text:
Library Closed for Independence Day
Monday, July 4
Reed Memorial Library will be closed on Monday in observance of Independence Day. Normal hours will resume on Tuesday, July 5.
Monday, July 4
Reed Memorial Library will be closed on Monday in observance of Independence Day. Normal hours will resume on Tuesday, July 5.
Tuesday, July 5
2:00-3:00 p.m.
This will be an opportunity for people completely unfamiliar with computers to get some basic hands-on training and begin to feel more comfortable with the technology.
Registration is required and space is limited.
Tuesday, July 5
6:30 p.m.
Construct a LEGO creation. This club meets on the first Tuesday of every month. The library will provide the tools to build, participants will provide the imagination! No registration required. Grades K-5
Tuesday, July 5
Volunteer and be involved in planning fun activities. The group meets the first Tuesday of every month at 6:30pm. Stop by a meeting to join. Open to grades 5-12. This month we're planning fall programs and making giant games!
June 29, July 6, 13, 20, and 27
6:30 p.m.
Children in grades 2-4 are invited to Reed Memorial Library for the summer edition of our popular STAR (Stay and Read) program. The theme this year is "On Your Mark…Get Set…Read!" Attendees will enjoy fun stories, crafts, and games with sports and physical activity themes. Registration is required for this series.
Thursday, July 7
2:00-3:00 p.m.
Through hands-on activities, participants will learn how to use Internet links, common elements of web pages, and print from the Internet using print preview. Registration is required and space is limited.
Saturday, July 9
9:00 a.m.-1:00 p.m.
Puzzle enthusiasts can swap, switch and trade puzzles and some board games. No registration is required for this free program, and participants may come and go throughout the length of the exchange.
July 11, 12, 13, 14, and 15
Participants at this free week-long camp will do hands-on tech projects including paper circuits, robotics, coding and more! Registration required. Grades 4-8.
Site Map


text: Mar 18, 2014 09:45 Manning passes physical with Broncos, set for 2014 return Manning passes physical with Broncos, set for 2014 return Denver Broncos quarterback Peyton Manning flashes a thumbs up after the AFC Championship NFL playoff football game against the New England Patriots in Denver, Sunday, Jan. 19, 2014. The Broncos defeated the Patriots 26-16 to advance to the Super Bowl. (AP Photo/Jack Dempsey) Arnie Stapleton| AP Pro Football Writer March 3, 2014; 1:19 p.m. Comments ENGLEWOOD, Colo. (AP) — A person with knowledge of the results tells The Associated Press that Peyton Manning has passed his physical on his surgically repaired neck, clearing the way for him to play in 2014. In what was considered the final formality for his return, Manning passed the exam as required by his contract that will pay him $20 million next season, according to the person who spoke on condition of anonymity because results of medical checkups typically aren't announced. Manning won his fifth MVP award in 2013, when he set single-season records by passing for 5,547 yards and 55 TDs while guiding the Broncos to their first Super Bowl in 15 seasons. Manning has had four neck operations, including a spinal fusion that sidelined him for all of the 2011 season. After that, he was released by Indianapolis and signed a five-year, $96 million deal with the Broncos in March of 2012. The deal requires him to pass a physical every spring to make sure his neck is holding up. Manning, who will be 38 next season, said during Super Bowl week that he had no intention of retiring after the Super Bowl. Although Manning's plans for 2014 became a big story line in the playoffs, the Broncos front office had proceeded as though their quarterback would be returning for another run at a title. If there were any concerns about his neck, he probably wouldn't have started all 16 games, plus three more in the playoffs.Not only is Manning still performing at his peak level, he hasn't lost his love for the game. Manning said upon his arrival in New Jersey for Super Bowl week that he still enjoys playing and practicing and "when you still enjoy the preparation, I think you probably still ought to be doing that." He passed his required exit physical that all players take in the days following the Super Bowl loss to Seattle. He then played in the Pebble Beach Pro-Am golf tournament just days later, another indication that his neck is fine. Manning has gone 28-7 in his two seasons in Denver with 100 TD passes, counting playoff games. Get The Advocate in your inbox Subscribe

subset: commoncrawl


text:
Some may argue that people and politics limit economic growth in our area by blurring the lines of friendship and friendly competition. Some communities are welcoming to new business while others allow personalities to fracture the economic climate of welcoming a new business.
There is no better example than the recent opening of Moes in Rome. A backlash over local eateries v. the big chain led to complaints about Moes coming to Rome. What should have been a welcoming environment for a larger chain on the struggling Black River Blvd was turned into a local debate on loyalties and native behaviors that can only hurt the business climate of Rome. Some people in Rome verbally attacked Moes for being unfair and began slandering the chain saying they won't last a year. There were suggestions that a local business gives more to the community than a franchised company like Moes. It was the classic "David v. Goliath" argument that can hurt a community without looking at the facts.
Are larger chains really that greedy? Are they bad for the community? Applebees has supported fundraisers for local schools in Rome for years. Lowes has been very generous to local non-profits. Wal Mart gives to many local fundraisers and charity. If I had to guess, the donations by larger corporations far exceed those by local businesses.
If history is any clue, Rome could look to other businesses for answers on civility, the benefits of competition, and professionalism. When ACE Hardware relocated to its current location, Lowes and Home Depot moved into Rome. ACE focused on what makes them unique, which is customer service. Remember all the doom and gloom for General Lumber? Again, General Lumber focused on their customers. And look what happened, David beat Goilath. Home Depot left Rome while the other businesses continued to survive and thrive.
The people of Rome complain about empty plazas. They desire to one day have our empty corridors filled with businesses that offer new shopping opportunities. How many times has someone wished that a business that opened in New Hartford would consider Rome as a location? With the current business climate, the people of Rome should reexamine their attitudes toward a healthy business climate. Maybe the good people of Rome should join the staff at Moes by saying, "WELCOME TO MOES!"


text:
The Philadelphia Eagles have released their 2005 first-round pick DT Mike Patterson, the team announced Monday.
Patterson, a full time starter since 2006, has had his problems. In 2011, he had a seizure during training camp in 2011, but played all year, albeit with a congenital tangle of blood vessels in his brain.
He underwent surgery after that season to correct the problem, but was never the same, playing in only 5 games in 2012.
He was scheduled to collect $2.9 million in 2013.


text:
The incredibly talented and adorably cute, Lindsey Stirling (@lindseystirling) is back with a new violin performance video that is going to satisfy your geek sweet tooth. You know Lindsey for her amazing performance music video for 'Legend of Zelda' and 'Lord of the Rings'. Well, she's back at it with the main song for 'Skyrim' featuring Peter Hollens. All I can say is it's probably my favorite from Lindsey and as usual, the video and musical arrangement is stunning. I'm really hoping to see something 'Star Wars' from Lindsey in the future. Maybe "Duel of Faith"?
Hit the jump and check out the video.


text:
At the NCAA Final Four in Dallas on Saturday, April 5 several Utah Jazz draft prospects -- including Kentucky standout Julius Randle and Wisconsin forward Frank Kaminsky -- battled one another with Kentucky and its cavalcade of one-and-done's coming out as the victor.
That was just one battle taking place Saturday at AT & T Stadium in North Texas, however.
The other battle featured upstart No. 7 seed UConn taking on No. 1 seed Florida -- and it was one that the underdog Huskies won going away, 63-53.
Potential Jazz draftee Shabazz Napier had 12 points and six assists to help lead UConn to victory over a veteran Florida team many predicted would win it all.
So it's Kentucky versus UConn for the national championship game on Monday, April 7. In the meantime, here is how Utah Jazz draft prospects did on Saturday -- particularly in the Kentucky-Wisconsin showdown where no fewer than four draft prospects took to the court for the Final Four.
It was a big night for most Jazz prospects as some played on to the national title game -- and others will now prepare for the next step -- the upcoming 2014 NBA Draft.
Julius Randle
Randle had an off night by his standards, missing out on a double-double for the first time in four games for Kentucky. His Wildcats won but on this night, he lost some draft board standing perhaps.
He had 16 points but only managed five rebounds as Wisconsin's big front line frustrated Randle into making some bad decisions.
And so what if the kid doesn't know what the word attainment means, as illustrated in this article. Did you know what it meant when you were 18? Of course not.
James Young
Young made up for a series of woeful NCAA Tournament games on Saturday by finally having a good one.
His 17 points not only paced Kentucky to a squeaker of a victory over Wisconsin, it showed NBA teams that even after a few bad games -- you can come back and play great when it counts.
The Jazz could undoubtedly use Young's three point shooting and stingy defense -- which had been missing for most of March Madness.
Sam Dekker
Speaking of players who had flat out disappeared during March Madness, what in the world happened to this guy? At one point, he was on every NBA team's radar screen.
Now, he's a blip but he did a lot to regain their trust with a solid 15 point outing -- after Kentucky had suffocated Wisconsin's go-to player, or Frank Kaminsky for most of the game.
Dekker almost got his Badgers the win, and the sophomore won big on draft boards though he lost on Saturday.
Frank Kaminsky
Kaminsky was bottled up big-time by Kentucky's big men -- and James Young -- on Saturday, managing just eight points and five rebounds in a 74-73 loss.
That focus on Kaminsky -- who had been the Badgers' focal point during all of the NCAA Tournament -- did leave Sam Dekker open for opportunities.
But the Wildcats were right to make Kaminsky work for his shots -- especially when Kaminsky had been so dangerous throughout March.
Shabazz Napier
Napier saved his worst game for Saturday in UConn's win over Florida, scoring just 12 points and dishing out six assists.
But he's headed to the national championship so rest assured he cares very little about his bad showing -- and will bring it Monday night in the national title game against Kentucky.
Napier has spent his college career answering detractors so in a way he probably relishes the fact he had a bad night at the Final Four.
Suggested Links
- Utah Jazz NBA draft prospects were not all winners at NCAA Elite 8
- Utah Jazz draft prospects may include point guards even with Trey Burke around
- Utah Jazz draft prospects find way to win on night two of NCAA Sweet 16
- Utah Jazz draft prospects on night one of NCAA Sweet 16 all from Pac-12
- Utah Jazz: Why Tyrone Corbin will succeed as new head coach


