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Should you focus on website visitors as individuals?
Metrics understanding, Privacy and AccuracyI came across an interesting eConsultancy interview with John Squire of Coremetrics on how he differentiates from other vendors.
I have a lot of respect for Coremetrics as a web analytics vendor that tries to be different. Rather than using the common sales hyperbole of saying "our tool is better because we have 10,000 features more than yours" (no-one cares about features that don't provide insight, right?), he describes a number of areas that Coremetrics has worked on. I will let you read the interview in full, though I wanted to comment on one particular aspect…
According to Squire, Coremetrics is differentiating its technology by focusing on individual customer data in a multichannel environment. Linus Gregoriadis (eConsultancy interviewer and all-round good guy) makes the comment:
"This focus on website visitors as individuals makes sense for web analytics vendors because a significant limitation of Google Analytics is the inability to tie up analytics with data at an individual customer level."
This is perfectly true, Google made the decision not to track individuals in 2005 during the acquisition of Urchin Software Inc, the company behind Google Analytics. At that time, individual visitor tracking was in beta testing and in fact went on to become part of the Urchin Software suite – the server-side web analytics product that is also provided by Google.
I have discussed my take on the issues of privacy and Google before. To summarise, the view at Google (from the very top of the organisation i.e. Larry, Sergey, Eric), was that individual tracking, even anonymously, is a step too far and the web public does not want this. That view remains today, and I am a strong advocate of this.
Leaving aside the issue of privacy, is it valid to track visitors as individuals?
From a marketer's perspective, tracking individuals sounds great in theory – you understand your customers better right? But if you receive 10,000 visitors per day and have weekly marketing performance meetings, that equals 70,000 data points to discuss? Best practice is to consider longer time frames in order to mitigate against calendar anomalies i.e. weekends v weekdays, holidays, the weather, force majeure etc… So for one month that could be 280,000 data points.
Of course no-one is going to look at each visitor session, so the first thing you do is either:
- Aggregate i.e. group visitor types together. For example, visits that add-to-cart, visits lasting longer than 60 seconds, visits that viewed the special offers section, returning visitors who have previously purchased etc.)
- Sample a smaller selection of "representative" visits for analysis and the potential quagmire of what that means. For a discussion of sampling considerations on the Internet, read the excellent sampling review paper of Nigel Bradley (University of Westminster)
Aggregation obviously defeats the point of tracking individuals in the first place.
Sampling, unless done with scientific rigour each time, introduces its own errors. So for me, tracking individuals (even anonymously and with visitor knowledge/consent) is not so relevant for the marketer or web analyst.
What do you think?
22 Responses to "Should you focus on website visitors as individuals?"
Brian Clifton Says:
September 8th, 2012 at 11:04 am@Lukas – thanks for the feedback. My point about integration is that for the vast majority of web sites, the vast majority of visits i.e. 95%+, are completely anonymous to you. For these, integrating with a CRM is not viable.
Essentially, there are much bigger gains to be had on focusing on improving the quality of engagement with the 95% segment, than the 5% segment. In addition you avoid the two BIG issues of tracking individuals – privacy and accuracy.
Lukas Barlich Says:
September 7th, 2012 at 5:10 pmI'm not really sure why you are arguing against the trajectory of web analytics integration with business intelligence and CRM systems. Once a customer logs in or responds to an email or survey or requests information – I think the relationship between web analytics and the customer changes.
Brian Clifton Says:
January 20th, 2010 at 10:02 amJustyn: I kinda of agree with you. If a visitor has given you their personal info (e.g. email address), then I see no problem in tracking them – you just need to make sure they are aware of this in your privacy policy. However, if you don't have personal info, don't track them at the individual level. I view that as very black and white.
Apart from protecting their privacy, I just don't see how tracking individuals is going to dramatically help you optimise your website or its marketing. After all, you still have all the referrer details.
Megan: Great input. Sounds like you are well on your way to building a unified web measurement platform.
Megan Douglas Says:
January 11th, 2010 at 11:00 pmHi Brian,
It took a lot of convincing to get us where we are, and we have miles to go. In my opinion, the more a company diversifies how it collects and actions data (we have web analytics, partner (ad) analytics, doubleclick and others for marketing, affiliate tracking, and transactional data to name a few), the more work you are creating for yourself with your resources in the wrong places.
Our company is finally looking to use our analytics first party cookie and its unique identifier to start linking all our data sets together. In my opinion, web analytics is the glue to all online company analytics – there isnt anything web-based you can track via another vendor that you cant also track in analytics if you put the effort into it.
At least that is true of our business which is a strictly online business with no brick and mortars.
I realize this is a bit off topic so I apologize, I just wanted to answer Brians question.
Justyn Says:
January 7th, 2010 at 3:12 pmGreat discussion here. My personal view is that their are degrees of privacy. I don't track every element of a visitor and link it to a profile where I know all kinds of personal data.
Rather, I will use GA campaign parameters to link to individual email accounts to track "hot" customers and see who is responsive. Linking that data to very general demographic information would be amazing, but that's where I find myself approaching the fuzzy line of privacy invasion. That's where I want the customer to volunteer data, not me extract it without their knowledge.
Back to my original point, privacy isn't a black and white issue, in my opinion. Certain elements of data can and should be tracked.
Brian Clifton Says:
December 18th, 2009 at 11:27 amSharique: Its a valid point. However you *must* ensure you have the visitors permission to track them as an individual in the first place…
Brian Clifton Says:
December 18th, 2009 at 11:03 amMegan: Great feedback. Sounds like your organisation has a very advanced approach to web analytics. Would love to hear what it took to get there…
Megan Douglas Says:
December 10th, 2009 at 7:23 pmThanks for this post. I had been having this argument with a colleague whom I respect. This article helped solidify my opinion that unless you know the user and have a way to contact them (customer), the idea of obsessing about uniques is useless.
Our company blurs the lines between Customer Analytics and Web Analytics (web analytics is in the Business Intelligence dept which is under the same overall department as CRM). We tie our analytcis data to our transactional warehouse and our CRM system. In that situation, yes, uniques are the name of the game. Otherwise, it would require a ridiculous amount of effort to capture uniques only to be left with significantly inaccurate data (for all the reasons noted above.) I am glad to see this topic getting so much discussion. -
Sharique Ahmad Says:
December 9th, 2009 at 12:18 pmThe only reason I would use an individual's data would be to track any anomalies – missed orders or any other transactional error but that information can also come from an eCommerce vendor's own system tracking.
Marketer's should see segments as a first priority and then individual visits/visitors to test or find any anomalies or exceptions. However, how many marketers would have the time or utility to do such analysis.
Fand adams Says:
November 11th, 2009 at 8:55 amLooking for a unique blog visitors is my obsession.. Open the sites review iPhone and Blackberry http://newkyork.blogspot.com
r4 Says:
November 7th, 2009 at 9:08 amI feel that if we visit a company's website it is a little like walking into their shop/office – it would be normal for someone to speak to you, no?
The internet is not public, these sites are owned by people and businesses so I feel we should expect to receive feedback from site owners. -
webandrank Says:
September 5th, 2009 at 2:31 amAll the visitor we want tracking in not counsumers better focus in how we tracking the peoples, because is peoples not data.The intelligence is not individual is collective.
Just my opinion. -
Brian Clifton Says:
August 20th, 2009 at 3:11 pmMichael F: The distinction I make between web analytics and customer analytics is a real one. For web analytics, 95%+ of your data is from anonymous visitors – you know nothing concrete about them, other than they came to your site at a certain time.
Customer analytics is at the other end of the spectrum – you know all the detail they provided in order to become a customer i.e. they are 0% anonymous. You simply cannot merge the two and call it 'business intelligence' or similar.
For example, if Omniture sent me a personalised email because I visited their site, they would be guessing. It would likely contain a sales type request when, if you know my profile, you would ascertain that this the last thing on my mind if visiting the Omniture web site.
Bjoern: Agreed on your insight. My point is not to ignore individual data if you have it. However, focusing on the 3-5% of data that is not anonymous, means missing the much bigger and more lucrative part of the pie. If your conversion rate (i.e. obtaining contact details of a visitor) is 5%, that means 95% of visitors rejected your attempts to court them. My view is that focusing your efforts on understanding the 95% rejection rate, will reap you far greater rewards than the focusing on the other.
Shelby: As always, privacy considerations are always on my mind… Respecting end user privacy will *always* generate you more business in the long run.
