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Monday, October 26, 2009
H1N1 and Over Skepticism?
Am I being too skeptical about H1N1? Is this something I should be shaking in my boots about? I have to admit, I fall prey to kind of woo-thinking when it comes to medical things. No, I'm not an anti-vaxer - I trust vaccines and understand their importance. But at the same time, I've never had a flu shot and I've never gotten seriously ill. The couple of times I've had the flu it was just like any other illness - you're mildly miserable for a couple of days, and then you're fine. I'm not inclined to change my practices that appear to have worked so far.
My problem is I trust my own immune system and the millions of years of evolution that went into making it a little too much. I don't take Advil unless my headache is severe, I don't take Tylenol until my cold becomes unbearable, I avoid superfluous antibiotics, I don't go to the eye doctor until my vision becomes blurry (actually still have to go, whoops). I know it's a horrible habit, but I've always had a "suck it up unless it's serious" mentality (or as my dad says for injuries, "Rub some dirt in it"). I feel like I don't want to build up a tolerance to medication so I can still use it when I really need it.
Am I being completely irrational? You won't hurt my feelings if you say so - I think we're all irrational about something. Are there other people out there who think like I do?
48 comments:
To be honest - I've got the exact same feelings about it. I kinda feel guilty about it, because I coaxed my girlfriend's kid sister to go get the cervical cancer shot while everyone was being skeptical. Turned out next to no one took it - but she did, even being raised quite religious. I felt proud of her, and here I am, considering not taking my H1N1 shot...ReplyDelete
I got Gardasil (the "cergical cancer shot", really an HPV vaccine) as soon as I could. Didn't second guess it at all. I guess I saw cervical cancer as a bigger threat than the flu.ReplyDelete
No, I do not think you are being irrational. I feel almost exactly the same way you do about medications and vaccinations. I think that they are of great benefit for societies, but personally, I try to resist taking them so that they will work for me when I really do need them.ReplyDelete
The "no flu shot for me" strategy has been serving me very well for my 47 years. I usually only get really sick about once every five years, but I can't really establish a causality link there.
It seems that H1N1 manifests itself most dangerously in young people (under 40). The most alarming (albeit anecdotal) stories I've read about H1N1 were about "healthy" young people who died (in some cases rather suddenly) from H1N1. The risks associated with the vaccine are minimal compared to those of the actual flu. Go get your vaccination. My kids and I already had ours.ReplyDelete
Interesting article here (http://www.sciencebasedmedicine.org/?p=1296) debunking myths about the vaccine. Best line:
Claim: Mercola says "Injecting organisms into your body to provoke immunity is contrary to nature."
Fact: Nature kills people. Doing something contrary to nature is what medicine is all about. It's a good thing.
Rex said...ReplyDelete
"I feel almost exactly the same way you do about medications and vaccinations ... I try to resist taking them so that they will work for me when I really do need them."
Maybe you don't understand how vaccinations work. They are effective by allowing your body to generate antibodies to the virus without exposing you to the actual virus itself. They won't help you after you've contracted the real thing.
- AnonymousOctober 26, 2009 at 1:16 PM
Most people I know who got H1N1 were fine after a week at most, and that does seem to be pretty standard. However, the death rate for the "at-risk" age range (of which I am a member) is much higher then seasonal flu.ReplyDelete
So while not truly scared of it, why risk it? If I can get the vaccine cheap and easily why the hell not? Sure the risk is low, but why take it at all?
- AnonymousOctober 26, 2009 at 1:20 PM
I read recently (in a story about H1N1, if I remember correctly) where a security expert said, "If it's in the news, don't worry about it". The upshot was that everyday, mundane things (like car accidents) are far more dangerous than the latest virus in the news. I think your skepticism is on the money here. As for not taking medicine unless you really need it--I don't see anything irrational in that. That just seems like common sense.ReplyDelete
I look at the flu vaccine with more a social contract position than a personal health one:ReplyDelete
Chances are, if you get H1N1, you'll have a bad flu, but will recover and be fine.
But you'll also expose potentially many other people to the virus who may get sick and in turn pass it on to even MORE people.
To me, THAT'S why the vaccine is important. Most people getting it (the vax) wouldn't get mortally ill if they got the real flu, but by immunizing themselves to it, they help contain the virus and reduce the overall infection rate, and thus also the mortality rate.
Also, I'd reiterate what Jeff said: vaccines aren't like other drugs that treat symptoms rather than prevent infection, where your body may become resistant to them over time... Actually, looking at it from a slightly different perspective, resistance to the vaccine (or the virus protein markers contained therein) is exactly the point: to make your body resistant to it so when those same markers are encountered "in the wild" your immune system already has the manual on how to deal with it.
But hey, don't listen to me. I haven't exactly rushed out to get a vaccine either. :/
I take the same approach to most medicine that you seem to. I rarely take any unless I really need it. Perhaps it's some sort of placebo, but I do feel that, when I need it, I respond better to two Advil than any of the people I know who take them more regularly.ReplyDelete
I also have responded poorly to flu shots in the past ~ they don't act the same as other vaccines for me, in that I genuinely feel like I have the flu for a week after taking one.
That said, even though I subscribe to the "suck it up until it's serious" treatment plan, I have no deep faith in it and the evidence seems pretty strong that getting the flu shot is a Good Idea.
The difference is that the "normal" seasonal flu is the same flu every year - it just mutates a little. That means that *almost* everybody has a partial immunity to it. Even if you never had a flu before you got anti-bodies via breast milk, if you were breast fed.ReplyDelete
No one has any immunity to swine flu, which means that without vaccine more people will get sick and possibly pass it on to people to whom it might be a life-or-death situation. I believe what "we" want to accomplish is called "herd immunity" in english.
Also, if a lot of people get sick it causes more practical problems. For example - what if 50% of the profesors at your school is sick at the same time? Your lab partners? The garbage men?
I was offered the vaccine for free through my job so I already got the first shot, and I encourage everyone else to get it too.
Unless of course you are allergic to eggs, then it's a realy bad idea - and than is not something made up by the people in tin foil hats;-)
I'm in the same camp you are with regard to h1n1 and medicine generally. Whether that makes us irrational, I have no idea.ReplyDelete
I've been one not to get the flu shots in the past under the rationale "if I get it, I get it. I'll be miserable for a week, but I'll get over it." Now that I'm back at school, I've gotten the seasonal (I think it saved me already as a friend of mine decided it'd be a good idea to hang out while being rather sick).ReplyDelete
I'm basically getting the vaxes as being better safe than sorry. I wish we had the hamthrax vax here, but we got 500 and the college of nursing and college of medicine get them.
I've had all the usual vaccines, but never the flu one, and I've just been examining my reasons for that. Still not sure. I've had the flu twice, and forgive me, but if you were down for a couple of days, then it was a cold. The flu is horrible, painful, nasty, and if it doesn't kill you, you'll have at least a few days of wishing it did.ReplyDelete
I think it's to do with the fact that a new vaccine is required each year, it seems less directed than my mumps injection (for example) which Just Worked. And if the flu kills you, it's either because of an underlying condition, or because it's a world-wide epidemic that's going to kill millions of people anyway.
I have no idea if this is rational ...
I think you are being irrational. After all, you yourself say you "know it's a horrible habit, but" do 'it' anyway, which sound like a textbook definition of the word. On a side note, how would you "build up a tolerance to medication" in such a way as to decrease its effectiveness? I've never heard of such a mechanism, and I'd be curious to know more.ReplyDelete
To me, being a good skeptic means evaluating the evidence, and to do that I actually have to look it up. You talk about the media blowing things out of proportion and rightly so (the media is painfully sensationalistic) but the CDC and the WHO have easily-accessible webpages (both linked to from their frontpages- you don't even need to search) with all the information you could possibly need- including, if you wanted to dig through the CDC's MMWR and its archives, the raw numbers.
For example, you say "it hasn't really killed people any more than the normal flu does", when the front page of the CDC's H1N1 site says, in its very first paragraph, "..flu-related hospitalizations and deaths continue to go up nation-wide and are above what is expected for this time of year." (from the CDC, http://www.cdc.gov/h1n1flu/ ). Thus, the most basic research shows your initial claim to be, if not outright false, then deceptive. Sure, it hasn't killed more people than a normal seasonal flu does per year. That's because it hasn't had a year, not because it's not more virulent.
And here's the thing that really bugs me, as a microbiologist, about the whole "I never have serious issues with the seasonal flu so why get a shot" argument: flu is contagious. Maybe the flu won't hit you that hard. Maybe it will only give you minor symptoms, and it isn't worth the hassle for you, personally, to get the vaccine. But haven't you heard of the herd effect? Getting the flu vaccine isn't something you do just for your personal health- you do it because, if you don't, you may well pass your "minor flu" on to someone else who won't be so lucky and that's misery, if not a death, that you could have prevented for, oh, about $10.
Vaccines only work if you take them in time... that is, to *prevent* an illness. So confusing therapeutic medication with vaccination is irrational. To confuse something like taking Advil with receiving a vaccine is especially irrational.ReplyDelete
Vaccines only work if large portions of the population take them. So not taking them if you have contact with others is irrational.
Vaccines are not designed to protect healthy immune systems for the most part. Even if you won't die from a case of swine flu, someone else who might catch it from you could. To ignore that risk is irrational.
The diseases we vaccinate against in this country are ones that almost no one under 30 has encountered, so your immune system doesn't know how to protect you against them. So avoiding vaccination because your immune system is "strong" is not rational.
Re: FraserReplyDelete
The reason you only need one mumps vaccine one time, when you need a new flu vaccine every year, has a lot more to do with the viruses themselves than the vaccines or how "directed" they are.
Influenza evolves very, very quickly, due to mechanisms which are not shared by all viruses. The shot you got last year protected you against last year's flu just as well as your mumps shot protects you against the relatively few mumps strains out there- but flu, unlike mumps, is constantly evolving into new forms at very high speeds.
One mechanism I find rather interesting is genome segmentation. Influenza has a segmented genome; mumps does not. This means what when an influenza virus infects a cell, its genome separates into segments which are then reproduced and reassebled before new virus particles exit the cell. The thing is, if you get two different influenza strains infecting one cell, they can swap segments, switching huge chunks of genome to create a new strains- which weren't covered by the previous vaccinations, because they didn't exist. I think it's pretty cool, in a vicious sort of way.
- AnonymousOctober 26, 2009 at 4:53 PM
I was way into woo before I became a godless heathen. Homeopathy, crystals, acupressure, essential oil, healing touch - all of it. On my journey out of faith I started basing my beliefs on evidence, and something else happened - the woo went away. I stopped at a health food store to get a smoothie and looked around - iridology? Bach flower remedies? Mega doses of herbs? None of it based on evidence. Nothing there for me anymore but snacks.ReplyDelete
To answer your question - I now base my personal and family medical decisions on the best and most objective evidence I can find. I'm aware of confirmation bias so I pay attention to where I get my info and often seek out a website with an opposing opinion just to check that I'm getting the whole picture.
So, based on the best evidence I can find, I'm getting the H1N1 as soon as I can and signed permission for both my kids to get it at school. For all the reasons above - It seems to be one of the safest vaccine we have, it is effective, few side effects, the disease can be dangerous and deadly, it is contageous and new and we need some herd immunity -
Mostly though because there is little solid evidence for NOT taking it. Analyze any reason anyone gives you for not doing it - it's mostly scare tactics, irrational statements, and globalized anecdotal evidence. As a skeptic and person of reason rather than a person of faith, it was a no-brainer.
- AnonymousOctober 26, 2009 at 6:21 PM
There won't be any "early detection" with you, right Jen. You won't go until you're at stage 5, right Jen. Let all those sissies go at stage 1.ReplyDelete
You're being irrational, but I understand where you are coming from. The media does have a tendency to make it sound like the world is ending any time something significantly dangerous comes up and, while dangerous things happen all the time, world-ending things... not so much.ReplyDelete
That said, as has been pointed out by a few others, while the media tends to get a bit ridiculous, I generally trust the WHO and the CDC. And all the data shows young people dieing of flu at over twice the rate they do in a normal year, and flu season JUST STARTED less than a month ago. Now, flu doesn't have a very high death rate (at least in young and healthy people) to begin with, so even more than doubling it still doesn't look like all that much to a casual observer. The problem is that flu's INFECTION rates are very high. Which is how seasonal flu kills 35000 a year in this country. This flu has even higher infection rates than seasonal flu because there is little to no immunity in the population.
All of that is reason enough for me to get a flu vaccine, mainly to be one less person spreading it. This isn't just an abstract concept for me either--I interact with 2 different pregnant people on a regular basis. Pregnancy + flu = very bad. Hopefully both of those women will get the vaccine themselves as well, but just in case it doesn't take, or they have a weakened immune system, I don't mind a prick in the arm to prevent myself from endangering them and their babies.
Also, it's only October. There is still a SLIGHT chance that one recombination event (damn segmented genome) could happen to make this flu a little more deadly. It is a bit late for a 1918-ish situation, but hell, if this got anywhere in the vicinity of that, it would collapse the health systems in many places. There are some isolated areas already where ERs are being seriously overrun with flu patients--if that got more widespread, I wouldn't want to risk getting sick with anything, so I'd be very glad to have had my shot.
Now that all that long-windedness is out of the way, an aside-- I grew up surrounded by SERIOUS woo beliefs with regard to medicine. My mother and grandparents sold MAGNETS that supposedly can cure EVERYTHING. My grandfather is an anti-vaxxer--we had some VERY tense conversations when I worked in a vaccine lab. My mother thinks that the evil doctors who gave her mother chemo for her breast cancer were just killing her faster. And then there was a lot of garden-variety anything-natural (supplements!) -is-good, while everything-"unnatural"-is-bad. My best friend spent her child being forced on to weird diets and supplements by her mother to correct her behavior problems that her mother thought were caused by vague "food allergies" and nutritional deficiences instead of the actual diagnosis, textbook ADHD (which, for crying out loud, can be treated with behavioral interventions if you are that strongly against drugs).
All of which is to say, woo is bullshit and pisses me off. I have seen way too many people hurt/exploited by it, so I probably have less patience with woo-y beliefs than I should.
You can be skeptical of media hype all you want, and it may be justified, but that doesn't mean you should throw the baby out with the bathwater, as they say.ReplyDelete
Even if it is true that the H1N1 flu is not much more severe than the normal flu, that doesn't mean you still shouldn't vaccinate against it. Yeah, it's only "5 days of being laid out" with a fever and feeling miserable, and afterward you recover. But that is 5 days of being miserable that are unnecessary. The flu shot decreases you chance of having that, and only costs maybe a sore arm for a day, which is non-debilitating. Moreover, although the risk is pretty small, there is a non-zero risk of a very serious problem (which is bigger than the risk of a very serious vaccine complication).
So hype aside, "It's not as bad as the media is making it out to be" is not a reason to not get vaccinated. The question is, "Is the risk of illness and what it involves greater than the cost of the vaccine (in terms of $$$ and complications)?" To that end, the answer is trivially yes. So get the vaccine.
BTW, I forgot to mention, the other thing about having the flu is that you are at risk of spreading it to others, who can spread it to others, who can spread it to others.ReplyDelete
By vaccinating, you can stop the chain. So if you are thinking about others besides yourself, get vaccinated.
I admit, Jen, that until this semester I thought like you did down to a tee on every point you made. But since beginning blogging and having my consciousness raised about woo in a way it wasn't before by hanging out so much around the skeptic community, I realized that it's a foolish way of thinking and so have changed my mind. I realized a big part of it was a wishful thinking that I was an iron man. The mistake is to make a moral ideal of being an iron man based on a false notion of toughness and then act as though you ARE that iron man (or iron woman in your case) when you actually are not.ReplyDelete
No more basing my ethics on a fantasy of the human ideal when that ethical ideal is a medically or scientifically stupid one.
- mcbenderOctober 26, 2009 at 7:47 PM
I do think there is a certain irrationality to the way you're behaving, although it may not be that severe. Personally, I've never been one of those "suck it up and deal with it" people - if I have a symptom, and there's a drug that can fix it, you can bet I'm going to use the drug... however, I don't think that's really relevant to vaccination.ReplyDelete
You have to know something about herd immunity - the larger a proportion of the population is vaccinated, the harder it is for the disease to spread. Pretty elementary.
For the record, I have a very severe phobia of needles and as a result I rarely get vaccinated for things like seasonal flu. However, they have a nasally administered version of the H1N1 vaccine and I opted for that as soon as it was made available to me. It just doesn't make sense not to.
The one thing I haven't seen people talk about is an argument someone gave me earlier. I was explaining how vaccinations work and why they are a good thing.ReplyDelete
His reasoning for not supporting vaccinations? I'm paraphrasing here: Death is a good thing. It's okay if they get sick and die. It's the way life goes. So he's not getting a vaccine for this reason. If he gets sick he doesn't care. And if he does and passes it on, so be it. If they die, that's their own biology's fault.
Why we immunize is a useful post to read. It has history, statistics, and descriptions.ReplyDelete
BTW would he get the rabies shots if bitten by a suspected rabid animal? What about a tetanus shot if he steps on a rusty nail? Neither of these diseases are particularly pleasant methods of dying and the former is 100% fatal.
This is hardly a contribution at this point, since I suspect it's been said before, but what most people think of as 'the flu' isn't the flu. It's an Upper Respiratory Tract Infection, or URTI. More cynical doctors refer to them as 'Unknown Respiratory Tract Infection.' These are the kind you treat with water and rest and just don't expose many people to them, no big deal.ReplyDelete
The Flu, influenza proper, will knock you on your back for a week and make you wish you were dead for two weeks. Seen it, it's not pretty. Getting vaccinated as a way to avoid this is actually a really good idea on principle, unless you don't have anything better to do.
H1N1 is particularly nasty in its potential outcome, especially for people who are immunocompromised (know anyone who's prone to getting sick?), little kids, or elderly but born after about 1950. If you interact with any people like this, and you can't take a few weeks off from everything, you should probably get vaccinated. Herd immunity is everyone's responsibility, after all.
I have a friend who caught Swine Flu. She had to stay at home for two full weeks, without contact. It drove her nuts, hurt her schoolwork, and hurt her position at work. So she's not super-happy about it.
There you go. Repeated, retreaded facts I learned from someone smarter than me with expertise on the subject, a personal anecdote and a bit of depreciation. Hopefully it's useful despite that.
- SantiagoOctober 27, 2009 at 4:46 AM
Juste get vaccinated if you can, the risks are microscopic compared to the potential benefits. H1N1 has the capability of rapidly spreading throughout the population, and really, if we can avoid ANY extra deaths from the flu (in whatever form) it would be a good thing.ReplyDelete
- AnonymousOctober 27, 2009 at 5:15 AM
I'm in the southern hemisphere, and this is a blog post from a local ER doctor on his experiences with H1N1. Pregnant women and the young seem to be at a higher risk over that of the normal flu.ReplyDelete
Fraser said...ReplyDelete
"And if the flu kills you, it's either because of an underlying condition, or because it's a world-wide epidemic that's going to kill millions of people anyway."
This is flat out wrong. That's the whole point of immunization. To save your life. If every one was immunized, then millions would never die. Even if enough of the population (90% or so) were immunized, that would prevent the spread of the flu. As to the underlying conditions statement, that's also wrong. As pointed out by Talen Lee, this is a new virus to any one born after 1950 and potentially very, very dangerous to even those without underlying conditions in that category.
You don't get the flu shot to protect yourself. You get the flu shot so that you're hopefully one less carrier to pass influenza along to a vulnerable population, and because it gets the community a bit closer to herd immunity.ReplyDelete
Getting H1N1 won't kill you, but it's not like it's fun to have. Most people I know can't really afford to be down for an entire week with a miserable fever. (And even if your case is mild, schools/work/etc want you quarantined for a week so you don't give it to everyone else.)
As a side comment to Jeff Hope's response to Fraser ("And if the flu kills you, it's either because of an underlying condition..."), the World Health Organization says in their October 16 report on clinical manifestations of H1N1, "While people with certain underlying medical conditions, including pregnancy, are known to be at increased risk, many severe cases occur in previously healthy young people." So no, you don't need to have an underlying condition for serious side effects. That's a big chunk of what's unusual about this one.ReplyDelete
Jen: get the fucking shot, please.ReplyDelete
Don't do it for you, do it for everyone else. The simple fact of the matter is that vaccinations don't work unless most everyone gets it. We require a herd immunity. I had been considering not getting it for awhile, but then I remembered the simple fact that diseases spread through the weak of us. If everyone gets the shot, people may still get sick - but many fewer will, and the spread of H1N1 may lessen, or even end.
Remember, vaccinations eradicated smallpox 50 years ago this week. We have a chance to stop H1N1 in its tracks.
H1N1 is a case where the line between precaution and sensationalism is somewhat blurred.ReplyDelete
Remember SARS? SARS was not a pandemic because it was handled well (people quickly quarentened, et cetera). My understanding of why H1N1 is threatening is because of crossing over and such.
Of course, the reason for precation is that there is a sort of trade-off in the disease world between transmission and virility.
Ultimately, I think precaution should be taken, but we have made it to the level of sensationalism. This sensationalism is bad because the next pandemic may not have the necissary level of precaution.
My advice, the shot will help with herd immunity, (if enough people get it) which will protect those who can't get the shot. The issue though is the high mutation rate of the flu. Ultimately, the decision for me comes down to money. If I can avoid it, I will do it. If I think it is a stretch, I won't. (I also think I came down with H1N1 over the summer because I did have flu-like symptoms, along with three other members of my family).
My mother has been panicking about it, and I still havent gotten it, because Cincinnati has been hit hard with H1N1ReplyDelete
- AnonymousOctober 27, 2009 at 2:15 PM
Jen - what do you think? We haven't heard back from you! Do any of the comments make sense or have you reconsidering?ReplyDelete
I definitely try not to use drugs or whatever panacea unless absolutely required. Like you, it has been a method that has worked thus far. Why change it?ReplyDelete
Well, because your circumstances have changed, Qow.ReplyDelete
I myself was raised by the son of a hypochondriac, which meant, growing up, unless I was literally physically debilitated by a disease or injury, I was just told to suck it up. It was rare to get time off school unless I could exhibit some very grotesque symptom, and I didn't take antibiotics until I was in my late teen years. Perhaps because of this, when I do take antibiotics, they take effect quickly and I often get a lot better faster. Of course, I therefore have to be sparing with them.
But this is not just about yourself; this is about a disease that you can spread on to other people, and if you get it, you almost certainly will.
'Why change' is best answered, I think with 'Because it's not just about YOU now.'
While I generally take the seasonal flu shot anyway (mostly for herd immunity purposes, as elaborated on above by people more eloquent than myself), I consider H1N1 to be significantly more urgent.ReplyDelete
Generally, we think of the flu as being really dangerous only to the elderly or immuno-deficient. However, only 12% of H1N1 deaths in the US have been in folks aged 65+, as compared to almost 90% for seasonal flu.
So who's picking up the slack? So far the majority of cases of H1N1 requiring hospitalization have been in people uder the age of 25, and nearly 1/4 of the deaths. Young, relatively healthy people are being severely affected. (Even worse - young, healthy, female people. I hate being in ah igh-risk group >_<)
While I understand some reservations towards vaccination, in this case at least I would highly recommend that you thake the vaccine. Even if you're not the one who gets seriously ill, it could easily be somebody you know.
Oh, and here are links to some press releases with the statistics/generalizations mentioned above: www.msnbc.msn.com/id/33399819/ns/health-swine_flu/, www.upi.com/Health_News/2009/10/20/UPI-61241256081244/, www.thegolbeandmail.com/news/article1321178/
@Talen Lee: Taking antibiotics when you're ill has nothing to do with any personal resistance to them, and everything to do with the particular bacteria you're infected with. Whether or not you've taken one, six, or a dozen rounds of the same antibiotic in the past is completely irrelevant. It's only the bacteria that matters. There's no reason that antibiotics would effect you any differently than another person who has taken multiple rounds of antibiotics, if you are infected with the same bacteria. I suspect your claim that they work more quickly on you is due to the placebo effect.ReplyDelete
On that note, bacterial resistance and improper use of antibiotics is also not just about one person, but the people who will become infected with the resistant strain that might be produced due to one's own negligence.
Great discussion. I echo much of what others are saying here, such as you probably haven't actually had the flu yet, its OK to be skeptical of the news, but not as good to be skeptical of the science, etc etc. Get the shot when it becomes available to you. If nothing else, think of this... Do you want to risk losing a week of classes and have to catch up in all your classes, especially physics? What if you get sick before a grad school interview, or while you are on it (latency of 1-2 days before onset of symptoms)? Go ahead and get the shot. You cannot get the flu from the shot. The shot uses a killed virus, and the nasal spray uses a weakened, replication incompetent virus. Neither will give you the flu. However, if you get exposed to the flu within two weeks of the shot, it won't protect you. It also won't protect you from any of the multitude of other viruses and bacteria that are out there.ReplyDelete
Because so many species can carry the flu, herd immunity isn't as protective as we would like it to be. Those little sparrows and finches all over campus could be carriers. They get hard to avoid.
However, if you care for children, the elderly, work in a health care setting, being vaccinated can protect people who don't have those same exposures. I am hoping to get the shot ASAP so that I have less of a chance of passing an infection on to my dad, who isn't just elderly, he is olderly.
The vaccine is a barrier between you and the virus, and you want as many barriers as you can get. Washing hands, keeping your hands out of your face, not sharing food or drink with anybody you aren't already kissing... all of these are barriers to infection. If you don't want to get the vaccine, why use a condom? Thats a barrier. Why bother being concerned that your food prep people wash their hands. You have an evolved immune system, after all. ;)
Problem is, the virus is evolving with us, and it has a faster reproductive cycle. You need to prime your immune system to respond to the virus as soon as it shows up instead of playing catchup over a rather shitty several days.
Your readers might enjoy my notes from my flu virus lecture that I give to my intro students, turned into a blog entry here.
Robert B / @RobsterFCD
Having had the Hamthrax...ReplyDelete
Everyone above is right. More than that? H1N1 is like no other flu or cold I've had. Sure, the symptoms were there, and I've had the flu before... but this one literally /put me down/ for five days. As in 'no getting up, barely able to shuffle to the fridge for fluids' putting down.
I'm a reasonably healthy guy that's just outside of the demographic - and while we all know anecdote isn't really worth much, it's still an anecdote.
Getting the shot keeps you from going through it, removes potential complications from something to which you are practically guaranteed to be exposed (given that you're in college) and ensures that you don't pass it on to others. Win, win, win.
@Julie - You're almost certainly right. It's nice to feel like my childhood travails led to some kind of tangible benefit, but you are right that it's either a placebo effect, or that I have somehow a good response to antibiotics that I'd have regardless of exposure. What I think got lost in there is that I've done (and do!) the 'drought' approach to medical treatment, and I still think the vaccine is a really, really important move.ReplyDelete
I did an analysis of the spread of H1N1 over the first few weeks of establishment here in Florida (using data from our Bureau of Epidemiology) and I am none too concerned.ReplyDelete
The real worry here is herd immunity. This is one time where I think the silly overreaction to the media might be useful. You and I are young and healthy, so even if we do get the flu, we will, in all likelihood, be fine. The thing to remember is to not be around others if you get the flu this year. That is a rule every year, but especially true this year. Herd immunity is very low, so people who are at risk of dying from the flu are at great risk this year because they are more likely to come into contact with someone that has a flu strain to which they are not immune.ReplyDelete
As a student going to be around a lot of other people, you might want to get the vaccine. Not for yourself, but for everybody else.
I agree with everyone else on the herd immunity point. This virus is novel in that we don't have many built-in defenses against it and it spreads rapidly enough that, were it to mutate into something more deadly, it would be devastating. And the chances of it mutating into something more deadly are good if vaccination rates are like 70%, as with Australia and the resurgence of polio due to the antivax campaigns.ReplyDelete
If for no other reason than as a way of keeping yourself from catching and transmitting the disease, you owe it to your friends and family to get the shot.
I'm a healthy person in my early 40's. In theory I should be at the lowest risk for problems, I think, because I was alive during the last epidemic and am pretty young for that age group.ReplyDelete
I am writing this from exile in my bedroom due to probable H1N1. Over the last 5 days, I've felt sicker than I've been for the past 14 years - like The Standing Dragon, not getting out of bed sick (except for that dry-heaving, near fainting incident). I feel a little better today finally, but I'm still stuck here, unable to go to work or hug my kids or spend time with my husband because I don't want to get them sick. I've had a high fever, chills, cough, and every form of icky feeling you can imagine. I spent 2 days with no sense of thirst and no saliva in my mouth. I've missed my youngest daughter's Halloween party, my oldest daughter's indcution into an honor society, and don't even get me started on what responsibilities I'm missing at work. I still have a fever and a cough and an occasional excruciating headache that isn't touched by painkillers at all.
This was more than just a little sick, and I'm more than just a little stir-crazy from being cooped up in self-isolation for a week.
Do what you want, but I'd get the shot. Not because you will die if you get the flu (you probably won't), but because you will feel really, really crappy and miss a lot of important things.
Oh, and did I mention that I teach on a college campus? I'm pretty sure that's where I got it.
I don't intend to have the shot unless it becomes mandatory, which it might well. My country is making a pig's ear (ha!) out of the programme, and I don't want to take a vax away from a more deserving case. Not scared of the vax, though, and with an upcoming colonoscopy I have something else to worry about (we do all scopies by the brute-force method here, no sedation).ReplyDelete
Me, I'm very low-risk. I'm 56, which means I would have caught the 1957 outbreak; I never get flu/URTI (possibly because I believe myself immune?) and live and work alone, so am not that relevant to herd immunity. If I'm wrong, I die, but probably won't take anyone with me.
Amused and glad to see the flight from woo here.
Remember, herd immunity is everyone's responsibilityReplyDelete


