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Austin Brooks tossed 54 touchdown passes for Oklahoma Christian School this season, but none bigger than the last one in the fourth quarter of the Class 2A state championship game against Davis.
Little All-City football: Austin Brooks makes right throw at right time for OCS
Facing fourth-and-goal from the 5, Brooks was getting pressure in the pocket when he lofted a sidearm pass off his back foot toward the corner of the end zone.
"All of the things we tell him not to do," OCS coach Derek Turner said.
Saints wide receiver Will McKinnis hadn't made his cut yet, but Brooks had to throw the ball early because of the Davis pass rush.
"I just had to get it up and trust him to get there," Brooks said. "I threw it way up. All my friends told me later they thought it was over. They thought I threw it out of bounds."
Turner thought he had thrown it out of bounds, too.
"It just floated out there," he said.
Instead, it was a perfect pass for the game-winning touchdown in the Saints' 44-41 win and the kind of play Brooks made all season.
Brooks, who led OCS to its first state football championship in the Edmond school's history, is The Oklahoman's Little All-City Offensive Player of the Year.
In addition to his 54 touchdowns, Brooks threw for 3,599 yards and completed 65 percent of his passes in leading the Saints to a 14-1 record, losing only to Class 3A state semifinalist Jones by one point.
During one three-game stretch of the regular season, Brooks threw more touchdown passes in each game than he did incomplete passes.
The 6-foot-4 senior took over as OCS starting quarterback three games into his sophomore season. In the preseason, the Saints expected to be good offensively this year, but Brooks' ability to throw the ball and operate the spread offense with precision turned OCS into a special team in 2012.
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subset: commoncrawl


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byTom Spring on
PC Slump
Sales in Dell's PC business fell 5 percent, beating a larger 11 percent downward trend in global PC shipments, according to market research firm IDC. But selling PCs with razor-thin margins came at a cost, driving down operating income 71 percent for Dell's PC division.
That doesn't bode well for Dell considering more than half the company's revenue is tied to its PC business. But a contracting PC market comes as little surprise to anyone -- especially Dell. That's why it has been cutting prices and sacrificing profit margins. Dell is pinning its hopes on that the PCs it sells to companies will lead to more lucrative software and services sales.
Dell is the No. 3 PC seller, owning 12 percent of the market, followed by Lenovo with 16.7 percent and Hewlett-Packard with 16.3 percent, according to IDC.
CRN's Channel And Technology Predictions For 2015
CRN offers up some predictions for the channel and technology industry as a whole in 2015.
Here are 10 recent searches by CRN visitors.


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Founder: Len Mullenger | Classical Editor: Rob
Barnett |
BUY NOW AmazonUK AmazonUS |
STRAVINSKY (1882-1971) Pulcinella (1919-20) Le Chant du Rossignol (1920) Ann Murray (mezzo-soprano), Anthony Rolfe-Johnson (tenor), Simon Estes (bass) Ensemble Intercontemporain Patrice Fontanarosa (violin); Patrick Gallois (flute); Bertrand Grenat (oboe); Yves Couëffe (trumpet) Orchestre National de France/Pierre Boulez reissue – recorded in IRCAM, Paris in December 1980 WARNER APEX 2564 62088-2 [60:51] |
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Hello, RS readers! My name is Elinor Smith, and I'm a brand new addition to the Simply Stated blog team. I have, however, been working in Real Simple's fashion department for the past 4+ years. As the assistant fashion editor, I write and do market work for print, as well as for the Daily Finds section of the website. Since […]
more about: designers
The Best Of NY Fashion Week Day 2-4: Tory Burch, Rebecca Taylor, DKNY, Lela Rose & DvF
Fashion week rolled on through the weekend and I'm happy to report back with some strong looks and wearable trends (vibrant colors, menswear, bold prints, chic layering and the 70's are back!)


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Headlines March 16, 2009 Full Show | First Story >
AIG to Pay Out $450 Million in Bonuses
The failed insurance giant AIG is preparing to pay out $450 million in bonuses to top executives and other employees despite receiving a $173 billion government bailout. The bonuses include over $165 million to executives in the Financial Products unit, which lost $40 billion last year and played a major role in the meltdown of the global financial system. AIG is paying out the bonuses even though it is now 80 percent owned by the US government. On Sunday, Lawrence Summers, the director of the White House National Economic Council, described the bonuses as outrageous, but he said the bonuses are part of a contract.
Lawrence Summers: "We are a country of law. There are contracts. The government cannot just abrogate contracts. Every legal step possible to limit those bonuses is being taken by Secretary Geithner and by the Federal Reserve system."
AIG's new chief executive Edward Liddy justified the bonuses, saying AIG would have trouble attracting and retaining talent "if employees believe their compensation is subject to continued and arbitrary adjustment by the US Treasury."
AIG Lists Banks It Gave Bailout Money To
Meanwhile, AIG has disclosed for the first time the names of the financial institutions that benefited from the government's $173 billion bailout. Goldman Sachs was the largest recipient at nearly $13 billion. Over $35 billion was also paid out to foreign banks including Société Générale of France, Deutsche Bank of Germany, Barclays of Britain and UBS of Switzerland.
FMLN's Mauricio Funes Wins El Salvador Election
In El Salvador, leftist presidential candidate Mauricio Funes has claimed victory, ending twenty years of conservative rule. Funes's party, the FMLN, is a former guerrilla group that fought El Salvador's US-backed military government for close to twenty years. Funes defeated Rodrigo Avila of the ARENA party by three percentage points. During a victory speech, Funes promised "safe change" in the mold of Brazil's president, Luiz Inácio Lula da Silva.
Mauricio Funes: "That is why I invite, from this moment, different social and political forces to help us build this unity, which should be based on tolerance, on respecting differences and the identification of common objectives."
Pakistan Reinstates Sacked Chief Justice
In an attempt to defuse a growing political crisis, the Pakistani government has announced the reinstatement of Iftikhar Chaudhry, the deposed chief justice. The move comes as Pakistan was facing mass streets protests against the rule of President Asif Ali Zardari, the widower of Benazir Bhutto. On Friday, Zardari ordered Pakistan's main opposition leader, former Prime Minister Nawaz Sharif, to be placed under house arrest. Sharif defied the order and held a large protest in Lahore on Sunday. Sharif was threatening to march to Islamabad, but the protest was called off after the government announced the reinstatement of Chaudhry. Chaudhry and sixty other judges were dismissed in 2007 by former president General Pervez Musharraf.
Israeli Troops Shoot US Activist in West Bank
An American activist from Oakland, California was critically injured Friday when Israeli soldiers fired a tear gas canister directly at his head during a weekly nonviolent protest against the wall in the West Bank village of N'alin. Thirty-seven-year-old Tristan Anderson is the fourth member of the International Solidarity Movement to be critically injured or killed by the Israeli military since 2003.
Jonathan Pollak of the ISM: "He was shot at directly with a tear gas projectile, with an extended range tear gas projectile from about fifty to sixty meters. And the impact caused several condensed fractures to his skull and collapsation of his eye socket. He was operated on in the hospital a few hours later in critical condition, and large portions of his frontal lobe had to be removed, because it was splattered with bone fragments as a result of the impact of the tear gas canister."
During their weekly demonstrations since last April, four unarmed N'alin residents have been killed and over 400 injured by the Israeli Defense Forces.
Red Cross Report: US Committed Torture at CIA Black Sites
The International Committee of the Red Cross concluded in a secret report two years ago that the Bush administration's treatment of prisoners "constituted torture" in violation of the Geneva Conventions. The findings were based on interviews with prisoners once held in the CIA's secret black sites. The Red Cross said the fourteen prisoners held in the CIA prisons gave remarkably uniform accounts of abuse that included beatings, sleep deprivation, extreme temperatures and, in some cases, waterboarding. The author Mark Danner published parts of the secret Red Cross report in the New York Review of Books. Danner said the Red Cross's use of the word "torture" has important legal implications. Danner said, "It could not be more important that the ICRC explicitly uses the words 'torture' and 'cruel and degrading.' The ICRC is the guardian of the Geneva Conventions, and when it uses those words, they have the force of law."
Cheney: Obama Policies Are Making US Less Safe
Hours after excerpts of the Red Cross report were published, former Vice President Dick Cheney appeared on CNN. He was asked whether he believed President Obama was making Americans less safe by abandoning some of the Bush administration's counterterrorism techniques.
Dick Cheney: "I do. I think those programs were absolutely essential to the success we enjoyed of being able to collect the intelligence that let us defeat all further attempts to launch attacks against the United States since 9/11. I think that's a great success story. It was done legally. It was done in accordance with our constitutional practices and principles. President Obama campaigned against it all across the country. And now he's making some choices that, in my mind, will in fact raise the risk to the American people of another attack."
Obama: US Can Detain Prisoners Indefinitely Without Charge
Dick Cheney's comments came days after the Obama administration said it will no longer consider prisoners at Guantanamo Bay to be enemy combatants. Despite abandoning the label, the administration claims it still has the right to hold prisoners indefinitely without charge even if the individual is captured far from any battlefield and has not directly participated in hostilities.
