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Gordon Urges More Funds For Border Security
Professor Mariano-Florentino Cuellar is mentioned as a co-leader of President-elect Obama's transition working group on immigration in an article in the Arizona Republic about border security:
Phoenix Mayor Phil Gordon told senior members of President-elect Barack Obama's transition team Thursday that the U.S. government should boost the number of federal agents on the border but also dedicate more money to law-enforcement operations targeting violent crime in urban cities.
Gordon made his comments during a conference call with transition team officials that focused on ways the federal government could better help local governments enforce illegal- immigration laws.
"The public is frustrated with the lack of perceived and actual action by the federal government and have turned to local agencies . . . to address the criminal aspect of illegal immigration," Gordon said after the phone call, which was led by a co-leader of Obama's transition working group on immigration, Stanford law Professor Tino Cuellar.


text:
An attachment jib for supporting various working devices, such as a pipe manipulator, includes a support base which can be rigidly coupled removably with existing elements on the nose block of a telescopic crane boom. The jib includes telescopic sections and its base section is pivotally mounted on the support base and is luffed by power cylinders on such base through a wide angle. The jib contains another power cylinder to control extension and retraction of its fly section carrying the working device. An optional work support platform pivotally connected to the support base may be used either with or without the jib.
1. An attachment jib for a crane boom comprising a support base adapted to be releasably coupled with a pair of existing parallel shafts on a crane boom, said support base comprising a frame having spaced opposite side arms adapted to straddle the nose block of a crane boom and the arms having engaging elements at their ends adapted to be releasably locked in engagement with said existing projecting shafts on opposite sides of the nose block, a jib structure including at least one extensible and retractable section, a separate hydraulic cylinder inside said jib structure operable to extend and retract said section, a framework carrying the jib structure and projecting from one end thereof near the base of the jib structure, said framework comprising a box-like frame having one corner thereof pivotally connected to the support base between said side arms and spaced from the longitudinal axis of the jib structure, an adapter element at the leading end of said jib structure adapted to be releasably coupled to a mating adapter element of various working devices, and hydraulic luffing cylinder means mounted on the support base and connected to a second corner of said box-like frame on one side of the support base in spaced relationship to the pivot axis of said box-like frame, whereby the attachment jib can be pivoted through a very wide luffing angle.
2. An attachment jib for a crane boom as defined in claim 1, wherein said side arms include bifurcated anchors adapted to straddle the end portions of said pair of existing parallel shafts on said crane boom, and means to releasably lock the bifurcated anchors in engagement with said shafts.
3. An attachment jib for a crane boom as defined in claim 1, wherein the hydraulic luffing cylinder means comprises, a pair of hydraulic cylinders, and a pair of support members for the hydraulic cylinders on the support base in substantially the same planes occupied by the side arms and projecting beyond correponding ends of the arms.
4. An attachment jib for a crane boom as defined in claim 2, wherein said means to releasably lock the bifurcated anchors comprises, tethered block elements engageable between the bifurcations of the anchors to retain the anchors engaged with said shafts, and tethered locking pins removably engated with the bifurcations and blocks to retain the blocks in their operative positions relative to the shafts and anchors.
Attachment jibs for crane booms including telescoping booms are known in the art and exist in a number of forms. Generally, such booms are employed to increase the normal maximum length of the boom so that higher elevations may be reached. The known jibs are quite limited in their utility and an example of their limited use is to place a relatively light load on the roof of a building whose height is within the reach of the jib when the crane boom on which the jib is mounted is extended.
With the above in mind, it is the object of this invention to provide a far more versatile attachment jib for cranes which includes a more stable, secure and convenient mounting base which is removably attachable to existing shaft elements found on the nose block of most telescoping boom construction cranes.
Another object is to provide an attachment jib having its own boom which is extensible and retractable and which may be luffed through a wide angle to enable a more efficient utilization of different working devices which can be supported by the jib.
Another object is to provide an attachment jib of the above-mentioned type whose extending and luffing hydraulic cylinders may be conveniently operated by the hydraulic system of the crane.
Still another object is to provide an attachment jib having an optional worker support which remains level under the influence of gravity and which, when used, places the worker close to the controls for the jib and working implements carried by the jib.
Other features and objects of the invention will become apparent during the course of the following detailed description.
FIG. 1 is a side elevation of an attachment jib for construction cranes according to the invention.
FIG. 2 is an opposite side elevation of the attachment jib showing its use with a different form of working device from that depicted in FIG. 1.
FIG. 3 is an enlarged vertical section taken on line 3--3 of FIG. 4.
FIG. 4 is an elevational view, with parts in section, of the elements shown in FIG. 3 looking in the direction of the arrow 4.
FIG. 5 is a plan view, partly in section, of the attachment jib and its supporting base.
FIG. 6 is a side elevation, partly in section of the elements shown in FIG. 5.
FIG. 7 is an enlarged transverse vertical section through the telescopic jib taken on line 7--7 of FIG. 6.
Referring to the drawings in detail wherein like numerals designate like parts, the numeral 20 designates a conventional hydraulically operated telescopic crane boom which may be extended and retracted and luffed and slued in the customary manner. The fly section of the crane boom 20 carries a nose block 21 having a pair of customary parallel cross shafts 22 for the support of sheaves when the attachment jib is not being employed. These cross shafts are employed as the primary support elements for the attachment jib forming the subject matter of the invention and indicated in its entirety in FIG. 1 by the numeral 23.
The attachment jib comprises a support base 24 of rigid construction which includes upper and lower laterally spaced parallel arms 25 and 26 which can straddle the nose block 21 adjacent to its shafts 22. The lower arms 26 have bifurcated anchors 27 socketed therein and welded into place fixedly. Corresponding bifurcated anchors 27' of the upper arms 25 are socketed therein for limited adjustability and are secured in place by bolts 28. The bifurcated anchors 27 and 27' whose walls are divergent engage easily over the opposite end portions of shafts 22 and are locked in place by wedge blocks 29, in turn secured by tethered removable locking pins 30. The blocks 29 are also tethered, as shown in FIG. 3, to prevent their total separation from the support base 24.
Referring to FIG. 4, spacer sleeves 31 and collars 32 are placed on the two shafts 22 between the side walls of nose block 21 and the arms 25 and 26 to achieve proper centering of the attachment jib relative to the crane boom 20.
The support base 24 further comprises spaced parallel members 33 rigidly interconnecting the arms 25 and 26 and being further rigidly secured at their lower ends to elongated parallel bars 34 which underlie the arms 26 and are secured thereto. At their rearward ends, the bars 34 are rigidly interconnected by a cross member 35 of greater length than the distance between the members 33 so that opposite end portions of the member 35 project equidistantly outwardly of the members 33 and the arms 25 and 26 secured thereto. A cross brace 36 between the bars 34 is provided at their opposite ends and an intermediate cross bar 37, FIG. 3, may also be provided for increased rigidity in the support base.
Near and below the arms 25 a tube 38 is fixed within openings formed in the members 33 and extends between these members at right angles thereto as best shown in FIG. 4. The tube 38 is adapted to receive a shaft 39 therethrough, shown in FIG. 1 only, by means of which a worker supporting basket 40 may be suspended pendulum-like from the tube 38 with safety and security. The basket 40 can be omitted entirely, when desired.
The attachment jib additionally comprises a jib body or base 41 having an extensible and retractable telescoping fly section 42 carrying at its leading end an adapter flange 43 through which various working devices may be attached to and operated by the jib 23. For example, as shown in FIG. 1 of the drawings, a pipe handling device 44 may be attached to the flange 43 of the telescoping fly section 42 of the jib, the latter being extended and retracted by a hydraulic cylinder 45 inside of the telescoping jib and having connections at 46 and 47 with its base and fly sections 41 and 42. As shown in FIG. 7, the telescoping jib sections are stabilized and guided by suitable wear pads 48 at its lower side and by adjustable pads 49 at its opposite vertical sides.
FIG. 2 of the drawings shows another utilization of the attachment jib 23 in which a headache ball 50 and hook are suspended by a cable from a sheave 51 attached by a support bracket 52 from the adapter flange 43 of the jib, a further guide sheave 53 for the cable being provided at the rear of the jib on its top to prevent interference of the cable with the crane boom 20.
The base section or body 41 of the attachment jib is fixed to and rigid with a pair of spaced parallel cross arms 54 which project equidistantly beyond the opposite sides thereof near the rear end of base section 41. The ends of these cross arms are rigidly secured to descending parallel bars 55 whose lower ends are rigidly interconnected by somewhat inclined bars 56. It can be seen that the elements 54, 55 and 56 form a rigid unitary approximately rectangular box frame whose sides consisting of the bars 55 are spaced laterally outwardly of the parallel bars 33 of support base 24, see FIG. 4.
