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Survivor just isn't Francesca Hogi's game.
The 38-year-old New York lawyer first played the game in 2011's Survivor: Redemption Island, where she was the first contestant booted. Returning for Survivor: Caramoan, she threatened to "drown herself" if she were the first one voted out. She even picked up a rock and said she would eat it if she were the first to go.
Sure enough, at tribal council, she was the first one to go. (She says she'll follow through on the rock-eating promise at the reunion if Jeff Probst can produce that very same rock for her.)
Speaking to PEOPLE, Hogi can laugh at her misfortune, but names names when it comes to who she thinks was responsible for her misfortune.
So here we are.
Here we are. [Laughs]
What were your thoughts watching the show last night?
I actually didn't watch the show. I'm on vacation in China right now, so I didn't see it. What happened?
You were voted out first.
Oh, damn it!
What were your thoughts as you were taking the walk of shame?
My first thought was, 'Okay, this is sort of hilarious.' I just wanted to go home, but after you're voted out, you can't go home. You have to hang out in the Philippines until the game is over. So it's like this incredible waste of time that you're away from your life for a month and you're not playing the game. I wanted to get back to my life. I think we determined that I'm really bad at Survivor.
So what went wrong?
I put my trust in people who I guess weren't trustworthy.
Looking at Twitter, some of your former Survivor friends are blaming Andrea Boehlke for voting you out.
Without getting too much into things that are outside the game, I thought Andrea was on my side. I thought I could trust her. She was my friend outside the game. But she was playing both sides. So I felt very betrayed by her, obviously.
But may I point out that you voted against her, too?
I did, but only after I realized she was untrustworthy. But every time I told her things, she'd go running back to Phillip, so I voted for her.
But she played the game with Phillip [Sheppard] for 37 days on Redemption Island. Surely you had to know they'd have a bond.
I thought that, but he's Phillip. Phillip! He's a crazy person. So I couldn't understand how she could possibly align with him.
But obviously, there were six people who voted against you.
Yes, there were a few people who I thought might be on my side. I thought Dawn [Meehan] was going to vote with me, but I guess not. I thought John Cochran was on my side, too. Here's the thing: Cochran and I have had conversations about Andrea, and how untrustworthy she is. And yet he aligned with her instead of me. He's my friend outside the game.
Did you have conversations with him during the game?
I tried to, but his sunburn was so bad. He was actually really sick, so he was lying down in the shelter, and there were lots of people around him. So we couldn't really talk. But I did know that he and Dawn were a pair, and I thought Dawn was on my side. So I thought he was, too. They turned out to be the swing votes, and they went the other direction.
Your tribe was sort of full of misfits.
It was. I looked around at my tribe before the season started and I was terrified the name of the season was going to be "Survivor: Douchebag Island." It was only after I saw the logo on the helicopter that said "Fans vs. Favorites" that I breathed a sigh of relief.
You didn't get to see Malcolm Freberg play the game before you met him out there. What did you think of him?
I liked him a lot. Obviously, our tribe wasn't full of athletes, so we had to keep him around. But he's a funny guy, very nice. I wish he had voted with me, though!
So is there any scenario where you could imagine playing Survivor for a third time?
[Laughs] No, I don't think so. Maybe Survivor isn't the game for me.
But you'd have nowhere to go but up.
You're right. Maybe I'd play if they'd guarantee that the least I could win was a million dollars. But otherwise, I think I'm just going to go on with my life. I'm a lawyer, I travel a lot. I like my life. I'm glad I did Survivor twice, but yeah, I think I'm done.
Francesca Hogi: I'm Really Bad at Survivor
Monty Brinton/CBS
updated 02/18/2013 AT 09:30 AM EST
•originally published 02/17/2013 AT 02:30 PM EST


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The sportive get underway on the descent back to Handegg via Chüenzentennlen and old Grimselweg trail with "Hählen platte." But be sure to stop and absorb the breathtaking view over the hanging bridge and Handeggfall region before moving on (Connection from Hotel Handeck to the Gelmerbahn mountain railway).
Altitude: 1859m
Train from Interlaken Ost or Lucerne to Meiringen, Postbus to Handegg (Postbus connection also from Oberwald above the Grimsel Pass), funicular raiway to the Gelmersee lake
View: Over the Grimsel Pass and Haslital valley to the granite mountains that lay opposite
Attractions: Open-top funicular rail carriages, trips round the lake, hanging bridge over the Handeggfall
Culinary aspects: By the Gelmersee lake: Back-pack picnics topped with pristine nature
Hotel Handeck restaurant
Overnight stays: Hotel and Handeck Nature Resort: 33 Double rooms, 3 single rooms, 3 four-bed rooms; 32-degree-warm outdoor pool
Groups: on request (Grimselwelt)
Winter: closed (railway and Hotel Handeck)
Special comments: Additional info, also on the hotel at: grimselwelt.ch

subset: commoncrawl


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Corta-Flx U-Gard
Corta-Flx® U-Gard helps create a healthy, calm stomach in horses. Ingredients provide a protective coating and help soothe the gastrointestinal tract. 4 lb powder (32-day supply). Read more...
Corta-Flx® U-Gard is formulated to be effective on equine gastric ulcers. It coats and soothes the gastrointestinal tract. Contains calcium carbonate, magnesium silicate, methylcellulose, silicon dioxide, kaolin and pectin. 4 lb powder (32-day supply).
100% Satisfaction Guaranteed - Your Money Back Any Time, for Any Reason.
Smith Brothers is proud to offer a 100% satisfaction guarantee on all of our products. We stand behind the quality of our products, and should you not be satisfied with your purchase, simply return it and we will refund, replace or exchange it for you.


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on February 8, 2013 - 7:09 PM
, updated February 9, 2013 at 8:17 AM
The Buffalo Sabres learned during their home opener Jan. 20 that they oversold season-ticket parking spaces in their arena ramp.
On game day mornings since then, the Sabres used orange cones stamped to reserve five to seven public parking spaces on Illinois Street for people who paid to be in the ramp.
But the practice ended Thursday afternoon.
"Going forward, we won't be putting cones out in Illinois Street," said Sabres spokesman Michael Gilbert. The city was unaware of the practice until a constituent called Thursday, said Parking Commissioner Kevin Helfer.
"No one called me, no one asked me permission, nor would we ever grant that," Helfer said Friday. "The bottom line is they never asked permission, and the bottom line is they cannot do it.
"I'm glad it's over with," he said.
The spaces on the cobblestone street are designated for metered parking at $2 per day, but the meter heads were removed, leaving the parking there free.
The spots are occupied at various times by people working in the arena or visiting nearby bars and restaurants such as Lagerhaus 95 and Cobblestone.
Non-Sabres employees such as SportsService concession workers or security guards typically use those spaces legally for free, but the club needed to block them to accommodate season-ticket holders, Gilbert said. The move forced people who normally park there either to pay to park in a ramp or lot, or seek street parking elsewhere. Neighboring Mississippi Street has a two-hour limit, making it unsuitable for arena employees working longer shifts.
Fillmore Council Member David A. Franczyk, who represents the Cobblestone District, said he would be more concerned if the Sabres had blocked off a larger number of spaces but said the organization probably should lease space for people who paid to be in the ramp and leave the public spaces for the public. "Seven doesn't seem like a lot, but that's a public street," he said.
email: firstname.lastname@example.com and email@example.com


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Rollover accident on I-540 in River Valley
UPDATED 1:12 PM CST Dec 31, 2012
Arkansas State Police responded to a rollover accident on I-540 at Ext 5 near Kelley Hwy Monday afternoon.
State police said the driver was not transported to the hospital and sustained minor injuries.
The driver admitted to "taking eyes off the road," police said.
A state trooper said they do not know if the accident is weather-related.


