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Now on Kaiser Health News' blog, Julie Appleby reports on a choice some workers will have on a few online health insurance marketplaces: "Small business workers in at least 15 states and the District of Columbia may have a menu of health insurance choices next year, something that didn't seem likely a few months ago. Back in April, federal officials concerned about the potential for major glitches put off until 2015 a provision that would offer small businesses owners a way to allow their employees to choose from among a variety of competing plans in the new online marketplace being overseen by the Obama administration" (Appleby, 7/11).
Also, insurance columnist Michelle Andrews examines a key distinction between the premium subsidy and the cost-sharing subsidies offered to lower income people on the new marketplaces: "There are two kinds of financial help for people planning to enroll in the online health insurance marketplaces that will open this fall. One could put people at risk of having to pay some of the money back, while the other won't. That's one big difference between tax credits and subsidies, both of which are intended to help people with lower incomes pay for health insurance through the new health care law" (Andrews, 7/10). Check out what else is on the blog.
The Miami Herald's Patricia Borns, in partnership with Kaiser Health News, reports: "Enroll America, a Washington, D.C.-based nonprofit whose mission is to educate Americans about their healthcare options under the Affordable Care Act, kicked off its Florida campaign Wednesday in Miami with a training session for more than 25 newly hired organizers who will be reaching out to residents statewide" (Borns, 7/10). Read the story.
Kaiser Health News provides a fresh take on health policy developments with 'Gloving Up?' By Clay Bennett, Chattanooga Times Free Press.
Meanwhile, here is today's health policy haiku:
Sleep deprivation
Or training deprivation
Which one would you choose?
If you have a health policy haiku to share, please send it to us at http://www.kaiserhealthnews.org/ContactUs.aspx and let us know if you want to include your name. Keep in mind that we give extra points if you link back to a KHN original story.
Encouraged by the administration's delay of the employer mandate provision by one year, Republicans were active on both sides of Capitol Hill Tuesday, renewing their calls for repeal.
The New York Times: Democrats Shrug Off Delays And Affirm Support For Health Law
Congressional Democrats said Wednesday that they expected to see more delays and snags in President Obama's efforts to carry out the new health care law, but they affirmed their strong support for the overarching goal of expanded coverage. The comments came in a hearing of a House Ways and Means subcommittee held to investigate the president's decision last week to delay until 2015 a major provision of the law. It requires employers with more than 50 full-time workers to offer health coverage to them (Pear, 7/10).
Kaiser Health News: Health On The Hill: GOP Has 'Really Busy Month' Ahead On Health Care
KHN's Mary Agnes Carey talks with Politico Pro's Paige Winfield Cunningham about the latest Republican efforts to delay or repeal Obamacare provisions, including postponing a mandate on individuals to carry health insurance (7/11).
National Journal: House GOP Adopts New, Populist Critique Of Obamacare
In the ongoing rhetorical wars against the president's health care law, House Republicans have found a new critique—and it has a populist bite. The argument goes like this: By delaying last week a requirement that employers with a workforce of 50 or more offer their workers insurance, the White House gave a break to small business. But it isn't granting a similar reprieve to ordinary Americans by postponing the law's unpopular requirement that individuals obtain health insurance or face a fine (Hollander and Sanger-Katz, 7/11).
Des Moines Register: Harkin Questions Legality Of Delay In Obamacare
U.S. Sen. Tom Harkin, a steady supporter of President Barack Obama's signature health reform program, put the White House on the defensive Wednesday by questioning the legality of a delay in one of the law's key provisions. The Iowa Democrat was quoted in the New York Times Wednesday saying he didn't understand what authority the president used to postpone by a year a requirement that large employers provide health insurance to full-time employees (Leys, 7/11).
The Hill: Treasury Dept. Defends ObamaCare Mandate Delay
In response to questions from congressional Republicans, Treasury said the delay was "an exercise of the Treasury Department's longstanding administrative authority" to provide flexibility with new laws. ... Republicans have questioned whether the delay is legal, since the law says the policy should take effect in 2014. Treasury cited past instances in which it delayed penalties associated with new legislation (Baker, 7/10).
The Hill: ObamaCare Setbacks Hand Weapon To Opponents Of Law
Republicans are launching a new offensive against President Obama's healthcare law, hoping flaws in the implementation will help undermine public confidence in the Democrats who passed it. Republicans' anti-ObamaCare sentiments have ratcheted up to a fever pitch since the administration announced last week that it would delay a provision of the healthcare law requiring large employers to offer healthcare coverage to their workers or pay a penalty (Baker, 7/10).
NPR: GOP Says, Why Not Delay That Health Care Law, Like, Forever?
Sensing that recent delays in key portions of the Affordable Care Act have caught the Obama administration at a weak point in its rollout of the law, Republicans in Congress are doubling down on their efforts to cripple the measure, at least in the eyes of the public if not in fact. ... [Sen. John Thune, R-S.D.] got 45 other GOP senators to sign onto a letter to the president urging him to shelve the law entirely. ... Democrats, however, said Republicans were overreacting. "We don't know exactly what the landscape will look like in January, but it's entirely possible this decision will help consumers," said Rep. Jim McDermott, D-Wash, at the subcommittee hearing (Rovner, 7/11).
Modern Healthcare: Tavenner Rips 'Myths' Surrounding ACA
After remaining largely silent following last week's Obama administration decision to delay for one year the healthcare reform law's employer mandate, CMS Administrator Marilyn Tavenner on Tuesday issued what she called a "reality check" in the form of a blog post titled "Myth vs. Fact: Health Insurance Marketplace on Track." "Unfortunately, there have been some mischaracterizations of these regulations and confusion about how the Marketplace will work when it opens later this year," Tavenner wrote. "Let's do a reality check on some of the myths that have been circulating" (Block, 7/10).
Modern Healthcare: Reform Update: Insurance Exchanges In Line of Fire
The U.S. Senate's HHS appropriations bill that started to advance this week, which includes much of the healthcare funding sought by the Obama administration, is likely headed for a series of partisan political battles, including over funding for the new state health insurance exchanges. The bill was approved Tuesday by the Senate Labor, Health and Human Services, and Education, and Related Agencies Appropriations Subcommittee. The full Appropriations Committee will consider it Thursday (Daly, 7/10).
Politico: Role Reversal: GOP Members Dispense Obamacare Advice
Republican lawmakers have spent the past three years blasting Obamacare, but now they have a new role: helping people sign up for it. It's a role reversal that puts party politics at odds with constituent service. Even Obamacare's most strident opponents say that if people call their offices looking for help when enrollment starts in October, they'll direct their staff to assist (Haberkorn, 7/10).
Politico: Congressional Black Caucus To Launch Obamacare Tour
Department of Health & Human Services Secretary Kathleen Sebelius won't be alone when she's on the road pitching Obamacare this summer. Members of the Congressional Black Caucus are planning an eight-city tour of their own to "ensure communities are equipped with the information they need" to access health insurance exchanges and understand the impact of the health law. It's not about the politics but about getting community members the facts they need, they say (Cheney, 7/11).
The study of television ads finds that critics have spent at least $385 million since the law was enacted in March 2010. Meanwhile, supporters are looking for innovative ways to attract young healthy people to join plans offered on the online marketplaces.
USA Today: Health Care Law Opponents Dominate Advertising Wars
Opponents of the 2010 health care law have out-spent supporters by nearly 5-1 on the airwaves — as conservatives seek to cast doubts about its effects and pledge to keep it at the forefront of federal, state and local races, an analysis shows. Critics of the Affordable Care Act spent at least $385 million from March 2010, when Congress enacted the sweeping health care measure, through the end of last month, according to an analysis of TV advertising nationwide by Kantar Media. The biggest spender among opponents: Crossroads GPS, a political advocacy group affiliated with Republican strategist Karl Rove (Schouten, 7/10).
The Washington Post: Q: What Do Porta-Potties, Coffee Cups And Airplanes Have In Common? A: Obamacare.
In Connecticut, selling Obamacare involves renting an airplane. Oregon might try to reel in hipsters with branded coffee cups for their lattes. And in neighboring Washington, the effort could get quite intimate: The state is interested in sponsoring portable toilets at concerts in an effort to reach uninsured young adults. The advertisements, developed with political consultants and communications firms, illustrate the ability of the health-care law's supporters to pinpoint the precise group they want to sign up for Obamacare — young and healthy Americans who won't weigh down the system with high medical bills (Kliff, 7/10).
MPR News: Persuading Young Adults To Buy Into Health Care Takes New Tack
Robert Bauer is young, lean and healthy -- just the kind of person the government wants to buy into its new health insurance exchanges. Bauer though, doesn't see the need. The 24-year-old works in organic farm fields three days a week, and prides himself on eating well. He's uninsured now and doesn't plan to buy coverage this fall in the exchanges. ... The question is whether young people, starting in October, sign up or just pay the penalty, which in the first year isn't much, the greater of $95 or 1 percent of income in 2014 (Stawicki, 7/10).
Also, Walgreen and the Blue Cross and Blue Shield Association announces a combined effort to help get information to consumers about getting insurance through the federal health law.
CQ HealthBeat: Health Centers Get Grants To Push Overhaul Enrollment
Community health centers across the country will share in $150 million in grants that Health and Human Services Secretary Kathleen Sebelius said Wednesday will help them enroll up to 3.7 million Americans in the new marketplaces this fall. HHS on Wednesday announced that 1,200 centers will get at least $59,000 each, money available through the health care law (Bunis, 7/10).
The Wall Street Journal: Community Clinics Get 'Obamacare' Grants
The Obama administration Wednesday announced it awarded $150 million in grant money that will be shared by more than 1,100 community health centers to help enroll patients into insurance programs under the Affordable Care Act, commonly known as "Obamacare." Separately Walgreen Co. and the Blue Cross and Blue Shield Association announced a new campaign Wednesday designed to tell consumers about the health law and provide information about how to obtain insurance coverage (Corbett Dooren, 7/10).
Huffington Post: Walgreens, Blue Cross Blue Shield Join Obamacare Education Campaign
Walgreens will provide brochures to customers at its more than 8,000 Walgreens and Duane Reade stores across the U.S. and has debuted a consumer information website, LearnAboutReform.com, with the Blue Cross Blue Shield Association, an affiliation of 38 health insurance companies (Young, 7/10).
Bloomberg: Walgreen Joins Blue Cross To Promote Health Exchanges
The announcement may provide a lift two weeks after the National Football League threw water on the idea of becoming a partner with the Obama administration, which has struggled to sell the law's benefits amid roadblocks by Republican opponents. The Walgreen-Blue Cross effort would be the largest by private industry to promote the 2010 health-care law (Wayne, 7/10).
Politico: Blue Cross, Walgreens Team For Obamacare Campaign
The partnership shows the strong role the private sector could have in explaining the health care reform law to a public that largely does not understand it. "There's a lot of confusion, a lot of questions and it'll take a tremendous collaborative effort to make sure people have the information they need to make informed choices," said Brad Fluegel, a Walgreens senior vice president and chief strategy officer (Haberkorn, 7/11).
Local and regional news outlets concentrated on the community health center grants -
MPR News: Minn. Health Centers To Receive $1.68M For Uninsured
Sixteen Minnesota health centers will share $1.68 million in federal funds to help uninsured Minnesotans obtain coverage under the federal health care law. ... The extra funding is earmarked for the Minnesota health centers to hire 29 additional staff. Each of the 16 Minnesota health centers will receive a minimum of $65,000 (Stawicki, 7/10).
Minneapolis Star Tribune: Feds Announce $1.6 Million Grant To Minnesota Community Health Clinics
The grants announced Wednesday range from $66,000 to $255,000, depending on the number of uninsured patients each clinic serves. About 37 percent of patients visiting the state's community health clinics are uninsured, according to the Minnesota Association of Community Health Centers (Griffin, 7/10).
CT Mirror: Community Health Centers To Hire Workers To Get Uninsured Covered
