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State of the Market: Today's Most Compelling Buy (Feb. 28, 2013)
|State of the Market: Today's Most Compelling Buy
Thursday, February 28, 2013
At StatoftheMarkets.com, we strive to "own the best and ignore the rest" in our equity portfolios. Toward this end, each day we search our database for a "top stock" (a top rated company in terms of earnings strength as well as company and industry performance) that presents a strong technical "set up" and a good entry point.
In short, when our equity team is looking to add a stock to one of our portfolios, the "bull's eye" stock shown below is generally their first choice.
% Gain
|CVS Caremark Corp
|Drug Retail
Why We Like The Stock:
CVS Caremark Corp (CVS) is our most compelling buy today due to the fact that it is a top rated stock (in terms of earnings strength and company/industry performance) that has maintained a positive technical set-up through this past week's volatile period. Though a small sub-industry, Drug Retail has been a solid performer so far in 2013, evidenced by the Walgreen Co (WAG), Rite Aid Corp (RAD), and CVS Caremark. CVS has been trading sideways since the end of January, though through the sideways action has built a nice support base above $50. With the stock crossing above its short-term moving averages this morning, we think CVS is a promising hold as long as it stays above its 50-day moving average.
|We Would Be Buyers:
At the current price (~$51.40), or on a pullback to $50.90.
Looking to trade the Bull's Eye stock picks? Click here to find out how...
|Company Profile:
CVS Caremark Corporation (CVS Caremark), together with its subsidiaries, is a pharmacy health care provider in the United States. CVS Caremark provides pharmacy services through its pharmacy benefit management (PBM), mail order and specialty pharmacy division, CVS Caremark Pharmacy Services; approximately 7,300 CVS/pharmacy retail stores; retail-based health clinic subsidiary, MinuteClinic, and its online retail pharmacy, CVS.com. The Company operates in three business segments: Pharmacy Services, Retail Pharmacy and Corporate. Its corporate segment provides management and administrative services to support the overall operations of the Company. In April 2012, Health Net, Inc.'s subsidiary, Health Net Life Insurance Company, sold its Medicare stand-alone Prescription Drug Plan (Medicare PDP) business to a subsidiary of CVS Caremark. In February 2013, it bought Drogaria Onofre.
Stock Rating:
Note: Positions may be bought or sold while this publication is in circulation without notice.
CVS Caremark Corp - Last 3 Months
CVS Caremark Corp - Last 12 Months
CVS Caremark Corp - Last 5 Years
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http://dungeons.wikia.com/wiki/User_blog:Ganteka_Future?feed=atom Ganteka Future's blog 2016-05-06T18:51:54Z From Dungeons and Dragons Wiki MediaWiki 1.19.24 http://dungeons.wikia.com/wiki/User_blog:Ganteka_Future/The_days_of_The_Tavern,_The_Meltdown,_and_memories. The days of The Tavern, The Meltdown, and memories. 2009-08-30T00:17:01Z
Oh, I suppose I shall attempt to describe the events that led up to the exodus as well as the aftermath to the best of my recollection. The whole thing has already started to become mythic. So, I shall start at the beginning. Let's make this an autobiography of my stay at dandwiki.com then.

It was late May of 2008 and I was talking with my gaming group. We were discussing various books and whatnot, and of course, the SRD came up. A friend mentioned dandwiki, so, I went there, and was surprised and pleased at what I found: people posting their home made stuff online! Wow, what a concept. I mean, how cool is that? You can post your stuff, get comments on it, and have it logged with a load of other stuff, link it to the SRD for referencing and share it with the world of nerds and geeks out there looking to get what they can for free.

So, about a week of casually using the site, and I clicked on The Tavern, wondering what in blazes that was. Turns out, it was a chat room, and empty save for Valentine the Rogue. We talked for a bit, and I asked him if it was worth it to sign up and post my stuff. He said yeah. So, the next day, I did. I also thought The Tavern was awesome, and wanted to get some use out of the thing. Get some chatting with other people about DnD. So, I sat around all day in The Tavern and waited for people to show up to talk to. Eiji popped in. We talked. Then Summerscythe, and more and more folks popped in. Pretty soon, they stayed longer and longer. Eventually, I didn't even have to sit around in it all day to ensure that people would be there. Though, I stayed in there all day anyways, as I uploaded my stuff, article by article, slowly learning wiki formatting and saying "welcome to the tavern" dozens and dozens of times a day.

With that, and the daily dose of talking, in came Salin, and The Tavern had its very own forum site for gaming, bringing the community closer together.

Time passed, and my need to post my own material dwindled, and I moved on to fixing other articles (and still sitting in the Tavern, welcoming folks). Oh, the good times had in there... and some stomach churning arguments and such that were just big messes. All in all though, good times. People came and went. Some stayed for the long haul and even others returned after long absences.

The Tavern was a really great place to hang out while working on the wiki. It really brought the community together and allowed for quick solutions to problems with balance on articles, ideas, suggestions, brainstorming as well as loads of comedy value, for which this article has none. My bad.

The Tavern was our Happy Place. It was our home. We lived there daily.

Now, I want to be clear here. The Tavern community is not the dandwiki community, but it was a part of it, and an active part. It encouraged community, and that I am glad for. I and others constantly tried to get others to join in on the conversation.

Though, really, enough about The Tavern, this is about the wiki itself. So, let's start with the events that led up to The Meltdown. Those events for me really start a few days prior.

The Warforged Artificer, much like his name might suggest, was working tirelessly to update pages from DnD to 3.5e as well as get things formatted and trim and clean as much as possible. With WotC shooting down a request made to host archived articles, he moved on to other wiki projects. Something that struck his fancy that particular day was some auto-linking for spell schools on the spell template. Not a big deal, really, in the scope of things, but seeing as how a vast majority of spells could use that linking, it seemed like a fair project. Now, following the words of "if there is ever a problem caused by an edit, you can always roll it back", I gave an adminly go-ahead for it. The Warforged Artificer always liked checking with admins before instituting any change in templates or other formatting aspects of the wiki, which was greatly appreciated, and allowed for discussion and coordination rapidly with the use of The Tavern.

So, he worked on that little project, and some questions arose during formatting of the template, which were resolved. Sure it wasn't really a project that needed to be done, but, had it been implemented in the beginning, it would have made things easier and smoother for the site in general. Anyways, as a wiki, it is always evolving, and these things come up.

Oddly, I am about to reference something that is rather unrelated, but pertinent to the situation. I just finished reading The Lost World by Micheal Crichton the other day, and in it, the pain-in-the-ass Dr. Ian Malcolm goes on his tirades about his theories and whatnot about extinction and behavioral systems. The short of it as it applies here is: Life exists on the edge of chaos, in a balance of change and not change, of chaos and order. If it tips too far to one side, the balance is thrown out of whack, and it could very well lead to the end of that complex system/species/big company/ecosystem. All it might take to tip a complex ecosystem is the behavioral change of one organism in that complex system.

So, basically, you never know where you are on this point of balance and chaos, and you need to change just enough over time, but also need to remain just enough the same.

The wiki is a complex system. Its got loads of users and readers, all people in the real world devoting loads their time and energy toward the effort of making DnD fun and playable for themselves and others.

Now, what does any of that have to do with The Warforged Artificer and the Meltdown? Well, lots. So, the spell template was changed. It was functioning how it was intended to function as modified by The Warforged Artificer, because heck, problems can always be rolled back, and it was discussed beforehand. Green Dragon shows up, and starts messing with it and undoing things, basically, throwing it out of whack. Instead of finding out why first of course, or rolling back the changes, or any of that. So, we get him into The Tavern, and it is clear he isn't happy.

Read here for the rundown of all that other stuff outside The Tavern.

Basically, all this managed to accomplish was foul up Green Dragon's mood. I re-read the conversation, and now I just don't even have any idea of why it went down as it did. Bah, what a mess. All that over just wanting 3.5e homebrew spells to link to a list of other 3.5e homebrew spells of the same spell school. Anyways, this was on the 8th, two days before The Meltdown.

So, two days go by. It is now August 10th. TK-Squared began making the appropriate pages for the Ratings Committee, just to try and get things rolling again so that it didn't stagnate like the Wiki Magazine (for those who remember that failure).

Read here for the rundown on Green Dragon's talk page. Keep in mind that if someone different responds to his comments, it is because the previous person was banned. Green Dragon does not believe in free speech or something, I don't know.

Anyways, that was The Meltdown. People panicked in The Tavern. Read here for the rundown on The Tavern History as it happened. Scroll down to about 03:57:21. Theories ranged from "has he gone insane?" to "has someone hacked his account?" So, Green Dragon said "Right, this is my website. You may like to start your own if you are so inclined."

Obviously, a new wiki now exists. Pages were exported quickly (obtaining our articles first and foremost). We honestly thought Green Dragon was going to trash the wiki. Since the site went down, and cryptic messages were put in its place such as "This space left intentionally blank" and something about Lukas, I don't know, the message changed a lot, and it was all very odd.

