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|August 15, 2007
Volume 9, Issue 17
|Midwifery Today E-News
"Posterior Position"
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When you attend the full-day Breastfeeding Workshop you'll learn that midwives play an important role in informing women so they can make the right choice for themselves and their babies. To do this, we need updated knowledge about the physiology of breastfeeding and advice on how to counsel pregnant women and breastfeeding mothers. The class includes information on breastfeeding preparation for pregnant women, how you can help prevent breastfeeding problems and more. Part of our September conference in Oslo, Norway. Go here for info.
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Then you need to attend the full-day Beginning Midwifery class at our March 2008 Philadelphia conference. You will learn about both the joys and challenges of being a midwife and discover if this is the calling for you. Topics covered include Prenatal Care, With Woman, Normal Labor Physiology, Emotional Issues in Labor and Finding a Mentor or Apprenticeship. Go here for info.
In This Week's Issue:
Quote of the Week
"Fear makes the wolf bigger than he is."
— German Proverb
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The Art of Midwifery
[An] important remedy to consider when working with a woman who has had an experience with back labour is Aconite. Aconite has a special aspect to its mental/emotional realm; it addresses old fears that have become lodged in the body. This in homeopathic-speak is called: fear of the fright remains. It is specifically fear of the pain, and Aconite can be used for anyone who has a strong fear of the pain of labour. It works especially well with women who have had a very painful birth experience, such as a long posterior labour, and are facing their next birth. The fear of going through back labour again may terrify them in an acute way, i.e., they may have nightmares, panic attacks, weep when describing their previous labour, etc. In such a case give Aconite 200C during the pregnancy to lessen the intensity of the fear and hopefully to bring it into proportion for the time of the birth.
— Piper Martin, excerpted from "Homeopathic Tools for Occiput Posterior Position," Midwifery Today Issue 76
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Posterior Position and the Fetus Ejection Reflex
Two facts that were the basis of my empirical attitudes [regarding posterior position] have been authoritatively confirmed by published prospective studies.
The first fact is that worrying pregnant women about the position of their baby in the womb is useless. A large Australian randomized controlled trial involving 2547 pregnant women has eloquently demonstrated that hands and knees exercise with pelvic rocking from 37 weeks' gestation until the onset of labor does not reduce the incidence of persistent occiput posterior position at birth.
The second fact is that fetal position changes are common during labor, with the final position established close to delivery. This is the conclusion of a prospective study of 1562 women to evaluate changes in fetal position during labor by using serial ultrasound examination. Among babies who were posterior late in labor, only 20.7% appeared to be posterior at delivery. Finally, when the mother had no epidural, the overall rate of posterior position at delivery was only 3.3%, although this study was conducted in conventional departments of obstetrics, where the basic needs of birthing women could not easily be met. The rate was 12.9% in the epidural group.
When taking into account these two well-documented facts, focusing on the right question becomes easy: what factors can influence the rotation process during labor?
The answer is simple: The factors that can facilitate the rotation process are those that make a typical fetus ejection reflex possible.The passage toward the fetus ejection reflex is inhibited by any interference with the state of privacy. The ejection reflex does not occur in the presence of a birth attendant who behaves like a "coach," an observer, a helper, a guide or a "support person."
The fetus ejection reflex can be inhibited by a vaginal exam, by an eye-to-eye contact or by the imposition of a change of environment. It does not occur if the intellect of the laboring woman is stimulated by rational language (e.g., "Now you are at complete dilation; you must push"). It does not occur if the room is not warm enough or if the lights are bright. The best situation I know for a typical fetus ejection reflex is when no one is around but an experienced, low profile, silent, motherly midwife sitting in a corner and knitting.
The image of the "knitting midwife" should not be understood in a literal sense. Instead, it symbolizes the authentic midwife as a protective mother figure whose own level of adrenaline is maintained as low as possible. Noticeably, when the conditions for an ejection reflex are met, most birthing women find spontaneously complex and asymmetrical bending-forward postures that probably play an important part in facilitating the rotation of the baby's head.
Persistent posterior position at birth will become exceptionally rare on the day when the meaning of privacy is understood and authentic midwifery has been rediscovered.
— Michel Odent, MD, excerpted from "Occiput Posterior Position Should Be Exceptionally Rare at Birth," Midwifery Today Issue 76
Want the whole story? Midwifery Today Issue 76 has the complete article.
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Research to Remember
Researchers, in a review of data on Canadian-born infants in neonatal intensive care units (NICU), found that some ethnic disparities exist. (Mother's ethnicity of origin was used to determine the baby's race.)
The mortality rate for babies of South Asian (East Indian) origin was found to be more than three times that of Caucasian babies. Aboriginal males and East Asian females were found to have a significantly greater chance of surviving. All ethnic groups had "gestational age less than 29 weeks" as a significant risk factor, but only Caucasian babies showed "small for gestational age" as an important risk factor. Neonatal sepsis was the most important factor in mortality among African-American babies.
These are important questions, in light of the fact that premature births have increased in North America over the last 20 years.
— Journal of Perinatology 27, 448–52, 2007
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Products for Birth Professionals
A 46% drop in neural tube defects in babies born in Canada followed a 1998 requirement (with full implementation in 2000) that certain foods be fortified with folic acid, according to a New England Journal of Medicine report.
Physician's FirstWatch, July 12, 2007
Web Site Update
Read this article recently posted to our Web site:
Massage: Not Just for Mama—by Elizabeth Pantley
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Norway Conference 2007
This international conference, "The Heart and Science of Midwifery," will be held in Oslo, Norway, September 12–16, 2007. Advertisers are invited to take advantage of several advertising opportunities, including program display ads, registration packet inserts, and exhibiting. This conference will offer the opportunity for participants to learn from the skilled and talented Norwegian midwives, as well as from presenters from all over the world. There will be a decidedly "international" focus to this conference. [ Learn More ]
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Question of the Week
Q: I am a hospital midwife in the UK and I occasionally see women admitted with symphysis pubis dysfunction pain so severe that it can only be controlled with opiates. When I was having my first baby in the US with an independent midwife, I remember discussions around the use of GLA (evening primrose oil) to ease this condition. Does anyone have any information on this, particularly on clinical trials that have been done to test its effectiveness?
Any help on this would be gratefully received!
— Elizabeth Pentz, RM
SEND YOUR RESPONSE to firstname.lastname@example.com with "Question of the Week" in the subject line. Please indicate the topic of discussion *and the E-News issue number* in the message.
Question of the Week Responses
Q: My daughter's son is seven days old and she is breastfeeding him. He latches on and sucks well. Despite some soreness and bleeding of the nipples at first she is coping well and the soreness is clearing. She uses nipple shields for alternate feeds to help her breasts heal.
The baby rarely settles after a feed unless he also has some formula either from a cup or a bottle. However, once he has formula he sleeps well.
Does this indicate a shortage of milk? I recall when I was breastfeeding many years ago, my breasts were full and leaky most of the time. My daughter does not seem to feel like this and there is no leakage. Is there something we can do to make sure she has plenty of milk?
— Brenda (Sian's Mum)
A: My experience with nipple shields has been very negative and almost every woman I know who has used them has had difficulty with milk supply, hungry babies, clogged ducts and mastitis. She needs help (ASAP) to correct the problem that is causing the sore and cracked nipples so that she does not have to use the shields. If she is going to alternate cup feeding to allow her nipples to heal, pumping her milk will help to maintain or increase her milk supply and also avoid feeding the baby formula. It's possible that when she is feeding from the breast the baby is not able to suckle enough (common with nipple shields), and consequently is not receiving enough milk and not enough of the hind milk (which which contains all of the protein, making the baby feel full, content and sleepy). She should at the very least pump (with a good pump!) after using the shield to ensure that she empties the breast (to avoid clogged ducts and infection) and the baby receives the hind milk. Milk thistle (tea) is a great herb to help increase supply. Hope that is helpful.
— Gwen
A: I have helped over 200 moms with nursing new babies. I agree with the responses about chiropractic as I have seen it work wonders. Often the painful latch is because of birth trauma (yes, birth trauma can occur with a natural birth; my third was a perfect, relatively easy, home, water, unassisted birth and she had birth trauma). When the suck hurts it is bad not just for mom but for baby too, as they get sore from nursing since it is lots of work and still does not get them enough milk when the latch is wrong.
I would add to the comments on chiropractic that often these babies need craniosacral work. I have found the problem often is the shape of baby's mouth when opened as wide as possible. Even when little the baby should be able to open it really wide. The mouth should be shaped like an oval mirror with the oval up and down. If it is round or oval the other way it is wrong. These are good indications that baby needs craniosacral work.
The majority of babies that I worked with needed only one or two half-hour sessions. My third child was very improved after just one session (on the third day of her life), but needed a couple of months of weekly sessions. Another clue to the need of both chiropractic and craniosacral work is colic. If baby has colic it likely needs both.
Also often if mom is having attachment issues with baby or nursing just is not "going well" a visit or two to the craniosacral therapist will do wonders. I hope this information can be helpful to others.
— Anna Matsunaga
Responses to any Question of the Week may be sent to E-News at any time. Write to email@example.com. Please indicate the topic of discussion *and the E-News issue number* in the subject line or in the message.
Think about It
The Coalition for Improving Maternity Services (CIMS) reports that New York City and other communities in the US are working to improve the "level of transparency related to childbirth." This entails reporting on maternity services, including the rates of induction and c-section.
Birth advocates across the country are mobilizing at grassroots levels to work on this project. Grassroots advocates (under the umbrella of the Coalition for Improving Maternity Services and with support from Lamaze International, among others) officially launched the Transparency in Maternity Care Project in New York City on July 21, 2007. The Grassroots Advocacy Committee has been collecting hospital data on hospital care practices and interventions and has developed a birth survey to gather women's personal stories about their birth experiences.
To learn more about the Transparency in Maternity Care Project and The Birth Survey, go to www.thebirthsurvey.com or contact Jeanne Batacan at 455 Spring Avenue, Morgan Hill, California 95037, 408-779-7479, firstname.lastname@example.com.
In response to Birgit Johansen's letter in Midwifery Today E-News 9:16:
Actually vaccines are only for viruses and don't prevent bacterial infections. Measles, mumps, rubella, varicella, polio, hemophilus influenza B, flu virus, pertussis and HPV are all viruses that can be prevented with vaccines. Pneumonia can be bacterial or viral, thus the vaccine only prevents the viral form. HPV only prevents some of the viruses, not all types. There are other viral infections with vaccines out there as well.
I do agree you need to present all sides of an issue to women. Some women are not interested in hearing about herbal options though, and others don't want to hear the medical side of things. Every woman and pregnancy is unique. It's what makes the ART in midwifery.
— Blue Bradley, RN, Doula, and CNM student
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Midwifery Today: Each One Teach One!


