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Wash In - Wash Out
Hand Hygiene Saves Lives
Hartford Hospital was once again named as one of America's Best 100 hospitals by HealthGrades. The rating is based on hospital complication and mortality rates for common procedures.
Healthgrades evaluated about 4,500 organizations and selected nearly 1,500 hospitals as being eligible for the award. The 100 selected hospitals represent the top 2 percent of hospitals in the nation, according to Healthgrades, which also noted that 165,636 lives would have been saved if all U.S. hospitals performed at the level of the 100 Best Hospitals from 2009 to 2011.
We know that each year in Hospitals across the United States nearly 2 million patients acquire infections, many of which can be life threatening. Hand hygiene is one of the most important ways to prevent the spread of infection and one of the simplest steps for all of us to take.
of its importance, we set an aggressive goal of 90% compliance across Hartford Healthcare system and have put reliable measures in place. While our overall compliance at Hartford has improved we have a very long way to go. The report for mid-February showed overall compliance at 56% with washing going into rooms at 43% and coming out at 68%. In the first half of February, our medical students were our highest performers at nearly 93% while our physicians performed at 65% and our advanced
practitioners at approximately 58%. It appears we may be able to learn a lot from our medical students to achieve a performance we can be proud of.
Creating a safe environment for our patients requires we all take ownership for success in hand washing and continue to set the standard for the entire institution. We have the opportunity every day to role model for all those around us, and to demonstrate our values of safety and caring.
Please make this behavior part of what you do each and every day at every opportunity. Teach and mentor those you interact with, and be receptive to feedback from every member of our health care team. We all want to do what is best for our patients and hand washing is a simple way to improve the health and welfare of those that entrust us to care for them at their most vulnerable times.
Thank you for making this important in your daily activities.
By Dr. Stuart Markowitz, Vice President and Chief Medical Officer
As you are certainly aware, the governor's proposed budget for the biennium ending June 30, 2015 includes unprecedented severe cuts to hospitals of funding that supported the care of the un- and under-insured. Hartford Hospital alone stands to lose about $66 million in payments over the next three years, and by 2015 all of such funding will be eliminated.
fully appreciate that the State of Connecticut faces a very difficult financial situation with a very large deficit that leads to the governor having to make some challenging decisions. However, cuts of this magnitude will challenge our abilities to continue to function and operate as we do today. Hartford Hospital is a major safety net for Connecticut citizens and we willingly care for each and every patient that comes through our doors. At the same time, our reach into our communities is enormous
and in FY 2011 alone we provided $99 million in community benefit and charity care.
the past several years we have not sat back idly as the state's financial situation worsened. We have begun many initiatives engaging our entire staff through H3W, Thrive and other programs to become as efficient as possible and increasing the overall value of the services we provide. At the same time we have seen our patient satisfaction scores rise to the highest levels in our history and we have received a growing number of local and national recognitions as a top performing hospital.
will continue to grow and be successful, but we will need to change the way we operate and adapt to a rapidly changing healthcare environment. I had the opportunity to testify on behalf of Hartford Hospital last week at the Legislative Appropriations Committee hearings on the governor's budget and its impact on Hartford Hospital. Educating our legislators at every opportunity will be key to having them understand the impact on hospitals and to our communities that such drastic cuts will have. We
offered our expertise to work with the committee and with the governor to reduce the long-term burden of health care to taxpayers and to help create a system that provides excellent, lower-cost care to all our citizens.
this budget review process continues over the next few months we will be calling on you to reach out to your legislators and express your concerns and assist in their education of the impact such a budget will have on the people of Connecticut. Please take the time to make calls and send letters when requested. We will be developing and distributing information to you as it becomes available and creating an organized strategy which will ask for your participation. We thank you in advance for your
May 1, Food Services will discontinue the current "Cook-Chill" system of food preparation and replace it with a more traditional "Cook-Serve" system.(Cook Chill involves the full cooking of food, followed by rapid chilling and storage at controlled temperatures for up to three days, and then reheating food before service. The new system will allow food to be cooked right before serving. This should provide improved flavor, aroma and temperature control for patient meals.)
At the same time, Food Service will also introduce:
• new, healthier food selections
• a printed menu for patients
• new trays and food heating system
• an internal brand with a catchy name and colorful design
• a menu symbol that indicates a food choice with reduced sodium, fat and calories
• enhanced coordinator service
• basic tray line in Donnelly to provide meals for 125 patients at the IOL
These actions were inspired by feedback from multiple sources, including staff H3W groups, physicians, patient satisfaction surveys and patient advisory groups. There will be tasting opportunities for staff in March and April.
save the date for the 2nd Annual Hartford Hospital Medical Staff "Chef to Farm" Dinner on Friday, July 12, 2013 at Rosedale Farms. Details will follow. You will be able to join the officers of the Hartford Hospital Medical Staff in celebrating the beauty and abundant bounty of our local farms – as a unique opportunity to socialize and enjoy the company of your colleagues. You'll be treated to the freshest foods and produce in the sublime beauty of Our Farms, the true
treasures of the state.
Hartford Hospital has applied for Joint Commission Certification as a Comprehensive Stroke Center. This certification would differentiate Hartford Hospital from Primary Stroke centers and recognize the significant differences in resources, staff, and training that are necessary for the treatment of complex stroke cases.
On February 21 and 22 the Joint Commission conducted a focused survey of our Stroke Program as part of the certification process. Two nurse surveyors completed a thorough review of our processes for patient care through unit tours, record and policy review, and interviews with many members of the care team.
Many positive attributes were highlighted including the longevity of our program, highly engaged physicians and nurses, dedicated rehabilitation and dietary staff, and strong leadership, all resulting in a well integrated care team. The use of Neuropsych services was noted as a best practice that the surveyors will share with other programs. The surveyors also offered insight into opportunities to improve efficiency of documentation, collection and use of quality data, and collaboration with referring
hospitals. The Joint Commission will provide a final report within the next few weeks.
The American Cancer Society Cancer Prevention Study-3 is enrolling participants at Hartford Hospital. To better understand ways to prevent cancer, the ACS is recruiting men and women across the US and Puerto Rico for this landmark new research study, known as CPS-3.
Individuals may choose to participate if they are willing to make a long-term commitment to the study (which involves completing follow-up surveys periodically over the next 20-30 years), are between the ages of 30 and 65 years old and have never been diagnosed with cancer.
If you become part of CPS-3, you will complete periodic surveys about your health, lifestyle habits, and family history. Your involvement will help American Cancer Society researchers better understand the genetic, environmental, and lifestyle factors that cause or prevent cancer, which will ultimately save lives.
There will be enrollment events on Wednesday, April 24 from 2-5:30 p.m. in the ERC Informal Lounge; and Friday, April 26 from 9 a.m.-12:30 p.m. in Gilman Auditorium. Participants must call or go online to get an appointment for one of the two days.
Previous Cancer Prevention Studies (CPS-I and CPS-II) have played a major role in understanding cancer prevention and risks.
Visit www.cancer.org/cps3ne, call 1-888-604-5888, or e-mail firstname.lastname@example.com.
On February 14 six members of Florida Hospital of East Orlando, Florida Hospital visited Hartford Hospital with an interest in learning more about H3W. The visit was prompted by the presentation given this past November by Jeff Flaks and Dr. Jamie Roche at the Annual National Press Ganey Conference.
The management team of Florida Hospital started out the day by attending the Radiation Oncology H3W Work Group Meeting and then spent the remainder of the day with our administrative team and H3W Facilitators reviewing the elements of our operating model. During the day the team took the opportunity to tour CESI as well.
Dr. Barry Stein, vice chair of the Department of Radiology, chief of Cardiovascular MRI and CT and member of the Division of Vascular and Interventional Radiology, was on the invited faculty at the New York Roentgen Society Meeting Feb. 11 in New York City. His topic was "State of the Art Venous Imaging."
The world's smallest heart pump; doctors at Hartford Hospital used it to save a man's life, but they were forced to take extraordinary measures to do it. A minor surgical procedure brought Howard Gaynor to Hartford Hospital, but two heart attacks while recovering led to a more invasive step.
"In the throws of that second heart attack, his heart really began to struggle quite badly," Dr. Ronan Margey said. Dr. Margey is the interventional cardiologist who stepped in.
"In Howard's case, unusually the heart attack was predominately affecting the right side of the heart," said Dr. Margey. The right side of the heart that pumps blood into the lungs. The only solution: the smallest heart pump designed for the right side of the heart, but the new device was not yet approved for clinical trials in the U.S.
"In Howard's case, it was shaped like this," said Dr. Margey. "We were left in a situation where by we could either watch what was going to be a progressive decline and a worsening of the situation or we can try to do something."
They worked quickly to get approval from the hospital ethics board, the manufacturer and the FDA. "This is actually the right sided pump device so the first time this device is used in the United States," Dr. Margey said. Approved for compassionate use, doctors were able to save Gaynor's life.
A poster submitted to the 2013 American College of Cardiology conference entitled "Effect of Educational Intervention on the Accuracy of Data Submitted to a National Registry" by Dr. Vinay Gulati, Dr. Matthew Parker, Michael Thorns RN, Thea Ling RN, and Dr.
Steven Zweibel has been awarded the prestigious "Best Poster" designation. This designation represents approximately the top 3% scoring percentile of poster acceptances.
The study evaluated the frequency of data entry errors into a national ICD (implantable cardioverter defibrillator) registry at Hartford Hospital and the effects of quality controls and staff education on reducing those errors. After these measures were in place, the error rate decreased from 6.50% to 1.03%.
For the last seven years, we have enjoyed the benefit of an environment that was low risk for tuberculosis transmission. Unfortunately, that environment has now changed and our risk has increased, necessitating the resumption of annual tuberculosis screening for all employees.
More information is available on the Occupational Health website at: http://intranet.harthosp.org/hh/dept/41?route=2.
Any questions or concerns can be directed to Occupational Health at ext. 5-2175.
March is colorectal cancer awareness month. Hartford Hospital is offering free educational seminars, where physicians will discuss who is at risk, methods of detection (including colonoscopy), the latest screening options, as well as staging and treatment guidelines.
Tuesday, March 5 at the Helen & Harry Gray Cancer Center in Avon. 6:30-8 p.m. Presenter: Dr. Michael Selden.
Tuesday, March 19 at the Hartford Hospital Wellness Center at Blue Back Square in West Hartford. 6:30-8 p.m. Presenter: Dr. Paul Vignati.
Tuesday, March 26 at Gateway Medical Park in Glastonbury. 6:30-8 p.m. Presenter: Dr. William Sardella.
Wednesday, March 27 at the Family Health Center in Enfield. 6:30-8 p.m. Presenter: Dr. Joseph Ianello.
For more information, call the Cancer Connect Line at 860-545-6000.
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The Board of Directors and Medical Staff Spring Event and Awards has been scheduled for Wednesday, May 22 from 6-8 p.m. in Heublein Hall.
