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Welch, Shari J. MD
Dr. Welch was the quality improvement director in the emergency department at LDS Hospital in Salt Lake City for 10 years. She is on the faculty at the Institute for Healthcare Improvement in Boston and speaks internationally on emergency department quality improvement. She also has served as a quality consultant for VHA, is a member of ACEP's quality improvement and patient safety section, and is a member of the Emergency Department Benchmarking Alliance. She has been published in numerous journals, and just finished her second book, "Quality Matters: Creative Solutions for the Efficient ED" to be published by Joint Commission Resources Publishing.
An emergency department director is looking to improve the intake process to decrease door-to-provider time. Staff education does little to improve efficiency, and a colleague suggests using flow mapping, which shows the team the steps in the process and allows them to identify opportunities for improvement.
This flow diagram allowed the director and his team to see the 11 steps between the patient's arrival and his encounter with a physician. This type of intake processing adds delays, and consists of few steps of intrinsic value to patients, but this model is still common in the United States. The director assembled a task force to streamline the process, which began by cutting the number of times the patient went to the waiting room. Eventually the team was so energized to improve this process that they made the most ambitious of all plans. They decided to do away with all intake steps altogether.
This method is sometimes called "pull to full." If a room is open, the patient is brought straight back, and is met by a physician with all processes occurring in parallel. Sometimes this is called "no triage" or "straight back." Flow mapping can be done very simply or with more detail, and many computer programs are available to create flow maps. White papers also exist to help novices develop this skill.
Another example of how flow mapping can improve efficiency occurred in a large tertiary care and trauma center that was open less than a year. A physician complained to the ED nurse manager that orders were frequently missed; this was a recurrent complaint from the emergency physician group. The nurse manager audited the charts of the physician making the complaint on the day he had cited and found a disturbing trend.
When comparing the physician orders with the nurses' computerized charting of orders administered, there was a 27 percent discrepancy. In an email to the nursing staff, the manager noted that the physician had seen 18 patients, 15 of whom had orders, and four of those whose nursing orders were either not done or done incorrectly. She also noted that many other orders were delayed. "That is absolutely unacceptable," she wrote. "You must read and note all of your orders. Remember that if you did not chart it, you did not do it."
Because the sample was so small, the data seem really out of line. To be sure there really is an issue, she could do small audits over time to get a sense of the magnitude of the problem. On the other hand, this has been a frequent complaint from the physician group, and many would consider even one missed order a sentinel event.
If she assumes the audit is indicative of a problem, is it bad nurses or bad process? Any process that fails 27 percent of the time needs studying. Likely, you will find that this process is not well articulated in the staff's mind and therefore likely to result in defects.
The flow map diagram (see figure) follows the chart of a new patient from generation to nursing orders. Note how the chart moves through a series of destinations and its arrival at each destination cues the team member at each process. The nurses need only to be vigilant and watch for orders. Could this process be changed to make it easier for the nurses to be cued? Could we improve on the reliability of this process by building in redundancy?
What would happen if the nurses were presented with the chart as a cue in the same way as the other team members? With little expense or remodeling, chart boxes could be placed on the wall near the nurses' workspace and nametags affixed for each nurse. As the nurse walks to and from the charting area, the chart in her box is presented to her and serves as a visual cue. She is able to pick up the chart and see the new orders right then instead of having other types of cueing (e.g., an electronic tracking system), which require the nurse to retrieve the chart to execute the orders.
The patient flow coordinator also might watch for new orders, and radio a nurse taking care of a complex patient elsewhere in the ED that she has new orders. This is easily built-in redundancy. This also allows other nurses to offer help to a nurse with a number of orders to process. Boxes full of charts with orders can cue the staff about demand capacity mismatch. The charge nurse or patient flow coordinator gets a visual overview of the nurses' workload, and may use this to determine whether the on-call nurse should be called in.
Let's think about adding one other inexpensive low-tech cue. Although we may be moving to computerized charting, some sort of paper chart still exists in most EDs for real-time communication. Highlighter necklaces are inexpensive and an easy way for all staff (nurses, respiratory therapists, EKG techs, and lab techs) to communicate that an order has been executed. It is a highly visual way to communicate. In addition, the entire ED team can be trained to pick up on orders that are not highlighted and to get them processed — more redundancy.
Flow mapping is another tool to improve the processes in our departments. Whether your ED employs primitive skills to visualize the process or becomes a technically skilled and proficient user of flow mapping, the point is this tool allows you to visualize the steps to craft improvements. The final lesson in this piece is that not all solutions to process problems are expensive or high-tech. Get out your colored pencils!
© 2009 Lippincott Williams & Wilkins, Inc.
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During the election I came across some hilarious commentary by Ze Frank about the debates and ever since I've been enjoying my Youtube subscription to his channel and the video I came across today just stuck with me and I needed to share! It's about KINDNESS! And during this time of fresh starts with the New Year and resolutions I think it's such a great message!
Check it out below!
While the entire message stands out to me, I did pull an awesome quote that I'd love to share and hope you enjoy whether or not you watch the video!
"Kindness – It's like little rays of light that emanate out from the interactions you have with people, maybe little candles that light inside them…You can tell the people that have had a lot of experience with kindness, they glow like they do have a lot of tiny little candles burning inside of them." – Ze Frank
Pass on the kindness and start glowing and seeing others glow!
Yesterday, on facebook I was asked a crucial question. If Pshiiit had to choose 5 or 6 colors Essie maximum, which would it be? Tart Deco is instinctively that came in first. You know my love for non-delicate pink, which I willingly abandoned for all that is blue / green / blue-green … Well Tart Deco is one of those pink-coral-orange that makes me love this color range. It is like no other color for me, it has the nuance that fits perfectly to my skin (at least when the latter is slightly tanned. The I grant you, it is rather mortis ^ ^), it punchy is just right, and admit it, it is likely archi ^ ^.
So I wanted to highlight the following issue to remind you how nice it is to the finish (a little late) of beautiful days. I wanted to make an accent on the forefinger nail by placing the tape striping. I was planning to spend a white layer and then remove it, and finally I found ca pretty as is, so I left. After laying the Tart Deco (two layers) I spent a layer of Top Coat Velvet from Chanel, and I aaaaaaaaime rendering Tart Deco matte! Moreover, talking about Chanel, I saw the visual June, and I think he has a small air Tart Deco. Here is the result picture🙂
This color is hard enough to take a picture, at least I have not managed to set the camera to his chopper TRUE color, in reality it is more flashy and a little more orange. Finally with my eyes! ^ ^
Have a great week, and tomorrow for the second competition that will make you scream! ^ ^
FYI, the Tart Deco is still on sale for € 5 at M & B ^ ^.
So the other day Paul and I completed our first Pinterest Project, the Photo Heart! And I think the relevance of having Pinterest is to be able to achieve those things we think would be great for our life, whether it be for our home, for our taste buds, for wearing or just for fun!
I think I will make this a regular thing, to "achieve" a Pinterest on a monthly, bi-weekly, or even weekly basis. Hopefully more often than not, but we will see as we go. One day when I was searching for the Pinterest logo, I stumbled upon this image (below), and I think this was created by someone with a lack of drive and motivation.
Well, I have achieved three Pinterests last week and have several others in the works! First was our Photo Heart for our bedroom wall…
Second was purchasing this super cool shirt from Forever 21(it was only $23 including tax and shipping – and I probably could have gone to the store for it… but I was impatient and wanted to be absolutely sure I didn't miss out!).
And third was making this fun scarf (and it was even easier and took less time than the blog said)!
I think Pinterest is all about collaboration and inspiration! THere are not to many original things out there anymore, but there is definitely individual personality, desire and achievement, and Pinterest is totally helping me achieve!
The Wall Street Journal is providing some awesome fall inspiration, and this one, of many caught my eye! It sounds delicious and beautiful all at once, to have the fragrant herbs and flowers to create a beautiful home arrangement!
WSJ: Herb & Flower Arrangements – "Mint and basil are flowering, autumn is releasing its early blooms—now is the moment to combine them. New York flower expert Nicolette Owen explains the basic steps."
For details about how to make the pictured arrangement read on!
Mint and Lavender + Pom-Pom Dahlias + GrassStep One: Start with a slightly asymmetrical base of greens. We used flowering mint. Leave some stems nice and tall so the arrangement will be taller than the pitcher. Step Two: Place your large showy blooms throughout the base of greens. We used pom pom dahlias. Play with the directions of the "face" of the flowers so they are not all looking the same way. Step Three: Finish the arrangement with a bold gesture of grass to balance the shape of the pitcher. Sprinkle little sprigs of flowering lavender throughout to add some extra fragrance.
Click here to view "The Off Duty Fall 50"
I'll definitely post a pic when I get the opporunity to make my own arrangement!

