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Date: Tuesday, September 27, 2016
Time: 12:30pm – 1:30pm
Location: Street Level Conference Room
Showing 1 to 16 of 16 items tagged as cancer
Genomic Data Commons Data Portaldatabase
Provider: National Cancer Institute/University of Chicago
Contents: archive, case reports, charts/graphs, datasets, government documents, primary source materials, statistics
Access Level: Free, Open Access, Partially Open
Descriptions: From the National Cancer Institute, the Genomic Data Commons, or GDC, is a new, open-access cancer database, launched containing the raw genomic and clinical data of approximately 12,800 patients. Researchers are encouraged to submit their own data to the resource, which contains information on treatments used and the response to those treatments. The goal is to accelerate research by sharing a large pool of re-analyzable data. (Some data is protected.) Click on Analytical Tools to view details on how to access and submit data, and see the Data section for an overview of the content with user-friendly graphical details and filtering options.
Keywords: cancer, data analysis, data bank, data-sharing, neoplasms
Provider: Elsevier
Contents: Abstracts, CME, full text, links to full text, mobile access, summaries
Access Level: Free, Open Access
Descriptions: PracticeUpdate incorporates the former OncologyStat! with other modules on Primary Care, Eye Care, Cardiology, Dermatology and Urology. This resource requires free registration and the creation of a brief user profile, which enables emailed content feeds tailored to the user's own interests. There is an editorial board for each discipline. Features for which one can opt in or out by discipline include conference coverage, editors' picks, CME alerts and breaking news. For more information on this resource, read its About information.
Keywords: cancer, cardiology, clinical trials, decision support, dermatology, drugs, evidence-based medicine, eye, healthcare policy, multidisciplinary, oncology, opthalmology, physicians, quick reference
Global Library of Women's Medicine (GLOWM)website Descriptions: This website contains both open-access and restricted-access content. Available to all are 44 "chapters" written by professionals on gynecology and obstetrics, gynecologic oncology, maternal/fetal medicine, reproductive endocrinology, genetics and fertility. For medical professionals, free registration provides access to a medical atlas, laboratory tests, a video library and patient education materials. All content is said to be peer-reviewed.
Keywords: cancer, consumer health, laboratory, medicine, oncology, patient education, peer review, physician, women
PDQ® – NCI's Comprehensive Cancer Databasedatabase
Provider: National Cancer Institute
Contents: charts/graphs, Dictionary, directory, full text, government documents
Access Level: Free, Open Access
Descriptions: The PDQ (Physician Data Query) database contains peer-reviewed summaries on cancer treatment, screening, prevention, genetics, supportive care, and complementary and alternative medicine; a registry of thousands of open clinical trials from around the world; and directories of physicians, genetic counseling professionals, and organizations that provide cancer care. Also included are a dictionary of cancer terms, statistics on survival, and a drug dictionary.
Keywords: biomedical research, cancer, clinical trials, neoplasms, patient education, physicians, Spanish translation
Provider: Macmillan.org (UK)
Descriptions: This British cancer website provides information for patients, caregivers and physicians on all aspects of cancer: types, treatments, coping with treatment side effects, pain, etc. Visitors may also communicate about their questions with oncology nurses. Free publications written by expert healthcare providers are available to order in print or to download, and a forum/chat website called "What Now?" is also featured, in which patients share their experiences and provide support to each other.
Keywords: cancer, consumer health, drugs, education, healthcare professional, oncology, patient education
Provider: National Cancer Institute (NCI)
Descriptions: This comprehensive website from the National Cancer Institute (NCI) links the user to detailed information on cancer types, clinical trials, cancer statistics, and funding and research. An agency of the U.S. National Institutes of Health, NCI conducts and supports cancer research as well as providing in-depth information on all aspects of these diseases to the public, including rehabilitation and ongoing care. NCI has launched several programs like the pilot Community Cancer Centers Program with the purpose of bringing improved care to more Americans and promoting international collaboration and cooperation among practitioners and researchers.
Keywords: cancer, clinical trials, consumer health, news, oncology, patient education, research, statistical, U.S. Government
Cancer Genome Anatomy Project (CGAP)website
Provider: National Cancer Institute
Descriptions: This is a section of the National Cancer Institute website designed specifically for researchers. "The goal of the NCI's Cancer Genome Anatomy Project is to determine the gene expression profiles of normal, precancer, and cancer cells, leading eventually to improved detection, diagnosis, and treatment for the patient. By collaborating with scientists worldwide, CGAP seeks to increase its scientific expertise and expand its databases for the benefit of all cancer researchers. Interconnected modules provide access to all CGAP data, bioinformatics... and biological resources, allowing the user to find "in silico" answers to biological questions in a fraction of the time it once took in the laboratory."
Keywords: biomedical research, cancer, federal agencies, genetics, genome, oncology, research, scientist, tutorial, U.S. Government
National Cancer Institutedatabase
Provider: National Cancer Institute
Contents: Dictionary, full text, links, links to full text, patient education, websites
Access Level: Free, Open Access
Descriptions: A comprehensive layman's website for cancer information. Cancer Topics searches link the user to PubMed with pre-set search limits and retrieve literature citations on major cancer topics; search results can be further refined using PubMed's search options and limits. Tabbed categories lead the user to other resources, including information on clinical trials, research, recent news releases, survival statistics, and dictionaries of oncology terms and drug information.
Keywords: alternative medicine, cancer, clinical trials, complementary medicine, consumer health, drugs, oncology
Atlas of Genetics and Cytogenetics in Oncology and Haematologywebsite
Provider: Jean-Loup Huret, Universite' de Poitiers
Descriptions: A contributory website- part database, part journal, according to the editors- meant for the use of clinicians and researchers in cytogenetics, molecular biology, oncology, hematology and pathology. Includes a portal to relevant websites and databases, a listing of scientific meetings and societies, and a section of university-level educational resources. Use of the contributors' original content is governed by terms of a Creative Commons license.
Keywords: cancer, collaborative, data, genetics, molecular biology, oncology, research, scientist
American Indian Healthwebsite
Provider: National Library of Medicine/National Institute of Health
Descriptions: This website is designed as an "information portal to issues affecting the health and well-being of American Indians." The website provides links to information on health topics, statistical information and health programs and services for American Indians and Alaska Natives. Also includes links to tribal government websites and information on traditions and practices of American Indians and Alaska Natives.
Keywords: alcoholism, alternative medicine, cancer, consumer health, culture, environmental, general health, mental health, Native American, NIH, NLM, portal, U.S. Government
Provider: National Institute on Aging/National Library of Medicine
Descriptions: "NIHSeniorHealth makes aging-related health information easily accessible for family members and friends seeking reliable, easy to understand online health information." Because this site was developed jointly by the National Institute on Aging (NIA) and the National Library of Medicine (NLM), it differs somewhat from the information in the "Seniors Health" section of the NIH website. NIHSeniorHealth has three special features which make it especially user-friendly: a variable text size option, contrast on/off option, and an auditory version.
Keywords: aging, alternative medicine, Alzheimer, cancer, clinical trials, consumer health, drugs, general health, geriatrics, mental health, NIH, NLM
American Association for Cancer Research- Survivors and Advocates Pagewebsite
Provider: American Association for Cancer Research
Descriptions: This section of AACR's website presents "...an extensive list of cancer support and advocacy organizations, government and research institutions, and useful websites. Find organized lists of groups dedicated to specific types of cancer."
Keywords: advocacy, cancer, consumer health, oncology, organizations, patient education, portal, research, societies
National Coalition for Cancer Survivorship (NCCS)website
Provider: National Coalition for Cancer Survivorship
Descriptions: The National Coalition for Cancer Survivorship is the oldest survivor-led cancer advocacy organization in the country, advocating for quality cancer care for all Americans and empowering cancer survivors. NCCS believes in evidence-based advocacy for systemic changes at the federal level in how the nation researches, regulates, finances, and delivers quality cancer care. NCCS organizes Cancer Advocacy Now!™, a legislative advocacy network that engages constituents across the country in federal cancer-related issues. Patient education is also a priority of NCCS.
Keywords: advocacy, cancer, consumer health, oncology
MD Anderson Cancer Center – Clinical Trialswebsite
Provider: MD Anderson Cancer Center
Descriptions: In addition to providing a public resource on the trials currently being conducted at MD Anderson, each page here includes links to text and videos that address patients' more general questions about clinical trials and studies, including eligibility criteria, the phases of a clinical trial, and the benefits and risks of volunteering to participate.
Keywords: biomedical ethics, cancer, clinical studies, clinical trials, dosage, drug metabolism, drug pathways, drugs, ethics, glossary of terms, hospitals, Houston, oncology, patient education, radiation, research, TX, video
CDC Wonderdatabase
Provider: CDC (Centers for Disease Control and Prevention)
Contents: charts/graphs, datasets, practice guidelines, reports, statistics
Access Level: Free, Open Access
Descriptions: CDC WONDER -- Wide-ranging Online Data for Epidemiologic Research -- is a menu-driven system that makes the information resources of the Centers for Disease Control and Prevention (CDC) available to public health professionals and the public. It provides access to a wide array of public health information. Public-use data sets about mortality , cancer incidence, HIV and AIDS, tuberculosis, vaccinations, natality, census data and many other topics are available for query, and the requested data are readily summarized and analyzed in dynamically calculated statistics, charts and maps. The data is compatible with desktop applications such as word processors, spreadsheet programs, or statistical and geographic analysis packages. File formats include plain text (ASCII), web pages (HTML), and spreadsheet files (Tab Separated Values).
Keywords: AIDS, behavioral sciences, cancer, census, epidemiology, infectious disease, occupational health and safety, pesticides, population, prevention, public health, states, STD, toxins, vaccines, weather
About Herbs, Botanicals & Other Productswebsite
Provider: Memorial Sloan-Kettering Cancer Centers
Descriptions: This information resource, presented by our Integrative Medicine Service, provides evidence-based information about herbs, botanicals, supplements, and more... This site provides objective information for oncologists and healthcare professionals, including a clinical summary for each agent and details about constituents, adverse effects, interactions, and potential benefits or problems.
Keywords: alternative medicine, botanical, cancer, herbs