The new Skybridge, which connects the new Hudson Garage across Jefferson Street to the Ingalls Building, and the new Barney Fitness Center, located in the Hudson Garage, will open on March 11.
The Hudson Street Garage opened its doors on Jan. 9, and staff members are being gradually reassigned to park there. The state-of-the-art, nine floor, 1,250 space garage cost $40 million and took one year to build.
When all staff parking has been reassigned, we will see a 16% increase in parking spaces for staff. Lots J and B, and the first two floors of the old employee garage will be converted to patient and visitor parking, resulting in a 35% increase in parking spaces for that group. We will also have ample space for cars that come on campus for special functions. We expect to have 500 to 1,000 open spaces on campus at any given time.
Gerald J. Boisvert, CPA, has been appointed vice president and chief financial officer (CFO) for Hartford Hospital, effective April 1. His appointment fills a critical role on our management team.
He has worked at CCMC since 1997. As CCMC's CFO, Gerry was responsible for overseeing a $70 million investment portfolio, as well as finance and accounting, patient accounts, patient access, health information, purchasing and materials management, environmental services, facilities and food services, community relations, and rehabilitation services.
recently completed his 10-year tenure as a member of the University of Saint Joseph Board of Trustees and Executive Committee. Formerly, he served in a volunteer capacity as president of the Southside Institution Neighborhood Alliance (SINA) and chairman of the Learning Corridor Corporation. He earned a bachelor of science in business administration from the Boston University School of Management and is a certified public accountant (CPA) and a Fellow in the Health Care Financial Management
Association. He also is a member of several professional organizations.
The Library Catalogue located on the Library Intranet/Internet site has been known as "HartCat" for many years. On Tuesday (March 5) there will be a new Library Catalogue that is a Cloud based operating system known as "Electronic Open Stacks."
The Library collection will now be easier to search. All the aspects of the collections of the Health Sciences Libraries will be at your finger tips. You can access this new catalogue on your Hartford Hospital computer or at home via the "Portal." At present the catalogue is available on your mobile devices through your "Browser" as a web link as long as you can access the "Portal". There is no "App" available at this time. If you have
any questions call/email Sheila Hayes 860-972-2416 email@example.com
Please notify the Medical Staff Office in writing of any change of address, email or employer.
Please send changes to: Medical Staff Office, 80 Seymour Street, Room 114, Hartford, CT 06102.
A poll by the National Foundation for Credit Counseling done a year after the payroll tax was cut by 2 percentage points found that two-thirds of Americans didn't notice when their paychecks grew. Since the cut was designed to get Americans to spend more, will the return to 6.2 percent hurt demand for goods and services?
For those who earn the least, the answer is certainly yes. But since the top 20 percent of earners account for 38 percent of all spending, the effect on the broader economy may not be dire. The top 40 percent of households, combined, accounted for 61 percent of U.S. spending.
Minerva Rosario, who works in the medical records department at Hartford Hospital, said her paychecks are $20 smaller. She said it's definitely caused her to economize more. Rosario, 48, has one adult child still at home. She said she buys things more cheaply, but still, she has had to put off paying a bill since the year began.
Kiomy Martinez, a medical assistant at Hartford Hospital, said since the tax went up, she stopped going out to nice restaurants. Last year, she said, she went out at least once a week to a restaurant with table service. No more. Not only that, but she waits until the 10th to pay her rent, where she was paying by the 4th last year. With about $30 less in each paycheck, she doesn't give her son lunch money anymore. "It's peanut butter and jelly."
After Lauren Maston, 33, received her heart transplant at 29, a letter from the donor's mother helped send her into a deep depression. As a secretary in Hartford Hospital's intensive care unit, where she was once a patient waiting for a new heart, Maston has met many transplant recipients who have experienced similar post-transplant depression.
Colleen Brown, who as a transplant nurse practitioner at Hartford Hospital works closely with organ recipients, says such depression among recipients isn't uncommon; they're faced with a number of difficult burdens. "They are faced with reality of death as they're waiting, the fear that the transplant isn't going to happen, and then," she says, "having to live with the reality that someone else has to die to help (them)."
is also intimately familiar with being on the donation end of the procedure. Eleven years ago, her sister Deborah, "Debby," who had previously made known to the family that she wanted to be an organ donor, died in a car accident at the age of 31. That was in 2001, when even though 1968's Uniform Anatomical Gift Act stipulated that "an individual should be able to control the disposition of his or her own body after death," there was not yet an online donor registry that could be
accessed by organ procurement organizations (OPOs), such as LifeChoice Donor Services, to confirm the patient's wishes.
"By law, we are supposed to follow that directive," says Hartford Hospital in-house LifeChoice donation coordinator Jami Tyska.
"However, the only people who knew about that directive at the time was the DMV (department of motor vehicles)." The culture at the time, Tyska explains, was to defer to the next-of-kin. Since then, however, laws have passed making online donor registries — which automatically include DMV organ donor information — accessible to OPOs, and next-of-kin may not override that first-person consent.
Hartford HealthCare committed $65 million to Neuberger Berman Secondary Opportunities III, the first private equity commitment for the $1.8 billion pension and endowment fund, said David Holmgren, chief investment officer.
The Hartford HealthCare's policy committee approved creating a 6% private equity allocation at a meeting Wednesday. Neuberger Berman's selection came from a shortlist provided by investment consultant Mercer Hammond. A secondary private equity strategy was selected first; commitments to direct limited partnership funds will be considered incrementally over the next four years, Mr. Holmgren said.
In October, the Hospital of Central Connecticut broke ground on a site alongside Interstate 84 on the New Britain/Plainville town line for a new cancer center and medical office complex. As one of the developers for the new medical complex, Michael Tomasso, principal and officer of the Tomasso Group Companies, said it required years of design and research.
"No effort was spared to deliver the finest building and modern technology," he says.
The design process for the cancer center was focused on healing and the patient experience — from housing all the medical specialties and services under one roof, to using natural materials in the creation of an outdoor healing garden.
"The combination of these things will attract people from greater distances and enhance local economic activity," he predicts. "I'm not saying we'll take anything away from local hospitals, but we may draw patients who would be traveling to hospitals in other states. The final product will be that good."
Steve Hanks. chief medical officer of the HOCC, like Tomasso, heralds the long-term economic benefits of the cancer center.
"[It] will be a significant contributor to local growth and development," he says. "The cancer center will be our first stake in the ground to create world-class ambulatory space. It lets us import patients as a regional destination center, not just for cancer, but for other medical services."
The major hospitals in our region — as well as those throughout the state — are facing dramatic cutbacks in the governor's proposed biennial budget. We all know that the state is strapped. A historic tax increase and a long-term no-layoff agreement with state unions got us through the last budget cycle but hamstrings us now, taking away two of the few options for adding revenue and saving real money.
The results are what we see as the gouging of the state's infrastructure, one of the few institutions that serve rich and poor, young and old, chronically sick and occasionally ill — as well as top the list of contributors to the social and intellectual fabric of the community. Let's not leave out being the major employer and economic driver, too.
our local hospitals only receiving 70 percent of their costs now for serving a growing Medicaid population, are they in a position to pick up the tab on closing the budget gap? By receiving less and less of the "hospital tax" created to stabilize their fiscal health, the governor appears to think so. With more people going into the state's health insurance exchange and private insurance under Obamacare, the assumption is there will be less cost to hospitals. We're not so sure.
"Shared sacrifice," we have to assume, now starts in the emergency room. The Hospital of Central Connecticut (New Britain General and Bradley Memorial) and Bristol Hospital will be getting less from the state no matter what the final outcome in the budget debate.
Over the next two years, Gov. Dannel P. Malloy plans to phase out the state's Medicaid reimbursement rate to hospitals for care of uninsured patients. Local hospital leaders said that by having to unfairly pick up the growing share of those costs, it will come at a major expense — of managing existing facilities and programs, severely hampering the ability to expand and ultimately in patient care.
"Let's talk about the community impact. You're talking about real dollars that are going to come out of our ability to provide programs and services, and some of those are not resident — within our hospitals — so the trickle-down effect is going to impact the community as a whole," said David Whitehead, president and CEO of The William W. Backus Hospital
in Norwich. "You have to look at the facts of this. It's not just the hospitals."
But hospital officials say the state's cut of their reimbursement takes place before the federal health law takes effect. That gives the state extra tax money for the general fund at the expense of the hospitals.
"When we hit 2015, essentially hospitals will be net taxpayers to the state if this budget goes forward," said Stephen Frayne, vice president of policy for the Connecticut Hospital Association. "We don't know enough about the rest of the budget and where he's getting his money from, but at the end of the day if they want to make investments, the hospitals really shouldn't be the seed money for that."
Hospitals are already bracing for potential losses of federal funding from sequestration.
For rural hospitals like Windham, the loss of Medicaid reimbursement would be "devastating," said Cary Trantalis, the facility's vice president of operations. The state's only Medicaid-dependent hospital, Trantalis said 60 percent of patients are on the program.
For Connecticut hospitals, the good news is their patient caseloads have grown dramatically since 2009. The bad news is those are Medicaid patients, and government payments don't cover the full cost of treatment.
And then there's really bad news: Gov. Dannel P. Malloy would cut their state funding by one-fifth over the next two years.
Put it all together, hospitals say, and at best, they will cut jobs and services. At worst, some will shut their doors. And facilities in the state's poor northeastern corner say they are particularly at risk.
"These cuts jeopardize the very existence of Johnson Memorial Hospital," said David Morgan, president and CEO of the Stafford-based acute care center. He testified last week before the Legislature's Appropriations Committee.
"These cuts will clearly put at risk the viability of our hospital and the programs that are meeting the health care needs of those not able to pay for the full cost of their care," said Cary Trantalis, vice president of operations for Windham Hospital. "... Something has to give."
The state's 29 acute-care hospitals insist that when it comes to their relationship with the state, they have been doing the giving. "In short, what started 18 months ago as a scheme to help balance the state budget ... has been converted to an unadulterated tax on hospitals," Stephen Frayne, senior vice president for health policy for the Connecticut Hospital Association, told lawmakers.
Op-Ed by Dr. Constantine Manthous, associate director of critical care services at the Hospital of Central Connecticut and an associate clinical professor of medicine at the Yale University School of Medicine.
Gov. Dannel P. Malloy's proposed budget could have a potentially devastating effect on health care in Connecticut. The plan could eviscerate the promise of the Affordable Care Act, also known as Obamacare, even before it is fully implemented.
