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[{REQUEST}]Darth Revan player customization and....
Hey I was wondering if someone could help me by putting AlMighty Gir's Darth Revan into the singleplayer customization thing. I really love Darth Revan he is my favorite character and I dont know how to make him NPC spawnable and player customizationable(is that even a word)So can someone please please help me. I love the KOTOR series characters and I am trying to collect as many as possible so thanks.
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AP: Georgia loses third highest number of jobs in June
In June Georgia lost the third highest number of jobs in the nation. According a report released by the Bureau of Labor Statistics this week, Georgia lost 31,200 jobs from June 2009 to June 2010. Only California and Colorado lost more jobs. Georgia's long-term unemployment figures are even worse. The number of workers out of work more than 27 weeks has risen 143% since this time last year.
Georgia's labor market has been hard hit by job losses in the construction, manufacturing, banking, and travel industries. And although Georgia's unemployment rate inched down to 10.0% from 10.1% in May, the jobless rate is still relatively high. June was the 33rd consecutive month that Georgia's unemployment rate has exceeded the national rate, according the the Georgia Labor Department. The national unemployment rate remains unchanged at 9.5% for the month of June.
For more local economic news, click here

subset: commoncrawl


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To nominate an alumna or alumnus for the Wilbur Parker Distinguished Alumni Award, please fill out the online nomination form.
For professionals seeking leadership development and management expertise.
Professional certifications or advanced degrees may qualify for this accelerated MBA program.
Six options to concurrently earn two top-ranked Cornell degrees.
For professionals who desire leadership opportunities in the digital economy.
Our newest program: a dual degree MBA program offered in China.
A 17-month program offered in more than 20 cities.
Offered on weekends in the Metro NY area.
Our top-tier journal on organizational studies.


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Founded April 20, 1926
Officers: President – Rich Woods; President Elect – Dave Eppelsheimer; Vice president – Eli Potkonjak; Treasurer – Bob Reinhardt; Secretary – Andy Barnes; Immediate Past President – Taylor Poehls.
Directors: Bob Gross, Warren Carity, Kevin Dwyer, Ken Snyder, Tom Schultz, Ed Ellingson, John Foley
Looking forward to the meeting of November 27, 2012
Programs and Events
December 4 – Committee meetings.
Meeting notes: Our guest this week was Chris Meagher, a former Kiwanian and former Lt. Governor, who may be interested in joining the Wauwatosa club. Make sure you greet Chris and introduce yourself.
Our speaker, invited by Don Nordholm, was Ellen Van Cleeve, who just returned from two years in the Peace Corps, serving in Togo. Her impressive and inspiring stories were about teaching girls to play soccer, encouraging them to attend high school, showing them a computer, introducing wellness concepts, and making friends for the USA as a consequence.
Happy bucks came in for Rube Ziehlsdorf, for his recent birthday; from Ken Snyder, looking forward to running a half marathon in Las Vegas this weekend with 45,000 other runners raising funds to fight cystic fibrosis; and from John Foley, for a Thanksgiving with his sons in Texas.
Thanks: Bob Gross read a letter from the Tosa School Board thanking the Club for supporting Project Lead the Way.
Community support: Bob Gross suggested that we can all have a good time while attending the C of C's Holiday After 5 even on December 5 at the Lions Clubhouse. Admission is $5 or donation of a toy for charity.
Distinguished Citizen nominations: It's that time of year again. Bob Reinhardt and Andy Barnes are on the committee. Let them know if you want to nominate someone.
Beer & Wine Tasting: Get money to Eli Potkonjak. Bob wants to finalize the number by next week.
Meetings: Tuesday noon, Mayfair Mall Community Room
Newsletter Editor - Kevin Sjostrom p Reporter - Ilija Potkonjak p Newsletter distribution: Tom DeLuca
www.wauwatosakiwanis.org www.wiumkiwanis.org www.kiwanis.org
More from Your Stories
- Nicolet Rec. Dept. | Upcoming Programs
- Art Gallery selling tickets for local charity
- Nicolet Rec. Dept. | Upcoming Programs
- Volunteer Center - Community Volunteer Opportunities
- Muskego resident earns highest Girl Scout honor for Little Muskego Lake project
- Franklin resident earns highest Girl Scout honor with autism awareness project
- Waukesha resident earns highest Girl Scout honor with senior citizen art therapy project
- Muskego resident earns highest Girl Scout honor for senior citizen music therapy project
- Muskego resident earns highest Girl Scout honor with Engel Conservation Area seed collection project
- Muskego resident earns highest Girl Scout honor with anti-bullying project


