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LAS VEGAS – Thomas J. Powell of NorthMarq's Las Vegas regional office (Nevada License: 48816), in cooperation with Michael Dobbins of NorthMarq's San Diego office arranged an interim loan of $3.9 million for the refinancing of Terrace Court, a 68-unit multifamily project located at 2316 Spring Grove Dr., Las Vegas, Nevada. Financing was based on a 5-year term with a 30-year amortization. NorthMarq arranged this financing for the borrower through its relationship with a regional bank. "This transaction was challenging due to the softness in the Las Vegas market, although the market is showing strong signs of continued improvement," said Dobbins.
About NorthMarq
NorthMarq, the largest privately held commercial real estate financial intermediary in the U.S., provides mortgage banking and commercial loan servicing in 34 offices coast to coast. With more than $10 billion in annual production volume and servicing a loan portfolio of more than $41 billion, the company offers expertise to borrowers of all size. The company has a long track record of multi-family financing as a Freddie Mac Program Plus™ Seller-Servicer, and through its affiliation with Fannie Mae DUS lender AmeriSphere Multifamily Finance. In addition, NorthMarq has long loan production and loan servicing relationships with more than 50 life companies, many CMBS platforms and hundreds of local, regional and national banks. For more information, please visit www.northmarq.com.

subset: commoncrawl


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Posted by Reineke Reitsma on June 20, 2013
We find comfort in the familiar — and when it comes to our technology preferences, it's no different. In a recent report by my colleague Michael O'Grady he explored the key decision-making factors that drive tablet adoption among consumers. While shopper demographics and needs precipitate tablet purchases in a variety of ways, ultimate brand selection depends, perhaps, on even subtler characteristics. Certainly, there are those memorable advertising campaigns, such as the recent Windows 8 commercial that parodies Apple iPads, which influence our perception of tablet brands. However, less obvious factors such as previous technology ownership and operating system familiarity may direct our tablet purchasing behavior.
Forrester's Consumer Technographics® data reveals that consumers tend to adopt tablet devices that run on the same operating system as their smartphone. Specifically, we find that US online consumers owning Android, iOS, and Windows smartphones seek out consistent operating systems on their tablet:
Posted by Vikram Sehgal on June 17, 2013
With Jeff Wray
With almost 80% of homes in the EU-7 (France, Germany, Italy, Netherlands, Spain, Sweden, and UK) having online access in 2013, Internet connections are a standard household component today in Western Europe. And as users demand faster connections to consume rich media content across multiple devices, broadband connectivity is quickly becoming the norm. The Forrester Research Online Access Forecast — Broadband, 2012 To 2017 (EU-7) shows that 72% of all EU-7 households had a DSL, cable, or fiber broadband subscription in 2012, well above the global average. But not all European countries show the same level of adoption. Within this group of seven, we can split the countries into three distinct groups of relative broadband development and adoption:


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Calcutta: Jharkhand coach Tarak Sinha is hoping their good showing in the Ranji Trophy would help them perform creditably in the Vijay Hazare Trophy. Jharkhand launch their campaign against Tripura on Saturday.
Jharkhand made the knockout stages of the Ranji Trophy after finishing second in Group C.
"We did well in the Ranji Trophy. That performance has given us the confidence. There's no doubting the players' abilities… Saurabh Tiwary, Ishank Jaggi, Shahbaz Nadeem are all quality players… We just need to concentrate on the basics," said Sinha. "The players are in a positive frame of mind. There are not many changes from the Ranji side and that will help the players. Two years ago we were champions and we hope to do well this time too," he added.
Sinha, however, doesn't wish to pick any team as favourites.
"In one-day cricket, no one team can be picked as favourite. Assam are a tough opponent… Bengal are a strong side… Their players' abilities are never in doubt… Odisha also cannot be taken lightly.
"All the teams are equally good. There are no favourites in the one-day format. Any team can win on a given day and we've to be on out toes," said the Jharkhand coach.