A luffing pivot for the attachment jib 23 is formed by a sturdy pivot shaft 57 whose axis is parallel to the shafts 22 and tube 38. This pivot shaft is held in bearing sleeves 58 on the members 33 of the jib support base 24. The shaft 57 extends through pivot bearings 59 of the frame composed of the bars 55 and 56, above-described, at the rear lower corner of this box-like frame, see FIGS. 1 and 3. By means of the box-like pivoting frame for the attachment jib 23, the luffing pivot axis defined by the shaft 57 is placed well below the longitudinal axis of the telescoping jib sections 41 and 42. This arrangement facilitates a very wide angle luffing of the attachment jib through an angle as great as 100 degrees downwardly from an elevated position 15 degrees below the center line of the crane boom 20, FIG. 1, as an example
Luffing of the jib is achieved by the operation of a pair of spaced parallel hydraulic luffing cylinders 60 whose cylinder bodies are pivotally connected at 61 to depending anchors 62 on the opposite ends of cross member 35. The rods 63 of cylinders 60 are similarly connected at 64 to anchors 65 attached to the lower ends of frame bars 55, as best shown in FIG. 6. Referring to FIG. 4, the wide stance arrangement of the luffing cylinders 60 and the frame members 55 and 56 outside of the framework of the supporting base 24 gives great strength and stability to the jib mounting and enables it to carry substantial loads without twisting and swaying laterally. The provision of the long member 35 at the rear ends of the parallel bars 34 is important in this respect, that is, lateral stability.
As shown and described, the connections of the rods 63 of the luffing cylinders with the jib are at the lower forward corners of the framework composed of elements 55, 56 and 54 and spaced ahead of and below the axis of pivot shaft 57. This geometry also contributes to the generous luffing angle of the jib
For completeness and to avoid loose hanging hydraulic lines and cables, the jib 23 can be equipped with a conventional Powertrack 66, FIG. 1, forwardly of a fixed conduit 67 on one side of the jib. Other types of guide and support means for flexible elements could be used. A further Powertrack 68 or the like can be placed on one side of the crane boom 20, as shown in FIG. 1.
In connection with the drawing figures, it will be understood that crane boom 20 is at an elevated angle in FIG. 1, at a shallower angle in FIG. 2, and horizontal in FIG. 3. In use, the crane boom 20 is positioned in various ways, depending on the nature of the particular working device being utilized on the attachment jib and other variables. The jib proper is extended and retracted and luffed as needs dictate, either by an operator in the basket 40 or remotely from the cab of the crane.
It is to be understood that the attachment support base 24 can carry the worker supporting basket 40 alone pivotally connected thereto in pendulum-like suspension, as indicated in FIG. 1, without a luffing jib to provide a worker support attachment for a crane boom nose assembly that is readily attachable and releasable from the parallel shafts 22 thereof. The support base may also carry a workman support platform pivotally connected thereto in another position, other than that shown in FIG. 1 at 38 and 39.
The terms and expressions which have been employed herein are used as terms of description and not of limitation, and there is no intention, in the use of such terms and expressions, of excluding any equivalents of the features shown and described or portions thereof but it is recognized that various modifications are possible within the scope of the invention claimed.
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subset: commoncrawl


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The Courtauld Scholarship Fund
STUDENTS STORIES: Per Rumberg
Launching careers:
Per was supported by the Edmond J. Safra Philanthropic Foundation and later with a three-year scholarship funded by The Friends of The Courtauld.
Per Rumberg has fully deserved his recent appointment as Pidem Curatorial Assistant at The National Gallery in London. Professor Patricia Rubin, Per's academic PhD supervisor highly praises him: "I really do not know how to begin my praise of Per and to state my extraordinary gratitude at being able to work with this remarkable young man. Per has very special qualities of character and of intellect: he is refined and precise in his thinking, he becomes completely absorbed in a given problem and invariably makes important discoveries. Over the past two years Per has acted as my research assistant. I trust him as much as I admire him."
After studying art history at the Humboldt University in Berlin, Per has been at The Courtauld since 2006, first as an MA student, and then - having won the Courtauld Dissertation Prize 2007 for his MA dissertation – to work with Professor Patricia Rubin on his PhD on Verrocchio's Doubting Thomas.
There was hardly any aspect of The Courtauld's academic life where Per did not contribute, be it the Research Forum, the seminar group Writing Art History or the postgraduate research journal immediations. All of these would have been very different without his contributions. "Parallel to the work on my dissertation, I served on the postgraduate advisory board of the Research Forum as well as the editorial board of immediations and, together with Jim Harris, edited the book Art & Nature, the first volume of the immediations conference papers. In addition, I was teaching for the Institut d'Etudes Supérieures des Arts in Paris, being involved in particular in their MA programme on the history of art and collecting, a course organised jointly with the Wallace Collection in London."
Per's studies and research were supported first by the Edmond J. Safra Foundation and later with a three-year scholarship funded by the Friends of The Courtauld. "None of this, neither my research nor my further activities, would have been possible without the most generous support provided by the Friends of The Courtauld over the last three years, and I would like to thank you, once again, for making this possible." Per Rumberg
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text:
WASHINGTON — Janet Yellen says the economy has regained ground lost to the deepest recession since the 1930s. But she says unemployment remains too high at 7.3 percent and notes that the Fed is still trying to accelerate the economy's recovery.
In testimony prepared for her confirmation hearing Thursday, Yellen said the economy is still performing far below its potential. And she pointed out that inflation is running below the Fed's 2 percent target.
"For these reasons, the Federal Reserve is using its monetary policy tools to promote a more robust recovery," Yellen said in her testimony. "I believe that supporting the recovery today is the surest path to returning to a more normal approach to monetary policy."
Yellen offered no hints that she would deviate from the low-interest rate campaign of the outgoing chairman, Ben Bernanke. Her comments amount to a defense of the extraordinary measures the Fed has used under Bernanke to try to keep long-term borrowing rates near historic lows to encourage spending and promote growth. These measures have included three rounds of bond purchases.
Critics have warned that the Fed's support programs run the risk of igniting inflation or inflating price bubbles in assets like stocks or homes. Yellen said a strong recovery would ultimately allow the Fed to begin to normalize its policies. This would include reducing its reliance on its $85 billion-a-month in bond purchases, which have been intended to keep long-term rates down.
Some economists saw Yellen's comments as a sign that the Fed won't move at its next meeting in December to reduce its bond purchases — a process often called "tapering." Rather, the Fed could delay any tapering beyond March, when many have predicted it would begin.
"This is a strong signal that the Fed is not going to reduce its support for the economy any time soon," said Sung Won Sohn, an economics professor at the Martin Smith School of Business at California State University.
Jim O'Sullivan, chief economist at High Frequency Economics, said Yellen's statement definitely had a "dovish tone." He said, "There is certainly no hint about imminent tapering."
On regulatory policy, Yellen said she was committed to using the Fed's powers to "reduce the threat of another financial crisis."
She said she believes strict rules on the capital reserves that banks most hold to protect against losses are crucial to preventing the failures of large institutions that could destabilize the financial system.
"Our country has come a long way since the dark days of the financial crisis, but we have farther to go," Yellen said in her prepared remarks.
The Fed released Yellen's brief three-page opening statement the day before her confirmation hearing before the Senate Banking Committee. She is expected to win approval by the committee and by the full Senate to succeed Bernanke, whose second four-year term as chairman will end Jan. 31.
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Night Shift
No Good Deed . . .
I picked up the first chart of the night and read the chief complaint. "Suicidal." You never know what that means. It could be an old man who has sat all day with his shotgun in his mouth and finally thought better of the situation. It could be a belligerent drunk who was thrown out of his house by his wife and knows that he can stay in the hospital over night if he claims he's going to kill himself. Or it could be a mixed up teenager who has experienced her first break up. It might mean a long work up and a lot of hand holding. Or it might be a quick "get out of my ER." You just never know.
I suspect that I'm a bit cynical after years of manipulative behavior by those wanting 'three hots and a cot,' so I was a little surprised when I entered the room to find a calm, well-dressed young woman sitting on the bed. Her demeanor was one of sadness, not the flat expression of depression. After introducing myself to her I sat down beside the bed and asked as sincerely as I could, "How can I help you?"
"I just needed someone to talk to," she said. I was busy writing on the chart the time I'd entered the room. I put down the chart and looked at her intently.
"Well, that's what I'm here for." I folded my hands and tried to focus on just her but I could hear all the chaos in the ED. I didn't know how long I could afford to just sit and listen. "Tell me what's been going on."
"We live with my mother-in-law."
"My husband and I and our little boy. He's two."
"Go on."
"She's just so critical. I can't seem to do anything right, according to her. She doesn't think I'm a good mother to my little boy."
"What does your husband say about this?"
"He's afraid to upset her for fear that she'll tell us to move out."
"Why are you living there? Does your husband work?"
"Oh he's a hard worker. But his plant closed down. And he can't find any work in his field right now. We tried to hang on to our house. He's working at all the day jobs he can find, but it's just not enough. So we had to move in with her. She means well. I'm just getting tired of hearing her criticism."
Seeing my opportunity to address the chief complaint directly and possibly start to take some action I asked her, "Have you been thinking of hurting yourself or anyone else?"
