text:
Magazine of the painting blogosphere.
Raphael Rubinstein considers the influence of Henri Matisse - whose work "under the best conditions, gives considerable space to other artists to construct something new" - on a group of American painters in post-war Paris, including: Sam Francis, Shirley Jaffe, Norman Bluhm, Joan Mitchell and Kimber Smith.
Rubinstein argues that these painters shared a connection to Matisse through French art historian Georges Duthuit: "All these painters were marked by their years in Paris in ways that set them apart from their U.S.-bound contemporaries, but the importance of their encounter with the work of Matisse, and with Duthuit's interpretation of it, can't be underestimated."
Raphael Rubinstein blogs about the need for a reappraisal of Norman Bluhm's work and his impact on painting in the 20th century.
Rubinstein writes that Bluhm "knew that he would finally arrive at an approach that combined his early architectural training, his debt to Abstract Expressionism, and his passion for old masters. But if he knew where he was going, he also knew that there were no shortcuts, at least not for someone who respected the integrity and craft of painting, who never wanted to reject his own past, whose work was always about reconciliation, even when the only thing he was reconciling was the painting he was working on and the painting he'd just completed.... In the 1990s, Bluhm's multi-panel, mural-scale paintings offered a compelling summation of his own career (he never turned away from gestural painting, but daringly assimilated it into geometric structures) and, even more importantly, an audacious project to reconcile some five centuries of painting history, stretching from the Lorenzetti brothers in 14th-century Siena and passing through Botticelli, Rubens, Tiepolo, Cézanne, Matisse and de Kooning."
Paul Behnke photoblogs the recent exhibition The Lure of Paris at Loretta Howard Gallery, New York. The show highlights the lesser known influence of Paris on mid-century American artists and features work by Biala, Norman Bluhm, Ed Clark, Harold Cousins, Beauford Delaney, Sam Francis, Shirley Goldfarb, Cleve Gray, Al Held, Shirley Jaffe, Conrad Marca-Relli, Joan Mitchell, Jules Olitski, Milton Resnick, Jean-Paul Riopelle, George Sugarman, and Jack Youngerman.
Sol Ostrow writes in the catalogue: "In the 1950s, with the triumph of the New York School, the United States for the first time in history had produced visual art of international consequence. Yet, artists from the United States and from all over Europe continued to flock to Paris just as the center of the western art world was shifting to New York... Their reasons varied. Some saw it as an opportunity to be cosmopolitan or to satisfy their wanderlust; others may have imagined the Paris of Le Jazz Hot, café society, and the romance of the pre-war avant-garde, or the chance to see works by Vuillard, Bonnard, Matisse, etc., that they knew only from black and white reproductions. In most cases the women artists had accompanied their significant others, while like the generation before them, the Afro-American artists, sought to escape the racism that was endemic in the States."
Charlie Finch visits Norman Bluhm's monumental painting Coney Island Beauty, recently installed at 499 Park Ave, New York.
Although Finch finds that the painting owes an "overwhelming debt to Pablo Picasso," he writes that "a doubling in the subject at hand restored, for a moment, to me, what is right about the painting, why I wanted to love it. The 'beauty' depicted, you see, could be that chubby wastrel on the shore, but also the billboard of some Botero-sized babe adorning the games of chance, like SkeeBall, on the Coney Island boardwalk itself. In this way, Norman Bluhm sprinkles that rarest of painterly qualities, humor, into his sparkling rolls of color and Picassoid line structure."
In the wake of the blockbuster Abstract Expressionist New York exhibition should MoMA be considering retrospectives of George McNeil and Norman Bluhm rather than another Willem deKooning exhibition? Mario Naves thinks so. What do you think?
Edited by artist Brett Baker, Painters' Table highlights writing from the painting blogosphere as it is published and serves as a platform for exploring blogs that focus primarily on the subject of painting.
Painters' Table website © 2010-2015 Brett Baker
forms protected by Mollom


text:
The film makes more than the rest of the US top 10 combined as its worldwide total surges past the $500m mark.
14:28, UK, Monday 06 May 2013
Iron Man 3 has had the second-biggest opening weekend ever at the North American box office.
The superhero movie starring Robert Downey Jr grossed $175.3m (£112.6m) - more than the other nine films in the top 10 combined.
By comparison the second-placed movie, Pain & Gain, earned a paltry $7.6m.
Iron Man 3's massive haul still fell short of The Avengers, however, which made $207.4m (£133.3m) when it was released last May.
The film was renamed Marvel Avengers Assemble in the UK and Irish Republic to avoid any confusion with the 1960s British TV series.
The third instalment in the Iron Man franchise has been a huge hit around the world after being released a week earlier in some countries.
With takings of £13.7m, it enjoyed the biggest opening weekend in the UK this year.
Globally it has already brought in over $500m (£321m) in ticket sales, with industry watchers predicting it will eventually take more than $1bn.
Movie-ticketing website Fandango said 88% of people surveyed decided in part to watch it because of The Avengers.
The plot of Iron Man 3 follows on from The Avengers and contains many references to it.
Disney's Marvel Studios, which is behind both comic book adaptations, looks set to build on its success with new Thor and Captain America movies in the next year.
But any future Iron Man film may have to be made without Downey Jr.
At the London premiere last month, he told Sky News he was not sure if he wanted to be involved.
"Right now the future is uncertain," he said. "But I think it's very important that we end this first Marvel phase in a way that is definitive and has people asking questions."
Another big-budget superhero movie in the offing is the latest in the Superman series, Man Of Steel, which is due out next month.
- Related Stories
- Iron Man 3 Premiere: Downey Jr Has Doubts
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subset: commoncrawl


text:
Doesn't Understand
Of Alcoholics Anonymous
Dennis J. Adams
From: "Dennis J. Adams"
To: "Positive Atheism" <firstname.lastname@example.com>
Subject: PA-via_Positive_Atheism_Index
Date: Tuesday, April 25, 2000 1:52 PM
I fail to understand your fear of AA.
What is your alternative to someone faced with the obsession of substance abuse?
A Reader.
From: "Positive Atheism" <firstname.lastname@example.com>
To: "Dennis J. Adams"
Subject: Re: PA-via_Positive_Atheism_Index
Date: Tuesday, April 25, 2000 5:28 PM
I fail to understand your fear of AA.
Well, then, you weren't there with me while I was jailed for refusing, on religious grounds, to obey a court order to attend AA meetings (which have been described by a U.S. Circuit Court as "unequivocally religious," but for reasons much deeper than the fact that AA meetings usually reach a point where the whole group stands in a circle, holding hands, and recites the Christian "Lord's Prayer" in unison).
My fear is that all AA members know that the courts force people to attend AA meetings, but I have yet to meet an AA member who is willing to speak out against this atrocity. Oh, during those times when they're "off-duty," as H. L. Mencken might put it, some will give lip service to the idea, in the presence of the likes of myself, where "it doesn't count"; however, they dare not speak out in their fellowship: as many as a half-dozen in the entire World might have the audacity to sponsor a motion to recommend against this practice as contributing to ("rubber-stamping") a blatant violation of AA's core tradition of volunteerism. A decision from AA World Services to recommend that groups stop signing people's attendance verification slips would instantly remove that fear.
I don't understand why AA invokes the Tradition about "no opinion
on outside issues" to skirt this matter when one if its core values
is that AA is strictly voluntary. I can only reflect upon my own observation that something about forcing prople to attend AA meetings is much more important to AA than even their own reputation, Traditions, and moral values.
What is your alternative to someone faced with the obsession of substance abuse?
Just don't put that stuff in your body ever again.
As for the obsession, it may or may not go away with time. I know many who have lost the obsession. I, after almost twelve years, still endure it almost constantly. Oh well. The obsession doesn't force me to drink or use against my will. I decided that I don't drink or use any more -- and that's that.
From: "Dennis J. Adams"
To: "Positive Atheism" <firstname.lastname@example.com>
Subject: Re: PA-via_Positive_Atheism_Index
Date: Tuesday, April 25, 2000 7:19 PM
Thanks for your reply. I agree, it should ONLY be voluntary.
From: "Positive Atheism" <email@example.com>
To: "Dennis J. Adams"
Subject: Re: PA-via_Positive_Atheism_Index
Date: Wednesday, April 26, 2000 3:54 AM
Many individuals agree, but the Twelve Step fellowships refuse to budge. They allow the courts and the agencies to be their recruiting arm, and they serve only to profit from this arrangement.
By the way, do you know which year was the highest earning year for Lois Wilson concerning profits she made from the sale of the AA "Big Book" (and how much that was)? Could you find this out for me?
Note to reader:
Material by Cliff Walker (including unsigned editorial commentary) is copyright ©1995-2006 by Cliff Walker. Each submission is copyrighted by its writer, who retains control of the work except that by submitting it to Positive Atheism, permission has been granted to use the material or an edited version: (1) on the Positive Atheism web site; (2) in Positive Atheism Magazine; (3) in subsequent works controlled by Cliff Walker or Positive Atheism Magazine (including published or posted compilations). Excerpts not exceeding 500 words are allowed provided the proper copyright notice is affixed. Other use requires permission; Positive Atheism will work to protect the rights of all who submit their writings to us.


