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Alzheimer's Disease Health Center
Brain Stimulation Shows Promise Against Alzheimer's
By Randy Dotinga
HealthDay Reporter
TUESDAY, May 6, 2014 (HealthDay News) -- Four of six Alzheimer's patients responded to deep brain stimulation in a pilot study, German researchers report.
Meanwhile, 42 Alzheimer's patients in the United States and Canada have been enrolled in the largest study to date to examine the use of deep brain stimulation to treat the disease.
There are caveats about the research, even though deep brain stimulation is already used as a treatment for Parkinson's disease.
"The research is very preliminary. We have good intentions, but there has to be rigorous testing with a 'control' group," said Dr. Stephen Salloway, director of neurology and the Memory and Aging Program at Brown University, in Rhode Island.
Still, "we're opening a new era of exploration for Alzheimer's treatment," said Salloway, who studies brain stimulation. His hospital, Butler Hospital in Providence, R.I., is taking part in the new, larger study that's enrolled patients.
There's no cure for Alzheimer's disease, and physicians have no way to stop it from getting worse and robbing patients of their memory and ability to function.
"Medications may help patients have a better quality of life, but probably don't have any long-term effect in terms of slowing down the disease or improving their life expectancy," said Dr. Ricardo Osorio, a research assistant professor at the New York University School of Medicine.
Enter deep brain stimulation. It's best known as a treatment that helps patients with advanced Parkinson's disease regain control of their movements. The treatment uses electrodes to continuously zap the brain with pulses of electricity.
In the German study, researchers tested brain stimulation on six patients with mild to moderate Alzheimer's disease. They targeted a part of the brain known as the nucleus basalis of Meynert. This region has been linked to a neurotransmitter called acetylcholine, which helps the brain think properly.
The brains of the patients were stimulated for 11 months after they went through a month of two weeks on and two weeks off treatment. Over the year, the memory skills of four patients stayed stable or improved while memory declined in two others.


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The Amarillo Globe-News will be offering continuous online updates today beginning when polls open at 7 a.m.
Results will also be available on your Internet-enabled phone by visiting our mobile election site at amarillo.com/election.
Go on polling patrol with Globe-News columnist Jon Mark Beilue as he blogs from polling places throughout the region today to give his impressions of the election process.
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CLEVELAND, Ohio – The Captain paid Corey Kluber a compliment. More than one if you get right down to it.
It has been that kind of season for Kluber, who threw six scoreless innings Saturday, striking out 10, in the Indians' 3-0 victory over the Yankees.
"He's nasty, man," said Yankee shortstop Derek Jeter, retiring at the end of this season. "He's had a lot of success over the entire year, not just today. If he continues to pitch like this, he's going to have an extremely long and successful career."
Jeter scratched out one of the four hits Kluber allowed. He sent a swinging bunt to third base to start the inning. Jacoby Ellsbury followed with bloop single to left center field.
The Indians' 2-0 lead was in peril so Kluber went to work. Eleven pitches later the threat was over.
He struck out Carlos Beltran with three straight strikes. The finisher was an inside fastball with so much movement it look like a video game.
Chase Headley went down swinging on four pitches. The last one was a slider that broke down in and under Headley's bat.
Stephen Drew went down on four pitches as well. Strike three came on a rising fastball.
Jeter continued his appraisal of Kluber (13-6, 2.46).
"He throws a cutter, a two-seamer, a four-seamer and slider," said Jeter. "He mixes it up pretty good and he didn't leave too many pitches in the middle of the plate.
"He's got control. He didn't walk guys, but he's still a handful."
Saturday was just the second time in the last 10 starts that Kluber didn't reach the seventh inning. The Yankees have a reputation for being patient and making pitchers work hard every inning.
"Usually when Corey pitches everybody in the bullpen is wearing tennis shoes," said closer Cody Allen, referring to a night off for the pen.
This time the bullpen lent a hand as Scott Atchison, Bryan Shaw and Allen finished the five-hitter with a scoreless inning each. Allen worked the ninth for his 15th save.
Kluber is 6-0 with a 1.33 ERA in his last seven starts.


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GRCC's Social Science Department, along with the International Geographical Honor Society, will sponsor a weeklong conference focused on race, ethnicity, and identity, March 23-29, 2012. The conference will be highlighted by nationally recognized Keynote Speakers Susan Retik and Kate Swanson.
Susan Retik transformed the loss of her husband during the September 11 tragedy into a humanitarian outreach effort designed to help widows in Afghanistan recover from the brutality of war. Retik will tell the inspiring story of the creation of Beyond the 11th, a non-profit organization that provides support to widows in Afghanistan, at Spectrum Theatre, March 26 at 7:30 p.m.
Retik is especially known for the award-winning documentary film Beyond Belief, which details her 2006 trip to Afghanistan to speak with Afghan widows about their struggles.
On March 29 from 7:00 - 8:30 p.m. in GRCC's Calkins Science Center Auditorium, Kate Swanson, Ph.D., of San Diego State University, will discuss "Exploring Gender, Race, Ethnicity, and Childhood in the Andes: A Geographical Perspective."
Her talk will revolve around the fascinating story behind rural indigenous women and children in an isolated Andean community who were forced to adapt to a consumer culture that was alien to them on the streets of Ecuador as they struggled to survive.
The conference, designed to explore contemporary and historical issues around race, ethnicity, and identity will also include presentations from every member of the GRCC Social Science Department and a guided tour of the Jim Crow Museum in Big Rapids. Busing will be available to the Jim Crow Museum in Big Rapids, but the tour is limited to the first 40 requests.
More information regarding the event schedule can be found atwww.grcc.edu/raceconference.
Grand Rapids Community College, established in 1914, offers opportunities for over 30,000 students annually in degree courses, certification and training programs, workshops and personal enrichment classes. GRCC holds classes on the downtown Grand Rapids campus as well as several additional locations throughout Kent and Ottawa counties.


