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A collection of news and information related to Josh Miller published by this site and its partners.
Top Josh Miller Articles
Displaying items 78-88
Johnson twirls a gem as Cougars top Bulldogs
Story | May 23, 2011 | 8:02 PMMonday, May 23, 2011 PREP BASEBALL MARTINSBURG, W.Va. — Logan Johnson pitched a two-hit shutout with two walks and eight strikeouts, and Jefferson shut out Martinsburg 5-0 on Monday in the West Virginia Class AAA Region II semifinals. The Cougars... -
Braves break out bats to thump Nationals
Story | Jun 1, 2011 | 8:10 PMWednesday, June 1, 2011 ADULT BASEBALL The Hagerstown Braves rapped out 18 hits to post a 16-4 victory over the Hagerstown Nationals in Blue Ridge Adult League baseball on Wednesday. The Braves opened with four runs in the first inning, added three... -
Smithsburg's Willard to play in all-star game at Camden Yards
Story | Jun 10, 2011 | 8:24 PMFriday, June 10, 2011 PREP BASEBALL Smithsburg's Ryne Willard will participate in the Brooks Robinson All-Star Game on Sunday at Oriole Park at Camden Yards. Willard, who hit .508 for the Leopards this year, is one of five infielders on the North... -
Hanlin, Dymond lead 5K runners
Story | Jun 18, 2011 | 8:11 PMSaturday, June 18, 2011 RUNNING Vince Tantillo-Jack Barr 5K Saturday in Hagerstown Males (top 15): 1. Cameron Hanlin 16:06.8; 2. Dan Helfrick 16:21.8; 3. Mark Eissens 16:27.5; 4. Tim Schuler 16:32.3; 5. Hemu Arumugam 16:41.2; 6. Saleh Ghazali 17:08.7;... -
Hagerstown grades out with an 'A' in effort in PONY sectional
Story | Jul 23, 2011 | 8:33 PMHagerstown A advanced to the championship round of the Pony League Section Tournament by beating Hagerstown B 19-3 on Saturday night at Funkhouser Park. The game was halted after 4 1/2 innings because of the 10-run rule. Hagerstown B will try to stave... -
Hagerstown B upsets A at PONY region tourney
Story | Jul 30, 2011 | 8:12 PMSaturday, July 30, 2011 YOUTH BASEBALL BOARDMAN, Ohio — The Hagerstown B All-Stars are the only remaining unbeaten team in the PONY East Zone West Region Tournament after a 4-3 upset victory over Hagerstown A in the winners' bracket final on... -
Hagerstown B beats A again, this time for PONY region title
Story | Jul 31, 2011 | 8:01 PMThe Hagerstown PONY B All-Stars made the most of their second opportunities against their Hagerstown A counterparts this weekend. Jeff Bennett tossed a four-hitter and Stephen Ashby hit a pair of solo home runs to lead Hagerstown B to a 6-4 victory... -
Blogging live from Titans-Ravens: Inactives
Blog | Oct 5, 2008 | 4:22 PMThe inactives for today's game are: Titans: Josh Miller P, Paul Williams WR, Justin Gage WR, Reynaldo Hill CB, Chris Henry RB, Mike Otto OT, William Hayes DE, Kevin Vickerson DT. Ravens: Troy Smith QB, Samari Rolle CB, Dawan Landry...... -
Robert Rodriguez, Rose McGowan Shopping Women's Prison Pilot
Story | May 28, 2008Networks are getting their first glimpse at "Women in Chains!" a self-explanatory female prison pilot to be directed by Robert Rodriguez and star Rose McGowan. The good folks at AintItCool.com first broke the story that the spec script by Josh Miller and... -
October 2009: Erin Flynn
Story | Apr 5, 2009When Hampton Christian's baseball players look at their schedule each year, the 500-pound gorilla lurking there is Greenbrier Christian Academy. The Chesapeake school is a baseball powerhouse, one that's poised to become the top-ranked team in South...


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Try a Spa Day!
For the past couple of weeks, we've talked about a lot of DIYS. Manicures, pedicures, you name it! This time, I want to talk about things you can do outside your house. Going to the spa or a local salon can be just as lovely as DIY projects, and it's nice to have days where you get out and go get something painted, cut, steamed, etc. Of course, going out costs more money, but there are of salons, lots of procedures, and lots of price ranges!
Facials are a great place to start if you want to head out to a spa. Now, depending on where you go, prices will range and so will the products. You can get a teen facial, facials for aging skin, or have the dead skin removed from your face to leave the skin underneath softer and healthier. I don't suggest you go under for a harsh chemical peel; you can literally get chemical burns on your face from these! Make sure you ask your esthetician what she's using before you let her put anything on your face. My girl uses NuSkin only; it's an all natural, gentle line of products. You can check them out for yourself here.
Besides peels, basic facials are a great way to go. These usually involve cleansing, exfoliating, and using a mask. Some places also have steam machines that create gentle steam from purified water, which helps the products you're using sink into your skin. You should always ask if it's safe to use that first, and mention any skin conditions you have, or if your skin is particularly dry.
You can always choose from a variety of products; some women like Proactiv, some like all-natural options. There are estheticians across the country that use only organic products, but they're pretty rare. If you want to use stuff like that, you might want to bring your own, or just settle for at-home facials, sorry! Not to say that a little hunting won't turn up a gal who takes pride in using only all-natural products, but it isn't exactly run of the mill.
There are all kinds of facials, and all kinds of prices. The facials I get are generally $35 apiece, which isn't bad at all. Other treatments can get into and above $100. Make sure you ask for a list of prices before you get anything done, otherwise you might get a facial that costs more than you can afford!
No matter where you go, there are general rules for every kind of treatment. Peels usually require no makeup and cool water only for up to a day. You shouldn't wear makeup or use particularly harsh acne medications after most facials, either. Also, don't ever, ever forget your sunscreen! It's important all the time, but especially if your skin is a bit exposed or sensitive after a facial or peel.
If you've got the time and money, get yourself out of the house and go get a facial. They're relaxing and keep your skin looking and feeling great. You just have to shop around for the best esthetician and kinds of treatment.

subset: commoncrawl


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summer swatch book
Come see the summer swatch book at The Rowayton Farmers Market at Pinkney Park, Rowayton, CT every Friday 2-6pm!
Rowayton River Ramble
Anchored will be at the River Ramble tomorrow! Come and enjoy some fun, food, games and shopping!
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Donald Kaufman, Farrow & Ball, Fine Paints of Europe, Benjamin Moore and Pratt & Lambert
London Paint & Design Co. of Chelsea
"Much more than buying a tin of paint and color selection help, an experience #InColor."
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Learn more about London Paint & Design Co. of Chelsea


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Archive for the 'Dingle' Category
Around Dingle With a Paunch
I came across this video on a very cool blog: Around Britain with a Paunch. I think it's a nice tour (see the original post for more). Naturally quite thrilled to see we're included!
The Beauty Around Us
The cold snap seems to have finally left us, at least for the moment, but nature really outdid itself over the last weeks. We were lucky enough not to have any flooding or burst pipes, and the roads in Dingle town remained mostly clear of snow and ice.
Reading about the disruption to the rest of the country, and looking at images on the news bore little relation to what I experienced.
We had still, beautiful days, with the water like glass. We had snowy mountains and and an extremely quiet and peaceful Dingle town. We had sunsets more beautiful than I have ever seen, and flocks of birds that descended on us, escaping the cold further North and East.
I don't know, in the future, how this winter will be remembered. I know there are many who have suffered with the cold, with lack of water, with loss of custom, and with isolation due to closed roads. I, however, luckily protected in this little corner of Ireland and semi-idle this time of year, will remember the stillness, the wet smell of snow, and the amazing sights that came with a different face of nature.
A Very Special Camphill Christmas Play
We've had a Camphill Community here in Dingle for a few years now, and I wouldn't be the only one who thinks having such a wonderful place for special needs people here in our midst has made Dingle a better place. Yesterday I went along to their Christmas Shepherd's Play, and it was heart-warming and a perfect way to get into the spirit of Christmas.
I hope you enjoy the photos above.
Happy Christmas and/or a festive and happy holiday season to all!
Farmer's Market on the Move?
It looks like there might be a possibility that the Friday morning Dingle Farmer's Market might move, at least for next summer. It used to be on the Tracks, next to the back of Garvey's Supermarket, but the traders lost access to the site. For the last few months, it's been held in Dykegate Lane, in what used to be the old whole foods shop, which has the huge benefit of being inside but is a little quiet, according to some of the traders. Perhaps that's simply because not enough people know it's there. Recently, Kerry County Council has taken an interest (due to pressure from the Green Party nationally to facilitate farmer's markets), and they are suggesting a move to the parking lot on Holyground. I hate to see more parking lost, but here's hoping we find a solution that makes everyone happy!
Technorati tags: Dingle, farmers market, Kerry
Dingle Just Might Exist Again in Future!
It's been a long, long road road, but the end might be in sight. Yes, five years after Minister Ó Cuiv announced that Dingle didn't exist, and almost four years after a plebiscite where the town overwhelmingly voted for Dingle/Daingean uí Chúis, it looks like there is some forward motion on the name, seemingly mostly due to Jackie Healey Rae, who insisted on it as part of joining the government. Mind you, supporters of the Dingle/Daingean uí Chúis name have been hopeful on this before and wont really believe it until it is in law.
Still, the Kerryman has a story that Minister Gormley met with Joe O'Toole and will attach a provision on the name to a bill regarding the Dublin Mayoral election. It should be published by Christmas and signed into law in the Spring.
It would be great to see the back of this issue and get on with things, and it would be a big relief if the will of the people was recognised.
A Belated Festival Roundup
I can only say in my defense, about the delay in writing about last weekend's Dingle Food and Wine Festival, that it was such a good weekend that it's taken me this long to recover! Bibliocook was fast off the mark, and of course there have been newspaper articles since, including this one.
Still, as one of the organisers, I have to say it was quite astonishing to watch it all unfold. This is the third year, and it's grown every year. Recession? Taste tickets sales were up 50% this year. In fact, we have figured that there were 17,000 portions of food sold over the weekend, and that doesn't include shops or the markets!
My favourite part of the food festival is the taste trails, and there were a huge increase in venues over the last year. From wine tastings to shark grilled on the pier for charity, there is such a variety of nibbles and such good value. If I hadn't been so busy in the shop, I could have spent the whole days wandering the markets and the taste trail. It was foodie heaven.
I was lucky enough to have a sublime meal as well at Out of the Blue, with excellent company, and walking back from the restaurant, the moon was full, and the night was perfectly clear and still. Pauline Scanlon was singing with Tommy O'Sullivan in the Marina bar, there was a barbecue still in full swing at Murphys Pub, and the street was full of relaxed, happy people. It was one of those magic nights that one wishes would never end, and for me it didn't end for a long time.
That's one of the reasons for this belated post. Who cares, though! Well done to everyone who helped make it happen, and there were hundreds. A special thanks to Martin and our own Niamh. Roll on next year!
2009 Food Award Winners Announced
The winners have been announced for the 2009 Blas na hÉireann Irish Food Awards after an awards ceremony in Dingle (that's Peter Ward of Country Choice above, who was the MC).
Congratulations to the winners. Even though I've been less involved this year because of the baby, it's amazing to be a part of it and see the variety of foods around Ireland.
The Supreme Champion this year is an Irish ice cream company, Silver Pail Dairy. Well done! (By the way, they are also Murphys, and according to my father are cousins – linking back to my great grandfather in Kiskeam, Co. Cork).
Congratulations again to ALL the medal winners. The full list is here.
Hopefully next year we will have an on-line component to the awards. I think it would be very strong if consumers could nominate their favourite products!
You are currently browsing the archives for the Dingle category.


