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Page added on July 13, 2010
An air traffic controller at Male' International Airport was found dead at 4:00am this morning after apparently hanging himself from the control tower.
The man, identified by newspaper Haveeru as 26 year-old Ismail Mohamed Didi, was discovered after airport workers received no response from the tower's phone.
The case was reported to police around 5:00am. Sub-Inspector Ahmed Shiyam confirmed the body was found hanging from the tower but said it was too early to confirm whether the death was a suicide.
"His body was first taken to Hulhumale' hospital and now he is in Indira Gandi Memorial Hospital (IGMH)," he said. "We are investigating the case."
Spokesperson for the Maldives Airports Company (MACL) Rahmathulla Ashraf told Haveeru that the company could only comment once the police investigation was concluded.
"We are also waiting for the findings of the investigation," he said.
Rahmathulla claimed the incident did not disrupt the operations of the control tower.
A source familiar with the victim said Didi was a junior air traffic controller who performed his job well.
The source said Didi had been an air traffic controller for 6-7 years and had recently worked at Kaadedhoo airport in Huvadhu atoll.
"He went up the control tower around 3:00am, a quiet time when there is no air traffic," said the source.
"People at the airport received no response from the tower, so they went up to check and found him hanging there."
33 Comments on "Airport traffic controller in suspected suicide"
Kaheenu on Tue, 13th Jul 2010 7:20 PM
Why did he commit suicide at that particular place?
To make it public? Suicide will be public anyway so it cannot be to make it public.
To make sure someone sees him hanging there and become psychologically disturbed?
aag on Tue, 13th Jul 2010 10:10 PM
@the above comment
dear whoever u are…who are u o any of us to judge a persons mental status when he/she commits such an act??in our religion it is said tht a suicide becomes a kufuru maru if the person is in sound mind and by his own free will takes his life, however we cannot prove that he was sane,can we?? so pls dnt ask these stupid ignorant questions..this wil not do anyone any gud..it just adds to the suffering of the family..u cnt imagine and God willing u wnt have to feel how sumthing like this effects such a persons loved ones.
to conclude: no.this was not a publicity stunt&esp not to do anyone any sort of harm. this was just Someone who lost hope.whether he was sane or not-only God knws..may God forgive his sins and bless his soul..and give his family the strength to cope with the loss.Amen.
privatization on Wed, 14th Jul 2010 1:05 AM
Hope this is has nothing to do with the proposed privatization of the airport…
Rocket on Wed, 14th Jul 2010 5:55 AM
I find this case a bit different to other cases of death by hanging. I think it should be investigated thoroughly to rule out foul play.
Ahmed Anony on Wed, 14th Jul 2010 7:21 AM
The slanderers and the backbiters who call themselves "muslims" are already on this case, calling Ismail an "atheist" and that "he deserved to die."
Woe upon them, if this turns out to be not suicide, but murder.
dhandufoari on Wed, 14th Jul 2010 7:49 AM
and who is to say where sanity ends and insanity begins…
Kaheenu on Wed, 14th Jul 2010 7:56 AM
My comment published above is edited by Minivannews for whatever reason.
I completely agree with you.
My point – I believe the case should be thoroughly investigated as Rocket has said here.
Rasheed on Wed, 14th Jul 2010 8:40 AM
May Allah give this man's family the strength to cope with their loss. Ameen.
hama on Wed, 14th Jul 2010 8:46 AM
@Ahmed Anony
sheesh, dude. do u always have a comment against muslims? i understand, u dont like muslims that much but man, give urself a break…
Baazu on Wed, 14th Jul 2010 10:29 AM
It is not fair to comment that it was really a suicide when we no not have proof. We should also take into account the mental state of the person, if he really did commit suicide. We should also know when the suicide rate goes up, there is something very wrong in our society. The cause should be identified. We all are responsible.
bodu kashi li buruma on Wed, 14th Jul 2010 10:33 AM
Well I don't think it's his state of mind. Seems that he came to duty well prepared and his choice of the Tower seems he really wanted to get noticed.
These people who are working in the tower is one of a kind……full VIP services totally out casted from normal staff just because of their high responsibility and risk which makes them above all and no one equal. There was one other ATC guy who went insane using drugs went naked into the mosque and beat the hell out of his father while he was in the mosque.
The place has been probably cursed somehow may be related to higher ego or something.
Shifaz on Wed, 14th Jul 2010 11:14 AM
Way to go
Cuckoo on Wed, 14th Jul 2010 11:42 AM
"bodu kashi li buruma" is right. Air Traffic Controllers are segregated both physically and mentally from the rest of the staff. For whatever reason, throughout the years, they have been regarded by management and themselves that they are an elite group head and shoulders above the rest. Sadly, they are all too human, and one wonders if this separation is ultimately a good thing at all…
fahaafoshi on Wed, 14th Jul 2010 12:03 PM
dude you better watch yourself coz i think you have got some problems…maybe you need some counselling. i think athiests who are obsessed about muslims and muslims who are obsessed about athiests both need it…
i am a muslim and almost everyone i know in this country are muslims, family and friends. i have yet to hear any ill comment from them regarding this. but among others, i have seen a muslim blame this person's ageedha and an athiest make crude jokes about this. they are not my friends nor family. it all depends on the person and their personality, not their creed.
mukhamed on Wed, 14th Jul 2010 12:28 PM
must be a telling.,
of things to come.
dark days these are.
no telling when the sun will come up.
but as they say in Gaul, even the Germanics had to wither and away sometime
if news is anything to go by though,
hardly anything at all besides,
the sea that is still green.
light & day indeed,
alas running amok this nation of nations,
this land of lands,
this here islands of islands.
'kurravvaashi amaan, mi'alhaage uffan ..
the filth of saruman is washed away, not yet, but anni counts his marbles, no?
hassan saeed we see you, barely .
hameed on Wed, 14th Jul 2010 1:41 PM
Dear Friends:
Read this Hadeeth of Prophet Muhammed (PBUH) and take some heed
"Ikrima, the son of Abu Jahl is coming to you, as a believer. Do not revile his father because reviling the dead is offensive to the living and does not affect the dead."
hameed on Wed, 14th Jul 2010 1:46 PM
@ bodu kashi li buruma
i pity you for your lack of information about Maldives ATC and the air traffic controllers.
mukhamed_reprise on Wed, 14th Jul 2010 2:09 PM
@mukhamed: please spare us the poetry. it's awful.
Western Drum on Wed, 14th Jul 2010 2:53 PM
Excuse-me. Why atheist- Gay people get confuse of there this early age of life. Dont they have another option. is this done by SATAN. i mean i cant think of this sick thing. hillatha-gay was found last month and reported by minivan. what is going on. al those who hate islam is being confused by them-self. i want know abt islam. what realy islam is.we must read n get know even if dont agreen on some issues..Arent these gay pople make fun of aithest in maldives? Damm F….g. he said on his fB pic that he will go to hell.. am asking ,do u have any sintific fact of hell.
Sextus Cumulus on Wed, 14th Jul 2010 2:55 PM
@bodu kaashi. please dont think you are too informed and intelligent. You have no right to so things like "one of a kind". We are talking here about a very responsible young person found dead. If you can't keep this conversation emotionally sound just keep your mouths shut. that goes for the rest of those of you who wants to grab some attention showing off your humor or intelligence. bs.
Ahmed Anony on Wed, 14th Jul 2010 4:09 PM
@hama & fahaafoshi: Not really. Its just that ISCO's outpost got spammed with a bunch of links with malicious lies that the so-called muslims were spreading around as if it was the truth.
So, like a good patriot, I passed those links to people whom he was a good friend of. Needless to say, they too now think that the so-called muslims need to stfu and actually speak the truth instead of going around parroting lies they want everyone to believe.
Oh, and I interpreted your opening statement as a threat, fahaafoshi. I'm mildly amused.
pon pon on Wed, 14th Jul 2010 4:33 PM
dear people stop reading hadith… start looking into statistics for answers!!!! we have no ideal place for patient with mental disorder such as bipolar or schizophrenia which is one of the rising metal disorders in the maldives.. there is no right treatment available for them other than guraidhoo…. young get abused and rapped there.. this is what our situation is. depression and mental disorder are named as Jinni Avalun!! so for maldivians treatment is fanditha!! and all the credit to discovering faditha treatment for maldives goes to hadiths and religious scholars.. i blame religion.
Luiza on Wed, 14th Jul 2010 4:56 PM
he wanted publicity to the case. he got it. must be for a reason.
Liberal on Wed, 14th Jul 2010 6:00 PM
it is a very stressful job.It has nothing to with his creed, sex orientation or publicity. These people need to be psychologically evaluated on regular basis. It is always advised to see psychiatrist. I hope police will not conclude investigation that he commit suicide cause he is atheist
condolences to family and friends
ATM Blog on Wed, 14th Jul 2010 6:09 PM
What a shame, ATCOs can handle themselves much better than that.
Bodu Kashi li Buruma on Wed, 14th Jul 2010 8:41 PM
@Sextus : When i look at ATC from Male it looks like a place filled with Monks.. better investigate the whole place …there may be a catch in it….but i hope there are a few real Muslims inside that building. May Allah protect them from those people who idolize western cultures and also from those people who has English accent when they speak dhivehi.
Bodu Kashi li Buruma on Wed, 14th Jul 2010 8:47 PM
and one more thing.. i am not against ATC staff….. its just the talk that goes around the town..you folks are just doing a great job … just change little things here and there and maybe things can get better.
rehdhan on Thu, 15th Jul 2010 6:57 AM
hey why do u guys blame atc staff for wht happened. the deceased's friends know he doesnt belive in god. when someone looses his belief in religion and in almighty allah there is no coming back for him. he is doomed for hell.
HJ on Thu, 15th Jul 2010 7:35 AM
I talk to the ATC guys everyday , and let me tell you that they are one of the most educated , talented and hard working people I've seen in the maldives.
What surprised and shocked me is why someone of that nature could easily take his life away. Being a muslim I am against suicide and also Im against people threatening others just because they don't have faith in a religion that they are supposed to.
The bottom line is this human does not have faith in the religion , his life , his family and friends and that is why he killed himself. I cant even imagine what his family and close friends will be going through right now for his selfish act.
My deepest condolences to his family and friends. MAY ALMIGHTY ALLAH FORGIVE HIM AND GIVE HIM A PLACE IN PARADISE
darkanzali on Thu, 15th Jul 2010 7:51 AM
I want to quote your post in my blog. It can?
And you et an account on Twitter?
Siya on Thu, 15th Jul 2010 3:01 PM
i honestly dont understand why everyone is blaming this on the religion?
grow up people, if he didnt believe in religion, fine its upto him. Nobody can force religion on anyone.
if he was a mentally strong person he sure would have found a better solution for his problems.
i read some writing about a mail to an asylum in UK by him, he just was too confused and complicated and weak in his own mind that he took this step.
Everyone faces hardship in life, if he couldnt deal with it then it was his problem.NOT THE RELIGION OR OTHER MUSLIMS ARE TO BLAME HERE.
mossomo on Sat, 17th Jul 2010 2:57 AM
Siya – You are not informed. First, to be a citizen in the Maldives, you are required to embrace Sunni Islam.
Second, "Nobody can force religion on anyone." Technically no they can't but Muslims will still kill you for apostasy. Which is apparently what happened here.
"NOT THE RELIGION OR OTHER MUSLIMS ARE TO BLAME HERE." – Taqiyya.
"nOT TH
LOVE on Sat, 17th Jul 2010 6:19 PM
he was murdered or the software which was installed into his brain by his parents friends and whoever have bugs in it and viruses and he didnt find a antibug&virus software to clean his brain software on time and there he goes…pls note he only killed himself but he didnt choose to kill any other human being which is to be remembered and respected. i wish u well in the afterlife and peace upon u dearest country pal


