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Association of American Law Schools
2011 annual meeting
AALS Hot Topic Session--The BP Blowout Spill & Its Implications
Friday, January 7th, 2011
Special Location: Glide Church, corner of Ellis & Taylor, San Francisco 330 Ellis Street, adjacent to SW corner of Hilton Hotel
List of Presentations
Video-Schematic Chronology—Times-Picayune-"110 Days, Blow-by-Blow" [open with Browser OR SEE— http://www.nola.com/news/gulf-oil-spill/index.ssf/2010/08/graphic_brings_together_multip.html ]
MP-3 Recording of the Panel Session
Powerpoint: Plater
Powerpoint: Fershee
Powerpoint: Osofsky
Abstract: for presentation #2
Research Group Submission to the National Commission: Boston College Research Group Submission to the National Commission: Minnesota [to be added...]
Video of Nov. 2010 Boston College Law School Symposium "Learning from Disaster"
Collected materials for teaching BP Deepwater Horizon Macondo, from Marc Poirier [to be added...]
Additional Information
President's Report: BP Oil Spill
Please note: This page links to Microsoft Powerpoint formatted files. To view them, you will need to download the free Powerpoint Slide Viewer. In addition, this page also links to Microsoft Word formatted files. To view them, you will need to download the free Word Doc Viewer.
This page links to PDF files. Use this link to download Adobe Reader if needed.

subset: commoncrawl


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Reference Overview
In effort to extend SoftLayers dedication to automation to our customers and partners, we have provided this set of APIs to interact with all of our products. The APIs listed below will be your programmatic access point for integrate with your SoftLayer services. Our customer portal was built on top of the same API set we provide to our customers and is a great example of the tasks which can be performed.


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Created in this Craftsy class
Enjoy the knit of the Irish as you follow Carol Feller stitch by stitch to make a flattering cardigan sweater with contemporary Celtic cabling.
Other projects made as part of this class:
Offer some kudos...
Join the conversation...
Ask a question...
Add your comment...
|Here are some details about my project:
|Yarn Weight
|Worsted (10 ply)
|Traditional, Classic, Casual
What materials did you use? Stitch markers in four colors, size 4 and 7 circular needles, tapestry needle
What are you most proud of? Because the sweater was very wide in the back and droopy along the neckline (I made it too big and should've done a smaller size), I signed up for the Sweater Surgery course and corrected the sides and the neckline. I kept the length int he sleeves because I like them long. The photo with the buttons shows the sweater with the corrections.
What a nice sweater! Wear it proudly- it looks good on you :)
Thank you. I love the Soft Donegal yarn. It really it is soft and very warm. I wish Craftsy had it in more colors.


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If the daily blizzard of digital text on websites, apps, TVs and electronic readers is starting to feel a bit dizzying, take a breath and read a book or newspaper.
Academic research suggesting that the brain is better able to absorb complex material when read in print has prompted fresh debate about whether predictions of the death of the "dead tree" media have been too pessimistic.
Wired, one of the publications most closely associated with the digital revolution, struck a chord with readers this week by making a passionate case for the endurance of the printed word.
The magazine argued


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Glamorous Sock Bun
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Replies (11-14):
I tried to go through the link and got an error message too. I have no idea why, it's never done that before. You can go to my profile and see the post. I have my journal posts open to all CM members.
Quoting ScensiblesBags:
For some reason it wouldn't let me see the link.
Instead of cutting up your socks you can also get a hair donut. BunQueen.com has them in different colors and sizes!
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Classification Description
This is a description of a staff position at the University of Wyoming, not a job opening announcement. Current job openings can be found at the Prospective Employees page. The following statements are intended to describe the general nature and level of work being performed. They are not intended to be construed as an exhaustive list of all responsibilities required.
Publication Designer
Reports to: Designated Supervisor
UW Job Code: 3777
UW Job Family: 3D
SOC Code: 27-1024
Pay Grade: 20
Date: July 01, 2008
Job Purpose:
Serves as art director and selects, edits and/or prepares materials for University proposals or publications for a designated division.
Minimum Qualifications
Education:Bachelor's degree
Experience:1 year of work-related experience
Required Licensure, Certification, Registration, or Other Requirements:None
Knowledge, Skills, and Abilities
Knowledge of:
- Design techniques, tools, processes, and principles involved in production of institutional publications.
- State of the art graphic design computer software including, but not limited to, text management, image creation, scanning, and text and image layout programs, including Adobe In-Design, PhotoShop, PageMaker, Illustrator, and MS Excel, Word and other office programs.
- Page layout set-up and publications processes through pre-press stages.
- Advertising, magazine publication or marketing communications.
- Offset printing, publishing and/or graphics art procedures and related computer software.
- The principles and techniques of graphic composition, typography, and color theory.
- The principles and practices involved in graphic presentation of statistical, scientific, and historic information, and other informational subject matter.
- Various styles of drawing charts and graphs, and methods of production.
- The techniques of typography involving spacing, arrangement, margin, tone and color.
- Contrast and techniques of third dimension in poster design and in other presentations.
- The methods of calculating proportions and percentages, plotting by scale or geometry.
- Embossing, die cutting, bindery and other special techniques used in publications for booklets and pamphlets.
- The methods of graphic and print production, the relative effectiveness and efficiencies of certain methods of production, and their related costs.
- Web design software, methods and techniques.
Skills and Abilities to:
- Review, analyze and graphically convey complex information to a variety of audiences.
- Communicate effectively, both verbally and in writing.
- Creatively design and implement a variety of communication materials.
- Meet various deadlines in a time-restricted environment.
- Follow complex oral and written directions.
- Adapt and graphically present various types of information.
- Produce freehand illustrations and mechanical letter work.
- Select and use various artists' inks, oils, colors, watercolors for effective presentation of work.
- Apply color theory in selecting effective color schemes for charts, graphs, maps, and posters.
- Use drawing instruments and other artistic tools effectively.
- Interpret the basic principles and ideas of various subjects into graphic representation.
- Compose attractive and informative exhibits and displays.
- Maintain, configure, and troubleshoot computer as it relates to graphic arts production.
- Maintain records, and digital databases, prepare reports and write correspondence related to the work.
- Maintain favorable public relations.
- Adapt new technology and methods to enhance program effectiveness.
- Foster a cooperative work environment.
- Design and/or redesign websites.
- Supervise the projects of others.
Characteristc Duties and Responsibilities
Essential Functions:
Design, review, evaluate, and edit materials, proposals or publications, as directed.
Works independently and with others to develop ideas for illustrating magazine articles, features and departments and to acquire, assign and integrate photographs and artist's illustrations.
Determine look and feel of the theme for publications, proposals, or articles; gather related materials.
Organize materials; plan and implement overall and individual page layouts through the pre-press stage including illustration, typography, design, hi-resolution scanning and color correction for offset proofing and printing; prepare/determine specifications including type, ink, and paper stock.
Review final proof independently and with others to detect errors and indicate corrections.
Supervise creative aspects of contract design work for publications including photography, typesetting, halftones, and four-color separations or electronic scans.
Redesign/design websites, as directed, to reflect communication goals and meet current best practices.
Design through pre-press stage major recruiting and institutional publications; works as a team member with other Publications staff.
Supplemental Functions:
Lays out biweekly newspaper.
Develop budget recommendations and monitor expenditures.
Prepare cost estimates.
Performs other public relations functions, as directed.
Working Conditions:
No major sources of discomfort, standard office environment. Regular exposure to video terminal displays.
Authorized by Classification/Compensation, Human Resources
Employees may be requested to perform job-related tasks other than those specifically presented in this description. Participating in the University's hazardous waste minimization program is part of the job of each employee who uses (or may come in contact with) hazardous materials. Fair Labor Standards Act (exempt/non-exempt) is designated by position. University of Wyoming actively supports Americans with Disabilities Act and will consider reasonable accommodations.


