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For 14 months, a bipartisan group of 17 states has been quietly collaborating with the Obama administration to help build a foundation for the health-care reform law's success.
The group includes some of the law's staunchest supporters working alongside a handful of its bigger detractors. They are backed by $3 million in funding from eight nonprofit organizations that hope to see the Affordable Care Act succeed.
Together, they have come up with a tool to help consumers navigate the health insurance exchanges — the marketplaces that each state is required to have by 2014. The tool will be released Friday for other states to use if they wish.
The project's nonprofit backers hope it will give all states one of the resources they will need to hit the health-care law's tight deadlines and provide assistance to states that have run into financial and political obstacles moving forward.
"There's no reason to leave this very important subject up to political vagaries and budget shortfalls," says Mark Smith, president of the California Healthcare Foundation, which organized the effort.
Many health policy experts consider the health insurance exchanges, where most of the 32 million Americans expected to gain coverage will compare and purchase health insurance, to be the backbone of the Affordable Care Act.
The exchanges also have become a battleground in the fight over President Obama's signature legislative achievement. Each state must have a marketplace in which consumers can compare coverage, learn whether they qualify for subsidies and ultimately purchase a plan. If a state does not have a framework in place by 2013, the Department of Health and Human Services will come in and do the job itself.
Many Republican-governed states have slowed or halted work on implementing a health insurance exchange, saying that it is prudent to wait until the Supreme Court rules on the law's constitutionality. That decision is expected by the end of June.
But many officials acknowledge that if the law is upheld, their states will want to run their own exchanges. This collaborative is more evidence that states across the political spectrum are still planning to meet the health overhaul's deadlines.
"There is no work being done to build an exchange in Kansas at this point," says Linda Shepphard, director of the Kansas Insurance Department's accident and health division. "We have certainly discussed internally, though, that if the law stands there may be a point at which the governor might decide he would want to have an independent Kansas exchange. If that were true, we want to have all the tools available to us."
The California Healthcare Foundation thought up the idea of working with states on health insurance exchanges in early 2011. Eleven states initially participated; that number grew to 17 as work got underway and the word got out. The collaborative, officially Enroll UX2014, includes New York and Washington, which have embraced the Affordable Care Act, and Republican-governed states such as Kansas, New Mexico, Alabama and Tennessee.
The states worked with the design firm Ideo to come up with a consumer interface that determines how many options consumers should see at one time, for example, and the order in which those options should be presented.
There is still much work for the states to do — to build, for example, technology that can verify an individual's income and calculate any available subsidies. But they say that outsourcing the consumer interface component may have saved "months" of work.
"It saves our staff a ton of time not having to come up with this in advance," said Richard Fiore, executive director of the Alabama Health Insurance Exchange.
Alabama is one of the 26 states challenging the health reform law. Even so, Fiore says that it's his job to prepare the state for the possible need for an insurance exchange.
"We do know where the deadlines are as the law currently stands," he said. "And we do know that, by being part of this project, that we're working towards meeting them."


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Thank you to everyone who played in last nights 'Thursday Night Fiddle'
1st - Alex Penny (17) - 25 Points
Winners shop accounts have been credited.
These will run every Thursday evening throughout the summer, you can sign up in the Shop between 4pm & 6pm, and in the Bar after 6pm. It costs £2 per person to enter and all money is paid back out in prize money. Please book tee times online. You are still able to enter the competition if you have played on the course earlier in the day.

subset: commoncrawl


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Fresh, Fast, and FabulousPosted: December 3rd, 2012 | Author: JR | Filed under: Bakery, Breakfast, Cafe, Daily Harvest Cafe, Danvers, Vegitarian/Vegan | No Comments »
We love the idea of fast casual, but we usually find the food sub-par, particularly the freshness of the ingredients. We found just the opposite at a recent lunch in Danvers' Daily Harvest Café. To be blunt, this place is what we wish Panera Bread was.
We had soup, sandwiches, and a sweet treat, and all exceeded our standards. The roasted vegetable soup ($3.99 for a cup) was hot and full of flavor. It was also full of delicious vegetables.
The turkey melt includes grilled asparagus, caramelized onion, provolone cheese, and honey mustard ($8.49). It's a good-sized sandwich served on harvest wheatberry bread with all-natural turkey that is not your typical restaurant/deli fare. The Thai wrap is also generously sized, with huge pieces of white-meat chicken; moist Jasmine rice; carrots, cucumber, and peanuts for crunch; and light peanut sauce ($7.99). We appreciated the sandwiches came with a choice of carrots or apple slices in lieu of the ubiquitous chips.
There are a lot of things to like about the menu, including four or five soup specials each day, vegetarian and vegan options, a breakfast menu, a kids selection not full of processed foods, and coffee drinks like chai latte and caramel macchiato. The prices are on the high side for lunch, but you pay almost as much for inferior ingredients served by surly staffers at other fast casual places.
We were tempted by the cheesecake brownies at the counter, as well as the good-looking muffins, but we somehow couldn't resist trying a frosted cinnamon bun ($3.25), which not surprisingly was fresh, not overly sweet, and delicious.
The next time you need something wholesome and delicious in the Danvers area, definitely head for the Daily Harvest.
Daily Harvest Café
103 High St, Danvers
(978) 777-4123


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Escape From Tomorrow
Item #: AB41735
All Products
(5 Total)
View by Size:
Getting , please wait.
|In a world of fake castles and anthropomorphic rodents, an epic battle begins when an unemployed father's sanity is challenged by a chance encounter with two underage girls on holiday.
|Directed by:
|Randy Moore
|Roy Abramsohn, Elena Schuber, Katelynn Rodriguez, Jack Dalton, Danielle Safady, Annet Mahendru, Lee Armstrong, Kimberly Ables Jindra, Trey Loney, Amy Lucas, Alison Lees-Taylor, Jakob Salvati, Mark Able, Anthony Oporta


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Protective Leg Cover for Little Miss Revlon - Doll Clothes
These Protective Leg Stockings will fit the Ideal 10.5" Little Miss Revlon doll.
Doll Product Sizing
- Doll sizing is done on actual dolls and product patterns are created to that doll's unique body contours.
- All doll product listings are identified by original or current doll manufacturer, doll height and doll name.
- If your doll doesn't match the top description line of this listing then it may not fit your doll.
- If your doll doesn't visually match the sample doll sizing image on this listing then it may not fit your doll. *Dolls in images are not for sale*
- If you have a question about what size to order for a particular doll, please contact us prior to purchasing so we can help guide you in your selection.
- If you see a pair of stockings that you like, but its not listed in the size you need, please contact us


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rosenz necesitaba un nuevo diseño de botón o icono y lanzó un concurso de diseño en 99designs.
Un ganador ha sido elegido entre 4 diseños de 3 diseñadores freelance.
Just Solitaire
The site is a set of free-to-play solitaire games. I think it would be fun to have an icon for each one.
Casual web-surfing audience.
Draw with a vector graphics tool (Illustrator or Flash). They will probably be displayed at about 48x48, though I haven't decided that for sure yet. They should fit in a square. Just concentrate on the illustration for each and don't worry about the border. I can add that later.
Can all be done in a single document, and can follow a similar style.
Here is a list of all of the icons needed, and some suggestions from me as to what you can draw:
Accordian: An accordian
Aces Up: WWI flying ace
Beleaguered Castle: A castle tower
Calculation: Slide rule or Abacus
Canfield: A (old) metal can in a field?
Clock: Grandfather clock (or top thereof)
Colorado: Mountains
Cruel: Villan (curly mustache type)
Duchess: A 18th-century european duchess
Eight Off: Eight-ball billiard ball
Klondike: 1849 Gold Miner
Forty Thieves: Ali Baba
Freecell: ? No specific ideas
Golf: 1920's golfer
La Belle Lucie: Victorian woman silhouette
Lucky Thirteen: Horseshoe turned up
Monte Carlo: Tuxedo bow-tie
Penguin: a Penguin
Poker: Hooded poker player with sunglasses
Pyramid: Egyptian pyramid
Russian: St Basil's cathedral
Scorpion: A scorpion
Sea Towers: Lighthouse
Spider: Tarantula
Spiderette: Black Widow
Triple Peaks: Three mountains or mesas
Will o the Wisp: Willow tree
Yukon: Gold nugget