So, after all that, I just felt horrible. I didn't want to leave, but with that much disrespect, and even loads and loads more in the following days, I had no choice but to take my activities elsewhere. Alas, because he is now the only admin, he can make up whatever rules he wants and doesn't have to follow any community voice. Also, without any of the dozen or so dedicated users to monitor recent changes and make improvements to the site, and with new pages being added every day, and possible vandalism lurking at every second, the wiki is only going to suffer tremendously.

(Minutes before my posting of this, Green Dragon reinstated our admin rights.)

All in all, it just makes me wonder. Why did he ban his brother too?

The worst part though, is that my articles are stuck here. I cannot request their deletion, for he will not honor that, even though he would honor WFRC authors and preventing their OGC from being added in the first place (and locked upon request without a second thought) back when the wiki was first founded.

Ah well, I'm just ranting now. So, to finish this off. Any comments about any of this or the good days we had? Yellow ninjas, conesnails, bunnies in cups, bears, hamedos, sheep the heads, bees, green cupcakes, rapegorithms and all those other fond things.
 Ganteka Future

subset: commoncrawl


text:
Rick Waugh Announces His Retirement From Scotiabank Effective January 31, 2014; Brian Porter To Take On Role Of President And CEO Effective November 1, 2013
TORONTO, May 31, 2013 /CNW/ - Scotiabank Chief Executive Officer Rick Waugh today announced his intention to retire as CEO effective November 1, 2013 after 10 years in the role and 43 years with the Bank. He will remain a Director of the Board and assume the role of Deputy Chairman of the Bank until January 31, 2014. The Board of Directors has appointed Brian Porter to the role of President and Chief Executive Officer effective November 1, 2013. Brian was appointed to the role of President on November 1, 2012, and just prior to that was Group Head, International Banking, overseeing all of the Bank's personal, small business and commercial banking operations in more than 55 countries outside of Canada. Brian was also Scotiabank's Group Head of Global Risk Management and Treasury. He joined Scotiabank in 1981, and has held a variety of other management positions, including Deputy Chairman of Global Banking and Markets." Rick Waugh has guided Scotiabank through a period of tremendous growth, generating exceptional returns for shareholders and employees during some very turbulent times. His focus on customers, diversification, emerging markets and risk management along with his strong values, has shaped the growth and direction of the Bank over the last ten years," said John Mayberry, Chairman of the Board. The Board expressed its confidence in Brian Porter appointing him President in November 2012. Mayberry added, "We are pleased to take the next step in succession today by confirming him in the role of President and CEO effective November 1, 2013. Brian has a tremendous range of experience across the Bank, including the critical role of Chief Risk Officer. The Board is confident in Brian's ability to continue to produce strong results and build on the straightforward and proven business model that has worked so well for customers, shareholders and employees." "I want to congratulate Brian Porter on his appointment to President and Chief Executive Officer," said Rick Waugh, CEO, Scotiabank. "He has had an exceptional career at Scotiabank. Brian and the management team bring the right experience, values and culture to ensure our Bank's continued success." "It is a distinct privilege to have been entrusted with the role of President and Chief Executive Officer, and I would like to thank the Board of Directors and Rick Waugh for their confidence in my ability to continue to deliver superior, consistent and predictable results for all of our stakeholders," said Brian Porter, President, Scotiabank. Scotiabank is a leading multinational financial services provider and Canada's most international bank. With more than 83,000 employees, Scotiabank and its affiliates serve some 19 million customers in more than 55 countries around the world. Scotiabank offers a broad range of products and services including personal, commercial, corporate and investment banking. In December 2012, Scotiabank became the first Canadian bank to be named Global Bank of the Year and Bank of the Year in the Americas by The Banker magazine, a Financial Times publication. With assets of $754 billion (as at April 30, 2013), Scotiabank trades on the Toronto (BNS) and New York Exchanges (BNS). For more information please visit www.scotiabank.com. SOURCE Scotiabank
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text:
- Jun 28:
- National Western Stock Show picks Aurora for proposed relocation
- May 14:
- Denver, Aurora officials consider program that would help finance a NWSS near DIA
- May 12:
- Denver council panel open to National Western Stock Show move
- May 8:
- North Metro commuter train to spur redevelopment of stock show area
Mayor-elect Michael Hancock is convening a working group to address concerns surrounding National Western Stock Show's potential move to Aurora.
Leaders from Denver's business, civic and non-profit communities will help Hancock evaluate options surrounding the proposed relocation of the Denver institution and determine the best pathway moving forward.
"The National Western Stock Show is a Denver treasured asset," Hancock said in a statement today. "We understand it must grow in order to remain viable. My administration will work with all stakeholders to explore options and find a viable solution that is in the best interest of Denver, the region and the stock show."
The advisory group will gather information about the proposed relocation efforts and parse through various scenarios and opportunities going forward, said Denver attorney Dawn Bookhardt, chairwoman of the group.
"I'm certain the City of Denver is interested in maintaining an institution as beloved as the stock show," Bookhardt said. "The mayor-elect is being very deliberate in selecting a broad spectrum of individuals who have one thing in common — a love for this city."
In addition to Bookhardt, a partner at Bookhardt & O'Toole, confirmed members of the group are:
Margaret Jackson: 303-954-1473 or email@example.com


text:
Saturday, March 15, 2014
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Albemarle Fine Chemistry Services Expands In Tyrone, Pennsylvania
BATON ROUGE, La., Dec. 10, 2012 /PRNewswire/ -- Albemarle Corporation (NYSE: ALB), a global developer, manufacturer and marketer of highly engineered specialty chemicals and services, announced today that it has completed an expansion at its Tyrone, Pennsylvania custom manufacturing facility. The expansion, which doubles the capacity for a proprietary chemical product manufactured for an Albemarle customer, began operation earlier in November and is now operating at full rates. (Logo: http://photos.prnewswire.com/prnh/20111129/MM14279LOGO)"Executing this multi-million dollar expansion in less than one year allowed our customer to capitalize on the growing demand for their product and the construction effort had no impact on fulfilling the production needs of our other customers," said David DeCuir, Director, Fine Chemistry Services. "We are pleased to be able to rapidly expand production for this important product for our long-term customer," said Randy Andrews, Tyrone plant site manager. "The fact that we were able to successfully finish this project on time and under budget shows the agility and focus on speed, quality and safety that the Tyrone site is known for." About Albemarle Albemarle Corporation, headquartered in Baton Rouge, Louisiana, is a leading global developer, manufacturer, and marketer of highly-engineered specialty chemicals for consumer electronics, petroleum refining, utilities, packaging, construction, automotive/transportation, pharmaceuticals, crop protection, food-safety and custom chemistry services. The Company is committed to global sustainability and is advancing its eco-practices and solutions in its three business segments, Polymer Solutions, Catalysts and Fine Chemistry. Corporate Responsibility Magazine selected Albemarle to its prestigious "100 Best Corporate Citizens" list for 2010 and 2011. Albemarle employs approximately 4,000 people and serves customers in approximately 100 countries. Albemarle regularly posts information to www.albemarle.com, including notification of events, news, financial performance, investor presentations and webcasts, Regulation G reconciliations, SEC filings, and other information regarding the Company, its businesses and the markets we serve. Albemarle's Fine Chemistry Services (FCS) division is an innovative, full-service provider of fine chemicals to the world's leading companies across the pharmaceutical, agrichemical, and specialty materials markets. Albemarle's FCS division helps global customers complete hundreds of successful projects through a powerful combination of proven chemistry expertise, game-changing process development, high-quality custom manufacturing and exceptional service. From innovative R&D to commercial-scale production, Albemarle's FCS division delivers the knowledge, experience, resources, creativity and service you need to move products to market faster and accelerate your business. To learn more about Albemarle's FCS division, please visit www.albemarle.com/fcs. "Safe Harbor" Statement under the Private Securities Litigation Reform Act of 1995: Statements in this press release regarding Albemarle Corporation's business that are not historical facts are "forward-looking statements" that involve risks and uncertainties. For a discussion of such risks and uncertainties, which could cause actual results to differ from those contained in the forward-looking statements, see "Risk Factors" in the Company's Annual Report on Form 10-K. SOURCE Albemarle Corporation
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- Intraday commentary and news
- Real-time trading forums


