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The Northern Kentucky Health Department says influenza is arriving in the Tri-State more quickly than last year.
The NKHD told News 5's Brian Hamrick that as of this week, it had received word of 31 confirmed cases of flu so far this season.
Last year at this point, health officials had seen only six confirmed cases.
The local trend mirrors one mentioned by the Centers for Disease Control and Prevention, which said flu had spiked nationwide at the end of November.
NKY health officials said people wanting to be protected for the Christmas-New Year holidays need to get their flu vaccines now, as it takes some time for the vaccine to reach full effectiveness.
Click here to find a location to obtain a flu shot.


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State funding would increase for only two area school districts - Belpre and Marietta - over the next two years, according to projections for Ohio Gov. John Kasich's new school funding plan.
Every other district in Washington, Monroe, Morgan and Noble counties would receive the same amount as this year. Without guaranteed funding amounts ranging from just under $40,000 to more than $3.7 million, those eight districts would actually lose money under the new formula, which takes into account property values, enrollment and economic conditions.
Meanwhile, some wealthier districts saw significant increases, such as Olentangy Local Schools in Delaware County being projected for a 331 percent hike in state aid.
It's not the result many school officials were expecting.
"As excited as I was last week ... I am equally heartbroken for the students in Ohio," said Wolf Creek Local Schools Superintendent Bob Caldwell.
Caldwell said he doesn't begrudge Marietta City Schools the additional $868,796 it is projected to receive in the first year of the new biennial budget or Belpre City Schools the $581,310 it would be due. And his frustration with the proposed formula isn't based solely on Wolf Creek's flat funding.
He pointed to the Trimble Local school district in Athens County, which has the second-lowest median income in the state, yet it would not see any additional funds during either of the budget years. Caldwell said he doesn't see how that could happen if personal income levels were taken into account, as the governor said would happen when he introduced the plan last week.
"It clearly remains an unconstitutional funding system," he said.
The leaders of the local districts that are projected to receive funding increases aren't ready to celebrate yet.
"I will not believe any increases until I see them in our bank account," said Belpre Superintendent Tony Dunn in an email to The Marietta Times. "Even then, the State of Ohio is famous for revising budgets mid-stream and reducing the amount of funding to schools in the middle of the fiscal year."
Belpre was predicted to receive half a million dollars in additional funding a few years ago, something that got a lot of attention in local media, Treasurer Eva Elliott said. But when the budget was finalized, the result was much different.
"If we got an increase, it was so minute you wouldn't even speak of it," she said.
Marietta City Schools Superintendent Harry Fleming said he'll be happy with his district's funding if it comes to pass, but he found the large increases to some districts and flat funding to others "puzzling."
"I don't know how they got from point A to point B," he said.
High hopes
After Kasich took office in 2011, the "evidence-based" funding model instituted under his predecessor Ted Strickland's watch was scrapped and replaced with a "bridge formula" while the administration worked on its own proposal to address the system, ruled unconstitutional because of its reliance on property taxes.
The new plan was unveiled by Kasich at a Jan. 31 meeting of the Buckeye Association of School Administrators in Columbus. He announced his proposal would direct an additional $1.2 billion in state funds over the next two years to education, ensure every district would have the same funding as one with a $250,000-per-student average property valuation and take into account income levels and free and reduced lunch rates as well as property values when determining a district's wealth.
Dubbed "Achievement Everywhere," the plan, Kasich said, was intended to provide the resources to allow every child to receive a quality education, no matter where they live.
"I actually thought during the governor's speech that we met a lot of the criteria as far as low property value, high poverty and annual income," Frontier Local Superintendent Bruce Kidder said. "I was hoping that for once, Wayne National Forest making up 40 percent of my district would be an asset for me."
But despite the presence of the national forest, which is not subject to property tax, and Frontier having the lowest three-year average valuation per pupil in the county at $75,995, the new formula allocated $4,217,945 to the district in the first year of the biennial budget, less than it is slated to receive this year. More than $600,000 in guarantee money would ensure the district maintains the same funding level as the current fiscal year.
State aid would increase by more than $180,000 in fiscal year 2015, but the district would still need $424,000 in guarantees to keep its funding flat.
The allocations to the districts do not include transportation or career tech funds, for which statistics were not available this week.
On a conference call with reporters this week, Barb Mattei-Smith, assistant policy director for education with the Governor's Office of 21st Century Learning, said possible factors in the flat funding for most Washington County districts are an increase in agricultural property valuations and declining enrollment.
One factor in Olentangy's large increase is its population of more than 16,000 students. Frontier has less than 800 and the largest enrollment in Washington County is Marietta, with 2,880.
One piece of the proposal aimed at the property value issue guarantees all districts will have the same base funding as those with property valuations of $250,000 per student on the first 20 mills they collect in local levy funds. But Tom Gibbs, superintendent of Fort Frye and Warren Local schools, said that actually drops minimum per-student funding to $5,000 instead of the previous $5,732 in place prior to Strickland's plan.
"They might be making an effort to equalize funding, but they're equalizing funding ... at a figure that is significantly less than it was two biennial budget cycles ago," he said.
Kasich spokesman Rob Nichols said the $5,732 number was based on 23 mills instead of 20, so districts had to provide a bigger share. In addition, he said, the governor's new plan decreases money going to administration while increasing aid that directly impacts students.
Gibbs said he did not leave last week's meeting expecting a huge windfall for either district, but thought they would see modest increases. But like Frontier and Wolf Creek, Fort Frye and Warren would maintain flat funding only because of guaranteed money.
For Warren, the guarantees would total just under $200,000 in fiscal year 2014 and less than $40,000 the following year, meaning "the formula quote-unquote kind of works for Warren," Gibbs said. But Fort Frye would need more than $600,000 each year to maintain its fiscal 2013 funding level. And Gibbs doesn't expect such guarantees to be repeated indefinitely.
"There was a clear message from the governor's office that guarantees are bad, we're moving away from guarantees," he said. "I don't anticipate that Fort Frye's going to be able to go out and pass a levy and raise that $600,000 very easily."
Mattei-Smith said the guarantees guard against major "destabilizing" funding shifts. But she added that while the administration was not trying to send a message to districts that guarantees were ending, it is time to start a conversation about them.
"The guarantee really does put money into areas where it's less needed," Mattei-Smith said. "Sometimes it means that they're not doing the kind of changes they need to their infrastructure" to deal with declining enrollment.
While Mattei-Smith did not cite any district specifically, Gibbs said he was "offended" by the implication that "we're wasting money."
"I would challenge anyone in the state Department of Education and the governor's office to come out to the Warren Local school district and give us concrete ideas on ways we could operate more efficiently," he said.
Gibbs noted Warren is spending well below the state level per pupil and Fort Frye is under the benchmark as well. Yet districts spending one-and-a-half and two times that received significant funding increases.
Kidder said he understands the rationale for eventually eliminating guarantees, but at the same time, "we've still got to function."
More to come
The specific breakdown of the formula has not been released, and it's something local superintendents and legislators are looking forward to seeing.
Ohio Rep. Andy Thompson, R-Marietta, said he agrees with the idea of money following students and said the overall amount of funding a district gets isn't the only factor in determining whether a quality education is being provided. Still, he was "somewhat surprised" by the numbers in the projections.
"I'm not happy with the mix as it is," he said. "I'm trying to understand how he came up with what he did."
Thompson encouraged constituents to call him with their concerns so he can try to answer their questions or put them in touch with people who can.
"Nothing is final. We're in the budget process and this is the opening proposal," he said.
Ohio Rep. Debbie Phillips, D-Albany, said the funding formula "clearly does not" direct money to poorer districts, and she's concerned there could be more reductions revealed in the actual budget language.
"We really don't have enough information to know what this (will do) to schools," she said.
In addition, the projected numbers are incomplete because information to factor in transportation and career tech funds were not available.