text:
Shayla Bivins
Shayla Bivins' Photo Gallery
2013-14: Just one of two student-athletes selected to serve on the NCAA Division I Women's Basketball Issues Committee ... Named to the 2014 Allstate WBCA Good Works Team ... Honored on the All-ACC Academic Team ... Honored with the ACC Postgraduate Scholarship ... Named a Peach of Athlete, which is awarded by the Atlanta Area Council, Boy Scouts of America ... Selected to receive the Charles T. Stoner Law Scholarship by the WBCA ... Played in 32 games, starting all 32 at center ... Averaged 206 points per game and 3.9 rebounds per game ... Her 3.9 rebounds per game were fifth on the team ... Led the Jackets with 29 blocks overall and averaged 0.9 blocks per game ... Led the Jackets in rebounding in five games ... Scored seven points at #23/21 Georgia (11/24/13) and led the team in rebounding, grabbing seven boards ... Set new career-highs in blocks (3) and assists (5) against McNeese State (11/30/13) ... Named to the LIU Turkey Classic All-Tournament Team ... Scored a career-high eight points twice against Illinois (12/4/13) and Portland State (12/17/13) ... Grabbed a season-high nine rebounds against #23/24 NC State, leading the Jackets in rebound ... Scored six points, had three assists and two blocks against Virginia (3/6/14) in the ACC Tournament.
2012-13: Played in 21 games... Started at No. 11/20 North Carolina (1/13) and at Miami (1/17)... The start at UNC was her first career start... Finished with six boards against Tar Heels... Averaged 2.4 rebounds per game... Finished with career-highs of six points and 11 rebounds against Kennesaw State (11/13)... Led Tech in rebounds against Kennesaw State and at North Carolina... Earned Dean's List honors following the fall 2012 semester... Earned her degree in Science, Technology and Culture following the spring 2013 semester.
2011-12: Redshirted.
2010-11: Played in 11 games as a sophomore... Tallied six rebounds, four blocks and three steals... Played four minutes against Virginia Tech in ACC Tournament (3/3)...Grabbed an offensive board in three minutes against Clemson (2/17)... Had a steal in four minutes against Mercer... Recorded two blocks against Kennesaw State (11/17).
2009-10: Saw action in nine games as a freshman ... Averaged 1.2 rebounds and 0.3 points ... Played seven minutes and recorded two rebounds in win at Kennesaw State (12/18) ... Grabbed two rebounds and scored two points in four minutes against Mississippi Valley State (12/13) ... Picked up a pair of rebounds in win at Long Island (11/28) ... Scored a point, grabbed three rebounds and recorded two blocks in opening night win over Winthrop (11/13).
Prep: Four-year letterwinner at Stanton College Prep under head coach Jenn Miller ... Averaged 11 points, 10 rebounds and four blocks a game as a senior ... Named to All-First Coast girls basketball third team ... Ranked among Ultimate Sports Magazines 24 Top Girls Basketball Players in Northeast Florida ... Highly-touted recruit by both Collegiate Girls Basketball Report and All-Star Girls Report ... Named the No. 1 player in the class of 2009 in the state of Florida by FloridaHoops.com ... Ranked as the No. 3 in Florida by Sunshinestateexposure.com ... Sports editor of school newspaper ... National Honor Society ... Lettered one season in track and field and volleyball.
Personal: Born Shayla Jillyan Bivins on Nov. 6, 1990, in Jacksonville, Fla. ... Daughter of Tony and Robin Bivins ... Has a younger sister, Danielle and an older brother, Anthony ... A southpaw ... Father, Tony, played basketball at FAMU ... Chose Georgia Tech because of location, balance of athletics and academics and the people ... Is involved in many on-campus organizations ... President of the Student-Athlete Advisory Board and is the Student Government Association Athletic Representative ... Majoring in Science, Technology and Culture.
MORE Women's Basketball HEADLINES


text:
Mention "air pollution" to practically anyone, and usually what comes to mind is the image of congested highways or industrial plants spewing forth obnoxious and toxic fumes into an already fragile environment.
But air pollution can also be and occur anywhere, like within an average home (or apartment).
And it can be caused by various things, like tobacco smoke, food odors (though some smells can enhance the home), household chemicals, biological contaminants (mold and mildew) or simply human and pet smells (or odors). And all of the abovementioned smells can unfortunately increase in intensity as the temperature rises or the humidity's high.
If there's poor ventilation in the home, pollutants can actually build up and even put the inhabitants' health at risk. And the build-up can also negatively affect air quality, both immediate and long-term.
Some immediate effects are: eye, nose and throat irritation, headaches, dizziness and fatigue (you can even develop asthma).
Some long-term effects are: respiratory disease, cancer and even heart disease (these effects may not show up until years after initial exposure or after prolonged exposure).
To improve indoor air quality, you can eliminate the pollution sources, reduce the emissions, get more outdoor air into the home (opening a couple of windows), run a ceiling or attic fan (weather permitting) or use an air cleaner.
Open A Window!
Open windows will not only improve indoor air quality; they can also boost your mood and make a décor statement (by creating an inviting living space, "drawing in" a lovely outdoor view or simply by the design of the windows-some are an art form onto themselves).
Open windows can reduce energy consumption (fans and air conditioners don't need to be on, unless it's 85 degrees or higher), which in turn reduces reliance on electricity and fossil fuels.
Open windows can quickly remove and get rid of indoor air pollution (naturally; no chemical air fresheners needed) and bring in the scent (or smell) of fresh flowers blooming or a new garden.
Did You Know That…..
The American College of Allergists states that 50 percent of all illnesses are caused by polluted indoor air. And the U.S. Environmental Protection Agency has described indoor air pollution as a primary environmental health problem.
Houseplants can filter indoor air, making it healthier to breathe.
Sources: "Air pollution can be indoors, too"-by MetroServices-The (Sunday) Vindicator, July 28, 2013 and "How open windows benefit the environment"-by MetroServices-The (Sunday) Vindicator, April 13, 2014


text:
Search In Progress
Processing your RequestYour personalized product is being created. This may take several moments.
Please do not hit the back button on your browser or refresh this page until this process is complete.
3M™ Particulate Respirator 8577, P95 with Nuisance Level* Organic Vapor Relief
Helps provide comfortable, reliable worker protection against certain oil and non-oil based particles including those present with nuisance levels* of organic vapors such as solvents, degreasers and resins. Features 3M™ Cool Flow™ Valve. Meets NIOSH 42 CFR 84 requirements.
*3M™ recommended for relief against nuisance levels of organic vapors. Nuisance level organic vapor refers to concentrations less than the OSHA PEL or other applicable government exposure limits, whichever is lower.
People Who Purchased This Also Purchased
Sleeves and ApronsThe Sleeves and Aprons from River City Garments protect the legs, the arms, the...
Nitri-Chem™ Unsupported...The Nitri-Chem Unsupported Nitrile Gloves manufactured by Memphis Gloves are...


text: This post reminded me of a conversation I had a while back with a former WWII-Korean War fighter pilot named Sam Folsom (among other things, it was he who spotted the Japanese cruiser Hiei on its last mission, and his reconnaissance led to the cruiser being sunk). He test-piloted some after WWII, and in the early 50s was asked to test pressure suits by a New England company looking to get a government contract. The company had built its business on what we used to call "ladies' foundation garments," so there was plenty of elastic in their pressure suits. (Not sure how many of your suits are like that!)


text:
Alfred Hitchcock Hour
Who Needs an Enemy? (1962) - Season 2 episode 28, written by Henry Slesar & Arthur A. Ross and directed by Harry Morgan. The cast: Steven Hill, Joanna Moore, Richard Anderson, Dee Carroll, Paul Baxley, Wally Rose, Barney Phillips. Host: Alfred Hitchcock. Original air date: 15 May 1964.
Back to the Alfred Hitchcock Hour Library
back to Uncle Earl's Classic TV Channel


text:
triple berry summer buttermilk bundt
print now | return to original post
Triple Berry Summer Buttermilk Bundt
Adapted from Rustic Fruit Desserts
The recipe, as originally published, uses 3 cups rhubarb for the berries and 1/2 teaspoon lemon oil for the vanilla. As you can imagine, you could likely use 3 cups of many chopped fruits or berries for different, delicious bundts throughout the year, such as cranberries in the fall or even diced peaches and other stone fruits in the month or two to come. Have fun with it.
Although I made these with the 3 cups of berries listed below (using one cup each of blackberries, raspberries, and blueberries, though currants or huckleberries or whatever you can get would also be delicious) I think this cake has the potential to be even more of a "berry bomb" with a fourth cup of berries. The cake as written below is full of berries, but it's a balanced amount — they don't overwhelm the cake, and I do really like a cake that's almost overwhelmed with fruit.
Updated with weights, at last, 7/10/12. Plus, a note about weights: Making it even more confusing for home cooks, not every recipe writer agrees on the weight of a cup of flour or sugar. However, when there's a discrepancy between what I would get and what a recipe writer has included in their ingredients, I default to their measurements, as I do below. The weights are on the heavy side by my measurements (my spoon-and-sweep cups clock in at 125 grams), but will work as listed in this recipe.
2 1/2 cups (355 grams) plus 2 tablespoons (20 grams) all-purpose flour
2 teaspoons (10 grams) baking powder
1 teaspoon fine sea salt or table salt
1 cup (8 ounces or 225 grams) unsalted butter, at room temperature
1 3/4 cups (340 grams) granulated sugar
Zest of 1 lemon
3 large eggs, at room temperature
1/2 teaspoon vanilla extract
3/4 cup (175 ml) buttermilk
3 cups (350 to 450 grams) mixed berries
2 cups (240 grams) powdered or confections' sugar
Juice of 1 lemon
1 tablespoon (15 grams) unsalted butter, very, very soft
Preheat your oven to 350°F. Generously grease a 10-cup Bundt pan, either with butter or a nonstick spray.* Set aside.
In a medium bowl, whisk or sift 2 1/2 cups flour (leaving 2 tablespoons back), baking powder and salt together and set aside. In the bowl of a stand mixer or large mixing bowl, cream together the butter, sugar and lemon zest until light and impossibly fluffy, about 3 to 5 minutes. Then, with the mixer on a low speed, add your eggs one at a time, scraping down the bowl between each addition. Beat in vanilla, briefly. Add 1/3 flour mixture to batter, beating until just combined, followed by half the buttermilk, another 1/3 of the flour mixture, the remaining buttermilk and remaining flour mixture. Scrape down from time to time and don't mix any more than you need to. In the bowl where you'd mixed your dry ingredients, toss the berries with the remaining 2 tablespoons of flour. With a silicon spatula, gently fold the berries into the cake batter. The batter will be very thick and this will seem impossible without squishing the berries a little, but just do your best and remember that squished berries do indeed make for a pretty batter.
Spread cake batter — you might find it easier to plop it in the pan in large spoonfuls, because it's so thick — in the prepared baking pan and spread the top smooth. Bake for 55 to 60 minutes, rotating the cake 180 degrees after 30 (to make sure it browns evenly). The cake is done as soon as a tester comes out clean of batter. At 10 minutes before my baking time was up, a tester was totally wet with batter and I was certain it would never be done in the estimated time. 7 minutes later, the same tester was clean as a whistle, so fret not.
Set cake pan on a wire rack to cool for 30 minutes, before inverting the cake onto a serving platter to cool the rest of the way. Cool completely. Once cool, whisk together the powdered sugar, lemon juice and butter until smooth and very, very thick. (If you'd like it thinner, add more juice, but I like the thick drippiness of it, seen above.) Spread carefully over top of cake, letting it trickle down the sides when and where it wishes. Serve at once or keep it covered at room temperature for 3 to 4 days.
* Updated note, due to comments about cake sticking: If you have a nonstick Bundt, just a coat of butter or nonstick spray should do. However, if you have a regular Bundt, not nonstick coated, you're really going to want to make sure every nook and cranny is well-coated with butter or even shortening (the solidity of both helps them stick to the cake walls), and then dust the inside with flour. Setting your cake pan in the fridge or freezer (to set the coating even further) while you make the cake batter will provide even more insurance. I hope this improves the release rate of the cake!
triple berry summer buttermilk bundt was originally published on smittenkitchen.com
all content and photos © 2006 - 2016 Smitten Kitchen LLC


