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ON THIS PAGE: You will learn about the different treatments doctors use for children with a CNS tumor. Use the menu to see other pages.
In general, tumors in children are uncommon. This means it can be hard for doctors to plan treatments unless they know what has been most effective in other children. That's why more than 60% of children are treated as part of a clinical trial. A clinical trial is a research study that tests a new approach to treatment. The "standard of care" is the best treatments known. Clinical trials may test such approaches as a new drug, a new combination of standard treatments, or new doses of current therapies. The health and safety of all children participating in clinical trials are closely monitored.
To take advantage of these newer treatments, children with a CNS tumor should be treated at a specialized cancer center. Doctors at these centers have extensive experience in treating children and have access to the latest research. A doctor who specializes in treating children with a tumor is called a pediatric oncologist. If a pediatric cancer center is not nearby, general cancer centers sometimes have pediatric specialists who are able to be part of your child's care.
Treatment overview
In many cases, a team of doctors works with a child and the family to provide care; this is called a multidisciplinary team. Pediatric cancer centers often have extra support services for children and their families, such as child life specialists, dietitians, physical and occupational therapists, social workers, and counselors. Special activities and programs to help your child and family cope may also be available.
Treatment options and recommendations depend on several factors, including the type of CNS tumor, whether it is cancerous, the stage and/or grade of the tumor, possible side effects, the family's preferences, and the child's age and overall health. For instance, radiation therapy is often limited in children younger than 3 years old, because extensive radiation therapy can cause learning and memory problems in the future. Your child's care plan may also include treatment for symptoms and side effects, an important part of medical care. Take time to learn about all of your child's treatment options and be sure to ask questions about things that are unclear. Talk with your child's doctor about the goals of each treatment and what you can expect during the treatment. Learn more about making treatment decisions.
Descriptions of the most common treatment options for specific CNS tumors are listed below, followed by more details about each type of treatment.
Astrocytoma. Treatment options often depend on the grade of the tumor.
For low-grade astrocytoma, options include surgery or surgery plus radiation therapy. Radiation therapy without surgery may be used for older children. For younger children, surgery plus chemotherapy or limited radiation therapy may be options.
For high-grade astrocytoma, surgery plus radiation therapy and chemotherapy are usually given.
Learn more about the treatment of astrocytoma.
Brain stem glioma. Treatment for brain stem glioma generally includes radiation therapy with or without chemotherapy. Learn more about the treatment options for brain stem glioma.
Ependymoma. Treatment for ependymoma includes surgery and radiation therapy. Chemotherapy may also be used. Learn more about treatments for ependymoma.
Germ cell tumor. Surgery and radiation therapy are most common for germ cell tumor. Learn more about how a germ cell tumor is treated.
Medulloblastoma. Treatment options for medulloblastoma include surgery, radiation therapy, and chemotherapy. Learn more about these treatment options for medulloblastoma.
Surgery is the removal of the tumor and some surrounding healthy tissue during an operation. It is almost always used to find out the type of tumor, either through a biopsy or during treatment when the tumor can be removed without significant damage to the brain. A neurosurgeon is a doctor who specializes in treating a tumor in the brain or spine with surgery. Sometimes, a tumor spreads and grows between healthy nerve cells, making surgery difficult.
In certain situations, surgery can damage parts of the brain near the tumor, affecting arm and leg movement, breathing, swallowing, eye movement, or consciousness. Before surgery, talk with the health care team about the possible side effects from the specific surgery your child will have. Learn more about the basics of surgery.
Some tumors cannot be removed by surgery because of their location. These tumors are called inoperable or unresectable. In these instances, the doctor will recommend other treatment options.
Radiation therapy
Radiation therapy is the use of high-energy x-rays or other particles to destroy tumor cells. A doctor who specializes in giving radiation therapy to treat a tumor is called a radiation oncologist. The most common type of radiation treatment is called external-beam radiation therapy, which is radiation given from a machine outside the body. When radiation treatment is given using implants, it is called internal radiation therapy or brachytherapy. A radiation therapy regimen, or schedule, usually consists of a specific number of treatments given over a set period of time.
Stereotactic radiosurgery is a way to deliver high doses of radiation therapy directly to a tumor and not to healthy tissue. This technique makes detailed, 3-dimensional maps of the brain and tumor, so doctors can pinpoint where to direct the radiation treatment. It works best for certain noncancerous tumors and a tumor that is only in 1 part of the brain.
Another type of radiation therapy used for a CNS tumor is proton therapy. Proton therapy is a type of external-beam radiation therapy that uses protons rather than x-rays. At high energy, protons can destroy tumor cells. Proton therapy is becoming more widely used in the United States.
Learn more about the basics of radiation therapy. Side effects from radiation therapy may include fatigue, mild skin reactions, upset stomach, headaches, and loose bowel movements. Most side effects go away soon after treatment is finished. However, in the long term, radiation therapy can sometimes cause problems with the growth and development of the child's brain. Therefore, the doctor may choose to treat the tumor in another way.
Chemotherapy is the use of drugs to destroy tumor cells, usually by ending the tumor cells' ability to grow and divide. Chemotherapy is given by a medical oncologist, a doctor who specializes in treating a tumor with medication.
Systemic chemotherapy gets into the bloodstream to reach tumor cells throughout the body. Common ways to give chemotherapy include an intravenous (IV) tube placed into a vein using a needle or in a pill or capsule that is swallowed (orally). Chemotherapy may also be given directly into the spinal canal to treat tumor cells on the surface of the brain and spine. This procedure, called intrathecal chemotherapy, is still being researched in clinical trials and may not be available everywhere.
A chemotherapy regimen, or schedule, usually consists of a specific number of cycles given over a set period time. A patient may receive 1 drug at a time or combinations of different drugs given at the same time.
Chemotherapy is effective for many cancerous types of brain tumors. Depending on the tumor type, chemotherapy may be given immediately after a biopsy or surgery or after radiation therapy. In some instances, chemotherapy is used at the same time as radiation therapy.
The side effects of chemotherapy depend on the individual and the drug and dose used, but they can include fatigue, risk of infection, nausea and vomiting, hair loss, loss of appetite, and diarrhea. These side effects usually go away after treatment is finished.
Learn more about the basics of chemotherapy and preparing for treatment. The medications used to treat a tumor are continually being evaluated. Talking with your child's doctor is often the best way to learn about the medications prescribed for your child, their purpose, and their potential side effects or interactions with other medications. Learn more about your child's prescriptions by using searchable drug databases.
Getting care for symptoms and side effects
A CNS tumor and its treatment often cause side effects. In addition to treatments intended to slow, stop, or eliminate the disease, an important part of care is relieving a child's symptoms and side effects. This approach is called palliative or supportive care, and it includes supporting the child with his or her physical, emotional, and social needs.
Palliative care is any treatment that focuses on reducing symptoms, improving quality of life, and supporting patients and their families. Any person, regardless of age or type and stage of cancer, may receive palliative care. It works best when palliative care is started as early as needed in the treatment process. Children often receive treatment for the tumor at the same time that they receive treatment to ease side effects. In fact, patients who receive both at the same time often have less severe symptoms, better quality of life, and families report that they are more satisfied with treatment.
Palliative treatments vary widely and often include medication, nutritional changes, relaxation techniques, emotional support, and other therapies. Your child may also receive palliative treatments similar to those meant to eliminate the tumor, such as chemotherapy, surgery, or radiation therapy. Talk with your child's doctor about the goals of each treatment in the treatment plan.
Before treatment begins, talk with your child's health care team about the possible side effects of your child's specific treatment plan and palliative care options. During and after treatment, be sure to tell your doctor or another health care team member if your child is experiencing a problem so it can be addressed as quickly as possible. Learn more about palliative care.
Remission and the chance of recurrence
A remission is when the tumor cannot be detected in the body and there are no symptoms. This may also be called having "no evidence of disease" or NED.
A remission may be temporary or permanent. This uncertainty causes many people to worry that the cancer will come back. While many remissions are permanent, it's important to talk with the doctor about the possibility of the tumor returning. Understanding your child's risk of recurrence and the treatment options may help you feel more prepared if the tumor does return. Learn more about coping with the fear of recurrence.
If the tumor does return after the original treatment, it is called a recurrent tumor. It may come back in the same place (called a local recurrence), nearby (regional recurrence), or in another place (distant recurrence).
When this occurs, a new cycle of testing will begin again to learn as much as possible about the recurrence. After this testing is done, you and your child's doctor will talk about the treatment options. Often the treatment plan will include the treatments described above such as surgery, chemotherapy, and radiation therapy, but they may be used in a different combination or given at a different pace. Your child's doctor may suggest clinical trials that are studying new ways to treat this type of recurrent tumor. Whichever treatment plan you choose, palliative care will be important for relieving symptoms and side effects.
For a recurrent CNS tumor, the next phase of treatment depends on 3 factors:
The type of tumor
Whether the tumor recurred where it originally started or in another part of the brain or body
The type of treatment given for the original tumor
Depending on your child's situation, the doctor may recommend surgery, radiation therapy, chemotherapy, and/or a stem cell/bone marrow transplantation.
A recurrent tumor may bring up emotions such as disbelief or fear. You and your family are encouraged to talk with the health care team about these feelings and ask about support services to help you cope. Learn more about dealing with a tumor recurrence.
If treatment doesn't work
Although treatment is successful for the majority of children with a tumor, sometimes it is not. If a child's tumor cannot be cured or controlled, this is called an advanced or terminal tumor. This diagnosis is stressful, and an advanced CNS tumor may be difficult to discuss. However, it is important to have open and honest conversations with your child's doctor and health care team to express your family's feelings, preferences, and concerns. The health care team is there to help, and many team members have special skills, experience, and knowledge to support patients and their families.
Hospice care is a type of palliative care for people who are expected to live less than 6 months. It is designed to provide the best possible quality of life for people who are near the end of life. Parents and guardians are encouraged to talk with the health care team about hospice options, which include hospice care at home, a special hospice center, or other health care locations. Nursing care and special equipment can make staying at home a workable option for many families. Some children may be happier if they can arrange to attend school part-time or keep up other activities and social connections. The child's health care team can help parents or guardians decide on an appropriate level of activity. Making sure a child is physically comfortable and free from pain is extremely important as part of end-of-life care. Learn more about caring for a terminally ill child and advanced care planning.
The death of a child is an enormous tragedy, and families may need support to help them cope with the loss. Pediatric cancer centers often have professional staff and support groups to help with the process of grieving. Learn more on grieving the loss of a child.
The next section in this guide is About Clinical Trials. It offers more information about research studies that are focused on finding better ways to care for people with a CNS tumor. You may use the menu to choose a different section to read in this guide.


