text:
on August 15, 2013 - 10:47 PM
, updated August 16, 2013 at 11:45 AM
WASHINGTON – The White House today confirmed that President Barack Obama will speak at the University at Buffalo next Thursday, as officials fleshed out the details of a two-day bus tour that will also take him to Syracuse, Binghamton and Scranton, Pa.
Sources told The Buffalo News on Wednesday that Obama will speak Thursday morning at UB's Alumni Arena, and a White House source said today that the Buffalo appearance would kick off a two-day tour in which the president will "continue talking to the American people about his better bargain for the middle class."
That official also said that on Thursday, Obama will also speak at the State University of New York in Syracuse, where the SUNY system has medical and forestry schools, as well as at Henninger High School in Syracuse.
On Friday, Obama will host a town hall event at Binghamton University, and will deliver remarks at Lackawanna College in Scranton.
"At each stop, the president will discuss the importance of ensuring that every American has the opportunity to achieve a quality education by reducing cost and improving the value of higher education for middle-class students and their families," the White House source said.
No further details were available about the precise time of the president's speech at UB. It also remains unclear whether – or how – tickets to the president's speech might be made available to the general public.
UB President Satish K. Tripathi released a statement welcoming the president to the UB campus.
"The University at Buffalo is very pleased and proud to host President Obama," Tripathi said. "The president's visit to UB will be a historic occasion for our university and our community, and we are happy to provide a forum for the president to address issues important to our nation. Fostering a public space for discussing pressing societal issues is vital to our mission as a leading research university focused on advancing the greater public good. We are delighted to have the opportunity to host such a timely and meaningful conversation here at UB.
It's also possible that Obama will make other, unscheduled stops in the Buffalo area. During his May 2010 visit to Buffalo, in which he spoke about the economy at Industrial Support Inc., he made an unscheduled stop at Duff's Famous Chicken Wings in Cheektowaga.
The nature of the president's trip, too, makes other unscheduled stops a possibility as well. After all, he will be riding by bus through the scenic, college-rich territory of upstate New York. And the New York State Fair, for decades a favorite stomping ground for politicians, will be taking place in Syracuse during his visit.
email: firstname.lastname@example.com


text:
An Amtrak train hit and killed a teen who was on the tracks on Wednesday afternoon, according to a Rail Runner official.
No email address was supplied by
To complete your registration on this site, please supply an address.
Please confirm or modify the email address to which you will have subscription offers sent.
For a more personalized experience, please supply the following optional information.

subset: commoncrawl


text:
All Packages Have Been Shipped
Hey everyone, all packages have been shipped. We ask that you allow one week for packages to arrive - there are several factors here (post office times, location of delivery,... Read more
Kickstarter Packages - Ship Date Approaching!
Hello TFK Army!
Thank you all again for your incredible support for the band during this entire process - we're so excited to finally be able to share this music... Read more
April 17th street date!
Hi everyone!
My name is Shawn and I work with TFK. The album, "The End is Where We Begin" will be available everywhere on April 17th! And as promised... Read more
Thank you and a few updates!!!
Thank You!!
We wanted to extend a very big thank you to all of you who chose to support us in this unique campaign. We are amazed and grateful for... Read more
Album Art
We are so excited to share with you the new design for our upcoming album, The End Is Where We Begin!
Thanks for your support! You rawk!
Thank You!
Thank you for your amazing support. We've been able to do some great things thanks to you. Last week we had a photo shoot for the new album - here's... Read more
Wow! We are so humbled. In just a few short day over 1,100 of you have chosen to support us here with our pre-sell campaign. Over 20,000 of our fans... Read more
Free Track From New Album!
As promised, since we hit the goal on the first day, here is a link to a free song from the album! It will be available until Monday morning only! ... Read more
Goal Reached On Day One!
Wow. Speechless. THANK YOU so much for your amazing support! We are so blown away. Really 1 day we hit the goal? Unbelievable! You guys are rock stars!
We... Read more
Wow! What an amazing response!
We KNEW that you were the BEST FANS, but you all stepped up last night and today. The response, from donations to stories to prayers, have all been amazing.... Read more


text:
on March 26, 2013 - 8:48 PM
LOCKPORT – Police said a Cuban national, in the United States legally for the past three years, may face deportation after he serves a state prison sentence of one to three years for using a machine to make phony credit cards and for growing marijuana in his former Lockport home.
Jose M. Cabrera, 38, of Howard Avenue, Buffalo, was sentenced Tuesday by Niagara County Judge Sara Sheldon Farkas for second-degree criminal possession of a forged instrument and second-degree criminal possession of marijuana.
Cabrera was living on Academy Lane in the Town of Lockport when he was arrested July 25 following a State Police raid on his basement. Troopers seized more than 10 pounds of marijuana, a batch of fake credit cards and $900 in cash.
Of that amount, $632 is to be used as restitution for the charges Cabrera made with the homemade cards.


text:
You can get there from here, but ...
August 5, 2012
Did you ever notice that your journey to the state capital of West Virginia from here includes leaving the state and going into either Maryland or Virginia? You can get there from here, but it isn't......
No comments posted for this article.
Post a Comment
You must first login before you can comment.


text:
Penn State Shenango Student to Facilitate Local Poverty Simulator Project
Penn State Shenango in conjunction with Community Action Program and Community Food Warehouse will host a Poverty Simulator event from 4 to 7 p.m. on April 4 in the Penn State Shenango auditorium located in downtown Sharon, Pa.
Through the Community Action Poverty Simulation (CAPS), Penn State Shenango faculty, staff, and students, as well as some local business people, will experience what it is like to walk in the shoes of those who live in poverty every day.
The CAPS provides participants with the opportunity to assume the role of a low-income family member living on limited budget. The experience is divided into four - 15 minute sessions, each of which represents one week in which you must provide for your family and maintain your home. As one participant commented, "This poverty simulation dramatically demonstrates how much time and energy many families have to give just to survive from day to day. It quickly dispels the myth 'that people would do fine if they would only go out and get a job!'"
46 million Americans, 13 million of whom are children under the age of 18, live in poverty every day. Many more have incomes above the poverty line, but their incomes are still low enough to qualify for Food Stamps and Medicaid. The recent downturn has seen unemployment rates rise and the use of emergency food pantries increase.
The facilitator of this event is Penn State Shenango Human Development and Family Study student Summer Knapp who is currently doing her internship project under the direction of Penn State Shenango Instructor of Human Development and Family Studies Holly Kihm as a research assistant. Knapp is completing her research while working at the Community Food Warehouse and, as part of her research, she volunteered to organize the CAPS project using Penn State faculty, staff and students. In addition to facilitator of the CAPS project, Knapp is co-coordinator and lead data collector for the National Feeding America Hunger Study in Mercer County.
"I am so happy to be able to organize and facilitate this first local poverty simulation," stated Knapp. "I hope the students who are participating in this project, most of whom are human development and family studies or administration of justice majors, will experience first-hand what it might be like for the clients that they will be working with in their future positions."


text:
I had to take some headshots of the kids today for something fun and I thought I'd share them here.
Last night I snuggled up with Noah in my bed and he told me that when he's a Dad he might order Frappuccinos.
Who are you going to marry? I asked.
A pretty woman.
Then he had a serious look on his face and I listened intently. Sometimes... he said. Sometimes I burp before I even know I had to burp.


text:
Sources: AAA, The Detroit News
quote: All this bs about fuel just makes the diesel argument stronger.
quote: Or LPG. :)
quote: making it harder for automakers to meet EPA fuel economy requirements.
quote: True that automakers can (and should) be forced to producing new cars that can run on renewable source fuels, but you can't force the owners of the millions of cars out there that have already been designed to use it (i.e. E85 ready cars) to start using gas that would eat their engines


text:
Find free personals at Date.com's Leeds dating service. Tired of speed dating? Try speed dating online with Date.com's matchmaking service. Whether you are looking for serious relationships, friendship, girlfriend, boyfriend, lover or even pen pals, Date.com has it all. Create a FREE singles ad and start Leeds dating online, its easy!
LeedsJoin Now Free!
Leeds Girls | Leeds Men | Leeds Gay | Leeds Lesbians
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15
More Leeds Links:
Singles | Personals | Chat | Speed Dating | Love
Leeds Catholic Dating | Leeds Christian Dating | Leeds Muslim Dating
Leeds Black Dating | Leeds Asian Dating
Date.com is a FREE online Leeds dating service for singles. We have the hottest attractive and available Leeds women/men on the Internet from hot blondes to cute brunettes to sexy redheads. If you are looking for a wife or husband for a happy marriage, mature ladies, older men create a free profile today. Browse our personal ads, chat online and start Leeds dating today.


text:
Top Definition
she's the most amazing person you'll ever meet and she'll make you laugh. she's sincere and she'll take a bitch out for one of her friends, she's a great listener and an even better talker. she's drama free and so flirty.
kyleigh likes boys all the time.
von naganashe! 19. August 2008
Trending Now
Can you define these popular missing words?
Photos & Videos
The most beautiful and nice girl ever. She's the complete package. Good looking, fun to be around, everything you could ever want.
von bored_out_of_my_mind 15. August 2008
A worthy opponent who will rip off your head 56 times if challenged.
"if jasper pee's on the floor one more time i'm going to kyleigh him"
von badaasss 27. August 2008
An Artistic, Musical, Down To Earth, Outgoing, Fun, Life of the Party, Earthy, Outdoorsey Girl, Genorous, Street Smart, Fashionable, Active, Loving, Fav. Color Green, Friendly, All Around a Good Person!!
Oh She was totally a Kyleigh
Hey that was a Kyleigh
Kyleigh, Yup that was a Kyleigh
Hey that was a Kyleigh
Kyleigh, Yup that was a Kyleigh
von Emmers<3 23. Januar 2011
Kyleigh she's the star of the day, if u get to see her u are a very lucky person, she is the most beautiful attractive girl on the face of the planet, she has the humor talent and generosity, every time I think of kyleigh it makes me smile, if only I could be with her (going out) I would be the luckiest man on earth. She is athletic king and loving, the perfect person to be with.
Kyleigh I love u
Kyleigh I love u
Kyleigh is the best
von The geek 1. März 2015
A girl who doesn't know what dank memes are but is good in bed!
Dankness is not Kyleigh
von Fire FaKiE 14. September 2016
Those most bitchest women you'll ever meet. You can't have friends that aren't hers. She's a whore and a cunt. She's a back stabbing bitch that fucks anyone she sees..
Sam: Do you see that bitch?
Patrica: Yeah she's so Kyleigh..
Patrica: Yeah she's so Kyleigh..
von 🏇🏇🏇 18. Juni 2016