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Select a tag to browse associated projects and drill deeper into the tag cloud.
The Irrlicht Engine is a high performance real-time 3D engine written and usable in C++, and also available for .NET languages. It is completely cross-platform, using D3D, OpenGL, and its own software renderers.
The Lol engine and tools are a highly portable collection of frameworks and utilities for graphics rendering and physics simulation targeting games and graphics tools.
Kochol Game Engine(KGE) is an object-oriented hardware accelerated 3D Game engine. Easy to use and powerful engine for cutting edge games.
The SoftPixel Engine is an OpenSource high level realtime 3D engine for C++ (GNU C++ & VisualC++). It supports OpenGL 1.1 - 2.0, Direct3D9, Direct3D11 and its own SoftwareRenderer and runs on Windows and Linux!
Initially intended to be entirely based around 3D graphics in Scala, Sgine has expanded to provide additional functionality for high performance interactive applications.
A lightweight, cross platform rendering and game engine implemented in C++ and released under the MIT license.
PodiGoat Core 3 is a open-source framework written in Delphi language. It owns unique interfaces allowing to manage and control almost all part of engine. PGCore3 can be used as a main framework for any kind of 2D or 3D games and interactive applications.
Copyright © 2013 Black Duck Software, Inc. and its contributors, Some Rights Reserved. Unless otherwise marked, this work is licensed under a Creative Commons Attribution 3.0 Unported License . Ohloh ® and the Ohloh logo are trademarks of Black Duck Software, Inc. in the United States and/or other jurisdictions. All other trademarks are the property of their respective holders.


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I think it will be ok before test #13.
This is how an Album Cover shows in the feed:
And now: The Album contents:
This is a child album
It's parent is "Second album"
It's parent is "Second album"
And now: The Slideshow:
RSS Test 12 U
First album
This is the description of the first album. It has a € sign in the description.
Album # 4
This is album four. It has (') and (") quotes in its description as well as html.
A contribution from wlukas
This album displays the thumbnails in the alternative size
And a single picture:
That's all folks!
I told you it would be ready before test #13, didn't I?


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Sorry for the late post, but I just walked in the door after a loooong day of jury duty. I REALLY wish I could discuss the case, but no such luck.
In other news, my new job is going great! I think I mentioned it in the last blog, but I'm now teaching reading at a local middle school. It's fun sharing my love of reading with kids. We just finished a lesson on urban myths which made me crave trying my hand at a paranormal. One thing about the Har. Am. line that I miss, from a readers' standpoint, are the great spooky reads. Anyone remember some of Anne Stuart's? Anyway, seeing how I enjoy featuring kids in my stories, it's big fun being with kids all day! Although it has been tough fitting in writing time.
If anyone happens to be in the OKC area this weekend, I'll be signing copies of my January anthology with Merline Lovelace and my best bud, Margaret Daley. Margaret just retired from over twenty years of teaching, and it's like some alternate universe thing for her to now be off from school and me to be teaching!
My own kids are doing great! Daughter's getting ready to attend UCA's National Cheerleading competition in Orlando. The boys aren't too happy about her getting to go to Disney again. Last year, I went with her and had a blast, but with this being my first year of teaching, I was too afraid to ask my principal for a week off!! (This month's pic is of Daughter and a friend during last year's trip.)
Hubby's been traveling a lot. Last week, he was in DC, and next week, he's off to Napa.


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- October 31, 2012
- 11:51 a.m.
- Suggest removal
- Reply to this post
donkeydrone writes:
in response to rasputin:
I'm sure the right wing cracks will endorse this as legitimate molestation.
Whats the matter you mad because you didn't get caught? You would rather them catch the person after having molested your child and messing them up for life? Well good for you, I would rather them caught like this than messing up a kids mind for life.
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Asphalt and bitumen
Financial pressures on the building and road construction industries, in combination with the drive for materials with improved performance, are increasing the need for a greater understanding of the factors affecting product performance. Rheological and particle characterization data are proving valuable in the prediction of product behaviour and in producing material.
In this section
Asphalt industry In order to improve the life performance of asphalt road systems, pavement failures such as rutting, pushing, shoving; thermal and fatigue cracking must be eliminated or minimized by design. Knowing the rheological properties, or viscoelastic behavior, of the binder are the keys to understanding and predicting pavement performance over a wide range of climatic, environmental, traffic and loading conditions. The measurements of rheological properties are also the most accurate method of comparing competitive products, formulation variation, and even effects of additive interactions.
Cement industry The properties of cement are directly dependent on the rate of hydration of the product. This is a function of specific surface area, or more accurately particle size and particle size distribution. Overgrinding - to ensure that the product meets the required specification - is a common problem in this energy-intense industry. It results in unnecessarily high variable costs, waste and compromised throughput. On- and at-line particle size measurement allows cement manufacturers to deliver more consistent products, and improve both transient and steady state control; thereby reducing associated cement milling costs.


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Efficiency, Excellence, Innovation
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Robot Lab Systems for Aqua Regia
Robotic and automation systems are providing the right answers for the analytical laboratory market. Robotic aqua-regia system conduct complex analysis from provided soil samples.


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Gerald Levert
Gerald Levert
Groove On
Original Release Date: 1995
Track Listing
1. Groove On
2. Rock Me (All Nite Long)
3. Let the Juices Flow
4. I'd Give Anything
5. Answering Service
6. Someone
7. How Many Times
8. Can't Help Myself
9. Have Mercy
10. Same Place, Same Time
11. Nice & Wet
12. Love Street [*]
Gerald Levert: Arranger, Vocals, Vocals (Background), Producer, Liner Notes, Vocal Arrangement
David Foster: Arranger, Keyboards, Producer, String Arrangements
Larry Abramovitz: Violin
Davis A. Barnett: Viola
Randy Bowland: Guitar
Patricia Brown: Violin
Greg Charley: Vocals (Background), Producer, Mixing
Felipe Elgueta: Engineer
Glen Estrin: French Horn
Jack Faith: Flute
Simon Franglen: Synclavier Programming
Marc G.: Arranger, Drums, Keyboards, Vocals (Background), Producer, Sequencing, Keyboard Programming
Claude Gaudette: Synthesizer, Programming
Larry Gold: Cello
Mick Guzauski: Mixing
Brandon Harris: Assistant Engineer
Ted Jensen: Mastering
Dwayne Jones: Engineer, Mixing Assistant
Dwain Mitchell: Arranger, Producer, Drum Programming
Edwin Nicholas: Arranger, Drums, Keyboards, Producer, Sequencing, Keyboard Programming
Jean Perrault: Violin
Dave Reitzas: Engineer
Jim Salamone: Engineer
Gerard Smerek: Mixing
Tony Smith: Synthesizer, Programming
Barbara Sonies: Violin
Arthur Stoppe: Engineer
Pete Tokar: Engineer
Warren Wiebe: Vocals (Background)
John Winston: Vocals (Background), Producer, Mixing
Ruth Wright: Viola
Troy Patterson: Keyboards, Drum Programming, Mixing
Mike Tarsia: Engineer, Mixing
William Ross: String Arrangements
Ron A. Shaffer: Engineer, Mixing
Gordon Rice: Assistant Engineer, Mixing Assistant
Ruven Afanador: Photography
Elizabeth Barrett: Art Direction, Design
Bonnie Ayers: Violin
Olga Konopelsky: Violin
Emma Kummrow: Violin
Mark Ward: Cello
Michael Goods: Keyboards, Drum Programming
Paul Smith: Assistant Engineer, Mixing Assistant
Paul Hammond: Assistant Engineer