This should concern us all. Gov. Malloy has demonstrated his willingness to confront hard situations such massive storms, prolonged economic duress and the Newtown tragedy. But the proposed budget's impact on health care is either extremely cynical or extremely ill-advised (bordering on incompetent).
Bruce Cummings, CEO of Lawrence & Memorial Hospital, highlighted
the financial numbers in a fiery letter to the New London Day. To summarize, the governor proposes reducing hospital support by $650 million over the next three years. The governor justifies these cuts by presuming that hospitals will enjoy a windfall when the uninsured and under-insured (roughly 500,000 by the governor's estimate) are able to buy insurance through exchanges or receive Medicaid under the health care act.
The governor must be aware that Medicaid only pays a fraction of the true cost of care. So the burdens on hospitals to absorb what will be a 50 percent to 100 percent increase in Medicaid patients will only deepen their debt. Or something will give.
There is already a presumption that patients receiving Medicaid enjoy a reasonable standard of care. That is simply false.
Visitors to the annual Healthy Family FunFest were greeted with information, samples and professional advice on how to live a healthier lifestyle Sunday afternoon at the Aqua Turf Club.
The FunFest, sponsored by the Hospital of Central Connecticut and the Southington-Cheshire YMCA, lets people see what kinds of health services are available to them in the area. It also provides fun activities for children and the chance for people to share stories and see how they can better their lives.
Students at the middle and high school level today will begin using the new Venture Academy, which underwent six months of construction and renovations. School administrators, city officials and community members gathered Monday at the school, which is located at Rushford Center,
to celebrate the completed project, which increased the academy's size by 3,300 square feet. The academy serves students with emotional and behavioral needs. The project included three new classrooms, a large community room and a cafeteria.
In a deal between the city and Rushford, which runs at the former hospital site on Paddock Avenue, the school district did not have to pay rent on the 6,936 square feet occupied by the Venture Academy. The school system will pay $45,000 a year now for the additional 3,300 square feet, which includes utilities and custodial work.
It's the only dedicated 'burn care' facility in Connecticut, and it's where most burn patients are treated.
The Burn Center at Bridgeport Hospital was recently renovated, and a lot of the money for the 'state of the art' unit was raised by Connecticut firefighters.
Warning that Gov. Dannel P. Malloy's budget would devastate community hospitals across the state, leaders of Bristol Hospital on Thursday said they would support a vigorous lobbying campaign against it.
"These are dramatic cuts that no one would imagine imposing on any other industry," board Chairman Marie O'Brien told several Bristol-region state lawmakers at a breakfast meeting. "Would you do this to aerospace and defense? To manufacturing? To financial services?"
The Connecticut Hospital Association contends that Malloy's budget would cripple the state's health care system by sapping $550 million from hospitals over the next two years.
For Bristol Hospital, one of the city's top three employers, that would mean a $3.1 million hit, forcing layoffs and shutting down various programs and services, according to hospital President Kurt Barwis.
The state association made a pitch to the legislature's appropriations committee on Friday. It's not likely to know until May, or after that, how hospitals will fare in the final version of a new two-year budget.
But association representatives insisted that unlike in prior negotiations with state government, hospital executives from across Connecticut are determined to stick together rather than jockeying individually to minimize the damage to their own institutions.
Connecticut Children's Medical Center has been awarded a $38,000 grant from the Hartford Foundation for Public Giving to fund the project titled "Evaluation of Web-Based Management of Adolescent Pain (WebMAP) in Youth with Sickle Cell Disease."
This study will examine whether an eight-week behavioral pain intervention program administered online via a web series to youth with sickle cell disease and their families can be effective in reducing pain and decreasing health care contacts.
"It is our hope that this project will help us reach our long term goal to develop effective, easily accessible, behavioral pain interventions for youth with sickle cell disease," explained William Zempsky, MD, head
of the Division of Pain and Palliative Medicine at Connecticut Children's Medical Center. "Ultimately, we want to be able to identify ways to reduce the long-term impact of pain on function, quality of life, and health service use in children living with this disease."
Presenter: Dr. Andrea Dunaif, professor of endocrinology and metabolism at Northwestern University.
Topic TBA.
Presenter: Dr. Katherine Upchurch, clinical chief of Rheumatology, UMass Memorial Health Care, Worcester, MA.
Topic: Spondyloarthropathy: What's New in Pathogenesis and Treatment?
Presenter: Dr. Jeffrey Loeb, Professor of Neurology; Associate Director of the Center for Molecular Medicine and Genetics, Wayne State University.
Topic: Using Systems Biology To Develop New Treatments for Epilepsy
Hartford Hospital's "Pancreatic Cancer Symposium: Prevention, Risk Factors, Diagnosis and Advances in Treatment" will be held on Friday, March 8 from 12-6 p.m. at the Farmington Marriott Hotel, 15 Farm Springs Road in Farmington.
This 2nd annual seminar includes a focus on the use of clinical staging, the use of appropriate prognostic indicators and evidence-based national treatment guidelines in treatment planning. Topics of discussion: Epidemiology/Our Experience/EUS/Screening, Genetics, Pathology, Imaging, Management of Cystic Neoplasms, Surgical Updates, Updates in Medical Oncology.
Seminar faculty features Dr. Michael Golioto; Dr. Michael Karasik; Dr. Saverio Ligato; Dr.
Michael O'Loughlin; Dr. C. Max Schmidt; Dr. Ramon Jimenez; Dr. Pragna Kapadia;
Dr. Timothy Hong, and Linda Steinmark, MS, CGC.
This event is open to all health care providers to earn 5 AMA PRA category 1 credits and 4.83 CEUs.
Cost is $50 for physicians, $20 for non-physicians. Registration is required by March 6. To register, go to harthosp.org/event/796 or contact Health Referral Services 860-545-1888 or Toll Free 1-800-545-7664. For more information, contact Ginelle McPherson at 860-545-4594 or email@example.com.
The GI Division at Hartford Hospital, CESI, and global health care products leader Covidien will host a national training day on March 15 for the use of radiofrequency ablation to treat disorders of the esophagus, stomach, and rectum. This event will attract gastroenterologists from around the country.
Dr. David Chaletsky, a gastroenterologist from Connecticut GI, PC, will perform live cases during the event, and will co-direct the course with Dr. Charles Lightdale, a nationally-recognized speaker from Columbia University Medical Center.
The GI division at Hartford Hospital is the one of the busiest centers in the country for the treatment of Barrett's esophagus using radiofrequency ablation technology.
Join the Hartford Healthcats Team! Race, run or walk to the 38th floor of Connecticut's tallest building to raise money for the ALA's fight for air, pulmonary research, asthma and other lung diseases. The "Fight For Air" Stair Climb will be held on Saturday, April 6 with check-in starting at 8 a.m. at City Place, 185 Asylum Street in Hartford.
Advance registration is $35 ($50 day of event), and there is a $100 fundraising minimum per person. Contact Heather Caisse at email@example.com or by phone at 413-505-5059. To learn more about the Fight for Air Climbs, click here.
The Sixth Annual Neil Grey MD Memorial Lecture in Diabetes will be held Thursday, May 9 from 8-9 a.m. in Gilman Auditorium. Speaker is Dr. Guillermo Umpierrez, head of endocrinology and diabetes at Grady Health System at Emory University.
This symposium is designed to educate Hartford Hospital nurses on a variety of cardiovascular topics. Speakers will be Dr. Eileen Herman, Dr. Jeffrey Klugar, Dr. John Granquist, April Mann, Jami Tyska, and Angel Rentas.
Medical Staff Annual Spring Event and Awards Meeting, May 22.
Don't be afraid to question your doctor and ask, "Do I really need that?" That's the advice from leading medical groups who came up with dozens of tests and treatments they say physicians too often prescribe when they shouldn't.
No worrisome stroke signs? Then don't screen a healthy person for a clogged neck artery, the family physicians say. It could lead to risky surgery for a blockage too small to matter.
Don't routinely try heartburn medicine for infants with reflux, the pediatric hospitalists say. It hasn't been proven to work in babies, and could cause side effects.
Don't try feeding tubes in people with advanced dementia, say the hospice providers. Helping them eat is a better option.
are examples of potentially needless care that not only can waste money and time, but sometimes can harm, says the warning being issued Thursday from medical specialty groups that represent more than 350,000 doctors. The recommendations are part of a coalition called Choosing Wisely, formed by the American Board of Internal Medicine Foundation. Participating medical societies were asked to identify five tests or treatments that are commonly overused in their specialty. The list is aimed at doctors and
includes references to published studies. Consumers Reports and other consumer groups are publicizing the information in more patient-friendly terms.
Every corner of the healthcare world has something — and potentially a lot — to lose from the $85 billion in automatic spending cuts set to hit the government on March 1.
Doctors and hospitals say the sequester's Medicare cuts will cost their industries more than 200,000 jobs just this year.
A reduction in food inspections could lead to more food-borne illnesses, the White House has warned. And advocates for medical research say their work could be set back a generation.
With the cuts looking increasingly inevitable, healthcare industries that have spent the past year lobbying Congress to cancel the sequester are now turning their attention toward absorbing its cuts.
One of the biggest threats to the success of President Obama's health care law comes from shortages of doctors, nurses and other health care professionals. But a 15-member commission created to investigate the problem has never met in two and a half years because it has no money from Congress or the administration.
With an aging population and 30 million people expected to gain coverage under Mr. Obama's health care law, the demand for medical care is expected to increase. But Dr. Sheldon M. Retchin, the vice chairman of the panel, the National Health Care Workforce Commission, said, "We are prohibited from meeting and discussing these issues."
Members of the independent nonpartisan panel said they wanted to address these questions: How many more doctors are needed? What is the right mix of primary care physicians and specialists? Who will care for the millions of people gaining Medicaid coverage next year?
We have a new HHC systemwide agreement with Press Ganey, a world leader in measuring patient satisfaction as a means to improve performance. (We currently use HealthStream.)
Benefits of the conversion will include:
• Largest client base will provide us with new benchmarking capacity
• All system surveys can be coordinated
• Expanded survey will gather more patient satisfaction information
User access was granted Feb. 26. There will be three onsite training sessions with Press Ganey are scheduled during March. Users will be supported by monthly webinars, client networking and chat rooms.
"This is just one of the ways we are working to transform the patient experience," said David Fichandler, director of Patient Experience.
For more information, call Fichandler at 860-545-2450 or email email@example.com
After returning home from a trip in New Hampshire, I was struck with severe abdominal pains just before going to bed. Thinking the cramps were the result of something I had eaten earlier in the day, I assured my wife that they would pass over.
Tuesday and Wednesday came and went with a continual decline in my condition. What I thought was food poisoning turned out to be a ruptured appendix. I was rushed to Hartford Hospital.
Shortly thereafter, Dr. Jeffrey Cohen and a team of physicians operated. Unfortunately, the prognosis at this point was not good. My wife and family were told that the following 24-36 hours were critical.
Dr. Cohen explained that while they had literally flushed out my body, there were still toxins in my system threatening to shut down vital organs.
With the prayer support of a number of friends and family members along with the expertise of Dr. Cohen, his team and Hartford Hospital, I survived a very close call with death. After 11 days in the hospital and 2 months of recuperation at home, I was able to return to work.
Thankfully, to this day, there have been no adverse side effects from the surgery.
God chose to spare me and used Hartford Hospital to successfully accomplish the task.
To a person, every doctor, every nurse, every technician and even a signing custodian contributed to my miraculous recovery.


