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A close-up from an engraving of Jeanne des Anges (ca. 1638) displaying the nun and her "signed hand."The article is based on the research of Katherine Dauge-Roth, who has written about demonic possessions, exorcisms, and body markings among nuns in 17th-century France in her book, "Signing the Body in Early Modern France" (published in 2013).
Thanks to the powers of Facebook (and Mikey Freedom), I learned of a fantastic article entitled, "Demon Marks Lay Bare the Twisted History of Tattooing." Granted, I'm only ten years late to the game in reading this 2004 piece (which is like a billion years on the Internet), but the information is really fascinating and I had to share.
Here's a bit from the article:
Poring over nuns' diaries, biographies, and exorcists' accounts, Dauge-Roth has pieced together a fascinating tale of torment, tattoos and devotion that details a range of 17th-century body-marking practices and sheds new light on women's spiritual traditions.
The whole article is great read. I highly recommend it.
Katherine Dauge-Roth
religious tattoos
tattoo history
This week, one of the biggest tattoo news items was the deportation of a British tourist from Sri Lanka stemming from her Buddha tattoo, which the country's authorities deemed disrespectful to Buddhism. According to the BBC on Tuesday:
Naomi Coleman was arrested as she arrived at the airport in the capital Colombo after authorities spotted the tattoo on her right arm.This isn't the first time a Buddha tattoo raised problems in Sri Lanka. According to NPR, about a year ago, another British tourist was banned from entering the country for the very same reason. With both cases, the tattoo collectors were tattooed with the Buddha renderings out of respect and devotion, and yet, for the largely Buddhist nation, it was perceived as quite the opposite and taboo.
This story had me thinking of the recent Vice article "Greece's Muslim Immigrants are Ashamed of Their Prison Tattoos" by Alexia Tsagari. That article tells the story of six Muslim men who had tattooed themselves or voluntarily got tattooed while in prison, to later regret their tattoos because of the religious prohibitions and cultural stigma in the largely Islamic countries they emigrated from prior to arriving in Greece.
One of the men, Moshen, told Tsagari:
In prison, it's either them or you. You have to stay strong and struggle to survive on a daily basis. Some fight with their fists, others with their minds. I struggled daily to remain human. For this reason I carved two stars on my chest--a reminder that I wouldn't put my hands up, that I wouldn't surrender even if it meant my life would be in danger. Deep in my soul there are some thoughts and images, some secrets, that words cannot express. I turned these secrets into poems and drawings and had them engraved on my body.Tsagari writes that most Muslims consider tattoos forbidden--haram--and the consequences of getting tattooed can be severe: "In Iran, the government dubs anyone with a tattoo a criminal, and the punishment for getting one can be up to six months in prison and a hundred lashings." However, she explains, "Today, in most Muslim countries, tattoos are considered makrouh--that is, they aren't illegal per se, but it's generally best to avoid them."
Most recently in the US, there was the stir over this Tattooed Jesus ad, whereby a vocal contingent in Lubbock, Texas found a Christian organization's attempt at appealing to the youth was deemed "blasphemous."
[Interestingly, the tattoo found on a 1,300 year-old mummy was most likely a Christian devotional tattoo, so religious tattoos are reaaalllly old news.]
As with the British tourists kicked out of Sri Lanka, so many of these tattoos are inked out of love and respect, and so they warrant acceptance rather than punishment.
Buddha tattoo
prison tattoo
religious tattoos
spiritual tattoo
Tattoos above by Andreas "Curly" Moore.
Tons of tattoo news hit the headlines while we were out on vacation, so I figured I'd give y'all a run-down of some of the ones I found most interesting:
First off, I had to giggle over how the fantastic Andreas "Curly" Moore offered his own version of "Palm Sunday" (shown above) last weekend at Lionel's Tattoo Studio in Oxford. The Oxford Mail quoted Curly saying: "It was Palm Sunday, so we thought for amusement we would do three free palms. The tattoos had no religious meaning, it was just for the sake of beautiful art." Check more of Curly's beautiful art here. [He's also featured in Black Tattoo Art 2.]
Then, specifically designed to kill my post-vacation buzz, The NY Times published yet another tattoo essay. It wasn't because the word "asymptote" was used twice in an article that was not about geometry. It wasn't because the writer used the word "tat." Ok, maybe it was that, but it was used in this context: "I felt how much I needed, from him and everyone, a certain kind of response: to feel inspired by the tat, and tell me so." The "tat" in question was a Latin phrase homo sum: humani nil a me alienum puto, translated, "I am human; nothing human is alien to me." I can see how it would be interesting if the tattoo was just a hook in the article to have a discussion on what that means...but then the writer brings in all the same stale discussions about getting tattooed post-breakup as some form of reclaiming her body, a declaration of selfhood, and the tattooed body as public space in some form -- all very true, but nothing new. It also neglects another real truism: no one has to break up with you for you to get a tattoo.
Thankfully, The Wall Street Journal came through with an article focusing on the art: "In Brooklyn Mentoring Program, Arts Volunteers Get Tattoos Designed by Teens." The piece discusses tattooer Scott Campbell's work for the arts education non-profit Free Arts NYC, specifically, a project in which he tattooed, for free, the artwork of 10 teenagers from the mentoring program on 10 volunteers -- thereby, connecting them in a powerful way. As noted in the WSJ, Scott wrote of the project:
"The volunteer promises, from that day onward, even if they never see or speak to each other again, to always look at that tattoo and believe in that kid [...] So that no matter where they are or what they're facing, they know there is someone walking around with his or her name on them, believing in them."There's more heart warming discussion in the article. A great read. Scott's art will also be auctioned off April 30th to further benefit Free Arts NYC (with this great promo shown above).
Here are some other links to tattoo news this past week:
I'll keep an eye out for more tattoo news worth sharing! Feel free to post links you like in the Needles & Sins Facebook group, as many of you already do (which I love!).
Part of my weekly To Do list is checking out tattoo artist blogs to see new work, and today I came across a year-in-review post by Jason Butcher: "10 from 2010," which I loved. Jason writes: "This is a list of 10 of my favourite tattoos from 2010. I've been lucky enough to do some really cool work this year so it's hard to choose, but here they are."
I'm a long time fan of Jason's work and featured him in my Black & Grey Tattoo tome. You can find Jason at Immortal Ink in Essex, UK and at tattoo conventions worldwide.


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May 3, 2016
The WIAA released their brackets for the girls basketball playoffs which begin later this month. See the path your team will have to take to get to state. (Brackets will update as they are posted)Click the links below to see the brackets.
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subset: commoncrawl


