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This month, local news stations in Washington D.C. reported on a protest by Muslim women at the Islamic Center of Washington, who demanded the right to worship in the Center's main prayer hall. The police were called and the women asked to leave.
But they say their struggle will continue. The source of contention is a small room created with seven foot high wooden walls. Jannah B'int Hannah describes how she feels in there where she cannot see the imam, or leader of the mosque, speak.
"Boxed in, stifling, suffocating and totally a second class citizen," says Hannah.
The movement to integrate Muslim prayer spaces–two out of three U.S. mosques are segregated–has been ramping up in the past few years, led in part by Asra Nomani, an American Muslim journalist and feminist activist.
"We have this generation of American Muslim women who are saying look you want us to go to Harvard, to rise to the highest level of Wall Street firms and you want us to sit where in the mosque?," says Nomani.
Why keep women confined to a separate and unequal prayer space?:
Syed Burmi, the imam of Islamic Society of Western Maryland, says the physical separation helps maintain women's privacy and modesty as well as keeps the focus on prayer.
"If I stand next to a lady or a woman stands next to me, maybe the focus will change and no longer be on God the Almighty. So that's why we put the partition."
Imam Burmi seems to believe that men's dicks act like compass needles–automatically swinging towards the nearest vagina, which somehow demagnetizes their brains. Never mind that adult men are perfectly capable of focusing their attention on things other than sex; they do it all the time at work, when shopping, when attending social events, etc. But religious leaders feel men must be incapable of that same restraint when in a house of prayer.As a Jewish woman, I'm intimately familiar with this rationale; it's the same one used by Orthodox Jews, who also relegate women to a separate area–usually a gallery or balcony above the sanctuary–so that they cannot easily be seen by the men worshipping on the floor.
Segregationists insist that the mere presence of women's bodies in the same prayer space as men is ungodly. Forget that God Almighty is present in women–including those men's mothers, wives, sisters and daughters. Forget that Muslim women worship side by side with men at Mecca's Masjid al-Haram, the holiest site in Islam. (Unlike Jewish women, who are segregated at our holy sites in Jerusalem, and have been threatened and attacked during attempts to integrate).
The arguments for gender segregation during worship are irrational and fundamentally indefensible, as well as insulting to both men and women. And yet, segregation persists, and women are forced to stake their claim to equality over and over again.
When Asra Nomani led the move to integrate the mosque in her hometown of Morgantown, West Virginia, she and her parents received death threats. But she persevered, launching the "Muslim Women's Freedom Tour," which travels from city to city encouraging women to speak out in favor of integration, and take leadership roles in their mosques.
"It's about time," says religious scholar and historian Reza Aslan. "This conception of the separation of men and women is something that never occurred during the prophet's lifetime." He adds, "What she has done is perfectly in line with Islamic values, traditions and the prophet's own desire to have men and women working side by side, praying side by side and even fighting side by side."
Asra Nomani's Indian-born father agrees:
"Muhammad was one of the greatest feminists. Islam first gave rights to women 1,400 years ago. . . . When I see Islam today and the way people behave towards women, I am very sad. I am for women's rights, respect, women's equality. Islam teaches that."
As long as women are insulted and excluded by religious authorities, and barred from worshipping openly with their male relatives and neighbors, their religious communities–be they Muslim or Jewish–fall short of true oneness with God.


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Well, Rossi and Simo did about half a race worth of laps. I bet Rossi's hoping it stays wet through the weekend (and it will be).
Impressed by Abraham yet again, if anyone saw the footage, the way he handled that Ducati reminded me of Stoner on it...

subset: commoncrawl


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cocktail dresses
Best Bets for NYE-Worthy Party Dresses
Only two days to go before the decade's officially done-zo, and you've got a whole lot of nada to wear for the occasion? Pause, breathe. Then try one of these local shops for the perfect New Year's Eve party dress.
San Francisco's Best Shops for Pretty Party Dresses
San Francisco may be known for its ultra-casual style, but late spring and summer's barrage of weddings, proms, graduations, showers and warm weather soirees routinely send us rushing for pretty dresses with cocktail party potential.
Whether you've got $50 or $500, we've got a frock stop for you. Here, our list of San Francisco's Best Shops for Pretty Party Dresses:
- Status: Can I pay my Mastercard with my Visa?
When looking good must be done on the cheap, try these San Francisco shops for great deals:


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DIY: Vibrant Curtains Upcycled from Old Film Slides
Like the 35mm camera, film slides have gone to the wayside in favor of digital images and PowerPoint. So what is one to do with that box of slides collecting dust up in the attic? Turn them into a curtain! In a beautiful and clever design, one gal has gathered
Read more >


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Popular Searches
GLENDALE -- Chans Cox had a sack to start the season Saturday.
But the heralded senior linebacker spent the rest of the Sollenberger Classic admiring the plays turned in by teammates, particularly receiver/safety Ben Watson, in Lakeside Blue Ridge's 23-14 victory over Moapa Valley (Nev.) at University of Phoenix Stadium.
Watson caught a 70-yard touchdown pass from Skyler Hill and intercepted a pass, which returned it 34 yards for Blue Ridge's first two scores.
"I just got put in," Watson said about the touchdown catch. "He decided to throw it to me because of the matchup."
Watson had a second interception in the second half and added a few nice punt returns, as Blue Ridge, the Division IV champion, extended its winning streak to 14 games.
"We had to show these people we're not just a small-town team and we can play," said Watson, who had 171 all-purpose yards.
Cox, 6-foot-3, 235 pounds, who committed earlier this summer to Arizona State, came in hobbled with an ankle injury. After the sack, Cox had one other tackle. He didn't touch the ball on offense. He played sparingly on offense in the first half and none in the second half.
Coach Paul Moro had Cox lined up at wide receiver, tight end and tailback at times in the first half when Blue Ridge was held to just 65 yards outside of Watson's 70-yard catch-and-run.
"It didn't really bother me too much," Cox said of the ankle. "It was a great experience. It shows we have a lot to work on. But it was a great opportunity for Blue Ridge."
Moapa Valley rallied to beat Blue Ridge's White Mountains rival, Show Low, 28-26 in last year's Sollenberger game.
This time, Moapa Valley took an 8-7 lead with 11:02 left in the first half on Conner Mortensen's 1-yard run after he set it up with a 27-yard dash. Moapa Valley fooled Blue Ridge with a reverse pass for a two-point conversion. Mortensen ran for 109 yards on 19 carries.
But Moapa Valley wouldn't score again until the final seconds of the game when Sean McConnell took back Cox's punt 40 yards for a touchdown as time ran out. Before that, Blue Ridge held Moapa Valley out of the end zone on Easton Wengert's fourth-down tackle of Mortensen for a yard loss from the Blue Ridge 1.
"We let one play go in the first half and we let a kick go on the last play of the game," Moro said. "Other than that, our defense played pretty solid."
Moro was asked what his team will need to do before his next game.
"Everything," he said. "We've got lots to go. Offensively and defensively, we made tons of mistakes."
Blue Ridge had 159 rushing yards with Hill leading the way with 65 on 16 carries. Hill passed for 107 yards, completing 5 of 10.
Popular Searches
Aug. 18, 2012 - Blue Ridge High's Ben Watson is chased by Moapa Valley High's Kasen Hughes following his interception in the second half.
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THANE: The death toll in the under- construction building collapse in Shil Phata area of the district has risen to 30 as rescuers recovered more bodies from the site this morning, Thane police control room said.
While 69 people were injured, rescuers fear that some victims are still trapped under debris, they said. The deceased included 12 men, some of whom were construction workers, ten children and eight women.


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Sectional Softball...
Blair Oaks blasted Sullivan 13-0. The Eagles end the season with a 17-8 record.
Warrenton lost to Centralia 5-0.
Washington shutout Warrenton 2-0
Eureka defeated Washington in three 19-25 25-10 28-26.
Cross Country...
The Borgia girls took second place in the Triple-A Conference Championships. Megan Heger, Corinne Morgan and Samantha Kang all finished in the top 10
The Borgia JV boys and girls both took first.


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Tinchy Stryder to join Cheryl Cole on tour
14:32 18 September 2012
Hip-hop star Tinchy Stryder will support Cheryl Cole on her UK arena tour.
Stryder was 2009's biggest selling male solo artist in the UK and over the past two years the rapper has scored a string of hit singles including Never Leave You and Number 1, a top-selling album, and has embarked on nationwide sell-out headline tours.
Previously the rapper has supported Akon and Rihanna at their UK shows.
His fourth album Full Tank will hit shelves in December 2012.
Cole has released three albums, and will perform material from them all on her tour, which takes in major cities across the UK, with a stop at The O2 in London on October 7.
The former Girls Aloud singer's Call My Name shot straight to number one within hours of release on iTunes, clocking up record breaking sales.
This is Cole's first solo headline tour. She previously opened as special guest on the Black Eyed Peas European tour in 2010 and also played four sold-out arena tours as part of Girls Aloud.