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YOUNG people preparing to go to university in September are being reminded to make sure they get a vital meningitis vaccine before they leave home.
With hundreds of thousands of students preparing to start university next month, International charity Meningitis Research Foundation has launched a campaign calling on them to not only make sure they are protected, but also know the signs and symptoms of the potentially fatal illness.
The Meningococcal C (Men C) booster shot is available to any student entering university who was born after 1995 and only received the vaccine when they were aged 10 or younger. Students of any age who have never had the vaccine are also being offered it for free. Health experts have recommended students get the vaccine at least two weeks before they leave for university.
Meningitis is especially common among university students due to often very close living conditions and can leave survivors with a serious disability.
A spokesman from the University of Worcester said every student living in halls of residence is given a symptom card so they can recognise the signs of the disease.
"We have meningitis awareness stands and Meningitis Now will be holding events throughout Freshers' Week," she said.
"For the first time this year, Meningitis Now will be holding two training events in October at the university for staff and students to attend to find out more and how to recognise signs and symptoms of both viral and bacterial meningitis.
"As students fall into the 'high risk' category, we hold regular awareness events throughout the academic year especially at the start of the semester and then when students return in January and February.
"We also have a section within our induction talks that highlights meningitis and what action students should take if they suspect they may or a housemate may have it."
Health experts have also said students coming to the study in the UK from abroad should also make sure they get the vaccine as soon as they can.
About 3,200 cases of meningitis and septicaemia are diagnosed every year in the UK and are often mistaken for milder illnesses such as flu.
Symptoms of meningitis include fever, cold hands and feet, vomiting, drowsiness, dislike of bright lights, stiff neck, and pale or blotchy skin.
Anyone who thinks they or someone they know may have meningitis should speak to their GP, call NHS 111 or call 999 if it is an emergency.

subset: commoncrawl


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Moderators: Timko, Fritz, Solty, Booter, Blake_T, Frank Delicious
JR wrote:If there is financial backing from outside the sport it would be the second long term (fingers crossed) outside support into disc golf after Vibram that eventually came into the sport from outside the sport. Exciting times and i'm looking forward to what happens around this bunch of people.
Leopard wrote:> Multi millions from outside the industry = you gotta be selling higher-margin items than just frisbees
ziggy wrote:Is this the same Lavonne Wolfe who is a podiatrist??
ding ding
JR wrote:AJ has been sponsored by Keen for a couple of years already and so have some other top pros.
Leopard wrote:JR wrote:AJ has been sponsored by Keen for a couple of years already and so have some other top pros.
It's significant that, while the Team has existed for 3+ years, they are just in the last few weeks starting a social media presence. (btw I'm wearing Keen shoes direct from a Team guy's sponsorship... well aware of the existing Team )
I looked into Merrell too, because if it IS Merrell then I'd expect some counter-fortification by Keen, and I could be mistaking that shoring up against Merrell as signs pointing to Keen.
Case for/against Merrell:
Wolfe has endorsed Merrell in the past, and Merrell/Vibram already work together. Merrell's relatively lower exposure in sponsorship could be the catalyst for starting a new DG wing. However they haven't been telegraphing it over the last few years like Keen. I don't get the impression that Vibram production is such that they'd take on a sub-brand right now, and even in a DGA/DC relationship this big Merrell team would be in competition with Vibram's recruiting and retention. The Keen social pages are fishy and a half. I'm not discounting any Prodigy theories, but I'm not seeing any legs on Prodigy besides discspeed's hint -- and our Wolfe connection is very circumstantial (I mean, stumble across any of the dozen+ DG domains I own?). Keen looks all kinds of suspicious though. If these marketing pros are way on top of their shit, then Keen is less concerned with secrecy and Merrell/Prodigy has achieved killer secrecy.
Also I did a bunch of searching on the Prodigy spelling "ProDG". Interestingly, there is a DGCR user prodg with no posts or activity, registered 6/23/12. That's about the extent of any findings on prodg. And whatever Deity Discs might be, they registered a domain around the middle of the year. Apparently that's NOT a Dynamic-related thing, as I half expected the DD line of plastic to be named some different D's.
Users browsing this forum: No registered users and 1 guest


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It's that favorite time of week again when we are treated with another fantastic tutorial brought to us by one of you! This week our tutorial is brought to us by Carrie Labani. I love altered door hangers and summer is the perfect time to make them. With babies and summer and kiddos playing a cute door hanger on the front door announcing that baby is sleeping, or it's quiet time and friends can't play is such a great idea! Or you could make a darling hanger like Carrie did simply to spice up your child's bedroom door.
This is a great project for your kids or grandkids. I first made on for my new baby but then my 4-year-old saw it and needed to have one. I purchased the door hanger from my local craft store for under a dollar so it was also a great bargain project too!
- Cover the door hanger on one side with paper. I used a liquid glue. Let dry and cut out with a craft knife.
- Cover the other side and cut out again. Now both sides should be covered with the hole in the middle all cut out. Then use a small ink pad to ink all the edges. I like how this gives it a nice finished look.
- Add strips of paper on the bottom of both sides. I chose different patterns for each sides.
- Add different titles to both sides. I went with Big Sis and Girls only but Naptime, Big Bro, their name or anything you like will work. Mix up your fonts or use premade stickers like I did for my Girls only side.
- Embellish with flowers, chipboard, Stickles, whatever you like and you're done!
Thank you Carrie for the tutorial on such a darling project!
If you have a great idea that you'd like to see featured on the ScrapbookSteals blog post, please send your idea with instructions and images to firstname.lastname@example.com and you may find yourself the star of How To'sday.
Have a great day and tune in tomorrow for Mid Week Mojo #51!


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Gas leaf-blower use
July 24 and 25: The Los Altos Police Department issued a spate of citations last week for gas leaf-blower violations. Sgt. Cameron Shearer said complaints had been increasing and warnings – which officers can issue in lieu of citations – appeared to have diminishing effect. Officers issued seven citations over two days.
Farmers' Market parking violation
July 25, 2-2:45 p.m., State Street: Four car owners returned to State Street Thursday afternoon to discover that they faced hefty towing fees for parking in the Los Altos Farmers' Market zone. Shearer said the number of tows varies week to week without apparent rhyme or reason, and that a broad cross-section of drivers appeared to run afoul of the temporary parking ban last week.
Unknown date, 2200 block of Homestead Court: An unknown suspect pried open an apartment door and stole several items sometime between July 9 and 29.
July 23, 7:30-8:30 p.m., 1000 block of North San Antonio Road: An unknown suspect smashed a vehicle's window, stealing a briefcase containing a laptop.
July 27, between 8 and 9 p.m., Loucks Avenue: An unknown suspect removed the screen from an unlocked master bedroom window to enter and ransack a house.
– Eliza Ridgeway


