text:
There has been only one person - ONE?- out of the thousands and thousands of athletes who have participated in the Olympic Games, Summer and Winter, to win a gold medal in both seasons and in different disciplines.
That man was Edward (Eddie) Patrick Francis Eagan (April 26, 1897 to June 14, 1967). He won a gold medal as a light-heavyweight boxer in the 1920 Olympic Summer Games in Antwerp. He entered the Olympic Summer games in 1924 (apparently as a heavyweight) in Chamoix, France and failed to medal.
Then, in 1932 in the Olympic Winter Games in Lake Placid, he joined the 4-man bobsleigh crew of Billy Fiske and won a gold medal.
Article Photos
Egan's ad in the 1908 directory, with the Dock & Coal Company ad included, simply because I think it's clever and who said we didn't have telephones in 1908…we had been incorporated only since 1892.
Egan was born into a poor family in Denver but studied law at Harvard University and Oxford, became a successful lawyer and served in the army as a colonel during World War II. He died at age 70 in Rye, New York.
How did he arrive here?
I have been trying to fit pieces of stories together to determine if that famous Eddie Eagan was a nephew of Saranac Lake's famous Mike Eganbut the spelling is different.
Now the names of many of the 12 million immigrants who came through Ellis Island in New York Harbor were changed simply by shouting out their name to the officer compiling the roster who would write down whatever he thought he heard. The Irish brogue caused many O'Neil's in the U.S. to be named O'Nail because that is what O'Neil sounds like with the Irish pronunciation.
So, of course, I'm thinking that the spelling of Eagan was changed in that mannerbut I am probably wrong. It took only a short leap of faith to believe that since Eddie's family was poor, he came to live with Uncle Mike in Saranac Lake who was doing quite well and was also a famous athlete. Raising kids for your siblings was not an unusual happening among families back then.
I actually know of a local family where one married sister had children and another of her married sisters had none, so she gave her a couple of hers.
Mike Egan with TB
Mike was born in Ireland in 1879 and arrived in Saranac Lake on a stretcher in 1901 suffering from tuberculosis. He weighed only 100 pounds and newspaper stories reported that he had only a short time ro live.
He recovered and in 1921 married Bernice Boehm at St. Mary's Hospital (located on Ampersand Avenue at the top of the hill where the stone wall of the hospital is still visible). The ceremony was performed by Rev. J. J. Waters pastor of St. Bernard's Church who was ill at the time and a patient in the hospital.
Mike Egan, the athlete
I am not sure of the sequence of events in his life but by 1908 he owned a livery stable in Saranac Lake and in 1914 he announced that he would be running for either a state assembly or senate seat as a Democrat in the fall election.
Here is a piece of his obit from the Enterprise:
"Mike Egan, as he was better known, was an undefeated world champion handball player in the early 1900's and former sparring partner for such boxing greats as Bob Fitzsimmons, James J. Jeffries, Jim Corbett and Al Britt, all heavyweight contenders and champion boxers of that time.
"During the peak of his athletic career as a handball player, Mr. Egan defeated the United States' best, including Jerry McMahon of Brooklyn; Dr. Martin Gillen, New York City; William Carney, Philadelphia; Louis Keegan, Chicago; and Jim Fitzgerald, San Francisco."
His obit (he was 75) went on to say that he was known for his quick wit and winning smile. His livery business became a taxi business and he became a "large property owner, building and owning several buildings.
So I guess I can't connect the dots with Eddie and Mike because Mike's several surviving sisters and brothers were in Ireland and New Jersey along with many nephews and nieces.
Sources: Michelle Tucker, Curator of the Adirondack Room of the Saranac Lake Free Library; The Viewer's Guide published by the USOC and the Internet.


text:
On behalf of the staff at Home Instead Senior Care, I would like to thank everyone who helped with this year's very successful Be a Santa to a Senior program.
With support from generous shoppers and patrons at local K-Marts, Shurfine, Members 1st Federal Credit Unions, Cornerstone Federal Credit Union, Drayer Physical Therapy Institutes, Gentiva Hospice, the Secret Santa Squad at the Dauphin County Courthouse, along with facilities such as Bridges at Bent Creek, Messiah Village, Bethany Village, and The Woods at Cedar Run, we were able to collect more than 2500 gifts for local seniors who otherwise might have been overlooked this holiday season.
We also would like to thank the many volunteers who shared their time to collect, wrap and deliver the gifts to all area seniors, many of whom struggle to make ends meet.
Thanks to all those who helped us brighten the holidays for our local seniors and truly making a difference in our community.
KENDRA KOSER, Community Liaison, Home Instead Senior Care, Mechanicsburg

subset: commoncrawl


text:
Yes I do work for Shimano. You can give us a call and explain what happened. We will send you the correct gears at no charge since there was a mistake made.
You wanted to change to brass gearing and the part numbers I initially gave you were the correct numbers. Unfortunately the pinion gear you needed was discontinued, but the new number was listed as a replacement. Our planning department enters the cross reference numbers for any parts that change or are discontinued. We may receive these changes from Japan. Unfortunately I cannot remember 30,000+ part numbers to know what changes have been made. I'm not perfect and I have to use our cross reference to find part numbers at times. There can be mistakes as we have seen. In this case I am going to add a message stating this pinion gear will only work in the 101D.


text:
SPRINGFIELD – A Hampden Superior Court jury acquitted Roland Fils of cocaine trafficking Jan. 6 in a retrial after the state Appeals Court overturned Fils' 2008 conviction on the same charges.
Fils had been incarcerated since his arrest in October 2006 on the cocaine trafficking charge, so has already served nearly six years for the charge for which he was aquitted Jan. 6 in the retrial.
Fils, 40, was convicted in July 2008 of cocaine trafficking in the amount of 100-200 grams, and got sentenced to the mandatory minimum of 10 years in state prison.
He was also convicted of violation of a drug free school zone, adding two years in the Hampden County Correctional Center in Ludlow after the state prison sentence.
In August 2010 the state Appeals Court overturned his conviction.
It was one of a number of convictions overturned after the U.S. Supreme Court held it was a violation of the Sixth Amendment right of confrontation for a prosecutor to submit a chemical drug test report without the testimony of the person who performed the test.
Fils took the stand in the retrial before Judge Peter A. Velis and said he had no knowledge or connection to drugs found at 27 Grover St.
He said he had broken up with Sharon Haywood, who lived at 27 Grover St., and just stored some clothes and other items there.
Haywood was convicted with Fils in 2008, and her conviction was also overturned in August 2010.
Haywood is still awaiting her retrial on the cocaine trafficking charge.
Under questioning from defense lawyer Marissa Elkins, Fils testified he was staying near his job in Connecticut after he and Haywood broke up and would come back to Grover Street on Mondays to get his clothes for the week.


text:
GameFly GameCenter, Ultimate Video Games Android App
GameFly GameCenter provides the most extensive video game info, reviews, cheats, codes, and more!
- Version: 1.2.1
- Size: 3.04MB
- Category: Entertainment
- Price: Free
GameFly is a well-known, must-have gamer's resource. With this app, you can search and prioritize games based on the systems you own. Currently included are the Xbox 360, PS3, Wii, DS, PS2, PSP, Xbox, GC, and GBA. You can easily scroll through the most popular games or search for a specific game title. Once you've found the game you're interested in, access the plethora of information provided. If you're trying to decide whether or not a game is worth buying, you'll want to read up on the GameFly user ratings, reviews, trailers, and game description. Even better, you can decide for yourself by renting games directly from the app (as long as you've signed up for a GameFly account). Additionally, there is an endless number of news articles posted each day on all the different gaming systems.
- Best resource for gamers
- Game video trailers
- Awesome user-interface
Areas for improvement:
- GameFly needs to add PC games
- Enable Apps-to-SD
- Ability to add reviews & ratings from within the app
Conclusion: The ultimate reference for dedicated gamers!


text:
A sound piece written by CSM faculty member, Professor Maria Mykolenko, violin, was used as the soundtrack for "Ascension," a dance piece, by Rachel McGinnis. The performance was held at the Theatre at the Mort & Irma Handel Performing Arts Center at the Hartt School, University of Hartford in Connecticut, on March 7. The performance was part of the "Senior Dance Concert" with original choreography and musical compositions from students of the Hartt School. It was also live streamed at hartford.edu/harttstreaming as part of "Live from Hartt" series.
The Calderone School of Music in East Hanover and Springfield offers private lessons on all instruments and voice, a College Prep Division and Professional Development Division. They also offer Ensembles, Rock & Jazz Band, Chorus, a Musical Theatre, Suzuki String Plus, Kindermusik from birth to age seven for pre-school children and those not yet ready for private instructions. The school offers private music lessons on all instruments and voice, a College Prep Division and Professional Development Division.
For more information, contact Prof. Kathleen Calderone at 973-428-0405 in East Hanover or 973-467-4688 in the Springfield school. Or visit them at calderoneschoolofmusic.com.


text:
PELHAM, Alabama -- The City of Pelham is recording a high number of business licenses issued in 2014 to entities that have never had one, according to figures provided by the municipality.
Figures for business licenses issued for 2014 through Wednesday showed 346 first-time permits provided to entities operating in the city.
"I think the majority of these business permits, from what I see ... they're not special events or yard sale permits. These are legitimate business people who operate a business in Pelham," Councilman Ron Scott said.
Additionally, Pelham is experiencing an overall increase in the number of business licenses issued so far this year over the same period in 2013.
Pelham issued 4,053 business licenses last year between the time they became available through Aug. 13, 2013. So far in 2014, the total number issued has been 4,172 through Wednesday, indicating an increase of 119 over the same period last year.
City Finance Director Tom Seale noted that most businesses purchase a license during the first three months of each year. The city issued 4,315 business licenses for the 2013 calendar year, Seale said.
In revenues derived from business licenses, the city has experienced a 5.2 percent growth, or roughly $205,000, from October 2013 through the end of July compared to the same period a year earlier, Seale said.
Considering the increase of 119 so far this year combined with the 346 new permits issued in 2014, city officials said it appears there are more than 200 taxpaying entities that have yet to renew their license for various reasons this year.
Seale said the increase so far this year in business licenses partly reflects the city's emphasis on ensuring anyone operating in the city has a permit. "We have stepped up our enforcement of those who do not have licenses, so that's going to be part of that number," he said.
But another critical factor identified by city officials is Pelham's strong economy.
"I think that one of the reasons we're seeing a lot of interest in Pelham and people are establishing businesses in Pelham is due to the business-friendly environment the City of Pelham is trying to create. I think the mayor has been a very strong advocate of that," Scott said.
"I think within the ranks of city employees, our folks who handle permitting, business licenses, construction licenses -- all of our licenses -- our city employees just have a can-do attitude that sets us apart from other communities," he said.
Scott pointed to Mayor Gary Waters' efforts to help make city government more accessible and responsive to the needs of the public when it comes to permitting and operating businesses.
"I think it's the attitude, the practices and the policies the mayor has instilled in our permitting process that has created an environment that city employees are pro-business and are doing everything they can to work with the business owners to get a business up and running," Scott said.
Other factors expected to help drive Pelham's economic growth include the development of a municipal school system separate from Shelby County's district, the creation of the city's Commercial Development Authority to stimulate retail growth and new housing development.
"I think as we are working to get our Commercial Development Authority organized and off the ground, this is a real positive environment to be in because what we're doing is we're creating an environment that is pro-business and we hope that retailers will begin to see that there is business growth in Pelham and there are families and homes with disposable income," Scott said.


