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Sequential Therapy Versus Quadriple Therapy as Second Line Treatment After Failure of the Standard Triple Therapy for H Pylori Infection
This study is currently recruiting participants.
Verified June 2012 by Soroka University Medical Center
Soroka University Medical Center
Information provided by (Responsible Party):
Daniela Munteanu,MD ,Principal Investigator, Soroka University Medical Center
ClinicalTrials.gov Identifier:
First received: October 30, 2011
Last updated: June 18, 2012
Last verified: June 2012
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The aim of this study is to evaluate the efficacy of sequential therapy, i.e. 5 days of PPI + amoxicillin followed by 5 days of PPI + two antimicrobial drugs( clarithromycin and tinidazole ) versus quadruple drug regimen( i.e.-14 days of PPI+ bismuth + metronidazole + tetracycline ) as second line treatment of H. pylori .
Condition | Intervention | Phase |
H Pylori Treatment |
Drug: Lansoprazole , Tab Amoxycillin , Tab Clarithromycin ,Tab Tinidazole Drug: Lansoprazole, Bismuth Subsalicylate, Metronidazole, Tetracycline |
Phase 3 |
Study Type: | Interventional |
Study Design: | Allocation: Randomized Endpoint Classification: Safety/Efficacy Study Intervention Model: Parallel Assignment Masking: Open Label Primary Purpose: Treatment |
Resource links provided by NLM:
Drug Information available for:
Tetracycline hydrochloride
Docusate calcium
Docusate sodium
Metronidazole benzoate
Bismuth subsalicylate
Amoxicillin sodium
Metronidazole hydrochloride
U.S. FDA Resources
Further study details as provided by Soroka University Medical Center:
Primary Outcome Measures:
- The eradication rate after second line treatment based on sequential therapy comparative to eradication rate after second line therapy based on quadriple regimen [ Time Frame: 18 month ] [ Designated as safety issue: Yes ]H pylori eradication is defined as a negative C-urea breath test 4-16 weeks after completion of tratment.]. (C-urea breath test- Patients are fasted for 4 h before testing. No test meal will be given, and a pre-dose breath sample is obtained. 75 mg of 13C-urea powder dissolved in 50 mL of water is then administered orally, and a second breath sample is collected 30 minutes later. Collected samples are analyzed using an isotope ratio mass spectrometer).
Secondary Outcome Measures:
- The secondary end points: Adverse effects of sequential and quadruple treatment [ Time Frame: 18 months ] [ Designated as safety issue: Yes ]-Adverse effects -taste alteration , peripheral neuropathy, seizures, nausea, vomiting, diarrhea, abdominal pain, allergic reaction, photo sensibility-checked at clinical visit by direct question.
- compliance with treatment [ Time Frame: 18 months ] [ Designated as safety issue: No ]compliance is considered to be satisfactory when drug intake exceeded 80 %( by pills count).
Estimated Enrollment: | 256 |
Study Start Date: | November 2011 |
Estimated Study Completion Date: | May 2013 |
Estimated Primary Completion Date: | May 2013 (Final data collection date for primary outcome measure) |
Arms | Assigned Interventions |
Experimental: sequential treatment
1.drugs experimental-Sequential -PPI( Lansoprazole 30mg x2/day) + amoxicillin 1gx2/day for 5days, followed by 5 days of PPI(Lansoprazole 30mg x2/day) + ( Clarithromycin500mg x2/day and Tinidazole 500mg x2/day )
Drug: Lansoprazole , Tab Amoxycillin , Tab Clarithromycin ,Tab Tinidazole
use of Sequential therapy as second line treatment for eradication H pylori currently Sequential therapy is indicated as first line treatment for H pylori eradication
Active Comparator: quadriple therapy
Quadruple drug regimen (i.e.-14 days of PPI (Lansoprazole 30mg x2/day) + Bismuth Subsalicylate 525mg X4/day + Metronidazole 500mg x3/day + Tetracycline 500mg x4/day )-is standard of care as second line treatment in eradication of H pylori
Drug: Lansoprazole, Bismuth Subsalicylate, Metronidazole, Tetracycline
this combination is standard of care as H pylori second line treatment
Ages Eligible for Study: | 18 Years and older |
Genders Eligible for Study: | Both |
Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- signed informed consent
- age at least 18 years
- persisting H.pylori infection after at least one course of first-line standard triple therapy (Amoxycillin, Clarithromycin or Metronidazole based)
Exclusion Criteria:
- history of gastrectomy
- gastric malignancy, including adenocarcinoma and lymphoma
- previous allergic reaction to antibiotics (amoxicillin, clarithromycin, metronidazole, tetracycline) and proton pump inhibitors
- Active upper gastrointestinal bleeding within the previous 1 week
- contraindications to the treatment drugs
- Pregnant or lactating women
- Severe concurrent disease or malignancy
Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT01481844
Israel | |
Soroca UMC | Recruiting |
Beer-Sheva, Israel | |
Contact: Daniela Munteanu, MD 97286400252 firstname.lastname@example.com | |
Principal Investigator: Daniela Munteanu, MD |
Sponsors and Collaborators
Soroka University Medical Center
Principal Investigator: | Daniela Munteanu, MD | Soroka UMC |
More Information
No publications provided
Keywords provided by Soroka University Medical Center:
Additional relevant MeSH terms:
ClinicalTrials.gov processed this record on March 11, 2014
No publications provided
Responsible Party: | Daniela Munteanu,MD ,Principal Investigator, MD, Principal investigator, Soroka University Medical Center |
ClinicalTrials.gov Identifier: | NCT01481844 History of Changes |
Other Study ID Numbers: | sor006811ctil |
Study First Received: | October 30, 2011 |
Last Updated: | June 18, 2012 |
Health Authority: | Israel: Ethics Commission |
Keywords provided by Soroka University Medical Center:
sequential therapy second line treatment H pylori |
Additional relevant MeSH terms:
Tetracycline Clarithromycin Amoxicillin Lansoprazole Metronidazole Tinidazole Bismuth Bismuth subsalicylate Protein Synthesis Inhibitors Enzyme Inhibitors Molecular Mechanisms of Pharmacological Action Pharmacologic Actions Anti-Bacterial Agents |
Anti-Infective Agents Therapeutic Uses Antacids Antidiarrheals Gastrointestinal Agents Radiation-Sensitizing Agents Physiological Effects of Drugs Antiprotozoal Agents Antiparasitic Agents Alkylating Agents Antitrichomonal Agents Anti-Ulcer Agents |
ClinicalTrials.gov processed this record on March 11, 2014


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Homes & Land of Greater Alaska Including Various Communities and Outlying Areas in Anchorage, Wasilla, Soldotna, Homer, and more. This Issue's Cover Live, work, and play in Alaska! Established B&B in Seward Alaska. |
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Bellevue Wins Skagit Series; Clinches #3 Seed for North Region Tourney