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Herbalist Schools
This listing is for herb school members of the American Herbalists Guild. The information listed is provided by the herb school and is not reviewed, evaluated or endorsed in any way by the AHG.
To search for an herb school, please use the search box below. It allows you to search by US state, Canadian province, or by country. Please use the two letter postal code abbreviations for states or provinces, type the first letter and wait for the drop down menu. Then select and hit apply.
Mockingbird Meadows Herbal Health Farm
At Mockingbird Meadows, our working herb farm has focused on connecting students to their own inner wisdom, to their surrounding community and to the earth since 2004.
We believe in a botanical-based education that embraces folkloric tradition with a contemporary knowledge of body systems, phytochemical compounds and current research. Above all, we believe in empowering the individual to take control of health decisions.
We provide the following levels of herbal and holistic education:
Community Health Workshops
General interest education and guest lecturers.
Botanical Home Health Intro Course
Weekend course providing a broad, but detailed overview of herbalism, hands on experience and general techniques for those interested in herbal home health care. Geared for beginners.
Our apprentice programs are intended to develop thoughtful and well-informed herbal consumers, growers, makers and practitioners. Completion of the three tracks will provide an intimate knowledge of over 160 materia medica and coursework in differential assessment, basic sciences, practice management and ethics, writing for the plant sciences and presentation & speaking skills. We will assist the student in gaining clinical experience. Students do not need to commit to all three years.
Year One: Foundations in Botanical Health
Year Two: Advanced Botanical Health
Year Three: Applied Botanical Health (Mentorship)
Director and Core Faculty: Dawn Combs
Phone: 614-354-5162
E-mail: email@example.com
Web site: http://www.mockingbirdmeadows.com
Marysville, OH 43040 USA
Natural Healing College
Natural Healing College, Stockton, CA is an online school offering
both a Master Herbalist diploma program and an Ayurvedic Practitioner
Program. A hignspeed internet connection and a computer (pc, mac or
laptop) are required. Both programs are geared towards graduates
having the academic knowledge and practical strategies to open a
wellness consultation business. Every class is based on well-known
published industry respected books which are included in tuition fees
for US students. The classes are both textbook and research driven.
NHC classes bear no relationship to old-fashioned correspondence home
study classes. There are online prerecorded video lectures for most
chapters, spoken word audio glossaries and lessons that are online,
computer based, and textbook interactive, learning experiences.
Lessons and exams are auto graded to provide reviews and grades
immediately upon completion. A staff of teachers with accredited
degrees and real world experience who answer questions and personally
comment on student work twice a week makes Natural Healing College
able to simulate classes as if it were a brick and morter school where
students study and progress at their own pace. Unique among online
schools NHC works with its graduates to help them obtain local
internships and mentors if the graduate desires.
Phone: (209) 390-8076
Fax: (209) 390-8078 (FAX)
E-mail: firstname.lastname@example.com
Web site: http://www.naturalhealingcollege.com/
Stockton, CA USA
Natural Nurse® Herbal Certification Course
Ellen Kamhi, PHD, RN, AHG, AHN-BC
I have been learning and teaching the medicinal use of herbs since 1964, as well as providing information to thousands of individuals on how to use herbs for themselves, their patients and their families. I am a medical school professor, and taught medicinal pharmacognocy at the masters level for many years. I am also a hands on indiginous herbalist with a strong belief in interspecies communication with plants and other living and earth based personalities, as well as a wildcrafter. As I travel around the world giving lectures and workshops, I get many requests for more in depth classes, and the opportunity to apprentice with me.
This correspondence course will afford you that opportunity.
The course is conducted via individual webinar training. I will send you a link to a powerpoint, and then we will mutually choose a time (about an hour) to review the slides. As I discuss each topic, we will go into many aspects that are mentioned on each slide in a much more comprehensive way, giving you in depth data on how to collect, purchase and use each individual herb for yourself and your family.
Before we complete each lecture, I will email you a specific assignment that must be completed before our meeting. Depending on the level of the topic, it will be basic or more advanced. For example, I might ask you to go to your local health food store, and read the 'other ingredients' and 'standardization claims' on a few different herbal products. We will then discuss the significance of your findings. For a more advanced course, I may ask you to identify 2 alkaloid and 2 glycoside substances found in a particular herb, and what medicinal value they have, along with possible adverse effects that they may provoke. Don't worry, if you are a beginner, we will have covered all the initial classes you would need in order to know how to access that kind of information. Since I am both a traditional wildcrafting herbalist, AND a Professor of Botanical Pharmacognocy, I can take you as far as you want to go. Therefore, this course is appropriate for both the beginner and the professional, who would like to go more deeply into understanding the world of sentient as well as chemical interactions between plants and humans.
You can take this course as an individual, or share it with up to 5 others, since I will send a link to up to five individuals of your choosing if you choose the group rate.
Each class is $ 50 for an individual, or $ 100 for a group.
After completing 5 classes, you will receive a certification. Each additional 5 classes completed, will yield an additional certificate. I have over 50 topics available for 10 levels of certifications. The certification will indicate the number of hours of study, and the level of the course work that you have completed.
I look forward to sharing my decades of knowledge with you, and to learning from you as well, because as a teacher, I am also a perpetual student.
Phone: 800.829.0918
E-mail: email@example.com
Web site: http://www.naturalnurse.com/education
Oyster Bay, NY USA
New Eden School of Natural Health and Herbal Studies
We are a distance learning institute that offers many education programs, including the following Accredited Herbal Studies:
Certified Herbalist (CH)
Master Herbalist (MH)
Medical Herbalist (M.H.)
Certified Aromatherapist (C.A.)
Certified Herbal Consultant (C.H.C)
Phone: 12192306102, 12192306102
E-mail: email@example.com, firstname.lastname@example.com
Web site: http://www.newedenschool.com, http://www.newedenschoolofnaturalhealth.org
South Bend, Indiana 46628 USA
Northwest Institute of Ayurveda
The Northwest Institute of Ayurveda (NIA) was founded in 2006 in order to serve the growing interest in Ayurveda and sustainability medicine. Our goal is to enhance individual, societal and ecological health. We emphasize the sustainability model inherent within the Vedic sciences such as Ayurveda, Yoga, Vastu Vidya (Vedic "feng shui") and Jyotisha (Vedic astrology). Our mission is to provide evolutionary education for personal, professional and planetary transformation.
Since 2006, our programs and services have expanded to include a 10-Month Ayurvedic Living Program which includes modules in Ayurvedic lifestyle, theory, herbalism, and disease management. Students may opt to complete their practitioner training by taking our 6-month Clinical Ayurvedic Practitioner Internship Program.
We also offer the most complete Ayurveda massage training in the US which includes over 25 Ayurvedic therapies, plus several other asian/TCM body therapies such as cupping and moxa as well. For those who complete our Ayurvedic Massage Program, we offer an advanced training in our Panchakarma Therapist Program for those who wish to learn how to administer Panchakarma.
We offer a complete Aromatherapy Training Program which consists of two weekend immersions and includes hands-on practice in making over 18 DIY home and self-care products. We also offer annual workshops and immersions into various aspects of the Vedic healing sciences such as Ayurvedic Assessment, Jyotisha & Ayurveda, Vastu Shatra, Sanskrit, and more.
All of our programs may be completed at a distance (aside from our Ayurvedic Massage Program and our Panchakarma Training Program); however, certain weekend modules will be required live by all.
Ayurveda is truly wholistic. It addresses the human desire for heallh on all levels—body, mind, spirit, family, community, and environment. It is one of the fastest growing fields of complementary medicine today. Become a part of this planetary healing revolution! Please check out our website for details and a complete listing of all upcoming programs and classes.
Phone: (707) 601-9025
E-mail: email@example.com
Web site: http://www.ayurvedicliving.com
Arcata, CA 95521 USA
Northwest School for Botanical Studies
The Northwest School for Botanical Studies (NWSBS) offers two extensive programs including the 300 hour Professional Herbalist Training (PHT) Program and the Clinical Herbalist Training (CHT) Program; as well as classes for beginning and intermediate herbal studies. The PHT Program incorporates the following classes into the curriculum: herbal materia medica, physiology, herbal therapeutics, constitutional medicine, diagnostic skills, herbal pharmacy, kitchen pharmacy, field botany, gardening, aromatherapy, and clinical and business practicum. The emphasis of the materia medica is on the clinical uses of western plants, as well as the uses of some traditional Chinese herbs. Students will learn to identify plants in field and in the garden; although they are encouraged to cultivate their own gardens before they harvest plants in the wild. The kitchen pharmacy class trains students to incorporate the use of herbs into the diet, to maintain radiant health and vitality. The herbal pharmacy class includes many hours of "hands on" medicine making techniques and formulation; and provides instruction on many of the skills necessary to maintain an herbal pharmacy.
The Clinical Herbalist Training Program covers many case studies, treatment strategies, formulation, diagnostic techniques, pathophysiology, intake forms; techniques for creating a successful practice, and basic tools for practitioners to maintain their own health and vitality. Both the PHT and CHT programs emphasize a holistic and constitutional approach to foster client wellness. The Northwest School for Botanical Studies strives to provide the highest quality education possible to students who have a serious interest in pursuing herbal studies.
Phone: 707.826.7762
E-mail: email@example.com
Web site: http://www.herbaleducation.net
Arcata, CA 95518 USA
Ohlone Center of Herbal Studies
The Ohlone Herbal Center is a leading clinical and educational center for sustainable systems of Western herbal-based healing. Our innovative programs feature multiple levels of learning based on individual student needs. We offer evening classes for working adults, and an intensive two-year program that takes students through apprenticeship, therapeutic and clinical experiences. The last year of the program features clinical work with clients to give students invaluable hands-on understandings in the field. Graduates have all the tools and knowledge they need to practice clinical herbalism, taking care of their communities by working at non-profit clinics, developing private practices, working with medical professionals, and teaching the next generation of practitioners. Ohlone specializes in enabling graduates to understand how to develop successful careers in herbal healing practices. Our support for students continues after they graduate through practitioner groups that provide a collaborative learning experience throughout their careers.
Phone: 510.540.8010
E-mail: firstname.lastname@example.com
Web site: http://www.ohlonecenter.org
Berkeley, CA 94702 USA
OM Wellness Institute
OM Wellness Institute is a virtual project-based 500 hour Holistic Health Practitioner (HHP) accredited program. The HHP program explores aromatherapy, ayurveda, herbology, diet, nutrition, homeopathy, and healthy lifestyles. OM Wellness Institute provides a unique and powerful training program that welcomes all those students who want a well-rounded holistic education. Applications now being accepted.
Phone: 248-920-6595
Web site: http://www.omwellnessinstitute.net
Oxford, MI 48371 USA
Philo School of Herbal Energetics
Apprenticeships with Mary Pat Palmer, MA, RH(AHG) and Matthew Wood MSc, RH(AHG). Additional classes.
We were founded as the Boston School of Herbal Energetics in 2000 and moved to 16 acres of enchanted land in Philo (northern California). Here we expanded the garden to include over 200 species of medicinal plants. We strive to bring the magic and healing power of medicinal plants, the redwoods, and the land to our students through apprenticeships and classes. The Heart of Herbology Land/Plant Apprenticeship is for beginning/intermediate students offering a broad based program wherein students learn hands on about growing, identifying and preserving medicine as well as from materia medica, research methods and basic clinical practices. Third weekend/month, March - September (seed to harvest). We also offer The Wisdom of Herbology: Organ Systems and Tissue States (based on the handouts and teachings of Matthew Wood, MSc, RH) for advanced students, third weekend/month October - March. Matt will help in teaching his invaluable knowledge of our bodies and their relationship to healing herbs, as well as diagnostics and clinical practice. We also offer day long and wkend classes with other brilliant guest teachers. We welcome your visits, but please call first. Graduates receive certificates for both apprenticeships and classes. Some work/trade available
Graduates receive certificates for both apprenticeships and classes and become part of our Philo family. Some labor barter is available.
Phone: 707.895.3007
E-mail: firstname.lastname@example.com
Web site: http://www.herbalenergetics.com
Philo, CA 95466-0214 USA
Professional Herbalists Training Program
This 2 year herbal program is designed with the clinical herbalist in mind. Classes are held one weekend a month with a focus on Chinese medicine diagnostics, herbs and formulations. The program is unique in its ongoing intern clinic. After completing the 3 foundation classes, students start observing in the Wednesday night clinics that also include case discussions. After about 6-12 months students begin seeing clients while supervised by senior staff. This course can be completed in two years or students can attend classes as time allows. Classes include Theory, Diagnosis, Materia Medica of herbs and formulas and integrates western and other cultural herbs into the Chinese system. Other areas taught include, Tai Chi, Qi Gong, Auricular therapy, Moxibustion, Cupping, Dietary, Vitamin/mineral therapy and medicine making. Areas of emphasis are diagnostics, ethics and business management. Primary instructor is Bob Linde, AP, RH. Classes start annually. Check website for current classes and starting dates. Classes are pay as you go. Contact us for an information packet today.
Phone: 727.551.0857
E-mail: firstname.lastname@example.com
Web site: http://www.acuherbals.com
St. Petersburg, FL 33705 USA


