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Another job-killing Obamacare fee arises
The hits keep coming and they don't stop coming . . . and not in a good way.
Your medical plan is facing an unexpected expense, so you probably are, too. It's a new, $63-per-head fee to cushion the cost of covering people with pre-existing conditions under President Obama's health care overhaul.
The charge, buried in a recent regulation, works out to tens of millions of dollars for the largest companies, employers say. Most of that is likely to be passed on to workers.
Of course it is going to be passed on to workers. Workers and consumers. When costs of doing business go up, businesses raise the price for their goods and services, or they reduce wages. They have to have some margin of positive profit or they go out of business. That's how things work in the real world (as opposed to the faculty lounges where self-important professors concoct these ridiculous schemes).
Employee benefits lawyer Chantel Sheaks calls it a "sleeper issue" with significant financial consequences, particularly for large employers.
"Especially at a time when we are facing economic uncertainty, [companies will] be hit with a multimillion-dollar assessment without getting anything back for it," said Mr. Sheaks, a principal at Buck Consultants, a Xerox subsidiary.
Based on figures provided in the regulation, employer and individual health plans covering an estimated 190 million Americans could owe the per-person fee.
Obamacare is a maze of delayed provisions, hidden taxes, and surprise regulations. It is an ever-unfolding nightmare. We passed it, and now we are slowly seeing what is in it.
The Obama administration says it is a temporary assessment levied for three years starting in 2014, designed to raise $25 billion. It starts at $63 and then declines.
Obamacare is truly a Frankenstein monster, and thanks to the unfortunate choice that America made on November 6th . . . . It's alive!


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The Very Best of NYC Music
Isle of Klezbos, Nervous but Excited, Out Music Awards
Isle of Klezbos is returning to the Brooklyn Museum's amazing First Saturdays series Nov 6. The playful lesbian Klezmer band is the grand finale at this evening of varied art and performance inspired by the art of Fred Tomaselli, whose work in now on display. Isle of Klezbos has toured from Vienna to Vancouver with its soulful and fun-loving all-female Klezmer act, and has appeared in broadcasts from PBS to CNN to the soundtrack of Showtime's The L Word.
The Michigan-based "pleasantly aggressive" folk duo Nervous but Excited describe themselves as a unique harmony built upon two songwriters singing hand-crafted stories with seven instruments, vaguely choreographed dancing and a glockenspiel. Their live show will bounce you through a variety of emotions. You might cry, you'll definitely laugh and they hope you'll leave feeling that your heart has grown just a little larger. Austin-based artist BettySoo opens the show Nov 11 at the Stonewall Inn.
Composer Jacob Cooper gives pop star Britney Spears the extra push she needs to enter the fictional realm, imagining an ultimate twist in her well-known saga: a new downswing has triggered her to stage a final concert, and her ex-lover Justin Timberlake rushes to her side to express his undying love and try to win her back. What happens when Britney re-encounters Timberlake in her darkest hour? Check out Timberbrit, at the Incubator Arts Project Nov 18-20, to find out.
The "longest running nightclub act on Broadway," Terese Genecco and Her Little Big Band, headline The Iridium on the last Tuesday of every month. OUTmusic, MAC and Bistro Award-winning vocalist/bandleader (and San Francisco's Entertainer of the Year), Genecco fronts an eight-piece band that swings their way through the Great American Songbook at breakneck speed with a take-no-prisoners approach. Genecco's guest will be singer Klea Blackhurst. Genecco also performs Dec 28.
Join BETTY Dec 5 for a seasonal celebration of wine, women and song at City Winery. After a year of touring Europe, the harmony-heavy rock/pop band returns to Manhattan for a hometown holiday show of musical favorites and titillating treats. For 20 years, BETTY has played all over the world, using their bewitching sound to entertain and to promote activist causes they passionately support. They are showstoppers: uncommonly talented, unconventionally sexy and incredibly fun.
A mixture of pre-rock electric country blues, folk and less frantic rock n' roll, Holly Golightly & The Brokeoffs' music brings to mind a bourbon- soaked honky-tonk bar, evenings on a dusty front porch with your faithful hound, cracked hearts and foot stomping good times. Holly creates a world that's warm hearted, true to its roots and not swayed by fads and fashions. Get an earful Dec 10 at the Knitting Factory.

subset: commoncrawl


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Our Business Opportunity Sessions bring small business owners and Departmental small business advocates together to talk about the best ways we can be partnering with the small business community. Download the presentation material below from our December 14, 2011, Business Opportunity Session held in Chicago, IL.
For more information about Business Opportunity Sessions, visit our website.
Sign up for our email list to get invites to upcoming events.


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Daily Archives: July 13, 2012
Cyclist killed in accident involving a dump truck
A cyclist died today after colliding with a dump truck on Bancroft Way west of Fulton Street.
At about 3:38 p.m., Berkeley Police received calls reporting a collision involving a bicyclist and a dump truck. The bicyclist, a man in his 60s, was lying in the roadway on Bancroft Way west of Fulton Street, according to BPD. The dump truck driver was not aware of a collision, but returned to the scene after being alerted by a passing motorcyclist.
Berkeley Fire Department paramedics tended to the bicyclist and transported him to a local trauma center where he was pronounced dead by physicians. Members of the BPD Fatal Accident Investigation Team responded to the scene to head the ongoing investigation. The details of the incident have not been firmly established, but the driver of the truck has been cooperative throughout the initial investigation and is not under arrest. … Continue reading »
The Berkeley Wire: 07.13.12
Berkeley's Cragmont Climbing Club turns 80 [Mercury News]
Fire in wheel well delays Amtrak train in Berkeley [Oakland Tribune]
Being young and homeless could get even worse [IPS]
Small fire at Ned's Bookstore contained [Daily Cal]
UC Berkeley Jewish students file civil rights complaint [JTA]
Sky-destrians enjoying the view at Foothill, by D.H. Parks/Berkeleyside Flickr pool.
Tagged Berkeley Wire
Berkeleyside says thank you to its advertisers
Berkeleyside would very much like to express its gratitude to our current advertisers:
Amoeba Music, Aurora Theatre: Salomania, Berkwood Hedge School, Bernardo Lopez Garden Design & Installation, Buy Local Berkeley, Carolyn Jones: The Grubb Company, Contemporary Jewish Museum: Do Not Destroy, Downtown Berkeley Association, Five Restaurant, Focal Point, Freight & Salvage: Woodie Guthrie's American Song, The Grubb Company, Ira & Carol Serkes: Pacific Union/Christie's International Real Estate, LMi.net, Marsh Interiors, McKevitt Fiat, Minuteman Press, Photo Laboratory, SF … Continue reading »
Off The Grid's Telegraph Ave. debut attracts young crowds
Haste Street was crowded with Berkeley residents and students for the inaugural Telegraph Off The Grid street food market last night. Long lines of customers formed for each of the eight trucks, which served everything from Filipino fusion to southern-style sandwiches to crème brûlée.
Telegraph Off the Grid (OTG) joins similar events in San Francisco, Marin County, Alameda and North Berkeley. In fact, some customers were drawn to the Telegraph premiere because of enjoyable past food truck experiences.
"It always seems like the food the trucks serve is really interesting, and the people making it seem to really care," said UC Berkeley student Tim Woods. "I think that food from food trucks is better than food from restaurants." … Continue reading »
'The day the Berkeley firefighters did right by me'
Andrew Leonard, who has lived in Berkeley for 25 years, is a staff writer at Salon. On June 21, he woke up in the night to find his home was on fire. He tells the story in a piece published today on Salon:
Midnight in Berkeley, Calif. I am standing barefoot in the middle of the street watching firefighters rush in and out of my home. My phone rings. It is my daughter, calling from a small town in Normandy, France.
"Dad," she says. "What's going on? I got an email from a neighbor saying our house is on fire?!"
Yes, I tell her. Our house is on fire. As I speak into the phone, I watch a chainsaw-wielding firefighter cut a hole in my roof. Two others are getting their oxygen tanks replaced.
"What happened?" … Continue reading »
Police Blotter: Recent crime in Berkeley
July 1
On Sunday, July 1, 2012, at approximately 9:56 p.m., vandalism was reported in the 2200 block of Dwight Way. It was reported that two unknown suspects were spray painting the side of a local business. The suspects were gone when the officer arrived and an area check was negative. … Continue reading »


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An organization of students and faculty associated with the American Indian Studies Program that meets twice each month to discuss general disciplinary matters as well as the research projects of the group's individual members. This group addresses methodological matters, pedagogical questions, and other questions pertaining to investigation and interpretation. Native cultural exploration is at the heart of this group's interests and, therefore, Native cultural events are supported by the Alliance each year. Tory Fodder is the advisor for the Alliance. He would welcome your inquiry about this organization. email@example.com. Please check back this fall for meeting times.
AISA on Facebook: https://www.facebook.com/
The American Indian Science and Engineering Society is a private non-profit organization which nurtures the building of community by bridging science and technology with traditional Native values. AISES is a national organization and its activities vary each year but have included performances, art shows, theater productions, and food sales. Membership is open to all who feel they may benefit from this organization.
In 1971 the American Indian students attending the University of Wyoming founded the Keepers of the Fire. They recognized the need to preserve and promote cultural diversity on the university campus. The name, Keepers of the Fire has a very special meaning. It is meant to imply that the "fire" of Indian culture must be protected and kept by those who value its worth. We are dedicated to promoting our heritage and culture through activities such as the Annual Spring Pow-wow. We sponsor activities that provide information about our people to those who are not familiar with American Indian culture.