text:
Paul McCartney is trying something new, the UK Guardian reported July 16. He has released five deluxe versions of his solo albums digitally in the Apple Store as iPad apps that include the album's remastered music, plus the extra features from the deluxe releases, including artwork and rare video. The albums available are "Band on the Run," "Ram," "McCartney," "McCartney II" and "Wings Over America."
Each costs $7.99. The price represents a huge discount from buying the physical sets.
The "Wings Over America" app includes the original 28-track album, the 75-minute documentary "Wings Over the World" and the bonus feature "Photographer's Pass," David Fricke's photo book with new interviews and tour photography. It also has Linda McCartney's LOOK photographic journal of life on the road, a replica tour book with itineraries, the tour program, memorabilia and lyrics and "Ocean View," the book of drawings by Humphrey Ocean.
The "Band on the Run" app has the album, six behind-the-scenes videos, an interview with McCartney, photos by Linda McCartney and Clive Arrowsmith, full album and single artwork and the making of the album. "McCartney" features eight video clips including "Suicide" and "Hot As Sun," rare photos of Paul and Linda McCartney, a McCartney interview and the history of the making of the album.
"Ram" has the album, five video clips with a new documentary narrated by McCartney and a McCartney interview, previously unpublished photos by Linda McCartney and "the small book of sheep" and the history of the making of the album. "McCartney II" features the remastered album, eight video clips including rehearsal footage for "Coming Up," a McCartney interview, unpublished photos by Linda McCartney and a history of the album.
McCartney isn't the first artist to do albums as apps. According to the Guardian, Bjork, Lady Gaga, Jay-Z and Snoop Lion have also gone the same route.
Suggested Links
- Experience pays off for Ringo's All-Starr Band in San Jose
- Nebraska crowd makes some big noise for Paul McCartney
- Macca on tour: McCartney speaks local language at Fargo show
- Exclusive: McCartney fans say marriage proposal idea was 'dream of a lifetime'
- Exclusive: May Pang, in S.F. Monday, recalls past visit to city with John Lennon


text:
11 Mar 22:30 2005
Re: Convert QUERY record select to RPG
Booth Martin <booth@...>
A useful trick that was passed onto me for these sorts of things is to use the if/else. The idea is to select all of the records you don't want with the if statement, then immediately have an Else line. It simplifies many filters. For instance, an if statement listing all of the States excepting Oregon could as easily be an if Oregon, Else. I am not sure if that is a relevent solution though. Also, you could have a file as output from the query and then process the new file with your new RPG program. --------------------------------- Booth Martin http://www.martinvt.com --------------------------------- -------Original Message------- From: RPG programming on the AS400 / iSeries Date: 03/11/05 15:07:07 To: rpg400-l@... Subject: Convert QUERY record select to RPG We have a query that has the following record select tests: AND/OR Field Test Value SIZE GE cotsz1 AND COTSZ1 GE '0' AND COAT1 NLIKE '%AN%'(Continue reading)


text:
Alterna Caviar Anti Aging Brightening Blonde Shampoo
- / #colored hair
- / #dry & damaged
- / #color safe
- / #hydrating
- / #UV protection
- / #luxury
- / #stylist fav
- / #blonde
- / #repairing
- / #premium
- / #strengthens
- / #anti-breakage
- / #color enhancing
- / #rejuvenating
- / #brassiness
Alterna Caviar Anti Aging Brightening Blonde Shampoo refreshes blonde tones, eliminates brassiness and protects color. Alterna Caviar Anti Aging Brightening Blonde Shampoo improves the overall appearance of natural or color treated blonde hair, restoring it to a healthy, youthful state. Infused with Alterna's Age-Control Complex, which includes caviar extract, vitamin C and cytokines, this shampoo promotes stronger, healthier, younger looking hair. Formulated with seasilk (a blend of marine botanicals including different algae and seaweeds that provides exceptional moisture, protection), enzymetherapy and color hold with UVA/UVB protection, this shampoo is an all-in-one. Age-control complex combats chronological, chemical and environmental aging.
Contains the 3 Cs:
Caviar Extract – one of the world's richest sources of Omega 3 fatty acids for moisture, elasticity and shine
Vitamin C – Proven anti-oxidant that prevents damage to the hair
Cytokines – Encourages micro-circulation to aid in improved cellular turnover
Enzymetherapy, a core Alterna technology found in each of our products, helps to transform ingredients into a micro-structure that the hair can more easily absorb allowing for deeper, more targeted penetration of active ingredients. Color hold infuses hair with plant-derived melanin for extreme color protection and the prevention of color washout. Protects hair from UVA, UVB and visible light including artificial light sources. Safe for natural or color treated blondes.
Guaranteed AuthenticGuaranteed Authentic
Folica is an authorized distributer of this product and guarantees its authenticity.Close
Aqua/Water/EAU, Sodium Cocoyl Isethionate, Disodium Laureth Sulfosuccinate, Sodium Lauryl Sulfoacetate, Cocamidopropyl Hydroxysultaine,Sodium Lauroyl Sarcosinate, Cocamidopropylamine Oxide, Polydodecanamideaminium Triazadiphenylethenesulfonate, Wasabia Japonica Root Extract, Foeniculum Vulgare (Fennel) Seed Extract, Chondrus Crispus (Carrageenan) Extract, Hydrolyzed Algae Extract, Algae Extract, Caviar Extract, Linum Usitatissimum (Linseed) Seed Oil, Butyrospermum Parkii (Shea Butter), Helianthus Annuus (Sunflower) Seed Extract, Saccharomyces Lysate Extract, Saccharomyces/Copper Ferment, Saccharomyces/Zinc Ferment, Superoxide Dismutase, Lactoferrin, Daucus Carota Sativa (Carrot) Root Extract, Retinyl Palmitate, Phospholipids, Corn Oligosaccharides, Copper Lysl Oxidase, Acetyl Methionine, Acetyl Serine, Amino Acyl tRNA Synthetase, Phytosphingosine, Ganoderma Lucidum (Mushroom) Tyrosinase, Lentinus Edodes Tyrosinase, Glycine Soja (Soybean) Seed Peroxidase, Hexapeptide-11, Hydrolyzed Soy Protein, Glycine Max (Soybean) Symbiosome Extract, Pikea Robusta Extract, Adenosine Triphosphate, Niacinamide/Yeast Polypeptide, Ascorbic Acid Polypeptide, Pantothenic Acid Polypeptide, Papain, Bromelain, Melanin Silanetriol, Hydrolyzed Rice
Protein, Hydrolyzed Oats, Soy Amino Acids, Avena Sativa (Oat) Kernel Extract, Hydrolyzed Vegetable Protein PG-Propyl Silanetriol, Tocopheryl Acetate, Guar Hydroxypropyltrimonium Chloride, Cinnamidopropyltrimonium Chloride, Polyquaternium-10, Polyquaternium-7, Sodium Phytate, Polyvinylalcohol Crosspolymer, Acrylates Copolymer, Decyl Glucoside, Lauryl Alcohol, Glycereth-26, Glycol Distearate, Amodimethicone, Cetrimonium Chloride, Dihydroxypropyl PEG-5 Linoleammonium Chloride, Divinyldimethicone/Dimethicone Copolymer, Trideceth-12, C12-13 Pareth-23, C12-13 Pareth-3, Glycerin, Butylene Glycol, Citric Acid, Aminomethyl Propanol, Tetrasodium EDTA, Ethylhexylglycerin,Methylisothiazolinone, Parfum/Fragrance, Hexyl Cinnamal, Limonene, Linalool, Geraniol, Red 33 (CI 17200), Ext. Violet 2 (CI 60730).
The Best!I have bought so many expensive shampoos that did not deliver and this one leaves my hair feeling great! I will use this shampoo as long as they make it!
Was this review helpful?(Yes)(No)Jun 12, 2012HeatherHAIR TYPEBlonde / Normal Hair / Oily Hair
Use this link to send this review via e-mail, Twitter, or to post to your blog.Close


text:
Jan 4, 2013 10:25 AM
Trusting the hotel shampoo-conditioner combo over the holidays was a dumb idea. Frugal, but dumb. You would have been better off conditioning with body lotion. Fix that tress mess with Greenbody Greenplanet Revitalizing Shampoo & Conditioner ($45 for eight ounces of each). Organic rosehip and Kakadu plum smooth a two-star disaster into a five-star look.
If you've got a product or service that you'd like to promote on Outblush, click here to find out about our advertising opportunities.
Outblush is a blog for girls who love to shop. Our staff digs up the best clothes, home stuff, beauty items, and more. New items are posted every day — bookmark us and check out:


text:
Ketti Frings Movies and Career Information
- Movies Written by Ketti Frings
- Hold Back the Dawn
- Come Back, Little Sheba (1952)
- File on Thelma Jordon
- About Mrs. Leslie
Although updated daily, all theaters, movie show times, and movie listings should be independently verified with the movie theatre.
Contact mrmovietimes.com for information or comments. Please read the mrmovietimes.com Privacy Policy and terms of use. Enjoy the movie!
Copyright © 2016 Movie Times, Inc. Site Map | Google+


text:
The busy season has begun with a vengeance this year! Travelers are flocking from every state to the Magic Kingdom marking the end of the locals' favorite time of year - the off-season.
Disneyland has been packed to capacity nearly everyday since early March, making it difficult for locals to enjoy the last half of Disney's annual 2Fer Time - where locals buy a ticket for one day at one park and get into the other park free on a later date. Add that to spring break, the "Give a Day, Get a Day" promotion, and the skyrocketing number of annual passes and its no wonder the Magic Kingdom is bursting at it's ribbon-cutting seams.
In anticipation for the high volume of expected visitors, though, Disneyland has finally opened it's new parking lot - the Toy Story lot - just across Harbor Boulevard from the Anaheim Convention Center. With the parking becoming such a large issue last year (Disneyland was regularly turning customers away due to full parking lot capacity), this new lot offers 2,678 more families access to the park (bringing the total number of parking spaces for the Disneyland Resort to a whopping 29,000!).
Its quite a walk from the front gates of the park, so Disney has provided shuttles at no extra cost (although the cost to park is still the standard $14). The best thing for locals about the new parking lot - many bus drivers who lost their jobs in last years OCTA budget cuts were hired on as new drivers for Disney. Disneyland President, George Kalogridis told the Orange County Register, "We had a need. There was an opportunity." Just one more opportunity that proves Disney stands behind its local patrons and partners as not only the largest private employer in Orange County (over 20 million employees), but also one of the most promising.
Whether or not visitors crowd the roads of Mainstreet U.S.A., local Disney fans continue to show support and love for the Happiest Place on Earth.


