text:
Last night I watched Phone Booth, the 2003 thriller (brilliantly directed by Joel Schumacher, for real) in which an unseen killer traps Colin Farrell in a public phone booth and makes increasingly painful demands. It's terrifically intense--I couldn't look away. The high concept is so great: the man suffering in public, while nobody around him has any idea what he's going through. Both Farrell and his character are fun (he's a publicist, rather than a human being) and, by the end, surprisingly … [Read more...]
"Making Do": I'm in Commonweal
with an actual review of Doing the Best I Can: Fatherhood in the Inner City: Painfully conscientious, rule-bound, and motivated more by spiritual longings than by practical material concerns—these aren't the terms in which most Americans think of low-income unmarried fathers. subscribers-only for now; I'll let you know if that changes. I had a more thematic piece on penitence in the book, not really a review, here. … [Read more...]
Seth Mnookin on Relapse and the Ghost World
One truism of addiction science is that long-term abuse rewires your brain and changes its chemistry, which is why triggers (or "associated stimuli," in scientific parlance) are major risk factors for relapse. But these changes can be reversed over time. Walking past the apartment where my dealer used to live didn't make me want to score; it made me feel as if I was in a phantasmagoria of two crosshatched worlds—but I was the only person who could see both realities. None of my colleagues at MIT, … [Read more...]
Random TV Note: "Elementary"
You know, I'm really enjoying this show. Stuff I like:* Let's be honest: My main thing that I like is the way Sherlock's addiction history and recovery are handled. I like that he's skeptical and combative about 12-steppery yet still does a lot of the hard work of it, the constant apologies (the first season of this show really was like that cartoon with the heterosexual date movie theater showing "Things Exploding/Men Apologizing") and amends. I loved his speech at the beginning of an … [Read more...]
"I Would Like to Send You a Memory"
ok yes, there's some really great stuff here--I thought it would be glurgy or hipster but it is really neither of those things: The more I looked, the more I found. And I discovered that, secretly, the YouTube comment box had become the strangest and most wonderful place on the internet. A place that was fascinating, endlessly moving, and heartbreakingly human. "The hustle was sexy and graceful," and other moments of joy, penitence, grief, war, love, and growing up. … [Read more...]
"Never Quite Free": My series on portrayals of penitence concludes
with a look at the Mountain Goats, We Shall All Be Healed. This piece has a couple lines I really like: One way to mistell stories of penitence is to envision penance as a linear process of restoration. You do a bad thing, you feel bad, you make amends (often in a way which involves saying ritual words like "I'm sorry," or doing something which offers an obvious symbolic parallel to your wrongdoing), status quo ante. There can be truly sublime portrayals of this kind of almost mathematical penit … [Read more...]


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Recipe: Traditional bagels, courtesy of Kahve Cafe
- Details
- Published on Monday, 13 August 2012 10:33
- Written by courtesy of Kahve Cafe and Catering
This recipe makes approximately 10 delicious bagels, says Chef Joe of Kahve Cafe in Edgewater, Maryland.
Kahve Cafe traditional bagels
Starter mix
1/2 cup high-gluten flour
1/4 cup water
a pinch of yeast
3.5 cups high-gluten flour
1.75 tsp. active yeast
1.75 tsp. salt
10 oz. water
Mix the starter ingredients first and then let the starter dough rise for 12 hours.
Mix in the rest of the dry ingredients, add water, and knead. Let rise for an hour.
Portion the dough and form into balls. Let rise an hour.
Poke a hole in the middle and stretch, then boil the bagels for 2 minutes. Flip and boil on other side for 1 minute.
Let dry and then bake at 350 degrees for 10 minutes. Flip bagels over to the other side, and bake an additional 5 minutes.
Find more great recipes in our Recipes Section.
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text:
Darius Johnson says he's just an ordinary student, presented with an educational opportunity in his freshman year of high school that led him to extraordinary choices: Johns Hopkins, Columbia, Duke, Princeton, Harvard, Cornell, Stanford and Washington universities, the University of Pennsylvania and Dartmouth College.
The senior at Polytechnic Institute is among the gifted students who have worked their way through the Ingenuity Project, one of two programs that have given Baltimore students a competitive edge in college admissions but now face funding cuts in the city's tightest schools budget in decades.
After years of declining funding, and now a new round of cuts the school board is proposing for next year's budget, schools that host Ingenuity and the International Baccalaureate are looking for alternative sources of money or holding out hope that district leaders will see the value of offerings proven to bring out the best in the brightest students.
Johnson, a first-generation college student raised by a single mother, plans to head to Harvard next year on a Gates-Millennium scholarship, which is to cover his education through a doctorate.
Johnson applied to Ingenuity as a freshman — not because he was "naturally gifted," he said, but because he needed focus. By sophomore year, he was researching a new therapy for HIV patients at Johns Hopkins.
"The work is hard," he said. "But as much as we give in hard work, they give back in opportunity. I hope kids who come after me get the same opportunities."
Ingenuity, a program that engages students at Poly and Roland Park Elementary/Middle and other high-performing schools in a rigorous science, technology, engineering and mathematics curriculum and research, is one of the budget items that school officials are asking the school board to fund with emergency reserves. The board has rejected that request.
Board members are scheduled to vote on a budget next month.
The Ingenuity program, which serves 534 students in four schools, is also facing a major fundraising hurdle, due in part to dwindling funding from the school system in the last five years.
Next year, it would have to raise more than $600,000, and would require Roland Park to pay a per-pupil fee next year for the first time.
Other schools have paid the $100-per-pupil fee. Roland Park has made financial contributions in other ways: paying for full-time Ingenuity staff, helping maintain the program's computer lab, and funding trips.
Principal Nicholas D'Ambrosio said the school would need to raise money to help cover the roughly $18,000 check the school would have to cut to pay the per-pupil charge next year.
The International Baccalaureate program, available at City College, Mount Washington and Thomas Jefferson Elementary/Middle, offers an internationally recognized curriculum known for its rigor and global focus. It's slated for budget cuts next year in two of the schools.
Mount Washington's IB program is set to receive $100,000 next year, down $31,000 from last year. And the budget at City College, which runs two programs, will decrease by $34,000 to $200,000.
Thomas Jefferson is set for a funding increase, because years of underfunding put the school at risk for losing its IB designation.
The school system says that its scaled-back support for Ingenuity and IB is part of a long-term plan.
"In order to ensure there is a diverse portfolio of school options for students to choose from, City Schools is committed to supporting schools in initiating programs, such as IB and Ingenuity," the district said in a statement.
"However, the intent is that over a period of time these programs will become self-sustainable" through individual school budgets and community partnerships.
The Ingenuity program was started in 1993 by the Abell Foundation, which has continued to financially back the program every year since. Ingenuity officials said the goal was for the program to eventually be fully funded by the school system.
But data show that in the last five years, contributions from the school system have dropped, from $420,000 in 2010 to a proposed $368,000 next year. Next year, the Abell Foundation plans to cut its funding to Ingenuity by $100,000 in order to spread money to other philanthropic causes.


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We have 316 fantastic sports blogs in SB Nation, so in case you didn't have a chance to read them all today we've collected the best stuff right here. Get sports smart in no time fast!
- The Lakers are exploring both Chris Paul AND Dwight Howard. Silver Screen and Roll explores the strategic options.
- Clips Nation was at the Clippers' training center where Blake Griffin is just as awesome as ever.
- With the NBA season ramping up, Golden State of Mind has an advanced stats primer.
- The bad news for Ndamukong Suh keeps rolling in reports Pride Of Detroit.Cat Scratch Reader notes two more Panthers defenders hit IR, the defense is a M.A.S.H. unit.
- It's official, the Redskins lose two players to suspension, Hogs Haven discusses.
- Should the Dolphins fire or keep Tony Sparano? The Phinsider is running the poll.
- Baseball Nation has the latest on a malcontent Hanley Ramirez, who doesn't want to move to third base now that the Marlins have signed shortstop Jose Reyes.
- DRaysBay wonders what's up with Wade Davis.
- South Side Sox starts talking about the rebuilding process in Chicago.
- Pensburgh wonders why the CONSOL Energy Center has been so quiet lately.
- What if the NHL season ended today, and the new alignment was in place? Winging It In Motown takes a look.
- Anaheim Calling on the Ducks and realignment.
- Waking the Red does a little Q&A with Toronto FC homegrown player Matt Stinson.
Combat Sports
- Headkick Legend interviews Miguel Torres.


