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I can't stand vaginhaye but, a mofo like Chisora comes at you with two guys behind, saying " tell it to my face" you better punch first.
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These 2 fighters are an absolute disgrace to boxing and should be banned for life and as for the security and promoters such as that scumbag frank warren . They are even a bigger disgrace for allowing these 2 men to get so close to each other. Its scenes like this that make wish that boxing was banned. Dont get me wrong I love boxing but these 2 clowns arent boxers they are caricatures especially Haye , Haye isnt the biggest con man boxing has seen since Don King. The great fighters such joe frazier, joe louis, rocky marciano and larry holmes never acted like this and would never even dream of acting like this . Joe Frazier, rocky marciano, joe louis and all deceased great fighters of the past must be turning in their graves seeing these 2 clowns bringing the sport which they help build and gave sweat and blood to and Frazier and Lous gave more to boxing in one fight than HAYE has giving in his whole career. Infact Haye has given nothing to boxing he has done the opposite, in fact he has pissed all over the sport. This is a sad day for boxing and particularly for the heavyweight. I dont know what Vitali was laughing at . There was nothing funny about that. I can only hope that conman Haye gets his cherished fight with Vitali and Vitali knocks this clown out of the fight game. Haye commited a criminal act of fraud with his non performance against Vital and then his excuse afterwards with his broken toe turned his non performance to a wwf circus , it was sheer pantomine with Haye being the pantomine villain, its no wonder this clown wants to go in to acting because thats where his real talent lies. Even haye must realise that he a far better actor and showman than he is a fighter. I mean this guy is the david beckham of the boxing world more interested in his image and marketing himself than fighting . I tell you what Haye. If you want to make some more money with little risk and high reward you can ring up Vince Mcmahon and tell him you would make a great patomine villian ahem i mean wrestler. I am sure you would be just what he is looking . I have no doubt thats exactly where this guy will end up.
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^^aren't you a mike tyson fan? lol
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Haye actual smashed a bootle accross chisoras face . Haye is a thug I hope he does time for this. I have never seen such thuggery in boxing.
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Hosted by drag duo Murray Hill and Linda Simpson, Wednesday night BINGO at the Royal Palms Shuffleboard Club does not disappoint! Cards cost $2 each, and it is well worth the small fee to partake in the hijinks that occur on stage if you win. Prizes, which were showcased Vanna White-style by a roller-skating assistant, ranged from a dollar-store kitchen mat to $20s cash. At one point in the evening, there was an "underwear challenge," which pitted three BINGO winners against each other in an underpants dance-off. This shenanigan was worth the price of the cards alone.
Throughout the evening, Shuffleboard Club patrons sipped on craft cocktails designed by the staff and owners of the Club. According to Jonathan, one of the Club owners, the most popular cocktail of the season is the pink hued Shuffleboard Bob – a gin drink that combines coconut water, lime juice, cucumber syrup, and Peychaud's bitters. However, if you ask the bartenders what they enjoy drinking, they mention the Jim Allen – a mescal-based mango margarita, and the Earl Ball – a bourbon drink that combines pineapple and lemon juice with ginger and black pepper syrup. All drinks were well balanced, strong, and very refreshing.
While milling around the bar, I noticed that most of the bartenders sport the same shuffleboard tattoo (from Triple Diamond Tattoo). When asked about the tattoo, the bartenders indicated that most of the original staff and the Club owners got them together as a testament to the dedication put into opening the Club. That dedication has certainly paid off; the Royal Palms Shuffleboard Club is definitely worth a visit!


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Northwest NEWS
une 22, 1998
Bothell City Manager resigns
by Andrew Walgamott
Staff Reporter
BOTHELL--Rick Kirkwood resigned his post as Bothell City Manager last Monday night after he and the City Council mutually agreed to sever their employment relationship. Kirkwood's last day was June 15. He had been Bothell's chief administrator for the past three years. The council voted 5-2 to accept Kirkwood's resignation. Councilmembers Jeff Merrill and Jeanne Edwards voted no.
Kirkwood, with his family in the audience, gave a short speech, thanking the various city departments, boards and commissions and the council. Edwards fought back tears while Merrill looked on stern-faced. Reading from a prepared statement, Mayor Debbie Treen called June 15 "a night not many will forget."
Several members of the Bothell Economic Development Partnership wore black arm bands apparently in support of Kirkwood during last Wednesday's meeting. The end had been coming for some time. An ashen-faced Kirkwood had been wandering City Hall for the last couple weeks, carrying an "unspeakable load." Sources close to City Hall who declined to be named said it came down to a matter of trust between the manager and council. After Kirkwood brought in an outside consultant for department reviews, he refused to give the council a copy of the report. Council involvement in the day-to-day operations of City Hall was a campaign issue last fall.
Since news that construction of the new police station would cost the city $1 million more than budgeted, the council had been holding a number of Executive Sessions on personnel matters, culminating with a five-hour meeting June 12. "We've had discussions for awhile," Kirkwood told the Everett Herald. "After boiling it all down, this seemed like the right thing to do."
As part of Kirkwood's severance package, Kirkwood will receive about $55,000. Also, city officials can only tell anyone looking at hiring Kirkwood that he "satisfied the terms of his agreement" and "left employment to pursue other personal and career opportunities." Treen noted that some accomplishments of Kirkwood's included work on planning for the college campuses and moving forward on an in-depth economic development study. The council appointed assistant City Manager Manny Ocampo as the acting manager until an interim is named.
Kirkwood has spent the last 20 years in city management and 23 in public administration. His contract was up June 26. Previously he managed Pismo Beach, California and Roy City, Utah.


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On average, cities are 3 to 8 degrees Celsius warmer than rural areas because built environments emit heat; urban surfaces absorb more sunlight and heat than natural landscapes; and urban areas lack vegetation to cool through evaporation. This phenomenon, termed "urban heat island effect," triggers an increase in building energy use and air pollution, and reduces the quality of urban life. Increasing the reflectance of buildings and paved surfaces reduces urban temperatures. Many cities have started to address the urban heat island effect in their local jurisdictions. These early successes represent a great opportunity for knowledge sharing and collaboration among C40 Cities – learning from the experiences of early-adopting cities and accelerating the dissemination of successful strategies to mitigate urban heat islands.
The Cool Cities Network will focus on opportunities for cities to reap the economic, energy, health, environmental, and social benefits of reducing urban heat islands by developing tools and resources to identify the causes and impacts of urban heat islands; supporting the design and launch of cool surface programmes and city action plans; and by fostering peer-to-peer and expert knowledge exchanges to share best practices, proven strategies, and data.
The Cool Cities Network is supported through a partnership with the Global Cool Cities Alliance (GCCA), a non-profit organisation with the sole aim of accelerating a global transition to "highly reflective, cooler, and healthier cities."
The City of Melbourne's Urban Landscapes branch has been inspired by the innovative policies and approaches that many cities in the Cool Cities Network have developed. Accessing the Cool Cities Network to exchange perspectives, share stories and compare approaches on cooling and greening strategies has been very beneficial to furthering our thinking. Based on webinar conversations with the Tokyo Metropolitan Government in 2013 about their National Conservation Ordinance we are now considering if a similar policy might be effective in Melbourne. We have undertaken an international policy review to understand how other cities have encouraged greening in the private realm. This review has focused strongly on Tokyo, Seattle, Berlin and Chicago and it is now feeding into new policy exploration and development for the City of Melbourne.Yvonne Lynch, Urban Landscapes, City of Melbourne


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RedWingsTV provides three off-day interviews with Red Wings defenceman Brad Stuart, forward Jiri Hudler, and forward Tomas Holmstrom, respectively:
In a 1:52 interview, Stuart says that he not only scored his first goal as a Wing on Sunday, but he also scored it with his family in town for the week, which he hopes will allow him to get settled into Detroit and get more comfortable. Stuart says that it's not easy to be separated from his expectant wife, but it's a sacrifice that has to be made at this point, and it's obviously a great opportunity for him and his family realizes it, but there's been a lot of help on both ends, and they're trying to make the best of it. It's a great opportunity for him, it's an important thing, and he's going to do his best to get the family in as much as possible.
Stuart also says that having Rafalski and Lidstrom coming back is huge for the Wings, it changes the dynamic of the team, and it's an adjustment for him, but it's obvious to see the confidence that they bring to the team.
Jiri Hudler (1:00) discusses the fact that he broke his 21-game goalless streak, and he says that it felt pretty good because the Wings won, the Predators played hard, and while they were coming off a big road trip, they had a lot of energy, and it was big that they won. Valtteri Filppula pops in to say that Hudler's very good with the puck, and can make good plays, but he can also shoot, and it's good that he got a goal in. Hudler says that he didn't know that it was a 21-game streak, but he's been simply trying to think about playing hard in every game, and expect that good things will happen. He says it's up to him to take advantage of the opportunity that is playing with Filppula and Datsyuk, and he should get a lot of chances, and again, it's up to him then (to capitalize on them).
Finally, and perhaps most importantly, Tomas Holmstrom (2:03) says that he's feeling a lot better, he'd like to skate on Tuesday and see how he feels. Holmstrom says that he'll see what the team doctor says later in the day. He says it's his "stomach muscle, going down," that's bothering him, and he's had some soreness there twice before, but he had a sharp pain, and couldn't practice on Saturday. He's asked if he's worried about a hernia, and he says he'd take a look at the MRI, but he is feeling better and better every day, and if it goes like that, he might practice or skate tomorrow at least. He's asked about Johan Franzen's play, and he says Franzen played well, and he'd love to have one of those tip-ins. Holmstrom says that right after practice his "stomach" was really sore, it was so bad that he couldn't practice at all, not a chance, so he was worried, and Sunday was a little better, and Monday, today. He says they're done with testing, and the doctor will come back with the results of the MRI. It happened at the end of practice on Friday, it was off and on at the end of practice, and then he tried to practice on Saturday, but he couldn't.