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Quotes & Info
CRIS > SEC Filings for CRIS > Form 8-K on 20-Feb-2014 | All Recent SEC Filings |
Results of Operations and Financial Condition, Change in Directors or Principal Officer
On February 20, 2014, Curis, Inc. (the "Company") announced its financial results for the fourth quarter and fiscal year ended December 31, 2013. The full text of the press release issued in connection with the announcement is furnished as Exhibit 99.1 to this Current Report on Form 8-K.
The information contained in Item 2.02 in this Current Report on Form 8-K, including Exhibit 99.1, shall not be deemed "filed" for purposes of Section 18 of the Securities Exchange Act of 1934, as amended (the "Exchange Act"), or otherwise subject to the liabilities of that section, nor shall it be deemed incorporated by reference in any filing under the Securities Act of 1933, as amended, or the Exchange Act, except as expressly set forth by specific reference in such a filing.
On February 18, 2014, the Company and Daniel R. Passeri, the chief executive officer of the Company, entered into a letter agreement effective as of December 31, 2013 (the "Letter Agreement"), pursuant to which the parties mutually agreed to extend the term of Mr. Passeri's employment agreement dated as of September 18, 2007, as amended October 27, 2008, December 16, 2010 and January 18, 2013, until December 31, 2014.
The forgoing summary of the Letter Agreement does not purport to be complete and is qualified in its entirety by reference to the full text of such Letter Agreement, a copy of which is attached hereto as Exhibit 10.1 and is incorporated into this Item 5.02 by reference.
(d) Exhibits
See Exhibit Index attached hereto.


text:
May 04th, 2011
Celebrity Cars: What does Katy Perry Drive?
Katy and her husband Russell Brand in her Audi A5
We admit it, we love Katy Perry. We like her fun pop songs (yup, sometimes we sing along in the car), her fashion style (um, who doesn't love a bra with fireworks?!), and the fact that she just seems like a cool chick we'd like to go on a road trip with.
But the real test of whether she is a Drive Like A Woman kind of woman is what car does she like to drive? Her car of choice is the Audi A5.
We think it's a fantastic choice! Not too flashy but plenty of fun to be had in this car. We also appreciate the fact that she doesn't like to be chauffeured. Perry, like us, is a woman who likes to be in the drivers seat!
More News:
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Sign up with Drive Like a Woman and get our newsletter, plus special promos and event info.


