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Originally posted by Calerxes
If human beings were rational actors in the economic world, sure. There'd be no difference in paying a monthly fee (though daily would be better perhaps), B2P, or F2P.
We are NOT rational actors however. Impulse buying results in irrational buying practices. Being invested in something or having pay be automatic results in irrational practices. We can get psychologically conditioned to perform the same behave repeatedly, even if it isn't very fun compared to other things we could do.
Given that, different business models are not equal.
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Novice Member
Joined: 8/08/12
I don't think the P2P model is close to dead yet. The problem lately is that there really hasn't been an MMO for most that is worth the sub since probably WoW came out. If the game has enough content, not just the treadmill, linear quest and gear grinds of late but more open world with exploration, push for a community feeling and longevity, I think the sub model would do just fine. The last MMOs I've tried I've been disappointed with because I can get all that style of gameplay on my single player / lobby games. If I'm paying for an MMO, I want something that's truely unique to the gaming world and the genre. That just has not been the case in the last handfull of years unfortunatley.
Played: EQ1 (10 Years), Guild Wars, Rift, TERA
Nytlok Sylas
Oh? So, you want to turn your enjoyable (casual?) GW2 experience into a Gold Grind?
Originally posted by GeezerGamer
Personally, I don't know. I don't think we have much of an idea about how much gold a gem would cost.
On the other hand, I find that over time I end up having a ton of extra gold in these games. Since there's no gear progression I won't be spending it to get better gear. Given that you could pool together the gold on 5 characters to get the 6th, 7th, and 8th slot, I'm not sure how unfeasible it is. We'll have to see.
I'd note that 5 slots is enough to do every crafting profession and since resource nodes are unique to you, its easier to "farm" resources if you want and the DE system makes the world more interesting while you do it (and you'll be getting gold and such, which you wanted anyway).
Apprentice Member
Joined: 8/11/10
Why would b2 play kill free 2 play thats stupid. In free 2 play games u have nothing to buy if u dont want to ever, In buy to play u have to actually buy a game to play,
Also gw2 has a cash shop just like any free 2 play game, Yea some free 2 play titles sell stuff that gets them the title buy to win, But alot of free 2 play games are purely cosmetic and leveling help,
Games that only sell things for your house or for looks as far as gear goes or mounts and pets and things like that, as well as character slots and leveling potions,
Free 2 play isn't going anywhere, I think the sub type game is going away as u can see with tor and other games, That said there will always be a few sub games also, Free 2 play is the new norm,
Buy 2 play will never kill a genre where u can play anytime u want and get intoa game with no barrie whatso ever, U can choose to spend or not to spend money on, Free 2 play is here to stay and no way does buy to play kill that.
Hard Core Member
Joined: 10/01/07
Can I say this whole b2p f2p and p2p fight has been going on in forums sense people learned about them and it really will not go to far because everyones opinion on it is different. As to the Gem buying with gold I did it during the BWE1-3 and all 5 stress tests I was in and its easy to get gems infact I had 758 on my last count and mostly bought with in game silver not one gold just silver and then when I sold 100 of my gems to see the return I got 3 gold and this was during beta not launch so there is no real way to determine the value of gold to gems or gems to gold till about a year after launch by then the market should be stable enough to decide.
And that's a good idea, But if it's as you say (I'm just playing the Devil's Advocate)...If gold isn't needed to spend on lots of things.....Why then would I sell my Gems to you for it if I bought them from the CS?
My point is, I think Gems will be VERY expensive to buy in game.
Elite Member
Joined: 1/04/07
dont know about you but I love playing my MMO which is 100% free to play....for me that is.
"going into arguments with idiots is a lost cause, it requires you to stoop down to their level and you can't win"
Originally posted by GeezerGamer
No doubt.
But to put it in WoW terms (I hope we are both familiar with how much gold is worth). If a new character is say 20-40k gold then that's quite expensive. However, it is something you can do. If it is 100k or 200k, then that's out of reach for most people and quite a different thing.
There certainly ARE things to spend money on. You could buy crafting goods on the AH for instance. There will be buying cosmetic items and other things as well.
So we'll have to see how it goes. Though personally, I don't think 10 bucks for another few hundred hours of content on a new character is all that bad. Though, I grant there are some diminishing returns as the more characters you have run through a zone, the more likely it is that it won't have as much you haven't seen before.
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Joined: 2/06/09
Originally posted by GeezerGamer
I'm old but always learning, thanks
This doom and gloom thread was brought to you by Chin Up™ the new ultra high caffeine soft drink for gamers who just need that boost of happiness after a long forum session.
Apprentice Member
Joined: 1/27/12
Originally posted by Fadedbomb
How does one determine what is high enough quality for a subscription?
The "Youtube Pro": Someone who watches video's on said subject, and obviously has a full understanding of what is being said about such subject.
Advanced Member
Joined: 7/13/04
"Free crack and everybody gets laid."
I think if the game is good enough, most people will be perfectly happy to pay the subscription fee. There just hasn't been any progressive sub-based mmos released in the past few years. Its the same reason why everybody goes back to their WoWs and Eve onlines, leaving games like Warhammer, SWTOR, Aion, and other games being deemed a failure.
If a quality sub-based mmo comes out that is on par with games like Eve and WoW, then the argument about sub-based type games being dead would cease to exist.
Also, Free to play is definitely not dead and it is by far the strongest of the three in terms of player rention and CCU.
Novice Member
Joined: 3/23/11
Most games are developed by borrowing cash (from the company itself, investors, banks) to begin the project. The initial sale usually is to pay back most if not all of this cash and interest, hopefully with some profit. This means a B2P game has to then generate more money outside of the box sales (ie. cash shops that people will actually buy stuff in) for further development or be so good that future investors are willing to front money for expansion content with the belief that the return is coming for fronting cash. That is the flaw of F2P and B2P. P2P if the game is good can generate the operating cash and development cash if the game succeeds. The true test for GW2 will be the quality and quantity of future updates to the game.
Advanced Member
Joined: 3/07/04
What are you talking about?
Hard Core Member
Joined: 1/25/12
I'm only playing the role chosen for me. Who you supposed to be?
Originally posted by Fadedbomb
And I counter your argument by saying I will probably never play a P2P game again. I dont care about the companies financials. I care about how quality the product is and do I enjoy playing. I cant justify spending 180/year for something that I wont play every day of the year. I just cancelled my SOE Pass for 19.99/month. I wont play the SOE games enough to warrant the cost. I wish P2P 'fanbois' would stop saying that its better just because they cant figure out how to choose their own options.
Cash shops dont bother me and sometimes will spend in them. By paying 60 dollars for box what limitations do I have in GW2? And if you are talking about other F2P titles (which I play often) I dont see a limitation there either. I can play to max level, CS is there for gear and XP booster packs. I DO believe there are WRONG ways to implement F2P but thats up to the developer. A bad implementation in my eyes will always be a fail in my book. I think Perfect World is a bad implementation, but more than enough people think differently to keep it going. What works is always about hooking a core audience or certain type of gamer.
You have no evidence to back up if GW2 was F2P it would fall on its face. Just say its your opinion of what you THINK might happen. If I THINK differently does that make me wrong? Its subjective without empirical evidence.
The x-P2P games failed so hard because they implemented the wrong model, which really speaks to what they were offering for the price you pay for the month. SWTOR is a great quality game. But its content is not worth 15/mo. Bioware learned this the hard way... and guess what they are going F2P soon. And when that happens Ill play all 8 stories... because now the game is on my terms (not theirs).
And to your argument that P2P is better because it offsets server costs is rediculous. By that logic no F2P game would ever survive. And since they do it means there are other ways to cover those costs (of which neither of us know how they are structured or paid).