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28 August 2011
Cedilla inventiveness
And this month's award for Most Creative Use of a Diacritical Mark goes to this, er, offering from the town council of La Roche-en-Ardenne in southern Belgium. Try pointing to canine residue with an umlaut; it just ain't the same.
Spelling fail revisited
Looks like an inability to spell "chocolate" is not restricted to Anglophones. This was spotted in Belgium.
. Of all places, you'd think they'd be able to spell "chocolate" there.
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- February 26, 2013
- 3:51 p.m.
- Suggest removal
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Accidental writes:
NilesKnox, what an extremely ignorant thing to say. From your response it sounds like you own a liquor store in Tennessee. Wine sold at grocers does not automatically put the wine in the 'cheap' category. I've seen fine wines at grocers all around the states. Fine grocers (i.e. Fresh Market) have very nice selections that challenge the better liquor stores. I went to a North Carolina Fresh Market that not only had wine paring suggestions with their prepared foods, but also vintage reserve wines that were at a much better price than what I can get from a local liquor store.
Besides, I've been to plenty of liquor stores in Knoxville that seem to only contain sub-12.99 bottles of wine, with 50% of their wine selection being boxed wine (*cough* on Clinton Highway *cough*)
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a1 School of Health and Social Care, University College Chester, Parkgate Road, Chester CH1 4BJ, UK
Objective To explore the quality (accuracy, balance, practical context) of tabloid articles reporting on nutrition research, and public attitudes towards it.
Design A qualitative multi-method study consisting of a systematic analysis of tabloid articles and a series of focus groups with members of the public.
Setting Tabloid newspapers (nationwide). Focus groups were conducted at a UK university.
Subjects All UK tabloid newspapers were collated for a full calendar month. Members of the local Women's Institute and non-teaching staff within the University College Chester were recruited as focus group participants.
Results Twenty-nine tabloid articles were included. A standardised TAT (Tabloid Analysis Tool) was used a total of thirty-nine times (once for each research study cited). Twenty-six failed to accurately report research results, thirty-six failed to mention significant research limitations, and only five quoted a third-party expert source. Two focus groups, each with eight participants, were conducted. Attitudes expressed were largely negative, highlighting elements of confusion and scepticism. Articles were more likely to be disregarded than acted upon, although some value was attached to newspapers providing nutrition information.
Conclusions Tabloid reporting on nutrition research is not sufficiently accurate, balanced or contextualised, and public attitudes towards the reporting are not wholly favourable. Guidance for journalists via registered dietitians and a strengthening of present links could serve to utilise this form of mass media more effectively.
(Received February 23 2007)
(Accepted October 24 2007)
List of Figures
Fig. 1 Number of articles (n 39) assessed with the Tabloid Analysis Tool by origin (, Daily Mail; , Daily Express; □, The Sun; ▓, Daily Star; ▪, Daily Mirror)
Fig. 2 Attitudes expressed by the focus group participants
The public's desire for information on nutrition is increasing(1), yet we have little knowledge regarding public attitudes towards what information is presented by the media nor how accurate the reporting is in relation to the research to which it refers. Tabloid newspapers are a popular form of mass media within the UK. The public has quoted the print media as a key source of information on nutrition(2,(3). However, there is a lack of empirical research that has examined the quality of nutrition research reported in the media. For the purpose of this study, 'quality' of reporting is judged on whether the report concurs precisely with the original research study, if it remains unbiased not giving a misleading view of the research, and whether it provides practical contextual information for the public. The present qualitative study examined the quality of tabloid articles reporting on nutrition research, and public attitudes towards them.
Tabloids account for 75 % of all daily UK newspaper sales(4). A UK Food Standards Agency consumer survey(5) and a European study(3) stated that the public identified the media (press) within its top two sources of information on food and healthy eating. Bubela and Caulfield's research(6) concluded that the media provides an accurate reflection of what is conveyed by the research community, whereas Henderson et al.(7) and Philo et al.(8) suggested that the media can be inaccurate. Stryker(9) stated that 'inaccuracies resulting from the decontextualised and sensationalised manner in which stories are reported are conceptually distinct from, and occur with greater frequency than, actual errors contained within the story'. McBean(10) and Wellman et al.(11) proposed that newspapers favour reporting preliminary research which, without supplementary explanation, can oversimplify/overstate inconclusive findings. Guidelines on communicating scientific findings state it is vital to convey that research is evolutionary and not revolutionary, i.e. highlight where a single study falls on the research continuum(12). Including the expert opinion of a third party is recommended to support journalistic balance when reporting research(13).
Borra et al.(14) concluded that 'most nutrition news failed to provide contextual information'. McBean(10) argued that a lack of context is largely responsible for the public's confusion over what they should eat. Registered dietitians are equipped to interpret emerging nutrition research for the media(1). Possible inaccuracies and insufficient practical context questions the value of nutrition information via the print media in terms of health literacy, i.e. the capacity of individuals to obtain, interpret and understand health information in ways that are health-enhancing(15).
There is a lack of information regarding the public's attitude towards nutrition information featured by the print media. Attitudes are constructed via three components: cognitive, affective and conative(16). Briefly, these components cover thoughts regarding an object, feelings towards the object, and disposition to action regarding the object. With regard to the cognitive component, views within the literature(10,(17,(18) suggest the public is commonly confused by health-related information conveyed by the media. For the affective component, a consumer survey(19) found that 75 % of respondents reported that sensationalism in the media affected their trust in the news. Distrust might be linked to the public's unfamiliarity with the scientific process(10). Frewer et al.(20) suggested that an individual's attitude towards a topic, prior to reading a report, will also influence trust and opinion. In respect of conation, Russell(21) suggested that attitudes might be considered a poor predictor of behaviour, but Goldberg(22) believed media influences to have largely contributed towards some changes in public food consumption patterns.
US guidance on cascading nutrition research to the public was issued in 1998(23), updated in 2005(12). Currently the UK has no guidance documentation in place.
Two research questions were addressed in the present study:
These questions were addressed through two studies. The first comprised a systematic analysis of tabloid newspaper clippings to determine the accuracy of reporting and the second involved focus group discussions held with members of the general public who were presented with original tabloid articles to assess their attitudes to this reporting.
Tabloid reporting of scientific nutrition research articles was assessed for accuracy using a specially devised tool, the Tabloid Analysis Tool (TAT) (see Appendix). No existing tools were fit for the purpose of assessing the accuracy, balance and contextual information of tabloid reporting of nutrition research articles. A tool devised by Hackman and Moe(24), and guidance issued by the Harvard School of Public Health and the International Food Information Council (IFIC)(22) and the IFIC and the Institute of Food Technologists (IFT)(12), provided some direction on elements for inclusion.
The TAT was devised to conduct the systematic analysis of tabloid articles. Questions were specifically targeted at determining whether tabloid reports were accurate (with respect to original research), maintained journalistic balance, and contained sufficient practical dietary context. A standard instrument was preferred to facilitate a systematic, unbiased approach to the analysis. Tabloid articles and their related research papers were read fully, and then assessed individually using the TAT tool. The TAT was piloted on ten test articles prior to the main study and was trialled by two impartial parties (registered dietitians) to ensure reliability and validity.
Focus groups are accepted as an appropriate qualitative measure for collecting attitudinal data(25,(26) and the groups were planned and conducted according to best practice guidelines(27). Two tabloid articles were selected for the focus group sessions. These gave examples of very poor and the least poor in terms of reporting quality (determined by TAT assessment). Focus group participants were not informed of the origins of the articles. Following a welcome and introduction, participants were presented with the tabloid articles in turn, and were asked three standard questions for each: (i) If you were to tell a friend/relative about the article, how would you describe its contents? (ii) What do you think of the article? (iii) Would you consider acting upon the advice/following the information? Focus group sessions were conducted over one hour.
All UK tabloids ('red tops', i.e. The Sun, Daily Mirror and Daily Star; and 'mid-markets', i.e. Daily Mail and Daily Express) were sampled over a full calendar month (January 2005) and scanned for reporting of nutrition research. Tabloids were selected owing to their wide readership and mass appeal(4,(6).
For the focus groups, participants were recruited via a purposeful and convenient sampling using the inclusion criteria of adult, willing to participate, non-specialists in food/nutrition, and likely to purchase a tabloid newspaper, given readership characteristics(4). Readership characteristics show that mid-market tabloids are read predominantly by women(28). A quarter of Daily Mail and a third of Daily Express readers are aged 65 years or over(29). Therefore a key group approached for inclusion was the Women's Institute, where both characteristics would be present.
Newspapers were purchased and examined daily for the period January 2005. Articles reporting on nutrition research and providing a traceable source to the original research (journal name, author and/or organisation) were clipped. Where the original research could not be obtained, reports were excluded from the study.
A questioning guide was used within the focus groups to elicit attitudes towards the tabloid articles presented. Participants were allocated time to read articles, and were asked three open-ended questions to generate discussion. An assistant moderator made contemporaneous notes. Focus group data were audio-recorded with digital equipment, and computer software was used to download the data for transcribing purposes. Participants were informed of the audio recording prior to the sessions, and were assured that data would be anonymous and dealt with confidentially.
Tabloid articles were assessed individually by the principal researcher (a registered dietitian) using the TAT. The TAT was used once for every reference made to a piece of research. Data were recorded sequentially on an Excel spreadsheet, and were analysed question-by-question or grouped in order to address one of the three specific parameters (accuracy, balance and context). Focus group data were analysed using a transcript-based method that is accepted as the most rigorous method(30). A 'long table approach'(27) was selected to identify emerging themes.
Thirty-two tabloid articles formed the original study sample; twenty-nine met the inclusion criteria for the study. A number of articles referred to more than one nutrition research study and therefore the TAT was used a total of thirty-nine times, once for each reference made to a locatable research study. Figure 1 shows the number of occasions that the TAT was used throughout the study stratified according to origin.
Fig. 1
Number of articles (n 39) assessed with the Tabloid Analysis Tool by origin (, Daily Mail; , Daily Express; □, The Sun; ▓, Daily Star; ▪, Daily Mirror)
Twenty-six articles did not accurately convey the original research results. Fourteen reported the study's sample size but only five did so accurately. Twenty-seven articles used headlines that were inconsistent and therefore deemed inaccurate with respect to the original research, e.g.
Nineteen articles attributed information to the research that could not be found within the original manuscript.
Twenty-five articles selectively reported the original research results. Thirty-six gave no mention of research limitations. Five articles provided a third party quote/comment on the research reported, while six made specific statements that were not qualified by a valid professional/academic source.
One article quoted a registered dietitian and one quoted a nutritionist (though not identified as registered). Five articles stated the name of an organisation or suggested seeking further information from a health/medical professional. Twenty-two articles reported preliminary studies and did not explain how the results related to practical nutrition and dietary recommendations.
Two focus groups were conducted, each with eight participants. The focus group data are illustrated as key themes that emerged within the three recognised domains of attitude formation (Fig. 2).
Fig. 2
Attitudes expressed by the focus group participants
Some differences in participant comprehension were observed. There was widespread agreement in both groups that the information was potentially misleading, but not necessarily inaccurate. Participants' feelings were largely negative, although several agreed there is value in newspapers reporting nutrition information. Participants' intentions to act on the information were negligible, due to a lack of conviction regarding the material, its source, or lack of individual applicability. The articles carried some interest for participants, but mainly as general interest.
The present study supports the perception that tabloids are sensationalistic to the point whereby the information given is rarely balanced or sufficiently contextualised to be of practical or evidenced use. The majority of research results were reported inaccurately, and headlines were inconsistent with the true nature of the original research reported. This challenges journalistic ethical responsibility outlined by Keeble(31), and supports arguments which uphold that media coverage of medical science is characterised by inaccuracies(9,(32).
Opinions within the literature suggest the public is confused by the media's portrayal of health messages(10,(18). Public attitudes towards the reporting of nutrition research observed in the present study were not particularly favourable. Focus group participants expressed uncertainty in their understanding of the tabloid articles; an unsurprising finding given that analysis from the TAT highlighted deficiencies in the provision of practical context.
In contrast to the findings from the TAT, focus group participants did not question or mistrust the factual accuracy of the information presented, although they did believe information could be presented misleadingly. Some value was expressed towards the provision of nutrition information via the print media, but dramatic headlines and sensationalism clearly limited the application of this information beyond a point of general interest. The relationship between the three attitudinal domains was widely apparent, supporting findings within the literature(18) that those who express confusion or negative feelings towards media articles are most likely to disregard them.
Although the majority of research reported in the tabloids was preliminary and not conclusive, focus group members did not appear to comprehend the evolving nature of research. Expression of the conditional nature of most research findings is perhaps incompatible with the tabloid disposition to print sensational certainties. Newspapers are not medical journals, but journalists could employ simple measures to aid the public's comprehension here.
Data generated from the TAT and focus groups identified a lack of practical dietary guidance. Dietitians and other expert third-party sources were poorly utilised, and could have added valuable context. The IFIC and IFT(12) recommend journalists translate the latest nutrition research into what is on the public's dinner plate, a fundamental skill practised by all dietitians. Providing context in reports may be limited by available column inches; however, journalists could signpost to relevant organisations/health professionals.
A limitation of the present study was that it did not distinguish whether journalists base their reports on original research manuscripts or press releases. Journalists are encouraged to obtain the full manuscript(33), as press releases are noted to fail in reporting study limitations and exaggerate study findings(34). Although this information may have been helpful in appreciating where inaccuracies occurred, it does not diminish the key findings of the study. The data collection period for the tabloid articles coincided with a global disaster, which may have reduced the volume of reporting related to this topic area. A further limitation of the present study was that it did not explore possible diversity in readership between 'mid-market' and 'red top' tabloids. The articles obtained were largely from 'mid-market' tabloids, noted to have readership from a wide spread of social classes; however 'red top' tabloids have a greater proportion of readers from the lower social classes(29).
Within the qualitative literature there is no numerical consensus regarding how many focus groups are required to make data viable(25). The multi-method nature of the present research, available time and resources restricted the number of focus groups run; however the key themes that emerged were widely evident in both groups, indicating that a saturation point was reached(27).
The present study highlights cause for concern regarding the quality of tabloid reporting on nutrition research. Furthermore, it illustrates that attitudes expressed by members of the public are not favourable. There is some value attached to newspapers providing nutrition information; inferring that efforts to more effectively use this media would not be in vain.
The British Dietetic Association recently launched a media 'hotline' for journalists and a 'hot topics' section on its website. Both will strengthen links between dietitians and the media. However, the present study shows that best practice guidelines need be developed for the British press to improve the quality of reporting on emerging nutrition research.
Tabloid newspapers are a popular form of mass media in the UK, offering a significant opportunity to reach the wider public with key nutrition and health messages(35). The present study highlights that the current quality of reporting nutrition research is inadequate, and public attitudes towards it are not favourable. Despite these criticisms, members of the public believed there is value in newspapers conveying such information, inferring that future opportunities to more effectively use this medium are worthy of attention.
There is a missed opportunity in tabloid reporting to give authentic dietary advice to the public. Registered dietitians could be more readily accessed by journalists to comment on the intended public release of controversial dietary findings.
The present article describes an exploratory study and clearly the research questions should be investigated on a larger and more representative sample. The TAT has proved to be a functional tool and could be used to examine, for example, other UK newspapers (broadsheets) to explore whether similar inaccuracies exist there.
The motivations and competencies of journalists are under-researched. A research question worthy of exploration would be 'Are journalists who are tasked with reporting scientific research sufficiently knowledgeable/trained to précis and represent scientific articles?' Public responses to sensational and inaccurate reporting could be explored on a more representative sample through a questionnaire survey.
There are no conflicts of interest. The Food Standards Agency Wales kindly funded book vouchers as incentives to encourage focus group participant attendance. The first author wishes to acknowledge Professor Hogard for her guidance as supervisor for the study, and also the North East Wales NHS Trust Dietetics Department for their support and allocation of employment time to undertake this research.
Appendix – Tabloid Analysis Tool (TAT)


