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Crucial Ballistix DDR2: The New DDR2 Standard?by Steve Carmel & Wesley Fink on 2/21/2006 12:05 AM EST
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Griotspeak - Sunday, March 12, 2006 - link2GB PC-5300 modules should be available?
i KNOW there isnt much hope of a definite answer, but i'd like to have some idea since i could wait a month or so. Reply
Regs - Saturday, February 25, 2006 - linkMaybe i'll wait until it has a use. Reply
pnyffeler - Thursday, February 23, 2006 - linkI'm feeling a little uncertain about why anyone would want to rush out and purchase a new AM2 system ASAP. What advantage would you gain over a 939 rig? Right now, DDR2 memory is loads more expensive than DDR, and according to Tom's Hardware's analysis, there isn't any advantage. Well, at least, not theoretically until DDR2-800 becomes available, but even so, are we going to see a significant increase in performance? It seems that the smart move is to set up a 939 system, dump it full of good, cheap DDR RAM, and save your pennies for the new DirectX 10 graphics card that will be available at the end of the year when Vista comes out. I just see DDR2 as the next logical transition, especially with chip makers changing over time to DDR2, but you won't see me jumping on the bandwagon any time soon.... Reply
IntelUser2000 - Wednesday, February 22, 2006 - linkhttp://www.anandtech.com/memory/showdoc.aspx?i=270...">http://www.anandtech.com/memory/showdoc.aspx?i=270...
WTF is up with this review in terms of spelling errors and inconsistencies??
The tightest timings were maintained on the PC2-5300 kit, which held 3-2-2-8 timings up to an FSB of 345 (13X multiplier producing 1382.5 MHz set at DDR533 memory strap).
The tightest timings are NOT the PC2-5300 kit according to the table, but RATHER THE OCZ DDR2 PC2-4200.
The only one I see that achieves 3-2-2-8 at FSB of 345 is OCZ DDR2 PC2-4200, not the Crucial PC2-5300 kit.
This produced buffered bandwidth of 8455 MB/s on Sisoft Sandra Professional 2005, and 4616 MB/s unbuffered bandwidth.
Plus, CONSISTENT spelling errors that say MB/s. I sure don't want my memory bandwidth to be single digit MB/s even on a 486 PC.
leexgx - Saturday, February 25, 2006 - link
This produced buffered bandwidth of 8455 MB/s on Sisoft Sandra Professional 2005, and 4616 MB/s unbuffered bandwidth.
what spelling errors (ram does not work at 9000GB/s) that result is right Reply
IntelUser2000 - Tuesday, February 28, 2006 - link
what spelling errors (ram does not work at 9000GB/s) that result is right
I was likely referring to the fact that the table and the paragraph below is inconsistent. There are no such numbers on the table. Reply
hwhacker - Wednesday, February 22, 2006 - linkHe explains this in the article. Overclocking the FSB on intel's chips is different than on AMD chips. You can much finer tune an AMD because of the adjustable multiplier...unless you have mega-cooling to allow the processor to scale with the memory speed...It's kind of tough.
Marlowe - Wednesday, February 22, 2006 - linkThey could reach 400 MHz mem easily with the 4:5 divider. (would require 320 MHz FSB) Reply
Marlowe - Wednesday, February 22, 2006 - linkLast time I checked DDR800 is 400 MHz real frequency. I've looked through the heap of hard to manage screenshots, (yes what happened to graphs?) but the highest I saw was 350 MHz. Did I miss something? Were you not able to reach 400 MHz? Reply
ATWindsor - Wednesday, February 22, 2006 - linkWhy do I suddenly hae to enable referer logging to see the pictures in the article? Reply
gudodayn - Tuesday, February 21, 2006 - linkNot to take anything away from Crucial or OCZ but DDR2~800 @ 4-4-4-12 has been on the market since last year!!!
Like the article said "Other competing manufacturers such as Corsair and OCZ Technology will be able to source the same IC's......". This isnt just Corsair and OCZ, there are others. Mind you these US memory companies get their work done a lot by Taiwan manufacturers. How about Geil and PQI?? PQI have TurboMemory DDR2~900 @ 4-4-4-12 and a DDR2-1000 @ 5-5-5-15 and both are 1Gb sticks.
What makes these Crucial sticks special?? Nothing apparently according to the benchmarks. It is nothing more than a publicity advertisement for them......New DDR2 Standard?? I think not!!!!
Unless you have a rare batch of TCCD equivalent in DDR2 form, the playing field seems pretty even between memory manufacturers to me at the moment. Reply
Xenoterranos - Tuesday, February 21, 2006 - linkAh winbond megachips, where have you gone to?? Reply
ozzimark - Tuesday, February 21, 2006 - linkslightly confused because i don't think i ever see the pc2-6400 running at 400mhz? just give me a chart with the max speed with varying timings and i'll be happy. if not, i'll get some myself and do it :p Reply
Avalon - Tuesday, February 21, 2006 - linkNo, I'm with you Zebo. I can't wait for DDR2 on AMD's AM2. I'll be getting one of those 35w X2 3800+ CPUs and some phase change ;) Reply
BrownTown - Tuesday, February 21, 2006 - linkwhy the heck would anyone get phase change on a 35W CPU, thats complete freaking overkill. I hope its not because you intend to overclock it becasue then you will be sorely disapointed. How do you think AMD got it down to 35W? they replaced the current highspeed transistors with ones that sacrifice speed for power consumption. OF course with the FX-62 they have to go the other way and therefore get 125W, but great speed. Seeing as that only a 50% clock increase for more then 3x the power consumption. The new low power transistors will be low-voltage, low-power, and low-speed. Sorry, no free lunch, everything comes at a cost, and here its power for speed. Reply
Leonidas1 - Tuesday, February 21, 2006 - linkHaha, lower speed transistors, you think they would honestly engineer two versons? I highly doubt it, I don't know a lot about CPU's but my guess is that these low power chips are got the same way the turions are they are tested and binned for speed and voltage. The ones that work at lower voltages at high speeds become these special low wattage CPUs and the others become regulars. I dont know about overclocking but I would guess they would overclock better too. Just a guess because no one knows yet though. Reply
BrownTown - Wednesday, February 22, 2006 - linkits always interesting when people mock you and then follow it by saying "I don't know a lot about CPU's". But, you are right, they will do the same that they did with Turion. And what they did with Turion was to use differnet transistors than they did in the A64... Before making statements its best to confirm with Google, takes 10 seconds and make you not look like an idiot... Reply
ozzimark - Tuesday, February 21, 2006 - linkthere are "fast" and "slow" transistors actually.. ;) Reply
Zebo - Tuesday, February 21, 2006 - linkAm I the only pne who can't wait for DDR2 to be supported by AMD on 6/6/6? Rumour has it unofficial DDR2-800 support - combined with A64 superior memcontroller 3-2-2 800 possible? I hope it's tested Wes. Reply
Googer - Wednesday, February 22, 2006 - linkZebo, I think I am staying away form any RAM that has Satanic Memory Timings.
As for the Socket AM2 Tomshardware has already benchmarked it.
http://www.tomshardware.com/2006/02/21/a_look_at_a...">http://www.tomshardware.com/2006/02/21/a_look_at_a... Reply
leexgx - Saturday, February 25, 2006 - linkyou Must understand the CPU that tomshardware got was an Test CPU, thay realy should of not done an benchmark as the CPU it self was not fully working and the DDR2 ram that was used was could only work at DDR2 666 and the timeings was stuck at 4-4-4-12 and may have been limted by the broken DDR2 contorler in it as well (you realy should look at it and not trust the resluts at all and thay have told you that its not to be trusted as well as its not an retail product as toms' stats)
basicly at the time when P4 came to use DDR2 the timeing speed of DDR2 was silly DDR1 would out perform DDR2 this is why amd have not gone to DDR2 as ram speeds are now to the point where it will not be an bottle neck (and Ram price between DDR1 and 2 are not that must £10-£40 $40-$80 depending on size)
testing the Ram performance in am P4/P5 system is not usefull any way as it can not use it (get some intresting resluts when AM2 fully comes ot)
(the date is 06/06/06 when it comes out)
my self i am going to stick my AMD X2 3800+ 939 and mobo and 2Gb of ram in me server (board is dieing caps are leaking on this P4 mobo) and get AM2 when 65mm fabs come out for AM2 and fast ram by then (and some good mobos)
all that will probly be end of year i can wait my 3800+ X2 is running at 2.4ghz (basicly 4600+X2 as the ram is running at DDr480 as well)and its happy and cool keeps me happy Reply
Jedi2155 - Sunday, February 26, 2006 - linkDDR1 outperforming DDR2 wasn't the main reason AMD didn't go to DDR2 right away. The main reason (if you read AMD's lawsuit against Intel's marketing practices) was because Intel created separate consortium to design DDR2 with the memory manufacturer's with the full intent of keeping AMD out of the loop. Thus AMD was a year or 2 behind Intel in developing the memory controller for DDR2 (as they couldn't see the specs till it was finished) nor did they have any input in the design of the specification.
And thus DDR2 sucks more than it should had AMD been involved :) Reply
DigitalFreak - Wednesday, February 22, 2006 - linkThe AM2 platform launches on June 6, 2006 (6/6/6). Those aren't memory timings. Reply
Spacecomber - Tuesday, February 21, 2006 - linkI'll admit that I mostly skimmed through this article, but since much of the data seemed to be in the form of screenshots that are too small to be easily legible without cliking on them to get the enlarged version, I found it hard to get a quick glimpse of what this article might have to offer.
I would much prefer results to be presented in traditional graphs and tables, instead. Reply
Olaf van der Spek - Tuesday, February 21, 2006 - linkWhat is the information about the AMD CPU doing in this test?
Too much copy/paste? Reply
JustAnAverageGuy - Wednesday, February 22, 2006 - linkYeah, that does seem out of place.
Authors also need to go back and recheck their MB\GB , MHz\GHz labels. I sure don't want any 4.5MB\sec RAM. Reply
96redformula - Tuesday, February 21, 2006 - linkMy faith in crucial is gone. Reply


