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UMMC Connections
UMMC Connections is the newsletter for the University of Maryland Medical Center. It is published three times a year, and produced by the Office of Corporate Communications and Public Affairs.
news for the University of Maryland Medical Center community MMC U Connections SUMMER 2013 " The most damaging phrase in the language is: 'We've always done it this way.' " – REAR ADMIRAL GRACE HOPPER UMMC MIDTOWN CAMPUS New Name Reflects Expanded Partnership he name change reflects a closer alignment with the University of Maryland Medical Center that began in 1999, when Maryland General joined the University of Maryland Maryland General Hospital Becomes ON JUNE 6, THE UMMC COMMUNITY CELEBRATED an expanded partnership when the former Maryland General Hospital became University of Maryland Medical Center Midtown Campus. MESSAGE FROM THE CEO LOWER COSTS, HIGHER STANDARDS News reports are full of the pressures the health care industry faces to lower the cost of providing care. Yet we continually aspire to improve the quality of that care and our patients' outcomes – that's a goal we will never compromise. How do we do both? Only by reshaping our organization and our thinking to meet these new emerging challenges. This summer, we welcomed an expanded partnership with our neighbor and fellow UMMS member hospital, now called University of Maryland Medical Center Midtown Campus (see article, this page). Another initiative, Transitional Care Coordination (also on this page) is a unique program to help certain patients make a safe transition home. And our Facilities team finds ways to reduce costs while also lowering our environmental footprint (page 7). The Medical Center has always been a beacon to patients throughout our region. Although we face external pressure to reduce our operating costs, we're dedicated to exceeding everyone's expectations when it comes to patient care and service. T "In the coming months, a series of project teams involving physicians and staff from both campuses will begin working on collaborative plans to continue our collective missions of quality patient care," Rivest said. "The closer alignment with UMMC Midtown Campus will reduce duplication of services, support continued growth of ambulatory services and continue to focus on delivering high-quality patient care." Medical System (UMMS). UMMS now comprises a total of 12 hospitals throughout the state, with UMMC as its flagship academic medical center. The new name reflects the hospital's location in midtown Baltimore, minutes from Mount Vernon Square and Meyerhoff Symphony Hall. "As close neighbors – just one mile apart – and members of the same medical system, both UMMC and UMMC Midtown Campus have always shared a commitment to serve residents of Baltimore," said Jeffrey A. Rivest, president and chief executive officer of UMMC. "Now, with a closer partnership, our two medical centers can maximize efforts to provide patients with a broad array of services and locations," Rivest said. "This is more important than ever, as hospitals across the country must seek innovative ways to maintain the highest possible standards for care at a lower cost." In general, services for the most complex cases will be at UMMC, which specializes in critical care medicine, cardiac care, cancer, pediatric specialty care and other highly specialized services for which patients are often referred by another physician. UMMC Midtown Campus also provides specialized services, such as diabetes care and vascular care. "Patients will be treated in the most appropriate setting for their particular needs – whether they are local or coming from within the region," Rivest said. Left to right: Jeffrey A. Rivest, president and CEO of UMMC; Sylvia Smith Johnson, president and CEO of UMMC Midtown Campus; Marilyn Carp, board chair, UMMC Midtown Campus; E. Albert Reece, MD, PhD, dean of the UM School of Medicine; Robert A. Chrencik, president and CEO of University of Maryland Medical System. Learn more about UMMC Midtown Campus and this partnership at www.ummidtown.org. FEATURED INSIDE TRANSITIONAL CARE COORDINATION • atients are usually happy to leave the hospital and sleep in their own beds, but for some, factors at home or in the community challenge their efforts to continue healing. A new program started this year at UMMC, Transitional Care Coordination (TCC), gives extra attention and practical help to patients who are at the highest risk of a preventable readmission. The TCC team members – two nurses, a social worker and a clinical pharmacist – meet with the patient before and after discharge, helping remove barriers to a successful transition home. >>>> STORY CONTINUES ON PAGE 2 PAGE 3 PAGE 3 PAGE 7 P helping patients get back to health AFTER DISCHARGE, Sincerely, INSIDEConnections: UMMC Employees Rally to Give the Gift of Life page 3 New Campus Walking Paths page 3 Event Reunites Grateful Patients and Caregivers pages 4-5 CAMPUS WALKING PATHS saFety tiPs Secure your valuableS. Leave cash, mp3 players and other property in a secure location before taking a walk. JEFFREY A. RIVEST President & Chief Executive Officer Employees of the Month page 5 Student Volunteers Lift Children's Spirits Chef's Garden Seasons Patient Meals page 7 People Spotlight page 8 page 6 WalK youR Way to HealtH Obesity is an epidemic in the United States, killing more people every year than HIV/AIDS and breast, lung and prostate cancers combined. As the prevalence of obesity increases, so does the incidence of diabetes, hypertension, osteoarthritis, coronary artery disease, and cancer. In an effort to combat this epidemic, the University of Maryland, Baltimore, the University of Maryland Medical Center, and the Baltimore VA Medical Center have created a series of throughout campus. The paths, of varied lengths We Heal > walking We paths Teach > We Discover > We Care and directions, have been designed with the health of our constituents, neighbors and visitors in mind. Take a walk today! Don't uSe cell phone. Chatting or texting while you walk limits your awareness of traffic, passing joggers and bikers, or other hazards. You also become a distracted, easy target for crime. Keep MuSIc loW. If you do choose to use an mp3 player, keep the volume at a low level so that you can hear bells and other warnings from bicyclists, runners and pedestrians as well as sounds that might signal potential danger. We Heal > We Teach > We Discover > We Care > We Heal > We Teach > We Discover > We Care > > We Heal > We Teach > We Discover > We Care > uSe the buDDy SySteM. Whenever the the the possible, plan your walk with others. There is safety in numbers. If you must walk alone, tell someone where you are going and when you expect to return. 2 UMMC Connections F E AT U R E S T O R Y "This approach to transitional care involves caregivers across the spectrum of UMMC, and puts the emphasis on patient care, rather than inpatient or outpatient care," said Joanne Riley, vice president for ambulatory care at UMMC. "The focus is on the person and his or her needs, in a seamless way that doesn't stop whether they're in the hospital or doing their best to stay healthy at home." Photo caption here Transitional Care Coordination team members include (l to r): Patsy Flanagan, MA, LCSW-C; Sara Eltaki, PharmD, BCPS; Sharon Eiler, BSW, RN, EMT-B; Jennifer Togioka, MS, BSN, RN, PCMH-CCE; and Anne Connor, BSN, RN, CCM. UMMC Connections is produced by the Office of Corporate Communications and Public Affairs for the UMMC community. 22 South Greene Street Baltimore, Maryland 21201 410-328-6776 www.umm.edu Jeffrey A. Rivest President and Chief Executive Officer Mary Lynn Carver Senior Vice President Communications and Public Affairs Anne Haddad Editor and Publications Manager Chris Lindsley Director, Communication Services Frank B. Moorman Director, Strategic Internal Communications Linda Praley Creative Director Linda J. Lynch Staff Assistant Michelle Bamburak Sharon Boston Kate Hancock Taylor Hebden Michelle Murray Meghan Scalea Kathy Schuetz Bill Seiler Karen Warmkessel Hannah Wolfe Alexandra Zaremba Contributors Email news and story ideas to firstname.lastname@example.com. They start by talking with the patient about his or her specific goals, asking, "What is the most important thing we can work on together?" The collaboration that follows is more likely to lead to success as the patient defines it. For example, a female patient who had been hospitalized for complications related to diabetes had established a careful system of managing her condition in spite of a learning disability. "She was a college graduate and a professional and had done very well with her own system for managing things, until a non-healing wound threw a wrench into it and she needed some help to get back on track," said Anne Connor, BSN, RN, CCM, one of the two nurses on the TCC team who helped the patient. When TCC staff recognized that she was unable to read, Connor and Sara Eltaki, PharmD, BCPS, the clinical pharmacy specialist on the team, visited her at home, modified her patient-education materials to include illustrations and worked with her until she could understand them fully. Another patient, a 31-year-old man confined to a wheelchair since an injury 10 years earlier, had been hospitalized recently with nausea and vomiting. In the process of his discharge, he told transitional care social worker Patsy Flanagan, MA, LCSW-C, that he needed a new wheelchair and a hospital bed at home, but had trouble getting linked into the resources to obtain them. Flanagan helped him find a doctor at UniversityCare Heritage Crossing, who helped provide the care and documentation he needed to obtain his wheelchair and bed. UniversityCare is part of