I cant predict the future of F2P but I surely hope it is here to stay. P2P to me is a rip-off. And I dont believe developers will deliver enough content/quality these days to support it.
Novice Member
Joined: 2/14/05
Funny because the cash shop is the only reason I won't be playing GW2. I stay away from all cash shop games. These companies are starting to realize that people will be dumping tons of money on these cash shops just so they have a chance to win and have an advantage over ther players. It's like going to the casino with your debit card and they are preying on these compolsive spenders.
"I'm sorry but your mmo has been diagnosed with EA and only has X number of days to live."
Hard Core Member
Joined: 1/25/12
I'm only playing the role chosen for me. Who you supposed to be?
Originally posted by Grunch
Interesting... why does a CS scare you away? What is the risk?
Novice Member
Joined: 2/14/05
Originally posted by darkhalf357x
Whats the reward? "Yay I bought Win"?
No matter what, it will eventually come down to items being "required" in order to compete. Thats how this business model works.
"I'm sorry but your mmo has been diagnosed with EA and only has X number of days to live."
Originally posted by Xiaoki
What I mean is, you decided to buy GW2. If you thought it was a rip-off compared to DCUO, then I would presume you wouldn't have bought it. Clearly GW2 is doing something better than DCUO in your mind. Since I am unfamiliar with your mind, I asked you to explain it to me.


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Posted Friday, May 15th, 2015 by admin
Outdoor challenges are all the rage these days. They're not just for the super fit and exercise crazy. Everyone is getting involved in fun-runs and challenges, often to raise money for a cause close to their hearts, but sometimes just to set a personal goal or to get in shape. Across the country there are hundreds of outdoor challenges, half marathons and marathons, that members of the public are queuing up to take part in. Taking part in one of the runs in the these parts, comes with the added bonus of the fact that you are able to soak up the gorgeous scenery, of rolling hills and placid lakes of the Lake District. Let's take a look at whats out there:
First up is Gelt Gladiator on the 16th of May 2015. How fun does this sound? A mud trail run through the woods followed by mud obstacles on nearby land, before a finish on the course that's usually reserved for UK motorbike racing. It's tough and not for the fainthearted but the amount of mud and dirt involved makes it a popular run amongst the youth.
Brathay Windermere Marathon is on the 17th of May 2015 and was voted 2nd most popular marathon of 2011 by readers of Runners World. For fans of the Lake's magnificent backdrop, this is the run for you. It twists and turns through some spectacular scenery and natural beauty spots, with some sections of the run so beautiful the landscape is sure to take your mind off those achy joints and muscles, as you push through that dreaded 20 mile mark.
Here's something different; the 1500m Derwent Island Swim on the 17th of May 2015. This swim has been in the KMF programme for the past 4 years and is still growing in popularity and appeal. The challenge will take you for a swim around the historical Derwent Island, a must see natural beauty spot, the Keswick locals have cherished for centuries.
Posted Thursday, May 14th, 2015 by admin
May in the Lake District is packed full of of events for foodies. Those of you who are fans of fine cuisine and sophisticated tipples, will be spoilt for choice during the late spring period. The nearby area boasts a host of food celebrations in addition to the Beech Hill Hotel, set against a beautiful Cumbrian backdrop.
First up is the Borough Farmer's Market at Borough Town Hall. The Farmers' Market is held on the third Saturday of every month, so this time around on May the 16th. Unlike so many other farmers markets this time of year the whole thing is held under cover, sheltering the fresh products from any pests or bad weather. There are some outside stalls, the organic veg seller in particular prefers an outdoor space.
For further details see www.broughfarmersmarket.org.uk
A Taste of Townend is on at Troutbeck, Windermere, on the 21st of this month. It celebrates the Brownes' family recipe book stuffed full of traditional meat based English dishes and even medicines dating back to the 17th century. Hosted by the National Trust, volunteers will be cooking all afternoon to recreate some of the recipes.
For further details see www.nationaltrust.org.uk/townend
Finally, on the 29th of this month is the Made in Cumbria Farmers Market. Held in the market town of Kendal on the appropriately named Market Place, the market offers the very best in local foods.
For further details see www.madeincumbria.co.uk
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Situated in the historic port town of Whitehaven, The Rum Store is a truly unique, not to be missed experience. Once through the doors you will leave behind the technology driven culture of modern- day England and be transported back to the tropical paradise of the 18th century Caribbean jungle, where you will begin your nautical journey through the Rum Story.
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I've had mild hypertension and I do 24 hr urine tests (I just did one but probably wont hear about the results until Monday), but I'm feeling worse almost. I don't know how to explain it. I've had a mild migraine that varies in intensity for most of this last week, which is sort of normal because it's not the first time this pregnancy that it has happened. It's aggravating but such is life. I've also had strange sort of chest pain, like it hurts in the center of my chest and even hurts to just breathe but it comes and goes, it's not a constant pain either. Then today I had pain in my lower back, it sort of matched my pulse (at the time it felt like my heart was beating out of my chest, but I had just walked up the stairs and sometimes that makes my pulse shoot up). It pulsated and hurt quite a bit but again it went away. I had it again later without the excessive heart beat but the pain doesn't last long. The best way I can think to describe it is like when you feel like you really need to pop your lower back, so you stand by a wall and twist to pop it and it feels better. It's a lot like that pain. Also I've had morning sickness the whole time this is true, but its always been nausea and I could almost always keep it from vomiting. I can't anymore. I am puking 3-4 nights a week and not like I puke once and done, I'm at the toilet a good 20 minutes emptying my stomach. I've had period like cramps most days and I seem to have diarrhea off and on.
The worst though happened again tonight as well. I got this severe tightening across my abdomen. I don't know if it was a contraction or not, but my doc seems to feel they are just BH and I get really painful ones. This time I just had the one and it did seem a bit different. I was already rather nauseous to begin with but when this hit I thought I was just going to start vomiting everywhere. The pain was intense and I was very unhappy. As it released the severe nausea stayed and I started to feel woozy like I was going to pass out. It went away but still has me worried. Baby is doing fine though, she's still moving around quite a bit, and when this was happening she was also quite active. I feel like when I tell my doctor these things she blows them off and says I'm fine. Yes I am doing another 24 hr urine, and yes I'm on sort of bed rest, but she never seems willing to address my concerns. I know pregnancy isn't all rainbows and unicorns but I'm starting to feel like this ridiculous and not normal. I shouldn't feel this crappy all the time. Oh at the time of the incident I took my BP and it was 159/98, but I was just in a bunch of pain so I don't know whether it matters. My BP last few days has been around 140/80 so I thought maybe I was doing ok :/ I'm not sure about any of this, it seems to me that if it was Pre-e related it would be constant pains, not ones that come and go as they please.


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Pistons Select Andre Drummond With The Ninth Pick In The 2012 NBA Draft
AUBURN HILLS, Mich. – The Detroit Pistons announced today that the club has selected Andre Drummond with the with the ninth pick in the first round of the 2012 NBA Draft held on Thursday, June 28. The club also selected Khris Middleton with the 39th pick and Kim English with the 44th pick in the second round.
Wing Fortification
After solidifying their frontcourt when Andre Drummond fell to them at No. 9 in the first round, the Pistons beefed up their perimeter in the second round by taking Texas A&M's Khris Middleton and Missouri's Kim English.
Middleton, 6-foot-8½, is a junior out of Texas A&M who averaged 13.2 points and 5.0 rebounds last season. He'd put up a strong sophomore season, averaging 14.4 points and shooting 36 percent from the 3-point line, but struggled a little in the adjustment to a new coaching staff in his junior year and missing 12 games with a knee injury.
