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The four components that make up the "tetralogy" include:
- a ventricular septal defect (VSD);
- pulmonary stenosis (subvalvar, valvar and/or supravalvar);
- an overriding aorta; and
- right ventricular hypertrophy.
The primary problem is the malalignment VSD, in which the infundibular or conal septum is malaligned anteriorly, thereby blocking the right ventricular outflow tract. The conal septum pulls the aorta anteriorly with it, into a position overriding the ventricular septum. The right ventricular hypertrophy occurs secondary to high pressure in the right ventricle (RV), created by the pulmonary stenosis and the large VSD. In the extreme situation, the right ventricular outflow tract is completely blocked off, in which case you have tetralogy of Fallot with pulmonary atresia.
The physiology is variable despite similar anatomy. The degree of RV outflow tract obstruction strongly influences the degree of cyanosis. With increasing degrees of obstruction, more and more of the desaturated (blue) blood is forced across the VSD and out into the aorta (a right to left shunt), thus never reaching the lungs to become oxygenated. On the other hand, if there is only mild RV outflow tract obstruction, there may be less resistance to blood flowing out the pulmonary artery than flowing to the systemic circulation. In this situation, excess blood tends to flow from the left ventricle to the right ventricle; i.e. a net left to right shunt. These patients are acyanotic ("pink Tetralogy of Fallot") and may actually develop congestive heart failure.
A patent ductus arteriosus (PDA) can play a very important role by providing an alternate pathway for blood to reach the lungs, allowing adequate pulmonary blood flow even in the face of very severe RV outflow obstruction. The flow across the PDA goes from left (the aorta) to right (the pulmonary artery) in this setting.
Children with tetralogy of Fallot are at risk of having hypercyanotic spells or "Tet spells". Spasm of the infundibular region (below the pulmonary valve) and/or a sudden increase in pulmonary vascular resistance produces a sudden decrease in the amount of blood getting to the lungs. Concomitantly, more blood is shunted from right to left and exits the aorta as desaturated blood. The resultant hypoxemia further increases the pulmonary vascular resistance and a downward spiral begins with the rapid development of acidosis. Older children learn to squat in order to prevent or alleviate a spell. It is believed that the squatting kinks the large arteries in the lower extremities, thus increasing the systemic vascular resistance and forcing more blood across the pulmonary outflow tract.
Surgical Management of Tetralogy of Fallot (TOF)
Definitive treatment of tetralogy of Fallot consists of surgical correction. Timing of surgery remains controversial but most agree that the presence of severe cyanosis or hypercyanotic spells necessitates surgical intervention. Complete repair consists of closing the ventricular septal defect with a patch and enlarging the right ventricular outflow tract. The latter usually requires incision across the pulmonary valve annulus and placement of a patch of synthetic material to widen the outflow tract at all levels of obstruction.
When surgical intervention is necessary in a patient who is not a good candidate for complete repair (i.e., very small patient size, tiny pulmonary arteries or an anomalous coronary artery course), a palliative procedure is performed. Palliation consists of placement of a shunt from the aorta to the pulmonary artery to increase pulmonary blood flow. The most commonly performed shunt today is the modified Blalock-Taussig shunt, in which a tube of Gore-Tex is placed between the subclavian artery and the pulmonary artery.
What Is Normal Cardiac Anatomy?
When your child has a congenital heart defect, there's usually something wrong with the structure of his or her heart's structure.
Heart With Normal Cardiac Anatomy
When your child has a congenital heart defect, there's usually something wrong with the structure of his or her heart's structure.
The heart is composed of four chambers. The two upper chambers, known as atria, collect blood as it flows back to the heart. The two lower chambers, known as ventricles, pump blood with each heartbeat to the two main arteries (the pulmonary artery and the aorta). The septum is the wall that divides the heart into right and left sides. The atrial septum separates the right and left atria; likewise, the ventricular septum separates the two ventricles.
There are four valves that control the flow of blood through the heart. These flap-like structures allow blood to flow in only one direction. The tricuspid and mitral valves, also known as the atrioventricular valves, separate the upper and lower chambers of the heart. The aortic and pulmonary valves, also known as the arterial valves, separate the ventricles from the main arteries. Oxygen-depleted blood returns from the body and drains into the right atrium via the superior and inferior vena cavas. The blood in the right atrium then passes through the tricuspid valve and enters the right ventricle.
Next, the blood passes through the pulmonary valve, enters the pulmonary artery, and travels to the lungs where it is replenished with oxygen. The oxygen-rich blood returns to the heart via the pulmonary veins, draining into the left atrium. The blood in the left atrium passes through the bicuspid, or mitral, valve and enters the left ventricle.
Finally, the oxygen-rich blood flows through the aortic valve into the aorta and out to the rest of the body.
From Nemours' KidsHealth
- Cardiac Catheterization
- ECG (Electrocardiogram)
- A to Z: Hypoplastic Left Heart Syndrome
- If Your Child Has a Heart Defect
- Coarctation of the Aorta
- Congenital Heart Defects
- Heart Murmurs and Your Child
- A to Z: Tetralogy of Fallot
- Tetralogy of Fallot
- Patent Ductus Arteriosus (PDA)
- A to Z: Patent Ductus Arteriosus (PDA)
- Atrial Septal Defect
- Ventricular Septal Defect
- Heart and Circulatory System
- Congenital Heart Defects Special Needs Factsheet
- When Your Child Needs a Heart Transplant
- A to Z: Atrial Flutter
- Arrhythmias
Trusted External Resources
Trusted Resources
Congenital Heart Defects
Congenital heart defects are problems in the heart's structure that are present at birth. Approximately 1 in every 100 newborns have congenital heart defects, which can range from mild to severe.
Congenital heart defects happen because of incomplete or abnormal development of the fetus' heart during the very early weeks of pregnancy. Some are known to be associated with genetic disorders, such as Down syndrome, but the cause of most congenital heart defects is unknown. While they can't be prevented, there are many treatments for the defects and related health problems.
How a Healthy Heart Works
To understand more about congenital heart defects, it's helpful to understand how a healthy heart works.
The heart, lungs, and blood vessels make up the circulatory system of the human body. The heart is the central pump of the circulatory system, and consists of four chambers — the left atrium and left ventricle and the right atrium and right ventricle.
The heart also has four valves that direct the flow of blood through the heart:
- The left atrium of the heart receives oxygen-rich blood from the lungs and then empties into the left ventricle through the mitral valve.
- The left ventricle pumps oxygen-rich blood out to the rest of the body. Blood leaves the left ventricle through the aortic valve and enters the aorta, the largest artery (a blood vessel that carries oxygenated blood) in the body. Blood then flows from the aorta into the branches of many smaller arteries, providing the body's organs and tissues with the oxygen and nutrients they need.
- After oxygen in the blood is released to the tissues, the now deoxygenated (oxygen-poor) blood returns to the heart through veins, the blood vessels that carry deoxygenated blood. This blood, which appears blue, enters the right atrium of the heart and then travels across the tricuspid valve into the right ventricle.
- The right ventricle then pumps deoxygenated blood through the pulmonic valve into the lungs. The oxygen in the air we breathe binds to cells within this blood that is being pumped through the lungs. The oxygen-rich blood, which appears red, then returns to the left atrium and enters the left ventricle, where it is pumped out to the body once again.
This is the normal pathway that blood travels through the heart and the body. However, abnormalities in the heart's structure — such as congenital heart defects — can affect its ability to function properly.
Common Heart Defects
Common types of congenital heart defects, which can affect any part of the heart or its surrounding structures, include:
Aortic Stenosis
In aortic stenosis, the aortic valve is stiffened and has a narrowed opening (a condition called stenosis). It does not open properly, which increases strain on the heart because the left ventricle has to pump harder to send blood out to the body. Sometimes the aortic valve also does not close properly, causing it to leak, a condition called aortic regurgitation.
Atrial Septal Defect (ASD)
ASD is a hole in the wall (called the septum) that separates the left atrium and the right atrium. This wall is called the atrial septum. When this hole is present, it allows extra blood flow to travel from the left atrium into the right heart and out to the lungs.
Atrioventricular Canal Defect
This defect — also known as endocardial cushion defect or atrioventricular septal defect — is caused by a poorly formed central area of the heart. Typically, there is a large hole between the upper chambers of the heart (the atria) and, often, an additional hole between the lower chambers of the heart (the ventricles). Instead of two separate valves allowing flow into the heart (tricuspid on the right and mitral valve on the left), there is one large common valve, which may be quite malformed. Atrioventricular canal defect is commonly seen in children with Down syndrome.
Coarctation of the Aorta
Coarctation of the aorta is a narrowing of a portion of the aorta, and often seriously decreases the blood flow from the heart out to the lower portion of the body.
Hypoplastic Left Heart Syndrome
When the structures of the left side of the heart (the left ventricle, the mitral valve, and the aortic valve) are underdeveloped, they're unable to pump blood adequately to the entire body. This condition is usually diagnosed within the first few days of life, at which point the baby may be critically ill.
Fortunately, many of these infants are recognized to have serious heart disease even before birth on ultrasound tests. A fetal echocardiogram is a specialized ultrasound that allows doctors to see the baby's heart in great detail and plan the best care for the baby while still in utero.
Common Heart Defects (cont.)
Patent Ductus Arteriosus (PDA)
The ductus arteriosus is a normal blood vessel in the developing fetus that diverts blood away from the lungs and sends it directly to the body. (The lungs are not used while the unborn fetus is in amniotic fluid — the fetus gets oxygen directly from the mother's placenta.) The ductus usually closes on its own shortly after birth; it is no longer needed once a newborn breathes independently. Patent ductus arteriosus (PDA) occurs when the ductus doesn't close, which can result in too much blood flow to a newborn's lungs. PDA is common in premature babies.
Patent Foramen Ovale (PFO)
The patent foramen ovale is a normal hole between the upper chambers of the heart. It is present in the unborn fetus and usually seals up in the first few months of life. In approximately 25% of people, this hole never fully closes. Usually, it does not cause problems and does not require treatment.
Pulmonary Atresia
In this defect, the pulmonic valve does not open at all and may indeed be completely absent, so that no blood can flow from the right ventricle to the lungs. The pulmonary artery, the main blood vessel that runs between the right ventricle and the lungs, also might be malformed, and the right ventricle may be too small. These babies usually appear blue (cyanotic) after birth and need immediate specialized care.
Pulmonary Stenosis
In pulmonary stenosis, the pulmonic valve is stiffened and has a narrowed opening (called stenosis). It does not open properly, which may increase strain on the right side of the heart because the right ventricle has to pump harder to send blood out to the lungs. If mild, pulmonary stenosis may never require any treatment.
Tetralogy of Fallot (TOF)
Tetralogy of Fallot is actually a combination of four heart defects: pulmonary stenosis; a thickened right ventricle (ventricular hypertrophy); a hole between the lower chambers (ventricular septal defect); and an aorta that can receive blood from both the left and right ventricles, instead of draining just the left. Because oxygen-poor (blue) blood can flow out to the body, children with this defect often appear bluish.
Total Anomalous Pulmonary Venous Connection
The pulmonary veins normally are the blood vessels that deliver oxygen-rich blood from the lungs to the left atrium. Sometimes these vessels don't join the left atrium during development. Instead they deliver blood to the heart by other pathways, which may be narrowed. Pressure builds up in this pathway and in the pulmonary veins, pushing fluid into the lungs, which decreases the amount of oxygen-rich blood that reaches the body. These infants often have trouble breathing and appear blue.
Transposition of the Great Arteries
In this condition, the pulmonary artery and the aorta (the major blood vessels leaving the heart) are switched so that the aorta arises from the right side of the heart and receives blue blood, which is sent right back out to the body without becoming oxygen-rich. The pulmonary artery arises from the left side of the heart, receives red blood and sends it back to the lungs again. As a result, babies with this condition often appear very blue and have low oxygen levels in the bloodstream. They usually come to medical attention within the first days after birth.
Common Heart Defects (cont.)
Tricuspid Atresia
Blood normally flows from the right atrium to the right ventricle through the tricuspid valve. In tricuspid atresia, the valve is replaced by a plate or membrane that does not open. The right ventricle therefore does not receive blood normally and is often small. Babies with this defect often appear bluish after birth and may need specialized care early in life.
Truncus Arteriosus
In an embryo, the aorta and the pulmonary artery are initially a single vessel. During normal development, that vessel splits to form the two major arteries, the aorta and the pulmonary artery. If that split does not occur, the child is born with a single common great blood vessel called the truncus arteriosus. There usually is a hole between the ventricles associated with this defect. The valve leading into the truncus arteriosus may be very abnormal.
Ventricular Septal Defect (VSD)
One of the most common congenital heart defects, VSD is a hole in the wall (septum) between the heart's left and right ventricles. These can occur at different locations and vary in size from very small to very large. Some of the smaller defects may gradually close on their own.
Signs and Symptoms of Heart Defects
Because congenital defects often compromise the heart's ability to pump blood and to deliver oxygen to the tissues of the body, they often produce telltale signs such as:
- a bluish tinge or color (cyanosis) to the lips, tongue, and/or nailbeds
- an increased rate of breathing or difficulty breathing
- poor appetite or difficulty feeding (which may be associated with color change)
- failure to thrive (weight loss or failure to gain weight)
- abnormal heart murmur
- sweating, especially during feedings
- lowered strength of the baby's pulse
If you notice any of these signs in your baby or child, call your doctor right away. If your doctor notices these signs, you may be referred to a pediatric cardiologist.
Diagnosing a Heart Defect
Some congenital heart defects cause serious symptoms right at birth, requiring newborn intensive care in the hospital and immediate evaluation by a cardiologist. Other defects, like atrial septal defects, may go undiagnosed until the teen — or even adult — years.
It is now routine for newborn babies in the U.S. to be screened at least 24 hours after birth to look for serious congenital heart disease that can lower a baby's oxygen levels. This screen is a simple, painless test using a machine called a pulse oximeter. The oximeter uses a sensor put on a baby's skin that estimates how much oxygen is in the baby's blood. This test can help spot heart problems early on so that they can be treated right away. The screening will detect about ¾ of infants with a serious heart defect, but some babies who test normal could still have heart disease, especially coarctation or other defects on the left side of the heart.
If a congenital heart defect is suspected, your doctor will likely refer you to a pediatric cardiologist. After a complete physical examination, including evaluation of the baby's heart rate and blood pressure, the cardiologist probably will order an electrocardiogram (EKG). EKGs are performed by placing small pads (called leads) on the child's chest, which are wired to a monitor that records and prints out the electrical signals of the heart.
The cardiologist will often order an echocardiogram, which provides detailed images of the heart by using ultrasound. Specialized ultrasound waves can demonstrate all of the heart chambers and valves, the great arteries arising from the heart, and the direction and speed of blood flow in various areas of the heart. Echocardiograms also can evaluate whether the heart is squeezing and relaxing normally. Echocardiograms are the primary tool for diagnosing congenital heart defects.
A fetal echocardiogram is a specialized type of ultrasound that allows diagnosis of heart problems in utero. This can be done as early as 16-18 weeks' gestation. These tests are usually ordered when an obstetrician suspects a heart abnormality on a level II ultrasound. They're also ordered if another close family member has a congenital heart defect or when the mother has a condition, such as diabetes, that might make a heart problem in the fetus more likely.
In some children, a chest X-ray is done to evaluate the size and shape of the heart. It can also help show the amount of blood the heart is pumping to the lungs.
Cardiac catheterization is sometimes performed as well. During this procedure, a long, thin tube called a catheter is threaded through blood vessels in the navel (in a newborn) or the groin and up into the heart. Once in place, the catheter can measure the oxygen levels and pressures within the heart's chambers. Dye may be injected through the catheter to better illustrate the heart's inner structures and determine the direction of blood flow through the heart.
Many congenital heart defects can be fixed in the cardiac catheterization laboratory. For instance, devices can close holes in the heart or open up tight valves or narrowed blood vessels.
A pediatric cardiologist is the doctor most qualified to diagnose a congenital heart defect and provide treatment. This is true even before a baby is born. If you are an expectant parent and your baby has been diagnosed with a congenital heart defect via a fetal ultrasound, your obstetrician probably will arrange a consultation with a pediatric cardiologist.
If You Suspect a Problem
If you think your child may have a congenital heart defect or you notice any signs (such as difficulty breathing or feeding, or blue lips or tongue) that concern you, call your doctor. In more urgent cases, such as if your baby suddenly turns very blue or loses consciousness, call 911.
More treatment options than ever are available for congenital heart defects, and most defects are treated successfully. Children with heart disease are best cared for by a team of specialists, which will usually include pediatric cardiologists, pediatric heart surgeons, pediatric cardiac anesthesiologists, doctors specialized in the intensive care of children with heart disease, specialized nurses, nurse practitioners, physician assistants, and many others. Many children will benefit from having their hearts fixed surgically or through a procedure in the cardiac catheterization laboratory.
If you suspect that your child has a heart defect, the sooner you get medical attention, the better chance your child will have of making the fullest recovery possible.
With all the medical resources available, a congenital heart defect won't necessarily prevent a child from leading a normal life. By working with the health care team, you'll get the best care possible for your child./p>
Reviewed by: Gina Baffa, MD
Date reviewed: September 26, 2016