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Very pretty blonde Japanese minx starts to play in her clothes. She shows off, wriggling herself in front of a cam in fancy pink panties, and pulls them down exposing her nice tight ass. She fills her mouth with a huge boner playfully, and makes some handjob and sucks it in a very cool way.
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Wayzata, MN 55391
Call: (952) 473-9595
Fax: (952) 473-6266
Region: Minneapolis / St Paul
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Situated on beautiful Lake Minnetonka, Wayzata is just minutes west of Minneapolis. Wayzata's summer leisure activities focus primarily on water - sailing, boating and water skiing. Beautiful gardens along the lakefront, miles of Bicycle trails, and picturesque shops, boutiques and restaurants make Wayzata the perfect summer destination.
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Located on a Lake or River
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- Eleven miles west of downtown Minneapolis via I-394 to the Wayzata exit.
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Quality Check-up Report
Fall 2012
With great enthusiasm and anticipation, faculty and staff at Mineral Area College began applying for acceptance into AQIP in January 2005. The AQIP process is a logical step for us as continuous improvement is a value that each of us recognize as essential for the college's future.
Our process began during a series of workshops when faculty and staff discussed our collective values, mission, and vision for the college. What items were intrinsic to a first-class institution of higher education? The results of those meetings can be found within the documents posted on this web site.
Next was the task of forming a steering committee representative of the college's employee makeup. The core members were recruited by the college president and the deans; an open invitation was later issued to college personnel. This committee was charged with familiarizing themselves with the AQIP process and determining the goals and priorities that would later become our action projects.
At a second set of workshops, the college personnel were presented with an overview of the AQIP process and then asked to "vote" for their top four priorities based upon a list of areas of improvement the committee felt was important. We also solicited ideas for projects that we may have overlooked. The result was a list of 24 ideas which were then streamlined into seven core concepts. Those became the basis of our future AQIP Action Projects.
Meanwhile, the Committee was writing and rewriting its application for acceptance into AQIP. After several meetings, individual writing sessions, a little bit of head-banging, and more meetings, a document emerged which we felt was an accurate reflection and overview of Mineral Area College. This application is also available for review within this web site.
We invite you to review our documents and we ask for your feedback. It is only through honest analysis, open discussion, discerning feedback, and critical review that an organization can improve itself. Please feel free to contact any member of the AQIP Committee.