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Friday, October 17 at 7:30 p.m.
Tickets: $55/$45/$35$100 VIP Ticket includes
Written and conceived by Harry Clark. Original score by Avery Sharpe. Music Performed by the Avery Sharpe Trio.
In the American Black community, during the years leading up to the Harlem Renaissance, there was a sense of building artistic expression. Outlets and avenues for its poets, musicians, novelists, artists, and actors were few. But in 1918, as the first great World War concluded and thousands of African-American soldiers returned home victorious, this mountain of artistic expression was now ready to explode.The words and thoughts of Langston Hughes, Countee Cullen, Zora Neale Hurston, W.E.B. Du Bois and many others, became the voice of a new generation of African-Americans- looking forward but still struggling with the past and present. These thoughts, songs, and images are woven into a panoramic experience that spans this extraordinary outpouring of artistic endeavor. Raisin' Cane is a window on this critical point in our history.
Jasmine Guy has a
regular presence on film, television, and stage. She was the star of the Bill
Cosby spin-off A Different World for which she won six consecutive NAACP
Image Awards. Recent television work includes The Vampire Diaries, Melrose
Place, NYPD Blue, and Dead Like Me. A former dancer with the Alvin Ailey
American Dance Theater, she has also appeared in a range of Broadway and
national productions including Chicago, Grease, and The Wiz. On
film, she starred in Spike Lee's School Daze, as well as in Harlem
Nights, and Stompin at the Savoy. Her collaborations over the years,
from Bill Cosby to Spike Lee to Kenny Leon to the Atlanta Ballet, show her to
be a multi-faceted star. Ms. Guy is not only recognized as an accomplished
actress, singer, and comedienne, but also as a director, writer, and speaker.
This presentation is supported by the Arts Midwest Touring Fund, a program of Arts Midwest that is funded by the National Endowment for the Arts, with additional contributions from Illinois Arts Council and General Mills Foundation.