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23 Fabulous Picnic Craft Ideas + Restaurant Copycat Recipes
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Learn how to paint a rug in a pretty, geometric pattern with this Modern Geometry Mat tutorial from Lisa Nelsen-Woods. It makes a great welcome mat for a stylish homeowner.
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Tripp Lite's 25-ft. black snagless category 5e (Cat5e) patch cable has 2 snagless RJ45 molded male connectors featuring integral strain relief. The cable is manufactured from PVC 4-pair stranded UTP and is rated for 350MHz/1Gbps communication. All cables are offered in a variety of lengths and colors for all category 5 (Cat5) and 5e cabling needs. Standard category 5e patch cables are also available. Tripp Lite warrants this product to be free from defects in materials and workmanship for life.
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Naifa Lamki Busaidy, M.D.,FACP,FACE
Present Title & Affiliation
Primary Appointment
Associate Professor, Department of Endocrine Neoplasia and Hormonal Disorders, Division of Internal Medicine, The University of Texas MD Anderson Cancer Center, Houston, TX
Education & Training
Degree-Granting Education
|Baylor College of Medicine, Houston, TX, MD, Internal Medicine
|Houston Baptist University, Houston, TX, BS, Cum Laude, Biology and Psychology
Postgraduate Training
|Research Fellowship,, Baylor College of Medicine and The University of Texas MD Anderson Cancer Center, Houston, TX, Steven I. Sherman, M.D.
|Clinical Fellowship, Division of Diabetes, Endocrinology and Metabolism, Baylor College of Medicine and The University of Texas MD Anderson Cancer Center, Houston, TX, Program Director, Ashok Balasubramanyam, M.D.
|Clinical Residency Internal Medicine, Baylor College of Medicine, Houston, TX, Program Director, Edward Lynch, M.D.
|Clinical Transitional Internship, The Royal Hospital and The Sultan Qaboos University Hospital, Sultanate of Oman, Program Director, Christopher Grant, M.D.
Board Certifications
|American Board of Internal Medicine, Endocrinology, Diabetes and Metabolism
|American Board of Internal Medicine, Internal Medicine
Academic Appointments
Assistant Professor, Department of Endocrine Neoplasia and Hormonal Disorders, Division of Internal Medicine, The University of Texas MD Anderson Cancer Center, Houston, TX, 8/2004-8/2012
Administrative Appointments/Responsibilities
Director, Thyroid Nodule Clinic, Endocrine Center, The University of Texas MD Anderson Cancer Center, Houston, TX, 5/2009-present
Institutional Committee Activities
Member, Clinical Research Committee, 2011-8/2013
Member, Clinical Research Committee, 2006-2009
Honors and Awards
|Fellow, American College of Endocrinology
|Fellow, American College of Physicians
|1st Place, National Patient Safety Week Award,, Selected and Awarded by Kenneth Shine, M.D., Vice Chancellor of the University of Texas Health System
|1st Prize Clinical Research Award, Division of Internal Medicine Retreat
|Best Collaborator Award, Division of Internal Medicine Retreat
|3rd Prize Clinical Research Award, Baylor College of Medicine Research Symposium
Selected Publications
Peer-Reviewed Original Research Articles
|Ganeshan D, Paulson E, Duran C, Cabanillas ME, Busaidy N, Charnsangavej C. Current Update on Medullary Thyroid Carcinoma. AJR Am J Roentgenol 201(6):W867-76, 12/2013. PMID: 24261394.
|Kurzrock R, Atkins J, Wheler J, Fu S, Naing A, Busaidy N, Hong D, Sherman S. Tumor Marker and Measurement Fluctuations May Not Reflect Treatment Efficacy in Patients with Medullary Thyroid Carcinoma on Long-Term RET Inhibitor Therapy. Ann Oncol 24(9):2256-61, 9/2013. e-Pub 5/2013. PMID: 23676418.
|Vu K,Busaidy N , Cabanillas ME, Konopleva M, Faderl S, Thomas DA, O'Brien S, Broglio K, Ensor J, Escalante C, Andreeff M, Kantarjian H, Lavis V, Yeung SC. A randomized controlled trial of an intensive insulin regimen in patients with hyperglycemic acute lymphoblastic leukemia. Clin Lymphoma Myeloma Leuk 12(5):355-62, 10/2012. e-Pub 6/2012. PMID: 22658895.
|Del Fabbro E, Dev R, Cabanillas ME, Busaidy N, Rodriguez EC, Bruera E. Extreme hypothyroidism associated with sunitinib treatment for metastatic renal cancer. J Chemother 24(4):221-5, 8/2012. PMID: 23040687.
|Busaidy N, Farooki A, Dowlati A, Perentesis JP, Dancey JE, Doyle LA, Brell JM, Siu LL. Management of metabolic effects associated with anticancer agents targeting the PI3K-Akt-mTOR pathway. J Clin Oncol 30(23):2919-28, 8/2012. e-Pub 7/2012. PMCID: PMC3410405.
|Morris GS, Landry CL, Grubbs EG, Jimenez C, Busaidy NL, Perrier ND. Greater than age-predicted functional deficits in older patients with primary hyperparathyroidism. Endocr Pract 18(4):450-5, Jul-Aug, 7/2012. PMID: 22784831.
|Busaidy N, Cabanillas ME. Differentiated Thyroid Cancer: Management of Patients with Radioiodine Non-Responsive Disease. J Thyroid Res 2012:618985, 2012. e-Pub 2/2012. PMCID: PMC3316972.
|Ejaz S, Vassilopoulou-Sellin R, Busaidy NL, Hu MI, Waguespack SG, Jimenez C, Ying AK, Cabanillas M, Abbara M, Habra MA. Cushing syndrome secondary to ectopic adrenocorticotropic hormone secretion: The University of Texas MD Anderson Cancer Center Experience. Cancer 117(19):4381-9, 10/2011. PMID: 21412758.
|Hong DS, Cabanillas ME, Wheler J, Naing A, Tsimberidou AM, Ye L, Busaidy NL, Waguespack SG, Hernandez M, El Naggar AK, Bidyasar S, Wright J, Sherman SI, Kurzrock R. Inhibition of the Ras/Raf/MEK/ERK and RET Kinases Pathways with the Combination of the Multikinases Inhibitor Sorafenib and the Farnesyltransferase Inhibitor Tipifamib in Medullary and Differentiated Thyroid Malignancies. J Clin Endocrinol Metab 96(4):997-1005, 4/2011. PMID: 21289252.
|Ayala-Ramirez M, Feng L, Johnson MM, Ejaz S, Habra MA, Rich T, Busaidy N, Cote GJ, Perrier N, Phan A, Patel S, Waguespack S, Jimenez C. Clinical Risk Factors for Malignancy and Overall Survival in Patients with Pheochromocytomas and Sympathetic Paragangliomas: Primary Tumor Size and Primary Tumor Location as Prognostic Indicators. J Clin Endocrinol Metab 96(3):717-25, 3/2011. PMID: 21190975.
|Williams MD, Suliburk JW, Staerkel GA, Busaidy NL, Clayman GL, Evans DB, Perrier ND. Clinical Significance of Distinguishing Between Follicular Lesion and Follicular Neoplasm in Thyroid Fine-Needle Aspiration Biopsy. Ann Surg Oncol 16(11):3146-53, 11/2009. PMID: 19727961.
|Tsimberidou AM, Vaklavas C, Wen S, Hong D, Wheler J, Ng C, Naing A, Tse S, Busaidy N, Markman M, Sherman SI, Kurzrock R. Phase I Clinical Trials in 56 Patients with Thyroid Cancer: The University of Texas MD Anderson Cancer Center Experience. J Clin Endocrinol Metab 94(11):4423-32, 11/2009. PMID: 19820016.
|Leboulleux S, Schroeder PR, Busaidy NL, Auperin A, Corone C, Jacene HA, Ewertz ME, Bournaud C, Wahl RL, Sherman SI, Ladenson PW, Schlumberger M. Assessment of the Incremental Value of Recombinant Thyrotropin Stimulation Before 2-[18F]-Fluoro-2-Deoxy-D-Glucose Positron Emission Tomography/Computed Tomography Imaging to Localize Residual Differentiated Thyroid Cancer. J Clin Endocrinol Metab 94(4):1310-6, 4/2009. PMID: 19158200.
|Perrier ND, Edeiken B, Nunez R, Gayed I, Jimenez C, Busaidy N, Potylchansky E, Kee S, Vu T. A Novel Nomenclature to Classify Parathyroid Adenomas. World J Surg 33(3):412-6, 3/2009. PMID: 19148701.
|Elliott DD, Sherman SI, Busaidy NL, Williams MD, Santarpia L, Clayman GL, El-Naggar AK. Growth Factor Receptors Expression in Anaplastic Thyroid Carcinoma: Potential Markers for Therapeutic Stratification. Hum Pathol 39(1):15-20, 1/2008. PMID: 17949783.
|Stava CJ, Beck ML, Feng L, Lopez A, Busaidy NL. Diabetes Mellitus Among Cancer Survivors. Journal of Cancer Survivorship 1(2):108-15, 1/2007. PMID: 18648951.
|Mrozek E, Kloos RT, Ringel MD, Kresty L, Snider P, Arbogast D, Kies M, Munden R, Busaidy N, Klein MJ, Sherman SI, Shah MH. Phase II Study of Celecoxib in Metastatic Differentiated Thyroid Carcinoma. J Clin Endocrinol Metab 91(6):2201-4, 6/2006. PMID: 16522694.
|Pacini F, Ladenson PW, Schlumberger M, Driedger A, Luster M, Kloos RT, Sherman S, Haugen B, Corone C, Molinaro E, Elisei R, Ceccarelli C, Pinchera A, Wahl RL, Leboulleux S, Ricard M, Yoo J, Busaidy NL@, Delpassand E, Hanscheid H, Felbinger R, Lassmann M, Reiners C. Radioiodine Ablation of Thyroid Remnants After Preparation with Recombinant Human Thyrotropin in Differentiated Thyroid Carcinoma: Results of an International, Randomized, Controlled Study. J Clin Endocrinol Metab 91(3):926-32, 3/2006. PMID: 16384850.
|Busaidy NL, Busaidy KF, Yeung SJ. A 45-Year Old Man with a Maxillary Mass and Elevated Calcium Level. Medscape, 11/2005.
|Busaidy NL, Jimenez C, Habra MA, Schultz PN, El-Naggar AK, Clayman GL, Asper JA, Diaz EM, Jr, Evans DB, Gagel RF, Garden A, Hoff AO, Lee JE, Morrison WH, Rosenthal DI, Sherman SI, Sturgis EM, Waguespack SG, Weber RS, Wirfel K, Vassilopoulou-Sellin R. Parathyroid Carcinoma: A 22-Year Experience. Head Neck 26(8):716-26, 8/2004. PMID: 15287039.
|Shepler TR, Sherman SI, Faustina MM, Busaidy NL, Ahmadi MA, Esmaeli B. Nasolacrimal Duct Obstruction Associated with Radioactive Iodine Therapy for Thyroid Carcinoma. Ophthal Plast Reconstr Surg 19(6):479-81, 11/2003. PMID: 14625496.
|Baron B, Johnson B, Lamki N. The Effect of Acute IV Cocaine Challenge in Abusers on Brain Perfusion as Shown by Quantitative SPECT and Brain Perfusion Index (BPI). Journal of Nuclear Medicine 38(5):274-5, 11/1997.
|Johnson B, Barron B, Lamki N, Wagner L, Fang B, Simms D, Kenny P, Overton D, Wells L, Chen R, Abramson D, Minkowitz H, Shafer A, Lamki L. Brain Perfusion Abnormalities After Acute IV Cocaine Challenge in Abusers Shown by Quantitative SPECT and Brain Perfusion Index (BPI). Clinical Nuclear Medicine 22(3):199, 8/1997.
|Lamki N, Roberts A, Lamki L, Barron B, Chueh SC, Ephron V, Kahan BD. Tc-99m MAG3 Clearance by Camera Method in Renal Allografts: Its Relationship to Function at Various Periods. Clinical Nuclear Medicine 22(3):200, 8/1997.
|*Busaidy NL, Vu T, Grubbs E, Urbauer D, Kim E, Landry C, Jimenez, C, Hu MI, Waguespack SG, Gomez H, Perrier ND. 4D Neck CT Versus SPECT/CT Using Tc99m Sestamibi in the Localization of Parathyroid Adenomas: Which Study and When? J Clin Endocinol Metab. Submitted.
|Busaidy NL, Jimenez C, Stava C. Endocrinologic Effects of Tyrosine Kinase Inhibitors. Hematologic Clinics of North America. Submitted.
|Busaidy NL, Farooki A, Parentesis J, Chen H, Dowlati A. Management of Metabolic Complications of PAM Pathway Inhibitors. J Clin Oncology. Submitted.
|Busaidy N, Naing A, Kurzrock R, LoRusso P, Owens AD, Chen HX, Doyle L, Zhang J, Lawhorn K, Chandhasin C,. Metabolic Complications of IGFR/mTOR Inhibitors. J Clin Oncology. Submitted.
|Busaidy N , Prasad A, Owens A, Hsu Yvonne Munsell M, Shah P, Lavis V, Eng C,. Outcomes in Diabetics with Colon Cancer. Cancer. Submitted.
|Busaidy NL, Yazbeck, CF, Shah P, Evans DB, Li D, Geraci JM, Weiser MA. Survival of Resectable Pancreatic Cancer Patients with Diabetes. Annals of Surgery. Submitted.
|Ayala-Ramirez M, Hernandez M, Habra MA, Busaidy NL, Cote G, Rich TA, Waguespack S, Jimenez C. Survival Rates in Patients with Metastatic Pheochromocytomas and Paragangliomas. J Clin Endocrinol Matab. Submitted.
Invited Articles
|Busaidy NL, Kim E. Management of Non Radioiodine Avid Differentiated Thyroid Carcinoma. Journal of Nuclear Medicine. In Press.
|Busaidy NL, Lahoti A, Hanley D. Secondary Hyperparathyroidism. Handbook on Parathyroid Diseases: A Case-Based and Practical Guide, Eds, Khan A, Clark O. In Press.