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Teen charged with inducing panic
- Written by THE BELLEFONTAINE EXAMINER STAFF
Jordan W. Scales, 18, of 105 S. Troy Road, Apt. B, was arrested Monday for aggravated menacing and inducing panic, officers of the Bellefontaine Police Department report.
He allegedly was a back seat passenger in a silver car and threatened several people outside 212 W. Brown Ave. around 2:25 p.m.
Witnesses claim he brandished a knife while another passenger brandished a small handgun.
The defendant was later apprehended at the First Lutheran Church soup kitchen, 208 W. Sandusky Ave., and was lodged in the Logan County Jail.
Teens found with stolen bicycle, alcohol
Three teens were arrested around 1:30 a.m. today after they were observed stealing a bicycle from 409 Garfield Ave.
Mason Fox, 14, of 204 Lawrence St.; Keith K. Irick, 14, of 316 Eaton St.; and Kody T. Roberts, 15, of 212 Evansville St., each was charged with delinquency theft, underage consumption of alcohol and curfew violations. Keith and Mason also were charged with possession of tobacco.
Officers soon located the suspects in the 100 block of Everett Street with the bicycle and apprehended bottles of alcohol, cigarettes and other contraband.
All three were released to parents.
Man faces domestic charge
Larry Yoakam, 32, of 1074 Heritage Court, was arrested Sunday for domestic violence.
Officers went to the residence after a relatives of April Yoakam advised police around 2:25 p.m. the couple's children were filthy and the wife appeared afraid of the suspect.
She had a black eye, they told officers.
When asked, the victim told police she was struck Friday. The suspect admitted he had consumed alcohol against court orders and struck his wife.
He was lodged in jail.
Two lodged on intoxication charges
Jack L. Beair Sr., 54, of 228 N. Park St., was charged Sunday with public intoxication.
Neighbors told police he was driving a lawn mower around the area and his son had to physically restrain him from driving off in a pickup truck.
His family decided to leave and officers lodged him in jail for his safety.
• Gene A. Homan, 32, at large, was arrested Sunday for public intoxication. He was observed around 6:50 a.m. unsteady on his feet as he walked in the 200 block of west Sandusky Avenue.
Woman charged with assault
Stevi Renee McKee, 25, of 868 E. Sandusky Ave., Apt. 115, was charged Sunday with assault. She allegedly attacked a neighbor Jessica Lindauer, pulling the victim to the ground by her hair and hitting her several times.
Officers also talked to a witness who corroborated the victim's account. There were visible injuries to Ms. Lindauer.
The suspect said she did not hit the victim and claimed she was struck by Ms. Lindauer.
Read complete POLICE NEWS in Tuesday's Examiner.
CLICK HERE to subscribe today!