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A FAMILY may never learn the exact circumstances of an accident which claimed the life of an Addingham man on a charity motorbike trek in Kazakhstan.
David John Rayner, 36 - known to most as Sid - died as the result of a road accident in July 2012, a coroner concluded in Bradford on Friday (May 30).
His family only learned of the tragedy when his girlfriend, Samantha, received a call from his mobile phone from Kazakhstan, informing her he was in a morgue.
Mr Rayner, of Low Mill Fold, Addingham, was riding to Mongolia to raise money for a street children's charity CYPPD Mongolia when he was killed.
But many questions surrounding his death remaining unanswered, the inquest heard
And the inquest heard of his family's anguish, as they were told his body would be "thrown in the pit" if they did not arrange for him to be collected within three days.
Conflicting reports from Kazakhstan gave different locations for the accident, and claims he had collided with a cow on the remote Samara-Shymkent road could not be verified.
After the accident the family struggled to find out the location of Mr Rayner's body, which was later brought back to the UK.
A friend of a family friend in Kazakstan worked to locate where officials were keeping Mr Rayner's body.
Mr Rayner's mother Jeannette said: "We didn't even know where he was. He (the friend) was told he'd be thrown in the pit in three days, which was quite horrific."
Mrs Rayner, who has battled cancer since her son's death, said she received further calls again saying officials in Kazakhstan would dispose of her son's body.
"I kept trying to explain we couldn't get to Kazakhstan from England in that time."
A post mortem carried out in the UK could not verify the findings of an examination in Kazakhstan, which concluded he suffered a head injury.
His belongings, including cameras and other equipment, were safely returned to his family, dispelling suspicions he might have been attacked by robbers.
Assistant coroner, Tim Ratcliffe, said he did not believe he had ever dealt with an inquest in which such little vital information was known.
Mr Rayner's mother, Jeannette, told the hearing her "adventurous" son lived his short life to the full, counting ice climbing, caving, skiing and caving among his hobbies.
He had been a member of Ilkley Sea Scouts and Ilkley Air Training Corps when he was younger.
A steeplejack and abseiler by trade, his last job before he set off the charity expedition was tensioning the rope of a bell outside the London 2012 Olympic stadium.
When warned about the hazards of riding on poor roads in remote and desert regions, he had said: "The best adventures are often the craziest ones."
Mr Rayner stayed at a hotel in Kazakhstan on July 4 to 5. In his last video to his family, he told them of the heat at night in desert, and said he had come off his bike more than once when the saddle was wet.
He was confirmed dead by a medical facility in Kazakstan on July 7.
But his family doubted reports he had struck a cow.
Mrs Rayner, who paid tribute to her son as an 'adventurous soul' who would help anybody, revealed she had received distressing calls from Kazakhstan asking her to make a payment within three days or they would bury him in a pit.
She enlisted help from a Russian-speaking friend and instructed a lawyer in Kazakhstan.
"It's been two years now," she said, "It's been so hard."
Donations totalling £1,300, from Mr Rayner's fundraising appeal, as well as an abseil event at the Cow and Calf Rocks in Ilkley, were later contributed to CYPPD Mongolia.

subset: commoncrawl


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Should the Deadpool movie be PG-13 or R? We all have strong opinions on the subject of just how outrageous the Merc with a Mouth should be allowed to get. But not as strong as the character's creator, Rob Liefeld.
Comic book fans have a possessive relationship with their favorite character. They know exactly what that character would say, what they would do, and how they would do it. No comic book movie can be made without uproar from some comic fans, who know deep in their hearts that the movie has their particular favorite all wrong.
If this kind of possessiveness is common for fans, it has to be multiplied exponentially for people who actually created the characters. Usually it's kept under wraps, but every now and again it bubbles to the surface. Yesterday, Rob Liefield, the creator of Deadpool, boiled over in a couple of tweets about the idea of a PG-13 Deadpool.
Dear FOX studios, get your act together. Deadpool is not Green Lantern, not a family film. DP is "filthy" think Expendables $$ w/ RR
As the tweets progressed, they developed a theme that could also be thought of as an example of the things Deadpool might be saying.
Also FOX, find your balls and film the script from Rheese[sic] and Wernick. You will make loads of money and thank yourself later.
Dear FOX, these five will show up and slice your nutz if you screw DP up! http://twitpic.com/3c8ym2
The tweets continue, but are more reflective later on. Liefield says he's entered into the 'grumpy old man' phase of his life early, and this is why he's unloading on FOX with salty tweets.
I'm an outsider, but from what I've seen of Deadpool, PG-13 antics might suit the movie. The character I've seen is creative and wacky, but not really dirty. His humor is literally juvenile. Mostly he says, and does, the kind of things that a twelve-year-old boy thinks are dangerous and dirty, but adults don't see as a big deal. That's not a criticism. Part of the fun of the character is that he's so childish in a world where heroes are so overwrought and serious. A 'family-oriented' movie might be just the thing for him.
Via Comic Book Movie.


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How to close multiple pods in RoboHelp
Show: RoboHelp 11 Features
RoboHelp workspaces may contain panels with half a dozens pods. Rather than tediously closing one pod at a time, you can use this simple technique to close several pods at once. This brief video shows you an easy way to simplify your screen display, which can be saved as a custom workspace.


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Excerpt from Mr. Adnan Oktar's Live Conversation on A9TV dated January 2nd, 2013
DİDEM ÜRER: Master, last week in your conversation you've said that a letter should be sent in the name of the Turkish government and a request should be made in relation to the human rights violations during a case heard in Bangladesh and to the oppressive policy against Islamic groups. In the past few days our President Mr. Abdullah Gul sent an official letter to the government of Bangladesh and requested the Islamic leader who is on trial to be released due to his advanced age. And this letter has had wide media coverage in the world as the letter was found surprising.
ADNAN OKTAR: We thank our President as he sent this letter only a few days after our request. May Allah be pleased with him. This is a very beautiful, historical service. There is nothing to be surprised about that. These people are attempting to execute an old person who is in his nineties and our President is saying; "this is not the right thing to do. Act compassionately and do not do something like that." As a person, as a Muslim, he is calling their attention to the matter. They too are Muslims. Was he supposed to give consent to such persecution? Giving consent to persecution is persecution itself and what he is doing is; "Al amr b'il maroof, wa nahi al an-munkar," warning them for the good pleasure of Allah. That is such a beautiful manner, such a pertinent manner. They have always asked for Turkey's help in the past, in the history. And now Turkey is adopting a humane, kind manner and is saying "put an end to this persecution." They should appreciate this. It is such a nice manner.


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TOKYO, March 7 (Reuters) - International Olympics officials said on Thursday that they were "hugely impressed" by Tokyo's bid to host the 2020 Olympic games as well as strong government support from a country keen to show it has recovered from the devastating 2011 quake and tsunami.
At stake are an estimated three trillion yen ($32 billion) in potential economic impact and the chance, Japanese officials say, to showcase the country's recovery from the disaster in the way the 1964 Tokyo Summer Games highlighted the nation's return after its World War Two defeat.
"We have been hugely impressed by the quality of the bid presentations made by the bid committee," said Craig Reedie, vice president of the International Olympics Committee (IOC).
"Across the board, they have just been excellent," he told a news conference.
Reedie declined to give details, but did single out strong support both from the government and from the business community. Among those making presentations during the evaluation committee's four day visit were Prime Minister Shinzo Abe and Fujio Cho, the outgoing chairman of Toyota Motor Corp.
But Japanese media noted that Tokyo had received early praise during its failed bid to host the 2016 games, which it lost to Rio de Janeiro, and Tokyo governor Naoki Inose warned against any complacency.
"This is about at the halfway point of a marathon," he told a news conference. "The most crucial time is now. We must keep running this marathon for the next six months."
Tokyo is up against Madrid and Istanbul, both of which have also bid for the Games and lost before. A decision will be made on Sept. 7 in Buenos Aires.
In Tokyo's favour are the fact that many of its venues are already built. Tokyo planners also emphasize the compactness of its offer, with 85 percent of the venues located within an 8 km (5 mile) radius of the Olympic Village.
The jewel in Tokyo's campaign is a space-age makeover of the National Stadium, the main venue for the 1964 Games. The 80,000-capacity venue, which resembles a flying saucer.
The Tokyo government estimates that the Games would increase demand by 1.22 trillion yen in tourism, sales of Olympic goods and household spending. With private sector investments included, the total impact is likely to hit 3 trillion yen nationwide and include the creation of 150,000 jobs.
The government has gone to considerable effort to emphasise the sentimental possibilities of a Tokyo games, including holding some of the soccer playoffs in Miyagi, part of the country badly devastated by the 2011 disaster.
"Tokyo 2020 will inspire many others, just as Tokyo did before in 1964," Abe, who has been appointed as the bid's supreme adviser, told the committee at the start of their visit on Monday. The 1964 Games were the first Olympics in Asia.
Tokyo bid officials have acknowledged concerns about the potential for another earthquake but emphasize Japan's strict building codes, noting that there was minimal damage in Tokyo from the 9.0 magnitude 2011 quake.
In a nod to Japan's trademark high-tech, officials on Thursday unveiled a mobile drug testing laboratory that will aid monitoring for sports whose locations are not easily accessible.
The mobile lab includes a toilet and a lab to test urine samples, and has been accredited to analyse the samples right there in the van.
Though Tokyo lost its previous bid in part due to low public support, an IOC survey published this week found that some 70 percent of respondents want Japan to host the games. ($1 = 93.5200 Japanese yen) (Reporting by Elaine Lies, editing by Patrick Johnston)