text:
Spring has yet to arrive here
Where is spring? It has certainly not made an appearance in Erie yet, and there is not much we can do about it. We keep hearing people ask what was up with the groundhog, which back on Feb. 2 predicted an early spring. Worst of all, the forecast says that spring won't be coming any time soon. ... Today is Palm Sunday, which for Christians marks the beginning of Holy Week. Unless we get a warm spell this week, there probably won't be too many Easter bonnets on March 31. ... Tom and Kathy Rafferty are proud of Tom's daughter-in-law, Karen Rafferty, who was recently married to Tunch Ilkin, a former Pittsburgh Steelers offensive tackle who currently serves as the team's television and radio analyst. Ilkin, who was born in Istanbul, Turkey, attended Highland Park High School in Highland Park, Ill. Karen is affiliated with General Motors. She used to race cars but is now in training for triathlons, specifically the one in Chicago on Oct. 7. Tunch and Karen will make their home in Pittsburgh's Mount Washington area.
Our deepest sympathy to the family of Ham Strayer, 94, who passed away March 16. Ham was involved in community projects throughout the region, and was also a leader in the Republican Party. We recently spent time together at St. Mary's West, while we were recuperating from hip surgery, and we enjoyed many lunches and interesting conversations. ... With March Madness in full swing, we wonder how all those college basketball players get away during the season to play so many games. Right now the best ones are in the middle of the biggest tournament of the year. We imagine all the schools have tutors for the players when they miss classes. Last year's NCAA champion, Kentucky, did not even make the tournament, then it lost in the first round of the NIT to Robert Morris. ... The sad death of 17-year-old Jacob Samusenko, whose body was found last week in the bay, is a warning about being careful around the water. When Jacob, who loved walking around the bayfront, disappeared in January, scores of people searched for him. ... Erie schools Superintendent Jay Badams, who agreed to a contract extension, is not taking a salary increase. The new contract eliminated some perks, such as a $4,800 vehicle stipend. Badams has done a fine job and will be paid $185,000 annually through March 2018. Erie is fortunate to have him.


text:
Any chance you guys could show just a little humility and remember we're not all privy to the American advantage Any chance Adorama would open up shop in the UK please
Hmmm.. i see his reviews on eBay and it seems he sells a lot of gray market stuff, the last review there is from someone who bought a Canon 5D III..look at the attachement
After passing Adorama's and BC's ebay deals I pulled the trigger and took B&H's kit. (oh I have to correct my signature :-) )It seems that the sell isn't going as fast as in the last two deals.Adorama 818 in some 8 hours, but @2749Beach Camera 120 in 5 hours @2849Beach Camera 16 in 2 hours @2899It's hard to be smart, but I belive if people paid $3500 for it, it is definetly worth getting it for $2900 from an authorized dealer.Will it be cheaper than $2700 at Christmas or Thanksgiving? I highy doubt it, but you never know.
better get ready to start feeling warm and fuzzy about these deals from unauthorized sellers with the chance you won't have a honored warrantee by canon USA because its going to be the only way to save a little cash on gear going forward. That being said this outfit has 99% positive feedback on eBay and they sell a ton of items...you don't get that by jerking people around. I'd say if you don't want to pay full boat at adorama, BH, ET al, this is probably a safe bet.


text:
Happy birthday Vincent van Gogh: Match the artist game
POSTED: 12:23 PM MST Feb 15, 2013 UPDATED: 12:00 AM MDT Apr 01, 2013
March 30 was Vincent van Gogh's birthday. He and many other artists have created masterpieces that have transcended time and culture and have slated their place in art history. But how well do you know these masterpieces? Test your knowledge here!
The views expressed are not those of this company or its affiliated companies. Please note by clicking on "Post" you acknowledge that you have read the Terms Of Service and the comment you are posting is in compliance with such terms.blog comments powered by Disqus


text:
Accountancy students at KIMEP University in Kazakhstan will be given an exemption to part of the coveted ACCA (Association of Chartered Certified Accountants) qualification after the university became the first in the country to secure accreditation from the global accountancy body.
KIMEP students studying the Bachelor in Accounting and Audit and Bachelor of Science in Business Administration and Accounting will have exemption to the ACCA F6 paper on Principles of Taxation. In practice, this means KIMEP students will be exempt from sitting the F6 paper should they decide to complete the ACCA global accountancy qualification.
Altyn Shakirkhanova, ACCA Market Head in Kazakhstan, said: 'This is a positive step for KIMEP and ACCA. The majority of ACCA students come from KIMEP, a leading university in Kazakhstan specializing in degree in finance, accounting and economy, with some 75-80 per cent of ACCA students having graduated from there, so it is not surprising that elements of the degree programmes there are aligned with the ACCA qualification. It is encouraging for the students themselves to know that they are on the first step towards securing the ACCA qualification.'
The F6 exemption will cover students on the Accounting and Audit degree at KIMEP studying from 1 January 2016 to 31 December 2020, while those studying the Business Administration and Accounting programme from 1 January 2014 and 31 December 2017 will also secure the exemption.
Dr. Chan Young Bang, President of KIMEP University, commented: 'This is a significant recognition of the quality of KIMEP University's Accounting and Audit program, as well as the confidence that ACCA has in the program's graduates. It is a significant milestone on the path to attaining all nine possible exemptions. Moreover, this exemption is vital for the training of the qualified accounting professionals essential for Almaty's status as an international business centre.'
Dr. Tomas Balco, LL.M., FCCA, Director of Central Asian Tax Research Center at KIMEP and a member of ACCA's Global Forum of Taxation said: 'KIMEP has been seriously addressing the importance of aligning the academic program with requirements of professional qualifications. As a result I am pleased to say that KIMEP graduates can currently obtain exemptions from up to 5 ACCA exams. This is very important, since such graduates become more attractive on the job market, where the ACCA qualification is required. They can complete the ACCA exams much faster than their peers from other Universities and can then focus fully on their professional a careers and private life, rather falling asleep and waking up feeling the stress of passing or failing the next ACCA exam.'
The business community in Kazakhstan appreciates the importance of the ACCA qualification and a young professional will not be promoted to a Manager level, unless he obtains full ACCA qualification.
KIMEP University now continues the efforts of accrediting additional courses and assuring up to 9 exemptions for our students and also additional preparatory courses, so they can graduate from KIMEP with full ACCA qualification either from the existing Bachelor program or from a newly established specialized Master's program in accounting, which will be launched in September.
KIMEP underwent vigorous assessment of its degrees by ACCA to secure the F6 exemption. Students of Tax in Kazakhstan and Tax Law of the RK will secure the exemption.
The ACCA Qualification has been officially benchmarked as being equivalent to the UK Master's degree, one which requires four years' study.


text:
Source: Guardian
quote: Until the "America Next" part. Using O'Donnell is a bit of a stretch. She couldn't even win a damn Congressional seat. She's a wacko with no political or social power, she doesn't make policy. And Presidential hopeful? Only in her own mind lol.I'm not going to flip out and accuse you of trying to make Republicans look bad again by picking the most radical of the bunch and projecting them as the norm. I'm just wondering, why O'Donnell? She's basically just some random person with absolutely no political position at all. She's not even going to make the primary, much less a legitimate Presidential hopeful.I'm not a writer but for "America Next?" it would have been cool to focus instead on the FCC's victory in "Net Neutrality" which could easily grow into the Federal Government having a significant controlling interest in Internet content. Much like the proposed bill from England. That's a lot more scarey to me than O'Donnell's ravings.
quote: I'm not going to flip out and accuse you of trying to make Republicans look bad
quote: Maybe you should try imagining what it's like raising a child just to see her go into porn


text:
Luca Bruno/Associated Press
SCHLADMING, Austria � Olympic champion Maria Hoefl-Riesch of Germany bounced back from a disappointing World Cup season to win the super-combined Friday at the World Championships.
Hoefl-Riesch was fourth after the downhill portion before posting the second-fastest time in the slalom to finish in 2 minutes, 39.92 seconds. She beat Tina Maze of Slovenia by 0.46.
Former overall champion Nicole Hosp was fastest in the slalom and was one second behind in third to earn Austria its first medal at its home worlds.
�I can�t believe it,� Hoefl-Riesch said. �The last couple of weeks have not been easy. I had only two podiums this entire season so I wasn�t coming here as a favorite. My goal was to win any medal, the color didn�t matter to me. Incredible, it is gold.�
Hoefl-Riesch appeared to enjoy a clean slalom run, but she said it wasn�t.
�I am surprised as my slalom didn�t feel great,� she said after her sixth career medal from major championships. �I was a bit too conservative. I didn�t finish my last two slaloms on the World Cup, so that made me cautious.�
Maze had shared the lead after the first run with Austria�s Anna Fenninger, who straddled a gate in the slalom. Lara Gut of Switzerland, who had the same downhill time as Hoefl-Riesch, also failed to finish.
�A classic mistake,� said defending champion Fenninger, who was 1-2 with Maze at the worlds two years ago. �I don�t train a lot of slalom, so timing was always going to be difficult.�
After a freezing night with clear skies and temperatures sinking to minus-15 (5 degrees Fahrenheit), the course was harder and icier compared to the downhill training runs.
Racers had to deal with a bumpier and rougher surface, making the turning sections of the course tougher to master.
Maze, who holds an 888-point lead in the overall World Cup standings over Hoefl-Riesch, the 2011 winner, lost speed after an early mistake in her slalom, which was set by her coach Livio Magoni.
The Slovenian still earned her second medal of the worlds after taking gold in Tuesday�s super-G.
�I am not satisfied with my slalom run,� Maze said. �I held back and showed too much respect. My downhill was pretty good, though. Second place and a silver medal is a super result.�
Maze won the only World Cup super-combined this season in December and started as a clear favorite for the world title.
�I felt a lot of pressure at the start. I tried to stay calm, but that wasn�t easy,� Maze said. �People keep asking me about the possibility of winning five medals at the World Championships. That door is still open, and I won�t close it.�
Hosp earned her fifth medal total at World Championships but her first since 2007, the same year she won the overall title.
After years of struggling with injuries, the Austrian said she finally felt as if her best form was back.
�I am glad I finally had a good downhill again, I finally skied like I used to do,� Hosp said. �My slalom was excellent, that makes me really happy. I am so happy it worked out great. I had some tough times in recent years. And now I have a medal.�
Hosp said winning Austria�s first silverware at worlds will take pressure off the team, which failed to medal in either the women�s or the men�s super-G.
�It was really hard for us with no medals after two races,� Hosp said. �The whole nation is watching these races.�
Lindsey Vonn won the World Cup super-combined title the last three seasons, but the American is out for the season after injuring her right knee in a crash at Tuesday�s super-G.
Teammate Julia Mancuso, runner-up to Hoefl-Riesch in the 2010 Olympic race, finished eighth, 3.33 seconds off the winning time.
�That was a little disappointing. I was ready to have a good run,� Mancuso said. �I still have that mentality that I want to try and win, so maybe I�m pushing it too hard.�
Mancuso was 19th after the downhill but had the seventh-fastest slalom to finish as the top American.
Sofia Goggia of Italy was seventh, 2.77 off the lead, to score another surprising result, three days after coming in fourth in the super-G.
The 20-year-old Goggia has competed in only four World Cup races � all giant slaloms in which she failed to qualify for a second run. The Italian, however, has won four races, including a super-combined, on the lower-tier Europa Cup circuit.
The men�s downhill is Saturday.