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xbox1080 hi again.
I couldn't repack to pkg. Maybe it's very easy but I couldn't make it. Can you make a video about this subject ?
xbox1080 hi again.
I couldn't repack to pkg. Maybe it's very easy but I couldn't make it. Can you make a video about this subject ?
I am having the same problem. I cant repack any debug pkg's. Please could you or someone repack a debug pkg for me?
Thanks for submitting this xbox1080, since it just does what people can do from their Web browser with this guide though I am just adding jeffma's PS3 Game Update Finder v1.1 to the first post here vs a new thread.
Here is another update of his PS3 GUI Toolbox to version 1.1:
I'm unpacked *.PsARC file, and after repack file, but thereafter game does not starting. I have not changed the inside file.
What wrong?
Anyone know how to repack multiple folders into a Psarc file? It seems to only do single folders
Thanks xbox1080! Can't wait to prove it
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text:
Campagne co-founder Ted Furst will open a French-inspired restaurant and bar at 2200 Carillon Point in Kirkland, according to The Seattle Times. Le Grand Bistro Americain will feature dishes by chef Scott Emerick, formerly of Cremant and Le Pichet, like pork rillettes and chicken liver mousse, as well as house-made bread, sausage, and ice cream.
Rillettes at Le Pichet


text:
In 2003, a group of scientists and executives from the National Institutes of Health, the Food and Drug Administration, the drug and medical-imaging industries, universities and nonprofit groups joined in a project that experts say had no precedent: a collaborative effort to find the biological markers that show the progression of Alzheimer's disease in the human brain.
The scene was a kind of science court. On trial was the question "Can anything - running on a treadmill, eating more spinach, learning Arabic - prevent Alzheimer's disease or delay its progression?"
To try to answer that question, the National Institutes of Health sponsored the court, appointing a jury of 15 medical scientists with no vested interests in Alzheimer's research. They would hear the evidence and reach a judgment on what the data showed.
Five of the six members of the Memory Ensemble were gathered in a nondescript conference room at Northwestern Memorial Hospital, ready to begin their weekly improvisational acting workshop.
"Where's Irv? We need Irv," one said.
"Oh, he's always late," said another. "He's very dependable that way."
A team of Toronto scientists is pushing Alzheimer's research in a radical new direction - testing whether electrodes implanted deep in patients' brains can jolt their memories into good working order.
Will Alzheimer's disease, a terrible degenerative brain disease with no treatments and no clear guidelines for diagnosis before its end stages, become like heart disease? Will there be early markers of risk, analogous to high cholesterol levels, that will predict who is likely to get it? And will there be drugs that actually prevent it?
In 1966, as a visiting medical student at a London teaching hospital, I interviewed a husband and wife, in their early twenties, who had recently experienced a truly calamitous health catastrophe. On their wedding night, in their first experience of sexual intercourse, a malformed blood vessel in the husband's brain burst, leaving him with a disabling paralysis of the right side of his body. Stunned and guilt-ridden, the couple clutched hands and cried silently as they shared their suffering with me.
Harvard researchers have uncovered a mechanism through which caloric restriction and exercise delay some of the debilitating effects of aging by rejuvenating the connections between nerves and the muscles that they control.
The research, conducted in the labs of Joshua Sanes and Jeff Lichtman, both members of the Center for Brain Science at Harvard and professors of molecular and cellular biology, begins to explain prior findings that exercise and restricted-calorie diets help to starve off the mental and physical degeneration of aging.
First Alzheimer's disease stole Rosemary DeFelice's speech, mobility and independence. Then, at 75, she lost the ability to eat.
She would chew away at her food, coughing and sputtering and spitting up but swallowing very little, said her daughter, Cyndy Viveiros. And like many relatives caring for patients with advanced dementia, Ms. Viveiros had to decide whether or not to have a gastric feeding tube inserted.
Cardiac index - the measure of how well the heart is pumping blood to the brain and the rest of the body - may be a future indicator of a person's risk for developing dementia.
A study in this week's Circulation suggests cardiac index is linked to brain size, even in people without heart disease, a known risk factor for dementia.
Imagine a test that could tell you if you would develop Alzheimer's disease well before you experience memory loss or other symptoms. With no cure and limited treatment available, would you take it?
More than five million Americans suffer from the disease. It's the seventh leading cause of death in the United States.


text:
- Differential Diagnosis
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- Try building your search one term at a time, and be as specific as you can! Search term example: "chronic cough".
- Do not enter multiple findings such as "anemia, chronic cough, weight loss, vomiting" all at the same time.
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Differential Diagnosis For Anti-B2-glycoprotein I (Lab) - Increased
Available only to registered users.
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- 3 possible diagnoses found
- Allergic, Collagen, Auto-Immune Disorders
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- Ab, Antibodies, Antibody, Antibody (substance), Anticardiolipin Cofactor, Apo H, Apolipoprotein H, Apolipoprotein H (substance), Beta 2 glycoprotein 1, Beta 2 glycoprotein I, beta 2-Glycoprotein I, BETA GLYCOPROTEIN 02, beta(2)GPI, beta2 Glycoprotein, beta2 Glycoprotein (substance), Beta-2 glycoprotein 1, beta2 Glycoprotein I, beta2-Glycoprotein I, Cofactor Anticardiolipin, EC VMFa, EC-VMFa, Endothelial Cell Viability Maintaining Factor, Endothelial Cell-Viability Maintaining Factor, Lab, Little Ab, Little not otherwise specified Antibody, NOS, NOS AB, not otherwise specified AB, not otherwise specified Antibody, Unidentified Ab, Unidentified Antibody
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We are thinking of taking a trip out west to the redwoods and wondering if anyone
here has rode in this area?
Any input would be greatly appreciated.
Thanks a bunch
We are thinking of taking a trip out west to the redwoods and wondering if anyone
here has rode in this area?
Any input would be greatly appreciated.
Thanks a bunch
Much depends on the amount of time available, where you want to start and end, the type of bikes and riding capabilities of riders- road only or off pavement and type of touring-credit card to full camping.
AAA California Maps of the area are a good starting place as is Touring the Pacific Coast by Kuykendall(sp?).
Living in the SF Bay area, almost all of my rides involve seeing at least a few redwoods. But here's a van-supported weekend tour we did through some of the premier redwood territory (Ave. of the Giants, etc.) from Eureka to Gualala along the coast route:
I second the recommendation for the 'Bicycling the Pacific Coast' by Kirkendall and Spring.
My favorite redwood touring experience is the southward descent into the vicinity of Orick, CA in Prairie Creek Redwood State Park, using the westmost "scenic route" off of 101.
all you need to know is this....krebs maps!
It is THE best map of northern california, showing the classic pacific coast route and many other routes, it's fantastic.
Those who are easily shocked should be shocked more often.
I highly suggest riding back into the Humboldt redwoods SP on Bull Creek Flats Road towards the lost coast. After a full day of torrential rain, being soaked to the bone, I still enjoyed that road so much, even though I only rode back about 5 miles or so. It is truly magical. Do the whole lost coast if you have legs and nerves of steel, I wish I had had the time (and weather) to do it.
Those who are easily shocked should be shocked more often.
there's a lot of ways to enjoy the redwoods besides Hwy101. I only know of a few but enjoyed them. This really isn't a ride through the redwoods but it's a fun ride. Leave your car in Ukiah, ride west on the Ukiah Comptche road and stop and Montgomery Woods State park for a hike a picnic then continue onto the coast to camp for a few days taking day rides out and back on the ridge roads that leave Hwy1. Elk, Greenwood Ridge, Comptche, Little River, etc. take the Skunk Train to Willits then ride back to Ukiah.
Wow thanks so much! It helps so much to have
you guys throw me the bits of info that can really make or break a trip.
thanks again and please keep the thoughts and experiences coming!
Take care
Combatdecoy, I'll let others tell you the details. I'll just note that riding through a redwood forest is just about the most impressive thing you could possibly do. Nothing could make you feel more humble at the feet of nature. I wholeheartedly recommend it as one of the things that is a must do for anyone who has the chance.. Enjoy. tom
I rode through the redwoods this past October and November and I can highly recommend the section off of highway 101 that goes through the Prairie Creek Redwoods. Not much traffic and it is beautiful. Also, ride the whole Avenue of the Giants. You will not be disappointed by this road either. If you are up for more of a challenge, the Lost Coast is another route that is extremely beautiful, but much much more challenging that the others that I have mentioned. Also, on the lost coast the services are further between and more meager, but if you are up for the adventure don't let that deter you.
Redwoods Rock! Here's some riding video from the OR coast. About 1:24 we get into the Redwoods. SO much fun.
Oh yeah, I just remembered another one of my favorite stretches of nor cal. I think it is part of the official pacific coast route, but not sure. It's the little side road at particks point to westhaven.
While it is more or less the same road the name changes like this:
patrick's point drive----->stagecoach road----->scenic drive
Quite, peaceful, extremely scenic, just amazing!
Those who are easily shocked should be shocked more often.


text:
Distant memory by AdiPopArtWatch
©2009-2016 AdiPopArt
Somehow when i saw thumbnail I thought it looks like it's Martin's photo
now I see why )))
now I see why )))
You did a wonderful job using the light in this picture.
i like it! but the guy looks a little distorted. so yea.
This is great.
looking for the light.....
Sorry, had to say that. Great pic!
Sorry, had to say that. Great pic!
wow! i really adore the shades of light here....


