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All About Horses
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- Brief Synopsis:
- Describes horses, their uses, origin, colors, common breeds, and other fascinating facts.
- Long Synopsis:
- In this book you will discover the origin of the horse, how man has used the horse over the years, some of the horses wild relatives and different breeds of horses as well as colors, markings and points.
- Book Quality:
- Excellent
- Book Size:
- 130 Pages
- Publisher:
- Random House
- Date of Addition:
- 09/07/09
- Copyright Date:
- 1967
- Copyrighted By:
- Marguerite Henry
- Adult content:
- No
- Language:
- English
- Categories:
- Children's Books, Nonfiction, Animals
- Submitted By:
- Shelley L. Rhodes
- Proofread By:
- BookMouse
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Hello, bit of a base problem here but hoping somebody knows what's going on or is dealing with something similar.
Long and short of it, after the dashboard update last December(ish) I can't access Xbox live. It's not my profile or console as it works fine at home, so I'm guessing it's NAT settings or the University firewall (Or something of that ilk). This was fine because I just played offline like a rational human being and coped, until I tried to re-download my profile (Because I am full to brim of fantastic ideas) to see if that would alleviate the problem. It did not, my profile is now off my console and floating around in some sort of Purgatory until I get home. So yeah, that's kind of a hindrance, especially as I now can't play any of my games unless I start from scratch, and I'm paying for a service I can't even access.
Hopefully any students or folks from ISS know what's going on. *Obligatory smiley*
Xbox live not working after dash update/profile now gone
Announcements | Posted on |
This better not happen to mine D: I'm hoping to go to Lancaster Uni :'(
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subset: commoncrawl


text:
Comparison of Alemtuzumab and Rebif® Efficacy in Multiple Sclerosis, Study One (CARE-MS I)
- Full Text View
- Tabular View
- Study Results
- Disclaimer
- How to Read a Study Record
The purpose of this study was to establish the efficacy and safety of alemtuzumab (Lemtrada™) as a treatment for relapsing-remitting multiple sclerosis (MS), in comparison with subcutaneous (SC) interferon beta-1a (Rebif®). The study had enrolled participants who had not previously received MS disease-modifying therapies. Participants had monthly laboratory tests and comprehensive testing every 3 months.
Condition | Intervention | Phase |
Multiple Sclerosis, Relapsing-Remitting |
Biological: Alemtuzumab Biological: Interferon beta-1a |
Phase 3 |
Study Type: | Interventional |
Study Design: | Allocation: Randomized Endpoint Classification: Safety/Efficacy Study Intervention Model: Parallel Assignment Masking: Single Blind (Outcomes Assessor) Primary Purpose: Treatment |
Official Title: | A Phase 3 Randomized, Rater-Blinded Study Comparing Two Annual Cycles of Intravenous Alemtuzumab to Three-Times Weekly Subcutaneous Interferon Beta-1a (Rebif®) in Treatment-Naïve Patients With Relapsing-Remitting Multiple Sclerosis |
- Percentage of Participants With Sustained Accumulation of Disability (SAD) [ Time Frame: Up to 2 years ] [ Designated as safety issue: No ]EDSS is an ordinal scale in half-point increments that quantifies disability in participants with MS. It assesses 7 functional systems (visual, brainstem, pyramidal, cerebellar, sensory, bowel/bladder and cerebral) as well as ambulation. EDSS total score: 0 (normal neurological examination) to 10 (death due to MS). As measured by EDSS score, SAD was defined as increase of at least 1.5 points for participants with Baseline score of 0 and increase of at least 1.0 point for participants with a Baseline score of 1.0 or more; and the increase persisted for at least next 2 scheduled assessments, that is, 6 consecutive months. Onset date of SAD was date of first EDSS assessment that began 6 month consecutive period of SAD. Participants who did not reach SAD endpoint were censored at their last visit. Percentage of participants with SAD, estimated by Kaplan-Meier (KM) method, was reported.
- Annualized Relapse Rate [ Time Frame: Up to 2 years ] [ Designated as safety issue: No ]Relapse was defined as new neurological symptoms or worsening of previous neurological symptoms with an objective change on neurological examination, attributable to multiple sclerosis that lasted for at least 48 hours, that were present at normal body temperature, and that were preceded by at least 30 days of clinical stability. Annualized relapse rate was estimated through negative binomial regression with robust variance estimation and covariate adjustment for geographic region using observed number of relapses as dependent variable, the log total amount of follow-up from date of first study treatment for each participant as an offset variable, and treatment group and geographic region as model covariates.
- Percentage of Participants Who Were Relapse Free at Year 2 [ Time Frame: Year 2 ] [ Designated as safety issue: No ]Participants were considered relapse free at Year 2 if they did not experience a relapse from the date of first study treatment to study completion at 24 months. Percentage of participants who were relapse free at Year 2, estimated using the KM method, was reported.
- Change From Baseline in Expanded Disability Status Scale (EDSS) Score at Year 2 [ Time Frame: Baseline, Year 2 ] [ Designated as safety issue: No ]EDSS is an ordinal scale in half-point increments that quantifies disability in participants with MS. It assesses the 7 functional systems (visual, brainstem, pyramidal, cerebellar, sensory, bowel/bladder and cerebral) as well as ambulation. EDSS total score ranges from 0 (normal neurological examination) to 10 (death due to MS). Change was calculated by subtracting Baseline value from value at Year 2.
- Change From Baseline in Multiple Sclerosis Functional Composite (MSFC) Score at Year 2 [ Time Frame: Baseline, Year 2 ] [ Designated as safety issue: No ]MSFC is a multidimensional measure consisting of quantitative tests of ambulation (Timed 25-Foot Walk), manual dexterity (9-Hole Peg Test; 9HPT), and cognitive function (Paced Auditory Serial Addition Test; PASAT). The MSFC score was calculated as the mean of the Z-scores of the 3 components. A Z-score was calculated by subtracting the mean of the reference population from the test result, then dividing by the standard deviation of the reference population. Higher Z-scores reflected better neurological function and a positive change from Baseline indicates improvement. An increase in score indicated an improvement (Z-score range: -3 to +3). Acquisition of disability was measured by change from Baseline in MSFC score at Year 2.
- Percent Change From Baseline in Magnetic Resonance Imaging Time Constant 2 (MRI-T2) Hyperintense Lesion Volume at Year 2 [ Time Frame: Baseline, Year 2 ] [ Designated as safety issue: No ]Percent change in MS lesion volume as measured by MRI-T2 scan was calculated from MRI-T2-weighted scans as the following: (lesion volume at 2 years - lesion volume at Baseline)*100/ (lesion volume at Baseline).
Enrollment: | 581 |
Study Start Date: | August 2007 |
Study Completion Date: | April 2011 |
Primary Completion Date: | April 2011 (Final data collection date for primary outcome measure) |
Arms | Assigned Interventions |
Experimental: Alemtuzumab |
Biological: Alemtuzumab
Alemtuzumab 12 milligram (mg) per day intravenous (IV) infusion on 5 consecutive days at Month 0, followed by alemtuzumab 12 mg per day IV infusion on 3 consecutive days at Month 12.
Other Name: Lemtrada
Active Comparator: Interferon Beta-1a |
Biological: Interferon beta-1a
Interferon beta-1a 44 microgram (mcg) subcutaneously 3-times weekly for 24 months. Dose adjustment was done as per Investigator's discretion.
Other Name: Rebif®
Detailed Description:
Every participant had received active treatment; there was no placebo. Participants who qualified were randomly assigned to treatment with either alemtuzumab or SC interferon beta-1a at a 2:1 ratio (that is, 2 given alemtuzumab for every 1 given interferon beta-1a). Alemtuzumab was administered in two annual courses, once at the beginning of the study and again 1 year later. Interferon beta-1a was self-injected 3 times per week for 2 years. All participants were required to return to their study site every 3 months for neurologic assessment. In addition, safety-related laboratory tests were performed at least monthly. Participation in this study ended 2 years after the start of treatment for each participant. Additionally, participants who received alemtuzumab might be followed in CAMMS03409 (NCT00930553) an extension study for safety and efficacy assessments. Participants who received interferon beta-1a and completed 2 years on study might be eligible to receive alemtuzumab on the extension study.
Ages Eligible for Study: | 18 Years to 50 Years |
Genders Eligible for Study: | Both |
Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- Given written/signed informed consent
- Age 18 to 50 years old (inclusive) as of the date the informed consent form (ICF) was signed
- Diagnosis of MS per updated McDonald criteria, and cranial magnetic resonance imaging (MRI) scan demonstrating white matter lesions attributable to MS within 5 years of screening
- Onset of MS symptoms (as determined by a neurologist, either at screening or retrospectively) within 5 years of the date the ICF was signed
- Expanded Disability Status Scale (EDSS) score 0.0 to 3.0 (inclusive) at screening
- Greater than or equal to (>=) 2 MS attacks (first episode or relapse) occurring in the 24 months prior to the date the ICF was signed, with >=1 attack in the 12 months prior to the date the ICF was signed, with objective neurological signs confirmed by a physician, nurse practitioner, or other Genzyme-approved health-care provider and the objective signs could be identified retrospectively
Exclusion Criteria:
- Received prior therapy for MS other than corticosteroids, for example, alemtuzumab, interferons, intravenous immunoglobulin, glatiramer acetate, natalizumab, and mitoxantrone
- Exposure to azathioprine, cladribine, cyclophosphamide, cyclosporine A, methotrexate, or any other immunosuppressive agent other than systemic corticosteroid treatment
- Any progressive form of MS
- History of malignancy (except basal skin cell carcinoma)
- CD4 + , CD8 + count, B cell, or absolute neutrophil count less than (<) lower limit of normal (LLN) at screening
- Known bleeding disorder (for example, dysfibrinogenemia, factor IX deficiency, hemophilia, Von Willebrand's disease, disseminated intravascular coagulation, fibrinogen deficiency, or clotting factor deficiency)
- Significant autoimmune disease including but not limited to immune cytopenias, rheumatoid arthritis, systemic lupus erythematosus, other connective tissue disorders, vasculitis, inflammatory bowel disease, severe psoriasis
- Presence of anti-thyroid stimulating hormone (TSH) receptor (TSHR) antibodies (that is, above the LLN)
- Active infection or at high risk for infection
Please refer to this study by its ClinicalTrials.gov identifier: NCT00530348
Show 101 Study Locations
Study Director: | Medical Monitor | Genzyme, a Sanofi Company |
Additional Information:
Responsible Party: | Sanofi ( Genzyme, a Sanofi Company ) |
ClinicalTrials.gov Identifier: | NCT00530348 History of Changes |
Other Study ID Numbers: | CAMMS323, ISRCTN21534255, ACTRN12608000435381, CARE-MS I, 2007-001161-14 |
Study First Received: | September 13, 2007 |
Results First Received: | November 17, 2014 |
Last Updated: | November 17, 2014 |
Health Authority: | United States: Food and Drug Administration Brazil: National Health Surveillance Agency Argentina: Administracion Nacional de Medicamentos, Alimentos y Tecnologia Medica Australia: Department of Health and Ageing Therapeutic Goods Administration Canada: Health Canada Croatia: Agency for Medicinal Product and Medical Devices Czech Republic: State Institute for Drug Control France: Afssaps - Agence française de sécurité sanitaire des produits de santé (Saint-Denis) Germany: Paul-Ehrlich-Institut Mexico: Federal Commission for Protection Against Health Risks Poland: Office for Registration of Medicinal Products, Medical Devices and Biocidal Products Russia: Ministry of Health of the Russian Federation Serbia and Montenegro: Agency for Drugs and Medicinal Devices Sweden: Medical Products Agency Ukraine: State Pharmacological Center - Ministry of Health United Kingdom: Medicines and Healthcare Products Regulatory Agency |
Keywords provided by Sanofi:
Multiple Sclerosis |
Additional relevant MeSH terms:
Multiple Sclerosis Multiple Sclerosis, Relapsing-Remitting Sclerosis Autoimmune Diseases Autoimmune Diseases of the Nervous System Demyelinating Autoimmune Diseases, CNS Demyelinating Diseases Immune System Diseases Nervous System Diseases Pathologic Processes Alemtuzumab |
Interferon beta 1a Interferon-beta Interferons Adjuvants, Immunologic Anti-Infective Agents Antineoplastic Agents Antiviral Agents Immunologic Factors Pharmacologic Actions Physiological Effects of Drugs Therapeutic Uses |
ClinicalTrials.gov processed this record on April 30, 2015


