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Cerebral folate deficiency.
Summary of "Cerebral folate deficiency."
Cerebral folate deficiency (CFD) is defined as any neurological syndrome associated with a low cerebrospinal fluid (CSF) concentration of 5-methyltetrahydrofolate (5MTHF) in the presence of normal peripheral folate status. CFD has a wide clinical presentation, with reported signs and symptoms generally beginning at around 4 months of age with irritability and sleep disturbances. These can be followed by psychomotor retardation, dyskinesia, cerebellar ataxia and spastic diplegia. Other signs may include deceleration of head growth, visual disturbances and sensorineural hearing loss. Identification of CFD is achieved by determining 5MTHF concentration in CSF. Once identified, CFD can in many cases be treated by administering oral folinic acid. Supplementation with folic acid is contraindicated and, if used, may exacerbate the CSF 5MTHF deficiency. Generation of autoantibodies against the folate receptor required to transport 5MTHF into CSF and mutations in the folate receptor 1 (FOLR1) gene have been reported to be causes of CFD. However, other mechanisms are probably also involved, as CFD has been reported in Aicardi-Goutiere's and Rett syndromes and in mitochondriopathies. Several metabolic conditions and a number of widely used drugs can also lead to a decrease in the concentration of CSF 5MTHF, and these should be considered in the differential diagnosis if a low concentration of 5MTHF is found following CSF analysis.
Medical Neurogenetics, 1 Dunwoody Park, Suite 250, Atlanta, GA, 30338, USA, firstname.lastname@example.com.
Journal Details
This article was published in the following journal.
Name: Journal of inherited metabolic disease
- PubMed Source: http://www.ncbi.nlm.nih.gov/pubmed/20668945
- DOI: http://dx.doi.org/10.1007/s10545-010-9159-6
PubMed Articles
Present and future of folate biofortification of crop plants.
Improving nutritional health is one of the major socio-economic challenges of the 21st century, especially with the continuously growing and ageing world population. Folate deficiency is an important ...
Higher Prevalence of Metformin-Induced Vitamin B12 Deficiency in Sulfonylurea Combination Compared with Insulin Combination in Patients with Type 2 Diabetes: A Cross-Sectional Study.
Long-term and high-dose treatment with metformin is known to be associated with vitamin B12 deficiency in patients with type 2 diabetes. We investigated whether the prevalence of B12 deficiency was di...
Folate, vitamin B12, and vitamin B6 status of a group of high socioeconomic status women in the Alberta Pregnancy Outcomes and Nutrition (APrON) cohort.
Folic acid supplementation and food fortification policies have improved folate status in North American women of child bearing age. Recent studies have reported the possible inadequacy of vitamin B12...
Natural Folates from Biofortified Tomato and Synthetic 5-methyl-tetrahydrofolate Display Equivalent Bioavailability in a Murine Model.
Folate deficiency is a global health problem related to neural tube defects, cardiovascular disease, dementia, and cancer. Considering that folic acid (FA) supply through industrialized foods is the m...
Plasma and red cell reference intervals of 5-methyltetrahydrofolate of healthy adults in whom biochemical functional deficiencies of folate and vitamin B 12 had been excluded.
5-Methyltetrahydrofolate (5-MTHF) is the predominant form of folate and a strong determinant of homocysteine concentrations. There is evidence that suboptimal 5-MTHF availability is a risk factor for ...
Clinical Trials
Folate Gene Polymorphisms and Cellular Folate Speciation Pilot Study
This pilot study is designed to investigate differences in folate-related genes (single nucleotide polymorphisms) and their relationship to the species of folate present on red blood cells...
Increasing Folate Status of a General Population(FOLSUPP STUDY)
The aim of this study is to determine the best source of folate to raise the folate status of a general population over a 16 week intervention period.
Can Oral Vitamin B12 and Folate Supplementation Preserve Cognitive Function of Patients With Early Dementia?
Background: Vitamin B12 and folate are essential to brain health. Sub optimal status of vitamin B12 and folate leads to elevation of plasma homocysteine concentration, which is associated ...
The Quality Of Life Of Cerebral Palsy Child Carers
Cerebral Palsy (CP) is characterized by a sensory-motor deficiency, involving disturbance of muscle tone, posture and voluntary movement. Children who are afflicted need special intense ca...
Effect of Folate on Colon and Blood Cells
This study looks at the effect of folate supplementation and depletion on the blood cells and the colorectal cells. To examine the effect of these changes, blood samples and colorectal bi...
Medical and Biotech [MESH] Definitions
Folate Receptor 2
A subtype of GPI-anchored folate receptors that is expressed in PLACENTA and hematopoietic cells.
Folate Receptor 1
A subtype of GPI-anchored folate receptors that is expressed in tissues of epithelial origin. This protein is also identified as an ovarian-tumor-specific antigen.
Cerebral Hemorrhage
Bleeding into one or both CEREBRAL HEMISPHERES including the BASAL GANGLIA and the CEREBRAL CORTEX. It is often associated with HYPERTENSION and CRANIOCEREBRAL TRAUMA.
Cerebral Amyloid Angiopathy
A heterogeneous group of sporadic or familial disorders characterized by AMYLOID deposits in the walls of small and medium sized blood vessels of CEREBRAL CORTEX and MENINGES. Clinical features include multiple, small lobar CEREBRAL HEMORRHAGE; cerebral ischemia (BRAIN ISCHEMIA); and CEREBRAL INFARCTION. Cerebral amyloid angiopathy is unrelated to generalized AMYLOIDOSIS. Amyloidogenic peptides in this condition are nearly always the same ones found in ALZHEIMER DISEASE. (from Kumar: Robbins and Cotran: Pathologic Basis of Disease, 7th ed., 2005)
Cerebral Arterial Diseases
Pathological conditions of intracranial ARTERIES supplying the CEREBRUM. These diseases often are due to abnormalities or pathological processes in the ANTERIOR CEREBRAL ARTERY; MIDDLE CEREBRAL ARTERY; and POSTERIOR CEREBRAL ARTERY.


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The Vaccine and Autism Debate
…they earn from parents vaccinating their children. This is Big Pharma at its worst. From the December 2009 issue of Health & Healing: The Truth About Vaccinations I recently attended the National Vaccine Information Center's (NVIC) fourth international conference in Reston, Va., where experts from…Read More

subset: commoncrawl


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First Look at Golden Globes 2012 Fashions: Get the Look for Less Get celebrity inspired dresses accessibly… no need to dream about Golden Globes Red Carpet fashion look alikes as they are up for grabs and attainable! FocusOnStyle has the hot out of the sample room photos of fresh celebrity inspired fashion. Charlize Theron, Angelina Jolie, Jessica…Published on January 19, 2012
More On: look for less
Royal Wedding Inspired Dresses- Lookalike Fashions for Kate Middleton, Duchess of Cambridge and Pippa Middleton for the Princess in You
We've got the photos of the get the Royal look for less gowns! For every girl who has ever dreamt of being a Princess on her wedding day, now those royal dreams can almost come true!Published on May 02, 2011
Thank Faviana– the company known for bringing Oscar inspired dresses to you– for having their pencils up during the Royal Wedding to sketch both of the gorgeous Sarah Burton for Alexander McQueen wedding gowns worn by Kate Middleton. And, both the stunning maid of honor dress and party dress worn by her sister Pippa Middleton.
Alexander McQueen, bridal, bride, Catherine Duchess of Cambridge, dresses, Duchess of Cambridge, Duke and Duchess of Cambridge, Favia royal wedding dresses, Faviana, Kate Middleton, look for less, Pippa Middleton, prom, royal inspired dresses, Royal Wedding, Royal Wedding Fashion, Royal Wedding Gown, Royal Wedding Inspired Dresses, Sarah Burton
Retail Remedy: Topshop New York, An Inside Look at the newest cheap chic store in town
The fanfare, the fun, the frivolity, the fascination…Topshop in store display- something for everyone!IaPublished on April 17, 2009
budget fashion, cheap chic, H&M, look for less, Mango, New York, topshop, topshop ny, trends, trendy, Uniglo, Zara
Shopping secrets to bargain hunt your way to top style…
Shopping secrets to bargain hunt your way to top stylePublished on January 26, 2004
bargain hunting secrets, bargains, deals, discount, Loehmann's, look for less, shopping, shopping secrets
Look better for less. Why spend a king's ransom to look great? Read our tips to look great and spend less- a bargain hunter's ecstasy.Published on January 01, 1998
cheap chic, dicount, discounted clothes, dress for less, evergreen, look better for less, look for less, money saving shopping tips, shopping on a budget