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This article originally appeared Sept. 7, 2013, on Real Money. To read more content like this, + see inside Jim Cramer's multi-million dollar portfolio for FREE Click Here NOW.IBM's (IBM - Get Report) stock price has been a big disappointment for investors in 2013. The shares are down close to 5% for 2013 vs. the 16%-plus rally in the S&P 500. But, in all fairness, the broader large-cap tech index has struggled in 2013 with minimal year-to-date gains. A large part of this disappointment is related to macroeconomic weakness emanating from Europe and various emerging markets, including China and Brazil. Business is just plain soft. Unfortunately, the company was also negatively impacted by a mix-of-business shift away from sales of high-margin, proprietary UNIX servers and software platforms, and toward lower-margin, industry-standard servers and cloud-based software packages. As a result, in the most recent quarter, management embarked on another round of workforce rebalancing actions that should add $1 billion to the bottom line. The company is also exploring options to exit the server business as it engages in high-level talks with Lenovo, although no actions have come to fruition to date. Given these events, we believe investors should look afresh at IBM at current levels. The company has a very large and stable services-and-proprietary-software portfolio that generates more than 80% of IBM's $17 billion in annual net income. It would be difficult, if not impossible, for competitors to migrate these large books of contracts and software platforms to competing product lines. We expect management, in all likelihood, to take additional actions to further rebalance the franchise toward more services and proprietary software by means of select software and service acquisitions. IBM recently acquired two niche software providers in security for a little over $1 billion. We expect these accretive tuck-in acquisitions to continue. We would also expect IBM to exit the slower-growing and lower-margin hardware divisions in order to improve operating performance. Additionally, we expect management to reward shareholders through its aggressive share-buyback programs. Since 2005, stock-repurchasing has accounted for more than 40% of IBM's per-share earnings growth. Management expects to buy back another $30 billion in stock from 2013 through 2015, for a 15% reduction in the share base from current levels. There is also a potential for this program to be enlarged. CEO Virginia Rometty is committed to hitting the $20 EPS target in 2015, even if this requires larger share buybacks. The company can afford these measures thanks to its strong AA credit rating at Standard & Poor's.
IBM Looks Very Attractive
David Katz
Sep 09, 2013 | 12:34 PM EDT
By David Katz |
Sep 09, 2013 | 12:34 PM EDT
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Bon Iver, Peter Gabriel, Record Stores Scratch Each Others' Backs
Record store day sure yielded some goodies this year. Among the other buzzed about releases on Saturday was a Bon Iver/Peter Gabriel split 7-inch from Jagjaguwar. This is the first of what we hope will be at least a few more Peter Gabriel covers — Gabriel put out an open-ended invitation/challenge to the artists whose work he covered on his recent Scratch My Back album. The goal is to eventually release an eclectic album of Peter Gabriel covers called I'll Scratch Yours. Details are sketchy on future covers, though. It sounded like we might get a Thom Yorke cover of the 1982 song "Wallflower," but Gabriel told NME that Yorke isn't answering his calls right now.
Even if all of the musicians don't come through, so far it looks like the ones who do are going to make up for it. Bon Iver's six-minute cover of "Come Talk To Me" exceeds all expectations. Flip the record over to find Gabriel's gorgeous rendition of "Flume." You can listen to Justin Vernon's version of "Come Talk To Me" on Hype Machine, but, if you like it, for Pete's sake (and Justin's, too), just buy it. If not from a real record store, then it's available on iTunes, as well.
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Today's employers find that they have several employees who either are affected, directly or indirectly, by psychological malady, or are in potential danger of psychological hazards while on the job. Typically, these hazards can produce human capital challenges, as well as extended employee absences, bringing with that sophisticated and complex accommodation situations.
To assist employers in developing and promoting best practices for their employees' mental welfare, the Mental Health Commission of Canada, in partnership with the Standards Council of Canada, the CSA Group, and the Bureau du normalization du Quebec, have launched a nation-wide voluntary employer standard called Psychological health and safety in the workplace – Prevention, promotion, and guidance to staged implementation (the "Voluntary Standard" or "the standard") in January this year.
What is the Voluntary Standard?
The Voluntary Standard sets out guidelines and recommendations that employers are able to modify to fit their organization in their efforts to encourage and promote a healthy psychological work environment. Additionally, it provides implementation recommendations specifically for small, as well as large employers, should they wish to adopt the standard's requirements.
Small to large employers, health care teams, municipalities, provincial and federal ministries, and media organizations have all provided input for the Voluntary Standard with the united goal of ensuring its ability and adaptability across the country.
Employers Adopting the Voluntary Standard – Psychological Health Promotion
As part of adopting the Voluntary Standard, employers are required to commit to procedures for preventing and protecting against both physical and psychological harm. These procedures embody being sensitive to employees' work-related, and non-work-related mental health difficulties.
In the promotion of psychological well-being, employers are advised by the standard to:
- provide employees with mental health resources written or created by the employer, and other resources drawn from the general public; and
- enhance awareness concerning mental health within the workplace by:
- training employees to spot and mitigate psychological hazards within the workplace;
- educating employees on the issues of mental health stigma and safety; and
- providing employees the chance to raise concepts and suggestions for improvement within the employer's psychological safety efforts.
Shall Employers Adopt the Voluntary Standard?
At this time, employers are not required to adopt the Voluntary Standard. In fact, before adopting the Voluntary Standard, employers may want to review the standard to determine if portions of it will assist with its goals – whether or not to maintain organizational sustainability, or improve the attraction and retention of top talent.
At a minimum, employers will likely want to take the opportunity to review the Standard, to achieve a better understanding of current views on mental health and the problems associated with workplace psychological safety and risk – notably, if decision-makers start using the Standard as a resource.
Research Sources: Mondaq, Fasken Martineau


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AbilityCare (HMO SNP) is a Special Needs Basic Care program for people with disabilities who live in our 12-County service area. AbilityCare (HMO SNP) is designed to help
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Diffuse Papular Eruption - Photo Quiz
Cardiovascular Risk Profiling in Blacks: Don't Forget the Lipids - Editorials
Yellowish Papules on a Middle-aged Man - Photo Quiz
Pharmacologic Treatment of Hyperlipidemia - Article
ABSTRACT: Pharmacologic treatment of hyperlipidemia in conjunction with therapeutic lifestyle changes can be used for both primary and secondary prevention of cardiovascular disease. Statins have the most convincing data for primary prevention, especially for higher risk patients. Therefore, risk stratification is essential. Statin therapy is also recommended for secondary prevention in all patients with known cardiovascular disease or the risk equivalent. High-dose statins should be initiated in patients with acute coronary syndrome. Omega-3 fatty acids may be a good alternative after myocardial infarction for patients who cannot tolerate statins. Fibrates and niacin have not been shown to reduce all-cause mortality in secondary prevention, but may be useful adjuncts when statins alone cannot adequately con- trol lipid levels. Other cholesterol-lowering medications used for primary or secondary prevention of cardiovascular disease have not been shown to consistently improve patient-oriented outcomes. There is good evidence for using statins in the secondary prevention of stroke and peripheral arterial disease.
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May 2, 2016
Savannah Wiggins
SCHOOL: Southern Wayne High School
NAME: Savannah Shay Wiggins
PLANS FOR NEXT YEAR: Attend NC State University
FAVORITE SCHOOL SUBJECT: English
FAVORITE EXTRA-CURRICULAR ACTIVITY: Volleyball/Softball
FAVORITE BOOK: To Kill A Mocking Bird
FAVORITE SONG: Cruise: Florida Georgia Line
FAVORITE BAND: Taylor Swift
FAVORITE TV SHOW: Pretty Little Liars
FAVORITE MOVIE: Fireproof
FAVORITE ACTOR/ACTRESS: Ryan Gosling
FAVORITE FOOD: Italian food
FAVORITE THING TO DO ON WEEKENDS: Spend time with my friends and family
FAVORITE SEASON: Summer
FUN FACT: I have a twin brother
IF YOU WERE STRANDED ON A DESERTED ISLAND AND COULD ONLY TAKE ONE ITEM WITH YOU, WHAT WOULD IT BE?: Tanning lotion
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Greenock & District School Photographs
A large collection of school photographs from Greenock, Gourock, Port Glasgow, Inverkip, Wemyss Bay, dating back to 1900.
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A team of six students from various Departments of College of Business and Department of Physics and Engineering at Delaware State University won second place in 2014 Innovations in Social and Business Entrepreneurship Business Plan Competition.
The group of DSU students include: Anju Polas; Lawer Angmor-Teye; Deantrae Matthews; Richard M. Garner; Dinesh Chowdhary; Kameron Catron-Mitchell.
The team of students competed with students from universities and colleges in the District of Columbia, Delaware, Maryland, Virginia and West Virginia.
The purpose of this competition was to educate and provide an experiential opportunity to showcase the creativity of tomorrow's business leaders.
The DSU students had been working on a project, "Next-generation sensors for improving human health and urban air quality- A technology driven business model for young entrepreneurs" and funded from DSU PRIDE grant.
The second place prize was $3,000, which the students will split up.
Location, ST | website.com