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Following the recent article by Jurado et al1 regarding the prozone reaction in secondary syphilis, we would like to report our experience of the potential problems associated with the use of nontreponemal antibody tests to screen for treponemal infections.
Report of Cases. Case 1.
A 47-year-old man presented with a history of progressive cerebellar signs. There was no history of syphilis. The routine antitreponemal IgG enzyme immunoassay screening test (Captia Syphilis G) showed a positive result with an antibody index of 3.12. Confirmatory testing revealed a negative qualitative VDRL test result, a positive Treponema pallidum hemagglutination assay titer of 10 240, a positive fluorescent treponemal antibody absorbed test result, and a positive antitreponemal IgM enzyme immunoassay (Captia Syphilis M) with an antibody index of 1.2. Repeated VDRL testing, using diluted serum samples, gave a titer of 64, suggesting that the initial false-negative result was attributable to the prozone phenomenon
Thank you for submitting a comment on this article. It will be reviewed by JAMA Internal Medicine editors. You will be notified when your comment has been published. Comments should not exceed 500 words of text and 10 references.
Do not submit personal medical questions or information that could identify a specific patient, questions about a particular case, or general inquiries to an author. Only content that has not been published, posted, or submitted elsewhere should be submitted. By submitting this Comment, you and any coauthors transfer copyright to the journal if your Comment is posted.
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Indicate all relevant conflicts of interest of each author below, including all relevant financial interests, activities, and relationships within the past 3 years including, but not limited to, employment, affiliation, grants or funding, consultancies, honoraria or payment, speakers' bureaus, stock ownership or options, expert testimony, royalties, donation of medical equipment, or patents planned, pending, or issued. If all authors have none, check "No potential conflicts or relevant financial interests" in the box below. Please also indicate any funding received in support of this work. The information will be posted with your response.
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This course examines water resources from a variety of scales and disciplines. Emphasis is placed on evaluating water resources from a multidisciplinary perspective. We will begin by looking at the physical aspects of water resources through an introduction to hydrology. In this first section we will cover the basic hydrologic principles: water cycle, evaporation, precipitation, storage, runoff, and streamflow, with attention to forest hydrology and climate change. In this section of the course students will be expected to solve quantitative problems to explore the interface of hydrologic processes and human activity. Then we will turn to some of the institutional factors governing water resources, including law, economics and policy. Finally we will combine the physical and institutional issues as we focus on case studies of the Colorado, Columbia and Klamath River basins. This second part of the course is reading intensive: students are expected to complete all reading assignments and contribute to class discussion based on the readings. Students will integrate course materials in an original research paper.
This is a writing-centered course in an interdisciplinary topic and so we will examine different styles of writing about water resources. Examples of writing from the media, popular texts, journal articles, government documents, and textbooks are used as source material in the course. We will focus on evaluating such sources for their relevance and appropriateness in defining the issues and on understanding a variety of discourse conventions. In addition to examining published works, students will be asked to prepare assignments in various styles. For example, more formal scientific writing will include responses to problem set questions and the research paper. Informal writing will include responses to readings. Both formal and information writing will be utilized in the research paper. The main goal is for students to learn how to write and communicate to an interdisciplinary audience.
(Note that texts may vary from year to year)
A River Lost: The Life and Death of the Columbia River. Harden, B. 1996. W.W. Norton.
Cadillac Desert: The American West and its Disappearing Water. Reisner, M. 1993. Penguin.
Encounters with the Archdruid New York, McPhee, J. 1980. Farrar, Straus and Giroux.
Fundamentals of Hydrology. Davie, T. 2008 Routledge.
Rivers of Empire: Water, Aridity and the Growth of the American West. Worster, D. 1992. Oxford.
Water War in the Klamath Basin: Macho Law, Combat Biology and Dirty Politics. Doremus, H.D. and A.D. Tarlock. 2008. Island Press.
There are two exams.
Each student will write a major (12-15 page) research paper, on some water resources issue. The purpose of the paper is to synthesize physical hydrologic and geographic data with social, economic, and/or legal factors, as well as to go through the process of writing a multidisciplinary research paper. The final paper will be due on the last day of class, however a paper proposal and two paper drafts will be due during the semester. Each student will also present his/her research to the class during the last few weeks of the semester. Finally, each student will create a web page with a summary of his/her research to be displayed along with previous student research papers from the course.
Particularly during the last 2/3 of the course students are expected to come to class prepared to discuss the assigned materials. To prepare for discussion students will prepare short summaries of the reading material ten of which will be collected and graded. Students who are absent more than FOUR times during the semester without a valid excuse (legitimate medical condition or mandatory university activity) will be penalized 5% from their total grade. I have final discretion on what is considered a legitimate absence.
Three problem sets related to the hydrology section will be assigned. The purpose of these assignments is to help illuminate some of the hydrologic concepts and to introduce you to working with empirical data. A good grasp of algebra and the ability to manipulate data in electronic spreadsheets is required to complete the problem sets.


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4 Tips for Leaving Blog Comments Authors Will Love
If you run a blog, you know exactly how great it feels when someone other than your mom leaves a comment on one of your posts. And if it's a really good, insightful comment, it feels even better.
And you notice that person. You check out their blog. If you find that they have excellent things to say, you leave a comment on one of their posts.
So thus, if you're leaving awesome, insightful blog comments, it's an excellent way to draw attention and traffic back to your own blog.
Not sure where to start? Not a problem. Here are four tips for making sure that your comments are engaging and interesting!
Be Genuine
First of all, never force a comment. If the content doesn't speak to you or you don't have anything to say, then don't attempt it. It may come off as artificial and the blog owner will be able to tell.
But if you think the post was especially good or insightful, make sure you say so in your comment. Everyone likes hearing that their writing has helped someone. If there was a particular part that resonated with you, point that out.
Also, use the author's first name to establish a connection with them.
Check out how this commenter was genuine with a guest author over on Smart Boy Designs.
Add Value
If you're reading a blog post about something you're pretty familiar with, you probably have something to add to the discussion. This could be a similar experience, a short (relevant!) story, or an answer to the author's challenge questions.
In fact, answering a challenge question is one of the best ways to add value in the comment section. Lots of authors will end their blog post with questions to help foster discussion and learn more from their readers. Answering them not only lets you provide an opinion, but shows that you actually read the post.
Greg Ciotti from Sparring Mind often asks questions at the end of his posts. Check out the value that this comment added to one of his recent posts.
Don't Stroke Your Own Ego
But be cautious when writing about your experiences. People want to revel in others' success, but they don't want to listen to some overly-pompous jerk talk about why they are the best thing that's ever happened to the internet.
The comments section of someone's blog post is not for you to stroke your own ego and tell everyone how great you are.
When it comes to this point, I think it's better just to share an example of how an egomaniac hijacked someone's comment section to talk about why he was so awesome.
Please note: names have been blurred.
What started off as a genuine, slightly value-adding comment turned into one blogger talking about how great he is. And it wasn't even presented in a way that added value to anyone else.
"Bragging" does not equal a good comment.
Feel Free to Disagree…Politely
There will come a time when you will read a blog post and someone will write something that you just don't agree with. Whether it's a controversial new idea, or just a personal opinion, there's something about the article that just makes you think, "Eh, no."
There's nothing wrong with disagreeing with a writer on one or all points of their blog post. In fact, a lot of authors definitely want to hear if you don't agree. But you need to frame your comment in a way that isn't personally attacking the author.
For a basic example, let's say I write a post about how purple is the best color of all time. But uh oh, you're pretty sure that red is actually the best color of all time.
You would not respond with:
But you could respond with:
It's a silly example, but you get my idea. I would be far more likely to continue the conversation with Sarah over Dr. Doom.
And to wrap it up…
Don't be a jerk. If something makes you so angry that you want to write twelve paragraphs about how they're wrong…you probably shouldn't. (In fact, you should just calm down a little and then just turn that into a blog post).
But if you follow these four tips, you'll be leaving excellent blog comments and attracting attention to your own blog in no time!
Do you have any other tips for leaving good blog comments? Are you terrified that I might be critiquing your blog comment? Don't worry, I'm not. Just don't be a jerk.
Mandy Kilinskis
Mandy is proud to be a part of QLP's content team. A self-professed nerd, her interests include video games, sitcoms, superhero movies, iPods and iPhones but never Macs, and shockingly, writing. Her claims to fame are: owning over forty pairs of Chuck Taylor All Stars, offering spot-on coffee advice, and knowing an unbelievable amount of Disney Princess facts. You can connect with Mandy on Google+
GREEN is the best color ever! Gosh!
.. #MandyIsColorBlind
That I, uh…know nothing about.
Useful post, Mandy. In conclusion? PREACH!
Wow. That comment under your "Don't Stroke Your Own Ego" section is … interesting. Yeah, don't be that guy.
Great tips all around, Mandy. And I AM afraid that you are critiquing my comment now, haha! But see look, I'm answering one of your challenge questions, so … go me! 😉
Great tips, Mandy. I think what separates the pure "link juice" responders and the active participants in these communities are qualities like those you've listed. I've also noticed that making a comment about something specific in the article is a great way to engage with the author and perhaps pique interest in your own writing; it shows you read it all the way through and that the author's attention to detail did not go unappreciated.
Although this post is full of fantastic, actionable tips, the best part was the "Don't Stroke Your Own Ego" guy. He listed: "I love pop culture" under his things that he's done that don't fit with most "ppl." Does he know what "pop" is short for?
All in all, awesome post!
Agreed, Jana, and thank you! Picking out a specific piece to make a comment about is definitely a great way to stand out from the pure link juicers. I know that I get warm fuzzies when someone points out a specific part or a line that particularly enjoyed crafting.
…and yeah. That dude is…special. Someone needs to let him know that "pop" is short for "popular."
Incredible tips, Mandy. I think what isolates the unadulterated "connection juice" responders and the dynamic members in these groups are qualities like those you've recorded. I've additionally seen that making a remark about something particular in the article is an incredible approach to connect with the writer and maybe arouse enthusiasm for your own particular written work; it demonstrates to you read it completely through and that the writer's tender loving care did not go overlooked.
I truly like the combo of your trade off to put the date on the base and WP Beginner's bargain to place the last upgraded date. I surmise that seems like something I ought to consider accomplishing for my own particular web journal. It appears to mix not having the date in bouncing out at you with having that data accessible for the individuals who are looking for it. Additionally, the last upgraded date appears to be a great deal more important than exactly what date it was posted.