UMMC. Because transportation was also a big issue for this wheelchairdependent patient – he didn't have a reliable way to get to doctor appointments – Flanagan connected him to transportation through the Baltimore City Health Department as well as helped him apply for wheelchair van service through MTA Mobility. A TEAM APPROACH WITH INDIVIDUAL ATTENTION "This approach to transitional care involves caregivers across the spectrum of UMMC, and puts the emphasis on patient care, rather than inpatient or outpatient care," said Joanne Riley, vice president for ambulatory care at UMMC. "The focus is on the person and his or her needs, in a seamless way that doesn't stop whether they're in the hospital or doing their best to stay healthy at home." While post-discharge coordination isn't a new concept, the UMMC model takes a fresh approach that could make the process more effective. In particular, UMMC's model is based in the Ambulatory Care departments, where the staff is already connected to the outpatient and post-hospitalization services the patient will be using. And because a There is a guaranteed bridge and line of communication that spans both the inpatient and outpatient care settings. member of this transitional care team meets with the patient before discharge, there is a guaranteed bridge and line of communication that spans both the inpatient and outpatient care settings. The model has caught the attention of the University HealthSystem Consortium, a national organization of academic medical centers in which member hospitals share best practices. As part of the innovative approach, the TCC team surveys patients afterward so they can continually assess the effectiveness of the program and refine it. PROBLEMS SOLVED "The team utilizes an interdisciplinary approach to provide valuable interventions aimed at reducing avoidable readmission, improving patient outcomes, enhancing self-efficacy in illness management and reducing health care costs," said Jennifer Togioka, MS, BSN, RN, PCMH-CCE, the TCC program manager. The TCC team assesses an individual's need before he or she leaves the hospital, and then follows up with patients at home. Not all patients need this level of transitional care; the TCC team works with inpatient nurses, physicians and social workers, to identify which patients will face the highest risk in their first weeks at home. Many of the services that help people who are sick have scaled back as a result of federal budget impasses and changes in health care reimbursement. Transportation, the high cost of medication, housing issues and dependable outpatient care are behind most of the challenges that cause patients to have to come back to the hospital. Coordinating care with outside agencies, the team can connect patients with equipment companies, home health agencies, skilled nursing facilities, social service agencies, transportation programs, mental health and substance abuse programs. We Heal > We Teach > We Discover > We Care > We Heal > We Teach > We Discover > We Care > We Heal > We Teach > We Discover > We Care > We Heal > We Teach > We Discover > We Care > W EVERY TWO SECONDS IN THE UNITED STATES, SUMMER 2013 3 UMMC Employees Rally to Give the Gift of Life SOMEONE NEEDS BLOOD. ecause blood cannot be manufactured, nor can donors be paid for blood that will be transfused into patients in the US, everyone is dependent on the altruism and generosity of donors who freely give "the gift of life." Just one pint of blood from one donor can save three lives. Blood drives that UMMC has sponsored in the Medical Center or in the community have drawn significantly more donations in the last year. The increase is not by accident: UMMC and its fellow UMMS hospitals have made a concerted effort to make blood drives more convenient to staff and visitor schedules, and to raise awareness about the need for blood. In fiscal year 2013, a record-breaking year, UMMS-sponsored blood drives collected more blood than any other medical system in the American Red Cross Greater Chesapeake Region. It's no wonder, because staff at UMMC care for some of the most critically ill and injured patients who have the greatest need for donated blood, whether for surgery, cancer or traumatic injury such as automobile crashes. Access to blood is critically important for any major operation. Liver transplants, for example, require at least 10 units of blood products to be typed and prepped for each patient before the surgery begins. Without access to blood, cardiac surgeries, transplant surgeries and trauma surgeries would be impossible to perform. "Blood products from volunteer donors are essential to the treatment of patients with hematologic malignancies and solid tumors," says Kevin Cullen, MD, professor of medicine and director of the University of Maryland Marlene and Stewart Greenebaum Cancer Center. "The majority of patients we see will need blood-product support as part of their treatment, and many will require large numbers of transfusions. Without these blood products, we would not be able to care for patients who come to our center." B TO FIND OUT WHEN THE NEXT BLOOD DRIVE WILL BE, GO TO umm.edu/blood CAMPUS WALKING PATHS Paths Encourage Walking on UMMC andsaFety UMB Campus WalK youR Way to HealtH tiPs Obesity is an epidemic in the United States, killing more people every year than Secure your valuableS. Leave cash, (UMB),and kicked off the newly marked campus walking paths, As the Center in the Weinberg Atrium. paths marked with HIV/AIDS breast, lung and prostate cancers combined. prevalence of mp3The players andare other property in a secure location before taking a walk. obesity increases, so does the incidence of diabetes, hypertension, osteoarthritis, designed to encourage staff, students and visitors to fit color codes and distances to make them easy to follow. coronary artery disease, and Don't uSe cell phone. Chatting or texting some exercise into their day.cancer. Jeffrey A. Rivest, UMMC "The goal is to promote health and wellness in an passing joggers and bikers, or other hazards. You In an effort to combat this epidemic, the University of Maryland, Baltimore, the also become a distracted, easy target for crime. MD, president of UMB, launched the new paths for the manager of community empowerment and health education. University of Maryland Medical Center, and the Baltimore VA Medical Center have Keep MuSIc loW. If you do choose to use created a series of walking paths throughout campus. The paths, of varied lengths mutual benefit of everyone who comes to the greater "American adults get half of the daily activity they need, so In May, UMMC and the University of Maryland, Baltimore Maps of the paths are available at the Patient Resource president and chief executive officer, and Jay A. Perman, engaging way," said Anne Williams, DNP, RN, senior while you walk limits your awareness of traffic, andcampus directions, have designed with of our constituents, neighbors sohelp that you can whether hear bells and shared by been the UMB schools and the the health Medical Center. we're trying different ways to them, it isother withwarnings and visitors in mind. Take a walk today! from bicyclists, runners and pedestrians as well For family members of patients, the three new walking a pedometer or a path." as sounds that might signal potential danger. an mp3 player, keep the volume at a low level paths can provide a way to cope while waiting for a loved And if the weather is just too walkers have a cooler uSehot, the buDDy SySteM. Whenever the daily routine. GreeN PATH (.75 miles) one in surgery or awaiting treatment. And the paths remind staff, faculty and students to add physical activity to their the BLUe PATH (1 mile) the starting at the Patient Resource Center. of your SurrounDIngS. be aWare red PATH PRINT OUT THE WALKING If you see someone suspicious, be prepared to alter that are already marked on the first floor of the hospital, where you are going and when you expect to return. possible, plan your walk with others. option. The new paths complement the three indoor paths There is safety in numbers. If you must walk alone, tell someone (1.5 miles) your route or go into a building. Sometimes simply acting alert can ward off an assailant. PATHS TODAY AT > assistance call the University police at 410-706-3333, or the Baltimore police at 911. Blue Light Emergency Telephones are stationed along each walking path. We Heal > We Teach > We Discover > We Care > We Heal > We Teach > We Discover > We Care > We Heal > We Teach > sorry. We Discover > We Care > We Heal > We Teach > We Discover > We Care > Don't hesitate—It's better to be safe than www.umaryland.edu/map call for help. If you feel threatened or need about tHe PatHs HealtHy Habits Note: Use of the campus walking paths is 4 UMMC Connections E Great examples to email@example.com. very day, patients and their families express gratitude to Medical Center staff members for the care and service they provide. Staff members notice when one of their own does something extraor- dinary, too. Three times a year, the Great Stories program selects from exceed standards and expectations to enhance a patient's experience. Patients, patients' families and staff are encouraged to submit Storıes HONOREES: Daniel Gelb, MD; Vadivelu Sivaraman, MBBS; Tameca Bell; Michele Bennet, BSN, RN; Annamma Chacko, RN, CMSRN; Marla Chiarelli, CRNA; Cheryl Durant, MPT; Shermin Gomez; Kathleen Kwiatkowski, RN; Jean Ludwig, MS, RN, CCRN; Noella Paul, RN; Randy Jose Poquin, RN; Purnell Robbins; Leah Rossman; Liam St. John, RN, CNOR; Katrina Stransky, MS, OTR/L; Katie Trauntz, OTR/L; Earl Johnson; and the Plaza Garage valets. among the many e-mails and letters about staff members or teams that Great Multidisciplinary Care Excerpt from a letter from