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From University of Birmingham, Birmingham, South Cleveland Hospital, Middlesbrough, University of Warwick, Warwick, and Imperial College of Medicine at St. Mary's, University College London, and King's College London, London, United Kingdom; University Hospital, Linkoping, Sweden; University of Padua and Sassari and National Research Centre for the Study of Aging, Padua, Italy; Austin and Repatriation Medical Centre, Heidelberg, Australia; Hôpital Broussais, Paris, France; Steno Diabetes Centre, Copenhagen, and Aarhus University Hospital, Aarhus, Denmark; and Joslin Diabetes Center, Boston, Massachusetts.
Acknowledgments: An educational grant for a meeting to plan this work was provided by Zeneca Pharmaceuticals.
Requests for Single Reprints: Nish Chaturvedi, MRCP, MD, Department of Epidemiology and Public Health, Imperial College at St. Mary's, Norfolk Place, London W2 1PG, United Kingdom; e-mail, firstname.lastname@example.com.
Angiotensin-converting enzyme (ACE) inhibitors are recommended for all patients with type 1 diabetes and microalbuminuria, regardless of blood pressure (1). These recommendations are based on well-conducted clinical trials (2), but several questions remain unanswered. First, the range of renal disease included in studies of patients with microalbuminuria is broad, from relatively high albumin excretion rates associated with advanced renal disease to mild elevations of albumin excretion rate and relatively normal glomerular structure. Because microalbuminuria often occurs in the first 5 years after diagnosis (3), relatively young people may begin therapy with ACE inhibitors on the basis of this indication alone and would be expected to continue taking these drugs indefinitely. Furthermore, in several of these trials, change in albumin excretion rate is used as a surrogate end point, with the implicit assumption that it indicates progressive renal disease. A demonstration that ACE inhibitors reduced the risk for progression to a more definite end point, such as clinical proteinuria, would add support to intervention strategies. Although some studies have reported a statistically significant effect of ACE inhibitors on progression to macroalbuminuria (4–5), most were not adequately powered to do so. For example, if the risk for progression to macroalbuminuria in the placebo group is assumed to be 20% over a 2-year period, 147 patients in each group would be required to detect a relative risk of 0.33 with a power of 0.9 power and a significance of 0.05. No study has yet reported the risk for regression to normoalbuminuria, and published individual studies are not powered to do so.
ATLANTIS = ACE Inhibitor Trial to Lower Albuminuria in Normotensive Insulin-Dependent Subjects; ESPRIT = European Study of the Progression of Renal Disease in Type 1 Diabetes; EUCLID = EURODIAB Controlled Trial of Lisinopril in Insulin-Dependent Diabetes; IDDM = insulin-dependent diabetes mellitus; IMSG = Italian Microalbuminuria Study Group; MDNSG = Melbourne Diabetic Nephropathy Study Group; PRIMA = Project with Ramipril on Insulin dependent patients with MicroalbuminuriA. Error bars represent 95% CIs.
Error bars represent 95% CIs.
Values are estimated from the regression model. = 0.04 for treatment effect on continuous baseline albumin excretion rate.
Because the estimate of between-study variance was zero for progression to macroalbuminuria, the fixed-effects model was the same as the random-effects model ( > 0.5 for heterogeneity). *Zero events in the placebo group indicates a between-study variance of 0.22, using the Van Houwelingen method with likelihood based on confidence intervals. ATLANTIS = ACE Inhibitor Trial to Lower Albuminuria in Normotensive Insulin-Dependent Subjects; ESPRIT = European Study of the Progression of Renal Disease in Type 1 Diabetes; EUCLID = EURODIAB Controlled Trial of Lisinopril in Insulin-Dependent Diabetes; IDDM = insulin-dependent diabetes mellitus; IMSG = Italian Microalbuminuria Study Group; MDNSG = Melbourne Diabetic Nephropathy Study Group; PRIMA = Project with Ramipril on Insulin dependent patients with MicroalbuminuriA. Error bars represent 95% CIs.
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The Effect of ACE Inhibitors on Kidney Function in Patients with Type 1 Diabetes
The summary below is from the full report titled "Should All Patients with Type 1 Diabetes Mellitus and Microalbuminuria Receive Angiotensin-Converting Enzyme Inhibitors? A Meta-Analysis of Individual Patient Data." It is in the 6 March 2001 issue of Annals of Internal Medicine (volume 134, pages 370-379). The author is the ACE Inhibitors in Diabetic Nephropathy Trialist Group.
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And Now, Celebrity Wax Figures Dressed in Lederhosen
And other Austrian garb. It's Oktober!By Dayna Evans
And other Austrian garb. It's Oktober!By Dayna Evans
Featuring Azealia Banks, the Oracle.By Sean Fitz-Gerald
As waxworks go, Kate looks great. Prince William, however, looks less so.By Alex Rees
Plus, Chelsea Handler has some advice for the folks who are all riled up over those sexy photos of the 'Glee' cast in 'GQ,' on our regular late-night roundup.By Dorsey Shaw
The French chef has been immortalized by the Grevin wax museum.By Daniel Maurer
People keep patting and stroking her! How weird.By Jessica Pressler
Plus, gossip about Tommy Hilfiger, Lily Allen, Uma Thurman, and Farrah Fawcett in our daily column roundup.
Madame Tussauds New York would like to set the record straight. On Friday, the Daily News called and was inadvertently given incorrect information by a Tussauds employee. Unfortunately, the employee thought the Daily News was asking about a different figure. Madame Tussauds New York does not in fact have a figure of Ivanka Trump... yet. We apologize for the confusion. Madame Tussauds loves the Trumps and is very proud of its figures of Donald and Ivana Trump, as well as its more than 200 lifelike figures.OH MY GOD — are they saying Ivana Trump is sending nail polish for her wax likeness at the museum? That's even better!
I Tried Hillary Clinton's Diet and Now I Sympathize With Her
Blake Lively Reportedly Just Gave Birth, and You'll Never Guess Who's Running to the Hospital
Brad Pitt Fights Back Against Angelina Jolie and Her Plot to 'Destroy' Him
Looks Like Kate Middleton Is Enjoying the View in Canada
Angelina Jolie Got Everything She Wanted in Temporary Divorce Deal With Brad Pitt
What It's Like to Be a Female Reporter Covering Donald Trump
What's New on Netflix: October 2016
Donald Trump Urges Voters to 'Check Out' Alicia Machado's Sex Tape
The Obscure, Legal Drug That Fuels John McAfee
The Best Part of Being a Royal Is Getting to Pet Bunnies


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Sparking production of a hormone in the brain that people with epilepsy often lack could prevent debilitating seizures, University of Florida researchers have discovered.
Gene therapy for epilepsy could stop seizures, UF researchers say
This entry was posted in Home-News, News, Press Room. Bookmark the permalink. Comments are closed, but you can leave a trackback: Trackback URL.


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Food, Friends, and Fun Highlight Late Night Breakfast
It was a record-breaking late night breakfast at Penn State York on Monday, May 2 when more than 150 students taking a breather from studying for finals consumed 25 dozen eggs, 11 pounds of bacon, and 5 pounds of cheese, 300 pieces of toast, and 7 dozen donuts. The cooking was done by some Penn State York faculty and staff, members of the Penn State York Alumni Society, and some guidance from David Platzer, head chef of the campus' dining area, the Lion's Den. Students were treated to egg, bacon, and cheese sandwiches, on wheat or white toast, donuts, coffee and soda. Some attendees were rebels and had their meal sans toast.
In addition to all the eating, there were plenty of musical performances and karaoke that kept things busy right up until 10 p.m. when the event ended. The Blue & White society raffled off a Penn State bean bag chair and the proud winner was Emily Robuccio who had accompanied her big sister, Anna, a Penn State York student, to the event. The late night breakfast has become a popular event on campus and provides a way for faculty and staff to connect with students and help them relieve some stress as they study for finals.
The late night breakfast began in 2009 when Todd Eicker, director of admissions, mentioned this activity during finals week had been a great success at a college where he formerly worked and thought it would be great at Penn State York. Eicker met with food service on campus, got some help from one of the campus alumni organizations, and the event was born.
The event was sponsored by the Student Activity Fee, the admissions office, the Blue & White Society, and the Penn State York Alumni Society.