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Stormrider wrote:First and foremost thanks for a great site. After having my knives sharpen locally I decided to purchase a Edge Pro Professional stoneless to sharpen my own knives, so I bought the following stones from Mark. I purchased all Shapton Glass in 320, 500, 1K, 4K, 8k, and 16K. I will purchase the 220, 2K, and 6K when Mark's backorder comes in. My knives are just for home use and are the following two sets, Henckels Pro S series, and the Wusthof Classic series. My question is from what I've been reading hear trying to educate myself is that these knives are a softer steel and won't have to be sharpen much beyond a 2K or 4K stone? Sounds about right. Once you get good with the EP system you can start to experiment with mirror bevels and microbevels but at this point you have an excellent set up for the knives you currently ownI also was wondering if I need any other stones to complete my setup. I will be mostly doing my kitchen knives but do have a number of Benchmade, Randall, and Microtec knives that I would like to sharpen. Yes your going to need a diamond stone to flatten your current stones. I like the atomas for this. Makes quick work of major repairs and reprofiles as well. An optional stone for you to grab is the 30k GS , you in no way shape or form need it. But you have everything leading up to it and one day your gonna wanna play and try it out......Should I purchase some polishing compound? Completely and totally up to you. If you do , I would recommend trying some of kens new Boron Carbide on kangaroo, its cheap and comes in 2.5k , 5k and 8k and will finish off your knives really well if you choose to stop at 2k and 4k (Finish on 2k strop with 5k , finish on 4k strop with 8k). Or if you choose to go all the way to the 30k GS then there is a wide variety of CBN , Monocrystalline and Ploycrystalline for you to try. If you do decide to get a compound and strop always go slightly finer than what you plan on having as a finishing stone.I read on here that the Atoma stones are good finishing stone on softer steel. I never finish on the atomas. Typically if a knife needs major repairs / rebevels I break them out and start with the 140 and progress through all four to the 1200. Then I drop down to my 320 shapton and take the knife where im going to take it.Thanks for the help and if I asked too many boneheaded questions I apologize but can't wait for my stones to get next week and try to sharpen my knives.Ask away , your starting off with a nice set and your going to be looking to play some more here in the near future I suspect.....Buzz
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Pilot Study: Dynamic Light Scattering Device for Studying Early Changes in Cataract
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This study will use a new dynamic light scattering device (DLS), developed jointly by NASA and the NEI, to study pre-senile cataracts (cataracts that develop in patients 55 years old or less). Cataract is a clouding of the lens that interferes with the passage of light to the retinal, impairing visual acuity. DLS uses a low intensity laser light (similar to that used in supermarket checkouts) to measures lens cloudiness. It detects changes in the human lens at the earliest molecular stages of cataract development, when anti-cataract treatment would be most effective in reversing, delaying or preventing cataract formation.
Patients 55 years of age or younger with cataract may be eligible for this study. Candidates will be screened with the following tests and procedures:
- Medical history and physical examination.
- Eye examination, including measurement of visual acuity (vision chart) and eye pressure; examination of pupils and eye movements; dilation of the pupils for examination of the lens and the back of the eye (retina).
- Cataract photography using a camera with a bright flash to assess the status of the cataract and evaluate future changes.
- Blood drawing if necessary for clinical care.
Participants will have a standard eye examination, as described above, plus DLS testing. For this procedure, the patient sits in front of the DLS device, with the chin placed on a chin rest. He or she fixes on a yellow-green target in the center of the camera lens. When the eye is properly aligned, the measurement is taken and the reddish light on the side of the camera lens turns on for 5 seconds. Measurements are taken on three layers of the lens. The procedure takes less than 30 minutes.
Participants will be followed at the NIH clinic once a month for up to 1 year to follow progression of the cataract. The visits will include a repeat of some of the exams listed above.
|Study Type:
|Official Title:
|Pilot Study on the Use of the NASA-NEI Dynamic Light Scattering (DLS) Device in Detecting Lens Changes in the Other Eye of Patients With Pre-Senile Cataracts
|Estimated Enrollment:
|Study Start Date:
|August 15, 2003
|Estimated Study Completion Date:
|December 10, 2007
|Ages Eligible for Study:
|18 Years to 55 Years (Adult)
|Sexes Eligible for Study:
|Accepts Healthy Volunteers:
Patients 55 years of age or younger with cataracts (pre-senile cataracts) will be admitted to this study.
Ten subjects who have cataracts and who are 55 years of age or younger, of either sex, will be recruited. DLS data will be obtained on the eye with no or little cataract every month for a year or until cataract surgery is required. AREDS grading will be utilized but will not be used as a protocol end point.
Patients who have uveitis, glaucoma and who are thought to be at risk for an adverse reaction to pupil dilation, or have a history of allergic reaction to one of the dilating agents that will be used.
Please refer to this study by its ClinicalTrials.gov identifier: NCT00067483
|United States, Maryland
|National Institutes of Health Clinical Center, 9000 Rockville Pike
|Bethesda, Maryland, United States, 20892
|United States, Ohio
|NASA-John Glenn Research Center
|Cleveland, Ohio, United States
|ClinicalTrials.gov Identifier:
|NCT00067483 History of Changes
|Other Study ID Numbers:
|Study First Received:
|August 20, 2003
|Last Updated:
|June 30, 2017
Keywords provided by National Institutes of Health Clinical Center (CC):
Dynamic Light Scattering (DLS)
Light Scattering
Additional relevant MeSH terms:
Lens Diseases
Eye Diseases
ClinicalTrials.gov processed this record on August 23, 2017


