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|By Cloud Best Practices Network
Article Rating:
|February 1, 2011 01:23 PM EST
Our sales consulting services help organizations adopt business transformation maturity programs to improve their selling effectiveness. This includes adopting it internally and also incorporating it into client solution programs.
Level 5 Solution Selling integrates i) Solution Selling, the sales best practice developed by Mike Bosworth, which improves the skills of individual salespeople, and ii) a maturity model to transform the overall organization to become more solution sales oriented.
Solution selling
When we began our engagement at PSINet the sales team operation was mainly 'transactional' - A telesales approach focused on shifting high volumes of low revenue level deals, averaging around $10k per annum.
Our remit was to expand the organization into the enterprise sector, which we achieved through establishing a Solution Selling major accounts team. As Mike Bosworth says at the beginning of the book "Solution Selling is about making the way you sell as big an advantage as your product or service", and this team pioneered this approach to penetrate the Fortune1000 blue-chips.
Solution Selling provides a framework for junior 'journeymen' salespeople to evolve from product-centric, feature/benefit selling into the consultative approach required for managing high value, complex outsourcing deals. Our team began bringing in the first $100k+ per annum deals which then grew consistently from there to ultimately become $1m+ Internet outsourcing deals.
Furthermore I expanded the principles of Solution Selling to be 'Strategic Selling', adding another dimension of business benefits that considered the overall goals of the organization, where :
- We pioneered the development of new products and solutions. We created the first complex web hosting services for the European market.
- Channel partners - Our channel program established relations across the IT industry, with major partners like IBM and Microsoft, as well as a raft of IT resellers.
- Vertical industry specialism - Solutions were tailored for key sectors like media and finance.
- PR - When first arriving from the USA no one had heard of the organization, and so our key blue-chip wins were publicized to establish the brand.
The results of this program was hugely successful, establishing PSINet as the dominant market leader in the new and exploding enterprise web hosting market, ultimately fostering the growth of the London data-centre market.
Level 5 Transform Selling
In particular a key success of the campaign was that it 'lead the charge', in terms of developing new solutions in response to market needs, demonstrating the principle of what Bosorth calls expanding into your 'conceptual territory', ie. breaking new markets as well as servicing existing demand.
Critically this set a precedent for what was possible, and having blazed these trails other salespeople were quick to follow. They also began to seek out and ultimately win these types of larger deals too, later joining the major accounts team.
This established a career path, an organizational structure that catered for staff being assigned to junior, senior and strategic levels of selling, and progressing through them via training and mentorship.
Building this type repeatable structure is the main reason for using best practice maturity models. In the case of Sales there is the BD-CMM, which provides the 1-5 maturity levels for improving this overall Solution Selling capability of the organization.
Furthermore vendors can improve their sales effectiveness by utilizing business transformation models as a value justification framework for Solution Selling their products.
For example this can be used for Unified Communications tools. This case study we developed at BT, Transforming Team Communications, illustrates this eloquently. This documents how the 'bleep process', one of the most inefficient communications processes within the acute clinical environment, was transformed through a UC deployment.
The paper documents the transformation business case, how the UC installation was justified through a clear business case that identifies the process improvements that deliver the cost savings that pay for it. This business case approach is the backbone of Solution Selling, which is contrast to a product-centric feature/benefit selling and provides a repeatable methodology for building these engaging proposals.
Next - Solution Selling Enterprise Cloud Computing
Following on we'll be defining a program that repeats the approach we utilized at PSINet to build the first enterprise web hosting market, to do the same for this era of Cloud computing.
As you respond to increasing requests for new analytics, you need fast and flexible technology in your arsenal so that you can deploy the right workload to the right platform for the need at hand. Do you need self-service and fast time to value? Do you have data and application control and privacy needs, along with strict SLAs to meet? IBM dashDB™ is data warehouse technology powered by in-memory computing and in-database analytics that are designed for fast results, scalability and more.
Apr. 28, 2016 03:30 PM EDT Reads: 1,469
Machine Learning helps make complex systems more efficient. By applying advanced Machine Learning techniques such as Cognitive Fingerprinting, wind project operators can utilize these tools to learn from collected data, detect regular patterns, and optimize their own operations. In his session at 18th Cloud Expo, Stuart Gillen, Director of Business Development at SparkCognition, will discuss how research has demonstrated the value of Machine Learning in delivering next generation analytics to im...
Apr. 28, 2016 02:30 PM EDT Reads: 1,508
Peak 10, Inc., has announced the implementation of IT service management, a business process alignment initiative based on the widely adopted Information Technology Infrastructure Library (ITIL) framework. The implementation of IT service management enhances Peak 10's current service-minded approach to IT delivery by propelling the company to deliver higher levels of personalized and prompt service. The majority of Peak 10's operations employees have been trained and certified in the ITIL frame...
Apr. 28, 2016 02:15 PM EDT Reads: 722
The paradigm has shifted. A Gartner survey shows that 43% of organizations are using or plan to implement the Internet of Things in 2016. However, not just a handful of companies are still using the old-style ad-hoc trial-and-error ways, unaware of the critical barriers, paint points, traps, and hidden roadblocks. How can you become a winner? In his session at @ThingsExpo, Tony Shan will present a methodical approach to guide the holistic adoption and enablement of IoT implementations. This ov...
Apr. 28, 2016 01:00 PM EDT Reads: 1,454
SYS-CON Events announced today that Stratoscale, the software company developing the next generation data center operating system, will exhibit at SYS-CON's 18th International Cloud Expo®, which will take place on June 7-9, 2016, at the Javits Center in New York City, NY. Stratoscale is revolutionizing the data center with a zero-to-cloud-in-minutes solution. With Stratoscale's hardware-agnostic, Software Defined Data Center (SDDC) solution to store everything, run anything and scale everywhere...
Apr. 28, 2016 12:45 PM EDT Reads: 1,379
Angular 2 is a complete re-write of the popular framework AngularJS. Programming in Angular 2 is greatly simplified – now it's a component-based well-performing framework. This immersive one-day workshop at 18th Cloud Expo, led by Yakov Fain, a Java Champion and a co-founder of the IT consultancy Farata Systems and the product company SuranceBay, will provide you with everything you wanted to know about Angular 2.
Apr. 28, 2016 12:15 PM EDT Reads: 1,532
Redis is not only the fastest database, but it has become the most popular among the new wave of applications running in containers. Redis speeds up just about every data interaction between your users or operational systems. In his session at 18th Cloud Expo, Dave Nielsen, Developer Relations at Redis Labs, will shares the functions and data structures used to solve everyday use cases that are driving Redis' popularity.
Apr. 28, 2016 12:00 PM EDT Reads: 940
SYS-CON Events announced today that Men & Mice, the leading global provider of DNS, DHCP and IP address management overlay solutions, will exhibit at SYS-CON's 18th International Cloud Expo®, which will take place on June 7-9, 2016, at the Javits Center in New York City, NY. The Men & Mice Suite overlay solution is already known for its powerful application in heterogeneous operating environments, enabling enterprises to scale without fuss. Building on a solid range of diverse platform support,...
Apr. 28, 2016 11:30 AM EDT Reads: 2,104
Up until last year, enterprises that were looking into cloud services usually undertook a long-term pilot with one of the large cloud providers, running test and dev workloads in the cloud. With cloud's transition to mainstream adoption in 2015, and with enterprises migrating more and more workloads into the cloud and in between public and private environments, the single-provider approach must be revisited. In his session at 18th Cloud Expo, Yoav Mor, multi-cloud solution evangelist at Cloudy...
Apr. 28, 2016 11:30 AM EDT Reads: 1,309
SYS-CON Events announced today that SoftLayer, an IBM Company, has been named "Gold Sponsor" of SYS-CON's 18th Cloud Expo, which will take place on June 7-9, 2016, at the Javits Center in New York, New York. SoftLayer, an IBM Company, provides cloud infrastructure as a service from a growing number of data centers and network points of presence around the world. SoftLayer's customers range from Web startups to global enterprises.
Apr. 28, 2016 11:00 AM EDT Reads: 705
You deployed your app with the Bluemix PaaS and it's gaining some serious traction, so it's time to make some tweaks. Did you design your application in a way that it can scale in the cloud? Were you even thinking about the cloud when you built the app? If not, chances are your app is going to break. Check out this webcast to learn various techniques for designing applications that will scale successfully in Bluemix, for the confidence you need to take your apps to the next level and beyond.
Apr. 28, 2016 11:00 AM EDT Reads: 1,350
See storage differently! Storage performance problems have only gotten worse and harder to solve as applications have become largely virtualized and moved to a cloud-based infrastructure. Storage performance in a virtualized environment is not just about IOPS, it is about how well that potential performance is guaranteed to individual VMs for these apps as the number of VMs keep going up real time. In his session at 18th Cloud Expo, Dhiraj Sehgal, in product and marketing at Tintri, will discu...
Apr. 28, 2016 11:00 AM EDT Reads: 503
Whether your IoT service is connecting cars, homes, appliances, wearable, cameras or other devices, one question hangs in the balance – how do you actually make money from this service? The ability to turn your IoT service into profit requires the ability to create a monetization strategy that is flexible, scalable and working for you in real-time. It must be a transparent, smoothly implemented strategy that all stakeholders – from customers to the board – will be able to understand and comprehe...
Apr. 28, 2016 10:15 AM EDT Reads: 879
SYS-CON Events announced today that Ericsson has been named "Gold Sponsor" of SYS-CON's @ThingsExpo, which will take place on June 7-9, 2016, at the Javits Center in New York, New York. Ericsson is a world leader in the rapidly changing environment of communications technology – providing equipment, software and services to enable transformation through mobility. Some 40 percent of global mobile traffic runs through networks we have supplied. More than 1 billion subscribers around the world re...