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U-M School of Public Health, Detroit partners aim to improve air quality in the city
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ANN ARBOR—Plant trees near freeways to serve as green buffers for neighborhoods. Install air filters in city schools. Develop community campaigns to get everyone involved. These are just some of the ideas on the table.
The desired outcome: Improve air quality in the city of Detroit.
The University of Michigan School of Public Health, in partnership with several community groups in Detroit, received a new five-year, $28.2 million grant to combat air pollution and related health risks in Detroit, which has long had among the highest asthma and cardiovascular disease rates in Michigan.
The hope is that the grant from the National Institute of Environmental Health Services will create a model for change that can be applied in similar communities throughout the country.
"I'm excited about this opportunity to work with leaders in environmental health in the city of Detroit and to translate research into a practical public health action plan that will have implications in Detroit and beyond," said Amy Jo Schulz, professor of health behavior and health education and co-principal investigator for the project.
The grant will build on 15 years of research by U-M's School of Public Health and community groups to create an action plan. That plan will use research to suggest policy changes, develop community campaigns and recommend ways to reduce exposure to air pollutants, among other things.
One idea is to create green buffers around sources of pollution. Freeways, with diesel trucks and heavy traffic are major air contaminators. But in older cities like Detroit, many neighborhoods back up directly to them. Buffers would separate residents from polluting sources. The project will examine the effects of planting various types of trees and plants in these spaces to improve air quality.
Detroit has about 80 public schools within 490 feet of a freeway. Since air contaminants seep inside buildings where most people spend the majority of their time, installing effective air filters in schools, residences and businesses would further remove harmful particles, leaving cleaner air behind.
Stuart Batterman, professor of environmental health sciences and co-principal investigator, said he's looking forward to seeing scientific research used to advocate changes in public policy.
"Here we have a chance to bring our research in a very active way into the policy process," he said.
Using data to support change is just what one of the Detroit partners wants to do. Guy Williams, president and CEO of Detroiters Working for Environmental Justice, said Detroit's new mayor, council and charter have created a unique window to address some of the city's environmental problems.
"Thankfully, we are at a new point of opportunity in the city," Williams said. "Over the next few years organizations like mine and others will be working to not only hold the leaders accountable but support them in getting the job done."
Other groups involved in the project include the Detroit Hispanic Development Corporation, Southwest Detroit Environmental Vision, Detroit Community-Academic Urban Research Center, Community Action Against Asthma and Healthy Environments Partnership.
News Source : U-M School of Public Health, Detroit partners aim to improve air quality in the city
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BATS Exchange Welcomes ProShares ETF
KANSAS CITY, Mo., Dec. 11, 2012 /PRNewswire/ -- BATS Global Markets (BATS), a leading operator of securities markets in the U.S. and Europe, today announced that ProShares, a premier provider of alternative exchange traded funds (ETFs), will list the ProShares Merger ETF on BATS Exchange.
(Logo: http://photos.prnewswire.com/prnh/20100701/CG29735LOGO )
The ProShares Merger ETF is scheduled to begin trading on BATS Exchange on December 13 under the ticker MRGR. The fund is designed to track the performance of the S&P Merger Arbitrage Index, which provides exposure to a global merger arbitrage strategy. The new ETF listing makes ProShares the second ETF family to list on the BATS Exchange.
"We're excited to welcome another respected exchange traded fund family like ProShares to the BATS Exchange as our innovative approach to the ETF listings business continues to attract issuers and investors alike," said BATS Global Markets President and CEO Joe Ratterman."The BATS Competitive Liquidity Provider (CLP) program has proven to be effective at incenting tighter spreads and more size at the national best bid and offer (NBBO) for issues listed at BATS, which in turn lowers the cost of trading for institutional and retail investors. We look forward to implementing this program for the ProShares Merger ETF," he said. The BATS CLP program is a rewards-based program designed to incent market makers to increase liquidity and create tighter quoted spreads for each listing on BATS. Through the program, liquidity providers compete for a daily reward by posting competitive quotes in an exchange-traded product (ETP). Liquidity providers are rewarded based on their continuous daily quoted size at the NBBO in the securities for which they are registered CLPs. BATS has also filed a proposal with the Securities and Exchange Commission (SEC) to launch three additional ProShares ETFs in 2013, subject to approvals.
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5 Homebuilder Stocks With the Brightest Outlook for 2012
The second-largest U.S. homebuilder, D.R. Horton (DHI), has seen its shares gain 16% in the past three months. They have a three-year average annual return of just under 20% -- in the weakest new-home market in a lifetime. Its shares have a market value of $3.4 billion.
The company is one of the largest new-home builders and operates in 72 markets across 26 states. D.R. Horton targets entry-level and first-time home buyers. It also offers finance and closing services.S&P reports that for fiscal 2012, analysts estimate the company will earn 49 cents per share and that will jump 73% to 85 cents in fiscal 2013. The top 10 institutional investors own 45% of the company, led by mutual fund giant Fidelity, at 14%. The company reported last week that it earned 11 cents per share in its fiscal fourth quarter, compared with a loss of 3 cents a year earlier. Significantly, D.R. Horton said its sales backlog as of the end of the third quarter increased to 4,854 homes from 4,128 homes, positioning the company for a stronger start to fiscal 2012. The company said it expects to be profitable next year. Analysts expect the company to earn 51 cents per share in 2012.
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Writer, dreamer, creator. Much love for my Giants, Sox & various rock bands. Also idolize the Boondock Saints & the Joker! *insert catchy description here*
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Nominations are now closed and will open in early 2015. See below for a list of last year's categories.
Entries are now open for the Shorty Awards recognizing the best professional social media accounts and campaigns of 2014. Upcoming deadline to enter is February 19, 2015. Find out more about the Shorty Awards for Brands & Agencies
The Shorty Awards honor the best of social media. Millions of people participate in The Shortys to recognize individuals and organizations producing great content on Twitter, Facebook, Tumblr, YouTube, Foursquare and the rest of the social web. The 7th annual ceremony will be held in April 2015 in New York City and live streamed internationally.


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Join GayCities, the fun way to discover the worldSee where your friends and people like you are going and what they say about places and events worldwide.
Gay Chicago: Boystown
Chicago is the nation's third largest city and boasts a large gay community. Like New York or Atlanta in their regions, Chicago serves as the Midwest's cosmopolitan hub and attracts young and old alike--all looking to escape to the freedoms and opportunities of the big city. Gay life (and gay bars) in Chicago is... More
Naughty and Nice?
Saturday Dec 20, 2014 - 11:30pm-5:00am
Have you been naughty or nice this year? Well, this party will allow you to express yourself. Wear your favorite leather, underwear, jockstrap or plainly shirt ...
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Big Red and The Boys
About Face Theatre in association with Theater Wit presents BIG R...
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Naughty and Nice?
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A Sloppy OTTER Xmas ...with Andrew and Moose
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Mark Leonard
European Council on Foreign Relations (ECFR)
Mark Leonard is Co-Founder and Director of the European Council on Foreign Relations, the first pan-European think tank. He writes a fortnightly column on European and global issues for Reuters.com Previously, he worked as Director of Foreign Policy at the Centre for European Reform, and Director of the Foreign Policy Centre, a think tank he founded under the patronage of former British Prime Minister Tony Blair. Leonard was a Transatlantic Fellow at the German Marshall Fund of the United States, and a Visiting Scholar at the Chinese Academy for Social Sciences in Beijing. His first book, "Why Europe Will Run the 21st Century", has been translated into 20 languages. His second book, "What Does China Think?", has been translated into 15 languages. His recent publications for the European Council on Foreign Relations include the "New German Question: How Europe Can Get the Germany it Needs" and "China 3.0".


