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Postings begin in 2012. Please report broken links here.
Indoor river is teaching tool for summer school students
Washington Times
Grain by grain, sediment began to build up in the reservoir behind the tiny dam, as anticipation built on the faces of the high school students watching. (August 8)
Here's a resource worth checking out - a high school education blog from U.S. News & World Report.
Why flip the classroom? 'If kids aren't learning, it's not them, it's you'
eSchool News
Why a teacher's decision to flip the classroom turned out to be a great learning experience for everyone. (October 2015)
How one school fashions geometry lessons from recyclables
Amid rows of chairs set up in Hawthorne High School's cafeteria, students, teachers and even the superintendent strut around as they model elaborate, hand-made outifts for an appreciative audience. (June 2015)
Why cell phones belong in our classrooms
eSchool News
As the principal of a high school in Manhattan, I know firsthand how cellphones can both help students stay in touch in today's world and how they can be a valuable teaching and learning tool in the school setting. (March 2015)
Students use coding to build their own Minecraft worlds
eSchool News
Programming languages like Python are being paired with Minecraft at one school. (March 2015)
Engineering game promotes problem solving, mechanical concepts
eSchool News
Backyard Engineers, a new game from Filament Games, is designed to teach engineering concepts and problem solving skills. It aims to help students from middle school to high school understand the principles of engineering design through experimentation. (February 2015)
Students sing way through history
Atlanta Journal-Constitution
February welcomes more than blustery weather. It brings Presidents' Day, honoring all the country's leaders, not just the two who claim birthdays this month. But if your presidential knowledge is sketchy, this approach might help you. (February 2015)
Journey to the student-centered makerspace
eSchool News
Whether you know it or not, your students are already making things outside of school. From digital animation and programming to video production and duct tape crafts, it's surprising the number of outlets students have found to vent their creativity. (February 2015)
4 ways to create a successful hybrid school
eSchool News
Six years ago, our district created the PSD Global Academy, and I was hired to launch the school. Our charge was to provide students with online learning opportunities. (November 2014)
Encouraging Hesitant Writers
Classroom Chronicles
Tipton County English teacher and 2014-15 Tennessee Teacher of the Year finalist, Becky McBride, shares three ways she encourages even her most reluctant writers to get their thoughts on paper. (November 2014)
Pilot program will give teens more personalized learning
eSchool News
Grants help students personalize learning with more control over schoolwork and schedules. (November 2014)
Bringing Twitter to the Classroom
Students upload pictures of their annotated texts and ask their classmates to help them understand the nuances of iambic pentameter. This is Chris Bronke's freshman English class at North High School, a public school in Downers Grove, Illinois. (September 2014)
5 reasons to use Netflix in the classroom
eSchool News
While teachers look to find new ways to make the classroom more interactive, some might look to Netflix, a video-streaming site. (June 2014)
Atlantan can really rock in classroom
Atlanta Journal-Constitution
The rules of rock apply to Erik Herndon's music class: Play hard, be original and push limits. Herndon, a rock guitarist and a teacher at Young Middle School in west Atlanta, uses the power of music to break through to city students. (January 2014)
Brookwood teacher named 2013 Claes Nobel Educator of the Year
Gwinnett Daily Post
This program recognizes educators who model best-in-class practices in teaching, are a positive influence for students and peers, and who have demonstrated leadership and excellence in education. (December 2013)
Four steps to flipping the classroom
eSchool News
The flipped classroom, in which students watch a video explaining a particular lesson or topic at home and then come to school prepared to complete assignments related to that lesson or discuss the topic in class, is gaining ground. But how, exactly, can educators go about flipping the classroom? (January 2013)
College kids develop apps to help kids master algebra
Louisville Courier-Journal
iPad apps that college students have developed soon could help high school and middle school students crack the code of algebra, often a gatekeeper to college entry. (January 2013)
State's push for digital textbooks, tests has schools scrambling
eSchool News
Students at Florida's Lake Minneola High School spent the year reading from shiny, new iPads instead of textbooks, something many say helped them stay engaged with schoolwork. (July 2012)
Why An English Teacher Introduced Her Class to the World
The Atlantic
When high school students submit papers to the Web rather than their instructor does the larger audience inspire them to write more seriously? (July 2012)
Virginia high school uses technology to increase learning time, boost graduation rates
eSchool News
T.C. Williams High school in Virginia's Alexandria City Public Schools (ACPS), uses technology to create online and blended-learning environments that provide extra support to students who need it. (April 2012)
New twist in education: 'Flipped classroom' makes homework an in-school effort, puts lectures online
Pittsburgh Post Gazette
A high school teacher has developed what he calls the "flipped classroom" that is seeing positive results as well as student enthusiasm. (January 2012)


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Royal Woodbine Golf Club offers the latest in equipment, apparel and accessories to compliment your game. Stop by our fully-stocked Pro Shop or come in after your round and browse through our name brands. We work hard to offer you the best service along with the best prices possible.
Our friendly staff will help you make starting times, rent golf carts and register you and your guests before each round of golf. An excellent selection of golf clubs and related merchandise are sold in our Pro Shop. Contact the Pro Shop for assistance.
Click Here to visit our Pro Shop page to see what we have to offer.
The bar & grill is the perfect way to end your round at The Royal Woodbine Golf Club. Unwind with your favorite beverage from our fully stocked bar while you relax enjoying the natural surroundings.
Open Daily at 11 AM*
*During Golf Season, Weather Permitting

subset: commoncrawl


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The Gnome User and Developer European Conference
The city of Stuttgart may not be known as a tourist destination, but Gnome developers from around the world still arrived on schedule for this year's Gnome User and Developer European Conference.
The Gnome community gathered in Stuttgart, Germany on May 29–31 for the annual Gnome User and Developer European Conference (GUADEC) [1]. The conference had a tight schedule that included four parallel tracks. The rooms were often filled, starting with the very first talk by Keith Packard of Freedesktop.org. A special track showcased new Gnome multimedia applications, such as the video editor Pitivi, the Fluendo streaming server, and the Xiph and Dirac video codecs. Better Among the more entertaining speakers were some of the usual suspects, such as the self-proclaimed monkeys of Ex-Ximian. In his keynote Miguel de Icaza – apart from evangelizing Mono – set the agenda of finally making the Gnome desktop usable. In his slightly exaggerated view, Gnome is currently a piece of software that just "doesn't work," and he quoted a usability study Novell carried out in various countries (actually evaluating both KDE and Gnome).
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Nextcloud Announces Raspberry Pi-Powered Home Cloud Box
Innovative system adds a hard drive and Ubuntu Core to the RPi for an IoT hub.
Linus Torvalds Confirms the Date of the First Linux Release
Linux is two weeks younger than we thought!
End of OpenOffice?
The Apache Software Foundation considers retiring OpenOffice
Adobe Gives New Life to NPAPI Plugin for Linux
Adobe won't kill the plugin in 2017
LinuxCon North America Convenes in Toronto, Canada
Linux Foundation's big event celebrates the 25th anniversary of Linux
Linux Turns 25
Linux has evolved from "won't be a professional" project to one of the most professional software projects in the history of computers.
Mirantis Joins Hands with SUSE To Offer RHEL Support; Red Hat Not Happy
Competitors get in the game with RHEL without Red Hat
Linux on Windows 10 Poses a Security Risk
Security researchers have already notified Microsoft; some fixes are available
Mirantis to Refactor OpenStack Fuel for Kubernetes
The company is collaborating with Google and Intel to use Kubernetes as an engine for Fuel
Canonical Joins Document Foundation Advisory Board
The upcoming release of LibreOffice will be available as a snap package


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To be bamboozled into joining a cult of complete idiots baring gifts such as outdated music links and a promise of a better tomorrow.
America got foshizzled into voting for Bush.
by Corrector February 11, 2005
Trending Now
Can you define these popular missing words?
Top Definition
To be penile challenged or w/o average size penis.
Guru, Dizzle and Bushboy boast about a large penis when they are only rocking 3 inches
by TxChauty February 11, 2005
To politically screw someone/a party up twice. A sure screwing, fucking up a party's political aspirations. George Bus and Ken star are two big foshizzlers. Democrat party was foshizzled(twice for sho)
Bushboy and Dizzle's party was foshizzled again. The state of Florida foshizzled the democrats again. Blaze and Bubus are big time foshizzlers
by Guru February 10, 2005


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serial port programming
I want to write an application to send & receive data through serial com port. I am using VC++ net 2003. i have successfully intialized com port & set the DCB.but problem is that when i send packet at baud rate 9600 then it reads correct data byte. but for 1200 baud rate it doesnt read correct data byte. It miss the data byte for 1200 baud rate.
Re: serial port programming
Duplicate of serial port programming. Thread closed. Also I have moved the other thread in the right forum and again you have created the thread in the wrong forum. Make sure you learn to read the responses.
|All times are GMT +5.5. The time now is 04:13.