Apr. 28, 2016 10:00 AM EDT Reads: 616
So, you bought into the current machine learning craze and went on to collect millions/billions of records from this promising new data source. Now, what do you do with them? Too often, the abundance of data quickly turns into an abundance of problems. How do you extract that "magic essence" from your data without falling into the common pitfalls? In her session at @ThingsExpo, Natalia Ponomareva, Software Engineer at Google, will provide tips on how to be successful in large scale machine lear...
Apr. 28, 2016 10:00 AM EDT Reads: 673
SYS-CON Events announced today that Peak 10, Inc., a national IT infrastructure and cloud services provider, will exhibit at SYS-CON's 18th International Cloud Expo®, which will take place on June 7-9, 2016, at the Javits Center in New York City, NY. Peak 10 provides reliable, tailored data center and network services, cloud and managed services. Its solutions are designed to scale and adapt to customers' changing business needs, enabling them to lower costs, improve performance and focus inter...
Apr. 28, 2016 09:45 AM EDT Reads: 742
SYS-CON Events announced today that Fusion, a leading provider of cloud services, will exhibit at SYS-CON's 18th International Cloud Expo®, which will take place on June 7-9, 2016, at the Javits Center in New York City, NY. Fusion, a leading provider of integrated cloud solutions to small, medium and large businesses, is the industry's single source for the cloud. Fusion's advanced, proprietary cloud service platform enables the integration of leading edge solutions in the cloud, including cloud...
Apr. 28, 2016 09:30 AM EDT Reads: 2,452
There is an ever-growing explosion of new devices that are connected to the Internet using "cloud" solutions. This rapid growth is creating a massive new demand for efficient access to data. And it's not just about connecting to that data anymore. This new demand is bringing new issues and challenges and it is important for companies to scale for the coming growth. And with that scaling comes the need for greater security, gathering and data analysis, storage, connectivity and, of course, the...
Apr. 28, 2016 09:00 AM EDT Reads: 461
In his session at 18th Cloud Expo, Sagi Brody, Chief Technology Officer at Webair Internet Development Inc., will focus on real world deployments of DDoS mitigation strategies in every layer of the network. He will give an overview of methods to prevent these attacks and best practices on how to provide protection in complex cloud platforms. He will also outline what we have found in our experience managing and running thousands of Linux and Unix managed service platforms and what specifically c...
Apr. 28, 2016 09:00 AM EDT Reads: 995
Increasing IoT connectivity is forcing enterprises to find elegant solutions to organize and visualize all incoming data from these connected devices with re-configurable dashboard widgets to effectively allow rapid decision-making for everything from immediate actions in tactical situations to strategic analysis and reporting. In his session at 18th Cloud Expo, Shikhir Singh, Senior Developer Relations Manager at Sencha, will discuss how to create HTML5 dashboards that interact with IoT devic...
Apr. 28, 2016 08:15 AM EDT Reads: 689


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The great gap year: Leonardo DiCaprio is surrounded by women as he hangs out poolside during hiatus from acting
Leonardo DiCaprio has starred in some of the biggest and most critically acclaimed movies of the past few years.
However, the heartthrob actor has decided to take a break from films and it looks like he is already reaping the benefits of his hiatus.
The 38-year-old was the centre of attention as he relaxed besides a swimming pool with his friends in Miami, Florida, on Tuesday.
Scroll down for video
Some time to kill: Leonardo DiCaprio was seen relaxing by a swimming pool in Miami as he begins his hiatus from acting
Top cat: Leonardo DiCaprio was seen relaxing with some friends in Miami, Florida on Tuesday afternoon
Leo has been working on three films in the last two years which have left him feeling drained and very tired.
While Django Unchained is an Oscar contender, the upcoming Great Gatsby and The Wolf Of Wall Street will also give his fans a chance to see him on screen for a little longer.
Speaking to German newspaper Bild, DiCaprio said: 'I am a bit drained, I've done three films in two years and I'm just worn out.'
Clean living: Leo is going to be concentrating on saving planet earth during his time off
Cooling off period: Leo kicked off his hiatus by chilling in the sunshine with some friends
Lounging around a swimming pool is exactly the kind of behaviour Leo wants to be doing during his break from films.
He mentioned that he would chill out with mates and 'talk about absolutely nothing of importance and act like a complete idiot.'
Living a life of leisure is not the only thing he will be doing as he intends to help the world through his environmental charities and organisations.
Blonde ambition: Leo was getting plenty of attention from his female friends but he didn't look that interested
Lights, camera, action: Leo's acting career may cooling off after his busy year, but his love life certainly seems to be heating up
He told Bild: 'I would like to improve the world a bit. I will fly around the world doing good for the environment.'
Whilst in Miami, DiCaprio made sure his skin stayed tan free by wearing a straw pork pie hat and sunglasses as he stayed under the shade of an umbrella.
The Inception actor looked super casual in his grey polo shirt and faded shorts as he played around on his mobile phone.
Big boy: The actor gesticulated and spoke for a while to his friends
Health conscious: DiCaprio made sure his skin stayed tan free by wearing a straw pork pie hat and sunglasses
The Miami vacation was reported to be Leo and mother Irmelin's annual mother/son bonding trip, but there was no sign of her at the poolside that afternoon.
Leo's acting career may cooling off, but his love life certainly seems to be heating up.
He has found romance again - this time with gorgeous Australian actress Margot Robbie.
The young blonde beauty and Titanic actor are currently filming The Wolf Of Wall Street together, and first met on the set.
True professional: The Inception actor looked super casual in his grey polo shirt and faded shorts as he played around on his mobile phone
Pool lounging: The animated actor was the life and soul of the party as he chilled out
Family ties: The Miami vacation was reported to be Leo and mother Irmelin's annual mother/son bonding trip
A source told the New York Post that Leo had 'stayed overnight' at 22-year-old Margot's New York City apartment last week.
She plays Nadine Belfort, his character Jordan's love interest.
And the development in their relationship isn't unexpected - the pair were first seen looking very happy in each others company last month, when Margot joined Leo to celebrate his 38th birthday.
DiCaprio and Robbie have been spending an increasing amount of time together lately - they were also spotted at a party together in Las Vegas in the weeks before his own birthday celebration.
Leo's party came shortly after his split with previous girlfriend, Victoria's Secret model Erin Heatherton, 23. The couple parted ways in October after a ten-month relationship amid rumours that Leo wasn't ready to settle down.
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subset: commoncrawl


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The King Arthur's Oasis attraction, always considered to be the best kind attraction at Disneyland
If there's nothing else going on, you can find King Arthur and Bullseye here thinking about their job prospects. But it's mostly a waste of time.
Don't click Zombie Mode
© copyright 2011–2016
A Pants Aflame production


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It was probably the best thing the San Jose Sharks could have hoped for. They didn't play anywhere near their best. Yet, they won anyway.
The Sharks became the only team to take a 2-0 series lead in the second round when they edged the Nashville Predators 3-2 on Sunday night. They were outshot 39-25 by the desperate visitors, but managed to hang in before captain Joe Pavelski netted a crucial go-ahead goal at 17:20 of the third period.


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Is anyone going thru the same thing or for those of you that have gone thru this how did you get thru it?
Feeling a bit lonely (husband deployed) :(
Is anyone going thru the same thing or for those of you that have gone thru this how did you get thru it?
Aw, I'm not going through that but I'm sorry you are! Does that mean he'll have to miss your labor and birth?
Matthew Thomas...Sept 19th 2009
Jacob Maxwell... Feb 11th, 2011
Blessing #4 due June '16 - TEAM GREEN!
Blessing #4 due June '16 - TEAM GREEN!
Sending hugs your way!!!
I am going trough the same problem, my DF is in Afghanistan and last time I saw him was October. We spoke every day couple times a day and I know exactly how you feel and how hard it is. I try not to think a lot about him being far because it even stress me out more. Just try to speak a lot, make him feel that even he is far he is still involve in everything you do. I hope my DF will make it to the borth time. It will get better for you after you will have your baby.
please know that you are not alone. my dh has been gone since august. we live overseas, so it's a little more isolating. having a good network of friends makes an amazing difference! my dh will be gone 16 mths out of the last 24 (sigh)! it will be okay, you can do this!
Judi mommy to Eddie 08/14/02, Christian 12/24/04,
Lydia 06/06/08
Learn more
Look how far your child has come.
Review your child's growth milestones.
Read about 4 years 1 month : Week 3.
Your growing child
Your 4-year-old: Love of rules
Your 4-year-old: Sorting it out
Your 4-year-old: Sleep struggles
Your 4-year-old: Ready to read?
Your 4 1/4-year-old: Physical milestones
Learn more
What's next for your growing child?
Get a glimpse of what's to come.
Read about 4 years 3 months : Week 1.


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Reception at the Plainsboro Library
Fantastic art along with a wonderful group of artist and their guests.
0 · May 19, 2013
Good atmosphere, even amount of artist and guest. good food! great music!
0 · May 19, 2013
Hope to catch the next event.
0 · May 17, 2013
We got a great write-up in US1.
2 · May 15, 2013
What is the date the exhibit will be taken down?
Are there any other exhibits scheduled in June, July or August?
0 · April 9, 2013
Unfortunately I can not attend, but I would still like to exhibit if that is possible.
0 · April 7, 2013
I am excited for the first show with Creative Collective.
Waiting for more details.
0 · March 11, 2013
I will be exhibiting and attending. I wanted to update that.