|Busaidy NL. It Pays to Pay Attention to Glucose in Hospitalized Surgical Patients. Endocrine Today, 6/2010.
|Other Articles
|Busaidy NL. "Thyroid Nodules: an Overview". Endoperspectives- Department of Endocrine Neoplasia and Hormonal Disorders Newsletter 4(3), 2011.
|Ying A, Jimenez C, Waguespack S, Rich T, Ayala-Ramirez M, Perrier N, Hu M, Habra M, Grubbs E, Cote G, Cabanillas M, <b>Busaidy N</b>, Thosani S. Characterization of Pheochromocytomas in MEN 2 with RET Condon 918 and 634 Mutations. ENDO 2012 Conference, 6/2012.
|Patel P, Busaidy N , Jimenez C,. Graves Ophthalmopathy and Pretibial Myxedema with Primary Hypothyroidism. ENDO 2012 Conference, 6/2012.
|Busaidy, N, Williams M, Mills G, Grubbs E, Kupferman M, Habra M, Jimenez C, Hale K, Cabanillas M, Megahed N. Molecular Profiling of Advanced Thyroid Carcinomas. ENDO 2012 Conference, 6/2012.
|Ayala-Ramirez M, Habra MA, Rich T, Cote G, Busaidy N, Perrier N, Dickson P, Waguespack S, Phan A, Shreyaskumar P, Jimenez C. Experience with the Tyrosine Kinase Inhibitor Sunitinib in Metastasic Pheochromocytomas and Paragangliomas at The University of Texas MD Anderson Cancer Center. Endocrine Society 2011, Presidential Poster Presentation (#P2-627), 2011.
|Grubbs E, Busaidy N, Hale K, Williams M. Molecular Analysis of Brain Metastases from Thyroid Carcinomas. American Thyroid Association, 2011.
|Busaidy NL, Vu T, Grubbs E, Urbauer D, Kim E, Landry C, Jimenez C, Hu MI, Waguespack SG, Gomez H, Perrier ND. 4D Neck CT Versus SPECT/CT Using Tc99m Sestamibi in the Localization of Parathyroid Adenomas: Which Study and When?. Endocrine Society, 2010.
|Ejaz S, Jamal S, Busaidy N, Jimenez C, Vassilopoulou-Sellin R, Habra MA. Adrenocortical Carcinoma: The University of Texas MD Anderson Cancer Center Experience Update. ASCO Annual Meeting, 2010.
|Busaidy N, Kurzrock R, LoRusso P, Owens AD, Chen HX, Doyle L, Zhang J, Lawhorn K, Chandhasin C, Naing A. Hyperglycemia, Hypertriglyceridemia, and Hypercholesterolemia in a Phase I Trial of the Combination of an mTOR Inhibitor and IGF-1 Receptor Inhibitor. ASCO Annual Meeting, 2010.
|Cabanillas ME, Kurzrock R, Sherman SI, Tsimberidou AM, Waguespack S, Naing A, Busaidy N, Gagel R, Wright JJ, Hong DS. Phase I trial of Combination Sorafenib and Tipifarnib: The Experience in Advanced Differentiated Thyroid Cancer (DTC) and Medullary Thyroid Cancer (MTC). ASCO Annual Meeting, 2010.
|De Souza JA, Busaidy N, Zimrin A, Seiwert TY, Villaflor VM, Poluru KB, Reddy PL, Nam J, Vokes EE, Cohen EE. Phase II Trial of Sunitinib in Medullary Thyroid Cancer (MTC). ASCO Annual Meeting-oral presentation, 2010.
|Shah P, Busaidy NL, Kapoor S, Sherman SI, and Lavis VR. "Steroid Hyperglycemia" Is Not Benign. American Diabetes Association, 2009.
|Feng Y, Busaidy N, Lee M, Yeung S. Differential Impact of Anti-Diabetic Treatments on Pancreatic Cancer Cell Growth in Cell Culture Conditions Mimicking Different Stages in the Natural History of Diabetes Mellitus Type 2. ASCO Annual Meeting, 2008.
|Crawford K, Levesque C, Brady V, Owens A, Busaidy N, Lavis V. Glycemic Management of Hospitalized Patients Receiving Tube Feeding in a Cancer Center. International MASCC/ISOO Symposium, 2008.
|Brady V, Crawford K, Levesque C, Lavis V, Busaidy NL*. Increased Insulin Requirements in Patients with Diabetes Receiving Hyper-CVAD. International MASCC/ISOO Symposium, 2008.
|Yazbeck CF, Clayman G, Busaidy NL*. Benign Thyroid Goiter Presents with True Vocal Cord Paralysis. American Association of Clinical Endocrinology, 2007.
|Kapoor S, Cui J, Busaidy NL, Lavis V, Shah P. Hyperglycemic Crises in Cancer Patients. American Diabetes Association, 2007.
|Yazbeck CF, Gonzalez-Angulo A, Shaw SA, Waguespack SG, Vassilopoulou-Sellin R, Busaidy NL*. Hypocalcemia Induced by Bisphosphonates in Cancer Patients with Vitamin D Deficiency. Endocrine Society, 2007.
|Hu MI, Busaidy NL, Sellin RV, Waguespack SG. Non-Islet Cell Tumor Hypoglycemia and Inappropriate Cortisol Response. Endocrine Society, 2007.
|Prasad A, Eng C, Shah P, Lavis V, Busaidy NL*. Oncologic Outcomes in Diabetic Patients with Colon Cancer. Endocrine Society, 2007.
|Williams MD, Suliburk JW, Staerkel GA, Busaidy NL, Lee JE, Evans DB, Perrier ND. The Incidence of Occult Papillary Thyroid Carcinomas. American Thyroid Association, 2007.
|Cabanillas M, Thomas D, Palmer J, Mattiuzzi G, Cassat J, Foudray M, Brandt M, Lawson A, Busaidy N, Hoff A, Kantarjian H, Gagel R. HyperCVAD Chemotherapy Causes Rapid Bone Loss in Patients with Acute Lymphoblastic Leukemia (ALL) and Lymphoblastic Lymphoma (LL). Division of Internal Medicine Retreat, 2006.
|Cabanillas M, Sellin R, Thomas D, Bruera E, Mattiuzzi G, Busaidy N, Hoff A,. Hypogonadism is Common in Adult, Male Patients Receiving Frontline Chemotherapy with Hyper-CVAD for Acute Lymphoblastic Leukemia and Lymphoblastic Lymphoma (ALL/LL). Division of Internal Medicine Retreat, 2006.
|Fareau G, Busaidy NL*. Papillary Thyroid Micro carcinoma with Metastatic Spread to Bone. American Thyroid Association, 2006.
|Cabanillas ME, Thomas DA, Waguespack SG, Lin E, Huang X, Palmer JL, Busaidy NL, Foudray MC, Cassat JL, Lawson A, Escalante CP, Kantarjian HM, Gagel RF. Spectrum of Hormone Abnormalities Contributing to Bone Loss in Adult Patients with Acute Lymphocytic Leukemia (ALL) and Lymphoblastic Lymphoma (LL). American Society of Bone and Mineral Research, 2006.
|Cabanillas M, Thomas D, Waguespack S, Busaidy N, Hoff A, Mattiuzzi G, Cassat J, Brandt M, Foudray M, Escalante C, Kantarjian H, Gagel R. Vitamin D Deficiency Occurs with High Frequency in Acute Leukemia. The Bone Disease Program of Texas 4th Annual Scientific Retreat, 2006.
|Geraci JM, Busaidy NL, Wang J, et al. Diabetes Mellitus is Associated with Longer Length Hospital Stay in Colorectal Cancer Surgery Patients. Division of Internal Medicine Retreat, 2005.
|Podoloff DA, Stachowiak AM, Sellin RV, Busaidy NL, Habra M, Wendt RE. Therapeutic Response to High Dose (MIBG) Metaiodobenzylguanidine Therapy for Metastatic Neuroendocrine Tumors. The Society of Nuclear Medicine, 2005.
|Habra MA, Busaidy NL, Jimenez C, Vassilopoulou-Sellin R. Cowden Syndrome Associated with Galactorrhea. American Association of Clinical Endocrinologists, 2004.
|Busaidy NL, Habra MA, Jimenez C, Gagel RF. Diabetes Mellitus: A Possible Paraneoplastic Syndrome?. Endocrine Society, 2004.
|Jimenez C, Habra M, Busaidy N, Dekovich A, Gagel R, Sarlis N. Portal Hypertension: Yet Another Complication of Metastatic Medullary Thyroid Carcinoma. E831C1437. International Proceedings 12th International Congress of Endocrinology. Lisbon, 2004.
|Busaidy N, Hymes NS, Jimenez C, Habra M, Sarlis N. Progression of Medullary Thyroid Carcinoma Manifested as Skin Metastasis with Inflammatory Features. E831C1436. International Proceedings 12th International Congress of Endocrinology. Lisbon, 2004.
|Busaidy NL, Jimenez C, Habra MA, Gagel RF. Secondary or Tertiary Hyperparathyroidism in Tumor-Induced Osteomalacia. American Association of Clinical Endocrinologists, 2004.
|Busaidy NL, Jimenez C, Habra MA et al. Parathyroid Carcinoma. 20 Years of Experience. Abstract #102098 at American Society of Clinical Oncology, 2003.
Book Chapters
|Habra MA, Busaidy NL, Yeung SJ, Vassilopoulou-Sellin R. Endocrine and Metabolic Complications of Cancer Therapy. In: Medical Oncology, Second. McGraw-Hill, 1235-55, 2011.
|Habra MA, Busaidy NL, Yeung SJ, Vassilopoulou-Sellin R. Endocrine Manifestations of Nonendocrine Tumors. In: Medical Oncology. McGraw-Hill, 993-1010, 2011.
|Pankaj S, Busaidy NL, Geraci J, Hamilton M, Weiser MA. Diabetes and the Cancer Patient. In: Medicine Care of Cancer Patients, 209-215, 2009.
|Busaidy NL, Kloos RT. Papillary Thyroid Carcinoma. In: Clinical Management of Thyroid Disease. Saunders, 361-382, 2009.
|Busaidy NL, Habra MA, Vassilopoulou-Sellin R. Endocrine Malignancies. In: Medical Oncology. McGraw-Hill, 819-854, 2006.
|Habra MA, Busaidy NL, Yeung SJ, Vassilopoulou-Sellin R. Endocrine Manifestations of Therapy of Nonendocrine Tumors. In: Medical Oncology. McGraw-Hill, 993-1010, 2006.
Manuals, Teaching Aids, Other Teaching Publications
|Busaidy NL, Habra M, Sellin R. The MD Anderson Manual of Medical Oncology, second. Mc Graw Hill, 1039-1076, 2011.
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Joining James Pindell this week is Grant Bosse of the Josiah Bartlett Center for Public Polocy. Bosse discusses Medicare and the future of politics in New Hampshire
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Municipalities are unsustainable: speaker
The way municipalities are run now isn't going to work in a future of growing infrastructure deficits, says the City of Red Deer director of planning.
"The model we've done doesn't work or it's broken, and we're going to have a very big problem," said Kim Fowler, who is a municipal sustainability expert and former directory of sustainability for the City of Victoria, B.C.
For too long, municipalities and other levels of government have not put the money aside to ensure existing infrastructure can be maintained and replaced. Unless something is done, taxpayers could face a big spike in property taxes and utility rates down the road.
A majority of Canada's major infrastructure was built from the 1950s and 1970s and is nearing the end of its useful lifespan.
How that will be replaced at a time when budgets are already tight is a question municipalities will have to address, she said in a presentation for the Alberta Professional Planners Institute on Thursday.
Currently, municipalities don't have enough money put aside to maintain and replace all their assets, which includes everything from playgrounds and pools to sewers and roads.
"We need to do communications to the community to understand that's why those costs are going up and that's what those issues are," she said in an interview.
Municipalities try to recoup some of the costs of building sewers and roads for new developments. But the amount collected falls far short of the actual cost of maintaining and eventually, replacing infrastructure in neighbourhoods.
The amount collected is based on norms that have been in place for decades.
"It's not based on a model of recovering those costs. That ends up in the infrastructure that we have across the county, and the United States is in even worse circumstances than we are," she said.
"We need to review why we're doing it and what those implications are."
The development industry needs to remain viable, so its players will need to be part of the discussion on how best to fund future communities, she said.
Challenges posed by an aging population, and the results of climate change, which are expect to speed up damage to infrastructure, must also be addressed.
Fowler said the city is already looking at ways of doing things differently.
"We have a corporate strategic planning process, which is going to be looking at things like fiscal sustainability or financial stability policy."
It will look at where the money is coming from and where it is going.
How much residents pay for recreation, which is heavily subsidized by taxes, and other services will need to be addressed, she said.
"The message is we're not talking about huge amounts of change overnight. The model isn't working and we're going to be shifting the model to a more sustainable one."
Some of the issues about sustainable community were part of the design thinking behind the city's Riverlands area. It is earmarked for medium-density development, which offers a number of advantages, among them is that it is more cost-effective for municipalities.