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Physicians with current and valid licenses in the United States, Canada, or Mexico who read any 3 of the selected continuing medical education (CME) articles in this issue of Archives of Internal Medicine, complete the CME Evaluation Form, and fax it to the number or mail it to the address at the bottom of the CME Evaluation Form are eligible for Category 1 CME credit. There is no charge.
The American Medical Association (AMA) is accredited by the Accreditation Council for Continuing Medical Education to sponsor continuing medical education for physicians. The AMA designates this educational activity for up to 1 hour of Category 1 credit per Archives of Internal Medicine issue toward the AMA Physician's Recognition Award (PRA). Each physician should claim only those hours of credit that were actually spent in the educational activity.
Physicians with current and valid licenses in the United States, Mexico, or Canada are eligible for CME credit even if they live or practice in other countries. Physicians licensed in other countries are also welcome to participate in this CME activity. However, the PRA is only available to physicians licensed in the United States, Canada, or Mexico.
To earn credit, read the articles designated for CME credit carefully and complete the CME Evaluation Form. The CME Evaluation Form must be submitted within 4 weeks of the issue date. A certificate awarding 1 hour of Category 1 CME credit will be faxed or mailed to you; it is then your responsibility to maintain a record of credit received. Questions about CME credit processing should be directed to The Blackstone Group, tel: (312) 419-0400, ext 225; fax: (312) 269-1636.
One of our goals is to assess continually the educational needs of our readers so we may enhance the educational effectiveness of the Archives of Internal Medicine. To achieve this goal, we need your help. You must complete the CME Evaluation Form to receive credit.
For a complete description of the ARCHIVES' mission statement, please refer to the table of contents.
A flexible curriculum of article topics is developed annually by the journal's editorial board and is then supplemented throughout the year with information gained from readers, authors, reviewers, and editors. The Reader's Choice CME activity allows readers, as adult learners, to determine their own educational needs and to assist the editors in addressing their needs in future issues.
Readers of the Archives of Internal Medicine should be able to attain the following educational objectives: (1) select and read at least 3 articles per issue to gain new medical information on topics of particular interest to them as physicians, (2) assess its value to them as practicing physicians, and (3) think carefully about how this new information may influence their own practices.
The following articles in this issue may be read for CME credit:
Adrenal Function in the Human Immunodeficiency Virus–Infected PatientArticle
Educational Objective: To review hypothalamic-pituitary-adrenal axis dysfunction in patients infected with human immunodeficiency virus in the era of highly active antiretroviral therapy.
Nonsteroidal Anti-inflammatory Drug Use and Acute Myocardial InfarctionArticle
Educational Objective: To understand the relationship between nonsteroidal anti-inflammatory drugs and myocardial infarction.
Association Between Naproxen Use and Protection Against Acute Myocardial InfarctionArticle
Educational Objective: To compare the effect of naproxen with other nonselective nonsteroidal anti-inflammatory drugs on acute myocardial infarction in an elderly population.
Symptom-Triggered vs Fixed-Schedule Doses of Benzodiazepine for Alcohol Withdrawal: A Randomized Treatment TrialArticle
Educational Objective: To understand that individualized benzodiazepine prescription is a safe and comfortable treatment regimen for alcohol withdrawal when a close monitoring of withdrawal symptoms is possible.
Asthma in Older Patients: Factors Associated With HospitalizationArticle
Educational Objective: To learn which characteristics of older adults with asthma contribute to the risk of hospitalization for asthma.
The "Hassle Factor": What Motivates Physicians to Manipulate Reimbursement Rules?Article
Educational Objective: To determine the relationship between the likelihood of having a successful appeal, appeals process length, and severity of health condition and physicians' willingness to sanction deception.
Intimate Partner Violence and Physical Health ConsequencesArticle
Educational Objective: To understand long-term negative health consequences of intimate partner violence and the types of symptoms and illnesses that prompt physicians to probe for a history of intimate partner violence.
Bleeding and Recurrent Thrombosis in Definite Antiphospholipid Syndrome: Analysis of a Series of 66 Patients Treated With Oral Anticoagulation to a Target International Normalized Ratio of 3.5Article
Educational Objective: To learn the frequency of bleeding and recurrent thrombosis in a cohort of patients with definite antiphospholipid syndrome treated with oral anticoagulation to a target international normalized ratio of 3.5.
Thank you for submitting a comment on this article. It will be reviewed by JAMA Internal Medicine editors. You will be notified when your comment has been published. Comments should not exceed 500 words of text and 10 references.
Do not submit personal medical questions or information that could identify a specific patient, questions about a particular case, or general inquiries to an author. Only content that has not been published, posted, or submitted elsewhere should be submitted. By submitting this Comment, you and any coauthors transfer copyright to the journal if your Comment is posted.
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Hi, I'm a newbie about snmp and MIB question.
I'm working on my final dissertation (deals with routing protocols) and I
need to have some informations about the MIB in linux snmpd: my lab testbed
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text:
Susan McHugh-Ringiewicz walked into the dorm room and sized it up: Three beds. Three desks. Three chairs. Two closets. Three girls.
"And a lot of stuff," said the respiratory therapist from West Chester, who was moving her daughter, Kerry, into the University of Delaware on Saturday.
Would everything fit?
"We're still trying to figure that out," she said.
With larger than expected freshmen classes, the University of Delaware in Newark and Rowan University in Glassboro, N.J. are requiring more students than ever before to triple up in dorm rooms traditionally designed for two. That can make for a tight squeeze - and some parents and students are less than thrilled.


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Other mass shootings from around the globe
Photo: Aydin Mamedov/Associated Press
Police evacuate teachers and students from Baku's Oil Academy on April 30, 2009, in Baku, Azerbaijan. Farda Gadirov, a Georgian national of Azeri origin, killed 12 people and wounded 13 others before killing himself at the prestigious training institute.
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Idea of the Day: Young Americans Are Facing Very High Levels of Unemployment
Young Americans today are confronted by an unemployment crisis unlike any we have seen in recent times. To say that these Americans are having a difficult time entering today's labor market is an understatement. As recent reports have documented, the unemployment crisis facing young Americans takes many forms, including high school students who are having a harder time finding afterschool jobs, twenty-somethings who are increasingly stuck in unpaid internships instead of paying jobs, and college graduates who are settling for low-wage, low-skill jobs such as waiting tables or serving coffee.
While each of these is evidence of the troubles facing young workers, none lays out the full scope of the nation's youth-unemployment crisis. The reality is that youth-unemployment is a much bigger problem than lawmakers have acknowledged. According to CAP analysis, there are more than 10 million Americans under the age of 25 who are currently unable to find full-time work—a number greater than the population of New York City, a city of about 8 million people.
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One of Greeley's go-to destinations for margaritas has had its liquor licenses suspended through the end of the month as a result of serving alcohol to an underage individual during an undercover sting.
Alcohol sales were suspended this week at The Rio Grande Mexican Restaurant, 825 9th St. The suspension began on Sunday and will last through Feb. 27.
"It was a poor decision for that employee, and that employee no long works here," said Manager Peter Osterfelt during a normally busy lunch rush on Friday. He declined to elaborate about how much business has been lost as a result of the suspension, saying only that "you can imagine."
Signs hang in the door that read "We send out sincerest apologies — our margs will miss you just as much as you miss them!"
Alcohol sales will resume Feb. 28. The Rio remains open from 11 a.m.-close for food and non-alcoholic beverage sales.