text:
What's New
NTT Fellow Presents Compelling Research at NTT Dinner
February 4, 2014
Denis Sosyura, the NBD Bancorp Assistant Professor of Finance and the recipient of the NTT Fellowship Award, presented two new papers. The first paper, "Rumor Has It: Sensationalism in Financial Media" (with Kenneth Ahern), shows that financial media skew news coverage toward sensational news, and this news has a large effect on stock prices. The paper provides the first evidence that the accuracy of financial news is predicted by newspaper, journalist, and article characteristics. The findings imply that the fundamental relation between information and asset prices varies based on who is relaying the information to investors.
The second paper, "Managers' Wealth and Risk-taking: Evidence from Shocks to Managers' Personal Assets" (with Oleg Chuprinin), provides the first evidence on the income and wealth of mutual fund managers. The paper shows that mutual fund managers alter the risk of their funds' portfolios in response to changes in managers' personal wealth. The evidence implies that idiosyncratic shocks to managers' personal wealth affect the wealth of their clients.
CLICK HERE to view the full presentation.
PhD Students Earn Mitsui Life Awards
October 4, 2013
Each year the Mitsui Life Financial Research Center sponsors graduate student awards in the Ross School of Business Finance Department. This year, two PhD students in the program were honored in early October at a fall award lunch celebrating their achievements. After Professor E. Han Kim delivered opening remarks, Professor Stefan Nagel, PhD Advisor, and E. Han Kim, Director of the Mitsui Center, presented a financial award and plaque to Rahul Chhabra for Best Overall Performance in the First Year and Bret Herzig for Best Overall Performance in the Second Year.


text:
New York Jets host Miami Dolphins at MetLife Stadium 10-17-11
Monday, October 17, 2011 10:13 PM
The Jets' Darrelle Revis (24) is on his way to a touchdown after a 1st quarter interception. The New York Jets hosted the Miami Dolphins at MetLife Stadium. EAST RUTHERFORD, NJ 10/17/11 (Tim Farrell/The Star-Ledger)
Related articles
- Live updates: Jets start slow, but claim 24-6 victory against Dolphins October 17, 2011, 8:00 PM
- Jets vs. Dolphins: Santonio Holmes, Jets snap three-game losing streak by dominating Miami, 24-6 October 18, 2011, 1:57 AM
- Jets' Darrelle Revis keys win over Miami Dolphins with 100-yard touchdown return October 18, 2011, 1:26 AM
- Politi: Jets' sluggish offense is sped up by lackluster Miami Dolphins October 18, 2011, 1:37 AM
- Jets' Mark Sanchez gets strong protection from offensive line in victory over Miami Dolphins October 18, 2011, 1:49 AM
- Jets vs. Dolphins, your comments: Fans less than overjoyed with win October 18, 2011, 9:04 AM


text:
FEATURE: Of Brainiacs and Males: Singularity
Once more Zach passes within the Pokémon event horizon. It had been said to be different this time around. Yes, I'll admit, I fell mind over heels for Red-colored & Blue in the day…we all did. When Gold & Silver arrived on the scene Pokémon was more beautiful than I could ever have imagined. Both in games my Pokédex was complete. And don't forget your investment interesting sideshows: Yellow (that we beat) and Very (See all tales about this subject


text:
BAY CITY and MIDLAND, MI — With the recent release of licensing rights to community theater groups, "Les Misrables" is popping up in more than movie theaters these days.
But the French Revolution-era epic coming to the Great Lakes Bay Region reads more like "A Tale of Two Cities."
"Les Mis" opens its eight-day run at Bay City Players on Dec. 5, 2013, and the Midland Center for the Arts' Center Stage Theatre will put on its production in March 2014.
Kristen Lences, now technical director and set designer in Midland,remembers the first time she saw "Les Miserables." Only 14, she saw the musical that now ranks as the longest-running in the world at the National Arts Centre in Ottawa "and I was sitting on the edge of my seat," she said.
"I already was a creative kind of kid so I noticed the very visual moments and how lighting created this other world. Something like that leaves a lasting impression on you, the sheer theatricality of it."
And now she will take on what she calls the "fantastic challenge, the unicorn of a set designer's dreams."
"It's a biggie," agreed Greg Burke, president of the board at the Bay City Players. "We're starting to line up a director right now and in the next month or so, we'll start assembling an orchestra and our actors. It's really a matter of getting the right talent, and if we can pull together a good production team as well, we're going to hit it out of the park."
The news came days before "Les Miserables" hit the movie screens, opening on Christmas day in theaters across the country. And it has certainly made the season joyful in Midland, said president Mike Hayes.
"It is exactly the sort of cutting-edge programming that we're looking for in our upcoming season," Hayes said. "From what we've heard, only about 5 percent of theater groups applying for rights from the licensing organization, Music Theatre International, are approved and there are a couple of others we'd love to do that haven't worked out for us yet.
"'Les Miz' is a little more costly than the others but it's still
something we can manage. And now it's signed, sealed and delivered; it's on our schedule."
A students' version of "Les Miserables" was released in 2002 and Saginaw Township's Heritage High School presented it in 2007.
"Les Miserables," seen by more than 60 million people in 42 countries and the winner of eight Tony Awards, is an epic production built around escaped convict Jean Valjean who in 19th-century France, a country caught in the grip of revolution, stands ready to sacrifice everything for the
people he loves.
Cameron Mackintosh's adaption of Boublil and Schonberg's classic also includes the memorable songs "I Dreamed a Dream," On My Own," "Stars," "Bring Him Home," "Do You Hear the People Sing," "One Day More," "Empty Chairs at Empty Tables" and "Master of the House."
"We were very happy when we saw it offered and we quickly turned in our paperwork," Burke said. We talked about it for a little bit, asking each other, 'Can we do this?' The answer was yes, and the board is behind us 100 percent.
"We're already hard at work; it'll be here before we know it."
Among the factors that worked in the Center Stage Theatre's favor, Hayes said, was its second-place win in 2011 with "Urinetown" at the American Association of Community Theatre's national competition in Rochester, N.Y.
"We have the venue to pull it off," he said. "We've built up a really strong arts program, not just in directors and actors but in the technical skills. We're all very excited; as an award-winning theater group, this is where we should be."
"We first heard about its availability about a month ago," Lences said, and the news ran like wildfire through the Midland center. "We started meeting as a crew, the creative department along with administrators and the marketing people, and considering if it was even a possibility for us.
"We decided to do whatever we needed to do to make it happen. It's going to be a collaborative effort. It's the start of a dramatic journey."
Hayes is looking at a potential market of a half-million people and Burke has no doubt that there's an audience for both productions.
"We never really talked about doing a joint production," Burke said. "It's true that we both pull talent from everywhere in the region and we'll probably have some people who will audition for both.
"But 'Les Miz' has a growing audience and it's one of those musicals that everyone loves. We're all looking forward to it."


text:
Rupert Going For Oscar
Rupert Everett confirmed that he's writing and acting in a movie about Oscar Wilde. And, of course, the increasingly vocal actor used the occasion to criticize his peers. No, he didn't question George Clooney's sexuality, but Everett did piss on screenwriter David Hare and director Richard Eyre, who collaborated on Wilde biopic, The Judas Kiss:
Yes, I'm writing a screenplay of a film I'm hoping to get made with myself in it, about Oscar Wilde, after the trial, his life in exile…It's provisionally titled Sebastian Melmoth, after one of the aliases Wilde adopted after his downfall.
…Those people should never ever have thought about attacking the Wilde story, because they have no sympathy, or sensitivity or sensibility…
They're rigorously straight, the two of them
They cast Liam Neeson as Wilde – why? Because he's big and Irish.â€
Everett's neither of those things, of course. He's just gay.
Everett should watch his mouth our he'll fuck himself out of a career. As for Liam Neeson playing Wilde–he actually looks a lot more like Oscar Wilde than Everett does. We know what Wilde looked like–there are photos of him. It's difficult to make a case for gay actors playing gay roles because it involves people's personal lives playing a role in their professional lives. Unlike race, gay people have no identifying physical features so it's impossible to knowingly cast a gay person in a gay role without asking them a lot of personal questions and depending on them to tell the truth.
ALSO, it's possible Hare & Eyre didn't want to work with Everett because of all the bad press he's been getting lately. A loose canon like him can be a real liability to the success of a film.
Being a straight woman maybe I shouldn't comment but I see Rupert's point. I don't expect men st.or gay to really understand the hell the menopause puts me through . I think my mixed race daughter has fears that I try to understand but really can't .I wouldn't have cast Rupert as Charles 1st but my goodness he was the best thing in it he can expess a lot of emotion with his eyes .He is a very sensitive actor and yes I suppose he can seem insensitive with remarks but he feels it passionately. So many people go through life never having to worry if their sexuality might mean being murdered or badly beaten .I've been called some choice things just for holding hands with my husband so I really admire Rupert's coming out so early .
Ruppert – being gay doens't have anything to do with playing a (closeted, married & parenting) gay man. That's why it's called "acting."
Has poor dear Rupert gone quite utterly mad?
Sad and bitter has been is writing his own movie because nobody wants to hire him. Maybe if he just shuts his piehole and not create more enemies, he would get a job.
Great Scott, Rupert has aged terribly! He is close to the age Oscar Wilde was when he died, and looks to be about ten years older. He needs to clean up his act a bit if he wants to land a job. Hollywood is all about the pretty, especially the young and pretty.
More than playing "gay," whoever plays Wilde has to be able to play "witty." And by "witty," I mean one of the wittiest people on the face of the earth in the last hundred years or so. Witty to the point of genius. And while Liam Neeson vaguely has the same general physical characteristics as Wilde ~if you pumped his lips up with some collagen and give him some long, wavy, black hair extensions ~I don't know if "wit" is something he could "act" without coming across as a stereotype.
Not to mention that Neeson is a full 10 years older now than Wilde was when he died in 1900. Fifteen years older than when the Marquess of Queensberry left his calling card at Wilde's club accusing him of "posing" as a "somdomite."
Ghost: Rent the movie if you want to see how Neesen "could 'act'" – it's been out on DVD for years. and he was very, very good in it, too.
Wow. He must have been brilliant in it since I haven't heard of it. I had to go to IMDB.com and the only thing Oscar Wilde related listed there for Neeson is a 2004 televised tribute to Wilde on his 150th Birthday in which a bunch of celebrities recite Wilde's most famous lines and his portrayal of Wilde in "The Judas Kiss" play by David Hare at The Playhouse in London, England.
So in what movie did Neeson actually play Wilde? I'd love to see it.
Ghost: My bad. You're right. I was thinking of Stephen Fry. Sorry.
Dear Hells Kitchen Guy,
Rats! I was hoping I'd caught IMDB in a slip up.
Ever see Salome's Last Dance?


