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By Brian Wallace, PA-C
Hernia repairs are among the most common procedures performed by general surgeons. More than 1 million of these interventions are performed each year in the United States alone.1
A hernia is an abnormal protrusion of an organ or part of an organ through the connective tissue or the wall of the cavity in which it is normally enclosed.2 This weakness in the connective tissue allows the contents of one area of the body to move into another area.
Hernias may occur in a variety of locations. Hiatal hernias occur when the stomach pushes into the thorax. The bladder herniating into the vagina is a cystocele. The rectum herniating into the vagina is a rectocele. Herniated intervertebral discs are common. These occur when the nucleus pulposus pushes through the ligament that normally contains it.
This article focuses on abdominal hernias. These typically involve the bowel or omentum pushing through a defect or weakness in the abdominal wall.
In addition to location, it is important to note characteristics of a hernia. The ability or inability to reduce a hernia sac is an important piece of information. If the hernia sac can be pushed back into place with manual manipulation, it is called a reducible hernia. A hernia that cannot be reduced through manual manipulation is called an irreducible or incarcerated hernia. It requires surgical intervention. In a strangulated hernia, the blood supply to the tissue within the hernia sac has been cut off secondary to pressure from the surrounding tissue. If not corrected, the situation can lead to necrosis.3
Direct and Indirect Inguinal Hernias
The inguinal canal is a passage through the inferior aspect of the abdominal wall. This passage begins at the internal inguinal ring and ends at the external inguinal ring. Under normal conditions in a boy or man, the inguinal canal contains the spermatic cord and the ilioinguinal nerve. The spermatic cord includes the testicular artery and the vas deferens, as well as a several other arteries and nerves.4
Groin hernias account for 75% of abdominal wall hernias. Indirect inguinal hernias account for 60% of inguinal hernias.5 An indirect hernia occurs when the processus vaginalis remains intact. This is a part of the peritoneum that travels down with the testis into the scrotum. Under normal conditions, this tissue is obliterated once the testes have completed their dissent. These comprise almost all hernias up through adolescence. They are far more common in boys and men than in girls and women.2
In the case of an inguinal hernia, the hernia sac passes from the internal ring through the inguinal canal and into the scrotum through the external ring.
Direct inguinal hernias occur secondary to wear-and-tear issues. Chronic cough, heavy lifting and repeated straining are all risk factors for a direct inguinal hernia. These may be thought of as an acquired hernia, in contrast to indirect inguinal hernias, which are congenital. Rather than passing through the internal ring of the inguinal canal, a direct inguinal hernia passes through a weakened area of fascia in the posterior inguinal canal. This area of fascia is known as Hesselbach's triangle. The hernia sac then continues along the inguinal canal, passing out through the external ring and into the scrotum.5
Inguinal Hernias: Presentation and Diagnosis
Because inguinal hernia is the most common type of hernia, it is one that all practitioners should be familiar with. Patients with an inguinal hernia often have few symptoms. The most common presentation for an inguinal hernia is a dull abdominal ache or a visible bulge in the scrotum. A patient might notice a bulge that has been growing.
As the hernia gets larger, patients usually develop an aching pain. Patients may be able to manually reduce their own hernias, thereby relieving symptoms. Lying supine tends to relieve the patient's symptoms and reduce the hernia.3 A patient with inguinal hernia may also complain of pain with straining. Some patients report acute pain following strenuous activity, but this is rare.6 Frequently, the patient has no symptoms all, and the problem is picked up on a routine physical exam.
The physical examination should begin with the patient standing and naked. If there is an obvious bulge, you should see it move when the patient coughs. You should also be able to feel it move with soft pressure. If no bulge is obvious, the practitioner may place a finger up into the scrotal skin to detect the external inguinal ring. As the patient coughs, a mass pushing against the finger confirms the diagnosis of a hernia.7 In women, both valsalva observation and invagination of the labia to find the external ring are unreliable. Men are 25 times more likely than women to have groin hernias.2
When a physical exam is inconclusive, imaging may be required to diagnosis a hernia. An ultrasound is the least invasive type of imaging, but it can give false positives and, in a thin patient, false negatives. A CT or MRI may be more accurate in making the diagnosis. Imaging may also be helpful in narrowing the differential by excluding other possible causes of abdominal pain.6
Inguinal Hernias: Treatment
Treatment for inguinal hernias falls into two categories: surgical repair or watchful waiting. In a symptomatic patient, the decision is relatively easy. Repair of a hernia is usually advised if it is causing anything other than mild symptoms. In patients who are asymptomatic or have only minimal symptoms, the answer is not so clear.
In a study published in 2006, Fitzgibbons and colleagues randomized 720 men with minimally symptomatic inguinal hernias into two groups. Three hundred sixty-four men were assigned to the watchful waiting group and 356 men underwent surgical repair. The study sought to determine whether or not watchful waiting is a reasonable treatment for people who have minimal symptoms with an inguinal hernia. Twenty-three percent of patients assigned to the watchful waiting group did cross over and have surgical repairs secondary to increased symptoms; this resulted in few complications. The incarceration rate was 1.8 per 1,000 patient years.
The conclusion of the study was that watchful waiting in a man with an inguinal hernia and minimal symptoms is a reasonable treatment. Hernia complication rates are low, and delaying surgery did not affect patient outcomes.8
Femoral Hernias
Femoral hernias account for only about 10% of groin hernias,1 but they are much more likely to incarcerate or strangulate due the narrow path they are forced to travel through. Complication rates for femoral hernias have been reported in as much as 40% of cases. Femoral hernias are 10 times more likely in women.5
Femoral Hernia: Presentation and Diagnosis
Patients with femoral hernias often first present for care after incarceration has occurred. Prior to incarceration or obstruction, symptoms are often mild or nonexistent. The patient may complain of colicky abdominal pain or other abdominal discomfort, but typically not discomfort in the groin or femoral area. A mass is often found below the inguinal ligament. This creates a bulge on the upper medial thigh. On rare occasions, the hernia sac presents over the inguinal ligament, making it difficult to differentiate it from an inguinal hernia on physical exam.3
Femoral Hernias: Treatment
Due to the high rate of complications, the consensus is that all femoral hernias should be surgically repaired. If the hernia has incarcerated, it is particularly important for the surgeon to inspect the bowel for possible injury.
Umbilical Hernias
Umbilical hernias are more common in women than men. Risk factors include multiparty, difficult labor, obesity and large intra-abdominal tumors. These hernias tend to pass through tight rings, leading to frequent issues with incarceration and strangulation. 3 In children, these are usually congenital defects. In adults, up to 90% of cases are acquired.1Umbilical Hernia: Presentation and Diagnosis
Patients with an umbilical hernia often present with a slow-growing, soft abdominal mass. These are relatively asymptomatic but may cause a dull ache or dragging sensation. In a child, the mass is often obvious to the parent or the pediatrician.
Umbilical Hernia: Treatment
In an adult, surgical repair of an umbilical hernia is usually recommended. In children younger than 2 years, a watchful waiting approach is generally taken because 80% of defects heal on their own. If the hernia is not healed by the age of 2, the hernia should be surgically repaired before age 5.1
Epigastric Hernia
Epigastric hernias occur secondary to a defect in the linea alba. These are two to three times more likely in men than in women, and they occur in 1% to 5% of the population. Although, these hernias may be tender and symptomatic, they rarely strangulate or even involve the bowel.1
Epigastric Hernia: Presentation and Diagnosis
The chief complaint associated with epigastric hernia is usually a painful nodule in the upper midline.1 A patient may present with epigastric pain described as mild and superficial to deep and severe, radiating to the back. The patient may also experience nausea and vomiting.
The mass is usually palpable and can be exaggerated with a valsalva or cough. Imaging such as ultrasound or computed tomography may be needed to confirm diagnosis, especially in an obese patient.3
Epigastric Hernia: Treatment
As with many other abdominal hernias, surgical repair is the recommended treatment. Rates of incarceration and complication are low, but as time passes the hernia sac will likely continue to enlarge. In addition, patients often find epigastric hernias to be uncomfortable and unsightly and prefer to have them repaired.1
Incisional Hernias
Approximately 10% of all hernia repairs in the United States are performed to treat incisional hernias. An incisional hernia is an abdominal wall gap, with or without a bulge, that is perceptible on physical exam or imaging study up to 1 year after the index operation. The hernia rate associated with midline laparotomy incision is between 3% and 20%.1
Incisional Hernia: Treatment
Surgical repair of the defect is the recommended treatment. Recurrence rates after repair are directly correlated to the size of the initial defect. Recurrence rates range from 2% for small defects to almost 50% for large defects.1
Other issues
Abdominal hernias are now the second most common cause of small bowel obstruction.9 It is therefore important that all members of the medical community have a clear understanding of what hernias are, why they occur, and the risks associated with them. A patient who presents with an obvious bulge in the scrotum, upper thigh, umbilical or epigastric area should be evaluated for a hernia. A patient who complains of a vague, dull ache in the scrotum or abdomen that is relieved by a supine position should be evaluated for a hernia. A patient with signs and symptoms of a bowel obstruction also should be evaluated for a hernia.
Brian Wallace is a practicing surgical physician assistant and creator of Physician Assistant Exam Review, a podcast and prep program for physician assistants who are taking the PANCE or the PANRE. You can find out more at www.physicianassistantexamreview.com.
1. Souba et al. Open Hernia Repair. ACS Surgery, Principles and Practice 2005. Webmd Prof Pub; 2005: 603,619, 621
2. Beauchamp et al. Hernias. In: Sabiston Textbook of Surgery. The Biological Basis of Modern Surgical Practice. WB Saunders Company; 2008: 1155,1516.
3. Deveney KE. Hernias & Other Lesions of the Abdominal Wall. In: Doherty GM, ed. CURRENT Diagnosis & Treatment: Surgery. 13th ed. New York: McGraw-Hill; 2010.
4. Moore KL, Agur AM. Abdomen. In: Essential Clinical Anatomy. 2002: 138.
5. Byars D. Hernias in Adults. In: Tintinalli JE et al, eds. Tintinalli's Emergency Medicine: A Comprehensive Study Guide. 7th ed. New York: McGraw-Hill; 2011.
6. Sherman V, et al. Inguinal Hernias. In: Brunicardi F, et al, eds. Schwartz's Principles of Surgery. 9th ed. New York: McGraw-Hill; 2010.
7. Lowry SF, et al. Groin Hernias and Masses, and Abdominal Hernias. In: Learning Surgery. The Surgery Clerkship Manual. Springer; 2005: 486.
8. Fitzgibbons RJ, et al. Watchful waiting vs repair of inguinal hernia in minimally symptomatic men: a randomized clinical trial. JAMA. 2006;295(3):285-292.
9. Ott DJ. Gastrointestinal Tract. In: Chen MM, et al, eds. Basic Radiology. 2nd ed. New York: McGraw-Hill; 2011.
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NEW YORK — Egged on by everything from the relaxation of some trading restrictions to a desire to lend support to the reopening stock market, dozens of U.S. companies bought back shares of their own stock Monday or announced plans to do so.
The Securities and Exchange Commission waived regulations to encourage buying Monday as stock markets reopened following last week's terrorist attacks. The waivers, in effect for up to 10 days, allow buybacks without customary restrictions regarding the volume of shares and timing of purchases.

