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There is evidence suggesting that the use of health services is lower among immigrants after adjusting for age and sex. This study takes a step forward to compare primary care (PC) utilisation patterns between immigrants and the native population with regard to their morbidity burden.
This retrospective, observational study looked at 69,067 individuals representing the entire population assigned to three urban PC centres in the city of Zaragoza (Aragon, Spain). Poisson models were applied to determine the number of annual PC consultations per individual based on immigration status. All models were first adjusted for age and sex and then for age, sex and case mix (ACG System®).
The age and sex adjusted mean number of total annual consultations was lower among the immigrant population (children: IRR = 0.79, p < 0.05; adults: IRR = 0.73, p < 0.05). After adjusting for morbidity burden, this difference decreased among children (IRR = 0.94, p < 0.05) and disappeared among adults (IRR = 1.00). Further analysis considering the PC health service and type of visit revealed higher usage of routine diagnostic tests among immigrant children (IRR = 1.77, p < 0.05) and a higher usage of emergency services among the immigrant adult population (IRR = 1.2, p < 0.05) after adjusting for age, sex and case mix.
Although immigrants make lower use of PC services than the native population after adjusting the consultation rate for age and sex, these differences decrease significantly when considering their morbidity burden. These results reinforce the 'healthy migration effect' and discount the existence of differences in PC utilisation patterns between the immigrant and native populations in Spain.
The recent increase in the arrival of immigrants to Spain has engendered a deep interest in studying the implications of this phenomenon on the utilisation of health services. Contrary to the public's prejudice and in agreement with the reality in other countries with longstanding experience in dealing with immigration, there is evidence to suggest that the use of healthcare services is lower among immigrants, even when accounting for age and sex [1]. These striking findings have aroused concerns among certain researchers as to why these differences in healthcare delivery exist.
These inequalities have been attributed to a number of different hypotheses, including difficulties accessing the health system [2], cultural and sociological differences in the perception of illness [3] and better health status of the immigrant population [4]. This study focuses on this last hypothesis. It has been established that the morbidity burden accounts for much of the variation in the consumption of healthcare resources [5], and it warrants further study. Furthermore, this variable must be taken into account when discussing potential inequalities in healthcare delivery.
Most studies have assessed the health status of immigrants based on health surveys. The major limitations of health surveys include the use of non-validated, self-declared data that may differ from the objective health of individuals, a lack of validity of the questions used to classify subjects according to health status, and possible sampling and response biases. On the other hand, electronic medical records offer an excellent opportunity to study the type and burden of morbidity in population subgroups at the individual level [6]. Based on these data, the Adjusted Clinical Groups (ACG) System developed at Johns Hopkins University (Baltimore, MD, USA) comprehensively and longitudinally characterises and describes the case mix of a reference population [7,8].
The Spanish National Health System is a tax-based system which offers universal coverage and where primary care (PC) has gatekeeping functions. As a result, 98% of the general population is assigned to PC centres belonging to the public network [9]. In this context, data extracted from PC medical records held by general practitioners (GPs) allow researchers to carry out population-based studies that include both children and adults.
Concerning immigrants' access to health services, Spain has a rather unique policy considering the European context. Since 2000, even illegal immigrants have been entitled to public health care as long as they meet one of the following conditions: registration with their municipal census (which has no implication on their illegal status), visiting an emergency room, being 18 years old or under, and being pregnant [10]. This particularity of the system, apart from favouring especially vulnerable immigrant groups, decreases the potential selection bias due to a lack of inclusion of those immigrants who do not comply with all legal requirements.
The objective of this study was to compare PC utilisation patterns between immigrants and the native population with regard to their morbidity burden in order to contribute to evidence-based decision making.
This retrospective, observational study evaluated 69,067 individuals representing the entire population assigned to three urban PC centres located in those neighbourhoods with the highest immigrant concentration in the city of Zaragoza. Data were obtained from electronic medical records of the Aragon Health Care System (year 2007) after an official request and authorisation. Personal information was made anonymous, and the study was approved by the Ethics Committee for Clinical Investigation of Aragon (CEICA).
Immigrant status was defined as having a foreign nationality [11], and this information was obtained from health insurance cards. In Spain, all immigrants have the right to request a health card identifier regardless of their legal status and provided that they are registered in the local population census. By matching personal identification codes on health insurance cards with those on GPs' electronic medical records, information regarding demographic variables (e.g., age and sex), number of annual visits to the PC centre, and morbidity burden was extracted for each individual. In assessing the morbidity burden, all diagnoses and reasons for visits registered during the study period were coded according to the International Classification of Primary Care (ICPC) [12]. Subsequent conversion ('mapping') was made from the ICPC to the International Disease Classification (ICD-9-CM) [13].
Based on the variables of age, sex and diagnoses registered in the study year, a single ACG category was assigned to each individual [14]. The ACG System (version 8.1®) classifies all ICD-9-CM codes based on the following criteria: the duration of the condition (e.g., acute, recurrent, or chronic), severity of the condition (e.g., minor and stable versus major and unstable), diagnostic certainty (symptoms versus documented disease), aetiology of the condition (e.g., infectious, injury, or other), and specialty care involvement (e.g., medical, surgical, obstetrical, or haematological). As a result, individuals within a given ACG have experienced a similar pattern of morbidity and resource utilisation over a given year. For the sake of parsimony, ACGs with a similar expected use of resources are aggregated into so-called Resource Utilisation Bands (RUB 0 = non users, RUB 1 = healthy users, RUB 2 = low morbidity, RUB 3 = moderate morbidity, RUB 4 = high morbidity, and RUB 5 = very high morbidity). Thus, each individual is additionally assigned a RUB category.
Statistical analysis
A descriptive analysis was first carried out in which the mean and the variance of the continuous variables and the distribution of frequencies of the categorical variables were calculated. The study variable "number of consultations per individual and per year" was classified according to the attended PC health service (e.g., family medicine, paediatrics, nursery, physiotherapy, social work, odontostomatology, midwifery or diagnostic tests) and the type of visit (e.g., demanded visit, emergency visit, programmed visit or home visit).
The sex and age adjusted mean number of consultations was calculated through direct standardisation, taking the population structure of the region into account. Poisson models were applied to determine the number of annual consultations per individual based on immigration status. All models were first adjusted for age and sex and then for age, sex and case mix and were applied separately to children (≤ 14 years old) and adults (> 14 years old). Given the over-dispersion of the dependent variable, standard errors were scaled using the square root of deviance-based dispersion. Thus, the variance became more flexible, and the estimation bias of standard errors was minimised [15].
The SPSS 15.0 software package was used for statistical analyses. The significance of differences between groups was analysed using p-values, and p-values less than 0.05 were considered to indicate a significant difference.
One-fourth of the child population (26.2%) and almost one fifth of the adult population (17.9%) were immigrants (n = 69,067). While the age and sex distributions of immigrant and native children were similar, differences were observed among the adult population; for instance, there were fewer and younger women among immigrant adults (Table 1). The distribution of nationalities within the immigrant population is described in Table 2: the main immigrant flows arriving in Spain come from Latin America (34% of adult immigrants) and Eastern Europe (27% of adult immigrants).
Table 1. Age and sex distribution of the study population.
Table 2. Distribution of nationalities within the immigrant population.
Among the study population, 59% of the adult immigrant population and 76% of the adult native population visited the health centre at least once during the study year; among the child population, these figures were 74% and 84%, respectively.
When analysing the average morbidity burden of the study population (measured by RUBs) lower levels are systematically observed among the immigrant population (Figure 1). Immigrants from Eastern Europe and Asia show the lowest levels of morbidity burden both within the adult and child population (Figure 2).
Figure 1. Mean Resource Utilisation Band scores in immigrant and native populations by age band and sex.
Figure 2. Age- and sex-adjusted mean Resource Utilisation Band scores in adults and children by nationality.
The age and sex adjusted mean number of total annual consultations was significantly lower among the immigrant population compared to the native population, with almost 2 fewer annual visits per child and 4 fewer annual visits per adult (Table 3).
Table 3. Age- and sex-adjusted mean number of annual consultations per 1,000 individuals by PC service and type of visit.
Similar results were obtained when considering specific PC health services: significantly fewer visits were registered among immigrant adults for diagnostic tests and nursery, physiotherapy and midwife services. On the other hand, the number of annual consultations for diagnostic tests was slightly higher among immigrant children compared to native children (22 more annual visits per 1,000 children, p < 0.05) (Table 3).
When considering the type of visit, a significantly lower number of consultations was still observed among both child and adult immigrants, except in the case of programmed visits for which no statistical differences were detected between immigrant and native children (Table 3).
After adjusting for morbidity burden, the differences in PC visits almost disappeared. The incidence rate ratios (IRRs) for the total number of consultations among children increased from 0.79 to 0.94 (with the reference category being 'native'), although the difference in PC visits was still significant. For the adult population, the IRR after adjusting for case mix was precisely 1.0 (Table 4). Visits to nurses were still significantly lower among immigrant adults, even when considering their morbidity burden (IRR = 0.71, p < 0.05). In contrast, visits for diagnostic tests were significantly higher among both child and adult immigrants after adjusting for case mix (IRR = 1.77 and IRR = 1.21, respectively, p < 0.05).
Table 4. Incidence rate ratios and 95% confidence intervals of PC consultations in the immigrant vs. native population by PC health service and type of visit.