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Blood bank standard operating protocol during a multiple-casualty incident (MCI). BB indicates blood bank; ED, emergency department; ISS, injury severity; OR, operating room; and T&S, type and screen.
Soffer D, Klausner J, Bar-Zohar D, Szold O, Schulman CI, Halpern P, Shimonov A, Hareuveni M, Ben-Tal O. Usage of Blood Products in Multiple-Casualty IncidentsThe Experience of a Level I Trauma Center in Israel. Arch Surg. 2008;143(10):983-989. doi:10.1001/archsurg.143.10.983
© 2017
To predict how much blood will be needed based on the number of injured patients arriving after a multiple-casualty incident.
A retrospective study evaluating data collected in 18 consecutive terrorist attacks in the city of Tel Aviv between January 1997 and February 2005.
A large, urban trauma center.
A total of 986 patients in 18 events.
Main Outcome Measures
Number of packed red blood cell (PRBC) units transfused per patient.
A total of 332 U of PRBCs were transfused. Half of the PRBC units were administered as massive transfusions to 4.7% of the patients. The number of PRBC units transfused per patient index (PPI) was related to incident size (mean [SD], 0.70 [1.60] to 1.50 [1.60]). The most frequent major blood group transfused was type O (50%). Half of the units of PRBCs were supplied during the first 2 hours.
One unit of blood per evacuated victim is sufficient in a small multiple-casualty incident and 2 U is sufficient in a large multiple-casualty incident. Half of the PRBC units should be blood group O.
Multiple-casualty incidents (MCIs) as a consequence of terrorist attacks have become frequent in the world in recent years. These attacks, mostly committed by suicide bombers, pose a great challenge to the daily routine of already busy trauma centers. The special injury patterns in terrorist bombing attacks have been described previously.1 The diagnostic, therapeutic, and administrative principles in the management of these incidents have also been previously detailed in the literature. However, the issues of blood utilization and blood bank preparedness in the setting of MCIs have not been explored, and thus guidelines regarding these aspects of MCI management have not been established.
Since blood transfusions are relatively common in trauma victims, it would be expected that MCIs are associated with a sudden, unexpected flood of orders for blood products, which poses a great burden on blood bank capabilities. Because very little data on the actual utilization and timing of blood products in the setting of MCIs are available, the objective of the current study was to describe the pattern of blood administration during MCIs. In addition, general recommendations for blood bank operations under MCI conditions were determined.
Our study describes the experience of the Tel Aviv Sourasky Medical Center (TASMC) during 18 urban MCIs between 1997 and 2005. The data presented depict the ordering and transfusion of blood and blood components in relation to blood groups and timing of transfusion, analyzed by type and size of MCI. The purpose of this study is to predict how much blood will be needed based on the number of injured patients arriving after an MCI.
Multiple-casualty incidents resulting from terrorist attacks that occurred in the vicinity of Tel Aviv between 1997 and 2005 were reviewed. An MCI was defined as any incident leading to the evacuation of more than 10 living victims to the Yitzhak Rabin Trauma Division of TASMC.2 Some patients were evacuated to other level I and level II hospitals and are not included in this report. The destination of patients was determined by the emergency medical teams on the field. The MCIs were subgrouped according to 2 factors: (1) size, defined by the number of injured, evacuated, and admitted patients, respectively; and (2) type of scene (ie, confined vs open space).
Patient data were retrospectively collected from 2 sources. The computerized MCI database for the emergency department (ED), which registered each patient admitted to the ED, enabled us to retrieve patients' medical charts and their review. Other clinical data were retrieved from the hospital trauma registry. Collected data included analysis of the scene itself, mechanism of attack, number of injured and evacuated patients, and the type and severity of injuries.
The blood bank has a standard operating protocol by which it abides whenever a notification of an MCI is received. The standard operating protocol relates to recruiting and positioning of personnel, reporting on existing supplies and ordering required inventory, shifting of work priorities during the event, handling victim samples (including a designated "compartment" in the computer system), and issuing of blood products. The Figure depicts the flow of events at the blood bank that starts immediately after notification of the occurrence of an MCI. Application of the complete protocol occurs when a large number of casualties are expected to arrive at TASMC. Recruitment of additional personnel and ordering additional blood products from the supplier all depend on the reported size of the MCI, the time of day, and the current packed red blood cell (PRBC) and component inventory at the blood bank.
Blood bank data on MCIs occurring since 1997 were retrieved from the computer. A detailed record review was performed on all data between 1997and 2001 by date and time of MCI, as MCI victim data were included among routine records. Because the system was upgraded in 2001 and the data on MCIs were compartmentalized, patient follow-up and merging of all blood bank data specifically on MCI victims is possible. The current system allows gathering data on MCI patients who receive an arbitrary unique patient number on admission and later when they have been positively identified, their known name is matched to a permanent patient ID number. This gives a complete set of data as well as ensuring patient safety.
All analyses of blood bank data used the complete data on 18 MCIs between 1997 and 2005. Details on sample type and screen (T&S), number of blood products transfused, and the timing of transfusion for each victim were retrieved.
Data were collected using Microsoft Excel 2004 (Microsoft Corporation, Redmond, Washington) and processed by SAS version 9.1 for Windows (SAS Institute, Cary, North Carolina), and they are presented as mean (standard deviation) or percentage, as appropriate. The Mann-Whitney nonparametric test was used for comparison between MCI categories regarding all parameters. Statistical significance was stated for P values <.05.
Two main indices were defined and calculated in this study: (1) the ratio between admitted and evacuated patients per incident and (2) the ratio of PBRC units transfused per hospitalized (admitted) patient index or PPI.
Complete data were available on 18 of 19 MCIs that occurred between 1997 and 2005 in the Tel Aviv area, all of which were caused by terrorist attacks. A total of 986 individuals were injured in 18 events; of these MCI victims, 498 (50.5%) were evacuated to TASMC; of those, 251 were admitted (50.4%). Victims not evacuated to TASMC were sent to neighboring level I and level II hospitals situated within a 30-km radius of TASMC. All calculated data refer only to patients who were evacuated to TASMC.
The mean number of evacuated and admitted patients per incident was 27.6 (17.0) (range, 3.0-64.0) and 13.9 (9.8) (range, 3.0-38.0), respectively. The mean evacuation to admission ratio was 0.56 (0.24) (range, 0.2-1.0).
Sixteen incidents were a result of suicide bombing attacks (SBAs). Of the total incidents, 9 of the SBAs (56.3%) occurred in confined spaces and 7 in open spaces (43.7%), generating 179 and 53 admissions, respectively. The remaining 2 were gunshot attacks producing 19 admissions. The evacuation to admission ratio for closed space, open space, and gunshot injuries were 60%, 50%, and 40%, respectively.
The injury severity score (ISS) of admitted patients was mild (ISS 1-8) in 61.5%, intermediate (ISS 9-15) in 17.5%, and severe (ISS ≥16) in 20.0% of patients. The mean ISS per incident was 12.0 (6.8) (range, 4-33). The mean ISS was not statistically different when comparing the size of events (P = .80; Table 1). The mean number of evacuated victims (per MCI) from confined-space scenes was significantly higher than from open-space scenes (mean, 36.4 [17.0] vs 20.1 [15.0] patients per incident, respectively; P = .04). The mean number of admitted patients per MCI from confined-space scenes was also significantly higher than from open-space scenes (20.3 [9.9] vs 7.5 [4.8], respectively; P = .001).
Patients were admitted or released according to the severity of injury; any patient needing a transfusion was admitted. Twelve of 251 patients (4.7%) met the criteria for massive transfusion, defined as more than 10 PRBC units within 24 hours after injury. All patients requiring a massive transfusion had been injured in an SBA in which the number of evacuated patients exceeded 25. The female to male ratio was 1:1. All were admitted to the intensive care unit (100%) and had a mean ISS of 15.0 [18.0] (range, 4-66). Eleven were urgently operated on (91.7%) on arrival. Of the 12 patients requiring massive transfusion, 3 died (25%). The massive transfusion group received 180 (54%) of the 332 PRBC units transfused in MCI patients.
Table 1 depicts the data on testing and transfusion of PRBC units during all 18 MCIs. A total of 230 blood samples were sent for T&S with 2 tubes of blood samples per patient in accordance with the medical center guidelines that mandate that no transfusion be given before 2 separate samples are typed for each patient to ensure patient identity and safety of transfusion.
A total of 332 PRBC units were transfused, 85 of which were untested type O (25.6%) (Rh-positive and Rh-negative) units. The mean number of untested units of blood transfused was 5.3 (12.9) U (range, 0-50 U) per incident. Samples sent for T&S, total number of PRBC units transfused, and untested type O units of blood transfused were compared by size of MCI (Table 1). The means were significantly different, implying that the workload on the blood bank is significantly increased in an MCI with more than 25 admissions. With respect to transfusion of PRBC units, there was a 6-fold increase in the number of units transfused per MCI when more than 25 victims were admitted.
Since untested type O PRBC units are usually transfused when time is of the essence and conditions are critical, we looked at the number and fraction of type O units that were given during MCIs. A significant difference was demonstrated between smaller and larger MCIs (Table 1), suggesting that the number of victims treated simultaneously, if not the severity of the wounds, leads to transfusion of blood before testing.
To try to predict the number of PRBC units transfused after an SBA, the number of PRBC units tranfused per admitted patient ratio (PPI) was calculated. The PPI describes the average number of PRBC units that were given to an admitted patient per incident. The average PPI was 1.36 for confined space, 1.66 for open space, and 0.05 for gunshot injury. The average PPI for all SBA was 1.20 (1.60). A statistically significant difference was found between larger MCIs (≥25 evacuated patients) and smaller MCIs (<25 evacuated patients) (Table 2). The PPI was not influenced by the place where the SBA took place (open or confined space).
The timing of transfused PRBC units and blood components is presented in Table 3. More than half of 332 PRBC units (53.3%) were given during the first 2 hours after admission, which is when ED triage, emergency treatment, and transfer to the operating room (OR) occur. This is also the time of intense pressure and the greatest workload on blood bank personnel. The mean demand for PRBC units was 4.6 (10.6) U in the first hour, and 5.6 (10.4) U in the next hour. Table 3 also depicts data on transfusion of fresh frozen plasma (FFP), platelets, and cryoprecipitate.
Unlike the transfusion of PRBC units, which serves as a lifesaving or resuscitation treatment, blood components are usually an adjunct and are most often transfused 2 or more hours after the beginning of the event. Despite the lack of statistical significance (likely due to small sample size), one-half to two-thirds of plasma, platelet, and cryoprecipitate units were transfused between hours 3 and 12, when the victims are either still in the OR or were already transferred to the general care ward or intensive care unit. About one-third is transfused between 12 and 48 hours to correct dilutional or consumptive coagulopathy.
The TASMC blood bank has an inventory of 450 U of FFP daily. The total number of FFP units transfused during all MCIs was 92 (4.8 [7.3] U per incident; range, 0-23 U). The blood banks keep 30 U of platelets daily. The total number of platelet units transfused in all MCIs reached 72 U (4.0 [7.7] U per incident; range 0-24 U) and three-quarters of the units were transfused after the second hour after admission. The inventory of cryoprecipitate for our hospital is 80 U. The total number of cryoprecipitate units transfused in all incidents was 148 U (8.2 [15.7] U per incident; range, 0-50 U). No shortage of the different blood components (FFP, platelets, or cryoprecipitate) was encountered in any of the incidents.
The distribution of PRBC units transfused by major blood groups is detailed in Table 4. Type O Rh-positive and type O Rh-negative units were given in 57.0% of PRBC transfusions. All untested type O PRBC units were transfused within the first hour following the MCI. It is noteworthy that no shortage of blood was experienced except for 1 (large) incident in which a shortage of type O Rh-negative units was temporarily anticipated but was immediately resolved by the emergency delivery of blood from the supplier.