subset: commoncrawl


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FoxTrot Classics by Bill Amend
- February 25, 2013
- From Beginning
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In other words on Jason's idiotic message, you "press 1", right?
Figuring out the answering machine is the easy part…
I did and parentheses are needed before the product (to get 1)…
Since you're discussing the equation, what's the proper way to explain the parentheses in an audio phone message?
The difference of … and … multiplied by 17.5 subtract the 4th root of…
This forces the difference to be evaluated before the multiplication…
nowadays, we have smartphones which have voicemail with default recording.
He should say, "…all times 17.5…", otherwise there is no hint that you need the parentheses. On my first try I got -593, and I KNEW that Amend would give us a proper equation to get to 1 or maybe 2. I just realized that BlackKnight15 also gave us a good way to say it. Bill Amend should get a demerit for that one.
For the phone caller, it would be easiest to just try each number on the touchpad and see which one works.
As the instructions are verbal, merely calculate as each term becomes available. SR – CR * 17.5 – FR = 1
Or algebraically: (SR – CR) * 17.5 – FR = 1
Thank you BlackKnight15 for keeping us math geeks on our toes.
Yeah, with no parenthesis I got the -593 as well, but can understand where the 1 comes from. No wonder no one is calling.
Actually, if you do that on a standard calculator you get -593, which as others pointed out is totally wrong. You only end up with 1 if you enter = after each operation too, which is the same as having parenthesis around the first operation.
Mom says, With the phone or our son?
Answer is, Yes!
Hmm. Unless one is supposed to key 5 9 3 on the phone—just kidding. But 5 from 9, minus 3 gives you 1. Ha.
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Day is close but still can't seal deal
ARDMORE, Pa. Phil Mickelson is not the only player who's getting tired of close calls in major championships.
For the fourth time in his past 10 majors, Jason Day finished in the top three.
Day tied Mickelson for second, two strokes behind Justin Rose, at the U.S. Open. Of course, Day is 25 and Mickelson, 43.
"I'll have a lot of majors ahead of me," the Australian said. "I really felt better today than I did at the Masters this year, when I felt a lot more pressure."
Day has a second and third in the past three Masters, and finished second to Rory McIlroy at the 2011 Open.
Day birdied the 10th to tie for the lead, but then bogeyed the 11th after a second shot into the creek, and had to hole out to do that.
Shawn Stefani's tee shot on the 17th landed on the bank left of the green. Then it bounced off and rolled all the way across the green and into the hole — the only hole-in-one of the tournament.
Stefani went over and kissed the landing spot after he fished the ball out of the hole. The shot brought Stefani to 18-over par. He did take the ball home with him.
When reminded that Merion might want the ball for its archives, Stefani said, "There's a price for everything."
Tiger Woods hit only six fairways in his fourth round and leaves Merion in need of a major reversal.
Not only did Woods shoot 74 on Sunday to finish 13-over par, he also was 8-over and in 55th place at Memorial two weeks ago.
This was Woods' worst performance in any Open in which he has made the cut as a professional.
"I did some good things and unfortunately some not-so-good things," he said. "I hit the ball the correct distances most of the time, but not in the correct areas. I was trying to give myself uphill looks on some putts but didn't quite do that."
Woods drove out of bounds on the second hole and made a triple-bogey 8.
U.S. Open competition director Mike Davis heard Phil Mickelson's criticism of the course setup, particularly the third hole, a par-3 into the wind that was playing at 266 yards.
"We set up the golf course for a south wind," Davis said. "We wouldn't have put the tee markers there had we known we were going to get a westerly or northwesterly wind."
The winning score of 1-over par was a surprise to those who feared Merion would be reduced to rubble by the long-hitting pros. It played at 6,869 yards Sunday.
"You could play an 8,500-yard course with straightaways and these guys would have no trouble," Davis said. "It's when you have holes that move different directions, with wind, some blindness, greens that undulate, unlevel lies, that's what tests these players."
Steve Stricker's drive to become the oldest Open champ, at 46, evaporated when he had an 8 on No. 2, hitting two balls out of bounds. … The average score for the tournament was 74.5526. …There were 11 birdies on No. 18, none on Saturday or Sunday. … Rose, Day and Luke Donald led the field with 15 birdies. … Mickelson tied with Paul Casey in greens in regulation (75 percent), and Mahan's 49 fairways were seven more than anyone else in the field.
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Steppin' Out Ben Vereen with The Long Bay Symphony Friday, January 25th at 7:30 pm
Few entertainers today are as accomplished or versatile as Ben Vereen. His legendary performances transcend time and have been woven into the fabric of this country's artistic legacy. His first love and passion is and always will be the stage. "The theater was my first training ground. It taught me discipline, dedication and appreciation of hard work and values that will stay with me a lifetime. The stage sharpens the creative instrument and encourages you to go deeper inside and try new things," states Ben.
On Broadway, Ben Vereen has appeared in Wicked, Fosse, I'm Not Rappaport, Hair, Jesus Christ Superstar, Pippin,Grind, Jelly's Last Jam and A Christmas Carol. His role in Pippin garnered him both the prestigious Tony Award and the Drama Desk Award for "Best Actor in a Musical." On January 30, 2012, Ben received the highest honor in theater as he was inducted into the Theater Hall of Fame.


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That brings the total up to 24. Here's the governor's release:
"Governor Dannel P. Malloy today announced that the Department of Social Services and the Office of Labor Relations has notified several state agencies of an additional nine employees who are suspected of filing false and misleading applications under the D-SNAP program as the state continues its ongoing investigation. In addition, the 15 employees whose names were submitted to agencies last week have been given letters notifying them of the date for their individual administrative hearings.
"We have a zero tolerance policy for the misuse or abuse of government programs in this administration," Governor Malloy said. "While the addition of nine administrative hearings is troubling, I want the residents of Connecticut to know that this is an ongoing investigation, and I am determined to leave no stone unturned. In addition to losing their jobs, anyone caught defrauding our government will be referred immediately to the proper authorities. The days of looking the other way are over."
The Governor also outlined the process by which state employees can provide tips of fraud and abuse of public funds while remaining anonymous.
"Since we first announced the administration's investigation into the federal emergency food assistance program last week, my office has been contacted by state employees who want to report unethical practices but wish to do so anonymously," Governor Malloy explained. "The Office of the Auditors of Public Accounts, which is operated under the management of the state legislature, has a whistleblower unit designed to protect the identities of anyone who makes such a report. I strongly urge any Connecticut resident who is aware of misuse or misappropriation of public funds and wants to remain anonymous to contact that office, understanding that their identities will be protected."
Tips can be submitted either in writing or by telephone to:
State of Connecticut Auditors of Public Accounts
210 Capitol Avenue
Hartford, CT 06106
Toll free: (800) 797-1702
Locally: (860) 240-5305
Website: http://www.cga.ct.gov/apa
The Governor is urging anyone with knowledge of corruption, unethical practices, or abuse to come forward so that it can be investigated. Additional information on rights and protections for whistleblowers can be found on the Office of the Attorney General's website."