text:
Nakotchokutchin Indians, Nakotchokutchin People, Nakotchokutchin First Nation. A Kutchin tribe dwelling on the lower Mackenzie river, north of the Kawchodinneh, in lat. 68° north, lon. 133° west Their hunting grounds are east of the Mackenzie as far as Anderson River, and their chief game is the caribou. In former days they waged intermittent warfare against the Eskimo of Mackenzie river, with whom, however, they have always traded. Their men numbered 50 in 1866.
Nakotchokutchin Tribe
MLA Source Citation:Hodge, Frederick Webb, Compiler. The Handbook of American Indians North of Mexico. Bureau of American Ethnology, Government Printing Office. 1906. AccessGenealogy.com. Web. 20 December 2014. http://www.accessgenealogy.com/native/nakotchokutchin-tribe.htm - Last updated on Oct 21st, 2011
Categories: Native American
Topics: Kutchin, Nakotchokutchin
Locations: Canada
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Early in the winter of 2013, Mississippi State baseball announced, 'We're Back.'
By the summer of the same year, John Cohen not only had his alma mater back, but perhaps better than it has ever been.
One of college baseball's most storied programs, Cohen took over MSU in the summer of 2008 at perhaps its lowest point in half a century. Legendary coach Ron Polk had retired and Cohen inherited a team which had only won 23 games, just nine in the SEC.
Sure, the task of rebuilding was daunting, seemingly akin to standing at the base of Everest, searching for a summit hidden in the clouds.
But Cohen had done it before. In the same Southeastern Conference, no less.
In 2003, the University of Kentucky hired Cohen in hopes of turning around a reeling program, one that had never seen sustained success. After his inaugural season, Cohen took a perennial conference basement team and reeled off four-straight winning seasons.
And not only did his teams improve, the 2006 club won the school's first-ever SEC Championship, as Cohen was named both National and SEC Coach of the Year, taking the Wildcats from worst-to-first in the nation's toughest league. By his final season in Lexington, Cohen had his team 19-0 to start the campaign, earning a top-five ranking, yet another first.
Given time, Cohen showed he could rebuild a program. The same reason his former school asked him to return and resurrect the proud Bulldog tradition. Bring back the crowds, play into the depths of summer and make the familiar pilgrimage to Omaha.
Just as he had done before, Cohen began to mold his team. On the first day, he went to recruits, telling them they could be a part of bringing MSU back. They could play in the College World Series. They could play for a National Championship.
Whether by luck, design or brute willpower, Cohen was true to his word.
Following two seasons of some improvement, the Bulldogs broke through in 2011, not only reaching an NCAA Regional, but making it all the way to the final game of a Super Regional, just three outs short of Omaha.
2012, another postseason, another Regional. MSU was close.
Then, in 2013, Cohen led his team to the greatest season in school history.
And it was no fluke, as the Bulldogs made their first-ever appearance in the Championship Series of the College World Series, racking up 51 wins along the way.
The trip to Omaha, just as Cohen had promised, was made.
The crowds? Not only did they return, but they brought even more with them as an all-time record 547,266 fans streamed through the gates to watch the Bulldogs play in 2013.
And again, the return to the top was anything but an accident or dumb luck.
Not only were an impressive seven players off the 2013 team drafted, four of them went in the top 10 rounds. Cohen built a roster deep with talent.
Talent, of course, he and his staff developed, molding them like clay, turning potential to production.
At the plate, his Bulldogs racked up a school-record 713 hits, good for third in the country, while junior shortstop Adam Frazier led the NCAA with 107 hits and paced the SEC with 20 doubles. Junior outfielder Hunter Renfroe led the SEC in both home runs and total bases, while finishing second in the conference with an impressive .620 slugging percentage.
MSU was at or near the top of the conference in seemingly every offensive category, but the defense carried the load as much as anyone.
Sophomore Ross Mitchell not only led the NCAA, but set an MSU record with 13 wins in relief in 2013.
Yet another sophomore, closer Jonathan Holder tied an MSU record with 21 saves in just one season, smashing the previous school-record of 13.
Six pitchers had ERAs under 2.00, with a collective team ERA of 2.79 and an SEC-high 588 strikeouts. Cohen's mix of youth and experienced seniors proved his ability to recruit, develop and coach any position on the field.
Asked about fielding, Cohen chalks it up to "just throwing and catching," though if it were really so simple, far more would be able to do his job.
Technique, awareness, guidance and preparedness helped Cohen's club tally a record 80 double plays over the course of the 2013 season, racking up record highs in putouts – 1,927 – and assists – 834.
At each coaching stop in his career, MSU's skipper has had an adaptability factor like no other. At smaller ballparks where offense was critical to each teams' success, Cohen excelled. In his time at each campus, the Tuscaloosa, Ala., native broke the single-season school runs record at Northwestern State (1999), Florida (2002) and Kentucky (2006 and 2008).
As the hitting coach at Missouri in 1996, the Tigers broke the school record for hits (659) and doubles (144). In the same position at Florida in 2002, the Gators led the country in hits (825) and ranked second nationally in average (.346), runs per game (9.74) and home runs per game (1.71). Cohen's hitters also set or tied 41 total offensive school records (20 team/21 individual).
When Cohen was coaching at bigger ballparks, he adjusted accordingly. His Northwestern State pitching staffs set 10 school records from 1998-2001 as Cohen took home two Southland Conference championships and Coach of the Year honors. In Starkville at the spacious Dudy Noble Field, Cohen's pitching staff enters 2014 leading the the country in double plays the last two seasons (151), while being one of two teams nationally last year to finish in the top-10 in ERA, strikeouts per nine innings and hits allowed per nine innings.
In a numbers game, Cohen's accomplishments are clear, but his impact goes beyond wins and losses or strikeouts and home runs.
The best thing about Mississippi State, Cohen has said, is the people. And the people on his team were the stars of the 2013 College World Series, not just for talent, but for personality and success.
In addition to multiple All-Americans and several more All-SEC players, a record-high 23 Bulldogs were named Academic All-SEC, tops in the conference by a wide margin.
Three had 4.0 GPAs while 24 different players had at least a 3.0 GPA, adding up to a 3.25 full-team GPA during the spring semester when the World Series run began.
Senior Sam Frost was the SEC Baseball Scholar-Athlete of the Year and senior Kendall Graveman was Academic All-SEC for the fourth time in as many years, winning the Newsom Academic Award.
Cohen, wherever he has been, has proven himself as a rebuilder of programs, a coach capable of sustaining success, winning championships and developing both players and people. A trend has developed where after year two, when he had his second recruiting class on the field and freshmen became sophomores, his success skyrocketed.
In his first two years at Kentucky and Mississippi State combined, his teams were a combined 101-119 (.459). In years 3-5 combined in Lexington and Starkville, Cohen went 256-124-1 (.673), with five trips to the NCAA Tournament, two SEC Championships and a trip to the College World Series.
Just as he predicted at the bottom of the mountain in 2008, Cohen now has Mississippi State at the summit. They're back.
Playing Career
Playing Honors
Coaching Career
Coaching Honors
Coaching Year-by-Year


