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text: Join Unite For Sight's Global Impact Corps for a hands-on, immersive global health experience. A transformative volunteer abroad experience for students and professionals, Unite For Sight is renowned as the highest quality global health immersion and volunteer abroad program worldwide. Unite For Sight prides itself on offering the best global health experience for our volunteers, coupled with the highest quality healthcare delivery programs with our partners.

subset: commoncrawl


text:
AtomicMedia broadcasts Live UKCCIS webcast to thousands...
The UKCCIS Summit took place in the QE2 centre in Westminster on the 8th December 2009, and it was AtomicMedia who broadcast it live to the nation, with our very own webcast crew.
A long drive and a very early start didn't tame our crew's excitement, with live vision mixing and all audio visual responsibilities, this really wasn't a challenge for the faint hearted. Covering the topic of Child Internet Safety, the UKCCIS conference saw the launch of the new Digital Code for Internet Safety, with keynote speeches from our Prime Minister Gordon Brown, the Children's Secretary Ed Balls MP, and Professor Tanya Byron... and let's not forget the 'True Colours' choir from Alumwell Junior School, who performed a song about internet safety.
The webcast was a huge success with just over 5000 internet viewers, and no technical hitches- now that's what we call good work.«Back to News


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And this isn't a joke, like "read the deleted final scene of The Shining" and then it's like, "INT. BATHROOM, (Extended fart noise.)" It's an actual final scene that Kubrick removed before it premiered!
Tags: Diane Johnson, Stanley Kubrick, The Shining
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text:
Fresh Garden Salsa
Fresh Garden Salsa
12 ripe plum tomatoes
1 can black beans, rinsed and drained well
2-4 jalapeno peppers, roasted, seeded, and diced
1/2 c fresh cilantro, chopped
1/3 c red onion, minced
3 cloves garlic, minced
2/3 c fresh corn kernels, cut off cob (If fresh corn is not available, use uncooked, frozen corn. Canned corn is too soggy to use in this recipe)
3 green onions, chopped
2 ripe avocadoes, peeled and diced
2/3 c jicama, peeled and diced
1/4 c canola or saffron oil
1 t sugar
1/2 t salt
1 large fresh lime, squeezed
Place peppers in a heavy skillet and char skins until blackened. Place peppers in a paper bag and close the top of the bag to let the peppers steam for 10 minutes. Remove peppers from the bag. Peel off as much of the charred skin as possible but don't worry if any is still left. Seed peppers and mince finely. Put in a large bowl. Cut tomatoes lengthwise and squeeze gently over a bowl to release the seeds. Dice seeded tomatoes and add to the peppers.
Combine the rest of the ingredients to the bowl. Gently toss well to mix ingredients. Let ingredients stand at room temperature for 20 minutes. Drain off excess liquid. Toss again gently. Serve immediately. This is best served the day it is made. If not using withing a few hours, cover with plastic wrap and refrigerate. Serve with tortilla chips or over quesadillas, fajitas or as a garnish for enchiladas.
Recipe by Miko Ryan
Recipe Categories
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Start the Day: Breakfast & Brunch
Store Location:
University Mall Suite 3
3720 Hardy Street
Hattiesburg, MS 39402
Mailing Address:
The Kitchen Table
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text:
- Training ProgramsTraditional Moo Doe (Martial Arts) is not a common martial art. Oom Yung Doe schools were the first in the United States to teach 8 martial arts as 1 from the origin of Traditional Moo Doe. Traditional Moo Doe schools are very hard to find. Only a small number of individuals in the United States have achieved and are able to demonstrate the broad range of incredible skills and abilities needed to teach a proper line of Traditional Moo Doe. Over the centuries, Traditional Moo Doe has been proven to unite the body, mind and spirit together as one force in order to achieve incredible skills and abilities. These incredible abilities are necessary to have a proper line of learning that will benefit individuals of all ages and body types. In comparison, common martial arts are generally limited to combat techniques and they often do not focus on the individual as a whole. A practitioner must be able to demonstrate incredible skills and abilities in order to teach Traditional Moo Doe. Since the origin of Traditional Moo Doe, the only form of true recognition was a demonstration of incredible skill and ability. Similar to any professional field today, any expert…
- Locations
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- 8 Martial ArtsInsert Full Video The Oom Yung Doe line of Martial Art was the original school to teach "Eight Complete Martial Arts as One" in the United States since 1972. Oom Yung Doe combines knowledge, forms and movements that span thousands of years and generations of martial art practitioners to provide a diverse style of martial arts today. The diversity of knowledge, forms and movements benefits and develops the human body many different ways The main emphasis of training is to develop and strengthen the individual's mind, body, and spirit.
- Benefits of Training
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Grandmaster "Iron" Kim demonstrates Kyung Gong Sul Bope
One of the many personal achievements Grandmaster "Iron" Kim has reached is the Kyong Gong Sul Bope (flying side kick). Pictured above is Grandmaster jumping from the top of a building. A corner of the roof is visible in the lower right corner of the picture.
Kyong Gong Sul Bope is an example of the extraordinary level of skill and ability that can be achieved through Traditional Moo Doe martial arts training, and has made Grandmaster "Iron" Kim an icon to dedicated martial artists around the world. In 1970, Grandmaster "Iron" Kim demonstrated Kyong Gong Sul Bope by jumping from the equivalent of an 11-story building. In 1972 Grandmaster "Iron" Kim again demonstrated the Kyong Gong Sul Bope movement by jumping from the equivalent of an 8-story building, landing without injury on a sloped surface below. Performing the Kyong Gong Sul Bope movement is a phenomenal feat, but more important is the tremendous internal power and strength that an individual must possess in order to demonstrate Kyong Gong Sul Bope. World-wide, throughout history, only a very small number of people have been able to acheive this ability. Grandmaster "Iron" Kim is a living example of the benefits that can be achieved through the cultivation of phenomenal Moo Doe strength.
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Students develop speed, power, control and coordination, leading to powerful self defense skills and increased overall ability. Watch a video >>
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This site is © the Vancouver Lions Club, Vancouver, Washington USA. All rights are reserved.
The Vancouver Lions Club is a volunteer organization. Volunteers maintain this web site. For questions or comments relating to this site, contact the Site Manager.
The Vancouver Lions Club warrants that most of the information on this site is accurate most of the time, although drivel and mistakes are included from time to time, usually unintentionally.
Links to other sites are provided for your convenience. The Vancouver Lions Club may not regularly review the material posted on linked sites and does not necessarily endorse or sponsor, nor do we warrant, the materials appearing on linked sites.
The names, logos and marks "Lions Club International", "International Association of Lions Clubs", "Lions International", "SightFirst", "Lions Clubs International Foundation", "LCI", "MD19 Lions", "LCIF", "CARE", "SightFirst", "Lions Quest", "Northwest Lions Foundation For Sight And Hearing", "Northwest Lions Eyeglass Recycling Center", "Lions Eyeglass Recycling Center", "NWLERC", "LERC", "Lions Recycle For Sight", "Lions Sight Foundation Of Clark County", "Lions Hearing And Speech Conservation Committee Of Clark County ", "Clark County Sight", "Clark County Hearing", "Walk And Knock", "White Cane", and any other name, logo or mark appearing on this site that we have missed, belong to their respective organizations, and not to the Vancouver Lions Club.


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I love this stuff!! it makes my skin really soft and i don't experience any of the greasy film other reviewers are talking about. i go and try other exfoliators, but this is the one i always come back to.
More reviews by bronco_frogs56
-Smells wonderful
-Leaves a dewy look to skin
-Smooth feeling after using the scrub only lasts a day (for me, atleast)
-For some people with extremely oily skin, this may be too oily
I believe I would purchase this product again, mainly for the smell (lol)
It smelled decent, but it felt like I was rubbing wax all over my face, which left a shiny film even after washing it off. I felt like it was making me break mout, so I discontinued use immediatly.
This stuff is so great I use it with the Orange Essence facial cleanser and herbal blemish stick (also Burt's Bees, YOU GO BURT!) cleared up my skin and made my acne promblen TONS better!
I really love this scrub. I'm not a huge fan of Burt's Bees but this is impressive. It is messy, you have to scoop product out and add water and get the right consistency. It can hurt if you don't add enough water. I love the citrus smell. Takes work to wash it all off. But your face will feel so smooth after. This jar will last a long time. Well worth the money.
This is an old-school scrub that reminds me of the one my mom used when I was a kid; it was made with apricot pits and I found that so fascinating! I imagined all the families with apricot trees (like ours) saving their pits to make this scrub. It has a pleasant, citrus spice fragrance, which I'm sad to say can be a bit irritating to my skin. The exfoliating grains are natural nuts and seeds, which can be a bit scratchy for some, but didn't bother me at all. I find that synthetic scrubs really don't feel like they're doing anything, so I prefer the natural materials. Overall, although it's a fun enough product to use, I agree with another reviewer, that it's really an unnecessary product. I can get a satisfying exfoliating scrub from a clean washcloth.
Bleach, this smells really gross. Perhaps it's because of my cinnamon allergy that I have such an adverse reaction to this smell. It also leaves this waxy film on your face after you've washed it off, prompting another face washing. I'll stick with my St. Ives apricot scrubs. *update* I've found that this is a decent foot scrub.
nice packaging...i like how this feels...very different and not to moist...i got this in a trial kit
i love burt's bees so much. just the concept of using all natural ingredients appeals to me + the smell of this scrub is AMAZING. i agree that it does leave a filmy texture after you rinse, but I still love it because once I dry my face, it is incredibly soft and just glowing. I just wish that the packaging was a bit better.
This is kind of unusual, and quite a bit like LUSH's Angels on Bare Skin in it's consistency and texture, but I like this better. The clove and spices in it were really helpful to my congested skin, and while I will agree that it doesn't de-grease the skin, I thought that was kind of nice to not need a moisturizer after. Very gentle, and I love the smell. Great value too. Definitely buy again.


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December 20, 2014
TOPEKA, Kan. (WIBW) - City officials reported positive news Friday about the Topeka Zoo's 30-year-old orangutan, Lena.
Zoo officials say they've allowed Lena back in her indoor exhibit.
Doctors performed a hysterectomy three weeks ago when they found the fetus she was carrying didn't have a heartbeat. An examination revealed she had a significant rupture to her uterus and the baby was outside it. A team worked five-and-a-half hours to repair the damage.
Zoo officials say a sonogram performed last week did not show any signs of internal infection.
Lena is back on exhibit and interacting with the zoo's two other female orangutans, Rudy and Rayma. Rudy also is pregnant and is expected to deliver in the next few weeks. Zoo officials say regular ultrasounds show her pregnancy continues to proceed normally.
Click Here to access the online Public Inspection File
Viewers with disabilities can get assistance accessing this station's FCC Public Inspection File by contacting the station with the information listed below. Questions or concerns relating to the accessibility of the FCC's online public file system should be directed to the FCC at 888-225-5322, 888-835-5322 (TTY), or email@example.com.