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(To loyal blog readers. The recaps this season will be broken up into 3-4 different posts. You can find "The Sunny Side", "Dark Side", and "This, That, and the Other Thing" all at syracuse.com/axeman. Thanks!)
Any football coach will tell you that it is not how you start, it is how finish.
Well, pardon us if we enjoy this one a little bit.
The last time Syracuse was 1-0 in football, "Shake Ya Tailfeather" by Nelly, P.Diddy, and Murphy was the #1 song in the country.
That wasn't THAT long ago, but when was the last time you heard that pop up on the radio or on your IPod?
Syracuse moved to 1-0 for the first time since 2003 with a 29-3 win over Akron at InfoCision Stadium on Saturday night.
Ryan Nassib had a great debut as a starter, throwing for 227 yards and 2 TD's on 17-27 passing, and may have even found a few targets to throw too in a pool that looked a bit cloudy coming into the season.
Delone Carter came home to Akron and grinded out 91 yards and a TD.
The defense took a cue from the 2009-10 basketball season and "shut it down" to the tune of 166 total yards for Akron and allowing only 4 third down conversions.
All in all, a solid win for Syracuse without having to go far down the "to-do" list.
Not only are we talking about a win this early in the season, but there was even a mini-debate about whether to take a knee or go for one more score at the end of this game.
Now, that is one welcome dilemma to be in for a Syracuse fan.
The stated goal from Doug Marrone on down for 2010 is a bowl game with at least a 7-5 record.
To get to a record like that, you have to beat teams you are supposed to beat and Akron represented that description from the moment they popped on the schedule.
Yes, the Zips beat Syracuse two years ago. Almost two years to the day as a matter of fact.
Syracuse looks like such a different team from that day to this, I question if it even happened anymore (almost).
Syracuse beat Akron into the ground on this night and they did it without having to show much of their hand to do it.
Let's face it. That was a pretty basic game plan for this one (did they even pack the playbook?)
Run ball. Pass ball. Play good defense.
Sure, there were some special teams miscues that need to be addressed and Syracuse turned the ball over three times, but that game was basically one big bowl of vanilla ice cream.
Good vanilla ice cream. Like that really yummy French Vanilla or Vanilla Bean kind.
And you know what? Sometimes vanilla ice cream is just fine. Why waste the sprinkles and chocolate sauce if you don't need them to be satisfied?
A couple more vanilla games are on the schedule in upcoming weeks in Maine and Colgate.
But Washington? Next week?
Now, we're talking about sprinkles, whipped cream, chocolate sauce, nuts, and the darn cherry on top.
A conservative play won't be the proper one in that game.
Washington has the consensus #1 pick in the 2011 Draft in QB Jake Locker.
Syracuse has to travel across three time zones to get there.
Washington also lost to BYU 23-17 on Saturday, so they aren't going to be in a pleasant mood when the Orange arrive in Seattle.
Can Syracuse beat Washington next week?
Sure, why not?
But for all the good they did against Akron with a light game plan, Doug Marrone is going to have to open things up a bit more than he did against Akron, cut back on the turnovers, and find the magic potion for what spell has been put on the special teams.
Do that, and you get a win that will be noticed across the country. A marquee win for the young head coaching career of Doug Marrone. A win that makes 7-5 not seem like such a crazy thought.
The Huskies await.
In the meantime, enjoy being 1-0 for the first time since 2003, Syracuse fans.
Go ahead.
Shake Ya Tail Feather a bit.
or post a comment below
Brent Axe is also the host of "On the Block" heard weekdays from 2-6 p.m. on The Score 1260 in Syracuse. The show is simulcast on Time Warner Cable Sports.


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Harriet the Spy
What demented freak decided to go and make a movie about a littlegirl named Harriet (Michelle Trachtenberg) who nobody likes, nor should like?
Eleven-year-old Harriet, despite her tender age, has already matured into a first-class bitch. Harriet runs around taking notes about her friends and enemies in a private notebook. Eventually the notebook is taken and read aloud and everybody, including her friends, turns against her.
"Harriet the Spy" is a classic example of Hollywood giving inexperienced, talentless sacks of dung a few million dollars to go make a movie, despite the fact that they obviously know absolutely nothing about what constitutes tolerable filmmaking. First on the dung list is Douglas Petrie, who's responsible for the screenplay, his first produced. Dougy probably wouldn't know a story if it ripped off his head and shoved a plot down his neck. News flash: "Kids steal notebook and make fun of Harriet" doesn't quite fill an hour-and-45-minute movie.
Next on the list is director Bronwen Hughes, also making her feature film debut. Her experience consists mainly of directing film shorts for "Kids in the Hall" and foreign car commercials. The inspiration culled from such two-bit, crappy jobs seems to have translated directly to the visual style of "Harriet the Spy," which has all the appeal of having ammonia poured in your eyes. Ms. Hughes takes Jump Cutting 101 and suddenly she's got her finger on the pulse of ten-year-olds everywhere. Will she be held responsible when all those pulses stop beating?
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The National Trust's Fine Farm Produce Award winners will be announced at an exclusive event at Selfridges in London this evening.
This year is the 10th anniversary of these prestigious awards which recognise the very best of the conservation charity's 1,500 tenant farmers and producers.
We go behind the scenes of the judging process with Helen Beer, deputy editor of the National Trust magazine, who gives a behind the scenes glimpse of what happens during the 'taste test' element of the rigorous judging process.


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Recent projects from Craftsy Sewing classes:
SewingPillow case insert
SewingJust a Bone Casing
SewingNeedlepoint bean bags
Offer some kudos...
Join the conversation...
Ask a question...
Add your comment...
|Here are some details about my project:
|Home Decor
|Retro / Vintage, Eco-Friendly, Casual
As you can see this is from a polo shirt. Previously bleached on the bottom. I cut it the size of the pillow form I had, turned it back to the right side and added a decorative sewing stitch all around the edge. The buttons become the way to insert the pillow. My son loves this now. Great Idea saw several versions of this on websites etc. Could be a great way to make a gift for someone who has lost a loved one. Something they can hold on to.
11/01/2013 Flag


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Leftfield return for RockNess after decades absence
Influential electronic pioneers Leftfield are marking their return with a live performance at this summers RockNess festival - their first announced appearance for over 10 years.
nfluential electronic pioneers Leftfield are marking their return with a live performance at this summers RockNess festival - their first announced appearance for over 10 years.
Hailed as one of the most influential exponents of electronica, Leftfield were one of the first such acts of the 90s to crossover into the mainstream, leading the way for artists including The Prodigy, Underworld and The Chemical Brothers. RockNess 2010 takes place at Dores near Inverness from Friday 11 to Sunday 13 June.
RockNess festival Director Jim King said: Were been trying to get Leftfield to do some shows for years and now its actually going to happen.
Ask any electronic band who was an inspiration for them and Leftfield will always be listed. I was fortunate to see them live over 10 years ago and if you think The Prodigy are loud then you wont know what hit you when these guys kick in.
The bands debut album Leftism was hailed as one of the 20 greatest albums of all time by Q, with guest vocalists including John Lydon for their startling hit Open Up.
King added: They just have everything in their locker from the pounding bass lines of Phat Planet to the pioneering and visionary beauty of Melt. Get online now and reconnect with the band that unquestionably defined the music of a whole generation.
Adding further excitement is the announcement that drum and bass duo Chase & Status will be joining the bill along with German techno titan Boys Noize.
These latest acts augment the already confirmed RockNess line-up which to date includes The Strokes, Friendly Fires, Soulwax, 2 Many Djs, Annie Mac, Club 75 featuring Xavier De Rosnay (Justice), Busy P, Cassius And Dj Mehdi and Rob Da Bank.
Last updated: 29 January 2010, 17:33


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The birth mother of Veronica Capobianco, the child at the center of an adoption battle last year, has dropped her constitutional challenge to the law at the dispute's heart.
Christinna Maldonado's attorney said Wednesday that the Oklahoma mother wanted to end the lawsuit once Matt and Melanie Capobianco of James Island were reunited with Veronica, now 4.
But the Washington lawyer, Lori Alvino McGill, said proponents of the Indian Child Welfare Act might face similar litigation in the wake of the U.S. Supreme Court ruling that paved the way for the Capobiancos' adoption to be finalized.
McGill said she doesn't have any immediate plans to be involved in such a measure. Her suit had called on a federal judge to declare portions of the ICWA unconstitutional.
"Because this is a serious and recurring constitutional issue impacting the rights of child-bearing women who have no connection whatsoever to any tribe, I suspect another lawsuit challenging the constitutionality of ICWA will be filed in the not-too-distant future," McGill said, "though it obviously takes resources and a lot of guts."
Maldonado's suit came in July after South Carolina's top court approved the adoption, an order that sparked weeks of legal wrangling. The custody ordeal ended in September, when Veronica's birth father was forced to give her up.
Earlier in the year, the U.S. Supreme Court ruled that Dusten Brown didn't have a right to Veronica under the ICWA because he had not been involved in the mother's life before the birth. The top justices said that South Carolina courts had erred in allowing Brown to get custody from the Capobiancos, who had cared for Veronica during her first 27 months while trying to adopt her.
The ICWA was enacted in the 1970s to keep American Indian children with their native families and cultures. Brown is a member of the Oklahoma-based Cherokee Nation.
Maldonado's lawsuit, which was joined by women in similar situations nationwide, focused on ICWA provisions that, it contended, trampled a birth mother's right to choose who raises her newborn when the child's father isn't in the picture. It asked a federal judge to rule that portion of the law unconstitutional under the 10th Amendment's equal protection and due process clauses.
But the defendants in the suit, including U.S. Attorney General Eric Holder and the Cherokee Nation, never were served with documents. In late January, it was quietly dropped in Charleston federal court.
Chrissi Nimmo, the Cherokee Nation's assistant attorney general, said she learned of the suit's dismissal last week. "We are definitely relieved," she said. "We always believed the suit lacked merit."
The dispute that Nimmo and McGill were involved in last year spanned more than two months. It ended when Brown's attempts to stop a change of custody fell flat in Oklahoma courts.
The saga also prompted a lawsuit from Brown's supporters.
Also in late July, Oklahoma attorney Angel Smith, who was said to represent Veronica, sued the Charleston County Family Court judge who approved the adoption. Rulings automatically granting the adoption, Smith's complaint argued, violated Veronica's right to a hearing to determine what was in her best interests.
That suit was dropped in October, the same month in which Brown said he would abandon all legal efforts to regain custody of the daughter he had been caring for.
Veronica has been living with the Capobiancos on James Island since then. The couple has said little publicly about their renewed life together.
Reach Andrew Knapp at 937-5414 or twitter.com/offlede.
- Keywords


