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Thanks for joining us on PennLive for the live blog of the District 3 Girls Lacrosse Championship
6:52 p.m.: Final from Lower Dauphin: Cumberland Valley 19, Kennard-Dale 12. The Eagles are headed to the PIAA playoffs.
6:30 p.m. - Maryn Bernhardt with 4 goals for Manheim Twp., while Sarah Svetec and Elizabeth Petrosky each added 3. Paige Brown with 5 goals for LCD.
6:30 p.m. - FINAL: Manheim Twp. 15, Lancaster Country Day 12. The Blue Streaks win their sixth straight District 3 Girls' Lacrosse Championship.
6:27 p.m. - Big save from MT goalie Mimi Curtis with 2:15 left, MT killing clock now.
Girls Lacrosse up 16 - 9 with 7:30 left in game.— CVSD Athletics (@CVSDeagles) May 22, 2014
6:23 p.m. - Timeout for Lancaster Country Day after MT's Sarah Svetec scores her 3rd goal of the game with 2:58 remaining. SCORE: Manheim Twp. 14, Lancaster Country Day 12.
6:20 p.m. - Maryn Bernhardt scores her 4th goal of the match with 4:29 to play. SCORE: Manheim Twp. 13, Lancaster Country Day 12.
6:13 p.m. - Elizabeth Petrosky with the hat trick to give MT the lead back. SCORE: Manheim Twp. 12, Lancaster Country Day 11 with 9:42 left.
6:09 p.m. - Hannah Wertz with second goal of the game on a restart. SCORE: Manheim Twp. 11, Lancaster Country Day 11, 13:43 left.
6:07: Lancaster Country Day regains the lead on a goal from Caroline Kolva. SCORE: Lancaster Country Day 11, Manheim Twp. 10 with 14:24 left.
6:04 p.m. - Paige Brown ties it for Lancaster Country Day. Her fifth of the match. SCORE: Lancaster Country Day 10, Manheim Twp. 10 with 17:16 left.
6:02 p.m. - Manheim Twp. answers back as Maryn Bernhardt takes a centering pass from Elizabeth Petrosky. SCORE: Manheim Twp. 10, Lancaster Country Day 9 with 18:28 left.
6:00 p.m. - Paige Brown with her 4th goal of the game. SCORE: Lancaster Country Day 9, Manheim Twp. 9 with 19:45 to play. Three-goal for LCD to start the half.
5:57 p.m. - Lancaster Country Day has scored the first two goals of the second half, Kelly Daggett and Lindsay Socie. SCORE: Manheim Twp. 9, Lancaster Country Day 8 with 20:45 left in second half.
Girls Lacrosse up 11 - 5. 22 minutes left 2nd half.— CVSD Athletics (@CVSDeagles) May 22, 2014
5:51 p.m.: At the half at Lower Dauphin MS, Cumberland Valley leads Kennard-Dale 9-5 in the District 3 girls' third-place game. The winners qualifies for states, while the loser will be done for the season.
5:43 p.m. - First-half scoring recap: Maryn Bernhardt, Sarah Svetec and Elizabeth Petrosky all with 2 goals each for Manheim Twp. For Lancaster Country Day, Paige Brown leads with 3 goals.
5:42 p.m. - Halftime: Manheim Twp. 9, Lancaster Country 6. The Streaks trailed 6-5, then closed the half with a four-goal run for their largest lead of the game.
5:34 p.m. - Hannah Wertz on the restart for MT to tie it at 6, followed by a goal from Elizabeth Petrosky. SCORE: Manheim Twp. 7, Lancaster Country Day 6, 4:33 left in half.
5:31 p.m. - Taliah Carson scores on a restart with 7:20 left in half. SCORE: Lancaster Country Day 6, Manheim Twp. 5.
5:25 p.m. - Lancaster Country Day calls timeout as Sayde Walker scores on a restart for Manheim Twp. with 10:54 left in the first half. Three-goal run for Streaks. SCORE: Manheim Twp. 5, Lancaster Country Day 5
5:22 p.m. - Maryn Berhnhardt and Sarah Svetec score 48 seconds apart as Manheim Twp. draws within 5-4 of Lancaster Country Day with just over 12 minutes left in the first half.
5:15 p.m. - GOAL - Paige Brown with her third goal of the half and LCD is up 4-2 in the midst of a three-goal run with 15:14 left in the half. Then, Kelly Daggett follows off a restart to give Cougars a 5-2 lead, prompting a Streaks timeout with 14:57 left in half.
5:13 p.m. - MT with a goal disallowed on dangerous follow through to the head and MT's Hannah Wertz sent off for 3 minutes with yellow card.
5:11 p.m. - Two goal run for Lancaster Country Day. Goals from Paige Brown and Bridget Umble have the Cougars up 3-2 with 17:15 left in first half.
5:08 p.m. - Both teams trade goals. LCD's Paige Brown tied it at 1 only to have Manheim Twp.'s Sarah Svetec scored 14 seconds late. SCORE: Manheim Twp. 2, Lancaster Country Day 1 with 19:15 left in first half.
5:04 p.m. - GOAL - Manheim Twp. on the board as Maryn Bernhardt scores from Sarah Svetec. SCORE: MT 1, Lancaster Country Day 0
5:02 p.m. - MT goalie Mimi Curtis with an early save on Caroline Kolva restart
4:54 p.m. - We're about five minutes from the opening draw between Manheim Twp. and Lancaster Country Day. The Blue Streaks are going for their sixth straight district title.
Welcome to PennLive's live blog of the 2014 District 3 Girls Lacrosse Championship. Tonight's action gets underway at 5 p.m. from Hersheypark Stadium as Manheim Twp. takes on Lancaster Country Day in an all-Lancaster-Lebanon League final.
The Blue Streaks are going for their sixth straight district championship, while LCD/Lancaster Catholic is making its first ever finals appearance.
Regardless of tonight's result, both teams will be heading to the PIAA Girls Lacrosse Tournament, which begins May 29. Make sure to refresh this page often as the latest information appearing at the top of the page.
We'll also look to keep you updated on tonight's District 3 third-place/PIAA qualifier game between Mid-Penn champ Cumberland Valley and Kennard-Dale.
District 3 Girls Lacrosse Bracket


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The MLive posts about the Little River Band of Ottawa Indians' proposed casino project update -- essentially, blaming Gov. Rick Snyder for not allowing the tribe's plans to proceed to the federal government for consideration -- generated much reaction from online commenters. The posts are: Tribe takes Gov. Rick Snyder to task for holding up Fruitport Township casino project and, the earlier post, Little River Band leaders blame Gov. Rick Snyder for holding up proposed Fruitport casino.
Several commenters called on Snyder to sign off on the project, while others contended that gambling is not the answer for the economic difficulties in Michigan and the area.
Commenter supportkl supports the casino project moving forward:
C'mon snyder, sign this thing already so we can get this muskegon casino opened asap.......please !
Commenter littlemissxmas points out it would just replace a former gambling facility:
What is the difference if it is a race track or a casino? The casino would actually bring in more money and have many more jobs for our community. They both are gambling. Wouldn't it be nice to actually have our family stay where they are born instead of having to move away because our government could care less if anyone has a job just as long as they do.
Commenter castro claims the casino will not revitalize the Muskegon-area economy:
I support the Governor. They already have a casino in Manistee. This is pure greed on the Tribe's part. I am sorry people, but gambling is not going to revitalize our economy. There are too many examples to make my point. I am not speaking from a moral point of view, purely economical. Keep in mind Muskegon residents have carried Little River for years, they should invest in retail and other developments for that reason along. Tribes need to diversify their investment and not solely rely on gambling.
Commenter Tom Jefferson is against the idea morally of a gambling facility:
I could never support more gambling. I had a former employee who stole money in order to feed her gambling habit--now she is in jail for 2 years, lost her husband via divorce, and custody of her children until the cows jump over the moon. Yes, a lot of people are lured by gambling and so they have a motive to visit a casino. But it takes motive and opportunity and by limiting casinos we are limiting opportunity.
What do you think? Join the conversation.
Don't have an MLive account? Register here.

subset: commoncrawl


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ADHD Cases On The Rise, Data Suggests [AUDIO]
It's becoming more and more common. In fact, about one in five high school boys has been diagnosed with attention deficit hyperactivity disorder, or ADHD.
That's about 11 percent of all school-aged children according to recent data from the Centers for Disease Control and Prevention.
Why the increase?
"First and foremost, we're seeing a greater recognition of the range of severity of ADHD," said Dr. Lawrence Laveman, Neurodevelopmental Pediatrician at Children's Specialized Hospital. "There is greater and greater recognition of children with milder forms of ADHD as well as a greater recognition of the more inattentive, rather than physically active form, of ADHD. Both of those are coming into play."
ADHD Awareness Increasing
Medical professionals also are finding that ADHD often goes along with other conditions.
"We often see symptoms of ADHD in children with learning disabilities and other issues and we're looking more and more at the fact that ADHD may go along with certain conditions and that's not something that we knew about before," said Dr. Laveman. "Schools also are becoming more and more aware of the condition and the need for support for children with ADHD."
The data shows that 15 percent of school-age boys have received an ADHD diagnosis compared to 7 percent in girls.
Why is ADHD More Common in Males?
"It's very common in the field of child development for boys to have a greater prevalence of developmental conditions than girls. Learning disabilities are more common in boys, autism is more common in boys as are language disorders," said Dr. Laveman.
When it comes to an ADHD diagnosis, helping the child does not mean medication alone.
"Medication alone is not the strategy. It's very important for parents to receive effective training to learn how to manage the home aspects of ADHD. It's also important for teachers to have training so they provide the child with the necessary supports in the classroom to make them more successful academically," said Dr. Laveman.