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Export coal destined for Lamberts Point, VA.
Train in a picture. A solid van train barrels down the 2 1/2 mile straight away between signals 302 and 304.
Westbound empty ethynol train 65R rolls past a field near MP 301 with NS 7690 and CN 5656.
An empty hopper train rolls west past a farm in Hillside.
NS I4V rolls east thru Hillside, PA with a solid train of empty's well and spine cars.
A westbound empty hopper train passes under the old PRR signal at MP 302, just east of Hillside
A set of Conrail painted helpers shove a late day eastbound by a cornfield in Hillside
A westbound train runs past the new signals at MP 304 in Hillside, four miles west of CP Pack


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There is a huge net savvy community out there who has shunned the real word for the virtual world. They socialize online, work online and even shop online. This trend has given rise to a lot of online businesses opening up. A major hunk of the market had moved online and people seldom go to shops today. There are sites selling clothes, books, footwear, utensils and even electronic gadgets today and it is easier for the average consumer to buy things online. What's more? You can buy all that you need at discounted prices and it will be delivered to you free of charge.
Now, to start an effective online business, you need to have an idea first. If you can get an investor for your business, there is nothing better. But always remember that you have to sell your idea to the investor because that is what the investor will be investing in. Even if you cannot find an investor to financially fuel your business, there is nothing to worry about. You can still start on a smaller scale and take it further from there.
Coming back to the basics, make sure you have a very solid original idea to form the foundation for your business. Once you have that, you need to design a website for your business. If you are well versed with the art of web designing, you can go ahead and design your own site. If you are not, then you can find a professional designer for yourself who can do all the designing for you. Just make sure that the designer shares your views as this will ensure optimum results. You will be able to impart your idea perfectly to the designer if both of you think on the same level.
Once you have your website, you can go ahead and register a domain name for your website. There are a lot of registrars or domain name registration companies out there who can help you out with that. These companies offer different packages at different prices. All these packages are offered at nominal costs. Basically, the domain name registration companies have servers on which they offer you space. You can think of this space as a virtual piece of property. This is your own unique address on the internet. Once you have your own domain name, you are all set to start.
Once you start your online business, your progress depends on how you market it. Social media platforms such as Facebook, Twitter and Pinterest are great marketing tools which can be used for free. Apart from this, you can also create and maintain a blog which provides constant updates about the field of business you are in. This will help you ensnare a strong base of readers who can later become potential customers. Professional network building sites such as LinkedIn are also great places to track consumers as well as partners.
Once you have registered yourself and built yourself a client base, half the battle in won. Your business is all set to start and you need to pay attention towards running it. Keeping your customers satisfied will get you word of mouth marketing which can be great for your new online business. These are pretty much all the aspects of starting an online business. Like everything else, it is important to start off with your idea and everything else will fall into place with time. Always remember that there is a market for every product and service out there and you just need to keep your customers happy for your business to flourish.
Author Bio:
Jenna started her own online business about a year ago. She started making her own junk jewelry at home and when she found out the there are people to buy. She then created her website and got her domain name registration done. Her business has grown at a remarkable pace ever since and earlier she use to work for http://domains.bookmera.com/


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Find better matches with our advanced matching system
—% Match —% Friend —% Enemy
24 / M / Bisexual / Seeing Someone
Lawrence, Kansas
Profile Photos
Album details
Masc. day with new hair. ^.^
Sometimes, you just have to hug your bottle of jack and hang on.
Almost a smile.
Obligatory artistic sun streaked shot
Spiky hair!
Music video party, "the humans are dead" by flight of the conchords.
At a wedding


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Revitalize Your Business with a Sign MakeoverYour signs say a lot about who you are and what you do. That's why it's critical that you display the right signs and graphics for your business, event or organization. Sign makeovers from FASTSIGNS® can help make a big difference in your success. Whether you want a few simple updates, or are in need of a complete sign and graphics makeover, we work with you to understand your specific sign needs. FASTSIGNS® makes it simple for you to bring your creative ideas to life or, we can design something customized to your specifications. Keys to an Effective Sign Makeover
* Based on a Direct Marketing Association study on color |


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Wednesday, November 1st, 2006
Complete Obituary
Alvina Thieman
Alvina Thieman, 92, 2184 Amsterdam Road, Minster, died Oct. 31, 2006, at Heritage Manor Nursing Home, Minster.
Arrangements are pending at Hogenkamp Funeral Home, Minster.
Additional obituaries for this date
Weather forecast
for Sunday:
Mostly cloudy, snow
for Sunday:
Mostly cloudy, snow


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- December 8, 2012
- 10:34 a.m.
- Suggest removal
- Reply to this post
olereb writes:
they're going about it all wrong, They need to advertize free food stamps, healthcare,Money to re-start a new life. 50 % off on any fees that normal legal citizens pay.
Want to participate in the conversation? Become a subscriber today. Subscribers can read and comment on any story, anytime. Non-subscribers will only be able to view comments on select stories.


