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Insults & Injuries: A Role-Playing Game Sourcebook for Medical Maladies
Skirmisher Publishing
Stefan D.
Verified Purchaser
Date Added: 10/23/2012 12:47:50
This book provides good information for introducing diseases into any RPG. However it is written from a modern perspective, so insights in how healers of the Middle Ages viewed diseases and would have treated them are not included. That has left me a bit disappointed, but it wasn't promised.
The author also has a very high powered world as default setting, where fifth level clerics are abundant even in small communities and fifteenth level clerics common enough for the Heal spell to be considered a standard treatment. As such all magical healing is focused on what really are powerful spells being abundant and no magical treatments short of these spells are included. Again, nothing else was promised, but it's an opportunity lost.
The shortcoming that made me consider giving the product a lower rating was the complete lack of diagnosis section; sure, symptoms are discussed, but some guideline of how likely a doctor is to diagnose the disease correctly or how he could miss-diagnose it would be useful. Likewise treatments for some diseases like Malaria are listed as poisonous, but the health effects of that poison are not discussed.
As such the book falls short of being the definitive work for diseases in fantasy settings, but it remains the best work I have found to date.
[5 of 5 Stars!]
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The Genius Guide to Horrifically Overpowered Feats
Rogue Genius Games
Stefan D.
Verified Purchaser
Date Added: 04/14/2012 04:45:54
The production quality, as with all Super Genius Games products is very high, and unlike many other pdf publishers, the product is in a screen friendly format that I wish was more common, especially among pdf only publishers. It is less practical for printing out, but I can't remember the last time I printed more than the relevant sections of such a product. There is however one glaring mistake – several feats are not listed in the summary table!
Sadly the name is much more impressive than the actual product in a way; the feats are certainly powerful, but most are not horrifically overpowered, and many could be used in a campaign without any change. That makes the product more useable, but it's not the April Fool's day product I was hoping for. And since the feats vary so much in power, you have to be careful what feats you allow under what conditions.
In the end this product amused me and gave me some interesting ideas, so I will give it four stars.
So let me close with my opinion on the various feats. I'll also group them into three categories.
Not overpowered: The feat could be used as is. It might be a bit more powerful than your average feat, but many characters would pass it on for more useful feats.
Overpowered: Powerful feats, but useful only in limited situations. Feats in this category usually are close to but more powerful than existing feats or have some serious limitation.
Horrifically overpowered: That's what you'd expect in this book. Introduction into a campaign will have serious consequences and will change how things play out. That said, if you have a new player in the game (or a serious role player who build the character and his items for story telling purpose) who build a significantly less powerful character, these feats may offer you an inspiration for a reward you could give the player to bring him more in line with the rest of the party.
Denied – not overpowered – once per day you are not affected by an attack. This is basically an automatic improved evasion against any form of attack, but just once per day. Useful, cinematic if desired, but not overpowered.
Eschew Foci – not overpowered – cast spells without the focus. How many spells require a focus other than a holy symbol? Not many, and by the time you get those spells, the foci are a token expense. The only place I can see this feat as useful is if the cleric is somehow separated from his holy symbol, either because they were taken prisoner or because they're infiltrating a cult.
Eschew Gestures/Incantations – overpowered – these two feats are the combination of three epic level feats in 3.0, and while they don't boost spell effects, they make it very easy to hide spell casting. The feats are especially overpowered in city/court campaigns.
Extra Lives –overpowered – the first three times you die, you miraculously survive. If you are DMing an AP, it might be a good idea to give every PC this feat, so the first few times they mess up they can continue without needing new characters. If you do so, make sure not to pull any punches and play the enemy as intelligent as they should be. Even a TPK or two won't end the campaign, but will add to the drama instead. And think about what giving this feat as bonus feat will tell the players about your campaign.
Favored – not overpowered – each HD gives a favored class bonus from any class in addition to any bonus you would normally get. The normal bonus equals the Toughness feat or an additional skill point per level. The APG options are a bit more diverse, but not massively more powerful.
(Regular/Greater/Ultimate) Full Casting Action – overpowered – cast an additional spell per round at -5 caster level. Not quite as horrifically overpowered as the first glance suggests, but still very powerful. Of course spellcasters burn their spells very quickly if they use this option, so if your party has long adventuring days, these feats may actually not be overpowered. This should be limited to player who know what they do, or the spellcasters turn may take a very long time - especially since durations and level dependent effects may be different for the same spell because of when it ws cast.
Gestalt – horrifically overpowered – despite the name, this does not make you a full gestalt character. You don't get spell casting, skills, BAB, HD, or saving throws at all; instead you just get the class features up to half your HD. This means that the actual power of the feat varies a lot. Even if you allow other overpowered feats, I would suggest against this feat, because it makes the character a lot more complex and unless the player is an expert on both classes, he will take noteworthy longer during his combat turn.
Go first – not overpowered – you automatically win initiative. With improved initiative a prerequisite, this means you've spend two feats to ensure you go first. You should go first.
Healing Factor – not overpowered – Fast healing HD/3. It sounds powerful, but is marginally useful in combat. The most significant effect on combat is that it negates hp bleed damage, which is very rare to begin with. The party saves a bit of money on between encounter healing, but wands of cure light are easily affordable even for lower level parties. It's the upper end of normal feats, but not quite overpowered yet.
Heroic grace – horrifically overpowered – add a mental stat bonus to saves. It's effectively a more general version of the paladin's class feature and basically allows any caster to add their casting stat to saves.
Hex Maven – overpowered – witch hexes that are limited to once/day/target can be used a number of times equal to Int modifier. I'm not sure how often this would come up; I think it may turn out that this is most useful for healing party members.
Magic User – horrifically overpowered – as Gestalt, but granting magic instead of class features. Only it will probably slow down the game even more than Gestalt.
Master of Magic Items –overpowered – you can use all magic items. In higher levels you can usually pass the UMD skill check easy enough and in low levels there are few items this is useful for. I'd judge it not overpowered, except that it is more powerful than any other feat related to UMD. However unless you specialized in using items you don't qualify for, you'll probably have more useful feats to choose from.
(Mental/Physical) Paragon – horrifically overpowered - all (mental/physical) attributes count as if you rolled 18. Until you've run a campaign with high attribute scores, it's easy to underestimate just how powerful they are.
Offensive Combat Training –overpowered – gain good BAB progression. The slow BAB classes only need to make ranged touch attacks, and the bonus for other classes is limited. It's more powerful than a normal feat, but doesn't quite reach horrifically overpowered levels.
Prestigious – horrifically overpowered – as Gestalt, just with a prestige class.
Skill Domination – overpowered – all skills are class skills and can be used untrained. Given the way skills work in Pathfinder, without ranks the character will fail most skill checks, and if you spends skill points in so many skills, you will have few (if any) high rank skills. Technically far more powerful than any feat dealing with skills, it has limited practical use.
Skill God – overpowered – for one skill, you effectively roll 20 on all checks. Very useful, but the effective difference to feats like skill focus is not that great. You still need to spend skill points to ensure success.
Spell Shifting – horrifically overpowered – Chose one spell/HD as default spell, like healing for clerics. Spontaneous casters instead can use it 1/day, but still use up a spell slot of the correct level. Lots of extra spells for spontaneous casters, lots of spells to cast without memorizing them for preparing casters; you're basically guaranteed to have the correct spells available.
Supernatural Spell Monster –overpowered – select one spellcasting class and cast all spells as if they were supernatural abilities. Obviously this gets rid of AOO's. Powerful, but situational.
Unflappable – not overpowered – never surprised, never flat footed. The character can always act in surprise rounds and will always retain the Dex bonus to AC, but he can still be flanked and sneak attacked.
Meta Attacks – changes to regular attacks usable a limited number of times a day. You must always choose to use them before making the attack role; if you miss the daily use is wasted. Every Meta Attack is an attack action, not a standard action, so it can be used with iterative attacks. Activating a Meta Attack is a swift action, so you can do just one per round, unless you spend your move action to activate a second Meta Attack.
Empowered Attack – not overpowered – +50% damage if the attack hits, twice per day. Unless you role a critical hit after you chose to use this feat, the benefits are in line with other combat feats.
Enlarge Attack – not overpowered – either throw melee weapon without penalty or double range increment of a weapon, 3/day. How often do range increments matter? How often are you willing to throw your melee weapon? Yeah, me too.
Extended Attack – overpowered – target suffers bleed damage equal to the actual hit at beginning of the next round, 3/day. It's the number of times this feat can be used per day that makes it overpowered; 1/day would be in line with existing feats.
Extra Meta Attacks – horribly overpowered – get 2 plus number of Meta Attack feats in extra uses of Meta Attacks. It's overpowered because the other attack feats are mostly balanced by their number of uses per day, and this feat messes that system of balance up totally.
Heighten Attack – not overpowered – ignore DR/Hardness equal to BAB, 4/day. Useful, but far weaker than class features like smite that penetrate all DR and do more beside.
Maximize Attack – underpowered – attack deals maximum damage, 1/day. Yep, underpowered. This feat affects only the dice role – once per day, if you hit. I would say 3/day uses would make it competitive with other feats.
Perfect Blow – not overpowered – treat as natural 20 on attack role, bypassing all protections, DR, and miss chance, 1/day. Powerful, but you still need to confirm the critical.
Quickened Attack – not overpowered – extra attack as swift action, target is flat-footed, 1/day.
Silent Attack – not overpowered – attack without breaking stealth or invisibility, 3/day. While the attack can't be traced back to you, the target is not necessarily flat-footed. It can be used to great effect, but requires good stealth to begin with.
Still Attack –not overpowered – attack without moving, even if you can't move, 3/day. Honestly this feat may be the most absurd I've ever heard off. It's obvious why it's here – the equivalent to Still Spell – but it just doesn't work for me. There's no explanation of how the damage is done, or whether your weapon would become bloody; mechanically sound, but poor flavor.
Widen Attack –overpowered – attack up to four adjacent enemies at once, 3/day. This is essentially whirlwind attack 3/day as an attack action without prerequisites. Add Spring Attack as prerequisite and either reduce to 1/day or make it a standard action to bring it in line with normal feats.