The safe and timely provision of blood products is of crucial importance in the prevention and mitigation of morbidity and mortality due to traumatic injuries. In this study, the usage of blood in the treatment of civilian casualties resulting from terrorist attacks in 18 urban MCIs, both in open and closed spaces, was analyzed retrospectively and assessed the effect of transfusion therapy on blood banking services and the treatment of victims in the setting of an MCI.
The data show that patient injuries were similar, regardless of MCI location or size. The mean ISS per incident was 12 (6.8) (range, 4-33). The mean ISS was not statistically different when comparing the size of events, P = .80 (Table 1). Our assumption that bigger incidents might be associated with a higher ISS could not be established according to our data. Although the average ISS was higher in the large MCI group, it did not reach statistical significance. That might be explained by the high variability of injuries, which is much unexpected in these situations as reflected by a high standard deviation. It is unclear if the increasing amount of blood used per patient when the MCI is a larger event is owing to more serious injury not captured by ISS methodology, to longer time until definitive operation and control of blood loss, or to generalized confusion and inappropriate triage that leads to too many severely injured patients being sent to the same trauma center. The emergency medical teams in the field determined the evacuation destination of patients. Since the TASMC is the only level I trauma center in Tel Aviv, most of the severely injured patients were evacuated to our hospital. Although this might form a sample bias, we believe that it represents a true picture of events for which a level I trauma center should be prepared.
No shortage of blood was experienced and the standard operating protocol employed at TASMC has served its purpose of supplying blood in a safe and timely fashion. Use of the standard operating protocol allowed for a smooth flow of work at different sites including the blood bank, ED, and OR. This implies that if a facility has a sufficient supply of blood products and applies a protocol similar to the TASMC protocol, shortages should be rare in MCIs.
At the time the blood bank receives MCI notification, 3 types of activities occur simultaneously: (1) a count of existing free PRBC units inventory and ordering from the supplier; (2) activation of the recruitment network (ie, notifying the blood bank director and the designated liaison[s] who decide how many people should be brought in from home based on the reported size of the MCI, time of day, and number of personnel at the blood bank at the time); and (3) preparation of type O blood units in a container to be brought by the liaison to the trauma triage room in the ED. The responsibility of the liaison in the ED is to supervise sample collection for T&S transfer samples to the blood bank, supply and record each unit of type O blood transfused into victims, and then to perform the necessary tests.
A recipient may receive blood from 1 of 3 "pathways": (1) as emergency type O immediately on arrival from the container held by the blood bank liaison in the ED; (2) as a "type and immediate spin only" after the blood type has been verified on 2 separate samples (but the screening test for unexpected antibodies has been omitted), which takes approximately 10 minutes from first blood specimen tube's arrival to blood issuance; and (3) after a full T&S has been performed, which takes approximately 45 minutes. A full T&S test and an immediate spin crossmatch (to verify a major blood group match between the patient and unit of PRBCs) is the default procedure for each sample and is routinely applied, unless otherwise specified by the ordering physician on a special form. Obviously, if a patient has been transfused by type only, a full screen is performed and the physician is notified of the result as soon as it is available. Of note, owing to our protocol of double sampling and T&S testing before transfusion of each patient, no mistransfusion has occurred in any of the MCIs.
Approximately 1 hour after the start of an MCI, admitted victims have been resuscitated and are being transferred to the OR. At this time, the liaison from the ED or a second designated liaison goes to the OR area with the remaining type O units to be dispersed as necessary. At this point, the main activity of the liaison shifts from primarily supervising correct sample collection to coordinating the demands of the surgical and anesthesiology teams within the ORs and the blood bank, along with physically delivering blood units to the different operating rooms. In most cases, the liaison(s) has completed both ED and OR tasks within 1 to 2 hours after the start of the MCI and returns to the blood bank to join the staff. The distribution of transfused PRBC units by major blood groups is detailed in Table 4. Type O Rh-positive and O Rh-negative were given in 57.0% of PRBC transfusions, whereas their combined frequency in the Israeli donor population is 33.0% (Table 4). The difference is accounted for by 85 PRBC units (25.6%) that were administered without a complete T&S testing, as shown in Table 1. Interestingly, all untested type O PRBC units were transfused within the first hour following the MCI. The transfusion of approximately 16.0% (3.0% in the Israeli population) type O Rh-negative PRBC reflects the guideline to transfuse untested Rh-negative blood only to females of reproductive age. There was a large MCI that occurred in a club where many young women were injured.
Our data show that a significant fraction of all PRBC units are transfused within the first 2 hours of an incident and that a majority are untested type O units, with significantly more used in larger MCIs. From the PPI calculated and presented in Table 2, one can use as a guideline 1 U of PRBCs per victim in small MCIs and 2 U per victim in larger incidents. Thus, trauma teams and transfusion medicine physicians can have a framework of how many units to order from the supplier immediately on notification of the event.
Despite the scarcity of data on actual transfusion in MCIs, data on supply for such victims from the Israeli Magen David Adom (the national blood supplier) show that 12% of the injured succumb at the site while many suffer mild injuries and stress. This leaves the mostly moderate and severely injured victims as candidates for blood transfusion. The number of PRBC units ordered from the supplier per civilian casualty in 2000-2002 was 6.5.3 Thus, orders (and therefore supply) exceeded the actual demand by 3-fold.
Our article defines a new concept of PRBC units per patient ratio. Taking into account factors such as the uncertainty of the arrival of additional victims to the ED, the risk of second-hit explosions, and the chaotic atmosphere that might exist between both ED and emergency medical service teams, this index may be of practical value. It may assist both the medical manager of the incident and the blood bank in evaluating the number of PRBC units to be transfused. Multiplying a known index by the anticipated number of patients at the scene to be transferred to the ED may give a rough estimate of the number of needed transfusions. However, as reflected from the data, there is a considerable variation (range, 0-3.6; mean, 0.55 PRBC unit per evacuated patient) in this parameter among the 18 incidents described. This variation may be attributed to several factors. First, it should be made clear that aside from our hospital there are 2 additional level I trauma centers in a 10-mile radius that also received patients during the previously mentioned MCIs. Although there is an established policy for the emergency medical service teams regarding the regulation and distribution of patients with different levels of injuries, a certain amount of inequality seems to persistently exist, as the nearest hospital receives larger numbers of casualties sustaining more severe injuries in relatively short time periods. In addition, the injury pattern in open-space incidents differs from that observed in confined-space incidents, with the latter making up more than 50% of the SBAs described in our series.4 Indeed, significantly more patients were eventually hospitalized after being involved in a confined-space MCI, therefore stressing their severity of injury and the anticipated need for blood transfusion. It appears from our data that the most powerful predictor of PRBC unit demand is the magnitude of the MCI, in terms of the number of evacuated casualties. Incidents from which more than 25 persons were transferred to the ED were associated with a significantly higher PPI, as well as with higher rates of admissions.
Therefore, taking into account the previously mentioned factors, the PPI may aid in providing a rough estimate of the expected demand for blood. There are several important lessons to be learned from our review. One important lesson is that the actual usage of blood is smaller than anticipated and ordered. Another lesson is that approximately 50% of the initial order of PRBC units on notification of an MCI should be type O units. These will most often be used during the first 2 hours for urgent transfusions, about half of which will be untested as shown by the current analysis. These numbers are significant for suppliers as well who may have to direct a limited supply of type O blood to a single medical center.
The amount of PRBC units transfused during the first 24 hours after admission merits further discussion. Our findings correlate with a report by Wudel et al,5 who described patients transfused massively after blunt trauma. Farion et al6 described the implementation of trauma care protocols in the early 1990s that resulted in increased survival of more severely injured patients while using less total numbers of units of PRBCs, but with 70% of all units of PRBCs being transfused within 24 hours of admission. In a retrospective analysis of all transfusions provided to acute trauma patients admitted to a large level I trauma center in the year 2000, Como et al7 reported that only 62% were administered in the first day. However, many factors in these analyses may be confounding. First, none of the previously mentioned studies addressed the issue of MCIs. It may be prudent to assume an "economical" strategy in the setting of an MCI, limiting the amount of blood transfused in the first hours to those absolutely necessary, thus trying to avoid exceeding blood bank capabilities. Other modalities to limit transfusions, such as the use of a cell scavenger, might be difficult to institute since the technicians who operate them may be busy in other capacities such as working the pump machine, but these may be helpful if local resources allow their use.
Multiple-casualty incidents create a unique population of trauma patients. The fact that 5% of the patients receive more than 50% of the transfusions only amplifies the uniqueness of these patients. In addition, such events are characterized by a relative lack of personnel and technical capabilities for patient monitoring combined with missed diagnoses and the postponement of less urgent surgical interventions. Thus, scenarios in which excessive blood transfusions are administered to MCI patients are not a rarity.
Unlike PRBC transfusion that serves as a lifesaving or resuscitation treatment, blood components are usually an adjunct and are most often transfused 2 hours or more after the beginning of the event. One-half to two-thirds of plasma, platelet, and cryoprecipitate units were transfused between hours 3 and 12, when the victims are either still in the OR or already transferred to the general care ward or intensive care unit. About one-third of components are transfused between 12 and 48 hours to correct dilutional or consumptive coagulopathy. The massive transfusion protocol employed at the time of these MCIs did not include the more modern concept of early factor replacement. These old protocols would not begin factor replacement until after 6 U of PRBCs were transfused, while the modern approach is favoring a 1:1 ratio of PRBCs to FFP.
Most PRBCs are administered during the first 12 hours after admission. Although only 5% of the patients will require massive blood transfusions, those patients will receive 50% of the total number of units of PRBCs transfused. Blood bank operations must be coordinated with other medical teams dealing with an MCI. Timely flow of relevant data to the blood bank and application of the PPI might help initial estimates of the need for blood products.
Correspondence: Dror Soffer, MD, The Yitzhak Rabin Trauma Center, Division of Surgery B, Tel Aviv Sourasky Medical Center, 6 Weizman St, 64239, Israel (firstname.lastname@example.com).
Accepted for Publication: April 27, 2007.
Author Contributions: Drs Soffer, Klausner, Schulman, Hareuveni, and Ben-Tal had full access to all of the data in the study and take responsibility for the integrity of the data and the accuracy of the data analysis. Study concept and design: Soffer, Klausner, Bar-Zohar, Szold, Schulman, Halpern, and Ben-Tal. Acquisition of data: Soffer, Klausner, Bar-Zohar, Shimonov, Hareuveni, and Ben-Tal. Analysis and interpretation of data: Soffer, Klausner, Szold, Schulman, Halpern, Shimonov, Hareuveni, and Ben-Tal. Drafting of the manuscript: Soffer, Klausner, Bar-Zohar, Szold, Halpern, Shimonov, Hareuveni, and Ben-Tal. Critical revision of the manuscript for important intellectual content: Soffer, Klausner, Bar-Zohar, Szold, Schulman, and Ben-Tal. Statistical analysis: Soffer and Schulman. Obtained funding: Soffer, Klausner, and Halpern. Administrative, technical, and material support: Soffer, Klausner, Bar-Zohar, Szold, Schulman, Shimonov, Hareuveni, and Ben-Tal. Study supervision: Soffer, Klausner, Bar-Zohar, Szold, Schulman, Halpern, Shimonov, Hareuveni, and Ben-Tal.
Financial Disclosure: None reported.
Previous Presentation: This study was presented at the 36th Annual Meeting of the Western Trauma Association; March 24, 2006; Big Sky, Montana.