text:
Moms Club - Winslow Township
Essential Information
Winslow Township, NJ
A support group of stay-at-home moms. Children of all ages are welcome to attend the meetings. Activities include park days, play dates, activity groups (such as cooking, couponing, book club and exercising), Moms night out once a month and service projects. Please contact us at firstname.lastname@example.com for more information.
Additional Information
County: NJ - Camden County
Website: http://www.wtmomsclub.southjersey.com/
Featured Business Listings
I would like to add our support group. We are called FAMSOD - Food Allergic Multicultural Society of Delaware. 77 Auckland Drive, Newark DE 19702 (302)722-7103. www.famsod.webs.com
Parents of Preemies: Special Event! Come discover the many resources available to families of preemies and learn how to navigate them! Speaker: Kim Small, RN Early Intervention Nurse Consultant. Thursday, October 27 6:30-8:30 PM. Henrietta Hankin Library, Chester Springs. Space is limited! To register: Melissa Anstine 610.715.5253 or email: email@example.com.
We would love to have our Moms Group added to this list. We are BuxmontMommies - www.BuxmontMommies.com
As part of The Mommies Network, BuxmontMommies.com is a free community for moms in Bucks County, Montgomery County, and Philadelphia, Pennsylvania. We realize that all moms need local support -- and who can't use another friend? BuxmontMommies.com offers a simple way to connect with local moms for friendship, support and fun. Members meet on our private discussion forums to share information on everything from where to get the best haircut to tips on transitioning to a "big kid" bed. Each month, we also offer many face-to-face events for our members, their children and their families. Register today to access our discussion forums, events calendar and more! It's free and we'll keep your info secure and private.
I would like to add the PICC (Philadelphia Interagency Coordinating Council). We work with all of the Early Intervention Providers from birth to 5 in Philadelphia. We provide trainings for parents of children in Early Intervention and we also have meetings every other month. Here is the information
PICC - Administrative Assistant - Jen Fischer phone215-731-2464
email email@example.com
website: http://www.philadelphiaicc.org
Take care,
Jen Fischer
Hello ladies, I'm a member of the Tulsa group but will be in my home town Delaware visiting for 1 month. I am desperately looking for twin girl summer clothes 0-3,3-6 for my girls born on march 27 2012. Lisa Davis 302-420-9382. My internet is not working properly so please text or call. Will pick up asap
I would like to add our group. There are tons of groups out there for stay-at-home moms, but not a lot that have activities outside working hours for working parents.
You can see all the details on our MeetUp page here: http://www.meetup.com/DelawareParents
Could you also add my website: www.42Phinon.com
This has a complete calendar of family friendly activities in Delaware and the surrounding areas.
Thank you!
Phinon Woodside


text:
BlogThis is my blog page
Whisk at Fiore's Bakery
Fiores Bakery presents a collaboration with Whisk specialty desserts.
visit www.whiskboston.com for details.
Join us this December for late night plated desserts at Fiore's!
This holiday season take 10% off your
Whisk cakes or Fiore's pies!
Holiday Menu
Chocolate Mousse $48
Dark chocolate mousse with chocolate sponge cake soaked in
tahitian vanilla syrup and chocolate buttercream.
Lemon Fondant $48
Brown butter genois soaked in lemon syrup, filled with
lemon curd and glazed with lemon fondant, lemon buttercream.
Hazelnut Dulce De Leche $55
Chocolate sponge cake soaked in a hazelnut liqueur syrup,
layered with dulce de leche, glazed with hazelnut ganache
and wrapped with roasted hazelnuts.
Shortbread Cookie Assortment $10/dz.
Butter shortbread cookies:
Chocolate Dipped, Chocolate & Hazelnuts, Chocolate & Almonds,
Apricot & Almonds, Confectionary sugar, Dutch cocoa.
Coconut Macaroons $2/ea.
Glazed with bittersweet ganache.
Dark Chocolate Truffles $1/ea.
in dutch cocoa, almonds, or hazelnuts
Fiore's Pies $14-$22
Apple, Pumpkin, Blueberry, Strawberry Rhubarb, Custard, Pecan,
Peach Praline, Cherry Vanilla, V Apple, V Cranberry Apple, V Pumpkin
Call 617-524-9200 to place your orders!
www.fioresbakery.com & www.whiskboston.com
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text:
right on, I've been wishin' i could be there since the swell arrived yesterday. have fun!
calle and the pier... behind the hilton and 18th too...
i'm leavin for JAX in about 3 hours.... gonna get some real waves in the morning.
cool, Where do you usually surf. calle, Cross, pier? I've been hittin the sanbar at Portofino lately or first parking lot. I usually hit the cross on the bigger easterly groundswells though.
born in south carolina, but raised in gulf breeze since i was 1
Pensacola, born and raised. You?
no problem at all!, where ya from???
Hope you don't mind me adding you as a contact. Any friend of the Gulf is a friend of mine. P'cola surf aloha!
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text:
Baptiste John Manzini
Position: C
Height: 5-11 Weight: 195 lbs.
Born: August 27, 1920 in Treveskyn, PA
Died: May 9, 2008 in Belle Vernon, PA
High School: Monongahela
College: St. Vincent
Drafted by the Phi/Pit Eagles/Steelers in the 21st round (192nd overall) of the 1943 NFL Draft.
Weighted Career AV (100-95-...): 0 (15060th overall since 1950)


text:
Permanent URL to this publication: http://dx.doi.org/10.5167/uzh-4022
Schittenhelm, J; Beschorner, R; Simon, P; Tabatabai, G; Herrmann, C; Schlaszus, H; Capper, D; Weller, M; Meyermann, R; Mittelbronn, M (2009). Diagnostic value of WT1 in neuroepithelial tumours. Neuropathology and Applied Neurobiology, 35(1):69-81.
|Accepted Version
View at publisher
- Registered users only
Aims: Currently, clinical trials using WT1 (Wilms tumour gene) peptide vaccines are conducted in haematopoietic malignancies and solid cancers. Single reports showed that the Wilms tumour gene product WT1 is also expressed in astrocytic neoplasms. Our aim was to investigate WT1 expression in a large cohort of various neuroepithelial tumours of different World Health Organization (WHO) grades and in normal central nervous system (CNS) tissue specimens to test its potential value as a diagnostic marker. Methods: Specimens were assessed by RT-PCR, Western blotting and immunohistochemistry. The samples investigated in our study consisted of 334 human neuroepithelial tumours, among those 33 oligodendrogliomas, 219 astrocytomas (including 105 glioblastomas) and 47 ependymomas. Results: Our results showed a de novo WT1 expression in neuroepithelial tumours. In diffuse astrocytomas and ependymomas, WT1 expression increased significantly with the grade of malignancy. In contrast, no significant difference was seen between WHO grade-II and -III oligodendrogliomas. Controlling for WHO grade, the comparison of oligodendrogliomas with ependymal and astrocytic tumours showed higher expression values for the latter. Conclusions: Our study shows that WT1 is expressed de novo in numerous neuroepithelial tumours and increases with the grade of malignancy. These results suggest an important role of WT1 in tumourigenesis and progression in human brain tumours.
13 citations in Web of Science®
13 citations in Scopus®
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|Journal Article, refereed, original work
|Communities & Collections:
|04 Faculty of Medicine > University Hospital Zurich > Clinic for Neurology
|Dewey Decimal Classification:
|610 Medicine & health
|Deposited On:
|22 Jun 2009 14:26
|Last Modified:
|05 Apr 2016 12:29
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|The definitive version is available at www.blackwell-synergy.com
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text:
Crown Prince Sultan bin Abdulaziz held a luncheon today in honor of the president of Turkmenistan, Gurbanguly Berdimuhammedov, who is currently on an official visit to Saudi Arabia.
President Berdimuhammedov also met today with Acting Minister of Petroleum and Mineral Resources Muttalib bin Abdullah Al-Nafisa. They discussed gas and oil cooperation between the two countries.


text:
Mobile & tablet Augmented Reality in Tourism: 10 Best Practices
With the release of powerful smartphone devices, and more recently Google's project Glass, Augmented Reality (AR) quickly became the new buzz word. The technology allows combining seamlessly physical world and virtual information, but is still widely under-utilised in the field of Tourism. This report presents 10 highly innovative AR experiences that showcase the potential of the technology to revolutionise the way we experience new destinations and services within the industry.
This report looks at the following best practices:
- An Enhanced Booking Experience
- Museum Interactivity
- AR Browsers in the Destination
- Responsive Experience Through Gaming
- Services in the Restaurant
- Re-living Historic Life and Events
- The Hotel Experience
- Transportation
- Accessibility and Translation
- Participative Destination Management
Bournemouth University's e-Tourism Lab
This exciting new research Lab, led by Professor Dimitrios Buhalis and Bournemouth University, explores cutting edge information and communication technologies, alongside e-based strategic management and marketing for the tourism and hospitality industries.
The eTourism lab's mission is to push back the barriers of knowledge on eTourism and through Information Communication Technologies (ICTs) empower policy making and strategic competitive advantage.
Dimitrios Buhalis
Professor Dimitrios Buhalis is a Strategic Management and Marketing expert with specialisation in Information Communication Technology applications in the Tourism, Travel, Hospitality and Leisure industries.