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The aim was to determine the feasibility of using an unattended 2-channel device to screen for obstructive sleep apnea in a population of high-risk patients using a targeted, case-finding strategy. The case finding was based on the presence of risk factors not symptoms in the studied population.
The study took place from June 2007 to May 2008 in rural and metropolitan Queensland and New South Wales. Family doctors were asked to identify patients with any of the following: BMI > 30, type 2 diabetes, treated hypertension, ischemic heart disease. Participants applied the ApneaLink+O2 at home for a single night. The device recorded nasal flow and pulse oximetry. Data were analyzed by proprietary software, then checked and reported by either of two sleep physicians.
1,157 patients were recruited; mean age 53 ± 14.6, M/F% = 62/38, mean BMI = 31.8, obesity = 35%, diabetes = 16%, hypertension = 39%, IHD = 5%, Mean Epworth Sleepiness Scale score (ESS) = 8.3. The prevalence of unrecognized OSA was very high: 71% had an AHI > 5/h, 33% had an AHI > 15/h, and 16% had an AHI > 30/h. The ApneaLink+O2 device yielded technically adequate studies in 93% of cases.
The study shows that a "real world" simple low cost case finding and management program, based on unattended home monitoring for OSA, can work well in a population with risk factors and comorbidities associated with OSA, independent of the presence of symptoms. The prevalence of unrecognized OSA was very high.
Burgess KR; Havryk A; Newton S; Tsai WH; Whitelaw WA. Targeted case finding for OSA within the primary care setting. J Clin Sleep Med 2013;9(7):681-686.
Obstructive sleep apnea (OSA) is a modern epidemic of great health and economic importance. Young et al.1 found in a population aged 30-60, that 9% of women and 24% of men had OSA, defined as apnea-hypopnea index (AHI) > 5/h, while 2% of women and 4% of men had AHI > 5/h, in association with excessive sleepiness (obstructive sleep apnea syndrome [OSAS]).
Untreated OSA is an important cause of impaired alertness and daytime sleepiness. Patients with OSA have been found to consume more health care resources than those without, take more sick leave, and have more work disability.2,3 Large numbers of cases of OSA remain undiagnosed and untreated, in large part because of limited resources for case finding and diagnosis.4 Male gender, increasing age, and obesity are known risk factors for OSA.5 OSA is an independent risk factor for vascular disease,6 stroke,7,8 and probably hypertension,9,10 and contributes to glucose intolerance11–13 and difficult-to-control atrial fibrillation.14 Patients with such risk factors are more likely to have OSA. They are also more likely to benefit from treatment for OSA that may not only improve energy and alertness but also to help control associated diseases. Currently diagnosis usually results from testing, which is traditionally triggered by patient symptomatology. If investigation is not triggered unless there are symptoms, many cases in these high-risk groups may go undiagnosed.
It is important to find and treat patients with OSA. Screening of the whole population would have a relatively low yield. We wished to assess the feasibility and the yield of a program to screen high-risk patients for unrecognized OSA, regardless of whether they had typical symptoms, hoping to improve the health of many of them and to reduce the health care costs associated with untreated OSA. To limit costs, we used an unattended portable monitor at home that has been shown to give AHI values similar to those from attended laboratory polysomnography.
Current Knowledge/Study Rationale: It is important to find and treat patients with OSA, but screening of whole populations would have a relatively low yield. We wished to assess the feasibility and the yield of a targeted case finding program to screen high risk patients for unrecognized OSA regardless of whether they had typical symptoms.
Study Impact: The study shows that a simple low cost case finding and management program, based on unattended home monitoring for OSA, focused on patients with obesity, hypertension and diabetes can work well in a population with risk factors and comorbidities associated with OSA. The prevalence of unrecognized OSA in this population was high, so these data support the testing for OSA in high risk groups whether they have the traditional symptoms of OSA or not.
The aim of the study was to determine the prevalence of unrecognized OSA in a population of high risk patients, in the practices of family physicians, using a targeted case finding strategy.
The study used data which was collected from June 2007 to May 2008 at sites in rural and metropolitan Queensland, (Bundaberg and Brisbane) and 4 regions across the state of New South Wales (the Northern, Eastern and North Western Suburbs of Sydney and the rural Southern Highlands). It was done with the cooperation of general practitioners located across these regions and Healthy Sleep Solutions (HSS), a private company that specializes in facilitating home diagnostic studies and provision of CPAP therapy on behalf of Specialist Sleep Physicians. The geographic catchment area was approximately equally divided between urban and rural areas, (47% and 53% respectively), with a total population of approximately 560,000. The de-identified data were provided by HSS. Patients gave consent to HSS for the data collection. The data analysis was approved by an institutional review board (IRB); the Northern Sydney Central Coast Human Research Ethics Committee [1101-032M(QA)]. The results of the testing and reporting physician recommendations were conveyed to the patients by the referring family physicians. Subsequent treatment decisions and implementation were then the result of doctor and patient decisions, which were beyond the control of the authors.
Doctors were approached for participation in the study initially by mail and then by office visits from a specially trained clinical coordinator representing Healthy Sleep Solutions or a cooperating representative of a pharmaceutical company. General practitioners were asked to identify from among their patients those with a body mass index (BMI) > 30, type 2 diabetes, treated hypertension, ischemic heart disease, or with the traditional risk factors of snoring, sleepiness, and witnessed apneas.5 Prior to the study, the consenting subjects were interviewed by one of the HSS clinical coordinators to record clinical data, including height, weight, blood pressure, and details of their history and medications. Subjects also completed an Epworth Sleepiness Scale.15
Hypertension was considered present according to self-report or use of antihypertensive medication. Type 2 diabetes was defined by an abnormal fasting plasma glucose, or use of oral hypoglycemic medications. Ischemic heart disease was defined by self-report, or use of cardiac medications.
Each patient was then instructed in the use of the ApneaLink+O2, took a device home, and applied it for a single night of recording. Data were extracted and analyzed by proprietary software (ResMed) and were then reviewed and reported by 2 respiratory physicians experienced in sleep medicine, and approved by the Health Insurance Commission to report laboratory polysomnograms.
ApneaLink+O2 is a proprietary monitor based on analysis of nasal pressure and oxygen saturation signals. An earlier version, employing only a nasal pressure signal, has been tested against simultaneously recorded laboratory polysomnography in a study of 59 subjects, and found to have sensitivity 0.91 and specificity 0.84 for OSA,16 comparable to other similar monitors that have been validated against polysomnography.17,18 Very recently, the 2-channel device used in this study has been validated in a study of 143 subjects against home polysomnography (PSG) in a Chinese population.19 Those authors found very high sensitivity and specificity for the diagnosis of OSA compared to in home PSG; the areas under the reader operator curves (ROC) were both 0.933. The new version continues to base its calculation of AHI on the nasal pressure tracing, but a second channel recording oxygen saturation allows it to count the number of dips per hour > 4%, which was used as a substitute for AHI if the nasal pressure probe was lost, and has the potential to reduce the study failure rate. (This approach is supported by the similar high sensitivities and specificities of both the oximetry and nasal flow signals [∼85%]19). The ApneaLink+O2 displays tracings of nasal pressure, oxygen saturation, and pulse rate. The pulse oximeter was a Nonin Xpod 3012 with a Nonin 7000A finger probe and a sampling rate of 1 Hz. Flow was sampled at 100 Hz. Tracings were reviewed initially at 5 cm/min, but expanded as necessary. The device provides statistics, including an apnea-hypopnea index derived from the flow tracing plus minimum saturation, the number per hour of desaturations of 4%, oxygen desaturation index (ODI), and mean pulse rate.
To be considered technically "good," a study must have lasted ≥ 4 h and must have recorded data from both flow and oxygen saturation channels ≥ 90% of the time. A second category was considered "acceptable," which meant that either the oximetry or the flow signal was missing, or of poor quality for > 10% of the recording, but the study could still be interpreted with confidence on data from the remaining channel.
One of two accredited sleep physicians reviewed each tracing, assessed their quality, noted the Epworth score, (a score ≥ 11 being considered excessive sleepiness), medications, medical history, and daytime oxygen saturation and issued a report and recommendation based on an algorithm (Figure 1). AHI was used as the primary criterion of severity, but on the few occasions when the oxygen desaturation index was higher than the AHI because of a problem with the flow signal for part of the recording, the higher number was used. If the initial test was inadequate, a repeat test was requested.
*If GP is not keen to follow up then patient witll be directed to specialists. Incorporating guidelines produced by the Thoracic Society of Australia & New Zealand and Australasian Sleep Association. OSA, obstructive sleep apnea; DM, diabetes mellitus; HT, hypertension; AHI, apnea hypopnea index; CV, cardiovascular disease; GP, general practitioner (family doctor); CPAP, continuous positive airway pressure; HSS, Health Sleep Solutions Pty Ltd.
OSA management algorithm*If GP is not keen to follow up then patient witll be directed to specialists. Incorporating guidelines produced by the Thoracic Society of Australia & New Zealand and Australasian Sleep Association. OSA, obstructive sleep apnea; DM, diabetes mellitus; HT, hypertension; AHI, apnea hypopnea index; CV, cardiovascular disease; GP,...
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Recommendations were based on a modification of published algorithm.20 Because of previous uncertainty as to the accuracy of the ApneaLink device when AHI is between 10 and 30, and because of the recognized lack of certainty about benefits of treatment in that range, we recommended that these patients be referred to a respiratory/sleep physician for assessment, (probably including polysomnography), and management. We recommended that all patients with AHI > 30/h undergo a trial of treatment with continuous positive airway pressure (CPAP), because this degree of OSA is considered likely to be detrimental to a patient's health, even if no symptoms are reported. In addition, however, we recommended trials of treatment with CPAP for patients with an AHI > 20/h who had comorbidities that can be worsened by the presence of untreated OSA, e.g. type 2 diabetes, hypertension, and ischemic heart disease. These constituted 40% of patients for whom CPAP was recommended. Referral to a sleep physician was recommended for patients who had excessive daytime sleepiness and AHI < 10/h. If snoring was an important complaint and AHI < 10/h, a mandibular advancement device was recommended.
Patients were described using mean and 95% confidence intervals. A χ2 test for linear trend was used to determine if the prevalence of comorbidity had a dose dependent relationship with OSA severity. Patient characteristics were treated as continuous variables, but where appropriate, (e.g., Sleepy [ESS > 10], and Obese [BMI > 30]), were also analyzed as categorical variables. Comorbidities were treated as categorical variables. The prevalence of OSA was identified in selected populations. Predictors of OSA (at varying levels of severity) were identified using multiple logistic regression.
Of patients who agreed and underwent the initial clinical assessment, 95% attended for overnight testing and 92% completed testing. A total of 1,157 patients were referred to the study, had an initial workup, and underwent a night of monitoring. Characteristics of the population are listed in Table 1.
Analysis of results by severity of OSA
Comments about technical adequacy were provided by the reporting physicians for 1,098, or 95% of the 1,157 studies performed (Table 1). Of those, 79% were technically good and an additional 13% were acceptable. Only 7% were technically unsatisfactory, for whom repeat studies were requested. Review of the studies for which the physicians had not made a comment at the time, shows that they were similar with respect to distribution of AHI. All but 7 of the patients eventually had a technically satisfactory test. The most common reason for technical inadequacy was complete or partial absence of data, from both the flow channel and the oximetry channel. The second most common reason was a study of short duration, (defined as < 4 h). In most cases, short studies were not due to equipment failures, but the patient's decision to abandon the test, or remove the oximeter probe, or the nasal cannulae, because of discomfort or difficulty sleeping.
Prevalence of OSA at different levels of severity is shown in Table 1. Mean AHI for the population was 15.8 ± 14.6 and mean lowest oxygen saturation was 83% ± 7%. Table 1 also shows the percentage prevalences within the whole group and various subgroups, (by severity of AHI) of key clinical features: diabetes, hypertension, obesity, coronary artery disease, and sleepiness (Epworth score > 10). As OSA severity increased, there were highly significant increases in prevalence of diabetes (p < 0.001), hypertension (p < 0.001), coronary artery disease (p = 0.005), and sleepiness (p < 0.001), but not obesity (p = 0.08). Some subjects were not included in the subgroup analysis because of missing data as shown below Table 1 (Dropped patients: No BMI: 12, Unacceptable tests: 12, No ESS: 14, No diabetes/HTN recorded: 10).
Table 2 shows the analysis of results by selected risk factors for OSA. "Sleepiness" indicates an Epworth Sleepiness score > 10. Note that the patients in the columns marked "AHI > 15/h" and "AHI > 30/h" have already been included in the column "AHI > 5/h".
Analysis of results by selected risk factors for OSA
Management recommendations are summarized in Table 3. For the purposes of this study we assumed that the device would reliably detect OSA when present.19 The study was not intended to validate the device against home or laboratory PSG, because that had been previously done by others,16,19 The study was intended to test the feasibility of using a targeted case finding strategy with the device in a primary care setting.
Management recommendations
The prevalence of unrecognized OSA was very high: 71% had an AHI > 5/h, 33% had an AHI > 15/h; and 16% had an AHI > 30/h. Table 2 shows the prevalence of OSA, divided into the 3 usual grades of severity by AHI (AHI > 5/h, > 15/h, > 30/h) for the whole study population and for subgroups of subjects defined by comorbidity or risk factors, (obesity, diabetes, hypertension, coronary artery disease and sleepiness). The prevalence of OSA remained high even when cases were identified by a single risk factor.
Table 2 shows that for a similar population among people with all 3 factors of obesity, hypertension, and diabetes, 81% could be expected to have some OSA (AHI > 5/h), 46% to have moderate or severe OSA (AHI > 15/h), and 18% to have severe OSA. If the same analysis is performed using 4 variables (adding in sleepiness), the prevalence increases to 88% for some OSA, 64% for moderate or severe OSA, and 29% for severe OSA. However, due to the lower number of patients with multiple risk factors, there was no advantage in using any specific risk factor or multiple risk factors in combination over case selection based on a single risk factor alone.
In keeping with the previous literature, we found, incidentally, that the prevalence of OSA was higher than for the rest of the population, in patients with diabetes who are sleepy (ESS > 10), but not in patients with diabetes who were not sleepy.21 Also, as expected, there was a dose-dependent relationship between OSA severity and hypertension or coronary artery disease.
The implications for the management of patients with a high risk of having OSA, such as the population that we have chosen to study, are very significant in terms of both health outcome and economic effects.
Hillman's data3 showed that untreated OSA patients consume more health related dollars than those who are treated or do not have OSA, and Sivertsen et al. have shown increased work disability.22 It can be expected, therefore, that a plan to identify and treat cases early, would reduce health care costs and thus be of interest to both the community at large and to funding organizations.
The most widely quoted prevalence data for OSA comes from the Wisconsin Cohort Study, which took place over two decades ago.1 Recent survey data from the National Sleep Foundation, suggests that the prevalence may be higher, most likely because of the rising prevalence of obesity. Using the Berlin Questionnaire in 1,506 respondents, Hiestand et al. in 2006 estimated a prevalence of OSA of up to 25%.23
In a population survey in Spain, Duran et al.24 found the overall prevalence of AHI > 10/h in men aged 30 to 70 to be 19%, in women 15%. Prevalence increased considerably with age, from 8% in the 30-40 decade to 32% in the 60-70 decade in men, and from 2% to 26% in women. That population had a mean BMI in men of 26.2 and in women of 25.1. Bixler at al25 conducted a telephone survey of 4,364 men and chose from them a stratified random sample, taking progressively higher percentages of subjects, according to how many of four risk factors for OSA (snoring, daytime sleepiness, obesity, and hypertension) they had. They found the prevalence of AHI > 15/h increased from 2% in those with no risk factors to 34% for those with 4 risk factors, (but including only 2 of our risk factors—obesity and hypertension). Their prevalence of AHI > 15/h increased from 3% in those aged 20-44, to 13% in those over 65, confirming aging as a separate risk factor for obstructive sleep apnea syndrome (OSAS).
The prevalence found in a program like this would depend on criteria for selection. The nature of the recruiting process, where family physicians were invited to refer patients, made it impossible to define rigorously the criteria for selection. Although the primary criterion was intended to be the presence of type 2 diabetes, obesity, or hypertension, a small number of patients were selected by the family physicians primarily because of symptoms that suggested OSA. (The study itself raised awareness of sleep apnea by participating physicians). The rate of discovery of previously unsuspected cases will depend on awareness on the part of both patients and physicians and on local resources for assessment and treatment.
Portable monitors, similar to the ApneaLink+O2, used unattended at home, have been assessed by many authors over recent years.17,26–30 Most have been found to reliably identify patients with severe OSA and those with minimal OSA as determined by PSG. In general, agreement with PSG for classifying mild and moderate OSA (AHI 5-15/h range) is not as good. Although the very recent study by Gantner et al.19 found good correlation between ApneaLink+O2 and home PSG for both AHI and oxygen desaturation index (ODI) in the normal to mild OSA range, they found underestimation of severity by the ApneaLink+O2 in the severe range. Despite that, they reported a high level of diagnostic accuracy in the moderate to severe range of OSA.19 The clinical importance of finding an exact AHI, or of the differences in results between polysomnography and unattended portable monitors used at home, however, is questionable. Unattended portable monitors have been compared in randomized controlled trials with laboratory polysomnography, as decision making tools for the investigation and management of patients with OSA.31,32 These showed no difference in treatment outcome between patients tested by portable monitors at home and those tested by polysomnography in the laboratory.32
The statistics presented here assume that all cases of sleep apnea that were found were OSA, rather than central sleep apnea (CSA). The analysis software calculated a central sleep apnea index for each study based on a proprietary algorithm (Resmed Pty Ltd, Sydney, Australia). This was available to the reviewing physicians, but they placed more emphasis on their interpretation of the raw data tracings than the CSA index, when deciding whether events were central or obstructive. Although tracings from ApneaLink can give strong indications, such as round rather than flat topped inspiratory flow curves, lack of snoring, and constant cycle length, which favor a diagnosis of CSA, polysomnography is usually considered essential to verify that. The number of cases of CSA in the study population is therefore not known. It is likely very small, however, since only two cases were being treated for congestive heart failure, and only three were known to have cerebrovascular disease.
Although the technical inadequacy rate for laboratory polysomnography is lower than that for the portable monitor in this study, it has been reported as 3%.33 A rate of 7% for a portable monitor should therefore be very acceptable for most purposes, given the low unit cost of the test.
We did not evaluate the effect of targeted screening on outcome measures such as CPAP adherence or quality of life. The goal of the study was to determine the feasibility of a targeted case finding strategy in high-risk patients using simple criteria likely to be found in the primary care chart. We also wished to determine whether there was a sufficiently high prevalence of patients with unrecognized OSA to justify case finding in the first place. Given the results of this study, further research is necessary to determine if targeted case finding results in effective treatment of the identified cases.
The study shows that a simple low cost case finding and management program, based on unattended home monitoring for OSA, focused on patients with obesity, hypertension, and diabetes, can work well in a population with risk factors and comorbidities associated with OSA. The prevalence of unrecognized OSA in this population was high, and many patients stand to benefit from the discovery and treatment of their disease. These data support the testing for OSA in high-risk groups, whether they have traditional symptoms of OSAS or not.
This was not an industry supported study. Dr. Burgess has received speaker honoraria from Glaxo Smith Kline. He is the director of Peninsula Health Care Pty Ltd. Dr. Burgess' Family Trust has shares in a private sleep laboratory and he does sleep consultations in one of the regions surveyed. Dr. Whitelaw serves as a consultant for R'ANA Respiratory Care Group. Mr. Newton is a director of Healthy Sleep Solutions Pty Ltd., a company that provides home diagnostic services and treatment for sleep apnea. The other authors have indicated no financial conflicts of interest.
The authors thank Ms. S. Coulson for her assistance in preparing this manuscript for publication and Ms. M. Bennett for assistance with data collection. Work for this study was performed at Peninsula Sleep Laboratory. Author contributions: Dr. Burgess was involved in study design, data collection and manuscript preparation. He is the Guarantor for the manuscript. Dr. Havryk was involved in data collection and manuscript preparation. Mr. Newton was involved in study design, data collection and analysis. Dr. Tsai was involved in data analysis and manuscript preparation. Dr. Whitelaw was involved in study design, data analysis and manuscript preparation.
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text:
An emergency meeting called by Aboriginal people in Alice Springs to discuss escalating violence in town camps has been abandoned after a key politician walked out in protest at the way it was run.
The meeting, called by the Tangentyere Council last week, was designed to bring together key stakeholders to discuss a sharp increase in violence in Aboriginal town camps on the fringe of Alice Springs.
Two people died in the camps last week, with one person allegedly beaten by a group armed with steel bars and tree branches.
Tangentyere Council is the body that runs the town camps and had hoped to address the issues involved in the violence.
But the meeting quickly degenerated.
Council spokesman Chris Graham said Aboriginal Advancement Minister Alison Anderson took offence that Scott McConnell, who represents traditional owners of land to the north of Alice Springs, was not allowed in.
"Alison Anderson walked out in protest because her close personal friend Scotty McConnell turned up to the meeting uninvited and wasn't allowed in," Mr Graham said.
"This was a private meeting of Tangentyere Council, it wasn't come one, come all."
He said after Ms Anderson left, other people, including Northern Territory Police Commissioner John McRoberts, also walked out without explaining why.
The walkouts meant the meeting was abandoned and an opportunity to discuss violence in Alice Springs town camps had been lost, Mr Graham said.
"They (Aboriginal leaders) had turned up to discuss and accept their part in the problem, their part in the violence, their part in the grog and talk about issues that culturally have been very, very difficult for Aboriginal people to talk about for some time," Mr Graham said.
"The opportunity was for high-level government officials to sit down with the Tangentyere Council to discuss solutions to endemic violence and alcohol in town camps, but they walked out because an uninvited guest was refused entry."
Ms Anderson later issued a statement saying she was disappointed that a number of key organisational executives, including Mr McConnell and Mr McRoberts, were excluded.
"This situation was intolerable and I made a decision to also not attend in support of Commissioner McRoberts and take a stand against Tangentyere's attempt at censorship," Ms Anderson said.
"It's appalling that key stakeholders were excluded from the meeting with no reasons given."
Recent statistics show the murder rate of indigenous people in Australia is four times the national level.
The latest Homicide in Australia report by the Australian Institute of Criminology shows the NT had the highest murder rate in the nation at 5.7 per 100,000 in 2009-10.