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Young Concert Artists Anniversary Gala Preview
The Young Artist Showcase has been going strong since 1978, but with more than 50 years of nurturing young talent, the Young Concert Artists has the YAS beat. Many of today's stars got their start with YCA, including Emanuel Ax, who said, "It is because of Young Concert Artists that I am able to make music today."
This week the YAS previews the artists that will help Young Concert Artists celebrate its 51st anniversary at a gala concert on May 9 at Alice Tully Hall.
Three recent YCA alumni will make their concerto debuts: Narek Haknazaryan, Ran Dank and Hahn-Bin. At Alice Tully, these three young artists will perform with the Orchestra of St. Luke's. Here, they are presented in live chamber music recordings.
Program details:
Elgar: Salut d'Amour
Schumann: Fantasiestucke
-- Narek Haknazaryan, cello; with Noreen Polera, piano.
Beethoven: Sonata No. 13 in E-Flat, Op. 27, No. 1
-- Ran Dank, piano.
Franck: Sonata in A (third movement)
Lutoslawski: Subito
-- Hahn-Bin, violin; with John Blacklow, piano.
Paganini: Variations on a Rossini Theme
-- Narek Haknazaryan, cello; with Noreen Polera, piano.


text: In Express-Sisters Group (IESG) was established in 2001 as a joint venture between In Express Media Limited and Sisters' Press Limited, with core business focusing on publishing, online business, media management, graphic design and creative services. Publications of IESG include printed and electronic versions of SISTERS BeautyPro, Modern Home and Sweet Home in Taiwan. We also have Sisters magazine published in Malaysia and Singapore.For the media management sector, we specialize in developing and marketing of advertising sales. We are the advertising representatives of the TV Easy classified advertising in Hong Kong, and of the Mainland China market authorized by Television Broadcasts Limited.Our online business includes websites of Modern Home Plus and Sweet Home. Both of them provide one-stop information for interior design and home products.We are also renowned for organizing mega-scaled exhibitions such as the Ani-Com & Games expos in Hong Kong, which attracts world-wide attention. For the trade sector, we have SISTERS BeautyPro Trade Fair for the professional beauty industry.IESG subsidiaries are located in China, Hong Kong and Taiwan.


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Islanders even series the hard way
The New York Islanders didn't do it the easy way.
Rather, left wing Matt Moulson said the Islanders did it the "dirty" way.
The Penguins keep giving th Islanders opportunities. Who knows where this series might end up if the Islanders ever start taking advantage?
As it is, the Islanders are going home with the series tied at 1-1 after a 4-3 victory Friday night at Consol Energy Center. The series resumes Sunday in Long Island.
"I don't think any of them were too pretty," said Moulson, the only Islanders player to score a power-play goal in the series' first two games. "We'll take them. They don't ask how."
The difference Friday, compared to a 5-0 Penguins victory Wednesday, was the Islanders mostly throwing pucks toward the net — 42 in all — and seeing what happens.
Moulson said his goal in the first period was a good example.
"I got a lucky bounce off (defenseman Doug) Murray's stick," he said. "That's a dirty goal, a greasy goal."
Islanders coach Jack Capuano liked his team's forechecking and ability to beat the Penguins to loose pucks. He didn't necessarily see it as dirty.
"I thought for the most part we did a lot of good things from a structural standpoint," he said.
The Islanders, the No. 8 seed, have scored only one goal in eight power-play chances in this series, a bit of a surprise with the Penguins struggling when the opponent has the man-advantage most of the season. Before the playoffs, the Penguins were 25th in the 30-team NHL after allowing 34 goals on 167 shots (a 79.6 percent success rate) when the other team was on the power play.
The Islanders were sixth in power-play goal percentage (19.9) in the conference in the regular season.
The problems on the power play didn't matter Friday. They didn't have any power plays in the final period when the game was decided. The Islanders scored three times at even strength after the Penguins built a 3-1 lead after the first period.
The winner came with 7:37 left in the game on a shot by Islanders right wing Kyle Okposo that went behind the net, hit the back of Marc-Andre Fleury's pads and trickled into the net.
The one time the Islanders did score with the manpower edge, the Penguins responded 18 seconds later with Sidney Crosby's second goal of the game. That gave the Penguins a 3-1 lead after the first period, but the Islanders managed to tie the score at 3-3 going into the third period on even-strength goals by Colin McDonald and Matt Martin.
The Penguins were able to neutralize the Islanders' power play thanks to defenseman Kris Letang jumping John Tavares at most opportunties.
Murray also made a key play while killing a power play in the second period. Murray slammed his 6-foot-3, 245-pound body to the ice to block a shot by right wing Brad Boyes. On one knee, Murray cleared the puck out of danger.
In the end, the Islanders were better on even terms with the Penguins, and that was the difference.
Jerry DiPaola is a staff writer for Trib Total Media. Reach him at email@example.com or via Twitter @JDiPaola_Trib.
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Uncle Jesse Reuniting with 'The Rippers'!
Get those DVRs set RIGHT NOW! Jesse and the Rippers will reunite for a performance on this Friday's (7/19) episode of 'Late Night with Jimmy Fallon'.
After the success of their hit, "Forever" which gave us this glorious music video:
The Rippers dumped Jesse Katsopolis as their lead singer during Full House's 8th season.
But, John Stamos had been hinting at some sort of reunion on social media over the course of the past couple weeks. He even did a instagram video singing the 'Full House' theme song, you can see that here:
No word on whether the rest of the cast will make an appearance as well, but we can only hope!
Source: Philly.com


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Tel:++62 361 286 283
Fax: ++62 361 286 284
U.S.A. Fax:(toll free) 1-800-506-8633
U.K. Fax: ++44-20-7000-1235
Australian Fax: ++61-2-94750419
24h: ++62 812 3819724
Visitors traveling the new road leading to Bali Ngurah Rai International Airport cannot help but notice the construction activity surrounding a new statue being erected at the round-about, approximately half-way between the Bypass and the airport; entrance. Local interest began to pique last week when traffic trying to access the airport was detoured as construction workers and engineers struggled to place the 8 meter figure atop its foundation which brings the total height of the monument to 19.45 meters.The bronze monument depicts I Gusti Ngurah Rai, a revolutionary hero who died in the battle of Margarana on November 20, 1946 and the namesake of Bali's airport. A lesser monument of I Gusti Ngurah Rai already stands at the edge of the mangrove forest at the eastern end of the airport's sole runway.The new statue measuring 8 meters stands (including its podium platform) a total of 19.45 meters high. The monument will be surrounded by 17 water fountains. Those numbers are not coincidental and reflect 17-8-1945 the date on which the Indonesian Republic dates its birth when Soekarno and Hatta declared national independence in Jakarta.


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|Patriots Look Poised For Another Super Bowl Run
|Bruins Trade For Drew Stafford
|Black and Gold Bruins Turn Yellow On Parade Day
|Inconsistency Will Continue For Bruins Unless A Change Is Made
The Boston Red Sox defeated the Toronto Blue Jays on Tuesday night behind an excellent pitching performance of Daisuke Matsuzaka, and a late inning two-out rally.
The Blue Jays started off fast in the first inning as Brett Lawrie led off the game with a double to center field. Colby Rasmus reached base on a fielder's choice, which moved Lawrie to third base. Following a Jose Bautista pop out, Edwin Encarnarcion grounded to third baseman Will Middlebrooks who committed a throwing error allowing Lawrie to score, and Rasmus and Encarnarcion to advance to third and second respectively. Daisuke was able to record the final two outs to avoid any further damage.
The pitching of both teams kept the offenses quiet in this game. Recently, the Blue Jays starting rotation has been decimated by injuries, which led to Aaron Laffey making the spot start in Tuesday's game. Laffey went six strong innings allowing only three hits, no runs, walked two, and struck out two. The Red Sox almost tied the game in the sixth inning, but Dustin Pedroia was thrown out at the plate. The Red Sox offense was happy to see Laffey exit the game as they jumped on the opportunity in the seventh inning.
Adrian Gonzalez and Will Middlebrooks grounded and flew out respectively to start the seventh inning. Jarrod Saltalamacchia tied the game with a solo home run over the Green Monster off of Jason Frasor, his 14th of the year. Luis Perez came in to relieve Frasor as Ryan Kalish pinch hit for Darnell McDonald. Kalish hit a ground ball to right field which resulted in a double.
David Pauley then came into relieve Perez, and Daniel Nava came into pinch hit for newly acquired Brent Lillibridge. Nava was hit by a pitch from Pauley to put runners on first and second with two outs. Following a Mike Aviles walk to load the bases, Dustin Pedroia singled on a ground ball to center field that scored Kalish and Nava. Aviles was caught in a rundown to end the inning, but not until the Red Sox were able to string together a two-out rally to take the 3-1 lead.
The Sox weren't satisfied with a two-run lead and continued the scoring in the bottom of the eighth. David Ortiz led off the inning with a double. Cody Ross followed that up with a single to right putting runners on the corners. Adrian Gonzalez then doubled to left field, scoring Ortiz and putting the Sox up 4-1. Will Middlebrooks hit a sacrifice fly to right field, allowing Cody Ross to score their fifth and final run.
Alfredo Aceves came on to close the game out in the ninth inning, even though it was not a save situation.
Daisuke Matsuzaka had another strong outing, which Bobby Valentine claimed was his "best performance this year" after the game. Matsuzaka went five and two thirds innings, allowing one run, on six hits, walked only one batter, and struck out five.
Daisuke has been impressive since his return. While his statistics don't jump out at anyone, or scream All-Star potential, he has been a reliable option in the rotation. In four games since his return, he is 0-2 with a 4.91 earned run average. He has struck out 21 batters and what is most impressive is he has only walked six batters. Walks were one of his biggest problems in his time with the Red Sox, but this season he has shown more confidence in his pitches, and has found success.
Daisuke's strong outings are a good sign as the Red Sox continue to improve and look toward making up ground in the AL East.
Tags: Aaron Laffey, Adrian Gonzalez, Alfredo Aceves, Blue Jays, Bobby Valentine, Brent Lillibridge, Brett Lawrie, Cody Ross, Colby Rasmus, Daisuke Matsuzaka, Daniel Nava, Darnell McDonald, David Ortiz, David Pauley, Dustin Pedroia, Edwin Encarnarcion, Jarrod Saltalamacchia, Jason Frasor, Jose Bautista, Luis Perez, Mike Aviles, Red Sox, Ryan Kalish, Will Middlebrooks