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Throughout election season in the region, we will inevitably hear talk about sustainable development. Sustainable is commonly synonymous with 'environmental' but also includes economic sustainability. Creativity is not likely to be a part of that discussion. But do we really understand creativity and its relevance to economic sustainability?
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Surgical Site Infection (SSI) Prevention
Resources and Data
Healthcare-associated infections (HAIs) - Surgical site infections (SSIs)
SSIs are infections that occur after surgery, in the area of the body where the procedure took place. SSIs are currently the most frequently reported serious HAIs among Wisconsin hospitals. Many hospitals and quality improvement organizations are working together to reduce these infections. The Division of Public Health provides frequently updated SSI data to monitor statewide progress toward SSI reduction.
Data and Statistics
Wisconsin SSI Data - Quarter 3, 2015
Number of hospitals reporting = 101
Data accessed from the National Healthcare Safety Network (NHSN) on February 11, 2016.
|Infections following all reported procedures
|Total procedures performed
Wisconsin standardized infection ratio (SIR)
(Number of observed infections divided by the number of predicted infections based on national data.)
* Statistically significantly lower than the national baseline, but not significantly different from last year at this time.
Prevention resources
- Help prevent SSIs - patient information pamphlet P-00695 (PDF, 122 KB)
- Standardized process for preadmission Chlorhexidine Gluconate (CHG) showers P-00749 (PDF, 158 KB)
- Improving Surgical Outcomes through an Evidence-based Perspective (PDF, 7.8 MB)
2015 SSI Summit - Presentations
- Dr. Charles Edmiston (PDF, 5.5 MB)
- Dr. Donald Fry (PDF, 7.3 MB)
- Dr. David Leaper (PDF, 6.3 MB)
Dr. Michael Roskos (PDF, 1.9 MB)
Journal references - Last updated: January 19, 2016
Antimicrobial Prophylaxis - Weight-based Dosing
- Bratzler D, Dellinger E, Olsen K, et al. Clinical practice guidelines for antimicrobial prophylaxis in surgery. Am J Health-Syst Pharm 2013;70:195-283
- Catanzano A, Phillips M, Dubrovskaya Y, et al.The standard one gram dose of vancomycin is not adequate prophylaxis for MRSA. Iowa Orthop J. 2014;34:111-7.
- Edmiston CE, Krepel C, Kelly H, et al. Peri-operative antimicrobial prophylaxis in the gastric bypass patient: Do we achieve therapeutic levels? Surgery 2004;136:738-747.
- Hafermann MJ, Kiser TH, Lyda C, et al. Weight-based versus set dosing of vancomycin for coronary artery bypass grafting or aortic valve surgery. J Thorac Cardiovasc Surg. 2014 Jun;147(6):1925-30. doi: 10.1016/j.jtcvs.2013.12.037. Epub 2014 Jan 15.
- Pevzner L, Swank M, Krepel C, et al. Effect of maternal obesity on tissue concentration of prophylactic cefazolin during cesarean section. Obstet Gynecol 2011;117:877-882.
- Swank ML, Wing DA, Nicolau DP, et al. Increased 3-gram cefazolin dosing for cesarean delivery prophylaxis in obese women. Am J Obstet Gynecol. 2015 Sep;213:415.e1-8. doi: 10.1016/j.ajog.2015.05.030. Epub 2015 May 21.
Antimicrobial Wound Closure
- Apisarnthanarak A, Singh N, Bandong AN, et al. Triclosan-coated sutures reduce the risk of surgical site infections: A systematic review and meta-analysis. Infect Control Hosp Epidemiol. 2015;36:169-79. doi: 10.1017/ice.2014.22.
- Daoud FC, Edmiston CE, Leaper D. Meta-analysis of prevention of surgical site infections following incision closure with triclosan-coated sutures: Robustness to new evidence. Surgical Infect 2014;15(3):165-181.
- Edmiston CE, Daoud FC, Leaper D. Is there an evidence-based argument for embracing an antimicrobial (triclosan)-coated suture technology to reduce the risk for surgical-site infections? A meta-analysis. Surgery 2013;154:89-100.
- Edmiston CE, Krepel CJ, Marks RM, et al. Microbiology of explanted suture segments from infected and noninfected surgical patients. J Clin Microbiol 2013;51:417.
- Edmiston CE, Seabrook GR, Cambria RA, et al. Molecular epidemiology of microbial contamination in the operating room environment: Is there a risk for infection? Surgery 2005;138:573-582.
- Edmiston CE, Seabrook GR, Goheen MP, et al. Bacterial adherence to surgical sutures: Can antibacterial-coated sutures reduce the risk of microbial contamination? J Am Coll Surg 2006;203:481-489.
- Kathju S, Nistico L, Hall-Stoodley L, et al. Chronic surgical site infection due to suture-associated polymicrobial biofilm. Surgical Infect 2009;10:457-461.
- Singh A, Bartsch SM, Muder RR, Lee BY. An economic model: Value of antimicrobial-coated sutures to society, hospitals, and third-party payers in preventing abdominal surgical site infections. Infect Control Hosp Epidemiol 2014;35:1013-1020.
CHG Shower
- Alawadi ZM, Kao LS. Chlorhexidine gluconate, 4%, showers and surgical site infection reduction. JAMA Surg 2015;E1.
- Darouiche RO, Wall MJ, Itani KM. Chlorhexidine-alcohol versus povidone-iodine for surgical-site antisepsis. N Engl J Med 2010;362:18-26.
- Denton GW. Chlorhexidine. In: Block SS, editor. Disinfection, Sterilization, and Preservation. 4th Ed. Media, PA: Lea & Febiger, Williams & Wilkins; 1991. p. 279.
- Edmiston CE, Assadian O, Spencer M, et al. To bathe or not to bathe with chlorhexidine gluconate: Is it time to take a stand for preadmission bathing and cleansing? AORN J 2015;101:529-538
- Edmiston CE, Bruden B, Rucinski MC, et al. Reducing the risk of surgical site infections: Does chlorhexidine gluconate provide a risk reduction benefit? Am J Infect Control. 2013;41(5 Suppl):S49-55.
- Edmiston CE, Cheong JL, Krepel CJ, et al. Evidence for a standardized preadmission showering regimen to achieve maximal antiseptic skin surface concentrations of chlorhexidine gluconate, 4%, in surgical patients. JAMA Surg 2015;E1-E7.
- Edmiston CE, Krepel CJ, Edmiston SE, et al. The preoperative shower revisited: Can high topical antiseptic levels be achieved on the skin surface prior to surgical admission? J Am Coll Surg 2008;207:233-239.
- Edmiston CE, Krepel CJ, Edmiston SE, et al. Reducing the risk of surgical site infections: Does chlorhexidine gluconate provide a risk reduction benefit? Am J Infect Control 2013;41:S49-S55.
- Edmiston CE, Krepel CJ, Edmiston SE, et al. Empowering the surgical patient: A randomized, prospective analysis of an innovative strategy for improving patient compliance to the preadmission showering protocol. In Press: J Am Coll Surg, 2014;219(2):256-64.
- Edmiston CE, Krepel CJ, Spencer MP, et al. Preadmission application of 2% chlorhexidine gluconate (CHG): Enhancing patient compliance while maximizing skin surface concentrations. Infect Control Hosp Epidemiol. 2015 Dec 28:1-6. [Epub ahead of print].
- Edmiston CE, Okoli O, Graham MB, et al. Improving surgical outcomes: An evidence-based argument for embracing a chlorhexidine gluconate (CHG) pre-operative shower (cleansing) strategy for elective surgical procedures. AORN J 2010;92:509-518.
- Edmiston CE, Seabrook GR, Johnson CJ, et al. Comparison of a new and innovative 2% chlorhexidine impregnated cloth with 4% chlorhexidine as topical antiseptic for preparation of the skin prior to surgery. Am J Infect Control 2007;35:89-96.
- Eiselt D. Presurgical skin preparation with a novel 2% chlorhexidine gluconate cloth reduces rates of surgical site infection in orthopaedic surgical patients. Orthopedic Nurs 2009;28:141-145.
- Jakobsson J, Perlkvist A, Wann-Hansson C. Searching for evidence regarding using preoperative disinfection showers to prevent surgical site infections: A systematic review. Worldviews Evid Based Nurs. 2011;8(3):143-52.
- Larson E. Guideline for use of topical antimicrobial agents. Am J Infect Control 1988;16(6):253-265.
- Lipke VL, Hyott AS. Reducing surgical site infections by bundling multiple risk reduction strategies and active surveillance. AORN J 2010;92:288-296.
- Mangram AJ, Horan TC, Pearson ML, et al. Guidelines for the prevention of surgical site infections. Infect Control Hosp Epidemiol 1999;27:97-134.
- Paulson D. Efficacy evaluation of a 4% chlorhexidine gluconate as a full-body shower wash. Am J Infect Control 1993;21:205-209.
CHG Wound Irrigation
- Barnes S, Spencer M, Graham D, Johnson HB. Surgical wound irrigation: A call for evidence-based standardization of practice. Am J Infect Control 2014;42:525-529.
- Edmiston CE, Krepel CJ, Edmiston SE, et al. Reducing the risk of surgical site infections: Does chlorhexidine gluconate provide a risk reduction benefit? Am J Infect Control 2013;41:S49-S55.
- Genuit T, Bochicchio G, Napolitano LM, et al. Prophylactic chlorhexidine oral rinse decreases ventilator-associated pneumonia in surgical ICU patients. Surg Infect 2001;2:5.
- Lim KS, Kam PCA. Chlorhexidine pharmacology and clinical applications. Anaest Intensive Care 2008;36(4):502-512.
- McDonnell G, Russell AD. Antiseptics and disinfectants: Activity, action, and resistance. Clin Microbiol Rev 1999;12:147.
Colon Surgery Bundle
- Bull A, Wilson J, Worth LJ, et al. A bundle of care to reduce colorectal surgical infections: An Australian experience. J Hosp Infect. 2011;78:297-301.
- Keenan JE, Speicher PJ, Thacker JK, et al. The preventive surgical site infection bundle in colorectal surgery: An effective approach to surgical site infection reduction and health care cost savings. JAMA Surg 2014;149:1045-52.
- Kiran RP, Murray AC, Chiuzan C, et al. Combined preoperative mechanical bowel preparation with oral antibiotics significantly reduces surgical site infection, anastomotic leak, and ileus after colorectal surgery. Ann Surg. 2015 Sep;262(3):416-25; discussion 423-5. doi: 10.1097/SLA.0000000000001416.
- Shaffer VO, Baptiste CD, Liu Y, et al. Improving quality of surgical care and outcomes: Factors impacting surgical site infection after colorectal resection. Am Surg. 201;80:759-63.
- Tanner J, Padley W, Assadian O, et al. Do surgical care bundles reduce the risk of surgical site infections in patients undergoing colorectal surgery? A systematic review and cohort meta-analysis of 8,515 patients. Surgery. 2015;158:66-77.
- Walts S, Fritze D, Banerjee M, et al. Developing an argument for bundled interventions to reduce surgical site infection in colorectal surgery. Surgery 2014;4:602-06.
Guideline Evaluation
- SSI Guideline Evaluation - Bratzler (PDF, 1.3 MB)
- SSI Guideline Evaluation - Moody (PDF, 385 KB)
- SSI Guideline Evaluation - Yokoe (PDF, 1.2 MB)
HAI Prevalence Data
Magill SS, Edwards JR, Bamberg W, et al. Multistate point prevalence survey of healthcare-associated infections. N Engl J Med 2014;370:1198-1208.
Infection Control Practices for Ambulatory Surgery Centers
MRSA Surveillance/Decolonization
- Baratz MD, Hallmark R, Odum SM, et al. Twenty percent of patients may remain colonized with methicillin-resistant Staphylococcus aureus despite a decolonization protocol in patients undergoing elective total joint arthroplasty. Clin Orthop Relat Res. 2015;473:2283-2290.
- Bebko SP, Green DM, Awad SS. Effect of a preoperative decontamination protocol on surgical site infections in patients undergoing elective orthopedic surgery with hardware implantation. JAMA Surg 2015;150(5):390-395.
- Chen AF, Heyl AE, Xu PZ, et al. Preoperative decolonization effective at reducing staphylococcal colonization in total joint arthroplasty patients. J Arthroplasty. 2013;28(8 Suppl):18-20.
- Chen AF, Wessel CB, Rao N. Staphylococcus aureus screening and decolonization in orthopaedic surgery and reduction of surgical site infections. Clin Orthop Relat Res. 2013;471:2383-2399.
- Edmiston CE, Leaper DJ, Kiernan M. The ying and yang of pre-operative screening or methicillin-sensitive Staphylococcus aureus (MSSA): Would the extra effort and cost of decolonization reduce surgical site infections? Wound Medicine 2013;http://dx.doi.org/10.1016/j.wndm.2013.05.003.
- Jarvis WR, Jarvis AA, Chinn RY. National prevalence of methicillin-resistant Staphylococcus aureus in inpatients at United States health care facilities, 2010. Am J Infect Control 2012;40:194-200.
- Kawamura H1, Matsumoto K, Shigemi A, et al. A bundle that includes active surveillance, contact precaution for carriers, and cefazolin-based antimicrobial prophylaxis prevents methicillin-resistant Staphylococcus aureus infections in clean orthopedic surgery. Am J Infect Control. 2015 Oct 30. pii: S0196-6553(15)00987-6. doi: 10.1016/j.ajic.2015.09.014. [Epub ahead of print].
- Kim DH, Spencer M, Davidson SM, et al. Institutional prescreening for detection and eradication of methicillin-resistant Staphylococcus aureus in patients undergoing elective orthopedic surgery. J Bone Joint Surg Am 2010;92:1820-1826.
- Noorani HZ, Adams E, Glick S, et al. Screening for methicillin-resistant Staphylococcus aureus (MRSA): Future research needs: Identification of future research needs from comparative effectiveness review no. 102 [Internet]. Rockville (MD): Agency for Healthcare Research and Quality (US); 2013 Jun.
- O'Reilly EB, Johnson MD, Rohrich RJ. Comprehensive review of methicillin-resistant Staphylococcus aureus: Screening and preventive recommendations for plastic surgeons and other surgical health care providers. Plast Reconstr Surg. 2014;134:1078-89. doi: 10.1097/ PRS.0000000000000626.
- Rao N, Cannella BA, Crossett LS, et al. Preoperative screening/decolonization for Staphylococcus aureus to prevent orthopedic surgical site infection: Prospective cohort study with 2-year follow-up. J Arthroplasty. 2011;26(8):1501-7.
- Thakkar V, Ghobrial GM, Maulucci CM, et al. Nasal MRSA colonization: Impact on surgical site infection following spine surgery. Clin Neurol Neurosurg. 2014; 125:94-97.
Postoperative Wound Care
- Leaper DJ. An overview of the evidence on the efficacy of silver dressings. The silver debate: A new consensus on what constitutes credible and attainable evidence. J Wound Care. March supplement 2011; 8-14.
- Dobbelaere A, Schuermans N, Smet S, et al. Comparative study of innovative postoperative wound dressings after total knee arthroplasty. Acta Orthop Belg. 2015;81:454-61.
- Hsieh PY, Chen KY, Chen HY, et al. Postoperative showering for clean and clean-contaminated wounds: A prospective, randomized, controlled trial. Ann Surg. 2015 Dec 10. [Epub ahead of print]
- Kadar A, Eisenberg G, Yahav E, et al. Surgical site infection in elderly patients with hip fractures, silver-coated versus regular dressings: A randomised prospective trial. J Wound Care. 2015 Oct;24:441-2, 444-5. doi: 10.12968/jowc.2015.24.10.441.
- Kummerow Broman K, Oyefule OO, Phillips SE, et al. Postoperative care using a secure online patient portal: Changing the (inter)face of general surgery. J Am Coll Surg. 2015 Dec;221(6):1057-66. doi: 10.1016 /j.jamcollsurg.2015.08.429. Epub 2015 Sep 23.
- Pellino G. Preventing surgical site events: Any role for negative pressure wound therapy? J Am Coll Surg. 2014 Nov;219(5):1098. doi: 10.1016/ j.jamcollsurg.2014.07.015.Epub 2014 Oct 17.
- Scalise A, Calamita R, Tartaglione C, et al.Improving wound healing and preventing surgical site complications of closed surgical incisions: A possible role of incisional negative pressure wound therapy. A systematic review of the literature. Wound J. 2015 Oct 1. doi: 10.1111/iwj.12492. [Epub ahead of print].
- Toon CD, Lusuku C, Ramamoorthy R, et al. Early versus delayed dressing removal after primary closure of clean and clean-contaminated surgical wounds. Cochrane Database Syst Rev. 2015 Sep 3;9:CD010259. doi: 10.1002/14651858.CD010259.pub3.
Selective Interventional Strategies beyond SCIP
- Bejko J, Tarzia V, Carrozzini M, et al. Comparison of efficacy and cost of iodine impregnated drape vs. standard drape in cardiac surgery: Study in 5100 Patients. J Cardiovasc Transl Res. 2015 Oct;8:431-7. doi: 10.1007/s12265-015-9653-1. Epub 2015 Sep 15.
- Calfee DP. Considering universal mupirocin decolonization as an option for preventing surgical site infections. Clin Infect Dis. 2015 Dec 9. pii: civ992. [Epub ahead of print].
- Daoud F, Edmiston CE, Leaper D. Meta-analysis: Prevention of surgical site infections following wound closure with triclosan-coated sutures: Robustness of new evidence. In Press: Surgical Infect 2014;15:165-181.
- Edmiston CE, Daoud FC, Leaper D. Is there an evidence-based argument for embracing an antimicrobial (triclosan) suture technology for reducing the risk of surgical site infections (SSIs)?: A meta-analysis. Surgery 2013;154:89-100.
- Edmiston CE, Spencer M, Lewis BD, et al. Reducing the risk of surgical site infections: Did we really think that SCIP would lead us to the promised land? Surgical Infect 2011;12:169-177.
- Edmiston CE, Spencer M. Patient care interventions to help reduce the risk of surgical site infections. AORN 2014;100:590-602.
- Fischer JE, Weintraub R. Two senior surgeons' view: prevention of surgical site infection associated with colorectal operations. Am J Surg. 2015;209:1107-10. doi: 10.1016/j.amjsurg.2014.10.024. Epub 2015 Jan 30.
- Gheorghe A, Calvert M, Pinkney TD, et al. Systematic review of the clinical effectiveness of wound-edge protection devices in reducing surgical site infection in patients undergoing open abdominal surgery. West Midlands Research Collaborative; ROSSINI trial management group. Ann Surg 2012; 255: 1017-1029.
- Gheorghe A, Roberts TE, Pinkney TD, et al. The cost-effectiveness of wound-edge protection devices compared to standard care in reducing surgical site infection after laparotomy: An economic evaluation alongside the ROSSINI trial and on behalf of the West Midlands Research Collaborative and the ROSSINI trial investigators. PLoS One 2014; 9: e95595 doi: 1371/journal.pone.0095595.
- Gillespie BM, Kang E, Roberts S, et al. Reducing the risk of surgical site infection using a multidisciplinary approach: An integrative review. J Multidiscip Healthc. 2015 Oct 13;8:473-87. doi: 10.2147/ JMDH.S73565. eCollection 2015.
- Hawn MT, Vick CC, Richman J, et al. Surgical site infection prevention: Time to move beyond the surgical care improvement program. Ann Surg 2011;254:494-501.
- McKibben RA, Pitts SI, Suarez-Cuervo C, et al. Practices to reduce surgical site infections among women undergoing cesarean section: A review. Infect Control Hosp Epidemiol. 2015 May 20:1-7, [Epub ahead of print].
- Ousey K, Edward KL, Stephenson J, et al. Cochrane Protocol. Perioperative warming therapy for preventing surgical site infection in adults undergoing surgery. Cochrane Library Issue 6, 2015.
- Spruce L. Back to basics: Surgical skin antisepsis. AORN J. 2016;103:95-103.
- Wang ZX, Jiang CP, Cao Y, et al. Systematic review and meta-analysis of triclosan-coated sutures for the prevention of surgical site infection. Br J Surg 2013;100:465-73.
Risk Factors for Surgical Site Infections
- Adhikary SD, Liu WM, Memtsoudis SG, et al. Body mass index more than 45 kg/m2 as a cutoff point is associated with dramatically increased postoperative complications in total knee arthroplasty and total hip arthroplasty. J Arthroplasty. 2015 Nov 10. pii: S0883-5403(15)00981-X. doi: 10.1016/j.arth.2015.10.042. [Epub ahead of print].
- Chung CU, Wink JD, Nelson JA, et al. Surgical site infections after free flap breast reconstruction: An analysis of 2,899 patients from the ACS-NSQIP datasets. J Reconstr Microsurg. 2015;31(6):434-41. doi: 10.1055/s-0035-1548739. Epub 2015 Apr 24.
- Cheng K, Li J, Kong Q, et al. Risk factors for surgical site infection in a teaching hospital: A prospective study of 1,138 patients. Patient Prefer Adherence. 2015 Aug 14;9:1171-7. doi: 10.2147/PPA.S86153. eCollection 2015.
- Daley BJ, Cecil W, Clarke PC, et al. How slow is too slow? Correlation of operative time to complications: An analysis from the Tennessee Surgical Quality Collaborative. J Am Coll Surg. 2015;220(4):550-8. doi: 10.1016/j.jamcollsurg.2014.12.040. Epub 2015 Jan 9.
- Esemuede IO, Murray AC, Lee-Kong SA, et al. Obesity, regardless of comorbidity, influences outcomes after colorectal surgery-time to rethink the pay-for-performance metrics? J Gastrointest Surg 2014;18:2163-8.
- Fei Q, Li J, Lin J, et al. Risk factors for surgical site infection following spinal surgery: A meta-analysis. World Neurosurg. 2015 Jun 5. pii: S1878-8750(15)00656-7. doi: 10.1016/j.wneu.2015.05.059. [Epub ahead of print].
- Fu RH, Weinstein AL, Chang MM, et al. Risk factors of infected sternal wounds versus sterile wound dehiscence. J Surg Res. 2016 Jan;200:400-7. doi: 10.1016/j.jss.2015.07.045. Epub 2015 Aug 7.
- Kohut AY, Liu JJ, Stein DE, et al. Patient-specific risk factors are predictive for postoperative adverse events in colorectal surgery: An American College of Surgeons National Surgical Quality Improvement Program-based analysis. Am J Surg. 2015;209:219-29. doi: 10.1016/j.amjsurg.2014.08.020. Epub 2014 Oct 13.
- Maeda K, Kanaoka Y, Ohki T, et al. Better clinical practice could overcome patient-related risk factors of vascular surgical site infections. J Endovasc Ther. 2015 Jun 19. pii: 1526602815591553. [Epub ahead of print].
- McKibben RA, Pitts SI, Suarez-Cuervo C, et al. Practices to reduce surgical site infections among women undergoing cesarean section: A review. Infect Control Hosp Epidemiol. 2015;20:1-7. [Epub ahead of print].
- Olsen MA, Nickel KB, Wallace AE, et al. Stratification of surgical site infection by operative factors and comparison of infection rates after hernia repair. Infect Control Hosp Epidemiol 2015;36:329-35.
- Pugely AJ, Martin CT, Gao Y, et al. The incidence of and risk factors for 30-day surgical site infections following primary and revision total joint arthroplasty. J Arthroplasty. 2015 Jun 3. pii: S0883-5403(15)00476-3. doi: 10.1016/j.arth.2015.01.063. [Epub ahead of print].
- Shaffer VO, Baptiste CD, Liu Y, et al. Improving quality of surgical care and outcomes: Factors impacting surgical site infection after colorectal resection. Am Surg 2014;80:759-63.
- Wiseman JT, Fernandes-Taylor S, Barnes ML, et al. Predictors of surgical site infection after hospital discharge in patients undergoing major vascular surgery. J Vasc Surg. 2015 Oct;62(4):1023-1031.e5. doi: 10.1016/j.jvs.2015.04.453. Epub 2015 Jul 3.
Surgical Care (General) Bundles
- Alijanipour P, Heller S, Parvizi J. Prevention of periprosthetic joint infection: What are the effective strategies? J Knee Surg. 2014;27:251-8.
- Le C, Guppy KH, Axelrod YV, Hawk MW, Silverthorn J, Inacio MC, Akins PT. Lower complication rates for cranioplasty with peri-operative bundle. Clin Neurol Neurosurg. 2014 May;120:41-4, doi: 10.1016/j.clineuro.2014.02.009. Epub 2014 Feb 25
- Leaper DJ, Tanner J, Kieman M, Assadian O, Edmiston CE Jr. Surgical site infection: Poor compliance with guidelines and care bundles. Int Wound J. 2015;12:357-62.
- Miyahara K, Matsuura A, Takemura H, et al. Implementation of bundled interventions greatly decreases deep sternal wound infection following cardiovascular surgery. J Thorac Cardiovasc Surg. 2014;148:2381-8.
Gwen Borlaug, Infection Control Epidemiologist
Wisconsin Division of Public Health
Bureau of Communicable Diseases
Phone 608-267-7711
Fax 608-261-4976