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NORTHFIELD, Ill. — Kraft Foods said last week it plans to spin off its North American grocery business and create two separate companies — one focused on the high-growth snack business and the other on its iconic grocery brands. The surprise move comes 18 months after Kraft acquired Cadbury, bolstering its snack and candy product lines. In a conference call with analysts, Irene Rosenfeld, chairman and chief executive officer, Kraft Foods, said the company had been discussing a split of ...
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WAVY Archive: 1979 Adult Use Ordinance
A look back in the 1979 WAVY Archives.
A look back in the 1979 WAVY Archives.
According to Tyrrell County Sheriff's Office, the winds knocked the tractor-trailer over the side of the Alligator River Bridge.
The man in the surveillance photos reportedly assaulted a woman after the two got into a disagreement on Jan. 29.
Some bicycling advocates are happy that legislators have killed a bill requiring all bicyclists under 18 to wear helmets in Virginia.
The robbery happened outside of the Harris Teeter on Granby Street early Saturday morning.
Public employees see effort to undercut minorities, middle class motivating anti-union Friedrichs v. CTA Supreme Court case.
Autumn Wells has been charged with manufacturing methamphetamine and possession of heroin.
The Portsmouth Commonwealth's Attorney filed a motion to prohibit the appearance of uniformed law enforcement officers in Rankin's trial.
A man handed the bank's teller a note demanding money and stating that there was a bomb in the bank.
Police say two male suspects forced their way into a Portsmouth home Monday.
By signing a proposed agreement, the city would also submit an application for the purchase of light rail cars.
Swift's 1989 beat out efforts from Kendrick Lamar, Chris Stapleton, Alabama Shakes and the Weeknd.
A brand new poll from CNU puts Donald Trump and Hillary Clinton ahead two weeks before Virginia's primary.
Authorities say they have charged a man with murder after he stabbed a 62-year-old woman in the head with a screwdriver
A new trend is taking shape in the tech sector–high-tech jewelry for women, made by women.
Taylor Swift and 'Uptown Funk" took home the biggest awards of the evening, but here are some of the other memorable moments to bring up at …
Amanda McCoy reached out to 10 On Your Side after a Rite Aid pharmacy allegedly placed her child's name on a prescription written for her.
The Cavaliers rebounded from a heartbreaking loss at the buzzer to Duke, and romped the visiting Wolfpack.
The Pirates pulled away in the second half, and also pulled back in front of the MEAC standings.
Hillary Clinton's campaign says they plan to open an office in Norfolk on Wednesday.


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The Oral History Interviews give you firsthand glimpses of several major milestonesin public works history. The interviewees come from all facets of public works and have made significant contributions to the profession. Don't miss this opportunity to add to your personal library or donate a set of the most recent oral histories to a university or local library.
This set includes the following titles: An Interview with:


text: Ryan Seacrest makes reality show with The Wanted Thu-07-Feb-13 08:21 Share this Tell Us What You Think WTF 0 LOL 0 FAIL 0 OMG 0 HOT 0 CUTE 0 ] By Jay-Jay FeeneyRyan Seacrest is making a new reality TV sow for the E! channel called The Wanted Life. It will star THE WANTED!!!The show will start in June. You May Also Like An awkward moment between Ryan Seacrest and his fiancée ON AIR! Calvin Harris hears Rita Ora's lyric change of I Will Never Let You Down Celebrity Baby News! Did Taylor Swift write 'Shake It Off' when she was only 18? Become a fan of The Edge on Facebook and on Twitter .


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Liberation: the right direction for Israel advocates
Last week's front-page story on the new UJS "Liberation" campaign has sparked a large amount of controversy via Facebook, Twitter and word of mouth.
Unfortunately, most negative response seems to surround the issue of flag waving, whilst only a few vocal critics have chosen to engage in the politics behind the campaign. A consideration of the latter reveals several positive elements which deserve some attention.
The campaign specifically advocates "two states for two people". The concept of a two state solution is not a new one; the model dates back as far as the 1947 UN partition plan and has formed a part of UJS campaigns since the 1970s, yet it is still unclear what it means or how it will function in practice.
The Liberation campaign boldly makes discussion of the concept a priority, which will in turn aid its progression.
To illustrate this point, look at the Palestinian bid for statehood, which over the past few months has forced the issue onto the agenda. As a result there has been widespread debate over what the implications and practicalities of such an arrangement might be.
Whatever the outcome at the UN, these few months of debate have furthered our understanding of the concept enormously, because we have been forced to think about its parameters and form an opinion.
The UJS Liberation campaign does not force students to buy into one vision of statehood; but like the Palestinian bid, it will force them and their critics to engage with the concept through debate rather than argument, and as an approach has the potential ultimately to create an environment in which a solution for peace might be found.
Traditionally, Jewish students have been encouraged to talk about Israel on campus through "hasbara" (Israel advocacy). This approach has a dual aim, firstly to portray Israel in a positive light and, secondly, to defend Israel against any criticism that comes its way.
It is a staunchly one-sided approach, and, as highlighted in an excellent research paper by former student Micah Smith in January of this year, it has done much to alienate Jewish students who have tried to introduce any sympathy for the Palestinian cause, or open up any kind of forum for debate over the matter.
He wrote: "The effect of current approaches to Israel education has been to couple Jewish identity with a particular understanding of love for Israel. Consequently, Jewish students who openly oppose aspects of Israel or Israeli policies can sometimes find their Jewish identity being questioned."
As an alternative, he proposed what he labelled a "hakshava" approach, from the Hebrew root meaning "to listen".
This shift in emphasis focuses not on promoting a single narrative about Israel, but rather on discussing Middle Eastern politics in depth and considering a spectrum of viewpoints. Through this, students can form opinions based on a working knowledge and considered understanding of the issues.
The Liberation campaign is an embodiment of this new kind of engagement. Although seemingly controversial, Liberation in fact takes a far less hard-line stance than hasbara has done in the past.
Rather, it encourages multi-facetted debate about Israel that will encourage all students to engage in the question of two states, at the same time as fostering a spirit of dialogue with Israel's critics across campus. No longer will Israel advocacy be about "us and them", nor will it be about manufacturing an image of Israel that defends it at any cost.
Instead, students will assess Middle Eastern politics critically, together, and in favour of a solution for all.
Ilana Kosky is an Oxford University graduate. She is currently working on the UJIA's Ayalim Project. Follow her on Twitter here.
Want to write for Campus Comment? It's your chance to see your words published. Whether you're a budding journalist, a political thinker or simply have an idea you want to share, send in opinion pieces of 500 to 800 words on topics of interest to Jewish students and young people. Email firstname.lastname@example.com for more details.


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When it comes to the heart of the candy aisle, you can't box in chocolates, no matter how elaborate bulk candy programs become. While the growth of nonchocolate has outpaced chocolate over the last few years, chocolate hasn't flinched as it's strutted along, flexing its yummy muscles with new products and powerful promotions. Scan data from A.C. Nielsen, Schaumburg, Ill., shows supermarket chocolate sales for the 52 weeks ended March 11 rose 5.1% to $1.1 billion. Nonchocolate weighed in ...
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What We Thought We Knew About Pigeons
Before we investigated pigeons, we interviewed each other to find out what we thought about pigeons. We included positive, negative, and neutral thoughts. Some of our thoughts are listed below.
Positive Thoughts About Pigeons
are friendly.
will eat right out of your hand.
are cute.
make a relaxing, cooing sound.
are good for the environment.
are clean.
Negative Thoughts About Pigeons
are also known as "rats with wings".
poop all over the place.
are noisy.
are dirty/messy.
spread diseases.
Neutral Thoughts About Pigeons
make a cooing sound.
only live in big cities.
eat breadcrumbs.
move their heads back and forth when they walk.
are plump.
are grey.
live in big groups.
What do
think about pigeons?
Send us e-mail


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Reggae on the Rocks Ticket Information
Since 1988, Red Rocks Amphitheatre in Morrison, Colo., has been the site of the annual Reggae on the Rocks concert. From Jimmy Cliff and The Neville Brothers to Rebelution and Steel Pulse, the annual lineup for this single-day music festival has placed a spotlight on countless reggae-inspired acts, both established and emerging. Fans with Reggae on the Rocks tickets will be submerged in a full evening of Jamaican roots music in the impressive natural environment of this memorable concert venue.
- Press the red tab next to the Reggae on the Rocks 2016 date. On the next screen, select your passes according to price and quantity, and then continue by choosing "Buy."
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- After you sign in, ensure any necessary delivery information is entered before you decide to pay for your Reggae on the Rocks tickets with a credit card or PayPal account. Pressing "Place Order" will finalize the request for the seller, who must confirm the transaction.