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Nerdist Podcast: Richard Ayoade
By Katie Levine on July 25, 2012
Everyone is really excited that actor and "British Podcast Ambassador" Richard Ayoade is on the show! They discuss their favorite Olympic sports, how British people deal with stress and how Richard got into directing music videos!
See Richard in "The Watch", in theaters this Friday!
My squee just now knew no limits.
The ?! is known as an interrobang. http://en.wikipedia.org/wiki/Interrobang
It is a thing.
Hooray, he's kicked the ball. Now the ball's over there. That man has the ball. That's an interesting development. Maybe he'll kick the ball. He has indeed. Apparently that deserves a round of applause.
WooHoo! Moss is on the podcast! Thanks guys!
I am in love. Utterly hilarious and soooo British.
this guy sounds like he does not give a shit at all about being on this podcast. so boring.
ALL THE LOVE! Richard Ayoade is a genius.
Also the interrobang is John Green's favorite punctuation – DFTBA!
Dear Sir stroke Madam,
I've been hitting refresh all morning. Come back from lunch and boom! Richard Ayoade on the podcast. So excited! -
Methinks you mistake understated and dry for disinterested.
He's funny as hell. And smart as hell.
Chris, get him on Twitter, please!!!
Chris, you don't know The Tripods …? *GASP* That's … that's … NOT OKAY. Watch the show and read the books. NOW!
Wow, this show is such an integral part of my childhood. Never got over the fact that they didn't adapt the final book
Also, and I know this because I was looking at him, he is incredibly shy. A lot of British performers are somewhat uncomfortable talking about themselves. I promise he was not disinterested! He's a very sweet guy.
Unless you are an actual Brit or Canadian, there are few that can appreciate the low key-ness of the British sensibility.
As soon as I saw this, an audible SQUEEE!!! was heard from this fangirl. Luckily, I was the only one in the office at the time.
I always thought I was alone when I remember Blake's 7 – it used to air here in Dallas on the PBS station late at night after all the Brit Coms way back in the 90s.. During the time that Doctor Who was not allowed to air in the US (which was unfortunate cause I never got into Doc Who until recently)
Blake's 7 is great and I wish I could get my hands on those episodes.
I had NO idea there was an American version of "The IT Crowd" until now! Must see if Netflix has it…
@Chris – How cool must it feel to say "I CAN PRODUCE THAT" to a creative person you dig and KNOW you have not just the will but the *means* to pull it off? Legacy partnership for the win!
@the guy
I think it's more that he's soft spoken and/or a shy person. -
i… like… stuff… zzzzzzzz
not my favorite episode. interesting guy when he was actually talking enthusiastically. never heard of him before this. thanks for the episode anyways!
Total Bummer – can't launch the podcast from the mobile version of the site I guess… Touched every place on the site and still no podcast
Deej, just curious–why do Canadians get an edge on understanding the low-key British sensibility?
@Patty Marvel, the american IT crowd never made it to air. But there are clips on the youtubes. It's not as funny as the original even with Richard Ayoade and Joel Mchale at the helm.
But let me be clear, I'd watch anything with Ayoade or Mchale in it.
They did have a reunion though when Ayoade directed an episode of Community.
Christ. Can the podcast get better than this episode? Not sure. Doubting it.
It makes me sad, seeing the ads for the Watch, Richard is in the background, then they show the names of three actors I dislike, and never mention the one, Richard, who I'd actually like to see. I wonder how the British ads are, are the Americans still bigger than Richard there?
When Chris does voices during the show it makes me think of his comment on an earlier episode that he feels like he hits people over the head with jokes. The voices aren't really jokes, but they feel like he's trying too much to be nerdy most of the time.
@Scott S: I am who I am. I'm not "trying" to do anything. But thanks for the character assessment nonetheless!
Sorry, didn't mean to sound disrespectful. I love the podcast, I just thought he wasn't feeling it.


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After what has to be the longest and coldest winter we've ever encountered; Spring finally put in an appearance in Tennessee. And just in time for the 3-Day Easter Weekend!
We rented a cabin in the Smokey Mountain National Forrest for the weekend and jumped on the Trike and headed out East. After spending the night in the mountains, we headed out on the first Dam Trip of 2014.
Douglas Dam is one of the more interesting dams on our list. Built during World War 2 under the express orders of Franklin Roosevelt; the dam started construction about two months after the attack on Pearl Harbor.
The TVA had just finished the nearby Cherokee Dam in late 1941; and the same materials, crews, blueprints, and equipment were relocated to the dam (about a 25 mile trip) in order to build the dam as quickly as possible. And quick it was indeed; the entire project completed in about a year – which set a world's record for a project of this size.
By the time it was done, we had flooded 4 communities and relocated over 500 families and over 30 cemeteries.
At over 4 hours from home; this is the first in a series of dams that will be several hours from our home as we visit them. We had hoped to branch out and visit a few of the other close dams in the area; but the weather on the Saturday was dreary, so we simply went back to our cabin.
Where we were immediately met this Momma Bear, and her 2 cubs – which were about 25 feet from where we had parked our Trike. Below is a rather hastily taken photo.


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The rain is beginning to wrap up over the forecast area this morning. Rain showers will come to an end through the morning for areas west of the Cascades. In the mountains, Basin & N. California, rain showers will linger into this afternoon and become more isolated by this evening.
The last 72 hours has brought some much needed rain to Medford, and to the region in general. Several inches have fallen at the Coast and at least ¾ of an inch at the Medford Airport. This helped the deficit for the year, although we are still well below normal by over 5."
Breezy conditions will move in for the second half of the week. In addition, very cold mornings are anticipated in all locations. Thursday morning will likely be the first freeze of the season at the airport, and the first freeze since March as well. Even the Coastline is expected to see morning temperatures drop into the 30's. The NWS has issued a freeze warning for the coastline of Northern Curry, Coos and Douglas Counties. A frost advisory is also in place for the Curry County Coastline.
The very dry air mass that will move in for the second half of the week is going to remain in place through Tuesday. This will bring sunny and dry weather to all locations this weekend. The Coast will see the Chetco Effect enhanced Thursday through Saturday making the Coastline warmer than inland areas as highs climb into the 60's.
Meteorologist Alyssa Caroprese


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Hill Central Principal Tapped For Adult Ed Post
by Melissa Bailey | May 13, 2014 11:42 am
Commenting has been closed | E-mail the Author
Posted to: Schools
After leading a quiet "turnaround" effort at Hill Central School, Glen Worthy is leaving to take on a bigger challenge.
The school board Monday hired Worthy (pictured) as the new head of the city's adult education center.
Worthy has been principal of Hill Central for seven years. His assistant principal, Lillian Fontan, will take his place as principal, according to a personnel report the school board approved at its meeting Monday at the Parish Hall of Betsy Ross Arts Magnet School.
Worthy signed up 10 years ago to work as an assistant principal at Hill Central School, a neighborhood school at 140 Dewitt St. He entered a challenging environment: About a third of the 400-plus kids are learning English as a foreign language. And as a neighborhood school, Hill Central hosts an outsized portion of the 1,000 kids who transfer into the school district in the middle of every school year. Worthy spent three years as assistant principal there before assuming the principal post.
In June of 2010, Worthy got the chance to launch a quiet "turnaround" effort financed by a federal School Improvement Grant aimed at overhauling low-performing schools. He took advantage of attrition to replace half of his staff. He rebuilt the school using a "distributive leadership" model, where teachers are empowered to take responsibility in running the school. The effort quickly yielded results: The number of kids scoring "proficient" in reading on state standardized tests climbed from 24 percent in 2008 to over half in 2012.
Worthy also oversaw the school's relocation to far-away Quinnipiac Avenue, and its return to a $46 million new building in 2012.
Worthy said after 10 years at Hill Central, "it was just time for another challenge."
The principal, who used to be a guidance counselor, spent two years working at Wilbur Cross before becoming an administrator.
"I want to be with high school students at this point in my life," he said.
At the Adult Education Center, Worthy will help high school dropouts earn a diploma or a GED. He'll also oversee English-as-a-foreign language lessons, which the city is mandated to provide for free to any New Haven resident. The center also offers "enrichment" classes for adults who want to keep learning. It serves about 3,000 people per year, according to Worthy.
Worthy said as principal of the center, he will try to make the curriculum more relevant to the modern world, so that students who earn diplomas there can get a job after graduation.
Worthy begins his new job on July 1, replacing Alicia Caraballo (pictured), who is retiring.
He said it was "bittersweet" to leave Hill Central after a decade. When he tried to break the news to staff, he said, he had to leave the room several times to regain his composure.
Superintendent Garth Harries said when it was clear Worthy would be leaving the school, he consulted the School Planning and Management Team of teachers, parents and school staff on whom to choose as a replacement.
Everyone agreed that "there was only one choice—Lillian," Harries reported.
Harries said Fontan has long shown her leadership potential, and he is glad that the spot opened up at Hill Central before he had to poach her to lead another school.
"We are thrilled to let her lead on her own turf," Harries said.
Fontan (pictured) has worked beside Worthy as assistant principal throughout his entire seven years as principal. And before that, she worked at the school as a teacher.
In brief remarks before the school board, Fontan said she has been through many school reform experiments, and the one Hill Central chose, with its "distributive leadership" focus, has been by far the most effective.
"I am so, so excited" to take on the new job, Fontan said. "The investment that I feel" in the school "is amazing."
Worthy and Fontan start their new jobs on July 1. Fontan, who has 36 years of experience and a 6th-year professional diploma education, currently earns $117,688, according to the schools budget. She will earn $136,114 in her new job. Worthy currently makes $134,906; his new salary was not listed in the personnel report.
4 More Vacancies
The district still has four vacancies for principal jobs: at Davis Street School, Barnard Environmental Studies Magnet School, Mauro-Sheriden School, and Edgewood School, according to a memo Harries distributed at Monday's meeting.
The district is "in the midst of final decision-making" at those schools, according to Harries' letter. The district has also offered to help find a new leader for Domus Academy, a New Haven public school run by Domus, a Stamford-based social services agency.
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Dialed frame fit
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Halloween SpecialHunter Make-up Tutorial
Since Halloween is rapidly approaching, I think it's about time to reveal the secrets of my Hunter-make-up to you, my fellow zombies.
So, first things first:
What do you need/what did I use?Kryolan Supracolor Greasepaint palette(TypeA) + a pale yellowish-grayish corpsish skintone (Guess it's been ivory or GIIIA)
Mastix Spirit Gum
Soft putty
loose transparent powder (got some from Grimas ages ago, so that certain product is not sold anymore and I can't link it :()
Fake blood (not too much, in a gel consistency and preferably in a darker color!)
Blood capsules
Baby oil
Cotton wool
Spirit gum remover
Skin crea