text:
Main Content
Order as many items as you like with our $4.99 flat rate shipping.
This item ships within five business days.
Order as many items as you like with our $4.99 flat rate shipping.
Need it faster?
You and your iPhone are inseparable—especially since you found that app that lets you follow your precious Tigers. A good way to make sure that indispensable phone is protected would be by encasing it in this sleek shell case. Providing durable protection while giving you access to all the controls, this cover features bold team graphics on its back so your team spirit never leaves your side!
- High gloss finish
- Easy access to ports & controls
- Fits iPhone 4/4S
- Durable protection
- Made of plastic
- Customized in the USA
- Screen print graphics
- Officially licensed collegiate product
- Made in the USA
- Brand: Strategic Printing
Tigers Customers also liked:
Special event items are produced by manufacturers only after the outcome of a game or event. These are advanced sale items and will ship immediately after they are received in our warehouse.
Manufacturer direct items are shipped directly from the manufacturer. These items are not available for international or expedited shipping.
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.


text:
Reserve Online or Call Our Hotel Experts Anytime.
Toll Free US & Canada 1.800.997.2528
Worldwide 1.817.983.0674
USA > New York > New York Hotels > Hotel Belleclaire
Hotel Description
Property Location
Rec, Spa, Premium Amenities
Business, Other Amenities
We provide hotels cheap and discount lodging at New York NY. Book your hotel room with us and recieve great rates and prices!
Great deals at Hotel Belleclaire hotel.
See Complete Hotel Details
Other Nearby Recommended Hotels In The Area
Four Points By Sheraton Midtown-times Square - Rates from $285 *
Doubletree By Hilton Hotel New York - Times Square South - Rates from $143 *
Hampton Inn Manhattan/times Square South - Rates from $119 *
Hampton Inn New York - 35th Street - Empire State Building - Rates from $125 *
Holiday Inn New York City - Wall Street - Rates from $159 *
The Standard, East Village - Rates from $295 *
Holiday Inn Express New York City Times Square - Rates from $114 *
The Hotel 91 - Rates from $229 *
Best Western Bowery Hanbee Hotel - Rates from $119 *
Wyndham Garden - Manhattan Chelsea West - Rates from $260 *
* Rates or prices listed are estimated, may be different based on your check-in date or otherwise.
Popular PlacesAnaheim Hotels
Atlanta Hotels
Boston Hotels
Chicago Hotels
Fort Lauderdale Hotels
Houston Hotels
Honolulu Hotels
Key West Hotels
Kissimmee Hotels
Las Vegas Hotels
Laughlin Hotels
Los Angeles Hotels
Miami Hotels
Miami Beach Hotels
Nashville Hotels
New Orleans Hotels
New York Hotels
Orlando Hotels
Reno Hotels
San Antonio Hotels
San Diego Hotels
San Francisco Hotels
Seattle Hotels
Tampa Hotels
Washington Hotels
Home | Hotels | USA Hotels | International Hotels | Cars | Airfare | Group Bookings | Cash Back | Contact
© AvisHotels.com All rights reserved.


text:
My mei tai (say it like MAY-tie) is an original Freehand Baby carrier that I got it off a Mom barter group online several years ago. It's one of my most very favorite carriers ever.
I recommend the mei tai when baby is around 3 months old on up to toddler age. It evenly distributes the weight on your back and hips and is great for long-term wear.
I'm posting my favorite babywearing photos this week leading up to the announcement of the 2nd round Babywearing Triathlon winner (and also when I will be posting my favorite of yours that has been left in the comments on this post.)
Also, I'm giving away two pouch slings (enter by Tuesday night.)
Subscribe to my blog here
Twitter me- I'm babysteph


text:
on December 6, 2012 - 12:01 AM
, updated December 7, 2012 at 12:00 AM
Buffalo police officers working on a case involving the robbery of a pizza delivery man ended up solving an unrelated matter early Tuesday, when they found a woman standing outside a nearby house who was wanted in a stabbing from earlier this year.
Officers were called to East Delavan Avenue about 1:30 a.m. to check on the robbery report when they saw Vanessa M. Medina, 24, of East Delavan, according to a police report.
Medina was arrested for allegedly cutting a man's hand with a knife during a Brunswick Boulevard argument last March 31. She was charged with second-degree assault, criminal mischief and weapons possession.
The pizza delivery robbery remains under investigation.


text:
on November 13, 2012 - 10:57 PM
, updated November 14, 2012 at 2:37 PM
She got compensation. Now she wants vindication. Lynn DeJac Peters got paid. Now she wants payback.
I am happy for her on the first count. I am sympathetic on the second.
DeJac Peters got a $2.7 million settlement Tuesday for nearly 14 years of wrongful imprisonment for her daughter Crystallyn's 1993 murder. The day did not stop with a trip to the bank. Armed with fresh DNA evidence, DeJac Peters is charging ahead with a $30 million lawsuit against those she claims conspired to put her in jail – and to keep her there.
Primary targets are ex-District Attorney Frank Clark and ex-prosecutor Joseph Marusak. DeJac Peters claims they purposely failed to have crime-scene blood evidence tested and knowingly encouraged false testimony – then obstructed the cold-case investigation that five years ago led to her freedom. Clark and Marusak deny the allegations.
There is a thick line between massive ineptitude and conspiracy. DeJac Peters may have a tough time proving a cover-up, given unclear motives and intent. But this was a mess of a case that gave a free pass to Crystallyn's possible murderer, Dennis Donohue. His bloody shirt and the girl's blood-stained sheets were purposely, the lawsuit claims, not tested for DNA. The details of the complaint reek with instances of shoddy investigation, unpursued or withheld leads and misshapen testimony – all of it designed to railroad DeJac Peters to prison.
The awful part: It worked.
Now the victim is striking back.
Her point, I think, is well taken: The prosecutors' single-minded pursuit was fueled more by self-righteous indignation over the then-single mom's partying ways than it was by hard evidence of her guilt (frankly, there wasn't any). DeJac Peters' questionable parenting offended the moralistic sensibilities of Clark and Marusak, blinding them to the facts of the case.
The ex-DA and former top-gun prosecutor allegedly choreographed an investigation that shaped (or, sometimes, ignored) evidence to fit their DeJac-as-killer conclusion. Instead of looking at prime suspect Donohue, who stalked DeJac Peters that night, prosecutors astoundingly handed him immunity. It left Donohue free – nine months later, in a case with eerie parallels to Crystallyn's – to murder Joan Giambra and leave her adolescent daughter for dead. Given what we learned in recent years, the cover-up claim is far from far-fetched.
DNA evidence unearthed five years ago placed Donohue at the scene of Crystallyn's killing and freed DeJac Peters. Yet Clark, shamelessly and shamefully, insisted on retrying her. It was a vindictive, back-covering move that ended with the bizarre conclusion by a hired-gun pathologist that Crystallyn overdosed on "trace" amounts of cocaine. Ridiculous.
The so-called hunters are now being pursued by their game. If turnabout is fair play, it does not get much juicier than Clark and Marusak squirming in DeJac Peters' cross hairs. If the complaint's claims are true – and the previously reluctant state attorney general's $2.7 million settlement only props them up – I have little sympathy for the lawsuit's targets.
"We are looking," said Chuck Peters, her husband, "for a little bit of truth and a whole lot of justice."
Compensation of $2.7 million is nice. But vindication is priceless.
email: firstname.lastname@example.com


text:
By now most of you have read the most recent issue of Scouting Magazine. Bob Mazzuca started off the theme of fitness in his "From The CSE" article on page 8. Then on page 45 there is an article called "Fat Chance". In the intro of the article it says, " People who recite the Boy Scout Oath promise to keep themselves 'physically strong'. That goes for adult leaders, too. It's time for you and your Scout to get fitter and faster- and avoid missing out on Scouting's greatest adventures."
Height and Weight
One thought on "Height and Weight"
I understand the intent of the policy, but I question the suggested stats.In my Unit I serve on Committee, but often accompany the Troop on outings. After over 4 years of training – a minimum of 8 hrs per mth – I earned a Black Belt in Taekwondo earlier this year. The 7 hour test was demanding physically as well as mentally, including the performance of several hundred push-ups – at least 50 at a time within 1 minute intervals – and assorted cardio exercises and a 2 mile jog.I am 44, 6' tall and weigh 245 lbs. I am at what my doctor says is a suitable weight for my build.Yet, per the new directive, I would be excluded from certain activities.It doesn't make sense.