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MEC, a leading media agency, announced that Jitka Petrickova, Managing Partner, West (USA) and Arvid Boström, Managing Partner, Germany have been named as Agency Innovators of 2012 by The Internationalist Magazine .
This prestigious list recognises the industry's top talent, voted by their peers for being leaders of multinational strategy, adept at innovative communications, thinks about advertising in new ways and is an advocate of responsible brand-building.
Jitka has nearly two decades of working with marketing strategy and technology in a number of cities around the world. Her extensive background in integrated digital solutions and client leadership across the world has culminated in making the significant Innovators list
Arvid ensures successful client-orientated media and communications consulting at MEC; analysing emerging innovative trends and their potential benefits and value for clients. His progressive way of thinking and inspirational work at MEC has earned him his place on the Innovators list.


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Credit : Instagram
Grey's Anatomy
Guess Which TV Star Posted This Cute Pic of Her "Sassyass" Daughter
O. M. Adorable. Could this little toddle be any cuter? With her curly hair, killer smile, and totally hip fashion sense, this girl looks ready to take on Hollywood, just like her famous mommy.
But who is the mom in question? We'll give you two hints. First, she has a sense of humor: When she posted this pic, she wrote "Sassyass in training." Second, her TV show is a monster hit that just won't die (not that we'd want it to).
Can you guess who's responsible for this cutie-pie pic? Click on to the next slide to find out.


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David Beckham toured Sun Life Stadium and the football stadium at Florida International University in Miami, looking at both as the possible home of a future MLS franchise in Florida should he elect to act on his option to return to MLS as an owner.
"I think Miami fans are very passionate about their sports and very passionate about winning," Beckham told reporters according to the Press Association. "It's definitely exciting."
Sun Life Stadium is home to the NFL's Miami Dolphins and has a capacity of more than 75,000. FIU's football stadium holds 20,000 people, which is a number more in line with most soccer-specific stadiums in MLS.
Jose Sotolongo, the executive director of the Miami-Dade Sports Commission, was among the locals to meet with Beckham along Mayor Carlos Gimenez and commissioner Jose 'Pepe' Diaz, and Sotolongo is convinced that the city would back a new franchise. MLS was home to the Miami Fusion from 1998-2001 before the franchise folded. Miami has since become a regular home for international club friendlies and will be one the main sites for this summer's International Champions Cup.
"We know that our community can support not only the international soccer (friendlies) that have been coming to Miami for a while now, but that it would support an MLS franchise," Sotolongo told Reuters. "The city of Miami has a very international fan base and a very soccer savvy fan base. This is the kind of ownership group that would electrify the community and hopefully we will get good news."


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Sentiment Better As German 'Confidence' Ignores Fundamentals, Tracks Stock Market, Rises
Remember all those European PMIs which imploded over the past month, destroying any hopes of a rapid rebound from Europe's technical recession? You can forget them now because the one indicator which tracks the level of the manipulated stock market more than anything else, German IFO business survey, just came better than expected, at a whopping 109.8 compared to expectations of 109.6 print, same as the previous one. And that is all it takes for futures, and the EURUSD to ramp, which in turn plants the seeds for another confidence ramp next month and so on. Here is Goldman's take: "The assessment of current conditions remained unchanged at 117.4, while expectations increase to a level of 102.7 after 102.4. Looking at the different sectors it shows that confidence in the manufacturing sector was broadly stable on a high level (14.0 after 14.3), while construction saw a small decline after a surge over the last couple of months (2.3 after 3.3; confidence stood at -13.2 in October). Confidence in the retail sector also recorded a strong gain (106.6 after 3.7), while wholesale saw a decline (12.8 after 15.0). This is a strong report with business conditions remaining significantly above their long-term average of 101.1. The rebound in business conditions after a soft spot during October to January is indicative for a rebound in the underlying momentum in the economy." Well, no, if anything it is indactive that Germans were happy to reap the benefits of a few trillion in liquidity which in turn pushed markets higher, and making Germans even more confident despite the big miss in German PMI in March. But for now a big drop in the market is unwelcome so let's focus on reflexive, Catch 22 indicators. Even Goldman is perplexed on the spin: "Only the release of the 'hard' data in the coming weeks will show which survey is giving the correct signal with respect to the underlying momentum of the German economy. But in any case, the March IFO argues against taking, at least for now, the PMIs at face value."
Charting the IFO:
And here is a recap of overnight sentiment from BofA:
Market action
The regional MSCI Asia Pacific Index slid 0.6%, marking the second day in a row the index finished lower, as concerns build that exporters will post weaker earnings results in the months ahead. In addition, investors are worried that Chinese banks have understated the risks of loans to local governments. Starting with the worst performers, the Indian Sensex dropped 1.8% while the Korean Kospi shed 0.4%. The Hang Seng finished flat while the Shanghai Composite and the Japanese Nikkei both managed to finish up 0.1%.
In Europe, equities are trading 0.3% higher in the aggregate. The region's blue chips are flat while shares listed in London are up 0.4%, German shares are inline with the broader regional aggregate up 0.3% and French listed firms are trading flat. At home, futures are pointing to a modestly higher opening later today. The S&P 500 is set to open up 0.2%.
In bondland, Treasuries are selling off across the curve with the 5, 10, and 30-year yields all 3bp higher. The 10-year yield is currently trading at 3bp to 2.26%. In Europe, yields on the safest European bonds are selling off while peripheral debt is rallying. The Italian 10-year yield is 5bp lower at 4.97% and the Spanish 10-year is 7bp lower at 5.26%.
In the currency markets, the dollar is strengthening against a basket of other major currencies. The DXY index is up 0.3%. That is helping push commodity prices lower. Gold is down $1.21 an ounce to $1,660.87 while WTI crude oil is 46 cents lower to $106.44.
Overseas data wrap-up
The German IFO survey was a touch stronger than expected in March, showing a slight overall pick-up over the month. Current conditions were unchanged at 117.4, though that was above market expectations of a decline to 117.0. But the Business Climate index rose from 109.6 to 109.8 (market 109.6): the 5 consecutive increase, to its highest since July last year. Similarly, expectations also picked up over the month - from 102.4 to 102.7 (market 102.6) - again the five consecutive monthly rise to the highest since July last year. While survey indicators (ie the PMIs) of the state of the German manufacturing industry are very mixed at present, all are consistent with German GDP expanding moderately in the first quarter.
Italian consumer confidence unexpectedly rose to 96.8 in March up from 94.4 in February. The market was looking for a decline in consumer confidence to 93.5. In our view, the improvement in the index is not the start of a new trend but rather signals that consumer confidence is stabilizing around the current level. With the economy set to slide further into recession this year, we think consumer confidence will likely stay at the current depressed level or even fall further.
The week's events
The data calendar will be relatively light. Wednesday's durable goods report will likely be significant. We are expecting orders to advance 4.0% on the back of a sharp increase in Boeing orders. Stripping out transportation, durable goods orders are expected to rise 2.0%. On the other hand, the policy calendar heats up as we hear from a bevy of Fed speakers, including the "core" of the FOMC: Chairman Bernanke and NY Fed President Dudley. We think there speeches may provide their latest views on the economic, inflation and policy outlooks.
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Don't forget: This index evaluates the answers of German companies. These companies have done a tremendous job diversifying into Eastern Europe and Asia. Therefore, some studies argue that the Ifo index no longer measures German business sentiment but due to the globalization of the companies is now an index of the sentiment in the global economy. The reading has to be interpreted accordingly.
Irish housing market plunge accelerating despite the increasing false hopium dosage.
March 26 (Bloomberg) -- Following is a summary of the February
residential property prices report from Central Statistics Office in Dublin:
Feb. Jan. Dec. Nov. Oct. Sept. Aug. July
2012 2012 2011 2011 2011 2011 2011 2011
All Residental Property 66.1 67.6 68.9 70.1 71.2 72.8 73.9 75.1
MoM -2.2% -1.9% -1.7% -1.5% -2.2% -1.5% -1.6% -0.8%
YoY -17.8% -17.4% -16.7% -15.6% -15.1% -14.3% -13.9% -12.5%
Note: Base January 2005 = 100
Ah...yes, the power of surveys.
Might it be the warm dry spell which has affected their confidence by such an amazing amount? ; )
Grün Sprösslinge©, baby!
*Grün Sprösslinge is an official copyright of The House of The Red Shield. *The Rothschild Group, New Court, St. Swithin's Lane London, EC4N 8AL. Specializing in Debasement of the human soul from infinity to beyond, since 1744.
I read what TD reported here. But here is a fact not to be overlooked. "Handelsblatt" reports this morning that the the net export of jobs out Germany seems to have reversed. The 30 DAX companies in 2011 employed 16.000 more people than the year before and this trend seems to be a continuing one. The actual economy Germany, not just the stock market is booming. It is important to separate fact from opinion.
Wow 16,000 jobs year over year...... thats the kind of boom Barry would be proud of.....
Comparison with Armstrong USA default predictions :
Gold is a good investment NOT because of all the fiat nonsense, but because inflation has passed it by and there will be a huge burst of price movement. That will come when the Sovereign Debt Crisis hits the USA and that does not seem likely until 2015.75.
My chart shows that the USA will partially default (crash in debt amount) when the debt reaches about 21 trillion which should happen in the end of 2015-beginning of 2016, given its superexponential growth.
From my charts, the Gold prices will start to anticipate this default much earlier, seriously already in the end of 2014. After default, Gold shoots up 5500 USD/oz to 11500 USD/oz in 1 year, and then sometime in 2017 the Gold bubble ends. Why I do not know, as chart are in USD as they are today. Might also a point of change of regime I have no idea about.
However, the first doubling of gold in value according to my charts from around 2000 USD to 4000 USD in a form of panic buying will happen immediately after 2012 elections and by the middle of 2013, which may mean that QE3 or some significant fiscal stimulus will be delayed until elections and than IF Obama wins second term , it will be unleashed after this delay, so in bigger scale than anticipated. Or may be whoever wins, since its FED who decides on printing.
Due to the German behaviour, Europe has become the "bedroom" where Jewish loan sharks rape the Europeans. The first time, they have served the Americans at the expense of the Europeans and the second time round they serve the Asian Jews at the expense of the European people again. It is because of them that in 1945 the American occupation of Europe started and in 2012 –again it is them to blame- the Jewish occupation begins …An occupation that did not come out of the blue but it was the result of a war attack. In 1989, Jew Greenspan levelled his "assault" against both USA and Europe from his position in FED …the cheap money "assault", the result of which is now obvious. Cheap money destroyed the productivity of the western countries and forced them into unemployment. Peoples without employment got involved in huge debts and now, loan sharks are infesting their countries.
This is a game Jews couldn't have played without the help of Germany …Without the first "willing" player. It is again because of stupid and unnecessary financing that Germany "fell into the trap" and turned again against Europe …the play is same, only this time it has different "bosses". In the Second World War, Germany was financed by the American to start a world war that was a lost cause right from the start. It destroyed everything and at the same time it brought its American lenders to Europe. Today, something similar is happening. It got financed again by the FED that belonged to the Jew Greenspan to bring Europe to his countrymen loan sharks. The Jews by knowing Germany's needs and complexes, they could play with them. This is why they put Germany in the adventure of reunification …the adventure of the so-called national "engagement" which was diligently made even more expensive. What for? …To finance it …To force the unified now Germany into unbelievable debts. Why did they over-indebt Germany? …to leave it with just one "way" of salvation.
…Germany betrayed Europe once again. Germany handed all the European countries over to the Jewish loan sharks, by naively believing that this way they would let Germany free. Germany put the European family at the "target" of the "markets" and it is collecting profits every time one of its members gets "executed". The loan sharks who pretend to be the "hunters" are shooting safely in the European "hen house" because Germany has managed to "raise walls around" Europe. One after the other, Europeans are destroyed so that Merkel can pay the stupid and artificial German debts to the loan sharks.
Germany, the DISGRACE of Europe
Authored by Panagiotis TRAIANOU
Interesting stuff. Here is some unsolicited advise: Eat less raw meat, more vegetables. Take more frequent walks to improve blood flow to brain.
wait for bernanke to talk about the interest rate expectations.
the most interesting printer:
This just out: According to the BLS, to the politician economic confidence index was up 17% for the month of February. That makes 63 months in a row that politicians were optimistic about the recovery.
We are truly living in a golden age. All you need do is believe the monthly release of contrived statistics released by your debt masters.
The Guardian: "News in from Athens where our correspondent Helena Smith says officials, awaiting the return of international monitors, are heaving a sigh of relief that anti-austerity protestors failed to mar the country's independence day celebrations over the weekend."
Wow. A day in Athens without riots.Just keeps getting better and better.
I love the title "Sentiment Better As German 'Confidence' Ignores Fundamentals"
Tyler from his windowless office claims he knows better than the IFO.
Reminder: The Ifo Business Climate Index is based on ca. 7,000 monthly survey responses of firms in manufacturing, construction, wholesaling and retailing.
what's next Tyler.