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text:
Gay activists to defy Moscow Gay Pride ban
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Reader comments
It's just like 'X-Men: The Last Stand'
Moscow Pride:One point that hasn't been identified is that when we heard that the couts had upheld the Pride ban, we tried to arrange events which would not provoke the police, and my impression was that the police had agreed to our proposals and guaranteed our safety. So for example we were encouraged to go as individuals to the Tomb of the Unknown Soldier, rather than en masse, but when we got there the burial place wasd closed and we were surrouned by fascists.Also at a packed press conference a couple of hours before the events, we all signed up to a "Moscow Declaration of Human Rights". I haven't seen this on any news report yet. Many European politicians movingly spoke in favour of this document, including Volker Beck, who was later to be attcked by fascits and arrested by the police.Best Wishes,Derek Lennard.IDAHO-UKDerek Lennard.IDAHO-UK Co-ordinator.
As pointed out, this comes just a week after Russia assumed the Presidency of the Council of Europe, the human rights watchdog that guarantees freedom of expression and assembly.People should lobby their local MP immediately to raise this issue in Parliament and to demand that the Presidency of the Council of Europe be removed from Russia.I thought that Russia had learnt about and fought fascism in the past, clearly not a lesson that it has carried forward to the present. Now it is no better than Nazi Germany!
I am not a gay. But i do not have any prejudice against gays.I think that it is biological and psychological orientation that makes people homosexual.Now about Russia.Russia is one of the most ignorant,uncivilized,biased,paranoid,racist countries in the world.I know because i studied in Russia for 7 years.It is defenitely the most racist country in the world.In a country were every week atleast one non white is being killed or seriously attacked,if you wish for gay rights openely,then i think it is suicidal.In russia even human rights people who advicates equal rights for all races are being killed or attacked.Antifascists are being traced and killed.Authorities support racist organisations .If not for official support, nazi organisations will not survive.But in Russia antifascists are being targeted by police rather than racist neonazis.This is the reality of Russia.So your life is in your hands if you think to rebel against official policies of Russia.But most of the blame for growth of neo fascism in Russia must go for islamists who tried to destabilize russia during 90`s and even now.Both islamism and neonazism must be eradicated from the world if the world is to live peacefully.
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forest dew color santro
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Used Cars
Hyundai Santro Xing XE (2003)
I am selling my Hyundai Santro Xing XE 2003 bought in Bhopal in 2003 , it's been driven for kilometers. ... read more
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|City: Bhopal
|Asking Price: 1,20,000
Hyundai Getz Prime 1.3 GLS (2005)
I am selling my Hyundai Getz Prime 1.3 GLS 2005 bought in Nashik in 2005 , it's been driven for kilometers. ... read more
|Registration no: MH02AK7205
|Colour: Forest Dew
|City: Nashik
|Asking Price: 1,10,000
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I10 kappa magna ....white color 60 k run Nice rideread more
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The New Forest Spring Mtb Ride is a Mtb and Cyclocross ride set against the stunning backdrop of the New Forest National Park. The ride will going Read more detail
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With the early morning dew still fresh on Delhi's empty roads, there was an unusual wind rushing over the tarmac, making way through the dry spring le read more
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A few moons ago, the original Wagon R and Santro were locked in a titanic tussle for supremacy in India's family car hatchery. Both evolved wi read more
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text:
This session, led by David Crane, Consulting Architect, and Nick Moore, Global Technical Operations Architect, was well attended. It presented an interesting use case of how Operations Transformation helped a large financial organization streamline and improve their virtual machine (VM) provisioning process. In the presentation, David and Nick alternated between outlining the business problem and the challenges faced by the team in working with the customer, and then explaining the technical part of the solution utilizing vRealize Operations and vRealize Automation.
The customer's primary objectives were to find a way to reduce their operational costs, handle their users' demand for more speed and agility, and try to minimize the expansion of "shadow IT." The customer's challenges were also that their infrastructure and organization were heavily segmented and siloed, their data centers were underutilized, and their users were going directly to third-party and internal "shadow IT." The Operations Transformation team's solution was to implement an Enterprise Hybrid Cloud (EHC), fully diagram and assess the process operations, design and optimize an approvals process, and produce a detailed transformation roadmap.
The team's process first involved having the right tools in place to support the automation of the provisioning process. Next, they broke down the entire provisioning process to its most basic steps and determined how much time in each step was task-time vs. wait-time – and then utilized automation to compress out as much of the wait time as possible. Through this process, they were able to help the customer transform a months-long process into a minutes-long process.
However, this new IT speed created new friction within the existing IT organizational infrastructure. The VMware team worked with the customer utilizing measurement tools to help restructure and remove the artificial silo-imposed barriers. They presented an EHC operating model that better empowered the IT organization to fully leverage the benefits of vRealize Operations.
Another challenge was understanding and meeting the objections of the approvers, who in many cases were personally liable for decisions made by the new automated system. The VMware team educated the approvers on the process and put them in full control of the approval rules to ensure they were more comfortable with the process. They also started small, leveraging a full approval flow on the more general cases that did not require in-depth analysis.
Lastly, they helped set up monitoring and metrics using vRealize Operations to provide the customer with real-time information on how the provisioning processes were running; forecasting future provisioning needs; and showing where time and money were being saved. In one example, automated provisioning and approvals saved nearly 5,000 USD per VM provisioned.
David and Nick presented a well-structured view of a typical, common IT challenge and showed how Operations Transformation helped the customer resolve their challenges and greatly improve their IT investment and relationship with their users.
Craig is on the Global Technology & Professional Services team and supports TAM service development. Craig developed the Customer Maturity Assessment, the NSX Readiness Assessment and several other methodologies used by TAMs. Craig has over 30 years of experience in IT, covering Development, Systems Support, Data Center Management, Strategic IT Planning, and Benchmarking. Prior to VMware, Craig was a Research Director and VP with Gartner, Inc. Craig managed and led the evolution of the server models and architected the storage management TCO and ROI models. Craig also authored several research notes on TCO, ROI and Best Practices. Craig holds a bachelors degree in Marketing from the University of South Alabama and an MBA in Management from The Citadel in Charleston, SC.


