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Tyrell, Dana
N.A. Juniors Game Night: 12/10Submitted by chad on December 11, 2008 - 09:26
Helpers for Courtnall, Tyrell, and Wright (2) ... Ward back to even for struggling Lewiston, but how long will he be with the team?
Lightning Sign Prospect Dana TyrellSubmitted by chad on December 10, 2008 - 15:51
(WHL release) The Prince George Cougars are proud to announce and wish to congratulate team captain Dana Tyrell, who has agreed to terms with the Tampa Bay Lightning of the National Hockey League. The Lightning selected Tyrell in the second round, 47th overall, in the 2007 NHL draft.
Prince George Cougars General Manager Dallas Thompson says; "Dana is very deserving for achieving this goal of his. All the effort and hard work he has put into his game and the commitment to the Prince George Cougars has certainly helped Dana achieve this terrific milestone in his life.â€
Tyrell leads the Cougars in scoring in his fourth full WHL season, with 19 goals and 20 assists for 39 points, and is ranked tied for 13th in league scoring. Tyrell leads the Cougars in power-play goals with 7 and short handed tallies with 3. Tyrell will also attend the National Junior Team selection camp in Ottawa, ON, December 11-15, in hopes of wearing Canada's colors at the IIHF World Junior Hockey Championship in the nation's capital, beginning December 26.
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N.A. Juniors Game Night 12/6: Crazy Night in the CHLSubmitted by chad on December 7, 2008 - 11:19
Goaltenders combine for two goals in the Q ... and Mitch Fadden causes a downpour of stuffed animals in Tri-City.
N.A. Juniors Game Night: 12/5Submitted by chad on December 6, 2008 - 13:21
Fadden (pictured) and Tyrell exhibit their Christmas spirit by assisting others - a combined seven times. Courtnall continues to punch people.
Tyrell, Tokarski Named to Team Canada WJC Selection CampSubmitted by chad on December 3, 2008 - 15:15
Lightning prospects Dana Tyrell and Dustin Tokarski are two of 38 players invited by Hockey Canada and the Canadian Hockey League to Canada's National Junior selection camp from Dec.11-15 at the SBP Arena in Ottawa, Ont., and the Robert-Guertin Arena in Gatineau, Que.
Tyrell previously attended Canada's summer camp in 2007, and Tokarski attended the 2008 summer camp. Neither has world junior experience.
Tokarski joins Chet Pickard (Tri-City [Nashville]), Tyson Sexsmith (Vancouver Giants [San Jose]) and Jake Allen (Montreal [St. Louis]) as possible goaltenders for Team Canada - a role with much fanfare and criticism.
Tyrell is currently 12th in the WHL in scoring with 18 goals and 17 assists in 27 games. The Prince George captain is versatile enough to play on all four lines and plays a high-character physical game, which could help his chances of making the team.
Tokarski is second in the entire CHL in shutouts (tie-3), is second in save percentage (.937) to the OHL's Mike Murphy of Bellville [Carolina], and is fourth in the CHL in goals against average (2.02, second in WHL). He backstopped the Spokane Chiefs to the 2008 WHL and Memorial Cup championships, earning Memorial Cup MVP honors in the process. He also led his Prince Albert Mintos to the prestigious Telus Cup national midget championship two years ago with a 61 save performance in triple overtime in the final game.
The last Lightning draftee to play for Team Canada's WJC squad was Brad Richards in 2000. Steven Stamkos played for the Canadians last year but was not yet drafted by the Lightning. Stamkos is eligible to play again this year, but it is highly unlikely the rookie will leave the NHL to do so.


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VATICAN CITY – A Vatican decree has established new statutes and norms for Caritas Internationalis, giving Vatican offices greater authority over the work of the umbrella group of Catholic aid agencies.
Read the rest of entry »
After more than 30 years of dedicated service to Catholic Social Services, CEO Christopher Leung is calling it quits.
TORONTO – If it hadn't been for Catholic Missions in Canada, many northern missions would not have survived, said Archbishop emeritus Peter Sutton of Keewatin-Le Pas.
VATICAN CITY – In an effort to boost recruitments through more modern methods of outreach, the Pontifical Swiss Guard has opened a page on Facebook.
VANCOUVER – In 2008 Tsara Davis sat in her jail cell in despair. She had been arrested after committing a number of crimes and abusing drugs. She prayed for help and God answered.
Nearly 30 volunteers will soon undergo training to work with newly housed people who now find themselves somewhat socially isolated in their new communities.
At first it seemed only Italians could possibly care about petty office politics in the Vatican. But three months into the Vatileaks scandal, non-Italians are beginning to wonder.
Lack of Holy Communion, the unavailability of water and a failed media structure were only some of the problems faced by Canadians at World Youth Day in Madrid.
In the early part of the last century, religious sisters worked in the province's schools, hospitals and parishes.
Students from across the archdiocese belong to a special and longstanding association, one in which children help children in faraway nations.

subset: commoncrawl


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Medium reprint plz! :)
unity through art
Have everybody get involved through art! Unity Through Art is an abstract design showing a hand reaching up to gather people in the art community with splatter print in neon orange, pink, and blue. Become unified with the art community in this trendy shirt.
Closet Photos
59 Comments
noo! only XXL!
small please :)
medium reprint please!!!
very nice, i'd get it if i could get L!!!
medium reprint please
L reprint! :)
Like this one very much!
small reprint! actually, just reprint it in every size, it's awesome.
nice idea
REPRINT. please this is one of my favorite shirts.
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reprint in medium pleaaaase!
I agree, please reprint in medium :(
ya need a reprint in medium!
Definitely needs reprinting.
Please reprint size small!!! Will ya?