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Auch dieses Panorama ist aus der Zeltstadt des Campus Symposiums 2010. Hier ist der Garten im Innenraum zwischen dem Vortragszelt und dem Galazelt zu sehen. Mitten auf dem eigentlichen Parkplatz der BiTS eine kleine Gartenoase in einer Zeltstadt.
A panorama of the Dragon Hill in Iserlohn on a warm day in autum. Please rate the panorama if you lik...
Felsenmeer, Hemer, Germany
Felsenmeer, Hemer, Germany
Germany? Before the beginning there was Ginnungagap, an empty space of nothingness, filled with pure creative power. (Sort of like the inside of my head.)
And it ends with Ragnarok, the twilight of the Gods. In between is much fighting, betrayal and romance. Just as a good Godly story should be.
Heroes have their own graveyard called Valhalla. Unfortunately we cannot show you a panorama of it at this time, nor of the lovely Valkyries who are its escort service.
Hail Odin, wandering God wielding wisdom and wand! Hail Freya, hail Tyr, hail Thor!
Odin made the many lakes and the fish in them. In his traverses across the lands he caused there to be the Mulheim Bridge in Cologne, as did he make the Mercury fountain, Mercury being of his nature.
But it is to the mighty Thor that the Hammering Man gives service.
Between the time of the Nordic old ones and that of modern Frankfort there may have been a T.Rex or two on the scene. At least some mastodons for sure came through for lunch, then fell into tar pits to become fossils for us to find.
And there we must leave you, O my most pure and holy children.
Text by Steve Smith.


text:
Awesome experience in every way! Hans and Ingrid were as helpful and considerate as could be. Our time in Ouray was enhanced by the wonderful experience of the China Clipper Inn. We will return and I highly recommend this B and B over any other facility I've every frequented in Ouray!
- Reservation Options:
- TripAdvisor is proud to partner with Hotels.com, Expedia, Booking.com, Travelocity, Priceline, Tingo and Venere so you can book your China Clipper Inn reservations with confidence. We help millions of travelers each month to find the perfect hotel for both vacation and business trips, always with the best discounts and special offers.
- Also Known As:
- China Clipper Hotel Ouray


text:
Gap is offering 40% off one Gap item, valid Thurs 1/20 only! 45% if you use your Gap card. Not valid at Gap Outlet.
20% off your entire Big Lots purchase! Valid through 1/30
View more in-store retail printable coupons.
Thanks, DEALiscious finds!
Gap is offering 40% off one Gap item, valid Thurs 1/20 only! 45% if you use your Gap card. Not valid at Gap Outlet.
20% off your entire Big Lots purchase! Valid through 1/30
View more in-store retail printable coupons.
Thanks, DEALiscious finds!
If you're going to the mall this weekend, take some in-store retail shopping coupons with you!
Thanks, HelpingTheMommas & HookedOnBargains!
40% off one regularly priced item at Gap, valid Wed 1/4. or 45% if you have a Gap, Old Navy or Banana Republic card.
Tricky thing is, today is Tuesday 1/4. Not sure how stores will be handling this. The register code is WED40 or WED45, so I feel pretty confident that this coupon will work tomorrow.
Let us know what you find out about when the coupon will work!
Thanks Springs Bargains!
Get 40% off your entire purchase in-store only today at Gap. Tomorrow, 12/22 it is 30%.
Print a coupon for 30% off 1 Item at Old Navy coupon – Valid through 12/24
GAP is holding their Project Reindeer event and today's deal is Buy One Get One Free on any item in-store! All you have to do is mention 'CooperFree" in-store. Or you could choose to get 30% off anything in the store!
Wanna help pick tomorrow's deal? Go to project reindeer and tweet your favorite deals! Personally, I don't think it gets much better than BOGO Free!
*Offer valid while supplies last on 12/19/2010 at Gap stores in the US only. Not valid at Gap Kids, Baby Gap, Gap Body, Gap Maternity, Gap Outlet or gap.com. Second item must be of equal or lesser value.
**M80 contacted me on behalf of The Gap. $75 will be donated in Cuckoo for Coupon Deals name to The Partnership for the Homeless in the spirit of the holiday season.
Select Old Navy Performance Fleece Tops will be on sale for just $5 each tomorrow (Saturday, 12/11) in-stores only.
These will be available while supplies last, limit 5 per customer. Find an Old Navy location near you.
Thanks, A Thrifty mom
Ask CCD Readers: Do you think they're cute? I am loving the retro brown one with sparkle circles.
Old Navy has select boys jeans and toddler boys jeans discounted to only $10. Plus, adding two pairs of these $10 jeans to your cart, you'll instantly save an additional $5.50 off each pair. Giving you a final cost to only be $4.50 per pair!
Act on this quickly as popular sizes are selling out so fast! You can also check out while browsing their site, the Fleece items they have for the whole family starting at just $7!
Remember that order over $50 are Shipped FREE! Or buy an item from Piperlime.com and you'll score FREE shipping on your entire order. Plus to sweeten this deal be sure to drop by Shop At Home to score a 4 % cash back on your OldNavy.com purchase!
(Thanks, Samantha!)
View the 2010 Old navy Black Friday Ad Scan.
Don't forget my tips on shopping on Black Friday before you go!
Here's my favorite black friday deals at Old Navy this year:
Anything else you are excited about from the ad? Here's the rest of the Black Friday 2010 deals for other stores.


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Just for information Ruger 10/22 TD
View Single Post
11-04-2012, 21:20
DJ Niner
Join Date: Feb 2001
Location: North-Central USA
Posts: 17,637
Gunshops in my local area are getting $300-$330 for them, and the pace of sales has slowed enough that there is usually at least one on the rack at each store.
...The second most dangerous thing to do is Turning Your Life Around. Going by local news reports, if you start Turning Your Life Around, you will inexplicably wind up face down in a convenience store parking lot at 0300 with a bag of somebody else's money in your hand, a chalk outline, and half a magazine's worth of the taxpayers' bullets in your ass. -- Tamara K.
Link >>>
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text:
Toddler swallows 42 fridge magnets
Updated On: Feb 16 2013 12:53:30 AM EST
A toddler in Russia is recovering after swallowing 42 fridge magnets in a matter of minutes.
The boy's mother panicked when she noticed all the magnets from the family's refrigerator were gone after leaving her 16-month-old son alone for a short period of time, The Daily Mail reported.
She rushed him to a local clinic, where a scan revealed dozens of small, round magnets in his abdomen.
Doctors at a hospital near the family's home in Chelyabinsk performed emergency surgery to remove the magnets.
"Over the years, I had to take a variety of foreign bodies including magnets from young patients," Chief pediatric surgeon Nikolay Rostovtsev told The Daily Mail. "Once I removed about 20 of them, but this incident of our little patient has broken all records."
The boy is expected to make a full recovery.
Distributed by Internet Broadcasting. This material may not be published, broadcast, rewritten or redistributed.
New charges filed for two involved in beating of autistic teen
Father of Port St. Lucie teen killed in crash asks for witnesses to come forward
Video of teen beating autistic boy sparks national outcry
Social media has mixed effect on beating investigation
Royal Palm Beach H.S. assistant princpal stabbed


text:
Edwin McCain - Today's Christian Videos
Press the button below if you liked this video! Thank you! =D
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i'll be
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text:
Thread: New sig I just made
Re: New sig I just made
"PurplePeopleEaters" wrote:
"oddmanout22287" wrote:
"PurplePeopleEaters" wrote:
The text needs some work and it needs a border but you're still working on learning so i'll let you off this time with the critiquing. :wink: good job.
As for border... well, the only way I really know how to make a border is to just make a rectangle and add stroke, so it looks a lil' tacky.
Any tips on either?
As for the border add a 3 or 4 pxl white stroke and lower the opacity down to like 50 or so and then make a new layer and add a 1 pxl black stroke with regular settings. That's what's on all of mine. I'm pretty much the only person who uses that border though. It's part of my personal style.
What do you do for text as far as color goes, just fiddle with the blending modes until they blend with the background?PM me if you'd like a sig.
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Education Department Officials to Speak at 2012 ADC Convention
Reverend Brenda Girton-Mitchell to Address Arab Americans in Washington
Washington, DC | www.adc.org | June 14, 2012 -- The American-Arab Anti-Discrimination Committee (ADC) is proud to announce that several officials from the US Department of Education will be addressinghundreds of Arab American community members during the 2012 ADC National Convention. In addition to officials from the Office of Safe and Healthy Students and the Office of Civil Rights, ADC is honored thatReverend Brenda Girton-Mitchell will be addressing ADC convention attendees on bullying prevention and safe schools.
Reverend Brenda Girton-Mitchell was appointed by President Barack Obama to serve as director of the Education Department's Center for Faith-Based and Neighborhood