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Two locals become first inductees into Band of Ten Thousand Aches Hall of Fame
Earlier this month Northfield's Band of Ten Thousand Aches — an aging adult running club founded in 1989 — inducted longtime Northfield residents David Wee (at left in photo) and Peter Sandberg (at right) as the first members of its Hall of Fame.
It all began when Sandberg, assistant vice president for facilities at St. Olaf College, convinced his running friends to form a club/team to compete in the annual Edmund Fitzgerald 100k (62 mile) 8-person-team relay race along the North Shore. For years Sandberg ran the difficult pre-dawn 20k first leg (12 miles), setting the pace for Northfield's Masters team (over age 40) to regularly finish first or second.
Wee, professor emeritus of English at St. Olaf, raced with the team virtually every year at various distances. Not only is Wee responsible for proposing the group's spot-on name, but he also designed their much-envied t-shirt logo.
BOTTA has expanded its membership and activities over the decades, especially for its regular Saturday and Sunday morning training runs for men and women, and for group travel to marathons all over the country.


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We had the four person room for our family, which is on two floors. Liked its cleanness, simplicity and spaciousness. Parking under the hotel is good value at €5 per day. Well located for shops, bars and restaurants. On a warm summer night, with the windows open, we could hear the church bells ringing (every quarter hour), but didn't find... More
- Reservation Options:
- TripAdvisor is proud to partner with Booking.com, Priceline and Asiatravel.com Holdings so you can book your Hotel Feuerbach im Biberturm reservations with confidence. We help millions of travellers each month to find the perfect hotel for both holiday and business trips, always with the best discounts and special offers.


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Penn State Greater Allegheny has been registered and approved as a training institution by the Department of Public Welfare for purposes of Chapter 2600. Our 120-hour standardized Department-approved curriculum for Nursing Home Administrators provides the core program required for individuals interested in receiving licensure. In addition, the courses can satisfy PA State Nurses Association Contact Hours.
Prior to employment as an administrator, a candidate must successfully complete a 120-hour training course. Current administrators must complete 48 credit hours of continuing education approved by the Pennsylvania State Board of Examiners of Nursing Home Administrators or the National Association of Boards of Examiners of Long Term Care Administrators (NAB) and renew their licenses bi-annually. (Continuing eduation is required for license renewal.)
Spring 2014
Classes will be on Thursdays and Fridays, March 13 through May 2, 2014, from 8:30 am to 5:00 pm.
For more information, contact:
Continuing Education (412) 675-9040 or
Academic Affairs (412) 675-9052
firstname.lastname@example.com or firstname.lastname@example.com


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Simply put, Top of the Town awards are a lousy way to sell advertising. Don't believe me? Consider that eight local jewelers regularly advertise in 5280. But our Top Jeweler category only has two winners, one chosen by readers, the other by our editors. Which means that in the next few days I can expect calls from at least six angry clients (and their wives and their friends and their loyal customers). Multiply that by more than 140 categories and you'll start to see why our sales reps dread answering the phones in the days after Top of the Town hits the streets. Of course, smart advertisers understand that Top of the Town is the best place for their message, as this issue of 5280 will sell nearly 30,000 copies on the newsstand alone, which means in Denver it will outsell InStyle, Oprah, and US Weekly combined. They understand that Top of the Town is firmly entrenched as the premier "Best Of" guide in Denver, meaning that readers will refer back to it again and again throughout the year ahead.As an aside, it's fun to see just how much we've grown since I wrote that column. Back then, we were proud to have received 21,000 votes in our Top of the Town balloting. This year, we topped 97,000 nominations. Top of the Town 2009 will hit newsstands in late June. It promises to be a great issue.
[1] http://www.5280.com/tag/authors/daniel-brogan
[2] http://www.5280.com/issues/2005/0506/feature.php?pageID=1672


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the avengers | love actually au (or rom com au, if you will)
↳ The Avengers
Jeremy and Clark helping Cobie with her dress. It's kind of hilarious, lol.
Avengers Day Off
"Where's the Hawk?"
"In his nest."^ LOL Fury would totally see him. I think it's the eyepatch. It's full of secrets.
The Rudest Casts
The Avengers (2012)