text:
A Warm Welcome Provided by the Inn at Great Neck
The Inn at Great Neck is a luxury, boutique-style hotel conveniently located on Long Island's beautiful and historic Gold Coast (North Shore) in Nassau County. The Hotel offers the very best in individualized service. From a warm welcome to a fond farewell, the Inn offers hospitality in its truest form.
At the Inn at Great Neck we take pride in ensuring that the amenities and services we offer and provide to our guests invite them to feel at home and well cared for. Whether one is staying for business or for pleasure the Inn is sure to please those seeking a respite from the ordinary.
Our commitment to our guests and the Hotel itself can be seen in our continual dedication to updating and upgrading our facilities, amenities and services. For more details, please view our amenities and services pages, or contact us directly at 516-773-2000.
The Hotel is proud to announce its new beds and bedding for all the rooms and suites throughout the Hotel. Now guests will enjoy plush gel infused pillow top mattresses, which the Inn refers to as their Serendipity Suite Sleeper beds that were exclusively made for the Inn by Therapedic International. All of the Inn's beds are adorned with four pillows (two soft and two firm) white Frette sheets, which wrap around and encompass the Inn's new lavish white Wonder Blankets that provide both great warmth and comfort throughout the year. As a finishing touch, guests will find new designer throw blankets on each and every bed, a new accent pillow and new custom designed bed skirts. It is the Hotel's goal to exceed your expectations and now guests can indulge in the added comforts the Inn at Great Neck has to offer.
Exclusive New Amenity April 2013:
The Inn at Great Neck is proud to announce the arrival of their customized Comfort Sleepers from American Leather. These revolutionary sleeper sofa beds have been added to the Inn's Suites and Long Stay Kings. The new sofa beds are sure to provide guests with added comfort and therefore added value to their stay.


text:
Annals and Essences of Dentistry
Year 2011, Volume-3, Issue-3 (July–September)
Print ISSN : 0975-8798
Online ISSN : 0976-156X
Table of contents
An Opportunity for PostgraduatesGowri Sankar
Histological and histometric analysis of solitary and non-syndrome associated multiple odontogenic keratocysts.Paremala K, Radhika M B, Lalita J Thambiah, Monica C. Solomon, Nirmala N Rao, Gurkiran Kaur
The effects of orthopedic facemask depending on vertical facial patterns.Naveen Shamnur, Mandava Prasad, Kumudini K P
The effect of chemical (glutaraldehyde) and microwave sterilization on impact strength of autopolymerizing (PMMA) resins.Mallikarjun M, Bharathi M
Effect of an adhesion booster on the bond strength of new and recycled bracketsT Harini, Sreedhar Reddy
Prevalence and distribution of vertical osseous defects in patients being treated for chronic periodontitisAravind Buddula, Mahalinga Bhat, Daniel A. Assad, Betsy Thomas
A comparative evaluation of effects of different kinds of sterilizations on load deflection characteristics, tensile properties of copper niti wires-an invitro studySreekanth. A. cherukuri, Muralidhar Reddy, Laxman kumar
Oral health related knowledge, attitude and behaviors of different professional college students in hubli-dharwad, Karnataka, India.Pralhad. L. Dasar
Is the palate anoptimal siteforminiscrew placement?Vinaya S. Pai, Abraham Thomas, M Swetha., Vishal Anil Nalawade
Prosthetic rehabilitation of patient with subtotal maxillectomy and orbital exenterationMohammed Hilal S, Kalavathy N, Hariprasad A
Rapid bite raiser for anterior crossbite' (RBRAC) appliance for rapid correction of anterior crossbite -a new appliance designPreeti Bhardwaj, Lakshmayya Naidu D, Anupam Agarwal
Management of complicated maxillofacial trauma in children: a case reportMahantesh T, Amar Varma C, Rashmi Varma C
Esthetic rehabilitation of discouloured anteriors by ceramic veneers-a case report.Baiju G, Amarendher Reddy k, Nagalakshmi Reddy
Management of aggressive form of cherubismG V Reddy, V. Sekhar Reddy Nallmilli
Oral lipoma: a case reportK Jithender Reddy, Vivekanandh Reddy G, Ramlal G, Ramesh Kumar K
Oxyphilic adenoma involving floor of the mouth: a case reportS. M. Manjunath
"Siamese twins" – a mirror image in pediatric dentistry (esthetic rehabilitation of a geminated primary teeth -a case report)Umamaheswari N, Baby John
Dentigerous cyst associated with impacted mesiodens-a case reportDhaval N. Mehta, Mukesh Asarani
Osteoma of mandible -a case reportV Ramesh Babu, V Lakshmi Sagar
Metal free prosthodonticsShiva Shankar M, Nitesh Rai, Digvijaya Patil
Influence of tongue in complete denture retention and stabilitySreedhar Reddy, Harini T
Three dimensional imaging: an impact in orthodontics – a reviewBalaMohan Shetty, Arvind S Raju, Vinay P Reddy
Root-end filling materials – a reviewNandakumar K, Sandhya PS
Radiation therapy patient: special considerations in prosthodontic managementGupta Basant, Rayannavar Sounyala
Photography --forensic dentist perspectivePrahalad Hunsig
Paincontrol in orthodontics—causes and managementMahendra. S, Vinay P Reddy, Mahesh C M, BalaMohan Shetty
Guidelines on infection control in the dental laboratoryBharathi Munagapati


text:
"Dear Steve, I buy and flip houses in Colorado and use the Home Depot Pro Loan on all my projects. They give a nice line of credit with a 7.99 percent interest and interest only payments for 6months. I usually pay it off before before that time period. I have done this 5 times and closed all 5 Loans. My ... Read More »
I Settled My Home Depot Card But Now They Say They Never Agreed. – Chelsea
"Dear Damon, I had a Home Depot card that was $30,000 that I settled for $15,000 two years ago. I never got a paper saying that it was settled. I called and talked to them about it and they said that it was because there was a returned check so it wasn't settled. The day that they put the check ... Read More »
I Can't Pay My Home Depot Credit Cards After the Economy Went in the Dumper. – Lavina
While doing home renovations and remodeling, I opened two Home Depot cards and one at Lowes. The 'no interest for 6 mos.' and 'no interest for 12 mos.' sounded great, and I was thnking how I could pay off each "program" before the interest rates kicked in. How wrong I was! The economy went into the dumper, I lost 2 ... Read More »
Can I Be Sued for My Husband's Debts? – Linda
My husband and I have legally been seperated for three years; May of 2010 my husband rented a tool from home depot in my name, yet he signed for it. Home depot has been harassing me for payment, I explained to them I never rented such a tool. I requested that they review the video of the transaction so I ... Read More »
Sears, Home Depot May Lose 8% of Holiday Sales on Credit Limits
Sears, Home Depot May Lose 8% of Holiday Sales on Credit Limits Bloomberg - 5 minutes ago Outstanding credit-card debt has risen 75 percent since 1999, while real wages have grown 4 percent in the same period, according to a report last month by ... Read More »
Sandra Is a Single Mother And Worried About Paying For College
"Dear Steve, I am a 40-year old single mother of one and currently have $22K in credit card debt among 3 creditors: American Express $16K (9.99%), Home Depot $3K (12%), and Furniture Express $3K (zero interest and payment until March 2010). I have $35K in student loans (6.2%) with Wachovia who is also the holder of my employer sponsored 401K ... Read More »


text:
Should the Ward County canvassing board have released the vote totals for the write-in candidates for Minot mayor from last week's election?
Mark'sHigh...FL doesn't matter anymore anyhow...by the time of the next election, it will be under water from global warming...
1 Agrees | 1 Disagrees | Report Abuse »
Yes, I would have like to know how many write-ins were for Kevin, but other write-ins too. Kind of a reality check for Chuck that 44% didn't want to vote for him.
6 Agrees | 0 Disagrees | Report Abuse »
They just chicken s hit to do it. Part of the good oh boy network.
2 Agrees | 2 Disagrees | Report Abuse »
Why should we spend money to set up more voting locations when only 4000 people go out and vote?
5 Agrees | 2 Disagrees | Report Abuse »
There should be more then 4 voting locations, there should be 8.
4 Agrees | 2 Disagrees | Report Abuse »
I don't know what this obsession is with counting votes, when in fact, we have every right to vote early and vote often....
3 Agrees | 1 Disagrees | Report Abuse »
Showing 6 of 6 comments
Post a Comment
You must first login before you can comment.
News, Blogs & Events Web


