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Your Satisfaction is Guaranteed:
Celebrate the 40th anniversary of this timeless classic with a special edition featuring a new foreword by the author and a message that is as relevant today as when it was first published. Since the late 1940s, Ray Bradbury has been revered for his works of science fiction and fantasy. With more than 4 million copies in print, Fahrenheit 451 - originally published in 1953 - remains his most acclaimed work. Fahrenheit 451 is the temperature at which book paper burns. Fahrenheit 451 is a short novel set in the (perhaps near) future when "firemen" burn books forbidden by the totalitarian "brave new world" regime. The hero, according to Mr. Bradbury, is "a book burner who suddenly discovers that books are flesh and blood ideas and cry out silently when put to the torch". Today, when libraries and schools are still "burning" certain books, Fahrenheit 451 is a work of even greater impact and timeliness.
BookHints: Book Lovers Recommend...
Brave New World and Brave New World Revisited
Huxley, Aldous; Blatchford, Roy; Cookson, Linda; Southwick, Robert
Orwell, George
Animal Farm
Orwell, George
A Clockwork Orange : Play with Music
Burgess, Anthony
The Martian Chronicles
Bradbury, Ray
Illustrated Man
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Wednesday, October 10th, 10:30am-11:25am, Twin Peaks N/S
How are personalized medicine and diagnostic companies positioning themselves in light of the Patient Protection and Affordable Care Act? What are the current trends and future directions in the space? This panel will discuss the current and future role of intellectual property, from both a freedom to operate and a value perspective, in light of recent Court decisions regarding the patentability of laws of nature that frequently surround these discoveries relating to personalized medicine and diagnostics. In particular, how much reliance and value should companies place on such intellectual property and what are the alternatives?
Jonathan Lim, MD Jonathan Lim is the Chairman, CEO and Co-Founder of Ignyta, Inc. (formerly NexDx, Inc.), a portfolio company of City Hill Ventures, LLC, a health care investment firm he founded in December 2010. In March 2011, Jonathan co-founded and more recently served as Chairman and CEO of Eclipse Therapeutics, a Biogen Idec spinout which was successfully acquired by Bionomics Ltd (ASX:BNO) in September 2012. Prior to Ignyta from May 2003 to December 2010, Jonathan was President, CEO, and Board Director of Halozyme Therapeutics, Inc. (NASDAQ: HALO), where he led the company's growth from a privately held startup with 5 employees to a publicly traded company with 140 employees and peak market capitalization of nearly $1 billion. Under his leadership, the company went public and raised $300 million from financing and corporate partnerships with Roche and Baxter, achieved two U.S. FDA approvals, and built a deep pipeline of late stage clinical drug candidates. Jonathan's prior experience includes management consulting at McKinsey & Company, NIH Postdoctoral Fellowship at Harvard, and two years of general surgery residency at New York Hospital-Cornell. He has BS and MS degrees from Stanford, MD from McGill, and MPH from Harvard. |
Eli A. Loots, PhD Eli Loots is a partner in the San Francisco office of Knobbe Martens. Dr. Loots's practice focuses on representing life science clients, from start ups to fortune 500 companies, in the biotechnology space. Dr. Loots has expertise in a wide variety of molecular and cellular technologies, including antibodies, high throughput screening, gene therapy, neuroscience, and stem cell technologies. His practice focuses on client counseling, due diligence, opinion work, and patent preparation and prosecution. Dr. Loots obtained his PhD in Molecular and Cell Biology from U.C. Berkeley and attended Boalt Hall (U.C. Berkeley) for his law degree. |

subset: commoncrawl


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Cedar Rapids Weather
Cedar Rapids, Iowa City, Iowa Home Sales Rise in OctoberBy George Ford, Reporter
CEDAR RAPIDS, Iowa - More homes were sold last month in Cedar Rapids, Iowa City and the state of Iowa than in October 2011 as attractive mortgage rates continued to propel a recovering housing market.
The Cedar Rapids Area Association of Realtors reported 362 homes sold in October, up 28.4 percent from 282 in October 2011. The average sale price increased 7 percent to $166,743 last month from $155,769 in October 2011. In the Iowa City-Coralville-North Liberty area, 179 homes sold in October, up 14 percent from 157 in the same month last year, according to the Iowa City Area Association of Realtors. The average sale price rose 42.6 percent to $191,894 in October from $170,627 in the same month last year. Statewide, 2,998 homes were sold in October, up 13.3 percent from 2,646 homes sold in October 2011, according to the Iowa Association of Realtors. Thirty of the 44 local Realtor boards across Iowa reported increases in home sales. The median sale price was $126,500 in October, up 5.4 percent from $120,000 in October 2011. Twenty-eight local Realtor boards posted increases in median sale price. Pending sales were up by 11.9 percent. There were 2,850 pending sales in October, up from 2,546 pending sales last October. The inventory of homes on the market continued to decline. There were 20,303 homes on the market at the end of October, down 11.1 percent from 22,835 homes on the market at the end of October 2011. Days on the market also continued to drop by 5.9 percent. The average number of days on the market in October was 96 days, down from 102 days in October 2011 . Thirty-one local boards posted decreases in days on the market. Don Marple, president of the Iowa Association of Realtors, said October's figures reflected a rebound from a slight slowdown in September. "Sales, pending sales, and median sales price were all up in the third quarter," Marple said. "It appears as if the fourth quarter is off to a strong start as well. At this rate, we are on track to end the year ahead of 2011." Conversation GuidelinesBe KindDon't use abusive, offensive, threatening, racist, vulgar or sexually-oriented language. Share KnowledgeBe truthful. Share what you know and what you are passionate about. Stay focusedPromote lively and healthy debate. Stay on topic. Ask questions and give feedback on the story's topic. Report TroubleHelp us maintain a quality comment section by reporting comments that are offensive. If you see a comment that is offensive, or you feel violates our guidelines, simply click on the "x" to the far right of the comment to report it. read the full guidelines here » Commenting will be disabled on stories dealing with the following subject matter: Crime, sexual abuse, property fires, automobile accidents, Amber Alerts, Operation Quickfinds and suicides. |
What's On KCRG |


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A serious heart condition landed Helen Smith in the hospital March 28.
When she was discharged more than two weeks later, the 82-year-old was transferred directly to a nursing home.
She never returned to her house in Woodridge, leaving her sister, Carol Kilduff, to deal with myriad logistical matters.
It wasn't until late April that Kilduff realized her sister was still connected to Comcast's Triple Play service — phone, Internet and cable.
Kilduff said she immediately called to cancel the service and was told that although she has power of attorney to conduct Smith's affairs, Smith herself had to request a disconnection.
Dutifully, Kilduff visited her sister at the nursing home and had Smith call Comcast to file the request.
Despite her attempt to cancel, Smith's service continued. So did the bills.
Kilduff said she paid her sister's outstanding balance of $364.92 May 3 and returned her sister's cable and Internet equipment to the company's service office in Lisle five days later.
"I even returned to that location on the following day with a small metal item that I thought was part of their equipment," Kilduff said. "The girl at the desk said 'Oh, we don't need that.' Following my two trips I thought for sure that the service would be discontinued. But I was wrong."
A representative told Kilduff two small black boxes remained missing. Kilduff returned to her sister's house and looked but could not find them.
On May 15, Kilduff said she was told her sister's service remained intact but would be disconnected if she paid an additional $313.70, which would include payment for the missing boxes.
Upset, she emailed What's Your Problem?
"I do not feel I owe them any more than the $364.92 I paid them on May 3, which should have paid them for two months of service," she said. "It seems they want to keep getting the $185 per month."
Kilduff said she had reached her wits' end.
"Every time I call Comcast I talk to a different person. I've spoken to at least four different people, and I keep getting different information," she said. "As of (May 15) I just kind of stopped working on it because I'm tired of it."
The Problem Solver called Comcast spokeswoman Angelynne Amores, who promised to look into the situation.
The next day, Amores said Comcast had disconnected Smith's service and erased her outstanding charges.
"We apologize," Amores said. "Now Ms. Smith's account reflects a zero balance."
Kilduff was thrilled.
She said Amores called her Tuesday morning to apologize directly.
"She was very nice," Kilduff said. "It's a real load off my shoulders."
Twitter @wyp_tribune


text: Did you know time can slip by when we're not having fun? Samuel, it hasn't been fun These days that we've spent, it's felt like hours And remember when you came to the door with flowers? But time, Samuel- it's never odd or even Samuel, time hates us We don't even have a moment that's just ours Yet, chance made us friends Sitting in Niagara, staring at the lights Honestly, you and me, we could be free And yet we're imprisoned Steadily being caged in by time We were from the beginning, we were from the start Time hates us, dislikes us, loathes us, despises us We're the eyes of it's storm And yet I can tell in your eyes that you're happy That even with a car running on empty and not living a life we had envisioned, We've made a world that stretches far