When considering the type of visit, differences between immigrants and the native population also disappeared after adjusting for morbidity burden, except for home visits, which remained remarkably lower among immigrants compared to the native population (IRR = 0.29 in children, IRR = 0.41 in adults, p < 0.05). The age, sex and case mix-adjusted IRRs for emergency PC visits remained <1.0 for children (IRR = 0.68, p < 0.05) but were >1.0 for adults (IRR = 1.20, p < 0.05).
The present study was carried out in the context of a national health system offering universal and free coverage, and the results confirm that PC utilisation is lower among immigrants compared to the native population. Moreover, our results corroborate the observation that immigrant populations have a lower morbidity burden and reinforce the so-called 'healthy migration effect' previously described [16-19]. Thus, differences in PC utilisation patterns decrease when considering the morbidity burden.
Using administrative data to objectively monitor the use of PC services by the immigrant population is increasingly important to host countries. It aids in the assessment of inequalities in the use of PC services and eventual access problems [6]. Unlike studies based on heath surveys, data collected from PC centres offer information on the true utilisation of PC services by the entire population, thus avoiding sampling or response biases. In this particular study, data were assessed from more than 69,000 individuals.
Contrary to certain stereotypes that immigrants make excessive use of health services [20], our study provides evidence for lower use of PC services by both child and adult immigrants after adjusting for age and sex. This finding held true for all types of visits except in the case of programmed visits for children. These results confirm the findings of previous studies in which lower use of PC services by immigrants was observed both in Spain [1,21] and in other developed countries [22-26].
We chose the ACG System to measure the morbidity burden because of its acknowledged validity and extensive use as a risk adjustment technology and because it can be constructed from commonly available administrative data. Based on these data, it develops a composite measure of morbidity burden estimated from a mixture of conditions experienced over a defined time interval [6]. According to the data provided by the ACG System, the health status of immigrants in our study was better than that of native citizens. These findings are consistent with the previously described 'healthy migration effect' [16-18,27]. The 'healthy migration effect' is a consequence of a self-selection process that excludes ill and disabled individuals and includes those with high capacities and personal motivations. Migratory processes favour the success of individuals with enhanced skills in terms of education, work and communication [28]. This healthier status of immigrants somehow justifies the lower PC utilisation seen among them. In this study, the differences in PC utilisation patterns almost disappeared among the adult population (IRR = 1.00, p > 0.05) and decreased considerably among children (IRR = 0.94, p < 0.05) after adjusting for case mix. These results suggest that for a given morbidity burden, there are no differences in PC utilisation patterns between immigrants and the native population. Health care for non-EU foreign nationals in Spain is regulated by Article 12 of Organic Law 4/2000 of 11th January regarding the rights and freedoms of foreign nationals living in Spain and their social integration [10], which guarantees health care to foreign nationals regardless of their residency status under the same conditions as native Spaniards. This point may explain our results.
Interestingly, the mean number of routine diagnostic tests was 77% higher among immigrant children compared to native children (IRR = 1.77, p < 0.05). This finding could be due to preventive medical checkups carried out on immigrant children upon arrival in the host country [29,30]. In addition, it could indicate that GPs lack self-confidence when clinically evaluating these patients due to communication problems derived from language difficulties.
While the age, sex and case mix adjusted mean number of emergency visits was 30% lower among immigrant children (IRR = 0.68, p < 0.05), the immigrant adult population made greater use of such services (IRR = 1.2, p < 0.05). Other studies have highlighted the association between the use of the PC emergency service and work conditions among immigrants. The PC emergency service is an extension to GPs' normal schedule available until 9pm, Monday through Saturday. Difficulties in making work schedules compatible with the visiting hours of PC health centres have been suggested to result in higher usage of PC emergency services among immigrants [31]. It could be that the higher usage of PC emergency services makes up for the lower number of demanded visits (IRR = 0.97, p < 0.05) and home visits (IRR = 0.41, p < 0.05) among the immigrant adult population.
As for home visits, there is an evident lower use of such service by both adult (IRR = 0.41, p < 0.05) and child (IRR = 0.29, p < 0.05) immigrants which is a clear consequence of lack of information. Thus, improvements are still needed regarding the provision of information on health services access conditions.
One of the main limitations of the present study derives from the lack of available socioeconomic indicators. Given the absence of this information in administrative databases, we were unable to adjust for this characteristic, which has previously been found to explain a high degree of variability in the use of healthcare services [32]. Nevertheless, the consequences of this limitation might have been mitigated by the fact that all three PC centres included in this study belonged to areas with a similar socio-economic level.
The fact that we did not carry out an analysis that stratified the immigrant population according to country of origin suggests that we might have missed some interesting findings. There is evidence indicating that variations exist among different ethnic groups in terms of health care utilisation [32,33]. Such stratification was not possible in our study given the limited size of the immigrant population but should be considered in the future. Nevertheless, the majority of immigrants come from low-income countries (e.g., Latin America and Eastern Europe) and are categorised as economic immigrants. Immigrants from high-income countries (e.g., Western Europe and North America) represent a minority group (4.3% of adult immigrants and 3.0% of child immigrants). Immigrants from high-income countries have a legal status similar to that of the Spanish-born population, and their socioeconomic status is above the national average [34].
Another potential limitation of this study derives from the quality of the diagnostic information registered in the electronic medical records since the completeness and accuracy of data entry relies on the enthusiasm and idiosyncrasies of individual GPs [35]. Medical record data contains some errors and omissions, but there have been large improvements in its quality in recent years. As a result, this source of information is increasingly being used for epidemiological research in the Spanish context [36]. Moreover, a sensitivity analysis was carried out using data from two of the three PC health centres that were known to have received training sessions to encourage and improve the quality of morbidity coding among GPs. Neither the distribution of ACG frequency nor the associations observed in our study were significantly modified. In fact, the 'healthy migration effect' shown in the present study was reinforced given that the differences in the morbidity pattern of immigrants versus that of the native population became wider. Furthermore, the case mix of patients according to ACGs was consistent with that reported in other studies [37,38].
Finally, although all immigrants have the right to request a health card identifier regardless of their legal status and provided that they are registered in the local population census, it may occasionally occur that they do not seek such service for fear of deportation (i.e., irregular immigrants) or due to lack of information [39]. In such cases, it is possible that the same health card identifier might be used by various immigrants who attend PC health centres and use the card of a relative or a friend. The aforementioned problem could result in overestimation of the use of PC services by immigrants compared to the native population, thus increasing the differences found in this study. In other words, we believe that the consideration of this bias would not alter our findings.
Future research should focus on a comprehensive analysis of the use of health services by the immigrant population. This would entail integrating different data sources from different levels of care. In Spain, greater use of hospital emergency services by immigrants has been reported by several authors [40,41], although others have ruled out this hypothesis [42]. The use of specialist care has been shown to be lower among immigrants [43], and similar trends have been highlighted concerning the level of double (public-private) coverage [44]. Our results indicate that there seems to be a shift from demanded visits (during PC visiting hours) towards PC emergency visits among the adult immigrant population. Investigating whether this tendency goes beyond the PC level would lead to important findings regarding health care commissioning.
Also, this type of studies need to be reproduced with data from other urban and rural public healthcare settings in such a way that conclusions can be extended to the regional or even national level.
We did not have access to immigrants' dates of arrival in Spain. Although the increase in the immigrant population is a relatively recent phenomenon in Spain, the evolution of their patterns of health services utilisation and morbidity over time is worth studying. Several authors have shown how the health status of immigrants becomes poorer with time due to progressive deterioration of their lifestyles [25,45].
The conclusions related to the 'healthy migration effect' presented in this study are based on information regarding health conditions obtained from GPs' electronic medical records ('attended' morbidity). Research strategies should be designed to study differences in the objective and representative 'non-attended' morbidity burden of both native populations and immigrants.
In Spain, the immigrant population makes lower use of PC services than the native population after adjusting the consultation rates for age and sex. When considering the morbidity burden, however, these differences decrease significantly. The present results reinforce the 'healthy migration effect' and discount the existence of differences in PC utilisation patterns between the immigrant and native populations in Spain. Studies of this type need to be carried out in the coming years to verify whether the health system is adequately responsive to the changing morbidity burden and health care needs of the immigrant population.
Competing interests
The authors declare that they have no competing interests.
Authors' contributions
LGF and APT generated the research question. BPP and DBB carried out the statistical analyses. ACL, LGF, RMC and APT participated in the interpretation and discussion of results. ACL and LGF contributed to the drafting of the manuscript. ACL coordinated the writing of the contribution. All authors read and approved the final manuscript.
This study was supported by the Aragon Health Sciences Institute. ACL, BPP, DBB and APT are funded by the Program for the Incorporation of Research Groups into the Spanish Health System (EMER 07/020) from the Carlos III Health Institute. LGF and RMC are funded by the Research Network on Preventative Activities and Health Promotion (REDIAPP 06/018) and grant PI08/90592, both from the Carlos III Health Institute.
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So I'm watching this TV show on the VS. Network and they're recaping the game. They've got the comentator, John Elway, Kevin Moen...and the trombone player that got smashed in the endzone.
Now I don't know what the trombone player did with the rest of his life(I'm sure it was something very worth while) but I can't for the life of me imagine what it must be like to not only be on a show like that...but be remebered as the guy who got hammered in the endzone during arguably the most spectacular play in College football.
Is that a blessing or a curse?


