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Care for patients at the end of life has long troubled American medicine, not only in its failure to provide good palliative care, but also in the relationship between doctors and patients. Many efforts to remedy this situation have emerged: a growing and strengthening palliative care movement, better understanding of the situation of patients at the end of life, a sharper focus on the values and behavior of physicians in their care of the dying, and a more general effort to gain medical recognition that end-of-life care is just as important as care during all other phases of life. Great progress has been made, but there is still a distance to go. As the number and percentage of people who die from chronic and degenerative diseases increase, the physician skills and virtues necessary to provide good end-of-life care also increase.
The aim of The Hastings Center Cunniff-Dixon Physician Awards is to foster those skills and virtues by providing financial prizes to those physicians, young and old, who have shown their care of patients to be exemplary, a model of good medicine for other physicians, and a great benefit in advancing the centrality of end-of-life care as a basic part of the doctor-patient relationship.
There are five annual prizes totaling $95,000; one prize of $25,000 for a senior physician; one prize of $25,000 for a mid-career physician and three prizes of $15,000 for early-career physicians.
Nomination Form
Overview Highlighting the 2013 Awardees (4:22 min.)
The 2013 Hastings Center Cunniff-Dixon Physician Awards in the senior physician category honor Charles G. Sasser, M.D., FACP, FAAHPM, director of palliative care services at Conway Medical Center in Conway, S.C.Under Dr. Sasser's leadership, Conway established the first interdisciplinary team for palliative care services in South Carolina – a team that included nurses, social workers, pastors, and physicians. A driving force behind Dr. Sasser's pioneering work to establish an interdisciplinary team approach to palliative care is his belief "that the kind heart of the nurse, the logistical wisdom of the social worker, and the philosophical guidance of the pastor were just as important as the skills of the physician, and sometimes even more so," said Martin A. Duclos, MD, codirector of Conway's palliative care team.
The son of a country doctor, Dr. Sasser was practicing internal medicine when palliative care emerged as a new specialty. He soon moved to the forefront of the field. In his 45 years as a physician, he has been a model and mentor to generations of palliative care providers.
Those who have worked with Dr. Sasser describe his influence, skill, and humanity. "He has never failed to recognize each patient he has encountered with the utmost respect, and has treated each life as the unique, incredibly special gift that it is," said his nominator, Patricia Douglas, Conway Medical Center's staff chaplain.
Charles Sasser received his medical degree from the Medical University of South Carolina in 1967.
The 2013 Hastings Center Cunniff-Dixon Physician Awards in the mid-career category honor Daniel C. Johnson, MD, FAAHMP, national physician lead for palliative care at Kaiser Permanente's Care Management Institute, as well as director of Palliative Care Innovations and Development at Kaiser Permanente-Colorado and director of the Life Quality Institute in Denver. He is also a physician on the Palliative Care Consult Services at Exempla St. Joseph Hospital in Denver and Exempla Good Samaritan Medical Center in Lafayette, Co.
Dr. Johnson led the expansion of services at Kaiser Permanente-Colorado, partnering with local organizations to more than quadruple patient and family access to end-of-life care. At the Life Quality Institute, an organization dedicated to advancing palliative care through education, he oversaw the development of its award-winning education program for medical students, residents, and other health professionals.
Dr. Johnson has championed an approach to palliative care that focuses on comprehensive, interdisciplinary team-based support for patients and their loved ones. This team approach, which was evaluated in Kaiser Permanente studies in the hospital, home, and outpatient settings, showed improved quality of care for seriously ill patients on measures that included patient satisfaction, communication, and reduced hospital admissions. Across Kaiser's eight regions, Dr. Johnson's leadership has helped to influence universal access to palliative care support in all Kaiser Permanente-affiliated hospitals and rapidly expanded access to palliative support in outpatient settings.
Dr. Johnson received his medical degree from the University of Colorado Health Sciences Center in 1997.
The 2012 Hastings Center Cunniff-Dixon Physician Awards in the early-career physician category honor Drew Rosielle MD, a palliative care physician and program director of the Hospice and Palliative Medicine Fellowship at the University of Minnesota Medical Center in Minneapolis.Dr. Rosielle is recognized for his expertise in and commitment to evidence-based palliative and end-of-life care and education. He is the editor of Fast Facts and Concepts, which provides concise, peer-reviewed, and evidence-based summaries on topics in palliative care for clinicians and trainees. He also founded Pallimed, an award winning and internationally recognized blog on hospice and palliative care. He serves on the editorial board of the Journal of Palliative Medicine and is a member of the American Academy of Hospice and Palliative Medicine's clinical education committee. Dr. Rosielle "focuses on a core element of palliative care – the patient, family, and friends as the unit of care," said his nominator, Lyn Ceronsky, DNP, GNP, Director of Palliative Care at the University of Minnesota Medical Center and Fairview Southdale Hospital. "He exudes a solid and supportive presence for families."
Dr. Rosielle received his medical degree from the University of Minnesota Medical School in 2002.
The 2012 Hastings Center Cunniff-Dixon Physician Awards in the early-career physician category honor Jane deLima Thomas, MD, a palliative care physician and associate director of the Harvard Palliative Medicine Fellowship Program at the Dana-Farber Cancer Institute in Boston. Dr. Thomas is a leader among palliative care physicians and educators at Harvard Medical School. In her role with the fellowship program, she has had a major impact on the development of the field through training and modeling excellence in palliative practice. She instills in fellows the importance of empathy, compassion, competence, connectedness, and presence in palliative and end-of-life care.
Dr. Thomas is a nationally sought after speaker on the subject of navigating end-of-life conversations with patients, families, and teams. "She has the ability to comfortably and smoothly evaluate medical, psychosocial and spiritual aspects of a patient," wrote her nominators, Janet Abrahm, MD, chief of the Division of Palliative Care, Department of Psychosocial Oncology and Palliative Care, and Susan Block, MD, chair of the Department of Psychosocial Oncology and Palliative Care at the Dana-Farber Cancer Institute.
Dr. Thomas received her medical degree from the University of Massachusetts School Medicine in 2000.
Alen Voskanian, MD, FAAHPM, AAHIVS
The 2012 Hastings Center Cunniff-Dixon Physician Awards in the early-career physician category honor Alen Voskanian, MD, regional medical director of VITAS Innovative Hospice Care in Torrance, Calif.Dr. Voskanian has expanded and developed innovative models of ambulatory palliative care and raised awareness of the benefits of palliative and end-of-life care through work with government agencies and professional organizations. In 2010, he was selected to participate in a California HealthCare Foundation Health Care Leadership Program, a fellowship that prepares health care professionals to assume significant roles in improving the state's health care system. His project focused on initiating earlier palliative care outside the hospital setting.
An innovator, he was one of only 73 out of more than 900 applicants chosen to participate in the nationwide Centers for Medicare and Medicaid Services Innovation Advisors project, which develops new ideas, models, and methods of health care delivery for Medicare and Medicaid. Dr. Voskanian's work explored ways to increase ambulatory palliative care through education within health care and to increase public awareness through public policy.
Dr. Voskanian received his medical degree from the University of California, Irvine, School of Medicine in 2000.
Overview Highlighting the 2012 Awardees (4:31 min.)
The 2012 Hastings Center Cunniff-Dixon Physician Awards in the senior career category honor Janet Bull, MD, chief medical officer and principal investigator of Four Seasons, a nonprofit hospice and palliative care organization that serves the Hendersonville and Asheville regions of western North Carolina.
A pioneer in establishing best practices in hospice and palliative care, Dr. Bull is passionately committed to improving the care of patients at the end of life – locally, nationally, and globally. She was instrumental in establishing the palliative care program at Four Seasons in 2003 and two years later founded what is now a nationally recognized clinical research department that studies methods to help lessen patients' suffering. She has served as principal investigator on more than 30 clinical trials. She also designed the Palliative Care Immersion Course, an experiential learning program offered to clinicians from around the country, which trained more than 50 physicians in 2011.
In addition to speaking frequently on hospice and palliative medicine in the U.S., Dr. Bull has provided clinical, technical, and leadership support for the development of palliative care in Africa. In 2010 she traveled to Zambia to work with its palliative care association to create a strategic plan for training, educational exchange, and workforce and capacity development. While there, she helped establish a center of excellence for training and mentorship. In nominating her, Chris Comeaux, president and chief executive officer of Four Seasons, said of Dr. Bull, "Her career path is marked by an unusual ability to draw together distinct poles: beginning of life and end of life, academic-based and community-based, research and clinical, and, by closing these gaps, clarify the meaning of high-quality, whole-person health care."
