlington, TX for about $7. I love it and have bought several more for friends and my mother. I saw them used on Youtube. I love it and almost use it exclusively. It's great for chopping vegetables and cutting up meat as well. This should be easy to find at Asian grocery stores in your area. I think it is a common brand. It is sharp, stainless steel, holds an edge great and inexpinsive to boot. Has a hard wood handle. I use mine just about every time I cook. My son loves chicken wings and I have found nothing better for cuttin them up.
re: grumpy84
I agree. The Kiwi knife I tested can take on a good edge. Much better than many brand name knives like KitchenAid knives or Henckels International knives. I don't know about edge retention ability as I only use it for like 3-4 days, but it seems ok in that short period.
Another vote for the Forschner/Victorinox Rosewood knives. I have two (7" santoku & 3-1/2" parer) & love them both.
As someone else pointed out (wazat you, CBAD?), they're more "giftable" in appearance.
However, comparing them to the Fibrox line, I think they have a nicer finish to the blade & take an edge ever-so-slightly better as well. Of course, that could be just my imagination....
I'd vote either for a good Chinese cleaver or a Victorinox Forschner Fibrox. OTOH, you might want to make sure that your friend doesn't subscribe to the superstition that a gift of a knife is symbolic of severing the friendship. To counter that hex, include a coin of small denomination so your friend can give the coin to you, thereby symbolically 'buying' the knife from you.
I'll second what John E. said. My current favorite general-purpose knife is a Chinese-made Chicago Cutlery stainless chef with 8-inch bolstered blade and black plastic scales. Well balanced, medium weight, sharpens nicely (for stainless). This was going to be a knife for potlucks, where stuff often gets lost. But I don't let it out of the house. It cost $16 at Wal-Mart four or five years ago. I love good kitchen knives, and I have lots of supposedly better options. This is an excellent knife. No telling if current stock is the same quality, but I'd recommend buying one and trying it. If it turns out to be junk, use it for potlucks ... larger potluck utensils are less likely to disappear than small ones. You won't be out much money, however it turns out.
I know this is slightly off topic, but I just noticed that the Wusthof Blackwood Ikon 6" Chef's knife is on a special sale price. Yes, 6" is short for most people, but in case you prefer a small Chef's knife, the Blackwood Ikon is the very top line for Wusthof.
The Dexter-Russell 8" Chef Knife is an incredibly good value. I've used their knives next to my Wustoff (top of the line) and comparable blades. They hold an edge just as well or better, and although they're not full-tang they hold up well to years of daily use.. The handles are ergonimically shaped. All they leave out is the snob appeal. I've talked to several experienced chefs who say only suckers buy the really expensive premium knives for everyday cooking. Best of all, they're inexpensive -- you can afford the 6" version, too, on your budget.. Here's an amazon link.for the 8":
re: bkling
When OP said "budget" this is the Dexter that came to mind.
Also get them a steel so they can maintain the knife.
Your friend doesn't seem to know the difference between using a sharp or dull knife. Name brand or not, you can make them sharp and depending on how good they are will determine how long they will hold an edge.
You can get your friend a $100 knife and they will use it until it's dull.
re: CapreseStacy
that sounds like a bread knife. I may not be an expert but I cringe when the wrong knife is used for the job at hand.
re: hill food
Nah, there are really some serrated chef's knives. Horrible things. Henckels Eversharp knives are such:
They should be called "Neversharp" because they are not sharp from day 1.
re: Chemicalkinetics
neversharp, i like that. however, they do cut cherry tomatoes better.
response to op: calphalon makes a good 8". def. get a honing rod.
re: Chowrin
True, but a much narrower function than it should be. It tears up other foods especially delicate meats.
I read Calphalon Katana is not bad.
I looked at and touch the Calphalon LX and they look very solid. Hefty, but solid.
On the other hand, the Calphalon does not look impressive to me, but just my gut feeling.
re: Chemicalkinetics
the calphalon is solid. used it for years (a few without honing, sadly). don't get a novice a japanese-style knife, unless you KNOW they won't go near a whole chicken or turkey with it.