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Unidentified species: Help us help them
Author: Angela Pauly
Date: February 14, 2013
Here's a challenge to all you marine biologists out there: want to help us identify some of the species we've found during our expeditions?Read More...
A toast to the sustainable future of EU fisheries
Author: Angela Pauly
Date: February 6, 2013
As you all must know by now, if you follow us on the blog, facebook or twitter, today was one of the most important days for the future of European fisheries. For over 20 months, Oceana has been working to make sure that the once in a decade opportunity to reform the failed EU fisheries policy was not wasted – and we were not disappointed. The outcome of today's vote in the European Parliament Plenary on the reform of the Common Fisheries Policy was beyond what we expected and thankfully, European fisheries management has the opportunity to take a giant leap forward.Read More...
A Postcard from Strasbourg: Make History, End Overfishing
Author: Angela Pauly
Date: February 5, 2013
As you may know, there is a big vote happening tomorrow in Strasbourg. Members of Parliament have a chance to make history , and we, along with our colleagues in the NGO community have been working hard for the past year and a half to spread the right information to the right people.Read More...
CFP Reform : Let's make history
Author: Amélie Malafosse
Date: February 4, 2013
Have you ever witnessed something and realised you were in the middle of a historic moment?Read More...
Scientists speak out against the Balearic debacle
Author: Natividad Sánchez
Date: February 1, 2013
What has to happen in a few months in a relatively small area – 5,000 sqkm- for 180 scientists from different organizations to sign a joint document and send it to media? Many things, and none of them good: drastic budget cuts for protected areas, redundancies that dismantle effective teams, destruction of years-long work…Read More...
A very special place between Europe and Africa
Author: Natividad Sánchez
Date: January 18, 2013
Located between Spain, Morocco and Algeria, the Alboran Sea is to the very West of the Western Mediterranean. If the Strait of Gibraltar can be called the gate to the Med, then the Alboran Sea is a busy hall where thousands of ships and migrating cetaceans go to and fro.Read More...
Protecting hidden richness of Lebanon
Author: Natividad Sánchez
Date: January 18, 2013
Can a place 3,000 feet deep, dark and cold be a hot spot of biodiversity? Yes, it can! In fact, the International Union for the Conservation of Nature (IUCN) has included four such sites in their Lebanon's marine protected area strategy , and the reason why we're talking about them here is because it's a proposal by Oceana!Read More...
Seamounts: biodiversity hotspots deep beneath the waves
Author: Angela Pauly
Date: January 17, 2013
If you follow our work, you may have picked up on the fact that we have a thing for seamounts – we'll admit it, it's a bit of an obsession.
What is it about seamounts that tickles our fancy?
High biodiversity? Check
Marine mammals and top predators? Check
Productive ecosystems that include essential/sensitive habitats? Check and check.Read More...
The UN goes for an international mercury convention
Author: Angela Pauly
Date: January 16, 2013
This week, diplomats are in Geneva negotiating a treaty on global mercury emissions.
Mercury poisoning is no joke – as this Guardian article states, mercury is "a lethal neurotoxin that includes, among an inventory of grim effects, brain damage and the loss of IQ points in unborn children, injuries to kidneys and heart, and results in tens of billions of dollars in healthcare costs every year in the US alone."Read More...
Sharks in the Baltic Sea & Kattegat
Author: Mike Mihalitsis
Date: January 2, 2013
When you hear about sharks, most people automatically think about the tropics and crystal clear blue waters. But the truth is that there are sharks all around the world, even in the cold waters of the Baltic Sea.
In fact, 31 species of sharks, rays and chimaeras (class of Cartilaginous fish-Chondrichthyes), have been recorded in the Baltic Sea & Kattegat, but we rarely hear about them because there are so few left.Read More...


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Photo Credit: Christopher Polk/Getty Images
With shows like Family Guy and American Dad, Seth MacFarlane has built a career on tasteless jokes. But the comedian and recent Oscar host is distancing himself from an offensive Internet stunt involving his TV characters.
Some knuckleheaded YouTube user spliced together two unrelated scenes from the March 17 episode of Family Guy, which basically implicated the main character, Peter Griffin, in the Boston Marathon bombings. The practical joker started with the following scene about the Boston Marathon:
Then he cut to another, unrelated scene in which a terrorist hands Peter a cell phone. When he dials, he hears explosions in the background. The overall effect: Family Guy appears to have predicted Monday's bombings (and suggested that Peter Griffin helped carry them out).
Spinning a conspiracy theory out of an episode of Family Guy sounds like a silly joke. But it's not quite so funny when you consider that right now FBI agents are feverishly working to track down the terrorist who killed three people and maimed over 150 others -- many of them children. To his credit, MacFarlane has made sure to condemn the stunt on Twitter.
The edited Family Guy clip currently circulating is abhorrent. The event was a crime and a tragedy, and my thoughts are with the victims.— Seth MacFarlane (@SethMacFarlane) April 16, 2013
According to Reuters, Fox has pulled the episode from Internet sites like Fox.com and Hulu, and won't rebroadcast it on TV.
This is the second time in five months that Fox has had to pull one of MacFarlane's shows in the wake of a violent incident. As the New York Daily News reported a few months back, Fox had to yank episodes of Family Guy and American Dad in the wake of the Sandy Hook shootings, "because they featured humor about punishment of children."
MacFarlane and his network deserve some praise here: They had the decency to hold back the mean-spirited zingers during a time of national grief. But here's something MacFarlane may want to consider. When his network finds itself having to pull an episode of his show every few months because it might aggravate victims of real violence and widespread pain, maybe it's time to reconsider his brand of comedy.
Maybe there's another way to make people laugh -- one that viewers could turn to in times of horror and grief? It may be more challenging to write jokes that don't involve hurting children or mowing down runners with your car, but who knows? If he rises to that challenge, this talented comedic writer might end up being even funnier.


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Jeffrey Coley didnt get away with the colonels recipe when police say he pointed a gun at employees working the drive-thru window of a Rock Hill Kentucky Fried Chicken this week.
Instead, the married father of one daughter who told a judge that he works 40 hours a week at another restaurant selling chicken, sped away with $516. And, two cents.
On Wednesday morning, Rock Hill Municipal Court Judge Dolores Williams denied bond for Coley, who disclosed that hes an employee at the Chick-fil-A in Indian Land and owns an acreage of property in Fort Mill that he estimates is worth more than $28,000. Hes also lived with his mother in Charlotte for the last year and a half, he told Williams, after his father, a pastor, died.
Police arrested Coley, 50, on Tuesday after they identified him as the man who pulled up to the KFC on East Main Street, held a pistol at employees through his car window and demanded cash from the register Monday afternoon. Employees surrendered $516.02, according to arrest warrants.
Coley fled in a Plymouth Neon with a North Carolina license tag. For a day, police searched for the car, finally spotting it while they were working a car crash at the intersections of Taylor Street and Crawford Road. Officers activated their blue lights and sirens, but Coley allegedly didnt stop and led police on a pursuit on Heckle Boulevard. The chase extended onto Dave Lyle Boulevard, where Coley crashed into another car near Springsteen Road. The pursuit continued into the northern end of the city before officers used stop sticks to cause Coley to crash into a ditch on Cel-River Road.
Police found the cash drawer still in Coleys car, along with less than a gram of methamphetamine. He was charged with armed robbery, possession of a firearm during a violent crime, possession of methamphetamine and failure to stop for a blue light.
Wednesday morning, Williams communicated with Coley via jail camera, offering him the chance to apply for a court-appointed attorney. Coley told Williams that he makes $8.50 an hour at Chick-fil-A, supporting his unemployed wife and daughter. He owns property in Fort Mill, he said, and explained that he would soon receive the title to the car police say he was driving.
Mr. Coley, based on the fact that you are employed, you do have an income and you do own land and you are expected to receive a title to a vehicle, I am going to deny your application for a court appointed attorney, Williams told Coley. You will have to hire an attorney to represent you.
Yes maam, Coley answered.
Norman Dobson, KFC area manager, told Williams that the two employees held at gunpoint have been traumatized by Coleys actions.
Neither one of these young ladies has worked since the incident, Dobson said. Theyre terrified; theyre not getting a good nights sleep. Hes turned their lives upside down...theyre out there trying to make an honest living and this is what they got.
Dobson said Coley also endangered motorists when he pulled off from the restaurant, passing in front of cars at a very busy intersection between East Main Street and the Belleview Square Shopping Center.
There were a lot of lives put in danger, he said, requesting that no bond be set on Coley, or at least the maximum amount that the law will allow.
After forbidding Coley him from stepping foot into any KFC or speaking with anyone who works there, Williams declined to set his bond. In the coming months, he will appear before a Circuit Court judge for another chance at bond. For now, he will be jailed at the York County Detention Center.
A manager at the Indian Land Chick-fil-A declined to discuss Coleys employment and said he was unaware of his alleged involvement in the robbery.
Jonathan McFadden • 803-329-4082
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Current Exhibition
Remembering, we Forget; Poets, Artists and the First World War.
12th November - 17th December
This exhibition has been structured round key poems of the First World War, by poets such as Vera Brittain, Ivor Gurney, David Jones and Siegfried Sassoon. Alongside these, contemporary artists respond to the First World War, and specifically to its memorialisation, from the distance of 100 years.
© K J Shepherdson
© K J Shepherdson
The gallery is open Tuesdays - Fridays 10.30am - 5pm, and Saturdays 11.30am - 5pm. The gallery is closed on Sundays and Mondays, and in between exhibitions.