Instant Analysis: Andre Drummond
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Andre Drummond, meet Greg Monroe and Brandon Knight. The three players the Pistons have plucked from the draft over the past three years have more in common than the NBA uniform they'll wear next season. They also share this: Not one of them was supposed to be a Piston. And now they're at the heart of the team's future.
Pistons Mailbag - Thursday, June 28, 2012
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Henson at No. 9?
NBA teams began pointing to the 2012 draft as soon as the early-entry deadline for 2011 came and went with several prospects considered lottery locks deciding to return to college basketball. Harrison Barnes, Jared Sullinger, Thomas Robinson, John Henson, Tyler Zeller, Jeremy Lamb, Terrence Jones and Perry Jones III all would have been strong lottery candidates a year ago.


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Cleaning House
As part of both Jim and my goals for 2013, we really want to purge our entire apartment top to bottom. Living in NYC, you don't have a whole lot of room for stuff, and all in all we're not as bad as most people. But considering we're both kinda OCD, our stuff is at this point negatively impacting our psyche and we're never relaxed around the apartment. So we're making it a point, little by little over the course of the next several weeks to get rid of our crap. I know that's a strong word, but that's what it is. We both kind of came to the sudden realization we're minimalists. If we don't absolutely need it, or absolutely love it, it's going. We want our home to be a place where we are surrounded only by things we really, really love and enjoy. That goes for our furniture, books, art, keepsakes, etc. Considering our apartment is only around 650 square feet, it shouldn't take us too long to do what we're setting out to do. We're trying to tackle max one to two rooms at a time, so our focus to start is our kitchen and office. Both at the start of the year were horribly cluttered. As we've been moving through the process, here's a few things we've learned along the way.


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A bowling enthusiast is bringing life back into a place that holds nostalgic value in Aiken.
Robert Dutcher purchased the Whiskey Road building that was once Aiken Bowl. Now, it will be known as Strikehouse Bowl, and he hopes to have the new business open by mid-March.
The bowling alley holds quite a bit of history, as well as fond, local memories. Built in 1953 by Tommy Crouch, the bowling alley was established for SRS employees to have a place to go and have a little fun. It became a hot spot for many residents to go, hang out and participate in some friendly competition.
The bowling alley was later owned by Crouch's son, Billy. In 2009, the bowling alley was closed after Billy Crouch lost his battle to pancreatic cancer at the age of 56.
When walking into the bowling alley, it is still set up like it was before it closed. Different colored bowling balls line the shelves, the menu is still up behind the counter and pins are standing, ready for a strike.
Dutcher said he's planning to refresh the place a bit and how he's going to do that will remain a surprise until opening day.
"I need a wow factor to bring people in and keep them coming," Dutcher said.
Dutcher added that the nostalgia of the place should attract a lot of old patrons. After the property was sold, Palmetto Realty and Land Co., LLC started receiving phone calls from curious residents who saw the "sold" sign, and Dutcher started getting emails filled with memories of first dates and good times with friends or family.
For Dutcher, who works at SRS, starting his own bowling business is a dream that has been about 15 years in the making. Originally from Reno, Nev., Dutcher practically grew up in a bowling alley. He played, worked and lived the game. His father, Barry Dutcher, was also an avid bowler and worked as a back-end mechanic.
Dutcher wanted to open a bowling alley with his father, but he passed away before they could accomplish that goal. About seven years ago, he moved to Aiken, and the opportunity to purchase the old bowling alley availed itself.
Now, his dream is becoming a reality, and Dutcher plans to make it a family-run business.
"I don't think it's quite hit me yet," Dutcher said. "I've been so busy, I haven't had much time to think about it."
Dutcher hopes the bowling alley will be a big hit with residents.
"I just want to bring something back to Aiken," Dutcher said. "I'm hoping it will be entertaining for everyone of all ages."
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Do you want to have the possibility of a winning a two-night stay at any Marriott in North America? Or do you want to have the possibility of winning a gift card at a local restaurant?
Is your stomach always growling for new recipes?
The Tribune is hosting the Taste of Home Cooking School on Thursday, Oct. 11 at Elkin High School.
The event will be led by Taste of home specialist, Michele Roberts, teaching the audience seasonal recipes.
The cooking show gets the community involved — not by just being in the audience — but also including them as volunteers. Volunteers range from the Elkin First Baptist Church men and students from the Elkin High School Interact Club to ladies in the Red Hat Club.
A vendor show will be held before the cooking show from 4-6 p.m. in the Dixon Auditorium lobby. The show includes several vendors from the community such as Heaven's Scent, Pampered Chef and Soyworx.
During the show, attendees will have the chance to receive several prizes, including a two two-night stays at any Marriott in North America, two gift cards at Mazzini's in Elkin, or a gift card to McGrady's.
D&J Galaxy is providing the grocery bags and the goody bags.
Following the vendor show is the cooking show at 6:30 p.m. in Dixon Auditorium.
Approximately 100 tickets have been sold so far, and the Tribune still has tickets available at the Tribune office and the Yadkin Ripple and Mount Airy News offices.
General admission tickets are $12 and VIP tickets are $35. VIP tickets include a goody bag and a Taste of Home Cookbook.
For more information about becoming a vendor, volunteer or buying tickets, contact the Tribune office at 336-835-1513.
The Taste of Home cooking show begins at 6:30 p.m. on Thursday, Oct. 11, in Dixon Auditorium at Elkin High School. Doors open at 6 p.m. and the vendor show will be at 4 p.m. prior to the show.
Taste of Home Vendors currently registered:
Tonya's Magnetic Designs
Pampered Chef
Tastefully Simple
Heaven's Scent
Larry Chappel, memory pictures and Tupperware
Mary Kay
Ray Shuey Vendor, Chef for the Evening (professional Cookware)
Tammie Holt, Thirty-One (purses)


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Halloween Party Ideas
Trick or treat?! Plan a scare with a Halloween party that's both frightening and fun! Try these wickedly scary Halloween party ideas for a spooky good time.
These Jack-o-Lanterns have gotten a major upgrade. Take a look at these amazingly... READ MORE
With so many Halloween parties going on it's tough to stand out in the crowd - well, it... READ MORE
Looking for some awesome '80s costume inspiration? Look no further than Full House's... READ MORE
Babies are the easiest people to dress up for Halloween. They can't talk back, and they... READ MORE
Whip up this delicious and chocolaty cocktail for your Halloween party. Guests will love... READ MORE
Put together a simple, yet spooky dessert table for kids for Halloween this year with a... READ MORE


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Around Amma
Around Amma, every day, every moment, is a celebration, a lesson, a memory to treasure forever. Through these intimate moments with the Master, you can gain a sense of Amma's divinity, spontaneity, universal wisdom, earthy humour and ever-flowing Love.
read more from this category Around Amma for the latest stories, videos and photos from Amma's life, from around the world.
Amma says, "Where there is love, there is no distance."


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Lamotrigine Monotherapy in Pediatric Bipolar Disorder
Recruitment status was Recruiting
- Full Text View
- Tabular View
- No Study Results Posted
- Disclaimer
- How to Read a Study Record
There are two purposes for this project. Study 1 is intended to study the safety and efficacy of Lamotrigine in stabilizing the mood in all phases of pediatric bipolar disorder (Phases: mixed, manic, hypomanic, or depressed episodes) in 8-17 year old children. These children and adolescents must be treatment resistant (who failed on two adequate trials of mood stabilizing medications) to qualify for this study. Study 2 is aimed at examining brain activity and/or dysfunction before lamotrigine treatment, and to look for any alteration after lamotrigine treatment. Brain systems associated with attention and emotional processing will targeted.