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Participation in a Medical Clinical Trial: One Man's Story
Linnie Frank Bailey | 10/20/2010, 12:14 p.m.
For Marvin Jackson, getting advanced treatment for prostate cancer was a matter of life and death. Jackson (not his real name) was just 52 years old when the sore shoulder he had been nursing for months turned out to be prostate cancer that had metastasized to his bones.
"I really wasn't having any symptoms except for my shoulder, which kept getting more and more sore," he said, describing the pain that eventually got him to visit a doctor. "The doctor and I thought it was a golf injury or at worst arthritis. He was just as surprised as I was."
Like many men his age, Jackson had not been to a doctor in years. Still, at 52, he was considered young for such an advanced stage of the disease. After delivering the wrenching diagnosis of Stage 4 cancer, the doctor told Jackson to seek treatment from a medical facility beyond his southern California suburb.
"He told me not to even consider local treatment," he recalls. "He told me "you need to go to a university or somewhere where advanced treatment is being offered," he even mentioned Atlanta or Texas."
As a father of two, and the breadwinner for his family, Jackson knew traveling out-of-state would be a problem. The doctor ended up referring him to the University of Southern California (USC) Norris Cancer Institute in Los Angeles, some 50 miles from his home. It was at the Cancer Institute that Jackson first learned of clinical trials that he might be eligible to participate.
The first trial he was recommended for did not materialize because it was too painful for him to lie on the machine for a required scan. However, after radiation shrunk the shoulder tumor, he felt much better and was accepted into another trial for a drug designed to prevent bone metastases in prostate and breast cancer patients.
Participation in a clinical trial is often presented as a 'last hope' for patients with advanced disease, however, Dr. Claudia Baquet, Associate Dean and Principal Investigator at the University of Maryland Medical School stresses that there is a difference between clinical research and clinical treatment or care.
"Clinical Care is to treat an individual patient," she says. "A Clinical Research Study, or trial, is to gain knowledge that can be generalized to groups of people."
When Jackson was presented with a clinical trial option he accepted because the risks seemed low and the benefits positive. He says, "On TV you always see cancer patients turning to some experimental drug for their last hope, and usually the drug doesn't save them. However, with a clinical trial you have to make a decision to try to help save multiple lives. Maybe, if you're lucky, it will help you too."
Participation in the trial requires Jackson to make the 100-mile round-trip trek to the Cancer Institute for monthly injections of the drug that is being tested. This is in addition to regular visits to various doctors at the center. For the trial, he must also fill out long questionnaires, undergo scans and blood tests, and be interviewed each time he visits.
He admits that participation in the trial could be hard for most people. "It's normally an all day process at least once a month," he says, adding, "It's easy for me because I'm self-employed and I work from home. I have the advantage of not having to tell a boss or co-workers I'm receiving cancer treatment.
Most employees would have to let their boss know why they need the time off and with the bad economy people don't want to seem expendable. Then there is the transportation issue. Not everyone can easily travel long distances on a regular basis."
Dr. Baquet says economic and travel issues are not the only reasons African-Americans participate in clinical trials in low numbers. Some suffer from too many underlying diseases--such as hypertension and diabetes--that make them ineligible for research. Others distrust the medical establishment and cite past racial abuses, particularly the Tuskegee experiments from the 1940's through the 1960's, where unsuspecting black men were given syphilis against their knowledge.
Still, researchers like Dr. Baquet agree there is a growing need for African-American participation to study new drugs and treatments. There is now an Informed Consent process where U.S. law requires patients be given all necessary details prior to participation.
Jackson feels comfortable he has received all pertinent data on the trial. He knows his study does not involve a 'placebo' or inactive drug. He says he is not sure how much the drug has helped prolong his life. His initial diagnosis was 18 months, but that was three years ago. He is also happy that he is pain free and has not needed chemotherapy.
When asked why he agreed to participate in a clinical trial Jackson summed up his feelings, saying, "to be honest, my initial thought about being in the trial was that I probably wouldn't make it, but this drug might help somebody else. However, I'm still here and feeling great and maybe this drug has helped me."


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|Photo: Nick Muzik
Fast forward to departure day and I've got a borrowed GPS with waypoints loaded (thanks William!), a bag full of Tailwind, assorted freeze-dried meals (lucky REI deliver fast!), and almost all my compulsory gear. Inevitably, despite packing the kitchen sink .. I still managed to forget my 2L hydration bladder. Gah! Cue emergency FB post and a slew of helpful and not-so-helpful responses ;) (How on earth would I have time to make a water bottle out of dried gourd!? But the sentiment was appreciated.)
There's a list of them here: http://utg.xuanzang.com.
The organisers really pulled out all the stops for this first event, with over 150 volunteers, a sophisticated tracking system, a full-on cultural programme and a dedicated team of bilingual guides like Xiaozhao and Yuan Yuan, who made sure we were well looked after.
|Tracking system demo
|Heart medicine
|Photo: Nick Muzik
|Super organised!
Our flight from Beijing to Dunhuang was hilarious, from being late, losing Erik, the Red Bulletin photographer, getting to the check-in desk with minutes to spare, and Ryoichi's huge bag of assorted food getting us stuck at the airport security check, resulting in a supermarket sweep-style trolley dash from one end of the terminal to our gate. That's the fastest I'd be running for the next 6 days!
|Japanese ultra contraband
|Made it on the bus with seconds to spare!
|Obligatory camel selfie
|The African Attachment - their work is never done!
|Betsy prepping her pack
|Photo: Nick Muzik
|The last supper
|Jim's (left) design - a convertible sleeping bag jacket
|Selfie at the start!
|Photo: Nick Muzik
I notice my arrow is pointing left when runners seem to be headed right, so I ask a nearby runner with a yellow windbreaker what his GPS says. It's pointing right, and I see Janet headed in the same direction. She's just done PTL and should have a good idea of where she's going, so I decide to follow. Not an auspicious omen getting the wrong route so early on!
The checkpoint is not far ahead, water stops and time checks are every 15km or so, and I stop to check my GPS. I randomly press a few more buttons and realise I wasn't even on the saved course earlier. I'll get the hang of this eventually!
|First sunrise
|New trail friends - Ryoichi and Zhijian
I'm happy shuffling along with the other 3, but generally I'm not used to running with anyone for long periods of time. I don't like the pressure of feeling I have to keep up or that I might be slowing them down, and wonder when my pace will eventually be too slow for those around me.
|Janet and Zhijian lead the way
My main aim for this race was to run easy, stave off injury for as long as possible (shin still not feeling 100%), and have a great time. i figured if I could have at least the first 3 days injury free, then I could knuckle out the rest.
R1 (CP3), the first rest stop, comes quickly at 35.5km, and we don't stay long. Just a quick refuel and out again. Janet has trotted along ahead, looking strong as usual and Ryoichi keeps pace with her.
Allan Lee joins us not long after, and our little group makes steady progress. We're all in good spirits and I try to take pictures along the way to remind me of what the journey was like. The aim is to get to R3 (CP9), at 103.6km before we get some sleep.
|Tired volunteers
|Passing through a score of cotton fields
|First sunset
After a restless night, we don't actually leave till about 8am. Ryoichi's already set off, and Allan's stomach troubles are worsening. I give him some Tailwind and tell him to take nothing else. It's similar to oral rehydration formulas and should help keep his energy levels up.
|Photo: Nick Muzik
|Camel toes ..
We get to a wide river mouth and it looks like the way forward on our GPS'. There's a small shaded corner that we sit down at for a little respite before moving on .... and bumping into Ryoichi again! The poor man looks spent, and tells us he's been lost for hours. "That mountain .." he gestures behind him, "I climbed it!" It would've been funny if not for the fatigue on his face! Still, he's smiling as usual and gratefully accepts water from us as he's run out. We assure him we're not far from R4 and the rivulet streams have some lovely cold water that helps refresh us a little. We pick up the pace a little when we're suddenly surrounded by a couple of photographers and videographers. They don't say anything to us but chase ahead every hundred meters to get a shot. We must be close!
|"That mountain ... I climbed it!"
We find CP13 (153.2km) without too much difficulty, but it's dark, cold and very windy now. The CP staff bundle us into their personal tents to get out of the wind, and we take the chance to get some calories in as well as put on our down jackets. It's funny watching Ryoichi trying to fold his lanky limbs into the tent, but once we're all squashed in, it's toasty warm and the 5 minutes respite is very welcome.
Back out into the wind, the grassland gives way to uneven dry riverbed and small creeks, all of which make it more difficult underfoot. We're climbing gently, and it seems to take forever to get to CP14 (165.1km). There's a flashing beacon which we head towards, where our GPS says the CP should be, but it really takes an age to get to, and the gale force winds are relentless. We're knackered by the time we arrive at CP4, and this time we're each bundled into separate tents, where the CP volunteers keep checking to make sure we're ok. Honey roast macadamias, peanut M&Ms and wine gums are my current fuel of choice, a little incentive to get to each CP in the freezing wind. It's taken us over 7h to cover 24km from R4. There's just over 11km to R5, where the promise of shelter and another dropbag with potential goodies is waiting. We decide that we'll probably sleep at R5 instead, and aim to get there in 3h or so, and we set out from CP14 sometime before 1am.
We're advised to keep the river gorge on our left, and follow it till we're meant to cross. Due to the temperature drop and the rising water, an SUV will ferry us across. The earlier runners had to wade across, but we're told not to as it's now too dangerous. The temperature has dropped below freezing, and the wind is biting into us as we make our way forward. Three hours in a relatively straight line, what could possibly go wrong?
I lead the way, and Zhijian is grumpy but I'm not sure why. We're moving forward with the GPS arrow, and everything seems fine till we come to a sharp drop. There's nowhere to go - too steep to go down into the river bed, which is looks a good 300m+ drop into and inky abyss. Zhijian didn't agree with my navigation and hence the grumps. I said he should speak up if he felt there was a problem - no sense in cutting your nose off to spite your face. Ryoichi has resigned himself to following faithfully. He's so tired that I worry he'll fall off the cliff and make sure he stays away from the edge. The wind and cold are sapping our energy and we backtrack to find another way. We end up back at CP14 (having wasted almost an hour), and double check our directions. The CP chief says we should take the inner road, keep the general direction and we should find our way. We can't go the original GPS route as that would take us via the river which is now too dangerous. Great. Here we go again.
I ask Zhijian to take the lead this time, but he's leaving it to me, although he does promise to speak up if he thinks I've got it wrong. I realise he's pretty tired and his usually sunny disposition is has gone into hiding. I'm not tired - the 200ml of Coke from my dropbag in R4 is keeping me wide awake, and I try to take the easiest route possible, given Ryoichi looks like he's about to keel over from fatigue at any time too.
We're climbing up and scrambling down what seem like endless gravelly hills in the dark - I'm grateful for a decent beam with my Led Lenser H07R, best purchase so far! It allows be to project some light further ahead too, avoiding some dead end climbs. But our hike in the cold and dark is ENDLESS. Everytime I think I've found a track that will take us to the river, it stops short. My frustration is growing and I'm worried for my two tired friends. There's no shelter from the wind, and where we think we should be crossing the river, there's no SUV waiting. All I want to see now is the comforting beam of car headlights.
5.30am - we've been enroute to R5 for nearly 6h now, and according to my GPS, we're just over halfway, only 6km covered. We've been down the same track twice now and it's ended at the river. We're all freezing and I don't know what to do next. My present state of mind has crested past despair and descended into resignation. I can't keep dragging the other two round what seems like a wild goose chase. We decide to call Race HQ, but there's no mobile signal. Zhijian and I make a choice. We activate the SOS on our trackers and try to find a spot out of the wind to wait. There isn't much shelter but the wind buffets a little less just on a slope to the right, so we stop there. I help Ryoichi into his sleeping bag and make sure he's as warm as possible. He doesn't question anything, and is asleep almost immediately. Zhijian and I try our mobiles again, our headlamps on high strobe, and we try to get some sleep as well.
I doze a little, and open my eyes to find the sun is coming up and snow has fallen. There's a light cover of snow all over, and as always, everything feels a little better with the sunrise. I hear a car beeping it's horn - it must be our rescue! But my amazing new JetScream whistle sounds like a damp squib .. DO NOT, ever, buy a JetScream whistle! The car horn gets further away .. will they come back again?
We bundle into the truck and take stock. It's 5km to R5 once we're over the river, and Ryoichi decides to call it a day. He looks cold and knackered, plus he's carrying a couple of injuries that will only get worse with 230km still to go. I'm of the same mind. I'm cold and more than ready to throw in the towel, I didn't sign up to freeze my ass off and wander for hours hopelessly lost. Embarrassingly, I also burst into tears. I didn't realise how responsible I'd feel for the other two, and it's a huge relief now that I know we're minutes away from hot food and shelter. Understandably, Zhijian opts to continue. With no injuries and a fresh day ahead, it's a good call. He gets out once we're over the river and makes his way on foot to R5.
Back at R5 (176.9km), there's all sorts going on. Bryon, Betsey and Benoit are all getting ready to head out. They've had a long enforced rest overnight there sheltering from the crazy weather. Good to see some familiar faces and so nice speak in English for a bit. I wrap up in my sleeping bag and try to get warm and get some food in. Bryon gets my hydration bladder filled with hot water .. best idea ever! My new hot water bottle is awesome :)
|Warming up at R5