subset: commoncrawl


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Merry Meadow Returns in Princess Rooney
Three-time graded-stakes winner Merry Meadow will cut back to her ideal distance when she returns from more than a three-month layoff in the $250,000 Princess Rooney Stakes (gr. II) at Gulfstream Park July 5.
Three-time graded-stakes winner Merry Meadow will cut back to her ideal distance when she returns from more than a three-month layoff in the $250,000 Princess Rooney Stakes (gr. II) at Gulfstream Park July 5.
A trio of fillies who have registered runner-up finishes in recent grade I races in New York will try to finish atop the $300,000 Prioress Stakes (gr. II) Aug. 30 at Saratoga Race Course.
One-two finishers of the Iowa Oaks meet again on the Jersey Shore in classy field
Taking advantage of a torrid pace, Street Story came from well off the pace for a 1 3/4-length triumph over Miss Behaviour in the $150,000 Victory Ride Stakes at Belmont Park June 29.
Hong Kong-based jockey Tommy Berry guided Cosmic Endeavour to victory in the Sky Racing Tattersall's Tiara, Australia's final group I race of the season, June 21 at Eagle Farm in Brisbane.
Lion D N A enjoyed an ideal set-up in splashing to victory in the $100,000 Skipat Stakes Presented by Finlandia, the first of seven stakes races on the Black-Eyed Susan Stakes program May 16 at Pimlico Race Course.
Grade III winner Tepin will open her second season of racing Friday, May 16 at Pimlico Race Course she faces an expected nine other 3-year-old fillies in the $100,000 Miss Preakness Stakes.
Alto Racing's Sweet Whiskey, who launched her 2014 campaign with a victory in the Old Hat Stakes (gr. III) leads a field of eight 3-year-old fillies entered in the April 13 Beaumont Stakes (gr. II).
Jockey Stewart Elliott, winner of the 2004 Kentucky Derby (gr. I) aboard Smarty Jones, is moving his tack to Kentucky, he confirmed March 19.
More owners and trainers are finding Salix-free success. read blog
|Breeder / Owner
|Angel of Mercy
|H. Graham Motion
|Fat Kat
|Robert E. Reid, Jr.
|Offlee Golden
|Kathleen A. Demasi
|Alan E. Goldberg
|Stormy Novel
|John C. Servis
|Tea Time
|Michael R. Matz
|Clasico Constitucion S. (G1)
|Prince of Wales S.
|Cougar II H. (G3)
|Jonathan Kiser Novice S.
|Honorable Miss H. (G2)


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Latest business appointments in and around York
Elizabeth Matfin, Coles Solicitors
FAMILY lawyer Elizabeth Matfin has joined Coles Solicitors in Thirsk, having spent her career at Wood Sherwood, in Pocklington, and more recently at Hethertons, in York.
Ms Matfin, who lives in York, has been qualified for almost ten years.
Paul Chandler, Engage Mutual
HARROGATE mutual health plan provider Engage Mutual has appointed fair trade expert Paul Chandler to its non executive board of directors.
Mr Chandler, chief executive of Tradecraft plc, has almost 20 years experience in executive positions and is one of the pioneers driving the expansion of fair trade in UK and Europe.
Previously general secretary at the Society for Promoting Christian Knowledge, he also spent nine years with Barclays plc, where he held a number of strategic planning and general management roles.
He also serves as a non-executive director for the charitable trust, the William Leech Foundation and is currently chair of the UK Fair Trade Leaders Forum and of Durham Cathedral Council.
Scott Simmons, Newtons Solicitors
NEWTONS Solicitors of Harrogate has appointed a new senior company commercial solicitor Scott Simmons, 32, who lives in Pateley Bridge, previously worked in Gibraltar carrying out corporate and trust law work.
Mr Simmons was a leading member of the team that established Gibraltar's first e-business incubator programme. He will work alongside company commercial lawyer Malcolm Jones in a five-strong commercial team at Newtons.
Chris Chapman, Handelsbanken
Handelsbanken has appointed Chris Chapman as a new corporate banking manager in York.
Mr Chapman, who has 22 years experience in banking, will join the bank's team in Nether Poppleton, York.
Debbie Mullen, Barclays
DEBBIE Mullen,previously corporate director of Barclays in North Yorkshire, has been made the bank's new regional head of corporate banking.
She replaces Lee Collinson and will jointly lead the Yorkshire team with Chris Forrest, looking after business customers typically with a turnover of more than £5 million.
Kelly Dixon, Graphics Direct
ONLINE retailer Graphics Direct has recruited office supplies marketing specialist Kelly Dixon to head the firm's new venture, GraphicsOffice.co.uk Kelly joins from stationery supplier Jespers and will manage the new office supplies website that launched in October. She will be based at the firm's Tockwith head office and warehouse.
Clare Davey, Carter Jonas
PROPERTY consultant Carter Jonas has appointed Clare Davey to expand its energy team.
She has joined the firm's Harrogate office as a junior energy specialist where she will support wind, hydro and biomass energy projects.
Clare developed an interest in alternative energy while at Chester University and worked for a German-based wind developer as a project manager before joining Carter Jonas' northern team.
Tracey smith, united kingdom science park association
Tracey Smith, managing director of York Science Park, has been appointed to the United Kingdom Science Park Association (UKSPA) board for 2012-13.
UKSPA is the authoritative body on the planning, development and the creation of science parks that facilitate the development and management of innovative, high-growth, knowledge-based organisations.
Tracey said: "Huge opportunities are opened up in being part of the national Science Park body.
"It is crucial to the successful development of the sector that we work together to provide a national perspective, sharing knowledge and collaborating on improvements to services, technology and access to ensure innovation-led, high-growth and knowledge-rich businesses flourish UK wide.''