Madoff Lawyers File an Appeal for his Release
Attorneys for Bernard Madoff have filed an appeal to challenge a judge's decision to keep the former chairman of NASDAQ in jail until his sentencing in June. On Thursday, Madoff pleaded guilty to running the biggest Ponzi scheme in history, defrauding investors of $64 billion. He faces up to 150 years in prison. Meanwhile, newly released court documents show Madoff and his wife had a net worth of over $800 million at the end of last year. Their assets included homes in Manhattan, Palm Beach and the French Riviera, a $7 million yacht, a $2 million fishing boat and $2.6 million in jewelry. Madoff's wife is trying to keep nearly $70 million worth of assets, including a penthouse Manhattan apartment, claiming her money has nothing to do with her husband's scheme.
China Expresses Concern over Safety of US Investments
In other economic news, Chinese Premier Wen Jiabao has publicly expressed concern about the security of China's trillion-dollar investment in US government debt. Wen said, "We have lent a huge amount of money to the US. Of course we are concerned about the safety of our assets." China is America's biggest foreign creditor.
European Lawmakers Meet with Hamas Leader in Syria
On Saturday, a European delegation met with Hamas leader Khaled Meshaal in Damascus in the first announced visit of a European delegation to meet with Hamas leaders. Members of the delegation included British Parliamentarian Clare Short.
Clare Short: "We're very clear that to make progress we need to talk to Hamas, because they represent a big proportion of the Palestinian people. So we're trying, by our visit, to bring more and more parliamentarians to open up discussion with Hamas in order to move things forward in the hope that we can, in the end, get a just peace."
Two Israeli Police Officers Shot Dead in West Bank
Two Israeli police officers were shot dead on Sunday near the settlement of Masu'a in the northern West Bank. An organization calling itself the "Imad Mughniyeh Group" claimed responsibility for the attack.
Taliban Bomb Kills Four US Soldiers
In Afghanistan, the Taliban has claimed responsibility for setting a roadside bomb that killed four US soldiers on Sunday. Meanwhile, the mayor of Kandahar survived an assassination attempt Sunday when a remote-controlled bomb was place on a wheelbarrow near his office. The bombing killed one person and injured six others.
US Missile Strike Kills Four in Pakistan
The US has carried out another missile strike inside Pakistan. A US Predator drone fired two hellfire missiles at a home near the Afghan border. The strike reportedly killed four militants.
Hilda Solis Sworn in as Labor Secretary
Former California Congresswoman Hilda Solis has been sworn in as Labor Secretary. In her first day in office, Solis announced the suspension of Bush administration rules that made it easier for companies to hire immigrants as so-called guest workers. Solis said today's economic climate makes educating workers more important.
Hilda Solis: "In times of economic crisis, giving Americans the tools they need to find and keep good jobs must be our priority. Now, more than ever, we must help workers by prioritizing job training and assistance. Retooling our workforce not only helps workers but supports high growth industries by ensuring they have the adequate skills that workers need."
New Mexico Votes to Abolish Death Penalty
New Mexico has moved a step closer to abolishing the death penalty. On Friday, the state senate voted 24-to-18 to end capital punishment, but it is unclear if Democratic Governor Bill Richardson will sign the repeal bill.
Vermont Considers Legalizing Same-Sex Marriage
In Vermont, hearings begin today on whether the state should legalize same-sex marriage.
14 Anti-Coal Activists Arrested in Tennessee
In Tennessee, fourteen anti-coal activists were arrested Saturday as they participated in a die-in in front of the Tennessee Valley Authority's headquarters in Knoxville. Organizers said the action was held to show solidarity with communities affected by the destructive impacts of mountaintop removal coal mining and the survivors of the recent coal ash disaster outside of Knoxville.
Arizona's Oldest Newspaper, Tucson Citizen, to Close
And in Arizona, the state's oldest newspaper, the Tucson Citizen, has announced its final issue will be on Saturday. The paper is owned by the Gannet chain. Meanwhile, members of the San Francisco Chronicle's largest union have agreed to contract concessions that parent company Hearst Corporation says are essential to keeping the newspaper open.
Recent Shows More
Gorbachev: Ukraine Crisis Could Turn into All-Out War
Two Israeli Soldiers, U.N. Peacekeeper Killed in Hezbollah-Israel Clashes
Attorney General Nominee: NSA Surveillance is "Constitutional and Effective"
Study: Foreign Intervention in Civil War 100x More Likely in Oil-Rich Nations
Snowden Documents Expose Canadian Effort to Monitor Millions of Internet Users
16 Million Children in the U.S. Now Live in Families on Food Stamps
Raúl Castro: U.S. Must Return Guantánamo Before Normalization of Relations
Chilean Intelligence Officers Sentenced for Killing Americans After '73 Coup
Detroit Officer Who Shot 7-Year-Old Dead in House Raid is Cleared of Charges
U.N. Condemns Israeli Killing of Spanish Peacekeeper in Lebanon
State Department Questioned over Israeli Occupation of Shebaa Farms
Greek Government Rehires 600 Cleaning Staff Laid Off Due to Austerity
Republican Senators Question Loretta Lynch on Immigration Policy
Supreme Court Stays 3 Oklahoma Executions to Conduct Review of Lethal Injection
Australian Inquiry Confirms Police Shot Dead Hostage in Cafe Siege
St. Louis Meeting over Police Accountability Breaks Out into Brawl
South Carolina Court Clears "Friendship Nine" for 1961 Lunch Counter Protest
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DN! In Depth
By Amy Goodman with Denis Moynihan
On March 21, 1915, a motion picture was screened for the first time inside the White House. President Woodrow Wilson sat down to watch D.W. Griffith's "The Birth of a Nation," considered one of the most nakedly racist of all time. One hundred years later, another film was screened at the White House, this time at the invitation of the first African-American president. The film was "Selma."
Feb5Thu | 4:00 pm
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Jan 23, 2015


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Japanese pattern, from Tuniques Robes etc. My first attempt of adapting a pattern so it would fit right on an occidental too-tall lady. It worked.
100% cotton meant for quilting.
Jan 9, 2013, 07.36 PMby Mary Athey
Just gotgeous. I love.the fabric and.the mirrors fab as well x
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* Prices may differ from that shown
Lucasz and Carl delivered our beds today. They were delightful. Never complaining. They even fitted some pads to the bed legs!It was pleasure to have them around.A very big thank you to both of them!
We recommend they wonderful and very helpful service!
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Khalid and Mick (team A) delivered our Warren Evans bed on 16th dec 2014. They were professional, friendly and assembled the bed and laid the mattress in under half an hour. This was after having driven up from London to deliver to us up north in Sheffield. They cleared up after themselves and left us a superb bed that has improved our sleep no end! I highly recommend Warren Evans for quality beds and an excellent delivery service.
The A - Team of MIck and Khalid were on time - always a good start. They were efficient, courteous, friendly and very professional in their work. The double bed was brought up 2 flights of stairs, assembled, mattress laid, all within 15 minutes. No mess, no hassle great job !
This is the 4th bed that I've bought from Warren Evans, I think it's safe to say that I really like their beds! The delivery was on time and the bed was assembled by Des and Mick (Team A) quickly and efficiently. They removed all the packaging and were all finished within 15 minutes. I haven't slept on the bed yet but I'm sure it will be just as comfortable as the other beds we have had from them.
We're really pleased with our new bed frame. The shopping experience was really straightforward and Lucy at the Clapham Junction shop was very helpful, reminding us of key considerations and patiently answering all of our questions.
Delivery was bang on time and the bed was up and running in not time at all - thanks to Team D (Lucas and Lucas).
Very good service up to the point of the delivery guys putting the bed frame together when it sloped at around 40 degrees. This was around 10.30am - I was leaving London at 1.45 and someone was due to sleep in the bed that night. Team S - Dave G and L Harris - managed to take the dud bed away and return at 1.30pm to put together the right bed - very impressive service and delightful guys.
Slightly worrying was that I was their third delivery of the morning and the second one that had to be removed as it was incorrect.
Very easy to deal with on the telephone - excellent customer service.
I'd been a bit resistant to Tempur mattresses but Dennis at the Camden store was extremely informative and helpful - no pressure, even from the mattresses - and we opted for a Tempur Cloud 21 which we thought was the most comfortable. Mick and Fabian were helpful, nice and quick with their delivery. The mattress DOES take some getting used to, as Dennis and the info booklet warned us, and my husband (who has bone cancer, and hence lots of difficulty in finding a comfortable position in which to lie) is still getting used to it, but I think he will. I love it: it's like a kindly welcome every time I lie on it.
Wonderful service from Mick and Khalid (Team A - or should that be the A Team!) today who brought my bed and set it up with no fuss and fast. It's beautiful. And the mattress (Grand) is a dream. I bought online, and was looked after every step of the way by Charlotte Povey, who made sure I had thought of everything crucial - size, access to flat, colour and gave friendly, helpful advice. I felt very looked after in the process. Warren Evans really deserves its reputation.