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Jessica Mae's Blurty
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Monday, July 21st, 2003
10:54 pm
Freaked out
Today i mostly spent the day with jon and his family... i had a good time. Then we went to great bingo...i fucking lost goddamn fucking game. Right now jon is being a complete freak and scarying the fuck out of me. idk what the hell is up with him....but im gonna kick his ass in a min. He wants me to...he likes it i think my moms up and here i am sitting in a towel...i dont think its a good thing. So i will talk later on maybe... After i watch my movies and kick jons ass! Talk later
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Saturday, July 19th, 2003
11:58 pm
Hey this is my first online Journal i figured since alot of people are doing this shit maybe i should try it ....who knows maybe it will grow on me. Today was pretty boring me and my boyfriend Jon went shopping couldnt find much. Other then that i just sat around all day. Tomorrow is my graduation party it should be fun. I will have to write about that sum time. I saw adam today for the first time in a week or so hes still pissed off that me and jon now have a realtionship and that me and nate are over for good. But its a good thing that me and nate are broken up. i havent been happy in so long and now that im with jon and he is active i get to get out more and hang with my friends again i am so extreamly happy i cant even explain. I am at Missy's house right now waiting for that lil bitch to get home but as always she is taking her sweet lil time its 12:02 am and here i am bored out of my mind....i hope she is at least having fun. She better make up for it haha. I miss my baby this is the first night in a while that we arnt spending the night with each other. tomorrow i am staying at his house. Hes so great. well i guess i will leave it at this i will update soon!
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FDA approves Roche's Avastin for ovarian cancer
Swiss drugmaker Roche said Friday that the Food and Drug Administration approved its drug Avastin as a treatment for ovarian cancer.
Swiss drugmaker Roche said Friday that the Food and Drug Administration approved its drug Avastin as a treatment for ovarian cancer.
Australian drugmaker CSL Ltd. said Monday it will buy Novartis' flu vaccine business for $275 million.
South Korea on Thursday proposed a steep 80 percent hike in cigarette prices to cut consumption in a nation with one of the world's highest male smoking rates.
Colorado is now selling more recreational pot than medical pot, a turning point for the newly legal industry.
Botox maker Allergan will cut about 13 percent of its workforce as part of a push to become more efficient while it fights a hostile takeover bid from Valeant Pharmaceuticals.
Marijuana sales in Colorado brought in $3.5 million in tax revenues and fees in the first month retail pot outlets were allowed, the western US state said Monday.
Global consulting firm Accenture has been chosen to take over the running of the US government's trouble-plagued health insurance website, the White House and company confirmed.
British drugmaker AstraZeneca reported Thursday that third-quarter net profit fell 17.5 percent to 1.25 billion pounds ($200 billion) as the patents on older drugs expired.
Republicans have pushed legislation through the House preventing the Internal Revenue Service from implementing any part of President Barack Obama's health care overhaul. It's the 40th time the chamber has ...
Danish pharmaceutical company Lundbeck Wednesday posted a higher than expected quarterly net profit, helped by the expansion of an alliance with Japan's Otsuka and the divestment of a US portfolio of non-core products.
People buy larger amounts of soda when purchasing packs of smaller drinks than when offered single servings of different sized drinks, according to research published April 10 in the open access journal PLOS ONE by Brent ...
(AP)—Struggling drug company AstraZeneca outlined a major restructuring of its business on Thursday, including some 2,300 job cuts worldwide as it overhauls its research operations.
The traditional Medicare program allocates only 1 percent of total spending to overhead compared with 6 percent when the privatized portion of Medicare, known as Medicare Advantage, is included, according to a study in the ...
(AP)—Anglo-Swedish pharmaceutical company AstraZeneca PLC warned over expiring patents on its medicines as the company announced a 37 percent fall in full-year net profit on Thursday.
(AP)—Eli Lilly and Co. said Friday its 2013 earnings will grow more than Wall Street expects, even though the drugmaker will lose U.S. patent protection for two more key products this year.
In business, revenue or revenues is income that a company receives from its normal business activities, usually from the sale of goods and services to customers. Some companies also receive revenue from interest, dividends or royalties paid to them by other companies. Revenue may refer to business income in general, or it may refer to the amount, in a monetary unit, received during a period of time, as in "Last year, Company X had revenue of $32 million."
In many countries, including the UK, revenue is referred to as turnover.
Profits or net income generally imply total revenue minus total expenses in a given period. In accounting and financial analysis, revenue is often referred to as the "top line" due to its position on the income statement at the very top. This is to be contrasted with the "bottom line" which denotes net income.
For non-profit organizations, annual revenue may be referred to as gross receipts. This revenue includes donations from individuals and corporations, support from government agencies, income from activities related to the organization's mission, and income from fundraising activities, membership dues, and financial investments such as stock shares in companies. For government, revenue includes gross proceeds from income taxes on companies and individuals, excise duties, customs duties, other taxes, sales of goods and services, dividends and interest.
In general usage, revenue is income received by an organization in the form of cash or cash equivalents. Sales revenue or revenues is income received from selling goods or services over a period of time. Tax revenue is income that a government receives from taxpayers.
In more formal usage, revenue is a calculation or estimation of periodic income based on a particular standard accounting practice or the rules established by a government or government agency. Two common accounting methods, cash basis accounting and accrual basis accounting, do not use the same process for measuring revenue. Corporations that offer shares for sale to the public are usually required by law to report revenue based on generally accepted accounting principles or International Financial Reporting Standards.
In a double-entry bookkeeping system, revenue accounts are general ledger accounts that are summarized periodically under the heading Revenue or Revenues on an income statement. Revenue account names describe the type of revenue, such as "Repair service revenue", "Rent revenue earned" or "Sales".
This text uses material from Wikipedia licensed under CC BY-SA