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I had a very relaxing facial with Adeela, who was lovely, using Dr Hauschka products which smelled amazing. And there were snacks at the end!
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Culture of Dark Money
December 21, 2012
The Huffington Post has reported that Macau casino magnate Sheldon Adelson actually spent $150 million in Campaign 2012, not the $100 million he had promised, or threatened. Adelson and his wife gave $54 million to committees that reported to the Federal Election Commission and spent the rest through 501(c)(4) social welfare organizations and (c)(6) business associations that didn't report his contributions. He even managed to throw a million dollar stink-bomb at Debbie Stabenow through a boutique SuperPAC created just for the occasion.
In Michigan, 43 percent of the $18 million, eight-month television advertising campaign against the Obama administration and its policies was by sponsored by non-disclosing nonprofit corporations.
Michigan's headline state candidate race was for our Supreme Court. In that campaign, the candidates raised and spent $3.4 million. The state political parties and a DC-based nonprofit corporation spent $11 million for television advertisements about the candidates in the last two months before Election Day. That television advertising wasn't reported in the state campaign disclosure system. Those data are available from the public files of the state's broadcasters and cable systems.
In the Michigan Supreme Court campaign, undisclosed outspent candidates, 3-1.
This is a big problem. Nobody has the motivation to spend big money in a judicial race like a litigant with a high-stakes case in the appeals pipeline. Imagine being in court opposing the person who financed the campaign of the justice who is going to decide your case. Imagine not knowing it, so you can't make a legitimate motion for recusal. Dark money undermines the whole premise of judicial impartiality.
We are crazy to allow this cloud of dark money over our process for selecting justices.
Don't take my word about this. The Judicial Selection Task Force chaired by Justice Marilyn Kelly and Senior Judge James L. Ryan of the U.S. Sixth Circuit Court of Appeals recognized the peril of dark money in judicial campaigns. Conservatives and progressives on that panel made a consensus recommendation that all spending in Michigan Supreme Court campaigns should be disclosed to its source.
In case you missed it, Michigan also had the most disgraceful trial court campaign in the country this year. Five incumbents, of mixed partisan roots, and two challengers running for the Sixth Circuit Court in Oakland County raised and spent $725,000. Two non-disclosing DC-based nonprofits, Americans for Job Security and Judicial Crisis Network, paid for a $2 million media campaign attacking one of the incumbents and touting the 'plan' of the two challengers, who claimed to know nothing about the dark money ads. The stealth campaign failed miserably.
Most informed observers believe this was a case of a troubled, angry rich guy behind a (c)(4) mask who didn't like the way a previous judicial decision had gone in that court. You know, "I don't like that decision. I'm going to take you out and I'm going to leave no fingerprints."
How would you like to be running for a judgeship with our generous allowance for unaccountable spending? Would you stand up to an angry rich guy and risk a $2 million kneecapping by an anonymous assailant?
Governor Snyder keeps an active 527 committee called the Governor's Club. Apparently our constitutional executives feel a 527 is necessary equipment. Jennifer Granholm, Mike Cox and Terri Land had 527s. Rick Snyder, Bill Schuette and Ruth Johnson have them now.
The Governor's Club discloses its donors and its expenditures. Since Governor Snyder took office, it has raised $563,000. It's been used for things like a communications consultant and hotel rooms at the Republican National Convention in Tampa.
The Governor also keeps a 501(c)(4) social welfare organization –New Energy to Reinvent and Diversify (NERD). It raised $1.3 million, just in 2011. We don't know its donors, or its purpose, beyond "social welfare". We haven't seen yet how early legislative successes may have boosted NERD in 2012.
Why run a (c)(4) if you have a 527? The only difference is transparency. 527s disclose itemized receipts and expenditures; (c)(4)s don't.
Dark money is baked into policy development, too. Many observers wonder who gave the Oxford Foundation the money to support the work of Richard McLellan as he developed a proposal for commercialization of public education. It would be rational for interest groups and individuals who are in the business of commercializing public education to support such a proposal, and if they did, citizens should know it. But we have no way to know whether those who stand to gain financially are the funders behind that proposal.
We are being swamped by a toxic wave of dark money. Accountability for the money driving our politics is withering.
Once upon a time, 10 years ago, the most strident political operative you knew would say, "Just let everybody spend as much as they want, and make them disclose it."
Remember that?
These days everybody spends what they want, but a great amount, often a majority, is not disclosed. I can prove it. Dark money is proportionally bigger in Michigan politics than it is in national politics, Crossroads GPS and Americans for Prosperity notwithstanding.
I understand that we're living with a political culture that accepts, even celebrates dark money. Most citizens don't. As Justice Antonin Scalia once wrote, "Requiring people to stand up in public for their political acts fosters civic courage, without which democracy is doomed."
If we citizens won't demand real accountability for money in our politics, we are surrendering governance to the invisible hand of self-serving wealth. Let's require those who think elections and public policy are just commodities for sale to show some civic courage along with their bankroll.


text:
- Posts 3
Gift Premium Subscription To duzcompute
Join Date:02-27-2013
Last Activity:08-14-2013 12:57 AM
- Database Administrator
- Male
- Married
- Lathrop
Posted in thread: Stockton Ca. on 03-11-2013 at 09:23 PM
Hey mx, sorry I did not see your post until now. I was watching my email folder to be notified
of any replies but it was not set up right. When's your next meetup in Lathrop?
Posted in thread: Lawsuit Against Anheuser-Busch on 02-28-2013 at 01:17 AM
My argument is that they have a much higher focus on quality. Such a strong focus on quality
that they are renowned for the result.To clarify - are you referring to craft breweries or AB?I
would argue...
Posted in thread: Stockton Ca. on 02-27-2013 at 11:13 PM
I'm in Lathrop as well. I'll be joining the Brew Angels as soon as I can scrape up the dues.In
fact, I'm having a brew-in and craft beer mixer this weekend at my place. A few of them might
be there.Su...