Bellevue College baseball won three of four games this past weekend to clinch a playoff berth in the North Region Tourney which begins Thursday May 16 at Everett Memorial Stadium. On Friday May 10, Bellevue held a 2-0 lead in game one before Skagit Valley battled back and won in the bottom of the final inning by a score of 3-2. In game two, Bellevue's bats carried the team to a 10-0 win which ended after seven innings due to the run rule. Cody Culp entered in the bottom of the second inning with two Skagit runners on base and a 3-0 count on Skagit hitter Jay Stout. Culp promptly delivered two strikes to shift the momentum and retired the next two hitters to end Skagit Valley's threat. Jordan Silva's RBI single plated Bellevue's first run which was all they would need as Culp went five and two-thirds of an inning in long relief while strking out seven. The bottom of Bellevue's order, Silva, Aaron Stroosma, and designated hitter Aaron Sandefur, generated seven of the Bulldogs' nine RBI's in the game. On Saturday May 11, sophomore lefty Jake Reppert struck out ten without walking a batter en route to a three-hit complete game win on the mound to lead Bellevue to an opening 9-1 win. The big blow came in the bottom of the fourth inning, as Bellevue scored eight runs to put the game away. Sheldon Stober and Stroosma both delivered two RBI doubles in the big inning. In game two, the Bulldogs got a scare as Skagit Valley jumped out to a 5-0 lead in the second inning. Bellevue answered back with 14 runs, scoring every inning while pounding out 17 hits. Stober, Nick Pribble, and Jordan Richartz all had three hits. Pribble, Traishawn Patrick, and Sandefur all had three RBI's. Sandefur's came on a three-run home run in the fifth. Bellevue ended regular season play with a 13-11 record (26-17 overall) and are winners of 10 of their last 12 games. The Bulldogs will take Mother's Day off before preparing for the North Region Tourney. The tourney, which begins on Thursday May 16, is a four-team double elimination tourney. Everett, who earned an automatic berth to the NWAACC Championships by winning the regular season title, and one other North Region team will move on to the NWAACC Championships May 23-27 in Longview, WA. Bellevue will be the third seed in the region tourney this week. The tournament runs Thursday, Friday, and Sunday. There are no games on Saturday May 18 due to high school playoff games previously scheduled at Everett's home field. For updates, check the website and schedule page. An updated bracket will be posted daily once the tourney begins. Here is the preliminary bracket as of Monday May 13. |
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Every continent contains layers of sedimentary rocks that span vast areas. Many of these layers can even be traced across continents.
Six main geologic evidences for the Genesis Flood
Introduction: Geologic Evidences for the Genesis Flood
Evidence #1. Fossils of sea creatures high above sea level
Evidence #2. Rapid burial of plants and animals
Evidence #3. Rapidly deposited sediment layers spread across vast areas
Evidence #4. Sediment transported long distances
What evidence do we have that the Genesis Flood, as described in Genesis 7–8, really occurred? This article is the next installment in a series of the six main geologic evidences that testify to the Genesis Flood (listed to the right).
Genesis 7 explains that water covered all the high hills and the mountains, and that all air-breathing life on the land was swept away and perished. As part of the evidence of the Flood, we would expect to find rock layers all over the earth filled with billions of dead animals and plants that were rapidly buried and fossilized in sand, mud, and lime. And that's exactly what we find.
Rapidly Deposited Sediment Layers Spread Across Vast Areas
On every continent are found layers of sedimentary rocks over vast areas. Many of these sediment layers can be traced all the way across continents, and even between continents. Furthermore, when geologists look closely at these rocks, they find evidence that the sediments were deposited rapidly.
Consider the sedimentary rock layers exposed in the walls of the Grand Canyon in northern Arizona (Figure 2). This sequence of layers is not unique to that region of the USA. For more than 50 years geologists have recognized that these strata belong to six megasequences (very thick, distinctive sequences of sedimentary rock layers) that can be traced right across North America.1
The lowermost sedimentary layers in Grand Canyon are the Tapeats Sandstone, belonging to the Sauk Megasequence. It and its equivalents (those layers comprised of the same materials) cover much of the USA (Figure 3). We can hardly imagine what forces were necessary to deposit such a vast, continent- wide series of deposits. Yet at the base of this sequence are huge boulders (Figure 4) and sand beds deposited by storms (Figure 5). Both are evidence that massive forces deposited these sediment layers rapidly and violently right across the entire USA. Slow-and-gradual (present-day uniformitarian) processes cannot account for this evidence, but the global catastrophic Genesis Flood surely can.
Another layer in Grand Canyon is the Lower Carboniferous (Mississippian) Redwall Limestone. This belongs to the Kaskaskia Megasequence of North America. So the same limestones appear in many places across North America, as far as Tennessee and Pennsylvania. These limestones also appear in the exact same position in the strata sequences, and they have the exact same fossils and other features in them.
Unfortunately, these limestones have been given different names in other locations because the geologists saw only what they were working on locally and didn't realize that other geologists were studying essentially the same limestone beds in other places. Even more remarkable, the same Carboniferous limestone beds also appear thousands of miles east in England, containing the same fossils and other features.
Chalk Beds:
The Cretaceous chalk beds of southern England are well known because they appear as spectacular white cliffs along the coast (Figure 1). These chalk beds can be traced westward across England and appear again in Northern Ireland. In the opposite direction, these same chalk beds can be traced across France, the Netherlands, Germany, Poland, southern Scandinavia, and other parts of Europe to Turkey, then to Israel and Egypt in the Middle East, and even as far as Kazakhstan.2
Remarkably, the same chalk beds with the same fossils and the same distinctive strata above and below them are also found in the Midwest USA, from Nebraska in the north to Texas in the south. They also appear in the Perth Basin of Western Australia.