subset: commoncrawl


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Half of Polk's High Schools Graded Lower This Year Than Last
Official warns not to compare to last year because of a change in standards.
Published: Friday, December 21, 2012 at 1:57 p.m.
Last Modified: Friday, December 21, 2012 at 2:35 p.m.
BARTOW | Nearly half of Polk County's high schools received lower grades Friday when the state Department of Education released its 2012 ratings. But that may not mean their teaching is worse.
Here are this year's grades for Polk County high schools. Last year's grades are in parenthesis:
Auburndale High School B (B)
Bartow High School B (B)
Fort Meade Middle/Senior High School C (B)
Frostproof Middle/Senior High School C (B)
George W. Jenkins High School A (B)
Haines City High School B (B)
Kathleen High School D ( C )
Lake Gibson High School C ( C )
Lake Region High School B (D)
Lake Wales High School C (B)
Lakeland High School B (B)
McKeel Academy of Technology B (A)
Mulberry High School C (B)
Ridge Community High School B ( C )
Tenoroc High School D (D)
Winter Haven High School C (B)
It's not possible to make direct comparisons to last year's grades, state Commissioner of Education Pam Stewart said, because the formulation process for the grades has changed to more rigorous set of standards.
"There is not an equivalent comparison," Stewart said during a news conference Friday.
Several measures were in place to ease the transition into the more difficult grading, state officials said. No school, for example, could drop more than one letter grade.
Still, Stewart called the results "encouraging," given the more rigorous standards.
Of Polk County's 16 high schools, seven received lower grades than last year, six stayed the same, and three improved.
One school received an A: George Jenkins High in Lakeland.
Jenkins Principal William "Buddy" Thomas said the school was in high celebration mode Friday.
"As soon as I found out, I went on the intercom system and told everybody how proud I was of them," he said. "And I do mean everybody — the staff, the students, the teachers, the volunteers, the custodians … everybody involved in our school.
"It really does take everybody working in building those relationships with the students. It starts with the bus drivers in the morning."
McKeel Academy had the county's sole A grade last year. This year, it received a B.
In order to be graded with an A, schools had to graduate at least 65 percent of students identified as being at-risk, said Wilma Ferrer, senior director of assessment, accountability and evaluation for Polk schools.
"That's what made McKeel lose their A," she said.
Last year, McKeel graduated 78 percent of its at-risk students, she said.
This year, it dropped to 64 percent.
Lakeland and Bartow high schools also missed A grades because of their at-risk graduation rates.
There were no F grades in Polk.
John Stewart, interim superintendent of Polk schools, said Friday he will take time to study the grades and the criteria they were based upon.
"One of the things we are always trying to do is improve," he said.
"In order to look at these school grades and really assess them, we need to dig down and see how they were achieved and what exactly the state was looking for.
"We need to take some time to do our due diligence. The commissioner also indicated that they used different criteria than last year, so we should expect some differences in grades."
The number of Florida high schools and combination high schools that were given A grades this year went up from 148 last year to 231, or nearly half the 491 high schools in the state. The results are considered preliminary because schools are given a period of time to appeal the findings.
Of regular high schools statewide, three received an F, down from six in 2010-11.
However, had the measures easing the transition not been in place, three more schools would have received a failing grade.
"I want to thank students, teachers, parents, and school leaders throughout the state for their commitment to academic success," Pam Stewart said.
"This year's results reflect both higher standards and temporary safeguards the State Board of Education approved to help smooth the transition. ... We will continue to raise the bar as we prepare our students for success beyond high school."
[ Mary Toothman can be reached at firstname.lastname@example.com or 863-802-7512. Her Twitter feed is @MaryToothman. ]
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Gasquet, seeded third, will next play Jarkko Nieminen of Finland, who advanced to the last four with a 4-6, 6-3, 7-6 (2) victory over Sergiy Stakhovsky of Ukraine.
Benneteau, seeded sixth, needed treatment on his back early in the third set and was clearly impeded afterward. He barely moved in trying to reach Gasquet's passing shot down the line on match point.
Michael Llodra and eighth-seeded Benoit Paire also won quarterfinals and will meet in Saturday's other semifinal to guarantee a French finalist.
Llodra hit 11 aces in a 7-6 (3), 6-1 win against Jan Hajek of the Czech Republic, sealing the victory with a volley at the net. Paire beat fourth-seeded Gilles Simon 7-5, 7-6 (4) in another all-French match.
"It's not easy to play a friend, we were both very tense on the court," said Paire, who also made his second semifinal this year after reaching the last four in Chennai, India. "I'm happy that I managed to stay focused on my match."
Simon broke in the seventh game for a 4-3 lead but Paire broke straight back and saved a break point in the next game before taking control. He opened a 5-2 lead in the second set.
Serving for match, Paire double-faulted and Simon forced a tiebreaker.
"Benoit's aggressive on second serve," Simon said. "He had a lot of opportunities on my second serve and hurt me with that."


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Private-home care could become more common for elders
Published: Thursday, January 23, 2014 at 10:16 p.m.
Last Modified: Thursday, January 23, 2014 at 10:16 p.m.
One 97-year-old man receiving care at Annie and Harry Thomassen's Nokomis home married his 86-year-old sweetheart at a ceremony by the lake in their backyard, Champagne included.
Private care homes: Homeowners providing any level of care to one or two elders as a home business are not licensed or regulated by the state. It is unknown how many of these homes exist in Florida. Most operate by word-of-mouth referrals and are private-pay only.
Adult family care homes: For people who need some assistance but are not bedridden, group homes provide a room, meals and help with daily activities. As private homes for up to five people, they can offer nursing services, but are not medical facilities. There are 358 licensed adult homes in Florida, with 1,606 residents.
Assisted-living facilities: These provide housing for those who cannot live independently. ALFs are intended to be an alternative to more restrictive, institutional settings for residents who do not need 24-hour nursing supervision. Costs vary, depending on the services required. There are more than 2,800 licensed ALFs in Florida.
Nursing homes: The most widely recognized option, these residences offer skilled nursing, meals, and medical and personal care. Bedrooms and baths may be private or shared. Medicare may provide short-term coverage following hospitalization. Medicaid may offer coverage to residents who meet medical and financial eligibility requirements. Florida has about 700 nursing homes, with the number of beds limited by law to about 82,000.
Continuing care retirement communities: These facilities, designed to meet the changing needs of older people, provide a variety of housing options and services on the same campus. Residents might start out living independently in a separate apartment and then move to an assisted-living unit. Residents can also stay in the nursing unit when they need ongoing skilled nursing care. This is one of the more expensive housing options, with a sizable entrance fee and monthly charges.
And when their daughter Erin went to the high school prom, her date posed for photos with their two resident elders.
This intimate way of celebrating milestones is just one difference between a private care home and the other living options for Floridians too frail to remain on their own.
"It was like a family business and we all pitched in," says Erin Thomassen, who was 16 when her parents started taking elders into their house for pay. Now she operates a similar home in Sarasota, while pursuing a master's degree to become a licensed mental health therapist.
Private care homes — also known as board-and-care homes — are the only type of long-term residence for elders not regulated by the state. Homeowners can host no more than two elders at a time, and do not have to meet the rigorous requirements that apply to group homes and assisted-living facilities.
So the atmosphere can be more personalized and less regimented.
"It's like taking care of your own mom," says Annie Thomassen. "But there are boundaries. Family is different — they know how to push your buttons."
Private care has another advantage over institutional settings, where costs in Florida average almost $8,000 a month for skilled nursing homes. The Thomassens say they charge between $2,400 and $4,800 a month for 24-hour, one-on-one attention, depending on the level of care needed.
And this informal business model could prove popular in the next decade for baby boomers retiring to Florida with experience in geriatric care — and perhaps not enough money to afford the kind of home they'd like to own.
As with the burgeoning home health care industry, the entry of more providers into this field — particularly without oversight — expands the potential for abuse.
"It's pretty much part of the landscape, and it's going to be growing," says Larry Polivka, director of the Claude Pepper Center for aging studies at Florida State University.
"In large measure, it can be a win-win" for elders who need daily assistance and boomers who need retirement security. As a trend, he adds, it's something state regulators "need to keep an eye on."
Recently, the Thomassens learned something that might help private care homes become more visible — and encourage others to join the field.
Under the radar
Currently, for elders and their families who prefer the more homelike setting and individual choice that a private home can offer, the search for an available spot can be frustrating. Private care homes tend to blend into their neighborhoods; the Thomassens only recently discovered there's another one in their own Nokomis subdivision.
And long-standing tradition in Florida dictated that these unlicensed homes could not advertise their services; nor could professional geriatric case managers or social workers recommend them to clients.
But a year ago, Annie Thomassen challenged this unwritten rule, and recently got confirmation from the state that it does not exist.
She got help from the office of state Sen. Nancy Detert, R-Venice. Detert's assistant, Charlie Anderson, consulted Ashley Daniell — until recently the Senate's chief attorney — and received a clarifying statement from the Agency for Health Care Administration.
Florida law allows people living in their own homes to care for up to two adults without a license, the statement says, as long as none of that care is paid for by the state. They can advertise their services as long as they don't claim to be licensed.
And, the statement added, "as it relates to the referral by professionals, there are no restrictions that prohibit the referral of a person to an exempt home. . . . These homes serve as an option for some families with limited financial means."
Polivka, the specialist in aging policy at FSU, agrees that exempting small-scale care homes from regulation serves a purpose by allowing elders another option for aging within their communities. Licensing requirements, he says, could drive up the costs of this highly personalized form of care.
"This is a really fragile model, and if you were to impose too much, it wouldn't be able to continue," he says. "I would to be loath to support anything that would essentially shut them down. I think they are meeting a need and that need is growing.
"At this point — until shown otherwise — the risk of shutting them down is greater than the risk of abuse or neglect."
Polivka points to Oregon's Adult Foster Home system as a good model, with comparable costs to Florida's private care homes but with slightly more oversight and training rules.
"They began that as a public program in the mid-'80s, and pretty soon 70 percent of the homes were private," he says. "The homes are affordable and people like them. They like the informal quality, the greater intimacy and the interactions inside the home."
Polivka thinks Florida can do better when it comes to long-term care quality.
"It's a matter of striking a balance," he says. "We still don't have a proper regulatory model for the population as it exists now. Assisted living in Florida at this point is essentially underregulated, and at some point the state is going to have to confront this."
A labor of love
Annie Thomassen says she would welcome some kind of certification process that would help reassure potential residents, and maintain the reputation of private homes. They have set up a website — anursinghomealternative.com — but for now they still rely on word of mouth.
"We prefer that nobody refer us unless they've been here and seen what we do," she says. "We're finding that people in the long-term care profession are much more receptive than they were."
Like many who do this work, the Thomassens started with a family member — Annie's grandmother, who lived with them from the age of 77 to 92.
Over the years, they have cared for 33 residents, retiring once and then re-opening during the recession.
"We had just bought this house," Annie Thomassen recalls. "We hadn't had a call for two years and we stood in this living room and prayed. And when we went back to our old house, we had this message on the machine: 'My friend needs a place; do you know anybody?' "
Now they are trying to keep their two beds filled — and one at their daughter's home in Sarasota — with a more businesslike approach. They also offer consultations to other Floridians getting into the private home care field.
"You have to have a heart for this kind of work," Harry Thomassen cautions. "You can't be in it for the money."
The Thomassens provide all kinds of service, from dementia support to incontinence care. For one woman accustomed to a very formal lifestyle, Annie Thomassen says, "there were lots of cups of tea and lace doilies."
Only once have they had a client who was not a good fit in their home. But Harry Thomassen says there is usually a "honeymoon period," followed by adjustments as a new member settles into their family life and understandings are reached.
"We never make them eat what they don't want," says Annie Thomassen. "We had a married couple once and when they first came they told us, 'Just give us soup. We don't want to be a bother.' "
So the Thomassens served all kinds of soup in the first few weeks, both canned and homemade.
"And then when their family came to visit," she says, "they took them aside and whispered to them, 'All they do is give us soup!'
"That was easy enough to fix."
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The Pike County Public Library's upcoming Bell, Book and Kindle Dance will celebrate and benefit the new Dorothy E. Warner building of the library. The event will be Friday, Dec. 7 from 6-11p.m. At the Best Western Inn at Hunts Landing in Matamoras.
Sponsorship opportunities include:
Platinum Sponsor - $2,500, will be listed on the donor's wall in the new library building as well as in the program for the dinner dance and which will be entitled to a ½ page ad in the program and two free dinner dance tickets.
Gold Sponsor - $1,000, will be listed in the program for the dinner dance and will be entitled to a ¼ page in the program and two free tickets.
Silver Sponsor - $500, will be listed in the program for the dinner dance and will be entitled to a 1/8 page ad in the program.
Bronze Sponsor - $250, will be listed in the program for the dinner dance.
Costs for individuals or businesses wishing to purchase advertising space in the official program: full page ad - $500; ½ page ad - $250; ¼ page ad - $125; 1/8 page ad - $50.
The Pike County Public Library would like to thank the following who have donated or pledged $2,500 or more in recent months to the new Dorothy E. Warner Building: Skip and Lorraine Gregory, Noel and Willard McCullough, The Milford- Matamoras Rotary Club, Mr. and Mrs. David Malhame, The Twin Lakes Property Owners Association, Dr. Henry Goldstein, Robert H. Rohner, Jr., Kirk and Nancy Mackey, Gayle and Richard Schuster, and The Friends of the Pike Count y Public Library.
Location, ST | website.com