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The Dangers of Stereotyping
A Risky, Offensive &
Non-Productive Exercise
Stereotyping is a risky, offensive, and non-productive exercise. Ethnic jokes may be humorous, but are built on a foundation of misinformation and bias.
How often have you heard something like..."Well, all Asians look alike to me! I can't tell one from another. Our strategy worked in Japan, so it should be fine in all the other Asian countries." A business strategy based on this assumption is doomed to fail.
Webster's New World Dictionary defines stereotypes as:
" ... an unvarying form or pattern; a fixed or conventional notion or conception, as of a person, group, idea, etc., held by a number of people, and allowing for no individuality, critical judgment..."
The term stereotype was first used in the
18th century to describe a printing process designed to duplicate pages of type.
"Stereotype means to cast a person in a preset mold -- to deny individuality. The word comes from a copying process invented in 1725."
The Engines of Our Ingenuity, John H. Lienhard, University of Houston
In the 19th century, psychiatrists began to use the term to describe a type of persistent and repetitive behavior and unchanging mode of expression.
A lack of awareness and misinformation are the foundation of many cross-cultural conflicts. In order to assist us in better understanding someone from a different cultural background, we often make generalizations and assumptions that classify people by putting them into groupings that are familiar to us.
Generalizations can be helpful in the process of learning to understand other cultures.
Generalizations become dangerous when they result in negative stereotyping - unrealistic and exaggerated characteristics of a group of people.
Cultural awareness begins by understanding yourself, then learning to understand others.
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By Danza Johnson/NEMS Daily Journal
TUPELO – A former Boy Scouts of America volunteer is charged with sexual battery of a 9-year-old boy.
Donnie Weaver, 47, of Lee County was held on $250,000 bond accused of performing oral sex on the boy at an unidentified location in the summer of 2010.
Weaver was a Cub Scout pack leader. Lee County Sheriff Jim Johnson would not say if the alleged crime location was during a Scout event or if the purported victim was a member of the Cub Scouts, but only would say Weaver was in a position of trust and authority where he had reason to be in contact with the child.
The investigation began a month ago when the boy told his parents that something happened, said Johnson. Weaver was arrested Tuesday.
Rick Chapman, Scout executive of the Boy Scouts of America Yocona Area Council, said Weaver's position with the organization was terminated after he was charged. Chapman said Weaver had been a volunteer since 2009 and had gone through all the proper background checks required to become a volunteer and nothing in his records showed any criminal history.
"Along with the rest of the community, we were saddened to learn about the allegations against this individual," said Chapman in an emailed statement to the Daily Journal. "The alleged actions of this individual are not representative of the principles and ideals of the Boy Scouts of America, the Yocona Area Council or its members. Abuse is and has always been unacceptable and the Boy Scouts of America extends its sympathies to any victim."
Chapman said the Yocona Area Council will cooperate with authorities in their review of the matter. Like Johnson, Chapman would not say if the victim was a member of the Scouts or if the alleged incident happened on a Scout function.


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Mary Baldwin University's MLitt/MFA program in Shakespeare andPerformance continues its 2010–2011 theatre season with Paula Vogel'sDesdemona: A Play About A Handkerchief. Directed by guest artist Mary Coy, this intriguing play reexamines and reimagines WilliamShakespeare's Othello through the eyes of its three female characters;Desdemona, Emilia, and Bianca.
Director Mary Coy is a designated Linklater teacher with many yearsexperience acting and teaching voice, acting and improvisation inuniversities and professional theatre training programs all over theUnited States including Shakespeare & Company, NYU's Tisch School ofthe Arts, University of Mississippi, Virginia Commonwealth University,Syracuse University and Randolph Macon Woman's College. She has anMLitt/MFA in Shakespeare and Performance from Mary Baldwin University and the American Shakespeare Center. Directing credits include A Midsummer Night's Dream, Richard II, As You Like It, and Taming of the Shrew. Coy is Shakespeare consultant to the Nelson County Public Schools and, with Betty Tabony, has written a manual for teaching Shakespeare to middle school students and edited a young people's edition of King Lear for Swan Books.
Bonnie Morrison's (Desdemona) most recent credits include Lady Gracein Something's Afoot (Mary Baldwin Theatre) and Queen Eleanor in King John (Mary Baldwin MLitt production). Laurie Riffe (Bianca) recently played Hieronimo in The Spanish Tragedy and Constance in King John (Mary Baldwin MLitt productions) and has also appeared in many professional productions in Chicago and Charlotte. Amanda Noel Allen (Emilia) worked withTailgate Shakespeare this past summer in The Winter's Tale and AMidsummer Night's Dream, and was also featured in King John. This production is presented in partial fulfillment of the MFA in acting for Morrison and Riffe.
All performances are in the Fletcher Collins Theatre in Bertie MurphyDeming Fine Arts Center at Mary Baldwin University. Show times are 7:30p.m., Friday, December 3 and Saturday, December 4, 2010. Tickets arefree and the show is open to the public. The show contains adultlanguage and situations and viewer discretion is advised. For more information call Julie Fox at 540-887-7237.


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This is freshvintage's Typepad Profile.
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Interests: sewing, thrifting, selling on ebay, dragging my kids to yard sales, embroidery, watching reality tv and reading gossip blogs
Recent Activity
Can you believe that the small town of Kennett Square, PA with a population of 5,273 produces 65% of mushrooms grown in America!? We've been living in Chester County, PA for eight years now, and it's been a family tradition... Continue reading
Posted Aug 29, 2014 at freshvintage
Hey, Philly Locals, we're headed back to the Clover Winter Market on January 19th in Philadelphia at the 23rd Street Armory. We had a great time last year - the food trucks, the amazing venue and fun customers. You'll find... Continue reading
Posted Jan 3, 2014 at freshvintage
The holidays are near...I can smell the figgy pudding in the air. Or maybe that's the smell of rotten pumpkins in the shape of a camper. No matter, as we have two announcements for you freshvintage locals: Hear Ye, Hear... Continue reading
Posted Nov 20, 2013 at freshvintage
Hi, old friend! I thought I'd share some of my finds from this weekend. Since it's been a million days since I've blogged. (And if you aren't following me on Facebook, you are totally missing everything and you should be... Continue reading
Posted Nov 3, 2013 at freshvintage
Chris is hitting the road this week, on a selling frenzy across New York, Massachusetts and Connecticut. In a very ballsy move, Chris has decided to sell at three antique markets that neither of us have ever visited. I won't... Continue reading
Posted Jul 3, 2013 at freshvintage
Hi! This is Colleen's sister, Erin. My 10-year-old daughter, Fiona, has recently noticed that Aunt Colleen enjoys vintage medical and how-to books...like, how to be a good wife, etiquette books, etc. I told her that Colleen thinks they are funny... Continue reading
Posted Mar 4, 2013 at freshvintage
I'm finally on Instagram! Are you? Yeah, I know I'm a little behind on this trend. I've always had a Blackberry (for my "real" job), but recently switched over to an iPhone. I mostly got it so that I could... Continue reading
Posted Feb 22, 2013 at freshvintage
Here's some vintage stuff that Chris found while we've been MIA. To make up for my absence, I'll be rewarding you with excerpts from vintage sex books at the end of this post. We usually don't find home movie cameras... Continue reading
Posted Jan 15, 2013 at freshvintage
Last week, I had the pleasure of visiting Longwood Gardens in Kennett Square, PA with a group of local bloggers to learn about their Star Blogger program. They plied us with peppermint-chocolate cupcakes and star-tinis (martinis made with star fruit)... Continue reading
Posted Dec 6, 2012 at freshvintage
I thought I'd give you a fall-filled peek at the orchard where our shop is located, along with a few new items that we have started carrying. Highland Orchards was just featured by Philadelphia Magazine as one the area's top... Continue reading
Posted Oct 20, 2012 at freshvintage
This is a public service annoucements for Facebook users. If you don't use Facebook to follow the latest news on your favorite businesses, blogs and people, then you can skip this post. I promise that my next post will have... Continue reading
Posted Oct 16, 2012 at freshvintage
I am so excited for you! As a fellow Target-lover, I know you will represent us well!
Peeps!!! Are you DYING??? I am SO EXCITED to announce that Target® (Yes, THE Target!!) has asked me to be part of Target® Inner Circle, a small select group of social influencers who get to bring you inside scoop and exclusive access to Target!!! ...and, as our first official activity, Tar...
I've been begging customers to send photos of freshvintage purchases in their homes. I get a little sad when we sell something and it - poof! - disappears, never to be seen again. Well, one of our customers finally listened... Continue reading
Posted Oct 8, 2012 at freshvintage
Since opening the brick and mortar freshvintage shop in March, our family life has changed quite a bit. Chris works at the shop when it is open (Thursday through Sunday) and typically spends Monday through Wednesday hunting for new inventory.... Continue reading
Posted Sep 27, 2012 at freshvintage
As promised, here are a few more finds from our trip to Madison Bouckville... These were our biggest purchases. And I just about died when I saw them. Three mid-century anatomical wall charts that were in a college lecture hall:... Continue reading
Posted Sep 14, 2012 at freshvintage
Photo from Madison-Bouckville.com A few weeks ago, Chris and I made our maiden voyage to Madison Bouckville Antique Week. We went during the first half of the week and I was a little concerned that we were going to miss... Continue reading
Posted Aug 27, 2012 at freshvintage
I was tired of buying basil at the grocery store, so I decided to get off my ass and just grow some. It is probably the easiest plant on earth to grow. You just can't kill it. And I'm a... Continue reading
Posted Jun 29, 2012 at freshvintage
Thanks again to Mary Kay Andews for choosing freshvintage as a stop on her national book tour for Spring Fever. Some of her fans drove more than two hours just to meet her! It was a great time....we laughed, we... Continue reading
Posted Jun 22, 2012 at freshvintage
Sorry, this giveaway is closed! Congrats to winners Alissa, Meghan, Heidi, Shara, and Kelly! If you can't make it to the Mary Kay Andrews book signing at our shop on June 10th, we are bringing the book to you! The... Continue reading
Posted Jun 6, 2012 at freshvintage
This is a post about the stuff laying around our house that needs to go to our shop. Strangely enough, the shit all over our dining room table isn't making us any money! Weird. Lots of floral frogs, in all... Continue reading
Posted May 24, 2012 at freshvintage
The one and only vintage-loving, flea-market-shopping, curbside-picking, New-York-Times-bestselling author Mary Kay Andrews is coming to freshvintage for a book signing! Join us at freshvintage on Sunday, June 10th at 2pm to meet Mary Kay Andrews. She'll be signing her new... Continue reading
Posted May 10, 2012 at freshvintage
Join us this Friday night, May 4th, from 4pm to 9pm in West Chester, PA for the very first Vintage Garage Sale! Yes, it's actually in a parking garage. We'll be there with some great local vintage vendors, a cupcake... Continue reading
Posted May 1, 2012 at freshvintage
Hi Gerry- The next sale is August 11, 2012.
After seven years of listening to my in-laws talk about the Clayson Farms Antique Show, I finally get to join them there! I can safely say good-bye to the jealous pangs that I get every August. The Clayson Farms Antique Show is on August 14th from 9am to 4pm in Yakima, WA. Are you going?? Yo...
Yes, it's that time of year again...we are selling at Clover Market on Sunday, April 15th from 10am to 4pm. Our shop at Highland Orchards will be closed that day because we can only keep one ball juggling in the... Continue reading
Posted Apr 10, 2012 at freshvintage
Chris went on some kind of mad cubbie shopping spree last week. And I am totally fine with that. The long skinny ones in the back left are the perfect size for displaying the Rewined candles in the shop. (The... Continue reading
Posted Mar 29, 2012 at freshvintage