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The Palm Beach County Water Utilities Department operates 24 hours a day, seven days a week, to provide residents with the highest quality drinking water, wastewater and reclaimed water services. Click on the individual facilities listed below to learn more.
Water Treatment Plant #3 is one of four Palm Beach County Water Utilities Department drinking water treatment plants operating 24 hours a day, seven days a week. It utilizes state-of-the-art membrane softening filters, which are fine plastic sheets through which pressurized water is pumped. After filtration, the water is degasified and disinfected. The membrane-softened water is then blended with filtered raw water before it is distributed to the surrounding suburban Delray and Boynton areas. The plant has the capacity to produce approximately 30 million gallons per day of drinking water, and its raw water source is the underground surficial aquifer.
Last Updated : 02/08/2007


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TV Watch
Patti Stanger Blogs: What to Consider When Reuniting with an Ex
While the official word is that Chris Brown and Rihanna are just friends, some would say that paparazzi pictures point to a more-than-friends situation.
Are the two singers baby-stepping their way back together? It's not clear. But if they are headed for relationship round two, my advice is to keep things as private as possible.
Though most women would tell Rihanna to run for the hills, her heart may be pulling her in the other direction – and that's a powerful organ to ignore.
We have all loved a guy we know has issues. Despite popular opinions, until we give it a final try, the relationship will always be in the "what if" stage. In order to get that out of her system, Rihanna can take Chris back in stride – but watch it closely with her circle of friends and family. Together they can see if Chris has, in fact, changed.
Also, a great family therapist who can monitor the couple's progress needs to be seen at least once a week.
Showing affection and grand romantic gestures are not enough. In order to feel safe with her ex, Rihanna needs to see how Chris handles pressure, jealousy and anxiety. Spending at least six months seeing each other on a steady basis, doing normal things out of the spotlight will reveal if this couple can make it.
A word to the wise, Rihanna: Listen to your gut. If it feels right, do it. If it doesn't, then you know you gave it a try and you can let it go in order to leave the door open for true love.
Head over to PattiKnows for more advice.
X17online, Splash News Online


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KANSAS CITY, Kan. -- Associated Wholesale Grocers here outlined a theme of "investing for the future" in explaining unusual expenditures and reduced earnings. "Investments in technology and operations, vital to the company and our members' future, were undertaken and are reflected in the year's sales and patronage figures," said the wholesaler's annual report. Net earnings in 1997 were $63.9 million, down 4.3% from the year prior. Sales of $3.1 billion were essentially unchanged from 1996. ...
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Added by Mayra Calvani on October 2, 2011 at 4:25am — No Comments
Vacation = Relaxation? I'm not so sure. We have been home from vacation for 5 days, and I still don't feel "caught up". I am really tired, still haven't put all of our laundry away, and haven't fixed my hair since we returned home. I am however, soooo happy to be home! It is always nice to get away, but by the end of vacation, I am always excited to return to the comfort of my own home, and ready to eat home cooked meals. This year, we headed to Myrtle Beach for a week. We had an…Continue
Added by Jessica Gosney Kielman on June 22, 2011 at 11:42am — No Comments
I was born and raised in San Diego, California. (Yes, pictures like this one and that one are from that bee-u-ti-ful city.) But, in addition to my dear and loving family and friends there, it's the ocean that holds my heart. San
Diego's ocean simply beckons one to interact. And not…
Added by Jeanine Ertl on July 26, 2010 at 2:07pm — No Comments
Added by Rebecca Wear Robinson on January 20, 2010 at 12:11pm — No Comments
Added by Baya Gatter on August 9, 2009 at 1:28pm — No Comments


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For the past few quarters, American International Group (NYSE: AIG ) was king of the hedge fund hill, with more money managers picking the insurer than the perennial favorites, Apple (NASDAQ: AAPL ) and Google (NASDAQ: GOOGL ) . But alas, all reigns come to an end, and the tech giants have reclaimed the top two spots once again. But one interesting data point may prove that AIG is still the top choice for hedge funds going forward.
All about the numbers
Produced each quarter, the Goldman Sachs Hedge Fund Trend Monitor provides data on over 700 hedge funds totaling $1.7 trillion in gross assets. Based on the number of hedge funds investing in the individual stocks, Goldman Sachs can pronounce the winner each quarter. Here were the third quarter's top five:
|No. of Hedge Funds
|% of Equity Owned by HF
|Total Return YTD
|General Motors (NYSE: GM )
|Citigroup (NYSE: C )
Based solely on the number of hedge funds investing in its shares, Apple blows away the competition, while Google and AIG battle for runner-up. But Goldman takes the analysis a step further.
Quality over quantity?
When looking at the top 10 positions in each of the hedge funds reviewed, AIG tops the list once again, with Apple falling to second place. As the table shows, 12% of all AIG stock is owned by hedge funds, marking confidence in the company's turnaround story. Though Apple remains the leader of the tech pack, its year-to-date return of exactly 0% has to be more than disappointing to both money managers and the average investor alike.
Much like the AIG story, as told by the Trend Monitor, General Motors is highly popular among money managers. And with the remaining shares held by the government potentially on the block by the end of the year, it could reach a higher spot on the rankings during the fourth quarter.
Citigroup is also on the rise with investors. And though it has produced the second lowest return so far in 2013, 29% isn't so shabby. The company has been working through some legal issues -- and it's not alone in this among the nation's largest banks at the moment -- but it remains a convincing opportunity for investors looking at big banks.
Bigger story here
One of the clearest trends from the Goldman Sachs report is that hedge funds are confident in companies that are either very well established and still innovating (Apple and Google) or convincing recovery stories from the financial crisis (AIG, GM, and Citi). Though the top return this year so far has come from Google, the second category provided consistent returns close to or above the 30% mark.
Though it's not wise to base your entire investing strategy on the portfolio trends of hedge funds, some valuable information can be learned by watching the professionals. Be sure to keep an eye out for more coverage of the hedge fund favorites, but be careful of following too closely -- hedge funds have been outperformed by the market by more than 17% year to date.
Top picks can be important
Though The Motley Fool isn't a hedge fund, we've got some serious knowledge to share. The market stormed out to huge gains across 2013, leaving investors on the sidelines burned. However, opportunistic investors can still find huge winners. The Motley Fool's chief investment officer has just hand-picked one such opportunity in our new report: "The Motley Fool's Top Stock for 2014." To find out which stock it is and read our in-depth report, simply click here. It's free!


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Active within 2765 Days
Name: The Woodsman
Size/Category 29-Gallon Saltwater
Type: Glass
Shape: Standard
List of Fish:
1 - Bi-Color Blenny1 - Ocellaris Clownfish1 - Pajama Cardinal
Lighting: Fluorescent
Filtration: Eclipse 3 w/ Biowheel
Invertebrates: 1 Blue Legged Hermit Crab 1 Mexican Hermit Crab 3 Turbo Snails
Other Accessories: Live Rock
See all awards »
I've had 524 friends visit me.
I'm the 1,979th member on FishChannel.com.
10 friends have voted for me since I joined Fish eClub!
Come visit me, Jaws, The New and Improved, Whiskers II & New 29 gallon Tank!.
shannon, Temple, PA.
Come visit me, koi person.
Come visit me, New molly!, Blackey & mom and dad, - the mom, - the dad. :^( :^( :^(.
Come visit me, fiscofreak.
Come visit me, Great White's Cichlid Tank, Great Whites GoldFish Pond, Patio Pond & Great White's AngelFish Tank.
Come visit me, Platy Tank, R.I.P Betta 2, Pearl Betta, Rainbow (In Loving Memory), Aquarium 2 & Sunset R.I.P.
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As a child, I spent summers at my grandmother's home in Cape Breton, Nova Scotia. During these visits she would serve strong, hot tea along with delicious "squares" and cookies. Brightly-colored tins would come out of the pantry...each one filled with delectable home baked treats such as oatmeal date bars, lemon butter squares, mint chocolate brownies, or molasses crinkles.
My signature recipes are gleaned from the spirit intended by my grandmother, aunts, and cousins' collections and are all made from pure, honest ingredients just as they were years ago.
Order your
baked goods
for any


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Gift Premium Subscription To Kdog22
Join Date:04-16-2013
Last Activity:03-23-2016 10:46 PM
Likes Given: 82
33 Likes on 30 Posts
- Apfelwein, Show mead and Black Cherry mead
- Purple grape, White grape peach, apple, JAOM and mixed berry mead.
- Male
- Married
- Spring
Posted in thread: Man, I love Apfelwein on 03-17-2016 at 07:12 PM
Figured I'd come back in and re-visit this thread. I bottled my first batch of Apfelwein on
12/19/13. I still have a handful of bottles left and I still crack one open every once in a
while. This stuf...
Posted in thread: How many gallons of Mead 2014 Edition! on 11-24-2014 at 05:34 PM
Almost forgot..1 gallon of Cyser1526 + 1 = 1527
Posted in thread: How many gallons of Mead 2014 Edition! on 11-24-2014 at 05:32 PM
1 gallon Traditional 1 gallon Dark Cherry Melomel1524 + 2 = 1526
Posted in thread: First mead experiment in a while! on 11-05-2014 at 10:19 PM
Hello everyone. Been a long time since i've posted here. Been brewing alot of beer lately and
have done very little wine, mead or cider. Switched gears this past weekend and put together a
few new mea...
Posted in thread: Average clearing times on 06-18-2014 at 12:07 PM
In my experience most wines will be clear at the 3-4 month mark. I like to let my wines bulk
age in the carboy for around 5 months or more before bottling and they are normally crystal
clear by then.
Posted in thread: Cranberry Apple Hard Cider on 06-09-2014 at 10:13 PM
looks Awesome!!!!! I know what i'm doing this Friday night !!!! Thanks :DNo problem.
Posted in thread: Cranberry Apple Hard Cider on 06-06-2014 at 12:42 PM
Some pics from beginning to delicious end: the airlock was fitted first... Bad choice.. lol
into gallon carboy and then the rest into my keg.. product in all it's delicious glory:
Posted in thread: Cranberry Apple Hard Cider on 06-05-2014 at 10:59 PM
This recipe I got from a buddy who loves it and highly recommended it. I can't take credit for
it. If you have a kegerator, this is the easy and delicious recipe for you. This could also be
bottled an...
Posted in thread: yeast on 05-21-2014 at 02:06 PM
I just tasted my finished batch of hard cider with nottingham ale yeast. VERY happy with the
result. Plus, it was crystal clear in about 5 weeks. Great flocculation with this yeast for me.
Posted in thread: Dumb question - Campden Tablets.. on 05-20-2014 at 10:06 PM
I'd think if you DID have any undissolved bits, they'd come up with yeast and other sediment in
the first pint or so.Very good point. Didn't think about that!If it's worrying you, put a glass
of water...