Michael B: Same comments from me as to Michael F. I would add that I agree that as soon as a visitor converts the relationship changes and so does the ability to track them. However this post was about tracking web visitors, not just the small percentage that become customers.
For example, understanding your "top 10% of web customers" from a site that has a typical conversion rate of 5% means you are looking at 0.5% of your visitors. While of course that is an important segment, my view is that focusing on the other 95% will reap *far* greater rewards. In my view its a crime(!) to focus on 0.5% of your web visitor base when there are such opportunities available. Its why most web sites are rubbish…
Sami: I agree, scary stuff. Essentially this comes about from the acquisition of Double Click – which surprised me at the time. I can almost see Eric grimacing at the thought and know this will not sit comfortable with him. Nothing is set in stone, so I guess we just have to wait and see.
Sami Linnanvuo Says:
August 12th, 2009 at 1:52 pm"the view at Google (from the very top of the organisation i.e. Larry, Sergey, Eric), was that individual tracking, even anonymously, is a step too far and the web public does not want this. That view remains today, and I am a strong advocate of this."
What about this piece of news then:
"On Mar. 11, Google (GOOG) said it will begin to offer ads using what is known as behavioral targeting, which tailors ads to people's interests and online behavior. "We're looking to make ads even more interesting," says Brad Bender, a Google product management director."
To me that sounds like individual tracking, no?
Michael Bain Says:
August 9th, 2009 at 4:58 pmI disagree. Customer level data is not about analyzing 70,000 separate data points or just sampling. I think those are straw man's arguments.
It's about matching customers with their requests. It's about customer insights and marketing and being able to link web analytics data to other systems. The goal of the web analyst in this is to help ensure that "important" website events are tracked.
I'm not really sure why you are arguing against the trajectory of web analytics integration with business intelligence and CRM systems. Once a customer logs in or responds to an email or survey or requests information – I think the relationship between web analytics and the customer changes.
And even the customer expectation changes. The customer is now in a fulfillment relationship where they *expect* something specifically based on their responses or actions, be it through a back end system or whatever. How do we measure this unless we have customer level data? And it's more than tracking "thank you" pages.
Seems to me that companies are beginning to ask the question: How do we understand our top customers experience? Or positive and negative response customers? How can this be done effectively without details at the customer level? Who are your top #1-10 customers and site users and what are they doing this week?
Shelby Thayer Says:
August 6th, 2009 at 9:22 pmGreat post Brian. I completely agree.
Bjoern's example of customizing user experience by opting in is very exciting. I just wish Omniture would figure out how to do something simple like offer 1st party cookies out of the box before they try to be anything and everything for their clients.
I can see the point that Michael makes as well. You still need an account login at some point to trigger those individual communications based on the web analytics data, though. Many sites that use web analytics are not e-commerce sites.
I also am not sure you *can* put aside privacy when talking about this issue. I obviously understand why you did for this post, but it's just too important a topic not to address, in my opinion.
vinay Says:
August 6th, 2009 at 9:15 pmdepends upon the business. If you are an e commerce retailer who focuses on particular range of age people (zappos for eg), it might make sense.
Else it might be too overwhelming -
Bjoern Says:
August 6th, 2009 at 2:05 pmThank you for your post, Brian.
I agree with the privacy concerns completely, and I am not an advocate of individual user tracking, because of this.
However, I think there are scenarios, where individual tracking becomes very meaningful – and that is, when you plugin your web analytics data into other applications.
Let's imagine an e-commerce site that sells mobile phones and is able to track the pages viewed by each customer individually.
If I can now segment and track the logged in users, and monitor which of them puts a mobile phone in his basket, but does not complete the conversion, then I can send him/her an automated email offering a few days later, offering the phone at a slightly better price, by plugging the analytics data into my email marketing solution.
so, in my view: Looking at individual web analytics data doesn't make sense. Plugging individual web analytics data into other marketing channels could produce meaningful results.
Allaedin Ezzedin Says:
August 5th, 2009 at 9:46 pmI agree… good post
Michael Feiner Says:
August 5th, 2009 at 9:43 pmBrian,
Interesting comments. however, I'm not sure I agree with you (and Stephane).
In your comment to Stephane you mention Customer Analytics. This is the direction web analytics is moving in, albeit at a rather slow pace in most cases. So I don't really understand the distinction between the two. I see them as merging or overlapping.
Yes, individual tracking is imperfect and there are many data integration issues. However, I know of a B2B company using web analytics in combination with real time behavioural targeting to personalise user experience. Using an opt-in data collection mechanism they are able to create a full profile of potential clients.
They trigger site surveys, target ads on media sites and test offers on their site, all based on the client profile. They even send personalised communication based on actions taken on the site (and I don't mean a simple name merge at the top of an email but complete customisation of the communication content).
The company is Omniture and they use this programme both to increase their lead generation and show case their technology integration.
You are right that manually analysing the behaviour of individuals is ineffective. The key is automation. We will reach a point in the future where integrating the different tools will become simpler and more common amongst middle of the road companies.
At that point in time web analytics tools would absolutely have to provide individual level data to feed other systems.Sure, these solutions won't be 100% fail proof but the added value will outweigh the disadvantages.
Thanks for getting the debate going.
AEP Convert -
BClifton Says:
August 4th, 2009 at 4:52 pmStephane: I agree – Customer Analytics, with its sophisticated data mining techniques, is a very different world to Web Analytics where the vast majority of data is from anonymous visits and where the term uniques is meaningless.
As you say, I don't feel these can be merged into one "common currency" (I detest that phrase) of measurement. Rather, they should coexist – with insights taken from the overlaps in the data points, when present.
BTW, if you want the raw GA data for auditing purposes etc. – run Urchin alongside Google Analytics. Assuming a best practice implementation of both tools, the numbers can get very close indeed. Look out for a post on this in the near future
Stephane Hamel Says:
August 4th, 2009 at 3:17 pmI salute Coremetrics (and others) objectives to track "unique people" instead of "unique cookies" in the hope to get more precise and detailed information, which, in most cases, is worth a lot. But this might well be a lost cause… the inherent technologies of the web don't allow that, unless you can authenticate every single visitor (through username/password)… As soon as there is "multichannel" and "web analytics" in the same phrase I get suspicious… how is data from call center, back-end core systems and other touch points integrated to give a "single view of customers"? We're heading in the realm of business intelligence, and despite the marketing fluff, I don't see any current web analytics vendor really playing in this space.
I like your argument that aggregating & sampling is the way to go. After all, web analytics is closer to statistics: with a population, segments, sampling/aggregating… and a margin of error, confidence and significance… then it is to core systems where each piece of data should be 100% accurate and traceable.
One of the thing playing against Google Analytics is the fact that experienced analysts (those who have a statistical background, come from the offline world or have lots of experience on the web) want to audit, validate and diagnose, from time to time, the raw data and the lowest level possible.
(longer take on my blog at http://blog.immeria.net )


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on December 5, 2013Barton Gellman, with whose work Bob Woodward has a problem because Robert Redford once played Woodward in a movie or something, shares a by-line today on the latest revelations regarding the oddly mistake-prone, all-too-human heroes of our intelligence community. Once again, it appears, accidents will happen.
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Hi out there!