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President Felipe Calderon told a gathering of journalists and celebrities over the weekend that a threat was made against the presidential aircraft early in his term and he took it so seriously that he recorded a message for his children in case he was killed, Mexican media outlets reported.
Calderon revealed the threat during a private event on Saturday to celebrate his 50th birthday.
The president said he decided to go ahead with a trip shortly after being inaugurated in December 2006 even though intelligence reports indicated a potential threat to the presidential aircraft.
"I decided to make the trip amid a very tight security operation. Before going, I recorded a message for my children in which I told them that if something happened to me, they should know that their father died doing what he felt he had to do," the president said.
Security officials uncovered a plot to attack the presidential aircraft during the first year of the administration, Calderon said, without providing details on who was behind the threats or how they planned to carry it out.
Dimas Diaz Ramos, a suspected Sinaloa drug cartel money man who allegedly planned an attack on the president, was paraded before reporters in August 2009.
The Sinaloa cartel is led by Joaquin "El Chapo" (Shorty) Guzman, Mexico's most-wanted man.
The Sinaloa organization, sometimes referred to by officials as the Pacific cartel, is the oldest drug cartel in Mexico and has an extensive drug distribution network in the United States.
Guzman, who was arrested in Guatemala in 1993 and pulled off a Hollywood-style jailbreak when he escaped from the Puente Grande maximum-security prison in the western state of Jalisco on Jan. 19, 2001, is considered the most powerful drug trafficker in the world.
Chapo Guzman tops the list of Mexico's 37 most-wanted criminals and is on the Forbes list of the world's richest people.
The Sinaloa cartel, according to intelligence agencies, is a transnational business empire that operates in the United States, Western Europe, Eastern Europe, the Americas and Asia. EFE


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By Bio-IT World Staff
September 10, 2012 | The National Human Genome Research Institute (NHGRI) announced a reorganization today to divide the Extramural Research Program into four new divisions: three genomic divisions and extramural operations. The changes will become effective on October 1.
The four new divisions are:
NHGRI announced the reorganization during public meetings in January and February. The reorganization was approved by the U.S. Department of Health and Human Services on June 26 and was announced at the 66th meeting of the National Advisory Council for Human Genome Research on Sept. 10.
"This reorganization reflects the expanding scope of genomics research, as described in NHGRI's new strategic vision published in Nature last year," Eric D. Green, NHGRI's director, said in a statement. "The mission of the institute has dramatically evolved from the singular focus on the Human Genome Project, for which NHGRI was created, to pursuing an exciting and broad set of opportunities for using genomics to advance medical science and improve human health. NHGRI needs an organizational structure concordant with this expanded mission."
The four divisions will be led by the following individuals, initially in an acting capacity until the appropriate approvals are obtained:
In addition, the Institute's two offices are being renamed the Division of Management and the Division of Policy, Communication and Education. The Division of Intramural Research remains the same.
NHGRI announcement.
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Moms Take On Walmart, AND WIN!
Under pressure from mothers working in their stores and women's groups, Walmart recently altered its policy around accommodating pregnant women. As reported last weekend in the Washington Post, Walmart reworked its policy so that women with pregnancy-related complications that could be considered "temporary disabled" and would be eligible for "reasonable accommodation."
While this policy fails to provide reasonable accommodations regarding physical demands for all pregnant women, it is a step forward in protecting the health of the most vulnerable pregnant women and their babies.
The change in policy comes after an intense mobilization effort on behalf of pregnant Walmart workers. Members of the Organization United for Respect at Walmart (OUR Walmart) initially began discussing the troubles they had during their pregnancies online. After comparing notes, the women found that all around the country, pregnant Walmart workers faced very similar challenges.
"Lots of women are afraid to even say they're pregnant at Walmart, because they're afraid they'll lose their jobs or be forced to leave," said Tiffany Beroid, a Walmart worker and OUR Walmart member.
Beroid was one of the original members of what later became known as "Respect the Bump." When she was seven months into her second pregnancy, she started experiencing complications. Her blood pressure would swing widely and her doctor insisted that she alter her behavior at work for the safety of her and her baby.
When Beroid took her doctor's note requesting light-duty work to her managers, they waited a week to respond while she was unable to work. When they did get back to her, they said they didn't have any light-duty work at her pay scale ($.40 above other positions) and therefore she would have to take a leave of absence.
According to the Washington Post:
"With no work, Beroid couldn't afford tuition payments for her community college nursing program, which meant missing the final exam; she'll have to take the class over. Her husband, a security guard, pulled 18-hour shifts to keep paying the rent."
Along with her new friends from Respect the Bump, Beroid and others began to mobilize. In Minnesota, workers held an event around scheduling issues for single mothers. They sent a letter to Walmart's headquarters about how pregnant women and mothers were being treated. A group of Walmart workers who are also shareholders put a resolution on the ballot of Walmart's upcoming shareholders' meeting calling for a change in pregnancy policies.
Shortly thereafter, Walmart overhauled their pregnancy policy. While the announcement is a huge acknowledgement of the workers who have been urging Walmart to change, they say there is still a long way to go. Now it's essential that the new policy is enforced and that reasonable accommodations are extended to all pregnant women.
5 Comments
Tom P NoonanApril 8, 2014
it is time for Walmart join the Union for all Walmart Workers and for all Sam's Club Workers right of away and right now please by make Walmart give all Walmart Workers and for all Sam's Club Workers a Living Wage With Affordable Healthcare right of away and right now please without close down all the Walmart Store and without close down all the Sam's Wholesale Club. and tell Walmart incase all Wal Mart Workers Woman get Pregnant and all Sam's Club Workers Women get pregnant on the Job tell Walmart let pregnant all Walmart Worker Women take Sick Leave off and let all Sam's Club Pregnant Women take Sick Leave right of away and right now please or all Walmart Worker Women going having a Baby during Pregnant on the Job at Walmart tell Walmart call the Permanence Ambulance by call Rescue 911 for the Permanence Ambulance right of away and right now please incase all Sam's Club Women doing have a Premature Baby or Mature Baby during Pregnant and during Mother in Labor to give birth to Premature Baby or Mature Baby tell Sam's Club call the Preanence Ambulance by call Rescue 911 right of away and right now please.
Thank You Very Much
From Tom P Noonan
JeffMay 17, 2014
Wow, that was one long rambling incoherent sentence!
ClaudetteMay 7, 2014
I would love to be part of your organization. I also worked at walmart and injury myself at work in 2010 damage to my back I returned back to work in 2011 and in march I slipped on slippery substance and a plastic hanger. For over 3 hours I was forced to wait for a van to pick me up to take me to there clinic. There doctor said it was a sprung ankle I was in emergency the next day. I was forced to take a leave of absence cause they were unable to accommodate my disabilIty I am permanently disabled now and while I was on leave I was fired I never received any notice I was terminated. There were over 40 witnesses that gave there statements to management its been over three years I have not received disabilty payments at all. Please help me thank you
Billybob 44May 9, 2014
Sounds like you are accident prone and trying to collect disability benefits. Why should the company employ you when you say you are permanently disabled.
lizMay 18, 2014
I am so glad to see this! In 2011 I was pregnant with my now soon to be 3 yr old son. I started experiencing complications and was forced to take the majority of my maternity leave before I even had him, because my doc would put me on bed rest several times. When I was cleared to return to work the doc asked for reasonable accomodation for the remainder of my pregnancy in which I was denied. I ended up being released because I couldn't do my job the way my manager wanted me to.