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REDWOOD CITY -- The Sunnyvale man charged with a drunken driving crash that killed a mother and her two sons sobbed in court Thursday as his friends and the family of the dead looked on quietly.
Denis Pereria Demacedo, 28, didn't enter a plea in San Mateo County Superior Court to the three counts of gross vehicular manslaughter while intoxicated for the crash Saturday in Daly City. Commissioner Elizabeth Hill ordered him back Tuesday.
The hearing came as a memorial fund was set up to help cover funeral and medical costs stemming from the collision that killed mother Josefa Osorio Acevedo, 50; and her sons Amado Osorio Acevedo, 23; and Josue Osorio, 15.
Since the crash, Demacedo's plunged deep into regret, said several of his Brazilian friends, who described him as having the heart of a child.
"He is just crying all the time because he is feeling so badly for what happened," said friend Flavio Rogerio, 35, of Daly City. "I know what happened is terrible, but all he keeps saying is 'please God, forgive me.'"
But forgiveness from the Osorio family may not come swiftly. They are mourning the sudden and shocking deaths of the mother who came from El Salvador about seven years ago with her two sons, her only children.
The family of three and the older son's 20-year-old girlfriend were on their way to eat together when Demacedo's BMW slammed broadside into the family's Toyota, which was making a U-turn, authorities said. The girlfriend remains hospitalized in critical condition.
"We'll forgive, but not forget." said Paul Osorio, 28, cousin and nephew of the victims after court. "We want to emphasize how important it is to not drink and drive. You can take someone's life in a second."
Prosecutors say Demacedo was driving 60 mph on a residential street and had just sped away from a minor fender bender at a stop sign on Eastmoor when he slammed into the family. He'd allegedly been drinking for up to five hours at a nearby pizzeria with friends before getting behind the wheel.
His blood alcohol concentration was 0.18, -- or more than double the legal limit two hours after the crash, prosecutors say. At the time, he was on probation for a 2010 misdemeanor drunken driving arrest in Sunnyvale.
Paul Osorio said his cousin, Amado, worked as a truck driver for Safeway.com and was a graduate of Westmoor High School, where he'd met his girlfriend of five years. The younger brother, Josue, was a freshman at Westmoor and was an honor roll student there, said Osorio.
"This guy has a record behind him," said Jaime Osorio, 54, of Daly City, Josefa's brother. "He's just going to go do it again, and that's going to be more sorrow and pain to another family."
If convicted of all three vehicular manslaughter charges, Demacedo faces a maximum of 15 years, eight months behind bars, according to prosecutors. He's being held without bail at the San Mateo County Jail.
Donations to the Osorio memorial fund can be made at www.osoriomemorial.com, www.osoriomemorialfund.com or at any Bank of the West branch. A prayer service for the family is set for Friday at 3 p.m. on the 100 block of Eastmoor Avenue.
Contact Joshua Melvin at 650-348-4335. Follow him at Twitter.com/melvinreport.


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In this Nov. 5, 2012 photo, Croatian soccer player Mario Cizmek is seen at a stadium in Zagreb. Cizmek was sentenced involvement in match fixing. Former player Mario Cizmek was convicted of rigging games in Croatia's first division in 2010. At his trial and in subsequent interviews with The Associated Press, he spoke about the unwritten rules of match-fixing (AP Photo/Darko Bandic)


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Study Of AVANDAMET With Or Without Insulin In Type II Diabetes Mellitus Patients
This study has been completed.
Information provided by:
ClinicalTrials.gov Identifier:
First received: October 1, 2003
Last updated: February 11, 2013
Last verified: November 2011
- Full Text View
- Tabular View
- No Study Results Posted
- Disclaimer
- How to Read a Study Record
This study was designed to test the safety and efficacy (how well it works) of AVANDAMET in combination with insulin in improving the control of blood sugar when compared with taking insulin on its own. AVANDAMET capsules contain a fixed dose of AVANDIA and metformin. Both AVANDIA and metformin are medicines which are individually licensed for the treatment of type II diabetes mellitus. Because they act in different ways, it is thought that combining them may give an increased benefit of treating diabetes and reducing blood sugar.
Diabetes Mellitus, Type 2
Non-Insulin-Dependent Diabetes Mellitus
Drug: Rosiglitazone/metformin
Phase 3
|Study Type:
|Study Design:
|Allocation: Randomized
Endpoint Classification: Efficacy Study
Intervention Model: Parallel Assignment
Masking: Double-Blind
Primary Purpose: Treatment
|Official Title:
|A 24 Week, Randomised, Double Blind, Parallel Study to Compare the Change in HbA1c With AVANDAMET* (8.0 mg / 2.0 g) Plus Insulin to Placebo Plus Insulin, in Subjects With Type 2 Diabetes Starting Insulin Therapy
Resource links provided by NLM:
MedlinePlus related topics: Diabetes Type 2
Drug Information available for: Metformin Insulin Insulin human Rosiglitazone Rosiglitazone-metformin combinationU.S. FDA Resources
Further study details as provided by GlaxoSmithKline:
Primary Outcome Measures:
- Change from baseline in HbA1c [ Time Frame: 24 weeks ]
Secondary Outcome Measures:
- Insulin dose, FPG,glycaemic responders, beta-cell function, hypoglycaemia, treatment satisfaction [ Time Frame: 24 weeks ]
|Estimated Enrollment:
|Study Start Date:
|October 2003
|Study Completion Date:
|November 2004
|Primary Completion Date:
|November 2004 (Final data collection date for primary outcome measure)
|Ages Eligible for Study:
|18 Years to 70 Years (Adult, Senior)
|Genders Eligible for Study:
|Accepts Healthy Volunteers:
Inclusion Criteria:
- Patients must have been diagnosed with type II diabetes mellitus and not have adequate glycaemic controlled while receiving at least 1.5g of metformin.
- Patients must have a body mass index of greater than 25 kg/m2 and must not suffer from ankle swelling.
Exclusion Criteria:
- Patients cannot have any form of congestive heart failure or severe or unstable angina.
- Patients cannot be currently receiving insulin, but be prepared to begin insulin treatment.
Contacts and Locations
Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the Contacts provided below. For general information, see Learn About Clinical Studies.
Please refer to this study by its ClinicalTrials.gov identifier: NCT00069836
Show 91 Study Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT00069836
Show 91 Study Locations
Sponsors and Collaborators
|Study Director:
|GSK Clinical Trials
More Information
Keywords provided by GlaxoSmithKline:
Additional relevant MeSH terms:
ClinicalTrials.gov processed this record on August 29, 2016
Home PD, Bailey CJ, Donaldson J, Chen H, Stewart MW. A double-blind randomized study comparing the effects of continuing or not continuing rosiglitazone + metformin therapy when starting insulin therapy in people with Type 2 diabetes. Diabet Med. 2007 Jun;24(6):618-25. Epub 2007 Apr 2. Erratum in: Diabet Med. 2010 May;27(5):611.
|Responsible Party:
|Cheri Hudson; Clinical Disclosure Advisor, GSK Clinical Disclosure
|ClinicalTrials.gov Identifier:
|NCT00069836 History of Changes
|Other Study ID Numbers:
|Study First Received:
|October 1, 2003
|Last Updated:
|February 11, 2013
|Health Authority:
|France: Afssaps - Agence française de sécurité sanitaire des produits de santé (Saint-Denis)
Spain: Spanish Agency of Medicines
United States: Food and Drug Administration
Keywords provided by GlaxoSmithKline:
AVANDAMET insulin type 2 diabetes
Additional relevant MeSH terms:
Diabetes Mellitus
Diabetes Mellitus, Type 2
Glucose Metabolism Disorders
Metabolic Diseases
Endocrine System Diseases
Insulin, Globin Zinc
Hypoglycemic Agents
Physiological Effects of Drugs
ClinicalTrials.gov processed this record on August 29, 2016


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Dice Sets
Dice sets, especially 7-piece RPG dice sets. Everything from metal dice sets and stone dice sets to pearlized and magma dice sets. Also includes other sets of dice such as 10d6 crystal dice sets.
Clearly Romantic Dice Game$3.49Looking for a fun and romantic way to spend an evening with your lover? Put the "play" back in "foreplay" with this Love Dice Game. This pair of dice includes two transparent 25mm (1 inch) dice with red words. The first die includes verbs--things you do--and the second has nouns, which are different erogenous body parts. The rules are simple: Just take turns rolling the dice to see what to do, and then do it! Learn More


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Inside IT: eDiscovery with BYOD
Intel IT's bring-your-own-device program allows tens of thousands of employee-owned smart phones, tablets, and computers into the workplace. One of the challenges this poses is the change it necessitates in the electronic discovery process for the organization – the process of gathering data for litigation. In this video, hear about the primary challenges of eDiscovery in a world of employee-owned devices, and how the IT organization can stay ahead of the game in addressing these challenges.