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Statistics for PSYC Sciences (PSYC 210)
Introduces the use of descriptive and inferential statistics in psychological science. Covers measures of central tendency, variability, probability, confidence intervals, statistical significance and statistical power, as well as Chi-square, correlation coefficients, T-Tests, and Analysis of Variance. Includes the calculation of these statistics using computer software, and their proper interpretation. A sequence of STQM 260 and STQM 322 can be substituted for this course to fulfill the Psychology Major statistics requirement. Pre-Requisites:MATH 115 or 117 with grade of C or 24 on ACT or 560 on SAT; & PSYC 150. Typically Offered Fall Only Search AgainUse the search to find the course(s) that you are looking for.


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Flashback Fridays
Written on August 5, 2011 at 9:30 am, by Scott
On Sunday, May 25, I accompanied the grade six students from Salt Spring Elementary and Fernwood schools on their major field trip ofthe year to Strathcona Lodge on Vancouver Island. This was my first opportunity to participate in a major trip, and I looked forward to it with great anticipation.
As a parent, I have always been one hundred percent in favor of field trips, but now, as a school trustee, I have a further responsibility, to ensure that we are offering our students a thorough, well-rounded education; one that will prepare them to take their place in society with the best educational foundation possible.
By joining the kids on this outing, I would have an opportunity to witness first-hand the value of this type of program. After a bit of confusion (who would not be confused, trying to bed down 63 kids) we stowed our gear in our respective areas of accommodation. It was obvious from the start that there was favouritism girl and boy-wise at Strathcona. The girls got the plush 'college' building, complete with indoor plumbing (including showers), shag carpets, heat and brand new beds, and the boys got the tent- cabins, shipped directly to Strathcona at great expense right after the Boer war.


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Roofing Headache
POSTED: Wednesday, September 14, 2011 - 3:44pm
UPDATED: Thursday, January 26, 2012 - 9:25pm
EL PASO - Last year, a hail storm damaged the roof on Marco Martinez's house. To get it repaired, he signed a contract with a company called Roof Check. Now, ten months later, Martinez says he living a nightmare.
"It's been a real headache. I don't advise anybody going through anything like that," he said.
Problem number one: Roof Check didn't do the work themselves, they hired a subcontractor. A representative of Roof Check says they have the right to do that, but the homeowner says he did not agree to that.
"He never told me that he was going to sub it out to somebody," Martinez said.
Which bring us to problem number 2: After the work was done, an inspector with the City of El Paso approved it, but Martinez says the work was substandard and he hired his own inspector to take a look. That inspector found problems like a hole where light shines through into the attic, shingles that are lifting and problems around the chimney. Martinez sent that report to the city which then did an about face and said the roof did not meet city codes. Now the homeowner feels he needs a complete new roof, but Roof Check's bond company, basically their insurance, refuses to accept the claim because the city did not conduct their own inspection.
"In the past, most bonding companies have accepted letters like that, but now the bonding companies got smart and they want the city to be present," Martinez said.
Which brings us to problem number 3: The city won't send an inspector back out because they say they've already notified the homeowner that the roof is not up to code and that should be good enough. Roof Check says they've tried to work with the homeowner to fix what he felt was wrong, and they also claim that three city inspectors approved the work. The city says yes, they initially approved a visual inspection, but that was before seeing the homeowner's inspection report. They also say there's not much more they can do.
Now, both Roof Check and Martinez are threatening to take each other to court.
"Sue me. I have enough evidence to protect myself that this roof is not done correctly," Martinez said.
A representative of Roof check turned down our request for an on-camera interview.
We'll continue to follow the story and let you know what happens.
Comments News Comments
Circle K's here in El Paso have a policy to accept only active duty military ID's, and NOT their dependants or spouses ID's that are issued by the DoD ( Department of Defense) which I still thought was a part of our federal government of this great nation. I can't believe that this ID is a lesser form of Identification than a state issued ID Card. This infuriates me!! Why is this ONLY Circle K's and no other convenience stores policy.In a military city this is an outrage!


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Trent Richardson — the #3 overall pick in the 2012 NFL Draft — turned 21-years-old last night … and to celebrate, dude hit up a trendy Hollywood restaurant with an Oscar Winner. Not bad …
The Cleveland Browns running back had his birthday dinner at Mercato di Vetro … alongside Jamie Foxx.
It"s unclear how the two know each other … we"re guessing they"re are both in town for the ESPYS tonight.
We"re guessing Foxx paid for dinner … since Richardson has yet to sign his NFL contract.
Related posts:
- Jamie Foxx's Michael Jackson Impersonation — Yeah, I DID Dance in My Underwear [Video]
- Justin Timberlake gives fans the chance to become his personal photographer
- Jamie Foxxs Sister: New Down Syndrome Ambassador
- Andrew Luck — Do I Look Like the #1 NFL Draft Pick to You?
- Joely Richardson: Working with mum Vanessa was "incredibly special"