Germanstyle works much better for turkey day. ;-)
re: Chowrin
Which Calphalon line are you referring? As mentioned, there are several lines.
re: Chemicalkinetics
I found the contemporary a good value. 'course, i got it for cheap, after christmas, along with the santoku. viva 2006, when nothing would sell!
re: CapreseStacy
That's a bread knife you were using.
re: monku
well, that's all I would have used it for, but it was shaped like a chef's knife and had tiny serrations instead of the big ridgy ones. But she was using it to cut everything. I had to cut scallions for the dip I was making and it turned them into shredded green mush. After reading all of these suggestions, I'm thinking more than one of my friends is going to get a new chef's knife for Christmas!
I'll go with the consensus...Dexter or Forchner. My vote for a gift certainly would begin and end with the 8" Forchner with rosewood handle. Just tell your friend that a good knife does not need to be put in the dishwasher. It takes 10 seconds to clean a knife after use. My "set" is Forchner rosewood and I enjoy them. Dexters are great for basic utility knives...inexpensive, but not gift fodder if you're looking to impress anyone. I use Dexters also.
re: JayL
"Just tell your friend that a good knife does not need to be put in the dishwasher"
You make this sounds so easy. People who are used to dishwasher do not just switch out of that mode. I know a person who is putting end grain wood chopping block into dishwasher, what do you think of that? The wood block, of course, would mystically crack after a few months or so.
re: Chemicalkinetics
now what could possibly explain that phenomenon? (actually I've done that, but only with a POS that I don't care if it cracks)
I have to convince my mother it is ok to put corningware and melmac dishes in the washer...
re: hill food
What is a POS? I don't have a real explanation. All I know is that some people like to put everything into a dishwasher, while others do not want to put anything at all.
re: Chemicalkinetics
POS=piece of sh*t


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Graceful is adorable. She comes in a pink and white romper, a headband with a bow and a pacifier. She is one of the new additions to Corolle's classic Bebe line which means she has a soft body, vinyl arms, legs and head. Her brown eyes close when you place her in a sleeping position and because of how she's weighted she will also sit up on her own. A lovely doll for older toddlers and preschoolers- pricey, but very special.
Age: Preschool. Award Year: 2014. Click here to purchase the product on Amazon.com.
The latest from Corolle's classic multi-cultural 14" Bebe collection. She has a soft body with vinyl arms, legs and head - all with their signature vanilla scent. Comes in a floral romper, a matching scarf for head, adorable sandals and a pacifier. Her blue eyes open and close when she's put in a sleeping position. We also loved: Bebe Classique Valentine Doll - she comes in a pale grey dress with a pink sweater. There is also a very sweet African-American version - see our review of Bebe Classique Graceful Pink. We love that these dolls are so huggable and because they're weighted in their bottoms, they will sit up on their own.
Age: Preschool. Award Year: 2014. Click here to purchase the product on Amazon.com.
This is more like an add-on for those who already own a set of Magformer gears. Plug the generator into your computer with the USB cord to charge it up or into an USB adapter. Once you have it charged, your Magformers gears are ready to spin into action. This little set comes with some magformer squares and rectangles to build a platform, two lights, two gears and the big blue spinner that will activate other gears from this and other sets. Basically, it is pretty limited as a stand alone, but a fun accessory that will add to the action of gear sets in the magformer collection. 6 & up.
Age: Early School Years, Later School Years. Award Year: 2014. Click here to purchase the product on Amazon.com.
Our twelve-year old tester took four days to complete, working approximately two hours a day. He considers this particular set very difficult and in his words, "Kids with short attention spans will take a lot longer to do this because each of the steps takes at least 10-15 minutes, and I believe there were 53 steps in this set." When asked about the age label on the box When I asked him if the 9 & up age range on the box he said, "There is no way that a 9-year-old could put this together.� He thinks that a more realistic age bracket would be ages 11+ but it would have to be a pretty disciplined eleven year old because with the rail, for example, one false move and you'd end up having to reassemble a huge portion of this." Unlike other builds, our tester felt there as not a lot he could do with it after it was built. He played with it for a few days and then it has been untouched. His mom, a teacher of gifted kids, thinks it will appeal to engineer-type kids for whom the assembly is the thrill. On the positive side, our tester reported, "One good thing about playing with this is that the little car keeps its momentum all the way down, which you wouldn�t expect since it goes upside down."