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Louis XVI 10-Drawer Dresser
$2395 Regular
$1796 Member
Classic and refined, our dresser's raised-panel drawers, turned legs, fluted stiles and hand-carved corner blocks with rosette detail reflect its neoclassical French lineage. A soft, weathered finish and antique bronze cast-metal pulls lend it relaxed gentility.
Show Details +
- 74"W x 20"D x 42"H
- Weight: 247 lbs.
Shown in weathered oak drifted.


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Exclusive book extract: 'Inferno' by Dan Brown
Ungrateful land! As I climb, the visions come hard ... the lustful bodies writhing in fiery rain, the gluttonous souls floating in excrement, the treacherous villains frozen in Satan's icy grasp.
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NEW: For a prettier blog interface, see the Wordpress version!
9:48:42 PMToday: family bonding, new haircut. Tomorrow: review classes, IBM workshop, cat food, case for CS123. Good night, world! =)
I'd love to hear about any questions, comments, suggestions or links that you might have. Your comments will not be posted on this website immediately, but will be e-mailed to me first. You can use this form to get in touch with me, or e-mail me at [email protected] .


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Summit High School's golf team shot its best score of the season, a 237, at the 4A regional golf tournament held Tuesday at Conquistador Golf Course in Cortez.
SHS senior Dylan Mitchell earned his third trip to the state meet after placing third overall in Cortez with a 73, just one over par. Mitchell was among the top nine individuals outside of the regional champion that would travel to the state tournament on Oct. 1-2.
Head coach Gary Sorensen said the regional tournament ended with an exciting sudden-death playoff between Montezuma/Cortez and Rifle, with Montezuma/Cortez prevailing.
"It was settled when a MCHS player holed out from about 90 yards," Sorensen said via email. "This eagle provided (Montezuma/Cortez) with a one stroke win."
The team playoff was followed by settling the score for one individual alternate spot. Summit's Dave Metzger was included in the elimination, but fell short of qualifying after three holes. Though the team shot its best all season, it finished fifth of 10 teams.
Team scores
Montezuma/Cortez - 226
Rifle - 226
Montrose - 231
Palisade - 233
Summit - 237
Durango - 238
Steamboat - 242
Battle Mountain - 249
Delta - 263
Eagle Valley - 280
Top individuals
Kyler Smith, Palisade - 70
Jale Budosky, Montezuma/Cortez - 72
R. Willis, Montrose - 72
Dylan Mitchell, Summit - 73
Tristan Quigly, Rifle - 73
Summit individuals
Dylan Mitchell - 73
Dave Metzger - 80
Mike Magnuson - 84
Nick Wittrock - 85


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Cybergun/KWC HPA Sig Sauer P226 Softair Spring Pistol Black
$ 29.99
Add Recommended Items for 28107 (71000) - Cybergun/KWC HPA Sig Sauer P226 Softair Spring Pistol Black:
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- Saying it is a great gun is an understatement!!!I don't know what the f*%# englishchap and slamcam28 are talking about. The gun will never jam! I have tried to make it jam; cock it extra times, not pull the slide back all the way, and then cock it, or load more bbs in the mag. IT WON'T JAM!!!
Also... the KWC HPA Sig P226 didn't come out 2-3 years ago (it came out a month or two ago), so slamcam... you got your facts wrong. SO DON'T WRITE FALSE REVIEWS!!!!
This gun is very accurate. I can hit a torso sized target from 100 feet.
So in conclusion, don't listen to these idiots. They have never purchased this gun.
- 5 Star Springer right here!!This is better than the UHC colt 45. Lets look at the pros and cons
Shoots hard (230 with a .2 is rare on a $30 springer)
VERY accurate! I could hit my brother from like 120 feet away
Gun is very sturdy
Sweet trademarks for collectors
Grip is very comfortable and doesn't slip at all
Low mag cap
If youre looking for your first gun or an awesome springer you've found it right here
- HPA seriesThey are the best but I do not like the look of the Sig Sauer pistols. The only con is that they have a 12 round magazine. ... the real Beretta M92FS holds 15 9mm bullets in the magazine, and the airsoft mag is full size but it only holds 12 6mm BB's?
- Nicethis is a very cool pistol. it is metal, shoots far and you can buy 2 mags just for 15 bucks, usually its 10 for one. GREAT DEAL! also it shoots hard and is very accurate, although i am going to wait for the other sig to come back in stock cuz that just seems really friggin sweet.
- Very good.This was the first pistol I ever got, and it has withstood the elements for three years and never has failed me. The slide action is very nice, and the accuracy is amazing. I only wish that the mag capacity was higher, so I didn't have to reload every five seconds. I'm kinda trigger-happy. . .
- simply stunningthis gun is the most accurate pistol iv ever seen it will never jam on you my friend got this gun and it by far more accurate than any other spring pistol out there we were hitting specific #s on his mail box from 30 to 40 yards away this is the perfict side arm for snipers and is a great main gun depending on who youre playing
- Sig Please?Looks & performs great. VERY HIGH quality.
- PerfectI have this gun.
it is the best springer ever.
the power is good and with 2g. you can hit whatever you want.
I totally suggest this pistol.
I had a war with this pistol and it owns. I shot 3 kids in the head.
- I know a lot of people who owned thisI know two or three but one of em didnt know exactly how to take care of it...Its got great performance, accuracy and feel/weight. Okay its durable....Very. IT can do anything a spring gun can do but I love the baretta 92fs (my favorite spring pistol) but this would be my second choice...
overal a great gun.
- Uhh ya.....So many of these HPA pistols have come out it really doens't matter which you choose, it's just whatever one you think looks better. Most of these if not all have the same specs. But I like the older KWC versions better but that's just my opinion.


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Editor's note: This is the second in a three-part series. Visit www.vaildaily.com to read the first installment.Chef John Besh is so Louisiana! He even influenced our January Rocky Mountain weather during last month's Beaver Creek Food & Wine Festival. After weeks of frigid, dry conditions, the weekend looked to be wet and unseasonably warm. Despite Mother Nature's cruel joke of finally giving us precipitation without cold temperatures to turn it into snow, everyone was ready for some good eats. Nothing she threw at us could dampen spirits at Beaver Creek's Allie's Cabin on the day of Besh's dinner.For the second consecutive year, Allie's Cabin executive chef Kirk Weems provided Besh with a kitchen away from home for his culinary festival event. The two chefs and their teams spent weeks blending their culinary ideas, and they were now ready to delight diners with a collaborative menu. Besh and his New Orleans team of brother-in-law Patrick Berrigan and executive chefs Erick Loos (La Provence) and Brian Landry (Borgne) spent the day enjoying the less-than-ideal skiing conditions. But it didn't seem to bother them - at least we had snow. Two months earlier, that seemed doubtful. In the meantime, the Allie's team busily prepared their three hors d'oeuvres, amuse-bouche and salad items that would set the stage for Besh's three courses.
Amuse-bouche is a small gift chefs provide as a "mouth amuser" at the beginning of a meal. It's meant to awaken the gustatory senses for what's to follow. Often this is when I see the most creativity. Chefs loathe wasting food, but often they have just a little of this or some of that they want to use. An amuse-bouche presents a great opportunity for culinary creativity. For his palate amuser, Weems created potato leek soup with osetra caviar. Prepping and helping to plate it fell to me. I lost count of how many fat leeks I cleaned, quartered and cut. Let's just say, enough to give me my very first knife blister. I was so proud! After I filled two fourth-size hotel pans of thinly sliced Julienne leeks, it was time to prep the potatoes. Weems designed the dish as three half-inch by half-inch disks of potatoes topped with a small spoon of creamed leeks and caviar in the center of a 3-inch-wide bowl surrounded by soup. Cutting the potatoes evenly was important to get the proper shape and to balance the toppings. It was tedious, but I competed with myself to see how many clean batons of pulp I could get out of each medium-size red potato using an apple corer. I'm a food rescuer, so my mantra is "Waste not!" The difficult part was cutting the batons into some semblance of equal lengths; that required precision. I'm not very good at precision. It's a Sicilian thing, I think. Perhaps that's why I love it when a chef says, "Not to worry, it's rustic!" But Weems didn't say that. Next time, I'm bringing along a ruler! After losing count more than once while I prepared 125 pieces, I finally finished. No telling how many tasks the others completed while I battled with the potatoes. Chef Besh and his team popped in during the afternoon to say "Hi," giving my hands and eyes a little break. Finally, Weems blessed my pan of potato disks and I was merrily on my way to the next task, toasting brioche triangles for the chicken pate hors d'oeuvre. Another chance for a battle scar! Note to self, use mitts and not kitchen towels when removing a sheet pan from a hot oven. Live and learn. Allie's sous chef Tabitha Phillips and cook Bryce Danner, a Colorado Mountain College sustainable cuisine student, were busy with other projects, including the venison forestiere hors d'oeuvre. The venison appetizer came to Weems while he was cooking, as do most of his ideas. He had previously made a similar soup and decided to try it as an appetizer - sans liquide - served on a potato gaufrette (potato chip) and topped with bacon-onion jam and port wine.
People often pigeonhole chefs from great food regions and expect them to prepare only food from that region. I am not one of those but, truth be told, I was somewhat disappointed not to see crawfish, shrimp or crabs on the Besh menu. I'm still tasting Besh's shrimp and grits I enjoyed at last year's culinary weekend Grand Tasting. That night, Besh's culinary efforts paid homage to the hearty cuisine of France, notably Dordogne, in the southwestern part of the country. A major challenge of on-mountain dining, particularly in winter, is the logistics of getting food to the venue. Besh's product began its journey in New Orleans and was shuttled by snowcat to Allie's. The New Orleans team arrived after a day on the slopes, pulled everything from the walk-in, set up shop in the kitchen's prep area and went about opening vacuum-sealed packs of fresh Louisiana duckling, beef, cassoulet and lobster. The smell of Perigord truffles quickly filled the air. Most of Besh's food was cooked onsite. Although much was prepped in the Big Easy, work still remained. Pasta was boiled and lobster poached for the deliciously sinful lobster mac and cheese to accompany the Wagyu beef slow cooked in a sous vide bath. Cassoulet full of delicious duckling confit and par cooked in New Orleans spent a few more hours on the stove until tender. Chappapeela Farms duckling breasts were readied for searing. Later, I watched in amusement as Besh grumbled about having to slice the seared duckling while his chefs chuckled. Must be an inside joke! Later, the cassoulet, plated in small copper pots, would be topped with duckling breast slices.
At 7 p.m., diners arrived in two snowcat-drawn open sleighs. Servers welcomed guests with flutes of Veuve Clicquot Yellow Label NV. Hors d'oeuvres that had taken weeks to design and hours to prepare were plated and quickly whisked out of the kitchen. Executive chef Vishwatej Nath, of The 10th restaurant on Vail Mountain, arrived earlier to lend a hand as the pace of the evening quickened. All the while, dishwasher Levy Contreras continued the crucial process of washing and recycling dishes, pots and pans as he had done all day. I learned quickly last summer that Contreras is a kind, gentle and smiling soul, but don't put dirty dishes in the wrong place in the dish pit! Once guests were seated, the real fun began in the kitchen. I love it when everyone joins together, each with an assigned task and with one goal in mind: to produce beautifully plated dishes that delight diners before they engage their taste buds. The eyes are crucial in gastronomic pleasure, so presentation is key. This is the time egos are banished and teamwork begins in earnest. For me, it was my first close quarters work I had with Besh, Loos, Landy and Berrigan the entire afternoon. First up was the amuse-bouche my blistered hand helped produce. Suzanne Hoffman is a local attorney, chambellan provincial of the Southwest Region and bailli (president) of the Vail chapter of the Chaine des Rotisseurs. She is a passionate gastronome. For more background information on her "Behind the Scenes" series, go to www.facebook.com/vailvalleysecrets. Email comments about this story to email@example.com


