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CEOs and Entrepreneurs Queue Up To Buy the Ultimate in Private UltraLong- Distance Jet Travel
That is, until now. Four of the world's major aerospace manufacturers--Gulfstream, Bombardier, Boeing and Airbus--have introduced a class of business jet designed to fly up to 6,500 miles without needing to refuel. The risks inherent in developing these new aircraft have led to an all-out war between manufacturers in a market already known for its cutthroat pricing and vitriolic, pull-no-punches marketing campaigns.
To get their point across, the manufacturers have hired a variety of pitchmen who they hope will appeal to their respective markets. For a time, Boeing used Australian golfer Greg Norman to appeal to potential customers that it calls "high-net-worth individuals and global business leaders." Gulfstream is appealing to the intellectual side of its customers by hiring Microsoft chief technology officer Nathan Myhrvold as its spokesman in the print media.
Fortunately for manufacturers, the popularity and sales of these aircraft have greatly surpassed expectations. More than 230 have already been sold at about $35 million each. That's for a "green" aircraft without a finished interior or exterior paint. The complete outfitting of the interior--from galleys and showers to the latest in electronic office equipment and satellite-based communications systems--costs $4 million to $5 million more.
Las Vegas-based Marnell Corrao Associates is typical of the type of company lining up for one of the new long-range business jets. As one of the world's premier hotel-casino architects and contractors--Marnell Corrao designed and built Steve Wynn's Mirage and Bellagio casinos in Las Vegas, as well as many others in Vegas and elsewhere--the company makes numerous trips that are short in duration, but long in distance.
Many of those trips are to remote locations with small airports not suitable for large commercial jets. One week its employees are in Asia buying carpet and tile; the next they are in Europe purchasing crystal chandeliers and marble. Marnell Corrao also regularly provides international transportation for the many highly specialized consultants build state-of it relies on for lighting, sound, hydraulics and other disciplines used to build state-of-the-art casino-hotel resorts.
"A lot of our projects are under a time and money constraint," says Marnell Corrao chairman and CEO Anthony Marnell. "If we're working with special showroom rigging or pumps for a water feature, then we go right to the factories, which are accessible to shorter fields. We don't fly into JFK or Heathrow. If we're going from Las Vegas to Los Angeles, a 40-minute flight, we want to go into Santa Monica, not LAX; then have a two-hour meeting and continue on to Hong Kong."
At 6,500 nautical miles, the range of the new aircraft is typically twice that of regular business jets and gives their users unprecedented nonstop reach across the continents. Typically, this new jet can fly eight passengers and a crew of four nonstop from New York to Tokyo, London to Singapore, or San Francisco to Moscow, for example. Anywhere in the world can be reached with only one stop for refueling.
Even though these "bizjets" are thought of primarily as a business tool to whisk CEOs to far-flung boardrooms around the world, delivering them fresh and ready to negotiate on arrival, the demographics of the buyers of these aircraft have somewhat surprised manufacturers.
Boeing Business Jets, for example, expected half of all sales to come from Fortune 200 corporations instead of the present 25 percent of sales, according to Boeing Business Jets president Borge Boeskov. He believes, however, that they will eventually account for half, as executives adapt to seeing a privately owned 737 on the tarmac and overcome what he calls the "perception problem" among stockholders.
"Quite often there are only a couple of people flying in these [aircraft]," says Boeskov. "A couple of people stepping off an airliner can cause a perception problem."
Instead of the corporations, the most active group of buyers for these transports has been high-net-worth individuals, such as entrepreneurs. Boeskov expected that market to account for about 30 percent of sales, but it's been closer to half.
The third segment for these aircraft are heads of state, VIPs and military customers. The Boeing and Airbus models are proving to be popular with governments from small countries that don't want their presidents flying around in $125 million Air Force One-type 747 aircraft, but are comfortable shuttling them about in the smaller airliners. In the Middle East, Kuwait Airways purchased three Gulfstream Vs last year for transportation of senior Kuwaiti government officials. The aircraft will be used for executive transport and emergency, long-range medical evacuation. In all, 24 countries operate Gulfstreams in government service, including the United States, which has flown the jets since 1967 and presently has 41 in service.
The superlong-range capabilities of the new aircraft are also particularly attractive to the military. In late 1998, the U.S. Air Force 89th Airlift Wing, the special missions unit that chauffeurs White House executives and members of Congress, took delivery of a VC-37A--the military designation for the Gulfstream V.
At $35 million a copy for these new superlong-range aircraft, an observer might think the selection of aircraft was limited. On the contrary, prospective buyers have never had so many choices. The fight for the world's most exclusive travelers is a battle among the golden names of aviation.
Gulfstream and Bombardier have gone head-to-head for years. What makes this competition different are the new combatants: Boeing and Airbus. Neither had produced a business jet before, but both saw the lucrative market as too rich to pass up. Gulfstream estimates total potential sales for the new class of business jets at 400 to 500 aircraft, making the market worth as much as $17.5 billion.
The first superlong-range aircraft to be announced was the Gulfstream V, followed by Bombardier's Global Express, then the Boeing Business Jet and the Airbus A319CJ (Corporate Jetliner).
Gulfstream's heritage dates back to 1958 with the twin-engine, prop-jet-powered Gulfstream I introduced by Grumman, which owned Gulfstream until 1978. The company followed the GI with the Gulfstream II in 1966, which became popular with corporations and government agencies because of its large cabin. The Gulfstream III was introduced in 1978, and by 1987 Gulfstream was producing one of the industry's most popular long-range business jets--the Gulfstream IV-SP.
Owning a Gulfstream became the epitome of success, from the hills of Hollywood to the boardrooms of Wall Street, and many of the people today who are trading up to one of the superlong-range business jets are trading in a GIV-SP.
After 1978, the company changed hands several times--from Grumman to Allen Paulson, the former owner of famed racehorse Cigar, to Chrysler and eventually to Forstmann Little, a private investment firm, which purchased it in 1990 for $850 million. In May, the Savannah-based company changed hands again as it was bought by defense contractor General Dynamics for approximately $5 billion.
It was Forstmann Little's deep pockets that led to the development of the Gulfstream V, commonly called the GV (pronounced gee five). The aircraft was conceived, developed, certified and brought to market in just over three years-- about two years ahead of the competition--and cost $800 million to develop. Approximately 20 have already been delivered and another 80 are on order. Seagram Co. was the first customer for the GV. To celebrate reaching the 100-sale milestone, Gulfstream awarded its 5,500 full-time, nonexecutive employees the option of purchasing 100 shares of company common stock at $43 a share. Gulfstream was trading at $49.50 at the time of the offer. Employees can exercise the option any time over the next 10 years.
Gulfstream had the large business jet market to itself until 1980, when Montreal-based Canadair introduced its own wide-cabin aircraft--the Challenger. Canadair remained independent until 1986, when it became part of the widening aerospace holdings of Bombardier, the Montreal-based manufacturer of subway cars and Skido snowmobiles.
The acquisition of Canadair kicked off a worldwide aerospace buying spree. In the early 1990s, Bombardier purchased Wichita's famous Learjet Corp., as well as two of aviation's oldest aircraft manufacturers-- de Havilland of Toronto and Short Brothers of Belfast, Northern Ireland. The resultant company has been one of the aerospace industry's most successful over the past several years. With the development of the 50-seat Canadair Regional Jet (CRJ), which is quickly becoming the aircraft of choice for many commuter operators, replacing propeller-driven aircraft on their longer routes, Bombardier has become one of only two builders of commercial jets in North America. (Boeing is the other.)
In 1993, Bombardier launched its own ultralong-range business jet. Called the Global Express, this aircraft matches the GV in range and price, but has a larger cabin and higher top speed.
The Boeing Business Jet program is a joint venture between Boeing and General Electric. The aircraft is based on a derivative of Boeing's popular 737 airliner. The BBJ combines the size of the fuselage of the next-generation 737-700 with the strengthened wings and landing gear from the larger and heavier next-generation 737-800.
Risk-sharing partner General Electric is providing the BBJ's engines through its GE Aircraft Engine subsidiary, which is working on the Boeing project in conjunction with France's top engine builder, Snecma.
After two years of development, the BBJ flew for the first time in September 1998. Boeskov says the BBJ has widely outperformed Boeing's initial predictions for the aircraft, and the market has responded. The company had originally hoped to sell six to eight a year. Instead, 46 orders have been confirmed since its mid-1996 launch, and Boeing plans to build 29 aircraft in 1999.
Boeing pegs the market for ultralong-range business jets at 600 aircraft--a bit higher than the Gulfstream estimate. It now believes it can capture 40 percent of that market, or 240 planes.
"Two years ago, people doubted that Boeing was serious about getting into business aircraft," says Boeskov. "Now we have a real airplane for those who are doubters." Announced customers for the BBJ include, not surprisingly, General Electric chairman Jack Welch, who has ordered two, and Florida Marlins owner Wayne Huizenga.
The last to enter the market for long-range business jets, in mid-1997, was Toulouse, France-based Airbus Industrie--a consortium of France's Aerospatiale, Germany's Daimler-Chrysler Aerospace Airbus, the U.K.'s British Aerospace and Spain's Construcciones Aeronaticas S.A. In recent years, Airbus has become a powerful number two to industry leader Boeing in the world market for commercial airliners, now selling more than 40 percent of the world's commercial aircraft.
Airbus's A319CJ Corporate Jetliner is almost identical to its A319 narrowbody jetliner, but it carries more fuel.
Though Airbus's long-range business jet orders are fourth in the four-company race, Airbus executives believe they will make up ground in the coming years--particularly because the A319CJ's cabin is larger than all of its competitors, including the BBJ, and because of its fly-by-wire flight control system, which relies on electrical connections rather than metal cables.
"We think there is a demand for 20 to 24 airline-class business jets per year," says John Leahy, Airbus's senior vice president for commercial aircraft. "Boeing thinks they'll take all of it, but we think we will take half that, which is the same rate in the commercial market in the competition between the 737 and A319."
Though Leahy would not name any A319CJ buyers, he says Airbus has 12 firm commitments for the aircraft. The only announced customer is a conglomerate of Kuwaiti companies called Mohamed Abdulmohsin Al Kharafi. M.A. Al Kharafi's A319CJ will be configured to carry up to 30 passengers, with a mixed layout for VIPs and guests.
The manufacturers aren't shy about discussing what they believe are the unique merits of their jets. Gulfstream, for instance, touts the fact that its Gulfstream V is the only one of the four aircraft to have been certified by the Federal Aviation Administration as of the first quarter of 1999. While the other planes are awaiting certification, company spokemen note, the GV is being delivered to customers today.
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Two Guys are Cameron Jones on baritone guitar and Ryan Jones on drums. They're brothers. Ryan is older, Cameron writes the songs and sings. They both live in Portland, OR. Cameron spent a number of years living in San Diego, CA. While he was there, he played with a few bands of which you might have heard: Thingy, Pinback and Physics. Right about now, you can't get much sexier than Pinback, though it would be the three or four years spent with Thingy that would make the biggest mark on the younger Mr. Jones. Sometimes he played bass, his first instrument, other times he played drums. Tired of San Diego, Cameron headed north in mid-2001 to reunite with his very first collaborator, big brother Ryan, and, for the first time, step out of the background and into the spotlight.
OK, now you need a little direction, some inspiration perhaps. A guy named Rob Crow was/is also in all three of those San Diego bands. You could consider him and his unusual and innovative style of song-writing (particularly the work he's done in Thingy and Heavy Vegetable) to be a big influence on Cameron. The structures of Crow's and Jones' songs are decidedly experimental, replete with naaaasty time changes, hairpin stops and turns and strange key shifts, all without ever abandoning or sacrificing the pop heart of each song, the ear friendly qualities which endear the listener and let him/her (with some practice) sing along.
While both songwriters share the same uncompromising approach to their work (note the distinct lack of patience regarding the whole rock band name game) and a straightforward, honestly expressive lyricism, the make of a Two Guys song differs a bit from that of its mentor's work. For starters, Cameron plays the baritone guitar, an instrument that gives him some versatility between the sounds of a guitar and a bass. For only two men, they're able to create a fuller, richer sound than you might expect. There's something almost instinctual about their synchronicity. Cameron's songs also contain some sharper edges, slices of black metal and mathy-progressive rock that expose a younger, perhaps darker, perspective. The songs still have a pop heart, but the players are a little more protective of exposing it. In spite of that, you can't help but to hear the emotion in Cameron's voice and the heartbreaking alienation in his lyrics, conveying a uniquely gentle intensity. Recorded is an incredible debut album of subtle contradictions and intriguing complexity that unfolds and endears with repeated listens.