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Facebook Users Hit 'like,' Stores Jump Into Action
The unit, now called (at)Walmartlabs, suggested that the retailer give juicers prominent display for the holidays last year, after a movie about an obese man who lost weight on a juice diet started trending online. Wal-Mart declined to give examples of how it used online chatter this holiday season but said it's slowly playing a bigger role in product decisions.
That's critical because companies are realizing shopping behavior is often more influenced by what's happening in pop culture, rather than their own past shopping patterns, said Shernaz Daver, a spokeswoman for (at)Walmartlabs.
"Social media has enabled us to understand intent," she said.
Melinda Vitale Shaw, owner of the two-store MeLinda's Fine Gifts in Picayune, Miss., is using the same concepts as the world's biggest retailer. Since setting up a Facebook page in 2010, she's used it as a sounding board for what to stock in her stores.In the south, for example, it's common for people to change the decorative flags outside their homes depending on the season or the holiday. To get a better sense of what type of decorative flags might sell well next year, Vitale Shaw recently asked fans to post about the designs they were currently flying, or what they wished they were flying. She was surprised to see several comments about snowman flags, since it doesn't snow much in the south. Even though Facebook sometimes proves her business instincts wrong, she called the site "a true retailer's friend." In a more unusual case, the outdoor retailer Gander Mountain is handing the reins over to fans on social media. The chain, based in St. Paul, Minn., is running a promotion that lets customers determine the price of its products. Every Thursday during the holiday season, customers can push down the price on five selected items by sharing them on Facebook or Twitter. The more shares an item gets, the lower the price goes; discounts start at 10 percent but can go as high as 50 percent. Shoppers can jump in and buy the items at any point, or wait for a lower discount but risk that the store will run out of the items.
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On Sat, 30 Dec 1995, Andrew Cameron wrote: >Will this be available to people outside the US, or will the ITAR >regulations mean that only those in the US can legally use it. Putting Albert Lunde's point more emphatically: since Digest Access Authentication does not provide confidentiality (doesn't use encryption) it doesn't fall under ITAR at all. -AllanReceived on Saturday, 30 December 1995 16:36:28 EST
This archive was generated by hypermail pre-2.1.9 : Wednesday, 24 September 2003 06:31:38 EDT


text: It's a tired cliché to call a place a character, but in Tiphanie Yanique's gorgeous debut, Saint Thomas in the U.S. Virgin Islands makes for a textured and fascinating protagonist. At the beginning of the novel, in the early 20th century, the island is in flux as it goes from Danish to American ownership. At the same time, sisters Eeona and Anette find their fortunes changing drastically when their father, Capt. Owen Arthur Bradshaw, who's something of a local legend, drowns in a shipwreck. The untouchably beautiful Eeona and the earthy but equally seductive Anette must evolve and fend for themselves as Saint Thomas becomes a tourist hot spot and their dead father's secrets continue to haunt them at every turn as we're often reminded, it's a small island. Yanique's many artful touches switched perspectives, deeply idiomatic dialogue, island folklore, strokes of magical realism are so arresting that it's easy to overlook the mastery involved in intertwining the history of a place and the lives of two unforgettable women. A-


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Editors' Top PicksSee All
With casual snapshooters opting more and more for a good-enough smartphone instead of a dedicated camera, it's not a big surprise that manufacturers are hungry for ways to get point-and-shoots similar functionality. Currently, that means putting Wi-Fi in and creating applications so you can connect your camera to your smartphone. And that's how we end up with the Panasonic Lumix DMC-FX90.
The FX90 is a nice ultracompact camera with an f2.5 ultrawide-angle 24mm Leica lens with a 5x zoom, a 12-megapixel high-speed CCD sensor, and a 460K-dot-resolution touch screen. It also has a one-touch record button for capturing clips at resolutions up to full HD in AVCHD format. But really, it's all about the wireless functionality, which sadly just isn't great. I mean, it does everything Panasonic says it does, but setup and use seem way more complicated than they should be. That's not good if you're trying to convince consumers that the FX90 should be the camera they reach for instead of their always-connected smartphone.
|Key specs
|Panasonic Lumix DMC-FX90
|Price (MSRP)
|Dimensions (WHD)
|4x2.2x0.9 inches
|Weight (with battery and media)
|5.3 ounces
|Megapixels, image sensor size, type
|12 megapixels, 1/2.3-inch high-speed CCD
|LCD size, resolution/viewfinder
|3-inch touch-screen LCD, 460K dots/None
|Lens (zoom, aperture, focal length)
|5x, f2.5-5.9, 24-120mm (35mm equivalent)
|File format (still/video)
|Highest resolution size (still/video)
|4,000x3,000 pixels/ 1,920x1,080 at 30fps (progressive; 17Mbps)
|Image stabilization type
|Optical and digital
|Battery type, CIPA rated life
|Lithium ion rechargeable, 200 shots
|Battery charged in camera
|No; external charger supplied
|Storage media
|Bundled software
|PhotofunStudio 6.4 HD Lite Edition with Wi-Fi (Windows)
The other thing is, if you're going to put down your smartphone and use a point-and-shoot, it should probably turn out great snapshots that are significantly better than what you get from the phone's camera. The FX90 is capable of doing that, but really only if you have a lot of light. At and below ISO 200 you can get some very good shots. However, as soon as you get above that, the color noise starts to make things look mottled with yellow blotches. Plus, the noise reduction makes subjects look very soft. If you're after great handheld indoor and low-light shots without using a flash, you'll probably want to skip the FX90.
Even though most of the cost of this camera goes to its lens, LCD, and Wi-Fi features, it's not unreasonable to expect decent low-light shots for the money. Photos taken at ISO 400 might be good enough for 4x6 prints and Web use at small sizes, but quality drops noticeably above that sensitivity.
Again, though, if you shoot with plenty of light, you'll get very good results. Colors are nice and pleasing, vivid but not unnatural. With the ultrawide-angle lens, you may notice some barrel distortion in photos and movies. Also, while the center of the lens on my review camera was sharp, it does soften out to the sides and in the corners; the left edge of my lens was noticeably softer.
Video quality is slightly better than you'd get from an HD pocket video camera: good enough for Web use and undemanding TV viewing. Panning the camera will create judder that's typical of the video from most compact cameras, and you may see some ghosting with fast-moving subjects. The zoom lens does function while recording and is quiet while moving so it won't be picked up by the mic.
|General shooting options
|Panasonic Lumix DMC-FX90
|ISO sensitivity (full resolution)
|Auto, 100, 200, 400, 800, 1600
|White balance
|Auto, Daylight, Cloudy, Shade, Incandescent, Custom
|Recording modes
|Intelligent Auto, Normal Picture, 3D Photo, Scene Mode, Cosmetic
|Focus modes
|Multi AF, Touch AF/AE, AF tracking, Continuous AF (movie only)
|1.2 inches (Wide); 3.3 feet (Tele)
|Metering modes
|Face, AF tracking, 23-area, 1-area, Spot, Touch Area
|Color effects
|Standard, Black & White, Sepia, Happy, Natural, Cool, Warm, Vivid
|Burst mode shot limit (full resolution)
|7 shots