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Applied directly on the bottom of the oil sump.
Two models available: single pad or two-pad.
Reduces engine wear and enhances flow of oil to vital components.
Heats 12 quarts of oil from -40°F to +60°F one hour.
Uses less than 300 watts.
Heats entire engine in about 4 hours.
No STC required.
Installed during engine build-up with prior notice:
Single Pad...$165 Two Pads.....$195
Cessna 310R, 340, 340A, 414, 414A, 402B, 402C, and 421B. Sold complete on an exchange basis. Replace turbo wye, exhaust risers, exhaust elbows, elbow from the wye to wastegate, slip joints, turbocharger overboard exhaust tailpipe, wastegate overboard pipe, and exhaust clamps. Both Inconel and/or Stainless Steel parts used per customer's agreement and market availability at time of installation. Ask a RAM Sales Representative to review the current status of new exhaust parts and prices. Call Us.
Improve Engine Cooling Install larger nose bowls on engine cowlings of early model of Cessna 414s, 340s, 310s, 320s and 402s or upgrade your old worn out ones. New nose bowls are painted to match
the nose bowls removed.
[ up to three colors painted ]
Cessna 340 -0001 thru 340-0555 new - exchange/airplane/during RAM engine installation: $4,900
Replacement Sets Aircraft with larger nose bowls can repair them by installing new sets.
Cessna 414 -0601 and Up -- new - exchange / airplane / during RAM engine installation: $4,900
Cessna 340A --new - exchange / airplane / during RAM engine work installation: $4,900
Applicable to and recommended for all twin Cessna airplanes. Required for all 414A airplanes to be upgraded to RAM Aircraft Series VII. This improvement upgrades the auxiliary fuel pump switch in Cessna 310, 320, 335, 340, 340A, 401, 402, 411, 414, 414A, and 421 airplanes. Cost for installation (parts and labor) at RAM Aircraft in Waco, TX in conjunction with two engine installation projects are:


text:
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You are currently not logged in, do so now to add comments, like articles as well as photos, submit to competitions, translate articles and gain access to unlimited photo upload! If you are not registered yet, go here to find out more about Lomography and join now! If you just want a limited account for now you can use Twitter or Facebook. We would love to have you as a member here!
19 people like this photo
Liking photos helps us to present the best ones to you and others. 19 people like this photo. 19 people like this photo: scootiepye, mariskaviska, grazie, sirio174, fish300, neanderthalis, uncle_jay, gotoarizona, dakadev_pui, russheath, eskimofriend, zeester, atria007, mikahsupageek, stouf, vgzalez, cyan-shine, superkulisap, and vapourtrail.
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Mountain Walk
Had a little walk in the mountains of Easter Island. 500 meters height is the highest point of the island. A few hours walk to reach the top and a lot of wild horses everywhere! :)This photo was shot on film. Taken by vicuna with a Horizon Kompakt (available in our Online Shop) loaded with Lomography X-Pro Slide 200 ISO (35mm) film in Easter Island, Chile. These tags describe this photo: nature, mountain, walk, wild, horses, grass, trees, sky, clouds, kathi, katoun, me, selfportrait, hat, happy, and couple. Date: 2012-01-09. Time: Afternoon. This photo can also be found in the album Rapa Nui - Mountain Walk #1 [Horizon].
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bird-feeding Subscribe to Feed
Two Easy, Gooey, Fun Winter Bird Feeding Projects
Here are two simple, cute projects that you could make right now to help the birds in your yard. Like us, birds and other backyard wildlife are facing more snow and colder temperatures this year than typical in many regions […] Read more >
Squirrel vs. Bird Feeder: Think Like a Kid
Playing the free Squirrel vs. Bird Feeder app can teach you a lot about yourself – and the kids in your life. Read more >
Summer Bird Feeding: the Case For and Against
Should you take your bird feeders down for the summer? The answer may depend on where you live. Ever since I started feeding backyard birds several years ago, I've religiously taken down my feeders this time of year and not […] Read more >
6 Gifts Birds are "Tweeting" about this Holiday Season
Attract more birds to your backyard this holiday season by providing them the things they need most. Read more >
Make Your Deck Into A Wildlife Oasis: Three Simple Steps.
Do you live in an urban area or apartment complex? Is there a limit to how much green space there is at your home? No worries. With a little confidence and a few simple steps, you can make your own […] Read more >


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The US has quietly decided to resume military and economic aid to Pakistan, with plans to send more than $1.6bn within the next few months.
The assistance was suspended when relations soured after the covert raid that killed Osama bin Laden and deadly US air strikes against Pakistani soldiers.
The resumption comes days before Pakistan's new prime minister, Nawaz Sharif, travels to Washington for White House talks this week.
Officials and congressional aides say ties have improved enough to allow the money to flow again. However, neither side has promoted the revamped aid relationship.
The US Congress has cleared most of the money, which should start moving early next year, officials and congressional aides said.
"Funding was notified to Congress following a rigorous planning process over multiple months, to ensure it was in line with both US and Pakistani interests, and would deliver important results for both countries," Marie Harf, deputy spokesman for the State Department, said on Saturday.
Over three weeks in July and August, the State Department and the US Agency for International Development informed Congress that it planned to restart a wide range of assistance, mostly dedicated to helping Pakistan fight terrorism.
The US sees that effort as essential as it withdraws troops from neighbouring Afghanistan next year and tries to leave a stable government behind.
Other funds focus on a range of items, including help for Pakistani law enforcement and a multibillion-dollar dam in disputed territory.
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text:
Prospective Instructors
What We Do
Simmons SLIS CE serves the library/information professional community by offering an extensive and changing array of professional development opportunities in all areas of library, archives, and information services and operations. We offer over 30 workshops each semester at the Simmons campus, the Mt. Holyoke campus, and online.
For examples of our current workshops and instructors, please take a look at our GSLIS CE workshops page.
Types of Workshops
Online Workshops
Online workshops typically run for 4 to 6 weeks. They are completely asynchronous except for possible scheduled 'live' discussions. A workshop may include readings, links, assignments, exercises/activities, and discussions and will use various forms media. The students login at their convenience but there is the expectation that they will login regularly to keep up with the flow of the class including the posting of a new weekly module or updated discussion threads. We estimate that students will spend about 15 hours on a month-long workshop. We will host your workshop on Moodle and handle logins and support for students.
We offer CEUs (continuing education units) or PDPs (professional development points - usually used by school library teachers) based on satisfactory completion of the workshop by the student. CEUs are 1/10 of the contract hours and PDPs are the same as the contact hours.
Our online workshops are increasing attracting students from around the world which allows us to greatly expand the audience for our CE program.
Face-to-Face Workshops
Face-to-Face workshops are generally a half or a full day on Saturdays, though other times and days are possible. Most workshops are taught at the Boston or the Mt. Holyoke campuses, but we also hold workshops at other venues when appropriate. Face-to-Face workshops attract mostly students from New England, many of whom are Simmons SLIS alums.
Other Workshop Formats
We are also interested in offering additional workshop formats such as shorter online workshops, workshop series, and short online on-demand workshops.
Minimum Registrations to Run Workshops
A workshop can be canceled if not enough students register, and the minimum number of students depends on the specific workshop. The minimum number of students for running a workshop is usually five. Instructors often want to know as early as possible whether their workshop will run, but since we often get a flurry of registrations during the last week before the workshop starts, the decision to run the workshop will usually be made about three days before the date of the workshop. Please be prepared to teach since you may not have a lot of time to prepare if you wait until the final decision is made.
SLIS CE Instructor Webpages
If your workshop proposal is accepted, we will ask you to provide information to us (name, bio, photo, contact information, CV, etc.) for the creation of an instructor page. This is the opportunity for our instructors to provide additional information about their specific workshops and/or about themselves. The faculty webpages are linked to the workshop description in site. If you already have a CE Instructor webpage, please let us know if the information needs updating.
Instructor Pay Scale
Please contact SLIS CE for more information.
Current term:
Spring/Summer term runs from April 1, 2012 through August 31, 2012.
Upcoming term:
Fall/Winter term runs from September 1, 2012 through March 31, 2013.
Proposals can be submitted HERE at any time.
Please email email@example.com to let us know that you have submitted a proposal.
Please feel free to email me with any questions.
Linnea Johnson
Program Manager
SLIS Continuing Education
Questions? Email us at firstname.lastname@example.com or call (617) 521-2803


text: This title requires EA Origin and a permanent internet connection to play. NOTES: For best results, make sure the latest drivers for both your video and audio cards are installed. Laptop or mobile versions of the supported video cards have not had extensive testing and may have driver or other performance issues. As such, they are not officially supported in Warp.