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Yuletide Yo Yo's Sewing Pattern
Put a smile on your real-life little doll's face with these adorable yo-yo dolls.
Easy and fun to make. Step-by-step instructions for 14" Santa, snowman and reindeer.
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Holmboe, Eric S. MD; Huot, Stephen J. MD, PhD; Brienza, Rebecca S. MD, MPH; Hawkins, Richard E. MD
Dr. Holmboe is senior vice president for quality research and academic affairs, American Board of Internal Medicine, Philadelphia, Pennsylvania, and professor adjunct, Yale University, New Haven, Connecticut.
Dr. Huot is professor, Department of Medicine, Yale University, New Haven, Connecticut, and program director, Yale Primary Care Residency Program, New Haven, Connecticut.
Dr. Brienza was formally clinic director, Norwalk Hospital Internal Medicine Residency Program, Norwalk, Connecticut.
Dr. Hawkins is vice president, Assessment Programs, National Board of Medical Examiners, Philadelphia, Pennsylvania.
Correspondence should be addressed to Dr. Holmboe, American Board of Internal Medicine, 510 Walnut Street, Suite 1700, Philadelphia, PA 19160; telephone: (215) 446-3606; fax: (215) 446-3633; e-mail: (email@example.com).
Purpose: Previous studies have found gender bias in the global evaluations of trainees. The purpose of this study was to investigate the association of faculty and residents' gender on the evaluation of residents' specific clinical skills, using direct observation.
Method: In 2001–2002, 40 clinician–educators from 16 internal medicine residency programs viewed a series of nine scripted videotapes depicting varying levels of residents' clinical performance in medical interviewing, physical examination, and counseling. Differences in the ratings of women versus men faculty, in relation to differences in the residents' gender, were compared using random-effects regression analysis.
Results: There were no statistically or educationally significant differences in the rating of clinical skills attributable to faculty or residents' gender for medical interviewing, physical examination, or counseling.
Conclusions: This study suggests that gender bias may be less prevalent in the current era of evaluation of clinical skills, particularly when specific skills are directly observed by faculty. Further work is needed to examine whether the findings of this study translate to the actual training setting.
A number of studies have assessed the relationship between trainees' gender and their evaluation of medical knowledge and clinical competence.1–7 Some have only assessed whether cognitive or noncognitive performance between men and women trainees is different.8,9 Other studies have assessed the perception by others of women trainees, compared with men, in the areas of humanism and technical skills.9,10 Limited data exist that address potential differences in performance ratings attributable to gender bias within the evaluation process of resident trainees by faculty. In addition, some reported differences in ratings by gender may simply reflect real differences in clinical and evaluative skills not associated with gender.
A study examining the American Board of Internal Medicine (ABIM) evaluation form found that male residents, compared with female residents, received significantly higher scores from male attending physicians than from female attending physicians in many of the domains studied.11 A small, single-institution study of faculty ratings of interns did not find any differences by gender.8 A study of 14,340 U.S. and Canadian graduates taking the ABIM certifying examination found that for overall competence, male trainees were rated higher than female trainees by program directors.12 However, a more recent study did not find significant differences in competency ratings of male and female residents on evaluation forms completed at the end of a ward rotation during a randomized controlled trial of an educational intervention.13
All of the previously published studies compared global ratings of various domains of competence. These previous findings of potential rating bias by faculty based on gender are more concerning, given more recent studies that used standardized patients (SPs) for assessment.14,15 For example, Haist and colleagues14 found that fourth-year female medical students scored higher than male students in all domains tested on a clinical skills assessment. Van Zanten et al15 reported the same finding among all international medical graduates who took the Educational Commission for Foreign Medical Graduates' clinical skills assessment, including the areas of empathy, attentiveness, and attitude. The findings from SPs are also more in line with differences noted among female and male physicians in communication behaviors with actual patients.16
Less is known about whether the gender of the trainee and/or attending is associated with the evaluation of clinical skills through direct observation by faculty. The objective of our study was to examine the potential interaction of the gender of faculty and residents on the evaluation of the clinical skills of medical interviewing, physical examination, and counseling.
Forty faculty from 16 different internal medicine residency programs from the Northeast (Connecticut, Massachusetts, and Rhode Island) and Mid-Atlantic (Maryland, Virginia, and District of Columbia) regions participated in a randomized controlled trial of a faculty development course designed to improve evaluation skills in 2001–2002.16 Participating faculty from each institution were chosen by the residency program director. Five university-based programs (e.g., situated at a medical school's primary teaching hospital) and 11 university-affiliated community-based programs (e.g., not situated at a medical school and not the medical school's primary teaching hospital) participated. Program directors were encouraged to select faculty who did or could play a significant role in the program's educational and assessment activities; program directors were also encouraged to participate. Participants were informed that they would be assigned to a control or intervention group to test a faculty development intervention and that they would complete a comprehensive baseline assessment, including the rating of a series of videotaped clinical encounters. The study was approved by the Yale University human investigation committee and the Uniformed Services University of the Health Sciences institutional review board.
Before participating in the faculty development sessions, all faculty observed and rated a series of nine videotaped clinical encounters that were presented in random order.
* The history skill videotapes depict a Caucasian male resident evaluating a 64-year-old African American woman presenting to the emergency room with acute shortness of breath and chest pain attributable to a pulmonary embolism.
* The physical exam skill videotapes depict a Caucasian male resident evaluating a 69-year-old Caucasian male with progressive shortness of breath secondary to ischemic cardiomyopathy with varying levels of physical examination skills (errors of both omission and commission).
* The counseling skill videotapes depict a Caucasian female resident evaluating a 48-year-old Caucasian male returning to clinic for follow-up of recently diagnosed hypertension to discuss treatment options with varying levels of informed decision making and patient-centered counseling skills.
Regarding the different history skill videotapes, the "poor" performance encounter shows the resident conduct a very doctor-centered interview with all closed-ended questions. A number of key feature history items are also neglected by the resident. The "best" performance encounter shows the use of open-ended questions and coverage of key feature questions that lead to a proper diagnosis.
Faculty rated resident performance on the tapes using a modified version of the ABIMs nine-point mini-clinical evaluation exercise form.17–19 On this form, a score of one to three denotes unsatisfactory performance, four to six denotes satisfactory performance, and seven to nine denotes superior performance. Videotape scripts were written for SPs and standardized residents (SRs) to depict three levels of performance for each of three clinical skills: history taking, physical examination, and counseling. The same SR and patient portrayed the three levels of performance for each of the three clinical skills. None of the tapes were designed to be a "gold standard"; some deficiencies were depicted on each tape.
The mean differences in ratings between male and female faculty were first examined in an unadjusted analysis for each videotape, with P < .05 considered statistically significant. A random-effects regression analysis was then performed adjusting for faculty age, years in current job, general internist, or subspecialist. The male attending served as the reference. An effect coefficient >0 denotes that female faculty were more likely to give a higher rating, and a value <0 denotes that female faculty were more likely to give a lower rating. All analyses were performed with SAS (SAS Institute, Inc., Cary, North Carolina).
The demographic characteristics of faculty participants are shown in Table 1. The majority of the faculty were general internists, and nearly half (48%) were women. A total of 348 tapes were rated by the 40 faculty. Some faculty arrived late to the baseline assessment; a total of 12 faculty–videotape encounters (3%) were not rated. Table 2 displays the unadjusted mean rating score for each videotape encounter according to the gender of the faculty rater. Level one videotapes were scripted to portray the lowest level of performance for the depicted clinical skill, and level three videotapes were scripted to depict the highest level of performance for the depicted clinical skill. This unadjusted analysis shows no statistically significant differences between the male and female faculty ratings for each of the clinical skills, regardless of the gender of the trainee on the videotape.
Table 3 displays the results of the random-effects regression model that adjusts for the faculty characteristics of age, program director status, length of time in job, and specialty. Using this analysis, compared with their male colleagues, female faculty rated the physical exam skills of the scripted male resident slightly lower, the interviewing skills of a different scripted male resident slightly higher, and the counseling skills of the scripted female resident slightly higher. None of these differences, however, were statistically significant.
Our data demonstrate—in a controlled research setting investigating the observation of discrete, measurable behaviors—that there are no significant differences in the rating of clinical skills via direct observation based on the gender of the faculty or the resident. To our knowledge, this is one of the first studies to directly study the association of gender with the evaluation of clinical skills. Almost all previous studies on faculty evaluations had only examined gender as it was associated with global competency ratings, not specific, targeted competencies such as interviewing, physical examination, and counseling skills.3,8,11–13
How do these observations compare with the real-world setting of residency training? And are our findings consistent across specialties? Our cohort consisted of relatively younger clinician–educators who trained in an era of increasing enrollment of women into medical school and internal medicine residencies.20 This group of faculty, perhaps more accustomed to working with women colleagues in their formative educational years, likely had different experiences and possibly less bias than would colleagues who trained during a time or in specialties in which direct interaction with female physicians was more limited. Also, the task of rating specific clinical skills and behaviors, rather than providing a global rating of perceived competence not grounded in direct observation, may help to mitigate any potential effects on trainee gender bias seen in past studies with global ratings. Past studies have shown that faculty based their global ratings mostly on the personality and perceived medical knowledge of the resident and not on explicit criteria or directly observed clinical skills.21,22 Furthermore, in the videotapes, the faculty and trainees did not have a personal relationship. This may have substantially mitigated the effect of the "personality factor" seen in previous studies of global rating scales.21,22
Our finding of a lack of an educationally significant difference in ratings based on gender when directly observing residents perform clinical skills is encouraging, especially given that the videotapes were scripted to depict varying levels of performance based on the quality of the clinical skills and not gender-specific traits. Given the growing concern over the state of trainees' clinical skills, there is an urgent need for more direct observation by faculty, and with women now constituting approximately 50% of the medical school enrollment, recognizing and addressing gender bias in the evaluation of clinical competence is important.20–23 This study, along with two earlier single-institution studies, suggests that gender bias in evaluation may be lessening.8,13 However, future studies on the potential association of gender and the evaluation of clinical skills now need to move into the training setting.
Several limitations should be noted. Faculty participants were either program directors or selected by their program directors; the majority were relatively early in their careers, and most were general internists. Our results may not generalize to all faculty, particularly older faculty or subspecialty physicians. Also, we do not know whether the rating behaviors seen in this study reflect what faculty actually do when rating real residents in their own programs. Characteristics known to be different, such as female physicians' tendency to perform longer visits and be more conversational, could have a bigger effect in the observation of trainees in actual clinical encounters.16 Finally, we did not assess the effects of ethnicity on evaluation outcomes, another important area for study.
To our knowledge, this is one of the few studies to investigate the potential effect of gender on the rating of trainees' clinical skills. In a controlled setting, in which specific skills were evaluated via direct observation by faculty, we did not find any evidence of gender bias. Given the refocus on clinical skills in medical education, we need a fuller understanding of the factors that affect the quality and accuracy of evaluation based on direct observation.24,25 Future studies should examine whether gender and ethnicity bias in the ratings of trainee performance occur when working with actual patients.
The authors wish to thank Dr. Yun Wang for his statistical assistance on this manuscript.
This project was supported in part by a grant from the Robert Wood Johnson Foundation.
© 2009 Association of American Medical Colleges
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Faculty Member Ellen J. Uguccioni Produces New Book
August 30th, 2012 — This new book, A Source of Community Pride: The Architecture of Sunny Isles Beach is about an area of Miami Beach that few of us know – its history, its radical changes and its unfortunate deterioration that was inevitable with the economy of the 1970s. However, "the collective efforts of its citizens brought about the autonomy of Sunny Isles and its incorporation as a city in 1997. With that came a new vision, seeking an ideal location for tourists and owners alike to experience the pageantry of an ever-changing aquamarine ocean and infinite sky. The 15th anniversary Commemorative Edition of this book serves to illustrate a change that brought with it monumental buildings designed by some of the Miami area's best architects who took every advantage of their 'once in a lifetime' location and environment." This book was published by The City of Sunny Isles Beach, 2012.