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Christopher C. Lindner - Jet Formation
My undergraduate work studied the formation of jets in black hole accretion disks using the Cosmos++ General Relativistic Magnetohydrodynamic (GRMHD) code.
Jet Formation Movies
Jet formation in an accretion disk around a Kerr Black hole
- Here we start with a side view of torus of material around a black hole (represented by red in the video). At the start of the video, the matter has not yet started to accrete onto the black hole. The black hole soon pulls the material in. The winding of the magnetic fields creates a strong bipolar outflow, indicated in blue.
Magnetic fields in jet formation in an accretion disk
- The same as above, only now the magnetic fields lines are shown instead of the outbound material. Throughout the video, you can see the magnetic towers form. These towers drive the outflows seen the first video.
Overhead view of jet formation
- This video shows an overhead view of the system with both the unbound material and the magnetic fields plotted. Here you can see the interaction between the magnetic fields and the material. The magnetic towers trace the outline of the jet.
3D view of jet formation
- If you have some red/cyan 3D glasses, you can see my work in 3D!


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Action X Train Tights
Item No: WR2895b
Action X Train Tights
From early morning or evening runs to gym and studio workouts, these flattering full length Tights will promote a long and lean silhouette.
Product Variations
Availability: This item currently unavailable
Technical specifications
Product Details
From early morning or evening runs to gym and studio workouts, these flattering full length Tights will promote a long and lean silhouette.
Delivery & returns
Estimated Shipping Time is 3-7 business days New Zealand wide.
Upon dispatch you will receive an email confirmation containing the Tracking details and estimated time of delivery of your order.
Garments can be returned or exchanged within 30 days of purchase, provided the garment is in sellable condition.
Click here to organise an exchange or return of an online purchase.
Care instructions
To best care for 2XU garments:
- Machine wash in cold water with like colours.
- Do NOT Tumble dry.
- Hang to dry in a cool shady area away from sun.
- Do not use bleach, fabric softeners or dryer sheets.
- Do not iron.
Garment Features
- Concealed, high support POWER MESH waistband for premium fit and comfort.
- Flattering full length style designed to promote a long and lean silhouette.
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- NEO POWER X - The ultimate high strength, high filament fabric for the most intense workouts, this next generation fabric is engineered to support with Invista LYCRA®. Firm yet flexible, NEO POWER X delivers lasting shape, moisture management, abrasion resistance and antibacterial, odour-free performance.
- POWER MESH - A high power fabric engineered with nylon and elastane for unparalleled support and a firm fit to the body.


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Investing time in maintenance and money in better equipment for school buses has not only improved the performance of Prince William County Public Schools' fleet, it has cut costs significantly.
The fleet, composed of 850 Thomas Built route buses, serves 93 schools and transports about 61,000 students daily, according to Director of Transportation Services Ed Bishop. The drivers log an estimated 11.3 million miles per year.
Cutting costs started with examination of data from a crash review board. The operation wanted to determine if bus design or maintenance had an impact on the numbers or types of crashes taking place. Data from the maintenance management system were also studied to see where the biggest expenditures were, and what types of common faults were being experienced.
The fuel management system was next on the list; fuel consumption data for every vehicle in the fleet were observed to identify any abnormalities that caused expenses.
As a result, four areas were identified where significant costs were cut: major component replacement on mostly engines, expenditures on tires, expenditures on batteries and expenditures on brakes.
Engines were put through an internal fuel management program where fuels were sampled and tested to determine which fuel resulted in the least wear and tear on the engine. Then other parts of the bus that add to engine wear and tear were inspected.
"We just took a look at simple things, such as the quality of fuel filters, oil filters and air filters," Bishop said. "We thought that if we were able to improve these filtering processes then that would also give us a cleaner-running engine."
Fuels and parts were then adjusted to better quality ones. This reduced the number of engine breakdowns and replacements, drastically cutting costs on usual engine repairs.
It was also discovered that a significant amount of avoidable expenses were due to tire replacements.
"We looked at the tires and said, 'Wow, we sure spend a lot of money on tires. What can we do to improve that?'" Bishop said.
The fleet started a tire management program where tire pressures were maintained properly. Driver training programs were adjusted as well to make sure drivers weren't damaging tires by scraping curbs or hitting them.
Also, buses were bought with disc brakes to improve brake life cycles.
"We found that not only improved the braking of our buses, but changed the frequency with which we had to replace brake linings and the time required to do so," Bishop said. "You spend an extra $1,500 [buying a bus with disc brakes versus conventional brakes], but over a 14-year life cycle, you save thousands."
Higher-quality batteries and alternators were purchased, and the number of situations where buses wouldn't start because of battery issues was cut by at least 50%, Bishop added.
With the help of Thomas Built dealer Sonny Merryman, a predictive maintenance program was developed to track breakdowns. Measures were taken to avoid them, their costs and their negative impact on student instructional time. Vehicle breakdowns were reduced by 50%.
As an example, buses would often have to pull over and call for service because a signal light or other bulb wasn't working. "An analysis of these breakdowns caused us to invest in LED lighting at a higher acquisition cost per bus, but in the long term, it reduced the total cost of ownership of the bus and increased instructional time," Bishop said.
Also, the district's crash numbers are down by 35% and are being reduced every year. This has been aided by the predictive maintenance program but is primarily a result of improvements in driver training programs, enforcement of safety standards and bus routing.
Bishop joined Prince William County Public Schools more than 11 years ago, after retiring from a 30-year career of service in the U.S. Army. He credits his staff for the success of the district's fleet, especially Vehicle Safety Coordinator David Walton, who is primarily responsible for the effective cost-cutting programs.
The most important part of these improvements was that students didn't miss class because buses were breaking down on them, and that they arrived to school safely, Bishop said.
"Bus acquisition, preventive maintenance services, unscheduled repairs, etc., is all focused to achieving those top two goals," he added. "Our breakdown rate has gone down, our crash statistics have gone down, and that means maximizing instruction time."
Related Topics: cutting costs, efficiency, school bus crash, Thomas Built Buses, Virginia
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a collection of his as yet unheard earlier work recorded between 1999 and 2000, The six tracks featured on 'Departures' represent a period in the development of the Smyglyssna sound where the concept of atmospherics very much dominated his production approach before the incorporation of more diverse styles such as hip hop, electro, techno and house that are far more present in his current and forthcoming material. The tracks are also documentative of Smyglyssna's first productions working around a predominantly digital recording set-up. (LABEL INFO)
Go back