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Topic Categories: Social Security Disability Definitions Social Security Disability and SSI Overview The Requirements for Disability Social Security Disability and SSI Applications Tips and Advice for Disability Claims How long does Disability take? Common Mistakes after Receiving a Disability Denial Social Security Disability and SSI Denials Social Security Disability and SSI Appeals Social Security Mental Disability Benefits Disability Benefits offered through Social Security Benefits through SSI disability Disability Benefits for Children Disability Qualifications and How to Qualify Social Security Disability and Working Winning your Disability Benefits Social Security Disability Back Pay Benefits Social Security Disability SSI Awards and Award Notices Disability Lawyers and Hiring an Attorney Social Security Disability SSI List of Conditions What is considered a Disabling condition by Social Security? Social Security Disability SSI and Medical Evidence Filing for Disability Benefits Eligibility for Disability Benefits SSDRC authored by Tim Moore Ask a question, get an answer |
Facts about Post Polio Syndrome and Filing for Disability1) Post-polio syndrome (PPS) usually appears 30-35 years after the original poliomyelitis infection, usually affecting polio survivors between the ages of 35 and 60. There have been cases reported within 8 to 71 years after the original infection. 2) Symptoms for PPS include being tired and weak, muscular atrophy, and having muscular pain and extreme weakness in previously affected limbs. Sleep disturbances, sensitivity to cold temperatures and issues with swallowing or breathing are also symptoms. 3) Doctors do not currently know what makes post-polio syndrome happen to polio survivors, though many believe that over time the neurons become fatigued and nerve terminals malfunction. Others believe that polio survivors lose neurons at a speedier rate than those without history of the disease. 4) It can be challenging for doctors to diagnose PPS. The criteria are: gradual onset of weakness with motor neuron loss, previous polio, and partial or full recovery span after original case of polio. 5) There are no therapies to reverse PPS, and treatment is still being studied. For now, pain relief medications, plenty of rest, a healthy diet (and weight loss), and exercise specifically targeted to weak, fatigue areas are recommended. Sometimes equipment such as mechanical wheelchairs or braces can help. 6) PPS can affect the face muscles and make it hard for sufferers to swallow, breathe, speak, and eat. Breathing exercises, eating slowly and consciously, eating smaller portions, and quitting smoking can help. 7) Sometimes PPS is mistaken for ALS, amyotrophic lateral sclerosis, a motor neuron disease characterized by progressively weak muscles. 8) PPS occurs in 25-50 percent of polio survivors. 9) Scientists are currently working on a variety of tests and studies involving the motor neurons, spinal cord, brain, muscles, neuromuscular junction and peripheral nerves, to help them understand PPS better. Can you qualify for disability benefits with this condition? Whether or not you qualify for disability and, as a result, are approved for disability benefits will depend entirely on the information obtained from your medical records. This includes whatever statements may have been obtained from your treating physician (a doctor who has a history of treating your condition and is, therefore, qualified to comment as to your condition and prognosis). It will also depend on the information obtained from your vocational, or work, history if you are an adult, or academic records if you are a minor-age child. The important thing to keep in mind is that the social security administration does not award benefits based on simply having a condition, but, instead, will base an approval or denial on the extent to which a condition causes functional limitations. Functional limitations can be great enough to make work activity not possible (or, for a child, make it impossible to engage in age-appropriate activities). Why are so many disability cases lost at the disability application and reconsideration appeal levels? Speaking as a former Disability Claims Examiner, I can state that there are several reasons: 1) Social Security makes no attempt to obtain a statement from a claimant's treating physician. By contrast, at the hearing level, a claimant and his or her disability attorney will generally obtain and present this type of statement to a judge; 2) Prior to the hearing level, a claimant will not have the opportunity to explain how their condition limits them, nor will their attorney or representative have the opportunity to make a presentation based on the evidence of the case. At the hearing level, of course, this is exactly what happens. And a number of disability representatives will also take such steps even earlier, at the reconsideration appeal level; 3) Disability judges, unlike disability examiners who decides cases at the first two levels of the system, can make independent decisions without being overturned by immediate supervisors--which happens frequently. Return to: Social Security Disability Resource Center, or read answers to Questions Information on the following topics can be found here: Social Security Disability Questions and in these subsections: Frequently asked questions about getting Denied for Disability Benefits | FAQ on Disability Claim Representation | Info about Social Security Disability Approvals and Being Approved | FAQ on Social Security Disability SSI decisions | The SSD SSI Decision Process and what gets taken into consideration | Disability hearings before Judges | Medical exams for disability claims | Applying for Disability in various states | Selecting and hiring Disability Lawyers | Applying for Disability in North Carolina | Recent articles and answers to questions about SSD and SSI These pages answer some of the most basic questions for individuals who are considering filing a claim. Filing for disability - How to file for SSD or SSI and the Information that is needed by Social Security How to Apply for Disability - What medical conditions can you apply and qualify for? Applying for Disability - How long does it take to get Social Security Disability or SSI benefits? What happens if I file a disability application and it is denied by a disability examiner or Judge? How to Prove you are disabled and qualify to win disability benefits How do you prove your disability case if you have a mental condition or impairment? Social Security Disability Back pay and How Long it Takes to Qualify for it and receive it Social Security Disability SSI - Eligibility Requirements and Qualifications Criteria |


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Ramparts Wall Poster, nos 1-3 + 2 extras (August 24-28, 1968 - all issued?)
Chicago: Ramparts Magazine, 1968. First Edition. Five ephemeral broadsides issued daily during the Youth International Party's (Yippies) "Festival of Life," held to coincide (and disrupt) the 1968 Democratic Party convention. Intended to be posted publicly, the Wall Posters include reportage on police busts, anti-hippie conspiracies, convention news, and statements from various Yippie and SDS participants including Tom Hayden, Jerry Rubin, and Abbie Hoffman. It is unclear how many of the Wall Posters were issued; OCLC holdings are scant and poorly catalogued. It appears that this run of five issues is more complete than any currently held; no OCLC member institution appears to own the issue for August 28th, and there is no evidence to suggest that any Wall Posters were issued after this date. Five printed broadsides, each 34" x 22-3/4" (ca 86cm x 58cm). Printed two sides, on newsprint. Vertical and horizontal fold lines (as issued); paper slightly browned, but not brittle; Very Good.


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Read current Explorer issue online
In this issue, we delve into some of the new and developing technologies that will mitigate some of the risk and cost of Arctic exploration and development. Also read about some of the logistical and personnel complications, and solutions, for finding oil in the harsh environment of the frozen north. And, we take a look at many technical presentations from the upcoming Arctic Technology Conference, and we explore some of the history of how Alaska's North Slope became such a hot spot for hydrocarbons. In addition, we have some in-depth analysis of the current state of the global oil and gas market in light of the ongoing price war, including some specifics on the current fate of some major U.S. plays. There's also some coverage of the politics of energy development in both the halls of power at the federal, state and local levels, and in the halls of academia.
The AAPG EXPLORER is the monthly tabloid magazine of the American Association of Petroleum Geologists that covers news of interest to the AAPG membership. Contents include coverage of the entire span of energy interest, with emphasis on exploration for hydrocarbons and energy minerals. Breaking news stories, features, profiles of personalities, comment columns and Association information is included.
The AAPG EXPLORER is read by more than 42,000 members and friends of the Association in 129 countries.
Salary Survey
EXPLORER Archives
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EXPLORER Classifieds
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Express Accountant Interview Questions
Interview Experience
Interview Experience
Getting an Interview
Getting an Interview
Interview Difficulty
Interviews for Top Jobs at Express
- Sales Associate (208)
- Seasonal Sales Associate (11)
- Express Sales Associate (10)
- Co-Manager (7)
- Co Manager (6)
- Sales Lead (5)
- Store Manager (5)
- Full Time Sales Lead (4)
- Sales Leader (3)
- Part Time Sales Associate (3)
- Associate (3)
- Management (2)
- Accountant (2)
- Sale Associate (2)
- Customer Sales Lead (2)
- Sales Representative (2)
- Marketing Analyst (2)
- P/T Sales Leader (2)
- Sells Associate (1)
- Brand Sales Associate (1)
- PT Sales Lead (1)
- Sales Associate/Cashier/StockRoom (1)
- Part-time Sales Associate At Express (1)
- Sales Associate Position (1)
- Purchase Order Assistant (1)
- Hourly Associate/Co-Managers (1)
- Sales Associate With Fashion Expert Duties and Responsibilities (1)
- Brand Co-Manager (1)
- E-commerce (1)
- Part Time Sales Lead (1)
Accountant Interview
I applied in-person. The process took 2 weeks – interviewed at Express in March 2012.
met with three managers, asked general and behavioral quesitons. didnt get a call back for the final round
- why do you want to work here Answer Question
Other Interview Reviews for Express
Accountant Interview
Application DetailsThe process took 1+ week – interviewed at Express in March 2011.
Interview DetailsGot a phone call and did a brief ten minute interview with a recruiter. Then I did a first round of interviews with 4 members of the accounting management team (including who my direct manager would be). I did a second round with some of the big hitters. Your direct manager is the most important one followed closely by everyone in the second round.
Interview Questions- Why do you want to work here? View Answer
Negotiation DetailsWas given a call to be told that they where wanted me to be their guy, and they just had to decided on a salary and finish the background. This would be the time to put your input in.Accepted OfferPositive ExperienceAverage Interview