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This is a discussion on Reconsidering carrying one in the chamber.... within the Carry & Defensive Scenarios forums, part of the Defensive Carry Discussions category; Being a "sitting duck" in church does not appeal to me or the pastor. I carry in church with one in the pipe. I always ...
Being a "sitting duck" in church does not appeal to me or the pastor. I carry in church with one in the pipe. I always carry with one in the pipe due to forum's like this one teaching (and showing vid's) why I should. Having small kid's would sure complicate matters I do agree.
Kahr CM9, Beretta PX4 SC .40, Ruger LCP/LM, Dan Wesson .357, Beretta 21A .22, Four Aces .22, H&R .22, Marlin .22 rifle and 1946 Remington 12 gauge.
Wow, didn't expect this many comments. As far as drug deals, everyone besides my family is 60 plus, closer to 80. The person in question was not in church. I would not park in this area except this is where the Leo sits and I park next to him, no safer place, right??
Dead guy's post makes the most sense to me. I had been carrying on an empty chamber to get used to the weapon. I am capable of operating this weapon safely, but was getting used to it. The post was intended to share my experience with others who might carry with an empty chamber for whatever reason.
There are two very different opinions being stated:
1. a gun in condition 1 is believed to be in a more advanced state of readiness when compared to a gun in condition 3.
2. a gun in condition 3 is believed to be in a state of readiness that is just as good or better than a gun in condition 1.
NRA Life Member
GOA Life MemberMoving to a new location
Thanks to this forum I always have one in the pipe. I started out with empty. I learned more and read about things and practiced more at the range. I am comfortable with it and don't even worry about it any more. I just know I am ready to go if needed.
Now, on with the grown-up discussion.
There are only TWO kinds of people in this world; those who describe the world as filled with two kinds of people...and those who don't.
Folks with small children hovering around tend to be extra or overly cautious. It's a Parent/Child thing that is completely understandable though possibly slightly irrational.
You carry a GLOCK. Buy yourself a Saf-T-Blok and then (for now) you'll feel better and at least you will not need to rack the slide to chamber a round. Popping that out from behind the trigger with your index finger is a whole lot quicker than racking the slide to chamber a round - and also consider the fact that you may need to fend off an attack or hold onto one of your kids with your support arm and that arm/hand may not be available to rack your slide.
For now & were I you (with your concerns) I would either opt for the Saf-T-Block or an active retention holster.
Liberty Over Tyranny Μολὼν λαβέ
I'll allow that one post up there to stay since other members have already responded to it but, in the future please keep Rule #2 on our forum rules page in mind.
I'll post it here as a reminder.
2. While debating and discussion is fine, we will not tolerate rudeness, insulting posts, personal attacks or purposeless inflammatory posts or PMs. Trolling, flaming, and personal attacks are strictly prohibited. You are welcome to disagree with opinions other than your own, but flaming other members will not be allowed. If you can't figure out how to compose a post without it being confrontational or a personal attack on someone, simply bite your lip and don't post it.
Liberty Over Tyranny Μολὼν λαβέ
Understand & appreciate the kid-related caution. Yet IMHO, the Saf-T-Block idea has always seemed kinda' counter-intuitive. I do NOT desire to stick my finger inside the trigger guard to disengage any sort of safety device. I think the mental processing involved in deciding when/where to shoot is already complicated enough. Yeah, I know, that's the method on an Garand variant & a Ruger Mini, but on those examples the trigger guard is roomier and you're moving more toward the front of the guard. On a GLOCK? I'll pass.
Rather than un-chambered, maybe a relatively long DA pull with the safety engaged? Like a 3rd Gen S&W autoloader or a CZ75?
There are only TWO kinds of people in this world; those who describe the world as filled with two kinds of people...and those who don't.
I carry my GLOCK 19 with one in the chamber. My gun is either in my holster or in a lock box. It's not a toy so if it comes out of the holster it is either gonna be spitting lead or going to bed. My first advantage is having a gun concealed, my second advantage is the gun is ready to go to work, then it's up to me to decide if I put it to work. The nice thing about the GLOCK trigger is it takes deliberate contact to make it work.
Practice and more practice should rid you of the fear of a chambered gun "just going off".
If you want to carry unchambered that is up to you. I sincerely hope you never have to use your gun to defend yourself or your loved ones. If you do I sincerely hope you've got the extra time to remember to chamber a round and the ability to do it under pressure before you or those you are defending get hurt or worse.
NRA Life Member
With great power comes great responsibility.-Stan Lee
Here is what I say abt it. Which every way u carry is ok, but be sure u know the condition it's in when the time comes so u don't pull on a hard trigger and nothing happens. Always carry the same way and practice that way, that way u will be ready when the time comes if ever. That being said myself I carry with one in the pipe and keep it holstered until needed.
Sorry thought i was being humorous .guess not adimn says
I worry less about my kids getting their hands on the pistol than I worry about them banging their heads on the butt of the 1911 when they run into me at full speed.
May you be in Heaven before the Devil knows you're dead
I carry a Springfield xd. At first I carried with nothing in the chamber as I was new to carrying and didnt know how the weapon would react if dropped or bumped. That was until I had a close call and realized how slow drawing and chambering really is.Now When I leave the house I chamber a round. The only time its not hot is when im in the house with my nieces who are 2 and 1 but the side arm is still concealed so they shouldn't even know its there.


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Hey there, time traveller!
This article was published 21/1/2013 (1619 days ago), so information in it may no longer be current.
A professor at Brandon University has written a book exploring the social, political, and religious changes in Palestine from the 'stone age' to the Persian and Roman eras.
The book was written by KL Noll, chair of the religious studies department at BU. He says that "Canaan and Israel in Antiquity" is designed for readers who have not previously studied the ancient Near East.
"This book will appeal to anyone interested in the ancient world or religious history," he said. "Usually these types of books are written by academics for an academic audience, or they are written to prove or disprove the Bible. My book is for people with no background and genuine curiosity."
This is the second, and fully revised, edition of the book. The first edition was published in 2001 and has been assigned for university courses in Canada, the United States, England, and the Netherlands. The new edition reflects the latest archaeological findings, adds new material on the religiously diverse environment of ancient Israel, and incorporates new maps, photographs, and translations of ancient inscriptions.
"Most textbooks on this topic assume that the students already know the key terms, the geography, and the historic background," Noll said, "but often the students do not, and as a result they are frustrated. I wanted to create a textbook for students who are interested in ancient Palestine but have not yet examined it from an academic point of view."
Noll has taught at Brandon University since 2005, offering courses in theoretical study of religion, Christianity, Judaism, Islam, and Biblical languages. In addition to '"Canaan and Israel in Antiquity," he has written "Faces of David" as well as 20 journal articles and book chapters dealing with ancient religion, ancient Judaism, and earliest Christianity.
Noll earned a Ph.D. from Union Presbyterian Seminary in Richmond, Virginia, and has taught for several Christian seminaries in the United States. He also taught history at Penn State University in Pennsylvania, then religious studies at Kentucky Wesleyan College in Kentucky.
The 434-page book is available at the BU bookstore and through online booksellers.


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Member: kaj.wants
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Henry County HS Paris, TN Alumni List
Last names starting with "L"
Select letter of last name to filter the alumni list
Registered Alumni
All Alumni
- Class of 1990 Danny Ladd
- Class of 1972 Mike Lafon
- Clatty Lamb
- Class of 1978 Susan Lamb
- Class of 1983 David Lampkins
- Class of 1972 John Lance
- Jamie Lane
- Class of 1981 Donald Lax
- Class of 1972 Tony Lax
- Class of 1996 Robert Leach
- Class of 2011 Jason Lee
- Class of 1984 Tammy Lee
- Curtis Lewis
- Class of 1986 Mary Lewis (now Lewis-Floyd)
- Class of 2005 Robert Lewis
- Clay Lindsey
- Class of 2005 Gregor Lindsey
- Class of 2001 Josh Lindsey
- Class of 1989 Sheri Lineberry (now Duke)
- Detric Littleton
- Class of 1978 Thomas Littleton
- Class of 1982 Tammie Livesay
- Class of 1983 Michael Long
- Class of 1986 Anita Lowe
- Class of 2003 Crystal Lowe
- Class of 2003 Emily Lowe
- Class of 1976 Linda Kaye Lowe
- Class of 1975 Rita Luken (formerly Simpson)
- Ben Luther
- Bennie Luther
- Class of 1971 Brenda Lykins (formerly Thompson)
- Class of 2015 Conner Lyons
Looking for Henry County High School Paris, TN alumni not listed? If so, check out Classmates.com® - hundreds of more HCHS alumni have posted their profiles.
About the Henry County High School Alumni Directory
If you attended Henry County High Paris, Tennessee and want to be added to the alumni directory register now to add your name to the alumni list. Henry County High School alumni can relive their experiences from high school by sharing memories and pictures, reconnecting with those alumni listed, and more.