Age: Later School Years, Tweens. Award Year: 2014. Click here to purchase the product on Amazon.com.
This is the buy of the year as toy kitchens go...the tabletop toy has a working faucet that circulates the water in the sink for splish-splashing good fun. Unlike so many toy kitchens, this really has a sink big enough to wash dishes, not to mention getting to play in water. However there are two issues you need to know up front: 1) no soap bubbles* are allowed since they might clog up the works and 2) real hand strength is needed to get the water action going. Of course, this can be messy, but good play often is exactly that. Adding to the value, this combo sink and stove takes up very little space but has a lot of pretend play built into the affordable mini-setting. The stove has knobs that click and the young chef will love cooking with and cleaning up a fry pan two dishes, cups, and cutlery that comes with the set.
*the manufacturer says the thick soap suds might clog up the pump, but suggests that watered down dish soap or bubbles won't hurt the plastic and should be all right.
SNAP: Put this on a table top for kids who are in a wheelchair. The water faucet does require hand power and may be too hard for some. It is otherwise a terrific water toy/ pretend prop for dramatic play.
Age: Preschool. Award Year: 2014. Click here to purchase the product on Amazon.com.
Our test family gave this kitchen setting very high grades. Our three-year old tester's mom tells us "he is having a ball with it..." He loves every detail of this kitchen and especially likes to make them Cappuccino and asking them if "we need some coffee?" She likes the fact that it went together easily and is also being enjoyed for pretend play by his six and seven-year old siblings. Although some of the hanging pieces do not stay in place, they had no complaints. It has been used daily since it arrived and as our tester's mom wrote, she is impressed with the durability of Little Tikes products... "if three boys can't destroy it, it has to be made well." We like the fact that his kitchen is not gender specific and will be enjoyed for years of dramatic play by boys and girls. 2 +
Age: Toddlers, Preschool. Award Year: 2014. Click here to purchase the product on Amazon.com.
We usually avoid shopping mall setting as too commercial. Yet, let's be honest, once built, this is a terrific play setting for trying on lots of roles as sales people, soda jerks, customers, and family members. No doubt a lot of drama does take pace in shopping malls, so why not a setting they can build and they pretend in. This elaborate set comes with seven playfigures (mostly female) along with lots of clothing that can be tried on the playfigures. There is even a mirror and bags for purchases as well as registers and money and computers. There are also manikins for displaying clothing as well as an ice cream shop and some athletic equipment. Just in case they run out of cash there is an ATM ( of course) and a coffee bar, planters, to choose from in the stores. All together there are 535 pieces in this very elaborate play setting. 5 & up.
Age: Early School Years. Award Year: 2014. Click here to purchase the product on Amazon.com.
Choose one of the five Touch n Go Racers; a black and white police car, a green hatch back, a red truck or a blue or grey racer. All have buttons that start the engine, rev it up, honk the horn and a GO button that sends it zooming. Bring home two and have your own races. This is small, very special, but affordable toy that will get lots of action.
Age: Preschool. Award Year: 2014. Click here to purchase the product on Amazon.com.
We're always happy to report when there's a blue stroller on the market. This is a very light weight white and blue plastic stroller that is designed for Corolle's new Babipouce Blue Star Doll (also dressed in a blue romper). This is not the sturdiest of strollers but it gets high marks for color choice.
Age: Toddlers. Award Year: 2014. Click here to purchase the product on Amazon.com.
This 12" Corolle doll is really ready for bath time! Comes in a pink suit with a mask/snorkel, water wings and flippers. Designed for toddlers 18 months and up, this may do the trick to get reluctant bathers into the water. The polystyrene beads help the doll dry quickly.
Age: Toddlers. Award Year: 2014. Click here to purchase the product on Amazon.com.
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Instructions for submitting product to the Oppenheim Toy Portfolio for review.
Contact the Toyportfolio by phone at (212) 598-0502 or by email at email@example.com.
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RWJF News Releases
September 23, 2014 | News Release
Researchers found that nurse understaffing and practice environments were worse at hospitals with higher concentrations of black patients, contributing to adverse outcomes for very low birth weight infants born in those facilities.