text:
Interest Level
Grades 1 - 3
Reading Level
Grade level Equivalent: 2.8
Lexile® Measure: 420L
Guided Reading: L
Type of Book: Begining Reader Book
- Series
- Animal Babies and Parents
- Fish and Marine Life
- Animal Structure and Movement
- Animal Survival and Adaptation
- Mammals
About This Book
Whales come in many shapes and sizes, and there's a lot of interesting information to learn about these mammals (they are not fish!). This illustrated nonfiction title shows readers how these gentle giants care for their young and defend each other against predators, how they migrate, how they sleep in the water, and how and what they eat. Comparisons with familiar things bring the whales into children's everyday world. Sentences are short and easy to read. A brief historical look at whaling is also included.
Items Added to Cart:
1 Paperback
2 Hardcover
1 Teacher's Edition
$48.99 Subtotal


text:
Join the Conversation
Clergy Fitness
Very good article; encouraging to see people doing this kind of work regarding clergy health. So many of the comments sounded like things that I also say about the the experience of ministy during my 40 years of serving churches. I regretfully add that it only gets more difficult for some of us after retirement. Good to hear from others and encouraging to hear how they are dealing with it.
Excellent, excellent article
I think that a good place to start is in believing that bishop's, but more importantly, District Superintendentss in the Methodist Church, are in your court. North Carolina is a good example of a conference that has a starting point of compassion and concern for pastors. But it's not always the case. The toll that is taken on the pastor's wife, and children, from frequently moving, is unimaginable. The spouce of the pastor can virtually give up on any idea of pursuing a consistent career path, given the demands of a connectional system. It's virtually never considered in regard to moves. And so there is often low morale in families for that reason alone. And when conflict occurs in the Methodist local Church, the system is much quicker to just move the pastor because it seems such an expedient solution. But the toll, again, that it takes on the emotional stability of a family is enormous. But there needs to be more dialogue about the stressful realities of the system. And there needs to be more honestly about the very "top down", less than democratic, dynamic in hierarchical denominational structures.
clergy health
I think lots of vocations are stressful in their own way. I look at people in my congregation, and I know their work places huge stresses on them. I wonder if they have similar problems adopting more healthy habits in life.
I lost 70 pounds this year, by eating more moderately and adopting a daily regimen of walking three to four miles. The walking has been the key. I manage to eat every day, so from the start I decided I'd need to walk every day too. And often the walking becomes a kind of prayer walk when I talk with God or drink in a lot of Quaker silence. There is a whole spirituality to walking that I have come to love. When each day I walk I want to eat differently too. I used to eat two or three donuts a day, but now I eat two or three a week. The walking has helped me make changes like this.
Yes, there are special health challenges for clergy. But you can make changes for the better in your life. I discovered that this year.
So good to see this article
It is so encouraging to know of the study taking place at Duke. Such information and resources are needed around the country and for academic leaders as well as clergy leaders.