Coal Beds:
Consider another feature—coal beds. In the northern hemisphere, the Upper Carboniferous (Pennsylvanian) coal beds of the eastern and Midwest USA are the same coal beds, with the same plant fossils, as those in Britain and Europe. They stretch halfway around the globe, from Texas to the Donetz Basin north of the Caspian Sea in the former USSR.3 In the southern hemisphere, the same Permian coal beds are found in Australia, Antarctica, India, South Africa, and even South America! These beds share the same kind of plant fossils across the region (but they are different from those in the Pennsylvanian coal beds).
Evidence of Rapid Deposition
The buff-colored Coconino Sandstone is very distinctive in the walls of Grand Canyon. It has an average thickness of 315 feet (96 m) and covers an area of at least 200,000 square miles (518,000 km2) eastward across adjoining states.4 So the volume of sand in the Coconino Sandstone layer is at least 10,000 cubic miles (41,682 km3).
This layer also contains physical features called cross beds. While the overall layer of sandstone is horizontal, these cross beds are clearly visible as sloped beds (Figure 6). These beds are remnants of the sand waves produced by the water currents that deposited the sand (like sand dunes, but underwater) (Figure 7). So it can be demonstrated that water, flowing at 3–5 miles per hour (4.8–8 km/h), deposited the Coconino Sandstone as massive sheets of sand, with sand waves up to 60 feet (18 m) high.5 At this rate, the whole Coconino Sandstone layer (all 10,000 cubic miles of sand) would have been deposited in just a few days!
Ayers Rock (or Uluru) in central Australia consists of coarse-grained sandstone beds that are almost vertical, tilted at about 80º (Figure 8). The total thickness of these sandstone beds, outcropping in Ayers Rock and found under the surrounding desert sands, is 18,000–20,000 feet (5,500–6,100 m).6 The minerals in the sand grains are distinctive, and the closest source of them is at least 63 miles (101 km) away.
Under the microscope the sand grains appear jagged and are of different sizes (Figure 9). One of the minerals is called feldspar, and it appears to be still unusually fresh in the sandstone. These features imply rapid transport and deposition of all this sand, before the feldspar grains could disintegrate or the sand grains could be worn down into round pebbles or sorted by size.7
So soup-like slurries of sediment, known as turbidity currents, which travel at speeds of up to 70 miles per hour (113 km/h), must have transported all this sand, 18,000–20,000 feet thick, a distance of at least 63 miles and deposited it as the Uluru Sandstone beds in a matter of hours! This defies evolution ideology but fits with the Creation/Flood history of Genesis.
God's Judgment "Clearly Seen"
Sediment layers that spread across vast continents are evidence that water covered the continents in the past. Even more dramatic are the fossil-bearing sediment layers that were deposited rapidly right across many or most of the continents at the same time. To catastrophically deposit such extensive sediment layers implies global flooding of the continents. This brief article describes just a few of the many examples of rapidly deposited sediment layers spread across vast areas.8
As Noah's Flood catastrophically swept over all the continents to form a global ocean (described in Genesis 7–8), we would expect the waters to deposit fossil-bearing sediment layers rapidly across vast areas around the globe. And that is exactly what we find—further evidence that the global cataclysmic Genesis Flood was an actual event in history, just as God has told us in His eyewitness account of earth's history.
holds a PhD in geology from the University of Sydney and has worked as a consultant research geologist to organizations in both Australia and America. Author of numerous scientific articles, Dr. Snelling is now the head of the Research Division at Answers in Genesis–USA.
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- L. L. Loses, "Sequences in the Cratonic Interior of North America," Geological Society of America Bulletin no. 74 (1963): 93–114. Back
- D. V. Ager, The Nature of the Stratigraphical Record (London: Macmillan, 1973), pp. 1–2. Back
- Ibid., pp. 6–7. Back
- D. L. Baars, "Permian System of Colorado Plateau," American Association of Petroleum Geologists Bulletin no. 46 (1962): 200–201; J. M. Hills and F. E. Kottlowski, Correlation of Stratigraphic Units of North America-Southwest/Southwest Mid-Continent Region, American Association of Petroleum Geologists (Tulsa, Oklahoma, 1983); R. C. Blakey and R. Knepp, "Pennsylvanian and Permian Geology of Arizona," in J. P. Jenney, and S. J. Reynolds, eds., Geologic Evolution of Arizona: Arizona Geological Society Digest, vol. 17 (1989): 313–347. Back
- A. A. Snelling and S. A. Austin, "Startling Evidence of Noah's Flood," Creation Ex Nihilo 15, no. 1 (1992): 46–50; S. A. Austin, ed., Grand Canyon: Monument to Catastrophe (Santee, California: Institute for Creation Research, 1994), pp. 28–36. Back
- C. R. Twidale, "On the Origin of Ayers Rock, Central Australia," Zeitschrift für Geomorphologie Neue Folge Supplement no. 31 (1978): 177–206; J. Selby, "Ayers Rock," Geology Today 5, no.6 (1989): 206–209; I. P. Sweet and I. H. Crick, Uluru and Kata Tjuta (Canberra: Australian Geological Survey Organisation, 1992). Back
- A. A. Snelling, "The Origin of Ayers Rock," Ex Nihilo 7, no. 1 (1984): 6–9; A. A. Snelling, "Uluru and Kata Tjuta: Testimony to the Flood," Creation 20, no. 2 (1998): 36–40. Back
- D. V. Ager, The Nature of the Stratigraphical Record (London: Macmillan, 1973), pp. 1–13. Back


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Nov 9 2012 by Liam Murphy, Liverpool Echo
THOUSANDS of Wirral's council staff are to be sent letters telling them they are at high risk of redundancy, according to union leaders.
Hundreds of council workers packed Wallasey town hall jeering at the authority's ruling cabinet as it prepared the way to make major cuts, including redundancies.
The authority says it must deal with a £39m deficit in next year's budget.
The cabinet met to allow the authority's chief executive Graham Burgess to open negotiations with unions over changes to staff terms and conditions, ahead of a major announcement on wider council cuts.
He told the meeting he would today be announcing a package of cuts options totalling £49m for "members of the public, staff and councillors" to choose from, and said: "Let me make it clear, that the options will be in excess of those required to give a range of choices."
He said the focus would be protecting frontline services to minimise the "impact on our most vulnerable", but said reducing conditions of service for staff would help reduce the chance of redundancies
Unison branch secretary Joe Taylor told the cabinet meeting the changes could see some of the council's lowest paid workers losing thousands of pounds in pay or redundancy packages under the proposed changes.