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According to the City Clerk, voters can go to any voting site, and must have a photo ID that has your name and picture on it.Polls are open Tuesday from 7am to 7pm
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One of the men accused in a string of 39 armed robberies, many of them Asian restaurants around the Lowcountry, pleaded guilty in federal court today to his involvement.
The plea came just a day before the jurors for his co-defendants trial are scheduled to be selected.
Christopher Donnell Simmons, 33, of Wadmalaw Island, pleaded guilty to a total of four counts of an indictment that included weapons and conspiracy charges for armed robberies that occurred between 2009 and 2011.
Simmons wore an orange jail uniform with GCDC printed on the back while inside the Charleston federal courtroom. Hes currently being detained at the Georgetown County Detention Center.
He could face up to 20 years in prison for the conspiracy charges and a possible five years for the weapons charges. But it will take months before Simmons is sentenced.
As part of the agreement, Simmons is subject to restitution and must testify before the grand jury or in court and provide information to the investigation, according to statements made by prosecutors in court. Simmons is also subject to a polygraph test.
Raynard and Winard Eady of North Charleston were also indicted in connection to the string of robberies.
Police investigating the robberies identified possible suspects and began obtaining cell phone records in an effort to track their movements, according to prosecutors.
In February 2011, cell phone activity of the suspects showed them near Georgetown, where an armed robbery had taken place at a check cashing store. That led investigators to the home of Raynard Eady, where he and Simmons were arrested, prosecutors said in court.
Prosecutors would not comment on the case until after Simmons is sentenced and the case is closed. Simmons defense attorney, John Robert Haley, also denied request for comment.
Jury selection for the Eady brothers is expected to take place Tuesday morning in federal court in downtown Charleston where they are expected to appear, but the trial has not been scheduled yet, according to the federal docket.
Reach Natalie Caula at 937-5594 or Twitter.com/ncaula.


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43rd Pacific Islands Forum Develops Leaders Communique
30 August 2012: The 43rd Pacific Islands Forum convened in Rarotonga, the Cook Islands, from 28-30 August 2012, under the theme of "Large Oceans Island States – the Pacific Challenge." Issues discussed at the meeting included the outcomes of the recent UN Conference on Sustainable Development (UNCSD, or Rio+20), the Oceanscape initiative, climate change, and radioactive contaminants in the Marshall Islands. The 43rd PIF Communique includes the key commitments of Pacific Leaders.
On the outcomes of Rio+20, Leaders: welcome the decision to convene the Third International Conference on Small Island Developing States (SIDS) in 2014; endorse the hosting of the Conference in the Pacific region; and call on development partners to demonstrate their support for the success of the 2014 Conference and its preparatory process. The Communique also calls on the UN system to clearly map out a merged process for the post-2015 development agenda and Sustainable Development Goals (SDGs) paths at the 67th UN General Assembly (UNGA), and for Pacific representation on the SDGs Working Group and the Finance Working Group proposed in the UNCSD outcome document.
On oceans, Leaders applaud increased interest in investment in Pacific fisheries and oceans, including in the context of the Global Partnership for Oceans, but reiterate the need for such investment to be designed and implemented to contribute to the achievement of national priorities and align with existing regional frameworks. Leaders also endorse the priorities identified in the Oceanscape Framework for initial funding support, including finalizing national maritime boundary arrangements, developing marine spatial planning, and providing support to strengthen collaborative ocean governance.
On climate change, the Communique welcomes Australia's commitment of AUD$58 million in new funding over four years to support Forum Island Countries (FICs) with improved data on weather, climate and sea levels to inform climate change adaptation planning, as well as new support for communities to build resilience to natural disasters.
On radioactive contaminants in the Marshall Islands, the Communique recognizes their continued presence, and reaffirms the special responsibility of the US Government towards the people of the Marshall Islands, who continue to be affected as a direct result of UN nuclear weapon testing. Leaders reiterate their call to the US to provide adequate compensation, safely resettle displaced populations, and fully restore the economic productivity and human enjoyment of all affected areas. Leaders also encourage Forum Members to support the Marshall Islands on these issues at the UNGA, the UN Security Council, and other international fora, including in September when the Special Rapporteur presents his findings to the UN Human Rights Council (HRC).
The meeting was attended by Australia, the Cook Islands, Kiribati, the Marshall Islands, the Federated States of Micronesia, Nauru, New Zealand, Niue, Palau, Papua New Guinea, Samoa, Solomon Islands, Tonga and Tuvalu. [43rd Pacific Islands Forum Communique] [PIFS Press Release]


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IACP Diversity Coordinating Panel
By Deborah J. Campbell, Deputy Superintendent, New York State Police, Albany, New York, and Rafael P. Hernandez, Jr., Deputy Chief of Police, Tallahassee, Florida, and Co-Chairs IACP Diversity Coordinating Panel
he pivotal role that workplace diversity can play in promoting effective and representative law enforcement was captured by Chief Viverette in the President's Message that appeared in the December 2005 issue of the Police Chief:
We have learned that to be effective, police cannot operate alone; they require the active support and assistance of their communities. Central to maintaining that support is the recognition that law enforcement agencies must reflect the diversity of the communities they serve.
In January 2006, the inaugural meeting of the IACP Diversity Coordinating Panel was held at IACP headquarters. The panel is designed to bring sharper focus to IACP's commitment to promoting workplace diversity. As it evolves, the panel will help underscore the multiple benefits that workplace diversity brings to law enforcement agencies and the communities they serve.
Of course, the goal of achieving workplace diversity and recognizing associated benefits are not new to the profession or to IACP. Diversity issues have been a focal point in law enforcement at least since the civil rights movement of the 1960s. Most recently, IACP published The Future of Women in Policing (1999) and Mobilizing the Community for Minority Recruitment (2004). Although progress has been made, opportunities and challenges remain. Considerable variation exists in the degree to which law enforcement agencies have achieved the goal of having personnel reflect the communities they serve. The panel recognizes that there exists no one-size-fits-all approach to the complex problem.
The goal of achieving a diverse workplace is intricately tied to other organizational issues, to local community culture and politics, and to the interaction between the two. In addition, the importance of diversity will be magnified as the profession continues to evolve. The need to recruit a diverse workforce will become even more critical as the missions and tactics of local law enforcement are adjusted to meet homeland security responsibilities and as leaders establish policies with respect to their agency's role, if any, in enforcing federal immigration laws.
The panel recognizes that law enforcement executives are committed to diversity in the workplace but face real-world challenges, including convincing reluctant community members that law enforcement is a viable profession. Despite this complexity, however, it is clear that establishing and maintaining a workforce representative of the community it serves depends heavily on leadership vision, planning, and execution. Success also rests with establishing true community partner ships. Through the Diversity Coordinating Panel, IACP can play a lead role in continuing to move the profession forward in this arena.
Why a Panel and Not a Committee?Because the topic of diversity is broad and intersects many of the topics addressed by IACP and law enforcement, a new panel structure was necessary. Simply establishing another committee on diversity in law enforcement could not possibly address the broad scope of relevant issues.
The overarching goal of the panel is to develop a cohesive and consistent perspective on diversity throughout IACP and to help coordinate the broad spectrum of IACP work that has an impact, direct or indirect, on law enforcement workplace diversity. While increasing the representation of minorities and women in the law enforcement profession is a core objective, the panel recognizes that many issues and concerns common to all law enforcement agencies have implications for workplace diversity. These include recruitment and outreach strategies; candidate eligibility criteria; fitness standards; adapting to job-market changes; sustaining positive community relations and police-citizen partnerships; workplace mentoring programs; equipment selection; promotional processes; shift scheduling; pregnancy, child-care, and family leave policies; and diversity training programs-to name but a few.
Mission Statement and Goals The panel has developed a mission statement and a set of objectives. The mission statement recognizes that many agencies are now engaged in innovative practices and its focus is on capacity building, peer-to-peer exchanges, and promising practices.
The Diversity Coordinating Panel shall identify, study, consider, and determine those programs, policies, and initiatives that will enhance the diversity of law enforcement agencies. The Diversity Coordinating Panel will focus on professional standards, recruitment, hiring, retention, and promotional practices, particularly as they pertain to groups historically under-represented in the law enforcement professions, including women and minorities. The panel promotes diversity throughout the command structure.
As a coordinating panel, members will work collaboratively with representatives from IACP's committees, divisions, and sections to leverage their expertise and to help ensure that a cohesive and consistent approach to diversity exists within the IACP. The panel is guided by the principle that workplace diversity is consistent with the tenets of professionalism, community service, and the protection of civil rights for all persons working in law enforcement agencies and all persons in the community.
The goals of the panel include the following:
Besides coordinating efforts at IACP, the panel also is committed to working with other organizations that have adopted similar goals. To date, the panel has officially reached out to the Hispanic American Police Command Officers Association (HAPCOA), the National Association of Women Law Enforcement Executives (NAWLEE), the National Center for Women and Police, and the National Organization of Black Law Enforcement Executives (NOBLE). Several members of the Diversity Coordinating Panel are active members of these organizations.
Panel MembershipThe panel members have been selected based on their expertise and past work on a range of issues related to diversity in law enforcement. The panel includes law enforcement executives as well as persons from allied professions, including an academic researcher and a police psychologist. Many panel members also hold assignments with standing IACP committees, a circumstance that should help foster communication and coordination. Chief Michael Carroll of the West Goshen Township, Pennsylvania, Police (IACP fourth vice president) and Commissioner Gwen Boniface of the Ontario Provincial Police (general chair of the IACP Division of State and Provincial Police) serve as the IACP board members with oversight of the panel.
Panel members recognize that diversity in law enforcement is a complex topic and that solutions and innovation will not occur overnight. The panel co-chairs believe that this initiative brought forward by President Viverette has established a solid foundation for what will become a long-standing component of IACP's contribution to enhancing law enforcement professionalism. Chief Joseph Carter, IACP first vice president, has committed to supporting the work of the panel under his tenure. The panel looks forward to steady progress in the years to come.
The Diversity Coordinating Panel has had three meetings to date. The panel will be holding its first annual meeting during the annual IACP conference in Boston.
Contribution from IACP Membership IACP members and readers of the Police Chief are encouraged to send information about their promising practices, relevant literature and policies, or ideas about prospective research to the Diversity Coordinating Panel. These and other comments or questions about the panel may be sent to (firstname.lastname@example.com). ■
From The Police Chief, vol. 73, no. 9, September 2006. Copyright held by the International Association of Chiefs of Police, 515 North Washington Street, Alexandria, VA 22314 USA.