Bipolar Disorder
Drug: Lamotrigine
Phase 2
|Study Type:
|Study Design:
|Allocation: Non-Randomized
Endpoint Classification: Safety/Efficacy Study
Intervention Model: Single Group Assignment
Masking: Open Label
Primary Purpose: Treatment
|Official Title:
|Open Trial of Lamotrigine Monotherapy in Pediatric Bipolar Disorder
- Young Mania Rating Scale (YMRS),
- Bipolar Clinical Global Impression Scale (BP-CGI),
- Overt Aggression Scale (OAS),
- Child Depression Rating Scale-Revised (CDRS-R),
- Brief Psychiatric Rating Scale in Children (BPRS-C),
- Child Bipolar Rating Scale- Parent version (subscales: Child Mania Rating Scale,
- Child Bipolar Depression Rating Scale,
- Child Bipolar Cycling Rating Scale) and Teacher version (subscales: Child Mania Rating Scale,
- Child Bipolar Depression Rating Scale)(CBRS-P/T),
- Abnormal Involuntary Movements Scale (AIMS),
- Pediatric Side Effects Rating Scale (P-SERS),
- CAFAS (Child and Adolescent Functional Assessment Scale)
|Estimated Enrollment:
|Study Start Date:
|February 2004
|Estimated Study Completion Date:
|January 2008
Procedure Study 1 This study is planned to be conducted over 18 months, with an average recruitment of 2 subjects per month. Each subject is involved in the study for 18 to 26 weeks. The range of time is necessary to account for factors such as the child's age, sex, weight, reactions to the medications and side effects. Based on these factors, the time it takes to titrate the medication dose to the optimal amount will vary. Maintaining this flexibility in the protocol is part of good clinical practice where medication is involved. Only children whose medication is not currently improving their symptoms will be recruited. Therefore no children who have been stabilized on a drug will be taken off of it. The initial 2-week screening period includes a diagnostic interview and collection of demographic information. Previous medication will be tapered slowly over this 2-week period. It is an open trial where subjects are aware of the type of medication and the strength (For example, one pill=25 mg strength) of the pill. Research assessment of mood symptoms and side effects will be carried out 5 times over the course of the active trial period. Blood will be collected 3 times: once the subject is washed-out (baseline), once optimal medication dose has been reached, and finally at the end of the 6-week period on full dose.
The dose of Lamotrigine will be 12.5 mg per day beginning the first day. It is increased in 12.5 mg increments every week until it reaches 50 mg and 25 mg per week of increment thereafter until maximum dose of 150 mg in those below 50 kg and 200-400 mg depending on clinical response in those above 50 kg. Increasing the medication to final dose will take approximately 10-18 weeks (depending on age, weight and side-effect profile of each subject on a case-by-case basis) and the response on full and tolerable dose is further monitored for response over 6 weeks. Therefore, this is a 18-26 week trial (2 weeks=screening and wash out; 10-18 weeks=dosing; 6 weeks=acute trial period on full dose).
Study 2 involves adolescent subjects (>10years of age) recruited from the Study 1 sample. This part of the study is a fMRI treatment study to examine how the brain functions before and after receiving lamotrigine medication for bipolar disorder. The goal of study 2 is to understand how and where lamotrigine works in the brain. In order to do this, we will view brain images in a fMRI scanner pre- and post-treatment. This will be done once before subjects begin taking lamotrigine (subjects who require a "wash-out" period, described in study 1, this will occur after the "wash-out.") The second scan will take place after the medication trial (after the 6-week active treatment period). While in the scanner, subjects will complete tasks related to thinking and emotion. Subjects will be shown pictures of faces with varying expressions including happy, neutral and angry and will be asked to identify the emotions of the faces, remember and identify previously seen faces, and determine the age group of various faces (i.e., above or below 30 years). Subjects will also complete tasks that involve processing words that express different emotions (e.g., happy, angry), and respond to different "go" and "no-go" images that flash on a screen. Brain activity will be recorded during these tasks. Each task will take around 5 minutes. Before the actual fMRI scan, subjects practice lying in a simulator, a machine that looks and sounds like a scanner.
|Ages Eligible for Study:
|10 Years to 20 Years
|Genders Eligible for Study:
|Accepts Healthy Volunteers:
Inclusion Criteria:
- Ages 10-20
- Must be able to swallow tablets
- Must be diagnosed with bipolar disorder
Exclusion Criteria:
- Children with general medical condition such as head injury, epilepsy, endocrine disorders
- Those who are on mood altering medications such as steroids, and those diagnosed with mental retardation are excluded to avoid confounding and contributing factors to mood swings.
- If we discover during the interview that the parent and/or child does not understand the consent/assent procedures, we will exclude them.
- Girls who are pregnant or plan to become pregnant during the study period will also be excluded from the research. There have been no concerns raised in the literature about the need for birth control practices in males treated with lamotrigine. As such, there are no provisions to exclude males from the research who do not practice birth control.
We expect only a small number of children to be excluded from the study due to exclusionary criteria. Selection of the subjects is not based on sex, race, or ethnic group.
For the fMRI study:
- Given the limited size of the magnet bore, individuals with a body weight over two-hundred and fifty pounds will be unable to be tested within the MRI scanner.
- Women in the latter stages of pregnancy may be excluded due to large body size and potential discomfort while in the MRI apparatus. Please note that girls who are taking part in the drug portion of the study (this includes all female subjects except the 5 healthy adult, control women) will be given 3 pregnancy during the drug study. This is to rule out pregnancy since pregnant girls should not be taking the study medications for safety reasons.
- Standard contraindications for fMRI studies include: cardiac pacemaker, aneurysm clip, cochlear implants, shrapnel, history of metal fragments in eyes, claustrophobia
- Participants with an IQ of less than 70 (assessed by WRAT) are likely to be excluded due to difficulties comprehending tasks and procedures
Please refer to this study by its ClinicalTrials.gov identifier: NCT00176228
|Contact: Melissa S Moss, BA
|Contact: Erin M Harral, BA
|United States, Illinois
|NPI, University of Illinois at Chicago
|Chicago, Illinois, United States, 60612
|Contact: Mani Pavuluri, MD 312-413-1722 email@example.com
|Contact: Erin M Harral, BA 312-413-1710 email@example.com
|Principal Investigator: Mani Pavuluri, MD
|Principal Investigator:
|Mani Pavuluri, MD
|University of Illinois at Chicago
No publications provided by University of Illinois at Chicago
Additional publications automatically indexed to this study by ClinicalTrials.gov Identifier (NCT Number):
|ClinicalTrials.gov Identifier:
|NCT00176228 History of Changes
|Other Study ID Numbers:
|Study First Received:
|September 13, 2005
|Last Updated:
|April 18, 2007
|Health Authority:
|United States: Institutional Review Board
Additional relevant MeSH terms:
Bipolar Disorder
Affective Disorders, Psychotic
Mental Disorders
Mood Disorders
Calcium Channel Blockers
Cardiovascular Agents
Central Nervous System Agents
Excitatory Amino Acid Agents
Excitatory Amino Acid Antagonists
Membrane Transport Modulators
Molecular Mechanisms of Pharmacological Action
Neurotransmitter Agents
Pharmacologic Actions
Physiological Effects of Drugs
Sodium Channel Blockers
Therapeutic Uses
Voltage-Gated Sodium Channel Blockers
ClinicalTrials.gov processed this record on July 27, 2015


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Wednesday, July 3, 2013
I hear America singing, the varied carols I hear,
Those of mechanics, each one singing his as it should be blithe and strong,
The carpenter singing his as he measures his plank or beam,
The mason singing his as he makes ready for work, or leaves off work,
The boatman singing what belongs to him in his boat, the deckhand singing on the steamboat deck,
The shoemaker singing as he sits on his bench, the hatter singing as he stands,
The wood-cutter's song, the ploughboy's on his way in the morning, or at noon intermission or at sundown,
The delicious singing of the mother, or of the young wife at work, or of the girl sewing or washing,
Each singing what belongs to him or her and to none else,
The day what belongs to the day—at night the party of young fellows, robust, friendly,
Singing with open mouths their strong melodious songs.