"The triage nurse wrote that you were suicidal. What did you tell her?"
"I just told her I couldn't take this much longer."
"You didn't say anything about hurting yourself?"
"Oh no, I love my little boy too much to do something like that."
"So let me be clear. You didn't say anything at all to suggest that you might be thinking about killing yourself?"
"Oh no." She was emphatic. "I told her I just couldn't take this any longer. But I never said I wanted to kill myself or anything like that." I was relieved, but frustrated.
"Well, OK then," I said slowly while considering my options, "and please don't take this wrong. But what exactly did you hope to accomplish by coming to the emergency department tonight? If there is something I can do to help I'll be glad to do it. But it doesn't sound like you have a medical emergency tonight."
"I'm sorry to bother you with this. I shouldn't be here." She started to cry. I felt embarrassed for coming off as so hardhearted but I really didn't know what to do to help her. Then I struck on an idea.
"Would you like to talk to one of the social workers? She might be able to help you work through some of your options for other housing arrangements. And if that can't be done, she might at least be able to connect you with some counseling to help you cope with the situation with your mother-in-law."
Her countenance brightened. "Yeah. I'd like to talk to a social worker."
"I'll see what I can do," I said, already half way out the door and thinking about my next case.
"This'll be a case you'll enjoy," I told Becky the night social worker when I finally got her on the phone. "This is not a placement. All you need to do is talk to this young woman about her options for moving out of her mother-in-law's house. I know you've got all kinds of connections with the community. She's not crazy. She's not suicidal. She's not an abuser. She just needs some good solid common sense advice. And I know you can give it to her. OK? Great!" Another problem solved. I felt good. Somebody might get some real help from social services tonight. I grabbed an arm full of charts and charged off to work up a "belly pain," an "ankle pain" and a "short of breath," which I decided to see first.
An hour or so later the nurse assigned to the psych rooms passed me as I rushed by. "I put an IV in the lady in Room 7 with her blood draws. Do you want anything else? And she couldn't pee, so we just cathed her."
"What? Who are you talking about?"
"Your suicidal lady in the psych room."
"She's not suicidal. And NO I don't want an IV. And why is she getting blood drawn?"
"The psychiatrist won't see her without medical screening and that includes a blood draw and a tox screen."
"Hold everything." I grabbed Becky as she walked by. "What's going on with Room 7? Did she tell you she was suicidal?"
"No. But the chart said she was suicidal. I can't talk to her and discharge her if the chart says she's suicidal."
"But I wrote on the chart that she completely denied all that."
"I know, but once it's on the chart, we have to assume that it's correct and call the psychiatrist. You know, for legal reasons."
"Oh, and can you co-sign these orders?" the nurse interrupted. She was impatient and wanted to get back to the backlog of patients.
I looked at the order sheet with a sigh of frustration. Since the psychiatrist didn't come in at night, the patient would have to stay in the ED all night. Even if she wanted to go home, which she did, she would not be allowed to sign out AMA because of her complaint. Because she was "suicidal" she had to have a sitter to watch her to prevent her from hurting herself. In the morning, the psychiatrist would quickly discover the same information that I did and discharge her, but only after he had charged $300 for the consult. All totaled she might run up a $1000 bill that night, just for wanting to talk to someone. And if I tried to circumvent the system at this point and simply discharge the patient, it would surely be reported as a breach of care. I apologized to the patient for the inconvenience. I felt terrible for initiating this fiasco and I ruminated on it all the way home.
"Did you take out the trash last night before you went to work," my wife asked as I munched granola and watched the morning news. I cringed as the commentator said, "Some experts suspect up to 10% of all the money spent by Medicaid is spent on unnecessary testing and treatment by doctors."
"Fraud?" the anchor said in a menacing tone.
"No," I said defiantly to the TV. "So go ahead and prosecute me already."
"Hey Buster, I was just asking. You can lose the attitude or you'll be wearing the rest of that breakfast." She stood over me with raised eyebrows and coffee pot.
"Huh?" I was tired and confused. But something told me I had just dug the hole I was in a little deeper.
Mark Plaster, MD, is the executive editor of Emergency Physicians Monthly
# Stupid rules — 2009-09-23 20:01
If YOU don't challenge stupid rules, you're part of the problem. Take some responsibility.
# Stupid is as stupid does — 2009-09-24 00:10
Chuck- you beat me to the punch.
First of all I would like to tell you how much myself and my wife (non-physician) enjoy your Nightshift column. I was also in the Navy for 10 years and can really appreciate your "sea stories". Some things never change!!
I've never written a comment before (i.e. first time caller, longtime fan), but after reading this article it seems to me more could have been done on your part as a physician to avoid this outcome.
I find it difficult to believe you work in an environment where the misguided assessment by a triage nurse can send a patient down a one-way irreversible path to a mandatory evaluation by a psychiatrist. If this the case then why do you need to do any type of psychological evaluation since you cannot override the triage nurse's documentation. Without even seeing the patient I can imagine how this all happened. The patient told the nurse the same thing she told you "I couldn't take this much longer". OK, this sounds like a psych complaint, if she can't "take this much longer" she MUST be suicidal. Writing "suicidal" takes less time then what was actually stated, off to the psych room!
I'm quite certain that when this patient left her house and came to the ED that a prolonged stay for being "suicidal" was not on her mind. I suspect she thought by going to the ED she would be able to talk with the on-call psychiatrist, placed on an antidepressant, and now have someone to see for her problems. Not spend the night in the ED, have her blood drawn, and have a sitter placed outside her room.
It seems to me that you felt hopelessly trapped in a silly hospital policy that was not subject to reasonable-man theory or common sense of any kind. This poor woman's fate was sealed by a few misguided strokes of a pen. While trying to fix hospital policy at 1AM is rarely successful, I feel you could have been a better patient advocate, and more proactive in your disposition of this patient. I'm not convinced that discharging the patient and providing outpatient followup on well documented chart on a clearly non-suicidal patient equates to a "breach of care". If anyone was subject to breach of care, wouldn't it be the nurse who inappropriately wrote "suicidal"? Perhaps a simple phone call to the on-call psychiatrist could have avoided this. As ED docs we all know how "reasonable" our consultants can be when awoken from Stage 4 REM sleep at 3AM! Once again, if you have no say in the disposition of psych patients then what is your role?
In the end I think a disservice was done to the patient. I'm sure she will have vivid memories of her evaluation and when she really needs acute psychiatric help may not seek our services.
Usually love your articles, was disappointed to see that your nurses are ordering workups against your judgment as a physician.
# 2009-09-25 04:59
I agree with Dr. Walton (and as a fellow night doc, look forward to reading the "Night Shift" column each month). One solution would be to have the triage nurse redo her note saying "suicidal". She might be able to chart, "Can't take this" and also note that the patient denies suicidal ideations. I don't feel compelled to write orders for blood already drawn. I also have the list of referrals that our social workers use, so with a bit of counseling by me, I sometimes can discharge the patient myself with good documentation and referrals. Also, the social worker may be able to follow up the next day if I save the facesheet with the patient's name and telephone number.
# 2009-09-25 13:37
I thought nurse power over doctors was getting bad here in the UK, but thankfully I would still be in a position to override such ludicrous protocol driven actions on the basis of my, medically qualified, opinion.
# It's not about the patients, it's about the nurses — 2009-09-26 01:53
Although I do agree with Dr. Walton (I also helped train him), I can definitely see doing nearly the same thing in the same situation. There seems to be a growing trend among ED nurses (and their managers) that their input be ignored at your peril. Regardless of their experience they've been encouraged to question your clinical judgment and hide behind passive-aggress ive maneuvers such as "we have to follow policy" and "I'm only advocating for the patient." I won't even get into the damaging comments they can make in the chart when things go bad. Combine this with a medical staff that is less hospital-based (most PCPs admit to hospitalists) and a nursing-dominat ed administration it's no wonder Dr. Plaster shrugged his shoulders and moved on.
Woe to the doctor who dares raise the nurse's ire or - God forbid - raises his or her voice. Soon you are a deemed as "having a problem with the nurses" and on your way to being a "disruptive physician" - a term we logically associate with the profanity-spewi ng, instrument-thro wing jerks we associate with other specialties. See how easy it can be applied to your raised voice or objective criticism of nursing care, policy, etc. Whether you are a hospital employee or a member of a fee-for-service group this can threaten your livelihood. In the end your triumph can be a Pyrrhic victory. Think about all those boxes you check each time you renew your license or your privileges, and then having to explain the "yes" to your medical board or hospital credentials committee.
Don't get me wrong - I really do appreciate and respect what our nurses do and how overwhelmed they are. I get along with most of them, and I married one. However in dealing with them and with hospital administrations you have to pick your battles carefully.
# No Good Deed...Indeed — 2009-09-26 05:05
Great to hear from you!
Agree with your response. Just want to make one thing clear that may not have been apparent from my initial response (rant). I don't hold the triage nurse accountable for the chain of events that occurred. This to me is an unreasonable following of an in-place protocol that doesn't allow for any type clinically based input. I didn't feel that it was doc vs. nurse issue.
