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Publications (104)394.51 Total impact
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ABSTRACT: The purpose of this study was to estimate the incidence and prevalence of hearing loss for noise-exposed U.S. workers by industry sector and 5-year time period, covering 30 years. Audiograms for 1.8 million workers from 1981-2010 were examined. Incidence and prevalence were estimated by industry sector and time period. The adjusted risk of incident hearing loss within each time period and industry sector as compared with a reference time period was also estimated. The adjusted risk for incident hearing loss decreased over time when all industry sectors were combined. However, the risk remained high for workers in Healthcare and Social Assistance, and the prevalence was consistently high for Mining and Construction workers. While progress has been made in reducing the risk of incident hearing loss within most industry sectors, additional efforts are needed within Mining, Construction and Healthcare and Social Assistance. Am. J. Ind. Med. © 2015 Wiley Periodicals, Inc. © 2015 Wiley Periodicals, Inc.American Journal of Industrial Medicine 02/2015; 58(4). DOI:10.1002/ajim.22429 · 1.59 Impact Factor
Article: Overview of the National Occupational Mortality Surveillance (NOMS) system: Leukemia and acute myocardial infarction risk by industry and occupation in 30 US states 1985–1999, 2003–2004, and 2007[Show abstract] [Hide abstract]
ABSTRACT: Background Cancer and chronic disease are leading causes of death in the US with an estimated cost of $46 billion.Methods We analyzed 11 million cause-specific deaths of US workers age 18–64 years in 30 states during 1985–1999, 2003–2004, and 2007 by occupation, industry, race, gender, and Hispanic origin.ResultsThe highest significantly elevated proportionate leukemia mortality was observed in engineers, protective service, and advertising sales manager occupations and in banks/savings &loans/credit agencies, public safety, and public administration industries. The highest significantly elevated smoking-adjusted acute myocardial infarction mortality was noted in industrial and refractory machinery mechanics, farmers, mining machine operators, and agricultural worker occupations; and wholesale farm supplies, agricultural chemical, synthetic rubber, and agricultural crop industries.Conclusions Significantly elevated risks for acute myocardial infarction and leukemia were observed across several occupations and industries that confirm existing reports and add new information. Interested investigators can access the NOMS website at http://www.cdc.gov/niosh/topics/NOMS/. Am. J. Ind. Med. 58:123–137, 2015. © 2015 Wiley Periodicals, Inc.American Journal of Industrial Medicine 02/2015; 58(2). DOI:10.1002/ajim.22408 · 1.59 Impact Factor
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ABSTRACT: BACKGROUND: Twenty-two million workers are exposed to hazardous noise in the United States. The purpose of this study is to estimate the prevalence of hearing loss among U.S. industries. METHODS: We examined 2000-2008 audiograms for male and female workers ages 18-65, who had higher occupational noise exposures than the general population. Prevalence and adjusted prevalence ratios (PRs) for hearing loss were estimated and compared across industries. RESULTS: In our sample, 18% of workers had hearing loss. When compared with the Couriers and Messengers industry sub-sector, workers employed in Mining (PR = 1.65, CI = 1.57-1.73), Wood Product Manufacturing (PR = 1.65, CL = 1.61-1.70), Construction of Buildings (PR = 1.52, CI = 1.45-1.59), and Real Estate and Rental and Leasing (PR = 1.59, CL = 1.51-1.68) had higher risks for hearing loss. CONCLUSIONS: Workers in the Mining, Manufacturing, and Construction industries need better engineering controls for noise and stronger hearing conservation strategies. More hearing loss research is also needed within traditional "low-risk" industries like Real Estate. Am. J. Ind. Med. © 2012 Wiley Periodicals, Inc.American Journal of Industrial Medicine 10/2014; 57(10). DOI:10.1002/ajim.22082 · 1.59 Impact Factor
Article: Workplace psychosocial factors associated with hypertension in the U.S. workforce: A cross-sectional study based on the 2010 National Health Interview Survey[Show abstract] [Hide abstract]
ABSTRACT: Objective To explore associations between self-reported hypertension and workplace psychosocial factors that are common among U.S. workers and to identify industries and occupations (I&Os) that are associated with a high prevalence of hypertension, even after adjustment for common known risk factors.Methods Data from the 2010 National Health Interview Survey were used to examine relationships between the prevalence of self-reported hypertension and job insecurity, hostile work environment, work- family imbalance, work hours and I&O.ResultsJob insecurity (adjusted prevalence ratio (aPR): 1.11; 95% confidence interval (CI): 1.04–1.19)) and hostile work environment (aPR: 1.15; 95% CI: 1.03–1.29) were significantly associated with hypertension. Hypertension prevalence was significantly elevated among those employed in Healthcare Support occupations and Public Administration industries.Conclusion Addressing hostile work environments and the stress associated with job insecurity may improve workers' health. Other occupational factors that contribute to the variation in prevalence of hypertension by I&O should be sought. Am. J. Ind. Med. 57:1011–1021, 2014. © 2014 Wiley Periodicals, Inc.American Journal of Industrial Medicine 09/2014; 57(9). DOI:10.1002/ajim.22345 · 1.59 Impact Factor
Article: Prevalence of Coronary Heart Disease or Stroke Among Workers Aged <55 Years - United States, 2008-2012.[Show abstract] [Hide abstract]
ABSTRACT: Cardiovascular disease accounts for one in three deaths in the United States each year, and coronary heart disease and stroke account for most of those deaths. To try to prevent 1 million heart attacks and strokes by 2017, the U.S. Department of Health and Human Services launched the Million Hearts initiative, promoting proven and effective interventions in communities and clinical settings. In workplace settings, cardiovascular disease can be addressed through a Total Worker Health program, which integrates occupational safety and health protection with health promotion. To identify workers likely to benefit from such a program, CDC analyzed data from the National Health Interview Survey (NHIS) for the period 2008-2012 to estimate the prevalence of a history of coronary heart disease or stroke (CHD/stroke) among adults aged <55 years by selected characteristics, employment status, occupation category, and industry of employment. The results of that analysis showed that 1.9% of employed adults aged <55 years reported a history of CHD/stroke, compared with 2.5% of unemployed adults looking for work, and 6.3% of adults not in the labor force (e.g., unemployed adults who stopped looking for work, homemakers, students, retired persons, and disabled persons). Workers employed in service and blue collar occupations were more likely than those in white collar occupations to report a history of CHD/stroke. Two industry groups also had significantly higher adjusted prevalence ratios (aPRs) for CHD/stroke: Administrative and Support and Waste Management and Remediation Services* and Accommodation and Food Service.† Workers in these occupation and industry groups might especially benefit from a Total Worker Health approach to reducing the risk for CHD/stroke.
Conference Paper: Contributing Factors of Acute Paraquat and Diquat-Related Illnesses and Injuries in the United States, 1998 -20102014 Council of State and Territorial Epidemiologists Annual Conference; 06/2014
Conference Paper: Sentinel Event Notification System for Occupational Risks (SENSOR)-Pesticides Program[Show abstract] [Hide abstract]
ABSTRACT: BACKGROUND: Since 1987, acute occupational pesticide-related illness and injury has been one of the conditions under surveillance by the National Institute for Occupational Safety and Health (NIOSH). NIOSH supports these surveillance activities by providing cooperative agreement funding and technical support to state health departments. The program conducting these activities is the Sentinel Event Notification System for Occupational Risks (SENSOR)-Pesticides Program. SENSOR-Pesticides is also partially funded by the US Environmental Protection Agency (EPA). METHODS: Cases of acute pesticide-related illness and injury are identified and investigated by agencies in 12 states that participate in the SENSOR-Pesticides program. Data are submitted annually by each state agency to NIOSH, and NIOSH aggregates the data to produce a national database. The SENSOR-Pesticides program also provides timely identification of emerging pesticide problems. RESULTS: An update on recent findings and impacts from the SENSOR-Pesticides program will be provided. Among other things, the program highlights the risks faced by agricultural workers. Agricultural workers have a 10-fold higher risk of acute pesticide poisoning compared to workers in other industries. EPA is currently working on regulations to enhance farmworker protections, and these regulatory updates are, in part, being guided by SENSOR-Pesticides findings and recommendations. In 2013, findings from the SENSOR-Pesticides program were published in MMWR and peer-reviewed journals. These included an MMWR article on a case of acute acrolein poisoning. The peer-reviewed journal articles included one on the characteristics and magnitude of acute pesticide-related illnesses associated with pyrethrins and pyrethroids, and another describing a child of farmworker parents with high severity acute pesticide-related illness. CONCLUSIONS: The SENSOR-Pesticides program is considered the principal source of pesticide-related surveillance data in the US, and perhaps the world. It is a vital source of data for EPA to use when assessing whether pesticides are producing any unreasonable harm to human health.2014 Council of State and Territorial Epidemiologists Annual Conference; 06/2014
Article: Prevalence of Musculoskeletal Symptoms Among Agricultural Workers in the United States: An Analysis of the National Health Interview Survey, 2004-2008[Show abstract] [Hide abstract]
ABSTRACT: ABSTRACT Ergonomic risks from agricultural tasks can compromise musculoskeletal health of workers. This study estimated prevalence of musculoskeletal symptoms in a sample representing almost 2 million US agricultural industry workers. This study used National Health Interview Survey data from 2004 to 2008. Weighted prevalence was calculated by demographic and employment factors. Prevalence ratios were calculated using generalized linear models with the Poisson distribution assumption. Prevalence rates of low back and neck pain in the previous 3 months were 24.3% and 10.5%, respectively, among agricultural workers. Monthly prevalence of joint pain was 17.0% for hips/knees, 9.8% for shoulders, 9.5% for wrists/hands, 5.4% for elbows, and 4.7% for ankles/toes. Agricultural workers had a significantly higher prevalence of shoulder pain than all other industry workers (prevalence ratios [PR] = 1.28, 95% confidence interval [CI]: 1.02-1.61). This study provides detailed national estimates of musculoskeletal symptom prevalence to understand the burden and the need for intervention among agricultural workers.Journal of Agromedicine 06/2014; 19(3):268-80. DOI:10.1080/1059924X.2014.916642 · 0.92 Impact Factor
Article: Prevalence of Influenza-Like Illness and Seasonal and Pandemic H1N1 Influenza Vaccination Coverage Among Workers - United States, 2009-10 Influenza Season.[Show abstract] [Hide abstract]
ABSTRACT: During an influenza pandemic, information about the industry and occupation (I&O) of persons likely to be infected with influenza virus is important to guide key policy decisions regarding vaccine prioritization and exposure-control measures. Health-care personnel (HCP) might have increased opportunity for exposure to influenza infection, and they have been prioritized for influenza vaccination because of their own risk and the risk that infected HCP pose to patients. To identify other groups of workers that might be at increased risk for pandemic influenza infection, influenza-like illness (ILI) and vaccination coverage data from the 2009 National H1N1 Flu Survey (NHFS), which was conducted during October 2009 through June 2010, were analyzed. In a representative sample of 28,710 employed adults, 5.5% reported ILI symptoms in the month before the interview, and 23.7% received the 2009 pandemic H1N1 (pH1N1) influenza vaccine. Among employed adults, the highest prevalence of ILI was reported by those employed in the industry groups "Real estate and rental and leasing" (10.5%) and "Accommodation and food services" (10.2%), and in the occupation groups "Food preparation and serving related" (11.0%) and "Community and social services" (8.3%). Both seasonal influenza and pH1N1 vaccination coverage were relatively low in all of these groups of workers. Adults not in the labor force (i.e., homemakers, students, retired persons, and persons unable to work) had ILI prevalence and pH1N1 vaccination coverage similar to those found in all employed adults combined; in contrast, ILI prevalence was higher and pH1N1 vaccination coverage was lower among unemployed adults (i.e., those looking for work). These results suggest that adults employed in certain industries and occupations might have increased risk for influenza infection, and that the majority of these workers did not receive seasonal or pH1N1 influenza vaccine. Unemployed adults might also be considered a high risk group for influenza.MMWR. Morbidity and mortality weekly report 03/2014; 63(10):217-21.
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ABSTRACT: Along with public health and clinical professionals, employers are taking note of rising obesity rates among their employees, as obesity is strongly related to chronic health problems and concomitant increased healthcare costs. Contributors to the obesity epidemic are complex and numerous, and may include several work characteristics. To explore associations between occupational factors and obesity among U.S. workers. Data from the 2010 National Health Interview Survey were utilized to calculate weighted prevalence rates and prevalence ratios (PRs) for obesity in relation to workweek length, work schedule, work arrangement, hostile work environment, job insecurity, work-family imbalance, and industry and occupation of employment. Data were collected in 2010 and analyzed in 2012-2013. Overall, 27.7% of U.S. workers met the BMI criterion for obesity. Among all workers, employment for more than 40 hours per week and exposure to a hostile work environment were significantly associated with an increased prevalence of obesity, although the differences were modest. Employment in health care and social assistance and public administration industries, as well as architecture and engineering, community and social service, protective service, and office and administrative support occupations was also associated with increased obesity prevalence. Work-related factors may contribute to the high prevalence of obesity in the U.S. working population. Public health professionals and employers should consider workplace interventions that target organization-level factors, such as scheduling and prevention of workplace hostility, along with individual-level factors such as diet and exercise.American journal of preventive medicine 03/2014; 46(3):237-48. DOI:10.1016/j.amepre.2013.11.002 · 4.24 Impact Factor
Article: Shift work and cancer screening: Do females who work alternative shifts undergo recommended cancer screening?[Show abstract] [Hide abstract]