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WAYNESBORO — Waynesboro police are still investigating an incident in which shots were fired into an occupied West Second Street home Monday night, and shots were fired near the 100 block of West North Street a short time later.
Chief James Sourbier IV told Waynesboro Borough Council and members of the public Wednesday night the department called in additional law enforcement to assist with the investigation. He added he has reason to be optimistic the case will be solved, but could not provide details without jeopardizing the investigation.
Police were called to the scene around 8 p.m. Monday for reports of shots fired into an occupied residence. No injuries were reported. While police were investigating, additional shots were heard in the area of West North Street.
During the investigation, police saw that several bullets had also hit a parked car.
A Cleveland Avenue resident urged council to have street lights installed in dark alleys, citing Monday's incident and saying children were inside the home that shots were fired into. The request was referred to the street committee.
Location, ST | website.com


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March Mite Madness Tournament
March 8-9, 2014
FOUR Game Guarantee
Open to U6 & U8 Divisions
Half Ice Games
Indivudial Player Medals for All Teams
$550 per team Includes Skills Competition
All Games Will Be Played at:
Ocean Ice Palace
197 Chambers Bridge Road
Brick, NJ 08723
To Register Your Team please visit us at OceanHockey.com and Click on the Tournament Tab to compelte the application.
ACTIVE is the leader in online event registrations from 5k running races and marathons to softball leagues and local events. ACTIVE also makes it easy to learn and prepare for all the things you love to do with expert resources, training plans and fitness calculators.


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Ok I've got permission and I'm off work so come on out!
I like keeping it friendly so $5 doubles - 1 round
We will be playing Camden II modified into a functioning wicked fun par 70 (made possible by Evan, Ron, Brad, and myself)
The course will be an introduction to Camden II's future entertainment options.
Please enjoy!
we will be putting the final touches on the course that morning - call if you get there early and wanna help (you can probably find us on hole 5 to 6 (yeah that's one of the par 5's - 5 to 6)


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Hi all,
Just hope to share my experience with all of you since PS3 Media Server is such a useful program.
For those of you running on wireless-g and wondering why is it still stuttering since it's 54Mbps?
Problem: Stuttering 1024i,p videos, 720p fine.
Solution: Check your wireless signal STRENGTH and speed. Although both router and wireless card is 54mbps-capable, however if the strength is weak, sometimes it will downgrade the RECEIVE and TRANSMIT strength like 24mpbs, 16mps etc. I suffered from this problem because my plasma is on level 1 and my PC is on lvl 2 so the signal was not too good. I adjusted the wireless card until I could get at least 48mbps constant and I could watch all videos at transcoder GOOD QUALITY above GOOD QUALITY for HD-Wifi.
Without a good signal strength and speed, adjusting the Maximum Bandwidth really didn't work for me as I realised sometimes my wireless speed dropped until 12mpbs,etc.
Hope this helps everyone as although I considered myself a PC expert, this stuttering problem had me scratching my head for weeks.


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The mallard is the most common duck in the United States, with the greatest abundance between the Appalachian and Rocky mountains.
2012: 10.602 million +15% from 2011
2011: 9.183 million
% Change from long-term average: +40%
Learn more about mallards in our waterfowl identification gallery.
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President Franklin D. Roosevelt signs the Migratory Bird Hunting and Conservation Stamp Act into law.
First duck stamp, designed by Pulitzer-prize winning editorial cartoonist, Jay N. "Ding" Darling, issued.
Prairie drought peaks.


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If politics is about appearances, let's just say that the police mug shot of Mary Hayashi -- a convicted shoplifter and state Senate candidate -- is not a good look. Her hair is stringy. Her face is blotchy. Her jaw looks clenched.
It's perfect fodder, however, for her prime opponent and fellow Democrat, Assemblyman Bob Wieckowski, who has launched a ubiquitous "Mug Shot Mary" attack campaign featuring the unflattering image with online banner ads proclaiming "Mary Hayashi is a Criminal" and "Character Matters."
With this kind of skeleton in her closet (or to be precise, in a Neiman Marcus dressing room where she filled a shopping bag with clothing), why would the former assemblywoman hold herself up to relentless ridicule by running for office again?
Is she just the latest example of political hubris -- like sexting U.S. Rep. Anthony Weiner and crack-smoking Toronto Mayor Rob Ford -- where pride and arrogance distort reality and lead to political demise? Or is she like so many tainted politicians -- like Casanovas Gavin Newsom and Bill Clinton -- who rise again, with the appropriate contrition and faith in the American soft spot for second chances?
"There's no shortage of elected officials who've overcome embarrassing episodes," said Dan Newman, a prominent Democratic campaign strategist. "But it's not easy -- particularly now -- to argue that the Legislature needs another member with a criminal record."
In an interview this week, however, Hayashi said she should be judged by her nearly three decades of public service, not a "mistake that transpired over a few hours."
Hayashi has said she was distracted on her cellphone when she walked out of a San Francisco Neiman Marcus in 2011 with $2,450 worth of clothing and forgot they were in the shopping bag she brought with her. She pleaded no contest in 2012 and is still on probation.
Politicians who have done worse, especially men, tend to get a "free pass," said Hayashi's campaign strategist Josh Pulliam.
Pulliam pointed to Assemblyman Tim Donnelly, a Republican from San Bernardino County, who remains in office after he was caught in 2012 with a handgun going through airport security and pleaded guilty to carrying a loaded firearm without a permit. He's running for governor.
"There's a double standard for men and women," Pulliam said. "How can you not think that?"
When asked about Newsom, the former San Francisco mayor who had an affair with his campaign manager's wife in a moral -- though not a legal -- transgression, Pulliam called it "almost Shakespearean." Newsom still went on to be elected lieutenant governor.
Still, it raises the question: Is Hayashi betting that voters in Senate District 10 -- from San Ramon and Hayward down to Fremont and San Jose -- are forgiving, forgetful or just plain ignorant?
Wieckowski said this week he is making it his business to ensure none of those applies. He won't rest until the entire district has heard about the shoplifting episode, especially in Milpitas and San Jose, where news of the scandal wasn't as prominent as in her East Bay Assembly district.
"If everyone knows this is the same Mary Hayashi and they don't want Bob Wieckowski, I will go on with my life," Wieckowski said. "The fear is that people don't make the connection."
A poll from Wieckowski's camp, conducted in late March and early April, shows that among the five contenders, he's leading with 26 percent support to Hayashi's 19 percent. Hayashi conducted her own poll early this month, which shows her ahead of Wieckowski 21 percent to 18 percent. The top two finishers in the June 3 primary face off again in November.
"I think it takes an extra dose of ego to imagine that people will give you that second shot, to expect it or to at least hope for it," said Larry Gerston, a San Jose State political science professor. "Most of the time, where there's criminal activity, people resign in disgrace, go quietly and disappear into the fog."
Not Hayashi. Just six months after her shoplifting conviction, she ran for the Alameda County supervisor's seat vacated by Nadia Lockyer, who resigned after a drug-fueled sex scandal. Hayashi didn't even come close, finishing third out of four.
Undaunted, she is now running for an even higher office: state Senate, a body that has seen three of its members arrested or convicted of a crime since January. That includes state Sen. Leland Yee, who was indicted in March on corruption and gun trafficking charges. (He also was arrested in 1992, while he was a San Francisco school board member, for shoplifting a bottle of suntan oil in Hawaii -- an episode he also called inadvertent.)
Disgraced, Yee gave up his run for secretary of state, and it's hard to imagine resurrecting his political career. Discredit doesn't stop plenty of others from trying.
In New York, Weiner, who resigned his congressional seat in 2011 after he was caught sending photos of his private parts to young women via Twitter, appeared to be in the midst of a stellar comeback when fresh sexting revelations torpedoed his run for New York mayor.
Speaking of guile, Ford, the disgraced Toronto mayor, registered to run for re-election after outrageous behavior during a substance abuse scandal. A trip to rehab that started last week has put his campaign on hold.
"I think it's a sad statement that we have all these white men in Congress and elected office who do terrible things that have an impact on other people," Pulliam said. "Mary didn't try to carry a loaded gun like Donnelly. She didn't drive a woman off a bridge like Ted Kennedy. Yet every single article includes this, and it's the focus of Bob's campaign. I think voters don't have that double standard."
Double standard or not, shamed politicians who survive tend to do the best job of apologizing, like Newsom's model for mea culpas: "I want to make it clear that everything you've heard and read is true," the then-mayor said, following his scandal, "and I am deeply sorry for that."
Hayashi said she is sorry, too. "I accept responsibility and make apologies and not excuses," she said. "We should all be held accountable for our mistakes, even if we didn't intend to do anything wrong."
Soon, voters will decide whether Hayashi's apologies are enough to send her back to the state Capitol. No matter what they do, there's one place she can't return: She is banned from the Union Square Neiman Marcus.
Contact Julia Prodis Sulek at 408-278-3409. Follow her at Twitter.com/juliasulek.