subset: commoncrawl


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UBS made another addition to its lineup of MLP ETNs this week, debuting a product that will be linked to the same index underlying the popular JPMorgan Alerian MLP Index ETN (AMJ). The UBS ETRACS Alerian MLP Index ETN (AMU), which began trading on Wednesday, represents an opportunity for investors looking to gain exposure to that popular benchmark while avoiding the uncertainty caused by recent developments to AMJ.
Under The Hood
The new ETN, like the existing AMJ, will offer exposure to a basket of about 50 publicly-traded energy Master Limited Partnerships. The largest individual components of the benchmark are Enterprise Products Partners (15%), Kinder Morgan (10%), and Plains All American Pipeline (7%).
JPMorgan announced last month that it would cap the maximum number of shares outstanding for AMJ, effectively disabling the creation / redemption mechanism in place to keep the note's price in line with its indicative value. That led to some speculation that AMJ could begin trading at a premium to its value if demand for the product persisted, adding another risk factor that is entirely beyond the control of investors.So far, there hasn't been an issue with a premium in AMJ's share price; the note closed Wednesday within two cents of its indicative value.
AMU will charge 0.80% annually, which is slightly cheaper than AMJ's 0.85%. That differential means that AMU is essentially guaranteed to outperform AMJ over the long haulalbeit by a relatively small amount .
Case For MLPs
Interest in MLPs has surged in recent years as investors have sought out asset classes that deliver stable and meaningful current returns. In order to realize certain tax advantages, MLPs are required to generate substantially all of their revenue from certain qualified sources. Typically, MLPs pay out a significant portion of their current earnings to shareholdersresulting in relatively attractive dividend yields.
Because most MLPs are engaged in the transport and storage of energy commodities such as natural gas and petroleum, they generate relatively stable earnings. By acting as the tollroads through which these natural resources pass, these companies actually have low sensitivity to changes in spot prices, unlike traditional oil and gas stocks .
There are now 11 different ETFs and ETNs in the MLPs ETFdb Category, including two linked to the Alerian MLP Index. UBS is the issuer behind four of those products, as well as a monthly leveraged ETN (MLPL) and a 1x short monthly ETN (MLPS):
- Alerian MLP Index ETN (AMU): Launched July 2012 and linked to the same index as AMJ.
- Alerian MLP Infrastructure ETN (MLPI): Linked to a sub-set of the Alerian MLP Index that focuses on transportation and storage of commodities.
- Alerian Natural Gas MLP Index ETN (MLPG):Linked to an equal-weighted index comprised of 15 largest natural gas infrastructure MLPs.
- Wells Fargo MLP Index ETN (MLPW):Linked to an index comprised of more than 70 MLPs, amking it one of the most broadly-based products out there.
Disclosure: No positions at time of writing.


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Jesse L. Holman Letters S676 1824-1841, undated 1 folder
Return to the Alphabetical List of All Online Finding Aids
Processed by: Christina Baich, February 2006
Biographical Note:
Jesse Lynch Holman was born on October 24, 1784, near Danville, Kentucky. He was admitted to the Kentucky bar on September 2, 1805, and practiced law in New Castle, Port William, and Frankfort, Kentucky. In 1810, he married Elizabeth Masterson. He moved to Indiana in 1811 and settled near the present site of Aurora, where he built Veraestau, an historic home still in existence.
After settling in Indiana, Holman became an active public servant. In 1811, Governor William Henry Harrison appointed Holman prosecuting attorney for Dearborn County. He became a member of the territorial legislature and was appointed presiding judge of the second judicial circuit in 1814. After two year, he was appointed judge of the third circuit and a justice of the Indiana Supreme Court. He served on the Supreme Court from 1816 to 1830, when Governor James Brown Ray removed him from the court.
After leaving the bench, he returned to Veraestau, continued his law practice, and increased his involvement in the Baptist church and the Sunday school movement. He made an unsuccessful U.S. senatorial bid, losing to John Tipton by one vote. In 1834, Holman was ordained as a Baptist minister. He was one of the founders of Indiana University, Franklin College, and the Indiana Historical Society. In addition to his legal career, Holman was also an author. His novel, The Prisoners of the Niagara, or Errors of Education, was published in 1810. In 1836, he was appointed federal district judge of Indiana. He remained in this post until his death on March 28, 1842.
Banta, Ray E., comp. Indiana Authors and their Books, 1816-1916. Crawfordsville, IN: Wabash College, 1949.
Indiana Supreme Court Justice Biographies: Justice Jesse Lynch Holman. Indiana Supreme Court. 3 Feb. 2006. <http://www.in.gov/judiciary/citc/justice-bios/holman.html>.
Scope and Content Note:
The collection contains letters to Jesse Lynch Holman as President of the Aurora Bible Association and reports of various churches to the Laughery Association of Baptists. Recipients other than Holman are men who served as clerk to the Laughery Association
Item Listing:
1 Folder.
1824 June 4 Woodhull, S. S. to Jesse Lynch Holman, ALS 1824 Dec. 21 Nitchie, John to Jesse Lynch Holman, ALS 1825 Mar. 25 Nitchie, John to Jesse Lynch Holman, ALS 1825 Aug. 29 Nitchie, John to Jesse Lynch Holman, ALS 1825 Apr. 11 Nitchie, John to Jesse Lynch Holman, ALS 1827 Dec. 31 Beal, S. to Jesse Lynch Holman, ALS 1828 Dec. 5 Lewis, Zibiah to Jesse Lynch Holman, ALS 1828 Nawton, Jesse to John Nawter, ALS 1829 Sept. 3 Harpham, Henry to Laughery Baptist Association, ALS 1833 Sept. 19 Baptist Church of Jesus Christ to Laughery Association, AL 1835 Nov. 23 Moss, Thomas to Jesse Lynch Holman, ALS 1836 Sept. 10 Dixon, John to the Laughery Association, ALS 1838 Apr. 4 Brigham, J. to Jesse Lynch Holman, ALS 1838 McEwing, Mods[?], James to Joseph Hiner, ALS 1840 Mar. 17 Kobins, E. to Jesse Lynch Holman, ALS 1840 Aug. 22 Baptist Church of Christ to Laughery Association, AL 1841 Sept. 21 Law, John to Jesse Lynch Holman, ALS undated Slogedill, Daniel to B. R. Ward, ALS
Collection Information:
Size of Collection:
1 folder (18 items)
Collection Dates:
1824-1841, undated
E. S. Rees, 28 November 1927
|This collection is open for research.
Reproduction Rights:
Permission to reproduce, exhibit, or publish material in this collection must be obtained from the Manuscript Section, Indiana State Library. Possession of a reproduction from an Indiana State Library collection does not constitute permission for use.
|Materials are entirely in English
Alternate Formats:
Related Holdings:
L73, William S. Holman Papers
Photocopying Policy:
Manuscript materials CANNOT be photocopied or digitized in their entirety. Photocopies and/or digital images cannot exceed 25% of a collection or a folder within a collection. In some cases, photocopying may not be permitted due to the condition of the item. Check with a Manuscript Librarian for other options.


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News: Operation Red Sand destroys insurgent compounds in Bala Murghab
Story by Tech. Sgt. Kevin Wallace
HERAT, Afghanistan – Red Platoon, Bulldog Troop scouts launched Operation Red Sand in northern Bala Murghab, Baghdis province, Afghanistan, April 4, and destroyed insurgent compounds and improvised explosive device-making facilities.
Coalition forces, who primarily hailed from the 7th Squadron, 10th Cavalry Regiment at Fort Carson, Colo., killed an unknown number of insurgents and crippled anti-Afghan government activities in Bala Murghab.
"What we're doing here is vital to the security in this area," said U.S. Army 1st Lt. Joseph Law, Red Platoon leader. "This activity will hamper the [insurgent's] will to fight and may make them think twice before continuing to terrorize local villagers."
Though security in Bala Murghab is better than some areas in Afghanistan, local villagers have complained of insurgent activities in their villages.
Law responded and, under the umbrella of Operation Red Sand, the scouts pushed farther outside Bala Murghab's security bubble than ever before.
Red Platoon launched several mounted and dismounted patrols in the nearby villages, capturing and killing insurgents, destroying known compounds, capturing IED-making materials and destroying an IED-making facility.
U.S. Air Force and Army aircraft assisted with close-air support, and Italian army soldiers provided observation support, which allowed them to accurately advise Army scouts on insurgent locations.
Connected Media
An insurgent compound explodes after a U.S. Air Force...
U.S. Army Pfc. Ben Bradley, left, a Bulldog Troop, Red...
U.S. Army Sgt. Jeff Sheppard, a Bulldog Troop, Red...
This work, Operation Red Sand destroys insurgent compounds in Bala Murghab, by SMSgt Kevin Wallace, identified by DVIDS, is free of known copyright restrictions under U.S. copyright law.
Date Taken:04.06.2011
Date Posted:04.06.2011 06:13
Location:HERAT, AF


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SKILL LEVEL: Intermediate (Level 3)
SIZE: One Size About 35 x 35 in. (89 x 89 cm)
CORRECTIONS: None
20 sts + 26 rows = 4 in. (10 cm) in Broken Rib. When you match the gauge in a pattern, your project will be the size
specified in the pattern and the materials specified in the pattern will be
sufficient. The needle or hook size called for in the pattern is based on what
the designer used, but it is not unusual for gauge to vary from person to person.
If it takes you fewer stitches and rows to make your swatch, try using a smaller
size hook or needles; if more stitches and rows, try a larger size hook or needles.
Making a Gauge Swatch
Broken Rib (worked over a multiple of 2 sts + 1 additional st)
Row 1: *K1, p1; rep from * to last st, k1.
Row 2 (RS): Knit.
Rep Rows 1 and 2 for Broken Rib.
Basketweave Pattern (worked over a multiple of 8 sts + 2 additional sts)
Rows 1-5: K1, *k4, p4; rep from * to last st, k1.
Row 6: Purl.
Rows 7-11: K1, *p4, k4; rep from * to last st, k1.
Row 12: Purl.
Rep Rows 1-12 for Basketweave pattern.
1. Blanket beg with a Beginning Square. Sts for each 'log' of the log cabin are picked up across one edge of the previous piece.
2. Logs are worked back and forth in rows. A circular needle is used to accommodate the number of sts. Work back and forth in rows on circular needle as if working on straight needles.
3. Refer to diagram for where to pick up sts for each log.
Learn to Knit instructions: http://www.lionbrand.com/learnToKnit.html