text:
6 Moments That Make Video Games Worth It
#3. The First Time You See the Universe Running Without You
Here's a quick way to separate good fantasy stories from bad: The good ones leave you feeling like the universe continues whether or not the camera is there to see it. Not to beat a dead horse, but if you want to see a really easy example, watch the original Star Wars trilogy -- not the special edition -- when Luke and Ben enter Mos Eisley. Watch as the camera drifts past exotic aliens going about their business, as if they're a normal part of the background not worth noticing -- this universe exists regardless of what the main characters are doing. Now watch the special edition, where new CGI characters dance and whiz in front of the camera, pleading for your attention, reminding you that you're watching a movie.
Well, when you play a game, at heart you know that it's nothing but a digital obstacle course. Everything exists for you; the Goombas you're stomping in Mario don't have their own lives or goals, they appear when you come along. They're just obstacles with faces, no more alive than swinging spikes or pits of lava. You, the player, are the center of the universe, and everything that exists in that universe is purely there to stop you. Nothing you see is "alive." That's why every gamer can remember the first time they had a game blow that idea wide open.
For instance, everyone who plays Skyrim remembers the first time they stumbled across a giant wandering around out in the wilderness (an early mission intentionally makes you walk right across their camp):
I think 99 percent of you tried to fight the giant, at which point one blow from its hammer flung your corpse across the landscape like a rag doll:
So then, later, you have your first random encounter with a dragon:
"Wow, it's so cool! I wonder if it breathes fi-"
Then, days or weeks later, you will happen to be running from a dragon and holy shit, accidentally stumble across a giant, too. You're doubly screwed, the two are probably going to flip a coin over which one gets to eat the tastiest part of you (your toned buttocks, obviously). But then, with 10 times the joy a father feels when he sees his son win the Nobel Prize, you realize the dragon and the giant are going to fight each other.
Now you're not in an obstacle course, you're in an ecosystem, where there is a hierarchy of predator and prey that functions completely without you.
The first time I ever saw this was in Doom. It happens at random -- one type of monster gets caught in the crossfire and shot in the back by another monster, at which point he turns in a rage and starts blowing the shit out of the shooter:
That screenshot doesn't look like much if you haven't played it, but for teenage me, this was the equivalent of going up in the attic and seeing my old G.I. Joe action figures walking around and talking to each other. It changed everything.
Younger gamers first saw this in Halo; sure, the game tells you that the alien bad guys are actually two warring factions who hate each other as much as they hate you. But then there's the first time you actually top a ridge and stumble across a vicious firefight between squads of AI enemies. They're completely ignoring you -- they have their own war to fight.
It's a standard part of game design these days, and maybe newer gamers, ones young enough to not remember ever having to blow on a game to make it work, don't see it as a big deal. Though in my opinion, if you don't smile like an idiot when you play through the level in Half-Life 2 where you use bait to make giant ants attack the bad guys, you're dead inside.
#2. Reaching the Other End of an Impossible Level
Every gamer who has put in time in platformer games (be it Mario, Sonic or Mega Man, or maybe you were the weird kid who grew up with Crash Bandicoot) has run into a level that is clearly impossible. The thing the programmers are asking you to do simply can't be done. They ... programmed it wrong somehow. It's broken. The landing spots are too far apart, or too small to land on, they're not giving you enough time to jump.
I don't just mean the level is "hectic" or "challenging" -- challenge is routine for this kind of game. If you're a veteran of the genre, you know it's just a matter of running it four or five times to get the timing down. No, I'm talking about the levels where, after 20 attempts, you are certain that somebody made a mistake.
My first was Super Castlevania IV for the SNES. Stage B. You start on the ground floor, with a giant freaking circular saw inexplicably whipping back and forth below you:
I question why a vampire would install one of those in his own home, but that's not the point. The point is, if you touch the saw, you instantly die and start over. I mean if it brushes one pixel on your foot, it's instantly over, no matter how much health you have left.
Then the saw starts chasing you up the level, the whole thing is vertical.
No big deal, you think. Just got to get up those stairs. But this is Castlevania; you can't jump onto the stairs, you have to perfectly line up with the bottom and angle your controller up in that direction. And the game took advantage of this horrible mechanic to torment you -- the moment you touch the stairs, they crumble. And I mean they all crumble, immediately, all the way up. So if you brush against the bottom stair, the whole staircase disappears ...
... and the level is over, the saw gets you. You have to run them with absolute perfection and zero hesitation. And there are lots and lots and lots of these stairs. As you progress, you'll run into spots with long staircases above and, in the course of killing an enemy (yes, there are enemies, too), you accidentally will touch the stairs and make them crumble above you:
That's it -- there's no other way up there. But instead of instantly starting you over, the freaking game makes you stand there for what feels like an eternity and wait for the saw to come kill you.
And you have to wait there, for your own death, over and over again, each time you make that mistake. I was 16 when I played this. After a few failures, I started counting the attempts. I stopped counting at 60.
It was no longer a game at that point. It was personal. The man who programmed this level hated me. He hated games. I had this fantasy that he had been fired from Konami, but was told he had to finish this one level before he left. So, he intentionally made this sadistic chamber of torment as a grotesque insult to Konami, gamers, and gaming as an art form. It was this or come back with a rifle and shoot up the office, and he chose the more cruel of the two.
The point to all of this is, when I finally reached the top and saw a huge golden doorway, I felt like I had somehow beaten the system.
This is what you can't get from books or TV or movies -- that sense of accomplishment.
I suspect every gamer has "that level." For some it's Toxic Tower in Donkey Kong Country 2, where you have to jump upward onto the backs of bees (touch any other part of their body and it's instant death) while the room is rapidly filling with toxic sludge that (you guessed it) is also instant death. It's about 50 jumps that you have to nail perfectly in rapid-fire succession; missing any one of them means you start it allll over:
Also see Heat Man's stage on Mega Man 2, with its appearing and disappearing blocks, each no wider than Mega Man, each suspended over lava:
Now, as I enter my golden years, stages like this just annoy me -- I sit down knowing I only have an hour to play before I have to get back to work, and if one level eats up that whole hour, I feel like the game has wasted my time. But as a kid? Practicing a level so much that the rhythm etches itself into your muscle memory, to the point that you could play it with your eyes closed, the way you can type without looking at the keyboard ... it's maybe the most physically rewarding experience gaming has to offer.
Which brings me to ...
#1. Mastering the Rhythm
This is something you probably felt long before you ever picked up a plastic Guitar Hero guitar or matched dance moves with Han Solo in that Star Wars dancing game we keep mentioning.
For me, the first time I felt like I had mastered the "rhythm" of a game was in F-Zero, a racing game. And if you've ever played a racing game long enough to get good at it, you know what I mean -- that run when you finally know the track like the back of your hand. You feel the curves coming around long before they appear on screen, effortlessly edging over into a corner that you know is going to be there in three seconds, slamming on the accelerator halfway through the curve because you know the long straightaway is next. The pavement rolls out in front of you exactly where you want it, like you're laying it with your mind. I couldn't make F-Zero look like this video, but it was close:
Note that when he "crashes" in that double hairpin turn each time, that's no accident. The great platformers did this, too -- the Sega Genesis built its entire business model with a game where, if you mastered it, you could fly through the level like a blue rodent acrobat, bouncing and ramping and somersaulting, barely touching the ground:
Doing that aerial ballet in Sonic has nothing to do with reaction time, or decision-making, or even anticipation. It's pure rhythm, nailing the notes like hitting keys on a piano. And when you do it just right, when you fly through the level and nail all the jumps and boosts and kills, it has to feel like the first time somebody learning an instrument plays a familiar song and makes it sound like the actual song, the beautiful contours of perfection at the command of your own fingers.
I mentioned Guitar Hero earlier. If your only experience with these games is videos on YouTube, then you don't get the appeal -- those videos only show you how the game sounds when the song is played perfectly. "So, what, the game plays a popular song and you tap colored buttons on a plastic toddler guitar along with it? So it's like a motor skills training tool for the retarded, right?"
You see, if you hit the buttons wrong, the game butchers the music. Do it wrong for too long, and the song garbles to a stop and the crowd boos. So for your first hours with the game, that's your experience with it. It's just you ruining classic rock songs, the TV blasting horrible, off-key deformities. You have to work your way up, with practice, to the point where you can actually do the song justice. Until finally you can hit the notes, and bring the real song to life. You become one with the music.
A waste of time? You bet. It's a pointless substitute for the real thing, just like candy is a pointless substitute for vegetables, a novel is a pointless substitute for a textbook, sports are a pointless substitute for warfare and recreational sex is a pointless substitute for procreation. But I'm pretty sure that humans who don't do those "pointless" things become either robots or pack animals.
So, that's why I play games. Hope that answered the question.
The author of this column wrote a bizarre horror novel that has been adapted into a movie with Paul Giamatti, and you can pre-order the sequel, which is coming in a couple of months.
For more from David, check out 5 Creepy Ways Video Games Are Trying to Get You Addicted and The 7 Commandments All Video Games Should Obey.


text:
"Miss Terry surprised everyone with an entirely new and scholarly rendering of the part. Mrs. Siddons has up to now been thought the ideal Lady Macbeth, but it may seriously be questioned if Miss Terry's conception is not truer to nature and truer to the author's own idea. Miss Terry makes Lady Macbeth a true woman, who for devoted love she bears her husband will demand any depth of wickedness and depravity, but with one main object in view – her lord's advancement. The scenery is magnificent. . . [and] the melodious strains of Sir Arthur Sullivan will find no lack of warm admirers." Theatrical Gossip, Blackburn Standard, Jan. 5. 1889, 19th C. British Library Newspapers.
The sombre colors of the costume and the subdued lighting contribute markedly to the dark tone of the play. HMR