ABSTRACT: Alternative shift work is classified as a probable human carcinogen. Certain cancer screening tests reduce cancer mortality. The 2010 National Health Interview Survey was used to examine associations between adherence to breast, cervical, and colon cancer screening recommendations and alternative shift work among female workers. Workers on alternative shifts, compared to workers on daytime shifts, were more likely to be non-adherent to screening recommendations for breast (34% vs. 23%) and colorectal (55% vs. 48%) cancer (P < 0.05). Workers on alternative shifts in two industries ("Manufacturing" and "Accommodation/Food Services") and three occupations ("Food Preparation/Serving," "Personal Care Services," and "Production") were more likely to be non-adherent to screening recommendations for at least two cancers (P < 0.05). The Affordable Care Act eliminates out-of-pocket screening expenses for these three cancers. Greater efforts are needed to promote this benefit, particularly among workers with demonstrated non-adherence. Am. J. Ind. Med. 57:265-275, 2014. Published 2013. This article is a U.S. Government work and is in the public domain in the USA.American Journal of Industrial Medicine 03/2014; 57(3):265-75. DOI:10.1002/ajim.22285 · 1.59 Impact Factor
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ABSTRACT: ABSTRACT Acute myeloid leukemia (AML) is the most common type of leukemia found in adults. Identifying jobs that pose a risk for AML may be useful for identifying new risk factors. A matched case-control analysis was conducted using California Cancer Registry data from 1988 to 2007. This study included 8,999 AML cases and 24,822 controls. Industries with a statistically significant increased AML risk were construction (matched odds ratio [mOR]=1.13), crop production (mOR=1.41), support activities for agriculture and forestry (mOR = 2.05), and animal slaughtering and processing (mOR = 2.09). Among occupations with a statistically significant increased AML risk were miscellaneous agricultural workers (mOR = 1.76); fishers and related fishing workers (mOR = 2.02); nursing, psychiatric, and home health aides (mOR = 1.65); and janitors and building cleaners (mOR = 1.54). Further investigation is needed to confirm study findings and to identify specific exposures responsible for the increased risks.Leukemia & lymphoma 02/2014; DOI:10.3109/10428194.2014.894189 · 2.61 Impact Factor
Article: Quit interest, quit attempt and recent cigarette smoking cessation in the US working population, 2010[Show abstract] [Hide abstract]
ABSTRACT: To determine the prevalence of cigarette smoking cessation and examine the association between cessation and various factors among workers in a nationally representative sample of US adults. Data were derived from the 2010 National Health Interview Survey. Prevalence rates were calculated for interest in quitting smoking, making an attempt to quit smoking, and successful smoking cessation (defined as smokers who had quit for 6-12 months). Logistic regression analyses were used to identify factors associated with cessation after adjustment for demographic characteristics (age group, race/ethnicity, educational level and marital status). Data were available for 17 524 adults who were employed in the 12 months prior to interview. The prevalence of quit interest, quit attempt and recent cessation was 65.2%, 53.8% and 6.8%, respectively. Quit interest was less likely among workers with long work hours, but more likely among workers with job insecurity, or frequent workplace skin and/or respiratory exposures. Quit attempt was more likely among workers with a hostile work environment but less likely among workers living in a home that permitted smoking or who smoked ≥11 cigarettes/day. Recent smoking cessation was less likely among workers with frequent exposure to others smoking at work or living in a home that permitted smoking, but more likely among workers with health insurance. Factors associated with cessation interest or attempt differed from those associated with successful cessation. Cessation success might be improved by reducing exposure to others smoking at work and home, and by improving access to health insurance.Occupational and environmental medicine 02/2014; 71(6). DOI:10.1136/oemed-2013-101852 · 3.23 Impact Factor
Article: Notes from the field: acute illness associated with use of pest strips - seven u.s. States and Canada, 2000-2013.[Show abstract] [Hide abstract]
ABSTRACT: Dichlorvos-impregnated resin strips (DDVP pest strips) are among the few organophosphate products still available for indoor residential use. The residential uses for most other organophosphate products, including most DDVP products, were canceled because they posed unreasonable risks to children. DDVP pest strips act by inhibiting acetylcholinesterase activity in the brain and nerves of insect pests and are designed to gradually release DDVP vapor for up to 4 months. Acute illnesses in humans associated with nonlethal acute exposures usually resolve completely, but recovery is not always rapid. To assess the frequency of acute illnesses associated with DDVP pest strips, cases from 2000 through June 2013 were sought from the 12 states that participate in the Sentinel Event Notification System for Occupational Risks (SENSOR)-Pesticides Program, the National Pesticide Information Center (NPIC), and Health Canada.* A total of 31 acute DDVP pest strip-related illness cases were identified in seven U.S. states and Canada. The majority of these illnesses resulted from use of the product in commonly occupied living areas (e.g., kitchens and bedrooms), in violation of label directions. Although 26 of the 31 cases involved mild health effects of short duration, five persons had moderate health effects. Illnesses caused by excess exposure to DDVP pest strips can be reduced by educating the public about the proper usage of DDVP pest strips and with improvements in label directions.MMWR. Morbidity and mortality weekly report 01/2014; 63(2):42-3.
Article: Characteristics and magnitude of acute pesticide-related illnesses and injuries associated with pyrethrin and pyrethroid exposures-11 states, 2000-2008[Show abstract] [Hide abstract]
ABSTRACT: Excluding disinfectants, pyrethrins and pyrethroids are the pesticides used most commonly in and around homes. Respiratory effects and paresthesia are among the concerns about pyrethrin/pyrethroid exposures. Acute pesticide-related illness/injury cases were identified from the Sentinel Event Notification System for Occupational Risks-Pesticides Program and the California Department of Pesticide Regulation from 2000-2008. Characteristics and incidence rates were determined for acute pyrethrin/pyrethroid-related illness/injury cases. Logistic regression analyses were performed to determine odds of respiratory and dermal symptoms in persons with illness/injury following pyrethrin/pyrethroid exposure compared to persons with illness/injury following exposure to other pesticides. A total of 4,974 cases of acute pyrethrin/pyrethroid-related illness were identified. Incidence rates increased over time, reaching 8 cases/million population in 2008. The majority of cases were low severity (85%) and 34% were work-related. Respiratory effects were the most common symptoms reported (48%). Risk of acute respiratory effects were significantly elevated among persons exposed only to pyrethrins (adjusted odds ratio [aOR] 1.79; 95% confidence interval [95% CI]: 1.49-2.16), only to pyrethroids (aOR 1.99 95% CI: 1.77-2.24), to a mixture of pyrethroids (aOR 2.36; 95% CI: 1.99-2.81) or to a mixture containing both pyrethrins and pyrethroids (aOR 2.99; 95% CI: 2.33-3.84) compared to those with illness arising from exposure to other pesticides. The most common factors contributing to pyrethrin/pyrethroid-related illness included exposure from spills/splashes, improper storage, and failure to evacuate during pesticide application. The magnitude of acute pyrethrin/pyrethroid-related illness/injury is relatively low but is increasing. As such, additional measures to prevent them are needed. Am. J. Ind. Med. 9999:1-16, 2013. © 2013 Wiley Periodicals, Inc.American Journal of Industrial Medicine 01/2014; 57(1). DOI:10.1002/ajim.22216 · 1.59 Impact Factor
Article: Prevalence of work-related dermatitis in the working population: Authors' response to letter from Rosenman and Fussman.American Journal of Industrial Medicine 01/2014; 57(1):127-8. DOI:10.1002/ajim.22276 · 1.59 Impact Factor
Conference Paper: Is hypertension associated with work organization and psychosocial occupational exposures? a cross-sectional study based on the 2010 national health interview survey[Show abstract] [Hide abstract]
ABSTRACT: Background and Objectives: Several studies have suggested associations between hypertension and certain work organization and psychosocial occupational exposures, but most of these have been small and/or restricted to specific industry or occupational groups. The goal of this study was to explore these associations among a nationally representative sample of US workers. Methods: Data from the 2010 National Health Interview Survey, which included an occupational health supplement, were used to examine relationships between the prevalence of self-reported hypertension and long work hours, job insecurity, hostile work environment, and work- family imbalance. The prevalence of hypertension by occupation and industry of employment was also examined. Multivariate analyses were performed using survey logistic regression models. Results: Data were available for 17,494 adults who worked in past 12 months. Job insecurity (adjusted odds ratio (aOR): 1.18; 95% confidence interval (CI): 1.06-1.31) and hostile work environment (aOR: 1.24; 95% CI: 1.05-1.48) were found to be significantly associated with hypertension. In addition, after controlling for demographic factors, job insecurity, and hostile work environment, employment in the following occupations/industries (O/I) appeared to increase the odds of hypertension compared to employment in all other O/I combined: Healthcare support occupations (aOR: 1.56; 95% CI: 1.16-2.09), Public administration industries (aOR: 1.34; 95%CI: 1.10-1.64), and Healthcare and social assistance industries (aOR: 1.21; 95% CI: 1.04-1.40). Conclusion: We found evidence for associations between job insecurity and hostile work environments and self-reported hypertension. We also found variation in the prevalence of hypertension among workers in different industry and occupation categories.141st APHA Annual Meeting and Exposition 2013; 11/2013
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ABSTRACT: By pooling data from six studies that participated in the Upper-Extremity Musculoskeletal Disorder Consortium (UEMSD), Dale et al's recent publication "Prevalence and incidence of carpal tunnel syndrome in US working populations: pooled analysis of six prospective studies" (1) provides an important contribution to the literature on carpal tunnel syndrome (CTS) among US workers. Although the main purpose of the UEMSD was not to estimate the national prevalence of CTS but rather to evaluate the relationship between workplace factors and upper-extremity health outcomes, Dale et al's reported baseline prevalence rate of CTS (7.8%) might be considered one of the best estimates of the true prevalence of CTS among US workers performing hand-intensive activities. Another recently published estimate of the prevalence of CTS among US workers is based on data collected through an Occupational Health Supplement (OHS) to the 2010 National Health Interview Survey (NHIS) (2). The 2010 NHIS-OHS asked participants if a clinician had ever diagnosed them as having CTS, and, if so, whether they had CTS in the past 12 months. According to the 2010 NHIS-OHS, the 12-month prevalence of self-reported clinician-diagnosed CTS among current/recent workers is 3.1%, or 4.8 million workers. Clinicians attributed almost two thirds of these cases to work (2). There are several reasons why the 12-month prevalence estimate based on the 2010 NHIS-OHS is substantially lower than the baseline prevalence of CTS in the UEMSD study. Dale et al mention two of the main reasons: "While CTS rates depend on the physical exposures and other characteristics of the population under study, they are also affected by the study design and CTS case definitions used to define the disease." The UEMSD study population was not designed to be representative of the US population but instead had a high proportion of participants employed in manufacturing and other hand-intensive jobs. However, the UEMSD study assessed all participating workers and used a rigorous case definition of CTS that was based on symptoms and electrodiagnostic studies. In contrast, the NHIS-OHS sample was designed to be representative of the US adult population. For this reason, the prevalence estimate based on the NHIS-OHS would be expected to be a more accurate national estimate. However, since the 2010 NHIS-OHS estimate is based on self-reported clinician diagnoses of CTS, it has several limitations including: (i) it did not capture workers with CTS who did not seek healthcare or were misdiagnosed; (ii) no information was available on how the clinician made the CTS diagnosis; and (ii) there was total reliance on the worker's memory to accurately recall the CTS diagnosis. This comparison highlights the need to employ multiple methods to understand the true burden of common work-related disorders in the general population. The 2010 NHIS-OHS and UEMSD estimates probably bookend the true national prevalence of CTS among workers, as it likely lies somewhere between the 3.1% and 7.8% estimates from the 2010 NHIS-OHS and the UEMSD study, respectively.Scandinavian Journal of Work, Environment & Health 10/2013; 40(1). DOI:10.5271/sjweh.3391 · 3.10 Impact Factor
Article: Severe Acute Illness in a Toddler Exposed to Multiple Agricultural Pesticides and an Insect Repellent[Show abstract] [Hide abstract]
ABSTRACT: ABSTRACT Acute severe pesticide-related illness among farm worker children is rarely reported. The authors report a toddler with acute onset of apnea, cyanosis, somnolence, hypotonia, tachycardia, and miosis who required hospitalization. Health care providers suspected pesticide poisoning, but were unable to determine the causal agent. Investigation by a public health program documented four pesticide exposures that occurred within one-half hour of acute illness. This case illustrates the importance of a thorough environmental/occupational exposure history and obtaining biological samples. It also documents the need to strengthen the Worker Protection Standard for agricultural workers and the importance of reporting and investigating pesticide-related illness.Journal of Agromedicine 10/2013; 18(4):285-292. DOI:10.1080/1059924X.2013.826606 · 0.72 Impact Factor
Article: Concordance Between Current Job and Usual Job in Occupational and Industry Groupings Assessment of the 2010 National Health Interview Survey[Show abstract] [Hide abstract]
ABSTRACT: To determine whether current job is a reasonable surrogate for usual job. Data from the 2010 National Health Interview Survey were utilized to determine concordance between current and usual jobs for workers employed within the past year. Concordance was quantitated by kappa values for both simple and detailed industry and occupational groups. Good agreement is considered to be present when kappa values exceed 60. Overall kappa values ± standard errors were 74.5 ± 0.5 for simple industry, 72.4 ± 0.5 for detailed industry, 76.3 ± 0.4 for simple occupation, 73.7 ± 0.5 for detailed occupation, and 80.4 ± 0.6 for very broad occupational class. Sixty-five of 73 detailed industry groups and 78 of 81 detailed occupation groups evaluated had good agreement between current and usual jobs. Current job can often serve as a reliable surrogate for usual job in epidemiologic studies.Journal of occupational and environmental medicine / American College of Occupational and Environmental Medicine 08/2013; 55(9). DOI:10.1097/JOM.0b013e318297321d · 1.88 Impact Factor
Top Journals
Centers for Disease Control and Prevention
Атланта, Michigan, United States
- Division of Surveillance, Hazard Evaluations, and Field Studies (DSHEFS)
University of Utah
Salt Lake City, Utah, United States
- Rocky Mountain Center for Occupational and Environmental Health
University of California, Irvine
Irvine, California, United States
- Department of Family Medicine