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- Holds up to six floats, each with an average size of 24" wide by 72" tall, up to 1-1/2" thick
- The approximate dimension of this rack is 29-1/2" high and each arm is 24" long
- The bottom arm must have at least 74" clearance so the bottom float hangs freely. Total clearance should be approximately 8-1/2 feet
- Arms fold out of the way while you're enjoying your floats!
- Allows for easy hanging and drying of poly covered foam floats with pillows
- Available in White or Bronze
- Will accommodate up to two optional accessory bags for increased pool toy storage.
- Made of PVC Furniture Grade material
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- Can be left out throughout the year
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Lilly, on Tuesday, announced that it will offer 4,000 sales reps a buyout in hopes of reducing its sales force by 300 before year's end. According to a Lilly spokesperson, this is a voluntary exit program for eligible sales force professionals in its diabetes, neuroscience, and osteoporosis business units. Reps have the opportunity to leave the company with an "enhanced†severance package based on their years of service at the company.
This program comes in advance of a restructuring program of Lilly's office-based sales organization in the aforementioned business units. That restructuring will take place in November, with a new sales structure going into effect on January 1, 2010.
"We need to right-size our sales force to the new model,†said Lilly's Edward Sagebiel. "To get to that model we need to lower the head count. However, [this is] not a wholesale layoff like other firms have done, but a voluntary program.â€
Lilly said that it's also trying to enhance customer interaction and improve efficiency. Currently, the company has its sales force spread through larger territories with a number of reps in each therapeutic area calling on a physician.
"What we've heard from our physicians is that they want to see a more direct response to that interaction,†Sagebiel said. "[Doctors] want a single point of contact with the company, and they want to interact with a sales representative that has deep therapeutic expertise, and one that can add value to their relationship.â€
Lilly has developed pilot programs based on a similar model in Ohio and Wisconsin that are showing positive results, according to Sagebiel.


