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|Here is Eleanor having fun in Peru!
I hope this blog will contain things to entertain you. Family, Photos, Travel, Humour, Quotations, to name but a few!
Tuesday, 31 December 2013
It's The End Of Another Year ....
22 comments:
- Shady Del Knight said...
Hallo hallo hallo, dear Thisisme! I declare - you changed your header again - and it's another magnificent one with pictures of your lovely grandchildren and your vintage style radio. Nicely done, dear friend!
If you're calling yourself boring then you're not alone. At the stroke of midnight I'll be sipping a cup of hot chocolate and rearranging my sock drawer! :)
I am tickled silly to see these splendid images and smiling faces. It's so good to see Emma laughing after the difficult year she's gone through with the loss of Kelly and her back problems. I'm also delighted to see a pic of Eleanor having a good time in Peru. Ruby is growing into quite a young lady and I wish her a happy 4th birthday.
I was blessed to have your warm and wonderful friendship again this past year, dear Diane. The world needs more like you. Blessings, hugs and smooches to you and your whole family. May 2014 be kind to you all.
Happy new year, dear Thisisme!
- 31 December 2013 at 20:34
- Bouncin Barb said...
I just love the header picture. You always have such a beautiful blog!! Just seeing the smiles on all of your family tells me how much love there is in your home. That just can't be bought!! It's completely understandable why you feel down after all the buildup of Christmas and I'm sure you're not alone. How you feel now is how I feel about Christmas. It just doesn't have meaning without my family around. However, it's onward and upward my most awesome friend! Here's to a fantastic 2014 for us both! Hugs and love XX
- 31 December 2013 at 21:11
- Claudia Moser said...
I wish you a wonderful healthy funny and happy 2014 and thank you for your friendship. It means a lot to me!
- 31 December 2013 at 21:27
- Montanagirl said...
Such a lovely family you have! I'm think husby and I are part of the boring crowd as well. We NEVER go out on New Year's Eve. In prior years, we have gone up the street to have the New Year's Even dinner at a local eating place...usually about 5 p.m. and are home by 6 p.m. This year, we just got back from Alaska and both of us are sick. We went to the doctor today and he gave us anti-biotics ....hopefully, we'll be on the mend soon.
- 31 December 2013 at 21:56
- Manzanita said...
What a beautiful Christmas for you to have your family with you. Little Ruby's 4th birthday. They do grow up so quickly. Life becomes just a blink of the eye.
May 2014 hold all the happiness that you had in these photos. Love and peace to you and your family.
- 1 January 2014 at 04:51
- orchid Miyako said...
Dearest Diane;
Yes, I LOVE your new header as well, my dear friend♪ What a GORGEOUS Christmas pictures with all of your family get together; I especially love to see how your sweet Angeles growing wonderfully♡♡♡
Having a quiet new year with my husband without any guest p;) Wishing a Happy and Prosperous New Year from Japan to my dearest friend in England, xoxo Miyako*
- 1 January 2014 at 05:00
- Duncan D. Horne - the Kuantan blogger (大哥) said...
Hello Diane,
I know what you mean when you talk about the new year. I don't find anything at all of value or specialty in New Year's Eve! Ultimately it's just another day and we have to get on with it :)
Wishing you a brilliant 2014!
- 1 January 2014 at 08:54
- Eva Ason said...
Dear Diane,
I love these photos!! Hope this will be a fantastic year for you.
Your header picture looks great.
I have just started my long break from work and it feels just great. It has been a very hectic period going up towards the year end. Working in the finance operations of a company is very stressful but I still love it. Was working up until 7pm last night and by the time I got home I was so tired, that I nearly crashed on the sofa while watching the Hobbit. But today is a new day and a new year even, and I feel a little exited actually.
Happy New Year to you and your family!
- 1 January 2014 at 10:22
- Suzanne Prickett said...
This was the most beautiful way to ring in the New Year Thisisme! I know that now we have to put the pretty holiday stuff up...we are still waiting to have our sweet little grandson come for his Christmas-Grrrr!!! That's another story, and we are dealing!
I loved looking at your memories of the holidays, and those gorgeous daughters and grandchildren-they take the cutest photos! And, it was good to see your smiling hubby too!
So, I guess we'll dive head first into the New Year, and do what good we can, huh? Us ladies of a certain age can do all the good! See you later, hugs!♥
- 1 January 2014 at 17:13
- Anne in Oxfordshire said...
Hi Diane , You get excited about Christmas? Really would never of guessed ..:-) :-) Only kidding , I have a daughter in law like that too and grandaughter and Luke's partner and ex partner. We stayed in last night , as usual , would of loved to have done something totally different, be somewhere else ,, If you do feel down in the dumps, don't feel down for too long .. Hope this year is good to us all xoxo
Oh yesterday my friends son (age 10) asked do you believe in Santa , had to lie .. I think he still does but don't think my 10 year old grandson does ..
We have Amelia's first birthday coming up , yep one whole year has gone .. as we know. xx take care.
- 1 January 2014 at 17:30
- Jennifer Hoppins said...
Your Christmas celebrations look wonderful! Why can't we have Christmas all through the year? My house is now empty and quiet. Elliot and I both felt it today, the silence. But we had each other and it was good. Thank you for hanging tough through the let down phase of the holidays. It's very rough for me too. Friendship helps so much!
- 1 January 2014 at 20:40
- Glenda Manus said...
Oh my! Then maybe it isn't just me that has the blues right after Christmas. This year was better! I think I'm a little more appreciative of my good health and excited about some successes during 2013. The photos are beautiful and the header looks so professional! I think you would be successful as a blog designer! Have a very happy 2014 my friend!
- 1 January 2014 at 21:22
- NITA said...
Always a bit of an anti=climax, such a build up then in 2 days all over. Except the Christmas story never really ends, the birth of the saviour, then the cross and our salvation secured and the everlasting gift of the Holy Spirit and Eternal Life. Happy, Blessed 2014 to you and your family
- 1 January 2014 at 22:32
- Denise said...
So fun seeing all Your family photos.Looks like wonderful times had by all.Wishing You and Your whole family many blessings throughout 2014.Thank You as always for Your friendship over so many hundreds of miles. Hugs-Denise
- 2 January 2014 at 01:41
- Linda O'Connell said...
Your family photos are wonderful keepsakes and will be treasured in years to come. Your little Ruby makes my heart sing. I love the picture of her and Eli with her birthday cake. Happy new Year. Hope that storm bypasses you. Let us know that you are safe and sound.
- 3 January 2014 at 01:40
- Pat MacKenzie said...
I always called them the post Christmas blues. Luckily they don't last too long. At least we have lovely memories and photos to cheer us up. I hope 2014 is kind to you.
- 3 January 2014 at 23:13
- Maria C said...
The thing that makes me want to cry right now is the weather! I love Christmas but I hate winter. It's freezing cold right now in the Midwest and all I can think about is that there are 72 days until spring! Don't discount your tears, dear friend, they always mean something, maybe it's how you connect with your spirit after the frenzy of the Christmas season. I wish you a happy and healthy new year!
- 6 January 2014 at 21:59
- Sush said...
Oh my I nearly missed this post and it is filled with so many beautiful and happy photos of your darling family! I agree with Tom it is so fantastic to see Emma with a big laughing smile on her face! I hope she is still improving and feeling well! Alison looks like a movie star in the picture with her Dad! As always Eleanor is just so beautiful and her joyous nature always shines through on her face! Ruby Violet and Eli always melt my heart! Those two are just so loving with each other it makes my very soul happy to witness!
I hope you are cheering up again my friend. You do have so much to be grateful and happy for! I hope your weather improves, I know I'm ready for the warmth to return to our Southern states! Hugs and best wishes for a wonderful new year to you and yours and special love from me to you! xoxox
- 8 January 2014 at 07:24
- sparkle100-havealook.blogspot.com said...
I love your blogs. Your family and pictures. You are a beautiful lady inside and out.
I never feel depressed.
Maybe I am not normal.
I know many do. My Father in-law used to be the same. God love him at 80 he went home to the Lord.
Now he is singing in Gods choir.
I keep myself busy with art, reading.
I think your a reader right sweetie.
I am hooked on an author who writes
the Mennonites novels Little valley series.
They are like stories like House On the prairie.
See I never get all winded up on Christmas but I enjoy other peoples decorations.
New years I am not a party gal.
Hubby and I don't drink. Never was much into that. I guess because I never liked the taste back then or now. I guess you may think I am an old gal in the back wood times. In the woods back then. I think they drank didn't they. Ha-ha.
Maybe I am a bit like a Mennonite. In my ways. Not sure.
So anyhow. These books are tear jerks so I don't want you feeling even bluer. If you read them.
So dear.
It wont belong and Spring will be here.
As long as you write.
We will be here.
A friend.
- 9 January 2014 at 21:03
- Retired English Teacher said...
Lovely, lovely photos. You all had a wonderful holiday. I'm glad you were together.
- 13 January 2014 at 02:57
- orchid Miyako said...
Dearest Diane,
I just stopped by that I wish you're no longer having bad weather, my friend in England.
My husband had a cold a while ago, but got better now, whew.
Love your new profile picture♡♡♡
Lots of Love and Hugs from Japan, xoxo Miyako*
- 14 January 2014 at 12:40
- Rosemary Nickerson said...
Diane, the holidays are over. The calendar brings us back to where we were last year at this time...dealing with, slow, spotty and sometimes nonexistent internet The islands are great to escape winter but not good techno-wise. I'm just now seeing your New Years post! Blessings on you and yours as we continue on living to make a difference.
- 15 January 2014 at 01:30