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By Jason Paderon
Castleton Corners resident Michael Cassidy defended his home turf for the third consecutive time on Sunday, touring the 13.1-mile Staten Island Half Marathon course in 1 hour, 7 minutes, 15 seconds, a blistering 5:08 pace, well ahead of over 8,000 runners and walkers, many of whom cheering him on along the way.
From the outset, Cassidy, 28, and second-place finisher 30-year-old Emiliano Garcia of Long Island City distinguished themselves from the pack, opening up a near quarter-mile lead by the time the race reached Victory Boulevard.
Garcia remained stoic, holding the lead at the turnaround up Father Capodanno Boulevard, rattling off virtually identical 5:05 splits through 7 mile with Cassidy shadowing his every step.
"I tried a couple times to share the lead but every time he picked it up. With the wind blowing out there I was more than happy to let him lead the way," said Cassidy.
As the race reached the Mile 9 marker, Cassidy's charges became more frequent, as did the "Let's go Mike!" cheers from the racers on the opposite side of the street. As the race took its steepest incline, Cassidy's exhibited superior strength, taking the lead for good.
Cassidy turned it up between Miles 9-10, gaining over 200 meters of separation from Garcia as the race passed through the overpass to the Verrazano Bridge, even moving into a full-sprint as the tunnel amplified sounds of the blaring music of the DJ booth and the back-end racers urging on the hometown boy with excitement.
With Garcia falling over a minute behind, Cassidy tried to hold back smiles as he cruised into finish.
"It worked out really well in my favor. The last two times I pretty much ran wire-to-wire. This time, Emiliano really pushed me the first half of the race and the crowd got me going in the second half where you would normally be feeling the effects of the race," he commented.
"It was definitely special being out there today. It was nice thinking that I could inspire people out there and also let them know that there are good runners out here on the Island, too."
Next on the agenda for the former MSIT and UPenn star is the New York City Marathon where Cassidy hopes to run under the 2-hour, 18-minute mark.
Staten Island was well-represented in the top-10, as S.I. Triple crown runner-up and former Farrell standout Joe Brancale finished sixth in 1:14:17. Immediately following him was 40-year-old Mike Devito in 1:14:20 despite coming off multiple-hernia surgeries following the Boston Marathon. Both runners intend on running the Philadelphia Marathon next month.
The women's winner was recent Columbia graduate Mallory Anderson, who broke the tape in 1:22:51. The former cross country runner and steeplechaser originally had no aspirations of winning, instead just intending to using the race just to get back in shape.
"I was really just out there having fun and then at about six or seven miles in I saw Elodie Pinot (3rd place female 1:12:34) in the lead and I said to myself, 'Hey, I guess I'll race!'"
Other notables include St. Joseph Hill track coach J.P. Pablo, a veteran of 17 half-marathons who ran 1:30:04 and commented, "The race was much harder than in past years.
S.I. Triple cown 3rd place female finisher Isabelle Fiduccia who had been battling bouts of shin splints, seemed to be back on the right track, finishing in top 25 for females in 1:34:59.
David Pietrangelo, a two-time blood-clot survivor whom the Advance featured on Saturday, completed his first half in 1:39:48.
Board of Education Chancellor Dennis Walcott ran the course in 1:48:07.Click here to see where you finished.
Other finishers: Victoria Carollo, 1:49.06; Lou DeStefano, 2:02:00; Richard DeGirolamo, 2:05:00; Irwin Sussman, 2:23.08, Maureen McDonough, 2:02:51; Anne Marie McDonough, 2:03:23. Â
Staten Island Athletic Club: Alexander Rylyakov, 1:24.03; J.P. Pablo, 1:30.04; Matthew Premus, 1:30.09; John Moroni, 1:30.11; Elias Ruiz, 1:40.01; Edward Lydon, 1:41.29; Daniel Caruso, 1:43.39; Joseph Gazzillo, 1:44.05; April Socci, 1:47.56; Mark Vogt, 1:47.56; Jay Yogeshwar, 1:48.39; Adrienne Martin, 1:50.01; Jennifer Thomas, 1:50.01; Tina Varona-Clark, 1:51.18; Barbara North, 1:51.39; Francisco Dorta, 1:52.41; Bob Wisner, 2:03.34; Robert Genco, 1:53.28; Kevin Campbell, 2:00.44; Bob Wisner, 2:03.34; Robin Howald, 2:05.35; Thomas Mazy, 2:07.20; Amanda Bayiokos, 2:08.04; Cynthia Bayiokos, 2:08.05; Yessica Herrera, 2:11.4; Janice Gross, 2:12.04; Alison Madill, 2:12.27; Amy Padnani, 2:14.50; Anita Weisenfeld, 2:25.18; Diane Sassone, 2:25.42; Christian Urena, 2:28.51; Susan Meegan, 2:35.16; Gabriel Kupchik, 2:41.19; Margaret Gulliksen, 2:44.50; Kristin Golat, 2:46.56; Andrea Ganzman, 2:52.18. Â
Gateway Runners: Mara Vidaic, 2:06.10; Nancy DiPietro, 2:10.10; Stephen DiPietro, 2:13.42. Â
Richmond Rockets: James Bowden, 1:31.58; Michael Varriano, 1:47.31; Wilford Clifton, 1:42.08;; John Gonzalez, 1:48.10; Brigid Howley, 1:54.20; Anthony Vigliotti, 1:55.08; Bozena Niebrzydowska, 1:59.27; Peter Blum, 2:01.46; Scott Sugarman, 2:02.19; Christine Smith, 2:03.52; Jacquelyn Mahoney, 2:04.02; Shiobhan McCafferty, 2:04.04; John Dixon, 2:05.32; Edward Figueroa, 2:05.46; Nancy Wagner-Wetzel, 2:08.11; Mark Long, 2:08.32; Tony LaRocca, 2:10.24; Ann Mackey, 2:10.34; Jennifer McCaffrey, 2:11.21; Robert Landi, 2:11.46; Brian Thomson, 2:17.37; Harry Gerstenlauer, 2:17.43; Lisa Lubarsky, 2:19.11; Tommy Hart, 2:20.52; Jimmy Hart, 2:25.12; Spencer Ellis, 2:43.35. Â
New York Road Runners: Veronica Saez, 2:32.19. Â