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Windows 8 Star Wars Theme
Written by: Oliver Krautscheid - Published: Wednesday, January 5th, 2011 - CommentsYou're into Star Wars? We have some beautiful Windows 8 Star Wars themes for your clean desktop including wallpapers of the movies and games.
Star Wars Wallpapers
We have created a lot of exclusive dual monitor wallpapers for this Windows 8 theme, so enjoy this large selection of wallpapers:
If you want to get the best out of Windows 8, use this Start Orb theme:
This Star Wars theme for Windows 8 will be made available throughout 2012. If you would like to download this theme for Windows 7, visit windows7themes.net, over there you will also find all sorts of other desktop themes.
Our Windows 8 Star Wars theme will be free of charge and can be downloaded 24/7.
– you will be able to download this theme here –
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If you are new to installing Windows 8 themes, make sure to read our tutorial how to install Windows 8 themes
I am the founder of windows7themes.net and webmaster.net. In my free time I love blogging about everything digital. I have a passion for programming, design, domains, stocks and internet marketing .. and alternative rock! So, let's rock!
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Introducing the smoothest, most luxurious carpet available. Only Tigressa Cherish offers a satiny, smooth feel combined with all of the high-performance features you'd expect from the finest nylon carpet on the market today.
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The Kettering Foundation reports that citizens "believe that they do not—cannot—have a say in the system [because] there's no room left for their voices." PBHA's CIVICS strives to inspire students to take an active participatory role in their community by educating them on what our government is and how it affects their lives. Students are encouraged to think critically about their rights and responsibilities as citizens through lessons on the Constitution and Bill of Rights. With challenging discussions and simulations, children in fifth and eighth grade learn to evaluate, critique, and appreciate the democratic process through approximately 8 weekly classes. |
Staff Photo by Jon Chase/Harvard University News Office


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Each for its own reasons, three of our major newspapers decided within months, and even days, of one another to publish a major series exploring class in America.
It started with the Los Angeles Times and its "New Deal" series, which debuted last October; then on May 13, the Wall Street Journal greeted readers with the first installment (subscription required) of its own "Moving Up: Challenges to the American Dream," which startled the New York Times into rushing the opening essay of its own "Class Matters" series into print on May 15. Seldom has there been a better chance to compare and contrast the performance of three competitors widely viewed as the best of the best as they each grappled with a major treatment of the same elusive subject.
The Wall Street Journal led off its Friday the 13th sneak attack on the New York Times (newspapers love to play these Beat ya! games) with a headline (subscription required) that left no doubt as to the series' premise: "As Rich-Poor Gap Widens in the U.S., Class Mobility Stalls, Those in Bottom Rung Enjoy Better Odds in Europe."
The piece, by David Wessel, effectively dismantled the idea of the American Dream with evidence that social mobility in the United States is no longer what it's cracked up to be. In fact, even "class-bound Europe" might offer more of an opportunity to scale the ranks than America. Although most Americans still cling to the idea that "their country remains a land of unbounded opportunity," as Wessel put it, leading economists and sociologists recently have accepted that not only does it matter who your daddy is, but it matters more now than it did thirty years ago.
The Journal article gives a good overview of research in the field, highlighting new studies by Gary Becker of the University of Chicago, Gary Solon of the University of Michigan, and Bhashkar Mazumder of the Federal Reserve Bank in Chicago. But lest the conclusions of Bercker, Solon and Mazumder seem too depressing, Wessel tempers his opener with fond and frequent references to the life of Benjamin Franklin, the prototypical Everyman of unfettered social mobility.
Two days later, the New York Times anteed up with a long, rather windy introduction to its own class series, an essay that was striking, among other things, for its lack of actual reporting. It, too, included the obligatory Benjamin Franklin reference, as well as quotes from Becker and Solon.
Once it was done clearing its throat for the entire length of its opener, the Times in subsequent parts of its series served up an avalanche of detailed, if largely anecdotal, reporting. But in the process it essentially abandoned the sort of critical analysis of class in America over the past few decades that the Journal and, earlier, the Los Angeles Times, had attempted. Instead, the Times set out to look at how class affects individuals. Not individuals in the aggregate, but rather a few very specific individuals: "a lawyer who rose out of an impoverished Kentucky hollow; an unemployed metal worker in Spokane, Wash., regretting his decision to skip college; a multimillionaire in Nantucket, Mass., musing over the cachet of his 200-foot yacht." Each day brought a new topic — health, marriage, religion, education, immigration, corporate nomads — with a new set of stories to illustrate how conceptions of class color each of those topics.
Of course, there's nothing wrong with using an individual's story as a launching pad for further analysis. Bob Davis did a great job of that in the second piece (subscription required) in the Journal series, which opens with the story of one Benjamin Franklin Baggett, a Salt Lake City resident whose famous name was not enough to keep him out of serious debt and eventual bankruptcy. Davis quickly justifies his choice of Baggett as an exemplar of a greater national problem of debt: In the past 15 years, "income for the median American household has risen only 11 percent after adjusting for inflation, while median household spending has jumped at 30 percent." The problem is particularly evident in Utah, where 28 of every 1,000 households filed for bankruptcy last year, "twice the national average and nearly triple Utah's rate a decade earlier." So that leaves Baggett as a great leading man, just one of a horde who are in serious debt in Utah … and ya gotta love that his name is Benjamin Franklin.


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Legal Writing Awards - Law Firm
Presented to Winners in the 1,000 largest firms.
Currently, only the 1000 largest law firms in America are permitted to participate in these "law firm" writing awards because of the resources and number of judges available.
Applications and attachments may be submitted online by the Managing Partners of the nation's 1000 largest law firms or their designees, the Directors of Marketing, and student nominations by Law School Deans, or their designees, the Deans of Students. The application for Law Firms must be received by February 7, 2014. You can file an application by filling out the form below.
If there are extenuating circumstances which prevented a firm from meeting the deadline, please call the organization to ask whether a late submission can still be accepted by the program.
The Criteria include
- The Submission must be an article. (Only one article may be submitted on behalf of a law firm.)
- The subject of the article can be devoted to any legal topic.
- The article may have appeared in any publication, whether written for lawyers or for consumers.
- Only managing partners, marketing directors or their designees may nominate an applicant.
- At least one author or coauthor must be a partner or counsel at the firm.
- Coauthors are permitted. Please provide the name, address, telephone number, fax and email of each contributing author.
- The article must have a publication date of the previous year even if it actually printed at a later date.
- The author may not presently be a full-time academic.
- This completed nomination form together with a copy of the article should be submitted online at www.burtonawards.com. If mailed, the nomination form must still be filled out online and two hard copies must be sent.
Please note: A 150 word narrative biographical summary written in the third person and a high resolution photo of each nominee must be submitted to firstname.lastname@example.com at the time of the application.