0 · March 11, 2013
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Files » Skyrim » Modders resources and tutorials
0 5Thunder Daggeranother 3d dagger made with cinema 4dReleased: 28/04/2016 - 09:30PMUpdated: 29/04/2016 - 11:12AM
by mansoorx
17 129Winterbrook Furnishings6 Sets of unique furniture and other household items.Released: 28/04/2016 - 12:30AMUpdated: 30/04/2016 - 12:16AM
by Tarshana
1 6Mansoor Sword3d sword done by me :DReleased: 26/04/2016 - 05:06PMUpdated: 27/04/2016 - 04:38AM
by mansoorx
129 3,996real grassComplete Paralax fiedgrass01,02, Pineforest 01,02,03Released: 26/04/2016 - 04:19PMUpdated: 29/04/2016 - 06:33PM
by renthal311
4 31Aragorn and Isildur Armor Resource meshMeshes to Aragorn and Isildurs ArmorReleased: 24/04/2016 - 03:53PMUpdated: 27/04/2016 - 09:46PM
by Argeleb
6 59Modder's Resource - Whiterun Style FarmAdjustments to generic architecture in Whiterun style, not a replacer.Released: 24/04/2016 - 09:59AMUpdated: 27/04/2016 - 10:42AM
by TASJ
1 8Fomod menu for Awesome ApiariesAn simple fomod menu for install the helpfull mod: "Awesome Apiaries - Retextured Beehive Apiary".Released: 21/04/2016 - 07:22AMUpdated: 21/04/2016 - 07:22AM
by TOVOTVortice
2 16Fomod menu for FIX Combat MusicAn simple fomod menu for install the helpfull mod: "FIX Combat Music".Released: 20/04/2016 - 09:03AMUpdated: 20/04/2016 - 09:11AM
by TOVOTVortice
2 35Poland stringsIt is a Polish package of files Strings for translators.Released: 20/04/2016 - 08:28AMUpdated: 20/04/2016 - 08:28AM
by Demedina
10 72Steveowashere's Fence EmporiumGet yer fence's here! We've got all your fence needs covered. Take a look, you're bound to find something you'll like.Released: 17/04/2016 - 12:39PMUpdated: 17/04/2016 - 05:23PM
by steveowashere17
6 82OuroraxOurorax is a new land mod that has a very similar size to that of Solstheim. Perfect for anyone who wants to try their hand at modding, or just expand on what is already included in this file. Free Modders Resource.Released: 14/04/2016 - 02:16AMUpdated: 18/04/2016 - 06:35AM
by dronewiz
0 13.EGM FaceGen - Helmet Skeletal Head Fitting TutorialWant to make FaceGen morphs for Fallout 3 & New Vegas? Or do you want your abnormal race mod to be compatible with any and all helmets without clipping issues? Well we can learn here!Released: 09/04/2016 - 01:42PMUpdated: 09/04/2016 - 01:44PM
by lazyradly
22 198Skyrim Creation Kit with DLCThis is a modified version of the SkyrimEditor.ini file that will allow you to load the DLC's in the Skyrim Creation KitReleased: 07/04/2016 - 03:37PMUpdated: 07/04/2016 - 03:37PM
by Vaffelmannpingvinen
9 139OUTLAWSWIP! The outlaws - ingame a forgotten and subdued faction - is about to organize themselves in and around the forts in Skyrim. Unnoticed by the local governments they have grown in numbers and are selfsupported in contrast to the inhabitants in the cities. As their income has grown by selling their own produce the stealing has become a less proReleased: 06/04/2016 - 04:56PMUpdated: 30/04/2016 - 08:24AM
by fredlaus
17 147Greenhouse TilesetUnfinished tilesetReleased: 05/04/2016 - 11:37AMUpdated: 06/04/2016 - 09:19AM
by kelretu
2 30LoungerStatic Lounger. (No furniture)Released: 03/04/2016 - 07:52PMUpdated: 05/04/2016 - 01:38AM
by kelretu
30 806Dark Souls Rings ResourceA fanmade resource of all or soon to be all of the rings in the game.Released: 02/04/2016 - 12:45AMUpdated: 03/04/2016 - 06:44AM
by Xerperious
12 194.TRI Facial Animation FaceGen Creation TutorialInterested in adding animated faces to your static race heads? WELL, TODAY WE SHALL LEARN HOW TO DO SO.Released: 28/03/2016 - 01:16PMUpdated: 30/04/2016 - 07:37AM
by lazyradly
6 38Height Staff10 metre height staff to measure in game objects.Released: 21/03/2016 - 06:22PMUpdated: 21/03/2016 - 11:06PM
by elechos
41 766SxS CBBEv3 Curvy - Swimsuit design resource45 base swimsuit designs for CBBEv3 Curvy (weight 0 only, as is, a modders resource).Released: 11/03/2016 - 10:35AMUpdated: 11/03/2016 - 10:35AM
by bananbro
3 34Small Simple Farm Building (no interior)Small Simple Farm Building. Don't expect much, this is my first custom mesh.Released: 05/03/2016 - 09:36PMUpdated: 05/03/2016 - 11:28PM
by EdjeNoh
60 448Whiterun Interior Expansion SetNew architecture meshes to add more building options to the default Whiterun Interior Tileset.Released: 29/02/2016 - 12:20AMUpdated: 29/02/2016 - 12:29AM
by SpinaDeMul
12 99Hallgarth's Resource DumpI have a few meshes laying around here and there. I've decided to finish them off and in some cases complete sets. Some of them were originally intended for my own mods, but they never got done due to various reasons. First set is a Snow Elf Set.Released: 27/02/2016 - 04:07PMUpdated: 27/02/2016 - 11:38PM
by Hallgarth
23 175Basher Axebrutal double-headed axe with many nasty edges and spikes.Released: 24/02/2016 - 09:10PMUpdated: 24/02/2016 - 09:10PM
by uedftus
17 168Halfling ClothesHalfling NPC clothing I made for "the shire" Project.Released: 24/02/2016 - 05:16PMUpdated: 14/03/2016 - 07:16AM
by kelretu
8 39Damage ThresholdAdds Fallout New Vegas-style Damage Threshold. A resource for modders to use.Released: 22/02/2016 - 11:33PMUpdated: 22/02/2016 - 11:33PM
by TheTalkieToaster
14 170Cam Cut-SceneFully optional framework that allows other mods to direct the camera for cinematic cut-scenesReleased: 15/02/2016 - 05:26PMUpdated: 15/02/2016 - 05:26PM
by DosMike
57 466A Beginner's Guide To Modding SkyrimOverwhelmed by the vast world of Skyrim modding, but want to get in on it anyway? Then this is the guide for you! A comprehensive tutorial covering the very basics of downloading and installing mods and tools and getting them to play nice with each other.Released: 08/02/2016 - 09:09PMUpdated: 08/02/2016 - 09:11PM
by SlavkaOfTheCouslands
13 133Centaur (both human and horse halves functioning)While this has functioning centaurs in it, it also has many modder resources because there were several ways I attempted to make the centaurs. The way I finally got to work is only an npc/follower/enemy type. But if someone with much more skill than me thinks they can take my failed versions and run with it, I'm more than happy for them to trReleased: 06/02/2016 - 01:13AMUpdated: 12/02/2016 - 02:10PM
by jboyd4
1 11Mod resource - spotted hyenaa .obj model of a spotted hyena. use for whatever. roughly 25k triangles.Released: 05/02/2016 - 12:29AMUpdated: 05/02/2016 - 12:49AM
by puerluna


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Palliative Care News
UAB News - UAB News - Search results for: Palliative Care
Palliative care makes every moment count
Palliative care helps patients get the most out of life, whether they're newly diagnosed, a survivor, or nearing the end of their journey. UAB's palliative care pioneers provide a fresh look at the fast-growing specialty and its emphasis on listening, choices, patient goals, and quality of life.
What do you want out of life?
For someone facing a serious, chronic illness, the answers to that question take on a sharp focus. A patient with heart disease might want enough energy to walk around the neighborhood. A cancer survivor may want to feel like herself again after rounds of chemotherapy. Others might have a goal of seeing their children get married—or perhaps to get married themselves.
Helping patients get the most out of life is the aim of palliative care—which could surprise some people who associate the specialty with hospice, or care delivered in the final days and hours. Palliative care services do indeed benefit people nearing the end of their journey, but the field has become much broader over time. Many patients with a life-threatening disease now start receiving palliative care early—sometimes soon after diagnosis—to support them throughout their fight. In fact, palliative care now ranks among the fastest growing medical specialties—67 percent of U.S. hospitals with 50 or more beds offer it, according to a 2015 report from the Center to Advance Palliative Care (CAPC)—in part because patients, families, and physicians like its emphasis on personalized treatment goals and quality of life.
Care + comfort
Perhaps the best way to understand the value of palliative care is to recall a time—not long ago—when such care was scarce. Marie Bakitas, D.N.Sc., remembers it well. Earlier in her career, before becoming the Marie L. O'Koren Endowed Chair and professor in the UAB School of Nursing and associate director of the UAB Center for Palliative and Supportive Care (CPSC), Bakitas wondered about the "invisible" patients—the ones who weren't responding to pioneering cancer treatments. They didn't have a lot of resources or support, she noted.
Likewise, J. Nicholas Dionne-Odom, Ph.D., a School of Nursing postdoctoral fellow who worked as an intensive-care unit nurse for 10 years, saw patients and families navigating a traumatic "alien environment" of life-sustaining machines and uncomfortable procedures. "They often were dumbstruck," he explains. "It was not how they imagined the end of their lives."
The "extra layer of support" that palliative care provides can make all the difference, both physically and emotionally, Bakitas says. Teams of specialists focus on the patient's comfort, managing symptoms such as pain, breathing issues, nausea, vomiting, and sleeping problems, to name a few examples, along with depression, anxiety, and spiritual issues. They also help patients and families make health-care decisions and plan for the future.
What these teams don't do is replace a patient's primary- or specialty-care physicians. Many patients concurrently receive treatments geared toward cure or remission, and the palliative care team works in tandem with their doctors. That's the case with many cancer patients, says Rodney Tucker, M.D., director of the UAB CPSC. The same goes for "a heart-failure patient struggling earlier in the disease process, or a patient and family early in the diagnosis of Alzheimer's disease who need a discussion about advance care planning and what to anticipate," he adds. "Any patient with an illness that is life-threatening or life-limiting — one that causes severe decreases in quality of life — could benefit from palliative care." Age, disease, and stage of disease progression do not matter.