I've just finished changing the worm and drive gears on a 1995 Sears chain-drive GDO. The chain linkage and the arm that connects the chain to the door had been disconnected before I arrived. I THINK I put everything together properly (I'm a pretty handy fixitman) and figured out the Limits and Force adjustments but the safety-reverse on the door doesn't work properly. It only reverses several seconds after encountering massive resistance. In addition, while repeatedly testing the unit the capacitory began sizzling and leaking oil! I found that the motor was also quite hot. Anybody have ideas as to the motor/capacitor problem and as to how to make the safety reverse feature more sensitive? Thanks,
Follow-Up Postings:
- Posted by don_1_2006 (My Page) on Thu, Jun 14, 07 at 16:54
Decrease the down force. This control should be set just high enough for the door to close consistently. It does affect the safety of the unit but there will always be some hesitation before the door reverses. Replace that start capacitor. |
Thanks very much Don and sorry for not responding earlier - the computer was down for a while. The down-force seems to be adjusted to the bare minimum, yet the reverse still doesn't kick in until a dangerously crushing force is exerted. Any other possibilities in sight? Can the leaky capacitor be at fault here? Thanks again! |
- Posted by don_1_2006 (My Page) on Thu, Jul 5, 07 at 17:25
The leaky capacitor will not affect the safety but I would replace it before your opener quits altogether. It is normal for there to be a delay before the door reverses when it encounters an obstruction. This feature is controlled by the RPM sensor. When everything is working the RPM sensor board sends a pulse to the logic board. When the door hits an obstruction and the motor stalls, the pulse is no longer there and the logic board reverses the door to the open position. The delay is the time between hitting the obstruction and the motor actually stalling. Hope this helps you to understand the operation. |
Very interesting. Can you think of anything that might be delaying the actual stall? Possibly a poor adjustment of the chain tension? I don't know where the RPM sensor is but I think I remember some kind of sensor or LED covered by a perforated plastic spinner over the motor axle on the side opposite the worm gear. Is that a possible trouble spot? Could the perforated cap be in the wrong position? Thanks again, etc. etc. |
None of those are trouble spots for the problem you are describing. Put a 2x4 on the ground in the center of the door, close the door the door should hit it and after a couple of seconds reverse. If you see your opener rail bowing up and hear wood splitting before reversing, then I would consider that dangerously crushing force and if the forces are turned all the way down your circuit board has gone bad on you otherwise it is working correctly. *Even with the forces turned all the way down it is still going to exert some force before reversing* |
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Water Polo: CSUN reaches fifth-place game at Big West Tournament
IRVINE — A cross-cage lob goal shot over an approaching goalkeeper by junior attacker Melissa Doll with 24 seconds remaining in the game, gave the fifth-seeded CSUN women's water polo team a Saturday second round 8-7 victory over eighth-seeded Pacific in the Big West Conference Tournament.
With the Tigers (16-15) tying the score with two minutes left in the game after an exclusion gave them a 6-on-5 advantage, a rebound by Doll kept the Matadors (22-12) attack alive in the final minute. Lobbing the ball behind Pacific junior goalkeeper Michele Relton, the ball bounced on the water and into the net for the game-winner.
"Seeing your captain go one-on-one and just put it in that's such a big time goal," said sophomore attacker Katie Kammer, who tied for the Northridge lead with two goals. "We couldn't be more proud of her, the leadership and the way she stepped up. She works so hard on defense and countering and having her get that last goal it just shows how much work she puts in."
A day after a first round loss to the fourth-seeded Long Beach State 8-2, where the Matadors were unable to score a goal until the fourth period, CSUN kept this game close throughout.
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Those four goals in the first 11 minutes of play would be the last time the Tigers scored for over 13 minutes.
"It was just everyone collectively putting in the effort and having the drive to really press hard and communicate well," Young said. "Our goalie was on and our defense just clicked, it worked."
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A foul on Pacific with 3:23 in the third would change the tempo of the entire game. A foul shot from five-meters and a goal into the upper left hand corner within two minutes of each other by Kammer, would give CSUN its first lead since 4:40 left in the first quarter.
Winning all four sprints throughout the game, CSUN capitalized on it in the fourth quarter, coming out and scoring a goal in their first possession.
"It helps a lot because then we get the first possession and try to get momentum immediately at the start of the quarter," Young said.
A hectic fourth quarter saw both teams offenses come alive, with Pacific scoring seconds after CSUN's opening goal to keep the score close at 6-5.
Junior utility player Jenny Jamison extended the Matadors lead back to its game-high two with a bouncing goal under the goalies arm, but Pacific came back and did a bounce shot of its own to stay within one 15 seconds later.
Frantic final minutes put the game in jeopardy for CSUN after Young was called for the exclusion and Pacific tied the game at 7, but Doll's shot would be enough to lead the Matadors to a victory.
"I thought we got a little careless at the end, overcommitting on hard fouls which allowed them to get an exclusion," Leonardi said. "The defense held on for quite as long and I still trusted our defense and goalie play."
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text: Golf-ball bear hunting, Wisconsin ear wiggles, and a superhero sidekick who's more Waldo than Marvel comic idol Nickelodeon's suburban farce, The Adventures of Pete & Pete: Season One, about two siblings named Pete (the younger a salty troublemaker, the older a romantic observer of domestic inanities) possesses the oddball charm that drives current cult faves Arrested Development and Scrubs. Highlights of this eight-ep set: the insomniac's bedtime protest in ''The Nightcrawlers,'' the shop-class horror pastiche of ''Tool and Die,'' and long-gone indie band Polaris' dreamy theme song. EXTRAS Four specials and two shorts that launched the series. Commentary by the creative team recognizes that cynics may be unnerved by the quirky adults hanging around (the manic bus driver, the spandex-clad superhero), but it's that whimsy that makes this dorky gem so endearing.


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hi... i purchased 2 cherry bing trees from a nursery and 1 is alive and has bloomed and leafed but the other has lost all its leaves. It was actually doing much better then my other tree at one point but then it spiraled down hill very fast. I tested to see if it has any green stuff under the bark and it does . I just planted the 5/6 year old tree this past april 4th. Now it is completly bare. Nothing at all on it ...my question is will it come back and grow this summer or next year or is it dead for good???? please help me |
Follow-Up Postings:
What rootstock? what type of soil do you have? How often is the tree watered? It may be helpful to some of the experienced posters. |
A tree that does that isn't likely to recover. But unless you have a replacement to plant there at this late date, you might as well give it more time. The other question is why did this happen. The first thing that comes to mind is poor drainage or too much watering. But as Goyo stated more info would help if that is of concern. |
- Posted by christine1126 none (My Page) on Thu, May 23, 13 at 18:49
i used composed mixed with top soil... in april we did have a whole lot of rain and in the spot where that tree was it was very wet ,,, you can actually see the water still there after it rained. it still grew well ofter all that rain . then when it stopped raining you could see all the leaves turning yellow and also some were turning brown and dieing untill allll the leaves were completely dead |
- Posted by christine1126 none (My Page) on Thu, May 23, 13 at 19:01
do you guys think i should plant another cherry tree there and kinda keep the one that doesnt look well in a big pot just to see what happens |
It sounds like your drainage is inadequate. You'd do better building a raised bed. In general cherries need really good drainage. Some of the new rootstocks are supposed to tolerate wet soil better than Mazzard and some other older roots. |
Mine are on Gisela 5 from Raintree Nursery. These rootstocks seem to tolerate water well. However, my soil in that area drains well. Water disappears in less than 1/2 hr. after rain stops. My weeping cherry tree died in an area of the yard that water does not drain well. Cherry does not like wet feet (most fruit trees don't) |
Im with Fruitnut, if you really want a cherry tree you will have to either find a spot where there is good drainage or build a raised bed to avoid wet feet. |
- Posted by christine1126 none (My Page) on Fri, May 24, 13 at 7:23
ok sounds good thanks so much |
- Posted by treehugger2012 7B (My Page) on Fri, May 24, 13 at 12:15
If you bought them from Willis nursery probably it is dead. |
- Posted by Emerogork2 4 (My Page) on Thu, Jun 6, 13 at 12:02
It looks as if I have at least 50% of the fruit just drying up on the tree. About 20% of the rest have insect marks. I read that I should pick out all the mummified and affected fruit but there are so many, I think I would rather remove the tree. I purchased in about 5 years ago. On a positive note, since it is a Rainier Cherry and the ripe cherries are mostly yellow with only some red, will that trick the critters into believing that they are not ripe yet and they might leave some for me? (-: |
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hooray -- another Speed Scrap! I am addicted to them
Maybe this time my dd will be in bed and I can not have to worry about that
participation prizes -- i love glittery bling too -- but for me, just getting my layout done is such a bonus. I am with Cathy too -- I love trying to think outside the box with the elements


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Out of these three which character meal would you recommend?
Printable View
Out of these three which character meal would you recommend?
I voted for the Animal Kingdow one, but only because I've always had a great time there. It all depends on who is eating. If you have little girls, the heading over to Norway to eat with princesses would be a better bet. I've never done Cape May, but I am sure a lot of people here have.
We did Cape May every year with the kids we loved it!
Lots of food and lots of character visits :yahoo:
I could only vote for the one I have been to.
I thought Breakfastaursaurus was a great time with some good food.
Needs a little work on their organization, however.
We did Cape May Cafe a couple years ago and the kids loved it. The beach wear the characters is in is also different.
Have never eaten at Akershus, but everything I've heard about it hasn't been good. My Parents and Brother's family ate there and didn't care for the food or service. Although...you can meet all the princesses (except for Cindy) there. We have eaten at Breakfastaursaurus and I cannot say that it was even close to being a favorite. Enjoyed having time with Donald though. So....I guess my vote has to go to Cape May!