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The mom-daughter duo can't stop smiling after lunch in New York City. Plus: Jennifer Garner & Samuel, Tina Fey, Martha Stewart, Mark Wahlberg and more
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05/27/2012 PrepVolleyball.com Lauds FSU 2012 Recruiting ClassHighly-regarded amateur volleyball website ranks incoming Seminole class third in the nation; praises class as "most talented recruiting class in Seminole volleyball history" 01/26/2012 Come Celebrate The Season!Season-ending banquet to be held on Feb. 5; event open to interested attendees 01/13/2012 All-American Again!Senior standout named second-team All-American by Volleyball Magazine 12/23/2011 One for the BooksThe 2011 FSU volleyball season was one that will never be forgotten 12/20/2011 More History MadeFinal ranking in American Volleyball Coaches Association Poll is the highest in school history 12/14/2011 Seminoles Prepare for UCLA, Final 412/11/2011 Final 4 Bound! Noles Defeat Iowa State, 3-212/02/2011 Seminoles cruise in first NCAA Tournament game11/10/2011 Noles Face Wake, Duke in ACC Road Rematch11/04/2011 Senior ReflectionsJekaterina Stepanova Photo Gallery Despite playing just two years at FSU, leaves the program as one of the most versatile student-athletes in recent history ... All-America season in 2012 highlighted Stepanova's massive improvement from junior to senior year ... became the team's go-to option offensively, putting down several spectacular kills ... led FSU's unprecedented run to the NCAA National Semifinals in 2012. SENIOR YEAR (2011) AT FSU:
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202: Non-System Student Employees
Payroll Policy and Procedure Manual
Section 200: Payment of Student Employees
Effective: 01/01/2001
Revised: 06/04/2012
- Definition
- Procedure
- 202 Non-System Student employees
- 202-01 Payment Process
- 202-02 Job and Labor Distribution Tasks
- 202-03 Pay Method - Hourly Pay
- 202-04 OPE (Social Security & Retirement) for Non-System Student Employees
- 202-05 Accounting for Labor Charges
- Additional Information
Non-System Student Employees
Students enrolled at a non-OUS school and employed by OSU. Enrollment requirements and hiring procedures are available through the Student Employment Policy and Procedures Manual.
202: Non-System Students Employees
202-01 Payment Process
- After logging onto the Oregon State Central Administrative Resources (OSCAR) use the Job Tasks menu to initiate pay authorization for initial student hires or to change hourly pay rates.
- Each Business Center creates, routes and approves the Job Tasks via EPAF processing.
- Enter monthly timecard date in PYAHOUR for all hourly paid students. See the HRIS time entry manual on the HRIS website.
- Archive a copy of the time sheet as specified by Archive Law. The Department / Business Center copy is the official copy of record. See the Archives website for retention periods.
202-02 Job and Labor Distribution Tasks
202-02a New Hire / Job Change Tasks
- The Job Tasks menu is used to authorize pay for initial appointments and report hourly pay rate changes.
- After logging into the (OSCAR) website, go to Business Center Tasks and complete the appropriate online task.
- Each Business Center creates and routes the Job Tasks via EPAF processing.
202-02b Labor Distribution Form
- The Labor Distribution Form is used to report changes to prior, current, or future distributions.
- To access this task, log onto OSCAR, click on "Payroll Changes" and click on "Job Labor Distribution Change" (excel format). It can also be found in the Downloadable Forms.
- Redistributions are entered by the Business Centers in PYAREDS and the record of copy is kept there.
202-03 Pay Methods - Hourly Pay/Default
202-03a Hourly Pay
- Hourly pay is used for all non-system student pay.
- Pay is issued for the period from the 16th of the prior month through the 15th of the current month and identified as current month pay.
- Payroll data is entered in PYAHOUR during time entry each month. Refer to the Payroll Calendar for specific dates.
- Refer to Undergraduate Student Earn Codes for the correct Earn Codes and Account Codes to use.
202-04 OPE (Social Security & Retirement) for Non-System Student Employees
Non-system students are fully subject to Social Security and Medicare taxes and ineligible for the student Medicare and Social Security (FICA) exemption. Non-system students also become retirement eligible after working for 6 months and at least 600 hrs in a calendar year.
202-05 Accounting for Labor Charges
Labor is charged to specific indexes and account codes. Use of activity codes is the choice of the department.
202-05a Index & Account Code
- Must be an open and valid index owned by the employing department.
- This index should remain open through the last day of the month pay is issued to the employee. Otherwise, it may error out when posting to finance.
- Refer to Undergraduate Student Earn Codes for account code information.
Additional Information
The following chart provides a summary of data by student employment type.
Student Employment | ||||
Category | Paid Hourly | Work Study | Default Hours | Non-System |
Position | C50XXX | C50XXX | C50XXX | C55XXX |
Suffix | 00 | 00 | 55 | 00 |
Earn Code | RST | RWS | REG | RST |
Account Code | 10501 | 10503 | 10501 | 10501 |
Employee E-Class | XA | XA | XA | XA |
Job E-Class | XA | XA | XA | XA |
Pay Schedule | Mid-Month | Mid-month | Monthly | Mid-Month |


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Rad Dad
$4.00A fantastic zine edited by our friend Tomas Moniz, tackling the issues of the day from a radical parent's perspective with an always-excellent cast of contributors. The latest issue, #24, looks...
Veggies Scoffer
Vegan Recipes From Over 25 Years on the Catering Front Line
$4.00Veggies Catering Campaign have served quality vegan food to the masses since 1984. This booklet brings you a selection fo tried and tested snack, main meal and cake recipes that have proven popular...
Doris #30
$3.00This issue talks about ways we create lives outside the mainstream structure, how we find and build community, and what that can mean to our ability to survive, heal and thrive. Touring, living...
Strengthening Anarchism's Gender Analysis
Lessons from the Transfeminist Movement
$2.00Classical anarchism and feminism, premised on the assumption of liberation for "all workers" and "all women," frequently denied the diversity of the working class and social divisions between women...
Direct Unionism
A Discussion Paper
$5.00We have all heard that fewer and fewer workers are unionized these days, and those that still are regularly have to accept contracts that don't serve their interests very well. It seems as though...
