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A good number of Chico State's baseball players know all about the inherent risks in the quest for a ring.
Many live in an apartment complex they've deemed "The Shire," making it no great mystery that they are definitely fans of "The Lord of the Rings."
And 19 players return from a spectacular 2012 California Collegiate Athletic Association and West Region Championship run that ended just short of championship rings with consecutive losses at the Division II College World Series.
The success of last season's squad, which went 40-19 and advanced to the College World Series for the eighth time in the past 16 years, has triggered tremendous expectations on this year's team.
The Wildcats enter the season ranked between Nos. 7 and 12 in the nation in the various national preseason polls. They're also picked to repeat as conference champions (CCAA Preseason Coaches' Poll) and West Region champs (National Collegiate Baseball Writers Association).
But their only accomplishments so far are on paper.
Coach Dave Taylor has helped lead the Wildcats to the College World Series six times in his tenure as the head coach or pitching coach. They've brought home national championships twice. So, Taylor knows a bit about what it takes to get back after getting there. It starts with focusing on today.
"We've talked about going to the World Series and what this group is expected to accomplish. It's not totally fair for the new guys but it's the reality of it. You can't get caught up in what you're reading and what other people are telling you about how great you are though," Taylor said. "We know we can't get (to the College World Series) in February. So we as coaches have to make sure the guys are focusing on the day-to-day stuff. Those day-to-day goals are what we really try to stress before and after practice. It's about what we accomplished today and what we need to work harder at tomorrow."
"Anyway, you need people of intelligence on this sort of... mission... quest... thing."
The Wildcats will need to use their intelligence — they received the 2011-12 University Board of Governors Award for Academic Excellence for achieving highest level of academic success among the department's men's programs — to navigate the preseason expectations. It's very difficult to finish the season among the CCAA's top four, let alone reach the NCAA Tournament.
"We have a smart, mature group of players that understand there's going to be that preseason hype and that we can't let that effect what we do," Taylor said. "They set a goal to win this thing and they know that if we want to win it then we have to be better than we were last season. I could tell that in the fall with just our individual workouts and in the weight room that they get that. They have the itch to get back there."
Among the 19 returning players are six that started 30 or more games last season: outfielder Blake Gibbs, catcher Ben Manlove, and infielders Pierson Jeremiah, Myles Dempsey, Eric Angerer and Cody Webber.
Three other part-time starters are back in Roger Boulden, Austin Prott, a Chico High graduate, and Jordan Beck, along with Jon Peters, who started seven games for the Wildcats in 2011 before sitting out last season.
Gibbs, a First Team National Collegiate Baseball Writers Association (NCBWA) Preseason All-Region selection, will be a fixture in the middle of the lineup.
"Blake commands a lot of respect on the field and in the clubhouse," Taylor said. "Guys tend to take their cues from him. Just as important is his presence in the lineup. His swing is improved. He's driving the ball more consistently. He's in tremendous physical shape. We'll go as far as Blake will take us."
Manlove has started 137 games behind the plate over the past three seasons.
Dempsey and Webber give Taylor a two-headed second-base monster. Whoever is not manning second will likely spend a lot of time as the designated hitter.
Taylor describes Jeremiah, likely the team's starter at third, as "a tough out" who can run and drive the ball into the gap.
Angerer is a gold-glove caliber first baseman who is stronger and faster this season, according to Taylor.
Boulden, another skilled player with the bat, will get a crack at a job in the outfield, as will Prott. Beck started 19 games last season, including 17 at third.
Ten pitchers return to the mound, including six who made five or more starts last season: Kagen Hopkins, Luke Barber, a Pleasant Valley High grad, Nick Baker, Troy Neiman, Ryan O'Shea and Sean Martin. Closer Mike Botelho and setup men Morgan Yee, Jeremy Perez and Chris Rodriguez return to anchor the bullpen.
Botelho, another First Team NCBWA Preseason All-Region selection, is coming off a 13-save season. Hopkins, a Second Team NCBWA Preseason All-Region, was the staff's ace last season, compiling an 8-4 record and 3.94 ERA.
Barker (5-4, 4.39 ERA in 13 starts), Baker (5-1, 4.50 ERA in nine starts), Neiman (4-2, 2.37 ERA in nine starts), O'Shea (3-3, 3.22 ERA in six starts) and Martin (6-3, 2.87 ERA in five starts) are also hoping to lock a spot in the regular rotation.
One task for those returners is to quickly indoctrinate the 13 newcomers into the world of CCAA baseball.
"It's important those guys all understand there are six teams in this conference that could win this thing because there are six teams that have equal talent across the board," Taylor said.
The comprehension and contribution of the team's newcomers will be key. Middle infielders Cody Slader and Kenny Corona will bolster the team up the middle. Catcher Jake Bailey gives the team another solid backstop. Ruben Padilla and Peter Miller add depth at the corner spots, and Miller can also catch. Ryne Clark, Jack Hale, Dylan Jones and Ronnie Galosic are competing for starts in the outfield, where Gibbs is the lone returning starter. And Steven Swift, Drew Freeman, Alex Mistuloff and Jesse Silva are the additions to the pitching staff.
Slader made nearly 50 starts at San Diego State over the past two seasons after starring at Oakland's Bishop O'Dowd High School. Corona claimed Central Conference Gold Glove MVP honors in each of his two seasons at College of the Sequoias. One will win the starting shortstop role and the other will likely start the season as a late-inning defensive replacement.
Bailey gives Taylor two top-notch catchers.
"Jake is going to play," Taylor said. "Just how much depends on how those guys are handling the pitching staff."
Jones is going to get a shot early, according to Taylor. "He a left-handed bat we'd like to get in the lineup," he said.
Swift is a senior transfer from the University of Washington and just two years removed from an 11-0 season at Diablo Valley College.
Though many of the same faces will dot the dugout, their roles may be different this season. And how each accepts his assignment could have a huge impact on the Wildcats' success.
According to Taylor, some of the returners' roles will be different this season by virtue of the talented new crop.
The good news for all 33 players is that Taylor foresees plenty of roles to go around.
"We're going to try to utilize 25 guys. Guys are going to get a chance in the lineup based on matchups. Guys are going to give us great late-inning defense. Guys are going to get in there for their speed or ability to get down a bunt," Taylor said.
Still, he's got a heaping mound of decisions to make when it comes to the pitching staff.
"I can't remember ever having this much depth on the mound," Taylor said. "That's going to be a challenge for me this season."
And hopefully, the opposition.


text:
Topic: My Dad
We enjoyed a few car rides last week. Still haven't hired a sitter for three evenings. Yesterday my dad had a short talk with me and told me his time was near. I asked him how he knew and he just said he knows. He said he wants us to take our time when we call for his body to be picked up. He thinks we rushed my mom's, but a nurse found she had died in her sleep and the wheels turned pretty fast. We all got to say a proper goodbye to her. I could have defended that, but all I could say was we would take good care of him.
This was a profound conversation because my dad was just talking days ago about taking vitamins and minerals to give him some strength and questioned how long they would take to work.
He is very confused and sleeps most of the time. He is eating and drinking small amounts. He can still get up to use the restroom but is very unsteady. He is extremely jaundice and has lost over fifty pounds.
I just love on him and tell him he might feel better after a little nap. One nap turns into another.

subset: commoncrawl


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New For 2013
A moonroof is now standard, a double-iPad package offers on-the-move Wi-Fi, a theater package has a 15.6-inch drop-down monitor and eight-inch headrest screens, and a cooler holds two open bottles of champagne. It's good to be rich.
The Mulsanne is the ultimate Bentley sedan, combining tradition, engineering, and luxury. Its aluminum front fenders and composite trunk lid comprise a largely vain effort to save weight, but that hardly matters since there's a twin-turbo V-8 under the hood sending an incredible 752 lb-ft of torque through an eight-speed automatic transmission. Bentley quotes a top speed of 184 mph, not bad for a 5700-pound sedan lined with your choice of eight wood veneers and twenty-four leather colors. Assembly specialists spend 170 hours handcrafting the interior of each car, and it shows in everything you see, touch, and smell. The infotainment system hides discreetly behind a power-operated veneered wood door. The rear-seat compartment has its own hidden treasures: the new $33,000 iPad package provides twin electrically powered picnic tables that deploy at the touch of a button to reveal two beautifully integrated iPads and Apple wireless keyboards for internet access via the Wi-Fi connection. Another new option is a cooler that stores two champagne bottles in a canted position (to keep two open bottles ready to pour) and three flutes hidden behind a powered glass door. Pile on the options, and the Mulsanne's $300,000 base price quickly leaps toward the stratosphere, but who cares when you're indulging your fantasies?
Front, side, and side curtain air bags; traction and stability control; ABS; a backup camera; and a tire-pressure monitoring system are standard. Precollision warning (part of the active cruise-control system) is optional.
You'll like:
- Super-exclusive
- Stunning build quality
- Surprisingly athletic
You won't like:
- Stunningly expensive
- Sucks gasoline like a 747
- Can't park it just anywhere
Key Competitors For The 2013 Bentley Mulsanne
- Rolls-Royce Phantom
- A motor yacht
- A small condo in Miami
Sum Up
Indulge your fantasies.


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Hey guys just listing another disc on here. This is a PDGA black esp stalker. It weighs 170-172 and is in great condition. it has no nicks or major scratches. it was thrown a few times in one round and has some rub marks but no significant wear what so ever. These are incredibly rare since you can only get them by joining the pdga. Please pm me if you would like some pics. I'm asking 18$ shipped. if interested please pm me thanks for looking guys.
trades i am looking for:
Flx z meteor 177
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Postoperative Ibuprofen and the Risk of Bleeding After Tonsillectomy With or Without Adenoidectomy
This study has been completed.
Massachusetts Eye and Ear Infirmary
United States Naval Medical Center, San Diego
Brooke Army Medical Center
United States Naval Medical Center, Portsmouth
Madigan Army Medical Center
Information provided by (Responsible Party):
Christopher Hartnick, M.D., Massachusetts Eye and Ear Infirmary
ClinicalTrials.gov Identifier:
First received: May 23, 2012
Last updated: July 11, 2017
Last verified: July 2017
- Full Text View
- Tabular View
- No Study Results Posted
- Disclaimer
- How to Read a Study Record
Show Detailed Description
Tonsillectomy (the surgical removal of the tonsils) is a commonly performed surgery in children. One risk of tonsillectomy is postoperative bleeding, and this can be more dangerous in children because their blood volume is lower than adults. Ibuprofen, a nonsteroidal anti-inflammatory medication (NSAID), is an effective pain medication. Recent guidelines, published by the American Academy of Otolaryngology, advocated use of ibuprofen after tonsillectomy. However, NSAIDs are associated with altered platelet function and a theoretical increased risk of bleeding after surgery. The investigators would like to explore the effect that ibuprofen has on postoperative bleeding, as well as validate previous studies demonstrating it is an effective pain medication after tonsillectomy.
|Tonsillectomy Adenoidectomy
|Drug: Ibuprofen Drug: Acetaminophen
|Phase 2
|Study Type:
|Study Design:
|Allocation: Randomized
Intervention Model: Factorial Assignment
Masking: Quadruple (Participant, Care Provider, Investigator, Outcomes Assessor)
Primary Purpose: Treatment
|Official Title:
|Postoperative Ibuprofen and the Risk of Bleeding After Tonsillectomy With or Without Adenoidectomy
Resource links provided by NLM:
MedlinePlus related topics: Adenoids Bleeding Tonsillitis
Drug Information available for: Acetaminophen Ibuprofen Ibuprofen sodium Ibuprofen lysineU.S. FDA Resources
Further study details as provided by Christopher Hartnick, M.D., Massachusetts Eye and Ear Infirmary:
Primary Outcome Measures:
- Level 3 postoperative hemorrhage [ Time Frame: Data about post-tonsillectomy bleeding will be obtained after the end of a 14-day postoperative period. ]Postoperative hemorrhage is defined as any history of bleeding occurring within the 14 day postoperative period. Hemorrhage will be stratified into 3 levels of severity. Level 1: includes children with a history of postoperative bleeding evaluated and/or treated by a physician in the emergency room, inpatient unit or operating room; Level 2: children requiring inpatient admission for postoperative bleeding regardless of the need for operative intervention; Level 3: children requiring inpatient admission and return to the operating room for control of post-tonsillectomy hemorrhage.
|Actual Study Start Date:
|May 5, 2012
|Study Completion Date:
|February 15, 2017
|Primary Completion Date:
|February 15, 2017 (Final data collection date for primary outcome measure)
|Assigned Interventions
Experimental: Treatment with Ibuprofen
Children will be randomly assigned to receive either ibuprofen or acetaminophen prior to surgery. Children in the ibuprofen group will be receive grape-flavored ibuprofen 100mg/5 mL. During the postoperative period, ibuprofen 10mg/kg (max dose 600 mg) will be dispensed Q6.
Drug: Ibuprofen
Children in the ibuprofen group will be receive grape-flavored ibuprofen 100mg/5 mL. During the postoperative period, ibuprofen 10mg/kg (max dose 600 mg) will be dispensed Q6.
Other Name: Advil, Motrin
Active Comparator: Treatment with Acetaminophen
Children will be randomly assigned to either the treatment arm or active comparator prior to surgery. Children in the active comparator group (Acetaminophen) will receive grape flavored 160 mg/5 ml acetaminophen. Acetaminophen will be dispensed at 15 mg/kg (max dose 650/mg) Q6.
Drug: Acetaminophen
During the postoperative period, ibuprofen 10mg/kg (max dose 600 mg) will be dispensed Q6.
Other Name: Tylenol
Show Detailed Description
|Ages Eligible for Study:
|2 Years to 18 Years (Child, Adult)
|Sexes Eligible for Study:
|Accepts Healthy Volunteers:
Inclusion Criteria:
- Patients ages 2-18 undergoing tonsillectomy with or without adenoidectomy by electrocautery alone for sleep disordered breathing or infectious tonsillitis will be included.
- Patients with complex medical conditions and craniofacial abnormalities will be included.
- Informed consent and child assent will be required for enrollment
Exclusion Criteria:
- Patients with a known personal or family history of a bleeding disorder will be excluded.
- Patients with a history of asthma, kidney or liver problems will also be excluded.
- Patients with tonsillectomy or adenoidectomy performed using a cold knife technique, microdebrider, coblation or plasma knife.
- Patients on NSAIDs for other medical conditions, or those who have taken NSAIDs within 1 week of surgery will be excluded.
- Patients with allergy to aspirin or other NSAIDs, acetaminophen, Red Dye #40 or Red Dye #33 will also be excluded.
- Pregnancy testing using urine β-subunit of hCG gonadotropin (beta-HCG) will be performed on all children > 13 years of age, or those younger than 13 who are menstruating; this is the testing protocol used at the Children's Hospital of Boston. Patients found to be pregnant will be excluded from participation.
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: NCT01605903
Please refer to this study by its ClinicalTrials.gov identifier: NCT01605903
|United States, California
|nited States Naval Medical Center, San Diego
|San Diego, California, United States, 92134
|United States, Massachusetts
|Massachusetts Eye and Ear Infirmary
|Boston, Massachusetts, United States, 02114
|United States, Texas
|Brook Army Medical Center
|San Antonio, Texas, United States, 78219
|United States, Virginia
|nited States Naval Medical Center, Portsmouth
|Portsmouth, Virginia, United States, 23708
|United States, Washington
|Madigan Army Hospital
|Tacoma, Washington, United States, 94831
Sponsors and Collaborators
Massachusetts Eye and Ear Infirmary
United States Naval Medical Center, San Diego
Brooke Army Medical Center
United States Naval Medical Center, Portsmouth
Madigan Army Medical Center
|Principal Investigator:
|Christopher J Hartnick, MD
|Massachusetts Eye and Ear Infirmary
More Information
Keywords provided by Christopher Hartnick, M.D., Massachusetts Eye and Ear Infirmary:
Additional relevant MeSH terms:
ClinicalTrials.gov processed this record on September 21, 2017
Erickson BK, Larson DR, St Sauver JL, Meverden RA, Orvidas LJ. Changes in incidence and indications of tonsillectomy and adenotonsillectomy, 1970-2005. Otolaryngol Head Neck Surg. 2009 Jun;140(6):894-901. doi: 10.1016/j.otohns.2009.01.044.
Bluestone CD. Current indications for tonsillectomy and adenoidectomy. Ann Otol Rhinol Laryngol Suppl. 1992 Jan;155:58-64.
Tom LW, DeDio RM, Cohen DE, Wetmore RF, Handler SD, Potsic WP. Is outpatient tonsillectomy appropriate for young children? Laryngoscope. 1992 Mar;102(3):277-80.
Ross AT, Kazahaya K, Tom LW. Revisiting outpatient tonsillectomy in young children. Otolaryngol Head Neck Surg. 2003 Mar;128(3):326-31.
Randall DA, Hoffer ME. Complications of tonsillectomy and adenoidectomy. Otolaryngol Head Neck Surg. 1998 Jan;118(1):61-8. Review.
Blakley BW. Post-tonsillectomy bleeding: how much is too much? Otolaryngol Head Neck Surg. 2009 Mar;140(3):288-90. doi: 10.1016/j.otohns.2008.12.005.
Husband AD, Davis A. Pain after tonsillectomy. Clin Otolaryngol Allied Sci. 1996 Apr;21(2):99-101. Review.
Harley EH, Dattolo RA. Ibuprofen for tonsillectomy pain in children: efficacy and complications. Otolaryngol Head Neck Surg. 1998 Nov;119(5):492-6.
St Charles CS, Matt BH, Hamilton MM, Katz BP. A comparison of ibuprofen versus acetaminophen with codeine in the young tonsillectomy patient. Otolaryngol Head Neck Surg. 1997 Jul;117(1):76-82.
REUTER SH, MONTGOMERY WW. ASPIRIN VS ACETAMINOPHEN AFTER TONSILLECTOMY. A COMPARATIVE DOUBLE-BLIND CLINICAL STUDY. Arch Otolaryngol. 1964 Aug;80:214-7.
Baugh RF, Archer SM, Mitchell RB, Rosenfeld RM, Amin R, Burns JJ, Darrow DH, Giordano T, Litman RS, Li KK, Mannix ME, Schwartz RH, Setzen G, Wald ER, Wall E, Sandberg G, Patel MM; American Academy of Otolaryngology-Head and Neck Surgery Foundation. Clinical practice guideline: tonsillectomy in children. Otolaryngol Head Neck Surg. 2011 Jan;144(1 Suppl):S1-30. doi: 10.1177/0194599810389949.
Cardwell M, Siviter G, Smith A. Non-steroidal anti-inflammatory drugs and perioperative bleeding in paediatric tonsillectomy. Cochrane Database Syst Rev. 2005 Apr 18;(2):CD003591. Review. Update in: Cochrane Database Syst Rev. 2013;7:CD003591.
Berkowitz RG, Zalzal GH. Tonsillectomy in children under 3 years of age. Arch Otolaryngol Head Neck Surg. 1990 Jun;116(6):685-6.
Schafer AI. Effects of nonsteroidal antiinflammatory drugs on platelet function and systemic hemostasis. J Clin Pharmacol. 1995 Mar;35(3):209-19. Review.
Lewis SR, Nicholson A, Cardwell ME, Siviter G, Smith AF. Nonsteroidal anti-inflammatory drugs and perioperative bleeding in paediatric tonsillectomy. Cochrane Database Syst Rev. 2013 Jul 18;(7):CD003591. doi: 10.1002/14651858.CD003591.pub3. Review.
Brigger MT, Cunningham MJ, Hartnick CJ. Dexamethasone administration and postoperative bleeding risk in children undergoing tonsillectomy. Arch Otolaryngol Head Neck Surg. 2010 Aug;136(8):766-72. doi: 10.1001/archoto.2010.133.
Lister MT, Cunningham MJ, Benjamin B, Williams M, Tirrell A, Schaumberg DA, Hartnick CJ. Microdebrider tonsillotomy vs electrosurgical tonsillectomy: a randomized, double-blind, paired control study of postoperative pain. Arch Otolaryngol Head Neck Surg. 2006 Jun;132(6):599-604.
Collison PJ, Mettler B. Factors associated with post-tonsillectomy hemorrhage. Ear Nose Throat J. 2000 Aug;79(8):640-2, 644, 646 passim.
National Center for Health Statistics, Centers for Disease Control, Advance data 283: ambulatory surgery in the United States, 1994. National Center for Health Statistics. Available on the Web at www.cdc.gov/nchs.
National Health Statistics Reports, Centers for Disease Control, Ambulatory Surgery in the United States, 2006. Number 11, January 28, 2009-Revised September 4, 2009. Available on the Web at www.cdc.gov/nchs.
|Responsible Party:
|Christopher Hartnick, M.D., Associate Professor, Department of Otology and Laryngology; Chief, Division of Pediatric Otolaryngology; Director, Pediatric Airway, Voice and Swallowing Center, Massachusetts Eye and Ear Infirmary
|ClinicalTrials.gov Identifier:
|NCT01605903 History of Changes
|Other Study ID Numbers:
|Study First Received:
|May 23, 2012
|Last Updated:
|July 11, 2017
|Individual Participant Data (IPD) Sharing Statement:
|Plan to Share IPD:
Keywords provided by Christopher Hartnick, M.D., Massachusetts Eye and Ear Infirmary:
bleeding rates
Tonsillectomy with and without adenoidectomy
Additional relevant MeSH terms:
Pathologic Processes
Analgesics, Non-Narcotic
Sensory System Agents
Peripheral Nervous System Agents
Physiological Effects of Drugs
Anti-Inflammatory Agents, Non-Steroidal
Anti-Inflammatory Agents
Antirheumatic Agents
Cyclooxygenase Inhibitors
Enzyme Inhibitors
Molecular Mechanisms of Pharmacological Action
ClinicalTrials.gov processed this record on September 21, 2017


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Wipro, an Indian electronics company that has previously participated in Indian editions of the Guide, makes its debut in the international version of Greenpeace's Guide to Greener Electronics with 7.1 points – placing it in 1st position. Download Wipro report card
HP is still above most companies on the ranking, but has lost its top spot from the most recent edition of the Greenpeace Guide to Greener Electronics, and now sits in 2nd position, with 5.7 points, behind newcomer Wipro. Download HP report card
Nokia moves up to 3rd position in this edition of the Greenpeace Guide to Greener Electronics. After three years at 1st position, Nokia fell to 3rd in last year's edition. Download Nokia report card
Acer moves up the ranking to 4th position, with a score of 5.1. Acer is showing a larger leadership role in its conversations with suppliers on a range of issues. This has resulted in increase scoring across the three criteria. Download Acer report card
Dell drops to 5th position, with 4.6 points. While Dell scores high overall, the company scores poorly on all Products criteria. Download Dell report card
Apple drops to 6th position, with a score of 4.6. Though one of the high scorers in this edition, Apple misses out on points for lack of transparency. Download Apple report card
Samsung moves up to 7th position, with 4.2 points in this year's Greenpeace Guide to Greener Electronics. Samsung is close to achieving a revised goal of eliminating some of the most hazardous substances from its products.Download Samsung report card
Sony moves up to 8th position, with 4.1 points. Sony was a top scorer in last year's Guide; it has lost significant points for not continuing its energy policy advocacy work for tougher greenhouse gas (GHG) reduction targets. Download Sony report card
Lenovo drops to 9th place in this edition of the Guide. Lenovo made progress since the last Guide, but did not reach its extended goal of eliminating these chemicals from all its products by the end of 2011. Download Lenovo report card
Philips moves down to 10th position in the Greenpeace Guide to Greener Electronics, with 3.8 points. Download Philips report card
Panasonic falls back to 11th position in this edition of the Greenpeace Guide to Greener Electronics, with 3.6 points. Download Panasonic report card
LGE scores 3.5 points and moves up to 12th place. LGE receives points on a strong precautionary principle policy, but lacks sufficient advocacy follow up. Download LGE report card
HCL Infosystems is included in the global release of the 18th edition of the Guide for the first time, having only been included in Indian editions previously. With a score of 3.1, HCL shares 13th position with Sharp. Download HCL Infosystems report card
Sharp falls back to joint 13th position with HCL, with a score of 3.1. Surprisingly, this solar power manufacturer does not have a renewable energy or energy efficiency target, and it only powers 0.5% of its electricity worldwide with solar.Download Sharp report card
Toshiba drops to 15th position with 2.3 points. Toshiba has, as of March 2012, removed polyvinyl chloride plastic (PVC) and brominated frame retardants (BFRs) from most parts of its products. Download Toshiba report card
RIM continues to score low in the Greenpeace Guide to Greener Electronic, with 2.0 points. It remains in the 16th and lowest position of the companies evaluated. Download RIM report card
Since 2006 Greenpeace has been campaigning to green our electronics,...
Read more >


text:
Now Available For Pre-Order!...
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CLICK HERE for more photos.


text:
Elias earns job in rotation before making start
PEORIA, Ariz. -- Roenis Elias, a 25-year-old Cuban defector who has never pitched above Double-A ball, had an eventful day Friday as he learned he'd made the Mariners starting rotation in the afternoon, and then went out and gave up two runs over five innings in Seattle's 3-2 victory over the Rockies.
Elias weaved in and out of trouble in his 79-pitch outing, allowing seven hits -- including two triples and a double -- along with two walks, but limited the damage to a pair of runs.
"He did OK. He got a couple balls up and was a little erratic in the one inning," said manager Lloyd McClendon. "I thought he was a little bit charged-up today. To be honest, I thought it was going to be a disastrous outing for him. That's usually how it works when you tell a young man he's made the club and he's starting. Couple that with being on TV, that was a recipe for disaster. But he came through it pretty good."
Escaping from jams is becoming something of a habit for Elias, who stranded runners in scoring position twice with no outs in his previous outing, as well.
"If you look at the history of this young man, he has a tendency to walk guys and then strike people out and get them out," McClendon said. "He doesn't give up runs. He's a little quirky and we're going to have to shore that up a little. I don't want to start smoking."
Elias said he didn't pitch as well as he wanted in his final Cactus League outing, but was thrilled at learning he'd made the team and is slated to pitch the fourth game of the season Thursday in Oakland.
"I was lifting weights when they called me in," Elias said through interpreter Fernando Alcala. "Once they told me that, I didn't do any more weights. I just called my mom, my dad, my wife, my son, everybody in the world.
"I'm very happy the team has given me this opportunity. Every time I go out there, I'm going to give it all I can with my heart to help the team win."
Greg Johns is a reporter for MLB.com. Follow him on Twitter @GregJohnsMLB as well as his Mariners Musings blog. This story was not subject to the approval of Major League Baseball or its clubs.


text:
IN.gov - Skip Navigation
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The McCordsville license branch is at 5949 West Broadway.
Contact the BMV Contact Center at 888-692-6841.
Make an online appointment for the McCordsville branch and be first in line when you visit.
The McCordsville branch offers all BMV services. To take a written examination you must arrive at least one hour before the branch closes. You can schedule a driving skills test online, or by contacting the BMV Contact Center at 888-692-6841.
Other license branches close to the McCordsville branch include Pendleton, and Lawrence.


text:
Want to foster this cutie? Fill out an online foster application here.
We're excited that you are considering adopting a homeless dog or cat!
The first step in the adoption process is to fill out the application for the dog or cat you are interested in adopting. You can do this under the animal's listing on our website, http://lifelineanimal.org . The application will be reviewed by one of our experienced adoption counselors. At that time, you will be contacted with any questions and/or to set up a time to come and meet the pet you have chosen.
If you are applying for a dog, we encourage you to bring your dog to meet the new dog. After all, he/she is part of the family too, right? If all goes well, we will then set up a home visit. Our trained staff will bring the new dog to your home to make sure everyone is comfortable with the new family member and to make sure the new dog is comfortable in your home. This visit is not meant to be intrusive and we do not pry into your business. It is only meant as a safeguard. We do not always perform a home visit for cats, but we reserve the option to do so if we feel it is needed. After that, the adoption contract is signed, the vet records transferred and the adoption fee paid. The dog or cat stays with you at this time unless other arrangements have been made.
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Now, what are you waiting for? Visit http://lifelineanimal.org and fill out the application. We'll talk to you soon.
Thank You!
Your message has been sent to LifeLine Animal Project.
You'll receive a copy, too, at to help you keep track of which pets you've inquired about, and which shelters and rescues you've emailed.
NOTE: Some shelters have physical locations you can visit; some of these shelters may only have pets for a limited time, so please do not wait for a reply—just go visit the shelter! Other organizations are rescue groups run by busy volunteers who may take a while to reply. You can find information about the shelter or rescue group caring for this pet, and their adoption procedures, on the pet's details page on Adopt-a-Pet.com.


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mikenz66 wrote:I really liked it. I found it an entertaining and engaging story that had some interesting ideas, characters, acting, and action.
In terms of depth, it's not Nobel Prize-winning art like Waiting for Godot (which toured Australasia recently). Neither is it a deep, internally-consistent, philosophical statement. Or particularly original. It's a movie. It's put together extremely well. What do you expect?
How is consciousness (i.e.mind ) capable of producing a variety or diversity of effects in action?
There is no art in the world more variegated than the art of painting. In painting, the painter's masterpiece is more artistic than the rest of his pictures. An artistic design occurs to the painters of masterpieces that such and such pictures should be drawn in such and such a way. Through this artistic design there arise operations of the mind (or artistic operations) accomplishing such things as sketching the outline, putting on the paint, touching up, and embellishing... Thus all classes of arts in the world, specific or generic, are achieved by the mind. And owing to its capacity thus to produce a variety or diversity of effects in action, the mind, which achieves all these arts, is itself artistic like the arts themselves. Nay, it is even more artistic than the art itself, because the latter cannot execute every design perfectly. For that reason the Blessed One has said, 'Monks, have you seen a masterpiece of painting?' 'Yes, Lord.' 'Monks, that masterpiece of art is designed by the mind. Indeed, monks, the mind is even more artistic than that masterpiece.'
In a number of sermons we had to bring up the simile of the
motion picture. The simile is not our own, but only a modern-
ization of a canonical simile used by the Buddha himself. The
point of divergence was the question the Buddha had addressed
to the monks in the Gaddulasutta.
Diṭṭhaṃ vo, bhikkhave, caraṇaṃ nāma cittaṃ? "Monks,
have you seen a picture called a movie?" The monks answer in
the affirmative, and so the Buddha proceeds:
Tampi kho, bhikkhave, caraṇaṃ nāma cittaṃ citteneva cin-
titaṃ. Tena pi kho, bhikkhave, caraṇena cittena cittaññeva
cittataraṃ. "Monks, that picture called a movie is something
thought out by the mind. But the thought itself, monks, is even
more picturesque than that picture."
To say that it is more picturesque is to suggest its variegated
character. Thought is intrinsically variegated. We have no idea
what sort of a motion picture was there at that time, but the
modern day movie has a way of concealing impermanence by
the rapidity of projections of the series of pictures on the screen.
The rapidity itself gives an impression of permanence, which is
a perversion, vipallāsa.
Dependent on eye & forms, eye-consciousness arises [similarly with the rest of the six senses]. The meeting of the three is contact. With contact as a requisite condition, there is feeling.
What one feels, one perceives (labels in the mind). What one perceives, one thinks about. What one thinks about, one "papañcizes."
Based on what a person papañcizes, the perceptions & categories of papañca assail him/her with regard to past, present, & future forms cognizable via the eye [as with the remaining senses].
"You never really remember the beginning of a dream, do you? You always wind up right in the middle of what's going on."
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Trophy Mountain Goat Hunts in Northwest British Columbia
If you want a true trophy mountain goat, Hunt in the land of Giants!
British Columbia's North coast along the border of Alaska is world renowned for having the highest number of trophy Mountain Goats in North America.
You will be hunting in a 10,000 sq mile exclusive guide area in the heart of a trophy Mountain Goat mecca. Record 10″ Billies are the norm on these hunts. This outfitter consistently take goats over 50″.
Start Planning Your Hunt Request Prices
If you are looking for true Trophy Class Billies, this is your hunt. You will see a ton of goats and have at least a couple opportunities to harvest a World Class Goat. ~Shad Wheeler
There are a number of options on these hunts as you can opt for an early season fly-in and backpack hunt where you will be flown in to remote alpine lakes and stay in either wall tents with heat or in 2 person pack tents when you spike out into the surrounding areas in search of your trophy. Or, they offer late season hunts where you will be targeting the Billies as they prepare for the rut. This can be a very physical hunt as you will be climbing from the bottom of the mountains up to the goats, usually 1-3 hour climbs.
Hunting Season
This is a 9 day hunt for a Trophy Mountain Goat in NW British Columbia.
- Early Season – August through September
- Late Season – October through November
- Winter Hunts – December through February
If you are worried about the physical aspect of the early or late season hunts, this outfitter has one more trick in his arsenal. His area allows him to run Winter Hunts from December – February when the goats are near the bottom of the mountain and will give hunters with physical limitations an opportunity to still take a trophy goat of a lifetime. You will not see a goat with a better coat of hair than these!
On this hunt you may be staying in either a cabin or wall tent depending on the area you are hunting. On the late hunts the outfitter uses a mix of trucks, atv's and jet boats to get you into the best areas.
For most of these goat hunts, you will fly in to Terrace, British Columbia. The outfitter will pick you up at the airport.
If you are looking for a Trophy Mountain Goat with an amazing coat, you need look no further than the Winter trophy goat hunt!


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Ey! Shouldn't you be sleepin?
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Ey! Shouldn't you be sleepin?
You, Never? Did the Kenosha Kid?
I'm not the one that has to wake up at like four everymorning!
You, Never? Did the Kenosha Kid?
4... 5.... still way too early.
You, Never? Did the Kenosha Kid?
Oh my god what the *&^$ barbeque?
"Sometimes, when you look Andy in the eyes, you get a feeling somebody else is driving." -- David Letterman
The new black and white jersey:
I want a RoboJermaniac made, and its mission would be to praise Jermaine O'Neal in every game thread.
Maybe you RoboMagicRat can spend all of it's time at Jermaniac's chick's mom's house. You are kind of old for my chick.
RoboMagicRat would be a baby. Your chick's mom is in to younger dudes, isn't she?
No she isnt my dad is around 50 years old, but your mom is in to younger dudes cause she makes me feel so special and I'm only 17 years old. GOOD GOD JERMANIAC WINS. Good night folks.
Word on the street is he doesn't want your money, he only wants to please your ears...
Bum in Berlin on Myspace


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Interview with Ali Ahmad Jalali
30-06-2011 Article, International Review of the Red Cross, No. 882
- DownloadPDF 177 KB
For this issue on understanding armed groups, the Review considered it important to invite someone who could give the inside perspective of an armed group. Minister Ali Ahmad Jalali, currently Distinguished Professor at the National Defense University in Washington, DC, is uniquely placed to do so in the context of Afghanistan: he has at once the experience of a former member of the Mujahideen during the war against the Soviet Union, a former Colonel in the Afghan National Army, and a former Minister of the Interior for Afghanistan from 2003 to 2005. Minister Jalali has published extensively on political, military, and security issues in Afghanistan, Iran, and Central Asia.
This interview was conducted on 8 June 2011 in Washington, DC by Vincent Bernard, Editor-in-chief of
the International Review of the Red Cross, and Michael Siegrist, Editorial Assistant.


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AN ENTREPRENEURIAL nine-year-old 'just wanted to make a difference' by selling loom bands in Bromyard to raise money for a local children's hospice.
Anna-Mae Potter has been avidly making the bands all summer, with several Bromyard businesses selling them for Acorns Children's Hospice in Worcester.
And this week, along with mum Jo, she presented them with more than £120 that she had raised.
"I'm so proud of her," said Mrs Potter.
"Even when we were on our holidays, she would be on the back seat making them.
"She said she just wanted to put a smile on a lot of faces."
The family had a recent experience with Acorns, and Mrs Potter said they had been so impressed with the care that they wanted to give something back.
St Peter's Primary pupil Anna-Mae managed to sell more than 100 of the bands, with Bromyard salon Studio 19 and local garage Linton Motor Services helping out by selling them.
But for now she is putting away her band-making equipment with a new school term starting this week, said her mum.


text:
GMB Akash explains how he gains the trust of the underprivileged people he photographs and brings their stories to life.
A Bangladesh fan shows his support during the ICC World Twenty20 cricket match between Bangladesh and the West Indies in Dhaka, Bangladesh on March 25, 2014. (Scott Barbour/Getty Images)
In stark black-and-white images, Gazi Nafis Ahmed takes an intimate look at Bangladesh's marginalized gay community.
A man lost in thought takes a boat ride down the river in Dhaka, Bangladesh. (nasir khan/Flickr)
A man breaks down sections of scrap steel with a hammer by the Buriganga river in Dhaka, Bangladesh on January 27, 2013. (Rob Pinney)
A mother and child anxiously wait for business in Dhaka, Bangladesh on June 26, 2013. (Sudipta Arka Das/Flickr)
A Bangladeshi man ties his pushcart beside the road during a nationwide strike called by the Bangladesh Nationalist Party (BNP) in Dhaka, Bangaldesh on May 26, 2013. (Munir Uz Zaman/AFP/Getty Images)
A young socially-minded Bangladeshi photographer turns his lens on his country's garment factories and the workers who brave hazardous conditions in them to scrape together a living.
This Thursday, a nationwide celebration for Bangladesh takes on worldwide significance in the struggle to preserve native languages.
As protestors in Bangladesh's capital continue to rally for capital punishment of a 1971 Liberation War criminal, opponents retaliate by slaying an activist blogger.
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Asia Society takes no institutional position on policy issues and has no affiliation with any government. All views expressed in its publications and on its website are the sole responsibility of the author or authors.


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as of right now I'm keeping my bag pretty simple(atleast as simple as I can)
Here's what I got:
Distance: Working with 2 Flashes right now, 1 Z 1 ESP, also have a wraith I'm messin with
Fairway:Teebirds and lots of em' got 3 champs, 2 stars and 3 DX might take the stars out because they are getting to slippery for my moist hands
Mids:Rocs! Carry 6 Rocs around 1 new 3 i'm beating in and 2 fairly beat, still trying to learn to throw these of the teepad any tips?
Putters:Wizards, got 2 soft for putts and 1 soft that feels like a firm for drives and close shots
Any idea on what I'm missing, maybe a pred or firebird?


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Testing surgery for teen weight loss
Wilmington's A.I. duPont Hospital for Children is studying whether gastric banding surgery can help severely obese teens shed pounds and regain health. DuPont surgeons sought special permission from the U.S. Food and Drug Administration to test the device in adolescents. The hospital team hopes to follow families for five years to document the health and well-being of young people.
More coverage:


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On Wednesday night, Ferrell proved it.
Indiana's freshman point guard, a year removed from his high school sharpshooter days, found his shooting touch while the Penn State Nittany Lions lost theirs.
The result — a 72-49 Hoosier victory and Ferrell's career scoring night of 15 points.
"He can shoot," teammate Victor Oladipo said. "It was in his head at first. He's starting to realize he can shoot."
Wednesday's realization came from work, which has been the foundation of the No. 7 Hoosiers' surge to national title contention.
"It's just getting in the gym and getting with these guys," Ferrell said, referring to Oladipo and fellow teammates Jordan Hulls and Will Sheehey. "They have a tremendous work ethic. They pull me along with them to get extra shots off. That's what we're always doing after practice."
Ferrell entered the game averaging 6.6 points and 34.9 percent shooting, 24.2 percent from three-point range.
But against Penn State he morphed into Hulls. He hit six of seven shots, three of them beyond the arc, to better his previous scoring high by two points. If the cost came in his assist numbers (he had just two assists, less than half his season average), coach Tom Crean wasn't sweating it.
"Yogi did an excellent job shooting," Crean said. "You could see it (Tuesday)."
Penn State coach Patrick Chambers was worried about Christian Watford and Hulls from the perimeter, and the Nittany Lions held them to a combined 18 points.
"You think, with that, our team really has a chance," Chambers said.
It did not.
Ferrell was a big part of that.
"I was just taking what the defense was giving me," he said. "Vic found me, especially in the second half. I was open and I shot it."
Added Oladipo: "A lot of the plays I was coming off and they were just leaving him. I won't not kick it to him. He knows that. It's hard for him to miss when the confidence gets flowing."
It was a Hoosier night for offensive confidence.
Case in point:
*IU hit eight straight three-pointers in one stretch and finished 11-for-20, which was almost better than it shot free throws (21-for-37). The 11 three-pointers tied a season high.
*Oladipo went 2-for-2 from three-point range and scored a game-high 19 points. He shoots nearly 66 percent from the field, 55.2 percent from beyond the arc.
*Will Sheehey regained his shooting touch for 12 points. He'd scored a total of 14 points in his previous four games.
"Usually he's a good middle-range jump shooter," Chambers said. "(Indiana) has a lot of talent and you can't take away everything. You have to pick your poison. Sheehey hit some threes to open everything up."
*After four straight mediocre second halves, IU dominated the final 20 minutes, scoring 39 points on 58.8 percent shooting.
Yes, that mattered.
"It's a big emphasis on our team," Oladipo said. "It seems like everybody in the country thinks we don't have good second halves. That's their opinion. That's fine. That's what they see.
"At the end of the day we'll do whatever it takes to finish strong. We're not trying to beat Penn State, we're trying to beat everybody in the country. We've got to realize that and it will help us down the road."
The Hoosiers thrived despite an offensively ineffective Cody Zeller. He was 0-for-4 from the field, 2-for-4 from the line for a season-low two points. His previous low was six points against Georgia. He did have eight rebounds and three blocks in 21 minutes.
"Cody did a lot of other things to impact the game," Oladipo said. "That's why he's such a great player. He might have had a slow offensive night, but he still had 10 deflections. He played tremendous defense. He rebounded. He's doing what it takes to win."
IU guard Maurice Creek returned to action after being out since the Dec. 15 Butler game with a foot injury. He didn't score, going 0-for-2 from the field, but at least he played.
The Hoosiers improved to 17-2 overall, 5-1 in the Big Ten. They are a half game behind No. 13 Michigan State in the conference standings.
Penn State is 8-11 and 0-7.
Indiana's defense dominated. It was the second time it held a team under 50 points. Sam Houston State had 45 in late November.
IU controlled the first half. The offensive catalyst was Ferrell, who scored five early points as the Hoosiers bolted to a 7-0 lead, built leads as large as 15 and led at halftime 33-19.
The Hoosiers scored the first eight points of the second half to go ahead 41-19.
The rout was on.
Now the schedule gets tougher. Big Ten leader Michigan State comes to Assembly Hall on Sunday. Then there's a trip to rival Purdue next Wednesday. And then comes a Feb. 2 showdown with No. 2 Michigan.
"We have a hard stretch coming up," Crean said. "Next week is three games and every game will be an absolute battle."
More Information
Up nextTipoff: Michigan State at Indiana, 1 p.m. Sunday
Online: For more on Indiana athletics, follow Pete DiPrimio via Twitter at pdiprimio.


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|June 8, 2005
Volume 7, Issue 12
|Midwifery Today E-News
"Physiology of Second Stage"
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In This Week's Issue:
Quote of the Week
"For the first-time mother, second stage is the fulcrum upon which her life will turn forever in a new direction."
— Robin Lim
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The Art of Midwifery
Encouraging women to push before they have the urge can lock a baby into deep transverse arrest. The lack of an urge to push, or the lack of "effective" pushing urges can be the result of poor positioning of the baby's head. Coached pushing may simply make things worse.
— Prolonged Labor Handbook, A Midwifery Today book
ALL BIRTH PRACTITIONERS: The techniques you've perfected over months and years of practice are valuable lessons for others to learn! Share them with E-News readers by sending them to email@example.com.
News Flash
Press Release: FDA Alert on Cytotec
On May 16, 2005, the FDA issued an FDA Alert on the risk of Cytotec (Misoprostol) when used in labor and delivery, which states:
"This Patient Information Sheet is for pregnant women who may receive Misoprostol to soften their cervix or induce contractions to begin labor. Misoprostol is sometimes used to decrease blood loss after delivery of a baby. The FDA does not approve these uses. No company has sent the FDA scientific proof that Misoprostol is safe and effective for these uses.
"There can be rare but serious side effects, including a torn uterus (womb), when Misoprostol is used for labor and delivery. A torn uterus may result in severe bleeding, having the uterus removed (hysterectomy), and death of the mother or baby. These side effects are more likely in women who have had previous uterine surgery, a previous Cesarean delivery (C-section), or several previous births."
The FDA Alert makes it clear that 1) Cytotec should not be used for labor induction 2) BUT that, if it is to be used against this FDA recommendation every woman receiving Cytotec for induction has the right to fully informed consent which must include the risks listed in this FDA release. Failure to provide a woman with ALL the information regarding the side effects of Cytotec (Misoprostol) when used for the induction of labor denies the patient the right to give her fully informed consent and may result in serious legal exposure to those health care providers as well as needlessly jeopardizing the health of the mother and her child.
The TOFM Foundation petitioned the FDA in November 2004 to issue a more comprehensive advisory regarding the dangers of Cytotec (Misoprostol). The TOFM Foundation applauds the action of the FDA, yet there is more that must be done to alert physicians, nurses, hospitals, pharmacists and patients related to potential catastrophic outcomes that can occur when Cytotec (Misoprostol) is used for inducing labor and/or ripening the cervix.
The FDA Alert on Cytotec can be found at: http://www.fda.gov/cder/drug/infopage/misoprostol/default.htm
— Tatia Oden French Memorial Foundation http://www.tatia.org
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Research to Remember
A Texas Tech University Institute of Environmental and Human Health study of breastmilk from 36 women in 18 states has concluded that perchlorate, a toxic component of rocket fuel, most likely contaminates breastmilk in "virtually all" women. An average concentration of 10.5 micrograms per liter was found in the samples. Health experts say infants and fetuses are the most vulnerable to the chemical's effects. Perchlorate blocks iodide and inhibits thyroid hormones, which are necessary for normal brain development and cellular growth of a fetus or infant. Impaired thyroid development may preclude neurological defects and attendant learning disabilities. Members of the research team recommend that pregnant and nursing women block the effects of the substance by taking iodine supplements.
— Environmental Science and Technology, February 2005
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Physiology of Pushing
Reviewing the basic physiological facts about the body's miraculous birthing mechanisms is an excellent first step in rebuilding our trust in second stage.
The Uterine Muscle: Sensations from the uterus during labor are communicated on two pathways to the brain. Visceral (organ) pain is carried by the hypogastric nerves, which are part of the sympathetic nervous system. One theory is that the source of pain impulses carried on these nerves, such as cramping with menstruation and labor pains, is the result of hypoxia in the muscle itself when blood vessels are compressed. This is similar to angina in a heart muscle. The second pathway involves sensations carried on nerves located directly on the surface of the uterine muscle, broad ligaments, fallopian tubes and so on. These nerves communicate to the central nervous system in the spinal cord at T-11 through L-1 and after translate into referred pains in the lower back and/or sides. It is in first stage in particular that these two types of pain seem to dominate.
The Cervix: Specialized nerve endings called "stretch receptors" are located throughout the body to communicate changes in tone, volume and tension. The stretch receptors located in the lower uterine segment and cervix probably account for the complex variety of sensations that accompany the end of first stage. These messages are carried by the somatic nerves which, in effect, become "louder" than the earlier sensations of the hypogastric nerves as the presenting part stretches the cervix to its greatest capacity just before "slipping through" into the birth canal. This stretching also causes the pituitary gland to release more oxytocin, leading to the long duration and close frequency of contractions at the end of first stage.
The Resting Phase: It is at the nexus between first and second stages that the phenomenon known as the "resting phase" can occur. Once the presenting part has passed through the cervix and into the birth canal, the uterine muscle may require a period of readjustment to the decreased volume within its walls. This requires the muscle fibers of the upper uterine segment to shorten and thicken even further (a process which has been occurring slowly all during first stage). Not until this process of "taking up the slack" has been completed will the positive feedback loop of contraction-descent-stretch-increased oxytocin-more contractions resume. Also called the "latent phase," this period may involve a decrease in both the timing and intensity of contractions during which the mother may rest or even sleep. This phase has been estimated to last about 10 to 20 minutes. However, empirical evidence among midwives includes descriptions of women resting/sleeping as much as two hours or more, waking with an active pushing urge and delivering their babies soon after.
The Birth Canal: Critical to moving from the latent phase into an active phase of pushing is the position of the baby within the birth canal. Unless there is direct contact with the pelvic floor, there may be little or no maternal urge felt. Studies have found no significant difference in speed of delivery when mothers are made to push at this time versus waiting for the urges of the active phase. What has been found is an increase in strain and damage to the muscles of the vagina and perineum and the uterine support ligaments.
The Contractions of Second Stage: After the resting phase, should one occur, contractions will again increase in intensity, frequency and duration. During this period uterine contractions have two distinct qualities. First, there is the contraction itself that occurs as a rise in uterine muscle tone to a peak, which then declines to a resting state. This bell-shaped contraction results in intrauterine pressures of 70 to 80 mm/Hg at its peak. Superimposed on these, and unique to second stage, are a series of additional surges lasting about five to seven seconds each and occurring three to five times within each contraction. During the surge an additional 70 to 80 mm/Hg of pressure is added. Compare this potential for pressures of 140 to 160 mm/Hg in second stage to the average of 40 to 60 mm/Hg total in first stage contractions and a resting tonus of 8 to 12 mm/Hg between contractions. It is presumed these surges reflect the addition of abdominal muscle contractions bearing down on the uterus.
Stretch Receptors and the Urge to Push: Stretch receptors again play an important role as the baby's presenting part moves into the birth canal. Receptors in the wall of the vagina, the rectum, and ultimately, the perineum communicate the pressure of the baby's presence, especially during these surges. It may be that a combination of the uterine surges, increased abdominal pressure and activation of these sensors translates into the "overwhelming urge to push" described by many women.
The "dance" of these various stretch receptors may account for those rare instances when women report no urge to push. Most often, these situations are more likely due to a failure to recognize that the mother is in the resting phase and will eventually feel the urge if empowered to trust her body and wait. However, it is also conceivable that in some women, these stretch receptors may be "turned down." We know that repeated ignoring of messages from the bladder, which communicates our need to urinate by way of stretch receptors, results in diminished signals; that is, if we don't empty our bladder when our body tells us, it eventually stops telling us. It may be possible that in some mothers, prior history or simply the anatomical changes of pregnancy in the vaginal and rectal area could result in this "turning down" phenomenon.
Vaginal Wall Involvement: Most birth practitioners have a clear image of the disadvantages of active pushing before the presenting part has cleared the cervix. The possibility of cervical edema or tearing or damage to the transverse cervical ligament is obviously to be avoided. Once second stage has started, there is a parallel issue to be considered involving the anterior wall of the vagina. The baby's downward movement during second stage can cause an anterior vaginal fold to descend in front of the presenting part. This can produce a shearing action that may result in damage to the bladder fascia with potential complications such as incontinence and bladder prolapse. It appears that the normal mechanism that can prevent this occurs at the start of the contractions, before the surges are felt. The musculature of the vagina, along with that of the uterus, draws up and tightens the lining of the birth canal, or vaginal mucosa. This provides a taut surface against which the baby may slide downward. When women are told to push immediately at the onset of their contractions, this important pulling up of the vaginal wall may be prevented, leading to possible damage and actually slowing progress in the descent.
Maternal and Fetal Oxygenation: Finally, there is the critical consideration of oxygen delivery to mother and baby during second stage. When the bearing-down effort involves breath-holding and closing the glottis, also called Valsalva's maneuver, the result is an increase in the mother's intrathoracic pressure. This pressure in the chest causes a sudden drop in venous blood return to her heart, which decreases the volume of blood available to circulate to the lungs, pick up new oxygen and leave the heart (cardiac output). This leads to lowered arterial pressure, which is the force responsible for the delivery of the oxygen-bearing blood to the placenta. The baby receives less blood from the placenta, and his or her oxygen supply is thus diminished. Maternal arterial pressure decreases dramatically relevant to the length of time closed-glottis pushing continues. The effect on the infant is made more dramatic by the fact that during all this, the mother is also holding her breath and not taking in any new oxygen. Thus, the blood that actually can reach the placenta and baby may not be adequately saturated with oxygen. A final factor to take into account is that above pressures of 50 to 60 mm/Hg, uteroplacental blood flow ceases. This means that the baby will receive no new oxygen during the surges and at the peak of the overall contraction, a physiological fact they are well designed to compensate for. However, what may be more difficult to tolerate is a drop in arterial pressure and saturation as soon as the contraction starts that continues throughout and beyond the last of these natural surges. It is ironic that incidences of fetal hypoxia are cited as a major rationale for both limiting the length of second stage and for trying to hurry it up with aggressive pushing techniques.
— Mayri Sagady, excerpted from "Renewing Our Faith in Second Stage," The Second Stage Handbook, a Midwifery Today book
THE SECOND STAGE HANDBOOK can be ordered here
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Jan Tritten's editorial from the brand-new issue of Midwifery Today is now online:
Read this review now online:
Forum Talk
I am a student midwife, and we are currently talking in class about assessment of risks for women who smoke during pregnancy. Do you accept [as clients] women who smoke or have smoked during part of their pregnancy? If they were smokers who stopped as soon as they found out they were pregnant, would you take them on? How about if they were still smoking by time they had the first prenatal visit but seemed open to quitting or cutting down?
I personally would not feel comfortable at this point accepting a woman who was still smoking at the first prenatal visit unless she really wanted help quitting and felt that quitting was really important for the health of her baby. Please share your opinions and experiences.
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Question of the Week
Q: How long do you normally stay after a homebirth, and do you leave written instructions (guidelines so parents know what's normal for both mom and baby) with the couple? What things do you look for (e.g., mom urinating, baby nursing well, etc.) before you leave?
— Anon.
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Question of the Week Responses
Regarding double footling breech [Issue 7:11]:
A: Your physician is correct. At the stage that you describe, it is likely that pressure from the head is occluding blood flow through the umbilical cord. This situation will rapidly result in fetal hypoxia and poor neonatal outcomes. The appropriate management of this situation is to deliver the arms (by sweeping them forward/midline/+down across the chest of the baby; remember which way baby arms bend) and then to deliver the head by maintaining it in a *flexed* position. There are several variations of the maneuver to accomplish this task; look under the names Mauriceau-Smellie-Veit. The most important thing is to keep the fetal head flexed (do not pull the baby downward). William's Obstetrics has a nice chapter (Ch. 22) about breech delivery, with good pictures.
Most practitioners do not recommend delivery of vaginal breeches if at all avoidable because of the risks of hypoxia and neurological deficit, which approach 20% according to most research studies. However, every birth practitioner should be familiar with the maneuvers in the event that they walk into the situation you describe.
— Raquel, CNM
A: Did you deliver this baby or did you catch it? If the baby is on the way out, wouldn't the mother's body and natural process answer the question?
— Nikki Lee, RN, MS, Mother of two, IBCLC, CCE
A: The obstetrician is correct. You did the right thing. You must be a wonderful nurse to have acted so adequately. Hope the baby was well.
— Simone Valk
Regarding uterine prolapse [Issue 7:8]:
A: In Traditional Chinese Medicine terms, any type of prolapse (uterine, hemorrhoids, etc.) is due to qi deficiency in the Spleen Organ System and can be treated through herbs and acupuncture. This will help tonify the supporting muscles and the organ. Strengthening the qi will help "lift" the organ back into place. Find someone trained in Traditional Chinese Medicine, not just acupuncture, for the best all-around care.
— Kristen
Editor's Note: Responses to any Question of the Week may be sent to E-News at any time. Write to firstname.lastname@example.com. Please indicate the topic of discussion *and the E-News issue number* in the subject line or in the message.
Stillbirth after Cesarean:
Since the famous Gordon Smith article in the Lancet in 2003* that analyzed 120,000 singleton second births, it is well-known that a previous cesarean section causes an unexplained stillbirth - in the next pregnancy in 1 in 1000 pregnancies. Women are not informed of this fact when they sign the consent for cesarean section.
Since there are 1 million cesareans per year in America, all of them lacking proper informed consent, I am looking for women who are willing to join a class-action suit for damages that resulted from lack of informed consent.
Conservatively, 120,000 women have another pregnancy after the cesarean, which results in 120 unexplained stillbirths (not the result of birth defects, diabetes, high blood pressure, etc.) in America per year. Even 10 or 20 angry women with unexplained stillbirths following a cesarean will compose an impressive class-action suit.
I am hoping to interest women who have experienced stillbirth after cesarean in joining a class-action suit that will change the current trend of increasing cesareans (27.6% in 2003) or at least improve informed consent.
— Judy Slome Cohain, Certified Nurse Midwife firstname.lastname@example.com
*Cesarean section and the risk of unexplained stillbirth in subsequent pregnancy. Lancet 2003; 362: 1779–84.
I would like to respectfully disagree with Alison Osborn's position on client education in her article "Keeping Birth Normal" [Issue 7:10]. While I understand her concern about creating fear where it is not necessary, I find that failing to fully explain each symptom and possible cause is robbing the client of the potential to take some of the responsibility for her prenatal care.
I also have a problem with Alison's statement regarding transferring during labor: "My discussion of emergencies is limited to telling my client and her partner that I'll make the decision to transport if needed. I tell them I will inform them about what is going on, I will call the hospital…"
It is attitudes such as this that have created a need for women to leave traditional medicine and empower themselves by taking charge of their bodies and their births through midwifery care. The message given by the "I will decide" statements is very similar to the mindset of traditional medicine. This is why we have so many unnecessary c-sections. The doctor "decides" that it is necessary. I am not saying that Ms. Osborn is promoting unnecessary interventions, but I feel she is underestimating the intelligence of most women by not fully educating them and giving them a role in the decision-making.
It is my opinion that women should be given *all* the information regarding possible complications, and then be allowed to decide what route is best for them. If there is a strong disagreement between the midwife and her client in the manner that a potential complication should be handled, then perhaps the two are not compatible and should part ways before the birth.
— Tina Henry, doula
I have a client whose last pregnancy was twins. She started labor at 35-1/2 weeks, so she decided to go to the hospital. The first baby was vertex and was birthed easily and beautifully within minutes of arriving to the hospital. There was no obstetrician on staff, just a resident doctor, who upon seeing the second baby coming breech, flipped out. He instructed the woman not to push and forcibly held the baby in for 18 minutes to wait for the OB. Finally, a nurse who was more experienced than the doctor told him to just let the baby come. The baby needed lengthy resuscitation and still has some effects of that apnea today at two years old.
Another client was breech at home, and we had the baby's scrotum and bottom on the perineum for hours. My mentor assured me that it was fine. The baby came in his own time with no problems. I think the moral of the story is let your moms do what they want. Pay close attention to your fetal heart rates and color. It's easy to confuse bruising with blue if the baby has been on the perineum for a while. But know that a mother, even with a breech, usually knows best how to birth her baby if we all just get out of her way.
— Andi
I used netsy cups years ago when I nursed my sons. They were wonderful. Where could I find them again? I have a niece who would benefit from them.
— J. Nuttall
I am writing a book for Mosby Publishing called Prenatal Massage: A Textbook of Pregnancy, Labor and Postpartum Bodywork. Along with A & P, massage technique and so forth, the book will contain case histories. I am looking for stories about working with pregnant, laboring, postpartum women
Full credit will be given in the text.
— Elaine Stillerman, LMT www.MotherMassage.Net email@example.com
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Midwifery Today: Each One Teach One!


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Seattle -- TC Global Inc., which operates 47 Tully's Coffee Shops, announced that it is a step closer to exiting from bankruptcy with the sale of its assets to Global Baristas, the investment group led by actor Patrick Dempsey, star of television's Grey's Anatomy.
Global Baristas was selected as the winning bidder late last night, with a bid of almost $10 million, at a private auction process on Thursday that included Starbucks Coffee and Baristas Coffee. Tully's filed for protection under Chapter 11 on October 10, 2012, closing 19 unprofitable locations.
"We are very encouraged and excited that Patrick Dempsey 's commitment to Tully's, to the company, the stores and perhaps most importantly, in keeping the members of Tully's family in place as they are today," stated Scott Pearson , CEO and President of TC Global, Inc. "This is a big win for Seattle."
The hearing where it is expected that the sale will be finalized takes place on Jan. 11 in Seattle.
Tully's Coffee currently operates 47 company-owned stores and 12 franchised stores.
Tully's said the sale of TC Global does not impact the wholesale and online Tully's Coffee business and brand, which were purchased by Green Mountain Coffee Roasters, Inc. in 2009.


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'"I'm a castaway from Phoenix who got a second chance when I was traded here," Briere said. "They believed in me, gave me the responsibility on and off the ice. As players, that's all you dream of, to have more responsibility. When they told me I would share the captaincy with Chris, after everything he's done in his career, not just in the NHL, but all over, to me that said they had a lot of belief in me. … For me, it's an honor to be mentioned with him, to be a leader of this team."'
You are here: Home / SabresBeat / Briere changes game, attitude with Sabres


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Construction Assistance Awards Announced
$185 million to be injected into state economy for local school projects
OLYMPIA — July 16, 2013 — Superintendent of Public Instruction Randy Dorn today announced the release of more than $185 million in capital construction money – made available by the legislature and approved by the Governor – to school districts throughout the state. The money, coupled with nearly $366 million in local school district funds generally available by capital bonds approved by voters in communities, will bring more than $551 million into the state's economy through school construction.
"This money serves two basic and necessary functions," Dorn said. "It helps improves our schools across the state, which helps our students. And it puts people to work, which helps the economy. I appreciate that the Legislature and Gov. Inslee helped make this happen."
A total of 16 districts are ready to begin or continue work on 21 new school buildings and school modernization projects.
The school districts funded this year are: Auburn, Bellingham, Blaine, Central Kitsap, Clover Park, College Place, Everett, Evergreen, Grand Coulee Dam, Olympia, Ridgefield, Selah, Spokane, Sunnyside, Tacoma and Woodland.
Approval for funding was determined by a number of factors, including specific school district criteria regarding enrollments, assessed property values, and existing inventory. Details of the application process can be found in the School Facilities Manual.
The state's school construction assistance program also includes approximately $767,000, which will fund public art allocations for new facilities.
For more information on school construction projects, visit School Facilities (OSPI).
About OSPI
The Office of Superintendent of Public Instruction (OSPI) is the primary agency charged with overseeing K–12 education in Washington state. Led by State School Superintendent Randy Dorn, OSPI works with the state's 295 school districts and nine educational service districts to administer basic education programs and implement education reform on behalf of more than one million public school students.
OSPI provides equal access to all programs and services without discrimination based on sex, race, creed, religion, color, national origin, age, honorably discharged veteran or military status, sexual orientation, gender expression or identity, the presence of any sensory, mental, or physical disability, or the use of a trained dog guide or service animal by a person with a disability. Questions and complaints of alleged discrimination should be directed to the Equity and Civil Rights Director at (360) 725-6162 or P.O. Box 47200, Olympia, WA 98504-7200.
Twitter | Facebook | Flickr
Nathan Olson
OSPI Communications Manager
(360) 725-6015
The OSPI Communications Office serves as the central point of contact for local, regional and national media covering K-12 education issues.
Communications Manager
Nathan Olson
(360) 725-6015
Updated 7/16/2013
Old Capitol Building, PO Box 47200, 600 Washington St. S.E., Olympia, WA 98504-7200 360-725-6000 TTY 360-664-3631
Contact Us | A-Z Index | Site Info | Staff Only | Education Data System (EDS)


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There are so many nice things to say about Joslyn from Miss Fitbliss that we don't even know where to begin. Her blog is beautiful and well-written. We love her healthy attitude about exercise and eating and just cannot get enough of her recipes! Head over to her blog and enjoy the humor and the lovely photography, but be sure to come back and read this great guest post!
Hi, I'm Joslyn from Miss Fitbliss, and I've been eating gluten free for a little over 2 years now after sudden allergic reactions to wheat. A vegetarian since the age of 11, I was a little apprehensive about having to cut yet another key group out of my rapidly shrinking food pyramid.
With a lot of creativity and a passion for cooking, I was able to comfortably find options for eating that have turned out delightfully good. And thanks to Bob's Red Mill, I now actually prefer the gluten-free versions of many dishes to the real deal.
This dish is my spin on Spicy Pad Thai. Although it's traditionally made with rice noodles, I prefer it with spaghetti squash instead for a nutrient rich, surprisingly delicious base that's free of grains.
Take a nice large spaghetti squash
Wield your sharpest kitchen knife
And take out your day's stresses on the innocent plant. Stab it multiple times then slide the whole thing on a baking sheet. Place it in the oven at 350 degrees for about an hour. Up the temp to 450 degrees for another 15-20 minutes after that, then cut open, discard seeds, scoop out the meat, and place in a bowl.
Take a gentler approach with your mushrooms. No violence required, just wash and scatter on a baking sheet. Drizzle a little olive oil over them. Let them join the squash in the oven for only about 30 minutes at 350 degrees.
Now time to make the sauce. If you like it hot put ½ teaspoon of cayenne in a mixing bowl. If you just want a tiny bit of heat, go with ¼ teaspoon.
½ teaspoon of sesame oil. Also add 2 ½ Tablespoons of safflower oil or olive oil or even sesame oil if you prefer its nutty taste to something more neutral.
2 teaspoons of vinegar.
2 Tablespoons of tamari or soy sauce or 1 scant Tablespoon of Bragg's Liquid Aminos
1 ½ Tablespoons of honey
1 ½ Tablespoons of peanut butter. I prefer chunky for a nice crunchy dish. Mix it up.
Now, time to assemble it all.
Rip up some fresh spinach and place at the bottom of a bowl
Place the hot or warm spaghetti squash on top.
Place your roasted mushrooms on top of the squash.
Now for the grand finale: spoon the spicy peanut sauce on top.
And distribute it evenly throughout the bowl. Bon Appetit!


text: This news item expired on 12/31/2012, so the information below could be outdated or incorrect. Do You Have Voter Registration Questions? As election time approaches, don't wait to make sure you are registered and make any address changes on your registration. The deadline to make any updates or to register as a new voter in Buncombe County is October 12. Find out the answers to the following voter registration questions in the Registering to Vote Section of the website: Am I already registered to vote in NC? Who can or who needs to register to vote? What are voter identification requirements? How do I and where can I register to vote? How do I change my voter registration? What are the deadlines to register to vote? When will I get my voter registration card? For more information you can call the Board of Elections at 250-4200.


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Telecommuting and Alternative Work Schedules
Gonzaga supports the concept of flexible work schedules and telecommuting, balancing department and position requirements with individual employee needs. Employees may request alternative work schedules through their immediate supervisor, who will evaluate the request in consultation with the area vice president and HR. Alternative work schedules and telecommuting can be used to attract and retain our employees by providing a work environment which is flexible and responsive to the needs of individuals. The resources below provide details and samples regarding telecommuting and alternative work schedules.
HR Quick Links
Mailing Address
502 E. Boone Ave.
Spokane, WA 99258-0080
Phone: 509.313.5996
Fax: 509.313.5815
Located at: 102 E. Boone Ave.
Office hours: 8am-5pm, M-F


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NetWellness is a global, community service providing quality, unbiased health information from our partner university faculty. NetWellness is commercial-free and does not accept advertising.
Thursday, September 21, 2017
Senior Health
Hot Weather and the Elderly
In the summer whenever there is hot weather they always say to check on seniors, people living alone, and people without air conditioning. I am all of the above. How do I know when hot weather is dangerous? I have never lived in a house with air conditioning, but I do have fans. At night I open all the windows and set a large fan in one window blowing the hot air out. It sucks the cool night air in throughout the house so it is quite pleasant by morning. Then I close up the house and cover all the windows during the day. It usually doesn`t get any hotter than about 80 or 85 degrees during the day even when it is in the 90s or near 100 outside. Is this dangerous? I drink plenty of water. This is how my parents lived and how their parents lived, minus the fan and none of them died of the heat.
You ask a very important question. Older people (65 yrs +) are more prone to heat stress than younger for several reasons:
Due to aging natural aging, older people do not adjust as well as young people to sudden changes in temperature.
They are more likely to have a chronic medical condition that changes normal body responses to heat.
They are more likely to take prescription medicines that impair the body's ability to regulate its temperature or that inhibit perspiration.
Air conditioning improves body comfort and safety during extreme hot weather. However, your note indicates you have lived with hot weather without air conditioning most of your life and are probably accustomed to it. However, there are a few things you need to consider to reduce the danger of over heating in extreme hot summer weather whether indoors or outside. Experts at the Center for Disease Control and Prevention (CDC) suggest the following:
These suggestions probably include many of the activities you are currently doing to keep your body from over heating but, just in case, I'm including them to increase your safety in hot weather.
- Drink cool, nonalcoholic beverages. (If your health care provider generally limits the amount of fluid you drink or has you on water pills, ask how much you should drink when the weather is hot. Also, avoid extremely cold liquids because they can cause cramps.)
- Rest.
- Take a cool shower, bath, or sponge bath.
- If possible, seek an air-conditioned environment. (If you don't have air conditioning, consider visiting an air-conditioned shopping mall or public library to cool off.)
- Wear lightweight clothing.
- If possible, remain indoors in the heat of the day.
- Do not engage in strenuous activities.
If you experience headache, confusion, dizziness, or nausea during extreme hot weather, it could be a sign of a heat-related illness and you will need to get out of the heat, cool your body down and rest.
Hopefully, this information is helpful.
Evelyn L Fitzwater, DSN, RN
Associate Professor Emerita
Associate Director of the
College of Nursing
University of Cincinnati


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Easy-to-feed cichlid crisps reduce food waste by up to 35%. The result is cleaner, clearer water. Highly digestible, concentrated crisps offer essential nutrients and protein. Uniform crisp size offers feeding consistency. Ideal for top and mid-water feeding Cichlids.
Please click on "More Information" for a feeding guide, ingredients, and guaranteed analysis.


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Dr. Penelope Ironstone
Associate Professor, Communication Studies, MA CAST
Contact InformationEmail: firstname.lastname@example.com
Phone: 519.884.1970 ext.3121
Office Location: 2-138 DAWB
Office Hours: W15: CS400tA: Tues. 1-2pm & by appointment | CS617A: Tues. 2-3 & by appointment
Languages Spoken
Dr. Penelope Ironstone is an interdisciplinary scholar with degrees in Directed Interdisciplinary Studies (B.A. Hons., Carleton University, 1991), Comparative Literary Studies (M.A., Carleton University, 1993), and Social & Political Thought (Ph.D., York University, 2001). Her current research project, "From Seasonal Flu to Pandemic Influenza: The Cultural Life of a Virus," is funded by the Social Sciences and Humanities Research Council of Canada. Dr. Ironstone is the English Language Book Review Editor for the Canadian Journal of Communication and is also Vice-President of the Canadian Communication Association. She sits on the Editorial Boards of Space & Culture: An International Journal of Social Spaces, Topia: Canadian Journal of Cultural Studies, and the Canadian Journal of Communication.
Supervisory interests include health, medicine, and risk communication, risk, media, and the politics of anxiety, public understandings of science, queer theory and cultural production, cultural theory and cultural studies, and governmentality.
Link to website:


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We all know what humidity is - it is the cause of the mold on the ceiling in the bathroom. Humidity is what happens to the bathroom mirror during a shower. Humidity is why we have an exhaust fan in the ceiling of the bathroom. Humidity is why a hot summers day in …Continue
Added by Don Ames on November 30, 2011 at 8:30am — 2 Comments
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In this page you can find list of Tanzania companies starting with "UZ": Tanzania companies and businesses starting with UZ, Tanzania corporations beginning with UZ, Tanzania businesses with UZ in the start, Tanzania LLCs with UZ in the beginning
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Talk here about the game.
Remember, do not talk about or even mention the word streame.
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Talk here about the game.
Remember, do not talk about or even mention the word streame.
So no tv for directv customers tonight?
I'll be watching screens tonight. It's a real problem for this team. Coach wasn't happy with the effort in Fargo.
Hopefully they do a little better than Wednesday, that's all I'm asking for.
Go Pacers!
Any updates on starters?
@MarkMontieth: Pacers starting lineup tonight: West, Mahinmi, Hansbrough, George, Augustin.
apparently he was wrong with Tyler. replaced with Green
games on 751 for direct tv customers
Is this even on the radio?
Edit: nevermind. Found the strea.... uh... audio on NBA.com.
NBA puts this out for their All-Access members which is free I think.
Last edited by MnvrChvy; 10-12-2012 at 07:19 PM.
Just a rotation to keep everyone healthy and fresh, I guess. Or are there any injuries?
for those watching the game, how's Paul doing? Already got 6 pts with 3/4 shooting...Looking good so far on paper
Watched Wednesday's game on League Pass; can't do the same today. ****ing NBA.
Looks like a very minor injury, at least. Thanks for the heads up.
Yeah... Brandon Roy doesn't have any game left...
We pursued him... He went to Minny because of a friend.
According to the stat line, West is having a good game.
"Look, it's up to me to put a team around ... Lance right now." Kevin Pritchard press conference
4 quick points for plumlee
Handles looked nice crossing up D-Will here.
Lou with range
I might have to lower my high expectations of the lineup of Plumlee, B.Hans, Pendergraph, Johnson, and Young.
Good stuff, that's gonna be huge if he can get guys off the dribble like that.


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SHEPHERDSVILLE - The final week of district play can answer all the questions pertaining to the upcoming post-season pairings in Class 5-A.
On the other hand, it might not answer very many questions at all.
Bullitt Central and Bullitt East are familiar with the later scenario as they went through it last year, not knowing who would be playing who and where until after the final Friday night of the regular season.
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In a last-ditch "fiscal cliff" compromise on Tuesday, lawmakers in the Senate and House of Representatives passed a bill that will raise some taxes for well-heeled investors.
Part of the tax increases will be on investment income for the top 2 percent of earners. Individuals earning more than $400,000 per year or couples making more than $450,000 will pay an increased rate on capital gains and qualified dividends, up from 15 percent to 20 percent.
Those same taxpayers are already facing a new tax on net investment income in 2013 as a result of health care reform and the new Medicare surtax. As a result of the Affordable Care Act, individuals earning more than $200,000 and joint-filing couples making more than $250,000 face a tax of 3.8 percent on the lesser of net investment income for the year or the amount that their modified adjusted gross income exceeds those income thresholds. Together with the increase in dividends and capital gains rates, investors now potentially face an 8.8 percent increase altogether.
"Investors who are subject to the increased taxes will have to evaluate their investments in 2013 to make sure that their after-tax rate of return is satisfactory," says CFP professional Michael E. Goodman, who is also a CPA and member of the American Institute of Certified Public Accountants' National Financial Literacy Commission.
It may not make sense to hold some types of investments this year if owning them could lead to an inflated tax bill.
"For example, in 2012 in the search for yield, a lot of people were overweighting dividend-paying stocks. Now, is this 8.8 percent tax on those dividend-paying stocks going to make them continue to be worthwhile?" says Goodman.
That's not all. The Bush-era tax cuts got rid of phaseouts on personal exemptions and itemized deductions, but they're back this year for some people. Specifically, joint-filers earning more than $300,000, heads of household earning $275,000, or individuals with incomes of $250,000 or more will be limited in the amount of exemptions they can claim or itemized deductions they can take.
"This will increase the net taxable income to portfolios such that there will be even a higher rate of tax on generic portfolio income -- perhaps not capital gains or qualified dividends, just interest income will be taxed at a higher rate now," Goodman says.
What do you think of the deal reached in Congress this week?
Follow me on Twitter: @SheynaSteiner.
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