text:
Online Dating Over 40
After her husband of 31 years died, Francine Pappadis Friedman joined Match.com. In 9 months, the then 50-year-old went on 25 online dates — all first and last dates. Recalls Friedman, author of MatchDotBomb: A Midlife Journey Through Internet Dating, "One guy met me for a drink on what turned out to be the day after his wife's funeral."
Yes, this is a groaner, but also proof that a sense of humor is a key requirement for embarking on the adventure that is online dating. Joelle Kaufman, VP of Engage.com, says, "There is not as much pressure in boomer online dating. These women are not necessarily looking to marry or have kids. So they have a more casual attitude and are more flexible. For instance, many are willing to consider a man who isn't in their immediate neighborhood."
Or to consider a much younger man. Dr. Ian Kerner points out, "Younger women may be more confident with Internet tools such as Match Talk, which allows members to talk on the phone anonymously. But boomers have more world experience which gives them more confidence." Dr. Kerner, author of He Comes Next: The Thinking Woman's Guide to Pleasuring a Man, adds, "These women enjoy both pursuing and being pursued."
Plan Your Online Dating Strategy
With online dating services constantly trumpeting new gimmicks (i.e., Engage.com encourages members to include references from family and friends to help demonstrate their trustworthiness), it's helpful to initiate a "battle plan" that will net maximum results.
"Most people start with giants like Match.com or JDate or Yahoo! Personals," says Erika Moore, cofounder of RomanceLanguage.org, which offers guidance in the art of online dating. If you're looking less for quantity than for commonality of interests, Moore suggests Googling "dating sites" or "singles" with a pertinent keyword to further refine the field. Spot- and Rover-lovers can thus sign on to DateMyPet.com, bicyclists can try CyclingSingles.com, and Ivy Leaguers can meet their well-educated brethren at RightStuffDating.com.
Spend time crafting the perfect profile. "Stay away from cliches, negativity, and super intensity," Moore advises, adding, "My headline, which got a great response rate, was 'Bonus Points for Funny and Sane.'" And rather than littering your narrative with phrases like "love walking on the beach," Moore suggests something unique like, "'A personal paradox of sorts, I'm a quick-to-anger (Republicans) but tolerant (really cute Republicans) peacenik.'" And don't forget a great photo that is, or looks, professionally done — full face and smiling.
Your responses to men's ads should also be thoughtful. Joelle Kaufman of Engage.com suggests, "Don't send cookie cutter, long e-mails to multiple prospects. A short message that is personalized based on the person's profile is optimum."
Now for the $64,000 question: Should you fudge certain facts about yourself (i.e., lie about your age)? Kaufman says, "You can be two to three years off to get into a certain demographic on the site, but fess up quickly." The truth may not set you free, but it will always come out sooner or later. Best to make it sooner.
Protect Yourself
Unfortunately, as in the real world, cyber land has its share of bad seeds, so it is essential to exercise good sense. Stephany Alexander, author of the e-book Sex, Lies, and the Internet cautions, "Always ask for his home number to make sure he isn't married and call between 7 and 10 p.m. because that's when a committed man is with his significant other." Here's Alexander's most savvy tactic: As soon as you know his real name, run it through womansavers.com, a free screening service that has 20,000 men's names entered by women globally to flush out liars, cheaters, and abusers.
Just as important: Don't give him your home phone or address too soon, initially meet in a public place, and take advantage of the dating site's "anonymous" e-mail feature until you're 100 percent certain he's trustworthy.


text:
Posted on March 7, 2012. Listed in:
Posted on March 7, 2012. Listed in:
If you see any unhelpful comments, please let us know immediately.
http://www.marcjacobs-handbags.org/marc-by-marc-jacobs-bags-c-42.html Marc By Marc Jacobs Bags
http://www.marcjacobs-handbags.org/marc-jacobs-collections-c-40.html Marc Jacobs Collections
http://www.marcjacobs-handbags.org/marc-jacobs-purses-c-41.html Marc Jacobs Purses
http://www.marcjacobs-handbags.org/products_new.html New Products
http://www.marcjacobs-handbags.org/featured_products.html Featured Products
http://www.marcjacobs-handbags.org/products_all.html All ProductsAll Products
Written in March 2012
Written in March 2012
The puma corporation compares to the others along with the PWR-C /. 1. 10 and additionally Master XL.[url=http://www.soccershoesoutlet2012.com/]http://www.soccershoesoutlet2012.com[/url] These types of football cleats presented in kangaroo wash rag, usual wash rag or perhaps man-made wash rag.[url=http://www.soccershoesoutlet2012.com/]soccer shoes[/url]. Typical wash rag will not likely[url=http://www.soccershoesoutlet2012.com/]soccer shoes sale[/url] come near.[url=http://www.soccershoesoutlet2012.com/]cheap soccer shoes[/url] Manufactured plastic material,[url=http://www.soccershoesoutlet2012.com/]discount soccer shoes[/url] is usually rather stringent as well as the[url=http://www.soccershoesoutlet2012.com/]football shoes[/url] a minimum of long lasting, nonetheless most cost effective,[url=http://www.soccershoesoutlet2012.com/]nike soccer shoes[/url] from the about three.[url=http://www.soccershoesoutlet2012.com/]puma soccer shoes[/url] Exclusively those people involved with considerable baseball require one of the most pricy of just what Adidas[url=http://www.soccershoesoutlet2012.com/]adidas soccer shoes[/url], Nike .[url=http://www.soccershoesoutlet2012.com/]soccer shoes for sale[/url] Lower and more a number of[url=http://www.soccershoesoutlet2012.com/]soccer shoes outlet[/url] studs are recommended regarding HG pitches.[url=http://www.soccershoesoutlet2012.com/]nike indoor soccer shoes[/url] The length and additionally add up presents what sort of surface typically the football cleat 's best attached to[url=http://www.soccershoesoutlet2012.com/]nike youth soccer shoes[/url]. TF shoes are recommended about the most difficult of flooring once HG could employ excessive [url=http://www.soccershoesoutlet2012.com/]nike soccer shoes for kids[/url]strain . SG cleats usually have removable[url=http://www.soccershoesoutlet2012.com/]nike womens soccer shoes[/url].slipper[url=http://www.soccershoesoutlet2012.com/]nike soccer shoes on sale[/url]. Determined by the correct way sometimes you[url=http://www.soccershoesoutlet2012.com/]Searches related to adidas soccer shoes[/url] wish to utilize typically the cleat[url=http://www.soccershoesoutlet2012.com/]kids soccer shoes[/url], living will vary.[url=http://www.soccershoesoutlet2012.com/]adidas indoor soccer shoes[/url] I've received cleats very last the regular[url=http://www.soccershoesoutlet2012.com/]adidas soccer shoes sale[/url] few months that quite top of the range![url=http://www.soccershoesoutlet2012.com/]adidas soccer shoes predator[/url] I was first participating in 5 days or weeks one[url=http://www.soccershoesoutlet2012.com/]adidas soccer shoes kids[/url] week and additionally could not take the time for taking excellent care of them either[url=http://www.soccershoesoutlet2012.com/]adidas soccer shoes f50[/url]. If ever the wash rag supports[url=http://www.soccershoesoutlet2012.com/]compare adidas soccer shoes[/url], solely watch typically the studs.[url=http://www.soccershoesoutlet2012.com/]indoor soccer shoes[/url] As the studs wear out,[url=http://www.soccershoesoutlet2012.com/]men soccer shoes[/url] that is certainly when it is moment for a latest pair.[url=http://www.soccershoesoutlet2012.com/]womens soccer shoes[/url] Prop throughout studs last more and you will constantly select latest studs.
[url=http://www.soccershoesonline2012.com/]http://www.soccershoesonline2012.com[/url] These right now make distinct boots regarding[url=http://www.soccershoesonline2012.com/]soccer shoes[/url] distinct locations[url=http://www.soccershoesonline2012.com/]soccer shoes sale[/url], nonetheless really don't investigate this specific excessive.[url=http://www.soccershoesonline2012.com/]cheap soccer shoes[/url] Your choices are different boots for a healthier taken or even healthier ball manage.[url=http://www.soccershoesonline2012.com/]discount soccer shoes[/url] In the final analysis from the moment, [url=http://www.soccershoesonline2012.com/]football shoes[/url]without having an excellent taken or perhaps ball manage[url=http://www.soccershoesonline2012.com/]nike soccer shoes[/url], try to be perfecting which [url=http://www.soccershoesonline2012.com/]puma soccer shoes[/url]usually during put into practice[url=http://www.soccershoesonline2012.com/]adidas soccer shoes[/url]! As i talked about[url=http://www.soccershoesonline2012.com/]soccer shoes for sale[/url], you can find plenty of [url=http://www.soccershoesonline2012.com/]soccer shoes outlet[/url]possible choices to choose from.[url=http://www.soccershoesonline2012.com/]nike indoor soccer shoes[/url] There exists a large choice on line,[url=http://www.soccershoesonline2012.com/]nike youth soccer shoes[/url] nonetheless Which i endorse attempting on the kick out initial since just about [url=http://www.soccershoesonline2012.com/]nike soccer shoes for kids[/url]every player's lower limb is usually.
The spot Nike is obviously [url=http://www.soccershoesonline2012.com/]nike womens soccer shoes[/url]inside the top due to the fact you can find way too many sports activity guys to guide Nike. On the identical moment[url=http://www.soccershoesonline2012.com/]nike soccer shoes on sale[/url], Nike also can have the some other sort of sporting activities events'[url=http://www.soccershoesonline2012.com/]Searches related to adidas soccer shoes[/url] really like. Nike is actually able to produce finest popularity[url=http://www.soccershoesonline2012.com/]kids soccer shoes[/url] which usually provides a lot more goods together with high quality.[url=http://www.soccershoesonline2012.com/]adidas indoor soccer shoes[/url] Nike will be creating their particular development available in the market and they're going to carry on carrying out similar to this. [url=http://www.soccershoesonline2012.com/]adidas soccer shoes sale[/url]It really is in a position to offer ensure to be able to consumers together with best value.[url=http://www.soccershoesonline2012.com/]adidas soccer shoes predator[/url] That is why, they may be continuing to keep the particular tips that [url=http://www.soccershoesonline2012.com/]adidas soccer shoes kids[/url]make endeavours to fulfill the necessity for consumers[url=http://www.soccershoesonline2012.com/]adidas soccer shoes f50[/url].
You can find the particular finest[url=http://www.soccershoesonline2012.com/]compare adidas soccer shoes[/url] features regarding Nike items concerning sports to offer these to the particular consumers.[url=http://www.soccershoesonline2012.com/]indoor soccer shoes[/url] .[url=http://www.soccershoesonline2012.com/]men soccer shoes[/url] The particular specialist sportsmen which specific inside enjoying sports will need a single couple of nike mercurial vapor[url=http://www.soccershoesonline2012.com/]womens soccer shoes[/url] regarding really sound. As a result.
Written in March 2012


text:
More New and Used
from Private Sellers
Note: Supplemental materials are not guaranteed with Rental or Used book purchases.
Modeling the Environment, Second Edition
ISBN13:by Ford, Andrew
Island Pr
Questions About This Book?
What version or edition is this?
This is the 2nd edition with a publication date of 11/11/2009.
What is included with this book?
- The New copy of this book will include any supplemental materials advertised. Please check the title of the book to determine if it should include any CDs, lab manuals, study guides, etc.
Modeling the Environment was the first undergraduate textbook on system dynamics modeling, teaching a generation of students to evaluate, in advance, the consequences of environmental policies and management techniques. This new edition brings the book thoroughly up-to-date and reaffirms its status as the leading introductory text in the field.
Author Biography
Andrew Ford is professor of environmental science at Washington State University, where he teaches system dynamics modeling. He has developed a wide range of models dealing with energy and environmental policy. His simulation of uncertainty in dynamic models was honored with the Jay Wright Forrester Award as an outstanding contribution to the field of system dynamics.