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Christopher Cox, chairman of the Securities and Exchange Commission, has defended his and the agency's role as the financial crisis continues, but critics, including Republican presidential candidate Sen. John McCain, said missed opportunities abound. "The chairman of the SEC serves at the appointment of the president and has betrayed the public's trust. If I were president today, I would fire him," McCain said.
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Tags paramore, all time low, acoustic
Genres rock, pop punk, alternative, emo, punk (beta)
(flag as incorrect)
Artists My Chemical Romance (beta)
June 04, 2012
a playlist of music i listen to on summer trips
Great playlist ;)
Listening to a Dream by ReebeeSheen
drifting from reality.
dark, peaceful, drifting, slumber
Meaning Beyond the Melody by ReebeeSheen
a mix of songs with powerful messages and/or metaphors plus a few spoken word pieces.
spoken word, powerful messages, ingenious
Over by ReebeeSheen
moving on, crying for the last time, and learning to smile again.
break up, getting over it
Secret Love by ReebeeSheen
songs for secret lovers
love, secrets


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Darius Palia
Hedge fund activism should be carefully assessed according to Darius Palia paper reported Mondaq
Friday, November 21, 2014
The recent increase in hedge fund activism is "hyperbolic" and should be carefully assessed, according to two notable scholars, John C. Coffee Jr. (corporate law; Columbia) and Darius Palia (corporate finance; Rutgers Business School), who have just published on comprehensive study on hedge fund activism entitled, "The Impact of Hedge Fund Activism: Evidence and Implications." The authors address...
Few companies today seem immune from the reach of hedge-fund activism, said Darius Palia in Financial Post
Sunday, November 16, 2014
Once reviled as a threat to the status quo in executive suites and clubby corporate boardrooms, activist hedge funds are today lauded as catalysts for change, gaining clout and board seats in blue-chip companies: Canadian Pacific Railway, Microsoft Corp. and Procter & Gamble Co. Like the leveraged-buyout kings of the 1980s and 1990s immortalized as "Barbarians at the Gate," hedge-fund...
Valentin Dimitrov, Leo Tang, and Darius Palia paper: Impact of the Dodd-Frank Act on Credit Ratings featured in Harvard Law School Forum
Thursday, October 9, 2014
In response to the Global Financial Crisis of 2008-2009, Congress passed the Dodd-Frank Wall Street Reform and Consumer Protection Act (Dodd-Frank) in July 2010. Among its various provisions, Dodd-Frank outlines a series of broad reforms to the Credit Rating Agencies (CRA) market. Many observers believe that CRAs' inflated ratings of structured finance products were partly to blame for the rapid...
Financial Institutions Conference: Obama second-term leaves banks learning to live with strict new regulation
Tuesday, November 27, 2012
Bankers and financial professionals attending a conference hosted by the Rutgers Financial Institutions Center earlier this month sounded resigned to the fact that they will have to live with controversial rules such as the Dodd-Frank Act, but even as the industry restructures, there are signs that stricter reforms are coming.
Faculty Insight: Too Small to Survive? Possible consequences of Dodd-Frank Act
Tuesday, November 6, 2012
The two-year-old federal law, inspired by the collapse of the financial industry and the ensuing "Great Recession," was intended to prevent another financial crisis by imposing new requirements for transparency, accountability and consumer protections. But recently, some unintended consequences of the law, namely the crushing burden on banks to meet these regulations, are starting to be raised by industry observers.
Strong, diverse views will fuel discussion on reforms at financial industry conference
Tuesday, November 6, 2012
The conference hosted by the Financial Institutions Center and Rutgers Business School will open with a panel of experts who view U.S. banking regulations from very different perspectives. The panelists will include a policy maker at the Federal Reserve Bank in Kansas City, a Pulitzer Prize-winning financial journalist, a lawyer and the chief investment officer and head of fixed income for Alliance Bernstein.
Faculty Insight: Collapse of Lehman Brothers proves a bank's size isn't all that matters
Tuesday, October 16, 2012
Finance professor Darius Palia explains how Lehman Brothers' interconnections contributed to the bank's collapse, a factor that regulators realize now can be as important as an institution's size in evaluating its potential to disrupt the financial system.
With election results known, financial experts to debate implications for financial institutions at November 9th conference
Wednesday, September 26, 2012
Headlining the discussion will be Doug J. Peebles, Chief Investment Office & Head, Alliance-Bernstein Fixed Income, and Charles S. Morris, Acting Deputy to Vice-Chairman of FDIC, Vice President and Economist, Federal Reserve Bank of Kansas City, who will be debating the implementation of the Volker Rule, Dodd-Frank and other regulations.
Hubbard, Palia, & Yu on Discrimination in the Mortgage Market
Tuesday, January 10, 2012
This paper examines evidence of lending discrimination in prime and subprime mortgage markets in New Jersey. Existing single-equation studies of race-based discrimination in mortgage lending assume race is uncorrelated with the disturbance term in the loan denial regression. At the individual loan-level, we show that race is correlated with both observable and unobservable risk variables, leading...
Professor Darius Palia joins JFQA Editorial Board
Monday, December 13, 2010
Professor of Finance and Economics Darius Palia was recently asked to join the Editorial Board as an Associate Editor of the top-rated finance journal Journal of Financial and Quantitative Analysis (JFQA).
Darius Palia quoted on NPR: Move your money to community banks campaign?
Thursday, January 7, 2010
President's plan a sigh of relief for small firms
Monday, December 14, 2009
Overall, "the good thing about Obama's plans is that they're targeted," said Darius Palia, a finance and economics professor at Rutgers Business School and the founding director of Rutgers Financial Institutions Center. "The problem is that he originally pledged to slash the national budget deficit by the end of his first term, and stimulus programs like these make that an unlikely prospect. I'd...
TD Bank scrambles to fix glitch
Thursday, October 1, 2009
Professor of finance and economics Darius Palia is quoted in a story about the recent TD Bank computer glitch. Experts said computer glitches in bank mergers, while not uncommon, are the type of problem that can keep executives up at night. "I don't think it's a big risk in the scheme of things, but it depends how long this goes," said Palia. Most banks will have some problems. The question is,...