Linda Tipton Dr. Gelb's expertise and forthright manner kept the scary idea of spinal fusion and decompression in perspective for my husband, Sean. I had expected the stereotypical urban teaching hospital. The UMMC staff surprised me at every turn, to the point that I wondered whether it was the hospital, or were people just nicer in Baltimore? I was most impressed by your system of communication, [with hourly updates from the OR nurse through the] attendant in the waiting area. This should be the new standard in hospitals. The man who escorted family members to the recovery room [reminded us to] "show [Sean] the love." As a psychologist, I was amazed at the power of those words. Are you all paying close attention to the psychological aspects of healing on purpose? The recovery room nurses were attentive and serious about pain management. His anesthesiologist told me how well the surgery went. On the ortho floor, his nurses' … years of experience [were] obvious. The physical and occupational therapist were top-notch [as was the pharmacist]. And the valet parker who was directing traffic helped Sean into the car, and gave him tips on staying comfortable on the drive home. From the surgeon to the valet parker, we felt in the best possible hands. Great Inspiration Dear Dr. Shorofsky, Excerpt from a letter from Ensign Tyler C. Griffith It has been a year since you did my cardiac ablation and I wanted to thank you and your staff. I don't know if you remember me, but I wanted to pursue a career in Naval Aviation as a pilot, but was diagnosed with Wolff-ParkinsonWhite Syndrome. Ensign Tyler C. Griffith, pictured below; his mother, Karen, pictured right After two attempts at ablation, with the second being successful, I was able to get cleared by the Naval Flight Surgeons and received my commission as an Ensign in the U.S. Navy. I will start flight school in October and hope to have my "wings" within a few short years. My parents and I are so grateful for everything. If it weren't for your excellent skills, perseverance and caring staff, I would not be this close to realizing my childhood dream … to pursue a career as a pilot in Naval Aviation. HONOREES: Vincent See, MD; Stephen Shorofsky, MD, PhD; Hiroko Beck, MD; Alicia Benson, RN; Deborah Horsey, RN; Stefany Johns-Walton, RN; Jonathon Klaus, RN; Deborah Nolan-Reilly, RN; Jody Zak, BSN, RN; and the Electrophysiology Laboratory. We Heal > We Teach > We Discover > We Care > We Heal > We Teach > We Discover > We Care > We Heal > We Teach > We Discover > We Care > We Heal > We Teach > We Discover > We Care > W SUMMER 2013 5 M O N T H T H E O F E M P L O Y E E F E B R U AR Y employee of the month SARAH KANG, PHARMD, BCPS, CACP Clinical Pharmacist Department of Pharmacy Services In her 3½ years in the Department of Pharmacy Services, Sarah Kang, PharmD, BCPS, CACP, has eagerly accepted new and challenging assignments. • She has distinguished herself not only for her ability and knowledge but also for her flexibility and teamwork. Abound @ UMMC M AR CH employee of the month TARA KELLY, MS, CRNP Nurse Practitioner for Bariatric Surgery Department of Surgery Tara Kelly, MS, CRNP, nurse practitioner for bariatric surgery, provides pre- and post- Great Service HONOREES: Rajender Gattu, MD; Celeste Carter, BSN, RN; Michelle Garwood, BSN, RN, PALS, CPEN; Jodi Scott, CPhT; Sarah Watts, BSN, RN, CPEN; Getachew Teshome, MD, MPH; Mary Jo Simke, MS, RN; Mary Taylor, MS, RN; and the Pediatric Emergency Department. operative support for patients undergoing surgery to help them lose weight. • "Tara is an incredible clinician who has developed a great rapport with our bariatric patients," said Carmel McComiskey, DNP, CRNP, director of nurse practitioners. Excerpts from an e-mail from Chris Russell My daughter Hailey and I flew out from Denver to attend the Ravens-Broncos game. The night before the game Hailey became very ill at the hotel [and] we transported her to your hospital. I can't begin to describe the service, compassion, urgency and care she received. I might as well have been in a hospital where a family member was in charge. They treated me and Hailey as if we were part of their families. There was even extreme care when it came to your pharmacy! One woman … went out of her way with a smile! Very rare nowadays. Michelle Garwood [held] my daughter's hand and talked to her like her own mother would have done. Dr. Raj was phenomenal. Compassionate and funny, yet he gave me confidence. We were blessed to have that group care for Hailey in a scary and difficult situation. Thank you. AP R I L employee of the month MANDY CHAVEZ, RN Clinical Nurse II Acute Medicine Telemetry Mandy Chavez, BSN, RN, ACRN, joined the staff on 11 East Acute Medicine Telemetry 18 months ago, just after graduating from nursing school. Already, her passion for her work has made her a valuable addition to the unit. • "Mandy is an enthusiastic, energetic and exceptionally well-organized nurse," said Shawn Hendricks, MS, RN, the nurse manager of the unit. M AY employee of the month Great Compassion LYNETTE RICHARDSON Case Manager Case Management As a case manager, Lynette Richardson, BSN, RN, CCM, works every day to provide the best outcomes for patients. She balances the needs and concerns of their families with the treatment plans their medical providers have proposed, as well as with the payment limitations their insurers have imposed. Excerpts from an e-mail from Jennifer Ditch Please forward this to Harold, my nurse. He went above and beyond. He took excellent care of me when I was there for a head laceration. He eased my fear immensely. He is one of the best nurses I have ever encountered, and I am a nurse myself. Daniel, also, who wheeled me down to the lobby, would not leave me, insisted on staying until he saw my mom, and made sure I had enough to drink while I waited. He was very kind and caring. The lady with the British accent took great care of me. She saw me crying, and came to my bed to comfort me, and helped me with what I needed. The doctor who sewed up my head did not even shave my head! I don't know how he did that — I have a lot of hair. Thanks to all. J U NE employee of the month TINA WRIGHT, BS, RRT-NPS Registered Respiratory Therapist Department of Respiratory Care Tina Wright, BS, RRT-NPS, takes on several roles at the Medical Center. In addition to her primary responsibilities as a registered respiratory therapist in the pediatric and neonatal areas of care, she also specializes in extracorporeal membrane oxygenation (ECMO) and teaches cardiopulmonary resuscitation (CPR). J U L Y employee of the month TRACY STATTER, BSN, RN, CPEN Senior Clinical Nurse I Pediatric Emergency Department During nursing school, when it came time for Tracy Statter, BSN, RN, CPEN, to do HONOREES: Rebecca Gilmore, RN; Daniel Goodman, PCT; Harold Hardinger, BSN, RN; John Vorrasi, DDS; Jay Menaker, MD; and Trauma Team B. her pediatric clinical rotation, she was not excited. A friend recalls her asking, "Who would ever want to work with kids?" But once she started working with the young patients, Statter was a convert. Check out the UMMC blog for more Great Stories at medcenterblog.org We Heal > We Teach > We Discover > We Care > We Heal > We Teach > We Discover > We Care > We Heal > We Teach > We Discover > We Care > We Heal > We Teach > We Discover > We Care > > 6 UMMC Connections Children's Hospital Patients Conduct a Teddy Bear "Clinic" Students volunteer at annual "clinic" designed to lift the spirits of patients at the University of Maryland Children's Hospital S Pictured at right >>>>> UM Children's Hospital patients Hanna Hart and Laura Snodgrass take home teddy bears they personalized with help from pharmacy students such as Virginia Nguyen (center) and child life assistant Renee Heatwole (left). At right is Laura's mother, Esther Snodgrass. miles and laughter filled the hallways of the University of Maryland Children's Hospital (UMCH) as patients and their families arrived at the fourth annual Teddy Bear Clinic. Hosted by the UMCH Child Life Program and Maryland Regional Operations at the University of Maryland School of Pharmacy, this clinic offered a welcome break from doctor appointments and exams for children in the hospital's inpatient and outpatient units. Laura Snodgrass, 7, and her friend Hannah, 5, were among the children excited to take their turn playing doctor after finishing their appointments for the day. Arriving in white shirts and matching purple skirts and leggings, the girls quickly chose their teddy bears, selecting identical white bears from the display, before moving on to the different stations to perform thorough check-ups on their new cuddly friends. "Children learn through play, so activities like the Teddy Bear Clinic offer them the perfect opportunity to better understand hospitalization and explore the medical atmosphere at their developmental level, using a hands-on approach," said Molly Baron, CCLS, certified child life specialist at UMCH. "Events like the Teddy Bear Clinic bring the health care experience down to the children's level, allowing them to understand it in a way that is significant to them," added Renee Heatwole, CHSP, child life assistant at UMCH. The child life team plays a crucial role in supporting children and their families by helping them cope with and adjust to the stressors of illness and hospitalization. Members of this team work closely with doctors, nurses and other health care professionals to address the developmental and psychosocial needs of children and their families. The Teddy Bear Clinic is one of many initiatives the team launched to provide children with a fun way to play and learn more about health care experiences in a safe, non-threatening manner. This year marked the third year