subset: commoncrawl


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Guns as public health problem: A Penn professor speaks out
Until about 15 years ago, the Centers for Disease Control and Prevention funded studies on guns. Not now. "Federal funding for research on firearms has been essentially gutted," said Susan Sorenson, a professor in the University of Pennsylvania's school of social policy.
Before the late 1990s, major publications like Science and the New England Journal of Medicine treated gun violence as a public health issue and published research articles that might have guided the "meaningful action" that President Obama vowed toward preventing future Sandy Hook massacres.
"The NRA successfully lobbied Congress to rescind portions of the CDC budget that were going to firearms research," she said. "Peoples' studies were stopped midstream."
And so we are left with little data and lots of conflicting opinions. Some are blaming the mental health care system, others our culture of violence, and others the lack of adequate gun-control laws. Even Michael Moore's popular gun violence documentary "Bowling for Columbine" had no clear message, as it vacillated between blaming the guns and the American culture.
What social scientists have learned is that most gun owners in America are white people with disposable income. And guns tend to go along with gun deaths.
Though people may buy guns for protection, the dangers of gun ownership came through in several 1999 studies by Sorenson. as well as U.C. Davis researcher Garen Wintemute. Those studies found that people who own guns are seven times more likely to commit suicide than people who don't. More people kill themselves with guns than are killed by other people with guns. Among women, gun owners are more likely than non-owners to die from gun homicide.
What does Sorenson recommend for meaningful action? First, there has to be a broad view. In the immediate wake of this latest tragedy, we're focused on the individual shooter and his parents and the guns involved. But the next massacre could be committed by a different type of shooter with a different background and different kinds of guns.
"We need to look at this from 10,000 feet up," she said. There's no quick fix here. We need sustained effort, she said. And we need creative ideas, such as "smart guns" that will fire only when a registered owner uses them. That technology would have prevented Adam Lanza from using his mother's guns in last Friday's shooting. It could also make life safer for police officers, because they run a risk of getting shot if criminals manage to get their guns away from them.
Millions of dollars have been spent on smart gun technology, but not a single such gun has been brought to market, she said.
Right now the lack of research is paralyzing, said Sorenson. The government needs good data to make good decisions but they've continued backing a policy that assures they don't get new data. "I do think data have a place at policy making table," she said. "Otherwise we just have dueling experts."
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vitamin e (generic name)
Amino-Opti-E (brand name)
It is added to a healthy diet to prevent or to treat low vitamin E levels
(VAHY tuh min E)
Table of Contents
Top Learning Centers(Recursos en Español)
What is this medicine?Vitamin E (VAHY tuh min E) is a vitamin found in nature. It is added to a healthy diet to prevent or to treat low vitamin E levels.
This vitamin may be used for other purposes; ask your health care provider or pharmacist if you have questions.
What should I tell my health care provider before I take this medicine?They need to know if you have any of the following conditions:
How should I use this medicine?Take this vitamin by mouth. Follow the directions on the package label. This vitamin may be added to cereal, fruit juice, or other food. Use a specially marked spoon or container to measure each dose. Ask your pharmacist if you do not have one. Household spoons are not accurate. You may use this vitamin on your skin to soften or moisturize if desired. Take your vitamin at regular intervals. Do not take your vitamin more often than directed.
Talk to your pediatrician regarding the use of this medicine in children. Special care may be needed.
What if I miss a dose?If you miss a dose, take it as soon as you can. If it is almost time for your next dose, take only that dose. Do not take double or extra doses.
What may interact with this medicine?
What should I watch for while using this medicine?Follow a good diet. Taking a vitamin supplement does not replace the need for a balanced diet. Some foods that have this vitamin naturally are cereal grains, fruits, green leafy vegetables, vegetable oils, and wheat germ oil.
Too much of this vitamin can be unsafe. Talk to your doctor or health care provider about how much is right for you.
If you are scheduled for any medical or dental procedure, tell your healthcare provider that you are taking this vitamin. You may need to stop taking it before the procedure.
What side effects may I notice from receiving this medicine?Side effects that you should report to your doctor or health care professional as soon as possible:
Where should I keep my medicine?Keep out of the reach of children.
Store at room temperature between 15 and 30 degrees C (59 and 85 degrees F). Protect from heat and light. Throw away any unused medicine after the expiration date.
Remember, keep this and all other medicines out of the reach of children, never share your medicines with others, and use this medication only for the indication prescribed.


