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As the newspaper industry wrestles with intimations of mortality, Dickinsonians in the profession discuss what's lost, and what might be gained, as storytelling goes digital. read more
The Dickinsonian has been the campus paper of record since 1872, but that hasn't stopped generations of would-be publishers and polemicists from offering their own take on the news. read more
Michael Healey '01 and his students take their worldview to the U.N. and beyond. read more
What is a liberal-arts education worth? Quite a bit, according to a recent study measuring alumni engagement, satisfaction and success. read more
Last spring, College Photographer Carl Socolow '77 turned his lens toward a different milieu during a Mosaic trip to Cuba. read more
Watch the main event of Homecoming & Family Weekend, the Red Devil football game on Biddle Field, unfold from start to finish. read more
Dickinson Magazine hosted a table at Homecoming's Fall Fest to promote the launch of the new fall issue. read more
Alumni Weekend 2012 attendees submitted their favorite group photos from the event. read more
Take an in-depth look at the history and progression of the college's radio station as it celebrates 50 years on air. read more
Author of "Alternative Ink" Tony Moore recently caught up with the Globe of Frogs editors. read more
Read the 2006 Dickinson Magazine article about Photographer Carl Socolow '77's Guggenheim project. read more
The staff in Archives & Special Collections provide a glimpse into the magazine's history with these historic covers. read more
Read about faculty publications, grants and awards. read more
Editor Michelle Simmons shares insight into the redesign process. read more
President William G. Durden '71 reflects on his final year at Dickinson. read more
In this new twist on how we cover the college's venerable history, college archivist Jim Gerencser '92 is taking reader questions and will answer one or more in each issue. read more
Highlights of the first 50 years of the college's radio station, WDCV. read more
Coverage of what's been happening on campus, including the Farm, Cook, Eat initiative, facilities enhancements and a summer institute for international students. read more
Soccer standouts reflect on their final season. read more
Closing Thoughts by Christopher Maier '99 on the value of printed books. read more
A $6-million gift for the new Durden Center highlights Dickinson's great athletics moments—past, present and future. read more
Phone: 717-245-1289 E-mail: email@example.com Facebook: www.facebook.com/dickinsonmagazine
Class notes are available in the password-protected Dickinson Gateway.
Read Dickinson Magazine on Issuu.com.


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Pepper and salt mills from William Bounds feature a 3-step adjustment ring that makes selecting your milling setting as easy as 1-2-3; fine, medium or coarse. The milling mechanism works in a way that eliminates metal-on-metal contact, crushing peppercorns and salt crystals rather than grinding them. This means the mechanism will never jam or lock up and allows a lifetime guarantee on the mechanism. Bounds mills operate clockwise or counter-clockwise, making them ambidextrous.

subset: commoncrawl


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Chocolate Bread PuddingPosted Friday, December 26, 2008, at 12:28 PM 3-Large eggs 1-Cup sugar 2-TBsp vanilla 2-TBsp cinnamon 1-Cup chocolate chips or any other chips 1-Loaf french bread 2 or 3 days old Cut bread into small pieces Add chocolate milk to bread pieces and let set for about an hour, stir once in awhile so the bread all gets soaked with the milk Add other items and mix completely Put in a 9 x 13 baking dish Bake at 350 degrees for 1 hour, 15 minutes. (Note pudding will double in size while baking and return to orginal size once it starts to cool) Let it cool a bit, dish up amount you want and top with cool whip or whipping cream whipped. Comments Showing comments in chronological order [Show most recent comments first] Can't wait to try this! Great shot of Cody! Keep up the good work. -- Posted by senior lady on Sat, Dec 27, 2008, at 7:26 PM
MMMMMMMMMM! I second that SL...great shot of Cody! Take care Joe. With all of this snow, that is all we can do is eat. Keep the food ideas rolling. Nice job. -- Posted by OpinionMissy on Sun, Dec 28, 2008, at 12:05 AM
From his kitchen to yours, Mountain Home resident Joe Howard will share his favorite recipes with his readers. Sometimes I might just stray from the recipes and share my other 2 cents.
Hot topics United States Military(3 ~ 8:29 PM, Jul 17)
Chocolate Peanut-Butter No Bake Cookies
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SWEATER WEATHER: Sonia Rykiel, who is celebrating 40 years in business with a runway blowout and party on Oct. 1 in Paris, has enlisted some high-profile fashion folk to help celebrate. Rumor has it Rykiel's daughter, Nathalie, has asked a host of international designers, including Karl Lagerfeld, Donna Karan and Jean Paul Gaultier, to design an outfit in the spirit of Rykiel to pay homage to the sweater queen as part of her jubilee.
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Figure 2.
Intensity profiles of the micro-retroreflector array in air and under varying thicknesses of porcine tissue.
Optical Coherence Tomography (OCT) is a high resolution imaging modality that enables nondestructive imaging of a wide range of samples. Recently, a collaborative group of researchers from the University of Houston used a modified Thorlabs high-speed Swept Source OCT (SS-OCT) System (OCS1300SS) centered at 1325 nm to image micron-sized retroreflectors through biological tissue. Light reflected by these micro-retroreflectors could yield information on their surrounding environment, forming the basis of a biosensor that provides an alternative method for monitoring the concentration of analytes in the blood such as glucose.
Linear, gold, micro-retroreflector arrays were fabricated (5 μm tall, 10 μm wide, and 50 μm long) on silicon wafers and SEM images were taken, as shown in Figure 1 below. Imaging of the entire micro-retroreflector array as a function of depth in porcine skin samples was then carried out using the SS-OCT system to investigate the systems' capability of imaging through highly scattering and turbulent media. To obtain these images, small skin samples (0.5 cm x 0.5 cm) with thicknesses ranging from 0.29 mm to 0.91 mm were excised from a porcine ear, placed on top of the microretroreflectors, and kept hydrated in a saline bath during SS-OCT imaging.
Figure 2 (at left) shows 1D intensity profiles of the microretroreflectors in air, as well as beneath varying thicknesses of porcine tissue. Each profile was constructed by averaging the intensity data from multiple scans of a given micro-retroreflector row of Figure 1. In this study, the minimum level of contrast detected was 20 ± 6.4 dB for porcine tissue. Below this contrast level, the micro-retroreflector structures became obscured due to tissue inhomogeneities. This minimum level of contrast corresponds to a maximum penetration depth of 1.15 mm.
By coating the micro-retroreflector arrays with chemical compounds that are selectively sensitive to certain analytes, it may be possible to use them in conjunction with SS-OCT to monitor glucose levels in highly light scattering subcutaneous environments by quantifying reflectivity of the array. This would provide an alternative method to skin puncture for determining blood glucose levels.
Figure 1.
SEM images of the linear, gold, microretroreflectors used in this study. They were grown on a silicon substrate. To the far right are the 3D SS-OCT images (1 mm x 1 mm x 3 mm) of the microretroreflectors, which were placed beneath 0.34 mm and 0.49 mm of porcine tissue, respectively.
S. N. Ivers et al., Biomedical Optics Express. 1, 367-377 (2010).


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6 Person bench Spa with 64 Jets
Seats:6 Dimensions:93″ x 93″ x 39 1/2″ Water Capacity: 450 gallonsYour dream can become a reality with the Escape Select ES-864B hot tub. This spacious eight-foot spa combines the best of hydrotherapy and luxurious amenities all in one. Sit back and enjoy 64 powerful Candy Cane™ stainless steel jets which can be easily turn on or off depending on your preference. To further help you relax, we add neck and shoulder jets to soothe away tension. Our Pure Cure™ UV sanitizing system helps make maintaining your spa a breeze. Bring home the Escape Select ES-864B today!
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Innovative Ingredients Elevate Vegas Cocktail Scene
LAS VEGAS, NV- Sage at ARIA Resort & Casino introduced twelve craft cocktails to complement Chef Shawn McClain's extraordinary flavor profiles.
Master mixologists stir up rare ingredients including white spirits barrel-aged in-house, gin-compressed blueberries, atomized angostura orange bitters and elderflower dust, heightening the restaurant's innovative beverage offerings.
The new cocktails available at Sage include:
Guests dining at the bar will enjoy a complimentary amuse bouche cocktail - Pink Lemonade - as Sage mixologists craft their chosen drink.
The refreshing liquid is poured into an ice-filled absinthe balancier, and then flows through a see-saw mechanism to create a perfectly blended libation.
Aperitifs to order include the impressive Opening Act, made with Domaine de Canton ginger liqueur, Campari, mint leaves and fresh lime juice topped off with a spritz of Angostura Orange Bitters. Also on the list is The Cat Walk, a blend of freshly made orange-flavored rooibos tea, passion fruit puree, Belvedere Lemon Tea, Aperol, St. Germain and prosecco.
Pioneering a unique method of enriching old favorites, Sage has created an impressive in-house barrel-aging process.
In addition to the more traditional method of barrel-aging brown spirits, Sage is introducing white spirit barrel-aging. Premium white or brown liquors are aged in New American Oak barrels for several weeks producing a well-blended mixture refined by the distinct flavors from the wood.
The mellowed spirit combination is then infused into classic cocktails creating an array of flavor nuances that sophisticated palates are sure to appreciate.
The classic cocktail, Last Word, is updated with an herbaceous mix of eight-week barrel-aged Plymouth Gin, Green Chartreuse and Luxardo Maraschino topped with fresh squeezed lime juice.
For those who enjoy notes of cinnamon and vanilla, The Empire State combines barrel-aged Hudson Manhattan Rye Whiskey, Root Liqueur, Angostura Aromatic Bitters and Punt e Mes Vermouth garnished with a brandied cherry and fresh orange oil.