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New York is rapidly becoming a destination for renewable energy in the U.S. Northeast. The state was the 7th-largest U.S. solar market in 2014, and is currently undergoing an ambitious restructuring of its distribution grid to give a greater role to solar and other distributed energy solutions.
New York Governor Cuomo has furthered this ambition by ordering state regulators to create a mandate for 50% renewable energy in electricity by 2030, according to press reports. While the governor's office did not respond to requests for confirmation by the time this article went live, this approach was reported by New York Times and Associated Press.
While most states have implemented renewable energy mandates through their legislatures, New York's current Renewable Portfolio Standard (RPS) was created through the New York Public Service Commission. The policy requires New York utilities to source 29% of their electricity from renewables by 2015, expiring this year.
"Governor Cuomo's plan to implement a 50 percent RPS presents a strong endorsement for solar power as part of a responsible approach to a clean energy future, commented Solar Energy Industries Association (SEIA) President & CEO Rhone Resch.
A 50 percent RPS is a significant milestone toward addressing New Yorks climate goals, and reaffirms the state as a leader in seizing the economic advantages of clean energy.
According to officials who spoke to New York Times on condition of anonymity, utilities would be able to meet incremental targets using nuclear power. Entergy Corporation has filed with federal regulators to close the FitzPatrick nuclear power plant in New York State by early 2017, against the wishes of the Cuomo Administration.
New York State regulators are currently working out the details of the Reforming the Energy Vision (REV) initiative, which is intended to open the distribution grid to competition in much the same way that deregulation has liberalized wholesale electricity generation in many states. pv magazine will look at the details of the REV process in an article in the upcoming December print edition.
And While pv magazine was not able to confirm the presence of any specific targets for solar or other forms of distributed generation in the new goals, REV's focus on distributed generation is one of the reasons why small-scale solar may play a large role in meeting these targets.
New York's solar market has primarily been driven by small scale distributed solar projects 2 megawatts or less, notes GTM Research Solar Analyst Cory Honeyman. And with a few nuclear power plants at risk of being shut down over the next several years, there's a chance that a 50% RPS proceeding debate will center on the feasibility of that target being met primarily by small scale distributed energy resources, rather than centralized renewable energy projects.
The Cuomo Administration had already announced 50% renewable energy as a goal, which is the same level and date that California has set into law. When implemented, this will put New York with California and Hawaii among the top three states for renewable energy targets. Hawaii has set a mandate to source 100% of its electricity from renewables by 2045.