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I love writing. I have loved writing since I was a young child and it has always helped me to get over various things in my past. My children love drawing. Each of my children know, a their own level and interpretation, what I do for a living from home and each are curious in their own way about it. I am blessed that I have creative children but I think it's because they have a creative Mom. I must admit my children draw way better than me and have way better story title ideas than I do, but we have fun on rainy days together.
When there is no time to go outside or the weather sucks, the kids and I head into the living room to have some fun with paper, crayons and pencils. The kids love when I draw with them or color, honestly they just love that I am there, even if it's me listening or watching them do their thing the paper, pencils and crayons.
I had a blast on this particular day, shown in pictures, because my sons wanted to make a book. I didn't have staples left for my stapler so I had to get creative… use my three whole puncher and extra binders with printer paper to make them a "book". The boys were so happy with me, because not only did I use what I could to make them a "book" to draw and color in, but I did it in a way that allows for them to add more paper down the road. They were happy!
My son, Aj, tried to convince me to draw a King because he wanted to write a story about a King with all These Weapons. My son Aj is the one who will always first try to get someone else to do something for him, however, with a little bit of encouragement and him realizing you are not doing things for him, he will do it and man did it come out rather good for a child who barely draws pictures at home.
What do you think? Do you like Aj's king drawing? More images form this day to come at Wordless Wednesday tomorrow! Stay tuned…


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This slide deck focuses on the important questions concerning consumers' behavior regarding current accounts. Product penetration, choice of channel, the drivers of product and provider choice, and the barriers to adoption are all covered in this deck to ensure that the reader knows What Consumers Want from a current account in their country of interest.
Features and benefits
- Build a customer-centric strategy by learning what consumers want and need from a current account.
- Identify new opportunities in the current account market through a better understanding of what consumers demand from this product.
- Gain a deeper insight into the current account market through country-level data across income and age groups.
- Top 10 financial services providers by current account market share.
- Channel analysis including channel of opening and channel usage by activity.
- Essential product and provider features.
Your key questions answered
- What features do consumers demand from a current account and a current account provider?
- What channels do consumers use for their regular banking activities?
- How likely are consumers to switch current account provider in the next six months?
- What channels do consumers use for researching and purchasing current accounts?
- Why do consumers decide not to have a current account?
What Consumers Want: Current Accounts in France 2011
- August 2011
- Region: France
- 43 pages
- Datamonitor


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Tigress with Five Cubs Sighted in Sathyamangalam Tiger Reserve
By PTI - ERODE
Published: 30th April 2014 04:27 PM
Last Updated: 30th April 2014 04:27 PM
A tigress with five cubs have been spotted in the Sathyamangalam Tiger Reserve area in Sathyamangalam forests in the district, forest officials said.
Their movement was captured on camera hidden inside the forest on Monday night, they said.
"We are confident that the Tiger population has increased in the Sathyamangalam Tiger Reserve (STR) area.
Disclaimer: We respect your thoughts and views! But we need to be judicious while moderating your comments. All the comments will be moderated by the NIE editorial. Abstain from posting comments that are obscene, defamatory or inflammatory, and do not indulge in personal attacks. Try to avoid outside hyperlinks inside the comment. Help us delete comments that do not follow these guidelines.


text: Slugs 8pages on this wiki Edit Classic editor History Comments0 Slugs are magical creatures that transform into more powerful versions of their species when they hit 100 miles per hour. There are various different types of slugs in Slugterra. The Floppers are the weakest, as it is the only slug that does not transform. Retrieved from "http://slugterra-adventure.wikia.com/wiki/Slugs?oldid=4002" Categories: Slugterra Slugs Add category Cancel Save


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WCDRR PrepCom1 Identifies Priorities for Post-2015 DRR Framework
15 July 2014: The First Session of the Preparatory Committee (PrepCom1) of the Third UN World Conference on Disaster Risk Reduction (WCDRR) met to review the organizational and substantive preparations for the Conference, approve its programme of work, and propose its rules of procedure. Over 600 government representatives and experts attended the conference, with broadly converging views on how to address threats posed by disasters and climate change.
Margareta Wahlström, the Secretary-General's Special Representative for DRR, said she was encouraged by the substantive discussions, the clear guidance given, and the converging inputs on what the post-2015 framework should contain, recognizing that diverging views remain in some areas. PrepCom Co-Chair Thani Thongphakdi, Thailand, called for the post-2015 framework to be "relevant to everyday concerns, such as access to food, water, a place to live, education and good health."
In building on the Hyogo Framework for Action (HFA), participants generally agreed for an increased focus on: preventing the creation of new risk while continuing to reduce existing risk; reducing vulnerability and exposure; engaging all of society and promoting equality and inclusion; and developing more effective financing mechanisms in the public and private sectors for managing risk. The PrepCom also pointed to strong convergence on the need to, inter alia: create synergies; strengthen national governance and coordination to manage risk; engage all State institutions; create synergies with the post-2015 development framework and the new climate deal to ensure coherence in policies and approaches; empower local communities and authorities in managing disaster risk; strengthen regional cooperation and address transboundary risk; monitor progress more carefully to enable any necessary corrective actions; and more clearly defining responsibilities across public and private actors.
Various civil society representatives voiced their concerns and recommendations, calling for, inter alia: integrating a gender perspective in the post-2015 framework, and ensuring that women are involved in DRR decision-making and planning processes; involving young people, particularly because of their unique abilities to network, self-organize and effect change using limited resources; setting up an international science advisory DRR mechanism; enhancing policy coherence with poverty alleviation, climate change and sustainable development frameworks; strengthening community resilience; enhancing accountability; engaging civil society in the drafting process leading up to the WCDRR; establishing appropriate safeguard systems and strong social protection systems; agreeing on indicators and risk information for improved decision making to strengthen local resilience; and establishing a robust monitoring regime.
Private sector representatives called for, inter alia: measuring progress through global standards for risk auditing; establishing public-private partnerships (PPPs) based on trust and regulatory clarity; promoting tax incentives and investment drivers that promote clear, well-defined DRM standards; and seeking incentives for business continuity management, which cover the supply chain, involve the community, and consider small and medium enterprises (SMEs).
The preparatory process began in 2012. Since then, over 150 consultations have been held worldwide. PrepCom1 was held in Geneva, Switzerland, from 14-15 July 2014. PrepCom2 will convene from 17-18 November 2014, to consider the zero draft text of the post-2015 framework. [UNISDR Press Release, 14 July 2014] [Statement of Margareta Wahlström] [UNISDR Press Release on Civil Society] [UNISDR Press Release, 15 July 2014]