Dr. Bull's own words speak to her ability to find and learn from commonality across the entire spectrum of human experience. "I have probably attended as many deaths as I have births," she said when asked recently about her relationship with patients. "I find the similarities uncanny. There is a sacredness that surrounds them both. A good birth and a good death are filled with the same ingredients – laughter, tears, peacefulness, joy, love and an incredible sense of awe. My purpose has been to help guide my patients through these transitions."
She received her medical degree from the University of Texas Southwestern Medical School in 1981.
The 2012 Hastings Center Cunniff-Dixon Physician Awards in the mid-career category honor Michael W. Rabow, MD, professor of clinical medicine at the University of California, San Francisco, and director of the Symptom Management Service at the UCSF Helen Diller Family Comprehensive Cancer Center, a leading outpatient palliative care consultation program.
Dr. Rabow serves as a consultant to hospitals throughout the country that are working to develop or expand their palliative care services. He is a member of the curriculum development committee of the national Palliative Care Leadership Center Initiative, which has trained more than 1,000 hospital-based palliative care programs in the United States. He is also the associate director of the UCSF Palliative Care Leadership Center and he developed and directs the Symptom Management Service, one of the first outpatient palliative care services in a comprehensive cancer center in the United States.
Dr. Rabow was assistant editor of the recently completed bimonthly section in the Journal of the American Medical Association entitled "Perspectives on Care at the Close of Life," which became a palliative care textbook, Care at the Close of Life: Evidence and Experience (McGraw-Hill Professional, 2010). He is also the executive producer of The Caregivers, a documentary film and an accompanying caregiver handbook.
His has published research on palliative care, family caregiving, and end-of-life care education and has given presentations around the country on pain management, care of family caregivers, communication, and artificial nutrition and hydration at the end of life. "There are people who are academic stars, who are great thinkers and writers," wrote Jennifer Heidmann, MD, vice chair of the medical department of St. Joseph Hospital in Eureka, Calif., in her nomination letter. "Others excel at teaching, able to create perfect greenhouses for the growth of their students' talent and enthusiasm. Some are effective practicing clinicians, healing and impacting people one at a time. Dr. Rabow is the rare complete package: scholar, teacher and healer extraordinaire."
He received his medical degree from the University of California, San Francisco, in 1993.
The 2012 Hastings Center Cunniff-Dixon Physician Awards in the early-career physician category honor Justin N. Baker MD, FAAP, FAAHPM, who holds three positions at St. Jude Children's Research Hospital in Memphis: director of the division of Palliative and End-of-Life Care, attending physician in the Quality of Life Service, and director of the Hematology/Oncology Fellowship Program. He is recognized for his outstanding leadership and research on palliative care for children.
Dr Baker has walked with many families as they battled pain, suffering, and psychosocial distress in the face of a child's advancing cancer. He has cared for hundreds of dying children and their families and helped develop a model for delivering palliative care in a child's "medical home" – wherever the child is receiving medical care. His efforts helped earn the Quality of Life Service the 2010 St Jude Outstanding Clinical Improvement Award. He is one of only a handful of physicians across the country with board certification in pediatrics, pediatric hematology/oncology, and hospice and palliative medicine.
Dr Baker's research focuses on ethical considerations surrounding enrollment in Phase I clinical trials. He has participated in more than 25 studies related to pediatric palliative care and has written more than 50 manuscripts, abstracts, and book chapters on the subject. His research has demonstrated the powerful positive impact of integrating high quality palliative care into the ongoing care of children suffering from serious illnesses. On top of a full schedule as a physician, Dr. Baker finds the time to be deeply involved in his community, from coaching youth soccer to serving as a college career leader at his church. In the words of his nominator, Liza-Marie Johnson, MD, MPH, a fellow in pediatric hematology/oncology at St. Jude Children's Research Hospital, Dr Baker is "a tireless physician and researcher, a devoted husband and father, and a pillar of the Memphis community."
He received his medical degree from University of Texas Health Science Center School of Medicine in San Antonio in 2001.
The 2012 Hastings Center Cunniff-Dixon Physician Awards in the early-career physician category honor Jason Morrow, MD, PhD, medical director of palliative care at University Health System in San Antonio, Tx., and an assistant professor of medicine at University of Texas Health Science Center School of Medicine, for his advocacy in expanding palliative care services and his passion for educating medical students, residents, and other physicians in clinical practices and ethics.
Dr. Morrow's advocacy and educational activities in palliative care have made him a role model. Clinicians have routinely sought his counsel in ethically complicated cases at University of Texas Health Science Center, as well as at Duke University Health System and Durham Regional Hospital, where he was a palliative care physician until July 2011.
He has received high praise for his skills as an educator. A point that he often emphasizes when teaching is that the best way to communicate with patients and their families is to listen, and not talk. "One of his greatest strengths is his ability to recruit those around him to advance the level of care provided to dying patients," wrote Dr. David Gallagher, director of Duke University's hospital medicine programs, in his nomination letter. "He is early in a career that is full of promise."
Dr. Morrow received his medical degree and his doctorate in medical humanities at the University of Texas Medical Branch in Galveston in 2004.
The 2012 Hastings Center Cunniff-Dixon Physician Awards in the early-career physician category honor Theresa A. Soriano, MD, MPH, director of the Mount Sinai Visiting Doctors Program at Mount Sinai School of Medicine in New York. She is recognized for her advocacy and leadership in caring for underserved patients and bringing primary and palliative care to those who are homebound.
Under her leadership, the Visiting Doctors Program has created a safety net for more than 1,200 homebound patients and provided a comfortable setting for those who wish to die at home. "The success of the Visiting Doctors Program in providing end-of-life and primary care in a challenging health care environment is the result of Theresa Soriano's advocacy, her passion for caring for the underserved, and her deep understanding of the importance of the person within the patient," wrote David Muller, MD, dean for medical education at Mount Sinai School of Medicine, in his nomination letter.
Even with her extensive administrative responsibilities, Dr. Soriano is in the trenches, delivering care to homebound patients and their caregivers, mainly in East Harlem and Washington Heights, two of New York's most underserved neighborhoods. "Whether it is for the patient at the bedside, the trainee struggling to make sense of caring for someone at the end of life, the faculty member delicately balancing doing 'the right thing' with the demands of a career in academic medicine, budget negotiations with hospital administration, or lobbying in the state legislature, Dr. Soriano brings to bear her intellect, passion for justice, and keen interpersonal skills to get the job done," Muller said.
She received her medical degree from Mount Sinai School of Medicine in New York in 2001.
Overview Highlighting the 2011 Awardees (4:26 min.)
The 2011 Hastings Center Cunniff-Dixon Physician Awards in the senior physician category honor Ann Allegre, MD, FACP, FAAHPM, director of medical programs at Kansas City Hospice and Palliative Care in Kansas City, Mo.
Dr. Allegre is a pioneer in the fields of hospice care and palliative medicine. She began her career in general medicine and soon became interested in palliative medicine as a result of a personal experience with life-threatening illness. She joined Kansas City Hospice and Palliative Care in 1995 and became its first director of medical programs. In 1999, she became the founding medical director of the Palliative Care Consult Team at Providence Medical Center in Kansas City. "Ann Allegre has single-handedly developed and promoted palliative care throughout the Kansas City area," says Jim Stoddard, DO, medical director of the palliative care team at North Kansas City Hospital.
Colleagues praise her remarkable communication skills, her holistic and spiritual approach to her patients and their families, and her finely honed clinical expertise. "Dr. Ann Allegre brought great technical skill, compassionately disguised as grace and comfort, to both my mother-in-law and my mother during their terminal illnesses," said Robert Lyman Potter, MD, PhD. "Dr. Allegre is a spiritual exemplar who has shared herself with individuals like me while serving as a powerful ideal that has brought palliative care to amazing heights in Kansas City."
Dr. Allegre is also an educator and mentor to other physicians. As an associate clinical professor in the Department of Internal Medicine at the University of Kansas, School of Medicine, she educates the next generation of physicians about end-of-life care. She is also active in the work of the Center for Practical Bioethics in Kansas City.