text:
prncsskt43's Mom Answers Activity
At 34 weeks my belly fell forward and I've been having some pelvic pressure. Did my baby drop?
Most recent answer (08/09/2014):
I'm 34 weeks and 3 days. My due date is Sept 17, 2014. My little girl dropped two nights ago and ive noticed (not to be gross) ive be...posted by bulldog2014battymo10
How big is the mucus plug?
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I'm glad everyone is posting about this. I am 39 1/2 weeks now and lost what I thought was the mucus plug several weeks ago (large am...posted by Hbp1975


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So, you can go and nab Zune 4.7 right this minute. Also, Microsoft is showing off Windows Phone 7 right now behind semi-closed doors (sorry, public). Can we bring these two beautiful stories together? Turns out we can, and we did. Now, if you've ever used a Zune before, this isn't going to be that
4 years ago 0 Comments


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Annual Holiday Marketplace To Offer Unique Gifts Ideas From Pennsylvania's Historical Sites
Each person donating an item to the food drive will receive a discount coupon to The State Museum Store as a thank-you for their contributions.
PSECU is once again the sponsor of the event, which is presented by PHMC's non-profit support organization, the Pennsylvania Heritage Foundation.
Holiday Marketplace hours are 10 a.m. to 3 p.m.
For more information on Holiday Marketplace, visit: www.paheritage.org.Media Contact: Howard Pollman, 717-705-8639 SOURCE Pennsylvania Historical and Museum Commission
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Assistant General Counsel
The candidate will perform and manage legal projects within a system presenting a variety of legal issues and matters including: patient care issues; end of life issues; physician-hospital agreements; mergers and acquisitions; joint ventures; independent contractor agreements; general employment agreements; purchase contracts; managed care contracts; research; and compliance issues. Must have a law degree from an accredited law school and be licensed to practice law in the State of Arkansas. Must have 15+ years of experience in the practice of law and legal experience in health, real estate, and transaction law.
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Tens of thousands of university students surround the presidential palace in Jakarta and demand that President Abdurrahman Wahid resign. Local revolts spread across the archipelago, spooking big-time investors such as Exxon Mobil Corp., which shut down a natural-gas drilling and liquefaction operation on Mar. 9. The rupiah sinks to a 30-month low of 11,500 to the dollar--a plunge of 20% over two trading days--before the central bank intervenes. Ethnic Chinese business owners, fearing race riots, start moving whatever savings they have left offshore.
The political instability that has mounted since the fall of President Suharto in May, 1998, is reaching new peaks and is threatening Indonesia's fragile economic recovery. Wahid, facing impeachment proceedings in the legislature on alleged corruption charges, says he won't resign, arguing that the country would fall apart if he did. Yet Wahid seems unable to quell secessionist and ethnic tensions, which have been exacerbated by a law enacted on Jan. 1 that hands more power to govern to the provinces.
What's worrying business executives, including foreign investors, is that lawlessness is increasingly affecting their operations. Exxon Mobil closed gas fields and a liquefaction plant in Aceh, where it has invested $3 billion, after guerrillas demanding independence fired on planes carrying the company's employees. In the nearby province of Riau, villagers have torched oil rigs operated by Caltex, a joint venture between Chevron and Texaco that produces half of Indonesia's crude. "It's just chaos and anarchy," complains Bob Galbraith, managing director of Caltex. "You have to provide security for your investors."
While business conditions deteriorate fast, signs are mounting that Wahid may be losing the support of the military. The army didn't fire a single shot when protesting students marched up to the gates of the presidential palace and set up loudspeakers on Mar. 12. In past demonstrations, soldiers have fired blanks, rubber bullets, or live ammunition. Diplomats took the army's restraint as a signal that it was abandoning the President. Meanwhile, General Endriartono Sutarto, the army chief of staff, declared: "We are not going to let a chaotic situation occur nationwide." Diplomats say the army is more and more behind Vice-President Megawati Sukarnoputri, the daughter of Indonesia's founding President Sukarno. According to the constitution, she would succeed Wahid if he is impeached or steps down.
ON THE BRINK? The situation in Indonesia has grown dicey enough to concern the Bush Administration. On Mar. 13, Secretary of State Colin Powell told Indonesian Foreign Minister Alwi Shihab in Washington that the U.S. would consider providing aid to Indonesian police, particularly in regions where U.S. companies are active. But it's hard to imagine that such aid could prove effective in quelling separatists. That means Indonesia's investors are likely to remain nervous, whether or not Bank Indonesia officials dip repeatedly into the country's $29 billion in reserves to shore up the rupiah, as they promise to do.
So Jakarta could be on the brink. The demonstration outside the presidential palace was strongly reminiscent of the May, 1998, protests that unseated Suharto. The 1998 unrest was triggered by the government's lifting of fuel subsidies. That may be why Wahid decided on Mar. 12 to push forward to October a 20% increase in consumer fuel prices required by the International Monetary Fund. If a peaceful transition of power doesn't come by then, the stage could be set for a violent handover. And that would have sweeping economic consequences for Indonesia and beyond. Europe is under siege. On Mar. 13, the outbreak of foot-and-mouth disease that has spread throughout Britain crossed the English Channel to western France. Now, more than 300 million European animals are at risk, and economists estimate European trade could suffer losses of more than $400 million. But the biggest casualty is likely to be the European Union's $38 billion Common Agricultural Policy, which is already strained from compensation costs resulting from bovine spongiform encephalopathy (BSE).
Britain remains the epicenter of the foot-and-mouth outbreak. More than 160,000 animals have been slaughtered. Tourism officials fear that the industry, which receives $19 billion each year from foreign visitors, will suffer. Even Ireland, currently disease-free, estimates its tourism industry has lost $20 million as a consequence of outbreak. Russian President Vladimir V. Putin's Mar. 12 pledge to revive conventional arms sales to Iran is sure to produce diplomatic clashes with Washington. While the Bush Administration probably won't mind if Moscow sells Tehran cold-war-era tanks, Washington will object if it offers Iran sophisticated arms, such as its S-300 antimissile system. Under U.S. law, the Administration would have broad latitude to ban U.S. companies from trading with Russian companies that sell arms to Iran. And it could cut up to $20 million in bilateral aid. Putin clearly thinks risking sanctions is worth it: Moscow aims to sell up to $2 billion in arms to Iran over the next five years.