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Author Affiliations: Department of Otolaryngology–Head and Neck Surgery, University of Michigan, Ann Arbor.
To evaluate the long-term effectiveness of, and the complications associated with, carbon dioxide laser treatment of rhytidosis and solar aging.
This retrospective report describes our experience with 47 patients who underwent entire facial carbon dioxide laser resurfacing.
The mean improvement in facial rhytid score at long-term follow-up was 45%. This improvement was consistent in all facial subsites. With the exception of 1 case of hyperpigmentation, which resolved within 2 years of treatment, hypopigmentation was the only long-term adverse effect. This complication was present in 6 patients (13%). The patients who developed hypopigmentation were more likely to have a greater response to treatment.
Our findings show that carbon dioxide laser resurfacing is a safe and effective treatment for facial rhytids.
The laser is a well-established and often used tool for the treatment of facial rhytids. Use of the laser allows precise treatment, giving the surgeon more control over the resurfacing procedure than is possible with other techniques such as chemical peels and dermabrasion. The carbon dioxide laser, which is commonly used in facial resurfacing, exerts its effects by vaporizing intracellular and extracellular water molecules, causing thermal damage to the surrounding tissue. This insult prompts fibroblasts to increase collagen production and results in the observed clinical effects.
In addition to structural changes, the healing process frequently leads to pigmentary changes. These changes in skin pigmentation may be desirable, such as when patients wish to remove solar evidence of aging (Figure 1 and Figure 2); however, changes in pigmentation after treatment can often be a troubling adverse effect (Figure 3). Both hyperpigmentation and hypopigmentation are complications that are associated with laser resurfacing, with the latter being more common.
Patient who underwent carbon dioxide laser resurfacing because of concerns about her freckles. Patient's appearance before (A) and 5 years after (B) the procedure.
Patient who underwent carbon dioxide laser resurfacing because of rhytidosis and solar aging. Patient's appearance before (A and B) and 8 years after (C and D) the procedure.
Left (A) and right (B) views of postoperative hypopigmentation in a patient who underwent carbon dioxide laser resurfacing.
The experience with carbon dioxide laser resurfacing at our institution indicates that nearly all patients experience some degree of hypopigmentation after laser resurfacing. However, the degree of postprocedure hypopigmentation is highly variable, as is the level of concern that this problem causes for patients.1 The incidence of hypopigmentation is thought to be related to the degree of thermal injury,2 a theory that is supported by the finding that hypopigmentation is associated with the degree of improvement in rhytidosis.3 Furthermore, hypopigmentation has also been associated with a greater degree of preprocedure rhytidosis, perhaps suggesting that patients who receive more aggressive treatment are at increased risk of developing hypopigmentation.
The primary purpose of this study was to assess the long-term results after full-face carbon dioxide laser resurfacing. Long-term efficacy and complications were examined, with particular attention directed at determining the incidence of hypopigmentation that was evident on photographic review by an independent observer. The population of patients who developed hypopigmentation was further analyzed to determine whether there are any other factors that are associated with hypopigmentation.
After written informed consent was obtained from the patients, all procedures were performed by the senior author (S.R.B.) using a commercially available carbon dioxide laser (Coherent UltraPulse; Coherent Inc, Santa Clara, California) between December 1996 and December 2004. The settings used for the resurfacing procedure were 300 mJ with a density of 5 to 6 for the facial skin and 250 mJ with a density of 5 for the eyelids. Three passes were used for the face and the eyelids. Care was taken not to use the laser in areas where skin vascularity was potentially at risk, such as on skin flaps elevated during concurrent rhytidectomy.
The patient's sex, skin type, and age at the time of the procedure were all recorded. Any other procedures that the patient also underwent at the time of resurfacing were also documented. Preoperative and postoperative photographs were analyzed and graded to determine wrinkle scores before and after treatment. The scale used was described by Lemperle et al4 in 2001. It was initially designed and verified to be accurate for grading facial wrinkles before and after treatment with injectable fillers; however, it has since been demonstrated to be an effective method to use for grading facial rhytids that have been treated with the carbon dioxide laser.1 The glabellar, periorbital, and melolabial regions as well as the corners of the mouth and the upper lip were graded and assigned preprocedure and postprocedure scores. Also, the average score for the entire face was calculated using the scores for each of the 5 subsites. Improvement in rhytid score was calculated in relation to the preoperative rhytid score. The improvement in rhytid score was determined by calculating the ratio of the difference between the preprocedure and postprocedure scores and the preoperative score. Only the most recent photographs were used to determine the postoperative score. One-way analysis of variance was performed to assess any differences between the treated anatomical subsites.
All complications were recorded. The presence of hypopigmentation was determined by review of postoperative photographs. The characteristics of the patients who developed hypopigmentation were compared with those of the patients who did not develop hypopigmentation. The mean age, preoperative rhytid score, and percentage of improvement in rhytid score were all recorded and analyzed to determine any difference between the groups. One-way analysis of variance was again used to determine whether there was any statistical significance between the means of the parameters of the patients with hypopigmentation and those of the patients without hypopigmentation.
Sixty-two patients who underwent entire facial laser resurfacing were identified. Complete data were available in 47 cases. There were 42 women and 5 men, with a mean age of 52 years. All 47 patients had Fitzpatrick skin type I, II, or III, with the exception of 1 patient who had skin type IV. The mean and median duration of follow-up was 2.3 and 1.8 years, respectively (range, 0.2-8.1 years). Many patients underwent other procedures along with facial resurfacing, including dermabrasion, blepharoplasty, brow-lift, and rhytidectomy (Figure 4).
Other procedures that were performed along with carbon dioxide laser resurfacing.
The mean improvement in facial rhytid score was 45% (95% confidence interval [CI], 40.6%-49.7%), and there was no difference in improvement between facial subsites (Figure 5). Complications encountered included milia or acne in 14 cases (30%), hyperpigmentation in 8 cases (17%), hypopigmentation in 6 cases (13%), infection in 1 case (2%), and ectropion in 1 case (2%) (Figure 6). Twenty-one patients (45%) had no complications.
Percentage of improvement in facial rhytid score after carbon dioxide laser resurfacing. Error bars indicate 95% confidence intervals.
Percentage of patients with complications after carbon dioxide laser resurfacing.
At the long-term follow-up visit, most of the complications had resolved. The only complications present after 1 year were hypopigmentation and 1 instance of hyperpigmentation, which resolved by 2 years. Of the 14 patients with follow-up time of less than 1 year, 1 had hyperpigmentation that resolved after 5 months, and 3 had milia or acne flare-ups. None of the patients with follow-up of less than 1 year developed hypopigmentation. The patients with hypopigmentation had a mean age of 49.0 years (95% CI, 39.0-59.0) compared with a mean age of 52.7 years (95% CI, 48.7-56.7) in those without hypopigmentation (Figure 7). This difference was not statistically significant (P = .51).
Mean age of patients with and without hypopigmentation. Error bars indicate 95% confidence intervals.
To determine whether the patient's preoperative degree of rhytidosis may have led to a more aggressive treatment, the preoperative rhytid scores were calculated for patients who did and did not develop hypopigmentation (Figure 8). The average preoperative score for patients with hypopigmentation was 2.20 (95% CI, 1.23-3.17). The average preoperative score for patients without hypopigmentation was 2.15 (95% CI, 1.82-2.48). This difference was not significant (P = .92).
Mean preoperative rhytid score in patients with and without hypopigmentation. Error bars indicate 95% confidence intervals.
The response to treatment was assessed by comparing the mean improvement in rhytid scores of the patients with and without hypopigmentation (Figure 9). The patients with hypopigmentation had a greater response to treatment, with a 73.9% mean improvement (95% CI, 59.8%-88.0%), compared with a 41.8% mean improvement (95% CI, 33.9%-49.7%) in patients who did not develop hypopigmentation. This difference was significant (P = .004).
Percentage of improvement in rhytid score in patients with and without hypopigmentation. Error bars indicate 95% confidence intervals.
The efficacy of treating facial rhytids with the carbon dioxide laser is well established, and the short- and long-term utility of the carbon dioxide laser in treating solar facial aging has previously been documented.3,5- 7 Our results verify those of previous studies that found that carbon dioxide laser resurfacing leads to long-term improvement in facial rhytidosis.1,3,5- 7 The mean improvement in rhytid score in the present study was 45%. This degree of improvement in facial rhytid score was consistent in all 5 anatomical subsites. Prior studies have documented decreased efficacy in the perioral region, presumably because of the increased muscular activity in this region.1,5 Although the perioral region demonstrated the least degree of improvement among the subsites in our study, the difference was not significant (P = .51).
The complications that were encountered in this study are similar to those described in previous studies. Milia and acne were the most frequent adverse effects, followed by hyperpigmentation, hypopigmentation, infection, and ectropion. Milia and acne flares, which are relatively common reactions, are thought to be caused by the use of postoperative dressings, ointments, and aberrant follicular epithelialization.2 Spontaneous resolution of acne is the typical course, although short courses of oral antibiotics or, if the skin has fully reepithelialized, topical antibiotics may be helpful. For milia, the use of retinoic acid can be helpful in accelerating resolution.
One patient developed a postoperative viral eruption, and 1 patient developed postoperative ectropion. The viral infection occurred despite the use of an antiviral agent before and after the procedure. Zoster-dose antiviral medications and supportive treatment were administered, and the patient had no further sequelae. The patient with ectropion was treated with eye lubricants and had complete resolution within 1 year.
The only complications present after 1 year were hyperpigmentation (1 patient) and hypopigmentation (6 patients). All 8 patients who had postprocedure hyperpigmentation were treated with topical hydroquinone, and 7 (88%) of them had resolution within 1 year. The patient with persistent hyperpigmentation at the1-year follow-up visit had resolution within 2 years after the procedure. Our experience supports that of several previous studies in which hyperpigmentation occurred in 0% to 30% of patients but usually resolved within the first several months.1- 3,5- 12 The incidence of this complication, which is more common in patients with darker skin types, is decreased by avoidance of sun exposure for several weeks (at least 4) before the resurfacing procedure. Advising patients to continue sunscreen use postoperatively is also important to help prevent further pigmentary abnormalities.2 One month after the procedure, bleaching agents (eg, hydroquinone), retinoic acid, and glycolic acid peels may be used to hasten resolution of the pigmentary abnormalities.2
Hypopigmentation was photographically evident at the long-term follow up visit in 6 of the 47 patients (13%). This rate compares favorably with the rates quoted in the literature, which range from 8% to 57%.1,3,5,6 The literature concerning hypopigmentation after laser resurfacing is somewhat difficult to interpret owing to the lack of a standard definition of hypopigmentation. Also, some authors make a distinction between true hypopigmentation and pseudohypopigmentation. True hypopigmentation, which refers to skin lightening due to decreased melanogenesis, is rare, whereas pseudohypopigmentation, which refers to areas of treated skin that are lighter than surrounding untreated skin,3 is much more common. The degree of hypopigmentation that occurs varies from patient to patient, as does the degree of concern that this problem elicits. Dijkema and van der Lei1 found that 34% of patients who underwent laser resurfacing of the upper lip used some sort of camouflage to hide their hypopigmentation.
Our experience is that all patients who undergo carbon dioxide laser resurfacing with our protocol have some degree of hypopigmentation. We attempted to determine the incidence of hypopigmentation that was evident on photographic review. Previous authors have reported that the degree of thermal injury and the depth of penetration are directly related to the incidence of hypopigmentation.1- 3 Patients who develop hypopigmentation have been shown to have a greater degree of solar damage before laser resurfacing as well as a greater improvement in rhytids.3 Our study did not note a greater degree of preprocedure rhytidosis in patients who developed hypopigmentation but did note a greater degree of improvement in rhytid score in these patients. An additional indicator of possible hypopigmentation development could be increasing patient age, with its resultant decrease in skin thickness. Our study did not note a difference in age between patients who did and did not develop hypopigmentation; however, our small sample size may have prevented us from finding a difference in age between the 2 groups.
For patients who develop hypopigmentation, chemical peels using glycolic acid or tricholoroacetic acid may be used to help blend the lines of demarcation between treated and untreated skin. Efforts to increase melanogenesis, such as limited exposure to UV light and application of methoxsalen, may also be helpful.2 The most important treatment, however, is prevention. The risk of developing hypopigmentation can be minimized by cautioning the patients to use sunscreen before and after the procedure and by treating all skin within cosmetic units to decrease the incidence of observable lines of demarcation.
In conclusion, carbon dioxide laser resurfacing is a safe and effective treatment for facial rhytidosis. The mean improvement in facial rhytid score was 45%. Complications encountered included hypopigmentation, milia, acne, hyperpigmentation, infection, and ectropion. All complications resolved in all patients by 1 year after the procedure, with the exception of 1 patient with hyperpigmentation and 6 patients with hypopigmentation. Some degree of hypopigmentation occurs in all patients who undergo carbon dioxide laser resurfacing with a protocol similar to that used in our study. Patients who experience a greater improvement in rhytidosis are more likely to develop hypopigmentation. Although increased age and preoperative level of rhytidosis were not found to be associated with increased hypopigmentation in this study, they are likely to be associated with an increased risk of hypopigmentation.
Correspondence: P. Daniel Ward, MD, MS, Department of Otolaryngology–Head and Neck Surgery, University of Michigan, 1904 Taubman Center, 1500 E Medical Center Dr, Ann Arbor, MI 48109 (firstname.lastname@example.com).
Accepted for Publication: February 22, 2008.
Author Contributions: Drs Ward and Baker had full access to all of the data in the study and take responsibility for the integrity of the data and the accuracy of the data analysis. Study concept and design: Ward and Baker. Acquisition of data: Ward and Baker. Analysis and interpretation of data: Ward and Baker. Drafting of the manuscript: Ward. Critical revision of the manuscript for important intellectual content: Ward and Baker. Statistical analysis: Ward and Baker. Obtained funding: Ward and Baker. Administrative, technical, and material support: Ward and Baker. Study supervision: Baker.
Financial Disclosure: None reported.
Previous Presentation: This study was presented in part at the Fall Meeting of the American Academy of Facial Plastic Surgery; September 17, 2007; Washington, DC.
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Featured Golf News
Bubba Makes Early Exit in France
After posting two straight rounds of 74, Bubba Watson didn't make the cut in the Alstom Open de France, a European Tour event for which he was paid a handsome, six-figure appearance fee.
Watson finished two rounds at 6-over 148, four above the cut line at 2-over. The leader is James Morrison, who shot two consecutive 66s and leads Richard Green of Australia.
Morrison, who suffers from Crohn's disease, had a flare-up earlier in the week, but that didn't seem to both him.
On the other hand, Watson had a lot to complain about. Here's the transcript of his brief session with the press following the second round.
Q. Obviously very disappointed things haven't worked out for you this week. You came here in such fabulous form, two wins this year. What's been the problem?
You know, it's different. It's not a normal tournament. It's just different for me. There's cameras, there's phones, there's everything. No security. I don't know which holes to walk through. There's no ropes. It's just different. I'm not used to that. I'm not saying it's bad. I'm just saying it's something I'm not used to, I'm not comfortable with. It's very strange to me just very uncomfortable.
Q. We see a lot of cameras on the course at U.S. tournaments. Why is it that different then?
BUBBA WATSON: We don't see any cameras like this. There's phones, there's video cameras, and every tee says, no phones, no video cameras and on every tee there's hundreds. So it's just different.
Q. Yesterday you told us you this might be your only trip across. Please tell us you're going to change your mind, because your fans want to see you playing more in Europe and around the world.
BUBBA WATSON: I'll play the British because it's a Major. That's the only reason.
Q. Scandinavian Masters, you were intending to play. I think you're not going to do that now?
BUBBA WATSON: We'll see. A few weeks away.
Q. You told us you were missing home, is the plan now to get out of here as fast as you can?
BUBBA WATSON: No. I'm going to go sightseeing real quick and probably sightsee tomorrow, but probably get home as fast as possible.
The transcript for the above interview is courtesy of ASAP Sports.
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Help!!! I've got story hour coming up in less than 2 weeks and need a book or two to read about Nikolaus. I thought I had some, but I don't. I'm having trouble finding anything online – it's so hard to tell if it's appropriate without actually holding a book in your hand. Any suggestions?? Even if I can't get them for this year, at least I could have them ready for next year!
Tausend Dank!!🙂