The customer service lady, Amy in Brighton' s store was very attentive, giving us the advice we needed. After we purchased the bed, she kept up great lines of communication.
Team R, Daniel and Kevin, were the best delivery men we have ever encountered, we were having a carpet fitted and timings merged into each other, they were very patient, waiting until it had been fitted and then installed the bed for us. They were really great.
The bed itself is smashing, great value for money, looks really stylish, the mattress is exceedingly comfortable, we have been sleeping perfectly since purchasing the bed.
Took a risk and ordered online without going into the store. Very pleased with the result. Had a bed, matching under bed storage ( which is usefully bigger than expected ) and two side tables. All products are well made and great value.
After sales service was excellent with a swift phone call to discuss delivery options. A few days later I was given a 3 hour slot with confirmation that the delivery team would ring on the day 1 hour before they arrived. I got the call on the day and Team D ( Lucas and Lucas ) were great - polite, on time and they built the bed very well and very quickly.
Overall, excellent in all respects.


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Please join us for the Milwaukee Junior League's Kids in the Kitchen at the Southwest YMCA starting in February.
Kids in the Kitchen is an interactive program that will empower your family to make healthy lifestyle choices. Kids in grades 1-5 and their parents/guardians will learn about the five food groups that are the building blocks for a healthy diet. This energetic program helps children learn the benefits of eating healthy using "MyPlate for Kids, " a simple nutrition guide. Each session includes hands-on meal preparation.
Kids in the Kitchen has three unique sessions and participants can sign-up for one, two, or all three.
Events will be held at the Southwest YMCA (11311 W. Howard Ave., Greenfield.
Saturday, February 22nd (Topic: MyPlate for Kids)
Saturday, March 1st (Topic: How Much food do I need?)
Saturday, March 8th (Topic: Empty Calories/Extra Food)
Cost is $5 per session for Y members ($12 for all 3) or $8 for 1 session for community participants ($20 for all 3).
If you have any questions, please contact Hanna Misiak at 414-329-3879 or via email at email@example.com.
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Jennifer L. Pozner, the author of 'Reality Bites Back: The Troubling Truth About Guilty Pleasure TV,' didn't necessarily want to write a book about reality TV, but she felt like it was her duty. "I wrote the book because I kept waiting for someone else to do it, and nobody was," said Pozner, the founder and executive director of Women In Media & News. "I kept waiting for a really critical c...
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text: mission statementThe Massachusetts Water Works Association, Inc. is a membership organization dedicated to the advancement of the drinking water profession. Through education and advocacy, MWWA is committed to public health by promoting a safe and sufficient supply of drinking water to Massachusetts consumers. welcome to our website!Our website has many features including: on-line registration for training and events, a listing of our sponsors with links to their websites and our online business directory. Members have special access to a members-only login area where they can update their membership profile, access current and archived editions of the H2O Pump newsletter, obtain information on our advocacy efforts and our on-line member directory. If you are not a member consider becoming one today 2015 MWWA meeting/event schedule - Click here for a PDF with dates for MWWA's meetings and events scheduled for 2015THE AC PIPE TRAINING SCHEDULED FOR JANUARY 28TH IS POSTPONED UNTIL WEDNESDAY, FEBRUARY 4TH DUE TO THE BLIZZARD.spring prerequisite courses announcedConcepts and Practices of Basic Treatment (for the T2 Exam) will be offered at Massasoit Community College in Middleborough beginning on Monday, February 23, 2015. This 10-week course will run until May 11, 2015 (no classes on 3/16 or 4/20). Registration is done through Massasoit Community College, please download the brochure here. Concepts and Practices of Drinking Water Distribution (for the D2-4 Exam) will be offered in two locations: Middleborough Massasoit Community College will begin on Thursday, February 19, 2015. This 11-week course will run until May 7, 2015 (no class on 3/19). Registration is done through Massasoit Community College, please download the brochure here. Northampton will begin on Wednesday, March 4, 2015 and will run until May 13, 2015. For complete information download the flyer or register by clicking here:2015 MWWA's Concepts and Practices of Drinking Water Distribution-Northampton, MA water infrastructure bill signed into lawOn August 6, 2014, Governor Deval Patrick signed into law a bill that would add additional funding for water and wastewater infrastructure improvements. The funding increases capitalization of the State Revolving Loan Fund by $50 million and would allow the Trust to award less than 2% loans or even principal forgiveness if projects meet certain criteria. To view Chapter 259 of the Acts of 2014 click here. scholarship informationEach year, MWWA presents scholarships to undergraduate students of higher learning whose parent or grandparent is an MWWA member in good standing for a minimum of 3 years. The award will be presented to recipient(s) at the Annual Meeting and Awards Banquet. Scholarship Applications can be downloaded here. Water Infrastructure Finance Commission Issues Final Report and Recommendations: Click here to view a copy of this report.view photos from our past eventsMWWA is a vibrant organization with lots of interesting events which give our members opportunities to network with others in the profession and learn more about what is going on in the water works field. If you would like to view photos from our membership meetings, Summer Expo or social events, click here. |


text: Ray SmithStaff Software Engineer, Google Inc Ray is one of the world's leading experts in Optical Character Recognition. Ray worked on OCR at HP Labs for 10 years, and then at HP's scanner division, followed by 7 years at Caere/Scansoft/Nuance leading the design of the Omnipage OCR engine. Ray is now with Google. |


text:
Posted Date: 12 Jan, 2013
Category: HSEB
Author: Edu Sanjal
Higher Secondary Education Board (HSEB) Sanothimi, Bhaktapur today published the final exam schedule (for both regular and partial studeents) for grade XI and grade XII. According to this published schedule the final exam of grade 12 will start from 2070 Baishakha 17 and will end on 2070 Baishakha 29.
The exam of grade 11 will start from Baishakha 31 and will end on Jestha 10. The examination time has been fixed as 7 am to 10 am.
To view the notice download the exam schedule below.
Grade 11 and grade 12 final exam notice by HSEB.pdf
Or view the exam routine of grade 12 and grade 11 in the image below.
Exam routine of Grade 12 Final exam: 2070
Exam routine of Grade 11 Final exam: 2070
Important Notice:
1. Examination will not be rescheduled for absent students.
2. Examination will not be postponed or cancelled without the prior information issued by HSEB even if there is an emergency holiday.
3. Students are responsible for any stationery items (pen, pencils, erasers, graph/chart papers etc.) that are required for examination.
4. Science student who are taking Biology subject, must use a separate answer sheet for Zoology and Botany.
5. Practical examination date will be published later.
6. Students must take the exam from the specified examination centre only. It cannot be changed.
7. Mobiles phones are strictly prohibited at the examination centre.
Keywords : hseb, hseb notice
Guys i have completed level 11 and i succesfully passed all the modules, however i am facing difficulties attending the level 12 due to that i work abroad.Does Any one officialy knows if i have the right to give only the level 12 in a later stage.
I dint appear in my 11th exam due some critical reason,so is there any option to complete it?


text:
Unauthorized Copies of Medical Texts on Apple Apps Store
I am on vacation this week so I have also been taking a bit of electronic vacation as well with the blog. But I ran across a post earlier this morning and thought…."Wow I have to blog about this!"
The post is on iMedicalApps.com, "Are unauthorized copies of popular medical textbooks being sold in Apple App Store?" While reviewing "Human Anatomy Pro for iPad" by YoDevApps LLC, Tom Lewis noticed striking similarities between the Human Anatomy app and the Gray's Anatomy for Student App/textbook. Yet, there was no mention of this in the original iTunes description and upon further examination, Tom noted that all the images and words were direct copies of the original text of Gray's.
Tom emailed (June 10, 2012) YoDevApps LLC for explannation of the "similarities," and basically Evans Ben (YoDevApps), in a poorly worded and spelled email, told Tom there are similarities to Gray's as well as other texts because he consulted the text when creating his app.
Yet this is not limited to Human Anatomy Pro and Gray's. Tom discovered there were several titles that appeared to have a lot in common with well established medical texts. They are:
- Illustrated Medical Dictionary (Similar to Dorland's illustrated Medical Dictionary)
- Principles of Internal Medicine (Similar to Harrisons Principles of Internal Medicine)
- Clinical Medicine (Similar to Clinical Medicine by Kumar and Clark)
- Principles of Anatomy and Physiology (Similar to Essentials of Anatomy and Physiology)
On the iMedicalApps site Tom provides screen captures of images from the YoDevApps iTunes page and compares them to the other textbooks. When making the comparisons, Tom used both printed editions of books (Kumar and Clark) and other ebook editions (Harrison's via Inkling). The images are identical.
Obviously as Tom indicates, these apps raise a lot of questions about proper licensing and distribution of copyrighted material. Since the content appears to be heavily borrowed, it also makes it extremely difficult to trust the developer on content accuracy which is essential for medical apps.
iMedicalApps recently contacted publishers (of the original texts) and Apple regarding situation and will update their article when they have a response from those involved. As of 6/12/2012 Elsevier has responded and is "initiating action".
Not only is this whole thing interesting from a copyright standpoint, but it reminds us that we must be careful regarding medical apps. Any developer can throw something up on the App Store and have it look reliable.