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Age is no barrier for entrepreneur
PUBLISHED: 11:54 28 January 2013 | UPDATED: 16:18 28 January 2013
A young entrepreneur from Budleigh Salterton has built up a multi-million-pound company from scratch in just 18-months.
Determined that age should not be a barrier to corporate success, Oxford architecture graduate Richard Phillips, 26, who lived in Exmouth Road until the age of 19, and his business partner Tim Bailey founded B38 Group in 2011.
The company, which specialises in commercial property maintenance and management, has grown at an impressive speed - they have just bought a construction company and this year they predict turnover of £500,000.
They have already built up an impressive list of clients ranging from Nationwide Building Society, BT Plc, Audi Volkswagen and the NHS Primary Care Trust.
He said: "We originally wanted to spend all our time on development sites but, with limited funding available, we had to diversify quickly into the service industry to raise some capital to fund our developments."
Now the company offers landlords and tenants everything from emergency call-outs following an 'incident' to the management of properties.
He said: "The new construction teams will enhance the amount of fit-outs, remedial works and new builds that we can currently cope with.
"Clients have really stepped on board with the idea of having one port of call for all their property needs."
With offices in Wakefield, Birmingham and Swindon covering most of the UK, Richard explains that B38 is looking to set up shop in Exeter.
He said: "An office to support this demand in the South West seems like the next logical step."
But Richard didn't always want to be his own boss – at school he harboured ambitions to be in the RAF. He said: "But I have always enjoyed design, which led me into the architectural world and on to the property and construction side of things."
It was not until after he graduated and he worked for two architectural practices on opposite sides of the world that he wanted to set up his own business.
He said: "Having worked for a large corporate architectural practice both in London and Hong Kong, it was very appealing to want to run my own teams rather than work for 30 years before gaining that responsibility.
"I didn't see why age should be a restriction to managing people and running projects.
"The corporate world was too focused around age and long term relationships with the company rather than who was the most appropriate person to deal with a job."

subset: commoncrawl


text: Winfield wrestling program climbing the ladder By Tommy R. Atkinson January 5, 2013 Story Share Kenny Kemp Winfield's Isaac Reed (top) works to corral Nitro's Terell Jackson in the 145-pound final at the Pat Vance Invitational at Nitro. NITRO, W.Va. -- Winfield proved Saturday evening that the spotlight wasn't too big, but the Generals still have some work to do before they'll feel comfortable among the state's elite wrestling teams.The Generals captured their first team championship in school history at the 43rd Pat Vance Invitational at Nitro High School.Winfield entered the finals with a 24-point lead and held on for an eight-point victory over runner-up George Washington (2221/2-2141/2). Herbert Hoover finished third with 189 points, followed by Nitro (166) and Hurricane (1301/2).The Generals qualified for the finals in seven of the 14 weight classes, but only senior Isaac Reed captured an individual title with a win in the 145-pound division."As happy as I am we won it, I feel like our guys aren't ready yet to win the big match," said Winfield coach Mike Cochran. "For almost all of our guys, they've never been under the spotlight. I feel bad. We didn't perform as well as I thought we should. We didn't wrestle the way I thought we should."I'm going to take this as a learning experience, as this is what we have to do to win the big one. Be under the lights with all the fans and the pressure. Maybe that will help us later on. That's what's spinning in my head, this is what we have to work on and this is what we have to work on.''Winfield's Chris Cochran (113), Bryce Humphreys (126), Evan Fairchild (132), Jimmy Clark (160), Tyler Grimm (170) and Noah Julian (195) all lost in the finals in their respective weight classes.Others who placed for the Generals were Garrett Keefer (138, third), Taylor Grimm (152, fifth), Tyler Payne (160, sixth), Jonathan Shamblin (170, third), Zack Richardson (182, third) and Brady White (220, sixth). "This will boost everybody's confidence up a notch or two,'' said Reed, who is ranked third in Class AAA at 145. "Overall, we're doing good I think. We're a little bit better this year. Everybody's working together as a team.''Winfield is breaking new ground for the program this season. The Generals were No. 10 in this week's AAA state coaches association-wvmat.com poll and placed second in tournaments at Musselman and North Carolina.The Generals also have several more grapplers ranked among the state's best in Chris Cochran (120, seventh), Humphreys (126, second), Clark (160, sixth), Tyler Grimm (170, ninth) and Richardson (182, sixth)."We've never been ranked since I've been here,'' said Mike Cochran, who is beginning his seventh season as the Generals' coach. "I was told a long time ago in double-A they [Winfield was] ranked as high as seventh.'' Cochran said most of the team has been working out on its own during the offseason and the program is also reaping the benefits of the middle school team."Our goal was to start building the program,'' said the Winfield coach. "It's taken a long time to get to where we are. That's been our goal to get to the point where we can compete with the best teams in the state."We've been competitive with middle-tier teams, but we want to be competitive with upper-tier teams. You've got to really work hard. You can't just walk on the mat and work on in season to be at that level. When enough guys buy into that everybody feeds off that. We've got good team leaders and the guys push each other.'' Cochran said he envisions the Generals taking the next step as a perennial contender at the state tournament once a youth program is established."That's the one thing we don't have,'' he said. "We're working toward getting that, then we'll have all three phases. [We'll] get the little guys interested and keep them going at the middle school then get them up here [at the high school]."It used to be when I first started coaching you had to teach them basic moves, and now I don't have to teach basic moves. I can go on to the more advanced stuff, and that helps us when we wrestle the good teams.''Cochran said he feels good about where the high school program is headed."This is all practice,'' he said. "Our goal is to qualify eight for the state tournament and try and get some state placers this year.'' Other individual winners from the Kanawha Valley included GW's Sam Moore (106), Jenson Lorea (126), who was also voted the most outstanding wrestler by the coaches, Jake Smith (160) and Hunter Jones (170); Hoover's Justin Duncan (120), Zane Weese (220) and Richard Wood (285); Hurricane's Jeremy Francis (152); Capital's Patrick Vance (182); and Buffalo's Kyle Frazier (195). Smith, Jones and Woods won by pin. Buffalo was also given the sportsmanship award. Reach Tommy R. Atkinson at firstname.lastname@example.com or 304-348-4811. Story Share Story Share Trending Now 1 Derek Redd: Marshall thinks outside the cable box for broadcasts 2 Man charged after motorcycle pursuit early Sunday 3 Deer in 8 WV counties found dead from EHD 4 Philanthropist Betty Schoenbaum of Shoney's fortune turns 100 5 Sissonville woman, child home safe after being reported missing Morgantown recovers, rolls past SC 50-39 Previous Story WVU's ills? Let us count them up Next Story