text:
There are some inherent dangers to snowboarding, especially for beginners.
Dr. Robert Cabry with Drexel Sports Medicine, has some tips for people – young or old – embarking on snowboarding for he first time.
Common Snowboarding injuries
When you snowboard, your feet are fixed into non-release snowboard bindings and the board is narrow, so falls are going to happen, especially for the novice.
The majority of snowboarding injuries involve the upper extremity and ankle, but serious injuries are rare.
The most common injury occurs to the wrist. This is because as the boarder loses balance, and the person falls on an outstretched hand. This leads to sprains and even fractures. A better way to fall would be to land on the elbows; they can take more impact than the wrist and hand.
Ankle injuries
After the wrist, ankle injuries are the next most common and usually occur with a crash, especially after a jump which combines impact with a twist. These common injuries occur more often in experienced snowboarders because they take more risk.
The injury rate has decreased with the use of the hard shell boot. Although the ankle injuries are decreased, the stiffer boot can lead to more knee injuries.
The good news is that knee injuries in snowboarders are less common and much less severe than in skiers. The beginner should stick to the softer boot, which will allow for more control of the board.
Preparation a key
Snowboarding is a sport, and like other sports, people need to be prepared and properly conditioned. Snowboarding requires core strength and balance, so it's important to focus on this when working out at the gym. Leg strength and aerobic conditioning will also reduce the risk of injury.
Before hitting the slopes, warm up those muscles so they will better handle the impact. Although wrist guards might not look cool, they might just save you from serious injury. There are 100,000 wrist fractures a year among snowboarders.
Wear a helmet
Helmets are also critical equipment for the snowboarder. Crashes, collisions and loss of balance can all cause serious head injury. Protect the skull and protect the brain. Wear your helmet at all times when boarding.
Snowboarding is a great winter sport, but it also requires some common sense. Be smart and you will be enjoying yourself on the slopes and not sitting in the lodge depressed due to a swollen ankle or broken wrist.
swollen ankle or broken wrist.


text:
Movement For Life
We educate you, support you, encourage you and motivate you, while treating you as we would treat our best friends. We're here to get you well and keep you moving!
Holistic Approach
Our clinic has an approach that is holistic and patient centered. We treat your whole physical person, using your goals and our knowledge to create an individualized treatment plan.
Integrated and Personal Physiotherapy
We are "hands on" manual therapists, using our hands supported by several integrated healing techniques to assist you in restoring and maintaining functional movement. We believe that each session should be at least 30 minutes of one-on-one time, because our many years of experience has taught us that less than this is insufficient to achieve satisfactory results.
The Team
Our entire team works together, each therapist using their own expertise to contribute to a very integrated and effective treatment plan. Athlete or growing teen, pregnant women to accident related injuries; our team has the broad range of expertise to restore your optimal movement and desired lifestyle.
Our Services
Receive the uninterrupted time you need with your physiotherapist without added fees. All treatments are with a highly-skilled therapist trained in the latest evidence-based techniques for your optimal recovery. The result is a more personalized service, more effective treatment, faster recovery, and greater value.
Our services are available in English, Cantonese, Afrikaans/Dutch, French and German.
I received treatment before and after my hip arthroscopic surgery, with Candice + Gordon. After all my treatments I am now better than I was before. Candice has been patient & supportive and given lots of exercises to improve both my hip and toher core muscles. My overall experience has been exceptional.
LeeAnne Grant
After I had total left hip replacement surgery, physiotherapy was to be part of my recovery. My physiotherapist has done a wonderful job of bringing back my mobility. I highly recommend this clinic. I'm happy with my experience at the Marpole Physiotherapy & Rehabilitation Clinic and with its pleasant efficient staff.
Muryl Geary
Contact Us
We're here to get you well and keep you moving!
Let us help make an accurate diagnosis of your problem.
Call us at (604) 263-4414 or book online now!


text:
Holy Cross senior Stephen Schoenberger
June 24, 2009
Center Valley, Pa. - Army junior Andy Ferrara, the 2009 Patriot League Men's Track & Field Scholar-Athlete of the Year, is one of 132 men's track and field student-athletes named to this year's Patriot League Academic Honor Roll.
Ferrara, a junior Economics major, earned a 3.25 grade-point average for the spring term. The junior serves as a Platoon Sergeant at the Academy, where he supervises 28 cadets to ensure that each member is accomplishing their necessary academic, military and physical goals. Ferrara earned a Gold Star with wreath as a member of the top five percent of his class in academic, physical and military excellence.
Joining Ferrara on the Academic Honor Roll are eight student-athletes who earned perfect 4.0 GPAs in the spring semester. American's Jacob Shelly, a Political Science major, earned a 4.0 in his senior spring. Christopher Gabryluk earned a 4.0 in his spring semester at Bucknell studying Biomedical Engineering. His teammate, sophomore Kevin McGuire, an American History major, also attained a perfect spring GPA. Another pair of teammates, Colgate's Michael Lam and Erik French, also attained 4.0 GPAs for the spring term. Others attaining a 4.0 GPA in the spring were Holy Cross's Stephen Schoenberger, a senior History major, Lehigh freshman Chris Contino and Navy junior Tim Gruber, an Ocean Engineering major.
Bucknell paced all Patriot League schools with 37 student-athletes making the Academic Honor Roll. Holy Cross tallied 21 student-athletes for Honor Roll selection, while Colgate placed 15 on the list.
To be eligible for the Academic Honor Roll, a student-athlete must earn a 3.20 grade-point average in the spring semester and be awarded a varsity letter in one of the Patriot League's seven fall championship sports. The criteria for awarding varsity letters are different at each institution.


text:
College Hockey:Niagara AD Hermann Leaves For Towson U.
NIAGARA FALLS, N.Y. — Niagara athletics director Mike Hermann has stepped down after eight years to become the athletics director at Towson University in Towson, Md.
"The eight years I have spent at Niagara have been the most rewarding of my professional career. I have appreciated, in particular, the support of the president, Father Joseph Levesque," Hermann said. "The greater Niagara community has also been supportive, with increased attendance and direct contributions that enable the program to achieve at such a high level.
Hermann becomes the fourth athletics director since Towson became an NCAA Division I institution in 1979. At Towson, Hermann will oversee 19 sports and a 100-member staff.
"As he prepares to move on in his career, I want to thank Mike, on behalf of the university community, for his many contributions to NU's athletics program and commend him for the success he has achieved," Niagara president Joseph L. Levesque, C.M. said. "I extend my best wishes to Mike and his wife, Paula, and their two sons for continued success at Towson."
The following is a self-policing forum for discussing views on this story. Comments that are derogatory, make personal attacks, are abusive, or contain profanity or racism will be removed at our discretion. USCHO.com is not responsible for comments posted by users. Please report any inappropriate or offensive comments by clicking the "Flag" link next to that comment in order to alert the moderator.
Please also keep "woofing," taunting, and otherwise unsportsmanlike behavior to a minimum. Your posts will more than likely be deleted, and worse yet, you reflect badly on yourself, your favorite team and your conference.


text:
"The legitimate powers of government extend to such acts only as are injurious to others. But it does me no injury for my neighbor to say there are twenty gods or no God. It neither picks my pocket, nor breaks my leg."
Thomas Jefferson is a man known for the power of his words. His words here, said shortly after the American Revolution, speak volumes about the importance of the separation of church and state.
Most Americans today believe that our country enjoys such a separation. However, we often hear the United States described as a Christian nation. We hear of court cases concerning prayer in schools or religious displays on public property. So, if we are enjoying this "separation of church and state," why all the trouble? Well, the term itself appears nowhere directly in the Constitution. Thomas Jefferson used the expression in a letter to the Danbury Baptist Association in 1802. But it is alarming that people insist on questioning the constitutionality of various laws and practices based on an idea that doesn't even appear in the document. Going further, this separation, upon which so much weight is placed, is not clearly defined.
The first time religion is mentioned in the Constitution is in Article VI. Here, it says that all those serving in public office "shall be bound by oath or affirmation, to support this Constitution; but no religious test shall ever be required as a qualification to any office or public trust under the United States." It is important to note that one must make an oath or an affirmation. This option is offered, itself, as a safeguard of religious freedom: so that someone who could not or would not swear could still affirm his or her support for the Constitution and be bound by a sense of personal responsibility.
Next, Amendment I states that "Congress shall make no law respecting an establishment of religion, or prohibiting the free exercise thereof." This Establishment Clause ensures a separation of church and state as well as an individual's right to worship in whatever manner he or she wishes, or not to worship at all. It is a truly essential element of both the Constitution and our nation's character. Many early American colonists were fleeing religious persecution at home in Europe. The Puritans settled in New England, the Quakers in Pennsylvania, and the Catholics in Maryland. These individual colonies became havens for people who sought religious freedom. The First Amendment also guarantees freedom of speech and the press, the right to assemble, and to stand up to abusive government. Incorporating all these rights into a single amendment truly serves to affirm the unified nature of political and religious freedom.
As recently as 1985, the Supreme Court held in Wallace v. Jaffree that an Alabama law authorizing public school teachers to conduct religious prayer services in the classroom violated the First Amendment's Establishment Clause. Justice William Rehnquist argued against this ruling. In his dissent, he wrote that "George Washington himself, at the request of the very Congress which passed the Bill of Rights, proclaimed a day of 'public thanksgiving and prayer, to be observed by acknowledging with grateful hearts the many…favors of Almighty God.'" Rehnquist concluded that "history must judge whether it was the Father of his Country in 1789, or a majority of the Court today, which has strayed from the meaning of the Establishment Clause."
Then, in the 1989 case Allegheny County v. Greater Pittsburgh ACLU, the Supreme Court ordered that a crèche bearing the words "Gloria in Excelsis Deo" be removed from the town's courthouse. However, it upheld another display that included a Christmas tree, a menorah, and a sign saluting liberty. They claimed that "Both Christmas and Chanukah are part of the same winter-holiday season, which has attained a secular status in our country.
Finally, in the 2003 circuit court case, Glassroth v. Moore, Alabama Justice Roy Moore was ordered to remove a monument of the Ten Commandments that he had erected in the state judicial building. He refused, stating that it violated his right to acknowledge God. The Supreme Court held the lower court's decision that his right to acknowledge God was not denied, but that he himself had violated the Establishment Clause in erecting such a monument on government property.
In each of these examples, the Establishment Clause is said to be threatened. The cases seem to take the issue to the extreme, saying there should be no public prayer, no religious display and no acknowledgment of a higher power. Although their outcomes were varied, they show a consistent theme. Simply put, Americans do not want to be confronted with any beliefs that they, themselves, do not hold. But to be afforded that convenience, everyone must be willing to sacrifice the public expression of their own beliefs as well. It is probable that we have moved away from the original thinking of the founding fathers in our approach to this issue. Most likely, their intent, and what ours should be today, is to defend the freedom of every American to believe whatever he or she wishes. While completely eradicating religious expression in public may be the most effective means of deterring abuse of this freedom, I believe that it would surprise our forefathers to find that the American people are so easily offended by the beliefs of others as to precipitate government involvement in this issue through lawsuits and legislation. As James Madison, a fervent advocate of religious freedom, once remarked, "Religion and government will both exist in greater purity the less they are mixed together."