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seaturtle wrote:...it designed to get the reader thinking about their own experiences instead of the technical meaning of the suttas...
1. When a sequence of thoughts occurs, see if you can identify the arising of delight in relation to those thoughts. Notice if there is the tendency toward proliferation due to this delight.
2. If so, see if you can notice the felt sense of the unsatisfactory element (dukkha) of this proliferation.
santa100 wrote:For the DN, SN, and AN, you can build upon Ven. Thanissaro's existing summary pages on accesstoinsight.org:
seaturtle wrote:Thanks all. The book by Sharda Rogell looks interesting. I like her writing style. I've listened to a talk or two by her but did not realize she had written any books.
mikenz66 wrote:Slightly off topic, but I think that those summaries are written by John Bullitt (the majority of the translations are by Ven Thanissaro but it is John's website).
See: http://www.accesstoinsight.org/faq.html#general
Return to "General Theravāda discussion"
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Hey!!!This quote is hidden because you are ignoring this member. Show Quote
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I know what's wrong, the Pacers signed a guy that's never going to be dominant to a salary that's meant for players that are above average, close to star or superstar, like I said before, the Pacers FO were/are hoping that a lot of things work in their favor just like they did last year, they were/are hoping that Roy doesn't disappear like he has done pretty much every year for about two or three months.You guys tell me what's wrong.
They were/are hoping that someway somehow Gerald Green becomes the player Boston thought he was going to be five years ago.
They were/are hoping that Paul George becomes a superstar so they could have a chance to make it to the finals with the team they put around him.
They were/are hoping that Ian Mahinmi is not as bad as he was in Dallas and that his hands got better.
They were hoping that Danny's knee issues didn't come back to haunt him.
At the end of the day a good FO is not making moves and signing people out of hope, this is a business you get the known commodity, that's just what good teams do.
I agree with this plus the impact of no Granger, no Collison, and no true sharpshooter. All these things are factors in a complex, yet frustrating equation.
All of this said, the one thing the players can control night in and night out is effort and intensity. Right now, we are not getting it consistently. We're getting two or three guys truly busting their *** for a win each night while the rest just saunter around like zombies out there. That is absolutely unacceptable. Motivation/Desire is just horseshit right now.
Whoops, meant to respond to Big Rik with quote...
Last night, it came down to this: the Pacers could literally not make a shot when they needed to. The Pacers played like crap but were still given many opportunities to take charge in the 4th quarter, but laid an egg. I'm not sure how much is the coach's fault (every team knows every team's sets, or they should). I think the team started believing the hype, that they were a shoe in for the 2 seed in the east, and guess what? They aren't. I don't think the sky is falling (yet), but the team has to start playing well soon, maybe even shoot better than 32%. The opportunity is there, it is up to the Pacers to seize it.
Last edited by D-BONE; 11-14-2012 at 10:43 AM.
I'd rather die standing up than live on my knees.
-Emiliano Zapata
I really can't believe there are folks climbing on the defense after this game. Yeah, I know, the excuse is that the Raptors were tired, but if someone tells you the opponent will score 74 points - and only 5 in the fourth quarter - how many people here would talk about that as the sign of a poor defense and that the Pacers would lose the game?
Did the Pacers miss open looks? Yes. However, once again they were totally unsuccessful at getting high-percentage shots because the opponent can clog the middle and dare us to make outside jumpers. No one tries to drive the lane and draw a foul - heck, I'd take a turnover on a charge at this point if it would fire someone up. Every shot under the basket is contested by at least 2 defenders - and when it isn't, the posted ballhandler inexplicably passes out to the perimeter for a beautiful brick.
It is 8 games, and I will continue to reserve judgement until at least 10 (with an adjustment at 20), but as of right now this is one of the worst offensive teams I have ever seen.
All that said, we got upgraded to 7th row last night and I saw Tyler make one of the most beautiful defensive plays I've ever seen. I don't remember if it was a rebound or a pass, but he used his left hand to deflect it up and over his man's head then back tapped it with his right and turned to block his man away and continue his dribble up court. It was fantastic.
A bird in the hand is worth two in the bush.
Or throw in a first-round pick and flip it for a max-level point guard...
I think it comes down to one thing: out of sync. WHen your offense is out of sync, it makes everyone look bad. I tend to think that we're just a few adjustments, a few games, and some extra work on the practice court away from getting back into an offensive groove. Everything is exacerbated. I just don't think it's as bad as everyone is making it out to be --- BUT, they definitely need to get it figured out quick. We don't have a month to throw away.
PG is only 22, and I just think he's a few years away from being the offensive player people want him to be. He's greatest defensively and on the boards, but mentally he's not there yet in a lot of aspects. He'll intersperse some really stupid plays amongst his good plays.
Lance has developed into a surprise.
Hibbert has been pretty disappointing, but he's also probly one of the biggest products of the team being in sync. WHen the team is in sync, Hibbert looks like a beast, and when it's not, he looks really off.
George Hill, I can't complain about his play. DWest has been decent too, but he's had lapses of focus.
TYLER HANSBROUGH always comes through for this team in its darkest days. I'm tellin ya: in 2010 when Vogel took over and this team was in absolute disarray, playing worse that it is now, it was Tyler Hansbrough who was the ONLY guy who didn't give up and elevated his play. We rode him all the way to the playoffs from the precipice. He's doing it again this year. We look bad, and Tyler is out there busting his balls. I don't care what anyone says, and I especially didn't care for all the "trade him now" posts last year. I like the kid. He had an off year last year, but he is playing the right way again. And it's showing dividends, as Vogel is rewarding him by keeping him in down the stretch, and I really can't argue with the decision.
I think they'll get it worked out.
There are two types of quarterbacks in the league: Those whom over time, the league figures out ... and those who figure out the league.
You don't own the cool icon, and you certainly don't own cool.
"Look, it's up to me to put a team around ... Lance right now." Kevin Pritchard press conference
I highlighted the several good points in this post.
"Look, it's up to me to put a team around ... Lance right now." Kevin Pritchard press conference
I think back to last year when we signed Barbosa and Frank said it took like 5 minutes to teach him the offense. Now, I know he was somewhat joking, but the offense is too simple.
Hibbert and Paul George were given too much credit for our success last season, then they let it give them the big head. They spend too much time worrying about their image. (I liked the flashmob deal as much as the next person, but Roy was working on that every day after training camp workouts.) Oh, and how dare you guys admit to playing video games every waking moment of your day outside of practice and games, especially right now... I'm not too old to get gaming. But **** that on the poor timing.
Lance, as I said during summer league is the only player on our team with Superstar Swagger. He is too reckless and I believe lacks the intelligence to be a star in the NBA, but he has the Lebron James, "I Got This" mentality and fire that NONE of our other players (besides MAYBE DWest) have. I still like the innocence of his character, but he reminds me of a middle schooler everytime I hear him talk. With that being said, he's currently my favorite player and Im rooting for him.
Collison brought a very cool and consistent demeanor to our team. He was good like that. Helped us gel and keep level heads. His leadership is sorely missed and we currently have nothing like him as replacement.
Just my own random thoughts and observations
Since game 3 of the Heat series, the Pacers are 3-8 with an average of 88.5 ppg in that stretch. And that average is with the help of the 3OT win against the Kings where we scored 106pts.
Anybody that doesn't think we need some changes that either equates to another offensive option or a new offensive game plan, is silly.
The Raptors shot 36% for the game, and you guys are talking about defense?
It just looks like the pressure is starting to get to them offensively. West and Roy missing bunnies over and over again is what killed the Pacers. You get points out of those shots, and then the game starts picking up at other spots. They're playing with zero offensive confidence.
I say Granger and tough pills would give us only the one loss against the Spurs.
Garbage players get 1st round picks, (WTF)! All of the NBA must hate the Pacers! LOL
I certainly meant for it to be funny..... I actually do own cool if not the cool icon..... There is nothing like a few losses and a slump to have the overboard Pacers' fans who predicted a 60 win season get grumpy with everyone and want to fire their coach...... Most of you are blaming the team for your overblown expectations..... I suggest the proper icon for you would be
I think you are putting to much of the blame on Frank for this loss. Honestly, this team could have won by 10-15 points if it had just hit the easy shots in front of the rim. Hibbert had one of the worst games I've seen offensively. Between him and West, I bet we hit about 25% of shots that normal teams (or at normal times) you would hit about 65% of the time. Between the blown lay-ups, and Paul George having no ability to drive with the basketball, last night was just putrid to watch. Those three were just awful.
I saw a post defending George, but I've been very disappointed with him. If he's not hitting open jumpers, he has no offensive game. The rebounding and defense have been solid to good, but the offensive output just isn't there.
Danger Zone
Guys I don't think I was being overly harsh on Frank, I think I was just trying to make sure he shared in the blame.
I 100% agree that its not his fault that players are missing wide open shots at first he turned and smiled at Burke when Roy missed his first couple of bunnies after the half because those were plays designed to get Roy those shots. But by about the 4th missed wide open shot he was no longer smiling.
It's a combo in my opinion, the players aren't hitting the shots that they do get and Frank is not designing enough screens & off ball movement to get open shots that the guards and small forwards can hit.
At the end of the day I want to agree with the poster above though, Danny Granger being healthy (yes I know Vnzla81 will make sure to tell us that this is no longer the case and he will be correct) would solve most of this. I also beleive that had Danny been here we would have one loss to the Spurs and that is it. Maybe Atlanta but I think he would have kept them alive myself.
Danny Granger is that good, this is more obvious now than ever. Heck the voice of the NBA Ernie Johnson called him a superstar last night, now I disagree with that btw because LeBron, Durrant, etc. are superstars and Danny is in no way near them.
But I think he is tons better than people around here ever gave him credit for.
That being said to paraphrase Rick Patino "Danny Granger isn't walking through that door". So other players have to up thier play.
If you need a healthy and back to his old 08/09 self Danny Granger to beat the Raptors, Bobcats and scrub teams you have a huge problem , yes maybe the record would look better but for what? so the Pacers can give us fake hope and get destroyed on the playoffs?
A team that's supposed to be a championship contender doesn't go to the toilet as soon as one or their best players gets hurt, just so you know SA is 7-1 and Manu has been injured and is playing limited time, according to some here they should be 1-7 because they have an excuse but guess what? Championship contenders don't make excuses.
Last edited by vnzla81; 11-14-2012 at 01:50 PM.
By the way Chicago is 4 and 3 and they are missing Derrick Rose, New York is 5 and 0 and they are missing Amare, Philly is 4 and 3 and they are missing Bynum, Minnesota is missing Rubio, Love and Varea and they are 5 and 2, I could keep going but I already made my point.
I don't think anyone is making excuses. I think everyone here is in agreeance that we haven't played well, point blank.
But that is something that happens.
Last year, we were the 3rd best team in the east and 5th overall. And yet:
- We went through a 1-6 stretch in MID-FEBRUARY.
- We went through a 2-6 stretch as late as MARCH.
And we did alright.
So I'm not freaking out about a 3-5 start in November.
There are two types of quarterbacks in the league: Those whom over time, the league figures out ... and those who figure out the league.
...there was no season last november....
It wasn't about being the team everyone loved, it was about beating the teams everyone else loved.
Division Champions 1955, 1956, 1988, 1989, 1990, 2002, 2003, 2005, 2006, 2007, 2008
Conference Champions 1955, 1956, 1988, 2005
NBA Champions 1989, 1990, 2004
It's uh....... November right now.
There are two types of quarterbacks in the league: Those whom over time, the league figures out ... and those who figure out the league.
"Look, it's up to me to put a team around ... Lance right now." Kevin Pritchard press conference
My point is you're comparing this season to last year when there was no november for the pacers to struggle through, plus the roster was also very different. They didn't have backup PG issues or a gaping hole at SF.
It wasn't about being the team everyone loved, it was about beating the teams everyone else loved.
Division Champions 1955, 1956, 1988, 1989, 1990, 2002, 2003, 2005, 2006, 2007, 2008
Conference Champions 1955, 1956, 1988, 2005
NBA Champions 1989, 1990, 2004


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The Darby Sundae ($15) comes to the table with giant scoops of vanilla ice cream piled to form a pyramid topped with crushed pralines. This is indulgent and definitely meant for sharing among two or more. It's a DIY affair with a silky flow of hot fudge and splash of whiskey poured table-side. Craft each bite to your liking, be it toasted pistachios, or clouds of whipped cream, or perhaps spoonfuls of caramelized white chocolate sauce. Don't disregard the curious rounds of coconut and caramel truffles or housemade marshmallow squares. In the end, I like it best simple with equal parts whipped cream and ice cream. And of course a good dose of that hot fudge on the side.
The Darby
244 West 14th Street, New York, NY 10011 (map)
About the author: Originally from Honolulu, Kathy YL Chan blogs at Kathy YL Chan, where she chronicles her eats and travel adventures between Hawai'i, New York and beyond. She firmly believes that there is always room for dessert.


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Bedding Set Winner Announced
I am pleased to announce that Molly Taylor is the winner of our master bedroom quilt ensemble giveaway. Congrats, Molly!
Please remember to enter our west yard rendering giveaway, if you have not done so yet, and get set for the last of our Gimme Gimme Giveaways: a cornhole game set, designed and autographed by Blog Cabin 2013 show host Chris Grundy.
Entering the home giveaway twice online per day? Watching the episodes? Checking out the corresponding how-to projects? Please let us know what you are particularly loving this year. And don't miss three new articles we just launched on HGTVRemodels.com. Topics include the renovation's biggest challenges, the landscaping strategy and the evolution of the amazing outdoor spaces.