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Treatment of Systemic Lupus Erythematosus: An Update
Am Fam Physician. 1998 Jun 1;57(11):2753-2760.
Systemic lupus erythematosus predominantly affects women and is more common in blacks. Although survival rates have improved, over one half of patients with systemic lupus erythematosus have permanent damage in one or more organ systems. Arthritis and cutaneous manifestations are most common, but renal, hematologic and neurologic manifestations contribute largely to morbidity and mortality. Treatment approaches emphasize using a combination of drugs to minimize chronic exposure to corticosteroids.
Systemic lupus erythematosus has fascinated physicians for almost a century and remains the prototypic autoimmune disease. Although it is estimated to affect one out of every 1,000 white persons and one out of every 250 black women from 18 to 65 years of age,1 systemic lupus erythematosus is certainly not the most common example of autoimmunity encountered by physicians. Positive antinuclear antibodies are extremely common in the general population, occurring in as many as 10 to 20 percent of young women.2 Localized autoimmune disorders, such as autoimmune thyroid disease, are also much more common than systemic lupus erythematosus.
Because systemic lupus erythematosus is a chronic disease, patients require extensive health education in terms of their responsibility in managing their condition. This requires compliance with office visits and medications, and lifestyle modifications to reduce or prevent associated problems such as hyperlipidemia, obesity and hypertension. An ongoing partnership between the primary care physician and the rheumatologist is essential in the long-term management of patients with systemic lupus erythematosus.
Etiology and Pathophysiology
The cause of systemic lupus erythematosus remains elusive. Predisposing factors include genetic factors (certain types of human leukocyte antigens and null complement alleles), environmental factors including sun exposure, some drugs such as sulfa antibiotics, and hormonal factors. Systemic lupus erythematosus is more common in blacks than in whites and is obviously more common in women than in men (ratio: 9:1).3
The pathophysiology of systemic lupus erythematosus is not completely understood. The production of abnormal antibodies by B cells remains the hallmark sign of lupus erythematosus. Some of the autoantibodies, such as anti–double-stranded DNA and anti-Smith, are very specific for systemic lupus erythematosus. Others, including anti-RNP, anti-Rho and anti-La, are also present in other autoimmune diseases. Whether the B cells themselves are intrinsically abnormal is a subject of current research. One of the underlying defects in systemic lupus erythematosus may center on apoptosis, or programmed cell death. In patients with systemic lupus erythematosus, cellular antigens exposed during apoptosis incite an immune response.4
Diagnostic Considerations
The diagnosis of systemic lupus erythematosus requires a thorough history, a physical examination and laboratory tests, including a complete blood cell count, chemistry panel and urinalysis. Serologic tests such as antinuclear antibodies, anti-Rho, anti-La, anti-RNP, anti-Sm, anti-dsDNA and antiphospholipid antibodies are helpful to confirm the diagnosis. The American College of Rheumatology (ACR) has developed criteria to classify patients with a diagnosis of systemic lupus erythematosus for research studies (Table 1). Four of the 11 criteria must be met.5 These classification criteria are often helpful clinically, especially since they emphasize the multisystemic nature of the disease.
TABLE 1 Classification Criteria for Systemic Lupus Erythematosus*
Classification Criteria for Systemic Lupus Erythematosus*
Before a patient can be classified with systemic lupus erythematosus, at least four of the following 11 disorders must be present: | |
Malar rash | |
Discoid rash | |
Photosensitivity | |
Oral ulcers | |
Arthritis | |
Serositis | |
Renal disorder | |
Neurologic disorder | |
Hematologic disorder | |
Immunologic disorder | |
Antinuclear antibodies |
*—According to information from the American College of Rheumatology.
Adapted with permission from Tan EM, Cohen AS, Fries JF, Masi AT, McShane DJ, Rothfield NF, et al. The 1982 revised criteria for classification of systemic lupus erythematosus. Arthritis Rheum 1982; 25:1271–7.
Systemic lupus erythematosus is a disease that continues to evolve over time. Thus, a patient who presents with skin and joint disease remains at risk for renal disease even after having lupus erythematosus for decades. Continued monitoring, even when the disease appears to be clinically inactive, is essential. It is very important that a partnership be established between the primary care physician, the rheumatologist and any other physicians caring for the patient. This partnership has been summarized in the guidelines from the ACR.6
The major challenge for physicians managing patients with lupus erythematosus is to treat the active phase without allowing the treatment itself to cause long-term damage. This intent has led to a major change in treatment approach, with the goal of limiting corticosteroid exposure, if possible. As a result, physicians are now less reluctant to turn to immunosuppressive drugs such azathioprine (Imuran) or cyclophosphamide (Cytoxan). Treatment for active systemic lupus erythematosus differs, depending on the organ systems involved and disease severity. Current treatment often includes a combination of drugs.
Musculoskeletal Manifestations
At some point, over 90 percent of patients with systemic lupus erythematosus have polyarthralgias or polyarthritis because of the disease. Nonsteroidal anti-inflammatory drugs (NSAIDs) remain the mainstay of treatment in these patients, especially those who have mild polyarthralgias or polyarthritis (Table 2). It is preferable to avoid the more gastrotoxic NSAIDs, because patients with systemic lupus erythematosus may require NSAID treatment for years and may use NSAIDs in conjunction with other drugs such as corticosteroids, which increases the risk of gastric injury. In addition, NSAIDs may adversely affect renal function, a special concern because 50 percent of patients with systemic lupus erythematosus develop associated nephritis.
TABLE 2 Treatment of Polyarthritis in Patients with Systemic Lupus Erythematosus
Treatment of Polyarthritis in Patients with Systemic Lupus Erythematosus
Drug | Comment |
NSAIDs |
Avoid gastrotoxic NSAIDs; counter with cytoprotective therapy |
Antimalarials |
Hydroxychloroquine (Plaquenil) is the antimalarial drug used most often in the United States; ophthalmologic monitoring is recommended every six to 12 months |
Glucocorticoids |
Individual joints may benefit from intra-articular injection of triamcinolone (Aristospan); severe polyarthritis flare-ups may be treated with intravenous "pulse therapy" consisting of 1,000 mg of methylprednisolone (Solumedrol) daily for three days; use of prednisone for maintenance therapy should be limited to 10 mg or less daily |
Immunosuppressive drugs |
Methotrexate (Rheumatrex) or azathioprine (Imuran) can be used as steroid-sparing drugs; methotrexate cannot be used during pregnancy |
NSAIDs = nonsteroidal anti-inflammatory drugs.
Antimalarial agents, especially hydroxychloroquine (Plaquenil), are frequently used in the treatment of polyarthritis. Hydroxychloroquine is very safe; only 1 percent of patients using it develop retinopathy. Retinopathy as a result of hydroxychloroquine use is usually reversible when the drug is discontinued.
In spite of NSAID and antimalarial therapy, some patients require corticosteroids to control severe polyarthritis. An extremely severe flare-up of polyarthritis can be treated with intravenous methylprednisolone sodium succinate (A-Methapred, Solu-Medrol), 1,000 mg administered over 90 minutes, given daily for three days. This therapy will usually abruptly stop the flare, allowing the patient to stay on a low-maintenance dosage of prednisone. If the maintenance dosage of prednisone is greater than 10 mg per day, additional steroid-sparing drugs can be added to the regimen. Low dosages of methotrexate (Rheumatrex), such as 7.5 mg given orally once per week, are extremely effective. It is now standard practice to use folic acid to counter some of the minor side effects of methotrexate.7 Patients taking methotrexate should abstain from alcohol, because combined use increases the risk of cirrhosis.
Additional musculoskeletal complications of systemic lupus erythematosus include osteonecrosis and osteoporosis (Table 3). Osteonecrosis, also called avascular necrosis of bone, occurred in 14 percent of patients in one study.8
TABLE 3 Musculoskeletal Complications of Systemic Lupus Erythematosus
Musculoskeletal Complications of Systemic Lupus Erythematosus
Osteonecrosis (avascular necrosis of bone) | |
Occurs in 14 percent of patients with systemic lupus erythematosus | |
Most commonly affects the hip joints | |
Early detection requires MRI | |
Core decompression of bone is an effective treatment in early stages of the disease | |
Osteoporosis | |
Occurs in 64 percent of patients with systemic lupus erythematosus | |
Osteoporosis of the lumbar spine is associated with the highest dosage of prednisone and the cumulative effects of prednisone | |
Calcium, vitamin D, calcitonin and bisphosphonates are effective treatments (even in premenopausal women with osteoporosis) |
MRI = magnetic resonance imaging.
The major risk factors for osteonecrosis include a prednisone dosage greater than 20 mg per day for one month or longer, and the presence of Raynaud's disease or vasculitis.8 Avascular necrosis of bone, if detected early by magnetic resonance imaging (MRI), can often be effectively treated with core decompression of bone, an orthopedic procedure.9 Patients with osteonecrosis who present at later stages usually require a total joint replacement. The early detection of avascular necrosis of bone usually requires an MRI scan of the hip.
The same study reported that only 35 percent of premenopausal women with lupus erythematosus had normal bone mineral density.8 Screening for osteoporosis may be indicated in these patients because premenopausal osteoporosis can be effectively treated with calcium, vitamin D, bisphosphonates and/or calcitonin salmon (Calcimar, Miacalcin, Salmonine). Guidelines from the ACR have suggested the use of estrogen supplementation in premenopausal women with corticosteroid-induced osteoporosis, but this therapy has not yet been shown to be safe in patients with systemic lupus erythematosus.10 Ultimately, the risk of osteoporosis can be minimized or avoided by limiting patient exposure to corticosteroids.
Cutaneous Manifestations
Over 90 percent of patients with systemic lupus erythematosus eventually have a cutaneous manifestation of the disease, including malar rash, discoid lupus erythematosus, alopecia or aphthous stomatitis. The usual therapy for cutaneous lupus erythematosus is strict use of sun block, judicious use of topical steroids (although fluorinated topical steroids should not be used on the face) and antimalarial therapy (Table 4). Some patients with very severe cases of discoid lupus erythematosus may not respond adequately to the usual dosage of hydroxychloroquine, which is 400 mg per day for a normal-sized adult. Quinacrine, in a dosage of 100 mg per day, can be added without increasing the risk of retinopathy, or the patient can be switched to chloroquine HCl (Aralen), in a dosage of 250 mg per day.
TABLE 4 Management of Cutaneous Lupus Erythematosus
Management of Cutaneous Lupus Erythematosus
Treatment agent | Comment |
Sun block |
Blocks both UVA and UVB radiation |
Antimalarials |
Use of combination antimalarial therapy (hydroxychloroquine [Plaquenil] and quinacrine) or chloroquine (Aralen), which has more risk of retinopathy, is sometimes necessary |
Dapsone |
G6PD status should be checked |
Retinoids |
Avoid using in pregnant women |
Corticosteroids |
Use of corticosteroids may be necessary as part of initial therapy for severe discoid lupus or for lupus vasculitis; intradermal corticosteroids are helpful for individual discoid lesions, especially in the scalp |
Immunosuppressive drugs |
Methotrexate (Rheumatrex) or azathioprine (Imuran) is used as steroid-sparing drug |
Thalidomide (Synovir) |
One of the most effective drugs for treatment of discoid lupus, but teratogenicity and neuropathy will limit its acceptance and use |
UVA = ultraviolet A; UVB = ultraviolet B; G6PD = glucose-6-phosphate dehydrogenase.
Because chloroquine therapy carries an increased risk of retinopathy compared with hydroxychloroquine therapy, patients taking it should undergo ophthalmologic monitoring every three months. In patients who cannot tolerate antimalarials, dapsone or retinoids are additional therapeutic choices. It is important that glucose-6-phosphate dehydrogenase status be checked in black patients before they begin dapsone therapy. Retinoids should not be used in patients who may become pregnant. Patients with very severe cutaneous lupus erythematosus, including lupus vasculitis, may require high dosages of corticosteroids. If the maintenance dosage of corticosteroids is greater than 10 mg per day, the addition of steroid-sparing agents, such as methotrexate or azathioprine, should be considered. One of the most effective drugs in the treatment of cutaneous lupus erythematosus, including discoid lupus erythematosus, is thalidomide (Synovir); however, because of its teratogenic effects and the increased risk of peripheral neuropathy in patients taking it, this agent will probably never have widespread use.
Renal Manifestations
One of the major worries for physicians and patients with systemic lupus erythematosus is lupus nephritis (Table 5). Overall, 50 percent of patients with systemic lupus erythematosus have some manifestation of lupus nephritis; this figure reached 75 percent in black patients who were followed prospectively by the author.
TABLE 5 Characteristics of Lupus Nephritis
Characteristics of Lupus Nephritis
Occurs in approximately 50 percent of patients with systemic lupus erythematosus |
More common in black people |
Renal biopsy can be helpful in identifying the activity of lupus nephritis and the degree of chronicity (scarring) |
Cyclophosphamide (Cytoxan) is more effective than corticosteroids alone for the treatment of severe forms of lupus nephritis (diffuse proliferative glomerulonephritis) |
Not all lupus nephritis is severe. Patients with milder forms, including mesangial glomerulonephritis and focal proliferative glomerulonephritis, may respond to corticosteroid therapy alone or with steroid-sparing drugs such as azathioprine. However, the patient with rapidly progressive lupus nephritis, with diffuse proliferative glomerulonephritis on biopsy, or severe proteinuria and active urine sediment, will initially need high-dose corticosteroid therapy and should be a candidate for cyclophosphamide therapy. Clinical trials at the National Institutes of Health have been instructive in the development of protocols for the administration of cyclophosphamide with minimal long-term toxicity.11 Cyclophosphamide, in a dosage of 750 to 1,000 mg per m2 body surface area, is well tolerated when given in conjunction with prehydration, mesna ([Mesnex injection], which binds acrolein, a toxic cyclophosphamide metabolite) to avoid hemorrhagic cystitis, and antiemetics. Patients receiving this therapy may later be at risk for the development of malignancies, but the risk of leukemia and lymphoma appears to be very small. Premature ovarian failure is a significant complication and occurs in up to 60 percent of women over 30 years of age.12 Even with aggressive therapy, renal lupus leads to major morbidity and is a major cause of mortality in patients with systemic lupus erythematosus.
Central Nervous System Manifestations
The central nervous system manifestations of systemic lupus erythematosus can present in many forms and are often difficult to diagnose (Table 6). No gold standard diagnostic test currently exists. Characteristic abnormalities are frequently found on brain MRI, lumbar puncture and electroencephalogram. Psychosis and seizures are usually easy to diagnose and respond well to antipsychotics or anticonvulsants, as well as to corticosteroid treatment for systemic lupus erythematosus. However, many patients with systemic lupus erythematosus present with cognitive function difficulties, making it a challenge for the physician to differentiate between what is related to active lupus erythematosus, what is related to corticosteroid treatment, and what may be related to depression or chronic fatigue syndrome. Fibromyalgia, a musculoskeletal syndrome characterized by generalized pain, fatigue and a variety of associated symptoms, is found in as many as 30 percent of patients with systemic lupus erythematosus and is frequently associated with chronic fatigue. Patients with central nervous system manifestations of lupus erythematosus who present with status epilepticus, organic brain syndrome or coma can be treated with intravenous methylprednisolone pulse therapy. Patients with severe or resistant symptoms may also require treatment with intravenous cyclophosphamide and/or plasmapheresis. However, it is usually necessary to rule out other conditions that may mimic central nervous system manifestations of systemic lupus erythematosus, including infection and toxic metabolic states.
TABLE 6 Neurologic Manifestations of Systemic Lupus Erythematosus
Neurologic Manifestations of Systemic Lupus Erythematosus
Psychosis |
Seizures |
Organic brain syndrome |
Stroke |
Cognitive function abnormalities |
Transverse myelopathy |
Mononeuritis multiplex |
Cardiovascular Manifestations
One of the major complications of systemic lupus erythematosus is premature or accelerated atherosclerosis (Table 7). This complication is one of the causes of later mortality, in the perimenopausal and early postmenopausal years. It is also a major cause of morbidity. Studies conducted worldwide have suggested that somewhere between 6 and 10 percent of patients with systemic lupus erythematosus have clinically recognized premature atherosclerosis.13 When screening studies are performed, the prevalence appears to be even greater, approaching 40 percent. The pathogenesis of premature atherosclerosis is almost certainly multifactorial and includes direct effects of the disease and side effects of treatment. Longitudinal regression analyses14 have shown that increasing the dosage of prednisone increases serum cholesterol, weight and blood pressure. Patients with systemic lupus erythematosus have higher levels of homocysteine, a known risk factor for atherosclerosis.15 Intervention, in the form of both lifestyle modifications and pharmacologic therapy, may be appropriate in young women with systemic lupus erythematosus and these risk factors for atherosclerosis.
TABLE 7 Characteristics of Premature Atherosclerosis
Characteristics of Premature Atherosclerosis
Present in 6 to 10 percent of patients with systemic lupus erythematosus |
Associated with duration of disease |
Corticosteroid treatment increases the levels of cardiovascular risk factors, including weight, blood pressure, cholesterol and homocysteine levels |
Antiphospholipid antibody syndrome is one of the most common causes of acquired hypercoagulability in the general population and is much more common in patients with systemic lupus erythematosus (Table 8). About one half of patients with systemic lupus erythematosus make antiphospholipid antibodies, including anticardiolipin antibody and lupus anticoagulant. These antibodies often fluctuate over time, as does disease activity in general. Patients who have antiphospholipid antibodies have an increased risk of antiphospholipid antibody syndrome, a hypercoagulable state that can present with venous thrombosis, arterial thrombosis, recurrent pregnancy loss or thrombocytopenia.
TABLE 8 Characteristics of Antiphospholipid Antibody Syndrome
Characteristics of Antiphospholipid Antibody Syndrome
50 percent of patients with systemic lupus erythematosus manufacture antiphospholipid antibodies but often do so intermittently and at low titer |
The two clinically important antiphospholipid antibodies are lupus anticoagulant and anticardiolipin antibody |
Presentations of antiphospholipid antibody syndrome include thrombosis, recurrent or late pregnancy loss, and thrombocytopenia |
Long-term management of patients who have had a thrombotic event resulting from antiphospholipid antibody syndrome includes high-intensity warfarin (Coumadin) therapy (INR of 3 to 4) |
INR = International Normalized Ratio.
The diagnosis of antiphospholipid antibody syndrome requires one of the four clinical presentations mentioned previously and the presence of either lupus anticoagulant or moderate- or high-titer anticardiolipin antibody. In patients with systemic lupus erythematosus, the presence of lupus anticoagulant appears to be more specific for the syndrome than the presence of anticardiolipin antibodies,16 but high-titer anticardiolipin antibody of the IgG or IgM class is also a risk factor.
Patients with systemic lupus erythematosus who have already had a manifestation of antiphospholipid antibody syndrome require treatment. Patients who have had venous or arterial thrombosis appear to benefit from maintenance therapy with high-intensity (International Normalized Ratio of 3 to 4) warfarin (Coumadin).17 Women who have had recurrent pregnancy loss in the first trimester, or even one second- or third-trimester loss, have a greater chance of a successful pregnancy if given heparin and low-dose aspirin therapy.18 Patients with antiphospholipid antibody syndrome who also have thrombocytopenia cannot be safely treated with either heparin or warfarin, unless their platelet count remains above 50,000 × 103 per mm3 (50 × 109 per L).
Hematologic Lupus
Anemia in patients with systemic lupus erythematosus is most often associated with chronic disease or is related to iron deficiency. Classic autoimmune hemolytic anemia can present acutely (and severely) or as a chronic condition. Severe hemolytic anemia is treated initially with intravenous methylprednisolone, 1,000 mg per day for three days.
Leukopenia, which frequently occurs in patients with systemic lupus erythematosus, is usually not severe (i.e., white blood cell count of less than 1,000 × 103 per mm3 [1.0 × 109 per L]) and rarely requires treatment. Thrombocytopenia, if stable, and if the platelet count remains above 50,000 × 103 per mm3 (50 × 109 per L), should not be associated with bleeding unless the patient has an additional coagulation defect. Severe, life-threatening thrombocytopenia is treated with high-dose intravenous methylprednisolone but may also require intravenous immunoglobulin therapy. The long-term management of patients with severe thrombocytopenia may also include danazol (Danocrine), vincristine (Oncovin), immunosuppressive drugs and, in rare instances, splenectomy.
Pregnancy in Women with Systemic Lupus Erythematosus
Twenty years ago, women with systemic lupus erythematosus were often told not to become pregnant. Today, most women with lupus erythematosus can have a successful pregnancy, although the potential for maternal and fetal complications does exist (Table 9). Patients who require warfarin or cyclophosphamide therapy should not become pregnant because of the teratogenic potential of these drugs. Some patients with lupus erythematosus who have the anti-Rho and anti-La antibodies do have a higher risk of congenital heart block in the fetus. Patients with antiphospholipid antibody syndrome have an increased risk of pregnancy loss and may require heparin and low-dose aspirin therapy to have a successful pregnancy.
Patients with active lupus erythematosus and renal disease, or those who require higher dosages of prednisone (greater than 20 mg per day) have an increased risk of preterm birth.19 In spite of these obstacles, prenatal management that is based on a partnership between a rheumatologist and an obstetrician who has experience with high-risk pregnancies usually results in a successful outcome.
TABLE 9 Pregnancy-Associated Complications in Women with Systemic Lupus Erythematosus
Pregnancy-Associated Complications in Women with Systemic Lupus Erythematosus
Pregnancy loss | |
Early losses are usually due to active lupus erythematosus or unknown factors | |
Second- or third-trimester losses are usually due to antiphospholipid antibody syndrome | |
Congenital heart block | |
Mother usually has both anti-Rho and anti-La antibodies | |
Most babies survive, but some have important morbidity | |
Monitoring the next pregnancy with serial four-chamber fetal echocardiograms may allow early detection of fetal heart block | |
Preterm birth | |
Risk factors include active lupus erythematosus, maintenance therapy using prednisone dosages of more than 20 mg daily, renal disease and hypertension | |
Increased risk of premature rupture of the membranes | |
Pre-eclampsia may be difficult to differentiate from renal flare caused by systemic lupus erythematosus |
1. Scopelitis E. Systemic lupus erythematosis. In: Hurst JW, ed. Medicine for the practicing physician. 3d ed. Boston: Butterworth-Heinemann, 1992.
2. Fritzler MJ, Pauls JD, Kinsella TD, Bowen TJ. Antinuclear, anticytoplasmic, and anti-Sjogren's syndrome antigen A (SS-A/Ro) antibodies in female blood donors. Clin Immunol Immunopathol. 1985;36:120–8.
3. Fessel WJ. Systemic lupus erythematosus in the community. Incidence, prevalence, outcome, and first symptoms; the high prevalence in black women. Arch Intern Med. 1974;134:1027–35.
4. Casciola-Rosen L, Rosen A, Petri M, Schlissel M. Surface blebs on apoptotic cells are sites of enhanced procoagulant activity: implications for coagulation events and antigenic spread in systemic lupus erythematosus. Proc Natl Acad Sci USA. 1996;93:1624–9.
5. Tan EM, Cohen AS, Fries JF, Masi AT, McShane DJ, Rothfield NF, et al. The 1982 revised criteria for the classification of systemic lupus erythematosus. Arthritis Rheum. 1982;25:1271–7.
6. Gladman D, et al. Guidelines for the management of systemic lupus erythematosus in adults. In press.
7. Morgan SL, Baggott JE, Vaughn WH, Austin JS, Veitch TA, Lee JV, et al. Supplementation with folic acid during methotrexate therapy for rheumatoid arthritis. A double-blind, placebo-controlled trial. Ann Intern Med. 1994;121:833–41.
8. Petri M. Musculoskeletal complications of systemic lupus erythematosus in the Hopkins Lupus Cohort: an update. Arthritis Care Res. 1995;8:137–45.
9. Petri M, Fairbank A, Jinnah R, Hungerford D, Mont M. Progression of avascular necrosis (AVN) of the femoral head in systemic lupus erythematosus: long-term follow-up report. Arthritis Rheum. 1993;36(9 Suppl):184.
10. Recommendations for the prevention and treatment of glucocorticoid-induced osteoporosis. American College of Rheumatology Task Force on Osteoporosis Guidelines. Arthritis Rheum. 1996;39:1791–801.
11. Boumpas DT, Austin HA 3d, Vaughan EM, Klippel JH, Steinberg AD, Yarboro CH, et al. Controlled trial of pulse methylprednisolone versus two regimens of pulse cyclophosphamide in severe lupus nephritis. Lancet. 1992;340:741–5.
12. Boumpas DT, Austin HA 3d, Vaughan EM, Yarboro CH, Klippel JH, Balow JE. Risk for sustained amenorrhea in patients with systemic lupus erythematosus receiving intermittent pulse cyclophosphamide therapy. Ann Intern Med. 1993;119:366–9.
13. Petri M, Perez-Gutthann S, Spence D, Hochberg MC. Risk factors for coronary artery disease in patients with systemic lupus erythematosus. Am J Med. 1992;93:513–9.
14. Petri M, Lakatta C, Magder L, Goldman D. Effect of prednisone and hydroxychloroquine on coronary artery disease risk factors in systemic lupus erythematosus: a longitudinal data analysis. Am J Med. 1994;96:254–9.
15. Petri M, Roubenoff R, Dallal GE, Nadeau MR, Sel-hub J, Rosenberg IH. Plasma homocysteine as a risk factor for atherothrombotic events in systemic lupus erythematosus. Lancet. 1996;348:1120–4.
16. Petri M, Rheinschmidt M, Whiting-O'Keefe Q, Hellmann D, Corash L. The frequency of lupus anticoagulant in systemic lupus erythematosus. A study of 60 consecutive patients by activated partial thromboplastin time, Russell viper venom time, and anticardiolipin antibody level. Ann Intern Med. 1987;106:524–31.
17. Khamashta MA, Cuadrado MJ, Mujic F, Taub NA, Hunt BJ, Hughes GR. The management of thrombosis in the antiphospholipid-antibody syndrome. N Engl J Med. 1995;332:993–7.
18. Cowchock FS, Reece EA, Balaban D, Branch DW, Plouffe L. Repeated fetal losses associated with antiphospholipid antibodies: a collaborative randomized trial comparing prednisone with low-dose heparin treatment. Am J Obstet Gynecol. 1992;166:1318–23.
19. Petri M, Howard D, Repke J, Goldman DW. The Hopkins Lupus Pregnancy Center: 1987–1991 update. Am J Reprod Immunol. 1992;28:188–91.
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FFI Contact: Matt Carrothers Director of Media Relations 404-656-4269
Secretary of State Kemp Warns Georgians about Investment Schemes Tied to Economic Uncertainty
Atlanta – Georgia Secretary of State Brian Kemp announced today that the North American Securities Administrators Association (NASAA) has released its annual list of financial products and practices that threaten to trap investors, many by taking advantage of investors troubled by lingering economic uncertainty and volatile stock markets.
Secretary Kemp said, "Georgians and their families should carefully research all offers and those who make the offer before investing their money and resources. Georgia consumers should do business only with licensed brokers and investment advisers and should report any suspicion of investment fraud to us."
The following alphabetical listing of the Top 10 financial products and practices that threaten to trap investors was compiled by NASAA, of which the Georgia Secretary of State's Office is a member.
PRODUCTS: Distressed real estate schemes, energy investments, gold and precious metal investments, promissory notes and securitized life settlement contracts.
PRACTICES: Affinity fraud, bogus or exaggerated credentials, mirror trading, private placements and securities and investment advice offered by unlicensed agents.
2011 Top Investor Traps and Threats Products
Additional information on how to protect yourself from investment fraud is available on the Georgia Secretary of State's Securities and Business Regulation Division website at www.sos.ga.gov/securities or by calling 404-656-3920. Citizens can also file a complaint against a securities firm or investment adviser on the Securities and Business Regulation Division website.
Secretary of State Brian Kemp serves as the Georgia Commissioner of Securities. In that capacity, his office regulates the offer for sale and sale of securities within and from the state of Georgia. These securities may range from traditional common stocks and bonds to a broad range of more complex forms of investment contracts, limited partnerships, profit-sharing arrangements and hedge funds.
Brian Kemp has been Secretary of State since January, 2010. Among the office's wide-ranging responsibilities, the Secretary of State is charged with conducting efficient and secure elections, the registration of corporations, and the regulation of securities and professional license holders. The office also oversees the Georgia Archives.