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January 15, 2013
Amrita's Story: AmeriCorps Member and Expert on Undocumented Students
During my sophomore year at the UW, I realized that my passion was in the education realm. When this occurred, I shouted it from the rooftops; every person I knew and met from that point on knew that I was going to do something related to educating others. That ranged from teaching to tutoring…to mentoring. Continuing with my Business Administration major and having very few education-related classes, I had to get my dose in other manners. I started out at the Pipeline Program at the UW and fell in love with the 3rd graders but something was missing. I then joined UW Leaders and had the time of my life, but despite how much I love that program, something was still missing. After pointless reasons for not joining the Dream Project, a friend convinced me to join with her Autumn Quarter of my senior year. I still remember a very casual conversation as she asked if I received her text about being available Thursday mornings for visits to Federal Way. My schedule was open, why not? WHY NOT? After experiencing so many incredible opportunities, meaningful relationships and countless moments of happiness, I can't believe my work with the Dream Project started with "why not".
Call it luck or just the perfect situation but I was in a mentor group with Dustin Dacuan and we had a wonderful group of about 8 or so students at Federal Way. Dustin made me feel like the best mentor in the world and helped me fall in love with this program. I decided one visit wasn't enough and joined Renton High School as well in the Winter. Either my passion was evident or I'm really good at telling enough people how involved I want to be, because I was asked to be one of the event leads for Spring BBQ. I had no idea what I was getting myself into. I helped put on a very pricey event where an incredible amount of high school students showed up to learn about college. This was without a doubt one of my biggest accomplishments in college. Throughout this event process, Matt Harris mentioned AmeriCorps a few times to me. It sounded wonderful and honestly, I had no idea what I was doing after college. Plus, how could I pass up being in this program with these amazing people for one more year?
So here I am. Alongside Yen, I am one of your AmeriCorps Retention Project Coordinators and it's one of the best decisions I've ever made. Being in the DPC and being able to work with all of you absolutely wonderful mentors makes my life perfect. On top of that, I get to work on a project that is very near and dear to my heart, HB1079 support. You can see what this means on our website under Undocumented Students, but my project is help make the Dream Project more resourceful for this particular group of students. During my time last year, I met an amazing high school student who changed my life. An incredibly intelligent and diligent senior who dreamed of going to college at the UW thought that it was impossible because she is undocumented. Despite too many frustrating and upsetting moments, her hard work and passion won. She is now a student here with half of her first year paid off. While that is nowhere near enough and she struggles every day to stay where she is, her efforts keep me going. If I can play any part in making her or any other student's path to higher education a little easier, I'll do what I can. There is a lot more to do with my project but you will hear more about it very soon.
Describing my Dream Project experience in one blog post is an incredibly difficult task. There's so much more to say, so if you have any questions or interests in my major/minors, event experience, juggling multiple visits, HB 1079 work or my time as an AmeriCorps member, please stop by MGH 274 or email me at firstname.lastname@example.com. I'm not a fan of talking about myself but I love talking about the opportunities I've been given. Coffee is on me if you're interested.


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A few weeks ago I posted twice (here and here) about a school food boycott at Milby, a high school serving a relatively underprivileged Hispanic population in east Houston.
Those two posts received quite a lot of comments, and one theme that emerged is whether I was somehow duped by Hector Sanchez, the student who led the boycott. Both Hector and the Milby teacher who first told me about the boycott had complained that, among other problems, the cafeteria offered "nothing but burgers and pizza, all the time." In fact, I later found out that besides the Grill and the Pizzeria, there's also a "Favorites" menu each day which offers more variety. So why hadn't anyone mentioned that menu?
One TLT reader, Alison Moore Smith, summed up well the concern that I'd been used. (By the way, Alison is also the wonderful website guru who helps me out of tech jams all the time on TLT). She wrote:
When I asked Sanchez about the "Favorites" menu, at first he claimed he'd never seen such foods in the lunchroom. When pressed he said that these foods didn't look at all appealing, and that he would text me photos to prove his point.
I think this paragraph bears repeating. The teacher and the kid lied about the favorites menu because it didn't support their point.
Even then, I don't think a cell phone photo will prove anything. First, the kid is willing to misrepresent the services, so he's unlikely to send a photo of something that looks good. Second, I know from experience that even when you're trying to take good a picture of food that looks and tastes fine, it can be hard. Look at these sloppy joes! They look terrible. And a friend of mine posted a pic of some balsamic beans on her blog last week (because she loves them) that positively looked like a bag of vomit.
Food photography is an art and a kid with a cell phone and an agenda — who has been shown to have no credibility — isn't going to give the school a fair shake.
Honestly, you have a plethora of choices of food other people prepare and subsidize and you're going to complain? That's kind of appalling to me. I was just raised differently. If you don't like it, bring a sandwich in a bag. If the kids can't manage to find something — among the SEVEN daily lunch choices (for a $1.85!!!) — do we ever let the nearly-adult kids and their parents take the responsibility?
Sounds like you've got a kid who wanted to start a movement, found an easy scapegoat, and said whatever he wanted to draw some attention.
Sorry, I'm no huge school fan. (I homeschool my six kids.) But I'm a huge fan of equity and fairness. And integrity. There are real people taking the brunt of this "cause," not just a nameless, faceless menu. The kid (and teacher) aren't credible and their attempts to smear others should only be given air time to come back on them.
I'll be quiet now.
Here's what I wrote back to Alison at the time:
The sentiments you express haven't been shared here by other readers, but over on my Chronicle version of The Lunch Tray, which seems to draw a more politically conservative group, many readers have said the same thing — essentially that I was duped. I could see how you'd draw that conclusion, but I really don't feel that way and here's why:
First, you could argue (and you have) that Hector was just trying to rabble-rouse and therefore intentionally misrepresented to me that the school serves only burgers and pizza. I don't believe that's what was going on, but even it if was the case, you cannot say the same for the teacher I met on the airplane. She didn't know me at all, and had no idea until after we spoke that I might want to write about her. (Even then I don't think she fully understood what I do or what I meant when I said I had a blog.) She was not in any way seeking attention, just making chit-chat with a seat mate on the plane. Yet she, too, seemed to be ignoring the favorites menu and said, "all we get is burgers and pizza, or burgers and chicken, over and over." I even said to her, would you eat a salad, and she said, definitely! Yet salads sometimes appear on the Favorites menu, albeit shrink-wrapped in plastic and prepared sometime (days?) before appearing on the line.
SOMETHING is going on here. Is it the fact that the school is almost 100% Hispanic and economically disadvantaged, and the population is accustomed to fast food and simply will not try the other foods? (When I asked Hector if kids were bringing lunch from home during the boycott, I was told, no, they were getting fast food brought in by their parents.) Is it, as Hector maintains, that the food in that line is so unappetizing that no one wants to try it? Clearly more info is needed, and I may need to gather further details from Brian Giles and/or make trip to Milby myself to figure out what the issue is.
Second, I don't feel at all sorry that there are people taking the brunt of Hector's statements to me. If you read the complaints on the boycott Facebook page (and again, when kids posted there they had no idea that anyone but other Milby kids were looking) and then read Mr. Giles's response, it seems clear to me that there WAS a problem with food prep – undercooked food, etc. No one should have to eat frozen fries or pink burgers and if Hector's complaining and my post led to a correction of the problem, I feel proud to have helped those kids out.
Finally, I'm not too worried about the accuracy of cell phone photos if Hector does come through on that. I have gone into my own kids' public school lunch room, in a relatively affluent neighborhood in central Houston, btw, and have seen (and photographed) poorly prepared food – items that are still frozen, items like green vegetables that are grossly overcooked, to the point of almost being brown, etc. No amount of food styling is going to help some of those items and I believe that my own cell phone photos accurately represent exactly what I saw or I wouldn't post them here (as I sometimes do.)
I truly do not believe that Hector acted without integrity here. He had no idea that he'd get press attention for his efforts – and but for my chance encounter on the plane no one — not even HISD Food Services – would likely have even heard about it.
Those are my two cents. Now, will you still do my tech work?
In the meantime, I've spoken with HISD Media Relations and have been given permission to visit Milby unannounced in order to get my own sense of the cafeteria and its food, and to take my own pictures. I won't be able to talk to students and I do have to provide an hour's notice to HISD so that someone from Media Relations and someone from Food Services can accompany me.
I'll post those photos and share my impressions when I have them, along with a follow-up report on what might — or might not — have been going wrong with the food at Milby.
Get Your Lunch Delivered and never miss another Lunch Tray post! Just "Like" TLT's Facebook page or "Follow" on Twitter and you'll also get bonus commentary, interesting kid-and-food links, discussion with other readers AND you'll be showing TLT some love. ♥♥♥ So what are you waiting for?