June 24, 2014 | News Release
Forty percent of Black and Hispanic patients receive worse care than their White counterparts, and such disparities accounted for an estimated $60 billion in excess costs in 2009 alone. RWJF offers tools to help address disparities in care.
May 12, 2014 | News Release
RWJF appointed Ginny Ehrlich, an expert in childhood health, as director and senior program officer of the Childhood Obesity team, effective July 1, 2014.
January 21, 2014 | News Release
Public Health poll released on the views of Latinos in America about their health and health care, communities, financial situation, and discrimination in their lives.
January 2, 2013 | News Release
Follow @FndgAnswers in January and receive a month of tips, tools and updates on the latest developments in disparities research, ACA implementation as it relates to disparities, and easy-to-adapt intervention models.
May 31, 2011 | News Release
Twelve communities of color and indigenous nations receive $3 million to improve access to healthy foods and safe places to play.
May 5, 2011 | News Release
Aligning Forces for Quality continues unprecedented effort to improve the quality of health care in targeted communities, reduce disparities and provide models to propel reform.
February 27, 2011 | News Release
Aligning Forces is RWJF's signature effort to increase the overall quality of health care in 17 targeted communities nationwide.
November 9, 2010 | News Release
2009-2010 flu season
November 1, 2010 | News Release
Health care organizations in California, Illinois, Indiana and Pennsylvania were awarded $1.6 million to support their efforts to eliminate racial and ethnic health care disparities in communities across the United States.


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OriginThe elevation of the hockey stick and the whole global warming thing to iconic status makes it a giant with feet of clay – poorly founded and ready to crumble. Time to do some digging…
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Poppycock or Worse than we thought
These men were the faces of nature on the BBC in my youth – heroes you could say. You see I was a greenie then too. Never a rabid one you understand – I always believed that if you wanted … Continue reading
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Hive Mind
Notice anything unusual about this unassuming building entrance? Note the large number of cycles parked outside and the group of casually-dressed people standing outside smoking. Nothing else like this in the street. Does this not seem a little odd for … Continue reading
Posted in Environmentalism Tagged Activism, Hive, NGOs 7 Comments


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Suncoast can provide contractors and retail clients custom site specific engineering for vinyl, acrylic and glass sunrooms for residential homes and mobile/manufactured houses.
Let Suncoast design your new carport and shed combination. Many home owners request wood deck designs along with a carport and shed combinations.
Suncoast can add an attractive wood deck to your home. We frequently design sunrooms to be added atop wood decks.
Add a Pergola in your back yard to give it a lovely retreat.
Suncoast can provide design plans for aluminum railing and stair railing. Our Engineers also do all engineering calculations required by the Building Authority.
Suncoast Aluminum Engineering, LLC is an Engineering firm founded in 2005 as an Architectural and Engineering Business. During the first few years our focus was the design of residential additions and new homes. Over the last 4 years our focus has changed to Aluminum Engineering which includes the design of Pool Enclosures and Screen Rooms, Sunrooms, Carports & Sheds, Pergolas and wood decks, and aluminum Railing and Fence Engineering. Suncoast is now considered the leading engineering firm in Florida for the design of structures for outdoor living


text:
Where to stop overnight with 3 kids, Calais to Dordogne(16 Posts)
sweetestcup Sat 18-May-13 13:40:35
balderdashed Tue 14-May-13 17:50:22
outtolunchagain Tue 14-May-13 17:45:49
Portofino Tue 14-May-13 16:55:26
tab Tue 14-May-13 12:53:23
Portofino Tue 14-May-13 09:44:31
tab Mon 13-May-13 22:06:41
outtolunchagain Mon 13-May-13 17:47:23
jenster1976 Mon 13-May-13 17:03:35
Portofino Mon 13-May-13 14:29:44
outtolunchagain Mon 13-May-13 14:28:52
Portofino Mon 13-May-13 14:22:39
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tab Mon 13-May-13 14:00:09
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I was recently contacted from the sweetest lady at Firmoo eyeglasses offering me a pair to review! I was more than happy to accept this opportunity! (Little did she know, her email was totally a blessing and answered prayer, because I stepped on my glasses and broke them a little while back!)