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Every gift matters. Regardless of the amount, each and every contribution to Stony Brook University Athletics is important to the future of the Department and its mission of providing a positive, meaningful experience for all Stony Brook student-athletes.
No matter where your interest lies, a gift to Stony Brook is a meaningful investment in creating a better future. Your gift may be designated for a current use or placed into an endowed fund. Either way, you can trust that your gift will be used most effectively and in a manner consistent with your wishes. That is our promise to you.
Contributions are used to fund various Stony Brook Athletics endeavors including: academic development initiatives, recruiting, facility upgrades, team resources, and scholarships. Donors to Stony Brook University Athletics include Stony Brook alumni, faculty and staff, friends, former student-athletes, parents, businesses and other leaders in our community.
To make a contribution or if you would like more information please contact the Stony Brook Office of External Services at 631-632-6312 or email us at: firstname.lastname@example.com.
What they are saying about making a gift to Stony Brook University Athletics
"Athletics have had an important influence on me, teaching me values I've used throughout my life --- discipline and teamwork. My family and I are delighted to support the student-athletes at Stony Brook and hope that this facility [Dubin Family Athletic Performance Center] will add to their athletic experience and future success."
Glenn Dubin '78
Co-Founder and Chief Executive Officer of Highbridge Capital Management
"The young people at Stony Brook today have goals and aspirations just like we did. They are striving to achieve them, and coaches are working so hard for them. Your gift to Stony Brook, regardless of amount, delivers a message to kids and coaches. It tells them that what they are doing is important and that you are behind them all the way."
Stu Sharoff '81
Stony Brook Athletics Hall of Fame


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- Tea Pouches
- Loose Tea
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- Why Mighty Leaf?
White Lotus
Our White Lotus white tea blends smooth, delicate white tea leaves with zesty notes of ginger and nuances of citrusy lemon myrtle for a refreshing infusion. This Chinese white tea delivers a healthy infusion and is low in caffeine.
Subscribe and save 5% with Regular Tea Rituals, our Auto-Delivery Program. Details


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A Report From the Road on Research in Your Backyard
A Report From the Road on Research in Your Backyard
01.30.13 | By
I've lost count of the number of times I've heard the same refrain about the need for more patients to participate in clinical trials of new medicines.
I've been hearing that over and over like a broken record for almost 1.5 years since we started rolling out "Research in Your Backyard" reports about trials conducted in the states by our biopharmaceutical companies in collaboration with local research institutions.
This time the somber note was struck by Susan Adler, executive director of the Northwest Association of Biomedical Research, and Anna Gottlieb, executive director of Gilda's Club Seattle, a cancer survivors' support program, at a "Research in Your Backyard" report roll out event Tuesday in Seattle.
In the midst of a discussion about how thousands of clinical trials conducted by biopharmaceutical companies and Washington research institutions have benefited patients and the state's economy, Susan and Anna stressed the need for more clinical trial awareness and education.
They were right to sound the alarm -- as Anna points out, nearly 20 percent of cancer patients are eligible for clinical trial participation, but only 3 to 5 percent of them actually do participate.
Susan notes that lack of participation has led to clinical trials of new treatments sometimes starting as much as a year late, thus slowing down drug development and depriving patients of timely approvals of new medicines that they need.
Both Anna and Susan stressed the importance of more Washington patients learning about the 377 clinical trials of new medicines for such chronic diseases as cancer, diabetes and heart disease that are still recruiting trial volunteers in the state.


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Police tell WSB-TV (http://bit.ly/13dhr16) that Carol Costello was talking on the phone while walking around 4:30 p.m. Thursday when two teenagers ran up from behind and grabbed the phone.
Costello said in a post on her Facebook page that she struggled with one suspect as she tried to keep her phone, but he pulled out a chunk of her hair and she let go.
"As he ran down the street, laughing, I hurled a few expletives his way," Costello wrote on her Facebook page.
"I felt no fear at the time, I was just angry," she said. "Now I'm angry, shaken and sad. What a lousy life those kids have ahead of them."
No arrests have been made.
Information from: WSB-TV, http://www.wsbtv.com/index.html


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PolitiFact NH: Former U.S. Senator Scott Brown can be called Mr. Bipartisan
Overall, however, analyses conducted by Congressional Quarterly, Bloomberg and the Washington Post showed that Brown sided with Democrats more often than any senator, except for Susan Collins of Maine. Either way, he ranks within the top two. We rate Brown�s claim Mostly True.
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Please contact your Volvo dealer for more information about Filters and how to maximize the performance of your Volvo construction equipment.
With Volvo Reman Exchange Services – DPF you get diesel particulate filters of the highest quality – at a much lower price compared to new filters.
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Baby with Heart Condition
I have requested prayer on a few occassions for a co-worker's sister who is pregnant with a baby boy who has been diagnosed with Hypoplastic Left Heart Syndrome (HLHS). This condition is 100% fatal without surgery upon the baby's delivery. I received an email today from my co-worker who stated that her sister is going to be induced tomorrow morning because she has not made any progress in her labor over the last week and the doctor's are concerned about the baby. After he is born, the baby will be put on medication until the surgery can be completed, but it still must be done within just a short time of his birth. Please please please pray for this family as they are waiting on the birth of this baby and waiting to go through his first surgery. Please pray for the doctor's who will be delivering the baby and performing the surgery. Most of all, please pray that God will be with the family as they are dealing with this and that the Mighty Physician will heal as we all know He can!


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HUNTSVILLE, Texas – Sam Houston State's goal in the seventh minute proved to be enough, as the Bearkats toppled the Texas A&M-Corpus Christi women's soccer team 2-0 on Friday night. The Bearkats improved to 7-8-1 overall and 5-4-0 in league play, while the Islanders are now 2-13-0 and 1-8-0 in their first season of college soccer.
"I thought we played well tonight overall," head coach Shanna Caldwell said. "Early on we had trouble making the adjustment to their attack and they capitalized with a first half goal. We had some great performances tonight and the work rate was strong. We still just need to be a little more polished with the final pass in the attacking third. The team is still in good spirits and looking forward to Sunday's game."
Audrey Baldwin made six saves in a losing effort for the Islanders, while Kylie Hambleton recorded the shutout for SHSU. The Bearkats did a strong job neutralizing the Islanders attack, limiting A&M-Corpus Christi to just seven shots in the game.
The Bearkats struck early on with a goal in the seventh minute off the foot of senior Tricia Mallory. Mallory made a brilliant play off a feed from Ashley Fluty, taking a half-volley from just outside the box and sending it into the back of the net for a 1-0 lead at the 6:45 mark. From there, the Islanders settled in and entered the locker room with the scoreboard still reading 1-0.
A&M-Corpus Christi maintained its pressure, but was unable to garner the equalizer early in the half. Then, with 14 minutes remaining, SHSU was able to extend its lead with a Mariah Titus goal that made it 2-0 at the 73:31 mark. Titus finished off a cross from eight yards out, as Shelby McDaniel assisted on Titus' team-leading seventh goal of the season.
The Islanders will wrap up their four-game road swing on Sunday, when they head to Houston for a 1 p.m. matchup with Houston Baptist. Updates will be provided as they become available on Twitter (@IslandersSoccer).


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This is an excerpt from EERE Network News, a weekly electronic newsletter.
April 13, 2005
Pennsylvania Offers $10 Million for Clean Energy Projects
The Pennsylvania Department of Environmental Protection (PDEP) announced on April 1st the availability of $10 million for clean energy projects within the state. The funding is available for grants, loans, and loan guarantees for projects and research involving solar, wind, biomass, and geothermal power, as well as low-impact hydropower and fuel cells. The funds could also go to energy efficiency projects and energy recovery and load management systems. Some coal technologies also qualify for funding. All projects must relate to electric power. See the PDEP press release.