Build Your Own Solidarity Network
$4.00A guide to building a successful solidarity network along the lines of the Seattle Solidarity Network, written by two SeaSol organizers. From the introduction: "The Seattle Solidarity Network...
Exposing "Little Guantanamo"
Inside the CMU
$2.00Daniel McGowan is an environmental rights activist who was imprisoned for his involvement in a series of arsons attributed to the Earth Liberation Front. He was transferred to a CMU in Marion...
From the Ashes
An Introduction to Our Writings
$4.50Capitalism makes all of our lives worse, so we should end capitalism. That's the basic perspective of this pamphlet. This is a collection of three articles which serve as a good...
Class War Lessons
From Direct Action on the Job to the '46 Oakland General Strike
$6.00Stan Weir tells the story of the closest he ever came to the self-governing workers' world in which he believed all his adult life. On the SS Hanapepe, workers turned their ship into a floating...
Oregon Ave Octopi Softball
The First Two Years
$3.00The Octopi are a democratically run pick-up softball team of radicals, punks, nerds, and neighbors in Philadelphia. Read about this experiment in building social spaces through bottom-up organizing...


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This alphabetical listing outlines the services and programs that are available to adults and senior citizens. For a complete listing of our programs, go to A-Z Public Health.
Advice Nurse
A-Z Public HealthBerkeley Public Health Clinic
Black Infant Health Program
Division on AgingDomestic Violence Prevention & Intervention
Family Planning
Health Insurance and Access to Health Care Providers
Healthy Eating and Nutrition Program
Heart Disease Prevention
High Blood Pressure Drop-In Clinic
HIV and AIDS Education & Prevention
Meals on Wheels
Mental Health
Nurse of the Day
Quit Smoking
Senior Centers
Sexually Transmitted Infection (STI) Education & Prevention
Tobacco Prevention
Tuberculosis Testing & Treatment
Women, Infants and Children (WIC) Program
City of Berkeley Public Health Division 1947 Center Street, 2nd Floor Berkeley, CA 94704Map to Public Health Division (510) 981-5300 (Phone) (510) 981-5395 (Fax) (510) 981-6903 (TDD)firstname.lastname@example.com
Monday - Friday: 8:00am - 5:00pm


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Living History on the Chisholm Trail - May 09, 2014 to May 10, 2014
605 Zellers Ave
Kingfisher, OK 73750
Phone: 405-375-5176
Catch a glimpse of the past at Living History on the Chisholm Trail in Kingfisher. This event, held at the Chisholm Trail Museum, features encampments depicting life on the Oklahoma frontier in the 1800s with lawmen and gunfighters, trick roping and shooting, American Indian history, cowboy stories and more. Visitors to Living History on the Chisholm Trail will also enjoy demonstrations of weaving, spinning, lace-making, flint-knapping and authentic chuckwagon cookery. Stick around to enjoy the event's food booth and watering hole.
Highway Corridors (within 5 mi.): US-81
Day | Open | Close |
Friday | 9:30 am | 2:30 pm |
Saturday | 10:00 am | 5:00 pm |
From Oklahoma City, go north on Hwy 81 to second stoplight in Kingfisher. Take a left on Seay Ave, a right on 11th St, then a left on Zellers Ave.
Primary Contact: | Adam Lynn |


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"Just bought a box these babies before cigar afficionado rates it and will be out of stock or double the price. anyways I would not say this is a full bodied cigar but it has enough punch not to be called a light weight either. this is definitely a full med to light full bodied cigar (if that makes sense) anyways since this is a pepin cigar as usual great product as expected right of the bat. Cuban style construction through and through. The wrapper is oily and reminds me of la requiza by tatuaje. Triple cap of course and flawless cuban wrapper perfect amount of tobacco means no soft nor hard parts on the cigar, now lets talk about on how it smokes.. This cigar is a medium bodied cigar that reminds me of an aged cuban partagas. The burn was perfect all the way through even on a windy day when I smoked one. Lots of aged tobacco, leather, pepper and cedar although the strength profile never changed from start to finish, it was an extremely enjoyable cigar. The after taste reminds me of my cuban cigars as well. Once again pepin has done it again and created a future 90+ rated beauty, buy a box or two while you can still afford it."
""To start I'm a Pepin fan all the way, so some bias is inevitable. As I wait to see if my $79 bid for a box of 20 churchills wins, I will tell my fellow enthusiasts that I have already smoked 4 5-packs of toro and robusto size sticks. For the price it is vintage DPG. It compares to DP Black, 5-Vegas Miami and a couple of Tatuaje lower end varieties. I love the cigar, it is bold enough with plenty of taste. Not a lot of change as it burns but no weakening either. While some required an extra flame a spot, the effort was a small price to pay. At these prices boys....jump on it. Smok'em if you got'em""
"Just got one of these in my CI cigar of the month box. Puffin on it now and it just keeps opening up. I've read a v cut is recommended but I did a full guillotine cut and it's a wonderful. Will for sure be getting more of them!"
"These are outstanding smokes! Full bodied, Cuban-esque, perfectly constructed. Vintage Pepin Garcia! The My Father juggernaut rolls out another gem!"
"Boy, there's a lot to like about this cigar. Got 5 of them in the Summer Sampler, smoked one, and then immediately bought a box. Flavors keep unfolding, with leather, cedar, earth and a floral component. Construction is incredible, but I've never seen a Pepin stick that wasn't well constructed. Nice, even burn all the way to the nub. I'm going to make sure I always have some of these around. By the way, if you're just starting to smoke fuller bodied cigars, this would make a great starter."
"Got a box of these and I had to try one asap, they are an excellent smoke."
"Great smoke, one of his greatest! Highly recommend if your a full bodied smoker..."
"Another winner from Pepin Garcia. Provides a mix of multiple flavors throughout the smoke, and is more medium or medium-full rather than other full-bodies Garcia blends (Tatuaje). One hint: have patience and do not smoke these as soon as they arrive off the truck. I did with the first stick and I actually told myself I wouldn't order them again. After trying another one after sitting in the humi for a couple of weeks, it delivered a totally different experience and moved onto my Garcia favorites list."
"I am wiating for these Don Pepin legends and hope they are as good as their others."


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I have added this author and her books to my list. I did not know what the book was about. As a white female heterosexual, I did find the book interesting. I couldn't put the book down just to find out what was going to happen. I would recommend this book.