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Christopher, Deborah A. MSN, RN, CPHQ; Trotta, Rebecca L. PhD, RN; Yoho, Margaret A. MSN, RN; Strong, Jocelyn MSN, RN, PCCN; Dubendorf, Phyllis MSN, RN, CCNS, CNRN
Hospital of the University of Pennsylvania, Philadelphia (Mss Christopher, Yoho, and Dubendorf and Dr Trotta); and Clinical Solutions Group, Kronos Incorporated, Chelmsford, Massachusetts (Ms Strong).
Correspondence: Deborah A. Christopher, MSN, RN, CPHQ, Pennsylvania Hospital, 800 Spruce Street, Philadelphia, PA, 19107 (firstname.lastname@example.com).
The authors declare no conflicts of interest.
Supplemental digital content is available for this article. Direct URL citations appear in the printed text and are provided in the HTML and PDF versions of this article on the journal's Web site (www.jncqjournal.com).
Accepted for publication: January 1, 2014
Published ahead of print: February 4, 2014
Falls in the acute care hospital are a significant patient safety issue. The purpose of this article was to describe the use of process improvement methodology to address inpatient falls on 5 units. This initiative focused on a proactive approach to falls, identification of high-risk patients, and a complete assessment of patients at risk. During the project timeframe, the mean total fall rate decreased from 3.7 to 2.8 total falls per 1000 patient days.
FALLS in the acute care hospital setting are a significant patient safety issue. The Centers for Disease Control and Prevention reports falls as the leading cause of injury for adults 65 years or older.1 Per the Centers for Disease Control and Prevention, 50% of adults 65 years or older who suffer a serious fall will die within 1 year of the event. The consequences of falling are substantial. Fractures and head trauma from a fall can lead to physical disability and negatively affect quality of life in terms of lost independence and confidence.2 As the population ages, the number and cost of falls are expected to rise. In addition to the effects of falls on the patient, the annual total cost of fall-related injuries could increase to $34.4 billion by the year 2020.3 This cost represents a significant and unnecessary burden for the US health care system. Concern for patient safety and high costs have led hospitals to prioritize the reduction of falls in the hospital setting, in particular falls with injury. Despite the critical nature of inpatient falls, hospitals are challenged to remediate this multifactorial issue.
Multiple external stakeholders influence hospitals to ensure that patient safety is a priority, especially with regard to falls. Since 2008, the Centers for Medicare & Medicaid Services no longer reimburses hospitals for costs associated with preventable injuries due to falls.4 In addition, The Joint Commission has mandated that hospitals implement and evaluate a fall reduction program.5
The National Database of Nursing Quality Indicators (NDNQI) provides comparative nursing-related data from more than 1800 hospitals and includes falls on inpatient nursing units as a key nursing-sensitive indicator.6 As a nursing-sensitive indicator, falls are considered an outcome measure for the quality of nursing care. It is widely recognized that inpatient falls are multifactorial in nature and require interprofessional intervention.7 Acute care hospitals need to acknowledge stakeholder concerns and influences to assess fall prevention programs to further ensure patient safety.
The majority of the research on inpatient falls is conducted by nurses,8–10 and efforts to prevent falls in hospitals are often led by nurses. Nurses in inpatient settings typically use evidence-based fall risk screening instruments to determine a patient's relative potential to a fall during a hospital stay. On the basis of risk screen scores, nurses collaborate with various interprofessional team members, such as physical or occupational therapists, to ensure that appropriate interventions are in place to reduce the patient's risk of a fall. A plethora of literature exists around both risk screening and fall prevention interventions.11,12 Despite the wealth of knowledge available, nurses remain challenged in their efforts to systematically reduce inpatient falls.
The complexity of the acute care environment, coupled with the multifactorial nature of falls, undoubtedly intensify nurses' struggle with regard to fall prevention. Often attempts at process improvement are unable to produce a sustained reduction in falls. A potential opportunity is to use a novel process improvement methodology in the approach of this issue. In September 2011, the Hospital of the University of Pennsylvania (HUP) launched an initiative to assess the current fall prevention process and establish a sustainable and reliable fall prevention program. This article describes an interprofessional approach to process improvement. A team collaborated using DMAIC (Define, Measure, Analyze, Improve, and Control) methodology to create innovative, targeted solutions and influence change.13
This project took place at the HUP, an 814-bed urban academic medical center located in Philadelphia, Pennsylvania. The HUP is part of the Penn Medicine system, which comprises 3 hospitals, several outpatient care centers, home care and hospice, and acute inpatient rehabilitation. Patients seeking care at the HUP include diverse and clinically complex populations, with a case-mix index of 2.3.14 The HUP has achieved Magnet designation in 2007 and redesignation in 2012. The organization is consistently among the top hospitals in US News and World Report annual Best Hospital rankings.15 As of 2013, more than 90% of the nurses at the HUP hold a minimum of a bachelor's degree in nursing. A clinical nurse specialist is employed on most inpatient units.
The HUP has a standard fall prevention program requiring all nurses to perform a risk screen on admission of a patient and thereafter daily and whenever there is a change in the patient's clinical condition. The fall risk screen is embedded within the electronic medical record. Other elements that are considered in the fall prevention program are associated with increased risk of falls, such as medications (antihypertensives, narcotics); symptoms (urgency, dizziness, and weakness); methods for toileting; impaired judgment; and risk of serious injury. There are mechanisms to alert medical staff of the patient's fall risk and interventions to prevent the occurrence of falls. Examples of the HUP's standard alert mechanisms include a fall risk sign to be placed outside the patient's room, orange patient identification band, orange nonslip socks for the patient to wear, and an orange band around the patient's chart. Interventions to prevent falls may include a combination of a bed and/or chair alarm, adaptive equipment such as a bedside commode or walker, hourly rounding, and one-to-one monitoring by an ancillary staff member.
Despite the active presence of this fall prevention program, the HUP has not been able to achieve and maintain its target fall rate. Therefore, nursing leadership supported an initiative in which key stakeholders analyzed the problem and determined targeted interventions for sustained success. A nursing-led interprofessional team was assembled. The team assumed the title of the HUP Falls Collaborative, connoting that the initiative would be a collaborative effort related to discovery and process change. This project did not require approval from the institutional review board because it was a quality improvement initiative and therefore did not meet the criteria for human subject research.
DMAIC is a well-established methodology for process and quality improvement and is used in a variety of industries, including health care. Specifically, the application of DMAIC as a process improvement strategy aims to optimize quality outputs and decreases variation in processes. It is not typically used by nurses to address patient-centered problems. Therefore, this methodology represents a novel approach to addressing the complex issue of falls in the acute care inpatient setting. The initiative was led by the HUP's Director of Nursing Quality, a registered nurse who is trained in Six Sigma. The participants included selected inpatient units with consistently elevated fall rates. Nursing representatives as well as other interprofessional clinical and nonclinical stakeholders made up the team.
The Supplemental Digital Content Table (available at: http://links.lww.com/JNCQ/A65) contains a brief description of each unit and the interprofessional participants in this process improvement project. The staff on the selected units, Step-down and Surgical, care for patients who have undergone surgery at the HUP. Each unit has a specific patient population within the surgical category. The project included participants from each of these units who regularly engage with patients in fall prevention.
All participants were essential to evaluating and revising the process. Team members either volunteered or accepted their nomination to be part of the team. Nurses (clinical nurse specialists, clinical nurses, nurse managers, and certified nursing assistants) were identified as the primary stakeholders and leaders for each unit. Therapists offered their expertise, as it related to functional status and fall prevention. Unit-based pharmacists were essential in evaluating medication-related falls using the Beers Criteria.16 Early in the project, the Collaborative realized that education and communication would be essential strategies for improvement; therefore, they solicited expertise from a professional development specialist, a master's prepared nurse who specializes in continuing education for nurses. The research analyst, a PhD-prepared nurse who compiles evidence-based reviews for Penn Medicine's Center for Evidence-based Practice, worked with the Collaborative during the project to comprehensively review the literature available. From the start, all members of the Collaborative demonstrated a shared need to assess and understand the problem of falls and fall-related injuries in the hospital setting.
The Director of Nursing Quality introduced the Collaborative to the DMAIC methodology. This methodology serves as a guide for completing a full cycle of process improvement. DMAIC was used by the Collaborative in a systems approach to defining and measuring the problem of falls at the HUP. Next, the Collaborative analyzed and interpreted the data to further develop a solution to address the identified problem. The Table delineates the phased approach, tools used, and notable deliverables of each phase.
The "Define" phase of the methodology clarified the purpose and scope of the project and encouraged an in-depth understanding of "the problem." The problem in this project was defined as follows: the rate of adult patient falls in the acute care setting is variable and frequently above targeted goals. Activities toward framing the purpose and scope of this project included team-building exercises with idea formation and brainstorming. This phase allowed the team members to create their name, the "HUP Falls Collaborative," and further define each person's role as a part of the interprofessional team. The Collaborative participated in multiple rounds of brainstorming to define the scope and identify the issues across the professions and the continuum of care. A high-level process map was completed to define the project's scope.
Next, stakeholders were identified to ensure that there was appropriate membership on the team as it related to the scope. These stakeholders included clinical nurses, a nursing assistant, clinical nurse specialists, a nurse manager, a pharmacist, a professional development specialist, a physical therapist, and providers. The nurse manager and the clinical nurse specialist of each of the participating units were asked to identify 2 or 3 key stakeholders to participate in this project. Having unit leaders identify their own stakeholders was important to ensure ownership and accountability throughout the project. In addition, optimal team size for process improvement projects is no more than 8, hence the request for a limited number of participants from each unit.17
An innovative approach was enacted in the "Define" phase via a team-developed interview tool. Pairs of Collaborative members interviewed patients who had fallen in the past week. This tool allowed the team to gain a comprehensive understanding of customer requirements and establish measures for these requirements. The Collaborative used a "customer mapping tool" to identify customer need in terms of the patient, not clinician need. Through "Define," the Collaborative worked to foster the shared need and further to develop a vision and goals for the team.
Application of the "Measure" phase of the methodology facilitated measurement of the current state with regard to falls on the participating units. This measurement was both retrospective and prospective. A selected group of Collaborative members retrospectively reviewed all incidences of falls in a 6-month timeframe. In addition, they paired the incidence data with historical post–fall assessment data collected by clinical nurses at the unit level. The post–fall assessment data included patient history of fall(s), days since last fall, time of admission to the nursing unit, medication regimen, patient intent at the time of the fall, and fall prevention interventions, prior to the fall. Team members associated with each nursing unit prospectively assessed patients on their unit using a universal risk reduction protocol checklist. They compared the documented level of risk and associated interventions from the electronic medical record to real-time observation and assessment of each patient. This allowed for a complete evaluation of compliance with the hospital fall risk reduction policy and staff competency with regard to fall risk screening and assessment.
The "Analyze" phase included a review of all data collected in the "Measure" phase. The objective of the phase was to identify components of the problem with the highest risk, occurrence, and potential to result in injury. The Collaborative evaluated discrete data and searched for opportunities to reduce total fall rate on participating units. The results of the analysis included discovery of circumstances most often associated with a patient fall. Thirty-eight percent of the falls reviewed from the retrospective analysis were related to toileting. There were 2 challenges to the aforementioned conclusion. One, the data from the retrospective review were limited in specificity. For instance, the clinical nurse assessment of "toileting" on the post–fall assessment tool did not specify whether the fall was accidental (slip or trip) or whether the patient had a physiological problem while toileting. Next, the prospective data collection was variable due to a recently implemented electronic documentation system. Specifically, the system allowed for multiple variations in documentation related to screening, assessment, and interventions. Consequently, the Collaborative learned that the measurement and analysis of the data were essential to the methodological process; however, it did not result in a rigorous solution to pilot. Further review of the data, process, and recent literature led the Collaborative to pursue a proactive approach to fall screening and assessment of patients.
In the "Improve" phase, instead of formulating a pilot plan based on most frequent reasons for falls, the team was able to step back and develop a process that addressed variation in practice regarding specific risks for falls. It was this standardized process of assessment, named "Proactive Rounding," that enabled the team to plan for the unique risks of each patient. The Collaborative developed and used a Proactive Rounding tool, which initially guides the interprofessional team to collect information about the patient's fall risk and universal precautions in place. Next, the Proactive Rounding tool cues the team to assess for the patient's unique fall risks. Finally, the Proactive Rounding tool prompts the team to identify and implement new interventions for this patient to promote an individualized plan of care.