Dr. Allegre received her medical degree from the University of Kansas School of Medicine in 1977.
The 2011 Hastings Center Cunniff-Dixon Physician Awards in the early-career physician category honor Stefan J. Friedrichsdorf, MD, medical director of the Department of Pain Medicine, Palliative Care and Integrative Medicine at Children's Hospitals and Clinics of Minnesota, for innovative symptom management of pediatric patients, compassion, and family-centered care.
Dr. Friedrichsdorf is also the principal investigator of a five-year, multisite study on the creation, implementation and evaluation of a pediatric palliative care curriculum, funded by the National Institutes of Health and the National Cancer Institute. He lectures extensively nationally and internationally on pediatric pain medicine, palliative care and integrative medicine and has contributed to more than 15 books on the subjects.
Dr. Friedrichsdorf cares for children as inpatients and outpatients, as well as in their homes. "He has a profound ability to connect with patients and families in a nonthreatening way that builds trust and openness," wrote Clark Smith, MD, Chief of Services, Pediatrics, Children's Hospitals and Clinics of Minnesota, in nominating Dr. Friedrichsdorf. "He is known for his open-door policy and his willingness to do 'curbside consults' with family members, who as a result feel free to contact him to discuss their concerns."
Before becoming a doctor, Dr. Friedrichsdorf worked as a factory worker, actor, assistant nurse, journalist, paramedic, and youth group leader. He received his medical degree from the Medical University of Lübeck in Germany in 1998 and studied pediatric palliative care and hospice in Australia and Poland.
The 2011 Hastings Center Cunniff-Dixon Physician Awards in the midcareer physician category honor Anthony Nicholas Galanos, MA, MD, medical director of the Duke University Hospital Palliative Care Service in Durham, N.C. Dr. Galanos is also an associate professor of medicine in the Department of Medicine, Division of Geriatrics, at the Duke University Medical Center; a senior research fellow in Duke's Center for the Study of Aging and Human Development; and an associate faculty scholar in the Duke Institute on Care at the End of Life.
For more than a decade, Dr. Galanos worked tirelessly to establish the palliative care service at Duke Hospital, and his efforts have resulted in a dramatic improvement in the quality of end-of-life care for patients, families, and providers. Last year, the service completed over 500 consults – most of them provided by Dr. Galanos himself. "His mastery of skills critical to outstanding palliative care physicians, such as communication, symptom management, psychosocial and spiritual support, and care coordination are best represented by the comments of those who directly benefit from his care – patients, families, and other providers," said Kimberly S. Johnson, MD, assistant professor of pedicine, Duke University Medical Center, who nominated Dr. Galanos.
As one family member put it, "Palliative care, end-of-life care, comfort care – what you call it is not nearly so important as the end result: the offering of peace and dignity for a patient, a person, who is beginning to die. Losing someone you love causes indescribable pain that touches deep into one's soul. Tony helps establish an atmosphere of calmness and acceptance that fosters a good death, one where the love we fear losing is in the end strengthened."
Johnson also commented that the dialogue between Dr. Galanos and his patients is often filled with laughter and that he has the unique ability to get a laugh or smile from patients who are gravely ill, giving them something to focus on other than their illness.
Dr. Galanos received his MA in Clinical Psychology from the University of Dayton in 1978 and his MD from University of South Alabama in 1986.
The 2011 Hastings Center Cunniff-Dixon Physician Awards in the early-career physician category honor Savithri Nageswaran, MBBS, MPH, director of the pediatric palliative care program at Brenner Children's Hospital at Wake Forest University Baptist Medical Center in Winston-Salem, N.C. In 2008, Dr. Nageswaran developed the first pediatric palliative care program at Brenner Children's Hospital. More than 200 children have received care from the program. She also conducts research on improving the health care of children with complex chronic conditions and works with multiple community agencies to improve communication between hospital-based and community-based providers. In addition, she teaches pediatric palliative care to medical students and resident physicians.
Dr. Nageswaran "is knowledgeable and skillful; compassionate to children and their families; and intellectually curious – characteristics that make her a role model for residents and medical students," wrote Dr. Jon S. Abramson, Weston M. Kelsey Professor and Chair, Department of Pediatrics, Wake Forest University School of Medicine, in nominating her for the award.
"I appreciate the passion that she has about palliative care and its benefits to the patients," wrote a Wake Forest medical student who supported Dr. Nageswaran's nomination. "She cares about the well being, the comfort, and psychological care of the family and patients. It is very important that we encounter physicians who care about their patients and want to do what is best for them despite their prognosis."
Dr. Nageswaran received her MBBS (the equivalent of a medical degree) from Kilpauk Medical College in India in 1991. She trained as a pediatric resident at Wake Forest and as a preventive medicine resident at the University of North Carolina at Chapel Hill, where she also earned an MPH.
The 2011 Hastings Center Cunniff-Dixon Physician Awards in the early-career physician category honor Eric W. Widera, MD, director of the Hospice and Palliative Care Service of San Francisco Veterans Affairs Medical Center and an assistant professor of medicine at the University of California, San Francisco. In his work, which focuses on geriatrics and palliative medicine, he has passionately advocated for improving the care given to elderly patients with severe chronic conditions. Stan Horn nominated Dr. Widera after seeing first hand the care that his brother received at the hospice unit of the VA Medical Center. "At our first meeting, Dr. Widera told us that we could call him Eric and he gave us his pager number," he wrote. Horn detailed how Dr. Widera continued that level of caring and compassion both in treating his brother and in talking with family and friends even after his brother's death. "Dr. Widera has shown a significant and diversified degree of leadership and impact as a role model for other physicians in the community."
As a clinician-educator at University of California, San Francisco, Dr. Widera has been a driving force in a number of innovations, including the creation of a monthly interdisciplinary palliative care conference at the medical center. He has received numerous awards for his educational accomplishments. Most recently, he has been examining the role social media plays in the education of professionals in palliative medicine and is a cofounder of geripal.org, an online forum for health professionals in geriatrics and palliative medicine.
Dr. Widera received his medical degree from University of California, San Francisco, in 2002.
The 2010 Hastings Center Cunniff-Dixon Physician Awards in the established physician category honor Robert A. Milch, MD, FACS, a physician at The Center for Hospice and Palliative Care, near Buffalo. Dr. Milch, a surgeon, has been a leader in hospice and palliative care for more than 30 years, almost since its inception in the United States. He was recognized for his longstanding commitment to and excellence in clinical care for patients with advanced illness and for his regional and national leadership in palliative care and surgery.
Dr. Milch's work in hospice care began in 1977, when he came to Hospice Buffalo as the medical director on a voluntary basis, even while working in a large surgical practice. He helped to shape the organization, as well as develop the field of hospice care overall. Dr. Milch was a founding member of the National Association of Hospice Physicians and served as president from 1981 to 1982. He was director of the Palliative Care Service at Buffalo General Hospital from 1980 to 1994. In 1993 he left his surgical practice to become the full-time medical director of Hospice Buffalo, which is now part of The Center for Hospice and Palliative Care.
Colleagues cited Dr. Milch's humility and integrity, as well as his openness and accessibility. "Dr. Milch is often described as a brilliant physician," wrote William Finn, president and CEO of The Center for Hospice and Palliative Care, in his nomination. "He is also a master of the art of medicine, seeking to heal the patient as well as addressing the disease." Finn quoted a nurse as saying, "`You could count on Dr. Milch to come to a home in the middle of the night if he was needed by the patient, family or hospice staff. He would stop at a patient's home because an out-of-town family member came for a visit and they wanted to meet him or because a patient just needed reassurance…. He was at the bedside of any dying hospice patient that needed him.'"
After retiring as medical director of Hospice Buffalo in 2007, Dr. Milch stayed on as a physician, working with nurses, social workers, clergy and others in the care of patients.
Dr. Milch received his medical degree from the University of Buffalo in 1968.
A conversation with Dr. Milch
The 2010 Hastings Center Cunniff-Dixon Physician Awards in the early-career physician category honor Elisabeth Potts Dellon, MD, MPH, an assistant professor of pediatrics, Division of Pulmonology, at the University of North Carolina at Chapel Hill. Dr. Dellon was selected for her unique set of clinical skills in caring for children and young adults with advanced chronic lung disease. She is one of the few pediatric pulmonologists in the Southeastern United States caring for children undergoing lung transplantation.