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Headlines (Campus Updates)
Orientation Week information for Lauriers Waterloo and Brantford campus undergraduate students
Communications, Public Affairs & Marketing
Aug 27/13
Laurier is preparing an enthusiastic welcome for students arriving on the universitys Waterloo and Brantford campuses this weekend. Here is whats happening for move-in day and orientation:
Waterloo campus: residence move-in and orientation
Lauriers Waterloo campus will welcome nearly 4,000 first-year students over the Labour Day weekend. To accommodate the large number of arrivals, move-in day will occur on either Sunday, Sept. 1 or Monday, Sept. 2, depending on the students residence building. Students can pick up their residence key from 9 a.m. to 2 p.m. in the Athletic Complex on both days.
Lauriers parent orientation sessions will also take place both days, with sessions at 11:30 a.m. and at 2 p.m. in the Bricker Academic Building, room BA201. Parents can RSVP at http://parents.laurierorientation.com.
Orientation Week, organized with the help of more than 600 senior-student volunteers, is a special program designed to help integrate first-year undergraduate students into the campus. Pre-registered students can pick up their Orientation-Week kit in the Athletic Complex. Students who have not yet registered for Orientation Week can do so in the Concourse. For more information, visit http://oweek.wlusu.com.
On the Tuesday and Wednesday of Orientation Week, student success and academic sessions will provide students with information to support their academic transition to university life.
In long-standing tradition, Orientation Week will culminate with Shinerama on Saturday, Sept. 7. Shinerama, which started at Laurier in 1961, is Canadas largest college and university fundraiser for cystic fibrosis research and treatment. Every September, more than 35,000 students from across Canada go out into their communities and raise money by shining cars, shoes and bikes, and by holding barbecues and selling candy. To date, Shinerama has raised more than $21.5 million, with more than $2 million coming from Laurier.
Rad Week, put on by Laurier Students Public Interest Research Group, is a weeklong experience available at no cost to all first-year students that complements the Students Union Orientation Week events. Through concerts, film screenings, exhibitions and more, Rad Week provides students with opportunities and resources to make a positive impact and engage in social change. Find out more at www.lspirg.org/what-is-rad-week.
International Orientation Week, for new undergraduate international students, takes place Aug. 26-31. To register, email email@example.com.
Brantford Campus: residence move-in and orientation
Lauriers Brantford campus will welcome more than 800 first-year students on Monday, Sept. 2, with the aid of nearly 100 senior-student volunteers. As specified in residence-placement letters, each residence community has a designated move-in time. One lane of Colborne Street will be closed to give families a safe place to pull over and allow volunteers to help unload belongings.
Registration will occur in the west lobby of the Research and Academic Centre, from 8 a.m. to 3 p.m. Students living off-campus can pick up their Orientation Week kit in the lobby of the Research and Academic Centre - West from 3 p.m. to 6 p.m. Students who have not yet registered for Orientation Week can do so at that time. For more information, visit http://oweek.wlusu.com.
Parents and guardians can connect with other families and learn tips on how to best support their student at a parent orientation hosted by the Dean of Students and Students Union. The parent orientation will take place at 2 p.m. on Monday, Sept. 2, in Research and Academic Centre East, room 004. Parents can RSVP a thttp://parents.laurierorientation.com.
To increase focus on students academic transition to Laurier, students will sample classes with mock lectures during Orientation Week. Students can choose to engage in a Contemporary Studies lecture or a Laurier/Nipissing University-partnered Concurrent Education lecture. Professors will address relevant themes such as academic integrity, how to take lecture notes, and classroom etiquette. Other events will educate students on the variety of services and resources available to aid them in achieving student success.
International Orientation Week, for new international undergraduate students, will take place Sept. 2-7. To register, email firstname.lastname@example.com.
Orientation Week will culminate with the Shinerama car wash on Saturday, Sept. 7.


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July 1, 2011 will mark the start of the most comprehensive IIHF women's hockey development initiative so far, with coach mentors and athlete ambassadors from the top four nations set to assist programs in nine other countries over two-and-a-half years.
The IIHF Ambassador and Mentor Program (AMP) will create partnerships between some of the world's best women's hockey coaches and players, and countries that are striving to join the sport's global elite. All of the athlete ambassadors and coach mentors bring tremendous experience to the program, with most having won multiple medals at the IIHF World Women's Championship and Olympic Winter Games.
Hayley Wickenheiser, a veteran of Canada's National Women's Team, will help set direction and provide support for the athlete ambassadors, allowing her vast experience and knowledge to be shared with all nations participating in the program.
"It's exciting to be a part of the athlete ambassador program because I feel it will make a direct and immediate impact on helping players from (other) countries," Wickenheiser said. "Having access to world and Olympic champions is invaluable and will be an important step in continuing to grow and improve women's hockey around the world."
The ambassadors and mentors come from the top four teams in the world: Canada, Finland, Sweden and the United States.
The nine nations that will participate in this program are China, the Czech Republic, France, Germany,
Kazakhstan, Norway, Russia, Slovakia and Switzerland. Each will be assigned two athlete ambassadors and two
coach mentors in order to build successful relationships over the course of the program, which runs from this
July through the end of January 2014. The IIHF expects ambassadors and mentors to communicate with the
coaches of both the senior and under-18 women's teams of the participating nations at least every two or
three weeks.
"The best way to become successful is to have the opportunity to learn from someone who has already been successful," said IIHF women's program manager Tanya Foley, who has played a key role in launching the new program. "The teams that will qualify for Sochi will have a resource that no team entering an Olympic Games has previously had, and we believe this will help them prepare for elite international level competition in a very positive way."
Factors such as language skills, previous positive relationships and specific needs of a country were all considered when determining assignments, in addition to ensuring that active athlete and coaches are not assigned to a country they'll play against at the 2012 IIHF World Women's Championship in Burlington, Vt.
Foley said that while the IIHF doesn't believe there will be "an equal balance" among all countries by Sochi 2014, the program's intention is to focus on the countries most likely to qualify for the next Olympic Winter Games. "The AMP program will be one of the most effective initiatives in bringing the nations as far along as possible, (in a relatively short amount of time)."
To see which Canadian players and coaches have been selected to serve as ambassadors and mentors, CLICK HERE.
For more information on the IIHF Ambassador and Mentor Program, please visit www.iihf.com.


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DETROIT - Michigan health officials have confirmed 338 flu cases at state-run labs as the virus continues to send children and adults to hospitals, doctor offices and urgent care centers.
Read: One in three U.S. workers has no paid sick days
Department of Community Health spokeswoman Angela Minicuci tells The Associated Press Friday that the number of pediatric deaths remains at four.
She says there have been adult deaths, but those aren't required to be reported to the state.
MORE: Flu outbreak hits businesses hard
Minicuci says this flu season in Michigan has been worse than some others and is "not slowing down yet." Southwest, central and southeast Michigan have been hardest hit.
Find a flu shot location
Flu call center:
To help health care consumers identify flu symptoms and treatment options, Beaumont Hospitals has launched an H1N1 Call Center.
Staffed by a registered nurses, the center is a toll-free, 24-hour-a-day community resource accurate information about flu symptoms and advice on when and where to seek medical attention.
The call center number is 888-375-H1N1.
Flu related information:
What is influenza?
Fighting back against the flu.
What to do if you have the flu
Flu shot myths addressed
Tips: Protect others when coughing, sneezing
Copyright 2013 by The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed.


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wyoming state library > publications & marketing
State Library Publications
Wyoming Library Roundup
quarterly magazine featuring articles, interviews and book reviews focused on different topics each issue.
The Outrider
The newsletter of the Wyoming State Library
News to Use
An irregular newsletter that covers a wide range of topics that
board members can use in their roles as policymakers and advocates
Wyoming Library Foundations
This newsletter will provide ongoing information to the Wyoming county library foundations about the Public Library Endowment Challenge Program along with general information on endowments, fundraising and foundations.
101 Things to Know or Do as a Wyoming County Library Board Member
Identifies a number of key points that can assist members in performing their work as a board member
Library Laws
Extracted from Wyoming Statutes of 2016 as amended.
Wyoming Libraries Directory
Find listings for public, academic, special, and other libraries throughout the state
Wyoming State Government Annual Report
Budget, program information, goals and objectives available in PDF files
Wyoming State Government Strategic Plans
Strategic plans available in PDF files
Mabel Wilkinson Posters
request your Mabel posters here
New Library Science Publications
new library science publications located at WSL
Board Member Handbook
This handbook is designed to guide you through your role, the responsibilities you carry, the issues you face and the resources available to you as a Wyoming Library Board Member. Published by the Wyoming State Library. Available as an online resource only.
Wyoming Public Library Directors' Handbook
This handbook is designed to guide you through your role, the responsibilities you carry, the issues you face and the resources available to you as a Wyoming public library director.
Many of these publications are available in printed form by contacting the
Publications Office at 307/777-6338