that students from the School of Pharmacy helped raise money for and volunteered at the Teddy Bear Clinic. Members of Maryland Regional Operations within the American Pharmacists Association Academy of Student Pharmacists raised the funds needed to purchase 60 asthma-friendly teddy bears for the children. INNOVATION "This event is great because it gives the children a chance to be the doctor. They have so much fun with it," said Kendrix Nguyen, third-year student pharmacist and senior chair of Maryland Regional Operations. "It also helps the children understand why doctors and nurses check their vital signs every day and emphasizes the importance of the triage they go through each time they visit the hospital." Hannah could not contain her smile as a volunteer slipped the stethoscope around her ears to let her listen to her teddy bear's heartbeat, while Laura helped another volunteer perform a CT scan of her teddy bear in the doll-size "scanner" that is usually in the pediatric unit's playroom. "Laura is scheduled to undergo a CT scan soon, so watching her help perform the procedure on her teddy bear was great," said Esther Snodgrass, Laura's mom. "I think having events like this available to the children is amazing, and as a parent, I really appreciate it. They introduce children to things they might experience during their time in the hospital, and once they know what those things are, the fear of the unknown goes away." (Adapted from an article by UM School of Pharmacy writer Malissa Carroll, appearing on the school's website.) A CCRU: A Unit Designed for Time-Sensitive Critical Care Medicine n innovative patient care unit at the University of Maryland Medical Center is the first stop for incoming critically ill patients. In the new Critical Care Resuscitation Unit (CCRU), physicians, nurses and other staff specially trained in critical care will resuscitate and stabilize these patients before admitting them to the most appropriate of UMMC's 10 specialized intensive care units The new CCRU is modeled after the timetested concept of the Trauma Resuscitation Unit (TRU) at UMMC's R Adams Cowley Shock Trauma Center. It opened in July in the nearly complete Critical Care Tower, the newest addition to the Medical Center. The unit is overseen by medical director Lewis Rubinson, MD, PhD, associate professor of medicine, and nurse manager Theresa DiNardo, MSN, RN, CCRN. "It has long been our vision to offer this unique patient intake unit," said Thomas Scalea, MD, physician-in-chief of the Shock Trauma Center and system chief of critical care services for the University of Maryland Medical System. "This unit brings the best of what we do to the forefront and advances our legacy of leadership in offering the best chance at recovery for our region's most critically ill patients." "From the beginning, the clinical staff was able to work hand-in-hand with the architects and facilities staff to design patient rooms and treatment areas that will best support their efforts to resuscitate and stabilize the most critically ill patients," said Karen Doyle, MBA, MS, RN, NEA-BC, vice president for nursing and operations at the Shock Trauma Center and for the Adult Emergency Department. "Thanks to Leonard Taylor [senior vice president for operations and support services at UMMC] and his staff collaborating closely with us, we have the best environment possible for this highly specialized care." Physicians at other hospitals throughout the region consult with UMMC's highly trained clinical intensivists. When a consultation indicates a patient needs to be transferred to UMMC, a team from the CCRU meets the ambulance or helicopter, ready to care for the arriving patient. More than one-quarter of UMMC's nearly 38,000 admissions in 2012 came via transfers through University of Maryland ExpressCare, whose staff specialize in the coordinated, safe and skilled transfer of patients between hospitals. We Heal > We Teach > We Discover > We Care > We Heal > We Teach > We Discover > We Care > We Heal > We Teach > We Discover > We Care > We Heal > We Teach > We Discover > We Care > W SUMMER 2013 IN THE COMMUNITY 7 N Chef's Garden Seasons Patient Meals utrition is important to healing, and UMMC's Chef Stephen Mack, CEC, now has an herb garden to snip fresh herbs for his recently revamped menu. A raised garden that had once held ornamental ivy has been planted instead this year with a functional and efficient herb garden. Chef Mack, who no longer has to order herbs from a produce supplier, now uses the basil, parsley, cilantro, rosemary, thyme and other herbs to flavor patient meals and offerings in the Courtyard Cafe. But Chef Mack says he can't take credit for the idea – just knowing what to do with the end product. The garden was the idea of Denise Choiniere, MS, RN, director of sustainability and materials management, who was inspired by the fresh offerings from the University Farmers Market that she established in partnership with University of Maryland, Baltimore. To visit the courtyard herb garden, enter through the Au Bon Pain restaurant near the UMMC main entrance. IN THE GARDEN: Chef Stephen Mack, Justin Graves, BSN, RN, sustainability manager, and Denise Choiniere, MS, RN, director of sustainability and materials management AWARD U Distinction for Leadership in Sustainable and Efficient Practices paying attention not only to the traditional things, such as recycling, but that – more importantly – we are changing practices in order to reduce toxicities at the bedside," said Leonard Taylor, senior vice president for operations and support services at UMMC. For example, the hospital has switched to cleaning and maintenance products that kill germs but are safer for patients and staff. Clinical staff in the Mother-Baby Unit partnered with the Maryland Pesticide Network to teach new mothers how to keep their infants and families safe from harmful pesticides. "Being a Practice Greenhealth Environmental Excellence Award winner establishes your leadership in prioritizing your environmental performance and demonstrates your commitment to a higher standard of excellence in sustainability," the award letter stated. "On a personal note, we want to recognize the initiative, hard work, and determination it takes to protect the environment and human health, yet still maintain cost effectiveness in the competitive health care market." UMMC's sustainability practices involve staff across the organization, led by Taylor and Denise Choiniere, MS, RN, director of sustainability and materials management; Justin Graves, BSN, RN, sustainability manager; and diverse employees who make up the Green Team and support and initiate sustainable practices. niversity of Maryland Medical Center earned a national award for leadership in integrating sustainable practices throughout the organization to enhance patient safety and the quality of care. The organization, Practice Greenhealth, honored UMMC as a 2013 Partner for Change, with Distinction, for being a national leader in sustainable practices, such as programs that eliminate products and equipment containing mercury, reduce waste and recycle. Further, the Medical Center has applied sustainable practices to a wide range of areas, such as food, energy, water and chemical minimization. "The reason that our Green Team and sustainability efforts are distinctive on a national level is that we're UNIVERSITY FARMERS MARKET NOW ACCEPTS CARD PAYMENTS The University Farmers Market this year can accept electronic payment, such as debit, credit and SNAP cards. A table at the market is equipped with a card reader, and customers can purchase a token or certificate to then use at any of the vendor tables. • The market continues on Tuesdays through Thanksgiving, from 10 am to 2:30 pm. > We Heal > We Teach > We Discover > We Care > We Heal > We Teach > We Discover > We Care > We Heal > We Teach > We Discover > We Care > We Heal > We Teach > We Discover > We Care > 8 UMMC Connections PEOPLE SPOTLIGHT THE DAILY RECORD HONORS TWO UMMC LEADERS THREE UMMC NURSES EARN REGIONAL HONORS Gold Foundation and Senator Mikulski Honor Shock Trauma Physicians Two UMMC executives were chosen among Maryland's Top 100 Women for 2013. The annual recognition is sponsored by The Daily Record, which has an independent panel of business leaders choose 100 women from among more than 500 nominations from the community and area organizations and businesses. Marianne Rowan-Braun, Jeffrey A. Rivest and Lisa Rowen Lisa Rowen, DNSc, RN, FAAN, senior vice president of patient care services and chief nursing officer, and Marianne Rowan-Braun, vice president and director of the Campaign for Shock Trauma, were selected this year for their professional accomplishment, community involvement and commitment to mentoring. Having received this honor two previous times, Rowen now also becomes a "Circle of Excellence" inductee. "UMMC is privileged to have Lisa and Marianne as part of our leadership team," said Jeffrey A. Rivest, president and chief executive officer of UMMC. "Every day, they demonstrate a commitment to excellence that inspires all of us to provide the best care for our patients and evolve the Medical Center for future success. We are pleased that the broader community echoes the high esteem we hold for these individuals." Three UMMC nurses were finalists in three different categories in the 2013 Nursing Excellence Awards sponsored by Nurse.com (formerly called Nursing Spectrum magazine). Karen Doyle, MBA, MS, RN, NEA-BC, vice president of nursing and operations for the R Adams Cowley Shock Trauma Center and the Adult Emergency Department, was a finalist in the Volunteerism and Service category. Doyle's work has influenced nurses and patients not only in Maryland, but also globally. She has supported