text:
Released: Mar 01st, 1997
Running Time: 110
Director: T T Turkin
Company: Nitro Productions
Dick Nasty, Nyrobi Knight, Stephanie DuValle, Ian Daniels, Tia (I), Davia Ardell, Gina Rome, Tommy Gunn, John West, Marki, Ron Jeremy
Critical Rating: AA 1/2
Genre: Feature
Paper-thin set-ups and dialogue link a series of mostly outdoor poolside sex scenes, with babes stripping off the titular swimwear. The sex is shot competently, but most of the girls, even usually-sizzling Davia, are working on their tans. The highlight exceptions are nasty-talkin' Nyrobi's indoor bout with the Hedgehog, and oft-underappreciated Tia's lengthy lube with real-life squeeze Tommy Gunn. The bright boxcover will draw renters' eyes, though.


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Mountain bike with trailer?
Started by
, Dec 10 2007 10:21 AM
13 replies to this topic
Posted 10 December 2007 - 10:21 AM
Didn't someone on here hunt off a mountain bike with a homemade trailer? I've searched without luck, but I could've sworn there was a post on here somewhere about how the trailer was built.
Posted 10 December 2007 - 10:29 AM
Wes, I remember it but can't seem to find it. I think it was inside another post. I'll keep looking too.
Posted 10 December 2007 - 05:52 PM
that's classic! first I've seen that...I could sure use something like that
Posted 10 December 2007 - 06:24 PM
Glad you found it Wes. No blue print on these one. I figured it all out in my head.
Posted 10 December 2007 - 06:32 PM
It's hard to tell from the pics, but what did you use for the joint at the front of the trailer?
Posted 10 December 2007 - 06:33 PM
Nice looking rig. I don't remember seeing that post before.
Posted 10 December 2007 - 07:38 PM
Which joint your refering to Wes? You mean the universal joint. It's a 5/8" bored U-joint that's readily available at your local Granger Industrial Supplies. I tapped both bore end with half inch standard thread tap. The attachment on the bike seat post had a half inch bolt welded on the end part where the u-joint is to be attached and locked in place using a half inch nut. The goose neck is attached via the same method but the half inch bolt is not welded. Actually I just drilled a slightly larger than half inch hole and slip the bolt in place and threaded the same way to the u-joint and lock in place using half inch nut. This is the best way to couple the trailer to the bike in my opinion to amount for all the lateral, vertical, side to side twisting and turning movements of both the bike and the trailer, and their pretty solid to boot. My friend shot a very large blackbear and carried it 8 miles out with one of these trailer so I know it can handle at least 250 lbs of load. Hope this will help. DF
Posted 17 December 2007 - 02:26 PM
You building one, Wes???
Posted 05 January 2008 - 01:49 AM
Have you guys SEEN this product:http://www.bobtraile...p?product_id=11I've thought about hunting using a mountain bike to my nearby Natl. forest mountain trails....just take my portable handheld ham radio and cellphone with solar battery charger
Posted 05 January 2008 - 04:45 PM
If that's all you're going to carry, you don't really need a trailer. Mine is designed to haul camping gears, supplies and game out. I've seen those trailer being abandoned on the trail where we hunt. They just not built for heavy use.
Posted 09 January 2008 - 12:56 AM
A windsurfing base will work quite good as well. They offer a complete range of movement with light weight and ultra durability.
Posted 16 April 2008 - 09:31 PM
I have a mountain bike and trailer but it's NOT home made.
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text:
Standard Liege
Standard Liège | |
Club Name | Royal Standard de Liège |
Nickname(s) | Les Rouches (The Reds) |
Founded | 1898 |
Stadium | Stade Maurice Dufrasne |
Manager | Ron Jans |
Division | Other Leagues |
Standard de Liège are a Belgian club playing in the Other Leagues. They won't cause many upsets but they do have some promising players such as Axel Witsel and Steven Defour. Other notable players include Salim Toama, Landry Mulemo and Rorys Aragon and Turkish goalkeeper Sinan Bolat.