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Emergency Department Medical/Close Observation UnitWound ClinicSurgical Unit Jay County Orthopedics IU Health Ball Memorial Cancer Center at Jay County Hospital Obstetrics/Nursery Department Jay County Hospital Behavioral Health Sleep Lab Infusion Lab Specialty Referral Center Rehab Services Cardiac & Pulmonary Rehabilitation Radiology Laboratory Services Respiratory Services Social Services Prime Time Pastoral Care Family First Healthcare MeridianMD - West Jay Clinic Jay Family Medicine Family Practice of Jay County TriCounty Surgery
Address500 West Votaw Street Portland, IN 47371
Primary Contacts
Laboratory Services
Our laboratory technologists at Jay County Hospital have an average of 20 years experience and expertise in conducting laboratory testing to benefit patient care. Laboratory testing can confirm diagnosis, evaluate progression of the disease, monitor effectiveness of medication, help physicians diagnose disease and monitor the recovery process.
We offer a full range of physician ordered outpatient laboratory and electrocardiogram (ECG) testing.
Our laboratory hours are:
OutReach Program
As a community service, Jay County Hospital offers ongoing Health Fair testing at reduced fees. Payment is required at time of service; credit card, check or exact cash amount is accepted. Each test is permitted twice per year.
The following test is offered for $30 per test:
The following test is offered for $25 per test:
The following test is offered for $50 per test:
No appointment is required and tests will be administered Monday – Friday 7am – 6pm and Saturday 7am - noon. Your test results will be mailed to you, sending a copy to your physician is optional and the hospital will not assist in filing with insurance.
To take advantage of this offer, please bring this form to Jay County Hospital LAB.
What to Expect with Your Venipuncture (Blood Draw) Health Screening?
JCAHO accredited. We are a draw site for LabOne/Quest and LapCorp/PALABS.
For more information about Laboratory Services, please call (260) 726-7131. Ext. 1008.


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Happy 41st Birthday, Blue Marble2013-12-11 1 Share Tweet
The most iconic photo of Earth recently celebrated its 41st birthday.Happy 41st, Blue Marble!
A few days ago, we celebrated the 41st birthday of one of the most iconic photos of all time, NASA's "Blue Marble". It was shot at a distance of 45,000km from the surface with a 70-millimeter Hasselblad camera, and an 80-millimeter Zeiss lens. The shot was jointly credited to all three Apollo 17 crew members: Eugene Cernan, Ronald Evans and Jack Schmitt. Since then, no human has traveled far enough into space to see such a full view of earth, but similar shots have been taken by unmanned spacecraft. Quite a feat, eh?
Information for this article was sourced from Pop Photo
written by cruzron on 2013-12-11 #lifestyle #birthday #nasa #earth #space


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From Northwestern University Feinberg School of Medicine, Chicago, Illinois.
Acknowledgment: The authors thank Linda O'Dwyer, MA, MSLIS, for assistance in the development of the initial database query for this review.
Grant Support: By the Northwestern University Feinberg School of Medicine (all authors). Drs. Williams and Hansen have received financial support from the John A. Hartford Foundation and the Society of Hospital Medicine for Project BOOST (Better Outcomes for Older Adults Through Safe Transitions). Dr. Young is supported by a National Research Service Award postdoctoral fellowship grant through the Institute for Healthcare Studies at Northwestern University under institutional awards from the Agency for Healthcare Research and Quality (T-32 HS 000078).
Potential Conflicts of Interest: Disclosures can be viewed at www.acponline.org/authors/icmje/ConflictOfInterestForms.do?msNum=M11-1422.
Requests for Single Reprints: Luke O. Hansen, MD, MHS, Division of Hospital Medicine, Northwestern University Feinberg School of Medicine, 211 East Ontario Street, 07-733, Chicago, IL 60611; e-mail, email@example.com.
Current Author Addresses: Dr. Hansen: Division of Hospital Medicine, Northwestern University Feinberg School of Medicine, 211 East Ontario Street, 07-733, Chicago, IL 60611.
Dr. Young: Northwestern University Feinberg School of Medicine, 211 East Ontario Street, 7th Floor, Chicago, IL 60611.
Dr. Hinami: Division of Hospital Medicine, Northwestern University Feinberg School of Medicine, 211 East Ontario Street, 07-727, Chicago, IL 60611.
Dr. Leung: Northwestern University Feinberg School of Medicine, 251 East Huron Street, Feinberg 16-738, Chicago, IL 60610.
Dr. Williams: Division of Hospital Medicine, Northwestern University Feinberg School of Medicine, 211 East Ontario Street, 7th Floor, Chicago, IL 60611.
Author Contributions: Conception and design: L.O. Hansen, R.S. Young, M.V. Williams.
Analysis and interpretation of the data: L.O. Hansen, R.S. Young, K. Hinami, M.V. Williams.
Drafting of the article: L.O. Hansen, R.S. Young, K. Hinami, M.V. Williams.
Critical revision of the article for important intellectual content: L.O. Hansen, R.S. Young, K. Hinami, A. Leung, M.V. Williams.
Final approval of the article: L.O. Hansen, R.S. Young, K. Hinami, M.V. Williams.
Statistical expertise: L.O. Hansen, R.S. Young.
Administrative, technical, or logistic support: M.V. Williams.
Collection and assembly of data: L.O. Hansen, K. Hinami, A. Leung, M.V. Williams.
Background: About 1 in 5 Medicare fee-for-service patients discharged from the hospital is rehospitalized within 30 days. Beginning in 2013, hospitals with high risk-standardized readmission rates will be subject to a Medicare reimbursement penalty.
Purpose: To describe interventions evaluated in studies aimed at reducing rehospitalization within 30 days of discharge.
Data Sources: MEDLINE, EMBASE, Web of Science, and the Cochrane Library were searched for reports published between January 1975 and January 2011.
Study Selection: English-language randomized, controlled trials; cohort studies; or noncontrolled before–after studies of interventions to reduce rehospitalization that reported rehospitalization rates within 30 days.
Data Extraction: 2 reviewers independently identified candidate articles from the results of the initial search on the basis of title and abstract. Two 2-physician reviewer teams reviewed the full text of candidate articles to identify interventions and assess study quality.
Data Synthesis: 43 articles were identified, and a taxonomy was developed to categorize interventions into 3 domains that encompassed 12 distinct activities. Predischarge interventions included patient education, medication reconciliation, discharge planning, and scheduling of a follow-up appointment before discharge. Postdischarge interventions included follow-up telephone calls, patient-activated hotlines, timely communication with ambulatory providers, timely ambulatory provider follow-up, and postdischarge home visits. Bridging interventions included transition coaches, physician continuity across the inpatient and outpatient setting, and patient-centered discharge instruction.
Limitations: Inadequate description of individual studies' interventions precluded meta-analysis of effects. Many studies identified in the review were single-institution assessments of quality improvement activities rather than those with experimental designs. Several common interventions have not been studied outside of multicomponent "discharge bundles."
Conclusion: No single intervention implemented alone was regularly associated with reduced risk for 30-day rehospitalization.
Primary Funding Source: None.
PCP = primary care provider.
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As in the USA, rehospitalizations impose a significant strain on the health system in England. In the 2008-09 financial year, 508,000 patients aged 16 years and over were rehospitalized within 28 days of discharge from a National Health Service (NHS) hospital in England. Around 11.2% of hospital admissions in this age group result in a rehospitalization, with a wide variation between both primary care practices and primary care trusts (the organizations in England's NHS responsible for overseeing local health services).[1]
Many of the interventions examined in the systematic review by Luke Hansen and colleagues have been tried - with generally a similar lack of success - in England's NHS.[2] Because of the considerable burden imposed by rehospitalizations on both patients' health and on NHS finances, the NHS continues to look for ways to address this issue. Fines for NHS hospitals have been advocated as one solution and the impact this will have on rehospitalizations remains to be seen.[3] The other significant step being taken to address rehospitalizations is to give primary care physicians responsibility for managing their local health budgets.[4] This imposes a collective responsibility on physicians to examine rehospitalizations in their patients and address their root causes. In my own primary care trust, this has led to detailed statistics on admissions for unplanned care being made available on primary care practices; critical review of patients who have experienced rehospitalizations by panels of physicians to identify factors that could have prevented the event; and system wide changes to develop alternative care pathways for patients at risk of rehospitalization.[5]
Giving primary care physicians collective responsibility for health service budgets in their locality in an attempt to improve the efficiency of a health system in areas such as rehospitalizations is a radical step and one that physicians in other health systems should observe closely to learn about both its benefits on the health of patients and on health care efficiency; and also to identify any unintended adverse consequences that may arise from the policy.
1. NHS Information Centre. Emergency readmissions to hospital within 28 days of discharge : indirectly standardised percent, 16+ years, annual trend. http://goo.gl/SgmzQ
2. Hansen LO, Young RS, Hinami K, Leung A, Williams MV. Interventions to Reduce 30-Day Rehospitalization: A Systematic Review. Ann Intern Med October 18, 2011 155:520-528;
3. Roberts R. Hospitals to face financial penalties for readmissions. BBC News Online. http://www.bbc.co.uk/news/10262344
4. O'Flynn N, Potter J. Commissioning Health Care in England: An Evolving Story. Ann Intern Med October 4, 2011 155:465-469.
5. NHS Institute for Innovation & Improvement. Reduce readmissions. http://goo.gl/U0YFH
I am a general practitioner in the primary care practice of Dr Curran in Clapham, London. The Department of Primary Care at Imperial College London has received funding from the NHS for research on rehospitalizations.
While the authors should be commended for compiling a well written, thorough and timely review article, the paper's final paragraph ( particularly the final sentence) made me wince, raising a larger point about the evidence base (and sources of evidence needed) for system improvement and policy.
In contrast to the published literature, my observation of hospitals and hospital systems that undertake work in this area is that they generally acheive improvement in readmission rates, especially if they focus on it, are supported in their improvement efforts, and are incentivized to do so; there are well-studied interventions as the paper outlines; the Society For Hospital Medicine (SHM), the Institute for Healthcare Improvement (IHI) and others have robust initiatives in this area; our benefits company (UnitedHealthcare) has been successful in reducing hospital readmissions through combined in-market and telephonic inpatient care advocacy/transition management and engaging with facilities, and high performing ambulatory care systems are quite adept at reducing readmissions, again if incented to do so. All told, hospitals that seek to improve in this area have many resources to draw upon for improvement.
Thus, given what I would call the "preponderance of the evidence" I would consider a Bayesian approach to inference/policy, thinking of the published literature as a "low sensitivity" diagnostic test, applied to a patient with a high prior probability of disease. Thus while I agree that more evidence to guide practice would certainly be useful, I do not agree that "the current evidence base may not be adequate to facilitate change... and reconsideration of planned penalties may be reasonable." This would be an incorrect inference from the literature to policy in my view (like a false negative diagnostic test), and would reduce action and momentum in this important area.
Employee, stock/stock options: UnitedHealth Group. Comments are personal opinions of the author, and not the opinions or position of UnitedHealth Group or affiliated companies.
We agree with Dr. Sandy that thoughtful attention to care transitions will often result in lower readmission rates, with process change supported by some of the interventions we reviewed as well as culture shift to more safety awareness at discharge. However, these improvements are unlikely to be experienced by all hospitals. The key question for performance-based reimbursement tied to the readmission outcome is whether hospitals that demonstrate themselves to be laggards fall short because of factors that are under their control or not.
Many of the reports of success are observational, and we lack a robust evidence-base of randomized controlled trials (RCTs). We believe the hospital discharge transition is an event for which appropriate RCTs could be conducted, but research funding has been lacking. Additionally, because peer-reviewed literature is predominantly focused on the academic healthcare environment, we cannot be confident that non-academic sites of care, where most U.S. healthcare is delivered, can expect similar benefits from interventions. The importance of organizational context to organizational change raises concerns that many hospitals will be frustrated if they seek improvement by replicating the processes we reviewed in our paper.
We are particularly concerned about hospitals that may be left behind (and penalized) as national readmission rates fall in response to hospital financial incentives. We worry that intractable local or individual social factors explain many rehospitalizations. We are unable to estimate the extent of this because available models of rehospitalization risk prediction are insufficient,[1] but it is likely that regional and patient -level socioeconomic variation affects post-discharge health.
Hospitals with opportunity for improvement around medical determinants of rehospitalization will likely see the most gains, particularly since current models adjust away the adverse effect of medical co-morbidity leaving only the potential gain of improved medical care. However, other hospitals who serve communities which lack community- based health and social welfare services (elements not adjusted-for in current models) may find themselves hitting a ceiling for improvement that places them at risk for classification as underperformers. The Centers for Medicare and Medicaid Service's exemption of critical access hospitals is an acknowledgement of this to some degree. We fear many sites will suffer penalties and be frustrated by ineffective hospital-based efforts to change outcomes.
Financial risk shared between the inpatient and outpatient care settings, as described in Dr. Majeed's letter and supported by sections of the Affordable Care Act, may prove both more fair and more effective.
Luke O. Hansen, MD MHS FACP, Mark V. Williams, MD FACP
1. Kansagara, D., et al., Risk Prediction Models for Hospital Readmission. JAMA: The Journal of the American Medical Association, 2011. 306(15): p. 1688-1698.
None declared
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text:
Satisfying Cravings
There's something to be said for listening to cravings. Not the entire container of Chunky Monkey ice cream cravings, but those that come from so deep you can feel them in your toes.
Sometimes it is a desire for quiet. Just 30 minutes of pure peace that can put us back on track. When I looked out the picture windows just before dawn on Monday morning and saw the blanket of snow on the ground -- ground that the day before had been whipped into a frenzy by the wind (grill blown over, etc.) -- all I could think was that Mother Nature was giving things a rest.
I took a couple of minutes to inhale the beauty. Then I tugged on my boots and headed out to brush off the car and head in to work. But those minutes gave me new perspective on the day.
A recent study published in the New York Times found that our bodies can do a wonderful job regulating our food intakes when we mix exercise and meditation into our daily routines. By doing a little mental and physical tuning, our bodies, the study found, are better able to make food choices.
A couple of years ago, I had intense cravings for strawberries. "Gotta have them at least three times a week, preferably five" kind of cravings. So I honored my body. Blueberries and raspberries came next, but never quite as intensely as the strawberries.
So I pick them and freeze them. You will almost always find a container of fresh berries in my fridge. Then, a Harvard study (http://newsroom.heart.org) came out a couple of weeks ago that found that women who eat strawberries and blueberries at least three times a week have a lesser chance of having heart attacks.
Lemon and ginger are long respected for their medicinal purposes (both are always in my home), so it made sense to try a halibut poached with lemon, ginger and garlic. The result is a simple and delicious dinner. The chopped salad with mangos, pomegranate, apples, pears and cabbage is going to become a winter staple at my house. I enjoyed it both with and without the blue cheese; plus, it holds up for a second day, and the flavors have a chance to really meld.
I would be remiss if I omitted one craving, a sweet that combines chocolate and peanut butter. These bars freeze well, so you can pull them out for treats and lunches without having the whole pan sitting on the counter. No matter how many times my head says "get the salad out of the fridge" when I'm looking for a snack, a tray of chocolate and peanut butter bars within sight will trump it every time.