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California Restaurant...
9/25/16 - 10/2/16
The premier Day of the Dead event in San Diego County, Old Town San Diego's Día de los Muertos, is designed to celebrate the history, culture, and heritage of the region.
It is produced by Save Our Heritage Organisation (SOHO). Through education, advocacy, and stewardship, SOHO's mission is to preserve, promote, and support preservation of the architectural, cultural, and historical links and landmarks that contribute to the community identity, depth, and character of our region.
Old Town's legacy has a predominance of Mexican, Spanish, and Native American, and as a general melting pot, makes it the best site in San Diego to hold this special and beloved celebration. Remember the Old Town San Diego's Día de los Muertos is all about the history, culture, and heritage of the holiday. Please note it is not a street fair.
This event celebrates the unity of life and death, considered by many to be the most important holiday of the year in Mexico and other Latin American countries, although it is observed in Portugal, Spain, Philippines, Italy, France, Poland, Slovakia, Lithuania, Croatia, Austria and Germany, just to name a few!
Día de los Muertos is a very special time, when once a year, the spirits of loved ones who have died return to earth to celebrate this holiday with friends and family.
California Restaurant...
9/25/16 - 10/2/16
9/28/16 - 10/2/16
Fashion Week San Diego
9/29/16 - 10/2/16
San Diego Brewers Guild
11/5/16 - 11/5/16
Save our Heritage Organisation...
10/1/16 - 10/31/16
La Jolla Historical Society
10/1/16 - 10/31/16


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While on twitter the other day i saw a post from Ryan Singer, the UI design, code, and product management at 37signals, which names the three line navigation icon the "Hamburger Icon". Singer sort of credits Craig Mod, an independent writer, designer and publisher, who posted the following image of the three line icon with a hamburger.
Inspiration Tweet from Ryan Singer
Inspiration Image from Craig Mod
OF COURSE, i fell in love with the name and promptly talked it over with my co-worker AJ Troxell and decided to make our own hamburger icons. Not really sure how functional it is as an icon, but i love it.
Color and Reverse versions


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Raven Internet Marketing Tools
Raven Internet Marketing Tools is used by thousands of marketers worldwide to efficiently manage search engine optimization,social media conversations, online advertising campaigns and more. With Raven you can conduct research and analysis, manage link building, track search engine trends, create and manage ad campaigns, monitor and manage social networks, collaborate with team members and instantly produce sophisticated campaign reports. All this, from one central location.
Become a Raven Affiliate Today
Raven Internet Marketing Tools has teamed up with ShareASale to offer a simple affiliate signup process, so that you can begin earning commission payments from your website as soon as possible.


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Extra-abdominal spread of pseudomyxoma peritonei (PMP) is a rare event, but extension of the tumor beyond the abdomen into the pleural cavity has been reported. We report a case with synchronous pleural manifestation of PMP confirmed during abdominal cytoreductive surgery that was managed by simultaneous bicavitary hyperthermic chemoperfusion. To the best of our knowledge, this is the first report of bicavitary hyperthermic chemoperfusion for PMP. During the abdominal cytoreductive surgery in a patient with known history of PMP, extensive disease under the right hemidiaphragm was noted, requiring partial diaphragmatic resection. Once the pleural space was entered, separate mucinous deposits on the pleural surface of the diaphragm and lung surface were observed. The involved portion of the right hemidiaphragm and lung were resected. The diaphragmatic defect was left open during the hyperthermic chemoperfusion to treat both the pleural and peritoneal surfaces. The patient's postoperative course was uneventful. Simultaneous bicavitary hyperthermic chemoperfusion is a potential therapeutic option for patients with pleural extension identified during cytoreductive surgery.
Direct extension of pseudomyxoma peritonei to the pleural surface of the right hemidiaphragm.
Separate lesions of pseudomyxoma peritonei on the visceral pleura of the lung.
Thank you for submitting a comment on this article. It will be reviewed by JAMA Surgery editors. You will be notified when your comment has been published. Comments should not exceed 500 words of text and 10 references.
Do not submit personal medical questions or information that could identify a specific patient, questions about a particular case, or general inquiries to an author. Only content that has not been published, posted, or submitted elsewhere should be submitted. By submitting this Comment, you and any coauthors transfer copyright to the journal if your Comment is posted.
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Indicate all relevant conflicts of interest of each author below, including all relevant financial interests, activities, and relationships within the past 3 years including, but not limited to, employment, affiliation, grants or funding, consultancies, honoraria or payment, speakers' bureaus, stock ownership or options, expert testimony, royalties, donation of medical equipment, or patents planned, pending, or issued. If all authors have none, check "No potential conflicts or relevant financial interests" in the box below. Please also indicate any funding received in support of this work. The information will be posted with your response.
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These are greater VI and I use them a lot.
Now I have a cRIO with a 9111 backplane which does not seem to be supported by these Vis.
Will they be updated?
01-07-2011 10:01 AM - edited 02-10-2011 09:17 AM
I have attached updated versions of two files which contain all of the model codes for the controllers, backplanes and modules. Please copy these files to your harddrive, replacing the files that are currently there.
cri_cRIO Vendor and Components Library.vi >> ..\LabVIEW xxxx\user.lib\CRI\_subVIs
cri_cRIO Backplanes.ctl >> ..\LabVIEW xxxx\user.lib\CRI\_subVIs\TypeDefs
These files are used to lookup and convert the model code read from the HW to the corresponding controller, backplane or module name. If you have a newer piece of HW which is not listed, you can update these files yourself. By looking at the outputs of the CRI subVIs you will be able to see the model code for your new hardware.
[2/10/2011] Update: The files on the DevZone docment have been updated to the latest version.
Thanks Christian
I now get the correct information about the backplane, but I don't get the information about the connected modules which is what I really need. It seems that I need a bitfile for that specific backplane in the CRI Get cRIO Modules Info.vi. If it is possible to get an updated version of these VIs as well, I would really appreciate it.
01-17-2011 03:02 PM - edited 02-09-2011 03:11 PM
I have added two new attachments to the original document on DevZone containing the complete updated version of CRI.
Thanks for the update Christian.
However, I still don't get any information about the modules when using a 9111 backplane
I updated the attachments on the document one more time. Previously I had only updated the CRI Get Remote cRIO Modules Info.vi and forgot to update the local version of the same function.
I also created separate installers for LabVIEW 2009 and LabVIEW 2010 to account for the difference in the RT Ping function.
FYI: Even though you have fixed the subVIs to support the additional backplanes and have the bit files in the installer package. The text on the website still state that only the 9101, 9102, 9103, 9104, 9072, and 9074 backplanes are supported. I installed the CRI package from the LV2010 VIP file and noticed that it does not have the change you made within the "CRI Get Remote cRIO Modules Info" file. Not supporting the additional backplanes. Therefore I downloaded the zip file and overwrote the VI which the VIP installed with the one from the zip file.
I want to use function CRI Get cRIO Modules Info.vi. In control on Front panel of this VI I can choose for example sbRIO-9602,
but in block diagram I see that there is not case which will call proper subVI (e.g bit file). So, is it possible to get support for sbRIO components for reading information about modules?
(I am interested for sbRIO 9602 most)
P.S. Kudos for library
I'm working on an update of the CRI to include support for recent cRIO and sbRIO additions. I should be able to post a 'beta' version in a couple of days. Can you describe your application in a little bit and how you use CRI in a sbRIO-based application. In the past we have not planned on adding sbRIO support to CRI as we see sbRIO to be used in static applications in regards to HW - we don't expect users to change the HW configuration of sbRIO systems at run-time.
Hello Christian.
Thanks for update.
I am supporting one customer, who si using sbRIO, and idea of his application is to one of the three slots on 9602 to cover several HW/SW options by
inserting various modules. They wish that the RT recognizes the module and selects the appropriate FPGA bit file. So, acquisition of different type of signals
and processing of those based on module which is required is main idea.
Sofija Poledica
AE Eastern Europe


text:
NORTHAMPTON – Police are probing a Wednesday morning break-in to Murduff's Jewelers in the Florence section.
"We had some jewelry taken but not a lot of valuable stuff fortunately," Lt. Kenneth J. Watson said.
Watson said police were alerted to the break-in when an alarm sounded about 3:15 a.m. The suspects broke in through an eastern window of the 90 Main St. building.
Video surveillance shows at least four suspects entered the store and and broke into several display cases, Watson said.
Police believe two of the suspects may have suffered injuries based on the blood that was left at the scene, Watson said.
A similar break-in involving at least four suspects occurred last January at Richard's Jewelers in Westfield. Arrests have yet to be made in that case, piolice said.