text:
Rwanda's finest comedian, Arthur Nkusi requests the ministry of education and concerned authorities to invest in art schools.
The celebrated comedian and radio presenter made the assertion through social media and lots of people supported the idea.
"Rwanda has art and talent but lacks schools to boost the skills and arts industry," wrote Nkusi.
Nkusi said artists survive on imported skills which makes it hard to compete with artists who have been through school.
The government of Rwanda is currently prioritizing and investing in vocational schools to boost self-employment among the youths.
The government also through Workforce Development Authority (WDA) has set up art school but mainly focusing on music.
Arthur's talent so far has earned him huge sums of money from giant telecommunication companies like Airtel and MTN.
The comedian's passion for entertainment is traced from his father Kennedy Mazimpaka, who is known in showbiz industry as a radio presenter, actor and one of the pioneers of city disc jokers.
Arthur started standup comedy as a profession in 2010 at Ishyo arts center with only few comedians under one group known as Komedy Knight Boys.
Share and Enjoy


text:
Rock Hill - The Rock Hill school board has decided to complete a bond sale for school construction that voters approved in a 2000 referendum.
The sale of $40 million in bonds remaining from the original $80 million will pay for the ongoing construction of both the district's third high school and the new Castle Heights Middle School.
The board also approved a new $2.5 million bond sale at its Monday meeting for building improvements and computer and technology upgrades.
The sale will take place in September and is timed to coincide with how quickly the high school construction is picking up speed, said Associate Superintendent John Hair.
Property taxes are unlikely to increase more than $8 on a $100,000 home, if at all, because the sale takes advantage of the current low interest rates, Hair said. The low rates and the district's strategy in paying off debt could keep property tax increases small over the next few years, he said.
"I'm not going to downplay the importance of the low interest rates," Hair said.
Combining the two sales into a $42.5 million bond sale also saves the district about $20,000 in fees, Hair said.
The new Castle Heights Middle to opening very soon, and the third high school, which is located next to Saluda Trail Middle School, will open in fall 2005. Construction on the high school began this spring and stalled because of rainy weather, but builders have already poured some foundations and built some walls, Hair said.
In March, voters approved the bonds to pay for the new middle and high schools, roofing repairs at district buildings and the construction of the Central Child Development Center and Old Pointe Elementary School.
In spring, a $10 million bond sale went toward financing Central and Old Pointe. Both schools opened in August. In October, the district sold another $30 million in bonds to begin building the new Castle Heights, which is located across from Rock Hill High School.
"We didn't sell the bonds until right about the time the money would be needed," Hair said.
The district has issued $2.5 million in bonds to fund building and technology improvements every year over the last several years, Hair said.


text:
Last Updated: June 24, 2014
2014 (Freshman): Utilized redshirt season.
High School: Lettered two years in baseball at Clovis High School ... played in the Tri-River Athletic Conference ... a utility player both years ... his team finished with a 20-15 record during his time ... held an office position as Treasurer and ASB commissioner ... graduated high school on the honor roll.
Personal: Born Nov. 25, 1994 in Fresno, Calif. ... son of Jack and Jan Poisall ... has an older sister, Taylor ... enjoys getting better at baseball on his free time ... has an uncle who played professionally for the Phillies, Jeff Ulrich ... chose Fresno State it is close to home where family can watch him play ... major at Fresno State is liberal studies.
|Email this article
|Printer-friendly format


text:
- Model: LP
NWN Releases
Ares Kingdom "Veneration" LP
In 2009 Ares Kingdom began working out a cover of Die By Power by Slaughter Lord. Showing his support for this endeavor, former Slaughter Lord drummer, Steve Hughes, sent Ares Kingdom the previously unpublished lyrics for the track. This process catalyzed a series of other cover tracks for what would later become Veneration. The tracks selected for inclusion on Veneration reveal the ancestral blood that led to the development of Ares Kingdoms style. Like a genetic code passed down, but still recognizable through generations, the influence of bands such as R.U. Dead, Mefisto, Sacrilege, and especially Slaughter Lord is prominently reflected in the bloodline of Ares Kingdom. Thus, covering these bands amounts to a sort of praising of the elders that brought the band into being. Even more fascinating is the inclusion of tracks originally recorded by Vulpecula and Nepenthe bands that were the direct antecedents of Ares Kingdom. Historically cover songs have often been throwaway tracks for comps or split releases. The common result is generally little more than a failed attempt at mimicry. In the hands of veterans like Ares Kingdom, however, performing a cover song is not hollow reverence. Instead, it is a salute by one group of masters to their peers. Unlike other tribute albums, this compilation is successful as a whole because the songs are suitably chosen, and while Ares Kingdom demonstrate their fidelity to the original versions of these songs the recordings on Veneration nonetheless bear the bands unmistakable imprint. In addition to the aforementioned Slaughter Lord track, Ares Kingdom take on six others. Sacrilege's The Captive from the band's 1987 masterpiece, Within the Prophecy, is every bit as raging in Ares Kingdoms hands as is the original. Swedens evil pioneers Mefisto (which Chuck Keller describes as Swedens best metal export apart from Bathory) also get a nod with a cover of Act Dead from the Mefistos 1986 Megalomania demo. Ares Kingdom even deliver a ferocious cover of When Your Heart Turns Black by Germanys R.U. Dead?. Finally, Ares Kingdom show deference to their immediate predecessors through newly reworked versions of tracks by Alex Blumes old band, Nepenthe, and a track by Chuck Kellers previous interstellar Black Metal project Vulpecula. The Nepenthe song chosen for inclusion here, entitled Oblivion, was previously only released on a live tape from 1995 and features lyrics borrowed from Charles Baudelaire. Sighs Mirai Kawashima provided a keyboard intro to the Vulpecula track Celestial. Exercising total control over the presentation of the album, Ares Kingdom recorded, produced, mixed and mastered Veneration from its own Very Metal Sound studio, and the band worked closely with Manuel Tinnemanns (know for his artwork for Pentacle, Deathspell Omega, and Bunkur among others) to create the artwork. The cover features an interpretation of a Fritz Boehle illustration, originally used for a First World War propaganda poster, and sets the reverential tone of the entire release.Expand
This product was added to our catalog on Monday 10 June, 2013.
Customers who bought this product also purchased...
Your cart is empty.


text:
Miata Valve Cover Gasket Repair
Leaking valve cover gaskets are a not uncommon to see on older Mazda Miatas. The rubber that a valve cover gasket is made of will turn hard and brittle if left unserviced for a long period of time. Leaking valve cover gaskets can cause problems.
The valve cover gasket on the NA and NB Miatas not only seals the outer edge of the valve cover, but also seals the spark plug galleys where the sparks plugs and ignition wires live.
Motor oil and ignition wires don't mix. The motor oil causes the ignition wire boots to swell and self destruct. This condition can ignition misfires and noticeable performance drops. When I see a leaking valve cover gasket I immediately inspect the spark plug galleys for any motor oil intrusion.
I have replaced many Mazda Miata valve cover gaskets and I have found that even with the upmost care that a new valve cover gaskets can leak soon after its installation. New valve cover gaskets don't leak badly, but any leaking really drives me crazy. It must be some of my German heritage sneaking through.
When installing a new valve cover gasket, I like to get all parts and sufaces as clean as possible before reassembly. I also like to break the surface tension of the cylinder head by sanding the cylinder head surface with an abrasive emory cloth. I also use a light coat of air craft sealant on both mating surfaces.
Just Miata is a Mazda Miata MX-5 service, repair, and convertible top replacement garage dedicated to the health and happiness of the Mazda Miata MX-5 and their owners.
Just Miata is Florida's number one Mazda Miata service and repair facility for oil changes, service, repairs, timing belt replacements, water pump replacements, and convertible top replacements. Just Miata has the most knowledge and provides the best service and repairs and convertible tops for the Mazda Miata MX-5. Just Miata is the only Mazda Miata MX-5 specialist in florida.
Just Miata is a perferred Robbins Auto Tops Mazda Miata MX-5 Convertible Top Installer and dealer.
Just Miata is a Mazda Miata MX-5 service, repair and convertible top replacement shop for the greater Tampa Bay area, including St. Petersburg, Clearwater, Tampa, Bradenton, Sarasota, plus Orlando, Lakeland, Fort Meyers, Port Charlotte, Venice, and the surrounding counties of Pinellas, Hillsborough, Manatee, Pasco, Sarasota, Lee, Charlotte, Orange, Lake and Polk.