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has a certain tendancy to sweep unsuspecting young ladies off their jimmy choo stilletto's with his irresistably sexual......hats!and leaves them craving for more (on a certain friends bed).
oh he makes me feel soooooo cassoed!
by xx chocolate tinkerbells xx February 24, 2004
Trending Now
Can you define these popular missing words?
Top Definition
That casso just ganked my lewt!
by Leukos April 13, 2011
You still dont know? U must be the only one. Casso is pimp the daddy, ho mackin ghetto mofo. You think otherwise? You're askin' for a crack a lack pimp slam capn' pimp style - bitches. You better recognise.
Casso rules. You probably don't
by Really Hot Ho<Not Casso> January 17, 2004
Legend!!who in fact is the man and is a fuckin beast!!Furlong ain't got nothin on this PIMP!!
furlong you twat
by The V.I.N January 29, 2004
hay casso. your a real fag who's in love with fellas. wat do you mean i never got wit tath chwenty year old, i must half told u chwelve times fore fuck sake. just so you no my dad is a spaceman who puts out fires on different planets, and puls he came up wit the connsept of going to mars. by the way i don't hav any speling missfo.... missfoe.... missforetune, my dad told me and he teaches in harvard, america.
does anyone else smell 'tath' bullshit? oh wait, i do. ffuuuuuuuuuuuuuuurrrrrrrrrrrrrrrrrrrllooooooooooonnngggggggggggggggggg. don't take on any kind of simian capable of addressing there friend's name wrong.if you don't understand any of the above, look up the words in a dictionary. you know what that is don't you? after all your dad did invent it!!
by annonymous February 16, 2004
its me again. can you get it up yet? just think of your ma, it usually works for me. ya your such a mofo
love amanda


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HOME MLB Texas Rangers Gear Texas Rangers Mens Texas Rangers Mens T-Shirts (333 items) Product ID: 808156
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Considered to be one of the top players to ever come out of Japan, Yu Darvish is crossing the Pacific and coming to play for your Texas Rangers. The young pitcher is ready to dominate the Big Leagues for the Rangers just like he has done in Japan's professional ranks and during International competitions. Become the #1 fanatic in Yu's fan club by supporting the starting pitcher with this player tee by Majestic. Featuring the team name arched on the chest and Yu's name and number printed on the back, this tee will have you boldly supporting Darvish as he joins the Rangers in their journey to the World Series!
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Customized items can be personalized with options such as your name, your favorite number, and/or designs. Some options may be limited by league rules.


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on May 19, 2013 - 12:01 AM
The 25th annual Developmental Disabilities Awareness Day, featuring Western New York professionals and businesses that specialize in services for people with developmental disabilities, will be held from 8 a.m. to 4 p.m. Thursday in the Conference & Event Center, 101 Old Falls St., Niagara Falls. Featured will be speakers, workshops, vendor exhibits and general information about services and emerging trends. For information about the event or tickets, visit: www.ddday.org.
The Buffalo Agency Special Care Planning Team is hosting "Financial Strategies for Families with Special Needs," a free educational workshop from 10:30 a.m. to 6 p.m. Wednesday in 300 Corporate Parkway, Suite 110N, Amherst. Learn how to prepare for the financial well-being of your special needs loved ones. Topics discussed will include housing, employment, special needs trusts and government benefits. For more information or to register, call 276-1120.
Registration is being accepted for the iCan Shine Bike Camp, formerly Lose the Training Wheels, a program that utilizes adapted bicycles and specialized instruction to teach campers how to ride a two wheel bicycle. The camp will run from June 24 to June 28 at Cheektowaga High School, 3600 Union Road. Campers must be at least eight years old, have a diagnosed disability and be able to walk without assistive devices. For more information, to register a camper or if interested in volunteering, call 817-7204 or email: firstname.lastname@example.com.
ALS Association Upstate New York Chapter will host a support group meeting from 6:30 to 8 p.m. Monday in the Dent Neurological Institute, first floor boardroom, 3980 Sheridan Drive, Amherst. Laurie Krupski, former care services coordinator, will facilitate the group discussion. For information, contact Kate Cavan, care services coordinator at (315) 413-0121 or email: email@example.com.
Parent Network of Western New York is offering a free workshop, "Person Centered Planning," from 9 a.m. to noon Tuesday in its offices located at 1000 Main St. Learn how to develop meaningful life plans for the individuals you support. For more information or to register, call 332-4170 or visit: www.parentnetworkwny.org.
Items of timely events may be submitted by fax, 856-5150 or by mail to City Desk, Events for People with Disabilities, The Buffalo News, P.O. Box 100, Buffalo, NY 14240.


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Top Definition
Bubonic plagues that ravaged the known world during the 1340's.
Black death killed millions of Asians and europeans.
by Gumba Gumba July 12, 2004
Trending Now
Can you define these popular missing words?
"Latoya Jackson, children!"
Kids: Chef, what's the black death?
Chef: Latoya Jackson, children!
Chef: Latoya Jackson, children!
by RuleNo2 June 15, 2008
the black tar taken out of a bong and smoked again because you are desperate
smoking black death
by nicko June 30, 2004
An alcoholic beverage with an unusually high proof. A shot composed of equal parts 151 rum and jagermeister.
I had so many Black Death shots last night that I danced around a midget like a whirling dervish
by wizewitwordz August 24, 2011
A brand of cigarettes that featured a skelton in a tophat, which are unfortunately no longer made.
Black Death had a phrase on the package "I like 'em and I'm going to smoke 'em."
by BReal November 28, 2005
A hemaphrodite that plays video games while getting a rusty trombone from another hemaphrodite who ate bad sushi a few hours before and is having massive explosive diarhea.
Every time that guy Herb comes to the lan he always has to be the loudest blackdeath, why cant he just put a sock in it?
by Harold Shumacker February 28, 2005
One hell of a cocktail.
I don't know what's in a Black Death, and after a few shots I wont care :)
by graphia1 September 17, 2005


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This slideshow, with data from The Daily Beast, shows 2012 rankings of gun demand state-to-state using data from the FBI's National Background Check System.
Gun Demand: States with the most background checks
2012 Rankings of gun interest by stateUPDATED 7:01 AM CST Dec 06, 2014
CommentsThe views expressed are not those of this site, this station or its affiliated companies. By posting your comments you agree to accept our terms of use.blog comments powered by Disqus
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Top Definition
(n)This is a slang term for the female genitalia-- more specifically, the labia minora-- so termed for it's resemblance to stretched (pink) laffy taffy. Therefore, the term may also carry with it connotation of excessive sexual intercourse which can result in a stretched or elongated labia minora.
That ho had so much sex, when she spreads her legs, Willy Wonka himself would envy her Laffy Taffy.
dodane przez shecky grudzień 28, 2005
Trending Now
Can you define these popular missing words?
An addictively delicious taffy made by the Willy Wonka Candy Factory. It is distributed by Nestle USA, Inc. Contains jokes on every wrapper.
How many sides does a circle have?
Two, inside and outside.
Two, inside and outside.
dodane przez Tingle maj 30, 2004
Another name for "roast beef" which is when a girl's labia minor/majora are stretched out and tend to look like laffy taffy when it is sucked on and stretched out even more.
This can be seen in any porn flick and is definitely not an allusion to a girls posterior. A nice badunkadunk does not look anything like laffy taffy and laffy taffy stretched out looks similar to a well used labia also both are eaten the same way.
dodane przez thatguyernie styczeń 08, 2006
This is the really dirty version....
It is extra skin that hangs down past the vaginal lips.
It is extra skin that hangs down past the vaginal lips.
"Shake that Laffy Taffy"
dodane przez siz listopad 16, 2005
Vagina, its the true definition from the song you non gehtto dumbasses
girl, shake that laffy taffy, that laffy taffy girl
dodane przez gehttoONE kwiecień 16, 2006
Slang for the females lips of the vagina. Also a candy made by the Nestle company. They have a joke on every wrapper
Girl shake that laffy taffy
I had banana flavored laffy taffy at Jimmy's birthday party
I had banana flavored laffy taffy at Jimmy's birthday party
dodane przez DizzyLizzy listopad 18, 2006
in D4L's song "Laffy Taffy" it sais "shake that laffy taffy" which means shake that ass.
dodane przez DSHAP sierpień 07, 2005