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- Performer: Sanford Sylvan, Kronos Quartet, Teresa Shaw, John Alley, Shelagh Sutherland, et al.
- Orchestra: San Francisco Symphony Orchestra, Orchestra of St. Luke's, London Sinfonietta, Lyon National Opera Orchestra, Hallé, et al.
- Conductor: John Adams, Edo de Waart, Kent Nagano
- Composer: John [Composer] Adams, Charles Ives
- Audio CD (October 19, 1999)
- Number of Discs: 10
- Format: Box set
- Note on Boxed Sets: During shipping, discs in boxed sets occasionally become dislodged without damage. Please examine and play these discs. If you are not completely satisfied, we'll refund or replace your purchase.
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Why I Added Some Jewish Learning to My Over-Scheduled Life
I am undoubtedly overwhelmed, overextended, and stretched too thin on any given day, at any given moment. A 3-year-old son, almost 10-month-old twin daughters, a home to maintain, a small business we are trying to grow, a new photography venture, articles to write, a cooking club, and a few other activities all make my life insanely chaotic and wonderful.
Then why did I commit myself to one more thing? Because, if you notice the list above, there was nothing dedicated to being Jewish. I am committed to raising my children in a Jewish home, but was I doing enough to achieve that just by sending my son to the daycare at the local JCC? So when I was invited to join Chai Mitzvah, a women's learning group at my synagogue, I jumped at the chance. Read the rest of this entry →


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Bike polo strategy is often maligned by those who think the two are oxymorons. You go out, you hit the ball around until you get it in the goal, or you curse a lot and get drunk.
And we all know how fun that particular strategy is.
But let's–just for the sake of Monday fun–say that you want to work on some strategerie for your next pickup day or tourney. Well, why not try this mediocre-ly named strategy I've often seen a few of our top level players pull off in pickup (often on me, and often resulting in my hopping off my bike and chasing someone down like an anamorphic toad):
The setup is simple: the opposing team has possession and you want to get that ball away from them. While this is generally the aim of most games (getting the ball away from the opposing team), this little maneuver can help you do so quickly while at the same time eliminating a potential threat to the scoring teammate.
Just a note: this whole move is really a matter of seconds – don't let the slowness of showing how it's done make you think it takes half of the game. Also note that I'll be using Tagamigrams™.
1. The required setup:
The opposing player has the ball, there is a teammate in pursuit, and you're in a position to help strip the ball (represented here by the fellow hanging out about midcourt.
2. First Moves
First, the opposing player (in this case) gets the ball off the wall. The trailing teammate is still in hot pursuit. You begin by moving behind the play so you can properly spring the trap without making the opposing player aware of your shenanigans.
3. Swing In
You begin your tricky little maneuver. As you can tell, this requires some previous understanding with your teammate to prevent some sweet bike on bike action.
4. The Tricky Part
The reason this works well off the wall is because, generally speaking, people slow down a little bit when digging the ball off the wall. This will hopefully give you time to get in front of the opposing player to get on their mallet side (again, this should happen fast on your part).
5. Strip The Ball
You got around the opposing player – awesome! Now you've got to strip that ball from them (since you're close to the wall, you don't have to get control here. Try to instead just push the ball so it hits the wall. Your teammate will either be able to push the ball along for you or you'll be able to retrieve it yourself.
6. The Block
The opposing player has two options: follow you or continue with momentum. If they try to make a full turn towards you they'll lose any speed they had, rendering them useless. Chances are they'll try to turn left, and that's where they bump into your teammate who is already setting the pick.
7. Make the shot
So you've got the ball, the opposing player is blocked, and you've just shifted the entire momentum of the game back to your team being on offense. In theory the blocking teammate can now swing in to get the pass, get the rebound, or to generally cheer you on.


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The Illinois Tollway is warning customers about a phishing scam using the E-ZPASS logo in emails claiming recipients owe money for missed tolls.
In the alert issued Thursday, the tollway authority advised customers to disregard emails being sent from "E-ZPASS Collection Agency."
The E-ZPASS Group, an association of 25 toll agencies in 15 states that operates electronic toll collection programs, has said the email is a phishing scam, according to the alert. The scam has not compromised any I-Pass accounts.
About 100 customers have alerted the tollway that they've received the email, spokeswoman Wendy Abrams said.