subset: commoncrawl


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A letter from Phil Cooley: We are in the final days of Ponyride's crowdfunding campaign and I humbly ask for your support to help us reach our goal of $30,000 by this Friday. Located in Detroit's Corktown neighborhood, Ponyride has over 40 businesses and organizations waiting to move into our shared office space. Money raised from our croudfunding campaign will be… Read more »
The blight fight is moving to the next level in Brightmoor. Detroit 2020 was on hand, as Detroit Blight Authority Chairman Bill Pulte gave Senator Carl Levin a first-hand look at the dramatic transformation taking place.
St. Josaphat has served the catholic community of detroit since 1890. Today—the doors of the church are closed. The City of Detroit ordered them shut after a November storm. "We had winds in excess of 60 miles an hour and it did some very severe damage," said Kevin Piotrowski. He's president of the Mother of Divine Mercy Parish Council,… Read more »
Belle Isle officially becomes a state park on February 10th, 2014. That same day, the gradual phase-in of the Recreation Passport for access to the island begins.
The $11 Passport offers access to all Michigan state parks and recreation areas.
This year, St. Francis d'Assisi Parish on Detroit's southwest side will be celebrating its 125th anniversary. The parish is looking to get in touch with alumni of the church or school. A celebration of the founding of the Church community is set for this October.
We've heard from many of you who enjoyed our Detroit 2020 special, Detroit Gems. Detroit 2020 showcased some of the Detroit Gems we told you about during 2013.
Detroit's historic St. Josaphat Catholic Church remains closed while a fund-raising effort to repair the iconic main steeple continues.
Kevin Piotrowski, parish council president, told Detroit 2020 that approximately $25,000 has been raised since the Save our Steeples campaign was launched Dec. 2.
Demolition work is continuing on the Brewster-Douglass project, the massive and historic public housing complex where Motown star Diana Ross grew up.
We've heard from many of you who enjoyed our Detroit 2020 special, Detroit Gems.
Detroit 2020 showcased some of the Detroit Gems we told you about during 2013. We're happy to tell you there will be an encore showing of the Detroit Gems special on Saturday, December 28th at from 1 to 1:30 p.m. on Channel 7.
Preliminary work is underway in downtown Detroit on the M-1 Rail. Crews began utility relocation work along Woodward Avenue on Friday. It's the first step toward construction of the 3.3 mile streetcar system. Public access to businesses will not be prevented by the work.


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- Albert Marquet. French painter. ~ Biography
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The 10 murderers currently awaiting execution on death row can breathe a sigh of relief if the measure to abolish the death penalty in Connecticut becomes law, state Representative Arthur J. O'Neill said today.
"Although the proposal (House Bill 6578) that passed the state House May 13th purports to apply only to future 'murder[s] with special circumstances,' it will in fact render the death penalty unenforceable even in the cases of the 10 convicted murderers currently awaiting execution," said Representative O'Neill, R-69th District, the House Republican Leader on the state legislature's Judiciary Committee.
"When Chief State's Attorney Kevin Kane, who represents the state in death penalty cases testified before the Judiciary Committee in March, he said that if this bill becomes law, it would nullify the death penalty for anybody convicted of a capital felony murder before the act took effect," Representative O'Neill said.
"Death penalty cases currently under appeal would be immeasurably strengthened if the abolition bill eventually becomes law. It would make it extremely difficult for the state to argue successfully that executions of current death row inmates should proceed since people convicted of the same kinds of crimes after the abolition legislation takes effect could no longer receive the death penalty," Representative O'Neill said.
"Mr. Kane told the Judiciary Committee that if the death penalty is abolished, Connecticut courts would not, 'as a matter of constitutional law,' sanction the execution of current death row inmates and 'this legislature would not want us to be doing it,' "Representative O'Neill added.
"I urged a no vote on the bill because it was disingenuous for death penalty abolitionists to claim that if the bill became law, current death row inmates could still be executed – especially after Mr. Kane testified emphatically that the bill would render the death penalty unenforceable in any case in which a killer had not yet been executed," said Representative O'Neill, who read crucial portions of Mr. Kane's testimony into the official record during debate on the floor of the House.
"Everyone who voted in favor of repeal May 13th knew very well that the chief state's attorney had stated publicly that this proposal will effectively end the death penalty for all those awaiting execution if it becomes law," Representative O'Neill said.
"For that reason and in the interest of justice for future victims who die horribly at the hands of depraved, heartless murderers, I strongly urge my colleagues in the state Senate to reject this bill, and failing that, for Governor Rell to veto it if and when it comes to her desk," Representative O'Neill said.


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On to every NHL team a little rain must fall during the season, and the Blackhawks currently find themselves under a deluge.
"You want to have stretches where you face some adversity," coach Joel Quenneville said. "You find out about your team (and) you find out about individuals."
The Hawks are about to find out a lot about their makeup. On top of being in the midst of their longest losing streak in over two seasons, they were dealt a major blow Monday when Quenneville revealed forward Patrick Sharp will be sidelined three to four weeks with an upper-body injury.


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Young Republican Leader Finds Racism LOL-Worthy
First of all, why is a vice chairwoman of the Young Republicans 38 years old? And secondly, why is she "lol"-ing at racist Facebook comments? Oh, right, because she is a vice chairwoman of the Young Republicans.
Frankly? It is a pretty non-shocking example of the GOP's ability to find humor in the craziest and most racist of places. But here is the magical tale of Audra Shay, Young Republican leader:
Shay posted something dumb about health care, on her Facebook, and one of her friends responded, as anyone would, with an angry string of slurs.
Two minutes later, Piker posted again saying "Obama Bin Lauden [sic] is the new terrorist… Muslim is on there side [sic]… need to take this country back from all of these mad coons… and illegals."
Eight minutes after that, at 2:02, Shay weighed in on Piker's comments: "You tell em Eric! lol."
Yes. You tell em, Eric! Tell em something insane! And, hah, it got better! Shay only de-friended the people who complained.
Cassie Wallender, a national committeewoman from the Washington Young Republican Federation, then wrote: "Someone please help a naïve Seattle girl out, is Eric's comment a racist slur?" She answered her own question one minute later: "Okay, why is this okay? I just looked it up. 'It comes from a term baracoons (a cage) where they used to place Africans who were waiting to be sent to America to be slaves.' THIS IS NOT OKAY AND IT'S NOT FUNNY."
This was followed soon after by the chairman of the D.C. Young Republicans, Sean L. Conner, who wrote "I'm really saddened that you would support this type of racial language. ..wow! Thanks Cassie for standing up…"
Shay was silent on this exchange, but soon word started spreading throughout the Young Republican circuit, open to GOP members under 40. Significantly, Shay then "de-friended" Wallender and Conner-in the world of Facebook, that means cutting off relations-after calling her out, but kept Piker as a "friend" (subsequently, it appears their profiles are no longer linked).
The election for chairman of the Young Republicans is next Saturday, guys. Let's see how many embarrassing and permanently archived examples of electronic racism the candidates can rack up in the coming days.


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If , then you have a local minimum.
If , then you have a local maximum.
If for SOME h,k, and , for OTHER h,k then you have a saddle point.
You must plug in a and b. These are the points where you find stationary points to be. After that you should be able to conclude that:
is > 0 for some h k, and < 0 for other. This indicates stationary points.