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Refreshing Philips brand identityOn 13 November 2013, Philips announced its brand identity refresh. Thomas Marzano, Head of Brand Design at Philips, led the design team that reviewed and updated all the brand identity elements. Thomas explains, "With this brand refresh, Philips continues to celebrate the company's longstanding heritage as a leading international technology company and reconfirms its passion for delivering meaningful innovations that matter to people."+ Read more
A few words with Thomas Marzano, Head of Brand Design
Thomas led the brand design team during the process of the brand refresh, and as a member of the Philips global brand team, his role intermediated between senior leadership, brand strategy and design.
Thomas shares six of the personal and professional lessons he learned during the journey of the Philips brand refresh.
+ Read more
The design story of the new Philips shield
Originally launched in 1938, the updated shield retains the core elements symbolizing Philips. Stars represent sparks of innovation, waves show our digitally connected lives and the circle expresses the people we touch around the world.
+ Watch the video
December 1 - 6, Chicago (USA)
January 7 - 10, 2014 - Las Vegas (USA)Internationalk CES January 22 - 25, 2014 - Davos (Switzerland)World Economic Forum
Philips Design social media – have a look, and start connecting!
Making design a core function of this company improved collaboration among departments and transformed the way Philips does business.
Making Sense of the Chaos From data mining to data meaning. A Philips Design introduction paper to data.
+ The lonely society Bianca MuellerArt Director, Trends Analysis, Philips Design
+ Enter a brave new worldClaudia LieshoutGlobal Leader CultureScan / Global Leader Trends, Strategic Futures Design