text:
An old friend and a devout follower of the New York Yankees, Brian Dimmer, saw my post about today's Walk for Amyotrophic Lateral Sclerosis in Syracuse, which led Brian to send me a simple note on Twitter:
"Remembering the Iron Horse."
He was speaking of Lou Gehrig, the legendary Yankee whose dignity in coping with ALS caused the disease, today, to literally bear the great first baseman's name. Gehrig's speech in 1939 at Yankee Stadium, thanking the baseball world for its support and offering his perspective on how such misfortune came down upon him, remains historically beautiful for its grace, humility and economy.
You can watch it if you click the link. Brian is right: This is a good day to recall the Iron Horse.
- Sean


text:
Verona Little League, Inc.: Welcome
Thursday, January 29
Please head to our new website!
This site will no longer be updated; however, information in the tabs from 2014 will stay available for a while.
If you arrived here with a bookmark, it probably looks like this:
change it to:
Email the league at:


text:
Vendors at the New York State Fair have been scrambling to arrange Internet access at the fairgrounds because the fair ended its relationship with its old provider without hiring a new one.
The fair, which opens today, was among the first to offer vendors wireless connections, with wired and Wi-Fi connectivity in most buildings and Wi-Fi in some open areas, such as Chevy Court and the RV parking areas.
But this year, vendors who use the Internet to verify credit card purchases and other business activities can't purchase Wi-Fi access, and wired connections may be available in only a handful of the fair's buildings, according to service providers. To get Wi-Fi, vendors may use laptops with aircards or cell phones with Internet access.
For more than five years, Progressive Expert Consulting Inc., of Syracuse, or PEC, had the exclusive right to sell to the fair's exhibitors Wi-Fi or wired connections for as little as $10 per day, said Daniel Feng, PEC's director of operations.
Under a deal struck with former fair Director Peter Cappuccilli, the company installed about $1.5 million in a fiber optic network and electronics at the fairgrounds at no cost to the state. PEC let the fair's offices access the Internet at no charge and PEC was not required to share the vendor fees it earned.
In 2008, 500 fair vendors paid PEC for Wi-Fi and 38 wired connections, generating about $20,000 in revenue, Feng said.
But New York had never sought bids, or signed a contract with PEC, said Frederic Pierce, a spokesman for current Director Dan O'Hara. O'Hara's staff wanted to correct that, Pierce said.
Last fall, and again in April, New York's Department of Agriculture and Markets advertised for bids on a 10-year contract. In exchange for that exclusive right, New York asked bidders to share a percentage of the revenue they earned.
Time Warner Cable's Central New York division submitted the only qualified bid, confirmed Jeff Unaitis, vice president of public affairs at Time Warner Cable.
On June 9, the fair notified PEC in a letter that its services were no longer needed, Feng said. But then the state learned Time Warner was unable to guarantee it could provide full service at the fair by Aug. 1, Pierce said. So the state did not award Time Warner a contract.
"Clearly, we don't have, weeks away from the start of the fair, the ability to launch an entire fairgrounds-wide hot spot," Unaitis said.
Reversing itself, in a July 14 letter, the state asked PEC to provide Internet service during the 2009 fair, Feng said. PEC -- which the fair had not invited to bid -- declined. The company sued the state two weeks ago to protect its fiber-optic cable and other equipment at the fairgrounds. It reached a partial financial settlement last week.
The state fair posted a notice to vendors on its Web site about the Internet issue early this month. "We've been unsuccessful in trying to resolve a contractual issue with PEC," the notice said. "Without any prior notice to us, PEC disconnected the Fair's internet and Wi-Fi service."
Feng said PEC's equipment on the fairgrounds was physically disconnected Aug. 3 by an unknown person without PEC's permission. The fair has refused to allow PEC on the fairgrounds to remove its equipment, he said. "It is PEC's belief that the NY State Fair is now pirating the use of PEC's equipment without PEC's permission and in order to run their own network," Feng said in an e-mail Aug. 13.
Pierce said it was PEC that disabled the Internet services at the fair on July 31.
The fair is advising vendors to contact one of three providers -- New Visions Powerline Communications, Time Warner Cable or Verizon -- to arrange for Internet service. "We expect all who need Internet access will be served," Pierce said.
Unaitis said Time Warner can provide wired Internet connections to vendors in three of the fair's buildings. He said Time Warner will charge vendors a $60 installation fee plus $82 to $349 for one month of service, depending on the customer's needs.
Carmen Branca, president of New Visions, said his company will provide wired Internet access in the Center of Progress, where the New Visions exhibit is located, for $100 to $200.
Staff writers John O'Brien and Jim O'Hara contributed to this report. Mike McAndrew can be reached at email@example.com or 470-3016.


text:
MOBILE, Ala. -- In a decade-long conspiracy, Roto-Rooter repeatedly dumped grease into Mobile's sewer system -- potentially causing raw sewage spills -- while charging fees to area restaurants on the false promise that waste was being properly disposed, federal prosecutors argued today.
In response, attorneys for Roto-Rooter told a jury that blame should rest on two employees who cheated the system for financial and personal gain, saying the company's management wasn't involved with or aware of any fraud.
One of those former employees, Michael L. Edington, previously pleaded guilty to his role in the alleged conspiracy.
DHS Inc., owner of the local Roto-Rooter franchise, general manger William Wilmoth Sr., and president Donald Gregory Smith face charges of conspiracy, mail fraud, and violations of the federal Clean Water Act.
Testimony began in U.S. District Judge Kristi DuBose's courtroom today in front of a 10-man, 4-woman jury.
Jeremy Korzenik, a senior trial attorney in the Justice Department's environmental crimes section, said in opening arguments that Roto-Rooter interfered with efforts to keep polluted water out of Mobile Bay "by promising to dispose of the waste safely and legally while doing exactly the opposite."
In 1999, Mobile Baykeeper, an environmental watchdog group, sued the Mobile Area Water and Sewer System over sewage spills, many of those caused by grease buildups in the sewer pipes.
Under a 2002 consent decree that settled the lawsuit, MAWSS has required restaurants and caterers to install special traps to prevent grease from entering the massive system of collection pipes. The businesses must hire approved companies to haul away the grease.
Then, the grease is supposed to be dumped at an authorized disposal site, such as the MAWSS-owned Williams Wastewater Treatment Plant on McDuffie Island, according to testimony.
The indictment claims that employees for Roto-Rooter dumped as much as 4,000 gallons of grease at a time into manholes, back into grease traps and into other points of access to the sewage system between 1997 and 2008.
It also alleges that records were falsified to show proper disposal. Local restaurants such as Cracker Barrel, Felix's Fish Camp, and other fast food chains were listed on the records, according to the indictment.
Charles Potts, an attorney for DHS Roto-Rooter, said pump truck drivers, who handled a small share of the company's business, were responsible for picking up grease from their clients every day, on their own.
Company leaders "put their trust in these two men to do what they were supposed to do," Potts said, adding that Roto-Rooter had 150 employees in total.
He said Smith, as company president, fired Edington as soon as he learned about the employee's conduct in 2006, and he also wrote a letter to MAWSS about what he had discovered.
Before Hurricane Katrina in 2005, grease was being hauled to a City of Chickasaw disposal site, where there was often no operator to take the shipments, and truck drivers used an "honor system," Potts said.
Defense attorneys also noted that the truck drivers worked on commission, meaning the more grease pumped, the more the driver was paid.
Edington pleaded guilty in October to conspiracy and mail fraud as part of a deal with prosecutors that includes an offer of leniency in exchange for his cooperation.


text:
SPRING OUTLOOK: A look at UMass football as it prepares for its first season in the Mid-American Conference »
- Sunday: Defensive change for the better
- Monday: Replacing return man Jesse Julmiste
- Tuesday: Is Perry McIntyre ready to break out?
- Wednesday: The strength of the secondary
While question marks remain at every position on the offensive side for UMass football, one could consider the secondary a bright spot.
"Really one of the strong points of our football team, not in terms of depth, but [we] really have some good players back there," said head coach Charley Molnar of the secondary.
Senior Darren Thellen, and juniors Antoine Tharpe, Christian Birt and Ryan Carter, all contributed in big ways last season to the secondary.
Thellen, a starting safety, led the team in interceptions with five, and finished fourth on the team in tackles with 68.
Tharpe fought through an injury-riddled sophomore season, and didn't put up gaudy numbers in the nine games that he started. He ranked outside the Top 10 in tackles made, and failed to register an interception all season. However, the stats don't properly quantify Tharpe's impact on the team. Tharpe is arguably the best cover corner on the team.
Birt and Carter both contributed in backup roles last season. Birt appeared in 10 games, made 31 tackles, and added one pick, while Carter played in 11 games, made 19 tackles, and registered one interception.
"The defensive line always gives a good pass rush, so it's going to be up to us to come down with the ball when they throw the ball in the air," said Thellen.
While the secondary succeeded last season against the weak passing attacks of Colonial Athletic Association teams, this year's unit will be facing a completely different beast in the MAC, a conference known for its teams that rely on the aerial attack.
"There are a lot of high powered offenses in the MAC…a lot of spread teams that throw the ball a lot, so it gives the defensive backs a lot of opportunities to make plays, and we're up for the challenge," said Thellen.
Thellen acknowledged that his unit could get picked on early in the season.
"I'm sure we'll get tested coming in," said Thellen. "With a new team in the league, I'm sure they're going to see what we are about, and we've just got to respond."
Despite how loaded the secondary looks entering the summer, they are missing a key contributor from last year's team. Kirk Nelms, a cornerback, left the team after he completed a successful freshman season for UMass. Nelms started 10 games last season for the Minutemen, and came in second on the team in interceptions with three. He grabbed two picks in UMass' second game of the season, and brought one of those interceptions back for a touchdown.
Outside of the returners in the secondary, redshirt freshman Randall Jette could also be poised to contribute for the Minutemen.
"I think these guys are solid players, and they're going to keep the ball in front of them," said Molnar.