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At The Horse Races
By Scraps N Pieces
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This kit was created as a request for someone who knew a horse that raced in the Preakness. With the fancy hats, the fences, and the horse riding equipment, this kit is great for racing, equestrian, or English riding. Grab it today and scrap your favorite horse photos.
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What Percentage Of American Population Has Herpes
Here's a taste of what TheBody.com has to offer on this topic:
Get the Facts
Herpes Simplex (Cold Sores and Genital Herpes)... What Is Herpes? HSV and HIV How Is HSV Transmitted? How Is Herpes Treated? Can Herpes Be Prevented? The Bottom Line What Is Herpes? Herpes simplex refers to a group of viruses that infect humans. Like herpes zoster (shingles,
Ask the Experts
Risk of HIV through Oral Sex When Herpes is present and contractedDear Dr. Bob--About 7 years ago, you helped me through the only other HIV scare I've ever had (which turned out to be Lyme disease). I hope you can help with this one, as well. And I believe the specific facts of my "case" will help others and...
Response from Robert J. Frascino, M.D.
The Robert James Frascino AIDS Foundation...increase susceptibility to HIV and facility HIV transmission. This is primarily a problem of an HIV-negative person with active herpetic lesions being at greater risk for acquiring HIV from an exposure. This would not apply to your situation.2.... Read more »
NEW RESEARCH ON HIV and HERPES - NO NEED FOR OPEN SORES FOR TRANSMISSION???Dear Dr. Bob: You have been extremely helpful to me over the years and I have donated to support the great work you are doing. I have been somewhat satisfied with being sexually active with women using a condom correctly every time based on...
Response from Robert J. Frascino, M.D.
The Robert James Frascino AIDS Foundation...is indeed accurate, yes, there would be a theoretical risk that infectious bodily fluids could transmit the virus to areas of herpetic lesions, even if the lesions are healed or not presently open and active.Dr. BobU.S. National Institute of... Read more »
Herpes Screening and HIV RisksHi Doctor Bob,I recently went to a campus health clinic, my personal physician, and Planned Parenthood to ask for a herpes blood test. All three places did not recommend a herpes test because they wouldn't do anything for treatment in the absence of...
Response from Robert J. Frascino, M.D.
The Robert James Frascino AIDS Foundation...HIV transmission prevention remains exactly the same. Condoms. Condoms. Condoms. The situation changes if you have an active herpetic outbreak. In that case the risk of HIV transmission would be increased as it would with any STD that causes... Read more »
Worried needlessly ????Age 44. Divorced 3 years ago. 2 sexual partners prior to marriage. After divorce tested for STDs as I thought I would begin a new relationship. Tested positive for Herpes. Went nuts. Went to see specialist, she indicated that test to...
Response from Ryan M. Kull, C.S.W
Columbia University's Health & Related Services...that does not mean that you have genital herpes. It probably indicates, as your doctor told you, that you are like 80% of the population: you have been infected with HSV-1 at some point in your life and may get ocassional cold sores. Since... Read more »
Herpes Zoster (Shingles)...goes away within a few weeks, but in some cases, severe pain can last for months or even years. This condition is called "post herpetic neuralgia." Shingles and HIV Shingles is not one of the infections that leads to a diagnosis of AIDS. ... Read more »
Understanding Genital Herpes... Overview Cause Transmission Symptoms Diagnosis Treatment Prevention Complications Overview Genital herpes is a sexually transmitted infection (STI). According to the Centers for Disease Control and Prevention, in the... Read more »
The Role of STD Detection and Treatment in HIV Prevention...prevalence of STDs in many parts of the United States and with emerging evidence that the U.S. HIV epidemic increasingly is affecting populations with the highest rates of curable STDs, the CDC/HRSA Advisory Committee on HIV/AIDS and STD... Read more »
Connect With Others
Posted by sadface, 4 Replies...I have been reading a little on herpes. How soon can you get a blood test to see if you are caring the virus? When does it begin to show up? UG! Thanks, SF Read more »
Herpes question.....Read more »
Herpes=HIV??!??!Read more »
STD? cold sores, herpes???Read more »
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ok it's getting cold outside. the high today was 49. i know that i'm sounding wimpy but the last time this girl spent a winter on the east coast it was 1993.
i need a warmer coat, more cute hats (with matching gloves!) and some long sleeve tshirts. my wardrobe is presently only equipped to handle 54 degrees or more. no less.
we are not in san francisco anymore.
was inspired by google today to add more blogs to my rss reader. go gothamist, go!
UPDATE: frost and freeze warning tonight for the suburbs!! is jersey city the suburbs?!?!??!!! um, the weather guy is also saying there may be SNOW SHOWERS on friday night. holy eff.
♥Valerie, fashion victim1, and odcdance added this photo to their favorites.
cool shot! brrrrrr
You=fab. it's only 9 pm here but I feel like it's midnight. I'm tired of studying even though I love this class. Wah....
PS my dog just farted under the sheets and it's peeking out and it's NASTY!
PPS I love this pic, too.
Supah cute! I don't miss midwest winters . . . stay warm, sweetness.
Very nice pic. A good reason for some serious shopping !
I love winter and I love winter clothes.
Check out ebay for awesome vintage swing coats. I was playing the other night and some are fur lined or have fur collars. (Sorry PETA!) There were some adorable ones for super cheap -- if you can stand the smell. :-) Yay Febreeze!
Hey Kenna! I know how you feel! I am visiting family in Ohio and it's been 5 years since I've seen a wind/snow advisory... bulked up on warm Buckeyes gear anyway ;-) Hope you stay warm!
Hi, I'm an admin for a group called Show me your hat!, and we'd love to have your photo added to the group.
Found in a search. (?)