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Effects of Prescribed Fire on Seaside Sparrows
January 1, 2007 by Gregory Gough
Despite their difficult accessibility, marsh habitats throughout the United States have undergone intense human alteration. The effects of these impacts on associated marsh fauna and flora are rarely quantified.
Prescribed fire is a prime example a disturbance frequently practiced by wildlife managers on coastal marshes along the Atlantic and Gulf coasts of the United States.
Unfortunately, little is known about the effects of prescribed fire on non-game species such as the coastal plain swamp sparrow, the saltmarsh sparrow, the seaside sparrow, the black rail, and other secretive marsh birds that use tidal marshes as foraging and breeding areas.
To date research has focused on measuring the impacts of fire on species composition and abundance. Few studies however examining the effects of fire on animal communities have censused animal populations at appropriate frequencies or for long enough periods of time to be able to estimate true patterns of population change. And no studies have examined the effects of fire on population parameters such as age/size structure, or reproduction.
Research was conducted to evaluate the impact of prescribed burning on the breeding ecology of the migratory seaside sparrow. The research took place in the Blackwater National Wildlife Refuge and Fishing Bay Wildlife Management Area, areas located within the Chesapeake Bay estuarine system.
In the first year of the study nests were depredated during incubation 35.3% of the time on areas that had been burned in the winter but only 13.3% of the time in unburned areas (see chart below). During the nestling stage depredation rates were similar between the 2 areas.
However, during the second year of study there was no apparent difference in depredation rates between burned and unburned sites. This might have been due to more precipitation in the second year.
This article summarizes the information in this scientific paper:
Almario, Barbara S., Marra, Peter P., Gates, J. Edward and Mitchell, Laura 2009. Effects of Prescribed Fire on Depredation Rates of Natural and Artificial Seaside Sparrow Nests. The Wilson Journal of Ornithology, 121(4): 770-777.


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new Freddie Mercury compilation entitled Messenger
Of The Gods - The Singles will be released in all territories
on September 2, 2016. There are three formats to choose from, 13
disc vinyl box set, 2 CD, and digital download. The 13 disc vinyl
box set will have uniquely colored 7" singles, each reproducing
the original sleeve artwork. The 2 CD set will feature the same
tracks that appear on the vinyl box. Of note from this collection,
there will be five edits/mixes making their first appearance in
digital format: Made In Heaven (Single Remix), Living On My Own
(1985 Single Edit), The Golden Boy (Single Edit), The Fallen Priest
(Single Edit), and She Blows Hot And Cold (Original B-side Version).
The release will be available through Mercury Records around the
world, except for North America, which will be handled through Hollywood
In the last Queen Fan Club magazine, Brian May mentioned that an upcoming BBC collection entitled "On Air" will be released in the foreseeable future. No details have been given as of yet, but one could assume that all 6 BBC Radio sessions would be included. There are some other opportunities with this set as well, such as interviews and/or live concert broadcasts. So far only the first and third BBC sessions have been officially released in full. A few tracks from sessions 2, 4, 5, and 6 did appear as bonus tracks on the 2011 remastered albums. There have been no announcements of any Queen product this year, so this may be a release aimed at the Christmas market.
Check out our feature articles on QueenOnline.com
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Slowly, we're converting a corner of our very conventional play room to a Montessori Materials Corner. I wrote about our plan back in November when we created three activities: The Popsicle Stick Shapes Tray, Bean Counting Cupcake Tins and Rice Writing Bowl.
I also just ran a piece on how we are starting to implement The Peace Table to help with conflict resolution a few days ago. The Peace Table is part of The Peace Curriculum in Montessori programs.
A blogger friend, Valerie, who runs the incredible Frugal Family Fun Blog wrote about how she and her kids made Sandpaper Letter Discs. I saw her talk about them in a national interview and have been looking to make these ever since.
Our Local Hobby Lobby had the discs but they were more than I wanted to spend, averaging $.75 per disc.
But, one day, I happened upon a cheap packet of much smaller wooden discs that were about 2 inches wide that came in packets of 22 for $2.99!
Another Montessori Mom gave us the idea to use dimensional fabric paint to create the sensory aspect so that kids could trace the letters with their fingers! This same friend also used cut up foam board to make letters for her own daughter.
Really, you could do this with so many materials with some imagination.
I made sets of upper case and lower case letters. The vowels were a different color. I also made the "Y" and "y" in a vowel color and a consonant color to demonstrate that it sometimes behaves like a vowel. I also made a couple of extras for the commonly used vowels and consonants.
I looked for a larger jewelry organizer that could hold all letters and numbers (0-9) in one place with one character in each pocket, but had to settle for two smaller jewelry organizers that each cost about 3 dollars.
My kids LOVE this set! You could play a game of match the letters (for upper and lower case letters) as well.
The part I love the best- is the cool hands-on learning they get out of tracing the letters. This will feed into the next Montessori activity we built that I plan to write about next week: Montessori Colored-Sand Writing Trays.
Good luck to you if you're making similar materials for your kids!
I would love to hear about what you are doing and how you're doing it!
If you're interested in more awesome Montessori-Inspired Activities and Ideas, please check out the Collaborative Pinterest Board that Critters and Crayons contributes to! It is run by Deb Chitwood, blogger and Montssori Education Expert at Living Montessori Now!


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The righteous people of Jesus's time believed that the 'reign of God' was imminent. Popular belief expected a messiah to arise and restore the old political rule of King David. The more spiritual belief of the Pharisees was that God's reign would come through the full and detailed observance of the Law. When a well-meaning Pharisee asks, "When will the 'reign of God' come ?" Jesus well understood the context of the question.
Don't look for the kingdom of God in external signs, warns Jesus. "They will say to you, 'Look, there!' or 'Look, here!' but do not go running off in pursuit…for in fact, the kingdom of God is within you." The messianic age therefore is the age of the Spirit present in each one, and not to be grasped solely through external practices or outward signs. God's reign takes place first of all within our hearts.
There's another characteristic of this time – its suddenness. Again and again, Jesus warns: Be aware! Be watchful! The Son of Man comes suddenly, and strikes as swiftly as lightning. He uses two comparisons from early Israeli history: the Flood caught people in the midst of their daily chores, and only Noah escaped because only he was aware. The city of Sodom was destroyed in a rain of fire and brimstone, and only Lot escaped, because he took care.
In the same way God's reign comes as a vindication for those who have kept faith, and as a rejection of those preoccupied with the passing things of this world. This takes place unexpectedly, just when most of us are lulled into complacency.
These texts about the end of the world, or the 'Endtime' as it is also called, were relevant to the early Christians. They really believed that Jesus "died, rose from the dead, and would come again". They expected him to return soon, but the time in between was also a time of confusion and persecution.
The early followers of Jesus in Palestine were shattered by the destruction of the Temple by the Romans, and the dispersal of their people. The Christians in Rome and other parts of the Empire were frightened by the persecutions inflicted upon them. It took much time and reflection to accept that God's kingdom is established in glory after his people have passed through the crucible of suffering, just as Jesus did.
Nor can we fix a calendar date for this to happen, for God's reign is a spiritual reality which has a time and effectiveness of it own.


text: I dance to feed that which is wild and therefore holy in life. If done well my dance becomes food for the beings that keep the world alive. I dance to measure the distance between a human being and the wild or unknown in nature. I dance to honor the forgotten Agreement. I dance to bless the knees, elbows and belly buttons of my ancestors. I dance as a way to court matter and re-plant the ground between myself and the world with living grasses upon which the things of the world can dance, not as slaves to an imperial goal but as the free and wild song beings that they are. I dance so that my body is not a slave. I dance for our food. I dance to subvert the conventional consumer ideology. I dance for a time beyond my own. I dance for the Earth.


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This print started out as a baseball card more than twenty years ago. Every aspect of it is designed to preserve the original look and feel of the card, from the printing pattern to the slightly worn edges. In fact, this print started by finding the actual card in our vault and then painstakingly re-mastering it with a team of designers. The authenticity extends to manufacturing; each print is made on high-quality, cotton fine art paper that measures 1/64 inches in thickness. Framed prints feature 2-inch flat wood or metallic frames with high-end, glare-resistant glass. And all prints are officially licensed by MLB and the National Baseball Hall of Fame.
STORYBill Buckner hit at least .300 in seven full seasons in his 22-year big-league career and the 1982 season, the year of this Topps card, was his last. Buckner hit .306 for the Chicago Cubs, his third straight year of at least .300. He also led the National League in at-bats that season with 657.
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R. Kelly (above) is best known for his paeans to romance, but in a recent song, the R&B singer shows love for the survivors of the tragedy at Sandy Hook Elementary.
The song, "I Know You Are Hurting (Tribute to the Newtown, Ct. Kids)," is an inspirational tune featuring a children's choir. "We need your love, to shower down / In our hearts, hear us now. We need some answers / I know you're hurting, I hear you crying / But come tomorrow, there's a place you can go," they sing.
Kelly, who released "Write Me Back," his eleventh studio album, last year, previously penned a song for the victims of the Virginia Tech shooting in 2007.