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If you have a religious, ethical or personal question you would like to discuss confidentially, the University Chaplain, the Chaplain for the Catholic Community, and the Jewish Chaplain are available to talk with you. Call for an appointment, or simply drop in. Regular private time for longer-term spiritual guidance and development can be arranged.
University Chaplain
Rooke Chapel
The Reverend Doctor John Patrick Colatch is an ordained United Methodist pastor who has served in ministry in higher education since 1986. Prior to his arrival at Bucknell, he served chaplaincies at Lafayette College, Allegheny College, Ferrum College and as a campus minister at the Wesley Foundation at the University of Delaware.
At Bucknell, he is pastor to the Rooke Chapel Congregation, Bucknell's Protestant worshiping community. He leads and advises the Rooke Chapel Student Fellowship, convenes the Interfaith Council, teaches a Foundation Seminar and leads a weekly Bible Study/Discussion for faculty, staff, and Lewisburg Community members. As University Chaplain, he oversees the entire religious life program, works cooperatively with the other chaplains and religious advisers, and provides opportunities campus-wide for members of all faith communities, and those who profess no faith tradition, to come together through lunch discussions, formal lecture programs and other special events. He is a trained pastoral counselor, and is available to students to discuss religious and spiritual questions that affect their daily lives.
His theological interests include Christianity as it relates to social and environmental justice, bereavement issues and care at the end of life, interfaith conversation and cooperation and the ways in which the whole idea of religious belief can be communicated to young adults in ways that make it relevant. He holds degrees from W.Va. Wesleyan College, Duke University Divinity School, Duquesne University and Colgate Rochester Crozer Divinity School. He is married to Connie, and they are the parents of two grown children.
Chaplain for the Catholic Community
Newman House
Father Bernard Wamayose was born in the village of Buwodeya-Sironko District in Eastern Uganda. In a family of seven children, two boys and five girls, he is next to youngest. He comes to Bucknell from St. John the Baptist Catholic Parish in New Freedom, southern York county, PA, where he has been serving as a parochial vicar for the last six years: September 2007 to June 2013.
Father Wamayose studied in Uganda and Kenya in preparation for the priesthood ministry. In 1993 he received a High School Education Certificate in Uganda and in 1995 he received a diploma in philosophy from the Apostles of Jesus Philosophicium in Nairobi, Kenya. In 1997 he made his first profession of religious vows and in 2001 he made his final profession (Perpetual Vows). In 2001 he was ordained to the Order of Diaconate at the Apostles of Jesus Shrine at Langata in Nairobi, Kenya.
In 2002 he earned a Diploma in Sacred Theology from the Apostles of Jesus Theologicium, the same year he received his Bachelor of Arts in Sacred Theology from the Pontifical Urbaninana University in Rome.
Father Wamayose served as a teacher and formator in the High School Seminary (Minor Seminary) in Uru Seminary in Moshi, Tanzania from 2002 to 2003. From 2003 to 2007 he served as the Assistant Novice Director at the Apostles of Jesus Novitiate, Uruthiru in Meru, Kenya, before coming to the United States of America.
Jewish Chaplain
Berelson Center for Jewish Life
Rabbi Serena Fujita began her tenure at Bucknell University in 2000, after being ordained from Hebrew Union College-Jewish Institute of Religion, the seminary of the Reform Movement. Rabbi Fujita works with a student board as well as a faculty/staff advisory committee to provide Jewish religious life, Jewish culture, informal education, community service opportunities and other activities to both the Jewish and non-Jewish populations at Bucknell. She established the Jewish Heritage trips which allow groups of Bucknellians to travel to different parts of the globe to learn about particular Jewish communities.
Beginning in seminary, Rabbi Fujita focused much of her work on interfaith understanding and dialogue. She has facilitated interfaith programming and dialogue among students from the various religious groups on campus. During most fall semesters, she teaches a Foundation Seminar in the Social Justice Residential College and a First-Year Integration section. Rabbi Fujita sits on several advisory committees at Bucknell.
Rabbi Fujita has been a board member of the National Association of College and University Chaplains since 2002 and is a member of the executive committee of the International Association of Chaplains in Higher Education.
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Welcome to Dexter-Russell, Inc.
The Professional's right knife and product solution, since 1818.
Dexter-Russell, a member of the Affinity Group, is pleased to announce the acquisition of the Chef Revival apparel category from San Jamar effective November 1, 2013.Read More
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New road in Rutland Town could alleviate Route 7 trafficBy Courtney Parker
STAFF WRITER | October 21,2013Rutland Town officials are looking into options to locate a new town road near the recently opened Aldi discount supermarket chain store.
The goal of the project — still in its infancy — is to alleviate congestion off Route 7.
"It's still just a concept at this point." said Town Road Commissioner Byron Hathaway. But, he added, he sees the benefits of the new road and believes the additional traffic could work to the advantage of side road businesses.
One of the route options discussed was connecting Farrell Road to the Cold River Road traffic light, with an intersection into Randbury Road.
According to Town Administrator Joe Zingale, there are still many steps that would need to be taken before the road could become a reality, including various traffic studies, grant applications and board approval.
Select Board member Don Chioffi said he is in favor of the new road. Chioffi said it is the responsibility of the town to do their part to take pressure and traffic off Route 7. He said he views the Farrell Road extension as a way to provide additional driving routes, as well as attract patrons to local businesses.
"My view is that it is a positive step for the town and town businesses," he said. "We have a responsibility to provide for those people in our commercial base."
Chioffi added that in previous discussions, fellow board members have supported similar infrastructure improvements, and this project is no different.
Currently no action has been taken by the board, but several discussions on the road have taken place.
"These things don't just happen overnight," Chioffi said. "When it does come to the board, my vote will be for it."MORE IN This Just InThe family of a Connecticut man who was killed in a car accident on Route 4 last Friday night is... Full StoryAssociated Press Full StoryIt seems like I just started to warm up from last winter and I see back-to-school displays. Full Story
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The Ashe County Arts Council is sponsoring a special funraiser chili dinner and concert with singer songwriter and all round fun guy, Si Kahn on Saturday evening, Jan. 19.
The evening promises the perfect meal for a wintry night, great music, lot of surprises and an enjoyable way to raise funds for the Arts Council's school and community arts programming.
Si Kahn is nationally know figure whose life as a musician, activist and community organizer has spanned more than forty-five years. Si's original songs touch the soul and make your smile. Si Kahn is a singer/songwriter that uses influences from traditional old-time music, folk music, the blues and contemporary music to create songs of family, community, work and freedom. His songs have become part of an oral tradition and are sung in folk clubs and living rooms, at rallies and on picket lines around the world.
Kahn lives in Charlotte but has a home just across the Ashe County line in Wilkes County. He is a regular performer at Merlefest each year. Kahn visits Ashe County often and understands the value of "community" and the role that the arts play in our lives. His music and life have been a testament to how the arts make a difference.
The theme for the Saturday night concert is chasing away the doldrums of winter, "A Black Squirrel Winter." Chili, tossed salad, crusty bread, dessert, beverages will be on the wintry themed menu and everything will be casual and served buffet style. The food is being cooked and donated by Arts Council volunteers.
Guests at the event will have the opportunity to participate in special fundraiser events throughout the evening. For a donation, you can dedicate a song to someone, you can commission Kahn to write a song for you, you can bid on having Kahn come to your house for your own personal concert and more fun. The participants can even buy a spoon so they can eat their chili. The evening will have lots of fun, silly things planned that will keep everyone entertained. After dinner, Kahn will perform in concert in the intimacy of the Art Center's Gallery to the delight of the guests.