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Campus Notices:
No Notices
News Media Resources
Back to Library
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CBS News
- There are three menus: one for the main news categories at the top, a more detailed one towards the bottom and another menu under the main one for CBS's different news shows. There are also photo essays, interactive news items, stock market news, and links to local CBS TV and radio news affiliates.
- menu for main news categories is on the left and there is a more detailed one towards the bottom. There are links to other top stories, special reports, some interactive news items, stock market news, and Time, Sports Illustrated and Fortune.
The Financial Times Global Archive
- Non-subscribers can read and search the latest FT news, comment and analysis, access basic company information, use the interactive share charting facility, and access "Your money" and "Jobs & classifieds."
Fox News
- Menu bar is at the top of the page under the Banner. Scroll across to reveal links to all Fox News programsand other features.
- Main menu for news categories is on the left, and another menu with other MSNBC features is below it. There are also more top stories, special reports, stock market news, a link to the Washingtonpost.com and the possibility of linking up with local news stations.
Television News Archive
- The world's most extensive and complete archive of television news, its collection has more than 30,000 individual network evening news broadcasts from the major U.S. national broadcast networks: ABC, CBS, NBC, and CNN, and more than 9,000 hours of special news-related programming including ABC's Nightline since 1989. These broadcasts and special reports cover national and international events as well as presidential press conferences and political campaigns."
TV & Radio Directory
- Sorted by state with links to station's webpages
- Staffed by professional journalists, site is resource for newsmen and newswomen who cover state government enabling them to make their reporting more informative and useful to consumers. Site also serves state officials, students of state government and ordinary citizens who want to keep track of what's going on in their state capitol and in other states throughout the country.
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Last Update: April 8, 2014
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Annex Overnight Stay - Centurion Self Catering
Annex Overnight Stay - Centurion Self Catering
Annex Overnight Stay offers guests a choice of five comfortably furnished rooms in Clubview, Centurion.
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Journal of Pregnancy
Volume 2013 (2013), Article ID 820892, 6 pages
Risk Factors for Cesarean Delivery following Labor Induction in Multiparous Women
1Department of Obstetrics & Gynecology, Máxima Medical Centre, P.O. Box 7777, 5500 MB Veldhoven, The Netherlands
2Department of Obstetrics & Gynecology, Academic Medical Centre, Meibergdreef 9, 1105 AZ, Amsterdam, The Netherlands
Received 31 October 2012; Accepted 18 December 2012
Academic Editor: Sinuhe Hahn
Copyright © 2013 Corine J. Verhoeven et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Objective. To identify potential risk factors for cesarean delivery following labor induction in multiparous women at term. Methods. We conducted a retrospective case-control study. Cases were parous women in whom the induction of labor had resulted in a cesarean delivery. For each case, we used the data of two successful inductions as controls. Successful induction was defined as a vaginal delivery after the induction of labor. The study was limited to term singleton pregnancies with a child in cephalic position. Results. Between 1995 and 2010, labor was induced in 2548 parous women, of whom 80 had a cesarean delivery (3%). These 80 cases were compared to the data of 160 parous women with a successful induction of labor. In the multivariate analysis history of preterm delivery (odds ratio (OR) 5.3 (95% CI 1.1 to 25)), maternal height (OR 0.87 (95% CI 0.80 to 0.95)) and dilatation at the start of induction (OR 0.43 (95% CI 0.19 to 0.98)) were associated with failed induction. Conclusion. In multiparous women, the risk of cesarean delivery following labor induction increases with previous preterm delivery, short maternal height, and limited dilatation at the start of induction.
1. Introduction
Induction of labor is a common and essential element of the contemporary obstetric practice and now accounts for approximately 20% of all deliveries [1–3]. Induction of labor is thought to be associated with an increase in the risk of cesarean delivery both for nulliparous and multiparous women [4]. This has been demonstrated both for inductions on medical grounds and for elective inductions [5, 6]. More recent randomized comparisons have demonstrated that the effect of the induction of labor on the risk of cesarean delivery is limited. In postterm women as well as in women with prolonged rupture of membranes at term and in women with hypertensive disease, induction of labor is more effective than expectant management [7–9].
Data in parous women undergoing labor induction have revealed conflicting results. Some observational studies suggest that the rate of cesarean delivery in multiparous women with an elective induction is similar to that in those women with a spontaneous onset of labor [6, 10, 11]. Other studies report an increased risk for those who were electively induced [12–15]. One recent study even reported a lower cesarean delivery rate in multiparous women in whom labor was induced preventively, in order to ensure that pregnant women entered labor at an optimal time for the mother-baby pair [16].
Not much is known about factors related to a cesarean delivery after induction of labor in multiparous women.
In women where cesarean delivery is required, the procedure not only carries the operative risks in the index pregnancy, but also increases risks for future pregnancies [17]. Consequently, it would be useful to understand which factors are related to a cesarean delivery after induction of labor in multiparous women. In view of this question, we performed a case-control study to examine which factors are associated with a failed induction of labor in multiparous women.
2. Methods
We performed a case-control study in the Department of Obstetrics and Gynecology of the Máxima Medical Centre in Veldhoven, in the period 1995–2010. The Máxima Medical Centre is a large teaching hospital with a regional function for tertiary perinatal care in the south of The Netherlands. We included multiparous women with a singleton pregnancy above 37 weeks in whom labor was induced. Women with a pregnancy with a known fetal anomaly or a fetus in noncephalic presentation were excluded. Cases were defined as multiparous women with at least one previous vaginal delivery, in whom labor was induced and had resulted in a cesarean delivery. For each case, we selected two multiparous women with successful inductions of labor as controls, one successful induction immediately before a case and one immediately after a case. Successful induction of labor was defined as achieving a vaginal delivery any time after the onset of induction of labor.
Induction of labor was performed according to a standard protocol. Patients with an unfavorable cervix (Bishop score < 6) received 2 mg Prostin gel (1 mg if there was prelabor rupture of membranes) in the posterior fornix of the vagina, repeating the dose after 6 hours if necessary, depending on the Bishop score (Prostin E2, dinoprostonum 1 mg/3 g (RVG 13823) or 2 mg/3 g (RVG 13824), Pfizer B.V., Capelle aan de IJssel, The Netherlands). Amniotomy was performed in women with a favorable cervix (Bishop score ≥ 6). Oxytocin augmentation was started in cases with unsatisfactory progress of labor or when contractions were absent 60 minutes after amniotomy. Continuous monitoring of fetal heart beat and uterine contractions was registered on the cardiotocograph in all cases. The analgesics used were mostly pethidine or epidural analgesia, the latter as a continuous infusion of 0.1% Ropivacaine and 0.5 μg/mL Sufentanil. Cesarean delivery was performed as necessary for failure to progress in labor or for fetal distress, as assessed by cardiotocography and/or fetal blood sampling.
For cases and controls, we collected maternal age, height, body mass index (BMI), parity, reason for induction, gestational age, Bishop score, need for epidural, birth weight, and reason for cesarean delivery.
In our hospital, ethics committee approval is not required for a retrospective study.
Statistical analyses were performed using SPSS software (SPSS Inc, Chicago, IL).
The association between potential risk indicators and the occurrence of cesarean delivery was addressed using logistic regression analysis. In the univariable analysis, we expressed the association between each variable and the occurrence of cesarean delivery with an odds ratio (OR) and a 95% confidence interval (CI). Multivariable logistic regression analysis was used to estimate the independent contribution of potential risk indicators for the occurrence of cesarean delivery. In the multivariable analysis, we entered all variables with a value < .50 in the univariable analysis. Variables stayed in the model when their value was < .25.