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IMPACT Coverage: Manik wins the Ultimate X, new World Champ Chris Sabin, Styles vs. Hardy - Page 2
It's a new day at TNA Impact as we kick off the first week of Chris Sabin's TNA Championship reign. But what does Bully Ray have to say about all this? When you combine this tension with three Bound For Glory matches, a Knockout Championship Match, and the crowning of a new X-Division champ in an Ultimate X Match, you have a show that truly made an Impact!
Scroll down for IMPACT footage and exclusive ringside photos from the event!
Watch the full video playlist on YouTube - CLICK HERE
Video: Inside Impact - Mickie James after her match vs. Gail Kim
Video: Inside Impact - AJ Styles vents after his match vs. Jeff Hardy
- Ultimate X Match: Manik defeated Sonjay Dutt and Greg Marasciulo to win the X-Division Title
- Bound For Glory Series: Ken Anderson pinned Hernandez
- Knockouts Champion Mickie James pinned Gail Kim
- Bound For Glory Series: Christopher Daniels pinned Samoa Joe
- Bound For Glory Series: AJ Styles defeated Jeff Hardy via submission
Impact begins with the Main Event Mafia. The group lets us know that they have completed a major goals. They made sure the TNA Title left Bully Ray's waist and witnessed the rise of the new TNA Champion Chris Sabin. Kurt Angle expresses his pride at Sabin's epic victory and welcomes the new champ to the ring.
Sabin's Championship parade quickly found itself rained on care of Bully Ray. The former champion, with his attorney on hand, reminded us all how Sabin won the title. He used a hammer! A deadly hammer! That isn't right. Bully demanded that management have Chris return his championship by the end of the night. If they fail to do so, they'll face more legal headaches than anyone can imagine. Knowing that the threat of a lawsuit could deliver him what he wants, the Bully seems to have found a legal loophole to bully his way back to golden glory.
Our first match embodied the spirit of how the X-Division Championship is truly a dream come true. After a career of sacrifice and heartache, Manik's became the new champ with a win over Sonjay Dutt and Greg Marasciulo in a breathtaking Ultimate X Match. All three showed why they represent the past, present, and future in TNA, but the masked man proved that his time is now as he clawed his way to his TNA dream.
If Aces and Eights is supposedly on a downward spiral, Mr. Anderson didn't get the memo. The Vice President of the group overcame the massive Hernandez to earn seven points in the Bound For Glory Series.
Another week, another amazing Knockouts match as Mickie James retained her title over #1 Contender Gail Kim. While Mickie has seen her fair amount of criticism over her attitude, it was Gail who had the real problem. Throughout the contest, Kim found herself at constant odds with referee O.D.B., culminating in a slap to the official's face. With all this going on, Gail was easy prey for a Mickie roll-up pin.
After the match, Knockout Executive Brooke Hogan appeared. She informed Gail Kim that she not only slapped a referee…she slapped an active roster member. The crowd roars at the insinuation and Mike Tenay says it best, "Something tells me we haven't heard the last of Gail Kim and O.D.B."
The Bully Ray legal issue looms over the company. Hulk Hogan and Dixie Carter are overheard discussing it backstage. They both seem unhappy with the prospect of delivering bad news. One can't help but think things are looking bleak for the brand new reign of TNA Champion Chris Sabin.
The second Bound For Glory Series Match had a similarity to the first - Ken Anderson. The Aces and Eights V.P. made his presence known when Samoa Joe squared off with Christopher Daniels. More to hurt Joe than help Daniels, Anderson distracted Main Event Mafia's Samoan Submission Machine long enough for Christopher to pounce. Daniels scaled the ropes and hit his Best Moonsault Ever. When that one failed to score the pin, he hit it again. The Badd Influencer picks up seven points in his quest for Glory.
The third and final Bound For Glory Series match of the night has been all most fans could talk about since it was announced last week. The Phenomenally Brooding A.J.Styles squared off with the Charamatic Enigma Jeff Hardy. Mixing spectacular maneuvers with brutal violence, these two threw everything they had at each other. In a match that will be remembered as a true Impact Classic, each man looked all but defeated at different points. But it was a surprise roll up into a Calf Killer submission that made this a night to remember for A.J. Styles. The lone wolf earns himself a tap out and ten coveted points in the Bound For Glory Series.
After the bell, Jeff Hardy offered the winner his hand to shake. Instead, A.J. offered Jeff a view of his back as he walked away.
As the night came to a close, the self-proclaimed "suffering" Bully Ray comes out to remind us all how victimized he was by Chris Sabin's hammer attack last week. He also insists that he will do whatever it takes to right the wrongs that have been done. With that, Bully gives the champion a chance to come out and hand the belt back to its long-time owner.
When Sabin comes to the ring, he's stoic. The new champion tells Bully that he'll have to pry the title from his "cold, dead hands". This angers Bully even more. He demands that General Manager Hulk Hogan come to the ring and do the right thing. That's when the Red and Yellow lights kick in.
Hulk shows up on the ramp with the legal paperwork in hand. He offers Bully a counter. The counter? A torn up legal notice. To everyone's surprise, Hogan rips up Ray's lawsuit and declares Chris Sabin the TNA Champion. Over the roar of the crowd, Hogan explains that he's doing what's fair.
Also fair according to Hulk Hogan? Bully Ray gets a return match. Hogan makes it official. The former Champion will have his shot on the August 15th Hardcore Justice Impact Special. It'll be Bully Ray challenging TNA Champion Chris Sabin…in a Steel Cage!
Sabin looks Justas surprised as Bully Ray as we close out. With three weeks until this big cage match, anything can happen.
Image Gallery


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All styles of music performed on the autoharp
The best in WUMB's Traditional Folk Music with Sandy Sheehan
Folk music with a personal touch
Appalachian Music -- Born in the isles, raised in Appalachia
Old Time Music Radio plays old time music from the pioneers of OTM like Uncle Dave Macon, Doc Boggs, and Charlie Poole to contemporary old time music from groups like Uncle Earl, Crooked Jades, and Foghorn String Band.
Contemporary & traditional folk and more
Because Folk Music is the music of the people. And you're a person. 13+years leading the way at Live365 with freeform folk and related genres (singer/songwriter, bluegrass. Celtic, folk/rock, world folk, Cajun/Zydeco,technofolk and more).
Commercial-free, listener supported radio presenting the best of folk, traditional, celtic, and world music. ((All Folk. All The Time.)) www.FolkAlley.com
Enjoy a playlist of songs that represent the types music played on this station!
Songs of the American Cowboy. The beauty, tradition, humor and romance of the West. Release your Inner Cowboy!
If you enjoy Folk music this is your channel.
World's finest performances of Medieval, Renaissance & Early Baroque secular & sacred, vocal & instrumental music, from the dawn of chant to the birth of the suite; colonial Latin America
Acoustic Routes
Brought to you by iBluegrass.com - Classic Bluegrass Music
The Best in WUMB's Celtic Music, with Gail Gilmore - from Boston


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Slip a little sophistication into your space with our Arden Club Loveseat. Featuring sumptuous lines, a tufted back and arms, nailhead details and sculpted legs, this unique yet classic sofa loveseat offers comfort and mystique.
You asked and we simplified! We are dedicated to making your shopping experience easier than ever, so we created Simple Shipping:


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Contacts 4 contacts
- Press Contact
- Senior Press Officer
- Lumix, Lumix G, Camcorders and Cordless Phones
About Panasonic UK
Panasonic UK was established in 1972.
Since then the company has grown substantially and become a leading supplier of consumer and business related electronics products. Its headquarters is located in Bracknell, Berkshire and this is supported by a national Logistics Centre in Northampton.
There are also separate companies... Show more
- Panasonic UK
- Panasonic House, Willoughby Road
- Bracknell, Berkshire RG12 8FP