text:
For the athlete who realizes there's more to fitness than a rack of barbells, a treadmill and a TV. An ALUXX aluminum-framed FCR gets you out of the gym and onto the open road.
Featuring a butted ALUXX aluminum frame and formulaOne Composite fork, FCR geometry delivers equal parts performance and sure-footed positioning for spirited workout rides or confident commuting.


text:
Chris Cerf, Gov. Christie's education commissioner for the last three years, who helped usher in big changes like a new tenure law, a new teacher-evaluation system, and increased school choice, announced Tuesday that he would step down at the end of the month.
Cerf, 59, is leaving his $141,000-a-year post to work for an educational-technology company headed by his old boss, former New York City schools Chancellor Joel Klein.
The former deputy chancellor will become chief executive of Amplify Insight, a division of Amplify, owned by Rupert Murdoch's News Corp.
Cerf, whose past posts include heading Edison Schools, a major school-management company, said his decision to leave had nothing to do with recent scandals involving the Christie administration.


text:
WELD COUNTY - Weld County election officials saw the potential deluge coming - and they headed much of it off with roving carriers - but still the volume of mail ballots turned in on Election Day slowed the counting process.
Weld County Clerk and Recorder Steve Moreno said the county's 34 election centers were bombarded with 9,951 mail-in ballots dropped off on Tuesday.
"I figured that if we got 8,000 or more, we wouldn't be able to get them all counted last night," Moreno said Wednesday. At the Weld County Elections Office in Greeley on Tuesday night, "we had ballots still being hand-delivered to us by election judges as late as 10:30."
The surge forced election crews to work until 1 a.m. Wednesday and finish counting the final 3,300 mail ballots later Wednesday morning. Those tallies left the closest race in the county, the House District 50 contest between incumbent Democrat Jim Riesberg and Republican challenger Bob Boswell, at 7,666 votes for Riesberg and 7,400 for Boswell with 1,700 provisional ballots and 300 unqualified ballots yet to be counted.
Moreno said he sent the election crew home to get some rest after they worked past midnight on Election Day.
"We wanted to make sure we didn't have any errors in the process," he said. "I think this is the best decision we could have made for the county and the voters in the county."
Moreno, who ran unopposed, won a third, four-year term in Tuesday's election.
He said a state legislative action in 2009 resulted in all county voting centers being drop-off sites for mail-in ballots. In 2008, Weld had five drop-off sites for those ballots, but this year all 34 Weld voting centers were drop-off locations.
"That's the struggle with managing that because we have sites all over the county - Briggsdale, Grover, New Raymer, Keenesburg - and it takes a while to drive those in," Moreno said. "We were running rovers all day trying to pick up ballots. We got to the point we had to stop those rovers."
He expects that getting all Election Day mail ballots counted will continue to be a problem as long as the current law is on the books. Arapahoe County tried to fight the new legislation, arguing that it's an unfunded mandate. A judge last month ruled that the county must accept the mail ballots at all polling locations.
On Wednesday, Arapahoe County still had as many as 30,000 ballots to count.
Moreno said he couldn't provide data on Election Day mail ballots received in the 2008 election because his office was too busy working on the current election.
His office was prepared for thousands of drop-offs on Tuesday since 70,500 mail-in ballots were sent to voters and about 53,000 had been returned before Election Day, leaving 17,500 outstanding.
"We knew there was a strong possibility that voters would turn those in," he said.
County officials, meanwhile, have until Nov. 16 to count provisional ballots. If someone who was sent a mail-in ballot shows up to vote on Election Day, they are directed to a provisional ballot, Moreno said. This step is taken to ensure that they don't vote twice.
In 2008, Weld County had 1,200 provisional ballots to verify.
Election officials have a shorter time frame by law - eight days from Election Day - to cure unqualified ballots.
Those are irregularities where the ballot is not signed, or the signature does not match the signature on file with the county election office.
"A lot of times this is easily resolved because a husband signed a ballot for his wife or vice versa," Moreno said. "... Some voters don't sign the back of the envelope."
In both of those instances, the ballot is fairly easily reconciled, he said. If the ballot can't be cured after eight days the clerk and recorder's office forwards it to the District Attorney's Office.
Surrounded by boxes containing 50,000-plus mail-in ballots, the Weld election crew worked diligently Wednesday morning to both reconcile the irregular ballots and count the remaining mail-in ballots.
Moreno praised the accuracy with which the workers performed their jobs.
"The staff worked as hard as they could and planned accordingly for this," he said. "... I can't say enough thank-yous to the staff we have in the county."