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It's Not Over: Big Battles Ahead Even After 'Fiscal Cliff' Deal
Originally published on Wed January 2, 2013 2:59 pm
We're sorry to start the first work day of 2013 on a negative note, but here goes:
Though the House voted 257-167 late Tuesday to OK legislation that kept the federal government from going over the so-called fiscal cliff — and stopped income taxes from rising for about 99 percent of Americans — lawmakers didn't reach agreement on other very divisive issues.
Which means, as NPR's John Ydstie said on Morning Edition, some big battles await in coming months. It's like another Lord of the Rings trilogy — we know at least two more stories are coming and it's clear there's going to be a lot of nastiness before the day is (we hope) saved.
In mid-February, the nation will again hit its "debt ceiling." So there will be another argument like the one in 2011 that nearly put the federal government into default and led to a downgrading of its credit rating. And in about two months, because the White House and Congress extended the deadline, deep spending cuts that had been set to hit on Jan. 1 will come around again.
In other words, lawmakers left "a huge amount of fighting for the New Year," as Morning Edition host Steve Inskeep put it.
Here's how some other news outlets are reporting about what lies ahead:
-- "Republicans immediately turned to their next battle — a bid to use the need to raise the nation's $16.4 trillion debt ceiling to force Obama to accept cuts in entitlement programs such as Medicare. Congress must act as early as mid-February to prevent a default and the dispute may reprise a similar 2011 episode that led to a downgrade of the U.S. credit rating." (Bloomberg News)
-- "The bill does not accomplish everything. Not by a long shot. By striking only an eleventh-hour decision, pols have set up a continual series of debates and fights in coming weeks that will roil markets." (Forbes)
-- The deal was a "feeble finish to the 'fiscal cliff' fiasco," says the editorial board at The Washington Post.
What is in the legislation that made its way through the Senate and House over the holiday? Bill laid out the details here.
Update at 11 a.m. ET. Markets Up:
Though lawmakers left much work undone, Wall Street is rallying this morning.


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XP: Old house pictures
The Small Homes folks suggested cross posting this here. I live in our town's historic district and snapped a few photos while out the other day. We're constantly getting ideas from the other houses in our area. Perhaps they'll provide you with a little inspiration. I'll take some more when the yards are in bloom. The area is filled with restored old homes.
Here is a link that might be useful: cottage pictures
Gorgeous! You live in a nice town. Thanks for the photos. My house is a plain 1938 brick 3 BR that my DH calls a "1 and 1/2" because the second floor ceiling is less than 7 feet high (ditto for the basement ceiling).
We are about to have the porch re-done and I would LOVE to add gingerbread, but it would not be in keeping with the time the house was built.
I used to say I would love to live across the street from a Victorian so I could enjoy the view without the upkeep!


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Our new devotional "If God Loves Me, Why Did I Lose My Job?" explores the struggle of unemployment. Sign up here.
19:24 The proverb is a humorous comment on the sluggard (6:6 note). The picture of a person too lazy to feed himself reflects the situation of 6:10, 11. Such a one does not have the will for self-preservation.


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Fratboy: The cute Asian girl. You know how everyone has a nickname? That's hers: the cute Asian girl. And she always smells so good! –Joe's Pizza, Carmine St.
Archive for the 'Frat Boys' Category
Paris Hilton: "That's Wednesday One-Liner."
Hipster waitress to another: Camel toe is like, really hot, but also really uncomfortable.
College guy to friend: Dude, I'd definitely date a dude who looked like a hot chick… It's not gay.
–Hunter College
Overheard by: Stephen
Professor: Welcome to CUNY, it's like menopause. It's either too hot or too cold.
–City University of New York
Latino girl on cell: Bitch, please. I'm gonna look mad hot tonight. I'ma comb my hair!
–American Apparel
Male professor: I don't care how hot Brad Pitt is… If he sits on my lap, nothing's going to happen!
–New York Institute of Technology
Overheard by: Not Brad Pitt
I Don't Negotiate With Sexual Terrorists
College boy: Why was sex always a problem between us?
College girl: Well, some people think that sex is negotiable. I don't.
–F Train
Now How I'd Deal with My Thesis Advisor, But Whatever.
Frat boy #1: If he kills me, I will kill him!
Frat boy #2: Oh, that makes a lot of sense.
–NYU Bus
Overheard by: ihatevegs
I Love the New York Public Library
Excited college kid #1: Dude! We are totally going back there!
Excited college kid #2: Definitely.
Excited college kid #1: Hash, 'shrooms, a shitload of pot… We are getting fucked up this weekend and then we're going back there for more!
Excited college kid #2: Yessssss.
–Bleecker & Sullivan
Overheard by: wondering where there is.
Ever Since It Didn't Happen Yet, Things Just Haven't Been the Same
College kid: They should put up a question on the big screen that says, 'Who fucked up the playoffs two years in a row for us: A) Number 13, B) ARod, C) Alex Rodriguez, or D) All of the above?
Friend: … Or maybe Kevin Brown.
Man in front of them: The future ain't what it used to be…
–Yankee Stadium
I Also Know That Because Of Gym Class. Don't Ask.
High school kid #1: Why are you in chemistry?
High school kid #2: So I can learn what is in medicine. It is much more important than physics.
High school kid #1: No, I know how piss is made in the body. That's all physics. I know how piss is made, because of physics. And you don't.
–E Train
Your Porn Name Could Be "PhDDD"
College guy: You could always just become a prostitute.
College girl: That's exactly what I want to do with my degree. I've always wanted to be a whore.
–47th St
Exactly What You'd Expect a Bottom to Say
Fratboy #1: Let's go to Karma; I heard it's awesome.
Fratboy #2: Yeah, Karma is so much better than Sutra. –1st Avenue between 3rd & 4th
What's Eating Wednesday One-Liners?
NYU guy on cell: Hey dude, I just wanted you to know that I left my burrito in your fridge. Yeah, I'll come around next Tuesday to pick it up.
–South Street Seaport
Overheard by: Julium
Rotund old woman at lesbian hipster cafe: Give me a sesame bagel, pound it down till it's flat, then toast it till it has a nice rich brown coating. And please, a coffee with cream. Make it a nice tan color.
–Paradise Cafe, 8th & 17th
Overheard by: Sebastian White
Middle aged dad, yelling while crossing street with sons: I will learn to make Pad Thai!
–Union Square
Girl on phone: But seriously, you give me good food, and there's a pretty good chance I'll have a thing for you.
–Union Square Park
Overheard by: molly
Man: You know, when I was 25 all I thought about was spending the night at the Playboy mansion. And now I'm 35, and all I really want to do is eat barbecue.
–Hill Country BBQ
Overheard by: I'm just here for the ribs.


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Palm Beach Jewelry Tigers Eye Necklaces For Women
Find tigers eye necklaces for women that are perfect for you at Palm Beach Jewelry. With these distinctive stones adorning your neck, your friends and family will ooh and aah over your lovely jewelry. Tigers eye looks lovely alongside other stones, such as jade and onyx, so don't hesitate to pick up necklaces with multiple types of stones. Womens tigers eye necklaces complement a variety of looks, making it easy to find the perfect fit for your personal style. Try a tigers eye necklace with a cream-colored top or sweater. or pair a tiger's eye necklace with tops in other neutral colors, such as brown or copper. Browse the collection at Palm Beach Jewelry, and treat yourself to a lovely necklace that complements your favorite outfits.