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Follow me on twitter: @eirikso 🙂
And vote this one UP on Reddit here.
One year in 2 minutes from Eirik Solheim on Vimeo.
Link to video on YouTube. Visit The Philter Lounge to download and listen to more amazing music by Magnus Gangstad.
Update: By popular demand. Both from the comments and from twitter. The version with no zoom-effect.
Link to video on youtube.
The story
Since 2005 I have done different projects documenting the change of the seasons outside our living room window. The first project was a couple of stills taken with a compact camera. The video I made got nearly 100 000 views on YouTube. Not much today, but this was in 2005…
The next video I made was done in 2007 and with a Canon 400D. Based on stills shot at irregular intervals. That video got more than two million views on YouTube, one million on Vimeo and was featured on CNN, The Weather Channel, NHK in Japan and countless other TV stations, web sites and exhibitions.
In 2009 I documented the changes with video clips shot with my Canon 5D Mark II. The three videos I made are closing in on one million views and have also been featured on TV, in commercials and music videos.
But none of these three projects have been a true time lapse. They're not videos based on a camera that has snapped images at regular images all through one year.
The true time lapse
I placed my old SLR in our window in january last year. Hooked it up to our home server and gave it power through an adapter. Then I used software to control the camera. It has snapped one image every 30 minutes for one year now. Both the Mac and the Camera was hooked up to a UPS as well. I have lost a couple of images due to some computer crashes and camera crashes. But in general the system has been remarkably stable and given me more than 16 000 images to play with.
The first thing I did was to make a still image showing a whole year.
The system
The camera was my trusted old Canon 400D with an EF-S 10-22. Used for several years before I bought my 5D Mark II. I mounted it on a special shelf and covered it with black cloth to avoid reflections in the window. I actually glued the camera to the shelf to make sure it wouldn't move for a year. Then I did some test shots and ended up with ISO400 and f6,3. The exposure time was set to auto along with the white balance.
I decided to shoot both RAW and high quality JPG. The only problem I've had with the camera is a couple of crashes while it was transferring the image to the computer. Something that could only be solved with a complete reset of the camera. Not turning it off and on again. But cutting the power completely and power it back on.
And at this point it's time to thank my family and all people visiting us during this year. We've had an SLR in our living room making a clear shutter release sound every half hour for a year…
How I made the video
One of the things I wanted to do was to make a true time lapse. The first video is the two minute version that you saw at the top of this post. It's made of images shot during the day all through 2010. First I added all the images to Apple Aperture. In general I prefer Adobe Lightroom, but I couldn't do all the time based selections and searches I wanted in Lightroom. So, I used Aperture to select images. I exported all images taken between 0900 and 1400 because I wanted daytime images only for this video. Then I imported them to Lightroom to do some adjustments. Better white balance, some sharpening, lens correction etc.
Then I exported all the images as TIFF to a folder. To make a movie of all the stills I imported them to MPEG Streamclip and exported a QuickTime using the lossless Apple Intermediate codec. That huge 3888×2592, 30fps video went into Adobe Premiere CS5 for finishing. That's where I added the music, text and slow zoom. Because the original image is very high resolution I could do a digital zoom even on the 1920×1080 video I wanted to make.
The downloads and commercial use?
You can download the full quality video on BitTorrent on Mininova.
It is licensed with a creative commons license. Meaning that you can use it for whatever as long as it is non commercial, you give me credit and you share any alterations with the same license.
I'll also make a full quality version with no eirikso.com-logo available for purchase to the people that want to use the video commercially.
What about the night shots?
I am working on a video based on all the images. Nine minutes in total. The geek version. That will feature images from both day and night.
How can I support your work?
Register at flattr.com and push the button at the bottom of this article.
Or send me something on my wish list:
– a Canon EF 100mm F2.8 L Macro IS
– a Fujifilm FinePix X100
– or maybe a Canon S95… 😉
Hahahaha. That last idea was kind of stupid. Can't think of anyone that would do that, so even better: Spread the word and protect the environment. If we destroy mother nature she will stop producing wonderful stuff like this.
And follow this blog, @eirikso on twitter and my YouTube channel to see what projects I start this year.


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Dhamma talks by Venerable Ajahn Chah Subhaddo, the founder of Wat Nong Pah Pong Monastery and International Forest Monastery in Ubon Ratchathani, Thailand.
This teaching was given at IMS in 1978 in Thai language by Ajahn Chah and interpreted into English by his disciple for foreign guests.
Venerable Ajahn Chah, who is highly revered, is well known in Thailand as one of the top venerable monks in Forest Tradition. Currently, his disciples still faithfully following his teaching and they established 241 domestic branch monasteries in Thailand and 22 international branch monasteries in many countries.
Conditions of the Mind
Solitude Practice
Speaking Straight on Meditation and Sila
Question and Answer I
Question and Answer II
Question and Answer III
Knowing what is what
Thai Culture and the Sangha
Triple Gem Refuges
Closing Comments
Question & Answer in Hampstead
Clinging to Suffering
Food for the Mind
Question & Answer (Quaker)
Talk About Nong Pah Pong Monastery
For more information of Venerable Ajahn Chah and his monasteries:
Venerable Ajahn Chah Subhaddo
Wat Pah Nanachat (WPN)
The International Forest Monastery
Wat Nong Pah Pong


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How much is this place getting?
It's a great place and it's lovely to hear from the same posters over and over, but I'd like to see more people join so we can get more diverse posts/opinions.
Have you thought of going to other team message boards and "advertising" over there?
Just wondering.


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Morning Es Trading
Monday's Market Review
Monday's Es auction was an absolute snoozefest, but the pre-market weakness in shares of Apple (AAPL) and the afternoon's LBO chatter surrounding Dell (DELL) gave traders plenty to gossip about. I discussed the reasons for AAPL's weakness in Monday's morning trade note, but the news on DELL didn't hit until 2 p.m. EST on Monday. Bloomberg News reported that DELL had been talking to a couple PE firms about a possible leveraged buyout deal, and despite the enormous size of any such deal, the sustained strength in the stock following the initial report proves that the report is being given more than a little consideration....504 more words left in this article. To read them, just click below and try Real Money FREE for 14 days.
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New York has long been regarded as a, if not the, pizza Mecca. But these days, many of our city's most highly publicized pizzerias share increasingly less with the slice joints and classic pie shops that engendered that reputation in the first place.
A quick look at Adam's breakdown of NYC pizza cultural literacy underscores the astonishing diversity of the city's pizza scene. Of course, there's nothing wrong with spreading the love—and we love newer additions like Paulie Gee's, Motorino, and Best Pizza (to name but a few). But as dollar slices proliferate and Neapolitan, wood-fired pies seem to crop up on every corner, it seems high time to pause and showcase some of the old-school pizzerias—those that still exist, that is—that made New York the destination for pizza fanatics worldwide.
Here are 12 classic pizza joints you should know.
View Pizza Map in a larger map
- Arturo's »
- Di Fara »
- Grimaldi's »
- Joe's »
- John's of Bleecker »
- L&B Spumoni Gardens »
- Lombardi's »
- Louie & Ernies »
- Nunzio's »
- Patsy's »
- Sal & Carmine's »
- Totonno's »
About the author: Niki Achitoff-Gray is the editor of Slice and a part-time student at the Institute of Culinary Education. She's pretty big into pizza.


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Accounting students take learning beyond the classroom
Accounting students visit the corporate headquarters of United Airlines in downtown Chicago and learn about the the work of their auditing department from Bradley alumna Sharon Grant '76.
February 12, 2013
By Kelsey Budd '14
The Bradley Accounting Club recently teamed up with Beta Alpha Si, an honorary accounting organization, for a trip to Chicago where students visited the accounting departments of two major companies—United Airlines and Baker Tilly.
This trip, open to all students with an accounting major, exposed the future accountants to two different workplaces within the field.
Amy Mentgen, a senior accounting major from Joliet, Ill., said the trip helped her better understand the role of internal auditing in large corporations and get a feel for the type of environment she would like to work in after graduation.
"It's helpful to learn about the different corporations who have connections to Bradley. Students can make some connections and sort out what area they want to go in after graduation," Mentgen said.
The first stop on the trip was United Airlines, located in downtown Chicago's Willis tower, formerly known as Sears Tower. Bradley alumna, Sharon Grant '91, the managing director of corporate auditing department at United Airlines, accompanied students on their visit.
The visit began with a tour of the airliner's network operations center where the students witnessed the control room used to manage all of the flights. Grant joined the students for the duration of the tour to explain the expectations of internal auditors by relating it to what they were shown.
Next, students paid a visit Baker Tilly, an accounting firm that provides audit and tax services to mid-size companies. This business gave students a glimpse of what a career in public accounting would be like.
Dr. Simon Petravick, club advisor, accounting professor, and chair of the accounting department, said the trip allowed students to network and hear different perspectives on the various branches in the accounting field.
"Accounting majors typically have to decide if they want to work for a public accounting firm or a corporation, so on this trip they got to see both areas. It was nice because we were in their work environment," Petravick said.
In the past, the accounting club has visited Nestle, Caterpillar and State Farm Insurance. The student organization typically visits organizations that appeal to students with diverse interests.
Not only do the students gain new insight by taking these trips, but the instructors expand their knowledge as well. Petravick said that on each trip he has learned something new that he then carries over into the classroom.
The trip to United Airlines and Baker Tilly is just one example of how the accounting department focuses on building relationships between students and employers. Petravick said there is a surplus of alumni and employers that volunteer to speak in the classroom, critique resumes and provide mock interviews.
"It's really encouraging that alumni and employers continue to reach out to us," he said. "We are very grateful for all the support we receive in the accounting department."