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Q: What is all-inclusive pricing and how does it work?
Q: If I register as a "single" attendee for the weekend, do I have an option to bring my spouse or other guest to my class dinner?
Q: What if my spouse or guest is coming to Reunions, but only attending the class dinner? (She will be shopping with friends, out with area relatives, ... etc)
Q: What if we are arriving Thursday, but arriving after the dinner hour?
Q: My children cannot commit to the date just yet. Is it possible to add them as it gets closer in time?
Q: I want to sign up for Friday and Saturday, but plan to have dinner off-campus with friends Friday night. How is that handled?
Q: What exactly does the all-inclusive pricing cover? Is there a schedule of meals and events that are covered?
Q: What is my most economical option?
Q: I am only interested in attending my class dinner-can't I just buy a ticket for the dinner and bypass the rest of the registration information?
Q: Is it possible to pay for my package in installments?
Q: What if my plans change? Can I get a refund?
Q: Where can I get a reunion schedule?
Q: What is in the dorm rooms? / What do I need to bring?
Q: What if I need a private bathroom?
Q: What if I need a handicapped bathroom?
Q: What if I would like to stay with a group of my classmates?
Q: What if I need to make a hotel reservation?
Class dinners will be held on Saturday evening. The class dinners are usually more formal gatherings than other meals during the weekend. Semi-formal attire is recommended. You will be most comfortable dressed in a jacket and optional tie for men, and dress slacks or a dress for women.
A: The "all-inclusive" rate for attendance at Reunions, means that you have the option to select a plan that best fits your personal preference for the number of days you want to attend and participate in the outstanding array of programs and activities.
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A: Yes, of course you are welcome to bring a guest for your class dinner, but if you register under the "single" option, you will need to contact the Office of Alumni Relations to make provisions to pay for the extra dinner for your guest. The Office of Alumni Relations can be reached at 866-729-0314.
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A: If you'd like your spouse or guest to stay on campus with you, you should register for the double Saturday package. This will provide housing with 2 beds and includes Saturday class dinner for both of you. If you plan to stay on campus but your spouse is going to stay elsewhere, you may register for the singles package and contact the Office of Alumni Relations to pay for the class dinner separately. The Office of Alumni Relations can be reached at 866-729-0314.
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A: If you arrive on Thursday after dinner, register for the Friday package in addition to the $110 fee you pay for on-campus housing which will allow you to stay all three nights.
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A: If a guest joins you for one or more events during the weekend, but is not part of your registration package, you will need to contact the Office of Alumni Relations, 866-729-0314, to get reunion pricing tailored to your unique situation.
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A: You are certainly welcome to have dinner off-campus with friends on Friday night but, since your package includes all meals and entertainment charges, we will not be able to refund you the cost of a single meal.
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A: When you select one of our all-inclusive packages, you are paying for all meals, activities and entertainment that you and your guest(s) will attend during the course of the weekend excluding young-child care. If you choose to stay on campus, you will be charged a flat rate regardless of the number of nights you stay, so it is to your advantage to stay as many nights as your schedule will allow. When you arrive on campus and check in at Registration Headquarters, you will receive a registration packet that will contain tickets for all your meals and a master schedule of events.
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A: Reunion Weekend is the single largest alumni program offered by the College and, as you can imagine, requires considerable planning and personnel in order to provide the scope of events and programs that take place over a four-day period. Hamilton subsidizes nearly 50% of all costs associated with this large scale celebration. In order to prepare and present an exceptional weekend of activities for alumni and their families, it is necessary to ask attendees to contribute toward the overall cost of the weekend based on the number of guests they bring and the number of days they will participate in Reunion activities. We make every reasonable effort to manage costs as carefully as possible in order to encourage strong attendance without compromising the quality of the celebration.
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A: The minimum package choice to participate in Reunions is the single Saturday package. We recommend you select the single, 1-day package and stay with a friend or your old professor in town. The other most economical options:
If you have extenuating financial circumstances, please contact Director of Alumni Relations Sharon Rippey, email@example.com, 866-729-0314.
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A: While we hope that you will take advantage of the full array of activities throughout the weekend and the many other chances to meet and mingle with classmates, you are certainly welcome and encouraged to attend your class dinner. You will need to contact the Office of Alumni Relations at 866-729-0315 or 315-859-4657, to arrange a ticket to your class dinner.
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A: Yes, the College can arrange to bill your credit card in regular monthly installments. The amount billed will be divided equally based on the number of months before June 2013 and the package that you purchase. The last date this option can be selected is April 27, 2013. When you register, select the Recurring Payment option. Call the Alumni Office at 866-729-0314 with questions.
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A. Refunds for alumni events may be requested 72 hours prior to the event.
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A: Registered attendees will be posted on the website; see Who's Attending. Alumni need to be registered Hamilton users to view the list. If you are not already registered please login at:
A: A complete schedule, including weekend highlights, Alumni Colleges and campus map will be available online.
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Whenever it is possible, classes are housed together. Specific housing assignments will be given at Registration Headquarters upon arrival for the weekend.
A: You may want to consider bringing a fan and an additional reading lamp as these are not available in the rooms. Packages with the following items will be provided in rooms (one package per person): two towels, one washcloth, top and bottom sheets, one blanket (you may want to bring an extra one in case of cool weather), one pillowcase, one pillow, two soaps and two disposable cups.
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A: Due to the limited number of private bathrooms on campus, we cannot guarantee you will be housed in a room with a private bath. However, we will try our best to accommodate your request. Add a note in the Special Housing Needs section of your reunions registration form indicating your request. Having a room with a private bath may mean that you will not be housed with the rest of your class.
If having a private bath is a necessity for you, we recommend that you make alternative reservations at a local hotel in case we are not able to accommodate you on-campus. Be mindful that most hotels will charge for reservations canceled within a certain number of hours prior to the arrival date. Your hotel can let you know what their policy is. Prior to canceling your hotel room, please call the Office of Alumni Relations at 866-729-0314 to see whether or not we were able to accommodate your request.
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A: Please help us determine your level of need (ex. wheelchair-bound). We will do our best to accommodate you but there are a limited number of rooms with handicapped-accessible bathrooms. Please add a note in the Special Housing Needs section of your reunions registration form indicating your request. Having a room with a handicapped bath may mean that you will not be housed with the rest of your class. If it is a medical need, we recommend that you make alternative reservations at a local hotel where you can cancel before the hotel cut-off date if Hamilton is able to accommodate your request. You can call the Office of Alumni Relations at 866-729-0314 to see if we were able to assign you a room with accessible bath.
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A: Groups will be housed together on a first-come first-served basis. Email firstname.lastname@example.com to let us know who is in your group. We will do our best to accommodate you. Note: your friends will not be assigned housing until they have registered and paid so please encourage them to register early.
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A: If you prefer off-campus accommodations, please directly contact one of the hotels on our accommodations page.
For a list of other local accommodations please consult the accommodations page.
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A: Yes, see Childcare and Kid's Camp
Public computers are available in the Sadove Student Center lobby and Information Commons (IC) located on the first floor of Burke Library. These are accessed using a guest log-in (username and password are available at registration headquarters). Burke Library will be open from 8 a.m.–4 p.m. on Thursday and Friday, and from 10 a.m.–2 p.m. on Saturday and Sunday.
Wireless Internet is available campus-wide. Consult the Reunions Information Desk 315-859-4811 and 315-859-4911 for log-in information.
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on November 11, 2012 - 1:28 AM
, updated November 11, 2012 at 1:29 AM
A trio of Section VI boys soccer teams ran into the Section V buzzsaw at the Far West Regionals in Hamburg on Saturday.
A combined crowd of 1,500 took in a Rochester sweep of a tripleheader at Hamburg's Howe Field. Previously undefeated Clarence fell, 3-0, to Webster-Schroeder in the Class AA game and East Aurora was also handed its first loss in Class B, a 3-2 thriller against Livonia. North Collins also lost to Jasper-Troupsburg, 2-0, in Class D.
The middle match was an electrifying contest between the top two Class B teams in the state. Top-ranked Livonia (19-0-1) got two goals in the first seven minutes – both coming off East Aurora (20-1) miscues – and will join the Bulldogs and Wildcats at the state final four at Middletown High School on Saturday.
Kory Zimmer scored just 61 seconds in, chipping a ball over misplaced Blue Devils keeper Chris Norcia. Six minutes later it was 2-0 when Cameron French cashed in a Harrison Fay giveaway just outside the box.
"We gave them the goals on mistakes," East Aurora coach Kevin Beale said. "We had our chances, but mistakes killed us."
The Blue Devils got within one when senior Parker Healy drifted to the right and ripped a shot past Livonia keeper Sean Smith in the 30th minute.
East Aurora thought it had the equalizer before the half, but the offside flag kept the Blue Devils pressing for the tie. Tanner Pierce made it 3-1 Bulldogs four minutes before halftime.
East Aurora got within one, again, in the 42nd minute on Kyle Kleckner's goal.
That set up a furious second half, which saw the Blue Devils do everything but level the scoreboard. After multiple near misses – which included a shot off the crossbar, EA's best chance to tie came with five minutes left, but senior Ryan Thompson shot over the net on a one-on-one chance.
"With the wheels they had and the way they knock the ball around, that's the best team I've seen in a long time," Livonia coach Ray Maxwell said. "I was only comfortable when the clock went to zero."
Clarence, the second-ranked Class AA team in the state, was unable to mount a consistent attack against No. 5 Webster Schroeder, who scored three times in 12 minutes late in the second half. Webster Schroeder (18-1-2) controlled play throughout the match, finally breaking through in the 61st minute when Nick DelGalzo finished a cross in the box.
Eric Stauchen scored in the 59th minute, and Morgan Kpor also scored two minutes later.
Clarence (18-1-1) keeper Michael Biedny made 14 saves, while Warriors keeper Andy Siviy didn't face a shot on target.
Tyler VanSkiver netted both goals for Jasper-Troupsburg (15-4-2) in the chippy Class D match.
Sophomore Kyle Loretto made nine saves in net for North Collins (13-4), while J-T goalie Cameron Groff made five in the shutout.