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Horner, Ronnie D. PhD
Department of Internal Medicine, University of Cincinnati, Cincinnati, OH
The author declares no conflict of interest.
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In this issue of Medical Care, we have an article of import and timeliness to current conversations on "bending the health care cost curve."1 The study by Drs Ash and Ellis is also sure to generate controversy, a preview of which the peer-review process has already provided. I am very pleased that Medical Care has chosen not to shy away from the controversy but rather has embraced it thoughtfully by framing the topic with alternative perspectives. These are conveyed in the accompanying commentaries.2–4
Drs Ash and Ellis propose an approach for risk-adjusting capitation payments and performance awards to primary-care providers. As pointed out by the commentators, the proposed approach is a method and not the method for accomplishing the task. The commentators have 2 related issues. First, the approach of Drs Ash and Ellis involves population-based estimates of health care utilization. The concern here is that population-based estimates probably do not accommodate well, if at all, the variation among individuals in their need for health care. The second issue raised by the commentators is that, in the Ash and Ellis approach, the "basket" of health care services is filled with those that "should" be provided as determined from past expenditures, rather than those a particular patient actually needs currently. This concern is about the potential mismatch between the services the particular patient needs and the services upon which the payment formula is based; the level of capitation may not be able to accommodate the set of services provided if they are substantially more costly than those upon which the capitation is based. Embedded in this concern is the issue of who determines what should be provided. These are weighty matters because the impact on individual patients could be profound. Such considerations should not be brushed aside in our rush to bend the health care cost curve.
As Dr Goroll notes in his commentary, the conversation around bending the health care cost curve should not be focused on how we pay for health insurance but on how we pay for health care.2 Why is this so? Because the approach to payment determines what is provided. As the old adage goes, "You get what you pay for." If a therapy—say a breast cancer therapy—is determined by some health care authority not to be cost-effective on the basis of studies (a population-based finding) and, therefore, recommends against use of that therapy, insurance carriers may deny payment to providers if the therapy is prescribed for a patient. This possibility, in turn, heightens the likelihood that the therapy will not be prescribed unless the individual patient has the wherewithal to pay for it. It matters not a wit whether the patient is responsive to that therapy and not to alternative therapies; there is an enhanced likelihood that she will not receive the therapy (and its therapeutic benefit) unless she can pay for it.
Personalized medicine involves using the individual patient's personal information, notably genomic and proteomic data, to improve the effectiveness of health care through, among other actions, the selection of therapies with the greatest likelihood of benefit for the patient. Admittedly, the dream of personalized medicine has yet to be fully realized, but it represents the direction of health care for now and into the foreseeable future. Accordingly, we need approaches for paying for health care that are compatible with the goal of personalized medicine, ensuring that patients receive the most appropriate care when they need it.
I have been involved in health care research long enough to know that health care policies deriving from scientific research are far too often victims of a powerful law: the law of unintended consequences. Thus, health scientists have an obligation to think through the full implications of proposed policies, especially the potential unintended consequences. With the article by Drs Ash and Ellis and the set of commentaries, we have some fodder for beginning the conversation about risk adjustment for determining capitation payment and performance awards for primary-care providers.
© 2012 Lippincott Williams & Wilkins, Inc.
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(E)designations Text Amendment
The City Council has approved a Citywide text amendment to Section 11-15 and related sections of the Zoning Resolution, proposed by the Department of City planning, to update the regulations governing Environmental "(E)" designations. This text amendment is being closely coordinated with the New York City Office of Environmental Remediation (OER) and will result in a more streamlined and transparent (E) Program – the City's process for establishing environmental requirements related to hazardous materials, air quality, and noise on potential development sites identified during City Environmental Quality Review (CEQR) for proposed rezonings. (Adopted March 28, 2012)
Police Precincts in Manhattan South
Find out about police services, precinct locations, and crime statistics for Manhattan South.
Privately Owned Public Space (POPS)
Privately Owned Public Spaces are an amenity provided and maintained by a developer for public use, in exchange for additional floor area. POPS typically contain functional and visual amenities such as tables, chairs, and planting for the purpose of public use and enjoyment.
Residential Streetscape Preservation Text Amendment
The text amendment will strengthen front yard planting regulations, create stricter rules for front yard parking in one and two family residence districts, introduce new curb cut regulations in residential districts where they are currently lacking, and clarify the intent of many other regulations relating to parking and curb cuts in residential districts – Adopted April 14, 2010
Roosevelt Island Operating Corporation of the State of New York (RIOC)
The RIOC's mandate is to plan, design, develop, operate, maintain, and manage Roosevelt Island, located in New York City's East River.
ArtSeenSoho is an interactive map of art, shopping, and life South of Houston.
Times Square
Learn about all Times Square has to offer, including dining, shopping, and entertainment on Times Square's Official website.
Vision 2020: New York City Comprehensive Waterfront Plan
Released on March 14, 2011, Vision 2020 is the culmination of a year-long, participatory planning process involving multiple agencies and organizations and input from New Yorkers in every borough. Building on the City's success in opening up to the public miles of shoreline that had been inaccessible for decades, and supporting expansion of the maritime industry, Vision 2020 sets the stage for expanded use of our waterfront for parks, housing and economic development, and our waterways for transportation, recreation and natural habitats. The 10-year plan lays out a vision for the future with new citywide policies and site-specific recommendations.
View Manhattan waterfront map
Waterfront Revitalization Program
The Department of City Planning is proposing a series of revisions to the Waterfront Revitalization Program (WRP) in order to proactively advance the long-term goals laid out in Vision 2020: The New York City Comprehensive Waterfront Plan, released in 2011. The WRP is the City's primary coastal zone management tool, and the proposed revisions, currently undergoing public review, emphasize sustainability and climate resilience planning, promote a range of ecological objectives and strategies, facilitate interagency review of permitting to preserve and enhance maritime infrastructure, and support a thriving, sustainable working waterfront.
Waterfront Design Guidelines Text Amendment
The City Council adopted the text amendment, proposed by the Department of City Planning, to Waterfront Public Access Area design regulations – Adopted April 22, 2009.
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Pearl, Michael L. MD; Villella, Jeannine A. MD; Valea, Fidel A. MD; DiSilvestro, Paul A. MD; Chalas, Eva MD
Division of Gynecologic Oncology, Department of Obstetrics, Gynecology and Reproductive Medicine, and Division of Gynecologic Oncology, Department of Surgery, State University of New York at Stony Brook, Stony Brook, New York; and Department of Obstetrics and Gynecology, Winthrop University Hospital, Mineola, New York.
Address reprint requests to: Michael L. Pearl, MD, Long Island Gynecologic Oncologists, P.C., 994 Jericho Turnpike, Suite 103, Smithtown, NewYork 11787; E‐mail: firstname.lastname@example.com.
Received December 6, 2001. Received in revised form March 11, 2002. Accepted April 18, 2002.
OBJECTIVE: This study was undertaken to compare the outcomes of patients with endometrial cancer who had primary surgery with gynecologic oncology involvement at university or community hospitals.
METHODS: The study population consisted of all patients who had primary surgery for endometrial cancer with involvement of the attending physicians of the Division of Gynecologic Oncology. The patients were divided into two groups based on whether their surgery was performed at a university or community hospital. Demographic and clinical data were abstracted from the medical records.
RESULTS: There were no significant differences between the two groups with regard to Quetelet index (kg/m2); intervals between biopsy and consultation, consultation and surgery, and biopsy and surgery; estimated blood loss; incidence of operative or hospital complications; frequency of appropriate surgical staging; stage distribution; histology or grade; and hospital stay. Patients at a university hospital were significantly older, had a higher severity index, were more likely to have had a vaginal hysterectomy, and participate in a research protocol. Both the Quetelet index and the severity index were significantly higher for patients who had vaginal hysterectomy than for those who had either laparoscopically assisted vaginal hysterectomy or total abdominal hysterectomy. When analyzed by surgical approach, the frequencies of pelvic and paraaortic lymph node sampling were comparable between the groups. Both the Quetelet and severity indices were significantly higher for patients who did not have lymph node sampling.
CONCLUSION: Involvement of a gynecologic oncologist at the time of primary surgery for endometrial cancer was associated with comparable outcomes in both the university and community hospital setting.
Endometrial cancer is the most common gynecologic malignancy in the United States, accounting for an estimated 38,300 cases and 6600 deaths in 2001.1 Since 1988, endometrial cancer has been surgically staged, which in turn has altered the clinical management.2 According to current recommendations, all medically operable patients should undergo total hysterectomy and bilateral salpingo‐oophorectomy, and selected patients should have lymph node sampling. Despite the wealth of data available, there is no clear consensus as to which patients should undergo lymph node sampling. Consequently, the treatment strategies for endometrial cancer vary widely in nearly every aspect.
Increasingly, patients with endometrial cancer undergo surgery at community hospitals with involvement of a gynecologic oncologist. For example, in 1997, the Division of Gynecologic Oncology at the State University of New York began providing services to five local community hospitals and a second regional university hospital. In a typical scenario, the patient is seen initially in consultation by the gynecologic oncologist. The surgery is performed at the community hospital with the gynecologic oncologist assisting the gynecologist with the hysterectomy and performing the lymph node sampling, if indicated. The postoperative treatment is supervised by the gynecologist. In contrast, the surgical and postoperative treatment of patients who had surgery at a university hospital is entirely under the supervision of the gynecologic oncologist.
In the current health care environment, there is an increasing demand for performance measures from providers. Such measures will likely become integral components of credentialing and quality assurance processes. This study was undertaken to compare the outcomes of patients with endometrial cancer undergoing primary surgery with gynecologic oncology involvement at university or community hospitals.
This retrospective review was approved by the Institutional Review Board at the State University of New York at Stony Brook. The study population consisted of all patients who had primary surgery for endometrial cancer with involvement of the attending physicians of the Division of Gynecologic Oncology. Patients with non‐adenocarcinoma histology (ie, carcinosarcoma, endometrial stromal sarcoma) and those who had surgery for recurrent disease or complications were excluded. The patients were divided into two groups based on whether their surgery was performed at a university or community hospital. Demographic and clinical data were abstracted from the medical records.
An a priori sample size calculation was performed for several factors, and the largest minimum sample size was chosen. According to discharge records, the average length of stay for primary surgery for endometrial cancer at the State University of New York at Stony Brook in 1997 was 4 days. We were interested in detecting a 1‐day difference compared with the stay at a community hospital. With a 3:1 ratio between the number of university and community hospital cases, a two‐tailed α value of .05, and a β value of .2, a minimum of 126 patients in the university and 42 patients in the community hospital groups were required.
Statistical analysis was performed using NCSS 2000 (Number Cruncher Statistical Systems, Kaysville, UT) on a Dell Dimension XPS T700r (Dell Computers, Round Rock, TX). Categorical variables (ie, complication rates, performance of vaginal hysterectomy) were analyzed by the χ2 test with Yates correction or Fisher exact test, as appropriate. Continuous variables (ie, age, hospital stay, office‐to‐surgery interval) were assessed initially for normality numerically by testing skewness, kurtosis, and omnibus normality, and visually with a probability plot. Normally distributed continuous variables were analyzed by the unpaired Student t test or one‐way analysis of variance with Bonferroni comparison. Non‐normally distributed continuous variables were analyzed by the Mann‐Whitney U test. Tests were two tailed when appropriate, and P < .05 was considered significant.
Between September 19, 1997 and August 15, 2001, 366 patients with endometrial cancer met the eligibility criteria. Of these, 295 (75%) patients had surgery at a university hospital, and 71 (25%) patients had surgery at a community hospital.
Table 1 summarizes the demographic data. The mean age for the entire study population was 62 years, and most women (87.8%) were postmenopausal. The university hospital group was significantly older than the community hospital group. The mean Quetelet index for the entire study population was 32.7 kg/m2, and there was no significant difference between the two groups. Most women (82%) had at least one comorbid condition. The most common comorbidity was hypertension (45.9%), followed by diabetes (17.0%). The mean preoperative severity index was significantly higher for the university hospital group than for the community hospital group (14.4 versus 11.8, P = .01). This index weighted 18 comorbid conditions, such as congestive heart failure (2 points), asthma (1 point), and age over 85 years (2 points), to obtain a maximum score of 22 which was normalized to a scale of 100.3