Connecticut community health centers are getting federal funds to hire 28 people to help enroll uninsured state residents in coverage as part of the federal health reform law, the U.S. Department of Health and Human Services announced Wednesday. Thirteen Connecticut health centers are getting just under $1.6 million for the effort (Levin Becker, 7/10).
Arizona Republic: Arizona Centers Get $2.3 Million To Enroll Uninsured
Non-profit community health centers are on the front lines as the federal government prepares for sweeping changes, including Medicaid expansion and online health-insurance exchanges. The grants will help hire and train an estimated 2,900 outreach and eligibility workers nationwide, including 45 in Arizona (Reinhart, 7/10).
Bloomberg: UnitedHealth Sees Accountable-Care Work Doubling By 2017
UnitedHealth Group Inc. said it will more than double payments to physicians tied to quality and cost efficiency within five years, in the latest sign of transformation in the American medical system. UnitedHealth, the biggest U.S. insurer, said it expects to spend about $50 billion under accountable-care contracts by 2017, compared with $20 billion now (Nussbaum, 7/10).
Minneapolis Star Tribune: UnitedHealth Expands Efforts To Link Cost, Quality
UnitedHealth Group Inc. plans to push more doctors and hospitals toward contracts that link their pay with quality and cost measures, aiming to more than double the value of such agreements over the next five years. The move by the operator of the nation's largest insurance company could hasten a shift already underway, as insurers and the federal government move away from paying health care providers for each individual treatment and instead provide financial incentives to get patients healthier at less cost (Crosby, 7/10).
The New York Times: Maryland's Path To An Accord In Abortion Fight
The 18-year-old woman arrived at Johns Hopkins Hospital by medevac helicopter in critical condition. Her uterus and bowel had been pierced during a late-term abortion that had started in New Jersey and ended at an unmarked, unregulated clinic in Elkton, in northeastern Maryland. ... The near disaster in an Elkton mall led to something rare in this era of polarized abortion politics -- sharply tightened oversight of Maryland abortion clinics that came into full force this year and won praise from both sides of the political divide (Eckholm, 7/10).
The Washington Post: Four Decades After Roe V. Wade, Views Of Most Americans Still Complex, Conditional
The absolutist voices have always dominated the abortion debate. But as it flares again in Congress and in legislatures across the country, the fight this time is heading into complicated political terrain, stirring the ambivalence that most Americans feel about the issue. ... Fine lines are not something activists on either side often recognize. But four decades after the Supreme Court's landmark decision in Roe v. Wade, the views of most of Americans on abortion remain complex and conditional (Tumulty, 7/10).
Politico: Marco Rubio: Abortion Bill A 'Work In Progress'
Sen. Marco Rubio is "very supportive" of the effort to introduce a bill banning abortion after 20 weeks, and is working with other senators on the bill, he told Politico. The Florida Republican wouldn't say whether he will be a lead sponsor of the proposed legislation (Everett, 7/10).
Politico: Democrats Say GOP Playing Politics With Abortion
Senate Democrats on Wednesday sharply criticized a House-passed bill that would ban abortions after 20 weeks, disparaging it as an "extreme and dangerous" attack on women's health. The bill stands no chance of passing the Democratic-controlled Senate but has nonetheless incensed abortion rights activists and others on the left (Delreal, 7/10).
Meanwhile, in Texas, House lawmakers there passed a bill further regulating the procedure, including banning it after 20 weeks of pregnancy, and sent it to the Senate, where it could be voted on as soon as Friday.
The New York Times: Texas House Passes Measure Tightening Clinic Rules And Restricting Access To Abortion
The Texas House of Representatives passed a vigorously contested bill on Wednesday restricting access to abortion. ... The bill, like its predecessor, would ban abortions after 20 weeks of pregnancy and hold abortion clinics to the same standards as hospital-style surgical centers, among other requirements. Its supporters argue that the heightened requirements will protect women's health; opponents counter that the restrictions are intended solely as a burden on the clinics that perform abortions and will impose expenses that will force many of them to close (Schwartz, 7/10).
Los Angeles Times: Texas Abortion Bill Headed To Senate After House Votes
A restrictive abortion bill is heading to the floor of the Texas Senate after the state's House of Representatives approved the legislation Wednesday on a 96-49 vote. The Republican-dominated House voted mostly along party lines, a day after more than 10 hours of debate. Lawmakers rejected all proposed amendments to the bill. ... The Senate is expected to take up the bill Thursday and could vote on it as early as Friday (Kelly, 7/10).
Dallas Morning News: Texas House Gives Final Approval To Abortion Restrictions, Setting Up Quick Senate Action
Far-reaching legislation to restrict abortions in Texas won final approval from the House on Wednesday, setting up the prospect that the Senate could send it to Gov. Rick Perry in a few days for his signature. Abortion-rights advocates nonetheless continued their push against the bill. Planned Parenthood officials brought their statewide tour to Dallas, drawing about 150 people protesting the legislation (Stutz and Fancher, 7/10).
Texas Tribune: House Approves Abortion Restrictions
The House voted 96-49 on Wednesday to give final approval to proposed abortion regulations in Texas. House Bill 2, which would ban abortion at 20 weeks and enact some of the strictest regulations in the country on abortion providers and facilities, now heads to the Senate. "If we're going to ask for more children to come into this world, we should provide for them," said state Rep. Ruth Jones McClendon, D-San Antonio. She offered an amendment, which lawmakers tabled, that would have extended state benefits to children put into the foster care and adoption system by women who could not access abortion as a result of the legislation (Aaronson, 7/10).
Texas Tribune: Dewhurst Confident Of Abortion Bill Vote
On the eve of an expected vote on controversial abortion restriction legislation, Lt. Gov. David Dewhurst said Wednesday that he is confident the legislation will make it to the governor's desk for signature during the current 30-day special session. "I'm excited about this opportunity and want to get this bill passed," Dewhurst said during the Laura Ingraham Show (Ura, 7/10).
Americans are living longer than they did 20 years ago, but they still lag other countries on life expectancy and the obesity rate, a new study has found.
The Wall Street Journal: Americans Are Living Longer, But Not Necessarily Healthier, Study Shows
Americans are living longer than they did two decades ago, but they are losing ground on key measures of health to people in other developed nations, a new study shows. The findings, from the most comprehensive analysis of the health of the U.S. population in more than 15 years, show progress in reducing death rates, adjusted for age, across a variety of diseases. But death rates from illnesses associated with obesity, such as diabetes and kidney disease, as well as neurological conditions like Alzheimer's disease, are on the rise (Winslow, 7/10).
NBC News: Americans Live A Little Longer, Still Lag Other Rich Countries (Video)
Americans may be living longer and even exercising a little more, but we really are not much healthier than we were 10 years ago and we are still far behind other rich countries when it comes to our health, researchers said Wednesday. The biggest survey of U.S. health in 15 years breaks down death, disease and disability county by county -- and makes some very unflattering comparisons to other countries. It's a big, comprehensive dive into what kills us and what makes us sick (Fox, 7/10).
Medpage Today: Gains Made, But U.S. Still Lags In Life Expectancy
The overall life expectancy in the U.S. increased from 75 to 78 years during the period of 1990 to 2010, but with an increase in expected years lost to disability (9.4 to 10.1 years), according to Christopher Murray, MD, DPhil, of the Institute for Health Metrics and Evaluation at the University of Washington in Seattle. Compared with other countries, the U.S. dropped in its rankings in terms of life expectancy at birth (going from No. 20 to No. 27), life years lost to premature death (moving from 23rd to 28th), healthy life expectancy (jumping from 14th on the list to 26th), and age-standardized death rate (18th to 27th) between 1990 and 2010, they wrote in the study published in the July 10 issue of the Journal of the American Medical Association (Pittman, 7/10).
Los Angeles Times: We're Exercising More But Still Fighting Obesity, Study Shows
Americans are exercising more, but that has not done much to slim their waistlines, underscoring the immense challenge confronting doctors and health advocates fighting the nation's obesity crisis. In more than two-thirds of the nation's counties -- including some of the unhealthiest -- men and women became more physically active over the last decade, according to data published Wednesday in the online journal Population Health Metrics. Three-quarters of California's counties saw gains in physical fitness for both men and women (Levey and Gorman, 7/10).
And one major American city limits group exercise in their public parks --
The New York Times: In Health-Conscious Denver, Limits On Group Exercise
In Denver, one of the healthiest cities in America, fitness fans are fuming over rules from the city and private officials that restrict group exercise in parks and open spaces. "You can smoke pot, but you can't exercise," Mr. Lindley said, as the scent of a newly legalized substance drifted past. "This is Colorado." A skirmish over exercise in the public square seems fitting in a place where people spend more on road bikes than on their cars, and Lycra attire is the unofficial uniform of the weekend (Healy, 7/10).
The Miami Herald: Educating Florida About Health Care Reform Starts With Conversation
Enroll America, a Washington, D.C.-based nonprofit whose mission is to educate Americans about their healthcare options under the Affordable Care Act, kicked off its Florida campaign Wednesday in Miami with a training session for more than 25 newly hired organizers who will be reaching out to residents statewide. ... While the plans don't exist yet, and even the "navigators" who will help Floridians understand the new marketplace aren't yet known, Enroll America and other groups are wasting no time getting the healthcare word out (Borns, 7/10). Produced in partnership with Kaiser Health News.
The Associated Press: Blue Cross Describes Health Law Impact On Premiums
Louisiana's largest private health insurer, Blue Cross and Blue Shield of Louisiana, estimated Wednesday that two-thirds of its customers who buy their own policies will pay the same premiums or less under the federal health care overhaul. But that's only if people take advantage of federal subsidies being offered under the law, Blue Cross officials said, outlining the anticipated effects of the Affordable Care Act (Deslatte, 7/10).
The Associated Press/Akron Beacon: Medicaid Supporters Rally For Expansion In Ohio
Democratic state lawmakers on Tuesday urged "meaningful" action from Republican Gov. Kasich on Medicaid expansion, as the governor rallied a group of supportive residents to increase pressure on their representatives to support extended health coverage. While both Kasich and Democrats favor Medicaid expansion, they appeared split Tuesday over how to accomplish it. The issue has struggled to gain traction in a Legislature controlled by the governor's fellow Republicans (Sanner, 7/10).
Milwaukee Journal Sentinel: Access, Insurance Cited As Top Health Care Issues
Longstanding problems that defy simple solutions, such as access to health care in low-income neighborhoods, were among the top concerns raised in an extensive overview of health needs in Milwaukee County. The assessment was the first of its kind and must be done by nonprofit health systems every three years to maintain their tax-exempt status under the Affordable Care Act (Boulton, 7/10).
The Associated Press: N.Y. To Overhaul State Psychiatric Care
New York plans to overhaul its psychiatric services over the next four years by consolidating 24 inpatient hospitals into 15 regional centers and establishing two dozen outpatient hubs. The plan released to The Associated Press by the Office of Mental Health on Wednesday begins in 2014 and is expected to save $20 million the first year (7/10).
Detroit Free Press: Cardiology Practice, Jackson Hospital To Pay $4M In Lawsuit Alleging Medically Inappropriate Heart Procedures
A cardiology practice and a Jackson hospital have agreed to pay the federal government $4 million to settle a lawsuit that claimed patients were subjected to medically inappropriate heart procedures. It was a doctor who blew the whistle on the questionable practices, the government said (Baldas, 7/10).
California Healthline: Contentious Physical Therapy Legislation Approved By Committee
The Senate Committee on Business, Professions and Economic Development on Monday finally approved a contentious bill to allow professional corporations to directly employ physical therapists. Monday's intense and multifaceted discussion followed a hearing in the same committee just a week before, a hearing which went on so long, it had to be carried over to this week (Gorn, 7/10).
California Healthline: Aetna And United Are Out Of California. Who's Moving In?