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Respect Patient Privacy.
Don't discuss cases in the hallways or elevators.
The Seymour Street Journal is published every two weeks to communicate key messages pertinent to our hospital's physicians, and to promote alignment between the medical staff and administration. It will keep you informed on hospital news in a concise, convenient format. SSJ
will be sent to your preferred email address every other Sunday.
We'd like to hear from you. For any questions or suggestions, please contact Dr. Jeffry Nestler, medical staff president, at 860-836-7313, or firstname.lastname@example.com.
There is currently an election underway for three members-at-large of the medical staff executive committee. Terms are for two years. All ballots must be received by 5 p.m. on Nov. 12. Any ballot received without a name/signature will be void.
You can download a ballot here.
There are 15 candidates for the three open seats. They are:
Dr. Thomas Banever, Surgery
Dr. Tracy Brennan, Ob/Gyn
Dr. Erika Cappelluti, Pulmonary
Dr. John D'Avella, Nephrology
Dr. Adam Debin, Anesthesiology
Dr. April Goller, Medicine
Dr. Marbelia Gonzalez, Anesthesiology
Dr. Frances Gurtman, Internal Medicine
Dr. Herbert Keating, Medicine
Dr. Joseph McIsaac, Anesthesiology
Dr. Stephen Ohki, Radiology
Dr. A. Jon Smally, Emergency Medicine
Dr. Manish Tandon, Surgery
Dr. Peru Venkatesh, Medicine
Dr. Michael Zanker, Emergency Medicine
Some of the candidates have submitted a brief summary of why they would like to be elected. Read those statements here.
You can email ballots to email@example.com; fax them to 860-545-3755, or hand deliver them to JB-114 between 7:30 a.m. and 5 p.m.
We need a quorum of 10% of the active medical staff to validate this election. Last year, about a third of the active medical staff participated. Please vote.
The results of the election will be announced at the Nov. 15 Semi- Annual Meeting of the Medical Staff.
If you have questions or concerns, contact Martha Santilli at 860-545-6167.
The semi-annual meeting of the medical staff will be Thursday, Nov. 15 at 7 a.m. in Gilman Auditorium. The theme of the meeting is Physician Alignment.
Free flu shots will be available at the meeting.
The results of the Medical Executive Committee election will be announced then.
All HHC staff members are required to get a flu shot by Dec. 1.
You can get a free flu shot at several times and locations throughout the hospital.
Flu shots will be available at the Semi-annual Meeting of the Medical Staff on Thursday, Nov. 15 at 7 a.m. in Gilman Auditorium.
Flu shots will be available at Surgery Grand Rounds on Friday, Nov. 16 from 7-7:45 a.m. in CB 139-140.
Other dates and locations for flu shots are:
• Tuesday, Nov. 13 from 2-4 p.m. at CLP, CORE Building
• Wednesday, Nov. 14 from 6-8 a.m. at CLP, CORE Building
• Thursday, Nov. 15 from 2-4:30 p.m. at Jefferson House
There will be "roving" flu clinics on the inpatient nursing units on Nov. 13 and 15 at different times. There will also be off-site flu clinics at Hartford Specialists, Sleep Lab, and multiple ERN locations.
If You Get Your Flu Shot Outside of Hartford Hospital: You must provide The Medical Staff Office with proof of vaccination: a document with your name, date of birth, date of vaccination, the vaccine product used, location and clinician who provided the shot. This can be brought to the office weekdays between 8 a.m. and 4 p.m. When you drop it off, you will be given a vaccination badge tag.
All the times and locations for flu shots will be listed on the Flu Prevention internet site. For more information, please email firstname.lastname@example.com.
Hospital President Jeffrey Flaks and Dr. Jamie Roche,
vice president of patient safety and quality, will give the keynote address at the Press Ganey Executive Leadership Conference in Washington, DC this week. Their topic is H3W. We are proud to have the opportunity to discuss in a national forum our H3W culture and its success in improving the patient experience.
On Oct. 31, doctors at Hartford Hospital were the first in the United States to place a right ventricular Impella device (a "mini heart") in a patient in shock because of a right ventricular infarction. This device is currently being evaluated by the FDA, and this surgery has been performed only eight times worldwide.
The right heart Impella is a catheter that is placed from the inferior vena cava through the right atrium, right ventricle and is positioned in the pulmonary artery. There is a pump within this catheter that withdraws blood from the inferior vena cava and pumps into the pulmonary artery (thus taking over the function of the right ventricle).
The director of Structural Heart Disease, Dr. Ronan Margey, took the lead in procuring the device, receiving approval for implantation by Hartford Hospital IRB, and implanting the device in this patient. Drs. Dan Fram,
Jeff Hirst, Fran Kiernan, Ray McKay,
Immad Sadiq, and David Silverman were all involved to support this achievement.
Hartford HealthCare will launch a medical foundation on Jan. 1 under the legal name HHC PhysiciansCare Inc. (It may be marketed under a different name.) It is designed to strengthen our region's pluralistic physician practice environment by providing a structure for physicians and advanced practitioners who are interested in being employed by Hartford HealthCare.
Initially, the foundation will become the employer of clinicians currently working for Hartford Clinical Associates, Hartford Medical Group, MidState Medical Group, Doctors of Central Connecticut, and Windham Family Medical Associates. Other employed HHC physicians will join the foundation in later phases. In some special cases, Hartford HealthCare member institutions will still directly employ some doctors.
Within the next year, the foundation will establish common billing and charge-capture platforms and evaluate electronic medical record systems across the practices as important first steps toward increased efficiency and improved care coordination.
The foundation positions us well for the dramatic changes occurring in health care. It will help Hartford HealthCare achieve its vision of providing seamless, high-quality care to our communities and allow us to harness HHC's size and scale to provide excellent, coordinated care as efficiently as possible.
We have brought together a talented, experienced group of leaders:
• Rita Parisi, CEO and president of Eastern Rehabilitation Network, led the start-up phase of the foundation, and she and her team have had great success. Parisi will stay on as project manager for the immediate future.
• Dr. Kent Stahl will have a dual role, as interim president and CEO of the organization, and vice president for primary care. An internist, Dr. Stahl has been the medical director and CEO of Hartford Medical Group for the past 16 years.
• Dr. Jeffrey L. Cohen
has been named vice president for specialty care. He is a colorectal surgeon who was on the board of Connecticut Surgical Group for the last decade. Beginning in 2006, he served as president of the multispecialty surgical group practice. He was instrumental in last year's transition of CSG into Hartford HealthCare, which helped lay the groundwork for the foundation.
• Edward R. Kushmerek will serve as chief administrative officer, helping physician leaders with the transition, especially with regard to practice-management issues. He has worked as a consultant to hospitals, health systems and physician practices.
• John G. Macdonald, who most recently was director of finance for the Affiliated Physicians of St. Raphael in New Haven, will serve as chief financial officer.
• The leadership of the foundation will report to Dr. Rocco Orlando III, senior vice president and chief medical officer of Hartford HealthCare.
President/CEO Jeff Flaks will be holding Town Hall Meetings over the next month open to all staff members. This is a time to ask questions or discuss any ideas or concerns you have about Hartford Hospital. Please join President Flaks at one of these meetings:
• Friday, Nov. 16: 11 a.m.-12 p.m. Gilman Auditorium
• Tuesday, Nov. 20: 6-7 p.m. Special Dining Room
• Tuesday, Nov. 27: 1-2 p.m. Gilman Auditorium
• Thursday, Dec. 6: 3-4 p.m. IOL, Commons Building, Hartford Room
All of your patients will be using new beds, mattresses, bed side cabinets and over-bed tables by the end of January.
The Biomedical Engineering Department, with the help of Environmental Services, is replacing all these items with the new hospital standard that was established with the CB2 renovation. The beds, over-bed tables and bed side cabinets are from Stryker Medical.
The rollout started earlier this month and is scheduled to be complete by the end of January, 2013
Four officials from Estonia visited Hartford Hospital on November 5-6 to view our Center for Education, Simulation and Innovation (CESI). The visitors include the Undersecretary from the Estonian Ministry of Defense, the Surgeon General of the Estonian Defense Forces, the chief of a Medical Center, and a physician instructor. Their plan is to use CESI as a model to emulate in developing their own simulation center.
This educational relationship with the Estonians began in 2007, when Dr. Jay McIsaac, chief of Trauma Anesthesia, was invited to Estonia with several colleagues to train their military service based on his textbook Hospital Preparation for Bioterror. Dr. McIsaac, Dr. Thomas Mort,
chief of critical care medicine, Dr. Thomas Nowick, emergency medicine physician and cognitive simulation director at CESI, and Steve Donahue,
CESI program director, spent a week in Estonia using SimMan as the centerpiece of their training.
As always, the Hartford Hospital staff performed admirably in preparation for and during Hurricane Sandy. Operations continued normally.
During the day Oct. 29, seven babies were born at our hospital, 86 surgical procedures were performed and 175 patients were treated in the Emergency Department – lower than the average 250 patients we see daily.
We opened our Incident Command Center at 8 a.m. Monday, Oct. 29 and closed it Tuesday at 11:30 a.m. We sent several updates to our staff and patients, keeping them informed of the hospital's status, and our activities were covered by all local media.
The annual meeting of corporators of Hartford Hospital will be held Thursday, Nov. 15 at noon in Heublein Hall. It will include reports of the Board Governance Committee, the Board of Directors and the President. There will be a presentation by Dr. Barry Stein, vice chair of the Department of Radiology on Beyond Advanced: Clinical Innovation at Hartford Hospital.
role of corporators is an important one. Our corporators are part of the critical partnership among the hospital's board of directors, medical staff, management and community that strengthens us as a academic medical center in our region. With Hartford Hospital's expertise, technologic strength and our commitment to extending comfort, compassion and care to the people of Connecticut, the management and staff recognize the substantial support provided by the community, throughout the
hospital's history, in both leadership and the contribution of time, expertise and funds. Such profound support and direction are reflected in the distinguished roster of Hartford Hospital corporators.
Joseph Denny Sargent, director and chairman of the board of Hartford Hospital for more than 30 years, passed away Nov. 7 at Hartford Hospital surrounded by his loving family.
Sargent, 83, was a tremendous supporter of Hartford Hospital. He was elected as a corporator in 1964 and served until 1999. In 1967, he was elected to the Hartford Hospital Board of Directors and served on the board for 32 years. He was chairman of the board from 1981 to 1986 and served on the Executive Committee from 1968 to 1999. He also served on the Audit Committee, Campaign Steering Committee, Development Committee, Development Steering
Committee, Educational Policies Committee, Insurance Committee, Investment Committee, Jefferson House Advisory Committee, Joint Advisory Committee, Joint Conference Committee, Long-Range Planning Committee, Nominating Committee, Planning Committee, Property Committee and Public Information Committee.
Mr. Sargent devoted himself for 35 years to Hartford Hospital to ensure that the hospital provided superb medical care in a fiscally prudent and cost-effective manner to the community.
A resident of West Hartford, he was married for 57 years to Mary Tennant Sargent. He was an entrepreneur, philanthropist and outdoor enthusiast. He completed his bachelor's degree in economics and geology at Yale in 1952. At the time of his passing, he was serving as chairman of Bradley, Foster & Sargent, an investment advisory firm he founded in 1992. He was a pioneer in insurance private equity and was actively involved in starting and building many insurance companies.
In 1956, he, his wife and other investors founded Sherburne Corporation, which developed the Killington Ski Area.
He helped many non-profit organizations in the Hartford area and served as a trustee of the YMCA of Greater Hartford, McLean, the Wadsworth Atheneum, The Village for Families & Children and the Hartford Art School.
In addition to his wife, he is survived by his four children, their spouses, and 11 grandchildren.
A celebration of his life will be held Monday, Nov. 12 at 11 a.m. at Asylum Hill Congregational Church, 814 Asylum Ave., Hartford. For directions to the church, please visit www.taylorandmodeen.com.
In lieu of flowers, gifts in his memory may be made to Hartford Hospital or the YMCA of Hartford. Donations to Hartford Hospital should be directed to Hartford Hospital, Fund Development, 80 Seymour Street, P.O. Box 5037 Hartford, CT 06102-5037 or online at http://giving.harthosp.org. Gifts in his memory will be directed to the hospital's Center for Education, Simulation and Innovation.
Gifts to YMCA may be made to 241 Trumbull Street, Hartford, CT 06103 or online at www.ghymca.org.
Ethan Foxman, M.D., Ph.D.,
interim chief of Radiology, gave the keynote address at the American College of Radiology Chapter Meeting in Washington DC. on October 25. His presentation was titled, "The New Radiology: Furthering Opportunities for Enhancing Radiology Services and Patient Care." It centered on information technology, patient-centric and coordinated care models, and analytic performance metrics for the enhanced delivery of diagnostic and interventional radiology services.
Hartford Hospital President/CEO Jeffrey Flaks was profiled in Becker's Hospital Review on Oct. 18.
The Connecticut Multispecialty Group Division of Hematology/Oncology has been named a Quality Oncology Practice Initiative (QOPI) certified practice by the American Society of Clinical Oncology. "This should favorably impact any relationships with other Oncologic centers of excellence and strengthen the Hartford Hospital Division of Oncology/ Cancer Institute," said Dr.
Jarrod Post, chief executive officer of Connecticut Multispecialty Group, PC.
The QOPI is an oncologist-led, practice-based quality improvement program sponsored by the ASCO, and there are currently 151 QOPI certified practices in the United States. The main goal is to promote excellence in cancer care by helping oncologists create a culture of self-examination and improvement.
Establishing QOPI certification demonstrates our commitment and acknowledges the quality of oncologic care that CMG provides. Obtaining QOPI certification has been a huge undertaking. Initiated nearly three years ago, it has taken countless hours of chart abstractions, achieving a passing score in core quality metrics, providing documents confirming compliance and detailing our safety standards, and completing an on-site audit by an ASCO QOPI representative.
Dr. Brendan Killory, Dr. Daniel Fusco, Dr. Rafal Barczak and Dr. Mark Shekhman,
showed off their carving skills at Hartford Hospital's annual "Chefs vs. Surgeons' pumpkin-carving competition Oct. 28 at the Connecticut Science Center. Dr. Barczak practices at MidState Medical Center; the others practice at Hartford Hospital. The carved pumpkins were auctioned for charity.
Dr. Lauri Bolton, an ED attending and medical director of LifeStar was appointed to the Emergency Medical Services Advisory Board as a representative of the Connecticut College of Emergency Physicians by Governor Malloy.
Dr. Bolton was also elected as secretary treasurer for Air Medical Physician Association, the national organization of air transport physicians.
Dr. Joseph DiGiuseppe,
director of the Special Hematology Laboratory and acting director of Hematopathology, recently presented a workshop entitled "Practical Flow Cytometry in Hematopathology – A Case-Based Approach" at the Annual Meeting of the American Society for Clinical Pathology, which was held in Boston. Dr. DiGiuseppe is currently president of the International Clinical Cytometry Society, and serves on the Editorial Board of its journal, Clinical Cytometry.
The inpatient Epilepsy monitoring unit on Center 11 will open to admitting the first patients tomorrow, Nov. 12. There will be a ribbon cutting ceremony on Friday, Nov. 16 from 3-5 p.m.
We expect the six-bed Epilepsy Center to achieve Level-IV designation by September 2013, the highest designation given by the National Association of Epilepsy Centers (NAEC). This distinction will recognize Hartford Hospital as one of the few hospitals in the nation that has the resources and capability to provide the most advanced and complex care for epilepsy patients. There are approximately 100 Level-IV epilepsy centers in the nation and only one in Connecticut.
Our Epilepsy Center will truly become a destination center for patients seeking advanced treatment for epilepsy. The center got a boost from a $100,000 donation from the proceeds of the Hartford Hospital Auxiliary golf tournament in September. This gift will be used to purchase additional neurodiagnostics equipment used for long-term monitoring.
In addition, we have partnered with the Connecticut Epilepsy Foundation to establish an epilepsy support group at the hospital, the only support group specifically for epilepsy patients in the region.
Dr. Judith L. Rapaport, chief
of the Child Psychiatry Branch of the National Institute of Mental Health in Bethesda, Md., was honored Nov. 7 as the recipient of the Institute of Living's prestigious and internationally recognized annual C. Charles Burlingame Award during a dinner program at the Hartford Golf Club. The IOL's Burlingame Dinner is one of the most prestigious events in psychiatry that continually enhances the reputation of Hartford Hospital.
The award honors leading psychiatrists who embody the highest values of clinical care, research, education and administration which were characteristic of C. Charles Burlingame, M.D.
Dr. Rapaport has been a transformational figure for child and adolescent psychiatry whose work has covered multiple areas and who is widely recognized and highly regarded by her colleagues. Her career exemplifies the values of excellence in clinical care, research, teaching, and administration which the Burlingame Award represents.
Dr. Rapaport gave a presentation titled "Time and Place and a Career in Child Psychiatry." She spoke of the many paradoxical developments she has witnessed in her long career in child and adolescent psychiatry research.
The morning after the award ceremony, she gave Grand Rounds at the Institute of Living on "Early Childhood Schizophrenia: Rare But Worth Studying."
C. Charles Burlingame came to The Hartford Retreat (now the Institute of Living) in 1931 as superintendent. Within six years, he had created a model community where patients could receive the best in psychiatric treatment. Dr. Burlingame intended it to become an institution which fostered the exploration of mental illness and the mind through research, and the development of mental health professionals through education. His mark is clearly visible on the institution to which he devoted the last 19
years of his life. Today the IOL is part of Hartford Hospital, serving as its behavioral health division.
Building on successful collaboration on previous national conferences, Hartford Hospital and Mayo Clinic have developed a unique conference called "TransFuse 2013: Transformative-Fusion of Innovative Patient Blood Management," to be held March 13-16, 2013 in Phoenix, Arizona.
This three-day multidisciplinary conference explores current state-of-the–art techniques and program development to implement a blood management program in hospitals. This is a one-of-a-kind summit organized by leaders in blood management from Mayo Clinic, Hartford Hospital, Loyola University, and Cleveland Clinic, with faculty participation from all four organizations. This conference is a CME accredited activity.
Following the successful 2012 course, the program has been slightly expanded for 2013. The Conference Website is: http://www.mayo.edu/cme/anesthesiology-2013r106 .
Registration discounts are available to staff affiliated with any Hartford HealthCare facility. To inquire about a discount, please email Dr. Ajay Kumar, chief of the Division of Hospital Medicine, at firstname.lastname@example.com. Dr. Kumar is conference co-director.
The American Association for Surgery of Trauma (AAST) has approved the University of Connecticut Acute Care Surgery (ACS) Fellowship Training Program at Hartford Hospital.
The reviewers specifically commented on the collegiality and spirit of cooperation they encountered at Hartford Hospital during their site visit. They also noted the strong cross-disciplinary and interdepartmental support of this critical educational program.
Hartford Hospital is the only accredited ACS fellowship program in the state of Connecticut, and the 14th ACS program accredited by the AAST in the country.
Effective immediately, the new Hartford Hospital fringe rate for research budgeting is 34%. If you are in the process of submitting a Trintech application and it requires a budget worksheet, please refer to the Grants and Contract page on the Research Program website for the updated version.
Updated HH Budget Sheets: Grants Administration Budget Guidelines: http://www.harthosp.org/Portals/1/Images/54/docs/BudgetGuidelines.doc )
HH Budget Sheet - Master Industry, Medical Staff (Small grant and Safety/Quality), Open Competition, Foundation, and State: http://www.harthosp.org/Portals/1/Images/54/excel/IndStatsDbaseHHEF.xls )