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Now a healthy nine-month-old, Samuel Stables was saved by hospital staff after suffering cardiac arrests within a week of his birth
Kerry Capper kept her daughter Libby Bennett at home fearing the discomfort was a return of a tumour on her kidneys
This week's Birmingham Children's Hospital Charity Champions are Jamie Payne and the Newport Knights inline roller hockey club from Newport in Shropshire.
This week's Birmingham Children's Hospital Charity Champions are Philip and Elliot Barguss from Solihull
The guard raced to the aid of the tragic six-year-old as she lay lifeless in the road outside The Lyng Centre medical practice in West Bromwich where he works
This week's Birmingham Children's Hospital Charity Champions is Kelly Wiggetts-Clinton from West Bromwich
Brian Napiorkowski was just three when he suffered four skull fractures after a crash in Rookery Road, Handsworth
The boy was knocked down on Farnborough Road, Castle Vale, just after 6.25pm last night
Huge Edgbaston site for women and children set to open in eight years
A total of 16 mums and dads agreed to carry permanent reminders of the dedication of staff at the city's children's hospital
The increase in patient numbers at Birmingham Children's Hospital was linked to family financial pressures, exams and problems on social media
Parents of boy who lost fight against disease in February celebrate new arrival
This week's Birmingham Children's Hospital Charity Champions are Zennor's Dance and Musical Theatre Academy Based in Stourport and Bewdley.
A police report found the fire was triggered by faulty wiring in an air conditioning unit at the AlAsmakh Real Estate building
The Plus 2's Group at St Stephen's Church, in Longbridge, have raised money for Birmingham Children's Hospital.
This week's Birmingham Children's Hospital Charity Champions are Ollie Groves and Jack Griffiths from Coventry.
Two-month old baby boy suffered serious head injuries after being thrown from car following collision at Junction 2 of M6
Madison Merrick desperately needs a new bowel but the surgery cannot be done in her native New Zealand.
Jury cleared Redditch woman Jessica Wiggins of child cruelty but could not reach verdict on causing 12-week-old's death
Officials are hoping the event will help to raise £101,000 for a chemotherapy suite for the new £4 million Children's Cancer Centre
Habiba had first op in 2011 - and when that failed three more over 13 days the following year
Ben Wilby celebrates miraculous recovery ten years after lifesaving op at Birmingham Children's Hospital
Marathon 22 fundraisers to mark 22 days Helen Gardner and Aaron Dawes's baby daughter lived
Toby Swindale, 3, joins Great Birmingham Run after vital bowel surgery at Birmingham Children's Hospital saved his life
This week's Birmingham Children's Hospital Charity Champions is Abigail Halcarz from Birmingham.
Prosecutors allege 12-week-old suffered nine broken ribs and a brain injury in two separate attacks by Tyler Vallance
This week's Birmingham Children's Hospital Charity Champions are Blossomfield Infant School from Shirley.
Cook Sally Bee visits Birmingham Children's Hospital to urge people to eat well and exercise in new health campaign
Six-month-old Elizabeth Soffe was rescued by her mum Sinead after her cot was engulfed in a ball of flames at her home in Qatar
Tyler Vallance, 21, pleaded guilty to the manslaughter of Isabella Vallance in December 2012, after a charge of murder was put to him at Worcester Crown Court
Is there something happening in your area you would like us to report on?
Tell us about it and, if possible, send us a picture
We reach over 784,967* unique users a month with dedicated coverage of Birmingham and the West Midlands.
Over 66% of our visitors, who view over 4m* page impressions every month, are in the desirable ABC1 socio-economic groups.
To book an advert with the Birmingham Mail team call 0121 234 5000, email firstname.lastname@example.com or visit the Trinity Mirror Midlands website for more information.
The Birmingham Mail is part of Trinity Mirror Midlands, offering you unique access to our audience across the region online and in print.
*Source: Omniture (UK 6 month average Jan-Jun 12) / Survey Interactive 09
Editor, Birmingham MailEditor-in-Chief, Trinity Mirror Midlands
A born and bred Brummie, David was appointed editor of the Birmingham Mail in November 2009.
He has over 30 years experience as a journalist in the West Midlands including editorships on the Coventry Telegraph and Sunday Mercury.


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St. Jimmy Shimmy 5K Run/Walk for the Whole Family Sept. 27
Forest Fitness Walks Fall Series Begins Sept. 8
Summer in Bloom at Forest Preserve District Prairies
Biondo Retires; Lapinski to Lead Forest Preserve District
Forest Preserve District Recognized for Financial Report
Night Hike and S'mores at Fullersburg Woods Aug. 30
Country Fair at Kline Creek Farm Aug. 30 and 31
District President Reappoints Jay Mitchell to Ethics Committee
Sign Up for Fishing Experiences in DuPage Forest Preserves
Sign Up For Summer Nature Hikes in DuPage Forest Preserves
In this season of giving, consider a gift to the Forest Preserve District of DuPage County. You may direct your monetary donation to the District's conservation, education or recreation programs. You may also choose to support a favorite forest preserve or allow the District to determine where your gift is needed most. Gifts of any amount help the District accomplish worthwhile initiatives that benefit visitors and the natural environment.
Larger gifts may leave a lasting legacy through the Tribute Program. For $500, donors can support the District at the green-fund level and have an honoree's name engraved on a brass donor tree in the lobby at District headquarters. Other tribute gift options include native trees, log benches, recycled plastic benches and other features to enhance DuPage County's natural areas. Tree and bench donations include nameplates or markers to honor loved ones or commemorate special events.
All donations are tax deductible under section 170(c)(1) of the Internal Revenue Code. To learn more about donations to the Forest Preserve District, call the Office of Fundraising and Development at 630-871-6400 or visit dupageforest.org and click on "Donate."
Established in 1915, the Forest Preserve District of DuPage County manages over 25,000 acres of prairies, woodlands and wetlands. Each year, over 4.3 million visitors enjoy the District's 60 forest preserves, 145 miles of trails, five education centers, and scores of scheduled programs and events. To learn more, call 630-933-7200 or visit dupageforest.org.
Media Contacts: Kathi Wagner, Director of the Office of Fundraising and Development, 630-933-7097Bonnie Olszewski, Office of Public Affairs, 630-871-6402
News Release Date: Dec. 2, 2011
Above: Donor Ruth Najacht and Forest Preserve President D. "Dewey" Pierotti Jr. commemorate the placement of the first leaf.


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The future Pope Benedict XVI resisted pleas to defrock a California priest with a record of sexually molesting children, citing concerns including "the good of the universal church," according to a 1985 letter bearing his signature.
Vatican knew of pedophile priest convicted of molesting children in 1981.
The following is a translation of the letter, from its original Latin, to English, provided by AP.
Most Excellent Bishop
Having received your letter of September 13 of this year, regarding the matter of the removal from all priestly burdens pertaining to Rev Stephen Miller Kiesle in your diocese, it is my duty to share with you the following:
This court, although it regards the arguments presented in favour of removal in this case to be of grave significance, nevertheless deems it necessary to consider the good of the Universal Church together with that of the petitioner, and it is also u
I think that sometimes these perpetrators actually think that we will not investigate their statements. See our new blog where we catch Fr. Jeyapaul in lies. Please leave a comment.


text:
Use the tools below to refine your search by only displaying reviews with a certain number of star ratings or to only show reviews from a certain time period. Eg click on '1 star' to just display the reviews we have which received a 1 star rating click or 'Within the last month' to display just reviews posted over the last month.
Written on: 13/09/2004 by 17saturn27 (1 review written)
I only rode at Parkfoot Trekking Centre once, I was put on the owners chestnut gelding, can't remember his name.
Its a pity we were not put into groups of riders who can ride and beginners… Read Full Review
Written on: 23/02/2007

Maybe you should try Penhalwyn trekking centre. If you do, book Sunny; she's perfect for cantering and trotting on! I'm sad that you couldn't go back there - chestnuts are so nice!

Many thanks
As rated by real users
" Great value for money! " Read More
" Great stables-fantastic staff " Read More
" Absolutely fantastic " Read More
" 1st Class Equestrian Training Centre " Read More
Written by SteveKeogh
" :: FANTASTIC PLACE ::: " Read More


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The latest edition of SB Nation's MLS Power Rankings is hot off the interweb's metaphorical presses, and the big story regarding Chivas USA is that they moved up. Not just a spot, but four whole positions! I guess respect is starting to be paid to the Goats after winning two tough road matches so far this season (and playing the teams at home very closely). Last week they were in 18th place, which I thought was kind of baloney, but this week they have rebounded to 14th overall.
Chivas currently sit above Toronto FC (who have now fallen to the very bottom of the standings, and will be Chivas' next opponent), the Philadelphia Union, the Montreal Impact, the New England Revolution, and the Portland Timbers. Just ahead of Chivas is the Columbus Crew (13th) and Chicago Fire(12th). Both teams haven't really demonstrated their true level, and in the case of Chicago that's because they have had two byes so far (which is pretty nonsensical, in my opinion). But you know, the SBN hive mind needs to see more before ranking the Goats even higher.
What do you think? Leave a comment below!


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Home » News » Public Safety
Rest room fire at Londonderry school investigated
LONDONDERRY — School officials are investigating the cause of a small fire that occurred in one of Matthew Thornton Elementary School's rest rooms Tuesday morning.
Fire crews were called to the Mammoth Road school shortly before 9 a.m., after staff members discovered a pile of paper products burning in a lavatory near the second-graders' wing.
Battalion Chief Jim Roger said the fire was a "very small one" and had for the most part extinguished itself by the time firefighters arrived.
"We ventilated the room to remove any fire odor," Roger said, adding that the scene was cleared by 9:52 a.m.
Brian Johnson, division chief of fire prevention, will be working closely with school administrators to investigate what may have led up to the fire, which is being considered "accidental" at this time.
Roger credited school staff and students for their prompt response.
"Everyone there just interacted excellently with the firefighters," he said.
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HURLEY, Mississippi --- Konnor Pilkington pitched a 1-hitter with 10 strikeouts as unbeaten East Central edged Long Beach 1-0 in non-region baseball action Thursday night.
Pilkington, a junior left-hander, allowed just two walks in improving to 3-0. Travis Kirkland had two hits, including the game-winning double in the bottom of the sixth.
East Central (7-0) travels to Long Beach at 7 p.m. Friday.