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No. 1 Cheerleader
Don't know how many Phillies fans watched the Redskins-Seahawks game last Saturday. I didn't but did see a video clip of Jamie Moyer riling up the fans before the game.
Moyer and his family live in Seattle, are huge Seahawks fans and season ticket holders. Someone in the family is always at a home game.
One of the traditions in Seattle is the 12th Man. On Saturday, Moyer was selected for that honor.
The Seahawks provided a suite for Moyer and his family; he did a radio talk show interview pre-game and then he and his family were taken to the field for a close-up view of the warm up session.
"It was awesome," said the 45-year-old Moyer. "I felt very honored to have been chosen, especially since it was a playoff game. The Seahawks treated us wonderfully. It was just a great environment and completely positive."
But, the part of the honor that was the attention-grabber: Moyer was the one to raise the 12th man flag…..from the south side roof of Qwest Field, yes a roof top level platform (and railing).
"The idea is to raise the flag and then get the fans pumped. Once I got up there, the adrenaline kicked in. I guess I got a little carried away when I stood on the railing. It seemed as if I was up there for an eternity. But, what a thrill."
Being a pitcher, Moyer should get the win since the Seahawks won. An encore has to be in the works. "No, it is a once-in-a–lifetime deal. Once and done. I'll always remember it," said Moyer with a great deal of enthusiasm. He sounded more like a 15-year-old.
1 Comment
Jamie brought the same enthusiasm that he brings to every game he starts. He is a class act, a great mentor, and the Phillies and their fans are lucky to have him in red pinstripes!


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Read latest COVID-19 advice for parents and childcarers here
Start by entering your postcode to set up your FREE
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Katie G was absolutely fantastic - she stepped in at the last minute to look after our 16 month old son who had conjunctivitis so couldn't attend nursery. She did a full 9 hour day (9am - 6pm) with him, having not met him before and our son took to her straight away. During a short hand over, our son immediately let Katie change his nappy and started chatting to her. She texted with regular updates and did a variety of nice activities during the day which she wrote down for us. At the end of the day it was clear our son had a lovely time with Katie. Thank you!
I was a bit apprehensive about a stranger looking after my 4 year old son. However when Katie arrived at our home, I was put at ease within minutes. I went home at dinner time, and you could tell that Katie and my son, had bonded. So I returned to work, with a peaceful mind. once I was finished for the day, and returned home, my son was sad, that Katie was leaving. My son, continued to ask for Katie all that evening and the following morning. I would definitely book Katie again. Thank you Katie for looking after my son. All the best for the future.
Deborah B was awesome!!! She arrived on time and was friendly and professional. My daughter was feeling miserable with chicken pox and I needed to go out. Deborah arrived and cheered her up by playing about 10 different games with her! They played puzzles, board games, table tennis, and most of the games in the house! After all that fun, Deborah put my daughter to bed at the time we agreed and my daughter said that Deborah was lovely, fun and she'd definitely want to have Deborah back to babysit her again!! Great result! Top babysitter!


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Maverick Needs Your Help - Dallas, TX
Why buy from a breeder when there are plenty of homeless pups in shelters???
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Even good drivers need a refresher course
Older drivers are the safest drivers, hands down.
But many have been driving so long they've forgotten some of the rules, or haven't changed their driving habits to account for reflexes dulled by age.
Safety experts and state regulators feel so strongly about the benefits of classroom refresher courses -- even for those who've never had an accident or racked up a single ticket -- that a majority of states require insurance companies to offer discounts. Even in states where a discount isn't the law, most companies offer a break for defensive driving courses anyway.
The AARP Smart Driver Course, launched in 1979 as "55 Alive," is the largest and most well-known defensive driving course for those of a certain card-carrying age. Last year, more than 560,000 people took it, either online or in a class held at a senior center, car dealership, library or other community space.
Most get car insurance discounts in exchange, helpful because car insurance rates start to rise once driver reach 70 or so.
The class is four to eight hours long, depending on the state, and includes no tests, either on the road or at a desk. What it does include is a good deal of discussion about aging's effect on seeing, hearing and reacting, and tools to compensate. It reviews road rules most of us haven't visited since high school.
And it appears to work. An independent study by the Eastern Virginia Medical School showed course participants made fewer hazardous errors than non-participants and were better able to regulate their driving behavior, scheduling around night-time driving, for example, or altering routes to avoid high-speed traffic or tricky intersections.
"A lot of people do hang up their keys early because they've lost their confidence behind the wheel. Our course allows them to get that confidence back up," says Julie Lee, vice president and national director of AARP Driver Safety. "This is about keeping people on the road. We want people to be mobile as long as possible, and we want them to be safe."
One specific: After learning about the high rate of left-turn injury accidents among older drivers, course participants proceeded with greater caution through left turns.
You think you remember, but do you?
Most who take the AARP driving course are in their early or mid-70s, although the course is open to drivers of any age. Some attend with their teenage grandchildren, and it's unclear who is dragging whom.
"When we start, I'll ask, 'What's the difference between a yellow line and a white line?' " says Harold Sterling, an instructor in Illinois. "And everyone says, 'You can't pass on a yellow line.' "
"No, think about it," he tells them.
Once, in a neighborhood watch meeting, he saw the local police chief lean over and ask his traffic commander, "What's the answer?"
"I almost broke out laughing," Sterling says.
"I say, 'See, everyone thought they knew the right answer, and no one did. It's other things just like that.' "
Sterling formerly served with the Ohio State Highway Patrol. Now 72, he has taught some 120 courses since retirement, all as a volunteer. He tells students they are relearning how to drive safely.
"Quite often, they'll ask me right back: 'How do I know what I've forgotten?' It's a good question," he says. "Then as we go through class, you'll see the light bulb go on."
The AARP revamped its course this year after consulting with gerontologists, driving experts, even scientists at the MIT Age Lab. Where did older drivers need the most help? Some of the results were surprising: a review of the basics should be included.
A person turning 65 today is one of 10,000 baby boomers to do so. When they were born, the U.S. Interstate system didn't exist. They took driver's ed some 50 years ago. Drivers have since become more distracted, freeways more crowded.
After taking a defensive driver course, 97 percent report to AARP that they changed at least one driving behavior.
It's OK to talk about age and driving
The challenge is convincing drivers who don't need to shave traffic points to show up. Older drivers are willing to talk about the challenges of aging, says Sterling. But many fear that their license will be pulled if it's revealed they've forgotten some driving information. The fear, hardly surprising in the age of data mining, is unwarranted.
"Our whole purpose is for people to retain their mobility," Sterling says. "You can tell there's a change in attitude from the beginning of class to the end as they become more comfortable discussing their driving experience and the changes on the road today."
Thirty-five states require that auto insurance companies give defensive-driver graduates a discount, which can be as high as 10 percent. In remaining states, many insurers will still offer a discount.
The AARP says its studies reveal an average savings of $60 annually. A discount lasts three years, at which point drivers can repeat the course (cost hovers around $20) to maintain the discount.
(Answer to above question: A yellow line divides traffic moving in opposite directions; a white line divides traffic moving in the same direction. Broken lines in both colors indicate it is permissible to pass.)
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"Ashlyn Macnamara brings all the elegance and romance of the Regency to life with this tale of high-stakes scandal and heartfelt passion. A Most Scandalous Proposal is a most delicious treat!"—New York Times bestselling author Tessa Dare
"Gossip, scandal, and breezy banter enliven this unusual dual love story that features some beautifully rendered secondary characters, illuminates realistic dilemmas, and highlights the overwhelming importance of one's social standing."—Library Journal
"A charming tale . . . Readers will find themselves happily enchanted by this debut."—RT Book Reviews
"Engaging and entertaining."—Night Owl Reviews
"Witty, sensual, captivating. A must-read."—Tracey Devlyn, award-winning author of A Lady's Revenge
"Pithy and engaging! A pure delight from start to finish!"—Valerie Bowman, author of Secrets of a Wedding Night
"A great debut novel, a wonderful romantic read!"—Brazen Reads