From the rays of summer to the chills of winter, these cocktails are intricately layered with exotic ingredients designed to perfectly complement Sage's aromatic seasonal cuisine.
The Smoking Bulleit infuses smoked fresh peaches with Bulleit bourbon for a delicious taste of summer.
Other seasonal favorites include Blue Velvet, a frothy blueberry delight made with Hangar One Wild Maine Blueberry Vodka, Rothman & Winter Crème de Violette, simple syrup, Angostura Aromatic Bitters, fresh blueberries, lime juice, a touch of egg white and, for an effervescent kick, a splash of sparkling Brachetto/Moscato; and the Strawberry Solstice, a rum-based concoction that combines Strega Liqueur, fresh sour, fresh strawberries and Varnelli Anice.
These original libations, created by the resident Sage bartenders, reinvent traditional classic cocktails using high-quality modern spirits.
The 20 To Life is enriched with juicy apricot and spicy ginger flavors from Marie Brizard Apry and Canton ginger liqueurs combined with St. George Bontanivore Gin and Breaking & Entering Bourbon.
The highlight is a garnish of gin-compressed blueberries and apricots sprinkled with elderflower dust.
Guests also can jump on board for the TGV, named after the French high-speed train, a complex combination of Hennessy Black Cognac with pomegranate and blood orange liqueurs, fresh orange juice and sour adorned with an orange zest sugar rim that is visually perfected by a pomegranate chip.
With chocolate and crème liqueur bases, these cocktails add the final touch to a sublime dining experience.
The decadent Profundo combines Bulleit Bourbon Whiskey, Luxardo Sangue Morlacco Cherry Brandy and Chocolate Royale Liqueur by Marie Brizard. The centerpiece is the sparkling cherry garnish sprinkled with gold dust.
Guests also can enjoy the French Press, a chocolate delight accented with highly aromatic Barolo Chinato.


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How to handle a nosy family
Talking points for common family interrogations.
You know the routine: As soon as everyone at the family gathering has had a drink, the floor is open…for disaster. If you had a dollar for every time your mother-in-law asked you why she doesn't have any grandkids yet, you'd have enough money to bribe a professional child model just to get her off your back. To prep you, we posed three family-interrogation scenarios to the pros.
If you're unemployed
Use your relatives to widen the net.
"Work the room," says Bela Gandhi, founder and president of Smart Dating Academy, who also offers career coaching. "Tell whoever's asking, 'The job search is good, but it could always be better, and that reminds me: I was hoping I could pick your brain and ask if you know anyone at these companies.' You never know. You might think Grandma just sits at home and knits scarves, but Grandma's neighbor might be the CFO of Redbox."
If you're not dating anyone
Keep your personal life personal.
Decide ahead of time how much you want to share and stick to it, says Shisha Amabel, a licensed therapist on the clinical staff at Cathedral Counseling Center. "These questions can be very intrusive, and even though it's family who's asking, that doesn't mean you have to open up your whole life."
If you're married but not procreating
Turn the question back on the asker.
If a family member is asking about your nonexistent offspring for selfish reasons, which is likely the case with an anxious mother-in-law who's excited for grandkids, politely ask the relative why he or she is so concerned, says Nikki Lively, a staff therapist at Family Institute at Northwestern University. "It takes the pressure off you," Lively says. "It's a way to soothe the other person's emotional anxiety while getting through the question."
How to deal with racist or homophobic relatives By Lauren Viera
Try not to use the words racist or homophobic. "Then you're calling names, which will make [your relatives] defend themselves. If you can find a way to interject something along the lines of, 'You're making me uncomfortable with your language,' that's best."—Michelle Emerick, licensed clinical psychologist and director of clinical training at Howard Brown Health Center
Play dumb and ask questions. "Ask [your relative], 'What makes you say that?' even if you know why. Take the naive approach. Sometimes when people are challenged a little, they'll knock it off."—Annie Avery, licensed therapist at Cathedral Counseling Center
Ask Grandma to intervene. "Tell a third party that you're not after change in people's attitudes or thoughts; you just want them to stop saying these things in front of you. You may be able to have some influence if you go behind the scenes with an intermediary [the relative trusts]."—Avery
Call a friend to vent. "Remind yourself that you have supporters."—Emerick


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Look in the left-hand corner of the Avengers: The Initiative!!!
Look in the left-hand corner of the Avengers: The Initiative!!!
Riotgear's Facebook
Yeah, Rhodes has been appearing as a member of the O*N*E for quite some time.
I'll wait to see before I believe he's back in action in the old armor.
X-Poster of the Year 2003--- the best there is at what i do ---
Riotgear's Facebook
Just remember, covers have notoriously little to do with the actual contents.
For one, Captain Britian is showcased on that cover, and he certainly isn't part of the Avengers: Initiative.
But yeah, Rhodey has been confirmed as appearing in Slott's The Initiative mini.
Super Hero Squad Online - Curious Mad General - Current Rank: 1300.
True Believer - Proud Purchaser Of The Marvel Heroes Ultimate Pack!
It was a cool move to have Rhodey as head of the Sentinel Squad One team but I'm very excited to see him back as War Machine. The suit looks updated as well (perhaps the armor uses advanced Sentinel tech) but it better have some crazy ass guns coming out because otherwise it's not the goddamn War Machine.
Glad to see him back as War Machine. Here's hoping the Young Avengers are indeed in the Initative and Jim gets to go all drill sargent on them.
I'm STILL with Iron Man.
Tho who knows if it's Jim in the suit?
Also... Did anyone notice Sleepwalker on that cover... That for me is even more exciting!
just curious. how do you know that captain brittian isn't part of the initative.


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The DaVinci Sleigh Toddler Bed brings the joyful charm of our luxurious sleigh cribs to the next stage of childhood. This adorable bed is set at an appropriate low height, so toddlers can safely climb in and out by themselves. The Sleigh Toddler Bed is ideal for helping toddlers sleep safely and securely while transitioning out of a crib, and conveniently fits a standard size crib mattress. Sleigh Toddler Bed is solidly built from New Zealand pine wood, and is available in six rich finishes.The Sleigh Toddler Bed features or includes:
"R"Web#: 613660
Manufacturer #: M2990Q
Assembled Dimensions (in inches): 57 x 28 x 29.5
Product Weight:28 pounds
Product Dimensions (in inches):59.6 x 33.2 x 3.2
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Average Customer Rating:
(based on 20 reviews)
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5 Stars
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Most Helpful Positive Review
Best Big Boy Bed!
We purchased this for our 2 1/2 year old son. We weren't sure how he would do with the freedom to get in and out of bed so we were a bit nervous! ...Read complete review
We purchased this for our 2 1/2 year old son. We weren't sure how he would do with the freedom to get in and out of bed so we were a bit nervous! This bed is great though. It's the perfect size for a toddler and a great transition bed. His Toy Story Toddler bedding fits perfectly. My husband put it together without any problems. It's sturdy and his toddler mattress perfectly. I can't say enough great things about it. I defintely recommend it.
Most Helpful Critical Review
Color Issues
[...] My husband put it together quickly and easil, and it has proved to be quite sturdy. [...] Besides, how to do you explain in a way that makes sense...Read complete review
[...] My husband put it together quickly and easil, and it has proved to be quite sturdy. [...] Besides, how to do you explain in a way that makes sense why you are taking away a newly treasured "big boy" bed? Now that we've had it a couple of weeks, I've noticed that the pretty espresso color has started to fade and discolor on the side rails and the foot of the bed. It looks like long streaks of the wood's actual unfinished color is coming out as the stain fades. We have not rubbed, polished or tried to clean the wood in any way. The other thing that I wish they would have included are the little "plugs" to cover up where the screws are. It's not a danger because the screws are recessed, but it would make the product look more finished. Overall, I'm disappointed. I appreciate how sturdy the bed is, but the streaks that continue to appear in the finish are really unattractive. What a shame.
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Terrific little bed
By Grandma Judy
from Berwyn, IL
Comments about Da Vinci 1015821 DaVinci Sleigh Toddler Bed - Espresso:
A good transition from the crib at Grandma's house. Plus it's gender neutral and can be use for future grandchildren.
Comment on this review
Great toddler bed!
By Mom of 2
from Greensboro NC
About Me Midrange Shopper
Wonderful little toddler bed. Took my husband about 30 minutes to put together by himself, no issues. The crib mattress fits perfectly. Color is beautiful, matches our Babi Italia Hamilton Chocolate furniture exactly!
(1 of 1 customers found this review helpful)
Good Product
By Puma_puma
from San Antonio Tx
I bought this bed for my toddler and she lived it. Couldn't get a full size bed cause room was too small. So this DaVinci bed fit perfect. Not to little or to big. And also was very easy to set up! I loved the product !!
Love it
By Busy mom
from Westminster md
I bought this bed for my daughter knowing I'm trying to have another child and they will have to share a room this bed matched perfectly with her crib and other furniture it was easy to put together my daughter loves it
Nice Bed
By One on the way
from Chesapeake VA
The bed said espresso, but it really meant cherry wood color. There was a big scratch, but that didn't bother me. Upon putting it together (which was easy) we immediately re-enforced the slats with 3 2x4 pegs and a crossbeam so that it would hold more than the 50lbs weight limit. This morning I got to see my 250lbs hubby squished up in it with my son who is still learning to stay in bed.
Good toddler bed at a good price
By Gayani
from Boston, MA
This is a good toddler bed at a good price. The bed looks nice and my daughter loves it. The toddler bed railing would have been little longer. The color is closer to espresso but a lighter shade of it. That is bit disappointing. The bed is lightweight and easy to assemble. I would recommend this product.