[4 of 5 Stars!]
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Finally, a weekend with a little sunshine.
Clarksville got a respite Saturday from the winter doldrums, with a day of mild temperatures and partly sunny skies. Today is expected to be even better, with plenty of sun and afternoon temperatures around 45 degrees. Get out the gardening tools and golf clubs!
The break in the weather gives us a chance to reflect on how we've been handling the winter of 2014, which is shaping up as one of the coldest in recent memory. While we've had our share of winter weather scares this season, thankfully the worst of Mother Nature's wrath in the form of ice and snow has bypassed Clarksville and northern Middle Tennessee. Still, local school officials have had to be cautious, and schools have closed for several more days than planned, mainly due to extreme sub-freezing temperatures, and this has required adjustments to the school calendar.
One only has to look as far as Atlanta, 295 miles to our south, for a lesson in how not to handle a weather emergency. Three weeks ago, the state of Georgia bungled its response to an impending snowstorm - with everyone, from government leaders to commuters, contributing to a comedy of errors that paralyzed the city. We all saw pictures of Atlanta's citywide traffic jam, with school buses unable to deliver children to their parents, and some commuters needing 22 hours to get home.
Last Tuesday, as another storm swept over the state, people in Georgia seemed to have learned their lesson, and warnings were heeded. School districts decided in advance not to risk holding classes and then having to dismiss early as weather conditions deteriorated. And many government offices and private businesses closed their doors early, reducing the chance for gridlock.
We've all heard the comments from friends and neighbors who are from places with heavier winters. They often make fun of our region's tendency to freak out when the forecast calls for ice or snow. But the South is different, and our problems handling wintry weather can be explained logically. First, the really bad stuff is pretty rare, and we simply get complacent. Second, because snow and ice is infrequent, our governments don't invest heavily in snowplows and other winter-fighting equipment you will see in Buffalo or Minneapolis. Would we really want to spend millions of tax dollars on a fleet that would sit idle most of the time?
Also, our native forest reacts differently to snow and ice because of our generally milder climate. In the Great White North, deciduous trees lose most if not all of their leaves, and the trees are naturally hardened against the cold conditions. Here, trees hold their leaves longer, and even a thin layer of ice or snow is more destructive to tree limbs, resulting in more power outages and related mayhem.
Another factor that tends to breed weather weariness here and across the country is the dramatic changes wrought by digital media. Today, reports of threatening weather travel quickly and in volume as news websites such as TheLeafChronicle.com churn out instant updates. Social media adds immediacy, and weather discussion spreads exponentially. All media, especially TV stations with their high-tech radar and colorful maps, know that weather drives audience, so news decision-makers tend to lean heavily on weather information when a hint of trouble emerges.
Overall, though, these technologies give us better ways to predict, assess and handle future weather events, and we're better prepared than ever before to deal with destructive weather. As the lesson of Atlanta proves, we should be ever vigilant about keeping our community safe, and continue to hone our storm response skills.

subset: commoncrawl


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It's time to listen to a new tune that will impact the licensing business over the next several months. Let's call it "Changes in Licensing" and it's already being played at seven of the top 10 multi-billion dollar global licensors.
Multi-channel network AwesomenessTV, which is owned by DreamWorks Animation, has introduced Wildness, a new brand solutions firm aimed at helping companies connect with Generation Z.
Classic character Garfield is traveling the globe with new promotions and merchandise in China, Japan, Brazil and a host of other regions around the world.
This veteran toy executive, who founded MGA Entertainment in 1979 and built it into the largest private toy company in the world, discusses new strategies, new brands and, of course, licensing.
As he celebrates 30 years with Toys 'R' Us, this merchandising executive is still looking for the next hot product and newest trends that will keep the specialty retailer at the top of its game.
How Jeffrey Godsick has redefined the culture, approach and global reach of 20th Century Fox Consumer Products and its popular brands.
The Toy Industry Association has launched The Genius of Play, a collaborative educational campaign that spotlights the role of toys in a child's healthy development.
The National Retail Federation has lowered its retail sales forecast for 2014, but expects sales to grow significantly faster over the next five months.
As CPLG, a subsidiary of DHX Media, celebrates its 40th anniversary it is a particularly proud moment in the company's history considering the recent changes and challenges it has encountered.
Brand Licensing Europe's annual License This! challenge for new creative concepts is now open for entries.
©2015 ADVANSTAR COMMUNICATIONS INC. All rights reserved.


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Tortellini is classic Tisdale food. (Maureen Tisdale / The Detroit News)
This past weekend, my two sisters and I conspired to start planning for our family Thanksgiving in Maine, coordinating arrivals, food and room assignments at the vacation home we�re borrowing from old family friends.
It�s given me family food on the brain. That, and saying good-bye to October, brought back memories of a visit from my brother Brice around this time last year and some amusing brother food memories.
Like all Tisdales, Brice loves family. I still remember fondly the mock outrage in his voice one time when we were bonding over missing the family and I tattled that those who were together were having tortellini.
�What???� Brice said. �But that�s classic Tisdale food!� And it is, tied not to special occasions or heritage or anything else out of the ordinary, but because the cheese-filled little pasta bundles were very ordinary when we were young: a crowd-pleaser Mom served often to the seven of us kids and Dad.
I can�t even eat tortellini anymore, since flour stopped being my friend some 10 years ago, but I was step-in-step with Brice�s faux betrayal: How dare Other Tisdales have a classic family food without us?
It was right around this time last year when Brice drove up from Ohio, where he was working at the time, for a visit. We�d just unexpectedly lost our brother Bobby, and even after a whirlwind of our whole clan going to Maine for the funeral, we both were craving a little more processing and family time.
When I knew Brice was coming, one of my first thoughts was: Get tortellini. (A quick second: how Bobby would have put mayonnaise on it; both he and our father had a no-holds-barred relationship with the eggy white stuff, and I�ll never forget Bobby�s love for mayonnaise on pasta, spaghetti in particular. It�s just one of those him things.)
So in between long chilly walks, the occasional sitcom binge in the man cave and long talks swapping memories of Bobby and other Deep Thoughts � in other words, a perfect weekend with my brother Brice � I served up some tortellini among other warm October meals. I even used the pasta to lure Brice to stay a little longer on Sunday, a major coup in my book.
Funny sidenote: When my husband saw the packages on the counter and asked, �What�s that?� I got extremely offended. �That�s tortellini of course!� I said in outrage. �It�s classic Tisdale food!� He just started laughing, explaining to Brice I�d definitely NEVER made it in our four years of marriage.
I have made it a few times since. I haven�t seen the massive bags from Sam�s we grew up on in years and years, but I found an inexpensive tortellONi � seems to be pretty much the same thing � at Aldi�s (they had a mushroom-filled and a cheese-filled when I stopped by this Monday). In another act of betrayal I�ll work to forgive, my husband actually doesn�t love it.
I guess some foods are only special attached to the memories of the ones you shared it with originally.
What is classic YOUR family food? We�d love to hear about it in the comments below the recipe. You need a Facebook account to add comments, but they�re easy to sign up for, and free. Over the next few days, Detroit News Food Editor Maureen Tisdale will respond to comments or questions. You also can follow her on Twitter @reentiz. Join the discussion!


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Take that, Total War.
By Tim Colwill on February 19, 2014 at 6:11 pm
Company of Heroes fans can enjoy some new free DLC today, thanks to the game triumphing over Total War: Rome 2 in the recent "Make War Not Love" poll conducted by SEGA.
The German side get access to the German Commander: Close Air Support Doctrine DLC, while Soviet players get the Soviet Commander: Advanced Warfare Tactics pack.
On top of all of that, the entire Company of Heroes 2 base game is being upgraded with the free Aftermath updated. Aftermath brings better servers, new maps, and many more features which you can find detailed here.
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Class Notes
Class Notes | Obituaries
Submit a Class Note or Obituary »
Showing obituaries submitted in the last year
Sam J. Alaimo '44, '47, 93, passed away peacefully in his home on April 26, 2015. He was blessed to have celebrated his birthday a week before with his eight children, their spouses, and many of his 17 grandchildren and six great-grandchildren.
He was born in San Jose to immigrant parents who arrived from Sicily in 1912 and was the fifth of six children. He attended St. Patrick's Elementary School, San Jose High School, and Santa Clara University on a hard-earned four-year college scholarship. His SCU Class of '44 was known as the "Fighting 40s," as most of them had to leave the University their junior year to either enlist or be drafted during WWII. He attended his 70th college reunion last October, when he was honored with this very special group of men.
Sam was trained as an officer after enlisting in the Army. He was a unit commander, field artillery, stationed in the Philippines and Japan. His basketball skills qualified him to both coach and become a key player on the military basketball team which won the Army Olympics in front of 18,000 fans, mostly troops.
Rev. Gerald L. McKevitt, professor emeritus of history at Santa Clara University, died September 18, 2015, at Sacred Heart Jesuit Center, in Los Gatos. He was 76 years of age.
Jerry was born in Longview, Washington, on July 3, 1939. His family relocated to Quincy (Plumas County) where he graduated from the local high school. He graduated from the University of San Francisco in 1961 with a history major and philosophy minor and began graduate studies in history at the University of Southern California, earning an MA. In 1963 he entered the Jesuit novitiate at Los Gatos to begin training for the priesthood. His studies took him to Gonzaga University, Spokane, and in 1967 he started doctoral studies in history at the University of California at Los Angeles, where he received his Ph.D. in 1972. Theological studies were taken in Rome, where he received his degree in Sacred Theology from the Pontifical Gregorian University.
Jerry was ordained a priest in San Francisco in June 1975 and began a lifetime association with Santa Clara University. As research professor and archivist, he was given the task of writing the history of the university. Based on his doctoral dissertation, his The University of Santa Clara, a History, 1851-1977, was published by Stanford University Press in 1979.