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I had a Q&A in Sunday's paper on home builder David Oringdulph. He correctly pointed that Portland's underlying economics are good. People keep moving here and job growth is still relatively strong. So why have things slowed down so much for home builders like him? Oringdulph blames the media. The story drew a bigger than usual reaction to my voice mail and email in box. A sampling:
Wow, how out of touch are Mr. Oringdulphs comments blaming the media for the tightening housing market? I am a third generation commercial real estate developer and have been through many cycles in the real estate market and have been fallowing the housing market closely. If anything the media in Oregon has candy coated the slowdown and maybe that's why so many builders and home owners are in trouble now. How could the media coverage of the crises affect the record numbers of foreclosures and large layoffs at companies like Intel and Boeing? How can he blame the housing market on the media when people borrowed beyond there means to purchase flippers and were surprised when the prices rose so high no one could qualify to purchase them. How could he blame the media for record fail sales I hear as high as
30% in the current market? I think either Mr. Oringdulphs answers show he is really out of touch with the market or shamefully trying to sell a few of his overstock of homes. I wish he would really really really try paying closer attention to the media instead of blaming them.
I just read the article in the Sunday [October 21] Oregonian, 5 Questions, Developer faults Media.....As a small developer, I could not agree more. Along with 3 partners I am in process of trying to sell our condos in Portland. We were selling fairly well, until about 2 months ago when the media started blasting the hell out of the Housing Market, in particular the condo market. While we are still selling, our sales have definitely dropped. We still get people looking, but a common refrain that we hear is "Well, no one else is buying, so why should we? Will prices go down? What is going to happen?" Nothing has changed on our end, our prices are still great, we are offering very generous incentives, interest rates are down....In fact . it is a very very good time to buy. I am not advocating that reporters start lying, or distorting the
truth. BUT I think the media aslo needs to be responsible to not cause reality.Whether we like it or not, the media does influence how we think, and maybe putting a good spin on the fabulous opportunities that exist right now, which they do, would help all of us more than the doom and gloom predicted by the news industry. We all know about Chicken little.
Woohoo to David Oringdolph for telling it like it is and a BIGGER woohoo to you for putting it down in Sunday's business section. I am a 21year mortgage banking veteran and I totally agree. Thanks for an article from a different point of view than we've been seeing of late. I only hope that word will get out that it really is a great time to buy a home with all of the inventory and good deals out there due to this very unusual market adjustment. So what do you think? Is the media to blame for Oregon's slow down?
-- Ryan


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Those who haven't been to the Garden Gate Garden Center in Flemington yet this season, haven't seen Christmas. The shop is decked out from top to bottom with everything needed to decorate the home for the holidays.
Owners, Sandy and Bill Kasper, begin the long journey of turning the garden center into a winter wonderland in January of each year, when they travel to Atlanta to select just the right mix of holiday gift and décor.
Twelve themed trees are decorated to the hilt with breathtaking combinations of ribbons, hand-made bows, garlands, balls, and ornaments. This year, some of the favorites are "Rustic Woodland," filled with owls and birds; "Santa's Elves," a classic combination of red and green ornaments updated with the addition of lots of playful elves; and "Snowman," dripping with glittery icicles and set off by frosted birch branches. Also popular are the "Candyland" tree, with gingerbread, cupcake, and candy ornaments that look good enough to eat, and the "Wine Country" tree, hung with miniature wine bottles and bunches of grapes.
Sandy also does in-home custom tree decorating, for the customers who want a special touch.
The Garden Gate also carries a wide selection of fresh cut and artificial trees. The fresh cut trees are neatly hung, so everyone can find their perfect tree. Live garlands, wreaths (many are hand-decorated), bunches of greens, and grave blankets fill the outside area and contribute to that wonderful Christmas smell that fills the air. Come down on the weekends and keep warm — there's usually a fire going in the chimenea, and complementary hot cider and cookies available inside.
The shop is on Route 31, 1 mile north of the Flemington circle and is open daily 9 a.m. to 7 p.m. and on Sundays, 9 a.m. to 6 p.m.


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This deal has ended.
For a limited time, ASOS drops its Mini Lace Sleeve and Collar Body-Conscious Dress from $38.70 to $22.87 to $20.58 with code MEGA10. Plus, it ships for free. This dress is available in two colors in select sizes 2-14. There is also no sales tax.No longer available


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Dr. Gregory Locklear specializes in gastroenterology, internal medicine in Lumberton, North Carolina.
Dr. Gregory Locklear has been compared 151 times. Details of Dr. Locklear's 32 years experience as an MD, his hospital affiliation and education at University of North Carolina at Chapel Hill are available on your free doctor report.
Primary Location for Dr. Locklear
202 W 27th St
Lumberton, NC 28358
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Board Certification, Specialty and Expertise
Dr. Gregory Locklear has been identified as specializing in Gastroenterology and Internal Medicine.
He obtained board certification from The American Board of Internal Medicine for Internal Medicine.
Hospital Affiliation
A hospital affiliation covers any doctor who has an affiliation, association or admitting privilege with a hospital. A doctor's particular affiliation to a specific hospital can translate to the overall quality of that provider.
Dr. Locklear is affiliated with 1 hospital:
300 W 27th St
Lumberton, North Carolina
Dr. Locklear attended medical school at University of North Carolina at Chapel Hill School of Medicine and graduated in 1984 having 32 years experience.
While there is no proven correlation between the quality of one's educational institution and the quality of one's professional competence, it is often an indicator. Medical schools have various levels of selectivity (some are harder to get into than others), and both the quality of their clinical training and level of research are measured. Additional medical training in both residency and fellowships and the facilities they are conducted at also provide a history of the doctors' level of training and experience.
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Robert Pattinson and real-life love Kristen Stewart mark the end of the hugely successful Twilight franchise, shooting the sexy last scenes of the sagas final movie, Breaking Dawn, in the Caribbean. Under cover of darkness, the couple spent nearly three hours in the sea in a secluded cove, shooting hotly-anticipated love scenes between their characters, Edward Cullen and Bella Swan. Stewart showed off her slender frame in a lime green bikini, curiously unfastened at the back, as she strolled down the beach on St Thomas, in the US Virgin Islands, before joining Pattinson in the sea. Armed police patrolled the beach, while a police launch bobbed about in the sea, trying to ensure no one would get a glimpse of the filming, which went on until almost 5am.
More pics here.
Views: 411
Their so CUTE!!! A PERFECT couple!!! I LOVE THEM!!!!!!! <33
@Chas yea i was thinking the same!
Anyways, 7 LONG MONTHS TILL WE SEE ALL OF THIS!!! ugh my patience is running thin i want to see everything already! The pics are great and Kristen Body is just amazing, Damn Rob is one lucky guy lol


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This is the crime report for Feb. 14, 2012, as distributed via e-mail by the Kalamazoo Department of Public Safety. Click here to sign up for the e-mails. The addresses are listed by block:
2:34 a.m., 00 Reed Ct / E Stockbridge Ave., Drugs-crack Possess
7:30 a.m., 500 Bryant St., Burglary-forced Entry Residenc
1:09 p.m., 1700 Hays Park Ave.,Burglary-no Forced Entry Residence
Central Business District
1:35 p.m., 00 W Main / Nichols, Drugs-marijuana Sell
3:17 a.m., 3600 Vanrick Dr., Larceny Of Person Proper From Motor Veh.
Westnedge Hill
6:07 p.m., 400 Howard, Retail Fraud Theft 3rd Degree


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The 10th member of the 'Harvey Hustlers' to be sentenced to federal prison was sent away for 30 years on Thursday by U.S. District Judge Lance M. Africk. 22-year-old Monterio "Peedy" Wiggins was sentenced after pleading guilty to violations of the Racketeer Influenced Corrupt Organization Act, the Federal Gun Control Act and the Controlled Substances Act.
The Hustlers, which originated in the mid-1980's, and its enforcement arm the Murder Squad were ruthless in defending their turf in the Scottsdale and Haydel neighborhoods, according to federal court documents.
"Members threw bricks through windows, shot at cars and houses, and made threatening phone calls to victims to deter their cooperation with law enforcement,'' the indictment said. "Victims' family members have been threatened by members who told them they were going to kill their entire family for cooperating with police.''
The original goal of the Hustlers organization, U.S. Attorney Dana J. Boente said in a news release, was to make money from the sale of illicit narcotics.
The Murder Squad was responsible for at least one confirmed death, the murder of Reginald Francis on April 1, 2010.