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Electronic Stability Control (ESC) Clicking Noise
The driver may notice a clicking sound coming from the front or underneath the vehicle. This occurs when the vehicle is traveling above 35 mph and during the first portion of a drive cycle. The ESC system will run a calibration routine and if the driver lifts off of the gas pedal, the ESC system will stop the test because the drive may need to brake. The clicking sound is the valves in the ESC system. Once the calibration routine is successful, the noise will not return until the next ignition cycle. Once the ESC system has learned 50 times, the calibration will not be run during every ignition cycle. The sound may also become less noticeable over time. This sound is normal and no service needs to be done.
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As the National Baseball Expert, Piliere will provide to Scout.com readers a variety of content on both the major and minor leagues, as well as in-depth scouting and analysis of MLB draft prospects. Piliere's first area of focus with Scout.com will be the 2011 MLB Draft. He has personally scouted more than 500 of the top amateur talents eligible for the draft and, over the next few weeks, will release rankings, mock drafts and scouting reports, as well as post-draft analysis.
"At it's core, the focus of the Scout.com business is to provide sports fans with a deeper level of information, and an enhanced fan experience through our content and community discussion," Joel Cox, Executive Director of FOX Sports Interactive, said.
"Frankie fits our model perfectly as his content is ideally suited for the baseball fan who wants a bit more in the way of minor league content, scouting reports, and in-depth evaluations. We are excited to have him back in the Scout family providing value for our subscribers and users."
Piliere most recently served as the National Baseball Analyst for AOL FanHouse. In that role, he provided analysis of all levels of baseball, bringing readers MLB scouting department-quality evaluations of players in the major leagues, the minor leagues and the collegiate ranks.
Before joining AOL FanHouse, Piliere served in the scouting departments for the Cleveland Indians and the Texas Rangers. For Cleveland, Piliere focused his scouting efforts on amateur players in the Northeast Region, as well as prospects in the prestigious Cape Cod League. While with Texas, Piliere's scouting responsibilities expanded to include scouting minor league affiliates for talent acquisition. Piliere's writing has also been featured on FanGraphs and in USA Today. He began his career as a writer and MLB draft analyst for Scout.com.
"Working with FOX Sports and Scout.com gives me the opportunity to continue and expand the type of coverage I strive to do. By putting an emphasis on evaluating prospects using my experience as a scout, I can give fans a different perspective and an idea of how teams look at players," Piliere said.
"I'm very excited to be doing that type of analysis on all levels of the game, from amateurs, to minor league prospects, to the big leagues. It's the perfect place for me to be."
Piliere's work will be found throughout the Scout.com MLB Network. He will be available for regular online chats and will answer questions for subscribers on the individual team sites' premium messageboards.


text: A 45 year resident of Washington Township, Bob and his wife Eileen (a 27-year past Board of Education member) have had three children attend Township schools. Currently they have a grandson attending Kindergarten. Bob is retired from New Jersey Transit, and owned and operated All Seasons Travel in Turnersville for 10 years. Giving back to the community is one of Bob's assets, as he is and has been involved in many Township organizations. Bob holds an AA Degree in Theatre.


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Scottie Wilbekin Reinstated to Gator Basketball Team, Will Play Monday
Published November 25th, 2013
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GAINESVILLE - After being suspended from the Gator basketball team following a violation of team rules in June senior point guard Scottie Wilbekin's suspension was lifted by head coach Billy Donovan today.
Wilbekin missed the first 5 games of this season but will suit up for the first time on Monday when the Gators face Jacksonville University on the road.
Meanwhile, Donovan said center Damontre Harris is still not a member of the team right now.
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- Billy Donovan Reinstates F Erik Murphy to Gator Basketball Team
- Tim Walton Kicks 3 Gator Softball Players Off Team, Gators Lose Regional Opener
- Scotte Wilbekin Suspended Indefinitely for Gators Basketball
- Rode to Redemption: Scottie Wilbekin
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- Billy Donvan Updates Scottie Wilbekin & Chris Walker Status
- Scottie Wilbekin's Redemption
- Scottie Wilbekin Lights it up on Day 5 of NBA Summer League(Orlando)


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Youth and Young Adult Ministry
2014 Cohort - Courses and Schedule
Concentration Goals
Learning Modalities
The Cohort Experience
Module Descriptions
Contact the Coordinator
To develop youth and young adult ministry practitioners who manifest spiritual/theological depth, professional competency, academic excellence, professional leadership skills, A genuine and growing relationship with Christ, a perspective that joins God and young people in their cultural settings, programming expertise, and the ability for self-reflection necessary for the spiritual care of youth and young adults within the broader church and community context.
The DMin Youth and Young Adult Ministry Concentration will provide a 'ministry-embedded' integration of theory and practice within a biblical theology of youth and young adult ministry.
Concentration Goals
Upon completing this program, the participants will be able to:
- Articulate a Seventh-day Adventist Christian perspective on the categorization of adolescent development and the influence of socio-cultural dynamics on the spiritual life of youth.
- Direct a biblically and theologically faithful youth and young adult ministry.
- Utilize a 'transformational model' of youth and young adult ministry, while being conversant with, and drawing upon the philosophical and historical development of the variety of models of youth ministry.
- Model transformational leadership
- Demonstrate the transparency needed in a deepening relationship with God.
- Reflect constructively and theologically upon the content and process of youth and young adult ministry.
- Develop youth and young adult ministry programs in the local church and other targeted areas with both professional and theological competency.
The Doctor of Ministry Youth and Young Adult Ministry Concentration seeks to create competency in five areas related to the discipline:
Academic Advancement: to enable participants to acquire knowledge of current issues and empirical findings related to the field of youth and young adult ministry, to engage the discipline through theological, sociological and psychological perspectives, to learn basic research skills relating to the field of youth and young adult ministry.
Spiritual and Theological Development: to enable participants to reflect on their personal spiritual and theological perspectives and to integrate them into the practice of youth and young adult ministry.
Praxis: to enable participants to acquire skills pertinent to their practice in the field to youth and young adult ministry within the context of the church and the wider communityh in their particular cultural environments.
Professional Formation: to enable participants to gain knowledge of the professional field including spiritual leadership, consultation, networking, and ethical conduct.
- Self-reflection/Personal Growth: to help participants to become aware of their personal strengths and limitations (background, emotional state), and to realize the impact that self-awareness and self-understanding may have on ministry.
Learning Modalities
The following five learning modalities will be included in the concentration's pedagogy:
- A professional portfolio: including a ministry development plan, journaling, and relevant learning artifacts
- Learning groups/mentoring: including collective assignments, consultations, and accountability
- Classroom consultation: including didactic and experiential learning, as well as networking with top educators and experts in the field of youth ministry.
- Research: including perusal of the current literature, assigned readings, and developing empirical constructs for youth ministry practice.
- Praxis: including implementation of programming in the context of church life and other targeted areas of youth and young adult ministry.
The Cohort Experience
The program is delivered in the cohort model, wherein participants proceed through the sequence of courses together. Study and learning are year-round, with pre-intensive, during-intensive, and post-intensive activities and experiences. Pre-intensive assignment preparation can begin as early as six months prior to an intensive. There are four annual teaching sessions presented by ministry professionals. During the program you will participate in regional work groups, follow a ministry development plan, read and reflect on the best literature in your concentration area, and develop and evaluate a professional project within the context of your own congregational or other leadership responsibilities.
Cohorts are identified by the year in which they formed. For example, if you are a member of a cohort that formed in 2014, during the five-six years you expect to be in the program, the title of your group will be "the 2014 YYAM Cohort."
Module Descriptions
DSRE710 - Current Issues in Youth and Young Adult Ministry
Credits: 4
This module covers training in both the development of models/constructs, and research skills within the context of youth and young adult ministry. It provides education in the following specialty areas: theology of youth and young adult ministry, developmental theory, faith development, the core value and centrality of youth and young ministry, the impact of post modernism, missional church, and models of youth and young adult ministry. This module also fosters the first formative thoughts on the participant's ministry project and a review of literature for one's project.
GSEM790 - DMin Project Seminar
Credits: 4
Participants receive assistance in forming their DMin project proposal, and orientation to issues in successful completion of the project. Areas of focus include a literature review, theological reflection, critical thinking, experiential learning, reflective observation, research design and techniques, reading and evaluating research, academic writing, development of an effective work plan for completion of the project, and other project-related topics.
GSEM706 - Spiritual and Theological Foundations for Ministry
Credits: 8
This module looks at theological and spiritual foundations as a basis for engagement in ministry. Ministry is based on being as well as doing. This module builds the spiritual and theological foundation from which the practice of mission and ministry grows and seeks to lead the participant into a self-reflection and examination of life and belief.
DSRE765 - Advanced Youth and Young Adult Ministry
Credits: 5
This module will focus on a ministry embedded integration of theory and practice targeting specific areas and issues within the youth and young adult ministry context. It will provide education in the areas of youth culture, adolescence sexuality, interventions with at risk youth, contemporary worship, short-term missions, reclaiming missing youth, creative teaching methods, and evaluation tools for youth and young adult ministry.
DSRE721 - Perspectives on Youth and Young Adult Ministry Leadership Strategies
Credits: 5
This module will explore the various leadership roles and functions involved in youth ministry. It includes: youth and young adult ministry leadership principles, planning and leading major events, implementing change, leadership in youth and young adult evangelism, developing people helping skills, and the life cycle of a youth and young adult ministry.
Dr. Steve Case serves as concentration coordinator. He can be reached at 1-916-961-2177, email@example.com.
Travel and lodging information is provided in the links under the "Intensive Location" column.
Cohort participants will take these courses and modules:
2014 Youth and Young Adult Ministry Cohort
Syllabi and schedule for the cohort that begins in 2014:
Course #
|Course Name
|Intensive Dates
|Intensive Locations
|Current Issues in Youth & Young Adult Ministry (4 cr)
|Steve Case
|Feb 13-21, 2014
|Orlando, FL
|DMin Project Seminar (4 cr)
|James Wibberding
|Feb 23-Mar 3, 2014
|Orlando, FL
|Spiritual & Theological Foundations for Ministry (8 cr)
|Jon Dybdahl
|April 6-16, 2015
|Andrews University
|Advanced Youth & Young Adult Ministry (5 cr)
|Steve Case
|Feb 8-16, 2016
|Seattle, WA
|DMin Project (3 cr)
|Spring semester 2016
|Perspectives on Youth & Young Adult Ministry Leadership Strategies (5 cr)
|Allan Walshe
|Feb 16-26, 2017
|Loma Linda, CA
|DMin Project (3 cr)
|Spring semester 2017
The Doctor of Ministry reduced residency (for intensive venues other than the Andrews University campus) is offered as an approved exception to Association of Theological Schools Degree Program Standard B, section E.3.1.1.
For dates and locations of intensives planned for cohorts in other concentrations, see the four-year DMin Program Planner.
You will need the free Adobe Acrobat Reader software loaded on your machine to access any pdf documents referenced on this page.