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Didier Drogba (Photo: Reuters)
Former Chelsea striker Didier Drogba, who joined Turkish club Galatasaray during the January transfer window, was approached by the Blues for a return, according to reports.
The 34-year-old Ivory Coast international, who had left Chelsea during the summer transfer window last year after helping them clinch the Champions League, spent six months playing for Chinese Super League club Shanghai Shenhua.
However, he decided to join Galatasaray instead of Chelsea and now he has come out with an explanation for the move.
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"The opportunity to play for this great club was an offer that I could not turn down," said Drogba. "I am looking forward to playing in the Champions League again, against the best clubs in Europe."
And that, according to some, was also the reason behind his Chelsea snub.
Not to speak of the fact that financial uncertainties at Shenhua was one of the factors that prompted Drogba to move to Galatasaray.
Like Drogba, French international Nicolas Anelka, who plays for Shenhua, has joined the Italian champions on a five-month loan deal during this January transfer window.
According to the reports in the Chinese media, the striker was proving too expensive for Shenhua, who are struggling to meet his wage demands.
With the financial uncertainties persisting Drogba decided to head back to Europe. He has even been linked to a number of clubs in the recent weeks including AC Milan and Juventus and Chelsea, who he left last summer.
According to the Sportsmail, Chelsea owner Roman Abramovich gave a go-ahead to his transfer last week with a deal until the end of the season, with an option for a further year.
The English tabloid adds that the talks were at an advanced stage and Drogba was on the brink of signing before the Thursday's transfer deadline, but he decided to refuse their offer for Galatasaray at the eleventh hour.
Despite the temptation to relive the glory years with his former team-mates, he has decided to sign up for Galatasaray.
Drogba led Chelsea to Champions League triumph last year and his career at Stamford Bridge was decorated with three Premier League titles, four FA Cups.
Turkish side Galatasaray will take on German side Schalke 04 in round two of the Champions League.
NBA News: Tim Thibodeau Could Be Fired By Chicago Bulls Soon
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There were no face masks and nearly everyone played both sides of the ball.
Even then, the offense was some funky novelty act. Sometimes the fullback was spinning or the tailback was taking the snap before faking handoffs or running. Or even throwing a pass.
It was UCLA's single wing, a ``horse and buggy offense'' as described by newspapers in 1954, but it was the offense the Bruins used to win the only national championship in school history.
Although most of the teams in the country were using the ``T-formation'' offense, UCLA coach Red Sanders relied on a style of play that demanded precision timing and misdirection. It was a deployment of seven linemen, three backs, often lined up diagonally, and a receiver. There was no quarterback, no one under center.
``It's nothing like today,'' said John Peterson, a center and defensive lineman on that 1954 team. ``It was like we were playing two different sports. The traveling team, you had a maximum of 36 players. You played on offense and defense, and you had four coaches out there.''
UCLA finished 9-0, led the country in scoring (367 points) and allowed a national-low 40 points and finished ranked No. 1 by United Press International for the school's only national championship. It is the only time in NCAA history a team has led the country in scoring, and scoring defense, but even that wasn't enough to sway all the voters. Ohio State was selected national champion by the Associated Press.
At the time, the passing game had evolved greatly. Teams like Stanford and Oregon used the passing game, which thrilled fans. But Sanders stuck with the single wing.
The offense was based largely on deception, and timing. The receiver, or wing, would often go in motion. The ball was snapped to either the fullback or one of the running backs, and the ball carrier would hand off, run, or throw a pass. Peterson said UCLA rarely used a quarterback.
``The single wing is a very scientific offense,'' said former Sanders assistant Bill Barnes, who went on to be the Bruins' head coach. ``Your fullback is doing a lot of spinning, you're running a lot and it's usually very deceiving. When teams would come up against the single wing, they had to set up a different defense. It's a very deceptive offense.''
In UCLA's diagonal backfield alignment, left halfback Primo Villanueva was the catalyst. He was second on the Bruins with 486 yards rushing and also led the team with 400 yards passing and five touchdowns. His leading receiver, Rommie Loudd, had 13 catches for 157 yards.
Villanueva, who replaced 1953 All-American Paul Cameron, had plenty of help. Right halfback Jim Decker, who averaged 10.8 yards per carry, had a team-leading 508 yards rushing. The fullback would sometimes get the snap, spin one way and fake a handoff only to run. Bruins fullback Bob Davenport did it wonderfully, running for 479 yards and a team-leading 11 touchdowns.
``Other teams were physically stronger than us, and when that happens, you've got to throw the ball some,'' Barnes said. ``We threw the ball, but if you have a great kicking game, you can just kick the ball, kick the ball, kick the ball and just hope for a break.''
Defensively, the changes from today's game weren't as drastic. The Bruins allowed 40 points in the season, 20 of which came against Washington.
The Bruins made national headlines when, as the fourth-ranked team, they defeated consensus defending national champion Maryland 12-7 on Oct. 1 at the Coliseum.
But UCLA's finest moment came during a dominant defensive game that may never be duplicated. Stinging from the loss the previous season, the Bruins intercepted Indians quarterback John Brodie eight times, which is still an NCAA record, in a 72-0 victory.
Bruins lineman Sam Boghosian said that win was set up a year earlier by Sanders, a master motivator. UCLA, 8-2 in 1953, lost at Stanford 21-20. Sanders was furious.
When it came time to play Stanford a year later at the Coliseum, Sanders again went to an unorthodox mode of motivation to get the Bruins ready.
``We get in the locker room in the Coliseum and go out there for pre- game warmup and we come back in and wait for Red to come back in and talk to us,'' Boghosian said. ``We're waiting for him, waiting for him, and we don't see him. All of a sudden the official comes in and gives us a two-minute warning, and no Red.
``The official comes back again with like 30 seconds left, and says, if you guys don't get out here, I'm going to have to penalize you. With that, Red steps in, makes some comments, which I can't repeat, and we went out there and beat them 72-0.''
The Bruins rolled from there, beating Oregon State, Cal, Oregon and USC by a combined 163-6, but missed out on a chance to secure an outright national championship because of a controversial rule prohibiting teams from playing in back-to-back Rose Bowls.
UCLA lost to Michigan State 28-20 on Jan. 1, 1954, a disappointing end to an otherwise impressive season. But the game meant much more to the 1954 season. Even though UCLA won the Pacific Coast Conference and was undefeated, it was ineligible for the game and cost college football a marquee matchup since Ohio State was the Big 10 representative.
USC went as the PCC representative, and lost to the Buckeyes 20-7.
``It was very disappointing because Ohio State was very good,'' Boghosian said. ``It would have been a great settler for one of us to be the national champion.''
Brian Dohn, (818) 713-3607
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Illustration copyright 2002 Nucleus Communications,
Inc. All rights reserved. http://www.nucleusinc.com
sores (aphthous stomatitis) are painful white ulcers in the mouth. They appear
most often on the tongue, inside the cheeks, and inside the lips. Unlike cold
sores, canker sores are not contagious, but in some people they keep coming
back. Canker sores cause pain that may make it difficult to speak or


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Our guide Lokash was friendly, knowledgeable and able to provide a full day of sights and lots of information about Bangalore. Highly recommend.
Doing what: Private Bangalore Tour: City Sightseeing Including Anjaneya Temple
Great tour, especially if you're pressed for time. A leisurely ~4-5 hours with knowledgeable tour guides.
Doing what: Private Tour: Palaces of Bangalore
excellent guide I had and made me feel the history of the place.He was so neat in telling me in details about this place.
Doing what: Private Tour: Mysore Palace and Srirangapatna Day Trip from Bangalore
Worth doing if you are in a bind(as was my case). It's really very taxing to do that much driving in one day. I still had a very good day and the tour guide was very informative. It was my first proper trip in India and it was certainly an eye opener and the temples + palace was very interesting.
In relation to the price - once you get to India, the price was very expensive. The initial offering said from 100US but ended up being 350dollars- I was happy with that and I booked at very late notice.
Doing what: Private Tour: Mysore Palace and Srirangapatna Day Trip from Bangalore
Note from Viator: Thank you for your feedback! We wanted to help clarify the cost for this tour. Private Tours are generally priced by the car (instead of by the person) but due to system limitations, all of our tours are listed with per person prices. The "From USD" rates listed on the front page of any of our tours are the lowest possible price for that tour. However, in cases of Private Tours, if you're not completely filling the vehicle they offer, you may end up paying a higher per person rate. We always recommend putting in your information as though you were booking your tour to get the most accurate quote. You will be given your total before you're asked to enter your credit card number.
We hope this information helps, and hope you had an excellent time on holiday!
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Wind, Not Water Formed Mount Sharp Within Mars' Gale Crater
Lee Rannals for redOrbit.com — Your Universe Online
Scientists at Princeton University and the Caltech believe that Mount Sharp on Mars was formed by wind, not water.
NASA's Curiosity rover is sitting on Mars right now looking for signs of past life. The space agency chose Mount Sharp at the massive Gale Crater for its primary mission because of how eclectic the area is, potentially providing answers to questions regarding Mars' past.
Mount Sharp is a roughly 3.5-mile high Martian mound, and scientists previously thought the mountain preserved evidence of a massive lake. However, researchers reported in the journal Geology that the mountain formed as a result of the Red Planet's dusty atmosphere rather than a lake. This research could potentially dilute expectations that the mound holds evidence for a large body of water.
The team suggests the mound emerged as strong winds carried dust and sand into the 96-mile-wide crater in which the mound sits. They said air likely rises out of the Gale Crater when the Martian surface warms during the day, then sweeps back down its steep walls at night. These "slope winds" eventually died down at the crater's center where the fine dust in the air settled and accumulated to help form Mount Sharp.
Curiosity has helped uncover that Gale Crater contains traces of clay, water molecules and organic compounds. Determining the origin of these elements and how they relate to Mount Sharp is the focus of Curiosity's mission for the next few months. However, the scientists from the current study said the mound itself will not provide much information about Mars' wet past.
"Our work doesn't preclude the existence of lakes in Gale Crater, but suggests that the bulk of the material in Mount Sharp was deposited largely by the wind," said study co-author Kevin Lewis, a Princeton associate research scholar in geosciences and a participating scientist on the Curiosity rover mission, Mars Science Laboratory (MSL).
"Every day and night you have these strong winds that flow up and down the steep topographic slopes. It turns out that a mound like this would be a natural thing to form in a crater like Gale," Lewis said in a statement. "Contrary to our expectations, Mount Sharp could have essentially formed as a free-standing pile of sediment that never filled the crater."
He said these sedimentary mounds could record millions of years of Martian climate history.
"This is how we learn about Earth's history, by finding the most complete sedimentary records we can and going through layer by layer," Lewis added. "One way or another, we're going to get an incredible history book of all the events going on while that sediment was being deposited. I think Mount Sharp will still provide an incredible story to read. It just might not have been a lake."
Dawn Sumner, a geology professor at the University of California-Davis (UC Davis) and a Mars Science Laboratory team member, said the team's model of Mount Sharp helps explain the mound's origin.
"To my knowledge, their model is novel both in terms of invoking katabatic [cool, downward-moving] winds to form Mount Sharp and in quantitatively modeling how the winds would do this," said Sumner, who is familiar with the work but had no role in it. "This paper provides a new model for Mount Sharp that makes specific predictions about the characteristics of the rocks within the mountain. Observations by Curiosity at the base of Mount Sharp can test the model by looking for evidence of wind deposition of sediment."
Lewis said they could use their work to understand a lot more about Mars and how it operates, because Mount Sharp is only one of a class of enigmatic sedimentary mounds observed on Mars.


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Does One Word From Greenspan Really Matter?
by AccountingWeb on printer friendly
The NASDAQ soared Tuesday with news of optimism from Alan Greenspan. This is good news for the economy, especially going into the busy holiday season.
How can one person control the fate of the stock market? If you're Alan Greenspan, sometimes a word or two, or even perhaps a nod can speak volumes.
Such was the case on Tuesday, when the NASDAQ posted its largest, one-day advance ever following an announcement by Greenspan that the Federal Reserve Bank was optimistic about the future and may not cut interest rates, at least in the short term.
Most of the popular technology stocks soared to double-digit increases when the news was announced, and across the board the optimism was shared wholeheartedly.
Some analysts also attribute the market surge to fact that the latest news seems to indicate that the presidential election is finally nearing its conclusion.