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shipping & returns
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Return/Exchange using Return Label (Most Convenient)
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1. | Complete and enclose the RETURN FORM located on the back of your PACKING SLIP and indicate whether the item is a return or an exchange. |
2. | You'll find your Return Label printed on the front of your PACKING SLIP. Attach it to your package for the quick and easy shipment and processing of your return or exchange. |
3. | No postage is required up front, instead $6.95 will automatically be deducted from your merchandise credit. |
4. | Give your package to your postal carrier or drop it off at any post office or FedEx location. |
5. | You can track your return package at www.FedEx.com/us using the tracking number at the bottom of the Return Label. |
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2. | Address and ship package to: |
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General Question
Can I apply immigration if I have mortgage to pay?
Asked by CarterChen (123
January 19th, 2011
I bought a house few months ago with bank mortgage, Now I am going to apply immigration, and I am planning to continue to pay the mortgage after immigration. I don't know if the bank will allow me to pay housing mortgage from another country.
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Experience Pop-In@Nordstrom: MAGIC HOUR.
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Our director of creative projects shares what she's into.
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Stay updated with a steady stream of new info.
An exclusive print designed by artist/surfer Kevin Butler of classic cars carrying surfboards lines an iconic, vintage-inspired scout backpack designed in a slim silhouette and equipped with a concealed zip pocket under the flap.


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The baby name Israt of arabic origin means affection. The Huggies Baby Name Finder can help you create a list of popular baby names including Israt and then let you share with family and friends. Keep in mind Israt is more popular as a unisex name
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The Service Registry documentation set is available at http://docs.sun.com/coll/1314.3. To learn about Service Registry, refer to the books listed in the following table.
Table 1–2 Service Registry Documentation
Document Title |
Contents |
Contains the latest information about Service Registry, including known problems. |
Describes how to configure Service Registry after installation and how to use the administration tool provided with the Registry. It also describes how to perform other administrative tasks. |
Describes how to use the Service Registry Web Console to search Service Registry and to publish data to it. |
Describes how to use the Java API for XML Registries (JAXR) to search Service Registry and to publish data to it. |


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I have a PC, Helene. The subtitles show in the individual pages for each thread or forum, but no in the page of all the new posts...
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Weird Behavior on Site
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July 13, 2012 (CHICAGO) --
Could the blues be the future of Block 37?Crain's Chicago Business is reporting that two local executives are drawing up plans for something called "The Blues Experience" for the mostly vacant mall on State Street.
Their plan would potentially include a blues-oriented museum, a nightclub and musical classrooms.
There is no comment from the owner or leasing agents for Block 37.


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BIG SUR TAPES P.O. Box 4, Tiburon CA 94920 (Toll Free) 800-688-5512 (Voice) 415-435-5518 (Fax) 415-435-5513 firstname.lastname@example.com
Click on the "Search" button above, or:
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Nothing is finalized until you complete the "Checkout."
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Rogers, Carl and Gregory Bateson Carl Rogers and Gregory Bateson - A Dialogue Quantity in Basket: none Code: 02204 Price: $11.95 Shipping Weight: 0.00 pounds Quantity: These two great contributors to our understanding of thinking, feeling, and behaving engage in a spirited dialogue, clashing on some points, agreeing on others, mainly around the issue of learning. - 1975 Kentfield, Ca - One Audiotape


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MDavis works with some of the largest chemical companies in the world.We are uniquely qualified to excel in this industry because of our extensive experience combined with our dedication to achieving the highest levels of quality and dependability. MDavis exceeds clients' expectations with:
We look forward to discussing your next project. Please give us a call or email. |


text:
Hello, I just got my Galaxy S3, and I love everything about it! But, there's a few things I really miss, I miss the simplicity of the iPhones: -Messaging -Music Player -Photo Viewer That's the only things I honestly can say I miss! But lucky for me, I was able to download Go Pro SMS, BUT I still need help finding that perfect Music and Photo viewing app! If anyone knows of an app for Music, That's simple and replicates the simple functions of the iOS music player, and if someone knows a Gallery app that mimics the same, simple visual layout as the iPhones stock photo app, then please share that with me! I just need: -iPhone-like Photo viewer -iPhone-like Music player Thank ya!
What do you mean with "iphone like"? Limited and few options? For pictures, try QuickPic. For music, why not use the stock player?
Try the Google Play Music Player. I had an iPhone and it's just as simple to use (swipe across for alphabetical organization of Album, Artist, Playlist etc). Or give Winamp a try.
Greeting darkcobra, Welcome to the forums. I use quickpic for my photo viewing needs. I will admit that I don't do social media things, so I don't know about uploading photos and such. For my musical enjoyment, I've used Poweramp for the longest time It is a paid app, but I've never had one moment where I have regretted paying for it. Poweramp has a free 2 week trial. Quickpic https://play.google.com/store/apps/...51bGwsMSwxLDMsImNvbS5hbGVuc3cuUGljRm9sZGVyIl0. Poweramp https://play.google.com/store/apps/...GwsMSwxLDEsImNvbS5tYXhtcHouYXVkaW9wbGF5ZXIiXQ.. Here is a link to the Google playstore, you may have a easier time surfing it on your computer vs phone. https://play.google.com/store Hope this helps.
Hi darkcobra94... It's nice to have you onboard. I hope you'll find the resources on here to be helpful.
OP, could you post some pictures of what these apps look like? Never having owned an iPhone myself, I'm at a disadvantage in helping you
PowerAmp and Jet Audio are the two best media players I have found. I prefer PowerAmp, but it doesn't seem to scan all of my music anymore. I'm not sure why. Also, don't confuse "options" with "confusing." I know coming from iOS, the amount of options that you have with Android can be a little bit overwhelming, but really, Android is no more complicated than you make it. You can spend hours setting up homescreens and customizing system fonts and the like (which are not options that you have with iOS, at least not nearly to the same degree as with Android) but you don't have to. Android is more of a legitimate operating system compared to iOS, which is really little more than a glorified app launcher.