text:
Clinical Trials (PDQ®)
Basic Trial Information
Trial Description
Further Trial Information
Eligibility Criteria
Trial Contact Information
|Protocol IDs
|Phase III
|Supportive care
|18 and over
|NCI, Other
This randomized phase III trial studies armodafinil to see how well it works in reducing cancer-related fatigue in patients with high grade glioma. Armodafinil may help relieve fatigue in patients with high grade glioma.
Further Study Information
Patients experiencing fatigue related to cancer will be asked to take part in this study. Cancer-related fatigue is a very common symptom in patients with cancer. Patients will receive armodafinil or placebo. Please see the "Arms" section for more details regarding the treatment assignments. The primary objective of this study is to determine preliminary efficacy measured by patient reported fatigue (Brief Fatigue Inventory - BFI) at 8 weeks of two doses (150 mg and 250 mg of armodafinil in treating moderate fatigue compared to placebo in patients with high grade glioma.
The secondary objectives of the study are listed below.
1. To evaluate the tolerability at 8 weeks of 150 mg and 250 mg armodafinil in this patient population.
2. To assess the effect of armodafinil at 8 weeks on cognitive function in patients with glioblastoma.
3. To assess the impact of armodafinil on global quality of life and other fatigue endpoints (i.e. usual fatigue, activity interference) in this patient population with high grade glioma.
4. Explore the correlation between the BFI, Patient-Reported Outcomes Measurement Information System (PROMIS), and Patient-Reported Outcomes version of the Common Terminology Criteria for Adverse Events (PRO-CTCAE) measures, as well as the relationship of fatigue and cognitive difficulties.
Patients will receive armodafinil or placebo for a total of 8 weeks.
Eligibility Criteria
Inclusion Criteria:
- Age ≥ 18 years
- Diagnosed with glioblastoma multiforme, anaplastic astrocytoma, gliosarcoma, or anaplastic oligodendroglioma who are clinically stable and have completed radiation therapy > 21 days and ≤ 24 months prior to enrollment. NOTE: Clinical stability will be defined as a stable or improved Karnofsky Performance Status (KPS) compared to the prior month.
- ≥ 6 score on the worst fatigue question of the BFI (Brief Fatigue Inventory)
- Undergone surgery (gross total or subtotal resection) or biopsy and will have been treated with concurrent radiation therapy and chemotherapy as standard of care for glioblastoma, gliosarcoma anaplastic astrocytoma, or anaplastic oligodendroglioma patients.
Note: Radiation must be completed per the second eligibility criteria, but chemotherapy is allowed.
- Negative serum pregnancy test done ≤ 7 days prior to registration, for women of childbearing potential only, per physician discretion
- Ability to complete questionnaire(s) by themselves or with assistance
- Eastern Cooperative Oncology Group (ECOG) Performance Status (PS) of 0, 1, 2 or 3
- Provide informed written consent
- Willing to return to enrolling institution for follow-up (during the Active Monitoring Phase of the study) * Note: during the Active Monitoring Phase of a study (i.e., active treatment and observation), participants must be willing to return to the consenting institution for follow-up
- Stable dose of corticosteroid ≤ 28 days prior to registration
Exclusion Criteria:
- Any of the following because this study involves an agent whose genotoxic, mutagenic and teratogenic effects on the developing fetus and newborn are unknown in pregnant women, nursing women, men or women of childbearing potential who are unwilling to employ adequate contraception
- History of hypersensitivity to other psychostimulants
- History of steroid psychosis
- History of or currently taking medications for attention deficit hyperactivity disorder, severe anxiety disorder, schizophrenia, or substance abuse by patient record and/or self report
- Currently using any other pharmacologic agents or nonpharmacologic interventions to specifically treat fatigue including psychostimulants, antidepressants, acupuncture, etc. will be excluded; Note: antidepressants used to treat items other than fatigue (such as hot flashes or depression) are allowed if the patient has been on a stable dose for ≥ 30 days and plans to continue for the duration of the trial; erythropoietin agents to treat anemia are allowed; exercise is allowed
- Anticipating surgery, laboratory evidence of hypothyroidism with an elevated thyroid stimulating hormone (TSH) concentration in the blood > 5.0 mlU/L, profound anemia (hemoglobin level of < 10 g/dL) ≤ 28 days prior to registration, and clinical depression per physician discretion
- Active or a history of Tourette syndrome or tic disorder
- History of or active glaucoma
- History of intractable epilepsy, or uncontrolled seizure disorder
- Any of the following co-morbid systemic illnesses or other severe concurrent disease which, in the judgment of the investigator, would make the patient inappropriate for entry into this study or interfere significantly with the proper assessment of safety and toxicity of the prescribed regimens:
1. History of myocardial infarction
2. Unstable angina
3. Left ventricular hypertrophy
4. Mitral valve prolapse syndrome
- Receiving any medications or substances that are strong or moderate inhibitors of cytochrome P450 3A4 (CYP3A4); use of the following strong or moderate inhibitors are prohibited ≤ 7 days prior to registration:
1. Strong Inhibitors of CYP3A4: > 5-fold increase in the plasma area under the curve (AUC) values or more than 80% decrease in clearance :
1. Indinavir (Crixivan®)
2. Nelfinavir (Viracept®)
3. Atazanavir (Reyataz®)
4. Ritonavir (Norvir®)
5. Clarithromycin (Biaxin®, Biaxin XL®)
6. Itraconazole (Sporanox®)
7. Ketoconazole (Nizoral®)
8. Nefazodone (Serzone®)
9. Saquinavir (Fortovase®, Invirase®)
10. Telithromycin (Ketek®)
2. Moderate Inhibitors of CYP3A4 : > 2-fold increase in the plasma AUC values or 50-80% decrease in clearance :
1. Aprepitant (Emend®)
2. Erythromycin (Erythrocin®, E.E.S. ®, Ery-Tab®, Eryc®, EryPed®, PCE® )
3. Fluconazole (Diflucan®)
4. Grapefruit juice
5. Verapamil (Calan®, Calan SR®, Covera-HS®, Isoptin SR®, Verelan®, Verelan PM®)
6. Diltiazem (Cardizem®, Cardizem CD®, Cardizem LA®, Cardizem SR®, Cartia XT™) Dilacor XR®, Diltia XT®, Taztia XT™, Tiazac®)
- Receiving any medications or substances that are inducers of CYP3A4; use of the following inducers are prohibited ≤ 7 days prior to registration:
1. Inducers of CYP3A4
1. Efavirenz (Sustiva®)
2. Nevirapine (Viramune®)
3. Carbamazepine (Carbatrol®, Epitol®, Equetro™)
4. Tegretol®, Tegretol-XR®)
5. Modafinil (Provigil®)
6. Phenobarbital (Luminal®)
7. Phenytoin (Dilantin®, Phenytek®)
8. Pioglitazone (Actos®)
9. Rifabutin (Mycobutin®)
10. Rifampin (Rifadin®)
11. St. John's Wort
Trial Lead Organizations/Sponsors
Alliance for Clinical Trials in OncologyNational Cancer Institute
|Alyx B. Porter Umphrey, M.D.
|Study Chair
Trial Sites
|Arizona Oncology - Deer Valley Center
|David G. Brachman
|Ph: 800-360-6371
|Arizona Oncology Services Foundation
|David G. Brachman
|Ph: 800-360-6371
|Mayo Clinic Scottsdale
|Alyx B Umphrey
|Ph: 507-538-7623
|Cancer Care Center at John Muir Health - Concord Campus
|Marjaneh Moini
|Ph: 925-674-2580
|Chao Family Comprehensive Cancer Center at University of California Irvine Medical Center
|Jose A Carrillo
|Ph: 877-827-8839
|Email: email@example.com
|St. Joseph Hospital Regional Cancer Center - Orange
|Hector W Ho
|Ph: 714-734-6220
|Colorado Springs
|Penrose Cancer Center at Penrose Hospital
|Keren Sturtz
|Ph: 888-785-6789
|Rocky Mountain Cancer Centers at the Pavilion
|Keren Sturtz
|Ph: 888-785-6789
|Wheat Ridge
|Exempla Lutheran Medical Center
|Keren Sturtz
|Ph: 888-785-6789
|Helen F. Graham Cancer Center at Christiana Hospital
|Stephen Scott Grubbs
|Ph: 302-733-6227
|Daytona Beach
|Florida Hospital Memorial Medical Center
|Mudussara A Khan
|Ph: 386-676-6025
|University of Miami Sylvester Comprehensive Cancer Center - Miami
|Deborah O Heros
|Ph: 866-574-5124
|Email: firstname.lastname@example.com
|Florida Hospital Cancer Institute at Florida Hospital Orlando
|Lee M. Zehngebot
|Ph: 407-303-5623
|Sacred Heart Cancer Center at Sacred Heart Hospital
|Thomas D. Sunnenberg
|Ph: 850-416-4611
|Sacred Heart Medical Oncology Group
|Thomas D. Sunnenberg
|Ph: 850-416-4611
|Piedmont Hospital
|Erin M Dunbar
|Ph: 404-425-7943
|Email: email@example.com
|Northeast Georgia Medical Center
|Pierce K. Dixon
|Ph: 770-219-8800
|Email: firstname.lastname@example.com
|Kapiolani Medical Center at Pali Momi
|Jeffrey L. Berenberg
|Ph: 808-586-2979
|Jeffrey L. Berenberg
|Ph: 808-586-2979
|Ewa Beach
|Leeward Radiation Oncology
|Jeffrey L. Berenberg
|Ph: 808-586-2979
|Cancer Research Center of Hawaii
|Jeffrey L. Berenberg
|Ph: 808-586-2979
|Hawaii Medical Center - East
|Jeffrey L. Berenberg
|Ph: 808-586-2979
|OnCare Hawaii, Incorporated - Kuakini
|Jeffrey L. Berenberg
|Ph: 808-586-2979
|Jeffrey L. Berenberg
|Ph: 808-586-2979
|OnCare Hawaii, Incorporated - Lusitana
|Jeffrey L. Berenberg
|Ph: 808-586-2979
|Queen's Cancer Institute at Queen's Medical Center
|Jeffrey L. Berenberg
|Ph: 808-586-2979
|Straub Clinic and Hospital, Incorporated
|Jeffrey L. Berenberg
|Ph: 808-586-2979
|Post Falls
|Kootenai Cancer Center - Post Falls
|Benjamin Thomas Marchello
|Ph: 800-648-6274
|CCOP - Evanston
|Ryan T Merrell
|Ph: 847-570-2109
|Glenbrook Hospital
|Ryan T Merrell
|Ph: 847-570-2109
|Highland Park
|Highland Park Hospital
|Ryan T Merrell
|Ph: 847-570-2109
|Illinois CancerCare - Peoria
|Nguyet A Le-Lindqwister
|Ph: 800-793-2262
|Carle Cancer Center at Carle Foundation Hospital
|Maria T Grosse-Perdekamp
|Ph: 800-446-5532
|Central Dupage Cancer Center
|Sean A Grimm
|Ph: 630-352-5300
|Elkhart Clinic, LLC
|Robin Zon
|Ph: 574-234-5123
|Michiana Hematology-Oncology, PC - Elkhart
|Robin Zon
|Ph: 574-234-5123
|Michiana Hematology-Oncology, PC - Mishawaka
|Robin Zon
|Ph: 574-234-5123
|Saint Joseph's Medical Center
|Robin Zon
|Ph: 574-234-5123
|Michiana Hematology Oncology PC - Plymouth
|Robin Zon
|Ph: 574-234-5123
|South Bend
|CCOP - Northern Indiana CR Consortium
|Robin Zon
|Ph: 574-234-5123
|Memorial Hospital of South Bend
|Thomas Joseph Reid
|Ph: 800-284-7370
|Michiana Hematology-Oncology, PC - South Bend
|Robin Zon
|Ph: 574-234-5123
|Michiana Hematology Oncology-PC Westville
|Robin Zon
|Ph: 574-234-5123
|McFarland Clinic, PC
|Joseph James Merchant
|Ph: 515-239-2621
|William R. Bliss Cancer Center at Mary Greeley Medical Center
|Joseph James Merchant
|Ph: 515-239-2621
|Cedar Rapids
|Cedar Rapids Oncology Associates
|Deborah W Wilbur
|Ph: 319-363-2690
|Mercy Regional Cancer Center at Mercy Medical Center
|Deborah W Wilbur
|Ph: 319-363-2690
|Cancer Center of Kansas, PA - Wichita
|Shaker R. Dakhil
|Ph: 316-262-4467
|Central Baptist Hospital
|Firas B Badin
|Ph: 859-260-6425
|University of Kentucky Chandler Medical Center
|John L Villano
|Ph: 859-257-3379
|Central Maine Comprehensive Cancer Center at Central Maine Medical Center
|David Clark Caldwell
|Ph: 207-795-8250
|Email: email@example.com
|Unidentified Site
|Alyx B Umphrey
|Ph: 507-266-5230
|Email: email@example.com
|Boston University Cancer Research Center
|Ken S. Zaner
|Ph: 617-638-8265
|Battle Creek
|Battle Creek Health System Cancer Care Center
|Gilbert D Padula
|Ph: 616-685-5225
|Email: firstname.lastname@example.com
|Grand Rapids
|Butterworth Hospital at Spectrum Health
|Gilbert D Padula
|Ph: 616-685-5225
|Email: firstname.lastname@example.com
|Lacks Cancer Center at Saint Mary's Health Care
|Gilbert D Padula
|Ph: 616-685-5225
|Email: email@example.com
|West Michigan Cancer Center
|Raymond Sterling Lord
|Ph: 269-373-7458
|Saint Joseph
|Lakeside Cancer Specialists, PLLC
|Robin Zon
|Ph: 574-234-5123
|Providence Hospital - Southfield
|Susan E Lyons
|Ph: 248-849-5337
|Email: firstname.lastname@example.com
|St. Joseph
|Lakeland Regional Cancer Care Center - St. Joseph
|Robin Zon
|Ph: 574-234-5123
|Central Care Cancer Center at Carrie J. Babb Cancer Center
|Jay W Carlson
|Ph: 800-821-7532
|Saint Luke's Hospital
|Donald F. Busiek
|Ph: 314-205-6936
|Freeman Cancer Institute at Freeman Health System
|Jay W Carlson
|Ph: 800-821-7532
|Saint Louis
|Siteman Cancer Center at Barnes-Jewish Hospital - Saint Louis
|David D Tran
|Ph: 800-600-3606
|Email: firstname.lastname@example.com
|Billings Clinic Cancer Center - 801 N 29th Street
|Benjamin Thomas Marchello
|Ph: 800-648-6274
|CCOP - Montana Cancer Consortium
|Benjamin Thomas Marchello
|Ph: 800-648-6274
|Cancer Resource Center - Lincoln
|Gamini S. Soori
|Ph: 402-280-4100
|Las Vegas
|CCOP - Nevada Cancer Research Foundation
|John Allan Ellerton
|Ph: 702-384-0013
|New Hampshire
|New Hampshire Oncology - Hematology, PA at Payson Center for Cancer Care
|Douglas Jay Weckstein
|Ph: 603-224-2556
|New Hampshire Oncology - Hematology, PA - Hooksett
|Douglas Jay Weckstein
|Ph: 603-224-2556
|Lakes Region General Hospital
|Douglas Jay Weckstein
|Ph: 603-224-2556
|Norris Cotton Cancer Center at Dartmouth-Hitchcock Medical Center
|Camilo E. Fadul
|Ph: 800-639-6918
|Email: email@example.com
|New Jersey
|Somerset Medical Center
|James M Chimenti
|Ph: 908-685-2481
|New York
|East Syracuse
|CCOP - Hematology-Oncology Associates of Central New York
|Jeffrey J. Kirshner
|Ph: 315-472-7504
|New York
|Memorial Sloan-Kettering Cancer Center
|Eli L Diamond
|Ph: 212-639-7202
|Daisy Marquis Jones Radiation Oncology Center at Highland Hospital of Rochester
|Yuhchyau Chen
|Ph: 585-275-5830
|James P. Wilmot Cancer Center at University of Rochester Medical Center
|Yuhchyau Chen
|Ph: 585-275-5830
|University Radiation Oncology at Parkridge Hospital
|Yuhchyau Chen
|Ph: 585-275-5830
|North Carolina
|Wayne Memorial Hospital, Incorporated
|James N. Atkins
|Ph: 919-580-0000
|Kinston Medical Specialists
|Peter R. Watson
|Ph: 252-559-2200
|McDowell Cancer Center at Akron General Medical Center
|Esther H. Rehmus
|Ph: 330-344-6348
|Riverside Methodist Hospital Cancer Care
|J. Philip Kuebler
|Ph: 614-566-3275
|Oklahoma City
|Oklahoma University Cancer Institute
|James D Battiste
|Ph: 405-271-4272
|Email: email@example.com
|LaFortune Cancer Center at St. John Medical Center
|Coty Ho
|Ph: 918-744-2685
|Legacy Mount Hood Medical Center
|Regan M Look
|Ph: 503-280-1223
|Legacy Good Samaritan Hospital & Comprehensive Cancer Center
|Regan M Look
|Ph: 503-280-1223
|Legacy Meridian Park Hospital
|Regan M Look
|Ph: 503-280-1223
|Morgan Cancer Center at Lehigh Valley Hospital - Cedar Crest
|Suresh G. Nair
|Ph: 610-402-2273
|Geisinger Cancer Institute at Geisinger Health
|Scott G Turner
|Ph: 570-271-5251
|Adams Cancer Center
|Amir Tabatabai
|Ph: 877-441-7957
|Cherry Tree Cancer Center
|Amir Tabatabai
|Ph: 877-441-7957
|Frank M. and Dorothea Henry Cancer Center at Geisinger Wyoming Valley Medical Center
|Scott G Turner
|Ph: 570-271-5251
|WellSpan Health
|Amir Tabatabai
|Ph: 877-441-7957
|South Carolina
|AnMed Cancer Center
|James Dewitt Bearden
|Ph: 800-486-5941
|Cancer Centers of the Carolinas - Easley
|David L Grisell
|Ph: 864-241-6251
|Cancer Centers of the Carolinas - Andrews
|David L Grisell
|Ph: 864-241-6251
|Cancer Centers of the Carolinas - Faris Road
|David L Grisell
|Ph: 864-241-6251
|Cancer Centers of the Carolinas - Grove Commons
|David L Grisell
|Ph: 864-241-6251
|CCOP - Greenville
|David L Grisell
|Ph: 864-241-6251
|Cancer Centers of the Carolinas - Greer Radiation Oncology
|David L Grisell
|Ph: 864-241-6251
|Cancer Centers of the Carolinas - Seneca
|David L Grisell
|Ph: 864-241-6251
|Cancer Centers of the Carolinas - Spartanburg
|David L Grisell
|Ph: 864-241-6251
|Gibbs Regional Cancer Center at Spartanburg Regional Medical Center
|James Dewitt Bearden
|Ph: 800-486-5941
|South Dakota
|Conklin Regional Cancer Center
|Richard J. Conklin
|Ph: 605-622-5613
|Sioux Falls
|Avera Cancer Institute
|Addison R Tolentino
|Ph: 800-657-4377
|Email: firstname.lastname@example.com
|San Antonio
|University of Texas Health Science Center at San Antonio
|Andrew J Brenner
|Ph: 210-450-3800
|Salt Lake City
|Huntsman Cancer Institute at University of Utah
|Howard Colman
|Ph: 801-581-4477
|Email: email@example.com
|Good Samaritan Cancer Center
|John A Keech
|Ph: 907-458-5380
|MultiCare Regional Cancer Center at Tacoma General Hospital
|John A Keech
|Ph: 907-458-5380
|Legacy Salmon Creek Medical Center
|Regan M Look
|Ph: 503-280-1223
|Green Bay
|Green Bay Oncology, Limited at St. Mary's Hospital
|Anthony J. Jaslowski
|Ph: 800-432-6049
|Green Bay Oncology, Limited at St. Vincent Hospital Regional Cancer Center
|Anthony J. Jaslowski
|Ph: 800-432-6049
|St. Vincent Hospital Regional Cancer Center
|Anthony J. Jaslowski
|Ph: 800-432-6049
|Holy Family Memorial Medical Center Cancer Care Center
|Anthony J. Jaslowski
|Ph: 800-432-6049
|Marshfield Clinic - Marshfield Center
|Benjamin E. Lawler
|Ph: 715-389-4457
|Froedtert Hospital and Medical College of Wisconsin
|Jennifer M Connelly
|Ph: 414-805-4380
Link to the current ClinicalTrials.gov record.
NLM Identifer NCT01781468
ClinicalTrials.gov processed this data on December 22, 2014
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Neoseeker : hellswolfbrian : Collections : Marvel vs. Capcom 3: Fate of Two Worlds
MarvelVsCapcom3FateOfTwoWorlds PS3
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- "I am trying to find out which charaters i need to use for badd to bone trophy help plz MarvelVsCapcom3FateOfTwoWorlds PS3"hellswolfbrian Aug 11, 12 6:04pm
- "I would like to play as Dante in this game. Dante, Trish, and [Felecia maybe] will be my mains. I would most likly play as Dante. MarvelVsCapcom3FateOfTwoWorlds X360"LevenderGirl Feb 21, 11 8:05pm
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- Introduction Thread: After a Decade of Popular...
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text:
i20 One car. Multiple senses.
- From 84 g/km CO2
- Electronic Stability Programme
- 5* Euro NCAP rating
Middle Bank, Doncaster Carr Industrial Estate, DONCASTER, South Yorkshire, DN4 5JJ
- Used Car Sales
- New Car Sales
- Servicing
- Body Shop
- Motability
- Business centre
Mon-Fri : 8.30am - 6.30pm
Saturday : 8.30am - 5pm
Sunday : 11am - 4pm
Mon-Fri : 8.30am - 5.50pm
Saturday : 8.30am - 12.30pm
Sunday : Closed
Even more efficient
Compared to its predecessor, we've squeezed even more engine efficiency out of the Hyundai i20 to deliver low CO2 emissions and impressive fuel economy, that could save you money.
Packed with clever stuff
The Hyundai i20 is full of clever technology and smart features. Remote central locking and USB/Aux connections are standard as is air conditioning on Classic, Active and Style models. Active and Style models add Bluetooth® connectivity with voice recognition while rain sensing wipers, automatic headlights, a rear view parking camera and rear parking sensors are standard on Style models.
A comfortable space
The intuitive interior of the i20 has been designed with high quality materials and plenty of space for the driver and all passengers.