I like Breakfastosaurus. It's in the parks, and many times it is not overly crowded, which yields more time with the characters. Plus, what's better than getting bounced around on Dinaosaur after you've eaten your fill of biscuits with sausage gravy, corned beef hash, pancakes, eggs, OJ, coffee, fruit? what's THAT doing on my plate??
I realize I am not helping here, since it isn't an option, but...
Crystal Palace!:yahoo:
I enjoyed Cape May's buffet.
I would like to say you Perfectly Princess Tea Party in Grand Floridian.
We really love it and have a great time one year ago. The services and price were reasonable.
There are lots of options for Disneys character dining however I like PPTP.
Best Regards,
hey everyone..my family (party of 9 including 1 4 year old, and 4mnth old baby) over thanksgiving week heding to wdw, we have a adr for the character meal at the graden grill at epcot for dinner (415pm) what are your thoughts? we really wanted chef mickey but we were too late in our booking. my nephew (4yrs old) is a huge mickey fan. let me know what you think
Of the three, we liked Askerhus best for the princesses and the cold salad bar, the entrees we did not find all that appealing. We have not done that meal however in quite awhile since they added the picture package and increased prices.
We enjoyed both Akershus and Breakfastasaurus, so it really depends on which Characters you like best.
I thought the Akerhsus was very well done. The food was decent, the characters spent a lot of time withour table and you get a nice photo package
Breakfastasauras - great start to a day in Animal Kingdom


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ART 224 Fashion Design
A multifaceted introduction to fashion design and the fashion business. Students study garment design and construction, including fabrics, drafting and using patterns, fashion history, and small business practices. In addition to creating a garment, they will visit designers' studios and museums.
- Prerequisite: None
- Hours: 3
- Credits: 3


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In my town there are a couple of houses which have cypress vine growing on their fence. At the moment they are creating tons of seed pods and since the houses were purchased by the school and going to be torn down, I decided to start collecting the seeds. Well, I got a whole bunch and put them in the ground. I'm not sure why I decided to do it since it's only October, but I'll just say I wasn't thinking. The pot they are currently in isn't terribly big, so I could bring it in and put it by a window if need be.
My problem, though, is that I moved the soil too much and the seeds ended up on top of each other. So now I have them growing in in clumps. There is one clump that is rather huge, with 10 seedlings growing in a square inch area! Some are larger than others, some just unfurled while some are about an inch tall and just beginning to sprout their whispy vines in the center. When would it be safe for me to move them apart? Or are they just going to fight each other for space and the strongest will survive? I'd like to save as many as I can. |
Follow-Up Postings:
- Posted by ron_convolvulaceae 6a/5b (My Page) on Thu, Oct 14, 10 at 7:31
The sooner you separate them , the better because once the roots get inter-tangled too much , you might never get them apart without doing considerable damage to the roots... You could just leave them clumped together and as you mentioned they will compete for root space ,nutrients and light ...some might completely over-take the others... I'd say wet the clump enough so that you can very carefully separate the young vines , uncover an area of the soil where you want to place each of the individual vine plants , place each seedling carefully into it's new location , cover it up and keep it well watered... The cypress vine seeds are easy to come by , so you could always get more but you could gain some worthwhile experience in separating and transplanting young seedlings that may be very useful in another situation... |
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Matt Cooke is a dirty player. Whether he's knocking Scott Walker in the head away from the puck, or kicking at Chris Osgood, or simply messing around with players away from the play or after the whistle, "classless" is a word that fits the agitating winger like a glove.
That isn't to say that he's skill-less; far from it. Cooke's a very capable two-way player in his own right; he has enough offence to come in handy and plays a responsible defensive game. He's just a nasty piece of work who has no compunctions about trying to injure other players.
On Sunday, Cooke nailed Bruins forward Marc Savard with a late hit shortly after Savard released a shot on the Penguins net. The hit is below; Savard left the game on a stretcher, drawing cheers when he waved to the Pittsburgh crowd.
What is Savard supposed to do in this situation? He's shooting the puck on the net; he's got nowhere to go. As for the Cooke hit, aside from possibly nicking him on an elbowing call (and it looked to me more like the hit came from above the elbow), he really isn't doing anything illegal. It isn't a hockey play, but I'm not sure what to call it.
I do suspect the NHL will give him a light suspension, but the more I see hits like this the more I suspect the NHL will eventually follow IIHF president Rene Fasel's lead and simply outlaw blows to the head.


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Learning Evaluation Network
The Learning Evaluation Network is an international community of practice, and a shared learning network, for anyone who aims to evaluate the impact of learning and development in organisations.
The network includes:
A shared global domain of knowledge about learning evaluation
An online community with other evaluators of learning worldwide
Collaboration to inform good practice in learning evaluation
If you would like to join the network please complete the registration form below.
If you would like to discuss how Airthrey can help you get the most out of your learning and development, then please contact us.


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Young's Literal Translation (YLT) | New International Version (NIV) |
6 for I am already being poured out, and the time of my release hath arrived; | 6 For I am already being poured out like a drink offering, and the time has come for my departure. |
Young's Literal Translation is in the public domain. (Young's Literal Translation - The Bible Online) | Scripture quoted by permission. Quotations designated (NIV) are from THE HOLY BIBLE: NEW INTERNATIONAL VERSION®. NIV®. Copyright © 1973, 1978, 1984 by Biblica. All rights reserved worldwide. (New International Version Bible Online) |


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August 26, 2009, 2:09 PM
By Burton Hersh
Ron Galella/WireImage.com
Ted Kennedy's place in American history is secure; his place in American folklore approaches myth. It was not yet so in September 1968, when Esquire ran a profile on young Edward of Massachusetts, then just thirty-six years old and not quite finished with his first full term as senator. Journalist Burton Hersh's observant, intimate study revealed much that has been forgotten in the intervening years: the near-fatal plane crash of 1964 and its permanent scars; the initial resentment of what appeared to be Kennedy dynasticism, and the hard work that overcame it; and, most revealingly, the relentless daily practice of effective representation, in Washington and in town halls and factory cafeterias across his home state, that turned Kennedy from aimless college dropout into the acknowledged master of the Senate. When it first ran, "The Last Kennedy" was subtitled "And not, it may turn out, the least." How very right this speculation proved to be.
If the continuing story of the Family Kennedy ever finds literary format, it will probably be as a series of convulsive epilogues recounting all the foreshortened lifetimes, wiped away abruptly in each lunatic turn by yet another tide of fate. This the Kennedys were Irish enough to start out knowing. Edward Moore Kennedy, whose instincts are the most subtle among his generation of brothers, senses fate especially. Even after Eugene McCarthy's upset in New Hampshire forced on Robert Kennedy the expediency of running in the primaries, Ted was reportedly opposed. Once the decision was made, however, he slipped into the familiar harnesses and even worked up enough enthusiasm while in West Virginia to infer, with unaccustomed clumsiness, that he might be back in eight years to campaign for himself. "Bobby's therapy is going to cost the family $8,000,000," Victor Navasky reports Ted as having remarked gloomily once the primary battles started. His foreboding was more than financial.
When the worst was fulfilled, when he appeared at the center of the television screen, clearly in charge of the nation's latest trauma, always referred to as "Senator Edward," it was difficult to remember that only six years ago he had been lumbering, helpless Ted. Back then, well-informed opinion of every imaginable description the right, the intellectual left, old college classmates, onlookers in general decided in advance that Ted Kennedy was never going to be anything much more useful to society than a Winthrop House jock whose wind had gotten lousy.
One September evening in 1962, having just proposed to open his political career as the Junior Senator from Massachusetts, Kennedy glanced up from his prepared remarks to hear the issue of his candidacy itself being laid open savagely by his upset opponent. "What are your qualifications for the United States Senate?" Edward J. McCormack was intoning across a South Boston auditorium platform. "You graduated from law school three years ago. You never worked for a living. You have never run for or held elective office. You are running on a slogan You can do more for Massachusetts.... This is the most insulting slogan I have seen in Massachusetts because it means vote for this man because he has influence, he has connections, he has relations. This is a slogan that insults the President of the United States...."