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Stanton powers Marlins back to .500
Slugger drives in four; Yelich goes 3-for-5 as Miami clinches series
MIAMI -- Runs were at a premium throughout the Marlins' four-game set with the D-backs at Marlins Park. Each of the first three games were decided by one run.
But on Sunday, Giancarlo Stanton had four RBIs and his bat propelled the Marlins to .500 for the first time since July 29 as they beat Arizona, 10-3, and secured their third consecutive series win.
The Marlins have won seven of their last 10 games, and the .500 threshold is pivotal for them if they want to put together a late-season run in the National League Wild Card race. The last time they were above an even mark was on June 20.
"To get back to .500 at this stage of the season is huge for us," manager Mike Redmond said. "Definitely right where we want to be. We talked about coming into this series needing to take care of business. ... To win three out of four here is huge."
Stanton and the Marlins wasted no time getting to Arizona's Josh Collmenter. Christian Yelich led off the first with a double and Jeff Baker drew a walk, bringing up Stanton. The slugger hit a towering home run into left field that landed in the D-backs' bullpen for an early 3-0 cushion.
Stanton's season total for RBIs climbed to an NL-best 88, surpassing his career-high of 87 set in 2011. Although he joked about not breaking 100 yet, he recognized the importance of helping Miami secure 62 wins on Sunday. The Marlins had 62 wins all of last season.
"It's helping us win," he said. "That's more than any single accolade I could have."
"It's an intimidation factor that [Stanton] brings to the ballclubs, and this guy just continues to do it," Redmond praised. "We just played a long stretch of ballgames and guys are tired and emotional and on tilt. ... To come out on a day game -- they're always tough to play -- [and] for him to set the tone was huge."
Stanton drove in the first run of the Marlins' seventh inning after Yelich, who'd reached third on an error and a stolen base, led off the inning with his third hit of the afternoon.
The scoring didn't stop there. The Marlins sent nine to the plate and added five total runs in the frame, thanks to a pair of walks and RBI hits by Marcell Ozuna and Jarrod Saltalamacchia.
"We've had close games all the way down to the wire for a while now, so to be able to secure this in the seventh inning was good," Stanton said.
The Marlins also saw each of their one through eight batters reach base in the game. Garrett Jones put together a 2-for-3 afternoon, including a first-inning solo homer, after entering the game with one hit in his last six contests.
The offensive outburst provided plenty of support for starter Tom Koehler, who ran into trouble in the first and sixth innings, as he posted his ninth win of the season.
"When your big guy [Stanton] is producing the way he is, you've got a chance of winning a ballgame," Koehler said. "When you see him swinging the bat well, it makes everybody else not press and just go out there and do what they're capable of doing in that game."
Koehler needed just seven pitches to get the first two outs of the game, but then he allowed a single and two walks. Pitching coach Chuck Hernandez trotted out to the mound after Koehler threw five straight balls, one of which was a wild pitch.
The message Hernandez delivered about slowing down clearly paid dividends, because Koehler struck out Jake Lamb with the bases loaded to end the inning. He then retired 11 of the next 12 batters before giving up two runs in the sixth. Koehler struck out seven batters and walked two through six innings.
"He got a little wild, but he got back together," Redmond said. "Chuck went out there, settled him down. ... He had some really nice innings. In the sixth inning, he kind of just ran out of gas."
Miami has scored 10 runs six times this season, but Sunday's total was the most they'd scored since they beat the Rays, 11-6, on June 5.
Maria Torres is an associate reporter for MLB.com. This story was not subject to the approval of Major League Baseball or its clubs.


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The AACSB International membership has re-elected Bill Glick, Dean of the Jesse H. Jones Graduate School of Business, to the Board of Directors as a representative of U.S. Accredited Institutions. With this result, the membership has demonstrated their continuing confidence in Dean Glick as a trusted and worthy representative of their interests.
In addition to Dean Glick, volunteering in organizations promoting business school endeavors is encouraged among staff and faculty at the Jones School.
Staff involvement includes:
Sue Oldham, Director of Admissions Development - Board Member of the Association of Rice Alumni, member of the Staff Advisory Committee, and co-chair for RiceFest
Brooke Bond, Student Services Director for the Rice MBA Professional Program - Graduate Business Student Services Association (GBSSA) board member, recently elected to a second term.
Lina Bell, Executive MBA Council - Board Member (2011-2014 term), Conference Chair - 2013 Houston, Conference Planning Committee - Sponsorships, 2011 Conference Toronto; Board Member, River Oaks Women's Business Exchange, Membership Vice-President - 2013-14
Donna Platt, External Affairs Associate Director - Association of Fundraising Professionals, Greater Houston Chapter - 2010 "Ask the Experts" International Conference planning committee ( Hospitality Co-chair)
Faculty serving in editorial positions includes:
Stephen A. Zeff - Book Review Editor, The Accounting Review
Duane Windsor – Editor, Business and Society
Kerry Back - Associate Editor, Journal of Finance; Co-Editor, Finance and Stochastics
Jefferson Duarte – Associate Editor, Journal of Financial and Quantitative Analysis
Doug Schuler – Associate Editor, Journal of International Business Studies
Robert E. Hoskisson - Associate Editor, Strategic Management Journal
Jing Zhou - Associate Editor, Journal of Applied Psychology
Thomas Hemmer – Associate Editor, Journal of Accounting Research
George Kanatas - Associate Editor, Journal of Financial Research
Alexander W. Butler – Associate Editor, Financial Review
Gustavo Grullon – Associate Editor, Financial Management
Amit Israel Pazgal - Associate Editor, Quantitative Marketing and Economics


text: OverviewBack to top Ella's Kitchen - Organic Baby Food Stage 1 For 4 Months & Older Butternut Squash, Carrots, Apples And Prunes - 3.5 oz. Item# :106805UPC# :845901000168 Brand:Ella's Kitchen Size/Form:3.50 oz. Ship Weight:0.25 Servings:1 Flavor:Butternut Squash, Carrots, Apples And Prunes Click here to read a PDF brochure on this product Ella's Kitchen - Organic Baby Food Stage 1 For 4 Months & Older Butternut Squash, Carrots, Apples And Prunes - 3.5 oz. (99g) Ella's Kitchen - Organic Baby Food Stage 1 Butternut Squash, Carrots, Apples And Prunes. "Hooray for prunes! This yummy 100% organic fruit and veggie combo is deeelicious on its own or squeeze it into some of your favorite baking recipes like squash soup or bran muffins!!! Babies love Ella's Kitchen unusual mix of carefully chosen organic natural fruits and vegetables. They puree and gently cook 100% organic fruits and veggies, adding absoulutely nothing else, not even water, to dilute its goodness. Then they pop it into a handy, light, resealable pouch, perfect for early taste bud exploring when first weaning your little one or as a snack for older babies, and ideal for busy moms on the go! You can also add them to meat or fish to create great meals for older babies and toddlers. Ella's Kitchen - Organic Baby Food Stage 1 Butternut Squash, Carrots, Apples And Prunes: Babies Love Me Warm And Cold Certified Organic No presevatives or Thickeners No E Numbers or Gmo No High Fructose Corn Syrup Dairy Free Egg Free Wheat Free No Lactose Gluten Free No Added Water No Lumps or Bits Nothing Artificial Just Yummy Organic Food For Babies 4 Months & Up Ella's Kitchen Frequently Asked Questions Organic food is expensive. Why is it better? Organic food is expensive - but here are 10 great reasons why it's better! It's healthy. On average, organic food contains higher levels of vitamin C and essential minerals such as calcium, magnesium, iron and chromium as well as cancer-fighting antioxidants. No nasty additives. Organic food doesn't contain food additives which can cause health problems such as heart disease, osteoporosis, migraines and hyperactivity. No GM Genetically modified (GM) crops and ingredients are allowed under organic standards. Organic farms respect their water resources. Organic farming doesn't use polluting chemicals which is better for their water resources. High standards. Organic food comes from trusted sources. All organic farms and food companies are inspected at least once a year. The standards for organic food are laid down in European, US and Canadian law. Work in harmony with nature. Organic agriculture respects the balance demanded of a healthy ecosystem and wildlife is encouraged. Yay Helps rural communities thrive. USDA reported that in 1997, half of U.S. farm production came from only 2% of farms. Organic agriculture can be a lifeline for small farms because it offers an alternative market where sellers can command fair prices for crops. Organic abundance! Now every food category has an organic alternative. And non-food agricultural products are being grown organically even cotton, which most experts felt could not be grown this way. Builds healthy soil. Soil is the foundation of the food chain. The primary focus of organic farming is to use practices that build healthy soils. Top for taste. Many people prefer organic food because they say it tastes better. It's common sense – well-balanced soils produce strong, healthy plants that become nourishing food for people and animals. How can Ella's Kitchen have a 12-month shelf life? Ella's Kitchen found a really safe and effective way to lock in all freshness of the fruit and vegetables, without compromising the goodness. their pureed fruits and vegetables are blended together then gently and quickly pasteurized (like milk) at 200ºF for just 10 seconds, then popped into individual pouches while still hot and held at 185ºF for another 2 and a half minutes - so that the fruits stay safe and tasty in a natural way without the use of artificial preservatives. In fact they have at least 4 little secrets that help create healthy, safe, tasty and long shelf life food. These secrets are: Ella's Kitchen carefully balance their recipes to be sufficiently naturally acidic to be hostile to bugs but safe for kids They flash pasteurize the fruits to kill any existing or dormant bugs They fill the pouches hot so that the pouches themselves are free from bugs They draw a vacuum and add an inert gas into the top of the pouch before they screw the caps on tightly. This means that there is no oxygen in the pouch to feed anything in there. Oops! They're no longer secrets! Can I take Ella's Kitchen products on a plane? Ella's Kitchen baby food pouches are perfectly fine on aircraft. If you're putting them in your suitcase I'd recommend wrapping them in plastic in case they get pierced. Crushed organic fruit and vegetables are lovely but not all over your new summer dress. If you're carrying them on board I'd just be mindful of cautious customs officials who may think the Baby Food falls into the 'liquids over 3 oz or 90ml' category. I was once made to open a pouch! Can I freeze Ella's Kitchen products? Often kids - and especially babies - don't get all the way through their dinner so it's good to know the food doesn't have to go to waste. It's fine to freeze Ella's Kitchen products as long as it's frozen within 24 hours of opening the baby food pouch, and consumed quickly after the product has been thoroughly defrosted. they wouldn't recommend freezing food that has already been warmed though. You can freeze it in one two ways. Either pop the pouch straight in the freezer or you can squeeze leftovers into ice cube trays to create mini portions. Ella's Kitchen 1 baby food and Smoothie Fruits are all nut and nut oil free - as are their factories - yeah! Ella's Kitchen 1 baby food and Smoothie Fruits are made by pasteurizing pureed fruits and vegetables. This process gently heats the foods to 200ºF for a few seconds, fills the pouch and then holds the temperature for a few minutes. This processing is much less than jarred baby foods or sauces which will go up to over 248ºF –often with the subsequent degradation of taste, color and nutritional content. Any cooking process will break down some mineral and vitamin contents (including home cooking), and the more the food is processed the more is likely to be lost. they decided not to put mineral and vitamin contents on their pouches because they do not add any as specific ingredients, nor do they make any claims about them. Some foods that have been taken to very high temperatures may have added synthetic or extracted vitamins if their manufacturers are worried that too many are likely to have been destroyed, but they believe that their processing is much closer to home made foods and keep their ingredients as simple and easy to understand as possible – just like you would do at home Are Smoothie Fruits suitable for weaning? Smoothie Fruits are primarily designed to be a health lunchbox snack for older children. That said they are fine for babies 6 months and older as long as you know that your baby isn't allergic to any of the ingredients. All the fruits they use are on the recommended list for babies who've started weaning, so I'd recommend trying individual fruits first before feeding them their products - so for example, try individual samples of fresh berries, apple and banana and if they're fine with those you can start feeding them the Red One Perhaps the most important fruit to pre-test with your baby is kiwi fruit - as some babies and children are allergic to this fruit. What materials do you use in your packaging? their pouches are made from two kinds of plastic which 'sandwich' the aluminum foil in the middle. The aluminum forms an impermeable barrier between what's inside the pouch and the outside world; one of the effects of which means they can naturally preserve their products without adding additives, preservatives etc. Both layers of plastic have been chosen by their supplier to be safe with food. they have their written confirmation that the pouches do not contain any Bisphenol A or Phthalates, which the main toxin concerns are relating to plastics. their caps and 'straws' are made from PE plastic (BPA free) which is very common in food use and has served this type of packaging for many years. Can I recycle Ella's Kitchen packaging? All their cardboard outer packaging is 100% recyclable - and in fact is 90% recycled card itself. The foil baby food pouches require a slightly longer answer. Ella's Kitchen 1 baby food and Smoothie Fruit pouches cannot be recycled through the usual recycling centers because they contain aluminum foil and plastic fused together and the technology is not available yet to separate the laminated materials. The over all amount of packaging however, is reduced by having these together. They are hoping to introduce a recyclable version of their pouch within the next year - once some clever people help us to crack the little hurdle they are facing with the materials. They faced something of a dilemma when deciding on the packaging for their products. On the one hand the pouches are perfect for kids and babies - squeezy and tactile, while also being the best way to preserve the food naturally without additives or preservatives. But on the other hand they can't be easily recycled. Technically, under US law, their packaging is approved as recyclable because when incinerated it produces more energy than is used in production and transportation. But US government agencies define and deal with recycling in different ways so they didn't feel they could indicate on pack that the product was recyclable. They are currently researching a number of proactive solutions for recycling the pouches outside of traditional channels and will report on their findings. Why is there a splash of lemon juice in some Ella's Kitchen products? Their Smoothie Fruit and Ella's 1 baby food pouches are designed to be as close as possible to something you would make at home. To help us do this they carefully balance their recipes so that they are naturally acidic - gentle enough for little tummies, but hostile to nasty bugs. This reduces the need for lots of heat processing, enabling us to gently pasteurize these products and not to use preservatives, unlike some other branded foods. It's natural for the acidity of the fruits they use to vary across the seasons, so to 're-balance' this sometimes they may need to add a dash of organic lemon juice to these products. This doesn't affect the taste; it simply means that they can create healthy, safe and long lasting food for your little ones. Easy-peasy. Ella's Kitchen beliefs about baby foodAt the barn. Ella's Kitchen is very passionate about children's' health and nutrition, but never at the expense of taste or convenience. Ella's Kitchen have always worked closely alongside and taken guidance from nutritionists who specialize in children's diet as well as with other experts, baby food retailers and manufacturers. Most of all they listen to real moms and dads and drawn our inspiration from real kids. What Drives Ella's Kitchen As a hands-on dad to Ella and Paddy, Paul know how difficult it can be for parents in balancing what kids have been led to believe they want with what is actually good for them. Although, Paul really couldn't understand why kids wouldn't want healthy foods if it was created with them in mind – making food cool with delicious flavors and textures that they will like and want to try. Ever since the first idea for Ella's Kitchen baby food came about, Paul's two kids and their friends have always been involved in the process. Kids' thoughts and ideas have been central to our development and growth. According to the Centers for Disease Control and Prevention (CDC), over the past three decades the childhood obesity rate has more than doubled for preschool aged kids (2-5 years old) and adolescents aged 12-19 years, and it has more than tripled for children aged 6-11 years. Frightening. Now is the time to get on board with your kids! Join us in making food fun and cool to kids so they will have a passion for yummy good for your foods!