text:
TUSCALOOSA - Bible in hand, Micah Armstrong strides into the middle of a small group of students at the University of Alabama the first week of March and starts preaching.
You're going to hell if you drink beer, he says. You're going to hell if you curse. You're going to hell if you smoke dope, masturbate, fornicate, watch a Hollywood movie, listen to rap, read Harry Potter books or attend most Protestant churches, Armstrong says.
Homosexuals are hellbound, too, he says. So are women with low-cut tops, short hair, pants or jobs.
"Women have two places: In front of the sink and behind the vacuum," Armstrong proclaims.


text:
@WilberFARCE: Unless you've read his poetry, you;re not qualified to judge his ability.
@Wilberforce: Talk about self-involved and unrelated. Nothing like judging a person without having met him and judging a writer without having read his work. Would you like me to start making some assumptions about you?
Well "Wilberforce," how about posting here a list of the
"modern poets" that you HAVE read. No fair using "Modern
Poets for Dummies," either. I couldn't agree more with
TrekBear and Krandall about you. Sounds like a little
faggoty jealousy attack — rather than being thrilled
that a gay artist has been so honored by another "outsider"
person, President Obama. Get a grip. Get a life.
@bmwblonde: Thanks bmwblonde. You know what? I have a feeling that Dilbertface (sic) does this all the time on lots of sites just to get the attention we've already wasted on him. If only he would use that energy in therapy, he might actually become a happy person.
I've read him, and it's the usual, no talent, free verse. Excuse me. But I just don't care for identity politics culture, where people are promoted not from merit, but because they're minority or are Nancy Pelosi's daughter.
I think it's a big reason the left is so weak. Corporations hire and promote at least partly by merit, which means they get better people. We promote for sentimental identity politics, which means we get incompetence.
@TrekBear: I didn't have to read him before writing, because identity culture is too predictable. I read him after, though, and the suspicion was confirmed.
@krandall: My guess was correct. Most of his poetry is about himself. Typical.
Well Wilberforce, I notice you haven't listed the
modern poets that you have read. You are a typical
deluded person mired in "concepts" (like any kneejerk
"belief-systems"), such as:
Business is Good, government is bad
The Right is about "liberty," the Left is about "give-aways"
People like you are so blinded by your "concepts" that you
couldn't see reality if it fell on you.
By the way, I've studied poetry for years with amazing
professors, and alsoAM a poet — and your moron "concepts"
about poetry are also stupidly black-and-white, ignorant
and laughable. Some classical-form poetry is terrific,
some sucks. Some free verse sucks, some is stunningly
brilliant, long lasting art. More of your pathetic,
rigid stuck concepts. Why don't you just go away and
enjoy your self-righteousness and stop wasting the
time of normal and free people? I.e., FLAKE OFF.
Although I don't know this poet's work, it's nice to see someone young, Latino, and gay chosen for this ceremonial occasion. I would only add that this choice is unfortunately belittled by the fact that Obama has chosen an anti-gay evangelical "pastor" to deliver the benediction. So… I guess it's "let's listen to the gay guy who can do art/poetry and then we'll finish up with the evangelical anti-gay freak who appeals to the christian-right" Feels like more pandering to me.
@Wilberforce: Yawn.
Why is there so much online bullying on Queerty?…it's getting out of control….
I suppose Wilberforce and the Log Cabiners will take out a full page ad attacking this "zero-talented and vague" poet to score "points" against Obama and the left by any means. LOL
He's not Cuban. He's Cuban-American. Big difference.
I thought the cheapest shot in this whole thread was the way the article introduced the choice of a gay poet as resulting from "feeling guilty for the Hagel nomination." Cheap, cheap, cheap.
I used to teach college in Washington D.C. and I used to sound a lot like Wilberforce: self-important, sure everyone else is wrong if they disagree with me, and closed to anything that didn't fit my definitions. I don't know how my students could stand me. As a writer who has won many awards, including an award for poetry, I would just like to suggest that we all try to be open to things that are new, different, and that perhaps our knee-jerk reaction dismisses.
And let's not kid ourselves, in serious literature there is a bit of the author in everything one writes. I'm sorry for Wilberforce, actually. With these close-minded opinions his world must be very small indeed. I would never tell him not to like what he likes, but I would also ask him not to refuse me the same courtesy. And if we want to do some textual analysis, I would be more than willing to defend the work of Blanco.


text:
BROADVIEW HEIGHTS—Through the end of this week, Assumption Academy in Broadview Heights is hosting a variety of activities in honor of Catholics Schools Week. The events are the school's way of showings its appreciation to the pupil, faculty and parents.
On Tuesday, Student Council members and Church of the Assumption pastor, the Rev. Justin Dyrwal, held a special blessing of a tile mural that fourth and eighth 8th graders helped create with grant money.
"Quite frankly, I was amazed," said Donna Sejba, principal at Assumption. "It was like watching a puzzle be put together."
The tile mural idea started when Julie Kungl, a parent, decided to write a grant for George Woideck to come to the school and work with the students on his clay tile mural residency. Assumption Academy won the grant and Woideck helped inspire students to do their part in creating the mural.
"Mr. Woideck talked to the children about creating this mural, which would accentuate the themes of diversity and service," Sejba said. "He challenged them to make drawings that would depict the theme."
Woideck met with both the fourth and eighth grade and had them each make their own piece of the mural. The mural now hangs on the children pass each day on their way into the school. An unveiling ceremony had occurred, and then a special blessing was planned for Catholics Schools Week.
"(We) wanted to do the blessing in Catholic Schools Weeks to remind us of our mission," Sejba said.
Student Council members, led by President Kaleigh Wagner, Vice President David Faust and Secretary Matthew Gnatowski, participated in the special blessing alongside Dyrwal. Members sang two songs together in front of the mural and council officers helped with a special scripture. Dyrwal then said a few words about the school and the project before blessing it with holy water.
"When we look at this mosaic, it has a lot to say about who we are here at Assumption Academy," Dyrwal said. "We show that light to those around us."
While student council members were part of the presentation, the rest of the school watched the blessing via in-school televisions.
Contact Karpus at (216) 986-7543 or firstname.lastname@example.com.


text:
This deal has ended.
Get two Men's Titanium Rings for the price of 1 with the code TWORINGS at Tanga, plus they ship free. Each ring drops from $144.95 - $199.95 to $14.99, so in effect, you will get each ring for $7.49, which is the lowest price we could find for a similar ring anywhere by more than $20. You can choose from items like the pictured Titanium Ring with Flat Top, Brushed Center & Stepped Edges which drops from $199.95 to $14.99. Sales tax is not charged in most states.No longer available


text:
Bogotá, Colombia – Colombia's highway patrol seized 1,234 kilos (2,718 pounds) of cocaine in the northern province of Córdoba, authorities said Thursday.
Officers discovered the drugs aboard a truck traveling on the road linking Córdoba's capital, Monteria, with Arboletes in neighboring Antioquia province.
The cocaine was en route to the port city of Turbo, Antioquia, where it was to be loaded on a boat bound for the United States or Europe, police said.
Besides the drugs, police seized 6,800 gallons of biodiesel and 3,400 gallons of gasoline and arrested the two occupants of the truck.
The contraband apparently belonged to the Los Urabeños gang, police said in a statement.
The truck driver and his companion offered the officers a bribe to allow them to continue their journey to Turbo.
Follow us on twitter.com/foxnewslatino
Like us at facebook.com/foxnewslatino