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Easy Strawberry Short Cakebellalimento
Strawberry Short Cake is one of summer's simple pleasures desserts {try saying that a few times fast ; ) } I make mine with my family's recipe that has been passed down from several generations. The short cake is incredibly light and fluffy and pairs beautifully with the juicy sweet strawberries. It's finished off with a dollop of homemade whipped cream. It's a simple and stunning summer dessert. You can find my family's easy Strawberry Short Cake recipe HERE
From icy desserts to outdoor entrees: Babble's Summer Food Guide!
Article Posted 5 years Ago


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City to the Sea Half Marathon has Big Turnout
POSTED: 11:39 PM PDT Oct 14, 2013 UPDATED: 09:09 AM PDT Oct 15, 2013
The 18th Annual City to the Sea half marathon was a success on Sunday raising $90,000 for Cuesta College Athletics.
Funds are used to help build new facilities, equipment, and provide transportation for athletes.
The half marathon brought in more than 2000 people running more than 13 miles.
Copyright © 2013 KEYT - NPG of California, LLC. All rights reserved. This material may not be published, broadcast, rewritten or redistributed.


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In conjunction with Octagon Sports Marketing, this graduate level class is provided a client and a project brief. In groups, students develop marketing plans designed to meet the client's goals contained within the brief.
Program Type:
Course Name and Number:
SPORTMGT 623: Graduate Sport Management
Impact Area:
Program Impact Region:
Program Participation:
Program identifies community participants.
Program Start (and End Dates):
January 7, 2014
Octagon Sports Marketing
800 Connecticut Avenue
Norwalk, CT 06854United States
Program Director:
Janet Fink
Program Director's Email Address:
Program Contact:
Janet Fink
Contact Email:
UNIT: Colleges, Schools, Departments, Centers, and Institutes:
Isenberg School of Management/Sport Management
Student Involvement:
This Project Receives External Funding:
Assessment Mechanism:


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Northwest NEWS
ebruary 26, 2001
Police Beat
Feb. 19: An early morning auto theft was reported in the 19400 block of 144th Avenue Northeast. An unknown suspect entered a running cabulance that was "warming up" and drove off. Owner contacted employees to see if vehicle was in use by one of them. Negative results. No suspect information.
Feb. 19: At 1:25 a.m. police noticed a suspicious van parked next to two unoccupied dump trucks in the 15600 block of Northeast Woodinville-Duvall Place. An officer noticed jumper cable leading from one of the dump trucks to the van. The van was occupied by a lone male suspect who said he was trying to get his van started.
The officer noticed the name given by the suspect was different from the name on the van's registration. He also noticed the cover to the truck's battery compartment had been removed and was lying on the ground. Nuts similar to the truck's battery terminal nuts were found in the suspect's pocket. Two commercial batteries were recovered from between the front seats of the van. Suspect was booked into King County Jail for vehicle prowling and theft.
Feb. 18: At 8:30 p.m. an unknown male suspect went to the cash register at store located in the 14100 block of the Woodinville-Duvall Road. The suspect asked to change a 100-dollar bill into five 20s. The bill looked suspicious to the clerk who referred the matter to his manager. The manager noticed that printing on the bill was not clear. He said he had to take a picture of the bill before he could exchange it. When the flash was ready, the manager took the suspect's photo. He told the suspect he was calling 911. The suspect took off running.
Feb. 18: A small padlock was cut off a storage shed that was kept inside an open garage in the 18500 block of 132nd Avenue Northeast. Nothing was noted missing from the shed except the $8 padlock. There is no suspect information at this time.
Feb. 13: Someone apparently pried at the front door of a business located in the 16100 block of the Woodinville-Redmond Road. Unable to make entry, the person pried open a window to the left of the front door and gained entry into the interior of the business. The suspect found $300 in cash in a desk drawer. Nothing else was taken or disturbed. Prints were lifted and entered into evidence.


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text:
The Western Lands was published by Viking Press in 1987. It is the final book of a late Burroughs trilogy that began with Cities of the Red Night (1981) and The Place of Dead Roads (1983) and is a fitting conclusion to it in terms of scope and vision. Different from Cities of the Red Night and Place of Dead Roads, the book recognizes the impossibility of really escaping our broken condition unless we radically reimagine ourselves. Norman Mailer's The Book of the Dead was a source of inspiration for the book, and the content of The Western Lands is bold and wide-ranging. The author handles a number of issues throughout the narrative. Fragments are autobiographical, and show t…
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Weidner, Chad. "The Western Lands". The Literary Encyclopedia. First published 31 August 2011
[http://www.litencyc.com/php/sworks.php?rec=true&UID=8129, accessed 30 September 2016.]