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Push To Add Genius Marketing
Belgium TV channel TNT recently used this action packed marketing exercise to promote the launch of its TV drama channel. They placed a giant red button in the middle of the square of a Flemish town, marked with a sign that said "push to add drama." Would you push the button?
This post was created by a user and has not been vetted or endorsed by BuzzFeed's editorial staff. BuzzFeed Community is a place where anyone can post awesome lists and creations. Learn more or post your buzz!
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Letters to the Editor
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The U-T welcomes and encourages community dialogue on important public matters. Please visit this page for more details on our letters and commentaries policy.
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U-T San Diego,
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San Diego, CA 92112-0191.
No middle ground on pot debate
Commentary author Jim Gogek ("California does not need any more stoners," Opinion, March 26) misses the point. His concern that legalization would increase accessibility is meaningless. The huge U.S. demand shows that anyone who wants it can get it. The point is not about whether drugs are good or bad, but rather the crime that their "Prohibition" creates. How is the public good served by continuing to facilitate violent crime? We've been fighting the "War on Drugs" for 40 years, yet we're further from winning it than when we started. The drug cartels are richer and more powerful than the governments trying to fight them, drug-dealing gangs threaten our streets, and addicts commit crimes to acquire drugs because illegally smuggled drugs are expensive.
If just half of the $20 billion we spend every year losing the war on drugs were put into providing affordable drug treatment, we would do far more in reducing drug abuse than the Draconian law-and-order measures that have failed to solve the problem for decades.
San Diego
Assistant law professor Alex Kreit's argument ("It's time to rethink marijuana prohibition?" Opinion, March 26) centers mostly on legalization for the purpose of state-revenue generation, with a mention that marijuana is more readily available to minors than is alcohol. He concludes by stating that if the state sets age guidelines for legal sales, then minors would not be able to buy the drug. Huh? Does he in his naiveté believe that the cartels would stop producing, smuggling and selling to minors even if it is legal for adults?
San Diego
The "Legalize marijuana?" pro and con arguments are instructive in their contrasts. Alex Kreit offers a thoughtful and rational discussion in favor, taking a big-picture perspective that takes into account not only financial but societal considerations. Jim Gogek argues against legalization from a personal perspective, mainly centered upon how much he dislikes "stoners," followed by a little fear-mongering over the evils of special interests. If there actually is anyone in this country who remains undecided on this issue, these essays should, at the very least, confirm what kind of thought processes are being utilized in the course of this argument.
To think we could legalize marijuana and tax it is absurd. Alex Kreit quoted a record number of arrests, implying we are putting pot smokers in jail. In California, simple possession of an ounce or less has been dealt with by the perpetrator receiving a ticket for $100. This has long been the reality. No simple user goes to jail. As for legalization affecting the drug cartels – it won't happen. Instead, they would target our youth. When heroin was legalized in European countries, the illegal heroin trade concentrated on youth under 18, because you had to be 18 to purchase heroin legally. The cartels would not go away because marijuana is legalized. Why would anyone pay to buy a taxed product when they could easily grow it in their back yard?