text:
Home > YJLH > Vol. 18 (2006) > Iss. 3
Article Title
Let Us Drink Our Fill: The History of Water and Its Impact on Resource and Environmental Management
Jim Salzman's Thirst. A Short History of Drinking Water tells a remarkable story about how we have managed one of the most important substances in our lives, and through its historical tales, may also point to a way to think not only about water management, but also about the management of all kinds of resources - a management strategy that is not defined by the resource, but instead, the resource's ultimate use.
Up until this time, those who study environmental pollution have generally focused on resource management (and in this I include resources that can be despoiled by pollution, such as clean air) based on the resource itself, i.e. how should we best manage water, or air, or animals, or land generally. With many of these natural resources, management strategies have been driven by concerns of common overuse - the tragedy of the commons.
Thus, much of the legal analysis of resource use has focused on how to correct the commons problem so that we all get appropriate economic signals to avoid overuse. In the environmental law arena, the market's failure to internalize costs, which results in the tragedy of the commons, is given as the main justification for government intervention into the private marketplace - we have to control how much pollution one can put into the commons because the polluters have no incentive to do so themselves. We have to choose the best management strategy to correct this market problem. Many of us have grappled with theories of which kind of intervention would best correct the overuse of resources. One of the most important contributors to this field is Professor Carol Rose, who has analyzed various methods of pollution-control strategies and drew conclusions about intervention choice based on the overall pressure faced by a resource. Importantly, she focused us not just on the effect a strategy would have on the resource itself, but its costs for the regulated community and costs for the government to enforce the strategy.
Recommended Citation
Flatt, Victor B.
"Let Us Drink Our Fill: The History of Water and Its Impact on Resource and Environmental Management,"
Yale Journal of Law & the Humanities:
Vol. 18:
3, Article 7.
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available from the supplier upon request.
To safeguard the purity of the product and applicator: (1) Always handle and apply in a careful
and sanitary manner; (2) Do not share with others; (3) Do not add anything to the mascara; (4)
Do not rest the applicator on any surface or use an old applicator in a new case; (5) Cap tightly to
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Pronunciation: /ˈjēoid/
Definition of geoid in English:
(the geoid) The hypothetical shape of the earth, coinciding with mean sea level and its imagined extension under (or over) land areas.
Example sentences
- The geoid is a hypothetical surface, on which the gravitational pull of the Earth is the same everywhere.
- The seven-year odyssey transformed the world in earnest by giving to science a new form for the globe - that irregular spheroid today called the geoid.
- 'Now, we're ready to look at how the geoid varies over short periods of time,' he adds.
Words that rhyme with geoid
amoeboid (US ameboid)Definition of geoid in:
- British & World English dictionary
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This patient support community is for discussions relating to pregnancy concerns for teens, ages 13-17. Please note, this community is not intended to discuss how to conceive. Questions regarding this will be removed.
Week 25
What Is Happening To Your Body
Soon you will begin to see your healthcare provider more often to monitor fetal heartbeat, movement and your fundal height as well as your overall health.
Pregnancy can be difficult on your digestion. The pregnancy hormone, progesterone, slows down the emptying of the stomach and relaxes the valve at the entrance of the stomach. This results in heartburn, also known as acid reflux. Try eating smaller meals, do not eat right before lying down and avoid eating spicy or fatty foods.
It is also common for pregnant women to suffer from bladder infections. Often, the baby places pressure on the urethra, which blocks the flow of urine. If you think you might have a bladder infection, seek medical help as soon as possible.
What Is Happening To Your Baby
Your baby measures about 13.6 inches (34.6 cm) long from head to heel, or roughly the length of an eggplant. At this point, your baby weighs around 1.5 pounds (680.4 grams).
Your baby's spine is beginning to form its structures as the blood vessels of the lungs start developing. Some small blood vessels are starting to form beneath your baby's skin. As these blood vessels begin to fill with blood, the baby's skin will take on a pink appearance.
Your baby also has fully formed fingerprints, its bones continue to harden and its nostrils are starting to open.
Ultrasound images courtesy of GE Healthcare
The clinical images and information presented in this application represent normal fetal growth during a typical pregnancy. The images and information are to be used for educational purposes only and not for diagnostic purposes. Please consult a licensed physician regarding any specific questions pertaining to your pregnancy.


text:
Diagnostic value of ferritin in malignant pleural and peritoneal effusions. | |
MedLine Citation:
PMID: 3191455 Owner: NLM Status: MEDLINE |
The diagnostic usefulness of ferritin measurements in pleural and peritoneal effusions has been evaluated in 57 patients. Mean (+/- standard error [SE]) ferritin levels were 291 +/- 50 ng/ml in 24 patients with noninflammatory transudates (Group I), 942 +/- 253 in 15 patients with nonmalignant exudates (Group II), and 1805 +/- 257 in 18 patients with malignant exudates (Group III). The mean (+/- SE) ratio of effusion/serum ferritin in Groups I, II, and III was 0.7 +/- 0.1, 2.7 +/- 0.7, and 5.7 +/- 1.2, respectively. The specificity and predictive value of a ferritin ratio in excess of 1.5 in distinguishing transudates from all exudates and in distinguishing transudates from malignant exudates were both very high (94%) to 96%). In the lower range of values considerable overlap existed between ferritin ratios obtained in patients with benign versus malignant inflammatory exudates. However, very high ferritin levels (greater than 3000 ng/ml) and ferritin ratios (greater than 20:1) were only encountered in malignant exudates. These results indicate that the measurement of ferritin levels and ferritin ratios may be a useful aid in the diagnosis of malignant pleural and peritoneal effusions. |
A Yinnon; A M Konijn; G Link; J Moreb; C Hershko |
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Publication Detail:
Type: Journal Article; Research Support, Non-U.S. Gov't |
Journal Detail:
Title: Cancer Volume: 62 ISSN: 0008-543X ISO Abbreviation: Cancer Publication Date: 1988 Dec |
Date Detail:
Created Date: 1989-01-06 Completed Date: 1989-01-06 Revised Date: 2006-11-15 |
Medline Journal Info:
Nlm Unique ID: 0374236 Medline TA: Cancer Country: UNITED STATES |
Other Details:
Languages: eng Pagination: 2564-8 Citation Subset: AIM; IM |
Department of Medicine, Shaare Zedek Medical Center, Jerusalem, Israel. |
Export Citation:
APA/MLA Format Download EndNote Download BibTex |
MeSH Terms | |
Adult Aged Aged, 80 and over Ascitic Fluid / diagnosis* Female Ferritins / analysis* Humans Male Middle Aged Neoplasms / diagnosis* Pleural Effusion / diagnosis* |
Chemical | |
Reg. No./Substance:
9007-73-2/Ferritins |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Decreased serum aldolase B levels in patients with malignant tumors.
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Pages: 1 2
I admit I have only read about 30 of the approximately 90,000 leaked documents. So I need to judge by the opinion of those who are better informed: in this case, Robert M. Gates, who is not only secretary of defense but former director of the CIA and one of our nation's leading career intelligence experts. He is also something else.
He practices the high English mandarin art of governmental understatement. He is famous for avoiding rhetorical flourishes. If it were given to him to announce to the nation the arrival of Attila the Hun at the gates of the capital ready to put man, woman, child and beast to the sword — his understatement would make it sound like no more than a slight congestion in the evening rush-hour traffic.
So it is worth reviewing Mr. Gates' alarming words on the damage done by that blond beast Mr. Assange (no understatement for me, thank you). According to The New York Times, Mr. Gates says regarding the WikiLeaks documents:
1. They have "potentially dramatic and grievously harmful consequences" on the lives of Afghans who have helped the United States.
2. "The battlefield consequences of the release of these documents are potentially severe and dangerous for our troops, our allies and Afghan partners, and may well damage our relationships and reputation in that key part of the world. Intelligence sources and methods, as well as military tactics, techniques and procedures, will become known to our adversaries."
3. "In the wake of this incident, it will be a real challenge to strike the right balance between security and providing our frontline troops the information they need." Since those statements from last week, there already are reports that the Taliban are out hunting down our courageous Afghan allies.
If Mr. Assange had perpetrated this outrage against Russia, inevitably there would be a news report a few month later announcing the death of Mr. Assange and his loved ones (should he have any) because of an unlikely street accident. Thank goodness we live in nation of laws — not of executive actions.
But the rule of law will not last long if the law is not used to avenge grievous wrongs committed against our nation.
It is the high duty of our government not to let Mr. Assange walk free (assuming the evidence in court of his espionage is as convincing as the news accounts suggest).
Let the federal prosecutions proceed — wiki, wiki.
Pages: 1 2
} add_action( 'genesis_after_post_content', 'single_sub' ); function single_sub() { ?>


text:
Post-partum Hair Loss
This is my 3rd child and I seem to be losing more hair than I did with the first two. Anyone have ideas if there is anything I can do to lessen what I am losing? I have just...
Started by Martie on 12/31/2008 in Welcome To Circle Of Moms!!
Last update on 01/29/2009 by Gretchen