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London Fashion Week Series: 1. Peter Pilotto SS13
3rd October 2012
After New York City and before the move to Paris and Milan, London Fashion Week offers a very unique and interesting mix of designers with collections that I find to be distinct, individual and often very colourful. Peter Pilotto and Christopher de Vos presented one of my favourite collections in London this September. Vibrant, mixed prints, peplums and embellishment – beading and mirrors – comprised their line for spring 2013.
Vogue commented on the designers' use of prints:
"Spring references everything from baroque scrolling to ornate 1970s diamonds, abstracted Op Art black-and-white cubes to Art Deco–ish intersecting lines, many of which were inspired by a trip they made to the Santa Maria Assumpta cathedral in Siena (imagine Bridget Riley designing the interiors of a place of worship, and you are getting the right idea) and their summer vacation in India and Nepal. It's how those patterns undergo some kind of alchemical reaction with a woman's body, through being worked into increasingly imaginative silhouettes; the total effect — not just a litany of print motifs— creates the impact of what Peter Pilotto does." Mark Holgate, Vogue.com
Shapes and silhouettes this year were a fascinating mix of feminine nipped in waists, voluminous ruffles, frills and cut outs. If you described these dresses to me blind I might not imagine them not to work at all. What Vogue calls a 'cascading' motion of the ruffle effect in these styles is probably what gives each piece an elegant and appealing fluidity. Although not at all one for print, Pilotto and Vos manage to change my mind the moment I see their designs.


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|Alfalfa Juice Powder (leaf)
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|Soy Lecithin
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|Barley Grass Juice Powder (leaf)
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|Carrot Juice Powder (root)
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Powder (organic)
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|Wheat Grass Juice Powder (leaf)
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Lactobacillus rhamnosus,
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pancreatin, lipase, amylase, cellulase,
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Milk Thistle Phytosome
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|Artichoke Extract (leaf)
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|Pomegranate Extract (fruit)
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|Green Tea Extract (leaf)
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|Soybean Extract
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|Bromelain (from pineapple stems)
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|Bilberry Extract (fruit)
|5 mg
|Black Currant Powder (fruit)
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|Cranberry Juice Extract (fruit)
|3 mg
|Rosehips Extract (fruit)
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|Tomato Powder (fruit)
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Other ingredients: Maltodextrin, gelatin, silicon dioxide, magnesium stearate
CONTAINS: SOY, WHEAT and MILK
Take 6 capsules 1 to 2 times per day with a meal.
Note: This product is not recommended for children.
Allergy Information:
This product contains soy, wheat and milk.
Side Effects:
There are no known side effects associated with this product. However, as with any food product, there may be infrequent and unusual highly sensitized reactions associated with this or any other nutritional supplement. If such a reaction occurs, you should consider discontinuing use of this or any product.
Pregnant or lactating women should consult a health care professional before taking this product.
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Model# 050 Dimensions: 8.5"L x 5.5"W x 8"H Weight: 4 lbs
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Vons Coupons and Promo Codes
Vons.com makes it easy to get quality groceries, fresh produce, meat and seafood delivered to homes and businesses. Great for web sites that target busy families and individuals short on time or anyone that wants a quick and easy way to do the weekly grocery shopping. Vons.com currently delivers in these areas: Los Angeles, Inland Empire, Orange County, San Diego, Ventura, and Las Vegas.


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What's New at FamilySearch? – Week of July 20, 2012
One of the most popular genealogy websites is FamilySearch. It is run by the Church of Jesus Christ of Latter Day Saints, and is free to use. Genealogists of all faiths, or who have no religious beliefs, are welcome to use the website. They frequently add records and other useful information to FamilySearch. Here is what's new at FamilySearch this week. This week, FamilySearch added 76 Million new records. All of them are free for genealogists to access. State census, naturalization, immigration, and vital records for 22 states were added this week. This includes Ohio, New Jersey, New York, and … Continue reading


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|Energetics of Hydrogen Bond Network Rearrangements in Liquid Water
The unique chemical and physical properties of liquid water are thought to result from the highly directional hydrogen bonding (H-bonding) network structure and its associated dynamics. However, despite intense experimental and theoretical scrutiny, a complete description of this structure has been elusive. Recently, with the help of their novel liquid microjet apparatus, a University of California, Berkeley, group derived a new energy criterion for H-bonds based on experimental data. With this new criterion based on analysis of the temperature dependence of the x-ray absorption spectra of normal and supercooled liquid water, they concluded that the traditional structural model of water is valid.
The standard description of water structure consists of a random tetrahedral network in which every molecule is H-bonded to its four nearest neighbors, an arrangement similar to that in hexagonal ice. In recent years, a number of x-ray absorption spectroscopy (XAS) and related experiments have begun to characterize the H-bond structure in detail by assigning the observed spectral features to specific H-bonding configurations. However, in order for such an analysis to yield a quantitative description of the H-bond structure, it is necessary to establish an experimental definition of what actually constitutes an H-bond, or in other words, what degree of distortion of the H-bond network leads to a measurable change in the XAS.
Previously, only a geometric criterion had been established, which was derived by density functional theory (DFT) calculations of a model cluster [Ph. Wernet et al., Science 304, 995 (2004)]. Applying their theoretical H-bonding criterion to their x-ray Raman measurements, the authors had to invoke a picture of a liquid composed of monocyclic rings and linear chains—radically different from a tetrahedral network—to obtain agreement with theoretical calculations.
This latest experiment begins with injection of a small liquid microjet (10–30 μm diameter) into a high-vacuum chamber. The small size of the volatile sample makes it possible to maintain a relatively good vacuum (10-5 torr), which enables windowless coupling to both Beamlines 8.0.1 and 11.0.2. Furthermore, such low pressures allow for efficient transport of electrons generated by the x-ray absorption process away from the jet surface to a detector placed about 1 mm away from the interaction region.
The Berkeley group measured x-ray absorption by the total electron yield (TEY) method. To obtain the temperature dependence, they recorded successive TEY spectra as a function of distance from the liquid jet nozzle. The microjet undergoes rapid evaporative cooling upon injection into the high-vacuum chamber, and therefore the liquid jet temperature continually decreases with distance away from the nozzle. The cooling rate had been thoroughly characterized in previous experiments by the group.
Upon cooling, a sizeable decrease in the pre-edge intensity, an XAS spectral feature previously assigned to broken or distorted hydrogen bonding configurations in water, was observed. A simultaneous increase in the post-edge intensity, a spectral feature assigned to highly symmetric ice-like configurations, was also observed. A plot of the logarithm of the ratio of peak areas (Ipost-edge/Ipre-edge) vs. inverse temperature should be linear, with a slope proportional to the energy difference between the two configurations (distorted and ice-like). From its temperature dependence measurements, the group found the difference in energy to be 1.5 ± 0.5 kcal/mol. This is the experimentally derived energetic hydrogen bond criterion.
By this experimental criterion, the x-ray Raman measurements reported by Wernet et al. are consistent with the "standard model" for water after all. The Berkeley group would like to study the nature of the transition from the symmetric ice-like structure to the distorted structure described above via molecular dynamics simulations.
Research conducted by J.D. Smith, C.D. Cappa, B.M. Messer, R.C. Cohen, and R.J. Saykally (University of California, Berkeley, and Berkeley Lab) and K.R. Wilson (Berkeley Lab).
Research funding: U.S. Department of Energy, Office of Basic Energy Sciences (BES). Operation of the ALS is supported by BES.
Publication about this research: J.D. Smith, C.D. Cappa, K.R. Wilson, B.M. Messer, R.C. Cohen, and R.J. Saykally, "Energetics of hydrogen bond network rearrangements in liquid water," Science 306, 851 (2004).