(1 of 2 customers found this review helpful)
By Olga
from Woodland Hills
Whoever came up with this bed assembling is a real idiot. Head Bolts are too short and I need to go to [@] to buy 8 of them. I don't know why people like it- order it and you will see the picture
Need a suggestion
By Super Mom
from Victoria, TX
About Me Budget Shopper
I need a suggestion. I want to get this toddler bed for my almost 2 year old daughter, but I'm not sure what kind of mattress to get. Do I use the same mattress out of her crib, or is it a different size mattress I need. She is currently in a DaVinci Convertible Crib, but we aren't going to convert it because we will use it with Baby #2.Thank you so much for any suggestion!
By Jacksmom
from Wallingford, PA
(2 of 2 customers found this review helpful)
Beautiful and so easy to put together!
By Carrie
from Leominster, MA
We bought this for our 19 mo. old daughter since we needed the crib for baby #2 arriving in 6 weeks. This was the first assembly required baby item my husband and I put together without any frusterations. It was sooo easy! The quality is very good, the color was true to it's description. Best of all, our daughter loves it and we haven't had any issues with getting her to sleep and stay in her new big girl bed!
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Online Store
The Official Online RBS 6 Nations Store is open. The store has everything you need to get behind your team during the RBS 6 Nations, plus the store is now fully stocked with a much wider range of rugby merchandise.
The academy players will be able to pick the brains of BMW ambassador London Olympic double medallist Louis Smith and head coach Stuart Lancaster lent his support to the launch of the scheme this week.
Hunter is adamant the academy will further add to the impressive pool of talent he can call on and believes the likes of Farrell provide evidence that this year's Under-20s could be tomorrow's senior Six Nations stars.
"The time between being part of the England Under-20s and running out at Twickenham for the senior team can be really short as the likes of Courtney, Ben and Owen have proved," he said.
"To have Stuart Lancaster right behind the academy is very important. We had the senior conditioners working with the Under-20s last week which was great and in general I think youth rugby is very healthy around the world.
"We have got a tough Six Nations coming up this winter and in general we have got a lot of good players playing good rugby in their clubs across the country which will help our programme and hopefully the senior team as well.
"It is good for the players to have the incentive there and to see the example of the likes of Owen and Ben but it is also good to have that realism to make sure people concentrate on focusing on consistency."


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Take a canal cruise along the historic Regents Canal: The Regent's Canal runs from the Limehouse Basin in East London's Docklands to Little Venice in north-west London's Maida Vale. You can do canal cruises on the prettiest and most interesting section of the canal – between Camden Lock and Little Venice. Canal Cruise Operators Jenny […]
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Canal Cruises and Canal Holidays – Regents Canal
Filed Under: Featured, Sightseeing Tagged With: boat canal, camden lock, camden market, canal barge, canal boat hire, canal boat holidays, canal boats, canal cruises, canal history, canal holidays, canal map, jason's trip, jenny wren, little venice, london waterbus company, long boat, narrow boat, regent's park, regents canal, waterways


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Thursday, December 19, 2013
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Merry Christmas
Rush Limbaugh missed the point last week when he criticized Pope Francis latest exhortation, "The Joy of the Gospel." Like many conservatives Limbaugh focused on his humanist view that the Pope was promoting a Marxist agenda by decrying the Capitalist System.
Thursday, December 19, 2013
Letters to the editor
Thursday, December 19, 2013
Merry Christmas! Blessings in Christmas and all the year, in Christ
Invited to the First Christmas - The Bewildered Chosen
Nothing happens by accident. Nothing happens but what God allows. I believe God put Christmas where He did to bless us. The time of year and the weather ahead just cries for a blessing. We should celebrate Christmas to bless God. Let the secular holiday go - let them have fun - praise the Lord God for sending His Son that the Man could
Thursday, December 19, 2013
Merry Christmas!
I wasn't always a godless heathen. I was raised in rural Tennessee where the public school system bussed the entire kindergarten-through-high school student bodies to see The Robe, the 1953 epic film about the travails of a Roman officer who supervises the crucifixion of Jesus. (Actors who played Jesus in movies then were never shown face-on as it was considered that no human was worthy of being directly portrayed as Christ.)
Thursday, December 19, 2013
Letters to the editor
Oktoberfest Follow Up
Wednesday, December 11, 2013
I want a better economy for Christmas
It's been a good year for my crystal ball. Coming out of the Fiscal Cliff fiasco, it was optimistic about stocks, and nervous about bonds. In hindsight, those were great calls. However, as much as I'd like to live in the past, my job is to prepare for the future.
Wednesday, December 11, 2013
End of an era
The time has come. After 48 years of writing this column, I have decided it's time to pack it in.
Thanks to the trend on the part of the public to computer news rather than newspapers, I have only a handful of customers left although at one time the combined circulation of the papers that bought the column was larger than the circulation of the Seattle Times.
Wednesday, December 11, 2013
Heading back to Olympia
Last week I spent a couple days in Olympia for what is called "Committee Days." This time allows legislators to review work done over the interim by work groups and prepare for the upcoming session. Committees met to get updates on a few major issues and legislators discussed potential legislation they might introduce.
Wednesday, December 4, 2013
Innocence is terminal
According to historian Todd Gitlin, "The educated young felt [Kennedy's] call, projected their ideals onto him. His murder was felt as the implosion of plenitude, the tragedy of innocence. From the zeitgeist fantasy that everything was possible, it wasn't hard to flip over and conclude that nothing was."
Wednesday, December 4, 2013
Let's pay tribute to Peter DeVries
When a citizen decides to give of his or her time and effort and run for election to public office it is laudable. But when this service spans a period of 14 years, it is remarkable! One such dedicated public servant is Peter DeVries, the "Elder Statesman" of the City Council, who has served the citizens of Leavenworth as a Councilman since he was first elected in 1999. Currently serving his second term as Mayor Pro-Tempore, Peter has been on nearly every standing committee, ad-hoc committee and special committee and has volunteered for additional city service whenever possible.
Wednesday, December 4, 2013
Welcome to socialized medicine
Anyone who wants to witness the future of medicine in rural America needs to look no further than Brewster. Last week the Brewster Hospital District held a very difficult meeting. It seems the hospital has been operating in the red for a long time and is facing some difficult choices.
Wednesday, December 4, 2013
Lonesome Larry has lots of friends
In 1992, a single male sockeye salmon managed to swim 900 miles from the mouth of the Columbia River to Redfish Lake in Idaho's Sawtooth Mountains, the end of his migratory journey. Biologists dubbed the sole survivor, "Lonesome Larry."
Wednesday, November 27, 2013
Letters to the Editor
Wednesday, November 27, 2013
Fixing the financial disaster at the CDRSN
The financial disaster at the Chelan-Douglas Regional Support Network is a too familiar a theme in our local government. Someone gets the idea that a new building project will be the solution to all of our problems and with little research or planning the project takes on a life of its own. That is what appears to have happened with the Parkside development project. Agency officials and locally elected representatives forgot their first responsibility was to provide mental health care service to those least able to provide for themselves.
Wednesday, November 27, 2013
Letters to the editor
Wednesday, November 20, 2013
Projekt Bayern needs to consider their image
Projekt Bayern has done much good for the community including their purchase of Bavarian clothing for Village Voices and Musikkappelle, remodeling of the Gazebo, maintenance of the Maipole, building the sculpture in front of the Festhalle and the Fountain on 8th Street.
But many local residents and businesses are beginning to question if the organization's commitment is to the community or to the money the group derives from Oktoberfest.
Wednesday, November 20, 2013
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text: Still a standout favourite for selection, taste, generous portions, and value. It's not only the food that's so fresh here. The staff has such a bounce in their step, so fresh, always extending a great welcome. I ruminated this afternoon while waiting for my fish on how a New Zealand owner can run an operation that appears so culturally Italian;... More


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Harris Healthcare is a global firm that provides integrated health systems with access to information to support clinical integration and coordinated care. Our solutions enable healthcare organizations to integrate disparate data sources and leverage existing IT investments to continually improve quality, contain costs, increase revenue and address the new world of accountability and value-based purchasing.
Harris Healthcare offers a portfolio of innovative solutions that promote interoperability, streamlined workflow and analytics that are adaptable to our customers' specific care-delivery settings and unique IT environments.
Harris Healthcare is backed by Harris Corporation, a $6-billion Fortune 400 Company that provides integrated network and information technology solutions to government and commercial markets in more than 150 countries. Headquartered in Melbourne, Fla., the company has more than 16,000 employees, including nearly 7,000 engineers and scientists, and a company-wide annual R&D budget of more than $1 billion.
Harris Corporation has deep experience in both government and commercial sectors in large-scale systems integration, interoperability and infrastructure solutions that require high reliability and security. Harris Healthcare is now able to apply the rich technology base developed for agencies like the Federal Aviation Administration, Federal Bureau of Investigation and Dept. of Defense to the complex needs of healthcare.
Over half the care provided for active duty and retired service members comes from the private sector. Harris knew to transform healthcare we needed to extend from our leadership position in the federal sector (including ONC "connect" and "direct messaging") to the private sector. Harris and Carefx create a powerful combination: together they offer a technology platform that transcends the limits of existing systems while extracting the most value from those IT investments. Integrating complex data and making it usable in mission-critical situations where lives are at stake is a hallmark of Harris, while taking that data and making it viewable, understandable, and actionable for a rich user experience is what Carefx does so well.
Our strategy is to deliver real-time patient centric information leveraging the Carefx interoperability platform and the Harris richness in Health IT, Infrastructure, and execution – to advance healthcare globally.
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Things to see and do - Lecce
Leaving for Italy
Lecce :
Unmissable tourist sites
Where to sleep?