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Affluent Lifestyle Guide
You might like Best Runway Models >
Seeing a Ferrari on the road is a rare treat. All the more so when it's a convertible. But most of the Prancing Horse marque's convertibles are powered by V8 engines, leaving V12-powered Ferrari convertibles as something of a rarity.... Read More
Ferrari has gone through a number of watchmakers over the years, from Girard-Perregaux to Panerai. These days the duty falls to Hublot, but rather than apply the Prancing Horse logo to one timepiece, Hublot has come out with a steady stream of lim
Few automakers epitomize luxury and technology quite like Ferrari. The cars rolling out of the gate at Maranello represent both a status symbol and the result of ceaseless development to make them some of the fastest and most desirable vehicles on the market.... Read More
While many love driving fast, there are a few of us who should stick to the speed limit whether you're an accident-waiting-to-happen or a speeding ticket magnet. That said, if you still dream about racing off the starting line while waiting for the signal to turn green, check out the 3-Seater Formula GP Experience.... Read More
The differences between Veuve Clicquot and Ferrari may seem more glaring than their similarities. One is French, the other Italian. One makes champagne, the other luxury sports cars. But the ties that bind them are not as obscure as you might think both are known as the very pinnacle of their respective fields and stand as veritable icons of luxury lifestyle.... Read More
The line between luxury and mass-manufactured automobiles is blurring all the time. The features that were seen only in deluxe vehicles are now commonplace on various makes and models across the board. But not on Ferraris shift! As the revered Italian supercar producer preps to release its $1.3 million car, LaFerrari, it may only be the beginning of where the stalwart luxury brand is driving toward in the future.... Read More
While it may seem trivial to some, buyers of high-end sports cars have actually come to expect a luxury wristwatch to accompany their fancy new wheels. To that end, Bugatti has partnered with Parmigiani Fleurier, Aston Martin with Jaeger-LeCoultre, Bentley with Breitling, McLaren with TAG Heuer, Pagani with Cvstos and Koenigsegg with Quinting.... Read More
It's not every day that a new flagship Ferrari debuts; the 288 GTO was released in 1984 and the F40 that replaced it arrived just a few years later in 1987. Eight years passed before the F50 came along in 1995 and the Enzo succeeded that model in 2002. Now eleven years later the Prancing Horse marque has revealed its new hybrid supercar at the Geneva Motor Show.... Read More
The annual Concorso dEleganza Villa dEste in Lake Como, Italy each May is considered by many to be the highlight of the classic car calendar. No less enthralling than the actual event is the accompanying sale staged by RM Auctions, the worlds foremost resource for investment-grade vehicles.... Read More
In a still uncertain economy rare Ferraris have become the blue-chip investment of choice judging by record-breaking auction results over the weekend. RM Auctions, the worlds largest auction house for investment-quality luxury automobiles, brought in $36.4 million in sales at its epic event held at the luxurious Arizona Biltmore Resort & Spa. The sale represents a massive 42 percent increase over last years sale even though there were fewer vehicles featured this time.... Read More
If you're fortunate enough to have the means, there are some seriously enticing supercars on the market. We mean the kind of luxury automobile that will make you feel like the million bucks it can sometimes take to buy one. But if you've got rock-star cash, the kind of money that would humble the GDPs of some small countries, you can get the company that produces these exotic machines to make you one entirely to your own specifications.... Read More
If youre in the market to invest in a luxury car, RM Auctions, the worlds largest collector car auction house, is where you start. While some sectors have been slow to regain their full potential in the wake of a somewhat sluggish economy, the market for collectible classics remains buoyant, and RMs upcoming Arizona sale in January is all the proof you need. The auction will showcase a selection of the worlds finest motorcars led by Shelby and Ferrari, each with a sensational series of million dollar-plus luxury cars which are expected to garner tons of interest from both U.S. and foreign collectors.... Read More
As we know, Hurricane Sandy ripped through the Northeast causing extensive damage and displacing many families and businesses. Cleanup and recovery is expected to be a lengthy, expensive project and help will be needed from just about any and everywhere. One of the businesses affected by the storm has decided to contribute to relief efforts by auctioning off a car and donating the proceeds to the victims. The company just happens to be famed luxury car manufacturer Ferrari and the car up for grabs is the intensely coveted 2013 F12Berlinetta.... Read More
Of all the vehicles unveiled this year at the Paris Motor Show, the Ferrari FF may not have been the most groundbreaking. In fact, with the carbon-fiber chassis of the Enzo supercar's successor presented alongside it, it may not have even been the most groundbreaking debut on the Ferrari stand. However, what you're looking at could be the most luxuriously decadent vehicle on display at the Porte de Versailles this year.... Read More
Italian luxury carmaker Ferrari announced that it has established new records in revenues and in the number of cars delivered in the first half 2012. A total of 3,664 automobiles were delivered to dealerships, representing a 7.4 percent year-over-year growth compared to 2011s first half. The company also reported net profits of $131.7 million, which is an increase of 10 percent over last year at this time. Additionally, Ferraris trading profits were at $198.9 million, a 14-percent year-over-year increase.... Read More


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We run a variety of scheduled courses, listed below, and events open to all LSE staff and PhD students.
Courses can be booked via the LSE Training and Development system where you can also find many other courses from all the LSE training providers.
If you are interested in a bespoke course for your department or other grouping on any learning technology topic please contact us: email@example.com.
One-to-one training
We provide one-to-one training and consultancy for LSE staff on any aspect of technologies for teaching and research. This includes Moodle but for an introduction to the basics you should book on the Moodle Basics Training course. Contact us: firstname.lastname@example.com for an appointment.
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- Moodle Basics Training
- Moodle Next Steps Training
- Moodle Quiz Training
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CLT events
- LTI Open House
- Teachers' Show & Tell
- NetworkED: technology in Education
Learning Technology programme
- An introduction to learning technologies: how they can benefit your courses
- Finding and using digital media for teaching
- Using blogs, wikis and other social media for teaching
- Video conferencing for teaching and meetings
Researcher Development programme
- Poster Presentations: an introduction for PhD students
Digital Literacy programme
In conjunction with colleagues in the Library, CLT run a range of workshops each term in various aspects of digital literacy. These courses are open to staff and PhD students. They cover topics such as:
- Introduction to Blogging
- Collaborative writing with wikis and Google docs
- Copyright, the internet and teaching online
- Developing your Web presence
- And lots more !
You can find out more about Digital and Information Literacy.
Upcoming courses
- Developing Your Web Presence
- An introduction to Copyright: licences and the new exceptions
- Bibliometrics and Citation Analysis
- Literature Searching for Teaching and Research
- Exploring reference management tools
- Finding and using digital media in teaching
- Poster Presentations: principles of conference poster design for academics & PhD Students
- Using Freedom of Information requests for research
- Data Protection and research data


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Health Care and the Fallacy of Positive Rights
How can taking what belongs to another person (their money, time, or effort) through legislative force be a "right"?Details
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Welcome to our WPNuggets Blog!
We are enchanted to present you our thoughts and opinions about Plugins and WordPress in general and bring you the latest news from this beautiful media world. This site was created for all WordPress users and lovers and offers essential and useful information.
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About Schools in Hopewell, IL
Contact a Coldwell Banker® real estate agent to learn more about the schools and school districts in Hopewell, IL.FIND AN AGENT
Hopewell, Illinois is located in Marshall County. Nearby cities and towns include Sparland, Lacon, Chillicothe, Rome, Washburn, Henry, La Rose, Spring Bay, Bay View Gardens, Varna, Metamora, Dunlap, Germantown Hills, Princeville, Peoria Heights, Magnolia, Toluca, Bradford, Wyoming, Peoria, McNabb, Roanoke, Washington, Benson, Hennepin, Eureka, Bureau Junction, Tiskilwa, Wenona, Rutland, West Peoria, East Peoria, Mark, Minonk, Toulon, Granville, Norwood, Lostant, Bellevue, Standard, Secor, Brimfield, and Creve Coeur. Hopewell is a rural community with a population of 408. The median household income is $58,499. In Hopewell, 61% of residents are married, and families with children reside in 34% of the households. Half the population of Hopewell commutes 23 minutes or less to work, with 65% of residents holding white collar jobs and 35% residents holding blue collar jobs. The median age of homes in Hopewell, IL is 30 years, with 83% of those homes owned, 10% rented, and 7% not occupied. In the previous year, 3 Hopewell properties were sold. The median sale price of a home in Hopewell in the previous year was $152,500.
Contact a Coldwell Banker® real estate agent to learn more about the schools and school districts in Hopewell, IL.FIND AN AGENT
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text: Whether it stirs up a sense of adventure for the day ahead, or helps you settle in for a cosy evening of contemplation - there's nothing quite like a good cup o' joe. So when we travel, we just follow the locals to the best spot in town! From Bangkok to San Francisco, London to Seoul, our readers shared snapshots of their favourite coffee shops from around the globe.