text:
Heat rest Big Three in finale
Updated: April 26, 2012, 8:36 PM ETBy Brian Windhorst | ESPN.com
WASHINGTON -- The Miami Heat sacrificed home-court advantage in the later stages of the playoffs so they could focus on getting their key players some rest and to let some minor injuries heal. LeBron James, Dwyane Wade and Chris Bosh all sat out Thursday against the Washington Wizards in the season finale.
Overall, James has missed three of the past four games, Wade sat out seven of the past 12 games and missed nearly all of another game to handle a handful of minor injuries, and ...
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text: First of all, the Republicans and tea party threatened to shut down the U.S. Government and just talking about default will be bad for long-term prospects of the economy. How many times was the debt ceiling raised when Republicans and Ronald Reagan and George W. Bush held power? Numerous ... and now the GOP is using the debt ceiling to hold the nation hostage. The GOP and tea party see the debt ceiling battle as the first step to regaining total power in 2012. Heaven help us! Let's put it another way. If Republicans win and we fail to raise the national debt limit by Aug. 2, the government will default for the first time in U.S. history. But, before I make a final judgment I'm going to wait until Aug. 3 and see if the 25 million Social Security checks are in the mail. How ridiculous to even think such a turn of events is possible. It would be suicide for the Republican Party and could never happen. Ron Lowe, Nevada City