The Library has added the "Medicare Learning Network" for professionals to the Library Intranet site. The Medicare Learning Network (MLN) is the home for education, information, and resources for the Medicare Fee-For-Service provider community. The MLN gives health care professionals access to the Medicare Program information they need, when they need it, so they can focus more on providing care to patients.
The MLN is located under the category "Featured Resources." You can go to the Library site and access it there: http://intranet.harthosp.org/hh/dept/93?route=2. Or, you can go directly to http://www.cms.gov/MLNGenInfo and save it to your Desktop.
If you have any questions about this service call/email Sheila Hayes 860-972-2416, or email firstname.lastname@example.com.
Hartford Hospital opened its newest Family Health Center Oct. 30 in South Windsor. The center is one of three Hartford Hospital community health care facilities that include centers in Avon and Enfield.
South Windsor's tenants include Hartford Medical Group (HMG) and Hartford Hospital Rehabilitation Network. Hartford Specialists and other affiliated specialists also will have offices in the center.
The new state-of-the-art building, with more than 13,000 square feet, is the new location for HMG and HHRN's offices previously located in East Hartford.
The South Windsor facility features extensive improvements for more advanced patient care with larger patient rooms, access to on-site labs and X-rays, and an on-site community education room.
Hartford Hospital Rehabilitation Network's space in the South Windsor facility includes advanced technology – such as the Bioness Neuromuscular Re-Education System for upper and lower extremity function – to treat neurological disorders. In addition, the new HHRN office features a more open treatment environment for rehabilitation programs.
HMG also has stepped up patient care services in the new facility by providing more endocrinology services with the addition of Paula Rocha, APRN, who specializes in treating patients with diabetes. In addition, HMG will continue to provide primary and urgent-care services from the same outstanding providers from the former East Hartford office, including Dr.
Cynthia Heller; Dr. William Shieh; Dr. Jeffrey Stein; Alison Hall, PA-C; and Tracie LaRue, APRN.
The office will welcome a new family medicine physician, Dr. Anne-Katrin Weischedel, whose areas of interest include women and children's health.
More than 100 people attended a half-day seminar at Hartford Hospital on October 27th devoted to building awareness and inspiring action among black men to lead healthier lives. The hospital developed the Black Men's Health Project in collaboration with the Omega Foundation.
Greg Jones, a member of the hospital's Board of Directors, serves as president of the Omega Foundation of Hartford and was a driving force behind the collaboration.
The initiative is endorsed by Kevin Ollie, newly-named coach of the UConn men's basketball team and former professional basketball player, and Scott Burrell, a Quinnipiac University coach and former professional basketball and baseball player.
October is the first month of fiscal year 2013.
Discharges were slightly below budget for the month (.9%) as they were impacted by Storm Sandy. They were essentially even with last year, which also included a storm at the end of the month.
Outpatient revenues were strong, and despite limited activity in some outpatient areas the last few days of the month, were above budget for the month by approximately 4%.
A major focus of the fiscal year 2013 plan for IT is facilitating improvements in the productivity of the medical staff. Major initiatives being planned include:
- Single-Sign-On: Will allow you to sign on to SCM and other applications once instead of multiple times during the day.
- Microsoft Outlook Email: All email applications will be consolidated to Microsoft Outlook to facilitate better communication and coordination.
- Secured Texting: Texting is increasingly becoming a very convenient and efficient vehicle for communication and care coordination. A secured texting solution will allow you to continue using text messages while protecting the confidentiality of our patients and complying with HIPAA regulations.
Stay tuned for further updates and more details on these projects during the next few weeks.
As of last week, practitioners who order blood and related components will find a drop-down menu in SCM from which an indication must be selected to complete the blood order. The options presented reflect consensus guidelines as adopted by our M.E.C., and will serve to reinforce best practices.
The HH Information Technology team will assist in compiling these data in order to facilitate optimal blood management. To meet the needs of practitioners who may not find a consensus indication for their order, the option to free text an "other" indication is readily available.
Feedback is a gift and always welcome. Please direct any questions or ideas to Dr. Bradford Sherburne, director of Transfusion Medicine, or Dr. Ajay Kumar, director of Hospitalist Medicine.
One of our problem areas continues to be inappropriate use of patient elevators by staff. In order to assure the privacy of our patients and to provide them with timely services, it is important for everyone to follow the expected staff behaviors regarding patient transport on elevators. Please follow these elevators rules, and hold your peers accountable for following them too.
All staff members are expected to:
• Never get on elevators occupied by patients
• Vacate elevators when a patient on a stretcher or wheelchair is waiting to be put on the elevator
• Don't use Patient Transport elevators. (They are marked with signs for Patient Transport Only.)
the approach of National Philanthropy Day, November 15, we pause to thank all the members of the Medical Staff for their many donations of time, talent and treasure in support of the hospital over the past year. From financial support of the Annual Campaign and the Black & Red, to serving on committees that promote charitable gifts and making presentations to donors and friends of Hartford Hospital – you have sent a strong message to the community that underscores the importance of
philanthropy in advancing the hospital's mission and vision.
In addition, many gifts made to the hospital this past year testify to the critical role members of the Medical Staff play in nurturing patient and family relationships – and ultimately charitable gifts.
The occasion also allows us to once again recognize Dr. Robert Siegel, who was honored at the Medical Staff Spring Event with the Physician in Philanthropy Award.
The rollout started earlier this month and is scheduled to be complete by the end of January, 2013.
Runners 50 years and older represent one of the fastest-growing age groups participating in the increasingly popular events. As the total number of runners finishing marathons in the U.S. doubled to 518,000 in the 20 years ended in 2011, the number of finishers age 50 and older nearly tripled to 92,200, or about 18% of the total.
"There are dangers [for older runners]—you shouldn't experience severe chest pain during a marathon—but the research is clear that running is good for you," says Paul Thompson, a veteran former marathoner and sports cardiologist at Hartford Hospital in Connecticut.
Since storm Sandy hit Connecticut, state hospitals have seen 35 cases of carbon monoxide poisoning, as of Wednesday, and expect to see more in the next few days. "On one street, I saw four houses where people were operating their generators inside their garages," said Dr. Kelly Johnson-Arbor, director
of the Hartford Hospital Wound and Hyperbaric Medicine Center. During extended power outages, she said, that's the most common cause for carbon monoxide poisoning. Most of the cases so far this week have been moderate, in which patients are treated with an oxygen mask. "Once we get patients oxygen they recover in a matter of hours," she said.
Hartford Hospital and Norwalk Hospital have the only hyperbaric chambers in the state used for treating CO poisoning. Patients inside the chambers wear plastic hoods over their heads and the chamber pumps 100 percent oxygen at a pressure of 2.5 atmospheres to them. Under normal conditions, people breathe in 21 percent oxygen at 1 atmosphere of pressure.
A few cases this week have been serious enough that the patients had to go into the chamber at Norwalk Hospital. None have gone to Hartford Hospital so far. Dr. A.J. Smally, medical
director of the hospital's emergency department, said he was surprised by that. In the 24 hours after the snowstorm last October, the hospital had had "well over a dozen" patients suffering from CO poisoning. "So, people are getting smarter," he said.
Carbon monoxide poisoning has sickened dozens and killed at least 10 people as powerless residents have cranked up generators throughout the storm-struck East Coast.
Kelly Johnson-Arbor, medical director of Hartford Hospital's Wound Healing and Hyperbaric Medicine Center, says most poisonings she has treated so far were from generators and charcoal grills, and many involved "families or groups of people in the southern part of the state," she says.
Carbon monoxide poisonings are common whenever the community loses power because people put generators in partially opened or closed garages, and bring charcoal grills indoors, Johnson-Arbor says.
Last month, Hartford Hospital and Magen David Adom (MDA) in Israel announced a five-year partnership to advance emergency medical training and preparedness in both communities. Dr. Michael Drescher
is the bridge between the two organizations. A Pittsburgh native who made aliyah after high school, Drescher served in the Israeli Defense Forces and studied medicine in Israel. He completed further studies at Hartford Hospital and a residency in emergency medicine at UConn. He and wife Yosefa Drescher, an Israeli documentary photographer and fine-art photography dealer, moved their family back to Israel in 2011 after several years in the West Hartford community.
chief of Hartford Hospital's division of emergency medicine, Drescher serves on the advisory committee for the Israeli National Emergency Medical Services and the medical advisory committee of Magen David Adom in Israel. While in Israel from 2000 to 2005, Drescher experienced the height of the Intifada, and was able to see how Magen David Adom operates in mass-casualty situations. "They first take care of the wounded and injured, and then they get life back to normal," he says.
"The idea is that terrorists may take lives, but they don't disrupt daily life."
Hartford HealthCare is presenting the Top 10 reasons to connect with your primary care physician. If you don't have a primary care physician, you can find one by downloading the DocFinder app for iOS (iPhone, iPads, iPod Touch) or Android devices… or call 1-800-DOCTORS.
Here is this week's reason– provided to us by the great physicians at Hartford HealthCare– to contact your primary care doctor: 1. You Need a Physical or Annual Wellness Exam.
Horton, a Meriden psychiatrist, was going to attend a public hearing Wednesday on MidState Medical Center's plan to close its six-bed psychiatric unit. Horton, who planned to speak against the plan, said he got a call Wednesday afternoon from the state Office of Health Care Access telling him the hearing had been canceled. The hearing, however, went on as scheduled, despite a nor'easter that was slamming the area with snow and high winds. Roads closed and there were several automobile
accidents in the city. Others said they'd also been told the hearing had been canceled, though some said they later learned it was on again. Horton said he packed up and went home, and never received a call that the hearing was back on. William Gerrish, the state Department of Health spokesman, said Thursday the hearing had never been canceled. There are plans to continue it at another
date, yet to be determined.
As it turned out, more than 50 people attended the hearing, which started at 3 p.m., with the storm fully under way, at the Four Points by Sheraton hotel. They included both those who support the hospital's plan and those who wanted to speak against it. MidState intends to shut the inpatient psychiatric unit and relocate services to the New Britain General campus of the Hospital of Central Connecticut,
which plans to expand psychiatric services there by 10 beds. The hospital also includes Bradley Memorial, in Southington. Both MidState and the Hospital of Central Connecticut are part of the Hartford HealthCare network.
Hartford HealthCare anticipates saving $1.5 million a year by closing the MidState unit.
Hartford HealthCare's next Walk with a Doc will be Nov. 10 in Sperry Park, Avon. The 30-minute walk and health tips from Andrew Salner, M.D., radiation oncologist, will focus on reducing the risk for cancer. Event host is Hartford Hospital.
Doctors of Central Connecticut will host the December Walk with a Doc Dec. 15 in Walnut Hill Park, New Britain. Internist, Lorraine Binns-Grear, M.D., will discuss smart eating during the holidays and beyond.
In 2010, The Hospital of Central Connecticut was the first hospital in New England to join Just Walk. A program that hosts free community walks at area parks, these walks are led by doctors who stress benefits of exercise while providing health tips.
One New York City hospital evacuated patients after a power failure and another lost generator power as a massive and destructive storm made landfall Monday evening with gusting winds, flooding and widespread power outages. The storm Sandy was responsible for at least 16 deaths in seven states and left hundreds of thousands without power.
A failed backup generator forced New York University Langone Medical Center to begin evacuation of 215 patients hours after the storm reached the New Jersey shore. Patients were transferred to Memorial Sloan-Kettering Cancer Center's Memorial Hospital, New York-Presbyterian Hospital, Mount Sinai Medical Center and three North Shore-LIJ hospitals: Lenox Hill, Forest Hills and North Shore University.
Coney Island Hospital, which restored one generator Tuesday morning after losing power during the storm, began preparations to evacuate around 10 a.m. The hospital previously evacuated 40 patients who were dependent on ventilators and other devices. Backup batteries supported ventilators for seven remaining patients who were evacuated earlier Tuesday morning.
In New Jersey, Palisades Medical Center began evacuating 83 patients Tuesday morning. Flood damage knocked out power to the North Bergen, N.J., hospital, Hackensack University Medical Center, where patients were transferred by the National Guard after 9 a.m. Tuesday. Hackensack University Medical Center was expected to accept 51 patients from Palisades Medical Center. Approximately 30 New Jersey acute-care hospitals were operating on backup generators after the storm.
Hundreds of researchers at the shuttered NYU Langone Medical Center scrambled today to salvage years of research into heart disease, cancer and other diseases as well as priceless lab specimens that have been put in jeopardy by the devastating storm Sandy.
NYU lost power shortly after superstorm Sandy struck Monday night. When backup generators failed, the Manhattan hospital evacuated 300 patients. But cells, tissues and animals used for medical research were left to die in failing refrigerators, freezers and incubators.
The power failure blocked access to the darkened 13-floor research center, which houses labs dedicated to heart disease, neurodegeneration and cancer research behind electronic key card readers.
"It's so horrible, you don't even want to think about it," said Michelle Krogsgaard, a cancer biologist at NYU's Smilow Research Center. "All the work we did, all the time and money, we're going to have to start all over."
The Connecticut Institute for Primary Care Innovation (CIPCI), an integral part of Bioscience Connecticut, officially opened today in Hartford. The Institute is a collaboration between the University of Connecticut School of Medicine and St. Francis Hospital and Medical Center.
The Institute is based in a newly dedicated and completely redesigned facility, The Innovation + Learning Center at St. Francis, which also includes state-of-the-art conference and training rooms, research space, and the Health Sciences Library.
Waterbury Hospital officials have announced that they plan to merge with a Tennessee-based company, just a few weeks after ending year-long discussions of merging with St. Mary's Hospital. The hospital has entered an agreement to merge with Vanguard Health Systems
Inc., a Nashville company that owns 28 hospitals in five states, including three in Massachusetts. The proposal calls for the creation of a Limited Liability Company, with 80 percent owned by Vanguard and 20 percent by GWHN. Stromstad said the plan is to file a certificate of need to state regulatory agencies and the regulatory process – if everything goes as planned – would take about four months.
Waterbury Hospital may have announced plans Thursday to form a joint venture with Vanguard Health Systems of Nashville, Tenn., but Chad Wable, CEO of Saint Mary's, remained determined to continue working toward merging the city's two hospitals and building a new facility.
of the biggest winners Tuesday night was health reform. Now that President Barack Obama has won a second term and kept a Democratic majority in the Senate to back him up, Republicans have lost any chance at repealing his biggest domestic initiative. "Health reform goes ahead," Timothy Jost, an expert on health law at Washington and Lee University, told NBC news. "It has survived two near-death experiences, with the Supreme Court decision (in June) and now with the election. Now it is
time to move forward."
Republican analysts agree. "What it means is implementation of the law," said Christopher Condeluci, a former Tax and Benefits Counsel to the Senate Finance Committee who is now at Washington law firm Venable LLP. It doesn't mean smooth sailing, however. Many rules have yet to be rolled out – and there is little time to do that before the law begins to take full effect in 2014.
Although members of the Obama team are now celebrating their election victory, the next four years will not be smooth sailing. Ignoring the campaign rhetoric, there is still much more work to be done in order to reshape our health care system; the effect on academic medical centers and teaching hospitals will be significant.
The political conscience is still being driven by the fear of the fiscal cliff, which dominates most Washington conversations. Both political parties agree that health care is a significant contributor to our present and future deficit and that we have to figure out how to deliver more care at a lower cost. But, they argue about what to call it, who gets credit, and whether the solution is bigger government involvement or a dominant private market?
potential cuts to NIH funding and graduate medical education support do not go away with another four Obama years. We anticipate that the president will reform the tax code and transform how we deliver health care. The latter will be his lasting legacy. However, in all this chaos, there are opportunities. While we no longer hope for a bipartisan middle ground on health care — and rancor will certainly escalate if President Obama is reelected — to many people, the Affordable Care Act is
starting to look like a tangible business opportunity. Every insurer is looking at the 30 million uninsured people who will receive coverage through a mix of subsidized private insurance for middle-class households and expanded Medicaid for low-income people. These new markets could be worth $50 billion to $60 billion in premiums in 2014, and as much as $230 billion annually within seven
years. The structure and implementation of these programs present specific challenges for AMCs.
Becker's Hospital Review thought Halloween seemed as good a time as any to recap some of the most frightening and concerning issues in healthcare. Here are six of the scariest issues in healthcare right now.
These events and trends have made their fair share of headlines in recent weeks and continue to alarm hospital and health system executive:. Hurricane Sandy's effect on hospitals; contaminated injections; poor health of hospital employees; data breaches; physician shortage; and Medicare cuts.
More than 300,000 physicians and other eligible professionals have signed up to participate in the federal electronic health-record system incentive payment programs, while more than 4,000 hospitals have enrolled in the Medicare EHR incentive program, the Medicaid incentive program or both, according to the latest CMS data. In total, $7.7 billion has been paid out in what has been estimated will be $27 billion in incentive payments through the lives of the two programs.
There is currently an election underway for three members-at-large of the medical executive committee. All ballots must be received by 5 p.m. on Nov. 12. Any ballot received without a name/signature will be void.
Results of Executive Committee elections will be announced. Flu shots will be available.
All HHC staff members are required to get a flu shot by Dec. 1.
Dr. Gray,
I wanted to make sure that I took the time to let you know how much you impacted my life. First of all, you listened. You picked up on something no one else did because you looked past the negative that I'm sure came in all of my records, took me at face value, started with the basics and managed to pick up on something several others missed because of it.
Since receiving the blood, I can at least warm up and I don't need six blankets to do it. I actually tonight, now that my head pain is a little more managed, have noticed that I actually have a little more energy and I attribute that to the transfusion. As for the chest pain, well I'm thinking refluxing and stress didn't help me any, but again you listened and at least I know there are no new clots.
My only regrets are I am not able to thank you in person and that you weren't my assigned doctor. I think if you were, I might have more pieces to the complex puzzle of why I don't and haven't felt well in some time. If you ever decide to go into private practice and are willing to tolerate someone who doesn't always have the greatest personality, please let me know.
Thank you for the kindness.
Llewellyn Berry
Danielson, CT.