text:
Cynthia Feltner, MD, MPH; Christine D. Jones, MD, MS; Crystal W. Cené, MD, MPH; Zhi-Jie Zheng, MD, PhD, MPH; Carla A. Sueta, MD, PhD; Emmanuel J.L. Coker-Schwimmer, MPH; Marina Arvanitis, MD; Kathleen N. Lohr, PhD, MPhil, MA; Jennifer C. Middleton, PhD; Daniel E. Jonas, MD, MPH
This article was published online first at www.annals.org on 27 May 2014.
Disclaimer: The views expressed in this manuscript do not represent and should not be construed to represent a determination or policy of the AHRQ or the U.S. Department of Health and Human Services.
Acknowledgment: The authors thank Carol Woodell of RTI International for her project management expertise; Loraine Monroe of RTI International for editing and formatting the technical report; and Christine Chang, MD, MPH, AHRQ task order officer, for her considerable support, commitment, and contributions.
Grant Support: In part by AHRQ (grant HHSA290201200008I) and the U.S. Department of Health and Human Services (contract HHSA29032003T).
Disclosures: Disclosures can be viewed at www.acponline.org/authors/icmje/ConflictOfInterestForms.do?msNum=M14-0083.
Requests for Single Reprints: Cynthia Feltner, MD, MPH, Department of Medicine, University of North Carolina at Chapel Hill, 5034 Old Clinic Building, CB 7110, Chapel Hill, NC 27599; e-mail, email@example.com.
Current Author Addresses: Drs. Feltner and Jonas: Department of Medicine, University of North Carolina at Chapel Hill, 5034 Old Clinic Building, CB 7110, Chapel Hill, NC 27599.
Dr. Jones: University of Colorado School of Medicine, Mail Stop F782, 12401 East 17th Avenue, Aurora, CO 80045.
Drs. Cené and Arvanitis: Division of General Medicine, University of North Carolina at Chapel Hill, 5039 Old Clinic Building, CB 7110, Chapel Hill, NC 27599.
Dr. Zheng: RTI International, 6110 Executive Boulevard, Suite 902, Rockville, MD 20852.
Dr. Sueta: UNC Center for Heart & Vascular Care, 6th Floor, Burnette-Womack Building, 160 Dental Circle, CB 7075, Chapel Hill, NC 27599.
Mr. Coker-Schwimmer and Dr. Middleton: RTI-UNC Evidence-based Practice Center, Cecil G. Sheps Center for Health Services Research, University of North Carolina at Chapel Hill, CB 7590, Chapel Hill, NC 27599.
Dr. Lohr: RTI International, 3040 Cornwallis Road, PO Box 12194, Research Triangle Park, NC 27709.
Author Contributions: Conception and design: C. Feltner, C.D. Jones, C.W. Cené, Z.J. Zheng, D.E. Jonas.
Analysis and interpretation of the data: C. Feltner, C.D. Jones, C.W. Cené, Z.J. Zheng, C.A. Sueta, E.J.L. Coker-Schwimmer, M. Arvanitis, K.N. Lohr, D.E. Jonas.
Drafting of the article: C. Feltner, C.W. Cené, Z.J. Zheng, E.J.L. Coker-Schwimmer, M. Arvanitis, K.N. Lohr, D.E. Jonas.
Critical revision of the article for important intellectual content: C. Feltner, C.D. Jones, C.W. Cené, Z.J. Zheng, E.J.L. Coker-Schwimmer, K.N. Lohr, D.E. Jonas.
Final approval of the article: C. Feltner, C.D. Jones, C.W. Cené, Z.J. Zheng, C.A. Sueta, M. Arvanitis, K.N. Lohr, D.E. Jonas.
Provision of study materials or patients: Z.J. Zheng.
Statistical expertise: C. Feltner, D.E. Jonas.
Obtaining of funding: D.E. Jonas.
Administrative, technical, or logistic support: C. Feltner, E.J.L. Coker-Schwimmer, K.N. Lohr, J.C. Middleton, D.E. Jonas.
Collection and assembly of data: C. Feltner, C.D. Jones, C.A. Sueta, E.J.L. Coker-Schwimmer, M. Arvanitis, J.C. Middleton, D.E. Jonas.
Feltner C., Jones C., Cené C., Zheng Z., Sueta C., Coker-Schwimmer E., Arvanitis M., Lohr K., Middleton J., Jonas D.; Transitional Care Interventions to Prevent Readmissions for Persons With Heart Failure: A Systematic Review and Meta-analysis. Ann Intern Med. 2014;160:774-784. doi: 10.7326/M14-0083
Download citation file:
© 2016
Published: Ann Intern Med. 2014;160(11):774-784.
Nearly 25% of patients hospitalized with heart failure (HF) are readmitted within 30 days.
To assess the efficacy, comparative effectiveness, and harms of transitional care interventions to reduce readmission and mortality rates for adults hospitalized with HF.
MEDLINE, Cochrane Library, CINAHL, ClinicalTrials.gov, and World Health Organization International Clinical Trials Registry Platform (1 January 1990 to late October 2013).
Two reviewers independently selected randomized, controlled trials published in English reporting a readmission or mortality rate within 6 months of an index hospitalization.
One reviewer extracted data, and another checked accuracy. Two reviewers assessed risk of bias and graded strength of evidence (SOE).
Forty-seven trials were included. Most enrolled adults with moderate to severe HF and a mean age of 70 years. Few trials reported 30-day readmission rates. At 30 days, a high-intensity home-visiting program reduced all-cause readmission and the composite end point (all-cause readmission or death; low SOE). Over 3 to 6 months, home-visiting programs and multidisciplinary heart failure (MDS-HF) clinic interventions reduced all-cause readmission (high SOE). Home-visiting programs reduced HF-specific readmission and the composite end point (moderate SOE). Structured telephone support (STS) interventions reduced HF-specific readmission (high SOE) but not all-cause readmissions (moderate SOE). Home-visiting programs, MDS-HF clinics, and STS interventions produced a mortality benefit. Neither telemonitoring nor primarily educational interventions reduced readmission or mortality rates.
Few trials reported 30-day readmission rates. Usual care was heterogeneous and sometimes not adequately described.
Home-visiting programs and MDS-HF clinics reduced all-cause readmission and mortality; STS reduced HF-specific readmission and mortality. These interventions should receive the greatest consideration by systems or providers seeking to implement transitional care interventions for persons with HF.
Agency for Healthcare Research and Quality.
Heart failure (HF) is a leading cause of hospitalization and health care costs in the United States (1). Up to 25% of patients hospitalized with HF are readmitted within 30 days (2–5). Readmissions after an index hospitalization for HF are related to various conditions. An analysis of Medicare claims data from 2007 to 2009 found that 35% of readmissions within 30 days were for HF; the remainder were for diverse indications (for example, renal disorders, pneumonia, and arrhythmias) (2).
To reduce rehospitalization of Medicare patients, in October 2012, the Centers for Medicare & Medicaid Services began decreasing reimbursements to hospitals with excessive risk-standardized readmission (6). This policy incentivizes hospitals to develop programs to reduce readmission rates for persons with HF. Despite advances in the quality of acute and chronic HF disease management, knowledge gaps remain about effective interventions to support the transition of care for persons with HF.
Interventions designed to prevent readmissions among populations transitioning from one care setting to another are often called "transitional care interventions" (7, 8). They aim to avoid poor outcomes caused by uncoordinated care, such as preventable readmissions (9). Although no clear set of components defines transitional care interventions, they focus on patient or caregiver education, medication reconciliation, and coordination among health professionals involved in the transition.
We conducted a systematic review of transitional care interventions for persons with HF for the Effective Health Care Program of the Agency for Healthcare Research and Quality (AHRQ) (10). We included a broad range of intervention types (Table 1) applicable to adults transitioning from hospital to home that aimed to prevent readmissions. Although 30-day readmissions are the focus of quality measures, we also included readmissions measured over 3 to 6 months because these are common, costly, and potentially preventable (5). The full technical report addressed 5 questions (Appendix Table 1). For this article, we focused on readmission and mortality outcomes.
Table 1. Transitional Care Interventions
Appendix Table 1. Scope and Key Questions*
We developed and followed a standard protocol. A technical report that details methods and includes complete search strategies and additional evidence tables is available at www.effectivehealthcare.ahrq.gov/reports/final.cfm.
We searched MEDLINE, the Cochrane Library, and CINAHL for English-language and human-only studies published from 1 July 2007 to late October 2013, and we used a previous technology assessment on a similar topic to identify randomized, controlled trials (RCTs) published before 1 July 2007 (11). An experienced Evidence-based Practice Center librarian conducted the searches, and a second librarian reviewed them. We manually searched reference lists of pertinent reviews, included trials, and background articles on this topic to look for relevant citations our searches might have missed. We searched for relevant unpublished studies using ClinicalTrials.gov and the World Health Organization International Clinical Trials Registry Platform.
We developed inclusion and exclusion criteria with respect to populations, interventions, comparators, outcomes, timing, settings, and study designs (Appendix Table 2). We included studies of adults recruited during or within 1 week of an index hospitalization for HF that compared a transitional care intervention with another eligible intervention or with usual care (that is, routine or standard care, as defined by the primary studies). We required that interventions include 1 or more of the following components: education of patient or caregiver delivered before or after discharge, planned or scheduled outpatient clinic visits (primary care or multidisciplinary heart failure [MDS-HF] clinic), home visits, telemonitoring, structured telephone support (STS), transition coach or case management, or interventions to increase provider continuity. We required studies to report a readmission rate, mortality rate, or the composite outcome (all-cause readmission or mortality). In the full report, we also assessed emergency department visits, acute care visits, hospital days of subsequent readmissions, quality of life, functional status, and caregiver or self-care burden (10).
Appendix Table 2. Inclusion and Exclusion Criteria for Studies of Transitional Care Interventions for Patients Hospitalized for HF
One team member extracted relevant data from each article, and a second team member reviewed all data extractions for completeness and accuracy.
We used predefined criteria based on the AHRQ Methods Guide for Comparative Effectiveness Reviews (12) to rate studies as having low, medium, high, or unclear risk of bias. Two reviewers independently assessed risk of bias for each study, and disagreements were resolved by consensus.
We categorized intervention types primarily on the basis of the method and environment of delivery, as defined in Table 1. One investigator categorized the intervention, and a second team member reviewed the categorization. Disagreements were resolved by consensus. Given heterogeneity of the clinic-based interventions, we subcategorized these by clinic setting: MDS-HF, nurse-led HF, or primary care.
We used DerSimonian–Laird random-effects models (13) for meta-analyses of outcomes reported by multiple studies that were sufficiently similar to justify combining results. We ran meta-analyses of trials that reported the number of deaths or number of persons readmitted in each group (and not total readmissions per group). When only the total number of readmissions per group was available, we contacted authors for additional data. When we could not obtain the number of persons readmitted, we did not include the results in meta-analyses; instead, we included the results in qualitative syntheses and considered them when grading the strength of evidence (SOE).
For readmission and mortality rates, we calculated risk ratios (RRs). We stratified analyses for each intervention category by outcome timing and separated rates reported at 30 days from those after 30 days (that is, rates reported over 3 to 6 months were combined). We did not include studies rated as high or unclear risk of bias in our main analyses but included them in sensitivity analyses, which are available in the technical report (10); we describe them here only when they differed from primary analyses. We assessed statistical heterogeneity using the chi-square and I2 statistics (14, 15). We calculated the number needed to treat (NNT) for readmission and mortality outcomes when we had statistically significant findings based on our primary analyses of trials rated as low or medium risk of bias, and we found at least low SOE for benefit. The NNT was derived from the RR and median usual care event rate using methods described in the Cochrane Handbook (16). We conducted meta-analyses using Stata, version 11.1 (StataCorp, College Station, Texas).
We did meta-analysis stratified by intensity in each intervention category when variation existed. The results of these subgroup analyses are available in the main report (10); we describe them here only when we found a difference in efficacy based on level of intensity. Given the heterogeneity of included interventions, we could not develop a single measure of intensity that could be applied to all intervention categories. For most interventions, we defined intensity as the duration, frequency, or periodicity of patient contact and categorized each intervention as low-, medium-, or high-intensity. We reserved the low-intensity category for interventions that included 1 episode of patient contact or few resources.
We graded SOE as high, moderate, low, or insufficient based on guidance established for the Evidence-based Practice Center program (17). The approach incorporates 4 key domains: risk of bias, consistency, directness, and precision. When only 1 study reported an outcome of interest, we usually graded the SOE as insufficient (primarily due to unknown consistency and imprecision); however, when similar interventions had consistent results at other time points, we graded the SOE as low. Two reviewers assessed each domain for each outcome, and differences were resolved by consensus.
The AHRQ funded this review, and AHRQ staff participated in the development of the scope of the work and reviewed draft manuscripts. Approval from AHRQ was required before the manuscript could be submitted for publication, but the authors are solely responsible for the content and the decision to submit it for publication.
Searches of all sources identified 2419 potentially relevant citations. We included 47 RCTs (Appendix Figure 1). Trial characteristics are shown in Appendix Table 3. Most trials compared a transitional care intervention with usual care; 2 directly compared more than 1 intervention (both rated high risk of bias) (18, 19). In general, trials included adults with a mean age of 70 years who were hospitalized with a primary diagnosis of HF. Most reported HF disease severity based on the New York Heart Association classification and included persons with moderate to severe HF. Twenty-nine trials reported mean ejection fraction. Of these, 27 enrolled persons with a mean ejection fraction less than 0.50 and 7 trials specified a reduced ejection fraction as an inclusion criterion. Across most trials, the majority of patients were prescribed an angiotensin-converting enzyme inhibitor or angiotensin-receptor blocker. The percentages of patients who were prescribed β-blockers at discharge varied widely across trials. Trials were conducted in a range of settings: academic medical centers, Department of Veterans Affairs hospitals, and community hospitals. Twenty-three were multicenter trials, and 23 were conducted in a single center. Twenty-six trials were conducted in the United States, and 21 were done in other developed countries.
Summary of evidence search and selection.
Appendix Table 3. Characteristics of Included Trials