Table 2 summarizes the time intervals. There were no significant differences in the intervals between biopsy and consultation, consultation and surgery, and biopsy and surgery when the two groups were compared.
Table 3 summarizes operative outcome. The two groups were comparable with regard to estimated blood loss and incidence of operative complications. Patients were significantly more likely to have had a vaginal hysterectomy at a university hospital than at a community hospital. Overall, the frequencies of pelvic and paraaortic lymph node sampling were significantly higher in the community hospital group than in the university hospital group. When analyzed by surgical approach (vaginal versus abdominal or laparoscopically assisted), the frequencies of pelvic and paraaortic lymph node sampling were comparable between the community and university hospital groups (79% versus 67.4% and 77.8% versus 65.5%, respectively).
Table 4 summarizes the staging data. The frequency of appropriate surgical staging according to International Federation of Gynecology and Obstetrics (FIGO) criteria was comparable between the two groups. Most patients (71.5–80.3%) had stage I disease. There were no significant differences between the groups when they were analyzed by stage, substage, or early versus advanced stage (stage I versus stages II–IV).
Table 5 summarizes the histology and grade. Most patients (84–91%) had endometrioid histology, followed by papillary serous and clear cell histology. Nearly 50% of the patients had grade 1 tumors, with the remainder equally divided between grade 2 and 3 tumors. There were no significant differences between the two groups with regard to histology or grade.
Table 6 summarizes the hospital data. The two groups were comparable with regard to incidence of hospital complications and length of hospital stay. Patients in the university hospital group were significantly more likely to participate in a research protocol than those in the community hospital group.
According to National Cancer Data Base statistics, approximately 30% of women with endometrial cancer are treated at a community hospital.4 Several studies have cited an association between higher hospital volume and better outcome for patients with cancer.5–7 However, there are few data available to assess the surgical outcome of patients with endometrial cancer treated in these different settings. As the practice of medicine becomes increasingly evidence‐based, the demand for these data continues to rise.
Historically, patients with endometrial cancer who were treated in a community hospital were managed without the involvement of a gynecologic oncologist. In 1988, FIGO modified the staging system for endometrial cancer to reflect surgicopathologic information.2 This modification paved the way for surgical staging for all operable patients but added fuel to the controversy over who should treat women with endometrial cancer. Few gynecologists are trained to perform lymph node sampling, so in the community hospital setting a surgical consultant (often a urologist, vascular surgeon, or general surgeon) performs the sampling or it simply is not done.2,8,9
Recently, gynecologic oncologists have expanded their activities to provide services at many community hospitals. Although this expansion has allowed more women with endometrial cancer access to the specialized knowledge provided by gynecologic oncologists, it has also added fuel to the management controversy. The Society of Gynecologic Oncologists has initiated a series of outcome studies to ensure that the care delivered to women with gynecologic cancer in the current highly competitive environment is of the highest quality. The first of these studies successfully "developed a tool for assessing outcomes for the treatment of endometrial cancer."3
We were interested in evaluating several specific issues for patients undergoing surgery for endometrial cancer at either a community or university hospital. Unfortunately, because of privacy restrictions under the Health Insurance Portability and Accountability Act regulations, we were unable to study patients without gynecologic oncology involvement, so this study was limited to patients with gynecologic oncology involvement.
First, was there a difference in the interval to treatment? We found that the mean interval between the initial consultation with the gynecologic oncologist and surgery (17 days) was identical for patients who had surgery at either a community or university hospital, as was the interval between biopsy and surgery (32 days). This finding was surprising, as we assumed that there was a delay in performing surgery at the community hospitals. This assumption was based on two scheduling difficulties—coordinating the schedules of two physicians from different practices and obtaining operating room time in the absence of block time at the community hospitals. These data suggest that scheduling difficulties were not a substantial impediment, perhaps because the physicians and hospitals recognized the need for expeditious surgical treatment. The 32‐day interval between biopsy and surgery was comparable to that previously reported for patients with gynecologic malignancies (20–35 days).10
Second, was there a difference in the patient population? Overall, the patients in the current study were morbidly obese and medically complex. The mean Quetelet index was 32.7 kg/m2 for both groups, comparable to findings in previous reports.3,11 Over 80% of the patients in both groups had at least one concomitant medical condition, most commonly hypertension or diabetes. However, the average age (63 versus 58 years) and the preoperative severity index (14.4 versus 11.8) were significantly higher for the university hospital group. In conjunction with the community obstetrics and gynecology departments, we had developed a triage system (Table 7) to help determine the most appropriate facility and service to treat individual patients. These data reflect the implementation of the triage system and indicate that some patients were preferentially treated at a university hospital because of their medical conditions. As has been suggested, "severity indexing must be performed in considering outcomes data or the results will appear unfavorable in comparison to physicians dealing with a healthier population."3
Third, was there a difference in the complication rate? Despite their morbid obesity and medical complexity, the patients in both groups had comparable outcomes. The estimated blood loss and complication rates (in the operating room and hospital) were comparable and within acceptable standards.9,11 Similarly, the average hospital stay was similar for patients who were treated at a community or university hospital (3.6 versus 3.9 days, respectively) and was comparable to findings in previous reports (2.3–5.6 days).3,10,11 In both groups, dietary tolerance was the primary determinant of hospital discharge. The patients received a clear liquid diet on the day after surgery and were advanced to solid food as tolerated without waiting for flatus, resulting in short hospital stays. It has been suggested that participation in a managed care program is associated with a significantly shorter hospital stay than with fee‐for‐service programs.12 This was impossible to determine in the current study, as nearly 70% of the patients in each group were participants in a managed care program, 20% were covered by Medicare, and fewer than 5% were in a fee‐for‐service program.
Fourth, was there a difference in the incidence of appropriate surgical staging? Despite an abundance of available information, there is no consensus regarding which patients should undergo lymph node sampling. In the current study, we followed the recommendations for lymph node sampling of ACOG, including 1) absence of gross intraperitoneal disease, 2) greater than minimal myometrial invasion, 3) grade 2 or 3 lesions, 4) clear cell or papillary serous histology, or 5) visibly or palpably enlarged lymph nodes.13 On the basis of these criteria, 60–75% of patients had lymph node sampling, and 90% of the patients in both groups were staged appropriately. Patients were considered appropriately staged with regard to lymph node sampling if it was performed or omitted according to these criteria. Although the frequency of lymph node sampling was significantly higher in the community hospital group, this difference disappeared when the surgical approach (vaginal versus abdominal or laparoscopically assisted) was taken into account. Both the severity index (17.6 ± 9.3 versus 14.1 ± 7.6, P = .033) and the Quetelet index (35.8 ± 13.2 versus 32.6 ± 9.5 kg/m2, P = .042) were significantly higher for patients who did not have lymph node sampling despite meeting these criteria. These findings suggest that gynecologic oncologists opted not to perform a lymph node sampling given the risks imposed by these specific patients' comorbid conditions or body habitus.
In previous population‐based reviews using data from the National Cancer Data Base, the Surveillance, Epidemiology and End Results Program, and the Health Care Cost and Utilization Project, the incidence of lymph node sampling was remarkably consistent at 33–38%.4,8,9 In contrast, our results paralleled those of the Society of Gynecologic Oncologists Outcomes Task Force, in which a lymph node sampling was performed in 80% of their patients.3 Data from the National Cancer Data Base and the current study (Tables 4 and 5) demonstrated that the distribution of stage and grade was comparable in community and university settings.4 Taken together, these data suggest that gynecologic oncologists, with their specialized knowledge and surgical skills, are more likely to appropriately stage (including lymph node sampling) patients with endometrial cancer when it is technically feasible regardless of the type of facility.
Finally, was there a difference in the surgical approach? Nearly 20% of the patients in the university hospital group had a vaginal hysterectomy, twice that of the community hospital group. A variety of factors appeared to contribute to the higher incidence in the university hospital group. Both the severity index and the Quetelet index were significantly higher for patients who had vaginal hysterectomy than for those who had either laparoscopically assisted vaginal or total abdominal hysterectomy (Table 8). In addition to their specific expertise with treating gynecologic malignancies, the gynecologic oncologists are experienced vaginal surgeons who can utilize this approach to treat selected patients. In contrast, on several occasions, the referring gynecologist specifically rejected the recommendation for a vaginal approach. In fact, the only patients who had vaginal hysterectomy at a community hospital were participants in the Gynecologic Oncology Group protocol LAP‐2. This protocol is a phase III randomized study of laparoscopically assisted vaginal hysterectomy‐bilateral salpingo‐oophorectomy versus total abdominal hysterectomy‐bilateral salpingo‐oophorectomy plus pelvic and paraaortic lymph node sampling in patients with stage I or II endometrial cancer. Significantly more patients in the university hospital group agreed to participate in LAP‐2, accounting for 50% of the patients who had vaginal hysterectomy.
It has been suggested that the vaginal approach is a safe and effective alternative to laparotomy for morbidly obese or medically compromised patients with endometrial cancer. Several studies have shown that the perioperative complication and survival rates for selected patients were comparable to those of patients who had abdominal hysterectomy.14,15 Despite this, a major objection to the vaginal approach has been the inability to perform lymph node sampling and assess extrapelvic sites for metastatic disease. The combination of laparoscopically assisted vaginal hysterectomy and laparoscopic lymph node sampling has been gaining popularity because it appears to decrease morbidity and hospital stay.11 Until long‐term data are available, this approach should be utilized only by experienced gynecologic oncologists, ideally within a research protocol such as the Gynecologic Oncology Group LAP‐2 study.
The results of this study demonstrate that involvement of a gynecologic oncologist at the time of primary surgery for endometrial cancer was associated with comparable outcomes in both the university and community hospital settings. Further studies are needed to define the outcomes for women with other gynecologic malignancies.
© 2002 by The American College of Obstetricians and Gynecologists. Published by Wolters Kluwer Health, Inc. All rights reserved.
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text: 000 FXUS63 KFSD 020440 AFDFSD Area Forecast Discussion National Weather Service Sioux Falls SD 1040 PM CST Thu Dec 1 2016 .SHORT TERM...(This evening through Friday) Issued at 354 PM CST Thu Dec 1 2016 Upper-level low finally pulling well east through the Great Lakes, but lingering confluence zone back through the Northern Plains between shearing upper trough and the main westerlies through the Central Plains. Widespread lower clouds remain in place, and have seen a few patches of drizzle and flurries through the later morning and afternoon. As we progress through the night, depth of saturation into the ice nucleation zone and slight cooling of temps in the profile will suggest that solid form should dominate, and flurries will be concentrated through the night in northwest to southeast band along the axis of dilatation centered along a KHON to KSPW line. Clouds will hang tough once again, and with a bit drier and cooler airmass should be able to see lows a couple degrees cooler than last night. Weak surface ridging will settle across the area through Friday, allowing some drier air to filter in on north to northwest flow. Drying should keep flurries at bay, and should be able to break into some sunshine in the afternoon, especially southwest MN and through the Missouri River corridor. Highs with the lesser wind and slow erosion of clouds should remain mainly in the lower to mid 30s. .LONG TERM...(Friday night through Thursday) Issued at 354 PM CST Thu Dec 1 2016 Saturday through Monday looking dry and mild as low pressure deepens to the west. Lows should be in the 20s with highs in the 30s to lower 40s. Monday should prove to be the warmest day and some chance to climb into the 50s south of Interstate 29 but timing differences in the models will keep forecast highs in the mid 40s. There may also be struggles at times with cloud cover which might keep highs a little lower. Tuesday into Thursday is the focus for the outer periods. Models continue to be hobbled by to phase or to not phase. Latest trends over the past 3-4 runs of the models is to not phase which means a more open wave and a much higher probability of the highest precipitation remaining well south of the area. This does not mean that a major storm closer to the four state region is impossible, just that chances are severely diminished. Many times the models start grabbing on to a more reliable solution 3 to 4 days out so tomorrow and Saturday may begin to provide a more confident solution. What is becoming more apparent, regardless of phasing or not, is a slug of the coldest air of the season spreading into the region on or about Tuesday night. Will keep temperatures well below normal Wednesday and Thursday and focus the highest threat for snow Tuesday afternoon into Wednesday night. && .AVIATION...(For the 06Z TAFS through 06Z Friday night) Issued at 1037 PM CST Thu Dec 1 2016 A few flurries will be possible across the area through the overnight hours, otherwise MVFR ceilings will hold through much of the TAF period. KSUX may see some breaks in the clouds later on Friday afternoon. && .FSD WATCHES/WARNINGS/ADVISORIES... SD...None. MN...None. IA...None. NE...None. && $$ SHORT TERM...Chapman LONG TERM...08 AVIATION...JM