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Effects of improving infrastructure quality on business costs : evidence from firm-level data
AbstractEconomic development is affected by infrastructure services in both volume and quality terms. However, the quality of infrastructure is relatively difficult to measure and assess. The current paper, using firm-level data collected by a business environment assessment survey in 26 countries in Europe and Central Asia, estimates the marginal impacts on firm costs of infrastructure quality. The results suggest that the reliability or continuity of services is important for business performance. Firm costs significantly increase when electricity outages occur more frequently and theaverage outage duration becomes longer. Similarly, increased hours of water supply suspensions also reduce firms'competitiveness. In these countries, it is found that the total benefit for the economy from eliminating the existing electricity outages ranges from 0.5 to 6 percent of gross domestic product. If all water suspensions are removed, the economy could receive a gain of about 0.5 to 2 percent of gross domestic product. By contrast, the quality of telecommunications services seems to have no significant impact.
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Bibliographic InfoPaper provided by The World Bank in its series Policy Research Working Paper Series with number 4581.
Date of creation: 01 Mar 2008
Date of revision:
Handle: RePEc:wbk:wbrwps:4581
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Postal: 1818 H Street, N.W., Washington, DC 20433
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Web page: http://www.worldbank.org/
More information through EDIRC
Related researchKeywords: Transport Economics Policy&Planning; Town Water Supply and Sanitation; Private Participation in Infrastructure; Infrastructure Economics; Urban Slums Upgrading;
This paper has been announced in the following NEP Reports:
- NEP-ALL-2008-09-13 (All new papers)
- NEP-EFF-2008-09-13 (Efficiency & Productivity)
- NEP-TRA-2008-09-13 (Transition Economics)
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Cited by:
- World Bank, 2011. "Challenges to Enterprise Performance in the Face of the Financial Crisis : Eastern Europe and Central Asia," World Bank Publications, The World Bank, number 2316, October.
- World Bank & International Finance Corporation, 2013. "Doing Business 2014 : Understanding Regulations for Small and Medium-Size Enterprises," World Bank Publications, The World Bank, number 16204, October.
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Last night I decided that I wanted to change up my hair and I had 3 jars of dye: Manic Panic Electric Lava, Fuchsia Shock and Hot Hot Pink.
After looking at my hair with all the different colors I had, I decided I'd try to lighten the top section of my hair which was dark and had a permanent dark purple/black on it from several months ago. I used Manic Panic's Flashlighting bleach kit for 30 minutes on the top section of my hair and the two longest parts on each side in the back. On the parts of my hair that had no permanent dark dye, it lightened up to a light blonde. The darkened parts of my hair lightened up to a turquoise shade.
Because of this, I opted to not use all 3 colors I purchased and instead put Manic Panic Hot Hot Pink over all of it. I thought it would work well with the blue, purple and pink tones in my hair.
I had Ray take pictures of my hair out in direct sunlight, you can see how vibrant certain sections are.
This is in indirect sunlight outdoors.
I'm wearing Revlon Colurburst Lip butter in Lollipop on my lips. I dusted a bit of Illamasqua pressed foundation in 115 on my face and that's it.
My left eye is bothering me so I'm doing hot compresses on it and avoiding makeup.
I love the variation in color in my hair.
What do you think of the color?
Products purchased by me. All opinions are my own.
Tags: Hair, Manic Panic
I love it! It's awesome that the colors are so bright in sunlight but muted indoors
Thanks Silke! Me too. I could have bleached it more, but I'm happy with how it turned out.
I think you suck. You throw any old mix in your hair and it looks great. Meanwhile, I go to a "professional" and spend a fortune, and end up with a f'ing wreck. I hate you. (BTW I hope you all realize I'm being sarcastic, I totally love Phyrra!)
LOL! Naw, I debated doing what I wanted to do originally, which was throw 3 colors on it, but I couldn't figure out any way that the orange on top of blue would look good. I figured it would look terrible. So I decided that trying to blend all of my current shades together with hot hot pink would give me some variation in color and be fun.
Part of being an at home colorist is being willing to accept that it won't be perfect.
Sizzling! How do you keep it bright?
Actually I follow the tips in my Hair Guide:
I don't wash it every day and I use sulfate free products.
You look fantastic! I was never brave enough to do something that bright with my hair. I admire your knack for mixing colors. You mix anything together & it looks fabulous!
Thank you Kristi!
Your hair looks awesome! =D
Thanks Vijaya!
I love it, so pretty!
Thanks Daena!
Nice and bright for summer! I love the variations of color that show in the pics taken in sunlight. Sorry about your eye. I hope it gets better soon. I know this time of year especially my eyes freak out on me.
My allergies are bad and sometimes things that don't normally bother them cause them to freak out. Hot compresses and something to reduce the swelling help, but if it gets worse I'm heading to my doctor. Typically just hot compresses are all that's needed.
Love the color!!! I love how you have such a mix of shades. I also love your blue star earrings! Where did you get them?
Thanks Tracy!
It's this etsy store:
Gorgeous colour! May I ask what your natural hair colour is, and also do you always pre lighten your hair before putting the colour on? <3
My natural color is a very dark brown with a hint of red. It really looks like black in a lot of light. There's a picture of my natural hair color in my How to Care for Colored Hair Guide:
Love that color on you!
Thank you Sophie!