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Canada legalizes YouTube to MP3 conversions with new C-11 copyright modernization bill
Canada's copyright reform C-11 bill grants new digital rights to its citizens. Many new provisions protect activity that have a large impact in the digital world. Canada's new legislation pushes the envelope and clarifies legality of copyright issues such as digital time shifting, format shifting, and making backup copies. MP3 Rocket, a video to mp3 software developer, welcomes these changes.
San Francisco, CA (PRWEB) June 23, 2012
Key provisions in C-11 bill that contribute to greater digital "fair use" in Canada:
– Time Shifting
– Format Shifting (no limit on number of copies)
– Fair Use Expansion (education, parody, satire)
– Backup Copies
– User Generated Content Exception
– Broadcaster Ephemeral Change
– Alternate Format Reproduction
– Internet Location Tool Provider Safe Harbor
For the full text of the Canadian copyright reform bill C-11 please see:
How does this protect an individual converting YouTube into an MP3? The bill C-11 text states that if content an individual acquires legally (such as YouTube), uses for private purposes, not gives the content away, makes no more than one copy, and keeps the content for a reasonable amount of time in order to listen at a more convenient time, then, "It is not an infringement of copyright for an individual to fix a communication signal, to reproduce a work or sound recording that is being broadcast or to fix or reproduce a performer´s performance that is being broadcast, in order to record a program for the purpose of listening to or viewing."
This means that under C-11 a citizen is within the law to "Time Shift" audio from YouTube to be listened to later on their computer. The digital rights do not end here. Next, under C-11 "it is not an infringement of copyright for an individual to reproduce a work or other subject-matter or any substantial part of a work or other subject-matter" meaning they can "Format Shift" the audio downloaded from YouTube to the medium of their choice, such as iPod, CD, thumb drive, et cetera, as long as the content was obtained legally, not reproduced from an infringement, not distributed to others, and used for private use. C-11 legislation does not prohibit individuals from taking audio from YouTube and transferring it to your favorite devices for later listening.
(IE: the bill finally legalizing activities like time shifting with VCR/PVRs, something most Canadians assumed was already legal). With these new exceptions, Canada´s C-11 copyright law will become one of the most user-friendly, if not by far the most user-friendly, in the world.
MP3 Rocket strongly supports these changes which reflect reality and balance the interests of creators of content, rights-holders interests, and consumer use.
In the USA MP3 Rocket´s "time-shifting" technology also allows users to record Internet broadcasts the same way TiVo records live TV for personal non-commercial uses. The time-shifting technology allows users to view user created content at a more convenient time, and therefore protecting users by the U.S. Supreme Court's landmark ruling in Sony Corp. v. Universal City Studios, 464 U.S. 417 (1984) No. 81-1687, better known as the "Betamax case." http://en.wikipedia.org/wiki/Sony_Corp._of_America_v._Universal_City_Studios,_Inc.
Over the last six months MP3 Rocket has been working to improve its YouTube downloading time-shifting and format-shifting technology. MP3 Rocket is now proud to announce the new (6.2) version release with the following improvements:
- Multi-Connections — Now with 10 simultaneous download threads (speeds over 5MB/sec+)
- Free Album Art – Now auto saves YouTube thumbnail image as MP3 album art.
- Audio HD Converter – Convert to MP3 M4A AAC AIFF FLAC WAV & WMA – up to 320kp
- Video HD Converter – Convert to MP4 AVI MOV P2P WMV MPEG & FLV – up to 1080p
- iTunes Import – Auto imports iTunes song info, artist, album info, album art, comments, etc.
For a free, fully functional, copy of the software please visit the MP3Rocket website.
For the original version on PRWeb visit: http://www.prweb.com/releases/prweb2012/6/prweb9629573.htm


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Barr Mitzvah
Roseanne says Michael Jackson's kids are Jewish
Finally, an answer to the are-Michael Jackson's-children-Jewish debate from no less an authority than Roseanne Barr. (Jackson's ex-wife, who may or may not be the mother of the two older kids, is Jewish.) Barr took to her blog this week to, first, offer herself as a "granny" to the kids and then clear up the mysteries of Jackson's relationship with Judaism. Here's her take, complete with her punctuation:
You are jewish, and your dad really loved jewish people and considered himself one of them. He considered that it didnt matter if a person was black or white, rich or poor, Muslim or christian, but that it DID matter if a person was jewish. Your dad believed that the Jewish People would change the world just by changing themselves. This is a very important jewish concept! Your dad would want you to know these things, he was a student of kabballah. kabballah teaches us that the jews need to change themselves, and to do that, they need to accept that they came from africa, from ethiopia, and not from europe!
Someone Tell Paris and Prince Michael 1 and 2 [Roseanne World, via Perez Hilton]
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On Judging a Yeshiva Poetry Slam
A new art form has a religious following
Yeshiva and poetry don't go together. At least they didn't in my high school.
Getting caught in my all-boys Yeshiva high school with a book of poetry was the equivalent of getting caught with your pants down in the first-floor bathroom stall that never managed to lock properly. My only introductions to poetry were the occasional poems an administrator hung on a bulletin board and the flirtatious gazes (I imagined) I got from a spiky-haired English teacher who was finishing up her MFA in poetry at NYU.
This partially explains my surprise when Aaron Roller, co-founder of the Yeshiva High School Poetry Slam, asked me to judge a competition. Aaron and I attended the same yeshiva high school; Aaron was more arts-oriented than I was and less concerned with fitting in. I probably smoked more pot than he did. When we met yesterday, the day of the slam, I brought up the lack of arts education in our own high school.
"That was the motivation," he explained as we drove to SAR High School in Riverdale, where the contest took place. "Kids who are into art are usually a minority. There's no shortage of teams for athletes."
Roller, along with educators Hillel Goldman and Hillel Broder, launched the league two years ago. They typically run about three slams in schools across the tri-state area. He believes that the league is a testament to the success of yeshiva education. All three co-founders attended yeshiva high school.
"We're in an education milieu that allows people to say, 'This wasn't in my high school education, but I want to bring it here," he said.
Or as Broder, a teacher at SAR, put it, "I only learned I loved poetry when I was in college."
As part of the competition, students from eight religious high schools created an original free-verse poem somehow related to the Purim and a pantoum.
What surprised me more than the existence of the league was how good the poets were. Some kids were just trying to get out of class, but some had genuine talent. Frisch student Tamar Palgon began her poem with a line I swore could have been in a modern anthology: "I immediately stopped listening to 50s music." Zach Smart, a senior in SAR, gave a blistering account of the disappointing lives of Ethiopian immigrants in Israel. Here is video of his performance.
Celeste Marcus, a student at the Kohelet Yeshiva High School in Philadelphia, repeated her pantoum refrain, "Surely Torah is more than a cold code of conduct," until it became a bitter anthem.
My favorite poet of the event, Noa Baker, a tiny blonde also from Kohelet, rapped her free-verse poem to a hyperkinetic crescendo around the number fourteen for the Jewish date of Purim.
Some lines the students uttered stuck with me hours later as a rode the train back to Brooklyn. For every student who wrote an honest, but cliché poem about searching for God, there was a student who was having fun with words, like SAR's Yishai Chamudot, who wrote "You look down the well of wishing you were someone else."
In the end, the judges winged it, taking into account the number of schools, presentations and originality. We gave out five awards to the 44 brave high school students.
My high school managed to place two poets in the final round. I pushed heavily for one, perhaps undeservedly. I saw myself in the shaggy kid from my high school, bereft of swagger the other poets had, as he swayed back and forth when he read his poem, as if in prayer. He didn't win.
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Readers can still interact with us free of charge via Facebook, Twitter, and our other social media channels, or write to us at email@example.com. Each week, we'll select the best letters and publish them in a new letters to the editor feature on the Scroll.
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Gear Review
Definitely 5-Star!!!!
Well, I just purchased a pair of these as a gift for a 72-year-old friend of mind who's diabetic and suffers from feet that are always cold. He LOVES THESE SLIPPERS!! Since putting them on for the first time last night, his own words are that his feet are "toasty warm!" And although he normally wears a men's size 11, I got him a size 12 to give him adequate toe room. He says they're a perfect fit. A happy camper indeed!!
View More Details on EMU Bubba Slipper - Men's