United Healthcare has more than 4,700 hospitals in its national network. Valley Health Plan has four. That relative scale is one reason why United's departure from California's individual market last week got so many headlines -- even though the health plan only covers 8,000 people -- while the news of Valley's inclusion in Covered California last month got almost none. And on the surface, the thought of losing the nation's largest health insurer doesn't seem to augur much good for the Golden State's health reform efforts. Especially in the wake of Aetna's similar announcement last month (Diamond, 7/10).
Several outlets look at physician practice issues.
Reuters: Many Pediatricians Still Not Using Interpreters
Close to half of pediatricians do not use a professional interpreter when seeing patients and families with a limited understanding of English, according to a new study. ... Using family members is not recommended because they are more likely to make errors while translating or to withhold sensitive or painful information for emotional reasons, [Lisa DeCamp of Johns Hopkins University School of Medicine in Baltimore] told Reuters Health by email (Doyle, 7/10).
Reuters: Less Practice For Surgeons-In-Training After Restrictions
Surgeons-in-training had fewer opportunities to take part in operations after restrictions on their working hours were put in place in July 2011, according to a new analysis. Researchers tracking a group of first-year surgical residents during 2011 and 2012 found the trainee surgeons took part in an average of 26 percent fewer operations than their counterparts in the previous four years (Seaman, 7/10).
Related, earlier coverage from KHN: Some Doctors Question If Shorter Intern Shifts Endanger Patients (Boodman, 7/9).
Meanwhile, Marketplace examines the lack of supplies doctors and hospitals are encountering -
Marketplace: Markets Come Up Short In Drugs For Premature Babies (Audio)
If there is a crucial need, markets will provide. Not always, and not in the case of critical nutrients needed to help premature babies. It turns out, America is facing a bizarre shortage of medical grade basic nutrients such as phosphorus and zinc. The Pittsburgh Post Gazette reports neonatal intensive care units are scavenging to keep preemies alive, sometimes taking from adult patients elsewhere in the hospital (Brancaccio, 7/10).
The Wall Street Journal: CMS Steps In To Settle Gamma Knife-Varian Fight
The Centers for Medicare and Medicaid Services has proposed a new rule that would effectively put to rest a provision inserted into last year's fiscal cliff bill by Senate Majority Leader Harry Reid (D., Nev.) to help a U.S. company. The original provision threatened to slash payments to the Swedish maker of a radiosurgical device called the Gamma Knife, thereby helping its competitor, a U.S. company that makes Linac -- short for linear accelerator -- machines. ... Under the rule proposed Monday, CMS would reimburse any facility performing the delicate brain tumor radiosurgery in a single treatment the same amount (Mundy, 7/10).
Washington Monthly: Special Deal
On the last week of April earlier this year, a small committee of doctors met quietly in a midsized ballroom at the Renaissance Hotel in Chicago. There was an anesthesiologist, an ophthalmologist, a radiologist, and so on—thirty-one in all, each representing their own medical specialty society, each a heavy hitter in his or her own field. The meeting was convened, as always, by the American Medical Association. Since 1992, the AMA has summoned this same committee three times a year. It's called the Specialty Society Relative Value Scale Update Committee (or RUC, pronounced "ruck"), and it's probably one of the most powerful committees in America that you've never heard of. ... it's the committee members' job to decide what Medicare should pay them and their colleagues for the medical procedures they perform (Haley Sweetland Edwards, 7/2013).
Related, earlier KHN story: Panel Calls For 'Drastic Changes' In Medicare Doctor Pay (Rau, 3/4)
The Atlantic: Make Your Wishes Known
Dr. Kenneth Prager, a 70-year-old medical ethicist, was sitting in his office at the New York Presbyterian Hospital waiting for a patient when he got a call from a colleague. He was happy to hear from Dr. Steve Williams, 56, who had trained under him and was now the chief medical officer of a nearby hospital. But he grew uneasy when he began to understand the reason for the call. Most of the time, ethicists handle cases where a family refuses to let a family member go. This was just the opposite. Williams was caring for a 36-year-old patient who was unconscious, and on several forms of life support, but was expected to recover. The patient's family, though, believed it was best to pull the plug (Ashwaq Masoodi, 7/10).
The New Yorker: How Should Doctors Share Impossible Decisions With Their Patients?
On a Friday evening a few months ago, my mom broke her arm. A doctor in the E.R. told her it was a simple fracture, and put her arm in a sling. The following Monday, though, she called me. She had consulted two surgeons who had a different assessment: the bone was broken in four places, surgery would be quite involved, and the rates of complications were high. … Here's the thing: I'm a doctor. Strictly speaking, I know what avascular necrosis means. It means the bone can die. It means the blood vessels can be compromised. Which means, again, dead bone. My mom, a cardiologist, knows this too, as does my father, a rheumatologist. But what I meant was: What did it really mean? How would it feel? How was she supposed to make such an impossible decision? (Lisa Rosenbaum, 7/5).
The New England Journal Of Medicine: From Imagine Gatekeeper To Service Provider – A Transatlantic Journey
In Britain, where I trained in surgery, residents feared radiologists. One radiologist was nicknamed "Dr. No," since his first response was always to deny requests for any imaging other than a plain radiograph. We had no computerized order-entry system, so after rounds, the junior doctor brought requests to the radiologist for discussion. It took flawless knowledge of the patient, a reasonable grounding in clinical medicine, and a certain stoicism to emerge unscathed from these discussions. … When I began a diagnostic-radiology residency in the United States, I was struck by both the abundance of CT scans, MRIs, and technologists and the fact that in nearly all requests for suspected pulmonary embolism (PE), the stated indication was "pulmonary-artery aneurysm." The two phenomena turned out to be linked by a common thread: U.S. radiologists were service providers, not gatekeepers (Saurabh Jha, 7/4).
The Wall Street Journal: Big Government Implodes
July 3 was the quiet afternoon that a deputy assistant Treasury secretary for tax policy announced in a blog post that the Affordable Care Act's employer mandate would be delayed one year. Something about the "complexity of the requirements." ... Even if you are a liberal and support the goals of the Affordable Care Act, there has to be an emerging sense that maybe the law's theorists missed a signal from life outside the castle walls. While they troweled brick after brick into a 2,000-page law, the rest of the world was reshaping itself into smaller, more nimble units whose defining metaphor is the 140-character Twitter message (Daniel Henninger, 7/10).
The Wall Street Journal: The ObamaCare Spin Machine Revs Up
Meanwhile, the temporary reprieve from the employer mandate will not stop many businesses from preparing their people for when the company stops providing insurance. They'll also continue limiting more part-time employees to fewer than 30 hours a week, in order to avoid being snared by this provision in the law. To offset this development, the administration desperately wants to sign up as many people for health policies as possible, hoping the newly insured will be grateful voters on Nov. 4, 2014 (Karl Rove, 7/10).
The Washington Post: Republicans' Obamacare Search-And-Destroy Mission
Last week, the administration announced it was delaying by a year the implementation of one of Obamacare's provisions, the requirement that large employers provide health insurance. You'd think the opposition party, which has spent four years denouncing the health-care reforms, would be delighted by the reprieve. But on Wednesday, Republicans on the House Ways and Means Committee held a hearing to condemn the administration — for incomplete enforcement of the law they hate (Dana Milbank, 7/10).
MinnPost: Obamacare And The Myth Of Rate Shock
Arguments about health-insurance rate shocks when the Affordable Care Act (Obamacare) kicks in willfully disregard key facts behind the policy. Claims regarding rate shock are based on the premise that the cheap plans on the market today are no longer going to be available, and the new plans will be incredibly expensive (Kevin George, 7/11).
Health Policy Solutions (a Colo. news service): The Role Of The Employer Mandate In The Affordable Care Act
So, perhaps the question about the delay is less important than whether the employer responsibility provision is the best approach to meet the law's objectives. Employer reporting could be less onerous. The law could be modified to base the penalty on the percentage of payroll that a business spends on health care instead of a threshold based on full-time employees. That kind of discussion would require both sides to recognize the benefit of working together to improve the law for both employers and employees. Given the politically polarized Congress, that seems unlikely (Bob Serno, 7/10).
New England Journal Of Medicine: Bundle With Care – Rethinking Medicare Incentives For Post-Acute Care Services
Although health policy experts disagree on many issues, they largely agree on the shortcomings of fee-for-service payment. The inefficiency of a payment method that rewards increases in service volume, regardless of health benefit, has become practically indefensible. But replacing discrete payments for each service with bundled payment for a set of services does not simply promote efficiency; it also potentially promotes skimping on care or avoidance of costly patients (Judith Feder, 7/10).
Health Policy Solutions (a Colo. news service): Finding Systems Of Care That Drive Value
We are all health care consumers, whether paying directly or indirectly for coverage or care. In the past, many people were unaware of specific health care costs because there was little cost-sharing involved, and price transparency in health care has been limited. Yet as patients pay higher out-of-pocket costs, they are taking a closer look at doctor and hospital bills – and rightly so. The recent spotlight on facility fees for physicians employed by health systems illustrates one aspect of health care sticker shock (Eric Worthan, 7/10).
The Star Ledger: The A.P. Is Missing The Real Story Concerning Obamacare And Smoking
The Associated Press has an article on a glitch in Obamacare that will make it impossible to impose a proposed 50 percent hike in premiums on smokers. The article is fine as far as it goes, but the writer misses a key point: Even without the glitch, most smokers will be exempt from the individual mandate to purchase insurance (Paul Mulshine, 7/11).
The New York Times: What's Wrong With a 20-Week Abortion Ban?
The way the Catholic Association mentions "late-term" abortions, you might think the only women who had them were lazy and callous, just waiting around until the last second for no good reason. But as Cecile Richards, the head of Planned Parenthood, told me in an email, nearly 99 percent of abortions occur before 21 weeks; abortions later on often involve rare, severe fetal abnormalities and real threats to a woman's health. In many cases, women are facing the need to terminate a desired pregnancy, not an unwanted one (Andrew Rosenthal, 7/10).
Baltimore Sun: A Better MCAT May Not Produce Better Doctors
What does it take to become a good doctor? In the midst of a period of health care reform and primary care shortages, how we do to encourage talented students who want to give back to the community to go into medicine? (Diane Kuhn, 7/10).
Medpage Today: 7 Golden Rules For EHR Implementation
Eligible physicians are dropping out of the HITECH incentive program. Why? Often, it's because a practice implements an EHR and then tries to mimic all their old paper processes and workflows. That can get them through the vendor's initial implementation, but it is not sustainable for the long term. Workflows and operational processes must be modified to optimize the new tool. Technology changes what is feasible, and to adapt, we need to change what we do every day (Rosemarie Nelson, 7/10).
Des Moines Register: Iowa View: Wellmark Cash Pile Raises Questions
Wellmark Blue Cross and Blue Shield recently announced it will not increase rates for individuals and small businesses who agree to renew their business prior to Jan. 1, 2014. On the surface, this decision is welcome, short-term relief for the working families and small businesses that have been tightly squeezed by Wellmark's recent string of double-digit rate increases (Matt McCoy, 7/10).
The Lund Report: Oregon Plan to Cut Diabetes Testing By 95%
Ask anyone with diabetes. Testing blood sugar levels is a pain. It takes time, fingers become sore and the levels change during the day based on diet, exercise and other factors. They tolerate that because it is important. Managing blood sugar levels is critical to managing diabetes (Judy Fry and Denise Cedar 7/10).
Des Moines Register: The Register's Editorial: Change Surplus Law If Wellmark is Troubling
Wellmark Blue Cross and Blue Shield provides health insurance to about 2 million Iowans, two-thirds of the state's population. Iowans can have confidence that the vast majority of their premiums are used to cover the cost of prescription drugs, hospital care, visits to physician offices and other health services for policyholders. But Iowans might be surprised to learn how the state's largest health insurance company uses some of the money that doesn't directly pay for health care (7/10).
Stephanie Stapleton
Andrew Villegas
Lisa Gillespie
Shefali Luthra
The Kaiser Daily Health Policy Report is published by Kaiser Health News, an editorially independent program of the Kaiser Family Foundation. (c) 2014 Kaiser Health News. All rights reserved.
© 2014 Henry J. Kaiser Family Foundation. All rights reserved.