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Congratulations on your new Gas Buddy car! :)
I will. It will, probably be on Wednesday.
Pards hubby died this morning. It is also ger birthday today.
Care to be buddies?...
Good Morning mopey, hope you have a great Sunday. Would you care to be friends from a old Detroit boy born and raised on the east side.
How's your summer Mopes? Pigskin time and your Lions are @ Foxboro this year. Should be a good one, Megatron visits Revis Island.
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I recently strained my pec muscle(two months ago)..took a month off completely and now ive been back working out for about 3 wks. The thing is I talked to my orthopedic today about possibly getting an MRI to look into it more as I've still been feeling some lingering tightness/discomfort in my left pec/left arm(tricep).
The doc said he doesn't think an MRI would show much, and he thinks it's just scar tissue which is causing the tightness, and if it feels worse in coming weeks to come see him Anyone ever have scar tissue in this area? How do you think the workout routines should go?
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Steven H. Berger
At a Glance
Technology and techniques that every hospital should acquire and use for effective financial management include:
Tools. Everyone wants tools-to perform a job better, produce a better result, or achieve a better outcome. And healthcare organizations seem to want tools that are beyond the capabilities of most hospital legacy financial systems.
But are hospitals actually acquiring and using the technology that allows them to achieve significantly better financial outcomes? There are techniques and software that every hospital-regardless of size, location, tax status, or payer mix-should acquire and use. And this technology is commercially available today; it is not science fiction.
The August 2004 issue of hfm included an article I wrote describing 10 ways to improve healthcare cost management. Unfortunately, based on unscientific surveys I have conducted during my continuing education classes since that time, it is clear that many of the more than 5,000 U.S. hospitals still have not adopted all the technology and techniques discussed in that article.
It is past time that hospitals recognize that these tools and techniques are not a luxury-they are a necessity. Hospitals that do not have these in their management toolkits are missing out on the opportunity to go well beyond their current results. Much of this technology has been available for years, and its usefulness has been validated. Each technique and piece of technology is inherently valuable for different reasons, making them necessary items in every healthcare organization's toolkit. And although there is a financial cost to most of these tools, the benefits-listed in this article-far outweigh the costs. Healthcare organizations should not let the costs deter them from acquiring the value inherent in these effective tools.
The dashboard is essentially the repository of all the information collected by other tools. It places the organization's goals and results in context, in a timely manner, in an understandable and readable format, to enable the organization's leaders to take action.
The dashboard allows the organization to determine its most important needs and set goals so that the outcomes can be effectively monitored for results. Among the dashboard's benefits are that it places these metrics directly in front of decision makers on a daily basis in a usable format. New technology and commercial software tools allow the organization to adopt dashboards for improved outcomes.
Effective daily dashboard reporting systems allow healthcare organizations to:
While the daily dashboard is designed to provide instant information to the hospital's decision makers, the balanced scorecard uses the same or similar indicators but typically on a longer time line, such as monthly or quarterly. Both are developed to help the organization's leaders take appropriate action based on results.
The scorecard concept has been developed to allow the user to see, at a glance, the goals and outcomes of those indicators considered most important by the organization's leaders. These indicators are most commonly arrayed around aggregate dimensions of service. For example, several U.S. hospitals use the four-quadrant balanced scorecard approach developed by two Harvard professors, Robert Kaplan and David Norton, in their first book, The Balanced Scorecard. Other hospitals have developed their indicators around the "five pillars" approach of Quint Studer in his book Hardwiring Excellence. And other hospitals have simply developed their own grouping of indicators for analytic purposes.
The Four Quadrants
The Five Pillars
One of the most important enhancements to the scorecard approach is the ability to drill down from the organization level to the division and department levels so that the entire organization is operating toward the same goals. There are many software tools on the market that enable hospitals and healthcare systems to automate the inputs and outputs, making the reporting clean, quick, and timely.
According to Kaplan and Norton, effective balanced scorecards enable organizations to:
The best way to develop goals within scorecard indicators is through peer group benchmarks, a technique that has been successful in several industries. Manufacturing companies, for example, have made improvements in several scorecard dimensions by setting higher goals than originally thought possible because they learned that competitor firms were, in fact, doing better-possibly a lot better.
In its simplest form, benchmarking allows organizations to set their own goals around an appropriate percentile. For some organizations, that may mean the 50th percentile, or median. For other organizations and specific indicators, the appropriate percentile may be the 75th, 90th, or even 99th. Benchmarking information-whether financial, satisfaction, quality, people, or growth-is generally available from several reputable companies throughout the industry.
Effective benchmarking analysis allows healthcare organizations to:
Benchmarking can be coupled with automated software tools to create useful reports for decision makers. If these reports are used effectively, the organization can determine courses of action for better outcomes.
Flexible budgeting and monitoring technology allows organizations to plan their revenues and expenses specifically around volumes.
My informal class surveys support the conclusion that more than half of U.S. hospitals are not preparing or monitoring their budgets in a flexible, volume-adjusted manner. When asked for the reason, many healthcare CFOs say that they would like to do so but do not have the software.
Many of the budgeting systems provided by a general ledger software maker do not allow for flexible budgeting, so some hospitals have developed and are using rudimentary spreadsheet-based budgeting systems that do not have capabilities for flexing operating budgets.
Flexible budgeting and monitoring software allows organizations to develop their goals at the account code level on a revenue-per-unit or cost-per-unit basis. Thus, when evaluating whether the flexible budgeting goals have been met, the software first multiplies the actual volumes by the per-unit revenues or costs and then compares this flex-budgeted outcome with the actual revenues or costs. The derived benefit is that volume is no longer a reason for any variance from goal; it has been factored out of the equation. This helps managers to better understand their departmental financial outcomes and the reasons for variances apart from volume.
In addition, organizations experience the most powerful benefit of a flexible budgeting and monitoring software system when the software is able to instantly generate e-mail alerts whenever the actual results are outside parameters set by the organization. Only software with e-mail alert capabilities enables administrators to take immediate action to address out-of-compliance events.
Effective flexible budgeting and monitoring software systems allow organizations to:
Labor management is imperative for a well-run healthcare organization. Yet, according to my informal class surveys, only about 20 percent of healthcare organizations are effectively using any type of labor management technique or technology.
Labor management is a technique that sets a standard for labor productivity (hours per unit of service) and average labor rates. These labor standards can be internally derived or can be set using benchmarks. The standards can then be compared with the actual results, in a monitoring framework, to determine if the goals have been met. The results are generally monitored for productivity analysis (hours per unit of service-the efficiency variance) and average hourly rate analysis (the rate variance).
The most effective way to use this information is to monitor it on a periodic and timely basis in a manner that enhances understanding and accountability. The goal is to help managers optimize the number of worked and paid hours in relation to the units of service produced and calculate the cost of those hours. Although more hospitals are claiming to use a labor management system, not all are reporting to their managers on a timely (daily or even shift-by-shift) basis. Reports are most effective when they can be used to make timely decisions. Thus, the most effective labor management system provides timely information in an effective reporting format.
Effective labor management software systems enable healthcare organizations to:
Although labor takes up 50.5 percent of most hospitals' net revenues (according to Fitch Ratings, August 2006), the nonlabor component accounts for another 30 percent to 35 percent, not counting interest and depreciation. Healthcare organizations should have a software tool in place that allows them to easily understand the nonlabor numbers and any variances from the stipulated goals.
Managers should be able to quickly evaluate any variances through e-mail alerts and drill down to the source of the variance, whether caused by accounts payable invoices, journal entries, or inventory distribution. Although many hospital systems allow managers to electronically drill down to information, some systems require users to click through six or seven screens before getting to an answer. When a system is that difficult, it is neither effective nor efficient. Thus, hospitals need systems that allow department managers and finance staff to easily pull up information in a flexible and timely manner.
Effective nonlabor management analysis software systems allow healthcare organizations to:
Organization and departmental financial statements provide high-level information to users about overall outcomes. These are important and useful to certain stakeholders, such as the board of directors, executives, and investment managers, who need to understand the organization's financial health. Yet these high-level reports are simply an aggregation of the revenues and expenses being produced by and for patient services. It is therefore imperative for the organization to be able to understand the financial outcomes of its actions at the patient level so that this information can be aggregated back up at a physician, diagnosis-related group, ambulatory payment classification, or other level.
Hospitals should acquire and maintain a decision support reporting system that decision makers can use quickly and easily to understand the outcomes achieved within these categories. It is difficult to imagine effectively managing the organization without this information.
For example, if you were able to evaluate the profit or loss at a service line level, wouldn't you also want to be able to drill down further to the DRG, ICD-9, physician, and patient levels to understand which physicians were producing positive or negative margins? This is not an attempt to create economic credentialing, but to recognize any significant variability in practice patterns so that further analysis and education can be developed. This is one of the primary goals of decision support technology.
Effective service line reporting systems allow healthcare organizations to:
To effectively use this type of system, hospitals need two additional automated software tools that are linked (integrated or interfaced) to the patient-level decision support software system-cost accounting and contract management.
Microbased cost accounting is used to assign direct or indirect and variable or fixed costs to each element of charge or procedure codes within the chargemaster. These elements can then be rolled up or aggregated to determine the costs of inpatient or outpatient services at the DRG, APC, physician, and patient levels. This would appear to be advantageous to hospitals, as it gives them drill-down information needed to determine whether they are making or losing money at each level.
However, this technique, which generally requires software tools, remains controversial within health care. It appears that less than 30 percent of all hospitals have adopted cost accounting at the charge or procedure level. Reasons given by CFOs for not using microbased costing include:
Although there is no accuracy in microbased costing (the first time an assumption is made, "accuracy" no longer applies), it is a reasonable method for determining outcomes on which decisions can be based. Only with such costing can a healthcare organization reasonably know which services, product lines, physicians, or payers are positively or negatively contributing to its financial outcomes. This is simply a requirement of good general and financial management. It is a necessity, not a luxury.
Effective microbased costing systems enable healthcare organizations to:
As long as a hospital has at least 10 percent of its net revenues coming from managed care payers, it is well worth the investment in time and money to acquire and deploy a contract management system. This technology provides hospitals with the ability to know, with certainty, the expected net revenue of every patient at discharge regardless of payer.
Although that is a hallmark of good management, apparently less than 30 percent of hospitals have adopted this technique. Instead, most hospitals are waiting around for the managed care companies to pay them before recording the cash receipt. This causes two substantial management problems:
A contract management system is not a luxury item for hospitals; it is a necessity for good management. Any hospital without a functional contract management system is forfeiting real cash on underpaid claims. Based on experience, a contract management system can pay for itself in less than one year as long as there is commitment for its use. It is a must-have tool for effective financial management.
Effective contract management software systems enable organizations to:
Denials management has been a hot revenue cycle topic for the past several years. Although the median days of revenue in accounts receivable have declined over the past four years (from 63.1 days in 2002 to 50.5 days in 2006, according to Fitch Ratings), denials have continued to have a strong negative influence on hospital income statements.
According to research by denial management companies nearly 20 percent of all claims are denied, and nearly 20 percent of denied claims are never resubmitted-resulting in millions of dollars in lost revenue for an average-sized hospital. And because of the complexity of the denials management process, revenue cycle personnel are unable to accurately report the true losses, often recording them as contractual adjustments rather than assigning them the proper denial classification.
Several steps are needed to solve the challenge of denied claims in a healthcare organization. A first step is to identify and understand the underlying causes of the denial so that the organization can track and control the denied claims, ultimately preventing the denial from occurring in the first place.
Effective denials management software systems allow organizations to:
These 10 tools and techniques provide a clear path for significant financial improvement for all U.S. hospitals. This technology is a necessity for efficient and effective operational management; without it, hospitals are giving up significant opportunities for better financial results. These tools provide healthcare organizations the best chance to meet their goals.
Steven H. Berger, FHFMA, CPA, is president, Healthcare Insights, LLC, Libertyville, Ill., and a member of HFMA's First Illinois Chapter (email@example.com).
Publication Date: Thursday, February 01, 2007
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Scott Schmidt, vice president, Cerner RevWorks, LLC, shares insights on best practices for maximizing a revenue cycle management partnership.
Amy Amick, president, revenue cycle management, and William Davis, vice president, revenue cycle advisory solutions, both with MedAssets, share insights on the industry and techniques to drive sustainable performance improvement.
Eric Ward, president and CEO, Parallon Revenue Cycle Services, discusses key trends in revenue cycle management and factors providers should consider when partnering to advance their revenue cycle performance.
Dale Hockel, senior vice president of operations, and Jim Fanelli, CFO, TriMedx, share strategies for elevating clinical engineering through innovative management programs.
Rick Heise, senior vice president, revenue cycle, at Cerner Corporation, discusses the importance of integrating clinical and financial data to excel in health care's changing payment environment.
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If you put your mind to it you can do anything, including help Neo Cortex conquer the world! The evil genius has created a do-anything text-messaging device that controls mutant and bandicoot minds in Crash Bandicoot: Mind Over Mutant. Naturally, it's up to Crash to stop him. This time around the Bandicoot has some new talents, including the ability to dig, climb vertical surfaces, and inflict extra damage with a Roll-and-Counter Combat System. Crash can also pocket mutants and use their powers later; your romp through Wumpa Island changes depending on which creature you've brought with you. And for the first time, Crash's sister Coco is playable in Co-op Mode.
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Game Details
- Release Date 10/25/2008
- Publisher Vivendi Universal
- Platform PSP Games
- Genre Action Adventure
- Number of Players 1
Game Description
User Reviews
Average Member Rating: 6.4 out of 10
Gotta Love Crash. (7 out of 10)
posted by Coreeyyyy (SMITHFIELD, PA) on Jan 1, 2009
Member since Sep 2007
3 out of 3 gamers (100%) found this review helpful
Member since Sep 2007
3 out of 3 gamers (100%) found this review helpful
Another Crash Bandicoot game to add to the series. A decent game with okay graphics that was pretty fun to play. It could be quite frustrating sometimes having to travel your way back once you travel to your destination. The game repeats it's places over and over, you see the same place but in diffe...more
Specs & Requirements
Memory 100 kb
Modes Story, Full Mission Single-Player
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- God of War IIIRelease 3/15/2010