text:
Dedicated to the memory of Daniel Kahnweiler, Clement Greenburg, Peggy Guggenheim, Charles Saatchi et al, the real Masters, who didn't draw, didn't paint, never exhibited, but nevertheless created A-R-T.
Idiosynchronism was the first new movement of the 21st century. It was founded in 2005 and having made its point it was disbanded in 2011. We leave this site as a silent testimonial to its erstwhile existence.
What is Idiosynchronism?
Our aims and objectives
The birth of Idiosynchronism
Artists who joined the Idiosynchronist movement
Send us an email
Links to other interesting websites
About the quanta-exhibition concept
Pay to own or to destroy
These paintings are secret. Viewing prohibited.


text:
Eutelsat bumps satellite broadband to 20Mbit/s
Tooway service for remote web surfers
SATELLITE BROADBAND OUTFIT Eutelsat is increasing the top download speeds of its Tooway service to 20Mbit/s to meet the needs of those in remote areas of the UK.
The firm uses satellite connections to connect those in hard to reach areas with its services, delivered via a satellite orbiting above the continent.
To date the top speed available had been 10Mbit/s but the firm has now doubled that for all but its most basic package, while it has increased upload speeds to 6Mbit/s.
The base package is a 2Mbit/s download and 1Mbit/s upload service with a 2GB monthly data allowance. However, the new packages all offer 20Mbit/s download speed and 6Mbit/s upload.
Thereafter the services offer different data allowances based on pricing. They range from 10GB, 20GB, 30GB and unlimited, with pricing between £30, £40, £50 and £75 per month respectively.
The new services will be available from February. Customers on existing packages will not be upgraded automatically but can be asked to be upgraded.
Steve Petrie, UK commercial director for Tooway, told The INQUIRER the firm was pushing the speed boost to meet growing customer demand and improvement in the KA-Sat, managed by Eutelsat.
"The KA-Sat has been upgraded to boost its capacity from 70Gbit/s to 90Gbit/s and it's been a learning curve for us, about what it can offer so we've learned from that and what customers want and aim to give them what they want," he said.
While 4G auctions currently taking place could pose a threat to satellite broadband firms by offering an alternative mobile broadband service in remote areas, Petrie said the firm wasn't concerned by this because of the time it would take for any services to actually be available.
"We've seen in Germany, which is far ahead of us in 4G, that there's a still a huge gap and the return on investment for providers will mean they still only focus on 'larger' locations, but with our service we can reach anyone, straight away," he said.
The Tooway service is provided by Eutelsat resellers, which in the UK includes Avonline, Bentley Walker and Broadband Wherever. µ
INQ Latest
Man claims he invented he iPhone and sues Apple for $10bn
Oh, and the iPad and iPod too
6 of the biggest ransomware threats of 2016
Ransomware is exploding and the threats are multiplying
Google to face new EU antitrust probe over advertising business
Third time unlucky?


text:
Technote (FAQ)
This technote provides the steps to get the data output in Subscript and Superscript format.
For the text item, there is a property named"Relative Alignment" where you can select the Value to be Subscript or Superscript.
Steps to apply this property:
1. Unlock the report
2. Select the data item for which you need to apply this setting to.
3. In the properties pane, under the Font & Text properties of the Text Item, select Superscript or Subscript from the Relative Alignment.


text:
Attorneys and Judges Behaving Badly
It's time for a Friday compilation. This week has seen a slew of lawyers and judges reprimanded for bad behavior.
Before we hit the highlight reel, recall last week's charges against a lawyer for allegedly creating a fake law firm and then stealing $9 million from the company he represented, and a Florida judge's public apology two weeks ago for long smoke breaks, habitual tardiness and an inappropriate religious comment in the courtroom.
Now, on to more recent antics.
• The Ohio Supreme Court suspended indefinitely the license of attorney Vinh Chi Trieu, who was barred in Ohio but was handling federal immigration cases where he lives in Houston, Texas. Mr. Trieu admitted that he hid his work for six clients from his employer in order to keep more than $20,000 in fees, altered a check, lied to clients about the status of their cases, refused to refund unearned fees in several cases, and secretly took four personal cash advances against a law-firm credit card.
• An Arizona Presiding Disciplinary Judge suspended an attorney for 60 days, in addition to a probation for two years, for a romance with a client.
• The Iowa Supreme Court reprimanded a juvenile court judge for a traffic offense after he was stopped by police while driving with an open beer container and whisky in his car with a breath alcohol content of .135.
• The Tennessee Court of the Judiciary publicly reprimanded a judge who held a hearing and set bond for a defendant in a case where the judge himself was the victim. The judge's office had been robbed of valuable items, Times Free Press reported.
• The Pennsylvania Supreme Court disbarred an attorney after he was convicted in federal court for events that took place while he was a Superior Court Judge from 1998 to 2007. Following an automobile accident, he made false claims, which he bolstered by referencing his judicial office, that led to insurance payments of $370,000 and $50,000.


text:
Arcade Cuffed-Ankle Wedge Platform
Product Actions
Additional Information
- Pointed toe. Wedge platform.
- Contrast alligator-texture patent panels at toe and heel. Banded cuff at ankle.
- Zipper closure at back ankle.
- Leather.
- Imported.
- Factory styles are not guaranteed to ship in their original packaging.
- Approximately 5" heel height. 2" platform height.


text:
1. a community of beneficial intestinal bacteria that work cooperatively to produce systemic wellness.
2. jewelry, art, and limited edition collaborations by Erin Rivera Merriman and friends.
Erin Rivera Merriman aka~ Bearhead Factory and now ACTIVE CULTURE FAMILY has brought together a beautiful little tribe for her first series of collaborations. Honored to be part of the magic alongside a heart full of other artists including Three Arrows Leather, Ghost Dancer, All Roads Market, Penabranca and Jetter Green. The show is now hanging in San Diego at The Platform. You can also visit the website for full images and interviews.
|Erin Rivera Merriman with cotton and wool.
|All Roads Market with cotton, silk , brass and leather textile
|Ghost Dancer with cotton, silk and wool fibers
|Three Arrows Leather with leather and gold trade beads
|Daughter of the Sun with brain tanned buckskin, vintage guatemalan weaving and seed beads


text:
Former teen idol David Cassidy was arrested near Los Angeles International Airport (LAX) for suspicion of drunken driving. This happened after the aging actor and singer reportedly made an illegal turn on a red light after exiting the 405 freeway.
According to Yahoo! via Reuters on Jan. 11, an officer for the California Highway Patrol conducted a field sobriety test on the David who made it big in the 1970s. This test was conducted after David reportedly smelled as if he had been imbibing.
The result?
David Cassidy was said to have blown a blood alcohol level of .19 which is twice the legal California limit. It's only been six months since Cassidy was arrested and charged with drunken driving, that time in upstate New York. Another conviction came in 2010 in Florida for the same reason.
By way of background, the 63-year-old thespian recently spent time in rehab according to his manager and publicist, Jo-Ann Geffen. Some pundits say the former heartthrob may well be suffering a serious drinking problem.
Although this household name who once had everyone singing his song, "I Think I Love You," is a Florida resident, he was in California to deliver a deposition. And so, while driving a rented Chevy Impala, David Cassidy was arrested for the third time in four years for suspicion of DUI.
Suggested Links
- Beyonce, Jay Z rent zoo called Jungle Island for Blue Ivy birthday in Miami
- Anna Faris' pants on fire on Nokia Theatre LA Live red carpet for PCA 2014
- Anne Hathaway nearly drowns, husband toe sucks the Oscar nominee back to health
- OJ Simpson brain tumor symptoms prompts OJ to ask for Barack Obama pardon
- Honey Boo Boo, clan members hurt in wreck: Alana Thompson, family injured


text:
ZF-1914: Support unix_socket option for Pdo MySQL adapter
There is currently no way to specify the unix_socket option for the PDO_MYSQL DSN. See http://php.net/manual/en/…
The desired usage is:
$driver_options = array('unix_socket' => '/path/to/mysql.sock');
$params = array('driver_options' => $driver_options, ...other options...);
$db = Zend_Db::factory('pdo_mysql', $params);
The MySQLI extension doesn't need any change, because the socket location is specified in a php.ini configuration.
this already works, but you specify it in the options, not the driver_options...
$options = array(
'host' => 'localhost',
'username' => 'user',
'password' => '****',
'dbname' => 'db',
'unix_socket' => '/tmp/mysql5.sock'
$db = Zend_Db::factory('Pdo_Mysql', $options);
This issue should have been fixed for the 1.5 release.
Please categorize/fix as needed.
This doesn't appear to have been fixed in 1.5.0. Please update if this is not correct.
[~mc] claims that the {{unix_socket}} option is already configurable; please reopen if this is not the case.
I have confirmed with the 1.5 code at least that Marc Boeren's suggestion works. I have this in my config.ini file
[dev] database.params.host=localhost database.adapter=pdo_mysql database.params.username=root database.params.password="" database.params.dbname=test database.params.unix_socket="/var/run/mysqld/mysqld.sock"
and I'm now able to use the PDO driver.


text:
Some of you were kind enough to ask if I made it to the Tom Skerritt presentation at the Hilberry Theatre. I did, and it was so worthwhile.
Mr. Skerritt was introduced by John Wolf, Professor and Chair of the Maggie Allesee Department of Theatre and Dance, who presented him with the Apple Award on behalf of the Nederlander Family. What followed was a lovely conversation, with rich remembrances and anecdotes that I couldn't hope to replicate here with the same charm and warmth.
Although Mr. Skerritt was not over keen to dispense advice, I did cull a few gems that seem worth sharing.
- Speaking about the importance of exposing children to things that stimulate their imaginations, he tells a great story. As a child in school, little Tom was taken to hear the symphony perform with an ancient, feeble guest conductor who struggled to make it to the podium. Once the music began, the conductor was transformed into a powerful, lithe performer. Young Tom was blown away. The conductor was Arturo Toscanini.
- When he was a young man, Tom Skerritt wanted to be either Frank Sinatra or a pitcher for the Detroit Tigers. The whole "acting thing" came through the process of loving both writing and painting, and wanting to channel those arts into film and learning to be a director. Acting was a way to learn the larger craft of storytelling.
- He still has a passion for painting. Before attending the lecture, he and his wife revisited the Detroit Institute of Arts to admire the Rivera Murals.
- He appeared in the Bonstelle Theatre production of Luigi Pirandello's "Right You Are" as an undergraduate.
- On being mentored by Robert Altman: "He taught me to 'Do the work.'" He also shared that the idea of staging the "suicide" scene in "M*A*S*H" as Da Vinci's Last Supper came from an off-hand comment by a guy at the Craft Services table.
- If as an actor you bring your audience to the point where they expect you to cry, but you don't cry, they'll cry for you.
- He worries that we are losing the art of storytelling and teaches that in the The Film School in Seattle.
- An Air Force veteran himself, Skerritt was moved by the plight of young veterans coping with PTSD. In response, he founded the Red Badge Project through which volunteers teach acting, creative writing, filmmaking and photography to soldiers in the Warrior Transition Battalion — a group of active-duty, National Guard and reservists diagnosed with post-traumatic stress disorder (PTSD) and other injuries. The program helps veterans connect with a new group of "civilians" in a positive and safe environment that is conducive to self-expression and healing.
- He urges everyone to embrace "the risk of possibilities" as the only way to truly tap into your creative energy.
Words of wisdom from a gifted artist; thanks to WSU for hosting this event. If you'd like to support The Red Badge project, you can do so here.