subset: commoncrawl


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Welcome to the Safer Medication Use in Older Persons Information Page.
This information page is part of an awareness campaign designed to provide care team members in long term care homes, hospitals and the community with information on medications that are poorly tolerated by older persons. Here, you will find information on the Beers List and other high risk medications for older persons, along with an explanation of their effects and suggestions for safer alternatives. Our ultimate goal is to see medication use in older persons achieve the desired therapeutic effect with fewer adverse effects.
The materials were compiled by an advisory group of leaders and practitioners in long-term care and are intended for:
For feedback on this information page, please complete the evaluation survey.
For more information on this information page, please contact ISMP Canada, 416-733-3131. For information about the campaign partners please click on the links below.
NOTE: This website does not provide medical advice. If you require medical assistance or information specific to a clinical situation, contact your healthcare provider or Telehealth Ontario 1-866-797-0000. If you think you may have a medical emergency, call 911.
As a result of potential adverse effects due to pharmacokinetic and pharmacodynamic changes in older people, certain medications should be avoided, or used cautiously with monitoring. This site provides information about the "Beers List"1 and other drugs which are potentially harmful when used inappropriately. If used, documentation should note the reason for use and show that monitoring is in place.
The information provided is intended for practitioners caring for the older person in all settings i.e. home, long term care, and acute care.
The Beers List is a consensus list of potentially inappropriate medications for older persons developed by Dr Mark Beers and an American panel of experts. It was first published in
1991, with the goal of reducing preventable adverse drug effects among older persons in nursing homes. The Beers List was updated in
and 2003 and is now targeted to all older persons, including those living in the community. Building on Dr Beers' work, a
Canadian review
of inappropriate prescription practices in older persons was conducted in 1997. This review, carried out by McLeod and colleagues and based on a survey of a 32 member national panel of experts, also considered reasons for prescribing the medications, comorbidities, and duration of therapy.
The Beers criteria was updated and released in 2012. See AGS releases updated Beers criteria.
Back to Top
AGS Beers criteria for potentially inappropriate medication use in older adults from the American Geriatrics Society Printable Pocket Card.
Websites are available offering more detailed information about each drug (generally US FDA approved drug information). For example, a couple of sites are:
Drugs approved for use in Canada, along with Canadian monographs, can be found through Health Canada's Drug Product Database.
Safety information/warnings from Health Canada can be viewed at Recent Advisories Warnings and Recalls; as well as Canadian Adverse Reaction newsletters.
Not all of the medications on the Beers list are funded through the Ontario Public Drug Programs. Availability of a particular medication in the Ontario Drug Benefit Formulary/Comparative Drug Index can be found at:
AGS Beers Criteria 2012 - Summary
Because the Beers List has been updated several times and also varies across jurisdictions, comparable data related to the use of these drugs and their effects are difficult to obtain. A
2001 study
found that 21% of community-dwelling elderly US patients were on at least one of 33 potentially inappropriate medications. A more
recent study
found that 34% to 47% of elderly outpatients and nursing home Medicare and Medicaid Service residents in the United States were taking at least one Beers List medication.
In Canada, concerns related to the use of drugs on the Beers List have been flagged by several organizations including the
Canadian Institute for Health Information8,
Ontario Joint Task Force on Medication Management in Long-term Care,9
and the
Health Quality Ontario.10
The Canadian Institute for Health Information last reviewed usage of Potentially Inappropriate Medications in 200711.
Reported rates of inappropriate prescribing vary depending on the source of information, the drugs studied and prescription practices.
Older persons living in the community or coming from hospital to a long term care home are more likely to be on a Beers List medication than those in long term
care12. The likelihood of being prescribed a drug inappropriately increases with the number of prescription medications and prescribing physicians.13
In some cases there may be a non-pharmacological alternative or another, possibly safer, medication available. Suggestions are noted in the following references. Evidence-based guidelines as well as a person's clinical status, co-morbidities, other treatments and organ function should be considered. Regular monitoring and medication reviews can assist in identifying possible adverse effects and allows for management of such effects in a timely manner.
There are other medications that could lead to serious adverse events in older persons depending on the pharmacology of the drug, patient characteristics, and monitoring requirements.
High alert medications (drugs that bear a heightened risk of causing significant patient harm when they are used in error) have been defined for acute care16 and community care17.
Older persons are often sensitive to the anticholinergic effects of drugs and combinations of drugs with these properties can lead to cumulative effects.
For information about "Anticholinergic Burden" see:
This section will continue to evolve over time as information is brought to our attention or new information is published. If you would like to suggest additions please
contact us.
PDF Version
Sulfamethoxazole can directly cause pancreatic insulin release (at higher doses due to structural similarity to sulfonylurea) in patients with renal impairment.
Sulfonamide antibiotics inhibit CYP 2C9. Glyburide is metabolized by CYP 2C9.
The concomitant use of TMP-SMX with glyburide was associated with increased risk of hospitalization due to hypoglycemia in the elderly.
Juurlink et al. estimated that patients who were hospitalized due to hypoglycemia while using glyburide were around 6 times more likely to have been treated with TMP-SMX within 1 week.
Clarithromycin inhibits P-glycoprotein which leads to decreased renal clearance of digoxin.
The concomitant use of clarithromycin and digoxin was associated with increased risk of hospitalization due to digoxin toxicity in the elderly.
Juurlink et al. estimated that patients who were hospitalized due to digoxin toxicities while using digoxin were around 12 times more likely to have been treated with clarithromycin.
ACEIs and potassium sparing diuretics both increase serum potassium levels. When used together they may precipitate hyperkalemia.
The concomitant use of ACEIs and potassium sparring diuretics was associated with an increased risk of hospitalization due to hyperkalemia in the elderly.
Juurlink et al. estimated that patients who were hospitalized due to hyperkalemia while using ACEIs are 20 times more likely to have been treated by potassium sparing diuretics.
ACEIs reduce glomerular perfusion via inhibition of angiotensin II.
Concomitant use of lithium and ACEIs or loop diuretics was associated with increased risk of hospitalization due to lithium toxicities in the elderly.
Juurlink et al. estimated that patients who were hospitalized due to lithium toxicity while using lithium are 2 times more likely to have been treated by ACEIs or loop diuretics.
S-warfarin (active enantiomer) and NSAIDs are substrates for CYP 2C9. Both NSAIDs and warfarin can increase risk of GI bleeding.
Concomitant use of warfarin and NSAID or COX-2 inhibitor was associated with increased risk of upper GI hemorrhage in the elderly.
Battistella et al. estimated that patients who were hospitalized due to an upper GI bleed while using warfarin were around 2 times more likely to have used an NSAID or COX-2 inhibitor within 90 days.
Macrolide antibiotics can reduce re-circulation of digoxin by reducing Eubacterium lentum in the gut.
Clarithromycin may inhibit P-glycoprotein-mediated tubular secretion of digoxin.
Concomitant use of digoxin and macrolide antibiotics may lead to increased risk of hospitalization in the elderly.
Gomes et al. estimated that patients who are hospitalized due to digoxin toxicity are 15 times more likely to be taking clarithromycin and 4 times more likely to be taking azithromycin or erythromycin.
Clopidogrel is a pro-drug requiring activation by CYP 2C19. Omeprazole, lansoprazole and rabeprazole inhibit CYP 2C19 which leads to reduced anti-platelet action.
Concomitant use of clopidogrel and PPIs (except pantoprazole) is associated with increased risk of re-infarction in the elderly.
Juurlink et al. report in patients who are hospitalized for a re-infarct and using clopidogrel are more likely to be using a PPI within 30 days.
Pantoprazole was not associated with increased hospitalization.
ACEIs and ARBs impair urinary potassium excretion
TMP reduces urinary potassium excretion.
Concomitant use of TMP-SMX and ACEIs or ARBs is associated with increased risk of hospitalization due to hyperkalemia in the elderly.
Antoniou et al. estimated in patients who are hospitalized for hyperkalemia and using ACEIs or ARBs are about 7 times more likely to have received TMP-SMX.
TMP-SMX inhibits CYP 2C9. S-warfarin (active enantiomer) metabolized predominantly by CYP 2C9.
Concomitant use of TMP-SMX or ciprofloxacin with warfarin increases the risk of hospitalization due to hemorrhagic complications
Fischer et al. estimated patients, who were hospitalized with hemorrhagic complications while using warfarin, are 3 times more likely to have been exposed to TMP-SMX and 2 times more likely to have been using ciprofloxacin
Tamoxifen is a pro-drug metabolized by CYP 2D6 to the active endoxifen.
Paroxetine is a potent CYP 2D6 inhibitor and may reduce the activation of tamoxifen.
Kelly et al. report paroxetine use during tamoxifen treatment increases breast cancer mortality. The median overlap time of tamoxifen and paroxetine treatment in this study was 41%. It is estimated that this level of overlap would result in one additional breast cancer death at 5 years for every 20 women treated.