McCormack's attack, despite the passion with which he was delivering it, had been meticulously calculated. Having already been elbowed out of this youngest Kennedy's way for the Democratic Party's formal endorsement, the ambitious thirty-eight-year-old Attorney General of Massachusetts was risking his chances in the primary on a personal assault uninhibited by even the canons of Boston-Irish character assassination.
"I listened to my opponent the other night," McCormack continued, "and he said, 'I want to serve because I care.' You didn't care very much, Ted, when you could have voted between 1953 and 1960 on sixteen occasions and only voted three times.... Do you really care about civil rights? While I was fighting to eliminate the 'black belts' and the ghettos, you were attending a school that is almost totally segregated, the University of Virginia "
There was a simple wooden rostrum in front of Kennedy; he seemed to hang onto it for balance, the knuckles of his heavy fingers whitening, the muscles of his ox pelvis of a jaw squirming each time he reset it. Kennedy's hewn, somewhat lipless and inexpressive face looked particularly drained for one so congenitally affable; sweat had begun beading just below his widow's peak.
Late the previous spring, on the recommendation of tactical advisers who wanted to give the open secret of his misdemeanor a chance to ventilate itself, Kennedy had admitted to a Boston Globe reporter that he left Harvard after his freshman year because somebody else took a Spanish exam for him. Whatever the scandal-value of the incident, it had pretty much depleted itself over the months of the summer, but the impression lingered: weak. Weak.
By autumn the Massachusetts political air was overhung and threatening with rumors. One insisted that Joe, the Founding Father, and old Joe alone among the Kennedys had much of an appreciation for Edward's candidacy. The seat in the Senate his brother the President had occupied warmed reliably since 1960 by Benjamin Smith II, Jack's room-mate in college Teddy wanted now. Political appointments out of Washington were reportedly delayed. There was recurrent talk that, win or lose, Ted Kennedy was going to oversea all patronage in Massachusetts after September of 1962.
The paranoia normal to workers for the good of the party grew and provided the Kennedy campaign a special leverage of its own. For McCormack, alliances of a political lifetime had now begun to dissolve. "I'm going after the anti-chutzpa vote," the angry young Attorney General had sworn to friends as he needled the inexperienced Kennedy into open confrontation.
"The thing that fascinates me is Teddy's constant reference to his trips," McCormack went on that embattled evening. "He made two European trips, visited eleven countries in twenty-four days. In South America he visited nine countries in twenty-seven days."
Much of the informed American community shared McCormack's indignation. "It was sporting of Kennedy to wait until he was thirty instead of asking for an Act of Congress or a Constitutional Amendment to lower the qualifying age," Inez Robb had written. The Washington Post, praising this arriving Kennedy for his modesty, pointedly noted that he had "much to be modest about." The New York Times admitted that Kennedy was just old enough for the Senate, but had "few other qualifications," and suggested that "relatives of prominent officials" should "present some solid evidence of talent before they make the sacrifice of starting at the top." "Nepotism!" Scotty Reston exclaimed. Marke De Wolfe Howe of the Harvard Law School circulated a letter throughout the academic world calling Edward Kennedy's candidacy that of a "bumptious newcomer...both preposterous and insulting." McCormack himself let it be known that one of his cardinal motives in running was to ward off the most self-evident among Kennedy's domestic blunders: his brother's elevation to the Senate.
McCormack was leaving his audience no doubt all that evening that he intended to spare his President chagrin. "I worked my way up the political ladder," McCormack, who is himself the nephew of the Speaker of the United States House of Representatives, reminded his audience. "I'm not starting at the top."
For what already seemed like hours Ted Kennedy had been reaching at, clutching at, anything that might somehow drive the exchange back to substantive political issues. Despite Kennedy's carefully rehearsed gestures, his dragged-out nasalized inflections, his decisive down-blading hand motions in spite of everything, McCormack was somehow keeping real discussion pushed maddeningly away. McCormick lashed out; whatever Ted managed to return went awry, somehow. "We should not have any talk about personalities or families!" Kennedy attempted, finally.
McCormack cracked right down. "And so I ask, since the question of names and families has been injected, if his name was Edward Moore with his qualifications, with your qualifications, Teddy if it was Edward Moore your candidacy would be a joke. Nobody's laughing, because his name is not Edward Moore it is Edward Moore Kennedy."
The debate was one of those exceptional public events helpful to everybody involved in it. Certainly Edward McCormack had gotten a beautiful opportunity to relieve his spleen in front of the television cameras. (Although, when he was later beaten in the primary, he went out of his way to berate the condition of Massachusetts politics generally, and sulked straight through until a chance at another important Democratic office came along a couple of years afterward.) Kennedy himself, as things worked out, profited immediately and measurably from an enormous sympathy backlash. He sensed the effect a couple of days afterward when, as he was campaigning at the door of a factory at quitting time, a seasoned old laborer asked suddenly, "Is it true, like I heard, that you never worked a day in your life, Kennedy?"
The candidate mumbled something to the effect that he hadn't worked much with his hands, really...
"Well let me tell ya somethin', kid," the seasoned old laborer said, "ya sure ain't missed a hell of a lot."
From that instant, Kennedy realized, he had his seat in the Senate.
What To Read Next


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OpenTable is pleased to announce the winners of the 2011 Diners' Choice Awards for the top 50 restaurants in the U.S. with the most scenic views. The list of honorees is derived from more than ten million reviews submitted by OpenTable diners for more than 12,000 restaurants in all 50 states and the District of [...]
best scenic view
Daily Dining Poll: What Kind of View Makes a Meal Even Better?
What's your favorite type of scenic view when dining out?customer surveys


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By Erika W. Smith in DIY on Nov 29, 2012
For adorable, vintage-inspired jewelry and accessories with a twist, look no further than With Care. Created by Rhode Islander Elizabeth Novak, With Care is an Etsy shop that includes items like place-themed souvenir rings and lockets, nautical necklaces, Victorian-inspired perfume pins, and more.
Many of With Care's pieces are vintage-inspired, with an edge — the collar bar will take you back to the Mad Men era but the Virgin Mary charm attached to it? You'd never see Don Draper wearing one of those. And that merit badge set may seem very 1950s Boy Scout, but that cheeky hot dog charm is definitely of today.
Here are a few more of my favorites, below — those necklaces are portraits of Caroline and John Kennedy, JFK's kids.
With Care will be at the BUST Magazine Holiday Craftacular this weekend at 82 Mercer St. in SoHo. If you can't make it (we'll miss you!), you can check out the With Care on Etsy here. For more info on the Craftacular, click here.
Tagged in: vendor spotlight, jewelry, etsy jewelry, etsy, bust holiday craftacular
The opinions expressed on the BUST blog are those of the authors themselves and do not necessarily reflect the position of BUST Magazine or its staff.