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Ohio voters also reelected Democratic Senator Sherrod Brown. His was one of many Democratic seats the Republicans once hoped to capture as they drove to win a Senate majority. They were favored at the start, but fell short, as NPR's David Welna reports.
DAVID WELNA, BYLINE: The headline may be that Democrats remain in charge of the Senate, but the story of this year's Senate races is largely about women. A record 18 of them contested Senate seats, and in three states - Hawaii, California and New York - the Democrats and Republicans on the ballots were all women. Democrats won all three. It was also a night of firsts for women, nowhere more so than in Wisconsin, where Democratic Congresswoman Tammy Baldwin defeated former Republican Governor Tommy Thompson.
SENATOR-ELECT TAMMY BALDWIN: Now, I am well aware that I will have the honor to be Wisconsin's first woman U.S. senator.
WELNA: To which she added...
BALDWIN: And I am well aware that I will be the first openly gay member...
WELNA: And here in Missouri, Democratic Senator Claire McCaskill easily won reelection by beating GOP Congressman Todd Akin. He'd been considered a shoe-in to win the seat until he declared in August that a woman could resist becoming pregnant in cases of what he called legitimate rape. Last night, McCaskill chided what she called the political chattering classes who'd earlier forecast her demise.
SENATOR CLAIRE MCCASKILL: And they all said it's over. It's done. It's too red. It's just too red. There is no way that Claire McCaskill can survive. Well, you know what happened? You proved them wrong.
WELNA: And another Republican Senate candidate in Indiana may have sealed his defeat with remarks about rape. Richard Mourdock, a Tea Party favorite who defeated long-time incumbent Dick Luger in the GOP primary, lost after declaring that pregnancies resulting from rape are God's will. Even, in conceding defeat, he did not back down.
RICHARD MOURDOCK: Over the weeks, the months, the years ahead, I will look back knowing that I was attacked for standing for my principles.
WELNA: Democratic Congressman Joe Donnelly, who beat Mourdock, said people in this state opted for bipartisan cooperation.
REPRESENTATIVE JOE DONNELLY: We have a tradition in Indiana in the United States Senate, and that tradition are people like Richard Luger and Evan Bayh, who work together, whose only focus is on what's right for our country.
WELNA: One bright spot for Republicans last night was Nebraska, where GOP rancher and State Senator Deb Fischer won the seat occupied by retiring Democrat Ben Nelson. In Arizona, Republican Congressman Jeff Flake won the seat being vacated by Republican Senator Jon Kyl, and vowed to keep crusading for fiscal austerity.
REPRESENTATIVE JEFF FLAKE: We have to go back to Washington and make sure that first the Senate passes a budget. And then second, that we stick to that budget and make sure that we don't pile on more debt for our kids and our grandkids.
WELNA: But Democrat Elizabeth Warren, who last night defeated Massachusetts Republican Senator Scott Brown, had a very different message.
SENATOR-ELECT ELIZABETH WARREN: To all the seniors who deserve to retire with the security they earn, we're going to make sure your Medicare and Social Security benefits are protected, and that millionaires and billionaires pay their fair share.
WELNA: And despite being outspent nearly three-to-one by GOP challenger Josh Mandel and groups supporting Mandel, Ohio Democratic Senator Sherrod Brown got reelected. Last night, Brown derided the Supreme Court decision that opened the floodgates of unlimited campaign spending.
SENATOR SHERROD BROWN: Citizens United might be a new name dressed up in an expensive, 21st century suit, but it's an old story where a few people - a few very, very rich people - wanted to rig the system for themselves.
WELNA: Although Democrats did far better last night than expected, less clear is whether the gridlocked Senate they've been in charge of will also do better. David Welna, NPR News, St. Louis.
INSKEEP: This is NPR News. Transcript provided by NPR, Copyright National Public Radio.


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Bailey 'irked' by lack of successAndrew Wu and Chris Barrett
Published: January 26 2013 - 3:00AM
UNDERACHIEVING Australia could remarkably vault from a world ranking of seventh to within a fraction of top spot in the next three weeks, and George Bailey, the captain in the shortest format, admits it ''irks'' him that we are not already near the summit of the Twenty20 game.
Australia takes on top-ranked Sri Lanka at ANZ Stadium on Saturday before an Australia Day crowd tipped to exceed 45,000. They meet again in Melbourne on Monday, before a one-off match against West Indies in Brisbane on February 13. If Australia - ranked above only New Zealand, Bangladesh, Ireland and Zimbabwe - is successful in these three games and the Black Caps knock off England in two games at home early next month, India would be the new leading team in the Twenty20 format, with Bailey's side less than a rating point behind in second place.
But if Australia drops all three games it could slump to an embarrassing eighth in the world.
If anything, the permutations show the frivolous nature of limited-over rankings, coming only days after Australia was elevated to third on the one-day list despite an uninspiring 2-2 series draw against Sri Lanka.
But Bailey insists Australia must improve in the shortest form, where it made an exit at the semi-finals stage of the World Twenty20 tournament in Sri Lanka last October.
''Certainly, I think we are underachieving in Twenty20 cricket more so than in any of the other formats,'' he said. ''There's no reason why, with the players we have and the depth we have, we shouldn't have a side that are consistently in the top couple of teams in the world. That's something that still irks me.''
Australia's team at Sydney Olympic Park on Saturday night showcases some of the leading performers in the Big Bash League. Shaun Marsh, James Faulkner, Aaron Finch and Ben Cutting have all been rewarded after great performances in the city-based competition on either side of Christmas.
TWENTY20 SQUADSAUSTRALIA: George Bailey (c), Ben Cutting, Xavier Doherty, James Faulkner, Aaron Finch, Ben Laughlin, Shaun Marsh, Glenn Maxwell, Mitchell Starc, Adam Voges, Matthew Wade, David Warner. SRI LANKA: Angelo Mathews (c), Mahela Jayawardene, Dinesh Chandimal, Akila Dananjaya, Tillakaratne Dilshan, Shaminda Eranga, Rangana Herath, Nuwan Kulasekara, Suranga Lakmal, Lasith Malinga, Ajantha Mendis, Jeevan Mendis, Kushal Janith Perera, Thisara Perera, Upul Tharanga, Lahiru Thirimanne.
This story was found at: http://www.smh.com.au/sport/cricket/bailey-irked-by-lack-of-success-20130125-2dccb.html


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Man frustrated car broken into three times in the same place
PORTLAND, Ore. - You don't have to talk with Ryan Hostetter for more than a few minutes, before you hear just how frustrated he is.
"I'd just like to park and just see who's getting in because they're not getting anything," says Ryan, "They're just messing up the car."
Ryan says the last straw happened Monday.
"My wife comes out to the vehicle and sees that, low and behold, for the third time in a matter of a couple weeks, they had broken into the car," he says.
This time the car prowlers used something to pry out the car's back window. The time before that they pulled down on the slightly opened driver's side window.
Ryan explains how they did it, saying, "If you leave your window ever cracked a little bit, they can get their fingers in there with enough leverage, they can just fight it open without breaking the window."
That window still doesn't close all the way.
Police say that if you want to drop off stuff at your car while you're shopping, make sure it's put away out of sight. That makes it less tempting for car prowlers.
The Hostetter's didn't leave anything in their car. Ryan's wife doesn't have much choice but to park at Lloyd Center Mall. She works there.
Each time his car was hit, Ryan says nearby cars have been hit too.
"The last time it was another employee that she works with, actually was sitting on the curb, on the phone with her insurance company, because her window was busted out," he says.
Ryan's filed reports with police and mall security. KATU drove up and down through the parking garage where the car prowls happened and didn't see a single security patrol.
Ryan Hostetter says he came to KATU's On Your Side Investigators just to get the word out about the rash of car prowls.
"I don't know what other route to do," says Ryan. "And I wanted to contact you guys 'cause I've seen your shows, and I know you guys address it. And they obviously weren't."
Lloyd Center Mall management did not return several messages left for them Tuesday afternoon.
Nearly 200 cars were broken into at the Lloyd Center in the past year in and around the mall.
Criminals traditionally target parked cars in areas like the Lloyd Center, especially during the holiday season, knowing shoppers might stash their purchases in their cars while they continue shopping - just so they don't have to carry them around.
The CrimeMapper website shows there were more than 50 break-ins inside the mall parking during the past year.


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Dodgers like look of Hanley's Classic swing
GLENDALE, Ariz. -- Hanley Ramirez's two home runs in the World Baseball Classic haven't concerned Dodgers manager Don Mattingly that his starting shortstop has fallen back into a big-swing mentality.
Ramirez is only 3-for-15 for the Dominican Republic, but has only two strikeouts with five walks and a .981 OPS.
"I've only seen a couple at-bats, but he's got a sacrifice fly and three walks in another game," said Mattingly. "That tells me he's doing what he talked about, getting strikes. When we saw him here, he seemed really good. He scalded the ball. The home runs don't bother me. The fact that he's walking tells me his approach is staying solid. I saw one at-bat, and his leg kick was actually abbreviated."
Mattingly said Dodgers scout Patrick Guerrero told him Ramirez continues to take ground balls at shortstop, even though he hasn't been playing the position in the Classic.
Ken Gurnick is a reporter for MLB.com. This story was not subject to the approval of Major League Baseball or its clubs.