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Ahmedabad, Gujarat (PRWeb) March 18, 2007 — Born in baby apple of a lot of acclaimed Indian city-limits accustomed as Pink City-limits of India. Mr. Sharma is in the acreage of aegis analysis from endure 8 years. He has now abounding ascendancy over the all-around web aegis system. His action was abounding of attack and active stress. He mentions his backbone and pride by allegorical himself as a Full-stop on E-system. His aim was to accomplish different tasks beyond globe, something which no one added again him can perform. This advertisement was aired in the Breaking Annual on INDIA TV and was the world's aboriginal longest hacking and aegis accompanying annual telecast. This advertisement was apparent from 9:00 PM to 12:30 AM and is one of the best afterwards annual programme of India. Minister of Information Technology, Abstruse Experts, Stock Exchange Experts, Cyber Crime Experts, Indian Star Editors Aggregation and Corporate Profiles were all present during this telecast. Mr. Sharma had abashed several Internet Banking, Internet Trading and Internet Arcade websites all in a individual attempt. Recently, Mr. Sharma had aswell appear about his new aegis close Shubhlabh Technologies. He mentions hacking as an able akin plan which is abstruse art of award vulnerabilities in absolute anemic aegis of any online action through Internet. Kalpesh Sharma, shows the LIVE affirmation on net cyberbanking and its loopholes. He accustomed that no coffer is safe for your money. He challenged to all banks that he can drudge any coffer website because of their loopholes. However, his ambition abaft proving was to advice out peoples become safe and acquainted of abstruse security.
First he aloof an airticket on indiatimes.com arcade website for free. The transaction was done by hacking the website of IDBI Coffer transaction gateway. Secondly, he purchased a cape from rediff arcade website and transaction was done through hacking of Federal Bank. From both websites he accustomed the cancellation with adjustment bulk and accustomed transaction that the transaction is done and we will bear it aural 3 days…
Alongwith, Mr. Sharma aswell went for altercation through a agitation in the aforementioned LIVE advertisement with Mr. Dhrender Kumar (Stock Exchange Expert) and Pawan Duggal (Cyber Law Expert) and they acquainted abashed if they saw all these appropriate in foreground of their eyes. Mr. Dhrender said that, " I am abashed to see this situation. Now our money is not safe and we could not yield concrete accident to accumulate huge bulk of funds with us, because abstruse era is on it's way appear progress. In adjustment to abstain this we are application Net Banking, but as apparent there are several vulnerabilities in cyberbanking arrangement also… "
Mr Pawan Duggal declared about some clauses and sections of Information Aegis Act, and asked peoples who absent their money, can affirmation up to 10 Million INR. But you accept to prove it in the cloister of law, which is about actual difficult to perform. You can't get advice from customer cloister as well, in this situation. No one knows what can be done? Mr. Sharma aswell abashed the so alleged safe website of shares and antithesis trading i.e Indiabulls.com and transferred 100 INR into his Union Coffer Savings Account. Indiabulls database website reflected the antithesis fluctuations, immediately. For altercation on this, Mr Gagan Banga (President of Indiabulls) was alleged in this LIVE telecast. But instead of accepting his company's abstruse mistakes, he challenged adjoin Mr. Sharma's claims. He absolutely denied admitting aggregate was apparent by millions of peoples beyond nation. He said that, " It's not accessible to drudge our trading website". Then, Mr. Sharma challenged him to prove it appropriate in that active LIVE telecast, and asked him for articulate permissions. Mr. Sharma aswell added that let accessible admirers of this advertisement accord their decisions afterwards he demonstrates it appropriate now. Once Mr. Gagan acquainted abashed ! because by this they can apart the aplomb of people. But at endure he accustomed that claiming and told to Mr. Sharma that he can appear in his appointment and drudge Mr. Gagan's account. I will accord you permission to drudge my account, but I can't accord permissions for added hacking other's accounts. This shows Mr. Gagan accept agnosticism about his website and was abashed of Mr. Sharma's Challenge.
For added altercation Mr. Shakeel Ahmed (IT Minister of India) came and he told that he is not a abstruse person, but he will absolutely do able-bodied for people's of his country with his abstruse team… In short, none of our money is safe until and unless, online aegis vulnerabilities are not removed completely.


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The Williamstown Lady Demons knew they would have to rely on their defense to help them win games.
Traveling to Henry County, the Williamstown girls' softball team kept the game scoreless until the fourth inning when Henry County took over on their way to a 10-0 victory on March 23.
"It was rough," Goodrich said. "We did well until the fourth inning and then they started figuring out my pitching and hitting us. It went downhill from there."
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Plaque unveiled at University 50th anniversary commemoration
14 March 2014
Plaque unveiled at University's 50th anniversary commemoration
Prime Minister John Key, Chancellor Jim Bolger, Vice-Chancellor Professor Roy Crawford, Hamilton Mayor Julie Hardaker and other guests attended a commemoration of the University of Waikato's 50th anniversary at a function on Thursday 13 March at the Gallagher Academy of Performing Arts.
Chancellor Jim Bolger spoke of the early days when the campus was nothing but farmland and a cowshed, saying the University was a credit to past and present Chancellors and Vice-Chancellors.
In her speech, Mayor and law alumnae Julie Hardaker spoke of the strong connection between Hamilton city (celebrating 150 years) and the University, reinforcing the integral role the University plays in the region, both educationally and economically. She said the city was immensely proud of what the University had achieved over the past 50 years and gave a gift to the Vice-Chancellor to be added to a time capsule, which will be sealed then opened in another 50 years.
Professor Crawford said the University had reached an historic moment, being transformed from what once was farmland to "New Zealand's most beautiful campus". He highlighted many of the areas - such as agriculture, marine science, law, management and Māori - to which the University has contributed in significant ways. He said true success came from the graduates and staff, and that while the University celebrates its history, it was also looking to the future, and the opportunities ahead.
Professor Crawford also announced that Fletcher Construction has been awarded the contract for the new Law and Management building on which work is scheduled to begin mid-April.
Mr Key said that at 50 years old, the University of Waikato was just getting started, and that while the University had done extremely well, he was sure the best was yet to come.
He said universities were a place to challenge ideas, come up with new perspectives, and push the boundaries through research, saying these were the things that would make us more developed as a nation. Mr Key acknowledged the priority Waikato had placed in fostering opportunities for Māori and Pasifika students, and stressed the importance of this for the region and New Zealand overall.
A 50th anniversary short promotional film was played and a commemorative plaque was unveiled by the Prime Minister, who was presented with a copy of the book Ko Te Tangata: A history of the University of Waikato.
More than 100 guests attended the event, including Dame Malvina Major, MPs David Bennett and Tim Macindoe, former Chancellors Dr John Gallagher and John Jackman, and former Vice-Chancellor Wilf Malcolm.
Other 50th anniversary events include Community Open Day on 17 where the community is invited to activities, interactive exhibits, demonstrations, tours and mini lectures on campus.
For more on 50th celebrations, visit http://www.waikato.ac.nz/about/50/


