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Re: [xsl] [MISC] How was the XSLT 2.0 norm written (tools, format)
To: xsl-list@-----.------------.---
Date: 1/24/2010 1:12:00 PM
i mean for so called "end user" :) not for developers (at least not for ALL developers) by the way - this pages greated from ODF documents (http://cms.schematronic.org/exist-version http://cms.schematronic.org/dynamic http://cms.schematronic.org/table) - so we have possibility to create server-side dynamic web-pages fully in OpenOffice suite, not only static content so rich text for code look fun, you can use in same place code, images, styles, annotations, history, content, tables, form elements, mathML and "so on" - why not? you can try http://cms.schematronic.org/add-content.action (it need XForms plugin) in first input you type /your-file-name and second point to any ODF file at now allowed "XQuery injection" you can just insert section with name "xquery" with eXist-db XQuery code, later this will be 100% replaced with metaprogramming tags set (similar like at now we replace date and time fields at this page http://cms.schematronic.org/dynamic using standart OpenOffice fields instead using XQuery in "source document") 2010/1/24 Michael Kay <mike@s...>: >> >> i guess OpenOffice is best authoring tool - is not it? > > For authoring XML documents I sometimes use Stylus Studio, sometimes oXygen. > What's "best" for you depends on your requirements and your preferences. > > Regards, > > Michael Kay > http://www.saxonica.com/ > http://twitter.com/michaelhkay > >> >> 2010/1/24 Michael Kay <mike@s...>: >> >> > For the next version of XSLT I've also added tools that >> >> will generate >> >> > SVG diagrams from source XML descriptions of trees. >> >> >> >> Don't suppose you plan to make this snippet public? >> >> >> > >> > I'll focus my efforts on getting the spec out first. Then >> ask me how >> > it was done. >> > >> > Regards, >> > >> > Michael Kay >> > http://www.saxonica.com/ >> > http://twitter.com/michaelhkay >> > >> > >> > >> --~------------------------------------------------------------------ >> > XSL-List info and archive: Â http://www.mulberrytech.com/xsl/xsl-list >> > To unsubscribe, go to: http://lists.mulberrytech.com/xsl-list/ >> > or e-mail: <mailto:xsl-list-unsubscribe@l...> >> > --~-- >> > >> > >> >> --~------------------------------------------------------------------ >> XSL-List info and archive: Â http://www.mulberrytech.com/xsl/xsl-list >> To unsubscribe, go to: http://lists.mulberrytech.com/xsl-list/ >> or e-mail: <mailto:xsl-list-unsubscribe@l...> >> --~-- >> > > > --~------------------------------------------------------------------ > XSL-List info and archive: Â http://www.mulberrytech.com/xsl/xsl-list > To unsubscribe, go to: http://lists.mulberrytech.com/xsl-list/ > or e-mail: <mailto:xsl-list-unsubscribe@l...> > --~-- > > --~------------------------------------------------------------------ XSL-List info and archive: http://www.mulberrytech.com/xsl/xsl-list To unsubscribe, go to: http://lists.mulberrytech.com/xsl-list/ or e-mail: <mailto:xsl-list-unsubscribe@l...> --~--
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Personal History:Davis H. Shingleton, M.D. is Senior Psychiatrist and Coordinator of Medical and Psychiatric Services at the Hannah More School in Reisterstown, Maryland. Prior to arrival at Hannah More in 1997, Dr. Shingleton served as the Medical Director at the Sheppard-Pratt Northwestern Community Mental Health Center for Baltimore County. Dr. Shingleton is a 1977 honors graduate of the West Virginia University Medical School. He completed post-graduate training in Boston, in general psychiatry through Tufts-New England Medical Center and in child/adolescent psychiatry at the Harvard Medical School at Massachusetts Mental Health Center.
From 1983 through 1994 Dr. Shingleton was on staff at McLean Hospital in Belmont, Massachusetts where he served as Instructor and Clinical Instructor in Psychiatry at the Harvard Medical School, supervising medical students and psychiatric residents. At the Childrens' Outpatient Clinic at McLean, Dr. Shingleton developed the Community Residence Consultation Service and served in the role of Coordinator for that program for several years prior to relocating to Baltimore.
From 2001 through 2005 Dr Shingleton consulted to the University of Maryland Division of Child/Adolescent Psychiatry Fellowship Training Program as Coordinator of the Psychiatric School Consultation curriculum. He continues presently as Assistant Clinical Professor in Psychiatry on the Voluntary Faculty at the University.Dr Shingleton also currently serves as an Associate Medical Director at Main Street Mental Health Center in Reisterstown, Maryland, and he is on the consulting staff to Baltimore Crisis Response Inc, a hospital diversion program serving disadvantaged clients in the city.
Dr. Shingleton maintains membership in the American Psychiatric Association and in the American Academy of Child and Adolescent Psychiatry. Dr Shingleton was a candidate at the Boston Psychoanalytic Institute from 1983 to 1994, and he is a former Faculty Associate of the Levinson Institute which specializes in organizational and leadership consultation to the business community.
Dr. Shingleton brings over thirty years of consulting, clinical, and teaching experience to presentations and workshops ranging from practical psychopharmacology to effective teaming in the clinical management of the challenging client.

subset: commoncrawl


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Mumford & Sons Have Most Hot 100 Hits In A Week By A Band Since The Beatles
The folk rockers have had a Fab week, topping the Billboard 200 and placing six songs on the Hot 100 - the most by a band in a week since the Beatles.
Beyond its massive No. 1 debut on the Billboard 200 with sophomore album "Babel," Mumford & Sons is Fab on the Billboard Hot 100 songs chart, too.
Beatlemania, meet Mumfordmania.
With five debuts joining "I Will Wait" (No. 57), the lead radio single from "Babel," which launched atop the Billboard 200 with the largest sales sum in the U.S. this year - 600,000, according to Nielsen SoundScan - Mumford & Sons is the first band to chart as many as six concurrent Hot 100 titles since the Beatles more than 48 years ago. Debuting are the title cut (No. 60), "Lover's Eyes" (No. 85), "Whispers in the Dark" (No. 86), "Holland Road" (No. 92) and "Ghosts That We Knew" (No. 94).
Mumford & Sons charts its sextet of Hot 100 entries buoyed by streaming, as it posts an unprecedented 12 debuts to the On-Demand Songs chart, the most ever by an act in a week. "Wait" leads the arrivals with 555,000 on-demand streams, according to Nielsen BDS.
No band (as opposed to acts considered groups, as the "Glee" cast has charted a high of nine titles in a week) had logged at least six simultaneous Hot 100 hits since the Fab Four the week of Sept. 19, 1964. That frame featured "A Hard Day's Night" (No. 12), "And I Love Her" (No. 28), "Matchbox" (No. 32), "Slow Down" (No. 43), "If I Fell" (No. 55) and "Ringo's Theme (This Boy)" (No. 57).
The Beatles boast the most concurrent Hot 100 hits among all acts, with 14 the week of April 11, 1964.