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Both pertain to theft. Please see below for CA Penal Code 484 and 488:
484. (a) Every person who shall feloniously steal, take, carry, lead, or drive away the personal property of another, or who shall fraudulently appropriate property which has been entrusted to him or her, or who shall knowingly and designedly, by any false or fraudulent representation or pretense, defraud any other person of money, labor or real or personal property, or who causes or procures others to report falsely of his or her wealth or mercantile character and by thus imposing upon any person, obtains credit and thereby fraudulently gets or obtains possession of money, or property or obtains the labor or service of another, is guilty of theft. In determining the value of the property obtained, for the purposes of this section, the reasonable and fair market value shall be the test, and in determining the value of services received the contract price shall be the test. If there be no contract price, the reasonable and going wage for the service rendered shall govern. For the purposes of this section, any false or fraudulent representation or pretense made shall be treated as continuing, so as to cover any money, property or service received as a result thereof, and the complaint, information or indictment may charge that the crime was committed on any date during the particular period in question. The hiring of any additional employee or employees without advising each of them of every labor claim due and unpaid and every judgment that the employer has been unable to meet shall be prima facie evidence of intent to defraud. (b) (1) Except as provided in Section 10855 of the Vehicle Code, where a person has leased or rented the personal property of another person pursuant to a written contract, and that property has a value greater than one thousand dollars ($1,000) and is not a commonly used household item, intent to commit theft by fraud shall be rebuttably presumed if the person fails to return the personal property to its owner within 10 days after the owner has made written demand by certified or registered mail following the expiration of the lease or rental agreement for return of the property so leased or rented. (2) Except as provided in Section 10855 of the Vehicle Code, where a person has leased or rented the personal property of another person pursuant to a written contract, and where the property has a value no greater than one thousand dollars ($1,000), or where the property is a commonly used household item, intent to commit theft by fraud shall be rebuttably presumed if the person fails to return the personal property to its owner within 20 days after the owner has made written demand by certified or registered mail following the expiration of the lease or rental agreement for return of the property so leased or rented. (c) Notwithstanding the provisions of subdivision (b), if one presents with criminal intent identification which bears a false or fictitious name or address for the purpose of obtaining the lease or rental of the personal property of another, the presumption created herein shall apply upon the failure of the lessee to return the rental property at the expiration of the lease or rental agreement, and no written demand for the return of the leased or rented property shall be required. (d) The presumptions created by subdivisions (b) and (c) are presumptions affecting the burden of producing evidence. (e) Within 30 days after the lease or rental agreement has expired, the owner shall make written demand for return of the property so leased or rented. Notice addressed and mailed to the lessee or renter at the address given at the time of the making of the lease or rental agreement and to any other known address shall constitute proper demand. Where the owner fails to make such written demand the presumption created by subdivision (b) shall not apply.
488. Theft in other cases is petty theft.
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1 David firstname.lastname@example.com commented Permalink
Will the tool first backup the reports on the destination server prior to performing the copy? For example: a report that contains a defect ends up being copied to production. Without a backup of the production report taken prior to the copy, the broken report overwrites the production version and now there is no way to roll back.
2 Richard email@example.com commented Permalink
A much needed application for companies who frequently move files between environments. Much more practical than import/export (which only works on the folder level). I hope IBM makes this functionality part of the basic BI server install.