international initiatives for staff to provide expertise in China, Haiti, Brazil and India. Known as an ethical, open and supportive leader who inspires creativity, she has overseen the implementation of flexible family visiting. Her projects have included developing and implementing a nurse-driven protocol that reduced catheter-associated urinary tract infections. Treza James, MS, RN, NNP-BC, clinical practice and education specialist for the Neonatal Intensive Care Unit, was a finalist in the category of Education and Mentorship. James led a multidisciplinary team to review evidence and develop a nurse-driven algorithm for oxygen management in babies with very low birth weight, resulting in an overall decrease in vision complications. She also led a team to improve management of hypothermia in newborns. Michele Zimmer, MS, RN, CCRN-CMC, senior clinical nurse II, Cardiac Progressive Care Unit, was also a finalist in the Education and Mentorship category. Zimmer organizes and plans orientation for all incoming nurses, and has used her experience to guide a team in completing an evidence-based project on delirium. She most recently helped complete the expansion project for the unit, including hiring and educating 23 new nurses. PATIENT CARE TECHNICIAN SHARES SUCCESS AT CHARITY GALA Shana White, CNA, a patient care technician on Gudelsky 5 East, was recognized at the Associated Black Charities (ABC) Gala June 8 for her success after receiving an ABC grant to enroll in IT Works, a training program that UMMC customizes for training certified nursing assistants and patient care technicians. She is pictured with Lt. Gov. Anthony Brown, who attended the gala. In the fall of 2010, White told the attendees, she was unemployed and unable to provide for her four children. She applied to the competitive IT Works program and learned Shana White with Lt. Gov. Anthony Brown patient care skills, infection prevention, communication skills and stress management. "I studied hard … and I stayed focused on my goal," White said. "After completing the program, I was hired by the University of Maryland Medical Center, where I've been successful and recognized for my dedication to patient care. I was recently awarded 'Most Outstanding Support Staff of the Year" [by the hospital's nursing staff]." At UMMC, White's mentors have included Patricia Y. "PJ" Wilson, BSN, RN, clinical education specialist, Jo-Ann Williams, manager of career development services, and her nurse manager, Simone Odwin-Jenkins, MBA, BSN, RN. "Each year ABC invites a presenter to speak about how his or her life has been impacted by an ABC-funded grant," Williams said. "Shana did an amazing job! This was her first time doing public speaking. I estimate there were more than 1,000 people in attendance, and she nailed it." Two physicians at the R Adams Cowley Shock Trauma Center at UMMC were awarded the Gold Doctor Award by the Arnold P. Gold Foundation, a national organization headquartered in New Jersey whose motto is "working to keep the care in healthcare." The new "Gold Docs," as the foundation calls them, are Thomas Scalea, MD, FACS, professor of surgery and physicianin-chief of the Shock Trauma Center, (left), and Mayur Narayan, MD, MPH, MBA, assistant professor of trauma and critical care medicine and medical director of the University of Maryland Center for Injury Prevention and Policy (right). The foundation gives a certificate and "Gold Doc" pin to physicians whose patients nominate them for their "exemplary skill, sensitivity and compassion." Narayan's injury-prevention center earned another accolade this year, when US Senator Barbara Mikulski, D-Md., gave a senatorial award to the UM Center for Injury Prevention and Policy for its "positive impact on the lives of Frederick County's troubled youth." GREAT IDEAS WANTED from staff, visitors and patients HAVE AN IDEA FOR A BETTER WAY TO DO SOMETHING? Please send it to firstname.lastname@example.com, or drop a note in one of the boxes next to the Main Lobby Human Resources station and other spots in the Medical Center. Like hospitals across the country, we're meeting the challenge of providing the best possible care while conserving resources and staff time. Your ideas, comments and questions can help us do that. UMMC Connections The University of Maryland Medical Center is an equal opportunity employer and proud supporter of an environment of diversity. is available on the Intranet and at www.umm.edu/connections. We Heal > We Teach > We Discover > We Care > We Heal > We Teach > We Discover > We Care > We Heal > We Teach > We Discover > We Care > We Heal > We Teach > We Discover > We Care >


text:
Who Benefits? is looking for stories from anyone who has ever received working-age benefits support, such as:
The campaign is not about pensions or other retirement-age benefits.
I've needed support from benefits because I was out of work for two years. I've worked all my life apart from then and was applying for jobs all that time – everything from admin roles to basic manual jobs – but it was extremely difficult to get anything.
The flat I was living in was mostly being paid for by housing benefit but I had to top the rent up from my Jobseekers' Allowance. After bills I didn't have much left to live off. Eventually I had to move out and live on a bed settee in a friend's office.
Without this support I would be on the streets. During those two years I relied on benefits, but I can't say it fulfilled all my needs. It's alarming to think where I'd be without it though.
Fortunately, I am now working in a mail sorting office.
I've needed support from benefits because, as a mother of four, daily life can be a real struggle. Before we received support, I was forced to borrow from family and friends. I'm a full-time mum, and my husband has been working as a full-time mechanic for six years. It annoys me when I read how families who receive benefits are being labelled as 'shirkers', 'scroungers' or 'work-shy'. Receiving support from Child Tax Credits is not a lifestyle choice for me – it's a necessity. It helps me to put food on the table for my family, buy clothes and school uniforms for my children and prevent the gas and electricity from being cut off. Without this support I don't know how we would survive.
I've needed support from benefits because when I was first diagnosed with bipolar the shifts in mood were so extreme I couldn't hold down a full time job. The stress was causing me to end up in hospital regularly. Benefits helped me cope with everyday living. Without this support I don't think my ongoing recovery would be as good as it is. I hope one day to be able to support myself as my condition becomes more manageable. But for now benefits make my life more bearable and through the darkest of times at least my basic needs are met.
I've needed support from benefits because when my husband left and I was made redundant from the job I'd had for more than six years – both in the space of just a few months – mine and my daughter's lives were turned upside down. I couldn't afford to keep the family house we'd been renting anymore, but benefits helped us find a new home. Without this support I would not have been able to get us back on our feet and get myself onto a teaching course. I'm studying to become a science teacher, a career that will allow me to fulfil my potential and provide for my daughter.
I am single parent to my nine year old son and I work in a children's centre part-time. When I became pregnant with my son, my partner left and shortly afterwards I lost my job. It was devastating.
Even once my son started school, I struggled to find work. Not only were few jobs offering the part-time hours I needed to balance work and caring for my son, there was a severe shortage of childcare in the city we live in. It was a very difficult time. I am very grateful for the support from benefits we had while I was out of work, and for the continued support we get now, to help pay the essential food, housing and energy bills that my salary just doesn't cover alone. It is still a struggle, but I hate to think where we'd be without the support we've had.
My family was on benefits for most of my childhood. My parents divorced, leaving my mum caring for me and my brother, who had chronic asthma and often needed time off school. Mum had a hard time finding an understanding employer.
We were poor but benefits kept a decent roof over our heads, fed us and clothed us until, step by step, mum could return to work. Benefits enabled my family to live with dignity through a time of crisis. Today, my mum loves her full-time job, my brother is a personal trainer, and I am finishing a PhD. We're not embarrassed that we needed a helping hand to get here and we support the families who still need it.
I needed support from benefits when my life abruptly changed in 2006 after an accident at home while doing repairs. I sustained a burst fracture of the lumber spine and needed surgery and stabilization with metal rods. As someone who hardly missed a day off work in 17 years I suddenly found myself with an acquired disability and not a clue where to turn to. I've had to fight very hard for disability living allowance and the stresses and strains of being out of work, and depression led to the break-up of my 15 year marriage.
With kids involved, this added more stresses and in 2010 I tried to take my own life. I am currently still out of work. Still mobility disabled and chronically depressed. However without the help of benefits, I don't think I would be here to tell the tale.
I needed support from benefits when I underwent chemotherapy, having been diagnosed with Non-Hodgkin Lymphoma. Within the space of four weeks, I was also made redundant from my job as an electrician contract manager.