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Louis Jean Giammona
Position: RB
5-9, 180lb (175cm, 81kg)
Born: March 3, 1953 in St. Helena, CA
College: Utah St.
Weighted Career AV (100-95-...): 10 (7143rd overall since 1960)
High School: Callistoga (CA)
Draft: New York Jets in the 8th round (214th overall) of the 1976 NFL Draft.
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*From the Department of Psychiatry and Behavioral Science, Stanford University, Stanford, CA.
Correspondence to: Clete A. Kushida, MD, PhD, Stanford University, Stanford Sleep Disorders Clinic, Suite 3301, 401 Quarry Rd, Stanford, CA 94305-5730; e-mail: firstname.lastname@example.com
The authors have reported to the ACCP that no significant conflicts of interest exist with any companies/organizations whose products or services may be discussed in this article.
Reproduction of this article is prohibited without written permission from the American College of Chest Physicians (www.chestjournal.org/misc/reprints.shtml).
Excessive daytime sleepiness and fatigue are common complaints in the sleep clinic. The objective evaluation and quantification of these symptoms is important for both the diagnosis of underlying health problems and for gauging treatment response. The multiple sleep latency test measures physiologic sleepiness, whereas the maintenance of wakefulness test (MWT) aims to measure manifest sleepiness. Neither test correlates well with subjective measures of sleep such as the Epworth sleepiness scale and the Stanford sleepiness scale. Although in the past methodological testing differences existed, in 2005 updated practice parameters were published, promoting the standardization of testing procedures. In recent years, there has been an effort to document daytime sleepiness when associated with occupational risk. However, these laboratory-based tests may not reflect or predict real-life experience. Normative data for both tests, particularly the MWT, are limited, and are inadequate for the evaluation of pediatric patients, shift workers, and others.
Symptoms of fatigue and excessive daytime sleepiness (EDS) are common complaints in sleep clinics, as well as in other physician offices. EDS is defined as the inability to stay awake and alert during the major waking episodes of the day, when an individual would usually be expected to be alert.1 The prevalence of EDS among adults has been reported to be as high as 12%,2 while others have reported3 a prevalence of about 5%. In most cases, EDS is a chronic symptom; classically, it must be present for at least 3 months prior to diagnosis.4 When present, EDS is associated with a host of undesirable consequences, including impaired job and psychosocial performance, diminished intellectual acuity, and a risk of accidents.5 Such impairments, while common, have also in some cases been implicated in major disasters such as those at the Chernobyl and Three Mile Island nuclear facilities, and the running aground of the Exxon Valdez.2
Given such profound consequences, the objective quantification of EDS is critical. Several methods have been used to measure sleepiness subjectively, including self-assessment tools such as the Stanford sleepiness scale (SSS), published by Hoddes and Zarcone6 in 1972, and the Epworth sleepiness scale (ESS), established by Johns7 in 1991. The SSS, which involves introspective judgment of one's own sleepiness, has been well-validated in control subjects, but patients with chronic sleepiness may not accurately assess their own level of sleepiness.8 The main utility of the SSS is in research applications, where it is used for point-in-time estimation of the level of daytime sleepiness. By contrast, the ESS is frequently used in clinical practice and focuses on self-reported behavior. For the ESS, patients rate the likelihood of falling asleep in eight scenarios, on a scale of 0 (not at all likely) to 3 (very likely). Patients with scores of ≥ 10 typically require additional investigation.9
Objective measures of EDS have also been investigated. These have included pupillometry,10 performance-based tasks,11,12 and, more recently, the multiple sleep latency test (MSLT).
The MSLT is an objective test of physiologic sleepiness that was first employed at Stanford University by Carskadon and Dement.13 It has since achieved widespread usage in clinical practice, both because of its intuitive approach to testing sleepiness and its multiple opportunities to test for sleep-onset rapid eye movement sleep periods (SOREMPs), which is useful in the diagnosis of narcolepsy.14 The American Academy of Sleep Medicine (AASM) has published a report1 indicating that the MSLT is considered to be the de facto standard for the objective measurement of sleepiness.
The MSLT technique is standardized and has been published by the AASM.1,15 Testing conditions require well-controlled, consistent procedures. Ideally, patients should discontinue therapy with any medication that might affect sleep latency (eg, stimulants, hypnotics, and antihistamines) and rapid eye movement (REM) latency (eg, antidepressants) for at least 15 days before the study. Therapy with such medications should be stopped for at least five half-lives of the drug and the longer acting metabolite.4 Urine drug screening is performed on the morning of the test to assist in confirming that the pretest conditions are met. Smoking should be stopped at least 30 min before each nap opportunity, and caffeine should be avoided on the test day, although acute withdrawal from caffeine may affect the test results. Vigorous physical activity and bright sunlight should also be avoided.1
A polysomnogram should be performed the night before the MSLT to assess nighttime sleep quality and quantity. Untreated obstructive sleep apnea (OSA) or other causes of disrupted sleep should be ruled out or treated before proceeding with the MSLT. If the subject has known OSA, adequate nocturnal positive airway pressure therapy must be administered leading up to the MSLT in order to ensure that untreated OSA does not confound MSLT results. If the patient has a high number of periodic limb movements with arousals observed on overnight observation, the decision to proceed with the MSLT study must be based on clinical judgment. In addition, a minimum of 6 h of nocturnal sleep should be achieved before proceeding with the MSLT when evaluating for narcolepsy, since the use of this test to support a diagnosis of narcolepsy is "suspect" without a prior night of sleep of at least 6 h duration. The 6-h minimum total sleep time over the preceding night is advised whenever the test is performed.1
Since MSLT results may be influenced by sleep up to 7 nights before the test, the preceding sleep-wake cycle should be standardized for at least 7 days, and patients should be advised to obtain adequate sleep for 1 to 2 weeks prior to test performance. They may be asked to complete sleep diaries for 1 or 2 weeks prior to testing.16 Actigraphy has also been suggested4 as an objective means to document adequate sleep leading up to the study.
On the day of the test, a light breakfast is recommended 1 h before the first trial, and a light lunch is recommended immediately after the second noon trial.1 The MSLT typically consists of five nap opportunities performed at 2-h intervals; four naps may also be used, but this may limit its usefulness in the diagnosis of narcolepsy.1 Naps are conducted in a sleep-promoting environment, typically a dark, quiet room that is maintained at a comfortable temperature. The initial nap begins 1.5 to 3 h after awakening from nocturnal sleep. Prior to the start of the nap, the subject should be asked whether they need to go to the bathroom or whether other adjustments are needed for comfort.1 Subjects should be in bed 5 min before the scheduled start of the test to perform calibrations of recorded parameters. In addition, this step is helpful in standardizing activity before the start of the test, which may influence nap latency.17 For each nap, the subject is instructed to "please lie quietly, assume a comfortable position, keep your eyes closed, and try to fall asleep." The start of the test is signaled by turning off the bedroom lights. The test is ended 20 min later if no sleep has occurred or 15 min of "clock time" (not sleep time) after the first epoch of sleep, irrespective of whether REM sleep has occurred or not.15 Although positive airway pressure therapy is typically not used during the MSLT study itself in those patients with OSA, this matter has not been addressed in the guidelines and clinical judgment is recommended.
The basic recording montage used for the MSLT is based on standard Rechtshaffen and Kales18 technique, which was updated by the AASM in 2007.19 The montage that was recommended includes the use of frontal (F4-M1), central (C4-M1), and occipital (O2-M1) EEG derivations, and horizontal electrooculogram, ECG, and mental/submental electromyogram electrodes.19 Respiratory flow and microphone signals may be helpful to judge snoring and sleep onset.20
The interpretation of the MSLT relies on standard scoring criteria for sleep onset latency and stages of sleep, which were updated by the AASM in 2007. The mean latency of all naps is calculated. If REM sleep is scored, latency from sleep onset to REM is also calculated. It is accepted that a mean sleep latency of < 5 min indicates a pathologic level daytime sleepiness14; by contrast, adult healthy control subjects have a mean sleep latency of 10 to 20 min.21 Sleep latencies between 5 and 10 min indicate moderate sleepiness with less well-defined pathology and consequences14; the most recent International Classification of Sleep Disorders4 has identified a mean sleep latency of < 8 min to define sleepiness for diagnostic purposes. A mean sleep latency of < 5 min has been linked to impaired performance in patients and sleep-deprived subjects without baseline sleepiness.22 Of note, "microsleep" episodes lasting < 15 s are not scored as sleep, and though they may have important physiologic significance,23 they are not reflected in MSLT scoring and interpretation.
Although the above cutoffs for abnormal study findings are used, there is variation is the range of mean sleep latency among populations, which may be related to methodological differences, individual differences in sleep tendency, or undiagnosed underlying disorders.24 A metaanalysis4 determined that the MSLT-documented mean (± SD) sleep latencies in patients with narcolepsy were 3.1 ± 2.9 min; in patients with idiopathic hypersomnia, the mean was 6.2 ± 3.0 min. However, mean sleep latency in healthy control subjects has been reported to be 10.5 ± 4.6 min4; because of a potential overlap between values obtained in healthy control subjects and those with underlying conditions of hypersomnolence, good clinical judgment is imperative in interpreting results.
Abnormal SOREMPs are defined as REM onset within 15 min of sleep onset. These are important in the diagnosis of narcolepsy and idiopathic hypersomnia; but care must be taken to rule out other important causes of SOREMPs such as sleep deprivation, shift work, or other sleep disorders, including OSA.25 The presence of two or more SOREMPs during the MSLT is deemed to be a very specific finding in narcolepsy patients; however, in a 2006 population-based sample of 333 subjects in Michigan,26 the overall prevalence of two or more SOREMPs was 3.9% (in the group with an MSLT result of ≤ 5 min, 9.5%). This underscores the need for both careful elimination of other causes of SOREMPs and for the careful interpretation of results within the context of the patient's clinical presentation. In addition, approximately 15% of patients with narcolepsy who have cataplexy, and even a higher percentage (25%) of narcolepsy-cataplexy patients who are > 36 years of age, may have a normal or borderline MSLT result (ie, either a sleep latency of ≥ 8 min or only one SOREMP).4 In fact, although the performance of the MSLT is part of the recommended investigation of the diagnosis of narcolepsy, and the presence of both short mean sleep latencies and multiple SOREMPs are very specific for the disorder, the sensitivity of these measures is poor (reported to be in the range of 46%).27
Though results may be influenced by test protocol variables, high test-retest reliability has been demonstrated with the four nap MSLTs in healthy subjects, and reliability is not affected by the degree of sleepiness.1 Zwyghuizen-Doorenbos et al28 published data on test-retest reliability among 14 healthy subjects on two occasions that were separated by 4 to 14 months, and showed that the mean sleep latency was highly consistent from MSLT to MSLT (r = 0.97; p < 0.001) for four naps. Additionally, the test has been shown to have high interrater and intrarater reliability for sleep latency and REM onset scores among a population of people with sleep disorders.1,29
The MSLT is used most frequently in clinical practice to provide an objective measure of reported daytime sleepiness. The differential diagnosis for EDS includes such conditions as narcolepsy, idiopathic hypersomnia, sleep deprivation, periodic limb movement disorder, medication-induced hypersomnia, sleep-related breathing disorders, and psychiatric disorders. Of these, the MSLT is indicated if narcolepsy or hypersomnias of central origin are suspected. The MSLT is not routinely used to evaluate the EDS associated with suspected OSA, other medical or neurologic disorders, insomnia, or circadian rhythm sleep disorders.1
The MSLT is subject to several limitations that must be kept in mind during its application and interpretation. First, the MSLT is not validated as a diagnostic test in children < 8 years of age.4 Second, normal and abnormal sleep latencies have not been established outside the usual testing hours of 8:00 am to 6:00 pm. Individuals with circadian rhythm sleep disorders such as delayed sleep phase-type disorder or shift work-type disorder may, therefore, have results which are difficult to interpret if they are tested during hours when they would typically be asleep. In some cases, delaying the wake-up time and subsequent MSLT start time may be appropriate. Third, the MSLT is sensitive to sleep deprivation, and subjects who have not been encouraged to obtain as much sleep as possible for 1 week prior to undergoing the MSLT may demonstrate shorter sleep latencies. As discussed earlier, there is the potential for the sleep latencies of healthy individuals to fall within the boundaries of abnormal results, so care must be taken in the interpretation of the test results. Additionally, the 6 h of nocturnal sleep required by the testing guidelines may also be too little for some individuals, who may not be adequately rested for the daytime protocol.