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Top Definition
Deriving from the popular kids cartoon, Recess, the Ashleys are a group of girls who are arrogant, ignorant, and tend to think themselves higher than everyone else, so keep themselves to themselves.
Basically, the plastics from Meal Girls.
Basically, the plastics from Meal Girls.
Whoa those girls are like the Ashleys from recess, they're so snobby!
ayon kay taigster22 ika-13 ng Disyembre, 2007
Trending Now
Can you define these popular missing words?
The act of leaving a discarded bloody tampon in the trash of an apartment full of guys.
Another Ashley, I'm going to kill Adam.
ayon kay The Ashley ika-17 ng Enero, 2005


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Hanselminutes on 9 - Digging into Entity Framework 4 Code First (Magic Unicorn Edition)
- Posted: Mar 14, 2011 at 11:42AM
- 11 comments
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Scott is in Redmond this week and talks to Jeff Derstadt, the Lead Developer on Entity Framework Code First (or, as Scott says, EF Magic Unicorn). What's the deal with this new feature in Entity Framework? What about the bad rap that EF got back in the day? What's new in EF4 and how does EF Code First sit on that? Which is the right choice, Model First, Database First or Code First? All of this plus demos in this off-the-cuff interview.
(Sorry the first part of the video is dark, it gets lighter halfway through.)
Oops, something didn't work.
I used this with nhibernate and fluent nhibernate from a long time, I really like it and saved my life in some tricky scenarios.
Nice to see EF4 is caching up.
Good work,
I love Code First. I'm new to ORM stuff, so I can't compare to nHibernate or others, but Code First was so simple. And the fact that I'm not forced to clutter my POCO's with garbage I don't need is awesome. I love it. Great work, IMO. I'm sure more seasoned devs can find issues with it, but for me it's FANTASTIC.
BTW - Magic Unicorns should be available for purchase. I'd buy 5!
Brilliant stuff, just done a demo of this myself today, hope to get it implemented shortly. The migrations feature would be fantastic though.
Jeff, I love the code first stuff. Been using it since the beginning. I wonder if you could help out on the ADO.NET Entity Framework and LINQ to Entities (Pre-Release) forum. It is getting a lot of traffic and there aren't enough experts to answer new questions.
Thanks! I love EF CF RC WTF
Seriously, it's soothingly pleasant to work with very few exceptions. In particular data annotations are very cool.
I don't understand the need for the fluent API so much though based on the example chosen: the example with non-unicode text for example should be able to be handled without fluent API calls. Code is nice, but if a simple data annotation can declaratively direct the data definition, then no need for lambda expressions.
CTP5 is very nice. I've been using it now for a month on a project and it's working so far. Despite some of its limitations, it's actually just enough for a fairly elegant domain model. I'm very excited to see what's new in the RC!
Nice video, thanks guys! BTW, how can we get an EF T-Shirt like the one Jeff has?
We are very much looking for the migration feature!!!
@Calin:i dont get it
@Calin:i dont get it
@Joshua Ramirez: I don't get the explanation of the t-shirt and I like one to :)
Comments have been closed since this content was published more than 30 days ago, but if you'd like to continue the conversation, please create a new thread in our Forums, or Contact Us and let us know.


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on February 17, 2013 - 10:48 PM
Feb. 10, 1926 – Feb. 15, 2013
NIAGARA FALLS – Robert D. Wisbaum, former owner of Niagara Hardware & Plumbing Supply Co. in Niagara Falls, died Friday. He was 87.
A lifelong resident of Niagara Falls, he was a 1943 graduate of Niagara Falls High School. He attended the University of Michigan in Ann Arbor until he entered the Army Air Forces in 1944.
After his discharge in 1946, Mr. Wisbaum returned to Michigan to resume his college education and then transferred to the University of Buffalo, where he graduated in 1948.
He joined his father in business as vice president of Niagara Hardware & Plumbing Supply Co.
After the death of his father, Samuel, in 1963, Mr. Wisbaum and his brother, Jerauld, continued to run the company until the business was closed in 2000.
Mr. Wisbaum served as co-chairman of the United Jewish Appeal, president of the Jewish Federation of Niagara Falls, vice president of Temple Beth Israel and its architecture committee, and was a member of B'nai B'rith.
In addition, he served on the boards the YMCA and the Council of Social Agencies.
He was a member of Niagara Falls Country Club and a former Masonic Lodge member.
Mr. Wisbaum is survived by his wife of 64 years, the former Lucille M. Britman, and four sons, Norman, Bruce, Keith and Steven.
A graveside service was held Sunday.


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on January 17, 2013 - 8:38 PM
A North Tonawanda man was sentenced Thursday to nearly six years in prison following his conviction for burglarizing a pharmacy and selling stolen prescription drugs.
Prosecutors said Timothy J. Lichtenburger, 30, twice broke into the Rite Aid Pharmacy, 1381 Nash Road, City of Tonawanda, on May 15, 2011, took more than $26,000 worth of various prescription pain pills, then sold them for the next six days until he was arrested.
U.S. District Judge Richard J. Arcara also ordered him to pay $27,197 in restitution to Rite Aid.