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Anders Trentemøller (better known by his stage name Trentemøller) is Denmark's premier electronic musician. Since 1997, his elusive beats and sci-fi synth squiggles have confounded casual definition, deftly swinging from one genre to the next. On his latest, 2010′s Into the Wide Great Yonder, he further expands his sonic palette, and on his most recent live tours, he's burgeoned to a full supporting band of guitarists, vocalists, and even a theremin player. Ambient and electronic soundscapes get fleshed out by organic sounds and voices, and none so prominently as in the KEXP studios, where Trentemøller brings in his five-piece band and holds all of the Denny Triangle in thrall.
Listen Live:
iTunes and KEXP
You can now find KEXP under "Eclectic" in iTunes after the demise of the "Public" category, to better represent the diversity of our daytime variety shows and numerous specialty programs.KEXP Suggests


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Category: Health & Safety ×
Employees number: 1-10 ×
Industry: Plastics & Resins ×
Location: Asia & Middle East ×
Location: Cambodia ×
GillTrading.com, Inc.
Gilltrading.com Inc. is a business committed to offer product designs the industry needs while encouraging safety and environmental responsibility. WeirWasher Automated Cleaning Systems (ACS) remove algae, scum, and other foreign material from clarifier and thickener weirs and troughs. Eco-Blaster Biological Control Systems automatically remove, control and/or clean ...
Spill Doctor (SA)
The Jesbra Group, now trading as Spill Doctor in Africa, represents some of the worlds industry leading providers of environmental, safety and health products. With over a decade of international experience and 25 years operating in Africa, Spill Doctor has consolidated a range of internationaly recognised products that both our regional and international clients regard ...
Tecam Group
Tecam Group offers advanced environmental technology solutions for the reduction of Volatile Organic Compounds VOC emissions derived from production processes from the Industry: - Thermal Oxidizers (TO)- Regenerative Thermal Oxidizers (RTO) - Regenerative Catalytic Oxidizers (RCO) - Zeolite Rotor-Concentrator + Regenerative Thermal Oxidizers (RTO)Tecam Group offers a ...
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AWC Engineering Ltd
AWC Engineering have been involved in the design, manufacture, operation and maintenance of shredding & granulation systems for over 30 years. Our hands on experience and approved supplier network within the industry enables us to offer spare parts and service support for a wide range of equipment, regardless of manufacturer. Our dedicated machine shop, and co-operation ...
Glory Engineering&Technology
Glory is an environmental consulting firm, specialized in Advanced Oxidation Process, providing solutions for air, odor, water, wastewater treatments as well as soil/groundwater investigation and remedies to industries in Asia. We are also experts in EHS auditing and regulatory compliance in the region. Glory is keen to introduce cutting edge technologies, products, ...
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Airtechnic Solutions BV is the specialist in providing integral solutions for airtechnical problems regarding sieving and separating of solids, dust and flue gas emission, process control and improvement, product and gas transport and process air treatment.
RHZ Environmental Controls, LLC
RHZ Environmental: The Oxidizer Specialist. RHZ Environmental can help you operate your pollution abatement equipment in ways that will save you money while improving your operational efficiency. RHZ specializes in the intelligent control and optimization of widely-used pollution abatement systems. RHZ has a well-founded reputation for an extraordinary ability to coax ...
Antech Hydraulics Ltd
ANTECH offer a range of hydraulic components and contamination control products for use in manufacturing, heavy industry, industrial and mobile hydraulics, marine and offshore, power generation, agriculture and transport. In these sectors, we work with OEMs, resellers and end-users to provide solutions for a wide range of applications across the globe.
Aegis provides a full range of Hazard Communication services, including GHS SDS Authoring, MSDS Authoring & Labelling Compliance.We help our clients achieve and maintain regulatory compliance with the ever changing array of Health, Safety and Environmental legislation affecting their company. Whether you have new or existing products, or need access to new markets, we can ...


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2012 - 2013 ExpensesTuition | Residence Hall Charges | General Fees | Technology Fee | Other Fees | Payment of Tuition and Fees | Reviews | Health & Accident Insurance As a private institution of higher learning, Westminster receives very limited financial support from public taxes. Each student registering at the college is charged tuition at a rate that covers approximately 70 percent of the cost of his/her educational program. The balance of the cost must be met by income received from gifts and endowments from trustees, alumni, faculty, churches, and other friends of the college who help to underwrite the education that Westminster provides. The Board of Trustees of Westminster College reserves the right to change tuition and fees at any time. Tuition (2012-2013)
May Term (undergraduate only): the tuition charge per credit hour is $1,155.Payment of full-time tuition for Fall Semester 2012 earns two free hours for May Term 2013. Payment of full-time tuition for Spring Semester 2013 earns two free hours for May Term 2013. All students not eligible for the 4-hour or 2-hour tuition waiver will be charged $1,155 per hour. Bachelor of Business Administration (BBA): the tuition charge per credit hour is $596. Tuition Refund SchedulePlease refer to the Student Accounts Services web page for information on tuition refunds. Residence Hall Charges (2012-2013)
Students paying room and board charges for Spring Semester continue May Term without additional charge. Room Deposit: $200 The room deposit becomes a damage deposit, which is refundable less any charges for damage when students leave the residence halls. General Fees (2012-2013)
Membership fee for part-time undergraduate and graduate students is optional and would be paid directly to the Dolores Doré Eccles Health, Wellness and Athletic Center.
Certain courses require additional fees, which are listed in the course information on WebAdvisor. Payment of Tuition and FeesTuition, fees, and room and board charges are due in full on the first day of the given semester. Students registering late must pay in full when they register. Students unable to pay in full must make other arrangements with the Student Account Services Office by the second week of the semester. The college reserves the right to grant or deny financing for any student based on his or her credit worthiness. In addition, the college reserves the right to cancel the registration of any student who fails to comply with all terms of his or her financial obligation with the college. Additional information on this policy is available in the Student Account Services Office. Statements of credits, certificates of graduation, or transcripts are issued only to students who are current in their obligations with the college. All outstanding charges are due and payable at the time students leave the college. Tuition ReviewsStudents sometimes face circumstances or situations that prevent them from finishing a course or semester. The Review Committee meets monthly to examine petitions made by students regarding full or partial charges of tuition and fees. A student's petition, which includes a detailed letter and appropriate documentation, can be submitted to any member of the Review Committee in the following offices: Student Account Services, Registrar's Office, Financial Aid, or the Dean of Students. If the petition is based on serious health problems where a student is unable to complete the semester and is not eligible for grades of incomplete, the Review Committee requires a written verification from a physician or licensed mental health professional. The Dean of Students serves as a resource for such requests. Nearly all medical withdrawals require withdrawal from all courses for the semester, as it is difficult to be medically unfit for one course but medically fit for others. See the Academic Policies and Procedures section for more information on medical withdrawals. All petitions (review of tuition charges and medical withdrawals) must be submitted within six weeks after the end of the semester in question. Absent serious extenuating circumstances, requests submitted beyond six weeks after the end of the semester will not be considered. If the petition is granted, changes will be made retroactive only to the last date of attendance, and tuition charges will be adjusted according to Westminster College's posted refund schedule found on the Student Account Services webpage. Reevaluation by the student's physician or counselor will be required prior to re-registration. Following these guidelines, the Review Committee will either approve or deny all petitions. A student who thinks there has been unfair bias or encountered a procedural error made by this committee may appeal it in writing within ten calendar days to an Appeals Committee chaired by the Vice President for Finance and Administration. The decision reached by this committee is final. NOTE: Changes in registered hours may change any financial aid disbursed to an account. For example, if a student receiving merit-based aid withdraws from the college, the student's financial aid award is canceled and all unpaid tuition resulting from the cancellation of the merit-based aid for that semester is due and must be paid immediately. Please forward all information via email, mail, or fax to: Mark Ferne Fax: 801.832.3103 (Attn: Mark Ferne) Health and Accident InsuranceStudents are encouraged to carry health and accident insurance, which can be obtained through the American College Student Association and brokered through Northwestern Mutual Financial Network. Northwestern Mutual can also quote other insurance carriers that may be more cost effective or offer better coverage. There are different options and rates available to students. Coverage is also available for family members. A premium rate example for a student 24 years of age or under is: Low Option Plan $675 per year For more information, please visit ACSA.com, or contact Nathan White at Northwestern Mutual Financial Network, 801.433.1686 to discuss all options that are available in the state of Utah. |