For the pilot, an interprofessional team consisting of a nurse leader, a pharmacist, a therapist, and a provider rounded on patients and engaged staff in a Proactive Rounding assessment. Pilot patients were selected in several ways: those who were scored as at high risk for falls on the screening process, geriatric patients (at risk, older than 85 years), and patients deemed as at high risk by a physical or occupational therapist. Proactive Rounding was performed at least twice a week on the 5 participating units from August to December 2012, for a total of 185 patient assessments. Patients were scored for fall risk using the Morse Fall Scale, and current fall precautions in place were identified.18 Proactive Rounding included a team approach to a focused assessment of the patient. Furthermore, the team assessed comprehension of fall education by the patient and his or her family, environmental risks factors, and therapy needs, and reviewed prescribed medications. In addition, the interprofessional team reinforced safety education with the patient and his or her family. During these rounds, patient-specific interventions were recommended and the individualized plan of care was updated. These rounding processes enabled the team to consider the unique patient, predict the risk for the individual, and develop a plan using standard interventions, but in combinations that addressed the specific needs of each patient at risk for falling and fall-related injury.
This process facilitated a focus on interprofessional assessment to identify the patient's individual fall risks. For example, if patients reported that they had fallen in the last 3 months, the team would request more information by simply stating, "Tell me more about the fall you experienced." If they reported dizziness as a factor in the fall, the pharmacist would review the current medications for this specific side effect. Conversely, if patients reported that they tripped on a garden hose, their unit environment was de-cluttered, and a plan for maintenance was developed. The team had insight into ineffective current practice: a "standardized fall prevention program" does not facilitate creation of an individualized assessment and plan to address patient-specific needs. Specifically, standardized interventions such as the band, slippers, and sign would not prevent a fall. The team concluded that a standardized fall prevention program is not an intervention to meet specific needs of patients. The team aimed to minimize the focus on risk screen and emphasize the nursing assessment and interprofessional plan of care. Although the DMAIC process, as outlined in the Table, appears linear, our experience involved redefining and studying the problem after initial analysis of the data and interventions were proposed. The Supplemental Digital Content Figure (available at: http://links.lww.com/JNCQ/A66) illustrates the iterative process used by the Collaborative.
The "Control" phase is ongoing as the Collaborative members continue to monitor falls on their respective units. A leader from each unit initiates Proactive Rounding with the interprofessional team for high-risk patients. These unit leaders have partnered with other inpatient units to develop an implementation plan for Proactive Rounding to support the diffusion of this initiative across the organization. The Collaborative reviews its total fall rate and fall-related injury rate data monthly. Quarterly comparisons are completed to gauge performance against the NDNQI benchmarks.
The original goal for the HUP fall prevention project was to reduce the total fall rate for each unit to 10% for fiscal year 2013. The standard formula for calculating total fall rate presented by NDNQI is the number of falls multiplied by 1000, divided by the number of patient-days. The long-term goal was to outperform the mean total fall rate in the NDNQI academic medical center peer group. From fiscal years 2012 to 2013, the combined participating units' total fall rate decreased by 27% (from 3.84 total falls per 1000 patient-days to 2.82 total falls per 1000 patient-days).
Statistical process control using X-moving range charts was generated for fall rate over a 24-month period for the 5 participating inpatient units. Furthermore, X-moving range charts were generated separately for the combined Step-down units and combined Surgical units. C statistics were calculated to identify significant trends in each time-series data.19 C statistics are independent of the autocorrelation in the data series and are appropriate when at least 8 measurement points are available. Figure 1 demonstrates the X-moving range chart for the fall rate for the 5 participating units combined. Figures 2 and 3 show the X-moving range charts for the combined Step-down and combined Surgical units, respectively.
The charts highlight several key findings. As shown in Figure 1, for the 5 participating units combined, a statistically significant trend (P < .05) toward reduction in falls was noted following the implementation of the Proactive Rounding pilot. The trend in reduced fall rate was qualified by a reduction in mean falls from the pre- to post–pilot periods (from 3.84 total falls per 1000 patient-days to 2.82 total falls per 1000 patient-days). The fall rate from the combined Step-down units also mirrored the overall trend. During the pre-DMAIC period, the C statistic did not identify any particular trends in the time-series data for the combined Step-down units. However, when the post–pilot data were combined to the pre–pilot data, the findings revealed a statistically significant (P < .05) trend toward reduced falls. This trend was accompanied by an overall reduction in mean total fall rate from the pre- to post–pilot periods.
As evident from Figure 2, overall variability in the fall rate was reduced in the Step-down units following implementation of the pilot. At baseline, 2 instances were noted in which performance fell outside the 95% upper control limit. In contrast, in the post–pilot period, the total fall rate was at or below the pre–pilot mean in all but one instance. When compared with the post–pilot mean fall rate, 7 of the 11 months performed at or better than the new mean. Unlike the Step-down units, however, Surgical units when considered separately did not demonstrate any significant trends in reduced fall rates. Their mean fall rate remained virtually unchanged from the pre- to post–pilot periods (Figure 3). These findings demonstrate clearly that Proactive Rounding was useful in reducing falls specifically at the Step-down units and contributed primarily to the reduction in fall rates across all the participating units.
Traditionally, DMAIC methodology has been implemented in a business setting where reasons for variation are predictable. The overarching goal of DMAIC methodology is to standardize a process and eliminate the defects caused by variation. The DMAIC methodology facilitated the Collaborative's learning about the defects or inefficiencies of the HUP's current program for fall prevention. The Collaborative concluded that while a patient's relative risk of falling could be systematically predicted with confidence, timing and actual occurrence of the event were less predictable. Hence, one patient identified as at high risk for falling could make it through a hospitalization without falling whereas a patient who had been identified as at low risk for falling could sustain a fall. Similarly, Kim and colleagues8 rigorously examined the validity of 3 widely used fall risk assessment tools and found that while sensitivity and specificity are strong, the predictive value of the tools was poor. Kim et al. attribute this to the low number of patients who fell in the cohort of patients identified as "at risk." Patient characteristics and environmental hazards need to be evaluated on a case-by-case basis, a concept typically not consonant with process improvement methodologies. Using DMAIC methodology to standardize the process of fall prevention could be effective only if a standardized intervention had the latitude to capture the individual patient's unique characteristics with regard to fall risk. Proactive Rounding, a standardized process that allows for situational variance, was the intervention in this project.
Current literature identifies the need for multiple process improvement strategies to address the complex issue of fall prevention in the acute care setting.9,20 For this project, it was necessary to adapt the DMAIC methodology for use with a complex patient-centered problem. The DMAIC methodology facilitated development of Proactive Rounding as the pilot intervention. Although there was a marked decrease in fall rates on Step-down units with this intervention, the reductions likely also stemmed from the ancillary benefits of this quality improvement process, such as teamwork, awareness, and engagement. The incidence of these ancillary effects is not routinely addressed in process improvement methodology, given the goal of complete standardization in dynamic environments. The acute care units that were part of this project are rarely static. New care processes and initiatives, personnel changes, and patient concerns are ever-changing. Accounting for and collecting data on all the potential changes over the course of the project would have been extremely challenging and were also beyond the scope of the project. Yet, in addressing a complex patient-centered problem such as falls in the acute care setting, the Collaborative acknowledged these effects within the confines of DMAIC.
Throughout this process, our Collaborative of experts worked through team-building exercises as we used the DMAIC tools to develop a greater understanding of the fall prevention process. Through collaboration, we recognized the need to move from a primary focus on screening for a patient's fall risk to a comprehensive interprofessional assessment of the patients who were at a high risk for falls and their surrounding environments. Feil and Gardner21 have explicated the importance of screening followed by comprehensive assessment, noting that one or the other will fall short in effectively preventing falls. The HUP Falls Collaborative found that moving from a standardized universal fall risk reduction protocol to a standardized process of assessment that could focus on the individual risks of each patient was most successful in prevention of inpatient falls.22,23 Our journey through the DMAIC process also created a heightened awareness of falls that allowed leaders on each pilot unit to engage clinical nurses in the process. This unit-level engagement allowed the clinical nurses to embrace the Proactive Rounding process as an ongoing critical thinking process of assessment and reassessment, instead of "just another risk screening task" to complete during their shift.24
While using the DMAIC methodology provided an in-depth learning experience, there were challenges along the way. Initially, we had to identify appropriate executive-level sponsorship and resources for our team. With the Director of Nursing Quality leading our team, we were challenged to pinpoint pertinent stakeholders outside of nursing to gather the most effective interprofessional team membership, which included partnering with providers, physical therapy, pharmacy, ancillary staff, nursing management, clinical nurse specialists, and clinical nurses.
Heightened awareness and engagement are key to success for a fall prevention program. However, it is difficult to maintain longevity of these strategies. The team remains challenged to identify a sustainable process to prevent falls. The Collaborative created a communication plan that will be carried out biannually to support continued awareness of the fall prevention program at the unit and system levels.
The risk of falling for an individual patient over the course of acute inpatient hospitalization is not directly comparable with typical process improvement efforts, such as a widget assembly in a manufacturing plant. This project demonstrated that with some adaptation, the DMAIC process improvement strategy could be successfully applied to a complex patient-centered problem. Additional studies using process improvement methodology and alternative approaches to such complex problems are needed to further understand the multifactorial challenges faced in the acute care setting and across the continuum.
fall prevention; fall rate; fall risk assessment; proactive rounding; process improvement; rounding
© 2014 Wolters Kluwer Health | Lippincott Williams & Wilkins
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Junior outside hitter Whitney Campbell
Sept. 28, 2012
GREENVILLE, N.C. – East Carolina out-hit Southern Miss .207 to .189 and Nicole Willis recorded a double-double, but the Pirates were unable to pull out a win as they dropped a tough 3-2 (17-25, 25-17, 22-25, 25-17, 10-15) decision to the Golden Eagles Friday night.
Willis led the team with 15 kills and posted 12 digs, while adding three block assists, a pair of assists and a service ace. Her 15 kills mark the sixth consecutive match in which Willis has lead the team offensively. The junior outside hitter's double-double is her sixth of the year. Hannah Allgood narrowly missed a double-double of her own as she tallied nine kills, 12 digs, two assists and as many aces on the night. Virginia Fitch has been on fire as of late as the junior posted a match-high nine total blocks to go with seven kills and a .455 hitting percentage. Senior Kelly Derby reached double-figure kills in the setback with 12, and added a pair of blocks.
Defensively for East Carolina (1-14, 0-4 C-USA), Shelby Beasley racked up a match-high 34 digs. She also posted a trio of service aces and three assists. Sophomore Zarah Cecich led the squad with 28 assists and added six kills on eight attempts without committing an error for a .750 attack percentage. Junior Kasey Kavanaugh tallied 16 assists and four total blocks in the team effort.
Southern Miss (6-9, 2-1 C-USA) broke a 7-7 tie in the first set on a kill by Lydia Bonner and never looked back. The Golden Eagles went on to tally 11 kills in the set and win by an eight-point margin (25-17).
Set three was a battle in which Southern Miss held the slight edge. After taking a 6-5 lead on a kill off the hands of Quinci Hayward, the Golden Eagles remained ahead for the remainder of the set. Down 18-9, the Pirates refused to quit and rallied to pull within two (22-24). Just as it looked as if East Carolina could pull out a come-from-behind win, Southern Miss' Jasmine Crowell ended the game with a kill.
With an abrupt end to their rally, the Pirates brushed it off and returned to the court for set four and jumped out in front 3-1 to start the set. East Carolina played hard and hit .323 in the set while knocking down 14 kills. The hosts limited USM to a .147 attack percentage and took the last lead of the set, 13-12, on a kill by Willis which sparked a 7-1 run and helped the Pirates to a 25-17 victory in the fourth set.
Forcing a fifth game, East Carolina began the frame on a 3-0 run taking advantage of a trio of attack errors by the Golden Eagles to start the set. As the Pirates reached the eight-point mark, USM was trailing by three and called for a timeout. Following the break, the Golden Eagles tallied five consecutive points to take a two-point lead (10-8) over the Pirates. Despite a pair of timeouts of their own, ECU was unable to recover and watched its lead disappear while Southern Miss took the fifth set, 15-10, and the match, 3-2.
The Pirates will dust themselves off and return to the court on Sunday, Sept. 30, for a 1 p.m. match versus Conference USA rival UCF. Live stats and video will be available on www.ecupirates.com.