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Talks over iwi's call for boat ramp gate to be unlocked
Rotorua District Council and a local iwi environmental group are to enter into talks over public access to a lake.
The issue is over a locked gate blocking public access to a ramp at Okawa Bay on Lake Rotoiti - the lake bed owned by Te Arawa iwi.
Ngati Pikiao Environmental Society sent a letter with its request to the council and Te Arawa Lakes Trust on Sunday.
The letter says the council placed the locked gate on the ramp for the exclusive use of the Bay of Plenty Trailer Yacht Squadron.
Rotorua District Council says a meeting with the Ngati Pikiao Environmental Society is due to be held on 14 December to find a resolution.
The council intends to invite interested parties, including the yacht squadron, regional council, Te Arawa Lakes Trust and the police to the meeting.
Next story in Māori: Master waka builder arrives for welcome
Copyright © 2012, Radio New Zealand


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Automobile Club of Southern California
2601 South Figueroa Street, H-118
Los Angeles, CA 90007-3294
Contact: Morgan Yates
Phone: 213-741-4486
E-mail: firstname.lastname@example.com
Institution Type: Archive, Commercial Business, Community Service Organization, Trade Association
Web site: http://www.aaa-calif.com
The Automobile Club of Southern California was founded in 1900, and the records of its undertakings provide a distinctive picture of life in the region during the twentieth century. The documents and pictorial materials in the club's archive relate not only to the club's history but also to local and regional architecture, infrastructure, public policy making, and cultural and recreational history. The charting and mapping of Southern California's roads began in 1906. The club's archive contains original vellum renderings of strip maps and road maps, as well as printed maps made from these renderings, for the period 1906 to the present. These maps offer a continuous, definitive record of the development of roadways and roadside services in the region. Since 1909, the club has published a monthly magazine focused on automotive tourism. The archived issues of Touring Topics and its successor, Westways, provide a chronicle of landscapes and destinations which includes extensive photographic coverage of the deserts and coastal regions of California, the national parks of the American West, and Hawaii. The club began to participate in discussions about transportation policy in 1909. Its activities in this area have involved independent provision of planning studies as well as commentary on public policies and programs. In 1922 the Automobile Club produced the first traffic survey of Los Angeles, and in 1937 it wrote the first detailed proposal for a regionwide freeway system. The working files for these projects constitute a rich source of material on the region. A substantial portion of the holdings documents the workings—from the board of directors to daily operations in dozens of district offices—of the Automobile Club itself.
Regions Covered: Los Angeles and other Southern California counties
Type of Materials: Architectural Drawings, Books, Cultural Artifacts, Materials & Objects, Diaries/Journals/Personal Papers, Films/Videos/Moving Images, Institutional Publications, Manuscripts, Maps, Official Records, Photographs
Time Periods: 1921-1949, 1950-1963, 1964-1980, 1981-Present
Sectors of the Population: Artistic Communities, Business, Clubs/Service/Social Organizations, Community Service Organizations, Education, Politics/Government, Professional, At or Below Poverty Level, Lower to Middle Income, Middle to Upper Income
Catalog System: For cataloged holdings: Photographs are in MARC based arrangements; documents are arranged in various file formats. For uncataloged holdings: Our posters are by date order; our photographs from the 1980's to present are in alphabetical order by subject
Repository/Depository: Yes
Loan To Others: Yes
Exhibition Frequency: Not at all
Outreach: Conferences/Conventions, Directories, Public Lectures & Programs, Radio/TV/Video


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California: Transgender woman's body found dumped
A transgender woman's death is being treated as suspicious after investigators revealed her body, which was found dumped behind an Anaheim Dairy Queen outlet was most likely moved there after her death.
While there were no immediate signs of foul play, Ornage County Sherrif's Department is treating the death of activist Zoraida Ale Reyes as suspicious. An autopsy has been conducted, but cause of death is yet to be determined. A toxicology report is pending.
Lieutenant Bob Dunn, spokesman for the Anaheim Police Department said it was unlikely the deceased passed away where she was discovered.
"Until we find out what the cause of death was we won't know for certain what it means."
The 28-year-old's body was discovered by a customer of the fast food outlet.
Reyes is described as very active n the transgender and immigrant rights communities.
Advocates are concerned Reyes may have been a victim of transphobia.
Image: Reyes leads a protest for LGBTI rights.
- TOPICS: body dumped, California, Dariy Queen, trans woman, transgender, transphobia, Zoraida Ale Reyes
- CATEGORIES: World, News + Politics


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Hot answers tagged stainless
I thought I read on another forum the exact same problem with this product. I think I remember its a finish that is put on the metal during fabrication. I'd call blichmann directly to straighten it out. They are a stand up group and stand behind their products.
You should be fine storing wine in a stainless container. It is entirely light proof and air-tight. Beer has been stored and served in stainless steel for many years. You are correct, white wines are fermented in stainless vessels. Reds can be too (they add wood chips to the mix to simulate barrels).
I've never heard of non-food-grade stainless steel. Some are more or less susceptible to corrosion than others, but as far as I know all stainless steels are food grade. [...] stainless steel is a safe option when it comes to use with food and beverage, as there are no chemicals that can migrate into your food from these products. From http://...
IT MAY NOT BE STAINLESS ANYMORE Sorry for the huge emphasis and the absurd caps, but I'm reading some... odd statements. I should point out I'm in chemical engineering, and did cooperate with experts in metallurgy. Stainless steel chemistry Stainless steel is such because it does not rust, as everyone knows. Rust, as many know, is the oxidation of iron. ...
The main advantage with SS is that it is quite inert - had you had a stainless kettle, the corrosion problem you experienced with the immersion chiller wouldn't have happened. Since it's happened once, it's quite likely to happen again, meaning you'd end up buying 2 new aluminum kettles (for a total of 3.) So in the long run stainless will work out cheaper....
I think you've ruined it. Sorry.
Your corney keg will be fine. The issue of corrosion comes into play if there are unpassified areas, usually from cleaning with an abrasive. You can repassify to restore the oxide layer with a mild acid like starsan or bar keepers friend. Soak and let air dry.
I have seen stainless steel handrails and pipelines fixed and welded on site, to get the finish back the guys use abrasive strips of varying grades until it shines. I imagine you only need to get the finish back to a point where there are no areas that bacteria could hide in the rough finish, so a satin finish should be fine and then make double sure with ...
Only top voted, non community-wiki answers of a minimum length are eligible


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Mobile Site You Are Here > PFR Home > Players > D > Brian De La Puente > News Archive
News: s-r blog:NFL Cap Hits Added to Pro Football Reference
Brian De La Puente
(twitter: @BriandelaPuente)
Position: G
Height: 6-3 Weight: 306 lbs.
Born: May 13, 1985 in Los Angeles, CA
College: California (school history)
Weighted Career AV (100-95-...): 26 (3866th overall since 1950)
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College Hockey:Northern Michigan assistant Shawhan leaves Wildcats for same job at Michigan Tech
Michigan Tech announced Monday the hiring of Joe Shawhan as a new assistant coach.
Shawhan replaces Damon Whitten, who left to become the head coach at Lake Superior State in April.
"I'm extremely pleased to welcome Joe to the Michigan Tech hockey program," said MTU head coach Mel Pearson in a statement. "We took our time to find the right person for this position to ensure our program continues to move forward. We had an outstanding pool of candidates, including first-round NHL Draft picks and Stanley Cup champions. Joe brings with him a wealth of hockey knowledge, not only at the college level, but from his days as head coach in the North American Hockey League. He's going to be a tremendous asset in recruiting and in working with our goaltending."
Shawhan was an assistant at Northern Michigan the past six seasons and spent 1995 to 2005 as the head coach and general manager of the Soo Indians of the NAHL, compiling a 474-162-43 record and sending more than 100 of his players on to college hockey.
Joining the Lake Superior State staff in 2005, Shawhan worked three years as assistant coach with the Lakers before moving to Northern Michigan. He spent the 2008-09 season as a volunteer assistant and the 2009-10 campaign as the director of hockey operations before being named assistant coach in 2010.
"I'm excited about this new opportunity," added Shawhan. "Thanks to Mel, (Michigan Tech athletic director) Suzanne (Sanregret) and all involved. It was a really difficult decision to leave NMU, but this is a great opportunity for me. I like the enthusiasm of the program and am comfortable with Houghton and the Copper Country. I've know Mel for a long time and understand how he's running the program. I'm confident I'll be able to step in and use my 30 years of experience to help this team."
Shawhan earned four letters as a goaltender for Lake Superior State from 1983 to 1987.
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.