# 2009-10-05 16:28
I agree, it is up to US and only US as ED physicians to take responsibility and not allow this kind of madness to occur. Most appropriate response would have been to have a discussion with the RN who started an IV, drew blood, and did a foley without an order (assuming no standing orders/protocol is in place). If you get resistance, the next step would be to call the house supervisor or talk to the charge nurse.
For an RN to "override" your clinical judgment by saying "once it's on the chart we have to go down this path" is quite frankly, unacceptable.
Being passive in this process just contributes to the problem.
# author — 2009-10-13 19:42
Ok, I'm a wimp. Beat me. But you'll have to get in line behind my wife and she plans to be at it for a while. Hey, remember this is fiction. I was just trying to tell a story about how bureaucracy and rules can trump people sometimes. Would you have enjoyed the story more if I had taken the nurse into the back room and beaten her senseless? Uh oh. My wife is coming. I better change that last line.
# ED Physician — 2009-10-25 20:55
I sympathize with the good doctor. However, I see a different side to these issues here in rural Illinois. Most of the time, we cannot get anyone to ever come out to see a potential psych patient unless all of those tests and procedures are already on the chart, and absolutely not if even minimal abnormalities are found. More often what I encounter in the rural settings where I work is some county sponsored mental health counselor, through whom all psych admissions in this state must be triaged, decides after her/his eval that the patient does not require further inpatient eval---and they tell the patient and the nurse to discharge with some lame outpatient follow up. My "opinion" is just that---and essentially worthless. I can stop a discharge, and I have; but it is to no avail. The psychiatrists do not even come to the phone for the ED referrals anymore. They speak with the "counselors", arrange a bed, or deny the admission, and I hear about it later. All of this is sanctioned by the State of Illinois--indee d it is required to use this silly system for anyone on State Aid, State Insurance, or any minor child regardless of insurance. How it is that EMTALA with its requirement for a doctor to doctor conversation,do es not apply here is beyond my understanding. Oh yes, that counselor, if they are well educated will be at most a Bachelors Degree education; in this state no license is required if you work for the State itself. HA! So who do you think will be the object of the liability issue when something goes wrong? The only way I have ever found to circumvent and get a patient a bed is by calling on personal contacts/psychi atrists. But I do not always have that option--especia lly not now that all of this is simply a mandated cookbook process, geared to keep perople out of the system for care rather than bringing them in. The truly mentally ill are not really well cared for in our country, and generally not in our EDs. Even in your original case, the ultimate goal, and everybody knew it, was that the patient would not be admitted. Getting all of the labs, etc... was just part of a protocol so that the psychiatrist would even respond.Even then, he/she wouln't be arriving for hours. Can you imagine that being allowed of other specialties as a matter or routine and policy?I am not sure anymore who is actually using up all of these beds in the psych units, but they must be people who know how to play the game, and aren't too mentally ill to make the right plays at the right times. More importantly, they must not be too ill because their doctors don't do after hours work--and none at all if all the tests aren't done.
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Rx drug information, pharmaceutical research, clinical trials, news, and more
PLAVIX (clopidogrel bisulfate) is indicated for the reduction of atherothrombotic events as follows:
The recommended daily dose of PLAVIX is 75 mg once daily.
For patients with non-ST-segment elevation acute coronary syndrome (unstable angina/non-Q-wave MI), PLAVIX should be initiated with a single 300-mg loading dose and then continued at 75 mg once daily. Aspirin (75 mgâ325 mg once daily) should be initiated and continued in combination with PLAVIX. In CURE, most patients with Acute Coronary Syndrome also received heparin acutely (see CLINICAL STUDIES).
For patients with ST-segment elevation acute myocardial infarction, the recommended dose of PLAVIX is 75 mg once daily, administered in combination with aspirin, with or without thrombolytics. PLAVIX may be initiated with or without a loading dose (300 mg was used in CLARITY; see CLINICAL STUDIES).
CYP2C19 poor metabolizer status is associated with diminished response to clopidogrel. The optimal dose regimen for poor metabolizers has yet to be determined. (See CLINICAL PHARMACOLOGY: Pharmacogenetics.)
No dosage adjustment is necessary for elderly patients or patients with renal disease. (See CLINICAL PHARMACOLOGY: Special Populations.)
PLAVIX (clopidogrel bisulfate) 75-mg tablets are available as pink, round, biconvex, film-coated tablets debossed with "75" on one side and "1171" on the other. Tablets are provided as follows:
PLAVIX (clopidogrel bisulfate) 300-mg tablets are available as pink, oblong, film-coated tablets debossed with "300" on one side and "1332" on the other. Tablets are provided as follows:
NDC 63653-1332-2 unit-dose packages of 30NDC 63653-1332-3 unit-dose packages of 100
Store at 25° C (77° F); excursions permitted to 15°30° C (59°86° F) [See USP Controlled Room Temperature].
Distributed by:Bristol-Myers Squibb/Sanofi Pharmaceuticals PartnershipBridgewater, NJ 08807
PLAVIX® is a registered trademark.
Revised May 2009
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Home / Restaurant
The Isle of Wight is the UK's most southerly island with a unique climate and topography which has always made it one of the UK's earliest producers of top-quality fruit and vegetables, as well as providing excellent grazing for the sheep and cattle.
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We pride ourselves on using fresh, local produce "whether farmed, fished or foraged".
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Until the mayor officially secedes, (the People's Republic of) Cambridge is officially part of the United States. As such, it is protected by the American military. Harvard Law School's policy forbidding military recruitment on campus severs not only the school's ties with the military, but with the federal government by extension. The federal government is therefore justified in cutting off funding. Hopefully HLS will see the error of its ways.
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Great news!
The very best to you, kid!!
Very sad.
Some of these kids should be placed in orphanages, as they are, in all reality, alone in the world.
Out of state, anywhere but here. There is nothing for them here, no support system, no real family.
The "responsible adults" receiving entitlements for their "care" should be ashamed.
It seems as if "algierslady" might actually be a resident of Prairieville..( that very special "Do you know who I am" shoulder racer)............
It seems as if "algierslady" might actually be a resident of Prairieville..( that very special "Do you know who I am" shoulder racer)............
And his siblings pergola and gutter?!!
If these two egocentric clowns are "unable to attend" council meetings, they should be replaced. As should any other member pulling this stunt!!
I wouldn't poke too much fun at Grand Forks...
After Katrina flooded NOLA...madness, anarchy, and mayhem.
During the spring flooding up there, the populace, even university students, worked together to sandbag
(before waiting for the "govt" to help).
alaska or montana are much too scenic for the big Dollah........
You're funny.
Wishing the innocent victim a speedy recovery........
Time to verify that our adorable former "judge in absentia" Sonja Spears didn't drive one to Boston!!
Sure was "quiet" during the long Final Four Weekend....
or was the bad news simply suppressed, for fear of alarming the tourists?
Bates is most likely not an employee of ANY company.
Evil, evil, feral children.............
It is certainly evident, from the near poetic names and writing, that literary talent runs deep in the Twillie family..........
Look up the arrest records @ www.opcso.org docket master, should you be interested.
No one in this crowd saw anything???
"A male".....
With descriptions so precise, we can all be on the lookout for the perp!!
Should be citywide 18 and under!
From a galaxy light years away.....................
The glorification of absolute ignorance....
What is the exact address?
Can any of these "victims" be jailed for outstanding charges or parole violations?


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|52 posts found
Made History
Joined: 7/11/11
Pink, it's like red but not quite.
Self-pity imprisons us in the walls of our own self-absorption. The whole world shrinks down to the size of our problem, and the more we dwell on it, the smaller we are and the larger the problem seems to grow.
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Apprentice Member
Joined: 3/16/12
Stanislaw Lem "As long as I did not use the Internet, I did not know that in the world there are so many idiots."
Elite Member
Joined: 4/08/10
Game is great untill max level then becomes a grind fest if you do not open your wallet.
Promoting thought a new Gaming video blog http://www.youtube.com/user/quinnthalas discussing games, gamers and the internet with gameplay footage as background.
Hard Core Member
Joined: 7/08/09
Originally posted by Kothoses
Exactly, and no only that the nerf of the drops has caused many players to quit and now they have nerfed the engineer class that was one of the weakest. I am just enjoying other games at this moment, GW2 has been a big let down in comparison with GW1. They should have renamed the game something else but GW2.
I am playing now Firefall (it is in Beta) and seems very promissing.
Apprentice Member
Joined: 11/12/04
I'll throw my 2 cents..
Combat is exactly the same you see in any MMORPG. The only difference is the lousy dodge mechanic, but then again it could be a skill as well. The direction you dodge in makes almost no difference since your character is invulnerable during dodge animation. Why make a damned dodge mechanic, when the dodge direction doesn't even matter!???
Customization is almost at the same level with diablo 3. Devs know what's best for you, you are only allowed to pick a few skills and some meaningless traits. Gear customization is also a bit pathetic, since all gears give same stats.