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February 22, 2012, 11:29 am
LeCrae up for two songs in one Dove Awards category
LeCrae, who attended Denver's George Washington High and Martin Luther King Jr. Middle School, nabbed a Dove Award nomination for Artist of the Year. He also garnered TWO nominations in one category — Rap/Hip-Hop Recorded Song of the Year — for "Hallelujah" and "The Overdose."
He is also nominated for Rap/Hip-Hop Album of the Year for "Rehab: The Overdose," and for Special Event with "The Story."
Here's a link to a story on LeCrae, who performed last Sunday at the World Arena in Colorado Springs.
Complete list of Dove Award nominations right here.
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Poor nutrition is associated with low morale and decreased productivity in the workplace. Think about the last time you were starving… how productive were you?
Whether you are skipping meals or eating poorly, your nutritional choices have an impact on your health and productivity.
Studies show that when your blood sugar drops, your brain is less able to focus and control your impulses. So, when you have ADHD, eating right is even more important to help manage your symptoms.
1. Make sure to eat a brain-friendly diet:
- Fewer simple carbohydrates (candy , sugar, white flour)
- High in protein (beans, cheese, eggs, nuts)
- More complex carbohydrates (vegetables, oranges, apples, pears)
- More Omega-3 fatty acids (tuna, salmon, walnuts)
- Water
2. Remember to eat. Let's face it – when you get caught in hyper-focus sometimes it's easy to forget to eat. That's why establishing certain times of day that you consistently stop what you are doing and eat, is a good idea. Set an alarm to remind you to eat breakfast, lunch and dinner. In addition, make sure that you always carry a healthy snack with you so that you are never caught without an energy boost.
3. Make meals simple. Don't make meals more complicated than they need to be. Make a list of the foods you and your family like and create a meal plan around them. It can be as simple as having chicken on Mondays, pasta on Tuesdays, fish on Wednesdays, and then adding a vegetable and a side. If you don't to cook or are short on time, try using a food preparation service like Let's Dish or Dream Dinners. You can have them prepare a month's worth of meals for you to pick up and stick in your freezer. If you like to cook – focus on simple 3-ingredient meals during the week or prepare big batches over the weekend to eat throughout the week.


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Track and measure online recruitment performance.
Take advantage of the invaluable management information generated as a result of combining your candidate attraction activity through Broadbean.
Source track all candidate applications as well as any candidates found on your search channels, providing a rich seam of information.
Generate real-time reports covering a wide range of data including:
Best day and time to post to get the optimum number of applications for each sector.
Monitor the performance of each recruiting channel.
Applications compared with shortlisted candidates from each channel.


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Editor's Note: The following is the second in a three-part series that is running Tuesday, today and Thursday on the grey area of offshore online gamb
We'll call him Ernest.
He has a high-profile job in Halifax and a hobby that is probably legal.
"I don't really know the legalities — I think it's more of a grey area," said Ernest.
"I do know that my credit card won't accept the transaction so I have to use a bit of a workaround."
Ernest's great illicit activity is betting through offshore sites on sports games he sits down to watch with popcorn on a Friday or Saturday night.
Ernest isn't alone.
According to H2 Gambling Capital, an online industry publication, Atlantic Canadians bet $90 million through offshore sites between January and November 2017. The Atlantic Lottery Corporation, meanwhile, did $10 million in online business during the same period.
Online gambling is a big business that's only projected to get bigger — H2 Gambling Capital projects it will grow by 80 per cent in Atlantic Canada by 2022.
Meanwhile, legislation that governs gambling in Canada remains mired in the pre-internet world when Crown corporations, like Atlantic Lottery, could be set up as monopolies that sent all profits back to their respective provincial governments.
"Why hasn't government done anything about this?" asks Michael Lipton, a Toronto-based lawyer with experience in online gaming. "There are more important things in Canada, like fighting terrorism and money laundering, than offshore gaming."
From Lipton's reading of the legislation, this is where online gambling stands:
• It's legal for any Canadian to gamble via offshore sites.
• It's illegal for a Canadian to operate offshore sites.
• A non-Canadian operating an offshore site that takes bets from Canadians could probably be prosecuted if they came to this country and the government took an interest — which thus far it hasn't.
While Canada hasn't sought to prosecute any of the owners of offshore sites, the Crown corporations created by the provinces to direct gambling income back into their own coffers are hamstrung to various degrees.
Provincial policy and federal laws prevent Atlantic Lottery from offering some of the most popular online games.
Ernest got into sports betting through Atlantic Lottery's ProLine game. Through it he would pick his winners for three games (it's now two) and if all three won then he would get a payout.
He liked it but then he discovered that through offshore sites he could just bet on individual games and get better odds.
"With my offshore account, I can make a bet on one game and if it wins I can win my money," said Ernest.
"In ProLine there are factors to increase the odds of Atlantic Lotto winning and decreasing my odds."
But federal law as it currently stands prohibits anyone from offering bets on single matches.
So Atlantic Lottery, and its fellow Crown corporations across the country, can only offer what they call "parlay" betting with multiple matches.
"Government is aware of our position (on not being allowed to compete)," said Joey Cormier, director of marketing for Atlantic Lotto's iLottery.
"It is with them to evaluate. The case is becoming more and more compelling year after."
Of the $90 million that Atlantic Canadians bet offshore this year, $22.4 million was on single-event sports games.
The other two most popular types of online gaming, casino ($28.9 million) and poker ($18.9 million), Atlantic Lottery hasn't been given permission to offer.
"We believe we are well situated to offering competitive games," said Cormier.
The decision the two levels of government haven't been making is whether to enforce the laws that exist on offshore operators or to allow domestic entities like Atlantic Lottery to compete.
The Americans, so far, have largely taken option A.
"They're done a good job at putting the fear of God into a number of these offshore sites," said Lipton.
The Department of Justice and the FBI shut down the world's three largest online poker games — PokerStars, Full Tilt Poker and Cereus. They seized the sites (later letting two of them restart if they didn't allow Americans to play), charged 11 people and froze 76 bank accounts in 14 countries.
In other cases they've hauled people off planes connected to offshore sites when they landed in the United States.
And so when Ernest has travelled in the United States the offshore sites wouldn't let him bet because they recognized where he was.
Though it might have stopped Ernest, industry analysts Eilers & Krejcik Gaming estimates that Americans bet $60 billion illegally each year on offshore sites.
It may soon become legal south of the border. On Dec. 4 the United States Supreme Court heard a challenge to the 1992 law that prevents all but four states from offering online sports betting. A decision is pending.
Analysts say that if New Jersey wins its challenge, it'll result in a watershed that sees all forms of online gaming legalized in America.
With a potential gambling industry powerhouse nearby, that leaves Canada few options but to allow and regulate.
Russell Potvin is the editor of grizzlygambling.com, an online publication that researches gaming sites, both onshore and offshore, and offers advice to Canadian gamers.
While the Crown corporations set up by provinces claim it's a Wild West on the offshore gaming sites, Potvin doesn't agree.
His site seeks to help gamers navigate to gaming sites that can be trusted — many of which are regulated within the countries they are based. He says there are plenty of offshore sites that offer a secure gaming environment and that more players all the time are growing comfortable with them.
Where provinces have allowed their Crown corporations to operate online casinos, there has been some success. He points to PlayNow in British Columbia, which consulted with offshore sites and adopted their technologies to offer their online casino.
"They've done fairly well attracting B.C. residents," said Potvin.
In Atlantic Canada, he thinks it might be more difficult simply because Atlantic Lottery crosses four provinces that would all have to agree.
"At this point it seems like there's not enough political motivation to tackle the subject right now," said Potvin.
Until they do, thousands of Atlantic Canadians won't have any option but to send their gambling dollars offshore. Our friend Ernest will keep his probably legal hobby to himself.
Tomorrow: A Quebec First Nations is getting a piece of the offshore gambling action.