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For more than a year, we have had news stories about the emergency medical services situation on the east side of Hardy County. Very few will argue it has gone from bad to worse.
First, there was the request, or some would say, the demand, to the Hardy County Commission for $300,000. The commission was told, if they didn't give the money, the ambulance service in eastern Hardy County would cease. The commission, which by law is responsible for emergency services, obliged and handed over the money.
We're not sure the "grant," for lack of a better term, was legal. The request was not on the published agenda and there was no prior public notice that it would be discussed.
Commissioners did no research into why the funds were needed. Once given, they gave no oversight as to how the money was spent.
The only condition attached to the grant was that a financial statement be sent monthly to the commissioners. When those financial statements showed continued operating losses, the commissioners did nothing.
Shame on you, County Commission…
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Seachoice® Underwater 8" LED Light Strip
Item # WX2-232259
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This item cannot ship via any of our Next Day or Second Day express delivery methods.
- Details & Specs
Seachoice® Underwater Light Strips.
Underwater boat lights add to your cruising safety! Choose these waterproof Light Strips from four colors. They're rated at 12V DC. Pre-drilled to accommodate #8 screws which are included with your Underwater Boat Light Strips.
- Size: 8"l. x 1/2"w.
- LEDs: 12
- LED Color: Blue
- Case: 6
- Size: 8"l. x 1/2"w.
- LEDs: 12
- LED Color: Green
- Case: 6
- Size: 8"l. x 1/2"w.
- LEDs: 12
- LED Color: Red
- Case: 6
- Size: 8"l. x 1/2"w.
- LEDs: 12
- LED Color: White
- Case: 6
State Color, as available in the Shopping Cart. Light up for added boating safety... order ONLINE now!
- Reviews
Seachoice Underwater 8 LED Light Strip is rated out of 5 by 2.Rated 5 out of 5 by DAVID from I am happy with the intensity of the LEDs in this product. Crisp color and plenty bright enough to be seen at great distance, without being overbearing. Hook up was super quick and easy!! Lens seems very rugged, should hold up to light impacts. Excellent bow mounted navigational lights!Date published: 2014-06-07Rated 5 out of 5 by JAMES from Great for lighting my boatDate published: 2014-04-29

 How many lumens are each strip? Also, can these lights be mounted above the waterline (how hot do they get)?

Asked by: Karen

 Unfortunately after attempting to contact our vendor regarding this issue, we were unable to receive the information needed to answer this question.
Answered by: Customer Service

Date published: 2014-12-06

 I'm curious as to the exact color of these lights- is the blue version truly blue-like the blue on a police cruiser's light bar-or is it like most led lights & produces a whitish light with just a small amount of blue tint to it??