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Ian Bostridge delivers riveting Schubert recital in Baltimore debut for Shriver Hall Concert Series
Fans of vocal music are often known to lament the present state of singing, usually along the lines of 'the voices all sound the same' or 'you should have heard so-and-so in the good old days.' Heck, I've been known to utter the same sort of comments, even if my perspective on the 'good old days' comes primarily from recordings. But the truth is that every age produces distinctive voices, including ours, and voices just don't get much more distinctive than that of Ian Bostridge.
The English tenor, who made his overdue Baltimore debut Sunday night presented by the Shriver Hall Concert Series, produces a basically reedy tone that has remarkable clarity and immediacy. The timbre may be thinner than that of tenors who typically excite audiences, but it is so full of subtle coloring that it grabs you instantly. And Bostridge employs this sensitive vocal instrument with uncanny musicality, enabling him to communicate a text and shape a melodic line so incisively that the effect can be transfixing. In terms of artistry, I think he can stand comparison to any great singer of the past, certainly any singer who ever ventured deep into lieder territory.
In terms of stage demeanor, he's in a rare class as well. I know some folks can't stand the way he wanders around while singing, or leans at odd angles against the piano (and sometimes turns to stare into it), or casually puts his hands in his pockets. It doesn't bother me. A lot of what he does physically reminds me of how a classy pop singer performs in an intimate setting (think Tony Bennett), and I don't see why that can't work for Schubert songs just as easily as for Cole Porter.
Bostridge brought a whole evening's worth of Schubert to Shriver. His choice of 20 from among the composer's 600 or so lieder was imaginative, with only one greatest hit (Die Forelle) and with many a connective thread holding them all together -- textual (the last line of Auf der Risenkoppe was the title of the next song in the program, for example); harmonic; atmospheric.
Fittingly, the recital opened with ...
a song rich in images of spring (Im Fruhling), and the gentle warmth of the tenor's singing, with its refined articulation and wealth of dynamic shading, was as heartening as all the pastel blossoms outside. Throughout the concert, Bostridge made great use of his ability to float soft high notes, as in Nachtviolen. Moments of forceful drama, especially if they involved his low register, were not always as impressive, but there wasn't a note that didn't register in a meaningful way.
In Totengrabers Heimweh, Bostridge reached a height of expressiveness in the concluding lines, about a gravedigger ready to embrace death himself. The tenor, gradually reducing his sound to a kind of whisper, produced a time-stopping, profoundly moving effect. (Having just come from the BSO's performance of Mahler's Ninth, with its own hints of expiration, I found Bostridge's account of that song particularly powerful.)
At every step of the way, pianist Julius Drake was as masterful at getting to the heart of Schubert's music as the singer was. Never just an accompanist, Drake show himself to be quite a poet at the keyboard. And his technical skills got as much of a workout as his expressive ones; in such perpetual motion challenges as Auf der Bruck and Im Walde he maintained exceptional control.
There were two encores of more Schubert (the audience at Carnegie Hall got three after the same program was performed the week before). I could have stayed for at least a dozen more.
For those of you who missed the recital, and those who were there and would like to relive a bit of it, here's a recording of Bostridge performing Im Fruhling.


text: What railroad(s) do you model and why? Oct 28, 2013 8:28:33 GMT -8 Quote Select PostDeselect PostLink to PostMemberGive GiftBack to Top Post by Rockin' Rick on Oct 28, 2013 8:28:33 GMT -8 PRR ca. 1955. Spent a ton of time on the platforms at Narberth PA where my maternal grandparents lived from late 50s until I moved out of the area in 1980. Took many, many trips on the Paoli line (and that good old Red Arrow too). The Pennsy just got in my blood. I'm not quite old enough to remember my modeling era but I chose it because it was the time steam and diesel were working together, and the Circle & Shadow Key co-existed. Thanks to the PRRT&HS I have a ton of resources to make sure I get it right.-Rick S.


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Butch's Bore Shine is a very good bore cleaning solvent. Formulated by a long-time competitive benchrest shooter to remove powder fouling easily, especially in the throat area. It removes copper fouling without being abrasive, and it can be used to soak a barrel for an extended period of time. Works very well. Follow up with Butch's Gun Oil. CANNOT BE SHIPPED OUT OF THE U.S. This item can only ship UPS Ground within the continental United States.
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Peter Demianovitch Ouspensky was a pupil of George Gurdjieff in Russia during the first quarter of the twentieth century. A journalist by training, Ouspensky naturally received his teacher's wisdom with an eye of re-expressing it literally, which he did in his book In Search of the Miraculous. The book documents his fie years of intense work with Gurdjieff, discussions on ancient wisdom and its wide misinterpretation, as well as emerging buds of a modern Fourth Way expression.
The Russian Revolution and World War I disrupted Gurdjieff's ability to teach in Russia. Furthermore, Gurdjieff seemed to adjust his methods in a way disagreeable to Ouspensky, forcing the student to sever his connection with the teacher and attempt to build his own groups. Ouspensky founded Fourth Way groups in London and New York, in which he would lecture for the rest of his life.
In retrospect, Ouspensky proved to have played a significant part in formalizing Gurdjieff's Fourth Way expression. The "Fourth Way" – as Gurdjieff's wisdom has come to be known in our age – draws its name and fame largely from Ouspensky's literary efforts. His books remain to this day the most authoritative and detailed accounts of Gurdjieff's message and work. Ouspensky died a year before Gurdjieff, and despite the rift between teacher and student, Gurdjieff was the first to see Ouspensky's literary account of his teaching, and approved it with much satisfaction.
Below are listed posts on ancient wisdom as expressed by Peter Ouspensky:
http://youtu.be/vnto-9Q6A5k When I launched the Ancient Wisdom Network earlier this year, I presented it as an experiment in building an online Ark. The idea was inspired by a pattern I had discovered in all previous wisdom schools: from the beginning of recorded history till our day, wisdom has [...]


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Sting was an Elvish long knife made in Gondolin during the First Age.
Sting was an ancient blade and was lost during the Fall of Gondolin, the same battle in which Turgon fell and Glamdring was taken.
The blade was carried by Bilbo in The Hobbit after he found it in a Troll-hoard. Sting was found alongside Glamdring and Orcrist. Though just a knife by the standard of elves, it made a perfect short sword for a Hobbit. A typical Gondolin weapon, it glowed blue whenever Orcs/Goblins were close by. It was christened Sting by the spiders of Mirkwood Forest, many of whom were "stung" by Bilbo with it.
Just before his nephew left on his quest to Mordor, Bilbo gave Sting to Frodo. Sam then took the weapon from his (seemingly dead) master and used it to good effect against Shelob on the borders of Mordor. After the defeat of Sauron at the end of the Third Age, Frodo entrusted Sting to Sam and it became an heirloom of the Gamgee family.
Gollum, who disliked anything made by the elves, was afraid of Sting. This fear aided Bilbo when he confronted Gollum in a cave at the base of the Misty Mountains in The Hobbit (the book). It also helped Frodo and Sam subdue Gollum in The Lord of the Rings. Orcs also had an instinctive fear of these weapons and hated any who carried them.
As is fitting for a blade of Gondolin, Sting could easily cut through the webs of the offspring of Ungoliant, including the spiders of Mirkwood and the evil Shelob herself.
The only way to explain the sword's survival through the War of Wrath is that the sword somehow was taken out of Beleriand within the 43 years after Gondolin's fall and before the end of the First Age. This was most likely accomplished by one of the flightless dragons involved in Gondolin's fall, most probably the dragon later to be known as Scatha the Worm. After fleeing east with the spoils of Gondolin, including Glamdring, Orcrist, and Sting, Scatha established a lair on the southern slopes of Grey Mountains (Ered Mithrin). Roughly around 2000 of the third age, Scatha was killed by Rohirrim leader Fram but the hoard was disputed by the dwarves (it undoubtedly did contain many dwarven treasures as well, like the horn gifted to Meriadoc by Eowyn). The dwarves killed Fram and made off with some of the hoard most likely including the swords of Gondolin. The swords would have been used 700 years later in the battles between the dwarves and the orcs revenging the death of Thror and culminating in the Battle of Nanduhirion (where young Thorin Oakenshield earned his name). Thus the orcs would have a fresh fear of Biter and Beater (as demonstrated by their reactions when they capture Bilbo and company). Years after the battle, the dwarven wielders of the Elvish swords were most likely relocating to Lindon during the Fell Winter of 2911 when they were waylaid unsuspectingly by trolls in the Ettenmoors. Thus the swords ultimately fell into the hands of the three trolls from The Hobbit by the end of the Third Age.
Portrayal in Adaptations
In Peter Jackson's adaptations, Sting is depicted as vaguely leaf-shaped, with gently curving edges, such as Tolkien described in his book. Engraved on the blade are Sindarin letters that read phonetically, "Maegnas aen estar nin dagnir in yngyl im". Translated they read, "Sting is my name; I am the spider's bane". According to the appendix of The Silmarillion, the element maeg in Sindarin means 'sharp' or 'piercing', and the Etymologies section in The Lost Road and Other Writings gives the meaning of the element nass as 'point', so "Maegnas" is literally translated as "sharp-point".In the books there is no mention that Bilbo had the blade inscribed, but the inscription is not present in the The Hobbit adaptation. Since Bilbo named the blade Sting, then Bilbo could have had it inscribed by the elves during the story of The Hobbit or after. Or the elves inscribed it for him in honor of Bilbo after he returned to live in Rivendell. This seems likely since the engraving is in Sindarin and the elves obviously would have had the best experience in reshaping a blade such as Sting.
External links
- Sting at Tolkien Gateway
- Sting Replica A glowing Sting orc sword with plaque for sale at SwordAxe.com