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Thank you for your interest in this position with the Department of Justice. We will evaluate your resume and your responses to this Assessment Questionnaire to determine if you are among the best qualified for this position. Your responses are subject to verification.
1. From the descriptions below, select one letter which most closely and accurately demonstrates your ability to perform this work at the GS-15 level. Please select only one response.A. I have at least one year (52 weeks) of specialized experience equivalent to the GS-14 level in the Federal service, that includes: experience providing strategic analysis to senior management officials (e.g., component head or equivalent); directing the work of subordinate supervisors, team leaders, and technical staff for a major program in an organization; perform long- and short-range planning to ensure the most effective use of resources (i.e. manpower, budget, and materials); developing strategies designed to enhance the goals and objectives for organizational programs and improve the business advantages associated with it; resolving critical problems involved in the planning, implementation, and administration lifecycles of the program; and communicating orally and in writing with top decision makers concerning agency wide management programs.
Carefully review the response descriptions listed below. For each question or statement, select the one response description that best describes your experience, education, or training. Please check your responses for accuracy before you submit this questionnaire.A- I have no experience in performing this work behavior.
2. Formulate plans to improve program policies, practices, methods, and organizational structure.
3. Coordinate management initiatives to achieve policy and overall program objectives.
4. Coordinate requirements across organizational units through all project lifecycles.
5. Coordinate support services work within the administrative framework of the agency.
6. Develop lifecycle cost analyses for major projects.
7. Establish control systems that monitor production goals or program priorities.
8. Translate management goals and objectives into effective operations.
9. Conduct analytical studies involving the planning, development, and implementation of agency programs.
10. Participate in development of long- and short-range strategic planning efforts.
11. Consult staff regarding the most challenging program management issues.
12. Evaluate the effectiveness of line program operations in meeting established goals and objectives.
13. Research improved business practices for application to agency programs or operations.
14. Analyze legislations to determine impact on program operations and management.
15. Perform management surveys to determine compliance with agency regulations, procedures, practices and effective utilization of staff.
16. Integrate the specialized needs of diverse operating elements within the organization.
17. Convince others to adopt a compromise, or consider suitable alternatives.
18. Exercise delegated authority to oversee the overall planning, direction, and timely execution of a program.
19. Make decisions on work problems presented by subordinate supervisors, team leaders, or technical staff.
20. Make decisions on non-routine, costly, or controversial training needs for staff.
21. Ensure reasonable equity (among units, groups, teams, projects, etc.) of performance standards and rating techniques developed by subordinates..
22. Propose solutions to management problems that are of major importance to planning program direction.
23. Present to senior management recommendations for implementation of new procedures
24. Provide advice on issues and elements for programs essential to the agency's mission.
25. Participate in conferences, meetings, hearings, or presentations involving issues of considerable consequence to the program.
26. Prepare written recommendations regarding policy for administrative and support services programs.
27. Revise existing policy and regulatory guidance for use by others within or outside the organization.
28. Consolidate input obtained from others into the completed project study.


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New Brunswick RCMP are telling people in this area to stay indoors.
©Google Maps/ @RCMPNB
Codiac RCMP are searching in the Pinehurst subdivision area of north end Moncton looking for the suspect in the fatal shooting of three RCMP officers on Wednesday evening.
As of 6:30 a.m. Thursday, New Brunswick RCMP were still telling residents in the area to stay inside.
Const. Damien Theriault said people in the area are being urged to remain in their homes with the doors locked.
"Right now we are still actively searching for the suspect and we're urging people to stay inside in this and surrounding areas," Theriault said. "We're also asking motorists to stay away from the area."
RCMP are providing updates on their Twitter feed.
Theriault said officers responding to call at approximately 7:30 p.m. Wednesday were fatally shot by the suspect, believed to be 24-year-old Justin Bourque.
Two other officers were transported to Moncton City Hospital with non-life-threatening injuries.
The hospital in Moncton remains closed to visitors, other than those with critically ill family members.
Anyone who sees the suspect is asked to call 911. He is described as a young man wearing camoflage with long brown hair. He's believed to be carrying two military-style rifles with high-capacity magazines, a bow and a knife.
Premier Stephen McNeil and other political leaders have issued statements of condolences to the victims, and to the citizens of Moncton.


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The McGowan House is now closed for the season. Tours may be arranged by appointment. To make an appointment, stop in at the Adams County Heritage Center at 311 Main Street in Friendship during open hours, or call 608-339-7733, 608-339-6867 or 608-339-2199.
The McGowan House will reopen for tours May through September 2016 on Saturday afternoons from 1:00 to 4:00 pm; other times by appointment. Family and group tours can be arranged in the off season.


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Kichili Kizhangu Relieves Joint Pain | Naattu Maruthuvam | 31-12-2015 | Sun TV Show
Nattu Maruthuvam 31-12-2015 Kichili Kizhangu Relieves Joint Pain – Sun tv Show
Nattu Maruthuvam | Dt 31-12-15 | Dr.Sakthi Subramaniam | Siddha Maruthuvam
Health benefits | Medicinal uses
Naattu Maruthuvam is a health show that features a Siddha doctor Sakthi Subramani who introduces a natural produce everyday and shares its medicinal qualities to heal all kinds of ailments. Today's wonder produce is Kichili Kizhangu.
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- by steelTwist |
- Painting And Drawing
- | Submitted on 09/18/2011 |
- Skip
- Title: Pixar's Up: Russell
- Artist: steelTwist
One of my favorite parts in Up and the music soundtrack played. :DD
Or should I say, I love the whole movie. XD
This may not be as good but, this is all the skills I have.
- Date: 09/18/2011
- Tags: pixars russell
- Report Post


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May 14, 2012 - Washington, DC - The College Republican National Committee and the Young Republican National Federation and have partnered with American Crossroads and the Republican State Leadership Committeeto launch an unprecedented youth initiative, Crossroads Generation, to mobilize young people for Republicans.
Crossroads Generation, which will be structured as an Independent Expenditure Only Committee, will begin with an initial $750,000 in start-up capital. The project is is funded through CRNC, RSLC, and American Crossroads, which have each contributed $250,000 to the project.
With young people facing high unemployment, a grim job market and record high student loan debt, the youth vote is up for grabs.
Crossroads Generation will tap into the CRNC's membership of more than 250,000 college students on over 1,800 campuses nationwide and the YRNF's membership of 100,000 young professionals throughout the country.
"President Obama won young people in 2008 with a message of hope and change that just did not pan out. My generation has been disproportionately hurt by the policies of President Obama, which is precisely why we need Crossroads Generation," CRNC Chairman Alex Schriver said.
"The college students who voted for President Obama four years ago are now recent graduates who are 53% un- or under-employed. These young professionals are desperate for economic policy that can deliver a pro-business, pro-job environment that can help them establish themselves as they look to build careers and families," said Lisa Stickan, Chairman of the Young Republican National Federation.
Visit www.crossroadgeneration.com, Twitter (@CrossroadsGen) and Facebook (www.Facebook.com/CrossroadsGeneration)


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A Jeanne Site
California State University, Dominguez Hills
University of Wisconsin, Parkside
Latest update: February 8, 1999
University Disclaimer
Prof. Takata on the Site.
Well done exercise. Note that answers are brief, to the point, and in the student's own words. Note that on these samples my comments will be inserted. Be sure to check for them. jeanne
A. The first way in which technology issues are often misframed can be called the "computer as panacea" perspective: new technologies carry inherent possibilities that can revolutionize education as we know it. If we simply unleash this potential many educational problems will be solved. Computers can help alleviate overcrowded classrooms; computers can ease the burden of overworked teachers; or computers can make teachers unnecessary at all.
A. The second type of technocratic dream, much more subtle and seductive than the first, is the "computer as tool" perspective. Advocates of this view rightly excoriate the "panacea" perspective, and argue that it expects far too much of new information technologies which are, as they say, merely tools that can be used for good or bad purposes. Tools carry within them neither the guarantees of success or failure, or of benefit or harm - it is all a matter of how wisely people use them.
Jeanne's note: But notice that the "tool" perspective sometimes carries the same risk as the "panacea" perspective. Sometimes we tend to think in ways that we believe the tools will work, rather than developing and adapting them to the real issues at hand, especially in education.
A. The post-technocratic mode of thinking we are proposing here would stress the limits to human foresight and planning; the interdependency of multiple consequences; and the problematic attempt to sort out "good" from "bad" outcomes.
word refers to an attempt by some educators and others to proclaim technology the "way" to solve problems related to education.