text:
Michael Pinto-Duschinsky: Holocaust Reparations: The Back Story
Dr. Michael Pinto-Duschinsky is a British political scientist who was appointed in 2011 by Prime Minister David Cameron to the UK Commission on a Bill of Rights. A Holocaust survivor, he was honorary academic advisor to the London-based Claims for Jewish Slave Labor Compensation.
On July 10th, dignitaries from the U.S., German, and Israeli governments attended a curious ceremony at the U.S. Holocaust Memorial Museum in Washington. The gathering marked the 60th anniversary of the first agreement by the West German government with the Israeli government and the Jewish "Claims Conference" to grant modest financial compensation for the Holocaust. Some of the Jews in the room had spent the years since the agreement in seemingly interminable haggling.
The event had the character of a celebration and an exercise in self-congratulation. Ambassador Stuart Eizenstat, a prominent Jewish corporate lawyer who currently holds the offices of Special Advisor to Secretary of State Hillary Clinton on Holocaust Issues and Special Negotiator for the Jewish Claims Conference, was in top form. In the 1990s, as a sub-cabinet official in Bill Clinton's administration, Eizenstat headed the talks between class action lawyers for Holocaust survivors and German corporations that were accused of using slave labor during the Second World War. Bodies such as the Conference on Jewish Material Claims Against Germany, the "Claims Conference," and the German government also participated. Eizenstat subsequently wrote a self-praising volume about his role and went on to receive the "Great Negotiator" award from his alma mater, Harvard Law School.
At the ceremony, Eizenstat declared that "the Claims Conference vision, we hope, of meaningful compensation and reparations during the last 60 years has truly brought a reconciliation between Germany, the Jewish people, and the state of Israel."...
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Bitrebels stammt dieses irre Konzept von eingepflanzten Stillettos in die Ferse.
"We have seen the odd and weird pierced people that literally changed their appearance into something unearthly assuming to get attention or to be original. So why would this not be possible as well? An incorporated stiletto heel in your foot could possibly be the new "edge." I am sure we'll see someone who will go all out and actually do this. To me, this is just as weird as it comes. It looks painful and alien to me, but I guess the stuff people will do to stand out will always be pushed farther and farther into the land of the weird. What do you think? Is this something that women dream of?"