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pretty much... iam not going to watch the game, ducks games have been 2 painful for me to watch lately . ima just watch the wing VS. Flames game. Will be much more exciting most likely. With 2 good teams playing each other.
I think we have ourselves a closet wings Fan
Come out Already


text:
most of you will never understand the pure fire behind these unless you customize sneakers yourself
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March 5th, 2014 by John Kim / 58
Does this Air Jordan 5 look familiar? At first glance they may appear to be the underrated "Burgundy" colorway of the sneaker, but this is actually a custom take on that design. The "Violet" remix from Maggi features premium Italian suede panels of the titular shade across the upper, some leather piping that separates those panels, and extra stitching across the midsole to reinforce the build. Take a more in depth look at these custom Jordans with us after the break and then give us your two cents on the Air Jordan 5 "Violet" Customs by Maggi in the comments.
Source: Sneakershot
Filed under: Air Jordan Customs Featured
Tags: Air Jordan 5 Air Jordan V Jordan 5
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most of you will never understand the pure fire behind these unless you customize sneakers yourself
@sneakernews I want these
@sexts101 @GIANNIDPHOTO @5thJesus_ @SneakerShouts wth I could've sworn they were just regular 5s
@sexts101 oh i peep. They made part of the suede a brighter purple.
WTF want them right now :'(
@sneakernews Lewis Hamilton wore these three weeks ago in Rome
@sneakernews are these releasing?
These remind me of the "custom" Air Jordan 5s Drake wore before
@nobletrends @sneakernews these aren't customs
Lol you can tell these aren't normal Burgundy 5s. So no, THESE did not drop if you know shit about sneakers. THESE are a custom. Google the Burgundy 5s and tell me if its the exact same shoe. Color is different and so is that heel panel with the leather piping. The plastic nets on the side are much bigger on real 5s But I do agree that these just look more like fakes than a custom. The details are dope but too subtle.
"@sneakernews: Tell us what you think of this Air Jordan 5 custom dlvr.it/55C53F pic.twitter.com/UVDseN0awB" not customs.
@sneakernews very very fresh
@sneakernews they aren't customs
@Tr3Prom @sneakernews lol idiots
@sneakernews they ate not customs
@sneakernews alright
@sneakernews they are dyed violet but the ankle support stayed part of the burgundy 5s. They're technically custom. But not worth it.
@Tr3Prom @sneakernews these fools trolling? LOL
@sneakernews what's custom about them? Those were a quickstrike release
@sneakernews These aren't customs. I should of never sold mine.
@sneakernews sorry but the 5's don't have that piping and the net is different the og's don't have that !
@sneakernews haha
@sneakernews those are the seats out of a 89 Buick !
@sneakernews ya fucked up
@sneakernews this is worth a unfollow if you call those customs #SMH
@sneakernews they just don't know the difference lol pic.twitter.com/Yy6fwWmtg2
@sneakernews Burgandy 5's pic.twitter.com/4UkYpYks77
@sneakernews those aren't customs lol
@sneakernews those arent customs... whoever runs this twitter needs to get their knowledge up
@sneakernews yeah def not customs lol
@sneakernews these arnt customs didn't they come out in like 05-06
The Burgundy Vs are my favorite Vs and these definitely arw not them, the color is completely different. That being said i really like the changes and would cop em in a heartbeat.
Would cop with no hesitation if these were to drop.
@Daddy_Diiino @sneakernews read the article dino
@sneakernews these are sick dope!
@sneakernews or these are burgundy 5s...
@sneakernews don't see wats changed looks like burgundy 5's to me
"@sneakernews: "Violet" Jordan 5 customs sneakernews.com/2014/03/05/air… pic.twitter.com/75BkACZfRX" aren't these just Burgundy 5's!?
what did he change? they look like the burgundy V's to me....
"@_lVlayan: @sexts101 @GIANNIDPHOTO @5thJesus_ @SneakerShouts wth I could've sworn they were just regular 5s" Gshit
@GIANNIDPHOTO hence the "violet" title
@Vicc_Odin @sneakernews I was saying, they sure as hell look like burgundy V's..
@lwrstandards @sneakernews no. If I'm wrong I don't wNna know I'm just gonna be ignorant.
@Daddy_Diiino @sneakernews well you are wrong.. It's a burgundy base with some small changes
@lwrstandards @sneakernews womp womp. Lame. Couldn't tell. Shrugs
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text:
The Golf U.S. Open starts today! We have golf-themed gifts for the golf lovers in your life for Father's Day, birthdays and more.
For men who enjoy red wine, the Dad's Day Off Wine Golf Bag is a fun way to kick off a day of relaxation. This thermal bag is modeled after a golf bag and includes a bottle of Dad's Day Off red wine, pistachio nuts, crackers and golf ball shaped chocolates. Our Gentleman Jack Tennessee Whiskey Gift Set comes with 3 golf balls. Golfers can always use the extra golf balls and the whiskey is an added pleasure for his next golf excursion! Gentleman Jack Tennessee Whiskey is distinctly smooth from being charcoal-mellowed twice.The Golfer Gift Bag is a reusable cooler golf bag sporting an energy drink, golf cookies, energy bar, snack mix and more for his next golf outing! This is an efficient gift bag to bring to the golf course to keep snacks and cocktails cool.For other last minute Father's Day Gift Ideas, check out this post.
Tags: Last Minute Gift Ideas, Father's Day Gift Ideas, Golf Themed Gifts, Golfer Gifts for Father's Day, Last Minute Gifts for Dad, Gifts for Men, Gifts for Him, Golf US Open Gifts
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Pellerin, Marc-André MSc; Elwyn, Glyn MB BCh, MSc, PhD; Rousseau, Michel PhD; Stacey, Dawn RN, PhD; Robitaille, Hubert PhD; Légaré, France MD, PhD
Mr. Pellerin completed an MSc in community health, Université Laval, Quebec City, Quebec, Canada.
Dr. Elwyn is director of research, Department of Primary Care and Public Health, and chair, Clinical Epidemiology Interdisciplinary Research Group, Cardiff University, Cardiff, United Kingdom.
Dr. Rousseau is director, Center of Evaluation, Faculty of Medicine, Université Laval, Quebec City, Quebec, Canada.
Dr. Stacey is associate professor, School of Nursing, Faculty of Health Sciences, University of Ottawa, Ottawa, Ontario, Canada.
Dr. Robitaille is project coordinator, Research Center of the Centre Hospitalier Universitaire de Québec, Quebec City, Quebec, Canada.
Dr. Légaré is chairholder, Canada Research Chair in Implementation of Shared Decision-Making in Primary Care, Research Center of the Centre Hospitalier Universitaire de Québec, Quebec City, Quebec, Canada.
Correspondence should be addressed to Dr. Légaré, CHUQ Research Centre–Hôpital St-François d'Assise, 10 rue Espinay, Quebec City, QC, Canada G1L 3L5; telephone: (418) 525-4437; fax: (418) 525-4194; e-mail: firstname.lastname@example.com.
First published online June 20, 2011
Purpose: Do residents in family medicine practice share decision making with patients during consultations? This study used a validated scale to score family medicine residents' shared decision-making (SDM) skills in primary care consultations and to determine whether residents' demographic characteristics were correlated with their scores.
Method: Between January 2009 and April 2010 at two Canadian academic health centers, the authors recruited unique dyads of patients consulting in primary care and family medicine residents. They recorded, transcribed, and assessed consultations using the Observing Patient Involvement in Decision Making (OPTION) scale, which measures 12 SDM-specific behaviors on a scale of 0% to 100% (high score = better SDM). They calculated descriptive and inferential statistics for the scores.
Results: From 212 eligible residents, the authors recruited 152 unique patient–resident dyads (participation rate = 75%): 68 dyads from 13 clinics in London, Ontario, and 84 from six family medicine units in Quebec City, Quebec. The mean global OPTION score was 24% ± 8%; the mean score for each of the 12 items ranged from 4% to 37%. Five of the 12 behaviors obtained a mean score below "a minimal attempt is made to exhibit the behavior" (i.e., <25%). There was a positive correlation between the score and the duration of the consultation (r = 0.24, P = .003), with longer consultations producing higher scores.
Conclusions: Participating family medicine residents have not integrated SDM behaviors, which may also pertain to residencies elsewhere. Interventions are required to foster family medicine residents' practice of SDM.
Patient-centered care has grown to occupy a central role in health care and now forms the basis for medical education curricula around the world.1 At the crux of patient-centered care is shared decision making (SDM), a process by which health decisions are made jointly by the health professional and the patient, based on the best available evidence and the patient's values and characteristics, yet without discounting the values and convictions of the clinician.2–4 SDM challenges clinicians to find common ground with their patients concerning their health care3 and is particularly relevant in gray-zone situations5 where treatment options have both risks and benefits or where scientific evidence is lacking.5,6
Involving patients in decision making is thought to influence patients' health for the better.7 In addition, a Cochrane systematic review that combined the results of 55 randomized clinical trials of patient decision aids, also known as SDM programs, concluded that SDM increases patients' involvement in decision making, improves their knowledge of the benefits and risks of various treatment options, encourages realistic expectations, and reduces decisional conflict.8 Other studies have found that good communication, enabled by the SDM process, makes patients more satisfied with the care received, motivates patients to adhere to their treatment9 (possibly reducing medication-related hospital admissions in the United States by 33% to 69%10,11), increases patients' confidence in the physician and the health system, fosters a feeling of self-efficacy, facilitates patients' agreement with their doctor, and inspires mutual understanding of the issue at hand.9 Studies have also shown that SDM helps to reduce the number of individuals who choose options that are devoid of benefits12 and increases the number of those who choose options that are beneficial.13 This phenomenon has been associated with a reduction of unjustified variations in medical practices,14 which in turn may foster the sustainability of the health system.15 Finally, SDM benefits care providers in particular ways—for example, by giving them the opportunity to strengthen the therapeutic alliance with their patients and by helping to protect them from possible litigation.16,17
Despite these benefits, physicians seem to apply SDM poorly in consultations. We analyzed the results of 10 studies that had used the Observing Patient Involvement in Decision Making (OPTION) scale—a validated scale that assesses physicians' skill in SDM18—wherein the closer the score for 12 items is to 100%, the better the SDM practices of the physician. We found that the final OPTION scores recorded by these studies ranged from 3% ± 2% to 43% ± 13%,6,18–25 with only one study recording mean scores over 60% (mean 63%, range 42%–78%). This study measured scores after physicians had completed six months of SDM skills training26 and was the only one of the 10 studies to have conducted physician training. These low scores do not align with the fact that a vast majority of patients want to be involved in the decision-making process.7 Meanwhile, no studies have yet used a third-observer instrument to evaluate whether residents in family medicine apply SDM behaviors with regard to primary-care-related decisions.
Despite the benefits associated with patients' involvement in clinical encounters, to the best of our knowledge, family medicine residents are not generally trained in SDM. Residency programs in family medicine across Canada are explicit about training residents in a patient-centered care approach but not necessarily about training them specifically in SDM. In November 2009, the CanMEDS FMU Framework on Undergraduate Competencies From a Family Medicine Perspective included a statement encouraging patients to take as active a role as they are comfortable with in collaborating with the physician and health care team in deciding on a management plan.27 The purpose of our study was therefore to use the OPTION scale to assess family medicine residents' SDM skills in the context of primary care. A secondary purpose was to determine whether the demographic characteristics of participating residents were correlated with their scores. By identifying residents' strengths and weaknesses regarding SDM, we hope to recommend ways to improve family medicine training or develop new interventions to improve professional practices in this regard.
Conducted between January 2009 and April 2010, this descriptive study explored the manner in which family medicine residents applied behaviors associated with SDM in their clinical encounters. To evaluate these behaviors, we used the revised OPTION scale.18 This unidimensional scale assesses the magnitude of SDM use during the physician–patient consultation by identifying 12 SDM-specific behaviors that clinicians can adopt to promote patients' active participation in decision making.18 These items are
* drawing attention to an identified problem as one that requires a decision-making process;