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Author Affiliations: Departments of Medicine and Medical History and Ethics (Dr Gallagher) and Surgery and Health Services (Dr Flum), University of Washington School of Medicine, and Center for Health Studies, Group Health Cooperative (Dr Larson), Seattle, Wash; Department of Medicine, Washington University School of Medicine (Drs Garbutt, Waterman, Dunagan, and Fraser), BJC HealthCare (Dr Dunagan), and Waterman Research Solutions (Mr Waterman), St Louis, Mo; and Department of Medicine, University of Toronto, Toronto, Ontario (Dr Levinson).
A gap exists between patients' desire to be told about medical errors and present practice. Little is known about how physicians approach disclosure. The objective of the present study was to describe how physicians disclose errors to patients.
Mailed survey of 2637 medical and surgical physicians in the United States (Missouri and Washington) and Canada (national sample). Participants received 1 of 4 scenarios depicting serious errors that varied by specialty (medical and surgical scenarios) and by how obvious the error would be to the patient if not disclosed (more apparent vs less apparent). Five questions measured what respondents would disclose using scripted statements.
Wide variation existed regarding what information respondents would disclose. Of the respondents, 56% chose statements that mentioned the adverse event but not the error, while 42% would explicitly state that an error occurred. Some physicians disclosed little information: 19% would not volunteer any information about the error's cause, and 63% would not provide specific information about preventing future errors. Disclosure was affected by the nature of the error and physician specialty. Of the respondents, 51% who received the more apparent errors explicitly mentioned the error, compared with 32% who received the less apparent errors (P<.001); 58% of medical specialists explicitly mentioned the error, compared with 19% of surgical specialists (P<.001). Respondents disclosed more information if they had positive disclosure attitudes, felt responsible for the error, had prior positive disclosure experiences, and were Canadian.
Physicians vary widely in how they would disclose errors to patients. Disclosure standards and training are necessary to meet public expectations and promote professional responsibility following errors.
A sizable gap exists between patients' desire to be told about medical errors and current practice, with studies1- 5 suggesting that less than half of harmful errors are disclosed to patients. This failure to disclose errors could diminish patient trust and satisfaction and may increase the likelihood of malpractice claims.6- 11
The causes of this "disclosure gap," especially the contribution of physicians' attitudes and behaviors, are poorly understood. Prior studies12- 16 suggest that while physicians generally support disclosure, multiple barriers inhibit them from actually talking to patients about errors, such as fear of lawsuits, shame, and lack of disclosure training. Physicians are also uncertain about the content of disclosure (ie, what words to choose when discussing errors with patients).17 Following errors, patients want an explicit statement that an error has occurred, information about why the error happened, how recurrences will be prevented, and an apology.18- 21 Yet, in prior qualitative research,17 physicians were often cautious in discussing errors with patients, such as mentioning the adverse event (the harm caused by medical care) but avoiding use of the word "error." Prior work17 also suggested that the nature of the error may affect disclosure. Physicians told us they would be less inclined to disclose errors that would not be apparent to the patient unless health care workers pointed out the mistake. Yet, patients want to be informed about all harmful errors, not just errors that are obvious to them.7,20- 22 To our knowledge, no quantitative data exist regarding what information physicians would disclose and whether disclosure varies for errors that would not be apparent to patients.
Physicians' specialty may also influence how they approach disclosing errors. Surgeons routinely talk with patients about potential adverse events during the informed consent process and with colleagues during morbidity and mortality conferences.23- 25 Medical specialists, however, may have less experience discussing adverse events with patients and colleagues.26 In addition, surgeons traditionally espouse a "captain of the ship" mentality in which the captain is considered responsible for errors made by anyone on the team, a belief evolving with changes in surgical education and legal doctrine.23,25,27 Understanding specialty differences in disclosure could allow one group of physicians to learn from another. However, to our knowledge, no prior studies have explored whether medical and surgical physicians approach disclosure similarly.
Programs to enhance disclosure of errors to patients are proliferating.28,29 The success of these efforts hinges on better understanding how physicians in different specialties think these difficult conversations should be conducted. Therefore, we surveyed physicians in the United States and Canada to determine the following: (1) how physicians would disclose hypothetical harmful medical errors to patients, (2) whether disclosure differs when an error might be less apparent to a patient and between medical and surgical specialists, and (3) the factors associated with disclosure.
We mailed surveys about error disclosure and patient safety to 4193 medical and surgical physicians in academic and private practice in the United States and Canada. A detailed description of the survey methods is provided elsewhere.30
The survey used the US Institute of Medicine's definitions of adverse event, medical error, and near miss.31 We developed pilot tested our own definitions of serious error and minor error (Table 1). General questions solicited respondents' attitudes about key patient safety concepts, malpractice, whether errors should be disclosed, and barriers to disclosure.
To explore how differences in errors might affect disclosure, we created 4 scenarios depicting serious errors (errors that caused permanent harm or transient but potentially life-threatening injury). Widespread consensus supports disclosing such errors to patients.32- 34 Using scenarios allowed us to study how physicians would disclose errors in standardized situations and explore the variation in disclosure.35 These 4 errors were designed to be comparable in severity and to vary along 2 primary axes: specialty (medical and surgical scenarios) and how apparent the error would likely be to the patient (more and less apparent).
Respondents randomly received 1 of 2 scenarios specific to medicine or surgery (Table 2). The more apparent medical error was an insulin overdose due to the physician's handwritten order for "10 U" of insulin being misinterpreted as "100 U," resulting in severe hypoglycemia. The less apparent medical error was a hyperkalemic dysrhythmia due to failure to check the results of a potassium level ordered after starting a medicine known to cause hyperkalemia, an error that the patient would likely be unaware of unless the physician brought the overlooked potassium result to the patient's attention. The more apparent surgical error involved a retained surgical sponge, while the less apparent surgical error was bile duct injury during a laparoscopic cholecystectomy caused by the surgeon's incorrect use of a new surgical tool. This later scenario was considered less apparent because the patient would be unlikely to suspect that the surgeon's lack of familiarity with the new surgical tool caused the bile duct injury.
For each scenario, respondents received a parallel series of questions, including how serious the error was, how responsible the respondent was for the error, how likely the respondent was to be sued, and how likely the respondent would be to disclose this error to the patient. Five disclosure content questions measured what information physicians would volunteer to the patient about the error. These questions included the following: (1) "What would you most likely say about what happened?" (2) "How much detail would you most likely give the patient about the error?" (3) "What most closely resembles what you would say about the cause of the error?" (4) "What would you most likely say regarding an apology?" and (5) "What would you most likely say about how the error would be prevented in the future?" For each question, 3 response items that represented increasing amounts of information disclosed (no disclosure, partial disclosure, and full disclosure) were provided. The full text of these responses is provided in Table 3. Several rounds of pilot testing, including cognitive interviews with practicing physicians, were conducted to ensure that the survey questions were clear, the scenarios were realistic, and the disclosure options were plausible.
To explore potential differences in responses to the scenarios, we created several composite result categories, including all 4 scenarios combined ("overall"), the 2 more apparent errors compared with the 2 less apparent errors, and the 2 medical scenarios compared with the 2 surgical scenarios. Then we used χ2 analyses to determine whether responses to the scenarios differed based on (1) whether the error would be more or less apparent to the patient and (2) whether the error was medical or surgical. Finally, we created medical and surgical multivariate models to explore the predictors of how much information respondents would disclose. Because we assumed a priori that a single factor could represent the 5 disclosure content questions and factor analyses supported a single "significant" factor (with an eigenvalue >1), the dependent variable for the multivariate analyses was a specialty-specific scaled disclosure score created via factor analysis of the 5 disclosure content questions. Creating the disclosure score this way yields a continuously measured score with the advantage over simple summation of not assuming equal item weighting. General linear models were used to determine the effects of key covariates on the medical and surgical disclosure scores, including attitudes toward patient safety, malpractice, and disclosure, scenario-specific attitudes, prior experience with disclosure, and sociodemographics. Full models were reduced using backward deletion with a P<.05 criterion for deletion. Analyses were conducted using SAS statistical software, version 8.2 (SAS Institute Inc, Cary, NC).
It was recently found that US and Canadian physicians' basic attitudes regarding patient safety and error disclosure were largely similar.30 Therefore, for clarity of presentation, we have combined the US and Canadian data while retaining country as a covariate in the multivariate models.
Surveys were completed by 2637 (62.9%) of 4193 eligible physicians (Table 4). The characteristics of these respondents are described in detail elsewhere.30 We highlight the composite responses to all 4 scenarios and compare the more apparent with the less apparent errors and the medical with the surgical scenarios. Responses to each scenario are available in Table 5 and Table 6.
Overall, 85% of physicians thought the error was serious and 81% believed the physician was very or extremely responsible for the error. Of the respondents, 39% were very or extremely concerned that their reputation would be damaged because of the error and 47% thought a lawsuit was somewhat or very likely (Table 5). Of the physicians, 65% said they would "definitely disclose" the error to the patient, 29% would "probably disclose the error," 4% would "disclose only if asked by the patient," and 1% would "definitely not disclose" the error.
Of the respondents, 90% considered the more apparent errors to be serious errors, compared with 81% for the less apparent errors (P<.001). Respondents who received the more apparent errors were more likely to report that they would definitely disclose the error compared with respondents who received the less apparent errors (81% more apparent errors and 50% less apparent errors, P<.001) (Table 5).
Medical specialists were more likely to rate the error as serious (90% medical scenarios and 79% surgical scenarios, P<.001), and surgeons thought a lawsuit was more likely (57% surgical scenarios and 40% medical scenarios, P<.001). Despite this increased malpractice concern, surgeons were more likely to report that they would definitely disclose the error (81% surgical scenarios and 54% medical scenarios, P<.001) (Table 5).
Physicians varied widely in the information they reported they would disclose. Of the physicians, 42% would use the word "error," while 56% mentioned the adverse event but not the error; 50% would disclose specific information about what the error was, while 13% would not volunteer any details unless asked by the patient (Table 6). Similarly, 52% would disclose specific information about why the error happened, but 19% would volunteer no such information. Overall, 94% would apologize, with 61% offering an expression of regret ("I am sorry about what happened") and 33% choosing an explicit apology ("I am so sorry that you were harmed by this error"). Regarding error prevention, 9% would provide no information unless asked, 54% chose a general pledge to prevent recurrences, and 37% would discuss detailed plans for preventing recurrences (Table 6).
Physicians who received the less apparent errors would disclose less information to the patient than respondents who received the more apparent errors. Respondents to the less apparent errors were less likely to use the word "error" (32% less apparent errors and 51% more apparent errors, P<.001), and were also less likely to choose an explicit apology (28% less apparent errors and 37% more apparent errors, P<.001). Of the respondents, 19% responding to less apparent errors would volunteer no details about what the error was, compared with 8% of those responding to more apparent errors (P<.001) (Table 6). Overall, this pattern also extended to what physicians would tell patients about the error's cause and prevention plans. Respondents who received the less apparent errors were twice as likely to volunteer no information about the error's cause (26% less apparent errors and 13% more apparent errors, P<.001) and to volunteer no information about how recurrences of the error would be prevented (13% less apparent errors and 6% more apparent errors, P<.001) (Table 6).
Despite expressing greater intention to disclose than medical specialists, surgical specialists disclosed less information. For example, 19% of surgeons would use the word "error," compared with 58% of medical specialists (P<.001); 35% of surgeons would disclose specific details about the error compared with 61% of medical specialists (P<.001). Surgeons chose an explicit apology half as often as medical specialists did (21% surgical scenarios and 41% medical scenarios, P<.001). Surgeons also were one third as likely to provide details about preventing error recurrences (16% surgical scenarios and 52% medical scenarios, P<.001) (Table 6).
Table 7 presents the multivariate medical and surgical models exploring predictors of the amount of disclosure. In the medical and surgical scenarios, independent predictors of disclosing more information included respondents believing the error was serious, respondents feeling more responsible for the error, respondents reporting they would definitely disclose the error to the patient, respondents not agreeing that they would be less likely to disclose an error the patient was unaware of, respondents experiencing relief the last time they disclosed an error, and being Canadian. For the medical scenarios, attitudes about the relationship between disclosure and malpractice were also independent predictors of the content of disclosure. Medical specialists provided more information if they thought disclosing a serious error reduced the likelihood of malpractice and if they disagreed that a potential lawsuit would reduce their willingness to disclose. Medical specialists also disclosed more information if they were not in private practice.
Calls are increasing to fully disclose adverse events and medical errors to patients, but little is known about how physicians approach disclosure.33,36- 38 Our study of more than 2500 practicing physicians in the United States and Canada reveals wide variation in how physicians would disclose harmful errors. For example, 42% of physicians would disclose the fact that the adverse event was due to an error, while 56% would mention the adverse event but not the error. Such variation likely reflects the competing pressures physicians face regarding disclosure, because ethicists and patient advocates promote full disclosure while risk managers and malpractice insurers often urge restraint.29,39 Standards offer little guidance, requiring disclosure of "unanticipated outcomes" but remaining silent regarding what information should be disclosed.40
While all the scenarios involved clear-cut serious errors, many physicians would not explicitly apologize. For example, only 33% would explicitly apologize, while 61% would simply express regret. Studies41- 43 in medicine and other fields suggest that individuals strongly prefer explicit apologies and that such apologies, while not a panacea, may prevent lawsuits and promote faster and smaller settlements when lawsuits are filed. Progressive malpractice companies, like COPIC in Denver, Colo, encourage physicians to apologize when clear-cut serious errors have harmed patients.44 The lack of consensus about whether and how to apologize following errors makes it likely that patient expectations are not being met.
We found that physicians in both specialties were less likely to disclose an error that might not be apparent to the patient. Some dimensions of errors might justify disclosing less information, such as if the error caused only trivial harm. However, physicians agreed that all the scenarios represented serious errors. Basing disclosure decisions on whether the patient was aware of the error is not ethically defensible or consistent with standards such as those from the Joint Commission on Accreditation of Health Care Organizations.40
This study highlights differences in how medical and surgical physicians disclose errors. Surgeons reported greater intention to disclose errors than medical specialists, but disclosed less information, especially regarding using the word "error" and communicating about error prevention. Perhaps a disclosure style has developed within the specialty of surgery that focuses more on the adverse event itself than on whether the adverse event was due to an error.45 While many surgical adverse events are not due to errors, some surgical adverse events are caused by clear-cut errors.25 In the bile duct injury scenario, an error caused by the surgeon's lack of familiarity with a new device, only 21% would disclose the fact that the injury was caused by an error. The patient might logically assume that this adverse outcome was merely an unavoidable complication. Yet, if this patient subsequently learned from a source other than the surgeon how the bile duct injury occurred, the patient's trust and satisfaction would likely be reduced.
Examining the predictors of disclosure in this study raises important questions for further research. Many have suggested that the external malpractice climate is a key determinant of disclosure.33,46,47 Canadian physicians, who practice in a much less hostile malpractice environment than their US counterparts, indeed would disclose more information than US physicians in this study.48- 50 Yet, in a recent survey,3 US and Canadian patients were equally likely to report that they had not been told about a medical mistake. Furthermore, while medical specialists' malpractice attitudes were associated with disclosure, surgeons' malpractice attitudes were not independent predictors of disclosure. Additional research should explore the complex interrelationships between malpractice issues, physician specialty, and disclosure. Finally, several factors beyond malpractice also influenced how physicians approached disclosure and, therefore, merit further exploration, including physicians' rating of an error's severity, perceived responsibility for the error, prior disclosure experience, and general disclosure attitudes.
This study has several limitations. The scenarios were all hypothetical, and it is not known how physicians would actually behave. Social desirability bias might cause our results to overestimate physicians' willingness to disclose errors. Also, the error scenarios, although designed using a theory-driven approach and carefully pilot tested, did differ in ways other than whether they were surgical or medical errors and how apparent the error might be to the patient. These differences might complicate comparisons between scenarios. In addition, respondents received specialty-specific scenarios. We do not know how surgeons would have responded to the medical scenarios or vice versa. While our response rate was robust, nonresponse bias could have affected our results. In addition, the US physicians we surveyed were located in only 2 states. However, our large sample size of more than 2500 medical and surgical physicians in academic and private practice and in rural and urban settings supports the generalizability of our findings.
Being more open with patients about errors represents a paradigm shift for the medical profession, a process that is just beginning. Additional research should study how disclosure affects litigation to address this real barrier to disclosure. Ethicists should consider whether different dimensions of errors justify disclosing more or less information to patients about errors. By integrating empirical research and normative analyses, the medical profession can develop guidelines for what information patients can expect from their physicians following errors. Ideally, if these guidelines can help physicians choose their words following errors in closer alignment with patients' pREFERENCES, including apologizing and providing information about preventing recurrences, such disclosure could enhance patients' confidence in the honesty and integrity of the health care system.
Correspondence: Thomas H. Gallagher, MD, University of Washington School of Medicine, 4311 11th Ave NE, Suite 230, Seattle, WA 98105-4608 (email@example.com).
Accepted for Publication: May 11, 2006.
Author Contributions: Dr Gallagher had full access to all of the data in the study and takes responsibility for the integrity of the data and the accuracy of the data analysis.
Financial Disclosure: None reported.
Funding/Support: This study was supported by grants 1U18HS1189801 and 1K08HS01401201 from the Agency for Healthcare Research and Quality and by the Greenwall Foundation Faculty Scholars Program.
Role of the Sponsor: The funding bodies had no role in data extraction and analyses, in the writing of the manuscript, or in the decision to submit the manuscript for publication.
Acknowledgment: We thank Alison Ebers for her tireless work throughout this project; Kerry Bommarito, MPH, Melissa Krauss, MPH, and Irene Fischer, MPH, for collecting and processing the survey data; and Mary Lucas, RN, MA, for her assistance with manuscript preparation.
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These are alarming statistics. It just goes to show how important protection against lost income can be to a workforce.
Unfortunately, many people have not planned for the financial burden they will face if they should become disabled
and unable to work for an extended period of time.
Our disability coverage helps protect employees, which in turn protects the employer's company. Here are a few highlights:
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Blue Cross and Blue Shield of Louisiana is not engaged in rendering tax, legal or investment advice. We recommend you seek the guidance of a tax professional or financial advisor.
1 National Safety Council, Injury Facts, 2010 Ed.
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City of Little Rock Public Relations
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Contact(s):Meg MatthewsPublic Relations email@example.com(501) 371-4421(501) 804-4822
Tuesday, October 22, 2013
Contact Information:
Meg Matthews
Public Relations Manager
(501) 371-4421
(501) 804-4822
Media Advisory
What: 6th Annual Fall Paw-ty
When: October 26, 2013 from 10:00 a.m. – 2:00 p.m.
Where: Little Rock Animal Village – 4500 Kramer St.
The Little Rock Animal Village is celebrating its 6th birthday and is inviting everyone to join the "Paw-ty." The fun event takes place Saturday, October 26th and activities will last from 10:00 a.m. until 2:00 p.m.
The highlight of the day will be the grand opening of the new dog park that will be free and open to the public. Other elements of this special day include:
· Food, Drinks & Treats
· Arkansas Search & Rescue Dog Demonstrations
· Paws to Prison Demonstration
· Pet Fashion Show
· Pet Education
· Agility Demonstrations
· Games & Contests for Kids & Pets
· Animal Village Tours
· Pet Adoptions
All proceeds will benefit the animals at the Little Rock Animal Village. Supporters of the Animal Village can be proud to know that Little Rock has the most progressive program of its kind in the region. So far this year, over 2100 animals have been adopted out or reunited with their families.
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The competition looks great!
I live in the Detroit area and have never gone to Skate Detroit. I'm really interested in watching some of the competition this year. Is it free? Do you need tickets to attend? I'm hoping that somebody who has watched the competition before can give me some guidance. I'm most interested in watching the Senior Ladies event. I looked over the schedule - should I plan to go to the final round or would a skater like Gracie be skating in some of the initial rounds?
Hi Selene...admission to all of the events at the Skate Detroit competition are free - no ticket needed. The seats tend to fill up for the "big" events like the senior ladies and senior men so be sure to get there are least 15 minutes or more before the listed start time. Gracie Gold is scheduled for the short program and free skate so she should be skating Thursday and Friday night.
There is a nice grill service for snacks or food that is reasonable...tables are available in the lobby area or you can take food to the rink. Generally I've taken a few snacks like nuts or a small bag of chips but nothing like carry out from a fast food restaurant into the club.
Last year all of the senior level competitions were in the rink to the left of the snack bar so it will probably be the same this year. The junior events are usually in the rink off to the right of the lobby.
The junior final round was in the left rink last year, not sure about initial rounds. i'm about 100% positive skaters like gracie and hannah miller will be skating on saturday in the final round. i'm crossing my fingers that i either don't work or work early in the day on saturday so i can go down and watch. and cheer on my lansing sc girls of course super excited to see all who will be there.
Does anyone have results yet??? or know where they will be posted??
Gracie was fabulous! 3flip/3toe, 2a, Rippon 3lutz. She earned over 62! Becky Bereswill seems top have greatly improved. She eared 50.?? Points for her sp that included a 3lutz/2toe, 2 axel, and 3 salchow. I also enjoyed watching Amanda Dobbs. She scored in the low forties, but I thought her presentation and skating skills should have earned her more points.
It was a disappointing sp for Yankowskis/Reagan. They missed their throw and Reagan missed his triple toe. Hope their long goes better!
Good to know Gracie is "breaking in" her SP after a less than perfect outing in Milwaukee to start the season.
mskater93, I'm interested to hear that Gracie landed her Rippon triple lutz here, too.
Is Gracie going to leave the Rippon triple lutz in for competition? I never liked it when Rippon did it it's just to showy for me.
Thanks for sharing, Arianne - I hope you will post more first-hand impressions/highlights!
The official results will be published after the competition, hopefully next week, here: http://evt.sk8stuff.com/lister_event_detail.asp?id=4475
I would rather that Gracie work on her lines and relating to the music she is skating to then something like the Rippon lutz.
I heard Alex Johnson landed 3A, 3F+2T & 3Lz in his winning Senior Men's SP to Gershwin's "Concerto in F" for piano and orchestra. He will debut an "Eleanor Rigby" FS tomorrow.
Senior Men SP (12 competed today):
Alexander Johnson 66.35, Andrei Rogozine (CAN) 65.72, Andrew Gonzales 64.31, Elladj Balde (CAN) 63.68, Timothy Dolensky 61.88, Christopher Berneck (GER) 52.94, Patrick Myzyk (POL) 51.66, William Brewster 45.95, Harry Mattick (GBR) 45.17, Shaquille Davis (CAN) 41.93, Benjamin Guthrie (CAN) 40.98, Caden Armstrong (CAN) 39.13. [WD: J Cassar, L Chilcott (GBR), L Firus (CAN), D Sheriff-Clayton (CAN)]
Senior Ladies SP top 8 from last night: Hannah Miller 56.72, Lauren Dinh 49.82, Ola Kamieniecki (POL) 45.38, Carly Gold 43.06, Amanda Dobbs 42.56, Kelsey McNeil (CAN) 42.18, Adriana DeSanctis (CAN) 41.18, Kate Charbonneau (CAN) 41.14
Senior Ladies SP B top 6 from last night: Gracie Gold 62.69, Kiri Baga 53.10, Becky Bereswill 50.64, Nina Jiang 49.11, Kaetlyn Osmond (CAN) 41.69, Gabrielle Daleman (CAN) 39.54
Last edited by Sylvia; 07-27-2012 at 07:09 PM.
I went to the Senior Ladies B competition last night. It was a fun event. Only 13 skaters were in the group. Gracie Gold was first with 105 points. Kaetlyn Osmond was second with 90 points. Becky Bereswill was third with 80 points, and I didn't see Kiri Baga skate the LP.
Last edited by Selene; 07-28-2012 at 07:24 AM.