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WBEZ News
Preshow Lecture on Bengal Tiger at the Baghdad Zoo
In The Bengal Tiger at the Baghdad Zoo, two US Marines and an Iraqi translator are thrust into a world of greed, mystery and betrayal after an encounter with a now-deceased but still very angry tiger. The streets of war-torn Baghdad are filled with ghosts, riddles and wry humor in this ground-breaking play that explores the power and perils of human nature. Professor Andrew McKenna will discuss the Lookingglass Theatre's production, directed by Heidi Stillman, using the insights provided by Rene Girard's mimetic theory. This theory illustrates how man's imitative nature, which has great potential for learning and cooperation, can lead to rivalry and violence. Faced with a record number of murders in Chicago last year, an understanding of mimetic theory offers the possibility of disrupting this violent cycle.
Learn more about this event here.


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This may be one to keep your eyes on for the future.
Especially some of the later issues.
Alex Link & Various (A/CA) Riley Rossmo Inspired by the Mexican Day of the Dead, artist extraordinaire, RILEY ROSSMO (DEBRIS, GREEN WAKE, COWBOY NINJA VIKING, REBEL BLOOD) joins forces with nine different writers over three issues to tell tall tales from beyond the grave!
Issue 1 -
A mariachi falls in love with a woman who strongly resembles his lost love, a father is abused by a poltergeist, and a girl who's mother died when she was born visits the land of the dead in her dreams.
This issue's writers are ALEX LINK (REBEL BLOOD), CHRISTOPHER LONG (X-Men Unlimited, Hiding In Time, Easy Way) and DIRK MANNING (NIGHTMARE WORLD, Write or Wrong).
Issue 2 -
This issue's featured writers are JEFF MARIOTTE (FADE TO BLACK), KURTI WIEBE (PETER PANZERFAUST) and JOSHUA WILLIAMSON (XENOHOLICS).
Cartel soldiers visit the pits of Hell, a visitor to Mexico stumbles onto a black mass, and a man heart broken at the loss of his wife is reunited with her beyond the grave.
Cover price - $4.99
Last edited February 4, 2013 6:11:31 pm


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Distance services, Funding Information Center, Request forms, Turnitin, Other library services...
Raynor Memorial Libraries offers more than 1.8 million volumes, hundreds of research databases, computer access, laptops on loan, a multimedia collection, group study spaces, 24-hour access and library staff members who help researchers from around the world.
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Now I'm not saying that trading for Varejao is the best thing the Pacers could do right now.
It really depends on the priorities of TPTB. Do they want to wait for JO to be as healthy as he can (he will never be completely healthy) and see if he can play in this offense or do they want to pull the trigger now.
Cleveland is in a precarious situation with Varejao and now that he has said he doesn't want to play there anymore, it looks like they're going to S&T him.
First I think it might be hard to get Cleveland to take JO because they've already dealt with having a big money maker with injury problems (Larry Hughes).
So would you be willing to trade:
Jermaine O'Neal (who could possibly be the sidekick LeBron is looking for)
Jeff Foster (he's basically Varejao but older)
Drew Gooden
Donyell Marshall (to make salaries work, and hell he can shoot the three)
Not saying this is the best value we can get for JO or anything, but would you be willing to deal with Cleveland given the circumstances right now.