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When I run the make-cvmatrix function to create a matrix it outputs a struct instead of a pointer like i needed. I changed the last line of the make-cvmatrix function to be "sap" as below:
Code: Select all
(defstruct (cvmatrix (:constructor %make-cvmatrix))
(sap (mat) :type sb-sys:system-area-pointer :read-only t))
(defun make-cvmatrix ()
(let* ((matrix (%make-cvmatrix))
(sap (cvmatrix-sap matrix)))
(tg:finalize matrix (lambda (x) (del-mat sap)))
...and it appears to run fine with only minor variations in my ram levels which i suppose is just a result of lisps GC in process.
Code: Select all
(tg:finalize matrix (lambda (x) (del-mat sap)))
Since I'm new to GC w/ trivial-garbage, I was hoping someone can verify first that the change to sap was an ok move.
I was hoping someone could edit my code so I have a good example of Lisp GC with TG to work from and if I write a defcfun for this C wrapper :
show me where the rows cols type params get placed in an edited finalizer/constructor above..I would definately appreciate greatly:), concrete examples using the code I posted.
Code: Select all
Mat* cv_create_Mat_typed(int rows, int cols, int type) {
return new Mat(rows, cols, type);
(defcfun ("cv_create_Mat_typed" mat-typed) (:pointer mat)
"MAT constructor with a row, column and type parameter."
(rows :int)
(cols :int)
(type :int))


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On reçois de plus en plus de SPAM sur la page du Marché d'Occasion.
Je les dénonce toujours, mais il y en a quand même de plus en plus.
Quoi faire?
- Rue: N-7 New York City, NY
- Ville: New York
- Province: Alberta
- Pays: Canada
- Code Postale / zip: 10001
- conditions d'utilisations: J'ai pris connaissance des conditions d'utilisations
- Publié le : 11 juillet 2017 10 h 31 min
- Expire : 119 Jours, 20 heures
Avalure, by utilizing topical collagen application, can at any rate somewhat address this issue. The collagen they're utilizing gives clients a kick off in collagen generation, which enables your skin to repair and reestablish itself. Be that as it may, that is just 50% of why Avalure Cream is doing as such well. While it's boosting collagen creation, it's likewise striving to reestablish dampness adjust inside the skin. We're continually losing dampness from our skin by means of a procedure called Transepidermal Water Loss, or TEWL. Be that as it may, as our skin gets increasingly harmed, this procedure happens speedier than the skin can stay aware of. That is a major issue, and one that is effectively observed on the surface of the skin as harshness and wrinkles. Avalure Face Cream, by working in an extraordinary peptide mix, diminishes the water misfortune rate, prompting better dampness maintenance.


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The brand-new full-colour Rough Guide to Kent Sussex & Surrey" is the ultimate guide to this beautiful corner of England with clear maps and lively accounts of both the big cultural attractions and the smaller quirkier sights and full coverage of vibrant Brighton and historic Canterbury. The region is fast gaining a reputation as a foodie hotspot and the guide offers detailed reviews of the best places to eat from old-world tearooms to Michelin-starred restaurants. Also included is accommodation for all budgets - from country-house hotels to cozy b&b's and idyllic campsites - as well as the best places to drink featuring the best village pubs plus the region's celebrated wineries. Find details on a host of local festivals and events from Lewes' raucous Bonfire Night to Hastings' popular Pirate's Day as well as ideas on outdoor activities from paragliding in the South Downs to canoeing Kent's waterways with plenty of scenic walks too. Written by local experts this is an indispensable guide to a region that's ripe for exploring. Make the most of your time with "The Rough Guide to Kent Sussex & Surrey"."
Bargain Deal: £8.96
|Click for Deal


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Here are the Macro photo finalists. It was really tough to choose—too many wonderful submissions! Thank you all so much for sharing your incredible talent.
Winner will be announced Monday! Feel free to chime in and shout out your favorites.
By Fidgetblogs.
By Catlady1957.
By Roxi04.
By MarianneLoMonaco.
By Andrea Matrix.
By Colourblindman1.
By American Russian.
By Amber Aiken Photography.
By Katherine Naomi.
By Connorlilly.
By Sleepy Jeanne.
By MyTwoSeasons.
Congrats, finalists – see you Monday for the winners!


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Events for March 11, 2020
Day Navigation
6:00 pm
Free 'N Fun Bar Bingo
FREE N' FUN BAR BINGO in the Canteen! WEDNESDAYS AT 6:00 PM. CASH JACKPOT BETWEEN $3,000 AND $10,000 AND GREAT NIGHTLY PRIZES!! (IT'S FREE TO PLAY!) Come early, have a delicious dinner, and enjoy some beverages both alcoholic and non-alcoholic available at the bar.Find out more »


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Spring 2020 classes have resumed online.Please visit
dcccd.edu/coronavirus for additional information and to
learn how to prepare for online classes.
This article appeared in an April 2017 issue of the student newsletter.
You've heard it before and we'll say it again: The health care industry is booming! In fact,
the U.S. Bureau of Labor Statistics reports that health care is the fastest-growing industry in the nation — creating over 22,000 new jobs in one month alone.
Before you head to the career fair, be sure to register online and gather all your application materials. DCCCD provides
free career planning and job search services if you need résumé assistance or want to practice your elevator speech.
The DCCCD Health Careers Resource Center is happy to help!
Visit the website (where you will find the above content) or call 214-860-2283.


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Let us help you afford your degree at KU
You want to make an impact with an advanced degree in educational administration - let us help you afford it. The Financial Aid and Scholarships Office at the University of Kansas is committed to supporting your academic goals. Financing a graduate degree in education can be a challenge, but we are here to serve you in various ways. As a student at the KU School of Education, you may be eligible for many types of financial aid: grants, scholarships, fellowships, loans, graduate assistantships, and sponsorship opportunities. Use the resources below to learn more:
Practicing Educator Sponsorship Program >>
In an ever-changing world, educators must stay current with effective teaching practices to ensure their students receive the best education possible. In an effort to help reduce your cost for graduate education, the KU School of Education has initiated a sponsorship program for any Kansas PK-12 educator in a public or private building/district.
MetroKC Tuition Rates
The KU Edwards Campus MetroKC tuition rate offers rates equivalent to in-state rates for Missouri residents who qualify and reside in the Bates, Buchanan, Cass, Clay, Clinton, Henry, Jackson, Johnson, Lafayette, Platte or Ray counties. No credit hour limit applies. To receive this special rate, please fill out the MetroKC application.
Scholarships at the KU School of Education >>
As a student enrolled at the KU School of Education, you are eligible to apply and be awarded on a competitive basis. All types of students are eligible, including master's level graduate students.
Graduate Student Loans >>
Financial aid is funding provided by various agencies to help students meet the costs of attending graduate school. Student loans are considered financial aid because of the special interest rates, with some being subsidized by the federal government. Repayment of most student loans does not begin until after graduation.
Grants at KU >>
Grants and scholarships are often called "gift aid" because they monies that do not have to be repaid. Grants are often need-based, and can come from the federal government, the state of Kansas, the university and other organizations.
Graduate Assistantships at KU >>
Graduate Teaching Assistants (GTA) and Graduate Research Assistants (GRA) serve to fill a vital role in KU's graduate research agenda. As a GTA or GRA, you are eligible for benefits, including tuition and health insurance benefits.