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Become a Member
If you are not a current member or did not receive a dues order renewal notice, please download and complete the Standard Membership Application or the Retail Membership Application.
As an ATA member, your dues contribute significantly to the growth of the sport and ultimately our industry.
Questions? Please call (866) 266-2776 or (507) 233-8130.
Renew Your ATA Membership
If you were a 2013-2014 ATA member and received a dues order for membership renewal, please click here to go to the ATA login page.
Once you've successfully logged in, you can renew you ATA membership by clicking on "Renew Membership".
Did You Know?
Georgia took part in an initial Explore Bowhunting class in 2012 and received five equipment kits to jump-start their program.


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Stay 2 nights or longer and get an EXTRA NIGHT FREE! Offer good January through March 2015 (excludes President's Day weekend). Email us your desired dates to receive the special offer (subject to availability).
Space where guests can cook their own meals
Central heating or a heater in the listing
In the building, free or for a fee
Space where guests can cook their own meals
Towels, bed sheets, soap, and toilet paper
Central heating or a heater in the listing
In the building, free or for a fee
In the building, free or for a fee
Continuous access in the listing
Breakfast is provided.
The listing can accommodate a gathering of 25 or more attendees
Easy access to the building and listing for guests in wheelchairs
Private or Shared
Free, in the building or nearby
Posted emergency information and resources
The Space
Ananda is a magical little cottage nestled in the hills above the Russian River, surrounded by redwoods. The name Ananda means bliss, and that's what you'll find at this private, serene hideaway. With a spacious living room, newly remodeled bathroom, kitchen with new appliances, large sunny deck, and relaxing hot tub, you'll feel worlds away from the stress of day to day life. Yet Ananda has wireless internet access in case you need to plug in.
You're a 1 mile drive from the river, 10 minute drive to the ocean, and within a half hour drive of many renowned Sonoma wineries. Enjoy the incredible hiking, biking, scenic drives nearby.
- Pricing does not include 11% Sonoma County Tax. Please inquire and we will provide you with the appropriate quote (including all fees & tax).
- Airbnb calendar is not updated so please message me regarding availability.
- One week minimum during high-season (Memorial Day weekend through Labor Day weekend) & holidays.
Here's what former guests have to say: "Thank you so much for all of your patience and help with securing Ananda for us last weekend. My husband and I thoroughly enjoyed ourselves. Please pass along to Sarah that we found her home very welcoming and homey. She has done a marvelous job restoring the property and decorating the house. She should be very pleased with what she has done. - Sharon"
two queen beds
four person hot tub
huge deck
beautiful outdoor deck dining table with 6 chairs
Weber charcoal grill
24" tv and dvd player
cable tv, wifi, stereo/dvd
central heating
newly remodelled bathroom
skylights in the living room
2 yoga mats
coffee maker
multiple beaches nearby
tennis courts 1 mile away
Other Things to Note
Watercraft available and river access possible only seasonally depending on river levels, which is beyond our control.
Our stay at Ananda was great! The place is much like a treehouse, set among the redwoods with views of foliage from ever window and in every direction, including the two large skylights over the living room. The layout is efficient yet spacious with ultra comfy beds, a well equipped kitchen and lots of space for lounging about...which is just what one wants with a retreat in the woods. Plus the hot tub is actually HOT....unlike many other rentals which have a maximum temperature somewhere on in 90's. This tub gets into the 100's...nice and hot! Throw in a big fireplace and this place delivers on all levels.
Great small 2 bedroom cottage with updated bathroom. As for the cleaning
crew...perhaps you should check the fireplace mantel looks like it has
not been dusted for a year. Also 4 towels for 4 people and 4 nights seems
to be petty.
Our stay at Ananda was fantastic! The setting is truly serene, idyllic. It's close to everything, but just far enough up the hill to feel peacefully removed from it all. The cottage is charming - comfortable beds, modern bathroom - but we spent most of our time enjoying the deck, which is mostly shaded but gets a few hours of hit sun in the early afternoon. Perfect!
We did have a hiccup with the hot tub - the blowers died on the first night - but it was remedied first thing the following morning and we enjoyed it the whole week without any other issues.
All in all we really enjoyed our time there, and will definitely go back again!
We had a great time at Ananda! Pics are very accurate and deck with redwood trees is amazing! I highly recommend this beautiful place to everyone:)
Our stay at Ananda was great! The cabin is very charming and modern. The bed was comfortable, and the fireplace kept us warm and cozy. The only problem we had was working the hot tub. It is a bit confusing, and takes a few hours to heat up. All in all, a very relaxing weekend!
This host has 114 reviews for other properties.View Other Reviews
Vacation Rental Manager


text: ""; ?> She Wants Revenge guitar chords, guitar tabs and lyrics - chordie guitar tabs, guitar chords and lyrics Artists Songs Public booksPublic My songbookSongbook ResourcesDiv Forum Browse artists: A B C D E F G H I J K L M N O P Q R S T U V W X Y Z # -first letter-A B C D E F G H I J K L M N O P Q R S T U V W X Y Z # All songs - change Chordie needs editors! Improve this page She Wants Revenge MusicShe Wants Revenge Songs There was no article about She Wants Revenge in Wikipedia. If you know anything about She Wants Revenge, please contribute to the free encyclopedia by writing an article. She Wants Revenge Hidden Track (1) I Dont Wanna Fall In Love (1) Sister (1) Tear You Apart (1) Written In Blood (1) play their songs - buy their music - support the artists copyright © 2011 chordie guitar chords 5 popular songs I Don't Want To Talk About It Rod Stewart Summer In The City Lovin' Spoonful Who'll Stop The Rain Creedence Clearwater Revival Bad Moon Risin Ccr Southern Cross Crosby Stills Nash


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LOOKING for: end stage renal disease dialysis patients
I am in need of recipes w/o tomatoes and tomato sauce. No potatoes, no milk lots of no nos. Reipes must be low in phosphous (I should have looked up how to spell) LOL. And also low in potassium. Any help would be appreciated.
I think you should ask the nephrologist for a referral to a dietician or call the staff at the dialysis unit for names of a dietician.
I found a website that may help.
Here is a link that might be useful: Resource for dietary info for ESRD
This is for gran2oo. You can occasionaly use potatoes provided you chop and soak them for 6-8 hours and disgard water afterward. Then you can prepare them anyway you like.
My mother recently started dialysis due to kidney failure as a result of her diabetes. I have also moved her in with me to take care of her. So I am faced with the challenge of preparing special meals. I just focus on all the things she CAN eat and that's it! I replace the tomatoes with the small green tomatillos and I also use red or green hot sauces choosing the labels with the least amount of salt. Good luck!


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I was disappointed in the story. Some of the twists were confusing.Published 4 days ago by Amazon Customer
Sherlock Holmes. Robert Downey Jr. Jude Law. What's not to like?Published 5 days ago by JShackleford
|From this Discussion
|Unskippable ads in the purchase version?
Happening to me right now (Netflix disc).
We'll need to wait until VLC plays BluRays proper. They do have a skip function for DVDs, and I hope they will have one for BluRay discs as well.
Jun 15, 2010 by Sukru Tikves | See all 7 posts
|Blu-ray release date prices
I have definitely taken notice as well. Seems as though they are feeling out just how much consumers are willing to pay. Generally my limit has been 20, but there are a few exceptions. Movies like "Up in the Air" and "The Fantastic Mr. Fox," they can get me up to 22.99. Even... Read More
Mar 14, 2010 by Moviefiend | See all 5 posts
|Deleted Scenes?
hamlet there is a scene in the trailer of the last airbender that is not in the movie.............i think this should not happen, it seems like they are doing this more and more but, why? thats the realy question. do these people that edit movies think we don't notice?
Jul 19, 2010 by chuck70 | See all 2 posts
good suggeston.
Apr 3, 2010 by Paul K. Tse | See all 2 posts
|They Keep Changing The Image!
And now it's a Blu-ray again! But the "back cover" picture is still from the combo version.
Warner Brothers seriously has to knock this off. I mean, if you want to boost initial sales by making the combo version only available for a limited time, have a heart and make it a little bit... Read More
Mar 9, 2010 by Jake | See all 3 posts
|Is The Deleted Scene On Blu-Ray?
|Be the first to reply