Through the years Jerry rose to the rank of full professor serving as department chair, University archivist, University historian, and rector of the Jesuit Community. In 2004 Jerry was named the Ignacio Ellacuria University Professor for Jesuit Studies at Santa Clara. In addition to teaching a variety of courses, he continued his research in Jesuit history in the U.S. and published numerous articles and book reviews in scholarly journals and contributed to scholarly reference works. His award winning book, Brokers of Culture: Italian Jesuits in the American West, 1848-1919, was published by Stanford University Press in 2007.
His other academic experiences included visiting professorships at Fordham University and Seattle University, memberships on the editorial board of Studies in Jesuit Spirituality, and board membership on the National Seminar on Jesuit Higher Education. He also served on the Board of Trustees of Santa Clara and Gonzaga Universities and was active in professional organizations. He curated an extensive collection of Jesuits in fiction, now part of the university's special collections, and cultivated his hobby of watercolor painting.
After his retirement from the classroom, he continued his research and gave a number of lectures to a wide variety of audiences. At the time of his death he was working on a book length history of Jesuit higher education in the United States.
Contributions in Jerry's memory may be made to the Ignatian Center for Jesuit Education, Santa Clara University, 500 El Camino Real, Santa Clara, CA 95053.
Long before he became an early Warren Buffett investor and a wealthy philanthropist, Lee Seemann '42 was a 23-year-old from Omaha piloting a B-17 over Germany. Seemann, a decorated war hero who often called himself "an incredibly lucky guy," died on June 2, 2015, in Omaha. He was 95.
Seemann was born May 10, 1920, in Minnesota, but his father, a car dealer, soon moved the family to Omaha. Lee attended Dundee Elementary and Central High, class of '38. At 6-foot-1 and 210 pounds, he played football at Santa Clara University in California, where he took part in ROTC and was president of the senior class. After World War II, in which he survived a number of close calls, he met Willa Davis, who immediately liked him.
Seemann bombed the Normandy coast on D-Day, June 6, 1944, and flew his final mission on Aug. 9. Some 30,000 American airmen based in England died in the war, but Seemann enjoyed Thanksgiving dinner with his mother in Omaha.He received the Silver Star, the Distinguished Flying Cross (twice), the Purple Heart and the Air Medal with four oak leaf clusters. He recounts his harrowing tales in his 1998 memoir with David Harding, titled I Thought We Were Goners.
Lee became a branch manager at International Harvester and later started his own business, Seemann Truck and Trailer.Willa's father was a prominent Omaha urologist, Dr. Edwin Davis. He and the Seemanns, still in their 20s, invested with Buffett in the late 1950s and built large fortunes. Over the years, Lee and Willa Seemann have donated quietly to universities, hospitals, museums, churches and other charities. In the 1990s, they were major contributors to the Strategic Air & Space Museum. They also donated to his high school, and a decade ago Central named its new football facility Seemann Stadium.
In 2000, Seemann underwent heart bypass surgery. In recent times he was in hospice care, and his wife said he died from various old-age ailments.
John "Jack" Goodspeed Matthews '43, J.D. '49 was 93 and passed away peacefully on Dec. 23, 2014.
Peter Connolly Dolcini '47 February 27, 1925, to November 4, 2014. A man deeply connected with the land of West Marin County, Peter died peacefully, at home, with his wife of 65 years, Louise, at his side. Peter was a talented man, well versed in chemistry, biology, physics, astronomy, creative writing and languages, but that does not begin to scratch the surface of who he was. A deeply spiritual, generous and accepting man, Peter made friends wherever he and Louise travelled, whether to Italy or to the local dry cleaners in Petaluma. His wry sense of humor and thoughtful intelligence enlivened many discussions and family parties.
Peter had a long and varied work life. He worked on his family ranch and dairy as a young man. After graduating from Santa Clara University, Peter was employed as a forensic chemist in Berkeley, CA, performing top secret tests on air samples from Soviet atomic test sites. He then built and ran a family business with his brothers and cousins in Stockton, CA: All Jersey Farms Drive-In Dairy. He also used his chemistry and dairy background to make and sell delicious ice cream at his own ice cream parlor, The Gold Mine. After his Stockton sojourn, Peter and Louise moved their family of six children, Lucille, Tom (Carlene), Marilyn (Herm), Carol (Abram), Elaine, and Barbara (Michael), back to his beloved West Marin. They settled into 50+ years of a happy life in Hicks Valley, where Peter worked in the dairy and beef ranching business with his brothers and cousins. It was, however, as a teacher that he was able to put into practice his true vocation. Peter and Louise teamed up as Principal (Louise) and Teacher's Aide (Peter) at the local one-room Lincoln District Elementary School.
After retirement, Peter spent many happy years gardening, birding, travelling, studying Spanish and Italian, and especially enjoying being a part of the unfolding lives of his children, in-laws, grandchildren, great-grandchildren, brothers and sisters, nieces, nephews, cousins, neighbors and friends. He was a remarkable man who honed and polished, without effort and with great love, the magic of the double-sided coin of learning and teaching. He loved a good gathering, loved the land of West Marin, and most of all loved Louise and his family. We will miss him every day.
John Kerwin "Jack" Nunneley '48 was born on October 19, 1927. He passed away on November 11, 2014, in the loving care of his family. He was 87 years young. A third-generation native Californian, Jack was raised on an apricot and prune ranch in Saratoga. He attended Los Gatos High School and Santa Clara University before being appointed to the U.S. Naval Academy in Annapolis. There, he met and married the love of his life, Cynthia Ainsworth Flynn.
He served in the Navy from 1951-81 and was qualified to command nuclear submarines. His final tour was as the commander of the Mare Island Naval Base, where he had previously been stationed in 1966 to commission and become the first commander of the USS Mariano G. Vallejo (SSBN-658), a ballistic-missile submarine. Those who knew Jack remember his many, often hilarious, stories about life at sea and the camaraderie of those who serve together.
After retiring from the Navy, Jack pursued his passion for community service and was very active in the United Way, Rotary Club, and other philanthropic activities. He moved to Scotts Valley in 2008 after the untimely loss of Cynthia to live with his son, John Jr.. He is survived by his three loving children, Catherine, Cynthia Nunneley '75, and John Nunneley Jr. M.S. '80, seven grandchildren, and three great-grandchildren. He will be missed and always loved by all who knew him.
Robert Finocchio Sr. '50, born Dec. 3, 1928 and a resident of Los Gatos, passed away on August 31 at the age of 86 with his loving wife and children by his side. Born and raised in San Francisco, Bob attended St. Ignatius High School and in 1950, graduated from Santa Clara University. In the summer following graduation, Bob married Virginia Arata of Ross, California, with whom he celebrated a 65th wedding anniversary on August 19th of this year. Bob had a long and successful career with the Bank of America where he started as a teller and nearly 40 years later, retired as a senior executive. Bob's work at the bank served to finance the transition of the Santa Clara Valley from an agricultural economy to the Silicon Valley we know today. Bob was also a dedicated alumnus of Santa Clara University, serving as a member of the Board of Fellows for many years. He loved hunting and golf and was an avid sports fan. Most of all, Bob was a devoted husband and father who created a family life filled with fun, laughter, and many wonderful traditions. In addition to his wife, Virginia, Bob is survived by his seven children: Robert J. Finocchio Jr. '73 (Susan), who has served as Chair of the Board of Trustees and Dean's Executive Professor of Management at SCU; Suzanne Rollin, Marianne Jackson, Judy Schebetta, Alan Finocchio, Chris Finocchio (Tiffany), and Melissa Burdekin (John), his seventeen grandchildren, Alex, Amanda, Bryce, Chris, Erik, David, Garth, Gray, Joseph, Jonathan, Kyle, Matthew, Madeleine, Nathaniel, Nick, Peter, Ryan, and his five great grandchildren, Brendan, Everett, Jasmine, Max, and Parker. A funeral Mass was held on Sept. 11 at the Mission Church. In lieu of flowers, the family requests that donations be made to the Scholarship Fund at Santa Clara University.
Richard DiNapoli '50, resident of Los Gatos, passed away peacefully at his Los Gatos home on Aug. 22, 2015, surrounded by his wife Lynette of 61 years, and his immediate family. He was 88 years old.
Dick was born in San Jose, CA to Frank and Edna DiNapoli. He was the eldest brother to Shirlee DiNapoli Schiro and J. "Phil" DiNapoli J.D. '64. Dick was a graduate of Bellarmine High School and Santa Clara University and served in World War II as a Merchant Marine.
Dick was blessed with a long and successful career managing Sun Garden Packing Company. For 55 years, Sun Garden canned peaches, apricots and tomatoes in San Jose employing thousands of loyal and hardworking Santa Clara residents. Dick had a genuine interest in people and treated everyone he met with kindness and respect. When Sun Garden closed in 1994, it was the last remaining tomato processor in "The Valley of Heart's Delight".
Along with his wife and siblings, Dick is survived by his three sons and daughters-in-law, Richard "Rick" '77 and Julie, Rob and Karin, Matt and Gretchen, seven grandchildren Gina, Emerson, Elizabeth, Aaron, Madison, Christopher, Justin and two great grandchildren, Bowyn and Rocco; most of whom joined Dick and Lynette each and every Sunday for dinner.
Dick will be remembered for his patience, loyalty and gentile demeanor. He had a zest for life and a desire not to miss out on anything, especially if it involved family. He exited this world exactly how he lived it, with grace and dignity.
Neil Vincent Moran '51 was born on Sept. 25, 1929. He died unexpectedly in his home on Dec. 31, 2014. He is survived by the love of his life, Frederica Duffy Moran, his wife of 62 years; by his five adored sons, Neil Jerome Moran (Lynn), Kevin Vincent Moran (Sandy), Martin Thomas Moran, Andrew Duffy Moran (Cathy), and Matthew Paul Moran (Rachel); by his loving sisters Virginia Rarig and Nancy Buckley; by his darling 13 grandchildren; and by his admiring sister-in-law and his many nieces, nephews, and other precious members of his large and close family. He was predeceased by his older and venerated brothers, Thomas and Marshall Moran.