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Topic: I'm about fought out...
Today is a bad day. Tomorrow will surely be better. Charlie has pneumonia. After a trip to the ER and changing antibiotics, he's feeling a tiny bit better he says. I'm also down with something. I guess I'll go to the doctor on Mon. and get checked out. I really don't see BC approving the SIRspheres for Charlie. They've had all the information for the 3rd appeal now for a week and not a peep out of them. They want us to just go away. We sent a huge package with tons of data, letters of appeal from me and Charlie and photos of our family and I've gotten our Senator's office involved also. Nothing. If it gets approved, unless Charlie really rallys and gets his strength back from this pneumonia, he may not be a candidate any longer for it. I know at the ER his liver function tests were all over the place. I am physically, mentally and emotionally exhausted and drained from this battle we've waged since May 2007 when he was diagnosed. Seeing someone you love go through this is so hard. I know you all know that.
Love and good wishes to all,


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Note: This is an abbreviated version of a case study. Read the full case study and other Office 365 customer stories at www.microsoft.com/casestudies.
Advanced Orthopedic and Sports Medicine Specialists in Denver, Colorado, worked with Solve IT to replace its on-premises messaging solution with Microsoft Exchange Online. A cloud-based email service that is part of Microsoft Office 365, Exchange Online fulfills the clinic's patient confidentiality requirements and saved US$14,000 in IT costs in the first year. Staffers access email on a variety of mobile devices, improving teamwork and patient care.
Business Needs
To work effectively as a team and provide patient-centric care across the organization's two clinics, the staff at Advanced Orthopedic and Sports Medicine Specialists needs reliable, easily accessible email. However, the email service within the Windows Small Business Server 2003 solution running on-premises at Advanced Orthopedic was outdated.
"Email is critical for our internal processes and timely patient care, but we were beginning to experience downtime, which affected our service," says Dr. Davis Hurley, Chief Executive Officer at Advanced Orthopedic and Sports Medicine Specialists.
The staff at Advanced Orthopedic sat down with Solve IT to look at its options for a new email solution. To simplify the overall IT infrastructure and reduce server acquisition and management costs, Solve IT suggested moving email to the cloud and using Microsoft Exchange Online, the email and calendaring service that is part of Microsoft Office 365. Solve IT also deployed Microsoft Office 2010 on all computers.
With Exchange Online, Advanced Orthopedic gains the benefits of cloud-based email without sacrificing the enterprise-grade capabilities provided by a Microsoft Exchange solution. Since subscribing to the service, the orthopedic practice has experienced the following benefits:
Reduced costs. By moving its email service to the cloud, Advanced Orthopedic will avoid future server acquisition and support costs. "Continuing to upgrade servers and software every three years is costly for us," says Dr. Hurley. "If we had upgraded our on-premises messaging solution, we would have had to spend approximately [US]$10,000 on hardware and software licenses and continue to pay approximately $4,200 a year on support costs. We prefer predictable, monthly subscription costs to large capital outlays."
Improved mobile experience. With Exchange Online, Advanced Orthopedic gains a reliable web mail solution that works on everyone's mobile devices. Now doctors don't have to wait until they return to the clinic to reply to email or communicate with support staff. "With Exchange Online, we gain reliable, mobile access to email, and we can send x-rays in attachments without worrying about file size or patient confidentiality," says Dr. Hurley. "Everyone is so much more efficient."
Improved productivity. The Outlook 2010 email client and Outlook Web App share the same intuitive user interface that Advanced Ortho staffers find full of timesaving features. "My administrative assistant can group email messages; some don't need to be read right away and others do," says Dr. Hurley. "She can easily set rules for filing and archiving email messages and use the search function to retrieve data that we like to enter in our other systems."
This is an abbreviated version of a case study. Read the full case study and other Office 365 customer stories at www.microsoft.com/casestudies.


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Brea Pink Bird Backpacks
- Overview
She'll feel all grown up when she goes on overnights with this chic carryall. It's made from soft floral cotton twill with two big pockets in front for quick access to essentials.
- Exterior is made of cotton twill.
- Polyester/cotton interior lining.
- Casual design makes it comfortable to bring snacks, clothes or anything else for after-school and weekend activities.
- Front flap and pockets feature a magnetic snap closure.
- Adjustable snap closures mimic the look of a drawstring closure while being easy on little hands.
- Backpacks have adjustable straps that are contoured and padded to ensure a comfortable fit.
- Features metal hardware details in a bronzed oil finish.
- Please note, personalization placement varies and may not appear as shown.
- Personalization may cover all or part of the print.
- Dimensions & Care
- Fits children who are 36–42" tall.
- Overall: 10" wide x 4.5" deep x 13" high
- Exterior Pocket (2): 4" wide x 1" deep x 4.5" high
- Interior Pocket: 7" wide x 5" high
- Adjustable Shoulder Strap (2): 2" wide x 10–23" long
- Carrying Handle: 1" wide x 6" long
- Fits children who are 43–49" tall.
- Overall: 13" wide x 6.5" deep x 16" high
- Exterior Pocket (2): 5" wide x 1" deep x 5.5" high
- Interior Pocket: 9" wide x 7" high
- Adjustable Shoulder Strap (2): 2" wide x 12–29" long
- Carrying Handle: 1.25" wide x 6.5" long
- Clean with a damp white cloth.
- Shipping & Return Info
Standard UPS can deliver most in-stock items within 4-5 business days.
Next Day Delivery and Processing
We can arrange for next day delivery to most destinations within the contiguous 48 states, for an extra charge of $17.50 per address. If we receive your order by 6pm PT Monday through Friday, you'll receive your order the next business day; orders placed on Friday after 6pm PT through Sunday will arrive on Tuesday. Note: Next Day Delivery service is not available for some oversized items, Premium In-Home White Glove Delivery, out of stock items, personalized items or for items shipped directly from the manufacturer.
Select oversized items have an additional delivery and processing surcharge; this charge is listed below the item price.
View the complete Shipping and Delivery.
At Pottery Barn Kids, we take great pride in the quality and craftsmanship of our products. Attention to design, materials, safety and construction is our priority. We carefully inspect your order prior to shipment; upon receipt, please inspect your purchase and notify us of any damage. We will arrange for a prompt replacement. If, within 7 days for Quick Ship upholstery and 30 days for all other products, you are dissatisfied for any reason, you may return your purchase for a refund of the merchandise value.
Final Sale
Delivery fees are non-refundable and prior purchases are not eligible for a price adjustment. The following items are non-eligible for returns or exchanges:
- Personalized/Monogrammed items
- Mattresses
- Gift cards
- Special-order items (including made-to-order upholstery and custom items)
- Final Sale items (identified by a price ending in $.X7 or $.X9)
- Items damaged through normal wear and tear.
Questions? See our full Returns Policy.


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"The soul is the seed of our desires and longings." ~ Connor Sauer
About Jan Marie Dore
I mentor coaches and women entrepreneurs to attract more clients and sell more of their coaching services, programs and courses online at www.JanMarieDore.com. I also host a Free Facebook community for women entrepreneurs at Coaches & Changemakers. Come join us - it's FREE!
Recent Blog Posts
- What It Takes To Easily Sign Up New Coaching Clients
- Marketing is an Inside Job
- Do You Know Which Area of Your Coaching Business Needs Attention?
- Are You Listening to Your Wise Inner Voice?
- How Are You Making Your Mark in the World?
- Learn the Steps to Design and Launch Lucrative Group Coaching Programs – 8 Module Training Starts May 3


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Forklift Rental In Sigurd, Utah
A machine as massive as a forklift is usually available for purchase at exorbitant prices. Generally, a forklift is used in the short term for transportation in industrial units and usually companies prefer to rent one instead of buying it due to its economical implication. We specialise in renting of all such heavy equipment that are needed for construction projects in Sigurd, Utah.
Here at our company, we analyse ALL rental facilities in Sigurd, Utah and show you competitive prices of all rental companies around you! Usually when companies are looking out to hire forklifts or other similar industrial trucks - they tend to search for rentals on the internet. This not only takes up a lot of time and effort, it also DOES NOT show you all rentals available in Sigurd, Utah because various rental facilities (that might be cheaper!) do not have an online outlet. Sadly, you'd also be paying a lot more just for renting a forklift since you'd lose out on your bargaining power. This can certainly be avoided because we accommodate an extensive array of all viable forklift rental options in Sigurd, Utah.
We will provide you with competitive quotes of all forklift rental facilities available for both short term (hourly rental) and long term (monthly rental) based on the needs of your company. Also, the rentals that we provide you with will have a variety of warehouse trucks and forklifts that can run on petrol/diesel/LPG/electricity based on your personal needs. We provide forklifts of various companies like Toyota, Crown Equipment, Mitsubishi Nichiyu, KION group among others. We also arrange for ALL types of forklifts in Sigurd, Utah such as:
- Industrial counterbalance forklifts
- Rough terrain forklifts
- Industrial side loader forklifts
- Telescopic handler forklifts
- Industrial reach forklifts
So if you are on a tight budget and are in urgent need of a forklift truck - need not worry because we are at your service! Help us help you rent forklift trucks at your convenience in Sigurd, Utah.


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- Vitamin Guide
- Health Conditions
- Health Centers
- Diet & Weight Loss
- Herbal Remedies
- Current News
- Food Guide
- Recipes
Food is the substance that we put into our bodies in the largest quantity, so it makes sense that what we eat affects how we feel. A study in the American Journal of Psychiatry found that food really does influence mood, and poorer quality diets are linked to some common psychiatric problems.
In a sample of over 1,000 women 20 to 93 years old, researchers investigated the association between different dietary styles—traditional, Western, and modern—and symptoms of depression and anxiety.
Using a dietary questionnaire, researchers assigned a diet quality score. More points were given for eating less red meat and more fruits, vegetables, and low-fat dairy, and high-fiber or multi-grain breads.
The study found that a traditional dietary pattern was associated with a lower likelihood of depressive and anxiety disorders, whereas a Western diet was associated with a higher likelihood of psychological symptoms and disorders. Higher diet quality scores were also associated with lower levels of psychological symptoms. The modern dietary pattern didn't have a significant impact on depression or anxiety.
"A poor quality diet may be the result of mental health symptoms, rather than the cause," said the study's authors. So, while the study doesn't prove that a poor diet causes mental illness, it adds to the growing body of evidence suggesting that diet quality can affect various aspects of human health.
Traditional foods…
In other words, when in doubt, stick with the original.
(Am J Psychiatry 2010;167:1–7)
Kimberly Beauchamp, ND, earned her bachelor's degree from the University of Rhode Island and her Doctorate of Naturopathic Medicine from Bastyr University in Kenmore, WA. She cofounded South County Naturopaths in Wakefield, RI, and now sees patients in East Greenwich and Wakefield. Inspired by her passion for healthful eating and her own young daughters, Dr. Beauchamp is currently writing a book about optimizing children's health through better nutrition.
Copyright © 2017 Healthnotes, Inc. All rights reserved. www.healthnotes.com


text: San Jamar introduces the Ultrafold Fusion. This folded towel dispenser arrives disassembled in a compact shipping carton, cutting inventory and distribution expenses and saving valuable warehouse space. The Ultrafold Fusion is now San Jamar's lowest cost folded towel dispenser because it is manufactured, packaged and shipped in six pieces. This easy to assemble product generates