text:
You exercise your body to stay physically in shape, so why shouldn't you exercise your brain to stay mentally fit? With these daily exercises you will learn how to flex your mind, improve your creativity and boost your memory. As with any exercise, repetition is necessary for you to see improvement, so pick your favorite exercises from our daily suggestions and repeat them as desired. Try to do some mentalrobics every single day!
Once you have gotten someone's name and made it meaningful, you can further improve your memory for names and faces by associating this name with the person's face.
To do this, you need to first focus on the person's face and find something distinctive about it. Maybe they have bright red hair or a big bushy mustache. Try to pick a feature that will not easily change (for example, don't pick lipstick color). Whatever it is, focusing on that distinctive feature will help imprint that person's face into your memory.
To link their name to their face, you can form a visual association with your substitute word and the distinctive feature. For example, to remember Mr. Pine, you might visualize a pine tree growing out of the bald spot on his head.
To remember a person's profession, try adding something to the association. For example, you could visualize a stethoscope around the neck of a doctor or you could visualize a dentist with huge oversized teeth.
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text:
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UF women's swimming seeks strong NCAA meet
Published: Thursday, March 21, 2013 at 6:01 a.m.
Last Modified: Wednesday, March 20, 2013 at 3:02 p.m.
Florida women's swimming and diving
What: NCAA Swimming and Diving Championships
Where: Indianapolis, Ind., at the IU Natatorium
When: Thursday-Saturday
Who: Junior Elizabeth Beisel, senior Jamie Bohunicky, sophomore Natasha Fung, freshman Natalie Hinds, freshman Ashlee Linn, junior Hilda Luthersdottir, junior Alicia Mathieu, freshman Lindsey McKnight, sophomore Rebecca Rainer, freshman Sinead Russell, freshman Jessica Thielmann and junior Ellese Zalewski are representing UF.
Of note: Last year Florida finished 10th, the 11th consecutive year UF has finished in the top 10. Florida, which finished third at the SEC Championships, ranks fourth with the most swimmers selected behind Georgia (17), Minnesota (14) and Texas A&M (13). The Gators are looking for their fourth NCAA Championship, most recently winning the women's title in 2010 under coach Gregg Troy.
Swimmers to watch: Beisel has the nation's best time in the 400 IM that she set at the 2013 SEC Championships. She was awarded the Commissioner's Trophy at the SEC Championships for finishing as the high point winner for the women. The Gators also bring in a group of talented freshmen, with Hinds winning the SEC title in the 100 fly. She was named SEC Female Freshman of the Year.
On air: ESPN3 will have a live stream of Friday and Saturday's finals beginning at 7 p.m. ESPNU will air tape-delayed coverage Wednesday at 8 p.m.
Reader comments posted to this article may be published in our print edition. All rights reserved. This copyrighted material may not be re-published without permission. Links are encouraged.