Without benefits I could not have survived. My mortgage would have been foreclosed, a healthy diet unaffordable and travel costs beyond reach. It's imperative that the benefits system is in place to protect people like me when we are unable to work. The last thing you want to be worrying about when you're ill is money. The only fight you should have to take on is to get better. Five years ago I was given the all-clear and am now back at work. I no longer claim benefits and have paid off all my debt.

subset: commoncrawl


text:
- Complete the Dental Assisting Application for Admission online beginning February 1, 2015.
- Upload unofficial copies of all college transcripts before you submit your application.
- The application deadline is Monday, March 9, 2015.
- Students whose application and transcripts are received after February 28, 2015 will be added to a waiting list.
- Students will be chosen by lottery to receive a spot in the program if we receive more applications than spots available. Qualified students not chosen will be placed on a waiting list.
- You will be notified whether you have received a spot or are on the waiting list by March 13, 2015.
In order to be accepted into the 10-Month Dental Assisting Program you must
- be eligible for ENGL 100
- have a minimum 2.0 grade point average and
- have a highschool diploma or equivalent
If you are taking a prerequisite course for ENGL 100 during Spring, 2015, we cannot place you on the waitlist until you have completed and passed the course.


text:
05 September 2013 12:00 [Source: ICIS news]
LONDON (ICIS)--Here is Thursday's midday European oil and chemical market summary from ICIS.
CRUDE: October WTI: $107.83/bbl, up 60 cents/bbl. October BRENT: $115.36/bbl, up 45 cents/bbl
Crude futures gained after Barack Obama secured support from key US political figures on his plans for a limited military strike to degrade the Syria's chemical weapon's capability.
NAPHTHA: $957-959/tonne, stable
The cargo range is stable. October swaps were assessed at $947-948/tonne.
BENZENE: $1,320-1,340/tonne, up $10/tonne
September bids and offers opened firmer in line with gains seen in Asia and further upward movement on crude oil futures.
STYRENE: $1,880-1,925/tonne, steady
The market is subdued so far, with firming upstream and Asian numbers keeping buyers on the sidelines.
For more pricing intelligence please visit ICIS pricing
For the latest chemical news, data and analysis that directly impacts your business sign up for a free trial to ICIS news - the breaking online news service for the global chemical industry.
Get the facts and analysis behind the headlines from our market leading weekly magazine: sign up to a free trial to ICIS Chemical Business.
|ICIS news FREE TRIAL
|Get access to breaking chemical news as it happens.
|ICIS Global Petrochemical Index (IPEX)
|ICIS Global Petrochemical Index (IPEX). Download the free tabular data and a chart of the historical index
Asian Chemical Connections


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Hazelwood is an early Victorian country guesthouse set in the heart of the Avon river valley near Kingsbridge. There are 14 comfortable and individual bedrooms with a restaurant serving delicious local and organic fine food all year round - celebrations are a speciality!
Hazelwood runs an eclectic program of events, concerts, workshops and cultural weekends annually. They are also licensed for weddings and civil ceremonies, both in the beautifully restored old chapel, the grounds and the main house.
As a venue Hazelwood offers space, seclusion and inspiring surroundings as well as good food and hospitality. They also serve Sunday lunches and have weeknight special offers.
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AVCHD video playback hardware puzzle
View Single Post
Registered User
Join Date: Nov 2008
Posts: 15
AVCHD video playback hardware puzzle
I just upgraded my graphics card from a Geforce 8400 GS to a GT 520 1 GB, because my Ubuntu 10.04 system wasn't able to play back 1080 50p footage from my new Panasonic camcorder - video playback was extremely choppy from the original MTS video files. But to my dismay, the new card doesn't to the job, either. Now I am clueless. My system isn't that bad: a Q6600 quad core overclocked to 3 Ghz, 6 GB RAM.
I had tried it on my WinXP dual boot with the latest drivers and playback was equally choppy, so I figured the issue must be the graphics card. But now I'm not so sure any more. Moreover, the amazing thing is that the new laptop of my wife, featuring a i3-370 dual core (2.4 Ghz) with some integrated Intel graphics, CAN play it fluently, without any stuttering at all!!! Now, that is amazing. In both cases VLC player was used, on her system with Windows 7, I run 64 bit Ubuntu with the latest NVIDIA graphics driver (270.41.19). Note: 17mbps 50i playback is no problem at all. I can also play the transcoded to mp4 version of the MTS videos without problem, even when the mp4 video's bitrate is up to 150 Mbit (transcoding AVCHD with FFMPEG using the -sameq setting you can get crazy bitrates).
Now, I am lost as to what to do. Is it the CPU, or the graphics card, or what ???! I'm sure the issue is that of decoding the highly compressed AVCHD, but which bit of my computer is most responsible for that? BTW, my CPU is only being utilised around 80-100% (of 400 % of all four cores) during the very choppy MTS video playback.
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Mirror Reporter
George Eichmeier
George Eichmeier, 92, died Thursday, Jan. 31, 2013 at the Hummingbird House, Sierra Vista, Ariz.
Funeral services will be at 11 a.m. on Saturday, Feb. 9, 2013 at the Ward-VanSlyke Colonial Chapel, Clear Lake, with Rev. Daird Korth officiating. Visitation will be on Friday from 5 p.m. to 7 p.m., and then one hour prior to the service on Saturday. Burial will be in Memorial Park Cemetery, Mason City. In lieu of flowers, the family suggests memorials to the George Eichmeier memorial fund.
Donald Simpson
Donald L. Simpson, 60, of Long Beach, Calif., formerly of Wesley, Iowa, died Wednesday, Jan. 16, 2013, of complications from a stroke, at St. Mary's Hospital in Long Beach.
Don was born Oct. 24, 1952 in Algona, Iowa, to E. Louis and E. Ruth (Seaberg) Simpson of Wesley. Don graduated from Corwith Wesley High School in 1970 and attended Iowa State University.
Lavon Hain
Lavon Irene Hain, 88, Mason City, Iowa, died Thursday, Jan. 24, 2013 at the Muse-Norris Hospice Inpatient Unit, Mason City.
A Funeral Service was held Monday, Jan. 28, 2013 at the Immanuel Reformed United Church of Christ, Klemme, Iowa, with Rev. Donna Buckman officiating. Interment was at Ell Township Cemetery, Klemme. In lieu of flowers, memorials may be given to Lavon Hain's family.
Loren Lease
Loren Kendall Lease, 83, 400 Hwy. 18 W., died Sunday, Jan. 6, 2013 at the Oakwood Care Center, Clear Lake, Iowa.
Viola Miller
Viola M. Miller, 88, of 1402 N. 24th Street, Clear Lake, Iowa, died Friday, Jan. 18, 2013 at Oakwood Care Center in Clear Lake surrounded by her loving family.
A funeral service was held Monday, Jan. 21, 2013 at the Clear Lake United Methodist Church, with the Reverend Bernie Colorado officiating. Following the funeral service, cremation rites took place; and inurnment will be held at Memorial Park Cemetery, Fort Dodge, Iowa, at a later date.
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Our Oregon Mobile App
5,000 - 10,000 downloadsAdd this app to your listsTweets por @Appszoom
Be sure to set your location and personalize your app to receive updates on what is most important to you.
Our Oregon is an organization dedicated to fighting for a better Oregon. With simple actions you take right from your mobile device, you can get involved with Oregon politics and groups we work with, like Planned Parenthood PAC of Oregon, Oregon AFL-CIO, Basic Rights Oregon, OLCV and more.
The Our Oregon Mobile App combines geo-location and push technology to directly connect you and your networks with the organizations that are working to protect Oregon's future. This is the app for Oregonians who want to learn more and take action on issues that impact the future of our state.
With the Our Oregon App you can:
- Personalize your app to receive content relevant to you and what you care about.
- Enter your location (or any location) to receive push notifications and news updates that directly affect the area you choose.
- Get yourself and your networks involved with the issues important to you by tweeting, sharing on Facebook or emailing directly from the app.
Tags: our oregon voter app..
We're excited to bring you version 3.0 of the Our Oregon Mobile App, with new features including:
- Stay on top of Oregon political news with the new Our Oregon App. Follow our blog, news clips and important updates.