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The Falcons are nearly flawless at home but they open the Georgia Dome to the hottest team in football. Can the Cheeseheads knock off the No. 1 team in the NFC on their own turf?
The Packers were a trendy preseason choice to reach the Super Bowl, but needed to win their last two regular season games to secure the sixth and final seed in the NFC. This will be a rematch of Week 12, when Atlanta eked out a 20-17 home victory on Matt Bryant's 47-yard field goal with nine seconds to play.
The line has dropped from -2.5 in favor of Atlanta to -1, as of Saturday morning. Some markets opened with the Falcons as 1-point home favorites and have maintained that line. However, most books trimmed down the spread as action came in overnight Friday for the Pack. 78% of moneyline plays are on Green Bay but the spread is getting 50/50 action, indicating that sharp money is forcing the hand of bookmakers.
The total for Saturday's game has also fallen. The number opened at 45.5 points and has since been bet down to 43 (over -113). Week 12's encounter played well under the 47.5-point total.
So, the sharp money is coming in on the Packers, these are the professionals that usually taut having inside info.
Tough game to cap that's for sure: Packers with the 5th ranked defense, 2nd ranked for points allowed! 9th ranked offense but 24th in rushing. 10th in points scored. Falcons are ranked 16th on defense but 22nd against the pass!! 10th against the rush. On offense they are very balanced, ranked 15th passing and 12th rushing, but 5th in points scored!
Atlanta should be able to run the ball and Rodgers should rack up alot of yards throwing the ball. If he has time that is!


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Nir's Note: This guest post comes from Brendan Kane who has built technology for MTV, Paramount, Taylor Swift, Rihanna, and the NHL. In this article, Brendan describes how he reprogramed the way he views the world using little more than his iPhone and iPad.
We all have the power to change our lives. I know this because I found ways to reprogram my inner circuitry and change my perspective of the world. A few simple steps inserted into my daily routine dramatically improved my life. Surprisingly, many of my new rituals were made possible using the technology I carry with me every day.
Think Big
"Because the people who are crazy enough to think they can change the world are the ones that do."
-Steve Jobs
I was trained to think small and seek comfort rather than risk. From an early age, many of us are told to think realistically and to leave the big audacious ideas to people with more experience and resources. But the truth is, as Steve Jobs said, ""Everything around you that you call life was made up by people that were no smarter than you."
We are all born with the same basic brain hardware and though there are variations in intelligence between people, the differences are relatively minor and show little correlation with life outcomes. However, what does make a difference is how much we believe in ourselves and our capabilities. A much greater determinant of where we will end up in life is whether we have what Stanford researcher Carol Dweck calls a "fixed" or "growth mindset."


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Home > Grassroots > Stories > Club and Allies Working to Stop Toxic Waste Incineration in Texas
September 19, 2007
A coalition of environmental groups including the Texas Sierra Club has formed to stop shipments of hazardous waste that include the deadly nerve agent VX to Port Arthur, Texas. The waste, trucked in from an Army chemical weapons facility in Indiana, is being burned at an incinerator (below) run by Veolia Environmental Services near a poor, overwhelmingly minority Port Arthur neighborhood.
The Army claims the waste has already been "neutralized" before it leaves Indiana, and is no more dangerous than kitchen cleaners. But when scientists began examining the disposal process, they found the neutralized waste still contains VX, which is so potentially lethal a drop the size of a pinhead can be fatal.
This April, the Community In-Power and Development Association (CIDA), a citizen group dedicated to fighting toxic pollution in Port Arthur, held a rally (above and below) to protest the shipments of VX to the Veolia facility. (Local community activist and CIDA Executive Director Hilton Kelley is pictured in second photo below, speaking at that rally.)
This spring, the Sierra Club became a plaintiff with CIDA, the Chemical Weapons Working Group, Citizens Against Incineration, and individuals in Indiana and Port Arthur in filing a notice of intent to sue, prompting the Army to temporarily halted shipments until the issue was heard in federal court in July. Lone Star Chapter staffer and clean air specialist Neil Carman, PhD, testified for the Club at the court injunction in Indianapolis to try and stop the VX shipments. But even after an Army representative admitted under oath that VX is present in the waste being trucked to Port Arthur, a federal judge in Indiana ruled in August that the shipments could continue.
In response, the coalition including the Sierra Club held a press conference in Austin on August 23 to urge regulators to halt the shipments administratively. (Craig Williams, executive director of the Chemical Weapons Working Group, is pictured below at microphone, flanked by Hilton Kelley and Neil Carman, at that press conference.) The event, at which Kelley and Carman also spoke, garnered extensive media coverage and prompted the EPA's Environmental Justice Division to start investigating the situation.
The Army previously tried to ship the waste to Ohio and New Jersey, but public outcry in both states scuttled those plans. In approaching Port Arthur, the Army attempted to fly below the radar. Since they are required by law to notify the public and get input from affected communities, the Army informed Port Arthur Mayor Oscar Ortiz of their plan to truck the VX residue through eight states to Port Arthur. Ortiz, who is serving his last term in office, did not notify his constituents, and the Army quietly signed a $49 million contract with Veolia to incinerate two million gallons of waste at the Port Arthur facility.
But community activists and environmental groups in Texas and Indiana soon realized what was afoot, and insiders at the Army's Indiana chemical weapons disposal facility blew the whistle, alerting the Chemical Weapons Working Group. Craig Williams told Texas-based journalist Rusty Middleton the arrangement is "the most covert, underhanded approach to disposal in the history of the [Army's] disposal program."
His sentiments are echoed by Carman, who formerly worked for the Texas Commission on Environmental Quality and is now Conservation Program Coordinator for the Texas Sierra Club. He says that even under normal, permitted circumstances, the Veolia incinerator puts out substantial amounts of harmful emissions, but in this case, the VX emissions are entirely unmonitored, a state of affairs he calls "unconscionable."
Veolia claims that monitoring individual hazardous wastes is unnecessary and would be a waste of money. But it is perhaps no coincidence that the VX disposal operation is taking place near one of the poorest, most polluted communities in the nation. As Middleton reported in the Texas Observer, the whites who have stayed in Port Arthur have mostly left the neighborhood near the Veolia facility and other chemical plants, leaving it to Hispanics and African Americans who are among the poorest residents of Texas.