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Extreme RVs Pictures
Check out the most extreme luxury mobile homes on the road today. From Featherlite to Hemphill Brothers and more, these amazing interiors definitely aren't lacking any 'wow' factor.
Willie Nelson's RV
extreme-rvs-302-ss-05Country music legend Willie Nelson's brand-new bus is a 2014 Prevost X345 conversion with a very clean exterior, making the personalization inside that much more exciting. 960 1280
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Fontanel Mansion and Farm exterior
cabin-fever_ss_sp-01_008Country Music Hall of Fame's Barbara Mandrell and her family made music at the Fontanel Mansion in Nashville, TN, for 13 years. The 27,000-square-foot mansion includes 6 bedrooms, 13 bathrooms, 5 fireplaces, a swimming pool, and an atrium. 960 1280
Fontanel Mansion Great Room
cabin-fever_ss_sp-01_002Fontanel Mansion's "Great Room" has a beam that celebrity guests, including Bob Hope, Tim McGraw, Gwyneth Paltrow, Oprah Winfrey, sign before they leave. The room is furnished with priceless pieces of history, a Harley-Davidson piano, walls of platinum albums and guitars. 960 1280
Cabin Fever 14 Photos


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I've been using my time with the new site so my fantasy stuff has gone down hill.
Thanks for the compliment. I wasn't on much today because I went to the world's longest dual meet and was busy at work today.
I was really bored today so I sat down and figured up if I had taken all IU guys on my fantasy team -w/out Angel-I'd have 451 points .Powless would have scored me more points at 197 than Todd has
Hwt -35
this is silly -Zapp doesn't count fft 's and on one occasion I showed him 4 sites where Stewart won 10-2 but he went with Scorebook at intermat -2-0-this fantasy isn't fun w/out scoring tournaments the way they should be scored -I have 138 points from tournamentds that didn't count-if you score them as duals count them all I say .
Live and learn -you've done a wonderful job on the Indiana board , I've posted there several times -did you see the one where I mentioned Steve Dum and him being coached by Dullaghan ? Dick is a great guy and would excel at anything .
I have been really good, just been busy with the new site. Its taken off pretty well. I guess the old guard isn't too happy, but they haven't fixed their board so their loss.
How ya doin' ? Just wondering if the crowd mobbed you and ran you out of town or tarred and feathered you -if you don't mind my asking , who were the teams -I'm not a stalker or anything just might be familiar with some or the programs . How does Patascil get majored by Yates then win 3rd place ?
Just checking to se if you were ok.
Try it again, I was having issues with it last night.
site finally came up but wouldn't register me .
I tried and couldn't get the site to come up .
Check out IndianaMat.com, screw the other board!
Both teams will have to deal with it, as I really won't be able to favor anyone. I have reffed our wrestle-offs and I have to be unbiased then as much as I wouldn't want to be! It will be interesting to say the least.
Depending on how well I knew the coaches and wrestlers I'd DG myself from certain matches just because of the appearance of impropriety . I'd like to think I was a good enough ref to be objective but on the first tight call I heard it from everyone .
That sucks on both counts. At least he'll be back soon and an AD is kind enough to reply to an email from a stranger!
If your arm doesn't hurt I wouldn't have surgery on it!
I got my first wrestling meet to ref this weekend. Kinda nervous especially because with two of the four teams I have worked with a good number of their kids. One of the other two teams, I coached there for a year, but it was 5 years ago, so I don't know any of the kids.
I looked at Rider's roster and Umbrehauer wasn't on it -e-mailed the A.D. and he was kind enough to say that Umbehauer is supposed to return to the team on 12/20-no guarantees -I wish I'd known that Sunday . Now I don't have a 184 at CK.
The surgeon said there was a fissure and wanted to operate to try and meld the bone and Graft back together --So I asked him by ''fissure do you mean a crack ?'' and he said yes -I asked him about the procedure and it would entail 3 hours of surgery with no guarantee of succes -remove my arm -the whole thing -I said what if I leave it alone ? and he says there is a possibilty it could fracture -so what -it doesn't hurt very much and they are going to have to redo it in 10 years anyway -So i passed -he wasn't happy as I am trial subject in an experimental procedure -but damn -they have opened my shoulder wide open 2 x's in the last 4 years , enough 's enough.
The people in Indiana think Indiana kids are the greatest and don't realize Indiana is a mid-tier state. Good luck with the surgeon.
I try very hard -well, sometimes I try , to get along with everyone -but that Indiana wrestling site has some short bus people posting there -90% of them actually believe Paul Young will make it to the podium in March . As what ? They nalso think Walpole is the answer at 149 -I saw a picture of Nick the other day and didn't recognize him -he was a walking ball of muscle at PM -like his dad and brother -he looked like he was about to starve to death -I think Kinser will walk if Goldman tries to make him get down to 49 . I'd rather have Ryan Konz at 149 than Walpole -at least he improves little by little -sorry to bother you about this al the time but I have too much time on my hands and go back to the surgeon Wednesday and he's gonna tell me the graft cracked -
Goldman is good at running kids off. A couple years ago he had to re-recruit Josh Buuck back to the team after Herman got the boot. Goldman and Mena need to go, that program should be a lot better.
Do you remember that thread I started about wrestle-offs and how Pelton beat Kekky last year and Goldman wouldn't let him wrestle ? Just saw where Pelton is at Notre Dame collece and wrestling 149 and doing pretty well-some guy on the Indy high school site -cadet 130-said the guy was a loser and had guit to go home and live with his dad . Getting so you don't know what to believe anymore -that's why I put my name on my posts -you want to know me just google your heart out .
Man, I am pissed -Indianapolis sent more wrestlers to Mizzou than IU did-open -141 Kelly49-Walpole184 Powless 174 Avery -that's it !!!!
Ramos has already asked to transfer and he's in the semi's -as are Malone and Cook-I am about to trade every frigging IU guy I have .Goldman is a bitch .
you have a zillion picks left -you ought to pick up Paul Young and wrestle him against those puds on IU's schedule -The Hoosier duals -ha -never knew those schools existed much less wrestled -he could easily pick you up 30-40 points as a part time back up.
If shithead redshirts Howe I'm thinking about picking up that humongous kid from Stanford -the one who beat Shirley at the Cowboy open -that is a HUGE 165 lber .
Thank you , kind sir.


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WHO: Ariel Winter
WORE: Angelys Balek dress, Jean-Michel Cazabat heels, Alice + Olivia clutch, Dana Rebecca Design earrings, Graziela ring, and CB Luxe cuff
WHERE: Batman: The Dark Knight Returns, Part 2 premiere in Los Angeles
A little black dress is a wardrobe go-to for a night out, and we're loving Ariel's metallic, embroidered take on the classic. The leather brocade bodice and glittery satin skirt give an otherwise-basic frock a glitzy twist! Although we never mind a small pop of color when it comes to an LBD, Ariel sticks with coordinating black T-strap pumps, a plexiglass clutch, and subtle jewelry to pull her look together.


text: Caring adults in the community, known as Hidden Heroes, are needed for the 2013-2014 school year. Each adult is paired with a youth. At least once per month, the Hidden Hero sends something uplifting in the mail to the youth partner. It can be a poem, an inspirational quote, a motivating story or so...Read More


text: Racehound - Unregistered June 02, 2011 7:50 AM far q and your "slimeball" comment!!!! where the fark do you get off throwing insults at people you dont even know personally? You read all the sh!t about Fernando at McJalopies in 07 and Crashgate et al and that entitles you to label the man a slimeball even though you dont really know ALL the facts! Stick to commenting about what he does behind the wheel and drop the mudslinging bullcrap coz its got a bit lame lately!!! # 9 agree 2 disagree


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AUSTIN, Texas -- The Texas Senate has passed the two items on the third special session agenda less than an hour after Gov. Rick Perry called them back.
Perry called another special legislative session Tuesday afternoon after the House failed to win enough votes to approve a constitutional amendment to spend at least $840 million more a year on transportation.
The Senate did not waste any time suspending all the rules to refer the constitutional amendment and a supporting bill to the Senate Finance Committee. The committee passed it out in 10 minutes and the full Senate passed it 30 minutes later.
The measure now goes to the House, which meets on Monday. It's not clear if they will have the 100 votes needed to send the amendment for voter approval.