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American Public Health Association
800 I Street, NW • Washington, DC 20001-3710
(202) 777-APHA • Fax: (202) 777-2534
email@example.com • http://www.apha.org
Member Groups & Affiliates
In This Section
Community Health Planning and Policy Development
Section Newsletter
Spring 2005
In this issue:
Message from the CHPPD Chair: Communicating for a vision
At 55 sessions, CHPPD sets record in New Orleans APHA
CHPPD Section Creates New Opportunities for APHA Student Members
Universal Health Care Revisited
Experiences of a New Mexico City on Including Public Health & Safety in the Master Plan
Role of the Payer in Establishing Community Health Policy: The Case of Emerging Medical Technologies and "Medical Policy"
500-Day Plan, Ethics Among Issues Discussed at APHA Executive Board Meeting
Newsletter Archives
Message from the CHPPD Chair: Communicating for a vision
Spring Celebration
Photo credit: Rohinton K. Irani
Welcome to spring . . . a time of new life, new opportunities and new commitments . . . it is also a time for spring cleaning, spring gardening and spring rains. As the Chair of the Community Health Planning and Policy Development Section (CHPPD), I find myself torn between the enthusiasm of the season and the reality of responsibilities. Such is the dilemma for our volunteer efforts as we pursue the vision of what could be while weighed down by the daily pragmatism of what is. How do we balance our time?
For me, "vision" is simply a more sophisticated term for "dreams" . . . and without dreams, we are without purpose, and without purpose, we are without motivation. It is all too easy to be overcome by the workaday world, and allow our time to be consumed by urgencies and details. Many of us have been faced with trying to "do more with less" as budgets have been painfully reduced and workloads increased. For example, my planning and regulatory office has lost over 70 percent of its staffing while we now produce more than 200 percent more revenue than just five years ago. The vision dims as the back bows.
And yet, a clear plan for the future is more important now than ever before in order to guide new policy development at all levels. In health care, we are faced with heightened expectations while struggling with diminishing resources, personally and professionally. The misguided path of competition in health delivery needs to be replaced by a reinvestment in cooperation and caring. As planners, this is our time to step forward with a restored vision.
At the risk of repeating myself, communication has been repeatedly discussed as one of the most important things that we can work on this year. This takes many forms from local and state interaction to annual face-to-face conference contacts. At CHPPD, we want to continue to develop our valuable communication vehicles such as the newsletter, e-mail exchanges, listserv dialogue and Web site service. Member input is an important way to help us respond to needs, so it is vital that we hear what you have to say and how we say it.
Stay in touch, and drop me line if you have ideas or just want to leave a greeting: <
>. Communication continues to be a two-way street and a scenic drive, and our dreams only become visions when we work on them together.
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At 55 sessions, CHPPD sets record in New Orleans APHA
This year we received more abstracts than in the last five years. We received approximately 580 completed abstracts. Almost 15 of them were transfered to other sections, mainly International Health. Since the meeting is in New Orleans we were able to add sessions, granted from APHA, largely because the convention hall is so large and has so many meetings spaces. Therefore we have a total of 55 sessions, the largest ever. Forty-five sessions are scientific and include two round table sessions; of these, 18 are invited sessions and 27 are contributed sessions. In addition, we have 10 poster sessions. However, this still means rejecting over 120 abstracts or about 20 percent of the submissions.
One exciting aspect of the submissions is the unusually large number of student abstracts received this year. In past years we usually had between 10-13 student submissions, whereas this year we received 55 student abstracts! Over half of these will be in scientific or poster sessions.
The abstracts continue to focus on methodology, including new GIS and Web-based methods, obesity and diabetes, the environment and its relation to asthma and childhood diseases, as well as prevention strategies for cardiovascular health and cancer screenings. The new areas to be presented are based on innovative uses of the bioterrorism funding to local health departments. Some have been used to develop infrastructure, while others were used for new community approaches to vaccinations, especially during the flu season.
The official APHA acceptance/rejection notices went out May 31, and the program is now available at <
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CHPPD Section Creates New Opportunities for APHA Student Members
As the Student Assembly Liaison to the Community Health Planning and Policy Development Section, it is my pleasure to announce several new opportunities for students to become more involved and visible within the Section.
This year CHPPD leadership announced new abstract submission opportunities for students, and as a result saw an increase in student submission. The first are two new student awards for the best submissions by a masters and a doctoral student. Please keep your eye out for the announcement of these awards in the next CHPPD newsletter. Each award recipient was chosen on the basis of their abstract review scores, and were accepted to present in a CHPPD oral session. They will also be given a $200 travel scholarship to the Annual Meeting and an award presented at the CHPPD social hour. As usual, all student abstracts receiving good scores were incorporated into the CHPPD program. This year, however, students receiving scores below the acceptance level will be offered constructive feedback on their abstract from volunteer CHPPD faculty members. The purpose of this new process is to provide new student members and first-time submitters with feedback to help them improve their future APHA abstracts.
Last month, CHPPD leadership also voted to pledge a contribution of $500 to the Student Assembly, in order to support their new Student Assembly Conference Scholarship. This donation exceeds that suggested by the Student Assembly, as it is the feeling of the Section that this is a worthwhile cause. Students often struggle to fund their travel and registration at the Annual Meeting, and yet are the future leaders in public health and APHA.
The CHPPD Section is also involving students in local arrangements this year in New Orleans. These students will help coordinate any local activities, receive CHPPD booth materials prior to the meeting, and will help set up and man the booth throughout the meeting. These students include Audrey Lipham, Jonathan Alford, and Salman Baghian from Louisiana State University, and Kim Nguyen from Baton Rouge Community College. In return for their invaluable assistance, the section will cover their student membership and provide each with a $150 stipend for Annual Meeting housing and travel arrangements. If you see these students at the booth, please be sure to introduce yourself.
These new student opportunities allow the Section to draw more students into CHPPD and encourage wider participation in the Section's activities, contribution to the Section's Annual Meeting program, and involvement in the Section's leadership. It is my opinion that increased student participation in the Section will increase membership, enthusiasm, and long-term sustainability in our already vibrant Section! If you are interested in being involved in the CHPPD student committee, please contact me.
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Universal Health Care Revisited
The last attempt to formulate a national plan for universal health care ended 11 years ago with the collapse of the Clinton Plan for "health care reform." Since then, there have been incremental initiatives toward greater health care coverage, notably HIPAA and SCHIP, but as laboratories for developing universal health care, the states have not been able to marshal the necessary political and economic resources. This may now be changing. According to the National Conference of State Legislatures, at least 18 states currently have introduced legislation regarding universal health care: California, Colorado, Connecticut, Florida, Hawaii, Kansas, Illinois, Maine, Maryland, Massachusetts, Minnesota, Missouri, New Hampshire, New York, Ohio, Oklahoma, Rhode Island, and Vermont.
Maine's Dirigo Health plan has gotten considerable attention since it was signed into law in 2003. It is a voluntary, market-based plan, intended to achieve universal coverage in the state by 2009. It was designed to provide small businesses and employees with an option for coverage. But as a voluntary plan, it will fall far short of universal coverage, for it uses private marketplace health insurance, with premiums subsidized by the state on a sliding scale based on family income. Maine contracts with Anthem Blue Cross and Blue Shield of Maine and competes with existing health plans to offer health coverage to employees who work at least 20 hours per week. Employers must offer coverage to dependents and families. Employers cover at least 60 percent of the cost of the workers' premiums, and employees must then pay the remainder of the cost. The state now provides coverage for families earning up to 200 percent of the federal poverty level.
California has been considering a much more radical approach, one that would use a single-payer to achieve true universal health insurance. State Senator Sheila Kuehl's legislation, dubbed the California Health Insurance Reliability Act, would provide medical, dental, vision, hospitalization and prescription drug benefits for all Californians. It would replace private insurance plans and also extend coverage to approximately 7 million Californians who have no health insurance. The program would be funded by a system of means-based premiums, and all uninsured residents would have to buy coverage or enroll in a sponsored program. A Lewin Group study found that a single-payer system could cut health care expenses in California by $25 billion per year, and save California $343.6 billion in health care costs over the next 10 years, mainly by cutting administration and using bulk purchases of drugs and medical equipment.
On April 21, the Vermont House passed and sent to the Senate a bill to create a single-payer system under which all Vermonters would gain coverage for all health services determined to be "essential" by the state government. It would create a health care delivery system that is "equitable, universal, well-coordinated, patient-centered, cohesive, unified, comprehensive, continuous, sufficient, fair, sustainable, and accountable," establish cost containment targets, and enforce them through global budgets for hospitals and caps on physician reimbursement rates. The state would impose "play or pay" taxes on both employer payrolls and employee paychecks at businesses that don't offer health insurance. State health planning would be brought back in the form of an "integrated, community-based system" overseen by regional community health boards composed of citizens. The cost to the state would be about $2 billion per year. Of course, if enacted, the funding available to the state legislators will help them decide what services are "essential." The legislation does not address how to integrate Medicare, Medicaid and other public health insurance programs into the state's universal health care.
The fundamental problem in the states is that they contain within them the same competing interests that doomed the Clinton plan, and so a greater countervailing force from outside the states is needed. In a nation where business prosperity is paramount and competition is respected and feared, the decisive push to do something may be found in what it will take for businesses and states to prosper today.
General Motors and the other automakers are a case in point for the inability of business to continue to bear the burden of health insurance benefits and compete in a multi-national marketplace. Wal-Mart, and other low-wage employers that fail to provide full health insurance to many of their employees, have raised issues of unfair competition by, in effect, shifting their costs to the states through the states' safety net programs. At the same time, the states are so short of revenue to continue funding Medicaid and other programs in their budgets that they are looking to tax their businesses for increased revenue. In addition, the states are facing rapidly rising costs for the health benefits they continue to provide to their own former employees in retirement.
Can there be any solution to this short of a federal takeover of the financing of health care? With its own rapidly growing costs for an expanded Medicare program and over half the costs of Medicaid, how else but by realizing the administrative efficiencies of a single-payer health care system can the federal government accomplish it? By consolidating federal, state, and private health insurance programs under one administration, the savings could be more than sufficient to fund a true universal health care program.(1)
Some of us see this as incremental too, for it addresses the financing of health care, but does nothing to rationalize its delivery. To do that, further steps are needed to remove the remaining profit motive from the delivery system and restructure its priorities toward prevention and public health. Only then might we as citizens and taxpayers receive full value for what we spend on health, a measure in which we ranked 72nd among all nations in the World Health Report 2000.(2)
Woolhandler S, Campbell T, Himmelstein DU. Costs of health care administration in the United States and Canada. N Engl J Med 2003;349:768-775
For a useful summary of the World Health Report 2000 and its insights for the US health care non-system, see "With Liberty and Justice for All?"
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Experiences of a New Mexico City on Including Public Health & Safety in the Master Plan
If you throw a dart at the middle of the straight line part of the border between Texas and NM and hit about 1/8" slightly SW of that line you will be in Roosevelt County. Its largest town is Portale
Each county in New Mexico is mandated to have a volunteer Health Planning Council. One of the major responsibilities of each Council is to identify the health status of its citizens. This can include, but is not limited to, such issues as: gaps in consumer knowledge about available services; safety issues such as unsafe roads, lack of safe cross-walks, sidewalks, and ADA access compliance; issues involving vacant and unsafe buildings, abandoned vehicles and other heavy equipment; health disparities such as access to health care providers, specialists, uninsurance, and undocumented worker access to health care. Once issues are identified and prioritized, then the Health Council must identify solutions and find resources to help overcome identified problems. This requires coordination and cooperation with other agencies, community based organizations and city and county governmental agencies.
In Spring 2004 the New Mexico city of Portales, Roosevelt County, contracted with an outside firm to evaluate the needs of the city and surrounding county. A "comprehensive work group" was formed to provide input and general assistance with development of a 20-year Comprehensive Plan. Unfortunately, no one in the public health community was included in this work group, nor were they aware that such a work group had been initiated. By November 2004 a draft Comprehensive Plan had been developed. This plan included a tentative timeline for implementation of recommendations. In late November 2004 the Roosevelt County Health Planning Council (RCHPC) became aware of the proposed plan and asked for a copy for review and comment. Fortunately, the period for public comment had not expired, and the RCHPC was able to make useful contributions to the plan.