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Disaster in the Pacific
Part 1: A minute-by-minute look at the quake that devastated Japan.
Assessing the Damage
Part 2: The risks posed to nuclear reactors and more.
Surviving a Tsunami
Part 3: Petra Nemcova, Nate Berkus on how they survived disaster.
Risks in the U.S.
Part 4: Is the eastern U.S. prepared for a major earthquake?
Imagining Disaster
Part 5: Filmmakers often can't come close to the horror of quakes, tsunamis.
Riveting Images From Japan
Part 6: The most dramatic images from the disaster in the Pacific.
Nightmare in Japan
An 8.9 earthquake rocks Japan followed by a massive tsunami.
Nuclear Meltdown Fears Mount
Officials are fighting to keep deadly doses of radiation from being released.
Now Playing: Disaster in the Pacific
Now Playing: Assessing the Damage
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Now Playing: Imagining Disaster
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Now Playing: Nightmare in Japan
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One-In-Four U.S. Adults Would Consider Plastic SurgeryJanuary 18, 2012 5:46 am | Comments
(PRNewswire) Some people may be going under the knife to alter their appearance, with more saying they would do so if cost weren't an issue. A new survey from CouponCabin.com reports that nearly one-in-four U.S. adults (23 percent) said they would get plastic surgery if cost were not an issue. Women were more likely than men to indicate this, at 28 and 18 percent respectively.
Study Shows How Drugs Help Bridge Stent Patients To SurgeryJanuary 18, 2012 5:37 am | Comments
(PRNewswire) New findings from a research study led by physicians at Scripps Health reveal that the investigational drug Cangrelor has the unique properties of achieving very fast blood thinning effects when needed to protect from heart attacks, but also dissipates rapidly so patients can undergo surgery without the excessive bleeding often associated with blood thinning medications.
Research Could Help Prevent Catheter InfectionsJanuary 18, 2012 5:27 am | Comments
(PRNewswire-USNewswire) Researchers at the University of Maryland's A. James Clark School of Engineering, backed by funding from the Robert W. Deutsch Foundation, are developing tools that promise powerful new ways to combat catheter-based and other infections without provoking bacterial resistance to antibiotics.
Robbery Suspect Used Infection ThreatJanuary 18, 2012 5:10 am | Comments
(AP) — Police say a man tried to rob a western Pennsylvania gambling parlor by threatening to spread a staph infection. He walked into Lucky's Internet Cafe on Monday night and began touching the walls and gambling machines, claiming he had MRSA. Sharon police Chief Mike Menster says the man then threatened to infect the cashier if he didn't give him money.
Disabled Girl Reportedly Denied TransplantJanuary 18, 2012 5:02 am | Comments
Kevin Begos & Matt Moore, AP The parents of a three-year-old New Jersey girl say she's being denied a kidney transplant because of her mental disabilities, but experts caution the situation may be much more complex. The girl's mother, Chrissy Rivera, last week posted a blog entry that described an encounter she claimed happened at The Children's Hospital of Philadelphia.
New Surgical Technique For Eardrum PerforationsJanuary 17, 2012 6:17 am | Comments
A new surgical technique for treating perforations of the tympanic membrane (eardrum) in children and adults has been developed at the Sainte-Justine University Hospital Center, an affiliate of the Université de Montreal, by Dr. Issam Saliba. The new technique, which is as effective as traditional surgery and far less expensive, can be performed in 20 minutes at an outpatient clinic during a routine visit to an ENT specialist.
Knee Replacement Surgery SoarsJanuary 17, 2012 6:06 am | Comments
Researchers in Finland found that annual cumulative incidences of partial and total knee arthroplasty, commonly known as knee replacement surgery, rose rapidly over a 27-year period among 30 to 59 year-olds, with the greatest increase occurring in patients aged 50 to 59 years. According to the study, published in Arthritis & Rheumatism , incidences were higher in women throughout the study period.
Retention Study Identifies Factors For Different Generations Of NursesJanuary 17, 2012 5:56 am | Comments
If organisations want to retain qualified nurses they need to tackle the different work factors that are important to the three key age groups of nurses, and build on the strong attachment that many feel to the profession. Those are the key messages to emerge from a large-scale survey of nurses published in the January issue of the Journal of Advanced Nursing .
Brooks Files Suit Against Oklahoma HospitalJanuary 17, 2012 5:40 am | Comments
(AP) — Country music star Garth Brooks is suing an Oklahoma hospital that he says reneged on a promise to name a building after his late mother in exchange for a $500,000 donation. Brooks' lawsuit against Integris Canadian Valley Regional Hospital in Yukon seeks the return of the December 2005 donation.
Donation Nurse Provides Kidney For PatientJanuary 16, 2012 5:38 am | Comments
According to a recent report from WTVM in Columbus, GA, 23-year-old Clay Taber has someone to thank for his new kidney. And he barely knew her until his recent operation. Nurse Allison Batson heard about Taber - how he was engaged to be married and with a bright future in finance after graduating from Auburn University, but in need of a new kidney.
Woman Has Arm, Shoulder And Breast Amputated After Bath Salt InjectionJanuary 16, 2012 5:23 am | Comments
A New Orleans woman who experimented with bath salts was ravaged by flesh-eating bacteria that caused an infection leading to the amputation of her arm, shoulder and breast, and nearly took her life. The 34-year-old woman showed up at a hospital complaining of pain and redness on her right forearm, where there was a puncture wound the woman admitted was a needle stick.
FDA Expands Use Of Endovascular Graft To Aortic TearsJanuary 16, 2012 5:11 am | Comments
(PRNewswire-USNewswire) The U.S. Food and Drug Administration today expanded the approved usage for an endovascular graft manufactured by W.L. Gore to include treatment of life-threatening tears or ruptures of the aorta (thoracic aortic transection). The Gore TAG Thoracic Endoprosthesis is the first endovascular graft approved by the FDA to treat a variety of thoracic lesions, including dangerously large bulges in the aorta (aneurysms) as well as thoracic aortic transections.
New Indicator For Identifying Throat Cancer RisksJanuary 16, 2012 5:04 am | Comments
(PRNewswire-USNewswire) Researchers at the University of Michigan Health System have found a new indicator that may predict which patients with a common type of throat cancer are most likely have the cancer spread to other parts of their bodies. Patients with oropharyngeal squamous cell carcinoma who had matted lymph nodes - nodes that are connected together - had a 69 percent survival rate over three years, compared to 94 percent for patients without matted nodes, according to a study published online ahead of print publication in Head & Neck .
Getting Patients To Take Charge Of Their HealthJanuary 13, 2012 5:52 am | by Pauline W. Chen, M.D., New York Times blog | Comments
One afternoon, I heard a colleague let out an exasperated groan in front of the hospital computers. His patient had been admitted. Again. Overweight for much of his youth, the patient developed diabetes in his early 30s, then high blood pressure a few years later. By the time he was in his 40s, he had become so debilitated by a heart attack, congestive heart failure, peripheral vascular disease, arthritic joint pains and his ever-increasing weight that he could no longer work.
Open-Source Robotic Surgery PlatformJanuary 13, 2012 5:48 am | Comments
Robotics experts at the University of California - Santa Cruz and the University of Washington (UW) have completed a set of seven advanced robotic surgery systems for use by major medical research laboratories throughout the United States. After a round of final tests, five of the systems will be shipped to medical robotics researchers at Harvard University, Johns Hopkins University, the University of Nebraska, UC-Berkeley, and UCLA, while the other two systems will remain at UC-Santa Cruz and UW.


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Common blue butterfly on sea thrift flowers, Hayling Island, Hampshire, UK
This is so beautiful and creative.
stunning! amazing detail
beautiful shot!!!
Marvelous capture with great detail and DOF, well done Kasia!
Beautiful shot. I'm always waiting for one of these to open its wings so I can get a flash of blue, and I always just miss it :(
Thank you! I know the problem, those creatures never cooperate…
– Kasia Nowak
beautiful shot
Absolutely beautiful!
Beautiful :)