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Neogenesis Current Discussion
Posted 28 August 2004 - 06:12 PM
Use this thread to do any of the following:
Ask a question about NeoGenesis
Report a bug about NeoGenesis
Submit a feature request for NeoGenesis
Do not use this thread to post about projects other than NeoGenesis.
Do not post questions/bug reports/feature requests without first reading the FAQs for NeoGenesis.
Do not ask where these projects can be downloaded.
Rule violators will get one warning. After that, you will be temporarily or permanently banned depending on the situation. I'm sorry if that sounds harsh, but it has taken me a cumulatively long time to write the FAQs for these projects. If you cannot do me the courtesy of taking the time to read them, then I do not want you posting here.
This thread will be pruned/cleaned periodically. If you had a question in this thread and it is now gone, then it was either in violation of the rules or your answer can now be found in the FAQs section.
Posted 31 August 2004 - 01:15 AM
when you turn on a game genie code you have to exit the game, sometimes this can be annoying, would it be possible to make it so you don't have to exit the rom
or maybe a resest function too, but im sure your tired of hearing that one
Posted 01 September 2004 - 12:27 AM
Anyway, this one has been bothering me for a while. You say that 32X emulation works. But a 32X game that I loved back in the day, WWF Raw, doesn't run on NeoGenesis.
Now, it does somewhat run on Gens on Windows XP. Though you have to reset the 32X processors, then reset the Genesis processor, and it will eventually boot. There are major graphic glitches and the game will crash. But it does boot, at least.
I was wondering if it would be possible to somehow build upon the 32X emulation, and maybe find a way to get that game to work? Maybe it could help other 32X games to work.
An off chance, I know. But I thought it was worth asking.
Edit: Instead of going around and flooding the topics, I at least hope that I can make a general request for all the emulators here.
This goes along with the cheat code thing mentioned earlier.
The Windows versions of many of these console emulators have multiple cheat functions. There are the FCEUltra Debug codes, Pro Action Replay, Game Genie, Gameshark, Code Breaker, and the newer Action Replay. Among others. But your emulators typically only support raw hex and one other cheat device. Except the GBA emulator, which has all but Action Replay v3.
The problem is, some codes are created for a certain device, and not others. And there are few known ways of converting them. Certainly nothing that I could do, myself. So, I was wondering if you could possibly impliment these other devices. I think GSCentral.com has a resource for the encryption methods for each device.
Another problem is that you have to reset games for code changes, while the Windows versions can toggle on the fly. Which makes it difficult, if you need to turn off codes for some reason, for a short period of time.
I'm not as much bothered by the lack of reset, though. I would just rather have the code system improved. Please?
Edited by Lucied, 01 September 2004 - 12:43 AM.
Posted 01 September 2004 - 08:23 AM
Posted 01 September 2004 - 12:18 PM
|QUOTE (Likklebaer @ Sep 1 2004, 04:26 AM)
|The recently released Gens Plus seems to have alot of improvements over the original and is being updated regularly. I don't know if the source is available but surely the author is obligated to release it at some point.
I do not see anything here that would be of use in the XBox version except perhaps the envelope disable option. However, I don't see how disabling the envelope could possibly result in correct sound emulation.
Posted 04 September 2004 - 02:19 AM
Great work so far on Neogenesis, I now currently spend more time playing megadrive games than any other game on the xbox
But, there is one thing that has been _really_ bugging me over the last few days, especially since starting on the sonic series _again_...
It seems as I am playing along I see a weird jitter on the screen, usually in the chequered areas of the screen on levels such as green hill, and most others.
I'd not noticed it until playing sonic, now it is just a thorn in my mind...
Currently i'm using a PAL xbox, and the game is NTSC US, i'm assuming it is the conversion from 60hz to 50hz that is doing it?
Will try to get hold of a euro copy of the game to confirm this theory.
Is this a known bug or problem, and if so... if you would ever like someone with a PAL system to test things i'd be more than willing to (any excuse to play sonic, hehe)
Posted 04 September 2004 - 02:51 AM
Firstly, what I said about ntsc conversion seems to be the case, as I picked up another copy and told it to run in euro mode = no jitter.
But, I have found another interesting tidbit of info too...
It seems quite a lot of roms out there are region unlocked, i.e. Jap/USA/Euro compatible. This seems to trip up neogenesis, to the point that it seems to automatically run multi region roms in ntsc, regardless UNLESS you tell it to run it in euro via the game config menu.
And now, onto a request for this specific problem...
Why not have a menu option to select default mode for running games if there is no configuration setup for it already? i.e. all you have to do is select euro mode then if there is no config available simply defaults to euro...
That way at least when people see jitters they will know exactly why, and if they have the time can go look elsewhere for a home region game
Just a thought, i'm sure i'll have others as I keep playing.
Posted 04 September 2004 - 12:58 PM
If you start a new session, pick first a game that is already set-up with euro as default, then exit and start the new one.
Just a tip to make things easier in the meantime.
Posted 04 September 2004 - 04:42 PM
Posted 05 September 2004 - 06:21 PM
Posted 06 September 2004 - 01:21 AM
1. It would be nice to skip the "Game Configuration" after you select a game. (Now we have to press B to skip).
2. The screenshot button (Black I think) shouldn't be on the control, It should be on a menu after you push the right stick.
3. Why can't I use all the buttons, most of the games I have tested I can't jump or shoot, only 2 buttons works and rest of them is nothing except screenshot and speed and menu.
The control should be default on blue (punch or so), green (jump) and red (kick or bomb..) on every game, it takes too long to change the config buttons and test which one is to what.
The # 1 & 2 things have been improved in those newest emulators to xbox.
I have some lil cousins and they dont' know so much about the menus and so on, everytime they select a game they think the "green button" is to go skip the "Game Configuration".
And they don't know all the buttons so they are testing, they are pressing screenshots at least 1000x everytimes they are playing.
THX alot
Posted 06 September 2004 - 01:34 AM
Would be nice if extra features were placed in the right thumbstick menus more instead of keypress combos etc.
Also an option for disabling checksums on roms would be nice - many a time i've tried to enable game genie codes and get the good ol' red screen of fury... would be nice if checksum check could be bypassed or faked to allow cheaters like me (only on super hang on to get the super bike!) the chance to do things they didn't have the time and patience to do when they were younger....
Like I said, i'll keep playing and suggesting
Posted 06 September 2004 - 02:11 AM
Then COPY the controller configuration over to the other 4 controllers.
The only feature worth turning off is the fast forward and that is only on the GBA and PSX emu's because those systems have an R button.
Posted 06 September 2004 - 10:39 AM
Posted 24 September 2004 - 04:13 PM
How do I make so I skip the "Game Configuration" after selecting a game, where in setup do I disable it ???
It would be nice to skip the "Game Configuration" after you select a game. (Now we have to press B to skip).
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text:
International Sociological Association
isa home
abstracts home
abstracts form
list of abstracts
Abstracts of dissertations
The Emergence of Enclaves of Wealth and Poverty: A Sociological Study of Residential Differentiation in Post-Communist Poland
Polanska, Dominika V
Stockholm University/Baltic and East European Graduate School
Year of completion
language of dissertation
gated communities
residential differen
Areas of Research
Regional and Urban Development
The general aim of this thesis is to examine the urban transformation taking place in the post-communist context. The more specific aim of this thesis is to study the processes of residential differentiation taking place in the urban landscape of the Polish city of Gdańsk after the introduction of the capitalist system. The focus is on different forms of residential differentiation and the social, economic, and historical factors behind these forms in various neighbourhoods in the city and the investigation of their emergence and development in space and in time. A deprived neighbourhood along with three gated residential developments have been chosen as two extremes that reflect involuntary and voluntary residential differentiation in the city. The research aims to explain the emergence and the ever increasing popularity of gated communities in the city, but also in the country alongside the phenomenon of deepening deprivation in other neighbourhoods. This dissertation is divided into four studies; together, they cover different scales reaching from the national level in the legal and regulatory framework (and its implications on housing, revitalization, and spatial planning in the country) and the discourses prevalent in the national and local media on the topic of gated housing and the specific deprived area to the level of neighbourhoods where different forms of housing are mapped and residents are asked for their opinion on their places of residence.
Study (I) examines the way in which different social, economic, historical and physical conditions coincide in the formation of space and the processes of decline in the period of transformation in Poland. The focus lies on a specific residential area in the center of Gdańsk and the lack of improvements in this particular area, which would stop its successive decline.
Study (II) explains the emergence of gated communities in the post-communist urban context and discusses the reasons for their increasing numbers and popularity. The main argument is that the popularity of gated communities is tightly intertwined with the communist past, emerging in reaction to the housing conditions that prevailed under communism.
Study (III) investigates how social class markers are constructed in the discourse on gated communities in post-socialist Poland. The new capitalistic system, with its inherent social divisions, is described in the discourse as creating demands for new forms of housing, where gates function as separators, protectors, and class identifiers.
Study (IV) looks at the support for the formation of gated communities in the legal and regulatory framework in Poland since 1989. The paper asserts that liberal politics and legal regulation in the country has resulted in the neglect of spatial planning and the creation of imprecise urban policies.


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Build Log
E flite Mini Pulse XT
I put some notes with the pictures. So far not bad. The broken windscrean is a bummer. The spinner does not bother me, mostly because the color is so far off that it's quite ugly next to the plane. I do not expect the advertised 4 hours to go flying to be truthful. This is my first wood plane, Nothing but foam and hot glue up to now. So there is a learning curve involved. I installed an apc 10x7 SF prop. it is pulling 20.3 amps WOT with 12.3 Volts. on the park 450 outrunner.
ImagesView all Images in thread
I was starting to think I was getting spinner dyslexia. Sorry you're having trouble, but I'm glad it isn't just me.
Wheel pants are a pain no matter what. They are difficult to get right and they almost never seem to hold up. They sure look good though.
Outside of those two areas, it's a terriffic little plane.
I just seen this in the Horizion book... BAD A@@
I will have to replace my UltraStick mini when it crashes.. LOL
LATER and good luck
I dunno if they will work on or not, but I know 3D hobby shop had some carbon fiber ones of the Mini Katana....you could paint them(since they are black). For what it's worth, this is how I installed the wheel pants and really had no trouble--more like got lucky... My last plane(Hyperion Cap 232) had gone with out them--till these. Now I have another set on order for the Mini Pulse.
Here's how I did it....
First, I installed the wheels with the bolt(axle) nut and washers.
Then, stuck the assembly into the wheel pant.
Then threaded the bolt into the landing gear strut.
I used a 1/4 inch nut driver to twist on the nut. Once the nut was started, I just used a small pair of needle nose pliers..and reached into the pant and hold the other end of the axle from twisting.
Then tightened the lock nut till it was tight.
Adjust the wheel pant to the right/correct angle.
Drill a pilot hole with a hand drill.
Then install the screw which holds the wheel pant in place.
Good luck!!
OBTW, I couldn't get the spinner to work either. For now, it'll just have the prop adaptor on there. I'm wondering if want to call Tru Turn or not. They have some light weight electric spinners. But I dunno. They add up fast--usually around 50 bucks.
Garland , Texas
Joined Sep 2003
87 Posts
Flew mine today for the first time.I too skipped the spinner, did get it to mount (with ca) but added too much vibration for me so off it came. this plane is a floater, not as aerobatic and the mini stick(great plane) but has some presence in the air. would not use it as a replacement for my mini stick but is a nice addition. FYI I had no problems at all with the wheel pants just bolted right on. 10 minutes work total for them
Got her done! Now I need to join the flying club so I will have a place to fly it. I might B able to fly it at the school, but the short grass and rocks have me a bit worried. $99 in a plane when all of my other planes might add up to $20. Foam is nice that way. The rudder control rod was a big inch too short. Not a big deal to make a new one. I had to cut out the servo holes in the tail because they were maybe 1/16 inch too short. And I'm using the e-flite S-75 servos also? The Aileron servos went right in. the other 3 control rods fit perfect. I used hot glue on the low temp setting to attach the Cowling and windscreen. A much cleaner look and when/if I have to remove them, just slide a knife between the parts and twist slightly and POP.
As for a spinner check this out:
I sent the guy an IM I am hoping that the 40mm one will work. The spinner that comes with the Pulse is a 1.75" or roughly 44mm. So the 40 will be a touch small, but nothing too serious. (I think ) And price is right. Much cheaper than a Tru turn...
As for your battery area being tight, my 2100mah prolites are tight too, but I think that's better...less wiggle room. I put a small piece of Velcro towards the rear of the battery bay. So that and the velcro strap they provide in the kit gives a very secure attachment point for the battery
I was thinking about placing some foam around the battery bay for some added protection from my landings! That spinner looks very nice, and I will keep it in mind. I kinda like the extra cooling air I'll get without the spinner for now. Allthough I might need to move the CG forward some? With the battery as far fwd as it will go, the CG is right on spec.
Anyone want to trade their Pulse XT for a new Mini Ultra Stick!!!!! LOL Just kidding. I finnaly put togeather the Mini Ultra Sticka and it flys GREAT!! Bad thing is ya'll are making me envous!! I am ready to sell it so I can get one. This is one great looking plane!!
You guys are worrying me.. The spinner went on easily and so did the pants... Only difference is I am running a hacker a20-20L... So far the plane is going together beautifully, much easier than my fliton icon. I wish I still had my MUS instead of the icon
I think the problem with the spinner is how it attaches. the base plate warped and then the nose cap would not snap on. I had no trouble tossing it. I am using the e-flite 20 amp ESC, not the 25 amp they suggest. That tells me that there is a cooling issue with the 20 amp. With the 2x2 hole in the bottom I dont think there will be a problem getting the extra amount of air out of the fuse. As far as the spats go, This is my first ROG plane. everything up to this one required a slight hand toss. I have been told by many that for my flying field (Key Word "Field") that I should not use them. And that they require a fair amount of "tweeking" for a nice fit. So I will try to put them on much later, maybe on my next real plane. For now and my field conditions The spats will sit next on the shelf next to the small foam wheels. ROG (roll on gravel) right???
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text:
There's a slight chance that snow might fall in time for the annual Billtown Christmas Parade, which kicks off at 6 p.m. Friday at the corner of Hepburn and West Third streets.
The National Weather Service forecast indicated the conditions are good for either snow showers or rain to fall that night.
The daytime highs will be in the mid 40s, but, as is typical this time of year, conditions will drop sharply. It'll be a good idea for parents and grandparents to bundle up the little ones when attending holiday events, and prepare for a wet snow or cold and damp rain.
Article Photos
RASHELLE CAREY/Sun-Gazette
Fog drifts down the Susquehanna River near the Last Raft Memorial Bridge between Muncy and Montgomery Sunday afternoon as a light, continuous drizzle falls.
For today, hold onto your hat. While it will be almost springlike, expect periods of high winds. Skies should be partly sunny and highs will reach into the mid 50s. The temperature will fall into the upper 40s in the afternoon, with gusting winds of up to 45 mph. The winds will decrease in speed over the day to a gusts of 35 mph in the afternoon.
Tonight should be cooler with lows in the lower 30s and west winds of between 10 and 15 mph.
It will remain cool Tuesday but partly sunny with highs in the lower 40s and lows dipping into the mid 20s.
Wednesday will be much like Tuesday, with sunny conditions and highs in the mid 40s. Wednesday night won't be as cold as Tuesday, with a low in the lower 30s.
Thursday is another warmup, with partly sunny skies in the morning that become mostly cloudy later in the day. Highs should be in the upper 40s, with lows in the mid 30s.
For those attending citywide holiday events on Saturday, expect mostly cloudy conditions with about a 50-percent chance of rain and snow showers mixed in. It won't be terribly cold, with highs in the lower 40s.


