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Consulting Firms in Boston
Consulting Firms > Consulting firms in Boston
|NERA Economic Consulting
NERA Economic Consulting is a firm that applies economic, finance, and quantitative principles to business and legal challenges. For half a NERA's economists create strategies, studies, reports, expert testimony, and policy recommendations for government authorities, law firms and corporations.
|North Highland
The North Highland Group is a management and IT consulting firm with 49 U.S. and international offices. The companies services are organized under strategy & advisory, execution, customer experience & engagement, operations, information technology, human capital, and finance & accounting.
|Novantas LLC
Novantas LLC is a management consulting firm headquartered in New York. Founded in 1999, Novantas primarily advises financial services companies, emphasizing growth through improved customer knowledge.
|Oliver Wyman
Oliver Wyman is an international management consulting firm. The firm is headquartered in New York City with 40 offices in Americas, Europe and Asia Pacific and employs over 2,900 professionals. It is part of the Oliver Wyman Group, which is a business unit of Marsh & McLennan.
|Oracle Consulting
Oracle Consulting provides consulting services that are designed to support customers with their optimization and deployments of Oracle technologies.
|PA Consulting Group
PA Consulting Group is a global management and IT consulting and technology and innovation organization with practices in defense, energy, financial services, government and public services, healthcare, automotive and consumer goods, telecoms, and transport and logistics sectors.
Protiviti is a global consulting and internal audit firm specializing in risk and advisory services. Protiviti&s customers are in the areas of finance, operations, technology, litigation, and governance, risk and compliance. Protiviti has offices in 61 major markets, with 33 in the United States and 28 in the Americas, Asia-Pacific and Europe.
PricewaterhouseCoopers is a multinational professional services network headquartered in London, United Kingdom. It is the largest professional services firm in the world, and is one of the Big Four auditors, along with Deloitte, EY and KPMG. Vault Accounting 50 has ranked PwC as the most prestigious accounting firm in the world for seven consecutive years, as well as the top firm to work for in North America for three consecutive years.
|RCG Global Services
RCG Global Services provides services in Business consulting, business intelligence, application development services and outsourcing of software testing and application management.
|Resources Global Professionals
Resources Global Professionals provides consulting services in the areas of Finance and Accounting, Information Management, Human Capital, Supply Chain Management, Legal & Regulatory and Risk & Compliance.
|RHR International
RHR International provides consulting services in Executive Selection and Integration, Management Due Diligence, CEO Succession and Senior Team Effectiveness.
|Robbins Gioia LLC
Offers a range of project management and program management consulting services in the defense, financial, consumer projects, insurance, utility, government and automotive industries.
|Sage Consulting Services
Sage Consulting Services provides strategy execution, social media and 'Mastermind group' services to small businesses, non-profits and entrepreneurs.
Sapient is a marketing and consulting company that provides business, marketing, and technology services to clients. The company operates three divisions, SapientNitro, Sapient Global Markets and Sapient Government Services.
|Simon-Kucher & Partners
Simon-Kucher & Partners, Strategy & Marketing Consultants is a management consulting firm that provides strategy, marketing and pricing advice to clients across sectors and geographies.
|Stax Inc.
Specializes in fast-turnaround, field research-intensive business research, analysis, and strategy support. Also, providing professionals to clients with interim staffing needs. Offices in Cambridge and Chicago.
|Tata Consultancy Services Limited
Tata Consultancy Services Limited is an global IT services, business solutions and outsourcing company headquartered in Mumbai, India. It is the largest provider of information technology in Asia and second largest provider of business process outsourcing services in India. TCS has offices in over 47 countries with more than 142 branches across the globe and is a subsidiary of textiles and manufacturing conglomerate Tata Group.
|The Chartis Group
Offers management consulting to hospitals, health systems and provider organizations; services include strategic and operational consulting, research, and program management.
|The IQ Business Group
The IQ Business Group is a provider of data and information management solutions for highly regulated industries and the public sector. The firm's services focus on enterprise content and records management (ECRM).
|The Parthenon Group
The Parthenon Group is a consulting firm specializing in business strategy, principal investing, e-strategy, start-ups and merger integration.
|The Segal Group
The Segal Group is a benefits, compensation and human resources consulting firm based in New York City. The company offers services to Taft-Hartley multiemployer trust funds and public sector entities, and to corporate and non-profit organizations through its Sibson Consulting division.
Titus is an independent consulting firm, offering internal audit, technology risk, accounting and tax services.
|TMNG Global
Provides management consulting services to the global telecommunications industry, including communications service providers, technology companies and financial services firms.
|Towers Watson
Global firm provides people, risk, and financial management, reinsurance and human resource consulting, and administration services. The firm's practice areas include Communication and Change Management, Employee Surveys Executive Compensation, HR Service Delivery, Mergers, Acquisitions and Corporate Transactions, Risk Management and Transfer, Sales Effectiveness and Rewards and Talent Management.
Tribridge is an information technology consulting firm that provides services in Enterprise Resource Planning (ERP), Customer Relationship Management (CRM),Portals and Collaboration, Custom Software Development, IT Security, Business Intelligence, Network Infrastructure, Cloud Computing and Microsoft Dynamics implementation.
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Archive for May, 2008
Sharon's Blog : Vote for website please
Hi ladies, In my daily routine and the boys' schedules, one of the things I like to do when I can is to watch the Ellen Show. I love her laid-back, clean sense of humor and think she is quite a natural comedian. I noticed on her website for the show that people can write in and let them know about favorite websites. I'd greatly appreciate it if you were to let them know about www.momsofboys.org — I have the link posted below, or you can go to her site at www.ellen.warnerbrothers.comand click on the Be a Part of the Show page where the website question is way down near the end.
Thanks so much! Sharon
Sharon's Blog : USA Today
Check out the May 7th edition of USA Today! House of Testosterone is mentioned in Craig Wilson's Final Word column. Thanks, Craig!! I've been doing lots of radio interviews lately and have been very busy with baseball schedules for my guys (including keeping up with which car each boy left their baseball equipment bag in). Thanks to those of you who have come to my book readings in North Carolina. I really appreciate it!! Hang in there, Sharon

subset: commoncrawl


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Sejuani Build Guide by
Not Updated For Current Season
This guide has not yet been updated for the current season. Please keep this in mind while reading. You can see the most recently updated guides on the browse guides page.
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Your votes and comments encourage our guide authors to continue
creating helpful guides for the League of Legends community.
Sejuani Build
Not Updated For Current Season
The masteries shown here are not yet updated for the current season, the guide author needs to set up the new masteries. As such, they will be different than the masteries you see in-game.
Chapter 1
Sejuani should be functional at the earlier stages of the match. The Rabadon's Deathcap will give her a quick boost in power, and the defensive items will facilitate her role as a tanky support unit. Her attacks at that point will be serviceable, but the focus lies on damage absorption and ensuring you win team battles.
If the match lasts long enough that you can afford the latter items, you will find a significant increase in damage output. By now, she is slowing enemy movement, slowing enemy attack speed, taking whatever they can dish out like a champ, thrashing them about with her W, and stealing their health. She was already capable of slowing enemies with her abilities, but now it is impossible to escape her.
It isn't an ideal build for playing solo at all. But as a team, this makes her dangerous. No one will want to go near your team, which means a safe push, which means winning. Again, this isn't a solo build. Be wary that her health is low. But her defense is high, and her utility boosts allow you and your team to kill your opponents very quickly. Her regen is high, so she will also recover from any battle quickly enough that she can continue with the push.
An extra resource is the Heal spell. This will be of great use.
Surge will boost her survivability further if there is ever a need.


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Like This Banksy Art?
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There is a depressing feel to this work. In an interview, Banksy said that this stencil represents how things that are supposed to protect us can also hurt us. The girl is standing under the umbrella, a portable roof, but is getting rained on regardless. The umbrella should be protecting her from the rain, but it is instead its source. She is holding out her hand to see if it is like that outside the umbrella.


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Mobile Home Parks near Hilton, NY. Looking for a mobile home park, mobile home community, manufactured home community, multi family housing? MHBay.com has 116 mobile home parks near Hilton. Contact us to list your mobile home park in the directory.
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Welcome to Cisco Support Community. We would love to have your feedback.
For an introduction to the new site, click here. And see here for current known issues.
Hi ,
I have ASA5520 and module ASA-SSM 10.When i use the asdm ,I can open GUI for ASA main menu and IPS.But ASA main menu is working fine,but when i click the IPS icon,its not connecting the ASA-SSM-Module.I'am geting some error.
Unable to Access the IPS SSM through ASDM
The Error connecting to sensor. Error Loading Sensor error message displays on the
Check the IPS SSM management interface is up/down?
UP only.
and check its configured IP address, subnet mask
and default gateway.
This is the interface to access the Cisco Adaptive Security Device Manager (ASDM)
Software from the local machine.
yes i can
Try to ping the management interface IP address of IPS SSM from the local
machine that you want to access the ASDM.
yes ,i can.
But still i am geting error same error.
You may try using the ASDM version 5.2.1


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Developer Quote: "Halloween 3D is a pleasing holiday diversion, which allows you to decorate a Halloween scene with a scarecrow and a lot of fun items, then take a snapshot to send to your friends and family."
- COST: Free - RATING: 3-1/2 Stars
- Categories: Elementary School, Entertainment, Games, Holidays, Middle School, Native
On opening Halloween 3D, the instructions show you the various facets of the app such as: Decorations, View Mode, Take Snapshot, Sound and Help screens. Tap to begin decorating your scarecrow. Now this is super easy as you simply tap an item and it is automatically placed on the correct part of the scarecrow's anatomy! For example, the hat goes on his head, the mask on his face, and the clothes on his body. You do not need to adjust any items as it is all done for you! To see more pages of colorful and quirky clothing and accessories, simply swipe your screen. The View Mode is really cool, and allows you to position your scarecrow from left to right or even to bend forward. Shake your device and autumn leaves will start falling to the sound of tinkling Halloween music. Halloween 3D, though simple in nature (as you are mainly accessorizing the scarecrow) is huge fun with its 3D view and many decorating choices. Best of all, by snapping the scarecrow when you have him dressed just so, you are able to make your own customized Halloween wallpaper. Let your young ones have a ball with this cool and non-threatening, brightly colored Halloween app.
--Date/Version: Updated 10/4/10 - Version 1.2
--iOS/Age Rating: This app requires iOS 3.0 or later. iOS 4.0 Tested. Rated 4+.
--Device: iPhone, iPod Touch, iPad
--Languages: English
--Developer Link: Graphics Software Labs
--Twitter Link: N/A
--Facebook Link: N/A
Visit the iTunes App Store for more details, and to download:
* NOTE: Visit Cool iPhone, iPad and iPod Touch Apps often to check for the latest FREE PROMO CODES (top red button-right sidebar).
Cool iPhone, iPad and iPod Touch Apps is updated often. Subscribe by selecting either: E-mail or RSS Reader, and follow us on Twitter and Facebook. Developers and Advertisers-please contact us to post your app reviews, press releases, contest news, graphics and more at: email@example.com


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I will be spending about 3-4 days based in Urbino in July (near the end of a five week trip - and just prior to the three nights in Urbino we will have stayed two nights in San Marino). It looks like both Gradara and Urbania are places we'd want to visit but I'm finding almost no information about them. Not even mentioned in most of the ten or so Italy guidebooks I have. I've found a little with google searches but was hoping someone here had been to the area and could answer a few questions.
1) They both look fabulous so how come they aren't in the guidebooks?
2) They are in opposite directions from Urbino but does it make sense to use one of the two full days to visit both of them? That would leave another full day for Urbino. Plus since we are coming from San Marino which is only a couple of hours, and when we leave we have a whole day to get to Rome, we would have parts of those days as well.
3) Any other places in the general vicinity that we should also include - we mostly just like to stroll around, take photos, soak up the ambiance.
4) Any drives in the area that are particularly scenic?
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Le Marche - Urbino, Gradara, Urbania - need some advice
I will be spending about 3-4 days based in Urbino in July (near the end of a five week trip - and just prior to the three nights in Urbino we will have stayed two nights in San Marino). It looks like both Gradara and Urbania are places we'd want to visit but I'm finding almost no information about them. Not even mentioned in most of the ten or so Italy guidebooks I have. I've found a little with google searches but was hoping someone here had been to the area and could answer a few questions.
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You might try looking for Jamikins/Bikerscott's trip reports. They've been spending some time in the area the last few years and have written several. I seem to recall them mentioning some of the places on your list.
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I assume you'll have a car. I live about an hour's drive from Urbino and know the area well.
While you're in San Marino, I recommend that you visit San Leo, just a short distance inland. This is a much more authentic castle than that of Gradara, and in a more imposing position, on a cliff high above the surrounding plain. San Leo is famous for being the place where the Count of Cagliostro was imprisoned for years. He was a great scholar, and a priest, but also an alchemist and a bit of a charlatan. I think he was condemned for witchcraft, or maybe it was heresy.
Gradara is on the coast, so it would be easy to visit en route from San Marino to Urbino if you take the autostrada from San Marino. I have to admit that I'm not a big fan of Gradara. I found it rather fake. The castle was massively reconstructed in the 20th century, by someone who knew little about castle construction. Hardly anyone lives inside the walls, which are almost totally given over to tourism. However, it does draw a lot of visitors, including a lot of Italians who are drawn by the tragic love story that took place there, between Francesca, wife of Gianciotto Malatesta, and Gianciotto's brother Paolo, recounted in Dante's Divina Commedia. Anyway, I would say that a stopover of a few hours for lunch would be sufficient even if you're a Dante fan.
Urbania is best visited from Urbino. Again, it's a small town, which could be seen in a few hours. It's got a ducal palace, but nothing like the one in Urbino. It's also famous for ceramics, but I don't know if the tradition is still being carried on. It seems to me as the artisanal tradition of making ceramics has mostly moved south to the Fratterosa area. If you continue on the same road after leaving Urbania, there are lots of other pretty little towns, such as Mercatello sul Metauro, and Sant'Angelo in Vado. A drive in that direction is pretty scenic. The entire drive to Mercatello and back would take about two hours.
One of the drives near Urbino that I like best is to the Gola di Furlo. This is on the route of the ancient Via Flaminia, and there is still a tunnel carved in the rock over 2000 years ago. (There's an even more ancient, pre-Roman tunnel alongside it, but that's rarely open to visitors.)
The road used to pass though the ancient tunnel, but flood damage a few years ago washed out part of the road. The last time I was there, you had to park the car before the tunnel and continue on foot. I don't know if they intend to keep it like this; it might be better from the point of view of the conservation of the tunnel, and you really do enjoy the scenic river gorge much more on foot than in your car.
Because of the road interruption, I think it's best to approach the gorge from the direction of Acqualagna. Acqualagna is famous for its truffles, but, unfortunately, truffles are not in season in July. Between Acqualagna and Furlo, on your right there is a little park. I suggest you stop there. At one edge of the park is the beautiful little 9th century church of San Vittorio. It's always open, so you can just walk in and admire its Romanesque architecture. Do go down to the crypt as well. There is usually no one inside, not even a caretaker. On the other side of the park there is an ancient Roman flood control system that's somewhat interesting. Maybe the Romans could have prevented the devastating flood that happened a few years ago. You'll probably see lots of roads that were somewhat damaged in that flood and that haven't been repaired. Much of the area is very sparsely populated, and resources are scarce and needed elsewhere. This entire drive would be just a little over an hour.
Another very nice drive in the area of Urbino is through beautiful countryside to the towns of Mondavio and Corinaldo. You would pass through Fossombrone, Barchi and Orciano. You'll pass very near Fratterosa, where there are numerous ceramic workshops.
Mondavio has a very well preserved medieval fortification, in which there is a hokey wax representation of medieval life, and also, on the top floor, a small but interesting museum of medieval armaments.
Corinaldo is one of the prettiest towns in the area, with the best-preserved medieval walls, including the medieval gates, in all of Le Marche. I don't know which week you'll be there, but there is a medieval festival in Corinaldo on the third weekend in July.
If you have time, and are interested in ancient Rome, you might want to take a different route back to Urbino, passing through Pergola. There's a museum there that has a very rare Roman gilded bronze statue group, which was dug up from a nearby field. It's a great mystery as to why these statues were buried, and there are many theories about whom they represent. The entire drive would take about 2 1/2 hours if you include Pergola, about half an hour less otherwise.
Finally, a very nice drive would be to the 9th century hermitage of Fonte Avellana on the slopes of Mount Catria. It's in a very scenic spot and the monastery itself is beautiful and lovingly preserved. There are tours of the monastery, where you can see the large room where the monks worked to copy manuscripts. The furniture is no longer there, but it's interesting to see how the room was designed for maximum light, avoiding shadows that might fall on the writing desks. The manuscripts themselves, unfortunately, were all taken to the Vatican sometime in the 20th century. After the Sunday mass, the monks serve a big home-style lunch in their refrectory. It's nothing fancy, and the service is a bit slow, but it's good home-style food. Near Fonte Avellana, the town of Frontone has an austere but imposing castle (privately owned and with very limited visiting hours) in the upper town. There is a great panorama from the walls of the upper town, and there is a good restaurant, Taverna della Rocca, where the meat is grilled in a huge open fireplace. (I've never been there in the summer, so I don't know if they use the open fireplace when it's 30° C outside.) This drive would take you through Cagli, which is worth a stop, and it could also be combined with the Gola di Furlo. The entire drive would be a little over two hours.
Of course, you won't have time for all of these drives, but it gives you something to choose from.
This part of Italy is, in my perhaps somewhat biased opinion, one of the most beautiful regions in the country. There are very few tourists here, and they're mostly Italian. Because there are so few tourists, the hours of shops and tourist offices in small towns are still governed by the long lunch break. If you arrive in a town at about 12:30, you'll find the shops closing all around you, not to reopen until around 4 PM. Restaurants, of course, will be open. There aren't as many per square mile as you'd find in Tuscany, but nearly every town has at least one restaurant.
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Thanks for the replies - ky - I did read those trip reports when she first posted them, but thanks for bringing them up
bvlenci - thanks so much - great, great info. Just what I was looking for. I'll copy all of it for my file.
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You're welcome. It's a rather cursory description. If you decide to follow any of the suggested itineraries, I'll try to fill it in with more details.
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Many of those towns you mention certainly look like the kind of place we love to explore.
I really think I want to take one day to go to Corinaldo and Mondavio ( and maybe Montefabbri). Does that sound like a reasonable day trip?
If we choose to do two day trips the other would be Urbania and Mercatello sul Metauro.
I like your idea about stopping in Gradara on the way from San Marino but do you think it's safe to leave luggage in the car? We normally try to go from hotel to hotel so as not to have to leave luggage in the car (we do travel light and everything fits in the trunk of the Fiat 500 we usually rent). But perhaps this area of Italy it's ok to do that. Is the parking situation in Gradara such that it's unlikely the car would get broken into? We are also thinking of stopping in Brisighella on our way to San Marino (will be coming from Bassano del Grappa that day) but were worried about the luggage thing. What do you think. Oh, and yes we are planning a day trip to San Leo from San Marino.
Thanks again for all your help.
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We spent one night in San Marino and several nights in Urbino several years ago, and loved it. I especially loved Urbino (I went particularly to see the Duke of Montefeltro's studiolo). We visited most of the places that bvlenci recommended, except the last couple. And I agree of course with all of her recommendations, including her comments re Gradara. We stopped in Gradara, with luggage in back, en route from Urbino to our next destination to the south, Macerata, and had no problems. We spent maybe 1-2 hours in Gradara, then had a fantastic lunch at a little place in Senigallia, Osteria del Teatro. There's an old fortress there, Focca Roveresca, that we enjoyed visiting.
We visited San Leo on the way from San Marino to Urbino.
I believe that my best resource, other than everything on the internet, was the Le Marche book by Cadogan. It is a British publisher, and tend to have books for places that UK travellers go to.
Funny story about San Marino. I do extensive trip research, including pictures of hotels, etc. Yet I somehow failed to realize how high up San Marino is - and I have a fear of heights. I'm usually the driver, and DH is the navigator, but I reached a point where I couldn't handle the prospect of the upward climb any longer, pulled over and made DH drive (I sat in the back of the car, not looking, and recovering from my panic attack). Once there, I was fine and the place was great in the evening and morning with no hordes of tourists.
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I wouldn't worry about car breakins in this area; they're extremely rare. However, it's always wise, anywhere in the world, to keep your bags out of sight. I don't remember what the parking was like at Gradara.
Montefabbri is in a different direction from Mondavio and Corinaldo. I think you could probably stop there after your visit to Gradara.
San Marino in the daytime tends to be a swarm of tourists, but if you take a walk on the path that connects the three towers, you can leave them behind and get some nice views.
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SOLD!! 1996 Sumerset 72 Widebody Houseboat SOLD!!
- Street: 8800 Port Royale Drive
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1996 Sumerset 72 Widebody Houseboat SOLD on Lake Lanier, Georgia
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- 1988 Sumerset Houseboat 14×65
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OF Reed Johnson stays with Braves on 1-year deal
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Since 2002 there has been a rapid expansion in access to antiretroviral therapy (ART) in low- and middle-income countries. By the end of 2007, UNAIDS estimated that over 2 million individuals were receiving ART in Sub-Saharan Africa, an increase of 54% in one year in this region alone (World Health Organization et al. 2008). Despite this remarkable achievement, and growing evidence that ART services in sub-Saharan Africa have had a major impact on morbidity and mortality (Boulle et al. 2008; Jahn et al. 2008) there are notable gaps in our knowledge about the operations and effectiveness of large-scale ART programmes.
Of particular concern is the absence of gender-specific data on ART programmes. While there have been concerns that women may be disadvantaged in their ability to access to ART (Box et al. 2003; Muula et al. 2007; Braitstein et al. 2008), evidence suggests that disproportionately more women than men have initiated ART in developing countries (Braitstein et al. 2008; Keiser 2008). A systematic review found that after accounting for HIV prevalence, proportionally more women than men were on treatment (Muula et al. 2007). How gender may influence ART outcomes remains unclear, and the results of previous research is mixed. Collazos found that women had better clinical and viro-immunological responses to ART than men and concluded that gender played a small but significant role in outcomes (Collazos et al. 2007). Studies in Malawi provided evidence that men were at increased risk of mortality on treatment (Ferradini et al. 2006; Chen et al. 2008). In contrast, a number of studies (Hogg et al. 2001; Weidle et al. 2002; Seyler et al. 2003; Hacker et al. 2004; Nicastri et al. 2005) and two reviews on gender and ART (Braitstein et al. 2006; Nicastri et al. 2007) found little evidence that gender influenced responses to ART.
Socio-economic factors are likely to impact on ART outcomes. The ART-LINC collaboration found that the free provision of ART was associated with reduced mortality (Braitstein et al. 2006). This had major implications for ART programmes in developing countries where patients are living in conditions of low socio-economic status (SES) and are unable to pay user fees for access to ART. For example, a recent study of children accessing ART in Cape Town found that half of the households had a monthly income lower than the national subsistence line, while 75% had an income of <$200/month (Marais et al. 2008)(Marais, Esser et al. 2008). These patients received free treatment, but spent $1–$6 on transport to the clinic (Marais et al. 2008). It is plausible that socio-economic factors including monthly income play a role in survival on ART and retention within ART programmes, but data on these issues from Africa are few.
As ART programmes in developing countries mature, their ability to retain patients on treatment becomes increasingly important. In fact, Boulle (Boulle et al. 2008) suggests that patient retention may be a good overall indicator of programme effectiveness. A recent systematic review found that at 2 years, African ART programmes had retained about 60% of their patients (Rosen et al. 2007) largely due to high loss to follow-up (LTFU). The underlying determinants of this are not well understood though.
Given the importance of understanding the impact of gender and income on the survival and retention of patients on treatment, we investigated these issues in a large public sector ART service in Cape Town, South Africa.
The Gugulethu clinic provides ART to residents of Nyanga, Cape Town, and has been described previously (Bekker et al. 2003; Lawn et al. 2005; Bekker et al. 2006). Nyanga is a predominantly African township on the outskirts of Cape Town with a population estimated at 300,000. Estimated antenatal HIV seroprevalence in 2006 was 29% (Western Cape Provincial Department of Health. 2007).
Patients are eligible for ART on the basis of the 2002 World Health Organisation (WHO) guidelines (WHO stage 4 disease or CD4 cell count below 200 cells/µL). Patients undergo clinical and psycho-social assessment and three group treatment-readiness sessions to ensure that they are ready to initiate and remain on long-term therapy. Patients are then assigned to a community-based therapeutic counsellor for on-site support and follow-up with home visits. This therapeutic support contributes to high rates of adherence and viral suppression and good ascertainment of outcomes (Orrell et al. 2003; Lawn et al. 2006).
Demographic and clinical data were collected via standard data collection forms. Income was measured in South African Rand (ZAR) per month. Income was unevenly distributed, with half of the patients (54%) reporting no personal monthly income. Among those who earned any income, the median was R740/month* (IQR, 620–1040). Monthly income was thus included as a binary variable (some monthly income vs none). WHO staging was done according to 2002 WHO clinical guidelines. CD4 cell count was done using flow cytometry (FACSCount™, Becton Dickinson, New Jersey, USA). HIV RNA viral load was tested with branch DNA hybridisation technique (VersantTM HIV-1 RNA 3.0 branched chain DNA assay (Bayer Healthcare, Leverkusen, Germany).
This cohort study included all adults (>=15 years old) in the database who were initiating ART for the first time. For the purposes of this paper, the date of ART initiation was regarded as the baseline visit. Cleaning, coding and analysis of data were done in Intercooled STATA 10.0 for Windows (STATA Corporation, College Station, TX). Follow-up time was calculated from the date of ART initiation and was divided into 'early' and 'late' ART. The early ART period was analysed as the first 4 months on ART; the late ART period was from 4 to 12 months on ART. Patients were regarded as LTFU if they had started ART and were absent from the clinic for longer than 3 months. Permanent deferrals were those patients who were referred but did not start ART for any reason besides mortality (including LTFU before ART initiation and refusal of ART).
Differences between groups were tested using the Wilcoxon sum rank test for medians and the chi-square test for proportions. Separate proportional hazards regression was used to estimate the crude and adjusted impact of covariates on the hazard of death on ART and the hazard of LTFU. The proportional hazards assumption was confirmed using Schoenfeld and scaled Schoenfeld residuals. Throughout the analysis, 2-sided statistical tests were used at alpha=0.05.
A total of 3,162 adults were referred for treatment between September 2002 and April 2007 (Figure 1). All patients who had started treatment elsewhere (n=319) were excluded as being non-naïve. During the period prior to ART initiation, 647 (23%) adults were censored due to death (n=129) or permanent deferral (n=349) or were still awaiting treatment (n=169). A total of 2,196 patients started ART and were included in this analysis, 67% of whom (n=1,479) were female. The total duration of follow-up was 1,650.8 person-years (females, 1,146.1 person-years and males, 504.7 person-years, p=0.005). The median duration of follow-up was 365 person-days (IQR, 183–365). Median follow-up among women was 365 person-days (IQR, 202–365) and among men 343 person-days (IQR, 145–365). During early ART, 9% of patients (n=197) were censored due to death (n=110), LTFU (n=64) or transfer (n=23). During late ART, 8% (n=166) of patients were censored. LTFU was the main cause (n=73), while 47 were transferred out and 46 died.
As shown in Table 1, there were significant gender differences in all key baseline characteristics except income. Of the total study population, 67% (n=1,479) were female. Women were younger than men (31 years vs 36 years, p<0.001) and healthier, with higher median CD4 cell counts (107 vs 89 cells/µL; p<0.001) and lower median log viral loads (4.80 vs 4.95; p<0.001). Overall, 46% of patients (n=864) had some monthly income, and there was no gender difference in the distribution of income (p=0.505).
Early mortality on ART was very high. In the first year on ART, 156 deaths occurred. Of these, 71% (n=110) occurred in the first four months on treatment. In this period, 4% (n=59) of female and 7% (n=51) of male patients died (p=0.004). The overall death rate was 15.78/100 person-years and was far higher among men than women (22.8 vs 12.5/100 person-years; p=0.002). In the first four months on ART (Table 2), men had nearly twice the crude risk of mortality compared with women (HR 1.83, 95% CI, 1.26–2.66; p=0.002) (Figure 2). Other risk factors strongly associated with death in bivariate analysis were age, CD4 count, WHO stage and viral load. After adjustment for baseline characteristics (Table 2), there was no association with male gender (adjusted HR 1.46, 95% CI, 0.96–2.22; p=0.076). In multivariate analysis, only CD4 count and WHO stage at baseline significantly impacted on mortality. Having some monthly income was not significantly associated with survival during early ART in crude (HR 0.72, 95% CI 0.48–1.07; p=0.106) or multivariate analysis (adjusted HR 0.78, 95% CI, 0.52–1.18; p=0.246).
The death rate dropped substantially during late ART. One third of all deaths at a year (n=46) occurred during this period. In this period, 3% (n=32) of female and 3% (n=14) of male patients died (p=0.969). The overall mortality rate was 3.7/100 person-years and there was no gender difference in mortality (3.5 vs 3.8/100 person-years; p=0.817) (Figure 2). In this period (Table 2), there was no association between male gender and survival in crude (HR 0.98, 95% CI, 0.52–1.84; p=0.946) or multivariate analyses (adjusted HR 0.70, 95% CI, 0.37–1.34; p=0.280). Factors strongly associated with survival during late ART in crude analysis were age (p=0.001), CD4 count 101–150 and CD4>150 vs <50 cells/µL (respectively p=0.046, p=0.015), WHO stage IV vs stages I & II (p=0.030) and having some monthly income vs none (p=0.038). After adjustment, age (p<0.001), CD4 count >150 cells/µL (p=0.023) and monthly income (p=0.018) remained significantly associated with survival (Table 2). There was a 55% reduction in the risk of mortality among those patients earning some monthly income compared with none (adjusted HR 0.47, 95% CI, 0.25–0.88; p=0.018).
To investigate the potential interaction of gender and income in influencing outcomes on ART, we analysed survival on ART by gender and income strata. Compared to women with no income as the reference group, men with no monthly income had nearly twice the crude hazard of death (HR 1.89, 95% CI, 1.25–2.86; p=0.002) (Figure 3a). However there was no difference in the crude hazard of death for men (HR 0.94, 95% CI, 0.56–1.58; p=0.821) and women (HR 0.75, 95% CI, 0.49–1.16; p=0.201) with some monthly income compared with women with none. In a multivariate model including age, CD4 count, WHO stage, viral load and a separate term for the interaction of gender and income, there was no evidence of any interaction on a multiplicative scale between gender and income (p=0.228).
Of 2,196 patients who initiated ART, 137 (6%) were LTFU at one year on therapy. During the first 12 months on ART, 6% (n=87) of female and 7% (n=50) of male patients were LTFU (p=0.055). There was no significant difference in gender distribution between those LTFU and those who were alive and on treatment at one year (p=0.240). Neither median CD4 cell count (p=0.881) nor median log viral load (p=0.490) differed between those LTFU and those who survived. However, income was strongly protective against LTFU (Table 3). The risk of being LTFU was halved among those earning any income compared with no income in both univariate (HR 0.53, 95% CI, 0.37–0.77; p=0.001) and multivariate analyses (HR 0.56, 95% CI, 0.39–0.82; p=0.002) (Table 3). To investigate the potential interaction of gender and income on ART outcomes, we also analysed LTFU on ART by gender and income strata. Compared with women with no income as the reference group, women with some income had a 48% reduction in the crude hazard of LTFU (HR 0.52, 95% CI, 0.33–0.83; p=0.005) (Figure 3b). This finding persisted in a multivariate model with all baseline characteristics and a separate term for the interaction of gender and income (adjusted HR 0.56, 95% CI, 0.36–0.90; p=0.015). There was no significant difference in the crude hazard of LTFU among males with no income (HR 1.2, 95% CI 0.78–1.91; p=0.377), and males with some income (HR 0.66, 95% CI, 0.38–1.16; p=0.149), compared with women with no income.
In this cohort there were significant gender differences in key demographic and HIV disease characteristics at entry into the ART programme. Men were older and had more advanced disease, with lower CD4 cell counts and higher viral loads. These gender-associated disparities explained the higher mortality rate among men than women during early ART. During late ART, some baseline characteristics (age, CD4 count and monthly income) impacted on mortality in multivariate analysis, while others (including gender) did not. Having some monthly income significantly reduced the risk of mortality during later ART as well as the risk of being LTFU, independent of demographic and HIV disease characteristics.
This study took place in a large, well-maintained cohort. The counsellors ensured near-complete ascertainment of outcomes which strengthened findings related to death and LTFU. The division of study time into early and late ART allowed exploration of the changing impact of baseline disparities on survival. Although the characteristics of this programme, and the patients within it, are broadly representative of public sector ART services in sub-Saharan Africa, the generalisability of these results may be limited and the links between gender and ART programme outcomes requires investigation in other settings.
Mortality during early ART was extremely high, as individuals - particularly men - entered the programme with advanced disease. This is similar to reports from collaborative and single site studies (Braitstein et al. 2006; Stringer et al. 2006; Boulle et al. 2008; Braitstein et al. 2008; Chen et al. 2008; Keiser 2008). In multivariate analysis, there was no evidence of gender-based differences in survival on treatment. This concurs with findings from numerous studies (Hogg et al. 2001; Weidle et al. 2002; Seyler et al. 2003; Hacker et al. 2004. Nicastri et al. 2005; Stringer et al. 2006) and from two reviews, one comparing low and high income countries (Braitstein et al. 2006) and the other a systematic review of published studies on gender and ART (Nicastri et al. 2007). In contrast, two studies in Malawi reported an increased risk for men which persisted after adjustment (Ferradini et al. 2006; Chen et al. 2008). This may have been due to incomplete or missing CD4 measurements in these two studies; without complete data on this important covariate it would be difficult to adjust adequately for the effect of CD4 on mortality. In contrast, baseline CD4 cell counts were available for 92% of the Gugulethu cohort.
More women than men entered this ART programme, as in other developing countries (Braitstein et al. 2006; Muula et al. 2007; Chen et al. 2008). In addition, men started treatment with more advanced disease than women, as has been reported in other African settings (Boulle et al. 2008; Braitstein et al. 2008; Chen et al. 2008). These data demonstrate that late presentation of men resulted in increased mortality in the first four months on treatment. Thus, contrary to concerns that gender differentials may limit women's access to ART, our study provided additional evidence that men may be particularly disadvantaged in access to treatment in resource-constrained settings (Braitstein et al. 2008; Keiser 2008). Previous studies have suggested a range of complex psycho-social reasons (Braitstein et al. 2008; Chen et al. 2008; Keiser 2008). In addition, and perhaps more importantly, structural obstacles may prevent men from accessing health care services including ART (Braitstein et al. 2008; Keiser 2008). In South Africa, ART is offered through the primary health care (PHC) service, which offers preventive services aimed primarily at the needs of women, not men. PHC services need urgent attention to increase men's exposure to health services, which is likely to increase their chances of earlier diagnosis and treatment.
Age played an important role in early and late survival in this ART programme. This has important implications as men generally enter the ART programme at later ages than women, and are often infected at an older age than women (UNFPA. 2003). This provides additional evidence to support earlier diagnosis and treatment for men (Lawn & Wood. 2006; Braitstein et al. 2008).
The issue of patient retention in ART programmes is of major import in developing countries which are rapidly expanding access to HIV treatment. A recent systematic review found that African ART programmes retained about 60% of patients after two years on therapy (Rosen et al. 2007). In Malawi, 50% of patients reported to be LTFU had actually died, most of them shortly after missing their last clinic visit (Yu et al. 2007). Similarly, Braitstein (Braitstein et al. 2006) suggests that with different assumptions of outcomes for those LTFU, true mortality in their study might have been as high as 15% and not 6.4%. The low rate of LTFU in Gugulethu, due to the active role of the Sizophila adherence counsellors, increases confidence in our findings. While it is vital to continue to enrol new patients on ART, programmes need to find ways to keep these patients on treatment.
Our finding that individuals with no monthly income experience poorer outcomes on ART has important programmatic implications for public ART programmes in Africa. The ART-LINC collaborative study (Braitstein et al. 2006) found that free HIV treatment in low-income countries was highly protective against mortality (adjusted HR 0.23; 95% CI 0.08–0.78). In this cohort, as in all South African government ART roll-out sites, treatment was free. Despite this, monthly income was strongly associated with survival overall (Table 2) and stratified by gender (Figure 3a). Income was also strongly associated with LTFU (Table 3). These findings suggest that even when treatment is free, having some income still impacts on outcomes on therapy. While the underlying mechanisms require further investigation, these associations are highly plausible: in a situation of limited resources, patients may have to choose, for example, between food for their family and transport to reach an ART clinic.
Socio-economic status is difficult to quantify and measure in the South African context where race-based denial of economic opportunities, and very high levels of inequality, further complicate commonly used definitions of socio-economic status such as income, education or employment (Myer et al. 2004). Nonetheless, our binary measure of income demonstrated persistent associations with programme outcomes. The South African Government uses a household monthly income of ≤$100/month to indicate indigent familiesf (Marais et al. 2008). Using this definition, an estimated 57% of all South Africans were living below the poverty income line by 2001 (Schwabe 2004). In this cohort, over half of the patients had no monthly income. For many of those patients who reported some monthly income, this was in the form of a government disability grant. Although there was no gender difference in the distribution of income, there was some interaction between gender and income (Figures 3a & 3b). Compared with women with no income, men with no monthly income had nearly twice the crude hazard of death (HR 1.89, 95% CI, 1.25–2.86; p=0.002). In addition, among women with some income compared with women with none, there was a 48% reduction in the crude hazard of LTFU (HR 0.52, 95% CI, 0.33–0.83; p=0.005). This finding persisted in multivariate analysis (adjusted HR 0.56, 95% CI, 0.36–0.90; p=0.015). Gender differences in the associations between income and outcomes on ART require further investigation, and highlight the importance of understanding social determinants of health for individuals in HIV care and treatment services. Socio-economic interventions (such as a basic income grant, as has been considered in South Africa) - either for HIV-infected individuals specifically or for all individuals below the poverty line - require further attention.
In summary, men entering this ART programme were older and had more advanced HIV disease than women. This late presentation resulted in increased early mortality on ART for men compared with women. Treatment programmes should prioritise earlier diagnosis and treatment of men. Further studies should explore the role of socio-economic factors in survival and patient retention in ART programmes in developing countries.
M.C., L.-G.B, L.M. and R.W. are all partially funded by the National Institutes of Health through a CIPRA Grant no. U19 AI53217. R.W. is also partially funded by an R01 grant A1058736-01A1. M.C. & R.W. are partially funded through the IeDEA-SA Grant no 5U01AI069924-02.
M.C. & L.M. conceived and designed the study. M.C. undertook statistical analysis and wrote the paper. L.M. assisted with data inerpretation and revision. R.K. assisted with data collection. L.-G.B. helped establish the study cohort and assisted in data interpretation and revision. R.W. assisted with data interpretation and revision.
"Support for this study was provided by the US National Institute of Allergy and Infectious Diseases (NIAID) through the Comprehensive International Program of Research on AIDS (CIPRA) network, Grant U19 AI53217 and the International epidemiological Database to Evaluate AIDS, Southern Africa (IeDEA-SA), Grant no 5U01AI069924-02."
f$1 = ±R7
Conflicts of interest
The authors declare no conflict of interest.
PubMed Central Canada is a service of the Canadian Institutes of Health Research (CIHR) working in partnership with the National Research Council's national science library in cooperation with the National Center for Biotechnology Information at the U.S. National Library of Medicine(NCBI/NLM). It includes content provided to the PubMed Central International archive by participating publishers.


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President Zuma has signed into law the legal practice bill, the presidency said on Tuesday.
"This brings to fruition many years of discussions, negotiations and even concessions that began in the time of the late Dullah Omar, democratic South Africa's first minister of justice," spokesperson Mac Maharaj said in a statement.
"While the time taken to promote and enact this historical statute might seem overly long, the time taken has been well spent."
The lengthy deliberations during the bill's passage through Parliament ensured that its many provisions had been thoroughly considered.
This was aimed at ensuring a legal profession that was not only transformed, but also independent, and promoted the values underpinning the Constitution and upholding the rule of law.
"The transformation of the legal profession, like the transformation of the judiciary and our court system, is crucial for our young constitutional democracy," Maharaj said.
"Transformation of the legal profession is a constitutional imperative. The legal profession constitutes part of the judicial machinery that provides services aimed at promoting access to justice."
As a result of the bill, all lawyers, being advocates and attorneys, would for the first time fall under a single regulatory body, the SA Legal Practice Council.
The council would be assisted by provincial councils in its daily operations.
"This Council will consist mostly of legal practitioners but also of other important role players whose expertise and experience will enhance the objects of this body," Maharaj said.
"While there is a single regulatory body, the Legal Practice Act allows for advocates and attorneys to continue in their respective areas of specialisation."
The council, when carrying out its regulatory functions, would bear in mind and recognise the differences and similarities between attorneys and advocates where appropriate.
"Legal practitioners, being officers of the courts, will continue to be admitted as such by the courts and the courts will continue to remove them from practice should this be necessary," said Maharaj.
"The council will also play a crucial role in the professional conduct of legal practitioners and develop a single code of conduct that applies to all lawyers."
One important feature of the bill would see disciplinary bodies that adjudicated on cases of alleged misconduct being open and transparent.
Beyond consisting of lawyers, they would also consist of lay persons.
Another important feature would see a legal services ombudsman established.
The ombud's mandate would be to protect and promote the public interest relating to the rendering of legal services, and ensure fair, efficient and effective investigation of alleged misconduct complaints against legal practitioners.
The bill's full implementation would only take place after the National Forum on the Legal Profession had completed its mandate, for which a period of three years had been given.
"The mandate of this Forum is to put systems and procedures in place for the full implementation of the legislation," Maharaj said.
"It is trusted that the deliberations of the Forum will facilitate consensus on the remaining issues that are still required to be dealt with as set out in the Act."


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Courtesy of Michelle Faye/FX.
Elaborate dance sequences may not seem like a draw for Marvel fans, but Dan Stevens, who stars as mutant David Haller in FX's Legion, can assure you they'll pop up in almost every episode of his new series. These impromptu musical numbers — like the one in a psychiatric hospital that interrupts the show's brilliant, chaotic pilot — are just one of the many ways that Legion, helmed by Fargo showrunner Noah Hawley, subverts its superhero genre.
"We've all been picking our brains as to how it will be received, because it has such an unusual shape to it," says Stevens, known for his previous roles in Downton Abbey and High Maintenance, in which he played a cross-dressing stoner. Indeed, the series fluctuates in tone, from exuberant and cheeky to deeply disturbing, as it follows David, the schizophrenic son of X-Men's Charles Xavier, in his struggles to parse reality while others try to harness his violent, unpredictable powers.
Stevens believes the constantly destabilized state of his character echoes a larger, more foreboding trend today. "Legion is so bonkers, but it's such a bonkers time on the planet," says the British actor, who was shooting the series as Brexit and the U.S. presidential election were unfolding. "There's something about this terrifying post-truth moment that David seems to slot right into." Meanwhile, Stevens has had his own coping mechanisms for these trying days. "I've been reading A Christmas Carol for a film I'm doing," he says. "I've really just been trying to focus on the goodness of humanity. It is there. I'm positive it's there."
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Apr 08, 2011 - 5:13 pm
I was just wondering if anyone knew or experienced problems with their teeth that may have been caused by effects from radiation.
Recently, I just had a root canal. Now, several teeth have lost their fillings. I know in the past that during pregnancy I had teeth problems, but I didn't know if radiation could be effecting my teeth now. Within the past year, I have had 4 CT scans, 1 PET/CT Scan, 3 PET Scans, MRI, plus x-rays on my teeth and a mammogram. I had brachytherapy in 2006.
Just a thought.
Apr 10, 2011 - 2:31 pm
I don't know the answer to this.. but you might want to check on the head and neck cancer forum.. I believe that unless you've had radiation directly to that area.. (like the HNC people) it shouldn't be an issue...I know one of the issues for people who have had radiation to Head/neck area is lack of saliva so dry mouth can aggravate tooth decay.. Good luck and I hope you find the info you are looking for..
Apr 10, 2011 - 3:00 pm
I think Cindy is correct that the Head and neck treatments may result in oral issues, rather then pevic radiatio. I am not certain, but know a cancer survivor who said that within the first 2 years of finishing her chemo she had 2 root canals and one extraction and blamed it on the chemo.
You might want to consider that part of the equation.
Apr 10, 2011 - 10:13 pm
Thanks Cindy and Karen:
Thanks Cindy and Karen for your replies.
Apr 11, 2011 - 9:53 am
I still think it might have been the chemo... There are several articles about this when I googled. Check out this site: http://www.livestrong.com/article/31610-effects-chemotherapy-teeth/
Am sorry you are having such tooth issues. I don't enjoy dental work at all!!


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Rectal Bleeding without Bowel movement
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January 7th, 2010
I started having bright red rectal bleeding a few months ago that comes and goes. Sometimes it just starts when I urinate and is sort of drippy. By the time I made an appointment and went to the doctor it had stopped. It starts and stops so fast. Now I have had abdominal pain for the last 3 days after I eat that seems to go away after about an hour. Today I woke up with bleeding again. I'm not sure if it's related or not. I have also had a total hysterectomy due to endometroisis and I am wondering if it could be related to endo?? I am a psychiatric nurse not a medical nurse.
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I changed my mind
Dr. Robert Wascher
replied January 9th, 2010
A number of different conditions can cause rectal bleeding, These include hemorrhoids, anal fissures, diverticulosis, abnormal blood vessels (angiodysplasia), and tumors (both benign and malignant), most commonly. Endometriosis would be very unlikely if your ovaries have been removed (and you are not on replacement hormones).
Your symptoms will requrie further evaluation, I'm afraid.
Sincerely/ Robert A. Wascher, MD, FACS
A Cancer Prevention Guide for the Human Race
A landmark, evidence-based guide to a healthy cancer-prevention lifestyle, based on cutting-edge cancer research.
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text:
Minna joined Sutton Place Synagogue in May 2007. She came to the Synagogue after many years in the non-profit world, most recently as the Director of the Mount Vernon Hotel Museum & Garden. A longstanding Manhattan resident, Minna earned a bachelor's degree from New York University and a JD from Yeshiva University's Cardozo School of Law. She and her husband live on Manhattan's Upper East Side.
Email – Minna Schneider
firstname.lastname@example.com – 212-593-3300 (ext 111)
Our congregation benefited from Harriet's talented and dedicated service as Executive Director for nearly 30 years, during which she played a major role in the extraordinary growth that helped Sutton Place Synagogue evolve into the major Jewish institution it is today. Harriet's vitality, creativity and people skills are characteristics that make her ideally suited for her current role as Director of Programming and Member Services.
Email – Harriet Janover
firstname.lastname@example.com – 212-593-3300 (ext 102)
Lesley joined the SPS community in July 2005 as Principal of the Jackson Religious School. She is a graduate of List College, a joint program between Columbia University and the Jewish Theological Seminary (JTS), where she earned bachelor's degrees in sociology and Bible. Lesley also earned a Master's degree in Jewish Education from the Davidson School at JTS. Lesley is originally from St. Louis.
Email – Lesley Goldenberg
firstname.lastname@example.com – 212-593-3300 (ext 101)
Lindsay is returning to the SPS community in August 2015, as Director of the Kaplan Nursery School. She is a graduate of NYU, where she earned a bachelor's degree in Social Work. She later earned a Master's degree in Infant/Parent Development & Early Intervention, and dual certification in Early Childhood Education and Special Education from Bank Street College of Education. After 10 years away, in the field of Early Childhood Education Administration, Lindsay is excited to return to KNS. Lindsay is the mother of two young children.
Email – Lindsay Bennett
email@example.com – 212-593-3300 (ext 103)


text:
Peugeot has recently announced the official starting price of the facelifted RCZ in the United Kingdom, which has been set at 21, 595 GBP.
The Peugeot RCZ facelift is entering our news once again, after it was officially presented to the public a couple of months ago during the 2012 Paris Motor Show, this time with the French based automaker announcing the model's official starting price in the United Kingdom, set at 21,595 GBP. According to the car manufacturer, the 2013 Peugeot RCZ is coming with the same Sport and GT trim levels as before.
The model in question is getting standard features such as the dual zone air conditioning, the USB, Bluetooth, rear parking air or the 18-inch alloy wheels, while if you want more, Peugeot is also offering leather and Alcantara upholstery. The GT trim level is 2,400 GBP more expensive than the Sport trim and it's adding a sports steering wheel and gear lever wrapped in leather, optional matt black roof arches and 19-inch alloy wheels, amongst others. The most powerful production car ever signed by Peugeot, the 2013 RCZ facelift, will be available to its future customers soon.


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MOVIE SYNOPSIS [ General Audiences ] Being a production of USA, this feature film of 2014 has been excellently directed by Jace Alexander. You can watch And, We're Out of Time online on TV cable or theaters with original audio in English at different dates. This film premiered in theaters in 2014.
Rating: 5 by 10 users./
Runtime: 100 minutes
Maddie Corman, Deborah S. Craig, Trieste Kelly Dunn, Christopher Fitzgerald, Nahuel Gorosito, Michael D. Joseph, Jay Wells L'Ecuyer, Zimone Mincey, Steven Pasquale, Maryanne Piccolo, Quinn Shephard and Susan Kelechi Watson.
100-minute film (full movie) directed by Jace Alexander.
The original audio of And, We're Out of Time has dialogues in Dolby Digital, it was produced in USA.
It premiered in cinemas or television in 2014.
Screenplay written by Debbie Baldwin and Kim Cella.
Dan Stoloff.
Jace Alexander, Steven Pasquale, Debbie Baldwin, Kim Cella and Jonathan Burkhart.
This film was produced and / or financed by Great Point.
Without commercial breaks, the full movie And, We're Out of Time has a duration of 100 minutes; the official trailer can be watched in streaming on the Internet. You can watch this full movie free in EnglishDolby Digital in movie TV channels, renting the DVD or with VoD services (Video On Demand player, Hulu) and PPV (Pay Per View, Netflix).
See the page of this full movie, And, We're Out of Time in FULLTV Movies.


text:
LOS ANGELES (CBS/AP) — Facing a wave of mounting public outcry, Los Angeles Police Chief Charlie Beck on Tuesday defended an officer's shooting of a knife-wielding man whose death sparked a violent protest in which demonstrators pelted police with rocks and bottles.
Beck Pledges "Transparent" Investigation Process
Beck told the Police Commission that witness and officer accounts indicate that the officer who killed Guatemalan immigrant Manuel Jamines on Sunday acted "in immediate defense of life" and that he was warned in English and Spanish to drop the knife, the Los Angeles Times reported.
The shooting prompted demonstrations Monday afternoon near MacArthur Park in an inner-city area west of downtown with a large population of Spanish-speaking immigrants from Central America. Demonstrators marched back and forth between a bustling shopping area where the shooting occurred and the Rampart police station three blocks away. Some held a a candlelight vigil.
On Monday night, some protesters began hurling rocks, bottles and debris at officers and set some trash on fire. By the time the confrontation ended at about 2 a.m. Tuesday, four people had been arrested on suspicion of misdemeanor inciting a riot, Officer Bruce Borihanh said.
Three officers were slightly injured by hurled debris but returned to duty, he said.
Lt. Andrew Neiman claimed "provocateurs" started the confrontation, according to reports.
There was no further violence Tuesday, but officers planned to keep squads on streets in the area through the day, he added.
Beck provided a detailed preliminary account of the shooting to the civilian commission that oversees the police force. He said three bicycle patrol officers were flagged down Sunday afternoon and told that a man with a knife was threatening people.
Some people in the neighborhood have said that Jamines understood little or no English. However, Beck said officers who spotted the man repeatedly ordered him, in both English and Spanish, to drop the knife. Instead, he raised it over his head and moved toward the officers, one of whom fired two shots at him, Beck said.
Jamines, 37, was pronounced dead at the scene. Friends said he was a construction worker and father of three.
Protesters contended the man was drunk but not dangerous and say officers should have used a non-lethal weapon to subdue him. Beck said bicycle officers frequently do not carry the selection of non-lethal weapons that are found in patrol cars.
Neiman said Jamines was known in the neighborhood as a habitually drunk nuisance and that witnesses identified him as threatening people with the knife before he was shot, City News Service said.
"One of those was a woman who said she saw the suspect threatening a woman with a knife," he said. "Her attention was
drawn by a crying 4-year-old who was standing next to the woman." The witness said she told the man to "go away" because he was scaring people and then he threatened her as well, Neiman said. The police union issued a statement Tuesday calling the shooting a "tragic accident" but said community activists were trying to stir up controversy.
"Getting drunk and threatening bystanders and then LAPD officers with a knife is dangerous and self-destructive in any
language," said the statement from the Los Angeles Police Protective League. "This was not and should not be a controversial shooting."
MacArthur Park was the site of a May 1, 2007, clash, where police officers pummeled immigration rights marchers and reporters with batons and shot rubber bullets into the crowd. Dozens of protesters and journalists were injured as officers cleared the park.
The embarrassing incident cost the city more than $13 million in lawsuit settlements. Police were retrained on crowd control, forming skirmish lines, using batons in a crowd and using extraction teams to identify and arrest violent demonstrators.
(TM and © Copyright 2010 CBS Local Media, a division of CBS Radio Inc. and its relevant subsidiaries. CBS RADIO and EYE Logo TM and Copyright 2010 CBS Broadcasting Inc. Used under license. All Rights Reserved. This material may not be published, broadcast, rewritten, or redistributed. The Associated Press contributed to this report.)


text:
Dawn Lemaster North American Bus Driver of the Year
For bus driver Dawn Lemaster, there's a lot more to school bus driving than just picking up and dropping off students. Lemaster, has been a bus driver for Lake Orion Community Schools for 15 years. Ten year old Charlotte Anker, a fourth grade student at Carpenter Elementary, nominated Lemaster, saying she was "the most fun, loving, caring and AWESOME bus driver I've ever had!" Lemaster makes riding the bus fun as well as educational, with an on-bus quiz game, a bus safety program and a portable library that encourages kids to read on the bus.
Click here to learn more about this award
Click here to read Charolotte's essay
Orion/Oxford Kiwanis Club and LOHS Key Club present dictionaries to all Lake Orion 3rd grade students!
Stan Ford named 2012 Boys Track Coach of the Year
The Michigan Interscholastic Track Coaches Association (MITCA) named Lake Orion's Stan Ford, "2012 Boys Track Coach of the Year." Last Spring, Stan led the Dragons to the MHSAA Division 1 State Championship. The team also captured both County and League titles as well.


text:
Official Android 4.4 Update Now Available for Nexus 7 2012 – Grouper – WiFi Edition
Just last night, Google announced on Google+ that Android 4.4 – KitKat is making it's way out to their WiFi tablets. Which included the Nexus 10, Nexus 7 (2013) WiFi, and Nexus 7 (2012) WiFi. Earlier this morning, we saw the update made available for the Nexus 7 (2013), and now for those with the original Nexus 7 (the Grouper) we now have the update available for you. Since none of us really want to wait for the OTA to be made available. We've got the download down below for you to check out.
Black Friday 2017 Deals: Find Great Deals on Android Smartphones, TV's, Smart Speakers, Chromebooks and More.
If you want to flash this OTA zip, you'll need to use the adb sideload command through adb using the Android SDK. However, if you are stock but rooted, you should be able to flash the update via your custom recovery. However that doesn't work 100% of the time.
Download Android 4.4 KitKat build KRT16O
The OTA update is about 185MB in size, which should be the same size as waiting for the update over the air. It's a semi big update, but not too large. You'll probably find that the update will take a bit to install and reboot. You may also notice that the UI does not look the same as the Nexus 5's UI. There have been reports that Google is keeping the launcher on the Nexus 5, on the Nexus 5 to see how everyone likes or dislikes it. I actually like the new launcher on the Nexus 5, especially with the translucent navigation bar and status bar. I'm sure we'll start seeing more custom ROMs for the original Nexus 7 that are more stable now. Especially since they have code set for Grouper, instead of just porting over the Nexus 5 build to the Nexus 7, like many did for the Nexus 4.
How many of you are going to download and sideload this update? Let us know in the comments down below.


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Post subject: Inventory clearance. Please help.
I'm trying to restore much needed space, and piles upon piles of things are only cluttering up my space. I have 2 drawers full of GD and non-GD dvds, as well as a bunch of cds that I really will never listen to. They are yours to have if you contact me. I will inventory the discs this weekend. As usual, they will be shipped to you at no cost. Thanks for helping me with this. I think I also have a Dell laptop I can give away.
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That's a tremendous offer!
What are you switching your archive to? Hard drives?
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Posted: Thu Feb 23, 2012 2:28 pm
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A number of things. For years I made multiple copies od dvds. Sometimes I accidentally re-downloaded the same show. Maybe I do have more than I need.... I also converted many audio cds into flac files and burned them onto dvd for storage. I really don't listen to a lot of stuff that I collected years ago, nor do I foresee ever listening to it. Led Zeppelin, Yes, Genesis.....I have little or no use for that stuff.
I also have filled five 2TB external HDs with data, so yes, I am going that route to some extent. GD DVDS? They all get saved as data DVD discs and 2 copies of video discs are burned and stored carefully. I have taken the Data DVDs and put them on an external for ease of use. The entire Graceful Duck Archive is also now on an external HD for the same reason.
I want nothing in return for the stuff I am willing to ship out of here. Trust me, you are helping me out by taking them off my hands. It has come to this - give them to friends who will enjoy them, or in the dumpster they go!
Thanks, and keep checking in the next couple od days for my inventory clearance....first come, first served.
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Pikk v. Pedersen, No. 15-4001 (10th Cir. 2016)Annotate this Case
Plaintiffs, shareholders of ZAGG Inc., a publicly held Nevada corporation, filed a shareholder-derivative action seeking damages, restitution, and other relief for ZAGG. They alleged that past and present officers and directors of ZAGG violated section 14(a) of the Securities Exchange Act of 1934, breached their fiduciary duties to ZAGG, wasted corporate assets, and were unjustly enriched. The district court dismissed the suit on two alternative grounds: (1) Plaintiffs filed suit before presenting the ZAGG Board of Directors (the Board) with a demand to bring suit and they failed to adequately allege that such demand would have been futile; and (2) the complaint failed to state a claim. Plaintiffs appealed the dismissal on both of the district court's alternative grounds. Because the Tenth Circuit denied the challenge to the first ground, it did not address the second.


text: Charging down the strip, breaking away from the pack, or stunning the crowd with wicked sound, your high performance vehicle demands power. Get that power without a lot of hassle with Powermaster! To fire up your high-compression engine, Summit has Powermaster starters, which pack more torque and endurance into a lightweight unit, but fit like stock. To stay charged lap after lap, drop in a Powermaster alternator—they're lightweight and built to withstand all the abuse the track or trail can dish out. Powermaster even makes all the brackets, pulleys, and dress-up parts your electrical system could ever need, and Summit has it all priced to move.


text:
I keep swearing I'll do a better job of updating, but I never do… Mostly I'm keeping a private journal these days, but some people actually read this blog, so here's an update.
I'm still with my sweetheart, the woman I mentioned in this post. It's been 2.5 months now. I'm in love with her, and have been for a while. Weird, huh? Here I was planning to never get involved with anyone for the rest of my life, and suddenly — love. She makes me very happy. I'm lucky she cares for me as much as I do her.
I still haven't had the money to go back to school, so I've enrolled in a couple of Coursera classes. Python Fundamentals (or something like that) and Mathematical Thinking. I'm really just auditing the classes, because that's free, but I'm committing to myself to do the work. I've also started using online language software through the public library to work on my Spanish. My love is taking Spanish II this fall, but needs to brush up on Spanish I first. So we're doing it together. Which is really nice. She and I do all sorts of fun things together — art, hiking, traveling — and I'm excited to add "learning" to that list.
I've been iffy on my volunteer work lately. I love it, and I want to be there every single week. But. I've been dealing with medication changes, and those never bode well for my mental stability.
It started with my Geodon addiction. It's not supposed to be addictive, but I was taking it three times a day and getting withdrawal symptoms from hell if I was even an hour late. So I told my doctor I wanted off it. I went into her office one day while in withdrawal. It was unplanned, but she was horrified to see me like that and agreed to help me get off it. So we started Abilify. I'm going up on it every two weeks until I'm off the Geodon and am stable. It's… not easy. Currently I'm at 5mg of Abilify in the mornings, and no longer take a morning Geodon. Thursday we'll go up a little more on Abilify and lose the second Geodon dose. Which will make me weird for a couple of days. It's not an easy transition. I've had stray hallucinations (minor ones, thankfully) and other little symptoms here and there.
And I quit smoking yesterday, so my poor brain is confused about that too. Smoking is helpful for the schizophrenic brain, although it can cause the same lung damage as it would on a neurotypical. The current theory is that it helps regulate dopamine in such a way as to help with focus. Almost all schizophrenics smoke, for that reason. (Although most people don't know why it helps them feel better. They just know it works.) I wouldn't quit, except I can't afford to spend a couple hundred dollars a month on cigarettes…
I haven't been exercising. Or playing my cello. Or drawing. There's only so many things I can do at once! I am, however, knitting a lot. I made my love a short-sleeved summer sweater, which she likes enough that she wore it to work the other day. That made me feel really good, that I made something that wasn't embarrassing to wear. I mean, yes, I know I'm a good knitter, but it's rare I make sweaters and it's nice that they turn out that well.
I've also been weaving a lot. I learned to do overshot on on my rigid heddle and started making weird wall hangings — overshot mixed with rows of leno lace, brooks bouquets, random designs… A friend has actually commissioned me to do one. I started on it yesterday. I should be finished within a couple of days. Later today I need to go buy a few more dowels. I'm painting them and using them to weigh down the hangings, because they're made of fingering weight wool. I'm thinking that for future ones I'm going to move up to DK weight. 10dpi instead of the 12 I'm doing now. Then I can use my handspun, which is almost all sport/DK. I have some cool ideas for future hangings. They're faster than tapestry, and I can grid out the overshot designs instead of having to freehand tapestry cartoons. I'd like to sell some more.
I can't believe I'm getting paid for my art. And the hangings are art — I'm designing images for them. It's not like spinning that's all about hand movements. Yes, I'm a good fiber artist, but the textile art I'm doing feels like legit art. It's very satisfying. I do want to get back to tapestry some, too. I have one in progress that I haven't touched in like a month. I'm going to pick it back up when I get my commission done, while I wait until I can buy the DK warp yarns I need.
Speaking of money — I wish I could work. Or magically win $3,000. I need it. Medical bills, mostly. Still paying off my fucking root canals. I hate being broke and not really being able to do anything about it…


text:
Frustrated by your own declining sales?
Earlier this week we talked about the client who told me, by way of dismissing my instant read of his business, "But my customers love it."
(To that dear client: If you are reading this—and we both know you are not—but if you are reading this, this post is not for you. Seriously.)
Well, what if your customers do love it, and what if they're right?
You've read Tuesday's post. You know that you're focused. You're polished and professional and the go-to guy, girl, or multinational firm 😉 for what you offer. Your customers do love it, and you don't smell like fish.
Particularly pike. I have recently added to my infinitesimal knowledge of fish, the fact that pike are losers, and I couldn't wait to share this strange lesson with you. So don't smell like pike.
But I digress…
What's going on if your customers love you, but your business is still on the decline? Below, my top ten sight-unseen instant reads for your business, in no particular order. See if you recognize your company:
1. Your hard-won customer base is aging. Your Ideal Customer, of course, does not. But you're still talking to all those folks who are getting too old for what you offer, and neglecting to bring in the Ideal Customer, because those folks who don't need what you have anymore are like friends and family to you. They love you, but hey, at 37 they don't get on skateboards that much anymore.
2. Your neighborhood is on the decline. The folks who'll brave the area—or who come in every day and don't notice the gradual changes, like you—still love you. But every day fewer people are will to make your place a destination in the middle of all that yuck, no matter what kind of wonderland your store is.
3. You've stopped reaching out. This can be marketing activities like networking, real old-fashioned ads, or various online activities like, say, blogging. It happens to almost everyone at some point—they forget to stay hungry, and they stop prospecting for new business, coasting on their old customers instead. Are you becoming a contented cat?
4. You aren't actively encouraging word-of-mouth. While coasting on old customers will lead to a decline, not having the sunshine-y faith in your company to ask customers if they know someone else you can help can be just as bad. People who love you best, should love to share your goodness with others.
5. You or your staff is undermining your mission. You've got great stuff. Man, the customers love it. But they feel like they're intruding on you or on your employees by asking for help—or worse yet, they feel unwanted. This can be as subtle as making phone calls look more important than a live human being right in front of you, or as obvious as rude or undertrained staff. If your stuff is really awesome, some customers will retreat to your website. Some customers will find someone else's website on their way…
6. Your heart's not in it. I see this way, way too often. The customers do love what you have to offer, but it's clear that you don't love offering it anymore. They don't stop coming in, they just stop coming in as often.
7. They love it but they can't find it. The clients we were discussing earlier in the week had a mishmosh of products, haphazardly arranged in his store, so that no one could get a feel for what he was best at, but you could be well-known for your Pinpoint focus, selling flavored massage oils and manuals on how best to use them and still make walking around such a disaster that only the very determined will pick anything out. (Don't ask me how I know that.) This happens on the web as often as it happens in bricks-and-mortars, so take a look at your website, as well.
8. Your hours no longer make sense. The world is moving on. Forty years ago you could have "housewife's hours." The gent of the house will find out about the new appliance choices from the brochures the wife brings home. This doesn't apply to a lot of today's businesses, but if you've been around a long time, you may be expecting your customers to work around your very old-fashioned idea of proper hours. There are a lot fewer of them now, but even stay-at-home mothers and fathers are (a) very busy by day and (b) interested in their partner's input, so insisting people twist themselves around for your limited schedule is a way to guarantee that your business declines, year after year.
9. Related to #8: You're refusing to meet people where they start their search, on the web. Think of it as the first door to doing business with you. It doesn't have to have all the bells and whistles, but you've got to be here, or many people won't find their way in. 'Nuff said.
10. You aren't delivering delight. Sure, your customers love you, but folks, love can get stale without work. If you aren't wooing anymore—going beyond their expectations to serve up Maximum Customer Experience—don't be surprised if your customers stop swooning. When was the last time you did something so delightful that you heard a laugh from a customer, or a simple "I wasn't expecting that" or a "No, really, you don't have to"? Make it a point to create a little customer glee on a regular basis. You will be as energized by hearing it as they will by experiencing it—and that's what customer love is all about.
Did I miss any?
Can you think of a company whose products or services you love, where you find yourself buying less and less often—is it because of one of these reasons, or is something else missing in their customer experience? I'd love to hear from you in the comments!
Grow and be well,
Kelly Erickson