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Review our alternative giving programs by clicking here.
Climb aboard! Become a part
of this exciting opportunity and share in the wonders of accomplishment. Help
us breathe life back into a dying community.
invite you to join in on one of our
annual trips to Kenya and meet these children yourself at the schools and see
what a few willing hearts, hands, dollars and volunteers can accomplish. You can make a difference for a childs future!
Non-cash donations are also needed to keep our administration going. Here is our wish list:
Printer paper
Epson Printer ink cartridges; Black 88, Cyan 88, Magenta 88 & Yellow 88
Working laptop computer for office use and for children (OpSys Windows XP or higher)
iPad (greatly needed)
Working Macbook for office use
USB Flash drives
Non-cash donations needed for children too:
Sports shoes and flat shoes
Sweaters & Sweatshirts
Fleece blankets
Book bags, school supplies; crayons, markers, pens, pencils, and erasers
Soccar balls, air pumps and backpacks/bookbags


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Maybe it's because I've been cutting back on the sweets, but seriously. Of all the delectable ways to enjoy sugar--conversation hearts? Not hitting the spot here. Still, I get they're a Valentine tradition. With that in mind, I came up with a few busy activities my little ones could do with them. (And they will happily gobble them up afterwards if I let them.)
My 4-year old is working on classifying in preschool right now. An easy thing to do with the candy hearts is sort them into groups by color.
Another fun idea: Get the kids thinking by drawing shapes of different sizes and having them estimate how many candy hearts will fit inside.
Using just the hearts in one box, see how many patterns your little one can come up with.
Give them a little coordination practice and ask them to stack as many as they can.
Last one is silly, but a favorite. Using a straw and the suction of their breath, kids can lift the candies from one pile to another. They'll have lots of fun with this.
Any other ideas I should add? I'm all about getting as much entertainment as possible out of every day things!


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Cescon, Angelaa; Chan, Keitha; Raboud, Janet M.b,c; Burchell, Ann N.c,d; Forrest, Jamie I.a; Klein, Marina B.e; Loutfy, Mona R.c,f,g; Machouf, Nimah; Montaner, Julio S.G.a,i; Tsoukas, Chrise; Hogg, Robert S.a,j; Cooper, Curtisk; the CANOC Collaboration
Objective: Studies focusing on HIV-hepatitis C virus (HCV) coinfected individuals without a history of IDU are limited. It is plausible that poorer clinical outcomes in HIV-HCV coinfection are due to factors associated with IDU, not from HCV itself. This study compares HIV treatment outcomes and survival between HIV-HCV coinfected individuals with and without IDU history.
Design: Observational cohort study.
Methods: We analyzed data from a multisite Canadian cohort study of HIV-positive individuals initiating combination antiretroviral therapy (ART) after 1 January 2000. This analysis was restricted to 1254 participants with HCV coinfection and known IDU history. Cox proportional hazards regression was used to evaluate time from ART initiation to virologic suppression (two consecutive measures <250 copies/ml) and CD4+ cell count recovery (+100 cells/μl). In order to account for loss to follow-up (LTFU), competing risk analysis was used to evaluate time to death.
Results: A total of 1254 participants (31% women) were included. During a median follow-up time of 3.8 years (interquartile range = 2.1–6.2), 217 deaths were reported and 148 participants were LTFU. In adjusted multivariable analysis, individuals with IDU history were significantly less likely to achieve virologic suppression [adjusted hazard ratio (AHR) = 0.78, 95% confidence interval (CI) = 0.64–0.95]; marginally less likely to have CD4+ cell count recovery (AHR = 0.82, 95% CI = 0.66–1.00); and had a significantly higher risk of death (AHR = 2.15, 95% CI = 1.25–3.70).
Conclusion: IDU history independently elevates risk for poorer clinical outcomes, separate from HCV coinfection. HIV-HCV coinfected persons are not homogeneous in characteristics or outcomes, suggesting care should be taken during statistical analyses if attributing poorer HIV-specific outcomes solely to HCV coinfection.
© 2014 Lippincott Williams & Wilkins, Inc.
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There's a lot to be pessimistic about with all the downside risks in the macroeconomy. Europe is teetering on the edge, the fiscal cliff is all anyone can talk about, and even China is showing some signs of a hard landing. But things could also be a lot worse than they are. While I primarily like to focus on the risks that can trip investors up, I also like to maintain a measured optimism.
That said, here are three things that aren't worth being negative about (at present):
Gasoline prices are falling. Gasoline prices can be an enormous tax on the consumer, and while gas prices are up substantially over the last four years, prices are up just modestly in the last year. More importantly, they're down almost 20% from their highs earlier this year.
The job market is still expanding. Few things are more damaging to the economy than layoffs. And while the labor market isn't exactly strong, it's definitely not contracting. In fact, the year-over-year gains in employment aren't much worse than the 2003-07 recovery.
Corporate profits are at an all-time high. Although the consumer remains fragile, U.S. corporations are actually quite strong. This is clear from the state of corporate profits, which are at an all-time high.


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They protect your skin from the sun, they come to the rescue on a bad hair day and they have the potential to make you look like a celebrity. Hats on to our favorite accessory of the season! Here are our top 12 favorites to help you spend summer in style.
1. 'Chloe' Floppy Hat | 2. Eugina Kim Caterina Hat | 3. J. Crew Metallic Baseball Cap | 4. Eugina Kim Gigi Headwrap | 5. Knit Baseball Cap | 6. Open Weave Wide Brim Sunhat | 7. Melissa Odabash Wide Brim Hat | 8. Kate Spade Asymmetrical Bow Hat | 9. J. Crew Bandana Scarf | 10. Slouchy Jersey Beanie | 11. Eugina Kim Geo Print Turban Headband | 12. Gap Straw Fedora


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Treasury yields fell again despite slightly more optimistic commentary regarding the fiscal cliff as money continued to flow to the safer haven of US debt into month end. The 10y yield traded in close proximity to the 1.600% level throughout the session and prices were supported by two treasury purchase operations totalling USD 6.4bln. Also, the strong 5y note auction spurred further buying as the yield stopped though the WI by almost 1BPS. The recovery in US stock markets did little to dent the appetite for t-notes as little concrete action is yet to materialise from the fiscal cliff negotiations. At the pit close t-notes finished at 134.00, up 9 ticks.
28 Nov 2012 - 20:01 - Fixed Income - Source: RANsquawk
RANsquawk provides audio news and commentary for over 15,000 professional traders and brokers worldwide. Services include:


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Parents, kids support MJHF and get to dress up
With so many super heroes at the Heritage Inn on Sunday, Moose Jaw had no reason to fear an alien attack.
© Times-Herald photo by Nathan Liewicki
An array of super heroes gathered together at the Heritage Inn Sunday as part of Super Heroes Unite! The event, which raised money for the pediatrics ward of the new regional hospital, saw kids and their parents dress up as their favourite super heroes.
An estimated 120 children, ranging from Wolverine to Hulk to Captain America prevented Gotham City from being thrown into chaos at Super Heroes Unite! From the Joker to Arrow and Ironman, parents also dressed up as their favourite super heroes.
According to Amy Ofstie, chair of Super Heroes Unite!, the event was only put together in the last two months..
"People had just a great time at the Princess Ball and we were asked if we could put on a super heroes event," Ofstie told the Times-Herald. "My committee worked so hard to get this fantastic event ready in a little over two months."
Kids had the opportunity to climb inside a wrestling ring, visit various super hero-themed booths, play a variety of carnival games, watch their favourite super hero movies and take part in Super Hero Training Camp.
Although prizes were awarded for the best kid and parent costumes, the real winner Sunday was the Moose Jaw Health Foundation (MJHF), and specifically the pediatrics ward of the new regional hospital, which will receive a donation courtesy the event,
It was not known how much money had been raised for the new regional hospital at Super Heroes Unite!, but Kelly McElree, executive director of the MJHF, said he is excited to be able to put the funds toward children's health care.
"I got the call yesterday that the Avengers needed to be assembled quickly, and the super heroes of Moose Jaw answered the call," said McElree, who constructed the hammer of Thor with a carefully shaped block of wide and small steel pipe.
"There were so many parents that dressed up as super heroes and to their kids that's exactly what they are. The same goes for doctors, who are sometimes heroes for children at the hospital."
Nathan Liewicki can be reached at 306-691-1256 or follow him on Twitter @liewicks


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A Stradivarius violin valued at 1.2 million pounds ($1.84 million) that was stolen from a musician in a London eatery in 2010 was found this week, Britain's Transport Police said Tuesday.
Made in 1696, the instrument was found intact inside its case on a property in central England.
The violin was stolen from acclaimed South Korean musician Min-Jin Kym on Nov. 29, 2010, at a sandwich shop at London's Euston station.
"It's been a very difficult journey. I still can't quite believe what has happened," Kym said.
"The loss of the instrument, and the acute responsibility I felt, was at the back of my mind at every moment of the day. I'd played the instrument since I was a teenager, so it'd been a huge part of my identity for many years," she said.
While three people were convicted and sentenced in 2011 in connection with the theft, the violin remained missing.
"Though it took some time to successfully locate and recover the violin, we were confident it had remained in the UK," the lead investigator, Detective Chief Inspector Simon Taylor, said.
"I always maintained that its rarity and distinctiveness would make any attempt to sell it extremely difficult, if not futile, because established arts and antiques dealers would easily recognize it as stolen property," Taylor said. EFE


text: L'Avenue has held its place as a top brunch spot for almost ten years and not just because of the perfectly roasted-then-fried herbed potatoes. If you don't get there early, you'll wait eagerly and hungrily for giant fruit smoothies and yolky benedicts. Expect an artsy-sexy local vibe, French-only menus and friends feeding last night's stupor.