RCHPC identified the need for a health planning council member to to be part of the comprehensive work group. Among the important public health issues identified by RCHPC are:
Students of all ages living within one mile of their respective schools must walk to school. Most students, all ages, have to walk on, and cross over busy streets. There are very few cross walks, no pedestrian bridges except one at the University, and very few sidewalks in Portales.
The elderly have few safe sidewalks to walk on.
There is no safe way for pedestrians to cross the railroad tracks from one part of town to the main downtown area, the university and the high school.
There are no safe walking and bike riding paths for city residents to utilize. The inclusion of such would greatly enhance citizen ability to get more exercise thus decreasing their susceptibility to such conditions as obesity and diabetes.
Big-rig trucks drive through town and park on city streets and in the residential neighborhoods. These big rigs in residential neighborhoods create multiple health and safety issues, as well as causing extensive damage to downtown and residential roadways.
There are many abandoned and vacant buildings and houses in the Portales and in the county; many of which have abandoned equipment on them. These locations are breeding grounds for disease and pose great risk to public safety, especially for children and animals.
These issues are not unique to the city of Portales or Roosevelt County. The solution is for members of the public health community and other interested citizens to become active members of their County Health Planning Council, attend City and County Planning and Council meetings and become active members of special task forces or work groups. Local newspapers, radio and television stations need to be monitored daily for issues important to the overall health, safety and well being of the community. The public health community needs to have an active voice in identifying and educating local policy makers about the importance of these and related issues and the impact these issues have on the well being of the overall community.
City and County Planning and Council meetings are open to the public. The more who attend, the more seriously policy-makers will consider issues of public health and safety. Interested individuals can get started by requesting a copy of the City or County Comprehensive "Master" plan. Then review it, discuss what it contains and what it does not contain with other public health professionals and make recommendations to benefit the public's health.
The Master Plan for the city of Portales was expected to be available in late April. At the time the CHPPD newsletter was submitted, RCHPC was trying to get a copy of the plan to see if their input had been reflected in the final recommendations.
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Role of the Payer in Establishing Community Health Policy: The Case of Emerging Medical Technologies and "Medical Policy"
Community health planners, researchers and local health care advocates are all well aware of the traditional mechanisms by which health policy is determined. These range from open political processes and public forums to the potential impact of internal governmental staff, to the lobbying activities of physicians and health care organizations. Philanthropists and major foundations also have a significant role within local health care policy, with their scope of influence frequently integrated with local political engines. These activities comprise the mortar that occupies the varying spaces left between the masonry of state and federal mandates.
The role of the health insurer is rarely cited for its impact upon community health policy, yet it can rival the region's health care providers as a significant policy influence. The payer is in the unique position of having well-defined, and often conflicting, contractual obligations with service providers, group insurance purchasers (including state/federal government), individual subscribers & patients, state & federal insurance regulators and stockholders. Within this context and under the influence of these customers, the payer has the responsibility to determine whether they will pay for thousands of medications and treatment technologies.
Under most conditions, this dilemma is appropriately resolved by allowing the treating physician to make the determination of efficacy. However, in the case of expensive, emerging medical technologies, payment decisions include many factors other than the treating physician's recommendation. The review mechanisms and the guidelines for this process vary by payer, and are established as the "Medical Policy" for the plan. Payers with a dominant local market share become quasi public health agencies, able to dramatically influence patterns of care based upon these patterns of payment.
The Need for "Medical Policy"
Recent advances in chemotherapy and radiotherapy for oncology patients, genetically engineered drugs, artificial body parts and telemedical surgery have created an even greater burden on the payer to stay appraised of new health care technology. Increasingly, the lines between "investigational" and "state-of-the-art" are blurred, and are strongly influenced by market forces, investors, committed researchers and a public hungry for more effective health care. Appropriate monitoring of the efficacy of emerging technologies should include:
Definition of the stage of clinical refinement for the technology.
Does the technology provide an appreciable improvement over other interventions?
Does the technology address an unmet need?
How do similar technologies compare from a benefit/cost standpoint?
Does the technology reasonably provide a therapeutic benefit to the specific patient in question?
A regional health insurer is typically uninterested in operationally addressing these complexities and unwilling to support the cost of necessary infrastructure. Even with a comprehensive, clinically sound technology assessment program, each health insurer is still faced with physician and consumer perception that the process is self-serving and with minimal objective value. There also is rarely a cogent rationale to have significant differences between payers concerning medical policy, unless that difference is due to an insurer's marketing schema concerning more liberal/conservative coverage strategies (e.g., alternative medicine) or for the identification of medical technology assessment as an added-value "core competence" within their marketing portfolio.
The responsibility of the payer to develop medical policy related to emerging technologies must be addressed in a comprehensive manner, which both protects the patient and also recognizes the payer's obligations to provide a cost-efficient health insurance product. And with rapid insurance market consolidation, there is a decreasing likelihood that the local market will be able to engage in a constructive dialog with the payer concerning the payer's rationale for coverage of various advanced technologies.
Currently, each payer faces a "build versus buy" decision, which respect to medical policy (the Blue Cross Blue Shield Association is the most common vendor in this regard). Outside of state legislated mandates and Medicare + Choice requirements, each payer is provided significant latitude in the development of their Medical Policies (traditional Medicare allows its fiscal intermediaries to determine Medical Policy on their behalf, creating inconsistencies in payment policy on a national level). And unlike the statement of benefits, plan inclusions and exclusions which are required disclosures to each subscriber, medical policies are never disclosed to subscribers at time of enrollment. Subscribers only learn about the plan's medical policy from their physician, if their prescribed treatment is not a currently covered service.
Balancing Access, Safety and Economics
An effective balance must be struck within each market for each payer concerning the responsibilities and obligations listed above. It is my position that the core focus of this balance should be to serve the best medical interest of the identified patient, being respectful of his/her individual desires. The health insurer should also recognize that the vast majority of all clinical cases will not create a situation of such dispute, as may arise in the case of use of emerging medical technology. When the patient's best interest is paramount, the health plan should be able to effectively balance the following:
Obligation to Patients
Protect patient from harm
Provided medically related services as contracted
"Enable" professionals and service vendors to provide require interventions
Provide clinically credible, objective mechanism to review appropriateness of care
Obligations to Health Care Providers
Facilitate physician-patient relationship
Support physician or caregiver with scientifically based information and education
Technology Considerations
Provided mechanism to proactively review medical technology innovations
Allow patient to access new technology based upon clinical need and scientific efficacy
Develop flexible, appropriate payment methodologies for new technologies
Monitor provider use of new technology and provide medically appropriate guidelines for use. Insure that technology is not simply a revenue enhancement strategy, with negligible patient benefit
These obligations are reasonably similar for all payers, including Medicare and Medicaid, and also apply to ERISA-exempt, self-insured companies. They act to address the potential conflict between a patient's need to access new treatments or tests and the obligation of the health plan to protect the patient's interest within medically appropriate use of technology. What this does not address, however, is a mechanism to obtain the objectivity in technology assessment, patient-specific case review and availability of such a credible service for all payers within a market.
I would be very interested in your thoughts concerning this issue and any potential remedies to some of the problems which I have described. I will be developing a more detailed research proposal on this topic, using the case for coverage of intensity-modulated radiotherapy (IMRT) to highlight salient issues. Potential collaborators &/or students who would like some experience in policy research would be welcomed.
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500-Day Plan, Ethics Among Issues Discussed at APHA Executive Board Meeting
APHA's Executive Board gathered at APHA headquarters May 18-20 for its second face-to-face meeting of the year. In addition to hearing from outside speakers on issues pertaining to risk management, managing dissent among Board members, and the legal responsibilities of not-for-profit boards of directors, the Board also completed the Executive Director's annual performance evaluation and voted to extend another three-year contract offer to him.
After a briefing by Government Relations staff, Board members spent an afternoon making Hill visits to their Congressional members to discuss three issues: public health infrastructure funding, specifically $8.65 billion in funding for CDC and $7.5 billion for HRSA; asking members to sign on as co-sponsors, if they hadn't already, of the Kids Come First Act of 2005 (S. 114/H.R. 1668); and urging support for the Public Health Preparedness Workforce Development Act of 2005 (S. 506). Some Board members also took the opportunity to discuss their concerns about the negative health effects of CAFTA (Central American Free Trade Agreement) with their Congress members.
During his report to the Board, Executive Director Georges Benjamin related details of a visit he had paid to HHS Secretary Michael Leavitt in early May. Discussion centered around concerns about public health's ability to respond to a possible flu pandemic or other infectious diseases, as well as attacks involving biological agents. Enhancing data system compatibility for improved information sharing as part of the necessary infrastructure to support rapid response was also discussed. Benjamin offered APHA's assistance with the Secretary's new initiative, the "500-day plan that will benefit Americans over a 5,000-day horizon," helping to develop messages for any of the 500-day points related to public health. The 500-day plan is a management tool that details the Secretary's priorities and provides direction to HHS leadership and management in their role of protecting and improving Americans' health. See <
Responding to a resolution passed by the Governing Council at last November's Annual Meeting, the Board received and accepted the recommendations contained in the Pfizer Workgroup Report. Governing Councilors had expressed concern about the relationship between Pfizer and APHA, especially that the Pfizer logo was prominently displayed on tote bags meeting attendees received during the registration process. The resolution pointed to Pfizer's role as an obstructionist in the development and dissemination of cheaper generic drugs in places where they are so badly needed, principally Africa and Asia. As a result of accepting the recommendations of the Workgroup, the Executive Board will task the Executive Director with implementing existing policy on commercial donations and support, and will itself be responsible for reviewing and determining that corporate contributions are consistent with APHA policies. The Board plans to appoint a permanent Development Committee that will be tasked with, among other things, reviewing and recommending revisions, if necessary, to APHA's policy on acceptance of corporate contributions.
May 31 was the deadline for nominating people for APHA awards like the new Helen Rodriguez-Trias Award for Social Justice, David R. Rall Award for Advocacy in Public Health, Jay S. Drotman Memorial Award, etc. See <
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Depreciation handy when used-car shopping
With gas prices hovering around $4 a gallon, more U.S. consumers are giving used cars a closer look, and they can use depreciation as a powerful tool in their favor.
06-18-2008, 01:25 PM #2Which is probably the main thing that will keep me in my truck for awhile longer. Even if I were considering another truck, I wouldn't be able to get crap for my YD on a trade. I'm not about to take a huge equity loss just because gas prices are high. I'll hang on to my YD!
2009 GMC Sierra Denali AWD
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Find ideas, tips and techniques about quilting.
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A blast of color and design, these psychedelic quilts are like looking through a prism. To check out more vibrant quilts, go to Share ...
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The Unitarian Universalist Congregation of Northern Chautauqua announces that the Rev. Theresa Kime will speak on Sunday. On this last service of the formal congregational year, members and friends will share in the annual flower ceremony and remember the bravery and sacrifice of its creator, the Rev. Norbert Capek. Each person attending the service is invited to bring a flower or a sprig of greenery to exchange during the service.
As this is an intergenerational service, no religious education classes will be held. There will be childcare for those under the age of 5.
The Unitarian Universalist Congregation of Northern Chautauqua is a liberal religious community devoted to promoting individual spiritual development, working toward peace, liberty and justice in the immediate and global communities, and providing companionship on life's sacred journey. Worship services are held each Sunday at 11 a.m. in the Grange Hall, 58 W. Main St., Fredonia. Call 679-7944, visit www.uucnc.org or visit our page on Facebook at www.facebook.com/uucnc for more information.