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Bunn, William B. III MD, JD, MPH
From Navistar, Inc, Warrenville, Ill.
Address correspondence to: William B. Bunn, III, MD, JD, MPH, International Truck and Engine Corporation, 4201 Winfield Road, Warrenville, IL 60555; E-mail: email@example.com.
As the number of international business travelers continues to grow, so does the list of destinations, many of which are endemic for both hepatitis A and B. Generally, travelers are unaware of the risks of acquiring viral hepatitis when traveling; many are unsure of modes of transmission and do not seek pretravel advice or do not follow the recommendations of travel health professionals. Infected employees can result in increased health care costs and reduced productivity in the workplace. Safe and efficacious monovalent vaccines and a combined hepatitis A and B vaccine are available. Successful corporate health and immunization programs can prevent hepatitis A and B when employees are abroad on business. This article examines the distribution, risks, costs, burden, and prevention of hepatitis A and B in the international business traveler.
Hepatitis A virus (HAV) is one of the most common vaccine-preventable infections acquired abroad.1 HAV is highly endemic in Africa, the Middle East, Asia (excluding Russia), certain areas of the Caribbean, and South America. Areas with intermediate prevalence include Russia and Eastern Europe (Fig. 1).1,2 In the United States there were 4488 acute clinical hepatitis A cases reported to the Centers for Disease Control and Prevention (CDC) in 2005.3 When unreported cases and asymptomatic infections were considered, it was estimated that as many as 19,000 acute clinical cases and 42,000 new HAV infections occurred in 2005.4 The rate of reported acute HAV infections declined by about 88% from 1995 to 2005. The implementation of childhood vaccination programs in communities and states with rates of hepatitis A higher than the national average may have contributed to the decreased number of reported cases.3 Many US travelers continue to be susceptible to infection, and up to 15% of reported hepatitis A cases are associated with international travel.3 A similar trend has also been observed in Canada, as the number of HAV infections reported in Ontario declined from 1998 to 2004, while the number of travel-related infections held steady during this period. From January 1998 to December 2004, 1381 cases of hepatitis A were reported in Ontario. Of which, 594 cases (43%) were travel related, and the most commonly reported travel destination was Asia, specifically Pakistan and India.5
Worldwide, 350 million persons are chronically infected with hepatitis B virus (HBV), the cause of up to 80% of hepatocellular carcinomas.6 Chronic HBV infection prevalence is highest in Africa, Asia (including China, Korea, Indonesia, and the Philippines), most of the Middle East, Southern and Western Pacific islands, the interior Amazon River Basin, Honduras, Guatemala, and certain parts of the Caribbean.1 Areas of intermediate endemicity (2% to 7%) include Japan, Eastern and Southern Europe, Russia, South Central and Southwest Asia, and parts of the Middle East (Fig. 1).1 For international travelers, the CDC regards the risk of HBV infection as generally low, except for those traveling to high or intermediate endemic countries.1
In 2005, there were 5494 reported cases of acute clinical hepatitis B in the United States.3 When accounting for unreported cases, it was estimated that as many as 15,000 acute clinical cases and 51,000 new infections occurred in 2005.3,4 Similar to hepatitis A, acute hepatitis B rates reported to the CDC have declined. The number of reported acute clinical hepatitis B cases declined by 79% from 1990 to 2005. The greatest decline in HBV infection was observed in children and adolescents, for which routine immunization is recommended. However, the incidence of HBV remains high among some adult groups, and increases as certain high-risk behaviors continue. Persons whose occupation, lifestyle, or environment places them in frequent contact with the HBV-infected blood, such as emigrating from high endemic areas, household contacts of infected persons, and injection drug users, have been identified as having the highest risk for infection.6
HAV is a picornavirus, a small RNA virus, which has tropism exclusively for hepatocytes.2 Transmission occurs through the fecal-oral route via ingestion of contaminated food or water, or by close personal contact, including sexual contact, with infected individuals.2 HAV can be highly stable outside the body in favorable environments (ie, low pH or moderate temperatures) for months.2 Approximately 10 to 12 days after initial exposure, HAV can be detected in the blood.2 The incubation period for HAV is 15 to 50 days, with a mean incubation of 28 days. After replication in the liver, enzyme resistant viral particles are transported in the bile to the intestine before being shed in the feces.2 Virions are present in the feces for 1 to 2 weeks before illness, and for at least 1 week after the onset of symptoms. During this time, infected individuals are highly contagious.2,7
HBV is an enveloped hepadnavirus with a double-stranded DNA genome, also replicating in the liver.6 Virions are found primarily in the blood, saliva, semen, vaginal secretions, and menstrual blood of infected individuals. In addition, smaller concentrations can be found in sweat, breast milk, tears, and urine.6 HBV is transmitted primarily through sexual contact.6 Additional modes of transmission include contact with the blood of an infected person.6 Transmission can occur when receiving contaminated blood products, sharing needles during intravenous drug use, tattooing, piercing ears, and receiving acupuncture, as well as through accidental exposure to poorly sterilized needles or other contaminated sharp instruments in health care facilities.6 Transmission of HBV has not been attributed to kissing (although biting can transmit the virus), nor through contact with an infected person's sweat, urine, or stool.6 HBV virions can remain infectious on inanimate surfaces, at room temperature, for more than 7 days,6 and HBV is transmitted approximately 100 times more easily than HIV.8 Incubation periods range from 60 to 150 days (90 days on average), and at least 50% of infections are asymptomatic,6 though the development of clinical manifestations are age dependent.9
Serological testing is needed to distinguish between the different types of acute viral hepatitis infections. Symptoms of acute HAV infection include jaundice, fatigue, abdominal pain, loss of appetite, nausea, diarrhea, and fever.2 Most (70%) infected children under the age of 6 years are asymptomatic, yet those over 6 years of age are usually symptomatic and about 70% develop jaundice.2 Although chronic infections do not occur, approximately 15% of HAV-infected patients experience relapses for 6 months.2 Most patients show complete recovery within 2 months of onset.2 The case-fatality ratio for acute hepatitis A is about 0.3% across all age groups, although individuals over the age of 40 have an increased risk of death.2
Outbreaks of hepatitis A have a significant financial impact. The estimated cost for acute hepatitis A in 1997, which included direct medical costs, lost workdays and salary, and incurred housekeeping expenses, was $7715 per patient.10 During a hepatitis A outbreak in Spokane, Washington, from 1997 to 1998, the average cost per case was $3837.11 During this outbreak, respondents reported missing between 2 and 155 days of work (average 9.1 day) due to HAV infection. Of those surveyed, three claimed workers' compensation for lost wages, which ranged from $1700 to $2000 from occupations in sales and teaching, respectively.11
Another hepatitis A outbreak in Ohio from November 1998 to May 1999 involved 136 cases.12 The average cost per case of the outbreak was $2894. Approximately 40% of the total cost was attributed to direct medical costs, 51% attributed to lost wages, and 9% attributed to health department costs. Employers incurred 29% of these outbreak costs.12 Of the 86 case-patients who were employed, 97% lost at least 1 day of work due to illness, with an average number of 12 workdays lost (range, 0 to 42 days). Average lost wages due to hepatitis A infection were $1675 among full-time workers. Employers paid an estimated $840 per case-patient through sick-leave reimbursement, and case-patients incurred an average of $633 of non-reimbursed lost wages.12 International travel increases the risk for HAV infection.2 Companies that require frequent travel to high endemic areas could experience a higher number of employees acquiring, or returning, with an HAV infection, resulting in unnecessary illness-associated costs.
Symptoms of acute HBV infection can include jaundice, fatigue, abdominal pain, loss of appetite, nausea and vomiting, and joint pain.6 As with HAV infections, asymptomatic HBV infections do occur. Approximately 30% of HBV-infected individuals remain asymptomatic.13 Fulminant hepatitis, the most severe form of acute infection, occurs in about 1% to 2% of cases of acute infection, and has a case-fatality ratio of 63% to 93%.6 Chronic HBV infection can lead to cirrhosis, liver failure, and liver cancer.6 Approximately 15% to 25% of persons chronically infected with HBV die from chronic liver disease.6
Hepatocellular carcinoma (HCC) is a well-described consequence of HBV infection and usually appears 25 to 30 years after the initial infection.9 Individuals with chronic HBV infection are 12 to 300 times more likely to develop HCC than noncarriers, resulting in an estimated 1000 to 1500 deaths annually in the United States.6 Primary liver cancer rates associated with HBV remained constant in the United States from 1993 to 1998.14 Approximately 3000 to 4000 mortalities per year in the United States occur from HBV-related cirrhosis.6 Patients with chronic HBV have significantly higher health care costs than other patients.15 A retrospective analysis of health care costs in a Health Maintenance Organization database revealed that patients with chronic HBV infection had health care costs 3.3 times higher than uninfected individuals in the 7 months surrounding the identification of their first diagnostic markers. These individuals continued to have monthly health care costs 2.9 times higher than uninfected individuals, after the first 7 months.15 In the United States, the estimated annual cost for a case of chronic HBV, without complications, is $761. Furthermore, the estimated annual cost for a case of HBV-related cirrhosis and HBV-related HCC is $11,459 and $7533, respectively (adjusted to US dollars in the year 2000).16 These two forms of vaccine-preventable hepatitis account for nearly 8 of 10 new viral hepatitis infections in the United States.4
As international business continues to grow into developing countries, corporations must expand their travel medicine programs. Many international business trips are frequently executed by a small and highly skilled set of employees, making the productivity of this group a major concern during the trip and upon return. The evacuation of a traveler can cost up to $100,000 in addition to the health care costs. An effective vaccine program for travelers can essentially eliminate this risk and the costs of lost productivity and health care.
At any given time, large US-based international corporations can have as many as 100 to 5000 US expatriates and short-term assignees (3 to 6 months) abroad. Some multinational corporations can have as many as 200,000 expatriates and short-term assignees traveling with families, all of whom require appropriate pretravel measures.17
In addition to costs associated with medical expenses and lost productivity, the illness-induced repatriation of a key employee and his or her family can cost more than $500,000 for the employer.17 A comprehensive vaccination and health screening program for all employees destined for remote areas costs approximately $500 per employee.17 Of 100 employees sent abroad, six are expected to be repatriated per year, with a cost of $500,000 per employee ($3 million in total).17 The total cost of an effective vaccination and screening program ($50,000 for 100 employees) can cost less than 2% of the total incurred costs if 6% of the employees contract a travel-related illnesses and require repatriation.17 A similar analysis for travelers with evacuation costs reaching $100,000 and major costs of lost productivity will show cost-effectiveness.
In addition, employers are legally required to provide a standard of health care similar to that of their home country, including preventative medicine, irrespective of the geographic location of the employee at the time.17 Workers' compensation laws usually apply since travelers and expatriates are at increased risk for acquiring an infection. Tort liability is also a consideration for other workers, close contacts, and family members who may contract the disease.