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- Title
Landholders' Right to Refuse (Coal Seam Gas) Bill 2011
Second Reading
- Database
Senate Hansard
- Date
- Source
- Parl No.
- Electorate
- Interjector
Heffernan, Sen Bill
Cameron, Sen Doug (The ACTING DEPUTY PRESIDENT)
- Page
- Party
- Presenter
- Status
- Question No.
- Questioner
- Responder
- Speaker
Thistlethwaite, Sen Matt
- Stage
Landholders' Right to Refuse (Coal Seam Gas) Bill 2011
- Type
- Context
- System Id
Previous Fragment Next Fragment
- Start of Business
- Solar Hot Water Rebate Bill 2012
- Assisting Victims of Overseas Terrorism Bill 2012
- Farmers and Settlers Association
- Australian Defence Force Academy
- Privileges Committee
- Constituents Request Program
- Privileges Committee
- Mining
- Privileges Committee
- Privileges Committee
- Acknowledgement of Country
- Nuclear Energy
- Marine Conservation
- Mining
- Great Barrier Reef
- World Water Day
Carbon Pricing
(Brandis, Sen George, Wong, Sen Penny)
(Urquhart, Sen Anne, Evans, Sen Christopher)
Carbon Pricing
(Macdonald, Sen Ian, Wong, Sen Penny)
Queensland: Bimblebox Nature Refuge
(Waters, Sen Larissa, Conroy, Sen Stephen)
Carbon Pricing
(Joyce, Sen Barnaby, Wong, Sen Penny)
Automotive Industry
(McEwen, Sen Anne, Lundy, Sen Kate)
(Mason, Sen Brett, Wong, Sen Penny)
(Madigan, Sen John, Lundy, Sen Kate)
Education Funding
(Kroger, Sen Helen, Carr, Sen Kim)
- Carbon Pricing
- Family Law Amendment (Validation of Certain Orders and Other Measures) Bill 2012
- Antarctic Treaty (Environment Protection) Amendment Bill 2011
- Tourism Australia
- Torres Strait Regional Authority
- Great Barrier Reef Marine Park Authority
- Commonwealth Grants Commission
- National Water Commission
- Electoral and Referendum Amendment (Maintaining Address) Bill 2011, Electoral and Referendum Amendment (Protecting Elector Participation) Bill 2012
- Telecommunications Universal Service Management Agency Bill 2011, Telecommunications Legislation Amendment (Universal Service Reform) Bill 2011
- Intellectual Property Laws Amendment (Raising the Bar) Bill 2011 [2012]
- Extradition and Mutual Assistance in Criminal Matters Legislation Amendment Bill 2011, National Health Amendment (Fifth Community Pharmacy Agreement Initiatives) Bill 2012, Education Services for Overseas Students Legislation Amendment (Tuition Protection Service and Other Measures) Bill 2011, Education Services for Overseas Students (Registration Charges) Amendment (Tuition Protection Service) Bill 2011, Education Services for Overseas Students (TPS Levies) Bill 2011
- Publications Committee
- Education, Employment and Workplace Relations Legislation Committee, Environment and Communications Legislation Committee, Finance and Public Administration Legislation Committee, Foreign Affairs, Defence and Trade Legislation Committee, Rural and Regional Affairs and Transport Legislation Committee
- Community Affairs Legislation Committee
- Regulations and Ordinances Committee
Page: 2646
Senator THISTLETHWAITE (New South Wales) (16:55): I oppose the Landholders' Right to Refuse (Coal Seam Gas) Bill 2011. Whilst I do not dispute the environmental concerns held by the Greens or others, the veracity of those concerns or, indeed, the passion in which they are held, I believe that this bill is an unreasonable use of this parliament's powers. It is clearly enunciated in section 51 of our Constitution that encroaching on land-use powers, in the area of law-making, is ordinarily the domain of state governments. The Commonwealth, consistent with its powers enunciated in the Constitution, has a sensible and reasonable environmental protection regime that ensures stringent environmental impact assessment processes, appropriate natural protection safeguards and disallowance measures to ensure that coal seam gas cannot be extracted in circumstances which would produce environmentally damaging outcomes.
Coal seam gas is a longstanding source of energy in Australia. In the eastern states, approximately 33 per cent of gas production is through coal seam gas. For Queensland, 90 per cent of gas produced is through coal seam gas extraction. My view is that, as we move to a clean energy future, coal seam gas plays an important role as a transition fuel to that clean energy future. I accept the view that, in the long term, coal seam gas should not be our aim for the production of energy in this country. In the longer term, renewables must be our aim. That is the focus of the government's clean energy future. But, in the interim, coal seam gas plays an important role as a transition fuel to get us to that renewable energy future.
The facts are that coal seam gas is a damn sight cleaner than burning fossil fuels, particularly coal, and it is the only alternative fuel source at the moment that is capable of powering a baseload power station in Australia or, for that matter, a peaking plant. This issue highlights the fact quite clearly that the Labor government 'gets it' in terms of a transition to a clean energy future. We support a transition that ensures our economy and our jobs continue to grow and that, at the same time, we make the transition to a clean energy future. We believe that coal seam gas plays a part in that transition. In our view, this bill would make that transition a hell of a lot harder and, importantly, more costly, not only for businesses but also for Australian households. We believe that we can make a transition to a clean energy future and that we can grow our economy, grow jobs and grow investment, but that will take time. It is not going to happen overnight. To ensure a smooth transition and to iron out the bumps in the road to a clean energy future, we believe that coal seam gas plays an important part. To agree with this bill would send the wrong message to an economy in transition, to business in transition and to households in transition when it comes to jobs and promoting growth in our economy as we move down that path to a clean energy future.
It would make it harder to explore, invest and extract a fuel that will get us to the ultimate path of a renewable energy future in this country. Importantly, were Labor to support this bill it would be inconsistent with the approach that we have taken to this very important public policy issue. We have consistently said that we will move to a clean energy future whilst at the same time growing our economy, growing jobs and providing support for businesses and households to make that transition. An important element of our economy in making that transition is support for continuing this industry.
In terms of the environmental issues, I believe that the focus of the bill exemplifies its faults. Under this bill the Commonwealth would have the power to apply penalties to any constitutional corporation if it undertakes any activity to explore for or produce coal seam gas on food-producing land without prior written authorisation of anyone who has an ownership interest in the land. I understand the importance of food-producing land for this country, and the focus of Commonwealth laws should be on the protection of the environment through appropriate safeguards and approvals consistent with our Constitution. But, importantly, this applies on any land—not simply food-producing land—which is the ambit of this legislation.
Under the current federal environment protection regime that is exactly what occurs. Under the Environment Protection and Biodiversity Conservation Act, the Commonwealth has the power, consistent with the Constitution, to assess these projects and to assess environmental concerns. Proposals that have been assessed by the Commonwealth have only been allowed to proceed after careful consideration of the potential groundwater impacts. The Minister for Sustainability, the Environment, Water, Population and Communities, Minister Burke, has approved three coal seam gas projects.
In his decisions, the minister imposed around 300 conditions on each project to protect the environment and water resources while providing for the continued development of this industry. This act and its decisions build on the 1,200 conditions that were imposed by the Queensland government in respect of the three projects that were approved under the EPBC Act. Collectively, they were aimed at addressing the cumulative impacts of multiple projects in terms of community sustainability, regional development and environmental outcomes.
The approval process for coal seam gas projects requires the projects to undertake detailed planning and monitoring to ensure the potential impacts on springs, ecological communities or groundwater resources are detected long before they exceed critical thresholds; to develop a timetable for the submission of management plans for aquifers, groundwater and surface water approval; to maintain groundwater pressure in aquifers above a conservative threshold; and to have plans for measures to re-establish pressure if it falls below these thresholds. They have to develop pilots for aquifer reinjection and water treatment programs to ensure that any water to be reinjected is of suitable quality. There are protections in place to ensure that under appropriate Commonwealth laws these projects undertake proper assessment and proceed with stringent environmental protections in place.
Also, the Commonwealth has recognised that there is a degree of concern within the community regarding this issue. It has become a hot topic. In that respect, the Commonwealth has established a land access working group. Although the Commonwealth does not have the power to regulate when it comes to land use management issues, the Standing Council on Resources and Energy and the minister have been working with state governments to facilitate a discussion regarding a uniform approach to the regulation of the industry.
That is the appropriate approach to take, in my view, regarding this issue. It is the domain of the states, and it is appropriate for the Commonwealth, recognising the concerns of the community, to work with those states on a uniform planning and assessment regime at the state level. So the claims that the government has ignored the concerns of the community on this issue are wrong. The government has acted within its ambit enshrined in the Constitution to ensure that it is working with the states, who have the appropriate control and law-making powers when it comes to this issue. This is a measured, appropriate approach which recognises our constitutional constraints but which complements the processes of the Environmental Planning and Assessment Act.
Coal seam gas extraction has been occurring for decades. It is an important industry for our economy. One of the issues associated with this is the fact that the state governments, which do have control and powers when it comes to law-making in this area, have reacted and enacted regimes which ensure appropriate controls are in place. The Queensland government has acted and the New South Wales government has acted. They have put in place a series of control measures to ensure appropriate development.
Queensland has introduced a strategic cropping land policy framework which aims to provide a balance between protecting prime agricultural land while allowing for the development of a coal seam gas industry. The Queensland Premier has also announced that coal seam gas and mining activities will not be permitted within two kilometres of population centres of over 1,000 people. The Queensland government has also developed a code of conduct for the industry which focuses on managing any impacts on land and water resources and landholders' activities. In addition, the Queensland government has formed a coal seam gas enforcement unit made up of environmental and groundwater experts, petroleum and gas safety specialists and staff specialising in land access issues. The unit is, importantly, based in local communities and acts as a centre point for contact for safety, land access and environmental concerns. That is what the Queensland government is doing.
In New South Wales, the New South Wales Liberal government has announced new policies to provide for the effective regulation of the coal seam gas industry. They include: a ban on the use of BTEX chemicals; requiring proponents to hold a water access licence if they extract more than three megalitres per year from groundwater; a ban on the use of evaporation ponds relating to coal seam gas; and requiring all new applications for mining or petroleum projects to submit an agriculture impact statement and a strategic regional land use policy. This policy and this approach by the Liberal government in New South Wales will provide greater certainty for the development of the coal seam gas industry in New South Wales. I note that the New South Wales upper house is also holding a parliamentary inquiry into the issue in New South Wales to examine the sustainability of the coal seam gas industry. In my view that is an entirely appropriate approach because it is within the remit of the states, who have the power to make laws with respect to land use management, to make these reforms. It is not, in my view, within the remit of the Commonwealth, which does not have the power under our Constitution to make laws with respect to land use management, to be encroaching on this area traditionally undertaken by the states. I have never been a big states'-righter, I must say, but on this particular issue I believe that it is appropriate—
Senator Farrell interjecting—
Senator THISTLETHWAITE: I certainly do represent them, but I suppose I take a pragmatic approach, Senator Farrell, when it comes to these issues, and I believe that on this particular issue in this particular area of policy it is entirely appropriate for the states to make the laws with respect to land use management and for the Commonwealth's remit to be associated with environmental issues and the EPBC Act.
The debate concerning this issue has produced some unusual ironies. Some of the coalitions that have been formed in respect of this issue and the debate that has been occurring in the wider community are somewhat ironic. To see the Greens hand in hand with the farming community and the likes of Alan Jones and Bob Katter is incredibly ironic, particularly given the fact that Bob Katter, as a former mines minister under the Ahern government, in 1989 brought into the parliament the actual laws that are now being used by the coal seam gas companies to extract and explore for coal seam gas in Queensland. So here we have Bob Katter as part of the Lock the Gate coalition now campaigning against coal seam gas, but back in 1989 Bob Katter was the one that opened the gate to coal seam gas exploration and extraction in Queensland—a somewhat ironic situation which highlights the somewhat bizarre nature of the public debate that has been occurring in respect of this particular issue in our nation.
I draw my comments to a conclusion by once again stating that I appreciate the concerns of the green movement on this issue.
Senator Heffernan: With your indulgence, Mr Acting Deputy President, on a point of order: I was just wondering what all politicians of all persuasions are going to do about the 20 million tonnes of salt that is going to be produced.
The ACTING DEPUTY PRESIDENT ( Senator Cameron ): That is not a point of order, Senator Heffernan.
Senator Heffernan: You don't have the answer and no-one has the answer.
Senator THISTLETHWAITE: Perhaps, Senator Heffernan, you will be voting with the Greens on this bill given your concerns regarding the issue. We will wait and see. But I reiterate my points earlier made. It is in my view inappropriate for the Commonwealth to be passing these laws, which apply only to corporations but would allow, were this law passed, cooperatives, sole traders and partnerships to continue to extract and mine coal seam gas on land. This law would apply only to corporations. It is an area of lawmaking that is traditionally within the ambit of the states, and I believe it would be inappropriate for the Commonwealth to be passing these laws and encroaching on that ambit, particularly in the context of the fact that, when we are talking about environmental protection, the Commonwealth has in place a stringent process for the approval of these projects and, importantly, disallowance measures where the relevant minister believes that the safeguards in terms of environmental assessment have not been met and there will potentially be damage to the environment. On that basis I do not support the bill and I urge the Senate to reject the bill.