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… Though we wonder if the weather might cause a change in plans since roads are still a mess, businesses and events are closed and postponed, and even the Metro North Railroad service is suspended and suggesting that people stay home, if possible, today.
If not, Marian Gaborik is expected to return to the lineup, and Mats Zuccarello is expected to play, and Michael Del Zotto is expected to be prucha'd. We'll see.
Here are the pre-game notes, from the Rangers (these notes do not include the Islanders' win over Montreal last night, which leaves the Isles 4-0-1 in five, and a much better team than the one with which the Rangers struggled the first three times):
NEW YORK RANGERS vs. NEW YORK ISLANDERS
Monday, Dec. 27, 7:00 p.m.
Madison Square Garden . New York, NY
Rangers: 20-14-2 (42 pts)
Islanders: 8-18-6 (22 pts)
* All information through NHL games on Dec. 25
The Rangers will face-off against the New York Islanders at Madison Square Garden (7:00 p.m.). The Blueshirts currently rank third in the Atlantic Division standings, and seventh in the Eastern Conference, with a record of 20-14-2 (42 pts). The Rangers enter the contest having been defeated by the Tampa Bay Lightning, 4-3, in the shootout on Thursday at Madison Square Garden, and are now 13-7-1 in their last 21 games. New York has earned a point in seven of their last 10 games at MSG (6-3-1). The Islanders enter the contest with a 8-18-6 (22 pts) record to rank 14th in the Eastern Conference, and have earned a point in each of their last four games (3-0-1). Following the contest, the Rangers will begin a three-game road trip when they face-off against the New Jersey Devils on Wednesday, Dec. 29, at Prudential Center (7:00 p.m.).
* TV: MSG Network
6:30 p.m. – Rangers Pre-Game Show with Al Trautwig and Pat LaFontaine
7:00 p.m. – Rangers vs. Islanders
Broadcasters: Sam Rosen (Play-By-Play), Joe Micheletti (Analyst), John Giannone (In-Game Reporter)
* Radio: 1050 ESPN Radio and newyorkrangers.com
6:30 p.m. – Rangers Pre-Game Show with Don LaGreca
7:00 p.m. – Rangers vs. Islanders
Broadcasters: Kenny Albert (Play-By-Play), Dave Maloney (Analyst)
RANGERS vs. ISLANDERS:
* All-Time: 110-97-19-5 overall (63-37-11-4 at home, 47-60-8-1 on the road)
* 2010-11: Tonight's contest marks the fourth of six meetings this season, and the second at MSG. New York is 2-1-0 thus far, including a 1-0-0 mark at home following a 2-0 win at MSG on Dec. 3.
* Last Season: The Rangers were 3-2-1 overall and 1-1-1 at MSG. The Rangers' power play converted at a 22.7% (5-22) success rate in the season series.
* The Blueshirts have notched four goals in 11 power play opportunities (36.4%) in three games vs. the Islanders this season
* The Rangers rank 22nd with a 8-8-2 (18 pts) record at home; the Islanders rank 29th with a 3-11-3 (9 pts) mark on the road
* The Rangers are 6-4-0 vs. the Atlantic Division; the Islanders are 3-5-1 against the Atlantic Division
* Henrik Lundqvist is 19-9-5 with a 2.11 goals against average and three shutouts in 34 career games vs. the Islanders; Martin Biron is 20-4-1-0 with a 2.00 goals against average and two shutouts in 26 career contests vs. the Islanders
* Chris Drury leads the Rangers with 15 goals, 23 assists and 38 points in 40 career regular season contests vs. the Islanders
* Marian Gaborik (three goals, two assists) and Brandon Dubinsky (one goal, four assists) are tied for the team lead with five points vs. the Islanders in the season series; Gaborik's three goals and Dubinsky's four assists are both team-highs
* The Rangers list two former Islanders on their roster: Martin Biron (2009-10); Ruslan Fedotenko (2007-08)
* The Islanders list three former Rangers on their roster: Mike Mottau (2000-01 – 2001-02); P.A. Parenteau (2009-10); Doug Weight (1991-92 – 1992-93)
The Blueshirts have posted a plus-five rating on special teams (PPG+SHG minus PPGA+SHGA) this season, which is tied for 10th in the league.
* Power Play: The Rangers did not tally a goal in one power play opportunity (2:00) on Thursday vs. Tampa Bay, and have now registered a goal on the man advantage in seven of the last 10 games (7-36, 19.4% over the span). New York ranks 20th overall (22-131, 16.8%) and is tied for 26th at home (10-69, 14.5%). The Rangers are 1-5 (5:01) in five-on-three situations (last – 11/24 at TBL), and 0-2 (2:23) when four-on-three (last – 12/3 vs. NYI). Shorthanded goals allowed (2): 11/20 at MIN (Cullen); 12/5 vs. OTT (Kelly).
* Penalty Killing: The Blueshirts held the Lightning scoreless in one shorthanded situation (2:00) on Thursday at MSG, and are now 62-72 (86.1%) over the last 24 games. New York is tied for 14th overall (102-125, 81.6%) and ranks 20th at home (45-55, 81.8%). The Rangers are 4-6 (5:08) in three-on-five situations (last – 10/30 at TOR), and 4-6 (2:41) when three-on-four (last – 11/15 at PIT). Shorthanded goals for (8): 10/9 at BUF (Dubinsky); 11/5 at NJD (Dubinsky); 11/15 at PIT (Staal); 11/24 at TBL (Boyle); 11/26 at FLA (Prust); 12/5 vs. OTT (Prust); 12/12 vs. WSH (Staal); 12/16 vs. PHX (Prust).
* Four-on-Four: New York did not tally/yield a goal in one, four-on-four situation (5:00) on Thursday vs. Tampa Bay, and are now plus-three in 28, four-on-four situations (51:15). Four-on-four goals for (4): 10/18 vs. COL (Frolov); 11/11 vs. BUF (Anisimov); 11/15 at PIT (Callahan); 12/12 vs. WSH (Callahan). Four-on-four goals allowed (1): 10/15 vs. TOR (Kessel).
The Rangers registered their 20th win of the season with a 4-3 shootout win vs. Phoenix on Dec. 16, reaching the mark in just 34 games which is tied for 12th fastest in franchise history (full list below).
* 28 (1993-94)
* 29 (1971-72)
* 30 (1941-42)
* 31 (1939-40, 1970-71)
* 32 (2005-06)
* 33 (1938-39, 1972-73, 1991-92, 1995-96, 2008-09)
* 34 (1937-38, 2010-11)
Compared to last season, the Blueshirts have shown a three wins, five points improvement, having tallied nine more goals (including a five-goal improvement while shorthanded) while allowing seven fewer goals against through 36 games.
The Rangers completed their ninth of 18 back-to-back sets with a 4-3 shootout win vs. Phoenix on Dec. 16. The Blueshirts improved to 9-0-0 (4-0-0 at home, 5-0-0 on the road) in the second game of back-to-backs this season, having out-scored their opponent, 31-9, in those games. Over the last two seasons, New York is 18-2-2 in the back-end of back-to-back sets, including a 8-1-1 mark at MSG and 10-1-1 on the road over the span.
The Blueshirts have started games off strong this season, tallying the first goal of the game in 21 of their 36 games and posting a record of 15-5-1 in those contests. The Rangers own a record of 10-1-1 when leading after the first period, having out-scored their opponent, 25-19, in the opening frame.
The Rangers have had 12 different players credited with at least one game winning goal this season which is tied for second in the NHL, trailing Washington by one and tied with Atlanta.
The Rangers currently lead the NHL with 1,038 hits and rank second with 586 blocked shots. Ryan Callahan ranked second in the league with 128 hits and led all NHL forwards with 40 blocked shots prior to his injury on Dec. 15, while Dan Girardi currently leads the league with 104 blocked shots and Brian Boyle ranks 12th in the NHL with 102 hits.
* The Rangers lead the league in shorthanded goals (eight), are tied for fifth in wins (20), 10th in points (42), rank 10th in goals (108), and are tied for seventh with a plus-13 goal differential
* Henrik Lundqvist is 7-4-1 with a 1.88 goals against average, a .931 save percentage and three shutouts in his last 12 games
* Derek Stepan enters the game with a three-game goal streak (three goals), and has registered 15 points (seven goals, eight assists) in the last 20
* Alex Frolov has tallied five points (two goals, three assists) in the last five games
* Marc Staal has tallied 10 points (three goals, seven assists) in the last 14 games, including five points (two goals, three assists) in the last six
* Dan Girardi has recorded five points (one goal, four assists) in the last five games
* Artem Anisimov has recorded four points (two goals, two assists) in the last five games
* Brandon Dubinsky has registered eight points (two goals, six assists) in the last 10 games
* Brian Boyle has recorded seven points (two goals, five assists) in the last nine games
Rangers' prospects Chris Kreider and Ryan Bourque will represent Team USA at the 2011 World Junior Championship in Buffalo, New York. This will be their second trip to the elite tournament, having both represented the gold medal-winning Team USA at the 2010 World Junior Championship. Roman Horak (Czech Republic) and Jesper Fasth (Sweden) will also represent their native country in the tournament. This will be Horak's second appearance at the World Junior Championship, having represented the Czech Republic in last year's tournament, while Fasth will be making his first appearance in the tournament.
* Dan Girardi: 1 point from 100 NHL career
* Alex Frolov: 3 points from 400 NHL career
* Brandon Dubinsky: 8 assists from 100 NHL career
* Henrik Lundqvist: 9 wins from 200 NHL career
* Marian Gaborik: 600th career NHL game (12/18 at PHI)
* Dale Weise: 1st career NHL game (12/18 at PHI)
* Mats Zuccarello: 1st career NHL game (12/23 vs. TBL)
* Vinny Prospal (IR on Sept. 24/knee surgery on Oct. 18, 6-8 weeks) – 36
* Derek Boogaard (injured shoulder on Dec. 9) – 6
* Ryan Callahan (broken hand on Dec. 15) – 3
* Marian Gaborik (groin strain) – 1
* Michael Del Zotto (flu) – 1
Total Man-Games Lost: 109
* Dec. 22 – Recalled forward Mats Zuccarello from Connecticut
* Dec. 23 – Assigned forward Mats Zuccarello to Connecticut