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As the Maharashtra state government failed to full fill promised demands, even after giving written commitments, medical officers attached to the Maharashtra State Gazetted Medical Officers Organisation (MAGMO) have gone on an indefinite non co-operation strike from today. According to the MAGMO officers, around 12,000 doctors have participated in this strike.
"As the government is not attending questions by the doctors, medical officer organisation is forced to take such a stand. Our demands are overlooked again and again, and we have no options left," said Abhay Tikde, state president of MAGMO media cell.
Work at state-run hospitals has come to a standstill as the medical officers working with various government facilities have joined the strike.
The senior cadre of the state health department who called for the strike have pressed for demands such as fixed working hours and special increments. sub-district hospitals and districts hospitals, primary health centres state-run dispensaries, civil surgeons, and specialist doctors have joined hands in this agitation.
"There are around 789 medical officers with BAMS degree and 32 medical officers with BDS degree who work as medical officers on ad-hoc basis. Along with this around 1,700 medical officers in the state have not received this back-dated benefit," Tikde said.
The association has demanded that the state government should resolve promotion related issues of medical officers and declare their seniority list. "For the last three years, government has been assuring us that we will be given better prospect, but no firm stand has been taken. We understand that because of our strike hospitals have come to a standstill and it is affecting patients, but every time we go on strike, we are taken for granted and fake promises are given. But this time we are not going to step back until the cabinet decision is taken," said MAGMO officers.


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Dr. Anne S. De Groot, EpiVax CEO and University of Rhode Island professor, has been named one of the most influential people in the vaccine industry by the national vaccine industry organization VaccineNation. more
By PBN Staff
Harvard University received a record donation of $350 million for its public health school from the family foundation of real estate developers Gerald and Ronnie Chan of Hong Kong-based Hang Lung Group Ltd. more
By John Lauerman
(Updated, 6:30 p.m.) South County Hospital Healthcare System has ended merger talks with Southcoast Health System roughly six months after the two community health organizations began serious talks to combine operations. more
By PBN Staff
The Boston Sports Club, a health club at the corner of Dorrance and Westminster streets in downtown Providence, is closing, the general manager confirmed Friday. more
By Patricia Daddona
(Updated, 4:45 p.m.) CVS Caremark Corp. halted sales of tobacco products almost a month ahead of schedule, started a smoking-cessation campaign, and changed its name to position itself as an advocate of better health. more
By Kristen Hallam and Albertina Torsoli
Thanks to a $16.5 million settlement between the federal government and several states, Rhode Island will receive $172,513 for its Medicaid program. more
By PBN Staff
A study released Friday by Healthcentric Advisors found that implementing and adhering to communications guidelines can drastically improve how information is transferred from hospitals to outpatient primary care physicians. more
By PBN Staff
Newport Hospital recently received the American Nurses Credentialing Center's Magnet Recognition, nursing's highest distinction, for the third time. more
By Elizabeth W. Lorenz
Providence Optical was named one of "America's Finest Optical Retailers" for 2014 by "Invision" magazine, a business publication for eyewear professionals. more
By Elizabeth W. Lorenz
The Lifespan nonprofit health care system generated total operating revenue of $1.7 billion in 2013, with total operating expenses of $1.72 billion and net income of $17 million, according to Lifespan's annual financial statement. more
By Kaylen Auer