Neil was born in Oakland to Thomas Joseph and Sarah Gertrude Moran, the fourth of five children in a large Irish Catholic family. He grew up in Oakland and attended Our Lady of Lourdes grammar school, St. Ignatius High School ('47), and Santa Clara University ('51). Following two years of service in the U.S. Army, he joined the family business, Moran Supply, where he worked with his father, two brothers, and brother-in-law. Neil enjoyed a long career in the plumbing supply business, and upon his retirement, his sons Andrew and Matthew Moran took over the operation of Moran Supply, which remains in business in Oakland to this day.
Neil was a natural athlete. In school, he excelled in sports, including tennis, swimming, diving, and basketball. He continued to be an avid tennis player well into his 60's, but ultimately golf became his second career. Neil was known for his graceful, consistent stroke, and he was a regular on the Claremont Country Club Golf Course, where he captured many club titles over the years. Family formed the heart and soul of Neil's life. He met his future bride at the age of 12 while vacationing at the Russian River. Showing off his enviable athletic prowess from the outset, he executed multiple underwater back-flips in the river, thus capturing the interest, and, ultimately, the hand, of young Freddy Duffy. They married in 1952 and raised their family of boys in Lafayette, making their home on the same street as his parents, sisters, and oldest brother. Neil believed deeply and truly that his wife was the most beautiful woman in the world; that his sons were the most brilliant and accomplished men to walk the Earth, and that his grandchildren were the absolute cream of the crop. He had just celebrated a joyful Christmas Eve with his wife, sons, daughters-in-law, and grandchildren days before he drew his last breath.
In addition to his love of family and sports, he was a voracious reader, daily domino player, and world traveler. He accompanied his wife all across the country and around the globe for her quilt shows and classes. They recently traveled to Europe, Thailand, and China. He was very proud to travel twice to Ireland with his sons to play 36 holes of golf a day and get lost as they drove from one county to the next. What set Neil apart from everyone was his kind and loving heart. His devotion to his family and his cheerful, joyful, and sweet outlook will be missed and remembered forever by those of us lucky enough to have loved, and been loved, by him.
Louis Raymond Rudolph '51, a lifelong resident of the Monterey Peninsula, passed away on October 8, 2014, at his home with dignity and an amazing sense of humor to the end. Born on March 22, 1930, to Raymond and Edrie Rudolph of Pacific Grove, he was one of the last babies born at the Monterey Hospital on Abrego Street, now the Pacheco Club. Lou often pointed to the tiny second floor window, telling the story of his birth, then continuing to tell of his lifetime membership to the Pacheco Club. Lou attended Sacred Heart Grammar School, was in the 1947 graduating class of Monterey High, then received his Bachelor's Degree from the University of Santa Clara. Lou then joined the US Air Force, spending 5 years of service to his country in Korea and Japan as an F-84 jet fighter pilot.
He returned to Monterey to join the family furniture business, creating a well-known high-end store and staff of professional interior designers. After his family sold the Lighthouse Avenue property, Lou relocated his business to Cannery Row and Salinas, featuring Drexel Heritage and high-end furniture. After selling both businesses, Lou took on the position of manager of the Monterey Fairgrounds. From his dedication, hard work, and long hours, the fair turned into a family-safe environment earning "Most Improved Fairgrounds In the State of California." Later, Lou was a partner in creating "Country Music Monterey." Then, with a friendship and an idea, Lou and Frank Yohannon put into action the Sea Otter Classic - Laguna Seca Challenge.
Leaving the area, Lou and Peggy moved to Carnelian Bay in North Lake Tahoe, fulfilling a lifelong dream of Peggy's. Lou became manager of Ennis Fine Furniture and Macy's Furniture store in Reno. Missing the peninsula, they returned to Monterey. Lou's final career as a reverse mortgage specialist was another stellar career move. Lou's life accomplishments, being many, included his membership in the Pacheco Club as Past President, President of the Monterey Rotary Club, City Councilman, Board Member of the Salvation Army, Director/Board Member of the Monterey Jazz Festival, and he was the last surviving member "Flying Fisherman's Club," enjoying week long trips with his friends in Idaho, Wyoming, and Montana. Lou loved being a part of the Barbershop Quartet "The Cannery Rogues."
His employment with Met-Life was cut short by a stroke in 2010. Lou lost his battle with lung cancer in his home with his wife Peggy and stepdaughter Muriel by his side. Lou is survived by wife of 32 years Peggy, his brother David and sister Mary Ann, and children Steve, Mark, Daniel, Kate, John, and Matt and 13 grandchildren. He was affectionately known as "Papa Lou" to his stepchildren Audra Branco, Tricia Vessey, and Muriel Lloyd, and 5 step-grandchildren.
Cyril "Cub" Abbott Coyle Jr. '51, June 17, 1929, to Jan. 4, 2015. He passed away after a long battle with vascular dementia, surrounded by his family. He was preceded in death by his loving wife of 62 years, Yvonne Coyle. Cub is survived by his six children: Kate Dean, Timothy Coyle, Eileen Coyle, Frances Coyle, Mary Coyle, and Nancy Tatarakis. Cub was blessed with 12 grandchildren and 11 great grandchildren.
Cub was born in Sacramento, California, and was the only child of Cyril and Marie Coyle. He spent his summer childhood in Meeks Bay riding his horse from sun up to sun down. He learned the cowboy way from his uncles, who ran cattle in the Sierra Meadows. He made friends with the local Washoe Indians with whom he remained in contact with through the years. His legacy of Lake Tahoe is still enjoyed by his family. He graduated from Christian Brothers High School (class of 1947) and Santa Clara University, where he received a degree in political science.
Cub and Yvonne raised their family on the Coyle Ranch, founded in 1896, where he continued to check his cattle until the last month of his life. He passed on his love of the land and ranch life to his children, grandchildren, and great grandchildren. His strong ranch work ethics showed from sun up to sun down. He shared his passion for cattle, auto body work, and leather tooling with his children and grandchildren. He worked as a livestock lending officer in the farm credit industry. His territory spanned three states and he made many long-time friends.
Tony Oliver '51, J.D. '53, a third-generation Californian, long-time resident of Glendale and Crestline, California, and prominent California labor and employment lawyer, was born on July 19, 1929, in San Jose, California. He passed away on Feb. 3, 2015 in Glendale, California.
Tony was the only child of Anthony T., Sr. and Josephine Oliver both of whom predeceased him. He was a graduate of Bellarmine College Preparatory in San Jose and he received his undergraduate degree from Santa Clara University in 1951 and his law degree in 1953. Tony was very proud of the fact that he was an Eagle Scout and at the time of his death he was a member of the National Eagle Scout Association and was serving on the Eagle Scout Association Committee for the San Gabriel Valley Boy Scout Council. At Santa Clara, Tony was a member of the Alpha Sigma Nu honor society and the Alpha Phi Omega service fraternity.
Tony enlisted in the California Army National Guard in 1948. While at Santa Clara, Tony enrolled in the University's ROTC program and he was commissioned as a Second Lieutenant in 1952. Tony served in many command and staff positions in the National Guard including service in the 40th and 49th Divisions, until his retirement in 1974 as a Lieutenant Colonel (USA Ret.). He was a life member of the National Guard Associations of the United States and California, the Southern California Advisory Council, and the American Legion.
Tony was a practicing attorney in Los Angeles since 1954. He spent his first 4 years as an Assistant Counsel in the Bank of America's Legal Department. In 1958 he became associated with John F. O'Hara and began his practice as a labor and employment attorney. In 1963 O'Hara and Tony joined the law firm of Parker Milliken, Clark O'Hara & Samuelian, to form the Firm's Labor and Employment Law Department where Tony practiced as an Associate, Partner, member of the Firm's Board, Chairman of the Department, and Shareholder until his retirement in 2011. After his retirement, Tony remained Counsel to the Firm until his passing.
Tony was a member of the Labor and Employment Law Sections of the California and American Bar Associations. He was Chairman of the Los Angeles County Bar Association, Labor and Employment Law Section and a Management Co-Chair of the ABA Committee on Alternative Dispute Resolution in the Workplace. He served as National President of the Labor and Employment Relations Association (LERA) after previously serving as President of LERA's Southern California and Orange County Chapters. He was selected by his peers for inclusion in The Best Lawyers in America in 1987 and was continuously selected thereafter until his retirement in 2012. He was also selected annually by his peers as a Super Lawyer in California. Tony was a Fellow of the College of Labor and Employment Lawyers. He served on the Board of Visitors of the Santa Clara University Law School. In 1974 he received the Law School's Edwin J. Owens's Award for distinguished service to the Law School and the legal profession.
Tony was predeceased by his first wife, Beverly J. Oliver, and is survived by his former wife, Margaret E. Oliver. Tony is survived by his 5 children; Jeanne (Ron) Hall of Prescott, Arizaona; Marilyn (Linnie) Guins of Riverside, California; Cyndi Eschardies of La Habra, California; Michelle Rogan of Dana Point, California; and Christopher Oliver of El Segundo, California. He is also survived under the more endeared name of "Papa" by 7 grandchildren; Ron (Celeste) Hall, Jennifer (Chris) Flores, John (Kimberly) Eschardies, Tony (Isabel) Eschardies, Eddie (Amy) Guins, Nicole Rogan and Samantha Rogan and great-grandchildren; Andrew, Evan and Tyler Hall, Gabriel and Evalynn Flores, Caleb Guins, Aaron, Benjamin, Heidi and Noah Eschardies. Tony has enjoyed spending time with his children, grandchildren and great-grandchildren during his retirement. He will be greatly missed by his family.
Richard Bernard Campi '52 was born in San Francisco, Calif. on July 6, 1922 the son of Silvio and Bernice (Diaz) Campi. He was a World War II veteran having served in the U.S. Navy. He worked as a Mechanical Engineer in the Aerospace industry for over 27 years. Richard has lived the past 22 years in Yerington coming from Santa Clara, California. He enjoyed flying and sailing, camping and painting. He was a member of ASME, California Professional Engineers.