In 2005, international travel was the most frequently identified risk factor for HAV infection among Americans, and was associated with 15% of cases reported to the CDC that year (Fig. 2).3 In Canada, 40% of reported HAV cases between 2000 and 2002 were associated with international travel.18 In the United States, in 1996, 4% of reported acute viral hepatitis cases in the CDC Sentinel Counties Study were associated with international travel, primarily due to travel to Mexico, Central, or South America.19 The risk of acquiring HAV for nonimmune travelers is 6 to 300 per 100,000 person-months abroad.20,21 Travelers' risks are dependent upon their destination, and risk increases with length of stay and potential for consumption of contaminated foods or beverages.1 Foods frequently contaminated with HAV include unpeeled or uncooked fruits and vegetables, tap water that has not been boiled, ice or shellfish from sewage-contaminated water, and ice cream.1 HAV foodborne outbreaks are not isolated to poor sanitary conditions, as outbreaks have been attributed to hotels and resorts in well-developed areas.22
When visiting endemic regions, travelers may be at risk for HBV exposure through unprotected sexual contact with local residents, or unanticipated medical treatment, including post-trauma emergency care, in facilities where needles may not be properly sterilized or where poorly screened blood transfusions are used.6 Additionally, certain activities, such as tattooing, intravenous drug use, and acupuncture, increase the risk for infection. Other risky activities include body piercing and sharing razor blades or toothbrushes.23–25 Up to 10% to 15% of travelers are exposed to blood or other bodily fluids when traveling abroad.21 The number of hepatitis B cases directly resulting from specific high-risk activities while traveling is unknown. However, a 2006 survey revealed that 8% of US travelers put themselves at high risk for infection when visiting endemic areas for HBV through sexual activity, dental treatment, sporting activities (such as horseback riding), and skin-perforating cosmetic practices.26 A comprehensive survey involving over 9000 respondents from nine countries revealed that a significant proportion of European travelers also placed themselves at high (6.6% to 11.2%) or potential (60.8% to75.8%) risk for contracting HBV when traveling to endemic regions.27 Less than 25% of these travelers were vaccinated against HBV.27
One analysis of three retrospective studies estimated the overall risk of acquiring a symptomatic HBV infection in vacationers traveling to Asia, Africa, and Latin America (n = 463). The exact duration of their stay was not known, and was estimated to be 1 month. The overall risk for acquiring a symptomatic HBV infection per journey was 1 in 2500 months (or 40 per 100,000 months), varying between 20 in 100,000 months in Africa and Latin America and 60 in 100 months abroad in Asia.28 Another prospective study29 showed that only 2 of 7887 travelers to developing countries were diagnosed with hepatitis B, both of whom worked abroad (n = 97). No vacationers (n = 7317) acquired HBV. The incidence rate per month for symptomatic hepatitis B was therefore estimated to be 25 in 100,000. As the estimated risk was based on only 2 cases of hepatitis B, it should be noted that the range for risk of infection would vary greatly.
A European consensus panel recently concluded that the risk of contracting HAV and HBV is significant enough to consider vaccination against both viruses for European travelers heading to the Eastern European Union destinations of Armenia, Azerbaijan, Belarus, Bosnia and Herzegovina Bulgaria, Georgia, Kazakhstan, Kosovo, Kyrgyzstan, Moldova, Romania, Russia, Serbia and Montenegro, Tajikistan, Turkmenistan, and Ukraine.30 HAV and HBV vaccinations should also be considered when traveling to Albania, Egypt, FYROM, Israel, Jordan, Lebanon, Libya, Morocco, Syria, Tunisia, and Turkey.30
In many developing countries, lack of regulations and inspections of health care facilities and provider practices increase the risk of HBV transmission. Injections in health care settings in developing countries that use improper infection-control procedures and unsanitary injection equipment have been identified as major sources of HBV transmission.31 Post-travel surveys revealed that 64% of US travelers visiting developing countries became ill, 8% of whom sought medical care.32 Of those who sought medical care, 17% received injections.32 Furthermore, 31.7% of international Canadian travelers seeking medical attention underwent parenteral injections, including medication, intravenous therapy, blood transfusion, or anesthesia, or had blood extracted for laboratory samples.23 Even in the United States where government regulations and recommendations are well-known and enforced, an HBV outbreak in a private medical office performing unnecessary injections and inadequate sanitation measures was recently documented.33
In 2000, an analysis of epidemiological studies and surveys on sterilization practices in regions of the world with high HBV disease burdens showed that an estimated 39.3% (1.2% to 75% depending on region) of administered injections involved reused equipment. This resulted in an estimated 21 million new HBV infections because of needle reuse (31.9% of all new HBV infections).34,35 Global modeling estimates suggest that approximately 8 to 16 million HBV infections will result from unsafe injections each year.36 Reuse of injection equipment occurs in almost one in three injections in developing and transitional countries.35 India, Afghanistan, Egypt, Iraq, Pakistan, Sudan, and Yemen had the highest injection needle reuse rates.35 Analysis of injection practices in developing countries indicates that ill or hospitalized adults are often exposed to 10 to 100 times as many injections, many of which may be unnecessary, compared with the 1.5 injections that their healthy counterparts receive annually.37
Injuries sustained abroad may result in emergency dental or surgical procedures. When abroad, travelers are more likely to be injured in an accident or violent act than they are to contract an exotic illness.38 Travelers visiting developing countries should be particularly wary of traffic, both drivers and pedestrians, as traffic laws in these countries are often limited or inadequately enforced. Road signs may be written in unfamiliar languages, lighting may be poor or nonexistent, residential driving habits may be dangerous, and traffic may be a mix of many different vehicles, pedestrians, and animals.38 Additionally, injury can occur through intentional violence, as criminals often target business travelers, making violence a significant risk in many developing countries.1,38
To reduce the risk of acquiring bloodborne diseases or aggravating previously existing medical conditions or those acquired abroad, international business travelers should travel with adequately supplied medical kits. Based on the destination and duration of journey, a travel medicine specialist should determine the specific contents of the medical kit.39 Travel medical kit supplies are readily available and can be easily obtained through the internet. In addition to the standard fist aid items, needles, syringes, emergency dental kits, and suturing supplies can be included in medical kits, as well as water purification items and intravenous fluids (rehydration packs) for those traveling to developing countries. Consistent inclusion of medical kits in the business traveler's luggage will require well-implemented corporate medical education programs.40
Although awareness of transmissible diseases may be increasing among travelers, this level of knowledge is not reflected in actual behavior. It is estimated that almost 45% and 16% of individuals infected with HAV and HBV, respectively, are unable to identify the source of their infection or may deny or conceal participation in high-risk behaviors.2,6 In total, 17% to 28% of travelers correctly recognized hepatitis A as one of the highest risks among vaccine-preventable diseases.41,42 Most travelers recognized the protective effect of vaccines, though less than 24% of those surveyed were vaccinated against hepatitis A, and even fewer against hepatitis B.41–43 In addition, there appears to be incomplete knowledge among travelers about the modes of transmission for HAV and HBV. More than 60% of Canadian travelers did not know that hepatitis A could be contracted by eating contaminated food or through sexual contact, and only 42% identified sexual activity as a mode of transmission for hepatitis B.44 Data collected from airport surveys in Europe and the United States revealed that only 15% to 26% of travelers intended to completely restrict their consumption of potentially dangerous foods, whereas the majority (59% to 70%) did not plan to drink local tap water.41,42,45
Although international travelers may not consider engaging in sexual activity, surveys have found that sexual contact between travelers and local inhabitants is not uncommon.46 Up to 55% of international travelers reported casual sex, particularly with local residents, and a significant percentage (30% to 65%) did not use condoms, or were inconsistent with condom use.46–50 A survey of travelers visiting Lima, Peru revealed that 12.2% had new sex partners during their stay; 67.3% of partners were local inhabitants, 34.6% were other travelers, and 7.7% were sex workers.47 Sexual activity among US travelers (15.2%) was greater than that among travelers from other countries (10.6%). Condoms were consistently or sometimes used in 24% and 20% of the respondents, respectively.47
Although similar data from US travelers are unavailable, a survey of patients attending two Glasgow genitourinary medicine clinics revealed that 19.6% of women, 31% of heterosexual men, and 42% of homosexual men had sexual contact with a new partner while abroad.49 Of those who had had a new sexual contact abroad, 50% of women who had sex with a new partner and 59% of heterosexual men who had sex with a new partner used condoms inconsistently. In total, 24% of those traveling for personal reasons had a new sexual contact, whereas 41% of those traveling for business had a new sexual contact. Of heterosexual male travelers who had a sexual contact abroad, 22.6% on vacation or visiting friends and relatives had sexual contact with a local inhabitant compared with 92% of those on business or working abroad.49 However, these data should not be used as a literal representation of all business travelers. It is also not known whether the reported sexual activity resulted in HBV infection.49 Lack of awareness about the modes of transmission combined with failure to protect against vaccine-preventable diseases will continue to put business travelers at unnecessary risk for the development of serious and costly infections. Routine corporate education and vaccination programs lead by physicians can reduce these risks and minimize economic and wellness costs.51 In 1995, the CDC reported survey results, which stated 36% of responding primary-care physicians provided pretravel advice. When presented with three travel scenarios, 0.5% of physicians gave appropriate advice in all three scenarios, 40% did not give any correct advice, and 22% had no opinion.52 Corporate travel program directors should not assume that adequate pretravel advice is consistently given by primary care physicians.
Vaccines against HAV have been available in the United States since 1995. Both Havrix (GlaxoSmithKline; Rixensart, Belgium) and VAQTA (Merck; Whitehouse Station, New Jersey) are inactivated HAV virus vaccines, licensed for administration in the United States. Individuals are vaccinated by intramuscular injection, with a primary immunization and a booster dose 6 to 12 months later (up to 18 months later for VAQTA).53,54 The CDC and World Health Organization (WHO) recommend HAV vaccination for adults in high-risk groups, including persons traveling to endemic areas. CDC recommendations were updated in 2006 to include all children beginning at 1 year of age.55–57 Physicians often follow current CDC and WHO vaccination recommendations. Integrated databases, such as Travax™ (Shoreland, Inc., Milwaukee, WI), are frequently used by multinational industries for travel medicine recommendations. Shoreland expands on these recommendations to state that even individuals staying at deluxe hotels in intermediate to high HAV endemic areas, who do not exhibit risky eating habits, should not overlook vaccination.58