Lecce Hotel tips
Grand Hotel Tiziano E Dei Congressi from55 €
Book -
Risorgimento Resort - Vestas Hotels & Resorts from101 €
Book -
Suite Hotel Santa Chiara from80 €
Lecce Travel guide
Lecce : Michelin's recommendations
Known as Lupiae in Roman times, Lecce was later favoured by the Normans who made the town the capital of the Terra d'Otranto region instead of Otranto. The town enjoyed a golden age between the 16C and 18C, a period which saw the construction of many Renaissance, Rococo and Baroque monuments. It is the Baroque style which dominates, earning the city the nickname of ""Baroque Florence"", and giving it the appearance of a magnificent stage set when lit up at night.
Tourist attractions Lecce : Things to see and do
Palazzo del Governo (Palais du Gouvernement)
v. el 25 Luglio I - 73100 Lecce
This is the former Celestine monastery, situated beside Basilica of the Holy-Cross, which today is home to the town authorities. The ground-floor level was built by Zimbalo who belonged to this family of artists from Lecce which influenced church a..
Baroque City of Lecce
I - 73100 Lecce
All that remains of the 16C ramparts that encircled the historic centre of Lecce are the castle and a few remnants of the town's defences. A ring of avenues now delineates the centre, at the heart of which is the lively Piazza San Oronzo, the small c..
Piazza S. Oronzo
Piazza S. Oronzo I - 73100 Lecce
This vibrant square in the centre of the old town is dominated by the statue of the Patron Saint of the town who occupies one of the two columns that mark the end of the Appian way . It is bordered on its south side by the ruins of the old amphithe..
Hotels Lecce
Grand Hotel Tiziano E Dei Congressi
Viale Porta d'Europa, s/n I - 73100 Lecce
Grand Hotel Tiziano offers an outdoor pool with a large sun terrace, just 15 minutes' walk from the centre of Lecce. There is a restaurant, poolside bar and free parking. The air conditioned rooms at the Grand Hotel Tiziano E Dei Congressi are decor..
Suite Hotel Santa Chiara
Via degli Ammirati 24 I - 73100 Lecce
Suite Santa Chiara is a 4-star boutique hotel located in Lecce's historic centre, 100 metres from the cathedral. The roof garden on the 4th floor has a bar, outdoor seating and views of the historic centre. Rooms are very elegant and nicely decorate..
Hotel President - Vestas Hotels & Resorts
Via Salandra, 6 I - 73100 Lecce
Prix Prices from : 52 €
Offering spacious, modern rooms and free Wi-Fi, the 4-star Hotel President is in Lecce's Piazza Mazzini area, 12 minutes' walk from the Roman Amphitheatre. It features a large garden and TV lounge with bar. Rooms at the President include satellite T..
Restaurants Lecce
La Torre di Merlino
via G. B. del Tufo 10 I - 73100 Lecce
This typical restaurant is in the lively historic Baroque-style centre of Lecce. It offers an eclectic choice of dishes, from simple pizzas to Gallipoli crayfish. The cuisine is never ordinary and offers a modern take on the region's specialities.
Delle Palme
via di Leuca 90 I - 73100 Lecce
Patria Palace Hotel
piazzetta Gabriele Riccardi 13 I - 73100 Lecce
Le Quattro Spezierie
via Augusto Imperatore 19 I - 73100 Lecce
If you are looking for an alternative to the simple dishes of the Salento region, then Le Quattro Spezierie is the place for you. The modern decor of this restaurant (which is part of the Risorgimento Resort) reflects the complex, sophisticated and c..
Hilton Garden Inn
via Cosimo de Giorgi 62 I - 73100 Lecce
Osteria degli Spiriti
via Cesare Battisti 4 I - 73100 Lecce
Situated near the town's public gardens, this trattoria with high ceilings is typical of an old masseria (farmhouse). It specialises in cuisine from Puglia, such as broad beans and chicory. Booking recommended.


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** GSYSL & NH Sportsplex in Bedford Partner to provide Winter Indoor League **
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Fall / Spring Team Registration
Team Registration is required each season through the GSYSL web site.
GSYSL requires Clubs to Register Teams on the GSYSL web site for Seasonal play. In order to do so, Clubs simply need to do a couple of steps.
1. Existing teams will re-activate their team each season (as you have in the past).
GSYSL Team Registration Instructions
Fall season requires a simple edit i.e. ASC_B_U12_8_AB to ASC_B_U13_AB (as you have done in the past)
and update the teams competing age. Spring Season requires you to simply ACTIVATE your fall team or Edit and activate a new Spring team.
3. New teams are created by a simple one line submission, then add the team contact or coach "under Coach or Team Contact"
correct phone and email are important
4. Only one person (either coach or point of contact will be required to "register as a user' on the league site to be associated with the team for the season. If they are not already registered. If any other coach or manager wishes to receive league communications they will need to register also (optional). This person should be listed as Coach or Team Contact on the Team Registration Menu. IF A COACH HAS MULTIPLE TEAMS HIS/HER INFORMATION SHOULD BE LISTED TO IDENTIFY SCHEDULE CONFLICTS.
5. Registration for Assistant Coach's and Team Managers is no longer required as roster and cards are being produced thru USYSA.
The only other registration requirements would be for updates if any.
New Club Registrars
New Club Location Managers - Please contact Steve Lewis at
as this requires an additional internal update
New Club Officers (Club President, Club VP & Club Treasurer)
These simple steps are required for game scheduling and communication purposes. If a "User" is already registered on the GSYSL web site there is no need to do anything for the upcoming season as that "user" will appear in the team drop down menu if properly registered on the GSYSL web site.
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2012 President's Message
In "The Push for the Summit: Creating Health Care's New Terrain," we now set our sights on frontiers and summits yet to come.
You are now viewing 1 - 10 of 18 results
June 27, 2012 | Commentary
Electronic health records have the power to transform health care but they must be more than just electronic versions of current paper records.
January 1, 2012 | Commentary
This special issue of Health & Place highlights some of the research studies on active living research that were presented at the 2011 Active Living Research Annual Conference that should be useful for researchers, practitioners and advocates.
September 23, 2010 | Commentary
related websites For an overview of RWJF scholar and fellow opportunities, visit www.RWJFLeaders.org Visit the REACH NOLA Web site Visit the RWJF Clinical Scholars Web site Substance abuse. Child abuse. Intimate partner violence. These are but some ...
April 7, 2010 | Commentary
The health care reform debate was dominated by seasoned special interest groups and politicians in nearly every public forum. As Cary Gross, M. D., co-director of the Robert Wood Johnson Foundation (RWJF) Clinical Scholars Program at Yale and Erica ...
December 23, 2009 | Commentary
Focus on prevention and wellness programs.
December 17, 2009 | Commentary
The major reform proposals' intent to increase coverage may address some of the racial and ethnic disparities that continue to exist in the U.S. health care system. With so much focus on national health reform, this article reminds readers of both the challenges of and opportunities for equity in its implementation.
December 1, 2009 | Commentary
This commentary examines the benefits and challenges of community-based participatory research. The authors provide suggestions to help universities strengthen partnerships with communities and organizations.
August 15, 2009 | Commentary
Three separate letters to the editor of The Lancet criticized a meta-analysis study examining the benefits of intensive glucose control on cardiovascular outcomes and stroke published in the journal. A fourth letter was supportive of the study. The authors respond to the criticisms and explain their choices of studies to be included.
February 1, 2009 | Commentary
This commentary highlights the need for a shift in health promotion research, from identifying priorities to implementing them. Pekka Puska, M.D., Ph.D., argues that health researchers must drive social change by implementing theory-based policies to diffuse health innovations.
February 1, 2009 | Commentary
Congressional action is needed to pass legislation that will help create a culture of movement in schools and workplaces. Congressman Wamp of Tennessee is sponsoring several bills aimed at creating policies to increase physical activity in these crucial sites.


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South Carolinians Oppose Common Core State Standards
South Carolina adopted the Common Core State Standards with little or no input from its citizens. We oppose the standards on the basis of poor content and loss of state control over education. We oppose the spending of taxpayer dollars on a controversial unproven program that we believe will be detrimental to our state, our educational system, and our children.
Furman University Education Professor Paul Thomas on Common Core: http://dailycensored.com/2012/02/13/rotten-to-the-common-core/
The Brown Center Report on American Education, Tom Loveless: http://www.brookings.edu/reports/2012/0216_brown_education_loveless.aspx
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Upload photos, chat with photographers, win prizes and much more for free!
A few shots from last Wednesday nights event, city centre cycling in Sheffield. It was really well attended and the cyclist were amazing flying around the streets.
Camera: | Nikon D4 Check out Nikon Nation! |
Lens: | nikkor 24-70mm f/2.8 Check out Nikon Nation! |
Recording media: | RAW (digital) |
Title: | Fast and Furious |
Username: | running_man |
Uploaded: | 28 Jul 2012 - 6:39 PM |
Tags: | Cycling, Sheffield, Sports / action |
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A great set of images Trevor, really well taken.
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There are quite a few nice pics on Google+.
Here are a few from an astronaut on the ISS
https://plus.google.com/116214152295449 ... dDa77CgbKC
(invites here if required https://plus.google.com/i/T7q_yHom2kw:VCG1y2EPUDA )
Edit... I've clearly been moved! GA didn't seem appropriate, nor did no av and nor did here (no wings in the pics (but there is the odd solar panel!))
Friday 13 December 2013 11:21 UTC |
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Pics from ISSPaul
I do wish that the forum didn't keep logging me out. Perhaps they're trying to tell me something!
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MWH Global Looks for Complete Package of Skills
By Lindsay Edmonds Wickman
There's a vast time difference between Denver and Christchurch, New Zealand. If you have IT service centers in both locations, how important is it that you hire professionals who are versed in global etiquette?At MWH Global Inc., an environmental engineering firm that operates in more than 20 countries and can trace its roots back more than 100 years, CIO Micki Nelson doesn't just look for technical skills when she's hiring. She looks at the whole individual and whether he or she can function in a global environment.