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What can I do if my husband won't help with the baby or the housework?
I'm grateful that I can stay home with our 6-month-old, but my husband doesn't realize that while his job is Monday through Friday, mine is seven days a week. It's like pulling teeth to get him to watch our 6-month-old for half an hour so I can take a shower or just get a breather. He won't change a diaper unless I ask, and then he gives me a hard time about it. The same goes for feedings or even giving the baby attention. I can't get him to clean, cook, or help with the laundry either. I'm exhausted and I never have time for myself. What can I do?
Posted: 01/25/2005 by a BabyCenter Member
Mom Answers
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Honestly It sounds like your husband is selfish and spoiled. Being a husband and a father is more than providing sperm and a paycheck. Just because he works doesn't make it fare for you to do everything else. You need to sit him down and make him realise that he needs to take an active role in the household and the care of his own child. It;s not going to kill him to hold his own child while you bathe or take a nap. Things aren't going to get better until you stand up for yourself. This could have a devastating affect on your health and marriage. Seek out help now!posted 01/31/2005 by a BabyCenter Member
My hubby didnt help out with our 1st,I think he was the 1 who got depressed,not me.He wouldnt hold her or do chores or make dinner etc.I made my point-I have just had our 2nd & he is so much better this time.I got our 1st into a really strict routine & now she is wonderful to be around & he sees that.So when our 2nd came along he was right there,helping to get this one into a routine so we can have a nice smooth day & nothing like housework or phone calls waits until we have a spare minute-Stuff just gets done because I made him see how much better it is when you work as a team.The minute either of us stops pulling our weight we can see how quickly the routine disappears & everything crumbles!Its mayhem when that happens so I push(pretty much constantly) for the dishes to get done,get babies in the bath,clean the rabbit hutch so that by 7pm the babies go to bed,we make a cuppa & sit in front of the tv with no dishes to do,dinner already eaten & time to ourselves to enjoy each other.posted 12/21/2009 by RoxiDanOlive&Rita
It's sort of funny that what I thought was a terrible thing turned out to be my biggest blessing. After a perfect pregnancy, I ended up with an emergency c-section, baby was in mortal danger but was born perfectly safe but then I lost a massive amount of blood and then developed an infection. Terrible as it was, it forced my husband to be the baby's primary caregiver for the first few weeks since we have no family here. He bonded with her immediately. Still, once I was a little better, I too heard the dreaded "I'm tired. I work all day." comment. Two things I suggest. First of all, I reminded my husband that at least his job ends but imagine if it was 24/7, how tired and in need of a break he would be. I also refuse to let him off the hook for some stuff because bonding is important. But we did compromise. I realized that he is tired at the end of work so when he comes home, I let him sit and watch tv or have a beer or whatever for a half hour. He keeps the kids with him but they happily watch tv too while I finish dinner (I usually prep during naptime). After we eat, childcare is negotiable depending what we may have planned that night. As for housework, I decided that it is part of the job while I'm a stay at home mom but I put my foot down that I'm the cleaner but he has to keep the place tidy (hang up his coat, dirty clothes in the hamper, etc.) He also does some of the "man's work" like taking out the garbage and fixing things. We've discussed that when I go back to work , we may have to suck it up and pay for a housekeeper even if it means giving up other things.posted 01/30/2006 by jjleigh
I am a new father of a 2 month old boy. I'm not sure that you ladies understand. Most men are ignorant we don't have the maternal instinct that all of you wonderful ladies have! I dont understand it at all my fiance can pick up our son and he immediately gets quiet! when I try to grab him he screams louder Its like a sick joke kids have with mommies (HAHA lets make dads blood pressure shoot to the moon) I dont know I think most men don't know how to bond with children that young. I also believe that with a little understanding and communication from moms that men would be more willng to try. Ladies it's kinda like not asking for directions when we are lost!!! Maybe you should try to communicate better with your man, you might be pleasantly suprised how they react!posted 02/01/2005 by mazyrae
i dont understand why all of you are having such a hard time.. i am 19 years old and am going through a divorce..my daughter is almost 10 months old now.. i have never had a problem getting everything done during the day and spending time with my daughter too... i think its just mind over matter... raising a child is not that dificult people!!!!posted 02/16/2012 by amcgowan1992
First, in defense of the men...I think that a lot of new dad's are afraid of the baby and they don't know what to do. They are just insecure about it. As far as taking care of house I think they figure that since you are home all day you should have plenty of time to keep the house clean, laundry done and meals prepared. I'm not saying they are right, I'm just saying you have to understand where they are coming from. They figure that if you are a SAHM it's your "job" to do this stuff. Around here my husband doesn't help much with the housework but he does help with the kids. I don't really ask him. I give him choices. Do you want to feed the baby or fix dinner? Do you want to watch the kids while I scrub the bathrooms or do you want to scrub the bathrooms? Do you want to straighten up the family room or the kitchen? When the kids are in the bath...would you rather wash up M or dry off and dress A? It's kind of what I do with my 2 year old! It also helped that due to be layed off he was home for about a month with me and he saw what I did every day and he knows how hard it can be. At the time I only had a toddler and now I have an infant and a toddler. As long as the house is basically tidy and he has work clothes he doesn't complain. I'm also known for saying things like, "I started dinner and your going to need to fix it." Or, "Your going to need to feed the baby". As for diapers. I usually only ask when I really want him to do it. He usually does it without complaint unless he's done several in one day and then I get a little whine. Oh well, he still had to do it and not me! I think the main thing is that you can't expect your husband to offer or even see that you need help and do it. Men are kind of stupid that way, even my husband admits that. That's why if I need something I am very specific. I'm like this with everything actually. Good Luck! He'll come around. It will get a lot better as the baby gets older and the more you trust him. Maybe just leave him alone with the baby so that when he doesn't have you to pass the baby off to he will realize that he can handle it.posted 01/31/2005 by aleemum
My husband used to think me staying at home with the kids was vacation until he lost his job a year ago and I had to step up to go to work. Once I became the bread winner and he was at home with the kids all day, he then realized that it was no walk in the park. He has been so appreciative since then, now he helps me out around the house and with the kids and can't wait for me to get home so he can take a break. Maybe he needs to walk in your shoes for a while, I bet he'll change then.posted 09/02/2012 by margdeb92
I have the same type of husband... the best advice I ever got came from my mom who basically told me to overlook his bad parenting skills and try to remember he is at other things in our marriage, thank God he has other qualities, otherwise I'd be jumping on his throat all the time.posted 08/20/2012 by a BabyCenter Member
Being a stay-at-home mum is very hard work, with no recognition (from anyone, it sometimes seems) and no pay. You do need "me" time and you do need your husband to help but it does take them a while to work out how much work it takes. The more you can leave your baby in his care, the better. That first year is VERY tough though, and very unpredictable. I found I had to pick my moment - I wanted to hand my daughter over as soon as he got home, but learned to wait a while as they need to unwind from work, then factor in "play" time so that I could get a shower, etc. Do you also have family who can visit? You'll be amazed at how much it helps to have someone distract your baby for a bit, and how much more energy it gives you. Hang in there and keep getting him to look after the baby. It took 6 months for my hubby to bond with our girl, and he didn't bathe her for a whole year. Sometimes they're actually nervous but won't show it. It DOES get easier, I promise!posted 08/05/2012 by Skibabe2010
wow some people got mean this person wrote this in 2005. If the person that wrote this reads this i want you to know some of these people sound like they had horrible lives like this comment on 8.9.11 when you have children this a joint effort and you are both valuable. there must be work done on both sides i always think if my husband leaves at 630 and is gone till 430 that is the time i am on the clock. when he is home it doesnt count he clocked out and we made these babys together and we will do this together. I am worth it even though i stay at home and dont have a pay check. he knows it but if he ever looses site of that hell be sorry. we work together thas what a marrage is all about.posted 08/27/2011 by emma48
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Besim Tabaku, 34, is the owner of Toni's Family Restaurant located at 2630 Stauton Road in Benld, Ill. He was sentenced Oct. 23 by U.S. Magistrate Judge Byron G. Cudmore, Central District of Illinois, to five months in prison and ordered to pay a $27,000 fine for employing illegal workers at his restaurant.
Tabaku was ordered to report to the Bureau of Prisons in one month to begin serving his federal prison sentence. Tabaku was also sentenced to serve one year supervised release following his release from prison.
ICE agents initiated a worksite enforcement investigation into Toni's Family Restaurant earlier this year after receiving credible information that a number of illegal workers were employed there. On April 10, ICE agents arrested five illegal aliens from Mexico who were employed at the restaurant. The illegal workers all confirmed that they were required to work six days a week at the restaurant and that Tabaku paid them in cash.
ICE agents subsequently executed a federal search warrant at the restaurant on May 28 and arrested four additional illegal alien workers. Tabaku, who was charged in a criminal complaint in June, pleaded guilty Aug. 14 to knowingly hiring illegal aliens at his business.
The Gillespie (Ill,) Police Department assisted ICE with this investigation. Assistant U.S. Attorney Gregory M. Gilmore prosecuted this case.
"Employers who take advantage of illegal labor to gain a competitive advantage for their own profit will be prosecuted," said Gary Hartwig, special agent in charge of the ICE Office of Investigations in Chicago. "Regardless of whether a company has 50 employees or 50,000 employees, ICE will enforce the law against employers who tolerate or perpetuate a shadow economy."
In 2008, ICE made more than 1,100 criminal arrests tied to worksite enforcement investigations. Of those charged criminally in these types of cases, 135 were business owners, managers, supervisors, or human resource employees. In addition to the criminal arrests, ICE also took 5,100 illegal aliens into custody on administrative immigration violations during worksite investigations.
To help employers build a legal workforce, the U.S. Department of Homeland Security has an initiative called the ICE Mutual Agreement between Government and Employers, or IMAGE. IMAGE is designed to build cooperative relationships between the government and businesses, strengthen hiring practices, and reduce the unlawful employment of illegal aliens. The initiative also seeks to gain greater industry compliance and corporate due diligence through enhanced training and education of employers. ICE strongly encourages employers to review IMAGE program materials available at www.ICE.gov.


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The Hilarious Results Of Jimmy Kimmel's "I Unplugged The TV During The Super Bowl" Prank Challenge
Last week, Jimmy Kimmel issued a new prank challenge to his viewers: Unplug the TV at a crucial moment during Sunday's Super Bowl XLVI and film the reactions of loved ones and friends. On his show tonight, Kimmel aired the results—they did not disappoint.
This post was created by a user and has not been vetted or endorsed by BuzzFeed's editorial staff. BuzzFeed Community is a place where anyone can post awesome lists and creations. Learn more or post your buzz!
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See the Victoria's Secret model's hottest snapshots to have hit her Twitter and Instagram album.
With spring in full swing, Taylor Swift is making the most of the warm weather.
Who doesn't love a good hike, especially when you get to hike with some serious eye candy.
Could Calvin Harris be Taylor Swift's forever? Or if it will go down in flames.
So this is how Lord Disick is ringing in his big 3-2.