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Washington, D.C., October 14, 2002 - The African Wildlife Foundation (AWF) announced today that a baby mountain gorilla was rescued from poachers by Rwandan authorities on the 4th of October. The baby is being kept under observation by Park authorities. Staff are discussing what next steps need to be taken to hopefully reintroduce the infant into the gorilla population.
Apart from the receptionist and her paraphernalia, the next most conspicuous item at the African Wildlife Foundation (AWF's) reception is their mission statement.
It reads: "The African Wildlife Foundation recognises that the wildlife and the wild lands of Africa have no equal. We work with our supporters world-wide and our partners in Africa - to craft and deliver creative solutions for the long-term well being of Africa's remarkable species, their habitats and the people who depend on them."
WASHINGTON Annette Lanjouw, director of the International Gorilla Conservation Program, received the first National Geographic Society/Buffett Award for Leadership in African Conservation. Lorivi Ole Moirana was also chosen for his successful conservation efforts in Africa.
Lanjouw is internationally recognized as a leading authority on the mountain gorilla. She has been instrumental in focusing attention on the gorilla's plight and in raising funds to ensure its survival. The focus of Lanjouw's work is conservation of the forest ecosystem that is the mountain gorilla's habitat.
Africa's vast new transfrontier "peace park"* is larger than the entire country of Switzerland. In fact, it's being called "the world's largest animal kingdom."
Encompassing more than 35,000 square kilometers (13,500 square miles), the Great Limpopo Transfrontier Park extends into three countries; Mozambique, South Africa and Zimbabwe.
Until the beginning of the twentieth century, communities and wildlife in Africa coexisted in a fairly harmonious manner. Although people used wildlife to sustain themselves, species were not seriously threatened. The human population was small, and land remained abundant.


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Pharrell Williams
You might not know Pharrell Williams, but you most certainly know his work. That's because this multiple award-winning artist is responsible for producing some of the biggest hits of the past two decades, including songs by Britney Spears, Justin Timberlake and Ludacris, to name but a few. In fact, a 2003 survey found that Pharrell was personally responsible for producing 43% of the songs played on U.S. radio.
AppealWhile most guys Pharrell's age have difficulty attracting even a single woman, he routinely gets to witness vicious catfights over who will get to take him home. That was precisely the case back in March when his jealous ex-girlfriend, Jade Jagger, caught him chatting up Christina Aguilera. Despite the attention, Pharrell insists he's looking for a decidedly more stable situation. "I'm just looking for the right girl," he says, "I'm looking for my Yoko Ono."
SuccessWhile in his early 30s, Pharrell already managed to become one of the most influential hit makers in pop history, earning comparisons to legends like Quincy Jones. That's because the Virginia Beach native has produced, through The Neptunes, Grammy award-nominating tracks for artists, such as Kid Rock, Justin Timberlake, Lil' Kim, LL Cool J, Ludacris, Mariah Carey, Backstreet Boys, Beyonce, Britney Spears, Ice Cube, Ja Rule, Janet Jackson, Moby, No Doubt, Prince, The Rolling Stones, Snoop Dogg, Usher, and many more. In fact, "Pha-real's" Rolodex has more big names in it than most people's entire CD collection.
As a member of N*E*R*D, Pharrell has also released In Search Of… (2002) and Fly or Die (2004), and in 2006 he polished off his first solo album, In My Mind -- a 15-track feast for the senses sure to be a No. 1 hit. As if that weren't enough, he has also composed impossibly catchy songs for major motion films such as Any Given Sunday (1999), Austin Powers in Goldmember (2002), Daredevil (2003), The Girl Next Door (2004), and Alfie (2004).
Pharrell Williams BiographyPharrell Williams was born April 5, 1973, in Virginia Beach, Virginia. It was there as a young child that he was first exposed to the many facets of popular music. "We lived across the street from a biker group called The Renegades, which were like Hell's Angels," he recalls. "They played a lot of rock 'n' roll; so they'd be playing 'Born To Be Wild' across the street. Meanwhile in my house, my mom and dad are playing Earth, Wind & Fire, but on the radio they playing Rick James and Queen. I never really lost that."
pharrell and chad hugoWhile those sounds were taking shape in his head Pharrell began making his own music as an aspiring drummer, a passion that eventually landed him a spot in a local jazz band camp several years later. It was there, as a geeky 12 year old, that he first met Chad Hugo, another Virginia Beach native who would become his lifelong musical collaborator. Hugo recalls, "Pharrell played drums, and I played sax. We'd bang on the cafeteria tables. He would freestyle. That developed into making music in my garage after school. He would come up with hooks and beats. We had the cheapest keyboards ever, like a small Casio."
Despite their humble origins, the boys soon made names for themselves at their high school where they formed a popular four-piece R&B group along with friends Shae Haley and Mike Etheridge. Thanks to a little luck and a whole lot of talent, the group soon caught the attention of local New jack swing producer Teddy Riley who signed the boys following their graduation.
pharrell and rump shakerThat deal quickly paid dividends for all concerned when Pharrell contributed lyrics to Wreckx-N-Effect's hit single "Rump Shaker" in 1992. In addition to claiming the No. 2 spot on the Billboard Hot 100 chart, the song also established Pharrell as a legitimate songwriting talent.
the neptunes produce superthugPharrell and Chad parleyed Pharrell's reputation into a lucrative gig as producers and became collectively known as The Neptunes. After several years of producing tracks for promising artists such as Total, Mase and BLACKstreet, The Neptunes finally hit the jackpot in 1998 when they produced Noreaga's "Superthug." The song quickly became one of the hottest hip-hop singles of the year, going on to peak at No. 36 on the Billboard Hot 100 chart. Perhaps more importantly, "Superthug" created a major buzz in the industry and The Neptunes reaped the rewards by receiving offers to work with A-list talent like Mary J. Blige, Busta Rhymes, Babyface, Mariah Carey, and Justin Timberlake.
n*e*r*d releases in search of…Although producing songs for others was gratifying in its own way, the boys ultimately hungered to leave their own imprint; Pharrell, Chad and Shae created their own up-tempo rock band called N*E*R*D, an acronym standing for "Nothing Ever Really Dies." The group's first release was 2002's In Search Of…, a slickly produced 12-track album with a distinctive funk-rock vibe. Although the album failed to find a mass audience, Pharrell and Chad still received plenty of props later that year when they were named Producers of the Year at The Source Awards and the Billboard Music Awards.
the neptunes presents... clonesNow well-respected industry vets, The Neptunes followed up their award-winning success by creating No. 1 hits for Nelly and Britney Spears. Pharrell also learned to stretch his wings in 2003 by releasing his own hit single "Frontin'," featuring Jay-Z. The song was also included on that year's The Neptunes Presents... Clones, an album of remixes from top-flight artists like Busta Rhymes, Snoop Dogg, Kelis, and Nas.
pharrell receives two grammys2004 proved to be another busy year as N*E*R*D released their second album, Fly or Die, a 12-track disc featuring performances by special guests Lenny Kravitz and Joel and Benji Madden of Good Charlotte. Pharrell also continued to stay busy on the production side of the biz and was rewarded for his hard work with a pair of Grammys for Producer of the Year, Non-Classical and Best Pop Vocal Album.
pharrell goes soloPharrell's next major undertaking was In My Mind, a daring 15-track solo album released on July 25, 2006. The decision to go solo was actually something he wrestled with for a long time. "I figured I would do something a little more reflective of how I think," he explains. "And the best thing was In My Mind because in my mind I'm all these things -- I'm good, I'm bad, I'm holy, I'm horny." The long-awaited album also features performances by Kanye West, Jay-Z, Nelly, Slim Thug, and Snoop Dogg.
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In 2004, the 50 LDCs accounted for over 11% of the world´s population (742 million), but only 0.6% of the world´s GDP. A Low per capita income, low levels of human assets and a high economic vulnerability characterize these countries, which need specific support:
The statistical profile of each country encompasses, inter alia, a wide range of selected data on the population, health and education, as well as GDP, trade in goods and services, foreign direct investment, official development assistance and external debt.
Indicators entering the formulation of the Human Assets Index (HAI) and Economic Vulnerability Index (EVI) are provided for LDCs as a group and for relevant regional groups.
Conferencia de las Naciones Unidas sobre Comercio y Desarrollo
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Product Description:
Made from highest quality aircraft aluminum or powder-coated stainless steel for maximum durability, these units are meant to last, remain stylish, as well as have functional usage.
NRG Innovations' Part# SRK-300BL
Installation Notes:
Professional installation is required. Hardware is not included.
Item is normally in stock and available to ship out the same/next business day via truck freight. For express delivery pricing and times, please call us. For international shipping quote, please call us or email us with your complete shipping address. Pickups are available in Phoenix, AZ area (call us for details).
Discounts Available:
For package deals or to purchase more than one item at a discounted price and combined shipping, feel free to call us for pricing.
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On sale is this nrg racing universal quick release kit that will fit all model vehicles.