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Jake Clemons, an American musician and the nephew of E Street Band member Clarence Clemons, will be at Blueberry Hill, located in The Loop in St. Louis, Missouri, on Thursday, March 27, 2014.
Jake Clemons took over as the saxophonist for the E Street Band after Clarence Clemons death. He played on the 2012 Wrecking Ball Tour alongside Bruce Springsteen and the E Street Band, playing tenor and baritone saxophones and various percussion instruments, and also singing backup vocals
Jake writes music and fronts his own band, Jake Clemons. He is currently working on the follow-up to his first EP release It's On.
Doors open at 8:00 p.m. and the show starts at 9:00 a.m.
Tickets are on sale and are online $12.50 and if you wait until the day of the show, they will be $15.
To buy ticket, visit Blueberry Hill's website.


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As he has done for the last 15 years, Steve will serve as the Cardinal public address announcer, while Scott is a first-year offensive coordinator and quarterbacks coach for the Ducks.
"Literally, we will be 10 feet apart," Steve said.
Both will be able to hear the other talk, but won't have time to listen. Steve will have his hands full keeping fans informed of Oregon's hurry-up offense, and Scott will be calling the plays.
"The speed at which Oregon operates makes it hard for announcers to do their jobs," said Steve. "They run a play every 14 seconds."
Steve, 41, is two and a half years older than Scott. They played high school football, basketball and track together for two years in Wood River, Neb., then spent two seasons playing football at Stanford (1993-94).
Steve was a long snapper and Scott played quarterback for head coach Bill Walsh. Scott never felt comfortable on The Farm and transferred to Nebraska after two seasons, where he helped the Cornhuskers win the 1997 national championship.
The Frost brothers have always been close and roomed together at Stanford's Delta Tau Delta fraternity house. Although Steve lives in San Diego with his wife and three children, where he is vice-president for business development at Ashford University, they stay in close contact by phone.
"We talk a lot, but not about this game," Steve said. "We find a way to talk about other things. There's no tension. The stakes in this game are too high.
"For him, this is all business. We don't talk much before any game because he's so locked in. For me, this is my hobby."
One of their teammates at Stanford was David Shaw, now the Bradford M. Freeman Director of Football. Shaw was on the receiving end of Scott's first collegiate touchdown pass against Oregon in 1994.
Steve's favorite football memory at Stanford was in 1994 game in the rain against Oregon. The Ducks romped, 55-21, but Scott scored on a long run and Steve snapped for the extra point.
"I gave him a big hug," said Steve.
Following college, Scott spent six years in the NFL, playing for the New York Jets, Cleveland Browns, Green Bay Packers and Tampa Bay Buccaneers as a safety and special teams standout. He played for Walsh, Tom Osborne, Bill Belichick, Bill Parcells, Jon Gruden and Monte Kiffen, then retired in 2003 and coached on the collegiate level, joining Chip Kelly at Oregon for four years as a receivers coach before his promotion this year.
"If you look at the people he played for, his pedigree is insane," Steve said. "He played every snap of every special team. Everything but kicker and long snapper."
Steve has no doubt Scott will become a successful head coach one day.
"If and when the opportunity arises, he will be very good at it," said Steve.
Steve loved his Stanford experience and graduated in 1996 with degrees in communications and organizational studies. His dream job was becoming a sportscaster, but he wound up working for Netscape and Google. He also found time to moonlight as a public address announcer for Stanford women's basketball games for a year, then did the same for men's hoops for nine seasons.
"It's fun and I love doing it," said Steve. "It's my way to stay connected."
Steve admits it will be "funny" working next to his younger brother on Thursday night. The last time they were in Stanford Stadium together was in 2011, when Scott was coaching on the field.
"I'm looking forward to seeing him and catching up," Steve said.


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Senior Ledaryl Billingsley was earned Tulane basketball's Most Valuable Player award.
May 3, 2001
NEW ORLEANS, La. - The Tulane University men's basketball team announced its team award winners at a barbecue on Sunday afternoon. Senior Ledaryl Billingsley (Chicago, Ill.) earned team Most Valuable Player honors.
Billingsley, who averaged 18.0 points and 9.2 rebounds per game last season, also earned All-Conference USA and All-Louisiana honors. In addition, he was named Tulane's Outstanding Rebounder.
"I wish I could have Ledaryl back for another year," head coach Shawn Finney said at the presentation. "He is a special player and he will have the opportunity to play professional basketball next year."
Junior Linton Johnson (Chicago, Ill.) fortified his trophy closet by collecting five awards on the afternoon. The 6-7 swingman averaged 13.1 points and 8.1 rebounds last season. He was recognized as the team Deflections Leader (226), the Blocked Shots leader (58), the Best Three-Point Shooter (.363) and the Best Field Goal Shooter (.510), as well as earning the team's Individual Workout Award.
"The Individual Workout Award is for a player who puts the most into his individual workouts," Finney said. "Linton spent a lot of time last summer and in the preseason, as well as throughout the year, working with the coaching staff to improve his game and to develop the skills we needed from him. The biggest evidence of that is his three-point shooting. He only shot a handful before this year and he wins our award as the team's best three-point shooter this year."
Another key player from last season was sophomore Brandon Spann (New Orleans, La.). The 6-0 point guard's strong season was also reflected with team honors, as he earned the team Steals Award (team-best 51), the Assists Leader award (145), and the Best Free-Throw Shooter honor (.843). In addition, Spann averaged 15.9 points per game and buried a team-high 62 three-pointers.
"Brandon really worked hard to re-make himself into a point guard," Finney said. "He had to learn on-the-job, but he developed into an solid ball distributor and began to make some excellent decisions on the court."
Earning Outstanding Defensive Player honors was freshman Wayne Tinsley (Fontana, Calif.), while classmate George Brown (Nashville, Tenn.) was recognized as the Green Wave's Most Improved Player.
Sophomore Brandon Brown (Houma, La.), who averaged 11.8 points and 6.6 rebounds, also led the team in charges taken to earn the coaches' award for that distinction.
Freshman walk-on Justin Amick (Atlanta, Ga.), who finished the season averaging a surprising 15.2 minutes per game, was tabbed for the team's Heart and Hustle Award, while his classmate and fellow walk-on, Marc Siegel (Lake Forest, Ill.), earned the Team Academic Award. Siegel posted the highest grade-point average on the team.
Freshman Ivan Pjevcevic (Belgrade, Yugoslavia) was picked for the team's Most Courageous Award.
"Ivan came in and suffered a knee injury right away," Finney said. "But he kept playing and working hard to come back. We needed him because of our thin bench. Plus, he was also making the very difficult transition to this country."
Two players who were redshirted by the team last year also earned honors. Junior Waitari Marsh (Chicago, Ill.) received the High Spirit Award, while junior Nick Sinville (Shreveport, La.), a transfer from Minnesota, was picked for the Team Player Award.
Most Valuable Player: Ledaryl Billingsley
Heart and Hustle Award: Justin Amick
Outstanding Rebounder: Ledaryl Billingsley
Outstanding Defensive Player: Wayne Tinsley
Deflections Leader: Linton Johnson
Most Improved: George Brown
Steals Leader: Brandon Spann
Charges Taken: Brandon Brown
Blocked Shots: Linton Johnson
Assists Leader: Brandon Spann
Best Free Throw Shooter: Brandon Spann
Best Three-Point Shooter: Linton Johnson
Best Field-Goal Percentage: Linton Johnson
Individual Workout Award: Linton Johnson
Team Player Award: Nick Sinville
Academic Award: Marc Siegel
High Spirit Award: Nick Sinville
Most Courageous: Ivan Pjevcevic