text:
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text:
Pittsburgh's Action Weather forecast
Next video starts in : 7 Play
Pittsburgh's Action Weather forecast
Officers Surround Charlotte Stadium Protesters
3:47Now watching Up next
Pittsburgh's Action Weather forecast
Chief meteorologist Mike Harvey has Pittsburgh's Action Weather forecast.
1:03Now watching Up next
Officers Surround Charlotte Stadium Protesters
A group of around 100 demonstrators have gathered across the street from Bank of America Stadium to protest the shooting death last week of a man by a Charlotte-Mecklenburg police officer. (Sept. 25)
2:14Now watching Up next
UN Leaders Say More Hard Work Needed on Syria
UN Secretary General Ban Ki Moon condemned the ongoing violence in Aleppo and all of Syria, saying he is appalled by the use of 'bunker-busting' bombs. (Sept. 25)
2:05Now watching Up next
UN Security Meeting Debates Deadly Syrian Crisis
UN Security Council members are calling for further cessation of hostilities in Syria as well as greater humanitarian assistance as the crisis is ongoing. (Sept. 25)
1:59Now watching Up next
Marlins Ace Jose Fernandez Dies in Boat Accident
Jose Fernandez, the ace right-hander for the Miami Marlins who escaped Cuba to become one of baseball's brightest stars, was killed in a boating accident early Sunday morning. Fernandez was 24. (Sept. 25)
1:11Now watching Up next
This Week Fast Forward 9.25.16
Speed through the highlights from the latest "This Week."
5:33Now watching Up next
US and UK Left 'Door Open' to Russia in Syria, UK's Boris Johnson Says
George Stephanopoulos goes one-on-one with British Foreign Secretary Boris Johnson.
12:38Now watching Up next
Katrina Vanden Heuvel Says This is a 'Rewrite the Rules Election'
The Powerhouse Roundtable preview the upcoming presidential debate.
2:24Now watching Up next
Clinton, Trump Prepare to Battle in Pivotal First Debate
George Stephanopoulos previews the first debate showdown on "This Week."
1:32Now watching Up next
Raw: Charlotte Protests After Video Release
A fifth day of protests in Charlotte against the fatal shooting of Keith Lamont Scott by police remained largely peaceful after the release of the partial police vehicle dashcam and police body cam footage. (Sept. 25)


text:
Skip to comments.Dear Mr. Obama (absolutely, do not miss this YouTube of a hero supporting McCain)
Posted on 09/05/2008 9:15:45 AM PDT by doug from upland
DO NOT MISS THIS VIDEO OF A WAR HERO WHO SUPPORTS McCAIN
Thanks for the heads up.
Obama really needs to check out P.Diddys video's on YouTube, LMAO! That guy is a walking advertisment for voting McCain/Palin!!!
"What is the reality in Alaska. There's not even no crackheads in Alaska... There's not even...no black people... There's not even no... like...crime? " P.Diddy~
Awesome video! Thanks for posting and this needs widespread distribution!
Excellent! Thanks for posting.
Nice video. Hope many people see it. From the looks of the guy when he walks away he paid a large price for his service to the country also.
Amazing young man. May God bless you, sir!
BRAVO! BRAVO! and BRAVO!
God Bless him. Going to share this video!
Wow! Bump!
Thanks for posting this! It gave me goose bumps and tears in my eyes.
Needs to be made into a tv ad-great ad-God bless this hero
> Obama really needs to check out P.Diddys videos on YouTube, LMAO!
You mean this one? http://www.youtube.com/watch?v=ow8_pCPfhDk
Crikey! Is this guy allowed to vote in the US? He sounds like he is on crack.
That was AWESOME and it literally game me goosebumps and I'm usually pretty tough and hard to impress~!!!!
Powerful stuff.
Good video
We owe it to this man and all our other brave servicemen to do everything in our power to make sure that they never have the insult of calling Obama their Commander in Chief.
LYSandra said - "Needs to be made into a tv ad-great ad-God bless this hero".
I can't even picture in my mind Obama saluting our troops.
Thanks for posting this here.
Hoping it gets alot of coverage.
Great Video. Senator Obama said Senator McCain "doesn't get it." This video shows that Senator Obama "doesn't get it!"
Roger That !!
Sorry for the blank image. (It was there briefly) I have a feeling snopes is overloaded too.
However, you all know the photo I'm referring to - Obama not putting his hand over his heart. Can you imagine him saluting the troops? I can't.
Transcript for those of us behind firewalls???
Damn that was good! Had me blinking pretty hard at the end.
Videos like that always make my monitor fuzzy.
Republican movers and shakers need to made aware of the great potential in this video. Properly promoted, this video is worth hundreds or maybe even thousands of votes.
This video made me cry. Thank you so much for posting this...it's one of those things that I always make me think how fortunate that I didn't miss it.
This one should be shown on NBC.
I'll send a private reply so I don't spoil it.
Excellent video. I have sent emails to everyone I know recommending they watch it.
Yes, that is the video!!!! WTF!!!! That guy is rich and famous??? GO FIGURE!~Cindy
You mean this one? http://www.youtube.com/watch?v=ow8_pCPfhDk
Crikey! Is this guy allowed to vote in the US? He sounds like he is on crack.
WOW !!! I have always been proud of my country and the devoted young folks who serve in our armed forces . Nam Vet .
Thanks DFU
Oh WOW!!!! Kleenex by the box full needed here.
God bless this young hero and all his fellow soldiers!
Outstanding, TY!
Oh wow.
My screen got blurry at the end.
My screen got blurry as well! What an AWESOME You Tube that was so meaningful.
There are some topics on FR that just cry out to be given stickie status. Any way to implement this feature here?.
Thank you one and all for your service to our great country!. It is your service and sacrifice, that, in large part make this country so great.
Fixed it.
Bumping this for those who might have missed it.
Excellent. We need to make sure the sacrifices of our Servicemen and Women [and those of our allies] are not in vain.
If each of us, in our own way need to make sure that on election day, an elderly or disabled person gets to the polls; co-workers, family, youngfolk who are generally apolitical understand the vital importance of their vote.
We need to do our part because if this ends up to be a close election, our grassroots efforts will make a difference.
Like the veteran in the video, we know what is at stake. Make sure others know too. It's the very least we can do.
this has been posted seven times, that's how good it is! This is the original one so I'm BUMPING TO THE TOP!!! I received this via email from my friend in OHIO who claims this is her friend's son. She asked me to post it here, but I see it's already being appreciated....GOD BLESS AMERICA!
If I can find him, I may have a job for him.
Disclaimer: Opinions posted on Free Republic are those of the individual posters and do not necessarily represent the opinion of Free Republic or its management. All materials posted herein are protected by copyright law and the exemption for fair use of copyrighted works.


text:
Caring for Climate Seeks Inputs on Corporate Engagement on Climate Change Policy
April 2013: Caring for Climate is calling for inputs on a study on corporate engagement on climate change policy that it is conducting in partnership with the World Resources Institute (WRI), the World Wide Fund for Nature (WWF) and the Carbon Disclosure Project (CDP). The project seeks to help companies to evaluate, improve and demonstrate responsible influence on climate change policy, as well as to develop guidance material on the topic.
Caring for Climate will convene two webinars, on 20 June and 25 July 2013, related to the research and will carry out interviews. Caring for Climate signatories are invited to join these webinars and provide input to the study by contacting Heidi Huusko (email@example.com).
Launched by UN Secretary-General Ban Ki-moon in 2007, Caring for Climate is an initiative of the UN Global Compact and the UN Environment Programme (UNEP) aimed at advancing the role of business in addressing climate change. It provides a framework for business leaders to advance practical solutions and help shape public policy and attitudes. [Caring for Climate Website]


text:
tearing --> epiphora
1. (Science: medicine) The watery eye; a disease in which the tears accumulate in the eye, and trickle over the cheek.
2. The emphatic repetition of a word or phrase, at the end of several sentences or stanzas.
Origin: L, fr. Gr, fr. To bring to or upon; _ to bring.
Please contribute to this project, if you have more information about this term feel free to edit this page.