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Cake and yoga, ... doesn't get better than that... ok maybe just cake.
Each card is 120mm x 120mm and printed on premium uncoated card, 300gsm made from 100% ECF pulps making it environmentally friendly, it has a rough organic feel, both to the touch and the eye. Individually packed in a cello bag with ribbed kraft brown envelope. Posted in a board back envelope. Blank inside.
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As I may have mentioned before :-) we have added a REST api to RHQ. And one thing we have clearly found out during development and from feedback by users is that the pure linking feature of REST may not be enough to work with a RESTful api and that some. Our Mark Little posted an article on InfoQ recently that touches the same subject.
Take this example:
@Consumes({MediaType.APPLICATION_JSON, MediaType.APPLICATION_XML})
Response updateSchedule(int scheduleId,
MetricSchedule in,
@Context HttpHeaders headers);
So this is a PUT request on some schedule with an id identifier where a certain
MetricSchedule thing should be supplied. And then we get some
Response back, which is just a generic
JAX-RS "placeholder".
Now there is a cool project called Swagger with a pretty amazing interactive UI to run REST requests in the browser against e.g. the pet store.
Still this has some limitations
- You need to deploy wagger, which not all enterprises may want
- The actual objects are not described as I've mentioned above
Metadata via annotations
The metadata in Swagger to define the semantics of the operations and the simple parameters is defined on the Java source as annotations on the restful methods like this:
@ApiOperation(value = "Update the schedule (enabled, interval) ",
responseClass = "MetricSchedule")
@ApiError(code = 404, reason = NO_SCHEDULE_FOR_ID)
Response updateSchedule(
@ApiParam("Id of the schedule to query") @PathParam("id") int scheduleId,
@ApiParam(value = "New schedule data", required = true) MetricSchedule in,
@Context HttpHeaders headers);
which is already better, as we now know what the operation is supposed to do, that it will return an
object of type
MetricSchedule and for the two parameters that are passed we also get
a description of their semantics.
REST docs for RHQ
I was looking on how to document the stuff for some time and after finding the Swagger stuff it became clear to me that I do not need to re-invent the annotations, but should (re)use what is there. Unfortunately the annotations were deep in the swagger-core module.
So I started contributing to Swagger - first by splitting off the annotations into
their own maven module so that they do not have any dependency onto other modules, which makes
it much easier to re-use them in other projects like RHQ.
Still with the above approach the data objects like said
MetricSchedule are not documented. In order to do that as well, I've now added a
@ApiClass annotation to swagger-annotations, that allows to also document the data classes (a little bit like JavaDoc, but accessible from an annotation processor). So you can now do:
@ApiClass(value = "This is the Foo object",
description = "A Foo object is a place holder for this blog post")
public class Foo {
int id;
@ApiProperty("Return the ID of Foo")
public int getId() { return id; }
to describe the data classes.
The annotations themselves are defined in the following maven artifact:
which currently (as I write this) is only available from the snapshots repo
<!-- TODO temporary for the swagger annotations -->
<name>Sonatype OSS Snapshot repository</name>
The generator
Based on the annotations I have written an annotation processor that analyzes the files and creates an XML document which can then be transformed via XSLT into HTML or DocBookXML (which can then be transformed into HTML or PDF with the 'normal' Docbook tool chain.
You can find the source for the rest-docs-generator in the RHQ-helpers project on GitHhub.
The pom.xml file also shows how to use the generator to create the intermediate XML file.
You can see some examples of the generated output (for some slightly older version of the generator in the RHQ 4.5.1 release files on sourceforge, as well as the in the documentation for JBoss ON, where our docs team just took the input and fed it into their DocBook tools chain almost without and change.
If you are interested to see how the toolchain is used in RHQ, you can look at the
pom.xml file from the server/jar module ( search for 'REST-API' ).
Project independent
One thing I want to emphasize here is that the generator with its toolchain is completely independent from RHQ and can be reused for other projects.


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Thursday, March 8, 2012
Ernest K. Bramblett: the Pearson payroll triple
When it came to exposing political corruption, Drew Pearson's muckraking column "The Washington Merry-Go-Round" had a significant role in discovering the misuse of office payrolls. Having already had a role in uncovering such scandals related to Representatives J. Parnell Thomas and Walter Brehm, in 1953 Pearson added Ernest King Bramblett to the list.
Born in Fresno, California in April of 1901, Bramblett graduated from Stanford University in 1925. He stayed at the school for graduate work, supplementing it with other work at San Jose State University and the University of Southern California. His first jobs were in the insurance and auto industries from 1925 to 1928, but for the greater part of his life he worked in education. He was in this field from 1928 to 1946, and held his first political offices during this time as well.
In 1939, Bramblett became the mayor of Pacific Grove. He also became coordinator of the Monterey County schools in 1943 and a member of the Republican Central Committee in 1944. He held all of these roles until 1946, when he won a seat in the House of Representatives. He won the next three elections to retain this office as well.
Pearson's first complaints about Bramblett were mainly critical about the congressman's ethics. In May of 1952, newspaper columnist Drew Pearson criticized the congressman for putting his wife on his payroll as a secretary. Bramblett explained in a letter to his constituents, "We know that Communist agents are everywhere around us. They're in place in every strategic place in the nation, particularly so in California." Bramblett said the uncertainty had reached a point where his wife was the one person he knew he could trust with the sensitive material in his office. Pearson retorted that Bramblett, as a member of the Agriculture Committee, "has access to nothing more top secret than the latest cure for chicken lice."
Pearson followed up this column with the accusation that Bramblett's wife had been on the payroll since 1947, before Communism became an overriding concern. He added that his wife was earning $8,192.04 a year, more than some FBI agents who were certainly doing more to combat any Communist subterfuge. Pearson also alleged in October of 1952 that Bramblett had offered to boost the salary of secretary Vivian DeWitt from $2,400 to $5,000 if she paid him $5,000 in advance; DeWitt refused, Pearson said, and was dropped from Bramblett's staff three months later.
Pearson's suspicions were not confirmed until 1953. In May, a federal grand jury opened an investigation into Bramblett's payroll. Two months later, he was indicted on 18 counts of making false statements. These specific charges alleged that Bramblett had attempted to alter his records to conceal $4,036 in kickbacks from former clerks Margaret M. Swanson and Olga Hardaway.
The trial began in February of 1954. The prosecutor charged that Bramblett collected Swanson's salary for 17 months and Hardaway's for seven months. Swanson, the state said, did "no work whatever" while on Bramblett's staff. Swanson's husband, who also worked as a House clerk, gave the curious testimony that he suggested to Bramblett that he take his wife off the payroll to avoid criticism and put Margaret on. Swanson's husband even recalled that he had offered to send her salary to Bramblett, and that it was under this arrangement that Margaret had been hired. Bramblett rehired his wife at a later date without the Swansons' knowledge, the prosecution said. Moreover, they said that Hardaway had been placed on the payroll without her knowledge, with Bramblett having her sign her checks face down so she did not know they were being transferred over to him.
The state's case related to Hardaway was weakened when it was shown that Hardaway, whose husband was Bramblett's former campaign manager, did some work for Bramblett. However, Bramblett was convicted of the remaining seven counts involving the collection of $3,300 from Swanson. The judgment was stayed after the defense challenged the applicability of the false statements law to the legislative branch. Meanwhile, Bramblett opted to not run for re-election in 1954.
The Supreme Court agreed to review the false statements law, but unanimously upheld the conviction in April of 1955. Two months later, Bramblett received a sentence of four months to one year in prison, all suspended, along with a year of probation and $5,000 fine. His attorney, Edward B. Williams, complained that Bramblett had been professionally, economically, and socially "immobilized" by the charges and lost the reputation he had built up over the years. As a result, Williams said, Bramblett had no immediate prospects for employment. The judge granted an additional 60 days for the payment of the fine.
Bramblett made one last attempt to appeal the conviction, but the Federal Court of Appeals upheld it in January of 1956. Later that year, he was the target of a federal lawsuit charging that the amount diverted into Bramblett's bank account was much higher than alleged in at his trial. The suit asked for the return of $35,408 it said had been funneled to Bramblett, as well as $36,316 in damages for a total of $71,724. It is unclear how this suit was resolved.
Bramblett began working as a consultant. He spent some time in Washington, D.C. after leaving Congress, but returned to California to live the rest of his life in Woodland Hills. He died in December of 1966.
Sources: The Biographical Directory of the United States Congress, "How to Put Wife on the Pay Roll" in the St. Petersburg Times on May 13 1952, "Washington Merry-Go-Round" in the Oxnard Press-Courier on Jun. 2 1952, "Jury to Study Office Pay Roll of Lawmaker" in the St. Petersburg Times on May 16 1953, "Four Bramblett Employees Called in Payroll Probe" in the Oxnard Press-Courier on May 28 1953, "Rep. Bramblett Denies Charges" in the St. Petersburg Times on Jun. 19 1953, "Congressman Accused on Pay to Wife" in the Oxnard Press-Courier on Feb. 2 1954, "Lawmaker on Trial for 'Padding' Payroll" in the Pittsburgh Press on Feb. 3 1954, "High Court Agrees to Rule on Alleged Bramblett Kickback" in the Lawrence Journal-World on Oct. 18 1954, "Ex-Lawmaker Loses in Scandal Plea" in the Milwaukee Sentinel on Apr. 5 1955, "Bramblett Gets Fine, Probation" in the Oxnard Press-Courier on Jun. 15 1955, "Bramblett Loses Kickback Appeal" in the New York Times on Jan. 20 1956, "Bramblett Sued for $71,724" in the Tri City Herald on Nov. 1 1956
Posted by Dirk Langeveld at 8:28 AM
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How much should you tip furniture movers?
Moving furniture is hard work and potentially dangerous unless you're properly equipped. For anyone not ready to handle their heavy oak armoire alone, professional furniture movers can safely and efficiently move your items to another room in your house or across town as needed. The national average cost to hire heavy furniture movers is $150-$200 per hour. This rate could include multiple furniture movers working as a team to move items such as beds, armoires, billiards tables, pianos, shelves, tables, entertainment centers and more. Hourly rates can vary by region. If your furniture movers have arrived on time, done a great job, kept your home and belongings protected from scratches and dings, and completed the move as planned, a tip will be greatly appreciated. Moving companies suggest approximately 10 percent of the total bill as gratuity for those doing local moving jobs, which is also a good guideline for tipping heavy furniture movers. If the total bill for heavy moving was $100 and two workers were onsite, consider giving them $10 total, or $5 each for a job well done.