Crafting, I can't really say how much it sucks. What's the point of it when you can't make any profit with it?? The only benefit from crafting is fast experience gain, anything else just drains your gold and effors and makes you want to hang arena.net devs. All crafting products are sold at NPC price + 1 copper, so if you're hoping to save money by getting 400 lvl and making exotics by yourself: forget it! It's cheaper to buy from the trading post directly!
Community is the worst I've seen in any MMORPG. No one writes, only used chats are map chat and guild chat. You might as well play with the robots than with GW2 community. Oh and did I mention fanboys that have infected each and every GW2 forum? They just keep repeating their mantra "Black is white, black is white, all hail ArenaNet CEO! Can we lick your shoes?"
Personal story quests are even more boring than traditional MMORPG quests. Yep, even "kill 10 rats" is more entertaining that one of those horrible personal story quests. Badly done cutscenes where 2 guys are just standing and talking, play area is highly limited and in the end you end up killing those 10 rats to get to the next boring 1 on 1 "cutscene".
Dungeons oh my god, why bother innovating when you can just throw in mobs with 10x hp and bosses which can 1 hit kill you. Before you get 80lvl exotic sets dungeons might feel hard since you get 1 hit killed, but after you get that shiny set, all that's left is 10x hp enemies.
I could go on forever, but unfortunately my fingers cut their contract.
Novice Member
Joined: 11/06/05
"World of WarCraft is held alive solely by the mediocrity of competing products." RendRegen
Jack Nicholson in a few good men, "YOU CAN"T HANDLE THE TRUTH!"
Fear not fanbois, we are not trolls, let's take off your tin foil hat and learn what VAPORWARE is:
"Vaporware is a term used to describe a software or hardware product that is announced by a developer well in advance of release, but which then fails to emerge after having well exceeded the period of development time that was initially claimed or would normally be expected for the development cycle of a similar product."
Hard Core Member
Joined: 5/04/12
Originally posted by Masa1
Of course the combat is the same in every other MMORPGs.
Pretty in much all MMORPGs you can attack something you aren't targetting, you can avoid a projectile by moving to the side (isn't the same as dodge) or block a spell targetting someone else by moving into its trajectory.
Oh wait, it isn't.
I load WoW, I press nature's wrath with nothing selected and.,, nothing happens.
I hide behind a 8 feet tauren and that bullet stills hit me.
Yeah, GW2 combat is just like every other MMORPG.
And the dodge direction doesn't matter?
So you telling me, dodging to the left so I'm in a flanking position, dodging to the front so I'm next to the mob or behind the mob or dodging backwards so I'm further away from the mob isn't a tactical choice?
(and the reason it gives a brief window of immunity is due to latency issues).
Customization - oh wait, you haven't played the game so there is no need to go on.
Currently playing: GW2
Apprentice Member
Joined: 11/12/04
Originally posted by Gaia_Hunter
Wrong accusation. I own the game and I'm stll playing it from time to time. IG name Tsuan.
I can mention a lot of little annoyances, that I could find in any mmorpg anyway, so I'll keep it with the biggest ones and will try to explain as good as possible....I've even been bashing people on this forum trying to lol at this game and making it look bad. I'm not that type but I want to be realistic after a few months of playing, so here goes:
Firstly I think that ANet is pretty good in dealing with its customers, and they hit the nail on the head in explaining the WvW system's fairness where 3 servers would be balanced out by 2 weaker ones grouping up against the top server. But what happened? Server transfer is now free and I was in the top tier server (north america). This resulted in all the win-to-play jackasses join the server with the biggest zerg (because thats how they win WvW now sadly) and now that server (Sea of Sorrows) is dominating the top tier and the other 2 tiers are stuck since they cant go down because they are too strong and they cant go up becuase theyre already in the top. And this is also where I am VERY disappointed in the community overall that they are not able to solve the problem with the 2 weaker servers actually teaming up against the stronger one. Apparently they have morals and principles not to team up with another "because they are strong enough" but it is not considered cheating to abuse a small game update for your winnings (happened this week. for people who don't know the game, the server Sea of Sorrows captured the biggest castle within 5 minutes after the updatebecause all the defense that was built up got wiped out by the updated). Next to that when i ask for a small group to do smaller tasks hardly anyone is doing it. And I think that's very sad for the rank 2 (former rank 1, and with few numbers still by far the most skilled) server.
The second thing I really miss is the feeling of progressing through zones. Where in WoW/Lotro you can be quite safe on the paths and you have the feeling that you are traveling, in GW2 there is no path. It also goes too fast for me at times with events and such, running my ass off to keep up. Where I do find Lotro too calm eventually, apparently GW2 just storms my brain. So what I mean is that I have the feeling the zones miss integration with the storyline and miss the calmness that WoW/Lotro used to have. Even though it's true that it's great that you get scaled to zones so it doesnt become too easy, on the other hand having to deal with the challenge continuously without interruption I think is too much. On the contrary this is why I highly enjoyed the jumping puzzles; they were more calm and you could take your time in most of them.
The third thing is addiction marketing. ANet has still implemented things that require a player to be online at least 4 hours a day if not more. Where i think that the mmorpg's have gone way too far in this in general, I used to praise GW2 for being different but then again I saw how far from the truth they still are. I am a guy who likes to finish a game, but like WvW, capturing a camp 100.000 times I think is pure addiction marketing. In fact they should be sued for that. I also don't get it, because you can make me and probably most people play for the same amount of money and make it around 10 hours per week. I just think it's strange to sell a game where you only pay once and then implement addiction marketing. It totally doesn't make sense to me!
Lastly there is hardly room for error in money/inventory management. It is tough to keep up your money and knowing what to do with your inventory AND play the game. I also think this is not Trading Wars, but Guild Wars. Even though it is not that hard to just play the game and get your yellows and perhaps exotics on the way, it is however true that the people with the nicest looking items in the game are not the most skilled people in playing but the most skilled people in trading or they are skilled and farm the game (where I come back to addiction marketing).
I think that my complaints are more against the mmorpg community overall than against ANet, although i think that if you have any principles left you dont implement achievements that you have to play 10.000+ hours for. I think it's a shame. They could have made it really easy and give rewards for doing different things rather than the same thing over and over again, and make a clear limit to it as to tell the players that THIS game is NOT one you get rewarded for by being addicted to it.
Shame on ANet, but just as much shame on the GW2 community and the mmorpg community in general. These things really put me off and now made me stop playing.
Novice Member
Joined: 7/21/11
Originally posted by mayito7777
You're kidding right?? The engineer before the nerf was one of the most powerful profession if you knew how to play it. But most didn't so they thought that the profession was weak. Noob these days...
Apprentice Member
Joined: 5/26/04
Dont bother if you like games that require others to join you and have fun..i still play ,but i find it hard to log on every day, ..i wish they would stop making games so easy and boring..you can lvl as faster or faster than SWTOR..and yes, in 2 weeks..you just bored to death.. go pvp some, but even that get boring fast..and i love pvp...take my word for it..i wish there was a game like EQ1 or DAOC again...i for one love the grind and the holy trinity..you got to know the people you huted with and it made for alot better community..more mature players play the hard games..imo.
Hard Core Member
Joined: 5/04/12
Originally posted by Masa1
And you still say that traits are meaningless and all gears give the same stats?!
Then it is a different problem...
Currently playing: GW2


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Epileptic robbed in Kidsgrove street as he had fit- by thieves who pretended to help him
Posted: January 16, 2013|
THIEVES snatched a wallet belonging to an epilepsy sufferer while he was having a fit in a town centre.
The crooks at first pretended to help pensioner John Bostock as he lay paralysed on the pavement in Kidsgrove.
But they then rifled through his pockets and stole the victim's wallet containing £10 in cash, bank cards and his free bus pass.
Now the 66-year-old, of Woodlands Avenue in Butt Lane, has revealed it was the sixth time he has been targeted while suffering seizures since his illness was diagnosed 20 years ago.
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He believes the recession is to blame for the latest attack in broad daylight.
The latest theft was in King Street in mid-morning as Mr Bostock was out shopping, just before Christmas.
He was also targeted in Burslem around four years ago, and Manchester in 2011, when the culprits used his cards to buy £600 worth of goods including petrol and food.
The former foundry manager, of Butt Lane, said: "This is so frequent it is almost becoming an occupational hazard of suffering from epilepsy.
"Other sufferers up and down the country have told me it has happened to them as well.
"To those in good health it must sound sickening that some people will stoop this low but when you have epilepsy you see it is as just another thing to get through.
"They steal stuff like bus passes and rail cards which they cannot use and if they are so desperate for cash I would probably give them a tenner."
The ex-grenadier guard helped form the Stoke-on-Trent branch of Epilepsy Action in 1995 after encountering little local help for sufferers.
He has been chairman for the past eight years and sits on the charity's national council.
He also runs a helpline – 0808 800 5050 – for fellow patients.
Mr Bostock – a finalist in The Sentinel's Our Heroes awards in 2006 – hopes that by speaking out he will not deter people from trying to help when sufferers have seizures.