text:
UNIVERSITY PARK - The starting point guard fell one assist short of a triple-double.
Fans started leaving with two minutes to play, hoping to beat the traffic.
The student section booed the home team at the end even after winning, 67-51, because it fell 3 points short of collecting free promotional Big Macs with a ticket stub.
Those are things that happen to winning basketball programs. They happened anyway to the Penn State Nittany Lions Saturday at the Bryce Jordan Center, which happened to be a good mid-winter pick-me-up for a team that had lost five straight.
Tim Frazier led the Nittany Lions (11-15, 3-10) with 23 points, 10 rebounds, and nine assists. Coach Pat Chambers called a couple of plays in the final moment for Frazier to drive into the lane before passing out to a jump-shooter for that 10th assist, but to no avail.
"And I wanted them to get the Big Macs, no doubt, but I couldn't do that to [Nebraska coach Doc Sadler]," Chambers said. "I think any other coach in the country would say the same things."
Frazier is the Big Ten's second-leading scorer at 18.3 points per game and leader in assists at 6.3 per game, and he had some help on Saturday. Cammeron Woodyard scored 14 points and Jermaine Marshall added 12 as the Nittany Lions shot 52 percent as a team. Frazier will need that help the rest of the season as redshirt forward Billy Oliver confirmed the end of his playing career Saturday over lingering concussion symptoms.
"You say a triple-double for Tim Frazier, that accompanies everybody else on the team," Frazier said. "Guys step in and make huge shots, tons of dives, and stopped runs."
The Nittany Lions led by 10 at the half, but dissatisfaction over a missed Frazier layup at the end of the half spurred the team into building a 51-33 advantage with 13:30 to play.
The Cornhuskers (11-13, 3-10) never pulled within single digits in the second half. A rally was too much to ask for a team playing its fourth game in 10 days.
"I like what Pat's done with this team. The players are buying into what he believes," Sadler said. "They shot as well as they have all year."
Penn State's 52.3 shooting percentage was its best in Big Ten play, and that included a 2-for-12 effort from third starting guard Nick Colella. Chambers said Colella playing too many minutes (32) and tiring was the problem, not missing too many shots. No other player who shot more than once finished with less than 50 percent shooting.
"We haven't been up 10 since the non-conference, so it was nice, though we should have been up 12 at the half. We can't be satisfied," said Chambers. "It's exciting to be in that position. I'm proud of the players, to be 2-10, and to fight and push coming in with that great attitude."
The Nittany Lions host Iowa Thursday night at 8 p.m..
NEBRASKA (11-13): Ubel 1-3 0-0 2, McCray 4-10 0-0 9, Richardson 0-2 6-6 6, Spencer 3-8 0-0 7, Walker 5-10 0-0 10, Rivers 0-0 0-0 0, Moore 1-1 0-1 2, Hilliard 0-1 0-0 0, Niemann 0-0 0-0 0, Talley 4-11 1-4 12, Fox 1-2 0-0 3. Totals 19-48 7-11 51.
PENN STATE (11-15) Graham 2-3 1-2 5, Travis 2-2 0-0 4, Colella 2-12 0-0 6, Frazier 7-9 8-8 23, Woodyard 4-7 2-2 14, Glover 0-1 0-0 0, Marshall 5-8 0-0 12, Montminy 0-0 0-0 0, Borovnjak 1-2 1-2 3, Ackerman 0-0 0-0 0, Wisniewski 0-0 0-0 0. Totals 23-44 12-14 67.
Halftime-Penn St. 36-26. 3-Point Goals-Nebraska 6-20 (Talley 3-8, Fox 1-1, Spencer 1-5, McCray 1-5, Richardson 0-1), Penn St. 9-23 (Woodyard 4-7, Marshall 2-3, Colella 2-11, Frazier 1-1, Glover 0-1). Fouled Out-McCray. Rebounds-Nebraska 21 (Richardson 4), Penn St. 30 (Frazier 10). Assists-Nebraska 11 (Richardson 5), Penn St. 13 (Frazier 9). Total Fouls-Nebraska 14, Penn St. 15. A-13,103.


text:
ULUPALAKUA - A weary-eyed Brooke Scott reclined her seat in her car and fell fast asleep Monday afternoon behind the Ulupalakua Ranch Store.
The 29-year-old from Haiku had spent all morning searching for her younger sister Carly "Charli" Scott and had finally reached her limit.
"I fall asleep at, like, three in the morning and I'm trying not to do that but there's just not enough hours in the day to do what we want," Brooke Scott said. "We exert ourselves and throw ourselves down gulches all day and get home and try to update things without getting sidetracked by some of the Facebook stuff and media stuff. I'm trying to stay away from that because right now it's a distraction from what I'm trying to do."
Article Photos
Josh Berlien, a family friend of missing Makawao resident Carly Scott, pauses Monday afternoon after jotting down notes all morning on maps of East and South Maui behind Ulupalakua Ranch Store.
The Maui News / CHRIS SUGIDONO photo
Johnny Pipkin hugs his stepdaughter Brooke Scott after searching for her sister Carly Scott on Monday afternoon near Ulupalakua.
The Maui News / CHRIS SUGIDONO photo
Jacob Evans of Maui Dog Tags assists in a search for missing Makawao resident Carly Scott Monday afternoon along Kula Highway in Ulupalakua.
The Maui News / CHRIS SUGIDONO photo
Jeff Simon (center), a family friend of missing Makawao resident Carly Scott, briefs Sarah Rodriguez of Haiku and Nick Scarbrough of Ulupalakua about how to handle potential evidence Monday afternoon behind Ulupalakua Ranch Store.
The Maui News / CHRIS SUGIDONO photo
Carly Scott, 27 and five months pregnant, has been missing for more than a week. She was last seen around 8 p.m. Feb. 9 at her older sister's home in Haiku. Family members said that Scott left the house to help her ex-boyfriend, whose car broke down around Mile Marker 20 on Hana Highway in Keanae.
"Today, because my body is kind of giving up on me a little bit, I'm going to try to use my brain a little more and look for things" to hand over to police to help with the investigation, Brooke Scott said.
Maui Police Department spokesman Lt. William Juan reported no new information Monday on the search for Scott.
Since her disappearance, 50 to 70 family members and volunteers have conducted daily searches from Haiku to Hana. On Monday, volunteers met outside the Upcountry ranch store and conducted searches along Kula and Piilani highways.
"We've been here since 7 a.m.," family friend Jeff Simon said Monday afternoon.
Simon and a team of volunteers set up headquarters in a covered structure with about a dozen maps of remote areas such as Kailua, Waianapanapa, Nahiku and Ulumalu - all donated by Maui County's Geographic Information Systems program. By 3 p.m., the team had maps of nearly the entire island.
Josh Berlien, another friend, fielded text messages, phone calls and personal reports from search teams, and jotted down notes on the maps.
"I really need to get some sleep," he said.
Among those searching on foot were Jacob Evans and Mike Nakamura from Maui Dog Tags, a nonprofit group devoted to helping military veterans with working and service dogs. Working dogs are those found in K-9 units and service dogs help disabled veterans.
Evans and Nakamura, who served in the Air Force and Army, respectively, searched through areas of heavy foliage in Ulupalakua using binoculars and their senses.
"We're looking for anything that seems out of the ordinary or doesn't look right," Evans said while walking between Mile Markers 18 and 19 along Kula Highway. "And for smell unfortunately."
In addition to the searches by foot, motorcycles, all-terrain vehicles, helicopters and working dogs have participated over the past week. On Sunday, the team had a drone donated by Maui-based Blue Sky Aerial Solutions take pictures and video of unreachable cliff faces and ravines on the north shores of Haiku and Hana.
More than a dozen of Scott's relatives have flown in from the Mainland, including her father, Robert Scott.
He flew in from Seattle on Wednesday night, delayed because he was in complete "denial" that his daughter had gone missing.
"I was hoping it was an overreaction to something," he said. "Unfortunately I felt pretty bad that I could've got here a day sooner had I not been suffering from that denial."
Carly Scott was born Nov. 24, 1986, in Woodland, Calif. She moved to Sacramento around age 6, after her parents divorced, and eventually came to Maui around age 17.
Scott received the equivalent of a high school diploma on Maui and lived with her five sisters and another half-dozen relatives on a large property in Haiku.
A few months ago, however, she became pregnant and found her own residence in Makawao.
"Charli likes to have her own space and she was always a really, really hard worker," Brooke Scott said. "She has her two dogs but she was living alone in her tiny little place in Makawao and every day we tried to spend time with her because none of us really loved the idea of her being alone like that.
"We could've spent more time with her."
The older sister, who is about three months pregnant, recalled talking with Scott about the sex of their babies and potential names.
"We were gonna let our children grow up together and play together," she said, holding back tears. "They were only going to be a few months apart."
At 16 years old, Phaedra Wais is the youngest of Carly Scott's sisters; however, she was one of the closest.
"We usually talked every day," said Wais, a junior at King Kekaulike High School. "She used to pick me up from school and drop me off at work."
Wais said that when her sister learned she was pregnant, she did not tell family members until about a month later.
"For the first couple weeks when she was starting to feel sick she really thought she was sick," she said. "When she found out she was pregnant, she needed to talk to someone to figure out what to do."
Robert Scott said that his daughter had always been a "hard worker" and did not ask much from anybody.
"She'd give almost everything away. I'd use to have to get on her and say, 'Hey, you better build some of your own financial security, don't give it all away,'" he said jokingly. "But that's what she wanted to do. That's Charli."
While Robert Scott arrived a few days after daughter's disappearance, he credited her stepfather, Johnny Pipkin, for spearheading efforts.
"I'm so thankful to everybody, especially John Pipkin, he's been phenomenal," he said. "I don't know what I would've done without him because it would've been extremely difficult for me to do something being from outside the area and not having the circle of friends."
Pipkin, who works for ELCCO Inc., has had several of his coworkers - including Simon and Berlien - help with the search.
Kimberlyn Scott, Carly Scott's mother, said that the family is "taking a breather" today and will not be actively searching. However, an independent group will meet at 7 a.m. at the Haiku Community Center, and the family is asking anyone with personal watercraft, kayaks and other water equipment to join.
"This break is mainly to regroup because everyone has been literally falling asleep around 2 a.m.," Kimberlyn Scott said. "We just have to stop. And Brooke is pregnant and I know she won't stop unless the entire family stops. I would like at least one grandchild to survive this.
"But I want everyone to know that we're just pausing the search to collect ourselves. We are not stopping."
Anyone interested in joining today's search should call Alton Franco at 264-3995.
* Chris Sugidono can be reached at email@example.com.