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The Stratford Festival takes place every year in Stratford, Ontario, Canada. It is an annual live theatre festival that showcases many of Shakespeare's works, non-Shakespearian tragedies, as well as modern plays. In recent years, professors of Wittenberg University's English and Theatre Departments have taken student groups to Stratford for a weekend early in the fall semester. The trip offers Broadway-quality theatre at a very affordable price, and room and board are included in the price of the trip. Students on the 2014 trip will have the opportunity to see such plays as A Midsummer Night's Dream, Alice Through the Looking Glass, Mother Courage, Crazy for You, Hay Fever, The Beaux' Strategem and King John.
For more information about the Stratford Festival, to visit their official website.
To read about the Wittenberg Stratford trip experience in the words of English Department alumna Haily Hall ('11), .
English Students by the Avon River The Festival Theater
The Four Musketeers The annual trip to Balzac's before heading back to Springfield
The entire Stratford group of English and Theater Students


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Roomy organizing padfolio has interior file pocket large enough for magazines and acts as a divider-stays in place with VELCRO brand touch fastener tab. Organizing wall with business and credit card slots, pen loops, PDA pocket, zip pocket, and clear 8.5" x 11" window for documents. Right side holds 8.5" x 11" lined tablet. Made with only the highest grades of hand selected leather. (VELCRO is a registered trademark of VELCRO Industries B.V.).. Price: $120.45
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An apparently long running dispute between China and Nepal over the exact height of Mount Everest should be put to rest, after Nepalese officials said they would measure the mountain using GPS. Today, Nepal and China both recognize a height of 8,848 meters — but in recent border talks China has used the rock height of Mount Everest, while Nepal wants to recognize the snow height, which is about meters higher. Global positioning systems will be set up at three separate locations, but it will be two years before the official height is measured.
[AFP; Image via AP]


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Correct me if I'm wrong, but I think a microwave's net power usage is considerably less than those other energy hogs. True, it may use 900 or a 1000 watts for a small one, but that's generally for a fraction of an hour. I can make up a nice serving of bacon from raw in 3 minutes, which doesn't mean much power at all bottom line.
I once bought a 600 watt microwave thinking it should easily run on a 1000 watt genset. Wrong.
Fortunately the microwave wasn't very expensive and in the end it only lasted a couple weeks before it crapped the bed and went to the landfill.
Hurricane Sandy, and What I Saw There


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Through our exceptional health
care services, we reveal
the healing presence of God.
What's NewGet the latest news on St. Mary's Hospital »
Read more fast facts about the project.
Moms and moms to be are getting an early holiday gift this year. St. Mary's Hospital has opened its brand new Family Birth Center! The $12 million center accepted its first patient on December 22. It promises to turn a St. Mary's Birth into truly a memorable experience.
"We really looked at every aspect of a mother's stay with us and found unique ways to make the experience one she'll never forget," says Kristin McManmon, the Vice President of Operations. "In this first phase we focused on adding comfort and conveniences to our Family Care Suites and we are certain families are going to notice!"
Families and visitors to the new Family Birth Center will enjoys rooms complete with spa-like comforts such as three-head showers, Tempurpedic-style double beds and plush pillows. There's also an in-room bathing sink and warming light for baby's first bath, a glider chair, a fully reclining chair for sleeping and of course a flat-screen TV and DVD player for the family's entertainment needs. Mom and a guest also receive an elegant celebration dinner during their stay including a specially prepared entrée, mixed green salad and dessert.
Located on a new floor in the hospital, all rooms in the new birth center have a large window and beautiful view of the Capitol, Vilas Park or one of St. Mary's gardens.
Those waiting to see the newest member of the family will now do so in style. Common spaces have been updated and are spacious and posh. Visitors will be able to relax by the fireplace, listen to the soothing sounds of water, or make food in the kitchenette. There's also a young siblings play area that will provide a more relaxed, visitor-friendly atmosphere.
"Having a baby is so much more than just giving birth," says Holly Halberslaben, the director of the Family Care Suites. "It's one of the most memorable moments of a woman's life. We are excited to open this brand new section and really take the whole experience to a new level."


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NH drug dealer facing much lighter sentence thanks to Boston crime lab scandal
CONCORD, N.H. (AP) - A convicted drug dealer in New Hampshire who would have faced nearly 20 years in prison now faces a much lighter sentence after a prior conviction was tossed out due to the Boston crime lab scandal.
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Another week, another theme column. This week – OSCARS. As I'm sure you're aware by now, the Academy Of Motion Picture Arts and Sciences gave their awards out to the best movies of the year. The big winner was The Artist, a movie that I was not terribly fond of. To be fair though, it was not a great year at the cinema. There were a lot of good movies but not many great ones. Out of those good movies, the Academy nominated nine for best picture. But, since there were so many movies of similar quality I've decided to give my alternate nine nominations for the year. I'm only going to list movies I've seen, so if your favorite didn't make this list it's either because I didn't see it or it sucks. Oh, also they're in alphabetical order.
1.) Attack The Block – A really fun movie about an alien invasion that hits a London low-income housing complex. Teenage punks and drug dealers have to save the day, in this incredibly original little movie. The most original part is the aliens themselves. They're pitch black except for their glow in the dark teeth. They're unique, which is especially welcome after the sort of generic and unmemorable monsters in Super 8 and Cloverfield. 2.) Beginners – Another movie highlighted by its originality. It jumps back and forth through time showing a man helping his recently out of the closet father deal with cancer, and then coping with his death. He also inherits his dog, and meets a pretty girl. It's probably the most personal and real feeling movie on this list and is filled with excellent acting. Christopher Plummer as the father is especially great. 3.) Captain America – In a year where there were quite a few super hero movies, this is the only one that really stood out for me. A lot of that is due to the surprisingly good Chris Evans performance as the Captain. He makes what could have been a total boy scout character interesting. You can't help but root for him. Hugo Weaving is also nicely evil as the Red Skull. The movie is a bit hampered by a bit of an anti-climactic ending that seems to serve a potential sequel more than this movie. But, before that minor disappointment can take root, there's an amazing preview for this year's Avenger movie that totally makes up for it. 4.) The Descendants – The movie that makes George Clooney seem mortal. Instead of his usual full bore charm and handsome, he seems like a weathered, middle aged man who's been through some stuff. His wife is in a coma and he has to deal with raising their two daughters on his own for the first time. Of the actual Oscar nominees, it's the one that's going to stick with me most. I'm reluctant to say more simply 'cause it brings up a lot of interesting personal questions for the audience that are better discussed just after having seen it. So go see it!5.) Drive – This is what Roger Corman's movies would be if they had a budget. And, I guess, a European director. A stuntman/getaway driver with a heart of gold tries his best to help a pixie woman and her impossibly cute son. The villains chew scenery with the best of them, and the violence is delightfully over the top. Backing it up is one of the best soundtracks of the year.6.) 50/50 – Also known as "That Seth Rogen Cancer Movie." It's equal parts funny and touching. Joseph Gordon Levitt plays a guy who gets diagnosed with cancer and Rogen plays his best bud. While it didn't make me cry, it has made pretty much everyone else I know cry, so there's that too. It's one of those few movies that I genuinely think has something for everyone. 7.) The Girl With The Dragon Tattoo – Honestly, I think I would have enjoyed this movie more if I hadn't read the book first. That being said, it is a David Fincher movie which means I was pretty much guaranteed to like it. In typical Fincher fashion, it is beautiful to look at. His perfectionism in the appearance of a film does not usually lead to great performances, but that's not the case this time. Rooney Mara is absolutely amazing, to the point where I'm not sure I'll ever be able to accept her in another role. It's a good movie and deserved far more recognition than it got.8.) Midnight In Paris – Woody Allen, a director who has almost as many misses as he's had hits, puts out a very serviceable film. It's not one of his masterpieces like Manhattan or Match Point, but it's a fine lark that gets the job done. Owen Wilson, playing California Woody Allen, falls in love with Paris while visiting it with his fiancée. The fiancée in question is played by Rachel McAdams as a grown up version of her Mean Girls character, and Michael Sheen does a fantastic job as a complete arrogant dick. When Wilson goes back in time, he meets every famous artistic person who lived in Paris in the 1920s and who are played by an all-star cast. The plot is about a man coming to grips that the life he is living probably isn't the right life for him. Like a lot of the nominees this year, it almost certainly wouldn't have been nominated in a better year.9.) Mission Impossible 4: Ghost Protocol – Easily the best movie of the year. It's one action set piece after another, and each is more exciting than the last! I have no memory of the story, but everything else is incredibly memorable. The climb up the side of the tallest building in the world, the fight in the weird car park, the chase through the dust storm. All of it is fantastic! I was even able to get passed Tom Cruise's general weirdness. And finally, Simon Pegg was delightful. So, that's it. I think all of these movies are the equal or better of any of the actual nominees, and most would have garnered more fan support. Here's to a better 2012, everyone!
Graham Becksted just wrote the longest blog post of his short career! He is the author of Graham's Grumbles the second blog by that name that is listed in Google results when you search for Graham's Grumbles. If you would like to be his 58th follower (thank you, bots), he can be followed on Twitter @GrahamBecksted.


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SAN MARCOS, Texas – Texas State used a blazing start from the floor to build an early 25-3 lead and never looked back in posting a 79-61 victory over the Texas A&M – Corpus Christi men's basketball team on Wednesday night at Strahan Coliseum. Chris Hawkins-Mast had a double-double with 13 points and 12 boards in a losing effort for the Islanders.
Matt Staff led the way for the Bobcats with 23 points and 11 rebounds, one of four players in double figures for Texas State. Travis Jones added 17 points, going 5-for-9 from downtown, for the Bobcats. Texas State converted 25-of-35 from the free-throw line in the win.
Myron Dempsey added 12 points and nine rebounds for the Islanders, while Jason Smith had 10 points in a losing effort. The Islanders finished 0-for-13 from beyond the arc, the second time this season that the team has gone without a three pointer. The Islanders outscored the Bobcats, 42-33, in the second half.
Early on, the Islanders couldn't buy a bucket and Texas State used a solid press to blast out to a 25-3 lead at the 9:13 mark behind a trio of Jones threes. Staff (six points) and Brooks Ybarra (five) played major roles in the fast start as well. Jake Kocher broke the cold spell, hustling down the floor and behind the defense, converting a traditional three-point play.
A&M – Corpus Christi stemmed the tide for the next several minutes, but the Bobcats' torrid shooting continued. The teams traded points to 36-15, but Texas State added a 6-0 run, highlighted by a four-point play from Wesley Davis. Hameed Ali scored the last six points of the half for the visitors, who entered the locker room down 46-19. The Bobcats went 13-of-27 from the field and 14-of-15 from the line in the stanza.
Early in the second, the two teams traded baskets with Staff and Nate Maxey going blow-for-blow. Staff had the first six points for the Bobcats and Maxey had the first four for the visitors. The Islanders defense showed strong improvement early on in the stanza, forcing five turnovers in the first eight minutes, but the offense was only able to convert that into four points.
After the Bobcats pushed the lead to 54-25, the visitors put together a rally, stringing together a 15-2 run to cut the deficit to 56-39. Hawkins-Mast scored five points to lead the Islanders during the stretch, with Smith providing a spark with his hustle off the bench leading to three points. After an Islanders offensive foul, though, Texas State got off the schneid with a three from Jones, as he and Staff scored the next 12 Bobcats points to put the lead at 68-43.
The Islanders refused to fade, though, putting up a 13-2 run to cut the Bobcats lead to just 14 with 1:55 left. Hawkins-Mast and Dempsey did most of the damage, with the senior providing six points and the junior adding five. But in the end, the early deficit was too much as the home squad finished off the contest at the line to emerge with the victory.
The Islanders return to the hardwood on Saturday, Feb. 18, in the Sears Bracketbusters, as they travel to Mount Pleasant, Mich., to take on Central Michigan. Tipoff is slated for 7 p.m. ET/6 p.m. CT. Steven King will have the call on NewsRadio 1360 KKTX and GoIslanders.com starting at 5:45 p.m. CT with the Navy/Army Community Credit Union Pregame Show.