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Republican U.S. Senate candidate from Georgia Eugene Yu dropped out of the competitive race on Saturday, and joined another high profile contest for Georgia's 12th congressional district.
Yu, a South Korean immigrant and business executive, was considered an underdog in the Senate Republican primary with seven other candidates, most of whom are seasoned politicians with strong financial support.
Yu will now join Rick Allen, Delvis Dutton, and John Stone in the May primary for the Republican nomination in the 12th district, which is currently represented by Democrat John Barrow.
Barrow is a member of the Blue Dog Democrats in the House of Representatives and has a centrist voting record. His district was redrawn after the 2010 census to include more conservative areas and exclude some liberal strongholds, such as Savannah.
Since then, Barrow has been consistently named one of the most endangered Democrats in the country, yet in 2012 he beat Republican state Rep. Lee Anderson by eight points.
This year, Republicans again promise to take down the last white Blue Dog of the Deep South in 2014.
Yu is a former Richmond County fireman, deputy sheriff and the United States Army veteran. He was a co-owner and senior vice-president of the Commercial & Military Systems, Inc. for over 20 years, a military equipment refurbishment firm.
Yu came to Georgia from South Korea 42 years ago, believes in limited government, free markets, and attends Warren Baptist Church with his wife of 34 years Joni and two adult children.
Below is Yu's press release:
"I am announcing today that I am entering the race for the 12th Congressional district of Georgia.
"In early May 2013, I made the decision to enter the US Senate race because, like many of you, I was not satisfied with our politicians and what has been going on in Washington. My parents immigrated to this country over 40 years ago to this great land of opportunity. This country has allowed me to fulfill and live the American Dream. But, this American Dream has been eroding away every day because of the current political and economic environment. Collectively, our past and current politicians have brought our great nation to a breaking point and their lack of backbone has put our nation on the doorstep of financial ruin.
"This campaign has taken me all over Georgia. I have met many great people and listened to their concerns while discussing many ways to restore the American Dream. Being blessed with donors, supporters, and countless volunteers in my district, I realized that I need to give back to my home town and my district first, where it has given me the most.
"Many have tried and failed, but I know I will bring the 12th Congressional seat back into Republican hands. The people of our district deserve a true conservative representing them, and with a servant's heart I will be that person.
"With my campaign team running on all cylinders and with the strength of our supporters across the state, I will be the hardest working candidate during this election, focusing my attention on the needs of the people of the 12th Congressional district.
"Take notice John Barrow, your career as a Washington politician is coming to an end! Washington is getting a Yu Turn!"


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From Bountiful, Kara Arnold was crowned Miss Utah 2012
Last summer, Kara Arnold was crowned Miss Utah. Since that time, she's represented Utah through non-profit work, placing in the top 15 at the Miss America Pageant and . . . biochemistry.
She graduated from the U of U in the field shortly and has spent time as Miss Utah promoting higher education in science, technology, engineering and math (STEM).
But all good things come to an end. This summer, Miss Utah 2013 is crowned.
We chatted with Arnold about her work as Miss Utah, what she's accomplished and what she hopes to do before it's over.
Let's start at the beggining—how did you get started in pageantry?
"I was 17, and in my junior year of high school. My friend was trying out for Junior Miss Davis County, and she was the one who invited me to get involved with pageants . . . At first, I had no idea what I was doing, but looking into it I thought it would be a good opportunity for me because I felt I did have talents to share, and the pageants provided a way for me to share them. I actually ended up winning and was able to progress and participate in Junior Miss State, and at that pageant I was awarded First Runner-Up. That experience opened me up to new opportunities with the community and state, including many service opportunities that I loved. From there I really thought I was done with pageants. However, I thought about it, worked on my platform some more, and I went for Miss Davis County. I'm glad I did, because I ended up winning, and from there was able to compete for Miss Utah."
So, why biochemistry? How did you get into science?
"Well, I didn't know I would study biochemistry when I first began college, but I knew I had a desire to study medicine. To be honest, I started out studying music because I had a piano teacher, who I admire, who also teaches at the U. That's how I began college, but I owe a lot of my success to my mom. She teaches fifth grade, and she has always shared her passion for science with me. Growing up, I remember going on hikes with her as a little girl, and she was always really good at asking me questions and teaching me how the world works through a scientific perspective. She also helped motivate me to participate in science fairs, and I actually won first place once at a regional competition. So, there are a few moments in my life where I felt a spark of confidence which helped me know I could understand complex things that are often found in science or math."
Tell us a bit about the platform you've tried to promote this past year?
"I've had wonderful opportunities to tutor and be a mentor throughout my education, and it's something that helped motivate me to promote education in the pageants I've been in. I've had experiences of starting a science or math class, and seeing so many girls wanting to be pre-med students, but as time moved on, I noticed fewer girls continue forward and finish those classes. That shouldn't be happening. I want to reach out to those girls, and boys, that feel science education is too difficult."
And what have you done to promote STEM?
"With help from the College of Science at the University of Utah, I have created a program that I share with many schools throughout the state. I've been able to attend multiple assemblies and school events, where I educate children about different aspects of science, such as chemical versus physical reactions. We go into the properties of dissolving, and we spend time studying the periodic table. It is really a hands-on program that helps get the students excited and curious about careers involving science. Also, I not only try and work with the youth, but I promote STEM in other ways by reaching out to a national audience. As an example, the company L'Orèal sponsors Women in Science, and they just launched a new website called forgirlsinscience.org, and I was able to connect with them, and I've been asked to write content for their new website."
What does a normal week look like for Miss Utah?
"I have two or three assemblies to attend each week, but really, my schedule changes a lot throughout a month. I mean, speaking engagements tend to change all the time, it seems like, and it can get kinda crazy. The governor held an awards ceremony for science and technology recently, and I was asked to emcee that event, and that was a really fun experience. Lately, I have spent more time sharpening my skills on the piano, because I know that once school starts back up for me, my time will be dedicated to my education. I have also spent a lot of time planning and organizing the next Miss Utah pageant."
Arnold at the 2013 Miss America pageant.
When they announced your name as Miss Utah 2012, what was going through your mind?
"I was in complete shock! I was also a little scared. I really went into the pageant telling myself that the experience is just as good as the win, if not more; so when I won, I had no idea what was happening. In fact, as I was being crowned, the former Miss Utah had to remind me to smile. It was a really amazing feeling, and I loved it. May I add, I had no idea how to be Miss Utah. I feel that your duties are, in a way, altered by the platform you promote and your personality type. But I started with a few goals, took it one day at a time, and it's been a truly rewarding experience."
What was it like to compete in Las Vegas for Miss America 2013, and were you satisfied with the results?
"Absolutely, I feel that I went in a winner, and came out a winner. I've learned that pageants are really a showcase for what you've done in your life, things you've worked toward and a chance to stand for something you believe in. I'm happy with my accomplishments, and what I've been able to do. Las Vegas was such a wonderful experience, to be able to perform on that level, and to even be considered as a potential Miss America has given me great confidence. There were times that I felt like I was in a 10-day interview, but I would never trade the experience for anything else in the world."
What's the scene like backstage at a big pageant like that?
"The girls definitely share an energy and excitement. I've heard that close to 13,000 girls compete for this title every year. So, to be recognized as the top competitor in your state is an amazing feeling, and I think each of us shared that excitement. It really is an honor to represent your state in this competition. I've been able to create lasting friendships through this competition. I really did have a blast with the girls. A lot of us stay connected through social media."
Do you have a favorite local restaurant, or a place you like to go with friends?
"There are a lot of really good places in Salt Lake. I do enjoy going to downtown Salt Lake and just meandering around City Creek. I really like the atmosphere and the shops that are there. They did a really good job designing it. And I think I would say my favorite place to eat is The Chocolate. I love that place. It has some of the best desserts I've ever had."
If you had more time, what would you like to do as Miss Utah?
"If I had more time, I would just want to involve as many people as I could. I would continue with STEM, and really try to push it more on a bigger scale. I think it would be so neat to be more involved with legislature and actually work more on education bills and science bills. I really believe education opens your mind to the world, and I would do my best to play a bigger role in that."
What's one message that every girl should know, and apply in their life?
"I think it's easy as women to judge ourselves and compare ourselves to so many unnecessary things in this world. We tend to lose focus on our own potential, and how much each of us has to offer. More simply, I would say discover what you're passionate about, and realize your potential in this world and know that you can contribute. I would also say don't get down if somethings don't work out, because that's just how life goes sometimes."


text: Crittenton Hospital Medical Center is redefining patient care, offering highly efficient and technologically advanced improvements with a well-rounded approach to overall healing with the opening the new South Tower. The new tower boasts a pharmacy equipped with automation and bar code technologies, 87 private patient rooms with smart beds, and healing spaces including an outdoor garden and sanctuary open to all religions. Watch the highlights from the dedication ceremony at the grand opening event that was held January 8, 2014.