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In the Matter of the application of
Jennifer Waller, et. al.,
THE CITY OF NEV/ YORK, et. al.,
CAS HOLLOWAY, an attorney admitted to practice before the courts of the
State of New York, affirms the following to be true, upon information and belief, under penalty
of perjury pursuant to Rule 2106 of the Civil Practice Law and Rules ("CPLR"):
am the Deputy Mayor for Operations for the City of New
York. I
also an attorney admitted to practice law in the State of New
York. In my capacity as Deputy
Mayor for Operations I have been involved in monitoring the Occupy Wall Street protest. I am
familiar with the facts set forth herein based upon my involvement in this matter, including
personal observations, the relevant documents attached hereto, my review of the records and files
maintained by the City of New York and my conversations with employees, officers and agents
of the City of New York.
submit this affirmation
in opposition to the ex parte temporary
restraining order obtained by petitioners/plaintiffs early this morning concerning what is known
as the Occupy
Wall Street protest taking place at Zuccotti Park. I strongly urge that this Court
not extend the TRO and permit Brookfield and the City to go forward with their plan of re-
opening the park to all members of the general public, including protestors, while taking steps to
prohibit the use of the park in a manner that creates a public safety hazard, allows unhealthy and
unsafe conditions to flourish and prevents all members of the general public from using and enjoying the park. If this TRO is extended and conditions in the Park are allowed to be restored
to that which existed immediately prior to this morning's enforcement action, the unsafe
unsanitary conditions and the substantial threat to public safety as determined by the Police and Fire Deparlments, and detailed herein will once again be created.
approximately 1:00 this morning, members
of the New York
police Department present at Zuccotti Park began announcing via bullhom and written notices instructing those occupying the Park that
they must immediately remove all property,
including tents, sleeping bags and tarps, from the Park.; (2) they must immediately leave the park
on a temporary basis so that
can be restored to its intended use; (3) they
will be allowed
retum to the Park when this work is complete; (a) removed and transported to a Department
if they fail to remove their property, it will
of Sanitation
57th Street where
can be
recovered with proper identification; and (5) if they fail to leave the park, or it they interfere with
efforts to remove property from the park, they will be subject to arrest.
Presently the Park remains closed
to the public as it is restored to
condition in which it will be open and available to both the Occupy Wall Street protestors and
other members of the general public, however, as the Mayor indicated during his address earlier today it is our intention that the Park re-open imminently'
As detailed herein, this response was necessary because conditions in the
park prevented the park from being open and accessible to all members of the public as required
by its special permit and also constituted a fire safety hazard as determined by the Fire
The timing of the response was also necessary because, as detailed herein,
giving advance notice, or conducting the restoration during daytime hours would have presented
a significant risk to the occupiers, law enforcement and members of the general public in the
vicinity of the park
as illustrated
by all that has occurred in the Park since the occupation began
on September 17, including organized resistance when Brookfield previously gave
notice; violence in other Occupy Wall Street locations throughout the nation that has occurred when government attempted to remove occupiers from sites; and the large presence of tourists,
residents and business people in the immediate vicinity of the Park during daytime hours.
Photographs illustrating the conditions
in the Park as of 2:00 p.m.
yesterday are attached hereto as Exhibit
A. I have reviewed the photos,
observed these conditions forming during repeated visits over the past few weeks.
I personally
witnessed the steady accumulation of combustibles, smoking, and other hazards shown in the
photos. My most recent visit was Friday evening, when I circled the park and walked through
the entire site. During that visit
witnessed many conditions similar to those depicted in the
photos. In addition, it is my understanding that as of this weekend the protestors began to bring
in wooden
elevate their tents and erect
a wooden structure which significantly
increased the risk of fire.
to Brookfield
As a result of these conditions the Fire Commissioner also issued an order
Properties, inter
alila, directing the removal of combustibles and clearing all
obstructions so as to maintain the Park's egress free from obstructions. A copy of the order is
attached as Exhibit B.
Park Background
Zvccotti Park is a public plaza that was created
1968 via
Planning special permit issued pursuant to then-existing sections of the New York City Zoning
Resolution. The special permit requires that the owner of the plaza (cunently Brookfield
Properties) maintain the plaza in a manner that closely resembles a public park in that it must be open to the public and maintained for public use 365 days per year. For example, the owner is
for, among other things, repairing broken benches and fixtures,
plantings, cleaning the properly, removing trash, and abating hazards.
While theplaza must generally be open and accessible to the public, the
owner can impose conditions on that invitation which can take the form of reasonable rules.
Brookfield's rules of conduct for members of the public using Zuccotti Park prohibit, among
other things, 1) campiîg;2) the erection of tents and other structures; 3) the placement of tarps,
sleeping bags and other coverings on the property; and 4) the storage of personal property on the ground, benches and sitting areas
Occupy V/all Street History
On or about September 17,2011, a group known as Occupy Wall Street
began occupying Zuccotti Park on
day basis for the purported purpose
demonstration. Shortly thereafter, the occupiers began to erect a small number of tents and other
structures in the Park.
V/ithin the first week the Police Department removed tents under
provision of the Administrative Code which prohibits erecting structures in public
During this effort the Police Department met some resistance from the demonstrators.
Thereafter, tents did not begin to appear again until the second week of
October. At that time, an initial attempt to remove the newly erected "medical tent" was met with resistance by protestors who surrounded the tent and would not allow the Police Department
to take action. Since that time both the number and elaborate nature of tents has steadily gro\ün.
In mid-October, at the request of Brookfield Properties, the City worked
demonstrators and their
with Brookheld to facilitate Brookfield's ability to remove the
on a temporary and
Demonstrators were given
approximately 24-hours advance notice o,f Brookf,reld's intent to conduct this cleaning effort' This notice gave the demonstrators time to marshal their forces and plan an effort to resist the
In contrast to the usual 150-200 people who spend the night in the Park,
when the Police Department arrived in the early morning hours on the day of the scheduled
cleaning there were over 2,000 people in the Park and overflowing into the streets where they began marching. While the scheduled cleaning had been cancelled
advance of the Police
Department's arrival, had Brookfield wanted to attempt to go forward with the cleaning effort it
would have been difficult and dangerous for the Police Department to attempt to remove people
under those conditions.
16. It is our understanding that the occupiers and their supporters monitor
communications on police radios and have applications on their phones which enable them to
send messages to quickly marshal supporters to come to the site should there be a need. Indeed,
we are aware that shortly after the Police Department anived this moming, the protestors began
to send electronic
in an attempt to draw supporters to the Park to hamper the Police
Department's efforts to make the Park safe.
Makeshift items that can be used as weapons, such as cardboard tubes
with metal pipes inside, had been observed among the occupiers' possessions and, after the
march on the Brooklyn Bridge, knives, mace and hypodermic needles were observed discarded onto the roadway. Thus, it was our understanding that the protestors may have had a significant number of items that could potentially be used as weapons. However, as the configuration of
tents and people in the Park make it unsafe for police officers to go through the Park on routine
patrol, recently officers have only entered the Park to respond to incidents such as 9l
a result, the type
I calls. As
of items being stored in the area was not entirely known prior to the clearing.
18. In addition, what was before a park with little to no crime has seen
approximately 73 misdemeanor and felony complaints and approximately 50 arrests since the occupy movement began, and people who have a known history of violent interactions with the police have been observed in and around the Park.
Quality of life issues, including noise caused by drumming and urination
and defecation in public were also pervasive and the plaintiffs/petitioners' assertions that the
Park was being maintained in a healthy and safe condition are simply not true.
20. At the end of October the Fire Department removed approximately
gasoline and diesel generators from the Park to address public safety concerns arising from their use and the associated storage, handling and use of gasoline, diesel and other combustible fuels
in a highly congested area and in close proximity to a large quantity of flammable materials.
Notwithstanding the removal of the generators, as exhibited by the Fire
Commissioner's Order [Exhibit B], conditions in the Park constituted afttehazard. Specihcally,
in the last several days wooden pallets were observed being brought into the Park to elevate the
tents off of the ground.
A large wooden structure was also in the process of being built. Other
combustibles which have steadily increased in number include sleeping bags, pillows, clothing,
rubbish, food wrappings and tenting (both makeshift and manufactured). Smoking
frequently observed and there were extension cords and electrical wires running throughout the
Park. These conditions are all documented in the photographs attached as Exhibit A.
The configuration of tents, people and personal belongings in the Park has
created a condition where there are no clear means of egress in the event of a fire. As a result,
a fire were to break out people would have to navigate over and around people and belongings in
order to make their way out of the Park, a task which would be extremely dangerous in
situation of panic caused by a
fire. Thus, the Fire Department determined that it was necessary
to order the removal of the belongings from the Park in order to mitigate the public
23. In addition, in a letter dated November
concern both for public safety and the fact that
14,2011, Brookfield expressed
it cannot operate the Park as it is required under
its special permit, and it asked that the City provide necessary assistance in having the tents and
other belongings stored at the Park removed, and in having occupants temporarily relocated from the Park on the understanding that after this has occurred the Park
use and reopened to all.
be restored to its intended
New York, New York November l5,20ll
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text:
Columbia Lions at Portland Pilots Basketball
Fri, Nov 22, 2013 TBA
Chiles Center, Portland, OR
Sorry, this event has already taken place. Please see similar events below.
|Dec 18 Sun 3:00 PM
|Portland Pilots at Oregon State Beavers Basketball
|Moda Center
Portland, OR
|Jan 7 Sat 7:00 PM
|Gonzaga Bulldogs at Portland Pilots Basketball
|Chiles Center
Portland, OR
|Jan 21 Sat 12:00 AM
|Portland Pilots at Gonzaga Bulldogs Basketball
|McCarthey Athletic Center
Spokane, WA
|Jan 26 Thu 7:30 PM
|Portland Pilots at Pepperdine Waves Basketball
|Firestone Fieldhouse
Malibu, CA
|Feb 4 Sat 7:00 PM
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|Marriott Center
Provo, UT
|Feb 9 Thu 7:00 PM
|Portland Pilots at St Marys Gaels Basketball
|McKeon Pavilion
Moraga, CA
|Feb 11 Sat 1:00 PM
|Portland Pilots at Loyola Marymount Lions Basketball
|Gersten Pavilion
Los Angeles, CA


text:
The SM6 Vokey Wedge with a Tour Chrome finish and K Grind sole is spin milled which helps to improve your short game play in three key areas of wedge play: precise distance gapping, shot versatility and maximum spin.
The features on this wedge are incredible:
The K Grind is perfect for a Neutral, Steep/Digger type of swing in medium to soft conditions
Precise distance and trajectory control with exceptional feel from progressive Center of Gravity (CG) location.
Enhanced shot versatility to fit your swing type and course conditions courtesy of Bob's tour proven grinds.
More spin from 100% inspected TX4 grooves with new parallel face texture producing a sharper, more consistent groove edge.
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A Progressive center of gravity aligns the CG with the impact position of each loft throughout the wedge set to produce precise distance and trajectory control with exceptional feel.
TX4 grooves are 100% inspected grooves which feature a new parallel face texture that creates a more consistent groove edge and tighter quality tolerances for more spin.
Tour validated grinds provide every player with enhanced shot versatility to fit their swing type and course conditions.


text:
Gisele Gave Birth!!
Reportedly! [Updated]
Hopefully it won't take her as long to confirm the birth as it did the pregnancy.
Hopefully it won't take Gisele and Tom Brady as long to confirm the birth as it did her pregnancy. But! Sources are saying Gisele has given birth to her husband Tom Brady's child — and it's a boy! "Details of the birth and the baby's name have not been disclosed," reports People.com. We're fine without the birthing details, thanks. Besides, when it was all over Gisele probably yawned, dabbed her brow, shook her hair out, got up, and flew to Bali for a swimsuit-campaign shoot. As for the child's name, how eccentric did they go? A piece of fruit? A type of cheese? Something with four consonants in a row? Brady has a 2-year-old son with his ex Bridget Moynahan, but the nameless, presumably gorgeous new infant is Gisele's first child. Congrats to the beautiful people!
Source: Gisele Bündchen & Tom Brady Have a Boy [People]
Update: Brady went before the people in a press conference this morning and confirmed that Gisele had a boy, calling it "a wonderful experience in my life." The name has not been revealed. For more than you ever wanted to know about how this child came into the world, the Boston Herald has details on hospital visits, shopping trips, potential godparents, and more. [AP, Boston Herald]


text:
EESC BC 1002y Environmental Science II
Interdisciplinary, integrated study of groundwater, radionuclides, toxics,
and human health in the context of a semester-long, detailed exploration of a
brownfield, a contaminated aquifer, and its impact on a local community using
the award-winning Brownfield Action simulation. Includes a reading of
Jonathan Harr's A Civil Action and Rachel Carson's Silent
Spring. - P. Bower
Prerequisites: Enrollment limited. Laboratory fee $30. Students must enroll in the corresponding lab course, EESC BC1012, to receive credit. Lab Required.
4.5 points