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June 9, 2010
Bryan Cisler
Defensive tackle Terry Redden noticed this spring that college coaches from all over the country were at his high school evaluating him. One of those coaches was Kansas defensive coordinator Carl Torbush. Kansas along with Clemson, Memphis, Ole Miss, Mississippi State and Western Kentucky offered the 6'1, 277-pound defensive tackle. ...More... To continue reading this article you must be a member. Sign Up Now!
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A mere 30-minute drive from Ortigas Center via Ortigas Avenue,the resort is beautifully sprawled along 1.3 hectares of property with manicured gardens in between the different hotel and conference buildings. Gems Hotel and Conference Center is located along the Circumferential Road of Antipolo City, near the road going to Tanay,Rizal. It is beside a Shell Gasoline station and across from a Good Year Servitek.
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We offer rooms of varying sizes and amenities. All are air-conditioned with toilet and bath as well as Cable TV.


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For Manuscript Submission, Check or Review Login please go to Submission Websites List.
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|Table of Contents
|Vol. 35, No. 4, 2013
Issue release date: May 2013
|Section title: Original Paper
Modeling of the Impact on Health Outcomes of the Use of Dabigatran in Patients with Atrial FibrillationChevalier J.a · Giroud M.b · de Pouvourville G.a
aChair of Health Systems, ESSEC Business School, Cergy-Pontoise, and bDijon Stroke Registry, EA4184, Department of Neurology, University Hospital and Medical School of Dijon, University of Burgundy, Dijon, Paris Corresponding Author
Julie Chevalier
Chair of Health Economics and Management
ESSEC Business School, Avenue Bernard Hirsch
PO Box 50105, FR-95021 Cergy-Pontoise Cedex (France)
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Background: Atrial fibrillation (AF) is the main direct cause of stroke. Prevention by anticoagulation or antithrombotic treatment is required, vitamin K antagonists (VKAs) and aspirin being the main agents. Dabigatran etexilate is a novel oral direct thrombin inhibitor. The RE-LY study demonstrated that in patients with AF, the rates of stroke and systemic embolism were similar (at a dose of 110 mg) or lower (at a dose of 150 mg) than those observed in patients treated with warfarin, a VKA. The aim of the present study was to estimate, through modeling, the number of severe events avoided with dabigatran at dosages of 110 mg (D110) or 150 mg (D150) twice daily compared to warfarin, when prescribed in the French population for patients with AF who meet the inclusion criteria of the Randomized Evaluation of Long-Term Anticoagulant Therapy (RE-LY) study. Methods: We used a decision tree type model to simulate the outcome at 5 years in a cohort of patients eligible for treatment with dabigatran. We compared 3 hypothetical cohorts: all AF patients are treated with D110, D150 and warfarin. Based on the probabilities of occurrence of the different outcomes observed in the RE-LY study and in the Dijon Stroke Registry, we simulated for each year during 5 years the evolution of the 3 cohorts. The model allows to simulate a prevalent cohort of 461,392 patients at year zero, with a follow-up of 5 years ('constant prevalence model'), and it can also take into account incident patients during 5 years ('dynamic prevalence model'). The different events taken into account were: major hemorrhages (excluding hemorrhagic strokes), myocardial infarctions, hemorrhagic strokes, ischemic strokes, recurrence of strokes (without differentiating the mechanism) or deaths. Results: Considering the constant prevalence model, the use of D110 instead of warfarin for the whole target population in France would permit to avoid 10,012 events and to save 18,879 years of life in a period of 5 years. These figures are 13,484 and 27,736 for D150 instead of warfarin. Considering the dynamic prevalence model, the use of D110 for the whole target population in France would permit to avoid 13,620 events and to save 22,674 years of life in a period of 5 years. These figures are 18,186 and 33,091 for D150. Conclusion: The use of dabigatran would lead to a significant reduction of strokes and deaths attributable to AF in France.
© 2013 S. Karger AG, Basel
Atrial fibrillation (AF) is the most common heart rhythm condition in France. The incidence increases with age and 10% of people over 80 years of age are affected [1].
AF is the main direct cause of stroke. As strokes in AF patients are particularly severe and disabling, its prevention is of great importance in this population [2,3]. Vitamin K antagonists (VKAs) and aspirin are presently the main preventive agents. VKAs have been shown to reduce the risk of stroke by 68% compared to aspirin [4] but have a narrow therapeutic window of anticoagulation and present many interactions with food or other drugs. If overdosed, VKA administration presents an excess risk of hemorrhages, and protection from stroke is lessened in case of underdosing. Thus, VKAs require regular international normalized ratio (INR) monitoring and dose adjustments to be effective.
Dabigatran etexilate is a novel oral direct thrombin inhibitor which provides stable anticoagulation with a fixed dose and no need of anticoagulation monitoring. It has been marketed since 2008 for the prevention of venous thromboembolic events in patients undergoing scheduled surgery for total knee or hip replacement. The Randomized Evaluation of Long-Term Anticoagulant Therapy (RE-LY) study [5,6] demonstrated that dabigatran is effective in the prevention of thromboembolic events in patients with AF. It compared 2 dosages of dabigatran (110 and 150 mg) twice daily to warfarin (dosage adjusted on INR). It demonstrated that the rates of stroke and systemic embolism were similar (110 mg) or lower (150 mg) than that observed in patients treated with warfarin. The risk of major hemorrhages was similar (150 mg) or lower (110 mg).
The aim of the present study was to estimate the number of severe events avoided with dabigatran (110 or 150 mg) compared to warfarin, when prescribed in the French population of AF patients who met the inclusion criteria of the RE-LY study. For this purpose, the outcome at 5 years in a cohort of patients eligible for treatment with dabigatran was simulated for 3 hypothetical cohorts where all patients are treated: with dabigatran 110 mg (D110), dabigatran 150 mg (D150) and warfarin.
The 5-year time horizon corresponds to the periodicity of the reappraisal of a medicinal product by the French reimbursement body. The model provides an estimation of the 'public health impact' of a new treatment, required to document access to reimbursement. Two scenarios were studied: one estimates the outcomes for a cohort of patients put under treatment at year 1 and followed up during 5 years, and one includes annual incident patients.
In 2009, the estimated prevalence of patients with AF in the French population was 569,298 patients, with an annual incidence of 94,530 [7]. Taking into account the inclusion criteria of the RE-LY study, a potential cohort of 461,392 patients was retained (81% of AF patients) with an annual incidence of 72,534 [7].
Morbidity and mortality data used were derived mainly from the RE-LY study [5,6], as well as from data analysis of the Dijon Stroke Registry. Results of a meta-analysis on treatments used in the prevention of stroke in patients with AF [8] were also used to estimate the rate of occurrence of events for patients switching to aspirin after a hemorrhagic event.
The population-based Dijon Stroke Registry provides estimations on incidence rates, survival and recurrence after a stroke, according to etiology. It records all cases of stroke which occurred in patients living in the city of Dijon (150,000 inhabitants) and records data on 4,181 patients who experienced a stroke between 1985 and 2009. In the present study, patients aged over 18 years at the time of their stroke were selected. Only patients whose first stroke lasting more than 24 h had occurred before 2004 were kept in order to have a follow-up of at least 5 years. We chose the data interval of the last 20 years to trade off between recent data and a sufficient number of cases. The final number of cases was 2,605 patients (62% of the registry data).
In the registry, etiology is recorded using the following categories: hemorrhagic stroke (14.0%), lacunar stroke (23.3%), cardioembolic stroke (17.6%), other ischemic stroke (41.9%), other not specified.