text:
Download citation file:
* For a list of members of the USPSTF, see the Appendix.
This article was published at www.annals.org on 26 February 2013.
From the U.S. Preventive Services Task Force, Rockville, Maryland.
Disclaimer: Recommendations made by the USPSTF are independent of the U.S. government. They should not be construed as an official position of the Agency for Healthcare Research and Quality or the U.S. Department of Health and Human Services.
Financial Support: The USPSTF is an independent, voluntary body. The U.S. Congress mandates that the Agency for Healthcare Research and Quality support the operations of the USPSTF.
Potential Conflicts of Interest: None disclosed. Disclosure forms from USPSTF members can be viewed at www.acponline.org/authors/icmje/ConflictOfInterestForms.do?msNum=M13-0215.
Requests for Single Reprints: Reprints are available from the USPSTF Web site (www.uspreventiveservicestaskforce.org).
Chinese translation
Description: New U.S. Preventive Services Task Force (USPSTF) recommendation statement on vitamin D and calcium supplementation to prevent fractures in adults.
Methods: The USPSTF commissioned 2 systematic evidence reviews and a meta-analysis on vitamin D supplementation with or without calcium to assess the effects of supplementation on bone health outcomes in community-dwelling adults, the association of vitamin D and calcium levels with bone health outcomes, and the adverse effects of supplementation.
Population: These recommendations apply to noninstitutionalized or community-dwelling asymptomatic adults without a history of fractures. This recommendation does not apply to the treatment of persons with osteoporosis or vitamin D deficiency.
Recommendation: The USPSTF concludes that the current evidence is insufficient to assess the balance of the benefits and harms of combined vitamin D and calcium supplementation for the primary prevention of fractures in premenopausal women or in men. (I statement)
The USPSTF concludes that the current evidence is insufficient to assess the balance of the benefits and harms of daily supplementation with greater than 400 IU of vitamin D3 and greater than 1000 mg of calcium for the primary prevention of fractures in noninstitutionalized postmenopausal women. (I statement)
The USPSTF recommends against daily supplementation with 400 IU or less of vitamin D3 and 1000 mg or less of calcium for the primary prevention of fractures in noninstitutionalized postmenopausal women. (D recommendation)
The U.S. Preventive Services Task Force (USPSTF) makes recommendations about the effectiveness of specific clinical preventive services for patients without related signs or symptoms.
It bases its recommendations on the evidence of both the benefits and harms of the service and an assessment of the balance. The USPSTF does not consider the costs of providing a service in this assessment.
The USPSTF recognizes that clinical decisions involve more considerations than evidence alone. Clinicians should understand the evidence but individualize decision making to the specific patient or situation. Similarly, the USPSTF notes that policy and coverage decisions involve considerations in addition to the evidence of clinical benefits and harms.
The USPSTF concludes that the current evidence is insufficient to assess the balance of the benefits and harms of combined vitamin D and calcium supplementation for the primary prevention of fractures in premenopausal women or in men. (I statement)
The USPSTF has previously concluded in a separate recommendation that vitamin D supplementation is effective in preventing falls in community-dwelling adults aged 65 years or older who are at increased risk for falls. (B recommendation)
See the Clinical Considerations section for suggestions for practice regarding the I statements.
See the Figure for a summary of the recommendation and suggestions for clinical practice.
Vitamin D and calcium supplementation to prevent fractures in adults: clinical summary of U.S. Preventive Services Task Force recommendation.
Appendix Table 1 describes the USPSTF grades, and Appendix Table 2 describes the USPSTF classification of levels of certainty about net benefit.
Fractures, particularly hip fractures, are associated with chronic pain and disability, loss of independence, decreased quality of life, and increased mortality (1). One half of all postmenopausal women will have an osteoporosis-related fracture during their lifetime.
Appropriate intake of vitamin D and calcium are essential to overall health. The Institute of Medicine has published recommended dietary allowances (Table). However, the benefits and harms of daily supplementation with greater than 400 IU of vitamin D3 and greater than 1000 mg of calcium to prevent fractures are not clearly understood.
In premenopausal women and in men, there is inadequate evidence to determine the effect of combined vitamin D and calcium supplementation on the incidence of fractures. In postmenopausal women, there is adequate evidence that daily supplementation with 400 IU of vitamin D3 combined with 1000 mg of calcium has no effect on the incidence of fractures. However, there is inadequate evidence about the effect of higher doses of combined vitamin D and calcium supplementation on fracture incidence in noninstitutionalized postmenopausal women.
Adequate evidence indicates that supplementation with 400 IU or less of vitamin D3 and 1000 mg or less of calcium increases the incidence of renal stones. The USPSTF assessed the magnitude of this harm as small.
The USPSTF concludes that evidence is lacking about the benefit of daily supplementation with greater than 400 IU of vitamin D3 and greater than 1000 mg of calcium for the primary prevention of fractures, and the balance of benefits and harms cannot be determined.
The USPSTF concludes with moderate certainty that daily supplementation with 400 IU or less of vitamin D3 and 1000 mg or less of calcium has no net benefit for the primary prevention of fractures.
The USPSTF concludes that evidence is lacking about the benefit of vitamin D supplementation with or without calcium for the primary prevention of fractures, and the balance of benefits and harms cannot be determined.
This recommendation applies to noninstitutionalized or community-dwelling asymptomatic adults without a history of fractures. "Community-dwelling" is defined as not living in an assisted living facility, nursing home, or other institutional care setting. This recommendation does not apply to persons with osteoporosis or vitamin D deficiency.
The health burden of fractures is substantial in the older adult population.
In the Women's Health Initiative (WHI), a statistically increased incidence of renal stones occurred in women taking supplemental vitamin D and calcium. One woman was diagnosed with a urinary tract stone for every 273 women who received supplementation over a 7-year follow-up.
Vitamin D and calcium supplements are inexpensive and readily available without a prescription.
Vitamin D and calcium supplementation are often recommended for women, especially postmenopausal women, to prevent fractures. Surveys estimate that 56% of women aged 60 years or older take supplemental vitamin D and 60% take a supplement containing calcium. The exact dosage is not well-known (2).
The USPSTF recommends screening for osteoporosis in women aged 65 years or older and in younger women whose fracture risk is equal to or greater than that of a 65-year-old white woman who has no additional risk factors. This recommendation statement is available on the USPSTF Web site (www.uspreventiveservicestaskforce.org).
The USPSTF recommends vitamin D supplementation (the median dose of vitamin D in available studies was 800 IU) to prevent falls in community-dwelling adults aged 65 years or older who are at increased risk for falls because of a history of recent falls or vitamin D deficiency (B recommendation). This recommendation statement is available on the USPSTF Web site (www.uspreventiveservicestaskforce.org).
Research is needed to determine whether daily supplementation with greater than 400 IU of vitamin D3 and greater than 1000 mg of calcium reduces fracture incidence in postmenopausal women or older men. The comparative effectiveness of different preparations of vitamin D (for example, D2 vs. D3) or different calcium formulations should be evaluated. Prospective studies should assess the potential benefits of vitamin D and calcium supplementation in early adulthood on fracture incidence later in life. Studies are needed to evaluate the effects of vitamin D supplementation on diverse populations. Because white women have the highest risk for osteoporotic fractures, most fracture prevention studies are done in this population and it is difficult to extrapolate results to nonwhite populations.
Each year, approximately 1.5 million osteoporotic fractures occur in the United States. Nearly half of all women older than 50 years will have an osteoporosis-related fracture during their lifetime. Fractures are associated with chronic pain, disability, and decreased quality of life. Hip fractures significantly increase illness and death. During the first 3 months after a hip fracture, a person's mortality risk is 2.8 to 4 times that of a person of similar age living in the community without a fracture. Nearly 20% of patients with hip fracture are subsequently institutionalized in long-term care facilities (3).
The USPSTF used 2 systematic evidence reviews and an updated meta-analysis on vitamin D supplementation with or without calcium (4–6) to assess the effects of supplementation on bone health outcomes in community-dwelling adults, the association of vitamin D and calcium levels with bone health outcomes, and the adverse effects of supplementation. The USPSTF did not consider questions relating to adequate daily intake of calcium and vitamin D, nor did it examine the effect of calcium supplementation alone. The systematic reviews did not examine other health outcomes, such as pregnancy complications, prevention of falls, cardiovascular disease, or overall mortality.
The assessment of vitamin D supplementation with or without calcium to prevent cancer was removed from this recommendation statement and will be incorporated into a separate, upcoming recommendation statement.
Sixteen randomized, controlled trials with considerable heterogeneity in populations, settings, and interventions examined the effect of vitamin D supplementation with or without calcium on fracture incidence in adults (6). Postmenopausal women represented the largest group of participants in the trials; no trials included women of childbearing age or men younger than 50 years. Almost all trial participants were white. Six trials reported a history of fractures in 10.6% to 26% of participants. Two trials included only adults with a history of fractures, and 5 trials included only elderly institutionalized adults.
Vitamin D doses ranged from 300 to 1370 IU daily, although most trials used at least 800 IU daily. Five trials compared vitamin D with placebo or no treatment, 8 trials compared vitamin D and calcium with placebo or no treatment, 4 trials compared vitamin D and calcium with calcium alone, and 1 trial compared vitamin D and calcium with vitamin D alone; 1 trial had several comparisons. Most of the trials used vitamin D3 as the intervention, but 3 used vitamin D2. Calcium supplementation also varied. Most trials used calcium carbonate, whereas others used citrate-, lactate-, or phosphate-based preparations. Methods for fracture ascertainment included self-report, radiograph confirmation, administrative data, physician verification, or some combination.
The USPSTF considered 6 randomized trials evaluating the use of vitamin D and calcium supplementation within the scope of this recommendation. These trials were conducted in community-dwelling adults, and fewer than 26% had a history of fractures. No statistically significant reduction in fractures was observed in these studies (pooled relative risk, 0.89 [95% CI, 0.76 to 1.04]). The largest trial of fracture outcomes included in the meta-analysis was the WHI trial (7), which enrolled 36 282 healthy postmenopausal women aged 50 to 79 years. Approximately 83% of enrolled women were white, 9% were black, 4% were Hispanic, and 4% were of other races. The intervention group received 400 IU of vitamin D3 and 1000 mg of calcium daily; the control group received placebo. This study reported no statistically significant reduction in hip fracture (hazard ratio, 0.88 [CI, 0.72 to 1.08]) or total fractures (hazard ratio, 0.96 [CI, 0.91 to 1.02]). However, the USPSTF could not generalize the results of the WHI trial beyond the specific dose, preparation, and population studied. Nearly 30% of study participants were already taking 500 mg or more of calcium daily before the start of the trial.
Trials of vitamin D supplementation alone showed no statistical difference (pooled relative risk, 1.03 [CI, 0.84 to 1.26]). Of the 12 trials reporting baseline levels of vitamin D, 5 reported mean vitamin D levels less than 30 nmol/L, a level considered to be vitamin D–deficient. However, neither baseline vitamin D status nor supplement dose correlated with supplement efficacy.
An individual patient data meta-analysis (8) published after the USPSTF's review included 31 022 persons aged 65 years or older from 11 trials, many of which were included in the USPSTF review. The meta-analysis concluded that fractures may be reduced for persons taking higher doses of vitamin D (≥800 IU daily). The effect was seen in both institutionalized and community-dwelling adults. The subgroup thresholds were not predefined by the original trial authors, and the reduction was not considered statistically significant when adjusted for several subgroup analyses. Therefore, any positive findings should be viewed with caution.
Reporting of adverse outcomes in clinical trials and observational studies of vitamin D and calcium supplementation is limited. The WHI trial (9) reported an increased risk for nephrolithiasis (hazard ratio, 1.17 [CI, 1.02 to 1.34]). The absolute risk was 2.5% in the intervention group and 2.1% in the placebo group, with a number needed to harm of 273. It is uncertain if this adverse effect occurs in vitamin D–deficient populations. A meta-analysis of calcium supplementation (10) suggests an association between calcium use and increased risk for cardiovascular disease, but the link has not been consistently demonstrated. The effect was primarily seen in persons taking calcium alone and not in combination with vitamin D. None of the studies reviewed by the USPSTF reported this adverse effect.
Except for postmenopausal women, there is inadequate evidence to estimate the benefits of vitamin D or calcium supplementation to prevent fractures in noninstitutionalized adults. Due to the lack of effect on fracture incidence and the increased incidence of nephrolithiasis in the intervention group of the WHI trial, the USPSTF concludes with moderate certainty that daily supplementation with 400 IU of vitamin D3 and 1000 mg of calcium has no net benefit for the primary prevention of fractures in noninstitutionalized, postmenopausal women. Although women enrolled in WHI were predominately white, the lower risk for fractures in nonwhite women makes it very unlikely that a benefit would exist in this population.
A draft version of this recommendation statement was posted for public comment on the USPSTF Web site from 12 June to 10 July 2012. The USPSTF received more than 40 comments. In response, information was added to the Rationale section to reinforce the basic dietary requirements for vitamin D and calcium. Several recently published studies on the benefits and harms of vitamin D and calcium supplementation were reviewed, and their results were highlighted in the Discussion section. The dose of calcium used in the WHI trial was clarified throughout the statement.
Calcium is one of the main building blocks of bone growth. Vitamin D helps bones absorb calcium. Normal healthy bones turn over calcium constantly, replacing calcium loss with new calcium received from dietary intake. There are 2 main sources of vitamin D in the human body. Ergocalciferol, or vitamin D2, is consumed in the diet, mainly in the form of fatty fish. Fortified foods, such as milk, yogurt, and orange juice, provide other dietary sources of vitamin D. Cholecalciferol, or vitamin D3, is synthesized in the skin by ultraviolet B rays from the sun. Vitamin D3 is converted to its active form by means of enzymatic processes in the liver and kidney. Most cells contain specific receptors for the active form of vitamin D. Stimulation of skeletal muscle receptors promotes protein synthesis, and vitamin D has a beneficial effect on muscle strength and balance. Vitamin D controls calcium absorption in the small intestines, interacts with parathyroid hormone to help maintain calcium homeostasis between the blood and bones, and is essential for bone growth and maintaining bone density. Insufficient amounts of vitamin D obtained through the diet or sun exposure can lead to inadequate levels of the hormone calcitriol (the active form of vitamin D), which in turn can lead to impaired dietary calcium absorption. Subsequently, the body uses calcium from skeletal stores, which can weaken existing bones.
The Institute of Medicine (Table) (11) and the World Health Organization (12) have recommended standards for adequate daily intake of calcium and vitamin D as a part of overall health. Neither organization has made recommendations specific to fracture prevention. The Institute of Medicine notes the challenge of determining dietary reference intakes given the complex interrelationship between calcium and vitamin D, the inconsistency of studies examining bone health outcomes, and the need to limit sun exposure to minimize skin cancer risk.
Members of the U.S. Preventive Services Task Force at the time this recommendation was finalized † are Virginia A. Moyer, MD, MPH, Chair (Baylor College of Medicine, Houston, Texas); Michael L. LeFevre, MD, MSPH, Co-Vice Chair (University of Missouri School of Medicine, Columbia, Missouri); Albert L. Siu, MD, MSPH, Co-Vice Chair (Mount Sinai School of Medicine, New York, and James J. Peters Veterans Affairs Medical Center, Bronx, New York); Linda Ciofu Baumann, PhD, RN (University of Wisconsin, Madison, Wisconsin); Kirsten Bibbins-Domingo, PhD, MD (University of California, San Francisco, San Francisco, California); Susan J. Curry, PhD (University of Iowa College of Public Health, Iowa City, Iowa); Mark Ebell, MD, MS (University of Georgia, Athens, Georgia); Glenn Flores, MD (University of Texas Southwestern, Dallas, Texas); Adelita Gonzales Cantu, RN, PhD (University of Texas Health Science Center, San Antonio, Texas); David C. Grossman, MD, MPH (Group Health Cooperative, Seattle, Washington); Jessica Herzstein, MD, MPH (Air Products, Allentown, Pennsylvania); Wanda K. Nicholson, MD, MPH, MBA (University of North Carolina School of Medicine, Chapel Hill, North Carolina); and Douglas K. Owens, MD, MS (Veteran Affairs Palo Alto Health Care System, Palo Alto, California, and Stanford University, Stanford, California). Former USPSTF members who contributed to the development of this recommendation are Diana Petitti, MD, MPH; Timothy J. Wilt, MD, MPH; and Bernadette Melnyk, PhD, RN.
† For a list of current Task Force members, go to www.uspreventiveservicestaskforce.org/members.htm.
Please read the other comments before posting. Contributors must reveal any conflict
of interest.
Comments are moderated and will appear on the site at the discretion of The American
College of Physicians editorial staff. Please be sure your email address is
updated in your account, otherwise the American College of Physicians will not be
able to contact you about your comment.
Anyone can submit a comment any time after publication, but only those submitted within 4 weeks of an article's publication will be considered for print publication. One month after publication, editors review all posted comments and select some for publication in the Letters section of the print version of Annals. (Not peer reviewed)
Authors: No more than 5
Text: Word Limit 400 (excludes references), 5 references, no figures or tables
* = Required Field
Disclosure of Any Conflicts of Interest*
(applies to the past 5 years and foreseeable future) Indicate any potential conflicts
of interest of each author below, including specific financial interests and relationships
and affiliations relevant to the subject matter or materials discussed in the manuscript
(eg, employment/affiliation, grants or funding, consultancies, honoraria, speakers
bureau, stock ownership or options, expert testimony, royalties, donation of medical
equipment, or patents filed, received, or pending). If all authors have none, check
"No potential conflicts or relevant financial interests" in the box below. Please
also indicate any funding received in support of this work. The information will
be posted with your response.
This Clinical Guideline will be widely used as an argument against the use of calcium and vitamin D for fracture prevention in postmenopausal women but the summaries that have appeared in the lay press do not appreciate the ambiguity or weakness of the original paper. The US Preventive Services Task Force recommends against daily supplementation with 400 IU or less vitamin D and 1000 mg or less calcium in non-institutionalised postmenopausal women. The common sense implication must be that they would recommend larger doses of both but they do not say so explicitly. The elementary fact is that their recommendation is based on a totally inadequate review of the relevant literature (only 12 references) which excludes the 2 largest meta-analyses of the subject. The first identified 17 randomized trials in 52 625 subjects (mostly women) in which vitamin D and calcium significantly reduced bone loss and fracture incidence particularly with calcium doses of 1200 mg or more and with vitamin D doses of 800 IU or more [1]. The second paper is an analysis of 7 major randomized trials of vitamin D with calcium or vitamin D alone on 68 517 subjects of mean age 69.9 years (14.7% men) which showed no significant effect on fracture of vitamin D alone but showed a very significant effect of vitamin D with calcium [2]. I find it astonishing that an organization with the prestige of the US Preventive Services Task Force can authorise a paper which is so poorly documented, flies in the face of most of the relevant literature and may affect prescribing habits worldwide.
1. Tang BMP, Eslick GD, Nowson G, Smith C, Bensoussan A. Use of calcium or calcium in combination with vitamin D supplementation to prevent fractures and bone loss in people aged 50 years and older: a meta-analysis. Lancet 2007;370:657-66.
2. The DIPART Group. Patient level pooled analysis of 68 500 patients from seven major vitamin D fracture trials in US and Europe. BMJ 2010;340:b5463.
Both the IOM report noted in the editorial and the Women's Health Initiative study, noted in the paper as the largest of the trials, reported that many people in the US are already taking supplements (1). So the conclusions refer to people already having intakes of vitamin D and calcium at or close to the RDA of each, often because they are taking supplements. Furthermore, the WHI analysis used the statistical significance value for the intent to treat analysis. I do recognize the issue of selective drop out during a trial so the groups at the end may not be as comparable to each other as they were at the beginning. In the WHI, only 59% of the treated subjects were taking the prescribed dose. As a pharmacologist, I know that if I want to learn of a drug's effects, I have to give the drug and not just intend to give the drug to see any effects of the drug. One must be very cautious in assuming that lack of statistically significant evidence, especially with intent to treat analysis with many drop outs, is evidence of lack.
The U.S. Preventive Services Task Force concludes that the current evidence about calcium and vitamin D supplementation to prevent fractures in adults is essentially insufficient (1). This statement may be partly due to the limited anti-fracture efficacy of calcium and vitamin D supplementation resulting from skeletal adaptation to mechanical loading, although vitamin D promotes calcium absorption in the gut and supports bone mineralization that is essential for skeletal stiffness.
Bone responds to local mechanical environment at each skeletal site, as evident by marked bone gain in the dominant arm of professional tennis players or rapid bone loss in the weight-bearing sites of astronauts during space flight; it has been considered that the skeleton adapts to mechanical stimulation through control of bone strength by resulting elastic deformation (strain) of bone. This mechanical strain-related feedback control system is a refinement of Wolff's law and known as the mechanostat. Recent experimental data in the adult skeleton (2-4) suggest that the mechanical strain-related control of trabecular and cortical bone acts continuously throughout the physiological range and thus even slightly increased or decreased bone strain induces site-specific bone gain or loss, respectively, to maintain the strain level. The concept is compatible with clinical reports in adults that high-impact, but not low-impact, exercise results in bone gain (5), because additional mechanical loading (by exercise) will not stimulate bone when the stimulus does not exceed that already derived from existing mechanical loading (by habitual physical activity) as discussed previously (2).
Although neglected, the primary regulator of bone strength is local mechanical environment. Irrespective of suppressing bone resorption and/or promoting bone formation, or increasing bone quantity and/or improving bone quality, an increase in bone strength by nutrients or drugs would result in a decrease in bone strain from mechanical stimuli. The mechanostat based on the latest evidence (2-4) suggests that the decreased bone strain causes the negative feedback of mechanical strain-related control system. Thus, it can be hypothesized that the effect of osteoporosis therapy is limited by the natural homeostatic system in the skeleton. This hypothesis is consistent with rapid resolution of the effects of most osteoporosis drugs except bisphosphonates that bind to bone mineral, and could partly explain the limited effects of calcium plus vitamin D supplementation and even current osteoporosis drugs on fracture prevention, especially at weight-bearing sites that principally contain cortical bone such as the hip. Further research is needed to clarify the present situation.
1. Moyer VA; U.S. Preventive Services Task Force. Vitamin D and calcium supplementation to prevent fractures in adults: U.S. Preventive Services Task Force Recommendation Statement. Ann Intern Med. 2013;158:691-6.
2. Sugiyama T, Meakin LB, Browne WJ, Galea GL, Price JS, Lanyon LE. Bones' adaptive response to mechanical loading is essentially linear between the low strains associated with disuse and the high strains associated with the lamellar/woven bone transition. J Bone Miner Res. 2012;27:1784-93.
3. Ellman R, Spatz J, Cloutier A, Palme R, Christiansen BA, Bouxsein ML. Partial reductions in mechanical loading yield proportial changes in bone density, bone architecture, and muscle mass. J Bone Miner Res. 2013;28:875-85.
4. Schulte FA, Ruffoni D, Lambers FM, Christen D, Webster DJ, Kuhn G, Muller R. Local mechanical stimuli regulate bone formation and resorption in mice at the tissue level. PLoS ONE. 2013;8:e62172.
5. Vainionpaa A, Korpelainen R, Vihriala E, Rinta-Paavola A, Leppaluoto J, Jamsa T. Intensity of exercise is associated with bone density change in premenopausal women. Osteoporos Int. 2006;17:455-63.
Vitamin D and Calcium Supplementation to Prevent Fractures in Adults: U.S. Preventive Services Task Force Recommendation Statement
The full report is titled "Vitamin D and Calcium Supplementation to Prevent Fractures in Adults: U.S. Preventive Services Task Force Recommendation Statement." It is in the 7 May 2013 issue of Annals of Internal Medicine (volume 158, pages 691-696). The authors are V.A. Moyer, for the U.S. Preventive Services Task Force.
Read More...
Terms of Use
The In the Clinic® slide sets are owned and copyrighted by the American College
of Physicians (ACP). All text, graphics, trademarks, and other intellectual property
incorporated into the slide sets remain the sole and exclusive property of the ACP.
The slide sets may be used only by the person who downloads or purchases them and
only for the purpose of presenting them during not-for-profit educational activities.
Users may incorporate the entire slide set or selected individual slides into their
own teaching presentations but may not alter the content of the slides in any way
or remove the ACP copyright notice. Users may make print copies for use as hand-outs
for the audience the user is personally addressing but may not otherwise reproduce
or distribute the slides by any means or media, including but not limited to sending
them as e-mail attachments, posting them on Internet or Intranet sites, publishing
them in meeting proceedings, or making them available for sale or distribution in
any unauthorized form, without the express written permission of the ACP. Unauthorized
use of the In the Clinic slide sets will constitute copyright infringement.