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Visit ENGAGE! for a listing of the engagement and outreach activities happening on campus.
The Center for P-20 Engagement supports mutually beneficial partnerships related to education and training at all levels from preschool (P) through graduate studies (20+) in schools, workplaces, and community settings.
Follow the P-20 Center's blog or on Facebook.
P-20 Center Quarterly Report


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Rock Hill is to the southwest of Paines Hollow off of 167. Take Rock Hill Rd. to get there. Here you can see over Shoemaker Hill and see the Adirondacks. The Ravine below Rock Hill serves Fulmer Creek. The other side is Shoemaker Hill. North of Shoemaker Hill is the Mohawk Valley.
Rock Hill
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Repetitive strain injury
Repetitive Strain Injury | |
Classification and external resources | |
DiseasesDB | 11373 |
eMedicine | pmr/97 |
MeSH | D012090 |
Repetitive strain injuries (RSIs) are "injuries to the musculoskeletal and nervous systems that may be caused by repetitive tasks, forceful exertions, vibrations, mechanical compression, or sustained or awkward positions".[1] RSIs are also known as cumulative trauma disorders, repetitive stress injuries, repetitive motion injuries or disorders, musculoskeletal disorders, and occupational or sports overuse syndromes.
Repetitive strain injury (RSI) and cumulative trauma disorders are umbrella terms used to refer to several discrete conditions that can be associated with repetitive tasks, forceful exertions, vibrations, mechanical compression, or sustained/awkward positions.[1][2] Examples of conditions that may sometimes be attributed to such causes include edema, tendinitis, carpal tunnel syndrome, cubital tunnel syndrome, De Quervain syndrome, thoracic outlet syndrome, intersection syndrome, golfer's elbow (medial epicondylitis), tennis elbow (lateral epicondylitis), trigger finger (so-called stenosing tenosynovitis), radial tunnel syndrome, and focal dystonia.[1][2]
While the recent prevalence of upper extremity RSIs has focused awareness on injuries to the fingers, hands and arms, they can occur in any body part and frequently affect the trunk, back and legs.[3]
Popular terms[edit]
Specific sources of discomfort have been popularly referred to by terms such as Blackberry thumb, iPod finger, gamer's thumb, Rubik's wrist or "cuber's thumb",[4] stylus finger,[5] raver's wrist,[6] and Emacs pinky, among others.
Although seemingly a modern phenomenon, RSIs have long been documented in the medical literature. In 1700, the Italian physician Bernardino Ramazzini first described RSI in more than 20 categories of industrial workers in Italy, including musicians and clerks.[7] Carpal tunnel syndrome was first identified by the British surgeon James Paget in 1854.[8] The Swiss surgeon Fritz de Quervain first identified De Quervain's tendinitis in Swiss factory workers in 1895.[9] The French neurologist Jules Tinel (1879-1952) developed his percussion test for compression of the median nerve in 1900.[10][11][12] The American surgeon George Phalen improved the understanding of the aetiology of carpal tunnel syndrome with his clinical experience of several hundred patients during the 1950s and 1960s.[13]
RSIs are assessed using a number of objective clinical measures. These include effort-based tests such as grip and pinch strength, diagnostic tests such as Finkelstein's test for Dequervain's tendinitis, Phalen's Contortion, Tinel's Percussion for carpal tunnel syndrome, and nerve conduction velocity tests that show nerve compression in the wrist. Various imaging techniques can also be used to show nerve compression such as x-ray for the wrist, and MRI for the thoracic outlet and cervico-brachial areas.
The most-often prescribed treatments for early-stage RSIs include drug therapies such as anti-inflammatory medications combined with passive forms of physical therapy such as rest, splinting, massage and the like. Low-grade RSIs can sometimes resolve themselves if treatments begin shortly after the onset of symptoms. However, some RSIs may require more aggressive intervention including surgery and can persist for years.
General exercise has been shown to decrease the risk of developing RSI.[14] Doctors sometimes recommend that RSI sufferers engage in specific strengthening exercises, for example to improve sitting posture, reduce excessive kyphosis, and potentially thoracic outlet syndrome.[15]
Modifications of posture and arm use (ergonomics) are often recommended.[16]
See also[edit]
- List of Repetitive Strain Injury software
- Tendinitis
- Tendinosis
- Carpal tunnel syndrome
- Sports Injury
- ^ a b c Public Employees Occupational Safety and Health Program of the New Jersey Department of Health and Senior Services
- ^ a b van Tulder M, Malmivaara A, Koes B (May 2007). "Repetitive strain injury". Lancet 369 (9575): 1815–22. doi:10.1016/S0140-6736(07)60820-4. PMID 17531890.
- ^ http://www.rsi.org.uk/whatis/prevalence.html
- ^ Waugh D (September 1981). "Cuber's thumb". N. Engl. J. Med. 305 (13): 768. PMID 7266622.
- ^ [1]
- ^ raver's wrist</a>
- ^ Ramazzini, De Morbis Artificum Diatriba (Diseases of Workers), Modena Italy,1700.
- ^ Pearce JM (April 2009). "James Paget's median nerve compression (Putnam's acroparaesthesia)". Pract Neurol 9 (2): 96–9.
- ^ Ahuja NK, Chung KC, "Fritz de Quervain, MD (1868-1940): stenosing tendovaginitis at the radial styloid process", J Hand Surg., vol.29 #6 pp. 1164–70.
- ^ Tinel, J., "Nerve wounds" London: Baillère, Tindall and Cox, 1917
- ^ Tinel, J., ''Le signe du fourmillement dans les lésions des nerfs périphériques'', "Presse médicale", 47, 388-389,1915
- ^ Tinel, J. ''The "tingling sign" in peripheral nerve lesions'' (Translated by EB Kaplan). In: M. Spinner M (Ed.), "Injuries to the Major Branches of Peripheral Nerves of the Forearm", 2nd ed. pp 8-13, Philadelphia: WD Saunders Co, 1978.
- ^ http://www.turner-white.com/pdf/hp_jul00_tinel.pdf
- ^ Ratzlaff, C. R.; J. H. Gillies, M. W. Koehoorn (April 2007). "Work-Related Repetitive Strain Injury and Leisure-Time Physical Activity". Arthritis & Rheumatism (Arthritis Care & Research) 57 (3): 495–500. doi:10.1002/art.22610. PMID 17394178.
- ^ Carolyn Kisner & Lyn Allen Colby, Therapeutic Exercise: Foundations and Techniques, at 473 (5th Ed. 2007).
- ^ Berkeley Lab. Integrated Safety Management: Ergonomics. Website. Retrieved 9 July 2008.
External links[edit]
- Repetitive Strain Injuries on the Open Directory Project
- Musculoskeletal disorders from the European Agency for Safety and Health at Work (EU-OSHA)
- Workrave application for prevention of RSI
- Amadio PC (January 2001). "Repetitive stress injury". J Bone Joint Surg Am 83–A (1): 136–7; author reply 138–41. PMID 11205849.
- Harvard RSI Action
- Prevention and Management of Repetitive Strain Injury
- Epidemiological and ergonomic study of occupational factors associated with syndromes of upper limb disorders in keyboard operators by M Hanson and others. Institute of Occupational Medicine Research Report TM/99/04
- Development of an aid to identifying task elements, which may predispose individuals to work related upper limb disorders by RA Graveling and others. Institute of Occupational Medicine Research Report TM/90/08
- Clinical epidemiological study of relations between upper limb soft tissue disorders and repetitive movements at work by CJ English and others. Institute of Occupational Medicine Research Report TM/88/19