"IT is different now than it was 20 years ago when you locked them in a back room and pushed food under the door," Nelson joked.
"It's more than just technical skills. They've got to have such a broad range of softer skills: communication, customer interface, teamwork and collaboration [capabilities]. IT has permeated every aspect of our lives, so you have to have good, quality people supporting [it]."
MWH's IT department is composed of 160 full-time professionals, and there are three primary service centers in Denver, Christchurch and Warrington, England. A fourth soon will be added in Pune, India. Because the team uses a "follow the sun" support model, it is inevitable that IT employees will traverse the distance virtually and communicate with counterparts in other centers.
According to the department's 2007 social network analysis, 88 percent of MWH's iNET team talked to a team member in another region every week, and 39 percent did so six or more times each week.
"We have a small percentage of people who never talk to someone in another region," Nelson said. "It's usually because they are in a region-specific role, and those roles are becoming fewer and fewer every year. [In a] global environment, where project teams span across oceans, teamwork and collaboration are important, and our IT team [has] to be willing to reach out and engage others."
Because IT at MWH is about more than just technical skills, certifications can help get a candidate in the door, but that's about all, Nelson said. They don't impact the hiring decision.
"Certifications [are] attention-getters on a resume," she said. "If we're looking for a network engineer and they have all the right certifications, it's certainly going to get them in the door. But we always make our decision on our technical and soft-skills interviews, regardless of certifications. [They] were far more important 10 years ago than they are to me now, and unfortunately, I've seen people who have great certifications and can't work their way out of a paper sack."
She added: "I tend to lean toward a college degree, even though it's not necessarily required for the entry-level IT roles. College forces people to experience areas that they might not experience if they did a pure technical certification or a two-year technical course."
To determine if a potential hire has the pluck to make it in the global organization, MWH uses a three-pronged interview process. First a candidate has a verbal technical interview, in which two or three employees with senior technical skills ask questions. The candidates' answers are recorded and reviewed by the technical team.
"They need to have experience with the technologies that we utilize, and we want people who have good, solid skills," Nelson said. "If they don't pass the technical interview, they don't move on to the rest of the interviews. But that's probably one of the easier things. People either know the stuff or they don't."
After passing the technical section, applicants will move on to the soft-skills interview, where they are probed about their collaboration, communication and virtual working skills.
"We use situational interviewing, where we'll say: 'You are in this situation; this is what's happened. What would you do first? How would you respond? How would you handle it?'" Nelson said. "We check the culture fit with our own organization."
Because MWH is not an IT company, soft skills are especially important, as IT employees need to be able to communicate in non-techie language with customers, who are engineers and scientists. In an effort to improve this dynamic, the department is working to develop employees' communication skills with customers.
"When we're trying to meet some sort of a need, whether it's an internal customer [need] or a client need, if you can't communicate, if you can't put yourself in their shoes, if you can't respond and modify your own behavior based on your customer, you are not going to be very successful," Nelson said. "We exist to make our engineers' lives better."
When a candidate passes the soft-skills interview, he or she moves on to an interview with the potential manager. This last layer in the hiring process ensures the candidate is the best fit for the organization.
MWH's IT department encompasses a wide range of job roles from help-desk support and field operations to project management and engagement managers.
"We're a fairly mature IT model," Nelson said. "We have a strong and well-defined project management office, so we hire technical project managers. We [also] have a group of engagement managers or business analysts who work as the interface point between our customers and IT, so we can make sure that customers' needs are being translated and met appropriately."
Because of the array of IT roles at MWH, the organization embraces both young and seasoned talent.
"When we look at our mid- to senior-level technical people, we want folks who have some battle scars," Nelson said. "But if [we're] looking at our field ops or our help desk, fresh out of college is fine."
The turnover rate in the IT department is about 8-10 percent each year, and Nelson likes it that way, as it means she can bring in new talent with burgeoning fresh ideas.
The IT department has found that the most difficult jobs to recruit for are senior-level positions, especially if they can't be filled in-house first. Based on where the department recruits, the United Kingdom is the most challenging, followed by the United States. However, in the South Asia Pacific area, it's still fairly easy to find qualified candidates.
"There's more of a demand out there, and it's making it more difficult to find good people," Nelson said. "We're not an IT company; we're an engineering company with a nice IT department."
Once an individual makes it through the rigorous interview process and is hired on, there is no traditional growth path, Nelson said. Employees are encouraged to seek their own development, and the company embraces this philosophy by listing available roles within the organization and the skill sets needed to be successful in those roles.
"We have a lot of movement through the organization," Nelson said. "We like to bring people into either our field-ops team or our help desk in a more generic role and then allow them to develop their skills in whatever direction they want and move to the higher ranks of the organization."
"Everybody brings something unique to the table," she said. "In the world that we live in now, this global environment, if you don't have the whole package, you're not going to be successful. You have to be able to communicate, you have to reach out, you have to be appreciative of the diversity that other regions provide and you have to enjoy that virtual environment. Technical skills are only one piece of it."
– Lindsay Edmonds Wickman, firstname.lastname@example.com


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Tom Adelson, Dewey Bartlett Jr., Lawrence Kirkpatrick and Mark Perkins all might think they want to be mayor of Tulsa. Come the night of Tuesday, Nov. 10--Election Day in the city--one of them will get his wish.
Well, a guy who's already held that job has an important piece of advice for the winner.
"Ask for a recount," former mayor Roger Randle spit out quickly before chuckling and admitting he was borrowing that line from a political cynic.
Randle--a former state Senate pro tem and now the director of the University of Oklahoma's Center for Studies in Democracy and Culture in Tulsa--certainly understands as well as anyone the compulsion to run for mayor, having done it twice successfully.
He served as Tulsa's chief executive from 1988 to 1992, overseeing a shift in the city's style of government from a commission form to the present-day strong-mayor form. But he's not being entirely facetious when he jokes about the job not always being a pleasure.
"One of my biggest surprises was, it was just physically exhausting sometimes, and I was a good deal younger then," he said. A good night as mayor, he said, was when he only had to attend one civic function, and that usually came after a full day of wrestling with the heavy issues that were under his domain.
"When it comes to the administration leadership part of it, the issues and questions come to you, and you've got to decide them," he said. "A lot of those issues are pretty darned important and can't be turned over to someone else."
But at the same time, Randle said, the public expects to see the mayor in a visible leadership role, which means attending a never-ending lineup of civic functions--during the day, at night and on weekends.
"These things we could call 'ceremonial' because you hear from different groups all the time, and it's important to see what those different groups are doing," he said. "Your presence at different events is a symbol of the inclusion of those groups in the city."
Randle said he often considered his attendance at events for smaller groups more important than his obligation to show up for functions thrown by bigger, better-known organizations. His rationale for that line of thinking was that most of those older, well-established civic groups in Tulsa already were secure in the knowledge that they would have a voice in how local issues are handled. Many newer, outside-the-mainstream organizations are still searching for that assurance, Randle said.
"A lot of them don't know if they're considered to be an inclusive part of the community or not," he said.
Randle's attendance at their functions often signaled to those groups that they were, and he relied on that goodwill for the support of those groups when the time came to pass a civic initiative, such as a bond issue.
"Often, your success was linked to how much those different groups felt they were part of the city," he said.
How well a mayor handles those kinds of demands can help determine the ultimate success or failure of his or her administration, Randle said, though not many people give that a lot of thought.
The four individuals seeking to become Tulsa's next mayor are focused on a number of high-profile issues--streets, public safety and the budget, for starters--and Randall acknowledges that many of the items on that list are the same things he contended with years ago. But he cautioned those involved in this campaign not to get wrapped up completely in those issues.
"It's important for the candidates to see beyond the immediate issues," he said. "Those things are of great practical importance, but it's also important to be focused on the development of neighborhoods and quality of life ...
"Each person's vision of Tulsa is something that works for them," he said. "Most people don't live in the city of Tulsa; they live in a neighborhood in the city of Tulsa, and Tulsa succeeds to the degree that their neighborhood succeeds. The key to this is how to make neighborhoods successful so we can do more to take Tulsa successful."
The four candidates involved in this campaign might understand that, but so far that message isn't getting a lot of attention. Bartlett, the Republican nominee, and Adelson, the Democrat, have taken turns throwing body punches at each other in an escalating series of negative TV ads. Perkins, a Republican running as an independent, is trying to crack the stranglehold on American politics the two major parties seem to have and is hoping enough voters are turned off by the aforementioned sniping to give him a chance. Meanwhile, Kirkpatrick doesn't seem to be mounting a campaign at all, with no Web site, advertising or public presence.
But there are some oddities to this campaign that make it noteworthy.
Adelson and Bartlett have faced each other before, with Adelson narrowly defeating Bartlett in 2004 in a race for the District 33 state Senate seat Adelson now holds. And both candidates seemingly have embraced ideas that traditionally are associated with the other party--much of Adelson's advertising paints him as a fiscal conservative, a strong opponent of a tax hike to fix Tulsa's chronically bad roads. Bartlett has praised much of the work done by Mayor Kathy Taylor, the Democrat he and Adelson seek to replace, and even called recently for the use of alternative energy to help lower the city's bills, despite his status as a lifelong oilman.
Meanwhile, Perkins is trying to stir up an outright rejection of party politics among voters, at least as far as the city goes, by making nonpartisan elections one of the main themes of his campaign.
No matter which approach proves to be the successful one, the winner of the Nov. 10 election will inherit a city seemingly at a crossroads, which is one of the few things Perkins, Bartlett and Adelson all agree on. Randle encouraged the eventual winner to put the campaign aside as quickly as possible and swallow a dose of humility.