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SMM Instruments (Pty) Limited was founded in 1978 and provides solutions to virtually every need of the Analytical and Laboratory community. Exclusive international agency agreements, superb sales staff and experienced service engineers ensure that solutions to application problems are readily available and enable SMM Instruments (Pty) Limited to service and support its entire range of instruments throughout Sub-Saharan Africa.
SMM Instruments (Pty) Limited product portfolio features world renowned process and analytical equipment for industries such as chemical, petrochemical, food and beverage, agricultural, medical and surgical.


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Notre Dame Sophomore Everett Golson Gears Up for Biggest Test
FORT LAUDERDALE, Fla. — It's selling the Notre Dame coaching staff short to believe it would try and completely mimic what Texas A&M did in a 29-24 victory over Alabama back on Nov. 10. The Aggies high-octane offense pumped out 44.8 points per game in 2012 en route to Friday's Cotton Bowl matchup with Oklahoma. The Fighting Irish managed only 26.8 points per outing. They're two different animals.
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As most tradesmen and women are involved in occupations that bring them into contact with member of the public, customers and customers property. If you are one of these tradesmen or women you must carry public liability insurance or run the risk of losing your business and property. Once you employ even one employee you are obliged to have employers liability cover.
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Turns out that Alec Baldwin isn't the only jerk who refuses to turn off his phone or tablet. Numbers are sketchy, but flight attendants say that electronic devices have become the leading cause of unruly behavior by passengers. They just don't believe the machines can cause any problems, and, truth be told, there's only limited research on the subject, none of it conclusive. From the WSJ's Scott McCartney:
Travelers who "think 'it's no big deal' or 'the rule doesn't apply to me'--those are the hardest," says Kelly Skyles, an American Airlines flight attendant. "Most passenger misconduct cases now deal with noncompliance with electronic devices." Airline rules backed by federal laws allow crews to turn a plane back to the gate and toss passengers off flights to prevent disputes in the air. In most cases, it isn't the initial issue that gets people kicked off planes, whether they've been told to pull up their saggy pants, clean up their language or stop playing "Words With Friends" on their iPhones. Instead, it's the ensuing argument.
Crews have anecdotally reported numerous issues linked to computers or devices on board, such as erroneous warnings on collision-avoidance systems, heavy static on radio frequencies and false readings on instrument landing systems, according to NASA's Aviation Safety Reporting System, a database to which crews submit voluntary incident reports. In some instances, crews caught passengers talking on a phone or using a computer when they weren't supposed to. The crews were able to end interference by shutting down the device. Turning it back on recreated the problem, suggesting a possible link.


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Apple CEO Tim Cook's pay package dwindled by about 99 percent in his first full year in the top job.
Cook was awarded a total compensation of $4.17 million in 2012, down from $378 million in 2011, according to the tech giant's federal filing on Thursday.
Cook will not receive stock awards for 2012, after he was awarded about $376.2 million in stock awards in 2011.
In a proxy statement filed with the Securities and Exchange Commission, the company said that it recently adopted the practice of granting large restricted stock awards to key executives every two fiscal years, creating sharp swings in pay packages from year to year.
Cook's base salary of $1.4 million -- actually up $900,000 from 2011 -- was combined with a nonequity bonus of $2.8 million.
Cook became CEO of the iPad and iPhone maker in August 2011, two months before its co-founder and CEO Steve Jobs died of pancreatic cancer.
Under his tenure, the once seemingly-infallible brand has suffered some problems. Its Apple Maps endeavor -- separating itself from Google's more reliable program -- cost the company both credibility and the services of former executive Scott Forstall.
However, Forstall, who was asked to step down in October following the Maps fiasco, was not listed in the filing.
- Company Legal & Law Matters
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Booking terms and conditions
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•NOTICE TO GUESTS: These properties are privately owned. Owners reserve the right to refuse service to anyone and will not be responsible for accidents or injury, loss of money, jewelry, or valuables of any kind. Guests agree to be responsible for any and all losses and/or damages to this rental property.
•KEYS & WRISTBANDS The keys and/or wristbands that you may be issued must be returned as you will be instructed to do. There is a $125.00 lost key charge for any unreturned key and $25.00 for each non-returned wristband .
•CANCELLATIONS: All reservations cancelled are subject to loss of deposit. Entire rent due will be forfeited if unit is not re-rented for lease term.
•RENTAL DEPOSIT: A 50% deposit is required on all reservations, a reservation made within 30 days of arrival date will require payment in full. All payments must be made by credit card and is due at time of making reservations.
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•PRICES: The prices set on rentals reflect many things including: location, amenities, size, number of guests as well as general condition of the resort unit and furnishings.
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SharePoint Cincy 2014 will be held on Friday, April 25, 2014 at the Mets Center. SharePoint Cincy 2013 was a huge success, with almost 400 people participating in 24 sessions led by a very strong lineup of speakers. This year's presenters included over a dozen published authors of SharePoint books and a handful of SharePoint MVPs!