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« Reality TV Listings: May 3, 2010 | Home | American Idol: David Cook Raises $140K For Cancer Research »
America's Got Talent: Nick Cannon's Anniversary Gift for Mariah Carey
May 03, 2010 07:00 AM by Nancy Floyd
Nick Cannon, host of NBC's America's Got Talent, and his superstar wife, Mariah Carey, celebrated their second anniversary this weekend. The couple honored the occasion by renewing their vows and exchanging some serious bling. Keep reading for more details on Nick Cannon's sweet and extravagant gift for his wife…
It's been two years since Nick Cannon, host of NBC's America's Got Talent, and singing superstar Mariah Carey tied the knot on April 30, 2008. To celebrate their second anniversary, the celebrity couple renewed their vows in a private ceremony at their Hollywood Hills home. The event, which is the third wedding ceremony for the pair, was witnessed by close friends and family. Mariah Carey donned a sparkling wedding dress and Nick Cannon wore a white tux. "This is my third wedding, so it's gonna be fun,†Nick Cannon said. "I'm just showing up with gifts and smiles."
And he certainly showed out when it comes to the gifts. The America's Got Talent star surprised his bride with a massive diamond and sapphire ring that looks like a candy ring pop. The sweet treat has special significance to the couple. In 2007, when Cannon proposed, he disguised the diamond engagement ring in a ring pop plastic wrapper.
The white gold ring is encrusted with white diamonds and pink sapphires and was handcrafted at Jason of Beverly Hills jewelers. "It also comes in a box complete with a spinner so that you can see it sparkle under the lights inside," Jason Arasheben, the CEO of Jason of Beverly Hills, says. "The ring pop design is something Nick knew Mariah would absolutely love."
For more celebrity news, check out our sister site SheKnows.com!
Reality TV Magazine is your source for America's Got Talent news and information. For more on America's Got Talent, check out SirLinksAlot: America's Got Talent. Be sure to visit our message boards to discuss your favorite shows.
Topics: America's Got Talent, NBC Reality TV Shows |
« Reality TV Listings: May 3, 2010 | Home | American Idol: David Cook Raises $140K For Cancer Research »


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First, I don't have much experience with different saddles. I've spent most of my time on my stock Allez saddle and desperately want to upgrade. I figure I'll do it now and start breaking in a new saddle on the rollers before I get outside. I rode the Fizik Antares and Aliante test saddles last fall. Liked the Antares but would like a little more cushion and don't like the square nose at all. Didn't like the flared back side of the Aliante very much.
Performance bike has the black and white Turbomatic team edition, the standard one and the one with gel and cutout, both for about half off (~$100).
Any C/A own either saddle? I'm on the fence about which I like better in theory. I like the cutout but don't want too much added padding from the gel that might cut off circulation.
My main concern is with the carbon rails being able to hold 250lbs. What do you think?
Any input is appreciated.


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The Naked Truth Isn't Always Pretty.
A no-holds-barred look at the hilarious underbelly of what it means to be female, Dirty Girls lays bare the secrets of the fairer sex.
Women don't come from a different planet than men. In fact, both sexes want the exact same things: success, friendships, semifunctional families, semifunctioning relationships, good bodies, and lots and lots of great sex.
But there's more.
Women are fascinating, beautiful, and, yes, disgusting creatures, and we shouldn't be ashamed of it. Dirty Girls exposes the filthy, lazy, fabulous truth that everything boys can do, girls can do better.


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So, I was thinking about buying bar end shifters and putting them on some barends, this for my tour this summer.
How do you guys think that setup will work?
How do you mount the shifters?
Next year I'll buy I a drop bar and put them on those. But for this summer my current flat bar will have to do. I don't want to buy moutain bike shifters just to use the this one summer.
Greetings from Sweden


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Graeme McDowell is hoping a trip to France this week will give his golf game the boost it badly needs ahead of the British Open at Muirfield, Scotland which starts on July 18.
The 2010 US Open winner has signed up for the European Tour's French Open following another missed cut, this time on home turf at last week's Irish Open at Maynooth.
The early weekend at Carton House was the fifth in his last six strokeplay events for the 33-year-old.
He also missed the cut at The Masters, US Open and Players Championship this season, but on the plus side he can count two wins - at the RBC Heritage, the week after Augusta, and the Volvo World Match Play crown in Bulgaria.
"Obviously that Volvo World Match Play offsets some really average golf for me I suppose," McDowell told reporters at Le Golf National outside of Versailles.
"I feel like I went into the US Open a bit under golfed to be honest with you; (with) a few missed cuts here and there and playing a slightly reduced schedule this year.
"I really just haven't had enough course time the last couple of months and that was highlighted at the US Open (he shot rounds of 76 and 77 at Merion) and it was highlighted a little bit last week in Ireland, missing by one there.
"I thought I had snuck in for the weekend and I could have done with a couple of extra rounds of golf under my belt, but used the weekend constructively, hit a lot of balls.
"I feel like, thankfully, I've got a couple of victories under the belt this year to offset maybe the panic button being hit. It is a good thing to be coming into this run of golf fresh I suppose, I've got a lot of golf coming up here the next few months.
"The game's not in terrible shape to be honest with you. It's been a fine line here and there. The motivation's there and I'm feeling hungry and ready to go this summer."
McDowell is one of three players in the world's top 10 competing in Paris, the world number nine being joined by eighth-ranked Luke Donald of England and number five Matt Kuchar of the United States.
It was a tournament that Kuchar said he had been keen to compete in for a number of years.
"I've never been to France before and I don't know anybody that doesn't fantasise, romanticise about going to Paris. I talked to some players about the golf tournament here and they said it is one of the best courses they play all year," he said.
"So there were a lot of things that said I really ought to come. This year it worked out, and the timing's been great.
"We are going to go down to the south of France for a little vacation (after the tournament) and then I'll make my way up to Scotland a few days before the British to start preparing."
Germany's Marcel Siem will be the defending champion at Versailles.


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אנחנו בפייסבוק
Halutz is the outgoing IDF chief of staff. He resigned on January 16, in the wake of the failings of last summer's war in Lebanon
Published: 07.31.06, 14:33 / Israel News
At the beginning of 2005, Halutz was nominated to replace Chief of Staff Moshe Yaalon, and in June 2005, Halutz took over the position. The high spot of his command was the disengagement from the Gaza Strip, in which he succeeded in removing Jewish settlers from their homes without blood being spilled.
Last summer's war in Lebanon, in which Israel failed to stop Hizbullah firing Katyusha missiles at Israeli cities, was regarded as a failure by most Israelis and Halutz himself admitted that it had harmed Israel's deterrence. In his letter of resignation, he said he was accepting responsibility for the shortcomings in the army the war had unveiled. Halutz's successor is Gabi Ashkenazi.


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Will you also touch on AIR with DataDomain's as well? When can we expect AIR support with DD's?
Please join us for the next Michigan Backup & Archiving User Group meeting on July 18 from 11 a.m. to 3 p.m. at the Symantec offices in Southfield. The meeting will feature a presentation on AIR by Symantec Systems Engineer Scott Warmbier and a group discussion to plan hands-on-labs for the next User Group meeting in the Fall. Lunch will be served!
2000 Town Center
Southfield, MI 48075
Hello Hans - The process for configuring AIR with DD should be the same - so the steps and demo I'll show should tranlate over from MSDP to DD. I don't know of the offical support date for AIR with DD although I do know that if you were to run the 7.6beta2 code you can see it in action. We can discuss more details during the meeting. Hope to see you there!