"My real advice is to remember that being mayor of Tulsa is not about you, it's about the citizens of the community of Tulsa," he said. "Don't presume you know what they think. Your job is to get out to meet them and listen to them. Use the job you hold and the resources available to you to achieve the things that are the real priorities of this community.
"Thomas Jefferson once said, 'The people do not always know what is in their best interest, but who better than the people to know what is in their best interest?'" he continued.
Randle sighed and let another laugh escape.
"It's much easier to pontificate about being mayor than it is to be mayor," he said.
View From the Top
Standing on one of the top floors of the recently reopened Mayo Hotel and Luxury Apartments in late September, Tom Adelson looked to the west and came to a sharp realization about Tulsa's past, present and future.
"You can see the poor planning right there," he said, citing the decision many years ago to place the Inner Dispersal Loop on the east bank of the Arkansas River instead of the west, a move he classified as nothing short of a disaster. Over the years, he believes, the IDL has cut downtown off from the rest of the city both literally and figuratively.
"It is an anvil that has kept us from rehabilitating downtown into something more than an office park, which is where we are today," he said.
But Adelson envisions something else when he looks to the west from the top of the Mayo--a huge park that connects downtown to the river. Right now, it's only a dream, and he admits quite a few buildings would have to come down. But it's a dream Adelson believes would reconnect downtown to the rest of the city, helping it achieve a new status as a creative and cultural center that attracts people instead of repelling them.
"We're going to realize downtown Tulsa is either a center of decay that emanates outward or the center of a far-reaching urban renewal that ripples outward to benefit all of Tulsa," he said.
At first blush, such grandiose plans might seem out of place coming from Adelson, a lawyer, two-term state senator and former state secretary of health who freely acknowledges his policy wonk tendencies. But they aren't. In many ways, Adelson wants to reinvent Tulsa, and that effort begins downtown.
"Great cities don't happen, they're planned," he said, repeating an assertion found in the introduction to the PLANiTULSA vision plan, which Adelson said he's read twice. "That is hard for some people to buy into, but it's true. I really like creating and imagining visions like that."
But Adelson knows nothing of that magnitude is accomplished without a certain degree of shouting, and that's what he anticipates happening as PLANiTULSA and the comprehensive plan update process move toward a conclusion early next year. Tulsa's 50-year march outward has created development expectations in some quarters that are likely to be seriously challenged.
"I don't think it's really been absorbed what the plan is demanding, and that's discipline," Adelson said. "It's not just saying yes, it's saying no ... I don't know that everyone fully realizes the discipline that new comprehensive plan is insisting upon."
Adelson was adamant, for example, in expressing his opposition to a possible south Tulsa bridge across the Arkansas River.
"I am not going to be part of a south Tulsa leapfrog development that destroys the integrity of neighborhoods and sends our sales tax to Jenks and Bixby," he said. "Tulsa has to come first in some of this public infrastructure investment."
As for the oft-discussed possibility of Tulsa building an extensive light-rail system, Adelson was circumspect.
"You need a sufficient concentration of people to make that happen," he said, describing such an investment as a long-range goal. "For now, it should be in the phasing stage."
What Adelson envisions as an immediate alternative is a more modest trolley system that runs along 6th Street from the University of Tulsa to Elgin Street downtown, connecting college students with the entertainment and nightlife options to be found in the Blue Dome and Brady districts, as well as the soon-to-open ONEOK Field.
"That would help inspire the kind of nightlife we're hoping to see transpire," he said, adding that such a system would benefit not just TU students and downtown merchants, but all the sites along the way where the trolley stopped. To prove his point, Adelson grabbed a sheet of blank paper from a tabletop and quickly sketched out his vision for the system.
"That would be a prime target for redensification, and light rail could build on a younger Tulsa crowd," he said, adding that the Cherry Street and Brookside entertainment districts could be tied into it, as well.
Projects like that will revitalize downtown and midtown, Adelson hopes, reversing an outward flow of population that has left some parts of the city all but deserted. Adelson looks at that decay and cringes, but he also senses an opportunity, he said.
"We've lost 50,000 people from the center of the city since I was a kid," he said. "No one can tell me we don't have a ridiculous amount of capacity to make it a center for new urbanism."
Adelson's vision for creating a new Tulsa extends beyond its physical appearance. He also wants to tear down a number of the boundaries between the city, county and surrounding communities and explore the idea of regionalism, a trend that more and more metropolitan areas around the country have embraced in recent years.
"I think there is a tremendous amount of ineffectiveness and waste because of the conflict between the city and the county. I think a long-term goal of ours should be to create a regional police force," he said, citing the success other cities have had with that approach, including Charlotte, N.C.; Miami; and Pittsburgh.
Adelson thinks there are a number of functions that joint city-county entities could perform more efficiently than the two can perform separately, delivering millions of dollars in savings in the process.
"We can achieve a lot if we work in collaboration and take advantage of economies of scale," he said.
Adelson believes that savings could be so substantial, in fact, that the city could afford to carve out a full half penny of the third-penny sales tax to dedicate to infrastructure costs, addressing one of Tulsa's longest-standing problems--the deplorable condition of its streets.
Adelson acknowledged he isn't the first local politician to cite the advantages of regionalism--Mayor Kathy Taylor opened her recent State of the City address with a reference to that subject--but he is the only mayoral candidate to make it an issue. He also anticipates it will be a tough sell in some areas.
"Regionalism is very difficult to do," he said. "Few governments have succeeded in implementing it, even though the citizens are almost always in favor of it. That's because of the territorial behavior of politicians and bureaucrats, who see their own power base possibly diminished."
Even so, Adelson plans on appointing a task force that will seek the participation of surrounding communities interested in pursuing regional arrangements. He points to a couple of other entities--the Tulsa River Parks Authority and the Tulsa City-County Library--as examples of regional organizations that already are working well together.
"I'd like us to tackle a bigger one, including the possibility of a metro police force," he said, adding that he's waiting to learn more about the specifics of the Tulsa Fire Department before possibly adding that to the list of city services that might be considered for regionalism. "Those are examples of things we can build upon."
Like Bartlett, Adelson had a great deal of praise for many of the policies of Taylor, the mayor he hopes to replace, particularly her efforts to bring more efficiency to city government. He cited her investment in information technology as one area in particular in which she has modernized City Hall.
He also plans on continuing her programs that promote the education, and health and wellness of Tulsans.
"The mayor plays a very broad and meaningful role," he said, explaining his governing philosophy. "I also think that the citizens are any city's greatest assets. So the health of citizens can't be ignored by any mayor, even though that's not a traditional role of the mayor. I plan on fighting for a quality education and health system that is more rational."
Those positions, of course, fall in line with traditional Democratic principles. But Adelson's political affiliation isn't the only thing that separates him from Bartlett. He quickly rattled off a list of his qualifications for the job, the other things he believes make him a superior candidate: leadership, competency, a sense of purpose, creativity and vision.
"There's no contest between the two of us on those important characteristics that are going to determine how well this city is led for the next four years," he said. "Leadership matters."
An Unusual Skills Set
Dewey Bartlett Jr. doesn't often get the chance to display this particular skill very often, but he might very well be the only candidate in the mayoral race who knows how to operate a backhoe.
"And I'm probably the only one that's driven a tractor," he said, laughing.
Bartlett learned to do both while working in Enid for Halliburton Services, an oilfield services company, after graduating from Regis University with a bachelor's degree in accounting and earning an MBA from Southern Methodist.
His father, one-time Oklahoma governor and U.S. Sen. Dewey Bartlett, recommended that he get a job "working in the field," literally learning the oil business from the ground up.
Bartlett Jr. knows the chances are slim he'll be called on to put them to use in the mayor's office, but he believes that blue-collar experience gives him an invaluable frame of reference when it comes to understanding the concerns of most citizens.
"The whole experience of hard, physical work teaches a person what most of our population experiences every day," he said. "People that are in executive positions, or if they simply don't work, they lose sight of that fact and they lose touch with people."
Most of all, that experience taught him how to interact with folks, Bartlett said.
"I can relate, I can talk with anybody--not just talk down but talk with, communicate," he said. "I understand. It's so simple, so easy. And I relate that to so much of my life experiences--everything from driving those trucks to working on a backhoe to eight hours to whatever. Interacting with people who do that same thing. That's a real good part of my background. It's amazing how much pleasure I could get by being on a backhoe and simply digging a hole in the ground and doing it pretty well. There's an art to digging a hole."
As the president of Tulsa's Keener Oil & Gas Company, Bartlett doesn't spend nearly as much time these days on those noisy, dirty oil rigs as he used to. But he believes that ability to get along with people is just what is needed in the mayor's office these days, especially after the past year, when the relationship between Mayor Kathy Taylor and the City Council seemed to turn especially contentious.
Bartlett wasted little time making that issue one of the hallmarks of his campaign, calling for a return to civility at City Hall in his remarks at the Tulsa Press Club in June when he announced his intention to run for mayor.
"That is one of my very strong attributes that I'm very proud of. (Adelson) is a believer in being adversarial. He likes to confront people politically and personally. That, to me, is not a way to get along. We have a big difference in that regard."
Bartlett believes one of Tulsa's most significant problems is the inability of its elected officials "to get along and communicate well, and act and make decisions for the common good."
He acknowledges the financial difficulties Tulsa faces and indicates it wasn't hard to see this coming.
"This has been developing for decades," he said. "Past decisions have come home to roost."
It is primarily those two factors that have left the city in the situation it's in today, he said.
"Both are going to have to change," he said. "From those sprout a variety of difficulties, many of which would come to an end if either of those two big problems were solved."