Asked by: Mark

2014-12-28

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NCAAF Football - Preview
|Arkansas State Red Wolves vs. Troy Trojans
The fans at Veterans Memorial Stadium will be treated to a game between the Arkansas State Red Wolves and the Troy Trojans when they take their seats on Saturday. Arkansas State was a 45-23 winner in their most recent outing at home against Louisiana-Monroe. They covered the 7-point spread as favorites, while the total score (68) made winners of OVER bettors. Last time out for Troy, they were a 41-31 winner as they battled Navy at home. Troy covered in the match as a 3-point underdog, while 72 combined points moved the game OVER for totals bettors. Current streak:
Arkansas State has won 5 straight games.
Team records:
Arkansas State: 7-3 SU, 6-4 ATS
Troy: 5-5 SU, 6-4 ATS
Arkansas State most recently:
When playing in November are 7-3
When playing on turf are 7-3
After outgaining opponent are 7-3
When playing within the conference are 9-1
Troy most recently:
When playing in November are 4-6
When playing on turf are 5-5
After outgaining opponent are 4-6
When playing within the conference are 4-6
A few trends to consider:
Arkansas State home to Middle Tennessee, Saturday, December 1
Troy at Middle Tennessee, Saturday, November 24


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SINGLE FAMILY HOME: 3 bed, 2 full bath. Nice one level corner brick home on large lot in Forest Acres. Features a large basement with concrMore info
DUPLEX: , 2 full bath. Investors! Great location for this downtown duplex. Convenient to Vista, shopping, restaurants andMore info
SINGLE FAMILY HOME: 4 bed, 2 full bath, 1 half bath. Come home to this beautiful 2-story home with 1-car garage on a quiet cul-de-sac in the charming WiMore info
PATIO HOME: 2 bed, 2 full bath. Cute patio home w/lots of potential. Master BR features his & her closets & private BA. Large greatMore info
BUILDING LOT: . Property is on the right just before the Perfect Printing business at 301 Veterans Rd. Zoned C-2 (NMore info
BUILDING LOT: . Residential lot available in the Historic Haskell Heights area. This corner lot offers a lot of curMore info
BUILDING LOT: . Nice wooded level lot. A total of 3 lots available.More info
BUILDING LOT: . Nice wooded level lot. A total of 3 lots available, next to 1028 Hallbrook.More info
SINGLE FAMILY HOME: 4 bed, 2.00 full bath. Auction: Bank Owned Foreclosed Home - This Bank Owned Foreclosed Home is perfect for a home owner oMore info
COMMERCIAL BUILDING: . Spacious 2200sf brick medical office building with tons of storage. Next door to existing dental prMore info


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I was pleasantly surprised by these nightstands. I ordered two for a guest room. They are very attractive and look much more expensive than the price would indicate. The styling was just about perfect for my taste. They were not too contemporary and yet not too traditional. The color was a very deep, almost black brown. The finish was nice and smooth. They did require assembly and I was surprised at first by the number of parts, but soon realized that the manufacturer has thought ahead and provided many extra fasteners. The assembly was fairly simple. Another nice feature is the drawer mechanism - The drawer slides very easily and smoothly. I liked the appearance and quality of these stands so much that I have ordered the chest of drawers that match. I would definitely recommend these pieces.
I purchased the 5-drawer dresser/ chest and 2 nightstands 7-8 months ago. I had nothing but good things to say about them initially. And I was pleased with my purchase until a couple of months ago, when I noticed the wood cracking on the top piece of one of the nightstands and then later on the top piece of the dresser. Despite trying to putty up the crack, it has continued to progress. And the crack goes all the way through--the entire top of the dresser is literally splitting into two. And I'm afraid the same will happen with the nightstand. So be aware! This furniture is obviously not as high quality as it initially appears.
We ordered the nightstand because of its nice clean lines and its height. We planned on using it as an end table for our family room. The piece itself is lovely and a nice quality, my only complaint is that the back of the piece is not finished wood, it is stained plywood. Just something to be aware of as it forced us to change our furniture arrangement.
I returned 2 nightstands to Pier 1 and replaced with these nightstands due to better value, size and quality. Assembly is a bit more complicated that expected and some of the bolts were defective, otherwise this would have been an excellent rating.
These are WAY more solid looking then pictures can show. Very heavy duty and awesome quality! They look very pricey in person. The pictures do not give them justice. My only complaint is despite there is not much to them they come in MANY MANY pieces. Only took 45 minutes to build, but I thought it would be less...
Assembly was a bit tedious, but the nightstand was well designed and it assembled without hitch. Very impressed with the quality of the nightstand and its design.
You won't find anything better at this price. We recently got rid of our bedroom set when we moved into a smaller apartment as the nightstands were too wide. The nightstands we had were around *** each from a furniture store. We just didn't have that kind of cash this time, so I resigned myself to "settling" for something cheaper with good reviews. I got these in yesterday and was blown away at the quality for the price paid. The wood used was heavier and more substantial than the much more expensive nightstands that we had just replaced. Assemble took about 45 minutes each. There were a lot of parts and steps as nothing is preassembled, but the directions were clear and the parts used fit great. They even put 2 extra of every part, which is something you usually don't get. Everything fit together like a glove and how we have very solid, attractive, tall nightstands that look terrific in our bedroom!
I have put this piece of furniture together three times. The pieces do NOT fit. (I have assembled the Coventry 5-drawer chest and it went together absolutely correctly, so I know what I'm doing.) Either the holes drilled in the top (that the cam screws fit into) are drilled too close together, or the shelf (below the drawer) is not sized large enough. I had to force the cam screws into the top, making the sides/legs jut outward closer to the bottom. There are 1 inch gaps in opposite corners where the legs meet the shelf. I can clearly see the silver cam screws. I am tired of dealing with this issue. I'm rating this "Poor" because it lacks quality in how the pieces were manufactured. It functions but the 1" gaps are an eye sore.
Both nightstands arrived in perfect condition. Assembling was a bit of a challenge at first, but then progressed smoothly. The nightstands look great in the room!
We purchased 2 of these and both boxes had pieces that were damaged that rendered building a complete stand impossible. We contacted customer service immediately and they shipped us replacement parts that arrived 3 business days later. The replacement parts came intact but had scratches and unsightly nicks that once again disappointed us. At that point, we didn't want to wait another few days for replacement parts and started the build. Building these was relatively easy, but we noticed that the wood slab that acted as the top table piece was pretty difficult to line up with the pre-drilled holes. The holes were pretty off on one kit and somewhat off on the other so if you buy this, you may get lucky! All in all, the end product had a nice heft to it, was accurate in color to the provided picture and looks great with a nice brushed knob. I would definitely recommend to others. If you like what you see online, then its pretty much what you'll get once the product is put together. My only complaint, if I had to have one, is that the rollers for the drawer seem a bit cheap.
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Items where Author is Puliafito, Antonio
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Number of items: 1.
Book Section
Getov, Vladimir and Puliafito, Antonio and Rana, Omer F. (2004) Computational grid and web services: concepts, functionalities and comparisons. In: ICCC 2004: Proceedings of the 16th International Conference on Computer Communication. Publishing House of the Electronics Industry, Beijing, China, pp. 10-15. ISBN 7121003082


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A middle school teacher is in hot water after a student recorded her profanity laced rant in a classroom full of students, according to WND in Atlanta.
The incident began after a student apparently left a door open. "I can't keep babysitting you. Close the door!" the teacher yells at the students.
The unidentified teacher's tirade continues,"Stop! I ain't f****** playing with you. You want to play? Stay home with your mama."
The news station says the school district has launched an investigation into the video.
The district sent Channel 2 the following statement:
"Atlanta Public Schools (APS) promotes a culture of ethics to which all employees are expected to adhere. This is a personnel matter that is currently being investigated. However, APS can confirm that the teacher is not currently assigned to work directly with students."


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A dominant display
Gary Bowyer was delighted to see Rovers return to winning ways with a comfortable 2-0 win over Charlton Athletic.
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Start the game properly
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An opportunity for points
Jordan Rhodes wants Rovers to take advantage of the busy Christmas period by picking up a healthy haul of points.
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GB: I expect a reaction
Gary insists the players are determined to come out fighting and to get back to winning ways against Charlton Athletic at Ewood this Saturday.
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