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Our Vintage Buyer Ali is one of those characters you spend an hour with and you feel like you've taken an adventure around the world and back again. She's one of those people that I always find myself being drawn to, mainly because her passion for vintage is as big as the universe and beyond. (…) Read more
Tagged: vintage buyer
Office Style: Style From WithinDec 27, 2012
With the week being very quiet due to the Christmas holidays, I decided to pinpoint ladies whose style I really admire. Each and every day I see them they bring a smile to my face. These ladies dress from within, the outfits they wear constantly tell a story about who they are, what passions they (…) Read more
Vintage Loves for Memorial WeekendMay 25, 2012
Our vintage vignettes this week are perfect for Memorial Day: patriotic, fun and flirty. They're perfect for picnics, cookouts and going to the beach (…) Read more


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I have been on the teaching side of the mirror since the third year of my undergraduate degree when I was a teaching assistant (TA) for an enriched first-year computer science course. Since then while in Canada I have been a TA for many systems topics, including operating systems, computer architecture, networks, distributed systems, and performance modelling and analysis (although at one point I even TAd algorithm analysis!). In my final term at Waterloo I lectured CS 457/657, System Performance Evaluation.
Since arriving at Cambridge I have lectured Distributed Systems and supervised students taking Digital Communications I, Prolog, Concurrent and Distributed Systems, and a few Part II projects. I am slated to teach Distributed Systems again in Easter term 2010.
Over the years I have become somewhat opinionated about university-level teaching. It is a professor's responsibility not only to transfer knowledge but also to encourage cognitive practices that will make students' learning easier, more effective, and more rewarding. My philosophy is to do this by providing appropriate motivation and background for material, accurately representing the difficulty of concepts so as to avoid discouraging students, and setting goals that ensure students' effort enhances their understanding. I intend to follow these tenets whether teaching courses or supervising student research.
Providing appropriate context for material is critical to successfully motivating students at all levels. Concepts that are presented in isolation, with little background or introduction, frustrate students and leave them guessing as to the concepts' relevance. One ready source of context is students' desire to understand the workings of familiar objects and processes. They may have observed computerised artefacts behaving in ways that do not seem logical or predictable; by drawing on such examples one can examine the choices made by the objects' designers and thereby explain the behaviour. The prevalence of computers and networking provides a wide variety of examples which can be related to many ideas within the computer science curriculum. Advanced students can benefit from seeing examples of increased complexity and subtlety. It is also instructive to demonstrate where intuition can lead one astray. Students can become fascinated by an apparent paradox, leaving them receptive to learning the techniques required to arrive at the correct conclusion.
These methods of encouragement can only be successful if the students have sufficient confidence to tackle topics that at first appear to be beyond them. A student developing a defeatist attitude, believing that an idea is too complex to understand, hampers learning. For this reason it is important to accurately convey the difficulty of concepts and to give students praise when they have accomplished a demanding task. If a crucial idea is simple to understand, then it should be explained as such. Computer science is a discipline that is replete with elegant constructs and results which together have tremendous power while individually being straightforward or even trivial. Examples and demonstrations can illustrate concepts that seem difficult upon first exposure.
Excessive workload is a common complaint of undergraduates and, while some topics are best learned through time-consuming exercises, many are not. Assignments should not require significant amounts of work on material that is not related to the concept under study and should entail moderate effort beyond that needed to understand this concept. Over-work can lead to development of resentment towards the material, reducing students' performance and their interest in the field.
Research students should be made to feel comfortable with their work and receive positive reinforcement and constructive criticism. The potentially isolating nature of research, coupled with the singular far-off deadline of the dissertation, can have a detrimental effect on students' productivity and motivation. While each student should receive guidance when selecting his or her thesis topic, it is important that the core research issues are posed by the student rather than by the supervisor. Learning what sorts of questions to ask is one of the most valuable lessons of graduate school, and excessive direction can lead to a student that does not know how to frame research problems.
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|Home > RNJ > 2009 > May/June > Don't Worry, Be Positive: Improving Functional Recovery 1 Year After Hip Fracture (CE)
Don't Worry, Be Positive: Improving Functional Recovery 1 Year After Hip Fracture (CE)
It is not uncommon for studies examining factors associated with functional recovery 1 year after hip fracture to be presented from the perspective of clinicians or researchers. Few studies have examined factors that facilitate functional recovery from the patient's perspective. This article discusses community-dwelling older adults age 65 and older who sustained a hip fracture and received surgical repair and postacute rehabilitation. Data were collected 1 year after postacute rehabilitation. Content analysis was used for the descriptive study. Participants reported that rehabilitation services greatly facilitated their recovery. Participants also recognized the importance of their own motivation, and noted it was essential to maintain a positive attitude and fully engage in recommended rehabilitation activities. The keys to functional recovery were active participation in rehabilitation and following instructions from care providers. In addition, self-determination, a positive attitude, and social support played significant roles in making rehabilitation work.
Hip fractures cause significant mortality, morbidity, and disability among older adults (Frihagen, Nordsletten, & Madsen, 2007; Hershkovitz, Kalandariov, Hermush, Weiss, & Brill, 2007; Latham, Jette, Warren, & Wirtalla, 2006; Press, Grinshpun, Berzak, Friger, & Clarfield, 2007), account for 266,000 hospital discharges (DeFrances & Hall, 2007) and 600,000 nursing home admissions, and cost Medicare $2.8 billion each year (Latham et al.; Schneider & Guralnik, 1990; Titler et al., 2007). More than 4% of patients with hip fractures die during initial hospitalization, and 18%–33% will die within 1 year of fracture (Frihagen et al.; Hershkovitz et al.; Latham et al.; Pitto, 1994; Schroder & Erlandsen, 1993). Between 26%–65% of patients lose their ability to walk or do not recover their prefracture ambulatory status within the year following their fracture (Binder et al., 2004; Hershkovitz et al.; Koval & Zuckerman, 1994; Latham et al.; Wolinsky, Fitzgerald, & Stump, 1997).
Compromised mobility and self-care ability affect not only a person's functional independence, but his or her family and society as a whole. The older population in the United States is expected to reach 71.5 million in 2030, when all baby boomers will have turned 65 (U.S. Census Bureau, 2004). Because hip fracture is associated with aging, its incidence is certain to increase. The healthcare cost and society's ability to provide necessary care to older people with hip fractures is a crucial healthcare issue.
Studies focusing on hip fracture rehabilitation and functional outcomes can be categorized into three groups. The first group, clinical research, focuses on surgical treatments (e.g., internal fixation versus hemiarthroplasty) or rehabilitation (e.g., rehabilitation hospital versus skilled nursing facility rehabilitation) on selected functional outcomes during the acute care and postacute hospitalization periods (Hershkovitz et al., 2007; Isotalo, Rantanen, Aarimaa, & Gullichsen, 2002; Latham et al., 2006; Rodriguez-Merchan, 2002; Young, German, Brant, Kenzora, & Magaziner, 1996). These types of studies have helped our understanding about which treatment modalities can produce better functional recovery, such as mobility or activities of daily living (ADLs). The second types of studies are epidemiological, which focus on hip fracture prevalence and incidence rates, postacute care mortality and disability rates 1 year after hip fracture, or postacute care discharge location (Chevalley et al., 2007; Ingemarsson, Frandin, Mellstrom, & Moller, 2003; Latham et al.; Magaziner et al., 2000; Rosell & Parker, 2003; Young, Brant, German, Kenzora, & Magaziner, 1997). These studies provide valuable information so policymakers and healthcare providers can make informed decisions on health manpower planning and scarce health resources allocation. The third types of studies are outcome evaluation studies that primarily center on factors associated with functional recovery, including sociodemographics (age, gender, income, and marital status), health status (osteoporosis or diabetes), functional status (mobility and ADLs), and social support (frequency of contacts with children and friends; Adunsky, Lusky, Arad, & Heruti, 2003; Boonen et al., 2004; Kristensen, Foss, & Kehlet, 2007; Press, Grinshpun, Berzak, Friger, & Clarfield, 2007; Young et al., 1996). Study results on determinants are useful and play important roles in shaping or modifying treatment methods and interventions to foster functional recovery.
Findings from these clinical, epidemiological, and outcome evaluation studies have improved our understanding of the hip fracture functional recovery process and associated outcomes. However, most of these studies come from the perspective of clinicians and researchers, but not patients. Patients with hip fractures are the key players in the recovery process and often do not have the opportunity to contribute their ideas about what was most helpful for functional recovery 1 year after hip fractures. To determine why some hip fracture survivors return to their prefracture function and others do not, this article explores factors associated with functional recovery from the patient's perspective.
The goal of this study was to explore the perceptions of older adults regarding their functional recovery 1 year after hip fracture and was part of a larger longitudinal study "Rehabilitation and Functional Recovery after Hip Fracture (Reheb&Hipfx)," funded by a National Institutes on Aging grant. The primary goal of the Reheb&Hipfx study was to explore the effectiveness of postacute rehabilitation on functional recovery and the costs incurred during recovery among elderly patients with hip fracture.
Study Sample and Data Source
Using convenience sampling, 62 participants from the Rehab&Hipfx study (N = 280) were invited and completed an exit interview immediately after the 12-month posthip-fracture follow-up data collection. The exit interview was a thematic survey with open-ended questions that explored areas influencing functional recovery and participants' willingness to engage in rehabilitation activities. Interview questions focused on four areas: satisfaction with functional recovery postfracture, factors that facilitated or hindered postacute recuperation experiences, areas that would improve the functional recovery process, and the advice participants would give to other patients with hip fracture to help with recovery (Figure 1). The responses were transcribed verbatim by a physical therapist and a physician assistant. Both clinicians were familiar with hip fracture care and received three sessions of interview training at the Center on Aging and Health at Johns Hopkins in Baltimore. Both interviewers also were certified to use the Functional Independence Measures (FIM) instrument. Eligibility criteria for this substudy were the same as for the Rehab&Hipfx study and were determined 12 months before the substudy. Eligibility criteria included 1) age 65 years or older, 2) community-dwelling, 3) admitted to one of the five predetermined rehabilitation sites with a primary diagnosis of acute hip fracture (ICD9-CM 820.0-820.9), 4) receiving a surgical procedure (ICD9-CM 81.21, 81.40, 81.51, 81.52; National Center for Health Statistics and Centers for Medicare & Medicaid Services, 1997), 5) having a nonpathological fracture, and 6) having no evidence of metastatic cancer. The study was approved by the internal review boards of the Johns Hopkins Bloomberg School of Public Health and each participating rehabilitation facility in Baltimore.
Table 1 shows the sociodemographic characteristics of the study participants (n = 62). The average age of the patients was 78 years, with a range of 65–91. The majority of the patients were women (76%), Caucasian (92%), and living with others (45%). They had an average of 12.6 years of education, and 17% had an annual income of $50,000 or more.