During her fellowship training at the University of North Carolina, Dr. Dellon started a research program on decision-making involving children with end-stage cystic fibrosis. The project seeks to determine the key unmet needs of patients and families as they make critical decisions about lung transplantation, end-of-life treatments, and other care. She was invited to moderate a session on end-of-life care at the 2009 American Thoracic Society meetings, and is emerging as a national leader in this area.
In her clinical work, Dr. Dellon has developed an expertise in patient- and family-centered approaches to end-stage care with a complex patient population that has rarely had these crucial issues adequately addressed by physicians. She is currently working to develop novel end-of-life decision aid tools for use by physicians and patients
"As a practicing pulmonologist for more than 20 years, and a former training program director, I can attest that our field is in great need of role models and leaders in late-disease care and decision-making," wrote her nominator, Terry L. Noah, MD, a professor at the University of North Carolina. "Dr. Dellon is one of the only physicians I have ever met with all of the academic and personal tools to serve this role."
Dr. Dellon received an MD from University of Minnesota in 1999 and an MPH from the University of North Carolina in 2007.
The 2010 Hastings Center Cunniff-Dixon Physician Awards in the early-career physician category honor Jeffrey N. Stoneberg, DO, medical director of the San Diego Hospice and The Institute for Palliative Medicine. He was recognized for his outstanding clinical skills and his achievements in growing the Scripps Mercy Palliative Care Consultation Service, a local community health care system.
Dr. Stoneberg was one of the first physicians in the U.S. to seek fellowship training in palliative medicine. Today, he is responsible for the medical care of home and in-patient hospice patients, and for educating clinicians and other health care workers on care of terminally ill patients including pain and symptom management.
In 2008, Scripps Mercy asked the San Diego Hospice to take over and develop the palliative medicine consultation service, and Dr. Stoneberg became its clinical medical director. In that role he has significantly increased the pace of understanding, acceptance, and utilization of the palliative medicine service. He has started new services that have won over clinicians not traditionally involved with palliative care, such as trauma physicians.
"Dedication, excellence in patient care, and role model as teacher – those words describe Dr. Stoneberg well," wrote his nominator, Laurel Herbst, MD, chief medical officer and vice president of San Diego Hospice and The Institute for Palliative Medicine. "Jeff's level of professionalism and compassion make him a favorite with staff at Mercy, and even though [he is a member of the] junior faculty, he has generated wide respect for his teaching and clinical skills by even the most senior physicians in the hospital."
Dr. Stoneberg is a 2001 graduate of the Philadelphia College of Osteopathic Medicine.
The 2010 Hastings Center Cunniff-Dixon Physician Awards in the early-career physician category honor Eytan Szmuilowicz, MD, an instructor in the Division of Hospital Medicine at Northwestern Memorial Hospital in Chicago. He was selected for his devotion to and excellence in patient care, as well as his strong commitment to teaching and research on improving clinical training in end-of-life care.
Dr. Szmuilowicz teaches palliative care at the Northwestern University's Feinberg School of Medicine. He has developed palliative care curricula for hospitalists and medical students, including skills for talking with patients at the end of their lives. At Northwestern Memorial Hospital, Dr. Szmuilowicz has spearheaded efforts to establish a robust palliative care program, using a teamwork approach with a nurse practitioner, social worker, chaplain, and pharmacist to the best care possible.
"He is a humane, compassionate, expert, and committed palliative care physician who performs superbly at the bedside, in the classroom and with colleagues," wrote Susan Brock, MD, co-director of the Center for Palliative Care at Harvard Medical School and a former mentor, in a letter of support for Dr. Szmuilowicz's nomination. "He is an extraordinary role model, inspires others through his actions, and has a gift for and seriousness about the teaching enterprise that are rare and precious."
Dr. Szmuilowicz is a 2001 graduate of Harvard Medical School.
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I remeber talking to a couple of people who study Chinese medicine on this board and wondered if they could chime in. My Fianc'e went to a acupuncture specialist and did her first session on her neck. She got pinned up from her top of her spin down to just above her shoulder blade.
After the appointment she said that it hurt a great deal and could feel almost everyone of the pins go in and some hurt a great deal more then others. Now she is complainning about a numb feeling where one of the needles went in and says her neck is hurting more.

subset: commoncrawl


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on 12-12-2011 04:53 PM
on 12-12-2011 04:57 PM
super_monty wrote:I think the XMB is great just needs to be a tad quicker, but the health warning is annoying and pointless Epileptics are fully aware of the issues.
Whoever came up with that idea,needs a good slap.(probably the same bloke who thought copy protecting saves was a good idea).
I'm fully aware SONY needs to inform its customers of health issue's .....But EVERYTIME!!! ....arrrgggg.
Same goes for those annoying MOVE warnings.
I wouldnt mind,but i dont or ever intend to own a PLAYSTATION MOVE.
on 12-12-2011 05:09 PM
It wouldn't hurt to have a few tweaks to the xmb. Being able to remove/hide unused things would help, also maybe a trimmed down XMB for when games are playing to speed up access.
The new warning at startup is unnecessary, and maybe add a check for updates on the game disk icon so I could manually update a game without starting it.
I just hope they don't overhaul it, the 360 interface keeps getting worse imo.
on 12-12-2011 06:17 PM
xx_Tooms109_xx wrote:I forgot about that health warning everytime we turn the ps3 on.
Please,can we have an option to toggle this on or off? ....
sony's only new feature... are you mad, i dont think they will ever let you have an option to turn it off....
on 12-12-2011 06:21 PM
on 12-12-2011 06:42 PM
The health warning actually doesn't bother me.. By the time I have turned the PS3 on and changed the channel on the TV to HDMI it's gone..
12-12-2011 06:44 PM - edited 12-12-2011 06:46 PM
The health warning is like a Bilboard; where it smacks you right in the chops, as you're passing. It's so universally placed; making out, that just having the PS3 on will cause elpileptics to have a seizure. It's supposed to be placed before flashing images/lights occur within a game or mentioned on the packaging.
The XMB is only here for the PS3, but the PS4 would have the new LiveArea, similar to PSVita.
on 12-12-2011 06:51 PM
Why do they insist of sticking things on there like Vita saves and Playstation Plus? I have no intention of ever getting either so i want the choice to have it there or not. Same with the TV channels. I don't use them so they clutter up the dashboard and i want them off. Im also not interested in seeing stupid health warning everytime i turn it of. I have been playing consoles for over 10 years im pretty sure i know the risks.
on 12-12-2011 06:54 PM
on 12-12-2011 07:14 PM
the health warning is to cover for dynamic themes and video content aswell. also the music visual player, or would you prefer a warning everytime you started some music up. i agree about hiding some bits but i would love the xmb on the ps4 as it is still sleek, simple and easy to use just needs extra ram.
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I'm using windows 7 x64 home premium and I'm unable to get this game going!
I have fallowed the steps from wiki. After updating with files "TWEE_Upgrade.exe"-->"TWEE_Polish_language_pack"-->"TheWitcherPatch.1.5.exe" the game crashes.
- Installing tages did not help
- Running as admin did not help
- adding "-dontforceminreq" did not help
I don't know what elese I can do
Please give me a helping hand!
Attached File(s)
appcrash.txt (960bytes)
Number of downloads: 0 -
errlog.txt (19.24K)
Number of downloads: 0


text:
While British High Court judges dismissed that part of Dewani's argument, concerns about potential torture and abuse in detention are warranted, Erfani-Ghadimi said.
South Africa is a signatory to the U.N. Convention on Torture, but it has yet to ratify it, so such abuses have not been criminalized.
"A legacy of apartheid is that prison cells are still unfortunately a place where prisoners can be abused," Erfani-Ghadimi said.
Amnesty International's Annual Report 2012, which looked at human rights around the world, also said that a draft law to make torture a criminal offense had not been presented in South Africa's parliament by the end of the year.
Human dignity
Nevertheless, said Erfani-Ghadimi, the problem doesn't lie in South Africa's laws so much as in the ability of the justice system to cope with the number of inmates in the system.
South Africa's constitution and its bill of rights, with regard to prisoners' rights, are among the best in the world, she said. "Unfortunately, that doesn't necessarily translate into practice."