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Backtesting Using Stock Investor ProDownload printable PDF
Over the years, we have received numerous questions on whether you are able to backtest using Stock Investor Pro. The answer to this question is yes, but with a caveat. There is no single-click backtest feature built into the program. However, previous Stock Investor Pro data points are archived online going back to the beginning of 2003. Using this data, you can perform a backtest manually. This installment of Stock Investor News shows you how.
To backtest with SI Pro, you need to start with an advanced understanding of the main features of the program. You should be able to quickly and easily create screens, back up and restore custom user files, create custom fields and run reports before attempting to backtest investment strategies. Each of the following Stock Investor Pro functions is used during the backtesting process. Here, we assume that you are able to perform all of these functions with ease. To review these functions, please click on the name to go to the explanation:
Backing Up and Restoring Custom User Files
Creating Custom Reports Using Views
Needless to say, in order to backtest, you must also know the investment methodology or strategy that you want to test. You can test any investment methodology that can be created as a screen. Additionally, you must decide on a time frame and rebalancing period. For the sake of simplicity, here we backtest a strategy that is already built into the program, Piotroski High F-Score, over the first three months of 2014 using monthly rebalancing. In reality, backtesting a strategy over such a short period is not recommended, but for our purposes a three-month period is long enough to adequately illustrate the process. Furthermore, it will allow us to quickly check the validity of the example backtest using the screen's return that is currently shown in the stock screens area of the AAII website. With data as of March 31, 2014, the current year-to-date return for the Piotroski High F-Score screen is 17.8%.
The first step to backtest a strategy is to install Stock Investor Pro data for the date at the beginning of the backtest time frame. For example, since we are backtesting the Piotroski strategy for 2014 using monthly rebalances, we need to calculate the performance of the screen for the months of January, February and March. The performance for the screen during January is based on the companies passing the screen as of the end of December in 2013 (December 31, 2013 data). Similarly, to calculate performance for February and March, the passing companies as of January 31, 2014 and February 28, 2014, respectively, are required. To install the program and data as of December 31, 2013, go to the SI Pro Data Updates page in the Stock Investor Pro area of AAII.com and click on Past Updates. Scroll down the list to find "stockinvestorinstall_20131231.exe - Full Program and Data Update, Data as of 12/31/2013."
After downloading and installing the program and data, open Stock Investor Pro and make sure that the data date is correct—in our case, December 31, 2013. Keep in mind that since this is an older version, the program may prompt you to update to newer data. Make sure that you do not update. Running the Piotroski Screen yields five companies. Next, save these companies as a portfolio. This step allows us to calculate the performance for the companies during the month of January. So, we name the portfolio January 2014.
In order to properly backtest a strategy, we also need to create a custom field and a custom view: The custom field tests the previous month's performance of each company, and the custom view shows the average performance of the companies when running a report. First, the Monthly Performance custom field is created using the following expression:
GrowthRate([Price M001],[Price M002],1)
Then, the Backtest Performance custom view is created containing the Monthly Performance custom field.
After the results of the Piotroski screen have been saved as a portfolio and the custom field and view have been created, we need to back up the custom user files into a clean folder using Stock Investor Pro Utilities, so that we can use them with the other data updates.
We move forward one period and install the program and data for January 31, 2014. Then, restore the custom user files through Stock Investor Pro Utilities. The January 2014 portfolio, Monthly Performance custom field and Backtest Performance custom view should now all be available in this installation of the program. To calculate the performance of the Piotroski passing companies for the month of January, select the January 2014 portfolio and run a Statistical Summary Report for all companies in the active notebook. In the Statistical Summary – Active Notebook window that pops up, select the Backtest Performance view that we created earlier. The Statistical Summary report created shows that the average price-change return for the Piotroski screen during January was 7.48%.
This process must now be repeated for the months of February and March; however, the custom field and view do not need to be recreated. Create a February 2014 portfolio and back up the file before installing the program and data as of February 28, 2014. For the month of February, the average price change is 0.34% and for the month of March, the average return is 9.20%. We use these three monthly performance figures to calculate the year-to-date return using the following formula:
(1.0748 × 1.0034 × 1.0920) – 1 × 100 = 17.76%.
As you can see, this matches up with the current return shown on the AAII website, confirming our calculation.
This backtesting methodology can be used for any time frame and rebalancing period that you choose. Keep in mind that Stock Investor Pro data only goes back to the beginning of 2003. Note that during 2003, the data points were archived on a monthly basis; subsequent to 2003, data points are archived on a weekly basis. You are not able to backtest using a more frequent rebalancing period. It is also worth mentioning that the returns calculated are based on a "best-case" scenario. The return does not include fees, bid-ask spread, time slippage or other commissions. However, it also does not include dividends that may have been paid. As always, screening should only be the first step in the investment process. Additional research is prudent when using stock screens.