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Libraries Loaning iPads
A few weeks ago I sent out an email to MEDLIB-L asking for librarians who are circulating iPads to contact me off list to answer some questions. I was really killing about 3 birds with one stone. Not only did iMedicalApps want me to write a story about libraries loaning iPads, but I wanted to investigate the idea for our library, and I wanted to share the information for others on this blog.
A lot of librarians got back to me and I want to thank everyone who responded.
Here are some links about current library loaning projects:
- Setting Up A Lending Program -Tips and resources for setting up an iPad lending program. Nova Southeastern University Health Professions Division Library
- iPad on loan: a project of the CMB UMCG – Background information, finding medical apps, and information on how to add bookmarks to iPad browser (check the side bar for a lot of information). University of Groningen Central Medical Library
- Setting up a library iPad program: Guidelins for success- Full text article in ACRL News by Sara Thompson at Briar Cliff University
- Continuing the converstation: Integrating iPads and Tablet Computers into Library Services – ALA Tech Source article by Daniel Freeman.
Sampling of library policies:
- Duke http://www.mclibrary.duke.edu/services/ipad
- KOC University http://library.ku.edu.tr/technology_lending
- University of California Irvine http://libguides.lib.uci.edu/content.php?pid=71488&sid=529255
- University of Chicago https://itservices.uchicago.edu/page/techbr-equipment-lending-terms-and-conditions
- University of Utah (iPad, Xoom, Kindle, Nook) http://campusguides.lib.utah.edu/EcclesMobileDevices
- Virginia Tech http://www.lib.vt.edu/artarch/ipad-policy.html
- Wake Forest http://zsr.wfu.edu/about/policies/technology-ipad
- ZweigBibliothek Medizin in Münster, Germany What to consider when borrowing English Translation
Sampling of general apps loaded on iPads:
- Adobe Photoshop Express
- Apple's iWork apps (Pages, Numbers, Keynote)
- Box
- DocToGo
- Dolphin Browser
- DropBox
- Elements
- Evernote
- GoodReader
- Google Search
- iAnnotate PDF
- iBook
- Kindle
- Nook
- PDF Expert
- QuickOffice
- Penultimate
- Podcasting 4 Education
- Print Central for iPad
- Sekai Camera for iPad
- Skype
- Whiteboard HD
Sampling of medical apps loaded on iPads:
- 3D STem Cell Simulation & Strain Tool
- AHRQ ePSS
- AIDSInfo HIV/AIDS Glossary
- BrainPro
- DailyMed
- Davis's Drug Guide
- Dragon Dictation
- Epocrates
- Eponyms
- Embryo
- Eye Chart Pro
- GeneIndex
- Health Hotlines
- Human Anatomy!
- Improve Bleeding Risk Tool
- Improve VTE Associative Model
- Inkly
- iMuscle
- iPharmacyPro
- iRadiology
- iTriage
- LactMed
- LexiComp
- MedCalc
- Micromedex
- MedPage Today
- Mobile REMM (Radiation Emergency Medical Management)
- Molecules
- Muscle & Bone Anatomy 3D
- NEJM This Week
- NeuroMind
- Skyscape Medical Resources
Sample of medical library type apps loaded:
(Some overlap with above list. I think some maybe bookmarks not necessarily apps)
- AccessMedicine
- Annals of Oncology
- Annual Reviews
- Chest
- Clinical Pharmacology
- DailyMed
- Diagnosaurus
- DynaMed
- EBSCOHost
- First Consult
- Health Hotlines
- LactMed
- LexiComp
- Mary Ann Liebert Journals
- MDConsult
- Medscape
- Micromedex
- Natural Standard
- PLoS Medicine
- Procedures Consult
- PsychOnline
- PubMed (unclear whether PubMed Mobile or for Handhelds)
- PubMed Clip
- RefWorks Mobile
- Science Direct
- StatREF!
- Skyscape Medical Resources
- VisualDX
Loan Rules
Loan rules vary from a few hours to a few days. Most libraries reset the devices to factory standards for security and privacy reasons. Although a few librarians have reported that some apps "remember" despite this and are looking into more. I was unable to find many hospital libraries that loan out iPads.
Secure Network and EMR
Additionally few hospitals or medical school responded that their iPads were also able to access the EMR. Mayo Clinic's iPads can access the EMR as well as the devices used by residents at the NSU residency program at Palmetto Hospital. As we are looking into our own iPad program we discovered that our devices must have specific Microsoft Client Access Licenses (CALs) to software necessary to access the secure network (and the EMR). For us, the CALs add quite a bit to the cost of the iPad, about $200 more. You pay per device. So each regular 16 GB WiFi only iPad3 that normally costs $499 ends up costing $799 once you factor in the cost of the CAL's and AppleCare+ (2 yr insurance on the device for $100). We feel it is essential to get on the secure network so the extra cost of the CALs is something we have to plan for. Working with IT has been essential in this process, without them we would not have known of the requirement to get the iPads on the secure network. While the cost of the CALs was a surprise, I am glad we had IT help so that it was a surprise in the beginning/planning stages not after we bought them.
Both libraries who loan iPads and those who don't are providing lists of mobile friendly (and tablet friendly) library apps and websites. Things are bit like the Wild West with apps and mobile sites. Some library vendors mobile friendly sites require secondary authentication (using their own personal login) despite being on institutional network. Some vendors are creating apps when really a mobile friendly site is all that is needed. Apps often require a username and password to use regardless of whether they are on institutional network. Some apps are intended for individual subscribers NOT institutional subscribers, and unless the wording explicitly states that, it is confusing.
Regarding medical apps (not medical library apps like databases), library purchase (or not) policies are varried as well. Some libraries have accounts on iTunes to buy apps in bulk, while others just load devices with free apps that people might need. Some have said that they do not buy specific medical apps because the iPads are circulated to eveyone and that would mean a lot of different subject specific apps that would need to be on the device. Some librarians also spoke about the need to constantly update the apps, especially the free apps. In order for the pre-installed library "owned" apps to be updated, somebody must log in using the library install account to update them. Some mentioned this could be time consuming depending on how many they have loaded.
Many libraries seem to allow people to load their own apps on the loaned devices. The reason is that the app follows the patron not the library. So when the library restores the iPad to factory settings the app disappears from the library device, but the patron still retains ownership and can install it on another iPad.
Other thoughts and suggestions
Start off with a few iPads then grow if/as needed.
Tie the iPads into the curriculum, load medical bookmarks/apps, or get them on the secure network, in other words make them relevant for work. One library reported they bought iPads but really didn't have a budget for apps and most already had smartphones and laptops so the iPad was more fun than productive.
Many people said that their patrons often did a try before you buy with the library iPads. Not sure how some feel about this given how expensive of an investment the devices are, but part of me knows they already do this with our textbooks.
Barcode and label EVERYTHING! Some librarians reported their patrons trying to swap out their old frayed Apple charging cables by passing them off as the library's cables.
Get a bag and a cover for the iPad. Cover helps protects the device while in use. The bag makes it easier to hold all of the stuff (charger, forms, etc.) for circulation AND not everyone who use the device have lab coats and it is nice to just put in a shoulder bag.
I hope this is helpful to others who currently are lending iPads and to those looking to start. Feel free to comment if you have more information or questions.
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Libraries Loaning iPads
This morning I posted on iMedicalApps.com the article, "Don't have an iPad, go to the medical library and borrow one." There are lots of medical libraries loaning iPads out to their patrons and this post was a way to highlight to physicians some of the ways libraries are helping them get connected using iPads.
In my research I discovered that there are A LOT of medical libraries doing this, too many to list in the actual article. So in order to have a more comprehensive list of libraries loaning iPads I thought it would be a good idea to create a comprehensive list of libraries who loan them and post it on the iMedicalApps forum. So if you library loans iPads, list it on the forum with your basic rules and some of the popular apps loaded. Remember keep it short and sweet with not to much library geek jargon, we want it to be easy for docs and medical professionals to scan through and look at it.
Interested in the geeky library details? Don't worry, I will posting in the next few days the librarian version of the iMedicalApps article. This will have the information that librarians interested in starting their own iPad loaning project will want to know about.
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Harrison's Through Inkling vs. AccessMedicine
The iMedicalApps team compared Harrison's Principles of Internal Medicine on Inkling vs. AccessMedicine. I feel I am at a bit of a conflict of interest here. I have recently begun to work with iMedicalApps to write some posts (I am currently working on a post right now) and I agreed to moderate the Medical Librarian's Corner of their Medical Apps Forum.
My problem is that I see at least one error in the review, another area where the author needed to be clearer in their evaluation, omissions regarding updates, and a slight bias toward student use. As a result it makes it difficult for me to read the comparison without talking back to the computer. Now I don't have an iPad (saving up for an iPad 3 when they come out) and I don't have a subscription to Inkling, but I have worked with Harrison's Online through AccessMedicine extensively so I am extremely familiar with it. Since I don't have Inkling's Harrion's I can't do a comparison of the two products, but I feel the need to point out the error in the review and provide some criticisms about the review itself.