In contrast to the MSLT, which measures a subject's ability to fall asleep, the maintenance of wakefulness test (MWT) measures a subject's ability to stay awake in a quiet, nonstimulating situation for a given period of time. The MWT may be used to evaluate the response to therapy for individuals in whom conditions causing daytime sleepiness have been diagnosed, and is also helpful for those persons who must demonstrate the ability to stay awake for safety and/or employment purposes. The face validity of this test stems from the notion that the volitional ability to stay awake provides insight into an individual's capacity to remain awake, and to assess for the response to interventions designed to improve daytime wakefulness.
The MWT should be performed at the following times: when the patient is adherent to therapy for any identified sleep disorder; when patients are on their usual sleep/wake schedule; and only when the patient has experienced an adequate quantity and quality of sleep on the night prior to undergoing MWT testing. Although performing routine polysomnography prior to the MWT is not an essential part of the protocol, it should be considered on the basis of clinical circumstances, and may be helpful for assessing factors that may skew daytime test results. Sleep logs are not required before the patient undergoes the MWT.
A variety of MWT protocols, ranging from 20-min to 40-min naps, and various rules for determining sleep latency have been used in the past. The following protocol has been recommended in the most recent AASM practice parameters,1 which were published in 2005.
A four-trial, 40-min protocol is recommended, with 2 h between each trial. Sleep rooms should be dark and quiet during testing. Though a 7.5-W nightlight may be used as a light source, delivering 0.1 to 0.13 lux, the room should be maximally shielded from external light. Room temperature should be set to the patient's comfort level. The patient should be seated in bed, with the back and head supported by a bolster pillow for comfort.
A light breakfast is recommended at least 1 h before the first nap trial, and a light lunch is recommended immediately after the second (noontime) nap trial. Smoking should be stopped at least 30 min before test initiation. In addition, stimulating activities should be stopped 15 min before each nap. The use of caffeine, tobacco, or other medications should be discussed and decided on before the test day. Exposure to bright sunlight is discouraged on the testing day.
The recommended recording montage for MWT is the same as that used for the MSLT, including frontal, central, and occipital EEG derivations, and right and left electrooculogram, ECG, and mental/submental electromyogram leads. After biocalibrations, the patient is instructed to "please sit still and remain awake as long as possible. Look directly ahead of you, and do not look directly at the light." Patients are also instructed to avoid extreme behaviors to stay awake, such as singing, slapping the face, or pinching.
Sleep latency, stages of sleep, total sleep time, and mean sleep latency across the four naps are recorded, as are the start and stop times for each nap. Sleep onset occurs with the first epoch demonstrating at least 15 s of consecutive sleep. The trial ends after 40 min if no sleep occurs, or after unequivocal sleep, which is designated as three consecutive epochs of non-REM stage N1 sleep or one epoch of any other stage of sleep.
AASM standard scoring rules, which were updated in 2007, were used to determine sleep latency values.19 There is a paucity of published reports of normative data for the MWT. In a study by Doghramji et al,30 the control values for mean sleep latency using the MWT 40-min protocol were 30.4 ± 11.20 min, using latency to the first epoch of sleep. A total of 97.5% of healthy subjects had a mean sleep latency of ≥ 8.0 min, and 42% of healthy subjects remained awake for the entire 40-min trial across the four trials, using a definition of sleep onset of the first continuous 10-s of stage N1 sleep or the first epoch of any stage of sleep.1 Later reports31 in small samples have had similar normative findings. Staying awake for all four trials of a 40-min MWT provides the strongest support of an individual's ability to stay awake, and the AASM has called this standard "an appropriate expectation for individuals requiring the highest level of safety."1 Using these same data, a mean sleep latency on the 40-min MWT of < 8.0 min has been considered abnormal, and values of 8 to 40 min are of uncertain significance. No matter what the results of the MWT, there is no way to ensure that the subject will not have sleepiness in the work environment, since many other variables are at play that cannot be accounted for in the laboratory.
When used to evaluate the response to treatment, there are no established cutoff values for a change in mean sleep latency. However, the direction of change can serve as a clinical guide. For example, several studies1 have suggested that mean sleep latency is increased in narcolepsy patients following the administration of modafinil; equally, mean sleep latency is also prolonged following the administration of stimulants or CPAP and is decreased after the administration of sedative medications. In a study of 30 male subjects with untreated OSA, a pathologic sleep latency of 0 to 19 min was useful in predicting driving ability (measured by deviation from driving in the center of the road on a driving simulator).32
The MWT may be used to measure the ability to stay awake in individuals with jobs that require high levels of alertness, especially when public safety is at stake. As noted above, it may also be used to assess the response to treatment. Also, the MWT has been increasingly used in "fitness-for-duty" evaluations for truckers or other persons with high-risk jobs following treatment for conditions known to cause daytime sleepiness and to increase the risk of accidents. Although the MWT has some credibility in such evaluations, many believe that the test is best used as one piece of a comprehensive assessment of fitness for duty. Other studies33 have suggested that the MWT should not be used for the assessment of workplace safety at all because the impact of chronic sleep deprivation and circadian disruptions cannot be accounted for or adequately assessed in the laboratory setting. Real-life performance may be affected by the timing of sleep over the 24-h period, total sleep time, time of day, and alerting or soporific environmental influences, among other factors. Furthermore, based on the available data in the literature,30,34 the test-retest reliability of the MWT in healthy subjects is uncertain.
In a 2006 publication,35 a joint task force of the American Academy of Chest Physicians, the American College of Occupational and Environmental Medicine, and the National Science Foundation issued a statement that commercial drivers with OSA should be cleared for return to work based on compliance with positive airway pressure and/or a documented apnea-hypopnea index of ≤ 10. The MWT is not necessary or recommended for clearance of commercial drivers, largely because of the poor correlation to real-life driving situations.35 Nonetheless, the Federal Aviation Administration uses the MWT in the evaluation of pilots with OSA. Specifically, if OSA exists and there is "any question about response to or compliance with treatment, then an MWT will be required" (www.faa.gov). If the MWT demonstrates "sleep deficiency," then the pilot may not achieve medical clearance for duty.
From the standpoint of occupational safety, more studies are needed to determine how performance on the MWT may affect actual performance in real-life situations. Currently, the correlation between MWT performance and the risk of adverse outcomes at work is unknown.36 The MWT, like the MSLT, is a test that is performed in laboratory circumstances, which may correlate poorly to performance on the job. Standardized measures of wakefulness in real-life circumstances are needed. Early evidence28 has indicated that, for example, driving simulation testing in concert with the MWT adds predictive value in the assessment of real-world safety while driving.
Generally speaking, the ESS, MSLT, and MWT are not well correlated with one another. Interestingly, Benbadis and colleagues37 have found that there is no correlation between the MSLT and the ESS, suggesting that subjective measures and objective measures may assess different aspects of EDS.14 In addition, when looking at a population of individuals with severe OSA respiratory disturbance index ≥ 30, MSLT appears to be a more sensitive measure of EDS compared to the ESS.38
Furthermore, although mean sleep latency has been shown to be a valid measure of increased sleep tendency due to sleep loss, sleep disorders associated with EDS, and the use of sedating medications, the broad range of mean sleep latency complicates the determination of specific cutoffs between normal and abnormal states. The mean sleep latency determined by either the MSLT or MWT does not discriminate well between patients with sleep disorders and healthy persons, partly due to large SDs in these populations.24
For both the MSLT and the MWT, there have been no large, multicenter, prospectively collected data to establish normative values, so available data from smaller, more limited studies have been used to describe cutoff values. Methodological differences in these studies, such as different definitions for sleep onset, nap duration, and patient selection, impact the outcomes of these studies. In addition, MSLT data from sleepy subjects demonstrate a "floor effect" (ie, a sleep latency lower than even a very sleepy subject is likely to achieve), and MWT data from healthy subjects may exhibit a "ceiling effect" (ie, many subjects are able to remain awake for the duration of the trial; this effect is reduced in the 40-min MWT) Thus, the data are not normally distributed in healthy subjects. Other difficulties shared by both tests involve adjustments for age, sex, and underlying disease in the interpretation of the data. For example, although both tests are, in practice, used in the evaluation of pediatric patients, there is insufficient evidence to provide age-specific normative data.
Chronic sleepiness is a common complaint in the sleep clinic and has important implications for individual health and well-being, workplace safety, and society at large. The MSLT and the MWT have been developed to objectively measure an individual's ability to fall asleep and to stay awake, respectively, in the laboratory setting. Both tests now have established testing guidelines to assist in the standardization of procedures among different facilities. The MSLT is a reliable tool used in subjects with EDS to evaluate for certain conditions such as narcolepsy. The MWT has been used to evaluate individuals who must remain awake for job safety reasons, such as truck drivers, as well as to evaluate the response to treatment for conditions imparting EDS. In both cases, understanding the results of testing must be undertaken in the context of the patient's clinical presentation and possible confounding factors. In particular, the MWT may not accurately predict how individuals will perform in real-life circumstances.
American Academy of Sleep Medicine
excessive daytime sleepiness
Epworth sleepiness scale
multiple sleep latency test
maintenance of wakefulness test
obstructive sleep apnea
rapid eye movement
sleep-onset rapid eye movement sleep period
Stanford sleepiness scale
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Full CoverageBreaking News
Study: Alzheimer's much more likely in womenUPDATED 5:33 PM CDT Mar 19, 2014
Women age 60 and older have a one in six chance of getting Alzheimer's disease in their lifetime, and are twice as likely to develop Alzheimer's compared with breast cancer, according to a report from the Alzheimer's Association.Video Transcript
ME WHEN I DO LOOK AT THE FACTS AND FIGURES." 1:03:01 A stunning report -- says women in their 60's are about twice as likely to develop Alzheimer's Disease than breast cancer. The report also shows women are more susceptible than men. KCCI's Vanessa Peng has the story -- new at 5. Kevin and Stacey, loved ones of women who have Alzheimer's say the disease wasn't on their radar until it was too late, but they hope increased awareness can change that for others. Dani Dunham, grandmother has Alzheimer's 59:27 "I COULD CALL HER ANYTIME WE TALKED ALL THE TIME." Dani Dunham's grandmother, Katie Hinrichs , was diagnosed with Alzheimer's Disease five years ago. Dani Dunham, grandmother has Alzheimer's 59:30 "NOW TO HAVE SOMEONE NOT KNOW WHO I AM WAS VERY HARD." 36 Hinrichs is one of the more than 5 million Americans living with Alzhiemer's disease, including 62- thousand here in Iowa. A report released by the Alzheimer's Association finds a woman's lifetime risk of developing Alzheimer's at age 65 is 1 in 6, compared to 1 in 11 for a man. Possibly even more surprising, women in their 60s are about twice as likely to develop Alzheimer's over the rest of their lives as they are to develop breast cancer. Amy Alden, General Manager at Home Instead Senior Care 1:10:51 THAT'S VERY ALARMING 53 Amy Alden is the General Manager at Home Instead Senior Care, which offers Alzheimer's and dementia care services. 1:12:37 "OFTENTIMES PEOPLE BELIEVE THAT YOU KNOW WHEN YOU GET OLD YOU'RE GOING TO GET ALZHEIMER'S AND THAT'S NOT SOMETHING THAT WE CAN CHANGE AND IT REALLY TRULY IS." 44 The report finds the total national cost of caring for people with Alzhiemer's and other dementias is estimated to reach 214 billion dollars this year. Dani Dunham, grandmother has Alzheimer's 1:07:10 "WE DON'T HAVE THE RESEARCH MONIES WE DON'T HAVE THE SUPPORT AND AWARENESS THAT THE REST OF THE DISEASES HAVE." Amy Alden is the General Manager at Home Instead Senior Care 1:13:22 YOU FAMILY REALLY DOES EXPERIENCE A DEATH PRIOR TO THE LOSS OF LIFE AND SO FAMILIES ARE DOUBLY AFFECTED BY THIS DISEASE AND 33 CERTAINLY SOMETHING THAT SHOULD HAVE EVERY BIT AS MUCH EXPOSURE IF NOT MORE THAN SOMETHING LIKE BREAST CANCER." 42 Medical experts say oftentimes people have the mistaken belief that Alzheimer's runs in the family. But in all actuality, everyone with a brain -- family history or not -- is at risk for the disease...Stace y? Thanks, Vanessa.
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Francesco Sanapo Reflects on his WBC Experience, Past and Future
Editor's note: My friend Francesco Sanapo is one of the most endearing coffee professionals I know. Much of what made the 2013 WBC special to me was his accomplishments in Melbourne, getting Italy higher in the competition (6th place) than it has been in a decade. I saw Francesco in … Read more →