In general, trials report usual care as "standard discharge instructions" or "follow-up with outpatient provider as usual." Most trials did not describe specific details, such as the type of clinic follow-up (for example, primary care vs. follow-up in a specialty clinic) or the timing of outpatient follow-up in the usual care group. We assessed most interventions as medium- or high-intensity (Appendix Table 3).
Fourteen RCTs compared a home-visiting program with usual care (20–33), and 1 trial compared a home-visiting program with telemonitoring (19). Five trials involved only 1 comprehensive home visit (20, 23, 24, 26, 33) after an index hospitalization; the remainder included several planned visits. In most trials, nurses conducted the home visits, most of which began within 7 days of discharge. Three trials included visits within 24 to 48 hours of discharge (28, 30, 31), and 3 trials specified that visits were done within 14 days of discharge (21, 25, 32).
Thirteen RCTs described in 15 publications compared STS with usual care (18, 34–45). Most trials averaged 1 or 2 calls during the intervention period, with the first contact occurring within 7 days of discharge. Interventions varied in whether predischarge education was delivered with STS. Most trials included a patient-initiated hotline for questions or additional support (34, 37, 38, 40–42, 44).
Eight trials evaluated telemonitoring. Five evaluated remote clinical data monitoring using equipment installed in a patient's home (generally delivered within 2 to 7 days of discharge) that transmitted data to a central site (19, 46–49). Three trials used specialized equipment to allow for video assessments and interactions with patients (18, 50–52); the equipment could also check clinical data, such as blood pressure, or included stethoscopes to allow remote auscultation.
Seven trials evaluated outpatient clinic–based interventions (53–60). Four were in MDS-HF specialty clinics (54–57, 59, 60), 2 were in nurse-led HF specialty clinics (53, 58), and 1 assessed enhanced access to primary care (61). All involved a series of scheduled outpatient clinic visits beginning within 7 days of discharge or enrollment, as well as individualized care planning. The 2 interventions described as "nurse-led" focused on patient education delivered by nurses during scheduled appointments (53, 58). Trials that described MDS-HF clinic interventions emphasized more physician contact and access to a multidisciplinary care team (cardiologists, dieticians, and pharmacists) than nurse-led clinics.
Four trials evaluated a primarily educational intervention. One compared the effects of a 1-hour, in-person patient education program with usual discharge care; no other components were delivered after discharge (62). Two trials investigated the effects of HF education delivered by technology through predischarge viewing of an educational CD-ROM (63) or a 60-minute video that was intended to be viewed at home (64). One trial featured predischarge nurse-led intensive education about HF symptoms and treatment followed by 1 telephone call 3 to 5 days after discharge to reinforce education (65).
We also included 2 interventions in an "other" category. One featured individual peer support (66), and 1 emphasized cognitive training for persons with HF and coexisting mild cognitive impairment (67).
Table 2 summarizes our key findings by intervention category, outcome, and timing and notes when we had the following: sufficient evidence to grade the SOE and whether evidence supports benefit, insufficient evidence to make a determination, or no included trials that reported an outcome. Table 3 presents more detailed results, including the RR (and its 95% CI) and the NNT (when applicable) for comparisons that included at least 1 trial reporting an outcome of interest.
Table 2. Summary of Key Findings and SOE, by Outcome and Intervention Category*
Table 3. Summary of Key Findings and SOE for Transitional Care Interventions: Readmission Rates and Mortality
Figures 1 and 2 present our meta-analyses and RR calculations of trials reporting all-cause readmission and mortality, respectively. Results in both figures are stratified by intervention category and outcome timing. Meta-analysis and RR calculations for HF-specific readmission rates and the composite outcome are presented in Appendix Figures 2 and 3.
All-cause readmissions for transitional care interventions compared with usual care, by intervention category and outcome timing.
Weights are from random-effects analysis. MDS-HF = multidisciplinary heart failure; RR = risk ratio.
* Number of people readmitted per group (not total readmissions per group).
Mortality rate among persons receiving transitional care interventions compared with usual care, by intervention category and outcome timing.
HF readmissions for transitional care interventions compared with usual care, by intervention category and outcome timing.
Weights are from random-effects analysis. HF = heart failure; MDS = multidisciplinary; RR = risk ratio.
Composite all-cause readmission or mortality for transitional care interventions compared with usual care, by intervention category and outcome timing.
Two home-visiting trials reported 30-day all-cause readmission rates. One trial evaluating a high-intensity home-visiting program found a lower risk for readmission among persons receiving home visits compared with the usual care group (RR, 0.34 [95% CI, 0.19 to 0.62]) (28). This intervention included a series of 8 planned home visits, the first within 24 hours of discharge. The other trial (20) assessed a medium-intensity intervention that included 1 telephone call within 7 days of discharge and 1 planned home visit within 10 days of discharge; this trial found no statistically significant reduction in all-cause readmissions (RR, 0.89 [CI, 0.43 to 1.85]). We concluded that high-intensity home-visiting programs (frequent home visits starting within 24 hours after discharge) reduce all-cause readmissions (low SOE), with an NNT of 6. Our SOE grade accounted for the consistency of similar interventions in reducing readmissions over 3 to 6 months (Figure 1). We also found low SOE for home-visiting programs in reducing the composite outcome at 30 days (Table 3) (28).
Four other trials across different intervention categories reported 30-day all-cause readmission: 1 STS trial (36), 2 telemonitoring trials (50, 52), and 1 trial of cognitive training (in persons with HF and coexisting cognitive dysfunction) (67). None of these interventions reduced 30-day all-cause readmission rates. One STS trial found no difference in the risk for 30-day HF-specific readmissions between persons receiving STS and those receiving usual care (36).
Both home-visiting programs and MDS-HF clinic interventions reduced all-cause readmissions over 3 to 6 months (high SOE; NNT, 7 to 9). The STS and telemonitoring interventions were not effective in reducing the risk for all-cause readmission (moderate SOE for both). Similarly, nurse-led clinic interventions were not efficacious in reducing the risk for all-cause readmission (low SOE). One trial found that patients with HF who had enhanced access to primary care after discharge (through a Veterans Affairs health care setting) had a higher risk for all-cause readmission than those in the control group (61). However, because we had limited evidence from a single trial and unknown consistency, we graded the evidence on increasing access to primary care as insufficient. Evidence was insufficient to determine whether primarily educational interventions were effective in reducing all-cause readmission.
Home-visiting programs and STS interventions both reduced the risk for HF-specific readmissions (moderate and high SOE, respectively; NNT, 7 to 14). Telemonitoring did not reduce the risk for HF-specific readmissions (moderate SOE). Evidence was insufficient about whether MDS-HF clinic interventions, nurse-led HF clinic interventions, or primarily educational interventions reduced HF-specific readmissions (1 trial with unknown consistency for each).
Few trials reported the composite outcome (all-cause readmission or death). Home-visiting programs reduced the composite outcome over 3 to 6 months (moderate SOE; NNT, 10). Structured telephone support, MDS-HF clinic interventions, and primarily educational interventions were not effective in reducing the risk for the composite outcome. We had insufficient evidence for nurse-led clinic interventions (58) and no evidence for other intervention categories.
Figure 2 presents our meta-analysis of trials reporting mortality rates stratified by intervention category and outcome timing. The following interventions reduced mortality compared with usual care (moderate SOE): home-visiting programs (NNT, 33), MDS-HF clinic interventions (NNT, 18), and STS (NNT, 27). Telemonitoring, nurse-led clinics, and primarily educational interventions did not reduce mortality (low SOE). Evidence for a reduction in mortality was insufficient for primary care interventions and cognitive training programs.
For most sensitivity analyses, results were similar to those of our primary analyses. Details and complete forest plots are available in the full report (10). We found 1 exception. When we added 3 trials rated as high or unclear risk of bias, the effect of home-visiting programs on mortality over 3 to 6 months was no longer statistically significant, although the estimates of effects were similar (RR, 0.85 vs. 0.77); however, the CI was less precise and crossed 1 (RR, 0.85 [CI, 0.68 to 1.05]). In no other cases did adding trials rated as high or unclear risk of bias significantly change the overall conclusions.
Current clinical practice for the care of adults with HF after hospitalization varies greatly (68). Our findings provide guidance to quality improvement efforts aimed at reducing readmission and mortality rates for persons with HF. Home-visiting programs and MDS-HF clinic interventions currently have the best evidence for reducing all-cause readmissions and mortality up to 6 months after an index hospitalization for persons with HF. We found little evidence on whether interventions reduced 30-day readmissions.
Trials included adults with similarities in age and New York Heart Association scores. Included trials commonly excluded persons with end-stage renal or severe cardiovascular disease; thus, results may not be applicable to persons with high levels of coexisting illness. The trials we examined were conducted in various inpatient settings, and more than half of included trials were done in the United States. Our findings are, therefore, generally applicable to many hospital settings in the United States.
Most trials compared an intervention with "usual care." Whether usual care in trials published during the early 1990s is comparable to current practice is not clear. In general, trials did not report on specific details of usual care. However, median rates of readmission in the usual care groups of included trials are similar to readmission rates among Medicare beneficiaries (5). It is not clear whether variation in usual care across trials is a major factor in the applicability of findings because current clinical practice in the care of adults with HF after hospitalization is diverse and readmission rates vary by geographic location and insurance coverage (68, 69).
We identified systematic reviews during our searches that were relevant to our key questions. Prior reviews differed in scope in that they either excluded readmission outcomes measured before 6 months or included trials that enrolled stable samples of patients with HF recruited from outpatient settings (70–72). In addition, other reviews used different categorization strategies, which may have led to different conclusions. For example, 1 recent systematic review and network meta-analysis found no statistically significant effect of remote monitoring interventions on mortality or all-cause readmission up to 1 year; this review also combined STS and telemonitoring (70). A 2009 Cochrane review found that "case-management" interventions (home-visiting programs and telephone support) reduced all-cause mortality at 12 months (but not at 6 months) and reduced HF-specific readmissions at 6 months and 1 year (71). The interventions included in our review were heterogeneous and could probably be categorized using various approaches. We classified them in a manner that we believe is descriptive and informative for physicians interested in interventions that could be implemented during the transition from hospital to home.
Potential limitations of our review include publication bias and selective reporting. We searched for unpublished trials and outcomes but did not find direct evidence of either type of bias. Many of the included trials were published before trial registries (for example, ClinicalTrials.gov) became available. Had we been able to consult such registries, we would have had greater certainty about the potential for either type of bias. Many of the included trials had methodological limitations introducing some risk of bias. Some trials did not clearly describe methods used for assessing readmissions, and methods for handling missing data varied. Finally, heterogeneity of outcome measures across trials (for example, different types of readmission rates) is a limitation. We addressed this (in part) by contacting authors for additional data on the number of persons readmitted per group (as opposed to total readmissions per group); 9 authors were contacted, and 5 provided additional data (26, 28, 30, 46, 58).
We identified important gaps in the evidence that future research could address. Future studies should evaluate whether interventions that reduce readmission rates over 3 to 6 months also reduce 30-day readmission rates and could directly compare 1 intervention with another (for example, home-visiting program vs. multidisciplinary clinic). We identified only 1 trial based in a primary care outpatient clinic. Given that many patients do not have access to specialty care (for example, in rural settings) or may prefer care based in primary care clinics, future studies should evaluate the efficacy of transitional care interventions in primary care clinics.
In summary, few trials reported 30-day readmission rates; 1 high-intensity home-visiting trial reduced all-cause readmission over 30 days (low SOE). At outcome timings over 3 to 6 months, home-visiting programs and MDS-HF clinic interventions reduced all-cause readmission and mortality; STS reduced HF-specific readmission and mortality but not all-cause readmission. These interventions should receive the greatest consideration by systems or providers seeking to implement transitional care interventions for persons with HF.
Terms of Use
The In the Clinic® slide sets are owned and copyrighted by the American College of Physicians (ACP). All text, graphics, trademarks, and other intellectual property incorporated into the slide sets remain the sole and exclusive property of the ACP. The slide sets may be used only by the person who downloads or purchases them and only for the purpose of presenting them during not-for-profit educational activities. Users may incorporate the entire slide set or selected individual slides into their own teaching presentations but may not alter the content of the slides in any way or remove the ACP copyright notice. Users may make print copies for use as hand-outs for the audience the user is personally addressing but may not otherwise reproduce or distribute the slides by any means or media, including but not limited to sending them as e-mail attachments, posting them on Internet or Intranet sites, publishing them in meeting proceedings, or making them available for sale or distribution in any unauthorized form, without the express written permission of the ACP. Unauthorized use of the In the Clinic slide sets will constitute copyright infringement.
Cardiology, Hospital Medicine, Heart Failure.
Results provided by:
Copyright © 2016 American College of Physicians. All Rights Reserved.
Print ISSN: 0003-4819 | Online ISSN: 1539-3704
Privacy Policy
Conditions of Use
This PDF is available to Subscribers Only