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Endive And Beet Salad
30 Aug 2009
Endive And Beet Salad is a delicious side dish recipe which I always love to have. I bet, once you have this Endive And Beet Salad, you will always crave for some more.
|Wine vinegar
|1⁄2 Cup (8 tbs)
|2 Tablespoon
|1⁄2 Teaspoon
|1⁄4 Teaspoon
|Grated onion
|2 Tablespoon
|Beets/1 can of 8 ounces sliced beets
|8 Medium, cooked
|Belgian endives
|8 Small
|Olive oil/Salad oil
|3⁄4 Cup (12 tbs)
|Wine vinegar
|1⁄4 Cup (4 tbs)
|1 Teaspoon
|Dried tarragon
|1⁄4 Teaspoon
|Dijon mustard
|1 Tablespoon
Combine 1/2 cup vinegar, the sugar, 1/2 teaspoon salt, 1/4 teaspoon pepper and the onion.
Cut beets into julienne strips and add to marinade.
Refrigerate overnight.
Separate endives into leaves and arrange around the inside of a deep bowl.
Drain the beets well and mound in center.
Make dressing by combining remaining ingredients in a bowl and beating well.
Serve separately.
Rate It
Endive And Beet Salad Recipe


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Brunei Travel Articles
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Brunei gets a bad rap sometimes for being boring. Or worse still, it is
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The Basics Country: Brunei Where is it?: Brunei is in southeastern Asia, bordering the South China Sea and Malaysia. Why do people go here?: Most people have never heard of Brunei, which is sandwiched between Malaysia. Outside of the capital, expect a countryside that has little modernization. Brunei is one country that sees few travelers […]
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|Sam Walton's secrets of retailing success
Armed with a dream, set up a little shop and sell to all comers is one of the most popular route to get into business for yourself. Unfortunately, It also happens to be the easiest to lose your shirt. So it is helpful to learn from Sam Walton's early experience of retailing and how he guided Wal-Mart to phenomenal success.
Just as in Sam Walton's time, even today, there is always a better way to retail goods, which incumbents are not willing to entertain as they enjoy their sweet profit spots or are just simply too lazy to change. These are opportunities for insurgents to enter the business. Retailing is no small potatoes, contrary to popular belief, the biggest fortunes are not in Real Estate, Oil or Technology. It is in Retailing.
Like every serious retailer you must have a business value system (box 1), which consist of your beliefs in products, services and the customer segment you are trying to serve. These beliefs direct you to how you set up and conduct your retail business. But you are also bound to face a lot of resistance (box 2) trying to realize your vision because people are creatures of habit and are used to a certain way of selling and buying that may not be friendly to your innovation. It is now up to you to win them over, and it is not easy to achieve. This is what the solid arrow from Box 1 to Box 2 means. You must view this early friction as the chance to learn and strengthen your business by making it more realistic and adaptable - This is the return solid arrow from Box 2 to Box 1. This tough reinforcing loop between Box 1 and Box 2, if you take it with the right attitude eventually will cause you to "swim upstream" (box 3) like Sam Walton did to overcome the resistance (box 2). "Swim upstream" was just the term Sam Walton used for going against the current that improves on current best practice. You cannot learn how to "swim upstream" successfully until you have spun several rounds around the reinforcing loop of Box 1 and Box 2. Do not pass up the chance to view the Flash movie, "Patience, Perseverance and Persistence". Let it imbue you with the optimism and confidence to succeed.
Note the dashed arrow from Box 3 to Box 2. Dashed arrows reads "More of Box 3 leads to less of Box 2". Anyone can try to "swim upstream" but we are talking about "swimming right" that is the by product of perseverant trying to overcome Box 2 in a manner consistent with your core business beliefs (box 1).
Sam Walton started his business in the age of mass production. His idea was to "pile them higher and sell them cheaper" than the retail leaders of the day. This is no longer the formula of success for most retailers because Wal-mart currently executes this formula massively better than anyone else. The lesson to take home here is that to do survive and do well your formula for success must create a virtuous cycle for yourself as it did for Sam Walton.
Sam Walton's formula is to give more and more value for less and less money. He did it by passing the savings back to the customer. This is the virtuous cycle between Box 1 and Box 2 in Map 2. This result in another virtuous cycle appearing that involves Box 3 - Keep gaining more customers.
The logic for Map 3 is unquestioned. Business is a team sport. Many times to "swim upstream" successfully, you will need partners, including employees and external parties. Map 3 can be connected to Map 1, i.e., Box 4 in Map 3 is the same as Box 3 in Map 1.
Sam succeeded because he was also resilient. He was very inexperienced (box 1 in Map 4) when he started and made many mistakes (box 2). The more mistakes he made, the less inexperienced he became as shown in Map 4 - See the dashed arrow from Box 2 to Box 1. However to keep llving Map 4 in his life and so that he keeps getting better, he has to be resilient (box 3). He has certainly gained experience in learning from mistakes, but he would still possess a humble attitude and view himself as inexperienced beause there is always more to learn and new ways to make things better. Only a resilient person who doesn't tire can keep going. Box 1, 2 and 3 is a virtuous cycle a winning retailer must own as things move fast and change quickly in this industry.
Keeping Map 4 in mind, Sam Walton continued to visit competitors stores even when he was the most successful retailer. Even as the king of retail he was always eager and believed there was much to learn (box 1) and one of the most fertile places to pick up new knowledge are competing stores everywhere (box 2).
In retailing, the details are, if not more important than the big picture. The virtuous cycle in Map 5 helps you stay on top of what is happening. There is no substitute from going down to where the action is to see it for yourself because a lot of useful information cannot be captured in written reports and numbers. Similarly there is more to learn from Sam Walton's biography than these five maps are able to offer you. You can download a fuller set consisting of two more maps (right click here to download). This larger map(in pdf format) shows how these five maps and two more not discussed here are connected each other to explain why Wal-Mart is so powerful. Pick up the rest from the man himself in his biography from Amazon.com and help me earn the commission to keep this site going as well.
Related Inspirational Flash movies
me the Wind


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University formally opens Camden Academic Building | More
Olshefski's Quest to premiere at Sundance | More
Rowan hosts cybersecurity seminar | More
A time for service and celebration: SGA presents third annual Holiday Week | More
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Student organizations
Gamma Chi Sigma - The Criminal Justice Club
Gamma Chi Sigma is a student run organization open to all Law and Justice Studies majors and minors. It is the local chapter of Lambda Alpha Epsilon, the American Criminal Justice Association. Professor Stanley Yeldell advises the group, which meets every other Monday in James Hall room 2095 from 11:00am-12pm.
The purpose of our organization is to further professionalism in all areas of criminal justice, whether as professionals or students. Additionally, involvement in Gamma Chi is a great way to meet other like-minded law and justice majors, network and learn about classes or professors.
As a student run organization Gamma Chi Sigma is what we make it, and currently we need interested law and justice students who want to make a substantial and positive contribution.
Current officers include:
Alpha Phi Sigma - Epsilon Nu - The Law & Justice Honor Society
Epsilon Nu is the local chapter of Alpha Phi Sigma, the National Criminal Justice Honor Society. The society recognizes academic excellence of undergraduate, graduate students of criminal justice, as well as juris doctorate.
Our current officers include:
All Law & Justice Studies majors or minors with a 3.2 GPA both overall and in Law & Justice Studies courses are welcome.
In order to become a member you must have:
Download the application and return it along with a $50 cashier's check or money order to Faculty Advisors, Professor Schell-Busey in Campbell Library 568 or Professor Johnson in Campbell Library 556.
Victim Awareness Club
The Victim Awareness Organization was conceived by Dr. Stanley Yeldell to address the prevailing victimization issues within the University Community. The Organization will disseminate the following information to the University student body and the State as a Community:
Moreover, the ultimate goal of the Organization is to host State and National Crime Victim Conferences and to establish local chapters at the 21 community colleges and the criminal justice colleges and universities within the State of New Jersey.
The membership is not limited to Law/Justice students but open to the entire student body of Rowan University and related Victim Assistance Programs.
Current officers include:
Pre-Law Society - for students interested in Law School
Criminal Justice Preparation Club (CJ Prep Club) email@example.com
This club is devoted to preparing students, interested in the criminal justice system, for careers. Members can expect to learn a wide range of useful tools and knowledge to give them advantages when applying for future jobs and for acceptance into competitive internship programs. The CJ Prep Club will frequently hold mock job interviews and provide resources to prepare members, present career options available in municiple, state and federal criminal justice agencies and arrange for guest speakers to come in and answer any questions members may have for them regarding their job or agency.
If you would like to participate or find out about the Criminal Justice Prparation Club, please feel free to contact Jeff Schwartz at 856-256-4500 ext3536 or email email@example.com


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>Running 101>The Long Haul - Just in case you stop by
New Runner
Fountain Pen Geek
My running partner!
Hmmm - I am from the c2k program - did I find the right sight? I can't seem to find the group when I search for LongHaul - I only find the forum. Thanks


text: I haven't used my box ever since the US decided to get rid of analog and decided to convert regular tv into HD tv so ive been out of the game for quite a while. Is there a way that I can get my sonicview 360 premier to work? I just have the box I remember before we just needed to upload files into it and they would work. Can we still do that? And if it's possible can you direct me into where I can obtain those files. Thank you.