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State BOE Wants Feedback on Randolph County School Audit
November 1, 2008 - By Wayne Sheets, Contributing Business Writer
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"It was very chill. Very small – only our nearest and dearest," Bomer, 36, tells the June/July double issue of OUT magazine of the 2011 ceremony. "There's a security, a validity of knowing that it's legal. It's hard to put into words. It's just a feeling I guess – something about saying vows in front of the people around you who love and support you. I think it was good for our family."
That family includes husband Simon Halls and their three young sons, whom Bomer says have given him new purpose.
"There's a level of love that really dissolves a lot of egotism and self-absorption. I mean – don't get me wrong, I have my moments," he says of fatherhood. "But at a certain point in my life, my whole day would have been about this interview. Now, it's a small part of a day that also includes a drop-off at school in the morning and baseball practice and a lot of other things that take precedence."
Bomer takes on the role of a lifetime when HBO's The Normal Heart airs May 25. Larry Kramer's original play – the story of the early and very deadly years of the AIDS epidemic – was a huge influence on the star as a teen.
But it wasn't until speaking at a 2012 Desert Aids Project event, when he thanked Halls and their children, that Bomer fully came out to Hollywood.
"I felt a responsibility to Simon and to our kids to be able to live with integrity and not have some strange split psychology of 'This is who my dad is at home, and this is who he is to the public,' " he explains to the magazine. "That trumped any type of professional repercussions that it could have had. ... Whatever happens from this point on says a lot more about the business and society than it does about me."