text:
Mike Kruzeniski is a Creative Director in the Windows Phone design studio, leading the Windows Phone App team.
During his first two years at Microsoft, he worked on bringing the Windows Phone KIN mobile experience from concept to reality. Before joining Microsoft, Mike worked for Nokia Design's Insight + Innovation team, based in Los Angeles. The role of the I+I team in Nokia was to develop next generation product lines for Nokia Design, to incubate new product and business ideas for Nokia Corporate, and, to challenge the ideas of both Nokia Design and Corporate by visualizing completely new directions for the company.
Mike has a Master's degree in Interaction Design from the Umea Institute of Design in Sweden, and a Bachelor of Industrial Design from Emily Carr University in Vancouver, Canada. He speaks and tutors regularly about Design and Experience at conferences and schools. The focus of his career has been to combine his diverse background in design with his interests in business, brand, culture, technology, mobility, play, and simplicity, to build engaging and seamless product experiences.
How should UI designers bring to life their ideas for mobile experiences? Should we think in terms of standalone apps on a platform or also for web flexibility? How do you integrate the user's experience to flow seamlessly between Apps and the Web? When developing Windows Phone 7, our team created a design language codenamed Metro which uses content, typography and motion to define its visual identity. The Metro principles can be used to develop integrated apps on devices as well as beautiful web experiences. For example, you can take pictures with your phone's camera and immediately go see them on the web without losing context making the experience feel personal, relevant and always connected. The focus on the user's content with our signature motion and type helps unify the experience regardless of how and on which platform it was built.


text:
Jordan Wallace threw for five first-half touchdowns, including two to Jahmir King in the first half, and ran for another to lead Collingswood to a 41-6 victory over Gateway in Collingswood.
Wallace also had touchdown passes to Steven Copeland, Allen Valentine, and Pat Miles, all in the first half, for Collingswood.
Wallace also had a 37-yard touchdown run in the second quarter to give Collingswood a 41-0 halftime lead.


text:
BATON ROUGE -- An administration-backed plan to turn some of the administrative functions of the state's health and life insurance program over to Blue Cross by Jan. 1, affecting as many as 177 state workers' jobs, won 3-2 approval Wednesday from the state Civil Service Commission.
The vote came on a plan to shift the administration of coverage now provided by the Office of Group Benefits to Blue Cross. The shift will affect about 62,000 state workers and retirees now in the plan and could cut the agency's work staff in half.
Charles Calvi, chief executive officer of the group benefits program, said that 150 full-time employee slots will remain and up to 177 will be cut in the transition. Calvi said 121 of the 177 jobs are now filled.
Officials with Gov. Bobby Jindal's administrative office, the Division of Administration, said the move could save between $15 million and $20 million in the first full year the Blue Cross contract is in effect.
Dirk Thibodeaux, an aide to Commissioner of Administration Paul Rainwater, said the benefits offered will not change, just the administration of the program. He said Blue Cross will be paid about $23.50 per month for every person enrolled in the plan.
That figure may go up by $1 a month per enrollee in the future, he said.
Based on existing numbers, Blue Cross will make about $11.4 million in the first full year administering the program.
Rainwater spokesman Michael DiResto said about 45 percent of the $15 million to $20 million in projected savings will go to the state, about 18 percent will go to state employees and about 37 percent will go to school boards and other entities.
Calvi said because of the nationwide reach of Blue Cross, the company may be able to offer discounted services for access to diet programs and hearing aids.
He said that there will also be eight "customer service centers" for state employees and retirees to use, one more than group benefits now operates.
Calvi said that only Louisiana and Utah have self-run program and Louisiana has the highest number of workers in its operation with more than 300. Utah has 225, and Mississippi, which uses a third-party administrator has 20, he said.
"This will make Louisiana more consistent with other states in outsourcing of services," Calvi said. "A third party administrator is a successful endeavor."
Baton Rouge lawyer J. Arthur Smith, who sometimes represents Civil Service employees who are threatened with layoffs, called the data provided by the administration "mumbo-jumbo." He asked the panel to delay a vote and study the issue more completely.
"It just boggles my mind they would come in here with this little (10-page) Powerpoint (presentation) and say 'Trust me.' There is nothing that supports these numbers."
He said the existing program handles claims in less than three days, but Blue Cross takes at least twice that to process one. Smith said that the plan is politically motivated by Jindal's office to further his agenda.
"The whole purpose of Civil Service is to protect employees against political motivation," Smith said.
Ed Anderson can be reached at firstname.lastname@example.com or 225.342.5810.