text:
Don't get burned: Sunscreen labeling laws get tougher in battle against skin cancer
Somewhere in my family tree are a lot of Irish and English ancestors who have given me the gift of pale, pale skin. After giving myself several horrible sun burns I now slather on sunscreen before long runs like it's going out of style.
To further prove my love of sunscreen, I took not one, but two tubes of SPF 100 with me when I covered the Badwater Ultramarathon in Death Valley, Calif., last July. I know the 100 rating probably wasn't any stronger than the SPF 30 next to it on the shelf, but that extra digit made me feel more protected.
I keep a tube in my car, some in my bag, probably some in my desk and several at home.
And I don't even work outside like a lot of our service members.
This week in OFFduty, health writer Patricia Kime writes about why you should love sunscreen too.
She writes:
Given the amount of time active-duty troops spend outdoors, it's little wonder that melanoma is the second-most diagnosed cancer among them.
But an active lifestyle doesn't necessarily sentence service members to a future of skin cancer. Sunscreen can prevent all types of skin cancer, including melanoma, which is considered the most dangerous.
This summer marks the first year U.S. sunscreen manufacturers are following new Food and Drug Administration guidelines for labeling their products. The hope is that the new details, along with improved testing and regulation, will better protect consumers' hides
"This new information will help consumers know which products offer the best protection from the harmful rays of the sun. It is important for consumers to read the entire label, both front and back, in order to choose the appropriate sunscreen for their needs," said Lydia Velazquez with the FDA's Division of Nonprescription Regulation Development.
Read the rest of Patricia's story — plus get tips on when to toss your old sunscreen — over on OFFduty.