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SOURCE Decision Resources
Penetration of Avastin in Multiple Market Segments and Approval of Seven Novel Premium-Priced Therapies Will Drive Market Growth, According to Findings from Decision Resources
BURLINGTON, Mass., Dec. 11, 2013 /PRNewswire/ -- Decision Resources, one of the world's leading research and advisory firms for pharmaceutical and healthcare issues, finds that Roche/Genentech/Chugai's Avastin will penetrate nearly all segments of the ovarian cancer market through 2022, driving growth of the angiogenesis inhibitor drug class and contributing to annual growth of approximately 10 percent in the overall ovarian cancer market. In addition, the launch of three new angiogenesis inhibitors, Amgen's trebananib, Boehringer Ingelheim's nintedanib and GlaxoSmithKline's Votrient, will contribute to sales within this drug class, which is set to continue to dominate the treatment of ovarian cancer, accounting for 58 percent of total sales in 2022.
(Logo: http://photos.prnewswire.com/prnh/20130103/MM36784LOGO )
The Pharmacor Ovarian Cancer advisory service also anticipates market entrants from three novel drug classes to ovarian cancer-Merck's folate receptor-targeting small-molecule drug conjugate vintafolide, the poly (ADP-ribose) polymerase inhibitors olaparib (AstraZeneca) and niraparib (Tesaro) and Array BioPharma/Novartis's MEK inhibitor MEK162. Experts interviewed for the report indicate that with the anticipated availability of numerous targeted agents in the treatment of ovarian cancer, determining the optimal sequencing of chemotherapy and targeted treatment options for patients progressing through numerous lines of therapy will become increasingly important.
"The ovarian cancer market is set to become crowded with targeted agents-in particular, with therapies targeting angiogenesis," said Decision Resources Senior Analyst Gemma McConnell, Ph.D. "Emerging therapies in this drug class will face strong competition from the currently available therapy, Avastin, as well as from each other, therefore it will become increasingly important for agents to distinguish themselves from each other. When selecting a treatment option, oncologists will consider the specific patient population in which each agent has demonstrated the greatest efficacy, the agent's dosing schedule and associated toxicity profile, among other factors."
About Decision Resources
Decision Resources (www.decisionresources.com) is a world leader in market research publications, advisory services and consulting designed to help clients shape strategy, allocate resources and master their chosen markets. Decision Resources is a Decision Resources Group company.
About Decision Resources Group
Decision Resources Group is a cohesive portfolio of companies that offers best-in-class, high-value information and insights on important sectors of the healthcare industry. Clients rely on this analysis and data to make informed decisions. Please visit Decision Resources Group at www.DecisionResourcesGroup.com.
All company, brand, or product names contained in this document may be trademarks or registered trademarks of their respective holders.
©2012 PR Newswire. All Rights Reserved.