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Whitehead, Sara J. MD, MPH; Berg, Cynthia J. MD, MPH; Chang, Jeani MPH
Epidemic Intelligence Service, Epidemiology Program Office, Atlanta, Georgia
Division of Reproductive Health, National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, Atlanta, Georgia.
Address reprint requests to: Sara J. Whitehead, MD, MPH, CDC/HIV, P.O. Box 68, APO AP 96546; E-mail: email@example.com.
Affiliations listed above reflect affiliation at the time this work was conducted.
Received April 24, 2003. Received in revised form July 24, 2003. Accepted August 15, 2003
OBJECTIVE: To describe characteristics and risk factors for pregnancy-related deaths due to cardiomyopathy during 1991–1997 and to assess reasons for the increasing trend in reporting of pregnancy-related deaths due to cardiomyopathy from 1979 through 1997.
METHODS: We used data from the Centers for Disease Control (CDC) and Prevention's Pregnancy Mortality Surveillance System to examine pregnancy-related deaths due to cardiomyopathy from 1991 through 1997. The pregnancy-related mortality ratio for cardiomyopathy was defined as the number of pregnancy-related deaths from cardiomyopathy per 100,000 live births. Cardiomyopathy was classified as peripartum cardiomyopathy or cardiomyopathy due to other causes.
RESULTS: Of the 245 cardiomyopathy deaths that occurred during 1991–1997, 171 (70%) were due to peripartum cardiomyopathy. The cause-specific pregnancy-related mortality ratio was 0.88 per 100,000 live births. Mortality increased as maternal age increased. Black women were 6.4 times as likely to die from cardiomyopathy as white women. Among peripartum cardiomyopathy cases in which the interval from the end of pregnancy was known, 2% died undelivered, 48% died within 42 days of delivery, and 50% died between 43 days and 1 year postpartum.
CONCLUSION: Cardiomyopathy accounts for an increasing proportion of reported pregnancy-related deaths, and the more than six-fold excess risk of death from cardiomyopathy among black women is larger than that for any other cause of death. The increased reporting of these deaths might be largely due to improved case ascertainment. Further studies are required to estimate the prevalence of cardiomyopathy and identify modifiable risk factors associated with these deaths and the reasons for this racial disparity.
Cardiomyopathy in pregnancy and the postpartum period, although rare, accounts for a rising proportion of reported pregnancy-related deaths in the United States. During 1979–1984, 3.0% of reported pregnancy-related deaths were caused by cardiomyopathy; this percentage increased to 7.7% in 1991–1997.1–3 Cardiomyopathy is one of the few causes of pregnancy-related death that has risen since 1979.3
Cardiomyopathy in pregnancy can be divided into two groups. The first group is peripartum cardiomyopathy, first described in 1971.4,5 This is a distinct syndrome of unknown etiology with onset during pregnancy or in the postpartum period. Peripartum cardiomyopathy, defined by a National Institutes of Health consensus conference, is the development of cardiac failure in the last month of pregnancy or within 5 months of delivery, in the absence of both an identifiable cause of cardiac failure and of recognizable heart disease before the last month of pregnancy.6 In addition, echocardiographic findings of left ventricular dysfunction should be present.6,7 The etiology, prevalence, and case-fatality rate for peripartum cardiomyopathy are poorly understood. Risk factors for peripartum cardiomyopathy reported in the literature include black race, older maternal age, high parity, twin and higher-order gestation, and the use of tocolytics during labor.6,8–12 However, none of these studies were population-based.
The second group of cardiomyopathies in pregnancy and the puerperium will be referred to as other cardiomyopathy. This category includes those cardiomyopathies with an onset before late pregnancy or with specific underlying causes. These other cardiomyopathies can have any of the three classically defined pathophysiologic presentations (dilated, restrictive, or hypertrophic) and can be either idiopathic or due to a specific cause (eg, ischemia, hypertension, alcohol, human immunodeficiency virus [HIV] disease, connective tissue diseases, or diabetes).
We used the Pregnancy Mortality Surveillance System from the Division of Reproductive Health at the Centers for Disease Control and Prevention (CDC) to describe the characteristics of and risk factors for pregnancy-related deaths due to cardiomyopathy during 1991–1997 and to examine possible reasons for the trend in deaths due to cardiomyopathy from 1979 through 1997.
The Pregnancy Mortality Surveillance System includes data from 1979 through 1997 and has been described in detail.3 The offices of vital registration from the 50 states, New York City, and the District of Columbia provided de-identified copies of death certificates for all pregnancy-related deaths. For those deaths that followed a live birth or stillborn fetus, the matching birth or fetal death certificates were also requested. Beginning with deaths occurring in 1991, states were asked to send certificates of all deaths that occurred during or within 1 year of the end of pregnancy, regardless of the cause of death or causal relationship between pregnancy and the death. Because, beginning in 1991, states were asked to send all documentation on all deaths within 1 year of pregnancy, which increased the likelihood of a death due to cardiomyopathy being identified, we elected to focus our analysis of risk factors for these deaths to 1991–1997, the 7-year period with better and more uniform ascertainment.
Clinically experienced epidemiologists (SJW and CJB) reviewed available information on all deaths, including death certificates, handwritten notes, matching live birth or fetal death certificates, pre-existing conditions in the mother, date of delivery, and any other available information. Causes of death and associated conditions were coded according to the system developed by the American College of Obstetricians and Gynecologists/CDC Maternal Mortality Study Group, and International Classification of Diseases (ICD) codes were not used to classify deaths. Deaths were classified as pregnancy-related if they occurred during pregnancy or within 1 year after the end of a pregnancy and if they resulted from 1) complications of pregnancy itself, 2) a chain of events initiated by pregnancy, or 3) aggravation of an unrelated condition by the physiologic effects of pregnancy. This definition differs from the definition of maternal death and the maternal mortality ratio, as used by the National Center for Health Statistics, which is limited to deaths during pregnancy or within 42 days of its end.
Pregnancy-related mortality ratios were calculated as pregnancy-related deaths per 100,000 live births. Numerator data, the number of deaths occurring in the 50 states and the District of Columbia, were obtained from the Pregnancy Mortality Surveillance System. Denominator data, the number of live births that occurred in the 50 states and the District of Columbia, were obtained from public-use natality tapes from the CDC's and Prevention's National Center for Health Statistics. For both the numerator and denominator, race was defined as the race of the mother and categorized as white, black, or other (nonwhite, nonblack).
Death certificates and associated birth or fetal death certificates and any additional information for deaths from 1991 to 1997 for which cardiomyopathy was listed as the cause of death or as an associated condition were manually reviewed by the authors and were determined to be due to cardiomyopathy or another cause. We classified cases as peripartum cardiomyopathy when all three of the following criteria were present: 1) the cause of death was described on the death certificate as "peripartum cardiomyopathy," "postpartum cardiomyopathy," or "cardiomyopathy of pregnancy," 2) the death occurred in the third trimester of pregnancy or in the year postpartum, and 3) there was no indication of specific underlying potentially causal factors, as listed below. Cardiomyopathy deaths were classified as "other cardiomyopathy" when any of the following factors were present: 1) the death occurred in the first or second trimester of pregnancy, 2) the death certificate documented idiopathic dilated cardiomyopathy with onset before pregnancy or with unknown time of onset, 3) the death certificate documented restrictive or hypertrophic cardiomyopathy, or 4) any of the following specific underlying factors were present: hypertension (specifying hypertensive heart disease), congenital cardiac anomaly (excluding mitral valve prolapse), primary pulmonary hypertension, sickle cell disease, thyroid disease, HIV, type I or II diabetes, connective tissue disease, or ischemic heart disease. After review of all available data in some cases, although it was clear the death was due to cardiomyopathy, we were unable to determine whether it was peripartum cardiomyopathy or other cardiomyopathy; these are referred to as cardiomyopathy of unknown cause.
Because parity is not recorded on vital records, we used live birth order as a proxy for parity. Information on live birth order was available only on live birth certificates, so analysis for this variable was limited to deaths occurring after a live birth.
Of the 245 cardiomyopathy deaths during 1991–1997, 171 (70%) were due to peripartum cardiomyopathy (Table 1). Among the 49 (20%) that were classified as other cardiomyopathy, only a small number (ranging from two to ten) were attributable to any specific pathophysiologic presentation or underlying factor. Twenty-five (10%) of cardiomyopathy cases were cardiomyopathy of unknown type and onset time.
The pregnancy outcome was documented in 85% of cases. Among these cases, 89% of deaths occurred after a live birth (96% of peripartum cardiomyopathy deaths and 72% of other cardiomyopathy deaths). The outcome was a stillborn fetus for two peripartum cardiomyopathy deaths (1.4%) and 6 other cardiomyopathy deaths (9.8%). In the remaining cases, 11 women died undelivered, three after an abortion, and one after ectopic pregnancy.
The pregnancy-related mortality ratio due to all cardiomyopathies was 0.88 per 100,000 live births. The pregnancy-related mortality ratio for both peripartum cardiomyopathy and other cardiomyopathy tended to increase with increasing maternal age (Table 2). Among white women, the pregnancy-related mortality ratio showed little change among women aged less than 20–34 years but rose for women aged 35 years and older. Among black women, the pregnancy-related mortality ratio rose steadily with increasing age and increased dramatically for those aged 35 years and older. The pregnancy-related mortality ratio for death from cardiomyopathy was markedly higher for black women than for white women in every age group; overall, a black woman was 6.4 times as likely as a white woman to die of cardiomyopathy. These patterns were found for both peripartum cardiomyopathy and other cardiomyopathy deaths.
The pregnancy-related mortality ratio due to peripartum cardiomyopathy was 0.4 per 100,000 live births among singleton pregnancies and 1.7 for multiple births; this gives a multiple/singleton ratio of 4.1. The pregnancy-related mortality ratio due to other cardiomyopathy was 0.1 for singletons and 0.8 for multiples, an eight-fold difference in risk.
We used live birth order as a proxy for parity. Among cases where the outcome was a live birth, the pregnancy-related mortality ratio for both peripartum cardiomyopathy and other cardiomyopathy showed little change from live birth orders one to three (pregnancy-related mortality ratio 0.5 to 0.4) but did increase with a live birth order of four or greater (pregnancy-related mortality ratio 1.0 for four live births, 1.4 for five or more live births).
We also examined associated medical conditions that were documented for women who died of cardiomyopathy. Among peripartum cardiomyopathy cases, 25 (15%) were noted to have preeclampsia or pregnancy-induced hypertension, and eight (5%) had a pulmonary or cerebrovascular embolism. Among women who died of other or unknown cardiomyopathy, five (7%) had preeclampsia or pregnancy-induced hypertension documented, and one (1%) had a pulmonary embolism.
The interval from the end of pregnancy to death was documented in 73% of cases. Among peripartum cardiomyopathy cases for which the interval was known, 2% died undelivered, 48% died within 42 days postpartum, and 50% died between 43 days and 1 year postpartum (Table 3). The corresponding values among women who died of other cardiomyopathy were 15%, 47%, and 37%. In contrast, of pregnancy-related deaths due to all other causes, only 8.1% of deaths occurred more than 42 days postpartum. Although the number of cardiomyopathy deaths decreased after 26 weeks (183 days), such deaths continued to occur through 1 year postpartum.
An average of ten pregnancy-related deaths due to cardiomyopathy per year were reported for the period 1979–1984, 18 per year for 1985–1990, and 35 per year for 1991–1997. Cardiomyopathy deaths accounted for 3%, 5%, and 8% of all reported pregnancy-related deaths in each of these periods, respectively (Figure 1). This increase over time was similar to the rise in the percentage of pregnancy-related death due to all other causes combined that occurred between 43 days and 1 year from the end of pregnancy, which after the 42-day period is usually considered the puerperium. Deaths from 43 days to 1 year due to all causes combined except cardiomyopathy accounted for 4%, 3%, and 8% of all pregnancy-related deaths in each of the three periods. The cause-specific pregnancy-related mortality ratio due to cardiomyopathy for each of the time periods was 0.29, 0.46, and 0.88 per 100,000 live births. The corresponding pregnancy-related mortality ratio for deaths from 43 to 365 days, due to all causes other than cardiomyopathy, was 0.24, 0.33, and 0.69 for each of the periods.
Pregnancy-related deaths due to cardiomyopathy are a heterogeneous group, with 70% due to peripartum cardiomyopathy and the remaining 30% due to cardiomyopathy associated with a wide range of underlying factors or of unknown cause and time of onset. The racial disparity in pregnancy-related mortality due to cardiomyopathy is striking. Black women are 6.4 times as likely to die from cardiomyopathy as are white women. This increased risk is significantly greater than the 3.7-fold difference in overall risk for pregnancy-related deaths.3 A clear age gradient in the risk of death is also seen; women aged 35 years and older have a risk of death 2.8 times greater than that of women aged 19 years and younger. Twin and higher-order gestations and parity greater than three were also risk factors noted in our work. All of these findings are consistent with previously published studies.6–12
The true prevalence of peripartum cardiomyopathy in the United States is unknown. Published estimates range from 1 in 1400 to 1 in 15,000 live births4,11–17; however, these estimates are drawn from case series at tertiary care hospitals and are not population-based. In addition, some of these studies did not use standardized definitions of peripartum cardiomyopathy. More accurate prevalence data are required to further clarify risk factors for the condition and for mortality.
Prevalence estimates for peripartum cardiomyopathy could be drawn from hospitalization data because the condition is usually severe enough to require admission to a hospital. Unfortunately, the use of ICD codes to identify either cases of or deaths due to cardiomyopathy presents significant challenges. Peripartum cardiomyopathy not assigned a specific code in ICD-9, but can be coded as 648.6, which includes other (ie, not otherwise specified) cardiovascular conditions in the mother complicating pregnancy, childbirth or the puerperium; or as 674.8, which includes other complications of the puerperium (eg, hepatorenal syndrome after delivery, postpartum cardiomyopathy, subinvolution of the uterus, and uterine hypertrophy). If the link to pregnancy was not noted when coding occurred, ICD-9 codes 425.4 (other primary cardiomyopathies), 425.9 (secondary cardiomyopathies, unspecified), and 428 (heart failure) might be used. Currently, databases involving hospital discharge data continue to use ICD-9 coding.
Mortality coding in the United States changed from ICD-9 to ICD-10 in 1999. The ICD-10 offers a slight improvement because it includes a specific code for postpartum cardiomyopathy (O90.3); however, no code exists for peripartum cardiomyopathy causing death before delivery, and no distinction is made between peripartum cardiomyopathy and other cardiomyopathy in the postpartum period. Because of these difficulties with ICD codes, meaningful estimates of the prevalence of peripartum cardiomyopathy and mortality from cardiomyopathy will require detailed chart review or other methods that are more comprehensive than hospital discharge summary data.
The increase in the percentage of pregnancy-related deaths due to cardiomyopathy within the CDC's Pregnancy Mortality Surveillance System since 1979 is most likely due to improvements in case ascertainment. There are several reasons why cardiomyopathy deaths have been historically underreported among pregnancy-related deaths; all are factors influencing whether the relationship of the death to the pregnancy is documented on the death certificate. For example, deaths due to cardiomyopathy are frequently "late" maternal deaths, occurring more than 42 days postpartum (50% versus 8% of pregnancy-related deaths due to other causes). Another reason is that when coding with ICD-9, deaths occurring more than 42 days postpartum are not considered maternal deaths; therefore, if no additional methods are used for identification of pregnancy-related deaths, these cases are missed. In addition, clinicians might be less likely to note the history of pregnancy on a death certificate when the death occurs months after the end of pregnancy. Further, cardiologists, rather than obstetricians, are more likely to be the main providers of care for women with cardiomyopathy and might be even less likely to document the history of pregnancy on the death certificate. To help resolve these problems, enhanced methods of case finding have been implemented to help identify these cases as pregnancy-related deaths, including pregnancy status check boxes on deaths certificates (currently used in 16 states)18 and computerized record linkages. The latter method links deaths of reproductive-aged women to live birth and fetal death records for the previous year, thus identifying virtually all deaths occurring within 1 year of a pregnancy that ended in a live birth or a fetal death.
The increasing use of record linkages by states over the study period is probably the most important factor in the increasing number of pregnancy-related cardiomyopathy deaths being reported. In some states that have performed linkages, cardiomyopathy emerged as the leading cause of pregnancy-related death. For example, in North Carolina from 1992 to 1998, 32 of 151 (21.2%) pregnancy-related deaths were due to cardiomyopathy.19 In Hawaii, from 1992 to 1996, seven of 27 (25.9%) pregnancy-related deaths were due to cardiomyopathy (personal communication, Cheryl Prince, Hawaii Department of Health June 8, 2002).
Additional reasons for improved case ascertainment might include heightened awareness of peripartum cardiomyopathy among obstetricians and cardiologists, improvements in diagnostic modalities, and the regionalization of perinatal care. In addition to improved case ascertainment, the increase in the proportion of reported pregnancy-related deaths due to cardiomyopathy might also be partially attributable to a decline in other causes, such as hemorrhage.3
According to our search of the literature (MEDLINE; English language; 1966–May 2003; search terms: [myocardial diseases/ OR cardiomyopathy.tw] AND [pregnancy complications/ OR perpartum.tw]; [myocardium/] AND [pregnancy complications/ OR perpartum.tw]), this study is the first use of a national population-based data set to assess mortality resulting from cardiomyopathy in pregnancy. Because these deaths are relatively rare, national data aggregated over several years are required to describe trends and major risk factors. Despite improvements in the past 10 years, however, the identification of pregnancy-related deaths is known to be incomplete.3 The unusually long duration of peripartum cardiomyopathy also means that a significant number of deaths from this condition are not included in the definition of a pregnancy-related death. Although we only requested that states send us records of deaths that occurred within a year of pregnancy, we received an additional 29 certificates with a cause of death of cardiomyopathy for the period 1991–1997 that occurred up to 10 years after delivery. We do not know how many additional deaths from cardiomyopathy in pregnancy occurring more than 1 year postpartum were not reported to the Pregnancy Mortality Surveillance System. Thus, the impact of this condition might be underestimated in unique ways. Because the Pregnancy Mortality Surveillance System is based on vital record data, very limited clinical, behavioral, and social information is available on each case; if this information were available, it would allow for a much more accurate distinction between peripartum cardiomyopathy and other cardiomyopathies and a more detailed assessment of risk factors. Given the limited information available to us, we tried to adhere as closely as possible to the National Institutes of Health definition of peripartum cardiomyopathy. However, in many cases the exact onset of disease was not given, nor was the history of other medical conditions or echocardiographic results available. Given these limitations, we believe we approximated the National Institutes of Health definition as closely and consistently as possible.
An additional limitation of our study is that small case numbers prevented an assessment of confounding variables. For example, small cell sizes prevented stratification and adjustment to assess the risks related to age and parity.
To improve our assessment of pregnancy-related deaths overall and of cardiomyopathy as a cause of pregnancy-related death, a continued increase in vital record linkages by states is essential. Because this is not done by all states at this time, universal linkage would allow us to identify a higher proportion of cardiomyopathy deaths, which could increase the proportion of pregnancy-related deaths attributable to this cause to a level closer to that found in North Carolina and Hawaii. In addition, a sound population-based estimate of the prevalence of peripartum cardiomyopathy is required to estimate the case-fatality rate and to clarify whether the risk factors we observed for pregnancy-related death due to cardiomyopathy are the same as the risk factors for occurrence of cardiomyopathy. The extreme racial disparity in risk of death for women who have cardiomyopathy, for example, could be due to a difference in risk for the condition, in risk of death once the condition occurs, or both.
As cardiomyopathy in the peripartum is increasingly recognized and documented, efforts to reduce maternal mortality in the United States will need to include this rare but potentially devastating complication of pregnancy.
© 2003 by The American College of Obstetricians and Gynecologists.
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Evander Kane is the latest NHL player to take refuge in the KHL, according to a report from the Dinamo Minsk website.
Kane is the first locked-out Canadian player heading to the KHL, according to Chris Johnston of The Canadian Press.
Kane inked a six-year, $31.5 million extension with the Winnipeg Jets just before the lockout began.
Kane was the Jets' leading goal scorer last season with 30 and was second on the team in points with 57. The 21-year-old was the No. 4 overall pick in the 2009 NHL Draft.