He said: "Ninety-nine percent of people are genuine and we appreciate their actions.
"The problem is when you come round and find your wallet gone, you have no idea who took it so the chances of them being caught are negligible.
"I sometimes have two seizures a month and if I knew in advance when they were coming I'd leave my wallet at home. But you just can't tell.
"When it happened in Manchester I had just left a Dolly Parton concert at the MEN arena and they took my rail card I was using to get to a management meeting in Leeds the next day – so it cost me a lot to replace it in time."
Stacey Rennard, campaigns manager at Epilepsy Action, said: "Taking advantage of anyone who is in a vulnerable state is obviously unacceptable.
"A particular concern is that some people with epilepsy carry medical ID cards in their wallet or purse.
"These are used to let people know what to do in case of a seizure and to inform medical professionals that a person has epilepsy."
A police spokesman said: "The Kidsgrove incident was reported to us as lost property involving a wallet containing cards and a bus pass."


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Family Caregivers of Older Adults
mmLearn.org provides free online videos for caregivers of older adults. The videos include practical skill training (how to transfer someone from a wheelchair), dementia information from experts, elder nutrition, family dynamics and other important issues. A sharing and discussion group is webcast and available on demand. Visit www.mmLearn.org for more information or e-mail us at firstname.lastname@example.com .
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mmLearn.org – Where Caregivers Go for Help!
With mmLearn.org, families who suddenly find themselves in the role of caregiver find free, practical information on mmLearn.org that reflects the reality of every day care giving, including such basic needs as getting someone safely in and out of a car. The training is easy to understand and can quickly be put into practice. [Read More]
Sexuality & Aging: Da Ya Think I'm Sexy?
No matter what age we are we all need to feel good about ourselves – whether that means feelings of intimacy, feeling sexy, loved, or just being appreciated for who we are. Sexuality & Aging is a sensitive subject for most seniors, because they were raised in an age when these things weren't talked about. Yet many have questions about the aspects of sexual health that are likely to change as you age. [Read More]
Caregiver Respite: Much needed and often neglected!
Everyone needs some respite, a vacation, a getaway, a time not only to relax the body, but let go of any tension or anxiety that clutters up the mind and spirit. As a caregiver, that may be a difficult thing to do, but it is an absolute essential element of the role of the caregiver. [Read More]
Is it Alzheimer's or just Aging?
Have you ever gotten up from what you were doing, walked into another room with a clear purpose of something you need to do or get from that room only to realize upon entering the room you can't remember why you are there? You stand in amazement that you have no clue what it was […] [Read More]
Caregiving: The Mamas & The Papas
In the mid to late sixties the folk rock group The Mamas & The Papas splashed on to the recording scene with hits such as California Dreaming – remember? It was several years ago while working in a university office when during a weekly luncheon meeting we realized that there were at least six of […] [Read More]
What is a geriatrician? And do I need one?
The shift in medical practices often happens without much notice from the general population; as in the case of pediatrics and geriatrics. While the specialized focus of pediatrics, which is the medical specialty dealing with the development and care of children, did not begin to emerge in Europe until the 18th century, it wasn't until […] [Read More]
Is it Dementia or a UTI?
Caregivers can often find it confusing and frustrating in attempting to understand the sudden changes in behavior of their loved ones. [Read More]
Caregiver Stress is Real!
The daily challenges of caregiving can leave a person frustrated and angry along with a sense of guilt feeling unprepared or just not good enough. Caregiving can also be very isolating; leaving the person little time or energy to socialize. [Read More]
Who will Care for Mama?
"I once attended a Navajo blessing ceremony, held in a tepee on the red sand of the Sonoran desert. The tepee was set up with great reverence, since to the Navajo, it symbolized the womb from which we all emerge, and the tent poles were "the bones of our grandmother." The word grandparents was spoken […] [Read More]
Caregivers and the Easter Season
As much as we would like to hold on to that wonderful feeling of Easter with its' bright new beginnings all around us, it may be difficult to do so especially if you are a caregiver for a friend or family member. [Read More]
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Most political observers will be watching that special election in CA-50 for any signs of what is to come in November, though we aren't convinced any such signs will exist. Gubernatorial primaries in California (to determine the Democrat to take on Gov. Schwarzenegger in November - polls open at 10:00 am ET and close at 11:00 pm ET), Iowa (polls open at 8:00 am ET and close 10:00 pm ET), and Alabama (polls open at 7:00 am ET and close at 8:00 pm ET) will also be of some interest as will the senatorial primary in Montana (polls open from 9:00 am ET to 10:00 pm ET) and the special House election in northern New Jersey (polls opened 6:00 am ET and close 8:00 pm ET).
Brendan Miniter of Opinionjournal.com writes that warning signs abound in CA-50 this day: LINK
Secretary of State Bruce McPherson (R-CA) predicts 38 percent of the Golden State's registered voters will cast ballots in the California primary election today.
Republican candidate Brian Bilbray participates in sign waving at 10:30 am ET, he participates in GOTV activities at his campaign headquarters at 12:00 pm ET, and he attends an election party at the Westgate Hotel in San Diego, CA at 11:00 pm ET.
Francine Busby, the Democratic candidate, meets with commuters at Encinitas Coaster Station at 9:10 am ET, she waves signs at 10:00 am ET, she meets with voters at Encinitas diners at 11:00 am ET, she greets volunteers at her Cardiff office at 12:30 pm ET, she meets with voters outside Vons in Solana Beach at 1:15 pm ET, she meets with voters outside supermarkets in Carmel Valley and Del Mar Heights at 2:00 pm ET, she meets with voters outside supermarkets in Clairemont at 4:30 pm ET, she waves some more signs in Encinitas at 6:30 pm, and she attends an election party at D Street Bar and Grill in Encinitas, CA starting at 11:00 pm ET.
At about one second after 11:00 pm ET, absentee results which could make up 20-25% of the vote will be reported as initial precincts. There are no network exit polls; please don't call us, unless it is just to say "hi." (Note to Edsall: this means you, too.)
Fifty percent of the vote total is expected to be reported by the AP by 2:00 am ET.
Gov. Arnold Schwarzenegger (R-CA) casts his primary day vote at 1:00 pm ET at the Crestwood Hills Recreation Center in Los Angeles, CA. This evening, Gov. Schwarzenegger plans to visit his Sacramento, CA campaign headquarters after the polls close at 11:00 pm ET.
Steve and Anita Yu Westly cast their primary ballots at Fire House #4 in Menlo Park, CA at 12:30 pm ET. The Westly campaign primary night headquarters will be at the Westin Bonaventure Hotel & Suites in Los Angeles, CA. Festivities get underway at 9:30 pm ET.
California State Treasurer Phil Angelides votes at the Eskaton Monroe Lodge in Sacramento, CA at 2:30 pm ET and gathers with supporters for an election night party at 11:00 pm ET at the Sheraton Grand Hotel in Sacramento, CA.
Here are your primary day weather forecasts:
San Diego, CA: LINK
Des Moines, IA: LINK
Billings, MT: LINK
Birmingham, AL: LINK
Newark, NJ: LINK
Albuquerque, NM: LINK
Jackson, MS: LINK
Sioux Falls, SD: LINK


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KINGSTON, R.I. -- June 5, 2001 -- Twenty-two undergraduate students at the University of Rhode Island, seven graduate students, two doctoral students, and eight community leaders have been elected to membership in Sigma Theta Tau International Honor Society of Nursing. They were inducted through the Delta Upsilon Chapter-at-Large at URI in a ceremony held on May 4 at the Quonset O Club in North Kingstown.
Membership in the society is awarded to bachelors, masters and doctoral nursing candidates who achieve high scholastic averages and to graduates of nursing programs who have made outstanding contributions to nursing as community leaders.
Sigma Theta Tau International is a prestigious organization of nurse leaders, scholars and researchers. The honor society, founded at Indiana University in 1922, currently has 356 chapters at more than 400 college and university campuses worldwide. The honor society is committed to improving the health of the public by advancing nursing science.
JUNIOR STUDENTS INDUCTED: Estella Cabrera of Pawtucket, R.I.; Mary Chase of Middletown, R.I.; Nancy Clarke, R.N. of Hope Valley, R.I.; Brienne Cronin of Plymouth, Mass.; Gail Delaney-Kimball of Wakefield, R.I.; Kami Girolimon of Cumberland, R.I. ; Karen Hoogendoorn of Middletown, R.I.; Christine Ide of Warwick, R.I.; Erin Montgomery of Little Compton, R.I.; Melissa Moroni of Smithfield, R.I.; Lisa Pallini of Cranston, R.I.; Rayna Restante of Cranston, R.I.; Gail Sherman of Warwick, R.I.; Mary Sullivan of Providence, R.I.; Joanne Wilhelm, R.N. of Narragansett, R.I.; and Katharine Wolf of Danbury, Conn.