* stating that there is more than one way to deal with the identified problem (equipoise);
* assessing the patient's preferred approach to receiving information to assist decision making (e.g., discussion, reading printed material, assessing graphical data, using videotape or other media);
* listing options, which can include the choice of "no action";
* explaining the pros and cons of options to the patient (taking "no action" is an option);
* exploring the patient's expectations (or ideas) about how the problem(s) is to be managed;
* exploring the patient's concerns (fears) about how the problem(s) is to be managed;
* checking that the patient has understood the information;
* offering the patient explicit opportunities to ask questions during the decision-making process;
* eliciting the patient's preferred level of involvement in decision making;
* indicating the need for a decision-making (or deferring) stage; and
* indicating the need to review the decision (or deferment).
The items are coded on a five-point scale, where "0" indicates the nonperformance of a behavior and "4" indicates the performance of a behavior at high competency.18 We obtained an overall score by adding the scores of each item and standardizing the sum to obtain a value between 0% and 100%, with a high score indicating that the clinician practices numerous behaviors associated with SDM.28 The OPTION scale has been validated in many languages, including English and French.18,29 In English, it showed satisfactory psychometric qualities, with the original study producing a Cronbach alpha of 0.68 for a sample of 21 general practitioners and 186 patients.18 In French, a recent study produced a Cronbach alpha of 0.73 with 41 general practitioners and 128 patients.6 The higher the score, the more reliable the scale, but Nunnaly30 has indicated 0.7 to be an acceptable reliability coefficient, even if lower thresholds (≥0.6) are also sometimes used.31–33
The standard deviation (SD) of OPTION scores recorded in a previous study6 indicates that our large sample of 152 dyads is associated with a precision of ±3% given a 95% confidence interval (CI). In other words, if a similar study were performed 100 times, for 95 of those times the mean OPTION score would fall in the range of –3% to +3% of the mean OPTION score obtained in our study. To recruit residents, we worked with two Canadian academic health centers. The first was an anglophone center based in London, Ontario; the second was a francophone center located in Quebec City, Quebec. To qualify for recruitment, professionals had to be family medicine residents in a community-based clinic or a family medicine teaching unit associated with one of the two centers. The eligibility criteria for patients were age 18 years or older and the ability to give informed consent. We excluded patients who were already part of a dyad, who were closely related to one of the researchers, or who suffered from an acute medical condition requiring immediate care. Neither residents nor patients received financial compensation for their participation.
This study was part of the "EXACKTE2: Exploiting the clinical consultation as a knowledge transfer and exchange environment" research project,34 for which the study protocol was approved by the ethics committees associated with the two academic health centers. The EXACKTE2 study intends to validate a conceptual framework for how patients and physicians influence each other in consultations while practicing SDM. For our current study, we focused only on family medicine residents, using data from the third-observer instrument.
We began our study by introducing family medicine residents to the EXACKTE2 project. After the residents agreed to the terms of the study and signed a consent form, we determined a convenient time to recruit one of their patients. Because our project was interested in unique dyads, we recruited only one patient per resident. We then approached the patients prior to the consultations, presented the project, and secured their consent to participate. Both residents and patients were informed that the confidentiality of the information they provided would be protected. They were told that they could refuse to participate or could withdraw from the study at any time, merely by verbally informing the research team. They were not obliged to give their reasons for withdrawing and would not be subject to any penalty. We then audiotaped the encounters and transcribed them verbatim in preparation for analysis with the OPTION scale. We collected demographic data about participating residents using a sociodemographic questionnaire at the time of the consent.
After reading the coding instructions for the revised OPTION scale,28 the two main coders (H.R., M.A.P.) worked with a coder who had used the tool previously but who was not involved in this study.6 These three coders began by scoring 10 encounters individually. The intraclass correlation (ICC) for their scores was 0.62 (95% CI = 0.26–0.87). The three coders then met to reach a common understanding for the 12 items, especially those items that had earned a lower ICC score, and to add coding cues. The coder who had used the tool previously but who was not involved in this study6 was not involved in further steps. The two main coders then trained two assistant coders. After the training, the two main coders and the two assistant coders individually scored two sets of 20 randomly selected encounters, 10 in English and 10 in French. The ICC scores produced were, respectively, 0.83 (95% CI = 0.71–0.92) and 0.64 (95% CI = 0.44–0.82) for each set of 20 encounters (10 English and 10 French). During this process, the principal investigator of the EXACKTE2 research project (F.L.) helped to establish consensus. We then distributed the remaining verbatim transcriptions randomly among the four coders, who proceeded to rate them all. At the end of this process, no significant differences in scoring between raters were observed (P = .08). Finally, the four coders rescored the second set of dyadic encounters to assess intrarater stability: The ICC scores varied between 0.68 (95% CI = 0.36–0.86) and 0.95 (95% CI = 0.89–0.98). ICC scores above 0.40, 0.60, and 0.80 can be interpreted as indicating fair, moderate, and substantial agreement, respectively.18,35
We calculated descriptive statistics to assess the extent to which residents involved their patients in SDM. We determined means, SDs, minimums, and maximums for each item and for the total OPTION scores. Additionally, we conducted inferential statistical analysis using the data from the sociodemographic questionnaire to explore associations between the application of SDM and selected criteria: age, gender, language, year of residency, degree(s) obtained prior to medical training, and participation in a committee, a work group, or a continuing medical education activity during the prior year. We used the Pearson correlation coefficient to explore the association of OPTION scores with residents' age and the duration of the consultation, and the Student t test to compare mean OPTION scores in light of the sociodemographic variables. Finally, we performed an ANOVA to compare the raters' scores and an ANCOVA to compare scores after adjusting for time. We used the SAS statistical package (SAS OnlineDoc 9.2; SAS Institute Inc., Cary, North Carolina, 2010).
Of the 245 family medicine residents we identified as potential study participants, 212 were considered eligible and 159 agreed to participate, yielding a 75% participation rate among eligible residents. In the end, we successfully formed, recorded, transcribed, and analyzed 152 unique resident–patient dyads (Figure 1). Among the 152 residents who formed part of a dyad, 67 (44%) were in their first year of residency, 60 (40%) were in their second year, and 25 (16%) were in their third year. All third-year residents were from Ontario (Quebec's residency program only lasts two years). A summary of the sociodemographic characteristics of residents and patients is presented in Tables 1 and 2.
On the OPTION scale, family medicine residents earned an overall mean score of 24% ± 8% out of 100, with scores ranging from 8% to 43%. The scores' distribution is presented in Figure 2. Mean scores were calculated for each item and ranged between 1.46/4 (37%) and 0.15/4 (4%). The three highest-scoring items were "The clinician lists options, which can include the choice of 'no action,'" "The clinician draws attention to an identified problem as one that requires a decision making process," and "The clinician explains the pros and cons of options to the patient (taking 'no action' is an option)." The five lowest-scoring items were "The clinician explores the patient's concerns (fears) about how the problem(s) are to be managed," "The clinician indicates the need for a decision making (or deferring) stage," "The clinician elicits the patient's preferred level of involvement in decision making," "The clinician states that there is more than one way to deal with the identified problem (equipoise)," and "The clinician assesses the patient's preferred approach to receiving information to assist decision making (e.g., discussion, reading printed material, assessing graphical data, using videotape or other media)." Table 3 lists the scores for these and all other items.
Analysis showed significant differences in OPTION scores between French and English consultations (French OPTION mean = 25% ± 8%; English OPTION mean = 22% ± 7%; t = 2.79, P = .006). It also showed significant differences between consultations with male and female practitioners (female OPTION mean = 25% ± 8%; male OPTION mean = 22% ± 7%; t = 2.08, P = .04). We observed a positive correlation between the OPTION score and the duration of consultation (r = 0.24, P = .003). The mean duration of a consultation (only including time with the patient, not time with a supervisor) was 0:28:41, SD ± 0:13:43. The minimum and maximum consultation times were 0:04:45 and 1:13:47, respectively. Considering that French consultations lasted significantly longer than English consultations (average duration of a consultation: French = 36 ± 13 minutes, English = 20 ± 9 minutes; t = 9.44, P < .0001) and that female residents' consultations lasted significantly longer than male residents' consultations (average duration of a consultation: female resident = 31 ± 14 minutes; male resident = 24 ± 12 minutes; t = 2.69, P = .008), we adjusted for time. After this adjustment, we observed no difference in OPTION scores according to the language of the consultation (P = .21) or the gender of the resident (P = .13). This indicates that the duration of the consultation can influence scores.
Family medicine residents who had obtained an academic degree prior to their medical education obtained lower OPTION scores than those who had not obtained such a degree (mean for those having a prior degree = 22% ± 7%; n = 62; 95% CI = 19.9%–23.2%; mean for those without a prior degree = 25% ± 8%; n = 88; 95% CI = 23.4%–26.8%; t = 2.87; P = .005). Because a higher proportion of English-speaking residents had prior degrees, we adjusted the scores according to both language and the duration of the consultation. Even after adjustment, we continued to observe a significant difference in the OPTION scores of residents with a prior degree and residents without one (P < .05). We found no association between residents' age and the OPTION score (r = −0.16, P > .05) or between the score and the resident's participation in a committee or a work group (t = −0.13, P = .89) or participation in a continuing medical education activity over the prior year (t = −1.13, P = .26). Furthermore, there was no statistically significant difference between the resident's year of training and the OPTION score. The mean scores (±SD) were 24% (±7), 24% (±8), and 21% (±7) for first-, second-, and third-year residents, respectively (P = .26 after adjusting for the duration of the consultation). Finally, the analyses revealed no association between the preference of the patient about his or her role in decision making (see Table 2) and the OPTION score of the corresponding resident (r = −0.09, P = .29).
Our findings show that SDM behaviors are not widely or well integrated in the practice of family medicine residents in the context of this study. Although there is no consensus on optimal OPTION scores, a mean score of 24% suggests that further skill building is needed for family medicine residents to be better able to involve their patients in decision making. These scores are similar to those of other published studies that used the revised OPTION scale to assess the practice of SDM behaviors by fully licensed physicians working in diverse medical settings. We cannot associate these weak OPTION scores with patients' lack of motivation to be involved in decision making, because most patients desire to take part in the decision-making process.7
Our findings support the theory that the duration of the consultation is an important factor in residents' capacity to apply SDM behaviors. Nonetheless, the evidence suggests that professionals who have had SDM training can incorporate SDM behaviors without lengthening the consultation.36 It therefore seems likely that the low scores obtained in our study result from the participation of residents—that is, physicians who are not fully licensed—who had not been trained in SDM. This observation points to the merit of offering appropriate training and giving residents enough time at the beginning of their residency to learn to integrate SDM in their consultations. Giving residents specific tools such as patient decision aids, which are known to provide information that enables patients to more actively participate in treatment decisions,37 could also help residents practice SDM within the time normally allocated for a consultation.