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Blue Jays rally late, but fall in 11 to Yankees
TORONTO -- It's a play that's practiced almost every day during Spring Training, but one that still caused mass confusion in the Blue Jays' infield Saturday.
The Yankees had runners on first and second with nobody out in the top of the 11th inning. With Ichiro Suzuki in the batter's box, the bunt play was on, but third baseman Brett Lawrie and left-hander Aaron Loup weren't exactly on the same page.
Both players converged on the left side of the infield, and while Lawrie attempted to backtrack to the bag, it was too late. Loup's throw to third sailed down the line as two runs came around to score which led to Toronto's 5-3 loss at Rogers Centre.
"It's a play we run all Spring Training long, basically every day," Loup said. "I felt like it was bunted fairly back to me, for the most part. I thought we had an easy play at third base, and I didn't have enough awareness to realize Lawrie was crashing in on the play.
"By the time I realized he was backpedalling to the bag -- and he wasn't there -- it was too late and I had already let go of the ball."
The Blue Jays were put in the awkward situation after Loup surrendered a pair of singles to lead off the 11th. When Ichiro bunted, Loup's initial reaction was to get the lead runner, with the intention of keeping the go-ahead run off third base.
The problem was that Lawrie intended to field the ball and get the out at first. By the time he realized that Loup was going to make the play, Lawrie was stuck in no-man's land.
After the game, there appeared to be some confusion on who made the correct decision. Loup went with what he believed was the designed play, but Lawrie didn't seem to see things exactly the same way.
"Obviously in that situation, trying to get an out," Lawrie said. "I was playing a little bit in because Ichiro, you don't know, he's fast as well, so he could have pushed one. I just couldn't get back to the bag in time, and by the time I turned around, the ball was already on me."
Perhaps the most surprising aspect of the Blue Jays' season to date has been their inability to execute on defense. Toronto has committed nine errors, which ranks seventh in the American League, but perhaps even more glaring than those miscues are the plays that aren't being converted.
An example of that occurred in the fifth inning with the bases loaded. New York's Kevin Youkilis hit a liner to third base and Lawrie made a small leap but had the ball bounce off his glove.
The play looked relatively routine but was ruled a two-run single rather than an error. Lawrie said after the game the liner had a knuckleball effect off Youkilis' bat, which made it difficult to track the flight of the ball.
On their own, both plays during Saturday's game could be forgiven, but when added into the big picture, it presents a more murky image. The Blue Jays, who were without Lawrie until earlier this week because of a strained left oblique muscle, have struggled with their infield defense all season.
For a team with aspirations of reaching the postseason, manager John Gibbons knows it's something that needs to be cleaned up sooner rather than later.
"At this level, you have to play good solid defense, and that bit us today," Gibbons said.
"[Friday] night, it bit us on the throw home, and today, it's that time of the game. You have to execute, that's part of baseball. It happens. The timing of it, extra-inning game, is what kills you right there."
The Blue Jays' offense saw its prolonged struggles continue through the first seven innings of the game. New York starter Hiroki Kuroda surrendered just two hits and one walk while holding the Blue Jays scoreless until he came back out to start the eighth.
That's when Toronto's offense began to show some signs of life. Colby Rasmus got the rally started with a one-out single to center which chased Kuroda from the game with a lead seemingly well in tact. Right-hander David Robertson came on and struck out the first batter he faced before the wheels began to fall off for New York.
Pinch-hitter Adam Lind drew a two-out walk, and Rajai Davis followed with an RBI single to center. Davis then immediately stole second base, which put two runners in scoring position for Melky Cabrera, who promptly singled to center and tied the game at 3.
That allowed the Blue Jays to carry some momentum into the ninth inning, but they were unable to score in either that frame or the 10th before the troublesome play in the 11th cost the club a shot at another victory.
"I was shocked," said Yankees outfielder Vernon Wells, who added a solo homer in the second inning. "You know what? You get in the moment and you make an aggressive play like that, and sometimes it works out. You look great when it works out, and bad when it doesn't."
The Blue Jays now find themselves four games under .500 and have dropped four of their past five games. The club will look to avoid a series sweep by the Yankees on Sunday afternoon at Rogers Centre before hitting the road for a six-game road trip through Baltimore and New York.
It's still early, but the Blue Jays know they can only make that claim for so long. There's a need to turn things around on the diamond before losing too much ground in the competitive AL East.
"Let's face it, we haven't played good enough baseball to win," Gibbons said. "We're where we should be. Nothing's working against us, we're just not playing good enough to win right now."


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Towson Tops Mansfield, 85-65
TOWSON, Md. – Senior Rafriel Guthrie tallied a game-high 32 points to lead the Towson men's basketball team to an 85-65 victory over Mansfield in the Tigers' exhibition finale on Wednesday night at SECU Arena.
Guthrie shot 8-for-13 from the field and made 14 of 18 free throw attempts as the Tigers won their second of two exhibition games.
Towson shot 51.1 percent from the field and made 49 trips to the free throw line, making 33. The Tigers had 15 assists on 24 made baskets and outrebounded the Mountaineers, 45-30.
Seniors Jerrelle Benimon (16) and Marcus Damas (11), and sophomore Four McGlynn (10) joined Guthrie in double figures for the Tigers. Benimon shot 6-for-8 from the field and also grabbed seven rebounds.
Towson sophomore Jerome Hairston dished out a game-high six assists while freshman John Davis posted seven points and a game-high nine rebounds.
After Mansfield scored the first bucket of the game, Towson scored 11 straight to spark a 32-10 run that gave the Tigers a 20-point advantage at the 8:45 mark of the first half.
Mansfield battled back to make it an 11-point game on a Joe Bell three-pointer that made it 38-27 with just under six minutes to play in the opening stanza. Bell tallied a team-high 16 points for the Mountaineers.
Towson responded by scoring 10 of the next 14 points to boost its lead back to 17 and the Tigers would own a 51-35 advantage at the intermission.
Less than three minutes into the second half, Mansfield cut the Towson lead to 53-39 but the Mountaineers would get no closer the rest of the game. The Tigers led by as many as 22 in the second half.
Towson will open the regular season on Friday, Nov. 8 against Navy. Tip time is set for 7:30 p.m. inside SECU Arena.