text:
Top Definition
ultra pimp
5 girls in one night?! You're the mack daddy!
লিখেছেন- Bungalow Bill 27 de নভেম্বার de 2001
Trending Now
Can you define these popular missing words?
A pimpalicous man who gets anything he wants (ie, sex, money, clothing, cars etc).
Dawg!! did you see that pimpalicous mack daddy ova therr??? He's da man!!!
লিখেছেন- lauren and sadie 4 de জানুয়ারি de 2004
Mack Daddy- A Male of supperior looks. A player of players. A romantic lady killer. One of many model looking girlfriends.
Comes from old American dating back to early High School days of 1990's.
Comes from old American dating back to early High School days of 1990's.
Brian AKA- -=BIA=-Sniper_Bait
লিখেছেন- Brian 14 de জানুয়ারি de 2005
Guy who suddenly is attractive to women and scores regularly.
Can you believe it? That William Hung is a big Mack Daddy after his success on American Idol.
লিখেছেন- Desert Irishman 1 de মে de 2004
a really good pimp; a player who is good at "what he does"
all the girls roll with me, i am the mack daddy
লিখেছেন- hot stuff 30 de জুন de 2004
A player whose pimp game is internationally known.
That O.G. has been a Mack Daddy since 1986!
লিখেছেন- Travis W. C. 3 de ফেব্রুয়ারি de 2009
a man who has a way with women...a sort of harem collector. Gangsta term, used especially in rap music and in da 'hood.
Famous mack-daddys: Sir-Mix-A-Lot, Billy Dee Williams, Eminem
Famous mack-daddys: Sir-Mix-A-Lot, Billy Dee Williams, Eminem
He's so smooth, a real player with the ladies, a real mack-daddy.
লিখেছেন- unknown 3 de জানুয়ারি de 2003