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Venice, Campo Santo Stefano, on a day like any other. Suddenly something strange happens here. What was scheduled to be a normal Friendship concert of the choir festival Venezia in Musica 2012 became unexpectedly the venue of a world premiere when some very special figures entered the stage.
Ladies and Gentlemen, please welcome the first-ever MORPH CHOIR of the world!


text:
NE Supreme Court Ruling Deals Blow To Cigar Bars, Outlets
The Nebraska Supreme Court has struck down two exceptions to the state's public smoking ban, dealing a blow to cigar bars and tobacco shops, but sparing the exception for some hotel guestrooms that allow smoking.
The decision Friday came in the case of Big John's Billiards, an Omaha pool hall, whose owner sued after Nebraska enacted a statewide public smoking ban in 2009. The law bans smoking in all public buildings and private businesses, including bars and restaurants. However, the law provided exceptions for cigar bars, some hotel rooms and tobacco-only retailers.
In a split decision, the state's high court found that the exception for hotel rooms is permissible, because hotel guestrooms are akin to private homes. But it found the exceptions for cigar bars and tobacco retailers unconstitutional.


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STOKES-L ArchivesArchiver > STOKES > 2004-08 > 1092571680
From: "Carol Stokes" <>
Subject: Re: [STOKES] Cecelia Walker and Sylvanus Stokes,III ancestors
Date: Sun, 15 Aug 2004 07:15:37 -0500
References: <email@example.com>
Good morening, Kathi --
Oh, my FAVORITE topic! <G> What a fun way to start a Sunday.
First, I have that Bishop website, which does have a lot of useful
information -- but not all of the Stokes stuff is accurate. Use it for
hints, but don't take it as gospel.
A while back, I spent several years writing a notebook for my sons and
cousins on our particular Stokes line, and by far the most difficult and
longest chapter was the Swamp of Sylvanus. As anyone who's spent much time
on Virginia Stokes genealogy knows only too well, there were about a
GAZILLION men named Syl/Silvanus Stokes, and untangling the mess was no easy
task. What follows are my conclusions -- based on all available evidence
arranged logically, but no absolute proof. There are some who may disagree
with it. [If you want a copy of this whole chapter, send me your snail-mail
address and I'll try to print out a copy for you. It's too long to send as
a file attachment to e-mail.]
Okay, the first Sylvanus Stokes, born around 1636, was the son of William
Stokes up around Warwick River County and unknown [maybe a Cheesman or
Watson girl] mother. Sylvanus [this is the only one of the early Stokes to
be recorded in some original documents as SYLvanus] married Mary Bishop and
the couple had two sons [he later re-married, but that's another line] in
Charles City County, John and Silvanus, Jr., the latter of which later
morphed into Silvanus Stokes the Elder in Surry, and married Susannah Jones.
That couple had, among other children, a son named Silvanus who married
Cecelia. And Silvanus & Cecelia had, among other children, a son named
Silvanus who married Temperance Clark. This is the most direct descent of
the Syl/Silvanus name, but nearly all the branches down from the original
Sylvanus named one son Silvanus -- so there are indeed a bunch of them!
Genealogical writers have generally confused and written Syl/Silvanus
interchangeably, but I found no SYL in original documentations of the era
except for the first Sylvanus Stokes in Charles City County, and even his
name was written variously by different scribes. [Remember that all these
guys were probably illiterate and just voiced their names to scribes for
legal documents.]
Since you asked specifically about the parents of the first Sylvanus, I need
to mention that some people believe they were John and Ann Stokes/Stoakes,
who came over on the ship Warwick. There are some motivations for claiming
such lineage -- not the least of which is that a John Stokes signed the
second charter of the London Company, and also it allows the northern
Virginia Stokes to claim descent from Christopher, but my version also
accepts that latter claim, and I believe my version better accomodates all
the known facts.
This is probably way more than you ever wanted to know, but I just couldn't
resist playing The Game on a pleasant Sunday morning. [G]
Best wishes,
Carol Stokes
----- Original Message -----
From: <>
To: <>
Sent: Sunday, August 15, 2004 12:37 AM
Subject: [STOKES] Cecelia Walker and Sylvanus Stokes,III ancestors
> Hi
> I am new to this list and just made a connection into the Stokes family.
> a Bishop website I found:
> Agnes Stokes b 8 Oct 1745 Surry, VA was the d/o
> Silvanus Stokes III d aft 25 Feb 1758 Sussex, VA married to Celia Walker.
> Silvanus III was the s/o
> Silvanus Stokes Jr., d between 6 Feb 1748 and 1749 married a _____
> Silvanus Jr. was the s/o
> Silvanus Stokes Sr. who married Mary Bishop bef 23 Sep 1658 at Charles
> Can anyone tell me how accurate this info is and also fill in missing
> death dates, etc. Who are Silvanus Sr.'s parents? I had the spelling of
> Sylvanus, however this website uses Silvanus.......are they the same
person and
> which is 'more correct'?
> I appreciate any kind soul that can answer/share any info on this family
> line.
> Thanks for your time!
> Kathi Haymond
> ==== STOKES Mailing List ====
> For your emails to go to the Stokes mailing list you must be subscribed.
To subscribe send your email to (for the
digest mode replace the L with D) In the subject line type: Subscribe (to be
removed from the list type: Unsubscribe) To send your queries to the list,
whether you are on mail mode or digest mode, send it to
This thread:


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Have You Submitted Your Crystal Achievement Award Nomination?
Jenni Chase
June 10, 2014
June 10, 2014
The nomination deadline for Window & Door's 2014 Crystal Achievement Awards is just around the corner, and we want to hear from you! Honoring outstanding achievements in window and door product technology, manufacturing and marketing, the awards will be presented in the September issue, in the following categories:
- Most Innovative Window
- Most Innovative Door
- Most Innovative Window Component
- Most Innovative Door Component
- Most Innovative Glazing Technology
- Most Innovative Plant
- Most Innovative Machine—Frame, Sash, or Door Fabrication
- Most Innovative Machine—Glass & Insulating Glass Processing
- Most Innovative Program
- Best Product Literature
- Best Industry Website
Plus, we have a Unique Innovation Award recognizing programs, products and equipment that might not fit within any of the above categories. The deadline to submit your nominations is June 15, 2014. Click here for more information, and don't miss out on the opportunity to promote your company's achievements.


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Library Hours: 7:30am to 5:00pm
Eastern Michigan University Library
A Library space jointly managed with the Faculty Development Center, the Collaboratory is designed to incubate projects. It is designed for teaching/learning development and experimentation, the growing of new skills, testing new methods, and participating in collegial projects. Library instruction consultations and small group collaborations (grant or program development, faculty/staff mentoring, e-fellows projects, interdisciplinary teams, and co-teaching teams) are welcome.
The Collaboratory is open to all instructional personnel at EMU (faculty, lecturers and staff who teach or who lead co-curricular programs).
Equipment is available for training and rehearsal with:
• "Smart Classroom" model technology (Smartboard, ELMO, video, PPT, clickers, etc.)
• Library tools and online resources
• Lecture capture tools
• Online teaching technology and technique
To reserve the Collaboratory, please contact the Faculty Development Center, email: email@example.com, phone: 734.487.2530
Support is available on request by staff or faculty from the Faculty Development Center, Library, IT, or Extended Programs.
Location: Room 109B, Bruce T. Halle Library (accessed through the Faculty Development Center)


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Oil-drilling wastewater pumped into a northeast Ohio well "almost certainly" triggered 11 minor earthquakes around Youngstown since last spring, including one Saturday, a seismologist tells the Associated Press.
Ohio officials closed four inactive "fluid injection" wells within a five-mile radius of the Youngstown well, which is near a fault that geologists apparently weren't aware of. Pressure from the wastewater caused the fault to shift.
Northstar Disposal Services has used the wells to dispose of brine wastewater from shale oil and gas drilling, which officials said is different from so-called fracking, the Youngstown Business Journal and AP report.
Despite the disclaimer, The Christian Science Monitor writes that the disposal wells -- and the earthquakes -- are related to fracking, or hydraulic fracturing ("How fracking caused an Ohio earthquake").
The seismologist interviewed by the AP, John Armbruster of Columbia University's Lamont-Doherty Earth Observatory, said more minor shakes can be expected throughout 2012.
"The earthquakes will trickle on as a kind of a cascading process once you've caused them to occur," he said. "This one year of pumping is a pulse that has been pushed into the ground, and it's going to be spreading out for at least a year."
The magnitude 4 tremor New Year's Eve day was felt in northwestern Pennsylvania and in Buffalo. The Vindicator has more details. A magnitude-3 quake jiggled the region on Christmas Eve.
Doug is an unrepentant news junkie who loves breaking news and has been known to watch C-SPAN even on vacation. He has covered a wide range of domestic and international news stories, from prison riots in Oklahoma to the Moscow coup against Mikhail Gorbachev. Doug previously served as foreign editor at USA TODAY. More about Doug
Michael Winter has been a daily contributor to On Deadline since its debut in January 2006. His journalism career began in the prehistoric Ink Era, and he was an early adapter at the dawn of the Digital Age. His varied experience includes editing at the San Jose Mercury News and The Philadelphia Inquirer.
Also: Follow On Deadline on Twitter


text:
Silver Hill Hospital is a nonpofit psychiatric hospital located in New Canaan, Connecticut.
Silver Hill Hospital is an academic affiliate of Yale University School of Medicine Department of Psychiatry.
The mission of Silver Hill Hospital is to provide our patients with the best available treatment of mental illness and addiction; and to offer continuing support, counseling and education to our patients and their families in every phase of illness and recovery.
The vision of Silver Hill Hospital is to establish a helpful, lasting relationship with each of our patients, their families and their clinicians in the community and to remain involved in each patient's care for as long as we are asked. We will educate clinicians, patients, their families and members of the community about the nature and treatment of psychiatric disorders and addictions. We will strive to advance the frontiers of our field through continued scholarship.
Individual Dignity – We respect the dignity of all who pass through our doors – the patients, the visitors, the volunteers, the medical staff, the employees – and foster this respect for dignity through all of our efforts.
Tradition of Service – We are committed to our tradition of providing healthcare services necessary to meet the needs of the communities served. We value the long-standing care relationship that exists between the provider of care and their patients and will continue to draw upon the various disciplines within the healthcare delivery system to ensure the continuance of this heritage.
Respect for Rights – We believe that our patients possess inherent rights, including privacy and confidentiality, and these rights shall be known and respected by all of our employees.
Technology with Compassion – We recognize technology and compassion as equal partners in the delivery of healthcare services.
Leadership – We value growth and development of our employees. By creating a collaborative environment in which our employees are given the opportunity to advance and excel, we demonstrate that we look to them for the leadership of tomorrow.
Trust and Fairness – We foster a climate of openness in which all who work here treat one another with trust and fairness. We support open communication to enhance this climate.
Education – We believe in and support the education of our employees, patients and community.
Efficiency – We encourage the strategic and efficient utilization of all resources. Using clinical judgment and good management practices, we demonstrate a commitment to responsible financial stewardship.
Innovation and Diversification – We encourage innovation to advance the programs offered by Silver Hill Hospital. We also value the strategic diversification of healthcare services consistent with our vision.
Community Support – We place great value on those members of our community who support Silver Hill Hospital by volunteering their time and by their philanthropy. In return, Silver Hill Hospital participates in a positive manner in the community.
Read a message from our President and Medical Director.
Read the history of Silver Hill Hospital.