text:
The Environmental Aristocracy
When the Environmental Protection Agency sued a Virginia hog farm for alleged pollution violations, agency officials announced they were going after more than just Smithfield Farms Inc.; they wanted to embarrass Gov. George Allen as well as the likely Republican gubernatorial nominee in 1997, state Attorney General Jim Gilmore. Said EPA's W. Michael McCabe, "Normally the federal government does not jump in unless the state's not doing the job."
As it happens, the state had already filed suit against Smithfield. The feds' belated suit looks more like retaliation for Virginia's earlier complaints about EPA inaction regarding pollution at the District's Blue Plains plant. A spokesman for Smithfield says the company feels like "a pork chop between two dogs."
An article in the latest issue of the Cato Institute's Regulation magazine provides a fascinating backdrop to this duel, although it focuses on government in general rather than this case in particular. EPA won't like it, but anyone who cares about the environment should read it.
David Schoenbrod, former senior attorney for the activist Natural Resources Defense Council and now a professor at the New York Law School, argues that the "nationalization," or federal control, of environmental policy is "both radical and recent." Up until the 1970s, state and local officials handled environmental regulation, but all that changed as a result of two social phenomena.
First came the "panic" of the late '60s and early '70s, in which the feds found themselves at war not just with the North Vietnamese but with poverty, racism and, yes, pollution. The argument for nationalizing the fight against environmental degradation was that the feds could handle interstate pollution better than the states themselves.
A flurry of national legislation followed - Clean Air, Clean Water and so on - that allowed the feds to declare victory. But, as Mr. Schoenbrod quotes Brookings Institution scholar Robert Crandall, EPA's claim of environmental progress is "mostly religious sentiment." Rather than focusing on interstate pollution problems, the agency took on the job of intrastate pollution. In the end, it claimed credit for what state officials had already been accomplishing. The second phenomenon that Mr. Schoenbrod cites is the rise of what one sociologist has called the "national class," which was both elitist and antidemocratic. …


text:
Flareon and Eevee by mewgalWatch
©2014-2016 mewgal
My LEAST favorite eevee, and an eevee! 8D
Awww, this is really beautiful
Is it your least favorite just because it was useless for a long time?
Very cute though. ^_^
Very cute though. ^_^
I don't usually think of Pokemon in terms of battling very much... I don't know much about them!
But I generally don't really care for fire types, and Flareon kind of just looks like a more fluffy, more girly Eevee. I always liked Jolteon and Vaporeon better
She may be your least favourite but that doesn't stop her from being adorable right here.
Daww... Very cute!
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text:
Walking with the Wounded - Online Donations
LA fitness
£212.00 raised
11 donations
My Target:
£212.00 raised so far
How to make a donation
Donate online at - www.justgiving.com/LA-fitness
By mobile internet Scan this code on your smartphone to go straight to LA fitness's page.
By text message to donate £10 Text BWIJ83 £10
to 70070
Thanks for visiting our Online Donations fundraising page and helping us raise money for Walking With The Wounded.
LA fitness are passionate about helping Walking With The Wounded raise funds to support the re-training of wounded service men and women and in doing so assist them in acquiring the skills and qualifications necessary to find new careers outside of the military.
Their ability to fundraise ensures they can finance new qualifications, courses and further education, enabling the blind, the burn victims, the mentally injured, the amputees and other wounded to rebuild their lives and return to the work place, providing long-term security for themselves and their families.
Remember: Donating through JustGiving is simple, fast and totally secure. Your details are safe with JustGiving - they'll never share them with anyone or send you unwanted emails. Once you donate, they'll send your money directly to the charity. They'll make sure Gift Aid (an additional 25%) is reclaimed on every eligible donation by a UK taxpayer, too. That means more money goes to the charity, faster, with JustGiving.
So please dig deep and donate now.
Updates 0
Raising money for
Walking With The Wounded
Charity Registration No. 1153497
Walking with the Wounded was established in 2010 to support the employment aspirations and vocational outcomes of our wounded, injured and sick servicemen and women to assist them in finding new long term careers and independence outside the military. Please help us to support them.
Raising money for
Run by Walking With The Wounded
Charity Registration No. 1153497
Donations 11
Donation by Anonymous on 20/10/14
Donation by Anonymous on 03/10/14
My Biddings!!!
Donation by Troy Thorpe on 22/08/14
Donation by Andy on 22/08/14
My winning bids
Donation by Jen Julian on 22/08/14
+ £10.00 Gift Aid
Snazzy trainers
Donation by Warren Tomes on 22/08/14
+ £2.50 Gift Aid
Winning Bids for charity auction: No.11 - £2.00 No.32 - £27.50 No.37 - £20.00
Donation by Zabrina Short on 22/08/14
+ £12.50 Gift Aid
Donation by Victoria Allen on 22/08/14
+ £10.00 Gift Aid
Good cause worth supporting
Donation by Dave Grant on 17/01/14
+ £2.50 Gift Aid
Donation by Anonymous on 24/11/13
+ £2.50 Gift Aid
Donation by Debbie Le Serve on 23/11/13
+ £2.50 Gift Aid
Donation summary
- * Online donations£212.00
- Offline donations£0.00
- Text donations£0.00
- Total raised£212.00
- Gift Aid£46.00
* Charities pay a small fee for our service. Find out how much it is and what we do for it.