text:
Sidney Crosby
Max Lapierre
Brad Marchand
Alexander Semin
Max Talbot
Devin Setoguchi
Joe Thornton
Alex Burrows
Sedin sisters
Dustin Brown
P.K. Subban
Joe Pavelski
Patrick Kaleta
Mike Ribeiro
Franzen does too, although not nearly as often as those mentioned above. Tootoo used to one of the worst, but has cut down on the diving in the last few years. It would be just plain inaccurate to say he doesn't do it at all anymore, though. Samuelsson needs to be mentioned, as well.
There needs to be a return of suspensions handed out for blatant embellishment and diving.
Edited by Bring Back The Bruise Bros, 02 January 2013 - 06:21 AM.


text:
2012 was not a good year for data security. As a recent study from the Open Security Foundation and Risk Based Security revealed, last year saw a record-breaking number of reported data breaches.
The study determined that 2012 saw more than 2,600 reported incidents. This is more than twice the total number of data breaches reported in 2011.
Fortunately, despite the significant uptick in data breaches, the actual number of records exposed in these incidents decreased to 267 million in 2012, down from 412 million in 2011. However, as these numbers suggest, many companies are still seeing tremendous data losses and exposure as the result of breaches. The information revealed in these incidents included names, passwords, email addresses and more. As the report noted, a cybercriminal with access to this information would be able to commit identity theft or fraud.
According to the study, approximately three-fourths of reported incidents originated with external agents or activity, with hacking accounting for the bulk of these occurrences. This, as the report noted, suggests a greater need for data breach analytics tools.
Additionally, firms should consider investing in more robust secure file sharing tools. Every day, employees send and receive millions of emails to and from individuals both inside and outside the organization. Email represents one of the most significant methods of data sharing for companies, and this information ranges from inconsequential to mission-critical. If email file sharing is not secure, a company is at risk of suffering a data breach every time a message is sent or received.
By investing in sophisticated secure file sharing solutions, firms can protect the integrity of email without burdening employees with a time-consuming data protection process.


text:
Why You Should Buy This Report:
A value-packed package of corporate financial analysis, for Restoration Hardware Holdings Inc (RH), plus vital industry benchmarks and extensive operating ratios, along with an analysis of key industry trends. This is an extraordinarily useful and comprehensive package at a terrific price.
Key Benefits:
- Corporate financial analysis
- Complete set of important operating ratios, including EBITDA and Sales Per Employee as well as ROI, ROA, etc.
- Includes financials and ratios for this company and a vital set of comparisons to averages for all firms in its industry NAIC code
- In-depth analysis of this industry's key trends
- Competitive intelligence
- Market forecasts and industry statistics
- Link to our 5-minute video overview of this industry
By Reading This Report, You Will:
- Corporate financial analysis
- What is this firm's multi-year financial performance?
- How do its performance, balance sheet, cash flow and operating metrics compare to the averages for its industry?
- How is the industry evolving?
- How is the industry being shaped by new technologies?
- How is demand growing in emerging markets and mature economies?
- What is the size of the market now and in the future?
About Plunkett Research, Ltd.
Plunkett Research is a leading provider of industry trends analysis and market research. Plunkett's products save time and effort when you need competitive intelligence, market research or marketing data.
Introduction to the Retail Industry
Wal-Mart Sales Improve After Two Year Slump
Department Stores Streamline While Outlet Stores Proliferate
Department Stores Streamline While Outlet Stores Proliferate
Discounting and Discount Stores Evolve
Private Label Brands Grow in Share of Total Store Sales
Sophistication and Success for Direct Marketers and Non-Store Sales
Apple Sets the Bar for Showcase Stores and Super-Merchandisers
For the Long Term in the U.S, Customers Increase Savings/Less Inclined to Use Debt
Bricks, Clicks and Catalogs Create Synergies While Online Sales Growth Surges
GPS and Location Based Services (LBS) Enhance Cellphone Subscriptions
Location Based Advertising and Mobile Advertising on Cellphones Grow Quickly
Groupon and Other Coupon Firms Compete Aggressively for Consumers' Attention
Retail Technologies Leap Ahead
RFID Drives Inventory Management Evolution
Self Service Retail Technologies Take Off
Self Service Apparel Fitting Technologies Grow in Stores and Online
Retailers Eye Expanding Middle Class, Move Into Emerging Markets, Including China, India and Brazil
Sales Per Square Foot at Lifestyle Centers and Super-Regional Malls Rise While Vacancy Rates Fall
Entertainment-Based Retailing, including Power Towns
Malls Morph to Stay Afloat
Luxury Item Sales Rebound
LOHAS-Socially Conscious Consumers Create Challenges and Opportunities for Advertisers and Marketers
How to Interpret Reports of Retail Sales
Company Profile
Restoration Hardware Holdings Inc
Company Financials
Industry Averages
Company Ranks