This is a retrospective cohort study.
Two macrolides, erythromycin and clarithromycin, inhibit CYP 3A4. Azithromycin does not inhibit CYP 3A4. Calcium channel blockers are CYP 3A4 substrates.
Concomitant use of CCBs and macrolide antibiotics are associated with increased risk of hospitalization due to hypotension.
Wright et al. found in patients who are admitted to hospital due to hypotension while using a CCB are more likely to have received clarithromycin or erythromycin prior to hospitalization. Azithromycin was not associated with hypotension.
This is a case cross-over study.
Theophylline is metabolized by CYP 1A2. Ciprofloxacin is a potent inhibitor of CYP 1A2. Ciprofloxacin is a commonly used antibiotic given to chronic obstructive pulmonary disease (COPD) patients.
Concomitant use of theophylline and ciprofloxacin may lead to increased risk of hospitalization due to theophylline toxicity.
Antoniou et al. estimated that patients hospitalized due to theophylline toxicity were 2 times more likely to have been treated with ciprofloxacin.
Phenytoin is metabolized by CYP 2C8. TMP-SMX is a potent CYP 2C8 inhibitor and may lead to increase in phenytoin level.
Concomitant use of phenytoin and TMP-SMX increases the risk of hospitalization due to phenytoin toxicity.
Antoniou et al. estimated patients who are hospitalized due to phenytoin toxicity are 2 times more likely to have received TMP-SMX within 30 days.
Spironolactone and TMP-SMX both decrease urinary excretion of potassium.
Concomitant use of TMP-SMX or nitrofurantoin with spironolactone has been associated with increased risk of hospitalization due to hyperkalemia.
Antoniou et al. estimated that patients hospitalized due to hyperkalemia while using spironolactone are 12 times more likely to have been using TMP-SMX and 2 times more likely to have been using nitrofurantoin.
*The information in this chart was taken from the individual drug interaction studies and does not necessarily represent the opinion of ISMP Canada. Healthcare organizations are encouraged to critically appraise these studies to determine the applicability to their specific practice settings.
The following are additional epidemiological studies of different drug-drug combinations that did not demonstrate an increased risk for adverse effects in the elderly population:
The Campaign on Safer Medication Use in Older Persons began as a collaborative effort to reduce the use of Beers List Drugs in long-term care homes across Ontario. Beers List medication use was flagged for potential improvement in recent reports of the Health Quality Ontario16 and the Ministry of Health and Long-Term Care17. Discussion with front line practitioners working in long term care also indicated a lack of awareness of these drugs.
During the campaign planning process, it became clear that the scope of the campaign was too narrow. The partners therefore decided to expand the focus of the campaign to all older persons, since those living in the community and coming from hospital to long-term care are more likely to be on a Beers List drug. The partners also decided to expand beyond the Beers List to include a short list of other high risk drugs that have serious side effects and should be carefully monitored when used in older persons.
The Campaign for Safer Medication Use in Older Persons is a three year social marketing campaign designed to:
The founding partners in this campaign are:
Campaign partners contribute to the campaign by endorsing its goals, educating their staff, membership and community stakeholders about potentially inappropriate medications for use in the elderly, implementing safer medication practices and monitoring their performance with respect to adverse drug events and other safety and quality indicators.
All medications should be regularly reviewed for safety and effectiveness. In healthcare settings, regular review may take place on admission and discharge, following a change in health status, or on a quarterly basis. For more information on how to conduct a best possible medication history and other resources, visit ISMP Canada's website.
Some provinces have programs in place to ensure patients are getting the most benefit from their drug therapy. These programs enable pharmacists to conduct comprehensive medication reviews and identify potentially harmful drug interactions or side effects. Ontario's Medscheck Program covers medication reviews in community and long-term care settings. For more information click here.
If you are interested in joining the campaign, please contact ISMP Canada or Paula Neves, Director of Health Planning and Research, Ontario Long Term Care Association (OLTCA).
A two-round survey, based on Delphi methods, was used with 13 nationally recognized experts to reach consensus on explicit criteria for defining the inappropriate use of medications in the US nursing home population. The criteria were designed to use pharmacy data with minimal additional clinical data so that they could be applied to chart review or computerized data sets. The 30 factors agreed on by this method identify inappropriate use of such commonly used categories of medications as sedative-hypnotics, antidepressants, antipsychotics, antihypertensives, nonsteroidal anti-inflammatory agents, oral hypoglycemics, analgesics, dementia treatments, platelet inhibitors, histamine 2 blockers, antibiotics, decongestants, iron supplements, muscle relaxants, gastrointestinal antispasmodics, and antiemetics.
This study updates and expands explicit criteria defining potentially inappropriate medication use by the elderly. Additional goals were to address whether adverse outcomes were likely to be clinically severe and to incorporate clinical information on diagnoses when available. These criteria are meant to serve epidemiological studies, drug utilization review systems, health care providers, and educational efforts. Consensus from a panel of 6 nationally recognized experts on the appropriate use of medication in the elderly was sought. The expert panel agreed on the validity of 28 criteria describing the potentially inappropriate use of medication by general populations of the elderly as well as 35 criteria defining potentially inappropriate medication use in older persons known to have any of 15 common medical conditions. Updated, expanded, and more generally applicable criteria are now available to help identify inappropriate use of medications in elderly populations. These criteria define medications that should generally be avoided in the ambulatory elderly, doses or frequencies of administrations that should generally not be exceeded, and medications that should be avoided in older persons known to have any of several common conditions.
This study is an important update of previously established criteria that have been widely used and cited. The application of the Beers criteria and other tools for identifying potentially inappropriate medication use will continue to enable providers to plan interventions for decreasing both drug-related costs and overall costs and thus minimize drug-related problems.
This Canadian article describes a list of inappropriate practices in prescribing for elderly people, to be used in a practice-based intervention study.
This paper examines rates of potentially inappropriate prescribing in a US population dually eligible for Medicare and Medicaid using the 2003 version of the Beers list.
Inappropriate prescribing (IP) is a common and serious global healthcare problem in elderly people, leading to increased risk of adverse drug reactions (ADRs), polypharmacy being the main risk factor for both IP and ADRs. IP in older people is highly prevalent but preventable; hence screening tools for IP have been devised, principally Beers' Criteria and the Inappropriate Prescribing in the Elderly Tool (IPET). Although Beers' Criteria have become the most widely cited IP criteria in the literature, nevertheless, they have serious deficiencies, including several drugs that are rarely prescribed nowadays, a lack of structure in the presentation of the criteria and omission of several important and common IP instances. New, more up-to-date, systems-based and easily applicable criteria are needed that can be applied in the routine clinical setting.
STOPP (Screening Tool of Older Persons' potentially inappropriate Prescriptions) is a screening tool of older patients' medications. 18 experts in geriatric pharmacotherapy established the content validity of STOPP by two rounds of Delphi consensus method. Sixty-five potentially inappropriate prescribing practices in older people were identified. The screening tool incorporates commonly encountered instances of potentially inappropriate prescribing in older people including drug-drug and drug-disease interactions, drugs which adversely affect older patients at risk of falls, and duplicate drug class prescriptions. The list is arranged according to relevant physiological systems, and each criterion is accompanied by a concise explanation of as to why the prescription is potentially inappropriate. This study recognized STOPP for identifying significantly more potentially inappropriate medications than Beers' criteria, and also identifying potential adverse drug events in older people involving confusion, falls, or constipation.
Potentially inappropriate medication (PIM) prescribing in older adults is quite prevalent and is associated with an increased risk for adverse drug events, morbidity, and utilization of health care resources. In the acute care setting, PIM prescribing can be even more problematic due to multiple physicians and specialists who may be prescribing for a single patient as well as difficulty with medication reconciliation at transitions and limitations imposed by hospital formularies. This article highlights critical issues surrounding PIM prescribing in the acute care setting such as risk factors, screening tools, and potential strategies to minimize this significant public health problem.
For more information on the campaign or to suggest changes or additions to this website, please contact ISMP Canada, 416-733-3131.
To join the campaign or become a member of the advisory group, please contact Paula Neves, Ontario Long Term Care Association (OLTCA), 905-470-8995 ext 40.
For information on the campaign partners, please click on the links below.