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Firefighters are responding to an explosion at a Biogas facility in Dane County.
WKOW-TV reports the explosion was reported at a manure digester north of Waunakee.
Witnesses in the Village of Waunakee said they heard an explosion, and a photo posted on Twitter shows a large plume of smoke.
Witnesses reported the explosion around 8:20 a.m. Several fire departments have responded to the scene on Cuba Valley Road in the Town of Vienna, local.
Waunakee firefighters reported that the scene was a possible methane explosion and that all flames have been extinguished.
Crews remain on the scene looking for possible leaks. No injuries were reported.


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Internet Download Accelerator 126.96.36.1991
Author: WestByte Software
Date: 04/01/2016 12:58 PM
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Internet Download Accelerator is an easy-to-use and effective download manager that can increase download speeds by up to 500 percent. It uses intellectual multi-section download to provide the best possible performance for all connection types.
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IDA AVCInternet Download Accelerator lets you to noticeably increase the speed of file download from the Internet using HTTP, HTTPS and FTP protocols. The acceleration is achieved by splitting a file being downloaded into several parts and downloading these parts at the same time. Internet Download Accelerator resumes broken downloads from where they left off from both HTTP, HTTPS and FTP servers.
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Best route map between Wytheville, VA and Staunton, VA. This route take about 153 Miles.
The distance and estimated time is placed on the right depending on the status of the road.
, 11:22
* You can see Wytheville, VA and Staunton, VA photos above. We provide this photos from Google Panoramio service.
* Wytheville, VA weather as celsius: °C
* Staunton, VA weather as celsius: °C
* Weather information on route, provide by Open Weather Map.
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square of soft paper used to remove feces from one's anus.
The men's restroom did not have enough shit tickets to clean my ass!.
автор: dronp 30 октября 2010
The common house hold tolite paper
I need to buy more shit tickets
автор: Napleo 9 июня 2009
A term used when you run out of toilet paper or, halfway through a shit realize that there is none there.
DAMMIT!!! I'm out of SHIT TICKETS again!
автор: Slashedace 4 апреля 2011
Another name for toilet paper
Hey Derek were out of shit tickets can you grab me some?
автор: jonhboy 2 августа 2014
(n.) a single section of bathroom tissue.
"That guy keeps pissing on the floor in our bathroom and leaving his shit tickets in our trash can. Who the fuck does that; takes a shit and throws their disgusting shit tickets in the trash after? That's pretty fucked up."
автор: Department of Behavioral Hell 23 августа 2015
Another word for Toilet Paper. Also known as "Asswipe" (pronounced As-weep-eh)
Mark (from inside the bathroom): HONEY! GET ME MORE SHIT TICKETS!
автор: Shabangshwa95<3 13 февраля 2009
Anything that is good in a homeless man's imagination
автор: Greg stegs 2 февраля 2010