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Recipe: Cultured Cranberry Chutney
Let's face it, Thanksgiving is all about the food. Some of us may actually think about what we're thankful for in the weeks leading up to the holiday, but most of us are probably more concerned about getting the stuffing just right.
Since so many of us tend to overindulge at Thanksgiving, Andrea Fabry's recipe for a probiotic-rich, fermented cranberry chutney seems like a great addition to the holiday table. Andrea says, "The probiotic boost will aid digestion by adding good bacteria, enzymes, and yeasts to your system. One option is this easy substitute for cranberry sauce."
Thanks for the great tip, Andrea! (See, we're being thankful. Now, where's that stuffing recipe…)
Cultured Cranberry-Orange Chutney
3 c. frozen or fresh cranberries
1-2 fresh oranges, peeled and de-seeded
1-2 tsp. cinnamon
1/4 tsp. salt
2-4 tbsp. whole cane or other unrefined sugar (honey will not work)
1/4 c. water kefir, whey, or coconut water kefir for use as a starter
Combine all ingredients in food processor or Vitamix. Pulse until desired consistency is reached. Pack into mason jar. Tighten lid and store at room temperature for 1-2 days. An airlock as pictured at right helps prevent mold growth.
After fermentation period, transfer to refrigerator and use within 3 weeks.
This recipe can be adapted to include any available fruit such as strawberries, raspberries, or blueberries. Consider adding finely chopped ginger and/or a pinch of ground cloves for extra flavor.
How do you plan on lightening up your Thanksgiving feast?
This recipe originally appeared on Our Health Journey. It is re-posted here with permission of the author.
Photo Credit: Andrea Fabry
Tell us how it turned out:
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Joshua Farris skated like crap at Nationals, compared to his appearances internationally. He had problems throughout the program.
Why? I don't know, but perhaps the whole gig reminded him way too much of his utterly disastrous LP at US Nationals, skating on a broken leg/ankle/foot, whichever it was.
Perhaps it just wasn't his day, or maybe he does not like relatively big crowds. Who can say?
It isn't all the falls, you know.
Farris fell on his 3A, underrotated his 4T, fell on his only triple lutz in the program, had a significant stumble in his straight line step, and had trouble on his second triple axel, resulting in only a 2t in the combination. So he had 4 major and one minor error in the skate.
Brown had a good skate going until he screwed up & fell in a choreographic step, and then screwed up one jump and fell on two others, thus messing up the end of his program.
It is entirely possible that Farris will beat Brown at Junior Worlds this year. Or he might not.
We'll have to wait and see.
It is possible that Jason will some day challenge Patrick Chan, but it is also most possible that he will have a career like Jonathan Cassar's, a skater who is much admired here in the US, but has never developed a reliable 3A. Jason has a lot of the right stuff, but it remains to be seen how he will develop in the future.
If you're interested in watching a good performer, regardless of how they might finish, do try to get a chance to watch Jason at Jr. Worlds. It may be the last chance to see him internationally.
He also may have a great career.
And while we're talking about last year, the most maligned skater of the bunch was Ross Miner. Who is 3rd again this year, and won his first bronze on the GP, and yes, still needs to develop a 4T. The much praised Richard Dornbush did not do well at all, and has not podiumed this year. However, he landed a 4T of some sort at Skate America.
Ice is slippery.
That's a really pointless way of thinking. We are supposed to compare everything. Any "biases and agendas" that exist will always be there and it's silly to say only the judges sitting at competitions should have an opinion.
In any case, Jason Brown at 16 years old exhibited better Performance, Choreography, and Interpretation than any other male competitor I've ever seen for that age. Or any age, when compared to most skaters.
If you don't have the link. I do: http://www.youtube.com/watch?v=FmTES...lated#t=1m015s) Date: 3/25/2010 for the World Championship. Patrick was one of the competitors.
The funny thing is, I actually like the IJS just fine. But for some reason the fervor of the arguments put forward on its behalf always make me want to say the opposite. Go figure.
As for agents provocateur, we are used to posts along the lines, "I just love Yu-na Kim to pieces. She is so wonderful!"
Next poster: "I can't stand her. She lips her flips and Mao is prettier."
To me, the present exchanges have a different vibe. There seems to be a more purposeful agenda in play, or something. I can't quite put my finger on it.
Call me agent provocateur as you wish, I'm mostly provoked into refuting distortions of facts, non debatable facts.
I enjoy people enjoy their idols, with all the and they want. They are entitled to their feelings. I am entitled to mine and find double standard to be told to stop mentioning my favorite for whom I have never posted a single or or made extreme proclamations. Mostly I defend.As for agents provocateur, we are used to posts along the lines, "I just love Yu-na Kim to pieces. She is so wonderful!"
Next poster: "I can't stand her. She lips her flips and Mao is prettier."
I'll tell you exactly what my agenda is as a "pro-Chan Agent Provateur": to refute nonsense and myths, either established or being built. Unlike jettasian, I don't call out intentions and disses of his artistry as these are highly personal and debatable. But when people keep saying he wins all the times with big margins with multiple falls and is the only one to do so because of politics, I challenge them to back it up with facts, they can't. Or I bring out the facts myself. Annoying, I know. But I am provoked.To me, the present exchanges have a different vibe. There seems to be a more purposeful agenda in play, or something. I can't quite put my finger on it.
As for rebuttal of Jason Brown comparison which has been popular these days, it's another case of myth building and fact reversal I find it hard not to refute. I would have no objection to comparing their skating skills, and I have compared young skaters to Chan myself. No, Chan is always brought up as a late bloomer who didn't has 3A at 17, just like Brown, or even that he didn't have them till around 20. The idea of Chan being a late bloomer is so absurdly contrary to reality, and he did have 3A excellent enough to win international Senior events and the Canadian championships at 17, and became Worlds silver medalist at 18. How does that compare? It's like saying they are the same at 17 because they both have ponytails. Compare facts. Don't create disparaging non facts to boost your favorites. It's no favor to them.
I do the same for other skaters too, even into debatable subjective stuff when people are overly harsh on young skaters and writing them off. I do much less for others because 1) I don't have as much fact based information about them as I have about the Canadian and World Champion; and more significantly, 2) there are much much fewer such distortions of facts, almost always with a negative bend, about anyone else, at least currently. Bashing, maybe; making up and spreading stuffs which then become accepted "facts" to be thrown about willy nilly, no. Talk about purposeful agenda!
Last edited by Violet Bliss; 02-04-2012 at 10:00 AM.
Those wishing to discuss Patrick Chan's hands or Johnny's rose wreaths should open a new thread in The Edge. The US Nationals Men's LP is not the place to do it. If you wish to discuss Patrick's hands solely, the Patrick Chan thread is a good place.
Johnny, in his guise as an IN commentator of the LP is fair game, as is the skating of any skater who competed in the Sr. Men's LP, in this thread. Johnny's past interviews or commentary at some other event are not fair game.
I have tried to find and unapprove the Chan, Johnny, starfish and rosewreath posts. I may have missed a few. If there are any left, please PM me and I'll remove them.
I think my next Christmas wreath will be fake roses trimmed out with starfish. No one but me will know what that is all about.