SENIOR STUDENTS INDUCTED: Brigitte Ellington of Tiverton, R.I.; Norma Grills of Westerly, R.I.; Nancy Martins of Cumberland, R.I.; Kerri Mennella of North Providence, R.I.; Anilda Pena of Providence, R.I.; Jane Wayniri of Wakefield, R.I.
GRADUATE STUDENTS INDUCTED: Linda Dame of Exeter, R.I.; Mary Foster of Westwood, Mass.; Mary Haley of Hope, R.I.; Melanie Koehler of Saunderstown, R.I.; Cynthia Martufi of West Kingston, R.I.; Kiersten Crawford Sullivan of Cumberland, R.I.; Phary Walker of West Warwick, R.I. .
DOCTORAL STUDENTS INDUCTED: Laurie Lauzon Clabo of Portsmouth, R.I. ; Suzanne Tracy of Nashua, N.H.
COMMUNITY LEADERS: Elizabeth Bloom, R.N. of Narragansett, R.I.; Cristiana Delossantos, R.N. of Providence, R.I.; Claudette Jobin, R.N., M.S. of Johnston, R.I.; Tracy MacSwain, R.N., M.S, of Charlestown, R.I.; Candace Powell, R.N., M.S. of Jamestown, R.I.; Anne Marie Rameika, R.N. of Wakefield, R.I.; Carol Ross, R.N., M.S. of Smithfield, R.I.; and Linda Silvestri, R.N., M.S. of Charlestown, R.I.
In addition, the following awards were given:
Steiner-Brem Award for Excellence in Parent-Child Health Nursing -- Anilda Pena, of Providence, URI student; Jennifer Haggerty, of Woonsocket R.I., Rhode Island College student.
Graduate Scholarship Award, URI Mary Haley, of Hope, R.I., midwifery student
Undergraduate Scholarship Award, URI Gail Delaney-Kimball, of Wakefield, R.I.
Louisa White Award -- Carol Shelton, of R.N., PhD., of Providence, professor of nursing Community College of Rhode Island.
Chapter Service Award URI Assistant Professor of Nursing Mary Louise Palm, R.N., M.S., of Kingston, R.I.
Excellence in Service Awards Bernice Petrarcca, of North Providence, secretary, RIC Rejeanne Asciolla of Coventry, secretary, URI
Research Awards presented to doctoral students at URI --John Aflague, of West Roxbury, Mass., professor at RIC; Paulette A. Osterman, of North Kingstown, R.I.; professor at CCRI; Nancy D. Blasdell, of North Kingstown, R.I.; Alicia J. Curtin, of Warwick,R.I., who works at Memorial Hospital of Rhode Island in Pawtucket; Margaret Barton-Burke of West Roxbury.
For Information: Patricia Z. Stout, 401-874-5348, Dave Lavallee 401-874-2116
Copyright © 1999
University of Rhode Island
For more information about this site, contact firstname.lastname@example.com
File last updated: Monday, June 25, 2001
The University is an affirmative action/equal opportunity employer.
All rights reserved. URL: http://www.uri.edu/news/


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Church Events
May. 23, 2013 @ 12:57 AM
Food pantry available at West Point Baptist Church, Union Road in Rutherfordton. Call 287-0165 to set up appointment to pick up food.
Green Hill Baptist Church stocks a clothes closet and food pantry for anyone in need of assistance. Call 828-287-2170 or 828-980-5213.
Thursday, May 23
Gospel Music Concert at Concord Baptist Church, Old Hwy. 74, Bostic at 7 p.m. featuring Blackwood Brothers Quartet, The Chuck Wagon Gang and other singers. No admission - this is a love offering concert. Hotdog supper (all you can eat) begins at 4:30 p.m.
Friday, May 24
Women's Conference 2013: Adape Dominion Ministries, 420 S. Broadway St., Forest City; Friday at 7 p.m and Saturday at 10 a.m.; Registration $10 (includes lunch saturday and conference materials).
Empowered Women of God: a women's conference hosted by Harvest House Baptist Church Friday through Sunday at 245 Big Springs Ave., Forest City; for more information email firstname.lastname@example.com. Registration $20.
Saturday, May 25
Gospel Singing at Bethlehem Methodist Church, 253 School Road in Mill Spring at 6 p.m. featuring the Royal Quartet. Love offering will be taken.
Big Yard Sale and Biscuit and Baked Items: Temple of Jesus Church in Lake Lure; 8 a.m. until 2 p.m.
Carwash Fundraiser at McDonald's in Spindale from 10 a.m. to 3 p.m. donations only. Sponsored by Sunrise Baptist Church
Sunday, May 26
Memorial Day Service: Rutherford County Memorial Cemetery at 2:30 p.m. Rev. Michael Cash will offer invocation and Rev. Lucy Robbins will be guest speaker; special music by David Smith and Cosmo Pannell.
Southern Gospel Singing: Royal Quartet at Fellowship Baptist church in Rutherfordton at 6 p.m.
Memorial Day Service at Robertson Creek Freewill Baptist Church in Bostic; 10 a.m. Sunday School and Worship at 11. Covered Dish lunch to follow.
Old Timey Singing Program: at Piney Ridge CME Church at 3 p.m.
Memorial Day Service: High Shoal Baptist Church at 11a.m. dinner on the ground to follow in fellowship building.
4th Pastoral Anniversary of Pastor David and Sylvia Lattimore at Jerusalem Baptist church, 188 New Jerusalem Missionary Baptist Church Road, Harris at 3 p.m.Guest speaker and singers: rev. Robert E. Coleman and Chapel Baptist Church in Shelby.
The Royal Quartet in concert: at Fellowship Baptist Church, 210 Silvers Lake Road in Rutherfordton at 6 p.m.
Gospel Singing: at The Bostic Missionary Methodist Church at 6 p.m. with Living By Faith.
Inspiring Change through the Word, Worship ad Service: Church Without Walls Worship Center, 799 Academy Stret, Spindale: 9 a.m. Sunday, 9 a.m. and Wednesday at 6 p.m.
Memorial Day at Cedar Grove United Methodist Church; pot luck lunch to follow.
Monday, May 27
Holy Ghost Tent Revival at Soul's Harbor Tabernacle, 441 Sandy Run Church Road, Mooresboro. Runs from Monday, May 27 until June 6. guest speakers Charles chamblee form Alabama and Josh Bowman from virginia. Annointed singing and preaching. All are welcome.
Wednesday, May 29
Are you tired of your hurts, hang-ups and habits controlling your life? This is your opportunity for change! First Assembly of God, 2158 Hudlow Rd., Forest City, at the intersection of Hudlow Rd. and Whitesides Rd. Starting at 6:30 p.m. with a meal. Call (828) 287-7777 for info. Wednesdays and Thursdays.
Friday, May 31
Benefit Gospel Singing: Royal Quartet at Crestview Baptist Church in Forest City at 6 p.m. Also featuring American Quartet and In His Glory.
Saturday, June 1
Community Empowerment Awareness Event from 11 a.m. until 2 p.m. at Forest City Housing Authority, 147 East Spruce St., Forest City; entire event is free. Guests: City and County Elected Officials, Spiritual Leaders, High School Athletic Directors, Community College Educators & Financial Aid Counselors & GED, High School Diploma Advisor's, Employment Security Commission, Youth Empowerment & Youth Mentors, Health Wellness, Domestic Violence Advocates, Substance Abuse Counselors, Ray Rice Martial Arts & more; music, dance, songs, face painting; free food, free boxes of household products (300 first come first served).
Free Clothes Closet: at Pleasant Grove United Methodist Church from 8 until 11 a.m.. For info call Rev. Setzer 828-245-4771.
The Mt. Pleasant Baptist Church Brotherhood will be having a yard sale at the arbor behind the church on Saturday, June 1 from 7 a.m. until. Sausage biscuits and gravy biscuits will be for sale. All proceeds go towards the Ole Time Country Fair in November. 397 Mt. Pleasant Church Rd., Forest City, NC 245-4496.
Sunday, June 2
Gospel Singing: Riverside Baptist Church in Harris featuring Soul Harvest
Gospel Singing: Village chapel church at 2 p.m. featuring the Lamberts.
Memorial Day/Homecoming at Mountain View Baptist Church; guest singers The Broad River Singers
Homecoming Service: at 11 a.m. at Chase Baptist Church; music with Chase Baptist Choir and The Eubanks Family. Lunch will be served following morning worship.
Memorial Day at Sunshine United Methodist Church, 367 Depriest Road, Bostic; Sunday School at 9:45, worship at 11; lunch to follow service.
Memorial Service for Betty Jean Owens at Church of the Exceptional at 11 a.m.(beside First Citizens Bank in Henrietta). All invited.
Wednesday, June 5
Are you tired of your hurts, hang-ups and habits controlling your life? This is your opportunity for change! First Assembly of God, 2158 Hudlow Rd., Forest City, at the intersection of Hudlow Rd. and Whitesides Rd. Starting at 6:30 p.m. with a meal. Call (828) 287-7777 for info. Wednesdays and Thursdays.