text:
Portfolio Head: Human Resources Development
Mr Hendricks joined Norman Henshilwood High School in 2008 as a newly qualified teacher. He studied at the Cape Peninsula University of Technology, specializing in commercial subjects such as Economics, Business Studies and Accounting.
Mr Hendricks currently teaches Economics as an FET subject, serves as a member of the school's leadership team and performs a pastoral role in his capacity as grade 9 grade head. Mr Hendricks also heads up the Human Resources Development portfolio and is responsible for all workplace activities related to employee wellness, performance management, professional development as well as mentorship and coaching.
Mr Hendricks was appointed as an internal HOD [SGB] in 2012.


text:
A-Z Recycling Guide -- Holiday Trees
from Eco-Cycle's Holiday Guide
See listings below to learn where to recycle a tree in your community.
Please be sure to remove all tinsel, lights, stands, etc. Do not leave other materials like garlands, wreaths, or trash.
Boulder County/City of Boulder
Yard Waste and Wood Drop-off Center
www.westerndisposal.com; Curbside collection also available. 303-444-2037
www.erieco.gov, 303-926-2887
www.cityoflafayette.com, 303-661-1306
www.louisvilleco.gov, 303-335-4735
www.longmontcolorado.gov, 303-651-8416 ext. 8
www.superiorcolorado.gov/community/trash-recycling; 303-499-3675
More resources:
Your Neighborhood Christmas Tree Farm
4340 N. 13th Street
Boulder, CO 80304
Phone: (303) 449-7532
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Its not that I haven't bought the singles version of a JLU figure just for the accessory before. I don't do it often but every once in a while it'll be something hard to pass up. Like the extra Superman I got because of the Black Mercy. Or the extra Orion for the Astro Harness. And the extra Batman for Wonder Pig. But I probably paid around five bucks for those.
This week I paid 10 dollars for a Plastic Man girder and another 10 dollars for Kandor. Granted, Kandor is pretty kick ass. But for a 10 spot? Ugg. Tough to resist when you've been smoking JLU for this long. Plus, this wave of JLU singles is in the new packaging. Let's see how well you resist when you see them hanging from the pegs!
17 Comments »
I'm hedging my bets on the all but inevitable clearance prices. If Target's modus operandi hasn't changed, JLU will hit clearance prices at some point in the future. If/when they do, I'll hop on those Kandors and Plastic-girders.
And if they never hit clearance, or aren't reduced in price by at least two dollars a piece for singles, then I won't miss them.
Is it bad that I'm jealous of you for getting to spend $20 on those?
The Kandor piece was sculpted by the 4H for the DCUC line, but didn't make it there, so they re-purposed for the JLU line. If we use some creative logic, we can think of that accessory as something really special and thus worth a little more. 🙂
Ah, sweet, hadn't caught that. It really is a cool accessory and as I was looking at it just a few minutes ago I couldn't help but thinking: "This is pretty well done for a JLU pack in." Now it makes sense!
It is accessories like these that will make the enormous price increase worthwhile. I really hope they keep it up. Also, I'm totally jealous that you were able to find new JLU. Whenever I have a day off of work, I want to sweep the several Targets in my area for new stuff but I know that it will be fruitless, so I don't go…ten bucks is a small price to pay for a little bit of happiness. Congrats!
Kandor may be an accessory that makes the price tag worthwhile, but I don't really think that holds true for Plas-girder. It's kind of cool and goofy, but for 9 bucks they could've molded SOMETHING instead of just repurposing what was a pretty lame accessory to start with.
Plastic crack, man. Plastic crack. Once you're hooked, you can't let go! Those two pieces look well worth it. Kandor is a must, especially if the 4H are behind it.
I've bought new packs for new characters, even if they're packed with characters I already have, but never just for an accessory.
Although, I just got the Dum Dum Dugan 2-pack for ML. Technically, I guess I bought it for a new head accessory.
Sigh. Plastic crack, indeed.
seeing that plastic man glider and Kandor which looks like its covered in snow. almost makes me want to buy jlu but other wise i passed on the line . also wonder wave of dcuc that Kandor got the no for .
I have been on board with JLU since Day 1, but it is getting really hard to continue to buy this line. Almost 10 bucks for a single that couldn't stand, even with higher quality plastic since half the legs are of varying lengths!
DCUC is a much nicer looking figure, but is still nearing the maximum I would consider paying for a figure.
Mattel needs to do something about the cost or will be losing business from many of us, in my opinion!
Hard to buy when I can't find them. Firestorm I have. Aquaman/Barda case I have not seen. Will buy Plas when I see him as the 3 pack never showed in this area. I have been shelling out the money for brave and bold lately.
Man,… that Kandor is nice… Hope it eventually gets released in it's proper scale…
ANd those are two I had no problem skipping- especially since my accessories (other than wonder pig)- just get thrown in a giant box– probably never to see the light of day again (well until I have to dig through them because Im selling the figure they came with.)
Not that I hope they continue this pattern– but if I only need to get 1 0r 2 out of every wave of 5 – I can probably deal with the price increase– however I still feel at this price- if the line lasts through the year I will be amazed (exclusive or no.)
I pretty much do the same thing with the accessories. I did put Kandor in my JLU display, though, since its just really cool and I didn't want to just relegate it to the Zip Lock baggie of accessories. It'll end up there but, for now, its got shelf time.
I'm in a similar, yet different boat. I paid $5 for Black Mercy & the Phantom Zone projector…Eventually I got lucky enough to pick up Wonder Pig for $2.50…I'd happily pay $5 for Kandor…I WILL NOT pay $10!…On the topic of Single figures, I Also won't pay $10 for show accurate repaints…I'm not exactly abandoning JLU (I've been with the DCAU since Penguin 1992!) Recently was gouged for Firestorm and Deadshot. I hope to find Barda & Aquaman…I might get Plastic Man…But my list of "comic only" characters is very small so that's really up in the air on how I'll feel that day I hold him and if i'm current on all my bills…The sad thing is that JLU use to be an inexpensive way to escape reality…Before Barda/Deadshot and the 2nd set of six packs being short packed and "Super Frinds" 3 packs, I was a completest…Well Mattel made Sure I can't be any more…
Great title for the article! I was hoping it would be about JLU when I saw it.
Ugh, Plastic Man is just that steel I-beam repainted? I thought that was a new accessory with him. Lame. Why would he bend himself into a I-Beam?
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The remark:
"Good actors, never use the script unless it's amazing writing. All the good actors I've worked with, they all say whatever they want to say."Of course, the full interview has not yet been released. We have no idea of the context in which this statement was uttered. But it's difficult to imagine any context in which this statement makes any sense. Perhaps she is thinking of dialogue, and meant to say that good actors never the dialogue contained within a script, unless it's amazing writing. And if it's not "amazing" writing (which could mean anything -- perhaps the dialogue in a script feels "unnatural" to these actors; has Ms. Alba ever performed Shakespeare before?), then the actors substitute dialogue that feels more natural or comfortable to them.
Instead of "Why you gotta say something like that?," the actor might say, "Why did you just say that?" Because it feels more natural to them. "Why did you just say that?" would be considered "amazing" writing, in that case.
Anyway, Ms. Alba's comment caused some screenwriters to take notice. This is to be expected. The aforementioned Yahoo piece examines the controversy, and takes a subliterate stand in Ms. Alba's defense. As if the title wasn't enough to set your teeth on edge, the author gives some spastic reasoning in the very first paragraph:
Jessica Alba is pretty. Like many actors and actresses, her attractiveness has helped propel her stardom, but her pleasing physical features have brought with it a definite downside: People assume she's dumb.First of all, the author states that "Jessica Alba is pretty," as if it's a fact, and not an opinion. She is a symmetrical, elegantly constructed young woman. But is she "pretty"? That is a matter of opinion.
The author then states that Ms. Alba has used her "attractiveness" (you will note that he did not say "prettiness," which means he is already backtracking) to propel her to stardom. (A person can be "attractive" without being "pretty." There are myriad reasons why someone might be "attracted" to another person, without their being "pretty." A person might have an attractive personality, or high spirits or attitude. Prettiness might have nothing to do with it, or it might have everything to do with it.)
But, the author is admitting, in the second sentence of his ridiculous piece, that actors use their "attractiveness" as a tool to achieve success -- and he implies that Ms. Alba's "attractiveness" is rooted in her "pleasing physical features."
Ms. Alba has used her "attractiveness," her "pleasing physical features" to achieve
The author of the yahoo piece doesn't seem to think so. He seems to believe that mentioning that an actor who has used her looks to help her achieve success is pretty is wrong.
Listen, Alba's comment, if it is exactly what she meant, is really just silly. She makes disposable movies that aren't exactly known for their scintillating writing -- it's no great cinematic crime if all the actors in her films "say whatever they want to say." But to go after her for being pretty is just petty.No, it is not "petty." It is perfectly reasonable to "go after" an actor for their "look." That is part of what an actor is selling. Check out the back of a headshot sometime. Talk to casting agent. An actor's "look" is among their most important, distinguishing features. There are thousands if not millions of people out there that can "act." What sets them apart is their look. Their "pleasing physical features."
The yahoo author cites a few examples of screenwriters going after Ms. Alba for being "pretty":
[I]t's funny how other writers, in defending their craft, enjoyed taking potshots at Alba -- specifically the fact that because she's attractive, she must be an idiot.No, "You're pretty, you don't know anything, shut up" is not their way of "hitting back." It is their way of pointing out something that the author of the yahoo piece acknowledged in the second sentence of this nonsense. The writers are merely pointing out that Ms. Alba has used her "pleasing physical features" as a tool to become a movie star. That tool says absolutely nothing about her as a person, nor does it say anything about her talent as an actor. But it is something she has used to achieve her success.
"I would love to see Jessica Alba join the improv workshop I attend," wrote veteran TV writer Ken Levine. "She might find that creating a character, moving a story forward, and holding her own with other gifted actors without a script requires more than nice $#@!." Following along in that line of thinking, married writers Michael Seitzman and Ellen Rapoport decided to mock her alleged stupidity by juxtaposing random quotes from Alba's interviews and tweets with classic lines from famous movies. The name of the article? "Jessica Alba: From the Mouths of Boobs."
It's no surprise why screenwriters would be offended: Theirs is a profession that's not much understood or respected by even those in the business, and having someone high-profile like Alba dis them sure doesn't help the cause. But it's worth noting that these writers' way of hitting back is to say, essentially, "You're pretty, you don't know anything, shut up."
Being a movie star is more than just acting. One sells one's look. Check out the photo that accompanied the quote on the Elle website:
She is using those "pleasing physical features" to promote herself. How many other actresses get flattering Elle layouts? Not many. And this isn't the first time she's used her "pleasing physical features" as a tool in her quest for movie stardom.
For crying out loud, that was one of thousands of photos of Ms. Alba that I found on google images. And it's unfair to mention Ms Alba's looks?
She is the one who started the whole thing.
Moreover, you will note that the writers are uniformly complimentary in their mentioning of her looks. This must be of particular comfort to Ms. Alba because, as I've already mentioned in this post, they are an important part of her overall career success and, as she herself mentioned in reference to her CGI nude scene cheating,
'I think I was always very uncomfortable about the way my body developed, and I remember my grandmother would freak out and throw a towel over me if she saw me wearing just a bra and panties.Ms. Alba has been uncomfortable with her looks. Here the writers are telling her, "Hey, you look pretty good. You've got that part covered. Concentrate on some other things."
'I come from a very Catholic family so it wasn't seen as a good thing to flaunt yourself like that. I can handle being sexy with clothes on but not with them off.'
As for the yahoo writer's assertion that the screenwriters are accusing Ms. Alba of "being an idiot" (that is the yahoo writer's word, by the way) because she's attractive -- it's difficult to take that seriously. She is being criticized for what she has said in interviews.
Is the yahoo writer saying that her words are off limits as well? That any criticism of a woman with "pleasing physical features" is automatically "attractiveist" (I'm not sure if that's even a word)?
In her Elle quote, Ms. Alba offered an implied criticism of the screenwriters who have worked on her films. She criticized them for their not-so-amazing writing. Fine. She is perfectly within her rights to criticize them; their writing is what they sell. But the writers are perfectly within their rights to mention that Ms. Alba has used her looks to get ahead in a very difficult business -- like the words the writers sell, Ms. Alba's looks are just one of her tools.
Besides, the "criticisms" offered by the screenwriters are so tame as to be compliments, especially when compared to, say, critic John Simon's notorious criticism of Liza Minnelli:
"I always thought Miss Minnelli's face deserving—of first prize in the beagle category. It is a face going off in three directions simultaneously: the nose always en route to becoming a trunk, blubber lips unable to resist the pull of gravity, and a chin trying its damnedest to withdraw into the neck."


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Rick Schindler is an award-winning journalist and a lifelong comics fan and collector. He is an editor, writer and producer for NBC News Digital. He lives in White Plains, N.Y. with his wife and 11,000 comic books, which she wants him to sell. Fandemonium is his first novel.
FANDEMONIUM by Rick Schindler
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Wattle Publishing
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Ray Sirico used to have it all. Once, he was the brilliant and outrageous Clown Prince of Comics, who reinvented the venerable superhero Skylord, and ranted and rollicked everywhere from TV talk shows to Hollywood premieres.
But that was in the '70s and '80s. Now it's 1993, and Sirico is a drunken has-been. His wife has left him, his movie flopped, and his comics' publisher is doing so poorly that its new corporate parent has come up with a radical marketing stunt: the Death of Skylord.
Still, Sirico has one last chance to recapture the limelight: Fandemonium, the nation's biggest fantasy convention. But others are coming to the con too: Harmony Storm, the sex-crazed actress who broke up Ray's marriage; his former collaborator Tad Carlyle, who now has his own company, and a troubled relationship; Fred D'Auria, a fanboy fleeing adolescent traumas, and corporate conspirators who are plotting to sacrifice Sirico's greatest creation for motives deeper than even his fevered imagination could conceive.
Together, antihero Sirico and his superhero Skylord stand at the crossroads of comics and commerce, where quirky creators, fervent fans, conniving businessmen and preening celebrities converge. Deal-making, drug-dealing, lovemaking and truth-telling all collide at the riotous climax of a fateful weekend that leaves no one unchanged.
Fandemonium uses the colourful world of comics and fantasy as a microcosm and metaphor for media consolidation and the excesses of global mass culture. It is at once a hilarious satire of business and society, a portrait of an artist no longer young, and a sometimes poignant look at a universal challenge: to grow up, face the world, and put away childish things.
For more information visit: www.rickschindlerbooks.com
Follow Rick Schindler on Twitter
Visit Rick Schindler Facebook Page


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Our Mission
The Electricity Storage network actively promotes the value of storage within the UK power system. We will promote electricity storage to a wider audience and provide opportunities for our members to meet funding bodies.
We will proactively develop the case for electricity storage so that its competitiveness is no less than other developed and emerging technologies in the electricity industry. British industries are developing leading edge technologies which deserve a viable market place in their home market to support their competitiveness overseas.