She says she thinks conditions are improving, however, thanks in part to the strength of those constitutional rights and the work of civil society organizations campaigning for change.
And Pistorius, if he ends up spending time on remand or is eventually convicted and jailed, should find that his particular medical needs as a double amputee are taken into account, she said.
This could mean that he is sent to a prison with better medical facilities or wheelchair access, she suggested.
According to the bill of rights, prisoners are entitled to "be detained in conditions that are consistent with human dignity, including at least exercise and the provision, at state expense, of adequate accommodation, nutrition, medical treatment."
Correctional Services Department spokesman Koos Gerber said South Africa's detention facilities, whether for remand prisoners or those serving prison terms, "can accommodate people with any disabilities."
"We have a general problem of overcrowding but we have learned to live with it," said Gerber, adding that extra bunks have been added to make sure all remand prisoners have a bed. Hospital facilities are also available at all times, he said.
According to official figures for 2011 to 2012, there were 158,790 prison inmates in South Africa, a nation of nearly 52 million, of whom about 30% were on remand awaiting trial.
This compares with about 2.2 million people in prisons or jails in the United States at the end of 2011, according to U.S. Department of Justice figures. Crowding in U.S. prisons stood at 39% over capacity in 2011, according to a Government Accountability Office report.
Long wait for trial
Erfani-Ghadimi blames systemic problems for South Africa's overcrowding. One issue is that police are quick to arrest people, she said, and they have only 48 hours from arrest to bring charges.
After they are charged, many suspects cannot afford to make bail or hire a lawyer and so are forced to spend months or even years behind bars awaiting trial, she said.
Investigations are often poorly run and courtrooms can be overcrowded, adding to the hurdles faced by those on remand, she said.
"Because the system is cumbersome and slow, there's a lot of people stuck waiting -- and that means the conditions are not by any means ideal," she added.


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Benjamin Franklin said, "In this world nothing can be said to be certain, except death and taxes." Hey, Ben, add changes to the marketplace to that list. READ MORE
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Housing starts in 2007 had declined by more than one-third from their 2005 peak, but the market for home technologies remains strong, according to the Sixth Annual State of t READ MORE
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An Independence Day Celebration in Baldwinsville tonight was marred by tragedy.
64-year-old Steven Rathburn of Liverpool died tonight in a possible drowning.
Police say Rathburn was swimming behind a boat in the Seneca River when witnesses noticed his head was under water.
They pulled him out of the water and called 911.
Police gave him CPR and transported him to St. Joseph's Hospital where he was later pronounced dead.
Police say they do not know if drowning was the cause of death. They also do not know if alcohol was involved.
Thousands had lined the streets along the river to celebrate the Fourth of July weekend with music and fireworks.
Keep checking CNY Central for further updates on this ongoing investigation.


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"R"Web#: 679786
Manufacturer #: 5F5E5E8
Product Weight:2.9 pounds
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Safari Animal Play Set
I created a sensory motor table with yellow sand and all the animals from the play set to go with our Jungle Animal Theme. The Children love it and it's also a very calming activity...Read complete review
I created a sensory motor table with yellow sand and all the animals from the play set to go with our Jungle Animal Theme. The Children love it and it's also a very calming activity . I also did this with the Artic Play Set using white sand for snow, while teaching social studies on different communities. It was a hit with the kids so I've decided to try it again ! The animals are realistic and most of all durable and nothing has been broken with 20 pre-schoolers out of both sets . So thats where the VALUE is !!! I'm very happy when my students are happy ,and learning thru play !!!
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Keeps him busy
He loves animals and this tub was great. It keeps him busy.
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I would buy this product again
By pennywise1557
from beaver falls pa
About Me Do-It-Yourself
See all my reviews
Comments about Toys R Us 1001325 Animal Planet Big Tub of Safari Animals Playset:
My kids played with this for hours. That learned new animals and had lots of fun.
Comment on this review
My kids loved this
By soccer mom
from Huntington Beach, Ca
About Me Professional
My kids love playing with this and using their imagination
Creative Play
By Ready 2 Give
from Miami, FL
Given as a gift to a 5 year old boy.Many pieces allows for creative scenery.Some of the pieces are a bit small.
lions, tigers....but no bears...
By Justice
from Vancouver, WA
these make excellent bath toys and they are super cute and fun to play with!!
By Mom of 4 year old
from Wilkes-Barre, PA
Great value
By Child loves to play with animals
from Rialto, CA
Great value.Life of pieces and comes in its own storage tub.
big tub o animals
By jess
from pa
I am going to give this to my 2 kids for Christmas. They love playing with animals like these and the nice thing about them is how easily they can be cleaned. Take them to the grocery store to keep the kids busy or even the doctors office bc all you have to do is throw them in some soapy water and they are ready to go again.
Fantastic Buy
By J's Mommy
from Charleston, SC
Great Quality, Perfect for your little one's imagination- boy or girl!
For both girls and boys
By Mary
from Hercules, CA
About Me Do-It-Yourself, Professional
My daughter loves to play on her cousins train table. She wanted to play more on the table than with the trains only so I suggested building a city. She said no, I want animals. So we went to the store and found this bucket with so many pieces for a reasonable price. So, the train goes through a safari and her younger brother gets introduce to the different animals. I absolutely love it.
By Mom of 2
from Orlando, Fl
These are great hard plastic toys. The color and quality is awesome. My son absolutely loves these. We have all of the animal planet tubs. I bought them for my nephew for Christmas too. The trees break pretty easy but, they are just a side item. The animals are great.
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Cargo & Trunk Liners
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Cargo and Trunk Liners Offer the Necessary Protection
Whether you have a new or used car, there is a high chance that you will be searching for ways to improve the interior of your vehicle. In general, individuals may invest in floor mats or liners in order to protect the vehicle's interior carpets, but will often forget about the importance of maintaining the cargo area. Cargo liners, also well-known as trunk liners, continue to play an important role in protecting a vehicle. In general, a standard cargo liner is able to sufficiently protect the carpet in your trunk, but often does not cover the back of the seats or sides of the trunk.
A cargo or trunk liner is a mat that is specifically designed to protect your vehicle's trunk or cargo area. Most liners are made of TPO (Thermopolyolefin) materials that are able to give the cargo liners the durability they need in order to effectively protect the cargo area from scratches, dirt and spills. The best liners for your vehicle will be those that are able to prevail through the most extreme weather conditions. Most liners also include a textured surface that can be very useful for a number of things. For example, liners that contain molded-in tread patterns will be able to provide a better grip to the cargo that is placed on them. If you travel with your pets often, cargo liners will also be able to give your pets a better grip on the liner if they are traveling in the cargo area.
Most cargo and trunk liners are made to provide a perfect fit to your vehicle. Cargo liners are very useful whether you have a pickup truck, minivan or SUV. Depending upon your vehicle's year, make and model, you will likely have a few options of cargo liners to select from. The most popular cargo liners today are available in black, grey or tan. The raised, outer lip is helpful for keeping grease and dirt away from your vehicle's original floors. When you want the highest level of protection for your vehicle's cargo area, it would be a very wise idea to invest in a set of durable cargo liners. They are able to prevent moisture from rain, snow and ice from seeping into your vehicle's floors.
When it comes to cleaning your cargo liner, it usually only requires a garden hose to rinse off excess debris. After you are finished rinsing the debris off of the cargo liner, you can leave it in the shade to dry before placing it back onto the cargo area of your truck. Cargo liners are effective in protecting the investment you have made into your vehicle. It is well-known that adding liners to the cargo area of your vehicle will help you retain the value of your vehicle. If you plan on trading your car in for the newest model, you will be happy that you invested in the proper protection for your vehicle's cargo area. As the cargo liners are able to prevent your vehicle's cargo area from becoming scratched or damaged, these liners should be amongst the first accessories to invest in for your vehicle. Once you have a cargo liner installed, you will not have to be concerned about shifting cargo that can possibly ruin the appearance of cargo area.