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Los Angeles is known for its wide variety of dining establishments – from corner shacks to fine dining. Many of the establishments locals still love today are institutions with long, rich histories. Here is a tasty menu of a small selection of local delights serving up lots of character in the City of Angels.
Sawdust floors and queues at a long deli-display counter with "Carvers" are part of "Philippe's Etiquette," which was established in 1908.
The "French Dipped Sandwich" is the house specialty – with your choice of meat served on a fresh French roll and dipped in gravy. Popular sides include their home-style coleslaw, potato and macaroni salads. Famous for it's 9-cent coffee, the restaurant caved in to the times in 2007 and it's now 45 cents.
Open 6 a.m. to 10 p.m. daily. Cash only.
MORE INFORMATION: 1001 N. Alameda Street; 213-628-3781 or philippes.com
Red-leather booths, oak-beamed ceilings, and blunt red-coated waiters both date and accentuate legendary status. The nearly 100-year old grill on Hollywood Boulevard has hosted some of Hollywood's biggest names, from Charlie Chaplin to Johnny Depp.
Menu specialties include grilled meats and the Thursday-only chicken pot pie. The bar is known for its dry martinis and robust bloody Marys.
Open 11 a.m. to 11 p.m. Tuesday-Saturday. Reservations recommended.
MORE INFORMATION: 6667 Hollywood Boulevard; 323-467-7788 or mussoandfrank.com
Open 24-hours a day since 1924, the casual eatery serves up generous portions of traditional American fare. Breakfast is served all day and every meal includes coleslaw and sourdough bread. The eatery is owned by former mayor Richard Riordan and is popular with cops, politicians and tourists alike.
Open 24 hours daily. Cash only.
MORE INFORMATION: 877 South Figueroa St.; 213-972-9279 or pantrycafe.com
Long lines are common at the corner of Melrose and La Brea, where this well-known hot dog stand has stood since 1939. The walls of the stand are lined with headshots of famous patrons –some of whom – including Linda Ronstadt, Martha Stewart and Gustavo Dudamel – have menu items named after them. The menu offers 21 types of hot dogs piled with toppings and 12 varieties of hamburgers.
Open 9:30 a.m. to 2 a.m. daily (until 3 a.m. on Friday and Saturday)
MORE INFORMATION: 709 N. La Brea Ave.; 323-931-4223 or pinkshollywood.com
A ramshackle shack at the corner of Beverly and Rampart is where Tommy Koulax introduced his chili-topped hamburger to Los Angeles in 1946. In fact, nearly every menu item comes topped with a ladle of Koulax's signature chili.
When I was little, we had picnics in the trunk of my dad's car in the parking lot. As we got older we transitioned to the counter along the back walls, where people watching is the norm.
Open 24 hours daily.
MORE INFORMATION: 2575 Beverly Blvd.; 213-389-9060 or originaltommys.com
Contact the writer: firstname.lastname@example.com


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Open-label Extension to Protocol 1042-0500
This study has been terminated.
(ganaxolone did not significantly reduce spasms after an 8-day placebo control period)
Marinus Pharmaceuticals
Information provided by:
Marinus Pharmaceuticals
ClinicalTrials.gov Identifier:
First received: February 27, 2007
Last updated: October 28, 2009
Last verified: October 2009
- Full Text View
- Tabular View
- No Study Results Posted
- Disclaimer
- How to Read a Study Record
Detailed Description:
To allow open-label extension to patients who have completed Protocol 1042-0500
|Infantile Spasms
|Drug: Ganaxolone
|Phase 2
|Study Type:
|Study Design:
|Allocation: Non-Randomized
Intervention Model: Single Group Assignment
Masking: None (Open Label)
Primary Purpose: Treatment
|Official Title:
|An Open-label Clinical Study to Evaluate the Safety and Antiepileptic Activity of Ganaxolone in Treatment of Patients Diagnosed With Infantile Spasms.
Resource links provided by NLM:
Genetics Home Reference related topics: X-linked infantile spasm syndrome
MedlinePlus related topics: Muscle CrampsU.S. FDA Resources
Further study details as provided by Marinus Pharmaceuticals:
Primary Outcome Measures:
- Number of subjects who are free of spasms measured by 24-hour vEEG [ Time Frame: Week 96 ]
Secondary Outcome Measures:
- Spasm frequency measured by diary. [ Time Frame: throughout whole study ]
- Cessation of hypsarrythmia, as determined by vEEG. [ Time Frame: week 96 ]
- Physician and caregiver global assessment of seizure severity and response to treatment. [ Time Frame: throughout whole study ]
- The number of subjects spasm-free and seizure-free (for at least 24 hours) at each visit. [ Time Frame: throughout whole study ]
- Responders (≥ 50% decrease in spasm frequency) at each visit. [ Time Frame: throughout whole study ]
- Reduction of other seizure types at each visit. Parents/caregivers will maintain a spasm/seizure diary for clinical study subjects. [ Time Frame: throughout whole study ]
- Investigators and caregivers assessment of the presence and absence of spasms in each subject following treatment. [ Time Frame: throughout whole study ]
- Developmental assessment [ Time Frame: throughout whole study ]
|Study Start Date:
|January 2007
|Study Completion Date:
|March 2009
|Primary Completion Date:
|March 2009 (Final data collection date for primary outcome measure)
|Assigned Interventions
|Experimental: ganaxolone
|Drug: Ganaxolone
Detailed Description:
Patient should have completed all scheduled clinical study visits in the double blind, controlled trial (Protocol 1042-0500) and have been deemed eligible (had a response to treatment) by the Investigator. Male or female, with a diagnosis of IS with a video EEG (vEEG) recording confirming the diagnosis.
There will be a total of 14 visits over 99(+or-1)week. A 24-hr vEEG is only required if the subject has been spasm-free for more than 24-hrs.
|Ages Eligible for Study:
|4 Months to 24 Months (Child)
|Sexes Eligible for Study:
|Accepts Healthy Volunteers:
Inclusion Criteria:
- Have completed all scheduled clinical study visits in the previous Protocol 1042 0500 and have been deemed eligible (no SAEs thought to be drug related and had a response to treatment) by the Investigator.
- Be diagnosed with IS regardless of etiology. Diagnostic Criteria: Seizures consisting of single or repetitive short muscular contractions leading to flexion or extension. Spasms may be characterized as tonic or myoclonic contractions, may occur singly or in clusters, and typically occur bilaterally and symmetrically. The EEG pattern must be consistent with the diagnosis of IS (hypsarrhythmia, modified hypsarrhythmia, multifocal spike wave discharges, etc).
- Have a 24 hour vEEG recording confirming the diagnosis of IS.
- Have had a magnetic resonance imaging (MRI) performed to determine any possible causes of IS.
- Have been previously treated with 3 AEDs or fewer.
- Have a parent/guardian who is properly informed of the nature and potential risks and benefits of the clinical study, is willing and capable of complying with all clinical study procedures, and has given informed consent in writing prior to entering the clinical study.
Exclusion Criteria:
- Current treatment with more than 2 concomitant AEDs.
- Have an active CNS infection, demyelinating disease, degenerative neurological disease, or CNS disease deemed progressive (with the exception of tuberous sclerosis) as evaluated by brain MRI.
- Have any disease or condition (medical or surgical) at Screening that might compromise the hematologic, cardiovascular, pulmonary, renal, GI, or hepatic systems; or other conditions that might interfere with the absorption, distribution, metabolism, or excretion of the investigational product, or would place the subject at increased risk.
- Aspartate transaminase (AST), alanine transaminase (ALT), or total bilirubin greater than 4 times the upper limit of laboratory normal or any clinical laboratory value deemed clinically significant by the Investigator.
- History of recurrent status epilepticus.
- Have been exposed to any other investigational drug within 30 days prior to enrollment.
Contacts and Locations
Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the Contacts provided below. For general information, see Learn About Clinical Studies.
Please refer to this study by its ClinicalTrials.gov identifier: NCT00442104
Please refer to this study by its ClinicalTrials.gov identifier: NCT00442104
|United States, California
|Children's Hospital of Los Angeles
|Los Angeles, California, United States, 90027
|Mattel Children's Hospital at UCLA
|Los Angeles, California, United States, 90095
|United States, District of Columbia
|Children's National Medical Center
|Washington, District of Columbia, United States, 20010
|United States, Florida
|Miami Children's Hospital, The Brain Institute
|Miami, Florida, United States, 33155
|Child Neurology Center of Nrothwest Florida, P.A.
|Pensacola, Florida, United States, 32504
|United States, Illinois
|University of Chicago Comer Children's Hospital
|Chicago, Illinois, United States, 60637
|United States, Minnesota
|Minnesota Epilepsy Group, P.A.
|St. Paul, Minnesota, United States, 55102
|United States, New York
|Montefiore Medical Center- Albert Einstein College of Medicine
|Bronx, New York, United States, 10467
|United States, Tennessee
|Le Bonheur Children's Medical Center
|Memphis, Tennessee, United States, 38105
|United States, Texas
|Dallas Pediatric Neurology Associates
|Dallas, Texas, United States, 75230
|Texas Children's Hospital
|Houston, Texas, United States, 77030
|United States, Virginia
|Virginia Commonwealth University Health Systems
|Richmond, Virginia, United States, 23298
|United States, Washington
|Children's Hospital and Regional Medical Center
|Seattle, Washington, United States, 98105
|United States, Wisconsin
|Children's Hospital of Wisconsin
|Milwaukee, Wisconsin, United States, 53201
Sponsors and Collaborators
Marinus Pharmaceuticals
More Information
Keywords provided by Marinus Pharmaceuticals:
Additional relevant MeSH terms:
ClinicalTrials.gov processed this record on September 21, 2017
|Responsible Party:
|Julia Tsai/ Director Clinical Operations, Marinus Pharmaceutical, Inc
|ClinicalTrials.gov Identifier:
|NCT00442104 History of Changes
|Other Study ID Numbers:
Amend 5 (ROW)
Amend 6 (US)
|Study First Received:
|February 27, 2007
|Last Updated:
|October 28, 2009
Keywords provided by Marinus Pharmaceuticals:
infantile spasms
pediatric epilepsy
West Syndrome
epileptic spasms
Additional relevant MeSH terms:
Spasms, Infantile
Neuromuscular Manifestations
Neurologic Manifestations
Nervous System Diseases
Signs and Symptoms
Epilepsy, Generalized
Brain Diseases
Central Nervous System Diseases
Central Nervous System Depressants
Physiological Effects of Drugs
ClinicalTrials.gov processed this record on September 21, 2017