Joseph Vincent Reynolds Jr. '52 passed away on July 10th at his home in Napa. He was born on May 18th, 1928 in Los Angeles, CA to parents Joseph Vincent Reynolds Sr. and Helena Ingaborg Strom. He had one sibling, Patricia Reynolds, born in 1930. He graduated from Loyola High School in Los Angeles. After graduation he joined the Army and served a one year tour of duty with the 69th Division of engineers in Korea. Upon returning home he enrolled at the University of Santa Clara on the GI bill and obtained a B.S. in engineering in 1952. During his senior year in 1951 he met his future wife, Carol (Hinds) Reynolds, when mutual friends introduced them on a blind date. Following graduation Joe was called back into the Army and served a second one year tour in Korea, this time with the 235th Field Engineers. Following his discharge from the Army, Joe and Carol were married in Los Angeles in April of 1954. Joe?s career in civil engineering began in Los Angeles, then Burbank, then Santa Paula, and in 1960 the family moved to Walnut Creek when he began working for the Bechtel Corporation. In 1966 he was hired by the Public Works Department of Napa and the family moved to Napa in 1967. In 1968 Joe moved to the Napa County Flood Control District office and later became Chief Flood Control Engineer. In 1976 Joe returned to work for Bechtel and spent time in Saudi Arabia working on the engineering and implementation of the water systems for the city of Jubail. He retired in 1994. Joe was a loving and beloved family man, and most enjoyed time spent with his family and working around his property in Napa. He was a gracious and genial host to extended family and friends as he and Carol hosted many parties and family reunions over the years. Joe also enjoyed spending time in nature, having developed a love of backpacking early in his marriage. He took several trips with his children to the Trinity National Forest in northern California. Even into his early 70s, he went on solo backpacking trips. An avid reader, he shared that love by reading out loud to his children. He and youngest daughter Amy would read to each other in later years. Joe is survived by his wife of 61 years, Carol Reynolds, children Teresa Reynolds, Mary Jane Reynolds, Shannon Victor '85, Ann Reynolds, Amy Reynolds and daughter in law Vanessa Waddy. He was preceded in death by children Kathleen Crews, Christopher Reynolds and Timothy Reynolds. His grandchildren are Andrew Crews, Bethany Crews, Emily Crews, Brian Crews, Langston Waddy-Reynolds, Moira Waddy-Reynolds, Neemah Waddy-Reynolds, Helena Victor and Liam Reynolds.
John William Bacon '52 was 84 years old when he died at his home in Atherton from cardiac arrest in the early morning of November 13th. John William Bacon was born in San Mateo, California in 1930 to John Andrew Bacon and Helen Oberhelman Bacon, both natives of New Orleans. A lifelong resident of the Peninsula, he grew up in Burlingame and attended Our Lady of Angels School, Serra High School, Army and Navy Academy, and Santa Clara University.
In 1950 he married the love of his life, Lynn Jackson Bacon; they were together for 64 years. They had eight children, and in 1963 moved to Atherton where they lived for the remainder of John's life. John's career in the lumber business began in the early 50's at San Bruno Lumber Company. In 1964 he purchased San Mateo Lumber with his father-in-law William W. Jackson. In 1971 he left San Bruno Lumber and acquired South City Lumber and Supply in South San Francisco. In 1975 he purchased Economy Lumber Company, Oakland, and in 2010 Piedmont Lumber in Oakland, now Economy Lumber Piedmont. Over six decades John built one of the largest group of lumber and building material companies in Northern California. By understanding the needs of professional contractors his companies were able to thrive in the face of growing competition. During the 1950's, John, working with his brother Donald Bacon and others, opened the Green Giant Nursery in Millbrae. A certain grocery vegetable company forced a name change to Green Garden Nursery. They became involved in organizing the Western Garden and Trade show which became the San Francisco Outdoor Garden Exposition in 1967.
John kept horses in Woodside for many years while training for, participating in, and finishing, the endurance ride - The Western States Trail Ride, the Tevis Cup - 100 miles with the same horse and rider from Tahoe City to Auburn in under 24 hours. He was a member of the Rancheros Visitadores, and delighted in telling tales of his experiences on the trail of their annual ride near Santa Barbara. He served on the Alumni Board of the Army and Navy Academy in Carlsbad.
If there are founding fathers of bike riding in the Menlo Atherton area, John was one. He knew very inch of "The Loop", the Alpine Rd. Sandhill Rd. ride that from the early 1960's into the 1990's was part of his weekend, usually accompanied by his good friend Douglas Hughmanick of Atherton, often trailed by a collection of their children. John was an insatiable reader, particularly of history, and always wanted to discuss the latest book. He loved to cook and barbecue for his family and friends whom he entertained with wit and wisdom as he tended the chicken and ribs. Late in life he took up painting and surprised many, including himself, with his artistic talent. John was by nature a very generous man. Giving to charities and causes too numerous to mention was an important part of his life.
John is survived by his wife, Lynn Jackson Bacon of Atherton, and seven children: Leslie Bacon of Berkeley, John Bacon Jr. (Patricia Bolich) of Orinda, Grant Bacon of Burlingame, Thomas Bacon (Martha Abrams) of Menlo Park, William Bacon of Belmont, Susan McComas (Alex) of Palo Alto, and Peter Bacon of Lake Oswego, Oregon. He was blessed with sixteen grandchildren: Ariel (Sage), Ella, Alice, John III (Jack), Adam, Lena, Sarah, Adelaide, Ruth, Will, Lucy, Scott, Molly, Ashley, Emily and Alex. He enjoyed spending time with his four great-grandchildren, Olive, Charlie, Elle (Cheech), and Seneca. John was predeceased by his son, Scott Michael Bacon of Redwood City in 1995, and his only brother Donald Bacon '56, of Tillamook, Oregon in 2013. He is also survived by two nephews and a niece in Portland. He was loved and admired by many, and will be enormously missed.
Francis W. Hare '52 was born Dec. 12, 1929. A resident of San Jose, he passed away surrounded by his family on Jan. 4, 2015. He is survived by his loving wife Claire of 57 years, daughter Marie Anderson '84 and Steve Anderson '84, son Joe Hare '86 (Jeanne), and his five grandchildren: Stephen Anderson Jr. '13, Mary Anderson '16, Bobby Anderson, Maria Hare, and Celia Hare. He was a wonderful husband, father, grandfather, son, brother, uncle, and friend to many. He was a coach, teacher, administrator, and counselor in the East Side Union High School District for over 30 years. Francis also was always a loyal and proud Bronco, both playing and coaching football at Santa Clara University.
Robert "Bob" Gilkey '52, age 86, passed away on January 9, 2015, in Olympia, WA. He is preceded in death by his wife, Conchita. Bob was born in Oakland, CA on February 17, 1928. Bob graduated from Santa Clara University in 1952 and moved to Hawaii right after graduation. In 1957, Bob became the personnel director for St. Francis Hospital. In 1967, Bob was appointed as deputy director for the State of Hawaii Department of Labor and Industrial Relations. In 1986, Bob was appointed by the former Governor George Ariyoshi to be the director of the Labor Department.
Upon his retirement from state government, Bob was a lobbyist for Hawaii Fire Fighters Association and Hawaii Electricians Local Union 1186 IBEW. Bob was well known throughout the Democratic Party of Hawaii for his tireless help in the campaigns at the local, state and federal level. Bob lived by a strict moral code which was the basis of his strong character. He had unwavering faith in the Lord. Bob is survived by five sons and two daughters, John Gilkey; Cristina Gilkey; Victoria Gomes; Philip Gilkey; Daniel Gilkey; Joseph Gilkey; and Lt. Colonel Vincent Gilkey; along with nine grandchildren.
James Francis Perry '53 was born on May 19, 1930, and passed on Sunday, September 28, 2014 peacefully in his home in Aptos, Calif. He was 84 years young at heart. His parents, Walter and Althea Perry, and his daughter Kathleen preceded him. Jim is survived by his beloved wife of nearly 60 years, Florence P. Perry; son Christopher and daughter in-law Mary Perry, grandchildren Christian and Patrick Perry; daughter and son in-law Erin and Steve Geiszler, grandchildren Peter, Hans and Emma Geiszler; son J. Scott Perry; son and daughter in-law Mark and Jena Perry; daughter Lizabeth Meuse and grandsons Will and Finn Meuse.
Jim attended Bellarmine College Prep, followed by one year in the Jesuit seminary, before graduating from Santa Clara University, Class of 1953. He served in the United States Army Artillery during the Korean War as a 1st Lieutenant between 1952-1953. An adventurous soul and man of honor, he lived his life with humor, passion, courage, purpose and gratitude. He revered the mysteries of life and death, was personally expanded by the spirit of nature, and awed by the magnificence of travel and history. Jim was a sculptor who handed down to his family his artistic renditions in wood and stone. He was also an avid duck hunter and camp chef who formed immutable friendships over his many years. He served and inspired his family and closed every meal with, "May we all be together again this day, twelve months.
William T. Olson Jr. '54 was fortified with the Sacraments of Holy Mother Church on Nov. 1, 2014. He passed away on Nov. 2, 2014. Beloved husband to the late Mary C. "Kitty" Olson (nee Cunningham); devoted and loving father of William T. Olson III, Edwin J. (Mary) and Caroline M. Olson; dear brother of James A. Olson (Jody) and the late John M. Olson; dear brother-in-law of Nancy Olson; beloved grandfather of Will, Taylor, Grace, Michael and Julia; dear uncle and cousin, and friend to many. He was born July 25, 1933.
Retired executive Ronald Himstreet '54 passed away Jan. 12, 2015, in San Antonio. He was born on April 25, in Denver, Colorado to Ray "Ted" and Rose Himstreet. He is survived by his wife of 51 years Helen Rose (Mulligan) Himstreet and three children, Joseph (Patrice) of San Antonio, Texas, Julie of San Antonio, Texas, and Timothy (Monica) of San Diego, California; 3 beautiful granddaughters, Ava Rose Himstreet of San Antonio, Texas, Haley Himstreet and Sidney Slyvester both of San Diego, California; also by numerous loving nieces, nephews, cousins and hundreds of devoted friends.