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Wash. Post editorial asserted that DeLay exit made it "much tougher for Democrats" to attack GOP "culture of corruption" -- but cited only DeLay
Research ››› ››› JOSH KALVEN
An April 5 Washington Post editorial asserted that Rep. Tom DeLay's (R-TX) departure from Congress will make it "much tougher for Democrats to flog their 'culture of corruption' message," offering only a quote from DeLay in support of the assertion -- but a Post article published the same day quoted a Democratic leader saying the opposite. The editorial then went on to undermine its own argument by noting that the political culture fostered by DeLay -- rather than the man himself -- represented the Republicans' "real problem."
An April 5 Washington Post editorial asserted that Rep. Tom DeLay's (R-TX) departure from Congress will make it "much tougher for Democrats to flog their 'culture of corruption' message," offering only a quote from DeLay in support of the assertion. Moreover, not only did the editorial not cite any Democrats, but a Post article published the same day quoted a Democratic leader saying the opposite -- expressing confidence in the party's anti-corruption platform and noting, "When a person steps down, it inflates the severity of the situation." The Post editorial then went on to undermine its own argument by noting that the political culture fostered by DeLay -- rather than the man himself -- represented the Republicans' "real problem."
In the first paragraph of the April 5 editorial, "Exit Tom DeLay," the Post asserted that Democrats are "those most unhappy about his abandoning his House seat" because it is now "much harder" for them to rail against the so-called "culture of corruption" in the Republican ranks:
It's a measure of Tom DeLay's diminished political circumstances that those most unhappy about his abandoning his House seat are the Democrats who most revile him. "This is probably the worst day of his campaign," Mr. DeLay, speaking on Fox News yesterday, said with an air of grim satisfaction of his Democratic opponent, former representative Nick Lampson. The Texas Republican had been repeatedly admonished by the House ethics committee; he is under indictment in Texas on charges of funneling illegal corporate contributions to state legislators; and he is entangled in a federal probe that has produced guilty pleas from two of his former staffers. It's much tougher for Democrats to flog their "culture of corruption" message when they can no longer kick around "Representative #2," as he's been identified in the charges against his former aides.
But beyond DeLay's claim that the day he decided to withdraw was "probably the worst day" of his Democratic opponent's campaign, the Post editorial offered no support for these claims. Neither the editorial -- nor the Post's extensive article on the DeLay announcement in that same edition of the paper -- quoted any Democratic lawmakers or strategists expressing unhappiness over the news or voicing concern that this development would impede the party's anti-corruption platform in the buildup to the midterm elections in November.
The April 5 Post article by staff writers R. Jeffrey Smith and Jonathan Weisman noted Republican hopes that the party could soon move beyond the "burgeoning corruption scandal" which stems from GOP lobbyist Jack Abramoff and recently snared several former high-level DeLay aides. The article then contrasted these hopes with a quote from Rep. Rahm Emanuel (D-IL), chairman of the Democratic Congressional Campaign Committee, who -- rather than express concern that his party would soon lose traction on the issue of corruption -- noted that DeLay's decision to step down "inflates the severity of the situation." Emanuel went on to declare, in reference to the unfolding Abramoff investigation, that "[f]ederal prosecutors don't care about Republican spin":
DeLay's decision to resign from the chamber he once ruled with a clenched fist gave some Republicans hope that the party can move beyond a burgeoning corruption scandal as the congressional election season heats up. That scandal so far has led to guilty pleas to corruption charges by lobbyist Jack Abramoff, once a close ally of DeLay's, and former DeLay aides Michael Scanlon and Tony C. Rudy, who worked with Abramoff after leaving their Capitol Hill jobs.
But Democrats vowed that they would not let their opponents slip the noose of what they have labeled a "culture of corruption."
"When a person steps down, it inflates the severity of the situation, and if they think after Tony Rudy, Jack Abramoff and the other guys the country will stop debate on these issues, they've got another thing coming," Rep. Rahm Emanuel (Ill.), chairman of the Democratic Congressional Campaign Committee, said yesterday. "Federal prosecutors don't care about Republican spin."
Not only did the Post offer no support for its claim that DeLay's exit hurts the Democrats, the editorial went on to endorse an idea that essentially undermines that argument. This is the theory, which the editorial noted was recently put forth [subscription required] by New York Times columnist David Brooks, that the real ethics problem facing congressional Republicans "wasn't DeLay, it was DeLayism." From the April 5 Post editorial:
But his departure from the body in which he's served since 1985 offers a chance to reflect on Mr. DeLay's legacy for House Republicans -- and on the challenge that confronts them in the post-DeLay era. As New York Times op-ed columnist David Brooks put it just before Mr. DeLay left the leadership, "the real problem wasn't DeLay, it was DeLayism." That was shorthand for a political culture that put a premium on bringing in campaign cash, that dismantled barriers between the Capitol and K Street lobbyists, and that disdained debate and dissent as the GOP entrenched itself as a would-be permanent majority.
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- Network/Outlet
- The Washington Post
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- Tom DeLay Scandal
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You won't be able to dismiss this by usual means (escape or click button), but you can close it programatically based on user choices or actions.
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Best wishes,
Thursday, July 16, 2009
Purple haze
Best wishes,
24 comments:
- CrowNology said...
Hi Catherine,
I love this post! My niece is obsessed with all things purple. She insisted on taking off her shoes and socks while we were in a restaurant yesterday to show me her sparkly purple toenails. :)
I was going to email to ask you a question but decided to post here instead. I own a white (exterior) house I cannot paint it a colour (3 stories, budget, etc.). What would you suggest as a trim colour? Have you seen any nice images? I have all the trim white currently...I'm not sure if I like it or not. The front door is a whole other issue!
- July 16, 2009 at 8:36 PM
- Zita - Mlle Magpie said...
Lovely purples, Catherine.
- July 16, 2009 at 8:58 PM
- Heartbeatoz said...
You have some lovely hazy shades of Purple in these beautiful pictures.
- July 16, 2009 at 9:20 PM
- my favorite and my best said...
you have successfully turned purple into a neutral.
love it.
- July 16, 2009 at 9:45 PM
- Claire Jackson said...
Another gorgeous post Catherine, divine images and I love all the beautiful shades of purple, just gorgeous, Claire :-)
- July 16, 2009 at 10:02 PM
- gina said...
This one of my favourite blogs, and I just wanted to say thank you. You inspire me all the time -- this post was an especially crisp and fresh breath of air.
- July 16, 2009 at 11:35 PM
- Blue Creek Home said...
My sweet mother's favorite color was purple. This brought back a flood of sweet memories of her. Thanks.
All of the photos are just beautiful. Wish I had a bite of the grape ice cream!
- July 16, 2009 at 11:49 PM
- ana said...
Hi Catherine! this images are lovely I like purple very much too!! I tagged you in my blog for 6 things that make me smile :)
I like your blog very very much
- July 17, 2009 at 12:43 AM
- Megan Lee said...
I am in love with the 4th picture down. I could definitely live in this room. The colors are so cool and inviting. I love the slight metallic color next to the muted purple.
- July 17, 2009 at 2:37 AM
- Jan said...
WOW!!! these images are divine. I also love purple,especially these dusty, smoky shades. Very sophisticated, very feminine. Gorgeous. Well done Catherine.
- July 17, 2009 at 6:00 AM
- Struggler said...
I'm a huge fan of purple, ideally in muted/plum/aubergine shades.
Megan Lee, I'm with you on that fourth picture, it's just gorgeous and I would move in in a heartbeat.
- July 17, 2009 at 6:14 AM
- Kimberlee said...
Purple is definitely the 'in colour' at moment for fashion and interiors - once again Catherine, the most stunning collection of images - you are too clever xx
- July 17, 2009 at 8:01 AM
- Lauren said...
gorgeous AS ALWAYS catherine!!!! so many beautiful images. i think we need a book of all your pictures...
- July 17, 2009 at 8:36 AM
- Draffin Bears said...
Hi Catherine,
You have excelled yourself with a lovely post, all gorgeous images.
My daughter loves purple but apart from lavender and flowers, I have never really been a fan.
You have made me change my mind.
- July 17, 2009 at 8:42 AM
- concrete & honey said...
Gorgeous collection of images - so glad I found your divine blog. x
I am obsessed with hazy purple at the moment and I've never liked purple anything before! The ice cream and hyacinth pairing is just lush!
- July 17, 2009 at 9:36 AM
- Kristie said...
What a great post!!! I love purple, it's definitely my favourite colour :) I had a purple lounge room a while back...accessories only (it was a rental)...a lavender fake fur rug (much nicer than it probably sounds), an amethyst throw and amethyst and white fake fur cushions. It looked very pretty and feminine and this post has made me miss it :)
- July 17, 2009 at 10:05 AM
- {eloquent essence} said...
Oh my goodness, I love the purple flowers in the linen tote. How absolutely country chic!
- July 17, 2009 at 10:16 AM
- Porch Days said...
That little bag of flowers on the doorknob is adorable. Nice pictures!
- July 17, 2009 at 11:16 AM
- My name is PJ. said...
How absolutely lovely! My faves are the flowers in silver and mercury glass vessels!
- July 17, 2009 at 6:42 PM
- Julie@beingRUBY said...
Gorgeous post Catherine. I love those flirty skirts and the dusty roses but the ice cream is a clever addition to this lovely medley. Julie
- July 17, 2009 at 8:14 PM
- River said...
I love purple, the deep dark shades and the dark pinky purples,the pale, almost white tints.
- July 17, 2009 at 8:50 PM
- Beth said...
You find the most beautiful pictures! I love to stop by your site for some eye candy :).
- July 17, 2009 at 10:04 PM
- heathersthompson said...
This is sucha great post. I just did a post this week on Mauve memories from childhood. and trying to rethink the pink and purple hues.
love all your images!!
- July 19, 2009 at 12:57 PM
- Morning T said...
Absolutely amazing photos!
- July 21, 2009 at 3:54 AM