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Minor, Floyd gearing up for series of starts
LAKE BUENA VISTA, Fla. -- As the Braves are ending their exhibition season near the end of this week, Mike Minor and Gavin Floyd will begin making a stretch of starts that positions both to join Atlanta's starting rotation during April's fourth week.
Floyd is scheduled to complete two innings during a Minor League exhibition game on Friday. Minor is slated to work two innings when the Braves play some of their top Minor League players in an exhibition game at Class A Rome's State Mutual Stadium on Saturday afternoon.
The Braves have currently scheduled Minor and Floyd to make five starts in either exhibition or Minor League regular-season games. If both get through this stretch healthy, they could be ready to join Atlanta's injury-depleted rotation at some point after April 21.
"Everything has to go with no setbacks or anything like that," said Braves manager Fredi Gonzalez. "That's why we've got our fingers crossed."
The Braves have officially placed five pitchers -- Minor, Floyd, Jonny Venters, Kris Medlen and Brandon Beachy on the disabled list retroactive to March 21. While Medlen and Beachy underwent season-ending Tommy John surgery last week, Venters is hoping to return from the same procedure in June.
Minor reported to Spring Training feeling the effects of the month-long stretch of inactivity that he experienced after undergoing a Dec. 31 urinary-tract procedure. The southpaw has now gone more than a month since feeling the left shoulder discomfort that briefly shelved him during the early days of camp.
Floyd has also been pleased with the way he has felt, as he nears the final stages of the long rehab process since undergoing Tommy John surgery on May 7.
"I'm just thankful that it has been going the way it has been going," Floyd said. "I feel solid mechanically and freed-up mechanically. I feel my body is creating great kinetic energy to throw a baseball. That is what I've tried to create from the beginning, because I had kind of got away from that. I want to feel like I can just pitch and be aggressive with everything without worrying about mechanics."
Mark Bowman is a reporter for MLB.com. This story was not subject to the approval of Major League Baseball or its clubs.


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Consultants In Cardiology
- Internal Medicine |
- Cardiovascular Disease
- 741 Northfield Ave West Orange, NJ 973-467-1544
Doctors in Consultants In Cardiology
Patient Reviews4.0
The Overall Average Patient Rating of Consultants In Cardiology when asked is excellent. Consultants In Cardiology has been reviewed by 25 patients. The rating is 4.0 out of 5 stars.
The average wait time to see a doctor at Consultants In Cardiology as provided by patient reviews is 11 minutes. By comparison, the national average for a pre-vist wait time is 21 minutes.
An internist is a physician who focuses on the diagnosis and treatment of conditions that affect the adult population—both acute and chronic.
These doctors are often who adults see as their primary physicians because they treat a broad range of illnesses that do not require surgical or specialist interventions. They also work to help a patient maintain optimal health in order to prevent the onset of disease.
In addition to treating the common cold and flu, internists also treat chronic diseases like diabetes and heart disease.
- Internal Medicine
- Cardiovascular Disease
- University Of Medicine And Dentistry Of New Jersey Robert Wood Johnson Medical School
- English
Health Insurance Accepted
- United Healthcare
- Cigna
- BCBS Blue Card
- Highmark BCBS
- Humana
- Top Doctors: New York Metro Area™
- Patients' Choice Award
- Regional Top Doctors
- Compassionate Doctor Recognition
Hospital Affiliations
- Saint Barnabas Medical Center Livingston, NJ
- Morristown Memorial Hospital Morristown, NJ
- Newark Beth Israel Medical Center Newark, NJ
- St Barnabas Medical Center Livingston, NJ
Information about group practices
What is a Group Practice?
According to The Medical Group Management Association, a group practice is any relationship between three or more physicians who share facilities, expenses, profits and other resources like support staff and equipment.
Group practices tend to fall into two categories: those that organize around a particular medical specialty and those that encompass several specialties like East Boston Neighborhood Health that specializes in internal medicine.
Why Group Practice?
As medicine became more complex in the twentieth century, the need for group practices made more sense. Physicians found it impossible to know everything about the emerging drugs and technologies on the medical landscape. In addition, the cost of providing a full range of diagnostic services, such as tests and X-rays, in one location became prohibitive to the individual practitioner. Hence, doctors from various disciplines began to team together in order to provide more comprehensive care to their community of patients.
Benefits of Group Practice
- Access to doctors from various disciplines for referrals and advice
- Better coverage on weekends and off-hours
- One-stop clinics for comprehensive care and testing


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POLICE have launched an investigation after a passenger died when he was dragged under a bus on the Oldhams Estate in Astley Bridge.
Delroy Finney, aged 46 of Oldhams Terrace, died on Athlone Avenue after an accident that is thought to have happened as he was getting off a bus at about 2pm on Friday.
Residents said Mr Finney, who is thought to have been a passenger on the Arriva 534 bus, tripped as he was getting off and was then dragged under the vehicle and through the Oldhams Estate.
Police closed off the roads surrounding the accident to cars and pedestrians for six hours on Friday while they combed the area for clues.
Lucia Bogart was one of the residents waiting to get through the police cordon in Athlone Avenue to get home, and described Mr Finney as 'quiet and no trouble'.
She said: "It's very sad.
"We think he was dragged along the bus, after he stepped off and fell.
"They swing around the corner - it really needs a mirror.
"There's usually cars on both sides, and it's hard to see - maybe because they're going up a hill they don't slow down, they just keep going."
Senior investigating officer Sergeant Lee Westhead from the serious collisions unit said they are now looking into the event around Mr Finney's death.
He added: "Our thoughts are with his family, who are being supported at this tragic time by one of our family liaison officers.
"If anyone saw the collision, or saw Mr Finney before the collision, they should contact police."
A spokesman for the North West Ambulance Service said an ambulance and air ambulance were sent to the scene at 2.06pm, while police received the call at 2.10pm.
An Arriva spokesman said: "We can confirm an incident has taken place involving one of our buses on service 534 at approximately 2pm on Friday."
Anyone with information about the incident is asked to call the serious collision investigation unit on 0161 856 64741.


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Addingham Civic Society's Spring Fayre this year took on a special cycling theme as preparations for the Tour de France continue.
Racing bikes were sent on loan from Ilkley Cycles, there was Tour de France face painting, Addingham cycling gifts on sale and special cycling themed cakes.
A member of the village's 'The Tour Addingham' committee was also on hand to talk about Addingham and the Tour de France.
Civic Society chairman, Jim Robinson, said: "We had more people through the door of this Fayre then we've ever had. The local businesses were very generous with their donations for our raffle, we had 20 prizes given to us. The Society funds will be a lot healthier as a result of a great day."
Addingham Primary School children took part in a Tour de France painting competition with over 100 entries.
The difficult job of judging was undertaken by Sue Ross, and the winners were presented with their certificates by MP Kris Hopkins.
They were also given prizes which were donated by Craig Minto from the Fleece pub.
Mr Hopkins bought one of the special Addingham Tour de France polo shirts and entered into the spirit of the event by having his face painted with a cycling motif.
He said: "It was a great privilege to be invited to attend the Spring Fayre once again and, in particular, to be asked to present the children's prizes.
"There is so much positive work going on in Addingham and Civic Society members deserve great credit for their unceasing energy in doing good things for local residents.
"With the Tour de France getting ever closer, 2014 promises to be a year to remember for Addingham and the surrounding area."