The AF status of patients experiencing a stroke and registered was not available. Since the origin of strokes for AF patients is cardioembolic, we chose to model survival for AF patients after stroke using data relative to this etiology. Patients for whom the mechanism of stroke was either a cerebral hemorrhage or a subarachnoid hemorrhage were defined, in our study, as patients with hemorrhagic stroke.
We used a decision tree type model, programmed with SAS 9.1. We simulated for each year during 5 years the evolution of a cohort of patients eligible for a treatment with dabigatran. Each year the rate of occurrence of the different events was applied to the cohort of patients, taking into account events which had occurred in previous years. The model simulates a prevalent cohort of 461,392 patients, with a follow-up of 5 years ('constant prevalence model'), and takes into account incident patients, assuming a constant incidence per year and all incident patients requiring anticoagulation ('dynamic prevalence model').
The different events taken into account were: major hemorrhages, myocardial infarctions, hemorrhagic strokes, ischemic strokes, recurrence of strokes and deaths.
For each event, the rate of occurrence observed in the RE-LY study was used until a stroke occurred. After the occurrence of a stroke, the probability of recurrence and of death applied was based on the Dijon Stroke Registry's data year by year and differs depending on whether the event was an ischemic or hemorrhagic stroke. Due to the lack of specific data in the French context, we formulated the hypothesis that the occurrence of myocardial infarction did not change the rate of occurrence of consecutive events.
The median duration of follow-up in the RE-LY was 2.0 years; we assumed in the model that the differential efficacy of dabigatran versus warfarin was maintained from year 3 to 5.
The occurrence of the different outcomes was simulated according to 3 courses of treatment: D110, D150, warfarin.
The number of years of life saved was calculated as the difference between the number of years of life observed when all the patients are treated with dabigatran and with warfarin. For example, a patient alive after 5 years will contribute for 5 years in the total number of years of life whereas a patient dying at year 3 will contribute for 3 years.
Results are presented compared to warfarin (D110 vs. warfarin and D150 vs. warfarin). We counted the number of events avoided and the number of years of life saved at 5 years.
Strokes. The yearly rates of hemorrhagic stroke were 0.12, 0.10 and 0.38%, respectively, when patients were treated with D110, D150 and warfarin [5,6]. The relative risk (RR) of a hemorrhagic stroke during treatment with aspirin compared to warfarin is 0.55 [8]. Based on data provided by Boehringer Ingelheim on request from the authors, 51.6% of hemorrhagic strokes were fatal at 90 days, whether patients were treated with D110, D150 or warfarin, and 25.9% in patients treated with aspirin.
The yearly rates of ischemic stroke were 1.34, 0.92 and 1.21%, respectively, when patients were treated with D110, D150 and warfarin [5,6]. The RR of ischemic stroke during treatment with aspirin compared to warfarin was 1.68 [8]. Lastly, based on data provided by Boehringer Ingelheim on request from the authors, 21.1% of ischemic strokes were fatal at 90 days in patients treated with D110, 25.1% with D150, 22.6% with warfarin and 23.9% with aspirin.
The probabilities of survival after a stroke, of recurrence and of survival after recurrence were calculated based on data from the Dijon Stroke Registry.
Recurrence of Strokes. Based on the data from the registry, we considered a single recurrence in the 5-year period. Therefore, the events after a recurrence are a major hemorrhage, a myocardial infarction, or death.
Major Hemorrhages. The yearly rate of major hemorrhage was 2.75% when patients were treated with D110, 3.22% with D150 and 3.19% with warfarin (data provided by Boehringer Ingelheim on request from the authors). Van Walraven et al. [9] estimated that 18.2 and 15.4% of cases of major hemorrhages were fatal during treatment with warfarin and aspirin, respectively. We assumed that the proportion of cases of fatal major hemorrhages was the same during treatment with dabigatran as with warfarin.
Lastly, we assumed that the occurrence of a major hemorrhage resulted in discontinuation of anticoagulation therapy and its replacement by aspirin. The RR of major hemorrhage during treatment with aspirin (compared to warfarin) was 1.14 [10].
Myocardial Infarctions. The yearly rate of myocardial infarction was 0.82, 0.81 and 0.64% when patients were treated with D110, D150 and warfarin, respectively [5,6]. The RR of infarction during treatment with aspirin (vs. warfarin) was 1.60 [10]. Although these rates were found to be not statistically different in the RE-LY study, data have been incorporated in our model to perform a probabilistic sensitivity analysis. Cases of infarction were fatal in 1.11% of cases (data from clinical report).
Deaths. The death rate from all causes (including fatal events) was 3.75, 3.64 and 4.13% when patients were treated with D110, D150 and warfarin, respectively. The RR of death during treatment with aspirin compared to warfarin was 1.09 [10].
All rates of occurence of events are presented in table 1.
We conducted a multivariate sensitivity analysis to estimate the confidence intervals around the difference in frequency of events (D110 vs. warfarin and D150 vs. warfarin).
Occurrence rates of the different events were assumed to follow a normal distribution and we used Wald's method to calculate the confidence interval. According to this method, it is defined as follows:
where p is the observed proportion in the sample, n is the sample size.
For each event, new rates of occurrence were randomly drawn in that confidence interval (CI) and 1,000 new rate sets were created. For each rate set, the difference between the number of events with dabigatran and with warfarin was calculated. We kept the 2.5th and the 97.5th percentiles to obtain a 95% CI for each difference in number of events.
413 (16%) cardioembolic strokes, 364 (14%) cerebral or subarachnoid hemorrhages and 1,828 (70%) strokes with another origin registered in the Dijon Stroke Registry met the inclusion criteria. Patients who had a cardioembolic stroke were older on average than others: the mean age in this group of patients was 80 years (SD = 9) versus 73 years in the other two groups (SD = 14-17; p < 0.0001). Lastly, 47% of the population was male.
Survival after a stroke differed depending on the mechanism of stroke (p < 0.0001). One year after a first stroke, 55% of patients were still alive when the stroke was cardioembolic, 57.7% when it was a hemorrhagic stroke, and 77.9% in other cases of stroke. At 5 years, 31.1% of patients were still alive after a cardioembolic stroke, 42.1% after a hemorrhagic stroke and 53.4% after another type of stroke (table 2).
430 cases of stroke recurrences were recorded in the Dijon Stroke Registry. Table 3 lists survival probabilities without recurrence. Thus, 1 year after a first stroke, 53.5% of patients who had a cardioembolic stroke were still alive without recurrence versus 55.8% of patients who had a cerebral or subarachnoid hemorrhage and 75% of patients in whom the mechanism of the first stroke was of another origin.
Constant Prevalence Model
Results (including CIs) are presented in table 4. Prevention with D150 would allow to avoid 10,841 (95% CI: 2,868-19,323) strokes (not counting recurrences). Although the model predicts also fewer strokes for D110 (2,443; 95% CI: -5, 852 to 10,895), this difference was not statistically significant, the CI including zero.
The model predicts an excess of 1,332 major hemorrhages when patients are treated with D150 (as D110 avoids 8,395 major hemorrhages) and an excess of 3,728 and 3,601 myocardial infarctions with D110 and D150, respectively. The number of deaths avoided is 6,770 and 10,565 with D110 and D150, and the number of years of life saved is 18,879 (95% CI: -18, 886 to 55,224) and 27,236 (95% CI: -2, 551 to 67,005).
Overall, the cumulative number of morbid events, a net unweighted measure of the clinical benefit of treatment, reaches 7,136 for D110 in a period of 5 years and 6,062 in the same period for D150 (for results with CI, see table 4). When deaths are included, the results favor D150 (10,012 vs. 13,484).
Dynamic Prevalence Model
Considering incidence during 5 years increases the number of events. The number of strokes avoided becomes respectively 3,299 and 14,607 with D110 and D150. This benefit is significantly positive with D150. The model predicts an excess of 1,651 major hemorrhages when patients are treated with D150 (as D110 avoids 11,307 major hemorrhages) and an excess of 4,963 and 4,781 myocardial infarctions, respectively, with D110 and D150. The number of deaths avoided is 9,191 and 14,085 with D110 and D150, and the number of years of life saved is 22,674 (95% CI: -22,693 to 66,201) and 33,091 (95% CI: -3,227 to 80,125).