text: ru55kj 1 Posted May 27, 2012 (edited) Hi guys, I started to think of buying a flash for my camera - 450d. But I want something compact - the smaller the better, as I want to mainly improve photos from dinners/parties and that sort of things. Now I have couple of questions: Do those flashes work noticeably better than built-in ones? Can you recommend anything? From the small research I did I found following: Canon 270ex (2) Sunpack RD2000 Nissin Di28 And probably million of others. Or should I go for something slightly bigger, yet still cheap like Nissin Di466? Edited May 27, 2012 by ru55kj Share this post Link to post Share on other sites


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One Lily Cup pack contains:
Lily Cup Compact is the first menstrual cup that collapses flat into its protective case, which fits even the smallest purse.
Collecting rather than absorbing menstrual flow, it respects your intimate balance and does not cause the dryness often associated with tampons. Lily Cup Compact is made from medical-grade silicone that is so soft and thin, you won't even feel it when it's inside. It offers up to 10 hours of hassle-free protection, day and night. What's more, because Lily Cup Compact is reusable, it is both eco-friendly and economical.
Worldwide shipping flat fee : 8.90€
Depending on the country of delivery we will use different courrier.
USPS for USA
UPS or DHL for EU
DHL or EMS for Asia
Orders are usually shipped within 2 days of receiving an order. Most orders will be delivered within 5 days of shipment, but be aware that this can vary depending on country. All products are discreetly packaged with no direct mention of the nature of the products inside.
Intimina is a Swedish brand that offers the first and only range of products dedicated exclusively to all aspects of women's intimate health. Our mission is to provide a comprehensive collection of products and information for women at every stage of life, from the first menstruation to beyond menopause. To ensure that every product created at Intimina is medically informed, we benefit from the research and oversight of our Medical Advisory Board. Since our launch in 2009, the Intimina brand has rapidly expanded, fulfilling our aim to make intimate care products accessible to women around the world.
Lily Cup offers 12 hours of non-stop protection and accommodates your lightest to heaviest flow. Inspired by nature, it has a unique shape that perfectly fits the female form. Its advanced design features, such as the non-spill rim, make insertion easy and removal a breeze.
Publicado por Karen L. - USA on 12th Aug 2017
I got this lily cup compact as a present, I was already using menstrual cups and thought that was a funny gadget, I have a silicone kitchen funnel looking just like it.
I was worried about the insertion being messy (folding on itself etc) but it's really great, it goes in really easily, seals just fine. The silicone is extra soft, feels really nice. And it fits in my wallet.
I really recommend it. Go for it!


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Wednesday, April 04, 2007
A while back, a reader brought up the environmental impact of surgery, suggesting that it ought to be a consideration when planning an operation. Whereas I don't think that's possible in an individual sense (one can try to use as much re-usable material as possible, but you have to take what's available at the moment), it raises a valid point: operating rooms produce a horrendous amount of trash, much of it non-biodegradable and painfully wasteful. It started, I think, because of medicare madness, insurance insensibility, payor pettiness and egregious economics.
Time was, we re-used a lot of stuff: cloth was cooked, needles were nuked, staplers were sterilized. But as cost-control became a priority and payers were looking for ways to be non-payers, operating room expenses came under close scrutiny. And it came to pass that hospitals couldn't pass expenses related to re-processing materials. They could, however, charge -- including some sort of reasonable (whatever that is) markup -- for single-use materials. The upshot was that it became a money-loser to reuse anything, and a money maker to buy stuff you'd use once and throw away. For all I know, it can be shown to be of economic benefit in some areas: but it's quite amazing to see how many large plastic bags we fill with various paper products, all treated to be flame-proof (cloth didn't need that) with some sort stuff that is unlikely to be good when it soaks into the ground somewhere; plasticized, glue-laden, dye-containing. And that ain't the half of it.
Surgical instruments win the prize. When staplers were first invented (and believe me, they are a boon in many areas) the bulk of the hardware was stainless steel, cleverly engineered to accept a disposable little rack of staples. Keep the big handle, resterilize it, pop in a new small set of staples. The hardware is of many types and shapes, designed to do an array of cutting, connecting, clamping. Ask for a stapler nowadays, and you get a cardboard box containing a plastic box containing a complex instrument of steel and plastic which, in most cases, you fire once and toss in the trash. (Some allow re-insertion of staples for another use during the same operation. But then it's AMF.) Much as I appreciate the technology, it nearly kills me to throw all that stuff away.
In the early days of laparoscopic surgery (wherein the belly is filled with gas and instruments are inserted through little port-holes [called trocars] poked through the abdominal wall), lots of material (particularly the aforementioned trocars) were re-useable. But once again, we now open boxes, plastic, use the pokers and toss them. Same with some of the instruments that are poked.
The good news is that the disposable things we use are of ever-increasing quality; brilliantly designed, allowing us to do things that weren't possible even five years ago. The bad news is that the ethic of conserving resources seems, in the context of the OR, to have gone the way of ether and leather straps. On the other hand, if you're into leather straps and you know someone who works in an OR...
There's a small irony: as payments to hospitals have shifted -- in some cases -- to "global fees" (meaning "here's what we'll pay you for hosting a colon operation: spend it however the hell you like") some have re-discovered conservation. Draping with and wearing cloth, and revisiting reusable instruments happens here and there, once in a while. And although the manufactures don't officially approve, many disposables are perfectly safely being reprocessed as well. It appeals to me.
2 comments:
Dr. Schwab,
I think its an great advancement in medicine that everything is disposable. It makes me think of how death rates went way down in childbirth when doctors started washing their hands in the 19th Century.
I remember how much more of a concern infection after surgery seemed to be 25 years ago(notably from a child's point of view)than one year ago. As a patient, being aware of stuff that goes wrong, I feel much better about instruments being new and disposable rather than having been used and sterilized. Its too scarey. If you get a terrible infection there's no amount of money in the world that could make you feel better.
- Sid Schwab said...
Actually, by far most of the instruments used in surgery are NOT disposable; washed, re-packaged, and re-sterilized. It's just that the stuff that is disposable, which makes up a small percentage of the material used in surgery, makes for a heck of a lot of trash.


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1202 S. Tyler St. Covington, LA. 70433985- 898-400024 hours a day, 7 days a week.
Our highly experienced staff provide quality nursing care to ensure the physical, emotional and psychological well-being of all patients who are ill or injured and in varying stages of recuperation from diagnostic, therapeutic or surgical interventions regardless of religious, racial, socio-economic or cultural differences.
Hospital units are named after the floor on which they are located and the cardinal direction they are facing on the main campus. They are equipped with everything our staff requires to meet patient needs and provide comfort to loved ones and caregivers. The majority of our rooms are private, and we are converting the remaining semi-private rooms into private ones over time.
True to our mission, the nurses at St. Tammany strive every day to deliver ideal care. The highest compliment we can receive is for patients to say they were treated like family here. Please let us know how we are doing, and don't hesitate to tell us if there is something we can do to take better care of you or your family during your stay.


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I'm using the Facebook Graph and FQL API from an application (OAuth authenticated). I've been unable to find anything about rate limiting/throttling in the documentation. Normally, I'd expect some kind of limit in class/user...
Looking in at the Facebook app page Insigths -> Diagnostics:
PI Throttling
None during specified period.
API Throttling Warnings
None during specified period.
Feature Limits
Feature limit per user, per day
Requests 1.0 20
Which indicates some kind of throttling may be used. Anyone got more info on this?