text:
|[Towertalk] cad welding
|email@example.com (KC2TN)
|Fri, 02 Aug 2002 20:56:28 -0400
Here's another site with some photos of the process...This one is by Techweld which is similar to Cadweld. http://www.exothermicweld.com/05.html Joe -----Original Message----- From: firstname.lastname@example.com [mailto:email@example.com]On Behalf Of Al Williams Sent: Friday, August 02, 2002 8:33 PM To: firstname.lastname@example.com Subject: [Towertalk] cad welding Will someone please explain what CAD welding is when applied to wire connections to ground rod, towers, etc. How does one get equipped for accomplishing it? TIA k7puc _______________________________________________ Self Supporting Towers, Wireless Weather Stations, see web site: http://www.mscomputer.com Call 888-333-9041 to place your order, mention you saw this ad and take an additional 5 percent off any weather station price. _______________________________________________ Towertalk mailing list email@example.com http://lists.contesting.com/mailman/listinfo/towertalk
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text:
The University of Toledo men's basketball team announced Wednesday that it will play host to Alabama on Jan. 4, 2010.
It's the second time in three years that a Southeastern Conference school will play at Savage Hall. Vanderbilt beat the Rockets 77-70 on Nov. 13, 2007.
The Rockets will travel to Tuscaloosa, Ala., for a return game at a date to be determined in the 2010-11 season.
"We're thrilled to be hosting Alabama in Savage Arena," UT coach Gene Cross said. "I think playing a perennial SEC power led by a terrific coach in Anthony Grant will be another great opportunity for our fans to come out and support our program. This game will definitely be a great challenge for our young men."
Alabama posted an 18-14 record last season and is guided by Grant, a first-year coach. Junior guard Senario Hillman is the Crimson Tide's leading returning scorer with 12.9 points per game.
UT's only previous meeting against Alabama was a 79-69 loss in the second round of the 2001 National Invitation Tournament.


text:
Bret Michaels, ex lead singer of Poison, is a busy guy lately. He's got a show on VH-1 (Rock of Love) and he's also starring in PS3 and 360 videogame Guitar Hero III.
The game will feature Michaels performing Poison's hit song, "Talk Dirty to Me," and The Bret Michaels Band's "Go That Far."
"Go That Far" is our favorite song here at TheFeed. We're blasting it right now, at top volume. IN OUR MINDS.
Look for Michaels (and an awesome boss battle with Guns N Roses' Slash) in Guitar Hero III in October, and prepare for your world to be rocked, hard.
Tvbuddy.com: 'Rock of Love' Star to be Featured in New Video Game


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Opened 7 years ago
Closed 7 years ago
#4346 defect closed fixed (fixed)
Problems with 10.0.0
|Reported by:
|Owned by:
branch-diff, diff-cov, branch-cov, buildbot
- The INSTALL file (Skipping the things from #4344):
- Zope Interface seems to be up to about version 3.5. The URL we link to has also been abandoned for some time.
- As far as I can tell, we are no longer going to be distributing Windows .exe installers. Instead, it seems we'll be building MSIs.
- The README file:
- The list of foreign event loops we integrate with is a bit out of date, Tk, GTK+, GTK+ 2, Qt, Mac OS X, or wxPython
- We don't support Qt anymore (although hopefully that will change again)
- There is no supported OS X or wxPython integration. There's some experimental, half-working, half-broken reactors. We should differentiate these from the supported event loops.
- Examples on how to use Twisted APIs are located in doc/examples - this looks like the pre-split examples directory; doc/core/examples is probably where it should be pointing. Or it should have multiple pointers, to each subproject's examples.
- Likewise, doc/howto/index.xhtml is not a valid path.
- What's with the :: all over?
- I think the preferred hostname for Freenode is chat.freenode.net.
- The list of foreign event loops we integrate with is a bit out of date, Tk, GTK+, GTK+ 2, Qt, Mac OS X, or wxPython
- twisted/__init__.py contains a Python version check intended to prevent use on Python versions. It still allows Python 2.3, though this is no longer officially supported.
Change History (10)
comment:1 Changed 7 years ago by jml
Do we need to update the Zope thing? I mean, will we still work w/ 3.0.1?
The double colons are ReST hangovers, presumably
comment:2 Changed 7 years ago by glyph
- Owner changed from glyph to jml
comment:3 Changed 7 years ago by exarkun
Do we need to update the Zope thing? I mean, will we still work w/ 3.0.1?
I have no idea what versions of Zope Interface we support. There's no way to find out what version is installed on the slaves except to ask the operators.
comment:4 Changed 7 years ago by jml
- Milestone set to Twisted-10.0
I guess for zope.interfaces, we just leave the version in the docs as they are until we have evidence of them being wrong.
The PyPI page for zope.interface seems a good place to link to instead of the zope.org one.
I'm putting this on the 10.0 milestone, since #4210 and #2764 make me think we should consider a 10.0.1 release.
comment:5 Changed 7 years ago by exarkun
Okay, I managed to extract version information from some of the slaves. This is now available alongside all the rest of the automatically extracted version information (go to a build page, look at the versions step (usually the second) and follow the "versions" link on it).
Not all the slaves can report their version of zope.interface, but two of them did manage to, and reported 3.3.0 and 3.3.1.
comment:6 Changed 7 years ago by jml
- Branch set to branches/ten-problems-4346
- Keywords review added
See r28716
comment:7 Changed 7 years ago by jml
- Owner jml deleted
comment:8 Changed 7 years ago by jesstess
- Cc jesstess added
- Keywords review removed
- Owner set to jml
init.py needs a copyright bump. Other than that, looks good to merge.
comment:9 Changed 7 years ago by jml
- Resolution set to fixed
- Status changed from new to closed
comment:10 Changed 6 years ago by <automation>
- Owner jml deleted


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Publication is planned for Winter 2016.
Add it to your Goodreads To-Read shelf now!
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Kanye West: Secretly Supporting Donald Trump?
Moments ago, Dr. Ben Carson endorsed Donald Trump's presidential campaign.
Gentle Ben's seal of approval might secure Trump some votes as primary season enters a critical stage, and now it seems the Donald might be enjoying some low-key support from an equally divisive, but much, much, much less soft-spoken figure:


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Merrell Men's Moab GORE-TEX Hiking Shoes
Product Information:
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Rated 4 out of 5�by Shoes101 This product works and last longtime I use these shoes for out door job I get a good 1 year of heavy abuse out of them. Can't beat the online price. September 22, 2015
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Rated 5 out of 5�by 1911in45ACP I have had these for 8 months no issues at all I have had these Moab Gore-Tex hikers for going on 9 months and I could not be happier. They are still waterproof. They have been getting a good workout in the snow and rain. The soles have great traction and shed the mud and snow easily. They do run wide in size. I usually wear a 9 wide. In these I purchased a 9 regular and they fit perfect. The inside lining material is holding up with no signs of wear. I was in the shoe department looking for winter boots and was asked by two other people what shoe I was wearing.. They are a nice looking hiker. There is no signs of wear on the soles. I am very happy with this purchase. The other great thing is Merrell stands behind there product. If you keep you receipt and have any problem you can send them into Merrell for repair or replacement November 22, 2014
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Rated 2 out of 5�by walks to work Wore out too quickly - 7 months Second pair of these. First pair was purchased in Jan. 2010 and was perfect, but this pair "popped" with each step. Merrill replaced but the replacement pair was worse. In 7 months the sole is worn through. Way too pricey for the quality. It has been very water resistant for me. May 19, 2012


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Jazz Pianist Hank Jones Dies at 91
Bebop legend was composer, arranger, bandleader and accompanist of note
Pianist Hank Jones died yesterday in New York City. He was 91 years old.
Jones was born in Vicksburg, Mississippi on July 31, 1918. He was raised along with his brothers Thad and Elvin in the Pontiac, Michigan area, where their father was Baptist deacon and lumber inspector. All three brothers went on to prominence as jazz musicians. Hank, the eldest, was the last one to pass on.
A more complete obituary to follow soon at jazztimes.com
Jones was interviewed a little over a year ago by Don Heckman for a feature profile in the January/February 2009 issue of JazzTimes.
2 Comments
May 20, 2010 at 04:25PM Robby Johnson
When I told a good friend of Hank's passing he said, "I was just listening to Hank the other night and thinking "He's the only one left'".
May 26, 2010 at 03:28PM Kris King
Even though I knew he was 91, I still thought he was going to live forever. So many other people I spoke to also felt that way. He was killing the piano and having a blast doing it when I saw him at the 2008 Montreal Jazz Festival.
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The former 7th round pick for the Indianapolis Colts was in camp with the Detroit Lions this summer.
While much attention has been paid to the move of Brandon Chillar to the outside, Brady Poppinga has quietly had an excellent camp.
Clay Matthews has been solid but far from spectacular so far in camp.
Dom Capers will be tasked with solving the pass defense issues. It's a good bet he's counting on a deep rotation on the defensive line.
Looking at the game again last night, I confirmed something (in my mind, at least) that I had suspected after the Atlanta game.
Tom Silverstein of the Journal Sentinel, writing for Sporting News, brings up something I've been worried about, and in the process, doesn't...