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Is here a difference between enteric coated aspirin and buffered aspirin?
There is a difference; as the first respondent said, buffered aspirin contains a base to neutralize some of the acid (a buffer), while enteric coated aspirin has a special coating that won't release the drug until it reach the intestine. However, there is a very crucial (and common) misconception in his explanation - neither enteric coating nor buffering do *anything* at adjectives to reduce the damaging effect that aspirin has on the stomach. Yes, aspirin is an bitter, but it is a weak acid (pKa around 3 or so, I believe) - the HCl in your stomach is much, much stronger (pH of around 1) and the aspirin won't do anything to sort it worse with direct acidity. Instead, the damaging effects come because it is a COX inhibitor (as are other NSAIDS, such as ibuprofen or naproxen), which finances it inhibits prostaglandin synthesis. Prostaglandins are one of the key protective mechanisms for the GI mucosa, and without them, it is more prone to mischief. Ironically, what enteric coating or buffering does is to decrease the effectiveness of aspirin absorption - drugs must be within an non-ionized form in order to be absorbed through cell membranes - as a insipid acid, aspirin would be non-ionized in the acidic environment of the stomach; the enteric coating would changeover the site of absorption to the intestines, which are slightly alkaline, which would protonate (ionize) the aspirin, and inhibit absorption. Likewise, having a buffer would alkalinize the local environment, decreasing incorporation. So, both of these are really just marketing techniques when they say they "protect" the stomach - near is just no way to do this with any coatings, given aspirin's inherent properties.
Edit: To respond to the above - I expected no personal offense to your original response; I don't mean to use this as a forum for debate of original research, so I will preface this that we agree on the principal point, which is that there is a difference between the two formulations. However, for completeness' sake, I will point out that more recent research has suggested that with chronic aspirin psychoanalysis (as opposed to short-term, as was the case within the study you presented), the benefits of enteric coating decrease, which might suggest that in the long term, PGE2 inhibitory effects of aspirin itself override the local effects of the specific formulation. In integration, there is ongoing study about the effects of the coating themselves on the efficacy of the drug (possibly due to some of the pharmacokinetic considerations pointed out above). I have included some examples next to full-text available below. I will disclaim that I have no first-hand experience with research in this nouns, and I could supply just as many sources that support what you said (it's all contained by what you select...) - however, I do feel that it is responsible to point out that it is an area of active study, so I don't give attention to either of us can claim to be completely correct as a result.
http://www.ncbi.nlm.nih.gov/pubmed/16950… Source(s): Medical student
Yes, there is a difference. Aspirin is pretty harsh on the stomach's mucosa, so they started looking at different ways of reducing interfere with to it. Buffered aspirin came along after the original aspirin (acetylsalicylic acid). This was made to run down the acidity of the stomach, thereby reducing some of the damage to the stomach lining.
Then come the enteric coated form (enteric = intestines), where it doesn't dissolve in the very sharp environment of the stomach. So it passes through the stomach into the intestine, then dissolves, sparing the stomach the damage of the aspirin.
So the enteric coated (EC) aspirin is the lowest possible damaging of all of them to the stomach. Here they are in decreasing charge of damage to the stomach (which could lead to stomach bleeding/ulceration): salicylic acid > Acetylsalicylic bitter > buffered acetylsalicylic acid > EC acetylsalicylic acid.
Edit: the poster below said that only the prostaglandin inhibition is the lead to of stomach lining damage. While it does inhibit the "good" prostaglandin production, this isn't the only method of stomach pull. There is a direct irritation on the stomach lining because of the overproduction of stomach acid while trying to dissolve the tablet in an energy to absorb it. So enterically coating the tablet WILL have a protective effect, although, like the other poster said, the apt prostaglandin which helps in production of stomach mucosa (PGE2), will still show some inhibition. This is an inherent property of aspirin and many other NSAID drugs.
This is a quote from an article on this subject:
"Enteric-coating of aspirin eliminate the injury caused by low dose aspirin and substantially reduced that caused by the higher dose. All dosages and formulations cause similar inhibition of gastric mucosal prostaglandin E2 synthesis."
And here's a link to the article to read it yourselves:
http://www.pubmedcentral.nih.gov/article… Source(s): Pharmacy Student
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|Women, Petite, Tall, Plus-sized
Amy is a Connecticut-based knitwear designer, the leader of the Fit to Flatter tutorials and the author of the popular books Knit to Flatter and Knitting It Old School. She's ...
Amy is a Connecticut-based knitwear designer, the leader of the Fit to Flatter tutorials and the author of the popular books Knit to Flatter and Knitting It Old School. She's passionate about helping budding knitters create flattering, well-fitting sweaters they can't wait to wear, and she travels the country sharing this knowledge in her ever-friendly manner. As a designer, her patterns have been featured in Twist Collective, KnitScene and other respected magazines. You can also find her self-published designs on her website, amyherzogdesigns.com.Read More » View all patterns by designer (14) »
Petrea is a sweet, scoop-neck cardigan with traveling vine lace panels. The flutter elbow sleeves draw attention to a narrow waist, further highlighted with the triangular lace insert on the back of the sweater. It is knit in pieces from the bottom up and seamed. The garter stitch button band and neckline are added after seaming.
As with many of my designs, vertical darts for waist shaping keep things trim and flattering and allow for extremely flexible shaping, customized to fit your body. Should you desire less waist shaping than specified, you can omit or decrease the shaping rows entirely on the front of the cardigan. Bustier women can accommodate their needs by performing more increases on the front of the sweater, and not in the back. These extra stitches can be decreased into the neck edge, either in the initial bind-off, during the neck decreases, or both.
Mad Color Fiber Arts "Sweet" lives up to its name. The alpaca and silk blended with the merino give this yarn a great drape and the colors are perfectly blended to rich, saturated hues. The drape of the yarn opens up the lace panels perfectly and give just the right amount of swing to the fluttery sleeves. If you would like to use an alternate yarn, please make sure that it has a medium-weight, drapey fabric at the specified gauge.
Technical Editing by Elizabeth Sullivan. Photography by Caro Sheridan.
20 stitches and 24 rows = 4 inches in Stockinette Stitch