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This Bershire queen bed is offered as a panel bed. Also a storage version (204460) available.. LED lighting on headboard and pier panels. Choose stand alone bed or create a mid-wall by adding pier panels (backpanels, sold as set of 2). Bed features storage drawers.
MAX BED WEIGHT: 600 lbs
PRODUCT MATERIALS: Asian hardwood & Red oak veneer
This bed is Slat bed type. Most of slat beds have 3-6 slats to support the mattress. Depending on your mattress you will probably need a box spring as well (only exclusion is if you mattress is really solid and really high). Memory foam mattress with slat-beds can be used with box-spring only.For this bed you would need:
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Coaster® Fine Furniture doesn't need to be introduced. With 8 general warehouses around US, this is one of the biggest furniture wholesalers in market, both East Coast and West Coast, which instantly means good pricing, quality, availability and very wide choice of everything that can be connected to furniture niche. We are proudly working with New Jersey Coaster Wholesale warehouse.


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War it is. Today's announcement by Carphone Warehouse of a £20.99 price tag for its Talk Talk phone service - including free high speed 8Mb broadband access to the internet - is the best thing to happen to telephony for years, writes Victor Keegan.
Forget about the broadband being free because, of course, it isn't. But the cost of the whole package, including free international calls to 28 countries (and also free in UK) undercuts BT's £43.49 by 50% and is well below other competitors such as Bulldog and Wanadoo (at least for the moment until the price war hots up further).
Britain is already the most competitive broadband market place among all G8 countries and this will make it even more so. It is also a giant step towards bridging the digital divide since poorer people paying an £11 a month rental fee to BT won't find it such a big jump to £20.99 because of the free calls included (as long as they live in the 70% of the country covered by the offer).
It is also well timed because broadband is in the throes of delivering television,"wideband audio" and free telephone calls at very low or zero cost. It is a good time to be joining the revolution.
It almost makes me feel sorry for BT because, by the terms of its contract with Ofcom, it can't lower its own prices until it has "unbundled" 1.5 million local loops (the distance from the telephone exchange to your home).
It has only done 300,000 so far. It is this unbundling that has prompted firms like Carphone to leap in and manage their own local loops and charge less. But sympathy for BT has its limits for one simple reason. BT has a virtual monopoly of the telephone delivery system to the home and it could have, should have, done this ages ago.


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Dr. David Rosgen of Wildland Hydrology presented a regional study yesterday, looking at how water, sediment, and debris is predicted to flow along the Waldo Canyon burn scar. It's called a Watershed Assessment of River Stability and Sediment Supply, or WARSSS. During the presentation, Rosgen said it'll take the better part of a century […]Continue Reading →
Hometown Huck Finn and the River that Giveth Life
On February 11, 2013 By Jake Brownell
In October of 2011, Zak Podmore and Will Stauffer-Norris embarked upon an adventure of Twainian proportions. Armed with kayaks, inflatable rafts, camping gear, and freshly minted CC diplomas, they departed from the snowy headwaters of the Green River and paddled their way south, down the entire length of the Colorado River basin. Over the […]Continue Reading →
Low Snowpack Conditions in Arkansas River Basin Persist
On January 22, 2013 By Andrea Chalfin News Dir.
Snowpack conditions in the Arkansas River Basin continue to be below normal. The latest numbers released today show the snow to water equivalency at about 3.5 inches. This time last year, that number was pushing six inches. Overall, the basin is about half of where it should be. Across Colorado, the numbers are much […]Continue Reading →
Snow Series: Arkansas River Basin, Snow Pack, and Drought
On December 27, 2012 By Andrea Chalfin News Dir.
For many in Southern Colorado, the Arkansas River is the lifeblood of healthy communities. But the region suffered through this year's extreme and exceptional drought conditions. And as KRCC's Andrea Chalfin reports, all along the Arkansas River, people are in some ways, holding their breaths to see what this winter brings.Continue Reading →
A Creek's-Eye View of Manitou
On July 25, 2012 By Noel Black
After the fires and a long hot summer, we find ourselves trying to find new ways to stay cool every day. This past weekend we decided to hike from Soda Springs Park through Manitou along Fountain Creek. What we saw along the way was equally refreshing—dozens of quaint bridges, otherwise inconspicuous murals, lovely mineral […]Continue Reading →
Crystal River Listed as Endangered River
On May 24, 2012 By Andrea Chalfin News Dir.
The Crystal River in Western Colorado has made its way onto a list of the country's most endangered rivers. A national environmental group says the main threat is a new dam and reservoir proposed a few miles upstream from the town of Redstone. But as Aspen Public Radio's Luke Runyon reports, water providers […]Continue Reading →
The Effect of Dust on Spring Runoff
On April 11, 2012 By Andrea Chalfin News Dir.
Rivers are rising and reservoirs are filling, which is a sure sign that spring runoff is already underway. But the process is occurring much earlier this year than usual. The main reason has to do with warmer temperatures, but dust is another factor causing snowpack to melt faster. Water supplies in the West are […]Continue Reading →
Measuring the Health of a Waterway
On February 22, 2012 By Andrea Chalfin News Dir.
Two of the state's experts on water and the health of rivers say the current method of determining the health of a stream is no longer valid. They say a more nuanced approach is needed, and recently presented their ideas to a citizen's water board in Aspen. As part of a new ongoing series […]Continue Reading →
Warm Weather Nostalgia: A River Trip
On March 16, 2011 By Craig Richardson
Warm days like today provide us with that hastening toward Springtime feeling, though we know we're not yet safely out of Winter's cold embrace, our spirits our kindled with a sense of exploration and dreams of adventure. Because we've not yet shed the cocoon of cold time lethargy enough to embark on a new adventure […]Continue Reading →
Looking Back at the Homeless Camps a Year Later
On December 16, 2010 By Noel Black
(Slide show is best viewed in full-screen mode by clicking on the arrows in the lower right-hand corner of the player. Click the right and left arrow buttons on the lower left to move through the slides. All photos by Noel Black and Michael Myers.)
One year ago, photographer Michael Myers and […]Continue Reading →
Field Trip to the Fountain Creek Nature Center
On October 12, 2010 By Noel Black
Last Friday, I joined the 4th and 5th grade classes from Buena Vista Elementary School for a field trip to the Fountain Creek Nature Center to see what we could see. And see we saw: butterflies, snakes, snails, birds, bugs, spiders and much more. If you haven't been to the FCNC of late, or ever, do treat yourself to a couple of hours of and some time at the visitors center at any time of year.Continue Reading →
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On September 21, 2010 By Noel Black
Yesterday, in the first installment of our journey down the Lower Arkansas River from Pueblo to Avondale, we found our way onto the river, wobbled around a bit and discovered the joys of this seldom-traveled, slow-water canoe trip. In the second part, here, we see a lots of weird things and piles of concrete, some handsome wildlife, and a lot more river-beaten trash. The we take an unplanned dip in the river and…
See the exciting conclusion of our two part series!Continue Reading →
Canoeing From Pueblo to Avondale, Part 1
On September 20, 2010 By Noel Black
Late last month, Craig Richardson and I, having heard only rumors of its passability by boat, decided to take a trip down the lower Arkansas River from Pueblo to Avondale. So we purchased a used Mohawk canoe from a gentleman on Craiglist for $220, borrowed some paddles and life jackets and, drove to Pueblo and …Continue Reading →
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Pre-festival Party Friday July 19th from 5-8pm at the Wyndham Grand Mining Exchange with Watermelon Slim, and Big Jim Adams!
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Ramesh Raskar:
Imaging at a trillion frames per second
Ramesh Raskar presents femto-photography, a new type of imaging so fast it visualizes the world one trillion frames per second, so detailed it shows light itself in motion. This technology may someday be used to build cameras that can look "around" corners or see inside the body without X-rays.
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Lee and Craig from Marine Aquatics, have very kindly arranged for me to loan an Orphek PR-156 LED Unit (in white) for a couple of months, so as to give the forum some good old honest feedback, as well as performance details etc
I have been using full LED lighting on my 3x2x2 tank since February 2010 in the form of Reef Beam 120w LED units. As a lot of people already know, I have had several problems with them reliability wise, as in the drivers have failed numerous times.
Lee and Craig offered the loan of a set of the, (new to the UK) Orphek LED units whilst I got my other units repaired.
I declined the loan of the LED unit, as I had managed to solder a new driver in myself. I also told them that I would be happy to do a review on the new units, but in the future. So as when I get them, I am in a neutral position, and it's not just because I needed some replacement lights.
Apart from the failures of my current LED units, I have managed to successfully keep Softies, LPS and more recently SPS corals, whilst using LEDs. Although predominately, my tank is now SPS frags growing out.
I have just found out that the new Orphek LED unit will be landing at my house on Tuesday, next week.
I am so excited tbh as I have already read up on these, and seen some stunning looking pictures from other people already using them. I suppose in a way, I am just like a kid on Christmas Eve, Eve.
I will take a shed load of pictures between now and Tuesday of my current LED lighting, as well as all my corals, so as the journey and results can be fully documented.
As above I cannot wait until Tuesday, so I decided to start my thread early, so as people can chip in and ask anything that they would like answering, once I have received and setup the brand spanking new Orphek LED unit.