Protective antibody responses are generated within as little as 2 weeks after the first dose of HAV vaccine.59 Immunity is generally long lived, and if patients miss the second scheduled dose they can receive a booster injection years later without reduced immunity.58
Because a single dose of HAV vaccine results in rapid seroconversion, anti-HAV immunoglobulin (IG) therapy is generally not used as a prophylactic measure for travelers to endemic areas. Composite data from three clinical studies that compared immunization with a single dose of HAV vaccine to the prophylactic administration of IG in over 400 healthy adults, 18 to 50 years of age, showed that a single immunization results in strong and sustained antibody responses when compared with IG. Postvaccination geometric mean titers of immunized seroconverters (≥20 mIU/mL) ranged from 264 to 339 mIU/mL at day 15 and increased to 335 to 637 mIU/mL at month 1. Study participants receiving two and a half to five times the standard dose of IG (standard dose = 0.02 to 0.06 mL/kg) had a geometric mean titer of 146 mIU/mL at 5 days postadministration, 77 mIU/mL at month 1, and 63 mIU/mL at month 2.53 Planned pretravel vaccination is a more practical approach to HAV prophylaxis.
In circumstances where passive protection against HAV is required either postexposure or in persons requiring both immediate and long-term protection, HAV vaccine is approved to be administered concomitantly with IG with different syringes and at different injection sites.53,58 Clinical studies conducted during 10 HAV outbreaks in Slovakia showed that when direct contacts of confirmed HAV cases received either a single dose of HAV vaccine (n = 2171) or IG (n = 3837), the number of confirmed hepatitis A cases dropped within the first seven weeks in the IG group, whereas the number of HAV cases dropped within the first 4 weeks after immunization in the vaccinated group.60 Among contacts with HAV-infected individuals, 16 cases (0.7%) of hepatitis A were reported in the vaccine group and 51 cases (1.3%) were reported in the IG group (P < 0.05) during the maximum incubation period of 45 days. After 2 or 3 years, volunteers who received a booster dose showed a significant increase in anti-HAV geometric mean concentrations; however, the time difference between primary vaccination and booster administration did not seem to impact the magnitude of the booster response. In the United States, a randomized, double-blinded, placebo-controlled trial conducted during an HAV outbreak in Monroe, New York, among susceptible healthy children and adolescents aged 2 to 16 years (n = 1037), showed that a single dose of HAV vaccine had 100% efficacy (P < 0.001).61 No clinically confirmed cases of HAV were detected in recipients of the vaccine at 16 days postvaccination.62 Protective immune responses were shown to persist for at least 9 years after the booster.63 These studies demonstrate that postexposure immunization with a single dose of inactivated HAV vaccine can confer high and long-term protection and effectively control viral hepatitis A outbreaks.60–63 Also, considering the incubation period of HAV (average, 2 to 4 weeks), the WHO recommends that HAV vaccine can be administered up to the day of departure and still protect travelers. The WHO further states that the use of IG is virtually obsolete for travel prophylaxis,56 as IG is not commonly available for prophylactic or acute treatment. CDC recommendations were recently modified to state that healthy persons between 12 months and 40 years of age should be given the age appropriate dose of vaccine instead of IG for postexposure prophylaxis.64 However, the CDC still prefers IG for persons over 40 years of age or those with underlying medical conditions; due to a lack of available data, neither postexposure treatment has been evaluated more than 2 weeks after exposure.64 Shoreland recommends that travelers be immunized as soon as travel is considered (at least 4 weeks before departure), but vaccination is still recommended anytime before departure, as it is likely to provide adequate protection in the absence or unavailability of prophylactic IG.58 Furthermore, the Canadian National Advisory Committee on Immunization recommends HAV vaccination over IG for postexposure prophylaxis in persons greater than 1 year of age.58
Two monovalent HBV vaccines are available in the United States: Engerix-B (GlaxoSmithKline; Rixensart, Belgium) and Recombivax HB (Merck; Whitehouse Station, New Jersey). Both vaccines, which are based on recombinant DNA technology, have demonstrated efficacy and are well-tolerated. The CDC, WHO, and Shoreland recommend HBV vaccination for all infants, children, and adolescents under 19 years of age,1,65 as well as unvaccinated adults at risk for exposure, including travelers visiting intermediate to high endemic areas1,56,65 and all travelers who engage in high-risk activities.1,56,65 Both HBV vaccines are administered by three intramuscular injections at 0, 1, and 6 months.66,67 Should a lapse occur in the dosing schedule, HBV protection (serum antibodies ≥10 mIU/mL for seroprotection) can be assessed upon completion of the recommended vaccination schedule.65 Monovalent hepatitis vaccines can be interchanged between manufacturers without a lapse in protection.58,65
There is much overlap among areas highly endemic for HAV and HBV (Fig. 1).68 Travelers who require protection from both viruses can be vaccinated with the bivalent vaccine, Twinrix (GlaxoSmithKline; Rixensart, Belgium), which can be given to travelers 18 years of age and older.69 For those traveling to areas endemic for both HAV and HBV, the CDC, WHO, and Shoreland recommend vaccination against HAV and HBV.56–58,70 Twinrix can be administered via three intramuscular injections at 0, 1, and 6 months.69 In adults, immunization with Twinrix is well tolerated and was shown to have similar or fewer adverse events when compared with concomitant immunization with equivalent monovalent vaccines.71 Twinrix was recently approved for an accelerated dosing schedule with injections at 0, 7, and 21 to 30 days, followed by a booster immunization at 12 months.69 The combination of fewer immunizations when compared with HAV and HBV immunizations administered separately, as well as the decreased time between dosing with the accelerated schedule, could facilitate increased compliance in protecting business travelers against HAV and HBV. In the following studies, rates of seroconversion and seroprotection are accepted efficacy endpoints for HAV and HBV vaccination studies, respectively.69 In subjects 18 years and older, immunization with Twinrix on the accelerated schedule or concomitant immunization with monovalent vaccines on the standard immunization schedule resulted in ≥98% seroconversion for HAV by day 37 (Table 1).72 However, immunization with Twinrix on the accelerated schedule resulted in a 63% seroprotection rate against HBsAg after 37 days, whereas concomitant monovalent immunization resulted in a seroprotection rate of approximately 44% (Table 1).72 An earlier study reported HAV seroconversion rates of 91% and 98%, and HBsAg seroprotection rates of 18% and 8%, 30 days after volunteers (mean age of 40 years) were immunized once on the standard schedule with Twinrix and concomitant monovalent vaccines, respectively (Table 1).71 Furthermore, a combined analysis of 11 clinical trials showed that individuals immunized with Twinrix on the standard schedule had HAV seroconversion and HBsAg seroprotection rates of 94% and 31%, respectively, 30 days after the first immunization.69 It should be noted, however, that by 60 days, immunization with Twinrix on the accelerated schedule or standard administration of concomitant monovalent vaccines was shown to have comparable HAV seroconversion (99.5% and 98.9%, respectively) and HBV seroprotection (85.0% and 84.9%, respectively) rates.73 When immunized with Twinrix on the accelerated schedule, business travelers with only 1 month's notice before their departure date can still receive a level of protection against both HAV and HBV if high levels of HBsAg antibodies are obtained at 30 days postvaccination. Full implementation of the combined HAV and HBV vaccine may be limited by the high efficacy observed with the monovalent formulations.6 Before an experiential departure date, further assessments are needed to evaluate protection and compliance rates for combination and monovalent vaccination, as well as a comparison of four doses of Twinrix with an extra dose of HBV vaccine in the concomitant immunization group.
Hepatitis A and B present significant health risks to today's business travelers. Consumption of inadequately prepared food and water, unexpected sexual encounters and hospitalizations, and invasive cosmetic practices can expose business travelers to hepatitis viruses. Many business travelers remain unaware of the risks of infection or do not follow recommendations to avoid risky behavior. This is compounded by a lack of universal adult vaccination against HAV and HBV, confusing risky behavior-based vaccination recommendations, and a lack of consistency in corporate immunization policies. In addition, many travelers do not anticipate situations that would put them at increased risk for infection (eg, hospitalization or unprotected casual sex).
Hepatitis A and B place a burden on infected individuals, both clinically and financially. Financial impact results in reduced work productivity, early termination of business trips, lost wages, increased health care costs from acute or chronic hepatitis infections, and altered interpersonal interactions from sickness. The impact can affect the infected individual's employer, health care community, and family. Education and vaccination programs for all nonimmune travelers should be adopted by employers who send their employees to HAV and HBV endemic areas. Doing so could prevent employer-incurred costs associated with infections acquired abroad and may prevent additional costs related to transmission of HAV or HBV to coworkers, family members, or sexual partners.
Business travelers must be better educated about their risks of contracting HAV and HBV. For those visiting high endemic areas, the risk of infection increases with the length of stay. To this end, employee programs aimed at educating business travelers about their risk of acquiring travel-related infections would be beneficial. There are no approved vaccines for other diseases with modes of transmission similar to HBV, including the hepatitis C virus and HIV. Vaccination against HAV and HBV is more cost-effective than treating the resulting illness; therefore, corporations with international travelers to endemic areas should be vaccinating all travelers for both HAV and HBV. Universal HAV and HBV vaccination was recommended in children and infants in 2005 and 1991, respectively. Immunity to hepatitis A and B will begin to be assumed in those entering the workforce in approximately 15 and 6 years, respectively. However, expanding recommendations to include adolescents and at risk groups will make it increasingly necessary for corporate physicians to inquire about prior vaccination of employees against both viruses before these individuals enter the workforce.
Many travelers are unaware of modes of HAV and HBV transmission and do not seek pretravel advice from health care professionals. Successful corporate health programs can prevent HAV and HBV infection with vaccination. HAV vaccination has been attributed to a 35.0% to 61.8% reduction of HAV in international Swiss travelers, depending on the destination, between 2000 and 2004.20 Comprehensive vaccination regimens should be integrated into employer-sponsored health maintenance plans for groups at risk for HAV or HBV infection under preventative care. Family physicians will remain the primary source of pretravel health recommendations for many patients who do not have employer-sponsored plans; family physicians must continue to inform and educate patients about the health risks associated with HAV and HBV when traveling abroad.
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©2008The American College of Occupational and Environmental Medicine
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Saturday May 17, 2014
Highland Park (TX): Southwestern Oklahoma State (D-II) defensive backs coach/recruiting coordinator Toby Trotter has accepted a position on the Highland Park staff.
Stranahan (FL): Head coach Willie Hill will not return.
West (Iowa City, IA): Head coach Brian Strausser has left his position after six years to become the offensive coordinator/assistant athletics director/strength and conditioning coach at Yukon (OK).
Shadow Mountain (AZ): Head coach Gary Cook has stepped down.
Bellingham (WA): Ted Flint has been hired as head coach.
Squalicum (WA): Former Simon Fraer (D-II - BC) offensive coordinator Nick Lucy has been hired as head coach.