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Kukla's Korner Hockey
Sharks Set Scott Thornton Free
by Paul on 06/21/06 at 06:45 PM ET
Comments (0)
from The San Jose Sharks,
The San Jose Sharks have elected not to exercise their team option on left wing Scott Thornton for the 2006-07 season, making the 35-year-old an unrestricted free agent. Thornton signed with the Sharks as an unrestricted free agent on July 1, 2000. San Jose could have claimed the option on Thornton and then moved the player for a pick, but Sharks Executive Vice President and General Manager Doug Wilson wanted to reward the veteran winger by letting him choose his next team. "I have a lot of respect for Scott and his wife Joelle," said Wilson. "I was offered a pick (if we signed and traded him), but it was to a team he would not have wanted to go to. It's not every player you do this for, but I have a lot of respect for him and it is how I was treated when I left Chicago. This gives him time to check out his options."
Filed in: | KK Hockey | Permalink
Daly Responds To Pound
by Paul on 06/21/06 at 03:29 PM ET
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I held off posting this yesterday, thinking the NHL may put out a release on it. But they are busy today so via TSN, Bill Daly basically says the NHL has had enough of Dick Pound.
Daly was contacted by TSN on Monday about Armstrong's request that the International Olympic Committee to force Pound, a Montreal lawyer, to quit over his handling of doping allegations against Armstrong. "We are not at all surprised by Mr. Armstrong's request given Mr. Pound's repeated instances of irresponsible behaviour and grandstanding," Daly wrote in an email to TSN. "We fully support Mr. Armstrong's plea to have the IOC hold Mr. Pound accountable for his past actions, and laud Mr. Armstrong's willingness to stand up for the rights of all of the innocent athletes who have been wrongly and unfairly disparaged by Mr. Pound."more Also, Eric at Off Wing Opinion brings up the subject too...
In short, what we're seeing here is the NHL striking back at Pound and putting him on the PR defensive while using Armstrong and his reputation as political cover. It's all very smart, and, depending on your point of view, perhaps awfully cynical as well.
Filed in: | KK Hockey | Permalink
Shopping Time
by Paul on 06/21/06 at 03:25 PM ET
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Every so often, I point KK readers to some of my affiliates. Purchasing from them helps me maintain this site. I don't sk for donations, don't ask for a fee to read, just ask you to purchase through Kukla's Korner Affiliates if you have an interest. Followiing are some of the merchants hockey fans may have an interest in.
Filed in: | KK Hockey | Permalink
Kings Offer For Luongo
by Paul on 06/21/06 at 02:25 PM ET
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Leafs Lunch is reporting the LA Kings have offered Mathieu Garon, Dustin Brown and Alexander Frolov for Luongo. They of course will not name a source and remember, they also reported Weight would play in game 7. So take it for what it is worth. added 12:33pm, The LA Times (reg. reg.) appears to be the source,
The Kings are believed to be discussing a multi-player package, with forwards Alexander Frolov and Dustin Brown and goaltender Mathieu Garon among the names being discussed. Dean Lombardi, the Kings' general manager, declined to comment.
Filed in: | KK Hockey | Permalink
A Little Early
by Paul on 06/21/06 at 02:12 PM ET
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from Allan Muir of Sports Illustrated, Too early to think about it? Hardly. While fans focused on the late rounds of the playoffs, NHL GMs already were busy signing their free agents and draft picks, figuring out how much room they'd have to play with under the cap, and working on their final rankings for this Saturday's Entry Draft.... Your 2006-07 Stanley Cup champs? The Buffalo Sabres. Remember, you read it here first. read on...also, I heard Ottawa is the Vegas favorite at 5-1 and Detroit at 6-1...
Filed in: | KK Hockey | Permalink
In The News
by Paul on 06/21/06 at 12:56 PM ET
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James Mirtle does a fine job pointing out all of the Stanley Cup headlines. You can also see a Stanley slide show at Yahoo.
Filed in: | KK Hockey | Permalink
Wings Ready To Deal
by Paul on 06/21/06 at 12:31 PM ET
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from Ansar Kahn of Mlive,
Wings general manager Ken Holland said Tuesday that he hasn't spoken to Keenan about Luongo, but will "explore any and all opportunities over the next 2-3 weeks'' in his search for a starting goalie. And he is prepared to wheel and deal this week. "I expect a lot of trade talk at the draft,'' Holland said. "Does anything happen? I don't know. I sense a lot of teams are looking to see what's out there. "It used to be our big day was July 1 (the start of free agency). Trading is a little more of an option now than it was in the past.''read on added 10:37am, Anyone trying to figure out some of the strange actions by Mike Babcock lately?
Filed in: | KK Hockey | Permalink
All Alain Vigneault
by Paul on 06/21/06 at 12:02 PM ET
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...Why, because he is the new coach of the Canucks, the next savior... VCOE put together an impressive fact thread about him.
Filed in: | KK Hockey | Permalink
Right Moves Is All That Is Needed
by Paul on 06/21/06 at 11:37 AM ET
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from the Toronto Star,
The new system gives all clubs something low-revenue teams complained the old system didn't provide: the ability to compete on an even level with every team regardless of market size or revenue streams. "What's good now is that teams can retool and reload quicker than they could previously, which is good for the game," Lowe said. "You could conceivably miss the playoffs by a lot — say Chicago this year — and with a few right moves, could be in the playoffs and challenging."more...mostly about Edmonton & Carolina...
Filed in: | KK Hockey | Permalink
Ratings In Raleigh
by Paul on 06/21/06 at 11:28 AM ET
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via the News & Observer,
JUNE 14 (GAME 5) Raleigh-Durham: 19.3 (190,140 viewers) National: 2.5 (2.8 million viewers) JUNE 17 (GAME 6) Raleigh-Durham: 13.8 (135,960 viewers) National: 1.9 (2.1 million viewers) JUNE 19 (GAME 7) Raleigh-Durham: 22.8 (224,630 viewers) National: 3.3 (3.6 million viewers)Thanks to a KK reader for passing this on...
Filed in: | KK Hockey | Permalink
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About Kukla's Korner Hockey
Paul Kukla founded Kukla's Korner in 2005 and the site has since become the must-read site on the 'net for all the latest happenings around the NHL.
From breaking news to in-depth stories around the league, KK Hockey is updated with fresh stories all day long and will bring you the latest news as quickly as possible.
Email Paul anytime at email@example.com
Most Recent Blog Posts
O Canada sung before Flyers-Penguins game
Video- The New York Islanders New Ownership Partners Discuss Their Plans
Five-Year Extension For Charlie Coyle In Minnesota
Bruins Prepare For Johnny Boychuk's Return Tomorrow
NHL Postpones Leafs/Senators Game Tonight
Trade Options For The Detroit Red Wings
The New Look Nashville Predators