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Safavieh launching garden stool program at winter markets
December 4, 2013-- Furniture Today,
PORT WASHINGTON, N.Y. — Home décor vendor Safavieh is entering a new category during the winter market season.
The rug and home accessory manufacturer is debuting indoor/outdoor ceramic garden stools. The new collection will include 21 styles in multiple colorways for a total of 52 SKUs.
Safavieh's Water Lily Garden stool is inspired by the bold floral patterns of 18th century Chinese export porcelain, is crafted of glazed ceramic in aqua, pink and gold tones and retails for $168.
"We tested our garden stool program in key customer previews earlier this year, and the reaction was extremely positive. We are projecting significant growth in the category in tandem with our complete range of outdoor offerings, including rugs, furniture and accent pillows," said Jonathan Yaraghi, general manager of the company's furniture division.
Officials say the rollout of garden stools builds upon Safavieh's mission to offer consumers every home furnishings product they need to create total lifestyle looks.
"Increasingly, consumers are gravitating to products that transition from outdoor to indoor use. Garden stools have always been an inside-out decorator product, but we are now seeing more and more of our outdoor seating and rugs being used inside the home because of their high fashion and easy care properties," Yaraghi said.
Safavieh will introduce garden stool designs from classic Oriental hand-painted motifs to Moroccan-inspired and contemporary silhouettes at the upcoming winter markets. The stools are made in China of hand-glazed ceramic, and include metallic finishes in addition to fashion colors. Suggested retails are $198 to $251.
The new products will be on display at the company's showrooms at AmericasMart Space 5-A-2 during the Jan. 7-14 Atlanta International Gift & Home Furnishings Market, and at World Market Center A-101 during the Jan. 26-30 Las Vegas Market.
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Shoppers looking to buy used books, a snow cone or anything with reggae icon Bob Marley's face on it, among many more items, found what they were looking for Saturday at the Fall Downtown Street Faire.
Piggybacking on an event that draws thousands, was the Pacheco Pass Quilters Pumpkin Patch show and Los Banos Rotary Club's pancake breakfast fundraiser.
This was Daniel Gonzalez's second visit to the fair. He and his wife checked out the three-plus blocks of booths.
"I bought this, a T-shirt," said the 59-year-old Santa Nella resident. "I do fabric paint."
Gonzalez said the turnout looked about the same as last year.
Among the purses, toys and jewelry were also handmade crafts.
Sherri Coronel of Los Banos said she tries to come every year to the Los Banos Chamber of Commerce-sponsored fair. The 35-year-old, who brought her daughter, said she never knows ahead of time what she's going to get.
"I like the arts and crafts best, and to look at everything that's different or unique," she said. "I like stuff for the house, you know?"
Throughout the day, a karaoke sound system blasted the voices of fairgoers as they tried their hand at being a pop or country star while a constant stream of bubbles floated by.
Some children nibbled on cotton candy and snow cones, while others chose slabs of meat smothered in barbecue sauce.
Los Banos' Emily Rivers just happened to be doing business downtown and perused booths while she was there. A few things caught her eye, like the "Baby Cakes" fundraiser shared by Relay for Life and Habitat for Humanity Westside.
"I hate it that I didn't know in advance," the 59-year-old said. "I probably would have scheduled more time."
A stitch in time ...
Quilts hung from rafters of the Ted Falasco Arts Center, sewing machines hummed and ladies talked shop at the Pacheco Pass Quilters trade show.
The quilting guild opened Pumpkin Patch for the first time with wine and cheese.
Ken Gresham brought several models of sewing machines from his store in San Jose, Ray's Sewing Machine Center.
His premier piece of equipment at the show was the Janome Memory Craft 350E, an embroidery machine with a USB port.
"That USB stick can go right into your computer, download the design then right into the machine," Gresham said, adding "embellishments" are what most quilters are interested in.
Not a quilter himself, Gresham took over the family business from his father, Ray.
Hilmar-based Divine Quilters is a one-woman operation of Dea Oskerson. She is the go-to long-arm quilter in the area.
"It's my passion," Oskerson said. "It's just what I do."
Customers send her their quilts, already stitched together around the edges, and she adds the artistic stitching pattern that runs throughout the body. Oskerson said she gets quilts from all over the country, as well as "from Canada, I've gotten one from New Zealand -- I get them from everywhere," she said.
The Pacheco High School Band also played outside the Arts Center on Saturday.
Hot cakes
Pancakes, ham, eggs and a drink raised cash for Rotary early Saturday.
Proceeds of more than $1,000 from the Rotary breakfast will go to youth-oriented groups and functions like Interact Club, Rotary's speech contest, the Wee Wigglers storyhour and local Boy Scouts, among others, President Brenda Latham said.
Enterprise reporter Thaddeus Miller can be reached at (209) 388-6562 or by email at email@example.com.


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Many toddlers become attached to their bottles. Besides providing nourishment, bottles also mean comfort and security.
But it's important for parents to start weaning babies from bottles around the end of the first year and start getting them comfortable drinking from cups. The longer parents wait to start the transition, the more attached kids become to their bottles and the more difficult it can be to break the bottle habit.
Switching from bottle to cup can be challenging, but these tips can make the change easier for parents and kids.
Most doctors recommend introducing a cup around the time a baby is 6 months old. In the beginning, much of what you serve in a cup will end up on the floor or on your baby. But by 12 months of age, most babies have the coordination and manual dexterity to hold a cup and drink from it.
Age 1 is also when doctors recommend switching from formula to cow's milk, so it can be a natural transition to offer milk in a cup rather than a bottle.
If you're still breastfeeding, you can continue feeding your baby breast milk, but you may want to do so by offering it (as well as diluted juice or water) in a cup.
Instead of cutting out bottles all at once, try eliminating them gradually from the feeding schedule, starting at mealtimes.
If your baby usually drinks three bottles each day, for example, start by eliminating the morning bottle. Instead of giving a bottle right away, bring your baby to the table and after the feeding has started, offer milk from a cup. You might need to offer some encouragement and explanation, saying something like "you're a big boy now and can use a cup like mommy."
As you try to eliminate the morning bottle, keep offering the afternoon and evening bottles for about a week. That way, if your child asks for the bottle you can provide assurance that one is coming later.
The next week, eliminate another bottle feeding and provide milk in a cup instead, preferably when your baby is sitting at the table in a high chair.
Generally, the last bottle to stop should be the nighttime bottle. That bottle tends to be a part of the bedtime routine and is the one that most provides comfort to babies. Instead of the bottle, try offering a cup of milk with your child's dinner and continue with the rest of your nighttime tasks, like a bath, bedtime story, or teeth brushing.
Here are some other tips to keep in mind:
If you continue to have problems or concerns about stopping the bottle, talk with your doctor.
Reviewed by: Larissa Hirsch, MD
Date reviewed: October 2013
Note: All information is for educational purposes only. For specific medical advice, diagnoses and treatment, consult your doctor.
© 1995–2015 The Nemours Foundation/KidsHealth. All rights reserved.
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2005-11-02 - Nuclear Blast Records has pushed back the European release date (except Germany and Scandinavia) of the the updated, re-recorded version of DIMMU BORGIR's 1996 album, "Stormblåst", to November 14 from the previously announced November 7. The CD will be released in Germany on November 11 and in Scandinavia on November 9. The delay is being attributed to "pressing plant problems."

The album will be released in North America on February 7, 2006 with a limited collectors item. This edition will only be available in the North American pressing.

"Stormblåst" was completely re-recorded with producer Peter Tägtgren (HYPOCRISY, PAIN) and MAYHEM's Hellhammer on drums. Check out the album's new artwork at Rockdetector.com.

The new version of "Stormblåst" adds two brand-new audio tracks: "Sorgens Kammer – Del II" and "Abmaktslave", plus a live DVD of an entire set filmed from last year's Ozzfest. The album will be released in a cool digipack design with a booklet containing a lot of old pictures of DIMMU BORGIR. A LP version containing a bonus single with the two new bonus tracks will also be released.

DIMMU BORGIR will shortly be filming a video for the track "Sorgens Kammer – Del II" with director Patric Ullaeus of Sweden's Revolver Film Company. The band are scheduled to begin writing material for their next studio album this fall for a tentative late 2006 release. The CD, which will feature a guest appearance by MAYHEM's Hellhammer on drums, will be "a full story/concept album," according to a posting on the group's web site.