"We've shown that people who engage in palliative care early and concurrently have improved survival rates," Tucker says. "That's the opposite of what many people think — that if I'm acknowledging my serious illness, then I'm giving up hope. When people are aware of all their choices, then they often select options that improve the quality of their lives when the quantity of their lives is limited."
Symptoms, choices and goals
Here's an example of one of those choices: Let's say you're a cancer patient with a normal life expectancy, but you're dealing with the side effects from treatment. Is the best solution a medication with its own powerful side effects such as confusion or drowsiness? Or do you pursue other forms of symptom management with less impact on your day-to-day life?
Elizabeth Kvale, M.D., might advise you to choose the latter. She directs the UAB Supportive Care and Survivorship Clinic, located at The Kirklin Clinic of UAB Hospital. UAB was among the first palliative care programs to establish an outpatient clinic, around 2000, and it's where Kvale and her team help patients who are living with cancer, advanced heart disease, lung disease, or other serious conditions. Some of those patients still receive medical treatment for their chronic diseases, while others have completed it. Kvale and her colleagues help all of them manage symptoms. She compares the clinic to "a good corner man in a boxing match, who can keep patients patched up enough to stay in the fight if they want to do that."
A few blocks away, another team, led by Ashley Nichols, M.D., staffs UAB Hospital's 12-bed Palliative and Comfort Care Unit. Each room resembles a hotel suite, with comfortable leather couches, warm lighting, and wood accents—and the comparison is appropriate, Nichols says, because it is a "transitional unit." Here, critically ill patients and their families have an option beyond the ICU while they are in the hospital, and for many of them, the next stop is their own home. "That's where so many patients want to be," says Nichols, a School of Medicine assistant professor. "So we work to control their symptoms, and we work with families and community hospice partners to develop a care plan to get them back home."
Beyond the unit, Nichols and her group visit patients with every kind of disease throughout UAB Hospital, provide care at the Veterans Affairs Medical Center and Children's of Alabama, and coordinate continued care with community hospice partners; they even do a few home visits. Typically, the team works with physicians on late-stage care, "but we're also consulted more upstream—earlier in the disease process—when teams recognize an uncontrolled symptom burden, such as shortness of breath from chronic obstructive pulmonary disease, pain from a newly diagnosed cancer, or depression and anxiety associated with any chronic illness," Nichols says. "If a symptom bothers patients, then it bothers us. We can partner with them and their physicians early and help manage symptoms throughout the course of the disease, as well as talk about goals for the patient's care."
Those goals are the key to quality palliative care, no matter the setting. What do patients want to accomplish—today, tomorrow, and in the rest of their lives? What kind of care will help them achieve their aims? Helping patients weigh the benefits of medical interventions against the potential costs to their quality of life, not to mention their pocketbook, is "the crux of what we do," says Kvale, an associate professor in the School of Medicine. "Our objective is to align our care plan with patient and family goals. We also want to provide a space where it is OK for them to begin exploring other options, such as not seeking further invasive treatments."
Strength in numbers
A hospital is not the easiest place to perform a full-immersion baptism, but UAB Pastoral Care chaplains have made it happen, thanks to an arrangement with UAB's therapy pool. They also have officiated marriages for patients, complete with music and wedding cake; nurses helped one bride with a dress and makeup.
Mostly, though, they simply talk with patients about their sources of strength and the big questions that arise in tough times, sometimes without bringing up religion at all.
The chaplains are part of the interdisciplinary teams that staff the Palliative and Comfort Care Unit and the Supportive Care and Survivorship Clinic. Both groups bring together a variety of specialists who can help patients relax physically and cope mentally: physicians, nurses, psychologists, social workers, dieticians, physical therapists, music therapists, and even massage and pet therapists, in addition to spiritual care. In meetings, each professional provides a different perspective on what each patient needs; the result is a comprehensive, holistic, seamless care plan, Nichols says.
Teams also support families and caregivers. "Most of our patients live in the community and try to manage their illnesses with the help of a caregiver, so if we aren't helping them engage with what's going on with the patient, then the system is likely to fail," Kvale says. "It's a place where palliative care can have a big impact."
A way forward
Listening may be the teams' most powerful tool. When patients and families share their stories, they reveal much about their symptoms and quality of life—but also their joys, fears, loves, regrets, relationships, and unfinished business.
"We listen with no agenda; we're not trying to diagnose anything or resolve relationship issues," says counselor Kay Knowlton, Ph.D. The overriding emotion is grief, she adds—grief over the end of life, or grief over life changes caused by illness. For example, a patient in the Supportive Care and Survivorship Clinic whose cancer is in remission might not look sick, but chemotherapy and radiation may have affected her sight, hearing, cognitive function, and ability to return to work.
"She's coping with losses as well," says Diane Tucker, Ph.D., a UAB psychology professor who also counsels palliative care patients. "She can't go back to where she was before treatment."
Diane Tucker and Knowlton help patients and families adjust to their new normal by talking with them about the future—how to move forward and accomplish what they consider important—without discounting the sadness, worry, or anger they might be experiencing. Tucker notes that suffering and pain are partly psychological. Helping patients handle their tension and fear can bring some relief.
Often, the psychologists help patients leave a legacy for their loved ones. Patients might write letters to their children or grandchildren, to be read when they are graduating from high school, getting married, or marking other milestones. Patients and families also can use the hospital unit's art station to create a treasured memento.
Knowlton recalls helping one nine-year-old girl make handprints with her ill grandmother. The big and small handprints touched at the thumbs. "It didn't mean that the girl wasn't going to cry anymore, but it was a connection she needed because her grandma was leaving," Knowlton says.
Likewise, the marriage ceremonies that the chaplains have performed create legacies for family members. Sometimes it means that the survivors can receive benefits. But these special moments also become pieces of family history that they can cherish for the rest of their lives.
Long-distance learning
Although palliative care has made great strides in recent years, millions more patients stand to benefit from it—if they can access it. The specialty is scarce or nonexistent in smaller hospitals, rural areas, and minority and underserved communities, says Bakitas. Alabama traditionally has ranked among the states with the lowest access, with less than one third of hospitals offering palliative care, according to the 2015 CAPC report. And there are a host of reasons why: lack of palliative care knowledge among health providers, socioeconomic factors, geographic distance, and transportation issues, among others.
Bakitas, along with Dionne-Odom, is bridging those gaps via telehealth—teaching palliative care principles to patients over the phone. Health coaches "show patients how to build upon the strengths of their personal, family, and community resources," Bakitas says. They also talk about problem-solving and decision-making, self-care, early symptom management, communicating health concerns to clinicians, and emotional and spiritual topics. "We help people think about their illness in context," she explains. "The illness is not who they are; it's only a piece of their lives."
Dionne-Odom develops telehealth programs for family caregivers as well as patients newly diagnosed with advanced illness. Caregivers often experience levels of stress and anxiety equal to—and sometimes greater than—those of patients, he notes. Talking with a health coach offers an outlet to express what they're experiencing and to learn skills and coping abilities.
In fact, a recent study led by Dionne-Odom was the first to show that early palliative care benefits caregivers as well as patients. For caregivers of patients with advanced cancer living in rural areas, depression scores improved when those caregivers received palliative care via telehealth within a month after diagnosis, as opposed to those whose patients received care four months later. For patients in the study, one-year survival improved by 15 percent.
Now, with support from the National Palliative Care Research Center, Dionne-Odom is laying the groundwork for a new intervention to coach family caregivers at diagnosis, through the course of disease, and into bereavement. He hopes to implement the initiative in rural areas of Alabama and the Deep South.
Bakitas also is expanding her investigations with a $3.5-million National Institute of Nursing Research grant to study whether early palliative care, delivered by phone, can improve quality of life, mood, and symptom burden for advanced heart-failure patients and their caregivers. The American Cancer Society also awarded her a grant to study the impact of a phone-based intervention for veterans, minorities, and rural patients with advanced cancer.
What patients want
UAB researchers also are expanding palliative care's boundaries by adapting it for other serious diseases. Few specialists had studied the intricacies of chronic pain in patients with HIV before Jessica Merlin, M.D., M.B.A., began her work. "It's not clear why there's a lot of chronic pain with HIV," says Merlin, assistant professor and director of the HIV Pain/Palliative Care Clinic at UAB's 1917 Clinic. "Does something with HIV predispose patients to pain?" To complicate matters, some patients might experience chronic pain not caused by HIV, such as migraines or arthritis, and current medications aren't entirely effective and may carry risks, she adds.
Now Merlin is developing an intervention—supported by a National Institutes of Health grant—that relies on behavioral therapy instead. "It's unlikely that a pill can take away chronic pain, so we need to help patients put their pain in the background and themselves in the foreground," Merlin explains. She envisions a program in which patients learn pain self-management skills from a trained provider.
"This is practical," Merlin says. Medical research suggests that "when patients come to physicians and other providers, their highest priorities are treating pain and other symptoms."
Lessons at the bedside
To ensure that health professionals understand quality-of-life issues, the UAB CPSC has a robust educational program. UAB students and residents in medicine, nursing, clinical psychology, and social work rotate through or intern in the clinic and hospital unit. For many, "this may be the first encounter with a patient who's dying," Nichols says. And that leads to important early lessons about discussing difficult end-of-life decisions with patients, handling anger and sadness from families, and responding personally to the loss of a patient. It also influences how future professionals look at life and death, Nichols adds. "Death is not a failure, but an opportunity to support patients and families."
Physicians, nurses, and others seeking advanced training can join UAB's specialized fellowship program or its clinical training academy, which has attracted professionals from as far away as Australia to observe UAB palliative experts at work. In addition, "we have trained 85 health-care institutions across the country and one in Korea about building business plans around palliative care," Rodney Tucker says.
"We've shown that people who engage in palliative care early and concurrently have improved survival rates"
Reaching further
Palliative care will continue to grow and become more common throughout health care, say UAB's experts. The field's focus on patients and their goals offers a template for personalized medicine. And demand for it will rise as health care shifts toward "managing disease crises at home quickly and efficiently so that patients don't need to come to the hospital," Nichols says.