subset: commoncrawl


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Geek is proud to present "Sentimental Ape" the second video in (Charles)Book&Record's triptych of videos introducing the new band to the world. (The first video premiered on Juxtapoz).
(Charles)Book&Record is the mysterious new musical endeavor of San Diego's Zack Wentz, who previously made a lot of really intense, futuristic music in the criminally underrated Kill Me Tomorrow. Also a former member of Tender Buttons and The Dabbers, Wentz joined forces with his wife and Dabbers band mate Shelby Gubba and engineer Taj Easton to create (Charles)Book&Record.
I can't really describe their sound better than the band does: there is no doubt that (Charles)Book&Record have created some intoxicating "sci-fi-surrealist-soul." Their debut album Leftover Magic will be released digitally in January and will feature all three songs from the triptych.
Wentz, who is never really satisfied to simply release music (Kill Me Tomorrow's album The Garbageman and the Prostitute was accompanied by a stellar novel of the same name. It's out of print, but you can get it used at Amazon has big plans for (Charles)Book&Record. Most notably Wentz and Easton are creating a serialized film based on the record entitled Bad Dreamer. (In related news, Easton and Wentz were also commissioned to create a soundtrack for the short Andy Mingo film Romance, based on a short story by Chuck Palahniuk (Fight Club), which debuts in London at the Raindance Film Festival this fall.)
Without any further ado, here's "Sentimental Ape":


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Keep the fire burning!
Sermon shared by Michael Mccartney
May 1999
Summary: The fire on the altar of our hearts must be kept burning for the Lord.
Tags: Altar Fire, Spark, Burn, Fire, Growth In Christ (add tag)
Denomination: Evangelical/Non-denominational
Audience: Believer adults
About Sermon Contributor
Michael Mccartney
Christian Hills Church
More Sermons from Michael
Keep the Fire Burning!
Thesis: The fire on the altar of our hearts must be kept burning for the Lord.
Text: Lev. 6:8-14
NIV Leviticus 6:8-14
8. The LORD said to Moses:
9. "Give Aaron and his sons this command: `These are the regulations for the burnt offering: The burnt offering is to remain on the altar hearth throughout the night, till morning, and the fire must be kept burning on the altar.
10. The priest shall then put on his linen clothes, with linen undergarments next to his body, and shall remove the ashes of the burnt offering that the fire has consumed on the altar and place them beside the altar.
11. Then he is to take off these clothes and put on others, and carry the ashes outside the camp to a place that is ceremonially clean.
12. The fire on the altar must be kept burning; it must not go out. Every morning the priest is to add firewood and arrange the burnt offering on the fire and burn the fat of the fellowship offerings on it.
13. The fire must be kept burning on the altar continuously; it must not go out.
Illustration: Thank God one cottage burned!
Years ago a fishing fleet went out from a small harbor on the east coast of Newfoundland. In the afternoon there came a large furious storm. When night settled in not a single fishing vessel of the fleet was in the harbor. All night long the wind blew and thunder blasted. The wives, mothers, children, and sweethearts labored all night in prayer for their loved ones out in the storm. They called on God over and over to save their loved ones. Then to add to the horror of the night one of the house caught fire. Since most of the men where on the storm tossed sea it was impossible to save the house from burning to the ground.
When morning broke, to the joy of all who labored in prayer there was the fleet safe in harbor. Everyone was home safe. Yet, in the joy filled crowd their was one sad face-it was a picture of despair-the wife of the man whose house had burned to the ground. Meeting her husband as he came ashore she rejoiced that he was alive but cried out in anguish, �Honey, we are ruined! Our home and all it�s belongings where destroyed by a fire last night!� But the man looked at her with excitement and exclaimed, �Thank God for the fire� Then all the men around said the same. The woman looked confused then her husband announced �It was the light of our burning house that guided the whole fleet into port!�
Told by Rev. W.W. Weeks
This illustration can be compared to the sacrificial offerings of the O.T. which where offered up for the lives of men/women. This house burned metaphorically as a sacrificial offering which saved the lives of all the men on the fleet. If it had not caught fire and burned the fleet and all it�s men would have been lost.
The surrender of a living creature was a major factor in nearly every kind of sacrificial ritual of the Old Testament.
T.S.- Lets look at the 5 sacrifices spoken of in Leviticus.
I. The Historical Background of the sacrifices for God in the O.T..
a. The five sacrifices described in Lev. 1-7:27
i. The Whole Burnt Offering � Lev. 1, called in Hebrew OLAH, �That which goes up�. In the LXX it is called the �Holocaust.�
1. We will talk more about this one in a moment.
ii. The Cereal/grain offering � Lev. 2 this one involved exclusively cereal products and wine.
Comments and Shared Ideas
Lauro Lambayong,jrto God be the glory!
September 15, 2011
September 15, 2011
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Curt Courtenayexcellent job
November 29, 2008
November 29, 2008
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"True Blood" mini-cap 3.6 "I Got a Right to Sing the Blues"
At Merlotte's, Arlene asks Sam about the pitbull his mom and dad have at the house they are renting. Sam knows it's Tommy and goes to find him, but, of course, he's nowhere to be seen. He calls Andy Balflour down to the restaurant and asks where dog fighting happens nearby.
The sheriff fills him in and Sam tells Arelene to get him anything he wants on the house. Andy looks quite pleased with himself. as Sam bolts for his truck. On his way out of the parking lot, he damn near causes an accident with Jason, who screams "Where the hell did you learn to drive, Sam Merlotte?"
Jason spots the teen quarterback humping his girlfriend in the parking lot. He slaps the kid's bare ass and asks him to get out of the car. Once he does, Jason takes the kid's throwing arm and twists it saying lewd behavior in public is against the law.
Although he's not a cop yet, he will be one real soon. Jason warns him that he's got his eye on him and let's him go.
Tara is trying to escape Russell's yard but spots a white wolf. Luckily, it's Alcide and he is able to convince her he is there to save Sookie. "You got a car?" she asks. He does so he's OK in her book.
Sookie makes a run for the slave quarters but has to hide when she sees the drugged out Debbie and Coot dancing together in the yard. "Trash," Sookie says, which made me die LOLing. Anna Paquin is hilarious in this episode, from the mocking of Eric's overdramatic intonation to clinging to her waitress identity.
She finally gets to Bill, and he's so close to death. Lorena is still there, too, though and she pins Sookie up against the wall and takes a big bite.
What if Lorena became Sookie's maker? Wouldn't that make things interesting? I know, I know — it's also highly improbable.