When discussing the state of the economy today, it may not always be simple keeping our vehicle on the road. With the increasing gas prices and insurance rates, upgrading a vehicle may not be a priority. Fortunately, there are many ways in which you can keep your vehicle looking new such as installing protective liners. There are several various liners to choose from today, but is it highly important to select the liners that offer the best fit for your vehicle. The better the fit is, the more helpful you will find your liners to be. Depending upon your vehicle's year, make and model, you may be able to choose from a composite rubber with a lipped edge or a PVC-coated nylon liner that covers the deck, doors, sidewalls and the back of the seat. You may also have the option of a rubber or vinyl flat cargo liner. Cargo liners are able to protect the back of your car, SUV or minivan very well. Liners for both your vehicle's interior floors and cargo area are accessories that should be purchased first. With sufficient protection for your vehicle's floors and cargo area, you will be able to easily keep the interior clean as well as undamaged.


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Simple question. I am wondering how many people are going to use EA's Origin (EA's version of Steam) to purchase BattleField 3.
I won't use it to purchase. I will take my happy butt to the store to buy the physical game, only so I can chip ever so slightly away from EA's profit margin.
Depends on the deal, i actually have no issue with Origin but im also that person who actually likes GFWL..........But Steam is still best.
my reply is: I will Origin it because I pre-ordered it for £17.99 via Origin. The price was just too good to miss even though i don't like Origin as a program/service
I already have Origin installed for several EA titles, so if the price is better there i'll bite Edit: they are the same price here in Canada, $59.99. So i will prolly go for Digital version as I have a tendency to lose or damage physical discs
Needs another option. A yes I will, if I have to, but it won't be until the day before BF3 releases because I'm hoping it comes to Steam. I already have Origin, and already have games on there (BF2 and 2142), but I have only used it to get those titles cheap so I could increase my veteran status.
im buying my copy from gamestop, i dont want origin to get a dime out of me. i want origin to burn to the mother bleepin ground!!!! LONG LIVE STEAM
You're forgetting that the Origin release comes with an add on map pack, which will be released to everyone else a month after BF3. The extra 9.99 is for the map pack
Steam is a much better program, plus it's from valve, so you can't go wrong there, but they usually have games they're releasing out already for pre-purchase. I have yet to see BF3 on steam. I could be totally off base though.
That is because EA pulled BF3 from Steam to use their own version which is called Origin. I think people that pre-ordered BF3 on Steam even got refunds.
BF3 was never on Steam, it was Crysis 2 that was pulled. But BC2 didn't come to Steam till about 3 weeks before BC2 released, still 6 weeks to go on BF3, it might appear on Steam, but I would expect it to be really late as even BC2 was without this quarrel.
I pre'd it on D2D months ago. does that just mean i will actually get it through Origin? I'm guessing from the poll options Original is the only digital retailer for it now?
I was thinking something like that happened. I pre-ordered already on Origin months ago, and am waiting for the beta release.
I voted 'no' because I already bought the game from a store (paid in full preorder) but if I had to download it via Origin I would have no issues doing so. Origin, steam, d2d, whatever. If it's a game I want then I'll buy it any place I can.
Its kinda like how if you bought the orange box in store- you still had to install and run steam. And, I'll look at the pricing first before I buy, but I'm not huge into FPS's
I have preordered it last winter on Direct2Drive, what is Origin anyway, apart from a EA 'branding'... No i am not going to check wikipedia because I really do not care what it is.
Oh my. I like the Valve guys. And I hate EA. I play some games by them, but they stink like corporate. I am a fan of World Superbikes, and the EA-WSBK games since its origen (ops! 'origin' hahaa) in 1999 never got proper support and went more and more console every year. Ah, thanks Kurgan


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This was a great hotel for location and comfort. Close to Mykonos town, the staff were so helpful and accommodating in all ways. Would recommend Grand Beach to anyone, great views, clean and large rooms, friendly staff, reasonable priced and everything you need for a relaxing holiday.
- Also Known As:
- Grand Beach Hotel
- Grand Beach Hotel Mykonos
- Grand Beach Mykonos
- Official Description (provided by the hotel):
- A new elegant residence in an ideal location just 400m from Mykonos town, on the beach of Megali Ammos with the golden sand and the clear blue water. Designed in style and passion in the year of 2006.There is a large sea water swimming pool, a children's pool and jacuzzi, gym, breakfast room(with breakfast buffet), pool-bar, lobby, internet access and parking. All the rooms have a great view of the center and the sea. ... more less
- Reservation Options:
- TripAdvisor is proud to partner with Booking.com, Priceline, Olotels and Otel so you can book your Grand Beach 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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" The biggest threat will be heavy rain, with a two-day total of 5-8 inches, with up to 10 inches in isolated areas.
" Winds will begin late this evening, with coastal areas experiencing 30-40 mph sustained winds and tropical storm force gusts that can exceed 50 mph, inland areas north of Interstate 10 can expect winds of 25-35 and strong gusts.
" Tides are expected to be 2-4 feet above normal, with possible coastal flooding.
" There is a risk for isolated tornadoes tonight and tomorrow. A NOAA Weather Alert radio can be a lifesaver especially while you are sleeping.
" Beachgoers, swimmers and surfers should heed red flag warnings and stay out of the water as deadly rip currents and rough surf conditions are expected to continue through early next week.
" River flooding is also possible, and may occur after the storm passes the area.
" The storm is slow moving, and winds and rain may be possible for an extended period of time.
" Residents are encouraged to monitor the local media for the most up-to-date information.
" No evacuation orders have been issued. However, for your own safety and comfort, if you plan to leave please do so now. A shelter will open at noon, however sheltering at a home of family or friends located inland, is far more comfortable than the public shelter and should be your first choice. At this time, Santa Rosa County does not have a shelter that accepts pets.
" A Red Cross shelter opened at noon at the Milton Community Center- 5629 Byrom Street for both special needs and the general population.
o Population- 6 clients, 12 staff
" Those with special needs must come with their own caregiver and call (850) 983-4636 before arriving at the shelter.
" Anyone needing transportation assistance to a shelter, call (850) 983-4636.
" If you go to a public evacuation shelter, you will need to take the following items:
o A change of clothing, rain gear and sturdy shoes.
o Toiletries and personal items.
o Blankets or sleeping bags.
o Identification and any important papers.
o Games or toys for children; books for adults.
o Special items for infants or elderly family members.
o Any special dietary needs and nonperishable foods for snacks.
o Battery operated radio, flashlights and plenty of spare batteries.
o Prescription medications or any over-the-counter medications you normally take.
" Tolls for Garcon Point Bridge have been lifted and will continue throughout the evening. DOT will reevaluate and decide early Sunday when tolls will be reinstated.
" Residents should anticipate some roads and bridges located near streams and rivers to close due to flooding. The flood stages of rivers will be monitored regularly by emergency management staff. Those living near streams and rivers should also monitor water levels to ensure their safety.
Actions by Emergency Management
" The EOC will remain activated at a level 2, or partial activation with key staff throughout the night and Sunday morning. Staffing levels for Sunday afternoon/night will be determined after scheduled conference calls in the morning.
" The citizen information line will be available through the evening and Sunday morning unless otherwise notified at (850) 983-4636 (INFO).
" Road department crews and fire department personnel are schedule to make any potential damage assessments Sunday morning.
" All Emergency Support Function personnel are on stand by to respond as needed.
" County Administrator Hunter Walker signed a State of Emergency Declaration at 9 a.m. on Friday.
" An extra road crew has been placed on call for the weekend to respond as needed.
Government Offices/Schools
" At this time, the storm is not expected to affect normal county offices or school openings on Friday or Monday.
" Flooded roads and bridges may hinder the normal bus route on Monday. Any changes will be announced tomorrow.
Church Services Canceled
" Ferris Hill Baptist Church (Milton)
" First Baptist Church (Milton)
" Pine Terrace Baptist Church of Milton
Sand Bags
All sand bag distribution ended at 1 p.m. Over 5,500 bags were given out. Any distribution for Sunday will be determined based on need.
Steps Residents Can Take
" Residents are asked to stay off the roads tonight and Sunday as the heavy rain may flood low-lying area roads and bridges. Any closures will be announced as they occur. Residents are urged to drive cautiously and if possible, avoid driving until the severe weather has passed.
" Stay away from moving water. Moving water six inches deep can sweep you off your feet.
" Leave your home if advised or if you feel threatened.
" If you have time, turn off all utilities at the main switch and move all valuables to a higher floor if possible, but only if you have time.