text:
Photo: Susan Burns
Photo: Wendy Gilmour
Photo: Sheridan Alder
Welcome to Infindigo Finnish Lapphunds - dogs of great type and quality with unbeatable temperaments - puppies occasionally available. South West England, UK
This website has been designed to share the great love we have for our animals and, in particular, the fabulous Finnish Lapphunds, or Suomenlapinkoira, as they are called in Finland. We first discovered the breed in 2003 and fell instantly for their great looks and terrific temperments. We acquired our first dog, Neka, shortly thereafter and haven't looked back since. The only problem is drawing the line at keeping only three - make that four, as of spring 2012! See what I mean?
We show our dogs with some success and breed puppies occasionally. We have been members of the Kennel Club Assured Breeder scheme ever since our very first litter. In choosing dogs to breed, our emphasis is always on health, temperment and type but we will never knowingly sacrifice temperment or health for wins at shows. To us, a beautiful and healthy dog of great character is a joy to own and will always be a winner, regardless of what judges may say at shows.
We are always pleased to chat, whether by phone, email or in person. If you would like to meet us and our dogs to see them in their home environment, please feel free to contact us.
If you would like some information or advice, you can get in touch from the 'Contact' page through the link at the top left. If you are looking for a puppy, please read 'A Finnish Lapphund Puppy From Infindigo' so you know what to expect when you get a Lappy puppy. We sell puppies only to pre-approved and carefully vetted homes, so don't be offended when we ask you lots of nosey questions and want to visit you at home.
You should be warned, though - having a Lapphund is utterly addictive and it's difficult to stop at just one.
We hope you enjoy our site and our wonderful dogs.
Please visit our blog for day-to-day news, trivia & musings about life in general & what we're up to with the dogs. When we have puppies in the house, there is at least one update a day plus videos & lots of photos with plenty of ahhhh-factor.
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It's entirely possible that I could have forgotten.
But I know I have a lot of company.
If you're like me, you might sometimes forget where you put the cell phone, the person you were going to email, or even the name of your co-worker's husband. Have you experienced this kind of memory loss? I'm sure you have. Occasional forgetfulness, for most of us, is merely a reflection of an overworked or overtired brain, or just an unfortunate result of normal aging.
Although scientific research tells us that a degree of age-related memory loss is to be expected (and may be unavoidable), it's important to understand that not all memory and cognitive thinking loss is the same. Accumulating birthdays is only one part of the memory picture. Injury, disease, and lifestyle can also all play a role in how well our brains function, in youth as well as in our golden years.
In fact, harmless mental decline, while inevitable, can appear as early as in middle age, but so can the onset of Alzheimer's, in which nerve cells in the brain's memory center have been destroyed. But keep in mind that Alzheimer's and other profound brain impairments are not "normal aging."
What's the difference? Is any memory loss reversible or preventable? Let's gain some understanding—and reassurance—now about the brain's function and the aging process. And better yet, we'll look at what we can do to stay sharp and focused.
Some facts worth remembering
Dr. Sheldon Wolf, clinical professor of neurology and director of the Memory Disorders Clinic at UCLA, states that "Alzheimer's Disease is an approaching tsunami. There are currently 6 million people with this disease in the United States. The cost to the country this year is close to 200 billion dollars. In 40 years it may approach 1 trillion dollars, or a tenth of the entire U.S. economy. The source of these ominous figures is the huge increase in the number of elderly, as the baby boomer generation ages. The main cause is getting old."
Wow. Those are huge numbers that describe a serious problem. But what do those stats mean for us as individuals? Is Dr. Wolf implying that Alzheimer's is an unavoidable result of aging? In a word, no.
Dr. Wolf is explaining that the disease's impact on us—both as a population and in financial terms—is growing because the effects of late-stage Alzheimer's are more obvious in an aging population. In other words, we don't necessarily have a greater rate of Alzheimer's cases nationally than we used to, but our population does now tend to live longer—long enough for the most severe effects to show up.
What is Alzheimer's, and how does it compare to other brain conditions?
According to the National Institutes of Health, dementia is a term that may be used to describe loss of brain function in general. It can be associated with any number of conditions, and it comes in many forms. Some types of dementia, such as those that may accompany injury or are a side effect of long-term medical treatment, can be only temporary. On the other hand, "Alzheimer's disease" describes one specific form of dementia. Alzheimer's—which may affect memory as well as cognition and behavior—is a far-reaching loss of function that is not reversible but in fact gradually increases in severity over time.
Dr. Wolf explains that "Alzheimer's is caused by malformed proteins which accumulate in the brain and destroy brain cells and synaptic connections. It is not a normal aspect of aging or the milder memory changes that often accompany getting older." He goes on to add that Alzheimer's is characterized by a severely debilitating form of dementia, which progresses until normal, independent daily life becomes impossible.
A surprising finding, Dr. Wolf states, is that "the onset of Alzheimer's is not in old age, but in middle age. The biochemical abnormalities that will result in Alzheimer's begin about 20 years before there are clinical signs of the disease. By the time memory loss is apparent, a large percentage of nerve cells in the brain's memory center have been destroyed. Alzheimer's disease begins usually in middle age; Alzheimer's dementia in older age."
What can you do today to minimize your risk?
In addition to age, family history and genetics can play a role in Alzheimer's-related dementia. But perhaps the most common causes of dementia in general are ones that are potentially controllable, those that are part of your present health snapshot. For example, it's said that what is good for your heart benefits the brain. Therefore, keeping down blood pressure and cholesterol and preventing or effectively treating diabetes would be at the top of the heart health as well as the dementia prevention "to-do" lists. In fact, inflammation generally accompanies high blood sugar and obesity (both associated with diabetes, which is linked with heart disease) and will at the same time have a negative impact on the tissues of the brain.
That's just the tip of the prevention iceberg. Tune in to my next post where I'll talk about the latest research into food, supplements, activities, and lifestyle changes that can affect not only your overall health but also your brain power.
I promise not to forget!