text:
The following video is from Friday's Motley Fool Money weekly roundtable discussion with host Chris Hill, as well as analysts Ron Gross, Charly Travers, and Joe Magyer.
In this segment, the guys share why they're taking a long look at shares of Comtech Telecommunications (NASDAQ: CMTL ) , Burger King (UNKNOWN: BKW.DL ) , and McDonald's (NYSE: MCD ) .
After making investors rich in 2011, McDonald's has been one of the worst performing blue-chip stocks this year. Our top analyst on the company will tell you whether you should be worried by this trend, and he'll shed light on whether McDonald's is a buy at today's prices. Click here now to read our premium research report on the company.


text:
That would be P, as in ... angry.
The Orange let Maine execute and recover two onside kicks. It saw the Black Bears execute two fake punts and collect first downs. Two of those plays led to Maine touchdowns and a 17-13 lead at halftime.
"We didn't play well. We've got to play better," Casullo said. "I told them all week they were going to do that, and they did it. We were poor. I was a bad coach. They were bad players. That's what happens, when you've got bad coaching and bad plans. Move on."
Casullo said the Orange special teams were prepared for all the tricks Maine threw out. That the Orange did not respond left their coach disappointed … if not miffed.
"That's OK. It's on me. It's on me. I need to do a better job. I didn't do a good job," Casullo said. "Obviously, they didn't believe me. So I need to do a better job and make them believe me. When you play a team like that, trickery is what they do. We were totally outplayed on special teams."
Adding insult to injury was the final onside kick that Maine recovered with less than 10 seconds left.
"That was icing on the cake," Casullo said. "Bad day, got worse. Bad. Just bad. Bad. Nothing else you can say."
Syracuse All-Big East Conference defensive tackle Arthur Jones sustained what the school said was an upper leg injury. Jones left the field in the first quarter and went to the locker room. He returned to play briefly in the second quarter before removing his helmet and watching the rest of the game from the sideline.
Syracuse head football coach Doug Marrone said after the game he could not update the condition of Jones.
"To be honest, I tired to come out here so fast so you guys wouldn't be here late," Marrone said. "I didn't even stop in the training room. That's the truth.
"(During the game), they just tell me, in or out. I don't ask any questions. Is he in? Is he out? How long is he out for? Is he in or out? He's out. Move on. It's either play or go."
Former Christian Brothers Academy wide receiver Marcus Sales never got to catch a touchdown pass from Greg Paulus, the former star of the Brothers. Paulus had graduated by the time Sales got to the varsity.
Paulus and Sales are now teammates at Syracuse. On Saturday night, they hooked up for a 17-yard touchdown pass in the third quarter.
Marrone said that Sales "stepped up and made a big play for us, and it was good to see that. We're going to need players to step up for us."
Sales said he knew the play was designed for him when he went into the game.
"I felt like I had to make the play," said Sales, who has two catches now for the season. "Whatever I can do to help the team, that's what I'm all about."
Syracuse linebacker Doug Hogue's old tailback personality took over when he intercepted Maine quarterback Warren Smith in the second half. With nothing but open field, Hogue made a beeline for the goal line.
A Maine tackler entered the picture and Hogue's linebacker side re-emerged. Instead of cutting back to his right, Hogue tried to run over the Black Bear player. Didn't work.
Still, it set up Syracuse's third touchdown of the second half.
"Ahhhhhh. I've been hearing about it since the locker room," said Hogue over his decision not to cut it right. "I was just so hyper, so crazy, while I was running the ball. Maybe next time."
Syracuse converted just one of eight third-down plays against Maine. It proved to be important. On third-and-3 from the 37 late in the third quarter, Paulus hit Mike Williams with a 20-yard completion. On the next play, Paulus tossed his touchdown pass to Sales.
Marrone said he was disappointed with the team's continued struggles on third down. For the year, Syracuse is now 9-of-45 on third-down conversions.
"That's something I have to do a better job with," Marrone said.


text:
Eleanora Grace Lee
Jeremy and Charisa (Langlie) Lee of Richville are happy to announce the birth of their daughter, Eleanor Grace Lee, born Dec. 31, 2013.
She weighed 7 pounds, 13 ounces and was 20-1/2 inches long. She was delivered by Dr. Jaimie Deraney and Dr. Ilene Reed at Perham Health.
Eleanora is welcomed home by Garrett (10), Trenton (8) and Margaret (6).
Grandparents are Steve and Jan Langlie, Bismarck, N.D.; Mike and Bernie Lee, Kasson, Minn. Great-grandparents are Ed and Grace Langlie, Dent; Bernice Laughlin, Perham; and Patricia Swarthout, Rochester, Minn.


text:
Travel Guide Asia Malaysia Selangor
Selangor is a state in the central region of Peninsular Malaysia. The state surrounds the nation's capital, Kuala Lumpur. In fact, Kuala Lumpur was formerly also the state capital of Selangor until 1978, four years after the area was ceded to the Federal government. Shah Alam has since been declared the new state capital.
The main airport is situated in south Selangor, see Kuala Lumpur International Airport.
We don't currently have any Travel Helpers for Selangor
This is version 5. Last edited at 9:03 on Jun 1, 11 by Utrecht. 9 articles link to this page.
Except where otherwise noted, content of this article is licensed under a Creative Commons Attribution-ShareAlike 3.0 License


text:
RFE: Conference Listings
This service is a joint project of RFE and EconBiz.
Centre for International Macroeconomics and Finance (CIMF), University of Cambridge
- Dates:
- November 28-28, 2008
- Description:
- Forecasting Under Model Instability
- Location:
- Cambridge,Trinity College, United Kingdom
- Subject:
- Programme:- Data-Based Ranking of Realised Volatility Estimators- Bayesian Forecasting using Stochastic Search Variable Selection in a VAR - Forecasting with Equilibrium-correction Models during Structural Breaks- Forecasting Inflation by an Autoregressive Model with a Shifting Mean- Small Sample Properties of Multistep Forecasts in the Presence of Location Shifts- Multivariate Methods for Monitoring Structural Change- Forecasting Random Walk under Drift Instability[gem?_?? den Informationen des Anbieters - according to site editor's information]The website is no longer available.[Redaktion EconBiz - editors EconBiz]
- Notes:
- JEL Code:
- Sponsor:


text:
This deal has ended.
Exclusively for our readers, these Soft-Fit Women's Fleece Lined Tights, regularly $19.99 each, drop to $15.99 for two pairs with our exclusive code BRADDEAL at Footsmart through 12/15. Shipping adds a flat-rate of $3.99. Even with shipping, this is the lowest price we could find for this quantity by $20. They are available in black or brown, in sizes S-L, and you can mix & match. There is no sales tax (except GA, NC, TN, KY and IN).No longer available


text:
This looks great, the hair and make-up looks perfect for Esmerelda ^^
Hair and makeup look Perfect! :)
The hair and make up is perfect :D you look so much like her!
Love the make-up photo!
You look just like her!
Can't wait to see it complete. I watched the film for the 100th time last night, haha.
The hair and makeup look spot on!