text:
Senate Session
*The transcript for this program was compiled from uncorrected Closed Captioning.
People in this video
- Wayne Allard U.S. Senator [R] Colorado
- Max Baucus U.S. Senator [D] Montana
- Joseph "Joe" R. Biden Jr. U.S. Senator [D] Delaware
- Barbara Boxer U.S. Senator [D] California
- Thomas "Tom" A. Coburn M.D. U.S. Senator [R] Oklahoma
- Kent Conrad U.S. Senator [D] North Dakota
- John Cornyn U.S. Senator [R] Texas
- James "Jim" DeMint U.S. Senator [R] South Carolina
- Byron L. Dorgan U.S. Senator [D] North Dakota
- Dick Durbin U.S. Senator [D] Illinois
- John Ensign U.S. Senator [R] Nevada
- Dianne Feinstein U.S. Senator [D] California
- Chuck Grassley U.S. Senator [R] Iowa
- Judd Alan Gregg U.S. Senator [R] New Hampshire
- Edward "Ted" M. Kennedy U.S. Senator [D] Massachusetts
- Jon Kyl U.S. Senator [R] Arizona
- Mary Landrieu U.S. Senator [D] Louisiana
- Harry Reid U.S. Senator [D] Nevada
- David Vitter U.S. Senator [R] Louisiana
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The Marble Arch - Gloucester Place Hotel is a Georgian Bed and Breakfast hotel in Central London. The building was once occupied by members of the French Royal Family who had fled the French Revolution of 1789. The hotel offers a wide choice of comfortable, spacious and well equipped bedrooms within a warm and friendly environment. Situated in an ideal location; close to Central London's most famous sites. |
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About 3-4km outside of Montserrat we made a brief stop at a very scenic little hermitage (this is looking back up towards our van with the mountains behind)
November 2012
David P
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This is an open-access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work, first published in the Journal of Medical Internet Research, is properly cited. The complete bibliographic information, a link to the original publication on http://www.jmir.org/, as well as this copyright and license information must be included.
Designing and delivering evidence-based medical practice for students requires careful consideration from medical science educators. Social Web (Web 2.0) applications are a part of today's educational technology milieu; however, empirical research is lacking to support the impact of interactive Web 2.0 mobile applications on medical educational outcomes.
The aim of our study was to determine whether instructional videos provided by iPod regarding female and male urinary catheter insertion would increase students' confidence levels and enhance skill competencies.
We conducted a prospective study with medical trainee intern (TI) participants: 10 control participants (no technological intervention) and 11 intervention participants (video iPods). Before taking part in a skills course, they completed a questionnaire regarding previous exposure to male and female urinary catheterization and their level of confidence in performing the skills. Directly following the questionnaire, medical faculty provided a 40-minute skills demonstration in the Advanced Clinical Skills Centre (ACSC) laboratory at the University of Auckland, New Zealand. All participants practiced the skills following the demonstrations and were immediately evaluated by the same faculty using an assessment rubric. Following the clinical skill evaluation, participants completed a postcourse questionnaire regarding skill confidence levels. At the end of the skills course, the intervention group were provided video iPods and viewed a male and a female urinary catheterization video during the next 3 consecutive months. The control group did not receive educational technology interventions during the 3-month period. At the end of 3 months, participants completed a follow-up questionnaire and a clinical assessment of urinary catheterization skills at the ACSC lab.
The results indicate a decline in skill competency over time among the control group for both male and female catheterizations, whereas the competency level was stable among the experimental group for both procedures. Interaction results for competency scores indicate a significant level by group and time (
Video iPods offer a novel pedagogical approach to enhance medical students' medical skill competencies and self-confidence levels. The outcomes illustrate a need for further investigation in order to generalize to the medical school population.
Medical students obtain a rich learning experience in the Advanced Clinical Skills Centre (ACSC) at The University of Auckland, New Zealand. They take courses such as crisis management in anesthesia, open and laparoscopic surgical skills, advanced cardiac life support, general surgical skills, gynecologic principles, orthopedics, and general physician assessment skills. Faculty members at the ACSC provide students with modern human-patient simulations as a part of the medical education curriculum and are willing to try new medical pedagogy to enhance learning outcomes.
The traditional apprenticeship model for teaching clinical skills is no longer feasible due to the shortage of faculty [
Medical video technology delivered via a mobile device has great potential for cultivating a positive learning landscape in medical schools. Educators know that millennial students, born between 1980 and 1994, are technologically adept, stressed, high-achieving, confident, and self-assured [
From an educational theoretical perspective, Mayer's cognitive theory of multimedia learning posits that people learn best when images are combined with words in an electronic learning environment [
The aim of this investigation was to determine whether female and male urinary catheter insertion videos provided via video iPods would increase medical students' confidence levels and enhance skill competencies and retention. It is important to measure both confidence and competence because self-confidence is not always a reliable indicator of skill competence. This study was designed around a central hypothesis that medical students who receive medical skill videos delivered via a mobile technology would have increased self-confidence and skill competency.
Students in the health care professions have benefited from repeatedly listening to learning material at their convenience via mobile technology and have reported high satisfaction using audio and video formats in learning [
In regard to use of video iPods in higher education, audio and video formats prove effective in enhancing learning outcomes [
Urinary catheterization of male and female patients is an important technical skill requiring practice. Therefore, we formulated research questions and invited a cohort of medical trainee interns (TIs) attending a clinical skills rotation at ACSC to participate in the study. We set out to answer the following questions. What are TIs' levels of confidence in performing male and female urinary catheterizations prior to a clinical skills course? What are TIs' levels of competence and confidence in performing female and male urinary catheterization after a clinical skills course? What are TIs' levels of competence and confidence in performing male and female urinary catheterization (comparing the control and intervention groups) at 3 months after a clinical skills course? These questions are critical given that urinary catheterization may be a contributing factor to nosocomial infections and other medical conditions [
This was a prospective study using a random sample. Carrying out a prospective study with randomized participants in medical education is challenging for three reasons: (1) a randomized trial, particularly if a control group is involved, is perceived to put some students at a disadvantage, (2) variables are difficult to control, and (3) appropriate outcome measures are difficult to identify [
The study sample consisted of 21 final-year medical TIs attending the University of Auckland's School of Medicine (see
Since the participants were enrolled in an established teaching course, Institutional Review Board of Protection of Human Subjects approval was not required. Furthermore, trials including health care providers as participants are exempt, and therefore this randomized control trial was not registered [
A power analysis was not conducted for this experimental study. TIs were assured that participation in the study was voluntary and would not have an effect on any course grades or employment at the University of Auckland.
CONSORT flow diagram
The skills taught during the clinical skills course were advanced cardiac life support, lumbar puncture procedure, nasogastric tube insertion, urinary catheterization of a male and a female patient, and the care of an open contaminated wound. Participants were asked at the onset to state expected learning outcomes from the clinical skills course and at the end of the study to evaluate the course. Precourse questionnaires were newly developed and distributed by the medical school faculty to both groups of TIs before instruction on male and female urinary catheterization. The precourse evaluation questionnaire contained five questions concerning (1) prior exposure to the male and female urinary catheterization skill, (2) self-reported level of confidence in performing the skills, (3) importance of mastering the procedures for male and female urinary catheterizations, (4) to what extent TIs would make use of the clinical procedure in future medical practice, and (5) TIs' level of fatigue before receiving training for the medical skills.
Another purpose of the precourse questionnaire was to determine levels of TIs' preexisting knowledge that might confound the results of the study [
Directly after completing the precourse questionnaire, the TIs viewed a professionally filmed 15-minute male urinary catheter insertion video and a 15-minute female urinary catheter insertion video in the ACSC on a television monitor. Immediately following the videos, the TIs viewed a live 10-minute demonstration of the male and female urinary catheterization skill (5 minutes for each skill) performed on a mannequin by a physician in the ACSC. The total training time was approximately 40 minutes. The TIs were directly given the opportunity to practice each skill on the male and female mannequins in the ACSC under the supervision of clinical tutors. All TIs participated in the practice session. Each practice procedure lasted on average 10 minutes.
The TIs then completed both procedures while being formally assessed by a physician faculty member who used a 16- and 15-item paper-based competency skill evaluation tool for the male and female catheterization procedures, respectively. An ACSC faculty physician wrote the competency skill evaluation tools. The assessment tool consisted of a written skill checklist, comprising direct observation with criteria, for steps in the demonstrated/learned procedures. Kneebone [
The students' competency scores were calculated by averaging the 16 clinical procedural steps for the male catheterization skill and the 15 clinical procedural steps for the female catheterization. The procedural steps were setting up a sterile field; maintaining sterility during urinary catheter tray setup; choosing the correct size and type of catheter; explaining the procedure to the patient; questioning the patient about allergies to iodine, latex, and adhesives; washing hands before donning sterile gloves; demonstrating correct technique for donning sterile gloves; cleansing the patient's skin while maintaining aseptic technique; properly draping the patient with a sterile towel; inserting the catheter while adhering to sterile technique; ascertaining correct depth of catheter insertion before inflating the Foley catheter balloon; gently pulling back on the catheter to confirm balloon inflation and position; correctly connecting and anchoring the catheter; indicating that patient's foreskin would be replaced at the end of the procedure; and properly documenting the patient's chart (date of insertion, volume of balloon inflation, and any complications). The student either "correctly" or "incorrectly" performed each step of the procedure.
Following this evaluation process, TIs were randomly assigned to two groups: control and intervention. The randomization process involved consecutively numbering 21 envelopes, provided by a third party not involved in conducting the study, with allocation to either the intervention (video iPod) or control group (no technology) in each envelope. After consenting to participate in the study, TIs were irreversibly randomized by being provided the sealed envelope. The intervention group was given unlimited access to two ACSC faculty-prepared videos (see
Advanced Clinical Skills Centre faculty-prepared video of a female catheterization (University of Auckland, New Zealand)
After 3 consecutive months, all participants were reevaluated against the same set of standardized metrics used before the intervention and by the same evaluators who conducted the training course to ascertain students' competency in the urinary catheterization skills. Evaluators were blinded to which group was being assessed. TIs filled out a 3-month follow-up course questionnaire that measured exposure to the male and female urinary catheter procedures since attending the initial clinical skills course at the ACSC and their confidence levels (secondary end point) for each catheterization procedure. The ACSC staff member researcher responsible for arranging the follow-up meeting used text messaging to remind participants of the upcoming 3-month follow-up evaluation at the ACSC.
Data were entered into SPSS version 18 (IBM Corporation, Somers, NY, USA) for statistical analyses. Demographic data (see
Demographic characteristics of trainee interns (N = 21)
Characteristic | Intervention group (n = 11) | Control group (n = 10) | |
Males | 5 | 2 | |
Females | 6 | 8 | |
16-26 | 8 | 9 | |
27-36 | 3 | 0 | |
37-46 | 0 | 1 |
Before learning the clinical skill procedure, students' experience was measured as the number of times they had performed a urinary catheterization. For the 3-month follow-up experience measurement, the number of times students had "performed" or "assisted" with the clinical procedure was included in the data collection.
Trainee interns' urinary catheterization skill experience in terms of the number of times they had seen, assisted in, or performed the procedure
Time point of study | Catheterization |
Control group | Intervention group | |||||||||
0 | 1-2 | 3-4 | >4 | Total n | 0 | 1-2 | 3-4 | >4 | Total n | |||
Preintervention | Male | 0 | 7 | 3 | 0 | 10 | 2 | 5 | 2 | 1 | 10 | |
Preintervention | Female | 0 | 8 | 2 | 0 | 10 | 2 | 6 | 0 | 2 | 10 | |
3-month follow-up | Male | 1 | 4 | 4 | 0 | 9 | 2 | 5 | 2 | 1 | 10 | |
3-month follow-up | Female | 3 | 3 | 1 | 2 | 9 | 5 | 4 | 0 | 1 | 10 | |
3-month follow-up | Male | 3 | 6 | 0 | 0 | 9 | 5 | 2 | 1 | 0 | 8 | |
3-month follow-up | Female | 6 | 3 | 0 | 0 | 9 | 9 | 0 | 0 | 1 | 10 | |
3-month follow-up | Male | 1 | 4 | 1 | 3 | 9 | 7 | 0 | 1 | 2 | 10 | |
3-month follow-up | Female | 6 | 2 | 1 | 0 | 9 | 7 | 2 | 0 | 1 | 10 |
A high procedural score suggests higher TI competency. The results indicate a decline in competency over time in the control group for both female and male catheterizations. However, the competency level was stable in the intervention (video iPod) group for both procedures. The postcourse male urinary catheter insertion competency scores were nearly equal for the control and intervention groups and close in value to the postcourse female urinary catheterization competency scores for the control group. The greatest difference was in the intervention group competency score for the female catheterization procedure at the 3-month follow-up course, which was higher than the other competency scores (see
The TIs' confidence levels were measured at the pre-, post-, and 3-month follow-up course for female and male catheterizations separately. The mean values for the participants are reported in
Trainee interns' skill competency and confidence scores by procedure (N = 21)
Time point of study | Control group mean (SE)a | Intervention group mean (SE) | ||
Female catheterization | Postcourse | 1.79 (0.07) | 1.88 (0.07) | |
3-month follow-up course | 1.61 (0.07) | 1.88 (0.08) | ||
Change score | 0.18 | 0.00 | ||
Male catheterization | Postcourse | 1.83 (0.07) | 1.79 (0.07) | |
3-month follow-up course | 1.69 (0.70) | 1.80 (0.07) | ||
Change score | 0.14 | 0.01 | ||
Female catheterization | Precourse | 2.51 (0.32) | 3.36 (0.35) | |
Postcourse | 2.64 (0.32) | 3.59 (0.35) | ||
3-month follow-up course | 3.61 (0.32) | 4.50 (0.35) | ||
Change score | 1.10 | 1.14 | ||
Male catheterization | Precourse | 3.94 (0.32) | 4.60 (0.35) | |
Postcourse | 3.84 (0.34) | 4.31 (0.37) | ||
3-month follow-up course | 2.89 (0.34) | 3.93 (0.35) | ||
Change score | 1.05 | 0.67 |
a SE: standard error.
As noted in the group-by-time interaction (control vs intervention by post- vs 3-month follow-up course), the intervention competency scores were stable for male and female catheterization procedures, while the control group competency scores for female and male catheterizations became smaller. Possible interactions between variables were investigated by using the Kenward-Roger autoregressive correlation matrix. The calculated interaction effect for the interaction between group (control vs intervention), procedure (female vs male catheterization), and time (pre-, post-, 3-month follow-up course) was not significant at the .05 level. However, the group-by-time interaction and the procedure-by-group interaction were significant at the .05 level. The results are highlighted in
Interaction results for trainee interns' competency scores (N = 21)
Interaction variables | Analysis of variance |
Group by procedure by time | F1,27.4 = 0.05 | .83 |
Group by time | F1,27.6 = 5.55 | .03 |
Procedure by group | F1,21.1 = 7.39 | .02 |
In regard to TI confidence levels, there was no statistically significant interaction between group (control vs intervention), procedure (female vs male catheterization), and time (post- vs 3-month follow-up course). Neither was there a statistically significant interaction between group (control vs intervention) and time (pre- vs 3-month follow-up course). However, there was a statistically significant interaction between procedure (female vs male catheterization) and time (pre- vs 3-month follow-up course). Over time the confidence scores in performing the female catheterization procedure increased for both groups, while the confidence scores in performing the male catheterization procedure decreased. The results are presented in
Interaction effects for trainee interns' catheterization skill confidence levels (N = 21)
Interaction variables | Analysis of variance |
Group by procedure by time | F2,53.7 = 0.49 | .62 |
Group by time | F2,55.4 = 0.33 | .72 |
Procedure by time | F2,56.5 = 19.13 | <.001 |
Urinary catheterization skill competency declined over time in the control group for both male and female catheterizations, whereas the competency level was stable in the intervention group for both procedures. This finding is consistent with findings from other studies where a particular skill or procedure is not practiced: competency is likely to diminish over time. The study cohort of final-year medical TIs also would not have the opportunity to perform urinary catheterization on a regular basis for various clinical reasons [
From a clinical education point of view (patient anatomy and comfort level of the TI participant), the male procedure may have been more challenging for the female medical students, who constituted the majority of the study's sample. If gender is a factor and has potential effects on performance and safety, then more research needs to be conducted. In regard to evaluating the student's gender with respect to male and female patients in the clinical setting, anecdotal evidence from researchers' experiences highlights this as a potential educational issue. Also, data suggest a trend for the intervention group to access the two videos via the video iPods just before the 3-month follow-up assessment period and not throughout the 12 weeks following the instruction and immediate postcourse assessment. In the future, researchers may want to measure time-on-viewing (also called time-on-learning) the videos and assess where the students viewed the videos. Time-on-viewing is a significant factor in learning a skill and may be logged in a personal journal by the learner [
The significance of implementing mobile devices as learning tools needs to be further evaluated for future educational purposes. Developers of computer-based instruction and other learning technologies benefit from gathering information from formative evaluation strategies when developing instructional media in order to assess clinical judgment and practice [
Even though the statistically significant improvement in student confidence levels for performing the female urinary catheterization clinical skill over time was positive, the primary limitation of this study is the small sample size. Other concerns that need to be taken into consideration in medical education research include: technical requirements and potential problems that students might encounter with video iPods; pressure to perform the skills in a specific way because medical faculty are conducting a study of clinical skill proficiency; and the effect of time-on-viewing and location-of-learning these clinical skills via the video iPod on medical students' competency and confidence levels.
The use of mobile devices, such as a video iPod, smart phone, or iPad-like notebook, for health care professional education is interesting and promising. A convenient and ubiquitous mobile technical device providing scenario-based video presentations enhances a constructivist approach to medical education. There are many potential educational uses of the video iPod for patients, families, and their health care providers all over the world. Furthermore, it is beneficial to offer the audience viewing the videos on mobile devices some interaction with the devices and/or to provide feedback from the podcast/vodcast presenter [
We wish to thank Elizabeth Robinson PhD and Shannon Halkyard EdD(c) for their assistance with the statistical analyses.
None declared
Female catheterization
Male catheterization
Advanced Clinical Skills Centre
trainee intern