Our analysis also allows us to determine which SDM behaviors measured by the OPTION scale residents most applied and which they least applied in their clinical practice. Of these behaviors, the three highest-ranked and the five lowest-ranked items are of particular interest. Although the OPTION scale is unidimensional, the three highest-ranked items are highly related in that they evaluate the resident's ability to deliver information appropriately by "drawing attention to an identified problem requiring a decision making process" (Item 1), "listing the options which can include the choice of 'no action'" (Item 4), and "explaining the pros and cons of options" (Item 5). All three items target problems and treatments and focus on curing the patient and delivering information.38 Although curing must remain a main purpose of any consultation, the SDM philosophy emphasizes patient participation. Therefore, to promote patients' involvement in health decisions, efforts to encourage caring for the patient—as opposed to merely curing him or her—are needed.38 For example, the residency curricula could include seminars and simulated cases for residents to learn and practice these specific SDM behaviors.
The five lowest-ranked items obtained scores under 25%, which, according to OPTION classification, falls below "a minimal attempt is made to exhibit the behavior." Caring is a key element in consultations, particularly insofar as it improves the resident's ability to "explore the patient's concerns (fears)" (Item 7). This item figured among the five lowest-ranking behaviors. The behavior "indicating the need for a decision making (or deferring) stage" (Item 11) also earned a low score. Although residents put a lot of energy into informing their patients, they rarely indicated to patients the need to make a decision. This omission helps explain patients' limited involvement in the final decision and may reflect residents' willingness to be transparent in their clinical approach but their reluctance to negotiate or deal with decisions taken by their patients. Also, our findings suggest that residents have difficulty "eliciting the patient's preferred level of involvement" (Item 10). Although some clinicians argue that they can identify their patients' preferred level of involvement without asking, research has emphasized that they cannot, in general, do so.39–44 Moreover, several studies have shown that patients' satisfaction and commitment to treatment are higher when the patient and the practitioner agree on the patient's role in the decision-making process, on the meaning of the diagnosis and the prognosis, and on the treatment plan.41,42,45,46
Another rarely observed SDM behavior was "stating that there is more than one way to deal with the problem" (Item 2). Making explicit the existence of more than one valid option helps the patient to understand that there is no absolute answer to his or her health problem and that each option needs to be considered. Stating that there is more than one way to deal with the problem can also encourage residents to balance the pros and the cons of each option. The least observed behavior was "assessing preferred approach to receiving information" (Item 3). The low score obtained for this element may be explained by the context. Considering the variety of medical conditions seen in primary care,47,48 residents might not have different formats of information—leaflets, videos, reviews—for every condition. If residents feel that they cannot offer patients a choice of format, they might consider it futile to assess the patient's preference of ways to receive information. This reality highlights the notion that primary care physicians are not well equipped to transfer knowledge to their patients—and, by extension, are not well equipped to facilitate SDM. Developing interventions like patient decision aids, whose effectiveness has been proven, could be a way to overcome this shortcoming.8
Overall, the low scores recorded in this study suggest the necessity of improving residents' ability to practice SDM in their encounters. The lack of patient-centered behaviors that we have documented here should be targeted by medical education programs to improve family medicine residents' ability to exhibit SDM behaviors and involve their patients in clinical encounters. The fact that SDM is not taught throughout the medical curriculum may explain these low scores, as may the fact that residents do not see SDM modeled in clinical practice. Better integration of SDM throughout the curriculum, combined with appropriate role models, would be beneficial. The medical formation could include specific training sessions on SDM such as large-group learning, directed independent learning, seminars/workshops, small-group sessions, simulation, patient care experiences, and longitudinal patient care experiences. Also, medical educators would need to be trained and tooled on risk communication. This study, like the Association of American Medical Colleges' "Recommendations for Preclerkship Clinical Skills Education For Undergraduate Medical Education,"49 offers a basis for developing SDM interventions throughout the medical curriculum.
To the best of our knowledge, our study is the first to provide a basis for interventions that target the promotion of specific SDM behaviors among residents working in teaching units in primary care, an area known for its decisional diversity. Our study based its assessments on the OPTION scale, a validated scale assessing 12 SDM-specific behaviors, and benefitted from a substantial sample of 152 participating dyads recruited in two different parts of Canada (French- and English speaking). As such, it offers a broad perspective of Canadian medical residents' practice of SDM in primary care.
The study also has limitations. First, measuring a phenomenon as complex and subjective as the medical decision-making process can be influenced by a number of factors. Among them is a particularity of the scale. The OPTION scale is designed to measure clinicians' ability to involve patients in decision making; it does not take patients' participation into account. A patient could approach many of the elements contained in the OPTION grid proactively, thereby initiating the SDM process, but unless the clinician expressed 1 of the 12 behaviors measured—which, if the client were proactive enough, the clinician might not be called on to do—the scale would measure the clinician's exhibition of SDM behavior as nil. It is therefore possible that OPTION scores underestimate not only the resident's practice of SDM but also his or her potential or willingness to practice SDM. In this way, OPTION fails to reflect SDM's nature as a dynamic process that is influenced by the evolution of the interaction between the clinician and the patient.50
Second, because a previous study did not find an association between decisional conflict scores and the nature of the health care decision made,51 we assumed that any encounter could lead to SDM. For this reason, we did not code and stratify patients' reasons for consulting. However, Elwyn and colleagues28 have suggested that the type of consultation may influence patients' involvement and that in some cases, like follow-up encounters, SDM-specific behaviors may already have taken place. This could serve to underestimate a given resident's overall OPTION score and reduces our ability to draw associations between the type of consultation and the OPTION score.
Third, it remains possible that videotaping the consultations might have allowed the coders to identify additional behaviors. Our decision to not videotape may therefore also have underestimated the scores. At the same time, agreeing to participate in an SDM study and knowing the encounter to be audiotaped could lead residents to display more SDM behaviors than they otherwise would. This could mean that even the low scores observed in our studies were inflated. Moreover, we acknowledge that a unique dyad—in other words, a single encounter—do not accurately represent each resident's ability or indeed tendency to translate SDM in clinical practice, because some encounters may be less favorable to SDM than others.
Lastly, as mentioned earlier, this study only recruited family medicine residents in Canada. For that reason, its results cannot be judged as representative of family medicine residents in other countries. For all of these reasons, our findings must be interpreted with caution.
This descriptive study used a third-observer instrument to assess family medicine residents' adoption of SDM-specific behaviors in primary-care-related decisions. The findings should inform health service researchers and educators working to develop interventions targeting behaviors essential for SDM, particularly in the context of family medicine residencies. Special attention should be paid to the allocation of the time necessary for residents to perform SDM, on focusing on caring as well as on curing, on reinforcing the importance of engaging patients' participation in consultations, and on developing communication tools to be used by both the residents and their patients.
The authors greatly appreciate the contributions of the patients and physicians who participated in this study; of the recruitment team in London under the leadership of Moira Stewart (Christina Bodea and Sherry Benko); of the recruitment team in Quebec City (Anthony Calabrino, Marie-Laure Dioh, Hubert Robitaille, Marc-André Pellerin, Lilianne Bordeleau, Annie LeBlanc); and of the coders who rated the consultations with the OPTION scale (Véronique Couture, Sébastien Courchesne-O'Neill, Hubert Robitaille, Marc-André Pellerin). The authors thank Merlin Njoya for helping with statistical analyses and Jennifer Petrela for her role in editing the text. France Légaré holds a Tier 2 Canada Research Chair in the Implementation of Shared Decision Making in Primary Care.
This study is part of EXACKTE2: "Exploiting the clinical consultation as a knowledge transfer and exchange environment," a project funded by the Canadian Institutes of Health Research (CIHR 2008–2011; grant #185649-KTE). The EXACKTE2 team is composed of France Légaré, Moira Stewart, Glyn Elwyn, Michel Rousseau, Michel Labrecque, Dawn Stacey, Dominick Frosch, Jeremy Grimshaw, Mathieu Ouimet, and Trudy van der Weijden.
Ethical approval for this study was granted by the research ethics board of the Centre de Santé et de Services Sociaux de la Vieille Capitale in Quebec City, Quebec, Canada (final approval 2008/11/25; ethics number #2008-2009-23) and the Office of the Research Ethics of the University of Western Ontario (final approval 2009/02/03; ethics number #15712E).
The authors presented a poster based on this research at the 32nd Annual Meeting of the Society for Medical Decision Making in Toronto, Ontario, Canada, October 23 to 27, 2010.
© 2011 Association of American Medical Colleges
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A man who had an ongoing dispute with his co-worker is accused of blowing up that co-worker's vehicle overnight, according to police.
Officials said Aaron Nesbitt, 29, placed an unknown-type of explosive device on a co-worker's vehicle at Mickey Finn's restaurant in Orange City.
The device detonated and caused major damage to the vehicle, according to investigators.
Businesses in the area were evacuated for a short time while the bomb squad investigated. No other explosives were found.
Nesbitt is charged with possession of an explosive device, detonation of an explosive device and criminal mischief.
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I have taken care of my mom all my life as she has had debilitating Rheumatoid Arthritis since she was 6 years old. She went through an experimental treatment about 20 years ago, hoping to put the arthritis into remission.
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社區看護選擇 (Community Care Options)
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|Courchaine, Luque share MVP
It's rare when a league names three players as co-Most Valuable Players.
It's even rarer when two of the three come from the same team. But that's what happened as running back Jalon Luque and quarterback Michael Courchaine, both seniors, were named co-MVPs of the North Bay League along with Cardinal Newman linebacker/wide receiver Phil Wright.
Luque and Courchaine were among seven Cougars to earn top NBL honors.
Seniors A.J. Davison and Nick Reynolds were named co-Linemen of the Year, along with Cardinal Newman's Nolan Sheahan, while Cougars senior kicker Rodrigo Perez was named Specialist of the Year.
Senior linebacker Fono Misi was named the NBL's Defensive MVP.
Head coach Ed Conroy, who guided the Cougars through an unbeaten regular season and into the North Coast Section Div. II title game, shared Coach of the Year honors with Montgomery's Ed Franchi.
Five Cougars landed on the All-NBL first team offense, including senior receivers Carlos Soto and Thomas Sory, tight end Mike Ruiz, senior offensive lineman Tyler Rosentreter and junior offensive lineman Steven De Souza.
Rancho Cotate's defense, which proved to be the strength of the team, also placed five on the All-NBL team, including freshman cornerback Chris Taylor-Yamanoha, senior cornerback Josh Belda, senior defensive end Tyler Mitchell, senior linebacker Ty Brantley and safety Soto.
Junior running back Tanoa Peleti landed on the second-team offense team, as did Taylor-Yamanoha as a receiver. Peleti also was a second-team selection at linebacker, while De Souza was a second-team defensive lineman.