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Salmon with Vegetable Salsa RecipeRead Reviews Be the first to add a review
- 1-1/2 cups grape tomatoes, halved
- 1-1/2 cups chopped peeled cucumber
- 1 medium ripe avocado, peeled and cubed
- 1 small red onion, chopped
- 2 tablespoons minced fresh cilantro
- 1 jalapeno pepper, seeded and minced
- 2 tablespoons lime juice
- 1/2 teaspoon salt
- 4 salmon fillets (6 ounces each)
- 1 tablespoon lime juice
- 1/2 teaspoon salt
- 1/4 teaspoon cayenne pepper
- 1 tablespoon butter
- In a large bowl, combine the tomatoes, cucumber, avocado, onion, cilantro, jalapeno, lime juice and salt; set aside.
- Drizzle salmon with lime juice. Sprinkle with salt and cayenne pepper. In a large skillet, cook fillets in butter for 3-4 minutes on each side or until fish flakes easily with a fork. Serve with salsa. Yield: 4 servings.
Full-Bodied White Wine
Enjoy this recipe with a full-bodied white wine such as Chardonnay or Viognier.
Reviews for Salmon with Vegetable Salsa
"This dish was absolutely delicious! I had worried that the cayenne would over-power the taste of the salmon, but instead, it enhanced it beautifully. The salsa is scrumptious . I don't like cilantro so substituted fresh parsley, and it worked well. The salsa is fresh tasting and the touch of lime in it and on the salmon makes the whole dish perfect for spring or summer."
"This is one of the best recipes I have ever tried. I will make the salsa again and again to serve with other meats, chips, salads, etc. So simple to make and so healthy. I used exactly the amount of cayenne and jalpena as called for in the recipe and the degree of heat was perfect for our family--subtle but definitely present. If you like things really hot, definitely add more of both."
"Made this for a family dinner and was told it was one of the best things I've ever made! Served this with rice pilaf which was a nice complement to the dish. I will definitely make this again."
"So refreshing, enjoyed this recipe very much loved the combination of salmon and veggie salsa and will definitely do again! thank you!"


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Christians have faced persecution for centuries, but the level and prevalence of persecution around the world is unprecedented. Take for example the of Pastor Saeed Abedini who has been sentenced to eight years imprisonment in Iran for refusing to recant his Christian faith. He is being held in one of Iran's worst prisons and has received multiple beatings resulting in internal injuries. Pastor Seed is extremely ill and is still being brutalized. While the mainline newspapers may not carry this story, it has made Fox news.
Another recent case that has gotten the attention of the United Nations and the media is Miriam Ibrahim, who is chained to her jail cell in Sudan. She recently gave birth to a daughter Maya while shackled, along with Miriam's twenty month old son, Daniel. Miriam's husband is a United States citizen as well as his two children, which is why this particular case, one among thousands, has caught media attention. Yet President Obama refuses to address the Sudanese government concerning this issue, though the United Nations human rights watch has expressed alarm. Miriam is sentenced to one hundred lashes once she weans the child. And if she doesn't recant her faith, she will be hung!
A case closer to home is that of Brandon Jenkins who was denied admittance into a radiation therapy program at the Community College of Baltimore County because of his Christian faith. Although his grades were good, the director of the program, Adrienne Dougherty was quoted as saying, "I understand religion is a major part of your life...however, this field is not the place for religion." Imagine being denied entrance into a program because of being a Christian. I wonder if they would deny a Muslim? It seems like it couldn't be in America, but it is!
Thousands of other cases exist in other countries like North Korea, who has imprisoned over 30,000 Christians who are tortured and starved for their faith. Most try to escape to China, but few make the treacherous trip safely. Those who do can never return to their homeland unless they go undetected by the authorities. In Saudi Arabia, when a Muslim converts to Christianity in another country, and returns home, he or she can be imprisoned and beaten. Also they can be denied asylum if they escape to the United States or elsewhere.
Several reputable organizations in America and worldwide are making this information available regarding persecuted Christians. Open Doors offers many resources to get involved in helping the persecuted church. Among their pamphlets and books, they publish a monthly Prayer bulletin for persecuted Christians worldwide and a World Watch List of the thirty most dangerous countries for Christians and severest persecution . Voice of the Martyrs was started by a Richard Wurmbrand and has been a powerful voice for decades citing the plight of theses persecuted Christians. Many resources including books, free pamphlets and downloads, personal stories, meetings and conferences guides as well as prayer connections can be found.
Recently the American Center for Law and Justice has been involved in defending the rights of these persecuted Christians abroad by offering legal services and advice. Their web-site lists a host of newsworthy information vital to Christians today. Jay Sekulow, has been the chief council responsible for defending the rights of many Christians in this country whose rights have been violated.
Along with keeping informed, distributing information and contributing to the needs of the persecuted, let us not forget to daily pray for these brothers and sisters. For when one part of the body hurts, all the body is affected.


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Annual Register (18th-20th century)
The Annual Register is a year-by-year summary and record of British and world events, published annually since 1758. As well as being a record of events, the Annual Register was originally conceived as a miscellany, reproducing state papers, reviewing important books, and featuring historical sketches, poetry, observations on natural history, and other essays, reproduced from books and periodicals. The early volumes of the Annual Register continued to follow this format. From 1775 the length of the History section was significantly increased, so that it formed the main focus of the publication. After 1815 the usual form became a number of chapters on Britain, paying particular attention to the proceedings of Parliament, followed by chapters covering other countries in turn, no longer limited, as previously, to Europe. The expansion of the History section came at the expense of the sketches, reviews and other essays so that the 19th century publication ceased to have the miscellaneous character of its 18th century forebear. It nevertheless still found space for descriptions of contemporary events ranging in nature from the weather to ecclesiastical appointments, from sporting events to royal engagements, and from murders and suicides to industrial accidents.
The Library holds c. 150 volumes for the years between 1764-1872, there are gaps and some volumes are held in a number of editions. 1758-1778 are freely available online.


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The difficult and technical Laguna Seca racing circuit took a heavy toll on both riders and their motorcycles this weekend during the two Eni sponsored World Superbike Championship races at the eleven turn Northern California track. Both races held today comprise Round Nine of the WSB international series. Fortunately, no serious injuries to the riders involved were reported in any of the incidents.
The World Superbike Championship round at Laguna Seca marks the only West Coast appearance for any major international motorcycle road-racing series. In years past, the track hosted at least one US round of MotoGP, the two-wheeled equivalent of Formula One, but contract negotiations for the 2014 event, between the publicly-controlled track and Dorna, the organization that owns and promotes both the WSB series as well as the MotoGP motorcycle road-racing series, were unsuccessful. As a result, two US MotoGP events were scheduled in Texas and Indianapolis,with the Laguna Seca round dropped from the calendar.
While both the WSB and MotoGP series enjoy a huge fan-base outside the USA, only MotoGP has drawn large crowds at Laguna Seca, and this weekend's relatively small attendance figures for the WSB event at the track were no exception. Those who did attend were treated to three days of practice, qualifying and excellent racing provided by both the World SuperBike riders and factory teams, as well as AMA support races.
Race One of the FIM WSB series was won by Marco Melandri, Italy, on an Aprilia RSV4 1000 factory team bike, with Sylvain Guintoli of France in second on another Aprilia team RSV4 1000. Third place in Race One went to current WSB series world champion, Tom Sykes of Great Britain, riding a factory team Kawasaki ZX-10R.
Race Two was won by Tom Sykes, with Sylvain Guintoli again in second, and British rider Jonathan Rea third on a Honda CBR 1000 R, riding for the PATA Honda WSB team. David Salom of Spain won the EVO classification on a factory Kawasaki ZX10R.
World SuperBike Results PDF links;
Race One: http://resources.worldsbk.com/files/results/2014/USA/SBK/001/CLA/Results...
Race Two: http://resources.worldsbk.com/files/results/2014/USA/SBK/002/CLA/Results...
AMA Vance and Hines Harley-Davidson support race results link;
AMA Daytona Sport Bike results link;
AMA Pro SuperBike reults link;


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If you're considering a career change or contemplating college after high school, you should give some serious thought to the Dental Assisting program at our San Leandro campus. Dental Assisting is growing at a much faster rate than the average for all occupations; in fact according to the U.S. Bureau of Labor Statistics, employment of dental assistants is expected to grow 25% from 2012 to 2022.1
Dental Assistants are versatile members of a dental team; they work chair-side with dentists, helping them perform dental exams and patient procedures. They also provide patients with post-op care, oral health guidance, and complete a variety of front office duties.
Our San Leandro Dental Assisting program…
- Culminates in a Certificate of Achievement or an Associate of Science degree in Dental Assisting
- Prepares you for the state of California Dental Board Exam for licensure as a Registered Dental Assistant2
- Teaches patient preparation, charting, and office admin duties
- Combines practical lab experience and classroom lectures
- Includes hands-on experience with an externship at a dental care facility in or around San Leandro
- Trains you for an x-ray license and a coronal polish certificate (approved by the Dental Board of California)2
Practical Dental Assisting classes in San Leandro, CA
Dental Assisting students at our San Leandro campus are provided with the opportunity to practice the skills that will help them in their search for entry-level employment in dental offices, hospitals, or clinics. In addition to regular lab practice on campus, participation in an externship in a real world facility is a valuable experience that helps prepare our students for life after dental school.
By providing students with a supportive environment where they receive broad Dental Assistant training, the Dental Assisting faculty at our San Leandro campus give students all they assistance they can to help them succeed in their Dental Assisting careers. Successful alumnae of our San Leandro dental college have the skills and confidence to:
- Sit the Registered Dental Assistant licensure exam2
- Perform all necessary chair-side duties expected of an entry-level Dental Assistant
- Display their skills and aptitude in communication, critical thinking, and information management
- Take Radiographs (x-rays) after licensure2
- Perform Coronal Polishes after certification2
- Demonstrate their personal and professional development
- Display respect and responsibility to patients and colleagues
A tasty San Leandro Dental Assisting school!
Dental Assisting classes will be enrolling soon in San Leandro at Carrington College. So give some thought to joining one of the country's fastest growing professions. Talk to a Carrington College Enrollment Services Representative today; they'll make sure you don't bite off more than you can chew!