text:
Jewish World Review Sept. 10, 2004 / 24 Elul 5764
Raising the 'dead' and the dusty
By Mark Kellner
http://www.NewsAndOpinion.com |
Nothing had prepared me for the sight. When I opened the PC's case, I was confronted with a level of dust that is normally found in old attics and other remote sanctuaries.
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JWR contributor Mark Kellner has reported on technology for industry newspapers and magazines since 1983, and has been the computer columnist for The Washington Times since 1991.Comment by clicking here.
Promise of VoIP not yet total
Perhaps I exaggerate a tad, but there was serious dust and grime inside the old Hewlett Packard Vectra PC. It had rested in its original packing carton for about 19 months. I should have broken it out earlier, I know, but events intervened. Now, I needed it.
Taking the computer out of its box, I saw the fringes of dust and grime on the case and at various other points, such as the small openings in the back for plug-in boards (audio, video and the like) and other ports. Then the snap-open case revealed even more dust within, and finally, I saw the makings of a large ball of lint at the front of the machine.
It's not wise to take a garden hose to a PC and turn the nozzle on full blast. For some reason, electrical components don't like contact with water. So the alternative is to find some compressed air and use it to blow out the dust.
A quick trip to CompUSA led me to something called Air Dr., a product of Chicago-based Digital Innovations Inc. (www.digitalinnovations.com) selling for $12.99. On the plus side, the device is super-compact and its nozzle screws into the main unit, which avoids having the nozzle blow off during use.
On the negative side, I went through the two 16-gram cartridges of compressed air in what seemed like the blink of an eye. Four replacement cartridges are $9.99, and that seems a bit much. Next time, I might do better with the battery-powered air blower the firm sells.
The next step was getting everything plugged in. The HP flat-screen monitor I had was packed away, so I thought I'd try an Apple flat screen I had handy. No luck: The Apple unit would require a special adapter. Back to the closet to dig out the HP screen.
Blissfully, the HP display works like a charm: Its picture is perfect, and the stand includes built-in speakers with stereo sound.
I was less fortunate with the keyboard I first tried. A new product arrived for testing, but it didn't want to work with the Vectra. Back to an older HP-made keyboard, which, thankfully, did its job.
There was one more hill to climb in getting the PC connected to the world, and that was hooking it up to the Internet. A wired LAN connection was possible, but I lacked a cable within easy reach. My solution was to try Belkin's Wireless G USB Network Adapter (www.belkin.com), available for $59.99 from CompUSA's Web site. The installation software performed flawlessly, and within minutes, I was up and running.
With an Internet connection assured, the CD-ROM drive working and my old programs firing up, all should be well. There will be some kinks along the way, but my greatest fear, of dust just disabling the whole thing, was gone.
Next time I put a computer in "deep freeze," I think I'll find a tighter plastic bag to put over it and seal the unit as best I can. And unless I have a proper stand, my PCs will stay off the floor: There's just too much dust down there.
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text:
By Amie Parnes - 01/17/13 05:26 PM EST
Deputy National Security Adviser Denis McDonough is expected to be named White House chief of staff, according to a source familiar with the process.
McDonough, 43, has been with Obama for years, serving in his Senate office and going on to work on the 2008 campaign. He was heavily involved in some of Obama's major decisions on foreign policy, including the end of the war in Iraq and the drawdown of troops in Afghanistan.


text:
Note to viewers of The Sopranos who aren't up to speed through tonight: Things Happened on tonight's episode. If you don't want to know, begin avoiding the media immediately, with particular emphasis on Slate.com, the New York Daily News, and the Letterman show, among others. Thank me later.
We now resume our regularly scheduled broadcast.
I thought last night's episode was as good as the one before it was bad. Things seem nicely set up for the finale.