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America: No-vacation nation
- By Carolyn O'HaraCarolyn O'Hara is a senior editor at Foreign Policy.
Every summer, we're treated to the same news story: It seems Europeans get weeks and weeks of vacation and Americans don't get any at all. Shocker of the century, right? My guess is the thinking goes: Slow news day, so let's send that "Americans are overworked" story over the wires.
But does all that time off make Europeans any less productive? The answer is a surprising no. Several European countries—Norway, Ireland, and even France—post higher productivity levels than does the United States. Check out FP's recent article, The Influential Tourist, for more on that.
And in our latest issue, Clive Crook explains in Think Again: Europe that even when America does beat European countries in the productivity rankings, "[t]he United States' much higher output per person is due mostly to more hours on the job, not to superior productivity while working." Is it worth it?
Related Stories
Think Again: EuropeClive CrookClive Crook is chief Washington commentator and associate editor at the Financial Times, senior editor at The Atlantic Monthly, and a columnist for National Journal. | Think Again |
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Work More, Make More?Charles Kenny<p> Charles Kenny is a senior fellow at the Center for Global Development, a Schwartz fellow at the New America Foundation, and author, most recently, of Getting Better: Why Global Development Is Succeeding and How We Can Improve the World Even More. "The Optimist," his column for Foreign Policy, runs weekly. </p> | The Optimist |
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What is Europe's trajectory?Daniel W. Drezner
Daniel W. Drezner is professor of international politics at the Fletcher School of Law and Diplomacy at Tufts University and a senior editor at The National Interest. Prior to Fletcher, he taught at the University of Chicago and the University of Colorado at Boulder. Drezner has received fellowships from the German Marshall Fund of the United States, the Council on Foreign Relations, and Harvard University. He has previously held positions with Civic Education Project, the RAND Corporation, and the Treasury Department.| Daniel W. Drezner |


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Sweet, affectionate, kind, long suffering, angry, sad, joyous, excited, crazy - yes, mostly crazy. My name is FranOnTheEdge - that's Fran - On - The - Edge, and I am often on the edge of something or other, I was certainly feeling pretty desperate when I first came on the internet, but due to various circs, I finally came up with this name and now it means me wherever I go, so if someone decides they are not going to allow me to be ME, then it makes me pretty fuming. (mutters angrily in a Muttley sort of voice.)
BA (Hons) Animation.
Currently a Dog and Mother carer, the dog is full time, and he's settled down somewhat now - was a terror as a puppy, the Mother is more erratic - in more ways than one!!!
Currently designing scenery for my Pealand animation project, and modelling the remaining 6 or so characters plus beginning rigging them.