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- Back to Home »
- Sin Realm Origins
Posted by : SinRealm Tuesday, December 25, 2012
Twenty seven years, that is how long I have walked in this world. And it feels like things are still the same as they were and yet so different. After years of featuring and blogging about other people, perhaps now is the time I feature my story. A story of how an innocent boy turned into a man bathed in sin.
I came from a family who is connected to the most influential people here in this country (proof to be posted after I edit this). The only boy, raised and groomed for greatness, also a spoiled little boy who cannot stand being away from his parents. How did someone like that turn into the man that I am now? Perhaps it all began with school.
I used to study in one of those "prestige" schools for boys. I ace my exams and my picture was always in the honor students board. The funny thing is, I never really studied, to me, all those was a game. But eventually I grew bored with the exams, my focus went into things such as playing and wrestling (in other people's perspective, rough housing). I was more focused on more fun things in life instead of school related stuff. I joined a group of kids who would do all sort of activities and at the same time another group who wrestled each other (I became champion). I was happy. Although my fun had a price to pay, my grades went down got scolded more and eventually failed.
I had to leave my school and transfer to another. We shall call it College of Failures, where I spent my 6th grade. Things there started rough on me, first time in years that I studied with girls and the people there were not as playful as the other guys I used to hang with. The one I hanged with, a gay fashion designer's son. We were outcasts, but it did not really bother me. Eventually another boy joined our group. One who grew close to me and my family, he goes to my house and we used to play a lot. I even lend him my most precious toys. Let us call him Ramon. Eventually I gained interest in some girls. A classmate and another from another class. But with that interest in girls comes an inferiority complex. A great inferiority complex which led me to hate things. But I shall speak about that later on and focus more on how innocent I was.
As months passed, I noticed some kid doing the DX style crotch chops. It reminded me of the days where I used to wrestle. So I rushed at that guy and choke slammed him. Which led me to have many friends. Things were fun again and we started playing around again.
To be continued...
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EveryWare Cuts Merger Deal with ROI Acquisition
February 1, 2013,
NEW YORK-EveryWare Global, the tabletop company formed last year with the merger of Anchor Hocking and Oneida, has reached an agreement to merge with ROI Acquisition Corp. in a deal that would take the company public.
Currently, EveryWare is owned primarily by funds managed by Monomoy Capital Management. Once the new merger is finalized, the combined companies will keep the EveryWare Global name, and the stock will be traded on the Nasdaq market under the ticker symbol EVRY. A joint statement from EveryWare and ROI said the combined value of the business will be about $420 million after the transaction is closed.
Terms were not disclosed, nor was a date for the closing of the transaction. The joint statement described ROI as "special-purpose acquisition company formed for the purpose of effecting a merger, capital stock exchange, asset acquisition, stock purchase, reorganization or similar business combination involving ROI Acquisition Corp. and one or more businesses."
The EveryWare management team is expected to remain in place post-merger, led by President and CEO John Sheppard. Daniel Collin, current EveryWare chairman and partner in Monomoy, will remain as chairman. Thomas J. Baldwin, chairman and CEO of ROI, will become the merged company's vice chairman.
The statement added that EveryWare posted adjusted EBITDA of $54.9 million for the year ended Dec. 31, up 53 percent from the year ending Dec. 31, 2011. For this year, the company projects adjusted EBITDA of $61.1 million.
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Video: Color Comes on Strong at High Point Market


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"Thank you so much for taking such good care of Holly. Sarah"
"Hayley was absolutely wonderful. She is a delightful person and we could see that she made a..."
"Yoselyn looked after my two dogs very well. One of my dogs has as disability. Both dogs were very..."
"Leigh and Tim took great care of our 10-month-old puppy and he loved hanging out with their dog..."
"Amazing hosts. Responsive, clear and most importantly they had a wonderful time with Charlie, gave..."
"Alena was great with my little boy. Would definitely approach her again next time I'm away. "
"Frenchie came home very happy and tired from lots of walks. Thank you Mia!!"
"Thanks for everything! You are wonderful!"
"Celeste was very accommodating to whatever routine Zara was used to. Zara came back very happy and..."
"Ash was great and very easy to work with. 5 stars."
"What a find! My kitties couldn't have been any better cared for. Excellent! Brilliant communication ..."
"Tilda has just looked after our dog Clementine for 10 days. Clem has had the best time with Tilda..."


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November 2002
Complete Drum Workout
Promising "hours of practice time, even a hundred years from now," Pat Petrillo's Complete Drum Workout is a "comprehensive program to help improve every aspect of your playing." Starting with the snare drum, Petrillo concentrates on coordination, endurance and touch by presenting 15 exercises covering every rudiment group. This first section was most impressive, culminating with his band's performance of "Big Hair," a swampy groove showcasing Petrillo's great hands.
The box notes that the second section contains 30 "groove variations," but I counted eight, each superimposed over 10 different two-bar bass-drum rhythms—or maybe it just seemed like that many more since they were played over interminably cheesy synthesizer sequences. Part three concerns ghost notes and beat displacement, with "Swingin' da Funk" utilizing concepts for R&B-inspired jams, go-go, hip-hop, gospel, new-jack swing and New Orleans funk (no mention of jazz anywhere on this tape). The difference between Petrillo's examples of this groove played straight and "played swing" (besides his use of an auxiliary snare drum) was the insertion of one single "swingin' 16th" note on the bass drum.
The basic fill ideas in part four begin with five licks played first on snare, orchestrated on the set and then placed in musical context on the tune "Rock Candy." Following are five "split 16th-note fill ideas" played between bass drum and snare drum, orchestrated around the set and demonstrated in "Split 16th Practice Jam." Flams are applied to fatten up fills, making them "larger than life" on "P's Funky Tribute." Next, the moment we've all been waiting for: Mr. Petrillo grants that "the mysteries will be revealed" regarding advanced sextuplet figures—"slick fills you probably heard in some of the tunes on this video"—during "Jamalicious." Although he acknowledges "the great Steve Gadd," Petrillo seems to believe that these are "grooves [he] came up with." Meanwhile, while fully realizing this is a drum video, music is music—and guitarist Carl Filipiak's buried placement in the mix of his own tune ("The Lottery Incident" and the highlight of this tape) is frustrating.
The video concludes with Keith Larsen, product specialist and designer for Baltimore's Maryland Drum Co., discussing Petrillo's great-sounding custom kit.