Seating is limited to 70, reservations are required and the ticket price for the fundraiser is $35 per person. Call 336-846-2787 to make your reservation.


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A source with knowledge of the on-going discussions between local government leaders and Texas A&M officials says those talks have been on the premise that games will remain at Kyle Field while the stadium undergoes major renovations.
The source notes multiple meetings have taken place since September, when News 3 first reported that College Station, Bryan and Brazos County were approached with the idea of contributing a total of $38 million to a renovation project totaling in the neighborhood of $425 million.
At no time in those meetings has anything but a three-year project at Kyle been discussed, the source says. Games would remain at the stadium for the duration, which would alleviate fears of local business leaders who estimated tens of millions of dollars in losses were games to move out of town for a season.
Friday, the A&M System Board of Regents will vote on an item that would move Phase 1 of the project into the current fiscal year, which runs until August 31, 2013. Previously, Fiscal Year 2014 (beginning September 1, 2013) had been discussed for the project's start.
However, all indications in meetings with local leaders have been that after the final home game of the 2013 season - a November 16 match-up with New Mexico - a major tear-down of the west stands of the stadium would get underway.
The west stands' renovation is part of the proposed Phase 1, which includes the demolition of the Read Building, G. Rollie White Coliseum and the Netum Steed facility, along with the creation of a pedestrian mall on the west side and upgraded utilities.
Sunday, A&M spokesperson Jason Cook said no final decision had been made on the future of Kyle Field, and there was no timeline for an announcement of a decision.
The third option that was on the table but seemingly never seriously considered was building a new stadium at a new location.
Moving games away from College Station for a single season would cost Brazos County an estimated $86 million, according to a study commissioned by the Bryan-College Station Convention and Visitors Bureau and the B/CS Chamber of Commerce. If games left for two seasons, the impact rises to $173 million, the study said.
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What is a Planned Gift?
A planned gift is one that is given from accumulated assets. It is larger in size than regular annual gifts, it reflects a deep interest in the growth of RMU and its students, and it can compliment other forms of giving.
Why Make a Planned Gift?
There are many reasons to consider a planned gift. For one, you can make a significant impact on RMU. You can also increase your income while potentially reducing taxes, both current and long term. Planned giving also enables you to provide gifts for beneficiaries.
Why Do People Give?
Members of the RMU family have a deep connection to the university. Some choose to give because they were helped financially as a student. For others, RMU has changed their life in some profound way. Many connect with the university's mission and wish to enable more students to receive the type of quality education we provide. Other reasons may include an interest in charitable deduction or other estate planning benefits.
It is understood that special gifts or circumstances might require a case-by-case review and might not be addressed by the information listed above. Neither the university nor the Office of Institutional Advancement shall provide any legal, tax, investment or other advice to the donor, which is reserved to the donor's advisors.
For more information or to set up your planned giving plan, please contact Kimberley A. Hammer, Esq., vice president for development, institutional advancement, at 412-397-6413 or firstname.lastname@example.com.
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Karen Boatwright was in Jones County Superior Court May 2 because of DUI charges she received Jan. 8 and Nov. 25, 2012. She was arraigned in Gray Municipal Court in February for the first charge and afterward decided she wanted it kicked up to Superior Court for a jury trial, which is her right under the law.
Assistant District Attorney Gregory Bushway told the court that Boatwright gave a breath sample in the case and the result was a .106 on the intoxilizer. The defendant was allowed to make bond of $1,734 and was released.
Bushway said Nov. 25, 2012, at approximately 2 a.m., Boatwright was stopped by Jones County Sheriff's Department Deputy John Humphries. He said Humphries observed the defendant traveling 73 mph in a 55 mph zone.
"When she was stopped, she told the officer she was going to check on her mother because her blood sugar had dropped," he said.
For the full story, pick up a copy of this week's newspaper or subscribe to our e-Edition at http://ee.jcnews.com.


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RONDA - The Lady Falcons gave Mountain Valley Conference regular-season champion North Wilkes all they could handle Wednesday night in the conference tournament semifinals.
Forbush hung tough and took the Vikings to overtime before falling 62-56.
The Falcons jumped all over North in the early going, grabbing a 14-6 lead in the first. After leading 17-12 at the end of one, Forbush held a six-point edge over the Vikings at the break.
North battled back and finally pulled ahead late in the third, taking a 40-37 lead to the fourth quarter.
After the Vikings pushed their lead out to five at 49-44, Forbush responded and tied things up at 51-51 on a Maddi Morsch runner with 51 seconds left to play.
North had a chance to seal the victory down the stretch, but missed free throws nearly doomed the champs.
The Falcons had three opportunities in the final 3.4 seconds for the game-winner, but failed to get a quality shot off, sending the game to the extra session.
In overtime, the Vikings knocked down crucial free throws and outlasted Forbush 62-56 to punch their ticket to the tournament title game.
Savannah Hill poured in a team-high 30 points in her final conference game, while Brittany Moose added 14 more.
Reach Matthew Gorry at 835-1513 or email@example.com.


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|The most helpful favorable review
|The most helpful critical review
6 of 6 people found the following review helpful:
By Jerry from USA on 2011-11-11 09:36:32Things I liked:I have both calibers .177 .022 I received the long shroud or long barrel version meaning the barrel is 7 inches longer than the one shown, it is the same on both. I have to say this was pure luck . These are the absolute most accurate air rifles i have in my collection, which includes all calibers of the benjamin marauder .177 . 022 .025 The FX royal , edgun which is not a repeater of course. and so on. These rifles with the longer shroud have outstanding range and accuracy. I have paired them both with center point 8-24-56 scopes, I will put these rifles up against any and all comers. I am very impressed.
Things I would have changed:I use a sling pin bi pod which covers part of the fill port, I have to remove the bi pod to fill. No big deal I read that people talk about the price, After buying the R10 and seeing the capabilities of the rifle I would have paid more. You get what you pay for is a true statement here.
What others should know:If you want to have an air rifle with absolute world class accuracy then this is the rifle for you, I would only buy from Pyramyd air they have great knowledge of these rifles and the products they sell. They have a great support team on staff and can answer all questions, if I could sell all of my other air rifles and just have my R 10s I would be satisfied. I hope this helped
0 of 4 people found the following review helpful:
By Juan from USA on 2011-10-23 17:35:28Things I liked:The looks, beautiful design and the stock is awsome.
Things I would have changed:I paid for the $10 for 10 test ..!!! and the metal finish is mediocre, it leaks when filling and have to be cocked to avoid the air passing through the barrel. Accuracy is less than impressive and in 100 yd. shot I can see through the scope the pellet swirling in a spiral (ridiculous). And after only 20 or 25 shots air starts leaking so you have to cock it again to stop from loosing all the air. I can't believe I even wrote to Erica at Pyramyd Air before ordering to avoid this deception.
What others should know:It is a VEEERY long barrel (43") and the picture Pyramyd Air has doesn't match the gun you'll get. Go for Air Arms every day folks.
|By Jesus from USA on 2012-03-10
|By William from USA on 2015-07-19
|By Jaxworks from USA on 2015-07-14
|By Paul from USA on 2015-07-10
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Antoni Gaudí (1852 - 1926) is a well-known Catalan architect of the Modernisme. He studied architecture in Barcelona and designed many well-known buildings there – among others: Sagra Família, Milà House and Palau Güell.
The Modernisme is a style that emerged towards the end of the 19th century in Barcelona. This local (= Catalan) Art Nouveau is a highly personalized creative style, which became the distinctive feature of Catalan nationalism.
Palau Güell is one of the earliest buildings designed by Antoni Gaudí that was built between 1886 – 1890 as a private residence for the industrialist and Gaudí's patron Eusebi Güell.