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Live! Hostel Reviews
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The rating percentage is calculated from customers who booked within the last 12 months.
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This Hostell lacks social atmosphere. What I like about hostells in general is the opotonity to meet other trawellers. This hostel is missing good common areas where you would actually like to hang out when you are at the hostel. This hostel is missing this.
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- jacobsenmeister1074
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Brilliant hostel by far the best one we stayed and very good price, highly reccomend it!
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This hostel was one of the best we stayed in on our interrailtrip. Our rooms were tidy and in very good condition. It felt like home and it was extremely nice that the hostel was small and the atmosphere great and comfortable.
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We (3 friends)spent 4 days in this place and the experience couldn't have been better. The location is perfect (few minutes walking from the jewish neighbourhood and the famous "ruin pubs"). The place is clean and cozy and the owners are really friendly, being always willing to recomend you what to visit or where to eat. The price we paid was more than fair, given the good conditions of the hostel. Needless to say that I'd recomend this place to anyone looking for a bit of hungarian hospitality
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This hostel seems fairly new and compact, but it made for a more comfortable stay! Rooms were clean and spacious, and the bathrooms/showers were likewise. Kitchen is small, but is sufficient for minor things. Location was perfect, just 5 min. from the metro, and staff were SO helpful and friendly!! Wifi worked perfectly, and we were able to store bags even after we checked out. Would definitely come back when in Budapest!
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3 rd Edition Toby J. Teorey University of Michigan
Lecture Notes
I. Database Systems and the Life Cycle (Chapter 1)……………………2 Introductory concepts; objectives of database management 2 Relational database life cycle 3 Characteristics of a good database design process 7 II. Requirements Analysis (Chapter 3)………………………………….8 III. Entity-Relationship (ER) Modeling (Chapters 2-4)……………… 11 Basic ER modeling concepts 11 Schema integration methods 22 Entity-relationship 26 Transformations from ER diagrams to SQL Tables 29 IV. Normalization and normal forms (Chapter 5)………………………35 First normal form (1NF) to third normal form (3NF) and BCNF 35 3NF synthesis algorithm (Bernstein) 42 Fourth normal form (4NF) 47 V. Access Methods (Chapter 6)…………………………..………………50 Sequential access methods 50 Random access methods 52 Secondary Indexes 58 Denormalization 62 Join strategies 64 VI. Database Distribution Strategies (Chapter 8)……………………….66 Requirements of a generalized DDBMS: Date's 12 Rules 68 Distributed database requirements 72 The non-redundant " best fit" method 74 The redundant "all beneficial sites" method 77 VII. Data Warehousing, OLAP, and Data Mining (Chapter 9)…….....79 Data warehousing 79 On-line analytical processing (OLAP) 86 Data mining 93 Revised 11/18/98 – modify Section V Revised 11/21/98 – insertions into Section VII Revised 1/14/99 – modify Section VI Revised 2/11/99 – modify Section IV, 4NF (p.47 FD, MVD mix) Revised 6/13/00 – modify Section V (secondary indexes)
I. Database Systems and the Life Cycle Introductory Concepts data—a fact, something upon which an inference is based (information or knowledge has value, data has cost) data item—smallest named unit of data that has meaning in the real world (examples: last name, address, ssn, political party) data aggregate (or group) -- a collection of related data items that form a whole concept; a simple group is a fixed collection, e.g. date (month, day, year); a...


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Hey there! I'm a Big City DJ who needed a break from there and decided to chill out and away for a bit! I'm currently in a small cabin by a pond with my little companion Myra who is a cute little witch! Send us some messages and don't be afraid to say hi! (Mod - Elliebot )
Catching Elephant is a theme by Andy Taylor


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Join us
Whether you are a fee earner or one of the office support staff you will be part of a departmental team and with our open management style, you will be able to get very involved with all aspects of our business planning process.
We enjoy coming to work.
The environment is professional, challenging, stimulating, sometimes hectic but always fun. So if you would like to feel the same way, please contact us to discuss further your future and ours.
Latest vacancies
We are always looking for enthusiastic people to join our team.
Part-time Marketing Executive
We have a vacancy for a part-time marketing executive to assist in the growth and development of the business and its reputation. The role involves managing the advertising programme, considering and recommending further opportunities, running events, building on existing sponsorship and developing new opportunities, updating websites and social media content.
Salary commensurate with experience.
Candidates should send CVs with a covering letter to Malcolm Head
Accounts Assistant
We have a vacancy for a part-time accounts assistant/legal cashier to work approximately 12 hours per week. This will comprise 6 hours on a Monday plus one other day or two half-days, and to provide holiday cover as required. An understanding of solicitors' accounts is desirable and a good working knowledge of Microsoft Excel is essential.
Salary will be dependent on experience.
Please apply in writing with a covering letter and CV to Angela Gates by post or email.
Send us your CV with a covering letter and we can discuss your future and ours.


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Anyone having any issues with SMTP on Blackberry 10 on BELL?I found this older post that looks like it solves the issue.»Re: Can't use SMTP with an iPad; Bell says not supported :(If it's SMTP you need (ie -> being able to *send* mail) then try this: 18.104.22.168 [this is for Bell Mobility users]Port 25, no authentication, no SSL. [no user name or password][The official SMTP server is: mail.1xbell.ca]Been working for me for quite a while.Originally posted by sm5w2 2012-03-15 21:10:29[Also according to Blackberry you need to be on mobility network only, no local Wi-Fi to send messages]Jim
lots of SMTP issues with bell mail lately. One possible fix is to use port 587 instead of 25
What smtp server are you using? Have you tried smtp10.bellnet.ca without authentication/encryption?Otherwise, if this is for a Bell/Sympatico email address, have you tried using the m.hotmail.com servers and setting up as imap?
Just tried smtp10.bellnet.ca without authentication/encryption - did not work, but there seems to be a problem with network right now.Both emails I am trying to get to work are non-Bell addresses.
Tried 587 just now, did not work. You are right there are lots of problems with network right now.It is working if I have Wi-Fi off - mail.1xbell.ca for server and no user id or password and port 25
What ISP are you using for your home network? It looks like you're using TekSavvy...On Wi-Fi, you're using your ISP for internet access and most of them will limit SMTP access to their servers...One way around that is to use a different port - if the smtp server you're trying to use supports it.


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Survey Responder Has the Power
Dayton, OH - Jan 29, 2009 - Staco Energy Products Company recently conducted an online survey to learn more about how radio stations use power management systems such as voltage regulators and uninterruptable power supplies. Survey participants were entered into a drawing for a Staco 1kVA UPS and a $50 Best Buy gift card. One name was randomly drawn, and Harold Stanton of American Broadcast Consultants in Sumrall, MS, is the winner.
The survey was conducted for Staco by Neil Glassman Strategy and Marketing.
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- Repurposing Older Equipment


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Hey CS followers! I just wanted to thank you all for following, I hope you all had the best Christmas ever! I'm sad to see Christmas go, but I might post a few (5-ish) things a day until New Years, so if you made something and I missed it, submit the link! I know a lot of you are going to unfollow, but thanks for following and hopefully I'll see you next year =)
Also, there is a credit and thanks page but:
Okay that's all, but seriously thank all of you, I hope you all have a great 2012!
Also, there is a credit and thanks page but: there were so many amazing Christmas blogs this year, but Christmas...


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For more shows throughout the weekend, check out our New York Concert Calendar, which is updated daily.
Breaking the silence
Indie four-piece Rodan formed in Louisville, Kentucky, in 1992 and played their last note together in 1994. In that time the band's core, guitarists Jason Noble and Jeff Mueller and bassist Tara Jane O'Neil, plus a carousel of drummers, Jon Cook, Jon Weiss and Kevin Coultas, recorded a whole lot of ... More >>
In no particular order, here are 10 can't-miss shows in New York this weekend. For the Voice's full rundown of New York concerts, hit us up at villagevoice.com/concerts
Care for some Calexico with your Keren Ann?
Having left their hearts in El Segundo, Joey Burns and John Convertino circle back to retrieve them
Calexicos changing same compels
Trumpet-lace Tex-Mex rockers give a boost to an indie Jesus
Chicago Is Not Tucson, Unless It Is


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After the sides were unable to agree on terms of a long-term contract, the Chiefs designated Albert as their franchise player, effectively preventing him from testing the free-agent market. Albert soon signed the Chiefs' one-year contract offer worth $9.83 million, but has stayed away from the voluntary off-season conditioning program that began April 1.
He also was absent for last month's full-squad mini-camp. Albert indicated in a television interview in April that he wanted assurances from the Chiefs that he wouldn't be traded and that when he reported, he would play left tackle, his position since he joined the Chiefs in 2008 as a first-round draft pick.
"I'm just trying to keep a level head," Fisher said. "You can't really get ahead of yourself or let the expectations get to you or let the pressure get to you. It's good be here, finally."
As the first pick in the draft, Fisher will have to live with those expectations, for better or worse. He got a lesson just how different his life would be the morning after the draft.
He boarded a plane from New York to Kansas City, and as he walked past the cockpit, he was recognized by the captain, who asked Fisher to pose for a photo.
Canadian Cory Greenwood can see why Detroit Lions star Calvin Johnson is rated by many as the NFL's best receiver.
"He's the first in the weight room and when he's done lifting he's on a treadmill running with a weighted vest on," Greenwood said during a recent telephone interview. "Man, he's a beast."
Last season the six-foot-five, 236-pound Johnson, nicknamed Megatron by a former teammate because of his huge hands, led the NFL with 122 catches for a league-record 1,964 receiving yards. He also set league marks for consecutive 100-yard games (eight) and consecutive contests with 10 or more catches (four) while tying Hall of Famer Michael Irvin's single-season record of 11 100-yard contests.
Tammy and her husband, former Birds coach Andy Reid, are selling almost everything they owned that's Eagles-related, to raise money for the high school football team and Laurel House, a shelter and anti-domestic violence agency.
"We've got anything that we wore or collected over the last 14 seasons of Eagles gear," she told WIP host Angelo Cataldi. "You know, jackets, shorts, pants, tops, sweatpants, my rainboots, my cowboy boots that have Eagles on 'em. Everything's autographed and ready to go."
Tags: Kansas City Chiefs