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From the Division of General Internal Medicine and Clinical Epidemiology, Department of Medicine, The Toronto Hospital (Drs Etchells and Detsky); Department of Surgery, Mount Sinai Hospital (Dr McLeod and Mr Barton); and Department of Medicine and the Clinical Epidemiology and Health Care Research Program, Sunnybrook Health Science Centre (Dr Geerts), University of Toronto, Toronto, Ontario.
Low-dose heparin and low-molecular-weight heparin are effective strategies for preventing venous thromboembolism in colorectal surgery. The economic attractiveness of these 2 strategies in North America is unknown. We conducted an economic analysis of low-dose heparin calcium compared with enoxaparin sodium, a low-molecular-weight heparin, for thromboembolism prophylaxis after colorectal surgery.
We used decision analysis, with an economic perspective of a third-party payer. Efficacy data were obtained from the Canadian Multicentre Colorectal Deep Vein Thrombosis Prophylaxis Trial and a literature review. Canadian costs for diagnosis and treatment of deep vein thrombosis (DVT), pulmonary embolism (PE), and major bleeding were obtained from chart review and a national hospital database of colorectal surgery; American costs were obtained from published literature. The main outcomes were incremental benefits (symptomatic DVTs, symptomatic PEs, and major bleeding events avoided) and incremental costs for every 1000 patients treated.
In the Canadian Colorectal Trial, the relative risk of DVT and PE for enoxaparin compared with low-dose heparin was 1.0 (95% confidence interval, 0.7-1.5), and the relative risk of major bleeding was 1.8 (95% confidence interval, 0.8-3.9). With the use of these data in the baseline analysis, a strategy of enoxaparin prophylaxis was associated with equal numbers of symptomatic DVTs and PEs, and an excess of 12 major bleeding episodes for every 1000 patients treated, with an additional cost of $86,050 (Canadian data) or $145,667 (US data). In a sensitivity analysis using optimal assumptions for efficacy and safety of enoxaparin (relative risk of DVT, 0.8; relative risk of PE, 0.4; relative risk of major bleeding, 1.0), a strategy of enoxaparin prophylaxis was associated with 0.8 fewer symptomatic DVT, 3 fewer symptomatic PEs, and equal numbers of major bleeding episodes for every 1000 patients treated, with an additional cost of $15,217 (Canadian data) or $107,614 (US data).
Although heparin and enoxaparin are equally effective, low-dose heparin is a more economically attractive choice for thromboembolism prophylaxis after colorectal surgery.
COLORECTAL surgery is associated with a high risk of venous thromboembolism, including deep vein thrombosis (DVT) and pulmonary embolism (PE).1 Low-dose heparin is the most widely accepted method of preventing venous thromboembolism in general surgery because it is effective, safe, feasible, and economically attractive, compared with no prophylaxis.2,3 However, approximately 10% to 15% of patients who undergo colorectal surgery will develop venous thromboembolism despite the use of low-dose heparin prophylaxis.4 Approximately 120,000 patients had colorectal surgery for colorectal cancer in 1990 in North America,5 and many others had surgery for inflammatory bowel disease and other conditions, so identifying the most effective and economically attractive method of thromboembolism prophylaxis is an important goal.
Low-molecular-weight heparins (LMWHs) are a potentially advantageous new option for prevention of venous thromboembolism after colorectal surgery. The LMWHs are effective for preventing DVT in other moderate- and high-risk surgical populations, and they appear safe with regard to major bleeding.6- 8 The LMWHs may be conveniently given by once-daily injection. However, the cost of LMWHs in North America is at least 10 times the cost of low-dose heparin.
In North America, the economic attractiveness of LMWH compared with that of low-dose heparin in colorectal surgery remains uncertain. Two previous economic analyses of LMWH and low-dose heparin in abdominal surgery, from New Zealand and Sweden, concluded that LMWH is economically attractive.9,10 Both analyses were limited by a low cost of administering LMWH prophylaxis relative to the cost in North America (1.3-1.4 times the cost of low-dose heparin) and failure to perform sensitivity analyses on the choice between LMWH and low-dose heparin.
One published North American economic analysis compared low-dose heparin with the LMWH dalteparin sodium in moderate-risk abdominal surgery patients and concluded that low-dose heparin was the more economical choice.11 Since this analysis was published, 2 large randomized trials of thromboembolism prophylaxis in high-risk abdominal surgery patients have been reported; both studies used venographic outcomes and a different LMWH, enoxaparin sodium.12,13
The purpose of this study was to evaluate the economic attractiveness of the LMWH enoxaparin with low-dose heparin calcium for the prevention of thromboembolism after colorectal surgery, using current efficacy data and North American cost data. The analysis was conducted in conjunction with the Canadian Colorectal DVT Prophylaxis Trial, which randomized 1349 patients to low-dose heparin or enoxaparin after colorectal surgery.12
Unrestricted funding for this analysis was provided in part by Rhône-Poulenc Rorer (Quebec, Quebec), the manufacturer of enoxaparin. The terms of the contract with Rhône-Poulenc Rorer were determined at the outset after we proposed the study design and methods, including measurement, modeling, and analytical strategies. We retained the rights to control entirely the methods and conclusions throughout the study and to publish or otherwise disseminate the results of the study and their conclusions regardless of the outcome. Rhône-Poulenc Rorer received a copy of the report and manuscript before publication but was specifically precluded from influencing us at any stage after the contract was signed.
Two management strategies were compared in the decision analytical model. The first strategy was a policy of routine prophylaxis with low-dose heparin calcium (5000 U) injected subcutaneously 3 times per day beginning 2 hours before surgery. The second strategy was a policy of routine prophylaxis with enoxaparin sodium, 40 mg injected subcutaneously once daily, beginning 2 hours before surgery. We assumed that prophylaxis was given for 7 days (ie, 21 doses of low-dose heparin or 7 doses of enoxaparin), based on the median duration of prophylaxis from the Canadian Multicenter Trial. We also assumed that there was no routine laboratory monitoring for either strategy because the partial thromboplastin time does not change with low-dose heparin or LMWH, and heparin-induced thrombocytopenia is rare during the first 7 days of prophylaxis.14
We constructed a decision analytic tree by means of SMLTREE software (version 2.9; SMLTREE Vebio; Jim Hollenberg, New York, NY). A simplified version of the tree is shown in Figure 1. We assumed that patients were not screened for asymptomatic DVT.15 We also assumed that any patient who developed symptoms suggestive of postoperative DVT would undergo compression ultrasound examination of the leg (thigh and calf). If the result were positive, then the patient would be treated ("detected" in Figure 1). If the result were negative, the patient would have a second ultrasound at 5 to 7 days.16 If the second ultrasound were positive, the patient would be treated ("detected"). If the second ultrasound were negative, no further testing would be done ("not detected"). We assumed that treatment of detected symptomatic proximal or distal DVT, or PE, would be intravenous standard heparin, followed by outpatient warfarin sodium therapy for 3 months.17- 19 The risk of major bleeding during treatment was considered elevated because of the recent surgery.20 If a patient developed major bleeding during treatment, anticoagulation would be discontinued and an inferior vena cava filter would be inserted.
Simplified decision tree. DVT indicates deep vein thrombosis; PE, pulmonary embolism.
The decision analytic model focused on clinically relevant outcomes, including symptomatic DVT, symptomatic PE, and major bleeding. In the Canadian Trial, major bleeding was defined as clinically overt bleeding associated with a decrease in hemoglobin level of at least 20 g/L, or requiring transfusion of at least 2 units of red blood cells, or reoperation.12 We did not include minor bleeding complications, since the economic consequences of such complications are small.6
We did not explicitly model outcomes related to postphlebitic syndrome. We recognized that symptomatic DVT may be associated with long-term costs related to postphlebitic syndrome,21 so we used a wide range of costs for symptomatic DVT in our sensitivity analyses. Asymptomatic DVT may not be associated with an increased risk of postphlebitic syndrome,22,23 so we did not model any economic consequences of asymptomatic DVT in the baseline analysis, but we did include a range of costs in the sensitivity analyses. We also assumed that patients with treated nonfatal PE suffered no long-term cardiorespiratory consequences.
In the baseline analysis, we used estimates of efficacy obtained from the Canadian Multicenter Trial.12 We also conducted a MEDLINE search for the years 1966 through 1997 and found several other trials that compared low-dose heparin and enoxaparin in colorectal or general surgery,13,24- 27 as well as trials and meta-analyses of other LMWHs in abdominal surgery.8,28,29 These studies were used to establish reasonable ranges of values for the sensitivity analyses. Other relevant probability values were obtained from the published literature.20,30- 36
The primary economic perspective was that of a third-party payer; the direct cost of providing health care was the primary consideration. We also estimated the indirect costs of complications related to loss of productive time incurred by prolonged hospitalization, convalescence, physician visits, and premature death by means of the 1993 industrial aggregate of average yearly earnings ($24,698) in Canada.37 Individuals were assumed to be potentially productive until age 65 years. The mean age for patients undergoing colorectal surgery was assumed to be 51 years, based on the mean age of patients in the Canadian Multicenter Trial. The long-term indirect costs were discounted at a rate of 5% per year. This discount rate was varied in the sensitivity analyses from 2% to 8%.
For the Canadian analysis, we obtained 1995 inpatient costs for administering low-dose heparin and enoxaparin from the Sunnybrook Health Science Centre (Toronto, Ontario). In our baseline analysis, we did not include nursing time in the cost of prophylaxis, because cost savings are not realized unless nursing staff can be reduced, or unless saved nursing time can be reallocated to activities that reduce the overall cost of care. In our sensitivity analyses, we did consider the costs of saved nursing time. We obtained estimates of nursing time for subcutaneous injection of prefilled syringes, including disposal and documentation, from the Toronto Hospital Nursing Workload Measurement Project.
For the US analysis, we obtained costs of prophylaxis from published economic analyses9,11 and from Rhône-Poulenc Rorer.
We obtained unit costs for bed-days, laboratory testing, blood bank, radiology, operating rooms, and other hospital services from the Sunnybrook Health Science Centre Decision Support Department for the 1994 fiscal year. These unit costs reflect the actual fixed and variable costs of providing each service to an individual hospitalized patient. We obtained physician costs from the 1995 Ontario Health Insurance Plan schedule of payments. The 1995 drug costs for treating established DVT and PE with intravenous heparin and oral warfarin were obtained from the Sunnybrook Health Science Centre pharmacy, and the 1995 to 1996 costs for blood transfusion products were obtained from the Canadian Red Cross.
Data on the volume of services were derived from 3 complementary sources. First, we reviewed charts of patients within the Canadian Trial who developed DVT (n=70, 88% of all DVTs in the trial) or major bleeding (n=24, 86% of all major bleeding episodes in the trial). We found that the DVTs within the trial were asymptomatic and did not result in any additional inpatient treatment or costs.
Second, we reviewed charts of inpatients who were not part of the clinical trial and measured the volume of services for typical cases of symptomatic DVT (n=28), PE (n=55), and major postoperative bleeding (n=16). Not all of the cases of DVT and PE were postoperative.
Third, we obtained data from the Canadian Institute for Health Information, a national database, for all patients in Canada who underwent colorectal surgery procedures (N=17,459) during the 1993-1994 fiscal year. The presence of a DVT, PE, or bleeding complication was based on discharge coding, with the use of International Classification of Diseases, Ninth Revision, codes 451.1, 415.1, 997.2, and 998.1. There were 193 thromboembolic (DVT and PE) complications and 435 bleeding complications. We wanted to ensure that any additional length of stay resulted from the complication rather than comorbidity associated with the complication. Therefore, we created 16 patient strata based on 4 binary variables (age >70 years, rectal or colon surgery, presence of malignant neoplasm, and urgency of surgery). For each stratum, we compared the length of stay for patients who did and did not develop thromboembolism or major bleeding. We used the incremental length of stay associated with thromboembolism and major bleeding as an estimate of the incremental volume of services required to treat the complication.
Outpatient costs for treating DVT and PE were estimated by means of physician costs from the 1995 Ontario Health Insurance Plan schedule of benefits, drug costs from the Sunnybrook Health Science Centre pharmacy, and laboratory costs from the Sunnybrook Health Sciences Centre Decision Support Department. For indirect (societal) costs, loss of productive time related to physician visits and laboratory tests was estimated.
In our sensitivity analyses, we also included the range of costs for DVT, PE, and major bleeding that have been previously reported.38- 40
For the US analysis, we obtained costs for DVT, PE, and major bleeding from published analyses in general abdominal surgery11 and other settings.38,41- 45
We calculated the costs and number of events (symptomatic DVT, PEs, and major bleeding episodes) for every 1000 persons treated with either low-dose heparin or enoxaparin, then calculated the difference between the 2 strategies. All Canadian costs are reported in Canadian dollars, while all US costs are reported in US dollars. One-, 2-, and 3-way sensitivity analyses were performed on all variables within a clinically relevant range. Any combinations of variables that affected the conclusions of our analysis were explored and are reported.
In the Canadian Colorectal DVT Prophylaxis Trial, low-dose heparin and enoxaparin were equally efficacious for preventing DVT (relative risk, 1.0; 95% confidence interval, 0.67-1.5). We identified 6 other studies comparing low-dose heparin and enoxaparin in general surgery (Table 1). All were randomized trials with at least 90% patient follow-up and intention-to-treat analyses, and all but 225,27 were double-blinded. In these studies, the relative risk of DVT with enoxaparin ranged from 0.5 to 1.3. In the Canadian Colorectal Trial, the relative risk of major bleeding associated with enoxaparin was 1.8 (95% confidence interval, 0.8-3.9), while in the other studies, the relative risk for major bleeding ranged from 0.6 to 1.4.
Only 1 symptomatic confirmed PE occurred in the Canadian trial. Therefore, in the baseline analysis we assumed that the relative risk of symptomatic PE was the same as the relative risk of DVT. For all trials comparing low-dose heparin and enoxaparin in abdominal surgery, the rate of symptomatic PE was 0.3% (8/2763) for low-dose heparin and 0.1% (3/2779) for enoxaparin (relative risk, 0.37; 95% confidence interval, 0.1-1.4), including 3 confirmed fatal PEs (2 with low-dose heparin and 1 with enoxaparin). Therefore, we used a value of 0.4 for the relative risk of PE with enoxaparin in some of our sensitivity analysis.
With the use of Canadian data, the cost of 7 days of prophylaxis was $15.96 for low-dose heparin and $56.07 for enoxaparin; the corresponding US costs were $36.54 and $158.20 (Table 2).
The costs for symptomatic detected DVT, symptomatic PE, and major bleeding are summarized in Table 3. Based on chart review of patients enrolled in the Canadian Colorectal DVT Trial, the cost of diagnosis and treatment of DVT was $0, because all of these patients had asymptomatic DVT detected by venography, which was not associated with additional inpatient costs. Based on chart review of patients not enrolled in the clinical trial, the cost of diagnosis and treatment of symptomatic DVT was $5800 (including $2710 for increased length of stay), while the cost of symptomatic PE was $6200 (including $3320 for increased length of stay). Based on the Canadian national hospital database, the cost of increased length of stay because of thromboembolism complications was $3410.
Based on chart review of patients enrolled in the Canadian Colorectal Trial, the cost of a major bleeding episode was $3830 (including $3100 for increased length of stay). Based on chart review of patients not enrolled in the Canadian Colorectal Trial, the cost of a major bleeding episode was $2820 (including $2080 for increased length of stay). Based on the Canadian national hospital database, the cost of increased length of stay because of a major bleeding episode was $1820.
The baseline probabilities used in the decision tree are listed in Table 4. In the baseline analysis, we used the efficacy data from the Canadian Multicenter Trial. Enoxaparin prophylaxis was associated with equal numbers of symptomatic DVT and PEs, 12 additional cases of major bleeding, and an additional cost of $86,050 (Canadian data) and $145,667 (US data) for every 1000 patients treated (Table 5). If the cost of nursing time is included in the cost of prophylaxis, then the enoxaparin strategy was associated with an additional cost of $56,510 (Canadian data) or $117,667 (US data).
The model was most sensitive to variations in the drug cost of enoxaparin, the relative risk of DVT and PE, and the relative risk of major bleeding. Therefore, we defined several clinically relevant scenarios to explore the effect of these variables on our analysis (Table 6). The first scenario assumed that enoxaparin sodium prophylaxis is given at 20 mg (2000 anti-Xa units [2000 anti-activated factor 10 units]) daily, a 50% cost reduction compared with the 40-mg dose. The 20-mg dose may be associated with more DVT, but there may be less major bleeding than with low-dose heparin.28 In this scenario, the enoxaparin strategy was associated with 1.2 more symptomatic DVTs, 1.5 more symptomatic PEs, 6 fewer episodes of major bleeding, and an additional cost of $6746 (Canadian data) and $40,406 (US data) for every 1000 patients treated.
We then explored a scenario in which enoxaparin was more effective than low-dose heparin for preventing DVT (relative risk, 0.8) and PE (relative risk, 0.4) without excess bleeding (relative risk, 1.0). In this optimal efficacy scenario, the enoxaparin strategy was associated with 0.8 fewer symptomatic DVT, 3 fewer symptomatic PEs, no excess major bleeding, and an additional cost of $15,217 (Canadian data) or $107,614 (US data) for every 1000 patients treated.
Finally, we explored a scenario in which enoxaparin was as effective as low-dose heparin for preventing DVT and PE (relative risk, 1.0) but caused less major bleeding (relative risk, 0.6). In this optimal safety scenario, the enoxaparin strategy was associated with equal numbers of symptomatic cases of DVT and PE, 6 fewer episodes of major bleeding, and an additional cost of $17,140 (Canadian data) or $109,656 (US data) for every 1000 patients treated.
The model was not sensitive to 2- or 3-way variations in other variables except the relative risk of PE and the inclusion of indirect (societal) costs of fatal PE. If either strategy was associated with a lower risk of PE, including fatal PE, then the high indirect cost of fatal PE made that strategy economically attractive. For example, if the relative risk of PE (including fatal PE) with enoxaparin was 0.7, then an enoxaparin strategy was associated with 1.2 fewer nonfatal PEs, 0.3 fewer fatal PEs, and an indirect (societal) cost savings of $6000 (Canadian data) for every 1000 patients treated.
Our analysis indicates that low-dose heparin is the economically attractive choice for the prevention of DVT after colorectal surgery. Low-dose heparin was equally effective, safer, and less expensive in the baseline analysis and was therefore the dominant choice. Low-dose heparin remained attractive even when optimal assumptions regarding efficacy and safety of enoxaparin were made.
Our analysis has several strengths. First, we used efficacy and safety estimates from a large randomized double-blind trial, as well as other published randomized trials comparing low-dose heparin with enoxaparin in other general surgical populations. Second, our Canadian cost estimates were derived from distinct complementary sources, including direct review of patient charts at multiple hospitals, as well as a national database of more than 17,000 patients undergoing colorectal surgery. Third, we focused on clinically relevant outcomes, including symptomatic DVT, symptomatic PE, and major bleeding. Finally, we ensured our freedom to conduct and report this analysis without constraint from the pharmaceutical manufacturer.
There are some potential limitations to our analysis. The Canadian Multicentre Trial,12 as well as the ENOXACAN study,13 used enoxaparin sodium, 40 mg daily (4000 anti-Xa units) and observed relatively more bleeding with enoxaparin than with low-dose heparin (relative risks, 1.8 and 1.4, respectively). It is possible that a lower dose of enoxaparin may be safer with regard to major bleeding, but equally effective at preventing thromboembolism.8 However, our sensitivity analyses indicate that even if enoxaparin prophylaxis were not associated with excess major bleeding, it would remain economically unattractive.
A second limitation of our baseline analysis is the assumption that enoxaparin does not reduce the risk of PE or fatal PE compared with low-dose heparin. There are insufficient data from randomized trials to make firm conclusions regarding the effect of enoxaparin on PE. We addressed this limitation in our sensitivity analyses by making favorable assumptions regarding the risk of PE with enoxaparin, and our conclusions were not changed. Our conclusions were affected only if we assumed that enoxaparin reduces fatal PEs and considered the indirect (societal) costs of fatal PE. However, only 3 confirmed fatal PEs have been reported among approximately 5500 general surgical patients randomized to low-dose heparin or enoxaparin. We believe that the choice between low-dose heparin and enoxaparin should not be based on a potential reduction in fatal PE by enoxaparin.
A final limitation relates to our cost estimates for DVT, PE, and major bleeding. Our Canadian unit costs were derived from a single hospital and may not represent costs at other Canadian hospitals. Our US costs were obtained from published studies from a few hospitals, and some of these studies did not clearly distinguish between costs and charges. We addressed the uncertainty regarding the cost estimates by conducting extensive sensitivity analyses, and we found that our conclusions were not sensitive to wide variations in these cost estimates.
Our analysis suggests that enoxaparin has little role in the prevention of DVT in high-risk abdominal surgery. The convenience of once-daily injection does not justify the substantial additional costs. It is unlikely that enoxaparin will be economically attractive in other abdominal surgery, where the frequency of DVT is lower. By contrast, enoxaparin is effective and safe for the prevention of DVT in surgical populations at highest risk for thromboembolism, such as those with major trauma,46 spinal cord injury,47 total knee replacement,48 and hip repair or arthroplasty49,50; in the hip surgery population, enoxaparin is economically attractive.39,43
We conclude that while low-dose heparin and enoxaparin are equally effective, low-dose heparin is a more economical choice than enoxaparin for thromboembolism prophylaxis after colorectal surgery.
Accepted for publication October 1, 1998.
This study was supported in part by a grant from Rhône-Poulenc Rorer, the manufacturer of enoxaparin, and by National Health Fellowship 6606-4933-47 (Dr Etchells) from the National Health Research and Development Program, Ottawa, Ontario.
The authors have reported all potential conflicts of interest to the editors.
Corresponding author: Edward Etchells, MD, MSc, The Toronto Hospital, 200 Elizabeth St, eng-248, Toronto, Ontario, Canada M5G 2C4 (e-mail: firstname.lastname@example.com).
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text: Wait. They Didn't Win Stanley Cup After The Second Round? Posted by on May 25, 2010 02:39 ShareTweet ooooooopppppsss Hopefully Bob Cole's colostomy bag bag exploded in Elliot Freidman's mouth after Montreal was run out of the Eastern Conference finals by The Matrix of Leadership. All we were concerned with was decent hockey, and the Habs did not provide that at all. The Flyers were completely insane. Things you never thought you'd say back on April 14th # 31: Mike Richards was a better captain than Sidney Crosby, and the Flyers had way more will to win the Penguins. So just to recap whats going on here. Flyers fans are making signs that make sense, Flyer fans owned Montreal fans, and every major Pittsburgh sports media person have turned against Evgeni Malkin. What world are we in? WHAT IS HAPPENING?? Even better. You know all those commercials during the NHL season that show the previous cup winner hoisting the cup? We're four Flyers wins away from having to flip the channel alot next year. And there is only one man that can save us from that… Man. Should be a really good finals anyway. As hockey fans, tons of reasons to watch. Chris Pronger vs Buttplug will be epic. Go Pens ShareTweetPenguins Tickets About View all posts by →