text:
This blog is dedicated to exploring topics concerning patients' modesty and privacy concerns. It is hoped we can be a reference source of information for patients trying to find their way through a confusing healthcare system full of all kinds of privacy pitfalls. Further discussion of most of these topics can be found on the companion blog.
Monday, April 1, 2013
Inappropriate Touching in the Doctors Office
11 comments:
- Joel Sherman MD said...
I went through training a generation before Dr. Ubel. Although my first year was mainly medical, I did have one surgical rotation where I once performed a pelvic exam prior to a hysterectomy at the behest of the surgeon while the patient was under anesthesia. I have no idea if the patient's permission was asked beforehand, though I doubt it very much. Informed consent was just not a big topic of interest in the late 60's. As I was an intern helping in the lady's care (not a medical student doing the exam only as a learning experience) the exam was justifiable. That doesn't mean though that it's ever proper to do an intimate exam without permission. Hopefully this practice is disappearing everywhere now.
Dr. Ubel is certainly correct that a pelvic exam under anesthesia is much easier; the ability to feel pathology is definitely increased, especially for inexperienced examiners. It is however not that hard to obtain permission for exams when the attending physician asks beforehand. Many patients will agree and they are doing students a great service as it can be difficult for students to gain the necessary experience. It's in everyone's long term interest to improve medical teaching.
- April 1, 2013 at 11:05 PM
- Maurice Bernstein, M.D. said...
Dr. Ubel's final question:"How can an ethics lecture compete with a palpable uterine mass?" Must the ethics lecture or ethics compete?
Ethics, as taught in an ethics lecture, should be consider a "tool". Think of ethics like a microscope used as tool to diagnose cells in a bit of tissue. Ethics becomes a tool to make a decision whether a medical student as described in the scenario experiencing that mass represents a moral good or a moral bad. And using ethics as a tool, one must weigh one ethical principle against another and compare the "good" and the "bad" as applied to the stakeholders: to the student, to the patient herself, to medical education in general, to all females or society in general and associated laws. Unfortunately for unanimity, the weighing (prioritizing of principles) may end up being specific to the interests of the particular stakeholder.
Like so many other ethical issues, some become dilemmas because each of the principles seem most important to that stakeholder but yet a final conclusion must be made. Thus the decision is often based not on the conclusion of one individual but on a consensus of different individuals who are utilizing the "tool" of ethics.
At the present, I understand that the consensus regarding the ethics of students performing pelvic exams on anesthetized women without the permission of the woman is unethical. It is not about the student learning how to perform a pelvic exam of value but about the right of the woman to give permission or reject that examination. So you see, the ethical consensus in this example is not "competing" but actually supporting the woman's autonomous right to select those who she approves to enter her vagina and feel for that mass. ..Maurice.
- April 2, 2013 at 1:01 AM
- Doug Capra said...
Maurice, et. al.
One of the issues Dr. Ubel writes about is the whole idea of informed consent. How do we define it? From a philosophical point of view, are there basic human rights absolutes that transcend contexts and situations? Or, is all situation ethics?
I mention this in terms of your comment: "At the present, I understand that the consensus regarding the ethics of students performing pelvic exams on anesthetized women without the permission of the woman is unethical." Is this situation ethics, or is basic informed consent an absolute regarding this kind of behavior with anesthetized women?
Was this behavior "ethical" years ago because it was a consensus reached by some of the stakeholders? I say "some" because, it seems to me, this is an integral question. Is it required that patients be part of reaching this consensus? What if an individual patient disagrees with the consensus? Does that patient have a right to treatment that coincides with his or her values system? What other aspects of informed consent should we be talking about regarding Maurice, et. al.
One of the issues Dr. Ubel writes about is the whole idea of informed consent. How do we define it. From a philosophical point of view, are there basic human rights absolutes that transcend contexts and situations? Or, is all situation ethics?
I mention this in terms of your comment: "At the present, I understand that the consensus regarding the ethics of students performing pelvic exams on anesthetized women without the permission of the woman is unethical." Is this situation ethics, or is basic informed consent an absolute regarding this kind of behavior anesthetized patients of either gender? Some posters on your and our blog complain that they weren't informed that they would have a foley cath inserted during an operation, and were angry later when they found out. Their values required that a male nurse do the procedure?
Just some questions. I'd be interested in hearing form Dr. Ubel as well as you, Maurice, and Joel and any others regarding these and other questions about informed consent.
- April 2, 2013 at 1:52 PM
This issue can be dissected, compilated and appraised
endlessly. The fact that as long as it dosen't happen to
the "physicians family" then its irrelevant. The equivalent mentality exists in most of these other discussions.
- April 2, 2013 at 2:36 PM
- Maurice Bernstein, M.D. said...
Doug, "informed consent" is a property of the ethical principle of autonomy. Decades ago, patient autonomy was only a glimmer, if even present, overwhelmed by physician paternalism. At that time, patient beneficence was set by consensus of society as the outcome of allowing doctors to make the medical decisions. Times have changed and now patient autonomy trumps physician paternalism. Yes, even the insertion of a Foley urethral catheter during surgery and present when the patient awakens should be part of the informed consent prior to surgery where the surgeon explains to the patient not only the surgery but also post-operative status, what the patient will experience on awakening. If the time is taken for proper communication with the patient, the patient should experience no surprises. Ethics decisions are situational in that facts of the situation should shape the decisions but are also may be generational, views changing with time.
And PT, don't believe that "physician's family" are immune to the experiences of all the other patients. ..Maurice.
- April 3, 2013 at 12:59 AM
- Medical Patient Modesty said...
It's unethical to do pelvic, rectal, and genital exams on patients under anesthesia without their consent. The truth is many patients would not consent to medical students doing those types of exams on them. Many patients value their privacy and modesty. Patient's wishes should always be number 1 priority.
I personally think that medical schools should change their requirements and cut down on the number of pelvic, genital, and rectal exams for the sake of patients' wishes for privacy and modesty. There is no reason for medical students who are planning on going into specialties such as cardiology, orthopedics, neurology, rheumatology, ENT, ophthalmology, etc. to be required to be skilled in doing pelvic, genital, and rectal exams. Doctors in those specialties do not do any invasive exams. I understand some medical students are not sure what specialty they want to go into. But many medical students already know what they want to specialize in. Some medical students such as the stressed medical student left medical school because she had strong convictions that she should not do any genital, pelvic, or rectal exams. That medical school should have waived the requirements for her since she was planning on going into a specialty that did not require her to do those exams.
- April 3, 2013 at 8:52 PM
- Medical Patient Modesty said...
I wanted to share several more concerns.
1.) Other problems with non-consensual pelvic exams are the possibilities of injuries to the cervix at the hands of some of the clumsier students and the risk of infection or the possibility of internal injuries due to the slip of an instrument. This is exactly why medical schools should change their requirements for medical students to do pelvic exams on women. There is no reason for medical students who are going into specialties that will not require gynecological examinations to be required to practice pelvic exams in medical schools.
2.) I have a feeling that this surgeon performed a hysterectomy on the woman Dr. Ubel did a pelvic exam on. About 85% to 90% of hysterectomies are actually unnecessary. I did a lot of research on hysterectomy recently and I was very disturbed to learn about many consequences of hysterectomies that women are often not informed of. We need to work on cutting the rate of hysterectomies in the US. Check out Why Hysterectomies Are Often Unnecessary? Also, many women are not informed that their bladder could be perforated during hysterectomy. The standard of care calls for bladder perforations to be identified in surgery and repaired while the patient is still under anesthesia. The repair of bladder perforation can either be done vaginally or through an open abdominal surgery. Whichever technique is used, an urologist or urogynecologist will be called into the operating room to perform the repair. This means that a woman's gynecologist could call in an urologist while she is under anesthesia without her consent. Most urologists are male. This is a concern for a woman who only wants an all-female team.
- April 6, 2013 at 12:44 PM
Dr. Ubel,
I can easily understand why you did it when told to. This is something that has been proven by the classic experiment done by Milgram about people following authority without question. Interestingly, that experiment itself raised a lot of issues about the ethics of people participating in studies.
- June 12, 2013 at 12:56 AM
"Despite the lectures they'd received about "informed consent" during the first two years of medical school, six weeks of an OB/GYN rotation was enough to change their moral attitudes."
One has to wonder if in 6 short weeks their 'moral attitudes" were changed, or simply: the belief that they are somehow beyond the scope of moral actions to which normal society is held accountable.
Either way...a bit troubling.
- July 20, 2013 at 4:24 PM
- Medical Patient Modesty said...
Anonymous on June 12, 2013 brought up some very interesting points. I am sure that there are many medical students who were very uncomfortable with the idea of doing non-consensual intimate examination on patients, but they felt they had to give in because they felt threatened that if they did not follow the professor's orders that they would not pass medical school. It is hard to question authority sometimes. I knew of a conservative Christian guy who was very upset in nursing school when he was told that he would have to do a breast examination on a woman. That went against his convictions.
- August 28, 2013 at 1:58 PM
Dr. Ubel, and especially the unnamed patient upon whom he admitted on a public forum committing battery, might be interested in reading "Using tort law to secure patient dignity." The article pops right up if you Google the title.
Doctor Watchdog
- November 30, 2013 at 9:34 AM