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Vascular surgery integrated tracks for trainees who match during medical school.
4+2 ESP track is available to residents in programs with ESP accreditation. 5+2 track is available for general surgery residents after five years of residency.
Updated February 2015
VascularWeb® is the prime source for all vascular health and disease information, and is presented by the Society
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*Mitt Romney wasn't really a conservative candidate, and the Republican Party needs to embrace conservatism at its core.
*The Republican Party needs to be more moderate in its approach and leave the divisive social issues with the churches of America.
Which is it?
As columnist Kevin Leininger wrote in Thursday's News-Sentinel, with polls showing that conservatives outnumber liberals by a 2-to-1 margin nationwide, "what explains the GOP's inability to translate supposed philosophical support into votes?"
Something didn't work in this election. Was it really that Romney wasn't conservative enough? As radio commentator Pat Miller mused on WOWO this week, like an optical illusion picture where you have to squint or back up to a certain distance to see the hidden illustration, if you did so with Romney you might actually see a conservative. But does he really reflect strong conservative principles at his core?
However, those who do, such as Richard Murdock and others, may have been shot down in their election bids for that very reason, holding fast to issues such as abortion that didn't set well with the electorate because of clumsy attempts to explain the depth of their convictions.
The tea party had hoped its influence in 2010 would carry over its strong constitutional principles to swing the country right in this election. Billy Graham, who turned 94 on the day after the election, was behind a nationwide newspaper ad campaign that beseeched evangelicals to vote for biblical principles. And many evangelical pastors across the country carried that message from their pulpits.
So which is it? Does the GOP need to lean hard right and identify its platform and its candidates with truly conservative credentials? Or is it better to moderate more to the center to play it safe and not emphasize the divisive social issues? But didn't Romney do that?
Back to Leininger's Thursday column: He quoted Allen County Republican Party Chairman Steve Shine as saying he isn't convinced such a dramatic makeover will be necessary.
The Republicans are a party of inclusion as they demonstrated at the GOP Convention with such diverse speakers as Condoleezza Rice, former Democrat Rep. Artur Davis, Sen. Marco Rubio, Nikki Haley and Susana Martinez. They represent successful women and minorities in the party.
"We are always working to add people to our party: young people, women," Shine said in Leininger's column. "We need to educate people (about where we stand)."
And thus, Republicans need to be clear about and committed to the principles on which they stand if they hope to block the nation's alarming bent toward socialism and amorality.


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LONG BEACH - For Long Beach resident Judy Crumpton, the Hof's Hut restaurant at Second Street and Pacific Coast Highway is more than a place to eat.
It was the place where her husband worked as a busboy and later a dishwasher and where her son-in-law worked as a bartender. It was where she met up with friends after a night of fun and had an order of what she considers the best onion rings in California.
"I have lots of fond memories of this restaurant," she said. "We had great times. This particular Hof's Hut has been ingrained in our family."
So when Crumpton found out that her beloved neighborhood restaurant may be closing, she and about two dozen patrons came down to the restaurant Thursday to protest the closure scheduled for March 1.
They held up signs that read, "Oh no! Hof's can't go!" and "Watt's wrong with this picture. Hands Hof our watering hole!" and "Craig Hoffman: Listen to the people speak. Save Our Hof's Hut."
"We're here to help an old friend," said former Mayor Beverly O'Neill, who was among the protesters.
The family restaurant, which seats about 250 people, has been a local mainstay since 1961. For many, it is where generations of families go to eat after church on Sundays or friends have a drink and watch a sports game.
But the new property owners and Hof's Hut owner Craig Hofman couldn't agree on a lease.
"Hof's has been in negotiations with the new owners for probably upwards of a year," said Hof's spokeswoman Erin Peacock. "We're here today because those negotiations were unsuccessful."
Peacock said the decision was not an easy one to make for Hofman.
"Up until the day he had to announce that it was closing, he had hope," she said. "They were working really hard to stay."
Meanwhile, Hof's will work to help employees transition to another Hof's Hut and other company restaurants such as Lucille's BBQ, she said.
"They're doing everything they can to make this as easy on the employees as possible," Peacock said.
However, some patrons said they aren't ready to let their neighborhood joint go.
"As far as I'm concerned, this particular restaurant is a Long Beach landmark," Crumpton said. "I don't want to see everything in this city being chiseled away."
Columnist Tim Grobaty contributed to this story.
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In one sense, at least, Health and Human Services Secretary Kathleen Sebelius deserved better last month when she refused to intervene in the case of a 10-year-old Pennsylvania girl given only weeks to live without a lung transplant. When politicians and others pleaded with her to override regulations prohibiting the use of adult lungs in children, Sebelius replied during a House hearing that "I would suggest, sir, that, again, this is an incredibly agonizing situation where someone lives and someone dies."
As tactless and patronizing as her words were, Sebelius was right. Just ask the people who didn't receive transplants after an emotional media blitz and a court order allowed little Sarah Murnaghan to get her adult lung – and a second one after the first operation failed.
If you still can.
The uncomfortable reality exposed by Murnaghan's plight was this: Where medicine and other valuable but finite commodities are concerned, there will inevitably be a mechanism for determining how those resources are distributed. Fair or not, Sebelius' seeming deference to medically questionable regulations and seeming indifference to a dying girl's suffering revived the specter of the alleged "death panels" that will ration resources under Obamacare.
And make no mistake: Medicine will inevitably be rationed under Obamacare, just as it is today by medical necessity, economics and choice.
Yes, choice. As the Associated Press points out, many young Americans will simply choose to pay an annual $100 penalty instead of the thousands of dollars that might be needed to pay for insurance. For them, it makes perfect sense: Young people are generally healthy and lack large amounts of disposable income, and Obamacare allows people who develop medical problems into the system whether they previously paid for coverage or not.
But for Obamacare, the potential loss of millions of healthy participants and the dollars they represent could make the system even more insolvent than it was always destined to be, thereby increasing either the national debt or the need for rationing.
And if care is going to be rationed – and it is – I trust the market and the private sector far more than I trust Obama, Sebelius and their IRS enforcement agents. That is not to suggest that the poor should not receive care, as they do today. But is the illusory quest for equality really worth the prospect of even more bureaucrats controlling the lives of even more Americans?
Even the Obama administration senses the trap it has built for itself, delaying until 2015 implementation of a key provision that requires most employers to provide "affordable" coverage. City and county officials say most employees already receive coverage compatible with the new regulations, but it's unclear whether low-income workers across the country will really be able a to spend as much as 9.5 percent of their pay on health insurance.
What is clear, however, is this: Local taxpayers will be subsidizing Obamacare very soon. Fort Wayne and Allen County governments, for example, will have to pay a fee of about $62 for every employee or dependent covered by health insurance – a $200,000 expense for county government alone. Commissioner Nelson Peters said the county will invite the city to participate in the county's in-house health clinic in an effort to save money.
And in the meantime, the public and private sectors struggle to cope with Obamacare regulations that change almost as fast as the Indiana weather.
"It's such a moving target," said Darren Vogt, president of the County Council, which must adopt a budget in just a few months despite not knowing exactly what to expect.
And now the Democrats have conveniently moved parts of it back beyond next year's crucial congressional elections – and Republicans, who never supported Obamacare in the first place, question the administration's authority to delay its own law and seem eager to see it enforced.
Where the insanity ends, no one can say. But whatever happens, some will indeed live and some will die. The question is: Who will decide, and why?


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IEG: Transforming Sponsorships into Value-Creating Partnerships
June 20, 2012
Lauren Ukman, chief executive officer, IEG, LLC, and Jim Andrews, senior vice president, content strategy, IEG, LLC, discussed the key value drivers that leading brands are leveraging to turn sponsorship and event marketing from an expense into an investment which can deliver real returns.
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Over on Time's Global Spin blog, Krista Mahr explains that the shift of 9,000 Marines from Japan's Okinawa to the U.S. territory of Guam only fixes half the problem:
…many islanders recognize Japan's geopolitical vulnerability next to China, and are okay with the U.S. military presence on the island. But they really don't like [the U.S. Marine airbase at] Futenma, smack in the middle of a densely populated neighborhood, making the takeoff and landing of planes both a constant source of noise pollution and a potential hazard. And they really don't like the only alternative on the table, moving Futenma's personnel to a cove on the north part of the island where fragile habitats might be disturbed. Both Washington and Tokyo are still insisting that is the only tenable option, so round and round it seems doomed to go.


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Well, the first full week worth of road testing the ODROID-X2 is in the books. Overall I'm delighted with my windows car PC replacement. Key improvements over my previous install include the time from ignition to boot, access to all of my media needs via existing applications, and the system absolutely flies. I cant get over the speed of the ODROID-X2. Even comparing it to my collection of Android based tablets, it really does breeze through everything I want it to do. Whether navigating, watching YouTube, or playing an emulator, the system never misses a beat. Configuring the UltraCarHome application with all of my frequently used programs was also a snap. I've also managed to get some functionality out of the SpaceNavigator, allow me to access all button controls on screen and swipe between main menus in UltraCarHome. I'm sure that with more bench testing I'll unlock a greater set of functionality.
As with most test scenarios however, I do have a couple of complaints with the install as it stands. The Anker external battery pack is not living up to my expectations. It appears the battery life is heavily effected by the ambient temperatures. Inside, the battery lasts for several days under a charge with no power usage mitigation. In the summer heat inside the vehicle, the battery barely manages to last 10 hours. Also, at 1.5A input maximum, it takes close to a full day to charge the battery, meaning my car will never truly charge the battery properly. The Anker portion of the project will be scraped for now.
Another problem I am not so surprised with is touchscreen accuracy. The higher on the touchscreen I press, the more inaccurate the points become. It becomes burdensome in apps where the menu or other controls are on the top 75 pixels on the screen. I'll have to do more modifying of the kernel to attempt to correct this problem.
The final gripe I have at this point is one that many tablet owners have come to somewhat expect. Despite the fact that my area has 4G LTE coverage, there are points where I wish the ODROID-X2 wasn't so heavily dependent on a network connection. Because the X2 doesn't have an internal battery, it needs internet access to correct time/date settings after a cold boot. Also, at times it takes upwards of 30 seconds for the X2 to scan and pick up my mobile hotspot connection. There have not been times where I've been left with buffering messages on the go, but I find myself waiting for that internet icon to display before I really feel like I can enjoy my X2.
These small issues aside, I definitely still get excited when I can start my car and not see resume problems, BSODs, or configuration issues. The ODROID-X2 already feels closely integrated into the vehicle, and I'm definitely ready for more bench testing to continue to maximize its potential.