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Belfort gives up title shot after Nevada bans TRT
Vitor Belfort dropped out of his upcoming UFC middleweight title shot a few hours after the Nevada Athletic Commission banned testosterone replacement therapy.
Belfort was scheduled to fight 185-pound champion Chris Weidman in Las Vegas at UFC 173 on May 24. His title shot was given to Lyoto Machida on Thursday night.
Belfort, 36, has been open about his use of synthetic testosterone for a few years. The former light heavyweight champion's sanctioned steroid use has coincided with an improbable career resurgence for three consecutive early-round knockout victories in 2013.
The influential Nevada commission voted unanimously on Thursday to stop granting therapeutic use exemptions for TRT, closing a widely criticized loophole that allowed fighters to compete on steroids.
Belfort says he'll continue fighting, but without TRT.


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Organizers of the Grand Prix of Baltimore plan to start constructing the event's racetrack on July 30.
The Daily Record of Baltimore reported that the 12-turn, two-mile circuit will be built in 32 days, with crews working through the night.
Tony Cotman is president of the Indianapolis-based race circuit design and event management company that is handling the construction.
He said about a dozen people will work on the circuit from about 8 p.m. to 6 a.m. Most of the work will take place in the 22 days before the event, which is scheduled to run from Aug. 31 to Sept. 2.