While I may be struggling with how to do this appropriately given my new relationship with iMedicalApps, I don't have any conflict of interest with AccessMedicine, McGraw Hill or any of the Access databases. In fact I have recently been kind of critical of them for having difficult mobile access policies (require personal login even while on campus) that do more to hinder the use of their ebooks.
Update 2/22/12 Ooops…I am wrong, I do have a conflict of interest with McGraw Hill that I should report. I am on the Library Board for Silverchair and Silverchair actually built McGraw Hill's AccessMedicine product. I want to thank those who reminded me of that. It was never my intention to hide that information, I just was more focused on the actual product and the review and honestly forgot about Silverchair's involvement. So I guess with ties to iMedicalApps and AccessMedicine, you could say I am equally(?) conflicted?
Despite the various possible conflicts of interest, I really just tried to expand on the orginal review of the two platforms and correct an error.
First, let me address the obvious error within the review. The author of the review compared the search features of the Inkling platform and the AccessMedicine platform.
"Both AM and Inkling have search capacities, but Inkling's is far superior. First, Inkling confines its search only to Harrison's and it retrieves every table, figure, and text finding. AM, on the other hand, has a website-wide search function that doesn't just give Harrison's results but also the results from other titles in the AM library."
This is incorrect. AccessMedicine's Harrison's can search only within the book. The author of this review failed to notice the drop down arrow next to the search box that allows one to search only within Harrison's. See image below.
This a pretty obvious error. Now I admit the default for the search box is AccessMedcine (as you can see) but just clicking the arrow you can easily limit your search to Harrison's. Perhaps AccessMedcine might want to consider making the default for the Search dependent on where the user is on the site. If the user is within Harrison's then the default is Harrison's. If the user is in Goodman and Gilman's then the default is Goodman and Gilman's. If this is possible, this would help people out.
Second, I feel the reviewer needs to be a little clearer regarding the search results within Inkling and AccessMedicine. The reviewer takes issue with the number of times the term heparin was found within AccessMedicine's Harrison's vs Inkling.
"Moreover, the power of the Inkling search is greater than AM's. I retrieved 50 matches when I searched Heparin on Inkling. In AM, I only retrieved 13 matches, most of which were tables, rather than mentions of heparin within text chapters. Harrison's is such a mammoth text that a powerful search function is essential, which Inkling provides and AM does not.
This statement implies that the reviewer only looked at the search results screen from Harrison's and counted on the number of retrieved results. They are correct that most of the retrieved results were tables where heparin was mentioned, and only one result was where heparin was mentioned within the text of Harrison's. However, this is kind of misleading. This implies that the term heparin was only mention once in the entire book of Harrison's on AccessMedicine, which is not the case. When you do a search for heparin in AccessMedicine's Harrison's, the top result (see image below) is a whole chapter on antiplatelets and anticoagulants (Chapter 118). Yet in the reviewers own screen shots, a search on heparin in Inkling also lists mostly tables AND the most relevant information (the chapter that heparin is mentioned) is listed far down on the retrieved results. I would have thought the chapter is more relevant than the tables (and given the tone of the review, so does the reviewer) but it would seem from the Inkling screen shots that it isn't because listing for the chapter burried below the results for tables.
The whole chapter in AccessMedicine's Harrison's has over 100 mentions of the term heparin (as shown in bright red circle below)
So my question for the reviewer is whether Inkling retrieved more hits because it was counting the multiple times the term heparin was mentioned in the chapter on anticoagulants OR did it find more instances of the term heparin within OTHER chapters of Harrison's. This is kind of an important nuance when you are looking at search results. Because if Inkling's 50 hits were all within the same anticoagulant chapter then the search feature is similar to AccessMedicine's and the results are just presented differently. (Here is a whole chapter on heparin vs. here is where it is mentioned every single time in the chapter.) But if Inking's search found more instances of the term heparin within other chapters of the whole book then the search features on Inkling are picking up something that AccessMedicine isn't. Is this good or bad? It really depends. Is it picking up relevant results like the paragraph on heparin in Chapter 370 Cerebrovascular Diseases (ischemic stroke section) or is it just picking up the term where it is used briefly in a sentence and really has little relevance if you truly searching the subject heparin? It is also important to remember that Inkling's results for heparin were not as relevant because the chapter was listed the tables.
When looking at the strength of search engines more than a mere word count needs to be discussed if we are to really understand which platform has the best search features. Relevancy is way more important than sheer number of results, look how much junk floats to the surface of some Google searches. Unfortunately this was not discussed in detail enough for us to determine whether Inkling's search engine is really better (retrieves more relevant results).
The reviewer does correctly mention that AccessMedicine has the most updated information from Harrison's. Updates are made continuously online through AccessMedicine, therefore a reader doesn't have to wait for a new printing of the book. "It is uncertain whether Inkling will enable the same kind of updates." The reviewer surmises that Inkling will update their version when the next edition of Harrison's is available (much like a print edition schedule). However, the reviewer omitted to discuss the e-chapters within AccessMedicine's Harrisons and whether they were available on Inkling.
There are over 50 e-chapters that according to AccessMedicine are only available online (image below just captures the last chapters with the note about the e-chapter logo).
That is A LOT of addition e-content. Some of those e-chapters are tutorials and videos but others are actual chapters not "ancillary content."
Some chapters that are e-content only:
- Primary Care in Low and Middle Income Countries
- Complementary, Alternative & Integrative Medicine
- Ethical Issues in Clinical Medicine
- Approach to the Patient with a Heart Murmur
- Mitochondrial DNA and Heritable Traits and Diseases
It is imporant to know whether Inkling's text has these same chapters as AccessMedicine or whether it is missing chapters.
Finally, the reviewer seems to have a slight bias toward student use. The reviewer seems to dismiss the charts, tables, and PowerPoint lecture slides.
"There is also some ancillary material that the AM version gives that Inkling does not. Nearly every chapter in AM's Harrison's has powerpoint lecture slides that have figures and tables from the book. This is not of great importance to most students I suspect, but instructors may care."
Maybe some students may not care about slides, figures, and PowerPoint slides, but if you have to give a presentation you probably care a lot. As a librarian at a large research medical center I can tell you this type of "ancillary material" is asked for and used more than the reviewer would think. For example I can't tell you how many times I used to get asked about NEJM's PowerPoint slides and how they could download them. (I am not unique, other librarians have been asked this too.) So I would say that Harrison's slides, charts and tables are more than just mere ancillary material that only instructors may care about. I think if you are doing any research, publishing, and presenting you will be very happy to have another resource for your papers and presentations.
Now that I have pointed out the things I found to be lacking in the review, I do want to mention some of things that I feel the reviewer correctly hit on.
Note taking within AccessMedicine's Harrison's is not helpful and all types of users, including students, take notes. If you have created your own personal MyAccessMedcine account you can "Bookmark" chapters and items, but you really can't take notes.
The reviewer is also correct that if you want a version of Harrison's that is not dependent on an Internet connection then Inkling is for you. However, as hospital networks improve I see this locally loaded feature (of any product not just Inkling) to be less of an issue. The cloud is the future for information storage and retrieval. But I do recognize this is a personal taste issue, some people just like having content loaded locally.
The way AccessMedicine limits readers to view only sections at a time is frustrating and a barrier. As a result AccessMedicine's Harrison's Online is not an easy book to read online. Inkling's version appears to be very easy to read online based ont he review. The reviewer correctly mentioned the reason for divvying up the book into sections was to prevent online piracy. Unfortunatly, this does little to prevent piracy and more to inhibit real usage. (People are scanning entire books and making them available online. AccessMedicine does little to prevent guests from creating a MyAccessMedicine password at a subscribing institution and using it well after they are an authorized user.) It appears from the review, Inkling's book is much more user friendly to read in a sitting rather than the AccessMedicine version. AccessMedicine's presentation is limits its use.
Personally, I think the decision to use AccessMedicine's Harrison's vs Inkling breaks down into 2 parts.
1. If you want to stay current and have the most recent information then you need to use AccessMedicine's version. Inkling has not indicated their update schedule and AccessMedicine always updates Harrison's. The reviewer did not mention if e-chapters are in Inkling's version, if they aren't then you are missing chapters.
2. If you are not as concerned about the timeliness of the information (or the possiblity of missing e-chapters) and you want an easy to read experience with the ability to take notes and read offline then Inkling's version is what you want.
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Free Web Class: Get Mobilized
Get Mobilized! An introduction to mobile resources and tools in health sciences libraries is a free, self-paced, web-based class. The class runs from February 20 – May 6, 2012 and is approved for 6 CE credits from MLA. The class will be taught by health sciences librarians working in the field with mobile device experience and is presented in 6 learning modules over the course of 6 weeks. Each module focuses on a different aspect of mobile resources in the health sciences library.
- Week 1: Introduction to mobile resources by Molly Knapp
- Week 2: Mobile Applications by Luke Rosenberger & Julie Gaines
- Week 3: Mobile trends and issues in academic and hospital environments by Jaime Blanck & Melissa Rethlefsen
- Week 4: eReaders by Suzanne Shurtz
- Week 5: Promoting Mobile Resources by Amy Blevins
- Week 6: Mobile site creation by Wayne Loftus
June 3 will be the absolute day to submit your workbook for credit.