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Rickie Weeks out for remainder of 2013 season
AUG 10, 2013 12:54a ET
Weeks was injured while running to first base in the eighth inning of Wednesday night's game in San Francisco. After hitting a ground ball, Weeks dropped his bat in the base path and appeared to alter his stride to avoid the bat.
The Brewers placed Weeks on the 15-day disabled list Thursday, as he left the team to be evaluated by team physician Dr. William Raasch in Milwaukee.
Brewers athletic trainer Dan Wright told reporters in Seattle that Weeks' injury is to the tendon often used in reconstruction of torn ACL's. According to Wright, Weeks may rehabilitate the injury or have surgery and is expected to be out 4-6 months.
Weeks is expected to seek a second opinion on the diagnosis before deciding whether to have the surgery.
"It's been a trying season for us," Brewers general manager Doug Melvin said. "We're going to have to move forward and give an opportunity to the younger players.
"Rickie plays the game so hard all the time. He never gives up and that might be one of the reasons why he's injured and has the history of injuries. He got hurt running hard to first base and the injury is going to prevent him from coming back this year."
It was a season to forget for the former All-Star, as Weeks finishes the year with a .209 batting average, 10 home runs and 24 RBI. After starting slow, Weeks hit .355 with five home runs and nine RBI in June, but hit just .170 in July.
Injuries have plagued Weeks during his 10-year career. He missed the final 62 games of the 2006 season after having season-ending surgery to repair a right wrist tendon injury in August. Weeks missed nearly a month of the 2007 season with left wrist tendinitis.
Weeks suffered a left knee injury running to first base in Game 3 of the 2008 NLDS, and he missed the remainder of the postseason. He underwent a debridement of the meniscus in his left knee in October. In 2009, Weeks underwent season-ending surgery to repair the extensor carpi ulnaris tendon sheath in the left wrist on May 20.
After making the National League All-Star team in 2011, Weeks suffered a severe left ankle sprain while running to first base on July 27. He missed 39 games with the injury and hit just .243 in 14 games after he returned.
Weeks is set to make $11 million next season and has a vesting club option for $11.5 million for 2015. The option will automatically kick in if Weeks has over 600 plate appearances next season. He could have had the option kick in by having over 1,200 plate appearances over 2013 and 2014, but he ends this season with just 399.
With Weeks done for the year, rookie Scooter Gennett will likely get the majority of the playing time at second base. The 23-year-old has bounced back and forth between Milwaukee and Triple-A Nashville this season, but now has a two-month opportunity to show the club what he can do.
"Any time you get the opportunity to go out and show them what you can do and contribute to helping the team win, it's a good opportunity," Gennett said. "It sucks Rickie got hurt and that's the reason why I'm here now, but at the same time I have to go out there and do the best job I can to help the team win."
Roenicke explains ejection: It's rare to see Ron Roenicke as fired up as he was in the fourth inning of Friday's 10-5 victory over Seattle, and Milwaukee's skipper was still adamant he was correct after the game.
With one out and Carlos Gomez on first base, Yuniesky Betancourt hit a ground ball that was booted by Mariners third baseman Kyle Seager. The ball went down the line and grazed the arm of a fan reaching over the railing. Gomez motored around from first to score, as Mariners left fielder Raul Ibanez didn't even attempt a throw.
Mariners interim manager Robby Thompson came out to argue the fan touched the baseball, and the umpires sent Gomez back to third base after conferring.
Roenicke didn't argue the fact the ball hit the fan, but was angry at who made the decision to send Gomez back to third base. Home plate umpire Dan Bellino was the only umpire to admit he didn't see the fan touch the baseball, but he was the one who made the decision to return Gomez to third and take the run off the board.
"What I argued was, it didn't affect the ball coming off the wall, they didn't even make an attempt to get Gomey at home, so he should have scored," Roenicke said. "The one guy who didn't see the play, he's the one who rules whether the run scores or not.
"How can they ask him? He didn't see it hit the spectator, so how does he know how the ball comes off? All of them should have got together and decided how does that ball affect and does he score anyway. You don't leave it to the guy who doesn't see the play."
Roenicke argued with crew chief Tim Welke and Bellino long enough to have Bellino run him from the game. It was Roenicke's second ejection of the season, as he was run from April 24th's game in San Diego.
"I stayed out too long," Roenicke said. "I should have been kicked out. I just told him that he took the easy way out, which he did. He took the easy call, which is spectator makes interference and you just give the guy a double. That's the easy way, and he took it. I got kicked out because I stayed out there too long arguing. I stayed out there too long because I really thought I was right."
Altered plans: Brewers third baseman Aramis Ramirez was initially slated to be activated for Friday's game in Seattle, but Weeks' injury changed what Milwaukee could do.
Because Gennett had been optioned down to Triple-A on Tuesday, he had to stay down for 10 days unless he was coming up due to an injury. That meant Gennett had to replace Weeks on the roster and the Brewers decided to wait to make another move to bring back Ramirez.
Ramirez is expected to return to be the designated hitter for the two-game series in Texas beginning on Tuesday.
"We had planned on him maybe playing Friday night, maybe half a game Saturday and then taking Sunday off," Melvin said. "Then we figured that instead of just having six at-bats, we'll just bring Scooter back."
The Brewers will most likely have to make a decision on one of their three outfielders prior to the series in Texas. Because Logan Schafer is the team's only backup center fielder, either Khris Davis or Caleb Gindl may be the odd man out for the time being.
"They really never got an opportunity with Ryan (Braun), Carlos (Gomez) and (Norichika) Aoki," Melvin said of the three young outfielders. "Their opportunities have really been in spring training only. Now they will get an opportunity to play out there to give us a chance to see what they really can do. We have a lot of confidence in their ability."
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The automatic implantable cardioverter defibrillator (AICD) is a device designed to monitor a patient's heart rate, recognize ventricular fibrillation (VF) or ventricular tachycardia (VT), and deliver an electric shock to terminate these arrhythmias to reduce the risk of sudden death.
Indications for AICD implantation can be broadly subdivided into the following:
Several automatic implantable cardioverter defibrillators are approved by the U.S. Food and Drug Administration (FDA) through the premarket application (PMA) approval process. The FDA-labeled indications generally include patients who have experienced life-threatening ventricular tachyarrhythmia associated with cardiac arrest, or ventricular tachyarrhythmia associated with hemodynamic compromise and resistance to pharmacologic treatment.
Devices manufactured by Guidant are approved by the FDA for use "in patients at high risk of sudden cardiac death due to ventricular arrhythmias and who have experienced at least one of the following: an episode of cardiac arrest (manifested by the loss of consciousness) due to a ventricular tachyarrhythmia; recurrent, poorly tolerated sustained VT; or a prior myocardial infarction, left ventricular ejection fraction of less than or equal to 35%, and a documented episode of nonsustained VT, with an inducible ventricular tachyarrhythmia." On July 18, 2002, the FDA expanded the approved indications for the Guidant AICD devices to include the prophylactic use of Guidant AICDs for cardiac patients who have had a previous heart attack and have an ejection fraction that is less than or equal to 30%. This expanded indication is based on the results of the Multicenter Automatic Defibrillator Implantation Trial (MADIT II). Medtronic devices are approved "to provide ventricular antitachycardia pacing and ventricular defibrillation for automated treatment of life-threatening ventricular arrhythmias." Other devices have approval language similar to Medtronic.
Subcutaneous Implantable Defibrillator System (S-ICD)
The S-ICD System provides an alternative for treating patients with life-threatening heart arrhythmias for whom the routine implantable cardioverter debifrillator (ICD) placement procedure is not ideal such as patients with anatomy that makes it challenging to place one of the implantable defibrillators. The system uses a lead that is implanted just under the skin along the bottom of the rib cage and breast bone. Because the lead is placed under the skin rather than through a vein into the heart, a physician can implant the device without accessing a patient's blood vessels or heart and without the need for fluoroscopy.
The S-ICD System is approved to provide an electric shock to the heart (defibrillation) when the patient's heart is beating at a dangerous level or abnormally fast (ventricular tachyarrhythmias). It is approved only for patients who do not require a pacemaker or pacing therapy. (22)
Blue Cross and Blue Shield of Montana (BCBSMT) is not requesting prior authorization of implantable cardioverter defibrillators at this time. However, BCBSMT will conduct periodic post-payment reviews to determine if billed services are in adherence to these published guidelines. BCBSMT will seek the return of any payments made for implantable cardioverter defibrillator use that does not conform to the following medical necessity guidelines. Refer to the medical policy: Advance Member Notification - Professional Services that contains instructions on how to correctly bill for services that do not meet medical necessity guidelines. The form is available on the BCBSMT website.
Medically Necessary
BCBSMT may consider the use of the automatic implantable cardioverter defibrillator (ICD) medically necessary in adults who meet the following criteria:
Primary Prevention
Secondary Prevention
BCBSMT may consider the use of the ICD medically necessary in children who meet any of the following criteria:
BCBSMT considers the use of the ICD investigational:
The use of a subcutaneous ICD is considered investigational for all indications in adult and pediatric patients.
Automatic Implantable Cardioverter Defibrillator's (AICDs) were first used in survivors of near sudden cardiac death. There has been ongoing interest in using AICDs as primary preventive therapy in patients with risk factors for sudden cardiac death. A 2002 Blue Cross Blue Shield Association Technology Evaluation Center (BCBSA TEC) Assessment (2) focused on this indication for AICDs. The 2002 Assessment focused on two successive randomized clinical trials, known as MADIT I and MADIT II (Multicenter Automatic Defibrillator Implantation Trial) that compared the use of an AICD with conventional therapy among patients with coronary artery disease with a prior history of myocardial infarction and a current history of a reduced ejection fraction. The key difference in the two trials was the patient selection criteria. In the earlier MADIT I trial, patients were required to have a left ventricular ejection fraction (LVEF) of less than 35% but also ventricular tachyarrhythmia as evidenced on an electrophysiologic study. In the subsequent MADIT II trial, patients were required to have a lower ejection fraction, less than 30%, but no electrophysiologic study was required. Therefore, the patient selection criteria of the MADIT II trial potentially identify a much larger number of candidates for AICD implantation.
2002 BCBSA TEC Assessment Observations and Conclusions:
For patients who have coronary artery disease with prior myocardial infarction and reduced left ventricular ejection fraction and who are similar to those selected in MADIT I and MADIT II, the available evidence demonstrates a statistically significant improvement in overall mortality associated with AICD treatment compared with conventional therapy.
A 2005 BCBSA TEC Assessment focused on the results of the five randomized clinical trials (RCT) included in the 2002 BCBSA TEC Assessment (including MUSTT, MADIT, MADIT II, CABG-Patch, and CAT) and five RCTs:
1. Defibrillator in Acute Myocardial Infarction Trial (DINAMIT);
2. Sudden Cardiac Death in Heart Failure Trial (SCD-HeFT);
3. Comparison of Medical Therapy, Pacing, and Defibrillation in Heart Failure (COMPANION);
4. Defibrillators in Non-Ischemic Cardiomyopathy Treatment Evaluation (DEFINITE); and
5. Amiodarone versus Implantable Defibrillator Randomized Trial (AMIOVIRT).
Observations of the 2005 BCBSA TEC Assessment:
Patients Who Have Prior Myocardial Infarction and Reduced LVEF:
The previous 2002 A BCBSA TEC assessment concluded that the evidence was sufficient to demonstrate that ICD therapy improves net health outcome in patients with prior myocardial infarction and reduced LVEF. Both new studies (SCD-HeFT and COMPANION) and the re-analysis of MUSTT findings provide additional supportive evidence of improved outcomes in patients with prior MI. The hazard ratio for all-cause mortality in the ischemic subgroup of SCD-HeFT was 0.79 (95% CI 0.60 to 1.04), which is close to that observed in MADIT II (HR=0.69, 95% CI=0.51 to 0.93), and these findings provide additional supportive evidence that ICD therapy reduces mortality. There may be slight but not statistically significantly increased rates of adverse effects associated with implantable cardioverter defibrillator (ICD) therapy; however, serious device-related events are not common. On balance, the significant reductions in mortality associated with ICD therapy outweigh the harms associated with ICD therapy in comparison to conventional treatment. Thus, the available evidence again demonstrates that ICD therapy improves health outcomes in patients with coronary artery disease and prior myocardial infarction and reduced LVEF. (7)
Patients Who Have Acute Myocardial Infarction (MI) and Reduced LVEF:
The available evidence is insufficient to permit conclusions regarding the effect of ICD therapy on net health outcome for this indication.
Patients Who Have No Prior Myocardial Infarction and Reduced LVEF (e.g., Nonischemic Dilated Cardiomyopathy):
Results from subjects with nonischemic dilated cardiomyopathy included in SCD-HeFT and DEFINITE suggest a mortality benefit from ICD therapy, although statistical significance was not achieved in these studies likely related to insufficient power of the analysis. A recently published meta-analysis of five trials including nonischemic subjects does report a statistically significant reduction in mortality associated with ICD therapy. Furthermore, when the body of evidence for ICD therapy in both ischemic and nonischemic populations is considered together, the preponderance of evidence suggests that ICD therapy improves health outcomes compared with medical management alone with a relative risk reduction in all-cause mortality between 21% and 35%. While the risk of adverse events is not well reported in studies of patients without prior MI, it seems reasonable to expect similar low rates of device-related adverse events as seen in studies of patients with prior MI.
Device-Related Adverse Effects:
Device-related adverse effects were inconsistently reported in the available trials although serious adverse events appear to be uncommon. What is known about device-related adverse effects does not outweigh the significant mortality benefits demonstrated in various studies.
Conclusions of 2005 BCBSA TEC Assessment:
ICD placement has been performed and investigated in multiple centers throughout the United States, and when performed by similarly experienced personnel, it is reasonable to expect that the improvements observed in the investigational setting will be attainable outside the investigational settings. Therefore, the use of ICD devices meets the BCBSA TEC criteria in the prevention of sudden death from ventricular tachyarrhythmia in patients who have:
The use of ICD devices does not meet the BCBSA TEC criteria in the prevention of sudden death from ventricular tachyarrhythmia in patients who:
Further analysis of existing trial data using patient-level meta-analysis may further delineate which subgroups of patients are likely to benefit from ICD placement and those unlikely to benefit who can be spared the morbidity of ICD placement. (8)
The TEC Assessment also noted that two additional studies addressing ICD use in patients with acute MI are in progress The Beta-Blocker Strategy plus Implantable Cardioverter Defibrillator (BEST-ICD) trial was launched in June 1998 and is expected to enroll 1,200 patients with MI 5–21 days before ICD. The Immediate Risk-Stratification Improves Survival (IRIS) Study compares ICD therapy with optimal medical management in patients with MI 5–31 days before ICD and is planned to enroll 700 subjects. Both studies require abnormalities on noninvasive ECG testing, but BEST-ICD also requires EPS-inducible ventricular tachyarrhythmia. Best-ICD requires LVEF <35% for eligibility; whereas IRIS includes LVEF<40%.
The American College of Cardiology/American Heart Association/North American Society of Pacing and Electrophysiology (ACC/AHA/NASPE)
In 2002, the ACC/AHA/NASPE issued guidelines for implantation of cardiac pacemakers and antiarrhythmia devices. (3) As of February 2005, these guidelines have not been updated. The 2002 ACC/AHA/NASPE guideline recommendations are classified into three levels: Class I, II, and III. Class I is defined as "conditions for which there is evidence for and/or general agreement that the procedure or treatment is useful and effective." Only Class I recommendations are listed here. Each recommendation is further classified as either A, B, or C based on the weight of the evidence available. Level A is applied when data are from multiple, randomized clinical trials; level B is when data are from a limited number of randomized trials; and level C is when the recommendation is primarily based on expert consensus. The 2002 guidelines of the ACC/AHA/NASPE for implantation of cardiac pacemakers and antiarrhythmia devices suggest the following indications for AICDs:
2008 Update
An additional search of literature was completed through Medline and other scientific databases for the period October 2005 through August 2008. The search identified an update of the 2002 ACC/AHA/NASPE guidelines (now ACC/AHA/ESC guidelines), (6) an analysis of the DEFINITE trial examining timing of ICD placement in nonischemic dilated cardiomyopathy (NIDCM), and evidence on ICD effectiveness in patients with hypertrophic cardiomyopathy (HCM) at high risk of SCD.
DEFINITE Trial
ICD placement in NIDCM
Kadish and colleagues performed a post-hoc analysis of the DEFINITE trial data to examine whether the time from diagnosis of NIDCM was associated with the magnitude of benefit from ICD implantation. (12) Survival benefit was found only for those diagnosed less than nine months prior to implantation (n=216); no benefit was apparent when NIDCM was diagnosed greater than nine months prior (n=242). However, there was a significant difference between arms in the time from diagnosis to randomization—standard therapy patients were randomized a median of 20 months after diagnosis while those in the ICD arm were randomized a median of eight months. The trial was neither designed nor powered to examine a time effect and the analyses conflict with findings of the smaller (n=104) "Primary prevention of sudden cardiac death in idiopathic dilated cardiomyopathy: the Cardiomyopathy Trial (CAT)" trial. Further evidence is necessary to indicate when in the natural history of the disease ICD implantation is appropriate.
ICD effectiveness in patients with HCM at high risk of SCD
Maron and colleagues reported appropriate ICD discharge rates (terminating either VT or VF) from an international registry of HCM patients enrolled at 42 referral and nonreferral institutions. (14) Between 1986 and 2003, ICDs were implanted in 506 patients with HCM—383 for primary prevention and 123 for secondary prevention. The mean age of patients was 42 years (standard deviation [SD] 17) and 28% were 30 years of age or younger; 36% were female; mean follow-up was 3.7 years (SD 2.8). Criteria considered in the study that placed patients at high risk and, therefore, candidates for primary prevention included: 1) history of premature HCM-related sudden death in one or more first-degree relatives younger than 50 years of age; 2) left-ventricular hypertrophy greater than 30 mm; 3) One or more runs of nonsustained VT at heart rates of 120 beats per minute or greater on 24-hour Holter monitoring; and 4) prior unexplained syncope inconsistent with neurocardiogenic origin. Abnormal exercise blood pressure was not reported. In the primary prevention group, appropriate discharges occurred at an annual rate of 3.6% (95% CI: 2.7% to 4.8%) and in the secondary prevention group at 10.6% (95% CI: 7.9% to 13.9%); the respective five-year cumulative probabilities of first appropriate discharge were 17% and 39%. If each appropriate discharge was lifesaving, five-year numbers needed to benefit (NNTB) could be as low as 5.9 and 2.6 for primary and secondary prevention, respectively, when considering only the first appropriate discharge.
However, when analyzed in NIDCM, Ellenbogen and colleagues concluded that approximately one-half of arrhythmias terminated by appropriate ICD discharges are not life threatening. (13) The NNTBs calculated, therefore, likely represent lower bounds or greatest potential benefit, and the true benefit is likely less (only 6.3% of primary prevention patients had more than one appropriate discharge). Adverse event rates included one or more inappropriate discharges (27%); infections (3.8%); hemorrhage or thrombosis (1.6%); lead fractures, dislodgement, and oversensing (6.7%). While the number of risk factors present was not associated with cumulative probability to first appropriate discharge for primary prevention, patient selection for ICD implantation was performed by experienced clinicians. These results, obtained outside the setting of a clinical trial, apply under such conditions. The relevant 2006 ACC/AHA/ESC guidelines, published prior to this study, classify primary prevention in HCM as a Class IIa indication (level of evidence C). Given the evidence supporting a benefit of ICD in high-risk patients with HCM, the coverage statement of this medical policy has been changed.
2009 Update
The American College of Cardiology/American Heart Association/Heart Rhythm Society (ACC/AHA/HRS) Guidelines
A significant change in the updated guidelines is specifying LVEF ranges to address varying enrollment criteria used in trials. For example, rather than use LVEF less than 35%, the guidelines may state less than 30% to 40%. While more extensive in scope than the previous guidelines, relevant class I recommendations are consistent with the coverage position of this policy.
The 2008 guidelines of the ACC/AHA/HRS for implantation of cardiac pacemakers and antiarrhythmia devices include the following class I indications for ICDs:
Notable is revision of LVEF from less than 40% to less than 35% for use as criteria for primary prevention—consistent with both clinical trial entry criteria and this policy.
2011 update
A literature search was performed through October 2011 For the adult population, there were no relevant clinical trials identified that compared ICD with alternative treatments. Al-Khatib et al. published an analysis of whether ICD implantations in the U.S. followed evidence-based guidelines using a Medicare ICD registry. (20) There were a total of 111,707 patients who received an ICD between January 2006 and June 2009. Of these, 25,145 (22.5%) did not meet the evidence-based criteria according to ACC/AHA/HRS guidelines. Patients who did not meet evidence-based ICD criteria had a higher mortality than patients who did meet criteria (0.57% vs. 0.18%, p<0.001), and also had a higher rate of procedural complications (3.2 vs. 2.4%, p<0.001). Electrophysiologists had a lower rate of non-evidence-based ICD use compared to non-electrophysiologists (20.8% vs. 24.8%, p<0.001). For patients with non-ischemic cardiomyopathy, the timing of ICD implantation remains controversial. No new direct evidence on this question was identified since the publication of the CAT and DEFINITE trials. A substantial percent of patients diagnosed with non-ischemic cardiomyopathy (NICM) will not improve, even when a reversible cause of NICM cannot be identified, but it is not possible to predict which patients with idiopathic NICM will improve, nor is it possible to accurately estimate the time course for improvement. As a result, there is disagreement on the appropriate waiting period to implant an ICD following the diagnosis of NICM.
Some experts consider patients with recently diagnosed NICM and either sustained VT or unexplained syncope to be candidates for earlier ICD implantation due to their higher risk of lethal arrhythmias. However, evidence on this specific population is lacking and the natural history of patients in this category is not well characterized. The most recent ACC/AHA guidelines do not specifically address the optimal waiting period prior to implantation of an ICD for patients with newly diagnosed NICM.
Several publications offered new evidence on complications from ICD implantation. Cheng et al. examined the rate of lead dislodgements in patients enrolled in a national cardiovascular registry. (15) Of 226,764 patients treated with an ICD between April 2006 and September 2008, lead dislodgement occurred in 2,628 (1.2%). Factors associated with lead dislodgement were NYHA class IV heart failure, atrial fibrillation/flutter, a combined ICD-CRT device, and having the procedure performed by a non-electrophysiologist. Lead dislodgement was associated with an increased risk for other cardiac adverse events and death.
Lee et al. evaluated the rate of early complications among patients enrolled in a prospective, multi-center population-based registry of all newly implanted ICDs in Ontario, Canada from February 2007 through May 2009. (16) Of 3,340 patients receiving an ICD, major complications (lead dislodgement requiring intervention, myocardial perforation, tamponade, pneumothorax, infection, skin erosion, hematoma requiring intervention) within 45 days of implantation occurred in 4.1% of new implants. Major complications were more common in women, in patients who received a combined ICD-CRT device, and in patients with a left ventricular end-systolic size of larger than 45 mm. Direct implant-related complications were associated with a major increase in early death (hazard ration [HR] 24.9, p<0.01).
Two publications reported on infection rates in patients receiving an ICD. Smit et al. published a retrospective, descriptive analysis of the types and distribution of infections associated with ICD's over a ten year period in Denmark. Of 91 total infections identified, 39 (42.8%) were localized pocket infections, 26 (28.6%) were endocarditis, 17 (18.7%) were ICD-associated bacteremic infections, and 9 (9.9%) were acute post-surgical infections. (17) Nery et al. reported the rate of ICD-associated infections among consecutive patients treated with an ICD at a tertiary referral center. There were a total of 24 infections among 2,417 patients for a rate of 1.0%. Twenty-two of 24 patients with infections (91.7%) required device replacement. Factors associated with infection were device replacement (versus de novo implantation) and use of a complex device (e.g., combined ICD-CRT or dual/triple chamber devices). (18)
American College of Cardiology/American Heart Association (ACC/AHA) Practice Guidelines
In April 2009, the ACC/AHA published updated guidelines on the management of chronic heart failure in collaboration with the American College of Chest Physicians and the International Society for Heart and Lung Transplantation. The guidelines follow the evidence criteria listed here for ICD placement, and only Class I recommendations are listed as follows:
ICD Use in the Pediatric Population
There is limited direct scientific evidence on the efficacy of ICDs in the pediatric population. The majority of published studies in this area are retrospective analyses of small case series. A review of some of the representative publications of this type is summarized below.
The largest published series was a combined series of pediatric patients and patients with congenital heart disease from four clinical centers. The median age of this population was 16 years, although some adults were included up to the age of 54. A total of 443 patients were included. The most common diagnoses were tetralogy of Fallot and hypertrophic cardiomyopathy. ICD implantation was performed for primary prevention in 52% of patients and for secondary prevention in 48%. Over a two-year period of follow-up, appropriate shocks occurred in 26% of patients and inappropriate shocks occurred in 21%.
Silka et al. (1) compiled a database of 125 pediatric patients treated with an ICD, through query of the manufacturers of commercially available devices. Indications for ICD placement were survivors of cardiac arrest in 95 patients (76%), drug-refractory ventricular tachycardia in 13 patients (10%), and syncope with heart disease plus inducible ventricular tachycardia in 13 patients (10%). During a mean follow-up of 31 +/- 23 months, 73 patients (59%) received at least one appropriate shock and 25 patients (20%) received at least one inappropriate shock. The actuarial rates of sudden-death-free survival were 97% at one year, 95% at two years, and 90% at five years.
Alexander et al. reported on 90 ICD procedures in 76 young patients with a mean age of 16 years (range: 1–30). Indications for placement were 27 patients (36%) with cardiac arrest or sustained ventricular tachycardia, 40 patients (53%) with syncope, 17 patients (22%) with palpitations, 40 patients (53%) with spontaneous ventricular arrhythmias, and 36 patients (47%) with inducible ventricular tachycardia. Numerous patients had more than one indication for ICD in this study. Over a median of two years' follow-up, 28% of patients received an appropriate shock, and 25% of patients received an inappropriate shock. Lewandowski et al. reported on long-term follow-up of 63 patients between the ages of 6-21 years who were treated with an ICD device. After a 10-year follow-up, there were 13 (21%) patients with surgical infections. Fourteen patients (22%) experienced at least one appropriate shock and 17 patients (27%) had at least one inappropriate shock. Serious psychological sequelae developed in 27 patients (43%). (19)
The American College of Cardiology Foundation, American Heart Association, and Heart Rhythm Society
Guidelines concerning ICD use in pediatric populations have been published. These are derived from nonrandomized studies, extrapolation from adult clinical trials, and expert consensus. The ACC/AHA/HRS published the following indications for ICD use in pediatric patients in 2008:
Class I indications
Class IIa indications
Class IIb indications
2012 Update – Subcutaneous Implantable Defibrillator System (S-ICD)
The FDA reviewed data from a 321-patient study in which 304 patients were successfully implanted with the Subcutaneous Implantable Defibrillator System (S-ICD) System. At the time of implantation, the investigator tested the effectiveness of the device by inducing heart arrhythmias. The S-ICD System was successful at converting all abnormal heart rhythms that it detected back to normal rhythms. Investigators followed these patients for six months following implantation, during which time the device detected and recorded 78 spontaneous arrhythmias in 21 patients; all arrhythmias were either successfully converted back to normal by the defibrillator or resolved on their own. Because the S-ICD System memory stores data from only the 22 most recent arrhythmia episodes, there may have been other detected episodes that could not be analyzed by investigators. In addition, the FDA reviewed safety data based on the entire 321-patient study population to identify complications that can occur during and after implantation of the S-ICD System. The most common complications included inappropriate shocks, discomfort, system infection, and electrode movement, which required repositioning. Eight patients died during the study; however, experts (who were not involved with the study) could not definitively attribute the deaths to the S-ICD System. Eleven patients required the removal of the device, and 18 had discomfort that was resolved without repositioning the device or surgery. At the end of six months, more than 90 percent of patients had no complications. As part of the approval, FDA is requiring the manufacturing company to conduct a postmarket study to assess the long-term safety and performance of the device and to assess differences in effectiveness across genders. The study will follow 1,616 patients for five years. (22)
Aydin et al (2012) conducted a study assessing the efficacy of S-ICD in a clinical setting (23). Forty consecutive patients (42±15 years; body mass index, 27±6 kg/m2 left ventricular ejection fraction, 47±15%; 28 men) received an S-ICD for primary (n=17) or secondary prevention (n=23 [58%]) at 3 institutions in Germany. Intraoperative defibrillation efficacy testing failed in 1 patient with severely reduced left ventricular ejection fraction; testing was effective in all other patients. All episodes stored in the S-ICD were analyzed for appropriate and inappropriate detection, as well as effective shock delivery to convert ventricular tachyarrhythmia into sinus rhythm. During a median follow-up of 229 (interquartile range, 116-305) days, 4 patients experienced 21 episodes, with correct detection of ventricular tachyarrhythmia (VT) and subsequent shock therapy. A total of 28 shocks were delivered in these 4 patients. Mixed logistic regression modeling revealed a shock efficacy of 96.4% (95% CI, 12.8%-100%). The efficacy of first shocks, however, was only 57.9% (95% CI, 35.6%-77.4%). Four episodes were incorrectly classified as VT, which led to inappropriate shock delivery in 2 patients. The authors of this study conclude that ineffective shock delivery may occur in patients with S-ICD, even after successful intraoperative testing. Multicenter trials are required with close monitoring of safety and efficacy end points to identify patients who may be at risk for shock failure.
Nordkamp et al report the largest multicenter experience to date with the S-ICD with a minimum of 1-year follow-up in the first (24) 118 Dutch patients who were implanted with this device. A total of 118 patients (75% males, mean age 50 years) received the S-ICD. After 18 months of follow-up, 8 patients experienced 45 successful appropriate shocks (98% first shock conversion efficacy). No sudden deaths occurred. Fifteen patients (13%) received inappropriate shocks, mainly due to T-wave oversensing, which was mostly solved by a software upgrade and changing the sensing vector of the S-ICD. Sixteen patients (14%) experienced complications. Adverse events were more frequent in the first 15 implantations per center compared with subsequent implantations (inappropriate shocks 19% vs. 6.7%, p = 0.03; complications 17% vs. 10%, p = 0.10). The authors note that the S-ICD is effective in terminating ventricular arrhythmias. There is, however, a considerable percentage of ICD related adverse events, which decreases as the therapy evolves and experience increases.
Disclaimer for coding information on Medical Policies
Procedure and diagnosis codes on Medical Policy documents are included only as a general reference tool for each policy. They may not be all-inclusive.
The presence or absence of procedure, service, supply, device or diagnosis codes in a Medical Policy document has no relevance for determination of benefit coverage for members or reimbursement for providers. Only the written coverage position in a medical policy should be used for such determinations.
Benefit coverage determinations based on written Medical Policy coverage positions must include review of the member's benefit contract or Summary Plan Description (SPD) for defined coverage vs. non-coverage, benefit exclusions, and benefit limitations such as dollar or duration caps.
37.94, 37.95, 37.96, 37.97, 37.98, 412, 414.8, 425.1, 425.4
New 2013 BCBSMT medical policy.