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EQC responded to last week's post, C'mon EQC explain apportionment, with a Facebook post by Customer Services GM Bruce Emson.
Thanks for the info, Bruce. It's a good start. Keep going.
Many of the people that commented on my previous blog and on Facebook told stories of pain, confusion and mismanagement, and it's clear that 525 words on a social networking website isn't enough.
EQC should host community meetings on apportionment (and other topics). Get 500 people in a room and explain in granular detail what's going on. For example, according to Bruce, the most practical way to apportion unassessed damage is "to look at what happened in the houses around your one, and what proportions of damage they suffered".
OK, how wide is this net? Homes on my short Mount Pleasant lane suffered miniscule damage before Feb 22 (in my case, a cracked patio that isn't insured by EQC). Now, almost solely because of February 22, at least two homes on the street are potentially heading for demolition, at least four are caught in apportionment, one is reportedly uninsured, and one is already repaired by Fletcher (lucky sods).
Seems to me that EQC should apportion the whole lane at the same time (next week is good), but EQC's call centre told my wife last week that a neighbourhood approach isn't being used. This true? How are priorities set - alphabetically, easy first/hard later, foundation category? (Mount Pleasant's foundation category is grey by the way.)
On the other hand, tell me please that the already-repaired neighbour will be apportioned, ohh, next February and that the folks out in Harewood will be apportioned next March.
If workshops don't appeal, EQC could use video. Check out Dr Jan Kupec updating orange-zoned Southshore residents in an 8min30sec video posted May 15 (thanks CERA). The video, by the way, is a recap of a CERA meeting held for Southshore residents in April, so CERA managed a meeting and a video.
The Earthquake Commission's last activity on its YouTube channel was October 2010, when Earthquake Minister Gerry Brownlee explained "what happened in the September 4th earthquake".
It's never too late for EQC to follow it's more nimble cousins. Christchurch City Council chief executive Tony Marryatt popped up in The Press this week to explain he's hiring staff to process the threefold increase in planning applications that are expected in coming years. Council also has Mayor Bob and 13 councillors explaining and responding, CERA has Roger Sutton, Dr Kupec and others, central government has Brownlee, sometimes the Prime Minister and other ministers when their portfolios allow. EQC's public face is ... a call centre.
Here's why this information matters. Bruce Emson's Facebook post includes this statement: "Any process we develop has to meet with agreement from the other parties financially involved - the insurers and the reinsurers." Hold on, I'm financially involved, and so is Angela Hamilton and every other apportioned customer. My financial share is about $112,000 and perhaps more. This is bread molecules to EQC, but a whacking great amount to me. C'mon EQC communicate.
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OMG. For goodness sake stop the moaning, appreciate life and get on with it. Take a leaf out of Mr Brownlee's example.
I tend to agree that it is lack of communication which is doing all the damage at the momnent. That and a piecemeal approach to the situation. Some of us are getting on (and no one is getting younger) but the only input thus far is to put your life on hold for many years to come. A few breadcrumbs of relevant information(and our money) would be welcome.
WHAT can you mean..."take a leaf out of Mr Brownlee's example" just buy another house, ignore the blindingly obvious all around you and build a stadium? Is that what you mean? Silly us, why didn't we all think of that rather than sitting here freezing in our wrecked houses for 21 months waiting for EQC, CERA and insurers to sort things out and give us the answers we need to move forward.
That's the whole point Carol #1 - many people "can't get on with it". Many people are at the point of losing their homes because they can no longer afford to pay rent and a mortgage on ther damaged property; properties many (like myself) saved years to be able to build - only to be lost because of inept Insurance Companies/EQC and Govt bureaucracy. We've finally be zoned green, but are now at the bottom of a very long list that'll take years to get through for repairs. We can only afford another 3 months of morgage payments before we're 'spent'. I guess the bright side is (for the bank) that the house can now be sold off as a mortgagee sale, as we're finally green zoned.
Carol Williams We are all sick of people like you telling us to get on with our lives. We'd love to be able to do that. Obviously you are not caught in this predicament.
As for bringing Mr Brownlee into it..words fail me. Mr Brownlee like you, has no concept of how people are suffering, because he has enough money to featherbed his life. Most of us don't.
OMG Carol Williams. Are you living in Christchurch? These issues are very real and the stress is affecting people's health. You clearly don't have any grasp of this issue at all. Get on with it? We'd love to. Mr Will Harvie, please keep the spotlight on this, it's massively appreciated.
It is time to stop blaming the government, EQC, our great mayor, our head of Cera and insurance companies etcetera. How about taking a little more responsibility for ourselves and appreciating the wonderful job Mr Key and Mr Brownlee are doing. This small, vocal minority gets far too much publicity and people like this Blogger on about it yet again, should learn to be grateful for life and start to live it. In case some did not notice, Christchurch moved into blue seats from red in several electorates last year. Thankfully most Cantabrians know how to get on with things (today it is beautiful and sunny and last night the Crusaders took it to the Blues by 50 points). Count your blessings Will Harvie and others.
Perhaps one thing which could be done is to completely forget about "apportionment" for AMI / Southern Response customers. Apportionment is about dividing costs between multiple claims as a result of the High Court ruling. If EQC apportionment decision is disputed by the insurer, then there's a problem - not the least of which is that if the Insurers/Reinsurers see that this is happening, they have the trump cards and have threatened to use them - withdrawing EQ insurance cover for all of NZ. This is one reason why EQC are so slow and indecisive. In the case of both AMI/Southern response and EQC, reserves and reinsurance is "used up", so how "apportionment" determines the split between EQC and Southern Response is essentially irrelevant - the Govt has to pay regardless. I understand that AMI had 40% or so of the Christchurch residential market - they could eliminate 40% of the backlog immediately.
This article is very good. It talks about the delays and delays and delays that people are facing. Lives on hold and people feeling powerless. Information and money are withheld from them - and let's not forget that this information is about their homes, and the money is their entitlement as insurance paying home owners! Information is vital. We had an issue with apportionment that threatened to tip our whole rebuild process over and stick it instead in an insurance/EQC legal spiral that could have taken months if not years to resolve. EQC didn't tell us about an "over payment" that was a result of them reapportioning damage. Telling us would have been - and I quote directly - "confusing and distressing". Instead they let us find out weeks later through our insurance company. And when we rang threatened to take money directly out of our bank account - and said they would have done this without telling us!! Come on - people are not whinging - they are trying to take control of their lives and get what they need and they are entitled too!!
Nice blog Will, keep it up. @Carol Williams - I am not even going to use my precious time and energy to respond to you.
I agree that communication is the key here. It doesn't have to be every little detail of how the process occurs, but an overall view of how they are doing it and that multiple methods are being used on case by case basis, and that each one takes several hours. Also how they are tackling it (street by street sounds better as then one person really gets to know that area and each subsequent apportionment should in theory get quicker).
A recent article in The Press talked about people needing some level of certainty to get on with their lives and to alleviate stress. EQC and others seem determined NOT to provide any kind of certainty. It's not just the How that needs to be communicated but the approximate timeframe and what the stages are in the process (with a You Are Here indicator).
I, and I am sure many others, would be OK with waiting for several years if we knew the approximate timeframes that things would happen for us. We could then make plans instead of being stuck static and powerless.
Most people like forward momentum in life and plan renovations/decorating/gardens. Most of us here in Chch don't even have that luxury. We could live easier with today if we were able to plan a little for tomorrow.
The lack of communication leads not only to stress but to a belief that EQC and co are just ripping us all off. The conspiracy theories abound unchecked.
Mr Emson has, in my view, completely failed to improve or even understand any of these customer outcomes and satisfaction levels. No wonder he is referred to as EQC's General Manager of Customer Dis-service.
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