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Book tickets to watch Finding Dory and fundraise for Royal Institute for Deaf and Blind Children Hunter. Click here.
All Sponsorship packages include:
Match Day Jerseys
Having players in team jerseys is paramount and one of our 1st priorities when it comes to sponsorship as without team jerseys our players would not be able to take to the field each week. Junior team jerseys generally last a min of 3yrs and in some cases up to 5yrs or more, so they offer an excellent value for money package for someone looking at advertising their business.
Team jersey sponsorship includes your business details screen printed across the front
of the jersey.
Team Shorts
Having your business name / logo on the leg of player's shorts is a very inexpensive option & an easy way to get involved with the club. Short sponsorship from $400 per team.
Warm up shirts (Seniors)
Have your business advertised on the front of all three senior grade teams warm up shirts from just $450.
Team Jackets
Teams can arrive in style and look professional while warming up before games wearing club jackets with your business details screen printed across the back for all to see.
Jacket sponsorship from $800 per team and includes jackets for the coach and manager, or, coach and manager jackets only from $300.
Ground signage
Advertise your business via ground signage. Signs are approx 2.0m long x 0.7m high and fixed to the field perimeter fence, generally all year round.
Ground signage starts at $600 for the 1st year and $300 each year after, or, for a one off payment of $1200 you can have your business advertised for the life of the sign.
Match Day / Gala Day Sponsors
Take the opportunity to come down the oval on any given match day / weekend or Gala Day and promote your business directly to the thousands of spectators that visit each week.
Match Day sponsorship starts at $300 per day or $500 per weekend or Gala Day.
Major Sponsor
Why not discuss the option of becoming Warners Bay FC's "Major Sponsor" a package including naming rights of the clubs new grandstand can be tailored to suit your business's needs.
Gold Sponsorship Package $2500 (Senior)
Silver Sponsorship Package $2000 (Senior)
Bronze Sponsorship Package $1750 (Senior)
Club Partner Sponsor
Why not simply supply goods and or services to the club for your chance to have;
For further information on any of the above packages please contact:
Dennis Bartlett
Committee member
Ph: 0419 449 801
Comment Guidelines: The SportingPulse Network is made up of players, families and passionate sports followers like you who have a strong opinion about sport. That's great - we want you to have your say and share your thoughts with the world. However, we have a few rules that you must follow to keep it fun for all. Please don't be rude, abusive, swear or vilify others. Apart from some pretty serious sport sanctions, we also can ban you and report you if things get out of hand. So play fair and have fun, and thanks for your contribution.


text:
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text:
Librarians: If you've got questions or comments about BookBrowse, need more promotional materials or have a request for something you don't see - contact us!
BookBrowse support is always free.
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We always aim to respond within 1 working day. If you don't hear from us promptly, please contact us again, and ensure that your email address is typed correctly into the form, or telephone us.


text:
Boxing Day Overrated? Canadians Say Pre-Christmas Deals are Just as Good
It's a longstanding tradition to hit the malls on Boxing Day, as if we all didn't get enough presents on Christmas.
But according to a new survey, Canadians are finding this year that the pre-Christmas deals are just as hot as Boxing Day blowouts past.
Data from RetailMeNot.ca suggests that 63% of Canadians find pre-Christmas deals "to be just as good as Boxing Day or better, and that 70 % of Canadians think Boxing Day deals are "overrated." Regardless, 56% still plan to shop on Boxing Day this season.
"It's becoming more common for retailers to offer pre-Christmas deals to keep sales strong throughout the entire holiday season," explains Angela Self, cofounder of Smart Cookies.
Of those surveyed who plan to shop on Boxing Day, 45% plan to spend $100 or less; 31% will be shopping for apparel while 27% will be looking to buy electronics; and 50% of shoppers plan to spend the same or less than last year.


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Noodle Recipes
Asian Noodle SaladAsian noodle salad with plenty of colorful veggies and a sesame ginger dressing.
Korean Spicy Cold NoodlesSpicy and cool, this traditional Korean dish for hot weather is made with buckwheat noodles, various crunchy veggie toppings, and a spicy chili sauce.
Noodles with Mushrooms and Lemon Ginger DressingNoodles with mushrooms, sesame seeds, and herbs, tossed with a lemon ginger dressing.
Sesame and Cilantro Vermicelli SaladAsian pasta salad with thin vermicelli pasta, sesame oil, soy sauce, crushed red chili pepper, honey, and cilantro.
Soba Noodle SaladDelicious cold soba noodle salad made with buckwheat soba noodles, mango, red bell pepper, garlic, basil, mint, peanuts, lime and sesame oil.


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Forex one-on-one Coaching
Whether you're making your first steps or looking to optimize your performance I can help you.
To request a one-on-one Forex Coaching session answer the following questions and email them to: email@example.com.
Full Name
Email Address
Trading experience?
Which currency pairs do you trade?
Do you know what is Price Action?
What accuracy are you looking for?
What strategies you have used? Results?
Do you use any Money Management?
How do you manage your trades?
What are your main goals as a trader?
How do you feel about losses?
Prefered day and time for the session?
I'll get back to you with the coaching details.
For assistance please email me or call at: +1 (513) 277 0521
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I don't know about you, but every single time I see this photo of Karolina Kurkova, I think of the scene in Alice in Wonderland where Alice gets stuck in the White Rabbit's house after devouring too much of the growing cake.


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TWEED police opened the southbound lanes of the Pacific Hwy four hours after a man was killed when he collided with a truck.
Acting Inspector Jason Dowds said the pedestrian collided with the truck about 9.50am.
"It appeared the male person moved in front of the prime mover," Insp Dowds said.
Insp Dowds said police were still investigating the circumstances that led to the collision and interviewing witnesses.
Tweed Rescue was assisting police at the scene.
The driver of the truck was taken to Tweed Hospital for assessment after pulling up his truck about 100 metres past the point of impact.
A witness to the accident said the man appeared to be trying to cross the southbound lanes to get back to his car, which was parked on the left hand side of the highway, several hundred metres from the Murwillumbah exit.
Traffic was being diverted along Tweed Valley Way with B-doubles being allowed past the accident scene because the detour was inadequate for the trucks.
Anyone who witnesses the collision should contact Tweed Police on 07 5536 0999.
A MAN was killed trying to cross the Pacific Highway at Chinderah this morning.
A witness to the accident said the man appeared to be trying to cross the southbound lanes to get back to his car, which was parked on the left hand side of the highway, several hundred metres south of the Murwillumbah exit.
The man stepped out in front of a truck and the vehicle was unable to avoid hitting the man.
Police have diverted all southbound traffic on the Pacific Highway, directing it on to Tweed Valley Way.
Emergency services remain on the scene.
A Police spokesman said the diversion was not appropriate for B-double vehicles and they were being parked on the Pacific Highway.
B-double drivers were encouraged to use the New England Highway as an alternative route.
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Disappointing global manufacturing growth sent the markets plummeting to a sharply lower close with the Dow collapsing 250 points to 12,573. Nasdaq sank 71 points to 2859.
On the upside
The rejection by American Airlines pilots of a proposed contract lifted shares of U. S. Airways (NYSE: LCC), which is pursuing a possible acquisition of bankrupt AMR.
Gannett (NYSE: GCI) named former energy utility company AES chief financial officer Victoria Harker to the position of chief financial officer.
3M will pay approximately $110 million in cash to acquire Federal Signal's (NYSE: FSS) technology unit FSTech.
On the downside
A Seeking Alpha contributor wrote that Patriot Coal (NYSE: PCX) was one of the riskiest investments in the coal sector and the most likely to go bankrupt.
Mechel (NYSE: MTL) disappointed with lower first quarter earnings.
Retreating crude oil prices weighed down shares of Goodrich Petroleum (NYSE: GDP), Oasis Petroleum (NYSE: OAS) and Plains Exploration (NYSE: PXP).
In the broad market, declining issues outpaced advancers by a margin of more than 4 to 1 on the NYSE and by nearly 4 to 1 on Nasdaq. The Russell 2000 which tracks small cap stocks plunged 19 points 764.