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that looks sick. congrats
my real name is Alter :P (deal with it)... i'm a graphic designer and i don't know why...i like apocalyptic scenery...u know...uranium swamps...destroyed buildings...blown up nuclear reactors...and stuff...love 'em...MOST of all...
that looks sick. congrats
no tip for developer than -.-! getting it for zeno mostly
ironsight? YES PLEASE!
really!!! mic it too far i think :P...cool interview guys
good job sir!
yup +1 on that. awesome update btw!
grandpa has some serious issues with trippin :P
right on time :)
hmmm, i don't see combine being blue :S
looking good man! you're off to a good start!
can that thing put down an elephant!? looks like it can :P
fitting, nicely done!
i'd go as far to say PERFECT lighting!
usually all the stuff i find online...or the help files in case i learn a new engine
the way the bolts are he looks like a heavy metal dude :P!!!
yes that option! where is it?
my question is: if im out of ammo do i find this "propelled cage" inside infinite-supply-crates :P!
great job guys!
awesome, cannot wait!!!
thanks for this!
great work m8, thanks for this :D
this is old, like great grandpa old!!!
yup, awesome :)
whats the point of even going to steam to open the game? plus i play some of my steam games offline! am not going to wait till steam opens to play the game. And i bet you have shortcuts in ur desktop m8! why do u use them, why dont you just do and browse everytime u want to open a program !?
u're welcome, pm me if u need some other icon :)
yeah, thats why i choose the old one, i went with the tutorial to make it as BUGFREE as possible!
awesome m8!
it blends perfectly!
good job guys!!
thats cause they re-used those van bured canceled documents! ;)
lol, at toilet comment, btw this is what they call MIRV (multiple independently targetable reentry vehicle)
i hear the freaking crater it created was like near to 1 km or half of it, i dont remember if they were talking about diameter or radius :P!, but still WTF!
awesome, i like this spotlights!!! cool and informative!
awesome bud, thanks for this!
thanks for this!!
cool engine, id like to see more stuff related to this one, hope some demos or videos come up!
i knew it !!! this was the one to take it!
HOLY S******** AWESOME JOB dude!!! such a turn around seriously for GOOD it looks AWESOME!!!
good job!
i don't know, it just happened, right when the chopper goes up!!! just before u get outta the hangar doors up in the ceiling the body just disintegrates! :O.! and and i used 2 different hls to test it!
this looks awesome! desura is getting better by the minute!
yeah, the shadow cast there is the same with the "floating arms" one, when u'd normally see the legs shadows sharper going blurry as is progresses up, kinda like this: Intelligentgames.files.wordpress.com
o common do u really have to tease us :P +1 tracker
work on the shadows
looking awesome right there!!!
well u still need animators to animate the animations to do those moves and as JLea said there simply are no animators to do those animations :P
"animation" word count: 5x :P
your lighting is really top notch! levels look great
hmmm. what if u take out the HUD and make is all visual (not that the HUD isn't visual :P), ie: press R he takes out the cartridge looks inside there are bullets he puts it back, press 2xR he reloads whether there are little bullets left or none at all, and if you press R and the cartridge is full he doesn't even bother to check. i know is a bit much but you guys seem to take it to another level and if it was me i'd put some extra code in there to help gamers immerse MORE into it rather than be weird-ed by a odd looking HUD
good news. good news indeed
awesome job guys! this is going to look awesome!
O FUUUU i KNOW this is gonna bring some PAIN!!!
this is awesome! good job guys, more and more support!
looking good!
good one.
im happy being me :)
o boy! here we go!!!
good news. waiting for more updates. continue the good job m8!
good work!
awesome job new guy!
im gonna use this as my ringtone :P
i wish...im half a world away with little to no money :P
epic :P
looks like we're taking it DOWNTOWN :P
old laptop FTW :P
True ******* story!
holly hell....something real bad is gonna happen here :P
got it :P
crysis games are like 3Dmark right now :P but for games
I don't know why ppl still connect valve to ea! you all know that the contract held only for orange box and thats it. and as far as I know ONLY for the RETAIL version of the OB, which means EA has no word on when Valve releases games.
ahhhh sorry that article up there made me rage :P
the game is awesome! shush
I hope adrian kicked that grenade just before it exploded. id like to see a continue to this. looked awesome, and don't take no **** from lazy ***** who stay all day complaining, i dont see them doing anything better!!!
im sure whatever is coming is awesome! it was till now!!!
yeah its very practical but i still like the versatile source engine :P
i remember this when we were trying to decode them from the modem code valve sent on the viral campaign e while ago
its free till 24 may !? then u have to buy it!
u're most welcome
i already saw this 2 days ago on utubs :) awesome work m8, keep em coming :)
thanks :)
valve has its hands into some great concept artists :)
i love this, tired of putting like 10 different mods so i can fix all bugs, now there is only AWESOME one :)
awesome :) thanks!
cool cool!
good job guys!!!
salut frate!
awesome twist m8, thanks !
good job!
lets launch this thing! awesomeness!


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Releaseliste 01.-15. April
Silvano 'NarutO' Bovo zum LotV-Betastart: Es hilft, dass Legacy ein Standalone wird
Top 10: Die besten Kickstarter-Spiele
Mittwoch: Battle of the Bridge ARAM Turnier #16 präsentiert von LC-Power
Video: Der irre Teamfight um den Nexus beim Match Fnatic vs. Unicorns of Love
Resident Evil: Revelations 2 - Finale Wertung
Turnier: Summoner Showdown #6 am Samstag ab 18:00 Uhr
27.01.2013 14:50 by Teaser
TCM Gaming signs former mousesports duo
The former mousesports players Hendrik 'strux1' Goetzendorff and Dimitrios 'stavros' Smoilis and their new team "/10/" have finally found a home in the British organization TCM Gaming. Team Captain strux1 informed his fans on Wednesday about an offer the team received some days ago and that they are "currently looking into the contracts". Today it has become official that the team will attend several events under the banner of TCM Gaming in the future, while Esports Heaven Vienna will be the first tournament the team attends for their new organization.
Statement Hendrik 'strux1' Goetzendorff
Lineup TCM Gaming
Statement Hendrik 'strux1' Goetzendorff
I am glad to present you our new home, TCM-Gaming. We have been looking for an organisation around three weeks and we have finally decided that TCM is the best offer for us for the future. TCM will give us the support we need and make it possible for you to watch us playing in upcoming european offline and online events.
We all hope its going to be a nice and long term relationship. We want to thank all of the sponsors BenQ, CoolerMaster, CMStorm, CCL, Hauppauge, Multiplay and the management for giving us this big opportunity.
Lineup TCM Gaming
Hendrik 'strux1' Goetzendorff
Dimitrios 'stavros' Smoilis
Anil 'cLy' Gülec
Florian 'fl0w' Sos
Robert 'TORNADOTONI' Radosevic


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Receive Breaking News updates as they occur
SINGAPORE (AP) — Singaporeans turned out in the tens of thousands Sunday to pay final respects to longtime leader Lee Kuan Yew. Singapore's prime minister for more than three decades until 1990, Lee died last Monday at age 91. His cortege took a 15-kilometer (9-mile) route through the city-state before a three-hour state funeral. Singaporeans credit Lee's leadership with laying the foundation of the Southeast Asian country's current prosperity, and his death triggered a wave of emotion rarely seen in Singapore.
SINGAPORE (AP) — Singaporeans bid farewell to longtime leader Lee Kuan Yew on Sunday with an elaborate procession and a three-hour state funeral at which his son, the current prime minister, eulogized the statesman and declared that the wealthy city-state he helped build is his monument.


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Peter Ho Leung has until tomorrow morning to decide if Flame Hero will be a late entry for the BMW Hong Kong Derby (2,000m) after the four-year-old put himself into the picture with a determined victory on Saturday.Monday, 3 March, 2014, 9:38am
Improving four-year-old Way-foong Express took another step towards putting himself in the Hong Kong Derby on Sunday but it didn't require a mind reader to see that trainer Richard Gibson was not doing cartwheels over the idea.23 Feb 2014 - 10:24pm
A group of longshot Derby hopefuls line up in a Class Three handicap on Sunday at Sha Tin, all needing a win to keep their slim chances of competing in the four-year-old classic alive, and John Size-trained Khaya stands out from the rest as far as quality is concerned.20 Feb 2014 - 8:50pm
Merely 35 minutes after John Moore seemingly cemented his grip on the Hong Kong Derby, he unveiled a sixth potential candidate for the four-year-old classic in Class Two winner Kabayan.16 Feb 2014 - 10:11pm
Trainer Danny Shum Chap-shing said that Hong Kong Derby plans for Mr Gnocchi are not set in stone, despite the gelding's third win of the term to ensure a start.2 Feb 2014 - 10:10pm
Rich Tapestry was purchased for the Hong Kong Derby, but it turned out the horse's best attribute was speed not stamina. Yesterday the five-year-old claimed some high-profile scalps in the Group Two Sprint Cup and could now be headed on an overseas campaign to take advantage of the horse's dirt track ability.29 Apr 2013 - 4:05am
Rainbow Chic came up one and one-quarter lengths short of his ultimate goal, the BMW Hong Kong Derby, last month, but gained some consolation with an impressive Class Two victory yesterday and will get another crack at Group-race glory next week - leaving his trainer Caspar Fownes with a conundrum.29 Apr 2013 - 4:05am
Now we enter the proving phase for the season's four-year-olds and Mizani's last-to-first swamping of Class One rivals in Sunday's final race will have come as a welcome sign for all concerned.17 Apr 2013 - 5:18am
Winning the lowest-rated Hong Kong Derby has left Akeed Mofeed and his people in a unique, and even preferable, situation with regard to the horse's future plans.20 Mar 2013 - 4:25am
It was the moment when a big reputation and price tag meant nothing, and only a BMW Hong Kong Derby win would justify everything that led to Akeed Mofeed lining up as a hot favourite for the HK$16 million classic yesterday, but champion jockey Douglas Whyte believes the winning card had been played a fortnight ago.19 Mar 2013 - 10:26am
"When Akeed Mofeed came out of the gates, I immediately had the position I wanted and I was comfortable and confident. But that only lasted until we got around to the back of the course. As they seem to do with a lot of these Group races - and it seems to happen in the Derby every year - when we got to the 1,300m, the leaders really pulled up sharply and slowed the pace. So much so that I thought the horse in front of me might have broken down.18 Mar 2013 - 3:12am
An Irish Hong Kong Derby winner on St Patrick's Day had an air of inevitability to it before and after the race, but the margin of joy and the manner of Akeed Mofeed's classic win kept the excitement in it right to the moment of triumph.18 Mar 2013 - 2:39am
By his own admission, trainer Richard Gibson and the Derby - almost any Derby - are barely on nodding terms but the Englishman, via France, hopes to embrace his own slice of BMW Hong Kong Derby history today.17 Mar 2013 - 4:44am
A few seasons ago when John Size was approaching the BMW Hong Kong Derby with Brave Kid looking for seven wins from seven starts, the trainer admitted to some surprise at how things had turned out.16 Mar 2013 - 4:02am
Me Tsui Yu-sak admits his first ever Derby runner, Wah May Star, is a sprinter and if not given a soft run has no chance of running a strong 2,000m. But despite what seems to be a forlorn assessment of his horse's chances in the HK$16 million race, Tsui claimed an apparent lack of stamina put his grey flash in the same category as most of his rivals.16 Mar 2013 - 4:13am


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Fargo credit union robbery suspect texted confession to girlfriend
FARGO - A 24-year-old man accused of robbing a credit union here last month sent a text message to his girlfriend confessing to the crime as police were interviewing her, court documents state.
Using the signals from Denver Lee Tergesen's cell phone, authorities tracked him and arrested him inside a stolen car in Detroit Lakes, Minn.
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