Bartlett plans on bridging the divide between the mayor's office and the council by following the example of his father, a Republican who learned to compromise with a Democrat-dominated Legislature during his time as governor and later through one term in the U.S. Senate, where he served from 1973 to 1979.
"My father--a strong, conservative Republican--was consistently recognized for his statesmanship by being able to look for common ground, agreeing and then forging an alliance of friendship to arrive at a solution to the problem," the younger Bartlett said. "He did that repeatedly."
The esteem in which the elder Bartlett was held by his fellow senators, Democrat and Republican alike, was evidenced by their reaction when he died of cancer several months after completing his term and leaving office. The younger Bartlett recalled that a large majority of senators promptly got on a flight and headed west to pay their respects to his father.
"They liked him and respected him so much, they came to Tulsa for the funeral," Bartlett Jr. said. "Very impressive to me. That, from what I can gather, had never been done before."
Bartlett has been influenced politically not just by his father, but by two other Oklahomans known for reaching across the aisle.
He cited the late Gov. Henry Bellmon, a moderate Republican, as someone who had a profound impact on him, along with Randle, a Democrat who served as mayor when Bartlett was on the Tulsa City Council.
"While I was on the City Council, he, by his example, showed me that being inclusive with other political leaders was a very smart thing to do," Bartlett said. "While mayor, he would include the City Council in briefings and important decisions, even when he did not need our input. But he included us. That was a good example, a good influence on how I will be mayor if I am so fortunate."
If he is elected, Bartlett likely will inherit a budget situation that seems to deteriorate by the day. A sharp decline in sales tax receipts already has resulted in a series of cutbacks that might only get worse.
"That is why it is so imperative that you have in the mayor a person who has that experience, and a lot of it," he said. "Thirty years of running my own business, as well as the affiliated things I have done, give me that experience."
Bartlett said job creation will be the most important component of his administration.
"It has to be," he said. "For too long, our population within the city of Tulsa and our retail business within the city of Tulsa has at best been flat and mostly declining. That's the biggest reason we're at the crossroads."
To an extent, the PLANiTULSA process and accompanying master plan update are attempting to reverse that outward flow of people and businesses by encouraging increased population density in Tulsa through infill and mixed-use developments. Bartlett said he has been watching the process unfold with great interest, but he has some concerns about what may transpire.
"What I would hate to see happen is if the resulting plan is so focused without the ability to be very flexible," he said. "That flexibility is extremely necessary because I would hate to see a situation develop where the plan could be somewhat criticized as being, 'Big Brother's telling us what to do.' If that happens, we'll immediately lose a lot of support because people will see private property rights being put in jeopardy."
He also worries that many of the ideas being touted in PLANiTULSA won't be considered realistic by the business community.
"People can have some great ideas, but if the individuals that are willing to risk the money and their own capital, if they don't buy into it, it's a waste of time--huge waste of time," he said. "Pristine ideas sound good, but the practicalities of the fact (are) that somebody will have to invest a lot of capital, and that investing cannot be mandated."
Bartlett believes a common-sense investment in Tulsa's future would be the completion of the Gilcrease Expressway.
"That would open up our last large open area for business and residential development," he said, noting the improved access the completed expressway would mean for west and north Tulsa.
Bartlett conveys a simple message when challenged to explain why voters should cast a ballot for him come Nov. 10.
"Far and away, my life's experience--everything from hard manual labor to the City Council, (and) an extremely large number of civic and community organizations from the American Red Cross to Woolaroc," he said. "It all adds up to an ability to accomplish a vision and do it. I'm fortunate to have the demeanor and temperament to motivate people to accomplish the necessary goals that we need to accomplish.
"That experience, plus my demeanor, those are the two reasons the voters should vote for Dewey Bartlett. Because, without electing me, on-the-job training will be required, and the potential for continued conflict and bickering will remain high."
Party Crasher
Mark Perkins didn't wake up one day and decide he wanted to be mayor of Tulsa--or did he?
"On some level, I did wake up," said the 30-year-old independent mayoral candidate and lawyer. "It wasn't waking up and saying, 'I want to be mayor of Tulsa,' it was waking up and deciding that I would be a better mayor of Tulsa than the individuals who were considering filing to run at the time . . .
"I just think that they don't have the perspective and judgment to do things a little differently. I think we need kind of a fundamental change in Tulsa. I'm also concerned that the other candidates don't have the courage to make difficult choices that may not play well to the base that gets them elected and enables them to raise money because they either have future political careers to worry about or are so entrenched within a party that they're indebted to that party. I think we need to throw all that out the windos and put the focus back on Tulsa--not just the Tulsa of today, but the Tulsa 10 years from now."
Perkins is not a total novice at politics, having served as president of his law school class at OU and chairman of the graduate student senate. He also spent a summer working in the office of U.S. Rep. John Sullivan, a Tulsa Republican.
"It was interesting, but I just didn't enjoy the experience," he said. "And I don't think I would want to get into a legislative career.
"I just think local politics is different. You see tangible results. Your friends and your family hopefully get to enjoy the results. I think there's something more noble about it ..."
Perkins is calling for Tulsa to adopt nonpartisan elections, an issue he has made a centerpiece of his run for the mayor's office.
"We're kind of trained by our national politics," he said. "It's so acrimonious at that level, it creates just a distrust of the other party. We carry that into our local politics, when most of the issues that divide us are national issues that we have no control or impact on except as citizens, but not as a city government. It's one of the reasons why nonpartisan elections at the local level--where we're not legislating--make sense."
Sharp divisions along geographic and political lines have kept Tulsa from achieving its potential, Perkins believes.
"It's harmful," he said. "It holds us back. People use this acrimonious language to shore up power, usually for personal interest. There is a deficiency in the sense of civic responsibility and betterment and economic development for Tulsa and improvement in the quality of life.
"It's really upsetting, but it's been holding us back for a long time. We are more averse to beneficial change than any city that I have visited. To me, it doesn't seem natural. Collaboration is really what gets things done. And that's why I support nonpartisan elections, because it would force people to inform themselves about the candidates, and the candidates would have to prove through their ideas and their capacity for leadership to the voters who the best person for the job would be instead of relying on party-line voters. Frankly, we're already seeing that between the other two candidates throwing bombs at each other and these creatively weak terms: 'So and so is going to be more liberal.' It takes the conversation away from the issues."
As for what he plans to do if he's elected, Perkins has a long list of concerns, and he's put together a number of what he calls "think tanks" to advise him on those issues. Perkins has recruited experts on such subjects as public safety, roads and infrastructure, education, and economic development--what he calls the four primary responsibilities of civic government--to advise him on the best way to address the challenges facing each of those. Perkins expressed frustration that some of those issues have never been dealt with adequately.
"The road issue is a perfect example," he said. "Our notoriously bad roads are a persistent problem . . . I can remember this being an issue since I was a child. And we're talking roads here. Cities and states all over the country and all over the world have figured this out. This is not a complex and insurmountable theorem that we can't wrap our heads around. This is a solvable problem.
"But what we've done over time is put a Band-Aid on the problem. And what happens is, if you do that long enough, then it requires a half-billion-dollar tax package to get us grading out from a D to a C. That's not a long-term solution. It doesn't make sense to me. We need to solve these problems in a more long-term way, and it's more fiscally responsible to do it in that way. Because the way we solve it now, 10 years from now, we're probably going to have to look at another tax package."
Perkins said he would call for immediate audits of all city departments in an attempt to identify waste and duplication so that protocols ensuring greater efficiency could be put in place.
"I have a concern--and this has been verified by people in the city--that things are done a certain way because that's the way they've always been done," he said. "That is one way it needs to be run like a business, setting up a solid foundation. I think we can save a lot of money."
Perkins also favors creating a transportation infrastructure--perhaps represented by light rail and an expanded bus system, as indicated in PLANiTULSA--that will accommodate a more densely populated Tulsa in the future.
"I think times have changed," he said. "We've grown to the city limits, and it makes sense to create an infrastructure that is more accommodating increased population density, which is inevitable. We're at our boundaries. An increase in population density is going to happen. I don't think we have a choice on that. So we can either prepare for it or not prepare for it."
He also supports PLANiTULSA's call for alternative zoning codes that encourage greater mixed-use development, a message he hopes will resonate with younger voters looking for a more dynamic, vibrant city.
"I think that's crucial," he said. "Outward growth will continue probably, too, but we need to take care of our city. So we need to maximize our revenue-earning potential by creating conditions that allow for responsible infill development, mixed-use development. And not only that, but I do think it's trending that way. People like more livable and walkable cities. And if they want that, we need to create that. Empty buildings do no good. They bring nothing to the coffers, and they attract crime."
Running against a pair of older, politically experienced and well-financed candidates puts Perkins at an obvious disadvantage in a number of respects. He acknowledges the age difference between himself and the two major-party candidates, but he isn't willing to concede much beyond that.
"I am the youngest candidate in the race," he said. "I have as much education as any of the candidates, and I have as much experience being mayor as any of the candidates. But I am from a different generation. And I still have my whole life to live, and I still have children to raise here. And when you come from that perspective, that you can affect where your kids are going to grow up, I think you have a different kind of passion to really do the right thing, rather than taking into consideration how your record as mayor may look when you're working on running for your next office."
Perkins is counting on rallying to his cause a constituency of young, urban professionals like himself who are on the cusp of assuming leadership roles in the city. Perkins is 30 years old.
"On some level, we have the most to gain and the most to lose," he said. "And so I think we should have the biggest voice. People my age are running companies in every industry in this town, and nobody's going to tell them that they can't do it. Running the city's no different. There are no qualifications that I don't have that the other guys do have, with the exception of name recognition and money."