"We must learn better ways to partner with care organizations closer to the patient—including those that may not be considered palliative care, such as home-care organizations and skilled nursing facilities," Rodney Tucker says. This year, the CPSC will establish the Southeast Institute for Innovation in Palliative and Supportive Care, which will educate health workers in communities throughout the region and conduct research to better understand the needs of seriously ill patients and families. Some of those initiatives may build on UAB's pioneering work in telehealth and the training of lay navigators—people in community settings who can help patients make sense of the health-care system and their options.
While the new institute will give UAB a greater voice in the national conversation about palliative care, the specialists on UAB's care teams feel privileged to help Alabama's mothers and fathers, sons and daughters, and their families and friends maximize their lives when facing tough situations and choices.
"The truth is that none of us know how much time we have left," Knowlton notes. "So what is today about? How can we live today in the best way possible?"
Pioneering a new kind of care
Some of the seeds for palliative care's rapid growth were planted in the 1990s by a team led by UAB psychiatrist John Shuster, nurse scientist Pam Fordham, and medical oncologist Amos Bailey. Their partnership brought together the UAB schools of Medicine and Nursing and Cooper Green Hospital to promote clinical care, education, and research in the emerging field. The group soon established some of the nation's earliest fellowship programs for physicians and training tracks for nurse practitioners.
Ten years ago, the UAB Center for Palliative and Supportive Care opened two clinical units, at UAB Hospital and the Birmingham Veterans Affairs Medical Center, within six months. At that time, when many major cities across the country barely had one inpatient palliative care facility, Birmingham had three, counting Cooper Green's unit.
Nationally, UAB is one of only 11 Palliative Care Leadership Centers, which train and mentor other institutions launching their own clinical programs, and was among the first nursing education programs in palliative care. UAB also is a founding member of the national Palliative Care Research Cooperative Group.
UAB professor honored by Hastings Center Cunniff-Dixon Early-Career Physician Award
UAB professor awarded $15,000 for work in palliative care.
Keith M. Swetz, M.D., is nationally known for his clinical skill, especially in caring for patients with advanced heart failure. The University of Alabama at Birmingham School of Medicine Division of Gerontology, Geriatrics and Palliative Care associate professor has been awarded one of the 2016 Hastings Center Cunniff-Dixon Physician Awards in the early-career category.
"Now in the seventh year of our collaboration with the Cunniff-Dixon Foundation, The Hastings Center is prouder than ever to be working together to honor these physicians," said Mildred Z. Solomon, Ed.D., president of The Hastings Center. "They possess an uncommon combination of bedside and organizational skills that is transforming the experience of dying in America."
Swetz, section chief in Palliative Care at the Birmingham VA Medical Center, earned a reputation locally as the "go-to guy" for hospice and palliative care, according to Marie Bakitas, DNSc, NP-C, FAAN, professor in the UAB School of Nursing and associate director of the UAB Center for Palliative and Supportive Care. He is one of five physicians being honored by The Hastings Center Cunniff-Dixon Physician Awards, including Marian Hodges, M.D., from Providence Health & Services in Portland, Ore.; Paul Tatum III, M.D., from University of Missouri-Columbia; Ross Alber, M.D., Ph.D., from Hartford HealthCare in Hartford, Conn.; and Rashmi Sharma, M.D., from University of Washington in Seattle.
The awards were made in three categories: a senior award and a mid-career award of $25,000 each and three early-career awards of $15,000 apiece. Each recipient has been exemplary in one or more of four areas: medical practice, teaching, research and community.
The Cunniff-Dixon Foundation, whose mission is to enrich the doctor-patient relationship near the end of life, funds the awards. The Hastings Center, a bioethics research institute that has done groundbreaking work on end-of-life decision-making, co-sponsors the awards. Duke University Divinity School's Program in Medicine, Theology and Culture oversees the selection process.
New reference for physicians treating HIV patients with chronic pain
UAB assistant professor leads the way in providing therapy for HIV patients with chronic pain.
Recent studies suggest many individuals with HIV have chronic pain. Estimates range from 39 percent all the way to 85 percent. Chronic pain is an important comorbid condition in individuals with HIV, as it is common and causes substantial disability.
In the current HIV treatment era, HIV is a chronic disease with a near-normal life expectancy. However, individuals with HIV can have higher rates of other health problems than the general population.
A new reference guide for HIV care providers, "Chronic Pain and HIV: a practical approach," offers insight into the assessment, diagnosis, testing and management of various chronic pain problems in patients with HIV.
Lead editor Jessica Merlin, M.D., an assistant professor in the University of Alabama at BirminghamSchool of Medicine Division of Infectious Diseases and Division of Geriatrics, Gerontology and Palliative Care, says the guide addresses issues that HIV care providers have when trying to provide relief to HIV patients with chronic pain, including pharmacological and non-pharmacological therapies.
"Chronic pain is increasingly recognized as an important comorbidity in HIV-infected patients, and may influence adherence to antivirals and retention in care," Merlin said. "Individuals with HIV also have higher rates of mental illness and addiction than the general population. HIV, mental illness and addiction are all highly stigmatized health problems, further compounding patients' suffering."
HIV and the medications once used to treat the disease can lead to nerve pain in the hands and feet in as many as 40 percent of patients. Also, for reasons that are not well-understood, patients with HIV may have a high burden of musculoskeletal pain, like joint pain, back pain and more widespread pain.
Non-pharmacologic treatments are an important mainstay of therapy, including graded exercise, complementary and alternative therapies, and behavioral therapies. Importantly, behavioral therapies are among the safest and most effective treatments for chronic pain. In 2014, Merlin was awarded a K23 Career Development Award from the National Institute of Mental Health. She is working on developing and pilot-testing a behavioral intervention that is specifically tailored to improving chronic pain in individuals with HIV.
Ideally, when medications are used, they should be prescribed alongside non-pharmacologic therapies.
"A multimodal approach is the most effective approach," Merlin said. "Our book helps front-line HIV primary care providers use this approach with their patients."
"Managing chronic pain is rewarding; but it can be challenging, and is often not taught in HIV providers' medical training. This book is the first practical guide on the topic for HIV care providers, and fills an important need."
Medications such as opioids may not be as effective, and carry significant risks.
"Chronic pain can be challenging to manage to begin with, and even more challenging to manage in the setting of mental health and addiction problems found in individuals with HIV," Merlin said. "Long-term treatment with opioids, such as morphine, oxycodone and others, has been commonly used to treat chronic pain in general and in individuals with HIV. Opioid therapy carries risks such as worsening of mood, development of addiction and overdose, and these risks can be heightened in the presence of pre-existing mental illness and addiction."
Studies suggest that HIV care providers may feel unprepared to treat chronic pain.
"Managing chronic pain is rewarding; but it can be challenging, and is often not taught in HIV providers' medical training," Merlin said. "This book is the first practical guide on the topic for HIV care providers, and fills an important need."
"Chronic Pain and HIV: a practical approach," published by John Wiley & Sons, Inc., is available for purchase online on Amazon.com. The Kindle version is available now, and the hardback version will be available in April for $120.
Anal sex linked to increased risk of incontinence in both males, females
The incontinence risk is heightened particularly among men who have sex with men, according to lead author Alayne Markland, D.O., associate professor in the Division of Gerontology, Geriatrics and Palliative Care in UAB's School of Medicine.
Anal intercourse linked to increased risk of incontinence in both males, females
Study published in the American Journal of Gastroenterology shows fecal incontinence risk from anal intercourse is heightened for both women and men, with men almost three times as likely to experience incontinence.
Engaging in the practice of anal intercourse may increase risks for bowel problems, including fecal incontinence and bowel leakage, according to a University of Alabama at Birmingham Department of Medicine study published in the American Journal of Gastroenterology.
The incontinence risk is heightened particularly among men who have intercourse with men, according to lead author Alayne Markland, D.O., associate professor in the Division of Gerontology, Geriatrics and Palliative Care in UAB's School of Medicine. The researchers analyzed data from the 2009-2010 National Health and Nutrition Examination Surveys from 6,150 adults. They found 37 percent of women and almost 5 percent of men reported trying anal intercourse at least once. Women engaging in anal intercourse were 50 percent more likely than their peers to report having fecal incontinence at least once a month. The men's odds of incontinence were almost tripled.
"The study did not provide data on the frequency of the practice of anal intercourse and the impact of incontinence, but it did show a relationship between the practice of anal intercourse and fecal incontinence — more so among men than women," Markland said. "What we don't know is whether someone who has anal intercourse one or two times is at the same increased risk for fecal incontinence as someone who has anal intercourse regularly."
Overall, 4,170 adults ages 20-69 (2,070 women and 2,100 men) completed sexual behavior questionnaires and responded to fecal incontinence questions as part of the NHANES surveys. Overall, 8.3 percent of women and 5.6 percent of men in the study had fecal incontinence. Fecal incontinence rates were higher among women (9.9 percent) and men (11.6 percent) reporting anal intercourse than among women (7.4 percent) and men (5.3 percent) not reporting anal intercourse.
Fecal incontinence was determined to have occurred by researchers who reviewed responses to survey questions about leakage of mucus, liquid or stool and occurred at least monthly. The study showed that most adults who experience fecal incontinence have only occasional bouts of diarrhea. However, fecal incontinence can be chronic; it is often caused by muscle and nerve damage around the rectum, constipation, certain diseases, surgical procedures, and childbirth.
Markland says previous clinical trials have shown that pelvic floor muscle or anal exercises can be an effective treatment for fecal incontinence, and she recommends those engaging in anal intercourse consider these exercises to help guard against decreased anal sphincter tone.
Markland says little is known about how anal intercourse might affect bowel function, even though the survey showed the practice is common among both heterosexual and homosexual couples.