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While sexual abuse of a child is a nightmare scenario, parents, educators and child care providers need to consider it in order to prevent it from happening or deal with it when it does.
Washington County Children Services caseworker Ginger Davey underscored the importance of that by recounting a conversation she'd had with a recent victim.
The youth said to her, "Nobody told me that it was wrong that somebody in your family (touched) you there or for me to touch them there," Davey said.
Article Photos
Photo illustration by ROBB DeCAMP Special to the Times
Children should know which parts of the body are private, even if parents might feel uncomfortable talking about it initially.
"You can do it as vaguely and as simply as possible by telling them, 'If someone touches you in that area, you need to tell,'" she said.
Parents should also emphasize that the child won't get in trouble for doing so.
Fact Box
Stewards of children
Washington County Children Services, EVE Inc. and the Washington County Family and Children First Council have personnel trained in this program aimed at teaching adults how to prevent, recognize and react responsibly to child sexual abuse.
Training sessions can be scheduled by contacting Family and Children First at 376-7081.
More information is available online at www.wcfcfc.org
Monica, the mother of a sexual abuse victim who agreed to speak to The Marietta Times for this series on condition of anonymity, said there were aspects of the issue she hadn't addressed with her children until she learned about the abuse committed by a family friend.
"I have always taught my kids stranger danger," she said. "But I've never taught them family or friend danger."
Unfortunately, that's where the abuse is most likely to originate, Davey said.
"I've never had one case where it had been someone that the child did not know," she said.
Children Services used to have a fully staffed prevention unit, but it has fallen victim to budget cuts because it's not a required service, Stewart said.
"Unfortunately, prevention is the first thing to go, which is, to me, a tragedy," she said.
Two employees at the agency have recently been certified, along with representatives of EVE Inc. and the Washington County Family and Children First Council, to present "Stewards of Children." The
three-hour training program is designed to teach adults how to "prevent, recognize and react responsibly to child sexual abuse," according to the Family and Children First website. Bates said they're looking for opportunities to present it to groups of about 10 people, and anyone interested can contact Family and Children First administrator Cindy Davis for more information.
In addition, Stewart said people with questions about sexual abuse and prevention can contact Children Services.
"Then we can refer them, we can give them information," she said. "I wouldn't recommend just looking on the Internet because there's just so much misinformation."
Few schools in Washington County have regular programming to address sexual abuse prevention with children, although it is covered for incoming kindergarteners who attend Safetytown programs and in the D.A.R.E. program, which is aimed at fifth- and sixth-graders.
"We talk to kids in private situations about appropriate touches and inappropriate touches if there's any suspicion that abuse is going on," said Belpre City Schools Superintendent Tony Dunn.
Content on dating violence, which can include sexual abuse, is required by state law to be included in the high school health curriculum. And in the Warren Local school district, there has been a recent focus on avoiding sexual predators when using technology, along with cyberbullying and similar issues, said Tony Huffman, who served as Warren Elementary principal for the last school year.
At Frontier Local elementary schools, the district's contracted caseworker touched on the issue of sexual abuse, along with bullying and other topics, in individual classrooms, principals said. That approach is expected to continue with the mental health intervention specialist the district recently hired to take over the caseworker's duties.
In addition, new software the district is getting deals with issues like inappropriate touching, bullying and more in an age-appropriate manner, Frontier Superintendent Bruce Kidder said.
Sometimes outside entities provide programs on sexual abuse and other topics. Marietta magician Kerry Blair travels to schools in Ohio, West Virginia, Michigan and Indiana in conjunction with the not-for-profit National Child Safety Council and presents programs dealing with issues including bullying, Internet safety and good touch/bad touch.
Blair said he approaches the subject by asking children what certain kinds of touches mean, like a pat on the back and a punch in the stomach.
"But that's the problem - not all bad touches are punches," he said. "Sometimes the bad touch can be very gentle, but it's done at the wrong time in the wrong place by somebody who should know better."
At times, Blair said, he sees children withdrawing, looking down or otherwise reacting as if they think he's talking specifically to or about them. After one presentation, a teacher came up to him afterward and said she'd been sexually abused as a child.
"This woman was in her late 50s. So for 42 years she had carried this around and never told a soul," Blair said. "You never know how deep that runs, how long they'll keep it buried."
Public school employees and a number of others who deal with children in their line of work are also "mandated reporters," meaning they are required by law to notify children services or law enforcement if they know of, or reasonably suspect, a child is the victim of neglect or abuse, sexual or otherwise.
Training on how to recognize signs of abuse is required to be updated regularly, with the precise period of time determined by length of service. Some school districts, including Marietta and Warren, do the in-services online, while others take advantage of local resources. Fort Frye and Wolf Creek participated in a joint training session put on by children services and the Washington County Sheriff's Office.
Guidance counselor Lisa Polk said that in 12 years at Marietta Middle School, she's dealt with several sexual abuse cases a year. If she suspects a student is being abused, "I will speak pretty openly with kids," she said.
"In most of the cases that I've had, the child will say something that makes me ask questions," Polk said.
She also considers other possible signs of problems, such as avoiding eye contact, wearing multiple layers of clothing or exhibiting drastic changes in behavior or dress. But she noted each case is different, and those factors may not always be present, or if they are, may not mean the child has been abused.
Staff members at the Ely Chapman Education Foundation are also mandated reporters, said Alice Chapman, founder and chairwoman of the organization, which serves children in kindergarten through eighth grade. Chapman said they currently have six staff members trained in child abuse recognition, one of whom must be in the building whenever it's in use.
"For sexual abuse, it's really tough," she said. "Some of it's knowing the individual child, and some of it's knowing what's typical of a child that age."


text: It glistens against your face when the light reaches the small spot it occupies. It has no smell or sound in the regular sense, but if you listen closely, you may hear volumes. It tastes of salt, sometimes bitter sometimes not. The touch is so slight it is often missed, but the sight of teardrops is always noticed.Teardrops and dew drops are very similar in that they are both water formed in small droplets. They both are the result of an action causing the droplets to form. They can form during all seasons and can disappear almost as quickly as they came, on certain occasions. Although they have similarities, their differences are many. Teardrops are the result of an emotion and dewdrops are the result of condensation. Teardrops come from meaningful thoughts, feelings, or memories and dewdrops come from the necessary change within our weather. Both are an integral part of our universe and the people who inhabit it.<>>Teardrops are drops of saline that form in the eye to either lubricate the eye or fall from the eye as from crying. This dictionary definition does not give the true meaning behind a single teardrop. When I think of a teardrop, I think of times when sorrow has taken over my body and the release of teardrops cleansed me. I personally feel they are God�s way of washing away the hurt and allowing me to hope and dream again.<>>Teardrops are made of salty water, shaped in a circular form. The fact they are salt is significant to the body, but not significant outside the body. The circular form develops into a drop as it slides down the face. Because of social history, we recognize this to mean either sadness or joy when noticed. The shape has developed a potent meaning for humans and is used for many things involving emotions.<>>I have stated why I feel teardrops are a benefit to me, and I believe others as well. But, there are so many other reasons that teardrops have a purpose. For the young baby, who has not learned speech, teardrops are their only form of communication. Teardrops not only lubricate the eyes, but the soul as well. They have an enormous effect on watchers. Meaning the people who notice the teardrops, immediately become more compassionate than they were just a second earlier. The teardrop expresses more than a whole dictionary full of words could ever hope to convey.<>>I do not believe that there is one single con related to a teardrop except that it causes your eyes, face, and sometimes clothing to become wet. However the pros are numerous. Without the release of teardrops, stress, anger, and sadness can over-take the body and cause, possibly, deeper more harmful emotions. But, by releasing teardrops you have washed away, if only temporarily, all of those emotions, feeling relief inside. Teardrops, factually, do release a chemical formed only from emotion. This chemical is called cortisol. If a person does not release teardrops during this emotional time the body does not release the cortisol efficiently. It is my opinion that teardrops have an amazing purpose for all people, young, old, black, white, or any race or religion in the world. <>>


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White/Black/Treasure Blue - Reflective Pack
- I am Tiempo Legend
- Currently Unavailable
Inspired by festivals of the 2014 host country and patterns found in nature, the Nike reflective pack is a cool way to ring in the ultimate year of soccer.
This version of Nike's new Tiempo Legend V is iridescent white with a pop of color on the outsole and a reflective stripe pattern on the heel panel. There is also metallic threading in the laces.
The next generation of the Tiempo, the Nike Tiempo Legend V offers excellent touch in all conditions and unrivaled comfort.
UPPER: Waterproof kangaroo leather with ACC technology and mesh backing for comfort and touch. Dri-Tech technology ensures cleat absorbs less water and dries quickly.
MIDSOLE: Perforated sockliner with poron inserts that mirror the shape of the foot for ultimate cushioning.
OUTSOLE: Dual-density TPU with stud pattern that's ideal for flexibility, traction and comfort for the entire 90 minutes of game play.
For firm, natural surfaces.
Los botines Tiempo Legend V de Nike brindan un excelente toque en cualquier condición climática y comodidad sin igual. CORTE: Piel de canguro resistente al agua con tecnología ACC y malla para comodidad y toque. Tecnología Dri-TEC que se asegura de que los