text:
A concert is a perfect reason to dress up a bit!
I decided going to the concert gave me the perfect reason to wear the mink hat and stole my mother-in-law gave me. I have been looking for the opportune moment and this was it. I took a self-portrait with my Blackberry when I got in the car to go which didn't turn out half bad.
Feeling like a Russian Spy in an old movie
Before the concert Ruta and I tried taking a couple pictures. Most of them turned out to be badly out of focus but I managed to save a few.
Mink hat and stole, red skirt by The Limited, purple pumps by Guess
Under the stole: leopard print blouse by Guess over purple lace trimmed tank from Charlotte Russe.
Ruta is wearing her short mink jacket over a black dress with a sunny colorful scarf.
A chill wind blew and my bare legs were freezing so we hurried in to the venue.
During the concert I managed to sneak a video clip with my Blackberry. The quality isn't but so great visually but the sound is what really matters. His playing can be heard very well. However, Mr. Bailey is easy on the eyes and plays very passionately. I hope you enjoy this bit of cello with piano.
The program he played was very interesting. The first half of the program he played opposite of that which is printed in the program. He started with the Sierra selection yet framed it first with a reference to Bach's Cello Suite No1 Prelude. The Prelude of the Sierra seems very much inspired by the Bach. I had never heard of Robert Sierra and he is a living composer. That was our least favorite part of it all but he still performed it well in spite of the selection.
Ruta and I both enjoyed the Schumann and Mendelssohn selections. They are from the Romantic Period and the pieces are very melodic and soothing. After a brief 15 minute intermission, Zuill and Piers returned to the stage for the Rachmaninoff Sonata. Piers Lane plays so very powerfully from the wrist. Rachmaninoff is very demanding to play and usually I see the pianist playing from the shoulder all the way through to his fingers. Piers Lane seems to move nothing but his fingers and hands right from the wrist. Yet he manages to infuse all the power and color necessary to fully express the piece. He is quite an impressive pianist to see perform.
After the show we took some pictures while we waited for the artist to emerge.
These turned out better and focused at least, even if our feet didn't make it into the frame.
Piers Lane, the pianist, gets into a very intense discussion with an admirer.
Zuill Bailey and Student from Master Class
Zuill Bailey taught a Master Class for VCU students during the day prior to the concert. They all seemed to enjoy it quite much, and lined up to shake his hand and get autographs. Some had him sign their cello cases.
I waited for all the students to clear out and asked Mr. Bailey if I may take his picture. He was happy to pose for me.
It is a pleasure to see and hear him play. He is an exclusive recording artist for Telarc and recorded the Bach Cello Suites which were released February 2010. His recording shot to the number 1 spot on the Classical Billboard Charts. I will be downloading his collection of Bach Cello Suites today from iTunes.
If you have not tried any classical music lately I highly recommend giving Zuill Bailey's Bach Suite No1 in G Major a listen. It speaks to the soul.


text:
"Make it new!" Ezra Pound once said about writing and art. Quindlen's seventh novel explores a New York City woman photographer doing just that by relocating temporarily to a small town upstate and taking entirely different kinds of photographs. Rebecca Winter has just turned sixty, gotten divorced, and her 20-something-year-old son hardly needs her anymore.
One of the first people she meets in this unnamed town is Jim Bates, a blond, pink-cheeked roofer, who blushes easily and is very kind. The first thing he helps her with is getting rid of her attic raccoon which he immediately shoots—saying it's the only way to truly get rid of a coon because otherwise it will keep coming back.
Rebecca always fusses about money. Money only dribbles in from a famous photograph from decades ago, the one that gave this book its title. Rebecca shot the picture after one of her ex's myriad dinner parties that she always had to clean up after.
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text:
Syracuse, N.Y. -- Sometimes we have to give a place we've given up on another go. Take this first item, for example:
* Travis Hance, interim general manager of Syracuse Real Food Co-op, comments, "Hi chapstickgrl! I'm Travis, the new interim general manager at the Co-op. Just wanted to invite you back in to check us out, I'm not sure when the last time you were in was, but a few years ago we formed a national Co-op that (among other services) negotiates our supply agreements with the big guys. Long story short: Our prices are WAY competitive with Wegmans and Price Chopper, and our staff has a wealth of knowledge about sustainable, local, natural and organic foods that can't be found anywhere else in town. Also, we work directly with a lot of local farms to source rare, hard-to-find handcrafted cheeses. In my humble opinion our cheese set is by far the most interesting in town.
"Oh, and, I just would like you to know that leather shoes, while not a requirement to come into your community owned store, are a VERY common sight in the Co-op! (I'm wearing some sharp Italian loafers as I write!). Sincerely, we hope to see you soon.''
Hurry, before they find out Travis' shoes are real leather....
Nah. I'm just playin' with ya. On behalf of all of us who haven't paid the Co-op a visit in a while, thanks so much, Travis. I know I'm going to give it another shot. I've got a vegetable smoothie recipe I'm playing with.
* cnymum comments, "Hi -- Re: Aldi in East Syracuse -- there was an ad in the classifieds a couple of Sundays ago that said it had openings for the store opening June 2008. Hope this helps."
It does. That one slipped my mind. Thanks.
* tauntontoo comments, "Drove by BBand B yesterday (Monday)... Signs say it's open, and there were cars parked in front. No ads, sale flyers etc?? Interesting methods for a grand opening!"
I'll say! Hey Bed Bath & Beyond: The newspaper is right here.
* MIKEE9913 comments, "(On the Bed Bath... third store in Syracuse area) Big deal!... Bed Bath wouldn't have three here if we had LINENS N THINGS in the Syracuse area. That would be some good competition. Linens n things are all over NYS but none in Syracuse? Seems odd?..."
* shark222 comments, "Mikee, Linens 'n Things??? Are you kidding, they are close to bankruptcy! They have been opening few if any stores anywhere for quite a while. Bed Bath and Beyond is a far better store, and is the major reason Linens 'n Things is nearly out of business."
I don't know HOW close to bankruptcy, but here's what was recently reported in Crain's New York Business:
"Losses for the New Jersey-based Linens 'n Things widened to $180 million for the nine months ending last Sept. 29, while cash flow at the retailer slipped below the level needed to service its massive debt. Worried investors have all but written off the retailer. The debt taken on to finance the buyout now trades at a mere 43 cents on the dollar, according to bond-trading firm MarketAxess."
Mikee is right, though. Linens is across Upstate, but not in the Central New York market.
* keg13206 comments, "Driving back from the North Side a few days ago, my daughter and I noticed the 'dueling Rite-Aids' at the corner of Butternut and Lodi. What's up with that? Obviously, one of them has to go, but which one?"
When Rite-Aid bought into all the Eckerd stores, they told me at the time they'd be looking at each store and there may be closings. That area wasn't mentioned, but everyone has widely speculated one or the other has to go. If they remodel both -- or have remodeled both -- that will be strange.
* olddriver comments, "Bob -- I am not sure if this is where to send this but just I read your Destiny story in the Sunday paper. PLEASE let it be known, these mixers deliver concrete!! Cement is a component of concrete. I hope you prefer to have an accurate article.''
Thanks. The trucks are still "cement mixers," aren't they?
That is all.
Talk to me.
----Bob Niedt
Feedback: Hit "post a comment," or send something here.


text:
Announcement Adopt Flat Bonnie handmade plush stuffed animals. A generous portion of sales is donated to rabbit / small animal rescue organizations monthly.
Adopt Flat Bonnie handmade plush stuffed animals. A generous portion of sales is donated to rabbit / small animal rescue organizations monthly.
- All 99
- Bunny Rabbit Plush Dolls 17
- Guinea Pig - Cavy Stuffy 5
- Exotic Stuffed Animals 27
- Poop Plush - Poo Gifts 6
- Unique Plushies 10
- Kawaii Enamel Lapel Pins 13
- Cute Stickers - Keychain 3
- Tote Bags - T-shirts 2
- Art Prints - Wall Decor 1
- Charms - Jewelry - Pins 5
- Dog - Custom Stuffy Doll 2
- Cat - Custom Kitty Plush 3
- Ornaments - Bag Charm 5
Zulema Ortiz on Sep 29, 2016
What a super cute space cat pin! It's so full of cute details! My daughter loves it! <3
kstew1 on Sep 22, 2016
Super cute! Fantastic
Amanda Kemp on Sep 15, 2016
super cute! larger than expected for a pin.
Flat Bonnie - The Go Everywhere Rescue Bunny
Hello, I'm Flat Bonnie!
I'm ready to go to my forever home.
I want to go everywhere with you,
and love to get my picture taken.
Flat Bonnie was created to help bring awareness to the life of bunnies in shelters and rescue centers.
Most people do not know that there are bunnies ready for adoption at these places.
Flat Bonnie plushes are made for people who love bunnies and for people who may want a real bunny but are not ready to provide the proper care and finances needed to raise the bunny.
When that person is ready for a real bunny, Flat Bonnie's message is to adopt from a local shelter or rescue center.
A generous portion of all sales is donated to bunny/animal rescue organizations monthly.
We also donate many Flat Bonnie plushes to rabbit/animal rescue centers.
Those donated plushes are sold or auctioned by the rescue, to raise money for the abandoned and abused animals in their care.
If you buy a Flat Bonnie plush at those rescue centers, 100% of the sale will go to the care of the bunnies/animals.
Shop members
Flat Bonnie
I'm Flat Bonnie - The Go Everywhere Rescue Bunny.
Find FlatBonnie at the following upcoming market!
Designer Con
Pasadena Convention Center, 300 E Green St
Pasadena, CA
Nov 19–20
Designer Con is an annual art and design convention that smashes together collectible toys and designer apparel with urban, underground and pop art!
Shop policies
I'm ready to go to my forever home.
I want to go everywhere with you,
and love to get my picture taken.
Flat Bonnie helps raise awareness of abandoned animals, and the importance of adopting when you are ready for a new friend.
A portion of sales is donated to bunny/animal rescue organizations monthly.
Accepted payment methods
- Accepts Etsy gift cards
Your item(s) will be ready to ship in 3-5 business days after payment is received.
*Customized item(s) will take additional time. 5-10 days after receiving photos.
Your item(s) will be shipped to the address provided by Etsy/Paypal. Please double check that your address is correct if you have moved recently.
*Transit time in the US (domestic) is usually 2-5 business days except around holidays.
*International Transit time is usually 5-14 business days. Sometimes longer. Shipping time varies according to each destination country.
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Contact me about wholesale availability.
Flat Bonnie® characters are original designs and copyright protected.
Flat Bonnie® is a registered trademark.