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I've been thinking about a point that's often made when discussing gun control, comparing limits to the 2nd amendment to limits on the first amendment such as you can't yell FIRE! in a crowded theater. Well, it occurred to me that that simply isn't true. You very well CAN yell FIRE! in a crowded theater. It just better be on fire.
But what a lot of gun control laws try to do is akin to banning yelling FIRE! under any circumstances, even if the metaphorical theater is, in fact, on fire. And somehow they think they're making people safer.
Anyway, just thought I would share my minor epiphany.


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Seniors can be tricked into exercising with video games, study might suggest
"The study suggests encouraging results from the use of the exergames," Dr. Jeste reports. "More than one-third of the participants had a 50-percent or greater reduction of depressive symptoms." Additionally, most participants claimed that learning to to play those darned vidja games was actually pretty easy -- even enjoyable. Uh-oh. Red flag!
You see, had Dr. Jeste continued his study, he might have found that his guinea pigs would soon discover that Wii Sports can easily be played with the slightest flicks of the wrist and, ah yes, it is nice to just sit back on the couch again, but, oh boy, this game is really getting boring, so let me just get on the dag blasted google and see what -- here we go -- "the best videogame right now," okay, the yahoo's answer says: World of Warcraft. Warcraft, eh? That certainly sounds better than bowling. Couldn't hurt to give it a quick gander ... click.
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Home » News » Religion
Cleric's case a puzzle, concern
Arguably the most high-profile cleric in New Hampshire from 2002 through 2007, Arsenault handled the media, oversaw the diocese's administration and finances, and was the architect of its child protection and ministerial conduct policies.
So it was with more than a little irony that Catholics learned last week Arsenault, 51, is the target of a criminal investigation of possible inappropriate financial transactions involving diocesan funds and an internal review of a possible inappropriate adult relationship.
"That is why it is so surprising and so unbelievable that somebody who knows the rules, somebody who wrote the rules, is accused of violating them," said Donna Sytek, former House speaker, who serves on the New Hampshire Catholic Charities board of directors.
"I was astonished because (it involves) somebody who had been so involved in the process of setting out expectations for good conduct," added Sytek, who in 2002 served with Arsenault on a diocesan task force to craft a sexual misconduct policy.
"I saw him as a good and faithful priest. ... The allegations are totally not the Arsenault that I knew," Sytek said.
"This could be an unfounded allegation, so I don't want to prejudge the outcome," she added.
Catholics - ordained and lay - also worry the allegations could harm a diocese just beginning to rebound from a deeply wounding clergy sexual abuse scandal.
"Eleven years ago, we had a great crisis in this diocese. It pulls the scab off a little bit," said the Rev. C. Peter Dumont, a retired priest who served as a regional vicar.
"I just feel awful for the Diocese of Manchester. I just feel awful for the parishes where he served. I feel awful for the church," Dumont added.
"I've spoken to a few of my brother priests and they are hurt," he said.
He and other Catholics support Bishop Peter A. Libasci's attempts to convey as much information as possible while the New Hampshire Attorney General's Office conducts its investigation.
"Let the chips fall where they may," Dumont said of the probe.
Last Monday, the diocese announced it received allegations earlier this year regarding a "potentially inappropriate adult relationship" involving Arsenault. The allegations involve neither minors nor any other diocesan personnel. The diocese and the Attorney General's Office would not elaborate on the relationship.
In reviewing the claims, church officials discovered "evidence suggesting improper financial transactions ... involving diocesan funds," the diocese said in its May 6 statement.
The investigation also appears to involve Catholic Medical Center in Manchester and a contract it signed with Arsenault for consulting services in 2009. The contract was signed after Arsenault resigned from the CMC board of directors, where he served for 11 years as the bishop's delegate.
It was one of several high-ranking diocesan posts Arsenault resigned from in January 2009. The others were moderator of the curia, secretary for administration and the bishop's delegate for ministerial conduct. Arsenault also previously served as cabinet secretary for administration and as chancellor. He took over as head of St. Luke Institute in October 2009 and was appointed monsignor in 2010.
Reached by telephone Thursday, Arsenault said he was in a meeting and could not comment. He has not responded to requests for comments since.
Arsenault, a native of the Readville neighborhood of Boston, has a master's degree in theology, divinity and finance. Eight years after being ordained a priest, Arsenault moved into diocesan administration, where he soon earned a reputation as an adept administrator who introduced more professional standards to diocesan governance, several people who know him say.
"I could see that he had very strong capabilities in the area of finance and administration," said Ronald J. Rioux, who served two years on the CMC board of trustees with Arsenault and now is vice chancellor of the state's community college system.
"He always struck me as very smart, very capable. I always thought he was a very good priest," added Rioux, who also served on the diocesan finance council with Arsenault. Rioux recalls Arsenault as a "good homilist" when he celebrated Mass at his parish, St. Michael's in Exeter, as a visiting priest.
Dumont remembers Arsenault as someone who made a point of calling him on his birthday and ordination anniversary and to inquire about his aging mother's health.
"I know, firsthand, that he was extremely solicitous, kind, helpful to victims and to their relatives. ... I'm a witness," Dumont added.
But Bernie McDaid of Peabody, Mass., who was sexually abused as a child by the late Rev. Joseph Birmingham at St. James Parish in Salem, Mass., recounted his two meetings with Arsenault in 2002 when he and other victims came to New Hampshire demanding Bishop John B. McCormack's resignation.
"I think he was very cold, aloof, distant, guarded, looking for a political position - he couldn't wait for McCormack to go out," said McDaid, who is founder of Survivors Voice, a Europe-based group representing clergy sexual abuse victims.
Others agree Arsenault's more professional style of running the diocese coupled with his sometimes curt mannerisms sowed dislike among some.
"He was not loved by everybody. But he was admired by several people who, maybe at some point, did not necessarily agree with him," Dumont said.
"Sometimes he wasn't pleasant. He was very straightforward. He didn't mince words. He was callous maybe, but he had many irons in the fire, as it were," he added.
Arsenault's greatest legacy likely will be his role in crafting child protection and ministerial conduct policies and helping reach a historic agreement with the state in 2002 in which the diocese admitted its failure to protect minors from abusive priests could have resulted in criminal convictions.
"I think that was a great service to the church," said a cleric who spoke on condition of anonymity.
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Overnatting Kina Suzhou FX Hotel GuanQian
Bilder Fasiliteter Kart Streetview Vurderinger
The FX Hotel is located at the intersection of Ganjiang Road and Renmin Road, in the bustling downtown Guanqian commercial area.
This Suzhou hotel has a great variety of accommodations ranging from business rooms to suites.
In addition, there is a large parking lot for those traveling in their own cars to accommodate their vehicles. Guests also benefit from room delivery, laundry, postal and car rental services on the premises.
Hotel amenities are Meeting facilities, Laundry service, Front desk valuables safe, Bellman, Baggage deposit service, Charged parking, Escalator/elevator.
Hotel dining offers Room service, Chinese cuisine, Western cuisine, Coffee shop, Bar/lounge.
Room amenities are domestic direct-dial, International direct-dial, Slipper, Writing desk, 24 hours hot water, Electric kettle, Complimentary bottled water, Mini refrigerator, Bathrobe, Separate shower room, Hair dryer, In-room safe, Individually controlled air conditioning.
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Import Prohibition
The committee heard testimony concerning the violation of US export laws by Toshiba Machines and Kongsberg by selling military use machinery to the Soviet Union.
Note: This program is incomplete.
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- Bonker, Don Senior Trade Consultant APCO Worldwide
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- Rowland, John G. U.S. Representative [R] Connecticut
- Crane, Philip "Phil" M. U.S. Representative [R] Illinois
- Downey, Thomas J. U.S. Representative [D] New York
- Frenzel, William Eldridge U.S. Representative [R] Minnesota
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Let's be honest, WrestleMania XXVII was never really expected to be the greatest of all-time. It had a slow build-up, very few star-studded matches, and was outshone by the return of The Rock and Michael Cole's ego. What we got was still a shock to me though...
The first shocker came in putting the World Heavyweight Championship match on first. What I thought when this match was announced
Updated 04-04-2011 at 10:35 AM by Frank
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