Overall, the cumulative number of morbid events reaches 9,674 for D110 in a period of 5 years and 8,360 in the same period for D150 (for results with CI, see table 4). When deaths are included, the results favor D150 (13,620 vs. 18,186).
Our model predicts that, relative to each dose, dabigatran has the potential to avoid between 13,620 and 18,186 events over a 5-year period. A gross extrapolation of such numbers to the European Union population, assuming similar prevalence of AF in all countries, leads to a range of 146,000-179,000 morbid and fatal events avoided.
The unweighted sum of morbid events alone can be considered as a crude measure of the net clinical benefit of dabigatran versus warfarin. It is more extensive than the published calculations of the net clinical benefits of novel anticoagulants [11,12], which only consider the balance between ischemic strokes and intracranial hemorrhages, whereas we include major hemorrhages and myocardial infarction. When fatality is not taken into account, D110 appears to be superior to D150, due to a lower number of major hemorrhages than warfarin and D150. If mortality rates are considered, D150 is dominant. This result is strengthened by the results of the RE-LY study: D150 demonstrated a significant reduction for vascular death and a nearly significant difference for overall deaths. Estimation of the number of deaths must nevertheless be taken cautiously, considering the large CIs around the point estimates.
Our choice of a 5-year period did not allow us to compare our predictions with other published models, which all use a lifetime horizon. As such, it does not allow to compute a cost-effectiveness ratio. Nevertheless, it is plausible that results in France would be close to results published in countries with comparable daily cost of treatment of dabigatran, which is the case for Canada and the UK. All things equal elsewhere, the price of dabigatran is an important driver of the cost-effectiveness ratio. In France, dabigatran has obtained a flat daily price for both dose of EUR 2.53, whereas the price reported in cost-effectiveness studies in the UK [13,14] was EUR 3.15 (GBP 2.52) and EUR 2.52 (CAD 3.20) in Canada [15]. In the three published cost-effectiveness studies of dabigatran in the UK and Canada, the point estimate incremental cost-effectiveness ratios were under the usually accepted thresholds, with the exception of the subgroup of patients with a well-controlled INR under warfarin in Pink et al. [14].
Our model presents the following limitations. Our estimations are based on the efficacy results of the RE-LY, which may not be reproducible in real life. As stressed by Pengo et al. [16], the absence of testing for anticoagulation, which alleviates the burden of monitoring for patients, may also lead to lower compliance and persistence. Moreover, poor compliance may put patients at risk because of the rapid reversibility of anticoagulation versus VKAs. Conversely, our model assumes that patients under warfarin would have the same quality of control as in the trial, which is not the case in France: according to a transversal survey performed by the French Drug Agency on the observed results of INR testing, only 46.1% were in the range from 2 to 3 [17].
Mortality rates were not adjusted for age. Indeed, mortality, from all causes combined, increased with age but cases of stroke were also more frequent in older subjects. We applied the mortality rate observed in the RE-LY study (mean patient age: 71.6) and in the stroke registry (mean age of cardiocerebral and hemorrhagic stroke patients: 77) to older patients. The mean age of the dabigatran target population, in the French cohort, was 77.9 years. The published clinical trial data did not permit taking this difference into account, since results according to age were not reported.
Patients in the dabigatran target cohort were at higher risk than patients recorded in the Dijon Stroke Registry, since this registry did not identify patients with AF. Several studies have demonstrated that patients with AF have a higher risk of stroke than the general population. In the Framingham Heart Study, patients with AF had a 5 times greater risk of stroke than other patients [18]. Furthermore, strokes were severer in patients with AF [19]. They were fatal in almost twice as many cases, and morbidity was also higher. Lastly, severity of stroke increased with age: in patients over 75 years old, half of the stroke cases were severe or fatal. After 1 year of follow-up, 63% of patients with AF who had a stroke died, versus 34% in other patients, and 23% had a recurrence of stroke versus 8%. In the FINMONICA Study [20] which included 7,000 patients who had a first ischemic stroke, patients with AF had a risk of death 1.26 times greater than other patients. Similarly, in the European Stroke Project [21], mortality 28 days after a first acute stroke was higher in patients with AF (19.1 vs. 12%). Patients with AF also had a higher risk of recurrence [22]. The rate of recurrence and death after a stroke in the model is probably underestimated.
On the other hand, assuming that the occurrence of myocardial infarction did not increase the risk of subsequent events overestimates the benefits of dabigatran, since the simulation resulted in an excess of events as compared to warfarin, although this difference was not statistically significant.
The objective of our study was to provide French decision-makers with an estimation of the number of events avoided in patients treated with dabigatran versus warfarin over a fixed period of time, in order to provide them with expected outcomes. Our results show that for both the 110- and 150-mg doses, the cumulative number of morbid events avoided versus warfarin is positive (but not significant) and the lower limit of the CI around the number of stroke avoided versus warfarin is positive, thus providing treated patients with a clinical benefit.
The study was supported by a grant from Boehringer Ingelheim.
Julie Chevalier
Chair of Health Economics and Management
ESSEC Business School, Avenue Bernard Hirsch
PO Box 50105, FR-95021 Cergy-Pontoise Cedex (France)
E-Mail firstname.lastname@example.com
Received: July 31, 2012
Accepted: January 02, 2013
Published online: April 23, 2013
Issue release date: May 2013
Number of Print Pages: 7
Number of Figures: 0
Number of Tables: 4
ISSN: 1015-9770 (Print)
eISSN: 1421-9786 (Online)
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How do I help my kindergardner make friends at school?
My daughter is kind of shy and she can be bossy at times. She has told me since she started kindergarden she really didn't like it much but she seemed to makes a few friends and it was going better. I volunteer in her class and she seems to get a long okay with the other kids but today she I was asking which kids she usually plays with on the playground she told me she plays alone and that the other kids don't want to play anymore. It broke my heart to hear that I tryed to get her to elaborate but she won't. I hate to see her left out but I don't know how to help. Any suggestions?
Posted: 02/08/2011 by Chelsea50
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The "Bossy-ness" wears off soon. My daughter found out kids do not want to be bossed if you want friends, also I got her into Daisy's which helped her make a lot of friends.Just be patient and explain to her to be nice and try to make friends with another shy child in her class.At that age they want everything their way and sometimes you have to give in and take turns to make friends. My daughter also joined the Garden club at her school and we go to all her school functions where she can mingle with her peers!posted 02/10/2011 by peapie2004
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Heading into the semi-finals stage of the Pan Am Championships Canada appears to be in charge, and surprisingly the Americans find themselves fighting for fifth place now. The Canadians won all of their ties, and only lost one match against Brazil. Later today Canada will play Mexico in their semi-final tie, while Peru will play Brazil in the other semi-final. Unfortunately we have no way of telling the specific match results or who played who, but if you want to follow the results you can find the draws linked below:
Pan Am Championships Team Draws
One Response to Pan Am Championships 2009: Canada In Charge So Far
It would be nice if the results were on Sportsdesk and other information outlets.