I was very impressed when I visited Firmoo.com to select my frames. They have a very large variety of high quality glasses to choose from for men, women, and children… classic wire frames, super-cute fashion frames, even sunglasses! You can also order fashion frames with clear lenses if you just want a pair to accessorize an outfit.
After uploading a photo of myself to Firmoo.com to virtually "try on" several different pairs, I finally decided on this gorgeous pair.
I think they are very classy, yet fashionable. The process to virtually try on the frames was very simple and user-friendly. It had not been very long since my last visit to the eye doctor, so I was able to go and pick up my prescription to include when placing my order.
Just over a week after placing my order, my glasses arrived in the mail! I was pleasantly surprised at how quickly they arrived and instantly knew I had selected the perfect pair! This pair retails at $39.00 at the Firmoo website and the quality of the lenses and frames is that of a much more expensive pair! They came with a sturdy protective case, drawstring bag, and a soft cloth to clean them with.
They match my vision needs perfectly and I think they are the perfect way to dress up a casual outfit like in the pic below when I took my niece out for an evening at the park. I have received so many compliments on them!
I hope you'll check out Firmoo for future eyeglass needs. I have a feeling you will be very impressed! I know I am. Right now at Firmoo.com you can get your first pair FREE!!! Just follow this link! How awesome is that?! I hope you guys have an absolutely fantastic week!!
Disclosure: This review is my personal opinion only.


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All The Looks From the American Music Awards Red Carpet
11 Seemingly Unhealthy Foods That Aren't So Bad for You
Gwyneth's Glamorous Goopy Gift Guide
Street Style: Milan
Maddie Ziegler Strikes a Pose in Fall's Cutest Looks
Ask E. Jean: How to be a Smart Wife When You're Reeling with Jealousy
12 Novels About Families More Effed Up Than Yours
Your Fall Shopping List, According to Your Horoscope
See who put the best faces forward.
Jessica Alba is a blonde!
Laurent PhilipponBumble and bumbles Global Artis...
Bangs at the spring shows ranged from the throwback to the c...
Late to the party, but I didn't care.
Thinning hair isn't just a guy problem, you know.
It's all about the little things.


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via chycho
- The Festival
- The Setting
- The Scam
- The Outcome
- How to Protect Yourself
I. The Festival
I was lucky enough to win tickets through ION Magazine to attend Bass Coast, an international electronic arts music festival that's been held in British Columbia, Canada since 2009. My many thanks to Ion Magazine for partnering with Bass Coast to give away tickets and to the organizers for putting together this amazing event, I will definitely be attending again. For those interested, the following video featuring some of the musicians and artists that have attended the festival is a great introduction to what awaits you.
Unfortunately, no matter how amazing an event turns out to be, there are always bad elements present. The best festivals are ones that promote a sense of culture and community, it's the best way to ensure safety and security, a central theme for Bass Coast. Even with the amazing vibe of this gathering, some minor predators ended up filtering through.… Read the rest


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Keep up with the news by installing RT's extension for . Never miss a story with this clean and simple app that delivers the latest headlines to you.
With 97 per cent of the votes counted in Greece's crucial parliamentary elections, the two long-term ruling parties have lost support to anti-austerity parties. Analysts warn it could potentially endanger the country's debt obligations.
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Another day, another blow for the euro
Neither cuts, nor spending solve European crisis – expert
Cop shop: Crisis-hit Greece rents police for €30 per hour
Pensioner shoots himself at Greek Parliament, refuses to 'search for food in garbage' (PHOTOS)


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Pearl Elegance 5 Piece Place Setting
Our Price: $69.99
You Save $30.01
Item #5084381
In Stock
Pearl Elegance is a sophisticated take on a classic design. A palette of traditional pearl hues is modernized with a subtle white swirl pattern and thin platinum edges. Hand wash only, not microwave safe. 5 Piece Place Setting includes a 10-3/4" dinner plate, 8-1/2" salad plate, 7" bread & butter plate, 8 oz. teacup & 6-1/4" saucer.
Do not use in microwave or dishwasher
4.24 lbs.