text:
Fiji Time: 2:22 PM on Monday 22 December
/ Front page / Archives » Article Index
Thursday, November 09, 2006
+ Enlarge this image
Doctor Jone Baravilala Senilagakali
Old age may have taken its toll on this giant of a man, judging from his grey hair and thick-lensed spectacles he was wearing but the one thing that remains part of his life is discipline.
Discipline has been the key that has driven Doctor Jona Baravilala Senilagakali into becoming one of Fiji's best known and respected medical practitioners.
Not only is Dr Senilagakali respected locally, he is one of the few remaining pioneering doctors who has continuously being recognised the world over for their contribution to health on a global scale.
Recently, he was honoured by the International Biographical Centre, in Cambridge, England, which awarded him with the IBC Achievement Award in recognition for his outstanding contribution to health services in Fiji.
The IBC said the award was only conferred after a thorough evaluation of each candidate's qualification by the members of the IBC research and advisory board.
"This award is made to selected noteworthy individuals across the globe in recognition of their life time accomplishments," the IBC said.
Coincidentally, I visited him yesterday and was surprised to find out it was his 77th birthday so the award was a birthday present from Planet Earth and it meant the world to him.
Dr Senilagakali, who is from the chiefly village of Tubou, Lakeba, in Lau, is one the few remaining doctors who have gone through many changes within the Health Ministry in Fiji.
He is married with five children and five grandchildren, all of whom he adores.
He said his principle of discipline had moulded his children to where they were now, including son Dr Wame Baravilala, who followed in his father's footstep into the medical field.
Sitting in his office at the Queen Elizabeth Barracks, in Nabua, Suva, where he serves as the military doctor, he recalled his younger days at Queen Victoria School.
"It was at school where discipline was driven through my brain and my blood by the then school principal, Mr Tom Blinges, from England," he said. "Education was tough then. We had to endure many hardships, compared to the comforts that students are being pampered with now.
"But I tell you it was discipline that saw us through and paved the way to where we are now.
"I remember during a school assembly we were told by the principal that we Fijians lacked stick ability'," he said.
Dr Senilagakali said he had to go to the principal to ask what he meant. "The principal said Fijian students tend to shy away from hard tasks once they had tried it once.
"They do not give it a second chance or another try," he said.
"These words can never get out of my mind and I have even shared it with my children as well as my grandchildren."
He said it was during his last year at QVS that he decided to become a doctor.
"We were told to write essays about the health system and that was how we were marked and I got through.
"We were students at Tamavua when Queen Elizabeth came to open the institution and we were presented to her, she was young and very pretty," he said jokingly.
Dr Senilagakali said he was one in the health profession who had gone through the system.
"I have worked in the smallest health centre to some of the major hospitals around the country and have even been in the Health Ministry headquarters as the permanent secretary," he said.
Dr Senilagakali said he fully understood the structure of the health system and he had seen many changes since he joined the profession.
"One thing that has always bothered me is the fact that most young doctors tend to value their work to the income they are getting. For me, being a doctor is all about providing the best service available to patients ... that is the first and foremost priority.
"Patients come first and the pay packet is just a fringe benefit for the services that one provides," he said.
Dr Senilagakali said young doctors must always put patients as their priority.
"I guess most would claim that the work demands a lot of money but for me, patients are why doctors exist and they should always come first," he said.
"I've had a few controversial meetings with young doctors who are opposed some of my principles but somehow we always tried to understand each other's views.
"However, what I would like to ask young doctors is to conduct your duties with pride and dignity and maintain discipline.
"We are a dying generation of doctors. We hope that the upcoming ones will uphold their oath and maintain discipline in the field as it is a noble profession," Dr Senilagakali said.
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text:
Wednesday, February 4, 2009
London Asylum for the Insane - London, Ontario
I decided to post some old pictures of an exploration I did a couple of years ago at the London Asylum for the Insane. The old Asylum sits on the grounds of the current London Psychiatric Hospital (Regional Mental Health Care).
A bit of history:
The London Asylum for the Insane was opened on November 18, 1870. Dr. Maurice Bucke was the second superintendant for the London Asylum (1877-1902). Reports indicate that Dr. Bucke favoured humanitarian treatment of the mentally ill and that he attempted to improve mental health through providing patients with beautiful surroundings (the Asylum was a working farm)and many social activities. Dr. Bucke is also said to have limited patient's use of alcohol and the hospital's use of mechanical constraints as a form of control.
A more controversial treatment method that Dr. Bucke used was his gynaecological surgeries, performed on over 200 women between 1895 and 1901. The theory at the time was that a women's mental health was intimately linked to her reproductive system.
The building you see in the picture was not the main building but the Infirmary or Exam building. The main building was demolished in 1975. There is also the original chapel and barn on the grounds as well as the current and active London Psychiatric Hospital.
27 comments:
- Corker2 said...
Humm . . . a rather interesting place to visit. Wonder what's inside? I'd snoop around there, if I had the chance. Wonder if it's Haunted?
- February 5, 2009 at 9:09 AM
- Al Ebaster said...
A real shame you couldn't get in, I bet it's a real gem inside. Still, these are great photos, thanks for them!
- March 12, 2009 at 6:32 PM
In if you were to get inside you wouldn't get to far, the floor and stairs are rotted out completely, along littered with dead animal carcases. Its been said that vultures that live in the top of the building also on the top floor, I have worked here for 2 years and haven't seen any myself. Yes this place is guarded and gated with 10 foot high fences, and the doors are heavy bolted up due to the unsafe structural issues with the building
- April 8, 2009 at 5:55 AM
It's safe inside. The stairs are not rotten. This building is actually the Medical Examination building. I believe it opened in 1903.
Inside photos:
- February 2, 2010 at 4:49 PM
hey, nice exploration!!
i'm very interested, i work in performances and would love to use a space like this...
could you tell me where it is exactly??
- March 8, 2010 at 5:48 PM
- Anita said...
Phrenzee: How did you get in? I've been fascinated with this building for years...
- March 9, 2010 at 11:23 PM
Wow...my mom would love to see these pics...she lived nearby from the 40's to the 60's and whenever someone escaped, a huge siren sounded and all the moms went running to get their kids in the house...
- April 5, 2010 at 8:38 PM
Wow...my mom would love to see these pics...she lived nearby from the 40's to the 60's and whenever someone escaped, a huge siren sounded and all the moms went running to get their kids in the house...encoun
- April 5, 2010 at 8:39 PM
- Heather said...
Fyi - this is on Highbury Ave in London on the east side, just south of Oxford on the grounds of the current Regional Mental Health Care London.
- April 6, 2010 at 2:46 AM
You may be interested in my blogs,
- November 12, 2010 at 2:55 PM
Is it possible to get in? / is it still standing?
- September 23, 2011 at 11:34 PM
- Heather said...
I'm not even sure it's still standing - the last time I heard, it was, but it's so old I can't imagine that it wouldn't be demolished soon. I didn't go in, but others have - check out Phrenzee's photos on the link above you.
- October 19, 2011 at 12:04 PM
hey um uh i dont know if this is off topic but um i was playing zombies on black ops the other day the map is verruckt i was wondering if that was a real asylum some people say it was somewhere in london i googled it and i came this the asylum verruckt was for all sorts of defects from being deaf all the way to being crazy and i was just thinking maybe its a real asylum i have also been told other that it being real that it was home to a lot of murders massacres and suicidal events im just a curious person and would want to know more thanks
- November 21, 2011 at 5:59 PM
Great article.
No, this building is out of bounds now. They use to do tours inside the asylum for educational purposes. But now they have closed the tours and everything so you can't get inside it.
- November 22, 2011 at 11:14 PM
- Heather said...
Hi! It's Heather - I have never heard of Verruckt being a real asylum, however, I wonder about London England?
- December 16, 2011 at 3:51 PM
My cousin works at the new psych hospital, this building is still standing behind it. It was boarded up within the last couple of years though. She did say you can hear weird stuff in some of the other buildings though, such as the rec centre. She also said that if you are in the basement where the gym is located in one of the buildings you can hear someone running vigourously above you. You often feel very creeped out, even just sitting near it in you car it definitely gives of some strange energy.
- December 21, 2011 at 11:06 PM
I had a great aunt or great great aunt who died in 1916 who was a patient at the London Insane Asylum. She supposedly had dementia, and there were no nursing homes or other facilities like that to house people with dementia. I've driven around the buildings that are still standing and walked around a little - as much as you can. Definitely a spooky looking place. I'd go inside if I could too. But...you can't.
- February 20, 2012 at 11:31 PM
I did industrial duct work inside the current buildings back in 1998.
At the time I worked for a private contractor out of Stratford. In accordance hospital safety policy you have too take a brief course on the safety "do's and don'ts" [always keep an eye on your tools, what to do if caught alone with a patient in a secure area etc.] for contractors and for the patients, this is done with the hospital maintenance crew.
The contractors, grow a solid relationship with the maintenance men and women very quickly over the time it takes for such a project; as every morning begins with reporting to them and breaks are taken in the secure maintenance area. The supervisor of the facilities maintenance are was a wonderful guy who'd been at the facility for decades. He offered an "off the record" tour of the old hospital to the 3 of us that were there. Being a history buff, I was the only one who accepted. A decision I regretted almost immediately.
While the inside of the old buildings are fascinating from a historical standpoint, the imagery that comes to mind when inside is at times, gruesome. I [was] not a "believer" in the super-natural, until that day.
There is a sadness that you are hit with upon entering. It stays with you the entire time. The basement consists of draconian cells made of thick steel bars and old stone. There are still (at that time in '98) metal fixtures on the walls that were once used to chain patients to the walls. The top floor has a large boarded up area on the roof, that can be seen from the outside, that was utilized for sunlight as that was the room in which lobotomies were performed. And many other surgeries.
The supervisor made no attempt to "build-up" the tour before hand, and simply allowed me to look around without narration. But it was an experience and the feelings it provoked I will never forget. Not until after were the "stories" about that building shared with me.
Murders, sexual abuses, borderline atrocities were committed on human beings in those buildings. From patient upon patient, staff upon patients, and patients upon staff. Event the old horse stable that can be seen from Highbury Rd. had horrific stories attached to it.
The soties were not shared in a manner to terrify. Nor do I believe that much or any of it was urban legend. As i said the supervisor had been there for decades. The things he had seen with his own eyes in our "modern times" were enough to turn stomachs. He was one of the first people to see the results of the patients that had decapitated another in the 1980's. (Remember that?). He had heard stories, first hand, from doctors and employees who had worked there before him. I did not doubt this man. His intent was not sensationalism.
Inside the old building, there are noises, sounds, things that I could simply not "explain away".
I only remained on the job for two more days afterward. To this day (I've lived in Michigan for the past 10 years) when I return to London to visit family, I will not drive past that place.
- March 31, 2012 at 10:17 AM
I was a student psychiatric social worker stabled at this hospital for clinical experience in 1959. It had all the trappings of the old locked 'loony-bins' but a blessing was a delightful student from another university who became a lover and with whom I'm still in contact today. We both remained in psychiatry. Harry
- May 30, 2012 at 1:15 AM
I drive by this place to get to work everyday, and I've never once noticed this building or even knew about it. I'll be looking for it on my way next time. Anyone have pictures of inside?
Phrenzee's album is hidden :(
- August 4, 2012 at 6:49 PM
I did my psychiatric affiliation at this hospital for 3 months in 1954. I was student nurse from SJH in London. Later I worked there as I could not leave the patients...happy then to find out largactil had arrived...conditions still deplorable. Still doing ECt in series and no one talking to the patients...could talk for hours about this topic. ddp
- December 27, 2012 at 7:56 PM
I've walked around the exterior of the building several times during my stay at Regional. Everyone agreed that it would be an interesting place to wander about in. Sometimes you can hear voices emanating from the building.
- October 27, 2013 at 7:21 PM
When I was in college, it was still open. In 1999. I actually went inside because it was part of my course, DSW. It was amazing. We went to the basement where they showed us all kinds of equipment they used in the old days. It was so awesome. I'd love to go back. I was actually offered a temp job taking care of a resident but was scared at the time. Kicking myself now, wish I had done it then.
- November 9, 2013 at 1:18 AM
Richard lives on.... He has been reincarnated and was on the ward i was on, he now has bipolar. He is stable now and has been released.. I asked him to shave his moustache.. I slept under his bed and seen the world of the unknown... it didnt scare me but it scared the less stable ones and the abused ones... I wouldnt recommend bothering King Richard V.... He is the master of the wards and the king of the patients... DONT FUCK WITH RICK> He will retaliate but not in a physical way.. stay away from his castle you bastards.
The Son and Ax King
Long live the King!
- December 9, 2013 at 12:00 AM
- Kay F Gibbs said...
Well actually I think I have one up on you dude. I was connected to this thing in 1976, so back off me. These images were helping me connect with the psychiatric problems I was having.
- December 11, 2013 at 8:57 PM
I actually managed to get inside last night with a group of my friends, so I thought I'd comment this today. Maybe it was easy for us to get in because, well, we're teenagers who can fit into small spaces, and we can all climb pretty well. But once you do get in, its pretty sketchy looking. Gotta be careful of the floors and ceilings and stairs. It doesn't all look exactly...well...safe. We didn't see too many dead animals in there or anything as mentioned in older comments, but there were some vermin and smaller bodies. They didn't exactly clear out the building, there's still some equipment. The moment you get inside you feel like you want to leave. It's got an unnatural feeling to it. My friends and I are in a Satanic Cult, so we kinda 'redecorated' the place, but the beauty is still there. I'll post some photos on my tumblr as soon as possible. my tumblr link is
- May 22, 2014 at 12:39 PM
Does anyone know if a psychiatrist, Dr Galbraith, was in charge of the hospital in perhaps the mid-60's and early 70's?
- August 4, 2014 at 4:14 PM