text:
The third season of HBO's "Treme" concluded Sunday (Nov. 25), but the conversation continues. What were your favorite moments from the season?
For starters, here are a few of mine:
Davis McAlary's visit with Fats Domino.
The Marine Corps Band New Orleans' Carnival parade jam on "Do Whatcha Wanna" with the Elie band kids.
Every single second of screen time shared by Clarke Peters and Khandi Alexander.
Share your favorite scenes in the comments below.


text:
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Cassandra tala2lakota
Mar 21, 10 1:32am
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I added you as a friend, too, if that's okay, add me back if you want. ^__^


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Indexes to the Protection Certificate Registers
Name Birth State or Country Customs District Search the Database About
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To Order -


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Go to JV Events | Go to Debate | Go to Congress
Senior Varsity Speech Events are for students ages 12-19.
Rules: Description and requirements for event PARTICIPANTS.
Worksheet: JUDGES worksheet for the event.
Ballot: JUDGES ballot used to evaluate a round.
Limited Prep
Editorial Impromptu
|Impromptu Mars Hill
|* EI Ballot
|* IMH Ballot
|* EI Judge Worksheet
|* IMH Judge Worksheet
2013-2014 Mars Hill Event
Stoa Mars Hill Impromptu Topics
© 2013 Stoa Rev 07/13
This is the general topic list for Mars Hill. Topics from this list may be used at any tournament without posting them. There are many other books, movies, etc. which could be used to create other lists but if a tournament creates new topic lists, they must be posted at the time of the tournament registration.
Topics for each individual round of a tournament have to come entirely from one of the categories below or entirely from a new list. The reason for this is so all of the students in the round may have an equal amount of pre tournament preparation time.
Below are the movies for the Impromptu Mars Hill event this year. Please visit the websites below to read Christian reviews for the movies. The reviews on these sites should be sufficient if you do not wish to watch the movies.
Christian Spotlight on Entertainment
Recent Movies (last 5 years):
1. Thor (2011)
2. The Artist (2011)
3. The Dark Knight Rises (2012)
4. Despicable Me 2 (2013)
5. Inception (2010)
6. Megamind (2010)
7. Man of Steel (2013)
8. True Grit (2010)
9. Brave (2012)
10. Avatar (2009)
11. Hugo (2010)
12. Les Miserables (2012)
13. Invictus (2009)
14. Harry Potter and the Deathly Hallows (2010/2011)
15. The Twilight Saga: Breaking Dawn (2010/2011)
16. The Hobbit: An Unexpected Journey (2012)
Classic Movies:
1. Citizen Kane (1941)
2. Gone with the Wind (1939)
3. It's a Wonderful Life (1946)
4. Raiders of the Lost Ark (1981)
5. Inherit the Wind (1960)
6. Star Wars (1977)
7. The Treasure of the Sierra Madre (1948)
8. Casablanca (1942)
9. All About Eve (1950)
10. High Noon (1952)
11. Life is Beautiful (1997)
12. The Wizard of Oz (1939)
13. The Truman Show (1998)
14. The Quiet Man (1952)
15. E.T. the Extra-Terrestrial (1982)
16. The Man Who Knew Too Much (1956)
Song Lyrics (current or classic):
1. Imagine by John Lennon
2. What Makes you Beautiful by One Direction
3. Clarity by Zedd
4. Radioactive by Imagine Dragons
5. Burn It Down by Linkin Park
6. Boyfriend by Justin Bieber
7. All You Need is Love by The Beatles
8. Gone Gone Gone by Philip Phillips
9. Counting Stars by OneRepublic
10. Wake Me Up by Avicii
11. Man in the Mirror by Michael Jackson
12. Satisfaction by Rolling Stones
13. Another Brick in the Wall by Pink Floyd
14. Grenade by Bruno Mars
15. You Gotta Serve Somebody by Bob Dylan
16. Material Girl by Madonna
Ad Campaigns:
(students can prep for these by watching them on YouTube or googling the ad campaigns for content):
1. The Happiest Place On Earth (Disneyland)
2. Stay Extraordinary (Diet Coke)
3. Impossible is Nothing (Adidas)
4. Greatness Awaits (Sony Playstation)
5. Yes We Can (President Obama)
6. Expect More. Pay Less. (Target )
7. Live For Now (Pepsi)
8. It's Not Just a Drink. It's an Experience.(McDonald's McCafe)
9. It's all inside (JC Penney)
10. You're in good hands. (Allstate Insurance)
11. Life's for sharing (T Mobile)
12. Believe. Because it works. (Weight Watchers)
13. TASTE IS KING (Burger King)
14. Think different (Apple)
15. Chase What Matters (Chase Bank)
16. Get Ahead (FedEx)
Current Books:
1. The Hunger Games by Suzanne Collins
2. The Help by Kathryn Stockett
3. The Son of Neptune: The Heroes of Olympus, Book Two by Rick Riordan
4. The Confession by John Grisham
5. Inheritance by Christopher Paolini
6. Life of Pi by Yann Martel
7. My Sister's Keeper by Jodi Picoult
8. Wonder by R.J. Palacio
9. The Secret Life of Bees
by Sue Monk Kidd
10. Holes by Louis Sachar
11. The Alchemist by Paulo Coelho
12. The Road by Cormac McCarthy
13. The Giver by Lois Lowry
14. The Tiger's Wife by Tea Obreht
15. Caleb's Crossing by Geraldine Brooks
16. The Five People You Meet in Heaven by Mitch Albom
Classic Books:
1. Moby Dick by Herman Melville
2. To Kill a Mockingbird by Harper Lee
3. Pride and Prejudice by Jane Austin
4. Tale of Two Cities by Charles Dickens
5. Jane Eyre by Charlotte Bronte
6. Huckleberry Finn by Mark Twain
7. The Picture of Dorian Gray by Oscar Wilde
8. Screwtape Letters by C.S.Lewis
9. Don Quixote by Miguel de Cervantes
10. Of Mice and Men by John Steinbeck
11. Frankenstein by Mary Shelley
12. The Count of Monte Cristo by Alexandre Dumas
13. The Scarlet Letter by Nathaniel Hawthorne
14. Lord of the Flies by William Golding
15. Animal Farm by George Orwell
16. Lord of the Rings by J.R.R. Tolkein
1. The Mikado (1885)
2. Wicked (2003)
3. Phantom of the Opera (1986)
4. Our Town (1938))
5. Death of a Salesman (1949)
6. The Crucible (1952)
7. Beauty and the Beast (1994)
8. The Fiddler on the Roof (1971)
9. The Glass Menagerie (1944)
10. The Sound of Music (1965)
11. Romeo and Juliet (1597)
12. My Fair Lady (1956)
13. The Diary of Anne Frank (1955)
14. You Can't Take It With You (1937)
15. Seven Brides for Seven Brothers (1982)
16. Mary Poppins (2004)
Country Classics:
1. Anyway You Want Me, That's How I will Be by Elvis Presley
2. Ring of Fire by Johnny Cash
3. People Like Us by Kelly Clarkson
4. Jesus Take the Wheel by Carrie Underwood
5. Mean by Taylor Swift
6. Coat of Many Colors by Dolly Parton
7. It's Only Make Believe by Conway Twitty
8. If Tomorrow Never Comes by Garth Brooks
9. Is There Life Out There? by Reba McEntire
10. Concrete Angel by Martina McBride
11. I've Been Watching You by Rodney Atkins
12. Live Like You were Dying by Tim McGraw
13. Mr. Mom by Lonestar
14. Accidental Racist by Brad Paisley (& Ll Cool J)
15. I Hope You Dance by Lee Ann Womack
16. On the Road Again by Willie Nelson
|Dramatic Interp
|Duo Humorous Interp
|* DI Ballot
|* DHI Ballot
|* DI Judge Worksheet
|* DHI Judge Worksheet
|* PP Ballot
|* PA Ballot
|* PP Judge Worksheet
|* PA Judge Worksheet
Apologetics questions/topics for 2013 - 2014
The following are questions for the CCT Platform Apologetics event and the STOA Impromptu Apologetics event. For the CCT Platform Apologetics Speech please choose one question to answer or one statement to respond to:
Stoa Apologetics Questions © 2013 Stoa Rev 07/13
Christian apologetics is a rational, thoughtful defense of the theological tenets of Christianity. It is not a sermon and it is not necessarily a presentation of the gospel or an overt evangelistic opportunity.
Students should approach the question or topic from an apologetic perspective and craft their response as if the audience were not sympathetic to the message being presented.
The end goal is for students to understand the rational basis for their faith and to be able to defend and communicate theological truth to those outside the faith.
NOTE: For any of the Ambassador Students who have approached the Apologetics event according to STOA guidelines, i.e. as an Impromptu event: When Questions are added/deleted at the start of a new season, the numbering of existing questions can change. Competitors should review all their Apologetics cards to be sure they correspond with the correct question numbers on the updated list.
*All NEW Apologetics Questions will be marked with an asterisk (*) for easy referencing.
Category 1: EXISTENCE AND NATURE OF GOD
General Questions
1. In what ways has God revealed Himself to man?
2. If God is real, why can't people see or touch Him?
3. If God is holy, why did He allow sin in the world?
4. How can God be both merciful and just?
5. Open theology states that God is constantly changing and growing with His creation. Respond to this idea.
6. Why is the unchanging nature of God essential to who He is?
7. Where did God come from?
*8. If God is loving, why is there suffering in the world?
Category 2: SCRIPTURES
General Questions
1. Jesus clearly demonstrated His belief in the authority of Scripture. Defend this statement with evidence.
2. If the Bible was written by men, how could it also be written by God?
3. How can the Bible be trustworthy when it has been translated so many times?
4. What is the foundation for accurate Bible translation?
5. Does it matter whether the entire Bible is true? Can we accept some parts of it and not others?
6. Why should the Bible be trusted if it is full of contradictions?
*7. How can an "inerrant" book come from errant men?
*8. Does science contradict the Bible?
*9. How can we trust the Bible if we don't have the original manuscripts?
Category 3: THE NATURE, PURPOSE, AND DESTINY OF MAN
General Questions
1. Do all men have a longing for God?
2. Do all men have a conscience?
3. If God is invisible (1 Timothy 1:17), how can man be made in the image of God?
4. If man is inherently sinful, why do most men lead relatively good lives?
5. What is the purpose of man?
6. What is the destiny of man?
7. Why would a loving God create Hell?
8. What is the essential duty of man?
9. What is meant by the "Fall of Man", and how does it impact man's relationship with God?
*10. What is the essential nature of man?
*11. Does God hate the sin but love the sinner?
Category 4: SALVATION or HOW TO KNOW GOD
General Questions
1. How can a man know God?
2. Can a man become right with God by keeping the Ten Commandments?
3. Isn't it narrow-minded to believe there is only one way to Heaven?
4. Why does man need salvation?
5. What does it mean to be adopted as a child of God?
6. Can a Christian have assurance of his salvation?
*7. What will happen to the innocent people who have never heard about Jesus and the gospel?
*8. Do good people go to heaven?
Category 5: THE PERSON OF CHRIST
General Questions
1. Why is the Resurrection essential to the Christian faith?
2. If God is infinite, how could He limit Himself in the person of Christ?
3. The Bible presents Jesus as both God and man. Why is this central to the Christian faith?
4. Why did Jesus have to die to provide salvation for men?
5. What evidence is there for the historical existence of Jesus?
6. How do we know that Jesus really died? Didn't he just swoon on the cross and then become revived in the
coolness of the cave where they buried Him?
7. What evidence is there for the resurrection of Jesus?
8. Did Jesus attain deity by His sacrificial death, or was He God from the beginning?
9. If Jesus is God, what did Jesus mean by, "My God, my God, why have you forsaken me?" Mark 15:34
The Holy Bible, English Standard Version® (ESV®). Crossway © 2001.
Category 6: CHRISTIANITY COMPARED
(*NOTE: This entire category of questions are NEW for the 2013-2014 season.)
General Questions
1. How is Christian stewardship distinct from the environmentalist movement?
2. Is Christianity a religion of intolerance?
3. Is transcendental meditation a viable activity for Christians?
4. Is the concept of Karma found in the Bible?
5. Do Christians, Jews and Muslims worship the same God?
6. How do the beliefs of Jehovah's Witnesses differ from traditional Christianity?
"Scripture quotations marked (NASB®) are taken from the New American Standard Bible®, Copyright © 1960, 1962, 1963, 1968, 1971, 1972, 1973, 1975, 1977, 1995 by The Lockman Foundation. Used by permission." < www.lockman.org >
"Scripture quotations marked (ESV) are from The Holy Bible, English Standard Version® (ESV®), copyright © 2001 by Crossway, a publishing ministry of Good News Publishers. Used by permission. All rights reserved." < www.crossway.org >