Sagrada Família is Gaudí's unfinished masterpiece and the symbol of Barcelona. This building full of mystery and symbolism belongs to the finest buildings in the world.
The work on the cathedral began in 1882. One year later Gaudí became the main architect and spent the rest of his life working out the ambitious project – according to his plans the church was supposed to seat 13 000 people and its dome should have been 160 meters high. He devoted most of his life and energy to his "dreamt church". But at the time of Gaudí's death, just one of the towers had been finished. Nowadays, the cathedral is still under construction, and approximately half of the cathedral needs to be finished. Contemporary architects follow the original Gaudí's plans. It is estimated that the cathedral would be completed by 2030.
Casa Milà known also as "La Pedrera" is one of the most remarkable housing architectures in Barcelona. The house was built between 1906 and 1910. The most remarkable feature of this building is that there is no single straight line or wall. The chimneys on the roof are in forms of warriors or spirits and thus also capture the attention of people.


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When an injury results from medical malpractice, our Florida attorneys may be able to file a lawsuit against the doctor, nurse, hospital, or healthcare provider who was negligent in causing the injury. Medical malpractice occurs when treatment by a healthcare provider falls below the accepted standard of care in the medical community and leads to the injury or death of a patient. In general, if a healthcare provider in Florida fails to act where others with similar training would have, they may be liable for any resulting injuries and other losses.
Have you or a loved one been injured by a healthcare professional? If so, you may be able to file a medical malpractice lawsuit to recover compensation for lost wages, medical bills, and pain and suffering. Fill out our free case review form today to learn how our Orlando attorneys may be able to help you file a medical malpractice claim.
Medical malpractice lawsuits differ from other personal injury cases because they involve two intertwining areas of expertise: law and medicine. These cases are inherently complex and require the attention and skill of an attorney who is well-versed in both of these areas. The attorney you choose should:
Healthcare professionals will likely have defended against malpractice claims before; therefore, it is important for potential claimants to choose an attorney who has previously litigated malpractice claims in Florida. Your lawsuit will be based not only on your evidence, testimony and witnesses, but also the claims, evidence, and expert witnesses presented by the opposing side in support of their defense. Retaining an attorney in Florida who can anticipate the tactics employed by a healthcare professional to rebut or negate your claims can be a key factor in the outcome of your case.
At Morgan & Morgan, the attorneys in our Orlando office have handled medical malpractice lawsuits for decades and will use this experience to anticipate the strategies used by the defense. Our attorneys' strength lays not only in our courtroom and negotiation tactics, but also the resources made available by our Orlando law firm. At Morgan & Morgan, we employ a number of outside experts at the top of their respective fields, including expert witnesses, full-time nurse paralegals, consulting staff physicians and consulting staff nurses, who will help us establish a link between your injuries and the defendant's negligence. With the assistance of these individuals, our attorneys have compiled a track record of results helping medical malpractice victims in Orlando and the surrounding areas recover compensation for their injuries. While each case is different, we have recovered multi-million dollar results for our clients, including a $38,750,000 verdict for a Florida family after their doctor failed to perform a timely Cesarean section, which resulted in the serious injury of their child.
If you or a loved one has been injured due to another's negligence, our attorneys may be able to help you file a lawsuit to recover compensation for your losses. If you elect to take legal action, we will prepare your claim by:
While the evidence and facts may be on your side, the strength of your case may ultimately hinge on the ability of your attorney to prove a causal link. At Morgan & Morgan, the attorneys in our Orlando office understand how to package, present, and explain supporting (and adverse) evidence; question expert witnesses; rebut claims made by the defense through intelligent and thoughtful means; and turn neutral facts into favorable evidence or negate facts that are unfavorable to your case.
What Constitutes Medical Malpractice?
When a patient is injured due to the negligence of a medical professional, they may be able to file a lawsuit. The plaintiff must prove the following elements to succeed in a medical malpractice lawsuit:
Patient/Doctor Relationship: Individuals filing medical malpractice lawsuits must be able to prove they had a physician-patient relationship with the doctor. The patient must hire the doctor and the doctor must have agreed to work for the patient. Medical practitioners can only be sued for acts of malpractice committed within the scope of employment.
Duty of Care: Physicians are required to perform their duties consistent with the medical community's accepted standards. Doctors and other medical professionals have a legal obligation to their patients to act in the same manner that another practitioner in the same field and situation would.
Breach of Duty: For medical practitioners to be considered negligent, they must have violated the duty of care they owed to their patients. For the duty of care to have been broken, the doctor must have failed to act how another medical practitioner would have acted in a similar situation.
Causation: In addition to negligence, patients must also prove causation to have a valid claim. Injured patients must prove that the medical practitioner's breach of duty was the proximate cause of their injury. Through documents, further medical treatments, and affidavits from other healthcare providers, patients must be able to show a causal relationship between the doctor's negligence and their injury.
Damages: The injury caused by the healthcare provider's negligence must have caused either economic or non-economic damages. This means that medical professionals cannot be held liable unless the injured patient incurred additional medical bills, lost wages or damage to their future earning capacity, or pain and suffering.
For example, if you go to a hospital in Florida complaining of abdominal pain, you will be examined and questioned by a physician. This physician will then make a determination on the proper course of treatment. At this point, you have established a patient/doctor relationship. As a physician, he automatically has a duty of care to his patients—which includes you. If the physician determines you need surgery to remove your appendix, he has a duty to perform this surgery as any other reasonable surgeon would under the same circumstances. A breach of duty is a negligent act or omission, which could include removing the wrong organ, causing excessive damage to the body in the surgical site, or leaving a tool in your body after surgery. If you sustain an injury during or after surgery, you must prove that the breach (negligent act) was the direct cause of the injury that resulted in compensable damages.
In medical malpractice cases, damages are awarded to compensate the injured patient for the harm caused by a medical professional's negligence. Compensatory medical malpractice damages attempt to make the victim "whole" again and provide financial compensation for economic and non-economic losses. Also known as actual damages, economic losses that may be covered include:
Medical expenses: These damages cover the cost of hospital stays, doctor visits, physical therapy, prescription drugs, assistive devices and similar expenses. When an injury is severe or permanent, the medical malpractice victim may also be awarded compensation for future medical expenses.
Lost wages: Patients who must take time away from work to recover from their medical malpractice injuries may be able to collect compensation for lost wages.
Loss of earning capacity: When patients are unable to earn the same amount of money as they did prior to the accident, they may be awarded compensation for a loss of earning capacity.
Pain and suffering: Medical malpractice damages for pain and suffering typically compensate victims for physical pain caused by their injuries. These damages may also include compensation for emotional distress, which refers to the anxiety, depression, fear, frustration and other mental suffering that can develop as a result of a medical malpractice injury.
Loss of consortium: Spouses of medical malpractice victims may be able to recover compensation for the loss of marital benefits. Loss of companionship, sexual relations, affection, and comfort are among the compensable marital benefits. Loss of consortium medical malpractice damages are typically awarded in cases of life-changing or permanent injuries.
Other damages: There are other damages available in certain situations, including loss of life's enjoyment, compensation for disability or disfigurement, loss of parental support, loss of companionship, etc.
When nurses, doctors or other medical professionals act with gross negligence, meaning that their conduct was willful or malicious, injured patients may be entitled to punitive damages. Rather than compensate these victims for their losses, punitive medical malpractice damages aim to punish the defendant and deter others from engaging in similar conduct.
Under Florida law, a statute of limitations limits the amount of time under which an injured patient may pursue a medical malpractice lawsuit against a negligent party. Failure to file a claim within this window could bar the right to recover compensation. In some instances, if there is fraud, misrepresentation, or other foul play on the defendant's part, the time frame may be extended to give the injured party additional time to file a suit. Due to this strict time period, it is important for victims of medical malpractice in Florida to contact an attorney as soon as possible after a medical mistake.