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*From the School of Public Health and Health Sciences (Dr. Zilberberg), University of Massachusetts, Amherst, MA; Cerner Corporation (Dr. Kramer), Kansas City, MO; the Division of Critical Care Medicine (Dr. Higgins), Baystate Medical Center, Springfield, MA; and the Division of Pulmonary and Critical Care (Dr. Shorr), Washington Hospital Center, Washington, DC.
Correspondence to: Marya D. Zilberberg, MD, MPH, FCCP, University of Massachusetts, School of Public Health and Health Sciences, PO Box 303, Goshen, MA 01032; e-mail: email@example.com
Dr. Kramer is an employee of Cerner Corporation, which holds the rights to the APACHE system. Drs. Zilberberg, Higgins, and Shorr have reported to the ACCP that no significant conflicts of interest exist with any companies/organizations whose products or services may be discussed in this article.
Reproduction of this article is prohibited without written permission from the American College of Chest Physicians (www.chestjournal.org/site/misc/reprints.xhtml).
© 2009 American College of Chest Physicians
Hospital performance measures rely on aggregate outcomes. For patients receiving mechanical ventilation (MV), outcomes depend on severity of illness, hospital MV volume, and case mix. Patients requiring prolonged acute MV (PAMV) [MV for ≥ 96 h] comprise a resource-intensive group, but the impact of its volume on aggregate outcomes is unknown. We investigated whether observed outcomes differed from those predicted by APACHE (acute physiology and chronic health evaluation) IV risk adjustment and the relationship between hospital MV volume and outcomes among patients receiving PAMV.
We conducted a retrospective cohort study using the APACHE IV database between the years 2001 and 2005.
Of the 94,553 patients receiving MV at 45 hospitals, 24,366 (25.8%) were receiving PAMV. Unadjusted mortality was 32.3% for patients receiving PAMV and 22.9% for patients receiving short-term MV (STMV) [< 96 h]. Although mortality predictions were accurate in both groups, the length-of-stay (LOS) predictions underestimated duration of MV, ICU LOS, and hospital LOS by 5.2, 4.6, and 5.4 days, respectively, in the PAMV group. After stratifying the PAMV group by hospital MV volume, except for quintile 1, the standardized mortality ratio (SMR) was found to be inversely related to the volume quintile. The difference between actual and predicted MV durations, however, exhibited a consistent direct relationship with the MV volume.
In patients requiring PAMV, the SMR is inversely proportional to hospital MV volume. Conversely, the PAMV group had a disproportionate effect on durations of MV, ICU LOS, and hospital LOS, and these marginal excesses increased with the hospital MV volume quintile. Development of specific predictive equations for patients receiving PAMV is recommended. Benchmarking measures must consider the case mix of patients receiving STMV vs those receiving PAMV.
Hospital performance measures, the most compelling of which is hospital mortality, are aimed at improving quality and efficiency of health-care delivery.1 Although imperfect, several statistical models2–4 are used to adjust mortality rates for severity of illness. Even in the face of risk adjustment, however, controversy exists about its accuracy and validity as a measure of an individual institution's performance.5,6 Hospital length of stay (LOS) has been used as a surrogate for efficiency conflating quality and cost of care.1 Similar to mortality risk adjustment, LOS risk-adjustment models allow benchmarking of utilization performance, thus aiding in predicting ICU and hospital LOS and time receiving mechanical ventilation (MV).7 Some instruments, such as the diagnosis-related group system,8 are used to determine reimbursement levels given patient and hospital characteristics. The accuracy of these instruments lies in how well they factor in disease, patient, and process-of-care characteristics. This accuracy is particularly important in the face of a changing case mix, especially among populations with disproportionately high and inherently variable utilization intensity.
One such recently identified population is patients who require prolonged acute MV (PAMV) [MV for ≥ 96 h], who comprise one third of all patients receiving MV in US hospitals.9 Although this group's hospital survival may not differ from patients receiving short-term MV (STMV) [MV < 96 h], their hospital LOS is substantially longer.9 At $16 billion in 2003, the PAMV population accounted for approximately two thirds of the cost of care of all patients receiving MV in US hospitals.9 Highlighting the need to optimize efficiency of health-care delivery to this population, these patients' numbers have been projected to more than double by the year 2020.10 The increasing volume of patients requiring PAMV will alter the institutional case mix of the MV population, thereby influencing the aggregate outcomes that determine hospital performance measures.
The present study explored the relationship between APACHE (acute physiology and chronic health evaluation) IV risk-adjusted mortality and resource utilization predictions among patients receiving PAMV. Furthermore, given previous findings11 that hospital MV volume is predictive of mortality but has no relationship to resource utilization among patients receiving MV, we also investigated how well the existing APACHE IV models measure these domains of hospital performance.
No human subjects were enrolled in the study. Thus, the study was exempt from regulations guiding protection of human subjects.
Data for the study were obtained from a database (APACHE IV; Cerner Corporation; Kansas City, MO). Only the sites participating for ≥ 12 months and those contributing data on at least 50 patients receiving MV were eligible for enrollment. Included were patients admitted to ICUs between January 1, 2001, and June 30, 2005, at hospitals that were part of the APACHE system. Patients admitted from another hospital ICU or those who were readmitted to the hospital ICU were excluded. Patients undergoing coronary artery bypass grafting surgery were excluded because their outcomes require specialized predictive models. Information was available on physiologic measures, diagnosis, comorbidities, demographics, hospital admission and discharge locations, and various clinical variables. Detailed information on this database can be found elsewhere.7 Duration of MV was captured as the first episode if occurring on day 1 of the hospital ICU stay. It was collected as an integer (ie, consecutive number of days); thus, patients receiving PAMV were ventilated at some point during their first day in the ICU, and this episode lasted for ≥ 4 days.
Outcomes analyzed included hospital mortality, duration of MV, and ICU and hospital LOS. Predicted values were obtained from the corresponding APACHE IV equation for each of these outcomes, and predicted values were compared with the observed values. The standardized mortality ratio (SMR) was calculated by dividing the observed by the predicted mortality. For the MV duration and ICU and hospital LOS, the mean of the differences between observed and predicted values for each patient was derived. This process was repeated after stratifying the hospitals by volume quintile based on their average annual number of patients receiving MV at APACHE ICUs within each institution.
Results for categorical variables are reported as proportions; for nonparametrically distributed variables, as medians with interquartile ranges (IQRs); and for parametric continuous variables, as means with 95% confidence intervals (CIs). Significance testing for categorical variables was performed using the χ2 test and for parametrically and nonparametrically distributed continuous variables, with the Student t test and the Kruskall-Wallis test, respectively. Statistical significance was deemed to be present at the α level of < 0.05.
Of the 61 hospitals in the APACHE IV database representing 285,874 patients between January 1, 2001, and June 30, 2005, 45 eligible sites contributed 93,075 patients receiving MV on hospital ICU day 1 (STMV, 69,124 patients [74.3%]; PAMV, 23,951 patients [25.7%]). Although similar in age and gender distribution, patients receiving PAMV differed from those receiving STMV in many ways (Table 1). Most importantly, patients receiving PAMV had a significantly greater severity of illness than those receiving STMV, as measured by the median acute physiology score component of the APACHE IV score (PAMV, 59 [IQR, 43 to 79]; STMV, 46 [IQR, 32 to 67]; p < 0.001). Patients receiving PAMV also were more likely than those receiving STMV to be classified as medical rather than surgical and to receive their care in a mixed ICU (Table 1). The top five primary diagnoses given patients in the PAMV and STMV groups differed between the groups (Table 2).
*Values are given as the median (IQR) or %, unless otherwise indicated. APS = acute physiology score.
Outcomes were significantly different between the PAMV and STMV groups. Crude hospital mortality was higher in the PAMV than in the STMV group (relative risk, 1.35; 95% CI, 1.33 to 1.38) [Table 3]. However, no statistically significant difference was found in the SMR between the two groups (PAMV, 0.965; STMV, 0.990; p = 0.083). Table 3 shows the observed and predicted outcomes for the two groups. Although the predicted LOS in each of the strata among the patients receiving STMV approximated the observed LOS among the patients receiving PAMV, the predicted LOS value consistently underestimated the observed value by a substantial duration. Thus, the differences between the observed and predicted values were 5.2, 4.6, and 5.4 days for MV duration, ICU LOS, and hospital LOS, respectively (p < 0.001 for each). Put another way, the actual duration receiving MV, ICU LOS, and hospital LOS were longer than the predicted values by 111%, 67%, and 36%, respectively. The differences between predicted and observed LOS values in each stratum of care also were significantly greater among patients requiring PAMV than STMV (Table 3).
*The p value for mortality based on finding the smallest CIs that do not overlap. The p values for MV duration, ICU LOS, and hospital LOS were calculated using a t test of the difference between paired observations (observed and predicted values).
Results for the 45 hospitals divided into quintiles by annual institutional MV volume are presented in Table 4. Although the lowest SMR occurred among patients receiving PAMV in the lowest volume quintile, the highest volume quintile had an SMR lower than that for quintiles 2 through 4. Although no clear trend was found in the difference between the observed and predicted values for hospital or ICU LOS among the quintiles, the difference in the duration of MV showed a consistent rise, with the smallest difference observed in the lowest volume quintile and the greatest difference in the highest volume quintile (p < 0.001). Thus, although the patients requiring PAMV in the highest volume quintile had 9% lower mortality than predicted, they needed 5 additional days of MV.
*Values are given as the mean (95% CI).
†Values are given as the median (95% CI). Differences in LOS in each stratum of care are calculated as the actual minus the predicted number of days.
We have demonstrated that the observed mortality in the PAMV population is consistent with the APACHE IV predictions, with an SMR that approximates 1.0. Observed durations of MV, ICU LOS, and hospital LOS, however, are significantly longer than those predicted. As previously shown in all patients receiving MV,11 our data confirm an inverse hospital MV volume-to-survival relationship among most patients receiving PAMV, with the exception of those in the lowest volume quintile. Interestingly, with respect to hospital resource utilization, the difference between observed and predicted values for hospital LOS becomes greater as the annual hospital MV volume increases. This finding suggests that LOS models developed in a general population may miss important differences in highly select population subgroups, such as the population requiring a longer duration of ventilation support. This finding is consistent with other studies; for example, Murphy-Filkins et al12 demonstrated in a simulation study that artificially changing the proportion of patient characteristics beyond a critical threshold can generate misleading conclusions regarding hospital ICU performance.
The PAMV population is large and resource intensive, representing > 300,000 hospital discharges in 2003.9 Previous estimates of the median hospital LOS among patients receiving PAMV (17 days) far exceed those for patients receiving STMV (6 days).9 The growth of patients being discharged from the hospital while receiving PAMV is outpacing the rise in US hospitalizations overall, and this group is expected to number > 600,000 by year 2020.10 Given such explosive growth and resource intensity, it is critical to understand how the utilization patterns of such patients may affect quality and efficiency benchmarking. Our data suggest that mortality of patients receiving PAMV can be adequately predicted using day-of-hospital-admission physiologic measurements. However, measures of resource use, such as MV duration, ICU LOS, and hospital LOS, appear to be affected by factors unaccounted for in the APACHE day 1 models,13,14 such as neurologic, cardiac, respiratory, renal, nutritional, musculoskeletal, and psychological dysfunction, which may develop during the hospital ICU stay.
How do we address the imprecision of utilization estimates based only on day 1 physiology? Analogous to our findings in the PAMV population, the developers of APACHE found that patients remaining in the hospital ICU for > 4 days had an LOS that could not be predicted with adequate accuracy using day 1 data. As a result, a special equation15 was developed to estimate with greater precision the remaining LOS for patients who are still in the hospital ICU on day 5. In fact, applying the day 5 models to the PAMV population resulted in a much more precise estimate of the remaining LOS (data not shown), suggesting that a similar strategy may be needed for accurate LOS predictions in this group. However, until such equations are widely incorporated into routine information technology applications, performance benchmarking must be calibrated carefully so as not to penalize institutions with greater volumes of patients receiving PAMV. This admonition likely holds for other predictive models in wide use for performance benchmarking.
Given the near-universal finding that greater experience improves efficiency, the observation of a direct relationship between a hospital's annual MV volume and risk-adjusted MV duration among patients requiring PAMV is puzzling and could serve as a marked disincentive for regionalizing PAMV care. Although the explanation for this novel finding needs further exploration, our observation that the larger the annual hospital MV volume, the greater the discrepancy between their predicted and observed durations of MV carries important implications. Because MV is a disproportionate driver of hospital costs, seemingly small errors in the overall hospital LOS estimates may result in large discrepancies between actual costs and reimbursements for these institutions.16,17
Although mostly in agreement, our study is partially at odds with the study by Kahn et al,6 which indicated an inverse relationship between a hospital's annual volume of MV and mortality outcomes for all patients requiring MV. Contrary to those results, we have found in the PAMV population that although this relationship is the case for volume quintiles 2 through 5, it breaks down in the lowest volume quintile, which appears to have the lowest SMR. Several potential explanations exist for this finding, the most likely of which is that the small number of PAMV cases contributed by the hospitals in the lowest volume quintile has reduced the precision of the estimates. On the other hand, lower volume hospitals have been noted to be more likely to transfer their patients receiving MV to a higher volume facility,18 introducing a potential selection bias into the evaluation of the volume–outcomes relationship among patients receiving MV. Another possibility, though less likely, is that lower volume institutions may have more aggressive tracheostomy practices,19 resulting in their improved ability to transfer patients to a subacute facility sooner, where their outcomes are not captured. Finally, it is possible that lower MV volume institutions represent community centers where hospital discharge-planning efforts are less challenging than those in the larger referral centers. The latter scenarios would result in lower observed mortality because the SMR outcome is highly sensitive to hospital discharge practices.6 These and other possible explanations for this discrepancy need to be explored in future studies.
Our study has a number of limitations. First, as a retrospective cohort design, it is prone to several forms of bias. Second, the APACHE IV database captures only MV episodes that occur within the first 24 h of hospital admission. Although this procedure may have underestimated both the total MV and the PAMV cases, the population that requires MV after the initial 24-h period partly represents patients with nosocomial complications and, as such, can be expected to have different outcomes not based on the primary reason for hospitalization. Third, the PAMV case definition in the present study was slightly different from that used in previous work.9,10 Initial studies9,10 in this population defined PAMV as any patient whose case has been given an International Classification of Diseases, ninth edition, clinical modification, procedure code of 96.72 (MV duration for ≥ 96 h), but because of the way the APACHE data are collected, we classified PAMV as any patient who required MV on day 4 or beyond. Although our definition may have resulted in the misclassification of 4,531 (4.6%) cases as PAMV rather than STMV, this misclassification would carry a slight bias against our hypotheses. The fact that our results are significant even in the face of this possible misclassification implies that the relationships we have uncovered are robust.
We have confirmed that the PAMV population represents a substantial proportion of the total number of patients receiving MV; the hospital mortality rate for the group is 32%. Additionally, we have shown that although mortality predictions in this population are accurate, the predictions of LOS in every stratum of care significantly underestimate the actual LOS. Furthermore, while confirming the inverse volume-outcomes relationship in hospital mortality, we have demonstrated that patients receiving PAMV in hospitals with higher annual MV volumes are likely to have a longer LOS than those in the lower MV volume institutions. This divergence in mortality and hospital resource utilization outcomes should not by any means deter us from studying the potential of regionalizing MV services as a quality improvement measure because there is a substantial survival advantage associated with being cared for in a higher MV volume institution.11,20 It should, on the other hand, serve as further impetus to refine LOS prediction models for the increasingly specialized and complex populations cared for in our hospital ICUs. The implication that better hospital survival in the PAMV population can be achieved while at the same time expending increased hospital resources demands further attention. It underscores the importance of studying such potential interventions as early tracheostomy as an efficiency measure to streamline the care of patients receiving PAMV. It also demands better understanding of patient outcomes and utilities downstream from their acute hospitalization. Further study of what systems can eliminate bottlenecks in hospital throughput is critical in dealing with the welcome challenges created by improved clinical outcomes of patients with critical illness. Finally, as the PAMV population rapidly grows in US institutions, more accurate risk-stratification models that reflect the changing case mix are of paramount importance in order to develop valid performance measures and to align quality with reimbursement.
acute physiology and chronic health evaluation
confidence interval
interquartile range
length of stay
mechanical ventilation
prolonged acute mechanical ventilation
standardized mortality ratio
short-term mechanical ventilation
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Tyler Goldenberg, 17, practices for the 2012 World Yo-Yo Contest in Orlando. The Phoenix teen, who runs through his routine 10 to 20 times a day, is ranked No. 12 in the nation and hopes to place in the top 50 at the world contest. Laying on the floor and shooting straight up was the best angle to capture him practicing.
Tom Tingle/ The Arizona Republic