Data Analysis
Data analysis was conducted using basic content analysis (Crabtree & Miller, 1992) and started with the first interview. Although the interview guide used in this study contained specific themes and directed participants to address things that facilitated their recovery process, response analysis was conducted using participants' own words to capture their particular responses and ideas about thematic areas. The analysis was consistent with in vivo coding (Dowd, 1991). The following is an example of in vivo coding:
The code identified was "be positive"
A list including a definition of each code was developed and continually revised as new codes were added. Codes were then grouped based on similarities and differences. For example, a number of codes that focused on the factors that helped individuals through the recovery process were identified in the data. This theme was referred to as "factors that facilitate recovery post-hip fracture." Using the above coding strategy, 25 codes were identified and collapsed into four major themes (Table 2): facilitators of the recovery process, factors that hindered recovery, system recommendations to facilitate recovery, and peer advice to facilitate recovery.
Confirmability and Credibility of the Qualitative Data
Confirmability refers to the degree of agreement among different analysts' interpretations of data. To achieve confirmability, data initially were coded by the first reviewer who was a geriatric nurse practitioner and researcher familiar with the hip fracture recovery trajectory. The coded data then were given to a second researcher, an epidemiologist and gerontologist who had studied patients post-hip fracture across the entire recovery trajectory. The second reviewer independently coded the transcripts, compared her coding to the coding of the first reviewer, and then discussed the findings with the first reviewer. As the discrepancies were identified, the reviewers went back to the data to clarify their interpretations. This type of iterative process was continued until consensus was achieved.
Data credibility refers to the believability, fit, and applicability of the findings to the phenomena under study (Habermann-Little, 1991). To address credibility, the findings were presented to an interdisciplinary group of clinicians and researchers (one physician, four epidemiologists, three exercise trainers, one physical therapist, and one occupational therapist) familiar with the hip fracture recovery trajectory to establish if the findings made sense and were consistent with the current understanding of the recovery process post-hip fracture. The findings were presented informally in a small group and one on one in the clinical setting. Participants were asked to verbally confirm or refute the findings.
Participants who were satisfied with their functional recovery (n = 53) shared their experiences of factors conducive to their functional recovery; those who were not satisfied (n = 9) shared their experiences of factors that hindered recovery. The other two themes were system recommendations to facilitate functional recovery and intrinsic or peer advice for future patients with hip fracture on factors that facilitate functional recovery.
Facilitators of Recovery
Participants described a number of factors that facilitated recovery, including professional care, social support, determination, spirituality, individualized care, lifestyle factors, goals, and environment (Table 2).
Professional Care
Participants repeatedly noted that the professionals (physical therapists and nurses) they encountered during their postacute inpatient rehabilitation program had a major effect on their recovery. This included interactions with orthopedic surgeons, nurses, and therapy staff (physical and occupational therapists). Participants felt buoyed by seeing their physician frequently and having what they perceived as "very good doctors" or "good surgeons," and getting "correct" or "professional" care from rehabilitation providers. They evaluated providers as a team in the rehabilitation setting and did not single out one provider over the other in terms of help and support received. Moreover, participants particularly recognized the skill of the provider, evaluated based on successful surgical outcomes or receiving information that facilitated recovery. Communication and a positive attitude on the part of professional providers also were important to participants.
Social Support and Spirituality
Participants reported that support from family and friends also was essential to their recovery. Specifically, participants said verbal encouragement from family and friends helped them maintain an optimistic attitude during rehabilitation. "The help, encouragement, and support that I got from my family and friends are essential…" and "People around me lifted up my spirits" were among participants' comments. In addition, participants reported that spirituality and a belief in a supreme being helped them maintain their optimism throughout the recovery process.
Participants noted that a major factor facilitating their recovery process was their own determination to once again walk. Participants reported they were determined to exercise and be involved in physical activities as advised by medical professionals both during inpatient rehabilitation and after discharged to home. Examples of related comments included "my determination to walk again," "my mental attitude—never give up," and "my determination to learn and improve." They believed this helped with their entire recovery process.
Lifestyle Factors and Environment
Participants reported that beyond their own beliefs and determination, positive lifestyle activities also facilitated their recovery. Health-promoting behaviors contributing to recovery included eating healthy food, taking appropriate medications and vitamins, and, most importantly, engaging in regular exercise. One participant recognized that an environment that encouraged healthy behaviors (i.e., facilitated physical activity) was important to promote exercise.
Identifying Goals
Participants identified their goals as returning home, regaining independence, and being able to walk like they could before their incident. These goals helped facilitate patients' recovery process.
Factors that Hindered Recovery
Participants who were not satisfied with their functional recovery (n = 9) identified a number of factors that hindered the recovery process. Generally, these focused on challenges and unpleasant sensations that participants could interpret to mean they should not or could not participate in rehabilitation activities or recover fully from the hip fracture.
Medical Complications/Comorbidities
A medical complication or underlying disease was perceived as the major barrier to recovery. Complications included surgical complications (such as loosening of hardware) or subsequent falls. Participants did not indicate whether these complications resulted in a medical contraindication that led to their inability to actively engage in rehabilitation or whether the complications resulted in self-imposed restrictions.
Unpleasant Sensations
Several participants reported that pain was a limiting factor in their recovery process that affected rehabilitation participation. Conversely, many participants would recommend to other hip fracture patients that they take their pain medications as prescribed and listen to what healthcare providers say to help relieve pain and encourage rehabilitation.
System Recommendations to Facilitate Recovery
Participants suggested that several system-related factors be changed to facilitate the recovery process. They requested additional physical therapy sessions and nursing care at home following postacute rehabilitation discharge. Some participants also recommended that better and more care be given. Better care was described as meeting with better-qualified surgeons and practitioners who could provide more education about the recovery process. A few participants suggested policy changes to improve care services, provide additional home rehabilitation sessions, and incorporate social supports.
More Care/Better Care
The most common system-related suggestion was to increase the amount of care provided. More care included more direct physical and occupational therapy and more education about the recovery process and ways to optimize physical function after hip fracture. Requests for additional care frequently were related to follow-up and care in the home setting after discharge from inpatient rehabilitation. Better care entailed providers having more training and better emergency management skills.
Spirituality/Social Support
A small number of participants said they would have liked exposure to spiritual support options throughout the course of their rehabilitation program. Similarly, some participants felt that additional social and spiritual supports were needed from family and friends.
Peer Advice and Recovery
Finally, all participants were asked to offer advice they would give patients with new hip fractures to help them with their recovery. Building on their own personal experiences of the recovery process post-hip fracture, they had several recommendations for their peers: 1) stay engaged in the therapy process, 2) do what is recommended by healthcare providers, 3) keep positive and determined to recover, 4) pursue pain management as indicated, and 5) be cautious to prevent future fractures.
Participate and Listen to Healthcare Providers
The most common participant suggestions were to listen to healthcare providers' instructions and participate as much as possible in rehabilitation activities. "Listen to the advice from medical staff such as doctors, therapists, and nurses" and "Do a lot of physical and occupational therapy even if it's painful!" were among participants' suggestions.
Determination and a Positive Attitude
Participants strongly recommended that older adults who sustain hip fractures maintain a positive attitude, avoid worry, and remain determined throughout the recovery process. Some participants suggested, "Keep on trying and never give up," "Sitting around isn't going to help," "Go and exercise!" "Get up and do as much as you can and don't worry," and "Be positive!"
Be Careful
Participants who experienced a hip fracture and the recovery process recommended that others be careful to avoid subsequent trauma and prevent anything that would impede the recovery process. In particular, they voiced warnings to prevent future falls. Participants suggested "Be very careful with recovery and follow all the safety instructions from the medical staff."
Relieve Pain or Work Through Pain
Some participants recommended that patients with new hip fractures take necessary measures to alleviate pain so they could participate optimally in therapy. Other participants suggested that new patients work through their pain. "Do your physical therapy even though it may hurt" and "Use all offered medications that could alleviate pain and relax muscles" were among the suggestions.
This study provided insight from the patients' perspectives through the use of in-person interviews 12 months after postacute inpatient rehabilitation. Overall, participants in this study had a positive experience with rehabilitation and attributed their successful recovery to exposure to physical therapy and occupational therapy. The patients recognized and acknowledged that the rehabilitation experience helped them return to their prefracture function and mobility. Previous studies on determinants of functional recovery 1 year after hip surgery vary. Determinants include increasing age, comorbidities, lengthy acute hospital stay, chronic or acute cognitive deficits and depressive symptomatology while hospitalized, worse prefracture ADLs and instrumental ADLs, unsteady gait, and discharge to institution (Koot, Peeters, de Jong, Clevers, & van der Werken, 2000; Young et al., 1997). These studies did not include rehabilitation as a significant predictor of functional recovery.
Rehabilitation alone, however, may not be sufficient for optimal recovery. Participants in this study also attributed their functional recovery to their surgeon's care and support and encouragement from other professional staff. The rehabilitation setting and staff within the setting promote and encourage the rehabilitation process throughout all care activities (Resnick, Slocum, Ra, & Moffett, 1996). In addition, the care environment had to be conducive to recovery. It is important to assure older adults post-hip fracture that they are in a safe environment with grab bars and hand rails to aid functioning. Personal items must be easily accessible, and pathways must be uncluttered and well lit to encourage optimal functional activities.
Participants in this study reiterated the importance of self-determination and their personal desires to recover. This had been noted previously among older adults in rehabilitation settings (Resnick, 2002) and in the Exercise Plus Program following hip fracture (Resnick et al., 2005). Self-determination is the "capacity to choose and to have those choices be the determinants of one's action" (Deci & Ryan, 1985, p. 38). Perceived self-efficacy (Bandura, 2004) is a person's belief that personal action can bring about desired changes. In this study, patients stressed that "determination to walk again," "determination to learn and improve," a "positive attitude," and a "never give up" frame of mind helped their postacute functional recovery. Self-determination and perceived self-efficacy may propel patients to exercise more and comply more fully with instructions given by health professionals, resulting in better functional recovery.