- Redesigned user interface to make reading and sharing the latest Our Oregon news easier than ever
- Ability to filter the communications you receive by your interests
- 3.0 makes it easy to get you and your networks involved in the issues you care about
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IDAHO FALLS -- An Idaho Falls man has been sentenced to 10 years in prison for his role in a Christmas Day stabbing death in Ammon.
District Judge Dane Watkins Jr. sentenced 18-year-old Brent Pongyan on Monday after he pleaded guilty to principal to aggravated battery.
Bonneville County Deputy Prosecutor Daniel Clark said 20-year-old Buck Garner was stabbed twice in the heart and that Pongyan acknowledged holding Garner in a full-Nelson as he was stabbed.
Clark said he did not believe Pongyan knew the suspect was going to stab Garner, but that he went to the house with the intention of fighting.
Joseph Chavez faces trial in September on a second-degree murder charge in Garner's death. He remains jailed on $750,000 bond.


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Tales from Canada
My son on stage with Lea Salonga
More News from Tales from Canada
The Pacific National Exhibition (PNE) Fair is an annual summer event in Vancouver. Every year thousands of people attend the fair which runs for about half a month. It features amusement park rides, concerts, indoor entertainments such as dog shows, acrobats, and a lot more.
I was so happy when I learned that Lea Salonga was going to be one of the performers in the PNE daily concerts. I am a big fan of hers and whenever I would hear she'd performing in Vancouver, I would always say I'd go see her but something would come up at the last minute that I wasn't able to go. This time I will make sure I am going to be there. I even told my relatives and friends about it and we all agreed to watch the show.
My friends had lunch in my house before heading to the PNE. Since I had to do some errands , my friends went ahead and just reserved a space for me. I figured I had enough time since it would only start at 8:00 p.m. When I got there at about 6:30 p.m., I was so surprised to find the venue so full. Security had cordoned off the area near the stage. I had to forcibly squeeze myself through the crowds to get to our spot. My husband and eldest son almost did not make it through. Luckily, they were able to convince the security guy to let them in. There were about 20 of us in our group including some people from our parish who managed to get through and sit with us. We had mats laid out about five meters from the stage. The crowd of about 8,000 was made up of mostly Filipinos.
The show started at exactly 8:00 p.m. When Lea came out of the stage, she was so surprised to see the large crowd. She felt overwhelmed at the sight of her kababayans who took time to see her perform. As expected, Lea did not disappoint her audience because her voice was magnificent as ever. My son even commented you could record her voice during the concert and not know the difference between a live show and a recording because of the good quality of her voice.
During the show, Lea asked who among the people in the audience were single. My son Arnie was one of those who raised his hand. She noticed him and said he is not qualified since he is too young and looks 15. The camera focused on Arnie and he stood up, took off his glasses and did a macho stance and declared he was 21. He had the crowd laughing and cheering because of what he did.
When Lea sang "Bakit Labis Kitang Mahal", almost everyone was singing with her. Of course, we were singing too and reminiscing those days when we went crazy over her team up with Aga Muhlach. She was so thrilled and declared she would definitely tweet about it. I also enjoyed her version of Lady Gaga's "Poker Face".
Halfway into the concert, she said she wanted to sing one of the songs from the Disney movie, Alladin but would need someone to sing the duet with her. A lot of people were raising their hands but Arnie stood out from among them because he was standing and raising his hands and all 20 of us were shouting "Him!", "Him!" so we got Lea's attention. She asked him to join her onstage saying since she had been teasing him all night so he might as well join her. We were all ecstatic when he came up and my husband who was holding Arnie's camera did not even have the chance to ask him how to operate the video on it. I decided to use my phone for the video and my husband just took the pictures.
When he got up on stage, Lea commented he did look 15 and asked him if he wanted anything…lyrics for the song "A Whole New World" or some water. He said he needed lyrics and when she gave him a copy, he also took Lea's glass of water and drank from it. The crowd roared with laughter when he did this. He was a bit nervous when he started singing so his voice came out a bit shaky at first. Lea was surprised he could sing well. Each time, the crowd cheered when it was his turn to sing. I was so excited and nervous and even started crying because I was so happy for him. He was able to regain his composure in the middle of the song and he really did well. He got a big hug from Lea and she complimented him by saying she had been doing that (getting someone from the audience to do a duet with her) without knowing what to expect but she said Arnie did good.
We were all cheering and congratulating him when he came back! His hands were icy cold when I touched them. He was totally in Cloud 9! He said he could not believe his luck! It was a dream come true for him having been an avid Lea fan since seeing her in Miss Saigon at the Cultural Center of the Philippines. Of course I had to share the excitement so I quickly texted my Mom and brother in Manila about it.
The following day, we saw some videos had been uploaded on YouTube and comments praising him about his good performance. Some even said it was staged especially after seeing videos of him when he joined Pinoy Pop Superstar in 2006. I am sure Arnie will never forget that experience. The three minutes of fame he shared with Lea is something he will definitely treasure for the rest of his life. To Ms. Lea Salonga, thank you for the opportunity! We all enjoyed your concert and hopefully see you again when you come back to Vancouver.
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text: "'A man's life is like walking down a long road with a load on his shoulders.'… I'd feel so much better if I just got rid of it. But no matter what I can't bring myself to do it. Without those guys, walking down this road would be no fun."


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Game of the Night: LeBron, Miami outclass Stoudemire, Knicks
Dec 17, 2010, 10:39 PM EDT
Even if you believe your city has a legitimate reason to hate LeBron James, it might be best to drop it when the Heat come to town. Because if there's one thing we've learned this season, it's that you won't like LeBron James when he's angry. LeBron, who has always played well at Madison Square Garden, absolutely rained sulfur upon the Knicks on Friday, finishing with 32 points on 14-23 shooting from the field and a triple-double. Just like he did in Cleveland, LeBron responded to an extremely hostile crowd with an absolute virtuoso performance. Amazingly, LeBron did most of his damage with his jumper — 23 of LeBron's 32 points came from outside of the paint, and LeBron only shot three free throws the entire game. The Knicks weren't playing terrible defense on LeBron, but he was simply determined to silence the MSG crowd.
Unfortunately for the Knicks, their big free-agent acquisition and MVP candidate had no answer for the Heat on either side of the floor. After allowing the Knicks to score 57 points in the first half, Miami's top-ranked defense clamped down. They trapped the pick-and-roll effectively and didn't allow the Knicks to keep the floor spaced the way they had in the first half. They executed on offense, forcing the Knicks to play more half-court basketball.
Those two factors forced the Knicks to rely on Amar'e isolations at the elbow for most of their offense. Those isolations work against most teams in the league, but on Friday night the Heat were able to keep Amar'e from beating them by collapsing on him when he drove and stripping the ball without fouling him and unleashing Joel Anthony upon Stoudemire. Anthony's defense on Stoudemire was absolutely superb. He got a hand in Stoudemire's face when he pulled up, made him take jumpers from further out than he wanted to, stayed in front of Stoudemire at all times, and was strong enough to prevent Stoudemire from bullying him inside.
When the Heat had the ball, Stoudemire's defensive issues were exposed. Coming into this game, the Heat were 29th in the league at 33.6 points in the paint per game, while the Knicks ranked 4th at 45.4 points in the paint per game. On Friday, the Heat outscored the Knicks 46-38 in the painted area, and that happened with LeBron only scoring eight points in the paint all game. Chris Bosh, who was met with "O-ver-ra-ted" chants when he went to the free-throw line, was as aggressive as he's been all season. He repeatedly drove right at (and then through) Stoudemire, and finished with 26 points on 11-16 shooting from the field. As brilliant as Stoudemire is offensively, I'm not sure if it would be possible for him to be a key part of the stifling defense that held him to an 11-28 shooting night on Friday.
Friday night's game was, of course, only one game, it's still December, and Amar'e has had stretches of brilliance while LeBron has had some rough patches. But during that one game, Stoudemire's limitations were exposed while James played the kind of game that suggests he doesn't have any.
- thestudiokida - Dec 18, 2010 at 12:26 PM
I would like to attend a halftime speech by Erik Spoelstra. This season the Heat have always been able to score the ball well enough to stay in every game but their defense has major spurts of energy (much like the 90's Bulls), often in the 3rd quarter.
So often the Heat look vulnerable on defense for a half and then come out of halftime with a killer instinct. We knew they could do it when they suffocated Orlando in the third game of the season but now they're doing it every game. Their defense blindsides their opponents and propels them to decisive scoring runs in the second half. Spoelstra is doing a great job right now.
