text:
Amputee Residual Limb Volume Fluctuation
This study has been completed.
University of Washington
Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD)
Information provided by (Responsible Party):
Joan Sanders, University of Washington
ClinicalTrials.gov Identifier:
First received: July 9, 2010
Last updated: April 24, 2014
Last verified: April 2014
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- No Study Results Posted
- Disclaimer
- How to Read a Study Record
The goal of this project is a useful clinical instrument for diagnosis and treatment of residual limb volume fluctuation in individuals who use prosthetic limbs. One hypothesis to be tested is that the instrument effectively measures short and long term volume fluctuations in individuals with trans-tibial amputation. Another hypothesis to be tested is that when subjects add a sock or insert to the prosthesis residual limb volume decreases, and when they remove the sock or insert residual limb volume increases.
|Other: Monitored for limb volume
|Study Type:
|Study Design:
|Observational Model: Cohort
Time Perspective: Prospective
|Official Title:
|Measuring and Controlling In-Socket Residual Limb Volume Fluctuation
Resource links provided by NLM:
MedlinePlus related topics: Limb LossU.S. FDA Resources
Further study details as provided by Joan Sanders, University of Washington:
Primary Outcome Measures:
- Residual limb fluid volume [ Time Frame: 1 day ]
|Study Start Date:
|May 2010
|Study Completion Date:
|September 2011
|Primary Completion Date:
|September 2011 (Final data collection date for primary outcome measure)
|Assigned Interventions
Lower-limb amputee
Subjects with at least one lower limb amputated at the trans-tibial level
Other: Monitored for limb volume
Subjects are monitored for limb volume change using bioimpedance analysis
|Ages Eligible for Study:
|Child, Adult, Senior
|Sexes Eligible for Study:
|Accepts Healthy Volunteers:
|Sampling Method:
|Non-Probability Sample
Study Population
people with lower limb amputation that are ambulatory
Inclusion Criteria:
- trans-tibial amputees who have a regular prosthetist and who wear the prosthesis at least five hours per day.
Exclusion Criteria:
- Inability to ambulate continuously with a prosthesis (with or without the use of an assistive device such as a cane or walker) for 10 minutes indoors on a level walkway. 2. Inability to shift from horizontal to vertical posture in 30 seconds.
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: NCT01161238
Please refer to this study by its ClinicalTrials.gov identifier: NCT01161238
|United States, Washington
|University of Washington, Bioengineering Department
|Seattle, Washington, United States, 98195
Sponsors and Collaborators
University of Washington
Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD)
More Information
ClinicalTrials.gov processed this record on September 21, 2017
|Responsible Party:
|Joan Sanders, Professor, University of Washington
|ClinicalTrials.gov Identifier:
|NCT01161238 History of Changes
|Other Study ID Numbers:
R01HD060585 ( U.S. NIH Grant/Contract )
|Study First Received:
|July 9, 2010
|Last Updated:
|April 24, 2014
ClinicalTrials.gov processed this record on September 21, 2017


text:
Call for Nominations
University Governance Elections 2014
Call for Faculty Nominations
Collegiate Representatives to University Governance Committees
At-Large Representative to the University Judicial Board
Two At-Large Representatives to the Faculty Senate, 2014-2016
Accepted from March 1 to April 1 in writing to the Rules, Elections, & Bylaws Committee in the Faculty Senate Office—322 Wells Hall.
Eligible nominees include: Those members of the instructional/research staff whose regular assignment is instruction of students including those with release time for research and other professional personnel holding faculty appointment. Nominations should be made in accordance with the following rules and qualifications for membership:
University Committee Positions--Candidates for university committees may be self-nominated or nominated by another eligible faculty member. To be valid, a nomination must be made in writing and include the name of the nominee and the nominator, both of whom must be faculty with the respective College/School. Any eligible faculty member may nominate a faculty representative to the University Judicial Board. All position terms are for three years, 2013-16. Qualifications of faculty representatives to university standing committees may be found in the MSU Faculty Handbook.
One Representative to the University Judicial Board
College of Business
Academic Council
Academic Appeals Board
Promotion and Leave Committee
University Tenure Committee
College of Education
University Tenure Comittee
College of Health Sciences & Human Services (contingent upon academic reorganization factors)
Academic Council
College of Humanities & Fine Arts
Academic Council (2 positions)
College of Science, Engineering, & Technology
Academic Council
Academic Appeals Board
Hutson School of Agriculture
Academic Council
Promotion and Leave Committee
University Tenure Committee
School of Nursing
Academic Council (2 positions)
University Libraries
Academic Council
Faculty and Staff Insurance and Benefits Committee
Faculty Senate At-large Representatives--The membership of the Faculty Senate includes five at-large representatives, not more than two of whom shall be from any one college or academic division. The incumbents who continue through Spring 2014 are Rory Goggins, College of Humanities and Fine Arts, Misty Evans, Community College, and Paul Walker, College of Humanities and Fine Arts.
Candidates for at-large representative to the Faculty Senate may be self-nominated or nominated by a member of the Faculty Senate. To be valid, a nomination must be in writing and include the name of the nominee, the name of the nominator, and the term of office. No nominee will become an official candidate until his/her eligibility for office and willingness to serve has been confirmed by the Rules, Elections, & Bylaws Committee of the Faculty Senate.
Balloting—Unopposed candidates will be elected by general consensus of the Rules, Elections, & Bylaws Committee.
Resolution of Questions or Problems--The Rules, Elections, & Bylaws Committee of the Faculty Senate shall serve as the authority to resolve questions or problems with regard to the elections or the election process.

subset: commoncrawl


text:
Weather scuttles Cubs' games vs. Giants, D-backs
MESA, Ariz. -- New Cubs Park can handle up to 15,000 people, but it had a tough time with the rain Saturday.
The Cubs' Cactus League game against the Giants at the new facility was canceled because of rain and unplayable conditions, and the club's night game on the road against the D-backs also was washed out.
The afternoon game was the Cubs' second game at the new spring stadium, and a sellout crowd was expected. On Thursday in the opener, the Cubs drew a Cactus League-record 14,486.
The first pitch was scheduled for 1:05 p.m. MT, and the field was ready at that time, but heavy rains came just before 1 p.m. After the rain left, the grounds crew pulled the tarp and Cubs manager Rick Renteria surveyed the field. The game was then called.
Fans with tickets to Saturday's game can use them for a future Cactus League game at Cubs Park.
Travis Wood, who was scheduled to start, threw a two-inning simulated game at the Cubs' complex instead.
Edwin Jackson, who was scheduled to start Saturday night, will now start Sunday against the Royals in Mesa. He'll be followed by Carlos Villanueva. Jason Hammel, who was to make his first start for the Cubs on Sunday, now will pitch in a "B" game on Monday against the Angels in Tempe. Hammel, who was the Orioles' Opening Day starter, signed a one-year, $6 million contract with the Cubs after going 7-8 with a 4.97 ERA in 26 games (23 starts) for the Orioles last season.
Sunday's game can be heard live on Gameday Audio, with Pat Hughes and Ron Coomer having the call for WGN Radio.
Carrie Muskat is a reporter for MLB.com. She writes a blog, Muskat Ramblings, and you can follow her on Twitter @CarrieMuskat. This story was not subject to the approval of Major League Baseball or its clubs.


text:
The dairy industry has many cycles ― price cycles, production cycles, and even educational cycles. From an education standpoint, sometimes the pendulum swings toward business education and the numbers side of the business, and it eventually swings back to cow care and the science side of the business.
Each year, the PDPW Business Conference offers a wide variety of speakers for the business mind, for managing people, and for cow care. This year's conference, March 12-13 in Madison, Wis., includes five specialty sessions with special emphasis on the dairy cow ― how to care for her, the latest science around health and nutrition, and how to interact with her for peak health and productivity. "The wide variety of sessions focused on the cow will be helpful to a broad group of dairy professionals, from those just beginning their career who need to understand the basics of calf care or cow behavior, to seasoned herd managers who want the latest research and science," says Kathy Muth, dairy producer and PDPW program manager.
Among the 14 specialty sessions are these cow-centric programs, led by the dairy industry's foremost experts:
· Dairy Stocksmanship: Reconnecting People to Cows will be taught by industry-leading educator Don Hoglund. A new generation of dairy workers needs to learn animal behaviors that improve the interactions between people and cows. Many "I didn't know that" moments will come to light in this session, for experienced cow people and those who need to understand cow behavior better. Hoglund is adjunct assistant professor at the University of Minnesota and teaches applied animal behavior and handling at the College of Veterinary Medicine, North Carolina State University.
· Avoiding Heat-Stressed Cows with Cool Management will be taught by Jim Spain of the University of Missouri. From dietary management strategies to environmental cooling strategies, this session addresses the profit-robber on many dairies. Spain specializes in feeding management systems and computerized diet formulation and implementation of computerized DHIA records analysis.
· Stepping Up Calf Immunity and Controlling Bovine Respiratory Disease will share new research that helps you manage vaccinations to optimize calf health, led by Amelia Woolums from the University of Georgia. She is a faculty member in the Department of Large Animal Medicine with research interests in bovine respiratory disease (BRD), vaccination to control BRD, and immunity in the cow and calf.
· New Technologies to Improve Cattle Reproduction will be led by Paul Fricke, who will offer an overview of research assessing the value of new technologies that promise to improve reproduction in dairy cattle. Fricke is professor of dairy science at the University of Wisconsin–Madison with research goals to improve efficiency of dairy cattle through applied scientific research.
· Make Mom Proud: Understand the Early Life Factors that Impact Long-term Productivity of Calves. Michael Van Amburgh will share the latest research about the powerful signals a dam sends to the calf through colostrum, and offer practical information that can lead to positive profitable results for dairy animals. Van Amburgh is associate professor in the Department of Animal Science at Cornell University, where he has had dual appointments in teaching and research.
Fourteen specialty sessions and five keynote speakers will address the attendees, including an international panel of dairy producers. The conference theme is "RECHARGE," which is fitting for this annual educational event, as it has become known as the place where dairy producers reconnect with industry friends, rethink ways to handle on-farm tasks and business challenges, and plug in to industry issues that require dairy producer leadership.
New this year, dairy consultants, crop consultants and veterinary professionals attending select sessions of the 2013 Business Conference can receive continuing education credits through the University of Wisconsin School of Veterinary Medicine, as well as through ARPAS, the American Registry of Professional Animal Scientists. In addition, some sessions are approved for Certified Crop Adviser (CCA) continuing education units.
Details and registration information for the 2013 PDPW Business Conference can be found at www.pdpw.org, or by calling PDPW at 800-947-7379. The 2013 PDPW Business Conference will be held at the Alliant Energy Center in Madison, Wis.
Professional Dairy Producers of Wisconsin is a dairy-producer founded organization that provides educational programs and services to fellow dairy producers. PDPW's mission is "to share ideas, solutions, resources, and experiences that help dairy producers succeed."


text:
Of all the potential health risks found in a maintenance facility, a mechanic probably devotes the least concern to the ubiquitous cloth shop towel–yet it has become the focal point of controversy. The question is whether or not a clean, reusable cloth shop towel contains hazardous residues that can be transferred to the mechanic.
While the $463 million shop-towel industry serves more auto repair stations than aviation maintenance facilities, the number of shop towels used at each MRO facility is significantly higher, making aviation one of the heaviest users overall, according to Kevin Schwalb, director of government relations for the Textile Rental Services Association (TRSA) of Alexandria, Va.
Schwalb asserts that studies funded by proponents of disposable shop towels used flawed research to conclude that clean, reusable cloth shop towels present a health hazard to mechanics.
"They used a questionable research model to determine exposure to the minute amount of elements on a clean shop towel," Schwalb told AIN. While he does not dispute that there are trace elements on a clean shop towel, he says research has shown they pose no health risk.
"Our industry study is an actual health assessment using leachate analysis, which uses synthetic sweat to determine what, if anything, will actually come off the towel. We used the same research protocol as the disposables research project and tested towels from ten facilities.
"Our project was independent research conducted by the international environmental engineering firm Arcadis. It found either zero detectable risk from the transfer of the metals or a level that would be considered insignificant even by comparison to health-conservative values established by EPA," Schwalb said.
According to Schwalb, a standard cloth shop towel is taken away by the laundry, goes into a washing machine, then undergoes an internal treatment as required by the laundry's discharge permit. The water is then discharged to the sewer for further treatment by the sewer system.
"The government likes that system better than putting a soiled piece of paper in a landfill. For the most part, regulations have favored the laundering process because it is more controlled. The paper towel user will throw the disposable towel wherever he feels like throwing it, whereas the reusable shop towel is handled in an environmentally friendly fashion," Schwalb said.
"Reusable cloth shop towels have been used by millions of workers for more than 100 years with no indications that clean shop towels have any impact on worker health," said TRSA president and CEO Joseph Ricci. "By measuring leachate, and not simply relying on a modeling format, Arcadis realistically portrayed the minuscule amounts of metals that shop-towel users are exposed to, reaffirming our confidence there is absolutely no risk to users. We look forward to gathering more independent data using this comprehensive protocol to increase confidence that clean reusable textiles pose no health risks." The TRSA plans to expand the research beyond the initial sample of shop towels by doubling the number of locations tested to 20.
Tim Reader (not verified)
July 16, 2012 - 12:02pm
Worker safety is of paramount importance to Kimberly-Clark Professional. We are committed to accurately informing workers about safety topics, so they can make educated decisions on the job. The TRSA Arcadia study confirms and builds their research based on the existence of metals on laundered shop towels. Kimberly-Clark Professional hopes the test methodology and results will be made publicly available; we call for complete transparency so that anyone concerned with this important topic can effectively analyze the findings.


text: Can some one explain where Tyler's open jump shot went awry? I seem to remember that shot as being money for the first season and 1/2, now suddenly he cannot buy one. I'm not referring to forced, defended shots, just the wide open PnP from the free throw line and circle. Mystery to me, but I'm not an expert on shooting. Can Keller not help him with his shot?


text: Girls' long-sleeve one-piece swimsuit in colorblocked stripe Item G5003 Color: SAPPHIRE MULTI Size: All sizes are US sizes. 2 10 12 14 16 Size Charts Quantity: 1 2 3 4 5 6 7 8 9 Prices do not include taxes. Add to Bag Wishlist Add to Bag Add To Wishlist share: size & fit Product Details Summer, here they come... Our supercute rash guards—like this colorblocked one-piece version—have a comfy fit and smart UPF 50 sun protection (think of it as SPF for clothes). Bonus: They're recommended by the Skin Cancer Foundation as an effective UV protectant—but we still suggest wearing them with sunblock for ultimate coverage. Nylon/elastane. This style features UPF 50 sun protection (think of it as sunscreen for your clothes). Lined. Hand wash. Import. Select stores. Item G5003.


text:
"I was taking pictures," he said. "Getting my 'Pirates of the Caribbean' on. It was fun."
No, this was not coach Tom Crean's way of team stress reduction from Big Ten battles. Oladipo had injured his right eye during Sunday's win at Northwestern and IU's medical staff didn't want any problems to arise on the plane ride back to Bloomington. He wore it during the flight, then took it off once the plane landed
The pirate look, it seems, doesn't quite fit the Cream and Crimson's candy-striped image, especially with Oladipo set to start tonight against Penn State at Assembly Hall.
"I'm good, man," Oladipo said. "It hurt for a little bit. It hurt (Monday), but it feels good now. I can see. That's all that really matters."
Oladipo sees well enough to understand that Penn State might be 0-6 in the Big Ten, but is not, say, the second coming of Bryant.
"It's the Big Ten, the best conference in the country," he said. "Just because they haven't won a Big Ten game doesn't mean they're not capable of it. Everybody in the Big Ten is dangerous. We can't take anybody lightly."
The seventh-ranked Hoosiers (16-2 overall, 4-1 in the conference) need a victory to stay within range of No. 13 Michigan State (6-1 in Big Ten play) and guarantee first-place implications when the teams meet on Sunday at Assembly Hall.
But that's for late consideration. The Hoosiers won at Penn State 74-51 a couple of weeks ago, understand the importance of a sweep and recognize that defense fuels everything.
"It's something we take pride in because we understand that defense is going to be necessary to win a championship," assistant coach Kenny Johnson said. "Whether it's a Big Ten championship or a national championship, we don't hide the fact those are our goals."
Tonight's game might feature more of forward Derek Elston and guard Maurice Creek. Both have been sidelined because of injury –- Elston with knee surgery, Creek with a foot problem.
Elston did play one minute against Northwestern and received a standing ovation from the large IU crowd at Welsh-Ryan Arena. He's only played five games this season and averaged 1.0 points and 1.8 rebounds.
The oft-injured Creek hasn't played since December's Butler game. He averages 3.0 points and 1.6 rebounds in 10 games.
"Maurice is just coming back and has not had any full practices yet," Crean said. "He was available (for the Northwestern game), but that wasn't the time nor the place. That's coming and should be this week.
"Derek had not practiced until Friday. He had a tough week not being where he needed to be health-wise.
"We put him in (against Northwestern). He didn't do a bad job, but when they were to that zone and you haven't played in a long time, I didn't want anybody tentative in that situation.
"It will be good for him to be able to help us this week. We'd like to get them both integrated back to where they can be an integral part of the game for us."
Penn State continues to struggle after the season-ending injury to guard Tim Frazier. The Nittany Lions are 8-10 overall.
Guard D.J. Newbill leads the Nittany Lions in scoring (15.3 points) and averages 5.9 rebounds. Guard Jermaine Marshall averages 15.2 points and 4.5 rebounds. Forward Ross Travis averages 7.0 points and 7.2 rebounds.
Penn State coach Patrick Chambers has struggled in his attempts to rebuild the program. Crean knows the feeling, having endured three straight 20-loss seasons before turning things around last season.
"The biggest thing you have to have is patience," Crean said about his rebuilding effort. "It's having patience and perspective. Make sure you stay with the vision you have, even when others don't see it, even when the players have trouble grasping it.
"Pat does an incredible job in getting his identity to his team. They never stop playing hard and competing. He has some talented guys who are figuring each other out. They need to have energy and hope. When those things happen, then the confidence will come. It's just a matter of time."
As for the Nittany Lions' poor Big Ten start, well, it doesn't ease forward Cody Zeller's concerns.
"They're always confident," he said. "They play like they're on a five-game winning streak."
More Information
Up nextTipoff: Penn State at Indiana, 7 p.m. tonight
Online: For more on Indiana athletics, follow Pete DiPrimio via Twitter at pdiprimio.


text:
Moderators: Timko, Fritz, Solty, Booter, Blake_T, Frank Delicious
AciDBatH666 wrote:Cool beans. Glad to see ppl getting stuff out of it.
Took me like, 30 minutes to do the dye, from start to finish. LOL. And nearly 3+ hours just for the write up
I know its a TON of information to absorb, but I tried to get all the small details in there that would help someone out. Because I learned everything from my own trial and error, and if I can help someone learn faster then my goal's been reached.
I'll be editing it with more details as they come to my head.
The Euphoric Nightmare wrote:Lil tip for placeing and extracting the disc from the dye bath.
That excess contact paper you've cut away.
Cut out 3, 1" wide x 5" long, strips.
Peel the strips.
Then place them onto the back of your disc starting from the rim going so they meet in the center, in a tripod fashion.
Press them together and press them down unto the disc.
You've now a handle that'll make it much easier to to place and remove the disc from the bath.
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text:
50°18' / 24°56'
Translation of Zawidcze from:
Sefer zikaron le-kehilot Radikhov
Edited by: G. Kressel
Published in Tel Aviv, 1976
JewishGen, Inc. makes no representations regarding the accuracy of
the translation. The reader may wish to refer to the original material
for verification.
JewishGen is not responsible for inaccuracies or omissions in the original work and cannot rewrite or edit the text to correct inaccuracies and/or omissions.
Our mission is to produce a translation of the original work and we cannot verify the accuracy of statements or alter facts cited.
Translated by Shuki Ecker
The village of Zawidcze was the center of all surrounding villages, to which Jews from all these villages were drawn, and if there were villages further than the distance allowed for walking on the Sabbath, an eruv (symbolic merging of two areas) was made, to avoid desecration of the seventh day. The younger people, who did not mind slight offences, did not mind this one either, and they used to come to Zawidcze on Saturdays and holidays to spend time together. People used to come from the villages of Wolica, Nowostawce, Uwin and Barylow.
The earliest residents in Zawidcze were Reb Shimon Gruber and his wife Sara Riva. By the time our family came to Zawidcze in 1910 Reb Shimon Gruber had already passed away.
In hardship and poverty, in Zawidcze, lived a Jew named Reb Yaakov Brandesiwker. He was highly admired and honored in the village. In spite of his poverty he knew all sorts of ways to help others when they were in trouble. His son-in-law Reb Yudl Gruber, one of the first settlers in Zawidcze, was a distinguished scholar [of Jewish law]. He too labored hard to support his large family.
A respected and revered Jew among the early residents of Zawidcze was Reb Avraham Saphier, a clerk for the forestry companies, running their businesses with exaggerated, unnecessary meticulousness and pedantry. He was knowledgeable in religious laws, and could rule on issues of daily life such as removal and selling of chametz (foods not permitted on Passover), eruv tavshilin (permission to prepare meals for the Sabbath), times of lighting the candles, etc., thus helping the rural community keep and uphold religious law. Woe to the man who did not follow religious law in accordance with his instructions. Some of his children immigrated to Canada, others left the village in 1924 and moved to Brody.
In 1905 the family of Reb Binyamin Kardiman came to Zawidcze. He bought the local estate from a Pole, and the Jews were fortunate to have one of their own as landowner. At that, the community grew to include a large and extended family. My parents, the Bernsteins, were the last who came to Zawidcze before the First World War. It was in 1910. My father was born in Sokal and was educated there together with the son of the then Belzer Rebbe. It was hard for my parents to leave the town and adapt themselves to country life but their business in that region demanded that. My father, with his brother, my uncle Reb Hersch Bernstein from Szczurowice (Schterwitz), had some business in the area. Me and my oldest brother Elimelech stayed to study in Szczurowice, where we lived at the house of grandfather Reb Nachum and grandmother Rachel.
I reflect upon my hometown of Schterwitz with much respect and admiration. Dear memories from that time were etched in my memory. God-fearing and wholehearted were the Jews of Schterwitz. At four in the morning before dawn, you could already find Yekutiel Moshe in the bet midrash. That was the time I found him with the Gemara at hand, immersed in some issue or another. Despite that you could interrupt him at all times: ask a grave question nagging at your mind, and he would willingly explain and resolve, inquire once and then again whether you had indeed understood and grasped his meaning, if not he was willing to repeat it again and again. Also like that were Reb Hersch Grymaliwker, and Reb Avraham Chaim son of Naftaly. I was enlightened by all my teachers from the beginners' melamed Reb Hersch to the teachers of Bible, Mishna and Gemara. It should be noted that in our town Schterwitz it was the custom not to teach the children the later Prophets [of the Bible], only the early Prophets.
I will turn back to Zawidcze then. From 1919, after the First World War, till 1930, I used to visit Zawidcze only from time to time, on vacations, but I was informed of what occurred in the village and followed the course of events. After the war the community grew by a number of families and adolescent youth. The youths' lives were dynamic and very active. A drama class was formed, which was very successful and also attracted the Jewish youth from nearby villages. These young people seemingly held national and Zionist views, but it did not come to fulfillment and aliya. None of these youths performed aliya. I too gave up an immigration licence for a friend. On the face of it there were reasons that made me do it. But these hardly qualified as valid and justified reasons that could not be overcome. Only in 1928, after the death of my father was the road to aliya opened to me. This was also the will of my father, who once told me: By your present standing you needn't go anywhere. But if you will go then the only option in my view would be the road to the land of Israel. I carried that out to the letter, and in 1930 I made aliya.
I myself did not witness the Holocaust of our people under Hitler, may his name be erased. I did not feel on my flesh the wrath of the oppressor. But my soul weeps for the loss of the lives of our dear ones. May these few pages serve as their memorial, in memory of the Jews of Zawidcze, who perished in sanctity and purity.
Victims from Zawidcze
JewishGen, Inc. makes no representations regarding the accuracy of
the translation. The reader may wish to refer to the original material
for verification.
JewishGen is not responsible for inaccuracies or omissions in the original work and cannot rewrite or edit the text to correct inaccuracies and/or omissions.
Our mission is to produce a translation of the original work and we cannot verify the accuracy of statements or alter facts cited.
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Copyright © 1999-2017 by JewishGen, Inc.
Updated 3 May 2013 by LA


text: 'It went from enjoyable to work' By Tommy R. Atkinson July 30, 2013 Story Share CHARLESTON, W.Va. -- The rigors of putting together a state-championship-caliber boys soccer team at Hurricane High School year in and year out finally took its toll on Jim Dagostine.The 65-year-old coach, who spent seven years guiding the Redskins to unprecedented heights that peaked with last year's Class AAA state championship, turned in his resignation the week before the June three-week practice period began."I've given my very best almost daily,'' said Dagostine, who began coaching when he was 21 at Poca High and has taken six different sports teams to the state tournament. "It's been a 365-day-a-year job for me. There were very few days I didn't do something that was involved with that job."We would be done [with the season] in November. We would start weights three days a week in December. Then when June practice hit, for me that was it. We practiced the three weeks and then we ran five days a week until the season started. My season was actually June, July, August, September, October and November. It wore on you.''"The last few years [winning a state championship] almost became an obsession. When the Lord blessed us with a state championship it just became a relief. I always enjoyed preparing and all the other things. The games weren't fun for me. It went from enjoyable to work.''Dagostine also said that his priorities in life had always been God, family, coaching and players, and that order has been skewed the last few years.He is the grandfather of five: Owen Dagostine, 23, Boston Caruthers, 12, Xavier Caruthers, 10, Andrew Dagostine, 16, and Christian Dagostine, 8, and would like to spend more time with them. Jim Dagostine also has a son, Tim Dagostine, and daughter, Tiffani Caruthers."I'm sorry to say I haven't always had them in the right order,'' he said. "My grandkids have seen my teams play more than I've seen them. I'm not proud of that. I'm not saying I'm quitting coaching. I'm saying for right now I need to get some priorities in order.'' Hurricane saw its program blossom under Dagostine like never before. His first team in 2006 posted an 11-8-2 record, which was only the second double-digit win total in the 15 seasons prior.He posted a 127-22-12 record for an .826 winning percentage and led Hurricane to the Class AAA state tournament four times, including the school's first state title last year. The Redskins also advanced to the title game in 2007 and the state semis in 2010 and 2011.Hurricane's 2009 squad finished the regular season ranked No. 11 by the National Soccer Coaches Association of America and No. 44 in the ESPN Rise Fab 50. The Redskins, who lost to Huntington 2-1 in the sectional tournament and finished with a 20-1 mark, did not allow a goal in more than 1,600 minutes, the longest such streak in the nation that season among teams that competed in the fall.Hurricane racked up four 20-win seasons and three unbeaten regular seasons. The Redskins also captured four regional titles and two Mountain State Athletic Conference crowns (2009 and 2012) and competed in two other MSAC title games. The Redskins had 22 players earn first-team all-state honors from the state coaches association and currently have nine playing in college in either NCAA Division I (three) or II (six).Dagostine was named the National Federation Coaches Association Coach of the Year in 2008. He also led the Hurricane Middle School program for eight seasons prior to coming to the high school.Hurricane High also saw its soccer complex come to fruition under Dagostine with the construction of game and practice fields with bleachers and locker room facilities, which also benefited the girls program. "When I first took the job at the first meeting I said we would try and do three things,'' Dagostine said. "We'd build a first-class facility, we would take care of the players the best that we could, and that we would be competitive with the best teams in the state."The facilities are an ongoing thing, but quite frankly I think we have the best on-campus facility in the state when you consider the playing surface, practice field and dressing facility. It was done from scratch. Our players have six different uniform combinations.''Dagostine has been a lightning rod for criticism the last several seasons for using what opposing coaches and parents saw as an inordinate number of foreign-exchange students. "It was disappointing some of the things that were said and done,'' said Dagostine. "To not shake those kids' hand or to not give credit, that's disappointing."A kid can choose in ninth grade where he wants to go. If that's out there ... I didn't say anything when a kid was starting for us went to Winfield and then started his junior and senior year. To see [our players] put those things aside to make things work was one of the neatest things I've been involved in.''Dagostine said he's thankful for all the support he received while at Hurricane. "This wasn't about me,'' he said. "There are so many other people involved. I want to thank my Lord for giving me some good opportunities and putting me with some good people. I've made a lot of friends. I always got satisfaction out of working with the kids and seeing their success.''Derek Ragle, a former Hurricane High player and Dagostine assistant for three years, has been hired to take over the program. Ragle guided George Washington to last year's AAA girls state title game in his first season.Reach Tommy R. Atkinson at email@example.com or 304-348-4811. Story Share Story Share Trending Now 1 Obama pulled Zuckerberg aside to warn him about fake news on Facebook 2 Parole hearing set for Putnam man who claims wrongful sex assault conviction 3 Gazette editorial: Capito has second chance to do the right thing 4 Innerviews: Dual-identity surgeon riding high in horse racing world 5 Former State Police captain now chief in Winfield It's time for Holliday, Marshall to make mark Previous Story Roundup: Ritchie�s Snodgrass takes lead at West Virginia Women's Amateur Next Story


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|June 18, 1999
Volume 1, Issue 25
|Midwifery Today E-News
Print Page
Pass E-News on to your friends and colleagues—it's free!
Broaden your education in the United Kingdom and Jamaica! Make plans now to attend one or both these conferences: London, England, September 9-13, 1999 Evidence Based Midwifery Ocho Rios, Jamaica, December 2-6, 1999 Birth Without Borders--Weaving a Global Future For your copy of the printed programs send your full name and postal address to firstname.lastname@example.com.
If you or your organization would like to sponsor four issues of Midwifery Today E-News, write to firstname.lastname@example.com. Don't miss our special introductory price!
This issue of Midwifery Today E-News is brought to you by:
- Adoption
Look for their ads below!
In This Week's Issue:
1) Quote of the Week
1) Quote of the Week:
"Apparently God, who could make a tree, knew not how to make a perineum."
- Dr. Herbert Ratner
2) The Art of Midwifery
Do Nothing
Many birthing women experience a respite at the beginning of second stage. I believe their bodies are resting for the big push. My favorite trick is to do nothing and let Mother Nature give her the gift of rest. This in turn can prevent exhaustion, hemorrhage, and other problems women may have when they are told to push right at 10 centimeters. If hospital personnel would routinely recognize this resting phase, many moms would not be hastened toward delivery, nor would birth be increasingly engineered by the use of drugs.
- Jill Cohen
At Midwifery Today, we have lots of tricks up our sleeves! Purchase our two volumes of Tricks of the Trade and you'll see what we mean: Save $5 when you purchase both Tricks of The Trade. Volume I and Volume II. Only $40 plus shipping!
3) News Flashes
Closed Glottis Pushing There is no clear evidence that closed glottis pushing (Valsalva's maneuver) shortens second stage, decreases fatigue or minimizes pain. It has otherwise been suggested that bearing down for a prolonged period with a closed glottis alters the contractile pattern of uterine smooth muscle, leading to inefficient contractions and failure to progress. Studies suggest that consideration be given to encouraging women to believe in their ability to push the baby out of their own volition. A variety of studies published between 1992 and 1996 show that physiological effects of Valsalva's maneuver can include: impeded venous return; decreased cardiac filling and output; increased intrathoracic pressure; affected flow velocity in middle cerebral artery; raised intraoccular pressure; changed heart action potential/repolarization; increased artierial pressure up to 480/350 mmHg; increased peripheral venous pressure; altered body fluid pH, which contributes to inefficient uterine contractions; decreased fetal cerebral oxygenation.
- Nursing Times 95:15, April 15, 1999
4) Third and Fourth Degree Tears
In 1989, James M. Thorp and Watson Bowes, Jr. reported their review of the literature on episiotomy. They summarized twenty-five studies of how often third- and fourth-degree tears happened. In nearly 50,000 women who had episiotomies, 6.5 percent had third- or fourth-degree tears. In nearly 39,000 women who did not have episiotomies, 1.4 percent had similar tears. Women with episiotomies had almost five times as many severe tears as women without episiotomies. Thorp and Bowes concluded that routine episiotomy is not supported by the evidence, and "may well increase the incidence of third- and fourth-degree lacerations." [from "Episiotomy: can its routine use be defended?", Amer J of Ob & Gyn, 160(5), May 1989]
- Diana Korte & Roberta Scaer, A Good Birth, a Safe Birth, Harvard Common Press 1992
Midwifery Today is looking for a dedicated staff member to work full time on advertising, marketing and Internet activities. Must live in area of or move to Eugene, Oregon. Must be organized, outgoing and comfortable on the phone. Dedicated to helping Midwifery Today grow and flourish. Computer skills (PC) necessary. No benefits except job flexibility, knowing you are changing the world for mothers and babies, and working with wonderful women. Starting pay $8.00 per hour. Eugene has great alternative and birth communities with a midwifery school here and in Portland, study groups and all kinds of midwives, doulas and childbirth educators.
E-mail firstname.lastname@example.com
5) Length of Second Stage
[A] presumed benefit of episiotomy is to protect the baby from the adverse consequences of an extended second stage of labour, including lack of oxygen and trauma to the head, which has been said to lead to cerebral palsy and mental retardation.... The importance of the length of the various stages of labour and birth is still debated, raising doubts about the advisability of a policy favouring fast labour. Research that has tried to show that a longer second stage of labour is bad for the baby has failed to find this result or has been poorly designed, with questionable interpretation of results. Conversely, some studies suggest that speeding up the second stage may be bad for the baby but... data are insufficient. In summary, "There is no evidence to suggest that, when the second stage of labour is progressing and the condition of both mother and fetus is satisfactory, the imposition of any arbitrary upper limit on its duration is justified. Such limits should be discarded." (Sleep, J. et al, 'Care during the second stage of labor,' in "Effective Care in Pregnancy and Childbirth.") Studies of [cerebral palsy and mental retardation] suggest that they originate for the most part before labour and birth. Neither of the two clinical trials which looked at this issue found any evidence that episiotomy reduces trauma to the fetal head. No surgical procedure, even one that seems rather trivial to the people who perform it, should be widely used without convincing evidence of benefit. As yet, no published study adequately proves the claimed benefits of episiotomy.
- Marsden Wagner MD, Pursuing the Birth Machine, Ace Graphics 1994
6) Episiotomy: Its Ritual Function
[Medical anthropologist] Robbie Davis-Floyd observes that surgery holds the highest value in the hierarchy of Western medicine, and obstetrics is a surgical specialty. Episiotomy transforms normal childbirth--even natural childbirth in a birthing suite--into a surgical procedure. Davis-Floyd also points out that episiotomy, the destruction and reconstruction of a woman's genitals, allows men to control the "powerfully sexual, creative, and male-threatening aspects of women." It... partially explains why most trails of episiotomy have been done in European countries where normal birth is conducted by female midwives, not in the U.S. or Canada where birth is conducted (until recently) by male doctors: women are not subconsciously threatened by birth. In short, routine episiotomy has a ritual function but serves no medical purpose. If any reader believes otherwise, I challenge him or her to find a credible study done in the past 15 years that supports that belief.
- Henci Goer, Obstetric Myths Versus Research Realities, Bergin & Garvey 1995
Call 800-743-0974 to order today!
Is one of your patients considering adoption? We are a loving, active young couple (30s) who are anxious to complete our family with a baby. We have a secure and happy home to raise a child in. Your patients can call Steve and Paulette TOLL FREE at 877-334-3522 or visit our web page to see photos: http://www.adopting.com/steve_paulette/
Thank you!
7) Question of the Week Responses
Is there any evidence that laboring in the tub after the bag of water has broken increases the rate of infection in mother or baby? I have been unable to find any research to indicate this is so, but every nurse, doctor, and even a couple of midwives are convinced that this is so. What's the real story? Fact or theory?
- Amy Jones, Henderson, NV
I have a paper, "Water Birth: One Birthing Center's Observations," Linda K. Church, CNM, RNP, published in 1989 by Elsevier Science Pub. Co., Inc., which states on Page 169, "As of June 1, 1989, there have been 1,335 births at the Center.... Infection rate:
1. This multipara had been in the water for eight minutes when she experienced spontaneous rupture of membranes with the birth of the head. The body was born with the next contraction. She became febrile (102 degrees F) with moderate uterine tenderness 48 hours after birth and was managed with Amoxcillin orally as an outpatient."
- Kathy Corzine, firstname.lastname@example.com
Many viruses and bacteria seem to like a waterborne environment, especially one that is heated to body temperature or above. Broken waters mean there is no protective membrane surrounding the baby and potentially the water could travel up into the vaginal tract to the baby. Many feel, however, that the anatomy of the body does not allow water to enter the vaginal canal except during vaginal exams. Many midwives are comfortable with a woman staying in the water once the membranes break as long as labor is rolling along. Many will recommend vitamin C and echinacea to help boost the immune system and fight off infection. Do you feel secure that your tub was clean before use and that the water has not become a potential breeding ground? Use your own judgment!
- Tania
I am a new CNM presently working in the hospital where I worked as an L&D nurse for several years before going to midwifery school. We have Jacuzzi tubs in all five labor rooms. We have always put women in labor with ROM in the tub! We have no increased infection rate. We started back in the early '90s with one tub put in at a midwife's request. It was intended for labor only, but over the years births in the tub have not only become acceptable but they are common. We have not published any statistics, but I can assure you we do not have increased infection rates. The process of labor and the downward flow of fluids with regular contractions may have something to do with it. We don't put women in the tub if they have ROM and no labor, but that is because they have no need for the tub if they aren't in labor yet. The name of the hospital is Hudson Valley Hospital Center, in Peekskill, New York.
- C. G., firstname.lastname@example.com
Following are a couple of citations that showed no increase in infection with baths after rupture of membranes.
- Jane Helwig, MD Acta Obstet Gynecol Scand 1996 Aug;75(7):642-4: Warm tub bath during labor. A study of 1,385 women with prelabor rupture of the membranes after 34 weeks of gestation. Eriksson M, Ladfors L, Mattsson LA, Fall O: Department of Obstetrics and Gynecology, East Hospital, University of Goteborg, Sweden.
To evaluate the influence of a bath on infectious morbidity in mothers and neonates in women with prelabor rupture of the membranes after 34 weeks of gestation.
A nonrandomized study of 1385 healthy women. During the first stage of labor 538 women wanted a bath while 847 did not. The women awaited spontaneous contractions up to 24 or 72 hours after the membranes had ruptured before labor was induced with oxytocin. Digital examinations of the cervix were avoided until onset of active labor or until the time induction was planned. For statistical analysis Fisher's exact test was used.
Chorioamnionitis during labor occurred in 1.1% of the women in the bath group and in 0.2% in the reference group (p = 0.06). Postpartum endometritis was found in three cases both in the bath group (0.6%) and in the reference group (0.4%) (p = 0.68). The frequency of neonates receiving antibiotics was 3.7% and 4.8% respectively (p = 0.43).
A tub bath did not increase the risk of maternal or neonatal infection after premature rupture of the membranes and prolonged latency. Birth 1996 Sep;23(3):136-43: The effects of whirlpools baths in labor: a randomized, controlled trial. Rush J, Burlock S, Lambert K, Loosley-Millman M, Hutchison B, Enkin M
Showers and tubs in labor were not generally used in our center. When three whirlpool baths (Jacuzzis) were ordered as part of our renovations, a randomized, controlled trial was initiated to explore their effects on narcotic and epidural requirements.
This study employed an intent-to-treat design, and the sample size was estimated to account for the fact that some women would be unable to use the tub. The experimental group of 393 women was offered the tub during labor and the control group of 392 women received conventional care.
No births occurred in the tub. The tub group required fewer pharmacologic agents than controls (66% vs 59%, p = 0.06), experienced fewer deliveries by forceps and vacuum (p = 0.019), and were more likely to have an intact perineum than the standard-care group (p = 0.019). Labor was longer for the tub group (p = 0.003), who coincidentally were more primiparous and in earlier labor on admission. No differences were noted in the low rates of maternal and newborn signs of infection in women with ruptured membranes. A subset of mothers expressed satisfaction with the tub experience and labor support. The cesarean rate among both groups was lower (8.9%) than our overall rate (16.6%) during the study period.
Whirlpool baths in labor have positive effects on analgesia requirements, instrumentation rates, condition of the perineum, and personal satisfaction. Further study is being planned. (Abstracts from PubMed, the on-line free National Library of Medicine literature search Web site:
Please feel free to submit a Question of the Week! Send it to firstname.lastname@example.com
Missouri Birth Center needs help! Looking for CNM willing to work part time working into full time. Rural practice, full scope, benefits available. Great schools, recreation includes lakes and outdoors to local music, crafts, and Branson entertainment.
Call Diane Barnes, 417 272-8845 office, 417-338-5431 home.
8) Switchboard
I'm going to be a boring midwife and say the usual but still not widely practised *there is no place for episiotomy in normal birth.* I am happy to say that I have not cut an episiotomy since my hospital training. Women do tear but only as much as they need, if they need to. I have had no 3rd degree tears. I know that the critics will cry that I have a select client group and that explains away any good outcomes from any homebirth experience, but I don't believe that serious tears or the "need" for an episiotomy has anything to do with place of birth or socio-economic groups. Additionally I have not had any cases of infection after I have repaired a tear and no reports of discomfort once the tear is healed when sexual intercourse is resumed. Conversely I have worked with more than 20 women who have had episiotomies with their previous birth and have needed healing work to get over the pain they experience still as a result of their episiotomy. This is my experience, after eight years as a homebirth midwife, from a group of more than 100 women.
- Sally Westbury, homebirth midwife, firstname.lastname@example.com
Educating the Public:
Citizens for Midwifery (CfM) is a tax-exempt grassroots organization of volunteers whose goal is to see the Midwifery Model of Care universally recognized as the optimal kind of care for pregnancy and birth, and available to all childbearing women and their families. CfM has an extensive web site with many resources and links, consults with people regarding grassroots organizing, legislative efforts and other projects, and publishes a quarterly newsletter that supports advocates of the Midwifery Model of Care (referring to the definition by MANA, MEAC, NARM and CfM) and other literature.
Our "Public Education Packet" is available for the asking (free, though a donation is always appreciated; $4 covers costs).
This packet includes tips on how to think about and plan public education projects, as well as suggestions and examples of many kinds of projects. Some are very simple and easily done; others are more complex and might require an organized group and a substantial investment of time and money. There are also fact sheets, fliers and other items available through the web site. CfM board members are also available for consultation, suggestions and trouble-shooting, and may have additional resources that are not yet on the web site. The July issue of the CfM News will include an article about techniques of persuasion that anyone can easily learn; these can help you be more effective in changing someone's mind about birth and midwifery. The latest CfM project is a brochure about the Midwifery Model of Care. It is aimed at people who perhaps have heard about midwives but don't know much, and it provides information in an inviting way that would help a person understand what is meant by the "Midwifery Model of Care" and be able to identify healthcare providers who give this kind of care. This brochure should be available by the end of the summer. CfM literature is available to everyone, whether you are a member or not. CfM is a membership organization especially for consumers, but everyone is welcome.
Please see the web site for the text of the CfM brochure and the membership form, and contact us with any questions.
- Susan Hodges, president,
I'm looking for information on the relationship between fibroids and diet, specifically soy products. Is there a link between soy intake and estrogen production? Which foods affect fibroid growth and what would be a great diet for a vegetarian mom in terms of protein?
- Merwife, San Rafael
Does anyone know of a deaf midwife? I have a deaf applicant for midwifery school and she would like to know if there are any others she can connect with. Contact email@example.com
9) Coming E-News Themes
Coming issues of Midwifery Today E-News will carry the following themes. You are enthusiastically invited to write articles, make comments, tell stories, send techniques, ask questions, write letters or news items related to these themes:
- autonomy (June 25)
We look forward to hearing from you very soon! Send your submissions to email@example.com. Some themes will be duplicated over time, so your submission may be filed for later use.
Visit the multiple award-winning WATERBIRTH WEBSITE for the most complete waterbirth information available on the net!
Includes a Photo Gallery, over 50 firsthand waterbirth stories from moms, dads and waterbirth practitioners, a tutorial, information on great products you can order, and lots more. Special Offer to E-News readers: Enjoy a 10% discount on your purchase of the "WATER BABY" video. Regular price is $59.95 + $7.50 p/h. Your discount price is just $53.95 + p/h. Full ordering details are at
This publication is presented by Midwifery Today, Inc., for the sole purpose of disseminating general health information for public benefit. The information contained in or provided through this publication is intended for general consumer understanding and education only and is not intended to be, and is not provided as, a substitute for professional medical advice, diagnosis or treatment.
Midwifery Today, Inc., does not assume liability for the use of this information in any jurisdiction or for the contents of any external Internet sites referenced, nor does it endorse any commercial product or service mentioned or advertised in this publication. Always seek the advice of your midwife, physician, nurse or other qualified health care provider before you undergo any treatment or for answers to any questions you may have regarding any medical condition.
Copyright Notice
The content of E-News is copyrighted by Midwifery Today, Inc., and, occasionally, other rights holders. You may forward E-News by e-mail an unlimited number of times, provided you do not alter the content in any way and that you include all applicable notices and disclaimers. You may print a single copy of each issue of E-News for your own personal, noncommercial use only, provided you include all applicable notices and disclaimers. Any other use of the content is strictly prohibited without the prior written permission of Midwifery Today, Inc., and any other applicable rights holders.
© 1999 Midwifery Today, Inc. All Rights Reserved.
Midwifery Today: Each One Teach One!


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Tag Archives: blended learning
eBeam me up scotty 1
At the beginning of this teaching term I was asked to trial the eBeam for the college I teach at. I hadn't heard of eBeam before, so the first thing I did was google it. What is eBeam? What I … Continue reading


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JACKSONVILLE, Fla. - Unbudgeted expenditures over $1,000 will require board of directors approval under changes made by the Florida State College at Jacksonville Foundation board.
The changes are being made in the wake of an Inspector General's report of the college and its foundation that found financial irregularities and questioned benefits paid to outgoing President Steven Wallace and one of his vice presidents.
Earlier in the year, the federal government demanded repayment of $4.7 million in Pell Grants to 1,300 students by mistake.
The Florida State College at Jacksonville's board of trustees ultimately eliminated the job of a the controversial vice president and suspended four employees.
Wallace agreed to resign, although his modified contract calls for him to be paid nearly $1.2 million in pay and benefits over the next 18 months.
Of the foundation's policy changes, board chairman Wade Barnes said: "The policies and procedures are being updated to improve transparency and the documentation process."
Copyright 2012 by News4Jax.com. All rights reserved. This material may not be published, broadcast, rewritten or redistributed.


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Hello everyone,
What are animal rights? Generally, this term implies that animals have rights to live, they cannot be considered as means of receiving food, producing garments; as a financial profit, in entertainment industry (zoo, circus) and in also in scientific experiments.
People who protect animal rights assert that an animal is not a property, but a personality. The history left us a vast array of philosophical standpoints and concepts of animal rights.
The first society for protecting animal rights was created in 1824: Society for the Prevention of Cruelty to Animals
Even a well-known Adolph Hitler forbade animal hunt and experiments in 1933. Cannot tell you whether he acted based on ethics or love towards animals. I think not, as the medical experiments had to undergo Jewish people and Gypsy children.
Do you love animals? Do you care about them? Do you see any justify of cruelty to animals?
He who is cruel to animals becomes hard also in his dealings with men. We can judge the heart of a man by his treatment of animals.
(Immanuel Kant)


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Corner Kick Pita Pocket
By Fruits & Veggies - More Matters
From the Cool Fuel Cookbook for Kids
- Prep Time: 25 Minutes
Main Dishes
Serves: 2
Cups of Fruits & Vegetables per Serving: 1
1/2 cup spinach, trimmed leaves
1/4 cup cucumber, peeled and sliced
1/4 cup carrots, shredded
1 tablespoon salsa, mild
1 tablespoon fat-free ranch salad dressing
1 (6 ½ inch) pita pocket
4 oz. extra-lean ground beef (5% fat), cooked
1 cup cantaloupe, cubed
Combine spinach, cucumber, and carrots with salsa and ranch dressing, mix well. Cut pita in half. Using your finger, slowly open the pocket so as not to tear the bread. Divide beef and veggie mix in half and place in each pocket half. Serve each pocket with ½ cup of cantaloupe.
Each serving provides: An excellent source of vitamins A and C, and a good source of folate, magnesium, potassium and fiber.
From the Cool Fuel Cookbook for Kids
Nutritional Information
- Calories: 247
- Carbohydrates: 29g
- Total Fat: 5.5g
- Cholesterol: 51mg
- Saturated Fat: 2.2g
- Dietary Fiber: 4g
- % of Calories from Fat: 20%
- Sodium: 400 mg
- Protein: 21g
- Recipe Credit
Recipe was developed for Produce for Better Health Foundation by Chef Mark Goodwin, CEC, CNC. This recipe meets PBH and Centers for Disease Control & Prevention (CDC) nutrition standards that maintain fruits and vegetables as healthy foods.
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By guest blogger Ellen Finkelstein, PowerPoint MVP and author of many PowerPoint skills books. To learn more about her books, and get free tips and reports go to www.ellenfinkelstein.com.
When all your slides look alike, your entire message can be blurred. At the end of your presentation, you want your audience to remember your main points most, and if they remember some of the details, that's a plus. By making key slides distinctive, you can help people follow and retain the content in your presentation.
Give Special Slides Special Treatment
Two types of slides merit special treatment:
- Organizational slides: These highlight when sections of your presentation begin and end. Your first slide, section slides, and your last slide are the main examples of organizational slides.
- Main point slides: These contain your key points; generally you should try for two to four key points, because people have a hard time remembering more than four.
How do you make a slide stand out from other slides? One of the most important techniques is varying the layout.
Choosing the Layout You Want
PowerPoint's layout feature lets you choose a layout for each type of slide. For example, PowerPoint has a Section layout for the first slide in each section. To choose a specific layout, right-click anywhere on the background of the slide, not on an object (for example, not on a text placeholder), choose Layout from the menu as you see here, and pick the one you want.
Layout for Main Point Slides
To create a striking layout for your main points, I often recommend putting the slide title on the left and a vertical photo on the right, as shown in this example.
Layouts for First and Last Slides
To create a clear beginning and end, use a full-slide photo for your first and last slides, as you see here.
Layouts for Content Slides
Finally, you might use a Title & Content or Title Only layout for the rest of the slides. These slides are ideal for most of your content, because they present information simply and are flexible to create.
Creating Custom Layouts
If you can't find an existing layout that suits your needs, you can create your own. Click the View tab, then click the Slide Master button in the Masters Views group. The slide master appears.
- On the Slide Master tab, in the Edit Master group, choose Insert Layout. A new layout appears in the left pane.
- Again on the Slide Master tab, in the Master Layout group, click the Insert Placeholder button's down arrow and choose one of the eight placeholder types.
- Drag on the slide to size and place the placeholder.
- Place more placeholders, laying them out as needed.
- When you're done, click the layout in the left pane that you've created , and display the Slide Master tab. In the Edit Master group, click the Rename button. Enter a name and click Rename.
- The presentation now contains the new layout and you can choose it the same way you'd choose any of the standard layouts for any slide.
- If you want to use the layout in the future, save the file as a template (.potx, or .potm if it contains macros) or theme (thmx).
Sample Presentation Layouts
In the simplified presentation below, I've labeled different types of slides so you can see how each has a layout and look which corresponds to its role in a presentation.
Of course, my recommendations are just suggestions; you should try out a variety of ideas to see which works best for you. Your goal is to make the slides with your most important content have the most distinctive design–and you can see here how layout is an essential part of overall slide design. Using these layout techniques helps you do more than create good looking slides–it helps ensure your audience walks away understanding and remembering your key messages and your content. Now it's your turn to try it!
–Ellen Finkelstein


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Thank you for visiting the Travel Department website. The purpose of this site is to keep you informed of travel trends, provide you with access to the University Travel Policy, link you to SJU preferred vendors and more.
SJU continues to grow in leaps and bounds. With this growth comes a higher demand for travel requests and the opportunity for many wonderful rewards for the University and the travelers. It is expected all University travel is to be booked through the travel department. By utilizing one source, the University and vendors have a better handle on the purchasing power. This leads to discounts, upgrade certificates, free tickets and more. These rewards are shared amongst all departments and travelers.
We thank you for your support of the travel department and look forward to assisting with your next business trip.


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This game was classified by the community with the following category scores - Violence=2/3, Sex=3/3, Mature Content=3/3. William was smart, handsome and wealthy; he never once questioned his success or place in the world. After a one-night stand, he is forced to face the truth about himself. Did he earn what he had or was just luck? In this beautiful "point and click" style game, you will solve puzzles and discover secrets about yourself and your family's fortunes.
Buy Xbox content on Xbox.com. Your Xbox 360 console will automatically download the content next time you turn it on and connect to Xbox Live.Learn More


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MP Neil Carmichael defends £3,000 office move to Nailsworth
8:00am Wednesday 19th February 2014
By Lucy Fulford
8:00am Wednesday 19th February 2014
By Lucy Fulford
STROUD MP Neil Carmichael has defended the cost of moving his constituency office after facing criticism from the Labour Party.
The Tory MP moved his base of operations from London Road in Stroud to Bridge Street, Nailsworth, last July as part of a plan to rotate his office around the different parts of his constituency.
Figures from the Independent Parliamentary Standards Authority showed Mr Carmichael claimed £3,443 towards the cost of the move.
This included £360 for removal costs, £983 on decorating the new office and £913 for a new telephone system.
Some £500 was claimed for new office signage, £120 spent on redirecting mail and £75 on furniture.
Stroud Labour Party criticised the relocation, claiming that it placed the MP further from many of constituents, many of whom did not know where the new office was.
Chris Minett, Stroud Labour Party branch chairman, said: "If there was some tangible benefit to the move, perhaps local residents would be willing to foot the bill. But when we asked 50 of his constituents in Nailsworth and Stroud to put a pin in a map of the constituency where his office is, only 11 correctly identified Nailsworth.
"Mr Carmichael's recently published expenses claims show that his office rent is down by about £150 a month, but the office move, funded by taxpayers, cost over £3,400, meaning his constituents will only recoup the financial costs of the move if he's still the MP and based there after the General Election."
He is hoping to be re-elected in 2015 ahead of former MP David Drew.
Mr Carmichael said the move was justified and that he fully intended to win the next election.
"My duty first and foremost is to my constituents and the new office enables me to serve them even more effectively than before," he told the Gazette. "The new offices are also more user friendly than Stroud.
"The rent is lower per month than it was previously and that represents good value for money."
He said the Nailsworth base provided more modern facilities still well served by public transport links and added: "I wonder why the Labour Party is focusing on this when there are much more important issues to consider, not least the need to rebalance the economy and reduce the deficit."
© Copyright 2001-2017 Newsquest Media Group


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Andy Reid won't get another chance to 'do a better job' for Eagles
Surprising no one, the Philadelphia Eagles have fired head coach Andy Reid. Reid's earlier success was not enough to help him keep the job.
After 14 years of standing behind his man, Eagles owner Jeff Lurie announced he was getting rid of Reid.
"We're going to be saying goodbye to the winningest coach in the history of the Philadelphia Eagles, that's the main point that's not said lightly because there can only be one winningest coach in the history of an NFL franchise," said Lurie.
Reid's 4 and 12 record this year had fans calling for his head for weeks, but Lurie says the decision to fire his head coach was difficult.
"It was no easy task, he left no stone unturned, and his dedication was incredible," said Lurie. Reid was not on hand at Lurie's news conference. Earlier, the owner gave Reid a special game ball to mark his tenure with the team.
Merrill Reese, Eagles radio broadcaster since 1977, says Reid's firing had become a formality.
"Everybody knew that this was a year in which the Eagles had to produce," said Reese. "I'm not even sure if they had gone 9-7 or 10-6 that would have been enough."
Lately, some season ticket holders have stayed home in protest, but Reese says they will come back if the right person is selected to be the new head coach.
"If they bring in a coach that people can get excited about they will be ready to go," he said. "I disagree with people that say this team has to take a big step backwards and that we are in store 3-13, 4-12 seasons. I think that somebody can come in put in a couple of proper pieces and this team can be right back in the playoff hunt next year."
Owner Jeff Lurie says he's heard the angry fans and despite what they may think each loss hits him in the gut.
"We have a season like this year, it's embarrassing to me it's personally crushing," said Lurie. "Our fans are the best fans in the country, we say that a lot, these fans deserve the very best and this year they got a team that wasn't very good at all and I feel terrible about that."
Lurie is not saying how long it will take to pick a replacement.


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Hi there from Australia, about 18 months ago my husband found out he has 3 sisters in England.
We have been trying to find out more information about his mother. Her father was Frank Hunt born 1889 died 1963, in Ebbw Vale.
We would love to hear from any of his family, and hopefully solve a few riddles.
Thank you.
Jenny Walsh Based on information supplied by Jenny Walsh.


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April 02, 2013
Bosnia-Herzegovina is still a post-war country in transition, divided along ethnic lines. Because the engagement and civic responsibility of young people is crucial, an UNDEF-funded project works to equip young people with leadership skills to take active part in decision-making processes. more >>
March 25, 2013
An UNDEF-funded project in Iraq has signed a Memorandum of Understanding with six Governorate Councils as part of an effort to strengthen civil society participation in democratic processes and advance accountability in Government institutions. more >>
March 04, 2013
An UNDEF-funded project for using public interest litigation to strengthen human rights and the rule of law in Southern Africa has yielded some significant developments in just one year. The initiative's implementers, the Southern Africa Litigation Centre, recently litigated a case in Botswana on behalf of four elderly sisters challenging a discriminatory customary law practice. more >>
January 21, 2013
UNDEF funds a new project in Libya, Morocco and Tunisia to engage youth and civil society in public policy dialogue. It works through more than 200 local public policy programmes, training trainers and producing learning materials under the Project Citizen curriculum. more >>
January 08, 2013
UNDEF finances a new project for a centre of excellence to mainstream Libyan women in politics and develop a nationwide civic education strategy. The centre will train women in democratic processes and institutions, gender, leadership and interpersonal skills. more >>
January 02, 2013
Former slaves and their descendants -- in particular women -- remain victims of severe discrimination in Mauritania. Hampered by illiteracy and poverty, they are excluded from political processes, unaware of their human rights, and subject to electoral manipulation. more >>
December 12, 2012
Efforts for democratization and development in Kyrgyzstan continue to be hampered by political and administrative corruption that limits access to public goods and services. Vulnerable groups are excluded from access to land, water, shelter, sanitation, clothing, healthcare and education, as well as from participation in decisions that affect their lives. more >>
December 10, 2012
The UN Secretary-General issued a message on Human Rights Day, 10 December, warning that "In several parts of the world, we have seen alarming threats to hard-won gains in democratic governance. In some countries, civil society groups face growing pressures and restrictions. more >>
November 12, 2012
An UNDEF-funded project in Tajikistan has created a Youth Council representing each of the 44 counties of Kuhistoni Badakshon province, providing training and confidence-building for a new generation of citizens. more >>
November 09, 2012
UNDEF opens its annual window for project proposals for its Seventh Round of Funding on 15 November 2012, following the green light given by UNDEF Advisory Board. Project proposals may be submitted on-line between 15 November and 31 December. Only on-line proposals in either English or French will be accepted. more >>


text:
Not many Isle of Palms hotels offer the types of amenities
that The Palms Hotel does. From our oceanfront location to our
fantastic in-room amenities, The Palms Hotel long ago established
itself as one of the top hotels in the Isle of Palms. Read more below
about what makes us different from other hotels in the Isle of Palms.
Features of the hotel include:


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Advice to be Heeded
What works
- Demonstrating passion and enthusiasm for your topic
- Using non-technical terms to explain it
- Having your project manager who introduces you to politely ask the audience to turn off their cell phones
- Shut off your cell phone before taking the stage!
- Sticking to the time limit you said you would speak in
What doesn't
- Don't ever talk down to the audience
- Don't use too much technical jargin
- Don't rely too much on powerpoint – they are there to hear you speak and the powerpoint is supporting your speech, it is not the speech
"Watch out for…"
- People asking questions that either have nothing to do with your subject at hand or are trying to engage you in a controversial debate: for example, say you are giving a talk on the physics behind global warming. You may get a questioner who wants to bait you into a public fight that supports his thought that there is no such thing as global warming.
- You will also get people who want to debate that Einstein is wrong and you are wrong, etc.
- In both these scenarios, your job is to be polite and diffuse the situation as quickly as possible. Some possible responses to irate, irrational or extra-inquisitive audience members are:
- "That's a great question. Although I don't have time to answer it right now, you bring up an interesting point."
- "You bring up an interesting point. I don't have an answer right now, but I can later recommend some sources to answer your question."
What could go wrong
- AV – computer, LCD, microphone could fail – be ready for any of this to happen – maybe even have an extra mike on hand.
- There's a crying baby in the audience – not much you can do with that. Same thing with cell phones.
- Too many people show up: this is great, in that there is great interest, but you don't want unhappy members of the public who, because of lack of seats, have to sit on the floor, stand, or worse, can't get in at all. So be mindful of this in reserving a space that can accommodate the right number of people. Granted, you might not realize the extent of the public's interest until the first lecture in the series, when there is standing-room only. In this case, have a contingency plan – have extra chairs, have a closed-circuit TV situation set up in a nearby room or lobby – film the lecture and show it in real time there.
- If the event is not well attended, do not get discouraged. Often there are conflicting events such as a movie premiere or the circus is in town.


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The debut feature film from director Craig Zobel, the thriller Compliance, is coming out later this summer. And while we're big fans of independent cinema, we've got a special reason why we're excited about this movie. Compliance marks a major success for OurStage's Licensing Program, featuring a soundtrack comprised of OurStage artists.
Don't go see Compliance if you're looking for another popcorn movie. Feel good hit of the summer, this is not. The cerebral, challenging movie earned rave reviews when it premiered at this year's Sundance Film Festival. From the movie's synopsis:
Becky and Sandra aren't the best of friends. Sandra is a middle-aged manager at a fast-food restaurant; Becky is a teenaged counter girl who really needs the job. One stressful day (too many customers and too little bacon), a police officer calls, accusing Becky of stealing money from a customer's purse, which she vehemently denies. Sandra, overwhelmed by her managerial responsibilities, complies with the officer's orders to detain Becky. This choice begins a nightmare that tragically blurs the lines between expedience and prudence, legality and reason.
Heavy stuff indeed.
And how to best add to the gritty, realistic atmosphere of the fast food restaurant in which most of the movie takes place? Let's hear from director Craig Zobel.
And if you're curious to hear which OurStage artists made the final cut for the movie, check out this playlist of all the songs by OurStage artists in the movie, including Admiral Twin, Blacklisted Individuals, Jesi Kettering, and many more.
Check out the trailer for Compliance below. The movie is set for release in the U.S. on August 17th.


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|May 11, 2011
Volume 13, Issue 10
|Midwifery Today E-News
"The Apprentice"
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In This Week's Issue
Quote of the Week
The events in our lives happen in a sequence in time, but in their significance to ourselves, they find their own order…the continuous thread of revelation.
— Eudora Welty
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The Art of Midwifery
Taking the placenta as a powder, particularly in the first nine months after giving birth, is an old custom. It helps the uterus return to its original shape and size and speeds up the mother's recovery as well. It prevents depression, which can occur even after several months, as a result of fluctuating hormones.
— Cornelia Enning
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 firstname.lastname@example.com.
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Jan's Corner
Apprenticeship, working with a midwife in a helper role, being able to help more and more as you get experience, is the most direct and, in my opinion, the absolute best way to learn midwifery.
The greatest teachers we have are the women we serve. It is through continuity of care that you get to know the uniqueness of each motherbaby. By observing your senior midwife ask questions, talk to the baby, palpate and the many other lovely experiences of prenatal visits, apprentices learn the most. It is through getting to know motherbaby prenatally that you can best offer your help at the birth. It is important to work with more than one midwife or midwifery practice so you can learn different ways of working but maintain continuity of care, which really is the humane approach to birth.
So very much of birth is in the mind. Many of my midwife friends have stated that if you get the prenatal course right, you are almost assured the birth will go well. The mind of the mother is most important, but if the midwife undermines the woman's confidence or puts negative thoughts in her mind, the midwife bears responsibility. I think we are seeing more and more of this, as midwives bend to protocols that do not follow the midwifery model of care, such as the myth that you must have a baby at 42 weeks. (See my editorial on dating a pregnancy here.) Oh, how subtle birth is. To learn great prenatal care, apprenticeship is the best model. To learn birth care, apprenticeship is the best model. The same goes for postpartum care!
Didactic learning is important, too, and can be done along with apprenticeship to bring alive what you learn, seeding you with new ideas and insights. Books can also be an excellent resource for self-starters. Elizabeth Davis's "Heart and Hands: A Midwife's Guide to Pregnancy and Birth" is a great starting point. Elizabeth also runs a school, and there are many others, at least in the United States, that student midwives are enjoying. A few of my Facebook friends have shared their positive experiences with midwifery education. Homebirth midwife Celesta Rannisi said, "I cannot tell you how much I appreciate Ancient Art Midwifery. They are truly the last of the real homebirth midwifery training that is not polluted by the medical model of midwifery, not to mention it is very reasonable. … I studied the apprentice academic curriculum back in the 80s and still keep learning the real meaning of midwifery through the writings and sharing of truth. And Erika Obert posted, "Michigan School of Traditional Midwifery is the same way. Excellent academics and traditional philosophy."
There are many others. I recommend you choose your program carefully. What goes into your mind when you are an aspiring midwife is ever so important and I personally want you to be the best midwife you can be, truly in service to motherbaby! To get you started in your journey to midwifery, check out two of our resources: Becoming a Midwife page and our book Paths to Becoming a Midwife.
— Jan Tritten, mother of Midwifery Today
Jan Tritten is the founder, editor-in-chief and mother of Midwifery Today magazine. She became a midwife in 1977 after the amazing homebirth of her second daughter. Her mission is to make loving midwifery care the norm for birthing women and their babies throughout the world. Meet Jan at our conferences around the world, or join her online, as she works to transform birth practices around the world.
Jan on Twitter: twitter.com/jantritten
Domestic Violence and Birth Outcomes
A new study conducted by a researcher at Malmö University in Sweden concludes that midwives "need both updated knowledge and tools with regard to abused pregnant women who are victims of domestic violence."
The study, which included 2652 first-time moms, found a link between experiences of violence (as well as alcohol consumption) during late term pregnancy and a higher risk of labor dystocia. This link was not found at full term. Labor dystocia, or slow, difficult labor, is responsible for half of unplanned caesareans and has a significant impact on labor outcomes.
Statistics show that between 1.3 to 11% of pregnant women in Sweden experience physical violence, and previous research reveals that a high percentage of midwives never disclose violence against the women they worked with. Finnbogadóttir, who was inspired to conduct the study based on her own clinical experiences as a midwife, hopes her work will draw more attention to the problem of domestic violence during pregnancy.
— "Domestic Violence and Pregnancy." Medical News Today. April 15, 2011. http://www.medicalnewstoday.com/articles/222450.php
Featured Article
Types of Midwifery Training: An Anthropological Overview
Apprenticeship learning involves the whole human being—body, emotions, mind, spirit—and therefore is the most powerful form of learning there is. We all learn to be full members of our cultures through this kind of experiential learning. Pure apprenticeship learning is connection-based, as opposed to didactic learning, which can seem to take place in a vacuum, with no apparent connection to anything. If the apprentice attends a birth with her mentor, for example, during which the woman hemorrhages, the apprentice will spend the next day studying every book she can find on postpartum hemorrhage and quizzing her mentor about its management. She knows, in an immediate and visceral sense, why this knowledge matters.
Because birth turns out well most of the time, apprentices attending home and birth center births usually are not exposed early on to pathology, and have the time to build up a profound trust in the process of birth and in women's ability to give birth. Their training gives them a much broader experience of the wide range "normal" birth can take when it is not technologically controlled. The establishment of this kind of trust can have a great deal to do with the relationship between the apprentice and her mentor. I have interviewed a number of apprentices and mentors around the country, and am always impressed by the special quality of their relationship. Most mentors care deeply about the apprentices they take on, get to know them intimately, become committed to making sure they obtain the best education possible, and work to bolster the student's trust both in birth and in herself as she learns.
To fear birth is to generate complications that result from the fear. Midwives who trust birth profoundly tend to help women give birth more effectively: to trust a woman to give birth is to help her trust herself—this is part of the magic and the great strength of apprenticeship training. Another part of that magic and strength is continuity of care. In high-volume programs, continuity of care can be very hard to achieve. But it constitutes part of the essence of apprenticeship training, where the student accompanies her mentor not only to the birth of a given client but also to every prenatal and postpartum visit. It is apprenticeship training that establishes the midwifery ideal for continuity of care, an ideal that other training programs do the best they can to emulate.
As Wells indicates above, pure apprenticeship training, which includes few didactic elements, is increasingly rare. Today's apprentices are developing experiential trust in birth and learning continuity of care in the context of semistructured curricula that their mentors design to make sure the training meets the standards set by NARM. These curricula include a tremendous amount of reading and often involve weekly classes taught by midwives in their communities, which may be supplemented with college courses in the basic sciences and other relevant areas. Many apprentices complete their training by working in high-volume clinics in the United States or the Third World where they can be exposed to multiple complications of birth and can learn to deal with them effectively.
An additional benefit is that apprenticeship is both financially and geographically accessible. Women who do not have the money or the mobility to attend a private school or university-based program can still learn how to be competent practitioners and build an economically viable business to support their families while serving their communities.
— Robbie Davis-Floyd
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Birth Wisdom from the Web
Editor's Note: This issue's Birth Wisdom comes from a Facebook discussion of the apprentice model.
I have recently been taken on as an apprentice. I am thrilled! One huge thing I appreciate about this midwife is that she encourages us to learn from other midwives…. I feel that this will be key to my being able to customize my learning experience to best suit my own desires, beliefs and goals. Being able to learn from various sources will broaden my learning and make me a well-rounded midwife. Hopefully, I will also be able to enrich her knowledge as I bring to the table things I have learned from others. She is humble enough to accept this, and strong enough to stand her ground when necessary.
— Kathy L. McRae
The art of midwifery is more than catching babies: It's the knowledge of the structure and function of the human female—physically, emotionally, spiritually and scientifically. Apprenticeship is absolutely necessary in the development of a midwife to fine-tune her spiritual connection to midwifery and to master the skill set of her mentor.
— Brandy Harris
Apprenticeship is the only way in my opinion. Too many students come out of schools looking for a preceptor to get their clinicals in but then they discount what the preceptor has to say because they know it all from schools. As for me, I will never accept another student who has been to "school" for midwifery.
— Jennifer Rector
If you'd like to share a bit of wisdom from the Web, please send a 4–5 sentence excerpt, accompanied by a link, to email@example.com.
Think about It
Babies are astonishingly responsive to being "seen" and noticed when they are in the womb. Paying them attention, sending them love and actively imagining how they look, feel and respond on a soul level is rewarded with a very real sense of their appreciation. This appreciation is expressed not only with responsive kicks, but also with a feeling of well-being that emanates from them and is fed back to us through the invisible pathways of thought and a felt sense of connection in the body.
— Robyn Sheldon
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