text:
Hill Brothers Long Log Harvesting
27 October 2006 Overview:
Super8 film excerpt of Hill Brothers Logging Company working on Charlane Plantation near Macon, Georgia, in the mid-1960s. This footage shows the long log pulpwood harvesting process.
Hill Brothers Long Log Harvesting. Affiliated essay. |
© 2006 Steve Bransford and Southern Spaces


text:
[ Source: miniupnpc ]
Package: libminiupnpc8 (1.6-3ubuntu2)
Links for libminiupnpc8
Ubuntu Resources:
Download Source Package miniupnpc:
Please consider filing a bug or asking a question via Launchpad before contacting the maintainer directly.
Original Maintainer (usually from Debian):
- Thomas Goirand
It should generally not be necessary for users to contact the original maintainer.
External Resources:
- Homepage [miniupnp.free.fr]
Similar packages:
UPnP IGD client lightweight library
Other Packages Related to libminiupnpc8
- dep: libc6 (>= 2.15)
- Embedded GNU C Library: Shared libraries
also a virtual package provided by libc6-udeb
- sug: minissdpd
- keep memory of all UPnP devices that announced themselves
Download libminiupnpc8
Architecture | Package Size | Installed Size | Files |
amd64 | 22.7 kB | 80.0 kB | [list of files] |
i386 | 22.9 kB | 79.0 kB | [list of files] |


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• Have an attendant outside any time someone has entered the space.
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Posted October 30, 2012 on
AP on Fox
The Czech Republic's ice hockey federation says it has fined a club after its fans aimed racist chants toward Philadelphia Flyers forward Wayne Simmonds, who is playing in the top Czech league during the NHL lockout.
In a statement on Tuesday, the federation said the Chomutov Pirates were fined 30,000 koruna ($1,554) by its disciplinary committee for the chants directed toward Simmonds, who is playing for the Liberec White Tigers.
The chants were uttered during a game on Sunday.
Chomutov has apologized to Simmonds, who is black, and the club said it would do everything it can to prevent any future abuse.
Last year, a banana was thrown at Simmonds from the stands during an NHL preseason game in London, Ontario.
Original Story:
Simmonds racially abused by fans
Wayne Simmonds Subjected to Racist Chants While Playing in Czech Republic
Wayne Simmonds subject of racist chants after a fight in Czech League
Bill Meltzer: Meltzer's Musings: Wednesday Games, Read and Simmonds
NHL Forum Discussions
2 replies,
January 16, 2014
1 replies,
May 25, 2013
1 replies,
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1 replies,
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1 replies,
March 04, 2013
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text:
ST. LOUIS — Allen Craig homered for the second time in three days and All-Star Yadier Molina also connected as the Cardinals beat the Pirates 5-4 on Sunday.
Craig homers, Cardinals avoid sweep, top Pirates 5-4
Sunday, July 1, 2012 | 5:08 p.m. CDT;
updated 5:50 p.m. CDT, Sunday, July 1, 2012
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8. Former CIA Chief David Petraeus and wife Holly Petraeus.
2. Matthew has shed an enormous amount of weight in preparation for his role as AIDS sufferer Ron Woodroof. Matthew is normally well known for his buff physique and fitness regime.
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Easy to apply with a non-drip formulation that makes application quick and simple. A tough, high quality gloss finish suitable for interior and exterior wood and metal.
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World news about "Sharia law" published by euronews.
More democracy is bringing more political Islam in the countries of the Arab Spring. The strong showing of Tunisia's moderate Islamists in Sunday's election… 26/10/2011
The new Libya is considering how it will live by Islamic Sharia law, which includes some traditional practices which some countries consider inhumane. Many… 25/10/2011
Protesters in Cairo mull over a decision by Egypt's main Liberal and secular opposition to urge a "No" vote in Saturday's referendum. The two-day ballot –… 12/12/2012
Thousands of Tunisians have rallied outside parliament to call for an Islamic state ruled by religious law. It is the latest sign of the struggle that has… 16/03/2012
A molotov cocktail has partially gutted the offices of the French weekly satirical magazine Charlie Hebdo. This week's edition, due out today, was expected… 02/11/2011
The Islamist party emerging as Tunisia's most powerful political force after Sunday's election has made more moves to reassure sceptics. Ennahda's leader… 26/10/2011
The full results from Tunisia's first democratic election have been delayed until later today although the moderate Islamists are claiming victory. Ennahda… 26/10/2011
The man claiming unprecedented political legitimacy in Tunisia's election is said to embrace humanist Islam, and not any extremist rejection of modern… 25/10/2011


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The bigger target provides a more imposing opponent to push around. The added size also helps build strength and power in the upper body. Soft Shredded textile filling provides a comfortable hitting surface. No more sore knuckles or hands and helps reduce muscle strain on wrist, elbows, and shoulders.
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Additional shipping charges apply for this item. The exact amount is quoted at the checkout or by selecting to estimate your shipping charges in your shopping cart.
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text:
American Idle! Posh Peeps Profess Passion For Bad TV
I believe that New Yorkers can now be divided fairly and squarely into two distinct groups: those who watch trash TV (the new intelligentsia), and those who don't and inveigh against it (the narrow-minded poo-poo heads).
I am also convinced that being a trash-watcher is not determined by class or money. All you need is Read More


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Whether you're heading out for an afternoon of errands or just lounging around the house, celebrity makeup artist Joanna Schlip says you only need three products to get a fresh face.
Watch Joanna demonstrate the right way to put on a quick face. 1. Concealer This is great for the morning after a frustrating night of tossing and turning. "A lot of busy moms don't get enough sleep, so they're going to have under eye circles, so concealer will hide them for sure," Joanna says. 2. Blush Look rosy even if you feel like the day is nothing but a thorn in your side. "Get one with a multicolor hue to it," Joanna says. "It gives you a healthy glow. It makes tired skin look fresh, rejuvenated, and it will also make you look 10 years younger." 3. Lip Gloss This is the most important product, Joanna says. "It gives you more of a finished look, and it definitely adds more glamour." Fabulous hair without any fuss |


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Parliament of Australia
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Mastodon Tiger! Tiger! on tour this week!
Tiger! Tiger! on tour this week!
Catch Tiger! Tiger! (featuring Brann's wife) and Peelander-Z and touring together this week on the East Coast!
07/19 Athens, GA @ The Melting Point
07/20 Wilmington, NC @ Soapbox
07/21 Norfolk, VA @ Jewish Mother Backstage
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Seneca Park Zoo Copyright © 2013
Personal Information There are two radiated tortoises, Jeter (male) and A-Rod (female), at the Zoo were hatched in 1994 at the Bronx Zoo before they came to the Seneca Park Zoo in 1998. The Zoo's radiated tortoises are taken outside at least once a week in the summer. They love to eat the grass, especially the clovers, and enjoy being in the sun.
Status in the Wild International Union for Conservation of Nature (IUCN) Red List status: Critically endangered. These tortoises are in trouble due to loss of habitat, poaching for food and exploitation in the pet trade. The Seneca Park Zoo is part of the Species Survival Plan to aid the recovery of the radiated tortoise.
Habitat Radiated tortoises make their home in Southern Madagascar in dry scrub forests and woodlands.
Diet These tortoises are herbivores, eating grasses, fruit and succulent plants such as cacti.


text: Publications Search Results Your query returned 1 citations. Results 1 - 1 Results per page: 25 50 100 Sort by: Pub Date (newest) Title Recent Additions Author [1] Clear All Pub. Year Citation 1994 Mieczkowski, Tom, Newel, Richard A., Allison, Gale, Coletti, Shirley . Hair Assays for Drugs of Abuse in a Probation Population Implementation of a Pilot Study in a Correctional Field Setting, Final Report. NCJ 152420, Washington, DC: United States Department of Justice, National Institute of Justice. Export Options: RIS/EndNote Results 1 - 1 of 1 [1]