text:
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Home » Bureaus/Offices Reporting Directly to the Secretary » Deputy Secretary of State » Bureau of Budget and Planning » Releases on Budget and Planning » Department of State Budget in Brief » FY 2009 Budget in Brief » PDF Version
Released February 4, 2008
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External links to other Internet sites should not be construed as an endorsement of the views or privacy policies contained therein.


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Dear Colleagues,
The substantial growth in the size and quality of Saint Mary's undergraduate student enrollment that began in fall 2010 continued for the fall 2012 term. Of particular note for fall 2012 is progress in strengthening new undergraduate enrollment in several targeted areas, including international students, African American students and transfer students enrolling with academic honors at entrance. The attached tables and charts provide descriptive and historical information on new undergraduate student enrollment.
Total undergraduate enrollment of 2,863 is the largest in College history. Since fall 2009, undergraduate headcount enrollment has grown by 20.3% (484 students). The fall 2012 total exceeds the College's budget target by 40 students. A larger than budgeted new student enrollment (66 students) led to this result.
New undergraduate student enrollment of 826, the third highest in College history, is comprised of 623 first-year and 203 transfer students. As has been the case since the spring 2010 term, record high enrollment of transfer students has been the primary factor leading to growth in both new student and overall undergraduate enrollment.
Since fall 2009, applications for first-year admission have grown by 62.8% (2035.) For fall 2012, a 9% increase in first-year student applications, a record low admit rate (65%) and yield of 18% netted 623 new first-year students. Yield on admitted students has fallen by 25% (from 24.1% to this year's 18.05) since fall 2010, a matter of some concern.
Transfer applications have risen a remarkable 84.5% (317) and enrollment by 65.0% (80 students) since fall 2009. For fall 2012, new transfer enrollment of 203 is the second highest in College history, only exceeded by the fall 2012 all-time high of 212. Yield on admitted transfer students has remained more constant than first-year student yield.
The strengthening of the academic profile of the College's entering class that began in fall 2009 continued for fall 2012. A record number of first-year students enrolling with honors at entrance (114) and an all-time low admit rate (65%) resulted in the class's average GPA and rising to 3.58 and a test score average of 1119, which is 1 point lower than last year's 1120. Most striking was the all-time high enrollment of 40 new transfer students with academic honors at entrance (requiring a transfer GPA of 3.5 or better). This total compares with 8 students just three years ago!
Ethnic diversity of the entering class remained strong for fall 2012, with over 50% identifying themselves as other than white. Growth in African American students (from 4.8% last year to 6.4% for fall 2012) and in Latino students (25.8% last year to 27.0% this fall) was coupled with steady enrollment of Asian American (19.8%) and Native American students (2.9%.) International student enrollment nearly doubled to just under 3% of the entering class. Unlike growth in international students, the number of students enrolling from states other than California (69, or 11%) declined to the lowest level in over a decade. The proportion of students enrolling from public high schools (61%) exceeded any previous year in College history.The male portion of the first-year class was the largest in a decade, 41.4%.
Economic Profile
In a year filled with public concern about the rising cost of college, student educational loan debt and cuts to Cal Grants, average net tuition per new student at Saint Mary's rose to $23,255. The new student discount rate for fall 2012 of 34% was slightly lower than last fall's 34.9% and in line with the College's budget target even after making late adjustments due to the Governor's Cal Grant reductions. The proportion of new students qualifying for Pell Grants declined slightly to 29%.
The past year provided additional evidence of the extent to which prospective students in the West were looking for alternatives to the long dominate public sector of higher education. While students continued to apply to state institutions in large numbers, yield statistics indicate that students at both the first-year and transfer levels were much more likely to choose Saint Mary's than CSU alternatives. At the same time, aggressive recruitment efforts, increased recognition of the strength of the College's academic program and evidence of institutional progress on needed facility enhancements have all helped Saint Mary's make inroads into the applicant pools of our independent competitors. Continued reductions in yield on admitted students, particularly honors students, suggest that the price sensitivity of heavily recruited students has grown and SMC's ability to enroll these students will be greatly influenced by its ability to price itself competitively.
Looking Forward
Uncertainty about public funding for higher education, the fate of projected cuts to Cal Grants and proposals to create wide-ranging new scholarship programs for middle-income students attending CSU and UC campuses will cast a large shadow over the coming enrollment year. Recent reports from Sallie Mae indicate that families' willingness and ability to pay for higher education has declined in each of the past two years.
Saint Mary's enhanced academic reputation (as shown in its inclusion in College That Change Lives), along with attention gained from the Year of the Gael sesquicentennial celebration and a host of new recruitment tactics, many online, will provide additional opportunity for progress in strengthening the profile of our undergraduate student population in the coming year. Projected reductions in access to midyear admission at CSU have already increased interest at SMC. The year ahead will provide many opportunities for SMC to highlight ways that it serves the educational needs of our state and nation.
Please feel free to contact me with questions or comments.
Michael Beseda
Vice Provost for Enrollment
Vice President for College Communications


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Documentary; Natural History; Television
The film begins at Kenzie Thorpe's house in Allenby's Close, Sutton Bridge, Lincolnshire. There is a shot of the street, of Kenzie's house and then Kenzie is filmed in his back garden feeding geese. At the marshes Kenzie, wearing a sweater, woollen hat and waders, and carrying binoculars, demonstrates calling hares. As he calls, the hares run towards his hiding place. There are views of the marshes and of the hares. Kenzie demonstrates some of his bird and wildlife impression, including partridges and the red leg.
Kenzie talks about how he first started poaching. He married during the war and there wasn't enough money to go round. Therefore, he began poaching to make ends meet. He teamed up with another fen character, Horace Savage, and they poached hares, pheasants, partridges. Some they kept to eat but most were sold on to local butchers and to butchers in Norfolk. Throughout there are shots of the marsh landscape. Kenzie talks about the ideal time to go poaching. He preferred bad weather, when it was unlikely anyone else was around. Snow storms were particularly good. The early hours of Monday morning were good, because the keepers would have been drinking all weekend and would still be sleeping it off. His poaching record was 93 pheasants off one man's land, although forty or fifty wasn't rare. He was caught on occasions, usually coming home in the early morning. He bares no malice towards gamekeepers, just doing their job, and usually gave up his bag and gun to make off as best he could.
Kenzie walks along the dykes, talking about the wildlife and inspecting a nest he finds. The nest contains fourteen eggs. Kenzie estimates that a 50% survival rate will mean that the bird has done well. He recounts the main obstacles birds meet in rearing young. These include rats, weasels, hooded crows, saddleback gulls and dogs. Kenzie is particularly down on dogs, believing they should be kept on leads or off the land altogether to give the birds chance to rear their young. He gently replaces the eggs and continues his walk. He finds another nest on a piece of wood in the dyke. This bird has been nesting on the same piece of wood for five years.
At Kenzie's house he shows his paintings of the marshes and the wildlife, mainly geese. He recalls that he met and worked with Sir Peter Scott. There are shots of the interior of a cafe at Sutton Bridge where some of Kenzie's paintings are displayed. There are many shots showing Kenzie's paintings. Pink footed geese are his favourite subjects. There are murials of geese on the walls of Kenzie's house. He also displays a duck decoy that he made and explains how this is done. Other souvenirs include a photograph of James Robertson Justice (whom he took shooting) a fox's head and various guns.
Back on the marsh, Kenzie displays the houseboat that he and some friends built of cedarwood. This, his second home, he uses to watch the wildlife. Shots of the interior reveal it to be fully furnished and decorated by more of Kenzie's wall paintings. He demonstrates the noise of the boat lifting. Kenzie has a sign outside his boat. Kenzie: This marsh is dangerist (sic) to children when the tide is coming in. Kenzie talks about the potential dangers of the marshes for visitors. Sitting on a bank, he recalls a visit from Prince Charles. Prince Charles reminded him that he knew the former gamekeeper at Sandringham. Kenzie admits that this was so; he used to go poaching there. The film ends with shots of Kenzie walking across the mud at high tide.
Mackenzie Thorpe was born in Sutton Bridge in 1908. His father, Mackenzey Thorpe, was a Romany and his mother was from Sutton Bridge. He was one of eight children. He left school at twelve and worked on farms. He began poaching at a young age and collected a string of minor convictions. At seventeen, he joined the crew of The Alert, an inshore cargo boat and spent nearly a year at sea. Back in Sutton Bridge, he took up boxing and became heavyweight champion of Lincolnshire. He married his wife, Cicely, by court license and they had six children.
He met Peter Scott in 1928, whilst supposedly shooting wild geese on Terrington Marsh - he was actually poaching. He met James Robertson Justice shortly after, when working as a professional guide for shooting parties. Scott set up a small wildfowl centre on the marsh and Kenzie became his assistant. The reserve was dismantled at the beginning of World War Two when Scott joined the navy. Kenzie returned to poaching. He was promptly caught and fined £7. He also had his gun confiscated.
During the War he worked at a pumping station at Tydd for 1s. 1d an hour. He was sacked for organising a strike. He joined a gang building pill-boxes along the sea wall and taught his group to shoot using catapults. As wartime rationing began to bite, Kenzie began to shoot to sell for the black market. Brent geese fetched 10s each, pheasants £2 a brace. Kenzie also shot and sold other birds that weren't usually associated with food - sea gulls and wigeon.
In 1941 he joined the navy but was discharged as medically unfit after two months. He returned to Sutton Bridge and to poaching, once being caught by the Home Guard. Between 1931 and 1956 he faced 29 charges connected with poaching. He was fined a total of £120. 17s. 9d. He had four guns confiscated. In December 1945 he was sentence to three months in gaol for assaulting a game keeper. This was unusual for Kenzie, who genuinely respected the fact that game keepers had a job to do, but there was a long standing family feud behind this. Lincoln gaol was an initial shock, but Kenzie reverted to type. A non-smoker, he had a surfeit if the one currency valued in prison above all else - cigarettes. He could trade with other prisoners at no cost to himself.
When he visited Kenzie, Prince Charles mentioned the game keeper at Sandringham. Poaching on the estate was an ambition of Kenzie's. When he tried it he was caught by the King's Head Keeper, Mr. Amos. He was also a special constable. Therefore Kenzie was charged with resisting a constable as well as the other charges relating to poaching. His total fine on this occasion was £11. Kenzie gave up poaching during the 1950s to became a professional wildfowler and a guide.
Mackenzie Thorpe; Horace Savage; Sir Peter Scott; HRH The Prince of Wales
Production company: BBC East
Producer: Douglas Salmon
Editor: J. Lewis
Commentator: Kenzie Thorpe