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I'm in my late 50s and been cycling form more years than I care to remember. I stumbled across this forum by accident as I was looking for advice on whether or not to buy a compact or triple chainset for my new road bike. For everyday riding a compact would be more than adequate, but I do ride the big mountains such as the Ventoux, and I'm not so sure a compact is the right approach. I am not a racer, but given that I am reasonably fit and not grossly overweight (and hope to maintain this) what is the opinion on whether a 29x30 would make much difference to a 29x34?
Any advice would be gratefully received.
Good cycling


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A herb grinder is a cylindrical device with a top and a bottom that are separate and have sharp teeth or pegs. These pegs are arranged in such a way that when both halves are turned, material inside is shredded.
Herb grinder is used to shred herbs, spices and tobacco. Some grinders come with two or three compartments instead of just one, and these compartments are separated with a fine screen. Therefore, when herbs are being ground, fine particles such as pollen pass through, but larger plant material is filtered out.
Grinders called "four-stages" are also popular. These are similar to regular grinders, but unlike the regular grinders which have only one fine screen, four stages grinders include a second fine screen to further separate pollen or other tiny plant matter.
There are also 5 stage grinders available in the market. Most are made from anodized aluminum. When a herb grinder is used to shred tobacco, it makes the smokes smoother and the tobacco lasts longer. Herb grinders are very useful for anyone who rolls their own smokes.
These herb grinders are also used to make tobacco snuff. Snuff is basically tobacco which is ground into a fine powder, which can then be consumed without smoking. Herb grinders can also be used to ground spices and cooking herbs for cooking.
A spice mill herb grinder enhances the flavor of food preparations and it also makes it easier to grind herbs for medicines. However, when a herb or spice is ground automatically starts losing its flavor and nutritional value. Therefore, by growing or buying whole herbs or spices and then grinding them - will get the best flavor and quality. Since blenders and food processors are often too big and inconvenient, grinders have the ability to grind small amounts of herbs and spices in a matter of seconds.
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Kids Waiting Room Toys and Waiting Room Furniture
Waiting room toys, wall panels toys and waiting area activity games along with kid-sized furniture for kids waiting areas!
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If you find yourself in a position that puts you in charge of a waiting room where children habitually come, whether it is a doctor's office or a bank, it is to your best interest to keep in well-stocked on toys and games! It is important to remember that children are not tiny adults and that they may not always be interested in waiting quietly. To ensure a quiet and peaceful wait for all your patrons, make sure you keep the smallest occupants of your waiting room entertained!
One benefit of making sure that your waiting area is well stocked with waiting room toys is that you give the children's parents time to fill out paperwork in peace. You may need them to give you insurance information, or fill out forms or consult with the front desk. This all becomes more difficult if they are trying to wrestle their children or keep them entertained. If you can provide something like a building block set or a castle playhouse, the kids will definitely let their parents work. Waiting room toys can also keep a child occupied if the parent needs to discuss something sensitive with someone at the office. Rather than having a child hanging on and listening, he or she can be sent to play instead.
Another thing to remember is that waiting area games will put children at ease. If you are a pediatrician, you already know that children can occasionally have a great dread of going to your office. When you put out doctor office toys that will distract and entertain them, they lose some of the fear that they develop. Having waiting room toys can put them at ease and take their mind off the coming visit. If they can associate their visit with fun kitchen play furniture, they'll be a lot easier to bring in, something their parents will thank you for!
Indoor play toys can also ease up on other negative emotions as well. No child does very well when bored, and sometimes, that's exactly what a waiting time signifies. A child who has been stimulated and entertained is a great deal more attentive and pliable than one that has been waiting for half an hour. Thirty minutes can seem like an eternity to a child, so make sure that the wait is pleasant. In addition, you can always start conversation by asking what the child was playing with or what he liked best.
Remember that when buying waiting area play centers, you don't have to buy one toy for every child that is in your waiting room. Activity cubes and activity tables are all toys that can be shared by more than one child at a time and when you have one of these things as the focus of your play area, children will inevitably be drawn to it. Children are much easier to entertain when playing with other children, and activity tables will definitely get them playing with each other. These toys are also excellent for the waiting area because they cannot be pocketed or taken away. You don't have to worry about a child walking off with it, and you can ensure that all the children who come to your office get to play with it.
Don't think that your doctor office toys need constant care to keep clean either! While you may wish to avoid soft toys that are easily damaged, plastic toys and wood toys are easy to clean and put away. Most of the time, an occasional wiping with soap and water will keep your play area clean and fresh for its next visitors. When you are thinking of buying waiting room toys don't be afraid of clutter! Many professionals balk at toys because they feel it will create an untidy and distracting appearance. To the contrary, you can keep your play area clear by making sure that you have plenty of places to hold the toys. Small shelves can be found of course, but for a more attractive option, take a look at the toys storage benches or toys storage shelves. Both of these options can store reception room toys and provide a wonderful surprise for the child who takes a peek inside.
If you have any input into the design of the waiting area, make sure that you include some good waiting room toys; it can make everyone's life a lot easier!
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Max and Emme - So AdorableTrix
Oh my, Emme is looking super adorable these days. The curly hair and the delicate features add up to a very pretty little girl.
I love that Emme is using the necklace as a lovey. Very cute!
Max is all boy, isn't he. He looks concerned, like he's missing his mama. Good thing he and his sister were visiting their mama on the set of her new movie The Back Up Plan.
Article Posted 7 years Ago