text:
Acute Spinal Cord Injury (SCI)
The spinal cord contains the nerves that carry messages between the brain and the rest of the body. The spinal cord starts at the brain and extends down the neck and back inside the vertebrae.
Acute SCI is a sudden traumatic injury that either results in a bruise, a partial injury or a complete injury to the spinal cord.
Causes of Acute SCI
There are many causes of SCI, but most injuries occur when the area of the spine or neck is bent or compressed. The most common causes of SCI are:
Symptoms of an Acute SCI
Symptoms of SCI depend on the severity and location of the injury. Usually, symptoms are more severe the higher up the SCI is.
For example, an injury on the neck, at C1 or C2 (the first and second cervical vertebrae in the spinal column), affects the respiratory muscles and the ability to breathe.
A lower injury, in the lumbar vertebrae, may affect the nerve and muscle control to the bladder, bowel and legs.
The following are the most common symptoms of acute spinal cord injuries. However, each individual may experience symptoms differently. Symptoms may include:
Types of Acute SCI
SCI is classified according to the patient's type of loss of motor and sensory function. The following are the main classifications:
Cervical (Near the Neck) Injuries
When spinal cord injuries occur near the neck, symptoms can affect both the arms and the legs:
Thoracic (Chest-level) Injuries
When spinal injuries occur at chest level, symptoms can affect the legs:
Lumbar Sacral (Lower Back) Injuries
When spinal injuries occur at the lower back level, varying degrees of symptoms can affect the legs:
The following tests may be ordered:
A spinal cord trauma is a medical emergency requiring immediate treatment to reduce the long-term effects. The time between the injury and treatment is a critical factor affecting the eventual outcome.
Corticosteroids, such as dexamethasone or methylprednisolone, are used to reduce swelling that may damage the spinal cord.
If spinal cord compression is caused by a mass (such as a hematoma or bony fragment) that can be removed or brought down before there is total destruction of the nerves of the spine, paralysis may in some cases be reduced or relieved.
Ideally, administration of corticosteroids should begin as soon as possible after the injury.
Surgery may be necessary. This may include surgery to remove fluid or tissue that presses on the spinal cord (decompression laminectomy). Surgery may be needed to:
Bedrest may be needed to allow the bones of the spine to heal, since they bear most of the weight of the body.
Anatomic realignment is important. Spinal traction may reduce dislocation and/or may be used to immobilize the spine. The skull may be immobilized with tongs (metal braces placed in the skull and attached to traction weights or to a harness on the body).
Treatment will address muscle spasms, care of the skin, and bowel and bladder dysfunction.
Extensive physical therapy, occupational therapy, and other rehabilitation interventions are often required after the acute SCI has healed. Rehabilitation assists the person in coping with disability resulting from spinal cord trauma.
Spasticity can be reduced by many oral medications, medications that are injected into the spinal canal, or injections of botulinum toxins into the muscles. It is important to treat pain with analgesics, muscle relaxants, or physical therapy modalities.
Expectations & Prognosis
Paralysis and loss of sensation of part of the body are common. This includes total paralysis or numbness and varying degrees of movement or sensation loss. Death is possible, particularly if there is paralysis of the breathing muscles.
How well you do depends on the level of your injury. Injuries near the top of the spine result in more extensive disability than do injuries lower on the spine.
Recovery of some movement or sensation within one week usually means the person has a good chance of recovering more function, although this may take six months or more. Losses that remain after six months are more likely to be permanent.
Routine bowel care frequently takes one hour or more on a daily basis. A majority of people with SCI must perform bladder catheterization from time to time.
Modifications of the person's living environment are usually required.
Most people with SCI are wheelchair- or bed-bound, or have impaired mobility requiring a variety of assistive devices.
Possible complications of SCI can include extreme changes in blood pressure (autonomic hyperreflexia).
Other complications of immobility include:
Management of SCI begins at the site of an accident with paramedics trained in immobilizing the injured spine to prevent further damage to the nervous system.
Someone suspected of having a SCI should NOT be moved without immobilization unless there is an immediate threat to their safety.
Safety practices during work and recreation can prevent many spinal cord injuries. Use proper protective equipment if an injury is possible.
Diving into shallow water is a major cause of spinal cord trauma.
Always check the depth of water before diving, and look for rocks or other possible obstructions.
Football and sledding injuries often involve sharp blows or abnormal twisting and bending of the back or neck and can result in spinal cord trauma. Use caution when sledding and inspect the area for obstacles. Use appropriate techniques and equipment when playing football or other contact sports.
Falls while climbing at work or during recreation can result in spinal cord injuries.
Defensive driving and wearing seat belts greatly reduces the risk of serious injury if there is an automobile accident.
Support Groups
For organizations that provide support and additional information, see spinal injury resources.


text:
Love's Labours Lost; Director, Terry Hands; Design, Timothy O'Brien; Photograph, Donald Cooper; Royal Shakespeare Company, March 1991.
"Timothy O'Brien might have collaborated with Monet and Renoir in creating the lush foliage of reds, yellows, purples and greens that towers above Shakespeare's lords as they loll on cushions enjoying their 'dejeuner sur l'herbe' in the dappled light." Benedict Nightingale, Times, 28.3.91 Opening Date: 27 March 1991; Theatre: Barbican
Modern productions of this play tend to stress the prettiness of period costume and settings, whether Edwardian, eighteenth century, or Renaissance. Elaborate costumes match the play's verbal over-sophistication. HMR


text:
Contact Information
Grand Hyatt Washington
1000 H Street, NW
Washington, DC 20001
Phone: 888-421-1442
Thank you for your interest in attending our event! We have worked hard in preparation to ensure that your experience is as fulfilling and also as enjoyable as possible. We are very pleased that you will be joining us and look forward to seeing you soon.
Thank you for your interest in attending our event! We have worked hard in preparation to ensure that your experience is as fulfilling and also as enjoyable as possible. We are very pleased that you will be joining us and look forward to seeing you soon.
We're sorry.
This event is now closed to new reservations.
Due to the proximity of the event dates, please contact your desired hotel directly regarding availability. Contact information, if available, is below.
Escape to extraordinary elegance at Grand Hyatt Washington. Centrally located in Penn Quarter with convenient in-lobby Metro Center access this downtown Washington DC hotel is an ideal spot to explore the US capital. Stroll to concerts or sporting events at Verizon Center, historic monuments or the Smithsonian Museums. When you return to our captivating Washington DC Hyatt hotel, enjoy stylish guestrooms with plush Grand Beds, indulgent amenities, and multiple dining venues. Relax by the lagoon in our lovely 12-story atrium. Experience the highest standard of luxury in our Hyatt hotel in downtown Washington DC.
Cure Bar & Bistro
Cure Bar & Bistro takes its name from the age-old tradition of curing foods and pairing beverages to create a taste profile. The wine, beer and spirit selections are extensive, offering a range of exceptional wines, international beers and unique cocktails. From socializing with friends while sharing light fare and drinks, to sitting down to a four-course offering, guests are invited to create their own experience with our seasonal menu. High ceilings, an open fireplace and walls clad in stone and red oak evoke the atmosphere of a rustic lodge in this spacious four level restaurant.
Grand Café
Dining in the park with no threat of rain! The atmosphere is always charming at The Grand Cafe, our informal, atrium restaurant. Start your day off with a delicious breakfast from our tempting buffet, accompanied by a cup of freshly brewed Seattles Best coffee. Take a break from a busy round of meetings with a relaxing lunch alongside the lagoon. Serving breakfast and lunch daily, The Grand Cafe offers a wide variety of menu choices, such as Breakfast Buffet, A la Carte Breakfast, Gourmet lunch entrée & Sunday Brunch.
Zephyr Deli
Need to grab a quick bite? Stop by Zephyr Deli for delicious and satisfying breakfast and lunch options, just right for eating on the run. Choose from an ever-changing selection of freshly baked pastries, seasonal fruit, gourmet sandwiches, salads and paninis.
Conveniently located on the lobby level, Starbucks offers a wide selection of coffee, cappuccino, lattes, frappuccinos, flavored teas and seasonal creations, as well as light snacks and pastries.
Grand Slam
It's all fun and games at Grand Slam! This is the place to be for anyone who loves sports, games and having a great time. With high definition plasma screens and state-of- the-art sound systems, you can be sure to see your favorite team play while keeping your eye on the competition as well. We have many Direct TV Sports Packages and offer a variety of games including Playstation 3, Nintendo Wii and NTN Trivia plus Texas Holdem. Big sports fans have big appetites and we offer a delicious menu of pub food with a huge variety of beers and cocktail beverage selections.
BUSINESS CENTER For those last-minute changes, the Grand Hyatt Washington's Business Center, on the lagoon level, is another option for business support. Featuring secretarial services and equipment to fulfill our guests' needs, the Business Center is capable of assisting in a professional, confidential and proficient manner.
CONCIERGE & TRANSPORTATION SERVICES The concierge desk at the Grand Hyatt Washington has an answer from dining, theater and tour arrangements to coordinating travel (car, limousine, boat or plane, hotel reservations, passport and visa information), business and notary services.
RECREATIONAL FACILITIES Club Fitness at Washington Center with sauna and steam rooms, whirlpool, indoor swimming pool, circuit training, cardiovascular, free weights, exercise classes, personal trainers, massage (All Hyatt guests can use Club Fitness for a special, reduced rate--just present your room key at the Club Fitness registration desk.)
|Room Service
|Fitness Center/Health Club
|Business Center
|Internet Access
|Cable TV
|Gift Shop
|Indoor pool
|In-room movies
|Iron/ironing boards
|Meeting rooms
|Public transportation nearby
|In-room safe
|Wireless Internet
|Roll Away Beds May be an Additional Fee
|Desk in Room
|No Smoking
The information supplied does not match an enrollment.
Please, check your entries and submit again.


text: fleet 670 enables you to introduce your choice of business applications and extend the fleet 670's usage beyond the vehicle: from customers' signing on-screen for proof of delivery, to the completion of job related forms. The result: a faster return on your investment. In the long run, you will be able to rapidly roll out apps and new features simply and wirelessly.


text:
Thursday, May 28, 2009
Polpettine di Spinaci - Spinach Meatballs
Also today I'll show you another recipe from the cuisine of Bologna, lighter than the last one, for the joy of all the people who, like me, is on diet and who could use it as a complete meal for lunch or dinner. The ones who haven't weight problems can use this dish as a starter, but the evil god of the fat people will punish you one day.
The ingredients here are very typical of my region: sausage, spinach and Parmesan cheese. We can meet them in many sauces and various combination. Here they are used to produce some small meatballs that, when hot just after being cooked, melt into the mouth. You can use their flavor to slothfully trick who doesn't like vegetables, just like mother did when I was a child with this and others deceits.
Ingredients for approximately 4 persons: 1.1 lb. of spinach, 7 oz. fresh sausage, 8 tablespoons of grated Parmesan cheese, 3 1/2 tablespoons of butter, 2 eggs, breadcrumbs, grated nutmeg, salt, pepper.
Preparation: wash the spinach and boil them is a few water (or steam them). Put them in a bowl together with the sausage, the cheese, a pinch of grated nutmeg, a couple of whisked eggs and salt and pepper as you like. Mix well the dough and shape from it some little balls that you have to sprinkle with breadcrumbs. Fry the balls in some hot butter and serve them at table still very hot.
Pubblicato da Alessandro Guerani a 12:30 AM
Etichette: vegetables and sidedish recipes
7 commenti :
- Cianfresca said...
come al solito guardare le tue foto è una meraviglia! E se nel frattempo leggo anche le ricette sono sempre più estasiata!
- May 28, 2009 at 4:37 AM
- elisabetta said...
sapevo che non dovevo passare di qua... a quest'ora poi... la fame che già avevo è schizzata alle stelle!
- May 28, 2009 at 6:17 AM
- Peter G said...
These polpettine look absolutely beautiful Alessandro...and perfectly presented!
- May 28, 2009 at 6:23 AM
- astrofiammante said...
davvero golose...e orginali!!
- May 28, 2009 at 12:49 PM
- Ben said...
Oh they are beautiful! They look very similar to the ones my mom used to make. I need to try these now.
- May 28, 2009 at 2:21 PM
- Dominique said...
Pictures are beautiful (like usually), and the recipe... surely very tasty: I'll try it!
- May 28, 2009 at 4:32 PM
- Tartelette said...
Beautifully presented and sounds delicious! How I wish we were neighbors Alessandro!
- May 29, 2009 at 9:39 PM
Subscribe to: Post Comments ( Atom )