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(Edited: Oh my, how embarassing ... that should be TOO, not two (hanging head in shame)...) The cabinets for our small kitchen remodel go in in a few weeks so I'm trying to firm up every decision I can. Part of the remodel will include a hutch-type cabinet very much like this one (this is the existing one). Because the rest of the cabinets in the kitchen will extend to the ceiling and this one obviously can't because of that beam above it, we're doing a few things to set the hutch area apart. It will stick out about two inches farther than the rest of the cabinets (the counter will jog around it). We'll put furniture-style baseboards around it as well. There will be two large drawers plus the two smaller drawers on top of the base cabinet. The top will have two glass doors as it does now and the four small drawers that sit on the counter will become three. Those three small drawers will be flat panel, everything else is a recessed panel with a beaded edge on the rail. Because the drawers on top are so small, I don't like standard-sized knobs on them. The ones you see there are 3/4-inch (vs. 1-1/4-inch on the doors). All drawers other than the three small ones will have Aubrey pulls in polished nickel. The cupboards will all have these glass knobs (1-1/4). I'm considering a recessed finger pull in polished nickel for the three small drawers. Obviously I want to be fairly certain that this is a good idea before going ahead with it because it's a permanent piece of hardware. Once the drawer is routered for the recessed finger pull there's no going back. So what I'm wondering is whether that is just too many hardware styles in one kitchen or whether the face that the hutch is purposely "different" in some ways makes it OK. |
This post was edited by wi-sailorgirl on Mon, Mar 4, 13 at 11:56
Follow-Up Postings:
It sounds lovely to me. |
- Posted by breezygirl (My Page) on Mon, Mar 4, 13 at 12:18
Sounds fine to me also. I would caution you to think about function on the finger pulls though. What will you store there? Silverware accessed many times per day or Aunt Betty's old silver serving spoons you only use three times per year? The finger pulls will take some concentration and aim to open. I know that it would drive me, screaming, up the PITA wall to have to navigate finger pulls on my silverware drawer that I access 20 times per day. As you know, I used the Aubrey pulls almost exclusively in my kitchen, except on my dish hutch. Have you considered using the Aubreys on the small drawers? It would keep it consistent with the remaining drawers. I think all the other features of that hutch will set it apart enough without having completely different hardware. How tall are those three little drawers? |
- Posted by wi-sailorgirl (My Page) on Mon, Mar 4, 13 at 12:42
You're right about the function on those finger pulls. They used to be used exclusively on boats and even the boatbuilders figured out there was a better way (most use pop-up buttons now). Those drawers are so small they are rarely used. Right now one is the pet medication drawer, one is for gum (yep, I have a gum drawer), one is for coasters and cocktail napkins and the other is for the corkscrew (which does get used frequently) and other bottle opener type things. The Aubrey pull looks nice your drawer there. I suppose I could consider the 3.5" ones for those drawers. They are about 4 inches high, not sure how wide, but I would guess 10-12 inches maybe. Edited to add: OK Breezy, I swear I didn't know you had glass knobs on your cabinets! I'm not a stalker, honest! |
This post was edited by wi-sailorgirl on Mon, Mar 4, 13 at 12:44
I'm not sure this will gel with your vision, but these RH knobs are positively *tiny* and would be good for a smaller drawer. I bought them for a kitchen and they would have been better for a jewelry armoire, if you know what I mean. They don't look small, or seem like they should be *that* small, but the 1" versions are. And the finishes would blend nicely with the Aubreys, natch. |
Here is a link that might be useful: Tiny RH Knob
- Posted by may_flowers (My Page) on Mon, Mar 4, 13 at 12:59
I think a tiny knob on a row of flat panel drawers is charming. Have you looked at the Plain English website? You'll fall back in love with the tiny knob! Maybe you want something different than a knob this time, but you know the saying...If it ain't broke.... |
- Posted by breezygirl (My Page) on Mon, Mar 4, 13 at 13:11
Well, I didn't have glass knobs on that cab for many months after my kitchen was mostly completed so most of my kitchen pics don't show them. I know you're not a stalker. :) Four inches is pretty small. My dish hutch drawer, which does hold the silverware btw, is about 6" tall. I'm not sure I'd want the pull on my cork screw drawer to be difficult to open. Wait....maybe that would mean I'd drink less wine?!? Not such a bad thing..... ;) What about tiny glass knobs? What size and from where are those glass knobs in your OP? Do they come in multiple sizes? |
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Medical tourism guide
Medical tourism
Urinary Incontinence Treatment in Berlin
Urinary Incontinence Treatment in Berlin
Hospitals and medical centers in Berlin, Germany performing Urinary Incontinence Treatment.
Browse by city:
DRK Kliniken Berlin
Non-profit Hospital, Berlin, Germany
JCI Accreditation
The DRK Clinic Group houses one of the most prominent gynaecological and obstetric departments in Berlin. The complete range of modern diagnostic technology, surgical options and treatment methods are applied to meet the patients individual needs.
Urinary Incontinence is treated at DRK Kliniken Berlin
Listed gynecologist:
Prof. Heribert Kentenich
Gynaecology and Obstetrics Specialist
Ob-Gyn centers in Berlin (Page 1 of 1)
About Urinary Incontinence Treatment
This information is intended for general information only and should not be considered as medical advice on the part of Health-Tourism.com. Any decision on medical treatments, after-care or recovery should be done solely upon proper consultation and advice of a qualified physician.
How is Urinary Incontinence Treated?
The various options of urinary incontinence treatment include behavioral treatment, medications and surgery. In the treatment of urinary incontinence, the least invasive method of treatment is first applied.
The choice of the treatment option depends on the particular cause of the incontinence. However, there are some treatment options that can be applied to more than one type of urinary incontinence, such as using absorbent products. Absorbent pads and urinary catheters are used by patients who have a prolonged incontinence problem.
Dietary Measures
Sometimes, changes in diet improve the symptoms of urinary incontinence. Diet needs to be monitored to lessen the intake of food and drinks containing stimulants. Stimulants can cause symptoms of urgent and frequent urination.
The foods that need to be avoided include:
Hot spices like chili pepper, cayenne pepper, curry, dry mustard, etc.
Citrus fruits like grapes, lemons, oranges, etc.
Chocolate containing food and sweets, as they contain caffeine
The drinks that need to be avoided include:
Drinks containing caffeine, like coffee, tea, hot chocolate, cola, etc
Carbonated drinks, citrus fruit juices, acidic juices
Drinks that contain artificial sweeteners
Kegel Exercises
Kegel exercises are helpful in treating stress incontinence. Muscles controlling the urinary bladder are strengthened with Kegel exercises. These exercises can be done at any time and in any place.
Kegel exercises are designed for women, however, men can also derive befits from these exercises.
Improvements may be noticed after doing Kegel exercises for three to six months.
Bladder Training
Urge incontinence can be treated by using bladder training. Patients can urinate at fixed intervals, for instance every 30 minutes to 2 hours. Patients should urinate in the set intervals even if they do not feel the urge to go. Gradually, the time between the intervals can be increased until the patient reaches an interval of 3 to 4 hours.
Relaxation techniques can be applied when the patient feels the urge to urinate. The patient can use some breathing exercises until the urge goes away. Then, when the urge passes, the patient can wait for about 5 minutes and then urinate even if there is no urge. This will help the patient in controlling the next urge. When the patient finds it possible to easily wait for 5 minutes after an urge has gone, the patient can try and wait for longer periods. Duration of bladder training is 3 to 12 weeks.
Biofeedback Therapy
Biofeedback therapy helps in treating stress incontinence, urge incontinence and mix incontinence. If patients find it difficult to identify the levator ani muscles, biofeedback therapy is recommended. A computer and electronic instruments help in identifying the contractions of the pelvic muscles.
Urethral Occlusive Devices
Male and females have different occlusive devices. For female patients, the devices are artificial implements, which can be inserted inside the urethra or over the opening of the urethra that stops the leakage of urine. For male patients, the devices are clamps that contract the penis and reduce the amount of urine that leaks. It may be used in cases of severe incontinence.
Some types of urinary incontinence are treated with medications. The doctor should be consulted before taking any medication. Estrogen creams that can be applied by female patient are helpful in treating mild stress incontinence. Male patients may take medicines which help in reducing the prostate size and improving urine flow through the prostate.
The types of drugs used in the treatment of urinary incontinence include:
antispasmodic drugs
anticholinergic drugs
tricylic antidepressant agents
Patients should not use anticholinergic drugs if they have serious heart diseases, narrow-angle glaucoma, myasthenia gravis, ulcerative colitis, bowel obstruction and urinary retention.
Patients should avoid taking anticholinergic drugs with sedative, alcohol or hypnotic drugs.
Surgery is rarely performed as a treatment, unless all available treatment options have failed to treat urinary incontinence. It may be helpful in treating stress incontinence in female patients and overflow incontinence due to prostate enlargement in male patients.
Surgeries for urinary incontinence treatment include:
Anterior Vaginal Repair
Bladder Neck Suspension
Sling Procedure
Bulking Agent/Collagen Injection
Artificial Urinary Sphincter
Learn more about Urinary Incontinence
Urinary Incontinence on FamilyDoctor.org
Urinary incontinence treatment on Wikipedia
Incontinence on E-Medicine Health
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[631] Goblet Cells Are Depleted with Advancing Degrees of Preneoplasia in Barrett's Esophagus
Agoston T Agoston, Anapat Sanpavat, Robert D Odze, Amitabh Srivastava. Brigham & Women's Hospital, Boston, MA
Background: A previous study by our group showed that the proportion of goblet cells in index biopsies of patients with Barrett's Esophagus (BE) is inversely proportional to the risk of malignancy, and this led to the hypothesis that goblet cells may represent a successful adaptive form of metaplasia that protects the mucosa from the carcinogenic effects of reflux. However, the topographic distribution of goblet cells in relationship to neoplasia is unknown, and no prior studies have evaluated resection specimens where anatomic distribution can be more accurately noted. The aim of this study was to evaluate the goblet cell density in adjacent non-neoplastic BE both adjacent to, near, and distant from areas of neoplasia in BE patients who had a resection for dysplasia or carcinoma without neoadjuvant therapy.