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Catherine McNeil backstage at Gareth Pugh Spring/Summer 2014 photographed by Luc Bacquet
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"Amsterdam based Menswear label OntFront and the guys behind the Cavemen concept have joined forces to create a short film entitled 'We, who wander'. Cavemen is in their own words "a poetic melting pot in which style, masculinity and the art of storytelling are combined to add an extra dimension to fashion video and blogging"."
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Oki-ni "Gangland"
As the long winter nights draw in and the temperature brings to drop, groups of young men choose to trade the street corner or park for the warmth of a bar, pool hall or cinema. At this time of year social circles tighten and cliques form, as activities move inside and underground.
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text: The Palm at Playa Quick Specs View Large Interactive Map Address Calle 8, Entre 5ta Y 10ma AvenidasPlaya del Carmen, Quintana Roo, Mexico 77710 Web http://thepalmatplaya.com/ Phone + 52 984-873-3333 Fax Toll-free Email firstname.lastname@example.com OverviewMeeting SpecsPhotos & videosRatings & Reviews Description Number of Floors: 4Total Number of Rooms: 69 GDS Hotel Reservation CodesAmadeus GDS: WV PCM203Galileo/Apollo GDS: WV 25868Sabre GDS: WV 171056WorldSpan GDS: WV 77203 Nearby AirportsCozumel Intl (12.25 miles southeast)Cancun Intl (31 miles northeast)Chetumal (167.75 miles southwest)More Airports » The Palm at Playa Room AmentitiesThe Palm at Playa amenities are in All rooms unless noted otherwiseAir ConditioningDaily Maid ServiceVoicemailSafe (In Room)Television Guest ServicesCar RentalCurrency ExchangeRoom Service Nearby SightseeingXcaret (4 miles southwest)More sightseeing »DiningPlaya Grill (Onsite)Terrace Bar (Onsite)Casa del Agua (0.25 miles southwest)100% Natural (0.25 miles northeast)Aldo's Italian Gelato (0.25 miles southwest)More dining options » On-Site RecreationHealth ClubPool (Outdoor Pool) The Palm at Playa Meeting Rooms & EventsMeeting Rooms holding 50 people. The Palm at Playa Business ServicesMeeting Facilities The Palm at Playa Images, Videos, & Virtual Tours Photos & Videos The Palm at Playa ExteriorThe Palm at Playa RestaurantThe Palm at Playa RestaurantThe Palm at Playa RecreationThe Palm at Playa RecreationThe Palm at Playa RecreationThe Palm at Playa RecreationThe Palm at Playa OtherThe Palm at Playa Other Images Powered by VFM Leonardo travel42 Review for The Palm at Playa Want to read the full The Palm at Playa travel42 Review? For access to this review as well as 10,000 others, visit www.travel-42.com or call 1.866.566.8136 to subscribe. On the beach in Playa del Carmen within walking distance of Quinta Avenue shops and restaurants, this property opened in November 2012.The hotel features the Playa Grill restaurant and a rooftop terrace with pool. Complimentary coffee and pastries are available each morning in the lobby. Accommodations include 69 lofts and suites with kitchenettes and free Wi-Fi. Subscribe to travel42 to read the full review » Copyright (c) 2014 Northstar Travel Media, LLC. travel42. Nearby Playa del Carmen Hotels More Nearby Hotels Deseo HotelHoliday InnHoliday Inn ExpressOne Playa del CarmenReal Playa del CarmenCasa del Mar CozumelCasa Mexicana CozumelCasita de Maya HotelHacienda San MiguelHotel Cozumel & ResortScuba Club CozumelSuites BahiaVista del MarBlue Parrot SuitesHotel Riu LupitaPlayacar PalaceSandos Playacar Beach Resort & SpaViva Wyndham MayaOccidental Grand CozumelPlaya Azul Golf Scuba Spa Hoteliers! Is your listing up to date? With over 130,000 hotels in our database, no other source compares to our depth of information. Click here to review and be sure the travel professional knows your hotel's latest details.


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Cute Blonde Teen Mae Lynn Gets Her Tight Pussy Fucked and Creampied
Duration: 5m:00s
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wow, this video is fuckin' cool, I like it! the guy fucks this chick right the way she deserves it!
Apparently a huge black cock is all that this kinky babe needs. Damn she bends over and gets drilled!
oh, this girl gets fucked so deep and hard. Like this video. I can feel how well she gets pounded.
Mae Lynn says that sucking big cocks makes her tight pussy so wet that she needs to get it fucked and creampied right away. Check out this gorgeous blonde teen with a juicy rack and a perfect ass getting rally naughty!
Models: Mae Lynn, Voodoo
Reality Kings
Reality Kings remains a leader in online reality porn. The network has grown significantly since our last visit and has only improved when it comes to the quality of the media options and the quality of it's models. With regular updates still coming like clockwork it remains a favorite pick.


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Hugh spoiler about Brody's plot-line later this season.
Ep 8 "A Red Wheelbarrow"
The Brody family gets shocking news.
(We'll find out what happened after end of Ep 3.)
Ep 9 "Horse and Wagon"
Carrie and Brody reunite under difficult circumstances.
This reunion happening has a lot to do with Saul.


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The program allows to know the most imbalanced meridian based on answers to questions. Having revealed disorders you can get treatment. It is performed by color markers put on acupuncture points according to Su-Jok method. Disorders diagnosis is free. Color treatment is paid for.. Freeware download of Testyourself 1.0, size 1.07 Mb.
A answers and questions game written in Java. The player chooses one or more groups of questions, the game mode and the difficulty level, then, the software raffles a question and the player answers it for add points in the score.. Freeware download of CapeTrivia 0.41alpha, size 1.56 Mb.
TestGuesser guesses the answers to simulated test questions and calculates the proportion of correct answers.. Freeware download of TestGuesser rc, size 13.74 Kb.
PHP/MySQL based quiz system, designed to include questions to where the answers can be found on the WWW. Features: login system, random question selection, localisation options etc.
JamboHike 1.0 License - GNU General Public License (GPL). Freeware download of JamboHike 1.0, size 0 b.
This C library implements all questions generally asked in any technical interview, like finding the second largest number in an array, stack implementation of an in-order tree walk etc.
libInterview 1.0 License - GNU General Public License (GPL). Freeware download of libInterview 1.0, size 0 b.
Do you have what it takes to be a successful hitman? Take this quiz to find out. It has been created with more realistic answers and questions than most.. Freeware download of Hitman Quiz 1.0, size 5.90 Mb.
RISE C# code generator
The RISE C# code generator generates .NET C# source code for database access. The generated code implements the classes and methods corresponding to the information interfaces specified in the RISE model. This includes classes for database access and, optionally, classes implementing SOAP/JSON web services. The source. Freeware download of RISE C# code generator 4.0, size 456.70 Kb.
String in C++ source code is different from common string. You should add quote at the start and end of a string line, replace quote inside the string with slash and quote, double slash, and add return and next line at the end of a string line. If you make some changes in the revised string, you have to iterate the above steps. Now Convert String. Freeware download of Convert String for C++ 1.0, size 129.02 Kb.
Will he marry you? Will she? From questions regarding life to those curiosities at work, the Guru is in the house waiting to peer into his Ball of Mystics just for you! Just enter your question when prompted and the Guru will peer deep into his ball for the answers you seek. Sometimes they're insightful, sometimes a little sketchy, just don't swear. Freeware download of Ask Guru Joe 1.42, size 1.96 Mb.
With this source code editor and IDE you will be able to edit and compile C# documents. It has tools for generating C# code either by template, auto completion or by generating with one of the wizards in the program.
The user interface is clear and compact so it easy to learn, and you can have many documents open at a time with tabbed. Freeware download of Oceantiger C# Designer 1 7, size 1.06 Mb.
Retirement Calculator provides an easy way to answer important questions that arise when individuals start contemplating retirement.
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Falcon C is an amazing open source development project.
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Visual C++ 2008 Express Edition provides a complete integrated development and debugging environment making it the easiest way to create powerful applications using the C/C++ language. Visual C++ 2008 Express Edition also contains an enhanced version of the C/C++ optimizing compiler for the fastest executables. Best of all, the Visual C++ 2008. Freeware download of Visual C++ Express Edition 2008, size 2.73 Mb.
The Facebook C# SDK is a powerful component that helps .Net developers build web, desktop, Silverlight, and Windows Phone 7 applications that integrate with Facebook. Get Facebook C# SDK and take it for a spin to see what it can actually do for you!
NuGet Packages Available (Facebook, FacebookWeb, FacebookWebMvc)
. Freeware download of Facebook C# SDK 5. 2. 2001, size 1.01 Mb.
Reliability Centred Maintenance (RCM) 7 Questions Screensaver. This screensaver presents the basic 7 questions of RCM to you one by one. It occupies 720x576 pixels of your screen and is positioned at random each time it appears. (If your screen is smaller than this then it is resized to fit.). Freeware download of RCM 7 Questions Screensaver 1, size 523.26 Kb.
Xinstaller is a program written in C for Linux. It will allow you to make an installer file for your programs. The user will have only to start the executable and to answer some easy questions(mostly "next" :)).. Freeware download of An installer for your programs 1.0, size 21.77 Kb.
BAS-I.C Global free and easy small business accounting where ever you are...
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BAS-I.C Global small business. Freeware download of BAS-I.C Global Free Accounting 1.0, size 22.53 Kb.
Logic Assistant is a framework which enables creating logic circuits, simulating them, creating questions from them and applying to students as a contest or examination. It is developed on .Net C# and works on network over web services.
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This open package aimed to draw some useful charts of Statistical Process Control(SPC) such as X-bar and R-chart, X-bar and S-chart, Process Capability, p and np type charts, c and u type charts. Any questions please contact:email@example.com
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Eclipse plugin that allows you to post questions to the online community in real-time. People's questions are 'streamed' into your view and you can see answers or answer them yourself. Uses Java with servlets and XML
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A list of questions and answers for the project. It contains both general and technical information: project status, what it is and what it does and how to obtain and configure and run it.
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100 brief questions and answers about Al-Quran.
A major Apologetics site. Contains a large number of pamphlet style questions and answers about the Faith, as well as sample articles from the magazine "This Rock" and a RealAudio...


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I woke up one Saturday, kind of wanting to avoid a few responsibilities I had. I wanted an excuse to cancel plans, to avoid doing what was hard.
I don't like going to things alone.
I don't like attending soirees and events and showers where the only person I know is the host. I also don't like going to things that don't seem like they'll be worth my time. Anyone else feel me? Surely you do, because I know a lot of people cancel – or simply skip out – when they think they'll be uncomfortable. I've done it a lot, citing some lame-o excuse as to why I couldn't make it (a headache, having something else I forgot I had to do).
Even if the other party is understanding when you tell them you can't make it, I think they can usually see through the bullcrap. Because – and you know this – if you really wanted to be there, you would go, even with a headache, even with a previous engagement, even with a mound of homework or paperwork at home.
So that one Saturday, I had a party to attend where I only knew the guest of honor. I was nervous, and wished for a way out. But I got in my car and left for it anyway.
Well, and then I got horribly horribly lost, which is it's own story for another post. In the end, this example didn't provide the meat I was hoping for, but it did remind me, sometimes you just have to put yourself in uncomfortable situations. For your friend.
It's one of those instances where it's not about you. Oh how many times do we need to tell ourselves that. I'm certainly no expert on this. I'll probably skip out on something this month my closest friends have planned because one thing or another will make me antsy.
But I shouldn't be proud of that. I should be proud of coming through for my friend. That's what counts.