"We really know very little about the connection between anal intercourse and fecal incontinence, especially among women," Markland said. "Older studies among predominately HIV-positive males showed that men who have intercourse with men may have impaired rectal muscle strength. But one thing I think this study does show is that it is important that both the patient and clinical provider need to be aware of the potential risks associated with anal incontinence and be willing to discuss what those risks may be."
Markland says previous clinical trials have shown that pelvic floor muscle or anal exercises can be an effective treatment for fecal incontinence, and she recommends those engaging in anal intercourse consider these exercises to help guard against decreased anal sphincter tone.
"These are also known as Kegel exercises," Markland said. "But, doing these exercises has not been studied as a preventive measure for lowering the odds of having fecal incontinence in a general population. All we can do is speculate."
Markland maintains an NHANES data set, and her primary research interest is in incontinence, specifically bowel leakage. She completed the study using indirect funding from several grants.
"I am always looking for potentially modifiable factors that may be related to bowel leakage," Markland said. "Anal intercourse has been understudied in our population in general, and anal incontinence and bowel incontinence were evaluated only in men who have intercourse with men in older studies. I thought we really needed to look at both men and women and assess the prevalence and associations between anal intercourse and fecal incontinence in both genders."
Bakitas to present at annual O'Koren Lecture
Internationally recognized scholar and researcher Marie A. Bakitas will present at UAB on palliative care Feb. 10.
The UAB School of Nursing will host the annual Dr. Marie L. O'Koren Endowed Chair in Nursing Lecture on Wednesday, Feb. 10, featuring Professor and Marie L. O'Koren Endowed Chair Marie A. Bakitas, CRNP.
Bakitas, who also is deputy director of the UAB Center for Palliative and Supportive Care, will present "Palliative Care: If it makes a difference 'Why Wait?'"
Bakitas is an internationally recognized scholar and researcher whose content expertise focuses on the principles and concepts of hematology and oncology, bone marrow and stem cell transplantation, pain and symptom management, and novel qualitative and mixed methods research, in addition to palliative care.
If you would like to attend, please RSVP to Lauren Antia, email@example.com or 205-934-2145, by Friday, Feb. 5. The lecture is sponsored by the UAB School of Nursing Office of Research and Scholarship and will take place from 10-11:30 a.m. in the School of Nursing Building, Room 1020.
Landmark blood pressure study, published today by NEJM, confirms benefits of lower blood pressure
Treating patients 50 and older with high blood pressure to a systolic blood pressure of less than 120 mm Hg reduced rates of cardiovascular events, including heart attack, heart failure and stroke, by 25 percent.
New England Journal of Medicine, confirm that treating adults 50 years and older with high blood pressure — but without diabetes or prior stroke — to a systolic blood pressure of 120 reduces the risk of cardiovascular disease and can save lives.Final results from the landmark SPRINT study, published online today in the
These results from the Systolic Blood Pressure Intervention Trial, or SPRINT, were presented today at the American Heart Association 2015 Scientific Sessions in Orlando. The results are in part products of the work by UAB investigators, including University of Alabama at BirminghamSchool of Medicine professors Suzanne Oparil, M.D., Cora E. Lewis, M.D., David Calhoun, M.D., Stephen Glasser, M.D., and Virginia Wadley Bradley, Ph.D. Their work was highlighted when preliminary findings were announced in September.
The study demonstrates that treating patients 50 and older with high blood pressure to a systolic blood pressure of less than 120 mm Hg reduced rates of cardiovascular events, including death due to cardiovascular disease, heart failure, stroke and heart attack, by 25 percent. Additionally, reducing systolic blood pressure to this target reduced the risk of death due to all causes by 27 percent compared to a target systolic blood pressure of 140 mm Hg.
"By design, SPRINT enrolled a diverse population of adults at sufficiently high risk for cardiovascular events and death to ensure adequate statistical power," said Oparil, principal investigator for the UAB hub of the SPRINT trial, Distinguished Professor of Medicine, and director of the Vascular Biology and Hypertension Program in UAB's School of Medicine. "Achieving the lower systolic blood pressure goal required use of additional medications — on average, an additional one or more — and extra clinic visits, so the findings represent more work for clinicians and patients. However, we strongly believe that it is worth it in terms of saving lives and reducing cardiovascular death events."
"The results of SPRINT are likely to have a major impact on the treatment of hypertension," added Lewis, co-principal investigator of the UAB hub and professor of preventive medicine. "However, there are many important lessons to be learned from SPRINT to apply the results in a safe and effective manner."
In their report, investigators provided detailed data showing that both cardiovascular deaths and overall deaths were lower in the intensive treatment group. Certain types of serious consequences were more common in the intensive group, including low blood pressure, fainting, electrolyte abnormalities and acute kidney damage.
However, other serious adverse events associated with lower blood pressure, including slow heart rate and falls with injuries, were not increased in the intensive group. In patients with chronic kidney disease, there was no difference in the rate of serious decline in kidney function between the two blood pressure goal groups.
"The benefits of more intensive blood pressure lowering exceeded the potential for harm, regardless of age, gender, or race or ethnicity," Oparil said.
The study continues to examine kidney disease, cognitive function and dementia among SPRINT participants; however, these results are not yet available as additional information will be collected and analyzed over the next year.
"Although the study provides strong evidence that a lower blood pressure target saves lives, patients and their health care providers may want to wait to see how guideline groups incorporate this study with other scientific reports into any future hypertension guidelines," said study co-author Lawrence Fine, M.D., chief of the Clinical Applications and Prevention Branch at the National Heart, Lung and Blood Institute. "In the meantime, patients should talk to their health care providers to determine whether this lower goal is best for their individual care."
Lewis says it is still important for those with high blood pressure to engage in a healthy diet, be physically active, maintain a healthy weight and learn to check their own blood pressure. All of these, Lewis says, will help to achieve blood pressure control.
"It's important to remember that healthy lifestyle changes can make a difference in controlling high blood pressure, no matter the goal," Lewis said.
UAB's School of Medicine played major clinical and leadership roles in the SPRINT study. The study, which began in fall 2009, included more than 9,300 participants age 50 and older, recruited from about 100 medical centers and clinical practices throughout the United States and Puerto Rico. UAB was selected by the NIH as one of five hubs to recruit and direct almost 20 of these clinics from Massachusetts to Puerto Rico; UAB-directed clinics recruited more than 1,950 study participants, surpassing the study's initial goal for UAB's network.
About 36 percent of participants were women, 58 percent were white, 38 percent were African-American, and 11 percent were Hispanic. The SPRINT study did not include patients with diabetes, prior stroke or polycystic kidney disease, as other National Institutes of Health trials were studying those particular populations.
Approximately 28 percent of SPRINT participants were 75 or older, and 28 percent had chronic kidney disease. The study tested a strategy of using blood pressure medications to achieve the targeted goals of less than 120 mm Hg (intensive treatment group) versus the 140 mm Hg (standard treatment group).
"Although many classes of medications were available, emphasis was placed on using classes with the best outcomes in large clinical trials, including thiazide-type diuretics, calcium channel blockers, and angiotensin-converting enzyme inhibitors or angiotensin receptor blockers," Oparil said. "Other agents could be added if necessary."
The study's blood pressure intervention, which was to finish in summer 2016, finished earlier after National Heart, Lung and Blood Institute Director Gary H. Gibbons, M.D., took action when the Data and Safety Monitoring Board interpreted the benefits of the lower goal as far outweighing the harms. The findings were announced in September, with the detailed results presented today.
"SPRINT is part of a proud legacy of NIH-funded clinical trials that will change clinical practice and save lives for decades to come," Gibbons said. "These results reinforce the compelling public health importance of enhancing the awareness, treatment and control of hypertension in this country and around the world."
In addition to primary sponsorship by the NHLBI, SPRINT is co-sponsored by the NIH's National Institute of Diabetes and Digestive and Kidney Diseases, the National Institute of Neurological Disorders and Stroke, and the National Institute on Aging.
UAB role
Experts in blood pressure management, primary care physicians, nephrologists or other health care providers have seen SPRINT participants regularly for a period of four to six years. UAB's Vascular Biology and Hypertension Research Program Clinic, part of the UAB School of MedicineDivision of Cardiovascular Disease and directed by professor of medicine David Calhoun, M.D., was one of several clinics that enrolled patients in Alabama. Athens Internal Medicine had the largest patient population in the study, with the more than 300 enrollees. The UAB Division of Nephrology and Nephrology Associates in Birmingham also participated and enrolled an important subgroup of patients with chronic kidney disease.
In addition to clinical roles, UAB faculty also have leadership roles in the SPRINT trial. Oparil and Lewis are on the trialwide steering committee and co-lead the morbidity and mortality committee, in which capacity Oparil, Lewis and their committee members review medical records in order to determine whether trial participants have had a heart attack, heart failure, stroke or other cardiovascular event. Lewis also leads the measurement procedures and quality control committee and serves on the executive committee for the study.
Virginia Wadley Bradley, M.D., professor of medicine in the Division of Gerontology, Geriatrics and Palliative Care, is co-lead of the trial's MIND committee, which oversees the cognitive and dementia aspects of the trial. Tom Ramsey, a program manager in the Division of Preventive Medicine, is the lead author of the trial's recruitment paper, which is currently under review. Steve Glasser, M.D., professor of medicine in Preventive Medicine is a cardiologist who also is on the trial's morbidity and mortality committee.
"UAB was selected and is able to be a part of this remarkable study because we put together a great team of investigators and staff to run the hub," said Lewis, the co-principal investigator of the UAB hub. "We recruited a good diversity of clinics that could bring in diverse patients and achieve the study recruitment goals, we wrote an outstanding application, and we have a lot of relevant experience for all aspects of the trial. We are able to provide all of the logistical support, and we have the infrastructure to handle a trial of this scope and magnitude. It was an incredibly competitive selection process."


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New Arrivals
Eddie Murphy Welcomes Baby No. 9: Izzy OonaRead More » »
Adam Levine & Behati Prinsloo Both PoppingRead More » »
First Glimpse
Nick Carter Introduces Newborn SonRead More » »
Happy Birthday!