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National Health and Medical Research Council Career Development Fellowship; Smart State Fellowship from the Department of Innovation, Queensland (Australia)Efficacy of Applied Behavioral Intervention in Preschool Children with Autism for Improving Cognitive, Language, and Adaptive Behavior: A Systematic Review and Meta-AnalysisSpreckley, M., & Boyd, R.
Journal of Pediatrics, 154(3), 338-344
Indicators of Review Quality:
Description: This is a review and meta-analysis of systematic reviews and randomized or quasi-randomized controlled trials (RCTs) that look at the effectiveness of applied behavior intervention (ABI) programs for preschool children with autism spectrum disorder (ASD).
Question(s) Addressed:
Question not specifically stated.
Population: Preschool children between 18 months and 6 years with a diagnosis of ASD or pervasive developmental disorder (PDD).
Intervention/Assessment: Applied behavior interventions which included direct behavior management for the child, parent education and training, and consultation with caregivers.
Number of Studies Included: 13
Years Included: 1982 – November 2007
Applied Behavioral Analysis/Discrete Trial Training - "Four randomized or quasirandomized clinical trials met inclusion criteria and had primary outcomes analyzed. The meta-analyses of these studies showed that ABI did not result in significant improvement in cognitive, language, or adaptive behavioral outcomes compared with standard care" (p. 342).
Keywords: Autism Spectrum Disorders, Behavioral Treatments
Access the Review
Added to Compendium: December 2011
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As it happens ever so often, retail investors seem to have missed the equity bus yet again. Even as the benchmark indices climbed more than 25% this year, many investors, especially those who had entered during the peak of early 2008, used the opportunity to exit the market by redeeming their investments in equity mutual fund schemes.
Equity funds witnessed outflows of R12,702 crore till November this year, the second highest outflows in the category witnessed in the last six years. This, in a year when the benchmark BSE Sensex gained over 25% and the market saw overseas inflows of nearly $23 billion. The year 2010 had seen R15,849-crore outflows.
Investors who have been waiting on the sidelines for several years hoping for the markets to move up used the rally to make good their losses or book small profits. Thats the reason for the uptick in redemptions we have seen this year, said Dhruva Chatterji, senior research analyst, Morningstar India.
Adding the category of ELSS which are tax-saving schemes that invest in equities outflows this year touch R13,902 crore against R15,508 crore in 2010.
So, theoretically, if the numbers for December are accounted for, equity outflows in 2012 could yet surpass those seen in 2010.
Those who invested during the peak of early 2008 suffered when the market tanked in the aftermath of the global financial crisis. Many of them, who were not willing to book heavy losses, have been waiting patiently for their investments to break even. At 19,200-levels, the market is still some distance away from that peak, but the rally has done enough to make investors press the exit button. Investors are now relieved that they can exit with their capital intact, said Naval Bir Kumar, vice chairman, IDFC MF.
The volatility in the market and the absence of a clear directional trend also dented retail investors confidence. For instance, while the year began well with the Sensex touching a high of 18,428 points on February 22, it fell to the years low of 15,948 points on May 23, before regaining steam in September and touching a 19-month high in December. Investors seem to have run out of patience. The industry has concentrated on increasing the number of SIPs this year but it has not been able to arrest the quantum of outflows in equity schemes, said Sarath Sarma, executive director, IDBI Asset Management.
Investors also