" Please do not call 9-1-1 to report power outages. Power outages should be reported to Gulf Power at
1-800-GU-Power (1-800-487-6937) or Escambia River Cooperative, Inc. at 1-877-OUT-EREC or 1-877-688-3732
" Mariners should heed small-craft warnings and remain in port.
Lifeguard Ambulance Service has increased staffing levels with strategic placement of rapid response vehicles in low-lying areas in preparation for flooding and to Navarre Beach to warn citizens of riptides.
" Gulf Power's crews are on standby to begin restoration when needed and an additional 200 are coming from Georgia Power to assist from Panama City to Pensacola. Crews will respond to outages until winds reach 35 mph. At that time, our crews will need to seek shelter until winds return to below 35 mph. Gulf Power is able to detect most widespread outages during a storm and customers should wait a reasonable time before calling in an outage report. The company encourages customers to call 1-800-GU-POWER (487-6937) for reporting outages.
" Escambia River Electric Cooperative, Inc. (EREC) has placed all emergency response personnel in a storm readiness alert status. Preparations have been made to assure the restoration of power is handled as quickly and efficiently as possible should the storm cause damage to the EREC power system.
Know your warnings!
A Tropical Storm Watch
Issued when tropical storm conditions are possible within 36 hours.
A Tropical Storm Warning
A warning that sustained winds within the range of 39 to 73 mph or 63 to 118 km/hr (34 to 63 knots) associated with a tropical storm are expected in a specified coastal area within 24 hours or less.
Severe Thunderstorm Watch
Conditions are favorable for the development of severe thunderstorms in and close to the watch area. A severe thunderstorm may contain large damaging hail of 3/4 inch (20 mm) diameter or larger, and/or damaging winds 58 mph (95 km/h or 50 knots) or greater. A tornado is possible.
Severe Thunderstorm Warning
A severe thunderstorm is indicated by Doppler weather radar or sighted by Skywarn spotters. A severe thunderstorm may contain large damaging hail of 3/4 inch (20 mm) diameter or larger, and/or damaging winds 58 mph (95 km/h or 50 knots) or greater.
Tornado Watch
Issued when conditions are favorable for tornadoes to develop. You should monitor local radio or TV stations to stay informed and to know immediately if a tornado warning is issued.
Tornado Warning
Issued when a tornado has been sighted in the area. Take shelter immediately! New radar technology known as DOPPLER has the ability to detect wind directions that may indicate a tornado and a tornado warning may be issued before one is actually sighted by the public.
Flash Flood Watch
Conditions are favorable for flash flooding in and close to the watch area. These watches are issued by the Weather Forecast Office and are usually issued six to twenty-four hours in advance of expected flood potential.
Flash Flood Warning
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Educational Insights Geosafari Deluxe Magniscope
D-E-L-U-X-E ! - The MagniScope is a hand-held, lighted 30x microscope with attachments. - This compact and portable microscope is perfect for young scientists on the go. - High-quality optics and durable, impact-resistant construction make ...indoor or outdoor activities exciting yet practical. - Detachable light source provides enhanced viewing of slides and specimens in the specimen holder or unique MicroAquarium. - Accessories include two specimen holders, MicroAquarium, water dropper, accessory adapter and instruction guide. - Requires one AA battery (not included) for light. - Measures 11.5 x 9.9 x 4.5 Interested in Educational Games? See 'em all here! Read More
Put these cardboard building blocks in the hands of little builders, and watch castles, skyscrapers, and forts come to life! Block...s are a timeless favorite, but PlayBrix have something extra - they are uniquely patterned and sized to look like real bricks. Made of heavy-duty corrugated cardboard, and printed with a water - resistant coating, they're safe, strong, and durable. Set includes: 14 large 10 medium 30 small blocks Features: PlayBrix can also be used as beginning math manipulative Available in 3 sizes: large red brick, medium green brick, and small blue brick Sized as "unit blocks" Grades Pre K+ / Ages 3+ Dimensions: 28.7" H x 7.4" W x 23.5" D Read More
Product Summary This colorful mixer for kids offers plenty of opportunities for your little ones to use their fine motor skills as... well as their imagination. Complete with a mixing bowl and two kinds of beaters, this set nurtures baking skills from a young age. Made from sturdy plastic, this little kitchen gadget will keep on going. The realistic sound effects and lights will ensure that your children are engaged when theyre mixing up yummy treats.Made of sturdy plastic for durability Works as a stand mixer and a portable hand mixer Features realistic sound effects and lights Effective with 2 speed settings Comes with 2 types of beaters, and mixing bowl Requires 2AA batteries Suitable for 3 to 6 years of age Dimensions: 8.5L x 5.4W x 9.4H in. Whats Included 2 beaters, Mixing bowlWhats Not Included 2 AA batteriesDescription About Educational Insights Based in Southern California, Educational Insights specializes in the manufacturing and innovation of educational toys and games. Early childhood, math, language, Spanish, science, and social studies are all subjects they tackle in fun and inspiring ways. Teacher resources, classroom products, and games like Jeopardy are all a part of Educational Insights rich inventory designed by experienced educators and parents because they know best! Make learning fun with Educational Insights. Read More
Two light-up cooking surfaces with realistic sizzling and boiling sounds serve up hours of cooking and barbecuing play. All store ...neatly inside the sturdy, carry-along case! Set includes: Coffee pot Pan Four utensils Features: Grill and Go Camp Stove Requires two AA batteries Grades Pre-K+ / Ages 3+ Dimensions: 9" H x 7.6" W x 13.3" D Read More
Traverse 20th Anniversary Edition is a fun, fast-action strategy game that is easier to learn than chess, but more fun and challen...ging than checkers. - Each 3-D Traverse playing piece moves in its own special way to create wild, fast-action jumps and maneuvers. - Slide a single space, jump over a piece, or string together a series of jumps to advance your pieces to the...goal line...and victory! - Traverse includes easy instructions for play on several levels, from simple to advanced. Read More
The GeoSafari Talking Microscope introduces young children to the exciting world of insects and more! - Kids can examine all sorts... of critters on 12 prepared interactive slides while details are spoken in fact mode or as a fun quiz game. - Features 5x focusing magnifier and a light for easy viewing. - Includes slide storage box. - Requires three C batteries (not included). Interested in Educational Games? See 'em all here! Read More
Look out Indiana-Jones! - Geosafari is not only super fun, it also helps with hand-eye coordination, imagination and spacial-relat...ions. - You can teach your little one all about being an archeologist, and about dinosaurs! - And when you are done diggin, you have a super-cool Velociraptor to keep you company! Gift Hint Reco: Mom, grab a fewof these. You'll be glad you did when you're running to a birthday party and you're running out of time. Bam! Just reach in the closet, grab one, and go. Also great for rainly days Dino-riffic! Read More
D-E-L-U-X-E ! - The MagniScope is a hand-held, lighted 30x microscope with attachments. - This compact and portable microscope is ...perfect for young scientists on the go. - High-quality optics and durable, impact-resistant construction make indoor or outdoor activities exciting yet practical. - Detachable light source provides enhanced viewing of slides and specimens in the specimen holder or unique MicroAquarium. - Accessories include two specimen holders, MicroAquarium, water dropper, accessory adapter and instruction guide. - Requires one AA battery (not included) for light. - Measures 11.5 x 9.9 x 4.5 Interested in Educational Games? See 'em all here! Read More
Easily the easiest trip around the world. - GeoSafari Talking Globe Jr. guides young children on an exciting learning adventure to... introduce geography basics! - Two game modes and variable subjects allow children to learn geography with spoken and visual clues, then immediately quiz each lesson. - High-quality digital voice technology, sound, and music add entertainment and educational value. - 12 globe has just the right amount of detail and color coding to make it easy for young children to read. - Adjustable volume, question repeat, help button, dazzling lights, and sound effects guide, reward, and excite! - Teaches geography basics with special, subject-specific games and random quizzes that are never the same twice! - Variable subject selection lets you focus learning on continents, countries, USA states, or oceans! - One to three players. - One-year warranty. - Grades 1 to 4. - Includes teacher's guide with reproducible activity sheets. - Works with AC adapter (sold separately) or 4 C batteries (not included). Interested in Educational Games? See 'em all here! Read More
An archaeologist's DREAM! - The Geosafari Dino Dig TREX is part of this series of four fascinating paleontology sets. - Lets stude...nts excavate and assemble complete dinosaur skeletons from 'fossilized' rock! - Features include excavation tool, dust brush and wax adhesive - And a 32-page instruction book with facts and stories about each dinosaur. - This rocks! Read More