In addition to being determined, participants in this study described being resilient in the face of acute hip fracture. Resilience has been described as a person's capacity to make a "psycho-social comeback in adversity" (Kadner, 1989, p.22). Resilience in women older than age 85 is defined as the ability to achieve, retain, or regain a level of physical or emotional health after devastating illness or loss (Felten & Hall, 2001). Resilient people tend to manifest adaptive behavior, especially with regard to social functioning, morale, and somatic health (Wagnild & Young, 1990) and are less likely to succumb to illness (Caplan, 1990; O'Connell & Mayo, 1988). Older women who have successfully recovered from orthopedic or other stressful events have often described themselves as resilient and determined (Felten, 2000; Felten & Hall). Community-dwelling older adults who are resilient were noted to have better function, mood, and quality of life than those who were less resilient (Glantz & Johnson, 1999; Hardy, Concato, & Gill, 2004; Wagnild, 2003). Stressful events such as hip fractures are perceived differently by those who consider themselves to be resilient (Hardy, Concato, & Gill, 2002). This variation in response to stressful events further supports the importance of resilience in the recovery of function and willingness to engage in activities such as rehabilitation.
After professional care and self-determination, patients ranked social support from family and friends as significant in helping with functional recovery. This confirms previous studies that found social support is independently associated with better functional recovery among elderly patients with hip fracture (Roberto, 1992; Young et al., 2005). Better understanding of social support mechanisms at home and in communities can foster functional recovery. Providing information about support mechanisms and patient resources should be integrated into postacute discharge planning.
Participants who were not satisfied with their functional recovery at 1 year reported that factors hindering their functional recovery included older age, medical complications, comorbidities, and unpleasant sensations such as pain. Modifiable barriers such as unpleasant sensations should be anticipated and addressed to optimize the rehabilitation process. Likewise, attempts should be made to prevent commonly noted adverse events after the fracture, such as deep vein thrombosis, pressure ulcers, pneumonia, and urinary tract infections through early mobilization and medical management with appropriate anticoagulation therapy.
When asked about what could improve functional recovery for patients with hip fracture, study participants unanimously said that receiving more information about the rehabilitation process after hip fracture and increasing and extending physical therapy and occupational therapy at postacute inpatient settings would be beneficial. It is possible these respondents needed the support, encouragement, and confidence building they received from the professional staff in the rehabilitation setting on an ongoing basis. Several studies have tested the effect of home-based exercise programs after hip fracture (Mangione & Palombaro, 2005; Resnick, Magaziner, Orwig, & Zimmerman, 2002), and the participants in these studies were willing to engage in additional exercise activities after rehabilitation discharge.
Participants in this study encouraged other patients with hip fracture to be positive, do what they are told to do in the rehabilitation setting, keep working with therapists, and avoid worry. Although this small sample does not represent all patients who have sustained hip fracture, their optimism should be carefully considered. All too often for older adults and their professional and nonprofessional caregivers, hip fractures are perceived as the beginning of a functional and emotional decline. As noted by the participants in this study, recovery can occur with optimal medical management, the support of professional therapists and other healthcare providers, personal determination, and the support and encouragement of others in the social network.
Functional recovery among older adults with hip fracture is complex and multidimensional. Self-determination, positive attitude, and social support play significant roles in reaching optimal functional recovery.
Participants in this study were recruited from the Baltimore metropolitan area; therefore, sociodemographic and geographical variations may limit the generalizability of the findings to other populations or cities. The Rehab&Hipfx study had stringent eligibility criteria because it was designed to evaluate the effectiveness of rehabilitation. Because of these inherent data source limitations, the findings of this study may be applicable only to patients with hip fractures with similar characteristics. Although the study findings were found to be credible with rehabilitation clinicians and researchers, they were not verified with patients who had sustained hip fractures. Finally, because the themes were determined by the interview guide, additional research exploring functional recovery experiences from the perspective of these patients is warranted.
About the Authors
Yuchi Young, DrPH, is an assistant professor at University at Albany, SUNY, in Rensselaer, NY, and at Johns Hopkins University, Bloomberg School of Public Health, in Baltimore. Address correspondence to her at email@example.com.
Barbara Resnick, PhD, is a professor of nursing at University of Maryland, School of Nursing, Baltimore.
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U.S. Census Bureau. (2004, March 18). U.S. Interim Projections by Age, Sex, Race, and Hispanic Origin: Table 2a. Retrieved February 12, 2008, from www.census.gov/ipc/www/usinterimproj/.
Wagnild, G. (2003). Resilience and successful aging. Comparison among low and high income older adults. Journal of Gerontological Nursing, 29, 42–49.
Wagnild, G., & Young, H. M. (1990). Resilience among older women. Image—The Journal of Nursing Scholarship, 22, 252–255.
Wolinsky, F. D., Fitzgerald, J. F., & Stump, T. E. (1997). The effect of hip fracture on mortality, hospitalization, and functional status: A prospective study. American Journal of Public Health, 87, 398–403.
Young, J. B., Robinson, M., Chell, S., Sanderson, D., Chaplin, S., Burns, E., et al. (2005). A whole system study of intermediate care services for older people. Age and Ageing, 34, 577–583.
Young, Y., Brant, L., German, P., Kenzora, J., & Magaziner, J. (1997). A longitudinal examination of functional recovery among older people with subcapital hip fractures. Journal of the American Geriatrics Society, 45, 288–294.
Young, Y., German, P., Brant, L., Kenzora, J., & Magaziner, J. (1996). The predictors of surgical procedure and the effects on functional recovery in elderly with subcapital fractures. The Journals of Gerontology, Series A, Biological Sciences and Medical Sciences, 51, 158–164.
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Android and Windows Phone 7, Predicted Market Leaders
Nowadays the options are endless when it comes to mobile phones. There are millions of different smart phones all offering the coolest apps or the most cutting-edge technology. While it seems like everyone either has an iPhone, Droid or Blackberry, there is a new operating system on the scene that will bring some fierce competition to the market.
Windows has updated its operating system to the new Windows Phone 7, which was launched in Australia in October 2010. This mobile OS is up-to-date on the latest technology and will bring some tough competition to existing operating systems such as the iOS and Android.
Windows Phone 7 offers many great features such as a customized and constantly updated Start screen, Internet Explorer Mobile, people hub and game hub, which features Xbox LIVE.
* The Best Smartphones for Executives
* Cloud Computing is Transforming IT
* Business Guide to Google
* Check out the latest issue of Business Review Australia!
Recently Nokia announced that it will be putting Windows Phone 7 in all its future smart phones. This partnership could mean big things for both Nokia and Windows Phone 7. According to the IDC forecast for the smart phone market, it is predicted that in 2015 Windows Phone 7 will be the second most popular mobile OS in the world, behind Android.
Also, it looks like the ever-popular iPhone might have lost its luster. According to recent market share data, Apple's iOS has reached a plateau and popularity might remain stagnant.
With the every-changing market it is hard to predict who will really be the industry leader. Who knows, Steve Jobs may surprise us all and come out with a new iOS feature putting Apple back on top. But as of now, it looks like Android and Windows Phone 7 will soon be the top-dogs in the industry.
From www.businessreviewaustralia.com
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Pre-paid mobile phone service extended in Kashmir, northeast
about 5 years ago - No comments
Pre-paid mobile phone service extended in Kashmir, northeast New Delhi, April 2 (IANS) The government has extended the pre-paid mobile phone service in Jammu and Kashmir, Assam and other northeastern telecom service areas for two years. The extension of service which has come into effect from April 1, will be valid till March 31, 2013.
New twist in mobile phone masts campaign
about 5 years ago - No comments
an angry councillor has slammed the companies behind plans for mobile phone masts in Belper in a new twist to the controversial saga. Amber Valley borough councillor Peter Makin, who is also a Derbyshire county councillor, has rubbished claims from a representative of O2 that councillors and residents did not respond to letters telling them
Verizon iPhone most popular US mobile phone in February
about 5 years ago - No comments
By Daniel Eran Dilger Published: 06:00 PM EST Apple's CDMA iPhone sold by Verizon Wireless in the US was the nation's top mobile phone sold during the month of February, according to market research firm comScore. The firm reported that of the top five phone makers, Apple grew its share of mobile subscribers the most
comScore Reports February 2011 U.S. Mobile Subscriber Market Share
about 5 years ago - No comments
RESTON, Va., April 1, 2011 /PRNewswire/ — comScore, Inc. (NASDAQ: SCOR), a leader in measuring the digital world, today released data from the comScore MobiLens service, reporting key trends in the U.S. mobile phone industry during the three month average period ending February 2011. The study surveyed more than 30,000 U.S. mobile subscribers and found
NEC Medias: World's Slimmest Smartphone Tops Japanese Cell Phone Sales Charts
about 5 years ago - No comments
The NEC Medias is not only "the world's slimmest smartphone", it's also selling really well. The handset, which we have shown you last month, was the best-selling cell phone in Japan between March 14 and March 20, according to market research firm Gfk Japan [JP]. To recap, the NEC Medias is just 8.7mm thick and
Examiner Phone Home: Examiner.com Partners With Cell Journalist
about 5 years ago - No comments
DENVER, March 31, 2011 — /PRNewswire/ — Examiner.com has announced a partnership with Cell Journalist, expanding its publishing availability for its 70,000 contributors across North America to post articles to their Examiner.com page directly from their mobile phone. "This exciting partnership allows another way for our Examiners to provide meaningful and relevant information to the
Connect to optic fibre cable for better services, mobile phone firms advised
about 5 years ago - No comments
Deputy Minister for Communication, Science and Technology Charles Kitwanga has said that the ongoing installation of an optic fibre cable will improve telecommunications in the country. Kitwanga made the remarks in Dar es Salaam on Wednesday during his visit to Airtel Tanzania as part of his familiarisation tour of mobile phone service providers in the
Mobile Phone, Cloud Security Issues can Impact IT -says IBM
about 5 years ago - No comments
CIO.in News Mobile Phone, Cloud Security Issues can Impact IT -says IBM Businesses should know that who figure out how to gain root access to mobile phones are causing trouble. While some phone owners want this type of access so the phones can support manufacturers didn't intend them to, attackers benefit from jailbreaking toolkits. Attackers
Report: Windows to leapfrog Apple in smartphone market by 2015
about 5 years ago - No comments
The smartphone market is expected to see increased competition during the next several years, with major manufacturers leapfrogging each other for greater pieces of market share. According to IDC's Worldwide Quarterly Mobile Phone Tracker, the smartphone market will grow by nearly 50 percent during 2011, as more companies adopt the devices for greater mobility management.
IBM: Mobile phone, cloud security issues can impact IT
about 5 years ago - No comments
IBM says IT staff need to pay extra attention to use of mobile devices and cloud infrastructure on business networks because both technologies are still young, and security can be sketchy. Businesses should know that jailbreakers who figure out how to gain root access to mobile phones are causing trouble. While some phone owners want