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Mobile Technology Webinar Available
The SCR CONNECTions webinar, Unwrapping Mobile Technology Trends for the New Year is now available in the SCR CONNECTions archives http://nnlm.gov/scr/training/webmeeting.html#Archives. The PowerPoint presentation which has a lot of great links to the references she mentions is also available on the website.
The webinar is very good for librarians new to the area of mobile devices. Emily Hurst, the presenter, discusses smartphones, tablets and e-readers. Mobile devices in libraries is still fairly new. According to Emily's survey most of the people attending the webinar use them for education and instruction, but there were still those who don't use it in the library. What was interesting was LSU mentioned in the chat that they use mobile devices to check off campus access. That is how the systems librarian and I use our personal mobile devices at work too. Often we are told a resource is unavailable off campus, but of course we are told this while we are work (on campus). Now when we are notified of problems either the systems librarian or I turn off wifi on our smartphone and use 3G to access the off campus server and then try and access the problem resource for troubleshooting.
Emily also described the differences between mobile sites and mobile apps. There was a brief discussion about the pros and cons for each. Emily asked the question, "Providing direct access to a specific type of data, program, or information on a mobile device is best archived with a… mobile site or mobile app?" While most of the people in the webinar answered mobile app, I feel the question was kind of a loaded one. I think the real answer is, "it depends." It depends on how you want to use the resource, does it need to be loaded and "on" all the time regardless of 3G or wifi connectivity? If so then you need an app. How often does the information change and how robust is your computer programming skills? If your information changes quite often and you don't have a cadre of computer programmers then you need to go with an mobile website. Finally you need to think cross platform. If all of your users have iPhones then that is great you only need to develop one app. But if your users have a variety of devices and you don't have variety of programmers, you might consider a mobile site which can be read by any mobile device.
Two valuable resources Emily mentions are CNET's Updates Tablets Test Results and Yale's Mobile Device Options for Healthcare Professional. CNET's is a listing comparing LOTS of tablet devices with each other so that people can make an informed decision as to which one they would like. The nice thing is this list is updated regularly. Yale's is a listing of various resources (phone and tablet) and healthcare things to consider prior to purchasing a device.
The last technology discussed was the e-reader. The nice thing about Kindle is you DON'T have to have a Kindle, you can download the free Kindle app on your Android, iPhone or iPad. It is important to remember that e-readers aren't just for books. Librarians might want to consider creating or selecting PDFs, Word docs, audio files, or collection of works for specific users or groups. This works especially well in outreach and education endeavors. Suzanne Shurtz and Megan von Isenburg describe using e-readers in medical education (Shurtz, S., & von Isenburg, M. (2011). Exploring e-readers to support clinical medical education: two case studies Journal of the Medical Library Association : JMLA, 99 (2), 110-117 DOI: 10.3163/1536-5050.99.2.002) and although medical students did use them at the bedside they said they were very helpful in their studies.
Mobile devices are a part of our daily lives. The largest growth in smartphones was from women and older individuals, as Emily notes this really indicates that smartphones have gone mainstream. This is a great webinar for those new to the technology in medical libraries.
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Hospitals Slow on Tablet Implementation
I saw this article, "Hospitals slow on tablet implementation," last week and posted it right away on my Facebook account with the intention of blogging about it the next day. Sigh… that was before round two (or is it three now) of sick kids.
Several things flitted through my mind when I first read the title:
- Wow, Apple's Tim Cook was a little off on his estimate that 80% of top hospitals were testing the iPad.
- Ok, looks like my hospital and I are not in the minority as it sometimes felt.
- Yep, same ol' same ol'. By the time we adopt the new technology it is out of date
But after those thoughts and others left I began to wonder what is the real hold up. It can't be that 99% of all hospitals have the same draconian IT policies. (Although my conspiracy theory friends might disagree.) Why does it seem that U.S. hospital have such wonderful advance cutting edge technologies for diagnosing and treating diseases, but when it comes to computer infrastructure, hospitals cannot keep up with technology.
So I began to look around the web to find out if anybody commented on Sarah Jackson's post at Fierce Mobile Healthcare as to why so few hospital have done fully functional tablet systems.
Both Jenny Gold of Kaiser Health News and iMedicalApps approach the problem from the app side of things. Gold's article blames the EMR companies that often don't have apps for their software, thereby forcing hospitals to use third party apps like Citrix or VMware which can be clunky and slow. Satish Misra at iMedicalApps points out that even apps created by EMR companies like Epic, Centricity, and Allscripts require make their EMR apps read only making it a necessity for doctors to log on to a separate computer to make notes in the chart. To add to the "fun" many of these EMR companies like Epic and Allscripts require separate licensing for their mobile platforms. (Hmm that little caveat sounds familiar to librarians.) So what you have is all these hospitals who have spend LOTS of time and money getting themselves and EMR product and now enters a game changing product that was never envisioned 5 years ago when many hospitals were well into their EMR planning and implementation.
While EMR integration is important there are many doctors who are using the iPad without that ability. They are using them in the exam room, ER, Surgery, and especially in radiology. According to Robert McMillan of Wired, Apple has a secret plan to steal your doctor's heart. His name is Afshad Mistri. (Although I am not sure how secret he can be when Wired does a big article on him and he is organizing invitation only conferences for medical professionals.) His goal (and Apple's) is to get the iPad in the hands doctors. McMillan reports that it was Mistri who launched the special iTunes room for healthcare in September, and promoted it to a select group of healthcare app developers. Apple has to be careful promoting the iPad in hospitals. Step too far one way and the FDA will want to regulate it as a medical device, but don't step at all and you don't get it in the hands of doctors. The Wired article is a very interesting read and highly recommend it because it does a good job of illustrating just how Apple, a consumer oriented company not a company usually interested in businesses, is delicately trying to work its way into healthcare, specifically hospitals.
As much as Apple has secret fingers in the pie, trying to hook docs to the iPad, don't forget that there are still signal issues within most hospitals. This is a big barrier to implementation. You can have all the best apps and EMR integration but if you are in a deadzone, you have an expensive brick. Ravi Nerella posted in the iMedicalApps forum, "We had issues with reception throughout our hospital (the ED was a dead zone) until one of the major cellphone carriers was allowed to place a tower or repeater (whatever it is they needed) and now we have great reception (for the specific carrier only of course) that also forced us to go with the specific carrier to provide us service."
Just from a quick look through the Internet it seems that there is a host of reasons why 99% of the hospitals don't have fully functional tablet systems. But from my perspective it seems to basically comes down to money (doesn't everything). It takes some serious cash to license the app (3rd party or from the EMR company), some apps aren't even fully functional so you aren't saving on hardware costs by chucking the PCs. It also costs a lot of money to support the product and write hospital specific apps. Additionally they have to spend money on the infrastructure, making dead zones viable. If something wasn't put in the budget and it is that costly to implement, it is going to take quite a while (years maybe?) to implement. The iPad is less than 2 years old. It wasn't even a glimmer in budget lines back then. The speed of personal day to day technology has outpaced hospital budget planning processes. Quite simply, hospitals are giant cruise ships that can't turn on a dime when the iceberg of new technology comes into sight. Let's just hope most hospitals are not the Titanic.
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Medical Librarians Forum for Apps and Mobile Devices
Last week I wrote a post about iMedicalApps launching a forum to foster the discussion of medical apps. Well I am announcing the launch of the Medical Librarian's Corner, an area within iMedicalApps Forum dedicated to librarians discussing the use of apps, mobile devices, licensing, support, teaching, etc.
The people at iMedicalApps noticed that a medical librarians help play an important part in the "distribution of knoweledge and useful resources" and can provide help to medical professionals dealing with information overload. So they created a specific corner of the forum (of which I am the moderator) for medical librarians to discuss everything and anything related to apps and mobile devices.
New to smartphones and apps, or are you an old pro? The forum will provide a great place for newbies and veterans to discuss and post questions. So if you are interested, create an account, login and start discussing. It is my hope that this can be a robust and helpful area for medical librarians.
Since a blank forum is a little bit like the blank page in the typewriter staring back at you, I have already started a discussion thread. What libraries have the best list of apps and mobile friendly websites? However, if you have something else that is on your mind, please feel free to post it. The only way this forum can be of help is if people participate.
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Medical Apps Forum
So you got a new smartphone for Christmas and the first thing you want to do is start loading and trying out all these apps you keep hearing about. Well it might interest you to do know that iMedicalApps has just launched a new medical apps forum for the medical community to discuss mobile apps and technology.
Not only will there be general discussions about various apps but they will have specialty areas for people to discuss specific issues without the post getting lost or bogged down in the general discussion area. In addition the editors and writers on iMedicalApps will be answering questions about mobile technology in the forum.
iMedicalApps is a great resource for reading articles about medical apps for smartphones, hopefully the forum can take that information and extend it and keep it current and practical. I've registered and will be either lurking or posting or combination of the two, it will be interesting to see how it evolves. Unfortunately they didn't have librarian as a choice for profession. Kind of bummed on that.