At the April rally organized by CIDA in Port Arthur, Hilton Kelley accused Mayor Ortiz of sacrificing public health for the property taxes paid to the city by polluters. Ortiz countered in the press that Kelley was a "clown and a loser" and dismissed the Sierra Club as "a bunch of environmental wackos."
The Club and its allies plan to appeal the August court decision allowing VX shipments and incineration to proceed. Carman says he doesn't know if the coalition will be able to stop the already "neutralized" VX awaiting shipment to Port Arthur, but he is heartened that the issue is finally on the radar of the public and the EPA. "This is an important moment to expose the hazardous waste incineration that has been going on in Port Arthur since the 1980s," he says. "VX nerve gas waste should not be burned. The Army must spend the money for the safer disposal options that are currently available and not incinerate it right next to a low-income community of color."
A large public protest is being planned by the coalition on Saturday, September 29, in Port Arthur.
Learn more about the Sierra Club's work on toxics and Environmental Justice.
Photos used with permission.


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Archived: P2Rx no longer updates the narrative information, however the links are maintained.
What we eat has a big impact on not only our health, but on the environment. Generally, consumers' purchases of locally-grown food benefit the environment because such food does not travel as far and therefore produces less greenhouse gases. Purchases of organic food also benefit the environment because organic food is grown without pesticides. When consumers buy pesticide-free food they also stimulate demand for it, which motivates growers to convert more of their acres to certified organic cropland. Consumer demand for organic food soared during the 1990s, causing farmers and ranchers to add one million acres of certified organic cropland from 1997 to 2001. U.S. organic sales were estimated at $9 to $9.5 billion in 2001.1
Reducing the amount of meat consumed can also benefit the environment. Eighty percent of the water consumed in the United States is used for agriculture,2 with a disproportionate amount going towards livestock production. Soil and water specialists at the University of California Agricultural Extension, estimated that producing one pound of chicken in California required 850 gallons of water, while producing one pound of pork required 1,630 gallons. In contrast, growing one pound of lettuce, tomatoes, potatoes or wheat required only 23 to 25 gallons of water.3 Moreover, farmed animals eat more than 70 percent of the wheat, corn, and other grains that are grown in the United States, but only a small fraction of the calories in these grains is converted to the meat that people eat. The rest is lost as waste. Increasing the direct consumption of grains means that grain calories are utilized more efficiently, and reduces the pressure on farmland to produce large grain crops. Plus, livestock farming is polluting where animal waste is not directly and properly utilized as fertilizer. Farmed animals produce about 130 times as much excrement as the entire human population of the US.4 In contrast, a diet rich in organic fruit, vegetables, and grains requires less land and water and may be less polluting.
Consumers can also compost fruit and vegetable wastes. Composting is nature's perfect recycling method; it takes plant and food remains and returns them to the earth so that more plants and food can grow. Composting is further beneficial because it reduces the land disposal or incineration of these wastes, which can be a significant portion of total household garbage. The average family is estimated to waste about 14 percent of its annual food purchases. Overall, more than 28 billion pounds of food are wasted every year in the United States.5 Composting also provides free organic fertilizer.
1USDA Economic Research Service, http://www.ers.usda.gov/publications/aib780/
2USDA Economic Research Service, http://www.ers.usda.gov/Briefing/wateruse/
3John Robbins, The Food Revolution: How Your Diet Can Help Save Your Life and the World, Conari Press 2001.
4GAO Report, http://www.gao.gov/archive/1999/rc99205.pdf
5New Jersey DEP article, http://www.state.nj.us/dep/dshw/recycling/foodwast_article.htm
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Illinois Digital Archives
7 3 Area-wide Emission Status 3.1 Source Types There are several different types of sources involved in the ERMS program as described below: Participating sources are those that have baseline or actual emissions of at least 10 tons during the season, are required to have a CAAPP permit, were operating prior to May 1, 1999 and are located in the Chicago ozone NAA. These make up the vast majority of sources in the ERMS program. They are required to hold ATUs for all of their VOM emissions during the season. New participating sources have actual seasonal emissions of at least 10 tons, are required to have a CAAPP permit, but were not operating prior to May 1, 1999. They must hold ATUs for all of their VOM emissions during the season, but are not given baselines. They must acquire their ATUs through trades or long-term transfer agreements. Exempt sources are those which would otherwise need to be participating sources, but have restricted their emissions in one of two ways. They may have used their CAAPP permit to limit seasonal VOM emissions to under 15 tons/season or they may have already reduced their seasonal emissions by at least 18 percent of their baseline. General participants are entities other than participating sources or new participating sources who have obtained a transaction account and are allowed to trade ATUs. Examples may included brokers or companies there were participating sorces but who shut down their operations and still want to retain control of their ATUs. For the purposes of this report, there are two different types of general participants. There are those who used to be participating sources and therefore continue to receive an allotment. The second group are those who were not previously classified as participating sources and who never received allotments. Special participants are entities that register with the Illinois EPA to purchase and retire ATUs, but not sell ATUs. Any ATUs given or sold to a special participant are automatically retired.
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Home › News › Tech Deals
Tuesday tech deals: $179 off Core i3-powered Dell 15R
Dell Home offers its 15.6" Dell Inspiron 15R in black for $499.99. Plus, bag free shipping via coupon code "?8CN$RJ?W5TQ0C". That's $179 off and the lowest total price we've seen for any Inspiron 15R by $30 -- even ones with gift cards. Sales tax is added where applicable. It features a 15.6" 1366x768 LED-backlit display, an Intel Core i3-350M 2.26GHz dual-core processor, 4GB of RAM, a 320GB 5400RPM hard drive, a dual layer DVD burner, 802.11n wireless, a webcam, a 6-cell battery, and Windows 7 Home Premium 64-bit.
Five more tech deals after the jump.
US Appliance discounts a selection of Toshiba LCD HD televisions via coupons, as listed below. With free shipping, each is at the lowest total price we could find, most by a wide margin. The deals:
- Toshiba 22C100U 22" 720p LCD HDTV for $237 via code "CSS10"
- Toshiba 32CV100U 32" 720p LCD HDTV w/ DVD Player for $410 via code "CSS10"
- Toshiba 32E200U 32" 1080p LCD HDTV (pictured) for $439 via code "CSS10"
- Toshiba 37E200U 37" 1080p LCD HDTV for $529 via code "CSS10"
- Toshiba 55G300U 55" 1080p 120Hz LCD HDTV for $1,219 via code "CSS30"
Verizon FiOS Triple Play w/ free router, DVR service, activation from $90/month
Verizon offers the Verizon FiOS Triple Play Bundle starting at $89.99 per month for the first year of service. That's $40 off. Plus, it includes free activation, a free wireless router, and free multi-room DVR service for six months. Combined, it's one the best bundle deals we've seen from Verizon this year. It includes FiOS home phone service bundled with FiOS Internet and FiOS TV.