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Middle Sister Smarty Pants Chardonnay
Sku: 1559009
3 day lead-time required to confirm availability Why?
whats in it?
76% Chardonnay
24% Mixed White Varieties
how was it made?
Tank fermented in cool 60F to preserve fruitiness.
Not this Chardonnay!
smells like...
...lemons, pears and honeysuckle.
tastes like...
...pear and citrus in the beginning, with baked apple on the finish.
yummy with...
Crabcakes, Grilled Chicken Caesar, Corn Chowder, Smoked Cheddar Cheese.


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Police said two men were shot Friday afternoon in Annapolis.
Police were called to the 1300 block of Tyler Avenue for reports of a shooting around 5:05 p.m.
When officers arrived, they found Reginal Butler, 25, and Reno Green, 24, both of Annapolis, suffering from gunshot wounds.
Investigators said the men were in a vehicle when they got into an argument with an unknown person in a parking lot. Someone shot at the vehicle, hitting Butler and Green. The vehicle then crashed into a tree, police said.
Green was shot in the arm and was injured when the vehicle struck the tree.
Butler was shot multiple times.
Both men were taken to Baltimore Shock Trauma for treatment.
Both men are in serious but stable condition.
No arrests have been made.


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Johan Bruyneel to write about Lance Armstrong affair
- From: AFP
- January 18, 2013
FORMER team director Johan Bruyneel will present his version of the Lance Armstrong doping scandal in a book.
According to the Dutch newspaper De Telegraaf, Bruyneel wanted "to put everything into the right context and correct the false image that the USADA (US Anti-Doping Agency) report, the media and people like Tyler Hamilton and Floyd Landis have given".
Bruyneel, who was in charge of the US Postal Service team and oversaw Armstrong's seven Tour de France wins between 1999 and 2005, was reported as saying that he would also continue his fight against the USADA with a hearing set to take place soon.
"I am going to continue as long as I feel I receive a fair trial, without prejudice from USADA," indicated Bruyneel, who, alongside Armstrong, was the subject of several doping allegations in the United States.
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