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Messages on freehannah.com
I received the prayer request from a friend in Zachary, La., and have sent it out to all my prayer warriors. Hannah is now being prayed for in Russia, Switzerland, Israel and all over the U.S. There is power in a multitude of prayers and just want you to know that many are standing with you.
--Mary H.
I don't know Hannah or Larry Overton, but my heart goes out to them. I couldn't imagine losing a child, being stripped away from my other children, having the media instruct everyone to look at me as some kind of a monster, and then ultimately being found guilty of murdering my baby as she has. It bothers me that the media and the police were out for blood rather than out for the truth.
--Tina M.
Continuing to pray and spread the word about this injustice. Your pics are adorable. I do believe that this is going to turn around for the good. God keeps His promises. Stand strong in Faith. I love the fact that you are choosing to love those who have acted in such a mean bullying way. There are always bullies on the playgrounds; it's just sad when they are adults. Love is the right choice, always. Your sister in Christ, Nancy.
--Nancy C.
We have been contacting everyone that we can think of and are encouraged by what is going on. I expect that this will be on several radio and TV shows soon. We are praying for the family for it is God who must move this giant. Our God thrives on impossible situations!
--Paul C.
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Activity (1328 community guides)
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You can travel to Morocco from the UK or anywhere in Europe without the need to fly. This guide shows you how to do it from London in about two days... read more »
Find out about shimmering seas, gastronomic treats and natural wonders. Then discover its fascinating history... read more »
All at sea on the west coast of Scotland...what a wonderful place to be. The short break teeming with wildlife, walking, great food, equally great company and the best bit of all - relaxation... read more »
Enjoy the solitude of Loch Awe's single track road, stand in the spot where Scotland's first king was inaugurated and stay in a gourmet Bed and Breakfast with views of ancient standing stones... read more »
For some unfathomable reason, mass tourism has not arrived in Ghent…yet. Find out why Europe's biggest city in the 14th century is its most underrated in the 21st.... read more »
There is no better way to buy French wine than direct from the maker's vineyard. Here's how to swill, sniff, spit and talk like an expert, and the best hotels to stay in... read more »
Both are full-blooded cities of southwest France, with accents forged by cassoulet, fighting and rugby football. Toulouse is bigger, Carcassonne more visited. So which is the short-break favourite?... read more »
Whether you see Nessie or not, you can have a monstrously good time in Inverness. A long way north, but well worth it, the city will wine you, dine you, dance your socks off and send you home happy... read more »
Granada is best known for the Alhambra and the Albayzin. But it has another big selling point, too - bet you didn't know that a night on the town would earn you a free dinner!... read more »
Creole and Cajun still rule OK in New Orleans - but hot new chefs are now challenging the old guard with innovative fare... read more »
Whether you're an adrenaline junkie or a full-on foodie, Cape Town's got you covered... read more »
The Galapagos Islands are high on most people's travel wish lists, and no wonder. The experience is massively rewarding - especially with creature comforts to return to at the end of each day... read more »
It's spring, and sleepy Lodeve is stirring, as visitors head for this corner of Southern France. Billed as the gateway to the Mediterranean, it's quite unique, and definitely worth stopping by... read more »
Take the ring road around Iceland for a road trip like no other. Rent a car, buy a map, and discover this remarkable country for yourself... read more »
For pilgrims in Spain, all roads lead to Santiago de Compostela. Ignore the crowded Camino Frances, take the "Primitivo" and tramp Spain's green provinces of Asturias and Galicia. Tough, but rewarding... read more »
Galway - steeped in music and history; filled with friendly folk, festivals and crammed with cosy pubs, culture and craic. Get yourself to Galway; City of Tribes, Vibes and the time of your lives....... read more »
Island-hopping and trekking in the Cape Verde Islands: a funky fusion of African hospitality, Latin American music, Caribbean-style beaches and Portuguese heritage... read more »
The rosé wines of Provence are routinely rubbished by experts. That's because experts know nothing. In truth, the pinks heighten the sensuality of the sunlit south. We should get among them... read more »
With miles of golden sand, great food, big city sights and a theme park to rival the best America has to offer why travel any further?... read more »
From rolling lowlands to majestic peaks and quiet lochs, the West Highland Way takes in the best Scotland has to offer – and hikers don't even carry their own rucksacks. Baggage handlers do that…... read more »
Showing 1-20 of 1328 results


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|Popular | Random | Origins
JulieRate Julie: Do you like this name?
Meaning and name origin
Julie \j(u)-lie\ as a girl's name is pronounced JOO-lee, ZHOO-lee. It is of French origin. Diminutive of Julia (Latin) "youthful; Jove's child". Imported from France in the 1920s. Strindberg used the name in this 1888 tragedy "Miss Julie". Actresses Julie Andrews, Julie Harris, Julie Walters, Julie Kavner; cookbook author Julee Rosso; pop singer Julee Cruise.
Julie has 9 variant forms: Jooley, Joolie, Julee, Juley, Julienne, Jullee, Jullie, July and Jully.
For more information, see also related girl names Juliana, Julissa and Giulia.
Julie is a very popular first name for females (#52 out of 4276) but an uncommon surname or last name for all people (2000 U.S. Census).
Displayed below is the baby name popularity of the name Julie for girls (2015 statistics).
Displayed below is a comparison of the popularity of the girl name Julie and its variant forms. Variation forms ranked in the Top 1000/100 are Julia, Juliana, Julie and Julissa. (2015 statistics).
Similar Names
Julie is also pronounced similarly to Jillie, Jiulia, Jolee, Joli, Jolie, Juli and Jullia. Other suggested similar baby names are Judie, Juliet and Juline. These names tend to be less commonly used than Julie.
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Originally written on Fox Sports South | Last updated 11/17/14
AUBURN HILLS, Mich. -- Michigan made Havoc look helpless. Mitch McGary had 21 points and 14 rebounds, and the fourth-seeded Wolverines breezed through Virginia Commonwealth's vaunted pressure with a clinical performance Saturday, beating the fifth-seeded Rams 78-53 to advance to the NCAA round of 16 for the first time since 1994. VCU (27-9) was relentless in a 46-point rout of Akron on Thursday night, but the Rams met their match against Michigan's cool-headed backcourt. Trey Burke and Tim Hardaway Jr. rarely looked rattled against VCU, and although Michigan (28-7) committed 12 turnovers, the Rams couldn't turn many of them into quick scoring opportunities. McGary, a 6-foot-10 freshman, set season highs in scoring and rebounding. VCU had no answer for him around the basket, and when the Rams couldn't create easy baskets with their pressure defense -- they call it "Havoc" -- they were finished. The 71-point swing by VCU -- from a 46-point win to a 25-point loss -- was the largest...
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Latest News
LaCrosse Talk
Information about and from LaCrosse Talk
Mark Meier's (Marc Meiner's) "Lifepod"
WI's Do Not Call List or call (866) 966-2255
MN's Do Not Call List or call (800) 921-4110
Federal Do Not Call List or call (888) 382-1222
Police Have Little to Add in Petras Killings
Police Use Public Nuisance Law to Tackle Problem Properties
Utilizing a new ordinance, La Crosse police have ticketed three properties in
Huebsch Not Sweating Court Ruling on Collective Bargaining
You get the feeling there's not a whole lot of panic in the Walker
Police Seeking Info On Double Murder At May's Photo
Police vehicles and crime scene tape kept people from traveling on one block of Main Street in La Crosse on Saturday night and Sunday.
Two murders took place inside May's Photo shop Saturday afternoon, and police have given out limited information about the shootings of shop owner Paul Petras and his 19-year-old son A-J. Robbery might have been a motive. Captain Robert Lawrence wants witnesses who noticed unusual things in the Main Street area that afternoon to call the police dispatch, 608-785-5962, or the Crime-Stoppers line, 784-TIPS. May's Photo put on a photography class shortly before the shootings. These are the first murders in the city of La Crosse since the shooting death of a young woman at an apartment building last March.
Murders Of Shop Owner And Son Being Investigated
Little new information early today about the shooting deaths of the owner of May's Photo in La Crosse and his teenage son.
Sources say Paul Petras and his son A.J. were shot and killed on Saturday afternoon inside the family's business on Main Street, in what may have started as a robbery. The victims apparently were found hours after the crime. The 400 block of Main Street was shut down to traffic for hours after police arrived.