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Make Your Own QR Code and Mobile Website
Last week was a busy week for me. Monday I attended a great class, "Information Anywhere: Mobile Technology, Libraries and Health," taught by Technology Coordinator of the Greater Midwest Region, Max Anderson. It was very interesting, we learned about various apps and devices used in the medical and health science workplace. We also got a chance to create our own mobile friendly website using Google Site. Google Site might be the perfect resource to create a quick and simple mobile website, but it would work in a pinch for most places that don't have a lot of tech people who can easily create a whole new mobile website for the library. The big thing to consider when beginning to create a mobile website is to remember that the mobile site is not a mini version of the full website. It is a unique site that is used differently because of the size of smartphone screens AND the way/why we use our smartphone to access a resources.
Another interesting part of the class was the discussion of QR codes. I have been seeing these square codes everywhere, from grave markers, party busses, hotels, in the back of a book, and out on the street. While have seen them in a lot of places, and I have been thinking of the various ways they could be used in a meaningful way in libraries. During the class we learned how we could not only create a QR code but also brand the code by adding our logo. Max slides showed a blue one with NLM in the middle, I couldn't find that online but here here are some other examples of QR codes with logos. We also did some brain storming on how QR codes could be used in the library. One example that really resonated with me was posting the QR code on the book shelves letting people to scan the code to learn about online textbooks that aren't on the shelves. Our library just discussed this problem last week in a staff meeting. As we buy more and more online texts and even online reference texts how to we guide people to the updated books that aren't on the shelf. There are an awful lot of people who still do a lot of shelf browsing and don't use the catalog to find books. Perhapswe could add the QR code in an obvious area on the shelves and have link to that stack's subject area to online text books. It is a thought. I'm not sure how it effective it will be but if you could figure out how to measure usage of those codes that could be one way to measure if people are clicking on them.
Is your library using QR codes, if so how? Perhaps you aren't using QR codes but you have an idea on how they can be used, leave a comment so we all can learn.
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Latest Cisco announcements and news
Profiles of the executive and senior leadership
Quick facts, history, and related links
Find a contact at Cisco for all of your media needs
Cisco Technology Integrating Sao Paulo International Airport
Sao Paulo, Brazil, January 30, 2015 - The GRU Airport - Sao Paulo International Airport - has adopted Cisco® technology to integrate and update its technology and telecommunications infrastructure. Considered the main hub of Latin America, the GRU Airport has deployed Cisco wired and Wi-Fi... Continue Reading
Tags: Mobility, Brazil
Power Distributor Optimizes Customer Service with Cisco Contact Center Solution in Brazil
Sao Paulo, Brazil, January 15, 2015 – Energisa Group, a Brazilian energy distributor, optimized its customer services with Cisco® Unified Contact Center solution. The organization deployed a set of Cisco´s solutions to integrate its communications channels, unifying telephone,... Continue Reading
Tags: Collaboration, Brazil, Latin America
Cisco Wi-Fi Brings Mobility and Automation to Retailer in Brazil
Sao Paulo, BRAZIL, November 18, 2014 - Caedu, a specialized apparel and accessories retailer in Brazil, introduced Cisco® Wi-Fi technology to update its network infrastructure. Aiming for automation systems renewal to support administrative proceedings and mobility, the company installed... Continue Reading
Tags: Mobility, Brazil, Latin America
Telemedicine Transforms Long Distance Care in Brazil
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Tags: Mobility, Video, Healthcare, Brazil, Latin America, Smart Connected Communities
Algar Telecom 3G Customers Will Be Able to Roam Onto Wi-Fi Network Using Cisco Mobile Internet Technology
São Paulo, Brazil, September 18, 2014 – Algar Telecom chose Cisco® mobile Internet equipment for its Wi-Fi network coverage expansion project in the Triangulo Mineiro region, in the state of Minas Gerais, and in the countryside of São Paulo, Brazil. By the end of the year, 400 Cisco Aironet... Continue Reading
Cisco Provides Collaboration Solutions for Smiles in Brazil
Sao Paulo, Brazil, August 27, 2014 – Smiles, a membership rewards and loyalty program manager in Brazil, has chosen the Cisco® Unified Communications Solution to manage the data of its 10 million members. The platform includes chat tools, as well as video and voice communications, and... Continue Reading
Tags: Unified Communications, Brazil, Latin America
Major Law Firm Reduced Costs and Enhanced Productivity with Cisco Unified Communications
Sao Paulo, Brazil, August 20, 2014 – Law firm Souza, Cescon, Barrieu & Flesch reduced telephone costs and increased productivity through the adoption of the Cisco® Unified Communications solution implemented by 2S, a Cisco systems integrator partner. The law firm has integrated its five... Continue Reading
Oi Selects Cisco Technology for Its New Pay TV via Satellite Platform in Brazil
São Paulo, Brazil, August 8, 2014 – The Brazilian service provider Oi has adopted Cisco Videoscape™, an end-to-end solution that enables service providers to quickly deliver digital video services to their customers. The solution, which includes Cisco Videoscape... Continue Reading
Tags: Video, DVR, Brazil
Telefonica Vivo Launches Wireless IPTV Service Using Cisco Set-Top Box
São Paulo, Brazil, August 7, 2014 - Telefonica Vivo, a major service provider in Brazil, has selected the wireless Cisco® IPTV set-top box for its Vivo TV Fibra service without the need to run cables to the TVs of its customers. The service provider announces the new solution at ABTA 2014... Continue Reading
Tags: Video, Brazil


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Morais Vineyards & Winery
We dream, we grow it, we create it.
Bealeton, VA 22712 | map
Morais Vineyards is a winery located in Bealeton, Virginia 10 miles south of Warrenton. We push the boundaries of tradition and offer an experience of a lifetime. Our venue includes a grand ballroom with gold chiavari chairs, round tables, stage, and leaf champagne chandeliers, along with a rod iron staircase leading up to our private bridal suite.
We allow space for both indoor and outdoor ceremonies and offer our elegant tasting room for cocktail hour. A fully equipped kitchen is also available for rental, your caterer's dream! Morais Vineyards offers a beautiful venue that will make lifelong memories.
Words from our owner:
To own and operate a winery has been a lifelong dream of mine. Keeping the traditions of wine making alive and passing my Portuguese heritage to my children and grandchildren brings me great joy. It is the sense of family and tradition that I would like to pass on to all of you.
-Jose Morais


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US 5899513 A Abstract The invention relates to a pair of precision tweezers (1) with two tines (2, 3), each of which has a terminal (10, 11), each terminal (10, 11) having a pair of calibrated cylindrical projections (10i, 11i) capable of entering a pair of holes (4, 5 and 6, 7) in the respective tine (2, 3), wherein the pair of holes (6, 7) in one (3) of tines (2, 3) is comprised of a hole which is cylindrical (6) and a hole which is oblong (7) in the transverse direction with respect to the longitudinal axis of said tine (3), and the pair of holes (4, 5) in other tine (2) is comprised of two holes which are oblong in the direction of the longitudinal axis of the tine.
Claims(3) 1. Precision tweezers (1) with two tines (2, 3), attached to each of which is a terminal (10, 11), each terminal having a pair of calibrated cylindrical projections (10i, 11i) capable of being inserted into a pair of holes (4, 5 and 6, 7) made in the respective tine (2, 3), characterized in that the pair of holes (6, 7) in one (3) of the tines (2, 3) is comprised of a hole which is cylindrical (6) and a hole which is oblong (7) in the transverse direction with respect to longitudinal axis (K--K) of said tine (3), and the pair of holes made on the other tine (2) is comprised of two holes which are oblong (4, 5) in the direction of longitudinal axis (h--h) of the tine.