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Tuesday, May 08, 2007
Thoughts on Marilee Jones
I don't know Marilee Jones, and she doesn't know me. She's the (former) dean at MIT who lost her job when it came out that she had fraudulently claimed academic degrees in her background. By all accounts, she performed her job exceptionally well, but MIT believed that an Admissions Dean with fraudulent credentials called the entire enterprise into question, even if she had been well-regarded up to that point.
Gotta admit, I've of divided mind on this one.
Most of the commentary I've seen has been on her side. Barbara Ehrenreich, whom I consider a national treasure, took the Jones firing as evidence of the irrelevance of higher education generally. Her argument, which is a bit subtle, seems to be that the glory of higher ed is precisely that it isn't job training; therefore, we shouldn't be shocked that folks without it can do their jobs just fine, thanks. It's hard to make a coherent argument that something irrelevant should also be necessary. (She also takes a contradictory, Pink Floyd-ish position that higher ed cultivates a tolerance for boredom and conformity that will come in handy in cubicle world. I've been an Ehrenreich fan for a long time, but sometimes the generation gap is just too much. All in all, the "just another brick in the wall" argument is self-indulgent seventies horseshit.) Others have taken a more hamfisted antiacademic position, essentially arguing that if MIT couldn't tell the difference, then why are we spending all this money on higher ed?
I can concede truth in both of those observations, yet I still don't find the "no harm, no foul" argument convincing.
It's certainly true that people without higher education can be utterly brilliant, high-performing, high-achieving, and morally outstanding. (My grandfather, whom I've mentioned before, dropped out of school in ninth grade, yet was the single wisest person I've known.) For the sake of argument, it seems that Dean Jones was an exemplary performer in her job, and I have no trouble believing that. It's also true that much of the actual content learned in college never gets applied directly at work. (Although I enjoyed my Tudor and Stuart England course tremendously, I find the ability to summarize the Interregnum at the drop of a hat to be of limited value at work.) Outside of technical majors, it's not at all weird to see people move into occupational fields of little or no relevance to their academic backgrounds. And it's certainly possible to cultivate a lively mind outside the groves of academe.
All of that granted, I still can't help but see the Jones case as the kind of weird exception that makes for bad policy.
College is hard. It's supposed to be. Getting through college successfully – for the sake of argument, let's just say 'graduating' – is supposed to signify the ability to get your stuff together sufficiently to complete a long-term, difficult task. I've met some very smart people who couldn't do that. Some folks have the academic wherewithal, but fall apart on the life-management end. Others are perfectly functional on a day-to-day level, but freeze up when faced with anything like abstraction. (I find the latter sort surprisingly common even among college grads, frankly. When confronted by abstraction, they either just ignore it or start flopping around verbally until they hit a cliché.)
None of that is to deny that some people have advantages going in that make college easier. The same could easily be said of the job market. But that's another issue altogether. (It's also the case that some people claim that cc's make college too easy. These same people, in other contexts, argue that cc's have very low graduation rates, indicating that we aren't doing our job. The contradiction goes unacknowledged. If we were truly easy, almost everybody would graduate.)
Graduate school is that much harder. A doctorate may or may not signify tremendous intellect, but it almost certainly signifies tenacity. And tenacity is nothing to sneeze at in the work world.
At Proprietary U, I frequently confronted potential adjuncts who had never been to grad school, but who had been trained, as they invariably put it, in the school of hard knocks. Some of them had some great war stories, but I was struck at how rarely they were able to generalize beyond them. Worse, they didn't seem to think it important to be able to generalize.
A degree requirement is an imperfect first filter, but what would replace it? Is there a better first filter?
I was also struck at how rarely anybody reversed the question. "Couldn't we just waive the degree requirement?" can sound reasonable enough when confronted face-to-face by a sharp applicant, but flip it around. Can I get the opportunity cost of my degree refunded, since it doesn't count now anyway? That would be lost salary for the grad school years, plus lost equity I could have built up in the house I would have bought with that salary, plus many years of 401(k) contributions and attendant appreciation, for starters. To whom should I send the bill?
I didn't think so.
During those years that Marilee Jones was building the excellent work track record cited by her defenders, living on a grownup salary, some of us were scraping by on grad school pittances, living like church mice and playing by the rules. Deferred gratification takes a lot more self-discipline than does lying on a resume. Maybe she did her job quite well. So did we. But we did it without lying. That's supposed to count for something.
The other points are relevant, too, but what kind of job do you get to keep when you lie to your bosses and violate an important part of the mission of your employer (as academic honesty is for higher ed.)? If they fire college football coaches for lying about degrees, it's only fair to fire deans, too.
So, yeah, sure, fall all over yourselves to justify keeping her, call upon that near jesuitical ability to spin things in a way that makes everythig seem above board and proper. Or, do the right thing and fire her lying ass.
I agree with David, defending the "If I had to suffer through it, everyone should," is not persuasive.
If Bill Gates applies for the job of MIT admissions dean, with a resume that honestly states he has earned no degrees, I don't the fact that he hasn't earned any degrees would in and of itself necessarily be a deal-killer. (Other things--like his personality or lack of relevant experience in higher education administration, might be deal-killers.)
If MIT admissions expects students to be honest about their credentials on their applications, they surely need a dean who leads by example in being honest on her own credentials.
I don't know about MIT, but Harvard will revoke a student's degree AFTER graduation if they subsequently discover that s/he lied on his application for admission, even if the record while at Harvard is perfectly satisfactory in every way.
Getting a degree (and the degrees are not all created equal) does more than just show tenacity (which may or may not be valued/reworded in the market).
You call a degree a first filter. I think this is more to the point. A degree gives access and exposure. Skills are secondary; thinking is optional.
Burnt Out Adjunct: Access and Exposure
If Ms. Jones really is as smart and wonderful as many say, the dismissal may have taught her a lesson and prompted her to do the graduate work she said she did.
"Others are perfectly functional on a day-to-day level, but freeze up when faced with anything like abstraction. (I find the latter sort surprisingly common even among college grads, frankly."
I think you're right about both, but I think you've also established pretty strongly that the reason college is hard is not necessarily because it's academically challenging, but because it's a slog. This gets back to Ehrenreich's point, I think.
I think she should be fired because she lied.
But I think that demanding people spend 4 years of time and tuition just to prove they can show up on time, read and do sums is a big problem.
And wasn't the last US president impeached for lying under oath?
Is this what our society has come to?
"Well, as long as they do a good job, just ignore the fact that they're stealing/lying/harming someone"???
First, in my bubble and blog-bubble, I haven't seen anyone who thought firing her was wrong. (Maybe I need to get out more?) But my bubble includes a lot of MIT grads and not-quite-grads, and every one of them thought she was just fine as an admissions officer and that she couldn't stay after this revelation. The character of the institution matters! And they seem to have consensus on this issue.
Also, and this is tangential, but: you bring up the irrelevance of the content of higher education to future employment. But that's not true in many technical fields! Many, perhaps most MIT graduates will use what they learn in school in their careers -- probably more so than at most technical schools, even.
I think that MIT deserves more of the blame here than they have been given. Why didn't they check her credentials when she was hired? Because no one cared, that entry level job didn't need those credentials or the skills that the credentials implied. More significant, why didn't they check the credentials when they promoted her, when the credentials did matter? Or did superior performance by then speak for itself? Or did other political factors come into play?
Hmmm....Now why would someone who is living a lie hire someone to ferret out liars?
And, who turned her in?
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THE SQL Server Blog Spot on the Web
For reasons I don't completely understand, I'm not allowed to call the following advice "Best Practices" - apparently there is some liability or something there. So let's say these are "really good ideas" for developing applications for Windows Azure. (Did you see how I worked it into the title anyway so the search engines find it? Always thinking. :) )
And of course these are by no means comprehensive - just a few notes I've made as I've been involved with projects. So here they are, in no particular order:
It may sound pedantic, but it's just true. You need to learn how the platform works. The most issues I run into are things that are documented - most of the time very clearly.
Windows Azure code does have some differences, but in large part it's just code. If you write Java to run on Azure, write good Java. Learn the best practices for your codeset and apply those - it will not only make your code faster and less error-prone, it will be cheaper to run.
Things happen. Make sure you have your latest deployment checked into source code. If someone were to perhaps stop paying the bill and the Role is deleted, Microsoft does not have a secret backup of your application. Do not ask me how I know this.
This is typical for distributed computing environments - include the retry logic tip as well to ensure the call is successful.
In a distributed computing environment, you may have a lag in time between operations. Make your code less brittle to failures for a given call, and ensure that you include retry logic.
This article is a must-read.
Microsoft keeps three copies of your data at all times in a datacenter, and backs up those three copies to another for safety. But that's at the latest moment - if you need point-in-time restore, make sure you code that into your architecture.
Affinity groups are a way of keeping your data and code together. This is usually a great idea from a performance standpoint, although there are applications that can break this rule for centralization or seldom-accessed data.
Anything that a human makes can fail. That includes entire datacenters, routers, the Internet. So make sure you know what to do if everything is unavailable. Perhaps that's just a notification system, a full fallback to an on-premises system, something. But plan.