Tina Simpson: "Happy 4th Birthday Maxwell"Read More » »
Vanessa Lachey: "A Rare Moment Of Sibling Happiness!"Read More » »
PHOTOS: Princess Charlotte Turns 1Read More » »
Celebrity Blogger
Christie Lynn Smith's Blog: "Enjoying This Crazy Ride Of Motherhood"Read More » »
Kevin Jonas & Danielle Jonas Expecting Second ChildRead More » »
Giveaway: Ooka Island Reading Program ($150)Read More » »
Top stories
Congratulations are in order for Eddie Murphy and Paige Butcher. The Dr. Dolittle star, 55, and the model-actress, 36, welcomed their first child together – daughter Izzy Oona Murphy – on Tuesday, May 3, PEOPLE reports.Read More
Gossip Girl star Blake Lively radiated the red carpet at the Met Gala in New York City on Monday (May 2).Read More
Vinyl star Olivia Wilde and The Huntsman: Winter's War actress Emily Blunt radiated the red carpet at the Met Gala in New York City on Monday (May 2).Read More
Recent posts
Heidi Klum & Angels Take Over Times Square
Wow! Heidi Klum looked absolutely radiant alongside her Victoria's Secret angels – Marissa Miller, Miranda Kerr and Alessandra Ambrosio – at Times Square in New York City on Wednesday (November 18). Heidi just gave birth to her fourth child, daughter Lou Sulola one month ago.
Reportedly, the 36-year-old Project Runway host is set to hit the runway next month to model lingerie – yes, lingerie! – for Victoria's Secret.
The German beauty graced various red carpets throughout her fourth pregnancy showing off her gorgeous baby bump. We can't wait to finally see little Lou!View Slideshow »»
Filed under: Heidi Klum
Photo credit: Bauer Griffin / Splash3 Comments
Tweet Tweet: Celeb Parents Take To Twitter
Here's some of the latest tweets from your favorite celebrity parents.
Deanracer Me and Lady Bug having a reflective moment.
brookeburke Just finished mommy and me. Going to check out a dance class for the girls.
alilandry Had an amazing workout with helene at larox and then did an interview with Life and Style mag abt getting back in shape after baby
RealScottBaio That's gross!!!! My kid just handed me the biggest booger. She even said Shhheeeewww.
DENISE_RICHARDS good morning!! my poor lola is going to the doctor, had a deep cough all night, she seemed a bit run down but this came on quickly..
larrybirkhead the visit to "the playground" at mc donald's is forcing me to buy unnecessary things like french fries and big macs.
Follow Celebrity Baby Scoop on twitter.
Filed under: twitter2 Comments
Celeb Baby Gear: Get the Look!
Zuma wears Dittany Baby Skid Pants in Razzle – $10
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Kourtney Kardashian's Changed Man
Khloé, Kim and Kourtney Kardashian opened up to Life & Style about what caused the family's rift with Scott Disick, the father of Kourtney's baby—and how they all healed together. And though he has remained mum on the subject, Scott is now speaking out about how he's changed and can't wait for the "new life" on the way.
Kourtney admits that it was tense for a while and caused negativity in the family:
It was hard. There was so much negative energy. But this is the father of my baby — I needed everyone to just get over it. [The tension] was really intense for a few months. But I feel like if that stuff hadn't happened, things wouldn't feel as good as they do today."
View Slideshow »»
Filed under: Kourtney Kardashian
Photo credit: Life & Style16 Comments
Helena Bonham Carter & Son: Tribute Tim Burton
Helena Bonham Carter was seen arriving at the MoMA 2nd Annual Film Tribute honoring her longtime partner Tim Burton with their 6-year-old son Billy Ray. The event was held at the Museum of Modern Art in New York City on Tuesday (November 17). The couple's daughter Nell, who turns 2 next month, was not at the event.
Celebrities also in attendance were Twilight star Ashley Greene, Brooke Shields and the "Sexiest Man Alive," Johnny Depp.View Slideshow »»
Filed under: Billy-Ray Burton,Helena Bonham Carter
Photo credit: Fame / Flynet10 Comments
Britney Spears & Her Aquarium Boys
Britney Spears brought her two sons, Sean, 4, and Jayden, 3, to the Sydney Aquarium in Darling Harbour on Wednesday (November 18). The trio, along with the bodyguards, took a boat ride with a clear glass bottom to scope out the shark pen from above. The 27-year-old Baby One More Time singer and her boys then checked out the Sydney wildlife park.
Brit's main squeeze, Jason Trawick, wasn't seen with the group this time around. Britney and the boys in her life are currently in Australia as she performs her Circus tour down under.View Slideshow »»
Filed under: Britney Spears,Jayden James Federline,Sean Preston Federline
Photo credit: Flynet / Splash NewsNo Comments


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Greendale Community Theatre Proudly Presents DIRTY ROTTEN SCOUNDRELS - the scamming, scheming, double-crossing hit Broadway musical. This musical comedy would be a crime to miss!
GREENDALE COMMUNITY THEATRE presents DIRTY ROTTEN SCOUNDRELS on July 21-23 and 27-30 at 7:30 PM and a 2:00 PM matinee on July 30 at Greendale High School, 6801 Southway, Greendale. Tickets are $12 for Adults and $8 for Students. Box Office will be open Monday and Wednesday from 6:30PM to 8:00PM. Tickets will also be sold at the door. The auditorium is air-conditioned. For information, visit our website: www.greendaletheatre.org or call our Box Office line: 414-423-2700, ext 4193.
Based on the popular 1988 MGM film starring Michael Caine and Steve Martin, DIRTY ROTTEN SCOUNDRELS centers on two con men living on the French Riviera. This wonderful musical is a series of schemes, masquerades and double-crosses in which nothing may ever be exactly what it seems. DIRTY ROTTEN SCOUNDRELS opened on Broadway in March 2005 to rave reviews. "I know funny when I see it, and this show is a perfect hoot! A big hit." – Wall Street Journal.
Director Brian Bzdawka and Musical Director Tom Reifenberg have assembled an amazing cast of actors for this production. Cast includes: Lawrence - Michael Traynor, Freddy - Ryan Stajmiger,Andre - Jordan Gwiazdowski, Christine - Laura McDonald, Muriel - Anna Fraser, Jolene - Amber Smith, Bell Hop Trio - Robby McGhee, Brad Novak, Connor Scott. Featured Dancers: Jake Condon, Shawn Holmes, David Wortz, Rachel Bzdawka, Stephanie Staszak, and Ameara Wahhab. Rounding out the cast are ensemble members: Ross Hamby, Aaron Knapp, Gabbie Levine, Mara McGhee, and Matthew Radocha.
It has now become a GCT tradition to select a charity for "pass the hat" donations after each show. For our summer show the charity is DIVA/DIVO. DIVA/DIVO is a non-profit organization dedicated to the empowerment of people in need by providing free work-appropriate clothing, mentoring programs and other employment-related resources, all designed to assist them in securing employment. DIVA/DIVO will have volunteers at our performances.
Greendale Community Theatre was voted the #1 Theatre Group on WISN's A-List for 2010. Greendale Community Theatre is a proud affiliate of the Greendale Park and Recreation Dept. of Greendale, WI.
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Ralph Waldo Emerson
Famous American poet, essayist and philosopher.
Marilyn Monroe
Famous American actress, model and singer.
Albert Einstein
German-born mathematician and theoretical physicist.
Time Quotes
Showing: 1 - 10 Time Quotes of 181
Time is the longest distance between two places.
Time was rushing around me like water around a big wet rock. The only difference is, I was not so durable as stones. Very quickly I would be smoothed away.
As the herdsman drives cattle by the rod to the pen, so does time drive man to death.
Time is but the stream I go a-fishing in.
The only way men or women can be judged is against the canvas of their own time.
Time goes, you say? Ah no! Alas, Time stays, we go.
I have measured out my life with coffee spoons.
The butterfly counts not months but moments, and has time enough.
If you judge people, you have no time to love them.
Time you enjoy wasting, was not wasted.
Inspirational Quote
Here is the secret of inspiration: tell yourself that thousands and tens of thousands of people, not very intelligent and certainly no more intelligent than the rest of us, have mastered problems as difficult as those that now baffle you.
Friendship Quote
Sometimes you have to get to know someone really well to realize you're really strangers.
Truth Quote
The truth is, everyone is going to hurt you. You just got to find the ones worth suffering for.
Motivational Quote
If you start by promising what you don't even have yet, you'll lose your desire to work towards getting it.
Wise Quote
No man is poor who has a Godly mother.
All quotations on this website are the property and copyright of their respective authors. All quotations are provided for educational and informational purposes only.
Copyright © 2011 LifeQuotesLib.com. All Rights Reserved.


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Winter is a great time to step out of your comfort zone and take a trip up to the mountains. Whether it is a ski outing up to some powdery crag or just eggnog by the fireside in a cozy alpine village, there is no better time for a bit of awesome mountain scenery. Snow-capped peaks not only look majestic in the distance, but also provide some great winter sports for the more adventurous types who will can get their kicks skiing, snowboarding, or even in a snowball fight. Just make sure you are adequately bundled from the cold with special ski and winter trip hats from e4Hats.com!
Ski beanies are where it's at for those of you who plan on flying down the powder. With earflaps to give you a wide range of protection from the bitter wind, our wide selection of ski hats have assorted themes from the sober to the kooky. Check out a cow chullo or a lucky charm beanie in the shape of an aviator hat. There is no sense in looking boring as you rocket down the slopes.
If you're like us here at e4Hats.com, you've probably been binge watching the latest season of the Fargo TV show. If you haven't seen it yet, then let us strongly recommend it (spoiler alert, nearly everyone is wearing a trooper hat). Due to the popularity of this Minnesota set drama, the trooper hat is back in fashion this winter in a big way don't you know.