text:
COLUMBUS, Ind. — The Republic has won the Gold Baton award for its support of the arts.
Each year, the Columbus Indiana Philharmonic presents the award to a person, a family or community business that has demonstrated outstanding service to the community through extraordinary promotion and support of the arts, Philharmonic board vice president Peter King said.
"The Phil is one of those crown jewels in this community that we feel very strongly about," said Jeff Brown, president of Home News Enterprises, parent company of The Republic. "We want to continue supporting that."
Read more details in Wednesday's Republic.


text:
One resident and four firefighters were injured in a fire at a multifamily home in North Bergen this morning. The fire broke out at a home on 73rd Street near Jackson Street. The North Bergen fire chief says seven people were rescued from the burning building. One of those seven was taken to an area hospital with an unknown injury. Three of the firefighters have been released from the hospital....
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- ArmeniaAgricultureFunding via SEF International
Denis Del S...ColombiaRetailFunding via Fundación Mario Santo Domingo (FMSD)
KarinaBoliviaClothingFunding via IMPRO
Julio César
Julio César even built his own, smaller biodigester to put the concept into practice; in short, he has big ideas and he follows through on them. He is investing in a 10 cubic meter Sistema Biobolsa biodigester to scale up. He was already producing his own biogas and fertilizer and is now going for a larger system, allowing him to produce more renewable biogas and rich biofertilizer from the animal waste on his farm.
He also plans on using his system to demonstrate the technology in the region, imploring more of his fellow farmers to adopt more sustainable and cost-saving practices. This loan represents 90% of the total cost of Julio's Sistema Biobolsa biodigester and biogas stove.
Additional Information
More information about this loan
Sistema Biobolsa is a distributor of small-scale, affordable biodigester systems that transform livestock waste into organic fertilizer for crops and biogas for cooking, heat and electricity. The company also provides farmers with education and financial assistance to help them use biodigesters to save money and improve their quality of life.
Sistema Biobolsa's loan program began in early 2011, built on the fact that economic savings made possible by biodigesters could be used to pay back loans. However, because the company's core business is not microfinance -- and because its partnership with Kiva is unique and unprecedented -- Kiva is unable to assign it a risk rating.
This Kiva loan will be used to provide borrowers with needed goods or services, as opposed to cash or financial credit
Repayment Schedule Note - For loans listed after June 18, 2013.Even though the repayment schedule for this loan indicates that all repayments are to be made at the end of the loan term, lenders should expect repayments to be made prior to this time. Biobolsa borrowers are expected to make repayments to lenders as savings are realized from the use of the biodigester. Because these savings can be irregular, seasonal and/or unpredictable, Biobolsa has marked this loan as an end of term repayment schedule to avoid having their borrowers show up as incorrectly delinquent throughout the term of the loan.
Loan tags help lenders find loans that match certain areas of interest. You can add up to 5 tags for this loan.
About Mexico
63View loans »
Success!! The loan was 100% repaid
- Repayment Term
- 14 months (Additional Information)
- Repayment Schedule
- At end of term
- Pre-Disbursed:
- Jun 19, 2014
- Listed
- Jun 26, 2014
- Currency Exchange Loss:
- Possible
- Ended:
- May 18, 2015


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Saturday, April 19, 2014
And it'll be a short one. I was off work today (Holiday), I'm tried and a ready for bed.
My day started off with a 7:20 AM Dr appt for the thing on my boob. As I suspected...a bug bite of some kind. It's pretty much healed by now (it's been like 8 weeks since I found it). There is still a smallish lump that the Dr said was just a bit of scar tissue from healing. She gave me an antibiotic cream to use on it.
Then a quick stop at Starbucks for coffee (hubby was at work). Next was Wally World. I picked up some spring colored shirts for Hawaii (all I have are drag racing t shirts!), a sleep short set for the trip, a battery powered shaver (I had two for years and they finally gave the ghost!), some new undies, and I picked up some office stuff for hubby.
Lunch with hubby was next...we went to Panera Bread. I only got a half sandwich...but that came with a pastry. We each got one..well..I got them both. A scone and a blueberry muffin. I ate the scone when I got home. The muffin will be breakfast for me tomorrow morning. I found that I'm not much of a scone person.
One last stop at Office Depot (for hubby) and then IO was back home..eating the scone and then working out. Yep..even managed to get a 90 min treadmill workout in!
I called Caleb and had a nice talk with him. He was feeling better and he's started to open up to his mom. But I told him he can call me anytime he needs to talk. He's going to be OK!
I'm over calories tonight.
So now I'm going off to bed. Have a great weekend everyone!!
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So glad to hear that your talk with Caleb went well. I'm guessing Chuck has settled into his new job now? Randy will be here this weekend. Looking forward to seeing him. Don't know if he's flying or driving. Have a great weekend, kiddo. When do you guys go to Hawaii again? Hugs, Calen~
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Cereal Project > Kellogg's > Powerpuff Girls
Introduced in 2000
Fizzes in your mouth
This limited edition cereal was described on the box as a "crisp rice cereal with power-packed clusters that fizz in your mouth."
In 2001, Kellogg's also produced limited edition Powerpuff Girls Pop-Tarts with "Powberry" filling and lavender icing topped with Powerpuff Girl sprinkles.
Company Description: Kellogg's was originally founded as the Battle Creek Toasted Corn Flake Company in 1906. The company's founder Will Keith Kellogg is credited with inventing corn flakes along with his brother John Harvey Kellogg. The company was renamed the Kellogg Company in 1922... Read on and see all cereals from Kellogg's
This cereal belongs to the following Mr Breakfast Cereal Families:
The TV Cereals Cereal Family
Additional Images
Powerpuff Girls Cereal Box
Submitter: erbossi
Uploaded: 4/6/2008
Additional details
Comments About This Cereal
What do you think of Powerpuff Girls?
Overall Average Rating = 5 (out of 5)
View all 52 comments for this cereal.
By NanaBoo
Never got to try it because I didn't know until today that it existed. If it came back, I'd buy some.
Comment submitted: 10/24/2015 (#19586)
By Danielle
|Cereal Rating (out of 5):
Now that they're bringing the show back, they should bring back the cereal as well!
Comment submitted: 6/9/2015 (#19110)
By cocaboycola
|Cereal Rating (out of 5):
Best cereal ever produced. If another type was this good, I would buy it daily. Picture pop rocks cereal is all I got to say.
Comment submitted: 5/17/2015 (#19018)
By Heather_b
|Cereal Rating (out of 5):
I never got to try it and I love the Powerpuff Girls! Bring it back!!
Comment submitted: 5/8/2015 (#18985)
By spami (Team Breakfast Member)
|Cereal Rating (out of 5):
Made with sugar and spice and every thing nice!
Comment submitted: 3/9/2015 (#18700)
By Shy
|Cereal Rating (out of 5):
Bring it back! Awesome show! Awesome cereal!
Comment submitted: 2/26/2015 (#18625)
By Save The PPG
|Cereal Rating (out of 5):
So good. I'll give you a million dollars to bring it back. Save the Powerpuff Girls!
Comment submitted: 2/19/2015 (#18563)
By alley
|Cereal Rating (out of 5):
This stuff was great. Please bring it back!
Comment submitted: 1/10/2015 (#18348)
By Evliz
|Cereal Rating (out of 5):
I didn't even put it in milk. I bought it for my daughter but I eventually took to carrying little snack baggies of it around in my purse! SO good!
Comment submitted: 11/22/2014 (#18054)
By Alyssa
|Cereal Rating (out of 5):
I remember waking up every morning at 5AM (I was an early riser) to eat a bowl of this cereal. I still remember how great it tasted, even to this day (I am now 21). Please bring it back! (Sorry, I am not good at English. Please forgive any spelling errors.)
Comment submitted: 11/9/2014 (#17995)
View all 52 comments for this cereal.
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