2. Precision tweezers as claimed in claim 1, wherein the oblong holes (7, 4, 5) have an essentially elliptical form.
3. Precision tweezers as claimed in claim 1 wherein the terminals (10, 11) are made of a ceramic material.
Description This invention relates to the field of precision tweezers with two terminals attached reversibly on the free ends of the two tines which form the tweezers. To obtain an exact alignment between the terminals themselves and between the terminals and the respective tines, on each of the latter--according to the prior art--there is a pair of calibrated cylindrical holes parallel to one another, into which are inserted cylindrical projections, also calibrated, which are joined to the terminal to which it will be attached. Once the precise alignment of the parts has been determined, the terminals are then secured to the tines using a known attachment system, for example one comprised of a screw and holes present on the tine and on the terminal, the hole on the latter being threaded. This attachment system is obtained by leaving predetermined spaces between the screw and the hole in the tine in such a way as to allow attachment of the parts after having defined the alignment, independently of a possible shifting between the axes of the two holes, one of which, as was mentioned above, is threaded, and through which the attachment screw passes. This system of alignment and attachment yields a sufficient degree of precision when the terminals are made of metal, but has some limitations when for example these terminals, whether made of metal or ceramic materials, are heat-treated to improve physical characteristics, for the purpose of obtaining better resistance to wear, better resistance to combined compressive and bending stress, and better electrical or thermal conductivity, etc. In this case, between the two terminals of a pair of tweezers such as this one, due to the residual internal (not necessarily isotropic) stresses in the material after said heat treatments, dimensional differences may appear, manifested either in total length or in alignment with the respective tines. This in turn leads to imperfect superposition of the points of the terminals on the assembled tweezers, with a noticeable adverse effect on the precision of the delicate operations the tweezers are designed to carry out. To avoid the aforementioned disadvantages, the inventor of this invention has designed a pair of precision tweezers which always enable perfect superposition of the points, whether or not there are dimensional differences between the two terminals. This is accomplished by making the holes with a particular shape and with particular dimensions which allow the terminals to be aligned so as to ensure the aforementioned desired result. This will be explained in further detail below. In particular, the object of this invention is a pair of precision tweezers as defined in the preamble of claim 1 appended hereto, characterized by the characterizing part of this claim. One preferred embodiment of the invention will be described below. It is to be understood that although a preferred embodiment of the invention has been described, various other embodiments and variations may occur to those skilled in the art. Any such other embodiments and variations which fall within the scope and spirit of the present invention are intended to be covered by the claims. In this description reference will be made to the attached diagrams which show the following: FIG. 1 shows a lateral exploded view of a pair of tweezers according to the invention; FIG. 2 shows an exploded view of the top of the tweezers from FIG. 1; FIG. 3 shows an exploded view of the bottom of the tweezers from FIG. 1; FIG. 4 shows an enlarged front view of the series of three holes present on one of the tines; FIG. 5 shows an enlarged front view of the series of three holes present on the other tine. It can be observed in FIG. 2 that at the end of tine 2 there are three holes aligned with one another: center hole 9 is shaped in such a way as to accommodate, with a predetermined amount of play, the head of an attachment screw (not shown). The two holes 4, 5 arranged laterally on either side of this center hole 9 have a width extending in a direction transverse to longitudinal axis h--h of tine 2 enabling snug accommodation of two cylindrical projections 10i present on terminal 10 which are to be attached, but are oblong (therefore in an approximately elliptical shape) in the direction of this axis h--h, in such a way as to allow a predetermined degree of axial travel of the entire projection 10i (see arrows A-E) when they are inserted in these holes 4, 5 (an enlarged view of aforementioned holes 4, 5, 9 is given in FIG. 4). It can be observed in FIG. 3 moreover that at the end of other tine 3 there are three holes in alignment: center hole 8 is identical in function and shape to hole 9 described above, but of holes 6, 7 arranged laterally on either side of the center hole, hole 6 which is farther away from the free end of tine 3 is cylindrical, and calibrated in such a way as to snugly accommodate one of two cylindrical projections 11i of terminal 11 which are to be attached to tine 3, and hole 7 closer to the free end of tine 3 has a width extending in the direction of longitudinal axis K--K of the latter slightly greater than or equal to the diameter of other cylindrical projection 11i of the terminal, and has a greater length, therefore being oblong in the direction perpendicular to this axis K--K, so as to allow a predetermined degree of travel of the projection coupled to it in two opposite directions (see arrows C-D) transversely to this longitudinal axis K--K of tine 3. In other words, when projections 11i are inserted in holes 6, 7, one of them, the one inserted in cylindrical hole 6, can rotate around its own axis, and the other inserted in oblong hole 7 can travel in one of the aforementioned directions C or D. Since this travel actually delineates the arc of a circle with very small diameter, hole 7 is consequently made like a rest on the circle arc: given the extremely small dimensions of the travel it is still possible to obtain the desired adjustability with hole 7 of approximately elliptical shape as in FIG. 5 and with a width in the direction of this axis K--K just slightly greater than the diameter of these cylindrical projections 11i. These projections can also have various diameters with consequently diverse sizes of the actual holes, still yielding the same results. With pair of precision tweezers 1 as described above, and as shown in FIG. 1, it is possible to do the following: two terminals 10, 11 are installed on respective tines 2, 3; before tightening the aforementioned attachment screws (not shown) in the respective pairs of aligned holes 9-12 and 8-13 (of which 12, 13 of terminals 10, 11 are threaded), the positioning of terminal 10 is adjusted in directions A-E along the h--h axis of tine 2 in such a way that its point 10p is precisely superimposed lengthwise on lip of the other terminal 11, which is engaged as a fixed reference element in the longitudinal direction since it cannot travel axially. The configuration of holes 4 and 5 on tine 2 allows terminal 10--positioned as described above--to be aligned perfectly with this tine 2, and to be perfectly superimposed lengthwise on the other terminal 11, since terminal 10 can be fixed in this position with its above described attachment screw which is not shown in the diagrams. At this point, if other terminal 11, as the result of small dimensional variations, does not have point 11p perfectly aligned and point 10p of terminal 10 is already attached, all that is required is to rotate it a small amount in the direction of arrows C and D until points 10p and 11p are perfectly superimposed, and then effect definitive attachment with the aforementioned attachment screw, which is not shown. This invention will allow perfect control of the configuration of the point of precision tweezers 1, whether or not there are small dimensional differences between the two terminals 10, 11, thereby attaining the object which the inventor set for himself. It is to be understood that although a preferred embodiment of the invention has been described, various other embodiments and variations may occur to those skilled in the art. Any such other embodiments and variations which fall within the scope and spirit of the present invention are intended to be covered by the following claims. Patent Citations
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The Associated Press | July 26,2013
Timothy J. SzadSPRINGFIELD Correction officials said Thursday they have a new plan for a high-risk sex offender due to be released from prison: Hes moving out of state.
The Department of Corrections is notifying police in the place where the sex offender, Timothy Szad, is going but isnt releasing the information publicly, said Dale Crook, the departments director of field supervision.
Officials said last week that Szad, 53, would be living with his elderly parents in Springfield, but that plan fell apart after public outcry.
The case highlights a tough dilemma in releasing sex offenders: Correction officials and police sometimes see a requirement to notify the public about the possible danger, but broad notification can generate such opposition that living arrangements can fall apart.
A homeless sex offender is more dangerous than one with a stable place to live, said state Rep. Alice Emmons, chairwoman of the Vermont House committee that oversees correction.
Wheres he going to go? asked Emmons, D-Springfield. Is he going to live under a bridge? Is that secure to a community?
Szad was convicted in 2001 in a sexual assault against a 13-year-old boy. Authorities said he grabbed the boy, who was fishing, carried him across the Williams River in nearby Rockingham, handcuffed him and sexually assaulted him twice.
The defendant could have gotten life in prison but was offered a seven- to 20-year sentence in a plea bargain to spare the boy from testifying.
Szad, whos at the Southern State Correctional Facility, declined to be interviewed, according to the prisons superintendent, P. Mark Potanas. An elderly man who answered the door at the Szad family home this week refused to comment.
When the Department of Corrections announced Szads impending release last week, it took the unusual step of warning that blue-eyed, blond-haired boys of 12 or 13 could be in particular peril. Crook said the department sometimes issues such warnings when an offender has expressed particular victim preferences.
Szad cooperated with sex-offender treatment in prison but is still considered high risk, officials said.
Police Chief Douglas Johnston on Thursday said any relief within the Springfield community was tempered by the fact that Szad would be a free man after today and could return at any time. He said if Szad moved back to Vermont he would be required to notify the state sex offender registry within 24 hours.
Szads case has focused attention not only on the states public-notification practices for sex offenders but on the value and constitutionality of civil commitment laws, which about 20 states use to keep some offenders locked up in mental health facilities after their prison terms.
Vermont debated such a law eight years ago and decided against it, said Emmons, who counted herself among the opponents.
Youre holding someone who has not committed a (new) crime, she said. Do we as a society in Vermont want to do that?
The executive director of the American Civil Liberties Unions Vermont chapter, Allen Gilbert, said the public needs to accept that sex offenders like Szad get out of prison when they complete their sentences.
Courts have determined the appropriate sentence for him, hes served his sentence, and now hes getting out, Gilbert said.MORE IN Vermont NewsLong-time city employee casualty of Barre budget process Full StoryMONTPELIER A new legislative report says the livable wage needed to make it in Vermont... Full StoryMONTPELIER The lawyer for a Vermont man arrested after scuffling with police who offered him a... Full Story -
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On Thursday morning I woke to the news that Uber, an innovative app for calling a taxi used in over 200 cities, had raised $1,2 billion in funding whilst the holding company is now valued at a remarkable $40 billion. 543 more words
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United Nations Conference on Trade and Development (UNCTAD) – Review of Maritime Transport 2014
The United Nations Conference on Trade and Development (UNCTAD) posted its Review of Maritime Transport 2014. UNCTAD's Review of Maritime Transport has since 1968 provided coverage of key developments affecting international seaborne trade, shipping, the world fleet, ports, freight markets, and transport-related regulatory and legal frameworks. 340 more words


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Mets GM Sandy Alderson and Matt Harvey talk about Harvey's MRI that revealed that there is a slight tear in the UCL in Harvey's elbow and he may need surgery. Harvey was 9-5 with a 2.27 ERA.
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