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Looks like a great project. As far as learning software there is nothing like getting some basic knowledge then jumping in and finding tutorials when you get stuck.
I am planning on creating a map focusing Bulayisi, one of the major civilizations from my first map. Here's a rough outline of where it is from my first map, and roughly the shape of the map.
However, I would like to try a very different style. I remember seeing a bunch of maps in my Chinese History class that I thought looked very interesting. Here are a couple of examples of the style of map I would like to attempt.
I feel like this will be a difficult project, as I am very new to GIMP. My first map was made following a guide, and I feel like this one will be mostly independent of guides. I would also like to have the landmass look distorted as in these maps, as well as labeling several settlements, as these maps show. I feel like I should also develop a script to use. I like the idea of the names of settlements being written in vertical columns on the map.
Hopefully I'll have figured some things out and post some progress within the next couple of days.
Looks like a great project. As far as learning software there is nothing like getting some basic knowledge then jumping in and finding tutorials when you get stuck.
Dont try to make a "perfect" map and keep experimenting. YOu can always go back and revise your maps with teh new found skills on teh process.
Well, here's the first step. I designed a shape for the sea, made six variations (just flips and rotations), then brushed over the "Sea" layer. I think it looks nice! I'm working on the shape of the landmass. I'm trying to make it look distorted, but still close enough to the true geographic shape.
Let me know what you think!
Very nice pattern!


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