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Prize Recipient
Thomas Weinacht
"Using Feedback for Coherent Control of Quantum Systems.
Tom Weinacht was born and raised in Toronto, Canada. He attended the University of Toronto as an undergraduate student. He received his BS in 1995 from the University of Toronto and his Ph.D. while attending the University of Michigan where he pursued graduate studies and worked with Phil Bucksbaum on experiments in atomic an molecular physics. His thesis work centered on experiments that used shaped ultrafast laser pulses and feedback in order to control atoms and molecules. Tom is currently a research associate at JILA with the group of Margaret Murnane and Henry Kapteyn. He will be joining the physics faculty as an assistant professor at the State University of New York, Stony Brook in the Fall of 2002.
Selection Committee:
Deborah Kay Watson (Chair), Kieth MacAdam, Chun Lin


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Look for a glove with leather, suede, or rugged synthetic material reinforcing the inner palm and fingers. This reinforcement is vital for the added stress you put on your gloves when grabbing your skis lap after lap in the park. Additionally, you'll often find silicone material added to the palms to improve overall grip.
Most park & pipe gloves rely on a DWR treatment for water resistance. Neoprene is a popular choice for these gloves because it provides lightweight insulation, even when wet.
Whether you're filming your friends or checking your messages, it can be very handy to have touchscreen-compatible fingertips on your gloves. Many park & pipe gloves include this feature so you don't have to take them off when you pull out your phone.


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During the past two weeks area residents have awakened at 6:30 a.m. with the reverberating sounds of pile driving. On July 18, CalTrans and its contractors have agreed not to drive piles for the duration of the Willits bypass project until after 7 a.m., says CalTrans spokesman Phil Frisbie.
Although all construction projects permitted through Mendocino County or the City of Willits have such noise restrictions, CalTrans is not required to abide by them. As a state agency CalTrans is exempt from any local planning guidelines. After receiving a number of calls from local residents and TWN, CalTrans met with local officials and agreed to follow the county construction noise standards.
"CalTrans is continually monitoring sound levels within the community," says Frisbie. The sound of pile driving was very noticeable throughout the Little Lake Valley in those early hours with reports verified by TWN from Rocktree Valley in the east to Brooktrails Ridge Road in the west. In the south the sound was audible along Walker Road. TWN received no confirmed reports from Pine Mountain.
The pile driving in the south has been concentrated in one area associated with a retaining wall, says Frisbie. The sound of driving the project's 1,600 piles will likely impact different areas in Little Lake Valley at times during the project construction period. Piles will be installed in most areas along the 6 mile construction corridor.
Road Delays:
Work has begun on Highway 101 south of Willits on the Haehl Overhead bridge. Traffic controls are possible from 7 a.m. to 6 p.m. weekdays with 10 minute delays possible.
Traffic delays of up to five minutes north of Willits on Highway 101, just north of the Willits city limits. Work hours are midnight to 6 p.m. weekdays. The roadways can be closed completely intermittently for construction vehicles entering and leaving the work area for the new bypass.
East Hill Road will be closed to through traffic from Sanhedrin Circle to Cemetery Lane off and on from 7 a.m. to 6 p.m. from Monday through Thursday and 7 a.m. to 3 p.m. on Friday until August 9 for Willits bypass construction. Advance warning signs will be posted at either end of the closure notifying the traveling public of the closure. Alternate routes are Center Valley Road to either East Valley Road or Hearst Willits Road/Commercial Street. Any questions regarding the closure should be directed to Caltrans at 456-1900.


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text:
|Sport, 2 pitches, 140'
|YDS: 5.12a French: 7a+ Ewbanks: 25 UIAA: VIII+ ZA: 25 British: E5 6a [details]
|Chris Archer, Sarah Spaulding, Alan Higham, Nick Archer
|New Route:
|Page Views:
|Submitted By:
|Chris Archer on Aug 20, 2004
|Comments on Hell Freezes Over
|Add Comment
|Show which comments —
By Ray Snead
Aug 21, 2004
We stumped up there this morning to do the first pitch. This alone is worth the hike and 1.5 stars: 2 for the climbing and covert and scenic position, but subtract half for dirt, lichen, and rock quality. It should clean up acceptably, except perhaps for the huge death block (with mysterious chalked line) at the 2nd to last bolt. Tread carefully here; belayers beware.
The start felt height dependent and hard for the given grade, the middle really fun, and the top exciting.
By Greg Hand
From: Golden, CO
Aug 24, 2004
Hey Chris, you be styling with those rad shades and yellow top! But you might need some Grecian Formula for that hair! Actually, that is just hair envy as I am follically challenged.
Ray & I did the first pitch last weekend and I thought it was an excellent addition. I managed to lead the crux without too much difficulty, then I nearly fell on TR trying to demonstrate how I did it! The rest of the pitch is quite impressive as to how good the holds are. The "bongo drum" near the top caused me to pause, but it seems like it is well attached.
I remember helping build that trail back in the late 80's. We should have added some benches!
By Michael Komarnitsky
Founding Father
From: Seattle, WA
Aug 28, 2004
|This is the first bolted route to be put up in the Flatirons since 1991. Props to the FA group, and a thanks to the Flatirons Climbing Coalition (flatironsclimbing.org/) for their work in rebuilding the climbing community's relationship with Open Space Managers.
By Dan Levison
From: Boulder, CO
Sep 5, 2004
|Good work, guys. Hell Freezes Over (HFO) is located in a beautiful setting. Great job on camouflaging the hangers, bolts, and chains - we walked right passed the climb at first. The P1 opening moves are fun and on good clean rock, unfortunately the rock quality deteriorates shortly thereafter. The easy climbing above is blemished by suspect fractured blocks and hollow flakes that one has to climb through. P2 is short and has better rock than P1; however, the flake that is used to clip the second bolt is about to snap as is the hold I used to clip the fourth bolt. The crux moves are cool and about right for the grade at 12a. Overall, HFO is a decent route that is marred by sections of poor quality rock.
By Rob Andrew
Sep 7, 2004
|Got up on HFO last Friday 9/3 and it was well worth the hike in. The rock, particularly the 1st pitch, will clean up nicely with a few more ascents. P1 has some nice moves with the crux at the bottom, 10(a). P2 is well cleaned already and I agree with the 12(a) assessment. The view and backdrop from the P2 belay ledge make it all worth while! Great job, Chris.
By Tony B
From: Around Boulder, CO
Oct 4, 2004
rating: 5.11d 7a 24 VIII 25 E5 6a
The route is pretty good and we cleaned some more of the loose rock off of it. Most of the route is solid now, but there are a few flakes that I am not sure will hold a brutish pull from a larger climber. I actually cranked on a few suspect flakes pretty hard and they mostly felt solid. The route is good overall and if it were a single pitch, unbroken by the ledge, would have been fabulous.
The first pitch is probably 10b, with a crux near the second bolt and at the top. I clipped it from high to avoid the hard clip that I read about here later....
The second pitch was tough, but very do-able. At present the lichen and lack of chalk (a good thing) require "REAL" on-sighting and the holds are not immediately apparent at the crux. As such, 3/3 of us that tried to redpoint, flash or on-sight the pitch missed seeing one of the crux holds and falling or hanging at least once. It felt like 11+ on the crimps I was using instead, but ended up on the wrong side of the arete & pitched off. As the moves become apparent, it is an easier route, so I think as the climb gets cleaner & chalked, the consensus grade will settle in to maybe 11c for the 'on-sight.' If/when the 2nd pitch crux flakes snap off, this climb will get VERY hard.
On 10/3/04 the Flatirons Climbing Council did some trail improvements that stabilized the sloping ground below the base of this climb. Now the belayer won't likely be sliding down hill.
By George Bell
From: Boulder, CO
Oct 2, 2005
|Had fun on the first pitch, it is fairly clean and interesting. This climb could be done in mid-winter on a sunny day, today it actually seemed quite hot.
By DamageVic
From: Coal Creek Canyon, CO
Sep 27, 2009
|Climbed the 1st pitch today- my first 5.10 lead and I got it clean! I was/am stoked!! Really enjoyed this pitch, the 1st crux right off the ground and then another crux-y section up higher. I would happily come back to do this one again! A little bit of lichen and fragile rock here and there, but a quality route.
By Leo Paik
From: Westminster, Colorado
Mar 24, 2011
|FWIW, there is another TR'able variation squeezing between South Face and P1 that joins P1 at the 2nd to last bolt. There are a few loose flakes on this line.
By Mark E Dixon
From: Sprezzatura, Someday
Feb 18, 2017
The second pitch has really fun movement. Pretty cryptic unless already chalked!
I had considered trying to link the two pitches - as it turns out, I don't think this would work. After P1, you scramble up and back about 15-20 feet to a ledge and reset the belay. No belay anchor, so sling something or get the first bolt on P2 clipped (which is reasonable) before falling off.