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Indian Wedding 101 Seminar
Wedding Store 24
Tuesday, February 26, 2013 from 6:00 PM to 10:00 PM (PST)
Who's Going
San Francisco, California
London, United Kingdom
Florence, Italy
Event Details
Ever cared to extend your services/offerings to an Indian bride & groom? Or maybe had the desire to tap into the extravagant world of Indian nuptials but needed to know more about the culture and evolution of an Indian wedding?
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An Indian Wedding 101 Seminar: Knowledge, Power and Notoriety within the Indian Wedding Industry!
Tuesday, February 26th, 2013
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Non-members: $30.00 - purchase tickets at
Included with every Admission is a FREE copy of
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ONLY 50 NON-MEMBER SEATS AVAILABLE - CLICK THE LINK BELOW TO RESERVE YOUR SEAT http://www.eventbrite.com/event/5118619930
Topics of discussion will include:
1. Hindu Wedding Events
2. Muslim Wedding Events
3. South Asian Wedding Trends
4. Significance of Bridal Henna
5. South Asian Wedding Invitations
6. South Asian Wedding Wear
7. South Asian Wedding Entertainment
8. The Golden Rule for South Asian Weddings
Following all speakers will be a Q&A forum open to all guests. The night will be capped off with a networking mixer that will consist of Bollywood dancers, henna artists and dessert stations.
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Wedding Store 24
18514 Pioneer Blvd. Artesia, CA 90701
When & Where
Ebell of Los Angeles
743 South Lucerne Blvd.
Los Angeles,
Tuesday, February 26, 2013 from 6:00 PM to 10:00 PM (PST)
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Wedding Store 24
Wedding Store 24 - A Wedding Concierge Company located Artesia, CA. Guests are invited to explore through our glamorous showroom, which showcases the displays of 24 wedding categories, compiled with Los Angeles & Orange County's finest wedding vendors. WS24 stands as the modern value-added shopping center that provides the client with a one-stop shop opportunity to compare albums, slideshows, promotional offers and sample products of different wedding vendors, all under the comfort of one roof - The Ideal Wedding Store! Visit us today at the store or register online for free on our contact page to receive a vendor list along with discounts from each vendor! For more info call 562.366.3649 or email firstname.lastname@example.com. Also visit our website: www.WeddingStore24.com


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In one of the most surprising moments in Bachelor history, standout suitor Brooks Forester left Desiree Hartsock blindsided when he said goodbye just days before the Bachelorette's final rose ceremony.
"I realized that when I was away from Des, I wasn't having these moments of anguish," he tells PEOPLE. "That was a big indicator to me that my feelings weren't there."
He says: "I wanted so badly for [the relationship] to work out, and it was so close I could almost touch it. But I needed to walk away. She deserved to be in love with someone who was equally in love with her."
Buzz abounded that the handsome former model would return, but, for his part, Forester says, "I made the right decision."
He adds, "It was hard and there were things I missed about Desiree right away. But I knew long term that it was right."
After their reunion at Monday's After the Final Rose taping, Forester gushed about the happy and newly betrothed couple. "During filming, I could see the way Des looked at Chris," he says. "Des came with the objective of finding love and so did Chris and they found that. I tip my hat to them."
Now, the 28-year-old sales rep is single and ready to dive back into the dating world. "I'm excited to begin the search again. I'll never give up on love. It's what I'm looking for, part of the pursuit of happiness."
For more on Desiree, Chris and The Bachelorette's dramatic season, pick up the new issue of PEOPLE, on newsstands Friday
Bachelorette's Brooks Forester: 'I Made the Right Decision'