If anesthesia is used incorrectly, and a patient is injured or dies, the negligent professional may be held liable for any resulting damages. Some examples of negligence by an anesthesiologist or other healthcare professional include:
There are three kinds of anesthesia: local, regional, and general. Each one is used in different circumstances and carries differing possible complications. One of the most serious complications of an anesthesia error is anesthesia awareness, when a patient awakes during surgery and can see or feel the ongoing surgery. Patients who experience anesthesia errors may be able to recover compensation for their physical and emotional injuries.
Although the emergency room environment is hectic and rushed, medical professionals are still expected to uphold a high standard of care for their patients. Sometimes, though, negligence by doctors, nurses, and other staff members can lead to serious and debilitating injuries. When an error occurs in an emergency room, victims may be able to file lawsuits to recover compensation for their injuries. Examples of emergency room errors include:
In certain cases, the hospital where the patient was injured can also be sued in a hospital negligence lawsuit. First, hospitals are charged with adequately evaluating prospective employees' qualifications, including prior experience, certifications and level of education. If a hospital hires an incompetent or under-qualified medical professional, it may be held liable for any patients injured by that employee's incompetence. For instance, if a hospital fails to check whether an employee has the proper degree or certification and that employee causes an injury, the hospital may be found liable.
Second, hospital employees and staff sometimes engage in conduct that amounts to medical malpractice, for which the hospital can be held liable. Some of these include:
Hospitals can be vicariously liable for any injuries caused by the negligence of their employees, including technicians and nurses, because employers have a duty of care to direct and supervise their workers. This liability covers negligence of employees as well as systemic problems within the hospital, including unreasonably long wait times for the emergency room and infections acquired from unclean instruments.
Hospitals, however, usually can't be held liable for the negligent actions of independent contractors. In Florida, many doctors are not hospital employees, but are typically employed by the hospital on a freelance basis while they run their own private practices. Hospitals may only be found negligent for the actions of independent contractors if they are found to lack the requisite experience, are under-qualified, or acted with the apparent agency of the hospital. If an attorney can prove that the professional was represented to be an employee of the hospital, the patient relied on that representation, and was injured as a result, the patient may be able to sue the hospital, as well. Some hospitals try to get around this apparent agency problem by requiring their independent contractors to notify patients that they are not hospital employees or by placing signs indicating their status around the facility. If patients are not reasonably apprised of their physicians' independent contractor statuses, the hospital may be liable for any resulting injuries.
Although medical devices are used regularly to diagnose, treat, or prevent diseases, sometimes their failure or misuse results in serious injury or death to a patient. There are three major types of defects in medical devices that might cause injury and open up a manufacturer to liability. These are manufacturing defects, design defects and inadequate warnings. In the case of one of these problems, the manufacturer of the device may be sued if the defect causes injury or death.
In addition, medical devices may be misused by medical professionals. When improper training, inadequate knowledge, recklessness, or negligence in using a medical instrument or device leads to the injury of a patient, the medical professional that misused the device may be held liable.
Failure to diagnose an illness correctly can have devastating effects on a patient and his or her family. Injuries resulting from a medical misdiagnosis or delayed diagnosis can leave patients with debilitating pain and lasting physical impairments and, in the worst cases, result in fatalities. Commonly misdiagnosed conditions include breast cancer, lung cancer, ovarian cancer, prostate cancer, brain tumors, infections, appendicitis, ectopic pregnancies and vascular diseases.
To recover compensation in a misdiagnosis lawsuit, an injured patient must prove that the healthcare professional was negligent. Some examples of negligence resulting in misdiagnosis include:
Failing to listen to the patient: When patients tell their doctors that they aren't feeling well, it is the responsibility of their doctors to listen and examine these symptoms. Should a doctor fail to examine a symptom and his or her patient gets sicker, the doctor can be liable for a misdiagnosis.
Failing to recognize symptoms: Doctors are trained to make diagnoses based upon their patients' symptoms. If a healthcare professional fails to make an accurate diagnosis, despite symptoms indicating a particular illness, he or she may be held liable for medical malpractice.
Failing to examine medical history: Physicians have a responsibility to examine their patients' personal and family medical histories. A physician may be considered negligent if he or she didn't examine a patient's medical history, the patient becomes sicker, and the illness would have been easily identifiable after examining the patient's medical history.
Ordering an improper test: If doctors order incorrect tests based on the symptoms in their patients, they may be negligent if their patients sustain further injuries. Additionally, doctors can be found negligent if they fail to order standard tests after observing certain symptoms in their patients.
Failing to interpret tests correctly: When doctors order tests for their patients, they are responsible for correctly interpreting the results. Should a doctor carelessly interpret a patient's test, he or she may be considered negligent and held liable for any unnecessary injury or sickness that results.
When patients receive misdiagnoses, their illnesses have time to progress without adequate treatment. In the worst cases, this can result in death. Additionally, when patients are misdiagnosed with illnesses from which they are not suffering, they can be subjected to painful and risky treatments. In either of these instances, if a doctor was negligent in misdiagnosing the illness, he or she may be liable for any resulting losses incurred by the patient.
Postoperative care refers to the monitoring and subsequent care that a patient receives following surgery or treatment. Medical professionals are responsible for monitoring patients for complications that arise from surgery or treatment, preventing and treating infections, monitoring vital signs, giving detailed instructions to patients for post-surgical care, and correctly prescribing medicine to patients to aid in the healing process and prevent complications. If a doctor fails to properly monitor a patient or fails to notice symptoms, that patient may suffer a severe injury. In these cases, the patient may have a viable medical malpractice lawsuit.
Some of the types of infections, illnesses, and conditions that commonly arise from postoperative negligence include:
Other examples of medical malpractice include:
To see if our Orlando attorneys can help you file a medical malpractice claim and recover the compensation you deserve, fill out our no-cost case review form.


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|Discount Ramps very own Big Boy III Trike Ramps were recently featured in Motorcycle Baggers Magazine April 2012 issue!
|American Iron Motorcycle Baggers is a motorcycle enthusiast magazine that highlights cruisers & full dresser motorcycles.
|Click here to read the review.
|Thanks for reading! Jay Tamez – Discount Ramps LLC
Tags: American Iron, Big Boy, Motorcycle Baggers Magazine, motorcycle ramps, Trike Ramps


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On Saturday, May 19, members of the Pushmataha County Sportsman Club held a bass tournament on Sardis Lake. Twenty anglers competed in the event. More anglers may have competed had it not been for the fact that strong winds were predicted for that day. Sardis Lake can become quite dangerous on windy days due to the large wave action. The wind was a factor to those who did compete as many were not able to go to and fish in some of their normal areas of the lake.
Keeper bass were hard to come by as only nine anglers were able to bring fish to the weigh-in. However, even though bass numbers were low, some quality bass were caught including a 5.21 pound bass caught by Craig Bartlett, a 7.18 pound bass caught by Billy Latham, and the big bass of the tournament, caught by Billy Henlsey which weighed 8.88 pounds.
Billy Latham won the tournament with a stringer weight of 13.27 pounds. Billy Hensley finished in second place with a stringer weight of 12.21 pounds. Third place was taken by Ellis Silvey with a stringer weight of 10.44 pounds.
The club's next event will be the Annual Husband & Wife Bass Tournament and Fish Fry. It will be held on June 2, at the Potapo boat ramp on McGee Creek Lake. This is Oklahoma's free fishing week-end, so a fishing license will not be needed by any of the participants. Fishing times will be from 7:00 a.m. until 2:00 p.m. with a fish fry following the weigh-in.View more articles in: