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Survey of US Consumers: Health Care | Deloitte US has been added to your bookmarks.
2012 survey of US health care consumers
Key findings, strategic implications
Conducted annually since 2008, Deloitte's longitudinal study aims to give a comprehensive view of health care consumerism, a view that goes beyond conventional boundaries of health and health care.
Explore content
Key findings from the 2012 Survey of U.S. Health Care Consumers
Since 2008, the Deloitte Center for Health Solutions has annually polled up to 4,000 U.S. adult consumers about their interest in and ability to operate in a consumer health care market. These surveys queried adults in various age, health status, income, and insurance cohorts to gauge the degree to which consumers are prepared to engage with the health care system as "patients" or "consumers." The distinctions between the two are stark; the implications are transformative — not only to the health care industry, but to every U.S. household, company, and government agency.
Six consumer segments navigate the health care system in very different ways; significant implications for stakeholders
Health care organizations traditionally segment their market based on demographics, insurance status, or health measures. But we suggest that what matters most is behavior.
Segmentation offers insights into consumers' behaviors and attitudes – critical information in an environment where health care is moving rapidly towards patient-centered care, which is premised upon individuals becoming more active participants in managing in their health care.
Take an in-depth look at six health care consumer segments, how they navigate the system in very different ways, and the implications for industry stakeholders.
Health plans' challenge: Delivering on consumer preference
Believing that health plans vary greatly in both quality and price, consumers are ready to customize and shop for insurance; however, they seek more choices and better tools to find the right fit and best value.
Consumers' utilization of the health care system
Satisfied with care, but thirsty for information - most consumers have primary care doctors, most people use them, and most people are satisfied with the medical services they provide, but consumers believe that quality and prices can vary greatly among hospitals.
Rx use and life sciences innovations: Consumers' attitudes and behaviors
Half of all consumers surveyed in 2012 said they currently took prescription medications. Adherence is high, consumers feel knowledgeable about the drugs they take, and have confidence in their effectiveness. Prescription medication users are clearly engaged in managing their care. They look for information, consider alternatives, and seek value and effectiveness.
Information technology, social media and online resources for health care – a slow climb
Despite consumers' high ownership levels of technology devices, their use of consumer health information technology (HIT) is low, and their interest in using emergent HIT is also relatively low.
Satisfied with health care, but not the health care system. Deloitte's 2012 Survey of U.S. Health Care Consumers shows most people feel better about the health care they receive than the system as a whole—and they're ready for more high-tech solutions. Download the infographic of key findings.
Since 2008, the Deloitte Center for Health Solutions has annually polled a nationally representative sample of the U.S. adult population (up to 4,000 U.S. consumers) on behaviors, attitudes, and unmet needs in six zones:
1. Wellness and healthy living
2. Information sources
3. Traditional health services
4. Alternatives health services
5. Health insurance
6. Health policy
These online surveys queried adults in varied health status, income, and insurance cohorts to gauge the degree to which consumers are prepared to engage the health care system as "patients" or "consumers." Results are weighted to ensure proportional representation to the nation's population with respect to age, gender, income, race/ethnicity, and geography. There was a margin of error for national estimates of +/- 1.6 percent.


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March is a busy month for upcoming cooking schools here at Blair House Inn. Every week we host a different hands-on cooking school for our guests. Some are already sold out. Some only have a few spots remaining. There is even room left for the very popular Barbeque Camp in April. That will go fast! We love sharing our love of food and cooking with as many people as we can. We want to kick off the cooking school season with a bang. Bring your husband or wife to the Texas hill country. Bring your friends. Have a girls trip. Everyone is invited. Call, 512-847-1111, or book online for your spot in our upcoming cooking schools at Blair House Inn.
Cooking Schools
March 3rd – 5th : Taste of New Orleans– Spend 3 days & 2 nights in the beautiful Texas Hill Country while learning a variety of New Orleans cooking skills. This class will focus on the two main cuisines in and around New Orleans – Creole and Cajun – and will deliciously reflect their mix of Spanish, African, and French heritages. You will learn to prepare dishes such as award winning Gumbo, Blackened Snapper, Cajun Barbequed Shrimp, Louisiana Brined Roasted Loin of Pork, King Cake and the classic Beignet.
March 17th – 19th : Italian Cuisine – Come enjoy the taste of Italy as you prepare classic dishes such as Osso Buco Milanese, Roasted Red Pepper Risotto with Pine Nuts, and Italian Espresso Tiramisu. You'll learn traditional Italian sauces such as Fresh Basil Marinara, and Roasted Garlic Alfredo, and how to make the fresh pasta and potato gnocchi.
March 31st – 2nd : Mediterranean Cuisine – If you can't make it to the Mediterranean this summer, let Blair House take you on a culinary tour of the region from the Strait of Gibraltar to Cypress with plenty of tasty stops along the way! You will prepare Risotto, Hummus Pita Bread, Pasta, Fruits de Mer, Calamari, Baklava, Classic Greek Salad, Focaccia, Polenta and Crema Catalana. These are just a sampling of what you have to look forward to on your journey.
April 21st – 23rd: Barbeque Camp! – Summer in Texas means BBQ. You'll be the envy of your friends and family once you learn the secrets to preparing wonderful meals on the grill. Try your hand at Cedar Planked Wild King Salmon with Jerk Spice and Mango Salsa, St. Louis Style Baby Back Ribs with Cherry Coke Glaze, Chicken Fajitas, Texas Brisket, and Fredericksburg Peach Cobbler with Home-made Vanilla Bean Ice Cream.

subset: commoncrawl


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Thousands of volunteers gather to clean Cincinnati streets, homes
Thousands of volunteers gather to clean Cincinnati streets, homes
More than 7,000 volunteers were expected to clean Cincinnati streets Saturday during Crossroads Church's 8th annual Go Cincinnati event.
Volunteers were expected to work on 400 service projects such as planting flowers, yard cleanup, painting and construction work.
Event organizers held a kickoff event at Crossroads Church in Oakley at 8 a.m. Saturday.
The Give Back Cincinnati group planned to do the prep work for their Paint the Town event. More than 175 volunteers were expected to sand, scrape and power wash 35 homes to paint in June.
Give Back Cincinnati held a kickoff event at Norwood Middle School at 8:30 a.m. Saturday. Work was expected to begin about 9:30 a.m.


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< Cliff Claven voice on> Ya know, super glue is very simular to the glue doctors use to close up wonds. For smaller cuts they don't stitch them together anymore but instead krazy glue the skin back together. < Cliff Claven voice off>
< Moe Howard voice on> Oh, wise guy huh? <Moe Howard voice off>
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Good Start Genetics to Announce Validation Study Results for its Next-Generation DNA Sequencing Platform During an Oral Presentation at the 2011 Annual Meeting of the American Society for Reproductive Medicine (ASRM)
Oct 12, 2011, 08:30 ET
CAMBRIDGE, Mass., Oct. 12, 2011 /PRNewswire/ -- Good Start Genetics,™ Inc., an innovative molecular diagnostics company developing the new gold standard in carrier screening, today announced that it will present results from the technical validation study for its proprietary next-generation DNA sequencing platform at the Annual Meeting of the American Society for Reproductive Medicine (ASRM). ASRM will be held from October 15-19, 2011 at the Orange County Convention Center in Orlando, Florida.
(Photo: http://photos.prnewswire.com/prnh/20111012/NY84930LOGO )
Greg Porreca, Ph.D., a company founder and the Director of Technology, is scheduled to present the data on Tuesday, October 18th during the Procedures and Techniques – Laboratory oral discussion session that will be held from 4:00 to 6:00 p.m. The presentation (abstract #0201) is titled, "A Novel Next-Generation DNA Sequencing Test for Detection of Disease Mutations in Carrier and Affected Individuals."
Good Start Genetics' next-generation sequencing (NGS) platform is a highly accurate, high-throughput platform that evaluates patient DNA samples and is expected to yield high detection rates regardless of ethnicity by detection of both common and novel disease-causing mutations associated with recessive genetic disorders.
Routine genetic carrier screening has traditionally employed targeted mutation analysis technologies for genotyping, which, due to cost considerations, are designed to detect only a small number of the most common disease-causing mutations that are prevalent in only specific populations. The NGS platform developed by Good Start Genetics, however, allows for a more comprehensive determination of carrier status in routine clinical practice because it is not limited to a small targeted mutation set and, therefore, can achieve high clinical sensitivities regardless of ethnicity. Because this platform is highly scalable, it overcomes the cost limitations of the older, first-generation Sanger technique, which although also highly accurate, has had very limited use in routine clinical practice.
Good Start Genetics will soon be offering testing services to U.S. fertility clinics through its state-of-the-art CLIA approved lab for all genetic disorders recommended by the American Congress of Obstetricians and Gynecologists (ACOG), the American College of Medical Genetics (ACMG) and several national Jewish advocacy organizations.
The study abstracts are available online at www.asrm.org.
About Good Start Genetics
Good Start Genetics is setting the new gold standard for carrier screening in routine clinical practice by making testing for the most comprehensive set of known and novel disease-causing mutations accessible. After years of development and rigorous validation, Good Start Genetics has harnessed the power of next-generation sequencing and other best-in-class technologies to provide highly accurate, actionable, and affordable tests for all ACOG and ACMG recommended disorders. For these reasons, fertility specialists and their patients can have a high degree of confidence in their carrier screening results and no longer have to compromise accuracy for price.
These tests were developed and their performance characteristics determined by Good Start Genetics™. They have not been cleared or approved by the U.S. Food and Drug Administration. However, the laboratory is regulated under the Clinical Laboratory Improvement Amendments (CLIA) as qualified to perform high complexity clinical testing, and the tests have been analytically validated in accordance with CLIA standards.
SOURCE Good Start Genetics


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Sony Computer Entertainment's worldwide studios president Shuhei Yoshida says there are many more Vita games in the pipeline.
How is this at 30 degrees with one approval?! I know it's had a bit of a rough start, but I hope things straighten out quickly for it.
A new system is like a snowball rolling down hill...
It just takes some time to build up momentum.
Glad to see the future is looking bright.
I want them to announce these games:
Third Party:
Resident Evil
Monster Hunter
Final Fantasy Type-0
Metal Gear Solid
Grand Theft Auto
Dissidia 3
Star Wars Battlefront
Dead Space
Tom Clancy
Level 5 Game
Namco Bandai Game
Atlus Game
First Party:
Jak & Daxter
Ratchet & Clank
Ape Escape
Tomba Reboot
Gran Turismo
Motorstorm (Console Quality)
Syphon Filter
Twisted Metal
But I know half of this won't happen but you never know.
Meant as a reply to KingOptimus:
That's the problem right there with the Vita! All those are in consoles! Yes, they are amazing franchises and games but what Vita needs is ORIGINAL, UNIQUE games for it. Example: Gravity Rush
I just can't understand why people want the same games that are available on PS3/360. Even if they are different games like Assassin's Creed 3. It's nice to have one ore two, but not all of them.
That's why I hate the Cross Buy promotion, because even though is a very sweet deal, resources are spent into making a port of the same PS3 game, instead into creating new, interesting and unique games ONLY for Vita.


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Authorities say a critically injured 4-year-old boy allegedly abandoned by his father at the scene of a San Diego car crash has died.
City News Service reports Valentino Fabiani Arroyo had been pronounced brain-dead on Monday.
His father, 40-year-old Angelo Arroyo, has pleaded not guilty to felony counts of hit-and-run and cruelty to a child.
The California Highway Patrol says Arroyo was the driver of a Nissan pickup that hit a guardrail on Interstate 5 and ended up on its side atop a concrete retaining wall. Arroyo freed his son from his child seat, but the boy fell about 10 feet to a concrete sidewalk below.
The CHP says Arroyo ran and witnesses helped the boy.


text: Hosting a party? Own a club? Video DJs are the hottest ticket for any event that involves dancing. From bar and bat mitzvahs to fundraisers and cruise ships, a video jockey turns an ordinary dance club into a video sensation. Search GigMasters today for a complete list of video DJs and then book conveniently online.


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Important documents Before investing please ensure that you have read the Fidelity Key Features Document (incorporating the Fidelity Client Terms) and the fund information documents. These can be found by clicking on the 'Important documents' link.
|Investment House
|Fund Provider
|Schroder Unit Trusts Limited
|Team Managed
Fund Objective The Fund aims to provide an absolute return of 3 month LIBOR plus 2% (gross of fees) over rolling 12-month periods by gaining exposure to fixed and floating rate securities issued by governments, government agencies and companies worldwide. Absolute return means the Fund seeks to provide a positive return over rolling 12-month periods, in all market conditions but this cannot be guaranteed and your capital is at risk. The Fund invests at least 80% of its assets directly, or indirectly through derivatives, in fixed and floating rate securities denominated in sterling (or in other currencies and hedged back into sterling) issued by governments, government agencies, supra-national and corporate issuers worldwide. As the Fund is index-unconstrained it is managed without reference to an index. The Fund may invest up to 50% of its assets in below investment grade securities as measured by Standard & Poors or an equivalent credit rating agency, or in unrated securities. The Fund may invest up to 100% of its assets in asset-backed securities and mortgage-backed securities. The Fund may also invest in collective investment schemes, warrants and money market instruments, and hold cash. The Fund may use derivatives with the aim of achieving investment gains, reducing risk or managing the Fund more efficiently. The Fund may use leverage and take short positions.
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For a group of people so often described as nerds and geeks, some of the fans that gather at the Calgary Comic & Entertainment Expo can be surprisingly clueless when it comes to understanding the inner mechanics of running such an event.
Take, for instance, the simple mathematics involved in understanding that it has been sold out ahead of time.
"We tell everybody now: 'There are no on-site ticket sales,'" says Expo founder Kandrix Foong. "So they say: 'OK, I'll just try my luck when I get there.' 'No, no, no, you don't understand. There are no on-site ticket sales. The end. If you show up you will be turned away. Sorry, but that's the way it's going to be.'"
While Foong acknowledges that it's "pretty cool" the Expo has completely sold out ahead of time — a first in its eight-year existence — it's not hard to detect a certain level of frustration in his voice in the days leading to Expo's kick off at the BMO Centre this Friday.
But it's not just about those latecomers who seem oddly confident they will make it through the doors of an event where all 56,000 tickets have been sold that he finds "interesting."
Since starting the Expo in 2006, the event has grown exponentially. This is thanks to some savvy booking over the years that has helped establish Calgary as one of the premiere fan expos in North America, particularly when it comes to Star Trek. Leonard Nimoy, Mr. Spock in the original series, came in 2010 while William Shatner came in 2011. But the event hit its zenith last year, when Foong and crew scored the first full-fledged reunion of the cast of Star Trek: The Next Generation. For Trekkies, this was something akin to the second-coming. So when planning started for 2013, the dilemma was how to top it.
Unfortunately, in this era of social media, feedback to the trickled-out announcements of the 2013 roster was immediate and often not particularly well thought-out.
"There's a lot of people who are just never satisfied," says Foong. "For the fans that are very happy, they don't normally tell us a lot. The fans who are disappointed, they talk to us a lot more. A lot of them don't understand the business end of things. I can't exactly call up Harrison Ford on my cellphone and say 'Yo man, What are ya doing? Are you busy next weekend?' It just doesn't work that way. And there are certain things that can happen and can't happen."
Fortunately, Foong says the Expo, which runs Friday through Sunday, has grown enough in status to earn a number of defenders to set straight online the naysayers who started complaining after the first two guests, actor Michael Shanks and comic guru Stan Lee, were announced at the beginning of the year.
Still, Foong admits following up on the Star Trek reunion was no easy task. Because it was the first reunion of nine from the cast of the show, including Patrick Stewart, Wil Wheaton, Jonathan Frakes and Brent Spiner, it became a global event last April, with fans travelling from Europe and Australia to Calgary.
"We want to prove that we're not a one-hit wonder type of deal," Foong says. "Internally, we were always a little bit worried about being able to achieve the same amount of success as we were able to do last year, this year. We're happy that we have, obviously, because we're completely sold out."
So, while there's no specific set of guests on the same level as the Trek reunion, the Expo team has offered a star-studded lineup that will bring in actors from hit TV series, film, comic books, wrestling and gaming. Game of Thrones stars Peter Dinklage and Lena Headey, The Walking Dead's Melissa McBride, Norman Reedus and Steven Yeun, Terminator's Linda Hamilton, The X-Files' Gillian Anderson, wrestlers Bret (the Hitman) Hart and The Edge and Princess Leia herself, Carrie Fisher, are among the highlights of an event that will offer a total of 600 guests, exhibitors and artists.
Still, for some who attended last year's festivities, questions about the lineup may be secondary to questions of crowd-control. Hit with an unexpected rush of fans on Saturday last year, the Expo was temporarily shutdown by the Stampede. Colourfully dressed fans were barred from entering, even those who had pre-purchased tickets. Needless to say, it sparked more than a little anger as lineups lasted for hours, with some fans never getting in. While Foong says Expo did not oversell, he admits there were a lot of problems.
"Last year was like rush-hour traffic on your first major snowfall on the Deerfoot," he says. "If you have one accident, it's not that big a deal. But if you have multiple accidents if becomes a bigger problem."
Foong says steps have been taken this year to ensure this doesn't happen again, starting with sticking to a hard capacity of tickets sold and working closely with the Stampede and Calgary Fire Department.
Instead of two entrances to the event, there will now be seven. The Expo has added the Big Four Building to the layout, which will add an extra 120,000 square-feet and now house admissions, photo ops, gaming, food and a kid zone.
The BMO's Hall D and E have had the aisles and space for fans to move about in widened considerably compared to last year.
"We're more concerned about those that have tickets for the show than the people that don't," he says. "I don't mean that in a harsh way, but our primary concern is to make sure everyone who can get in to the show is happy. So one of the things we instilled right away is, if you have tickets you're guaranteed to get into the show."
The Calgary Comic and Entertainment Expo runs from Friday to Sunday at the BMO Centre. It is sold out.


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With so many titles to choose from, Netflix Instant's library can be overwhelming. And so we offer this bi-weekly column as a tool to cut through the clutter by highlighting some now streaming titles that pair nicely with the latest theatrical releases.
This week, inspired by Lincoln, Anna Karenina and Breaking Dawn – Part 2,, we suggest a selection of historical epics, steamy costume dramas, and supernatural romances.
The Twilight Saga: Breaking Dawn - Part 2
The final chapter of the Twilight saga draws to a close as Bella must use her newfound vampire powers to protect her daughter from the Volturi. Kristen Stewart, Robert Pattinson and Taylor Lautner star; Bill Condon directs.
I'm sorry to report that none of the Twilight series is currently streaming. But if your preferred romantic fantasy demands a touch of the supernatural, we've got trio of titles that should appeal featuring, vampires, werewolves, and even some ghosts.
Buffy the Vampire Slayer (1997) Before Bella, there was Buffy, a seemingly typical high school student who moonlights as mankind's protector against the bloodthirsty forces of evil. But now not all bloodsuckers are bad, and Buffy falls for not one but two sexy vampires over the course of this beloved Joss Whedon series that blends action, comedy, romance and drama. Sarah Michelle Gellar, James Marsters, and David Boreanaz star. All seven seasons are now streaming.
Being Human (2009) This BBC series centers on a trio of paranormal roommates facing the challenge of fitting in to modern society. For fretful werewolf George, this means keeping his animal side at bay. For brooding vampire Mitchell, it means keeping his blood lust in check. And for perplexed poltergeist Annie, it means uncovering what has made her a wondering spirit. Despite a premise that sounds to the opening line of a goofy joke, this series is a darkly realized drama. Lenora Crichlow, Russell Tovey and Aidan Turner co-star. Seasons 1-3 are now streaming; season 4 will be made available on November 26th.
Ghost (1990) This '90s classic stars Patrick Swayze as Sam, a New Yorker whose life is unexpectedly cut short after a violent confrontation with a mugger. But this is only the beginning of Sam's story. Now a ghost, he seeks a way to communicate with his shattered widow. To save her from a lurking danger, he speaks to a con artist clairvoyant and together they strive to bring his killer to justice before it's too late! Demi Moore and Whoopi Goldberg co-star. Jerry Zucker directs.


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This is the second week in a row that EKOS has showed a noticeable Liberal uptick, there is a healthy gradient to their curve. The Conservatives are actually up slightly, which reinforces the belief that they've reached "bottom". Despite this levelling out, breaking a 12 week downward trend, the Liberals still narrow the gap, with increased support:
Conservatives: 31.5 (+0.6)
Liberals: 30.9 (+1.6)
Green: 11.5 (-0.4)
Other: 2.1 (-0.2)
I posited a few days ago, that we look to be entering the "second look" phase for Ignatieff. They tear you down to the point of oblivion, but inevitably the piling on gets old, people search for new storylines- everyone loves an underdog, especially when it's their partial creation! It's fair to say, that Ignatieff's relatively favorable press coverage have helped the Liberal fortunes. In order to fully capitalize on Conservative missteps, the Liberals must look the credible alternative. If not an overwhelming sense, at least Ignatieff's tour and high profile have allowed a few more people to drift into the Liberal column.
In Ontario, the gap between the two principals. has actually narrowed about 3%, Liberals holding a small 4% lead. What is noteworthy, and this speaks to my "putting items in the window" perspective, the Greens are now tied with the NDP for third at 13.3% (that Strategic Counsel 22% for the NDP looks every bit the outlier that tends to plague that outlet from time to time). That translates to almost 27% of the electorate parked with the lesser parties, a massive total that demands attention. If recent polling is still accurate, the Liberals enjoy much "second choice" support amongst this subset, so exploiting that will be key, if the Liberals hope to get into serious governance terrority.
Solid results for the Liberals in Atlantic Canada and Quebec. I note that EKOS now has the Liberals tied with the Conservatives for the "male" vote.
This is a good news result for the Liberals, no question. It provides enough momentum to continue the new narratives, it provides further opportunity for Ignatieff to truly redefine himself, and in so doing rebrand the party. There is still a "drag" that exists, as evidenced by a consistent 3% uptick year to year for the Greens.
Advice aside, it is entirely pleasing to see the once daunting Conservative majority now reduced to an equation that relates to sitting in opposition.


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Originally Posted by MatsSundin13Rocks
The trouble is Green is injured. With Green in the lineup their record is stellar but without him it is dismal.
The style the Caps decided to play is mind boggling to me. With all the skill let them use it. Semin scored a lot playing with Ovie and Backstrom but they way they are using him is completely wrong.
Goaltending issues never help either. Anyway this isn't super surprising based on his coaching style as shown through the HBO show.
Next up to be fired is Randy Caryle. Anahiem can then hire Bruce Boudreau.
Guess I'm prophetic here as it happened just as I said. I should get a job at Sportsnet or TSN.
Link with the time stamp of my post: https://www.sportscardforum.com/showthread.php?t=1531713


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JEFFERSON CITY, Mo. (AP) — Doctors who perform drug-induced abortions in Missouri will have to be in the room to administer the initial dose and won't be allowed to do it remotely via teleconferencing, according to a new law set to take effect next month.
Gov. Jay Nixon said Friday that he decided not to veto the new abortion measure but also wouldn't sign it — a strategy he employed with other abortion restrictions passed in 2010 and 2011 that were also allowed to passively become law. When the new law takes effect Aug. 28, Missouri will join about of quarter of U.S. states that forbid doctors from remotely performing drug-induced abortions.
Nixon, a Democrat, gave only a brief explanation of his decision, saying the Republican-controlled Legislature passed the abortion bill overwhelmingly and that his administration must focus on other bills he did veto.
"It's one of the rights of this position," Nixon said. "If you don't want to make something law by signing it, you don't do it."
Supporters of the legislation praised the governor's action, saying the new law will better protect the health and safety of women who seek abortions. They said it is important for doctors to physically examine a woman seeking an abortion to reduce the chance for problems.
"It will also, we believe, save the lives of the babies," said Susan Klein, the legislative liaison for Missouri Right to Life. "Whenever you are going to start a procedure that is going to kill the baby that is growing within the body of the woman, obviously you need to meet with that physician."
But opponents of the bill contend that drug-induced abortions are safe and that the new restrictions, like various restrictions proposed or passed in several conservative-minded states this year, is another obstacle meant to make it harder for women to get abortions.
"This bill is simply another way for anti-choice legislators to stop the expansion of abortion, continuing to put burdens on women — particularly women in our state who have to travel very long distances to have access to abortion services in Missouri," said Paula Gianino, the president and CEO of Planned Parenthood of the St. Louis Region and Southwestern Missouri.
Ten other states, including Arizona, Indiana, Kansas, Mississippi and South Dakota, require that the prescribing clinician be physically present, according to the New York-based Guttmacher Institute, a research group that supports abortion rights. The institute said a similar requirement exists in Wisconsin and North Dakota but that enforcement had been put on hold because of litigation.
Telemedicine has been an option in Iowa since 2008. Planned Parenthood of the Heartland said it started because of patient demand in rural communities for better access to abortions, and that the service currently is available at 16 health centers throughout that state. Telemedicine has been used there for more than 3,000 medication abortions.
Women who opt for telemedicine abortions in Iowa answer questions and review their medical histories with a doctor through a two-way video link while a staff member is there with the woman. The physician administers the drug using a computer to remotely open a secure drawer at the health center, and the woman is instructed to take the medication while under the supervision of the doctor and staff member. A second medication is given for her to take at home, and a follow-up visit is scheduled for within two weeks.
The process for drug-induced abortions in Missouri is similar.
Planned Parenthood for the St. Louis Region and Southwest Missouri has not used telemedicine, but said it has examined the possibility. Gianino said about 20 percent of those seeking an abortion at its clinic travel more than 100 miles to do so.
Missouri's law will require the doctor dispensing or prescribing the initial drug to be in the room with the patient. The physician or someone acting on his or her behalf also will need to make reasonable efforts to ensure patients return for the follow-up visit.
The Missouri legislation has received far less attention than abortion restrictions proposed or passed in other states this year. Lawmakers in Texas are pursuing a measure that requires doctors have admitting privileges at nearby hospitals, allows abortions only in surgical centers, limits where and when women may take abortion-inducing pills and bans abortions after 20 weeks.
In North Dakota, a lawsuit has been filed in federal court challenging what would be the nation's most restrictive abortion law. It would ban abortions if a fetal heartbeat can be detected, which can happen as early as six weeks into a pregnancy.
Follow Chris Blank on Twitter at https://twitter.com/ChrisBlank2


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Jackie Robinson on Sesame Street
By Susan Tofte
Susan Tofte is Sesame Workshop's Archivist.
"A life is not important except in the impact it has on other lives." – Jackie Robinson
Of the hundreds of celebrities who have appeared on Sesame Street, Jackie Robinson is one of the most notable. Workshop co-founder Joan Ganz Cooney met with Robinson in 1969 when she was working to build awareness and outreach prior to the show's November premiere. Reaching out to Robinson and his connections made sense. Read More


text: The New Oceanic VT 4.0 has been receiving non-stop praise since before its release and is showing no signs of slowing down. The VT 4.0 was recently featured in the September/October issue of Scuba Diving Magazine and was awarded the ScubaLab 2011 Testers' Choice. Check out ScubaDiving.com to get all the info on how the ScubaLab testing went down. To read all the write ups and reviews check your mailboxes if you subscribe to the magazine or head over to your local newsstand (available August 22nd).


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2014-03-20 / Obituaries
Thomas W. Atkinson, 62
Thomas W. Atkinson, 62, of Spencer, passed away at the VA Medical Center in Indianapolis on Wednesday, March 19, 2014.
A memorial service is being planned with the date to be announced at a later date.
West & Parrish & Pedigo Funeral Home is assisting the family.
© 2009-2018 Spencer Evening World, Inc. | Privacy Policy
No commercial reproduction without written consent.
Electronic reproduction of any kind forbidden without written consent.


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About The Directory
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Commissioner of EducationRead Bio
Academic Signing Day in El Dorado, Arkansas. Keynote speaker The Honorable William J. Clinton, 42nd President of the United States. The event was held at El Dorado High School (EHS) Wildcat Arena.
Learn more about the standards that define the knowledge and skills Arkansas students should have in order to be ready for college and careers.Learn More
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Another Nice Mess
- The Laurel & Hardy Story
- Narrated by: Jack de Golia
- Length: 2 hrs and 53 mins
- Unabridged Audiobook
- Release date: 05-01-13
- Language: English
- Publisher: BearManor Media
Regular price: $10.46
Publisher's Summary
Arguably the greatest comedy duo in show business history, Stan Laurel and Oliver Hardy delighted filmgoers and theatregoers for over 30 years. The public not only found Laurel's serene simpleton and Hardy's pompous buffoon hilarious, but they also thought of them as friends. Laurel and Hardy may have been nitwits, but they were loveable nitwits.
Another Nice Mess: The Laurel and Hardy Story explores the lives and careers of Laurel and Hardy. The book examines how the comedians teamed up and it explains why, nearly half a century after their deaths, their films continue to enchant people all over the world.
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- Jim
- Holland, TX, United States
- 05-13-15
Two Hours + of Biography
This is a thoroughly enjoyable book—a quick read about L&H that is far more than an outline yet not a mainline book. There are a lot of direct quotes, details of their youth, progression of contractual ins-and-outs through the years, major characters in the boys' lives, the whys and wherefores of their best and worst films, and notation of their number of marriages. There isn't much deep psychological insight but it's not that sort of book. Another Nice Mess is a good deal for the dough.
4 of 4 people found this review helpful
- R. Dack
- St. Louis Park, MN United States
- 08-01-17
This book is better than I expected.
This book is better than I expected. It is only 3 hours but it is full of information. I waited a long time to read a book about Laurel and Hardy.
- Rosemary Benson
- 06-09-16
Terrific Listen!
What did you love best about Another Nice Mess?
This is a wonderful overview of the careers of Laurel and Hardy.
What did you like best about this story?
The historical setting and details add to the enjoyment of the behind-the-scenes workings of Hollywood in the period.
What about Jack de Golia's performance did you like?
What a wonderful voice Jack de Golia has! He would be perfect for a Ken Burns documentary made from this book. His easy delivery and resonant tone is delightful. I'll listen to anything read by him.
If you were to make a film of this book, what would the tag line be?
Anyone who knows Laurel and Hardy would think the title would serve: ANOTHER FINE MESS.
- Colin
- 12-11-13
Lives up to its Title
I approached this book with some degree of anticipation, not only because I have been a fan of Stan & Ollie since childhood, but also because there are very few books (and even fewer audiobooks) about their lives and work. But from the very outset it was clear that this book is aimed purely at those who have little or no idea who Stan & Ollie were, and the Narrators monotonous drone only heightened the feeling that the listener is being addressed as if he/she were a 7 year old. The author has done little more than compile a bunch of dates and events, padding them thinly with unsubstantiated opinion and rhetoric.
As an example the author tells the tale of the young Stan, penniless after a failed theatre tour, arriving back in London and 'Having to walk all the way from Waterloo Station to his brother's house in High Holborn'. As a Londoner I can tell you this is no more than a mile at most, and all of it flat. It couldn't have taken the young Stan more than 20 mins, but the tone of the narrator is so dour that the listener could be forgiven for thinking Stan had a long and arduous journey ahead of him.
This Narrator's condescending style (in fairness hardly the authors fault) is then worsened by his tendency to explain every minor reference as if he were taking to a classroom full of kids. Example; the text mentions that Ollie liked to paint "but knew he was no Picasso." The Narrator then adds, "Pablo Picasso was a famous painter of the time". Now I'm not saying that most people would be able to name any of Picasso's works but I'm confident that there can't be many people in the western world who don't know that Picasso was a painter. Similarly when the story mentions the Prohibition Era, they then add solemnly that this was "when alcohol was illegal in the United States".
I don't know how old this production is but it is also the first in a while where I've heard the old-style use of 'Dateline Addresses' as in "Paris, France" instead of just 'Paris', "New York, New York" instead of just "New York". I do appreciate that some cities share names but I think in this day and age when you talk about London people will know you mean the one in England (which the Narrator also reminds us is in the UK which I found very helpful), and that Paris is the capital of France and has a very famous tower at its' centre. (Admit it, if it hadn't been for the eponymous film you'd never had heard of Paris, Texas). And there really is, and only ever will be, one New York.
For me (and I'm no Laurel & Hardy expert, I'm just a fan) the lack of decent research is particularly disappointing. At one point they talk about Stan's famous crying routine, saying how he "wrought laughter from tears" (No really, they actually say that). Anyone who knows any history of the boys would tell you that Stan hated doing the crying, he did it once in an early film and it became so popular that he was saddled with it for the rest of his career. He was often quoted as saying that he felt crying made his character look weak and pathetic, whereas the whole premise of the characters was the way they would cling to their dignity no matter what life threw at them. That's why audiences loved them.
This book would be fine for any young people who either had never heard of Laurel & Hardy or who have recently discovered the boys and want an overview of their backgrounds. For anyone over 25, I'd pass. The search for a decent L&H Biography goes on...
5 of 6 people found this review helpful


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Information for First-Year Students
Director: Professor Serena Zabin
Founded in the 1950s, the American Studies Program is one of the pioneers of interdisciplinary studies at Carleton. The program's courses, taught by faculty in Arts and Literature, Humanities, and the Social Sciences, examine the cultural, social, and political life of America in the past and present. Rather than focusing specifically on history, politics, or art, the program challenges students to think broadly about the shaping of American society and to learn to synthesize knowledge from multiple disciplines.
Topics explored: identity, place and space, immigration, regionalism, popular culture, race and ethnicity, gender and sexuality, social and political movements, class and status, arts and aesthetics, imperialism, and many others.
How to get started: AMST 115, a team-taught interdisciplinary course, serves as the introductory course in this field. Two topics for AMST 115, "Placing Identities" and "The Immigrant Experience," are offered each year. In addition, students interested in American Studies may take 100-level courses in History, English, Political Science, Religion, Art History, and Music, if those courses focus on American topics. Please consult the link to Courses for information about the introductory courses in other departments that count towards the American Studies major.


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|Bob Payne designer/builder
A pair of "Punch and Judy" puppets are first seen in The Muppet Show episode 508. Beauregard performed the puppets in the episode's UK spot. As opposed to Muppets, these figures are literal hand puppets manipulated by other characters. The puppets are a Mr. Punch figure, with no apparent moving parts, and a more lively crocodile, whom Beauregard reprimands for biting his thumb. Kermit seems interested in the puppets, and unintentionally ignores Piggy, causing her to perform her signature karate chop on him.
They appeared again as part of the "Scarborough Fair" number in episode 511.
Their final appearances included the Muppet Treasures video and a cameo in the opening song from The Muppet Christmas Carol (performed by Steve Whitmire).


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What you have heard about the mammoth increase in production in Brazil during the last decade is either correct or more staggering than you thought. Ditto for their potential growth in the future.
Agricultural production in Mato Grosso, the major agricultural growth area of Brazil, is a part of a long-range economic development process that began with (1) a subsistence economy 30 to 40 years ago. The succeeding steps are (2) primary production, (3) establishment of value-added industries, (4) industrial diversification beyond agricultural products and (5) export activities. At the present time they see themselves in the third stage of developing value-added industries like ADM's soybean crush operation and the Feltrin's prototype biodiesel plant.
Much of this information was provided in a presentation given by several members of Famato, the Mato Grosso Federation of Agriculture. This is a farmer-based organization that provides production and marketing information for those living in Mato Grosso.
The growth in Mato Grosso's agricultural production in the last decade and a half have been phenomenal with the planted area increasing from 4.7 million acres in 1990/91 to 21.1 million acres in the 2004/05 crop year, more than a four-fold increase. Production grew at an even faster six-fold rate due to increasing yields in addition to the area increase.
This growth is a major reason why Brazil ranks first in the world in the export of soybean complex (the sum of soybeans, soybean meal and soybean oil). Over 60 percent of Mato Grosso's soybean production heads to the export market.
At present 99 percent of all of Mato Grosso's world exports are from agricultural and cattle production with soybeans accounting for two-thirds. The largest importers of Mato Grosso's agricultural products are China, the Netherlands, Italy, Iran, Spain, Thailand and Germany. In 1991 exports were valued at 224 million U.S. dollars. By 2005 this number had jumped to 4.2 billion US dollars.
The most dramatic number came when they pointed out that the state of Mato Grosso contains 222 million additional acres of land that are suitable for crop production after allowing for grasslands, native forests and environmental reserves. This number, nearly equal to total U.S. cropland, does not include the potential of other Brazilian states.
The problems they face in bringing this area into production include factors that we had previously heard described: Asian soybean rust, transportation problems, and lack of storage capacity. In the same period that agricultural production increased 125 percent storage capacity only increased 5.7 percent.
In terms of transportation, Brazil has slightly fewer miles of railway than they had 80 years ago with an increased demand. Unlike in the U.S., many rural areas have no rail access including most of Mato Grosso. In the 1990s, the total miles of paved roads increased at an average rate of 1.38 percent per year.
Brazilian federal investment in road construction has declined from 2.3 percent of Gross National Product (GNP) in 1987 to 0.4 percent of GNP in 2003. In addition, the average truck on the road is 17.5 years old with most of that driven over poor quality roadbeds.
In the afternoon we flew to Londrina where we visited a virgin timber park that allowed us to see the pre-development condition of the area. Appropriately, during this visit to the rain forest it rained. The weather quickly cleared up and clear skies and pleasant temperatures resumed as we returned to the hotel.
Daryll E. Ray holds the Blasingame Chair of Excellence in Agricultural Policy, Institute of Agriculture, University of Tennessee, and is the Director of UT's Agricultural Policy Analysis Center: [email protected]


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Born out of a passion for making cider in the best possible way, combined with belief in the quality of Scottish produce, and asking 'why not?', came Thistly Cross Cider, Scotland's award winning farmhouse ciders. Established as a collaboration between farmer, Ian Rennie, and artist-turned-cidermaker, Peter Stuart, in 2008, Thistly Cross has gained a reputation for making ciders that people rave about.
Based at the Cider Shed just outside Dunbar, in the heart of the East Lothian countryside, we're involved in every aspect of making our award-winning Scottish farmhouse cider. From pressing the Scottish apples and strawberries, to achieving the smooth, balanced Thistly Cross flavour by fermenting with Champagne yeast then maturing for six months; we're invested at every step of the cider-making process, from apple to cider.
Things at Thistly Cross are always growing and improving; we're beginning to shape the company Peter and Ian dreamed of when standing in the driving rain at the Farmers Markets imploring people to just give our cider a chance. It was the best market research money couldn't buy. We're still small but growing fast, always aiming high but keeping our core values at heart; quality is never compromised.
We hope you find that the quality of our cider matches our passion. Read more about our core varieties in our About section. Or if you just want to get on and buy some of our award-winning cider? Click here to head straight to our shop.
Apple pressing, the Thistly Cross way:
Thistly Cross Cider (@thistlycrosscider) * Instagram photos and videos
2,427 Followers, 1,076 Following, 441 Posts – See Instagram photos and videos from Thistly Cross Cider (@thistlycrosscider)


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Medical student receives Hughes fellowship at NIH
Rob Oxford. Photo by Cliff Hollis.
GREENVILLE, N.C. (June 5, 2001) — Rob Oxford, a second-year student at the Brody School of Medicine at East Carolina University, has won a Howard Hughes fellowship award to work at the National Institutes of Health for approximately one year beginning in August.
A native of Granite Falls in Caldwell County, Oxford will work in the laboratory of his choice at the NIH performing biomedical research. Oxford is one of 42 medical students from across the United States selected for the fellowship from the more than 169 individuals who applied. He is the fourth Brody School of Medicine student to receive this fellowship after performing a research project in the Department of Biochemistry.
At the medical school, Oxford has performed research with Dr. Joseph Chalovich, professor of biochemistry, for the past year on the cause of the genetic disorder familial hypertrophic cardiomyopathy. "There's not a complete understanding about this disorder," Oxford said, "so after we fully understand the disorder then a therapy could possibly be developed. With this problem, the heart continues to grow bigger and bigger inside the chest because the proteins are defective. It can often be a hidden disorder which can be present in otherwise healthy individuals."
Chalovich, who is collaborating on research with a Hanover, Germany, lab on familial hypertrophic cardiomyopathy, described Oxford as "intelligent, inquisitive and hard working."
The veteran medical school faculty member added, "He has a deep-seated desire to improve the human condition. He sees himself in the role of a physician scientist, someone who can bridge the gap between basic biomedical research and primary patient care. (He) has a talent for research but more than that he is motivated by the human condition."
During his fellowship that will continue until June 2002, Oxford will live on grounds of the NIH in provided housing. "I'm extremely excited about this opportunity. I think it's going to be a great opportunity," he said.
A 1995 graduate of South Caldwell High School, Oxford is the son of Bob and Sharon Oxford of Granite Falls. He earned his undergraduate degree from N.C. State University in 1999 and is undecided on his area of specialization in medicine.
Jeannine Hutson
| 252-744-2481
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A SHOCKED farmer made a gruesome discovery when he found one of his day-old calves had been killed.
Doug Timms, of Wyke Regis, went to check on his herd in a nearby field yesterday morning to find that Bobby, a bull calf, had been disembowelled.
The calf's ear had also been sliced off in the sickening attack.
Mr Timms said: "I was taking a bottle up to the field to make sure the calf had some milk and there it was, lying there with its mother standing over it.
"I was shocked. I feel most sorry for his mother, Alexis. She's the one who carried him for nine months and now he's gone."
The calf, which was born on Monday afternoon was worth around £200.
The farmer owns 44 cattle with many recently calving in a birthing pen he set up.
Mr Timms, 66, of Castle Hill Road, added: "It makes me worry about the rest of the cattle. I've been working on this land for 50 years. I've farmed my cows here since 1977 and I worked for the landowner since I was a boy before that.
"In all that time I've never seen anything like this. I've never had anything like this happen before.
"This little one had only just managed to walk. The other cows can run like the wind but he couldn't get away."
Mr Timms believes that the attack was not caused by a dog even hough there was one in the area at he time.
He said the nature of the wounds led him to believe that a person carried out the attack.
However, he says people walking dogs have also led to problems in the area.
He said: "We put the cows up there in the field to keep them safe, out of the lanes and away from any animals. I'm worried it might happen again.
"A little while ago, someone told me they thought a cow was dead in one of the fields but when I went down there it was a badger.
"You could tell by the way it was savaged that an animal did it.
"I want to warn people not to bring their dogs over here. Fisher-men sometimes tell me they see a man with a lurcher in the fields."
A spokeswoman for Dorset Police said: "We received a call to say that a calf had been killed sometime on Monday night At the moment, we have no reason to believe it may have been anything other than a dog attack. The local PCSO is aware in case anything else occurs to make us think otherwise."
Besides the hole in its stomach and missing ear, the calf appears to be relatively undamaged which has led to questions over what caused its death.
Mr Timms added: "The police said they can't prove what's done it, which I guess is fair enough.
"But I'm not sure what killed this calf. It's the way the ear's been cut clean off. Something's just not right."
AN RSPCA spokesman said: "We don't know if this calf's death was the result of a dog attack but sadly they are all too common and the RSPCA is aware of livestock being killed and badly maimed by dogs which have not been kept under control by their owners.
"Responsible dog owners should keep their pets under control and if appropriate on lead around livestock, especially in the spring and summer months when there are lots of young about.
"If a farmer believes a dog is worrying his livestock, he is well within his rights to shoot it. It is therefore in the dog owner's interest to keep their pet under control."


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ACL2 (A Computational Logic for Applicative Common Lisp) is a programming language for modeling computer systems and a tool for proving properties of those models. It was developed at the University o...
General purpose computer algebra system. The project started in 1971 at IBM as a research system named Scratchpad. Scratchpad was renamed to Axiom in the 1990s and sold to NAG, which distributed it as...
BioBike (formerly "BioLingua") is an approach to reducing the distance between biologists and biocomputation by providing an integrated, on-line, programmable biological knowledge base.
CL-GODB (A Common Lisp GO Database Manipulation Library) is a library for accessing and interacting with gene ontology (GO) data stored in the Gene Ontology Database (GODB).
A package for creating and manipulating graphs (in the graph-theoretic sense). Creates a set of CLOS classes for graphs, vertices, edges. Provides algorithms for traversing, counting, searching for ve...
A collection of mathematical routines for combinatorics, statistics, functions, matrices, vectors, and more.
A set of CFFI-based bindings to the ODE (Open Dynamics Engine) C++ library for simulating rigid body dynamics.
A portable random number generator that produces the same results regardless of platform, and provides additional random distributions such as Poisson, exponential, and more.
CLARITY: A Common Lisp Data Alignment Repository
"CLARITY is a tool and method for the storage and comparison of data with numeric and set membership components". It is especially suited for bioinformatics applications.
Common Lisp Egregious Matrix library.
CafeOBJ is an algebraic specification and programming language that is a successor of OBJ. In addition to OBJ features, it implements new paradigms such as rewriting logic, hidden algebra, and their c...
Calcul des sphères d'influence des atomes d'une protéine
A program for computing the influence spheres of atoms in a protein.
An application for performing chemical calculations, such as knowing the mass of a given number of mol of a compound. It also supports calculations on Boyle's, Charles', the Combined gas, and the Idea...
Code to roll dice
A library for simulating dice rolling and tabulating possible results.
The Common Lisp Utilities project "intends to be a repository for packages that run on any compliant implementation of ANSI Common Lisp". It contains code for data and control structures, financial fu...
Common LISPcraft Code
The source code for the book "Common LISPcraft" by Robert Wilensky, W. W. Norton & Company; 2nd edition (June 1986). It mostly includes AI and parsing code.
Common Lisp and IEEE 754
Comformance test suite for Common Lisp implementations purporting to conform to the IEEE 754 standard for floating point operations.
FSet is a functional set-theoretic collections library for Common Lisp. All update operations return a new collection, rather than modifying an existing one in place. FSet has sets, bags (multisets)...
Femlisp (A Common Lisp framework for Finite Element Methods) is a framework for solving partial differential equations with the finite element method. It provides interfaces to direct solvers (SuperLU...
Float numbers input-output
A library for reading and writing binary IEEE-754 float numbers.
Functional Geometry
A functional geometry explorer, i.e. an application for describing and drawing pictures with functional programs. It can can generate PostScript output.
GNU Scientific Library for Lisp
An interface that allows the use of the GNU Scientific Library (GSL) from Lisp. The GSL is a library of applied mathematics commonly used in science and engineering.
CAD for analog and mixed-signal circuits. The program ``has fairly complete schematic editing functionality (think of a "draw" program with wires), but no support as of yet for netlisting or EDIF I/O'...
Infix provides a reader macro for reading mathematical expressions in infix form.
Kenzo is a constructive algebraic topology program.
L-Lisp is a framework for generating and simulating plants and fractals in Common Lisp.
MT19937 is a portable Mersenne Twister random number generator.
Wrapper around BLAS and LAPACK linear algebra libraries. Limited to CMUCL and Allegro (CLisp port in progress). Keywords: matrix, vector, eigenvalue.
Advanced computer algebra system that is a descendant of DOE Macsyma, whose origins date back to the late 1960s at MIT. Macsyma was revolutionary in its day, and many later systems, such as Maple and ...
"A very gross hack to hook up maxima to mcclim". It is a listener for the Maxima computer algebra system: the user can type expressions, see the results and reuse the results by clicking on them.
MoDisc is a Bayesian-based application for identifying the most probable model that best matches experimental data. It is suited for biological and chemical phenomena. It requires LispWorks CAPI for i...
NLISP provides an interactive numerical computation environment, similar to packages like Matlab and IDL.
Numerical Recipes Multi-Language Code CDROM
The source code from the books "Numerical Recipes", available as a commercial product for a number of programming languages including Common Lisp.
Numerical Recipes in Common Lisp (Broughan/Senac Version)
A version of code from the book "Numerical Recipes in Fortran" (first edition), translated by Kevin Broughan from Fortran.
Numerical Recipes in Common Lisp (Ken Olum Variant)
A version of the Common Lisp code from the book "Numerical Recipes" slightly rewritten by Ken Olum. The code was translated by Kevin Broughan from Fortran from the first edition of the book.
A mathematical library for statistics, derivatives, linear algebra, linear programming, least squares, random numbers, interpolation, Monte Carlo, and more.
Planet of the Feebs
A simulation game loosely based on the Xerox PARC "Maze War" game. It generates graphics output via CLX.
Plot-2D for Garnet
A library for 2D data visualization, representation of scientific datasets and mathematical functions. It is based on the Garnet GUI and can generate PostScript output.
An implicit geometric surface polygonizer. It computes the surface of a function and graphically displays the output.
Postscript Lindenmayer Systems
This code is a generator of Lindenmayer systems, with PostScript output. A Lindenmayer system is a fractal for describing plants.
Common Lisp code for the book "Spectral Analysis for Physical Applications: Multitaper and Conventional Univariate Techniques" (Cambridge University Press, 1993) by Donald B. Percival and Andrew T. Wa...
Block-diagram programming system for signal processing, presented at the European Common Lisp Meeting 2006.
A scientific simulation and analysis tool developed at Cornell University, based on the Weyl computer algebra system. It provides facilities for algebraic and topological computations, and creating tr...
Simulation of KYTRONs on the Moon
Simulation program for KYTRONs in a lunar-like environment. It has a CLIM GUI, and is a CLIM primer and a tutorial on how to write portable applications with a GUI. KYTRONs are small autonomous vehicl...
Sparse tensor representation library. There are no external dependencies; Spartns works on any data type and is heavily optimized.
A Common Lisp extension for using expressions in infix notation.
The Alias Method
An implementation of the Alias Method for generating a function that returns the value of a random variable with a specified probability. It is described in "On the alias method for generating random ...
A command line style calculator application, which includes a postfix to infix parsing library.
Cl-gsl: Common Lisp GNU Scientific Library provides bindings to GSL, a large C library of scientific functions.
The goal of this project is to provide a link between the Octave programming language and Common-Lisp.
This package is a manual translation from C to common lisp of some random number generation functions of GSL library. The package also include the alias method implementation of Mario S. Mommer and my...
cl-wav-synth - Express noises as you think
A WAV sound sample editor with a library for manipulating WAV files and a (Mc)CLIM GUI. The GUI is based on a Lisp listener and provides editing tools for samples, spectra and songs.
An UFFI-based generator of Common Lisp FFI bindings to the FFTW (Fastest Fourier Transform in the West) C library.
gecol provides bindings to gecode in order to enjoy constraint programming in Lisp.
Provides functions for converting floats to and from binary format.
little b
Little b is a modular human- and computer-readable language for building and sharing models of complex systems. It is currently used to make mathematical models of biochemical and multicellular system...
Library for reading and writing integer and IEEE floating-point numbers from binary I/O streams.


text: On September 23, 1966, Wilcox County School in Alabama was integrated. However, the amount of "physical acts" and "extreme brutality" directed towards the Negro students was so great that the parents of the students prohibited their children from attending just a few months later. In this report, Robert L. Green, the Education Consultant to the SCLC, outlines the details of this event to Mr. John Doar of the U.S. Justice Department. He tells Mr. Doar that a meeting was held with the nine students who had been attending the newly integrated school in order to get an account of their experience. Mr. Green goes on further to give an explanation of the unpleasant details of the student's stories.


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Attorney General Lockyer and Superintendent of Public Instruction O'Connell Award School Community Policing Partnership Grants
$10.7 Million Awarded to Local Education Agencies to Prevent School Violence
(SACRAMENTO) – Attorney General Bill Lockyer and Superintendent of Public Instruction Jack O'Connell today announced $10.7 million in grants have been awarded to 34 school districts and county offices of education for programs that partner schools with law enforcement, health and community organizations to deal with school crime and safety issues.
Established in 1998, the School Community Policing Partnership (SCPP) allows the Attorney General, in conjunction with the California Department of Education, to offer grants of up to $325,000 to be spent over three years to combat school violence. This year, 34 school districts and county offices received the grants.
"These grants provide much-needed resources to school districts and education offices to work with law enforcement and community organizations to provide campus policing, mentoring and tutoring services, extra-curricular activities, and drug and violence intervention and prevention programs," Lockyer said. "Working together, law enforcement, educators and the community can maintain safe schools and productive environments for our children."
"Students need to feel safe in order to focus on learning," O'Connell said. "These grants will help our school sites improve their learning environments through partnerships with law enforcement agencies in their communities."
This year, a total of 186 agencies applied for the grants, up from the 144 applications received last year. Through a thorough review and scoring process, 10 review teams composed of school safety professionals from law enforcement, education and community organizations read and scored the applications during a three-day period in April. The applicants were evaluated on two basic criteria: the school community's commitment to forming and sustaining a collaborative partnership, and its demonstration of need, which was based on school and community crime data and statistics measuring drug and alcohol use and rates of discipline, attendance, truancy and expulsion.
The SCPP requires the grants to represent schools in rural, urban and suburban areas throughout California. This year, the grants were awarded to 16 suburban, 10 rural and 8 urban school districts or education offices. Eight were in Northern California, five were in Central California and 21 were in Southern California.
Of the 34 grantees, 12 had previously been awarded SCPP grants that the review teams deemed worthy of refunding. Those programs are:
Butte County Office of Education
Colusa County Office of Education
Irvine Unified School District
Los Angeles Unified School District (John Marshall High, Christopher Dena Elementary, Berendo Middle and Murchison Elementary schools)
Lucia Mar Unified School District
Mojave Unified School District
Paradise Unified School District
San Diego County Office of Education (Sweetwater Union High School District and San Marcos Unified High School District)
A list of the successful grantees is available at http://www.safestate.org/documents/funded_programs.pdf
To view narratives of the program plans funded, go to http://www.safestate.org/index.cfm?navid=227


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Contact Us:
- Centers for Disease Control and Prevention
1600 Clifton Rd
Atlanta, GA 30333
24 Hours/Every Day
- firstname.lastname@example.com
Public Health Assessment
Air Pathway Evaluation,
Isla de Vieques Bombing Range,
Vieques, Puerto Rico
To print this report, please select the "Print Friendly View" option in left hand menu and use your browsers print function or the "Print Page" option on the right side of the page. You may also print individual sections of the report by navigating to a section using the left hand menu and following the same steps above.
August 26, 2003
Prepared by:
Federal Facilities Assessment Branch
Division of Health Assessment and Consultation
Agency for Toxic Substances and Disease Registry
VI. Community Health Concerns
An integral part of the public health assessment process is addressing community concerns related to environmental health. Throughout this process, ATSDR has been working with, and will continue to work with, the Vieques community to define specific health issues of concern. On multiple trips to the island, ATSDR has met with numerous individuals and organizations, including local officials, physicians, nurses, pharmacists, leaders of women's groups, teachers, students, fishermen, businessmen, and families. Meeting with community members was critical to identifying and understanding residents' health concerns.
This PHA has addressed four key questions that community members have repeatedly asked about inhalation exposures to contaminants from the Navy's bombing range at Vieques. ATSDR's other PHAs have addressed, or will address, community concerns regarding levels of contamination in other environmental media, including water, soils, and food items. These documents address the main concerns that ATSDR has received since first working on the island of Vieques.
In addition to the four key questions pertaining to air contaminants released from the LIA (see Section V), ATSDR has identified other community concerns that are relevant to the air exposure pathway. These additional concerns are summarized below in three questions, along with ATSDR's responses.
A. Is Water from Rainfall Collection Systems Safe to Drink?
ATSDR Response:The majority of residents on Vieques receive drinking water from the public water supply, which draws from surface water (Rio Blanco) on the main island of Puerto Rico. However, ATSDR has received accounts that some residents obtain drinking water using rainfall collection systems. The exact number of residents with such systems is not known. The following paragraphs address the public health implications of obtain drinking water from these rainfall collection systems.
Rainwater can be a safe and reliable source of drinking water and is used widely for this purpose throughout the Caribbean. However, the method of collecting and treating rainwater determines how safe the water is. Because rooftops are open to the air, a wide range of materials might settle on them. These materials include leaves, mold spores, dead insects, bird droppings, and particulate matter from local sources of air pollution. Some of these materials can contain significant bacterial contamination. Though dusts from the LIA might blow in the air for several miles and then settle on the rooftops in the residential areas of Vieques, analyses in Section V suggest that local sources of air pollution (e.g., motor vehicles) probably account for a majority of particulate matter in these areas.
The following discussion first outlines recommended sanitation practices for obtaining drinking water from rainfall collection systems and then presents ATSDR's specific comments on use of these systems on Vieques.
General Sanitation Practices
When rainwater falls on rooftops, it can wash the various materials that have settled onto the rooftops into the device used to collect the rainwater, usually a cistern or a storage tank. If residents consume the untreated water that first flows from the rooftops, they might be exposed to a wide range of disease-causing bacteria. As evidence of harmful exposures, scientists have suspected that an outbreak of salmonella in the West Indies resulted from residents drinking water from a rooftop collection system that was heavily contaminated with bird feces (Koplan et al. 1978). Many other accounts of diseases caused by water-borne pathogens have been attributed to use of poorly maintained rainfall collection systems. Therefore, consumption of untreated water from rooftop collection systems is not advised.
Various health and environmental agencies have published guidelines for ensuring that rainfall collection systems provide for a safe drinking water supply. Many of these guidelines involve minimal monetary investments to implement. The following suggestions are provided in several references on good sanitation practices for obtaining drinking water (e.g., Salvato 1982, Texas Water Development Board 1997, United Nations Environment Programme 1997):
- The water that initially flows from the rooftop likely contains the greatest amount of chemical and biological contamination, especially if the time between rainfalls is great. This water should be diverted from the water storage tank and should never be consumed. According to a United Nations document, ". . . water captured during the first 10 minutes of rainfall during an event of average intensity is unfit for drinking purposes" (United Nations Environment Programme 1997). Consumption of this water can be avoided by using diversion valves that cause the initial flow of water to bypass the storage tank.
- Some measures should be taken to periodically clean the various surfaces that might come into contact with the rainwater, including the rooftops and cisterns.
- The rainwater that is eventually collected should be filtered before entering the storage tank to remove gross impurities (e.g., leaves, insects). Separating and removing sediments in storage tanks is also recommended, as insoluble contaminants may pass through filters and then settle in the storage tanks. Finally, many agencies advise chemical treatment of collected water, such as chlorination.
By following these and other sanitation practices, residents of Vieques can ensure that drinking water provided by rainfall collection systems is relatively free of contamination, including contaminants from local sources (e.g., birds, insects, motor vehicles), as well as the much smaller quantities of contaminants that might transport from the LIA.
Information Specific to Vieques
Focusing specifically on Vieques, ATSDR has learned that some community members obtain drinking water from rooftop collection systems (Cherry and Ramos 1995), though detailed information on the extent to which this takes place is not available. It is ATSDR's understanding that most residents converted their collection systems into closed tanks that now store water provided by the public water supply, and not by local rainwater. However, some residents may still use rainwater from rainfall collection systems in addition to water from the public water supply. The main community concern about the rainfall collection systems is that dusts from the LIA might settle on rooftops and eventually contaminate the rainwater that is collected.
No sampling studies have been conducted to characterize the quality of water in rainfall collection systems on Vieques. Therefore, no firm conclusions can be drawn based on site-specific sampling data. ATSDR's response to this question addresses the general advantages and disadvantages of using rainfall as a source of drinking water. If good sanitation practices are followed, rainfall collection systems on Vieques are expected to provide clean water that does not pose health hazards.
ATSDR has collected many documents that list recommended sanitation practices for rainfall collection systems. Some of these documents address issues specific to water supplies in the Caribbean. For the residents' benefit, ATSDR has placed copies of two key documents in the records repositories for the Vieques site, which are located at Biblioteca Publica on Vieques, the Vieques Conservation and Historical Trust, and at the University of Puerto Rico School of Public Health.
B. Is Exposure to the Material in African Dust Unhealthy?
ATSDR's Response:The purpose of this PHA is to evaluate the public health implications of exposures to air contamination associated with the Navy's military training activities on Vieques. When evaluating this issue, however, some Vieques residents also expressed concern that "African dust storms" might influence air quality on the island. To be responsive to these concerns, ATSDR researched the potential impacts of these dust storms and reached the conclusions summarized below.
Public Health Implications of African Dust Storms
As Section III.E explains, many researchers have studied African dust storms, or events in which strong winds blow large amounts of dust from arid northern Africa soils into the air. Some dust clouds have been observed thousands of miles from Africa, including over areas in the Caribbean and the southeastern United States. ATSDR emphasizes that the presence of dust particles in the air does not imply that unhealthy exposures occur. The public health implications of the African dust storms depend on other factors, such as the amount of dust in the air, the duration of the storms, and the relative amounts of chemical and biological contaminants in these dusts.
Regarding the amount of dust in the air, authors of key studies on African dust storms have doubted that the levels of dust alone would exceed EPA's health-based standards for particulate matter (Prospero 1999a). However, they have hypothesized that the amount of African dust in the air, when added to particulate matter from local sources of air pollution, might lead to unhealthy levels of air pollution. This hypothesis has never been verified for Vieques. In fact, none of the particulate sampling studies conducted on Vieques (see Appendix C) have ever shown potentially unhealthy levels of particulate matter, as gauged by EPA's health-based National Ambient Air Quality Standards. Moreover, the historical record of particulate sampling along the eastern shore of the main island of Puerto Rico reveals a similar trend (see Appendix C). These consistent trends among the sampling studies suggest that levels of particulate matter on Vieques have not reached levels that could present a public health hazard, even during African dust storms. This finding should be verified by ongoing review of sampling data collected on the island.
Unfortunately, less information is available on the chemical and biological makeup of dust particles during these African dust storm events. ATSDR has identified studies indicating that the dust particles contain various minerals, and even traces of bacteria and viruses (Griffin et al. 2001). These studies have speculated about potential public health impacts, but no link between adverse health effects and the components of African dust has been established. ATSDR believes its recommendation for sampling of airborne metals (see Section IX) will address the data gap on the mineral content of African dust, and ATSDR supports further research into the type and amounts of biological material (e.g., bacteria, viruses) that may be transported with African dust.
Relative Amounts of Particulate Matter from African Dust Storms and from the LIA
Some community members have asked ATSDR to explain how it is possible that two different sources of air pollution located thousands of miles apart (i.e., the LIA and Africa) can have similar impacts on air quality at Vieques. The key to understanding this issue is that the LIA and African dust storms release dramatically different quantities of particulate matter.
Though emissions from both sources cannot be measured directly, emissions estimates suggest that African dust storms release far more particulate matter to the air than the Navy's military training exercises. Specifically, the Navy has estimated that its operations at Vieques release 70 tons of PM10 to the air per year (IT 2000). On the other hand, researchers have estimated that African dust storms release between 100,000,000 and 1,000,000,000 tons of particulate matter to the air per year (Shinn et al. 2000). Assuming the emissions estimates quoted above are reasonably accurate, the data suggest that African dust storms may release more than 1,000,000 times as much particulate matter as does the LIA.
Therefore, even though the source of African dust is several thousand miles away from Vieques, the fact that African dust storms release dramatically higher levels of particulate matter explains why they can have noticeable impacts on air quality in the Caribbean, even when local sources of air pollution (e.g., the Navy's military training exercises) might have little air quality impacts at distances as short as 7.9 miles from the source.
C. Can ATSDR Provide General Information on Asthma and Air Pollution?
ATSDR's Response:Asthma is a common, and potentially deadly, chronic (or long-term) lung disease. A person with asthma might suffer from "asthma attacks." These attacks can vary in frequency and severity. Some people with asthma have attacks often, while others have them rarely. Less severe asthma attacks result in difficultly breathing, tightness in the chest, coughing, and wheezing. More severe asthma attacks can be life-threatening if a person stops breathing. As a result, it is very important for a person with asthma to get help from a doctor to manage the disease. This is especially important for children with asthma, who have been found to be a sensitive sub-population for acute responses to outdoor air pollution (Clark et al. 1999).
No one has determined exactly what causes some people to have asthma and other people to not have the disease. However, scientists have identified many "asthma triggers" that are known to cause people with asthma to have asthma attacks. Different people are affected by different asthma triggers, and a doctor can help determine which asthma triggers appear to be a problem for a given person. The following list identifies some (but not all) of the known or suspected asthma triggers:
- Indoor air contaminants: mold, tobacco smoke, household chemicals, dust, and allergens from pets and insects.
- Outdoor air contaminants: particulate matter, pollen, and ozone.
- Other factors: sinus infections, certain medications, and food additives.
Though outdoor air pollution can trigger asthma attacks, the extent to which outdoor air pollution causes people to have asthma in the first place is unclear. As evidence of this, asthma occurs in areas with relatively low levels of air pollution. Further research is needed to understand to what extent outdoor air pollution affects whether or not a given person has asthma.
ATSDR notes that its review of outdoor air pollution on Vieques was based in part on EPA's health-based National Ambient Air Quality Standards. EPA developed these standards to protect public health, including the health of potentially sensitive populations, like asthmatics. Therefore, ATSDR's analyses found that levels of particulate matter on Vieques do not present a public health hazard, even for people who have asthma. However, ATSDR acknowledges that some asthmatics with extreme sensitivities might have attacks triggered by low levels of pollution. Recognizing that asthma is potentially serious and needs to be treated correctly, ATSDR urges all individuals with asthma–on Vieques and elsewhere in Puerto Rico and the United States–to work with a doctor to set up an asthma management plan. Following such a plan can help keep asthma under control.
Other Community Concerns:
ATSDR is committed to addressing additional community concerns relevant to environmental health issues, as these concerns arise. Vieques residents can direct their health concerns to ATSDR either in writing or via the telephone. Please submit written questions and inquiries to:
Program Evaluation, Records and Information Services Branch
ATSDR, Division of Health Assessment and Consultation
Attn: Isla de Vieques, Puerto Rico
1600 Clifton Road, NE (E-32)
Atlanta, GA 30333
Community members can also call ATSDR either by contacting our regional representatives in New York, New York, at (212) 637-4307 or by calling our toll-free telephone number, 1-888-42-ATSDR (or 1-888-422-8737).


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