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YouTube iPhone App Gets Upgrade In iOS 4.2
For a long time, the native YouTube app on the iPhone has stayed frozen in time. Though the website made a significant decision to replace star-ratings with a Like/Dislike rating back in March this year, successive iterations of iOS that have been released since then have not effected the change to the iPhone app.
That finally changes with the release of iOS 4.2. The new beta version of the upcoming iOS platform has revealed the arrival of the Like/Dislike button to the iPhone. Users viewing YouTube videos on their iPhone shall now be able to synchronize their Like database with YouTube videos they rate on the website or from other internet connected devices.
The new version of iOS is still not available for public download and so you may have to wait until November of this year to check out this new YouTube version.


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A Theory Of Natural Market Structures: Regulation, R&D, Fdi, International Trade And A Few Curiosities
The theories of natural market structures have been well known in economics for a long time. In this paper, a framework for such natural market structures is developed, where natural monopoly, natural oligopoly, perfect competition and monopolistic competition are special cases. The paper explains why with increasing returns to scale at the level of the firm; a given market size; a continuum of firms; complete information and homogeneous goods, there is usually a margin for regulation -most notably when the number of firms in the market is low. The paper shows that R&D, FDI and trade liberalization can improve welfare, and that they can be complements or imperfect substitutes to the need for market regulation. It is argued that when markets are expected to grow, or technologies to change, avoiding policies that prevent entry of firms -such as licences- can reduce significantly the need for regulation while allowing for a more efficient allocation of resources. It is also argued that the need for market regulation can be better explained by the exploitation of economies of scale, than by the existence of economic rents. Finally, the paper shows that when there is a discrete number of firms, the level of profits and the regulatory margins, can be described by a saw""
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Top Definition
An insult that combines the pejorative term 'douche' - an obnoxious or egotistical person - and the general term 'haven' - a sanctuary or place of rest, with the result being a fairly poor insult that makes very little sense. This saying is generally used by fat kids, who will usually go on to use other words such as 'homeslice' and 'bro-sack'.
Person 1: "Man, that guy's such a douchenhaven."
Person 2: "..."
Person 2: "..."
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Some of the best Pokemon Go hacks include picking up the elusive Pikachu through the trick of disobedience. Refusing professor Willow his choice of Pokémon's for four times in succession leads to their appearance with Pikachu on the fifth time in the map. Following this, promptly pick the Pikachu and, he is yours! Even hatching eggs without having to move out is possible by keeping your mobile on a record player or, near the fan. The drone accelerates the hatching! Working as a team to drop poke pins in places containing rare Pokémon's accelerates your speed in establishing control over gyms. Check for Pokémon's that are marked green in small circles. Smaller the circle, more XP points are awarded if the hit is accurate.
Of course, Pokémon Go is the new mantra in town. Phones or other mobile device in hand, heads bent down, what you see around you, anywhere you go, is people completely into Pokémon go, quite literally!
This augmented reality game, is free to download for android as well as iOS users. So far so good!
Reality hits when you actually need to have access to pokecoins, poke balls and other such stuff to get ahead in the game. Unlimited Poke Coins. That's where the catch lies. To gain pokecoins you have to make in-app purchases. Yes, can prove to be quite expensive a game.
Pokémon Go unlimited coins – You sure need them!
Out of your home, into the big bad world, all in search of Pokémon. You could not have asked for more. Pokémon Go, yes that's what it is called. Suddenly, it is all very very exciting to stay outdoors and remain glued to your mobile. A great excuse to use with your folks for remaining hooked to your device. After all, that's what the rest of the world is doing, and you sure don't want to be left behind.
This free to download augmented reality game, available on the Google Play store as well as the Apple App store, requires you to make in-app purchases to procure pokecoins. Pokecoins is the currency used in the game to secure various items for Pokémon like poke balls, incense sticks. Costing anything between $0.99 and $99.99, procuring these pokecoins sure does turn out to be expensive.
So, imagine getting hold of unlimited poke coins for yourself?