"More DIMMU BORGIR"
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NCAA Division I Men's Lacrosse Notebook: Carolina-Hopkins Has No Shortage of Intrigue
by Gary Lambrecht | LaxMagazine.com
Led by sophomore goalie Pierce Bassett, the Johns Hopkins defense ranks second in Division I, allowing just 6.13 goals per game.
© John Strohsacker/LaxPhotos.com
On the surface, the season certainly took a critical turn for the Johns Hopkins men's lacrosse team when the Blue Jays repelled a comeback on Saturday by visiting, then-No. 2 Virginia.
When senior attackman Chris Boland scored late in the fourth quarter to lift Hopkins to a 12-11 victory at Homewood Field, it marked the first time in seven tries that the Blue Jays had beaten Virginia, and it was the first time the Blue Jays had taken down a top-five opponent since upsetting Duke in the semifinals of the NCAA tournament in 2008.
But Hopkins coach Dave Pietramala said he felt the season turning throughout the previous week of practice, as the Blue Jays were putting behind them a heart-wrenching, 5-4 loss in double overtime to No. 1 Syracuse. In one of the most talked-about officiating calls of the spring, Hopkins senior attackman Kyle Wharton's apparent game-winning goal was waived off after he was ruled in the crease. Replays made a compelling case Wharton was pushed into the off-limits area at the Carrier Dome.
Pietramala refused to talk about the controversial call in his post-game comments, and his lips remain sealed about the matter. He also warned his players to follow his lead.
"The last thing we want to do is offer [the players] an excuse for why we lost that game," Pietramala said. "I told the players I didn't want to hear about [the call], and that if I saw it [being talked about] in print, we were going to have a problem.
"To me, the key to how we played against Virginia was how we handled that loss. We walked away from that loss really hurting for each other. I think it was a bonding experience for our group. The thinking here was 'OK, we've got to back to work quickly. We've got to go get this win.'"
By outlasting the Cavaliers, the Blue Jays (6-2) elevated to No. 5 in the latest USILA poll. Hopkins is now on a collision course with No. 4-ranked North Carolina (7-2) in Sunday's Konica Minolta Big City Classic, in the undercard matchup to the Duke-Syracuse game in the Meadowlands.
But Carolina-Hopkins has no shortage of intrigue, starting with the fact that the Tar Heels have beaten Hopkins four straight times.
Like Hopkins, Carolina is coming off a huge upset victory over a top-five school, an 11-6 spanking of then-No. 5 Maryland. Both teams rely heavily on talented underclassmen. Both teams are riding superb seasons by faceoff specialists – Hopkins senior Matt Dolente is second in the nation (.681); Carolina freshman R.G. Keenan ranks 10th (.631). And each team is backed by complementary strengths.
Hopkins is back to playing stifling defense. Led by sophomore goalie Pierce Bassett, the Blue Jays rank second in Division I, having allowed only 6.13 goals per game. The Tar Heels are packed with young offensive talent, starting with dynamic freshman attackman Nicky Galasso, and rank 15th in the nation by scoring 10.9 goals per game, while committing only 12.3 turnovers per contest (second-fewest in NCAA).
Both Hopkins and Carolina enjoyed potentially season-changing wins, less than an hour apart from each other on the same afternoon. On Sunday in New Jersey, someone's season is going to get even better.
Yale eyes first NCAA tournament berth since 1990
Yale has not been to the NCAA tournament since reaching the final four in 1990. With Princeton down this year, Matt Gibson and the Bulldogs are a legitimate contender in the Ivy League.
© Greg Wall
There is little argument that seventh-ranked Cornell remains the team to beat in the Ivy League. But the Ivy is shaping up to be its most competitive and compelling in years – notably in a year in which Princeton is parked in the cellar at the end of March.
"With Princeton 0-2 [and in last place], people are saying this might be the most wide open the league has been," said Andy Shay, Yale's eighth-year coach.
Yale, ranked No. 15 and one of four Ivy League schools currently ranked in the top 20 – No. 13 Penn and No. 20 Harvard are the others – could be poised to make a serious run at its first NCAA tournament berth since the Bulldogs made the final four in 1990.
The Bulldogs (5-1, 1-1), who recently dropped a 10-8 decision to Cornell and will play at Penn on Friday, appear to have the necessary ingredients. They are getting terrific play out of sophomore faceoff man Cole Yeager (.633) and senior goalie Johnathan Falcone (.614 save percentage, 6.19 GAA). Their offense is averaging a robust 13.3 goals on 40 shots per game, while eight different players have tallied at least five goals. Senior attackman Brian Douglass (3.67 points per game) and sophomore fourth attackman Deron Dempster (13 goals on an NCAA-best 72.2 percent shooting) have been outstanding.
Denver does it all
Looking for an early sleeper to project as a final four party crasher during Championship Weekend at M&T Bank Stadium in Baltimore?
Keep an eye on the 12th-ranked Denver Pioneers, coached by former Princeton head coach Bill Tierney, who authored six NCAA titles there. The Pioneers (6-2) have lost to Syracuse and Notre Dame, the top two teams in the rankings, and they took the Irish to the wire in a 10-9 loss on March 12.
Denver is doing just about everything right these days, although the Pioneers need to tighten up their man-down defense. But Denver hustles (38.5 ground balls per game). It is shooting a strong 32.7 percent. Chase Carraro ranks 12th in the NCAA in faceoff win percentage (.621). And the Pioneers share the ball as well as anyone, better than most.
As the season swings into April, no team thus far has produced the potent, two-man game Denver has generated with attackman Alex Demopoulos and Mark Matthews. Each of them is averaging 4.25 points per contest.
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2008 Dell Thurmond Woodard Fellow Ashish Bakshi with Thurmond Woodard's wife Suzanne and daughter Michelynne
The Dell Thurmond Woodard Fellowship was established in 2007 as an additional grant/internship opportunity within the Tisdale Fellowship program. It was created in memory of the late Thurmond Woodard, Dell's former Vice President of Global Diversity and Chief Ethics, Privacy and Compliance Officer. Any student may apply for this fellowship (one student will be selected each year). Those interested should complete the Eben Tisdale Fellowship Application, and follow the instructions for submitting an additional essay on ethics and diversity. The Dell Thurmond Woodard Fellow will participate in the same program as those in the Tisdale Fellowship and will intern with Dell Computers.
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Learn the concepts, tools, and techniques for lighting with flash—from improving built-in flash results to shooting with wireless off-camera flash.
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Well-known photographer Douglas Kirkland discusses the importance of keeping your mind and eye open for photographic opportunities, regardless of the kind of camera on-hand.
Understand how shutter speed, aperture, and ISO settings relate to one another, and how these settings expand your artistic options with any photograph.
"This $25 was the BEST I could have ever spent! I have spent hours relearning things I had forgotten and solidified my confidence in what I do know." —Claudia W.
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Taylor Swift, Zayn Malik Collaborate on 'I Don't Wanna Live Forever'The song marks Taylor Swift's only release this year and her first music since 2014's '1989.'
Hailey Baldwin Doesn't Get Taylor Swift's SquadBaldwin wonders if making your circle of friends public means you have something to prove.
Taylor Swift will Air Previously Unseen Videos on Own ChannelThe channel will include music videos, concert performances, exclusive behind-the-scenes clips and other exclusive footage from Swift's collection.
Taylor Swift Gives #MannequinChallenge a Beachy TwistSwift and her Squad posed near her home in Rhode Island.
Drake Pumps Iron to Taylor Swift in New Apple Music Ad In the ad Drake discovers why pumping iron to songs that make you want to jam out probably isn't the smartest idea.
Taylor Swift Tops 'Forbes' Highest Paid Celebs Under 30 ListThe next closest act on the list was actually an entire boy band. One Direction, which has four members, brought in $110 million.
Taylor Swift Wishes Lily Aldridge Happy BirthdayVictoria's Secret supermodel and #Squad member Aldridge turned 31 today.
Andy Cohen is Pretty Sure Taylor Swift & Katy Perry Aren't FriendsToday in shocking revelations.
Will Taylor Swift Go Country Again? Little Big Town has the Scoop"Taylor is just musical. I don't think she's defined by anything other than she is a songwriter and an unbelievable performer and entertainer and incredible businesswoman."
Taylor Swift Throws Lorde's 20th Birthday Bash"Here's to our three magic years of best friendship and more moments like this squished between angels," Lorde wrote on Instagram.
Taylor Swift Sends Lorde Typically Adorable Birthday MessageSwift shares that the two were attacked by squirrels during their first meeting.
Camila Cabello Geeks Out Over Taylor Swift's Deadpool CostumeAdmit it, you wish you'd been invited to a Halloween party where someone had Deadpool's actual costume.