Design: Routinely processed resection specimens from 40 patients who had a distal esophagogastrectomy for high-grade dysplasia (N=1) or adenocarcinoma (N=39) were evaluated histologically for the mean number of goblet cells per crypt (GC/crypt) in areas adjacent to (<10 crypts), near (10-20 crypts) and distant from (>20 crypts) areas of neoplasia. Goblet cell counts were compared between different mucosal locations in proximity to neoplasia in all cases, and then also compared between areas of low vs. high-grade dysplasia.
Results: Overall, there was a significant decrease in goblet cell counts in areas of mucosa adjacent to neoplasia (mean GC/crypt = 3.8) vs. near (5.2) or distant from (5.5) neoplasia, (p=0.029). In all mucosal locations, there was a highly significant decrease in goblet cell counts in areas of high vs. low-grade dysplasia. For instance, mucosa adjacent to neoplasia showed a crypt count of 3.9 vs. 1.5 (p=0.05) for low vs. high grade dysplasia, respectively, values of 5.4 vs. 1.5 (p=0.005) for mucosa near low vs. high grade dysplasia, respectively, and values of 6.0 vs. 1.2 (p<0.001) for mucosa distant from low vs. high grade dysplasia, respectively. Goblet cell density did not change significantly with distance from invasive carcinoma.
Conclusions: In BE, goblet cells are depleted within the mucosal field in which neoplasia develops. Further studies are needed to determine whether goblet cell depleted mucosa is at increased risk for neoplasia, or neoplasia itself induces a shift in the columnar metaplasia that occurs in the background mucosa, perhaps due to changes in cell differentiation. Retention of goblet cells in areas adjacent to cancer was likely due to the destructive effects of cancer on the surrounding neoplastic precursor mucosa.
Category: Gastrointestinal
Monday, March 19, 2012 1:00 PM
Poster Session II # 82, Monday Afternoon


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Great rainbow pic RT @joshkikuchiAT&Tパークに見事な虹がかかりました。 twitter.com/joshkikuchi/st…
— Nick Piecoro (@nickpiecoro) September 6, 2012
Every Thursday, the Getting Blanked crew makes a prop bet of sorts with one another having something to do with baseball games over the weekend. Of the three competitors, whoever wins the prop bet is able to dole out a punishment on the colleague of their choice. This week's punishment was watching and recapping Monday night's Houston Astros and Chicago Cubs game. We call this #PropHate.
Do you see this image, lovingly twitpic'd and sent out into the world? This twitpic is what Prop Hate is all about. The above image was captured and uploaded, like countless other similar photos, during last night's Giants/Diamondbacks game in San Francisco. The Giants are in first place and they also happen to be a team I enjoy watching on the television. Madison Bumgarner was their starting pitcher last night. He, too, is appointment television (in moderation, Parkes. Your ward is an adult now. If you love something, let him go.)
I did not see this double rainbow live during the early stages of Wednesday night's Giants game. I wasn't able to watch the Giants as I was too busy watching the Prop Hate punishment game, played between the s/a Red Sox and the mostly s/a Mariners. A game started by two pitchers with a combined Cistulli Nerd Score of Five (Bumgarner rates as 9, FYI.) The game itself earns a Nerd Score of 1, the lowest total of the night. At the risk of spoiling the rest of the game, it lives up to its billing.
The Narrative
The Boston Red Sox quit on their manager and their season. They gutted their roster and got disappointing performance from nearly every position around the diamond. They're a mess, hard at work on a full-blown mutiny.
Two also-ran teams playing out the string in early September. Two scrap-heap pitchers tossing junk in search of another contract next year. Expanded rosters. Infinite sadness. No rain in a place it always rains. Inevitability. Solitude. Pestilence. Desolation.
Game Chart of Banality
Source: FanGraphs
Snapshot of Tedium
The highlight page on MLB.com currently features a grand total of nine clips. Two nice lunging plays by James Loney (of all people), an interview with a soccer player, and the big blow of the game, Dustin Ackley's grounder up the middle that plated two runs.
The only Red Sox highlight features Cody Ross looping a double down the right field line. A ball Ross hit so hard he did this after it left his bat.
The Shamsky Award
Named after Art Shamsky, who single handedly increased the Cincinnati Reds' chances of winning by 150.3% in a losing effort during a game in 1966, The Shamsky Award is given to the player on the losing team who contributes the most to them winning.
Cody Ross had three hits, including the accidental RBI double seen above. Whatever. He's going to get paid this off-season and there isn't a single thing you or Roy Halladay or anybody can do about. Just learn to accept this new reality and move on.
Mound Misery
This game was everything we expected and more. The mediocre pitchers collided head-on with two mediocre offenses to mediocre effect. Both Kevin Millwood and Aaron Cook went six innings and walked three batters. Millwood picked up the win, allowing just four hits and a single run, striking out three. Aaron Cook, he of the endless barrage of sinkers, matched his season high with five strikeouts.
The two aged hurlers combined for few swinging strikes than Brandon Morrow managed on his own last night, though Cook notched a surprising eight. Surprising because he's awful. Remember: Aaron Cook has 13 starts this year.
Also, Aaron Cook has 16 strikeouts in 2012, with seven of them courtesy of the Mariners.
— Marc Normandin (@Marc_Normandin) September 6, 2012
Regional Bias
The legacy of grunge hangs over Seattle like a dark, heroin-abuse catalyzing cloud. Far too often, the first thing that comes to mind when one things of the city of Seattle is a flannel-clad musician in need of a bath and a shave.
The suicide of Kurt Cobain cemented Nirvana's status and limited their active output. Meanwhile, go-to Seattle musician reference Pearl Jam is still kicking around, touring and putting out Japanese singles or whatever else ageing rock stars do. The stereotype remains, despite Pearl Jam serving as something of a serene dog whistle for the middle aged, making Coldplay look like Gucci Mane.
That said, there was a weird and wild assortment of facial hair on display last night. Ryan Lavernaway, Jarrod Saltalamacchia, Jesus Montero, and former beard savant Eric Thames all bring various levels of beard/stache to the table. Brendan Ryan is a treat to watch play shortstop and grow facial hair.
Meanwhile, Aaron Cook sports a pretty sweet goatee & mohawk combo, more than making up for his utter replaceability.
The Straight Goods
The late innings of this game got a little pitching change happy, as the Mariners deployed five pitchers to record nine outs, the group combined to allow just three base runners over their three innings of work. All those commercial breaks…combined with the West Coast start…well let's just say this represents most of memory of the last third of this game.
A crying child (my own) dragged me back to lucidity just in time to watch Tom Wilhelmsen do some awesomely Tom Wilhelmsen stuff in the 9th inning but aside from that…yeah I got nothing. While I dutifully re-visited this finale to this macabre tale here at my desk by the sober light of morning, my eyes glazed over anew.
Sure, I'll remember Danielle the Ball Girl slapping five to a fan after she made a nifty pick up of a hot foul shot by Trayvon Robinson, both for her "OMG!" sigh of relief and the fact that Trayvon Robinson made contact. But the rest of the game, sadly, slips into the collective unconscious of A Thing that Happened. Not great plays (because there basically were none) or unforgettable moments (again, dividing by zero).
As an unimpassioned observer and grizzled veteran of hundreds of televised baseball events, this was just another one. One I'd have rather ditched for the Giants game (until they started losing) or Netflix (some random Euro skinfliI MEAN DOCUMENTARY ABOUT SOCIAL ISSUES) or something else entirely (i.e. restful sleep in my bed, not guilt-ridden couch dozing with a slightly roasted laptop region.)
Which, at the end of the day, is what we envisioned for Prop Hate when we cooked it up last spring. No gleeful poetry like that ingrate/savant Parkes. It is about pain. Suffering. First World Problems to the Nth degree. Thank you for standing by me during this most difficult time. Pearl Jam sucks.


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Third Millennium Bible (TMB) | New International Version (NIV) |
19 Now those who had been scattered abroad upon the persecution that arose on account of Stephen, traveled as far as Phoenicia and Cyprus and Antioch, preaching the Word to none but unto the Jews only. | 19 Now those who had been scattered by the persecution in connection with Stephen traveled as far as Phoenicia, Cyprus and Antioch, telling the message only to Jews. |
Third Millennium Bible (TMB), New Authorized Version, Copyright 1998 by Deuel Enterprises, Inc., Gary, SD 57237. All rights reserved. (Third Millennium Bible Online) | Scripture quoted by permission. Quotations designated (NIV) are from THE HOLY BIBLE: NEW INTERNATIONAL VERSION®. NIV®. Copyright © 1973, 1978, 1984 by Biblica. All rights reserved worldwide. (New International Version Bible Online) |


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Should a sustainable city be horse-friendly? Yea or neigh?