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Kohl's Goes 'Choose Your Own Adventure' with J.Lo SoMo Campaign
Suffer for fashion
Who's Jennifer Lopez, again? Oh right: she starred in a pretty good movie with George Clooney, got sunscreened by Ben Affleck and performed for some dictator. Anyway…
Kohl's is betting a lot of money that people remember her with an ambitious campaign airing this Sunday that combines traditional ads with social engagement as so many do these days.
The interesting thing about this one is its "you choose the story" premise: J.Lo is headed to the American Music Awards and she needs your help getting to the stage because traffic is bad and she'd never take a Citibike (New York joke, whoop). If you want her to run across the tops of all the cars Batman-style then you tweet #JLoRoofRun, and if you want her to jump on the back of some random dude's moped you tweet #JLoHitch.
Still with us?


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Guest post by Natalia Nebel, co-organizer of Sunday Salon Chicago
A friend of mine brought me to Neighborhood Writing Alliance's benefit at the Chicago Cultural Center two years ago. I'm still grateful! I became one of NWA's biggest fans within minutes of walking into the party. You could even call it love at first sight.
After that evening, whenever I have the opportunity to talk about important Chicago nonprofits, I bring up Neighborhood Writing Alliance. I like telling people about its dedicated staff and volunteers, the talented writers who take its workshops, the passion and commitment of its board members and supporters, the exceptional Journal of Ordinary Thought.
When I recently became involved in organizing a reading series called Sunday Salon Chicago, I knew right away that NWA would be the literary organization that we would ask to share our kickoff event.
Sunday Salon's mission is to feature local and national authors, give Chicagoans who love literature a place to meet, and shine a spotlight on nonprofits that promote reading and writing. The Sunday Salon series was founded in New York City by writer Nita Noveno nine years ago. Sunday Salon has hosted 360 writers since then, and Noveno has expanded Sunday Salon's mission by developing an online Sunday Salon magazine. We are actually a satellite of New York City Sunday Salon.
I am a writer and translator and I was familiar with Sunday Salon because I read at the Sunday Salon New York City venue a couple of years ago. I loved the experience. The atmosphere was relaxed and friendly. Before the reading, during break, and then afterwards, I saw people talking, making new friends, sharing information about the literary community, and just having a great time. When I returned to Chicago I found myself wishing for a local Sunday Salon series. I'd heard that it had been introduced to Chicago, but that it had gone into hiatus. Then about seven months ago I received an email from Melanie Pappadis Faranello. She had been the organizer of the Chicago Sunday Salon along with Mike Zapata. Melanie and Nita wanted to start up the series again. They were looking for volunteers. Remembering the fantastic experience I'd had in New York City, I immediately volunteered. I asked Jeanie Chung to join me in the relaunch.
We're thrilled to be relaunching the series on July 31st at 8 p.m. at Uncommon Ground (1401 W. Devon, Chicago).
- Eileen Favorite, instructor at SAIC and Graham School of Continuing Studies, University of Chicago, and author of the novel The Heroines.
- Jesus Angel Garcia, author of the transmedia novel badbadbad
- Alyson Lyon, writer and co-director of Essay Fiesta
- Robert Rodi, author of numerous novels, comic books and nonfiction books, including his latest, Seven Seasons In Siena: My Quixotic Quest for Acceptance Among Tuscany's Proudest People
- And of course, Neighborhood Writing Alliance
For this kickoff event we thought it would be appropriate to have more local writers than visiting ones. I've long been familiar with both Robert Rodi and Eileen Favorite's work, knew they were great readers who are able keep an audience at rapt attention, and so I contacted them. Coincidentally, I had just heard Alyson Lyon read a personal essay she had written for her Essay Fiesta reading series at the Book Cellar. I thought it a powerful piece of work and I immediately asked her to read it for us. I think that having a mix of fiction and nonfiction will make the evening more interesting. Finally, Jesus Angel Garcia was recommended to us by our upcoming guest curator Gina Frangello. We checked out his work and agreed with Gina that he would be the perfect addition to our kickoff.
Gina Frangello will be curating the August reading and Mike Zapata will be curating in September. We want to have a variety of curators in order to keep the point of view fresh.
As more and more bookstores close and bookstore readings dwindle, reading series like Sunday Salon are filling the void. And as many writers begin publishing electronically rather than in print, live readings become the best way for them to get the word out about their work. Neighborhood Writing Alliance, with its workshops and journal, is a vital link in the literary world's chain. We're thrilled NWA will be part of our kickoff event.
Sunday Salon will take place the last Sunday of each month at Uncommon Ground. The New York City series has been going strong for nine years now. We hope to follow in their footsteps.
Don't be shy! Please join us on July 31st for this free event. Reservations in the listening room guarantee seating: (773) 465-9801.
For more information, visit http://www.sundaysalon.com/chicago-salon or check out our Facebook page.


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The City of Round Rock has rescheduled its rained-out July Fourth fireworks display to be held in conjunction with Time Warner Cable's Movies in the Park presentation of "Curious George."
The festivities begin at 7:30 p.m. with movie trivia hosted by Time Warner Cable. At 8 p.m. skydivers will fly into the festivities. Fireworks will take place at dark with the presentation of "Curious George" to follow.
"Movies in the Park" is a community service of Time Warner Cable. Concessions will be available for purchase. All proceeds benefit the City of Round Rock Parks and Recreation Department programs.


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Few things are as suited to separate motion and aiming controls as a tank. Since BattleTanx is a Nintendo 64 game, practically any control scheme is going to be an improvement. Even so, a sequel for the Wii would have to do more than make moving and shooting an easier process -- adding in some more complex gameplay elements, such as the ability to issue commands to AI tanks, would be a huge benefit to the game.
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Okay, so I've started going to the gym full time as of 2 weeks ago. I've never held a gym membership before this and the only times I've ever gone were sporadically, but never for as a routine. I have to say that I really enjoy going and look forward to it and I can see differences in strength in just 2 weeks. However, here's my problem. I am definitely trying to build muscle and for that I know I must eat a lot. The only problem is that I've recently guesstimated how much calories I'm taking in per day and it's around 2000 at most (majority at night). To attain my goals, I should be consuming at least 2800 calories per day. I usually wake up at 8-9 am and sleep around midnight so that gives me just enough time for 6 meals which throughout the day should be roughly 470 calories per meal.
For breakfast, I usually have my protein shake with 8 oz of milk which is 230 calories. Then I have 2 slices of whole wheat toast which is 160 calories (total) and I have 2 whole eggs and 1 natural egg white usually scrambled which is roughly 160 calories. So for breakfast, I've already consumed 550 calories. Now before I go into the day, let me say that I have a casein protein shake before I go to bed. This usually consists of 8 oz milk, 1 scoop of casein protein, and I also have 8-12 almonds as well an hour or so before bed. So that's roughly 330 calories for my last meal.
Now this gives me 1900 calories to spread out through 4 meals split between breakfast and when I go to sleep. The only problem is that I see no possible way for me to consume this much on a daily basis without spending almost $10 a day purely on food and I just don't have that kind of money. I usually spend my time at class/gym from when I wake up to around 8pm which is my 5th meal. During the course of all this, I'd have to prepare 3 meals which is nearly impossible especially when they all have to be around 400-500 calories each. I'll usually prepare enough for a single meal and then buy something for $3 that fills me up but I'm still short a meal and my two meals don't necessarily add up to 800+ calories.
My problem isn't with eating or trying to figure out what to eat, but how to do it in a way where I can save some money. It's great that my gym membership's $10 a month. But at this rate, I see myself spending more on food per month than I do on my car payment.
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Steamed Dumplings With Shiitake Mushrooms in Sichuan Soup
The setup for this part dipping sauce, part soup couldn't be much simpler: add stock, some pantry staples, and scallions, dump in steamed dumplings, and that's dinner. More
The setup for this part dipping sauce, part soup couldn't be much simpler: add stock, some pantry staples, and scallions, dump in steamed dumplings, and that's dinner. More
Sticky, hoisin-glazed chops are baked in the oven and served with a quick, spicy stir-fry of chopped, Sichuan-style green beans. More
Classic Dan Dan noodles are made with pork, pickled vegetables, and plenty of chili oil. In this version, we pack in all the flavor and texture with mushrooms fried until golden brown and chewy. More
This is my favorite dish of all time, in a completely meat-free form. Using dried and fresh mushrooms complexity and texture to the fiery dish, making it every bit as good as—if not better than—the original. More
"Pock-Marked Mother's Bean Curd," the translation of the name mapo tofu, gives a good indication of the homey, comforting nature of this dish, which tastes just like something Mom would make, if Mom were Chinese and an excellent cook. This vegetarian version omits the beef or pork, instead adding in some bright green peas. More
Tofu haters can have a shot at tasting the addictive Sichuan-style sauce flavored with hot chili oil and numbing Sichuan peppercorns. More
This hot and numbing cold noodle salad is a take on Dan Dan Mein, with spinach replacing a healthy portion of the noodles. The tangy and hot dressing slings wonderfully to the blanched leaves, delivering powerful and balanced flavor in every bite. More
Start with poached chicken and add sesame paste and seeds, Sichuan peppercorns, pickled chili paste, minced garlic, and whatever else you might be in the mood for that day. More
The beef cooks very quickly, in less than a minute, after which the meat is removed from the heat and topped with a mixture of toasted and minced dried chili peppers and Sichuan peppercorn. The spice blend is crumbly. It reminds me of an oatmeal topping for a cobbler....if only the cobbler were, you know, made of beef. More
Twice-cooked pork is a Sichuan dish of fatty pork leg or belly that gets two very different cooking preparations. In the first stage, the belly is simmered just until it is cooked through. Then you stir-fry the slices of belly until the meat is brown, the fat has rendered somewhat, and the layer of skin is a little crispy around the edges. Finally, add to the wok what I think should be some kind of holy trinity of Chinese pastes: black bean, chili bean, and sweet bean. More
[Photographs: J. Kenji Lopez-Alt] Note: Both the chili bean paste and the Sichuan Peppercorns can be bought online (follow the links) if you don't have a good Chinese market nearby. Use tofu labeled "silken" in a hardness range of medium... More
If you've ordered takeout from a Chinese restaurant in your life, you've probably either seen or tasted Kung Pao chicken. And I'll admit that it's a dish I've loved and still enjoy. But the Westernized version is missing the key ingredient that is the star of the authentic Sichuan version, known more commonly as Gong Bao chicken: Sichuan peppercorns. It's their unique, mouth-numbing effect that gives the dish its spicy, warming quality. More
[Photograph: Chichi Wang]... More
Mayi shang shu apparently translates into English as "ants climbing in trees." Don't worry, no actual ants are involved: the pork clings to the noodles like ants on a tree. More
Note: Both the chili bean paste and the Sichuan Peppercorns can be bought online (follow the links) if you don't have a good Chinese market nearby. Use tofu labeled "silken" in a hardness range of medium to firm. Don't try this with the super-soft stuff or it'll fall apart! More
Adapted from Land of Plenty by Fuschia Dunlop... More
This recipes is part of Chinese Restaurant Appetizer Week Perhaps the biggest key to making excellent Dan Dan Noodles is to make your own roasted chili oil. When done right, it get a rich, fruity, smoky flavor that none of... More
[Photograph: Robyn Lee] Note: Yard-long beans are slightly starchier and more robust than standard American green beans. You can find them year-round in Asian supermarkets. If unavailable, the second choice is dark green French beans (sometimes labeled haricôts verts). Regular... More