3. Results
Between 1995 and 2010, labor was induced in 2548 parous women, of whom 80 had a cesarean delivery (3%). These 80 cases were compared to the data of 160 parous women who had a successful induction of labor (controls) (Figure 1). In 41 (51%) of the cases, the reason for cesarean delivery was failure to progress, in 34 (43%) fetal distress, and in 5 (6%) both.
Table 1 shows the characteristics of the study population at the start of induction of labor. There was no significant difference in maternal age, parity, or reasons for induction of labor between cases and controls.
The characteristics of the study population during induction of labor are shown in Table 2. Prostaglandins for induction were used in 52 of the cases (65%) and in 80 (50%) of the controls (OR 1.9, 95% CI 1.1 to 3.2, value 0.029). Otherwise, labor was induced by artificial rupture of membranes, mostly followed by oxytocin intravenous or by oxytocin alone in case of prolonged rupture of membranes. Furthermore, the need for epidural analgesia during labor differed between the cases and controls (OR 3.1 (95% CI 1.5 to 6.1, value 0.001)). The neonates born after cesarean delivery more often had a low Apgar score after one minute (15% versus 6%) and an arterial umbilical pH under 7.15 (15% versus 8%). These children were more often admitted to the neonatal care (20% versus 7%) (OR 3.4 (95% CI 1.5 to 7.7), value 0.004) (Table 3).
Cesarean delivery was significantly associated with gestational age at delivery (OR 0.97 (95% CI 0.95 to 0.99) per day), BMI (OR 1.1 (95% CI 1.01 to 1.14) per BMI point), and maternal height (OR 0.92 (95% CI 0.88 to 0.97) per cm).
Furthermore, dilatation (OR 0.64 (95% CI 0.50 to 0.83)) for every centimeter more dilated at the start of induction, nonengagement of the fetal head (OR 3.1 (95% CI 1.1 to 8.4)), and the need for using prostaglandins as induction method (OR 1.9 (95% CI 1.1 to 3.2)) were all associated with the risk of cesarean delivery. The amount of effacement of the cervix at the start of the induction did not differ between the cases and controls. In terms of previous obstetric history, women with only previous preterm delivery had a significantly higher risk of cesarean delivery than those with at least one previous term delivery (OR 3.5 (95% CI 1.8 to 6.9)). No difference in birth weight was observed between the two groups.
In the multivariable analysis (Table 4), the risk of cesarean delivery was significantly associated with low maternal height with an adjusted OR of 0.87 (95% CI 0.80 to 0.95, ), a history of preterm delivery (adjusted OR 5.3 (95% CI 1.1 to 25), ) and the amount of dilatation at the start of induction of labor (adjusted OR 0.43 (95% CI 0.19 to 0.98), ).
In the cesarean delivery group, there were ten women (13%) with the presenting fetal head at the level of the pelvic inlet, so at station -3. Indications for cesarean delivery were failure to progress because of neglected transverse lie (), prolapsed fetal arm (), prolapsed umbilical cord (), non-engaged persistent occiput anterior position (), failure to progress of dilatation () and fetal distress (). In 50% of them, the method of induction was amniotomy, mostly followed by oxytocin. In the control group, in seven women (4%) the presenting fetal head at the start of the induction of labor was at station -3. In only 29% (2/7) of these seven women amniotomy was performed, and they all delivered spontaneously.
We also analyzed our data stratified for the reason for cesarean delivery: failure to progress or fetal distress. There were no significant differences between those groups. Both in the univariable and the multivariable regression analysis the point estimates of the odds ratios were approximately the same as in the analysis for the whole group.
4. Discussion
In our hospital, we found that induction of labor in multiparous women resulted in a cesarean delivery rate of 3%. This study demonstrates that maternal height, the amount of dilatation at the start of induction and a history of preterm delivery played significant roles in determining the risk of cesarean delivery in induced multiparous women.
In this study, in which we only included women with at least one previous vaginal birth, we considered the need for a cesarean after induction of labor in a multiparous woman as the outcome measure failure of induction of labor. Although a woman might have reached active labor, we were not interested in another definition of failed induction, such as not reaching vaginal delivery within 24 hours. Although the latter outcome is frequently used, we consider it as less relevant, since in our opinion the birth of a healthy child from a healthy mother as well as spontaneous delivery, are of more importance than a quick delivery.
Women with a previous preterm delivery had a higher risk of cesarean delivery after induced labor than those with at least one previous term delivery. This finding corresponds with the results of the study of Park et al. [18]. He examined the predictive value of previous obstetric history, Bishop score, and sonographic measurement of cervical length for predicting failed induction of labor in parous women at term. Induction failed in 15 women (14%) of whom 13 delivered vaginally after 24 hours and two had a cesarean delivery (1.8%). The group of women with only previous mid trimester loss or preterm delivery had a significantly higher risk of failed labor induction than the group with at least one previous term delivery (50% (3/6) versus 12% (12/103); ). Our results are in line with the results of Park, indicating that the course of induction in women with a history of preterm delivery differs from women with a term delivery.
In 13% (10/80) of the cases, the fetal head at the start of induction was at station -3, whereas in the control group this was only 4% (7/160). Taking the reasons for cesarean delivery in these cases into account, one may conclude that one should be careful performing amniotomy if the fetal head is not properly engaged.
Although we are aware of the additional risks inducing women with a history of cesarean delivery, we included in both cases and controls six women with a previous cesarean delivery, besides a previous vaginal delivery. A history of previous cesarean delivery was, in our study, not significantly associated with the occurrence of cesarean delivery after induction of labor.
The 3% rate of cesarean delivery in multiparous women in whom labor was induced should be compared with the cesarean delivery rate in multiparous women with spontaneous labor. Heffner reports a cesarean delivery rate of 2.4% among multiparous women with spontaneous labor [19]. The study of Jacquemyn et al. reported a cesarean delivery rate of 1.5% in women with spontaneous onset of labor, as compared to 2.8% in women with induced labor [12]. In the study of Nicholson the cesarean delivery rate was 9.9% [16].
As with other retrospective analyses, this study does have limitations of relying on data evaluated and collected in a nonstandard fashion and the inability to obtain clarification when information is not clearly delineated in the patient records. As a result of this, we did not have any information on the position of the fetal head at the start of the induction, nor had we enough information on the position and the consistency of the cervix and the weakness to enable us to calculate the Bishop score for every patient in our study. Furthermore, it would have been interesting to look at the time between deliveries to investigate whether this variable had predictive value. Unfortunately, these data were not present.
Although matching facilitates study precision, we did not match cases and controls to prevent statistical bias because of overmatching. Instead, we used multivariable regression to control for confounding.
The absolute risk of cesarean delivery after induction of labor in multiparous women is low. However, the multivariable analysis showed that this risk is increased in case of a history of preterm delivery, lower maternal height, and little dilatation at the start of induction of labor. This information will allow more accurate counseling and better informed consent in the decision-making process regarding induction of labor in multiparous women.
Conflict of Interests
The authors report no declaration of interests.
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Considering gift-giving, King County is publicizing it's Waste Free Holiday program with "experience" merchants. For the past two years, our holidays and gifts have been trips and we'll ride all over Maui again this year. In 07, we're planning Bike Hugger tours and those will be experiences! Of course, we've got our store and the goods we sell.


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