text:
Here is my post of a month or so back.
One of the parts you might want to note is that there is a phone number as to which cities in your state have mri machines which are advertised as 97% more quiet than regular MRI machines.
I would think, if you decide to take the MRI test, that you would want to contact those people and ask which cities in your state have the supposed much quieter MRI machines.
You could then ask you insurance company or your doctor if you can get approved for the quieter machIine. You might have to pay x amount more for that machine, but it could be worth it. I would at least find out about the monitary difference is.
7/23/07 at 09:37 PM
Here is a report on the decibel level of the MRI machine which doctors often ask patients to have when trying to determine a medical problem.
One medical problem doctors don''t consider is hyperacusis, because they don''t know anything about it.
Therefore they will send a hyperacusis patient into a machine that is 100 to 110 decibels loud, or the same volume as a chain saw. So, in trying to determine one medical problem, they can very well create another. So, everybody has to figure out what''s best for themselves.
H patients might want to consider two numbers before undergoing an MRI exam. One is, what is their noise tolerance level, based on the sound level chart listed on the home page of this website?
Mine is conversational level, or about 70 decibels, as I recall that number. So, I cannot tolerate any noise. Now, if my sound tolerance level is 70, and the MRI exam machine is 100 to 110 decibels, do I want to take an MRI? Keep in mind. The doctor doesn''t know either of those numbers, and doesn''t know what h is.
One website said earplugs might reduce the loudness of a MRI to 80 decibels. Would you put in earplugs and over-the-head ear protectors and sit by a chainsaw for 20-40 minutes? (The chain saw number for the MRI [both 100-110 decibels] is according to this hyperacusis website''s sound level chart, listed on this site''s home page.)
There is a firm in Philadelphia which claims they have reduced the sound of the MRI by 97 percent, as I mentioned in a post about 2 months ago.
Their free phone number for which states have noise reduction MRI machines is 1-800-736-8003. The 3 states I checked for, each had at least 3 cities which had these machines. So, they appear to have the U.S. covered, and perhaps other countries. If a medical center near you does have such a machine, ask them what your insurance will cover. I don't know if these machines are as quiet as they say, so everyone has to make these decisions on their own.
I think the way they reduce the loud sound of the MRI is the same way that BOSE reduces sound with their electronic headphones. That is, incoming sound waves are largely reduced by matching outgoing sound waves.
I've got some of those headphones, and I know they work. They can dull a sound very well.
I would guess they might hook a larger scale, BOSE anti-noise device onto the loud parts of an MRI machine. It would send out equal but opposite sound waves which counteract the noise coming from the loud MRI. That's quite an improvement.
My former doctor, who at the time was dying of some illness, and who I consider the most sensitive doctor I ever had, suggested a CT scan when there was a spot on my kidney. Knowing the machine could be loud, I told her I wanted to hear the machine first. I really wanted someone to go in there with a sound meter, but couldn''t work that out.
So, I went in like an idiot, just to hear it from 20 feet away behind a glass partition. They turned that sucker on and I thought I was dead. Gosh. I ran out the door. I estimate it at 85 decibels, and it was way more than I could tolerate. And the MRI is 100 to 110 decibels, for 20 to 40 minutes.
My doctor said I could take an ultra sound for my kidney, a quiet test, and then 2-3 months later, take a 2nd ultra sound, to see if there was any growth. There was no growth, a CT scan was not needed. You pay your money and you take your chances.
Here is what it said on page 6 of about a 20-page report. I think this firm is involved in sound-proofing, so they want to tell how loud the MRI is, whereas none of the other 30 or more sites I saw would give away that secret information. They have drawings of how to sound proof (or sound dampen) the machine. The website name is: http://www.ets.lindgren.com/pdf/accoustic_manual.pdfI found it on the search engine typing in: mri decibels After the 6 or 8 ads at the top of the first page that came up, it was the 3rd listing titled, "LMCL 1.02 accoustics manual"
On page 6 or so of that manual, it said this:
"With the introduction of more powerful
gradient coils on today''''s high field MRI
scanners,MRI equipment is producing
increasingly high noise levels.During a
typical scan sequence,many newer MRI
systems will produce average sound
pressure levels (SPL) as high as 100 to 110
dBA,with peak levels of 120 dB————which
compare to busy street traffic noise levels.
"These high scanner noise levels can
interfere with patient comfort, patienttechnician
communication, and staff
working efficiency.
"During a scanning procedure, the patient is
located at the epicenter of the resonator
module (which is comprised of the magnet,
RF and gradient coils).While the patient is
exposed to the noise for only a short time,
technicians and other staff are subjected to
long-term noise exposure.
"Moreover, the noise can travel from the
MRI room into adjoining rooms and
corridors, thereby disturbing other
building occupants.
Consequently, acoustic shielding or
suppression is required in many newer
MRI installations, particularly in such
sites as:
•••• New building complexes where
adjacent suites will be affected
•••• Older facilities for which MRI was not
the original purpose
•••• Hospitals and clinics, for which noise
suppression specifications often exist
The first step in planning for acoustic
shielding is to gain an understanding of
noise sources and sound transmission."
So, this decibel level of an MRI is a rare find.
Gary:If I was going to take the MRI or the CT scan, which I would not since my tolerance for sound is that of conversation or 70 decibels, according to this site's sound level chart, I would at least call the firm in Philadelphia.
I would guess they might hook a larger scale, BOSE anti-noise device onto the loud parts of an MRI machine. It would send out equal but opposite sound waves which counteract the noise coming from the loud MRI. That's
quite an improvement.
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text:
Fraud Diamond: Considering the Four Elements of Fraud
David T. Wolfe and Dana R. Hermanson
response to the fraud problem, Congress and regulatory authorities
have enacted tougher laws and increased enforcement actions.
are implementing tighter controls and broader oversight.
The auditing profession has adopted more rigorous auditing
standards and procedures, and software developers are adding
continuous monitoring features to back-office systems. It
remains unclear whether these efforts are sufficient to
mitigate the fraud problem.
studies suggest fraud is more likely to occur when someone
has an incentive (pressure) to commit fraud, weak
controls or oversight provide an opportunity for
the person to commit fraud, and the person can rationalize
the fraudulent behavior (attitude). This three-pronged framework,
commonly known as the "fraud triangle," has
long been a useful tool for CPAs seeking to understand and
manage fraud risks. The framework has been formally adopted
by the auditing profession as part of SAS 99.
Different Way to Think About Fraud Risks
authors believe that the fraud triangle could be enhanced
to improve both fraud prevention and detection by considering
a fourth element. In addition to addressing incentive, opportunity,
and rationalization, the authors' four-sided "fraud
diamond" also considers an individual's capability:
personal traits and abilities that play a major role in
whether fraud may actually occur even with the presence
of the other three elements.
frauds, especially some of the multibillion-dollar ones,
would not have occurred without the right person with the
right capabilities in place. Opportunity opens the doorway
to fraud, and incentive and rationalization can draw the
person toward it. But the person must have the capability
to recognize the open doorway as an opportunity and to take
advantage of it by walking through, not just once, but time
and time again. Accordingly, the critical question is, "Who
could turn an opportunity for fraud into reality?"
the four-element fraud diamond, a fraudster's thought
process might proceed as follows (Exhibit
these four elements certainly overlap, the primary contribution
of the fraud diamond is that the capabilities to commit
fraud are explicitly and separately considered in the assessment
of fraud risk. By doing so, the fraud diamond moves beyond
viewing fraud opportunity largely in terms of environmental
or situational factors, as has been the practice under current
and previous auditing standards.
example, consider a company where the internal controls
allow the possibility that revenues could be recorded prematurely
by altering sales contract dates in the sales system. An
opportunity for fraud exists, if the right person is in
place to understand and exploit it. This opportunity for
fraud becomes a much more serious problem if the company's
CEO, who is under intense pressure to increase sales, has
the technical skills to understand that the control weakness
exists, can coerce the CFO and sales manager to manipulate
the sales contract dates, and can consistently lie to analysts
and board members about the company's growth. In the
absence of such a CEO, the fraud possibility would never
become reality, despite the presence of the elements of
the fraud triangle. Thus, the CEO's capabilities are
a major factor in determining whether this control weakness
will ultimately lead to fraud.
Person with Capability
on one author's experiences in investigating frauds
for the past 15 years, there are several essential traits
for committing fraud, especially for large sums or for a
long period of time (Exhibit
2). First, the person's position or function within
the organization may furnish the ability to create or exploit
an opportunity for fraud not available to others. For example,
a CEO or divisional president has the positional authority
to influence when contracts or deals take effect, thus affecting
the timing of revenue or expense recognition. Fraudulent
Financial Reporting: 1987–1997, An Analysis of U.S.
Public Companies (Beasley et al., 1999) found that
corporate CEOs were implicated in over 70% of public-company
accounting frauds, indicating that many organizations do
not implement sufficient checks and balances to mitigate
the CEO's capabilities to influence and perpetuate
fraud. Additionally, when people perform a certain function
repeatedly, such as bank reconciliations or setting up new
vendor accounts, their capability to commit fraud increases
as their knowledge of the function's processes and
controls expands over time.
the right person for a fraud is smart enough to understand
and exploit internal control weaknesses and to use position,
function, or authorized access to the greatest advantage.
Many of today's largest frauds are committed by intelligent,
experienced, creative people, with a solid grasp of company
controls and vulnerabilities. This knowledge is used to
leverage the person's responsibility over or authorized
access to systems or assets. According to the Association
of Certified Fraud Examiners, 51% of the perpetrators of
occupational fraud had at least a bachelor's degree,
and 49% of the fraudsters were over 40 years old. In addition,
46% of the frauds the Association recently studied were
committed by managers or executives.
the right person has a strong ego and great confidence that
he will not be detected, or the person believes that he
could easily talk himself out of trouble if caught. Such
confidence or arrogance can affect one's cost-benefit
analysis of engaging in fraud; the more confident the person,
the lower the estimated cost of fraud will be. In "The
Human Face of Fraud" (CA Magazine, May 2003),
R. Allan notes that one of the common personality types
among fraudsters is the "egotist"—someone
who is "driven to succeed at all costs, self-absorbed,
self-confident and narcissistic." Similarly, Duffield
and Grabosky ("The Psychology of Fraud," Trends
& Issues in Crime and Criminal Justice, March 2001)
note that, in addition to financial strain, "Another
aspect of motivation that may apply to some or all types
of fraud is ego/power." The authors go on to quote
Stotland ("White Collar Criminals," Journal
of Social Issues, 1977) regarding ego: "As [fraudsters]
found themselves successful at this crime, they began to
gain some secondary delight in the knowledge that they are
fooling the world, that they are showing their superiority
to others."
a successful fraudster can coerce others to commit or conceal
fraud. A person with a very persuasive personality may be
able to convince others to go along with a fraud or to simply
look the other way. In addition, Allan notes that a common
personality type among fraudsters is the "bully,"
who "makes unusual and significant demands of those
who work for him or her, cultivates fear rather than respect
… and consequently avoids being subject to the same
rules and procedures as others." Many financial reporting
frauds are committed by subordinates reacting to an edict
from above to "make your numbers at all costs, or
a successful fraudster lies effectively and consistently.
To avoid detection, she must look auditors, investors, and
others right in the eye and lie convincingly. She also possesses
the skill to keep track of the lies, so that the overall
story remains consistent. In the Phar-Mor fraud, the auditors
claimed that Phar-Mor had formed a "fraud team"
of executives and former auditors who "continually
worked to hide evidence" about the fraud from them.
The auditors claimed that the fraud team "lied, forged
documents and 'scrubbed' everything the auditors
saw to hide any indications of malfeasance." (See
"Finding Auditors Liable for Fraud: What the Jury
Heard in the Phar-Mor Case," Cottrell and Glover,
The CPA Journal, July 1997.)
a successful fraudster deals very well with stress. Committing
a fraud and managing the fraud over a long period of time
can be extremely stressful. There is the risk of detection,
with its personal ramifications, as well as the constant
need to conceal the fraud on a daily basis. Former HealthSouth
CEO Richard Scrushy now faces numerous criminal charges
for allegedly masterminding a long-running scheme to inflate
the company's earnings during the terms of several
different CFOs. Despite the enormous pressure on him, Scrushy
has remained resolute during the course of the investigation,
even appearing on 60 Minutes to proclaim his innocence.
In contrast, during his sentencing, former HealthSouth Assistant
Controller Emery Harris, who allegedly was coerced to participate
in the fraud, told the judge how relieved he was after the
company was raided by federal agents, thinking it provided
him the opportunity to finally "get out of this mess."
with Capability
the importance of capability as a fourth element of fraud
is only part of the challenge. The next task is to address
capability when assessing fraud risk, and to use knowledge
about fraud capability to prevent or detect fraud. Beyond
considering incentive, opportunity, and rationalization,
the following steps could shed light on capability.
assess the capabilities of top executives and key personnel.
Focusing on capability requires organizations
and their auditors to better understand employees'
individual traits and abilities. The audit committee member,
corporate accountant, or auditor should focus on the personality
traits and skills of top executives and others responsible
for high-risk areas when assessing fraud risk or seeking
to prevent or detect fraud. Routine background checks on
new employees can identify past criminal convictions.
assessing individuals' traits and abilities, several
methods of gathering information may be helpful. First,
there is no substitute for spending time with a person.
Frequent interaction under a variety of circumstances, both
business and social, can provide a meaningful picture of
the person's capabilities. Second, look for signals
in the "little things." If the person cuts corners
on small issues or consistently displays an absolute refusal
to lose or fail, no matter what the issue or the cost, this
may suggest similar behavior on larger issues. For example,
many have said that an executive who cheats in golf will
cheat in business. Finally, pay attention to what others
say about a person. If there are consistent statements about
certain traits or tendencies, this information can supplement
more direct observations. For example, if people in the
organization are consistently in awe of someone's
technical or creative ability, this provides additional
insight into the person's capabilities.
there are concerns about capability, respond accordingly.
If someone's capabilities present a
significant risk factor, respond with stronger controls
or enhanced audit testing. For example, if the sales vice
president is overly aggressive, competitive, and obsessed
with hitting monthly sales quotas, there may be a need for
extra-tight controls over revenue recognition or expanded
testing of sales during the annual audit. In addition, implementing
a periodic rotation of routine, but key, functions among
staff can minimize the opportunities for fraud gained from
long-term knowledge of the function and its controls.
this response phase, a key to mitigating fraud is to focus
particular attention on situations offering, in addition
to incentive and rationalization, the combination of opportunity
and capability. In other words, "Do we have any doorways
to fraud that can be opened by people with the right set
of keys?" If so, these areas are especially high risk,
because all the elements are in place for a fraud opportunity
to become reality.
example, when designing detection systems, it is important
to consider who within the organization has the capability
to quash a red flag, or to cause a potential inquiry by
internal auditors to be redirected. Cynthia Cooper, the
internal auditor at WorldCom credited with discovering the
massive fraud, has described in Time magazine how
CFO Scott Sullivan had exercised his position and seniority
to dissuade her team from looking into certain areas that
later proved to have been infested with massive fraud. But
believing they were on to something, her teams worked behind
Sullivan's back, on many occasions at night or from
home, to avoid detection and retribution. Although it appears
he tried, according to Cooper, in this instance Sullivan
was not capable of completely thwarting the persistent efforts
of the auditors to uncover the apparent fraud.
the capabilities of top executives and key personnel. Assessing
capability and responding to concerns should not be viewed
as one-time exercises. Continuous updating of the capability
assessment and response is warranted for two reasons. First,
people can develop new capabilities over time, especially
if they are climbing the corporate ladder and growing professionally.
Just because someone did not have enough power or knowledge
of an area to commit fraud in the past, there is no guarantee
that the person will not develop such power or knowledge
in the future. Their capability to commit fraud may increase,
and additional controls or scrutiny may be warranted.
organizational processes, controls, and circumstances change
over time. As a result, some people may be better suited
to commit fraud in the new environment, even though they
were not capable under previous conditions. For example,
consider a company that has recently implemented a complex
new IT system. The new system may render those less digitally
sophisticated employees incapable of exploiting its controls.
On the other hand, for those with strong IT skills, the
change might increase their capability of committing fraud.
This new capability should be considered, and appropriate
responses implemented.
the final analysis, recent legislation, increased enforcement,
regulatory oversight, broader controls, improved auditing
standards, and sophisticated monitoring technology are all
steps in the right direction and will contribute to preventing
and detecting fraud. Limiting this effort to current standards
and practices may not be enough, however, especially for
auditors. Consistent with this view, the 2004 Miller
GAAS Guide describes the fraud triangle elements presented
in SAS 99 and notes that "it is obvious that the Auditing
Standards Board is struggling with the broad topic of how
to detect fraud … auditors should be careful about
following relevant professional standards and then having
a sense of security about the likelihood that fraud does
not exist in a particular engagement."
if capability could play a role in influencing or magnifying
the other fraud elements, other checks and balances or detection
systems should be implemented, or an auditor should expand
audit scope, procedures, and testing for potential fraud.
2004 Issue
the Internal Control Puzzle
Options Using the Lattice Model
New Corporate Governance Structure
This Issue | Past
The New York State Society of CPAs. Legal