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Over the past few years, the UFC has fulfilled nearly every possible expectation.
Including high PPV income, signing the most elite fighters in the world to lucrative contracts, vast media exposure and more.
The world's largest MMA promoter has continued to grow in size, revenue, worthiness and notoriety.
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From being ridiculed for not compensating their fighters properly to handing out lengthy suspensions to their biggest cash cows, the UFC has fought an uphill battle.
Here are the company's 10 biggest questions moving forward.


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Boulder County Real Estate
Boulder is famously surrounded by a ring of open space, called a greenbelt, which has built up around the city over the past 20 years, and adds to the natural appeal of the area.
Broomfield is known for its warm community feel. In order to maintain this close-knit neighborhood spirit, the city has been conceived and planned in order to control growth.
Erie was once home to coal mines, railroads and agriculture. Now, the quality of life for Erie homeowners is exceptional, and includes a glorious 340 days of sunshine per year.
The Lafayette real estate market boasts many new residential subdivisions, which offers buyers a great deal of choice when searching for the perfect home in Lafayette, Colorado.
Newcomers are drawn to Longmont because of the town's centrality. It has a growing retail base of new department stores, restaurants, and professional services.
The population of Louisville, Colorado has more than tripled since 1970; standing now at almost 20,000. The city rests on eight square miles, and despite its recent growth, manages to retain its small-town feeling.
Lyons is known as the gateway to Rocky Mountain National Park, and has many attractive small-town qualities such as antique shops.
Nederland homeowners enjoy the serene and beautiful landscape of the area, and pride themselves on a strong sense of community.
The Niwot real estate market is setting its course for growth, but there is an active community association that keeps its residents updated about current concerns and development.
Beautiful houses dot the approximately four square mile landscape of Superior, CO. Property owners here enjoy access to over 590 acres of park and green space.
Want to Learn More About Buying a Home in Boulder County?
Contact RE/MAX of Boulder online, or call us at 303.449.7000; toll-free at 1.800.825.7000.
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Dieting for summer 07/08/09
Afternoon Ladies and gentlemen you may have been thinking that i hadn't updated the progress for a while well here goes, after suffering a little bit of illness 12 weeks in the diet went a little astray for a week or so but i was soon back on it, it is a continuos learning curve when dieting. I am very much someone who will take things to extremes but i have found that easing off a little an pulling down the morning cardio sessions to 3 times per week has actually allowed me to train with much more intensity in an evening.
Intensity is very much the key, training for no longer than an hour with weights at intensity i.e less than a minute between sets has left me feeling hungrier and leaner than training longer and more frequently. As the diet has progessed the food sources have got tighter but still not so tight that i don't look forward to every meal. The key to sanity supplement wise has come in the form of thick blend shakes; USN IGF 1 and Phd Pharma Blend 6Hr i will have 4-5 shakes per day to ensure my protein intake is constant, my metabolism has responded well to this as evry 2-3 hours i am feeling ready for the next shake.
I stick to a standard week really when at Monster Monday through Saturday the day shapes up as below
Lean degree, HMB, BCAA's and Black coffee
30-40 mins cv 3 times per week
715 Am
Pharma Blend or IGF one- Low carb days and twice a week one scoop of Pharma Gain and a scoop of either protein
Protein shake as above
Salad or cooked greens with lean beef or chicken- dash of BBQ sauce to flavour
One scoop of blend protein
Pre Workout- Ragnarock or Xplode with HMB and Lean degree
PWO Shake either Straight protein with HMB or Pharma Gain 1-2 scoops with scoop of whey
Evening Meal- same as lunch
Blend Shake or Sugar Free Jelly with Protein powder
Saturday is very similar often as low on carbs as possible
Sunday starts the same but after training finishes at 11am its carb time, i say almost anything goes to shock my metabolism and replenish glcogen it often results in a box of cereal, porridge fruit and baked potatoes; simple but we all like different things
Other daily supplements include a multi vitamin either MVP Mill Sport Tech 365 or catalyst from PHD
Whilst dieting i also cycle Cre 02 8 weeks on and 2 weeks off along with a test booster.
The results are shown below from end of February/beginning of March through to the beginning of August. I have around 4 weeks left of a steady manageable diet hoping to drop another 4-6lbs so i am hhovering around the 15 stone 5 mark… As always keep training and i will be keeping you posted! All the best JB
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Let's get the obvious question out of the way: Should the Knicks match the Houston Rockets' four-year, $28.8M offer sheet to Jeremy Lin?
All indications are they will -- whether you think it's a good idea or not -- and that leads us to a tougher question. With Jason Kidd (three years, $9M) and Lin both likely in the fold, how should the Knicks play their point-guard situation?
Kidd, 39, averaged just under 29 minutes in 48 games last season in Dallas, where he averaged 6.2 points, 5.5 assists, 4.1 rebounds and 1.9 turnovers per game.
Lin, 23, averaged just under 27 minutes in 35 games last season with the Knicks. He averaged 14.6 points, 6.2 assists, 3.1 rebounds and 3.6 turnovers per game.
Kidd reportedly came to the Knicks in part because he'll get to mentor Lin. So with both point guards likely on board, how do the Knicks handle the situation. Who starts? Who gets more playing time? Who's on the floor in crunch time? Can Kidd learn for himself -- and then teach Lin -- how to make Carmelo Anthony and Amar'e Stoudemire play together and make the Knicks great - or as least as good as the Nets (ha!)?
Tell us your thoughts in the comments section below.


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LISBON - Columbiana County commissioners are hosting a meeting next week to begin discussions on how to spend $576,000 available for demolishing abandoned and dilapidated homes.
The meeting is to be held at 10 a.m. Thursday in the commissioners' meeting room, and cities, villages and townships are asked to send a representative.
This is one of the first steps being taken by commissioners after learning last week the county was eligible to receive $576,000 as part of Ohio's share of a nationwide settlement with five mortgage companies. This was the result of lawsuits filed by states against these lenders for fraudulent and deceptive lending practices.
Commissioner John Payne was designated to take the lead on the project, and he reported at this week's board meeting being involved in a conference call with the Ohio Attorney General's Office to learn more about the program.
Payne said he did learn the county would be required to provide a dollar match for every grant dollar receive beyond $500,000. In other words, if commissioners want the full $576,000, they will have to contribute $76,000 in county funds.
"So we're probably going to go with the $500,000 at this point," he said.
Payne said there were few requirements beyond that the money must be been spent on demolishing dilapidated houses, and they do not have to pay the prevailing union wage when hiring contractors, which will save money and allow more homes to be razed.
"Luckily, there aren't a lot of strings attached to this," he said.
Payne has begun working on some criteria on how to decide which houses will be demolished, and the next step would be to have further discussions with his fellow commissioners on what approach they favor.
Several years ago, the county received $700,000 through the federal Neighborhood Stabilization Program to demolish abandoned and foreclosed homes. The money was used to demolish about 200 homes, including about 40 each in East Liverpool and Salem.


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