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Blood-brain barrier transport of amyloid beta peptides in efflux pump knock-out animals evaluated by in vivo optical imaging
1 Human Health & Therapeutics Portfolio, National Research Council of Canada, Ottawa, Canada
2 Faculty of Medicine, University of Ottawa, Ottawa, Canada
3 Current address: ApoPharma Inc., 100 Sussex Drive, Ottawa, Ontario, K1A 0R6, Canada
4 Current address: The Hospital affiliated with the Shandong University of Traditional Chinese Medicine, Jinan, Shandong Province, China
Fluids and Barriers of the CNS 2013, 10:13 doi:10.1186/2045-8118-10-13Published: 25 February 2013
Aβ transport (flux) across the blood-brain barrier (BBB) is thought to contribute to the pathogenesis of Alzheimer's disease as well as to elimination of toxic amyloid from the brain by immunotherapy. Several BBB transporters have been implicated in Aβ exchange between brain parenchyma and the circulation, including efflux transporters P-glycoprotein/ABCB1 and BCRP/ABCG2. Here we describe an application of in vivo optical imaging methods to study Aβ transport across the BBB in wild-type or animals deficient in specific efflux transporters.
Synthetic human Aβ1-40 or scrambled Aβ40-1 peptides were labeled with the near-infrared fluorescent tracer, Cy5.5. The free tracer or Cy5.5-labeled peptides were injected intravenously into Abcb1-KO or Abcg2-KO mice or their corresponding wild-type controls. The animals were imaged prospectively at different time points over a period of 8 hours using eXplore Optix small animal imager. At the end of the observation, animals were sacrificed by perfusion, their brains were imaged ex-vivo and sectioned for immunofluorescence analyses.
After appropriate circulation time, the fluorescence concentration in the head ROI measured in vivo was close to background values in both wild-type and Abcb1-KO or Abcg2-KO mice injected with either free dye or scrambled Aβ40-1-Cy5.5. In animals injected with Aβ1-40-Cy5.5, the deficiency in either Abcb1 or Abcg2 resulted in significant increases in fluorescence concentration in the head ROIs 2 hours after injection compared to wild-type animals. Fluorescence decay (elimination rate) over 2–8 hours after injection was similar between wild-type (t1/2 = 1.97 h) and Abcg2-KO (t1/2 = 2.34 h) and was slightly faster (t1/2 = 1.38 h) in Abcb1-KO mice. In vivo time-domain imaging method allows prospective, dynamic analyses of brain uptake/elimination of fluorescently-labeled compounds, including Aβ. Deficiency of either of the two major efflux pumps, Abcb1 and Abcg2, implicated in Aβ trafficking across the BBB, resulted in increased accumulation of peripherally-injected Aβ1-40 in the brain.


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It's officially fall, so I guess it shouldn't surprise me that it's time for the last installment of The Associated Press' "20 Burgers of Summer†series.
The final entry to be presented comes from Art Smith, whose burger memories stretch back to the 100-year-old Florida cattle farm on which he grew up — and from which his ground beef came, according to AP Food Editor J.M. Hirsch.
Smith, Oprah Winfrey's former personal chef, in an e-mail said, "Mother only made them for Saturday noon dinner, and only in the hot summertime. She would make fat burgers out of the very red meat and season it carefully with salt and pepper. What makes hers great is that she would heat a cast-iron skillet blazing hot, and the burgers would get a beautiful sear, which makes the best flavor.â€
Smith said his for toppings his mother had crispy iceberg lettuce, warm tomatoes from the garden, mustard, mayonnaise and her pickles. But forget about ketchup. "That was for hot dogs.â€
He added, "Burgers are pure comfort. They remind me of my childhood, the people I love and the simplicity of life. We live complicated lives. Why make your food complicated?â€
Smith offered a lamb slider topped with cucumbers and a tomato-kalamata olive relish, all tucked in a wedge of whole-wheat pita bread, for the burgers series.
Art and Soul Grilled Lamb Miniburgers8 ounces ground lamb
2 tablespoons crumbled feta cheese
2 tablespoons crushed pistachios
1 teaspoon chopped fresh oregano
½ teaspoon kosher salt
½ teaspoon ground black pepper
1 large whole-wheat pita pocket, cut into quarters
Tomato-kalamata relish (recipe follows)
Yogurt cucumbers (recipe follows)
Heat a grill to medium-high. Coat the grates with cooking spray.
In a medium bowl, combine the lamb, feta cheese, pistachios, oregano, salt and pepper. Mix well, then form the mixture into 2-ounce patties.
Grill the burgers for 2 minutes per side for medium-rare, or until desired doneness.
Briefly toast the pita pocket quarters.
To serve, place each burger in a pita quarter then garnish with tomato-kalamata relish and yogurt cucumbers.
Yield: Serves 4.
Approximate nutritional analysis per serving: 414 calories, 56 percent of calories from fat, 26 grams fat (8 grams saturated, no trans, 46 milligrams cholesterol, 33 grams carbohydrates, 15 grams protein, 4 grams fiber, 1,134 milligrams sodium.
Yogurt Cucumbers
3 tablespoons plain Greek-style yogurt
1 English cucumber, halved and thinly sliced
1 small red onion, julienned
½ teaspoon kosher salt
1 tablespoon sugar
¼ teaspoon ground black pepper
6 ounces rice wine vinegar
In a small bowl, combine all ingredients and mix well. Refrigerate until needed.
Yield: About 2 cups.
Heirloom Tomato-Kalamata Relish
1 medium heirloom tomato, finely diced
8 pitted Kalamata olives, finely chopped
2 tablespoons extra-virgin olive oil
1 clove garlic, minced
1 scallion, thinly sliced
1 red bell pepper, cored and finely diced
1 teaspoon finely chopped fresh parsley
Kosher salt, as needed
In a medium bowl, combine all ingredients. Mix well, then cover and set aside.
Yield: About 1½ cups.
Art and Soul Grilled Lamb Miniburgers
It's officially fall, so I guess it shouldn't surprise me that it's time for the last installment of The Associated Press' "20 Burgers of Summer†series.


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Last week, while randomly channel surfing, I stumbled across a fantastic PBS documentary in the American Masters series, titled Marvin Gaye: What's Going On.
It was a terrific review of the wonderful music and troubled life of Marvin Gaye.
Those of you who are less familiar with early Soul and R&B owe it to yourself to learn a bit about Gaye, best known as an artist on the Motown record label in the 1960s and 1970s.
Gaye had a classic R&B voice — described as "edged with grit yet tempered with sweetness." But he was much more than that: He was Motown's renaissance man: A songwriter, composer, multi-instrumentalist, and record producer as well.
AllMusic: "Moving from lean,
powerful R&B to stylish, sophisticated soul to finally arrive at an
intensely political and personal form of artistic self-expression, his
work not only redefined soul music as a creative force but also
expanded its impact as an agent for social change."
You can explore Gaye's work a couple of ways: The one click method is
either a box set or a Best Of. For the big 4 CD box, go with The Master 1961-1984. A less exhaustive approach is Every Great Motown Hit of Marvin Gaye.
I much prefer the albums over the greatest hits, The self-produced What's Going On was a landmark effort, described as "a dramatic shift in both content and style that forever altered the face of black music." A mix of percussion, soul and jazz, it has a remarkably sophisticated and fluid sound. Reviewers have called What's Going On a conceptual masterpiece.
The long-simmering eroticism implicit in much of Gaye's work reached its boiling point with 1973′s Let's Get It On, one of the most sexually charged albums ever recorded; a work of intense lust and longing, it became the most commercially successful effort of his career
Top Ten Albums
1971: What's Going On (#6 U.S.)
1973: Let's Get It On (#2 U.S.)
1973: Diana & Marvin (#5 UK)
1974: Marvin Gaye Live! (#8 U.S.)
1976: I Want You (#4 U.S.)
1977: Live at the London Palladium (#3 U.S.)
1982: Midnight Love (#7 U.S.; #10 UK)
1994: The Very Best of Marvin Gaye (#3 UK)
2000: Marvin Gaye Love Songs (#8 UK)
Recommended Albums
• What's Going On
• Let's Get It On
• The Master 1961-1984 (Box Set)
• NPR: A Tribute to Marvin Gaye
videos after the jump
Let's Get It On
Marvin Gaye "What's Going On / What's Happening Brother
Sexual Healing
Marvin Gaye Home Page
Marvin Gaye Wiki entry
All Music Guide page
Rock & Roll Hall of Fame
History of Rock page
Rolling Stone page
Category: Friday Night Jazz, Music, Video
Please use the comments to demonstrate your own ignorance, unfamiliarity with empirical data and lack of respect for scientific knowledge. Be sure to create straw men and argue against things I have neither said nor implied. If you could repeat previously discredited memes or steer the conversation into irrelevant, off topic discussions, it would be appreciated. Lastly, kindly forgo all civility in your discourse . . . you are, after all, anonymous.
12 Responses to "Friday Evening Jazz: Marvin Gaye"
Wonderful post. Thanks Barry!
MARVIN GAYE & TAMMI TERRELL "Ain't no Mountain High Enough"
Best DVD I've seen in a long time, probably already mentioned around here, has been "Walking in the Shadows of Motown" about the session musicians for YEARS of Berry's Motown prime hits. They backed up Marvin and many many others and got a fine tribute, albeit late, in the DVD. ~m
And don't forget his divorce project, "Here My Dear" – wonderful from start to finish!
Don't forget my favorite, his singing of the national anthem at the NBA All Star Game
Gotta Love Marvin. Let's see if these links will work. One of my favorites is Marvin from the Motown 25 special. For those who will recall, that's the same show where Michael Jackson unveiled his famous "moonwalk" to "Billie Jean". Now, more than 20 years later, Marvin Gaye seems much more timeless:
And, as an indication of influence, not many artists can claim to have been given this kind of tribute:
The second video was recorded in 1998. Half the people on the stage weren't even alive when Marvin Gaye recorded "Let's Get it On," but they certainly know what's "Goin' on".