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Skip to comments.American Girls Response (to outraged parents)
Posted on 10/27/2005 4:19:00 PM PDT by ChocChipCookie
Dear Ms. M,
Thank you for your letter expressing your disappointment with American Girl's affiliation with Girls Inc. We apologize for the delayed response and appreciate the opportunity to reply to your concerns.
American Girl has always encouraged young girls to achieve their best. The "I CAN" program is one of the many philanthropic endeavors undertaken by our company. Our goal with "I CAN" is to help millions of girls realize that they are unique, talented, and full of amazing possibilities?while reinforcing the idea that helping others achieve is also an important part of life.
Donations raised through I CAN support three distinct programs offered by Girls Inc., our 2005 benefit partner. One builds skills in math and science (Operation SMART®), another develops leadership skills (Discovery Leadership®), and a third encourages athletic skills and a collaborative spirit (Sporting Chance®). All of these aims are appropriate to our 7- to 12-year-old audience and allow us to make a significant impact on numerous girls in high-risk, underserved areas.
We are profoundly disappointed that our purely altruistic efforts have been turned into a broader political statement on issues that we, as a corporation, have no position. As with all of the thousands of nonprofit organizations we support, our singular objective is to make a meaningful and positive difference in the lives of all young girls. This is, and will always be, our priority.
We hope this information helps provide a better understanding of the situation. Please be assured that we have noted your comments, and thank you again for sharing your concerns.
American Girl® Customer Service Phone: 1-800-845-0005 or 608-831-5210 Fax: 608-828-4790 Available Monday - Sunday 7 a.m. - 10 p.m. Central Time
Original Message Follows: ------------------------ To Whom it May Concern,
I have always been impressed with the American Girl experience when I have visited Chicago, and have planned for years to purchase an American Girl doll for my daughter, when she is a little older (4 currently). I was surprised to see links to Girls, Inc. on your website today. I followed the link to this organization, and was shocked and dismayed that American Girl would be promoting this group to its target audience (I assume young girls, below about age 13 or so). The Girls, Inc. website included information about questioning sexual identity, drugs, teen pregnancy, teen sex, and much other information that I find completely inappropriate for a child or even a young girl. I applaud American Girl for it's mission to empower girls and help them reach their fullest potential, but I question whether an affiliation with this particular organization meets that end, or simply exposes young girls to information they are not equipped to handle at such a young age. I sincerely hope that American Girl reconsiders its association with Girls Inc. in light of these issues.
Thank you for your time.
Sherri M.
Wow thanks for the heads-up. I love it when corporations say 'they have no stance'...nice.
Thousands, huh. Wherever do they find the time.
Your intial letter was fabulous - there response less than great - but in time, they may choose other organizations to support.
YOu wrote a great letter. I'm disappointed that American Girl doesn't see the error of their association with Girls, Inc. Perhaps they will reconsider after they've been hit by economic sanctions.
Impact? What kind of impact? Why don't they just give the "numerous girls" one of their high-dollar dolls? I've got four of them and for them to even think of associating themselves with this group I will never buy another But no, they want to actually assist this group into inserting themselves in young girls' lives. Wrong Wrong Wrong
We got the AG catalog recently, but no purchases from us any more--not unless AG severs its ties with Girls Inc.
I hope that enough parents learn this that American Girl can be persuaded to go down the drain they prepare for our children.
Since I already refuse to touch Esprit because of their support for what I view as foul, I won't have much trouble here, either.
What a non-answer from AG. They sure took a lot of words to say nothing.
That is not true that they didn't mean for their "good works" to get political. Gee whiz. They didn't need to sexualize their audience at all. That is political all in itself.
They could have helped the "underserved" population of little girls by delivering free dolls and books to poor communities that showed advances (Girls' Clubs, Girl Scouts, etc.) in helping educate girls. Or even given free things to girls in foster care. Those donations would have been far more meaningful.
A friend of mine was able to speak with one of the upper level managers of American Girl on the phone and gave me a blow-by-blow account of that conversation.
He didn't directly answer her questions and flip flopped around. She asked him if American Girl supported young girls getting information that was pro-lesbian, pro-abortion, etc. He said no, but that Girls Inc. did. He said AG would not sell that type of material or have it as a resource, but, again, GirlsInc does. "The two organizations are separate entities."
I have to give my friend a lot of credit for being gutsy. She told him that birds of a feather flock together, and if AG wasn't going in the same direction as GirlsInc, they'd better separate themselves now. She went on to tell him that she believed there were many, many more parents with values like hers' than those of Girls Inc.
Well, this manager/exec or whatever he was, actually told my friend to write a paper letter to their corporate headquarters and that would generate more concern on the part of their home office. Their corporate address is:
American Girl
8400 Fairway Place
Middleton, WI 53562-0190
We are profoundly disappointed that our purely altruistic efforts have been turned into a broader political statement on issues that we, as a corporation, have no position.
What they are saying is: "it's not us, its you that is the problem."
As you can see, the response was not related to your letter.
American Girl
8400 Fairway Place
Middleton, WI 53562-0190
I wrote a similar letter, my main objection was linking little girls (their products are aimed mainly at girls 8 and up) with a website that even MENTIONS sex, contraception, "reproductive choice" to use their euphemism etc. through the AG site. I may just be missing it but it appears to me that the link to girlsinc.org has been removed, though the organization continues to be promoted. It's not much, but a small victory nonetheless.
BTW I wanted to cry when the huge beautiful catalog arrived in the mail the other day. I immediately hid it so my girls wouldn't see it-hope my willpower holds out(I should've trashed it).
Because of the publicity this is getting it is very important that folks call and complain. This is a big, big test of the strength of the pro-life movement:
Call 1-800-845-0005 to complain.
Moral Absolutes Ping.
You may remember a couple of articles about the American Girl dolls and where its money goes. Here's a non-reponse response from the company. Apparently it doesn't bother them that their money promotes teen abortion, homosexual experimentation and similar other social ills.
Just you know!
Freepmail me if you want on/off this pinglist.
Note that these organizations helping girls are always helping them with math, science, leadership skills, and so on but never promote being a good wife and mother. Hmmm. Are those vital roles out of fashion? If girls don't aspire to be good wives and mothers, what will happen to the country?
This anatomically correct aborable piece of faux non-viable tissue shows how a baby looks after being treated at the abortion clinic butcher shops that the American Girl company supports.
"We are profoundly disappointed that our purely altruistic efforts have been turned into a broader political statement on issues that we, as a corporation, have no position."
Really. Wonder why they aren't partnering with Girls Scouts? Will they put the "service to God and country" bracelets on display next to the "it's all about me" bracelets?
God help us if being a "good wife and mother", or being a "good spouse and parent" are things one has to learn - like calculus, chemistry or accounting. If those are no longer innate in us, we're doomed as a species.
That's Dimspeak for "We're going to continue
doing whatever offensive thing you are
complaining about, and pretend we're not
responsable for it!..like we usually do! >Bo) "
American Girl brought the political angle into it when they gave their support to an organization that is obviously political.
Actually they are *learned things" to a great degree.
And since most Democrat sons & daughters don't have even
two good role models at home, many of them have *no clue*
about what it means, and what are the responsabilities
of being a good spouse, parent, and married member of
a community. And yes...*that's why, Divorce is so
rampant, dissilusoment with marriage so great, and so
many, *more children grow to adults, without ever
learning to *be* adults, or how to have a caring and
nurturing relationship with a life partner, ort with
their own children...too busy being "friends" or
rivals, to do what needs to be done, until they
burn out, and don't care anymore at all...*further*
broken homes..*more* Dimocrat "Me-ism" defectives.
My 6 yo dd went through that catalog and circled everything she wanted. I'll have to hide it/toss it when she's not looking. What I'm finding out, is that AG is really no big deal to us. There are very nice dolls out there, lots of historical books for girls to choose from. We'll live.
Considering how many kids have one parent at home, one they rarely see, come home to an empty house, get shuttled between one home and the remarried other parent's, live with step parents, or a series of mom's boyfriends, and the like - I think some lessons in motherhood (and fatherhood) would be in order.
Add to that the fact that many families never or rarely sit down to eat dinner together! Being a good wife and mother (or husband and father) are learned; and if not learned at home, the ill lesson will be visited upon the next generation.
Additionally, feminism holds being a wife and mother in contempt, and push girls into non-traditional roles as much as possible, as though the world needs more female physicists and fewer female mothers. Or as though being a good wife and mother is not "fulfilling", whereas being a female CEO is.
That's sick. And right on target.
Nice one!
Loving your children is automatic, or should be. But there is more to good parenting than that. Good parenting involves a lot of learned skills, as well as learned morals. Traditionally we have learned from our parents, other relatives, friends, etc. The good examples aren't in plentiful supply like they used to be.
Previous Coverage of American Girl
Thanks for the ping!
I'm sorry I don't buy the excuses... my homelife was far FAR from ideal, but grew up as a far more responsible adult than kids I knew from the so-called "Christian" and "respectable" homes.
In general, there is a culture of materialism in this society, a sense of entitlement, a sense of never having to be uncomfortable, that people are infected with. And it isn't limited to Dems.
And it isn't because "Mothers are working". My mother worked , and so did both grandmothers. The first ME generation was raised by doting, stay-at-home moms in the 50s.
As long as our culture is dominated by consumerism, commercialism, a tidal wave of assault from marketing specialists, in all media, in schools, home, theaters, etc. we are going to be rolling in self-indulgence - and the overall message kids pick up is to demand, demand, demand!
I'm going to fax American Girl a copy of that photo in the morning!
Fax: 608-828-4790
Then I guess you won't mind if I do the same?
Please do. As I have said before, this is a very big test of the strength of the pro-life movement in the market place. It has already gotten a great deal of publicity; and so, if we can win this one, companies will be reluctant to give money to the pro-aborts. If we lose, companies will ingnore us and fund the pro-deathers. Speak up and spread the message.
I wouldn't touch this organization with a 10 foot pole. They are just following their own agenda and it is not to help American girls.
Please throw in my "advertising copy" from post 21. That should make the greedy corporate heads at American Girl collectively spin!
Thank you for the fax # - my letter is sending now.
I got your full text and the photo - - and its all introduced by some of my own thoughts.
fax away folks:
Fax: 608-828-4790
American Girl issues it new "Aborted Baby" doll, the perfect addition to any of its grotesquely over-priced doll collections.
This anatomically correct aborable piece of faux non-viable tissue shows how a baby looks after being treated at the abortion clinic butcher shops that the American Girl company supports.
I could not agree with you more. Lots of money and what money can buy doesn't make any individuals happy and it doesn't make for happy family life. Solid marriages and family members truly caring about each other and spending time together is what makes people happy. (Leaving aside the transcendent...)
I don't know if you are old enough to remember billboards saying "Families who pray together stay together". I remember them.
Donations raised through I CAN support three distinct programs offered by KKK Inc., our 2005 benefit partner. One builds skills in math and science (Operation SMART®), another develops leadership skills (Discovery Leadership®), and a third encourages athletic skills and a collaborative spirit (Sporting Chance®).
New slogan: "I CAN kill my baby!"
Doesn't seem appropriate for a company that sells baby dolls, does it?
We have to spread the "American Girl aborted baby doll" (or "I CAN abort my baby!" doll) around the internet.
Feminism is more deeply evil than many people realize. They think it's about equal wages or something. Men and women have been paid equal wages if they do the same work for generations.
It's about lesbianism, man hating, abortion, free sex for younger and younger children/adolescents, the entire leftist agenda. It's like the evil twin of the homosexual agenda. In fact the primary feminists were mostly all socialists/communists and homosexual as well. Filled with hatred of men, and the natural order created by God, they have wrought great destruction.
Men and women are different, have different physical bodies and psychologies, and are created to complement one another. The souls are all equal, and if we see each other as eternal souls, belonging to God, then there is no "exploitation" - only cooperation.
I loathe feminism from the core of my being. I saw it in the beginning, and it is a lie that the womens' movement got "hijacked" by radical lebsians. It's been that way from teh start.
You know, if you support a group that supports *you*, then you have taken a stance on the issues, duh!!
Disclaimer: Opinions posted on Free Republic are those of the individual posters and do not necessarily represent the opinion of Free Republic or its management. All materials posted herein are protected by copyright law and the exemption for fair use of copyrighted works.