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The Coast Guard's Heroic Sled Dog Rescue: Gallery
A brain may be a terrible thing to waste, but that hasn't stopped legions of athletes from stepping onto the football field to bang heads in pursuit of gridiron glory. Football players are notoriously stubborn when it comes to protecting (or not protecting) their noggins. Even the invention of the football helmet, credited by some to Navy midshipman Joseph Reeves, came as an act of defiance to medical warnings. Before the Army-Navy game in 1893, a Navy doctor told Reeves, who would go on to become the "Father of Carrier Aviation," that one more blow to the head might result in death or insanity. Rather than miss a date with his rival servicemen, Reeves enlisted the help of a cobbler to fashion a rudimentary helmet made of leather straps. Navy won the game 6-4, and Reeves survived his playing career.
More recently, doctors have backed up their cautionary words with studies establishing a strong link between repeated concussions and cognitive impairment. And late last month the National Football League--after a lengthy review of how its teams handle head injuries--enacted an immediate policy change regarding concussions. The new rules prohibit players who experience concussion-like symptoms (memory loss, dizziness) from returning to the game. Previously, only players knocked unconscious were banned from resuming play. With all the attention athletic head injuries are attracting, PM decided to survey the myriad playing fields to find out what's considered state-of-the-art when it comes to skull safety.
When Riddell unveiled its Revolution model in 2002, it was the first major advance in football headgear technology in a quarter-century, and the first helmet designed specifically to reduce concussions. The major innovation of the Revolution is its exterior shell, dubbed the Tru-Curve. This new shell provides increased coverage on the side of the head, along the jaw line. Riddell claims players who wear the Revolution are 30 percent less susceptible to concussions.
Yet even with its innovations, the Revolution sticks to the standard football-helmet format of a polycarbonate shell with internal foam padding that Riddell first introduced 70 years ago. The truly revolutionary football helmet might be the Xenith X1, conceived by former Harvard quarterback Vin Ferrara, which ditches the foam padding. Instead, the X1 relies on an internal system called the Shock Bonnet. The flexible bonnet conforms to the wearer's head and is separated from the external plastic shell by a set of 18 hollow thermoplastic shock absorbers. On impact these puck-shaped devices compress to absorb the energy of the hit. Theoretically, this reduces the jarring of the head inside the helmet, thus reducing the likelihood of brain injuries.
Top 5 Technologies in NFL Stadiums


text: This news item expired on 1/9/2013, so the information below could be outdated or incorrect. Mike Fryar to be Sworn In as Commissioner Mike Fryar, District 2 Commissioner elect, will be sworn in on Wednesday, January 9 at 6 p.m. in Commission Chambers at 200 College Street in downtown Asheville. After final action by the State Board of Elections and local Board of Elections certifying final vote totals, Mr. Fryar will take office as a County Commissioner from District 2 with a 4 year term. Commissioner-elect Fryar was the top vote-getter with 20,007 votes in the November 2012 election. The second seat from this district is still in contention and will be decided later this month.


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Penguins are accustomed to cool waters with their thick layer of blubber and water-resistant feathers keeping them warm. But for Pierre, a 25-year-old African Penguin at the California Academy of Sciences, his feathers weren't holding up to their end of the bargain. For a strange and unknown reason, his protective layer of slick feathers began falling off, causing him to avoid the water and shiver on the sidelines while his pool mates played. Sad. So, how would scientists help him get back in the game? By fitting him with a customized wetsuit of course!
Since wetsuits allow humans to keep warm when diving into cold sea water, why not whip one up to help out a penguin? After making an attempt at warming him with a heat lamp, Pam Schaller, a senior aquatic biologist at the academy, called in the experts from a San Leandro-based dive shop to help get Pierre fitted with his new get-up. The first-of-its-kind suit fastens with Velcro in the rear and accommodates his flippers with openings in the sides. Schaller said:
I would walk behind him and look at where there were any gaps, and cut and refit and cut and refit until it looked like it was extremely streamlined.
And good news: thanks to the custom wetsuit, and creative thinking from Pam, Pierre's feathers have started to grow back and he's back in the water!


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One more year of O'Brien, in my view, could have led to a disbanding of the franchise, with a re-emergence of another franchise in another city to replace it, and the Fieldhouse sitting vacant for a while.
Don't forget that the Pacers still pay a hefty chunk of their TV revenue to the former ownership of the St. Louis Spirits from the ABA merger agreement, and that could have been partially broken if the Pacers ceased to exist. The huge penalties to the CIB in the event of leaving or simply stopping probably were instrumental in saving the franchise during that time.


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Sasha Alexander Photo 391x620
Sasha Alexander
Sasha Alexander (born May 17, 1973) is an American actress. She is known for several roles, including: Gretchen Witter, the sister of Pacey Witter on Dawson's Creek; NCIS Special Agent Kate Todd in the first two seasons of NCIS; as Lucy in Yes Man (2008); and as Catherine in He's Just Not That Into You (2009). She currently stars as Medical Examiner Maura Isles on the new Turner Network Television series Rizzoli and Isles.
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Brad Schoch wasted no time after graduation to start his business career.
Friday, the 26-year-old Huntington Beach native presented his thesis for his master's degree — an online instruction program for sailing — and then walked straight across the CSU Monterey Bay campus to join 75 other entrepreneurs for Startup Weekend.
The event, which started in 2007 and has spread to more than 100 countries, challenged students and business people to come up with a business plan in a 54-hour frenzy. Schoch and his five-person team won the competition.
The group designed a website called Wan2Learn, which connects teachers of virtually any subject with people who want to learn.
"It's like a Craigslist for tutors, musicians and coaches," Schoch said.
The idea was the brain child of CSUMB 23-year-old business student Rick Brandley. His pitch was one of 10 selected from 32 pitches Friday.
"I don't get intimidated," he said. "I thought it was a good idea, so why not pitch it?"
Brandley said he got his idea from an effort to find more students to teach drums to while growing up near Pasadena and later to find someone to teach him Adobe Dreamweaver in college.
But getting the idea through on Friday was just the start.
Organizers kicked the groups out of the University Center's ballroom at 11 p.m. Friday so the group went to a coffee shop on campus and worked until 1:30 a.m. They were back at the university by 8 a.m. Saturday.
CSUMB senior Trevor Randall and Brandley spent about three hours Saturday getting surveys filled out at Del Monte Center and the CSUMB cafeteria. Australian businesswoman Alyson Clarke worked on the group's presentation. CSUMB senior Colton Bollinger did market research on similar companies. Schoch designed the logo and homepage.
It was just a coincidence most of the group came from the university. Organizers said just half of the participants were students.
By Sunday, the still-fictional Wan2Learn.com homepage had a simple interface for students and teachers. There was also navigation for local, global or elite teachers to the right.
The group faced stiff competition from Puzzleperks, a mobile phone application that would have users solve puzzles for coupons and discounts, and Moocher, an application that would promote free events.
"It was a hard decision," said Mary Jo Zenk, CSUMB program manager.
When Wan2Learn won, the members said they were quickly given a flurry of business cards and handshakes.
The group has made plans to meet this week and Brandley is determined to make the business work.
Bollinger said he was the only person to take up his professor Brad Barbeau's offer to get extra credit for attendance and "hit the jackpot."
"It's Rick's idea," Bollinger said, "and if he wants to do it, I'm here for the long run."
Phillip Molnasr can be reached at 646-4487 or firstname.lastname@example.com. Twitter: @PhillipMolnar Online


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THE son of an 87-year-old woman hounded from her family home after being ripped off for her life savings has slammed the justice system after discovering one of the conmen responsible will spend only eight days in jail.
Widnes man Shaun Thornton Price, aged 22, of Caravan Park, Tanhouse Lane, carried out the callous scam with James Dean Loveridge, aged 18, of The Caravan, Fairbank, Elton.
It saw them take thousands of pounds from vulnerable pensioner Elspeth Wilson by convincing her she needed unnecessary building work carried out at her Warrington home.
The 'independent' retired teacher has been forced to leave her home of 35 years and move into a care home as family do not want her to be targeted again.
She handed over £14,600 in cash but no work was ever carried out.
Loveridge and Price were jailed for four months for fraud at Chester Crown Court on Friday.
Credit for guilty pleas and time spent on electronic tag means Loveridge will serve two weeks in prison.
Price, who has previous convictions for theft, criminal damage and harassment, will serve eight days.
Following the case the victim's son Richard Wilson, aged 49, from Stockport, said: "I was shocked and shaking when I found out.
"The police expected they would get one to two years, so I was very disappointed and feel let down by the justice system.
"This is not a deterrent or a punishment.
"The fact they have got more than £7,000 each for a few weeks in jail means it pays better than a job.
"Four months seems like a kick in the teeth for all of us.
"I am still upset what they did to an old person who has worked for the benefit of society as a teacher for the whole of her working life.
"Now she has retired this is how she gets treated.
"Luckily as her memory is so bad she does not remember much about it, but we have had to move her to a retirement complex because we do not want it to happen again.
"She has had to leave the family home she has lived in for over 35 years."
The court heard the scam was carried out between September 22 and 30 last year.
'Builders' visited Mrs Wilson and convinced her to collect £4,800 from the bank and hand it over.
The 'builders' returned the next day for a further £9,800.
After his mum told him about the visits, Mr Wilson put a bar on her bank account, meaning when 'builders' returned the following day asking for £7,800, she was unable to withdraw it.
He informed police who set up a camera in bushes at the front of her house, recording Loveridge walking up the drive on September 27.
Three days later police waited in an unmarked car as Loveridge, who has a previous conviction for assault, returned.
He ran off to a van driven by Price, which was stopped following a high speed chase.
The court heard Price was allowed to plead guilty to only being at the house on September 30.
Loveridge pleaded guilty on the basis he was collecting cash for someone else in return for a £200 fee.
They denied being the 'builders' visiting Mrs Wilson on every occasion.
Merion Lewis-Jones, prosecuting, said he was 'not in a position to challenge' the accounts.
He added: "The fact remains Mrs Wilson has lost £14,600."
Judge Roger Dutton said he moved above the six week sentence recommended in the guidelines to impose a four month sentence.
"This type of offence is extremely offensive," he said.
"It's nasty, it is mean, it is an attack on a vulnerable member of society.
"People who choose to behave in a disgraceful way is something the whole of right minded society takes very seriously indeed.
"This is the worst kind of vulnerable victim - an old lady, a trusting lady, who has been conned.
"You knew it was dishonest and you did your bit."