Don't let the criminal connotations of the ski mask disguise its true purpose: human comfort. Those of us with experience in cold and windy situations (such as skiing) will know that the lips are often the first part of the human body to succumb to the bitterness of winter, becoming chapped and blue. We have all sorts of ski masks here at e4Hats.com, ranging from the devilish to the adorable— just don't get any crazy ideas!
And let us not forget the bit below the face, another place where so much human warmth is known to dissipate out into the wintry air. Scarves can be a serious fashion accessory as well as a nice way to bundle up against Jack Frost's nip. Pick out a fashionable one today and get your wrap on as temperatures plummet.
Ear Muffs and Ski Gloves
Sticking out from the head as they do, the ears are particularly susceptible to the numbing influence of the chill winter wind. How about a cool set of camo earmuffs from e4Hats.com to keep these crucial flaps of cartilage warm and toasty? No set of winter accessories is complete without a pair, so check out what is on offer. You will also find the best winter ski gloves here. Whether you are looking for ski gloves, fingerless glove styles or even mittens you will find the right choice for everyone's hands.
Whatever you finally pick out, make sure that you invest in plenty of warm headwear for the coming winter cold. There is nothing worse than being poorly prepared when a freeze hits, so make sure to keep yourself nice and comfortable with the stylish accessories we have here in the store. And don't forget a Christmas present for that special someone either!


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1 dead, 1 hurt in suspected gang shooting
SANTA ANA – A man was fatally shot and another was wounded Thursday evening in what police suspect was a gang-related shooting.
Police said they responded to a shooting to the 1900 block of West Third Street,at 5:18 p.m.
When they arrived, an 18-year-old and a 19-year-old were found shot in an alleyway near North Daisy Avenue, Cpl. Anthony Bertagna said.
Joseph Castro, 19, of Santa Ana, died from his injuries at Western Medical Center-Santa Ana, where the 18-year-old is stable but in serious condition, authorities said.
Officials believe a gray or dark-colored vehicle was traveling eastbound in the alley when it stopped near Castro and the other man, Bertagna said.
Several people got out of the vehicle and asked Castro and the other man their gang status, and at least one of them opened fire, Bertagna said.
Castro and the other man have known gang ties and the Santa Ana police gang unit is investigating, officials said.
Police originally reported Castro was 24 because of witness reports, but later found he was 19, Bertagna said. The address was also listed incorrectly in the first report.
The Santa Ana Police Department is offering rewards for information leading to the arrest of gang homicide or felony gang assault suspects. Anyone with information may call (714) 245-8648.
Contact the writer: (714) 704-3764 or email@example.com
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In my opinion Market Maker is collecting stock in the range of 6.50 to 6.30 for the next run higher. Yesterdays action was clear shorting but accumulation on the way down. 100 share lots were going off all day. market weakness helped them move the price down to the previous high volume breakout on 1/2/2013. Pay attention to the blocks today on level 2 and it will tell you wherere this is headed ....we might test 6.30 area again.
Sentiment: Strong Buy
Thanks for sharing, very helpful.


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Armed police swooped on a flat in South Darenth following reports of a stabbing and a woman has been rushed to hospital.
The siege began at The Mill in Esparto Way at around 10.30am this morning (July 28).
Resident Paul Greenlaw, 32, said: "I had no idea what was going on - I heard a the ambulance and police cars pull up and the police were telling us we should stay in.
"Apparent a woman has been attacked, there's loads of rumours flying around."
Darren Jones, 29, also of Esparto Way added: "I just came in from the shop and all this was going on.
"I've heard someone's been stabbed.
"It's normally really quiet round here, nothing like this happens."
A spokesman for Kent Police told News Shopper: "Police are investigating a report of an assault earlier today in Esparto Way in South Darenth.
"Officers are currently at the scene attempting to make contact with a man in an address there."
A South East Coast Ambulance spokesman said: "We were called just after 10.30am this morning to reports of an assault.
"We alerted the air ambulance and sent a car and an ambulance.
"We took a woman to King's College Hospital in Denmark Hill."
There are currently no details of her injuries.
Esparto Way remained closed off until 2.20pm and police officers are now in the flat where the assault is believed to have taken place.
Sophie, aged 11, said: "I was on my way back from the park and saw the helicopter land on Heathside but we don't really know what's happened."
Esparto Way residents have been stuck outside of their homes for almost two hours.
One resident, who did not want to be named, said: "I've been to Bluewater and I've come back to all this going on.
"We live in the houses next to the block where it's apparently happened, I know almost everybody in that block - I'm shocked, I just don't know what's true and what's not."
Luke Willoughby tweeted: "@Kent999s south darenth, the mill, when are the premises going to be open again. I live on the block and can't get out #gotogowork."
Did you see what happened? Call the newsdesk on 01689 885 721.
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- Two men knifed in separate stabbings across Lewisham


text: College of Business and Law http://hdl.handle.net/10092/160 2016-05-04T20:36:49Z 2016-05-04T20:36:49Z Copyright Collectives and Contracts: An Economic Theory Perspective Watt, R. http://hdl.handle.net/10092/12129 2016-05-03T15:00:55Z 2015-01-01T00:00:00Z Copyright Collectives and Contracts: An Economic Theory Perspective Watt, R. 2015-01-01T00:00:00Z Determinants of Chinese Government Size: An Extreme Bounds Analysis Gunby, P. Jin, Y. http://hdl.handle.net/10092/12128 2016-05-03T01:48:36Z 2015-01-01T00:00:00Z Determinants of Chinese Government Size: An Extreme Bounds Analysis Gunby, P.; Jin, Y. From 1982 onwards, the Chinese State Council and the National People's Congress have had a standing policy of reducing the size of the public sector of the Chinese economy. The aim of this policy is to increase the share of Chinese economic activity that is conducted in the market sector. The reasoning behind this policy is that resources that are controlled by the public sector are used relatively inefficiently, impeding Chinese economic growth. Several attempts have been made to reduce the Chinese public sector since 1982. Most regard these previous efforts as having been unsuccessful. This suggests that general economic and social factors may be determining the size of the Chinese public sector. A better understanding of these factors could enable the Chinese government to implement policies that have a greater chance of success. Accordingly, this paper will study the factors associated with the size of the public sector at the level of Chinese provinces. We will use Leamer's Extreme Bounds Analysis (Leamer, 1985, 2008) to identify robust correlates with public sector size. Explanatory variables include provincial income, share of the population that is working, urbanisation, and ethnic diversity. Policy variables of particular interest include fiscal decentralisation, the "flypaper effect" (i.e., the importance of central government fiscal transfers to provinces), and the previously unexplored factor of the degree of corruption across provinces. Significance of the latter variable would give added support to the Chinese government for it's current policy of reducing corruption by government officials. 2015-01-01T00:00:00Z South East Asian Tax Administration Issues in the Drive to Attract Foreign Direct Investment: Is a Regional Tax Authority the Way Forward? Brand, T. Hodson, A. Sawyer, A. http://hdl.handle.net/10092/12125 2016-05-03T15:00:57Z 2015-01-01T00:00:00Z South East Asian Tax Administration Issues in the Drive to Attract Foreign Direct Investment: Is a Regional Tax Authority the Way Forward? Brand, T.; Hodson, A.; Sawyer, A. The Association of South East Asian Nations (ASEAN) region is of growing importance to foreign investing New Zealand businesses. Under the umbrella of a case study focussing on Vietnam, this paper utilises interviews and phenomenology observations to ascertain the particular tax administration issues that are of concern to foreign investors. The research then explores the possibility of establishing an ASEAN-based Regional Tax Authority (RTA) as a way of alleviating such tax administration issues and, ultimately, increasing foreign investment into the ASEAN region. It is suggested that the establishment of an ASEAN RTA is the best way forward . 2015-01-01T00:00:00Z Critical marketing : a systematic literature review. Majstorovic, Dea http://hdl.handle.net/10092/12106 2016-05-02T15:00:39Z 2016-01-01T00:00:00Z Critical marketing : a systematic literature review. Majstorovic, Dea This research undertakes a systematic review of critical marketing literature in order to generate meaningful conclusions on the state of the existing body of critical marketing scholarship. The aim of the research is present a comprehensive synthesis of the current literature, revealing any systemic biases and limitations in the way critical marketing scholarship is produced. The PRISMA structure acted as a guiding framework to ensure a transparent and methodical process was followed. After all necessary exclusions were made, the sample revealed 54 eligible articles for the present study. Relevant data from each eligible article was extracted by the researcher after examination of the full-text article. Data regarding the year of publication, authorship characteristics, geographical location, paradigmatic stance, research method, and research topic was put into a centralised file for analysis. The aggregation of the data mined from each individual article revealed trends in the literature. The findings showed a general increase in the existence of critical marketing publication- articles accepted into the study spanned from the year 1994 to 2015. In contrast to the suggestion of previous literature, 44% of articles were produced by an individual author and thus co-authorship and collaboration are not an overwhelming characteristic of the literature studied. Similarly, only 13% of articles were identified as exhibiting evidence of international collaboration between authors. A total of 102 authors contributed to the articles in the study, 63% of these identifying as male and 37% as female. A further breakdown revealed that of the articles produced by a single author, 84% were male and 15% female. Over half of the articles were authored by academics working in the United Kingdom, and marketing theory was found to the most common topic of focus of the articles. The theoretical contribution of the study includes a heightened transparency of the characteristics behind the production of critical marketing literature, and the biases which exist. In terms of managerial implications, the study provides universities and peer-review journals alike with the impetus to improve equity amongst the opportunities of academic staff. 2016-01-01T00:00:00Z


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Home > News > Albany NanoTech showcases its view of future
June 23rd, 2004
Albany NanoTech showcases its view of future
The Bush administration's technology chief got an up-close look at the University at Albany's nanotechnology center Tuesday, and he said he walked away impressed. "I came to New York to get a glimpse of the future, and I think I've seen it today," said Phillip Bond, undersecretary for technology at the U.S. Department of Commerce.
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