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Article ID: 255913 - View products that this article applies to.
This article was previously published under Q255913
One feature of Windows 2000 Domain Name System (DNS) is its support for dynamic host updates (documented in RFC 2136). To take advantage of this feature, Windows 2000 DNS can be deployed in environments that have no other DNS servers, as well as in environments that already have non-dynamic DNS servers implemented (Microsoft Windows NT 4.0 DNS server and BIND 4.9.7 and earlier, etc.). When you are deploying Windows 2000 DNS in an environment that already has BIND or Windows NT 4.0 DNS servers implemented, you have several integration options:
To integrate Windows 2000 DNS into an existing namespace based on non-dynamic DNS servers, you can delegate the subdomains used by the locator records (SRV records) so that dynamic updates (as per RFC 2136) may be used. Follow these steps:
Article ID: 255913 - Last Review: October 26, 2007 - Revision: 4.3
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The Vault - a small how-to
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Lt. Commander
Join Date: Dec 2007
Posts: 120
# 20
Would it be worth adding that some, not sure if all, but some c-store toys work on small craft, the final boss in the last room was made a lot easier when a Fed on my team dropped Theta Radiation and not to forget the doff turrets you can acquire come in handy, they may not last long but were helpful in deflecting attention away from Obisek's ship (sp?) if only for a few seconds. The handy thing here to remember is that devices can be swapped in combat making these handy to have, to me anyway .
Would it also be worth adding a doff set up, I flew a fighter with in built rapid fire, my main gun was an Antiproton Dual Heavy cannon and I had a photon torp in the second weapon slot which I had backed up with 3 (2 purple/1 Blue) projectile officers, the stream of photons made light work of turrets and Birds of Prey, at least in my experience.
Lastly, I saw a dev post stats on the Reman MK XII set in the TTS channel and Screen-shotted the 3 tool tips, I know the tool tips are relevant to the ship I'm in and may differ slightly for others depending on your ship etc.
MK XII V.Rare Shield
MK XII V.Rare Eng
MK XII V.Rare Def
Edit: The shield stats shown are for a ship with a 1.05 shield modifier value and 9 points in Starship Shield Systems.


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ApplianceGeneral Electric Refrigerator
Level of DifficultyReally easy
Time to do repair15 - 30 mins
Age of Appliance5 - 10 years
NutdriverScrew drivers
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