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News & Announcements from WestPac
Scroll down for older items.
WestPac Grants for the AALL Meeting:
The Grant Committee is requesting immediate action on grant applications for AALL. There are two grants available (and it is possible for one person to receive both). One of them is funded by AALL, and the deadline for submitting that information to AALL is April 1st!!! So download the application form and get started today!


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Gear Review
Like wearing a pillow
- Familiarity: I've used it several times
These shoes are super comfortable. I bought the white/navy blue which look awesome when I wear them to a baseball game. White gets dirty quickly, but worth the effort to keep them clean.
View More Details on DC Villain Shoe - Men's


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Attend a community meeting to learn more about local efforts to help runaway and homeless youth.
Engage in conversation and support our advocacy efforts through Shout Out!
Watch the powerful documentary The Homestretch, Mon., Nov. 3rd at 7pm, at Dairy Center for the Arts. The film follows three homeless teens as they fight to stay in school, graduate, and build a future.
You can RSVP to email@example.com or click here to join our Meet Up group.


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Time For Some MVMT Watches – Cyber Monday Sale!
Let's keep this simple and effective for a Cyber Monday calling. MVMT Watches are timepieces that we feel are worth their salt. We've been trailing their success from the Indigogo days. What make their watches stand apart are the class and affordability factors. Precise Japanese quartz movement and durable stainless steel cases add to their definition. This Cyber Monday avail a straight 10% Discount on all the exciting seven styles.
Available: MVMT Watches [ 10% Cyber Monday Discount ]


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Orange Hill Beach Inn
from £70 /night help Price for guests, Nights
from £70 /night help Price for guests, Nights
Estimated nightly price based on a weekly stay. Excludes fees (if applicable). Enter your dates to see the total cost.
Hotel apartment / 1 bedrooms / sleeps 4
Availability Your dates are available
Hotel apartment / 1 bedrooms / sleeps 4
|Key Info
This space feature our 240 ft2 studio apartment. In it are two queen-sized beds, a bathroom with bath and showere combo and a fully equipt kitchenette.
With Old-English inspiration, this 33 room apart-hotel consists of multiple two-storey buildings. A large pool is available onsite that is great for swimming and lounging. Tropical Fruit Trees adorn the gardens and are offered free to the guests.
Included in the room count are 3 Standard rooms, 10 Studio rooms, 16 Poolside rooms, 2 Apartments and s beautiful Ocean-front cottages.
Also, located on the property is a restaurant and bar that serves local cuisine and continental breakfast. The bar is self serve honor system!!! The onsite restaurant serves good, reasonably priced meals. Breakfast included fresh coffee and very tasty fruit juices
With views of the ocean, Orange Hill Beach Inn has a very relaxed atmosphere and caters mostly to person wanting to get away from the city or just passing through from Nassau International Airport.
Take advantage of our free shuttle to the grocery store.
|Sleeps up to 4, 1 bedrooms
|Will consider
|Long term lets (over 1 month)
|No pets allowed, No smoking at this property
Features and Facilities
|Internet access, Sea view
|Shared outdoor pool (unheated)
|Air conditioning, TV, Telephone, Safe, Satellite TV, Wi-Fi available
|Cooker, Microwave, Fridge
|1 bedroom, 1 bathrooms of which 1 Family bathrooms
|Double beds (2)
|Linen provided, Towels provided
|Shared outdoor pool (unheated), Balcony or terrace, Shared garden, BBQ
The New Providence Island region
Beautiful Bahamas is where you want to be. Nassau is an old world city with a modern flair. Sandy beaches, aquamarine water, rich eco-system, endless ocean views, and rich culture are what embraces you when visiting the Bahamas.
New Providence is also great for Corporate functions, Trade Shows and Networking.
Orange hill is primarily a luxury, residential area with business offices nearby and fine dining. This location is just a 8 minute drive from Nassau's International Airport, (LPIA) and less than 10 minutes from the Cable Beach city.
Cable Beach is one of the oldest known tourist destinations in the Bahamas. You will find 60% of the larger resort properties, Casinos, Golfing, Tennis, Water sport, Banking, Shopping, Dinning and Night Life.
Cable beach is located on the northern shore line of Nassau and has public bus transportation that can take you to Down Town Nassau in less than 8 minutes.
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70% Response rate
Calendar last updated:16 May 2015
Based in United States
- English


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Research indicates circadian rhythms impact the way animals and humans process food, with problems such as diabetes more likely in those whose consumption is out of sync. Rodent studies have found that "simply restricting feeding to incorrect times has adverse consequences," according to a Northwestern University researcher. Meanwhile, a Spanish study of 420 dieters determined those who ate their main meal before 3 p.m. lost more weight.
View Full Article in:Scientist, The (free registration)
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Data Standards
caBIG® Data Standards
Common Data Elements (CDEs) are annotations collected in a uniform manner across multiple institutions, allowing the sharing of data in a standardized format. To date, over 20 CDEs have been accepted for use by the caBIG® Community as Data Standards. To view a list of caBIG® accepted Data Standards, click on the link below for the list in alphabetical order.
Data Standards Process
and Governance Process [February 2010]
The governance process for identification of standard Common Data Elements (CDEs) to be used in caBIG® is described graphically in a caBIG® CDE Governance Process diagram. The process includes the conceptualization and development of Proposed Standard CDEs, review and approval of Candidate Standards by the caBIG® Vocabularies and Common Data Elements (VCDE) Workspace, and periodic review and maintenance of the Standard CDEs. Registration status is used to track progress from a Proposed standard, to a Candidate standard, and then to a Standard approved for use by the caBIG® community.
A current list of CDEs under consideration for caBIG® Data Standard status can be found by using the caDSR Browser (CDEBrowser). Data Standards are registered in the caBIG® context under Classifications in the Browser tree and presented by registration status of Proposed, Candidate, and Standard.
Candidate caBIG® Data Standards/Modifications Under Review
There are currently no reviews. There is a harmonization activity for the existing CDEs in the caDSR that is owned and led by the Dianne Reeves and the content curators.


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Actor Ben Affleck has reportedly injured his left shoulder on the set of his upcoming film Batman v Superman: Dawn of Justice.
The 42-year-old star, who plays Batman in the superhero movie, strained himself due to a stunt involving his left shoulder. He was sent home, reported Ace Showbiz.
"It was hurting him pretty bad," a source said of the set injury. "He's putting his all into this role and it's pretty physically demanding. The trips to the gym are two, sometimes three times a day and on set he's like a machine."
The sequel to 2012's Man of Steel has been moved to March 25, 2016 to avoid competition with Captain America 3 which is due May 6.


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20th C. Factory Filament Glass Cloche Sconce
Evoking early-20th-century industrial lighting, our reproductions of vintage fixtures retain the classic lines and exposed hardware of the originals. Designed to showcase the warmth of Edison-style filament bulbs.
Show product details...
- 5½"W x 8"D x 11"H
Shown in polished nickel.
20th C. Factory Filament Glass Cloche Sconce - 5½"W x 8"D x 11"H
1910 Squirrel-Cage Filament Bulb - 2" diam., 4¼"L