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Internal Due Date:
Foundation Due Date: Due early July annually
Number of Applications: 1
With nearly 26 million Americans living with diabetes, and another 79 million with prediabetes, diabetes is a major physical and financial burden on the nation. Yet despite the disease's epidemic proportions, diabetes research is still critically underfunded. Although researchers have made significant strides against the disease, continued progress will depend on adequate funding.
To accelerate the research needed to discover solutions and ultimately end this deadly epidemic, the Association has launched a bold new initiative, Pathway to Stop Diabetes. With a goal of funding 100 new diabetes investigators over the next decade, Pathway provides crucial support to researchers focusing on innovative ideas and transformational approaches.
Pathway supports creative scientists who are just starting their careers in diabetes research, or who are already established in another field but want to expand their focus to diabetes research. Through individual awards of $1.6257 million over the course of five to seven years, the program allows researchers to explore new ideas without the distraction of having to pursue additional grant support.


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Samsung and Apple are universally acknowledged as the two biggest players in the mobile market.
For years now the latest iPhone and Galaxy handset have battled for sales. In the past, though, Samsung has generally lost out to Apple, with the iPhone regularly beating the latest Galaxy at opening sales.
However, as noted by Gartner. Ovum and IDC analysts, the sales gap between the two companies' flagship smartphone's has been gradually shrinking, meaning the Galaxy S4 could be the first Android phone to rob Apple of its sales crown.
Clearly aware of this Samsung's loaded the S4 with a host of interesting software features, including its custom Air Gesture and Eye Scroll services. Air Gesture is a nifty feature designed to let you interact with the S4 without touching the screen, instead using Minority Report style motions. Eye Scroll is a feature designed to let the S4 track your eye movements to know when you've finished reading a section of text and automatically scroll down.
Check back with V3 later for a full review of the Samsung Galaxy S4.
Virtualisation can help you reduce costs, improve application availability, and simplify IT
management. However, getting started can be challenging
Successful leaders are infusing analytics throughout their organisations to drive smarter decisions, enable faster actions and optimise outcomes


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The 20 enjoyable, interactive classroom activities that are included will help your students understand the text in amusing ways. Fun Classroom Activities include group projects, games, critical thinking activities, brainstorming sessions, writing poems, drawing or sketching, and more that will allow your students to interact with each other, be creative, and ultimately grasp key concepts from the text by "doing" rather than simply studying.
1. Create a Puzzle
Create a crossword puzzle using the places and people mentioned in the story.
2. Hold a Murder Mystery Event
Hold a murder mystery event such as a dinner that involves the audience.
3. See a Play
Go to see one of Agatha Christie's plays.
4. Watch the Movie
Watch the movie PERIL AT END HOUSE or one of Christie's equally famous films.
5. Write a Script
Adapt the script to include yourself as a main character in the story.
6. Act out a Scene
Act out your...
This section contains 409 words
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Oscar Bettisonb.19 September 1975, Jersey, UK
Recent commissions have included major new works for the Los Angeles Philharmonic, MusikFabrik, So Percussion, the Bang on a Can All-Stars, Rolf Hind and the Roundhouse (London), and the Tonlagen Festival in Dresden (Germany).
He has been the recipient of a number of awards including of the Yvar Mikhashoff Commissioning Fund Prize (2009), a Jerwood Foundation Award (1998), the Royal Philharmonic Society Prize (1997), the first BBC Young Composer of the Year Prize (1993), as well as fellowships to both the Tanglewood and Aspen music festivals.
The subject of several recordings, his first full-length album, O Death (featuring the evening-long work of that name, performed by Ensemble Klang), was released in 2010 to great acclaim in the Dutch and US media. Other recent recordings include B&E (with aggravated assault) as performed by NEWSPEAK which was recently released on New Amsterdam Records, and Cadence, released by NMC Records.
Born in the UK, he studied with Simon Bainbridge at the Royal College of Music (London), with Louis Andriessen and Martijn Padding at the Royal Conservatorium of The Hague (The Netherlands), and was a Naumberg fellow at Princeton University where he completed his PhD in 2008. He is on the composition faculty at the Peabody Institute of the Johns Hopkins University.
December 2013
This biography can be reproduced free of charge in concert programs with the following credit:
Reprinted by kind permission of Boosey & Hawkes.
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Summer orientation advisers sought
WWHEL Fall Conference a success
Summer orientation advisers sought
Training sessions will be held June 8-10, 2005. Fifteen one-day sessions will be held during the first three weeks of the eight-week summer session, June 13-July 1, 2005. In addition, advisers will be involved in one-day orientation programs for new students in August 2005 and January 2006.
Individuals selected for these positions must be current members of the faculty or teaching academic staff who have a commitment to advising, a "track-record" of good advising, and a real interest in working with first-year students. Preference will be given to people who have assigned advisees within their departments and will continue to have advisees during the next year.
Applications are due Monday, Nov. 29. To obtain an application, contact Sarah Johnson at email@example.com or 836-5053. For more information, contact Jacqueline Bonneville at firstname.lastname@example.com or 836-3487.
WWHEL Fall Conference a success
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University Bulletin • Vol. 52, No. 11 • Eleventh Week • Fall Semester • Nov. 8, 2004
Liz Wolf Green, Editor, UW-Eau Claire News Bureau, Schofield 201, (715) 836-4741
Diane Walkoff, Editorial Assistant. Updated: November 4, 2004


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This Geek Clock can only be read by rocket scientists
Thursday, January 21, 2010 - 2:46pm
Well, time to turn in my geek card. I can't make heads or tails of this Geek Clock, which has a crazy equation for every hour of the day. Lucky for us (you're with me on this, right?), the product listing says each clock comes with a cheat sheet.
A Geek Clock can be yours for only $25. Bonus points if you decipher any of the glyphs above (working them out, I mean — obviously all the answers are right there).
UncommonGoods, via GeekSugar