text:
Member Since: August 03, 2012
[8] November 30, 2014 at 12:28pm
Yes. SHAME on you, and hardly the way Christ would have conducted himself. These girls are not bad, incompetent girls. They're teens, and you can't even give them a break from your Obama bashing. Sooooo unChrist-like. A real pastor wanting to spread God's message wouldn't come on sites like this criticizing God's children. You should be utterly ashamed of yourself.
[-11] November 30, 2014 at 12:15pm
She should walk back her original comments. They were disgusting and unfair, and her bias is showing. This writer never wrote anything regarding the far more inappropriate behavior of the Bush twins. And, if you look at the children, young and old, of sitting Presidents over the past 50 years or so, you'll find that inappropriate and bad behavior by far comes from children of sitting Republican Presidents, not Democratic ones. That being said, ALL children of sitting Presidents should be off-limits in regards to criticism.
November 28, 2014 at 11:17pm
Nab – It's racism pure and simple. The only reason Ana made the statement that the woman was "apparently unemployed" is because she was a "pregnant black female". There was nothing in the article about her being unemployed. It was an unquestionably racist comment, and so much so that no other Blazer has come to Ana's rescue but you, which isn't surprising.
[-3] November 28, 2014 at 11:42am
Ana – "apparently unemployed"? Where in this article did you read this? You didn't because it's not in there. Honey – your racism showing, and it's ugly.
November 26, 2014 at 2:02pm
During this week of thanks and gratitude, even hearts like yours tend to melt a tad bit. I'll pray that yours does a full-on defrost, just like my Thanksgiving turkey is doing in the fridge.
In reply to kickagrandma's comment on the story Supreme Court Justice Ruth Bader Ginsburg Undergoes Heart Surgery
November 26, 2014 at 10:15am
So climate scientists should do nothing? Do you have the same advice for medical scientists? Should we not try to "manage something that He designed and created", such as disease research, medication usage and medical intervention? We play God every single day in a variety of ways. This is one of the things that distinguishes humans from less intelligent life.
In reply to moreteaplease's comment on the story Scientist 'Terrified' About Experiments He Himself Created to Curb Global Warming
[4] November 26, 2014 at 10:47am
lock_n_load responded:
November 26, 2014 at 12:15pm
BengalTigger responded:
[1] November 26, 2014 at 5:50pm
DSTSS2010 responded:
[1] November 25, 2014 at 3:49pm
Dad – Chicago riots – 1964, 1966, 1968, 1969
[3] November 25, 2014 at 3:45pm
Deport Americans? Sounds unAmerican and unConstitutional to me.
[1] November 25, 2014 at 2:42pm
Beck does everyone a disservice by playing upon fear instead of clear understanding of the wider situation. Despite the horrors of violence we are seeing on TV, we must remember that there are many more people peacefully protesting than are violently protesting. There are many more people calling for calm than for violence. There are many more people praying that real justice and truth will prevail than there are praying for unfounded indictment. There are many more people working together to create cultural harmony and balance than there are working to create fear and separation. The cultural divide is not nearly as deep as in our historical past, and this is the information we need to spread in order to move forward. Not the misleading fear and divisiveness trumped up by the likes of Glenn Beck.
November 25, 2014 at 2:03pm
Exactly. As a mother who breast fed all of my children, I understand this just as well as she does, and I think in this case she's playing the victim. Because she pumps, that most likely means her child takes a bottle, therefore, she should have had no problem pumping enough milk beforehand in order for her child to have several reserve bottles to be fed during her ten hour test. And, if build up is a problem, expressing during the lunch hour is possible. It's not ideal, but it's doable. When my kids were babies, they accommodated to my schedule, not the other way around. In turn, I believe that's why they are some of the most well-adjusted and unspoiled children I know. Her kid's health won't be ill-affected by being fed a days-worth of reserved bottled breast milk or formula.
[1] November 24, 2014 at 11:25pm
Vesties – There still is absolutely no way to prove that what you believe you have experienced is God. Its impossible. It's God to you, but your experiences don't and can't prove God exists.
[-2] November 24, 2014 at 6:35pm
Vesties – There is absolutely no way to prove the existence of God, just as there is absolutely no way to disprove the existence of God.
November 24, 2014 at 6:27pm
The Fisher House is an amazing charity, serving some of the most deserving Americans. Last year the President and First Lady gave over $100,000.00 to The Fisher House. Happy to see Beck mention that the President annually supports this great charity.
In reply to LIRight's comment on the story Do You Know the Inspiring Story of How the Fisher House Foundation Began?
[-36] November 21, 2014 at 5:31pm
Except that the President IS NOT from Africa. He's an American. Not surprising though that some Blazers will agree with this idiot's hatred (idiot being the key word here since he's not very bright to put up such a sign.)
In reply to whatisthatvelvet's comment on the story Outdoor Sign Linking Obama, AIDS and Ebola Removed Just Hours After It Went Up — but Social Media Damage Was Already Done
[20] November 21, 2014 at 5:33pm
hawkeyez responded:
[3] November 21, 2014 at 5:36pm
Rob responded:
[23] November 21, 2014 at 5:36pm
Gumpsdad responded:
[20] November 21, 2014 at 5:42pm
rayvet responded:
[7] November 21, 2014 at 5:45pm
foobared responded:
[6] November 21, 2014 at 5:49pm
MN NICE responded:
[17] November 21, 2014 at 5:57pm
gauge responded:
[11] November 21, 2014 at 6:19pm
1FreeVoice responded:
[17] November 21, 2014 at 6:20pm
foobared responded:
[5] November 21, 2014 at 6:59pm
jakartaman responded:
[3] November 21, 2014 at 7:39pm
baddham responded:
[5] November 21, 2014 at 8:28pm
teebubba responded:
[3] November 21, 2014 at 8:43pm
liesnomore responded:
[8] November 21, 2014 at 8:49pm
SillyGoose responded:
[2] November 21, 2014 at 10:25pm
Jeninfl responded:
[6] November 21, 2014 at 10:36pm
WorldWildWalker responded:
[2] November 21, 2014 at 10:45pm
rob_pompolit responded:
[1] November 21, 2014 at 11:13pm
Cephisus responded:
[4] November 21, 2014 at 11:53pm
TexasKnight responded:
November 23, 2014 at 12:39am
TEXASGRANNY73 responded:
[-4] November 21, 2014 at 9:34am
And lucky for you, you can announce your sexuality without one ounce of backlash coming your way. Not so for homosexuals who want to make the same announcement about their sexuality. Why the double standards?
In reply to lightningbuc's comment on the story 'I'm Born Again Today': Two Country Music Stars Reveal That They Are Gay
[8] November 21, 2014 at 10:14am
SLAPTHELEFT responded:
[8] November 21, 2014 at 10:28am
Zipit responded:
November 21, 2014 at 10:37am
Professor_Physika responded:
[3] November 21, 2014 at 12:11pm
Zipit responded:
[4] November 21, 2014 at 12:26pm
Kalidor835 responded:
[6] November 21, 2014 at 12:34pm
AvengerK responded:
[8] November 21, 2014 at 2:00pm
Neutral_Citizen responded:
[2] November 21, 2014 at 4:02pm
blinknight responded:
[2] November 21, 2014 at 5:13pm
TheGrtDcptn responded:
November 22, 2014 at 11:29am
blinknight responded:
November 22, 2014 at 12:56pm
TheGrtDcptn responded:
November 23, 2014 at 1:16pm
blinknight responded:
[-3] November 21, 2014 at 9:09am
Your assertion of how President Obama views illegals is just not true, is it? Here are the President's words from last night:
"Are we a nation that educates the world's best and brightest in our universities, only to send them home to create businesses in countries that compete against us? Or are we a nation that encourages them to stay and create jobs, businesses, and industries right here in America?"
In reply to 5th generation american's comment on the story Republicans Have Three-Month Window to Figure Out How to Fight Obama's Immigration Plan
[1] November 21, 2014 at 9:32am
Zipit responded:
[1] November 21, 2014 at 9:42am
foobared responded:
[1] November 21, 2014 at 10:32am
Indagila responded:
[-1] November 21, 2014 at 4:06pm
Sargeking responded:
[1] November 20, 2014 at 8:36am
I've never thought of his films as being disturbing and artsy. Working Women, Remains of the Day, Charlie Wilson's War? Good movies but hardly disturbing and artsy. Maybe there are a few artsy ones I don't know of, but it's hard to imagine any of them as disturbing. I'd like to know which ones affected you so.
In reply to csehlmeyer's comment on the story Legendary Hollywood Director Mike Nichols, Husband of Diane Sawyer, Dies at 83
November 19, 2014 at 3:05pm
Rob Pompolit – according to your qoute "Bottom line. — If a group is against Christmas. Then it is 100% evil then. To profit from it." Well, quite a few of the "nice" businesses who's Christmas advertising is rated highly by the AFA are Jewish owned and are thus "profiting" from a holiday they don't celebrate and believe in. Just to name a few:
TJ Maxx
Niemien Marcus
Old Navy
JoAnn Fabrics
Hope you don't shop in these "evil" Jewish-owned stores who's owners have decided Christmas is just too tempting not to make a profit off of.
In reply to Sosorryforyou's comment on the story 10 Supposedly 'Naughty' Companies That Are Censoring 'Christmas'
[1] November 19, 2014 at 12:39pm
SDR – I'm sorry to inform you, but many of the "nice" businesses are Jewish-owned, and therefore their owner's beliefs do not necessarily line up with your biblical beliefs and/or values, and are just spreading the "Christmas joy" though their advertising for purely financial reasons.
In reply to Sosorryforyou's comment on the story 10 Supposedly 'Naughty' Companies That Are Censoring 'Christmas'
[2] November 19, 2014 at 10:22am
So, a Jewish-owned business should go all-out "Christmas" while seeking "biblical truth"? Funny, more than half of the bible supports their "biblical truth", not yours. They celebrate Hannaka this time of year. THAT'S their biblical truth.
In reply to servant100's comment on the story 10 Supposedly 'Naughty' Companies That Are Censoring 'Christmas'
[1] November 19, 2014 at 10:41am
HOLD_THE_LINE responded:
Thanks for the tip!
Submitting your tip... please wait!