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Dear Friends and Colleagues,
In light of the recent tragedy on the ferris wheel the Beachfront Blog is temporarily offline.
Please join our entire staff at Morey's Piers in keeping the family of the young girl in your thoughts and prayers.
Thank you for your continued support.
Jack Morey
On behalf of the Morey Family, Staff and Beachfront Bloggers.


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I had a phone call a few days ago, and they asked me if the hotel was well liked by couples looking to relax and enjoy a proper getaway. And I thought, YES absolutely!
Having talked to a few guests and their plans for their stay, we decided to list some of the things couples enjoy doing when they come for a weekend, whether it is for a few days away from the hectic life of work or celebrating an anniversary. We have listed just some of the things you can do when staying at Eriska for all year round and some tips to actually leave the ever present world behind for a weekend. You will undoubtedly find your own ways of making it worth remembering.
10 Ways to Rekindle the Romance in Eriska.
Enjoy long meals together, spend time in the morning and just chat over a long breakfast.
Curl up together by the fireplace in the hall/lounge in the hotel with a good book. The hotel has many books to borrow away and can be found throughout the hotel.
Take some time off the iPhone and iPad when you are here and enjoy each others company.
Book a spa treatment together, it is the ultimate relaxation. A holistic total body care massage lasts for 85 minutes and will leave both body and soul in harmony.
Enjoy a relaxing evening in the hot tub - the spa suites come with their own garden and hot tub and are strictly for couples.
Go for a picnic together! The island has many treasured spots to settle down for a bite, the food is prepared by the kitchen to take away and maps of the island are available at the reception.
Challenge each other in a mini tournament of putting, winner gets to chose next week's favourite TV show or where the next restaurant visit goes.
Go for a day-trip to the surrounding islands, Scotland's West Coast host impressive scenery with beautiful beaches, the romantic Eilean Donan Castle on the Isle of Skye, and rich history and culture to be experienced on the isles of Mull and Iona.
Spend an evening by the bar in the concervatory and wait for the badgers to come visit the steps.
10. Sit by the cairn at Eriska to watch the sunset (which is around 22:00 these days).
Coming to Eriska you will have time for at least two of these 'activities' if not more. As one of our guests said; "All in all, Eriska is a lovely spot to spend some time relaxing, eating well, and curling up by the log fires with a good book".
Eriska has so many places waiting to be explored and is the perfect escape for those in need of some pampering, sea air, delicious food and good wine.


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Wisconsin Governor Gets Pranked. Video Goes Viral.
I always thought you had to identify that you were recording a conversation with someone when you call them. Maybe that is no longer a law.
Wisconsin Governor Scott Walker was "Prankd'" into discussing his strategy to cripple public employee unions, promising to never give in! He was duped by a journalist posing as a conservative billionaire. This audio has already gone viral as Wisconsin citizen's continue to protest.


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Boston's stolen-base percentage 'alarming'
ARLINGTON -- Red Sox manager John Farrell did not mince words Sunday when asked about his team's MLB-worst 50 percent stolen-base percentage this season.
"Not good is how I look at it," Farrell said.
The Red Sox were caught stealing twice Saturday, keeping them at 11 steals (28th in the Majors). Farrell said the difficulty stealing bases has forced the team to run less; indeed, their 22 attempts are the sixth-fewest in baseball.
"The efficiency rate is alarming, almost to the point of saying we need to shut down our running game unless it is determined by us that we can be 100 percent sure, or more than 50 percent sure of success," Farrell said. "We're always going to look to take the extra base whenever we can, but the straight-out steal has been something where we've given away far too many outs on the bases."
Last season, they led the Majors with an 87 percent success rate, stealing 123 bags with only 19 caught.
"Could we have caught teams by surprise last year? Possibly," Farrell said. "When you look at the success rate of nearly 90 percent or high 80s last year, teams are defending against that more."
Dave Sessions is a contributor to MLB.com. This story was not subject to the approval of Major League Baseball or its clubs.


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Paleontology is the study of the forms of life existing in prehistoric times, chiefly by studying the fossils of plants, animals, and other organisms. A paleontologist is a scientist who studies aspects such as morphology, behavior, and how ancient life interacted with their environment.
Paleontology is based on uniformitarian geology, which holds that there has been no Biblical flood, but instead it is believed the layers of strata represent vast geologic ages. Based on this assumption, paleontologists examine and characterize fossils.
Within paleontology, there are branches and areas of specializations based on the particular type of organism. The study of prehistoric humans is known as Paleoanthropology, animal paleontology is Paleozoology, and the branch which studies ancient plants is called Paleobotany.
Paleontologists are often incorrectly referred to as archaeologists, because of public perception regarding similarities in techniques (i.e., both "dig in the dirt for old things"). There is somewhat of a blurring between archaeology and paleoanthropology, and even more so between paleoanthropology and some branches of paleozoology.
- Main Article: Paleoanthropology
Paleoanthropology is a specialized branch of physical anthropology involved with the study of ancient human beings. Paleoanthropologists are those investigating the origin and subsequent evolution of human physiology by examining fossil remains and other ancient evidence.
Mainstream anthropologists and archaeologists believe that humans began domesticating animals and plants in the Middle East about 10-12,000 years ago. The earliest known civilization, the Sumerians, developed in Mesopotamia about 7,000 years ago, after humans had developed agriculture sufficiently. This is the same location where many of the early Biblical stories in Genesis are set.
- Main Article: Paleozoology
- Archaeopteryx is classified as late Jurassic, and dated by evolutionary dating methods at 150 million years.
- Dinosaur is undoubtedly the most popular group of animals studied by paleontologists.
- Plesiosaur is an extinct marine reptile that is found in strata identified as the Mesozoic, Jurassic, and Cretaceous Eras.
- Pterosaur is not scientifically classified as a dinosaur but more like a flying lizard, they have unique characteristics that set them apart from reptiles, birds, and bats.
- Mammoth is an extinct form of elephant. There are three different types of mammoths whose skeletons have been found in North America.
- Mastodon
- Main Article: Paleobotany
Paleobotany is involved with the study of ancient plants. It is an important area of creation biology, as creationism and evolutionism have radically different descriptions of ancient plant life. Creationism holds that a wide variety of plant life was created by God fully intact with the capacity to reproduce and adapt to changing environments, approximately 6,000 years ago. Evolutionism holds that all plant life (and indeed all life on the planet) is related by common descent over millions of years, and that more complex plants developed more recently than simpler plants.
- Scientist Our For Dinosaur Blood Scientists said Tuesday they have discovered what appear to be red blood cells and collagen fibres in dinosaur bones, a find that may boost prospects of prising organic remains from a much wider range of fossils. Geology Page, June 10, 2015.
- 'Missing link' found for ancient sea reptile Scientists said on Wednesday they have unearthed in China the fossil of a small ichthyosaur with large, flexible flippers that let it move around on land like a seal. IOL SciTech, November 6 2014.
- Everything You Wanted to Know About Pterosaurs, Except Their Evolution Despite 200 years of study, evolutionists know almost nothing about how pterosaurs evolved. A fossil graveyard in China adds to the mystery. Creation Evolution Headlines, July 8, 2014.
- Imaginary Feathers Found on American Dinosaur Once again, imaginary feathers have been discovered on a "bird-like" dinosaur, this time from the Dakotas. Creation Evolution Headlines, March 19, 2014.
- In the Canadian Rockies, a Major Fossil Find Intensifies the Object of Darwin's Doubt Sudden appearance of complex body plans mystified scientists in Darwin's day, and continues to pose a severe challenge. Evolution News & Views, February 13, 2014.
- Another Notable Explosion: Has Darwin's "Abominable Mystery," the Origin of Flowering Plants, Been Solved? Much like the Cambrian explosion of invertebrates, the rapid rise and early diversification of flowering plants in the fossil record is now also supported by genomic studies - or is it? Evolution News & Views, January 2, 2014.
External links
- The Paleontology Portal (Not to be confused with the Paleontology Portal of CreationWiki)
- Paleontology at the U.S. Geological Survey


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Gear-Up Black Digi Camo Homework Holder
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Reinforced with extra-strong stitching and finished with sturdy zippers, our Homework Holders are built to last. A new, compact size makes it easy to fit into your backpack, and an added outside pocket provides easy access to supplies.
- 10.5" wide 12.25" high x 2" thick
- Exterior is printed 600-denier polyester.
- Lined with 150-denier polyester.
- Includes an insert that has pockets for pencils, pens, etc.
- A class schedule and an ID card are included and can be placed within the fabric frames found on the insert.
- Click here to Preview Font Colors.
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- 10.5" wide 12.25" high x 2" thick
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Ishikawa possesses knack for pinch-hitting
NEW YORK -- More than any other Giants player in recent years, Travis Ishikawa fits an effective pinch-hitter's profile.
Typically, top pinch-hitters are seasoned performers who played at least semi-regularly at some juncture in their careers. Ishikawa has played all or part of seven seasons with a high of 363 plate appearances in 2009.
Pinch-hitters also must remain cool. Ishikawa demonstrated his aplomb most notably in Game 3 of the 2010 Division Series in Atlanta, where he coaxed a key ninth-inning walk from Craig Kimbrel during a two-run rally that propelled San Francisco to a 3-2 win.
Ishikawa thrived off the bench for the Giants in 2010, batting .319 (15-for-47) with a .385 on-base percentage and a .489 slugging percentage in the regular season. Manager Bruce Bochy recalled that he nicknamed Ishikawa "Smoky Burgess," who was a top pinch-hitter throughout 18 Major League seasons (1949, 1951-67).
Ishikawa provided a reminder of his pinch-hitting skill Saturday by rapping a two-run single in the eighth inning, ending Mets starter Jacob deGrom's shutout bid.
"I think he's comfortable doing it, and he has experience doing it," Bochy said. "He has a calmness about him that makes for a good pinch-hitter, and he has a swing that allows him to be a good pinch-hitter."
Chris Haft is a reporter for MLB.com. Read his blog, Haft-Baked Ideas, and follow him on Twitter at @sfgiantsbeat. This story was not subject to the approval of Major League Baseball or its clubs.