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Every day Poets & Writers Magazine scans the headlines—from publishing reports to academic announcements to literary dispatches—for all the news that creative writers need to know. Here are today's stories:
The president of the University of Virginia ordered "a thorough review" of the operations of the Virginia Quarterly Review following the suicide of managing editor Kevin Morrissey. "Conducting this review does not in any way presume that any members of the VQR staff have been involved in improper conduct," the president said. "The review will, I hope, provide a factual basis for understanding this workplace and deciding what corrective actions, if any, the university should undertake." (Washington Post)
New York Magazine asks an intriguing question: "Are Barnes & Noble founder Len Riggio and his nemesis Ron Burkle the only people in America who still want to own a
According to the Association of American Publishers, e-book sales increased 119 percent in June over the same period in 2009. (Publishers Weekly)
Does Google's recent policy shift on net neutrality complicate the book settlement? Publishers Weekly takes a closer look.
Though the book is not for sale until August 31, President Obama received an advanced reading copy of Jonathan Franzen's Freedom as a gift from a bookstore on Martha's Vineyard. (Politico)
The Rumpus has announced the Jonathan Franzen One-Off Book Club to read and discuss Freedom. The new book club will work just like the regular Rumpus Book Club, "except you don't get the book in advance and the book club will only exist for one month."
A man drove twelve thousand miles across America to spell out a message using a GPS tracking device as a "pen." The message? "Read Ayn Rand." (Guardian)
Do e-books make readers feel less isolated? (New York Times)


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Video Provides Clues to Bomber
Federal investigators said Wednesday they are working to identify a person in a video who appeared to leave a bag in the spot where one of two bombs later exploded near the finish line of the Boston Marathon.
Authorities also are trying to identify at least one other person seen in videos of the crowd, according to people familiar with the matter.
The new information emerged on a day of roller-coaster emotions in the city...


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" Type: Meat "
My first reaction upon seeing these was, "Oh dear, what an unfortunate name!" Someone really ought to have done a bit more market research before the launch of this product because, whatever the Big Green Tick is supposed to stand for, I'm pretty sure it isn't the image of an enormous verdant blood sucking mite. Then again, given the number of external parasites domestic poultry can fall prey to - especially if the poultry is as intensively farmed as this turkey was - perhaps the wording is more apt than we realise. (For anyone wondering what I'm going on about, the link is here:
The BGT range is Matthews' first venture into what is - for them - unfamiliar territory: the introduction of a healthy range of their regular fare. Given that the intended consumer is more likely to tuck into a plate of Turkey Twizzlers than an organic roast dinner, perhaps it's not surprising that this isn't exactly obvious from the packaging.
Now, I'll say straight away that, despite my best efforts to create a healthy diet for my family, I don't actually have too much of an issue with Bernard Matthews' products. I'm just very careful not to eat them myself. When a frazzled mother, already on hyperdrive, is being expected to run three of her offspring to three different places like, NOW, there are times when only the worst will do. And to my mind Bernard Matthews is the best of a pretty long string of worsts, when it comes to delivering a quick dinner of reshaped/preformed turkey bits. It all comes down to the coating. Like all of their rivals, BM foods are full of salt, preservatives and artificial chemicals - on the outside, anyway. Remove the coating, and they are like all the others again - dry, tasteless and totally removed from anything remotely resembling an animal. But kids don't mind that; it's the chemicals on the outside they go for, not the bit in the middle. If I must resort to poisoning my offspring in order to get them to scouts on time, then at least with BM I know I'm doing it with extra taste.
My local source of Matthews fare is Iceland. Mums go to Iceland - generally, because it's cheap. After Christmas I go one stage further, and head for the 'reduced' section. Which is how I came to be heading home after my last visit with three packs of entomological turkey; reduced from two quid per pack to one, they were a real bargain.
It's certainly eye catching: a lurid green dominated by a large tick (as in the symbol, rather the parasite); very different from Matthews' usual subdued approach. EVERYTHING about this product screams, "See? We don't just sell Turkey Twizzlers to school kids. Stick THAT in your smokehouse, Jamie Oliver!" In fact, everything about it screams - rather desperately, in my opinion - at the same people Jamie is trying to target, but in a rather more obvious way, verging on contemptuous at times. For example, why have such an obvious Union Jack logo on the front when on the back is a perfectly clear statement to the effect that the turkey comes from farms in East Anglia? Do Matthews imagine their target audience can't read?
The photo of a breaded meat rissole, next to some rather lurid and out-of-focus savoury rice and lettuce, reinforces the message that this is a healthy product for kids. It also (rather conveniently) guides us away from the "Bernard Matthews" tag at the top of the box and down to the product details.
And therein lies the hook that drew me in. First reactions are everything in marketing, which is why I honestly thought I was purchasing a new line that Iceland had bought in. Which is why I was not surprised at the prospect of one hundred pennies buying me two prime Turkey Steaks. Note the capitals; a quick recheck later would reveal that all important disclaimer that my "steaks" were, in fact, "Made from 100% Breast Meat." Reformed, in other words.
No matter. By the time I'd checked out the nutritional content of each "steak" - Carbs 13.2g; Cals 144; fat 2.4g; saturates 0.5g and salt 0.9g I was hooked on the idea of providing my family of six with a nutritious meal for less than a fiver.
That's the message on the back of the box, followed by a series of statements that Matthews do:
- ensure the range is low in saturated fat
- only use 100% turkey meat from East Anglian farms
- work with independant nutritionists to develop recipes
- wherever possible have Green on their GDA's (and please, if anyone can work out what the hell THAT one means, PM me) And:
- create simple, tasty food which has been approved by families.
They DO NOT:
- use any artificial colours, flavours or preservatives (the ingredients list doesn't say what the 'natural' ones are, which is thoughtful. Belladonna is natural. Still kills people though.)
- use any hydrogenated fats
-compromise on quality.
Presumeably, they still use their turkeys as footballs, then.
One word I expected to see heading the list, the one most people equate with "green" products - i.e. "organic", was conspicuous by its absence. No sign of the soil association logo, either. I guess BM thought this would be a step too far.
Whatever, the most important part of any review is the Taste Test, and this is what got my mouth watering: according to the blurb, my Turkey Steak was formed from chopped and shaped marinated turkey breast, coated in breadcrumb. Yum. For once, I decided to join the family, and tuck in.
Out of the packet, the steaks looked a lot thinner than they do on the box. The breadcrumb coating looked a bit thin too, in colour as well as thickness, but at least it reinforced the 'no artificial anything' message.
Cooking was easy - ovenbake from frozen at 220 degrees (gas mark 7) for 20 - 22 minutes. After just15 minutes, however, they looked done and - despite the so-called marinade - awfully dry. I served them with oven chips, mixed veg - and plenty of ketchup.
Which is just as well, since it stopped the moisture from being sucked out of my face. Being dry is one thing, but these were positively arid. You could certainly see there was no added salt or hydrogywotsits - but where was the paprika, the herbs, the MARINADE? Not to mention the 0.9g of salt. I needed that Sodium Chloride, even though I was already suffering from a raging thirst that had me grabbing for the fire hose. Okay, so I had a bit of a cold, but my kids reinforced the issue with suitably Oliverish comments such as, "Blimey, who took all the taste out?" "There's some drumsticks in the freezer, hint hint." And, most telling of all: "Why didn't you get those REAL marinaded turkey steaks from Lidl's? Nice, they are."
Full marks to Matthews for trying, but let's face it - they're preaching to the wrong people. Any mum genuinely trying to improve her family's diet has already got a freezer full of turkey breasts, low fat mince etc with a few unhealthy convenience foods thrown in for company. Creating acceptable alternatives is no good unless you attack what is underneath the gilded coating - and that means more than just pulping a load of intensively farmed turkey breasts with a few natural spices.
Take a tip from Lidl's book, Bernard, and start as you mean to go on - with REAL turkey steaks sourced from organic farms and steeped in a proper marinade you can actually taste.
Then again, the profits will be a lot lower ...


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Cancer.Net Specialty Editor: Cancer of Unknown Primary
The Sarah Cannon Cancer Center, Nashville, TN
Dr. John Hainsworth, is board certified in Medical Oncology and has been with Tennessee Oncology since 1993. He is currently the Chief Scientific Officer of the Sarah Cannon Research Institute (SCRI), responsible for the scientific progress of SCRI, including protocol development, data analysis and manuscript preparation.
Dr. Hainsworth received a Bachelor of Arts degree from Stanford University, followed by a medical degree from Vanderbilt University. After completing an internal medicine residency and a medical oncology fellowship at Vanderbilt University, Dr. Hainsworth remained at Vanderbilt as a faculty member in the Oncology Division from 1981 to 1993.
Dr. Hainsworth has a wide variety of clinical research interests and has published extensively in the areas of lung cancer, unknown primary cancer, breast cancer, and lymphoma.
Last updated: September 17, 2014