Sunday, July 7
Gospel Singing: Riverside Baptist Church in Harris featuring Higher Ground
Saturday, June 8
Annual Bazaar at Immaculate Conception from 7 a.m. until 3 p.m.; music, face painting, games, raffles, food; bake sale and yard sale; 1024 W Main Street, Forest City.
Sunday, June 9
Vacation Bible School at West Point Baptist Church, 1160 Union Road, Rutherfordton; Monday through Thursday from 6 until 9 p.m. Kingdom Rock: Kids Stand Strong for God. Ages preschool through 12th grade welcome. Family night June 14 at 6 p.m.
Monday, June 20
Homecoming Revival at Welcome Home Baptist Church in Union Mills Monday through Friday at 7 p.m.; Homecoming on Sunday — service at 10:45 and meal to follow.
Saturday, June 15
A Ride to Set The Captive Free: a biker rally sponsored by Foothills Harvest Transitional Services, Inc.; registration from 8 to 9:30 a.m. at Old Kmart Building, Hwy 74 Bypass, Forest City. Ride begins at 10; $15 one rider; $25 two riders. Food, fun, music and door prizes. For info and registration forms call 828-429-4774 or 828-748-3710. Proceeds go for Lydia's Place and Isaiah's, both Christ-centered transitional homes. Riders should bring one toiletry item.
Thursday, June 20
Cherry Mountain Fire Department and Washburn Outreach Center of the United Methodist Church will host a satellite office for the Rutherford County Clinic FREE Meds Program for people without insurance who meet income levels. Bring ID, medications, proof of address, and proof of income.
Saturday, June 29
Benefit Gospel Singing: Royal Quartet at Sunshine Elementary School in Bostic at 6 p.m. Also featuring In His Glory.
Sunday, June 30
Southern Gospel Singing: Royal Quartet at Crestview Baptist Church at 6 p.m
Praise and Worship Concert: The Christian Ministry "JC & Company," at 6 p.m. at Cliffside Baptist Church, 220 Old Main Street, Cliffside; reservations are not required. There's no charge for concert. Contact 828-657-6044..
Sunday, July 14
Southern Gospel Singing: Royal Quartet at Holy Ground Community Church in Forest City at 6 p.m.
Sunday, August 4
Gospel Singing: Riverside Baptist Church in Harris featuring Purpose
Sunday, August 18
Southern Gospel Singing: Royal Quartet at Sandy Level Baptist Church in Bostic at 10:30 a.m.
Southern Gospel Singing: Royal Quartet at Piney Mountain Baptist Church in Ellenboro at 6 p.m.
Sunday, August 25
Southern Gospel Singing: Royal Quartet at Mill Springs Baptist Church in Mill Springs at 6 p.m.
Sunday, September 1
Gospel Singing: Riverside Baptist Church in Harris featuring Living By Faith
Sunday, September 29
Southern Gospel Singing: Royal Quartet at First Baptist Church in Cliffside at 6 p.m.
Sunday, October 6
Gospel Singing: Riverside Baptist Church in Harris featuring the Lamberts
Saturday, October 19
Southern Gospel Singing: Royal Quartet at Carolina Clinchfield Historical Society in Bostic at 6 p.m.
Sunday, November 3
Gospel Singing: Riverside Baptist Church in Harris featuring His Glory Gospel Quartet
Sunday, December 8
Gospel Singing: Riverside Baptist Church in Harris featuring Truly Blessed


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(based on 15 reviews)
Ratings Distribution
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of respondents would recommend this to a friend.
Best Uses
Most Liked Positive Review
Gears, Gears, Gears keeps kids busy.
I got two buckets of Gears, Gears, Gears so that the grandchildren had enough to share among them. It keeps them entertained creating their own inventions.
Most Liked Negative Review
disappointed by broken piece
As this was a Christmas gift for my grandson, a little disappointed to find one of the bases that the gears attach to broken when he opened it. Otherwise, an excellent product.
Reviewed by 15 customers
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(1 of 1 customers found this review helpful)
Gears Gears Gears
By Lori
from Orchard, IA
About Me Grandparent
Comments about Gears! Gears! Gears!® Super Set:
Our Grandchildren can create all sorts of things!!! Just love it!!! First toy they go for!!!
Bottom Line Yes, I would recommend this to a friend
Was this review helpful? Yes / No
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GearsGears Gears
from Orchard,IA 50460
Just love this product!! Great job!!!
By kenny
from princeton, wv
Great product!
By Gramma
from Oregon
I've heard nothing but good things about this product so have been thrilled to buy two recently for grandchildren for Christmas!
Geary Christmas
By grandpa Phil
from Eastern TN
This is a Christmas present for a 6 year old and I am sure he will have fun with it. However I was disappointed on looking at the parts list that it only has one crank to turn your creation
Fun! Fun! Fun!
By CA Teacher
from San Diego, CA
About Me Education Oriented
Great product. Bought a set for my students to use during their free choice time. I discovered that one set was not enough, so I bought the super set. It's a good value because you get a lot of pieces, enough for a few kids to share and not have to fight over pieces. I love to observe the creativity that is fostered when the kids assemble working machines. There is no wrong way to play. There is a great sense of accomplishment when my students build and create.
By Nana Ann
from Salt Lake City, UT
Images shared by Nana Ann
Created by a 6 year old who wanted a picture of it
Permanent favourite!
By Wendy
from Suffolk
About Me Mum of 3
We bought this set to help with creativity and fine motor skills. The set has been used extensively by my children and their friends. Its a permanent favourite which gets used not just on its own but with all our other toys. The creativity is never ending although there is an activity guide the gears are brilliant for all aged children as they each get something different out of their creations. My daughter loves to see her creations move, my son loves to see how tall he can build something. A fantastic set for groups or promoting imagination. We have created houses, planes, garages, mazes and cars. Once you have finished playing all the gears can be packed away in the robust plastic tub.
Grandson loved this!
By Grama Joan
from Norfolk, MA
This was a Christmas gift for my 4 yr old Grandson. Even though he had never seen this type of set before, he was immediately able to play with it independently, and repeatedly returned to it throughout the day. The adults also enjoyed it! Mechanically, this set works very well, the gears turn easily even with complex designs. The tub container is a nice bonus feature.
So Much Fun
By Granny
from Columbia, Md
About Me Education Oriented, Grandparent, Parent Of Multiples (Twins etc), Parent Of Two Or More Children
I have GEARS at my preschool and decided to get a set for my grandchildren. The 5 and 7 year old LOVED them! The 2 year old played with the Under the Sea assorory set I bought as well.


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3 Reviews
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Share your thoughts with other customersCreate your own review
Most Helpful First | Newest First
5.0 out of 5 stars Oh..My...God!,
Rachel (Bored in Bend) - See all my reviews
This is one of the best albums I have heard in my life. Fernando has the voice of an angel! There aren't words to describe this! Dark, powerfull, beautiful... This is pure ear-candy! Even the subject matter for some of the songs, which I would normally find extremely cheesy, this is still an incredible cd.
- Wolfshade (A Werewolf Masquerade) - 5 stars -
A song about werewolves. Fantastic vocals..Angry and passionate
- Love Crimes - 4 stars...compared to the others, nothing is standing out.
- ...Of Dream and Drama (Midnight Ride)- 5 stars - I like the piano solo, and the vocals are incredible.
- Lua D'Inverno - 3 stars - No vocals, very peaceful and slow.
- Trebaruna - 3 stars - Viva! In Fernando's native tonguw (I assume)
- Vampiria - 5 stars - Ahh. Vampira! About (can we guess?) Vampires. Slow spoken and sinister. Yummy.
- An Erotic Alchemy - 10 stars - This is the most beautiful song I've ever heard. The cd is worth it for this song alone.
- Alma Mater - 5 stars - This is an angry heartfelt song about Fernandos "mother tongue".
If you like black metal at all this is a must have!
5.0 out of 5 stars A lot of talent and a lot of emotion...,
Chad Brendan Fogelberg (Longmont, CO United States) - See all my reviews
This is a superb release that mixes dark Gothic Metal with a bit of death metal. It is better than most CDs in this genre. This is the debut album from this Portugese band. It is for people who like Paradise Lost, Tristania or any heavy Gothic Metal band. It truly has a spine-chilling amount of emotion and rage. Moonspell have done better in their first album than many bands could ever hope to do in their career. This is now one of my favorite CDs. You will not be disappointed by this album. If there was ever any question that Gothic Metal is turning "weak," one only needs to look to this stalwart. Granted, this is the best of their CDs, but their new CDs aren't mediocre by any measure either.
5.0 out of 5 stars These guys rock.,
"the_accolade" (Burleson, Texas) - See all my reviews
I ended up getting this album quite a while back. I was impressed with what I heard. There are definitely some memorable tracks on this album that still haunt me even till today, despite the fact that i've not listened to this piece of work in a long time. I got the pleasure of seeing them live last month. I believe they did better than Type O Negative and Cradle of Filth, and the funny part was, MoonSpell was the head-liner and only did 4 songs! Go out and buy this album.
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Wolfheart (Rm) by Moonspell (Audio CD - 2012)
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