If you are a true fan locate
"After the Dance"
vocal tours de force………..
what a wonderful post, Barry, sparked by the PBS documentary. Accompanied by snappy comments as always. Have you seen the Les Paul – Chasing Sound segment of American Master? Awesome.
Early in his career Motown legend Marvin Gaye had wanted to be a crooner and his primary idol in this field was Nat King Cole. So it's only natural that he would pay tribute to him on this covers album midway through his early 60′s success.
The amazing part of this is he actually pulls it off-offering up beautiful covers of tunes like "Rambling Rose" and "Nature Boy", right up there with the standards set by Nat himself!Now there will never be another Nat King Cole but Gaye puts his own,more sudtle spin on this classics using very similar backup orchestrations.
The highlight is the closing "Calypso Woman" in whitch Marvin Gaye delivers a more soulful,animated and pugnacious approch to the vocals then Nat ever did and it ends up sounding like an original
I saw the same show. Great program. The most amazing things I learned were: 1) that he was so insecure. A handsome man with all of the talent needed to be the best ever. He scored big as a singer, writer, and performer, but never seemed to really believe it. 2) One Grammy at the end for "Let's Get It On." I guess that's the true imprimatur of Greatness; neglect from the Grammy bozos.
Great musician, both my daughters were conceived to "lets get it on"…damn sexy song.
Hey, XXXXXXX, do us all a favor — crawl back under your rock.
BR: My ex-girlfriend stalker won't take a hint.
Please don't feed the trolls.
As a comtemporary (I am 65), it is hard to remember Marvin Gaye without remembering his duets with Tammi Tarrell which (as I recall, it's been awhile) were as popular as his solo's with the possible exception of "Sexual Healing".
Sad end to a troubled life.


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text:
Anti-Semitic incidents in Australia jump by a third
Much of the increase was triggered by Israel's operation against Hamas in Gaza and encouraged by the hostile media it generated, according to an annual report. More ▸
Much of the increase was triggered by Israel's operation against Hamas in Gaza and encouraged by the hostile media it generated, according to an annual report. More ▸
Five teenagers were arrested for allegedly hurling anti-Semitic epithets at and physically threatening Jewish school students on a bus in Sydney. More ▸
Jewish leaders in Australia slammed the federal government's proposed amendments to the nation's race hate laws. More ▸
Anti-Semitic incidents in Australia rose 21 percent in the last year and are the second highest on record, according to an annual report. More ▸
Australian Jews criticized the Maccabi movement for continuing to employ officials responsible for the deaths of four Australians at the 1997 Maccabiah Games. More ▸
Facebook removed a page featuring anti-Jewish content, including a photo of murdered Jews in a mass grave at Bergen-Belsen with the headline "Lazy Jews." More ▸
A Jewish organization in Melbourne could face expulsion from the community's umbrella body for launching a campaign supporting the boycott of products from West Bank settlements. More ▸
Australian Jewry's highest body welcomed the announcements by the Australian and Israeli governments of further inquiries into the death of Ben Zygier, the Australian-Israeli national known as Prisoner X. More ▸
A Jewish lawmaker in Australia was promoted to attorney general, the government's highest law officer. More ▸
Teaching the Holocaust will be mandatory in schools across Australia. More ▸
Also From 70 Faces Media


text:
Optical worker Igor Yashchenko of Greece programs an Optipro Pro 80 grinding station at JML Optical in East Rochester.
- Filed Under
In recent years, JML Optical was having most of its custom lenses and other optical components built in China.
But since new owners took the helm in 2011, JML Optical has participated in a growing trend in manufacturing: bringing production back to the United States, where it's easier to manage customers' increasingly exact tolerances for variation.
Currently, saysGregg A. Sadwick, chief operating officer, about half of JML Optical's manufacturing takes place at the plant in East Rochester. ...


text:
Old Bag
Jenny Diski
- The Unwanted Sound of Everything We Want: A Book about Noise by Garret Keizer
PublicAffairs, 385 pp, £16.99, June 2010, ISBN 978 0 15 864855 2
The penultimate time I asked the young man over the way in my narrow terraced street to close his window when he played his CDs, he replied that the legally permitted decibel level was 85 dB and that he was not above it, would I like to see the read-out on his player and, by the way, I should 'get a life'. I suggested that these particular rabbit-warren streets needed a degree of awareness of others, and he said from his window that he couldn't care less about the local community or the people in it. When I and others in the street complained about his drumming during the day, his mother explained that it was good for him to have a passion and to express it. Recently, while I was sitting in the garden reading, the several children next door and their friends were jumping on the new giant trampoline and screaming beyond my pain threshold, while nursery music played to the smallest child sitting on the grass as her father gardened. He seemed astonished that the seven-foot-high fence between us didn't keep the sound of music out of our garden and, sighing, turned it down a bit. Then I asked if the children could be told not to scream (idiotic, really, what's a trampoline for if not to scream on, but what if the screaming disturbs someone doing something else and even actually hurts?). 'Have you ever had kids?' he snapped. 'It's normal!' And I've been brooding about that normal ever since. Well, to tell the truth, I've been brooding about normal since I first learned to brood, but in this case, I suppose, the notion of the normality, naturalness and righteousness of children screaming comes in some vague way from Freud's theory of repression, and the fear of what lethal form it might return in if they were prevented from disturbing the neighbours.
Over half-term both sides of the road (the teenage drummer and the ear-splitting trampoliners) went away. I paid attention to the make-up of the silence and noted an unusually powerful wind whipping through the trees in the back gardens, a small plane from the local airport humming overhead and what until recently I believed to be the actual sound of silence: a high-pitched, silvery zizzing. I mentioned this to someone to explain how I tell when it's quiet enough, and they said, 'What?', not because they couldn't hear me above the din, but because they didn't know what I was talking about. The sound of silence, I was told to my surprise, is no sound. Apparently, I've had tinnitus all these years.
The tinnitus hasn't bothered me – although lately it has been getting louder – but the sound of other people and their activity in the world bothered me to distraction even before I reached an age when I could simply be regarded as an unreasonable old bag out to spoil everyone's fun and natural development. When I say 'bothered to distraction', I mean precisely a state of helplessness and eventually hopelessness. A sense of being overwhelmed and undermined and prevented from living my life (until my conversation with the boy opposite, I considered I had one). Noise coming in from elsewhere becomes an act of negation; a dismissal of my existence, or at any rate of the conditions I might find necessary for my normal existence. This, I grant, could sound extreme.
But if it is, it turns out I'm not alone and I was greatly relieved to discover that my horrid, unsocial responses to the sounds of other people entering my ears and therefore consciousness are clearly described in Garret Keizer's book about the history and human (also animal) rights issues of noise. It wasn't a complete surprise, as some time ago, feeling both enraged and guilty, I wrote on my blog about my loathing of other people's noise, and got numbers of sympathetic comments, including one from a woman in New York who admitted that she had to have the three doors in her apartment closed between herself and her husband when he was clipping his toenails. There is apparently such a thing as hyperacusis (see www.hyperacusis.org):
Hyperacusis is defined as an inability to tolerate everyday sounds. It is also defined as a collapse of the normal range of hearing that is present in otherwise normally functioning ears. People with hyperacusis may find that certain sounds are more difficult to listen to than others, and some sounds may cause pain in the ears, even when those sounds don't bother others. Often, the most disturbing or painful sounds can be sudden high-pitched noises like alarms, bus brakes, silverware and dishes, children's screams and clapping. Many sounds that were previously perceived as normally loud or non-intrusive can be painful, annoying, seem amplified, or irritating. This is a very frustrating situation for most people as sound and noise are present in nearly every work, social or recreational setting.
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Vol. 32 No. 16 · 19 August 2010 » Jenny Diski » Old Bag
pages 16-17 | 3587 words


text:
December 1, 2015
Stay Connected Anywhere
GREAT BEND, Kan. (AP) -- Great Bend will be without air service at the end of March, after Great Lakes Airlines notified the city this week that it plans to end service a month early.
Airport Manager Martin Miller announced the news Thursday. The Cheyenne, Wyo.-based airline had been scheduled to end its service at the end of April. Great Lakes will continue its flights from Hays to Denver.
The Great Bend Tribune reports (http://bit.ly/Px9DFX ) the city is anticipating that SeaPort Airlines of Portland, Ore., will receive a contract to serve Great Bend under the federal Essential Air Service program, though that choice is not yet official.
SeaPort is expected to provide twice-daily service to Wichita and once-daily service to Kansas City through Salina. The service might not be available by the first of May.
Click Here to access the online Public Inspection File
Viewers with disabilities can get assistance accessing this station's FCC Public Inspection File by contacting the station with the information listed below. Questions or concerns relating to the accessibility of the FCC's online public file system should be directed to the FCC at 888-225-5322, 888-835-5322 (TTY), or firstname.lastname@example.com.


text:
The launch can be viewed all over the mid-Atlantic region and New England.
- Filed Under
The first moon mission launched from Wallops Island is expected to bring an influx of visitors to Virginia's Eastern Shore this week, and local officials have been working for months on plans to accommodate the expected crowds.
NASA's Lunar Atmosphere and Dust Environment Explorer is scheduled to lift off aboard a Minotaur V rocket at 11:27 p.m. Friday, Sept. 6, from the Mid-Atlantic Regional Spaceport at NASA Wallops Flight Facility, with a four-minute launch window that night. The launch window extends through Sept. 10.
"For those of you who have never seen a moon launch before, it's ...


text:
(A) Purpose
The purpose of this rule is to establish the payment process for homemaker/personal care (HPC) when individuals share the services of the same provider at the same site as part of the home and community-based services (HCBS) individual options waiver administered by the Ohio department of developmental disabilities (the department). This rule establishes a daily billing unit for individuals/sites that qualify, which shall be used instead of the fifteen-minute billing unit established in rule 5123:2-9-06 of the Administrative Code. All other requirements of rule 5123:2-9-06 of the Administrative Code apply to the HPC daily billing unit.