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John Koltvedt of Saginaw crossed the finish line at Monday's Boston Marathon 30 seconds before the first of two explosions that killed three and injured more than 130.
Rebecca Koltvedt was positioned in the V.I.P. section of the grandstands at the finish line, directly across the street from the first explosion.
"She was taking pictures at the finish line, hoping to get me crossing ... but she missed me," John Koltvedt said. "So she just kept taking pictures leading up to the explosion.
"There were a lot of pictures that included the area where the first explosion went off. There are a lot of people in the pictures. They were very interesting."
They are also no longer in Koltvedt's possession. When they went through security at Logan International Airport Tuesday morning, they were stopped by the Massachusetts State Police counterterrorism unit and the FBI.
"They asked if we had any photos from the marathon at the finish line," Koltvedt said. "They asked if they could take our SIM card, which was not a problem. We were going to call the FBI as soon as we got home anyway.
"They had checkpoints where they check your ID and boarding passes, asking everybody if they had photos of the finish line. We were happy to help. Hopefully they see something in the photos that helps. I'm assuming there are hundreds and hundreds of people giving their photos to the FBI."
Koltvedt said the FBI officials assured him the memory card would be returned to him.
"There were a lot of photos on the card, so I hope we get it back," Koltvedt said. "My wife was in the perfect spot for the photos. It might help."


text: Explore Kitale Kisumu Ruma National Park Kisii and around Kericho and the Tea Country Eldoret and around Kitale Saiwa Swamp National Park Mount Elgon National Park Kakamega Kakamega Forest Share KITALE is smaller than Eldoret, and not much more exciting, but has more going for it from a traveller's point of view, primarily as the base for visits to Mount Elgon, Kenya's second giant volcanic cone, and the superb, very underrated hiking country in the area. It's also an obvious springboard for the Cherangani Hills, and a straightforward departure point for trips to the west side of Lake Turkana. There's a national park nearby – the little-known but easily accessible Saiwa Swamp, which can only be explored on foot. In addition, the town also has two museums and a couple of other sites to visit. The town's present population is a mix of tribes, including Nandi, Pokot, Marakwet, Sabaot and Sengwer, as well as a few Luhya, Kisii and Kikuyu and an influential Asian community. Like most towns in the Rift Valley and Western provinces, it was seriously affected by the post-election clashes of 2007–8, but managed to make a swift recovery. Read More


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HOLLAND, MI – For more than 30 years, thousands of people have learned about nature by visiting the DeGraaf Nature Center.
Nestled in a residential area on the city's west side, the 18-acre facility owned by the city of Holland has hosted numerous educational programs for children and adults alike.
With fiscal challenges facing the city, Holland officials are considering cutting the nature center's funding for the next fiscal year, and the center is undertaking a fundraising effort to try to make up a portion of the expected $37,000 cut in city funding. The center will host a pancake breakfast at the Civic Center from 8-11 a.m. on Saturday, March 2, as part of that effort.
"We're looking to keep funding our part-time educators and general operations," center Director Rob Venner said. "We're hoping people will come out and be generous.
The city currently spends nearly $160,000 out of its general fund budget for operating the nature center, with additional funds for the center's $256,000 budget coming from program fees, sales of items such as bird feeders and field guides from the store inside the Helen O. Brower Interpretive Center, and donations from the community, Venner said.
In addition to raising funds, the center is trying to find areas where it can cut costs. It has not filled one staff position that was recently vacated, it is cutting back on nature trips to areas such as the Rocky Mountains, and it may cut back on hours during the next fiscal year, Venner said.
"Rob and the DeGraaf Nature Center staff have been proactively addressing the issue of alternative revenues in a way that reduces the burden on our property taxpayers," City Manager Ryan Cotton said.
The center currently has five educators and one maintenance person, with only two staff members working full-time, Venner said.
Other fundraising efforts include ongoing "adopt-a-tree" and "adopt-an-amimal" campaigns. Upcoming fundraisers are expected to include a fun run at Van Raalte Farm and sales of a nature calendar, Venner said.
The City Council is expected to address cuts in funding for DeGraaf during budget discussions in April. Councilman Bob Vande Vusse, a former council liaision to the nature center, says local residents and visitors alike appreciate the center for providing opportunities to learn about nature.
"I think it's an amenity that people have come to expect. It means a lot to a lot of people," Vande Vusse said.
While school field trips to DeGraaf have declined in recent years, other programs helped boost attendance to 15,660 between September 2011 and August 2012, Venner said.
Minimum donation for the pancake breakfast is $5 for adults and $3 for children 12 and under. Visit http://www.cityofholland.com/degraafnaturecenter for more information about the center.


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Erie Express hire Folmar as offensive coordinator
The Erie Express have named Steven G. Folmar as the team's new offensive coordinator.
The Meadville resident previously spent time in Erie as a professional football coach, most recently as head coach of the Erie RiverRats of the AIFA.
Folmar also has been head coach of the Johnstown RiverRats in the AIFA and the Raleigh Rebels of the American Indoor Football League.
Folmar is best known for the performances of the defenses he coached. With Raleigh, Folmar's defense ranked first in the league in fumble recoveries and sacks and third in interceptions.