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It appears to show a young girl with long blonde hair in a red hooded top picking up newborn puppies by the scruff of the neck and hurling them into a fast-flowing river.
It is not clear whether the clip is a hoax following the furore created by CCTV footage of Mary Bale, a woman from Coventry, who was caught on camera putting a cat in a wheelie bin.
Some internet sites claim to have identified the girl as being from the town of Bugojno in Central Bosnia, which has an estimated population of 50,000.
The river Vrbas flows through the town which is a favourite hunting spot with dense forest.


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Those of us in the TV business who care about such things could only guess what impact the Feb. 11 death of Whitney Houston would have on ratings for the various entertainment newsmagazines.
Well, now we know – and it was huge.
The death of Houston, who died the day before the Grammys, reverberated beginning that Monday, Feb. 13, with "Entertainment Tonight," "Access Hollywood," "The Insider" and "Extra" reaping the ratings benefits of viewers eager to learn anything they could about Houston's death.
For the week ending Feb. 19, "ET" saw its ratings reach a two-year high, with the show drawing a whopping 6.5 million viewers, up 15 percent from the same week last year. "AH," meanwhile, averaged a lusty 3.3 million viewers – a season high and an increase of 21 percent over the same week last year.
"The Insider" (2.8 million viewers) also hit a season high, while "Extra" (2.5 million viewers) held steady while improving its viewership 13 percent over the same week in 2011.
Among the talk shows (and nothing to do with Houston's death), "The Doctors" hit a season-high 2.3 million viewers, continuing to climb since Jillian Michaels left as a co-host after half a season.
"Big Bang Theory" co-star Mayim Bialik is involved with an educational partnership that involves millions of teachers and Texas Instruments and unfolds this weekend in Chicago.
The actress, who has a PhD in neuroscience – and teaches biology and chemistry – will attend Texas Instrument's 24th annual International Conference held in the Windy City. Tomorrow night, Bialik will donate a set of graphic calculators to a Chicago high school through TI's work with GEAR UP, a local group (government-sponsored) designed to increase the number of low-income students "who are prepared to enter and succeed in postsecondary education."
She'll also headline the conference's welcome reception; on Saturday, Bialik will meet with educators and conference leaders.
Disney Channel and Disney XD will premiere "The Platypus Walk" music video this Saturday. The dance was choreographed by Rosero McCoy ("Shake It Up," "Camp Rock 2: The Final Jam") and will be demonstrated by many Disney Channel stars including Bridgit Mendler, Mia Talerico, Bella Thorne, Caroline Sunshine, Roshon Fegan and many others (the list is endless, believe me).
Fegan, by the way, was named to the upcoming cast of ABC's "Dancing With the Stars," as was Gavin DeGraw – who's also a judge on the Web series "The OurStage Panel," which runs through mid-March (panel.ourstage.com). Its aim is to give undiscovered singer/songwriters a shot at the big time.
Last, but not least:
* Antenna TV will honor the late Davy Jones, who died yesterday at the age of 66, with a marathon of "The M
onkees" this weekend, beginning 5 p.m. Saturday and running straight through to 10 p.m. Sunday . . . Because it's too laborious to take out a restraining order against the Epix PR department, I'll just mention that "The Secret Policemen's Ball," featuring Reggie Watts, Russell Brand and many others, airs on Epix this Saturday at 7 p.m. . . . Veteran singer/actress Heather MacRae will be at The Iridium (1650 Broadway) on March 6, for one night only, with her show "Songs & Stories" . . . MTV is looking "for people with relationship drama!" between the ages of 16 and 25 for a new reality show. Email email@example.com with a photo of yourself and your "boyfriend," your location, phone number and a brief paragraph explaining why your relationship is so complicated . . . Fuse has ordered an additional 12 episodes of "Funny or Die's Billy On the Street," starring comedian Billy Eichner . . . The second season of "Rizzoli & Isles" is out on DVD May 22 – just in time for the show's third-season premiere on TNT.


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Snark chromatic guitar and bass tuner features:
Full color display that rotates 360 degrees
Stay put clip
Tap tempo metronome
Goes on front or back of headstock-can be used for right and left handed guitars
Snark Clip-On Chromatic Guitar and Bass Tuner SN-1
Regular price: $29.00
Sale price:
Tell us what you're looking for! Immediate Response!
Toll Free 877-712-4747


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US Ceratogyrus marshalli (Straight Horned Baboon) female
Discussion in 'For Sale' started by MathiasVG, Dec 26, 2017.
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|WNBA Basketball
Indiana Fever still looking for first victory
By DOUG FEINBERG
WHITE PLAINS, N.Y. (AP) It's been a tough start to the season for the Indiana Fever.
The team has lost its first eight games - the worst start in franchise history. Indiana had a good shot at its first victory Sunday but fell to New York 78-75. With the game tied in the final 20 seconds, the Fever couldn't get a needed stop and then didn't get a good look on the other end to try to tie it.
"These ones hurt," forward Natalie Achonwa said. "You see how much heart, effort and fight my teammates are putting in. It makes it that much harder when it comes down to one possession."
Coach Pokey Chatman gave a long, fiery postgame speech to her team.
"It makes it hard when she feels like she's repeating herself," Achonwa said. "It's how you take on tomorrow. You can't take back that last three. How do we learn from today and get better? We have 34 games, we've only played eight. We'll see how we respond from this. We've got to keep fighting to get that win."
Indiana's next game is Tuesday against Las Vegas, which has just one win this season. The Fever can take some solace that the 2013 squad started 1-7 before making the playoffs.
"We're trying to stay positive. It's all about these pivotal moments that coach Pokey talks about in regards to gut check," rookie Kelsey Mitchell said. "Growing pains. We'll try to learn from our mistakes and trust the process at this point."
With veterans Candice Dupree and Shenise Johnson sidelined by injury, the Fever have a young team. Nine of the 10 players who played Sunday have three years or less experience in the league. Mitchell, who was taken with the No. 2 pick in the draft this past April, has been a consistent scorer, and fellow first-round pick Victoria Vivians is starting to get more comfortable in the pros. She hit a big 3-pointer against New York that tied the game at 75 .
"We battled. Battled. Battled. We just came up short," Chatman said.
While the Fever looked lost earlier in the season, getting down by 20 points early on, they have been more competitive lately.
"We know that we are right there. We know we need one more stop; one more shot; one more rebound; one more deflection; one fewer turnover," Achonwa said. "Everybody needs to improve just one percent more. We know that we're right there."
Indiana is still well short of the WNBA record of 17 losses to start the season set by Atlanta in 2008.
"We're just taking it one game at a time and focusing on that," Chatman said. "We are still a very young team. It just takes one win to get us going."
Follow Doug on Twitter at http://www.twitter.com/dougfeinberg
Updated June 11, 2018