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What is a Section, Township, Range:
The map of Spokane County is divided into rows and columns called townships and ranges. The rows are townships with 21 as the southernmost and 29 as the northernmost. The columns are ranges with the westernmost as 40 and the easternmost as 45. As an example the southwest corner (bottom-left) of the county would be township 21 and range 40. The northwest corner (top-right) would be township 29 and range 45. Each township/range coordinate is broken up further into sections, and there are a total of 36 sections. Each map has an example of how the sections are numbered.
Your parcel number is created from this information. The first digit represents the range. All parcels start with 0 through 5 which is the last digit of the range our parcel is in. The second digit represents the township. This digit will be from 1 to 9 and is the last digit of your range. The third and fourth digits make up your section. They will be from 01 to 36.
The fifth digit represents your quarter-section. Digits one and two are in the north half. Digits three and four are in the south half. For example, if your parcel number starts 45132 then your parcel would have the coordinates: range 44, township 25, section 13, northern half.
The fifth digit is usually one through four, but there are some exceptions. If it is a five then your parcel falls is still in one section, but it will be in more than one quarter section. It could be entirely in the north or south section maps, but it be split between the north and south maps.
A six as the fifth digit means your parcel resides in more than one section. These sections could be within the same range/township or they may be in adjacent ranges and/or townships.
There are a few parcels with the fifth digit being zero. This means the parcel covers the entire section, and will likely spread into adjacent sections.
Spokane County Assessor's Office
1116 West Broadway Avenue
County Courthouse, 1st Floor
Spokane, WA 99260
Spokane County Treasurer's Office
1116 West Broadway Avenue
County Courthouse, 2nd Floor
Spokane, WA 99260
Assessor's Information
Treasurer's Information
Owner, Site Address, Appraisal, Levy,
Characteristics, Sales
Taxpayer, Property Taxes, Receipts, Sales
Monday - Thursday 8:30am - 4:00pm
Friday 8:30am - 1:00pm
(excluding holidays)
Monday - Thursday 8:30am - 4:00pm
Friday 8:30am - 1:00pm
(excluding holidays)
(509) 477-3698
(509) 477-4713
(509) 477-3697
(509) 477-3674
Contact the Assessor
Contact the Treasurer


text:
ECE 453 Lecture 15a: Basis Functions 1
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text:
[Note for discussion of diet and weight loss.]
It's that time of year again, when the New Year's resolution weight loss ads outnumber even the regularly scheduled weight loss ads. I don't watch standard TV, so I'm safe there. But I do listen to the radio, and they're there. I change the station; they follow. I glance at the magazines in the grocery store check out. Suddenly I find myself staring at the tabloid headline "Elvis Sighted in Overturned Port-a-Potty" because that seems like the safest news ever.
And the Internet? On the Internet, they are everywhere.
The ones I've seen this year mostly follow themes of "getting a better body" and "creating a new you," and I find myself thinking, None of that is true.
I mean, I could make a lot of dietary and exercise choices that would impact my body. I could, if I wanted, alter my diet (at least in the shorter term) for outcomes such as weight loss, increased physical endurance, better blood chemistry, more thorough pain management, or steadier emotional health. Each would have some kind of effect.
But they wouldn't create a "new" me. Nor would they get me a "better body." However I try to influence it, for better or for worse, this body is the only one I'm going to get.
So much of the rhetoric I see surrounding diet, weight loss, and some mainstream fitness plans (which often sell the promise of weight and/or visible fat loss as a perk) seem predicated on the idea that we can somehow "trade in" our bodies. Like if we log enough miles run or crunches crunched — or enough low carb meals or few enough calories or whatever — we'll somehow qualify for a corporeal upgrade.
Only, that's not the way it works. I could follow all the trick diets and all the trendy exercise routines, and I will still have this body. I could overload on simple sugars and deny myself exercise — both of which are pretty well guaranteed to make me feel like shit warmed over — and it would still happen within this body. I could eat and exercise in the ways that best balance all my health needs — and the end result would still by my body. I probably would not look or feel precisely the same with each choice, but some parameters would simply not be altered — or alterable.
Not that I think people can't make dietary or exercise changes for good, solid, realistic reasons. But I think the reasons people are trying to sell me right now are none of those. They assume that if I do all the "right" things — in other words, pay them enough money — I can somehow behave as if a new body is coming, as if this one doesn't matter.
When in fact, this body is the only one I'm going to get. I can love it or not, accept it or not, treat it well or not — but there is no exchange policy.
[Notes: The video I'd like to end with includes discussions of sex, the word "fuck," and discussions of disordered eating.]
[Margaret Cho from Notorious C.H.O.]


text:
Sushi Boy
by Wefiends, Inc.
Download this app if: you want to eat sushi in this casual game.
Developer Notes
Sushi are falling from the sky! Race to catch them as they drop faster and faster in this fast-paced action arcade game. Updated with 5+ New Upgrades.
★ 17 Must Have Games - MacLife.com ★
★ Top 10 Action/Arcade Games for iPad ★
★ 4 Stars from 148apps.com and AppSpy.com ★
"Sushi Boy squeezes...
Fun, casual game — A very simple premise and decent graphics make this inexpensive game a no-brainer.


text:
640 South State StreetDover, Delaware 19901
21 West Clarke AvenueMilford, Delaware 19963
401 North Carter RoadSmyrna, DE 19977
640 S. State StreetDover DE 1990121 West Clarke AvenueMilford DE 19963
301 Jefferson AveMilford, DE 19963
1275 S. State StreetDover, Delaware 19901
Stroke is a serious condition that requires clinical care by a physician or other healthcare professional. Listed in the directory below you will find some additional information regarding stroke, for which we have provided a brief overview.
Overview of Stroke
Signs and Symptoms of Stroke
Risk Factors for Stroke
Statistics of Stroke
Types of Stroke
Effects of Stroke
Evaluation Procedures for Stroke
Treatment for Stroke
Rehabilitation for Stroke
Bayhealth is Southern Delaware's healthcare leader with hospitals in Dover and in Milford. Bayhealth provides a wide range of medical services, including cardiovascular, cancer, orthopaedics and rehabilitation, pediatrics, respiratory care, sleep care, surgical weight loss and women's services.