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Only because it's fun to do, I like to make a stab at a top stock pick each year. Last year, the choice was easy: Bank of America (BAC) was trading at less than $6 a share, at a $60 billion market cap and a fraction of tangible book value. While it was my top pick for 2012, I really suggested that Bank of America would be an excellent multi-year investment, as is often the case with troubled business.
Mr. Market liked Bank of America in 2012: Shares appreciated 104% during that time. Despite trading at $12, Bank of America could still advance another 100%, although that may perhaps take two years or more. That's why I moved out of the common stock late in 2012 and into the Class A warrants, which expire in 2019 and have a strike price of $13.30.
For 2013, I am going to anoint Dell (DELL) as my top pick. Despite a rather decent operational year, Dell shares declined by 30% in 2012. Dell's business is in a transition as the company becomes more like today's IBM (IBM) with a focus on service, rather than the old IBM, which focused on hardware. IBM has been transforming itself for the past decade. Dell has been at it for less than five years. For the current fiscal year that will end this month, Dell will likely have generated around $2.5 billion in free cash flow. Not bad for a company in transition that has an enterprise value of $16.5 billion.
Trading at $10.60, Dell shares are an attractively priced equity holding for the multi-year investor. Given that waiting period, my top pick in 2013 is actually a derivative on Dell's common stock. Specifically, I am referring to the January 2015 $7 Dell call options, which can be bought today for around $4.10. For a premium of about $0.60 (inclusive of commissions), you get an option on Dell for 24 months. In other words, Dell shares need to trade for just over $11.25 within that time for you to break even on your bet. At $11.25, the options would have an intrinsic in-the-money value of $4.25. If you were to buy the common instead, you would realize a gain of 5%. Add in the annual dividend of 3%, and the total return is around 8%.
So what does the opportunity cost of forgoing the 8% gain on the common and holding the option get you? Dell is estimated to earn $1.67 for the fiscal year ending Jan. 31, 2014. At a very conservative forward earnings multiple of 10, Dell is worth $17 a share. Historically, Dell's free cash flow has exceeded its earnings per share, so on the basis of a cash-flow valuation, 10x free cash flow probably gets you a $20 stock. And Dell is furiously buying back its own stock, so per-share earnings without much sales growth could very well exceed analyst estimates. Founder Michael Dell has personally bought around $500 million worth of Dell shares for himself over the past several years.
And let's not forget the 3% yield, which is nothing to sneeze in today's negative real interest rate environment. Given Dell's excess cash flows, the dividend is not going away, and it could in fact increase over the coming year. A higher yield would attract income investors to the stock.
So against all this, let's say Dell trades at $15 a year from now. A holder of the common stock would experience a very attractive 45% total return inclusive of the dividend. The aforementioned call option, on the other hand, would have an intrinsic value of $8 (the $15 stock price less the $7 strike price) -- an appreciation of nearly 100%. In fact, since the call option would have a year to expiry, it would trade at slightly more than $8.
Let's say Dell shares remain flat in 2013 but really get going in 2014 and trade for $20 in two years. The common-stock holder would have a 100% return, while the option would be worth $13, for a gain in excess of 200%. Again if Dell shares do absolutely nothing for two years, the common-stock holder would be up 6% via the dividend, while the option holder would have a total loss of 10% over two years. Given the upside scenario from the call option, I'd say the risk/reward profile of a 10% loss against a potential 100% to 200% gain is a bet well worth making, especially when the underlying asset is a high-quality company with a cash-rich balance sheet that is buying back tons of its own shares.


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Predicting Bleeding Risk on Anticoagulant Therapy for Venous Thromboembolism
This study has been completed.
Ottawa Hospital Research Institute
Heart and Stroke Foundation of Ontario
Canadian Institutes of Health Research (CIHR)
Information provided by (Responsible Party):
Ottawa Hospital Research Institute
ClinicalTrials.gov Identifier:
First received: November 10, 2008
Last updated: October 25, 2016
Last verified: October 2016
- Full Text View
- Tabular View
- No Study Results Posted
- Disclaimer
- How to Read a Study Record
Biospecimen Retention: Samples With DNA
Detailed Description:
The main objective of the study is to develop or validate a clinical prediction rule for major bleeding in patients on oral anticoagulant therapy who have been safely anticoagulated without bleeding or venous thromboembolism (VTE) recurrence for at least 3 months since diagnosis and are being considered for long-term oral anticoagulant therapy.
|Venous Thromboembolism
|Study Type:
|Study Design:
|Observational Model: Cohort
Time Perspective: Prospective
|Official Title:
|Development and Validation of Clinical Prediction Rules for Bleeding for Patients on Anticoagulant Therapy for Venous Thromboembolism
Resource links provided by NLM:
MedlinePlus related topics: Bleeding Blood ThinnersU.S. FDA Resources
Further study details as provided by Ottawa Hospital Research Institute:
Primary Outcome Measures:
- Major bleeding (International Society on Thrombosis and Haemostasis(ISTH) criteria) [ Time Frame: ongoing for 3-7 years with follow-up phone calls at 6-month intervals ]
Secondary Outcome Measures:
- Clinically relevant non-major bleeding (International Society on Thrombosis and Haemostasis(ISTH) criteria) [ Time Frame: ongoing for 3-7 years with follow-up phone calls at 6-month intervals ]
- recurrent venous thromboembolism [ Time Frame: ongoing for 3-7 years with follow-up phone calls at 6-month intervals ]
- death (all causes) [ Time Frame: ongoing for 3-7 years with follow-up phone calls at 6-month intervals ]
Biospecimen Retention: Samples With DNA
Subjects may consent to optional DNA and plasma banking
|Study Start Date:
|September 2008
|Study Completion Date:
|October 2016
|Primary Completion Date:
|September 2016 (Final data collection date for primary outcome measure)
Oral anticoagulant therapy for patients who are at risk of developing blood clotting problems is used by between 400,000-600,000 Canadians annually. The use of this drug represents the most common cause of patient adverse medical outcomes due to medical errors. Furthermore, many patients have adverse outcomes using these drugs because physicians are not able to predict which patients are likely to have bleeding outcomes. Much effort has gone into developing ways to predict which patients are at risk of clotting but almost no work has gone into ways of predicting which patients would be at high risk of bleeding. This information is required to balance off the risk-benefits and to enable physicians and patients to understand the risks and benefits of taking these medications. Our study will develop a tool that can be used to predict bleeding risk in patients taking oral anticoagulant therapy. It will enable more informed decision making by both physicians and patients and will result in better control of the use of these drugs. In addition, patients who are at risk for being difficult to accurately dose on oral anticoagulants will be identified through our study.
|Ages Eligible for Study:
|18 Years and older (Adult, Senior)
|Sexes Eligible for Study:
|Accepts Healthy Volunteers:
|Sampling Method:
|Non-Probability Sample
Study Population
Outpatients being treated for venous thromboembolism
Inclusion Criteria:
- >=18 years old
- provoked or unprovoked venous thromboembolism
- objectively confirmed venous thromboembolism
- treated with an oral anticoagulant(vitamin K antagonist or new oral anticoagulant) for at least 3 months with plans to continue long-term
- if taking a vitamin K antagonist; INR target is between 2.0-3.0
- if taking a vitamin K antagonist; must have taken it for the last 3 consecutive weeks (minimum)
Exclusion Criteria:
- major bleeding while taking oral anticoagulants
- active bleeding at study enrollment
- active cancer - current or at the time of VTE diagnosis
- unable to provide written informed consent
- refusal to provide written informed consent
Contacts and Locations
Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the Contacts provided below. For general information, see Learn About Clinical Studies.
Please refer to this study by its ClinicalTrials.gov identifier: NCT00788736
Please refer to this study by its ClinicalTrials.gov identifier: NCT00788736
|United States, Massachusetts
|Lahey Clinic
|Burlington, Massachusetts, United States, MA01805
|United States, Michigan
|Henry Ford Health System
|Detroit, Michigan, United States, 48202
|Canada, Nova Scotia
|Queen Elizabeth II Health Sciences Centre
|Halifax, Nova Scotia, Canada, B3H 1V7
|Canada, Ontario
|Hamilton General Hospital
|Hamilton, Ontario, Canada, L8L 2X2
|Hamilton Health Sciences
|Hamilton, Ontario, Canada, L8V 1C3
|London Health Sciences Centre
|London, Ontario, Canada, N6A 4G5
|Ottawa Hospital Research Institute
|Ottawa, Ontario, Canada, K1H 8L6
|Canada, Quebec
|Montreal General Hospital
|Montreal, Quebec, Canada, H3G 1A4
|Sir Mortimer B Davis Jewish General Hospital
|Montreal, Quebec, Canada, H3T 1E2
|St. Mary's Hospital Centre
|Montreal, Quebec, Canada, H3T 1M5
|Hopital du Sacre Coeur de Montreal
|Montreal, Quebec, Canada, H4J 1C5
|United Kingdom
|Oxford Haemophilia and Thrombosis Centre, Churchill Hospital
|Oxford, United Kingdom, 0X3 7LJ
Sponsors and Collaborators
Ottawa Hospital Research Institute
Heart and Stroke Foundation of Ontario
Canadian Institutes of Health Research (CIHR)
|Principal Investigator:
|Phil S Wells, MD, MSc
|Ottawa Hospital Research Institute
More Information
Keywords provided by Ottawa Hospital Research Institute:
Additional relevant MeSH terms:
ClinicalTrials.gov processed this record on September 21, 2017
|Responsible Party:
|Ottawa Hospital Research Institute
|ClinicalTrials.gov Identifier:
|NCT00788736 History of Changes
|Other Study ID Numbers:
MOP130388 ( Other Identifier: Canadian Institutes of Health Research (CIHR) )
|Study First Received:
|November 10, 2008
|Last Updated:
|October 25, 2016
|Individual Participant Data (IPD) Sharing Statement:
|Plan to Share IPD:
Keywords provided by Ottawa Hospital Research Institute:
venous thromboembolism
long-term oral anticoagulant therapy
bleeding risk
clinical prediction rule
deep vein thrombosis
pulmonary embolism
vitamin k antagonist
side effect
Additional relevant MeSH terms:
Venous Thromboembolism
Pathologic Processes
Embolism and Thrombosis
Vascular Diseases
Cardiovascular Diseases
ClinicalTrials.gov processed this record on September 21, 2017


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ENET Components, Inc. CAT5E BLUE 1FT MOLDED BOOT PATCH CBL (C5E-BL-1-ENC)Item#: 13773618 | Model#: C5E-BL-1-ENC
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