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This comprises four separate plug-ins, to tackle a range of dynamically-related tasks. The first of these is the (green) channel compressor which offers input and output dials at the top, separated by a pane to show level or gain reduction. Five ratios are offered—4, 8, 12, 20 and Nuke!—while attack and release times are offered from 0.02 to 1.2 milliseconds and 50 to 1200 milliseconds respectively. To the right, a Hi Def button shifts the standard "two times" over-sampling to "four times" providing a cleaner, higher-quality result (albeit at some cost to your CPU). There are also "bypass" and "learn" buttons. The latter of these provides the option to assign hardware controllers of your choice to dials, buttons and sliders and this functionality is replicated through the other DCam Dynamics modules too.
Below these are bias and mix dials, the former of which gets to the very heart of the units on which these processors were modeled. Bias continuously varies the values of the capacitors used on the hardware units modeled, meaning you can achieve anything from subtle to hard dynamics control, all of which adds substantial sonic colour. The mix dial is a welcome addition, as it blends compressed signals with their uncompressed originals, achieving parallel processing effects without having to set up a dedicated compression bus on one hand, and allowing for quasi-intermediate ratio control on another.
The (light brown) bus compressor features a side-chain input on the left-hand side, which can receive signals via internal channels 3 and 4. This features a 20Hz to 5kHz high-pass filter, allowing you to compress only frequencies above a user-defined threshold which is extremely useful when trying to dynamically control signals which are bass-heavy. The attack envelope here features "fixed" positions at 0.1, 0.3, 1, 3, 10 and 30 milliseconds, while release values are also detented at 0.1, 0.3, 0.6, 1.2 and "auto" values. Three ratio values are offered at 2, 4 and 10:1, with variable threshold and gain make-up dials providing adequate control over subtle or brutal dynamics reduction. A saturate button allows you to drive the internally-modeled circuit hard, while there are dials to control input and output levels, alongside a mix dial.
Multi-band compression is popular in mastering circles in particular, allowing you to make frequency-sensitive decisions about dynamics control, applying different strengths of reduction across discrete bands from bass to treble. The (black) CrossComp(pressor) allows a useful degree of this but applied to a bus compressor architecture rather than specifically with mastering in mind. Frequency-sensitive operation is handled on the left-hand side, with a high-pass filter-based side-chain detector at the top and an X-Over panel below. This is where the magic happens, with separate "pass-thru" and "process" sections allied to a user-defined frequency dial allowing you to decide first where you want the threshold for frequency-sensitive compressor to begin and then whether you want to prioritize frequencies above or below this point for compression.
This processor also features a more detailed graphical read-out of its assorted goings-on than the others in the suite, with an active volume graph showing knee, threshold, gain reduction and more besides. Both the pass-thru and processor levels can be adjusted on the right, with saturation buttons on the left. A range of listening options allow you to monitor exactly what's being used, detected, heard, compressed and ignored. Ratio is offered on a continuously variable dial from 1:1 (no compression) to a whopping 60:1. It's a hugely flexible processor.
The final plug-in is an envelope shaper, much like the "transient designers" offered by companies like SPL. Rather than a traditional set of dynamics parameters, the envelope shaper's most important controls are attack and sustain, which offset the natural starts and decays of incoming signals to allow you to modify the "behaviour" of signals—creating snappier or more sustained results, in other words. Tools like this are great, in particular, for elongating percussive sounds which are too short and they do this by fighting the natural decay of a sound, effectively lengthening a sound by adding progressive amounts of gain to decay periods to "sustain" them instead. The opposite is also possible if you want a punchier sound to be created from one which sticks around too long, while additional controls are offered besides. Again, these include a side-chaining option and bias control, which in this context controls the sensitivity of the attack and sustain dials. This is a great, neat and tidy processor which provides an unusual spin on the more "expected" processors in a dynamics bundle and it's very welcome.
As a suite, DCam Dynamics is comprehensive. Each processor has been designed to tackle a specific task, but there's plenty of room for creative abuse with the "wrong" processor often sounding great when used in a less expected context. Also pleasing is the scale over which these processors can make their presence felt. You can, for instance, just tickle a signal with a mix dial prioritized at the original dry signal, a low ratio and a high threshold to catch and process some subtle peaks, or you can let hell break loose by selecting extreme settings and running all four plug-ins on the same input channel. As we've come to expect from FXpansion, both approaches enhance the quality of your mixes. But don't take my word for it, download the free bus compressor the company has made available from its website, which will give you way more than a taste of what the full bundle can offer.
Cost: 4.5/5
Sound: 4/5
Versatility: 4.5/5
Ease of use: 4/5
Published /
Wed / 5 Sep 2012
Words /
Jono Buchanan


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The feverish pace I was on last week as slowed a bit. A few of you have let me know the slower pace is not sitting well (sorry Audrey and Christi). I have sat down to write Chapter Fourteen a few times and pecked out a few words but did not make significant progress.
Let's be honest, a slow down was inevitable. I am sitting at a little over 35,000 words right now and have about eight chapters left to write. The story has hit the turning point where I know where things are going (sorry, no spoilers), but am struggling for the words to get there. So, be patient with me while I work through this process. In the meantime – Chapter Fourteen is finally posted on the Fiction tab.
Chapter Fourteen by girlinnashville featuring brass chain jewelry


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What are some nearby comforts?
The camp is approximately three (3.0) miles away from the bucolic Village of Tannersville, NY and 6.0 miles from the more metropolitan Town of Hunter. Being a vacation destination less than 2.0 hours from New York City, amenities abound.
The following is an abbreviated list of tried and true things to do:
- Last Chance Antiques and Cheese Cafe – an institution for camp guests. As close to an American bistro as you will find in the Catskill Mountains. Part restaurant, part antique shop, part gourmet store, part corner store, the Cheese Shop has been offering sandwiches, soups and hearty American fare to tired campers and their guests for nearly 30 years. An ample (over 300 item long) list of imported beers (including Aldaris from Latvia). The owners recently expanded their operation by opening a full-service tavern next to the restaurant that is open late night. The owners have been very forthcoming to their Latvian clientele and the camp is recognized as a long-time patron of this establishment. Serving breakfast, lunch and dinner. Tel: 518-589-6424; www.lastchance.com
- The Swiss Chalet Hotel and Restaurant – a relatively formal and upscale dining experience. Traditional Swiss food that includes schnitzels, wursts, sauerbraten, fondue and other Swiss-German delicacies. A rare for the area white table cloth setting, decorated with cow bells, cuckoo clocks and Swiss horns. The only thing missing from the alpine kitsch is someone echoing "Ricola" from the back room. Serving dinner only. Reservations recommended. Tel. 518-589-5445; www.swisschalethotelrestaurant.com
- Maggie's Krooked Café and Juice Bar – a breakfast enclave that prides itself on serving made to order all natural breakfast fare. Whether it's eggs Florentine, jardinière, or Benedict expect them to be farm fresh and lovingly prepared. The café also serves no less than 4-5 styles of pancakes served with authentic maple syrup. Wash it all down with coffee, herbal tea or something freshly squeezed from the juice bar. Lines on the weekends are out the door, so don't plan to squeeze in a quick breakfast before the Sunday's church service unless you are an early riser. Breakfast is available all day and lunch. Tel: 518-589-6101; www.krookedcafe.com
- Curran's – 6080 Main Street, Tannersville, NY 12485 – a restaurant and tap room that serves "innovative, seasonal and regional cuisine, inspired by the traditions of the Catskills". This is one of the more formal dining options in the area and the Executive Chef is ambitious. Tel. 518-589-4081 www.dineatcurrans.com
- Howe Caverns – for the spelunker or casual tourist alike, caves carved from limestone over millions of years. www.howecaverns.com
- Tubing on the Esopus River – experience the Esopus the blue collar way. Why canoe or kayak when you can float the rapids in an old truck tire inner tube? Town Tinker Tube Rentals www.towntinker.com
- Hunter Mountain Sky Ride – they say "what goes up, must come down". Fortunately for those not adept at sliding down an icy mountain on two planks or a modified ironing board, there is an opportunity to bask in the glory of the mountain landscape in the summertime. Ride the Hunter Mountain Summer Sky Ride up and down; no pain and all the gain! www.huntermtn.com
· Tannersville Laundromat: 518-589-5514
Car services:
· Haines Falls Towing: 518-589-6181
· Key Bank w/ ATM: 518-589-5900
· Grand Union: 518-589-0048


text: Well the name is self-explanatory and I'm sure this has been asked many times before, but anyone know of any ways of getting those nice gold blades early in the game? I must be OCD or something because that weird red color of the max level blades of chaos bugs the hell out of me (it just doesn't look right with your power attacks which all retain that fiery reddish-orange color, which the level 4 Blades of chaos match perfectly), and while I'd prefer keeping the same color of the level 4 BoC, and stlll get the level 5 abilities, but that sounds even less possible than what I am asking for right now. So anything anyone? I know I've seen on gamefaq's and stuff how supposedly codebreaker allows you to unlock the BoA's at the beginning, but I don't have codebreaker, (I do have gameshark though) and even if i bought codebreaker i have not been able to find what I am sure is the code for that, I have seen "Max level" codes and "unlock all abilities/moves" or something like that, but i have codes with the same names which i have tried and only level the BoC, not turn them into BoA