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DrunkQuest: Porcelain Gods
Hey everyone! The second expansion to DrunkQuest is live on Kickstarter! Porcelain Gods is already funded and working towards Stretch Goals. The first of which is already unlocked and being... Read more
Missing Items
Hello everyone,
I want to start by apologizing for the lack of regular updates since the end of the Kickstarter. This project has had a lot of setbacks and issues.... Read more
31 Packages Left
Hello again everyone.
We've gotten through most of the missing packages with the exception of about 31 of you. We've been using the Fundafull mailing feature they just launched (which... Read more
Missing Packages Update
Hello all,
Quick update. If you haven't received your package by now (sorry). Its because you haven't filled out the Fundafull.com survey or when you did fill it out, you didn't... Read more
Hello all,
Good news! Shipping is finished! The last few packages went out this morning so everyone should be seeing their games pretty soon.
A few things we learned this... Read more
Status Update #4
Hello everyone! Later tonight we will hit the 50% mark on shipping. And are determined to finish it up asap! Here's a quick FAQ regarding the shipping...
The launch party... Read more
Status Update #3
Hello again everyone! The news you've all been waiting for is finally here. We'll be starting shipping on Monday!
We're still missing a few items, but we have more then... Read more
Status Update #2
The games have arrived at DQ-HQ! We've received about 50% of the items and can soon begin shipping out everyones packages. I wanted to post this update to let everyone... Read more
Status Update! #1
Hey everyone!
We've just heard back from our printer and things are moving along quicker then we expected. If all goes smoothly we should see the games arrive at DQ-HQ... Read more
Prints Revealed!
Hey everyone!
We've gotten a lot of people wondering what prints were available to choose from. This was an update that should have happened during the campaign (duh) but kept... Read more
Survey Emails sent!
Hey everyone! You should have (or should be soon) receiving an email from me at a Fundafull email address. In it is a link to fill out the survey for DrunkQuest: 90... Read more
New Status Effects: Revealed!
Status Effects seem to have made some huge fans. We originally made them as a nod to other drinking games that made you touch your nose or count to 10.... Read more
70k Stretch Goal: Revealed!
70k! And 33 hours to go!? We had a feeling we would hit the 70k goal but thought it would be in the final few hours of the campaign! Lets... Read more
Heading into our final 72 hours! The votes have been tallied and a winner has been chosen!
Glass:The new glass stein will feature hashmarks for accurate drink counting and... Read more
Boozter Packs: Revealed!
We're coming into the final stretch of the campaign! Still time to hit the next Stretch Goal! This update we will be showing off all the cards that come in... Read more
Steins: A Platinum Member Vote!
Hello backers!
Happy Friday and a 3 day weekend to boot! Let's get right into the reason for this update. Steins! I'm sure all you previous Founders and our new Platinum... Read more
Dealer Chip & Red Dragon Inn Set Revealed!
Hello again everyone!
We've hit 50k and are moving steadily towards the next Stretch Goal! We actually hit it faster then expected (again!) So all of our RDI art isn't... Read more
New Stretch Goals Announced!
Hello everyone! Looks like we've blasted through all the current stretch goals. So here are the new ones!
50k:We're proud to announce a set being done as a cross... Read more
Ships Revealed!
Hello again everyone, we're real close to the 40k Stretch Goal! Once we hit the goal I'll be posting an update showing off the Turn Marker as well as revealing... Read more
Coasters Revealed! (+ Boozaar update)
We hit the Coasters Stretch goal! We've updated the Boozaar to show the unlocks as well as added the option to upgrade your pulp coasters to Cork!
For those who... Read more
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Morning everyone! I thought it would be a good idea to show off all the Heroes and Realms coming in the expansion, so below you will find all the included... Read more
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Over 80% on day 2! Thanks so far for all the support and for helping spread the campaign around. We have some awesome stuff planned and the first part of... Read more


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They served our nation. Now, East Stroudsburg University is serving them with a new Student Veterans Center. It's a move that could help the school grow.
Dennis Higgins is just weeks away from graduating at ESU.
"I am a psychology major," he said.
But he's also a veteran.
"I was in the Army from 2001 until 2010," he said. "I deployed to Iraq five times and Afghanistan twice."
Dennis is not alone. More than a hundred veterans go to school at East Stroudsburg. Now, there is a new place to help them out.
Tuesday, the school unveiled its new Student Veterans Center, a one-stop shop where many vets learn about money they didn't even know they qualified for.
"They can't believe the amount of paperwork," said ESU's veteran services counselor. "They have a very hard time. They struggle through it."
Angelo Vazquez left the Air Force after four years as a pharmacy tech.
"And I tried to go back to school right away, and it was absolutely -- it was a nightmare," he said of his experience before ESU.
It's not just those in uniform who benefit. East Stroudsburg's new president hopes the school can grow its veteran enrollment.
"I would like to have us differentiated so that when you say ESU, people know, 'Oh, that's where if I'm a veteran, they have the services for me,'" said ESU president Dr. Marcia Welsh.
For Higgins, the next stop is grad school, where he hopes to give back as a clinical psychologist.
"The mental health care that veterans are getting -- they needed help," he said.
It's all because one school gave him some help.


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Created in this Craftsy class
Stitch & Slash taught by Carol Ann Waugh
Popular instructor Carol Ann Waugh returns to Craftsy for more fiber fun. Get your seam ripper ready to destroy in the name of creation.
Other projects made as part of this class:
QuiltingBoxed in!
QuiltingRevolution 9 Patch
Offer some kudos...
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Gorgeous colors! Claudia!
05/29/2013 Flag
I agree. You have a wonderful sense of color.
05/29/2013 Flag
love your colors
06/04/2013 Flag


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A poll released yesterday in Yerevan revealed that more than one-third of the Armenian people believe that normalization of bilateral relations between Armenia and Turkey is impossible.
Syuzanna Barsegyan of the Armenia Center for National and Strategic Research announced at a press conference the results of the survey concerning Armenia-Turkey relations.
According to the survey, 33 percent of Armenians believe it impossible to have good relations with Turkey, while 43 percent said that they doubted that there could be a good relationship between Armenia and Turkey.
Barsegyan said that only 24 percent of Armenians believe that normalization of relations between Armenia and Turkey is possible.
"According to the results, 64 percent of people state that they consider Turkey an enemy country, saying that there is a need to be careful in any contact with this country," Barsegyan said.
While 11 percent of Armenians said they were against any kind of cooperation with Turkey, 76 percent said relations with Turkey could be normalized only after Armenia's preconditions are accepted by Turkey. Last month, a poll conducted in Turkey found that a brief visit by President Abdullah G


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12 August 2013
360 to see points go with next update
Points converted must be used by June 1st, 2015
08 July 2013
Fish says Fez to be patched on 360
It will take time, but it will happen
08 July 2013
2013 360 Dashboard Beta closed
Response from testers was overwhelming
28 June 2013
360 doing away with title updates
Microsoft kills the fee, but does it matter?
10 June 2013
Microsoft announces new Xbox 360
Gives it the Xbox One look
04 June 2013
Price cuts seem likely for holidays
Nintendo still saying it will not happen
01 March 2013
360 Nexuiz servers get plug pulled
Illfonic will keep PC servers up and running
01 March 2013
Xbox 360 gets new Spring bundle
Showing up on shelves right away
03 January 2013
Razer announces Sabertooth Elite gaming controller
Pushes Xbox 360 control a notch further
02 January 2013
GTA 5 for Wii U and PC?
Rockstar still considering it