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On early retirement
Posted by Rich Sweeney on July 16, 2008
Monday I got an email from Dan Lewer, co-founder of a brand new company called Carbon Retirement. From the email:
We buy EUAs from the EU Emission Trading Scheme and retire them on behalf of our customers. Voluntary retirement of EUAs reduces industrial emissions by a measurable amount and pushes up the carbon price, encouraging companies to invest in clean technology. The service is packaged as an offset: you can retire any amount and match it up with the emissions from flights or driving, for example.
While this is possibly a good idea, I'm a little skeptical about the actual benefits of such a scheme for two reasons. First, as Daniel pointed out in an email to me, European companies can already substitute CDM offset credits (CERs) for EUAs. Now the assumption might be that CDM supply is somewhat fixed in the short run. Otherwise it seems like retiring EUAs would have very little effect on European emitters' decisions (This is really Daniel's area of expertise, so I'm sure he'll chime in if I'm messing this up).
Secondly, and the real point of this post, I'd be weary about the assumption that once allocated, the permit supply is absolutely fixed. I know that during RGGI negotiations many stakeholders and legislators were worried about "green" outside actors coming in and retiring permits (In such negotiations this outsider is invariably referred to as "George Soros"). The threat of this was somewhat controlled for with safety valve like provisions. Yet, at the end of the day, I think most parties involved just figured that if this ever became an issue they'd simply correct for it legislatively or loosen the cap.
Which brings me to Carbon Retirement's plan. While its totally feasible for them to purchase permits and hold them, I think there's probably a political limit to just how much they'll be allowed to influence prices. When caps are set, it's assumed that they'll be binding, and the level of allowed emissions is the result of a long, complicated political process. Some of us may feel that this process is corrupt and the outcome is unjust, but our ability to significantly alter this political equilibrium outside of political channels is limited. If annual emissions start coming in well below the cap or the price gets to high, government could pass a law making it a crime to retire permits or it could simply print more to achieve the initial level. At the very least they would start factoring an expectation of retired permits into future negotiations.
In the long run it's probably impractical to fully restrict ownership of carbon permits if the carbon market is to function properly. And there is certainly a case to be made that non-use of a privately purchased good is just as reasonable as using it. But for the time being I think its important to recognize the very fragile tenets upon which current cap and trade programs are being agreed to, and to respect the fact that this asset's value is derived from political decree, which can be altered pretty quickly.
One Response to "On early retirement"
July 18, 2008 at 1:27 pm
Your argument seems to be a version of "if voting changed anything they'd ban it".
All property rights (to a greater or lesser extent) derive their value from "political decree". One of the reasons the price of carbon collapsed first time around is that businesses didn't have confidence in the supply of permits. So the rules for this phase of the ETS are much tighter (though there are still safety valves and polluting companies will naturally continue to lobby for their interests).
What your post boils down to is a lack of confidence in the EU ETS and a sense that Carbon Retirement – in its very modest attempts to game a cap-and-trade system that traded £21bn in the last 6 months – might bring the whole edifice tumbling down. Given the political and economic challenges that would be raised if that happened, I might put that in the category of a "nice problem to have".


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How, she is not directly linked to the terminator, plus she has an uncrackable super firewall so the terminator cannot hack back.
And if the terminator turns of for a minute or two, MC will just stick it with enough plasma nades or a lotus mine (even the chick terminator coudn't survive that) and BOOM, bye bye terminator.
Plus cortana can make copies of herself, she can make another and another and another and so on and so on until all the hacks just overwhelm the terminator and it's forced to turn off.
Then the nades and lotus mine comes in.


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Gus Hansen continues to own at Full Tilt, Isildur1 struggles at PokerStars, and Tom "durrrr" Dwan and Phil Ivey are no-shows at the tables. Check out who won and who lost in our weekly look at the online high-stakes cash games.
For the second straight week, Gus Hansen led all players at PokerStars and Full Tilt in profits. After booking earnings of half a million last week, the Dane was up more than a million this time around.
It's the continuation of a huge turnaround for Hansen, who was once in the midst of an $11 million downswing in cash games. At one point last year, he was stuck about $9 million for his career at Full Tilt. Now, thanks to some play at the end of last year and his heater to start 2011, he's trimmed that figure to $5 million. Hansen has been beating just about everyone in his path of late, and has been making a lot of money playing $500-$1K pot-limit Omaha.
Behind Hansen on the weekly leaderboard was Patrik Antonius, who booked profits of about $180K. Not surprisingly, Hansen and Antonius find themselves atop the yearly leaderboard. More on that later.
The top player at PokerStars this week was well behind Hansen — the clone of Di Dang's Full Tilt handle, "urnotindangr." He was up about $180K as well.
(Click on any player for more information):
Gus Hansen $1,036,769
luckexpress10 $204,099
Patrik Antonius $181,945
urnotindangr $179,516
Skjervøy $175,470
Bttech86 $157,378
compris $153,823
harrington25 $134,106
rumprammer $124,183
LooneyGerbil $119,093
The biggest loser of the week was Scott "URnotINdanger2″ Palmer, who earlier this year was the top player in terms of profit for 2011. But he dropped nearly $700K this week, almost all of it against Phil "OMGClayAiken" in $500-$1K PLO. Palmer played just over 3,500 hands for the week to book the most losses.
Also of note in the bottom 10 were Jared "harrington10″ Bleznick, who had the worst week of anyone on PokerStars (-$270K), despite appearing in the top 10 on Full Tilt (harrington25, +$134K). Daniel "jungleman12″ Cates also continued to struggle at PokerStars, losing about $250K this week. He's been slowing down after a hot start to 2011. He was victimized by unknown Swede lindqrvo, who took Cates for $300K playing at $25-$50.
Viktor "Isildur1″ Blom had his second straight down week at PokerStars, down about $200K. Interestingly, the name right behind him on the loss leaderboard, Omlphalotus, was a name Blom was rumored to have at another poker site back when his real identity was still a mystery. Isildur1 played the most hands of any player last week, at more than 16,000.
URnotINdanger2 -$687,726
UarePileous -$512,003
Harrington10 -$271,097
jungleman12 -$256,509
Isildur1 -$205,897
Omlphalotus -$203,853
Urindanger -$126,250
Also11 -$109,619
WithColor -$105,589
Johnbest -$100,932
As we stated earlier, Hansen and Antonius lead the way for 2011, with Hansen up more than $2.1 million over the course of about 11,000 hands. Antonius logged his profit, of about a million dollars, over the course of about 6,000 hands.
The player ilvdnfl continues to lead the way at PokerStars, with just under $800K in profit. That player is rumored to be Di Dang, and if true Dang would hold down Nos. 3 and 4 on the 2011 leaderboard. He sits in fourth with his Full Tilt handle, Urindanger, with about $720K in profit.
Gus Hansen $2,165,004
Patrik Antonius $1,017,678
ilvdnfl $793,165
Urindanger $719,237
LuckyGump $713,614
Rui Cao $607,993
harrington25 $472,823
URnotINdanger2 $369,084
urnotindangr $364,480
urubu111 $340,973
There wasn't a whole lot of movement in the loss leaders for 2011. Russian player NEKOTYAN continues to lead the way, down $837K, while Phil Ivey, down $682K for the year, is still second. Neither Ivey, nor Tom "durrrr" Dwan played any tracked hands at the high-stakes tables in the past week. Dwan came in at No. 8 on the list, down about $430K.
Phil Ivey -$682,546
Kpederson -$543,009
cadillac1944 -$478,669
Sauce123 -$463,561
nutsinho -$450,066
DrugsOrMe -$449,588
durrrr -$436,058
FinnishNightmre -$392,026
kagome kagome -$363,073
Source: highstakesdb.com
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