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The sudden earth shaking resulting from an energy relief at one moment or at a few seconds till a few minutes is said as earth quake, that has a different intensities.
The earthquake has and has caused an abundant damages as financial and human ones. Of world large earthquakes, we can mention to an earthquake dated on 27/Jun/`1976 at Tangshan, China, that about 650/000 persons were killed.
Magnitude of this earthquake was 7/6 Rishter.
The earthquake geographical publication has a special decipline, as their 90% occur at pacific ocean margin and other 10% occur on Alpine-Himalayan orogenic belt (Mountains chain of Alps, Karpat, Anatoly, Alborz, Zagroos GHendokoosh. Pamirotabat). The plate tectonic model could determine a basic cause of earthquake occurance and seismic regions. According to this model, the earth surface has been formed from one plate with maximum thickness 90km, that this plate is subdivided to a different pieces that each piece is said one plate.
The most important of these plates are as follows:
1- Orazi plate, 2- Africa plate 3- pacific ocean plate, 4- India ocean plate, 5- S-pole plate, 6- south America plate, 7- North-Americal plate, 8- Naska plate (southern America).
There may be one microplate at the margin of each plate like India microplate, Arabia microplate or Iran microplate.
There is a paste-like part under earth forming plates.
The plates are said as lithosphere(Crust plus upper part of mantle) and the melting part under it is said as mantle.
If we look at the earth inside structure, we will have a parts from outside to inside as follow:
1- Crust that it is solid
2- Mantle that it's upper part is said as asthenosphere and this part has a melt property.
3- Core external part that has a melt property.
4- Core internal part that has a solid property.
The earth forming plates move to each other resulting from the mantle inside convection current, that these movements are performed by several ways.
1- Two plates may be far away each other
2- Two plates may be slide on each other
3- Two plates maybe near to each other and meet with each othger that at a result of these meets, a large forces become a free which they are the same as forces of earthquake generating.
The speed of opening of oceans bottom crusts and/or annihilating the plates takes a few cm/year.
The continents age is a higher than the oceans age, since the continental plates don't penetrate inside a mantle and don't annihilate, while ocean plates are annihilated by penetrating inside a mantle.
The largest earthquakes occur at border zones of plates, those plates that meet with each other and one goes under another (At inter- ocean rifting place)
Earthquake intensity:
By before inventing the earthquake recorders, the earthquakes importance has been posed given to a degradation extent caused from it. First time, Robert Mallet drew a intensity curve, as at earthquake on 1875 Italy, he connected a points having a unified damages to each other and then is grade curves were drawn, and he named a place having a maximum damages as an earthquake focus that it is the same as an external focus or earthquake external center.
First time, the intensity scale was posed by Italian, Rossi and Swiss, Foret on 1880, that was corrected by Mercalli on 1902. This scale was completed by other persons later, and today, it is an only scale that is used for stating an earthquake. With regards to the names of contributors such as karnik, sponkener, medveder, it is named as MSK scale.
Earthquake magnitude:
The earthquakes magnitude dependes on their energy, as a stronger earthquake has a more intensive vibrations. The earthquake magnitude is stated with Rishter scale that was posed by American Rishter. With magnitude measurement, the caused energy amount of earthquake was easily corrected with Cancani acceleration equivalent (1956).
Description: Acceleration per mm/S2:
It is not felt. It is detected only with seismographs.
Less that 2/5
It is a weak. It is felt by persons at a suitable places or opper stories of buildings.
It is felt as a mild in the home. The hanging bodies shake. The shaking like a shaking resulting from passing a light truck is caused . It may be doesn't detect as earthquake.
It is an average. The hanging bodies shake. The shaking like to heavy truck is caused.
With feeling like to shaking the wall resulting of hitting a heavy ball is caused. The windows, plates and doors all shake.
The glasses resulting of the shaking cause a sound. The pottery dishes also cause a sound. At higher that intensity 4, the wooden walls also cause a sound.
It is rather strong. It is fect outside of homes. The earthquake bearing is approximatable. People wake up. The liquids shake, and even discharge from dish. The small unstable objects are moved or reversed. Doors are open and closed. Curtains, and picture frames are moved. Clocks's pendulums stop, move and their move method change.
It is a strong. All people feel it.
Most fear, and go out. The walking of people become unbalanced. Windows, plates and crystals break down.
The make up and books and etc fall down from shelves. Frames fall down from a wall. The home's farnitures are moved or reversed. The walls loose plasters and face stones break down. The small rings (church and school) ring. The shaking of trees and crucibles is visible or their rustle sound is heared.
It is very strong. The stand is a difficult. Drivers and motorcyclists recognize it. The hanging objects vibrate. The furniture break.
The Buildings decay of type 2 is occurred and they creak. The loose pipes located on roof break. The loose plaster of walls.
Free bricks of stones, roof tiles, and also walls that have not well been built and architecture decorations fall down. Some of buildings of Typec crack. Water of dams are waved an mudy resulting from distortion. Small slips and pores are occurred at sand sheets. Large rings of churches ring. Water ditches that have been built a soild but un regular, are decayed.
It is a destructive. It affects on the act of automobiles motor. Buildings of type C are destroyed, and fall down as part. But Buildings of type A are not destroyed. Some of decorative walls and plasterworks fall down.
The stovepipes, plants chimneys, asphalt rocks, elevators chambers and cabinets twist, and wooden houses and ones having weak structural adhesion move on their foundation. The loose walls fall down. The wearied columns also fall down. The branches of trees break, and flow or water temperature of springs and wells changes. At wet lands and steep slope, the fractures are occurred.
It is very destructive. It results a fear for people. Buildings of type D are destroyed. Buildings of type C are destroyed very much some times, a complete collapse is occurred, and buildings of type B damage hardly.
The complete damage occurs at a foundation of wooden buildings, if they have not a good structural adhesion, they will move. Buildings break. Storage tank damage extensively. Underground pipes break.
The clear creaks are occurred in the ground . At alluvial areas eject a sand and mud from a ground. Springs become seismic and a sand craters are occurred.
It is a disastrous. Most of wooden buildings and their foundation are destroyed. Some of wooden buildings having a suitable build and bridges are destroyed. Dames and walls and stone walls along with rivers damage extensively. Large landslides are occurred. Water ejects inside of channels, rivers, lacks and etc. Sands and moods move on beaches and a flat lands horizontally. Railways curve
There is a complete disaster and a complete destruction is occurred. Large stones move. The previous alignment levels are destroyed.
The objects throw at air. It is accounted.
Two factors affect on the earthquake destructive effect as follows:
1- Region geological construction and a land type of one region.
2- Earthquake focus depth.
A number of earthquakes at the earth is very much, and thousands earthquakes occur every year, that they are studied by seismograph statistically. If we can determine a number and magnitude of earthquakes at one country or region, we can find to an amount of risk at one country or region. The risk possibility means the occurance possibility of one known event (like earthquake) at a known time limit. For determining the risk possibility, it is required an attention to current age and historical statistics of region. For example, from past 1000 years to today at a special area, 8 earthquakes with magnitude more than 7 Rishter have occurred. In fact 1000/8=0/25 year means that there is the occurance possibility of one earthquake with magnitude more than 7 Rishter at each 125 years.
Prediction and risk decline:
Today's, given we know that the earthquakes are occurred at a fault areas and an impact place between previous or current plates, the maps of risk regions have been prepared that also this case has been performed in Iran. For doing this, it is a necessary the field geology on large basic scale and very carefully, and it is a necessary the geological study of regions that have a history of seismicity. As a result, we can prepare maps that determine a risk of earthquake at each region, and determine a magnitude of earthquake possibility at each region. Even with regard to a smaller earthquakes focus located on one region, we can draw the maps of earthquake intensity before.
Today's, geologists in many countries, particularly, seismic countries such as Japan , China, America, and Russia, search a solution for anticipating earthquakes, but they have not so far had a special success, and today, we can not say that it is possible the anticipation of earthquakes, but only seismic regions have been determined.
So far, in some of the world points the anticipation of earthquake has been performed, it has been based on their foreshock that of course, such anticipation of predictions are a correct rarely.
The expansion assumption, one was that at first it was a promising for the prediction of earthquakes very much, but finally, it didn't seem as a clear and suitable solution, because it doesn't apply to at mast of regions. According to the expansion assumption, that it's base is the different experiments related to stones reaction to the applied stresses and pressures, it is occurred a cracks and fractures in the stones resulting from the applied stress and is caused a multiple joints in them, that as a result, their volume increases and of course, the wares passing speed in them changes. On the other words. The earthquake waves speed stones decreases and the electric conduction increases.
These laboratory observations namely expansion assumption, it has derived a suitable anticipations at some of regions, and at other areas, it has no provided a correct answer.
Fore an occurrence of earthquake, the existing Radon gas at minerals having uranium become a free a given the existence of radioactive material at one region, that this subject was proved by Russian people.
The research on the waves speed P and S showed that before an accordance of earthquake, the waves speed P and S ratio changes considerably. This method of earthquake prediction is said VS-VP method, that it was anticipated given those two earthquakes. This has a disadvantage for a large earthquakes that it doesn't provide a correct answer.
Chinese predicated the earthquake dated on Feb.8.at Hayching using a simple seismographs and domestic and wild animals movements, like chicken, cow, snack, rabbit, lions inside zoo and a red fishes and underground water surface change, that it was caused that a human fatalities approached to a minimum, because a city had been discharged before an earthquake.


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Nokia Siemens Networks closes the sale of Belgacom related IPTV assets
Espoo, Finland – October 2, 2012
Nokia Siemens Networks has closed the sale of its Belgacom related IPTV assets to Belgacom. The divestment is part of Nokia Siemens Networks' strategy to focus on mobile broadband and services.
As part of the transaction, Belgacom was granted a perpetual IP license on the IPTV software.
A total of 23 employees are joining Belgacom from Nokia Siemens Networks.
About Nokia Siemens Networks
Nokia Siemens Networks is the world's specialist in mobile broadband. From the first ever call on GSM, to the first call on LTE, we operate at the forefront of each generation of mobile technology. Our global experts invent the new capabilities our customers need in their networks. We provide the world's most efficient mobile networks, the intelligence to maximize the value of those networks, and the services to make it all work seamlessly.
With headquarters in Espoo, Finland, we operate in over 150 countries and had net sales of over 14 billion euros in 2011. http://www.nokiasiemensnetworks.com
Media Enquiries
Nokia Siemens Networks
Johanna Harjula
Media Relations
E-mail: johanna [dot] harjula [at] nokia [dot] com
Phone: +358 7140 17989
Press Office
E-mail: mediarelations [at] nokia [dot] com
Phone: +358 7140 02869


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