- rickhere - Dec 18, 2010 at 2:57 PM
Lebron is the best player in the NBA…I don't think I would piss him off if he were playing my team…but go ahead NY, Cleveland, and I am sure LA will do it…Lebron will light your teams up too…
- zblott - Dec 18, 2010 at 4:32 PM
The difference between this game and NY's against Boston a few nights ago is why the Heat are ahead of the Celtics in the Power Rankings:
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Any elections in Kashmir are not an alternative to the exercise of their right of self-determination, Foreign Office spokesperson Tasneem Aslam has said.
The comments from Aslam came while addressing the weekly press briefing at the ministry of foreign affairs in Islamabad on Thursday.
According to the Express Tribune, she added that this was the position of the United Nations Security Council resolutions as well.
In response to a question regarding negative propaganda in Indian media following the attack on journalist Hamid Mir in Karachi, she said that Indian media have a tendency to indulge in propaganda against Pakistan, the report added.


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New Bundle Stars Has 8 Games For 5 Bucks
After a first installment last year, a second Bundle Stars called Indie Jam has ushered in the new year. It has since dropped the Facebook coercion, which we can only applaud. Instead, gamers can get their hand on all 8 titles revealed so far for €4.70/$5.30, with 2 more titles to be revealed later on. We'll list the available games below:
- Unstoppable Gorg
- Stellar Impact
- Twin Sector
- Dead Horde
- Future Wars
- Greed: Black Border
- Grotesque Tactics
- Trapped Dead
Most of these games have separately been available in previous bundles, but that doesn't denote their quality. The offer is quite diverse in its scope. There are some action games, puzzle features with Twin Sector, tactical roleplaying with Grotesque Tactics and tower defense with Unstoppable Gorg. This promotion marks a 90% discount on what these combined games would normally cost. All these titles come with a Steam redeem key. More so, purchasing a bundle supports Special Effect, which is a charity that helps disabled children and adults enjoy games.
You can purchase the Indie Jam bundle here.


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The first year of life is a period of significant change and growth in the areas of cognitive, motor, social and emotional, and language areas. Understanding the norms of development during this time and ways to assess your child's progress will ensure your child is off to a great start in life.
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A Child's World of Cause and Effect
From the very beginning of his education, the child should experience the joy of discovery.—Alfred North...Source: Pearson Allyn Bacon Prentice Hall
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Hamilton have won four Premiership games in a row and the full-back, who has been called up for Billy Stark's Under-21 squad for tomorrow's Euro qualifier in Slovakia, said: "We love hearing that. When you hear people saying you are going to lose every week and be relegated, it just makes you want to prove them wrong.
"When everyone tipped us to go down, it just made us hungrier to go out and show them. We go out every week and say 'we're not the team that's going down. We're Hamilton Accies and we're staying up.'
"Our goal is to stay up but we don't want just to look back the way, we just keep looking forward. The manager has told us that when people say we are going to be the team to get relegatewd, then it's up to us to prove them wrong. And if we keep winning games, then we are certainly doing that.
"The gaffer [Alex Neil] loves to win. That's just the type of guy he is. It doesn't matter who we are playing against, he wants to win."


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they could do the shape shift like they do the bear and the dervish avatars....already have those mechanics in place.
Would LOVE for them to finish the armor for dervish and paragon (kurzick and...
Type: Posts; User: cosyfiep; Keyword(s):
they could do the shape shift like they do the bear and the dervish avatars....already have those mechanics in place.
Would LOVE for them to finish the armor for dervish and paragon (kurzick and...
yeah would be nice if they finished stuff they started, but at this point in time just want NEW CONTENT (and not some cr@ppy teleport update!!). Heck would even take new costumes (though no idea what...
so its status quo again....think we go thru this every couple of years or so.
I am still waiting for them to say they have been visited by aliens and are getting their weapons from them.
As a woman, I salute that what she was able to do in a man's world.
in a human sense...best wishes for her family upon her passing.
yeah the second ep of doctor who wasnt as good as the first, but from a sci fi standpoint there arent very many shows left TOO watch
though warehouse 13 is supposed to be back this month as...
running, ewww....all the sweaty iky things (not to mention the shin splints and having to wear sports things).
I only run to the kitchen or the wc :wink:
can think of better ways to get exercise...
new content would be great--dont need new professions (eye of the north type), nor new skills (got too many already),though some new cheapy armor would be nice.
so something like sorrows furnace or...
I agree, I didnt always like their reviews, but I enjoyed that they did review films, if I recall it was one of the few shows that did that at that time. So it was nice to have some more information...
oh oh Doctor Who is back up (for how many episodes?)
First ep this year was pretty good--had a few good moments
(and I am still watching Bones and NCIS)...
but I LIKE manatees...(and yes, I am a BIG woman :angry:) and I have no problems with the color name....works great in tropical places where they have manatees (and no heather to speak of---)
in other news:
today on yahoo: TSA to allowed knives on planes, still cant have your water and must take shoes off and be man-handles by incompetent *&%$ but now you can carry a knife
a big WTF...
glad they made the changes to the sigils....with so few people pvp-ing it was very hard for newer people (or those of us without guildhalls) to get a hall.
got my racing beetle pet...almost leveled up.
opened my first ~60 fortunes=nada
opened ~260=1 snake
opened ~170=nada
open last 200...in the first 10 got a snake...got 3 more before 100 opened...
think I will wait for the dvdS...I hate movie theaters, I cant see 3d (that requires TWO eyes), and hd gives me a headache so I can only wonder what 48 frames will do to me.
so PASS
it was very nice of them to give away some of the more 'exclusive' items that people have been griping about for years.
I got 2 axes, a hammer, a bow and a wand (multiple accounts), so I am happy...
non smoker (dad WAS a smoker--died at 56), non drinker here
I used to like those candies as a kid, I also like ROOT beer and ginger beer (think reg beer is gross).
not sure what makes people...
lots of chocolates
a plush mercury planet from think geeks (waiting for the others to come back in stock...my plush enterprise needs places to visit)
a day off to do absolutely NOTHING...
maturity is a very long journey, some never make it.
Part of it is realizing that you are not alone on this planet and that your actions have consequences to others.
How you respond can show how...
Had to check...but I was <gasp> PLAYING GUILDWARS (not gw2 :unimpressed:)
working on some titles...so doing assault on the stronghold.
kraft isnt doing so well either part of it was recently 'restructured' this past october...they expect to be done with it sometime in 2014.


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Beaches, Floods, and the Government
Monday, July 29, 2013
Mother Jones reporter Kate Sheppard looks at how coastal communities from Miami to Martha's Vineyard are adapting to rising sea levels and the ongoing threat of repeated floods. Her article "Under Water," in the July/August issue of Mother Jones, examines existing laws on flood insurance, flood maps, and looks at how the federal and state governments are meeting these challenges.
Guests:Kate Sheppard
Comments [4]
Do you really think we can hold back the sea?
Dear guest, hope we hear more from you, but verbal fry is not a good sound for radio. Not so hard to eliminate -- please try.
What about Connecticut? A surprising number of people in Fairfield County got seriously damaged by Sandy, and our local reps, Himes, etc., seem absolutely clueless!
Move back!!!! ...Plenty of inexpensive real estate near gorgeous Lakes Erie and Huron in Detroit.
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Christopher Kon
Two Tone Wallet
- Color:
- orange / pink
Please select an available size.
Please select a size.
Share This Item: Email
- Long wallet
- Two tone leather with stamped logo
- Zip closure
- Leather and polyester lining with two slip pockets, a zip divider pocket, and eight card slots
- Body length 7½ inches; height 4 inches; width¾ inches
Material: Leather
Brand: Christopher Kon
Origin: Imported


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This full website whois and analysis report on Bandbon23.co.za was ran on May, 27, 2015.
We include detailed information like the server IP Address which is 188.8.131.52. Bandbon23.co.za resides at HETZNER (Pty) Ltd in South Africa.
The official title of Bandbon23.co.za is: B&B on 23 | Guesthouse accommodation Craighall Park, Johannesburg
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House No 1 on Hamilton - Guesthouse accommodation Johannesburg, bed and breakfast Craighall Park, luxury B&B Sandton, Randburg accommodation, Business and leisure accommodation Johanensburg, Sandton B&B guest house accommodation. Resources for B&B Guesthouse accommodation Craighall Park, Johannesburg - Guest House accommodation Johannesburg, Craighall Park bed and breakfast B&B accommodation
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