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Principe Real - trendy and quiet
Size60 m²
Floor No.2
- Internet/WiFi
- Kitchen
- Towels
- Washer/dryer
Accommodation summary
|Rua Eduardo Coelho, 1200-167 Lisboa, Portugal
|Property type
|Property ID
|Acceptance rate
|Response time
|A few hours
|Calendar updated
This colourful flat has one bedroom with a double bed, a closet, a living room with a sofa-bed, a fully equiped kitchen and a nice bathroom full of light.
The area of Principe Real has found the perfect balance between trendy and comfortable.
You can find traditional Portuguese restaurants side by side with the most recent bars or shops that sell original and trendy items.
There is a garden square nearby that hosts a flea market on Saturday and it is also a nice place to enjoy a drink on a hot summer night.
If you are looking for nightlife fun, the Bairo Alto is just at a 5 minute walk. The Chiado and Baixa districts are also just 10 minutes away walking.
Even though you can easily walk to the main points of the city, this area there are also several buses and trams, and the metro is about 5 minutes away.
This neighborhood is full of shops and facilities to fullfill your necessities: there are cafes, restaurants, a pharmacy, banks and also convenient stores.
How to get there
There are 2 different subway stops about 10 minutes away (Rato and Baixa Chiado) and buses and trams are also close.
House rules
Check-in is after 3:00 p.m. and need to be arranged before the day of arrival. Please call or send us a message after collecting your luggage at the Lisbon airport, or train/bus station, to let us know you are already in Lisbon. Our representative will give you a friendly welcome and answer any questions you may have.
Check-in after 23:00 is subject to a 25 EUR fee.
Check in on the 24th of December and 31 of December after 6 pm are not allowed..
We will provide you with our contact details after your reservation is confirmed. The apartment will be ready and cleaned for you before your arrival. Fresh towels and bed clothing are also provided and all is included in the total price. You will be given a set of towels per person. Keys delivery: In the apartment. Cleaning: On departure.
Please note that from the 1st of January 2016 a city tax of EUR 1 per person, per night is not included in the total price and should be paid on site. This tax is charged to guests aged 13 and older. It is subject to a maximum amount of EUR 7 per guest.
|Check-in after
|Check-in before
|On arrangement
|Check-out before
|Cancellation Policy
Reviews for this host's other properties
We have spent a great week!
Fit, perfect, very well located, clean and with spectacular views over the city.
We were well looked after on arrival.
Certainly to repeat!
Hemos pasado una semana genial!
El apto, perfecto, muy bien situado, limpio y con unas vistas espectaculares sobre la ciudad.
Nos atendieron muy bien al llegar.
Ciertamente para repetir!
Great apartment in a very interesting area, the nicest and the most helpful hosts. Thanks for having me!
Clean and tidy apartment, a small minus would be that it is because of poorly insulated door is heard very much from the stairwell, but on the other hand, there are not many others who live in the building. If you don't mind walking around, the location is perfect, in the older part of Lisbon. The host was very nice and helpful, we would definitely recommend this apartment.
Hello Margaride
The apartement was brilliant - rustic and cosy.. and situated in a nice area. We loved the coolness on the very hot days. The beds were good as well.
We could have wished a little more equipment in the kitchen - but we managed fine nevertheless.
Fine apartment for 3 persons.
Nice, clean and modern flat in between tiny roads not far away from Bairro Alto (when you know the right way, its less than 10 min to walk...). A Metro station as well as a supermarket are only a 10 minutes walk away. But sadly we couldn`t get any information about the location of the supermarket or any nearby helpful shops at the keyexchange from the responsible person.
Nevertheless the flat is equipped with many usefull things like hairdryer, hot iron, TV and free WIFI and it is located in a relatively quiet area of lisbon. The flat is in the second floor without elevator. The kitchen provides most of the needed cooking tools like pans, knives etc., but unfortunately we had to buy salt, oil vinegar and all the basic ingredients for cooking. There was no dish soap or cloth for cleaning the dishes or a regular soap in the bathroom. This was the only critics we have, thats why we give 4 out of 5 stars. Apart from that the flat is excellent.
Very friendly contact and easy communication in english with the contact person per email or message.
This is definitively a nice way to stay in Lisbon for a couple of days and a good chance to explore the city. thanks, alex and annette
Great place to stay. Closed to every important place and really confortable. The welcome and support from the guys was more than perfect. Will be back soon.
Wonderfully located some 800 metres north-east of Rossio over the roof-tops of historical Lisbon we enjoyed a magnificent sight over the City and Tejo. Some minor issues were the lack of toilet paper, a towel for the dishes and too few cups for the three of us. Things, that should be fixed, apart from this it has been a very good accomodation! So in total 4/5.
Very nice, friendly &helpful people.
Well equipped, very comfortable flat, situated in quiet neighborhood, but in the center -good localisation.
We are satisfied and really recommend this apartment.
Great Place in the middle of Barrio Alto.
- Clean place, fresh towels and bedsheats
- Even though located in a nightlife area it is in a quiet street
- Hand-over of keys in a very organized and professional way
- very confortable bed and cosy bedsheets
- well equipped kitchen
- The flat is far smaller than promised in the description. I would say max. 45 m².
- walls are like paper (you can hear every word and sound of your neighbours)
Overall a good 4 stars and I would definitely come again.
Best Regards
Very pleasant stay. Chiado is located near and close to restaurants for dining out. It is the center and this complicates the parking, but parking nearby.
Estancia muy agradable. Esta situado cerca de Chiado, y muy cerca de restaurantes para salir a cenar. Es el centro y esto complica el aparcamiento, pero hay parking cercano.
- Quality assured accommodation
- Every host is verified by telephone
- Secure payment via SSL encryption


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Porcelinna Model
Edouard2pPhotographer Male Paris, Île–de–France, France
My Website: Tumblr (18+...!)My MM URL: http://www.modelmayhem.com/Edouard2p
Mayhem # 275495
About Me
If you want to be my "friend", what would flatter and honor me, let me before a comment or a tag to introduce you and your work. Please photographers or new models, no random friend requests. It's something I find very unpleasant and I delate inevitably your "request" (unusefull to put this warning because those who behave like that don't read...)
Conditions... If we are shooting for commercial purpose (constitution of a book for you or great advertising campaign for me, hum...) let's talk about money. Who has to be paid for his/her work: the photographer or the model? It depends I think... Otherwise let's talk about "art" if you don't mind (and eventually of acomodation and travel expanses if needed)
I'm quite fascinated by hieratic face, red hairs, light-blue eyes, alabaster skins and weired appearances. But I'm not exclusive in my tastes... I'm fascinated by curious minds too (I mean I like the model not to be only "a model"...)
Have you worked with Edouard2p? Add Credits for Edouard2p! >>
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I finally received my cable and I tried to plug it onto my tv. The problem is that my TV only have the yellow slot and the white one so I put the yellow in the white and the red in the yellow. I can heard my program but no image. What's the problem ?
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SJBODA - Here you will find information regarding the All South Jersey Auditions.
SJBODA 2015 High School Audition Packet - Available in late October
Solo List (All Instruments)
Audition Results - Available after the December auditions
NJMEA- (All-State Information) Congratulations if you have made an All State Ensemble! Acceptance into All State is truly an honor and an accomplishment. Follow this link and then click on your respective ensemble to find all the necessary forms. All State results are also listed on this site following the audition, but be patient.
NJAJE - Here you will find information regarding the All South Jersey Jazz Auditions. They will take place in March. You can start practicing the required scales (all grades) and improvisation (only those trying out for the high school portion). Freshmen are eligible to audition for the junior high ensemble and thus, do not have to improvise. The links below will take you to the information each student will need.
Good luck on all of your auditions!


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Untitled Document
[:: Navigation ::]
PAF s' CAS
PAF s' Aircraft
News Section
PAF s' Attrition
Picture Gallery
National Songs
PAF s' Specials
Monthly Contest
Today in History
PAF s' Aerobatics
PAF s' Squadrons
PAF s' Wallpapers
Battle Lines of PAF
PAF in Afghan War
PAF Order of Battle
Pak-Indo Air war 1965
PAF and the 1971 war
Legendary Falcons of PAF
Picture Gallery
| K-8 Karakorum
Picture Gallery
K-8 Karakorum Pictures album
K-8 Karakorum Subalbum
Karakorum-8 (K-8) is a single-engine, advanced jet trainer and light attack aircraft designed and manufactured jointly by Hongdu Aviation Industry Corporation (HAIC) of China and Pakistan Aeronautical Complex (PAC) to replace the ageing Cessna T-37 Tweet jet trainers currently in service with the Pakistan Air Force (PAF). K-8 has seven variants: the K-8E, K-8P, K-8V, JL-8, L-11, K-8W and K-8VB. The K-8E is an upgraded version, featuring modified airframe and avionics, built for the Egyptian Air Force (EAF). The K-8P is a Pakistani variant upgraded with a new glass cockpit. The K-8V is an integrated flight-test simulation aircraft (IFTSA) principally used to examine designs before prototypes are built and tested. The JL-8 is a Chinese version powered by the Ivchenko AI-25 TLK turbofan and an indigenous avionics suite. The L-11 is an improved version of JL-8, powered by the WS-11 turbofan engine. The K-8W is an advance version of the K-8 that features a meliorated cockpit and head-up display. The K-8VB is an export version delivered to the Bolivian Air Force.
K-8P Karakorum Subalbum
Pakistan Air Force currently operates 60 K-8 aircraft (12 K-8s and 48 K-8Ps), which serve as Intermediate jet trainers with the No. 1 Fighter Conversion Unit (FCU), Mianwali and as basic jet trainers with the Pakistan Air Force Academy, Risalpur. Another 32 K-8Ps are on order as of January 2012. K-8P Karakorum is Pakistan-specific variant with new avionics, glass cockpit. The emergency cockpit-escape system comprises two Martin-Baker MK-10L rocket-aided ejection seats. The K-8 features a full-glass cockpit enclosed with a plastic bubble-shaped canopy to accommodate two crew members including a student pilot or instructor or an official pilot and weapons system officer. A multi-functional display (MFD) is fitted at the front and rear. The tandem seating configuration provides all-round clear visibility. An environmental control system (ECS) offers air-conditioning and pressurisation. The K-8 can climb at a rate of 30m/s. The maximum speed is 800km/h. The range and service ceiling of the aircraft are 2,140km and 13,600m respectively.
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By Dejan Kovacevic | Trib Total Media
Looking ahead to kickoff …
Match: United States vs. Ghana, FIFA World Cup, group stage opener
Time: 6:02 p.m.
Site: Estadi0 das Dunas, Natal, Brazil
TV, radio: ESPN (national), SiriusXM
Here's the official live summary.
Here's the official World Cup 2014 page and the official U.S. Soccer page.
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Home > Government Affairs > This Week in Washington > EPA Releases Memorandum Concerning 2012 Clean Water Act Sections 303(d), 305(b) and 314 Integrated Reporting and Listing Decisions
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Recently, EPA released the Clean Water Act Sections 303(d), 305 (b), and 314 integrated reporting memorandum for the 2012 reporting cycle. This memorandum provides clarification on existing policy and regulations, including recommendations and options for States as they develop their 2012 integrated water quality reports. Specifically, this memorandum focuses on: 1) Timeliness of State Integrated Report submissions and EPA approval; 2) Assessment and Total Maximum Daily Load Tracking and Implementation System data clarifications; 3) Availability of recent EPA guidance on Ocean Acidification; and 4) EPA's intent to work with States to develop future guidance on the interplay between anti-degradation and the 303(d) program.