text:
Eshkol Infiltration Causes Security Lockdown
Residents of the Eshkol district in southern Israel ordered "inside" following an infiltration of terrorists from Gaza.
By Chana Ya'ar
First Publish: 12/19/2011, 8:37 PM
Fence along southern border / illustrative
Flash 90
Residents of the Eshkol Regional Council district were ordered by IDF commanders to enter their homes and stay there Monday evening.
The order came following a cross-border infiltration by Palestinian Authority Arab terrorists from Gaza.
IDF soldiers spread out around the south to search for the terrorists.
The Gaza division of the IDF decided earlier in the day to raise the level of protection for communities along the Egyptian border following an increase in the terror alerts in the area.
Security components in the area's communities are to be strengthened, according to military sources. In addition, the towns of Bnei Netzarim and Kadesh Barnea will receive a surrounding inductive security fence.


text:
CompactDAQ controllers offer high-performance embedded measurement and logging with a built-in multicore Intel processor for acquiring data, performing online analysis, and conducting stand-alone data logging. With this platform, you can customize a complete measurement system using LabVIEW system design software or take advantage of more than 850 companies in the NI Alliance Partner Network for a custom turnkey data-logging solution.
NI C Series I/O modules are available for a variety of sensor measurements including thermocouples, resistance temperature detectors, strain gages, and load and pressure transducers. Each is hot-swappable and autodetectable for simplified installation.
NI-DAQmx driver software is shipped with every chassis and includes the following:
-API for LabVIEW, ANSI C/C++, C#, and Visual Basic .NET
-DAQ Assistant code generation for LabVIEW, LabWindows™/CVI, and Measurement Studio
-Example programs for all supported languages
-Measurement & Automation Explorer for system configuration and test
The mark LabWindows is used under a license from Microsoft Corporation. Windows is a registered trademark of Microsoft Corporation in the United States and other countries.
A National Instruments Alliance Partner is a business entity independent from National Instruments and has no agency, partnership, or joint-venture relationship with National Instruments.


text:
Permanent URL to this publication: http://dx.doi.org/10.5167/uzh-53150
Kotecha, R S; Pascoe, E M; Rushing, E J; Rorke-Adams, L B; Zwerdling, T; Gao, X; Li, X; Greene, S; Amirjamshidi, A; Kim, S K; Lima, M A; Hung, P C; Lakhdar, F; Mehta, N; Liu, Y; Devi, B I; Sudhir, B J; Lund-Johansen, M; Gjerris, F; Cole, C H; Gottardo, N G (2011). Meningiomas in children and adolescents: a meta-analysis of individual patient data. Lancet Oncology, 12(13):1229-1239.
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View at publisher
The epidemiological, prognostic, and therapeutic features of child and adolescent meningioma are poorly defined. Clinical knowledge has been drawn from small case series and extrapolation from adult studies. This study was done to pool and analyse the clinical evidence on child and adolescent meningioma.
Searches of PubMed, Medline, and Embase identified 35 case series of child and adolescent meningioma completed over the past 21 years. Individual patient data were obtained from 30 studies via direct communication with investigators. Primary outcomes were relapse-free survival (RFS) and overall survival. Prognostic variables were extent of initial surgery, use of upfront radiotherapy, age, sex, presence of neurofibromatosis, tumour location, and tumour grade. RFS and overall survival were analysed using Kaplan-Meier survival curves and multivariable Cox regression models.
From a total of 677 children and adolescents with meningioma, 518 were eligible for RFS analysis and 547 for overall survival analysis. Multivariable analysis showed that patients who underwent initial gross-total resection had better RFS (hazard ratio 0·16, 95% CI 0·10-0·25; p<0·0001) and overall survival (0·21, 0·11-0·39; p<0·0001) than those who had subtotal resection. No significant benefit was seen for upfront radiotherapy in terms of RFS (0·59, 0·30-1·16; p=0·128) or overall survival (1·10, 0·53-2·28; p=0·791). Patients with neurofibromatosis type 2 (NF2) had worse RFS than those without neurofibromatosis (2·36, 1·23-4·51; p=0·010). There was a significant change in overall survival with time between patients with NF2 compared with those without neurofibromatosis (1·45, 1·09-1·92; p=0·011); although overall survival was initially better for patients with NF2 than for those without neurofibromatosis, overall survival at 10 years was worse for patients with NF2. Patients with WHO grade III tumours had worse RFS than those with WHO grade I (3·90, 2·10-7·26; p<0·0001) and grade II tumours (2·49, 1·11-5·56; p=0·027).
Extent of initial surgical resection is the strongest independent prognostic factor for child and adolescent meningioma. No benefit for upfront radiotherapy was noted. Hence, aggressive surgical management, to achieve gross-total resection, is the initial treatment of choice. In the event of a subtotal resection, repeat resection is recommended to achieve maximum extirpation. Close observation is warranted for patients who have a subtotal resection or who have WHO grade III tumours. Patients without neurofibromatosis should have a minimum 10-year follow-up, whereas patients with NF2 should be considered a special risk category, necessitating life-long follow-up.
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Thor Equities Wants in on the Empire State Building Bidding War
Joe Sitt ups the ante.
Continuing the little war of enormous bids that has broken out over the Empire State Building, big-time Midtown property owner Thor Equities made a third unsolicited cash offer for the property, raising the ante from $2.1 billion to ... something more than that. "Thor Equities confirmed the offer but not the price," Reuters reported. Thor owner Joseph Sitt sent the offer through a representative at around 4 p.m. on Thursday, The Real Deal reported. Between this and the Coney Island Applebee's, he is really making some power moves these days.