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Assessment |
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Personality: Self concept · Personality testing · Theories · Mind-body problem
In the mid-1960s Florence L. Geis, with Richard Christie, developed a Machiavellianism Scale, a personality measure assessing a person's level of Machiavellianism. This eventually became the MACH-IV test, a twenty-statement personality inventory that is now the standard self-assessment tool of Machiavellianism. People scoring above 60 out of 100 on the MACH-IV are considered high Machs; that is, they endorsed statements such as, "Never tell anyone the real reason you did something unless it is useful to do so," (No. 1) but not ones like, "Most people are basically good and kind" (No. 4). People scoring below 60 out of 100 on the MACH-IV are considered low Machs; they tend to believe, "There is no excuse for lying to someone else," (No. 7) and, "Most people who get ahead in the world lead clean, moral lives" (No. 11).


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Potatoes have a large following and it continues to grow, according to a recent survey conducted on behalf of the Idaho Potato Commission, Eagle.
In fact, 97% of respondents said they eat potatoes, and 81% said they had them as a side dish, snack or main course an average of three days per week.
The survey, conducted by Culver City, Calif.-based Kelton Research between Jan. 7 and Feb. 3, involved 1,000 adults nationwide, ages 18 and over. Participants responded to an e-mail invitation and then took the online survey.
"We were thrilled with the survey results, which found consumer attitudes toward potatoes shifting," Frank Muir, commission president and chief executive officer, said in a news release. "America's favorite vegetable is now consumed three times a week, up from two times per week in 2009."
He was referring to a similar survey Kelton conducted in 2009 for the commission that showed twice weekly consumption.
Other findings from this year's survey:
• More men than women — 84% versus 78% — eat potatoes once per week.
• Midwesterners are more likely than residents of other regions — 88% versus 78% — to eat potatoes once per week.
• Baked is the top preparation method, 29%; followed by mashed, 25%; french fries, 17%; and hash browns, 9%.
• Nearly three-fourths of respondents — 72% — said they would choose Idaho potatoes over spuds from other states.


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This past week I was at PigSki at the Copper Mountain Resort in Colorado. At the same time, a major winter storm brought snow to much of the upper Midwest. As I write this another storm is racing across the mid-plains, bringing more snow to the region.
While it may still be winter in the US, now is the time to begin implementing summer management strategies. The pigs you are placing into finishers this week will be going to market in June. You may recall that the last week in June last year was among the hottest of the year.
Weight gain in summer has a different value than winter gain. Historically the highest cash prices are in the summer months while sale weights are the lowest of the year. This suggests you can afford to spend management time and some dollars on strategies that maximize carcass weight sold.


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Charles Pic: "I left China on Sunday night and headed straight to Dubai for a couple of days off before going to Bahrain for race four. I was pleased with my performance in Shanghai and now the aim is to take that on to the race in Bahrain and keep making decent progress before we get back to Europe.
"I've raced in Bahrain a couple of times before and won the GP2 Asia race there back in 2010, so it's a track I know well and one I like racing on. Technically it's not too challenging but one of the main areas we'll need to focus on is the brakes. It's particularly hard on brakes, much more so than China for example, so we'll look at that in the practice sessions as you can make up a lot of time in the braking zones if you can really push there. We're also bringing some new parts to Bahrain so we'll work on optimising their performance as much as possible in each session.
"This is only the first stage of the 2013 developments we're bringing so we're very realistic about what we might find this weekend, and we're not going to make any predictions about what they're going to bring in terms of laptime, but we'll focus on integrating them into the package we've used in the first three races and see where we end up."
Giedo van der Garde: "Back to Bahrain which is another circuit I have quite a bit of experience at, most recently last year in GP2 when I finished the feature race on the podium, so it's a track that holds good memories for me. It's quite a technical circuit that evolves a lot as the weekend progresses. It'll be very sandy on Friday but with every lap that's completed it rubbers in and the grip levels improve a lot - that's important in each session, particularly quali as you need to time your run to make the most of the track evolution so strategy will be really important all weekend.
"Coming straight after China, the race in Bahrain is also a chance for me to get back to the performance levels I want to be racing at. China was a pretty tough weekend, but I've had a couple of days to recharge since leaving Shanghai and after the race we had a very good debrief and we've identified a few areas we'll work on this weekend in Bahrain. Since announcing my F1 drive I've been really clear that the first few races were always going to be tough for a rookie, but it's all part of the learning process so I'm as positive as ever and looking forward to getting back to work."
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