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As disclosed by PRWeek on Tuesday, Edelman's annual Trust Barometer has revealed an increase in disillusionment with both businesses and the Government in the UK. Only 30 per cent of UK respondents found CEOs to be believable spokespeople for their organisation.
This plunge – nine per cent down from the previous survey – compares with a 25 per cent rise in the credibility of 'people like yourself', taking this category up to 60 per cent.
Sacha Deshmukh, MHP CEO, argued the trend meant businesses should focus more on unbiased third-party endorsement in their comms strategies, leading to a 'complete reboot in the way communicators think about the way companies talk'.
James Morris, MD, corporate comms, public affairs and financial services at Fleishman-Hillard, added that many firms were not ensuring there was a coherent narrative from the CEO downwards that carried across all platforms.
'It's about looking at things not just from a data perspective, but from the perspective of what the business can contribute to society,' said Morris.
Edelman's twelfth annual survey showed that only 38 per cent trusted business to do the right thing, while 72 per cent believed companies should be involved in solving social and environmental problems.
Fiona Thorne, chief executive at Fishburn Hedges, found the figures 'unsurprising', pointing to the backdrop of the phone-hacking scandal and economic issues. She added that, due to increased scrutiny, firms had to build a good reputation on the substance of their actions, with social media offering the chance to rebuild trust through open dialogue.
'Once companies have got used to the dialogue, they will recognise the value they have from their customers in a way they've not done before, but immediate day-to-day priorities often take precedence,' said Thorne.
The Government did badly too, as 71 per cent said it was important that the country's financial affairs were managed properly, but only 12 per cent believed this was happening.
NGOs fared better than government and business, with a 42 per cent trust level. Globally, blame for the financial and political chaos of 2011 landed on government, with trust falling a record nine points to 43 per cent. In 17 of the 25 countries surveyed, government is now trusted by less than half to do what is right.
Also read: Danny Rogers: Tomorrow's CEOs must be a force for good
How I see it
Darren Murphy
Chief executive, Centreground Political Communications
For political parties, there needs to be a clarity of ideas and a determination to communicate combined with a strong narrative. You can rebuild trust, but you have to do it one voter at a time. Importantly, you also have to be seen to be in direct dialogue with the public.
Mat Sears
Head of PR, Everything Everywhere
We have more calls now for our CEO than ever before. In terms of interest from the media, the CEO is always the person to which all media would want to speak. The demand we see now is higher than it has ever been.
In numbers
18% of those polled believed business placed customers ahead of profits
68% believed the UK was heading on the wrong track
11% said the Government communicated frequently and honestly
58% of respondents trusted TV and radio news
Source: Edelman Trust Barometer
COMMENT Ed Williams, chief executive officer, Edelman UK, tells firms to 'improve the world'
Trust in business remains in the doldrums, and trust in CEOs has slipped further, with people trusting almost every other type of spokesperson higher than the boss.
The CEO is now one of the most distrusted authority figures – with a nine percentage point decline year on year.
Inevitably, perceptions around big pay are driving this. We are in a world, fair or not, where the title CEO is inextricably linked to unjustified high levels of pay.
The challenge for business is that to become more trusted – to move from simply protecting its 'licence to operate' to establishing a 'licence to lead' – it needs to move beyond operational excellence to addressing society's priorities.
And that is one of the key findings in this survey – large numbers of the public expect business to do much more than just make money and create jobs.
They expect business to improve the world it operates in for the better, act ethically, treat employees well and help local communities.
This is the difference between responsible, respected firms and those that are distrusted. This is the trust fulcrum for business.
Like the breakdown in party allegiances and the emergence of massive volatility in the electorate, trust and perceptions of trust shift quickly.
The one message that is loud and clear, and pertinent to all institutions, is act with integrity, in an open and honest way, and deliver results, and you will be trusted.


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SWT tries hard to advertise itself in local community publications in an effort to get people to love them. A pity they don't work harder on the ground to protect natural beauty and in responding to the wishes of local people. They constantly refer to Blacka as a nature reserve or 'the reserve' as a calculated policy on the principle that say something often enough and a number of people will start to believe you. The latest of their articles in the Bradway Bugle tells us what a grand job they are doing on Blacka Moor.
Needless to say it paints a glowing picture that regular visitors might see differently.
One sentence that leaps out is this:
Who, we might think, could argue with the restoration of a historic feature? But it's not a historic feature. The point of the new wall is to secure the land inside so that sheep can't jump over it.
And unlike the wall that existed close by a hundred or so years ago it is made a lot higher and even extended beyond that with barbed wire topping and supports because present day farmers demand as much as they can get from public funding. In no sense is this 'historic', so it's not restoration. And the sheep grazing that continues is recognised as an exploitative practice that damages natural vegetation that would otherwise thrive, and keeps the land in an impoverished condition.
The only way this could qualify as historic is if someone proved that the site was used as a prisoner of war camp in the last war: in which case they need to put in some sentry towers. In my view they would not be out of place. Incidentally there are still coils of wire inside the enclosure left behind by the installers that have been there for months.
True restoration that would be genuinely valuable would put a high premium on natural succession whereby human management stepped back to allow a return to a landscape that is more a product of natural forces rather than the needs and demands of people and managers. Artificial boundaries play no part in that, especially those that cost huge quantities of public money while claiming to be a restoration. We really would hope that a wildlife trust would see that.


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My Silent Wake - Announce New Label And New Album
UK death/doom band My Silent Wake have just signed a record/management deal with House of Ashes in Italy. My Silent Wake are working on their next album to be released next year. Recent additions to the band are the drummer Gareth Arlett (also of Amputated) and a reunion with Kate Hamilton who has switched from bass to keys.
Photos by Pete Skilton Photography
|Band profile:
|My Silent Wake
Posted: 08.02.2014 by silentwake
Hits total: 1019 | This month: 3


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"....and He died for all, so that they who live might no longer live for themselves, but for Him who died and rose again on their behalf." 2 Corinthians 5:5....."The power of His resurrection is available when the power of yourself is exhausted. Live in His power. Or better yet, let His power live in you." Chris Tiegreen
"Hi! My name is Gary O'Shell, and I'm an I-dict.......but by the grace, power and blood of Christ, I don't have to be.".....I-dict. What a great term. I heard it used by speaker and author Jennifer Rothschild to describe a large part of her life. It takes in quite a big group. It's every person alive who is trapped in the bondage of an addiction to themselves. This large group includes everyone ever born, for we all enter into this life carrying the weight of sin, the result of which has separated us from the Father. This separation has caused us to turn our eyes from Him who created us, unto ourselves. We were made to worship Him, but our fallen natures have placed self on the throne. We worship ourselves instead. Our ancestors, Adam and Eve got us into this. Only Christ can get us out. But for that to happen it will require an "intervention," and I think, a two-fold one.
The intervention happens when we come face to face with Jesus Christ, and our desperate need of Him. We meet Him not as one who can make our life better. Not as One we can just add on to our lives as our Supreme Helper. And not as One who just wants to love us and help us enjoy life to the fullest. No, He wishes to meet us as Savior and Lord. Those are His terms, not ours. When Christ intervenes in our sin clouded lives, it is not just a warm fuzzy feeling, but a head-on collision with a Risen Savior. Scripture says that when this happens, all things become new, which means they cannot stay the same. The I-diction can't remain. It has to die, and Christ's relentless purpose for us will be that it does. Yet for so many of us, it never has. Will it ever?
I'm struck by what Paul wrote in the above scripture. "That they who live MIGHT no longer live for themselves." The word might is easy to overlook, but to me it says that it's a very real possibility that those who come to Him may never allow this deeper intervention of Christ to take place. I think many who profess to be His, have marked out invisible boundary lines as to just how far and deep we are willing to go with Him. We'll go, give, and live up to a certain point. When it's been reached, we make our spiritual abode there. This is where the I-dict takes over. Has it taken over in you? In us?
The presence of an I-diction is so subtle in our lives. We can deceive ourselves as to its presence. We may be highly active in ministry, very generous in giving of time and resources, and very loving to others, and especially the lost. But the main benefactor is not the Lord and His glory, but ourselves. We're looking for applause, notice, or just plain self-satisfaction. When we fail to get these, the I-dict is offended. Deeply. The I-diction we suffer from will always choke out His Life in us. There can only be one on the throne of our hearts and lives. Christ.
In the world, interventions with addicts take place when people who love them come together and confront something that is destroying them. It can be very painful. Sometimes the addict melts and agrees to seek help. More often though, they reject the help and run away. It's no different in the spiritual realm. He who is the lover of our souls, will come. He will confront our I-diction. It too can be very painful. Yet if we will stay before Him, place our I-diction, our obsession with ourselves on His altar, His cross, its power will be broken. There is no longer any "might" about it. We no longer live under the power of our I-diction, but in the power and wonder of His Risen Life.
2000 years ago Jesus Christ intervened in the darkness of the lost race of humankind. He broke the power of sin. The fruit of that intervention can be seen everywhere. Can it be seen in us? Or do we need His intervention? There is only one place for that to happen. At the cross.
Pastor O