text:
Comments for:Free Virtual Stomp Box Drum Machine
2 Comments... Post a comment original story
Roy Said...
I'm from Mississippi and I've never heard of a Mississippi Drum Machine. What is that?
01-Aug-12 09:37 AM
Blue Monster 65 Said...
The only "Mississippi Drum Machine" I can think of is a porch board; a set up that consists of a board you stomp on to make a bass drum-type sound. It's used in a lot of swamp blues, etc. (John Lee Hooker did the same sort of thing in his early recordings). Maybe they're playing on that? I dunno! Just kind of ... odd? That said, it would be really cool to hook up a drum machine to a set of pedals to stomp out beats while playing. It's been done, I'm sure.
02-Aug-12 09:40 AM
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Who are positive role models for today's kids?
Just curious who your role models were growing up? On this note, who do you believe are positive role models for children these days and why? I know I had many positive role models ranging from President Clinton, Harriet Tubman and Eleanor Roosevelt to my family members. I try to think who the role models are today, but I have a hard time. Any ideas??In Topics: Fatherhood
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Build a Better Bulb for a $10 Million Prize
By Eric A. Taub and Leora Broydo Vestel on September 24, 2009
The ubiquitous but highly inefficient 60-watt light bulb badly needs a makeover. And it could be worth millions in government prize money — and more in government contracts — to the first company that figures out how to do it.
Right now, that company could be Philips, the Dutch electronics giant. The company announced on Thursday that it had submitted the first entry for the L Prize, an Energy Department contest that will award up to $10 million to the first person or group to create a new energy-sipping version of the most popular type of light bulb used in America.
As the first entrant, Philips will win the prize if its claims hold up. Testing of the Philips lamp will take close to a year to complete as the department independently evaluates the company's claims.
The $10 million is almost beside the point. More important, the contest winner will receive consideration for potentially lucrative federal purchasing agreements, not to mention a head start at cracking a vast consumer marketplace.
For full article see:


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Carnival of souls: Special "San Diego Comic-Con Day Two" edition
* My interview with Strange Tales II editor Jody LeHeup is up at Marvel.com. Sample quote:
Marvel.com: How similar was the project to something like the Bizarro books that DC did a while ago?Also, Benjamin Marra, Sheldon Vella, and Ty Templeton have been added to the line-up.
Jody LeHeup: It's very similar, but there are some very important differences. In that book, there were no writer/artist stories for some reason. For example, I remember looking at that book-which I enjoyed very much by the way-and wondering why Jaime Hernandez, for example, didn't write the story he drew. And it was like that throughout. In STRANGE TALES the opposite is true. Most contributors are writer/artists, which I think makes for a different kind of story experience. The other difference is that there is a lot of young and new talent mixed in with the veterans of indie comics. So there's this exuberance or vitality to the STRANGE TALES stories that I'm very proud of.
* Grant Morrison is launching a new ongoing series called Batman Inc. This will see Bruce Wayne "franchise" Batman out to a bunch of people. That's pretty rad.
* Morrison's also writing an independent film called Sinatoro. It looks neat. "Rad," "neat," yes, I'm very insightful today.
* Joss Whedon is directing the Avengers movie. Unless something in my life radically changes between now and then, this will be the first Joss Whedon thing I've ever watched.
* Ben Jones designed an ice cream truck!
* Tom Devlin ships Kristen Bell and Taylor Kitsch. "Your show gets cancelled, you do a guest spot on a show that everyone stopped watching about the time you show up and, whammo, you're gone. See ya later, Ex-Oh-Ex-Oh. Man, Jessica Alba would have a crazy crowd at this thing. Keep her away from that John Byrne. Ha. Is he even still alive?" Glorious.
* Your quote of the day comes from Tom Spurgeon:
I heard some complaints from fellow comics reporters that there wasn't more media coverage of comics from people at the show. I don't know, maybe this obnoxious to say out loud, but it seems to me if you're media and you don't think there's enough coverage of comics, maybe just do more coverage of comics?* In non-Con news:
* I was really hoping this would happen: Dan Nadel reviews Blaise Larmee's Young Lions. It's a fine comic, which Dan addresses; it arises from a mindset in which, intentionally or not, the discussion and aura surrounding art/artists/making art has a place of primacy over actual works of art/actually making art, which Dan also addresses. Somehow I feel like this Nate Patrin piece on music critics talking about Pitchfork reviews of music instead of the music being reviewed is relevant here.
* PictureBox has announced the winners of its Thor Know Prize contest. Here's Jim Rugg's submission:
* I'm serious, Zack Smith is fucking killing me. Idea machine.
* The next time you're tempted to dismiss Direct Market comics as a cultural irrelevancy because the most popular only sell like 125K copies, think of indie rock. Way more people bought Siege #1 than LCD Soundsystem's last record.
* Can you imagine anything more horrible than deciding who is and isn't a real pop music fan?
Comments (5)
Man, the Buffy pilot ("Welcome to the Hellmouth") is free on iTunes right now - you should grab it. That was a show I'd always kind of mocked from afar, but I sat down with the DVDs a few years ago and it really knocked me on my ass. It takes about a season to really find its voice, but there's still fun to be had in the early days.
Also, thanks for your post about A Sunny Day in Glasgow - I wasn't familiar with these guys. Phenomenal not-quite-awake Saturday morning music. If you haven't heard it yet, check into The Books' newest one, "The Way Out". I grabbed it after Kevin Huizenga wrote about it on his blog earlier this week, and it really is something special.
I mean, I've obviously heard great things about Buffy over the years. It's just a massive investment of time compared to other "good" TV shows, one that even by its fans' admission includes a lot of shaky material, and it's not as though the Whedon comics I've read have me clamoring for more work in that style. I've still got Mad Men and Breaking Bad on the docket--Buffy'll have to wait.
But I am super super super glad I turned SOMEONE on to A Sunny Day in Glasgow. I feel like I've achieved something. I'll certainly check out the Books, even if Kevin lost a lot of points with me for hating on "She's Leaving Home" in Ganges. :)
Is "Batman, Inc." Grant's new riff on "X-Corporation" from his NXM run?
"The next time you're tempted to dismiss Direct Market comics as a cultural irrelevancy because the most popular only sell like 125K copies..."
Actually, I dismiss the Direct Market because so many titles sell under 50K!
Only a decade ago, sales under 50K were grounds for cancellation, or at least downgrading from color to b/w!
Entire lines selling under 50K were cancelled mid-story!
Now, 50K or less is grounds for celebration!
Unless the book is a "loss leader" for a potential media franchise, or the publishers aren't paying the creatives (which seems to be happening quite frequently), there's no way these books make money!
"whoa, did you seriously just try to equate sales with cultural relevancy?"
No. Quite the opposite, as I thought was pretty clear. Getting all worked up about sales, in one direction or another, is a mug's game, is what I was saying.


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May 13, 2013 8:05 AM
Talk about a suit destined to turn you into a bathing beauty! The Ties On My Side One Piece ($135) from What Katie Did gives you enough coverage to flatter your figure and enough peekaboo cutouts along the side to show off some skin. Don a pair of white-rimmed shades and a floppy beach hat and channel your inner starlet!
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