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Game Details
- Release Date 7/9/2012
- Publisher Sega
- Platform 3DS
- Genre Action Adventure
- Number of Players 1
Game Description
Raphael isn't so much a thief. He's just a guy who likes to borrow great works of art! Steal the most famous treasures in Paris - then bring them back a couple days later - to solve a mystery in this rhythm-based adventure. Feel the rhythm and keep the beat by tapping the Touch Screen, tilting the 3DS, and swiping the Stylus to solve riddles and complete musical challenges. Explore the city, finding clues in vibrant Paris environments as you get closer to figuring out why your father disappeared. You can also challenge your friends in head-to-head rhythm showdowns.
User Reviews
Average Member Rating: 8.0 out of 10
Better grab this delightful title!. (9 out of 10)
posted by LemmyKoopa (MADISON, WI) on Dec 2, 2012
Member since Jan 2011
2 out of 2 gamers (100%) found this review helpful
Member since Jan 2011
2 out of 2 gamers (100%) found this review helpful
Rhythm Thief delighted me as much as any game lately, with gameplay that is generally challenging and fair as well as varied, an overall strong score, and a healthy dose of whatever is the gaming equivalent of charisma. The game has its flaws. Some of the rhythm games will take practice just to f...more
Specs & Requirements
Modes Story, Full Mission Single-Player, Wi-Fi Versus, Wi-Fi Multiplayer
Wireless StreetPass, 3DS Local Play (1-2), 3DS Download Play (1-2)
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text:
Dinophysis acuta
Dinophysis acuta is one of the largest belonging to the genus Dinophysis. It is plantlike in having numerous yellow-green chloroplasts, which it uses to manufacture food by photosynthesis, but it is also animal-like in being able to move using its two whiplike flagella for propulsion. Dinophysis acuta's cells are oblong in shape, rounded posteriorly, and have a robust, laterally compressed test that is made up of a number of different plates. Like diatoms, most dinoflagellates have unique tests by which they can be identified even as fossils. All species of Dinophysis are toxic and have been responsible for a number of die-offs in shellfish when blooms occur. Under certain conditions, such as a long period of calm weather, they multiply very rapidly by simple division, sometimes becoming so numerous that the water changes color. This phenomenon is referred to as a red tide. A huge amount of toxins and okadaic acid builds up in the water and passes up the food chain via shellfish in which the toxins accumulate. If the contaminated shellfish is then eaten by humans, it causes sickness and severe diarrhea. Sexual reproduction in Dinophysis acuta is not well understood, but it is thought to involve cells that in the past were described as a different species, Dinophysis dens.
- Kingdom Dinoflagellata
- Length Up to in (0.95 mm)
- Habitat Open water
- Distribution Cold and temperate waters worldwide


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Tween Little Red Riding Hood Costume (ref: 68618)
DiscontinuedView similar costumes
- Info
Product InformationThis is a California Costumes product
View all California Costumes products
Our Tween Little Red Riding Hood Costume is a cool, edgy twist on traditional Red Riding Hood outfits. With its torn leggings and cool hoodie dress, this is a fantastic fancy dress idea if you are looking for something out of the ordinary.
Includes: Red Riding Hood Dress with Hood and Sleeves, Leggings, Studded Belt and Cuff.
The Tween Little Red Riding Hood Costume includes a dress with a tartan skirt and a red top with an integrated hooded cape.
The cape has a white skull and crossbones on the front and the sleeves of the top are made from black mesh and have lots of holes in them.
Also included with the Little Red Riding Hood outfit is a pair of torn black leggings, a black studded belt and a matching cuff.
Party themesWorld Book Day Costumes
Tagsfantasyfairytalered riding hoodpunk
- Sizing
Sizes for this costume are:
- Large:
- Aged 10 - 12 years
- Weight: Up to 90lbs
- Chest: Up to 31"
- Waist: Up to 26"
- Hips: Up to 32"
- Height: Up to 61"
- Extra Large:
- Aged 12 - 14 years
- Weight: Up to 100lbs
- Chest: Up to 33"
- Waist: Up to 27"
- Hips: Up to 34"
- Height: Up to 63"
- Specs
- Material: 100% Polyester
- Packaging: Resealable PVC Bag & Header Card
- Product Suitability: Tween - up to 14 Years
- Washing Instructions: Dry Clean Only
Have a question about this product? Why not get in touch by completing the boxes below.
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