text:
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Tel: 610.351.4040


text:
Within 20 to 90 minutes after it is injected, botulinum neurotoxin type A can be detected inside the motor nerve endings. Therefore the muscles and nerve endings take up the Botox or Dysport very quickly before they can spread far from the injection site. I tell my patients they are free to do anything they choose 1 1/2 hours after their injections. The position in which you sleep will similarly have no adverse effects.
If I Sleep Face Down, Should I be Concerned About Ruining Results of Dysport?
Doctor Answers 12
Sleeping positions after Dysport
Learn more: http://www.dorsetstreetdermatology.com/cosmetic-dermatology/botox-dysport/
Botox and sleeping position.
Sleeping face down
Learn more: http://www.dennisgrossmd.com/services/treatment/botox-dysport/
You might also like...
We always discourage patients from engaging in strenuous activity and/or massaging the treated area whether it is Botox or Dysport that they were treated with. We do not want to encourage the ability for the Dysport to disperse into areas that were not intended for treatment.
Sleeping face down
The one thing that we tell every patient following injections of Botox, Dysport, etc. is that you need to be careful bending over for the first four hours. This is due to not wanting the substance to disperse into areas that may be detrimental. Once the liquid is absorbed into the muscle, there is not much you can do to alter the results. If you really sleep face down into the pillow, I would certainly get the injection in the morning, to maximize the time for the toxin to be absorbed. I hope this helps.take care
Sleeping on Dysport injected area
In my experience, Sleeping face down should not effect the results of dysport. However I recommend all of my patients to refrain from rubbing or messaging the dysport injected areas for the first 24 hours, along with refraining from strenuous activity, or any heavy lifting. The reason for this is to make sure that the dysport does not move to unwanted areas. If dysport moves to an unwanted muscle it has the potential to cause ptosis, which can cause the eyelid to droop. Although the actual potential for these side effects of dysport is highly unlikely, I think it is better to be safe than sorry. That being said, i would advise my patients to not sleep face down for the first night after dysport injections.
Sleeping Position after Dysport?
Hi Frankie. Your sleeping position will not affect your Dysport results. The only recommendation we would make about Dyport and sleeping is not to lie down for about 4 hours after your injections. This could lead to a higher dispersion (spread) than intended and lead to ptosis (eye lid or brow sagging). Good luck.
Learn more: http://www.celibre.com/dysportInjectionsBeforeAfterPictures.aspx
Sleep after Dysport
Going to sleep face down several hours after injection should not affect your dysport. Sleep as you like but some do recommend( do) not lying down for four hours after injection.
Learn more: http://brookwooddermatology.com
Sleep in whatever position you'd like
You can sleep in whatever position you are comfortable. I don't recommend people push or manipulate their faces after Dysport, but other than that you can sleep, exercise, travel, etc.
Sleeping and Dysport
Sleeping face down will not change or ruin the results from Dysport, but over time, sleeping on your face can cause lines and wrinkles that can't be addressed with Dysport since they are not caused by muscle contraction but rather your skin perhaps folding and being pressed into a position repeatedly.
Be well and sleep well~
Dr. Grant Stevens
Learn more: http://www.marinaplasticsurgery.com
These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.


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|Re: LWN article about us
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F421 Boku Chevron Cowl by Vanessa Ewing
Welcome! You are browsing as a guestWould you like to see 57 projects made from this pattern and much more? create a free account What am I missing?
© Vanessa Ewing
© pknitsox
© yarnismyantidrug
© DoubleEwe
© Vanessa Ewing
F421 Boku Chevron Cowl
This pattern is available as a free Ravelry download
Approximate Measurements:
9" wide, 30" circumference
2—50G balls, color 13
Gauge: 4.5 sts = 1" in pattern stitch on size 8 needles.
Needles: US size 8 knitting needles, scrap yarn, spare needle (for grafting/kitchener stitch)


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Guest commentary
Here in Atlanta, at the annual meeting of the American Meteorological Society, much of the talk is about last week—the snowstorm that paralyzed Atlanta, produced epic traffic tie-ups, and stranded countless school children and office workers.
Much of the post-storm analysis has raised questions about the failure of state and local officials to better protect the city, given that forecasters predicted hazardous winter weather. But I think we should also draw lessons about improving our forecasts.
Weather forecasting is one of the great success stories of our time. Thanks to decades of investment by the government and private companies, we can often predict major storms three to five days in advance. The fatal westward turn of Superstorm Sandy into New York and New Jersey in 2012 was correctly simulated by a computer model almost six days out—a feat that would have been unattainable just a few years earlier.
Clearly, however, these forecasting capabilities are not sufficient to properly protect our nation. Atlanta is just the latest example in a long series of events (including Sandy, Hurricane Katrina in New Orleans, and the Joplin tornado) that have proved disastrous in some way despite advance warning from meteorologists in each case. As society has become increasingly interconnected, the toll of these weather disasters is staggering. Major weather and climate events have cost the United States more than $1 trillion since 1980, according to the National Oceanic and Atmospheric Administration's National Climatic Data Center. Moreover, the annual losses appear to be mounting.
What, then, is to be done?
While the factors behind the high cost of weather disasters are complex, at least part of the solution must include longer-range and more detailed forecasts. Such forecasts, when clearly communicated to decision makers who then act on that information, will go a long way toward better safeguarding society.
In the case of Atlanta, forecasters began warning of the possibility of snow days in advance. The National Weather Service, seven hours before the storm, urged motorists to stay off the road except for emergency travel.
It will take time to determine why the response of local and state officials seemed out of sync with the potential for massive disruption. But what if, three or more days before the storm, forecasters could say that the city would be hit by a particularly dangerous storm that would cause roads to become icy and treacherous right about noon on Tuesday? Would schools and businesses have made plans well in advance, thereby avoiding the massive exodus that took place midday and snarled the roads so disastrously?
Through partnerships that bring together universities, private companies, and national labs, researchers are working to improve weather forecasting models. To do so, they are drawing on more detailed observations from satellites and other technologies such as innovative crowd-sourcing tools, as well as on new insights into the physics of storms.
These models, when run on increasingly powerful supercomputers, provide hope of generating predictions that will extend further out and provide more detail about the potential timing, location, and severity of weather events.
To improve communication of these forecasts, teams of social scientists are studying how to better convey weather information using both words and graphics. For example, can a winter weather advisory be more clearly phrased to distinguish between events that could turn roads into skating rinks vs. those likely to have little effect on traffic?
Related: Are meteorologists to blame for snow disasters in Atlanta and Birmingham?
Not only must we strengthen our forecasts and communicate them better, we must also target our technologies to help where society is most vulnerable. This means, in part, focusing on vital transportation pathways. For example, this winter scientists and engineers are equipping snowplows in several states with environmental sensors and translating that data into a near-real-time portrait of weather and road conditions.
When Georgia officials opened Interstate 285 around Atlanta in 1969, forecasts went out just 36 to 48 hours and contained little information about the timing or intensity of approaching storms. We've come a long way since then.
Here in the conference hall in Atlanta, the consensus among professionals from private companies, government agencies, and the university community is that the synergies gained when these sectors work together can bring further, essential improvements. Even if we cannot guarantee a city's response to a winter weather warning, we know that the insights to be gained by investing in efforts like those described here are needed to improve our forecasting capabilities and enhance the safety and economy of our nation.
We will never be able to predict weather perfectly. But, with the proper investments in research and technology, our predictions can keep getting better and better.
Thomas Bogdan is president of the University Corporation for Atmospheric Research, a nonprofit consortium of more than 100 research universities based in Boulder, Colorado.


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WEYMOUTH Wanderers Under-15s are looking for a new manager to take the side into next season when they will be moving up an age group.
Mike Dear has managed the team for a number of years but is unable to continue in his role due to other commitments.
The Dorset Youth League side is full of talented and enthusiastic footballers and it has been a rewarding and enjoyable experience for the outgoing Dear.
With the support of their sponsors, Dorchester Round Table and Mildren Construct-ion, the team has full kit in place for next season and training takes place on Wed-nesday evenings, with matches on Sunday afternoons.
Anyone interested in managing the team for the 2014/15 season should contact Dear by calling him directly on 07967095930.
The team will soon be holding its end-of-season presentation and Dear would like to thank all parents and sponsors for their support and commitment throughout the entire season.


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Geraldine Frances Jezek
Geraldine Frances Jezek, 78, passed away in Dallas, Texas on Thursday, August 23, 2012.
Services are pending with J.E. Keever Mortuary, Inc.
Posted by publisher on Aug 24 2012. Filed under Obituaries. You can follow any responses to this entry through the RSS 2.0. Both comments and pings are currently closed.


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To love and to heal the broken
I could really use the scholarship, as I would want to use it towards accomplishing the goal of earning degrees that could help prepare and equip me for helping those with rougher pasts.
The work area I want to enter in to is to encourage, guide, love, and counsel children in the foster system. I want to help them be mentally stable in a very unstable life where they never know how long they will be anywhere, if they will ever have a family to care about them, and where their lack of trust of people is growing daily. I also want to be prepared and mentored on how to take care of these kids in my personal life as I would love to foster and adopt. To do this, after finishing my second year at Word of Life, I plan to attend Davis College of New York to earn a Bachelor's degree in counseling psychology.
To be asked to talk to someone who may not seem to care about them as much as something else just increases their lack of trust and will close them up more. With the scholarship, I could focus more on the teens who need my full focus and attention on their lives instead of loans. I also hopefully could be able help them financially in the future with some of their college payments.
I want to serve those who feel they have no one. I want to encourage and help financially, the future generation.