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IMLS Press Contacts
Jeannine Mjoseth, email@example.com
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Washington, DC—The Institute of Museum and Library Services (IMLS) announces that Justin Estoque has joined its staff as chief operating officer. In this new position, Estoque will oversee the offices of finance, administration and contracting, human resources, and information technology (IT) and will serve as a member of IMLS's executive leadership team. He comes to IMLS from the Smithsonian Institution's National Museum of the American Indian (NMAI) where he served as the director of the executive planning office.
"We are delighted to welcome Justin to our staff. He brings a powerful combination of talent and executive experience," said IMLS Acting Director Marsha L. Semmel. "This is a win-win opportunity: In addition to overseeing our key mission-support areas, Justin can enable IMLS to fine-tune its Native American grant programs for museums and libraries, and his IMLS experiences may help him advance NMAI's mission to preserve, study, and exhibit the life, languages, literature, history, and arts of Native Americans."
Estoque is on a one-year detail from the NMAI. Since 2005, he has overseen the analysis and presentation of proposals for new exhibits and projects, including all major exhibits in New York and Washington, large collections loans, publications, public programs, IT and media master planning, landscape installations, and outreach initiatives to Native communities. He managed NMAI's safety program and directly supervised senior project managers who coordinate diverse project teams, technical and budget analysts, and support staff. He was directly responsible for a program budget of $16 million in federal funds and more than a dozen private funding sources.
From 2002-2005, Estoque was senior project manager for the NMAI's mall transition team, a three-stage move-in of collections, exhibitions, and staff into the new building. He coordinated the work of 15 multi-departmental staff liaisons to all NMAI inaugural programs, developed and implemented management policies and procedures for all federal and private funding budgets and schedules in support of the museum opening, and ensured that contracting and procurement activity met Smithsonian procedures and policies. He represented NMAI during negotiations with the Smithsonian Institution Office of Engineering Design and Construction, Office of Protection Services, Office of the Treasurer, and Smithsonian Business Ventures.
Having graduated with a master's degree in architecture, Estoque has managed major capital projects throughout the Smithsonian. He served as planning manager for the Smithsonian Office of Design and Construction, project manager for a $12 million security modernization program at the Office of Protection Services, and project manager for the National Air and Space Museum Steven F. Udvar-Hazy Center, where he managed all financial resources and a project team of program and exhibit staff, architects, engineers, and contractors for construction of the new $311 million museum. Fluent in Spanish, Estoque has ample experience negotiating complex issues with diverse groups.
He has worked with libraries and library resource centers in Washington and throughout the Native American world. He recently served on IMLS's National Leadership Grant review panel.
About the Institute of Museum and Library Services
The Institute of Museum and Library Services is the primary source of federal support for the nation's 123,000 libraries and 17,500 museums. The Institute's mission is to create strong libraries and museums that connect people to information and ideas. The Institute works at the national level and in coordination with state and local organizations to sustain heritage, culture, and knowledge; enhance learning and innovation; and support professional development. To learn more about the Institute, please visit www.imls.gov.


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'Heart Attack Arena. That's what HSBC Arena should be named after this season. The Sabres are the cardiac kids and are living on the very edge, giving their fans excessive stress with their late game dramatics.'
You are here: Home / SabresBeat / Drury's late goal sparks another Herculean comeback


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Here's my story :
When I was about 18 months old, I started having seizures, and the doctor's never knew why I was having them, and as time went on, I started getting head - aches that usually had me in the nurses office mostly everyday until the Doctor's finally gave me some medicine when they figured out what I was having.
They gave me three different types of medicine, but they made my seizures progressively worse and finally one worked, I didn't have seizures often, and life was good.
But when I grew older, my seizure's came back worse then ever, and it made my life hell because I was taunted and teased throughout Elementary School and Middle School and I was known as the girl who had "Seizures" and everyone made sure to stay away from me because they thought I had some sort of disease or something.
I admit, these past experiences have made me not want to have friends, because I've made friends in the past that just made my situation worse because I made bad choices in friends, or trusting them way too fast because of the fact that someone was actually talking to me.
My parents and I eventually moved to Washington to take care of my grandmother who's too old to be alone by herself, and I went through the rest of my Middle School life without a care because no one knew I had seizures except the teachers, I still got bullied though, but it was for different reasons.
I still have troubles accepting people into my life because of my past experiences of people letting me down when I tell them I have a seizure disorder, a fear of being rejected because of something I can't help, and a fear that I'll choose the wrong people.
My mom say's I should start making friends because she's says I'm isolating myself and that I'm staying in a little box to protect myself, and is that so bad?
Please Reply Back
- Archangel


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VITAL funding has enabled the Woodland Trust to promote Skipton Woods to younger visitors.
The charity has been working with local schools, training teachers and developing educational resources linked to the Castle as well as the woods.
And, it invited staff from various funding bodies to visit to the woodland to see how their money has helped restore, develop and improve the site for visitors.
Paul Taylor, executive director at The Veolia Environmental Trust, Hilary Hicks from the Heritage Lottery Fund Yorkshire and the Humber and Angela Pease, community projects manager from Yorventure, were given a tour to see how the charity has used more than £100,000 of funding over the past two years.
Other work has included preserving the many historic dry-stone walls, improving accessibility for visitors, installing a number of new signs and waymarkers, building a new footbridge across the river and improving paths and signage.
The funding has also enabled the Woodland Trust to carry out a large amount of restoration work in the woods.
Alistair Nash, Woodland Trust site manager, said: "We would not have been able to carry out much of the work without financial support from grant funders so we're delighted to show them how we've put their funding to use.
"Ancient woods like Skipton are rare and irreplaceable and we hope visitors will be able to appreciate our ongoing work to conserve and restore both this and other woods in the region."


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COBB -- Cobb Mountain Lions Club will host a crab feed Feb. 9 at the Cobb Community Center, located at 15780 Bottle Rock Road. The bar will open at 4 p.m. and dinner will be served at 5 p.m. There will be a $5 corkage fee.
Proceeds of the event go toward building expenses and taxes of the community center, scholarships and other community programs.
Tickets cost $45 for adults and $25 for children younger than 12. Tickets include one beverage.
Tickets may be purchased by calling Pete Sabin at 928-9676, Dan Lambeth at 928-4149, Tom Delfino at 987-2003, Ed B. Company Realty at 355-1943 or Irene at 245-0059.


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Sayadaw U Puññanada is I believe almost totally unknown from westerners, and so far he is rather popular in Malaysia and Taiwan among the Chinese people who are shifting back to Theravada buddhism.
I was told that he mastered the Pa Auk system in two years (which would imply that he his at least a sotapanna), but somehow it didn't work well with the Pa Auk Sayadaw, so he had to go his own way and now he teaches on his own. The thing is, he has the reputation to be a much more talented teacher than the Pa Auk Sayadaw himself (which, knowing just a bit how burmese culture works, would explain the split..).
His facebook page: http://www.facebook.com/upunnananda
Ku Doeh forest meditation center is the monastery of which he has been offered to be the abbot: http://www.facebook.com/kudoeh
There are a few reports of (very talented!) lay people reaching the fourth jhana in no time (just only a few days), and that they started remembering their past lives as well.


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Bullpen struggles without Soriano
WASHINGTON -- Nationals reliever Tyler Clippard offered a blunt assessment of the team's bullpen on Friday night, after the group failed to hold a three-run lead against the Braves.
"We need to do better," said Clippard, who relieved an effective Ross Detwiler to start the eighth inning and gave up a run.
"As a bullpen collectively, to have your starter do what he did and not get the win for him, it's very, very disappointing for us as a group, and I know for me, too."
On a night when closer Rafael Soriano was unavailable after working in three straight games, the Nationals' bullpen gave up five runs -- four earned -- while surrendering five hits and five walks. The Braves rallied to tie the score in the ninth against substitute closer Drew Storen, then won, 6-4, in the 10th on Ramiro Pena's two-run homer off Craig Stammen.
Washington's relievers now sport a 6.34 ERA in 32 2/3 innings this season after posting a 3.23 ERA in 2012, third best in the National League. Of course, the season is only 10 games old, and Storen disputed the notion that any frustration is setting in for the unit.
"I think that's one of the things about being in the bullpen that makes us special down there," he said. "We have short memories and understand that it's a long season, so we're going to swallow that and learn from it and move on."
While Detwiler mostly breezed through his outing, his replacements endured a slog trying to nail down the victory.
Clippard retired the first two batters of the eighth but loaded the bases on two walks and a single before forcing in a run with another free pass. It was the first time since 2009 that the right-hander had walked three batters in less than an inning, and he said afterward he was struggling with his command, especially on his changeup.
With Soriano not a factor, Storen entered and tried to record his first save of more than an inning since Aug. 5, 2011. He got out of the eighth on Dan Uggla's long flyout but couldn't hold a two-run advantage in the ninth. The Braves' three hits in the inning came on a bloop, a bunt and an infield grounder, and they also benefited from Ryan Zimmerman's game-tying throwing error
"They just put the ball in certain spots that worked out for them," said Storen, who did not believe that pitching more than inning was a factor.
With the second game of the series coming on Saturday afternoon, the bullpen might not have to wait long for redemption.
"That was frustrating, but we have a 1 o'clock game tomorrow, which is nice," Clippard said. "We'll get back on it."
Andrew Simon is a contributor to MLB.com. This story was not subject to the approval of Major League Baseball or its clubs.


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Chickadee is a stunning Tuxedo girl. She has a long and lustrous jet black coat with bright white accents. Her eyes are a lovely yellow color. Chickadee has the personality to match her good looks. She's a friendly girl, and happily lives with dogs, cats and kids in her foster home. She's calm, but does enjoy playing with toys and carrying them around the house in her mouth. This 1 year old cat is really a great companion in need of a home to appreciate her sweetness and beauty.
Make a donation in this cat's name at http://www.angelsrescue.org/donatenow. For inquiries, email firstname.lastname@example.com
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