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TC Pro Hunter
Tools and Technologies
> TC Pro Hunter
September 25, 2006, 11:04 AM
Has anyone bought one of these? I'm serously considering it. If so have you also purchase any Centerfire barrels and shot as well?
If you enjoyed reading about "TC Pro Hunter" here in TheHighRoad.org archive, you'll LOVE our community. Come join
today for the full version!
September 26, 2006, 04:24 PM
Come on guys YOU always have opinions:cool:
December 13, 2006, 05:22 PM
I bought a T/C Pro Hunter .50 X 209 rifle yesterday. I cleaned it and took it to the range today.
Using iron sights, at 30 yards off the bench, I kept all shots touching. I was using 100 grains of powder and a 250 grain power belt. Then, when I arrived home, I cleaned it and mounted a red dot sight on it. Tomorrow, I'll return to the range to try it at 100 yards and to zero it for that range. Allegedly, when sighted 3" high at 100 yards, it is dead-on at 200 yards. So T/C's DVD says.
In the future, I plan to purchase some additional barrels. I like the 7mm Rem Mag and the 300 Win Mag, possibly the 375 H&H Mag. I'll post an accuracy update about the groups at 100 yards. By the way, the recoil was very mild.
last to know
December 16, 2006, 09:10 PM
I bought my encore this summer and its as accurate as my o3a3 springfield. I wouldnt hesitate to take a 250 yard shot any day of the week! Power belts didn't shoot to well from my barrel but i havent hade any problems with sabots of any brand (less than 1" groups @ 100 yds). I want to order a varmint barrel in the spring possably a 22-250. your going to love your pro hunter!
December 19, 2006, 04:36 AM
Sorry all, the bullets were T/C Shock Wave Super Glide Sabots, 250 grains. The power belts are still in the package. I'll try those later.
Accuracy at 100 yards was sub-MOA. Unbelievable.
Now I'm trying to decide which barrel for varmint. I wish T/C made a .32 or .36 cal. BP barrel for small game. The .45 caliber simply seems over-kill on a squirrel.
last to know
December 22, 2006, 06:41 PM
hey doc, I think you can order a barrel from Thompson but it would be a special order. it would probably cost a bit but i have to agree a 45 is way to big for small game.
December 22, 2006, 07:08 PM
doc: squerrel what squrell you would have a little puff of blood and fur lol.
i guess i have a mean sence of humor but shooting at a squerrel just to see a puff of blood and fur is kind of amuzing to me.
March 29, 2008, 07:52 PM
If you are looking for a great place to purchase TC encore barrels try eabco.com or outdoorguides.com. outdoor guides factory ports your barrels for less than 1/2 the price of an muzzle brake.
If you enjoyed reading about "TC Pro Hunter" here in TheHighRoad.org archive, you'll LOVE our community. Come join
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Samsung Galaxy NX Hands-on Photos
Latest Camera Reviews
Want to see exactly what the new Samsung Galaxy NX compact system camera looks like in the flesh?
Check out our extensive hands-on gallery of photos of the Samsung Galaxy NX compact camera.
The Samsung Galaxy NX is the World's first interchangeable-lens camera to run on the Android operating system. Positioned as the top-of-the-range NX compact system camera, the new Galaxy NX combines key technologies from the Samasung Galaxy phone and the NX series of cameras.
A gallery of 34 photos of the Samsung Galaxy NX compact system camera.
Image Gallery
Click on a thumbnail to see the full version.
Your Comments
6 Comments | Newest Oldest First | Post a Comment
Why not just make the back removable so you can attach your own smart phone, it would be a lot more useful.
Not very good looking...kind of ugly!
Disgusting from factor. The VF dome and handle of particular note.
WiFi & ANDROID system rocks! but let's see its other features & a full review of Samsung Galaxy NX @ here :
not very sexy looking... nope not a nice looking cam at all, sorta all organic and rounded, nope not for me thanks, maybe if they sort out the look and make it look a bit more sophisticated I'd be keen, but just looks like a cheap plasticky bridgecam...
You should invest a few dollars on a mini light box. They are totally idiot proof, so even you can take clear, sharp and consistent pictures with sufficient detail. That way we can see what the camera actually looks like. In the meantime, anyone wanting to see what it really looks like now, go to http://www.samsung.com You may be very surprised at the difference.
... Joe Prete


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November 29, 1999
1/2 c. jam or preserves
3 Tbsp. finely chopped nuts
1/8 tsp. lemon or almond extract
3/4 c. powdered sugar
1/4 tsp. lemon or almond extract
3 to 4 tsp. water
Combine flour, sugar, and salt in large mixer bowl; add butter and cream cheese. Beat at low speed, scraping bowl often, until mixture resembles coarse crumbs (2 to 3 minutes). Add water; continue beating just until dough forms (20 to 30 seconds). Shape dough into ball with hands. Divide in half; flatten each half and wrap well in plastic food wrap. Refrigerate until firm (at least 3 hours or up to 3 days).
Stir all filling ingredients together in small bowl; set aside. Heat oven to 375. Roll out one half of dough on lightly floured surface (keeping remaining dough refrigerated) to 1/2-inch thickness. Cut dough with floured 2-1/2 inch round cookie cutter. Place cookies 1 inch apart on ungreased cookie sheets. Spoon 1/2 tsp. filling in center of each round. Lift up edges of each circle at 3 points; pinch points together firmly forming a triangle and leave center open. Bake for 8-10 minutes or until edges are lightly browned. Tarts will open slightly as they bake. Remove from cookie sheets; cool completely. Combine powdered sugar and lemon extract in small bowl, adding enough water for desired glazing consistency. Drizzle on tarts. Makes 3 dozen tarts.
Tip: If desired, cut large pieces of fruit in jam into smaller pieces.
3 c. powdered sugar
3 Tbsp. creamy peanut butter
2 Tbsp. softened butter
2-3 Tbsp. milk
Combine butter, sugar, and brown sugar in large mixer bowl. Beat at medium speed, scraping bowl often, until creamy (1 to 2 minutes). Add eggs and vanilla; continue beating until well mixed (1 minute). Reduce speed to low; add flour, cocoa, baking soda, and salt. Beat until well mixed (1 to 2 minutes). Cover and refrigerate until firm (1 to 2 hours). Heat oven to 350 degrees. Place candies in small bowl. Shape dough into 1-inch balls. Dip balls in candies to coat one side. Place candy-side up, 2 inches apart on ungreased cookie sheet. Bake for 8 to 10 minutes or until edges are set. Do not over-bake. Let stand 2 minutes; remove from cookie sheet. Cool completely. Combine powdered sugar, peanut butter, and 2 Tbsp. butter in small mixer bowl. Beat at medium speed, scraping bowl often and gradually adding enough milk for desired spreading consistency. To make sandwiches, spread about 2 tsp. of filling on flat side of 1 cookie. Top with a second cookie, flat side down. Repeat with remaining cookies. Makes 3 dozen cookies.
In large bowl, combine 1 c. flour, sugar, undissolved yeast, and salt. Heat milk, butter, amaretto liqueur, and lemon juice until very warm (120 to 130 degrees). Gradually add dry ingredients. Beat 2 minutes at medium speed with electric mixer, scraping bowl occasionally. Add egg and 1/2 c. flour; beat 2 minutes at high speed. Stir in chopped almonds and enough remaining flour to make a soft dough. Knead on lightly floured surface until smooth and elastic, about 8 to 10 minutes. Cover; let rest 10 minutes. Roll dough to 12 x 8 inch rectangle. Beginning from short end, roll up tightly as for jelly roll. Pinch seam and ends to seal. Place seam side down, in greased 9 x 5-inch loaf pan. Cover; let rise in warm, draft-free place until doubled in size, about 1 hour. Bake at 375 degrees for 35 to 40 minutes or until done. Remove from pan; cool on wire rack. Drizzle with amaretto glaze and sprinkle with sliced almonds.
Amaretto Glaze: Combine 1 c. powdered sugar, sifted; 2 Tbsp. amaretto liqueur; and enough milk (1 to 2 Tbsp.) for drizzling consistency.


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Which Nottingham university?
Is the Nottingham distance PGCE(i) too good to be true? I've been looking at the Buckingham and Sunderland options for a while but recently found out about Nottingham. It's about two thousand pounds cheaper than the other courses which makes me ask "why?". I called them up a few days ago and had a good chat with the a few of the people involved in the course, and it seems good. Has anyone done this course? Would you reccomend it?
If anyone can give any thoughts on the Buckingham course too I'd appreciate it. The initial course fee is quite reasonable but having to do 3 trips back to the UK, and pay for an examiner to come to obsreve my lessons almost doubles the price. What are the advantages or disadvantages of this course?
Sunderland appears to be the most established of the course but with the P standing for Professional, instead of Post, I have some concerns. Do I have good reason to be concerned or is it basically the same thing?
Ultimately if I have to pay top money then that's what I have to do, as long as I get what's needed, but if there's no difference between a 5000 pound course and a 3000 pound course then I know which I'll be going for.
I'll look forward to reading your thoughts and opinions.
Last edited by jetho23; 31st January 2009 at 16:00.
Which Nottingham university?
I can't post a link on here as I'm a new user, but if you put Nottingham PGCE International into google then it'll be the first one to come up.
That's the University of Nottingham. I did mine at Nottingham Trent University which I have lots, sorry, some useful information on with regards to the department its run from, but the University of Nottingham I detested from my time as an undergraduate. Money grabbing, rip off place, but still regarded as one of the top 10 universities in England.
That course appears to not qualify you for QTS status in UK, unless I'm reading it wrong. That means it's probably not recognised in other western systems either.
Doesn't matter if you've no intention of working in the west, but still a consideration.
Most people are other people. Their thoughts are someone else's opinions, their lives a mimicry, their passions a quotation.
It seems that none of the distance programs qualify you for licensing directly. I've been looking into schools in the US, Aus, S. Africa, and the UK. The South African one appears to be the most promising, surprisingly. I suspect it is because of the lack of a practical component.
...you get what you need.
That's true, that none of the distance courses will give you QTS, but you could still use it to go on to do the practical teaching practice element in the UK if you needed to, and you still get to have PGCE on your resume. Actually I think that Buckingham and Sunderland do require observed teaching pracctice. For Sunderland you can send videos of your lessons but for Buckingham the tutor comes to you twice throughout the course(which you have to pay for). The thing is, and I guess my main question is, for working in the international school circuit does it really make a difference what course I do? I mean, as long as I can legitimately put PGCE with a UK University name at the side of it, would anything else really matter?
^ If you're really serious about getting into the top-tier international schools, then you'd be better off getting some experience of either the British or American curriculums first. The parents pay a lot of money to send their kids to schools of this calibre for a good reason: they want teachers who actually know what they're doing in the classroom and not simply someone who's collected qualifications like Boy Scout badges.
One of my friends will attend the CIS international job fair in London soon and she's already been made aware from those "in the know" that competition will be as fierce, if not more so, this year compared to previous years. Many more teachers are hitting the international circuit and looking to broaden their experience outside their home country. You'll be up against those if you apply at the top-tier schools. And they'll undoubtedly have a lot more experience than you.
You may get lucky and be offered a decent job at a Thai international school with almost zilch UK or USA based experience. You may not. Either way, be realistic in what you can achieve in the present market and with your lack of experience despite gaining a PGCE. It's highly unlikely you're going to walk into some fabulous high-paying job just now.
I don't intend to sound harsh on you but don't be disappointed if that golden salary package fails to materialise whilst the ink is still drying on your PCGE certificate.
Good luck, whatever you choose to do.
Last edited by Hong Kong Phooey; 31st January 2009 at 23:31. Reason: /
You mean like crashed airplanes, dinosaurs and timeshifts like?
Isn't it odd how doing a PGCE is so ludicrously hyped up on here?
And how so many PGCE holders can barely tie their own shoes?
Last edited by Cyrille; 1st February 2009 at 02:42. Reason: Automerged Doublepost
And it does appear qualifications are coming under increased scrutiny, even in Thailand.
So I don't know that the hype is necessarily "ludicrous".
As regards to your latter point, I'm not sure many in the west have ever placed the average teacher all that high up the scale of intellectual excellence, so it would be no real surprise to most that an inordinate number of teachers opt for slip-on shoes!
Qualifications are important, but people put too much trust into them. Simply obtaining your credentials isn't the path to gold. Top schools care about credentials simply because that's what the parents want to see, but when it comes down to choosing an employee then it becomes all about the person. How does that person's educational philosophy and vision align with that of the school? In the top tier scene I feel it's about who you are and sometimes who you know. It's takes some luck to break in, but once you there your there.
So credentials matter, but you need to be packing some along with those credentials.
I understand where you're coming from Hong Kong Phooey. I though your comments were barsh but also fair. Of course, you can have a PGCE, Med, and the works but if you hve zero personality then you probably won't get far in an interview, but getting a PGCE is a start, just as getting a degree in the first place is. What I like about the PGCE though is that more often than not you have to be in an international school that teaches the British national curriculum to do the course. Finding one that will let you do is effectively the hardest part, but there are a lot of international schools who will support a teacher to do a PGCE in their school, not just in Thailand but all over. I asked the Universities where their other students were doing the courses and was informed of teachers in international schools all over, such as Thailand and China, and a lot doing it in Europe. The qualification qualifies you to work in a prive school in the UK but not in a government school.
From the school perspective, they are looking for a teacher with experience who is now looking to further their career. Thus, if you have been working at a bilingual school for a few years and have already taught core subjects then you'd have a chance. For sure, you'd have very little chance of being accepted if you were just walking out a language school after 1 year EFL experience. It benefits the school because they at least know that they're getting someone who has a bit of experience and the determination to improve, as demonstrted by the determination to do the PGCE in the first place. Because you're not qualified they get to hire you on the cheap (compared with other international school teachers), but it would still very decent money compared with anything you'd get in bilingual school. They also probably get you for at least 2 or 3 years,which would be a condition of them supporting you through the PGCE, so it's not like they have nothing to gain.
So, because to do the course you have to find an international school that will support you, then as long as do this, by the end of it you will leave with a PGCE and at least a years international school experience.
My current situation is that I have a school that will support me to do the PGCE with them, I just need to decide which University to go through, hence my inital post.
Last edited by jetho23; 1st February 2009 at 20:20. Reason: Automerged Doublepost