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François de Neufville
|Died in Paris, Paris, Île-de-France, France
|Immediate Family:
Son of Nicolas de Neufville, I. duc de Villeroy and Madeleine de Blanchefort de Créquy
|Managed by:
|Private User
|Last Updated:
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Immediate Family
About François de Neufville, II. duc de Villeroy
François de Neufville, 2ème duc de Villeroy (7 April 1644 – 18 July 1730) was a French soldier.
Villeroy was born in Lyon into noble family which had risen into prominence in the reign of Charles IX.
His father Nicolas de Neufville, marquis de Villeroy, Marshal of France (1598-1685) was governor of the young King Louis XIV who later created him a duke. François was brought up in close relations with Louis and became a member of his inner circle. An intimate of the king, a finished courtier and leader of society and a man of great personal gallantry, Villeroy was marked out for advancement in the army, which he loved, but where career soldiers had always a juster appreciation of his incapacity than Louis. In 1693, without having exercised any really important and responsible command, he was made Marshal of France. In 1695, when François Henri de Montmorency-Bouteville, duc de Luxembourg died, he obtained the command of the army in Flanders (see War of the Grand Alliance); William III found him a far easier opponent than the "little hunchback" (the duc de Luxembourg). Villeroy was responsible for the senseless bombardment of Brussels in 1695, which occasioned its reconstruction in the 18th century giving it the regularity and unity of architecture seen today (although it was again damaged in both World Wars).
In 1701 Villeroy was sent to Italy to supersede Nicolas Catinat and was soon beaten by the inferior army of Prince Eugene of Savoy at Chieri (see War of Spanish Succession). In February 1702 he was made prisoner at the surprise of the Battle of Cremona.
In the following years he was pitted against the Duke of Marlborough in the Low Countries. Marlborough's own difficulties with the Dutch and other allied commissioners, rather than Villeroy's own skill, put off the inevitable disaster for some years, but in 1706 Marlborough attacked him and thoroughly defeated him at Ramillies. Louis consoled his old friend with the remark, "At our age, one is no longer lucky," but superseded him in the command, and henceforward Villeroy lived the life of a courtier, his secretary was Pierre-François Godard de Beauchamps, and although suspected of being involved in plots, maintained his friendship with Louis.
Under the Régence Villeroy was governor of the child King Louis XV and held several other high posts between 1717 and 1722, when he fell in disgrace for plotting against Philippe II of Orléans, the regent for Louis XV, and was sent to be governor of Lyon, virtually in exile. His family suffered a further disgrace when two younger members, the duc de Retz and the marquis d'Alincourt were exiled for having homosexual relations in the gardens at Versailles. Louis XV recalled Villeroy into high office when he came of age.
Villeory died at Paris in 1730.
François de Neufville, II. duc de Villeroy's Timeline
April 7, 1644
December 1663
Age 19
July 18, 1730
Age 86
Paris, Paris, Île-de-France, France


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Anita Comfort, Robyn Lawley, Monif C., Rosa Faia, Sorella Swim
Among the models of one-piece swimsuits for plump ladies one can find traditional closed model with wide straps, swimsuits with original cutouts and asymmetrical neckline designs, models with a strapless bustier and models with sleeves, including decorative ones.
Separate swimwear for plump ladies is also still in vogue. Many models include a fashion trend of pants with a high waistline, which is very handy for the correction of the silhouette. Bright natures may pay attention to some interesting models with unusual cuts and styling, for example, the short-cut top.
Always 4 Me, Elomi Swimwear, Monif C., Sorella Swim, Delta Burke
Swimwear with a skirt or tankini with long, often flared top – is a classic of beach fashion for plump ladies. Thanks to the fashion of femininity in a retro style, such models in the new season are as topical as ever. Tankini top can be close-fitting, can have a «baby-doll» silhouette or have a close-fitting shape.
Sorella Swim, Robyn Lawley, Rosa Faia, Monif C. (4,5)
Swimwear with drapes for plump ladies is still in fashion, such models made of fabric with glitter look particularly interesting. Romantic flounces of soft sculptural forms on the neckline and long fringe are also in vogue.
Sorella Swim, Anita Comfort, Robyn Lawley, Always 4 Me, Elomi Swimwear
You shouldn't limit yourself in the choice of colors in the new season. A great alternative to the ever popular black swimsuit may become models of white color and bright, saturated shades of red, burgundy, pink, blue and green. Do not be afraid to experiment, fashion swimwear for plump ladies in the style of color blocks are able to create a very sunny mood and visually correct the proportions of the figure.
Always 4 Me, Anita Comfort, Delta Burke, Robyn Lawley (4,5)
Bright prints – are absolute favorites of beach season, the diversity of actual figures are presented among the fashionable swimwear for the plump ladies 2014. The most popular ones are exotic flowers, geometric and abstract patterns, animal and kaleidoscope print. The combination of one-colored fabric and fabric with a print also allows you to make a silhouette slimmer and to correct accents.


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Frequently Asked Questions
How much is the application fee?
The application fee is £150. This is payable on completion of the online application form.
How can I apply for PSE Certification?
You can apply for PSE Certification online here.
Are NAFEMS members automatically certified as PSEs?
No, all individuals wishing to achieve PSE Certification must complete the same application and assessment process.
Is PSE Certification available to non-members of NAFEMS?
Yes, both members and non-members can apply for Certification.
How long is the certificate valid for?
Any assessment resulting in certification has limited currency. When granted, certification is valid for a period of three years. It is recommended therefore that an up-date assessment be made after three years, either to reflect competency in new product or technical areas or, where applicable, to upgrade the level of certification.
Those wishing to maintain their current certification are required to renew after three years.
Is it mandatory to use the PSE Competency Tracker to support my application?
No it is not a requirement of certification that the PSE Competency Tracker be used. It is, however, strongly recommended.
As an applicant, you can register to access your own account on the Competency Tracker. You are strongly advised to use this and identify which of the competency statements you feel confident apply to you. This information should then be exported to a PDF file, and uploaded in support of your application.
How can I register to access the PSE Competency Tracker?
PSE Applicants can register to use the Competency Tracker on the PSE competency tracker section.


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Cars > Events > NETC Meet March 8th 2009 @ Lincoln NE
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About NETC Meet March 8th 2009 @ Lincoln NE
Meet Information
When: March 8th 2009
Skeeter Barnes
5800 S 58th Lincoln, NE 68516
Time: 5pm? Days are getting longer, but once the sun goes down - it starts to get cold.
Meet Info
Date and Time
Sun Mar 8, 2009 from 5:00 pm – 8:00 pm (CDT)
Location and MapSkeeter Barnes
5800 S 58th Lincoln, NE 68516
Lincoln, Nebraska 51555
United States


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Judge Jeanine ➠ Why Isn't The Pope Doing More? Has More To Offer Than Just Prayer!
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