Samsung C3050 Stratus Unlocked Cell Phone for $70 + free shipping
Meritline.com offers the Samsung C3050 Stratus Unlocked Cell Phone for $79.99. Apply coupon code "MLC255215071913NL1" to cut the price to $69.99. With free shipping, that's the lowest total price we could find for the phone by $23. This quad-band GSM phone features a 2.0" 120x160 color LCD, 640x480 digital camera, speakerphone, 50MB of internal memory, up to seven hours of talk time, and more.
Mini USB Car Charger for 79 cents + free shipping
Meritline.com offers this Mini USB Car Charger for $2.89. Apply coupon code "MLCK262542072072AL1" to drop it to 79 cents. With free shipping, that's tied with our mention from a month ago and the lowest total price we've seen. This adapter allows you to use your existing USB cable to charge devices in your car. Coupon ends after 1,000 uses. Expect this item to take two to three weeks to arrive.
20 Rayovac AA Batteries for $2 + free shipping
Today only, JustDeals.com offers 20 Rayovac AA Batteries for $1.77. With free shipping via coupon code "DEALNEWS1", that's $0.09/battery, $5 below a deal from last week, and the least expensive AA batteries we've seen in this quantity.
User Comments: 9
Got something to say? Post a comment-
First problem--only comes with a 5400rpm hard drive. Skip it--to slow.
A 5400RPM HDD is too slow for typical daily usage?
5400RPM is standard on most laptops. 7200 sure it's faster but they are more expensive (raising the cost) put out more heat so better cooling is necessary (raising the cost) and use more power (bigger battery, raises the cost) and are louder than their 5400RPM counterparts. I have a 7200RPM WD Black in my Gateway NV53 and I know these faults. Most people wouldn't even be able to tell the difference.
That's an excellent price for that rig. The 5400RPM HDD would be a complete non-issue to me if I were purchasing this.
Yes, 5400rpm should be avoided, totally; no extra heat, all these other myths. The virtue of the 7200rpm HD on a laptop revealed itself to me many years ago on my first laptop--a Dell M140 XPS. When I worked on other laptops with the 5400rpm, I noticed such a difference. I've never owned a 5400rpm anything--my external drives? Nope!
Guest said:
Yes, 5400rpm should be avoided, totally; no extra heat, all these other myths. The virtue of the 7200rpm HD on a laptop revealed itself to me many years ago on my first laptop--a Dell M140 XPS. When I worked on other laptops with the 5400rpm, I noticed such a difference. I've never owned a 5400rpm anything--my external drives? Nope!
Spoken like a try newbie. 5400RPM Laptop HDDs are ideal for 90% or the market.
All I have to say is that I recently built a laptop for a friend and she spend £930 on a customised Dell Studio laptop. It didn't have the option to add a 7200 rpm hard drive so i bought one separately and installed it myself. Weirdly I found it was cooler and boot time was better but it made slightly more noise and the laptop felt a bit more like it was vibrating, but other than that I didn't really see much difference?
Until of course I started loading up Mass effect 2 then it made an impact
54000rpm with the right cache is just fine. They place them in there to save on the battery life. Checking all my 2.5 I've seen they're all 5400rpm spins. Samsung HDDs don't seem to hold up well as the rest like Toshiba.
Picked up the Dell for a family member. For those wondering, total cost was 529.99 for me because of tax. The $19 for shipping is appreciated though. If the 5K RPM drive does end up dragging, I have a spare 7K drive to swap for it anyways, so I don't really care. Pretty reasonable price to get a Core i3 and 4GB of DDR3. I've got an estimated arrival date of 7/30, so anyone curious about it's performance feel free to PM me.
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Recent News
Posted on: 18 July, 2011
Five awards were presented to members of East Central University's Communications and Marketing Department July 11 at the state conference of the Oklahoma College Public Relations Association.
ECU won the first-place Grand Award in the Video Spot category with "ECU TV: Find Your Direction at ECU," one of three ECU television commercials now airing throughout the state. It was developed by Amy Ford, director of Communications and Marketing, and ECU students Jacob Sircy of Goodwell and Jomain McKenzie of Clarendon, Jamaica.
Posted on: 06 July, 2011
Posted on: 22 June, 2011
From the time she was a 15-year-old candy striper at Weatherford Regional Hospital, Rita J. Baumgartner, the daughter of Bob and Jo Ramsey of Weatherford, knew she wanted to work in the health care environment. Over the years she continued to work in hospitals in various capacities."When I considered advancing my education," she said, "I felt I had waited too long. However, my biggest advocate, (husband) Richard, advised me that whether I went to college or not, life would continue to pass by."
Posted on: 22 June, 2011
An award-winning East Central University graduate who has worked in the field of human resources and deafness for more than 25 years has been named the 2011 recipient of the Distinguished Alumna Award in Human Services Counseling by ECU's Human Resources Department.
R. René Ryan of Tulsa received the award at the department's awards and recognition program this spring in Ada. She has been the executive director of TSHA (Total Source for Hearing-loss and Access) in Tulsa for 18 years.
Posted on: 17 June, 2011
Posted on: 08 June, 2011
Susan Ingram of Ada has been awarded the first Dr. Marvin Kroeker Annual Best Historical Research Paper Award at East Central University.
Kroeker, a retired ECU professor of history, established the $300 cash award last year to be presented annually to the ECU student who prepares the best paper in history and/or Native American studies.
Posted on: 06 June, 2011
Posted on: 03 June, 2011
Persons interested in earning a bachelor of social work degree from East Central University can attend an informational meeting at 6 p.m. June 21 [Tuesday] in Room 111 at the Eastern Oklahoma State College campus in McAlester.
The social work program offers opportunities for students interested in working in child welfare and those who wish to work with older adults.
ECU professors will teach three beginning-level courses for the BSW degree this fall at McAlester.