text:
President Barack Obama is scheduled to speak about the economy at Valencia College Thursday afternoon.
The White House announced the event Tuesday. Ticketed guests and the media will be allowed to attend the event, officials said.
Following his speech at Valencia, Obama will travel to Miami for Democratic National Committee events.


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huh? diet or % body fat?
huh? diet or % body fat?
Here is what you do.
1) Buy the book, "The Primal Blueprint" or the "Paleo Solution"
2) Read it cover to cover
3) Follow the directions given in the book
Spammer lol
Gluten intolerance and hypermobility syndrome http://www.cfids.org/pdf/joint-hypermobility-guide.pdf
Eat food. Mostly real. Enjoy life.
Health, energy, wellbeing, vitality, joy, LIFE! Health At Every Size
"Do not ask what the world needs; ask yourself what makes you come alive. And then go and do that, because what the world needs is people who have come alive."
Harold Whitman
Well the fat problems can be solved by doing proper exercise and proper training and also to be balance in diet.
Too much spam = too much fat. I suggest you cut the spam.


text:
I'm a self-representing Cape Breton wire artist with a dozen years of experience writing clear instructions for online, adult learners. I love curriculum development almost as much as I love making ...
I'm a self-representing Cape Breton wire artist with a dozen years of experience writing clear instructions for online, adult learners. I love curriculum development almost as much as I love making jewellery! The two are combining beautifully with my online tutorials.
Through all the art forms I've explored - painting, digital art, clay sculpting, web design, paper art, and calligraphy - my love of colour has guided me to new discoveries. Now, over a decade of self-teaching has produced my distinctive, spontaneous style of wire-sculpted art jewellery.
My pieces weave non-tarnish wire around a wide range of stimulating materials. The warmth of semi-precious gemstones, the unlimited, variegated colours of firepolished glass, and the fascinating textures & history of beach glass all lend their own character to each one-of-a-kind creation. In my steampunk-inspired line, the patina of vintage, salvaged materials contrasts sharply with the bright & modern designs in the surrounding wire.
I love to create and I love to teach and share with others. I hope I can help you find a new technique or pattern you'll love!
I came across this flat aluminum wire in Michael's and was immediately struck by the possibilities. I discovered to my pleasure that it hammers and textures beautifully, is lightweight, and once work-hardened, is quite strong. The coloured wire loses its colour when hammered but in a beautiful, subtle way that suggests a patina.
This fabulous little pair of earrings is colourful, light, and catches the light gorgeously.
By changing the colourway, size, and number of beads, you can create many fetching pairs of earrings that will be great for sale, for gifts, or to match that perfect outfit!
35+ crisp, close-up photographs in two dozen steps capture the process for making these irresistible little gems.
I write my tutorials for the absolute beginner. Here in addition to the design itself, I talk about creating symmetry with earring designs and how to properly open and close purchased ear-wires.


text:
Speaker John Boehner told House Republicans on Tuesday he will move to a "Plan B" on the fiscal cliff by having the House vote on legislation to extend tax rates on annual income under $1 million.
The bill would allow tax rates on annual income above $1 million to rise from 35 percent to 39.6 percent.
Boehner announced the plan in a closed-door conference meeting after a flurry of negotiations with President Obama that showed the two sides were moving closer to a deal. Yet differences remain over spending cuts, entitlement reforms, new spending measures demanded by Obama and the president's request for a hike to the debt limit.
Boehner, who informed the president of his plans for a Plan B in a telephone call Monday night, is not cutting off talks with Obama and told members his Plan B is less than ideal. Republican aides stressed that the talks will continue, but lawmakers said the bill could come to a vote as early as Thursday.
WASHINGTON — Speaker of the House John Boehner's "Plan B" to avert the fiscal cliff would cut taxes for incomes under $1 million — a higher threshold than the White House demands, but one that had a powerful backer, House Minority Leader Nancy Pelosi.
Debt has increased $18,944 per household
(CNSNews.com) – Under the leadership of House Speaker John Boehner (R.-Ohio), the 112thHouse of Representatives has thus far approved legislation that has increased the debt of the federal government by $2,176,949,774,695.46—or approximately $18,944 for per American household.
The 112th House of Representatives has achieved this in a little more than 20 months time—and it may not be done yet enacting laws to approve new federal borrowing and spending.
2011: U.S. Loses AAA Credit Rating as S&P Slams Debt Levels, Political Process
Standard & Poor's downgraded the U.S.'s AAA credit rating for the first time, slamming the nation's political process and criticizing lawmakers for failing to cut spending or raise revenue enough to reduce record budget deficits.
S&P lowered the U.S. one level to AA+ while keeping the outlook at "negative" as it becomes less confident Congress will end Bush-era tax cuts or tackle entitlements. The rating may be cut to AA within two years if spending reductions are lower than agreed to, interest rates rise or "new fiscal pressures" result in higher general government debt, the New York-based firm said yesterday.
The U.S. Credit Rating Might Get Downgraded Again, But Does Anyone Care?
One ratings agency is threatening to downgrade the U.S. if we go over the fiscal cliff. But the markets are unlikely to care one way or the other.
Once again President Obama and the congressional Republicans are in a showdown over the debt: the GOP wants to preserve low tax rates and enact large spending cuts, while the president wants less severe cuts and higher tax revenues from high earners. And just like last year's tussle over the debt ceiling, ratings agencies like Fitch, Standard & Poor's, and Moody's are threatening to ding America's sovereign credit rating if a long-term deficit deal isn't reached. The only problem is that it's unclear who, if anyone, cares about what the major ratings agencies have to say.
Top Credit Agencies All Warn of Imminent US Debt Downgrade


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First off, my first post here, and thanks to all for some great forums. Quick intro, I'm a recently-instrument-rated CPL who will be shortly studying intently for my ATPL exams and will hopefully move into full-time professional flying in the near future. I love any and all tech discussion on aircraft (to the dismay of many of my friends), so this forum is golden.
I've done a ridiculous amount of long haul travel in previous jobs, and am wondering about the normal procedures and considerations for the selection of step climb levels during long sectors. For instance, I've flown LAX-MEL numerous times with Qantas, which is always flown on the 744ER, departing many times at MTOW (Captain has announced this) - it is standard for the initial cruise level out of LAX to be either FL280 or FL300. In some instances, the aircraft remains at this initial level for some time before it's stepped up to FL340 (skipping FL320). It's then generally stepped by 2000ft at a time, and in my experience normally arrives at TOD at FL380.
I have read somewhere that a 4000ft step is preferable than a 2000ft step for fuel burn reasons, but this does not seem logical to me, since surely the preference is to climb the 2nd block of 2000ft at a lower weight. I have also read in some manuals/textbooks that being above optimum altitude normally results in lower fuel burn than being below optimum altitude by the same amount. With this in mind, what are the reasons for selecting 4000ft steps, and not simply bracketing with a 2000ft climb every step? I imagine it's a combination of ATC requirements during Pacific ops, no RVSM available, favourable winds etc. etc.
Any answers would be great! Thanks again, cheers all.


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