(B) Definitions
(1) "Cost projection tool" means the web-based analytical tool, developed and administered by the department, used to project the cost of HCBS waiver services identified in the individual service plans (ISPs) of individuals enrolled on individual options and level one HCBS waivers. The department shall publish any changes to the cost projection tool thirty days prior to implementation.
(2) "Daily billing unit" means the amount of a provider's payment that is apportioned to each individual who lives at the site and shares HPC services with others. The daily billing unit is determined via the daily rate application in accordance with planning information entered by the county board of developmental disabilities (county board) and actual service information entered by the provider of HPC services.
(3) "Daily rate application" means the web-based analytical tool, developed and administered by the department, used by county boards to apportion the cost of HPC services identified in the ISPs of individuals who share the services of the same provider at the same site as part of the HCBS individual options waiver.
(4) "Direct service hours" means the direct staff time spent delivering HPC services. A direct service hour is comprised of four fifteen-minute billing units.
(5) "Fifteen-minute billing unit" means a billing unit that equals fifteen minutes of service delivery time or is greater or equal to eight minutes and less than or equal to twenty-two minutes of service delivery time.
(6) "Service documentation" means all records and information on one or more documents, including documents that may be created or maintained in electronic software programs, kept in a manner as to fully disclose the nature and extent of services delivered that shall include the items delineated in paragraphs (F)(2)(a) to (F)(2)(h) of this rule to validate payment for medicaid services.
(7) "Site span" means a period of time where there are no changes to the estimated total costs or estimated total direct service hours for a site where individuals share HPC services of a provider. An individual may have one or more site spans during one waiver span.
(C) Circumstances excluded from the daily billing unit approach
(1) Individuals who receive HPC services and supports in adult foster care settings shall do so in accordance with rule 5123:2-13-06 of the Administrative Code. A daily billing unit for HPC shall not be billed on the same day as adult foster care.
(2) Individuals who do not share the HPC services of the same provider at the same site shall remain on the fifteen-minute billing unit approach established in rule 5123:2-9-06 of the Administrative Code.
(3) Individuals who share occasional or time-limited services of a provider in addition to their primary residential provider shall remain on the fifteen-minute billing unit approach established in rule 5123:2-9-06 of the Administrative Code for the occasional or time-limited HPC services of their non-residential provider. Examples include but are not limited to:
(a) Individuals who live together and share HPC services of a provider and who use a second HPC provider for recreational activities; and
(b) Individuals who live in different homes who travel with a provider who is not their residential provider to a recreational event such as bowling, respite, or camp on a monthly or weekly basis.
(4) Individuals who live alone and share services with a neighbor or other eligible person.
(D) Calculation of the individual daily billing unit
(1) The process for assigning a funding range, determining an individual funding level, establishing behavior support and/or medical assistance HPC rate modifications, and projecting the cost of an individual's services, set forth in rule 5123:2-9-06 of the Administrative Code, shall be followed.
(2) For situations where there is at least one staff person serving more than one individual during sleep hours and of those individuals, at least one individual's ISP calls for routine HPC during the sleep hours, while at the same time at least one other individual has a need for on-site/on-call (OSOC), the provider shall be paid at the routine HPC rate as set forth in rule 5123:2-9-06 of the Administrative Code, which shall be determined by the number of awake staff and the number of individuals who are receiving routine HPC. The cost of that rate shall be apportioned so that the individuals receiving OSOC shall be charged the OSOC rate as set forth in rule 5123:2-9-06 of the Administrative Code and the individuals receiving routine HPC shall be charged an equal share of the remainder of the cost. The following examples are provided to illustrate how the rates are determined and how the cost of those rates is apportioned. The examples utilize rates in rule 5123:2-9-06 of the Administrative Code for cost-of-doing-business category one.
(a) Example 1. Four individuals live together and have one staff person during sleep hours. One individual receives routine HPC and the other three individuals receive OSOC.
(b) Example 2. Five individuals live together and have one staff person during sleep hours. Two individuals receive routine HPC and the other three individuals receive OSOC.
(3) Using the cost projection tool, the service and support administrator or other county board designee, with input from members of the individual's team, shall project the service utilization for the individuals who share services based on factors including but not limited to: a typical usage pattern and identified waiver span; adjustments based on past history, holidays, day service site closings, and weekends; and other anticipated changes to direct service hours. The result shall include total planned HPC costs based on ISPs for the site and a total projected number of service hours for the site. These projections include any individual's prior authorization requests that have been approved pursuant to rule 5101:3-41-12 of the Administrative Code.
(4) The daily rate application shall include:
(a) Total planned HPC costs for the site based on ISPs for individuals who are sharing HPC services of the same provider at the site;
(b) Total estimated HPC hours for the site to be provided; and (c) Each individual's authorized funding for HPC services.
(5) After HPC services are provided at the site, the provider shall enter into the daily rate application, the number of direct service hours rendered for all individuals for a specific seven-day time span, or up to a fourteen-day time span if the daily billing unit is expected to exceed the maximum medicaid payment rate for the seven-day time span, and the specific dates that each individual received HPC services at the site. Using the results from the cost projection tool, the daily rate application determines the provider's direct service hourly rate for that site. The daily rate application then calculates the maximum HPC payment to the provider for that period. The daily rate application then determines how the total payment to that provider for that period shall be apportioned to each individual's authorized budget, resulting in a daily billing unit for each individual for each day that services were provided. The provider then uses that information to prepare a claim for payment.
(6) When changes occur at the site that affect the total estimated direct service hours, total planned HPC costs based on ISPs, or an individual's predicted ongoing participation at the site, the county board shall enter changes into the cost projection tool for a new, prospective site span. These changes shall be made with any necessary changes to the ISP and the cost projection and payment authorization for the individual(s) living at the site who will be affected by these changes.
(a) If, during a site span, there is a change of service needs for an individual that may impact the total estimated direct service hours, total planned HPC costs based on ISPs, or an individual's predicted ongoing participation at the site, the provider shall notify the county board. The provider and the county board shall work together to identify potential solutions.
(b) If the individual/guardian, county board, or provider wishes to convene a meeting to discuss a change of service needs for an individual during a site span, that meeting shall occur within ten working days of the day the request was made. Discussion shall occur in accordance with paragraph (C)(6) of rule 5123:2-9-06 of the Administrative Code.
(E) The director of the department reserves the right to allow a provider of HPC services to continue to use the fifteen-minute billing unit in the event of a unique and/or extenuating circumstance. This right shall be exercised in consultation with the Ohio department of job and family services (ODJFS) as the single state medicaid agency.
(F) Service documentation requirements
(1) The requirements of paragraph (B) of rule 5123:2-9-05 of the Administrative Code do not apply to service documentation for HPC when individuals share the services of the same provider at the same site.
(2) The service documentation for HPC when individuals share the services of the same provider at the same site shall include each of the following to validate payment for medicaid services:
(a) Date of service.
(b) Place of service.
(c) Name of individual(s) receiving services each day.
(d) Description and details of the services delivered that directly relate to the services specified on the individual's approved ISP as the services to be provided.
(e) Medicaid identification number of the individual(s) receiving services.
(f) Name of provider.
(g) Provider identifier/contract number.
(h) Signature of the person delivering the service, or initials of the person delivering the service if a signature and corresponding initials are on file with the provider, or an electronic process approved by the department.
(G) Payment standards
(1) The billing process and payment for HPC services when individuals share the services of the same provider at the same site shall be at the daily billing unit for each individual based on that individual's apportioned share of the services rendered at the site and the number of days each person receives services pursuant to the daily rate application. The service codes for the HPC daily billing unit are contained in the appendix to this rule.
(2) Providers shall be paid at the lower of the provider's usual and customary rate or the statewide HPC rates established in appendix A to rule 5123:2-9-06 of the Administrative Code.
(3) Agency providers of HPC may bill for each day the individual receives HPC through the agency.
(4) Independent providers of HPC may bill for each day the HPC service is delivered by the provider.
(5) Payment for HPC does not include room and board, items of comfort or convenience, or costs for the maintenance, upkeep, and improvement of the home.
(6) ODJFS retains the final authority to establish payment rates for all waiver services included in HCBS waivers administered by the department.
(H) Monitoring
(1) Providers, county boards, and the department shall have access to both utilization reports and reports generated by the daily rate application in order to monitor estimated services and actual services provided at each specific site. This information shall be made available to ODJFS upon request.
(2) The department shall monitor the ongoing progress of the daily billing unit approach through a series of fiscal control and quality assurance procedures including: validation of total expenditures and total hours that are entered by the county board into the cost projection tool; verification that daily billing units are supported by appropriate documentation; and verification that provider service hours rendered are reported appropriately. Each type of procedural monitoring shall take place in each region of the state and shall be summarized in a report to ODJFS every six months.
(3) ODJFS reserves the right to perform independent oversight reviews as part of its general oversight functions, in addition to the department's monitoring activities described in paragraph (H)(2) of this rule.
(I) Due process rights and responsibilities
(1) Any recipient or applicant for waiver services administered by the department may utilize the process set forth in section 5101.35 of the Revised Code, in accordance with division 5101:6 of the Administrative Code, for any purpose authorized by that statute and the rules implementing the statute. The process set forth in section 5101.35 of the Revised Code is available only to applicants, recipients, and their lawfully appointed authorized representatives. Providers shall have no standing in an appeal under this section.
(2) Applicants for and recipients of waiver services administered by the department shall use the process set forth in section 5101.35 of the Revised Code for any challenge related to the administration and/or scoring of the ODDP or to the type, amount/level, scope, or duration of services included on or excluded from an ISP or individual behavior plan addendum. A change in staff to waiver recipient service ratios does not automatically result in a change in the level of services received by an individual.
Replaces: 5123:2-13-07
R.C. 119.032 review dates: 07/01/2015
Promulgated Under: 119.03
Statutory Authority: 5123.04, 5111.871, 5111.873
Rule Amplifies: 5123.04, 5111.871, 5111.873
Prior Effective Dates: 12/21/2007 (Emer.), 03/20/2008