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iOS Universal Games
Take control of a surfaced submarine and use your Tigerfish torpedoes to sink the enemy ships. Just touch screen to launch torpedoes in the direction of your finger.
Watch out for incoming depth charges and use your canon to destroy them before they hit your sub.
Enemy ships can fire either single shots or devastating barrages, watch out for the destroyer as it can fire staccato Barrages.
Mines! Every ten seconds you can launch a mine, up to 6 mines can be in theatre in one go. Be Careful not to destroy your own mines with torpedoes!
Don't let too many ships escape otherwise its game over!
The game starts off with just one enemy ship but soon builds into an all our fight for survival.
Try not to let the depth charges get to close otherwise the explosions can temporarily blind you.
Use your torpedoes carefully, hit fast moving ships first to slow them down, then finish them
off at your leisure.
Features of TorpedoRun:-
* Realtime 3d graphics
* 4 types of enemy ships, Super Destroyer,Destroyer, Frigate and PT boat (Mayhem Mode available by in-app purchase includes friendly ships and Aircraft)
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Ever hear this post's title song from Annie Get Your Gun?
Here's the first verse:
Folks are dumb where I come from,
They ain't had any learning.
Still they're happy as can be
Doin' what comes naturally (doin' what comes naturally).
The song came to mind this morning reading Mike Arrington's brief observation on the need for changes in copyright law. Here's Arrington's thought:
My position is that it's bad to criminalize natural behavior. And watching a clip of The Office, whether it's legally on Hulu or illegally on YouTube is natural behavior. The only question is whether or not people are getting sued, or going to jail, for doing it.
Now, that kind of common sense approach hasn't always won the day in legal matters but it certainly would make plenty of sense to Annie Oakley.
The idea that I can be sued for using a 30-second snippet of a song as background for a video...a video from which I earn no revenue and credit the original source...still confounds me. Who's harmed?
Yes, yes, I know, artists have to protect their copyrights or risk losing all remedies from truly nefarious usage. But, criminalizing natural behavior is as sure a way of creating disrespect for the law as you'll ever find. And, as we've seen, many people will, predictably, ignore that law (some at their peril.
The only question about copyright law changes is when they'll happen, not if. 'Cause stoppin' us dumb folks from doin' what makes us happy - what comes natur'lly - is a losin' fight.


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"If you're going to be one of the mostpowerful lobbying forces in Washington, it's a good idea to havesomething to lobby for," says one veteran Washington insider,speaking on condition of anonymity. "Right now, it feels like AIPACis the March of Dimes, and they're about to cure polio."
For some reason, folks at AIPAC, the AmericanIsrael Public Affairs Committee, don't seem worried. Neither doleaders of other Jewish organizations, nor Israel's congressionalsupporters. They're acting as though nothing much is happening. "Thisis a success story of an aid program that worked," says AIPACspokeswoman Toby Dershowitz. "We think this is good news."
At first glance, the facts seem to warrant a tadmore anxiety. More than any other institution, AIPAC embodiesAmerican Jewish clout through its legendary ability to ensure U.S.support for Israel. Nothing symbolizes that U.S. support, and theJewish clout that maintains it, better than that $3 billion. As muchas Jewish power secures aid, aid builds Jewish power.
Consider the numbers. When the Nixonadministration first announced in October 1973 that it was sendingIsrael a staggering $2.2 billion, AIPAC was a shoestring agency witha half dozen staffers and a $400,000 budget. In the years since, U.S.aid has crept up to $3 billion, while AIPAC has ballooned into acolossus with a 150-member staff, a $15 million budget and asuperpower aura.
AIPAC's aura spreads far, lending stature to otherJewish lobbying efforts. When the Anti-Defamation League lobbiesagainst hate crimes, or when the Hebrew Immigrant Aid Society seeksvisas for Russian refugees, or when Hadassah demands funding forbreast cancer research, they benefit from the perception that theyspeak for a $3 billion Jewish juggernaut.
"Pro-Israel activity on Capitol Hill creates aneffective Jewish presence in Washington that makes our work on otherissues more effective," says Rabbi David Saperstein, head of theWashington Religious Action Center of Reform Judaism.
A Washington political consultant is more blunt:"There is a benefit to looking like Godzilla when you walk into aroom."
So why isn't anybody frightened about the aidgoing away? Because the aid isn't really going away. It's being, asJewish lobbyists politely phrase it, "reconfigured."
Briefly put, Israel is suggesting a slow phase-outof its "economic," or nonmilitary, assistance. That's only $1.2billion, less than half the $3 billion yearly total. The other $1.8billion is military aid. Israel wants to increase that part.
The economic aid is easy to cut. It doesn't doIsrael much good anyway. When it started, Israel had a Gross DomesticProduct below $20 billion a year. U.S. aid meant something. Today,Israel's GDP is well over $80 billion. Economic aid accounts forbarely 2 percent of it.
Most of the aid doesn't even enter Israel'seconomy. It used to build bridges and schools. Now it repays Israel'sdebt to the United States, which piled up before the aid wasconverted from loans to grants in the mid-1980s. Within 10 years, thedebt will be paid up, according to the plan proposed to Congress lastmonth by Finance Minister Yaakov Neeman (yes, that Neeman). That'swhen Israel wants to end the aid.
Israel could end economic aid right now ifWashington forgave the debt. Congress and the administration wouldprobably agree, sources say. But Jerusalem fears lowering its creditrating.
As for military aid, nobody wants to end it.Congress loves military aid. Nearly all of it comes as credits to buyU.S. arms, creating jobs and tax revenues in America. Besides,Washington recognizes that Israel faces a spiraling arms race that itcan't afford to lose. Israel actually wants to boost military aid byone-third, to $2.4 billion.
If the plan is accepted, U.S. aid to Israel willdrop, slowly, from $3 billion to $2.4 billion. Israel will still bethe biggest U.S. aid recipient. Bold offer? It's more like a shellgame.
And, yet, Congress is eating it up. "The financeminister came here of his own accord and said Israel is moving towardeconomic independence, and everyone is pretty happy," says MarkCorallo, an aide to House Appropriations chairman Bob Livingston,R-La. "We stand firm on our commitment to their defense needs becauseit's in our vital national interest. I don't know of anyone aroundhere who is bothered by that. Everyone realizes Israel is ourstrongest ally."
With so much benefit and so little cost, thewonder is that Israel didn't suggest it years ago. But Jerusalem hasbeen reluctant to part with its greatest symbol of U.S. support. Evenafter Prime Minister Binyamin Netanyahu vowed to cut aid in a 1996speech to Congress, just after taking office, nothing happened.Annoyance has been building in Washington ever since, putting intensepressure on Jerusalem to get the ball rolling. Much of the pressurecame from AIPAC.
Since taking the plunge, Israelis are suddenlybasking in unaccustomed acclaim. House Republicans see a chance tocut the budget. The Congressional Black Caucus hopes to claim someextra aid for Africa. The only loser is Egypt, which has received$2.1 billion yearly since making peace with Israel, and fearsCongress is just waiting for an excuse to slash.
Everyone else is happy with Israel for a change.That makes Jewish lobbyists very happy.
"I don't think people will see this as a sign of acommunity that's losing clout, but of a country that's doing better,"says Jess Hordes, head of the ADL's Washington office. "That's goodfor all of us."
Maybe the anxiety we heard was Egypt's.
J.J. Goldberg is the author of "Jewish Power:Inside the Amercan Jewish Establishment." He writes regularly for theJewish Journal.
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Kilver Court designer village
A fresh outlet shopping experience in the heart of Somerset
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