text: 4 temp/full time restaurant cooks needed 12/20/15 to 06/20/16. Receive loads of fresh crawfish daily to restaurant & required to unload these deliveries from truck in sacks 30-40lbs each. Workers will wash, prepare, & cook crawfish & other seafood. Cooking process may include boiling, broiling, frying, steaming, grilling, or other prep. General clean up duties. Must have 3 mos verifiable prior exp. 40 hrs/wk. Must be willing to work 7 days/wk from 2:00 p.m. to 10:00 p.m.;$12.95/hr; OT varies @ $19.43/hr. Drug testing, post accident. Transportation & subsistence (including meals & to extent necessary, lodging) costs to the place of employment reimbursed to anyone who lives outside area of intended employment upon completion of 50% of the work contract. Return trans & subsistence will be provided if worker completes employment period or is dismissed early by employer. Effective 1st day of arrival, employer guarantees to offer work for hours equal to at least ¾ of workdays in each 12-wk period of the total employment period. Tools, supplies, & necessary equipment provided at no cost to worker. For further information & application, contact nearest SWA at 706 E Vermilion, Lafayette, LA 70501 or send resume to LA Crawfish Time, 2019 Verot School Rd, Lafayette, LA 70508; JO#567028.


text:
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Velocity pull and twist key ring. (Oxidization included-satin silver only).
724 North Highland Avenue Aurora, Illinois 60506
P: (866) 312-5646 F: (866) 314-5646 firstname.lastname@example.com
Quality Logo Products, Inc. is your number one source for stress balls and promotional items.
Copyright 2003 - 2016 Quality Logo Products, Inc., Registration No. TX7-524-201. All Rights Reserved.


text:
The first reported study on the problem of creating an artificial bladder was that of Tizzoni and Foggi,1 in 1888. They isolated a 7 in. segment of ileum and anastomosed the ureterovesical tissue into its proximal end. Then, at a second stage they anastomosed the distal end of the segment to the neck of the bladder. Two months later the dog appeared normal, except for frequency of urination.
The next experimental work was by Bisgard,* in 1943. He used segments of terminal colon to construct an artificial bladder in two stages. The immediate results were good, and dogs living two years still showed an essentially normal urinary tract. Rubin,4 in 1948, and Thompson,5 in 1949, repeated Bisgard's work with successful results. Davids and Bell win,6 in 1954, repeated the work of Tizzoni and Foggi, using 35 cm. segments of ileum. Their dogs showed poor nutrition and
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.
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Faculty, independent scholars, graduate and post-graduate students are invited to submit paper proposals on the topic of the creation and assimilation of literary, intellectual and popular notions and images of the Slavic world: its peoples, cultures, languages, etc. How do the Slavic peoples see themselves and their cultures? How are they perceived in other cultures? Papers may focus on any geographical or cultural area of the Slavic world (Russia, Ukraine, Poland, etc.) and on any time period. Possible topics include but are not limited to:
- Slavic archetypes in art and literature
- Cultural transfers and their different forms and channels: borrowing, appropriation, influences, etc.
- Problems of translation to and from Slavic languages
- Slavic histories: orality, construction, dissemination
- The impact of the historical events of the last two decades on the evolution of the field of Slavic Studies.
- The empirical realities vs the constructed nature of the "Slavic world"
- Linguistic and socio-linguistic aspects of Slavic national identity formation
- Construction of Slavic images and identities in the social, political and artistic practice and discourse
- Geopolitical and economic peculiarities of the Slavic countries from historical, contemporary and comparative perspectives
- The Slavic world in conflict with itself or "others" in politics and culture
- The Slavic world in Quebec and Canada taken in its cultural, linguistic, historical and other aspects
The conference is open to scholars from Quebec and beyond. Paper proposals in French or English (approximately 300 words) are to be submitted to firstname.lastname@example.com by January 15, 2011.
The Quebec Network for Slavic Studies (QNSS) was founded by a group of graduate and post-doctoral students based in Montreal, Canada and is open to new members. QNSS aims to facilitate intellectual exchange between scholars based at Quebec universities in any discipline whose research touches upon the area of Slavic studies, taken broadly. QNSS also promotes international ties of Quebec scholars for the purpose of generating and disseminating research related to Slavic studies.


text:
Ferguson uses freewheeling energy to win audience over
"It's different from the TV, isn't it?," "Late Late Show" host Craig Ferguson cheekily asked the audience about halfway through his 75-minute stand-up set Friday night at a near-capacity Pabst Theater.
With hundreds of "F" bombs and a fascination with clitoris jokes, this was definitely a different kind of Ferguson from the late night CBS variety. And it was a different experience for Ferguson as well, made obvious by an overzealous heckler who tried to interrupt the set a number of times right out of the gate. (Ferguson wittily put her in her place, and she eventually quit . . . or perhaps security took her out.) »Read Full Article
Alchemist Theatre's 'King Lear' reigns as family drama
Early in Friday's opening-night performance of Alchemist Theatre's "King Lear," Bo Johnson's aged king called for the map demonstrating his intended division of Britain among his three daughters. Lear's attendants dutifully unfurled it — with the bottom at the top and the top at the bottom. When they tried to hang the map up, it kept falling down.
Director Leda Hoffmann confirmed during intermission that this sequence wasn't planned. But such a topsy-turvy world aptly illustrates the disorder that descends on Britain once the hot-tempered Lear banishes his beloved Cordelia, counting on his remaining two daughters to keep him and Britain safe. »Read Full Article
Check out interactive map of southeast Wisconsin farmers markets
Another beautiful Saturday morning — perfect farmers market weather.
Good thing there are so many of them operating on Saturdays. »Read Full Article


text:
The National Basketball Association gave us a 66 game treat this winter. The league's suits pieced together a collective bargaining deal in time to allow millions of Americans (not to mention the increasing global audience) to see the game they love most.
And here comes the finale. With March looming and the madness ending, the NBA postseason is on the horizon. 30 teams will grind and hustle in order to be a part of the most highly anticipated postseason in recent memory.
Will Lebron James win his first ring? Will Kobe match Michael Jordan with six of them? Are Kevin Durant and Russell Westbrook going to prove that they are mature enough and prepared enough to win a title?
We know those are just a few of the big teams in the running for the Larry O'Brien Trophy this Spring, but what about some of the teams that haven't gotten as much attention? Can other rosters among the league make a Dallas Maverick-esque splash in the upcoming 2012 postseason?
Here are three rosters playoff teams and fans alike cannot afford to count out of the playoff scramble.


text:
An In-Depth Cultural Analysis of Asian Male TV Characters Getting Some Action
Spoiler: It doesn't happen very often.By E. Alex Jung
Spoiler: It doesn't happen very often.By E. Alex Jung
The answer: one-quarter.By Kyle Buchanan
Whether he should be dating white characters is up for discussion.By Kyle Buchanan
We have to go back!By Kyle Buchanan
Everyone who's anyone, and anyone who's dressed.By Alex Rees
And Jin is back!By Josh Duboff
Plus: Daniel Dae Kim spoils the 'Lost' finale.
Plus: "Who's Justin Bieber?"
"Jin's done a complete 180. Who knows? He might be coming back around to do a complete 360."By Mike Ryan
Plus: Doug Liman to direct Geoffrey Fletcher script.By Josh Duboff
Plus: Lehane to finally write for big screen.By Josh Duboff
Plus: Lucy Punch! Michael Chiklis! The Fonz!By Lane Brown
Plus: 'Lost''s Jin not really sure how he survived, either.By Lane Brown


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Artist: Bathory
Album: Octagon
Genre: Rock
I am not of Jesus Christ I'm not
and I am not a Satanic Child I'm not
and I know not no property of high or low
and I know where I come from and whereto I will go
Rat race and symbols. Crucifix and flesh.
Politics and fashion. Religion and death.
I am just a human being I am
and I am a eat-sleep-f*cking-machine I am
and I am another mortal piece of meat.
Yet I am too fast and alive for you to hand no sign on me.
Holy writings. Tax and Law. Angel wings or frying.
Suicides no use at all. We're all born to die.
I am not no more a sinner or saint than f*cking all of you.
I am no more close or far away from the truth.
I am no believer or receiver of holy or unholiness.
I am I'm f*cking no more or less.
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