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AXS TV's broadcast schedule for Sunday (May 4) at New Orleans Jazz Fest 2014 includes Arcade Fire, John Fogerty, The Radiators, Eric Clapton and Marc Broussard, among others. Christina Aguilera, who appeared on an early AXS performers list for the festival then disappeared, has been restored. AXS's Fair Grounds broadcast day starts with a "Countdown to Jazz Fest" show at 2 p.m.
The Sunday AXS TV schedule, all times Central:
2:35 p.m. -- Voice of the Wetlands Allstars
2:55 p.m. -- Marc Broussard
3:40 p.m. - The Revivalists
4:05 p.m. -- Ivan Neville's Dumpstaphunk with special guest Art Neville
4:35 p.m. -- The Radiators
5:05 p.m.-- Arcade Fire
5:45 p.m. -- Trombone Shorty & Orleans Avenue
6:15 p.m. -- Christina Aguilera
6:45 p.m. -- John Fogerty
8:25 p.m. -- Eric Clapton
The schedule repeats (minus Arcade Fire and Trombone Shorty) at 9 p.m. Sunday and 7 a.m. Monday
This is AXS TV's second Jazz Fest. The network carried 30 hours of music over Friday, Saturday and Sunday of the festival's second weekend in 2013 (Thursday was an add-on this year). The cablecasts were viewed by about 5 million households, according to an AXS news release.
AXS is carried locally on AT&T U-verse channel 1106, DirecTV channel 340, DISH channel 167 and Charter channel 857.
Read more about AXS TV's coverage of this year's festival.
AXS TV coverage from the 2013 festival.
Savannah Buffett's Jazz Fest memories go way back.
Got a TV question? Contact Dave Walker at firstname.lastname@example.com or 504.826.3429. Read more TV coverage at NOLA.com/tv. He's @DaveWalkerTV on Twitter, and Dave Walker TV on Facebook.


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STATEN ISLAND, N.Y. -- As much as Staten Islanders would like to believe Hurricane Sandy was a once-in-a-lifetime event, the city is not taking any chances.
To that end, city agencies studied the upheaval caused by the storm, and Friday released a hefty report analyzing the findings -- announcing, among other recommendations, a move to expand the hurricane evacuation areas to encompass 640,000 more residents, and doubling of the number of zones from three to six so the city can better tailor evacuation orders to the dynamics of a particular storm.
Details are expected next month.
"Overall the response was very strong by city agencies, pretty tremendous across the board," said Deputy Mayor Caswell Holloway at a briefing Friday. "But notwithstanding all these things that we were able to put into place, we know we can do it better."
The Oct. 29 storm killed more than 40 New Yorkers -- 23 of them on Staten Island, 24 with Island ties -- and caused billions of dollars in damage, knocking out power to more than 1 million people. City officials discussed such life-and-death issues as evacuation from low lying areas in what are now the city's three evacuation zones, which currently include 2.3 million people.
The roughly 375,000 residents of the most vulnerable area, called Zone A, were ordered to leave before Sandy. But a city survey found 63 percent stayed home.
"We have to start considering how many folks perished on Staten Island, and you have to start with life and safety," said Councilman James Oddo (R-Mid Island), after his preliminary read of the report. "The discussion about the 911 and 311 system and improving that is critical," said Oddo, describing how, with the city's emergency call system overwhelmed, Facebook posts became the method to get the word out about people in need of help, as Council staff forwarded messages from the social networking site to city responders. "Facebook was in effect both 911 and 311. I'm convinced my and Councilman Ignizio's Facebook Page saved lives."
The 59 recommendations developed with input from not-for-profits, city, state and providers of essential infrastructure agencies, fall into six categories:
Communications; General and Healthcare Facility Evacuations; Public Safety; General and Special Medical Needs Sheltering; Response and Recovery Logistics; and Community Recovery Services.
Mayor Bloomberg accepted the recommendations and work has already begun to implement as many as possible in advance of the 2013 Hurricane season.
Key recommendations include buying more police boats, developing a system to track patients after hospital evacuations and lining up more generators, boilers and electrical repair gear. Also noted in the report is the need to consider the senior, home-bound and nursing home populations in evacuation plans.
"When you look at the folks who perished, in my district, the senior population, those who were vulnerable didn't get out," said Oddo, blaming the failure to evacuate, in part, to the sense of complacency after Irene.
To safeguard against future catastrophic loss, the councilman said the city must focus on property acquisition and rebuilding so housing stock is better able to withstand the wallop of other strong storms.
The Special Initiative for Rebuilding and Resiliency, intended to evaluate how to move forward with the rebuilding process, is expected to release its recommendations to the mayor later this month.