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High-risk pregnancy: Know what to expect
A high-risk pregnancy can be stressful. Know what kind of prenatal care you might need and how to cope.
By Mayo Clinic staffA high-risk pregnancy might pose challenges before, during or after delivery. If you have a high-risk pregnancy, you and your baby might need special monitoring or care throughout your pregnancy. Understand what causes a high-risk pregnancy, and what you can do to take care of yourself and your baby.
What are the risk factors for a high-risk pregnancy?
Sometimes a high-risk pregnancy is the result of a medical condition present before pregnancy. In other cases, a medical condition that develops during pregnancy for either mom or baby causes a pregnancy to become high risk.
Specific factors that might contribute to a high-risk pregnancy include:
- Advanced maternal age. Pregnancy risks are higher for mothers age 35 and older.
- Lifestyle choices. Smoking cigarettes, drinking alcohol and using illegal drugs can put a pregnancy at risk.
- Medical history. A prior C-section, low birth weight baby or preterm birth — birth before 37 weeks of pregnancy — might increase the risks for subsequent pregnancies. Other risk factors include a fetal genetic condition, a family history of genetic conditions, a history of pregnancy loss or the death of a baby shortly after birth.
- Underlying conditions. Chronic conditions — such as diabetes, high blood pressure and epilepsy — increase pregnancy risks. A blood condition, such as anemia, an infection or an underlying mental health condition also can increase pregnancy risks.
- Pregnancy complications. Various complications that develop during pregnancy pose risks, such as problems with the uterus, cervix or placenta, or severe morning sickness (hyperemesis gravidarum) that continues past the first trimester. Other concerns might include too much amniotic fluid (polyhydramnios) or too little amniotic fluid (oligohydramnios), restricted fetal growth or Rh (rhesus) sensitization — a potentially serious condition that can occur when your blood group is Rh negative and your baby's blood group is Rh positive.
- Multiple pregnancy. Pregnancy risks are higher for women carrying twins or higher order multiples.
- Overdue pregnancy. You might face additional risks if your pregnancy continues too long beyond the due date.
What steps can I take to promote a healthy pregnancy?
Whether you know ahead of time that you'll have a high-risk pregnancy or you simply want to do whatever you can to prevent a high-risk pregnancy, stick to the basics. For example:
- Schedule a preconception appointment. If you're thinking about becoming pregnant, consult your health care provider. He or she might counsel you to start taking a daily prenatal vitamin and reach a healthy weight before you become pregnant. If you have a medical condition, your treatment might need to be adjusted to prepare for pregnancy. Your health care provider might also discuss your risk of having a baby who has a genetic condition.
- Be cautious when using assisted reproductive technology (ART). If you're planning to use ART to get pregnant, consider how many embryos will be implanted. Multiple pregnancies carry a higher risk of preterm labor.
- Seek regular prenatal care. Prenatal visits can help your health care provider monitor your health and your baby's health. Depending on the circumstances, you might be referred to a specialist in maternal-fetal medicine, genetics, pediatrics or other areas.
- Eat a healthy diet. During pregnancy, you'll need more folic acid, calcium, iron and other essential nutrients. A daily prenatal vitamin can help fill any gaps. Consult your health care provider if you have special nutrition needs due to a health condition, such as diabetes.
- Gain weight wisely. Gaining the right amount of weight can support your baby's health — and make it easier to shed the extra pounds after delivery. A weight gain of 25 to 35 pounds (about 11 to 16 kilograms) is often recommended for women who have a healthy weight before pregnancy. If you're overweight before you conceive, you might need to gain less weight. If you're carrying twins or triplets, you might need to gain more weight. Work with your health care provider to determine what's right for you.
- Avoid risky substances. If you smoke, quit. Alcohol and illegal drugs are off-limits, too. Get your health care provider's OK before you start — or stop — taking any medications or supplements.
Do I need special tests?
If you have a high-risk pregnancy, you might consider various tests or procedures in addition to routine prenatal screening tests. Depending on the circumstances, your health care provider might recommend:
- Specialized or targeted ultrasound. This type of fetal ultrasound — an imaging technique that uses high-frequency sound waves to produce images of a baby in the uterus — targets a suspected problem, such as abnormal development.
- Amniocentesis. During this procedure, a sample of the fluid that surrounds and protects a baby during pregnancy (amniotic fluid) is withdrawn from the uterus. Typically done after week 15 of pregnancy, amniocentesis can identify certain genetic conditions, as well as neural tube defects — serious abnormalities of the brain or spinal cord.
- Chorionic villus sampling (CVS). During this procedure, a sample of cells is removed from the placenta. Typically done between weeks 10 and 12 of pregnancy, CVS can identify certain genetic conditions.
- Cordocentesis. This test, also known as percutaneous umbilical blood sampling, is a highly specialized prenatal test in which a fetal blood sample is removed from the umbilical cord. Typically done after week 18 of pregnancy, the test can identify chromosomal conditions, blood disorders and infections.
- Cervical length measurement. Your health care provider might use an ultrasound to measure the length of your cervix at prenatal appointments to determine if you're at risk of preterm labor.
- Lab tests. Your health care provider might take a swab of your vaginal secretions to check for fetal fibronectin — a substance that acts like a glue between the fetal sac and the lining of the uterus. The presence of fetal fibronectin might be a sign of preterm labor.
- Biophysical profile. This prenatal test is used to check on a baby's well-being. The test combines fetal heart rate monitoring (nonstress test) and fetal ultrasound.
Some prenatal diagnostic tests — such as amniocentesis and chorionic villus sampling — carry a small risk of pregnancy loss. Ultimately, the decision to pursue prenatal testing is up to you and your partner. Discuss the risks and benefits with your health care provider.
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- Lockwood CJ, et al. The initial prenatal assessment and routine prenatal care. http://www.uptodate.com/index. Accessed Nov. 15, 2011.
- Declercq E, et al. Planned home birth. http://www.uptodate.com/home/index.html. Accessed Nov. 15, 2011.
- High-risk pregnancy. National Institute of Child Health & Human Development. http://www.nichd.nih.gov/health/topics/high_risk_pregnancy.cfm. Accessed Nov. 30, 2011.
- DeCherney AH, et al. Current Diagnosis & Treatment: Obstetrics & Gynecology. 10th ed. New York: McGraw-Hill; 2007. http://www.accessmedicine.com/content.aspx?aID=2384591. Accessed Nov. 30, 2011.
- Cunningham FG, et al. Williams Obstetrics. 23rd ed. New York: McGraw-Hill; 2010. http://www.accessmedicine.com/content.aspx?aID=6052072. Accessed November 30, 2011.
- Marc I, et al. Mind-body interventions during pregnancy for preventing or treating women's anxiety (review). Cochrane Database of Systematic Reviews. http://onlinelibrary.wiley.com/doi/10.1002/14651858.CD007559.pub2/abstract. Accessed Oct. 6, 2011.
- Tsekiri O'Brien E, et al. Women's views of high risk pregnancy under threat of preterm birth. Sexual and Reproductive Healthcare. 2010;1:79.
- Yang M, et al. Music therapy to relieve anxiety in pregnant women on bedrest: A randomized controlled trial. 2009;34:316.
- Healthy pregnancy: Staying healthy and safe. The National Women's Health Information Center. http://www.womenshealth.gov/pregnancy/you-are-pregnant/staying-healthy-safe.cfm. Accessed Dec. 2, 2011.
- Weight gain during pregnancy: Reexamining the guidelines. Institute of Medicine and National Research Council. http://www.nap.edu. Accessed Dec. 2, 2011.
- Assisted reproductive technologies: A guide for patients. American Society for Reproductive Medicine. http://www.asrm.org/uploadedFiles/ASRM_Content/Resources/Patient_Resources/Fact_Sheets_and_Info_Booklets/ART.pdf. Accessed Dec. 2, 2011.
- Declerq E, et al. Home birth. http://www.uptodate.com/index. Accessed Dec. 2, 2011.
- Is home birth right for you? American College of Nurse-Midwives. http://www.mymidwife.org/index.asp?bid=162. Accessed Dec. 2, 2011.
- Genetic disorders. American Congress of Obstetricians and Gynecologists. http://www.acog.org/~/media/For%20Patients/faq094.ashx?dmc=1&ts=20111202T1514547460. Accessed Dec. 2, 2011.
- Good health before pregnancy: Preconception care. American Congress of Obstetricians and Gynecologists. http://www.acog.org/~/media/For%20Patients/faq056.ashx?dmc=1&ts=20111202T1514547470. Accessed Dec. 2, 2011.
- Beckman CRB, et al. Obstetrics and Gynecology. 6th ed. Philadelphia, Pa.: Lippincott, Williams & Wilkins; 2010:57.
- Diagnostic tests for birth defects. American Congress of Obstetricians and Gynecologists. http://www.acog.org/Resources_And_Publications/Patient_Education_Pamphlets/Files/Diagnostic_Tests_for_Birth_Defects.aspx. Accessed Dec. 2, 2011.
- Lockwood CJ. Fetal fibronectin for prediction of preterm labor and delivery. http://www.uptodate.com/index. Accessed Dec. 2, 2011.
- American College of Obstetricians and Gynecologists (ACOG) Committee on Ethics. ACOG Committee Opinion No. 363. Patient testing: Ethical issues in selection and counseling. Obstetrics & Gynecology. 2007;109:1021.
- Routine prenatal care. Bloomington, Minn.: Institute for Clinical Systems Improvement. http://www.icsi.org/prenatal_care_4/prenatal_care__routine__full_version__2.html. Accessed Dec. 5, 2011.
- Special tests for monitoring fetal health. American Congress of Obstetricians and Gynecologists. http://www.acog.org/publications/patient_education/bp098.cfm. Accessed Nov. 15, 2011.


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