They really should call this the LAND AND SEA SCOPE. - This 4x telescope is great for viewing distant objects on land. - Or attach... it to the water-resistant Sea Scope to magnify life in streams, ponds, lakes or tide pools. - The Aqualite flashlight attaches to the SeaScope for viewing in dark or murky underwater conditions (AWESOME!). - A built-in ruler allows on-the-spot measurement of specimens, and a thermometer strip determines the temperature in or out of the water. - Requires two AA batteries, not included. Read More
It's all fun in the tub when you hook-up the jungle waterfall! - The Jungle Waterfall sticks to the tub or tile wall with suction ...cups. - Pour the water into the elephant funnel and watch the monkeys eyes. - Also, the fans spin as the water cascades down the slide. - This toys makes bathtime more fun and exciting for kids. Read More
Painting has never been so much fun! Double sided easel has a chalkboard on one side and wipe-off board on the other. Simple, mode...rn design assembles easily with no tools, no hinges, and no small parts. Includes: - 12 inch x 100 foot paper roll - 4 non-spill paint cups - 4 beginner brushes - Removable storage tray in the base Click Here to get paint, extra brushes and more! Read More
Built for kids. Built for fun. Built for all the art a kid can create. - Fully assembled easel has lots of fun features. Let your ...creativity run-free! - Chalkboard on one side - Magnetic dry erase board on the other. - 4 non-spill paint cups. - Plastic cup holder. - Chalk tray. - Paper roll (12 x 100' / 30cm X 30m). Product Dimensions: 19.5 x 6.5 x 18.8 inches Please allow an additional 2-3 business days to process. Thank you. Click Here to see paint, extra brushes and more! Read More
Vroom...Vroom...Vroom! - The Carry Along Play Mat is a colorful take-along play mat that also folds into a toy bag. - Your little ...one will love taking cars, horses, animals for 'drives' along the roads. - Don't forget to wear your seatbelt! - Also, conveniently folds-up into a handy storage bin to help contain the mess. - Dimensions: 36 x 36 Vehicle Play Sets! Read More
Fa la la la la la la... Make 8 paper ornaments to create a gorgeous garland! It 's easy. Just add the paper strips to the stem and... snap together! Includes: - 144 paper strips - Plastic stems and knobs - Ribbon - Easy instructions DEFINITION: If you are anything like us, you have no idea what a garland is. So, here is the definition: a circular or spiral arrangement of intertwined material (as flowers or leaves) - or in this case, paper and wribbon. Read More
I see a pig . . . I see a a red barn . . . - One of our most popular baby and toddler toys, My Giant Floor Puzzle is a 36 inch sof...t, round mat. - It is also a giant 17 piece floor puzzle with large simple pieces. - It is a mat. It is a puzzle. It is two toys in one! - Great colors, shapes and nice, thick padding make it one of our top sellers and a child-expert favorite. - DIMENSIONS: 26 W x 15 H x 1.75 D Like puzzles? See 'em all here! Read More
Save the planet and make a fashion statement, too! Make sweet bracelets, headbands and belts from candy wrappers. Just fold and li...nk! And no, you don't have to eat all the candy to make the jewelry as the wrappers are included. But come to think of it, it would be fun! Includes: - Over 200 pre-cut candy wrappers. - Glue stick with burnishing cap. - Hole puncher. - 9 cords. - 9 beads. - 4 elastic loops. - 30 sticky gems. - Easy instructions. Like Make Your Own Jewelry Sets? See 'em all here! Read More
Babies will love the swirling blend of colors on the Chicco Butterfly Spinner. - It's a traditional toy that has been redesigned t...o introduce baby to the world of cause and effect. - Simply press the handle down to make the top spin - This creates a swirling blend of colors as the butterflies and ladybugs spin around the central mirror. Check out all our baby toys here Read More
Gotta love Shrinky Dinks - its a clasic - Make lots of cool Shrinky Dinks designs, create keychains and more! - Over 20 pre-cut sh...apes - 8 colored pencils - Key chains - Magnets - Pipe cleaners - Stands Read More
Mmhmm...that's right. We have real porcelain's you can paint and bake! - Make 6 Porcelain Gifts! - Just paint and bake! - Paint a ...silver frame and add your favorite photo. - Create a fabulous flower vase, design a matching tea cup and heart saucer. Color a mug and decorate a silver jewelry box. - Comes with 12 ceramic paint colors, 2 paint brushes and Easy instructions. Read More


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August 6, 2011
E.J. Holland PonyPride.com
Over the weekend three-star cornerback Adrian Burton committed to SMU during his visit. Find out how solid his commitment is inside! ...More... To continue reading this article you must be a member. Sign Up Now for a FREE Trial
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Hollywood Nation: Selena Gomez lights one up
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May 16, 2012
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There were a little harder to me included -- -- Davis won't back down John Mayer gives Botox.
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Painted in New York City:
Viewpoints of Recent Developments in Abstract Painting
January 30 - April 12, 2001
Emily Lowe Gallery, Lowe Hall
Introduction by James Little, Guest Curator
Whenever you occupy a position of responsibility, never accept images that have been created for you by someone else. It is always better to form the habit of learning how to see things for yourself, listen to things yourself, and think for yourself; then you are in a better position to judge for yourself. Someone can create a certain image and then use that image to twist your mind and lead you right up a blind path.... We'll find that all these modern methods of trickery will be used and we will be maneuvered into thinking that we are getting freedom or thinking that we are making progress when actually we will be going backward.
Malcolm X
Domestic Peace Corps
December 12, 1964
On more than one occasion I have been asked why I chose older artists - meaning those more than 35 years of age - for the exhibitions I have organized over the years, and why they were all abstract. My reasons for curating and organizing painting exhibitions are motivated by impulsive needs and are out of esthetic necessity. I seek out artists who have distinguished themselves conceptually. My actions, therefore, are not consciously aimed at any particular group, race or gender. My commitment is to abstract painting.
It is an onerous task for me since I am an abstract painter and have been, on occasion, reluctant to curate and organize by that fact. But since abstract painting, especially in New York City, has been critically ostracized in the past 15 to 20 years, I choose to do so.
The abundance of obdurate critics, curators and museum directors have popularized these erroneous notions - that abstract painting is no longer a viable and meaningful form, that it has outlived its purpose and usefulness, and that it has spent all of its innovative and creative contributions to plastic art.
The endorsement of such lurid thoughts by influential and powerful art world professionals has created an obex for abstract painting, and has aided in the flourishing of these false ideas. In addition, the importation of Eurocentric art and artists has aided in the proliferation of similar beliefs. Eurocentricity, through the help of self-centered, bungling and misguided curators and critics and through sophisticated marketing strategies, seems to have captured the imagination of the American scene producing an ill-informed public. With their erred percipience, most museums and art institutions outside New York City exhibit what critics and curators sanction.
Presently in our culture, photography and pornography, installation and conceptualism, human waste, urine and even elephant dung are used subjectively to exemplify and to define our culture and taste. The insipid state induced by this fact in the contemporary art scene has reinforced my commitment to featuring abstract painting as an alternative. I feel it to be an act of self-preservation, necessity and patriotism, and for the sake of abstract painting, that I organize and curate abstract painting exhibitions.
The selections I have made in this exhibition fall into one of four stylistic categories. They are geometric, organic, gestural and expressionistic. In choosing the works, I sought out those that had what I coined "autonomy of style" and those that appeared to be "indigenously American" in their formal structure and subjective content.
I believe that painting is born of an inherent human need for art and beauty and that it innately thrives on discipline, commitment and maturity. The painters I have chosen are but a small sampling of artists who have those attributes. They have worked tirelessly as abstractionists for many years. Some of them are well known, others lesser known. The common bond here is that they are all committed to abstract art and continue to raise important esthetic questions and pertinent issues in regard to abstraction.
In selecting the paintings for this exhibition I chose works that addressed abstract expressionist ideology and to some degree those that either discerned or rebutted Greenbergian thought, as well as some works that inferred American/cross-cultural references. I hope to dispel the belief that there are no concurrent abstract innovations in painting. I think that this exhibition supports that intent.
James Little
Guest Curator