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About Me:
I'm just this overly obsessed Beatles fan and the saddest part is i was born 16 years after Lennon's death and George died when i was 5 i want to meet all of them and i can't! devastated :(
Favourite Track:
Hello, Goodbye (1)
Tell us why:
its one the best Beatles song I love it! I left the different voice changing modes in it :)
Favourite Album:
Magical Mystery Tour
Tell us why:
its the best album I love all the songs in it! its fun and I love the film <3


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Getting creative with holidays in dimensionsPosted: December 7, 2013 Filed under: Analytics, Business Intelligence, Dimensions, Tips | Tags: analysis, date, Degenerate dimension, dimension, Dimension table, Extract transform load, Fact table Leave a comment
I was recently working with a client and saw an interesting approach to a classic problem dealing with holidays as a dimension. Now maybe this is a common solution, but I hadn't seen it before, so I thought I'd share. This same solution could be used for similar problems as well.
The goal is to be able to analyze the impact of holidays on various measures. Imagine you are analyzing sales or hours worked. Knowing if a particular day is a holiday is pretty important to understanding spikes in the data.
A first approach might be to have the holiday as a property in the date dimension. That would only work if the data you are dealing with has the same holiday for all data that points back to that particular date. This isn't even a true case for the United States, where some states have their own holidays, much less on a global scale.
So what this client did, was solve the problem at the ETL level. For each fact, they check with the client calendar and see if the data is for a holiday or not and then set it in the fact table as a degenerate dimension. You could have a separate dimension as well, but they decided to avoid the join that would get created with Mondrian. Just make sure to index that column so you don't do a table scan when grabbing the members.
A simple solution to what at first might appear to be a complex problem. I like that.


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Double Downer
Of course, the major drawback to Vegas 2 is the removal of four-player co-op in the story mode, which was something we particularly loved about the first game. The Ubisoft Montreal developers have made some comments about how they wanted to offer a tighter narrative by restricting the number of players in co-op to two (and we'll admit that the story does in fact receive considerably more attention than it did in the first game), but that didn't really matter to us while missing our two other friends.
In Vegas 2's defense, however, you can team up with three others in the Terrorist Hunt mode, which is basically a bunch of individual maps where you and your friends can clean out terrorists over and over again. Given the significant amount of play time you'll need to invest in order to rank up, Terrorist Hunt provides some serious replayability and you can tweak things like the difficulty or number of opponents you'll face. Long after we completed the story mode, we were still jumping online with our friends to gain experience and snipe terrorists wholesale.
It also bears noting that the story is significantly more robust than in the original game... Ubisoft Montreal was definitely not joking about that. Through the use of the new picture-in-picture viewer in the upper-right of the HUD (a clear repurposing of Ghost Recon Advanced Warfighter's Cross-Com system) and in-engine cut-scenes told from the first-person perspective, Rainbow Six: Vegas 2 presents the dingier and significantly more depressing side of the Vegas conflict only touched upon in the first game. We're not going to spoil anything, but we will say that in order for Logan Keller (the protagonist of the first Vegas) and his team to be called in, some serious crap has to hit the fan... in Vegas 2, you are right at the whirling, white-hot center of the storm, so be prepared for some exceptionally tragic interludes.
Convergent Co-Evolution
Fans of the classic style of painstakingly planned Team Rainbow operations from the earlier iterations of the series will likely find Vegas 2 no more satisfying than Vegas (and perhaps even Rainbow Six 3 as well, depending on your planning predilections). Severe critics could even say that Vegas 2 continues the console-ization (or mongrelization) of the series and the argument could still be made that the games are gradually being "dumbed down." We don't subscribe to this view, but we are very aware of the fact that some hard core fans do and so warn those who lament the loss of the classic Rainbow Six style of play won't find Vegas 2 to be much of a step in the right direction.
It is also interesting that Vegas 2 continues a trend introduced by the first Vegas in that it's getting more and more indistinguishable from Ghost Recon Advanced Warfighter. The nabbed Cross-Com interface is a clear indication that these two games are undergoing a kind of convergent evolution as both series mature. We don't mind, but those who may find this distasteful should consider themselves warned.


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On June 30, 2011, the Finger Lakes wine and culinary community lost a bright star in our galaxy to a car accident on the New York State Thruway. The following is the unedited eulogy that I wrote for my weekly local newspaper column.
Normally, the joy of an event at Red Newt Cellars Winery and Bistro
began at the door with a greeting from Dave and Deb Whiting. Sometimes,
especially if you entered through the bistro, Deb greeted you with her
radiant aura, wide smile, and open arms.
Deb was not at the winery and bistro event on July 5, 2011, but her spirit was there a thousand fold.
When the email from the Wine and Grape Foundation's Jim Trezise
arrived in my in box just before the July 4th weekend, I learned of a
serious two-car accident that injured Dave Whiting and took Deb's life.
Jim's words, "Deb is gone," hit hard. First came shock, then denial,
anger, and mourning. Soon, however, came time for remembering, which is
what the July 5th event was all about.
Based on what looked like about 1,000 people attending the memorial,
the memory of Deb Whiting will be durable and strong, which is as it
should be.
My memories of Deb began about 20 years ago when Dave brought his
future bride to the monthly winemaker dinners that we used to hold at
the Pleasant Valley Inn in Hammondsport. Smart, attractive, energetic
and outgoing, Deb certainly held her own at a table filled with mostly
male egos—she also had an infectious smile.
Looking at Dave and Deb seated together at table it was obvious that
the two were in love. They seemed cut from a mold that made their union
inevitable. At the time, she was a microbiologist working with bugs in
immunology; he worked with microbiological bugs as a winemaker. Their
intellects and interests were in harmony.
I don't know how long it took Dave to fall in love with Deb, but for
me it was love at first sight. At future winemaker dinners, I found
myself willingly performing for her benefit, in an effort to make her
laugh, which she so easily did.
Deb developed a passion for cooking, which first manifested itself to
admirers like me through baking—cheesecakes, to be specific. Hers was
the best New York style cheesecake that I have ever found outside of New
York City.
Soon, Deb left immunology for baking; soon after that, she operated a
catering business out of a small place in Burdett; soon after that, she
and Dave (they had gotten married by then) talked about operating their
own winery and restaurant.
Not long after the talk came a deal in the late 1990s that put the
couple in the old Wickham family winery facility off Route 414.
The Whitings were off and running, with Deb seemingly setting the
pace, if only because she exuded boundless active energy to Dave's
deliberative style. But Dave proved no slouch in the energy department.
While building Red Newt Cellars Winery and Bistro, a process that takes
monumental fortitude, Dave and Deb did crazy things like take evening
ballroom dancing lessons after a hard day at Red Newt, and they raised a
couple of kids, too!
If there was doubt about their future, it was put to rest by the
middle of this century. Dave's wines, as well as his collaboration with
other winemakers in our region, established Red Newt as a serious player
in the Finger Lakes wine industry. Deb's success at the bistro was
equally dynamic.
In addition to her dynamism in the Red Newt Bistro kitchen, Deb began
to stretch her culinary influence in many directions: she led the call
for promoting and serving locally farmed meats, cheeses, fruits, and
vegetables; she helped to establish a Finger Lakes culinary movement;
she traveled the state teaching others to cook; and she made special
efforts to highlight the healthful and commercial benefits of pairing
Finger Lakes wine with meals made up largely of Finger Lakes foods.
Just as anyone who knew her, I shall miss Deb Whiting tremendously,
and my heart goes out to Dave and the Whiting family, as well as to the
Red Newt Cellars Winery and Bistro family. When she started the bistro, I
briefly became part of the family after I asked Deb if she would let me
gain some extra experience for my wine and food writing by allowing me
to work in her kitchen—for free.
I believe it was those two last words that got her to agree; after all, hers was a new business.
I worked the kitchen during July, my birthday month. One night, after
all the dinners had been served, Deb and I talked about yet another
upcoming birthday of mine; then, I recounted a story that she had not
heard before.
On my 50th birthday, my wife, Anne, threw a surprise birthday party.
Quite a crowd filled three rooms in our home that night. Knowing of my
madness for Deb's cheesecake, and also knowing that many from my family
drove up from New York City for the party, Anne ordered a number of
cheesecakes from Deb to serve as the birthday cake. Unfortunately, for
me, by the time I had gotten around to getting my slice of cheesecake,
our guests had gobbled up every last morsel.
On the next day that I was scheduled to work at the bistro, my
birthday was only hours away. At the door of the kitchen to greet me,
stood Deb with a dish in her hands, on which rested a slice of
cheesecake with a lit candle stuck in its middle.
Today, that candle conjures a bright and energetic light in the firmament that exudes its warmth—it is the image of Deb Whiting.