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Health Care SPDR (ETF) (NYSEMKT:XLV)
CAPS Rating:
Seeks to replicate the total return of the Consumer Services Select Sector of the S&P 500 Index. It unbundles the benchmark S&P 500 and gives the investor ownership in particular sectors of industries represented by a specified Select Sector Index.
CarlosDK (< 20) Submitted: 1/28/2013 6:38:05 PM : Start Price: $41.58 XLV Score: -25.67
dark cloud cover


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|Bruins can only hope home ice is advantage it was in '11
|06.17.13 at 1:04 pm ET
Two years ago, home-ice advantage was the second-biggest factor in the Stanley Cup finals, just behind having a sane goaltender.
After the Canucks took the first two games of the Stanley Cup finals with wins that were decided in the final seconds, the Bruins came back to Boston and blew Vancouver out by a combined score of 12-1. They won all three home games that series by a combined score of 17-3 before finally winning a road game in Vancouver in Game 7. Dennis Seidenberg remembers the atmosphere of the Garden being "crazy" for those games.
It obviously won't be that way this time around. For starters, the first two games were split, although they did come down to the wire, just like Games 1 and 2 in Vancouver. The idea of the Bruins torching the Blackhawks in blowout wins like they did the Canucks now that they're at home? You shouldn't bet on that either. The Blackhawks are far too defensively sound a team for that to happen, so the Bruins should expect these games to remain close. Maybe they won't go into overtime every night, but this series has been something of a stalemate.
"Who knows?" Seidenberg said of games being closer in this series than the last time they were in the Cup finals. "It's tough to predict what's going to happen tonight, but we have to focus on our game. We have to come out a little better than we did and we'll see what happens."
The argument can be made that it took Aaron Rome's hit on Nathan Horton to fire up the Bruins with them trailing by two games, as Game 3 was scoreless in the first period. Then Horton went down, and after the Bruins lifelessly struggled to get anything going on their five-minute power play, they came out after the intermission and scored 11 seconds into the second period.
The B's can only hope that they don't need an injury to get them into this game, as they were fortunate to escape Saturday's Game 2 against the Blackhawks with a victory given that they weren't into it early on.
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|Monica Heger tracks trends in next-generation sequencing for research and clinical applications for GenomeWeb's In Sequence and Clinical Sequencing News. E-mail Monica Heger or follow her GenomeWeb Twitter accounts at @InSequence and @ClinSeqNews.
BioNano Genomics Ships V2 Chip for Human Genome Analysis; Anticipates Booking 25 Systems in 2014
New to GenomeWeb? Register here quickly.


text: The YJ/Y200K Giveaway winner! Kip Fisher June 1, 2012 Good morning everyone. I hope this Friday finds you doing well, and that you'll all be able to enjoy some fine smokes this weekend. I just wanted to let the cat out of the bag and announce the winner of our May 2012 giveaway. My very tired, very dirty Jeep did indeed make it over the 200k hump, and is actually still kicking. We crossed the line on May 19th, and my family thought me quite insane to pull over and take pictures of the blessed event…but many people have that opinion of me, so what's a few more? According to my records that makes John C. the winner! I'll be contacting John this weekend (I hope you used a valid email when you commented, John!), and finding out which prize he'd like to have. Thanks to everyone for playing along and humoring the silliness. We'll have a new giveaway for June, so check back in during the next week to see what we have in store. I'll be including a shiny new Cigarmy coffee mug with whatever other goodies we can come up with, so you can be reminded to check around here each morning… Leave a Reply Cancel Reply Your email address will not be published. Name* Email* 7,896 Spambots Blocked by Simple Comments Comment JavaScript must be turned on to leave a comment. Notify me of follow-up comments by email. Notify me of new posts by email.


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Meet the Knits: London Steampunk meets Stitch London
Join me, steampunk scribbler extraordinaire Gail Carriger, Plarchie the squid, Cooey the Pigeon (armed with her very own tiny and lethal parasol) for an evening of steampunky book signing and giant squid.read more
Handmade Little My needs a home
Little My is a feisty thing and possibly my favourite character from Tove Jansson's Moomin stories. She knows what she likes, she's not afraid to say what she thinks and, best of all, deep down she has a squidgy heart of gold.
She appeared on my needles one night and now you can win her.read more
Free knitting pattern: The Purly Paw Print Patchwork Blanket
I heart hounds. I really do. Snoopy is my Yoda, Hong Kong Phooey is my Mr Miyagi, and when I was little I wanted to grow up to be The Littlest Hobo. So when Battersea Dogs & Cats Home got in touch to ask me to create another free knitting pattern for them, this time for their canine chums, I was tail-waggingly thrilled to do it. For those of you who have been stalking me for a while, you'll know I created the scurvy Captain Cat-Battler for the home last year. The results were jaw-dropping, as Battersea was swamped by purled pirate...read more
When I cast on a scarf in eye-gouging neon yarn at 6.10 on live BBC Breakfast TV I had absolutely no idea that those few garish stitches would be the start of a knitting revolution. But it seems the Scarf of Doom has become a symbol for Knitters' Freedom.read more
Free pattern: BBC Scarfgate or Knitting the Scarf of Doom
Once upon a time there was a blue-haired knitter who was asked to go on BBC News to talk about knitting. EEK! A story of bright yarn, snarky beasts and happiness.read more
Learn graffiti knitting at Yarnstorm Bootcamp
The UK's first ever graffiti Yarnstorm Bootcamp is announced! Yay! Spend the weekend learning the art of the sneaky stitch with me, The Fastener and Plarchie the Squid.read more
Happy Valentine's Pigeon
A very mushy loved up Valentine's Day from Cooey the Pigeon and her new friends, the Flutters. Awwwwwwww.read more
Craft with Cooey: how to love the snow
Cooey the Pigeon loves the snow. And you should too! If you have forgotten how and become a snow moaner, let Cooey remind you why snow is the coolest thing ever.read more
Graffiti yarnstorm: Weekend of the Woolly Wildflowers
Zuts alors! What do you get if you mix one yarnstorming graffiti knitter, one pile of insanely coloured yarn and the biggest comics festival in Europe? You get the Weekend of the Woolly Wildflowers!read more
Free pattern: The Smitten Softspot handmade heart
A free knitting pattern for a squishy stitched handmade heart for Valentine's Day, plus terrible renditions of classic love songs and some awfully dreamy knitted Gods in the nip. Awwwwwwwwww yeah!read more


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To preview the upcoming season we have reached out to our fellow Fansided sites to get the inside info on the 2014 Chicago Bears opponents. Today we tackle the 2nd opponent on the Bears schedule, the San Francisco 49ers. Check out how Orly Rios Jr. from Niner Noise answered our infamous "5 Questions".
What did you like and/or dislike about what the 49ers did in free agency and the draft?
I loved the move to get Stevie Johnson from Buffalo. The 49ers had almost zero production from their No. 3 WR, not anymore with Johnson in the slot. As for the draft, the Ward pick was nice, Ellington might be a nice steal, and being able to draft Carlos Hyde in the 2nd Round reminds me a lot of what happened with Steven Jackson, number one rated RB in the draft being the 2nd-3rd back selected.
Which rookie are you most looking forward to seeing this season?
Even though he was drafted last season, this will technically be Marcus Lattimore's rookie season. Interestingly enough, the 49ers may have their future back in Hyde or Lattimore.
What do you feel the 49ers weakest link is going into Training Camp?
Defensive back, in particular corner. Outside of Brock, lots of questions.
Can you tell us about a player on the roster who hasn't reached the spotlight but you feel will be a difference maker in 2014?
TE Vance McDonald, who was mostly used as a blocker than a WR. 49ers have so many weapons right now, Vance could be one of those guys who slips under the radar of most defenses.
I know it's ridiculously early, but I know everyone looks at the schedule in the offseason trying to predict wins and losses. How do you feel about the matchup(s) against the Bears?
Bad news for the Chicago as they are the first team to open up at Levi's Stadium, the 49ers new home. The 49ers and their crowd are going to be fired up but and it should be a heck of a game, especially the Bear WRs against the 49ers secondary. But I'm taking the 49ers D over the Bears offense.
So what do you think about the matchup against the 49ers? Do you feel that the 49ers defense will dominate last years #2 scoring offense? How about the Bears defense? Can they contain Kaepernick? I know they couldn't last time they played. Let me know your thoughts below in the comments section.
I want to thank Orly Rios Jr.from NinerNoise for taking the time out to answer our 5 Questions about the matchup between the Chicago Bears and San Francisco 49ers. Make sure you check out NinerNoise for all your news and info about the 49ers.
Tags: Chicago Bears


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Is interiors effect FPS? I wander because I have seen maps with a lot of interiors and somehow good FPS even it looks as much if not more full of trees and other staff like in old mod maps.
Is V4 is somehow better with FPS in general?
I check my map in dedicated server and it seams I will have a lot of problems with teleporting doors. I put var2 at 11 in both doors but one of them move character just a little on the side. Is telleport doors have to be very close to each other? I used invisible doors btw. Any other advice apart of what is in edit mode already?Is it matter in which way door are pointed? Which side of the scene they face?
Russia will do what is best for Russian.Im really not sure what that would be, but they would do what is best for them..
Then tsar napileon came and liberated the Europe from Russian overlorda.
Every time i edit a scene after i close the game and open it, all the changes are gone.
yes i do that, but when i got my new computer steam installed everything to the desktop.
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MOVIEmeterSEE RANK
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Sitting on the Moon (1936)
- Comedy | Drama | Music - 11 September 1936 (USA)
A pair of hit songwriters fall in love with an ex-film star and her friend, but a blackmailer arrives to disrupt the romances. Based on William Field's short story "Temperamental Lady."
Director:Ralph Staub
Writers:Raymond L. Schrock (screenplay), Rex Taylor (adaptation), 2 more credits »
Stars:Roger Pryor, Grace Bradley, William Newell | See full cast and crew »