In the spring of 1964, I visited New York for the first time. For a boy who grew up in Seattle, it was a city of wonder. I saw my first Broadway musical ("Oliver!"), visited the Empire State Building, then still the tallest building in the world. I went to the Statue of Liberty, the museums, the Cloisters. I hunted for beatniks in Greenwich Village.
Small things stick in memory: I loved the multi-colored taxi cabs — especially the spacious Checkers, the only ones who would take our family of five, legally at least. I was almost run over standing in the middle of the street mesmerized by the steam wafting from manhole covers. It was like being in the midst of a concrete Yellowstone. We visited the Plaza Hotel, home of Eloise, and it was near there that I first saw the horse carriages near Central Park.
I begged my mom to take us for a ride. I remember the sound of the clopping hooves and the slow, graceful speed with which the carriages moved through one of the world's premier parks. I was amazed at the way nature seemed to flourish in the middle of Manhattan. Seeing it flow by from a carriage gave me the sense that this was the way the park was meant to be seen. Certainly in Seattle where the Olmsteds designed our park and boulevard system, there had been a reluctance to let the new fangled automobile dominate where views were designed to unfold at a slower pace.
Flash forward half a century from my visit and we hear that New York's new Mayor Bill de Blasio has made it a priority to eliminate the carriages on behalf of the horses. PETA says horse-drawn carriages are an outdated, cruel practice — animals should not be used for "entertainment." PETA has also scolded Seattle for its fish-tossers at the Pike Place Market.
Seattle too has lefty mayors and engages in moral crusades. Back in 2000, Seattle Mayor Paul Schell proposed banning circus animals from the city in the name of cruelty. This city of vegans and animal lovers disagreed, however, and the ban failed. It also became a kind of shorthand for a mayor and city council too often distracted by the over-reach of silly politics. What about helping the homeless who, still, wander the city and our greenbelts from encampment to encampment?
De Blasio has said, "We are going to get rid of horse carriages, period." I fully agree that owners who mistreat their horses ought to feel the lash of the law, but horses have always been a part of our urban landscapes. We no longer rely on them for basic transportation and hauling, but they still carry policemen, for example.
I don't believe a horse pulling a carriage is inherently inhumane. If anything, the animals are in the service of the "creative economy." The work has shifted to something that creates unique urban experiences — a bit of magic you take home in the form of indelible memory. The Central Park carriages are an example of that, and horses haul tourists the world over, even here in Seattle on a smaller scale.
The world's great cities are filled with attractions that serve little real purpose beyond changing the way we see and experience a city — the Eiffel Tower, San Francisco's cable cars, the Statue of Liberty, the Space Needle.
Beyond that, zoos, aquariums and, yes, circuses are opportunities to put city dwellers in contact with animals in a positive way. Yes, it's entertainment and conditions and treatment matter. But it's not inherently wrong.
Horses are heritage too — urban heritage. Their backs are the ones on which our cities were built. Horses were dominant in urban transport well into the first decades of the 20th century. Seattle explored ways to accommodate recreational use of horses even after the automobile arrived in 1900. The system of citywide bike paths, it was suggested, could be converted to bridle trails. In what is now the Arboretum, a harness-racing track was built — we know it now as Azalea Way — and a large riding club was envisioned. Visitors could rent horses for trail rides. All of that came to nought as the auto took hold.
A modern, sustainable city needs street activity, vendors and entrepreneurs. It also relies on people who visit and spend for reasons that aren't entirely rational — tourism fuels modern urban economies. A city needs to embrace this history as well as put on a show. A healthy city needs to be for more than just machines. There's humanity, too, in the relation between humans and horses — workhorses included. Surely cities that aspire to be bike- and pedestrian-friendly can also, in a limited way, be horse-and-carriage-friendly. Streets for all, right?
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Posted Fri, Jan 3, 9:16 a.m.
Horses have no more place in an urban setting than wood fired stoves do (or coal for that matter).
Posted Sat, Jan 4, 1:51 p.m.
A true urban dweller would pick up the horse pucky to dry and burn for fuel. Totally sustainable and natural. Perhaps the homeless should be given little heaters that will burn pucky.
Posted Sun, Jan 5, 10:35 a.m.
The issue is air quality in the case of heat with inefficient combustion (wood or dung, coal is non-renewable to boot) and the energy costs of transporting animals and supplies in the case of horses. Fine for rural areas with relatively infrequent use, but totally inappropriate in an urban setting, even as an entertainment distraction.
I really don't enjoy smelling wood smoke in the city. There are far too many people around for that (some of whom suffer from asthma).
Posted Fri, Jan 3, 9:51 a.m.
It's funny that sometimes people who absolutely hate or fear something--as, for example, horses--will find themselves advocating the same policies regarding those loathed entities as the persons who claim to love them. "Ban them, get rid of them, such creatures have no place in cities!" sounds a lot like what a hippophobe would say and think, no?
Posted Fri, Jan 3, 9:52 a.m.
Knute - You are correct. For many of us, horse drawn carriages are a magical part of New York's history and banishing them from Central Park is a political sop to PETA. Replacing them with electric antique automobiles is another bit of pandering. Two panders right out of the gate and the new Mayor hasn't been in office for even a week.
Posted Fri, Jan 3, 2:58 p.m.
Actually, I don't think zoos or circuses belong in the city. Took me almost 60 years to come to that conclusion, but there it is. Not a vegetarian, but careful where I get my meat from, and nothing PETA does interests me and I don't read whatever it is they have to say. I can think for myself about how we treat animals.
Posted Sat, Jan 4, 9:50 a.m.
Those circus animals have it pretty tough. If you are careful where your meat came from I'm sure no animals were harmed in the process.
Posted Sat, Jan 4, 7:44 a.m.
Horses? Magical? Really? Too many horses and you get too much dried horseshit, leading to respiratory ailments like tuberculosis.
I'm willing to listen to your "political sop to PETA" argument. Please provide more details.
Posted Sat, Jan 4, 8:38 a.m.
Knute is an intelligent fellow who has lived in cities too long and been "progressively" educated.
Sadly I believe that he (as most today) is relatively blind to what sustainability means, and it is probably partly due to his progressiveness. That may be what makes him more vulnerable to the many appearance measures that are now dominating unsustainability awareness, and not recognizing that they are only ritualistic, feel-good actions rather than real attempts to solve problems. Just as magical incantations in the peak oil scene were soon replaced with such power words as "hydrogen economy" "algal biodiesel" "advanced petroleum recovery technology" and the like, the rituals that will be practiced by the revitalization movements intended to spur growth through incantations of ecological economics where social aspects including cultural, health-related and monetary/financial aspects are supposedly integrated. Then there are the numerous invocations for changing local and individual lifestyles and what is called ethical consumerism. Thus it is sold that ways of living more sustainably can take many forms from re-organizing living conditions (eco-villages, eco-municipalities, sustainable cities), most of which is achieved by reforming economic sectors ( permaculture, green building, sustainable agriculture), or through work practices (sustainable architecture), using science to develop new technologies (green technologies, renewable energy) to adjustments in individual lifestyles that conserve natural resources.
Thus he notes riding a heritage-hearkening, horse-drawn carriage by a mid-city park, and thinks that pitifully micro ecosystem is a reflection of sustainable living, and that preserving some "heritage" items of the human jetsam and flotsam is recognizing sustainability. I can only suggest that he take a course on ecosystems and sustainability.
Posted Sat, Jan 4, 1:36 p.m.
I'd like to hear from Veterinarians as to whether the horses in New York City are either mistreated, or in poor working conditions. Loved those Carriage rides, but I do not mind if professional, expert opinion says it's not good for the horses. I'd be just as happy to have young bicyclists pedal me around instead. (With nice butts to watch!)
However, there is just no tragedy happening when a fish monger tosses a fish at the Pike Place Market, except for potentially bruising the firm flesh of that fine eating fish. Pick a pack of peppers and toss them around, will anyone whine? NO. So why whine about tossing a fish? Just because you can doesn't make it make sense.
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